CARE PUMP Lite6 6 Chamber Lymphatic Drainage Device User Manual
- June 13, 2024
- CARE PUMP
Table of Contents
CARE PUMP Lite6 6 Chamber Lymphatic Drainage Device User Manual
Recommendations for the safe use of the device
All therapeutic programs should be selected individually. For the safety of
the procedure, at least one first procedure should be performed with a
pressure not greater than the current diastolic blood pressure measured on the
limb on which the procedure is going to be performed.For subsequent
treatments, a higher output pressure canbe set, only if the treatment with the
previous pressurevalue was well tolerated. Before the purchase and use by
individual patients, the appropriateness of using the deviceshould be
consulted with a doctor or physiotherapist. The treatment is recommended to be
performed in the supine position (on the back) with the head slightly raised
or the upper part of the body with the lower limbs slightly raised, or in the
sitting position (for the upper limb) with the limb placed up or horizontal.
The treatment should not be performed on the limb in low position. In case of
alarming symptoms, the treatment should be stopped immediately (using the
safety button or pressing the stop button on the screen) and consulted with a
doctor, physiotherapist or the manufacturer / authorized distributor of\ the
device.
The undesirable symptoms include:
- pain in the treated limb,
- sensory disturbances in the treated limb ,
- bruising of the distal part of the treated limb,
- occurrence or increase of genital swelling (scrotum, labia) when using lower limb cuffs,
- persistent itching under the cuff,
- unspecified anxiety or general malaise
Attention! Patients with advanced atherosclerosis or advanced diabetes (with diabetic microangiopathy), peripheral sensory disturbances (e.g. diabetic polyneuropathy), varicose veins
- should not perform pneumatic compression without consulting it with a doctor or physiotherapist.
Due to the fact that it is not possible to describe all undesirable reactions
for each patient (with various conditions, including mainly comorbidities), it
is not allowed to independently make a decision about the use of any of
pneumatic compression devices, without consulting it with a physiotherapist or
doctorwho, after examining the patient, will recommend detailed parameters or
therapy program
Description of the programs
Lymphoedema I
It is a standard program that efficiently displaces the edema fluid while
keeping pressure in the previously inflated chambers. It is dedicated
especially for the treatment of people who tolerate compression well on the
entire limb, suffering from therapeutically neglected lymphoedema with high
cohesion of tissues (fibrotic, hard)
Lymphoedema II
It is a program that efficiently displaces the edema fluid, lymph and venous
blood, while keeping constant compression in the previously inflated chambers.
It is dedicated especially for the treatment of lymphoedema with less cohesive
tissues (fibrosis). Twice as many cycles as in „LYMPHOEDEMA I”program, its
impact covers the entire limb faster and efficiently moves the swelling fluid
through tissues with lower flow resistance resulting from their lower
cohesiveness.It is dedicated for people who tolerate constant compression
along the e tire length of the limb, but due to the faster progress of the
cycle – it will be better tolerated also by people who do not tolerate
constant compression along the entire length of the limb.
Lymphoedema III
(single ascending wave) It is a program in which a compression ring with a
width of one chamber „travels” across a limb. The slow movement of the
„tourniquet” with a width of one chamber ensures effective pushing of the
edema fluid, lymph and venous blood along the limb, while preventing reflux
(return) of the displaced matter. The pressure wave travels continuously along
the limb, i.e. immediately after finishing work in the proximal part of the
limb, it starts to work on its distal part without interruption.
It is dedicated especially for people who do not tolerate constant compression along the entire length of the limb, suffer from swelling that is not yet fibrotic, and have soft tissues where the characteristic dimple is imprinted very quickly, often under the influence of a simple hand grip.
Lymphoedema IV
(double ascending wave)
It is a program in which two chambers always keep the pressure in accordance
with a given gradient. The chambers are inflate done by one, but only two of
them keep the pressure (the higher chamber has a pressure lower by the
gradient value than the lower one). Moving along the limb, a „tourniquet” with
a width of two chambers efficiently transports the edema fluid, lymph and
venous blood through the tissues of slightly greater cohesiveness, in which
crystallized aggregation occurs.
It is dedicated for use by people who do not tolerate constant compression along the entire length of the limb, suffer from gel swelling, on which it is still easy to obtain a characteristic pressure dimple, but it does not occur spontaneously under the influence of a simple, short grip with the hand.
Venous oedema I
It is a classic program consisting in filling individual chambers one by one
while keeping the pressure in the previously inflated chambers. It is
dedicated for „old” venous edema that persisted for years and which have long
ceased to be self-draining (e.g. after sleep). Especially recommended for
people who better tolerate compression along the entire length of the limb. It
canbe also used effectively in non-fibrous lymphomas that only affect the
distal part of the limb.
Venous oedema II
It is a program that efficiently displaces the edema fluid, lymph and venous
blood while keeping constant compression in the previously inflated chambers.
The cuff is gradually inflated in two chambers, keeping the given gradient.
It is dedicated especially for the treatment of venous edema with less tissue cohesiveness. Almost twice as many cycles as in „VENOUS OEDEMA I” program, it covers the entire limb faster and efficiently moves the edema fluid through tissues with lower flow resistance resulting from their lowercohesiveness. It is dedicated for people who tolerate constant compression along the entire length of the limb relatively well, but due to the faster progress of the cycle – it will be better tolerated by everyone.
Lipoedema I
It is a program pumping the chambers in the classic way – one after another
with the pressure in the previously filled chambers, except chamber 1, which
deflates while chamber 3 is inflating. Due to the fact that the feet / hands
in lipoedema are always free from swelling itself, the first chamber covering
the most distal part of the limb may be released. However, in order not to
reverse the edema fluid from the upper part of the limb – it initially
inflates, and only after „putting on a tourniquet” in theform of the filled
chamber 2, i.e. during the filling of chamber 3 – the first one deflates.
The program is dedicated especially for people who do not tolerate compression on the distal parts of the limb (e.g. bunions, postoperative conditions).
Lipoedema II
It is a program in which the cuff inflates faster, because 2 chambers are
pumped simultaneously while maintaining the set gradient and keeping the
pressure in the previously filled chambers. Thanks to this, the patient’s body
in the proximal part of the limbs does not stay long under the set
compression, and the distal parts of the limb are fully protected against
uncontrolled reflux. In this program, the first chamber is not deflated as in
„LIPOEDEMA I” program.
The program is dedicated for people with greater pain sensitivity to pressure and for use in cases of edema fluid reflux on the foot during „LIPOEDEMA I” program.
Post-injury therapy
It is a program characterized by a high gradient (4mmHg), a moderate speed and
a short treatment time. Due to the relatively small amount of proteins (in
relation to the volume of the entire limb) in the exudate after minor
injuries, there is no need to generate high pressure along the entire length
of the limb. The applied value of the gradient ensures the efficiency of
draining the protein-rich swelling fluid from the distal parts of the limb,
which are most often injured.
Attention: In cases of:
a) long-term, neglected post-traumatic edema,
b) swelling after massive injuries,
c) swelling after injuries within the proximal parts of the limb,
consider reducing the gradient value (to increase the compression value in the
proximal cuff chambers), or use the lymphatic programs (especially for massive
injuries with significant damage to the lymphatic system).
Cellulite advanced
It is a program with a complicated sequence of filling the chambers. Its aim
is to first perform a gentle „massage” of thetissues within individual,
2-chamber sections of the cuff, and then push the tissue fluid out of the limb
under this cuff section. The chambers are inflated 1-2 times and do not
deflate until the end of the cycle. Then the chambers 3-4 „massage” the
patient’s body by inflating and deflating one after the other, it means that
filling the next chamber deflates the previous one;each chamber inflates
cyclical three times and deflates three Times. Subsequently, the same massage
which was performed by chambers 3-4 is performed by chambers 5-6, and after
their constant filling – also by chambers 7-8. The entire cycle ends with the
constant filling of chambers 7-8. Then the whole cycle repeats from the
beginning.
The program is dedicated for people who tolerate constant compression on the entire limb, which is kept for a long time
Regeneration
It is a program characterized by a high gradient and average values of holding
and break. The program has modified the „double ascending wave”, known from,
for example, the lymphatic programs, in such a way that the wave does not move
over one chamber, but over two ones. This means that a „tourniquet” with a
width of two chambers does not move smoothly (by one chamber up), but two
chambers step by step. Thanks to this, its movement is faster and the entire
cycle can be shorter.
Due to the need to discharge acid metabolites of metabolism, and not obligatory lymphatic ballast – there is neither a need to apply high pressure on the proximal parts of the limb, nor a need for a long treatment – therefore a high gradient with a value of 4 mmHg and a relatively short time – 45 min. The shortening of the procedure time is well suited to the shortening of the cycle time, causing that the number of cycles during the entire procedure does not change much.
Recommended for use after physical exertion.
Prevention, relaxation
This program has a zero gradient which makes the pressure in all chambers the
same. Due to the dedicated use by people without edema disorders and when
there is no risk of edema, a gradient of 0 mmHg can be safely used. This
program produces relatively high pressures on the proximal limb (relative to
the distal limb), although high pressure settings are not recommended. The aim
of this procedure is not the targeted movement of the edema fluid, but only
the prevention of interstitial fluid stagnation and the stimulation of deep
sensation receptors (proprioception). The program is a „single ascending
wave”, which means that pressure with a width of one chamber moves
sequentially along the limb, from the distal to the proximal part. Narrow
(because it is only one chamber wide) the traveling pressure ring gives a
favorable impression of a compression massage.
It is recommended to use high elevation of the treated limb during the procedure.
Dedicated for relaxation, especially during the day with reduced physical activity (long time of work in a sitting or standing position, but without visible swelling).
Attention: Do not use in people with a risk of edema, especially in patients who have had lymph node removal and have not yet experienced any swelling! Such people can only use programs with a gradient greater than 0; the venous programs may be considered as prevention.
All-chamber (global massage)
All chambers of the selected cuff inflate simultaneously and then keep the set
pressure for 2 seconds, then deflate and after 3-second pause, the inflation
of the entire cuff is repeated.
This program is an alternative to the „PREVENTION, RELAXATION” program, it also affects the deep sensation receptors (proprioception) and is subject to the same applicability limitations as the previous program.
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References
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