CARE PUMP 22860351330 Pneumatic Compression Therapy Device User Guide
- August 9, 2024
- CARE PUMP
Table of Contents
22860351330 Pneumatic Compression Therapy Device
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Product Information
Specifications
- Product: CarePump Pneumatic Compression Therapy Device
- Manufacturer: Polish Society of Lymphology
- Programs: Lymphoedema I, Lymphoedema II, Lymphoedema III,
Lymphoedema IV, Venous oedema I, Venous oedema II, Lipoedema I,
Lipoedema II, Post-injury therapy, Cellulite advanced,
Regeneration, Prevention, relaxation, All-chamber (global
massage)
Product Usage Instructions
Recommendations for Safe Use
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 a
low position.
In case of alarming symptoms, stop the treatment immediately
using the safety button or pressing the stop button on the screen.
Consult with a doctor, physiotherapist, or the
manufacturer/authorized distributor of the device.
Description of Programs
Lymphoedema I
Standard program for displacing edema fluid efficiently while
maintaining pressure in inflated chambers. Suitable for
therapeutically neglected lymphoedema with high tissue
cohesion.
Venous Oedema I
Classic program filling individual chambers one by one while
keeping pressure in inflated chambers. Recommended for old venous
edema and non-fibrous lymphoedemas affecting the distal part of the
limb.
Post-Injury Therapy
Program with high gradient, moderate speed, and short treatment
time. Efficiently drains protein-rich swelling fluid from distal
parts of the limb after minor injuries.
Cellulite Advanced
Dedicated for individuals tolerating constant compression on the
entire limb over an extended period.
Regeneration
Characterized by high gradient and average holding and break
values. Modified double ascending wave cycle for faster movement
and shorter treatment cycles.
FAQ
Q: How do I clean the CarePump device?
A: Wipe the device with a damp cloth and mild detergent. Do not
submerge in water or use harsh chemicals.
Q: Can I adjust the pressure levels during treatment?
A: Yes, you can adjust pressure levels based on comfort and
therapeutic needs using the controls on the device.
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Guide to pneumatic compression therapy
with CarePump device
Prepared by: Polish Society of Lymphology
Sebastian Bialy
Master of Physical Therapy, specialist in Manual Lymphatic Drainage, author of
publications on lymphatic drainage and anti-edema therapy. © All rights
reserved
Contents
Recommendations for the safe use of the device
3
Description of the programs
6
Lymphoedema I
6
Lymphoedema II
7
Lymphoedema III
8
Lymphoedema IV
9
Venous oedema I
10
Venous oedema II
11
Lipoedema I
12
Lipoedema II
13
Post-injury therapy
14
Cellulite advanced
15
Regeneration
16
Prevention, relaxation
17
All-chamber (global massage)
19
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 can be set, only if the treatment with
the previous pressure value was well tolerated. Before the purchase and use by
individual patients, the appropriateness of using the device should 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
3
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.
4
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 doctor who, after
examining the patient, will recommend detailed parameters or therapy program.
5
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).
6
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 entire 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.
7
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.
8
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
inflated one 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 crystalloid 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.
9
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 can be also used effectively in non-fibrous lymphoedemas that
only affect the distal part of the limb.
10
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
lower cohesiveness. 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.
11
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 the form 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).
12
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.
13
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).
14
Cellulite advanced
It is a program with a complicated sequence of f illing the chambers. Its aim
is to first perform a gentle ,,massage” of the tissues 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.
15
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.
16
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.
17
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.
18
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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