MU Turbimed ENG Version 05

TURBIMED
2009
2012
2039
User Manual
English
Revision : 05
Carci Indstria e Comrcio de Aparelhos Cirrgicos e Ortopdicos Ltda.
Made in Brazil
Turbimed
Turbimed
Conten ts
02.............. General information
03.............. Installation
03.............. Connection to the power system
04.............. Hydraulic system
05.............. Description of the turbine
06.............. Installation of the turbine in the tank
06.............. Operation
07.............. Safety rules
08.............. Indications
08.............. Contraindications
09.............. Tank Models
12.............. Preventive maintenance and conservation
13 Cleaning
14.............. Corrective maintenance
15. ............ Technical characteristics
17 Symbols
19 Electromagnetic Compatibility Information
23.............. Final comments
24.............. Bibliographic references
.................. Annexes A.3
Gene ra l I nforma ti on
We, from CARCI, would like to congratulate you for the acquisition of this
equipment, in which Quality, Technology and Safety are always paramount.
Hydrotherapy is one of the oldest therapeutic methods for the treatment of
physical dysfunctions. It has been used for the treatment of hardened joints,
painful scars, adhesions, and arthritis and also as a warm-up prior to
physical exercises
Whirlpool is an equipment comprising a tank containing water at a certain
specific temperature, which is stirred by means of a turbine that regulates
the flow and the aeration of the water by the passing thereof through a
chamber that forces it outwards through a nipple or a direction setting
device.
This phenomenon called whirling is an effective method to transfer energy
to the body, by means of a convection process caused by the application of
heat or cold to corporal areas.
The presence of the water creates a good means of support for active
exercises.
During the execution of slow movements, the buoyancy of the members of
the body helps the movements. When the exercises are performed with
greater speed, the water creates a resistance to the movements. The
agitation and aeration of the water caused by the Turbine act as a process
of massage, with sedative, analgesic and blood circulation increase effects.
The Whirlpools Turbimed are manufactured in three models:
2039 For treating the upper limbs

2009 For treating both upper and lower limbs
2012 For treating the entire body
Models 2009, 2012 e 2039 are sets composed by tanks models 2001,
2002, and 2003, and by the turbine model 2021.
The tanks and the turbine may be supplied separately
MU TURBIMED_ENG_REV 05 08/2007
Turbimed
Turbimed
Installation
Consult annexes: Drilling template of the Electric Protection Box
For the perfect functioning of your equipment, the electric installation must
comply with the following standards:
Brazil:
NBR 5410/1990 Low tension electric installations;
NBR 13534/1995 Electric installations in healthcare establishments Safety Requirements.
Other countries:
IEC 60364-7-710/2002 Electric installations medical locations;
Or other standard applied in country of utilization.
C o n n e ct i o n t o th e p ow er s yst em
The connection to the power system 127 V~, 220 V~ or 230 V~ is made
according to follow diagram, being indispensable the installation of the
electric protection system that is supplied with the equipment
The power supply voltage should be within the range specified in the
Technical Characteristics; otherwise there might be degradation in the
equipment working and safety risk.
This CARCI protection system is composed by a thermal switch that turns
off the motor if the internal temperature reaches 130C, turning it back on
when the internal temperature of the motor goes down to at least 70C. The
protection box is composed by a differential circuit breaker, the purpose of
which is to protect the patient from any risk of electric shock, and a set of
safety fuses to protect the motor in case of any failure.
H ydra ul ic S yste m
The whirlpool tank may be fed through the direct supplying of water from
the local existing hydraulic system.
The drainage of the water is made through a valve located at the bottom of
the tank. A connection must be made from the drainage valve (3/4) to the
specific sewer system for hospital sewage.
Non-compliance with this item may entail safety risks to the patient and/or
the operator, for which CARCI is exempt of any liability.
Turbimed
Turbimed
De s cri pti on o f the Turbi ne
I n st all ati on of t h e tu rb in e in t h e t an k
Model 20 21
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
On/Off switch
Directional nipple
Transportation support
Three pole power cable for
connection with the power system
Support of the turbine
Direct jet
Bypass crank of the direct jet or
directional nipple
Directional nipple hose
Turbine attachment support
Turbine attachment rod
Drainage water valve crank
a.
b.
c.
d.
e.
Loosen the turbine attachment support (9)

Hold the turbine by the support (3)
Place the support of the turbine (5) on the rod (11)
Adjust the height of the turbine
Tighten the attachment support (9) to fasten the turbine in the desired
position
Oper ation
Instruct the patient not to touch the on/off switch of the turbine, or any
electric connection during the treatment or while the body is still wet.
Feed the tank with enough water to cover the area to be treated. The
water level should be at least 20cm above the base of the turbine.
In case there are any injuries in the area to be treated, use a

disinfectant containing sodium hypochlorite.
Adjust the temperature of the water according to the type of effect

desired.
The heating of the water must be performed externally, or by means of

a normalized electric heater.
Note: For safety reasons never turn on the turbine
an electric heater is inside the tank.
if
If the treatment is to be made on the members, place the patient in a

comfortable position using the whirlpool chair model 2050.
The arm or the leg of the patient should be properly resting upon the
rim of the tank, using a folded towel as support for the member, so as to
prevent any circulation impairment.
Open the cover of the protection system box and activate the circuit
breaker by just pushing the blue lever up. This procedure is to be done
only once, being unnecessary to turn on and off the circuit breaker at
each therapy section. Always use the on/off switch of the whirlpool to
do this.
Turbimed
Turbimed
Turn on the turbine through the on/off switch located on its upper
portion, adjust the height and direction of the water jet, and start the
treatment.
Patients being treated for the entire body must be continuously

monitored.
The equipment is to be operated at a room temperature varying from 15

to 35C (59 to 95F).
Safety Rules
Proper compliance with the specifications of the products to be added to
the water and with the medical indications to the patients.
In case o using warm water, make a previous control of the temperature
by means of a thermometer.
This equipment should be operated by qualified personnel only,
pursuant to the legislation in the country of use.
Indications
Reduction of the rigidity of the joints
Stimulation of the cicatrisation of wounds
Sub-acute or chronic inflammatory conditions
Peripheral vascularization pathologies (use water at room temperature)
Peripheral nerves diseases (avoid extremes of hot and cold water)
Relief of pain and muscular spasm
Removal of pus and necrotic tissue
Contraindication s
Acute conditions in which the turbulence or whirling of the water may

cause irritation of the area being treated.
Patients requiring postural support during the treatment
Do not put any cloth or obstruct the openings of the turbine ventilation.
This may cause the equipment overheating.
Do not turn on the turbine out of the water
The equipment should not be operated outside the temperature range
specified in the technical characteristics, as this would result in
overheating and risk to safety.
The turbine is not protected against hazardous water penetration (IPX0).
Care should be taken in order to avoid water spilling over the turbine.
Turbimed
Turbimed
Tank Models
Model
Model
Model 2002 is designed for hydrotherapic immersion treatment of the lower

and upper limbs
2003
2002
Model 2003 is designed for hydrotherapic full body immersion treatment

Capacity
Weight empty
Weight w/ water
Dimensions
Capacity
Weight empty
Weight w/ water
Dimensions
Approximately 300 liters

66 kg
370 kg. Approximately
1.50 x 0.60 x 0.50 (LxWxH) mt.

32 kg
Approximately 300 kg.
0.90 x 0.50 x 0.70 (LxWxH) mt.
10
Turbimed
Model
Turbimed
2001
Model 2003
upper limbs
P r e v en t i ve m a i n te n an ce
is designed for hydrotherapic immersion treatment of the
Capacity
Weight empty
Weight w/ water
Dimensions
20 kg
Approximately 110 kg
0.70 x 0.40 x 0.50 (LxWxH) mt.
11
Daily control of the power supply and feeding cable of the turbine,
making sure there are no defects.
Daily control of the connection of the power cable with the power
system, by checking the contact terminals.
Daily checking of the pressure of the turbine jet
Daily checking of the state of conservation of the hose of the

directional nipple and the connection thereof. In case of damage,
provide its substitution.
Daily checking of the functioning and leak tightness of the tank water
drainage valve.
Quarterly checking of the functioning of the protection system, by

pressing the test key, which should turn off the differential circuit
breaker.
To reactivate the system, activate the circuit breaker, simply pushing
the blue lever up
We recommend the equipment to be revised by CARCI or authorized

distributor once a year.
The estimated lifetime of this equipment is 5 years. Following this

period, the equipment should be submitted to a thorough inspection by
CARCI or authorized distributor so that it may continue to be used in a
safe, efficient way.
12
Turbimed
Turbimed
Cleaning
Co rre ct i ve m ai n t en an c e
Disconnect the turbine from the Carci protection system.
Supply the tank with enough water for the safe operation of the turbine.
Add a commercial disinfectant and a bactericide to the water, using the

concentration recommended in the label.
Turn on the turbine for at least one minute to clean the internal
components thereof.
After each application, the water should be changed and the whirlpool
should be washed with water and neutral soap. This procedure is
considered as adequate for controlling the cross contamination in the
tank.
Use a Scotchbrite type sponge weekly to remove occasional crusts.
Do not use chlorine for asepsis or cleaning
Do not use steel wool
Clean the outer surface with stainless steel cleaning products.
Problems
Equipment does not
turn on
Equipment turns on,

but there is no
emission of water jets
Equipment turns on
but the turbine makes
noises or vibrate
strongly
The drainage valve is
activated, but the
water is not drained
The water level in the
tank has lowered
substantially during
use
Solutions
Check if the power cable of the protection
system is connected to the power system
Check the circuit breaker of the protection
system
Check the On/Off switch of the turbine
Check the safety fuses of the protection
system
Check the continuity of the power cable.
Check if the hose or their connections are

not damaged.
Check if the suction of the turbine is not

clogged.
Call technical assistance
Call technical assistance
Check if the crank of the valve is not loose

Check the hydraulic drainage system
Check if the valve is totally closed

Check if some small object is preventing the
closing of the valve
Note1: using parts and accessories not specified by CARCI could

compromise the equipment safety. CARCI shall not be responsible for such
procedure.
Note 2: Electric diagrams, circuits and parts lists are not provided to end
consumers. If necessary, please contact CARCIs Authorized Technical
Service.
13
14
Turbimed
Turbimed
Fuses Replacement
Disconnect the protection system of outlet;
Press the lack of the fuse holder to low and pull the support;
Replacement the open fuse by one of equal valor;

To 127 V~
: 12.5A 250V 20AG
To 220 V~ and 230 V~: 6.3A 250V 20AG
If fuse continue opening, contact the CARCIs Authorized Technical

Service.
Te chni ca l Cha ra ct eri s ti c s
Equipment operating conditions:

Room temperature
Relative humidity
Atmospheric pressure
Function and application

Directional nipple or direct jet
Adjustable level of water aeration
Water discharge
Mains supply
Safety against electric shock risk:

This equipment was built according to standard NBR IEC 60.601-1:
1997 (Electromedical Equipment Part 1 General Safety
Prescriptions)
Important remarks
Mains frequency
Maximum consumption
Mains Fuses
:Whirlpool for therapy
:220 liters per minute

:127V~ or
:220V~ ( 10%)
(different models)
: 60Hz or 50Hz
(different models)
Tanks mod els 2001, 20 02, 2003

Made of AISI 304 stainless steel
Mounted on casters
Gate valve, diameter, for water drainage.
Polished finishing
A c ce s sor i e s:
Chair for treatment
Thermometer
Directional nipple hose
: 800 VA
127V : 2x 12.5A 250V 20AG
220V : 2x 6.3A 250V 20AG
Motor
: 1/2 HP 3450 RPM
: Permanently lubricated
Dimensions
: 0.89 x 0.27 (H x ) mt.
Net weight
: 17 kg
Protection against electric shock
: Class I
Degree of protection of the part applied Type B
Protection against water penetration
: IPX0
Operation mode
: Continuous
: +15C to +40C
: 0% to 80%
: 700 hPa to 1060hPa
Environmental conditions for transportation and storage:

Room temperature
: -10 to 50oC
Relative humidity
: 20 to 90%
Atmospheric pressure
: 500 to 1060hpa
Model 2021 Turbine
This equipment can not be used in presence of flammable

anesthetic mixture with air oxygen or nitrous oxide.
15
2050
2005
2006
16
Turbimed
Turbimed
Symbols
In the packaging:
In the equipment:
Equipment OFF
Equipment ON
This equipment causes physiological effects.
See instructions manual.
Type B applied part
Produced date
Serial number
Manufacturer identification
CE Mark and notified body identification
European representative
17
18
Turbimed
Turbimed
Electromag neti c Compat ibil it y

Information
Immunity tests
Quick transients /
Bursts
IEC 61000-4-4
MANUFACTURERS STATEMENT AND DIRECTIONS ELECTROMAGNETIC

EMISSIONS
TURBIMED is intended for use in the electromagnetic environment described below.
TURBIMED buyer or operator should make sure that it is being used in this kind of
environment.
Emission tests
Compliance
Electromagnetic environment directions
RF emission
Group 1
TURBIMED uses RF power only for its
CISPR 11
internal working. Thus, its RF emission
is very low and is not likely to cause
any interference in other electronic
equipment nearby.
RF emission
Class A
TURBIMED is intended for use in all
CISPR 11
establishments, including household
environments and those connected
Harmonic emission
Class A
directly to the public power system
IEC 61000-3-2
supplying power to constructions with
Voltage Fluctuation / Flicker Compliant
domestic purposes.
emission
IEC 61000-3-3
MANUFACTURERS STATEMENT AND DIRECTIONS ELECTROMAGNETIC
IMMUNITY
TURBIMED is intended for use in the electromagnetic environment specified below.
environment.
Immunity tests
IEC 60601 test
Compliance
Electromagnetic environment level
level
directions
Electrostatic
6 kV contact
6 kV contact
The floor should be wood,
discharge
8 kV air
8 kV air
concrete or ceramic. If the floor is
IEC 61000-4-2
covered with synthetic material,
the relative air humidity should be
at least 30 %.
19
Surge
IEC 61000-4-5
IEC 60601 test

level
2 kV supply line
1 kV signal
input and output
line
1 kV differential
mode
2 kV ordinary
mode
<5% Ut
(>95% drop in Ut)
Per 0.5 cycle
Voltage
drops,
short
interruptions and
voltage variations
in power supply.
IEC 61000-4-11
40% Ut
(60% drop in Ut)
Per 5 cycles
70% Ut
(30% drop in Ut)
Per 25 cycles
<5% Ut
(>95% drop in Ut)
Per 5 s
Compliance
level
2 kV supply
line
Not-applicable
1
kV
differential
mode
2 kV ordinary
mode
<5% Ut
(>95% drop in
Ut)
Per 0.5 cycle
Electromagnetic environment directions
The power system quality should

be that of a typical hospital or
business environment.
40% Ut
(60% drop in
Ut)
Per 5 cycles
70% Ut
(30% drop in
Ut)
Per 25 cycles
<5% Ut
(>95% drop in
Ut)
Per 5 s
3 A/m
Magnetic fields 3 A/m

The magnetic fields of network
of
network
frequencies
should
be
frequencies
characteristic levels of a typical
(50/60 Hz)
business or hospital environment.
IEC 61000-4-8
Note: Ut is the voltage of AC network before application of the test level.
20
Turbimed
Turbimed
a.
MANUFACTURER STATEMENT AND DIRECTIONS ELECTROMAGNETIC

IMMUNITY
TURBIMED is intended for use in the electromagnetic environment specified below.
environment.
Immunity
IEC 60601 test
Compliance
Electromagnetic environment tests
level
level
directions
Portable and movable RF communication
equipment should not be used closer to any
part of the TURBIMED, including cables,
than the separation distance recommended,
calculated from the equation applicable to
the transmitter frequency.
Recommended separation distance
d 1,17. P
RF
Conducted
IEC 610004-6
3 Vrms
150 kHz to 80
MHz
RF Radiated
IEC 610004-3
3 V/m
80 MHz to 2.5
GHz
3V
d 1,17. P
80 MHz to 800 MHz
d 2,3. P
800 MHz to 2.5 GHz
b.
The intensity of fields generated by fixed transmitters, such as cell sites for phones
(cell/wireless) and ground mobile radios, hams, AM, FM radiobroadcast stations and
TV may not theoretically have accurate prognosis. In order to evaluate the
electromagnetic environment due to fixed RF transmitters, an electromagnetic field
study on the site should be considered. If the intensity of field measured at the site in
which TURBIMED is used exceeds the compliance level above, TURBIMED should
be observed to check if it is operating normally. If abnormal performance is verified,
additional measures may be required, such as reorientation or reallocation of
TURBIMED;
Above the frequency scale of 150 kHz to 80 MHz, the field intensity should be less
than 3 V/m.
Separation distances recommended between portable and mobile RF communication

equipment and TURBIMED
TURBIMED is intended for use in electromagnetic environment in which RF disturbances are
controlled. TURBIMED buyer or operator can help prevent electromagnetic interference by
keeping a minimum distance between portable and mobile RF communication equipment
(transmitters) and TURBIMED as recommended below, according to the maximum output
power of the communication equipment.
Maximum declared
Separation distance according to transmitter frequency
output power of
150 kHz to 80 MHz
80 MHz to 800
800 MHz to 2.5 GHz
transmitter (W)
MHz
d 1,17 P
3 V/m
Where P is the maximum transmitter output
power in watts (W), according to transmitter
manufacturer and d is the separation distance
recommended in meters (m).
The field generated by fixed RF transmitters,
as determined by an electromagnetic field
study on sitea, should be less than the
compliance level in each frequency range. b
Interference may occur around equipment
bearing the following symbol:
d 1,17 P
d 2,3 P
0.01
11.70 cm
11.70cm
23.00 cm
0.1
37.00 cm
37.00 cm
72.70 cm
1
1.17 m
1.17 m
2.30 m
10
3.70 m
3.70 m
7.27 m
100
11.70 m
11.70 m
23.00 m
For transmitters with the declared maximum output power not listed above, the separation
distance recommended (d in meters) may be determined by using the equation applicable to the
transmitter frequency; where P is the maximum transmitter output power in watts (W) according
to its manufacturer.
NOTE 1: at 80 MHz and 800 MHz, the separation distance is applied for the highest frequency.
NOTE 2: this procedure can be applicable in all situations. The electromagnetic propagation is
affected by absorption and reflection of structures, objects and people.
NOTE 1: within the range of 80 MHz to 800 MHz, the highest frequency in the range is
applicable.
NOTE 2: this procedure may not apply in all situations. The electromagnetic propagation is
affected by absorption and reflection of structures, objects and people.
21
22
Turbimed
Turbimed
Final Comm ents

It has been a policy of CARCI to continuously improve the quality of its
products. Carci reserves the right to make changes in the design and
specifications, as well as to add and improve its products without any
obligation to install them in products already manufactured.
The text, illustrations and specifications contained in this manual are based
on information available at the time of its printing.
All rights reserved.
EUROPEAN REPRESENTATIVE
OBELIS S.A.
34, Av. de Tervuren, bte 44
B-1040 Brussels, BELGIUM
Tel: (32) 2.732.59.54
This manual may not be wholly or partially reproduced without written

authorization from Carci.
Fax: (32) 2.732.60.03

E-mail: mail@obelis.net
Patent # 7.407.681BR
Information on the Manufacturer
CARCI Indstria e Comrcio de Aparelhos Cirrgicos e Ortopdicos Ltda.
CGC: 61.461.034/0001-78
I.E. : 110.182.450.113
Rua lvares Fagundes, 359 So Paulo SP Brasil CEP 04338-000
Tel.: (55 11) 3346 2100
Fax.: (55 11) 3207-8027
e-mail : carci@carci.com.br
web site : www.carci.com.br
Bibliograp hic Referenc es
Thermal Agents in Rehabilitation Susan L. Michlovitz 3rd ed. 1996

CPR Contemporary Perspectives in Rehabilitation.
Elementos de Fisioterapia Araujo Leito 4th Edition 1973 Artenova
Therapeutic Modalities Chad Starkey, PhD, ATC 2nd ed. 1993. F.

A. Davis Company Philadelphia.
Carci Registration at the Ministry of Health: MS-1.03.142-9

Registration of the Equipment at the Ministry of Health: MS-10311490002
For Technical Assistance:
Technical Assistance Department
Rua lvares Fagundes, 359 So Paulo SP Brasil CEP 04338-000
Tel.: (5511) 5621 7024
Fax.: (55 11) 5621-2701
e-mail : sat@carci.com.br
Responsible Technician:
Orlando Orlandi Melo de Carvalho - CREA 5061377287/D
Warran ty C erti fica te a ppende d

23
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TURBIMED

02.............. General information

03.............. Connection to the power system

04.............. Hydraulic system

05.............. Description of the turbine

06.............. Installation of the turbine in the tank

07.............. Safety rules

09.............. Tank Models

12.............. Preventive maintenance and conservation

14.............. Corrective maintenance

15. ............ Technical characteristics

19 Electromagnetic Compatibility Information

23.............. Final comments

24.............. Bibliographic references

.................. Annexes A.3

2039 For treating the upper limbs

Consult annexes: Drilling template of the Electric Protection Box

De s cri pti on o f the Turbi ne

Loosen the turbine attachment support (9)

In case there are any injuries in the area to be treated, use a

Adjust the temperature of the water according to the type of effect

The heating of the water must be performed externally, or by means of

If the treatment is to be made on the members, place the patient in a

Patients being treated for the entire body must be continuously

The equipment is to be operated at a room temperature varying from 15

Reduction of the rigidity of the joints

Stimulation of the cicatrisation of wounds

Sub-acute or chronic inflammatory conditions

Peripheral vascularization pathologies (use water at room temperature)

Peripheral nerves diseases (avoid extremes of hot and cold water)

Relief of pain and muscular spasm

Removal of pus and necrotic tissue

Acute conditions in which the turbulence or whirling of the water may

Patients requiring postural support during the treatment

Model 2002 is designed for hydrotherapic immersion treatment of the lower

Model 2003 is designed for hydrotherapic full body immersion treatment

Approximately 300 liters

Approximately 270 liters

is designed for hydrotherapic immersion treatment of the

Daily checking of the pressure of the turbine jet

Daily checking of the state of conservation of the hose of the

Quarterly checking of the functioning of the protection system, by

We recommend the equipment to be revised by CARCI or authorized

The estimated lifetime of this equipment is 5 years. Following this

Disconnect the turbine from the Carci protection system.

Add a commercial disinfectant and a bactericide to the water, using the

Use a Scotchbrite type sponge weekly to remove occasional crusts.

Do not use chlorine for asepsis or cleaning

Do not use steel wool

Clean the outer surface with stainless steel cleaning products.

Equipment turns on,

Check if the hose or their connections are

Check if the suction of the turbine is not

Call technical assistance

Check if the crank of the valve is not loose

Check if the valve is totally closed

Note1: using parts and accessories not specified by CARCI could

Disconnect the protection system of outlet;

Replacement the open fuse by one of equal valor;

If fuse continue opening, contact the CARCIs Authorized Technical

Te chni ca l Cha ra ct eri s ti c s

Equipment operating conditions:

Function and application

Safety against electric shock risk: