Equipment and Accessories for Modern High-Effective Technology of Ozone Therapy and Ozone prophylaxis
Equipment and Accessories for Modern High-Effective Technology of Ozone Therapy and Ozone prophylaxis
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Medical Ozone Generator MEDOZONS-BM-02
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1. Purpose
Medical ozone generator Medozons-BM-02 with a built-in low-flow multi-injector valve is a modification of basic model MEDOZONS-BM. This modification allows performing both the "traditional" and new methods of ozone therapy, in particular subcutaneous injections of an ozone/oxygen gas mixture (hereinafter - the O2/O3 mixture) in large volumes.
This method is used in the treatment of large body surfaces damaged by local lipodystrophy.
Thanks to its high efficiency this method is also called the multi-injectory "non-surgical" liposuction.
Thanks to its high efficiency this method is also called the multi-injectory "non-surgical" liposuction.
2. Design Features
The main difference of the BM-02 from the BM is that through a built-in low-flow valve it can deliver the O2/O3 mixture at a low flow-rate from 5 to 10 ml/min. That allows introducing the O2/O3 mixture into a problem area directly from the ozone generator (by using a multi-injector with the attached 5 standard 30G needles, the flow-rate through each needle is 1-2 ml/min) thereby creating comfortable conditions for the patient.
Fig. 1. Medical Ozone Generator MEDOZONS-BM-02 with a built-in low-flow valve and multi-injector.
Fig. 1. Medical Ozone Generator MEDOZONS-BM-02 with a built-in low-flow valve and multi-injector.
Fig. 1 demonstrates the operation schema of medical ozone generator MEDOZONS-BM-02 with a built-in low-flow valve and multi-injector. Excess of the O2/O3 mixture is removed to a destructor. For this treatment the right-port jet of ozone generator is used, and the left-port jet must be closed with a screw cap.
The multi-injector is connected with the distributing tubes from the accessory set (Order-No. 103\01), the distributing tubes are fitted with thin needles "Luer" G30 0,3x13 (Order-No. 101\02).
3. Treatment Procedure
3.1.
Perform a preparatory massage of the problem area. Treat the problem area with 70% spirit.
3.2.
Press the button "START", remove protective caps from the sterile needles, and insert the needles intracutaneously at an angle of 30° on a perimeter of the problem area at a distance of 7-10 cm from each other (Fig. 3). Within first 3-5 min of procedure the patient can feel slight expansion of tissues at the places of injections.
3.3.
After 3-5 min it comes to slight hyperemia and hilliness of skin surface at the places of injections that can intensify to fusion of separate areas.
Perform a preparatory massage of the problem area. Treat the problem area with 70% spirit.
3.2.
Press the button "START", remove protective caps from the sterile needles, and insert the needles intracutaneously at an angle of 30° on a perimeter of the problem area at a distance of 7-10 cm from each other (Fig. 3). Within first 3-5 min of procedure the patient can feel slight expansion of tissues at the places of injections.
3.3.
After 3-5 min it comes to slight hyperemia and hilliness of skin surface at the places of injections that can intensify to fusion of separate areas.
Fig. 2. Technique of introduction of the O2/O3 mixture into the area of thigh:
1 – preparatory stage;
2 – performance of treatment;
3 – problem area after the treatment.
1 – preparatory stage;
2 – performance of treatment;
3 – problem area after the treatment.
Fig. 2. Technique of introduction of the O2/O3 mixture into the area of thigh:
1 – preparatory stage;
2 – performance of treatment;
3 – problem area after the treatment.
1 – preparatory stage;
2 – performance of treatment;
3 – problem area after the treatment.
3.4.
The introduction of the O2/O3 mixture should be performed under strict control of medical personnel, and in case of fusion of hyperemia areas and/or hilliness of skin surface it is necessary to move the needles on the areas without hyperemia symptoms.
3.5.
The procedure lasts for 10-15 min, within this time 100-150 ml of the O2/O3 mixture is introduced (4-7% of body surface is covered by treatment). After the procedure perform manual or apparative vacuum massage of the problem area with ozonized olive oil for equal distribution of gas mixture through subcutaneous fatty tissue.
3.6.
During one procedure it is possible to introduce the O2/O3 mixture into several problem areas through migration of needles (for example, from the right thigh to the left one), while the total time of procedure and volume of the O2/O3 mixture introduced remains stable.
3.7.
After the procedure it can come to crepitation (crunch) not only at the places of direct introduction of the O2/O3 mixture, but also at remote areas that is not considered as a complication, but a successful result of treatment. Crepitation can last up to 2 days.
3.8.
Advantages of this method in comparison with a syringe method are the following:
• An increase in clinical efficiency by 15-30%;
• A decrease in traumatology of skin covers through a decrease in the number of injections by 6-10 times;
• More equal distribution of the O2/O3 mixture at the area of injections;
• No bruises and hematomas at the places of injections (Fig. 3-1).
The introduction of the O2/O3 mixture should be performed under strict control of medical personnel, and in case of fusion of hyperemia areas and/or hilliness of skin surface it is necessary to move the needles on the areas without hyperemia symptoms.
3.5.
The procedure lasts for 10-15 min, within this time 100-150 ml of the O2/O3 mixture is introduced (4-7% of body surface is covered by treatment). After the procedure perform manual or apparative vacuum massage of the problem area with ozonized olive oil for equal distribution of gas mixture through subcutaneous fatty tissue.
3.6.
During one procedure it is possible to introduce the O2/O3 mixture into several problem areas through migration of needles (for example, from the right thigh to the left one), while the total time of procedure and volume of the O2/O3 mixture introduced remains stable.
3.7.
After the procedure it can come to crepitation (crunch) not only at the places of direct introduction of the O2/O3 mixture, but also at remote areas that is not considered as a complication, but a successful result of treatment. Crepitation can last up to 2 days.
3.8.
Advantages of this method in comparison with a syringe method are the following:
• An increase in clinical efficiency by 15-30%;
• A decrease in traumatology of skin covers through a decrease in the number of injections by 6-10 times;
• More equal distribution of the O2/O3 mixture at the area of injections;
• No bruises and hematomas at the places of injections (Fig. 3-1).
4. Contraindications / Limitations
4.1.
Contraindications for treatment:
• Disturbances of blood coagulation;
• Thyroid diseases;
•Acute inflammatory diseases.
4.2.
To ensure no adverse effects during the treatment the following principles should be strictly followed:
• In case of local ozone treatments do not use any other medicament at the same place;
• At the beginning of a treatment course perform a trial procedure of ozone therapy in order to see the patient's reaction.
4.3.
Ozone therapy is combined with the use of any pharmaceutical preparations (except anticoagulants) and with any physiotherapy, but the procedures should be carried out separately. The main causes of the few complications of ozone therapy are the wrong introduction technique and the wrong dosage of ozone.
4.4.
Ozone therapy procedures can be carried out both by a doctor and nursing staff, but the first procedure should be performed in the presence of a doctor. At the slightest deterioration in the patient's condition, the procedure should be stopped immediately.
4.5.
For treatment use only special equipment and accessories.
4.6.
The treatment room should be equipped with plenum-exhaust ventilation, air conditioner or window ventilator to ensure no inhalative exposure of ozone to the patient and medical personnel.
Contraindications for treatment:
• Disturbances of blood coagulation;
• Thyroid diseases;
•Acute inflammatory diseases.
4.2.
To ensure no adverse effects during the treatment the following principles should be strictly followed:
• In case of local ozone treatments do not use any other medicament at the same place;
• At the beginning of a treatment course perform a trial procedure of ozone therapy in order to see the patient's reaction.
4.3.
Ozone therapy is combined with the use of any pharmaceutical preparations (except anticoagulants) and with any physiotherapy, but the procedures should be carried out separately. The main causes of the few complications of ozone therapy are the wrong introduction technique and the wrong dosage of ozone.
4.4.
Ozone therapy procedures can be carried out both by a doctor and nursing staff, but the first procedure should be performed in the presence of a doctor. At the slightest deterioration in the patient's condition, the procedure should be stopped immediately.
4.5.
For treatment use only special equipment and accessories.
4.6.
The treatment room should be equipped with plenum-exhaust ventilation, air conditioner or window ventilator to ensure no inhalative exposure of ozone to the patient and medical personnel.
5. Technical Data
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FAQ
You've brought up the problem of toxic impurities possibly containing in the delivered ozone/oxygen mixture. Is it really so important?
Every doctor using ozone therapy must be sure of its safety, thus there must be no doubt about the purity of delivered ozone/oxygen gas mixtures for medical use (they should be contaminant-free).
We consider this problem as very important. It is a fact that after approx. 100 hours of continuous operation owing to the electrochemical erosion of the ozonization chamber walls and electrodes some of available ozone generators deliver an ozone/oxygen gas mixture contaminated by impurities (calcium, aluminium, silicon, magnesium, copper etc) in concentrations considered as dangerous for the health that however can become evident even some months or years after the treatment. This claim is valid through the investigation of the upper layer taken from the ozonization chamber wall. There are only two possible reasons for the products which were found out on the wall:
Parenteral methods of ozone therapy are safe only if the ozone generator delivers pure contaminant-free medical ozone. Each medical ozone generator should be equipped with a filter for extra purification of oxygen used; purity of delivered ozone/oxygen gas mixtures should be guaranteed by the manufacturer through available test protocols, the same is about accuracy in maintaining the chosen ozone concentration (not worse than 10%) and great operation resource (durability) of ozonization chamber (without any decrease in the ozone production and without any change in ozone concentration accuracy) for at least 2000 hours of continuous operation.
We consider this problem as very important. It is a fact that after approx. 100 hours of continuous operation owing to the electrochemical erosion of the ozonization chamber walls and electrodes some of available ozone generators deliver an ozone/oxygen gas mixture contaminated by impurities (calcium, aluminium, silicon, magnesium, copper etc) in concentrations considered as dangerous for the health that however can become evident even some months or years after the treatment. This claim is valid through the investigation of the upper layer taken from the ozonization chamber wall. There are only two possible reasons for the products which were found out on the wall:
- Destruction of the electrodes (the discovered products are equivalent to the materials of electrodes);
- Fine contaminants possibly containing in oxygen which during the ozonolysis can be converted into toxic products.
Parenteral methods of ozone therapy are safe only if the ozone generator delivers pure contaminant-free medical ozone. Each medical ozone generator should be equipped with a filter for extra purification of oxygen used; purity of delivered ozone/oxygen gas mixtures should be guaranteed by the manufacturer through available test protocols, the same is about accuracy in maintaining the chosen ozone concentration (not worse than 10%) and great operation resource (durability) of ozonization chamber (without any decrease in the ozone production and without any change in ozone concentration accuracy) for at least 2000 hours of continuous operation.
What do you think about oxygen concentrators used as Oxygen Supply Systems for medical ozone generators?
There is no definite opinion at this point. Oxygen produced by these devices very seldom reaches the purity of 95% and higher, and we don not know whether the remaining 5% of content would not be dangerous due to electric synthesis in the ozonization chamber or interaction with ozone.
As you know, medical ozone generators require the use of medical oxygen referred to oxygen gas with guaranteed purity of 99,9% and higher. Anyways, we do not mind the use of oxygen concentrators for external i.e. local methods of ozone therapy.
As you know, medical ozone generators require the use of medical oxygen referred to oxygen gas with guaranteed purity of 99,9% and higher. Anyways, we do not mind the use of oxygen concentrators for external i.e. local methods of ozone therapy.
Would you please explain a necessity for a built-in oxygen filter in medical ozone generators?
Our previous experience has shown that oxygen used can contain micro-quantities of technical oils, thus each ozone generator intended for medical use should be equipped with a filter for extra purification of oxygen that inhibits the introduction of technical oils possibly containing in oxygen into the ozonization chamber. During the ozonolysis technical oils can be converted into dangerous toxic products (fatty acids, ketones, aldehydes etc).
Within a long operation time of ozone generator great volumes of oxygen are conveyed through the ozonization chamber (within 100 hours of operation in case of saline ozonization at a flow-rate of 1 L/min approx. 6000 L of oxygen are conveyed through the ozonization chamber), the ozonization chamber gradually becomes covered with an oily layer, and the doctor cannot be sure of the quality of gas mixtures delivered, thus extra purification of oxygen through a filter at the inlet of ozone generator is a reasonable step.
Within a long operation time of ozone generator great volumes of oxygen are conveyed through the ozonization chamber (within 100 hours of operation in case of saline ozonization at a flow-rate of 1 L/min approx. 6000 L of oxygen are conveyed through the ozonization chamber), the ozonization chamber gradually becomes covered with an oily layer, and the doctor cannot be sure of the quality of gas mixtures delivered, thus extra purification of oxygen through a filter at the inlet of ozone generator is a reasonable step.
Would you please explain the parameter "Range of selecting the dose of ozone"?
It is puzzling to us that some manufacturers of medical ozone generators use the parameter "Ozone production per 1 hour". This parameter was obviously taken from the ozone technology for water treatment, but in the medicine the ozone production should be adjustable at least per 1 min
How important is the accuracy of +/-5% … +/-10% in maintaining the chosen ozone concentration and the adjustable range 1 : 9950, as far as I know, recently these parameters have not been taken into consideration?
Before the New-Generation of medical ozone machines characterized by unique accuracy in maintaining the chosen ozone concentration and a uniquely wide range of ozone concentration adjustment, the doctors using ozone therapy were conditioned by the "traditional" types of ozone generator with very low accuracy in maintaining the chosen ozone concentration (worse than 40-50% as a rule) and a narrow adjustable range (1 : 15 - from 1 mg/l to 15 mg/l). The ozone concentration accuracy of +/-5% …+/-10% ensures a reasonable, predictable and dose-related therapy.
The high accuracy in maintaining the chosen ozone concentration allows using ozone like any other generally accepted medicine. That might have been one of the obstacles for wide spreading of ozone therapy. Nevertheless, all advantages of the Medozons machine do not influence its price, but this is a fact that there are many medical ozone generators on the market being much more expensive, but inferior in technical properties as compared with our machines.
The high accuracy in maintaining the chosen ozone concentration allows using ozone like any other generally accepted medicine. That might have been one of the obstacles for wide spreading of ozone therapy. Nevertheless, all advantages of the Medozons machine do not influence its price, but this is a fact that there are many medical ozone generators on the market being much more expensive, but inferior in technical properties as compared with our machines.
The parameters "Range of ozone concentration adjustment 1:9950" and "Range of selecting the dose of ozone 0,25 … 10000" are not clear to us.
Would you please explain it?
Would you please explain it?
We can explain it with the Medozons-BM:
So, medical ozone generators of Medozons series are able to produce guaranteed pure medical ozone and dose it exactly, with regards to technical and medical features they are the best ones within Russia and have no analogies worldwide! We are sure that the above parameters today considered as unique tomorrow will be the new standards of ozone therapy.
- Range of delivered ozone concentrations (50…10 000) mcg/L. This parameter means that the machine is able to maintain the chosen ozone concentration within the available range with accuracy not worse than +/- 10%: 107 mcg/L or 5671 mcg/L.
- The parameter "Range of ozone concentration adjustment (1 : 9950)" means that the machine is able to provide 9950 values/gradations of ozone concentration with accuracy +/-10% that characterizes the depth of adjustment.
- The range of selecting the dose of ozone characterizes a wide range of ozone dosage adjustment from 0,25 mcg/L to 10000 mcg/L with accuracy +/-5%, at an ozone/oxygen flow-rate of 0,25 L/min adjustable by step 0,25 mcg; 0,5 L/min - 0,5 mcg; 1 L/min - 1 mcg.
So, medical ozone generators of Medozons series are able to produce guaranteed pure medical ozone and dose it exactly, with regards to technical and medical features they are the best ones within Russia and have no analogies worldwide! We are sure that the above parameters today considered as unique tomorrow will be the new standards of ozone therapy.
Would you please explain a necessity for an automated system of ozone-oxygen flow-rate adjustment, what about doing it manually by means of oxygen flow regulator? The use of fixed flow-rates (0,25; 0,5; 1,0 L/min) may limit the range of ozone applications.
Manually setting of oxygen flow-rate by means of regulator may induce a considerable decrease in ozone dosage accuracy (the dose of ozone = CO3 x O2/O3 flow-rate x treatment time) due to possible oxygen pressure fluctuations (in oxygen tank or any other oxygen supply system) or any change in gas tract resistance.
In medical ozone generators of Medozons series oxygen flow-rate delivered to the ozonization chamber is automatically stabilized at the given level regardless of influence from outside, the automated stabilization system of oxygen flow-rate is reliable even in case of considerable pressure fluctuations that ensures a dose-related therapy. The automatic gas supply system is tested by the manufacturer for accuracy in maintaining the chosen oxygen flow-rate. We are convinced that the fixed O2/O3 flow-rates do not limit, but widen the range of ozone applications, most of doctors perform ozone therapy at a flow-rate of 1 L/min, but using a flow-rate of 0,5 or 0,25 L/min it is possible to successfully perform intracavitary ozone therapy (in gynecology, urology etc).
In medical ozone generators of Medozons series oxygen flow-rate delivered to the ozonization chamber is automatically stabilized at the given level regardless of influence from outside, the automated stabilization system of oxygen flow-rate is reliable even in case of considerable pressure fluctuations that ensures a dose-related therapy. The automatic gas supply system is tested by the manufacturer for accuracy in maintaining the chosen oxygen flow-rate. We are convinced that the fixed O2/O3 flow-rates do not limit, but widen the range of ozone applications, most of doctors perform ozone therapy at a flow-rate of 1 L/min, but using a flow-rate of 0,5 or 0,25 L/min it is possible to successfully perform intracavitary ozone therapy (in gynecology, urology etc).
How would you explain the fact that your ozone generators are not equipped with a measuring device to determine the delivered ozone concentration? To my mind, this can discredit the method of ozone therapy. From my own experience I know that at the starting point any medical ozone generator has the actual accuracy of delivered ozone concentration +/-40…+/-80%.
In medical ozone generators of Medozons series like Medozons-BM and BM-02 you can see a different functional principle of the ozonization chamber that ensures a wide range of ozone concentration adjustment (from 50 to 10000 mcg/L) with high accuracy in automatically maintaining the chosen ozone concentration not worse than +/- 10%, in fact, the actual accuracy tested by the manufacturer is not worse than +/- 5%. The attested accuracy is valid for at least the same time as the specified durability of the ozonization chamber before the scheduled prophylactic service (2000 hours of continuous operation or about 5 years of usage). The latest device Medozons-System has a built-in measurer of ozone concentratrions.
© MEDOZONS Ltd., 2009
Ul. B.Panina 9 * 603089 Nizhny Novgorod / Russia
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N.B. The information on our website is intended for medical professionals, since ozone therapy and medical ozone generators should be used in a clinical setting under the supervision of a medical doctor.