Take a moment to reflect on the advantages of the BTL-4000 Electrical Stimulation,
Ultrasound, Laser and Magnet technology in your own clinic. The BTL-4000 system has
many benefits not available in other systems. For an example, a choice of therapy
protocols offers maximum flexibility in a variety of clinical applications.
The combination electrical stimulation / ultrasound / laser or magnet therapy system also
offers substantial benefits since it eliminates the need to purchase separate units. We
sincerely believe the latest BTL physiotherapy system is technically superior to any other
physiotherapy products available and will provide years of trouble-free and profitable
use.
All of us at BTL wish you every success with your BTL-4000 system. We pride ourselves
on being as responsive as possible to our customers’ needs. Your suggestions and
comments are always welcome since we believe an ongoing relationship with our
customers is critically important to our future product line. Please call or email us your
suggestions.
While we would like you to start using your equipment right away, we encourage you to
thoroughly read this manual in order to fully understand the operational features of the
BTL-4000 system.
Again, thank you for being a BTL customer. In the event of any problem, or if you require
service, please make an initial call to your local distributor, who will decide whether to
refer the problem to our office.
PAGE 2 OF 62
CONTENTS
1 GENERAL CHARACTERISTICS........................................................................................................................ 5
2 INSTRUCTIONS FOR USE ................................................................................................................................ 6
2.1 Top Panel ...................................................................................................................................................... 6
2.3 Front Panel .................................................................................................................................................... 8
2.4 Unpacking And Assembly.............................................................................................................................. 8
2.5 Operating the Unit ....................................................................................................................................... 11
2.10.1 Save Therapy......................................................................................................................................... 25
2.11 Interconnection of Units ............................................................................................................................... 27
2.11.1 Interconnection of BTL 4000 Puls (COMBI) and Vacuum Unit BTL Vac................................................ 27
2.11.2 Interconnection of BTL-4000 Puls and BTL-4000 Sono ......................................................................... 27
2.11.3 Interconnection of BTL-4000 Puls, BTL-4000 Sono and BTL Vac ......................................................... 28
2.11.4 Setup and Operation of Combined Therapy in Individual Devices ......................................................... 29
2.11.5 Stopping Combined Therapy in Individual Devices................................................................................ 29
3 DEVICE MENU ................................................................................................................................................. 30
3.1.1 Installation of Accessories...................................................................................................................... 30
3.1.2 Information about Accessories............................................................................................................... 30
3.2 Unit Settings ................................................................................................................................................ 31
3.2.3 Auto Switch Off Setting .......................................................................................................................... 31
3.2.4 Setting of Display Contrast..................................................................................................................... 32
3.2.5 setting Contrast of Small Display ........................................................................................................... 32
3.2.6 setting of Backlight................................................................................................................................. 32
3.2.7 Date and Time Setting ........................................................................................................................... 32
3.2.8 Language Setting................................................................................................................................... 32
3.2.9 Setting of HW Key.................................................................................................................................. 32
3.2.10 New Operation ....................................................................................................................................... 32
3.2.11 Style of Operation .................................................................................................................................. 32
3.2.12 Unit Information...................................................................................................................................... 32
3.2.14 Service Functions .................................................................................................................................. 33
3.3 Special Settings........................................................................................................................................... 33
4 USER SETTINGS OPTION............................................................................................................................... 34
4.1 User Sequences .......................................................................................................................................... 34
4.1.1 Creating New Sequence ........................................................................................................................ 34
4.1.2 Parameters of Sections in Sequence..................................................................................................... 36
4.1.3 Saving New Sequence........................................................................................................................... 36
4.2 User Diagnoses / Programs......................................................................................................................... 37
4.3 List of Recent Therapies.............................................................................................................................. 37
8 UNITS CONFIGURATIONS.............................................................................................................................. 57
8.1 Table of Configurations of the Combined Devices BTL 4000 Series ........................................................... 57
8.2 Table of Configurations of the Electrotherapy Devices BTL-4000 Puls ....................................................... 60
8.3 Table of Configurations of the Ultrasound Therapy Devices BTL-4000 Sono.............................................. 61
8.4 Table of Configurations of the Laser Therapy Devices BTL-4000 Laser ..................................................... 61
8.5 Table of Configurations of the Magnetotherapy Devices BTL-4000 Magnet................................................ 62
PAGE 4 OF 62
1GENERAL CHARACTERISTICS
The BTL-4000 Series offers advanced and well designed physiotherapy units for professional use. Depending on
the required configuration, each system can consist of up to two units with combinations - for electrotherapy,
ultrasound, laser or magnet therapy treatment.
The modular design of the BTL-4000 equipment allows you to build the combination you require. Combine an
electrotherapy unit of your choice with either ultrasound, laser or magnet all in a single unit. This can save
considerable money in your physiotherapy investment.
Selecting a diagnosis from a list of alphabetically organized treatment protocols, or selecting a program, will make
an easy and efficient start of the therapy. Naturally, you can adjust any treatment parameter manually by the
simple use of the unit keys and buttons. Throughout the whole therapy, the display informs you about the
remaining therapy time, channel and therapeutic method used, the type of therapy applied, attached accessories,
and other necessary data.
If several accessories are attached to your unit at the same time, you can easily recognize the accessory required
for a specific treatment. Select a treatment on the display (electrotherapy, ultrasound, laser or magnet), and the
control light on the corresponding accessory (electrotherapy cable, ultrasound head, or magnet disc / double disc
/ linear or solenoid applicator) will start blinking to indicate that this accessory should be used.
Save your time by using the pre-programming of the BTL-4000 units. Based on detailed research and practical
use of the units, the well-organized pre-programmed protocols will give you recommendations for treating various
conditions. The unit also includes up to 50 free lots to define your own protocols. Moreover, you can recall the last
20 treatments.
Prepare your own protocols and later invoke them from easily accessible option.
With every BTL unit, you can purchase a cart specially designed for BTL products. Its versatile design allows you
to conveniently store and use 1 or 2 physiotherapy units and a vacuum unit. The cart includes a range of
accessory trays and baskets. Four well-built and steady castors ensure easy movement of the unit in the office or
hospital.
Please visit our corporate website at http://www.btlnet.com
services.
GENERAL CHARACTERISTICS | PAGE 5 OF 62
for the latest information on BTL products and
2INSTRUCTIONS FOR USE
2.1 TOP PANEL
1. - 6 outputs for patient cables on the rear panel of the device, see chapter Rear Panel
7. display
8 diag key, for quick selection of diagnosis or programs
9 prog key, for quick selection of therapy program
10 man key, for manual setting of all therapy parameters
11 menu key, to set date, time, language, display contrast, sounds, user options, etc.
12 select/intensity knob, to select individual parameters
13 enter key, to confirm selection or setting
14 esc key, to cancel selection or setting and return to the original setting
15 tab key, for switching between the buttons on the display
16 next key, for fast entering the therapy parameters subscreens
17 key 1 for switching to the tab of the first generator
18 key 2 for switching to the tab of the second generator
INSTRUCTIONS FOR USE | PAGE 6 OF 62
2.2 REAR PANEL
1 -6 patient outputs – for exact configuration, see table Configuration of Output Connectors
19 mains switch, for switching the device on/off – positions I / 0.
20 socket for connection of external power supply Adapter 60W / Adapter 90W
21 warning label with parameters of power supply and input of the device
INSTRUCTIONS FOR USE | PAGE 7 OF 62
2.3 FRONT PANEL
22 display of the remaining time of therapy for the first channel
23 display of the remaining time of the therapy for the second channel (or current intensity in case the
channel is only one)
24 start / stop1 key, for starting or pausing the therapy on the first channel
25 start / stop2 key, for starting or pausing the therapy on the second channel
26 on / off switch – serves for switching the device on/off
27 service connector placed under the cover and then the type, manufacture and warning labels (they are
placed on the bottom cover of the device)
2.4 UNPACKING AND ASSEMBLY
Inspect the box for damage and report any damage to the carrier and your distributor. Do not proceed with
installation and assembly if the box is damaged.
Unpack the equipment and place it on a stable horizontal surface suitable for the equipment's weight, out of reach
of sunlight. During the operation the equipment gets warm, therefore it must not be located close to heat-
producing devices. Cooling of the equipment is provided by forced air circulation. Cooling vents are located on the
rear panel and at the bottom of the equipment and must not be covered. Place the equipment so, that the free
space behind the rear side is at least 10 cm. Do not position the equipment on a soft surface which may obstruct
air flow to the bottom cooling vents. Do not put any heat-producing devices or objects containing water or other
liquid on the equipment. Do not place the equipment close to devices producing strong electromagnetic, electric
or magnetic field (diathermy, X-rays, etc.), as equipment electronics could be undesirably influenced. In case of
any questions, please call your distributor or service agent.
The same installation conditions should be observed for the Adapter 60W / Adapter 90W power supply adapter.
INSTRUCTIONS FOR USE | PAGE 8 OF 62
Retain the original packaging to ensure future possible transportation of the device.
Plug the device into the mains socket by means of the Adapter 60W / Adapter90W power supply adapter
(see chapter Technical Parameters).
PLUG THE POWER SUPPLY ADAPTER DIRECTLY INTO THE MAINS SOCKET; DO NOT USE ANY MULTI-
CONNECTION EXTENSION CABLE OR ADAPTOR.
In case of any questions, please call your distributor or service agent.
Switching the device on:
Connect the power supply adapter to the device and plug its mains cable into the mains socket, switch the I/ 0
rocker switch (19) on the rear panel to the I position and finally press the ON/OFF switch (26) on the front panel.
The system will then run a self-test. If the self-test finds no faults, the screen will display the equipment type and it
is ready for use - see note below.
Connection of accessories
Connect the accessories to the output connectors (1) - (6) on the rear panel in this way:
Put in the cable connector and secure the fluted ring by pressing and turning in clockwise. ATTENTION WHEN
DISCONNECTING THE CONNECTOR, first of all, it is necessary to take by the fingers the fluted ring NOT THE
WHOLE connector. TURN THE FLUTED RING ANTICLOCKWISE and then after releasing the ring, disconnect
the connector by pulling the fluted ring still held in the fingers!
ATTENTION!!! DO NOT TURN THE WHOLE CONNECTOR USING FORCE, THE DEVICE COULD BE
DAMAGED.
For configuration of the output connectors (1) to (6), see the table Configuration of Output Connectors
The unit will automatically detect the accessories type and display it on the screen. If a wrong one is connected,
the equipment will not operate and the screen will display a warning and help about where to connect which
accessory.
Recharging the accumulator
The device accumulator is sold in half-charged status. That is why we recommend formatting the accumulator
after purchase of the device: connect the device to the mains via the external adapter for at least 48 hours without
interruption, with the mains rocker switch (18) in position I. The device will be recharged and the accumulator
will be properly formatted. A properly formatted accumulator enables longer operation of the device without mains
supply. For details, see the chapter Accumulator.
Restart of the device - reset
If for any reason (electromagnetic interference, etc.) the device stops responding to the user's commands and the
message "please wait..." with small moving squares is not displayed, the device can be put into the initial state by
simultaneously pressing the prog (9) and menu (11) keys. After this, the device immediately goes into the initial
status as well as after switch-on of power supply.
The mains switch (19) on the rear panel has the same effect – the whole device switches off; however, we
recommend using the above described combination of keys prog + menu which is more friendly to the electronics
of the device.
Note:
After switching on, the unit tests for about 10 - 15 secs all internal functions. If any fault exists, the screen will
display a warning. If any fault that compromises patient safety exists, the system will 'lock' itself into ‘secure’
mode. If this situation occurs, please call your local distributor for service advice.
INSTRUCTIONS FOR USE | PAGE 9 OF 62
Tab. 2.1 Configuration of output connectors
Device Type
BTL-4610 Puls Optimal
BTL-4615 Puls Optimal
BTL-4620 Puls Optimal
BTL-4625 Puls Optimal
BTL-4110 Laser Optimal
BTL-4710 Sono Optimal
BTL-4210 Sono Optimal
BTL-4810 S Combi Optimal
BTL-4815 S Combi Optimal
BTL-4810 L Combi Optimal
BTL-4815 L Combi Optimal
BTL-4800 SL Combi Optimal
BTL-4800 TL Combi Optimal
BTL-4810 M Combi Optimal
BTL-4815 M Combi Optimal
BTL-4810 T Combi Optimal
BTL-4815T Combi Optimal
BTL-4816 S Combi Professional
BTL-4818 S Combi Professional
BTL-4816 L Combi Professional
BTL-4818 L Combi Professional
BTL-4816 M Combi Professional
BTL-4818 M Combi Professional
BTL-4800 LM Combi Optimal
BTL-4800 SM Combi Optimal
BTL-4920 Magnet Optimal
BTL-4610 Puls Professional*
BTL-4615 Puls Professional*
BTL-4620 Puls Professional
BTL-4625 Puls Professional
BTL-4110 Laser Professional
BTL-4710 Sono Professional
BTL-4210 Sono Professional
BTL-4810 S Combi Professional
BTL-4815 S Combi Professional
BTL-4810 L Combi Professional
BTL-4815 L Combi Professional
BTL-4800 SL Combi Professional
BTL-4800 TL Combi Professional
BTL-4810 M Combi Professional
BTL-4815 M Combi Professional
BTL-4810T Combi Professional
BTL-4815T Combi Professional
BTL-4800 LM Combi Professional
BTL-4800 SM Combi Professional
BTL-4920 Combi Professional
output 1output 2output 3output 4output 5 output 6
E1opti
E1opti
E2opti E1opti
E2opti E1opti
L1A L1B door acup.
U1A U1B E input E output
T1A T1B E input E output
U1A U1B E1opti
U1A U1B E1opti
L1A L1B door E1opti
L1A L1B door E1opti
U1A U1B door L1A
T1A T1B door L1A