BTL 4000 User manual

BTL-4000

Series

U S E R ’ S M A N U A L

110DA03/03/2008EN

BEFORE YOU START

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
2.2	Rear Panel.....................................................................................................................................................	7
2.3	Front Panel ....................................................................................................................................................	8
2.4	Unpacking And Assembly..............................................................................................................................	8
2.5	Operating the Unit .......................................................................................................................................	11
2.6	Therapy Setting ...........................................................................................................................................	13
2.6.1	Therapy Flow Chart................................................................................................................................	13
2.6.2	Welcome Screen and Selection of Channels, Tabs and Accessories....................................................	14
2.6.3	Setting of Therapy Parameters Via the Selection of Diagnosis – "DIAG" Key .......................................	15
2.6.4	Setting of Therapy Parameters Via the Selection of Program – "PROG" Key........................................	16
2.6.5	Setting of Therapy Parameters Manually Via The ‘MAN' Key ................................................................	17
2.6.6	Therapy Parameters Screen ..................................................................................................................	18
2.7	Course of Therapy.......................................................................................................................................	19
2.7.1	Start, Interrupt and End of Therapy........................................................................................................	19
2.7.2	Running Therapy Screen .......................................................................................................................	20
2.7.3	Electrotherapy – Setting During Therapy ...............................................................................................	20
2.7.4	Accessories / Applicators – Visual Signalization. ...................................................................................	21
2.7.5	Indication of Operation – Energy On Operation .....................................................................................	22
2.8	Therapy Parameters ....................................................................................................................................	24
2.9	Encyclopaedia .............................................................................................................................................	24
2.10	Therapy Saving ...........................................................................................................................................	25
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	Accessories .................................................................................................................................................	30
3.1.1	Installation of Accessories......................................................................................................................	30
3.1.2	Information about Accessories...............................................................................................................	30
3.1.3	Connectors – Information.......................................................................................................................	30
3.2	Unit Settings ................................................................................................................................................	31
3.2.1	Password Setting ...................................................................................................................................	31
3.2.2	Sound Setting ........................................................................................................................................	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
3.2.13	Unlock Code ..........................................................................................................................................	32
	PAGE 3 OF 62

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
5	ACCESSORIES ................................................................................................................................................	38
5.1	Power Supply Adapter 60W / Adapter 90W.................................................................................................	38
5.2	Accumulator.................................................................................................................................................	38
5.3	Lithium Battery.............................................................................................................................................	39
5.4	Accessories Common for All Units ..............................................................................................................	39
5.5	Accessories for Electrotherapy ....................................................................................................................	39
5.6	Accessories for Ultrasound Therapy............................................................................................................	40
5.7	Accessories for Laser Therapy ....................................................................................................................	40
5.8	Accessories for Magnetotherapy .................................................................................................................	40
6	MAINTENANCE AND SAFETY INSTRUCTIONS ............................................................................................	41
6.1	Safety ..........................................................................................................................................................	42
6.2	Contraindications.........................................................................................................................................	46
6.2.1	Contraindications for Electrotherapy ......................................................................................................	46
6.2.2	Contraindications for Ultrasound............................................................................................................	47
6.2.3	Contraindications for Laser Therapy ......................................................................................................	47
6.2.4	Contraindications for Magnetotherapy ...................................................................................................	48
6.3	Warranty ......................................................................................................................................................	48
7	TECHNICAL PARAMETERS ...........................................................................................................................	49
7.1	Technical Parameters of The BTL-4000 Series Devices .............................................................................	49
7.2	Technical Parameters of Power Supply Adapter 60W / Adapter 90W .........................................................	50
7.3	Basic Parameters of Electrotherapy Generator ...........................................................................................	51
7.4	Basic Parameters of Ultrasound Generator .................................................................................................	51
7.5	Basic Parameters of Laser Generator .........................................................................................................	52
7.6	Basic parameters of Magnet Generator.......................................................................................................	52
7.7	Technical Parameters of Ultrasound Heads ................................................................................................	53
7.8	Technical Parameters of Laser Probes........................................................................................................	53
7.9	Technical Parameters of Laser Clusters......................................................................................................	54
7.10	Technical parameters of Magnetic Applicators ............................................................................................	55
7.11	Applicable Standards...................................................................................................................................	55
7.12	Interconnection of Devices ..........................................................................................................................	56
7.13	Manufacturer ...............................................................................................................................................	56
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

1 GENERAL 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 for the latest information on BTL products and services.

GENERAL CHARACTERISTICS | PAGE 5 OF 62

2INSTRUCTIONS FOR USE

2.1TOP PANEL

1. - 6 outputs for patient cables on the rear panel of the device, see chapter Rear Panel

7.display

8diag key, for quick selection of diagnosis or programs

9prog key, for quick selection of therapy program

10man key, for manual setting of all therapy parameters

11menu key, to set date, time, language, display contrast, sounds, user options, etc.

12select/intensity knob, to select individual parameters

13enter key, to confirm selection or setting

14esc key, to cancel selection or setting and return to the original setting

15tab key, for switching between the buttons on the display

16next key, for fast entering the therapy parameters subscreens

17key 1 for switching to the tab of the first generator

18key 2 for switching to the tab of the second generator

INSTRUCTIONS FOR USE | PAGE 6 OF 62

2.2REAR PANEL

1 -6 patient outputs – for exact configuration, see table Configuration of Output Connectors

19mains switch, for switching the device on/off – positions I / 0.

20socket for connection of external power supply Adapter 60W / Adapter 90W

21warning label with parameters of power supply and input of the device

INSTRUCTIONS FOR USE | PAGE 7 OF 62

2.3FRONT PANEL

22display of the remaining time of therapy for the first channel

23display of the remaining time of the therapy for the second channel (or current intensity in case the channel is only one)

24start / stop1 key, for starting or pausing the therapy on the first channel

25start / stop2 key, for starting or pausing the therapy on the second channel

26on / off switch – serves for switching the device on/off

27service connector placed under the cover and then the type, manufacture and warning labels (they are placed on the bottom cover of the device)

2.4UNPACKING 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 heatproducing 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 / Adapter 90W power supply adapter (see chapter Technical Parameters).

PLUG THE POWER SUPPLY ADAPTER DIRECTLY INTO THE MAINS SOCKET; DO NOT USE ANY MULTICONNECTION 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	output 1	output 2	output 3	output 4	output 5	output 6
BTL-4610 Puls Optimal						E1opti
BTL-4615 Puls Optimal						E1opti
BTL-4620 Puls Optimal					E2opti	E1opti
BTL-4625 Puls Optimal					E2opti	E1opti
BTL-4110 Laser Optimal	L1A	L1B	door	acup.
BTL-4710 Sono Optimal	U1A	U1B	E input	E output
BTL-4210 Sono Optimal	T1A	T1B	E input	E output
BTL-4810 S Combi Optimal	U1A	U1B				E1opti
BTL-4815 S Combi Optimal	U1A	U1B				E1opti
BTL-4810 L Combi Optimal	L1A	L1B	door			E1opti
BTL-4815 L Combi Optimal	L1A	L1B	door			E1opti
BTL-4800 SL Combi Optimal	U1A	U1B	door	L1A
BTL-4800 TL Combi Optimal	T1A	T1B	door	L1A
BTL-4810 M Combi Optimal			M1A	M1B		E1opti
BTL-4815 M Combi Optimal			M1A	M1B		E1opti
BTL-4810 T Combi Optimal	T1A	T1B				E1opti
BTL-4815T Combi Optimal	T1A	T1B				E1opti
BTL-4816 S Combi Professional	E1A	E1B	U1B	U1A
BTL-4818 S Combi Professional	E1A	E1B	U1B	U1A
BTL-4816 L Combi Professional	E1A	E1B	door	L1A
BTL-4818 L Combi Professional	E1A	E1B	door	L1A
BTL-4816 M Combi Professional	E1A	E1B	M1	M2
BTL-4818 M Combi Professional	E1A	E1B	M1	M2
BTL-4800 LM Combi Optimal	L1A	Door	M1A	M1B
BTL-4800 SM Combi Optimal	U1A	U1B	M1A	M1B
BTL-4920 Magnet Optimal			M1A	M1B
BTL-4610 Puls Professional*				E1
BTL-4615 Puls Professional*				E1
BTL-4620 Puls Professional			E2	E1
BTL-4625 Puls Professional			E2	E1
BTL-4110 Laser Professional	L1A	L1B	door	acup.
BTL-4710 Sono Professional	U1A	U1B	E input	E output
BTL-4210 Sono Professional	T1A	T1B	E input	E output
BTL-4810 S Combi Professional	U1A	U1B		E1
BTL-4815 S Combi Professional	U1A	U1B		E1
BTL-4810 L Combi Professional	L1A	L1B	door	E1
BTL-4815 L Combi Professional	L1A	L1B	door	E1
BTL-4800 SL Combi Professional	U1A	U1B	door	L1A
BTL-4800 TL Combi Professional	T1A	T1B	door	L1A
BTL-4810 M Combi Professional		E1	M1A	M1B
BTL-4815 M Combi Professional		E1	M1A	M1B
BTL-4810T Combi Professional	T1A	T1B		E1
BTL-4815T Combi Professional	T1A	T1B		E1
BTL-4800 LM Combi Professional	L1A	door	M1A	M1B
BTL-4800 SM Combi Professional	U1A	U1B	M1A	M1B
BTL-4920 Combi Professional			M1A	M1B

* can be extended by the HVT module

INSTRUCTIONS FOR USE | PAGE 10 OF 62

Notes:
E1	connector for connection of electrotherapy accessories (BTL-236-1(2), BTL vac) to the E1 generator
E2	connector for connection of electrotherapy accessories (BTL-236-1(2), BTL vac) to the E2 generator
E1opti	connector for connection of electrotherapy cables (BTL-226, BTL vac) to the E1 generator
E2opti	connector for connection of electrotherapy cables (BTL-226, BTL vac) to the E2 generator
E1A, E1B	connector for connection of electrotherapy accessories (BTL-236-1(2), BTL vac) to the double
	generator E1
L1A, L1B	connector for connection of laser probe/ cluster BTL-448 / BTL-445 to the L1 generator
L2A, L2B	connector for connection of laser probe/ cluster BTL-448 / BTL-445 to the L2 generator
U1A, U1B	connector for connection of ultrasound head BTL-237, e.g. 1 / 4 cm2, to the U1 generator
M1A, M1B	connector for connection of magnetotherapy applicators (BTL-239) to the M1 generator
E input	connector for input of external electrotherapy BTL-46xx, BTL-56xx on the ultrasound device at
	combined therapy
E output	connector for output of external electrotherapy BTL-46xx, BTL-56xx on the ultrasound device at
	combined therapy
door	connector for the open door sensor
acup.	connector for the acupuncture electrode

How many patients and which outputs you can simultaneously connect to can be seen on the display after pressing the menu key, in menu / accessories / connectors – information.

2.5 OPERATING THE UNIT

The display contains several graphic elements. Some of them are only for information, some can be activated. The basic elements are the following:

•buttons (it is possible to activate them by the tab key (15) and to change their values.) The activated buttons are displayed inversely.

•information texts

•channel tabs (switching between the tabs, selection)

The buttons can be enabled or disabled. The disabled buttons are crossed out.

All the displayed enabled buttons can be successively activated by pressing the tab key (15). By repeated pressing of this key further buttons on the screen are successively activated.

If the button contains one numeric value, this value can be directly changed by the select/intensity knob (12). If the button contains more numeric values or an item selected from a list, pressing of the enter key (13) opens the detailed subscreen of the button. In the bottom right corner of the selected parameters screens there is a button shaped like a folded corner of paper. It has the same function as the NEXT key (16) and opens the parameters subscreens. To leave the subcscreen press esc (14) – all data you have changed will remain changed.

Information texts

The text is displayed directly on the display, in a menu or in a button. If a text is too long and does not fit on the display in full, after a while it starts scrolling automatically.

Selected channel

Although most of the devices of the BTL-4000 Series can run more therapies at a time, only one channel can be controlled at the particular moment. That channel is called the "selected channel". The tab of the "selected channel" in the bottom part of the screen is coloured dark. All information on the screen and all controls are relate to this channel. The most important information about the therapies on the other channels remains visible on their tabs.

INSTRUCTIONS FOR USE | PAGE 11 OF 62

INSTRUCTIONS FOR USE | PAGE 12 OF 62

2.6THERAPY SETTING

2.6.1THERAPY FLOW CHART

INSTRUCTIONS FOR USE | PAGE 13 OF 62

2.6.2WELCOME SCREEN AND SELECTION OF CHANNELS, TABS AND ACCESSORIES

Besides the initial information, this screen contains channel tabs with description of the connected accessories. The number of channels – tabs depends on the required configuration of the device. To display all information of the channel press key 1 (17) or 2 (18) under the tab. The information set on the "invisible channels" remain preserved. The following scheme shows that almost the entire screen is available for the "selected channel".

Keys 1(17) and 2(18) located directly under the tabs serve for switching between the tabs.

On the channels where more accessories can be connected to one generator (ultrasound generator and two ultrasound heads, laser generator and laser probes, magnet generator and magnet applicators), repeated pressing of the tab's key serves for switching between these accessories.

The tab of the channel which is selected (i.e. its information is just on the display) is black.

Examples of information on the tabs:

tab of the selected E channel, to which no accessory is connected

tab of the E channel, which is not selected, with connected accessory BTL-236-2

tab of the U generator , which is not selected, with connected ultrasound head; pressing of keys 1 (17) and 2 (18) under the tab serves for switching between the connected heads – 1 cm2/4 cm2

tab of the selected L generator with connected laser probe; pressing of keys 1 (17) and 2 (18) under the tab serves for switching between the connected probes– 685nm/830nm (red/infrared)

tab of selected M generator with connected disc applicator;

tab of the selected E2 channel with unsuitable connected accessory, which this generator cannot work with

INSTRUCTIONS FOR USE | PAGE 14 OF 62

2.6.3SETTING OF THERAPY PARAMETERS VIA THE SELECTION OF DIAGNOSIS – "DIAG" KEY

To view the list of diagnoses press the diag key (8). Each channel tab has its own list of therapy protocols. The letter in front of each number corresponds to the type of selected therapy: E – electrotherapy; U – ultrasound; L – laser; M – magnetotherapy. For example, the channel tab of the ultrasound generator includes a list of therapy protocols for ultrasound treatment. If the tab depicts an HVT or combined therapy symbols, the list includes protocols for HVT or combined therapies.

For moving in the list of diagnoses use the select/intensity knob (12). The currently selected diagnosis is displayed in bold.

For fast finding of a diagnosis, select its initial letter by the tab key (15).

After finding of the required diagnosis, select it by pressing the enter key (13). If to the diagnosis are assigned more therapies – e.g. the treatment can be done by several various types of current – the list of therapies appears after selection of the diagnosis. Select the required therapy by the select knob (12) and press enter (13) again.

Saved by user protocols can easily be find in the “*user diagnoses / programs” item, which appears at the top of the diagnoses list.

INSTRUCTIONS FOR USE | PAGE 15 OF 62

2.6.4SETTING OF THERAPY PARAMETERS VIA THE SELECTION OF PROGRAM – "PROG" KEY

Press the prog (8) key to set the required program number. The program numbers generally correspond to the program numbers used in the traditional BTL physiotherapy line. The letter in front of each number corresponds to the type of therapy selected: E – electrotherapy; U – ultrasound; L – laser; M – magnetotherapy.

Combined therapies E+U are listed among E programs and can be found on the electrotherapy tab with the ultrasound head symbol. They are in the positions E-35xx - E-39xx.

Your own therapy protocols (except sequences) can be saved under the following numbers: E-80xx - E-89xx for electrotherapy, U-80xx - U-89xx for ultrasound therapies, L-80xx - L-89xx for laser therapies and M-80xx - M-89xx for magnetotherapy.

Your own sequences are saved under the following numbers: E-95xx - E-99xx for electrotherapy, U-95xx - U-99xx for ultrasound therapies, L-95xx - L-99xx for laser therapies and M-95xx - M-99xx for magnetotherapy.

Programs recommended for diagnoses can be found in the User’s Guide.

For faster setting, the program numbers are arranged into pairs. For change of the number use the select knob (12), for switching between the pairs of digits use the tab key (15).

INSTRUCTIONS FOR USE | PAGE 16 OF 62

2.6.5SETTING OF THERAPY PARAMETERS MANUALLY VIA THE ‘MAN' KEY

Press the man (9) key to select manual setting for the therapy. All therapy parameters can be set and saved as a user program or diagnosis.

It is obvious that the therapy parameters screens of individual currents of electrotherapy, ultrasound therapy and laser therapy differ in dependence on the options which can be set in the particular moment. For more details see the respective User's Guide.

To open the required menu or setting dialog select the respective button by the tab key (15) and then press enter (13). For fast entering the therapy parameters subscreens use the “next” key. Most dialogs are accompanied with illustration pictures and symbols. See the scheme of possibilities of individual settings in this mode.

INSTRUCTIONS FOR USE | PAGE 17 OF 62

2.6.6THERAPY PARAMETERS SCREEN

This screen opens after selection of therapy after pressing the diag (8), prog (9) or man (10) key, (see the chapter Therapy Setting Flow Chart). Before the start of therapy you can change all parameters.

•SETTING THERAPY TIME

The time of the therapy can be set only on the therapy parameters screen, either by activation of the time button and pressing of the enter key (13) after which the time setting dialog opens, or by fast selection using the select / intensity knob (12).

enter

select

Select/intensity

By pressing the start / stop1 (24) or start / stop2 (25) keys you can start or interrupt therapy – see chapter Start,

Interruption and End of Therapy

•INTENSITY SETTING

For the ultrasound, laser and magnet therapies, the intensity (power) can be set only on the therapy parameters screen and only when the therapy is not running. To set the intensity, select the intensity option and adjust the required value by turning the select/intensity knob. For the laser therapy, the power option is situated in the therapy parameters subscreen, which can be accessed by pressing the next key.

To the electrotherapy, the intensity is set during therapy running, and can only be adjusted by turning the select/intensity knob (12).

INSTRUCTIONS FOR USE | PAGE 18 OF 62

2.7COURSE OF THERAPY

2.7.1START, INTERRUPT AND END OF THERAPY

To start therapy on the first channel (tab) press the start / stop1 key (24). To start therapy on the second channel press the start / stop2 key (25). Therapy can be started only if the display of the selected channel is displaying the therapy parameters screen.

The paused therapy can be resumed by pressing the start / stop1 (or start / stop2) key or stopped by pressing the esc (14) key.

While the therapy is paused, you can adjust the time (except for laser therapies and all types of sequences) by the select / intensity (12) knob.

For electrotherapy, you can adjust the intensity during therapy running by turning the select / intensity (12) knob to the right (to increase intensity) or to the left (to decrease intensity).

Direction of

intensity

intensity

Laser therapy can also be started / paused by the start / stop key on the laser probe.

START / STOP

INSTRUCTIONS FOR USE | PAGE 19 OF 62