Dynatronics dynatron solaris 709 plus, dynatron solaris 707 plus, dynatron solaris 708 plus, dynatron solaris 705 plus, dynatron solaris 706 plus Service Manual

DYNATRON SOLARIS® PLUS SERIES | SERVICE MANUAL REV. 6 | AUGUST 29, 2017 I
CAUTION
Federal law restricts these devices for sale by or on the order of a physician, chiropractor, physical therapist, or dentist licensed by the law of the state in which said person practices to use or order the use of the devices.
Risk of burns and re - Do not use near conductive materials such as metal bed parts, inner spring mattresses and the like.
DANGER - Explosion Hazard: Do not use in the presence of ammable anesthetics.
IMPORTANT: Before treating a patient with any Dynatron Solaris Plus® Device, see the “Contraindications, Warnings, and Precautions” in this manual. Read the operating instructions for each modality carefully.
ELECTROTHERAPY: Electrical muscle stimulation therapy (Russian, Biphasic, High Volt) for:
1. relaxation of muscle spasm;
2. prevention or retardation of disuse atrophy;
3. increasing local blood circulation;
4. muscle re-education;
5. immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
6. maintaining or increasing range of motion.
Transcutaneous electrical nerve stimulation and Interferential Current erapy (Interferential, Premodulated, High Volt, Microcurrent) for: Symptomatic relief of chronic intractable and/or management of post-traumatic or post-surgical pain.
DIRECT CURRENT THERAPY: Direct Current is indicated for relaxation of muscle spasms.
ULTRASOUND THERAPY: Ultrasound therapy is intended to generate deep heat within body tissues for the treatment
of selected medical conditions such as relief of pain, muscle spasms, and joint contractures, but not for the treatment of malignancies.
LIGHT THERAPY: Light therapy provides topical heating for temporary increase in blood circulation, temporary relief of minor muscle and joint aches, pain and stiness, relaxation of muscles, and treatment of muscle spasms and minor pain and stiness associated with arthritis.
THERMOSTIM: A hand held cutaneous electrode to be used with Dynatronics Solaris devices to apply electrical stimulation and/or apply heat and cooling to skin.
COMPLIANCE: e contents of this “Instructions For Use” manual are exactly the same in both the printed and electronic forms.
2015/05/28 - Rev. 5 Inventory 5D00160 All Rights Reserved ISO 13485 DNV NEMKO PRESAFE AS CERTIFIED DQS CERTIFIED
DYNATRON SOLARIS® PLUS SERIES | SERVICE MANUAL REV. 6 | AUGUST 29, 2017 II
7030 Park Centre Drive Salt Lake City, UT 84121
(801) 568-7000 / (800) 874-6251 / www.dynatronics.com
Dynatron Solaris® Plus Operator’s Manual
©Copyright 2012
Dynatronics Corporation
2460
TABLE OF CONTENTS
Table of Contents
Section I: Introduction
Introduction to the Dynatron Solaris® Plus Series ................................................................................ 1
Summary of Features by Device ...............................................................................................................................................1
Simplied Setup .........................................................................................................................................................................2
Language Selection ....................................................................................................................................................................3
Before You Treat a Patient .........................................................................................................................................................3
Installation and Features ........................................................................................................................ 4
Unpacking ...................................................................................................................................................................................4
Standard Components ...............................................................................................................................................................5
Optional Accessories .................................................................................................................................................................6
Dynatron Solaris® Plus Physical Features .............................................................................................. 7
Channels and Jacks ..................................................................................................................................................................13
Current Limit ............................................................................................................................................................................15
Error Messages .........................................................................................................................................................................16
Ultrasound Error Messages ....................................................................................................................................................17
Lead Wires ................................................................................................................................................................................17
Testing Leads ............................................................................................................................................................................18
Carbon Electrodes ...................................................................................................................................................................19
Self-Adhesive Electrodes .........................................................................................................................................................20
Electrotherapy Information and Usage Cautions................................................................................ 22
Section II: Operation and Treatment Instructions
Interferential / Premodulated Instructions ......................................................................................... 26
Interferential / Premod Quick Setup .....................................................................................................................................26
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TABLE OF CONTENTS
Detailed Interferential / Premodulated Setup ......................................................................................................................27
Interferential and Premodulated Modality Information ..................................................................... 31
Interferential (Quadpolar) erapy .......................................................................................................................................31
Premodulated (Bipolar) erapy ...........................................................................................................................................32
Target .........................................................................................................................................................................................32
Why Is Target Better? ..............................................................................................................................................................32
Target Sweep .............................................................................................................................................................................33
Interferential Electrode Placement ........................................................................................................................................33
Interferential / Premodulated Default Settings ....................................................................................................................33
Interferential Default Settings ................................................................................................................................................33
Premodulated Default Settings...............................................................................................................................................33
Biphasic / Russian Instructions ........................................................................................................... 34
Biphasic / Russian Quick Setup ..............................................................................................................................................35
Detailed Biphasic / Russian Setup ..........................................................................................................................................36
Biphasic / Russian Modality Information ............................................................................................ 39
Russian Stimulation .................................................................................................................................................................39
Biphasic Stimulation ................................................................................................................................................................39
Biphasic / Russian Parameters and Defaults.........................................................................................................................39
High Volt Instructions ......................................................................................................................... 42
High Volt Electrode Setup ......................................................................................................................................................42
High Volt Probe Treatment Setup ..........................................................................................................................................43
Detailed High Volt Setup ........................................................................................................................................................44
High Volt Quick Setup ............................................................................................................................................................44
High Volt Modality Information ......................................................................................................... 48
High Volt Waveform ................................................................................................................................................................48
High Volt Settings ....................................................................................................................................................................48
High Volt Default Settings ......................................................................................................................................................49
High Volt Waveform Specications .......................................................................................................................................49
Microcurrent Instructions ................................................................................................................... 50
How To Use e Optional MultiStim Probe For Microcurrent Treatments ....................................................................50
Detailed Microcurrent Setup ..................................................................................................................................................52
Microcurrent Quick Setup ......................................................................................................................................................52
Microcurrent Modality Information ................................................................................................... 55
Microcurrent Waveforms ........................................................................................................................................................55
Microcurrent Default Settings ................................................................................................................................................56
Direct Current Instructions ................................................................................................................. 58
Direct Current Quick Setup....................................................................................................................................................58
Detailed Direct Current Setup ...............................................................................................................................................59
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TABLE OF CONTENTS
Direct Current Modality Information ................................................................................................. 61
Direct Current Probe erapy ................................................................................................................................................61
Direct Current Waveforms .....................................................................................................................................................61
Direct Current Warnings ........................................................................................................................................................62
Direct Current Default Setting ...............................................................................................................................................62
Dynatron Tri-Wave™ Operating Instructions ...................................................................................... 63
Dynatron Tri-Wave™ Light Quick Treatment Setup ............................................................................................................64
Detailed Treatment Setup .......................................................................................................................................................65
Dynatron Tri-Wave™ Light Wavelength Settings .................................................................................................................66
Dynatron Tri-Wave™ Light Treatment Notes .......................................................................................................................68
Dynatron Tri-Wave™ Light Modality Information .............................................................................. 70
Dynatron Tri-Wave™ Light Basic Vocabulary ......................................................................................................................70
Dynatron Tri-Wave™ Light Probe And Light Pad Specications .......................................................................................70
Dynatron Tri-Wave™ Light Probe Specications .................................................................................................................71
Dynatron Tri-Wave™ Light Pad Specications .....................................................................................................................71
Ultrasound Instructions ....................................................................................................................... 72
Soundhead Warming ............................................................................................................................................................... 73
Coupling ....................................................................................................................................................................................73
Head Temperature Hot Display .............................................................................................................................................74
Display Watts or W/cm2 ..........................................................................................................................................................74
Detailed Ultrasound Setup .....................................................................................................................................................75
Ultrasound Quick Setup..........................................................................................................................................................75
Ultrasound Modality Information ....................................................................................................... 78
Selecting the Appropriate Soundhead ...................................................................................................................................78
Penetration of Ultrasound Waves ..........................................................................................................................................79
Types of Delivery......................................................................................................................................................................80
Treatment Time ........................................................................................................................................................................80
Treatment Intensity ..................................................................................................................................................................80
Frequency of Treatment ..........................................................................................................................................................81
Usage Cautions – Combination Treatments .........................................................................................................................81
Potential for Burns or Periosteal Pain ...................................................................................................................................81
Soundhead Optimization Adding or Replacing Soundheads ............................................................. 83
Ultrasound Calibration ...........................................................................................................................................................85
Ultrasound Problem Solving ............................................................................................................... 86
Whirlpool Treatments .............................................................................................................................................................86
Soundhead Temperature Too Cold ........................................................................................................................................86
No Soundhead ..........................................................................................................................................................................86
Miscellaneous ...........................................................................................................................................................................87
Ultrasound Specications .......................................................................................................................................................87
Ultrasound Regulation and Technical Information ............................................................................................................87
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TABLE OF CONTENTS
Ultrasound Beam Proles .................................................................................................................... 89
Combination erapy Instructions ..................................................................................................... 91
Comboplus™ ..............................................................................................................................................................................91
Stim rough the Soundhead ................................................................................................................................................92
Combination erapy Setup ...................................................................................................................................................93
Modify A Treatment ................................................................................................................................................................94
Combination Default Settings ................................................................................................................................................94
Dynatron® ermoStim™ Probe ........................................................................................................... 95
Functionality .............................................................................................................................................................................95
ermoStim Probe Detailed Setup ........................................................................................................................................96
Using Stim With e ermoStim Probe
Premod Treatments Setup .....................................................................................................................................................100
Simultaneous Treatments .................................................................................................................. 102
Set Up A Second Treatment ..................................................................................................................................................102
Modify Simultaneous Treatments ........................................................................................................................................103
Section III: Contraindications, Warnings, and Precautions
Contraindications, Warnings, & Precautions ................................................................................... 104
Contraindications ..................................................................................................................................................................104
Warnings .................................................................................................................................................................................105
Precautions ..............................................................................................................................................................................105
Treatment Setup Warnings ...................................................................................................................................................106
Adverse Eects .......................................................................................................................................................................107
Contraindications, Warnings, & Precautions for Microcurrent ....................................................... 108
Contraindications ..................................................................................................................................................................108
Warnings .................................................................................................................................................................................108
Precautions ..............................................................................................................................................................................109
Adverse Reactions ..................................................................................................................................................................109
Contraindications, Warnings, & Precautions for Ultrasound Treatment ........................................ 110
Contraindications ..................................................................................................................................................................110
Precautions ..............................................................................................................................................................................111
Warnings .................................................................................................................................................................................112
Contraindications, Warnings, & Precautions for Tri-Wave Light Treatments ................................. 113
Contraindications ..................................................................................................................................................................113
Precautions and Warnings ....................................................................................................................................................114
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TABLE OF CONTENTS
Section IV: Technical Information
Dynatron Solaris® Plus Descriptions and Diagrams ......................................................................... 116
Dynatron® Solaris™ Plus Description ...................................................................................................................................116
Hardware Congurations .....................................................................................................................................................117
Modality Congurations .......................................................................................................................................................117
Processor Interaction ......................................................................................................................... 118
Processor Interaction with the Keyboard and Displays ....................................................................................................118
Processor Interaction with Oscillators ................................................................................................................................118
Oscillators ...............................................................................................................................................................................118
Processor Interaction with the Output Jacks ......................................................................................................................119
Processor Control of Output Waveforms ...........................................................................................................................119
General Specications ........................................................................................................................ 120
Dynatron Solaris Plus Specications ...................................................................................................................................120
Environmental Conditions ...................................................................................................................................................120
Safety Features of the Dynatron Solaris ..............................................................................................................................121
Care and Cleaning Instructions ...........................................................................................................................................121
Suggested Maintenance Schedule ........................................................................................................................................122
Soware Updates ....................................................................................................................................................................124
Routine Ultrasound Calibration Inspections for Solaris Plus ..........................................................................................125
Return Authorization ............................................................................................................................................................125
Denition of Symbols and Labeling ....................................................................................................................................126
Equipment Classication ......................................................................................................................................................127
Disposal of Equipment and Accessories .............................................................................................................................127
Technical Summary ............................................................................................................................ 128
Setting Defaults ......................................................................................................................................................................128
Save New Defaults ..................................................................................................................................................................128
Restore Factory Defaults .......................................................................................................................................................129
Safety Features of the Dynatron Solaris PLUS ...................................................................................................................129
Basic Troubleshooting Techniques .................................................................................................... 130
Lead Testing ............................................................................................................................................................................130
Testing Carbon Pads ..............................................................................................................................................................131
Ultrasound Calibration Procedure .................................................................................................... 132
Battery Operation .............................................................................................................................. 134
Battery Requirements ............................................................................................................................................................135
Battery Life ..............................................................................................................................................................................135
CAN/CSA Waveform Requirements ..................................................................................................136
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TABLE OF CONTENTS
Electromagnetic Emissions and Immunity ....................................................................................... 142
Final Quality Check (QC) Checko Sheet ......................................................................................... 146
Dynatron Solaris® Plus Limited Warranty ......................................................................................... 150
DYNATRON SOLARIS® PLUS SERIES | SERVICE MANUAL REV. 6 | AUGUST 29, 2017 VIII
INTRODUCTION TO THE DYNATRON SOLARIS® PLUS SERIES
Introduction to the Dynatron Solaris® Plus Series
e Dynatron Solaris Plus devices are both powerful and versatile. All channels allow fully-independent treatment setups, oering Interferential, Premodulated, High Volt, Biphasic, Russian, Microcurrent, and xed frequency IFC/Premod. All units, excluding the 707, also oer Direct Current. In addition, the 708 and 709 include Dynatronics’ Ultrasound Comboplus feature with the power to deliver up to 5 channels of Stim and Ultrasound—all at the same time. e 708 and 709 Ultrasound units also oer 1, 2, and 3 MHz frequencies for the greatest exibility in depth of treatment. Choose 1 MHz for deep treatments, 2 MHz for moderate depth, or 3 MHz for supercial depth. All of the Solaris Plus accessories are compatible with all Solaris Plus devices.
Summary of Features by Device
Feature 709 708 707 706 705
Electrotherapy
IFC X X X X X
Premod X X X X X
Fixed Frequency IFC/Premod X X X X X
Biphasic X X X X X
Russian X X X X X
High Volt X X X X X
Microcurrent X X X X X
Direct Current X X X X
Combo Electrotherapy/Ultrasound X X
DYNATRON SOLARIS® PLUS SERIES | SERVICE MANUAL REV. 6 | AUGUST 29, 2017 1
INTRODUCTION TO THE DYNATRON SOLARIS® PLUS SERIES
Feature 709 708 707 706 705
Tri-Wave Light Therapy
Ultrasound
X X X X X
X X
Available Channels
Electrotherapy Channels 4 2 4 4 2
High Volt Channel 1 1 1 1 1
MultiStim Probe Channel 1 1 1 1
Ultrasound Channel 1 1
Combo Channel 1 1
Tri-Wave Light Probe Channels 1 1 2 1 1
Tri-Wave Light Pad Channels 1 1 2 1 1
ThermoStim Channels 1 1 2 1 1
e Solaris Plus Series includes the standard advantages of Dynatronics’ engineering, such as customizable treatments, electrode conductance meters, and the popular Target touchpad to move the center of interference directly to the site of the patient’s pain. In addition all units oer the option of battery operation, making the devices truly portable. e manufacturer’s warranty for these devices is two years (see full warranty details at the back of this manual).
is manual provides operator information and instructions for ve Solaris Plus models: the 705, 706, 707, 708, and 709. e section that discusses Ultrasound and Combo treatments applies only to the Dynatron 708 and 709 Solaris Plus models. All other sections of this manual apply to all Dynatron Solaris Plus devices excluding the 707 where special instructions may apply.
Simplied Setup
e unique design of the Solaris Plus front panel means treatment setup has never been easier. A few simple key presses are all you need to fully set up a treatment. e User Interface intuitively groups and displays all the options for a modality setup on the large LCD screen to ensure that treatment parameters can easily be selected and adjusted.
Each modality oers default settings which are automatically preset when the modality is selected—saving time in the treatment setup. You can change these defaults to match your own most common treatment setups reducing setup time to a matter of seconds.
WARNING: Power-on the device before attaching electrodes to the patient.
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INTRODUCTION TO THE DYNATRON SOLARIS® PLUS SERIES
Language Selection
e default language on the Solaris Plus Family of devices is English; however, both French and Spanish are also available. To change the default language: 1) Begin at the START UP SCREEN. 2) Press the FUNCTION KEY. 3) Use the toggle key under the LANGUAGE WINDOW to select the desired language. 4) Press STOP to return to the START UP SCREEN.
Before You Treat a Patient
Before administering a treatment to a patient with the Solaris Plus devices, you should familiarize yourself with all the operating instructions for the modality used, as well as the contraindications, warnings, and precautions for that modality.
You should also read the general information about each of the modalities provided in this manual. In addition to this information, consult other published sources for additional application and safety instructions regarding use of each type of therapy.
CAUTION: Device should be at room temperature prior to treatment.
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INSTALLATION AND FEATURES
Installation and Features
Unpacking
When you receive the unit, immediately unpack it and all accessories and check for possible damage, obvious or concealed. In case of damage, immediately notify the freight carrier and take any steps necessary to le a claim for the damage sustained. Do not destroy or discard the shipping carton. e carton should be reused if the device must be shipped for any reason, including calibration. e carton is specially designed to protect the unit from shipping damage. Improper packaging of the unit during transport can result in damage and invalidate the warranty.
Complete the warranty registration form located at the back of this manual and return it to Dynatronics within 30 days of purchase. is is essential to insure you are not billed for services that are covered by the warranty policy. Warranty registration should include serial numbers for both the device, probe, pads, and soundheads.
Connect the AC power cord, which is provided as a hospital grade, UL listed, plug to a properly grounded 110/120V 60 Hz AC outlet. e device will automatically switch to 220/240V 50 Hz when connected to a power source with that voltage. e power cord must also be rmly plugged into the device itself. When the cord is properly connected, it cannot be easily pulled out. Do not place the cord or the device in a place where the cord could be tripped over or accidentally pulled out of its socket during a treatment.
If Tri-Wave Light erapy Probe, Pads, or a ermoStim Probe are being used in conjunction with a Solaris Plus device, they should be plugged into the Solaris Plus console prior to powering-on the device.
Read the operating instructions in this manual before proceeding with a treatment.
DYNATRON SOLARIS® PLUS SERIES | SERVICE MANUAL REV. 6 | AUGUST 29, 2017 4
INSTALLATION AND FEATURES
Standard Components
REF e following accessories are included with the Solaris Plus units:
Qty Part No. Description: One of the following devices plus acessories as listed:
1 D715 Solaris Plus 705
1 D716 Solaris Plus 706
1 D717 Solaris Plus 707
1 D718 Solaris Plus 708
1 D719 Solaris Plus 709
1 7B0241 Power Cord (black)
1 5D00090 Operator’s Manual
1 7B0268 Protocol Reference Manual for Electrotherapy & Ultrasound (J. Stephen Guey, P.T., Ed., D.)
1 7B0284 Ultra Polys™ self-adhesive electrodes 2” x 4” (5.08cm x 10.16cm) w/ pin connector (pkg. of 4)
1 DW248 2.5” x 48” (6.35cm x 121.92cm) straps (pkg. of 2)
1 7B0191 5” x 8” (12.7cm x 20.32cm) dispersive electrode for High Volt (gray)
1 7B0201 Sponge Fabric for use with 5”x 8” (12.7cm x 20.32cm) dispersive electrodes
Dynatron 705, 706, and 707
2 7B0232 120” (304.8cm) double leads (2 red) – Solaris Plus 706 and 707 only
2 7B0233 120” (304.8cm) double leads (2 black) - Solaris Plus 706 and 707 only
1 7B0230 72” (183cm) double lead (1 red) - Solaris Plus 705 only
1 7B0231 72” (183cm) double lead (1 black) - Solaris Plus 705 only
Dynatron 708 and 709 Ultrsound
1 7B0217 DynaGel Ultrasound Gel 100 ml sample
1 7B0234 Combo lead wires –Solaris Plus
2 7B0232 120” (304.8cm) double leads (2 red) – Solaris Plus 709 only
2 7B0233 120” (304.8cm) double leads (2 black) - Solaris Plus 709 only
1 7B0230 72” (183cm) double lead (1 red) - 708 only
1 7B0231 72” (183cm) double lead (1 black) - 708 only
Soundheads
e Solaris Plus devices may be purchased with one or more applicator soundheads in the following sizes:
Part No. Size Frequencies
DSH02 2 cm2 Operates at 1, 2, and 3 MHz
DSH05 5 cm2 Operates at 1, 2, and 3 MHz
DSH10 10 cm2 Operates at 1, 2, and 3 MHz
DYNATRON SOLARIS® PLUS SERIES | SERVICE MANUAL REV. 6 | AUGUST 29, 2017 5
INSTALLATION AND FEATURES
Optional Accessories
e following optional and replacement accessories may be purchased from Dynatronics or from your Dynatronics dealer:
Part No. Description
DCP3 Dynatron Tri-Wave™ Light Probe
DLP3 Dynatron Tri-Wave™ Light Pads
DSTP1 Dynatron ermoStim™ Probe (includes Combo Lead)
9G0104 Protective Eyewear
5D00130 Tri-Wave Light Applications Manual (Chukuka S. Enwemeka, PT, PhD, FACSM)
DTSP1 ermoStim Probe
7B0251 MultiStim Probe Kit (includes ground probe, pin adaptor, 3 probe attachments,
2 sponge pockets plus sponge material)
7B0250 MultiStim probe (requires one or more applicators)
8E0017A MultiStim Point Tip Attachment
8E0018 High Volt applicator 5/8” round (1.6cm)
8E0019 High Volt applicator 2”x 1.5” (5.8cm x 3.81cm)
7B0193 Sponge Pocket 1.5” x 2” (3.81cm x 5.8cm)
7B0192 Sponge Pocket 5/8” (1.6cm)
8D0027 Microcurrent Ground Probe
7B0079 Banana-to-Pin Adapter (black)
D71BAG So Side Carrying Case
D71CART Solaris Plus Cart
7B0208 2” (5.8cm) diameter carbon electrodes (red)
7B0209 2” (5.8cm) diameter carbon electrodes (gray)
7B1210 2” (5.8cm) round sponge fabric electrode
7B0063 3” (7.62cm) diameter carbon electrodes (red)
7B0065 3” (7.62cm) diameter carbon electrodes (gray)
7B0059 3” x 5” (7.62cm x 12.7cm) carbon electrodes (red)
7B0061 3” x 5” (7.62cm x 12.7cm) carbon electrodes (gray)
7B0067 1.5” x 2.0” (3.81cm x 5.8cm) carbon electrodes (red)
7B0069 1.5” x 2.0” (3.81cm x 5.8cm) carbon electrodes (gray)
7B0260 2” x 4” (5.8cm x 10.16cm) Ultra Polys™ adhesive electrodes (w/snap or pin)
7B0261 2” x 2” (5.8cm x 5.8cm) Ultra Polys™ square adhesive electrodes (w/snap or pin)
7B0077 Bifurcated extension lead wire for High Volt use
7B0082 Pin-to-Banana adapter (black)
7B0079 Banana-to-Pin Adapter (black)
7B0001 Snap adapter
5LTRGEL Ultrasound Coupling Gel (5 liter container)
DYNATRON SOLARIS® PLUS SERIES | SERVICE MANUAL REV. 6 | AUGUST 29, 2017 6
DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
Dynatron Solaris® Plus Physical Features
Before operating the Dynatron Solaris Plus devices, acquaint yourself with the control panel by reviewing the illustrations and descriptions on the following pages. e numbered features in the diagrams correspond to the numbered descriptions. Before administering treatment to a patient, read the sections later in this manual that provide specic instructions for performing treatments, discussions of each modality, denitions of the available options, along with contraindications, warnings, and precautions for all modalities.
Note: e User Interface on Solaris Plus devices is engineered with “CapSense Touch Technology” requiring that the user make direct contact with the keys on the faceplate using dry, bare ngers or a glove with a conductive ngertip.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
1. START: Press the green START key on the right side of the Treatment Display Screen to start the treatment timer
and treatment proceeds as set up. For the Solaris Light and Microcurrent Probe treatments, the START key enables the probe(s) in preparation for the treatment. e treatment begins aer the 1/0 (ON/OFF) key on the probe handle is pressed.
e START key can also be used to save new treatment DEFAULT settings. Aer setting up a treatment, press and hold the START key for two seconds. At the end of two seconds, a beep will sound indicating the treatment parameters have been saved. e next time the modality is selected, these parameters will be selected automatically.
2. STOP: Pressing the red STOP key during a treatment IMMEDIATELY stops the output and sets the treatment time
to zero for all modalities. To stop the focus treatment only, reduce the focus treatment’s time to zero or press the FUNCTION and STOP keys simultaneously.
For Light and Microcurrent Probe treatments, press the 1/0 (ON/OFF) key located on the probe handle(s) which immediately PAUSES/STOPS/STARTS the treatment.
3. PAUSE: e PAUSE key is designed to pause Tri-Wave Light, Microcurrent, and Ultrasound treatments. Tri-Wave
Light and Microcurrent Probe treatments may also be paused by pressing the 1/0 (ON/OFF) key located on the probe handle(s).
4. FUNCTION: is key is used to access unique features for High Volt, Ultrasound, Combo treatments and for
entering soundhead parameters. e FUNCTION key is also used in conjunction with the STOP key to stop only a treatment in focus. In addition, the FUNCTION KEY provides access to settings for STIM, LANGUAGE, LEAD TESTS AND SYSTEM INFORMATION. Specic instructions for using this key are provided later in the manual as they apply to each function or modality.
5. TREATMENT DISPLAY SCREEN: Located in the upper center of the USER INTERFACE, the TREATMENT
DISPLAY SCREEN allows the clinician to view all of the parameters of the focus treatment such as time, intensity, frequency, duty cycle, contraction rest, ramp time, polarity, or any other setting applicable to a treatment at a glance. In addition, the screen lists all active modalities not in focus along with their active channels and remaining treatment times in small font under the heading RUNNING TREATMENTS. If an error occurs during treatment, an error message will appear on the Treatment Display Screen identifying the treatment modality that triggered the error message.
6. ARROW KEYS: e UP/DOWN arrow keys are used to increase/decrease the treatment time or other parameters
that appear on the TREATMENT DISPLAY SCREEN directly next to the arrow keys being used.
7. MODALITY KEYS: e Solaris Plus Series devices have all or a combination of 11 treatment modality options: IFC,
Premod, Light Probe, Light Pad, Ultrasound, Combo, Biphasic, Russian, High Volt, Microcurrent, and Direct Current. MODALITY KEYS appear at the bottom of the USER INTERFACE. Pressing any of the available MODALITY KEYS will bring the selected modality into focus and the default parameters for that treatment modality will be displayed. Treatment modality parameters may be customized once the treatment is in focus.
8. TREATMENT WINDOWS: Across the bottom of the TREATMENT DISPLAY SCREEN are ve smaller treatment
windows providing treatment options and parameters that are unique to each modality. e quick access and visibility of these TREATMENT WINDOWS allow for quick, easy, and accurate setup. On the following pages are illustrations of each modality’s TREATMENT WINDOWS and their associated default settings.
Note: High Volt, Sound, and Combo treatments all have a secondary set of TREATMENT WINDOWS and treatment options that are accessed when the treatment is in focus and the FUNCTION key is pressed. e arrow between the two boxes indicates the secondary treatment window.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
IFC (Interferential) Premod
Biphasic Russian
MC (Microcurrent) DC (Direct Current)
LT PROBE (Tri-Wave Light Probe) LT PAD (Tri-Wave Light Pad)
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
ermoStim (Heat) ermoStim (Cold)
SOUND (Ultrasound)
COMBO (Combination)
SOUND (Function Key View)
COMBO (Function Key View)
HIVOLT (Hight Volt)
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HIVOLT (Function Key View)
DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
9. TREATMENT WINDOW TOGGLE KEYS: TOGGLE KEYS are located below the ve TREATMENT WINDOWS.
Pressing the Toggle Key directly below a window allows one to choose an output channel, and select treatment parameters for the treatment in focus. A treatment is in focus when the name of the treatment appears in the center of the TREATMENT DISPLAY SCREEN and the name of the modality is highlighted green in the channels window.
10. CHANNELS WINDOW / CHANGING THE FOCUS TREATMENT
One of ve TREATMENT WINDOWS, this window lists the available channels/jacks: 1,2,3,4, HV (High Volt, Probe (MultiStim), Sound, LT Pad or LT PD1(2) indicates Light Pad, and LT Probe or LT PB1(2) Light Probe. Some treatment jacks do not appear in the CHANNELS window until the accessory device is inserted into the Solaris Plus console, for example Light Probe, Light Pad, ermoStim, and Sound.
e Channel Number/Indicator lights in the CHANNELS window identify which output channels/jacks are currently in use. e channel(s)/jack illuminated in GREEN indicates the focus treatment and the time, intensity, and other treatment parameters for that active treatment appear on the Treatment Display Screen. A Channel/ Indicator illuminated in YELLOW identies a channel/treatment is in use and delivering current, but is not in focus. e intensity, and treatment parameters are not displayed at this time (only one channel’s parameters may be displayed at a time). A treatment’s parameters may only be modied when the treatment is brought into focus. To bring a treatment into focus, press the CHANNELS TOGGLE key below the CHANNELS window to select a channel to be brought into focus. When the channel is in focus, the name will be illuminated GREEN. If a treatment that is active but not the focus treatment times-out, the text in the CHANNELS window will change from YELLOW to WHITE. A channel running in the background will change from YELLOW to ORANGE when the stim output is in “rest” mode (Russian or Biphasic).
11. TARGET PAD: e Solaris Plus TARGET feature is engineered to precisely pinpoint a patient’s pain. As the nger
is glided across the TARGET touchpad, the patient identies the point of greatest pain. When the TARGET point is identied, the nger is lied from the Target Pad and the selected TARGET is locked in place. TARGET is available with Interferential or any four pad stim treatment.
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12. CONDUCTANCE/TEMPERATURE BAR
Conductance.
e Solaris Plus devices continuously measure conductance during electrical Stim treatments for Interferential, Premod, and Microcurrent to ensure that the treatment outcome is optimal and to minimize the possibility of patient discomfort due to poor conductance and/or changes in current density. As conductance is measured, Solaris Plus displays the results in graph form on the CONDUCTANCE bar located on the right side of the TREATMENT DISPLAY SCREEN. Optimum conductance is displayed as the conductance bar ows RED - YELLOW- GREEN. GREEN indicating the best CONDUCTANCE. If the green bar only partially lls the graph area, the conductance is at a percentage of optimum. Lower INTENSITY may cause the bar to partially ll, but does not mean that the treatment is not eective. Below are some helpful denitions.
Conductance and Worn Electrodes.
Conductance is how readily electrical current is passed from the electrode to the skin surface during a treatment. Conductance aects current density. A worn electrode that does not conduct the current evenly over its entire surface will have “hot spots” where a greater amount of current ows through a smaller area which means the current density is higher at that point than elsewhere on the electrode. “Hot Spots” can lead to patient discomfort. Never risk patient comfort by using worn electrodes or lead wires.
Intensity.
e intensity level is a convenient incremental measurement. However, raising the intensity increases the current delivered to the patient but does not improve conductance.
Current Density.
Current density is the amount of current that passes through a given area of the electrode. Current density varies depending on the size of the electrode, the conductance, and intensity setting; and has an eect on patient comfort. With proper setup and good accessories, current is dispersed evenly over the entire surface of the electrode. e smaller the electrode, the greater the density of the current delivered through the area. To reduce current density and improve patient comfort, use larger electrodes, or lower the intensity setting, or both.
During a Microcurrent probe treatment, the graph is also useful in observing conductance changes since the goal of some Microcurrent treatments is to increase conductance (reduce resistance/impedance) at a given point.
If the number of green displayed segments begin to decrease on the graph during a treatment, it is important to determine the cause of the poor conductance. Remember with poor conductance you may inadvertently increase current density at a small point under the electrode and cause patient discomfort. Following are some considerations to insure proper conductance.
Check to be sure electrodes are not worn or that self-adhesive electrodes have not lost their adhesiveness. ese are the most common causes of poor current delivery. Both self-adhesive and carbon electrodes eventually lose their ability to conduct current eectively. See “Electrotherapy Usage Cautions” in this manual for recommended intensity settings and usage limits.
Check to ensure the entire surface of the poly adhesive electrode is adhering.
Self-adhesive electrodes do not require sterilization, however, electrodes should be clean and hydrated (see package instructions or “Self-Adhesive Electrodes” section of this manual).
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Check to be sure the snap adapters haven’t fallen o or that the lead wire has not become disconnected from the electrodes or the device.
Make sure carbon electrodes have a secure connection with the pin ends of the leads. Over time the carbon electrodes may become too loose to use safely and the electrodes must be replaced.
Check for corrosion on lead ends.
Make sure carbon electrodes are adequately moistened and free from build-up to allow complete contact across the surface of the electrode.
Observe the electrode placement. Some areas of the patient’s body conduct current better than others. In areas where resistance is high you may be unable to obtain optimum conductivity.
Check the dryness of the patient’s skin. Dry skin does not conduct current well.
Check to see if the electrodes do not adhere properly when a patient shis position during a treatment. Worn electrodes could become loose and a signicant change in conductance could result.
Temperature.
e Solaris Plus devices continuously measure temperature during a Light Probe, Light Pad, Ultrasound, and Combo Treatment. TEMPERATURE is indicated by the length of the Blue/Green indicator lights on the temperature bar. e longer the length of the colored bar, the higher the temperature. It is not uncommon to have the temperature bar move into the medium length ranges. If the temperature of an ultrasound treatment approaches the maximum level of 108° Fahrenheit (42.22° Celsius), the treatment is automatically PAUSED, output power stopped, and treatment time stops counting down. Following a cooling period, the treatment may be continued by pressing START.
Channels and Jacks
13. Front Panel Channels and High Volt Jack
Illustrated below are the output channels for delivering Interferential, Premodulated, Russian, Biphasic, and Microcurrent treatments. ese channels are located on the front of the device. As you face the device, channels 1 and 2 are on the le, channels 3 and 4 are on the right with the dedicated High Volt jack for delivering High Volt Pad treatments in the middle. ree channel units (708 and 705) have channels 1, 2, and High Volt.
Front Panel Channels and Jack
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
14. Le-Side Panel Jacks
Located on the le-side of the Solaris Plus are the “Keyed and Locking” Light Probe and Light Pad jacks. Once the arrows are aligned at the top of both the jack and the connector, they will slide together smoothly and exactly. Do not force the connector or damage to the pins may occur. is damage is not covered by warranty. When removing the connectors, turn the connector’s outer sleeve in the direction of the arrow and the connector will slide easily away from the jack.
Le-Side Panel Jacks
15. Right-Side Panel Jacks
Located on the right-side of the Solaris Plus are the Ultrasound, Combo, and Stim Probe Jacks for the 709 and 708. e right-side of the 707 mirrors the le-side diagram oering additional Light Probe and Light Pad Jacks, and ermoStim Probe setup.
Right-Side Panel Jacks Right-Side Panel Jacks
MultiStim Probe Jack.
e universal MultiStim probe plugs into this jack for Microcurrent, High Volt or DC probe therapy. e jack is an eight pin DIN jack that requires careful alignment of the pins to prevent damage. Align the arrow on the top of the connector with the notch at the top of the jack and gently slide the connector into place.
Combo Jack.
e special combo lead wire for combination treatments is plugged into this jack for a combination treatment setup providing Stim output through the Ultrasound head. e Combination Treatment (Combo) Jack is a simple banana jack connector and requires no special alignment.
Ultrasound Jack.
e Ultrasound Jack is a “Keyed and Locking” jack. Once the arrows are aligned at the top of both the jack and the connector, they will slide together smoothly. Do not force the connector or damage to the pins may occur. When removing the connector, turn the connector’s outer sleeve in the direction of the arrow and the connector will slide easily away from the jack.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
16. Back Panel Jacks
b
Back Panel Jacks
c
a
a. Power 1/0 (ON/OFF) Switch. Located on the back of the unit this switch is labeled “1” and “0.” Set the switch
to “1” for ON; set the switch to “0” for OFF.
b. Batter y. is jack may be used to supply power to the device using an optional battery pack. More information
about the optional battery operation is provided later in this manual.
c. SD Card Input. e SD Input provides a way for the Solaris Plus Devices to receive soware updates quickly
and easily. Complete instructions for updating the devices using an SD card are found in the “Technical” information section of the manual.
NOTE: Patient Remote Stop. Adding the Remote Stop requires a custom order. e Patient Remote Stop Jack is located below the Light Probe holder. e remote stop is controlled by the patient during unattended therapy, allowing the patient to stop the treatment at any time. When the button on the remote stop cable is pressed, output for all Stim modalities and pad treatments is stopped. During Combo treatments, both Sound and Stim outputs are stopped.
Current Limit
e Dynatron Solaris Plus devices continuously measure the actual current output during a treatment and limit the output current to the level indicated in “Technical Information” in this manual. As the intensity of a treatment is increased the current output is also increased.
When the maximum output current limit is reached, the device will immediately stop increasing the intensity and automatically reduce the intensity a few increments to prevent the possibility of patient discomfort. Simultaneously, the device will beep and one of the following CURRENT LIMIT WARNINGS will appear in the lower right-hand corner of the Treatment Display Screen. Following is a list of CURRENT LIMIT WARNINGS that may occur.
Remember to treat at the patient’s comfort level. It is not important to reach a given intensity level. It is only important to set the treatment at a level that is comfortable to the patient. See “Electrotherapy Usage Cautions” in this manual for suggested intensity limits.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
CURRENT LIMIT ERROR MESSAGES CAUSE
“Cannot start treatment with zero intensity” Intensity not set
Error 101, Error 111, Error 120, Error 130
“Lead error: current too low!
Please check or replace your leads and pads!”
Lead issue; electrode issue
Error 100, Error 110, Error 140
“Lead error: High current delivery detected. Adjusting intensity
to a safe limit. Please check leads. Space electrodes further
apart. Ensure skin is dry between electrodes.”
Electrodes touching or too close
Hot pack may be too moist
Lead shorted
Most warnings will occur during the setup portion of a treatment. It would be rare to encounter a current limit warning during a patient treatment as reaching the current limit would require an intensity setting that is uncomfortable and intolerable to most patients. Below are some possible considerations for exceptions:
e patient is unable to adequately feel the current and is unable; therefore, to report discomfort at the high intensity level.
When using four large electrodes for a treatment, current is dispersed over a larger electrode surface area permitting a higher intensity setting without discomfort to the patient.
For users who need to provide intensity levels above 50 mA (not available Japan or Canada), the default may be changed to 100mA: 1) Begin at the START UP SCREEN. 2) Press the FUNCTION KEY. 3) Use the toggle key under the MODE WINDOW to select the 100mA option and conrm your choice when prompted. Press STOP to return to the START UP SCREEN.
As the intensity is increased, ensure that the patient feels the current as expected. If the patient is unable to feel the current, the current could unintentionally be raised to a level much too high and risk causing unnecessary discomfort or possibly burn the patient. Keep the intensity very low if the patient has little or no feeling in the treatment area (see “Contraindica­tions, Warnings, and Precautions” in this manual). If you encounter the Current Limit Warnings, it may indicate that the patient cannot adequately feel the current. Reduce the intensity immediately.
A wide range of factors can cause the patient to lack sucient feeling in the treatment area, including, but not limited to, pain control drugs, use of ice packs, neurological damage, etc.
Always consider these and other factors when delivering an electrotherapy treatment. Determine intensity settings based upon your medical expertise and judgment.
Error Messages
If an error occurs during any active treatment, whether in or out of focus, the Solaris Plus will sound a beep. A white box with a red Error message will appear in the Time area of the Treatment Display Screen, if the treatment is in focus. If the treatment error is associated with a treatment that is not in focus, “ERR” will appear next to the active treatment listed on the le-hand side of the screen with other treatments that are currently running but not in focus. Pressing the modality key for the treatment indicated will bring that treatment into focus and details regarding the error will appear on the Treatment Display Screen.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
Ultrasound Error Messages
ULTRASOUND ERROR MESSAGES CAUSE
Lead Wires
DID YOU KNOW?
Lead wires should be replaced at least every six months
“No soundhead connected,
cannot setup ultrasound/combo treatment.”
“Soundhead is too hot!
Output has been disabled to allow cooling.”
“Caution: soundhead is getting hot!” Soundhead is getting hot
“Thermistor on soundhead is broken!
Please get soundhead replaced.”
No soundhead attached
Soundhead is too hot
Thermistor on soundhead is broken
Carbon electrodes should be replaced approximately every six months
Self-adhesive electrodes should be replaced aer no more than 15 uses
You should never use monitoring electrodes nor ordinary TENS electrodes with this device
Some brands of electrodes are of very poor quality or are inappropriate for electrotherapy. Your patient may experience discomfort and even skin reaction due to poor distribution of current when using these electrodes
Failure to replace worn lead wires and carbon electrodes or using cheap, poor quality electrodes are some of the most common causes of patient discomfort.
Even with good care, lead wires will eventually develop breaks (open connections) simply from normal usage, and must be replaced about every six months. Damage can occur due to jerking or pulling on the wires, excessive bending or tight wrapping the wires, or running over the wire with a device cart. When setting up treatments, keep lead wires out of areas where a person could trip on them. When storing, lead wires should be loosely wrapped to prevent any kinking in the lead wire. Never use worn or damaged leads to treat a patient. Using faulty leads may result in injury to a patient.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
Test Leads Daily
Lead wires should be tested regularly to ensure they are functioning properly and safely. A simple test performed with the Dynatron Solaris Plus devices makes daily lead testing convenient. Damaged or worn leads should be discarded and replaced. Instructions for testing are provided below.
Remove Corrosion From Lead Tips
Lead tips will build up corrosion through use. e lead tips must be cleaned and kept free of corrosion in order to function correctly. To remove corrosion from lead tips, use steel wool to gently scrape o the corrosion. Take care not to scratch the metal plating of the tip during cleaning. If the tip’s metal surface becomes pitted or uneven, the lead must be replaced.
Testing Leads
To test leads, perform the following steps daily.
1. Power on the Solaris Plus.
2. When the device has completed INITIALIZING, press the FUNCTION key located on the right side of the USER INTERFACE to activate the SETTINGS screen.
3. Make sure that LEAD TEST is illuminated GREEN in the MODE window.
4. Using the LEAD TEST TOGGLE KEY, select ON in the LEAD TEST window. ON will be illuminated GREEN.
5. Plug a lead into Channel 1 (no other channel is used for the lead test). Remove snap adapters, if applicable, from the leads.
WARNING
UNDER NO CIRCUMSTANCES SHOULD THE LEADS BE CONNECTED TO A PATIENT DURING THIS TEST!
6. Press START.
7. Hold the pins securely together, move the leads around, wiggle the cord, especially at the jack end of the cord. e numbers in the CONDUCTANCE window will begin to count up. e quality of the lead is represented on a rolling scale of 0 to 250. e higher the number the better the lead’s quality. A count of 200 or more indicates the lead is ready to be used. If the count registers under 100, the leads are probably bad and should be replaced.
8. Aer the test, remove the lead from Channel 1. If other leads need to be tested, plug in the next lead and test in the same way.
9. To exit the LEAD TEST function, press the STOP key.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
NOTE: e LEAD TEST should be used for testing patient lead wires only. is is not an accurate means of testing carbon electrodes. Contact Dynatronics Customer Service to arrange for free testing of carbon electrodes or for instructions for testing these electrodes.
Carbon Electrodes
Carbon electrodes provide an economical means of delivering electrotherapy to patients but should not be used with Microcurrent. is type of electrode lasts a long time and can be used again and again. However, if they are not properly cared for, these electrodes can fail to deliver the desired treatment and can present the possibility for injury to a patient. To ensure greatest safety and eectiveness with your treatments, follow these rules when using carbon electrodes.
1. Carbon electrodes must be well-moistened prior to treatment setup.
Dry carbon electrodes are very poor conductors of current and should NEVER be used. ey may be moistened with either water or an electrolyte spray. Water is adequate for short treatments, but will evaporate too quickly for longer treatments. If water is used for longer treatments, you may need to interrupt the treatment and remoisten the electrodes. A special sponge fabric available with some carbon electrodes may be moistened well and used as a conductive medium (do not use ordinary sponges for this purpose). Do not use Ultrasound gel as a conductive agent with carbon electrodes.
If you use an electrolyte spray, this liquid may be diluted with equal amounts of distilled water, if desired. is reduces the amount of build-up on the electrodes yet usually provides adequate moistening of the electrodes.
NOTE: As you increase the intensity to higher levels during setup, if your patient feels a “biting” sensation or if the patient feels nothing, this indicates you are not getting adequate conductivity—the electrode may be too dry or is not moistened evenly across its entire surface. Stop the setup and correct the problem.
2. Carbon electrodes must be free from any build-up.
If electrodes have a build-up from body oils or a moistening agent such as an electrolyte spray, conductivity is greatly impaired. If treatment is allowed to continue, intensity could be inhibited. When using carbon electrodes with any electrotherapy device, you must make sure conductivity is not impaired due to any type of build-up on the electrodes.
3. How to Clean Carbon Electrodes.
Carbon electrodes from Dynatronics may be cleaned using a mild soap and a small brush (such as a nail brush). To sterilize, alcohol may be used. ey may also be sterilized in an Autoclave. Daily cleaning is recommended
If seeking a commercial cleanser/disinfectant, it is recommended that a product contain only the following active ingredients to avoid damage to the probe or pads:
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
OctylDecyl Dimethyl Ammonium Chloride
Dioctyl Dimenthyl Ammonium Chloride
Didecyl Dimenthyl Ammonium Chloride
Alkyl (C14 50%; C12 40%; C16 10
Dimenthyl Benzyl Ammonium Chloride
Other Ingredients not published
4. Carbon electrodes eventually wear out.
Do not assume you can safely use carbon electrodes indenitely. Over time these electrodes will wear; and when worn, the amount of current delivered through the electrode will decrease and will be inconsistent over the surface of the electrode. As a general rule, carbon electrodes that are used regularly should be replaced at least every six months.
Do not take chances with patient safety!
Discard worn carbon electrodes!
If you think that your carbon electrodes are showing wear, you can test them with an ohm meter. Good carbon electrodes should measure resistance between 40 and 200 ohms.
Self-Adhesive Electrodes
Dynatronics’ self-adhesive electrodes are intended for multiple but patient specic use due to the danger of cross contamination. Improper use of the electrodes can decrease the life of the electrode and could even result in harm to your patient. e following instructions will help you achieve maximum usage from your electrodes while ensuring patient safety and comfort during treatment.
1. Make sure the electrode is adhering and making contact with the skin across the entire surface of the electrode. Electrodes will lose their adhesive quality when exposed to air, dust, dry skin, etc.
To Retain Adhesiveness:
Electrodes should be stored in a tightly sealed pouch until used.
e patient’s skin should be thoroughly cleaned and free from oils or akiness prior to placing the electrodes.
To Restore Adhesiveness:
Before a Treatment. Before placing the electrode on the patient, moisten the patient’s skin with a damp cloth
using plain water, then apply the electrode to the skin.
Aer a Treatment. Apply one or two drops of water to the adhesive side of the electrode using plain water, rub
it lightly with ngertips, reapply the electrode to its plastic backing, and seal it tightly in its storage pouch. Do not use an electrolyte spray to remoisten self-adhesive electrodes as this substance can destroy the adhesive. Self-adhesive electrodes do not require sterilization.
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DYNATRON SOLARIS® PLUS PHYSICAL FEATURES
With this method of re-hydration, aer a couple of hours electrodes can regain up to 90 per cent of their original
adhesive quality.
2. NEVER use a self-adhesive electrode for more than 15 treatments (maximum).
3. NEVER USE STRAPS, WEIGHTS, or other devices to attach self-adhesive electrodes to the skin. If an electrode has lost its adhesive quality, you can use one of the methods given above to re-hydrate the adhesive, or you should discard the electrode. Using straps and weights with self-adhesive electrodes could have an unpredictable eect on the electrodes and could cause injury.
4. NEVER use monitoring electrodes such as ECG, or EMG, nor ordinary TENS electrodes.
5. If you see the “No Patient Current” screen message, or if you observe poor conductivity indicators, check the electrodes and lead wires for proper connection.
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ELECTROTHERAPY INFORMATION AND USAGE CAUTIONS
Electrotherapy Information and Usage Cautions
e following general cautions are to be observed during Interferential, Premodulated, Russian, Biphasic, High Voltage, and Direct Current stimulation. For Microcurrent electrotherapy, see additional cautions in the Microcurrent Section of this manual.
WARNING
NEVER turn the power ON or OFF while the unit is connected to the patient.
Always STOP a treatment before removing or attaching electrodes or leads. Leads and electrodes must only be applied to the patient before a treatment is started.
Never use worn or damaged leads or electrodes as these may result in injury to the patient.
See the Contraindications, Warnings, and Precautions for Interferential and Premodulated treatments in this manual before administering a treatment.
Additional warning from the Canadian Health and Welfare Department, Health Protection branch: WARNING: oracic applications are contraindicated. Cardiac brillation may occur if output current is 50mA RMS or greater for any output circuit. (For use in Canada and Japan, this device is limited to 50mA output).
Electrical stimulation, by its very nature, has the ability to irritate the patient’s skin. Certain precautions should be observed to assure maximum safety and comfort for patients. A patient’s tendency to have adverse reactions is dependent upon several factors. ese factors are:
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ELECTROTHERAPY INFORMATION AND USAGE CAUTIONS
Current Density
is is the amount of current being delivered to the patient divided by the area through which the current is being delivered (the surface area of the electrodes being used).
Electrode Condition
Worn or dried out electrodes cause the current to concentrate in small areas of the electrode instead being evenly distributed over the entire surface of the electrode. is has the eect of concentrating and increasing the current density into small areas.
Patient Susceptibility
Some patients’ skin is more sensitive to electrotherapy currents. is can cause a reaction similar to a heat rash.
Electrotherapy treatment can result in a rash, burn, or blister. e tendency to do this is dependent upon the factors listed above and can be minimized by applying the following guidelines:
1. Use only moderate current
It is not always necessary to raise the treatment intensity to just short of the patient’s pain threshold to achieve adequate results. Below is a chart comparing the size of the self-adhesive and carbon electrodes with their suggested maximum intensity levels.
NOTE: e intensity settings should be considered maximum and not target intensities. ese suggested settings apply to Interferential and Premodulated treatments. For High Voltage pulsed stimulation the intensity is displayed in volts; therefore, these suggested settings do not apply.
For Biphasic or Russian stimulation treatments intended to eect a muscle contraction, it may sometimes be necessary to exceed these recommended limits to achieve the desired results. However, use caution when doing so to ensure that the patient can feel and can comfortably tolerate the electrical current. Also observe all other precautions in this section concerning leads and electrodes to ensure the higher intensity setting is not necessary as a result of defective accessories. In any case, do not exceed patient tolerance in setting the intensity. Consult published medical literature for more information about treatment protocols using each of these electrotherapy modalities.
Use as large an electrode as is practical for the application.
NOTE: e current density in a 1.25" square electrode is over FOUR TIMES the current density in a 1.75" by 3.75" electrode for the same intensity setting. Using larger electrodes allows current to be delivered over a larger area of the body keeping the current density as low as possible and minimizing the possibility for adverse reactions. Below are recommended intensities that correspond to electrode sizes.
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ELECTROTHERAPY INFORMATION AND USAGE CAUTIONS
Interferential / Premodulated
Electrode Size Maximum Recommended Intensity
Carbon
Electrodes
1.75" x 3.75" (4.45cm x 9.53cm) 25 - 30
Self-adhesive
Electrodes
When delivering combination Ultrasound and Stim treatments where the Stim current is delivered through the soundhead, the following are the recommended maximum Stim intensities (refers to Premodulated, Biphasic or Russian stimulation only):
3" round (7.62cm) 25 - 30
3" x 5" (7.62cm x 12.7cm) 30 - 40
1.75" square (4.45cm) 10 - 15
1.25" round (3.18cm) 10 - 12
2" round (5.08cm) 10 - 20
3" round (7.62cm) 25 - 30
Combination Treatment
Ultrasound Head Size Maximum Recommended Intensity for Electrotherapy
2 cm2 Head 4 - 7
5 cm2 Head 10 - 15
10 cm2 Head 15 - 20
2. Ensure that the area on the patient’s skin where the electrode is to be placed is clean and free of all foreign matter.
Includes powders, perfumes, as well as body oils, dirt, and grime. Cleaning with an alcohol wipe should be adequate. Allow the alcohol to fully evaporate before applying the electrodes. Iontophoresis occurs with all electrical current therapies and can drive any of the above-surface contaminants below the epidural layer where an allergic reaction may occur.
Any electrode which is suspect should be discarded. It’s not worth the price of an electrode to risk harming a patient.
3. Make sure the electrodes being used are in good condition.
e poly adhesive electrodes should have good adhesion over the entire surface area of the electrode. e area where the leads attach to the electrode (either through a lead or a snap) should not be damaged such that the connection to the foil backing behind the adhesive is broken. Carbon electrodes should be deep black and should be free of cracks in the electrode surface.
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ELECTROTHERAPY INFORMATION AND USAGE CAUTIONS
4. Some patients tend to be much more sensitive to electrotherapy treatments.
On patients with this tendency, treat with reduced intensity and/or shorter treatment times with possibly more frequent treatments, if required. Most reactions are localized and very short-lived, so limiting the exposure should minimize any potential for adverse reactions.
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INTERFERENTIAL / PREMODULATED INSTRUCTIONS
Interferential / Premodulated Instructions
An Interferential treatment uses two channels and four electrodes (channel pairs 1-2 or 3-4). e device will automatically select the rst available channel pair when you select IFC. A Premodulated treatment uses one channel and two electrodes. e device will automatically select the rst available channel (1, 2, 3, or 4) when PREMOD is selected. If desired, multiple treatments can be setup using available channels. Note: Channels 3 and 4 are only available on Solaris Plus 706, 707, and 709.
Interferential / Premod Quick Setup
1. Choose IFC or PREMOD.
Plug the patient lead(s) into the output jack(s) for the channel(s) selected.
Attach electrodes to patient at treatment site.
2. Set the treatment TIME.
3. (Optional) CUSTOMIZE FREQUENCIES now.
Select RANGE: HIGH, LOW, ALT (high/low alternating), CONSEC ( ½ high, ½ low), or FIXED (select 4,000 to 10,000 Hz).
4. Choose TARGET, SWEEP, or STATIC (for Interferential treatments only) using the TARGET TOGGLE key.
5. Increase INTENSITY (patient will feel the current) using the arrow keys located next to the INTENSITY display.
6. If TARGET is selected, use the target pad to focus therapeutic beat to desired site.
7. Press STA RT .
8. STOP. Press the FUNCTION AND STOP keys simultaneously to stop only focus treatment appearing on
the Treatment Screen. Pressing STOP alone, stops all treatments operating on the device. Using the TIME arrow keys to bring a treatment time to zero will also stop a treatment.
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INTERFERENTIAL / PREMODULATED INSTRUCTIONS
NOTE: Prior to increasing intensity, electrodes must be placed on the patient and the lead(s) attached to the device. Plug the lead(s) into the channel(s) the device selects for this treatment. Consult published sources for electrode placements, treatment settings, and treatment times. Make sure electrodes make good contact with the patient’s skin over the entire surface area of the electrode. Improper electrode contact may result in patient injury.
Detailed Interferential / Premodulated Setup
1. IFC or PREMOD MODALITY keys
Press the IFC or PREMOD MODALITY keys to choose IFC (Interferential) or PREMOD (Premodulated). When you choose IFC, two channels are automatically selected: 1-2 or 3-4. When choosing PREMOD, the rst available single channel is selected. Make sure the patient lead(s) is plugged into the correct jack(s) for the channel(s) selected. e default settings for the modality are automatically selected. If you wish to use the default settings, increase the intensity to the desired level, and press START.
Default Settings
Time:..........................................10 minutes
Frequency Range: ...........High 80-150 Hz
Target (IFC): .......................................... On
If you wish to change or customize the treatment settings, proceed through the following steps:
2. Customize TIME
e default treatment time is displayed at 10:00 min. Use the TIME arrow keys to increase or decrease the treatment time.
3. Customize FREQUENCY (optional)
Default HIGH and LOW Frequency Settings
HIGH range is 80 to 150 Hz.
LOW range is 0 to 10 Hz.
ALTERNATING range alternates every 30 seconds between HIGH and LOW, beginning with LOW.
NOTE: ALTERNATING and HIGH/LOW options may be selected aer pressing START. However, Consecutive and Fixed options must be selected before pressing START.
CONSECUTIVE HIGH/LOW. During the rst half of the treatment time the High frequency range is delivered. During the second half of the treatment time the Low frequency range is delivered.
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INTERFERENTIAL / PREMODULATED INSTRUCTIONS
NOTE: Make any desired changes to the treatment time before selecting Consecutive. Treatment time changes made aer selecting Consecutive will cause the treatment to revert to an ALTERNATING HIGH/LOW treatment.
FIXED. A FIXED treatment automatically defaults to a STATIC setting. Press the toggle key under MODE until FREQ is illuminated. A FIXED treatment can be set between 4,000 and 10,000 KHz. Selections progress from 4,000 KHz to 10,000 KHz in 1,000 KHz increments. Once the FIXED rate is set, return to the TIME display by using the MODE toggle key.
NOTE: If INTENSITY has been set during the setup of a FIXED treatment option and a change is made to any other treatment option, INTENSITY will automatically return to “0.”
e default High and Low frequency settings may be changed for a single treatment if desired, or new default settings may be saved to apply to all future treatment setups.
Press the toggle key under the MODE display. Select FREQ (Frequency).
Press the toggle key under the RANGE display. Select a HIGH or LOW frequency range.
e HIGH Frequency will appear on the le-hand side of the Treatment Display Screen. e LOW Frequency will appear on the right-hand side of the Treatment Display Screen. Changes to the upper and lower limits are made using the arrow keys to the side of each displayed setting. If you set both displays to the same value, the treatment will be delivered at that single frequency rather than sweep through a frequency range.
Aer pressing START, frequency settings will remain in eect for the duration of the treatment. If you save defaults during this treatment, the new frequency settings you have entered become the defaults for this modality. However, if you do not save the new settings, the unit will return to the current default settings for the next treatment.
To SAVE these CUSTOM FREQUENCY settings, hold the START key down until a beep sounds. Once saved, these settings will be used on all IFC or Premod treatments that follow.
Press the toggle key under the MODE display to return to the TIME display, Aer 10 seconds with no key presses, the Time display will automatically return.
4. Choose TARGET, SWEEP, or STATIC (for Interferential only)
Using the toggle key located under the TARGET display make your selection from the three available options.
TARGET. Pinpoint the treatment site delivering the full Interferential current where it is needed.
NOTE: e intensity must be set before using the Target Pad so the patient will be able to indicate when the
treatment site is found. Also remember, an injured area will oen be more sensitive to the current delivered. erefore, an intensity setting that is comfortable to the patient at rst may feel uncomfortable when the treatment site is found using the TARGET PAD. If necessary, reduce the intensity to the patient’s comfort level.
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INTERFERENTIAL / PREMODULATED INSTRUCTIONS
SWEEP. e interferential current randomly sweeps the treatment area within the electrodes allowing the general area to be bathed with Interferential current.
STATIC. e interferential current focuses only on the point where the current between electrodes intersects as it follows the path of least resistance.
5. INTENSITY
Press the UP/DOWN arrow keys located next to the INTENSITY display on the right-hand side of the Treatment Screen. When the INTENSITY is increased, current to the patient begins. NOTE: e CONDUCTANCE BAR GRAPH will be operable at this time.
Before selecting the intensity setting for an individual patient, see “Electrotherapy Information and Usage Cautions” in this manual for recommended intensity settings. Also see the section of this manual entitled “Contraindications, Warnings, and Precautions” for specic precautions when treating any conditions contributing to loss of sensation, or any time the patient cannot feel the electrical stimulation.
6. Press START
When you press start, the treatment timer in the TIME display window begins counting down and the treatment proceeds. Remember to set the intensity before pressing START.
7. SAVE DEFAULTS
If the treatment you have just set up is a frequently used, you can save the treatment parameters as new defaults by pressing and holding the START key until a beep sounds indicating the treatment parameters have been saved. e next time you select the modality, these parameters will be selected automatically.
8. MODIFY SETTINGS
Treatment settings can be modied while the treatment is in progress except for a CONSECUTIVE HIGH/LOW treatment. If the TIME setting on a CONSECUTIVE HIGH/LOW treatment is altered, the treatment will be aborted and default to an ALTERNATING HIGH/LOW treatment.
FREQUENCY RANGE. Use the Range Toggle key to select a dierent frequency option (High, Low, Alternating High/Low, Consecutive High/Low, or Fixed). Fixed Frequency and Consecutive High/Low cannot be selected aer treatment is started.
TARGET/SWEEP/STATIC. Use the Target Toggle key to select Target, Sweep, or Static (for IFC only).
TIME. Use the Time Arrow keys to increase or decrease the treatment time.
INTENSITY. Use the Intensity Arrow keys to increase or decrease the intensity.
TARGET. Relocate the treatment site by touching the TARGET PAD at any time during the treatment when TARGET has been selected.
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INTERFERENTIAL / PREMODULATED INSTRUCTIONS
9. STOP.
When the treatment time has elapsed, the current to the patient stops and a tone sounds signaling the end of a treatment. Treatments in progress may be stopped at any time using one of the following methods.
Stop One Treatment Only. Press and hold the FUNCTION key and press STOP. is stops only the treatment in focus.
Stop All. Press the STOP key. All treatments at all channels will stop.
Stop Time. Reduce the treatment time using the Time arrow key. e output at the selected channel is stopped,
and the device then displays the parameters for the next treatment that remains in progress (if there is an active treatment).
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INTERFERENTIAL AND PREMODULATED MODALITY INFORMATION
Interferential and Premodulated Modality Information
Interferential (Quadpolar) Therapy
Interferential therapy uses four electrodes to deliver two currents, one current with a constant frequency of 4000 Hz and the other current with a variable frequency of 4000 to 4150 Hz. e paths of these two currents cross resulting in a “beat” that produces the therapeutic frequency at the treatment site.
e resulting frequency is between 1 and 150 Hz. An example of wave forms representing these currents is illustrated here.
In the Interferential mode, two output jacks (Channels 1 and 2, or 3 and 4) are utilized with four electrodes placed in a crisscross fashion, “bracketing” the treatment site. e output from Channel 1 (or Channel 3) is the constant 4000 Hz wave, while the output of Channel 2 (or Channel 4) is the variable 4000 to 4150 sine wave.
e “beat” phenomenon. Two waves of dierent frequencies over 4000 Hz, combine to produce a beat which is between 1 and 150 Hz.
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Stimulation produced by 4 electrodes.
INTERFERENTIAL AND PREMODULATED MODALITY INFORMATION
Premodulated (Bipolar) Therapy
Premodulated therapy utilizes one output jack and two electrodes. e current delivered is a composite wave form. In order to produce this composite current, two Frequencies are “mixed” within the device prior to output. One frequency is 4000 Hz while the second frequency covers a range between 4000 to 4150 Hz.
With the Dynatron Solaris Plus devices, any of the four channels may be used simultaneously to deliver up to four separate, independent Premodulated treatments. A crisscross electrode setup pattern should not be used when setting up multiple Premodulated treatments. Note that a Premodulated treatment usually requires a lower intensity setting than an Interferential treatment since current is dispersed to only two electrodes rather than four (a smaller total coverage area means greater current density at the treatment site).
Target
e Dynatronics’ TARGET (available for Interferential treatments only) simplies placing the interferential beat directly on the treatment site. e movement of the nger on the Target paid along with the feedback supplied by the patient allows the user to place the full force of the interferential “beat” directly on the treatment site regardless of conductance variations caused by dierences in human tissue (skin, muscle, bone, etc.) that, without Target, make placing the Interferential “beat” a guessing game. Target eliminates the need to move the electrodes to achieve the desired result.
In the diagram the electrodes are placed in a position to treat a point directly in the center of the electrodes. But the center of interference actually occurs at another point. In these illustrations the point of interference is shown in a cloverleaf shape as Interferential treatment aects a cloverleaf-shaped area. Using the Target pad, the point of interference in easily moved to the desired treatment area. Other devices increase current at one channel while decreasing it at the other. is merely rotates the treatment. e center of interference does not move.
Normal Interferential currents cross at a point between electrodes. It is dicult to guess where they will cross as shown in the le diagram. With Target, you move the point of interference without moving electrodes (as shown in the diagram on the right)—just press the touch pad.
Why Is Target Better?
With Target, the voltage output from both channels remains equal at all times; so wherever the treatment is applied, a full, deep Interferential beat occurs. Other devices attempt to achieve this eect by increasing the current from one channel while decreasing the current from the other channel. is method only rotates the cloverleaf-shaped area, but the center of interference does not move. In addition, the depth of the beat is reduced.
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Other devices increase current at one channel while decreasing it at the other. is merely rotates the treatment. e center of interference does not move.
INTERFERENTIAL AND PREMODULATED MODALITY INFORMATION
Target Sweep
e Sweep option literally moves the point of interference inward and outward in a somewhat spiral pattern, bathing about 80 percent of the area within the electrodes with the Interferential current. Sweep utilizes the Target feature and moves the point of interference to cover a wider treatment area while still retaining the full Interferential beat. Sweep bathes a larger area with the Interferential current.
Interferential Electrode Placement
When performing Interferential therapy with a two-channel or four-electrode setup, it is important to arrange the electrodes in a crisscross manner so the current from one channel will intersect with the current from the second channel at the point where treatment is to be delivered. Consult published literature for electrode placements for specic sites and conditions.
Interferential Electrode Placement
Interferential / Premodulated Default Settings
e following default settings are set by the manufacturer and are selected when you select IFC or PREMOD. You may change these defaults to your own preferred settings.
Interferential Default Settings
High 80-150 Hz
Target
e rst available channel pair (1-2 or 3-4)
Time: 10 minutes
Frequency Ranges: High 80-150 Hz; Low 0-10 Hz
Premodulated Default Settings
High 80-150 Hz
Target
e rst available channel pair (1 through 4)
Time: 10 minutes
Frequency Ranges: High 80-150 Hz; Low 0-10 Hz
Interferential/Premodulated erapy: 4000 Hz sine wave frequency modulated by a 4000 to 4150 Hz variable frequency sine wave of equal amplitude
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BIPHASIC / RUSSIAN INSTRUCTIONS
Biphasic / Russian Instructions
In the Russian and Biphasic Stimulation modes the output of the device is a pulsed sinusoidal wave. Solaris Plus allows the operator to choose a muscle contraction/rest cycle that is most suited for the individual patient and for the desired treatment. Once the cycle is chosen, each muscle-stimulating burst is followed by a rest cycle. See “Russian/Biphasic Parameters” in this manual for further discussion of pulse rate and duration, and illustrations showing the segments of the Russian Stimulation cycle and the Biphasic Stimulation cycle.
Solaris Plus provides four treatment options in Russian and Biphasic Stimulation: Normal, Reciprocal, Co-Contraction, and Custom. Aer deciding which treatment is to be used, attach the appropriate number of leads required to set up the treatment.
NORMAL: Use one channel with one lead wire (two electrodes). Place the electrodes so as to treat through the muscle. e contraction/rest cycle is selected from an option list of 10/10, 10/30, 10/50, CONT (continuous/no rest cycle), and Custom. Each time period is indicated in seconds. For example, 10/30 indicates 10 seconds of stimulation with 30 seconds of rest. e continuous duty cycle is not recommended for electrical muscle stimulation, but may be used for settings that are intended to eect results other than a muscle contraction.
CO-CONTRACTION: Use two channels and two lead wires (four-electrodes) for this treatment. Each pair of electrodes is placed over a dierent muscle group. is treatment res the two muscle groups simultaneously—contraction and rest cycles for both treatment areas occur at the same time. Two channels are required (1-2 or 3-4). Note: 3-4 are available only on the Solaris Plus 706, 707, and 709.
RECIPROCAL: Use two channels and two lead wires (four electrodes) for this treatment. e reciprocal muscle stimulation res two muscle groups (such as reciprocal exors/extensors) one aer the other. For example, with a duty cycle of 10/30, the device would deliver stimulation for 10 seconds to the rst muscle, followed by 10 seconds of stimulation to the reciprocal muscle. A 30-second rest time follows each stimulation. e timing of the two cycles will overlap (the rst muscle group is stimulated aer a 30-second rest, even though the second muscle group is 20 seconds into its rest cycle). e Continuous contraction/rest cycle is not available for Reciprocal treatments. Two channels are required (1-2 or 3-4). Note: 3-4 are available only on the Solaris Plus 706, 707, and 709.
CUSTOM CONTRACTION: e Custom Contraction/Rest cycle feature allows the treatment to be customized by selecting from a Custom Contraction ON time (1 to 60 seconds), and an OFF time (1 to 90 seconds). Treatments can be customized by using the following steps:
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BIPHASIC / RUSSIAN INSTRUCTIONS
1. Press the CONT/REST toggle key. Select CUSTOM.
2. Press the MODE toggle key. Select CUST C/R (Custom Contraction Rest).
3. Press TREATMENT toggle key. Select Normal, Co-Cont, Recip.
4. Using the RAMP toggle key, select RAMP time (.05, 1.0, 1.5, 2.0).
5. Set CUSTOM CONTRACTION using the arrow keys on the le-side of the Treatment Display Screen (1-60 sec.)
6. Set CUSTOM REST using the arrow keys on the right-side of the Treatment Display Screen (1-90 sec.). e REST time can be set to a minimum of one second.
7. Press START.
Biphasic / Russian Quick Setup
1. Choose BIPHASIC or RUSSIAN.
2. Choose the TREATMENT (Normal, Co-contraction, or Reciprocal using the TREATMENT toggle key). Plug the patient lead(s) into the output jack(s) for the channel(s) selected.
3. Choose the CONTRACTION/REST times by pressing the CONTRACTION/REST toggle key.
4. Choose the RAMP setting by using the RAMP toggle.
5. Change the treatment TIME, by pressing the UP/DOWN TIME ARROW keys, if desired.
6. Change the PULSE and DURATION. Using the MODE toggle key select RATE/DUR (rate/duration).
Press the PULSE RATE arrow keys to change the PULSE RATE
Press the PULSE DURATION arrow keys to change the PULSE DURATION
7. Press the MODE toggle key to return to the TIME display window.
8. Raise the INTENSITY to the desired level by pressing the INTENSITY ARROW keys on the right-side of the Treatment Screen.
9. For co-contraction or reciprocal treatments, set the intensity for the rst channel. Press START. e device will automatically select the second channel. Set the intensity for the second channel.
10. Press START.
11. STOP. Press the FUNCTION and STOP keys simultaneously to stop only the focus treatment appearing in the Treatment Screen. Pressing STOP alone, stops all treatments operating on the device. Using the TIME arrow keys to bring treatment time to zero will also stop a treatment.
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BIPHASIC / RUSSIAN INSTRUCTIONS
Detailed Biphasic / Russian Setup
If you do not understand the terms contraction, rest, ramp time, pulse duration, or pulse rate; consult the diagrams in the section of this manual entitled “Biphasic / Russian Parameters.”
1. Press the BIPHASIC or RUSSIAN
When you select this modality, the default settings are automatically selected. If you wish to use the default settings, you can now increase intensity to the desired level and press START.
Default Setting
Mode............................................... Normal
Cont/Rest Time ................................. 10/30
Time ..........................................10 minutes
Ramp Time .................................... 0.5 sec.
If you wish to change the treatment settings, proceed through the following steps:
2. Choose the TREATMENT.
Use the TREATMENT toggle key to select NORMAL, CO-CONT (Co-contraction), or RECIP (Reciprocal). Connect the patient lead wire(s) to the channel(s) selected.
3. CONTRACTION/REST
Cycle Times Using the CONT/REST toggle key, choose the CONTRACTION/REST cycle times. Available options include 10/10, 10/30, 10/50, Continuous, and Custom. e setting of 10/30, for example, means a 10-second contraction time followed by a 30-second rest time. Note that you may not select Continuous cycle for a Reciprocal treatment. e Continuous duty cycle is not recommended for electrical muscle stimulation, but may be used for settings that are intended to eect results other than a muscle contraction.
4. Choose the RAMP Setting (does not aect Continuous treatments).
Press the RAMP TOGGLE key one or more times to select the desired ramp time. Available options include .5, 1.0,
1.5, and 2.0 seconds. e ramp time is applied to both the start and to the end of the contraction time. e ramp time is in addition to the contraction time itself.
5. Change the treatment TIME (optional).
e default time is displayed. Use the TIME arrow keys to increase or decrease the treatment time.
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BIPHASIC / RUSSIAN INSTRUCTIONS
6. Change the PULSE DURATION and/or PULSE RATE (optional)
Press the MODE toggle key to select RATE/DUR (Pulse Duration). e pulse DURATION (width) and RATE may be modied for each channel pair (1-2 and 3-4).
Press the PULSE RATE arrow keys to the le-side of the Treatment Screen to change the PULSE RATE. Press the PULSE DURATION arrow keys to the right-side of the Treatment Screen to change the PULSE DURATION. Press the MODE toggle key and select TIME to return the TIME display. However, if you make no key presses for 10 seconds, the display automatically returns to the TIME display. e ranges and default settings for pulse duration (width) and pulse rate are listed later in this section.
7. Raise the INTENSITY to the desired level.
Set the intensity by pressing the INTENSITY arrow keys located on the right-side of the Treatment Display Screen. Increasing the intensity sends current directly to the patient. Intensity can be decreased by pressing the down arrow key.
Before selecting the intensity setting for an individual patient, see section entitled “Electrotherapy Usage Cautions” for recommended intensity settings. Also see the section of this manual entitled “Contraindications, Warnings, and Precautions” for specic precautions when treating any conditions contributing to loss of sensation, or any time the patient cannot feel the electrical stimulation.
e intensity, pulse rate, and pulse duration must all be considered together when setting up the treatment as all three factors aect patient comfort. It may be necessary to adjust one or more of these parameters somewhat aer the initial settings are selected to nd the best settings for a given treatment and patient.
8. For co-contraction or reciprocal treatments, select the SECOND CHANNEL and set the INTENSITY.
Intensity is set for each channel separately. For co-contraction or reciprocal treatments, Set the intensity for the rst channel. Press START. e device will automatically select the second channel. Set the intensity for the second channel. When setting intensity, only the channel with the solid GREEN light is aected. e rst channel will be illuminated in YELLOW.
9. Press START
When you press START the treatment timer begins counting down. If the intensity is not set before pressing START, the treatment will not begin until the intensity is set. For Reciprocal and Co-contraction treatments, the intensity must be set for each channel separately.
10. SAVE DEFAULTS
If this treatment setup is the most common Biphasic or Russian treatment setup you use, save the treatment parameters as your defaults. Aer setting up the treatment, press and hold the START key until a tone sounds indicating the treatment parameters have been saved. e next time you select this modality, the saved parameters will be selected automatically.
11. MODIFY Settings
While the treatment is in progress, the treatment settings can be modied. Carefully observe the channel indicator lights when modifying a treatment. When a channel’s light is illuminated GREEN, the current treatment parameters for that channel are displayed. Any changes made to the parameters will aect only the channel that is illuminated in GREEN. Use the toggle key to display the parameters of another channel in order to modify parameters.
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BIPHASIC / RUSSIAN INSTRUCTIONS
During a Biphasic or Russian treatment you may make the following modications:
CONTRACTION/REST cycle.
RAMP TIME
TREATMENT TIME
RATE/DURATION (not available for Reciprocal treatments nor when two “Normal” treatments are running simultaneously on a channel pair—CH 1-2 or 3-4).
INTENSITY (separately for each channel)
12. STOP
When the treatment time has elapsed, the current to the patient stops and a tone sounds signaling the end of a treatment. Treatments in progress may be stopped at any time using one of the following methods.
Stop One Treatment Only. Press and hold the FUNCTION key and press STOP. is stops only the treatment in focus.
Stop All. Press the STOP key. All treatments at all channels will stop.
Stop Time. Reduce the treatment time using the Time arrow key. e output at the selected channel is stopped,
and the device then displays the parameters for the next treatment that remains in progress (if there is an active treatment).
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BIPHASIC / RUSSIAN MODALITY INFORMATION
Biphasic / Russian Modality Information
Russian Stimulation
With Russian Stimulation mode, the output of the device is a 2500 Hz sinusoidal wave. Russian stimulation currents produce strong muscle contractions.
e Dynatron Solaris Plus devices allows complete control over all the parameters of the Russian Stimulation treatment. ree treatment modes include Normal for ring one muscle, Reciprocal for ring two dierent muscles at dierent times, and Co-contraction for ring two dierent muscles simultaneously. Choose a muscle contraction/relaxation cycle from options of 10/10 (ten seconds on and ten seconds o), 10/30, 10/50, Continuous, and Custom cycles. e Normal mode requires use of just one output jack (Channel 1, 2, 3, or 4). e Reciprocal and Co-Contraction modes utilize a channel pair (Channels 1-2 or 3-4).
NOTE: e continuous duty cycle is not recommended for electrical muscle stimulation, but may be used for settings that are intended to aect other results than a muscle contraction. Pulse rate, the pulse duration, and the ramp time can all be modied from their default settings.
Biphasic Stimulation
e Biphasic stimulation is similar to Russian stimulation in the parameters that are selected and in the available options. It diers from Russian stimulation in the pulse duration and rate ranges (see parameters below). Additionally, the Biphasic pulse includes just one cycle (one positive phase and one negative phase) per pulse.
Biphasic / Russian Parameters and Defaults
e default settings and the available ranges for Biphasic and Russian are as follows:
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BIPHASIC / RUSSIAN MODALITY INFORMATION
Biphasic / Russian Default Settings
Mode Normal
Contraction / Rest Times 10 / 30
Treatment Time 10 Minutes
Ramp Up and Down Time 5 sec.
Russian Stimulation Contraction Rest Times
Default Setting Valid Range
Pulse Rate
Pulse Duration
50 to 400 µs pulse duration @ 1-200 Hz (50% levels)
50 Pulses per sec. 1 - 500
200 µSec 50 to 400 µSec
Default Setting Valid Range
Pulse Rate
Pulse Duration
2500 Hz sine wave amplitude modulated at 50 Hz.
e pulse rate and duration should not be confused with the contraction/rest times in the treatment as these are dierent parameters; the pulse occurs only during the contraction time. e diagrams below illustrate the relationship of each of these parameters.
e pulse duration indicates the duration (in milliseconds or microseconds) of the output cycle of the pulse, and the pulse rate is measured in number of pulse occurrences per second. Between pulses, current is at zero.
A 50 percent duty cycle or less is the usual duty cycle for Russian stimulation (the duty cycle includes one output cycle period and one zero-current period). A 50 percent duty cycle means that the length of the pulse duration must be equal to or less than the zero-current period. e number of pulses per second aects the allowable range of pulse durations. A greater number of pulses per second means a shorter pulse duration is allowed.
50 Pulses per sec. 1-500
10 mSec .04 to 50 mSec
Russian Stimulation
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BIPHASIC / RUSSIAN MODALITY INFORMATION
If a given Russian stimulation treatment has a 50 percent duty cycle, this means the output cycle is continuously repeating for half of the pulse duration (see “Rate” in the diagram above) followed by a zero-current period for the other half of the pulse duration.
Biphasic stimulation diers from Russian stimulation in the pulse duration (width) and rate ranges, as explained above. In addition, the Biphasic pulse includes just ONE output cycle per pulse. One pulse cycle (including one positive phase and one negative phase) occurs, followed by a zero-current period.
Biphasic Stimulation
e pulse rate and duration (width) may be modied during setup of a Russian or Biphasic Stimulation treatment or may be modied while a treatment is in progress.
When modifying the pulse rate and duration (width) for a treatment in progress, modify the intensity as well, as all three of these parameters will aect delivered energy and patient comfort.
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HIGH VOLT INSTRUCTIONS
High Volt Instructions
High Volt electrical stimulation is a pulsed DC current with pulse durations in the microsecond range and pulse rates ranging from 1 to 200 Hz, with peak amplitude of up to 500 Volts. e Solaris Plus Series devices deliver High Volt utilizing a twin-peak monophasic waveform.
High Volt treatments may be delivered using electrodes or the optional MultiStim probe. e device provides a dedicated channel for High Volt electrodes treatment (HV) and a separate dedicated STIM PROBE JACK for probe treatments. During High Volt treatments, the Solaris Plus device’s other output channels (1-2-3-4) remain available for other simultaneously stim treatments. Note, the MultiStim probe is not available on the 707 model.
High Volt Electrode Setup
is treatment setup utilizes a standard lead wire with two electrodes; an active and a dispersive electrode. e size of the dispersive electrode is recommended to be double the area of the active electrode. If desired, the active output of the lead wire may be bifurcated by using an optional bifurcated extension (Part no. 7B0077) to attach additional active electrodes. However, the combined total area of the active electrodes should be no more than half the area of the single dispersive (passive) electrode, as illustrated.
It is best to use a lead that is marked to show polarity. e active electrode is connected to the positive output. e dispersive electrode is connected to the output end that is marked “HV Dispersive” (-). If desired, a bifurcated lead extension may be attached to the positive (HV Active) end of the lead wire, allowing two active electrodes to be used. In this case,
High Volt Electrode Setup
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be sure the dispersive electrode is at least twice the size (in area) of the combined sizes of the active electrodes. e bifurcated lead wire extension is an optional accessory available through Dynatronics.
During the treatment current ows in one direction between the active and dispersive electrodes. Changing the polarity in the treatment parameters has the eect of reversing the direction of the current ow between electrodes. It is important to attach the active electrode to the HV Active (+) output of the lead wire to ensure you are delivering the selected polarity. e Lead wires are labeled: HV Active (+), HV Dispersive (-) delivery.
High Volt Probe Treatment Setup
is attended form of High Volt therapy is delivered using the Dynatronics’ optional MultiStim probe in conjunction with a dispersive electrode. is hand-held probe is connected to the STIM PROBE OUTPUT JACK located on the right-side of the Solaris Plus device. e MultiStim probe intensity is controlled on the probe itself.
High Volt electrodes with bifurcated active lead.
When setting intensity, the probe must be in contact with the patient’s skin. Be sure that the patient can feel the current as you increase the intensity. Do not increase intensity for probe treatments if the patient is unable to report feeling the current.
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WARNING
HIGH VOLT INSTRUCTIONS
High Volt Quick Setup
1. Press HI VOLT.
Electrode Treatment
Plug in lead wire to the HIGH VOLT OUTPUT JACK (HV).
Attach electrodes to patient.
Probe Treatment
Press CHANNEL TOGGLE key until the PROBE LED is lighted.
Plug the optional MultiStim probe into the STIM OUTPUT JACK.
Attach dispersive electrode.
2. Choose the POLARITY. Bipolar is not available for probe treatments. Note: Polarity must be selected
before customizing a treatment.
3. TIME. Select TIME by using the TIME ARROW keys for Electrode Pads treatments only. Probe Treatment
TIME counts up.
4. Select (or setup) a PULSE RATE RANGE (High/Low) or set a single pulse rate by pressing the MODE toggle
key and selecting RATES. Use the arrow keys next to RATE-START and RATE-STOP to set the Pulse Rate Range.
5. Set CONTRACTION/REST times by pressing the FUNC (Function key). Use the CONT/REST toggle key
to make your selection.
6. RAMP TIME. While in FUNCTION mode use the RAMP TOGGLE key to select RAMP TIME.
7. Raise the INTENSITY to the desired level. For a probe treatment, make sure probe is in contact with
patient’s skin when raising intensity.
8. Press START. Treatment time will begin to count-down for an Electrodes treatment. For a probe treatment,
press ON/OFF on the probe handle aer pressing the device START key to activate the treatment. Time will begin counting up.
9. S T O P. Press and hold the FUNCTION and press the STOP key to stop only the focus treatment appearing
in the Treatment Screen. Pressing STOP alone, stops all treatments operating on the device. Using the TIME arrow keys to bring treatment time to zero will also stop a treatment.
Detailed High Volt Setup
1. Press the HI VOLT key.
e High Volt channel and the default settings for High Voltage electrode pulsed stimulation are automatically selected. Using the dedicated High Volt (HV) channel attach leads and place electrodes on the patient now. For a
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HIGH VOLT INSTRUCTIONS
High Volt Probe, insert the optional MultiStim probe into the STIM PROBE output jack on the right-side of the device. Attach the dispersive electrode. Press the DELIVERY toggle key until PROBE is illuminated GREEN.
Default Setting
Treatment ........ High Volt Pads Treatment
Duty Cycle .............................. Continuous
Time Electrodes .......................10 minutes
Time Probe ...........................................0.00
Polarity .......................................... Negative
Pulse Rate................................ High Range
Range: ............................... High 80-120 Hz
If you wish to use the default settings, increase the intensity to the desired level, and press START. For a probe treatment, use the intensity arrows located on the handle of the probe. Press START on the device faceplate rst, next press START on the probe handle to activate the treatment. To customize the settings, follow steps 2-8.
ELECTRODE PADS TREATMENTS are timed, and a treatment time in MINUTES is entered at the start of the treatment. e timer counts DOWN for electrode treatments.
All PROBE TREATMENTS are manual, and a treatment time is not set. During the probe treatment, the timer will start at zero and count up in seconds when current is ON, and will return to zero when current is stopped. To begin a probe treatment, press START on the device face plate, next press the ON/OFF button on the probe. Pressing the ON/OFF button on the probe will also stop the treatment and return the time to zero. If you press STOP on the device, all therapies currently running will be terminated. If you press Function-Stop, only the High Volt treatment or treatment in focus will stop.
2. Choose the POLARITY
NOTE: e Bipolar option is not available for probe treatments. When both Bipolar (negative and positive) is selected, the device alternates between the two, delivering each polarity for approximately 30 seconds. Some discomfort may be felt by the patient when the polarities change. If the patient nds this setup too uncomfortable, you may consider selecting a monopolar treatment and/or reducing the intensity.
Press the Polarity toggle key to choose Polarity. Polarity options are Negative, Positive, and Bipolar.
3. Change the treatment TIME, if desired.
Electrode Pads. Use the TIME UP/DOWN ARROW keys to change the TIME for an Electrode treatment. Using the MODE toggle key, be sure TIME is illuminated in the MODE window when entering TIME.
Probe. e TIME display shows zero until the START key on the faceplate of the device is pressed, followed by pressing the ON/OFF button on the probe, initiating the ow of current. e timer counts up from zero (in seconds)
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HIGH VOLT INSTRUCTIONS
allowing for exible time for the delivery of current to each treatment site. When you press the button on the probe to STOP the current, the device beeps twice and the timer resets to zero.
4. PULSE RATE RANGE.
Select a PULSE RATE RANGE (High 80-120 Hz or Low 1-10 Hz) or set a single pulse rate by pressing the MODE toggle key and selecting RATES from 1-120 Hz. Use the arrow keys next to RATE-START and RATE-STOP to set the Pulse Rate Range. ese ranges may be changed for a single treatment if desired, or press and hold the START key to set new default settings to be applied to all future treatment setups. e PULSE RATE RANGE must be set before pressing START.
5. CONTRACTION (ON) and REST (OFF) TIMES
FUNCTION KEY: To access the CONTRACTION AND REST settings, press the FUNCTION key.
Press the CONT/REST toggle key one or more times to select contraction/rest (Duty) cycle times. Available options include 10/10, 10/30, 10/50, CONT (Continuous). and Custom. e setting of 10/30, for example, means a 10-second contraction time followed by a 30-second rest time.
CUSTOM (Duty) CYCLE TIME SELECTIONS
Press the FUNCTION key located on right-side of the device faceplate.
Using the CONT/REST toggle key, select CUSTOM in the CONT/REST window.
Using the MODE toggle key, select CUST CR in the MODE window. Selections will be illuminated GREEN.
Custom Contraction and Custom Rest cycle times may now be set by using the Up and Down arrow keys located next to Custom Contraction and Custom Rest windows. Available ranges for Contraction (ON) times are 1-120 seconds, for the REST (OFF) times 1 to 300 seconds. Remember, the REST time cannot be less than the Contraction time. Pressing and holding the START key until the beep is heard will save the current Contraction/ Rest settings as the default.
6. Choose the RAMP setting.
FUNCTION KEY: To access the RAMP settings, press the FUNCTION key.
Press the FUNCTION key on the right side of the face plate. Press the RAMP toggle key to select RAMP time. Selections include: 0.5, 1.0, 1.5, and 2.0. Ramp time is applied to both the start and end of the contraction. Ramp time is in addition to the contraction time itself. A ramp setting is not applied to the Continuous duty cycle except when using a probe. With a probe treatment set to a Continuous duty cycle, a ramp time of 3 seconds is automatically applied.
7. INTENSITY.
Using the Up and Down arrow keys to the right-side of the INTENSITY display, set the Intensity. Remember, when you increase intensity, current to the patient begins. erefore, START should be pressed immediately aer setting the intensity to begin the treatment timer.
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HIGH VOLT INSTRUCTIONS
NOTE: e intensity arrows on the probe handle work the same as the intensity arrows on the device faceplate. Never use High Volt to treat any conditions which contribute to loss of sensation, or an area where the patient cannot feel the electrical stimulation.
8. Press STA RT .
Electrodes Pad Treatment: Press START. When you press start, the treatment timer begins counting down.
Probe: Press START on the device followed by ON/OFF on the probe handle to activate a probe treatment. e timer
will begin counting up. If you fail to set the intensity on either an electrode or a probe treatment before pressing START, the Intensity display will begin ashing, and you will be unable to start the treatment until the intensity is set.
NOTE: SAVING DEFAULTS. If the treatment you have just set up is the most common High Volt setup you use, the treatment parameters can be saved as the defaults for your own device. Aer setting up the treatment, press and hold the START key for two seconds. At the end of two seconds, a beep will sound indicating the treatment parameters have been saved. e next time this modality is chosen, the parameters will be selected automatically.
9. MODIFY Settings
While the High Volt treatment is in progress, TIME, INTENSITY, AND POLARITY can be modied excluding POLARITY for MultiStim probe. Carefully observe the channel indicator lights when modifying a treatment. When a channel’s light is illuminated GREEN, the current treatment parameters for that channel are displayed. Any changes made to the parameters will aect only the channel that is illuminated in GREEN. Use the Channels Toggle key to display the parameters of another channel in order to modify parameters.
10. STOP
When the treatment time has elapsed, the current to the patient stops and a tone sounds signaling the end of a treatment. Treatments in progress may be stopped at any time using one of the following methods.
Stop One Treatment Only. Press and hold the FUNCTION key and press STOP. is stops only the treatment in focus.
Stop All. Press the STOP key. All treatments at all channels will stop.
Stop Time. Reduce the treatment time using the Time arrow key. e output at the selected channel is stopped,
and the device then displays the parameters for the next treatment that remains in progress (if there is an active treatment).
Multistim Probe Stop. A probe treatment may be stopped by pressing the ON/OFF key located on the handle of the MultiStim probe.
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HIGH VOLT MODALITY INFORMATION
High Volt Modality Information
High Voltage pulsed stimulation is a pulsed DC current with pulse durations in the microsecond range and pulse rates ranging from 1 to 200 Hz, with a peak amplitude of up to 1.0 A utilizing a twin-peak monophasic waveform.
e Dynatron Solaris Plus High Volt treatment setup uses a dedicated channel. Each treatment utilizes the single HV channel with one or more active electrodes and a large dispersive electrode. Electrodes are placed on opposite sides of the aected area so treatment is “through” the aected area. e optional Dynatron MultiStim probe is available to accommodate a hand-held treatment delivery.
High Volt Waveform for positive polarity
High Volt Waveform
e High Volt waveform is a twin-peak monophasic decaying waveform with either positive or negative polarity.
High Volt Settings
High and Low Sweep Pulse Rate. e user may select High (80-120 Hz) or Low (1-10 Hz) frequency ranges. During a treatment, the device scans through the range of frequencies selected. e settings for these pulse rate frequency ranges may be customized and saved by the user. e available custom range is 1 to 200 Hz.
Continuous Pulse Rate. e pulse rate may be set to a single continuous pulse rate instead of a range. e pulse rate is selected from a range of 1 to 200 Hz.
Selectable Polarity. Positive or Negative monophasic current may be selected. Alternating positive and negative (Bipolar) currents may also be selected. Note: Dual Polarity is not available with a probe treatment.
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HIGH VOLT MODALITY INFORMATION
Custom Contraction/Rest Time Cycles. e Dynatron Solaris Plus allows for the choice of muscle contraction and relaxation time cycles (Duty Cycles) from options of 10/10 (ten seconds on and ten seconds o), 10/30, 10/50, Continuous or Custom cycles. e Custom time cycle allows for a Contraction (ON) time from 1 to 120 seconds, and a Rest (OFF) time from 1 to 300 seconds. Remember, the Rest time cannot be less than the Contraction time.
Selectable Ramp Speed. You can choose a ramp speed of .5 (1/2) to 2.0 seconds in half-second increments. For patient comfort, the ramp occurs both before and aer the “Contraction” segment of the pulse.
Pulse Duration. e pulse duration is xed at 25 µs (micro-seconds).
Pulse Pair Interval. e interval between the two pulses in the wave form is xed at 100 µs.
Intensity Display in Volts. Intensity is displayed in volts (peak voltage with no load) with a range of 1 to 500 volts.
High Volt Default Settings
e following default settings are set by the manufacturer and are selected when you choose High Volt. You may change these defaults to your own preferred settings. See “Setting Defaults” in this manual.
High Volt Pads Treatment
Continuous Duty Cycle
Treatment Time Electrodes: 10 minutes
Treatment Time Probe: 0.00
Polarity: Negative
Pulse Rate: High Range
Default High Range: ...........................................................................80-120 Hz
Default Low Range: ..................................................................................1-10 H
Available Range:....................................................................................1-200 Hz
High Volt Waveform Specications
Waveform: ................................................................... Twin peak, monophasic
Pulse Duration: ............................................................................................25 µs
Pulse Rate Range: .............................................................................1 to 200 Hz
Pulse Interval: ............................................................................................100 µs
Maximum Power Output: ..................Limited to less than 500 V, open load
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MICROCURRENT INSTRUCTIONS
Microcurrent Instructions
Microcurrent treatments may be delivered using either electrodes or the optional MultiStim probe. e MultiStim probe option is not available on the 707. For treatment with electrodes, plug one lead into the CHANNEL 1 JACK, and place the two electrodes on the patient before setting up the treatment. For treatment with probes, plug the Dynatron MultiStim Probe into the Stim Probe Jack located on the right-side of the device.
During the Microcurrent treatment the current is delivered to both CHANNEL 1 and to the MULTISTIM PROBE output simultaneously. erefore, CHANNEL 1 is unavailable for any other treatment while any Microcurrent treatment is in progress (including a single Microcurrent probe treatment).
NOTE: Microcurrent is unavailable if Direct Current is operational.
How To Use The Optional MultiStim Probe For Microcurrent Treatments
To set up a Microcurrent Probe treatment, use the end of a cotton swab (such as a Q-Tip®) inserted into the end of both the MultiStim probe (active) and Microcurrent Ground probe. Cut the end of the swab to a short length. e cotton must touch the metal ring at the tip of the probe. Use a conductive electrolyte spray or water to wet the cotton swab before treating. If the cotton dries out during treatment, conductance may become erratic. Re-wet the cotton, if needed.
NOTE: When applying a Microcurrent probe treatment, it is necessary to use either a ground probe or a ground electrode in conjunction with the active MultiStim probe. Attach the banana plug ground wire from the MultiStim probe by plugging it into the back of the ground probe. To use a ground electrode you must use a banana-to-pin adapter to connect the ground wire to the electrode.
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MICROCURRENT INSTRUCTIONS
Active Probe: To deliver the current to the patient through the active MultiStim probe, rst set up the probe treatment and press Start. Hold the probe as you would hold a pencil and press the ON/OFF button on the probe to start delivery of the current. e active probe should touch the patient’s skin at the treatment site and the ground probe should touch the patient’s skin elsewhere near the treatment site. is completes the circuit and delivers current to the patient. Do not hold the ON/ OFF button down. Once the button has been pressed and released, the current is delivered until the button is pressed and released again to stop the current. e unit beeps once when the button is pressed to start the current, and beeps twice when you press the button to stop the current.
During a treatment, observe conductance by listening to the audio tone. Also, the CONDUCTANCE BAR GRAPH will indicate the conductance between patient skin and probe tip, allowing for an optimum treatment.
While delivering current, the treatment timer counts up in seconds from zero. When the current is stopped, the timer returns to zero. Press the ON/OFF button again to commence the next treatment cycle. Continue in this way until treatment is completed.
Ground Probe: e optional ground probe is used to complete the circuit, allowing current to ow through patient’s tissue. e ground probe should touch the patient’s skin at any location away from the treatment point.
Ground Electrode: As an alternative, a dispersive electrode may be used. A hand-held ground probe is not needed when using a ground electrode. is is particularly convenient when treating in several dierent places around one point.
Unplug the ground probe from its cable, attach a banana to pin adapter to the cable, then attach an electrode to the pin. Place the electrode on the patient at a site where it will not interfere with placement of the active probe during treatment.
Test Mode: Press and release the MultiStim Probe ON/OFF button again to stop delivery of the current. e unit beeps twice to let you know current delivery has stopped. e probe is now in “TEST” mode allowing you to continue monitoring conductance at any point desired. When the probe touches the patient’s skin, conductance continues to be measured and the audio tone is produced. Press and release the button when you wish to return to the Treatment mode.
NOTE: In “TEST” mode during a Microcurrent treatment, a small amount of current is delivered to allow an impedance reading to be taken in order to show conductance. e current delivered during “TEST” mode is either 25 micro amperes or the micro amperage setting for the treatment itself, whichever is less. For purposes of this measurement, current is delivered in pulses of approximately 20 mSec.
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MICROCURRENT INSTRUCTIONS
Microcurrent Quick Setup
1. Press the MICRO key. Channel 1 for electrodes is automatically selected.
2. PROBE TREATMENT. Insert the optional MultiStim probe into the STIM OUTPUT jack. Use the
DELIVERY toggle key to select PROBE. Selections are illuminated GREEN.
3. Choose POLARITY (Positive, or Negative. Bipolar selection available only for electrode treatments).
4. Choose POLARITY (Positive, Negative, or Bipolar). Note: Bipolar is not available in when inProbe mode.
5. CONDUCTANCE BAR: PAD: e CONDUCTANCE BAR may be turned ON or OFF by using the COND
toggle key. PROBE: Turning the Audible Tone OFF in Probe mode will turn o the Conductance Bar.
6. FREQUENCY. Using the MODE toggle key select FREQ. Use the right-side UP/DOWN arrow keys to
change FREQUENCY if desired.
7. INTENSITY. Using the INTENSITY arrow keys or the (+) & (-) switch in the probe handle, change the
INTENSITY, if desired.
8. TIME. For electrode treatments only, change the TIME by using the TIME ARROW keys.
9. VOLUME. e Audible Tone volume can be adjusted from 0 (o) to 10 for a Probe Treatment aer selecting
VOLUME in the MODE window.
10. Press STA RT .
11. S T O P. Press and hold the FUNCTION and press the STOP key to stop only the focus treatment appearing
in the Treatment Screen. Pressing STOP alone, stops all treatments operating on the device. Using the TIME arrow keys to bring treatment time to zero will also stop a treatment.
Detailed Microcurrent Setup
Before setting up a Microcurrent treatment with electrodes, attach a lead wire with two electrodes to CH 1. For a probe treatment, connect the optional MULTISTIM PROBE to the STIM OUTPUT jack on the right-side of the device. When a MULTISTIM PROBE treatment is in progress, Channel 1 is not available for any other treatment.
1. Press the MICRO (Microcurrent) Key.
Aer pressing the MICRO key, the default settings for an electrodes pads treatment are automatically selected.
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MICROCURRENT INSTRUCTIONS
Electrode Pads Default Setting:
Time.................................................20 min.
Intensity .............................................50 µA
Frequency .........................................0.3 Hz
Conductance ......................................... On
Delivery ..............................................PADS
Polarity ............................................ Bipolar
For a Probe treatment, insert the MultiStim probe into the STIM PROBE output jack located on the right side to the device. Use the DELIVERY toggle key to select PROBE on the Treatment Display Screen. e Probe defaults will be selected. Note: e bipolar option is not available for a Microcurrent Probe treatment.
Probe Default Setting:
Time......................... Counts up from 0.00
(aer pressing Probe’s On/O button)
Intensity .......................................... 300 µA
Frequency ...........................................4 Hz
Audible Tone ....................................... On
Conductance ....................................... On
Delivery ......................................... PROBE
Polarity .............Negative Unipolar Wave
If using the treatment default settings, press START. If you wish to use other settings, complete the following steps.
2. Choose ELECTRODE OR PROBE TREATMENT
Choose the output desired. Select CHANNEL 1 for electrodes treatment. For a probe treatment, insert the MultiStim Probe into the STIM PROBE output jack. Press the DELIVERY Toggle key to select PROBE.
3. POLARITY
Using the POLARITY toggle key, select Positive, Negative. Bipolar selection only available for electrode (pads) treatment.
4. TIME
For electrode treatments only, change the TIME, if desired. To change the treatment time, use the Up/Down arrow keys located next to the TIME display. For probes treatment, the TIME display shows zero until treatment begins. Aer pressing the START key on the faceplate of the device, press the 1/0 (On/O) button on the probe which will initiate the ow of current. e device beeps once and the timer then counts up from zero (in seconds). When the “1/0” key is pressed again, the current stops, the device beeps twice, and the timer resets to zero.
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MICROCURRENT INSTRUCTIONS
5. FREQUENCY
Press the MODE toggle key to select FREQ (Frequency). Using the Up/Down arrow keys located next to the Frequency display, enter the desired frequency (0.1 - 200).
6. INTENSITY
INTENSITY is displayed in microamps (µA). Use the Up/Down arrow keys located next to the Intensity display to set the intensity (10-990 µA).
7. CONDUCTANCE / AUDIBLE TONE
Both the Conductance Bar and the Audible Tone can be turned on and o by using the toggle key beneath their respective display windows. Note: Turning the Audible Tone OFF in Probe mode will turn o the Conductance Bar. When the Probe is PAUSED, sound and conductance are ON.
8. Press STA RT
Electrode Treatments. Pressing START causes the treatment timer to begin counting down and Stim is delivered through Channel 1.
Probe Treatments. Begin by pressing START on the device faceplate, then press and release the 1/0 (On/O) button on the probe to activate current through the probe. e device beeps once to signal that current delivery has started (it is not necessary to hold the button down while treating). e treatment timer begins counting up in seconds from zero to provide a convenient means of timing the delivery of current at a given point. Press and release the 1/0 button again to stop the current through the probe. e treatment timer returns to zero and the device beeps twice to signal that current delivery has stopped. Continue the treatment cycle in similar fashion for each treatment site. When applying a Microcurrent Probe treatment, it is necessary to use a ground probe or ground electrode in conjunction with the treatment.
NOTE: While the treatment is in progress, treatment parameters can be modied. Separate default parameters may be saved for both electrodes and probe treatments.
9. STOP
When the treatment time has elapsed, the current to the patient stops and a tone sounds signaling the end of a treatment. Treatments in progress may be stopped at any time using one of the following methods.
Stop One Treatment Only. Press and hold the FUNCTION key and press STOP. is stops only the treatment in focus.
Stop All. Press the STOP key. All treatments at all channels will stop.
Stop Time. Reduce the treatment time using the Time arrow key. e output at the selected channel is stopped, and
the device then displays the parameters for the next treatment that remains in progress (if there is an active treatment).
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MICROCURRENT MODALITY INFORMATION
Microcurrent Modality Information
Microcurrent is low-volt pulsed microamp stimulation which has been used for symptomatic relief of chronic intractable and post-surgical pain. With the Dynatron Solaris Plus both attended or unattended Microcurrent therapy can be applied. Unattended therapy is delivered using electrodes. Attended therapy is delivered using the optional Dynatron hand-held MultiStim probe.
Due to the very low frequencies generally associated with a Microcurrent treatment, the current is commonly not felt by the patient. However, Microcurrent at high intensity settings or during a probe treatment can sometimes be felt by the patient and may even be uncomfortable. During a probe treatment, this may be the result of current being concentrated at a very small area.
As with all forms of electrotherapy, current density is dependent upon the current setting, the intensity setting, size, and type of electrodes used, and conductance. Higher current density increases the possibility for patient discomfort. e current density can be reduced by decreasing the amount of current (intensity) or increasing the area through which the current is being delivered. e area can be increased by using larger electrodes and/or making sure that the total area of the electrode is actually delivering current.
Microcurrent Waveforms
ree dierent output waveforms (polarities) may be selected with the Dynatron Solaris Plus. Positive and Negative selections are available for both probe and electrodes. An additional bipolar option is available when using electrodes. With Conductance Bar turned o, the rst two are unipolar square waves having a monophasic pulse at a 50 percent duty cycle (equal on and o times). In the illustration, the rst unipolar waveform has negative polarity only, and the second has positive polarity only. e third waveform is a bipolar (negative and positive) square wave with a 50 percent duty cycle.
Microcurrent Waveform
Negative Unipolar Squ a r e Wave
Positive Unipolar Squ a r e Wave
For bipolar square wave, press the toggle key until both negative and positive waveforms are selected
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Microcurrent Guidelines
When delivering Microcurrent therapy, observe the following guidelines:
1. Use only moderate current. Consult published literature for recommended settings for Microcurrent treatment.
2. When using Microcurrent probes, keep in mind that all of the current is delivered through the tip of the probe resulting in much higher current density than when using electrodes. erefore, low to moderate intensity settings will be much more comfortable for the patient, especially when treating sensitive areas.
3. When using electrodes, ensure that the area on the patient’s skin where the electrode is to be placed is clean and free of all foreign matter. is includes powders, perfumes, as well as body oils, dirt, and grime. Cleaning with an alcohol wipe should be adequate. Allow the alcohol to fully evaporate before applying the electrodes. Iontophoresis occurs with all electrical current therapies, and can drive any above-surface contaminants below the epidural layer where an allergic reaction may occur.
4. Make sure the electrodes being used are in good condition. e poly adhesive electrodes should have good adhesion over the entire surface area of the electrode. e area where the leads attach to the electrode (either the pin connector or a snap) should not be damaged such that the connection to the backing behind the adhesive is broken. Carbon electrodes should be deep black, and should be free of cracks in the electrode surface.
5. Some patients tend to be much more sensitive to Microcurrent treatments. On patients with this tendency, treat with reduced intensity and/or shorter treatment times with possibly more frequent treatments, if required.
6. If electrodes are placed on an uneven skin surface, such as over a raised mole, the electrode may not adhere evenly over its entire surface and current could be intensied at the raised area, causing discomfort to the patient.
Microcurrent Default Settings
e following default settings are set by the manufacturer and are selected when a Microcurrent treatment is selected. Default Settings may be changed to your own preferred settings. See “Setting Defaults” in this manual.
Electrodes. e Microcurrent treatment setup with electrodes is the default, and the following parameters are also selected:
Polarity .......................................................... Bipolar
Frequency ........................................................0.3 Hz
Intensity ............................................................50 µA
Time ...............................20 min.- Counts Down
Conductance ........................................................ On
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MICROCURRENT MODALITY INFORMATION
Probe. If Probe treatment is selected, the following defaults are automatically selected.
Note: Bipolar is not available in Probe mode.
Polarity ...................................................................................Negative Unipolar
Frequency ..................................................................................................... 4 Hz
Intensity ..................................................................................................... 300µA
Time ................................................Determined by Practitioner - Counts Up
Audible Tone ................................................................................................... On
Conductance ................................................................................................... On
Available Ranges.
Frequency ........................................................................................ Between 0.1 and 200 Hz (positve or negative)
Biploar 0.0-5.0 Hz
Maximum Voltage: ....................................................................................................................... 60 V (open circuit)
Intensity: .......................... Between 10 and 990 microamps open load, constant current, increments of 10 µA.
Maximum Load Resistance ........................................................................................................................ 500 Ohms
e ranges of .1 to 200 Hz frequency and between 10 and 990 micro amperes intensity are available for setting up both electrodes and probes treatments. For guidance in selecting the appropriate frequency and intensity for a given probes or electrodes treatment, consult published medical literature.
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DIRECT CURRENT INSTRUCTIONS
Direct Current Instructions
Direct Current ows in one direction. From a practical perspective, Direct Current can be dened as having a pulse duration long enough to depolarize skeletal muscle when the nerve is not intact. On the Solaris Plus line of devices, Direct Current is a square wave interrupted with a set interpulse duration of 500 mSec. e interrupted treatment is delivered in a continuous train of 0.1 mSec to 500 mSec pulses set at a maximum of 20 mA. Duration, Intensity, and Polarity settings may be adjusted separately, if desired. e Polarity may be set at Positive or Negative. Treatment is provided only through the optional MultiStim probe. e use of various attachments and a dispersive electrode are necessary. e MultiStim probe utilizes the Stim Probe output jack located on the right-side of the Solaris Plus device. ON/OFF controls and INTENSITY keys (+/-) for the MultiStim probe are located on the handle. Direct Current is not available on the 707.
Direct Current Quick Setup
Choose DIRECT CURRENT.
1. Plug the MULTISTIM PROBE into the STIM PROBE output jack. Use the DELIVERY toggle key to select
PROBE. Attach the dispersive electrode.
2. Choose POLARITY. Negative or Positive. Note: Polarity defaults to Negative.
3. DURATION of each DC pulse. Press the MODE toggle key to select Duration. Set duration using the Up/
Down arrow keys next to the Duration display.
4. Place probe tip in contact with patient’s skin.
5. Press the STA RT key followed by the ON/OFF key located on the MultiStim probe.
6. RAMP UP INTENSITY by using the POWER INTENSITY KEYS (+) and (-) located on the handle of the
probe. Caution: Probe must be in contact with patient’s skin prior to starting treatment.
7. Treatment will continue until the OFF key on the MultiStim probe is pressed.
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DIRECT CURRENT INSTRUCTIONS
Detailed Direct Current Setup
1. Press the DIRECT CURRENT key.
When DIRECT CURRENT is selected, the STIM PROBE output jack automatically becomes active.
2. Plug the MultiStim probe into the STIM PROBE output jack. Use the DELIVERY toggle key to select PROBE. Attach the dispersive electrode.
e default settings for the modality are programmed at 100 mSec, and Negative polarity. If you wish to use the default settings, attach dispersive electrode and place probe in contact with the patient’s skin. Press START on the device followed by the ON/OFF key on the MultiStim probe handle. ere is no need to hold down the key. Current delivery begins immediately. Press the POWER INTENSITY (+) (-) KEYS located on the Probe handle until the desired muscle contraction is obtained.
If you wish to change the treatment settings, complete the following steps.
3. Choose POLARITY
Press the POLARITY toggle key and selecting Positive or Negative. e selection will be illuminated GREEN. e default setting is Negative (-). NOTE: Polarity may be changed during setup or during a treatment. Place the probe in contact with the patient’s skin before pressing START.
4. Set PULSE DURATION
Press the MODE toggle key to select Duration. Once Duration has been selected, the DURATION DISPLAY will be visible in the right-hand corner of the Treatment Display Screen. Set duration between 0.1 mSec and 500 mSec per pulse by using the Up/Down arrow keys next to the DURATION DISPLAY. Pulse Duration selections available are 0.1, 0.3, 0.5, 1.0, 10, 100, and 500, with an interpulse duration of 500 mSec. e selected pulse duration will be delivered in a continuous train of pulses set up to a maximum of 20 mA.
5. START.
Press the START key located on the faceplate of the device followed by pressing and releasing the ON key located on the MultiStim Probe handle. When the ON key is pressed, a single beep will be heard, followed by one beep every second as long as the DC current continues to ow.
6. INTENSITY
Aer the ON key has been pressed, begin ramping up the intensity by pressing the POWER/INTENSITY Up arrow key on the faceplate or by pressing the (+) (-) keys on the handle of the MultiStim probe. e INTENSITY may be set from 1 to 20 mA.
Before selecting the intensity setting for an individual patient, see “Electrotherapy Usage Cautions” in this manual for recommended intensity settings. Also see the section of this manual entitled “Contraindications, Warnings, and Precautions” for specic precautions when treating any conditions contributing to loss of sensation, or anytime the patient cannot feel the electrical stimulation.
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DIRECT CURRENT INSTRUCTIONS
7. STOP
When the desired muscle contraction has been reached, press the ON/OFF key on the MultiStim Probe handle to end the treatment. When the ON/OFF key on the probe handle is pressed, two quick beeps will be heard indicating that the DC treatment is complete.
If the DC treatment is in focus, pressing and holding the FUNCTION and pressing the STOP key will also STOP the treatment.
NOTE: Treatment setup may be saved as new Default settings by pressing and holding down the START key until a beep sounds. However, the intensity setting is not saved but must be reset with each individual patient.
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DIRECT CURRENT MODALITY INFORMATION
Direct Current Modality Information
Direct Current is electrical current that ows in one direction. Direct Current has been clinically used for: 1) Performing strength duration curve tests and 2) Stimulating denervated muscle following peripheral nerve injury.
Direct Current Probe Therapy
e Dynatron Solaris Plus Direct Current treatment setup uses the optional MULTISTIM PROBE with the STIM PROBE JACK as its dedicated channel. e treatment is normally delivered with a paddle adapter accompanied by a large dispersive electrode or ground probe acting to complete the circuit. Note: Electrodes and Probe must be in contact with the patient prior to beginning therapy.
Direct Current Waveforms
e Direct Current wave form is a square wave with adjustable duration times. Duration will default to 100 mSec, but may be set from 0.1 mSec to 500 mSec. Duration selections available are 0.1, 0.3, 0.5, 1, 10, 100, 500 with an interpulse duration of 500 mSec. e variable Pulse Duration is interrupted with an interpulse duration of 500 mSec. Note: Load impedance does not aect output of the waveform.
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Direct Current with Variable Pulse Duration Times
DIRECT CURRENT MODALITY INFORMATION
Direct Current Warnings
It is important that excellent coupling be maintained any time current is owing. Increased resistance from poor coupling or excessive current density can cause skin reactions.
Electrodes must be attached and probe placed in contact with the patient’s skin prior to starting the treatment.
Direct Current tends to lower surface sensory perception as the treatment proceeds. e patient must have good sensory perception if Direct Current is to be used.
Direct Current Default Setting
Pulse Duration: ................................................................................... 100 mSec
Polarity: ..................................................................................................Negative
Intensity: .............................................................................................................1
e following default settings are set by the manufacturer:
Waveform: .................................................................................................Square
Pulse Duration: .............................................................................. .1-500 mSec
Pulse Duration Selections: .................................. 0.1, 0.3, 0.5, 1, 10, 100, 500
Power Output: ........................................................................................ 20 mA.
Note: Load impedance does not aect output of the DC waveform.
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DYNATRON TRI-WAVE™ OPERATING INSTRUCTIONS
Dynatron Tri-Wave Operating Instructions
Tri-Wave Light erapy provides delivery of a single wavelength of light or any combination of 3-wavelengths of light (red, infrared, and blue) that allow for 7 dierent light treatment combinations. e Tri-Wave Light Probe or 2 robust 5” x 7” Tri-Wave Light Pads deliver the desired treatment. Dual Light Pads allow for greater coverage of a joint, treatment of 2 separate areas at the same time, and the ability to treat large areas of the body when placed side-by-side. e Solaris Plus 707 has the unique ability to utilize two Light Probes and two Light Pads simultaneously.
e Solaris Plus Tri-Wave Light erapy probe is specically designed for treating smaller areas. e probe has a treatment area of 6 cm2 and should be applied in direct contact with the surface of the skin over the treatment area. To treat areas larger than 6 cm2 individual treatments should be given one at a time in a grid pattern until the desired treatment area is covered unless treating large areas where the Dynatron Tri-Wave Light Pads (5” X 7” each) would be more suitable. Please see published literature for specic treatment parameters.
e Dynatron Tri-Wave probe and the Dynatron Tri-Wave Pads have been cleared by the FDA to provide topical heating for temporary increase in blood circulation, temporary relief of minor muscle and joint aches, pain and stiness and relaxation of muscles; for muscle spasms and minor pain and stiness associated with arthritis.
CAUTION
e Dynatron Tri-Wave probe and the Dynatron Tri-Wave Pads must be plugged securely into the respective output jacks prior to turning ON the Solaris Plus base console.
WARNING
Protective eyewear is required for patient and practitioner.
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DYNATRON TRI-WAVE™ OPERATING INSTRUCTIONS
Dynatron Tri-Wave™ Light Quick Treatment Setup
1. Remove all gels and lotions from skin surface.
2. While the Dynatron Solaris Plus controlling console is turned OFF, plug the Dynatron Tri-Wave Light probe and/or Dynatron Tri-Wave Light pads into the corresponding output jacks located on the side(s) of the console.
3. Placing protective eyewear on both the patient and the practitioner is required.
4. Turn ON the Dynatron Solaris Plus controlling console.
5. LT PROBE and LT PADS. Press Probe or Light Pad on the Solaris Plus console. When using the 707, press the toggle key below the channels window to select the desired Probe or Pads to activate.
6. Select WAVELENGTHS. Using the Wavelength toggle keys, select the desired wavelengths(Infrared, Blue, Red) by toggling the wavelength ON or OFF. e selection will be illuminated in GREEN when the wavelength is active. Note: Wavelengths cannot be changed during a treatment.
7. TIME/DOSAGE. Using the Up/Down arrow keys located next to the TIME and DOSAGE displays, Dosage/Time may be adjusted. Dosage and Time are calculated according to the wavelengths selected. If changes are made to Dosage, Time, will automatically be recalculated. If changes are made to Time, Dosage will automatically be recalculated.
8. START. Press START on the Dynatron Solaris Plus control console.
Probe. Aer pressing START on the console, press the 1/0 (ON/OFF) key located on the Probe handle to begin treatment.
Pads. e Pads treatment begins immediately when the console START key is pressed.
9. PAUSE.
Probe. Press the 1/0 (ON/OFF) key located on the Probe handle to pause a Probe treatment or press the PAUSE key located on the console. To continue the treatment, press the 1/0 (ON/OFF) key on the Probe handle or the PAUSE key on the console again.
Pads. With the desired set of Pads as the focus treatment, press the PAUSE key located on the Solaris Plus console. To continue the treatment, press the PAUSE key again.
10. STOP
Probe. Press the 1/0 (ON/OFF) key on the Probe to pause or stop a probe treatment or press the FUNCTION/ STOP keys on the console simultaneously.
Pads. Press the FUNCTION/STOP keys on the console to immediately STOP a Pads treatment, reduce the treatment time to zero or allow the treatment to automatically time out.
NOTE: Pressing only the STOP key on the Dynatron Solaris Plus console will terminate all treatments in progress.
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DYNATRON TRI-WAVE™ OPERATING INSTRUCTIONS
Detailed Treatment Setup
1. CLEANSE THE TREATMENT AREA
To insure that all gels and lotions have been removed from the surface of the skin, cleanse the treatment area thoroughly.
CAUTION
DO NOT use gels or lotions in combination with Light erapy. Gels or lotions can clog the vents causing overheating and damage to the internal components. Damage caused by the use of gels and lotions may void your warranty.
2. WHILE THE DYNATRON SOLARIS PLUS CONTROLLING CONSOLE IS TURNED OFF, insert the Dynatron
Tri-Wave Light Probe and/or Dynatron Tri-Wave Light Pads into their proper output jacks. e Solaris Plus Light erapy output jacks are located on the le-side of the console. Light erapy output jacks on the 707 are located on both sides of the console. Carefully align the connector “keys” to avoid damage to the pins when inserting the probe and pad cable(s) into the jack(s).
3. Place PROTECTIVE EYEWEAR on both the patient and the practitioner.
POWER-ON THE CONSOLE.
Aer the Pads and/or Probe are plugged into the proper output jack(s), select the “1” (ON) position on the power switch located on the back of the Dynatron Solaris Plus console. If a probe or pads have not been properly attached, an error message will be displayed on the Treatment Display Screen or the probe/pads will not be recognized by the console. It is recommended, if the probe/pads are used frequently, that the unit remain ON with the Dynatron Tri-Wave devices plugged into the console throughout the day.
4. Select PROBE or LIGHT PAD on the Dynatron Solaris Plus console.
Probe. Pressing “PROBE” causes the LT PROBE in the Channels window of the display to be illuminated in GREEN text indicating that the Probe is activated in preparation for treatment.
Probe. Solaris Plus 707. Two LIGHT PROBES may be used at the same time on the 707. Pressing the “PROBE” key will automatically default to the Light Probe located on the le side of the console and LT PB1 will be highlighted in green in the Channels Window. Press the toggle key below the Channels Window to change the focus to the Probe located on the right side. LT PB2 will be activated and highlighted in green.
Pads. Pressing “LIGHT PAD” causes LT PAD in the Channels window of the display to be highlighted in GREEN text indicating that the Pads are activated.
Pads. Solaris Plus 707. Two LIGHT PADS may be operated at the same time on the 707. Pressing the “LIGHT PAD” key will automatically default to the Light Pads located on the le side of the console and LT PD1 will be highlighted in green in the Channels Window. Press the toggle key below the Channels Window to change the focus to the Pads located on the right side. LT PD2 will be activated and highlighted in green.
707 Note. Both Probe and Pad treatments may be operated simultaneously. Press the Toggle Key below the Channels window to bring the desired treatment parameters into focus on the Treatment Display Screen. To set up a new
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DYNATRON TRI-WAVE™ OPERATING INSTRUCTIONS
treatment, press the TREATMENT MODALITY key for the desired treatment. When a treatment is in focus, the selected treatment will be highlighted in GREEN text within the Channels window and the treatment name will appear in the center of the Treatment Display Screen.
5. Select WAVELENGTHS (Total Energy Delivered)
e user has the capability of selecting a specic wavelength or blending various wavelengths into a single treatment. Wavelengths are selected by using the WAVELENGTH TOGGLE keys to turn the Wavelengths “ON” and/or “OFF.” e default wavelength for the Probe and Pads is Infrared (850nm) and Red (624nm).
To select a wavelength other than the Infrared (850nm) default, press the key under the light therapy option you wish to activate: Red (624nm), Blue (464nm), or Infrared (850nm). Pressing the key under each option will cause the ON text to become illuminated. Pressing the key again will cause the OFF text to illuminate. Selections may be activated individually or in any combination.
Dosage (J/cm2 ) is calculated as a combination of Time and Power, and is automatically calculated once the Wavelength selections have been made. Dosage can manually be altered by using the Up/Down arrow keys located on the right-side of the Dosage display. When Dosage is altered, treatment time is automatically adjusted.
NOTE: Wavelength selections cannot be changed during a treatment.
Dynatron Tri-Wave™ Light Wavelength Settings
e following tables list wavelength selections or combination of selections with their respective dosage and treatment times.
TRI-WAVE LIGHT PROBE DEFAULTS
WAVELENGTHS DEFAULT DOSAGE POWER OUTPUT mW TIME
Infrared (IR) – (850nm) 6 j/cm
Blue – (464nm) 6 j/cm
Red – (624nm) 6 j/cm
Infrared and Red 6 j/cm
Blue and Infrared 6 j/cm
2
2
2
2
2
1000 mW 35 sec.
500 mW 1 min. 12 sec.
500 mW 1 min. 12 sec.
800 mW 44 sec.
800 mW 48 sec.
Infrared, Blue and Red 6 j/cm
Blue and Red 6 j/cm
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2
2
650 mW 1 min.
525 mW 1 min. 11 sec.
DYNATRON TRI-WAVE™ OPERATING INSTRUCTIONS
TRI-WAVE LIGHT PAD DEFAULTS
Infrared (IR) – (850nm) 10 j/cm
Blue – (464nm) 10 j/cm
Red – (624nm) 10 j/cm
Infrared and Red 10 j/cm
Blue and Infrared 10 j/cm
Infrared, Blue and Red 10 j/cm
Blue and Red 10 j/cm
2
2
2
2
2
2
2
5160 mW 10 min.
2090 mW 10 min.
2580 mW 20 min.
4128 mW 9 min. 50 sec.
4092 mW 8 min. 23 sec.
3599 mW 8 min. 42 sec.
2802 mW 13 min. 20 sec.
6. SAVING CUSTOM SETTINGS
Newly programmed custom settings can be saved as default settings for future treatments by pressing and holding down the START key until a tone/beep is heard. If selections are not saved, the modality settings will return to the original default settings once the treatment is complete.
When creating Custom Settings for the Solaris Plus 707, because there are multiple identical accessories (2 Tri-Wave Light Probes, 2 Pads, and 2 ermoStim Probes), the Custom Default Setting set for one accessory, such as the Tri-Wave Light Probe, becomes the Default Setting for all Tri-Wave Light Probe treatments. e same is true for the Tri-Wave Light Pads as well as the ermoStim Probes.
7. START
Probe. Aer pressing START on the console, the yellow LED on the probe handle will be illuminated indicating that there is power to the probe. Press the 1/0 (ON/OFF) toggle key located on the Probe handle to begin treatment. e green LED on the probe handle will be illuminated and the treatment time indicated in the Time display window will begin counting down to zero. While the treatment is in progress and in “focus” LT PROBE (LTPB1 or LTPB2) will be illuminated in GREEN text in the Channels window. When the countdown reaches zero a tone will sound and the green LED on the Probe handle will turn o and the yellow LED will be illuminated. Another cycle of the same duration and dosage may be activated by pressing the 1/0 (ON/OFF) key on the probe handle.
1/0 (On/O/Pause) Key
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DYNATRON TRI-WAVE™ OPERATING INSTRUCTIONS
CAUTION
e vents on the Probe handle should be clear and free of any obstruction during treatment. Never use gels or lotions with a light probe treatment.
Expect to hear the probe fan go on and o during a treatment as the fan is designed to maintain a consistent internal probe temperature. If for any reason the internal temperature of the probe exceeds set limits, the word HOT will appear on the display and the treatment will be automatically paused until the internal probe temperature returns to prescribed limits.
Pads. e Dynatron Tri-Wave light pad treatment will immediately begin when START is pressed on the console. LT PAD (LTPD1 or LTPD2) will be illuminated in green text in the Channels Window when the treatment begins and is the “focus” treatment. e treatment time will be displayed in the Time Display Window and will begin to count down to zero. When the treatment time has counted down to “0,” a tone will sound, alerting the practitioner that the treatment is complete. Another cycle of the same duration and dosage may be activated by pressing the START key agai
8. PAU SE
Probe. Press the 1/0 (ON/OFF) toggle key located on the probe handle to Pause and Restart a treatment at any time. When the treatment is active, the green LED on the handle of the probe will be illuminated. When the treatment has been Paused or is OFF, the yellow LED on the handle will be illuminated.
Pads. With the Dynatron Tri-Wave™ Light Pad as the focus treatment, press the PAUSE key located on the Console. To continue the treatment, press the PAUSE key again.
9. STOP
Probe. With the Probe as the “focus” treatment, pressing and holding FUNCTION followed by the STOP key will stop the Probe treatment. Treatment may be paused by pressing the 1/0 (ON/OFF) key located on the probe handle.
Pad. With the Pad as the “focus” treatment, pressing and holding FUNCTION followed by the STOP key will stop the Pad treatment or allow the treatment to time out.
NOTE: Pressing STOP on the Console will stop ALL TREATMENTS in progress and reset the device to the last saved preset default values.
Dynatron Tri-Wave™ Light Treatment Notes
Always cleanse the probe, pad, and treatment area thoroughly before beginning each treatment to avoid skin irritation or infection.
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DYNATRON TRI-WAVE™ OPERATING INSTRUCTIONS
DO NOT use gels or lotions in combination with Light erapy. Gels may clog the vents causing overheating and damage to the internal components.
DO NOT attempt to unscrew or tighten down the probe lens. is is not a threaded part. ere are no user serviceable parts in the Tri-Wave Light probe.
If the treatment area is larger than the size of the Probe aperture, then areas equal in size to the aperture (6 cm2) should be treated one at a time until the entire area is covered.
Do not “bathe” the area by moving the Probe back and forth or in some other manner over the target area. Failure to make full contact with the treatment surface may result in outcomes that are less eective. Other methods may reduce total energy absorption. If the area is large, then the Tri-Wave Light Pads (two 5” x 7” pads) may be a more appropriate treatment option.
When treating the patient, the Tri-Wave Light Probe or Pads should be placed on the skin over the treatment area. Maintaining constant contact with the skin is essential during treatment.
DO NOT use over open wounds unless covered with a clear protective barrier (clear plastic wrap). An open wound may be treated in the non-contact mode without protective barrier however energy delivery will be diminished. Undue pressure should not be exerted on the wound bed.
Never use water or cleansing agents on the Tri-Wave Light Probe Head or Pads. Caustic cleansers (even liquid cleansers) may cause damage. DO NOT USE ISOPROPYL ALCOHOL. A so cloth lightly damped with water and a small amount of non-caustic so soap may be used. Wipe with a damp cloth to rinse. If seeking a commercial cleanser/disinfectant it is recommended that a product contain only the following active ingredients to avoid damage to the probe or pads:
OctylDecyl Dimethyl Ammonium Chloride
Dioctyl Dimenthyl Ammonium Chloride
Didecyl Dimenthyl Ammonium Chloride
Alkyl (C14 50%; C12 40%; C16 10
Dimenthyl Benzyl Ammonium Chloride
Other Ingredients not published.
WARNING
is therapy must be used cautiously where sensory nerve damage is present or in any case where there is a loss of normal skin sensation; including areas desensitized by medication or other therapies such as any type of cryotherapy.
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DYNATRON TRI-WAVE™ LIGHT MODALITY INFORMATION
Dynatron Tri-Wave
Light
Modality Information
e Dynatron Tri-Wave™ light probe and Dynatron Tri-Wave™ Light Pad have been cleared by the FDA to provide topical heating for temporary increase in blood circulation, temporary relief of minor muscle and joint aches, pain and stiness and relaxation of muscles; for muscle spasms and minor pain and stiness associated with arthritis.
Dynatron Tri-Wave™ Light Basic Vocabulary
Watt (W) ...........................................................................Energy (1 Joule) delivered per second
Milliwatt (mW) One thousandth of a watt. Power and dose determines length of treatment
Nanometer (nm) .................................................................................... One billionth of a meter.
Joule(s) .........................................................................Watts x seconds = total energy delivered
Dose (per cm2) ............ J/cm2 – total energy delivered per square cm in a set period of time.
Dynatron Tri-Wave™ Light Probe And Light Pad Specications
Following are the General Specications for the Dynatron Tri-Wave Light Probe and Dynatron Tri-Wave Light Pad. Other ranges, accuracy and precision values that are not provided here may be obtained from Dynatronics upon request.
e Dynatron Tri-Wave Light Probe is designed with super luminous diodes emitting three dierent wavelengths of light. e 20 Infrared SLEDs have a wavelength of 850nm, the 8 Red SLEDs have a wavelength of 624nm and the 6 Blue SLEDs have a wavelength of 464nm.
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DYNATRON TRI-WAVE™ LIGHT MODALITY INFORMATION
Dynatron Tri-Wave™ Light Probe Specications
Light Source .......................34 Super Luminous Diodes
20 Infrared Diodes 850nm
Wavelengths ..................... 20 Infrared Diodes – 850nm
8 Red Diodes 624nm
8 Red Diodes – 624nm
6 Blue Diodes – 464nm
6 Blue Diodes 464nm
Power Output ........................ Max 1000mW (+/- 20%)
Treatment Area........................................................6 cm
2
ermal reshold ............................ 104°F in 2.7 min.
Dynatron Tri-Wave™ Light Pad
e Dynatron Tri-Wave™ light pad consists of two 5” x 7” treatment pads connected with a 24” cable between them and a 72” bifurcated cable connecting the pads to the Dynatron Solaris Plus controlling console. Dual pads allow for greater coverage of a joint, treatment of two separate areas simultaneously, and the ability to treat large areas of the body when placed side-by-side.
Dynatron Tri-Wave™ Light Pad Specications
Light Source .................................................................................. 176 Super Luminous Diodes (per pad)
Wavelengths ........ 112 Infrared Diodes – 850nm; 40 Red Diodes – 624nm; 24 Blue Diodes – 464nm
Power Output ....................................................................................................... Max 5160mW (+/- 20%)
Treatment area .................................................................................................................................... 352cm
2
ermal reshold ........................................................................................................... 104°F in 3.9 min.
Tri-Wave Light Pad - two 5" x 7" pads
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ULTRASOUND INSTRUCTIONS
Ultrasound Instructions
e following Ultrasound Instructions are for Solaris Plus 708 and 709 USERS ONLY. e Dynatron Solaris Plus 705, 706, and 707 do not oer the Ultrasound feature.
Ultrasound therapy channels sound waves through muscle, nerve, bone, and connective tissue to aid in reducing pain, muscle spasms, and joint contractures.
e physiological eect of Ultrasound therapy depends upon the frequency of the Ultrasound signal. e lower frequency (1 MHz) penetrates deeper than a higher frequency (such as 2 MHz or 3 MHz), thus the practitioner can decide which frequency to use according to the condition and depth to be treated.
A section in this manual entitled “Ultrasound Usage Cautions” provides some general guidelines for Ultrasound treatment and selection of the appropriate soundhead to help ensure safe and eective treatments are delivered to your patients. Further information about Ultrasound application may be obtained from published medical literature.
WARNING
ALWAYS keep the applicator soundhead in constant motion.
ALWAYS keep the soundhead properly coupled to the patient’s skin or submerged underwater when intensity is turned on.
Use ample conductive gel to ensure good coupling throughout the treatment. If needed, apply additional gel during the treatment.
See the section of this manual entitled “Contraindications, Warnings, and Precautions” for Ultrasound treatments.
Be alert for any sign of periosteal (bone) pain.
Be sure to read all instructions for operation before treating a patient.
Use of controls or adjustments or performance of procedures other than those specied herein may result in hazardous exposure to ultrasonic energy.
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CAUTION
Do not drop the soundhead on the hard surfaces.
Do not cool the soundhead with ice water or ice packs.
Do not allow the soundhead to overheat repeatedly.
Do not hold the soundhead in the air while a treatment is running.
All of these conditions are likely to damage the soundhead crystal and/or to stress electronic components in the device. Damage caused by these conditions is not covered by warranty.
Make sure a soundhead is rmly plugged into the device before turning the device on. When changing to a dierent size soundhead, turn the machine o rst, remove the soundhead, plug in the desired soundhead, then turn the machine on again. Please acquaint yourself with the following terms and device features prior to delivering an Ultrasound treatment.
Soundhead Warming
Soundhead Warming is an optional feature used to maintain a comfortable soundhead temperature for the patient. When Soundhead Warming is ON, the soundhead should remain in its holder as a small amount of Ultrasound output is emitted from the soundhead (0.1 W/cm2). e soundhead warming mode is automatically stopped during a treatment, and resumes automatically as needed aer a treatment has ended.
If Soundhead Warming is ON and SOUND has been selected but is not the focus treatment, the word SOUND in the CHANNELS window will be illuminated ORANGE.
Although the Soundhead Warming feature defaults to OFF, it can be turned ON at any time. To turn ON the feature, select SOUND, followed by FUNCTION key. Using the WARMING toggle key, select ON.
Coupling
e term “coupling” refers to the ability to deliver ultrasonic waves from the soundhead to the skin surface with as little impedance or dissipation of power as possible. Coupling (contact between the soundhead and the treatment site) may be provided by a coupling agent such as a gel or lotion. Any material used as a coupling agent must be highly conductive of ultrasonic waves. Air is a very poor conductor of ultrasonic waves. Holding the soundhead in the air while a treatment is running may also damage the soundhead crystal and/or stress electronic components in the device.
If any part of the soundhead is exposed to air during the treatment, coupling is decreased. e air bubbles in a whirlpool, for example, can decrease the eective Ultrasound therapy to the patient. Avoid allowing any air between the soundhead and the treatment area. Water is an excellent conductor of ultrasonic waves; therefore, underwater treatments provide excellent coupling.
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During any Ultrasound treatment the soundhead should be moved continuously, covering an area approximately twice the size of the soundhead. e full surface of the soundhead should maintain contact with the patient’s skin (except with underwater treatments).
Head Temperature Hot Display
If coupling (the eective degree to which the Ultrasound energy is delivered from the soundhead to the patient’s body) is not adequate during treatment, the temperature of the soundhead rises and the patient does not receive the full intended dosage. e Dynatron Solaris Plus TEMPERATURE bar reects the amount of soundhead heating caused by poor coupling to ensure that the patient is receiving the optimal treatment and that the soundhead crystal is protected from overheating.
When the coupling is acceptable, the length of the Blue/Green segment lights on the coupling bar will remain less than half the length of the bar or less. If the soundhead approaches a temperature of 103 degrees Fahrenheit, the TEMPERATURE BAR begins to increase in length and the colored bar moves past the center mark and continues to lengthen.
If the SOUNDHEAD reaches approximately 103 degrees, a caution will appear in the Treatment Display Screen: “CAUTION, SOUNDHEAD IS GETTING HOT.” Following the caution, the treatment should be terminated and the soundhead cooled. If the SOUNDHEAD reaches approximately 108 degrees, SOUND will be disabled and the Treatment Display Screen will read: “SOUNDHEAD IS TOO HOT! OUTPUT HAS BEEN DISABLED TO ALLOW COOLING.”
NOTE: If the soundhead becomes too hot the SOUNDHEAD HOT warning will appear in the Treatment Screen whether SOUND is the focus treatment or not.
e soundhead must then be cooled down before the treatment can resume. When the soundhead cools suciently, press PAUSE or START to resume the treatment. e output power resumes, the display returns to its normal state, and the timer resumes. e soundhead should cool quickly if placed in the soundhead holder or if held exposed to the air. Larger soundheads take longer to cool than smaller heads. If the soundhead is not cooling as quickly as needed to resume the treatment, it can be placed in room temperature water to quicken the cooling process. Sometimes just applying more conductive gel will adequately cool the head.
NEVER USE ICE OR ICE PACKS TO COOL THE SOUNDHEADS as this is likely to cause thermal shock to the electronic components of the soundhead and may necessitate a costly repair. Heads damaged by thermal shock are not covered by the warranty.
To prevent overheating of the soundhead, maintain good coupling throughout the treatment by applying ample conductive gel or lotion. Reducing the power when treating an area where it is dicult to obtain good coupling will also keep the soundhead from overheating.
Display Watts or W/cm
2
Power for the Dynatron Solaris Plus may be displayed as WATTS or W/cm2. To choose the desired option, select SOUND, then press the DISPLAY toggle key under the DISPLAY window and select WATTS or W/cm2. e default setting for power is W/cm2; however, the display you prefer may be selected at any time before or during a treatment. Power selection may be saved by pressing and holding down the START key until a beep sounds.
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Ultrasound Quick Setup
Select SOUND.
1. FREQUENCY. Using the FREQUENCY toggle key select 1 MHz, 2 MHz, or 3 MHz.
2. DUTY CYCLE. Using the DUTY toggle key, select 10%, 20%, 50% or CONT (Continuous).
3. TIME. Change the treatment TIME, if desired using the Up/Down arrow keys.
4. INTENSITY. Using the Up/Down arrow keys, raise the INTENSITY to desired level.
5. Press STA RT .
6. S T O P. Press and hold the FUNCTION and press the STOP key to stop only the focus treatment appearing
in the Treatment Display Screen. Pressing STOP alone, stops all treatments operating on the device. Using the TIME arrow keys to bring treatment time to zero will also stop a treatment.
Detailed Ultrasound Setup
1. Press SOUND.
Press SOUND to select an Ultrasound treatment. e Default Parameters automatically appear in the Treatment Display Screen. Following are the Ultrasound Default Parameters:
Frequency ........................................1 MHz
Duty ......................................... Continuous
Display ..............................................W/cm
Time...................................................5 min.
Press the FUNCTION key to view the following:
Parameter ...................................Frequency
Warming .............................................. OFF
If you wish to use the default settings, increase the Intensity to desired treatment level and press START. If you wish to customize settings, follow steps outlined below.
2
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2. Choose the FREQUENCY.
Press the FREQUENCY toggle key located under the FREQUENCY window to select 1, 2, or 3 MHz. Any one of the three Frequencies may be selected with the 2 cm2, 5 cm2 or 10 cm2 soundhead.
3. Select the DUTY CYCLE.
Press the DUTY CYCLE toggle key to select one of the four available options: 10%, 20%, 50%, or Continuous duty cycles.
4. Press the FUNCTION key located on the console to display additional parameters.
5. HEAD WARMING.
Press the FUNCTION key to access the Head Warming option. Using the WARMING Toggle key the Head Warming feature may be turned ON or OFF.
6. TIME.
e default time is set for a 5 minute treatment. Time can be changed by using the TIME Up/Down arrow keys located to the le of the TIME display.
7. Raise the INTENSITY.
Use the INTENSITY Up/Down arrow keys to increase the power to the desired setting. For patient safety and comfort, it is recommended that treatment begins with .1 W/cm2, then increase power to the desired level aer the treatment begins. Valid ranges are from 0.1 to 2.0 W/cm2 (exceptions: valid ranges when using a 10 cm2 head at 3 MHz are from 0.1 to 1.0 W/cm2).
8. Press STA RT .
Press START, the treatment timer begins counting down and output is delivered to the soundhead. If you fail to set the Intensity before pressing START, a reminder will appear in the lower-right corner of the Treatment Display Screen: “CANNOT START TREATMENT WITH ZERO INTENSITY.”
9. SAVING DEFAULTS. If the treatment you have just set up is the most common Ultrasound setup you use, new defaults may be saved by pressing and holding down the START key for two seconds. At the end of two seconds, a beep will sound indicating the treatment parameters have been saved. e next time SOUND is selected, these parameters will be selected automatically.
10. MODIFY a treatment in progress, if desired.
While the treatment is in progress, the following parameters can be modied: FREQUENCY, DUTY CYCLE, TIME, INTENSITY, and DISPLAY of Watts or Wcm2.
11. PAUSE. Temporarily PAUSE a treatment, if necessary, while the treatment is in progress.
To temporarily PAUSE an Ultrasound treatment, press the PAUSE key. Two quick tones will sound indicating that the treatment has been paused. e Ultrasound output from the soundhead stops and the treatment timer is paused
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without ending the treatment. Press the PAUSE key again to restart the treatment. A tone will sound indicating that the treatment is again in progress. Output resumes and the treatment timer starts from where it was paused.
NOTE: During a COMBO treatment, THE STIM OUTPUT OF THE TREATMENT IS NOT PAUSED when the PAUSE key is pressed, although the Ultrasound output is stopped and the treatment timer is paused.
12. S T O P.
When the treatment time has elapsed, the ultrasound to the patient stops and a tone sounds signaling the end of a treatment. Treatments in progress may be stopped at any time using one of the following methods.
Stop One Treatment Only. Press and hold the FUNCTION key and press STOP. is stops only the treatment in focus.
Stop All. Press the STOP key. All treatments at all channels will stop.
Stop Time. Reduce the treatment time using the Time arrow key. e output at the selected channel is stopped,
and the device then displays the parameters for the next treatment that remains in progress (if there is an active treatment).
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ULTRASOUND MODALITY INFORMATION
Ultrasound Modality Information
For Dynatron Solaris® Plus 708 and 709 users only. e Dynatron Solaris® Plus 705, 706, and 707 do not oer the Ultrasound feature.
Ultrasound, by its very nature, has the ability to irritate the patient’s skin. While the benets of Ultrasound far outweigh any disadvantages, certain precautions should be observed to assure maximum safety and comfort for your patients.
A patient’s tendency to have adverse reactions to Ultrasound is dependent upon several factors. Some of these factors are discussed below.
Selecting the Appropriate Soundhead
Head and Crystal Size Comparison
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e selection of the appropriate soundhead is key to the success of the treatment and is based on the size of the area to be treated. Ultrasound treatments should be kept specic to the tissue involved in pathology. A good guideline is 2 to 4 times the size of the soundhead. For example:
A 2 cm2 soundhead can deliver up to 4 Watts and is appropriate for small areas (i.e. hands, ngers, feet).
A 5 cm2 soundhead can deliver up to 10 Watts and is appropriate for medium sized areas (i.e. extremities such as arms, legs, and cervical areas).
A 10 cm2 soundhead can deliver up to 20 Watts and is appropriate for large areas, i.e. torso and back).
Ultrasound is a directed beam of energy. erefore, not only will the average spatial intensity be a factor in the dosage the patient receives, but the time delivered and area covered will matter as well. For example, an area of 50 cm2 is treated for 5 minutes. en an area of 200 cm2 is treated for 5 minutes. Both receive the same intensity. e 200 cm2 area however does not receive the same dosage (only ¼ ) because as the soundhead is moved around the area it has to cover represents 4 times as much tissue.
e Soundhead area measurement is the ERA (eective radiating area). Each soundhead has an eective radiating area. It is not necessarily the outside diameter of the soundhead, but the area of the crystal inside, therefore special care should be taken in selecting the correct size soundhead for the area to be treated according to the diameter of the crystal.
NOTE: If a patient experiences pain during a treatment, the size of the soundhead maybe inappropriate for the area being treated, the intensity maybe too high, the treatment time maybe too long, or coupling maybe poor.
Penetration of Ultrasound Waves
e correct frequency should be selected for the depth of penetration desired. e amount of penetration needed is determined by the density of tissue and the depth of the site to be treated. Care should be taken to select a penetration level that does not cause periosteal (bone) pain.
e frequency determines the depth of penetration of the Ultrasonic wave.
Select 1 MHz for deep lesions; provides a Half-Value Distance (HVD) of about 5 cm.
Select 2 MHz for moderate depth lesions; about
2.6 cm HVD.
Select 3 MHz for supercial lesions; about 1.5 cm HVD.
HVD is the approximate point at which the Ultrasound energy is reduced to half in the average human tissue.
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Multi-Frequency Ultrasound
ULTRASOUND MODALITY INFORMATION
Types of Delivery
Ultrasound can be delivered in four dierent ways. You will likely only see two of the four methods in clinical practice.
1. Direct Contact Movable. Here the soundhead is placed in direct contact with the patient. A coupling agent is used between soundhead and the patient’s skin. e soundhead is moved slowly, but continuously. is is the method of choice.
e rate of speed at which the applicator moves across the skin is very important in determining how much Ultrasonic output is delivered. If the rate is too slow, the patient may feel periosteal pain (bone ache/pain). If the rate is too fast, or if the applicator head becomes uncoupled with the skin, the amount of treatment is reduced. Uncoupling can also cause the soundhead to overheat.
2. Immersion Method. Here the area to be treated is placed underwater. e soundhead is water tight so it can be immersed with the area to be treated. e water becomes the coupling agent. e head is always moving around the surface area, but not in contact (1/2 to 1 inch away).
3. Hydrogel Disk. For treating crater wounds, cover the wound with a hydrogel disk and apply the soundhead to the disk. is allows direct wound sonation without bringing the soundhead in direct contact with the wound.
4. Stationary Soundhead. is method is dangerous. Hot spots can develop. Do not use.
Treatment Time
For Sub-Acute Conditions:
For Chronic Conditions:
For Maximal ermal Eect:
area to be treated (cm2)
= minutes of treatment
1.5 x ERA
area to be treated (cm2)
= minutes of treatment
1.0 x ERA
area to be treated (cm2)
= minutes of treatment
.8 x ERA
Treatment Intensity
Several factors come into play as one decides the level of intensity for the treatment.
1. Supercial lesions require less intensity.
2. Less intensity should be used if bone is supercial to the treatment eld.
3. Less intensity should be used when the stage of the injury makes heating questionable.
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4. Use a little lower intensity for the rst treatment to gauge response.
5. Patient feedback is key. A treatment should feel warm, but the patient should never feel heat, pain, stabbing, pricking or dull ache.
Acute Conditions: ........................................ 0.1 – 0.5 W/cm2 (no appreciable thermal eect).
Sub-Acute Conditions: ........................... 0.5 – 1.0 W/cm2 (Mild to Moderate thermal eect).
Chronic Conditions: ............................1.0 – 2.0 W/cm2 (Moderate to Strong thermal eect).
NOTE: It is very common that intensity is always 1.5 W/cm2. is is incorrect in many cases. A more specic intensity should be used based on patient response and stage of injury.
Frequency of Treatment
Treatment can be given daily. It is not uncommon to give Ultrasound twice daily, but this may be excessive. Some guidelines may be helpful.
1. Daily may be the best maximum frequency.
2. Ultrasound can be eectively given every other day.
3. Ultrasound should give some positive benets by the 3rd or 4th application. If not, discontinue the treatment and consider other options.
4. A maximum of 12 to 15 Ultrasound treatments should be given. If the result desired has not been reached by this point, Ultrasound may not be the proper choice. EXCEPTION: Some Chronic conditions which cause adhesions.
Usage Cautions – Combination Treatments
When using a Stim device in conjunction with a Solaris Plus device to output Stim through the soundhead, observe all con­traindication, warnings, precautions, and usage cautions provided by the manufacturer for all modalities involved.
Potential for Burns or Periosteal Pain
Some patients’ skin is more sensitive to Ultrasound output. is can cause a reaction similar to a heat rash. It is also possible for a patient to suer a burn from Ultrasound therapy if the therapy is not administered properly. is can occur for the following reasons:
Intensity (power) too high
Frequency too low
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Holding the soundhead in one place on the patient’s skin
Moving the soundhead too slowly
Treating an area where sensory nerve damage is present with a loss of normal skin sensation
Time (Caution: Don’t treat too long).
Bony prominences are especially susceptible, as they reect sound waves and increase intensity to the periosteum resulting in a burning sensation. Desensitized areas can be overheated or burned without the patient realizing it, so extreme care must be taken with these patients (e.g. diabetes, neural damage, etc.)
Burns can be avoided as long as the treatment causes no pain, tingling, excess heat or aching (for patients with normal skin sensation). Use sucient coupling agent and make sure there are no bubbles in the gel. When treating in water, clear the bubbles o the soundhead and o the patient’s skin.
An un-calibrated soundhead can also cause tingling, excess heat, aching, or a burning sensation.
Read Ultrasound Contraindication, Warning, & Precaution in this manual for more information.
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SOUNDHEAD OPTIMIZATION ADDING OR REPLACING SOUNDHEADS
Soundhead Optimization Adding or Replacing Soundheads
Entering Parameters for Solaris Plus 708 and 709
CAUTION
Soundheads CAN successfully be moved between dierent Solaris devices ONLY if the parameters for that soundhead are entered into the device. Entering parameters ensures the optimization of soundhead output.
To ensure soundhead output is optimized, please carefully follow the instructions provided. If you have any questions about the following instructions, contact Dynatronics’ Customer Service Department before proceeding ((800) 874-6251).
1. Head Calibration Printout.
Soundheads are shipped with a Head Calibration Printout sheet. e sheet contains calibration numbers unique to the each specic soundhead. e soundhead serial number appears on the sheet to assist in matching the correct soundhead with the printed parameters. e printout should be kept for future use.
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SOUNDHEAD OPTIMIZATION ADDING OR REPLACING SOUNDHEADS
Dynatronics Soundhead Sample Parameters Printout
Serial: Manufacture Date: 9/15/2012 Size (cm): 5 Cal Date: 9/15/2012 Unit #: Solaris Plus IHT:
1 MHz 2 MHz 3 MHz
Frequency
Impedance
Temperature
NOTE: THE NUMBERS ABOVE ARE PROVIDED FOR ILLUSTRATION ONLY AND SHOULD NOT BE ENTERED INTO YOUR DYNATRON DEVICE. USE ONLY THE ACTUAL NUMBERS PROVIDED WITH YOUR OWN SOUNDHEAD.
2. Turn the Solaris Plus Device OFF. Plug in the new soundhead. Turn the Solaris Plus ON.
3. Press the SOUND key followed by the FUNCTION KEY.
NOTE: e Solaris Plus device will automatically recognize the size of the soundhead plugged into the console. To verify that you are entering the parameters for the correct soundhead, make sure that the HEAD SIZE that appears on the le-hand side of the Treatment Display Screen is correct. For example, if “5” is displayed, it means the device
2
senses a 5 cm next to the HEAD SIZE display to select the correct soundhead size.
soundhead is plugged into the console. If correct soundhead size is not visible, use the arrow keys
1750 1950 2050
461 1064 699
Example / Do NOT USE
8 8 8
4. As a default, FREQUENCY should appear in the PARAMETER window and 1 MHz in the FREQUENCY window. Using the Up/Down arrow keys located next to the FREQUENCY display, select the FREQUENCY value for 1 MHz listed on the Parameter’s printout.
NOTE: Parameters must be entered for all three FREQUENCY options 1 MHz, 2 MHz, and 3 MHz shown on the Parameters printout for Frequency, Impedance, and Temperature.
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5. Using the FREQUENCY Up/Down arrow keys select 2 MHz. When it is illuminated GREEN, use the Up/Down arrow keys next to the FREQUENCY window to select the FREQUENCY value for 2 MHz listed on the Parameter Printout. Follow the same steps to enter the parameter value for 3 MHz.
6. Aer entering the FREQUENCY parameters, reset the FREQUENCY to 1 MHz and use the PARAMETER toggle key to select IMPEDANCE. Follow steps 4 and 5 to enter the 1 MHz, 2 MHz, and 3 MHz parameter values for IMPEDANCE, and TEMPERATURE.
7. STORING THE NEW PARAMETERS.
Aer entering all the parameters, press START and hold until a tone sounds indicating that the Parameters have been stored. Press the FUNCTION key to return to the SOUND treatment screen.
e above procedure must be performed for each separate soundhead used with the Solaris Plus device. Turn the device OFF before attaching the next soundhead, then turn the device ON again with the soundhead rmly plugged into the console.
Ultrasound Calibration
To maintain accuracy, all soundheads must be calibrated annually to ensure proper operation. With the exception of calibration, all service on the Dynatron Solaris Plus device should be performed by a Dynatronics service technician. If your Dynatron Solaris Plus requires service, contact Dynatronics Customer Service at (800) 874-6251. Calibration MUST be performed either by Dynatronics or by a qualied Ultrasound technician in your local area. Qualied technicians may contact Dynatronics for the calibration service procedures or refer to the Solaris Plus Service Manual.
What to Calibrate. Calibrate all soundheads used with this device at 1, 2 and 3 MHz Frequencies.
Equipment Required. e process requires an ultrasound power meter capable of accurately measuring outputs up to 3
MHz. Check the manufacturer’s specications to conrm your power meter meets this qualication. Ohmic Instrument UPM-DT1 or UPM-DT-10 is recommended for use.
Frequency Numbers. e “Frequency” numbers for each soundhead are required. e frequency numbers for each soundhead may be obtained by calling Dynatronics Customer Service or referring to the Dynatronics Soundhead Calibration Printout shipped with each Dynatronics’ soundhead.
Water Quality. Water used in the testing procedure must be degassed water with an oxygen content of four parts per million (4ppm) or less.
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ULTRASOUND PROBLEM SOLVING
Ultrasound Problem Solving
Whirlpool Treatments
If you are treating in a whirlpool, you may nd the temperature reaches a high enough temperature to read approximately 103˚F causing the overheated soundhead caution to appear in the Treatment Display Screen. is is a warning only to let you know you are approaching the temperature limit. You may, however, continue with the treatment at this level. If your whirlpool temperature is hot enough to cause the treatment to stop, you will need to adjust the temperature of the whirlpool.
Soundhead Temperature Too Cold
If the soundhead has been sitting in a very cold room or vehicle, it could be too cold to operate when you plug it into the console. e keypad may not respond to key presses and you will be unable to use the device until the soundhead is suciently warmed. You must raise the temperature of the soundhead to about 60 degrees F in order for the machine to recognize that the soundhead is present and to proceed with setting up a treatment. You can accomplish this with any of the following methods:
1. Press the at face of the soundhead against the palm of your hand for 30 to 60 seconds to warm it slightly. is usually provides adequate warmth to the crystal to raise the temperature to the minimum acceptable level. Once the crystal reaches this level, you can proceed with treatment.
2. You can also place the soundhead in room temperature water to warm the crystal. However, do not place the soundhead in very hot water when the crystal is this cold as it could damage the crystal.
No Soundhead
If the device cannot detect a soundhead during setup or delivery of an Ultrasound treatment, the error message “SOUNDHEAD IS NOT CONNECTED, HEAD WARMING WILL BE DISABLED!” will appear in the Treatment Display Screen.
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If this error occurs, check to be sure the soundhead is rmly plugged into its connector. If you are unable to clear the message by reconnecting the soundhead, contact Dynatronics’ customer service department at 1-800-874-6251 for assistance.
Miscellaneous
Certain conditions can cause an error in operation. When this occurs, the machine will not allow a treatment to be set up or delivered and will display an error message. Some errors are easily resolved by the following methods.
Press STOP to stop the treatment, and turn the machine OFF then ON again. Always wait 5-10 seconds before restarting the device.
Check to be sure the soundhead has not become disconnected from the machine. e soundhead should be rmly plugged into its port. Only Dynatronics soundheads may be used with this device. If the soundhead has been dropped, it may be damaged. If the device operates normally with one soundhead, but not with another, the problem may be a damaged soundhead and you must contact Dynatronics Customer Service.
Make sure the soundhead is not too hot. In this case the Soundhead alert will appear in the Treatment Display Screen.
Check to see if conditions may have caused extreme moisture condensation in the device. is could occur when the machine has become very cold then is brought indoors to a warm, humid environment. Condensation is a not a serious condition. Allow the machine to sit in a dry environment until the condensation dries. e machine will operate normally once the condensation is gone.
If you have tried all of these suggestions, the device may require service by the manufacturer. In this case, make a note of the error message and the sequence of events that cause the error, and contact Dynatronics Customer Service at 1-800-874-6251 for further assistance. Do not send the device to Dynatronics without rst contacting the Customer Service Department.
Ultrasound Specications
Ultrasound Power output:
2cm2 head: .........................1 MHz, 2 MHz, 3 MHz .................... 0-4 watts; 0-2.0 W/cm2 ± 10%
5cm2 head: .........................1 MHz, 2 MHz, 3 MHz ..................0-10 watts; 0-2.0 W/cm2 ± 10%
10cm2 head: .............................1 MHz, 2 MHz ......................... 0-20 watts; 0-2.0 W/cm2 ± 10%
10cm2 head: ....................................3 MHz ................................. 0-10 watts; 0-1.0 W/cm2± 10%
Ultrasound Regulation and Technical Information
For the Dynatron Solaris® Plus 708, and 709 Only
e Dynatron Solaris Plus 708, and 709 comply with the following:
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FDA 21CFR 1050(c)(1)(i). e error in indication of the temporal-average ultrasonic power shall not exceed ±20 percent for all emissions greater than 10 percent of the maximum emission.
FDA 21CFR 1050(c)(1)(ii). e sum of the errors in the indications of temporal-maximum ultrasonic power and the ratio of the temporal-maximum eective intensity to the temporal-average eective intensity shall not exceed ±20 percent for all emissions greater than 10 percent of the maximum emission.
FDA 21CFR 1050.10(c)(2). e treatment timer must be accurate to within 0.5 minute of the preset duration of emission for settings less than 5 minutes, to within 10 percent of the preset duration of emission for settings of from 5 minutes to 10 minutes, and to within 1 minute of the preset duration of emission for settings greater than 10 minutes.
NOTE: e Dynatron Solaris Plus 708 and 709 are accurate to within ±1% of any treatment time.
Pursuant to FDA 21CFR 1050.10(f)(1), the uncertainties in magnitude, expressed in percentage error, of the ultrasonic frequency, eective radiating area, and the ratio of the temporal-maximum to temporal-average eective intensity, pulse duration, and pulse repetition rate for the Dynatron Solaris Plus 708 and 709 are as follows:
(1) Ultrasonic frequency ....................................................................................................... ±15%
(2) Eective Radiating Area ................................................................................................. ±20%
(3) Ratio of the temporal-maximum to temporal-average eective intensity ............... ±20%
(4) Pulse duration .................................................................................................................. ±10%
(5) Pulse repetition rate ........................................................................................................±10%
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ULTRASOUND BEAM PROFILES
Ultrasound
Beam Proles
(For Dynatron Solaris Plus 708, and 709 users only. e Dynatron Solaris Plus 705, 706, and 707 do not oer Ultrasound). e following diagrams show the typical spatial distribution of the radiated eld for each size of Dynatron Solaris soundhead. is applies to the radiation emitted into the equivalent of an innite medium of distilled, degassed water at 30˚ C and with line voltage variations in the range of ±10 percent of the rated value.
10 cm2 Head. Near Field
1MHz
2 MHz
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3 MHz
ULTRASOUND BEAM PROFILES
5 cm2 Head. Near Field
1MHz
2 MHz
3 MHz
2 cm2 Head. Near Field
1MHz
2 MHz
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3 MHz
COMBINATION THERAPY INSTRUCTIONS
Combination Therapy Instructions
e following combination therapy instructions are for Dynatron Solaris® Plus 708 and 709 USERS ONLY. e Dynatron Solaris® Plus 705, 706, and 707 do not oer the Ultrasound feature.
WARNING
DO NOT use combination therapy for underwater treatment. Placing active electrodes underwater poses a serious hazard to the patient!
Use VERY LOW STIM INTENSITY for COMBO treatments.
Remember to observe all contraindications, warnings, precautions, and usage cautions for BOTH Ultrasound and Electrical Stimulation therapy when performing combination therapy.
Since electrical current travels between the electrode and the soundhead during a COMBO treatment, the electrode should be placed in proximity with the treatment area. Do not place the electrode and soundhead in positions that will cause current to pass through contraindicated areas.
Avoid removing the soundhead from the skin surface during “Stim rough Soundhead” treatments as this may cause a momentary interruption of Stim current which may be uncomfortable to the patient. e soundhead should remain in full contact of the skin until current output is stopped.
Be alert for any sign of periosteal (bone) pain.
Comboplus
Dynatronics’ Comboplus feature means you have almost unlimited options in setting up a combination treatment with Solaris Plus. You can:
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COMBINATION THERAPY INSTRUCTIONS
Combine an Ultrasound treatment with the following electrotherapy modalities provided by this device: IFC, Premodulated, Biphasic, Russian, High Volt, or Microcurrent.
Set up a combination treatment by using the ULTRASOUND output jack and the automatically selected default STIM channel. When using the 708 and 709, the Microcurrent Combo will always use Channel 1, and High Volt Combo treatments will default to the High Volt (Hi-Volt) channel.
A special “COMBO” lead wire is provided with the 708 and 709 with the standard accessories for this device to accommodate the ComboPlus feature. is lead wire is plugged into the selected STIM jack; then the banana end of the lead is connected to the COMBO input jack on the right-side of the device, and the pin end of the lead is connected to an electrode to be placed on the patient. It is important to note the channel selected by the device during setup and connect the lead wire to the correct channel before setting intensity for the treatment.
Stim Through the Soundhead
With combination therapy, the soundhead is used in place of one electrode for a Stim treatment; and electrotherapy current is delivered through the soundhead. is means that for a normal 2-electrode Stim treatment therapy, you would place one electrode on the patient and use the soundhead as the second electrode site to complete the setup. A patient lead wire designed to accommodate this setup is included in the Dynatron Solaris Plus standard accessory package for devices with Ultrasound and electrical stimulation capabilities.
During the treatment, the Stim current passes between the soundhead and the other electrode. At the same time ultrasonic waves are introduced into patient tissue through the soundhead. Avoid touching the electrode with the soundhead during the treatment, keep the soundhead in contact with the patient’s skin at all times, and keep the intensity low for the Stim current.
When setting up a combination treatment, observe all contraindications, warnings, and precautions for both therapies to be used.
REMEMBER: Use very low Stim intensities for all COMBO treatments!
In order to set up a COMBO treatment, you must be familiar with setup instructions for both the electrotherapy modality to be used and Ultrasound as explained earlier in this manual. Also remember:
When a modality indicator is highlighted GREEN, the treatment parameters for that output are displayed. Any changes you make to the parameters will aect that channel only.
When a modality indicator light is highlighted YELLOW, the channel is active, but its parameters are not being displayed (in focus) and may not be modied at this time. To bring a treatment’s parameters into focus, you must rst press the CHANNELS toggle key to select the treatment—the modality indicator will then become GREEN and modications are allowed.
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