Game Ready User Manual User Manual

USER MANUAL

Model Number 650550

United States Federal Law restricts this device to sale by,

or on the order of, a licensed health care practitioner.

The Med4 Elite User Manual may be updated from time to time. The most current version of the

User Manual can be found online in various languages at www.gameready.com.

If you require a paper copy of this manual, contact Game Ready Customer Service

at 1.888.426.3732. International customers contact your local distributor.

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WELCOME TO

MED4 ELITE

CONTENTS

Introduction to the Med4 Elite™

Indications for Use �� 2

Features

Compression Levels

Illustrations

Included Hardware and Documentation

Deﬁnitions

��3

��4

��5

�� 6

Safety

Med4 Elite Contraindications �� 7

General Warnings and Cautions

System Warnings and Cautions

�� 8

�� 9

Getting Started

Setting Up ��10

Filling the Reservoirs

Powering Up

Setting the Language

Changing Factory Settings

Personal Identiﬁcation Number (PIN)

��10

�� 11

��12

Compression-Only Therapy

Pausing, Changing, and Stopping a Therapy

Powering Down

�� 31

�� 28

�� 30

Conguring Med4 Elite System Settings

Personal Identiﬁcation Number (PIN) ��32

Changing the PIN

Setting Defaults

Accessing System Settings

Heat Settings

Cold Settings

Snooze Function

Rapid Contrast Settings

Compression-Only Settings

Resetting the Med4 Elite to Factory Settings

Changing the Language

Working With Med4 Elite

System Software and Information

Viewing System Information

Downloading Data

��32

�� 33

�� 36

��37

�� 40

�� 43

�� 44

�� 50

��52

�� 53

�� 54

�� 55

Med4 Elite At A Glance

User Interface Elements ��13

Therapy Icons

System Settings Icons

��14

��15

Using the Med4 Elite

Setting the Temperature ��16

Setting the Temperature Scale (°F / °C)

Setting Up Therapy Sessions

Single Patient Therapy with One Wrap

Single Patient Therapy with Two Wraps

Two Patient Therapy

Heat Therapy

Cold Therapy

Rapid Contrast Therapy

�� 20

��22

��16

��18

��24

��16

�� 17

��18

Updating the System Software

�� 56

Storing, Cleaning and Maintaining the Med4 Elite

Storing �� 58

Cleaning and Maintaining

Control Unit and Connector Hoses

Control Unit Reservoirs

Control Unit Filter

Wraps

�� 60

Adding Distilled Water

Water Reservoir Levels

Transporting the Med4 Elite

Moving Within the Facility

Transporting In A Vehicle

Disposing

��62

�� 59

�� 60

��61

�� 61

��62

EN-iv TABLE OF CONTENTS

Troubleshooting the Med4 Elite

Important Messages �� 63

Alarms

�� 64

Error Codes

�� 68

Repairing the Med4 Elite ............................................ 68

Med4 Elite Product Specications ............................69

Supplied Power Cord Specications ......................... 70

UL Classication .......................................................... 72

Essential Performance ................................................ 73

Electromagnetic Compatibility .................................. 73

Accessories and Replacement Parts

Accessories �� 76

Replacement Parts

�� 76

Warranty

Manufacturer's Limited Warranty �� 76

How to Obtain Warranty Service

Warranty Registration

��77

�� 76

Warranty of Med4 Elite Accessories

��77

Intellectual Property

Trademarks, Trade Names, Copyrights and Patents ��77

Software License

��77

Symbol Descriptions ................................................... 78

Contact Game Ready ................................................... 79

EN-vTABLE OF CONTENTS

INTRODUCTION TO THE MED4 ELITE™

Based in Concord, California, and founded in 1997, Game Ready®

(CoolSystems®, Inc.) is a best- in-class medical technology company that

helps patients and athletes recover from injury or or thopedic surgery.

The ﬁrst Game Ready System was launched in 2002 providing health-

care practitioners with a state-of-the- art medical device that combines

cold with active compression.

The advanced technology used in the Med4 Elite allows for treatment

of two users simultaneously and utilizes the same anatomically

designed Wraps as the Game Ready GRPro® 2.1 System. The device

is controlled by an intuitive touch screen computer interface, allowing

the user to manage the therapy modalities as well as easily adjust and

monitor treatment times, temperature and compression settings.

A list of current patent(s) covering Game Ready technology can be

found at: www.gameready.com/patents.

Building upon the breakthrough Game Ready technology, the Med4 Elite

is a multi- modality recover y device for professional users. The system

delivers iceless cold therapy, heat therapy, rapid contrast (alternating

heat and cold) therapy, and intermittent pneumatic compression therapy

providing healthcare practitioners with ﬂexible treatment options for

different patients, procedures, injuries and stages of rehabilitation.

Time-tested principles like RICE (Rest, Ice, Compression, Elevation)

and heat therapy are taken to a new level with the use of the state-of-

the-art Med4 Elite System. Cumbersome contrast therapy workﬂows

are improved with the more compact and convenient footprint. Rapid

contrast therapy techniques are improved with targeted, body-part

speciﬁc, dual-action Game Ready Wraps. Heat therapy treatments can

be set, monitored and controlled with better accuracy and consistency

than traditional methods.

INDICATIONS FOR USE

The Med4 Elite™ combines cold, heat, contrast, and compression

therapies. It is intended to treat postsurgical and acute injuries to

reduce edema, swelling and pain for which cold and compression

are indicated. It is intended to treat post traumatic and post surgical

medical and/or surgical conditions for which localized thermal therapy

(hot or cold or contrast) are indicated. It is intended to be used by, or on

the order of, licensed healthcare professionals in rehabilitation facilities,

outpatient clinics, and athletic training settings.

EN-2 INTRODUCTION

FE ATU R E S

The Med4 Elite offers four therapy options: Heat, Cold, Rapid Contrast and Compression-Only for one or two patients simultaneously. The features

and available options that can be customized for each therapy session are shown in the table below.

Four Therapy Options

(up to 2 Patients)

Heat

Cold

Rapid Contrast

Compression-Only — Set total therapy time

Temperature Levels Treatment Time

Set Minimum and

Maximum, in °F or °C

Set Minimum and

Maximum, in °F or °C

Set Heat and Cold

Minimum and Maximum,

in °F or °C

Set total therapy time Low & None —

Set total therapy time

Set Heat and Cold Cycle

time and total therapy time

Compression Level*

(Intermittent Pneumatic)

Low, Medium-Low,

Medium, High & None

Heat: Low & None

Cold: Low, Medium-Low,

Medium, High & None

Low, Medium-Low,

Medium, High

Other Features

Snooze function, up to 6

cycles

Start Rapid Contrast

Therapy with either Heat

or Cold Therapy

—

COMPRESSION LEVELS

The Med4 Elite offers four compression levels for Compression-Only and Cold Therapy: Low, Medium-Low, Medium, and High, and one

compression level for Heat Therapy: Low. Cold Therapy and Heat Therapy may also be administered with No compression.

No compression

(None)

(5–15 mmHg)

Low

Medium-Low

(5–30 mmHg)

Medium

(5–50 mmHg)

High

(5–75 mmHg)

EN-3INTRODUCTION

ILLUSTRATIONS

On/O ff Bu tton

Reservoir Fill

Cover

Handles

Front Cover

Four (4) Locking

Casters

Touch Display

Hose Hanger

Hose Holster

Connector Hose

Air Vent s

FRONT VIEW

WRAP

(Sold Separately)

A Wrap (comprised of an inner ATX® Series Heat Exchanger and an out-

er Sleeve) must be attached to the Med4 Elite to begin treatment. Each

Wrap is sold separately and is not included with the Med4 Elite. Use

only Game Ready Wraps with the Med4 Elite. Using products other

than those manufactured or provided by Game Ready with the Med4

Elite may void the warranty.

EN-4 INTRODUCTION

USB Port

Air Vent s

Fan

On/Off Power Switch

Power Cord Inlet

Drain Ports

Four (4) Locking

Casters

ATX® Series Heat Exchanger

Sleeve

BACK VIEW

INCLUDED HARDWARE AND DOCUMENTATION

The following items are included with your system:

1 Med4 Elite Control Unit

1 Power Cord (~8 ft / 2.4 m)

2 Connector Hoses (attached to Control Unit)

2 Drain Hoses

1 User Manual

1 Quick Start

1 Quick Reference

1 Game Ready USB ﬂash drive

EN-5INTRODUCTION

DEFINITIONS

Administrator The person(s) having the authority to determine and set default System Settings for the facility.

Button

Active Button

Inactive Button

Control Unit

Graphical User Interface (GUI)

Icon

On/Off Button The button located at the top of the touch screen that powers the computer up and powers it down.

On/Off Switch The toggle switch on the back of the Control Unit that supplies power to the system.

Patient The person receiving therapy via the Med4 Elite.

Those parts of the Graphical User Interface that users press to conﬁgure and control functions of

the Med4 Elite operating system.

A graphical button in the GUI that is currently selectable and will perform its intended function

and/or purpose upon being pressed. Active buttons appear three dimensional and in full color.

A graphical button in the GUI that is currently not selectable. Inactive buttons appear ﬂat and

grayed out.

The complete Med4 Elite device, including the operating system, internal hardware, cover,

connector hoses, etc...

The means with which users interact with the Med4 Elite computer.

The GUI is composed of icons, buttons, images, and other treatment information. Users press

buttons to conﬁgure therapy sessions and System Settings and to control therapy sessions. Once

started, the GUI displays the progress of active therapy sessions.

Med4 Elite GUI symbols that represent Med4 Elite patients, therapy modality levels, internal

conditions and alarms.

Personal Identication Number (PIN) The numeric password that allows the administrator to access Med4 Elite System Settings.

Reservoir One of two receptacles inside the Control Unit that store, heat, and cool the water.

Reset To return the Med4 Elite computer to factory settings.

Restart

Screen

Session A single treatment.

Snooze The amount of time in which no treatment is provided during Cold Therapy.

System Refers to the entire Med4 Elite Control Unit.

System Shut Down Powering down the Med4 Elite computer and turning the On/Off switch off.

Touch Screen

The automated action that occurs after a user makes changes to System Settings: the Med4 Elite

computer powers down and when turned on again, will operate with the new settings.

A Med4 Elite computer interface where users set Control Unit functions and monitor Control Unit

activity. For example, the Select Patient screen.

The glass panel that displays the Med4 Elite Graphical User Interface and with which Med4 Elite

users physically interact with the Control Unit’s computer by touching buttons that are displayed

onscreen.

User The person operating the Med4 Elite.

EN-6 INTRODUCTION

SAFETY

IMPORTANT: READ COMPLETE INDICATIONS, CONTRA-

INDICATIONS, CAUTIONS AND WARNINGS BEFORE

USING THIS PRODUCT

WARNING: It is mandatory to fully read and

understand the User Manual before using the

device. Failure to follow operating instructions

Caution: United States Federal Law restricts this device to

could result in serious injury.

sale by, or on the order of, a licensed health care practitioner.

Follow the treatment recommendations of your health

care practitioner for duration and frequency of use for this

ATTENTION: Consult User Manual.

device. A licensed health care professional should set up and

supervise the use of this device for the patient.

MED4 ELITE CONTRAINDICATIONS

X = Absolute Contraindication –

Therapy in these situations should not be used in patients who have:

R = Relative Contraindication –

Therapy for these conditions should be used only under the supervision of a licensed healthcare practitioner in patients who have:

Current clinical signs in the affected region of signiﬁcant peripheral edema (e.g., deep vein thrombosis, chronic venous insufﬁciency, acute compartment syndrome, systemic venous hypertension, congestive heart failure, cirrhosis/liver failure, renal failure).

Signiﬁcant vascular impairment in the affected region (e.g., from prior frostbite, ar teriosclerosis, arterial insufﬁ ciency, diabetes, vascular dysregulation, or other vascular ischemic disease).

THERAPY MODE

Thermotherapy

Compression

Cryotherapy

X X X X

Rapid Contrast

Known hematological dyscrasias that predispose to thrombosis (e.g., paroxysmal cold hemoglobinuria, cryoglobulinemia, sickle-cell disease, serum cold agglutinins).

Tissues inﬂamed as result of recent injury or exacerbation of chronic inﬂammatory condition.

Extremities with diffuse or focal impaired sensitivit y to pain or temperature that prevent the patient from giving accurate and timely feedback.

Compromised local circulation or neurologic impairment (including paralysis or localized compromise due to multiple surgical procedures) in the affected region.

Cognition or communication impairments that prevent them from giving accurate and timely feedback.

An acute, unstable (untreated) fracture in the affected region.

Local malignancy.

Areas of skin breakdown or damage (damaged or at-risk skin) producing uneven heat conduction across the skin (e.g., open wound, scar tissue, burn or skin graft). A ny open wound must be dressed prior to use of the Med4 Elite.

Actively bleeding tissue or hemorrhagic conditions.

Recently radiated tissues or areas affected by heat- sensitive skin diseases (e.g., eczema, psoriasis, vasculitis, dermatitis).

Localized unstable skin condition (e.g., dermatitis, vein ligation, gangrene, or recent skin graft) in the affected region.

X R X

R R R R

X R X

X R R X

X X

R R R R

Any active local or systemic infection.

Current clinical signs of inﬂammatory phlebitis, venous ulcers, or cellulitis.

X X X

R X X X

EN -7SAFETY AND CONTRAINDICATIONS

X = Absolute Contraindication –

Therapy in these situations should not be used in patients who have:

R = Relative Contraindication –

Therapy for these conditions should be used only under the supervision of a licensed healthcare practitioner in patients who have:

THERAPY MODE

Thermotherapy

Cryotherapy

Rapid Contrast

Compression

A pregnancy.

Any signiﬁcant risk factors or current clinical signs of embolism (e.g. pulmonary embolus, pulmonary edema, cerebral infraction, atrial ﬁbrillation, endocarditis, myocardial infarction, or artheromatous embolic plaque).

A condition in which increased venous or lymphatic return is not desired in the affected extremity (e.g., lymphedema af ter breast cancer or other local carcinoma and/or carcinoma metastasis in the affected extremity).

Raynaud’s disease or cold hypersensitivity (cold urticaria).

Hyper tension, Cardiac failure, extreme low blood pressure, or decompensated cardiac insufﬁciency.

Children under 18 years old

Had recent toe surger y in the affected region.

Obtunded or with diabetes mellitus, multiple sclerosis, poor circulation, spinal cord injuries, and rheumatoid ar thritis.

Decompensated hypertonia in the affected region.

frequently and use mid-to-higher (warmer) temperature range

IMPORTANT: Refer to the most up-to-date Wrap Use Guide

settings or leave more time between treatments, if necessary.

for Wrap speciﬁc contraindications and warnings, which can

be found at www.gameready.com

• (General) During the course of therapy, patients should monitor the skin of the treated region, the surrounding area and the digits of

the extremities of the treated limb (if applicable) for any excessive redness, blistering, signs of burning, light-headedness, generalized

GENERAL WARNINGS AND CAUTIONS

sweating (increased core temperature), itching, increased swelling,

or pain. If any of these signs are present, or any changes in skin

• (General) Follow the treatment recommendations of your health care practitioner for duration and frequency of use for this device.

appearance occur (such as blisters, increased redness, discoloration, or other noticeable skin changes), patients are advised to

discontinue use and consult a physician.

• (General) Improper placement or prolonged use of the Med4 Elite

could result in tissue damage.

• Monitor the level of heat throughout treatment session. Caution should be used with the Med4 Elite System or any thermotherapy

• (General) The Med4 Elite is not for use in a sterile environment. 

(Heat Therapy) device generating high intensity heat at 113°F or above. Check the skin of the treated region frequently and use

• (General) Game Ready Wraps are not sterile; do not place directly against open wounds, sores, rashes, infections, or stitches. The

mid-to-lower (cooler) temperature range settings or leave more time between treatments, if necessary.

Wrap may be applied over clothing or dressing.

• Device not intended for use with numbing agents.

• (General) A layer of clothing between Wrap and skin is

recommended for all patients.

• Heating of the gonads and developing fetus should be avoided.

X X

X X X

X X

R R X R

R R R R

R R R

R R X R

X X

• (General) Game Ready Wraps are available in multiple conﬁgurations but are not intended for all possible physiologic uses. For example, the Ankle Wrap is not designed for use on the toes and the Back Wrap is not designed for use in the abdominal region.

• (General) Use extra caution during the immediate postoperative period, especially when sedated or on any medication that could alter normal pain sensation. Check the skin of the treated region

EN-8 SAFETY AND CONTRAINDICATIONS

• When using heat and rapid contrast therapy, skin should be protected in heat- sensitive or high-risk patients, especially over regions with sensory deﬁcits.

• All Cryotherapy and Thermotherapy warnings and cautions also apply to Rapid Contrast Therapy.

• Compression Therapy in combination with Heat Therapy should only be used at a level that provides better (or ﬁrm) contact with the skin, but does not compress the tissues.

• WARNING: Use Carefully. May cause serious burns. Do not use over sensitive skin areas or in the presence of poor circulation.

The unattended use of the Med4 Elite by children or incapacitated

persons may be dangerous.

Measured Skin Temperatures

Skin temperature measured as high as

Maximum Temperature

Minimum Temperature

111 °F (44 °C) when set to maximum Heat Reservoir set point

Skin temperature measured as low as 44 °F (7 °C) when set to minimum Cold Reservoir set point

• Device contains R-134a refrigerant, to be serviced by qualiﬁed technicians only.

• The cooling system in your Med4 Elite contains R-134a, a refrigerant covered by the United States Environmental Protection Agency’s (EPA) disposal regulations and potentially other international environmental agencies. To avoid confusion and potential environmental damage, contact your local waste facility and inquire about disposal procedures for the Med4 Elite.

• WARNING: To safely interact with the Med4 Elite touch screen, you must be standing within 1 foot (30 cm) directly in front of the device.

• Use only Game Ready supplied Power Cord. See Supplied Power

Cord Speciﬁcations for details.

SYSTEM WARNINGS AN D CAUTIONS

• To avoid the risk of electrical shock, do not remove any panels from the Control Unit. Opening the Control Unit will void the Med4 Elite warranty. For all servicing and repair, in the U.S. call Game Ready

Technical Support at 1.888.426.3732 (+1.510.868.2100); from outside

of the U.S. please contact your local distributor.

• To avoid electrical shock, product malfunction or damage, never operate the system with damaged power cords or Connector Hoses, or other mechanical damage, or if the unit is otherwise not fully operational.

• WARNING: To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth.

• WARNING: No modiﬁcation of this equipment is allowed. Any modiﬁcation, or attempt at modiﬁcation, could be hazardous and will void the Med4 Elite warranty.

• Do not tip the Med4 Elite on its side.

• To avoid potential damage to the Med4 Elite, do not use other manufacturers’ wraps with the Control Unit.

• To avoid injury, be careful not to trip over the Control Unit’s power

cords and Connector Hoses.

• Keep the Med4 Elite, including hoses and cords, away from children and pets.

• Use of this equipment adjacent to or stacked with other equipment

should be avoided because it could result in improper operation. If

such use is necessary, this equipment and the other equipment

should be observed to verify that they are operating normally.

• This symbol on the Control Unit or its packaging means that this product must not be disposed of with household/consumer waste. To learn where to drop off your electrical and electronic waste, please contact your local city/municipal waste disposal service ofﬁce or contact Game Ready for assistance.

• In order to prevent trip hazards, the connector hose(s) must be properly placed in the holster(s) when not in use. Wrap the Hose once around the Hose hanger and place the end into the holster as shown. Ensure the numbered Hose Connector corresponds with the number on the Hose hanger.

WARNING: To comply with California Proposition 65, the

following warning has been included. This product contains

chemicals known to the State of California to cause cancer,

birth defects or other reproductive harm.

• Use caution when handling small parts to reduce any possibility of swallowing or inhalation.

• The Med4 Elite Control Unit is a medical device. To avoid damage

to your product, handle it with the same care as you would a laptop

computer. Do not drop it, kick it or otherwise abuse it. Such abuse

will void the Med4 Elite warranty.

• Use only distilled water to ﬁll device.

• Perform routine cleaning and water disinfection per instructions.

• Fill reservoirs with distilled water per instructions before supplying

power to the device.

EN-9SAFETY AND CONTRAINDICATIONS

GETTING STARTED

SETTING UP

The Med4 Elite arrives with a Quick Start located in the Accessory Kit

box. Please read the instructions carefully before powering up and

operating the device.

Use the handles to move the Control Unit into place. The Control Unit

should be set up:

• within six feet of a power outlet with a dedicated electrical circuit

or enough power to supply 1200 watts

• with adequate access to the On/Off Switch on the back of the unit

and with the power cord unobstructed

• on level ground within the facility

• indoors only

• in a dry location

• so that vents on all sides are unobstructed

• free of trip hazards

FILLING THE RESERVOIRS

The Med4 Elite ships with the reservoirs empty. You will need to ﬁll the

reservoirs prior to use. Two gallons (eight liters) of distilled water are

needed to completely ﬁll the reservoirs.

IMPORTANT: Use distilled water only. DO NOT use deionized

water or tap water. Failure to use distilled water may void the

warranty of the device.

1. The reservoir opening is located below the touchscreen on

the Control Unit. Open by pressing on the cover to release the

latch and lift.

2. Carefully pour distilled water into the reservoir opening.

3. When ﬁnished ﬁlling the reservoirs, close the cover. Press

ﬁrmly to engage the latch.

IMPORTANT: The Med4 Elite should never be tipped on its

side. Tipping of the control unit may cause damage to the

compressor and may void the warranty.

Once the device is located in a suitable location, lock the

casters in place by pressing down on all four caster locks

until they click into the down and locked position.

POWERING UP

Connections and Powering Up

1. Attach the supplied power cord to the back of the Control Unit.

2. Plug the power cord into the appropriate power outlet.

IMPORTANT: Place the power cord in a safe location to

prevent tripping hazards or inadvertent disconnection.

3. Turn on the power switch located on the back of the Control Unit.

EN -10 GETTING STARTED

After you switch the power on, the On/Off button at the top of the

touch screen illuminates in amber.

SETTING THE LANGUAGE

The ﬁrst task you will be asked to complete with your Med4 Elite is to

select and conﬁrm a Language for the user interface.

On the initial boot, the Select Language screen appears.

1. Press the up or down arrows to scroll through the available

languages.

4. Press the On/Off button to turn on the Med4 Elite. The On/Off

button at the top of the touch screen will turn green.

2. To select the default language setting, press the

Conﬁrm button.

The Conﬁrm Language screen appears.

3. To conﬁrm the default language setting, press the

Conﬁrm button.

4. Restart to Apply Settings by pressing the Conﬁrm

button a second time.

The Med4 Elite operating system takes up to 60 seconds to load.

The Control Unit's computer powers down.

5. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN -11GETTING STARTED

Upon powering the Control Unit back on, the Select Patient screen will

appear. The Med4 Elite is now ready for use. Select a patient to begin

setting up a therapy. See Using the Med4 Elite for further instruction.

CHANGING FACTORY SETTINGS

The Med4 Elite ships with factory settings that deﬁne the default set-

tings for therapy sessions. Settings include minimum, maximum and

default heat and cold temperatures; minimum, maximum and default

compression, minimum, maximum and default therapy session times,

reservoir temperatures, interface language, and temperature scale.

These settings determine the allowable temperature and compression

ranges for therapy sessions, as well as the default settings you see

when you start up the Control Unit.

You can use the Med4 Elite with factory settings, or you can change

these settings to meet the requirements of your facility at any time.

To view the factory settings and the procedures to change the settings,

refer to Conﬁguring Med4 Elite System Settings.

IMPORTANT: If the Control Unit detects an insufﬁcient

amount of water in the reservoirs, you will not be allowed to

continue until adding an adequate amount of water.

It is important that you ll the reservoirs prior to turning on the

Med4 Elite. If it is turned on without water, or with an insufﬁcient

amount of water, you will be prompted to add water before continuing.

See Filling the Reservoirs for instruction. Once both reservoir levels

reach at least 75%, the Select Patient screen will automatically appear,

and the Med4 Elite is now ready for use.

PERSONAL IDENTIFICATION NUMBER (PIN)

The Med4 Elite is delivered with a factory default PIN. The factor y

de f a u l t PI N is 1111. The PIN is necessary to access System Settings

and to change default settings. You may change the PIN number in

System Settings, refer to Conﬁguring Med4 Elite System Settings.

Please remember to keep your PIN secure and accessible.

IMPORTANT: If you lose or forget your PIN, call Game

Ready Technical Support and request a Master PIN. This

will allow you to access the System Settings to conﬁgure

a new PIN. You can contact Game Ready Technical Support

at 1.888.426.3732 (1.888.GameReady) and +1.510.868.2100.

From outside the U.S., contact your local distributor.

EN -12 GETTING STARTED

MED4 ELITE AT A GLANCE

D

E

B

A

G

USER INTERFACE ELEMENTS

A. Screen Title

B. Access System Settings

C. Toggle Temperature Scale between °F and °C

H

F

I

C

D. Selected Patient

E. Available Therapies

F. Switch Patient

G. Target Reservoir Temperature

H. Decrease or Increase Target Temperature

I. Actual Reservoir Temperature

J. Type of Therapy in Progress

K. Total Time Remaining

L. Stop Therapy

M. Pause Therapy

N. Compression Level

O. Add Patient

P. Actual Heat Reservoir Temperature

Q. Actual Cold Reservoir Temperature

PATIENT OPTIONS TITLES / SETTINGS RESERVOIR OPTIONS

J

K

L

N

P

O

Q

M

EN -13GRAPHICAL USER INTERFACE

THERAPY ICONS

The User Interface uses icons to control the Med4 Elite.

Icon Name

Access System Settings

Toggle between Fahrenheit (°F)

and Celsius (°C)

Heat Reservoir Level and

Current Reservoir Temperature

Cold Reservoir Level and

Current Reservoir Temperature

Increase setting

Decrease setting

Start Therapy

Cancel

Pause Therapy

Icon Name

Snooze Total Number of Cycles

Snooze Cycle Status

Heat Therapy

Adjust Heat Therapy Settings

Rapid Contrast Therapy

Adjust Rapid Contrast Therapy Settings

Set Beginning Therapy

Rapid Contrast Therapy Heat Time

Rapid Contrast Therapy Cold Time

Stop Therapy

Patient 1 Add

Patient 1 Select

Patient 1 Switch

Patient 2 Add

Patient 2 Select

Patient 2 Switch

Cold Therapy

Adjust Cold Therapy Settings

Toggle Snooze On

Rapid Contrast Therapy Total Time

Compression-Only Therapy

Adjust Compression-Only Therapy Settings

No compression (None)

Low compression (5–15 mmHg)

Medium-Low compression (5–30 mmHg)

Medium compression (5–50 mmHg)

High compression (5–75 mmHg)

General Alarm

Attention: Consult User Manual

Toggle Snooze Off

EN -14 GRAPHICAL USER INTERFACE

SYSTEM SETTINGS ICONS

The System Settings User Interface uses icons to control the default settings of the Med4 Elite.

Icon Name

Access System Settings

Change Personal Identiﬁcation Number (PIN)

Factory Reset

Language Settings

System Information

Data Download

Software Update

Cold Therapy Settings

Cold Therapy Time Settings

Icon Name

Compression-Only Therapy Settings

Compression-Only Therapy Time Settings

Cancel

Conﬁrm

Return

Start

Exit to Save Settings (Restart Required)

No compression (None)

Low compression (5–15 mmHg)

Cold Therapy Compression Settings

Cold Reservoir Temperature Settings

Snooze Settings

Enable Snooze

Disable Snooze

Heat Therapy Settings

Heat Therapy Time Settings

Heat Therapy Compression Settings

Heat Reservoir Temperature Settings

Rapid Contrast Therapy Settings

Medium-Low compression (5–30 mmHg)

Medium compression (5–50 mmHg)

High compression (5–75 mmHg)

Rapid Contrast Time Settings

EN -15GRAPHICAL USER INTERFACE

USING THE MED4 ELITE

SETTING THE TEMPERATURE

• The Med4 Elite has two water reservoirs that are used to achieve the desired therapy temperature. One is used for Heat Therapy and

one is used for Cold Therapy. Reservoir temperatures can be set

from the Select Patient screen shown above.

3. Resume therapy for the ﬁrst patient by pressing the Start button.

4. Set up the second patient and press the Start button.

SETTING THE TEMPERATURE SCALE (°F / °C)

The Med4 Elite enables you to view temperatures in either Fahrenheit (°F)

or Celsius (°C). From any screen you can quickly switch between the two.

For example, to set the temperature scale from the Select Patient screen:

• It is recommended that reservoir temperatures are set for the most

common therapy temperatures at the start of the work day.

• Or the reservoir temperatures can be set in the Administrative Settings to default temperatures when the Med4 Elite is turned on.

• If a therapy requires a change from the set reservoir temperature, the new reservoir temperature can be selected from the Select

Patient screen prior to setting up the patient therapy. This allows the reservoirs time to reach desired temperatures prior to

treatment.

NOTE: See Safety > General Warnings and Cautions for

expected maximum and minimum skin temperatures.

ADJUSTING RESERVOIR TEMPERATURE

WHEN SHARED BETWEEN TWO PATIENTS

The Med4 Elite reservoirs are shared between patients. When two

patients are being treated with therapies that use the same reservoir,

the therapy temperature will be the same for both patients.

When setting up a therapy for the second patient that uses the same

reservoir as the ﬁrst patient, the therapy temperature selection (+ or -)

buttons will be inactive. The reservoir temperature will remain at the

temperature set for the ﬁrst patient. If a different temperature is desired,

all therapies must ﬁrst be paused in order to adjust the reservoir

temperature. Attempting to change the temperature while a therapy is

in progress will display the Heat/Cold Reservoir in Use message.

To change the reservoir temperature:

1. Pause treatment on the ﬁrst patient, and adjust the temperature.

2. This adjusted temperature will be the same for both patients.

1. Press the temperature scale icon in the lower right corner of

the screen.

The temperature scale switches. In this example, the scale switches

from Fahrenheit to Celsius.

SETTING UP THERAPY SESSIONS

The Med4 Elite allows you to set up individual therapy sessions for up

to two patients at a time. Therapy modalities include:

• Heat Therapy (Thermotherapy) with or without compression

• Cold Therapy (Cryotherapy) with or without compression

• Rapid Contrast Therapy (rapidly alternates between Heat and Cold therapies) with or without compression

• Compression-Only Therapy (no water ﬂow)

You can pause, stop or change therapies at any time during treatment.

EN -16 USING THE MED4 ELITE

IMPORTANT: The default settings determine the minimum,

maximum and default temperatures, compression levels and

therapy times for individual treatment sessions.

These settings are set at the factory or by your facility

administrator. Refer to Conﬁguring Med4 Elite's System

Settings in this manual for more information.

The Med4 Elite allows for a single patient therapy or up to two

patients to receive therapy simultaneously. When two patients receive

treatment, you can individualize the treatment sessions for each patient.

SINGLE PATIENT THERAPY

WITH ONE WRAP

To set up a therapy session for a single patient:

1. Apply the desired Wrap to the patient and attach the Wrap to

the Hose. When you hear a click, you have connected the

Wrap correctly.

NOTE: You can set up the patient as either Patient 1 or Patient

2. If you set up a patient on the Hose marked with the number

1, conﬁgure that patient as Patient 1 in the user interface. If

you set up a patient on the Hose marked with the number 2,

conﬁgure that patient as Patient 2 in the user interface.

Front

Hose f or Pati ent 1

Front

Hose f or Pati ent 2

Click Hose connector

into place

Disconnect Button

2. Select the desired patient by pressing the Patient Icon: Patient

1 is on the left side of the screen or Patient 2 is on the right

side of the screen. This selection allows you to adjust settings

for the desired patient.

The Select Therapy screen appears with four active therapy icons. (In

the following example, Patient 1 is selected. However, if you need to

switch to Patient 2 instead, press the Patient 2 Switch button.)

3. Select the desired therapy.

EN -17USING THE MED4 ELITE

For setting up these therapies, refer to the procedures in the

appropriate section in Using the Med4 Elite:

• Heat Therapy

• Cold Therapy

• Rapid Contrast Therapy

• Compression-Only Therapy

In the following example, Cold Therapy is selected.

In this example, Patient 1’s session is in progress with:

• Cold Therapy

• Medium compression

• 14:50 minutes of Cold Therapy remaining

• Cold Therapy temperature set to 40 °F (4 °C)

• Actual reservoir temperature is 43 °F (6 °C)

4. Once you have selected the patient’s therapy settings and

the treatment temperature reaches the set point, press the

Start button to begin the therapy session.

5. Press the Cancel button to go back to the main screen

without starting the session. By returning to the main screen,

settings will not be saved.

When the session starts, the Therapy Status screen displays the session

time as a countdown for the total treatment time. The screen also shows

the type of therapy, treatment temperatures, the compression levels,

and the reservoir temperatures and water levels. From this screen, you

can stop or pause treatment.

SINGLE PATIENT THERAPY

WITH TWO WRAPS

OR

TWO PATIENT THERAPY

IMPORTANT: For Two Patient Therapy sessions, the heat

and cold reservoirs are shared between patients. Therefore,

the temperatures will be the same for both patients. When

setting up a therapy for the second patient that uses

the same reservoir as the rst patient, the therapy

temperature selection (+ or -) will be inactive. The

reservoir temperature will remain at the temperature set

for the ﬁrst patient. If a different temperature is desired, all

therapies must ﬁrst be paused in order to adjust the reservoir

temperature. Attempting to change the temperature while a

therapy is in progress will display the Heat/Cold Reservoir in

Use message.

If you want to change the reservoir temperature before adding

a second patient, you will ﬁrst need to pause treatment on the

ﬁrst patient and adjust the temperature. This new temperature

will affect both patient therapies. See Pausing, Stopping and

Changing Therapy Sessions.

EN -18 USING THE MED4 ELITE

To add a second patient after ﬁrst setting up a single patient (see previ-

ous section Single Patient Therapy):

1. Select the appropriate Wrap and attach it to the Hose. When

you hear it click, you have connected the Wrap correctly.

Click Hose connector

into place

Once you select the Patient, the four therapy icons become active. (In

this example, Patient 2 is selected for a new therapy to be set up, and

Patient 1 is receiving Cold Therapy.)

3. Select the desired therapy.

Disconnect Button

NOTE: If the unused Hose is marked with the number 1,

conﬁgure the second patient as Patient 1 in the user interface.

If the unused Hose is marked with the number 2, conﬁgure

the second patient as Patient 2 in the user interface.

Front

Hose f or Pati ent 1

Front

Hose f or Pati ent 2

For setting up these therapies, refer to the procedures in the

appropriate section in Using the Med4 Elite:

• Heat Therapy

• Cold Therapy

• Rapid Contrast Therapy

• Compression-Only Therapy

In the following example, Heat Therapy is selected for Patient 2 while

Cold Therapy continues for Patient 1.

2. Select either Patient 1 Add or Patient 2 Add (based on

whichever Hose is available) by pressing the Patient Add icon

on the Therapy Status screen. This allows you to adjust settings

for the second patient or a second wrap for a single patient.

4. Once you have selected the the second patient’s therapy

settings and the treatment temperature reaches the set point,

press the Start button to begin the therapy

session.

5. Press the Cancel button to go back without starting the

session. By returning to the previous screen, settings will not

be saved.

EN -19USING THE MED4 ELITE

When the session starts, the Therapy Status screen displays the session

time as a countdown for the total treatment time. The screen also shows

the type of therapy, treatment temperatures, the compression levels,

and the reservoir temperatures and water levels. From this screen, you

can stop or pause treatment.

HEAT THERAPY

The Med4 Elite allows you to set up a Heat Therapy session for each

patient. Individual settings for each patient’s session include treatment

temperature, time and compression level.

To set up a Heat Therapy session from the Select Patient screen:

In this example:

Patient 1’s session is in progress

with:

• Cold Therapy

• Medium compression

• 13:00 minutes of Cold

Therapy remaining

• Cold Therapy tempera-

ture is set to 40 °F

(4 °C)

• Actual reservoir tem-

perature is 43 °F (6 °C)

Patient 2’s session is in progress

with:

• Heat Therapy

• Low compression

• 14:46 minutes of Heat

Therapy remaining

• Heat Therapy tem-

perature set to 105 °F

(41 °C)

• Actual reservoir

temperature is 98 °F

(37 °C)

1. Select the desired patient by pressing the appropriate Patient

Icon: Patient 1 is on the left side of the screen or Patient 2 is

on the right side of the screen.

The Select Therapy screen appears with four active therapy icons. (In

this example, Patient 1 is selected.)

2. Press the Heat Therapy icon.

The Heat Therapy screen appears for the selected patient. This screen

allows you to adjust individual settings. These include heat tempera -

ture, treatment time (in minutes) and compression level (Low or No

compression) for Heat Therapy as indicated for use.

EN-20 USING THE MED4 ELITE

3. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the treatment time for the Heat Therapy session.

4. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the compression level for the Heat Therapy session.

Available compression levels:

No compression Low compression

5 - 15 mmHg

6. Once you have selected the patient’s therapy settings and

the treatment temperature reaches the set point, press the

Start button to begin the therapy session.

7. Press the Cancel button to go back to the main screen

without starting the session. By returning to the main screen,

settings will not be saved.

When the session starts, the Therapy Status screen displays the session

time as a countdown for the total treatment time. The screen also shows

the type of therapy, treatment temperatures, the compression levels,

and the reservoir temperatures and water levels. From this screen, you

can stop or pause treatment.

5. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the treatment temperature for the Heat Therapy

session.

NOTE: The water for Heat Therapy comes from a shared

reservoir. Therefore, if two patients receive Heat Therapy at

the same time, the temperature will be the same for both

patients. Any modiﬁcation to the heat setting will affect both

patients.

In this example, Patient 1’s session is in progress with:

• Heat Therapy

• Low compression

• 14:50 minutes of Heat Therapy remaining

• Heat Therapy temperature set to 105 °F (41 °C)

• Actual reservoir temperature is 98 °F (37 °C)

EN-21USING THE MED4 ELITE

COLD THERAPY

A Cold Therapy session can be set up for each patient. Individual

settings for each patient’s session include treatment temperature, time

and compression level. Cold Therapy also includes an optional Snooze

function. The Snooze function allows up to six (on/off) cycles of Cold

Therapy and the ability to set the time between cycles. If a patient’s

therapy requires Snooze, enable this function in the System Settings.

See Conﬁguring Med4 Elite System Settings > Setting up Defaults >

Cold Settings > Snooze Function.

To set up a Cold Therapy session from the Select Patient screen:

NOTE: The following screens are shown with the Snooze

function enabled. The system's master Snooze function

is disabled by default. Before using it in Cold Therapy,

remember to enable it in System Settings. See Conﬁguring

Med4 Elite System Settings > Setting Defaults > Snooze

Function.

If the Snooze function is enabled, but is not desired for the patient

therapy session, press the red Toggle Snooze button to disable the

Snooze function for the session.

1. Select the desired patient by pressing the appropriate Patient

Icon: Patient 1 is on the left side of the screen or Patient 2 is

on the right side of the screen.

The Select Therapy screen appears with four active therapy icons. (In

this example, Patient 1 is selected.)

2. Press the Cold Therapy icon.

The Cold Therapy screen appears for the selected patient. This screen

allows you to adjust individual settings. These include cold temperature,

treatment time (in minutes), compression level (Low, Medium -low,

Medium, High or No compression) and the Snooze function (if enabled).

3. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the treatment time (in minutes) for the Cold Therapy

session.

4. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the compression level for the Cold Therapy session.

Available compression levels:

No compression

Medium

(5–50 mmHg)

(5–15 mmHg)

(5–75 mmHg)

Low

High

Medium-Low (5–30 mmHg)

EN-22 USING THE MED4 ELITE

5. Press the plus (+) arrow to increase or minus arrow (-) to

decrease the cold temperature for the Cold Therapy session.

NOTE: The water for Cold Therapy comes from a shared

reservoir. Therefore, if two patients receive Cold Therapy at

the same time, the temperature will be the same for both

patients. Any modiﬁcation to the cold setting will affect both

patients.

6. Set up the Snooze function.

a. To determine the amount of time between Cold Therapy

sessions (snooze time), press the plus (+) arrow to increase

or the minus (-) arrow to decrease the time.

b. Press the plus (+) arrow to increase or the minus (-) arrow

to decrease the number of Cold Therapy cycles.

NOTE: The Med4 Elite allows you to set up a maximum of

six (6) Cold Therapy cycles when Snooze is enabled. Set the

maximum number of cycles to allow for individual therapy

sessions in the default settings.

7. Once you have selected the patient’s therapy settings and

the treatment temperature reaches the set point, press the

Start button to begin the therapy session.

8. Press the Cancel button to go back to the main screen

without starting the session. By returning to the main screen,

settings will not be saved.

When the session starts, the Therapy Status screen displays the session

time as a countdown for the total treatment time. The screen also shows

the type of therapy, treatment temperatures, the compression levels,

and the reservoir temperatures and water levels. From this screen, you

can stop or pause treatment.

EN-23USING THE MED4 ELITE

In this example, Patient 1’s session is in progress with:

• Cold Therapy

• No compression

• Snooze enabled

• Snooze on cycle two of four (2 / 4)

• 29:40 minutes of total therapy session remaining

RAPID CONTRAST THERAPY

The Med4 Elite allows you to set up a Rapid Contrast Therapy session

for up to two patients. Individual settings for a patient’s session include

total treatment time, heat and cold treatment temperatures, times

and compression levels. To maintain desired temperatures throughout

treatment, it is recommended that Rapid Contrast Therapy be used on

one patient at a time.

To set up a Rapid Contrast Therapy session from the Select Patient

screen:

• Cold Therapy temperature set to 40 °F (4 °C)

• Actual reservoir temperature is 43 °F (6 °C)

1. Select the desired patient by pressing the appropriate Patient

Icon: Patient 1 is on the left side of the screen or Patient 2 is

on the right side of the screen.

The Select Therapy screen appears, with four active therapy icons. (In

this example, Patient 1 is selected.)

2. Press the Rapid Contrast icon.

EN-24 USING THE MED4 ELITE

The Rapid Contrast Therapy screen appears for the selected patient.

This screen allows you to adjust individual settings. These include heat

temperature, cold temperature, heat and cold therapy treatment times

and total treatment time (in minutes) and compression levels (Cold:

Low, Medium-low, Medium, High or No compression/Heat: Low or No

compression).

3. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the total treatment time (in minutes) for the Rapid

Contrast Therapy session.

5. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the compression level for the Heat Therapy portion

of the Rapid Contrast Therapy session.

HEAT T R E ATM E N T

IN RAPID CONTRAST THERAPY

To set up the Heat Therapy treatment in Rapid Contrast Therapy:

4. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the treatment time (in minutes) for the Heat Therapy

portion of the Rapid Contrast Therapy session.

Available compression levels:

No compression

Low compression

5 - 15 mmHg

6. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the heat temperature for the Rapid Contrast Therapy

session.

NOTE: The water for Heat Therapy comes from a shared

reservoir. Therefore, if two patients receive Heat Therapy at the

same time, the temperature will be the same for both patients.

Any modiﬁcation to the heat setting will affect both patients.

EN-25USING THE MED4 ELITE

COLD TREATMENT

IN RAPID CONTRAST THERAPY

Available compression levels:

To set up the Cold Therapy treatment in Rapid Contrast Therapy:

7. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the treatment time (in minutes) for the Cold Therapy

portion of the Rapid Contrast Therapy session.

No compression

Medium

(5–50 mmHg)

Low

(5–15 mmHg)

High

(5–75 mmHg)

Medium-Low

(5–30 mmHg)

8. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the compression level for the cold therapy portion of

the Rapid Contrast Therapy session.

9. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the cold temperature for the Rapid Contrast Therapy

session.

NOTE: The water for Cold Therapy comes from a shared

reservoir. Therefore, if two patients receive Cold Therapy at

the same time, the temperature will be the same for both

patients. Any modiﬁcation to the cold setting will affect both

patients.

EN-26 USING THE MED4 ELITE

SETTING THE STARTING AND ENDING THERAPY

IN RAPID CONTRAST THERAPY

10. Use the Set Beginning Therapy button to start Rapid

Contrast Therapy with Cold or Heat treatment. The therapy

icon shown within the circle indicates the treatment that will

begin your Rapid Contrast Therapy session. The therapy icon

shown within the octagon indicates the treatment that will

end your session.

11. To control which therapy treatment the session ends on, you

may increase or decrease total treatment time, or Heat or

Cold Therapy times. The ending icon will adjust accordingly.

12. Once you have selected the patient’s therapy settings and

the treatment temperature reaches the set point, press the

Start button to begin the therapy session.

13. Press the Cancel button to go back to the main screen

without starting the session. By returning to the main screen,

settings will not be saved.

When the session starts, the Therapy Status screen displays the session

time as a countdown for the total treatment time. The screen also shows

the type of therapy, treatment temperatures, the compression levels,

and the reservoir temperatures and water levels. From this screen, you

can stop or pause treatment.

In this example, Patient 1’s session is in progress with:

• Rapid Contrast Therapy

• 44:40 minutes remaining in the Rapid Contrast Therapy session

• Cold Therapy is in progress

• 2:40 minutes remaining in the current portion of Cold

Therapy

• Medium compression for Cold Therapy

• Heat temperature set to 105 °F (41 °C)

• Actual reservoir temperature is 98 °F (37 °C)

Rapid Contrast Therapy

Begin on Cold / End on Heat

Rapid Contrast Therapy

Begin on Cold / End on Cold

Rapid Contrast Therapy

Begin on Heat / End on Cold

Rapid Contrast Therapy

Begin on Heat / End on Heat

• Cold temperature set to 40 °F (4 °C)

• Actual reservoir temperature is 43 °F (6 °C)

EN-27USING THE MED4 ELITE

COMPRESSION-ONLY THERAPY

The Med4 Elite allows you to set up a Compression -Only Therapy ses-

sion for each patient. Compression-Only Therapy sessions only provide

compression, no Heat or Cold therapy.

To set up a Compression-Only Therapy session from the Select Patient

screen:

1. Select the desired patient by pressing the appropriate Patient

Icon: Patient 1 is on the left side of the screen or Patient 2 is

on the right side of the screen.

3. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the treatment time (in minutes) for the Compression

Therapy session.

The Select Therapy screen appears with four active therapy icons. (In

the following example, Patient 1 is selected.)

2. Press the Compression Therapy icon.

The Compression-Only Therapy screen appears for the selected pa-

tient. This screen allows you to adjust individual settings. These include

treatment time (in minutes) and the compression level.

4. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the compression level for the Compression Therapy

session.

Available compression levels:

Low

(5–15 mmHg)

Medium-Low

(5–30 mmHg)

Medium

(5–50 mmHg)

(5–75 mmHg)

High

EN-28 USING THE MED4 ELITE

5. Once you have selected the patient’s therapy settings and

the treatment temperature reaches the set point, press the

Start button to begin the therapy session.

6. Press the Cancel button to go back to the main screen

without starting the session. By returning to the main screen,

settings will not be saved.

When the session starts, the Therapy Status screen displays the

session time as a countdown for the total treatment time. The screen

also shows the compression level. From this screen, you can stop or

pause treatment.

In this example, Patient 1’s session is in progress with:

• Compression-Only Therapy

• Medium compression

• 14:50 minutes remaining of Compression-Only Therapy

EN-29USING THE MED4 ELITE

PAUSING, CHANGING, AND STOPPING A THERAPY

PAUSING

The Med4 Elite allows you to pause a therapy session at any time.

NOTE: Heat Therapy is used in the following illustrations to

show how to pause a therapy in progress. These procedures

can be used to pause in Cold, Rapid Contrast and Compression-

Only Therapies.

In the following example, Patient 1’s Heat Therapy session was modi-

ﬁed with a reduced time setting.

2. Press the plus (+) arrow to increase or the minus (-) arrow

to decrease the time, compression level, or temperature

setting(s) for the current session.

3. When you are ready to resume the session, press the

Start button.

The Therapy Status screen displays the new therapy settings and the

therapy session will continue.

1. From the Therapy Status screen, press the Pause button.

The therapy session pauses.

2. To resume the paused therapy without any adjustments, press

the Start button.

CHANGING

You may change therapy session settings only while treatment is

paused. To make changes, ﬁrst pause the therapy, as described in the

previous section, Pausing.

1. Once the therapy is paused, press the Adjust Therapy

Settings icon.

The Heat Therapy settings screen appears after pressing the Adjust

Therapy Settings icon.

EN-30 USING THE MED4 ELITE

STOPPING

The Med4 Elite allows you to stop a therapy session at any time. By

pressing the Stop button, all therapy settings will reset to the default

settings and new therapy settings must be selected.

To stop a therapy session:

1. Press the Stop button in the Therapy Status screen.

The therapy session stops and the Select Patient screen appears. The

previous therapy settings cannot be adjusted. A new therapy session

can then be started with new settings.

POWERING DOWN

To power down the Med4 Elite, use any of the following methods:

1. By pressing and holding the green On/Off button located above the

touch screen.

NOTE: If powering down the Control Unit while a therapy is

still in progress, all therapy will be stopped automatically.

For setting up new therapies, refer to the procedures in the appropriate

section in Using the Med4 Elite:

• Heat Therapy

• Cold Therapy

• Rapid Contrast Therapy

• Compression-Only Therapy

2. By switching the On/Off switch on the back of the Control Unit to

the Off position.

3. If the On/Off button and the On/Off switch are not working properly,

you may power down the Control Unit by carefully detaching the power

cord from the back.

To power the Med4 Elite up after it has been powered down, ensure

the power cord is properly attached to the back of the Control Unit and

into an appropriate wall outlet, that the power switch is switched to on,

and then press the amber On/Off button.

NOTE: The Med4 Elite will automatically power down after six

(6) hours of inactivity.

EN- 31USING THE MED4 ELITE

CONFIGURING MED4 ELITE

SYSTEM SETTINGS

The Med4 Elite allows you to change the factory settings and to

customize the default settings through System Settings.

PERSONAL IDENTIFICATION NUMBER (PIN)

For securit y, the Med4 Elite requires users to enter a PIN before

accessing System Settings. The factory default PIN is 1111, however,

you can change the PIN at any time.

IMPORTANT: If you lose or forget your PIN, call Game

Ready Technical Support and request a Master PIN. This

will allow you to access the System Settings to conﬁgure

a new PIN. You can contact Game Ready Technical Support

at 1.888.426.3732 (1.888.GameReady) and +1.510.868.2100.

From outside the U.S., contact your local distributor.

CHANGING THE PIN

2. Press 1111 (the factory default PIN), or the current PIN.

The System Settings screen appears.

3. Press the security icon.

The Enter Current PIN screen appears.

To change the PIN:

1. Press the System Settings icon located in the bottom left

corner of the Select Patient screen.

The Enter Pin screen appears.

4. Press 1111 (the factory default PIN), or the current PIN.

The Enter New PIN screen appears.

EN-32 CONFIGURING MED4 ELITE SYSTEM SETTINGS

5. Press the desired numbers to enter the new four-digit PIN.

NOTE: To return to System Settings without changing the PIN,

press the Return button.

The Re-enter New PIN screen appears.

6. Re -enter the new PIN to conﬁrm.

The Conﬁrm PIN Change screen appears.

SET TING DEFAULTS

Default settings deﬁne the minimum, maximum and default therapy

temperatures, therapy compression levels, and treatment time. You

can use the Med4 Elite with factory settings, or change these settings

at any time.

The Heat Reservoir Temperature Settings screen is shown below as an

example of how to set defaults.

7. To conﬁrm PIN change, press the Conﬁrm button.

8. To cancel the PIN change, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

1. To set Minimum Defaults: Press the plus (+) arrow to increase

and the minus (-) arrow to decrease the temperature to select

the minimum allowable therapy setting. In the example above,

the minimum allowable temperature when a Heat Therapy

session is set-up will be 95 °F. Users will not be able to set a

heat therapy temperature lower than 95 °F.

2. To set Maximum Defaults: Press the plus (+) arrow to increase

and the minus (-) arrow to decrease the temperature to select

the maximum allowable therapy setting. In the example above,

the maximum allowable temperature when a Heat Therapy

session is set-up will be 113 °F. Users will not be able to set a

heat therapy temperature higher than 113 °F.

3. To set Defaults: Press the plus (+) arrow to increase and the

minus (-) arrow to decrease the temperature to select the

default therapy setting. In the example above, the default

temperature when a Heat Therapy session is set-up will be

105 °F. This is the temperature setting that ﬁrst appears in

the Heat Therapy screen when a Heat Therapy session is

being conﬁgured. Users can customize this temperature for

speciﬁc therapy sessions, but not outside the range set in the

minimum and maximum settings above.

9. If no other changes are required, press the Exit icon to

save the new settings. Please remember to keep your PIN

secure and accessible. The PIN is necessary to access System

Settings and to change default settings.

A complete listing of all factory settings is shown on the following pages.

EN-33CONFIGURING MED4 ELITE SYSTEM SETTINGS

FACTORY DEFAULT SETTINGS

Reservoir Temperature

Heat

Cold

Heat Therapy

Compression Level

Treatment Time

Cold Therapy

Compression Level

Minimum Setting Maximum Setting

95 °F / 35 °C 113 °F / 45 °C 105 °F / 41 °C

38 °F / 3 °C 60 °F / 16 °C 45 °F / 7 °C

None Low None

5 minutes 30 minutes 15 minutes

None High None

Default Setting

Treatment Time

Snooze

When Snooze is Enabled:

Snooze Duration

Number of Snooze Cycles

Compression Therapy

Level

Treatment Time

5 minutes 60 minutes 15 minutes

Disabled Enabled Disabled

30 minutes 60 minutes 30 minutes

2 6 4

Low High Low

5 minutes 60 minutes 15 minutes

EN-34 CONFIGURING MED4 ELITE SYSTEM SETTINGS

Rapid Contrast Therapy

FACTORY DEFAULT SETTINGS

Minimum Setting Maximum Setting Default Setting

Heat Treatment Time

Cold Treatment Time

Total Treatment Time

Hot Compression

Cold Compression

Set Beginning Therapy

Temperature

Degree Scale

Language

1 minute 10 minutes 3 minutes

15 minutes 90 minutes 30 minutes

None Low None

None High None

— — Cold

— — °F

— — English

EN-35CONFIGURING MED4 ELITE SYSTEM SETTINGS

ACCESSING SYSTEM SETTINGS

To change default settings, enter System Settings from the Select

Patient screen:

1. Press the System Settings icon located in the bottom left

corner of the Select Patient screen.

The Enter Pin screen appears.

2. Use the keypad to enter your PIN.

You can now use the System Settings interface to change the system

settings of your Med4 Elite.

EN-36 CONFIGURING MED4 ELITE SYSTEM SETTINGS

HEAT SETTINGS

The Med4 Elite enables you to deﬁne the following Heat Therapy

default settings:

• Minimum and maximum default temperatures

• Minimum, maximum and default therapy session times

• Compression settings: Low and No compression

These settings determine the limits the Med4 Elite can be set for

individual therapy sessions.

HEAT TEMPERATURE SETTINGS

To set up the default temperature settings for Heat Therapy:

2. Press the plus (+) arrows to increase or minus arrows (-)

to decrease the minimum, maximum, and default heat

temperatures for therapy treatments.

When Heat Therapy mode is selected for a therapy, the Control Unit

will default to the temperature set.

3. To conﬁrm the default heat reservoir settings, press the

Conﬁrm button.

4. To cancel these settings, press the Cancel button.

1. From the System Settings screen, press the Heat

Temperature icon

The Heat Reservoir Temperature Settings screen appears.

This screen allows you to control minimum, maximum and default heat

temperature settings.

NOTE: The Control Unit has factory settings set at minimum

heat 95 °F / 35 °C and maximum heat 113 °F / 45 °C. The

default heat setting is set at 105 °F / 41 °C.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other default settings.

5. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

6. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN-37CONFIGURING MED4 ELITE SYSTEM SETTINGS

HEAT TIME SETTINGS

To set up the default time settings for Heat Therapy:

1. From the System Settings screen, press the Heat Settings icon.

The Heat Therapy Settings screen appears.

3. Press the plus (+) arrows to increase or minus arrows (-) to

decrease the minimum, maximum and default heat time

settings for therapy treatments.

When Heat Therapy mode is selected for a therapy, the Control Unit

will default to the time set.

4. To conﬁrm the default heat time settings, press the

Conﬁrm button.

2. Press the Heat Time icon in the upper right hand corner of the

screen.

The Heat Therapy Time Settings screen appears.

This screen allows you to control minimum, maximum and default

heat session time settings. Times are set in ﬁve minute increments

displayed in minutes: seconds.

NOTE: The Control Unit has factory time settings set at

minimum 5 minutes and maximum 30 minutes. The default

time setting is set at 15 minutes.

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other system settings.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

EN-38 CONFIGURING MED4 ELITE SYSTEM SETTINGS

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

HEAT COMPRESSION SETTINGS

To set up the default compression settings for Heat Therapy:

3. Under the maximum setting, press the minus (-) arrow to

disabled or plus arrow (+) to set to Low compression for

therapy treatments.

1. From the System Settings screen, press the Heat Settings icon.

The Heat Therapy Settings screen appears.

2. Press the Heat Compression icon on the right hand side of the

screen.

The Heat Therapy Compression Settings screen appears.

This screen allows you to control the maximum heat compression

setting. The minimum and default settings are set to No compression

and cannot be changed. This ensures that No compression is always

an option for individual sessions.

Available compression levels:

No compression Low compression

5 - 15 mmHg

4. To conﬁrm the default heat compression settings, press the

Conﬁrm button .

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other system settings.

NOTE: The Med4 Elite has a maximum setting of Low

compression, as indicated for use with Heat Therapy. This

setting cannot be exceeded.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN-39CONFIGURING MED4 ELITE SYSTEM SETTINGS

COLD SETTINGS

The Med4 Elite enables you to deﬁne the following Cold Therapy

default settings:

• Minimum and maximum default temperatures

• Minimum, maximum and default therapy session times

• Compression settings: Low, Medium-low, Medium, High and

No compression

• Enable/disable snooze

• Minimum, maximum and default snooze cycle times

These settings determine the limits the Med4 Elite can be set for

individual therapy sessions.

COLD TEMPERATURE SETTINGS

To set up the default temperature settings for Cold Therapy:

1. From the System Settings screen, press the Cold

Temperature icon

2. Press the plus (+) arrows to increase or minus arrows (-)

to decrease the minimum, maximum and default cold

temperatures for therapy treatments.

When Cold Therapy mode is selected for a therapy, the Control Unit

will default to the temperature set.

3. To conﬁrm the default cold reservoir settings, press the

Conﬁrm button .

4. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other system settings.

The Cold Reservoir Temperature Settings screen appears.

This screen allows you to control minimum, maximum and default cold

temperature settings.

NOTE: The Control Unit factory settings are set to a minimum

cold of 38 °F / 3 °C and maximum cold of 60 °F / 16 °C. The

default cold setting is set at 45 °F / 7 °C.

EN-40 CONFIGURING MED4 ELITE SYSTEM SETTINGS

5. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

6. Press the On/Off button located at the top of the touch screen

to restart the computer.

COLD TIME SETTINGS

To set up the default time and compression settings for Cold Therapy:

3. Press the plus (+) arrows to increase or minus arrows (-) to

decrease the minimum, maximum and default cold times for

therapy treatments.

1. From the System Settings screen, press the Cold Settings

icon

The Cold Therapy Settings screen appears.

2. Press the Cold Time icon in the upper left hand corner of the

screen.

The Cold Therapy Time Settings screen appears.

This screen allows you to control minimum, maximum and default

cold session time settings. Times are set in ﬁve minute increments

displayed in minutes: seconds.

NOTE: The Control Unit has factory time settings set at

minimum 5 minutes and maximum 60 minutes. The default

time setting is set at 15 minutes.

When Cold Therapy mode is selected for a therapy, the Control Unit

will default to the time set.

4. To conﬁrm default cold time settings, press the

Conﬁrm button.

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other system settings.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN - 41CONFIGURING MED4 ELITE SYSTEM SETTINGS

COLD COMPRESSION SETTINGS

To set up the default compression settings for Cold Therapy:

3. Press the plus (+) arrows to increase or the minus (-) arrows to

decrease the maximum and default cold compression settings.

1. From the System Settings screen, press the Cold Settings icon.

The Cold Therapy Settings screen appears.

2. Press the Cold Compression icon on the left hand side of the

screen.

The Cold Therapy Compression Settings screen appears.

This screen allows you to control the maximum cold compression

setting. The minimum and default settings are set to No compression

and cannot be changed. This ensures that No compression is always

an option for individual sessions.

Available compression levels:

No compression

(5–15 mmHg)

Medium

(5–50 mmHg)

4. To conﬁrm default cold compression settings, press the

Conﬁrm button.

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other system settings.

(5–75 mmHg)

Low

High

Medium-Low (5–30 mmHg)

EN-42 CONFIGURING MED4 ELITE SYSTEM SETTINGS

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

SNOOZE FUNCTION

The Snooze function is available for Cold Therapy treatments only. This

function allows you to set up to six snooze cycles. One cycle consists

of Cold Therapy on and Cold Therapy off (Snooze). The length of time

for both Cold Therapy on and Cold Therapy off (Snooze) can be set by

the user.

To set up the default Snooze settings for Cold Therapy:

3. To enable Snooze, press the Enable Snooze icon.

The Cold Therapy Snooze Settings screen refreshes.

This screen allows you to control the minimum, maximum and default

amount of time the Control Unit sleeps (pauses) between therapy

cycles. Times are set in ﬁve-minute increments displayed in minutes:

seconds.

1. From the System Settings screen, press the Cold Settings icon.

The Cold Therapy Settings screen appears.

2. Press the Snooze Settings icon on the left hand side of the

screen.

The Cold Therapy Snooze Settings screen appears.

NOTE: The Snooze function is disabled by default. Pressing

the green snooze icon enables snooze. When snooze is

enabled, pressing the red snooze icon will disable snooze.

Cold Therapy

Snooze Disabled

Press the green Snooze icon to enable the Snooze function.

Cold Therapy

Snooze Enabled

Press the red Snooze icon to disable the Snooze function.

4. Press the plus (+) arrows to increase or minus arrows (-) to

decrease the minimum, maximum and default Snooze times

for therapy treatments.

NOTE: To disable Snooze, press the Disable Snooze icon.

5. To conﬁrm default Snooze settings, press the

Conﬁrm button.

6. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

EN-43CONFIGURING MED4 ELITE SYSTEM SETTINGS

7. When you have made all desired changes, press the Exit

icon to save the system settings.

RAPID CONTRAST SETTINGS

The Med4 Elite enables you to deﬁne the following Rapid Contrast

default settings:

For the Cold Therapy portions of Rapid Contrast Therapy:

• Minimum, maximum and default session times

• Compression settings: Low, Medium-low, Medium, High and

No compression

For the Heat Therapy portions of Rapid Contrast Therapy:

• Minimum, maximum and default session times

• Compression settings: Low and No compression

The Control Unit's computer powers down.

8. Press the On/Off button located at the top of the touch screen

to restart the computer.

For Rapid Contrast Therapy sessions in general:

• Minimum, maximum and default total session times

These settings determine the limits the Med4 Elite can be set for

individual therapy sessions.

EN-44 CONFIGURING MED4 ELITE SYSTEM SETTINGS

COLD TIME SETTINGS

IN RAPID CONTRAST THERAPY

To set up the default times for the Cold Therapy portions of Rapid

Contrast therapy:

1. From the System Settings screen, press the Rapid Contrast

icon.

The Rapid Contrast Therapy Settings screen appears.

3. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the minimum, maximum and default cold times.

This will be the default cold session time for Rapid Contrast Therapy

when the Control Unit is turned on and Rapid Contrast Therapy mode

is selected.

4. To conﬁrm default cold time settings for Rapid Contrast

Therapy, press the Conﬁrm button.

5. To cancel these settings, press the Cancel button.

2. To set the cold contrast time defaults, press the Cold Contrast

Time icon.

The Rapid Contrast Therapy Cold Time Settings screen appears

This screen allows you to control minimum, maximum and default ses-

sion time settings. Times are set in one minute increments displayed in

minutes: seconds.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN-45CONFIGURING MED4 ELITE SYSTEM SETTINGS

COLD COMPRESSION SETTINGS

IN RAPID CONTRAST THERAPY

To set up the default compression settings for the Cold Therapy por-

tions of Rapid Contrast therapy:

1. From the System Settings screen, press the Rapid Contrast

icon

The Rapid Contrast Therapy Settings screen appears.

3. Press the plus (+) arrow to increase or the minus (-) arrow to

decrease the maximum and default compression settings.

Available compression levels:

No compression

(5–15 mmHg)

Low

Medium-Low (5–30 mmHg)

2. To set up the Cold Compression default, press the Cold

Compression Contrast icon.

The Rapid Contrast Therapy Cold Compression Settings screen appears.

This screen allows you to control the maximum contrast compression

setting. The minimum and default settings are set to No compression

and cannot be changed. This ensures that No compression is always

an option for individual sessions.

Medium

(5–50 mmHg)

4. To conﬁrm default cold compression settings in Rapid Contrast

Therapy, press the Conﬁrm button.

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

(5–75 mmHg)

High

EN-46 CONFIGURING MED4 ELITE SYSTEM SETTINGS

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

HEAT TIME SETTINGS

IN RAPID CONTRAST THERAPY

To set up the default times for the Heat Therapy portions of Rapid

Contrast therapy:

1. From the System Settings screen, press the Rapid Contrast

icon.

The Rapid Contrast Therapy Settings screen appears.

3. Press the plus (+) arrows to increase or minus arrows (-) to

decrease the minimum, maximum and default heat times

This will be the default heat session time in Rapid Contrast Therapy

when the Control Unit is turned on and Rapid Contrast Therapy mode

is selected.

4. To conﬁrm default heat time settings for Rapid Contrast

Therapy, press the Conﬁrm button.

2. To set the heat contrast time defaults, press the Heat Contrast

Time icon.

The Rapid Contrast Therapy Heat Time Settings screen appears.

This screen allows you to control minimum, maximum and default ses-

sion time settings. Times are set in one minute increments displayed in

minutes: seconds.

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN- 47CONFIGURING MED4 ELITE SYSTEM SETTINGS

HEAT COMPRESSION SETTINGS

IN RAPID CONTRAST THERAPY

To set up the default compression settings for the Heat Therapy

portions of Rapid Contrast therapy:

3. Under the maximum setting, press the minus (-) arrow to

disabled or plus arrow (+) to set to Low compression for Rapid

Contrast therapy treatments.

1. From the System Settings screen, press the Rapid Contrast

icon.

The Rapid Contrast Therapy Settings screen appears.

2. To set up the Heat Compression default, press the Heat

Compression Contrast icon.

The Rapid Contrast Therapy Heat Compression Settings screen appears.

Available compression levels:

No compression Low compression

5 - 15 mmHg

4. To conﬁrm default heat compression settings, press the

Conﬁrm button.

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

This screen allows you to control the maximum contrast compression

setting. The minimum and default settings are set to No compression

and cannot be changed. This ensures that No compression is always

an option for individual sessions.

NOTE: The Med4 Elite has a maximum setting of Low

compression, as indicated for use with Heat Therapy. This

setting cannot be exceeded.

EN-48 CONFIGURING MED4 ELITE SYSTEM SETTINGS

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

TOTAL TIME SETTINGS

IN RAPID CONTRAST THERAPY

The Total Time setting for Rapid Contrast Therapy deﬁnes the duration

of an entire Rapid Contract Therapy session. When Total Time is set,

the Cold and Heat Therapies will repeat one after the other within that

total time.

To set up the default total times for Rapid Contrast therapy:

1. From the System Settings screen, press the Rapid Contrast

icon.

The Rapid Contrast Therapy Settings screen appears.

3. Press the plus (+) arrows to increase or minus arrows (-) to

decrease the minimum, maximum and default time for therapy

treatments.

This will be the default total time in Rapid Contrast Therapy when the

Control Unit is turned on and Rapid Contrast Therapy mode is selected.

4. To conﬁrm default total rapid contrast session time settings,

press the Conﬁrm button .

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

2. To set up the Total Time default, press the Total Time icon.

The Rapid Contrast Therapy Total Time Settings screen appears.

This screen allows you to control minimum, maximum and default

session time settings. Total times are set in ﬁve minute increments

displayed in minutes: seconds.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN-49CONFIGURING MED4 ELITE SYSTEM SETTINGS

COMPRESSION-ONLY SETTINGS

The Med4 Elite enables you to deﬁne the following Compression- Only

default settings:

• Minimum, maximum and default therapy session times

• Compression settings: Low, Medium-low, Medium and High

These settings determine the limits the Med4 Elite can be set for

individual therapy sessions.

COMPRESSION TIME SETTINGS

To set up the default times for Compression-Only therapy:

3. Press the plus (+) arrows to increase or minus arrows (-)

to decrease the minimum, maximum and default times for

therapy treatments.

This will be the default time settings time when the Control Unit is

turned on and Compression-Only Therapy mode is selected.

4. To conﬁrm default compression time settings, press the

Conﬁrm button.

5. To cancel these settings, press the Cancel button.

1. From the System Settings screen, press the Compression

Settings icon.

The Compression-Only Therapy Settings screen appears.

2. Press the Compression-Only Time Setting icon.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

The Compression-Only Therapy Time Settings screen appears.

This screen allows you to control minimum and maximum time

settings and the default session time settings. Time is set in ﬁve

minute increments with times displayed in minutes: seconds.

EN-50 CONFIGURING MED4 ELITE SYSTEM SETTINGS

COMPRESSION SETTINGS

IN COMPRESSION-ONLY THERAPY

To set up the default compression settings for Compression-Only

Therapy:

1. From the System Settings screen, press the Compression

Settings icon.

3. Press the plus (+) arrows to increase or minus arrows (-) to

decrease the maximum and default compression level settings

for therapy treatments.

Available compression levels:

The Compression-Only Therapy Settings screen appears.

2. To set the Compression Settings, press the Compression Icon

in the Compression Settings screen.

The Compression-Only Therapy Compression Settings screen appears.

This screen allows you to control the compression level settings. The

default Minimum setting for Compression-Only Therapy is Low Com-

pression. The No compression option is not available. The compression

options available are Low, Medium-low, Medium and High compres-

sion.

Low

(5–15 mmHg)

Medium-Low

(5–30 mmHg)

Medium

(5–50 mmHg)

High

(5–75 mmHg)

These will be the default compression level settings when the Control

Unit is turned on and Compression- Only Therapy mode is selected.

4. To conﬁrm default compression settings, press the

Conﬁrm button.

5. To cancel these settings, press the Cancel button.

Upon conﬁrmation, the System Settings screen returns, allowing you

to change other settings.

6. When you have made all desired changes, press the Exit

icon to save the system settings.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN-51CONFIGURING MED4 ELITE SYSTEM SETTINGS

RESETTING THE MED4 ELITE TO FACTORY SETTINGS

You may reset the Med4 Elite control unit back to factory defaults. The

PIN will not reset.

To reset all settings to factory settings:

1. From the System Settings screen, press the Apply

Factory Reset Icon.

The Enter PIN screen appears.

3. To apply Factory Reset, press the Conﬁrm button.

4. To cancel these settings, press the Cancel button.

The Conﬁrm Factory Reset screen appears.

NOTE: Press the Exit icon to return to the System Settings

screen without Applying Factory Reset.

2. To reset settings, press the appropriate numbers to enter

the PIN.

The Apply Factory Reset screen appears.

5. To conﬁrm Factory Reset, press the Conﬁrm button.

Upon conﬁrmation, the Restart to Apply Settings screen appears.

6. Press the Conﬁrm button to restart the Control Unit.

The Control Unit's computer powers down.

7. Press the On/Off button located at the top of the touch screen

to restart the computer.

EN-52 CONFIGURING MED4 ELITE SYSTEM SETTINGS

CHANGING THE LANGUAGE

The Med4 Elite enables you to view the user interface in one of 19

different languages. Use the System Settings to choose your desired

language:

Arabic

Chinese (Simpliﬁed)

Danish

Dutch

English

Finnish

To set the User Interface language on the Control Unit:

French

German

Greek

Hebrew

Italian

Japanese

Korean

Portuguese (Brasil)

Spanish (Latin America)

Polish

Russian

Swedish

Turkish

3. To select the default language setting, press the

Conﬁrm button.

4. To cancel these settings, press the Cancel button.

The Conﬁrm Language screen appears.

1. From the System Settings screen, press the Language Icon on

the settings screen.

The Select Language screen appears.

2. Press the up or down arrows to scroll through the available

languages.

5. To conﬁrm the default language setting, press the

Conﬁrm button.

6. To cancel these settings, press the Cancel button.

EN-53CONFIGURING MED4 ELITE SYSTEM SETTINGS

7. Restart to Apply Settings by pressing the Conﬁrm

button a second time.

The Control Unit's computer powers down.

WORKING WITH MED4 ELITE

SYSTEM SOFTWARE AND INFORMATION

VIEWING SYSTEM INFORMATION

The Med4 Elite enables the quick viewing of important Control Unit

information, which can help with suppor t and troubleshooting.

To view Control Unit information:

8. Press the On/Off button located at the top of the touch screen

to restart the computer.

1. From the System Settings screen, press the System Info icon.

The System Information screen appears.

The screen displays the GUI Operating System (OS), GUI Application

(App) Version, and Real Time Control Board (RTCB) Version of the

Control Unit.

2. To exit System Info, press the Return button to return

to the System Settings screen.

EN-54 CONFIGURING MED4 ELITE SYSTEM SETTINGS

DOWNLOADING DATA

Download usage data from the Med4 Elite onto the Game Ready USB

ﬂash drive that was provided with your Control Unit. If you are unable

to locate your Game Ready USB ﬂash drive, or you have completed

downloading, contact Game Ready Customer Service to provide this

data for troubleshooting and diagnostics. In the U.S. contact Game

Ready Technical Support at 1.888.GameReady (1.888.426.3732) or

1.510.868.2100. From outside the U.S., contact your local distributor.

To download data from the Control Unit:

2. Using a Phillips screw driver, remove the USB port cover at

back of Control Unit.

USB Port

3. Insert the Game Ready provided USB ﬂash drive into the USB

port on the Control Unit. The Data Download screen refreshes.

NOTE: Only Game Ready USB ﬂash drives will work with the

Med4 Elite. Do not use other USB drives.

1. From the System Settings screen, press the Data Download icon.

The Data Download screen appears. To cancel this function and return

to the System Settings main menu, press the Cancel button.

4. To start the data download, press the Start button .

5. To cancel this function, press the Cancel button.

The Data Download screen refreshes.

EN-55CONFIGURING MED4 ELITE SYSTEM SET TINGS

If data download is successful, the Download Successful screen

appears.

6. Remove the USB ﬂash drive from the Control Unit’s USB port

to return to the System Settings main menu. Replace the USB

port cover on back of Control Unit.

If there is a problem during the download, the screen displays the

message, Download Failed.

UPDATING THE SYSTEM SOFTWARE

To install software updates:

1. From the System Settings screen, press the Software

Update icon.

The Software Update screen appears. To cancel this function and re-

turn to the System Settings main menu, press the Cancel button.

7. Remove the USB ﬂash drive from the Control Unit’s USB port.

Return to Step 3 to try the download again.

NOTE: Replace the cover on the USB port to prevent

unapproved use.

NOTE: The USB port is designed for Data Downloads and

Software Updates only. Use USB drives loaded only with

software for the Med4 Elite.

EN-56 CONFIGURING MED4 ELITE SYSTEM SETTINGS

2. Using a Phillips screw driver, remove the USB port cover at

back of Control Unit

USB Port

3. Insert the Game Ready provided USB ﬂash drive into the

USB port. The Software Update screen refreshes, displaying

the version of software installed on the Control Unit.

NOTE: To learn whether you have the most current version,

go to www.gameready.com. If you don’t have the most recent

version, call Game Ready Customer Service. If your operating

system needs to be updated, Game Ready will send you a

USB ﬂash drive with the software preloaded.

6. Remove the USB ﬂash drive.

7. Replace USB port cover on back of Control Unit.

8. Press the Conﬁrm Button to apply the update. The

Control Unit's computer powers down.

9. Press the On/Off button located at the top of the touch screen

to restart the computer.

4. If an update is not necessary, press the Cancel button.

5. If an update is necassary, press the Start button to start

the update.

The Med4 Elite installs the new software. The Software Update screen

refreshes.

When the update is complete, the Control Unit indicates the Software

Update was successful.

NOTE: Replace the cover on the USB port to prevent

unapproved use.

NOTE: The USB port is designed for Data Downloads and

Software Updates only. Use USB drives loaded only with

software for the Med4 Elite.

If there is a problem during the update, the Control Unit indicates the

Software Update failed.

10. Remove the USB drive from the Control Unit. The Software

Update screen appears. Insert USB ﬂash drive again to retry.

If the Software Update fails after several attempts, contact Technical

Support. In the U.S. contact Game Ready Technical Support at 1.888.

GameReady (1.888.426.3732) or 1.510.868.2100. From outside the U.S.,

contact your local distributor.

EN-57CONFIGURING MED4 ELITE SYSTEM SETTINGS

STORING, CLEANING AND MAINTAINING

THE MED4 ELITE

4. If moving, unplug the power cord from the back of the Control Unit.

5. Unlock the wheel casters, and using the handles, move the

Control Unit to its storage location.

STORING

6. Once the Control Unit is located in the appropriate location,

make sure to lock the four casters in place.

To store the Control Unit if it will not be in use for more than two

weeks:

1. Power off the Control Unit by moving the power switch on

the back of the Control Unit to the off position.

2. Unplug the Control Unit from the outlet.

3. Unplug the power cord from the back of the Control Unit.

4. Wrap the Hose once around the Hose hanger and place the end

into the holster as shown below. Ensure the numbered Hose

Connector corresponds with the number on the Hose hanger.

5. Drain the reservoirs as described in Cleaning and Maintaining

> Control Unit Reservoirs.

6. Unlock the wheel casters, and using the handles, move the

Control Unit to its storage location.

IMPORTANT: The Med4 Elite should never be tipped on its

side. Tipping of the control unit may cause damage to the

compressor and may void the warranty.

To store the Control Unit at the end of a therapy session:

1. Wrap the Hose once around the Hose hanger and place the end

into the holster as shown above. Ensure the numbered Hose

Connector corresponds with the number on the Hose hanger.

2. Press and hold the On/Off button located at the top of the

touch screen for three seconds to power down the computer.

To store the Control Unit at the end of each day:

1. Power off the Control Unit by moving the power switch on

the back of the Control Unit to the off position.

2. Unplug the Control Unit power cord from the wall outlet.

3. Wrap the Hose once around the Hose hanger and place the end

into the holster as shown above. Ensure the numbered Hose

Connector corresponds with the number on the Hose hanger.

7. Once Control Unit is located in the appropriate location, make

sure to lock the four casters in place.

8. Clean and store Wraps as described in Cleaning and

Maintaining > Wraps.

EN-58 STORING, CLEANING, AND MAINTAINING THE MED4 ELITE

CLEANING AND MAINTAINING

The Expected Ser vice Life of the Med4 Elite Control Unit is ﬁve (5) years.

To drain the Med4 Elite reser voirs:

1. Turn off the Control Unit.

Regular cleaning and maintenance will help to keep the Med4 Elite

operating at peak performance.

CONTROL UNIT AND CONNECTOR HOSES

(CLEAN AND MAINTAIN DAILY)

1. It is important to keep the Control Unit and Connector Hoses

clean and as dust-free as possible. To ensure that your Med4

Elite remains in the best condition possible, we recommend

that you clean the exterior surfaces, including the touch

screen, and Connector Hoses with a soft cloth and one of the

following:

• Mild detergent

• CaviCide™ or CaviWipes™

• Antifect® FF

• Mikrozid® Sensitive Wipes

• Clorox Healthcare® Bleach Germicidal Wipes

• 70% isopropyl alcohol

2. Using the drain hoses included with the Control Unit, put

the end of each Hose without the connector into a container

to catch water drainage. Once hoses are inserted, water will

immediately drain from Control Unit. Make sure the container

is set to capture water prior to Hose insertion.

3. Put the remaining end of each Hose with the connector into

the reservoir drain outlets until you hear an audible click.

NOTE: Do not apply liquid cleaner directly to the surface of

the Control Unit. Always apply liquid cleaner to the cloth ﬁrst.

Using some products to clean and maintain your Med4 Elite will

void its warranty. Therefore, never use:

• Phenolic-based disinfectants (such as Amphyl®).

• Abrasive materials, which will damage the plastics.

• Any cleaning materials or solutions not speciﬁed in this User

Manual.

CAUTION: The Med4 Elite is not waterproof. Do not apply a

direct stream of any liquid onto the Control Unit, submerge

the Control Unit or allow any liquid to pool onto the surface of

the Control Unit.

2. Keep Hoses in place in their holsters on the Control Unit when

not in use.

3. Keep Wraps clean by wiping off any spills or dirt immediately.

3 gal / 12 liter

minimum

4. Drain the water into the container and dispose of liquid.

To reﬁll the reservoirs:

1. Power off the Med4 Elite by pressing the green On/Off

button on the Control Unit screen and the Power off switch

on the back of the unit.

2. Locate the reservoir opening. It is located below the

touchscreen on the Control Unit. Open by pressing on the

cover to release the latch and lift.

CONTROL UNIT RESERVOIRS

(EVERY TWO WEEKS)

Drain and replace distilled water in reservoirs every two (2) weeks. To

clean the Med4 Elite reservoirs, drain the reservoirs as described in the

following section.

EN-59STORING, CLEANING, AND MAINTAINING THE MED4 ELITE

3. Clear any debris from the ﬁll ports.

4. Carefully pour distilled water into the reservoir opening.

IMPORTANT: Use distilled water only. DO NOT use deionized

water or tap water. Failure to use distilled water may void the

warranty of the device.

5. When ﬁnished ﬁlling the reservoirs, close the cover. Press

ﬁrmly to engage the latch.

6. To turn the Control Unit on, move the power switch on the

back of the Control Unit to the on position.

The On/Off button will illuminate in amber color.

Once reservoirs are full and the Med4 Elite has powered on, the

Control Unit heats and cools the water in the reservoirs to the default

temperatures. This process takes approximately 15 minutes.

CONTROL UNIT FILTER

(EVERY THREE MONTHS)

1. Open the cover on the front of the Control Unit by loosening

the screws located at the top corners of the cover. To loosen,

push screws in and turn.

2. Remove the ﬁlter.

7. Press the On/Off button to boot the computer operating

system. The button turns green.

3. Rinse the ﬁlter off with water, shake off excess moisture, hang

to dry and place it back into the Control Unit.

4. Replace the ﬁlter by inserting back into place.

5. Close the cover. Tighten screws by pushing screws in and

turning.

Replace ﬁlter as needed. Replacement ﬁlters may be ordered by con-

tacting Game Ready Customer Service.

WRAPS

To ensure long-term use of the Wraps and to keep them free from dust

and contamination, we recommend regular wiping down and gentle

cleaning.

To clean the Wraps:

1. Gently remove the Heat Exchanger from the Sleeve.

EN-60 STORING, CLEANING, AND MAINTAINING THE MED4 ELITE

2. Hand wash the Sleeve in cold water, using a mild detergent or

antibacterial soap.

IMPORTANT: Do not use fabric softener.

3. Hang Sleeve to dry.

4. If needed, you can hand wash the external surface of the Heat

Exchanger, using a very small amount of mild detergent or

antibacterial soap.

5. Hang Heat Exchanger to dry.

IMPORTANT: For Heat Exchangers: Do not machine wash,

and do not place in dryer.

Refer to the Use Guide included with each Wrap for additional details.

WATER RESERVOIR LEVELS

The Med4 Elite has two water reservoirs that are used to achieve the

desired therapy temperature. The GUI indicates the current water level

of each reservoir with the following graphics.

Cold Reservoir 100% Heat Reservoir 100%

ADDING DISTILLED WATER

To add distilled water to the Med4 Elite reservoirs between mainte-

nance (every two weeks), or for a Low Water Alarm, follow these

procedures:

1. Locate the reservoir opening. It is located below the

touchscreen on the Control Unit. Open by pressing on the

cover to release the latch and lift.

2. Clear any debris from the Fill Port screens.

3. Carefully pour distilled water into the reser voir opening until

the GUI registers the water level at 75% for both reservoirs.

See example below.

Cold Reservoir 75% Heat Reservoir 75%

Cold Reservoir 50% Heat Reservoir 50%

Cold Reser voir 25%

Add Water Soon

(See Alarms)

Heat Reservoir 25%

Add Water Soon

(See Alarms)

4. When ﬁnished ﬁlling the reservoirs, close the cover. Press

ﬁrmly to engage the latch.

IMPORTANT: Do not overﬁll the reservoirs. Pour slowly, and

monitor the level indicated on the GUI.

Cold Reser voir Empty

Add Water to Continue

(See Alarms)

!

Heat Reservoir Emtpy

Add Water to Continue

(See Alarms)

EN-61STORING, CLEANING, AND MAINTAINING THE MED4 ELITE

TRANSPORTING THE MED4 ELITE

MOVING WITHIN THE FACILITY

1. Power off the Control Unit by moving the power switch on the

back of the Control unit to the off position.

2. Unplug the Control Unit power cord from the wall outlet.

3. Wrap the Hose once around the Hose hanger and place the

end into the holster. Ensure the numbered Hose Connector

corresponds with the number on the Hose hanger.

4. Unplug the power cord from the back of the Control Unit.

5. Unlock the wheel casters, and using the handles, move the

Control unit to its new location.

6. Once the Control Unit is located in the new location, make

sure to lock the four casters in place.

TRANSPORTING IN A VEHICLE

1. Follow instructions in the Storing section: To Store the Control

Unit if it will not be in use for more than two weeks.

2. The Med4 Elite should always be transported upright and

never on its side.

3. Use Proper care and shipping materials to protect and secure

the Control Unit during transport.

4. The Med4 Elite Travel Case or its original shipping container is

recommended for transpor tation of the Control Unit to prevent

damage.

If the Control Unit is damaged during transport and proper care and ap-

propriate shipping materials are not used, the warranty may be voided.

DISPOSING

The cooling system in your Med4 Elite contains R-134a, a refrigerant

covered by the United States Environmental Protection Agency’s (EPA)

disposal regulations and potentially other international environmental

agencies. To avoid confusion and potential environmental damage,

contact your local waste facility and inquire about disposal procedures

for the Med4 Elite.

There are no special disposal requirements for the Wraps.

EN-62 STORING, CLEANING, AND MAINTAINING THE MED4 ELITE

IMPORTANT MESSAGES

TROUBLESHOOTING THE MED4 ELITE

The Med4 Elite reservoirs are shared between patients. When two

patients are being treated with therapies that use the same reservoir,

the therapy temperature will be the same for both patients.

When setting up a therapy for the second patient, the therapy

temperature selection (+ or -) will be inactive. The reservoir

Message What Does it Mean? What Can I Do?

Heat Reservoir in Use

An attempt has been made to adjust

the Heat Reservoir Temperature while

a therapy that uses the heat reservoir

(Heat or Rapid Contrast) is currently in

progress.

or

The Control Unit has not interrupted

therapy for either user.

temperature will remain at the temperature set for the ﬁrst patient. If

a different temperature is desired, all therapies must ﬁrst be paused

in order to adjust the reservoir temperature. Attempting to change the

temperature while a therapy is in progress will display the Heat /Cold

Reservoir in Use message.

• Pause treatment on the ﬁrst patient, and

adjust the temperature (This adjusted

temperature will be the same for BOTH

patients.)

• Resume therapy for the ﬁrst patient by

pressing the Start button.

• Set up the second patient and press the

Start button to begin therapy.

Cold Reservoir in Use

An attempt has been made to adjust

the Cold Reservoir Temperature while

a therapy that uses the cold reservoir

(Cold or Rapid Contrast) is currently in

progress.

or

Need more help with a problem? In the U.S. call Game Ready Customer Service at 1.88 8.GameReady (1.888.426.3732) or 1.510.868.2100. From

outside of the U.S., please contact your local distributor.

The Control Unit has not interrupted

therapy for either user.

• Pause treatment on the ﬁrst patient, and

adjust the temperature (This adjusted

temperature will be the same for BOTH

patients.)

• Resume therapy for the ﬁrst patient by

pressing the Start button.

• Set up the second patient and press the

Start button to begin therapy.

EN-63TROUBLESHOOTING THE MED4 ELITE

ALARMS

The Med4 Elite self-monitors for events that impede its proper

operation. If an event occurs, the Control Unit triggers an alarm. These

alarms are easy to reset, using the simple instructions listed below.

Alarm What Does it Mean? What Can I Do?

Add Water Soon

The Control Unit has detected that the

water level of either reservoir has been

below 50% for 20 seconds.

The Control Unit has not interrupted

therapy for either user.

Add Water to Continue

The Control Unit has detected that the

water level of either reservoir has been

below 25% for 10 seconds.

The Control Unit has paused therapy for

both users until the reservoirs are ﬁlled.

Therapy session(s) can be restarted or

stopped.

• Add distilled water into either reservoir

inlet, located just below the touch

screen on the Control Unit. Water may

be added while the Control Unit is

turned on.

• Alarm turns off when the reservoir levels

reach 75% for 10 seconds.

• The therapy session continues.

• Add distilled water into either reservoir

inlet, located just below the touch

screen on the Control Unit. Water may

be added while the Control Unit is

turned on.

• Alarm turns off when the reservoir levels

reach 75%.

• Therapy sessions remain paused.

EN-64 TROUBLESHOOTING THE MED4 ELITE

• Continue therapy after ﬁlling the

reservoirs by pressing the Start button

for Patient(s).

• Pressing the Stop button will end the

therapy session.

Alarm What Does it Mean? What Can I Do?

Low Water Flow Patient 1

The Control Unit has detected low water

ﬂow for Patient 1.

The Control Unit has not interrupted

therapy for either user.

Persistent Low Water Flow

Patient 1

• Check Wrap for kinks, other obstructions

or leaks.

• If alarm persists, check the Hose to

Patient 1 for kinks, other obstructions

or leaks.

• Ensure wrap is applied with a snug ﬁt.

• If alarm persists, make sure it is

securely snapped into the Hose, or

try a different Wrap to isolate which

component may be producing the error.

• Reduce compression level.

• Alarm will turn off once obstruction is

cleared.

• Therapy session(s) continue(s).

• Check Wrap for kinks, other obstructions

or leaks.

The Control Unit has detected low water

ﬂow for Patient 1 for at least 90 seconds.

The Control Unit has paused Patient 1’s

therapy.

If Patient 2’s therapy session is in

progress, the Control Unit has not

interrupted Patient 2’s therapy.

Need more help with a problem? In the U.S. call Game Ready Customer Service at 1.88 8.GameReady (1.888.426.3732) or 1.510.868.2100. From

outside of the U.S., please contact your local distributor.

• If alarm persists, check the Hose to

Patient 1 for kinks, other obstructions

or leaks.

• Reduce compression level.

• Therapy session for blocked user will

remain paused.

• Push Alarm Reset button.

• If alarm persists, make sure the Wrap

is securely snapped into the Hose, or

try a different Wrap to isolate which

component may be producing the error.

• Press the Start button for Patient 1 to

start therapy, or press the Stop button to

stop therapy.

EN-65TROUBLESHOOTING THE MED4 ELITE

Alarm What Does it Mean? What Can I Do?

Low Water Flow Patient 2

The Control Unit has detected low water

ﬂow for Patient 2.

The Control Unit has not interrupted

therapy for either user.

Persistent Low Water Flow Patient 2

The Control Unit has detected low water

ﬂow for Patient 2 for at least 90 seconds.

The Control Unit has paused Patient 2’s

therapy.

• Check Wrap for kinks, other obstructions

or leaks.

• If alarm persists, check the Hose to

Patient 2 for kinks, other obstructions

or leaks.

• Ensure wrap is applied with a snug ﬁt.

• If alarm persists, make sure the Wrap

is securely snapped into the Hose, or

try a different Wrap to isolate which

component may be producing the error.

• Reduce compression level.

• Alarm will turn off once obstruction is

cleared.

• Therapy session(s) continue(s).

• Check Wrap for kinks, other obstructions

or leaks.

• If alarm persists, check the Hose to

Patient 2 for kinks, other obstructions

or leaks.

If Patient 1’s therapy session is in

progress, the Control Unit does not

pause Patient 1’s therapy.

• Reduce compression level

• Therapy session for blocked user will

remain Paused.

• Push Alarm Reset button.

• If alarm persists, make sure the Wrap

is securely snapped into the Hose, or

try a different Wrap to isolate which

component may be producing the error.

• Press the Start button for Patient 2 to

start therapy, or press the Stop button to

stop therapy.

EN-66 TROUBLESHOOTING THE MED4 ELITE

Alarm What Does it Mean? What Can I Do?

Low Air Pressure

Patient 1

The Control Unit has detected that

Patient 1 has had low air pressure for at

least 30 seconds beyond expected time

to reach peak pressure.

The Control Unit has paused Patient 1’s

therapy.

If Patient 2’s therapy session is in

progress, The Control Unit has not

paused Patient 2’s.

• Check that Wrap has been applied

correctly (hook and loop should be

attached).

• Remove Wrap from connector and

deﬂate by pressing it ﬂat to expel air.

• Try again.

• Push Alarm Reset button.

• If this does not correct the problem,

check for air leaks in the Hose or Wrap.

• To help isolate the problem, try a

different wrap.

If you ﬁnd air leaks, contact Game Ready

support or your local distributor for further

assistance.

• After pressing Alarm Reset, press

Patient 1’s Start button to restart therapy,

or the Stop button to stop therapy.

Low Air Pressure

Patient 2

The Control Unit has detected that

Patient 2 has had low air pressure for at

least 30 seconds beyond expected time

to reach peak pressure.

The Control Unit has paused Patient 2’s

therapy.

If Patient 1’s therapy session is in

progress, The Control Unit has not

paused Patient 1’s.

• Check that Wrap has been applied

correctly (hook and loop should be

attached).

• Remove Wrap from connector and

deﬂate by pressing it ﬂat to expel air.

• Try again.

• Push Alarm Reset button.

• If this does not correct the problem,

check for air leaks in the Hose or Wrap.

• To help isolate the problem, try a

different wrap.

If you ﬁnd air leaks, contact Game Ready

support or your local distributor for further

assistance.

• After pressing Alarm Reset, press

Patient 2’s Start button to restart therapy,

or the Stop button to stop therapy.

Need more help with a problem? In the U.S. call Game Ready Customer Service at 1.88 8.GameReady (1.888.426.3732) or 1.510.868.2100. From

outside of the U.S., please contact your local distributor.

EN-67TROUBLESHOOTING THE MED4 ELITE

ERROR CODES

If the Med4 Elite displays an error message during a therapy session,

the Control Unit will turn off the power supply. Make note of the error

code, and in the U.S. contact Game Ready Technical Support at

1.888.GameReady (1.888.426.3732) or 1.510.868.2100. From outside

the U.S., contact your local distributor.

NOTE: The error code will be shown in the title bar.

REPAIRING THE MED4 ELITE

In the event that the Med4 Elite requires repair, such work must be

performed by a Game Ready authorized agent. Do not attempt to

repair the Control Unit. Unauthorized repairs will void the warranty.

Device contains R-134a refrigerant, to be serviced by qualiﬁed

technicians only. Contact Game Ready Technical Support. In the U.S.

call 1.888. GameReady (1.888.426.3732) or 1.510.868.2100. Outside

the U.S., contact your local distributor.

EN-68 TROUBLESHOOTING THE MED4 ELITE

MED4 ELITE PRODUCT SPECIFICATIONS

Dimensions 32.5” L x 24.75” W x 43” H (83 cm L x 63 cm W x 109 cm H)

Weight when Reservoirs are empty 172 lb (78 kg)

Weight when Reservoirs are full 188 lb (85 kg)

Input Voltage 100–240 V~, 50–60 Hz

Input Power 1200 VA

Heat Reservoir Temperature Range 95–113 °F (35–45 °C)

Cold Reservoir Temperature Range 38–60 °F (3.33–15.56 °C)

Ambient Operating Environment

Storage Temperature and Humidity

Operating Altitude Range 0–9,842 ft (0–3,000 m)

Reservoir Capacities

Reservoir Temperature:

Intermittent Pneumatic Compression

50–90 °F (10–32 °C)

30–90% non-condensing

33–122 °F (1–50 °C)

10–95% non-condensing

Heat Reservoir: 1 gallon (3.8 liters)

Cold Reservoir: 1 gallon (3.8 liters)

Maximum Heat Reservoir Temperature: 113 °F (45 °C)

Minimum Cold Reservoir Temperature: 38 °F (3 °C)

Water Temperature Accuracy: ±4 °F (±2 °C)

No compression: Wrap shall be vented to atmosphere

Low: 5–15 mmHg

Medium-Low: 5–30 mmHg

Medium: 5–50 mmHg

High: 5–75 mmHg

Air Pressure Accuracy: ±10 mmHg

Bottom of pressure ramp: 5 mmHg

Pressure vs Time

High

Medium

Medium-Low

Low

Pressure (mmHg)

Time (Minutes)

The ranges above represent the cyclical compression that the Med4 Elite delivers. For example, Low compression starts at a low

end level of 5 mmHg and reaches its peak compression at 15 mmHg. The Control Unit cycles from bottom to top of pressure ramp

repeatedly until the therapy session time runs out.

EN-69PRODUCT SPECIFICATIONS

SUPPLIED POWER CORD SPECIFICATIONS

Medical Grade Power Cord

Game Ready PN 303835

Canada Mexico United States

Power Cord

Game Ready PN 303836

Finland France Germany Greece Netherlands Poland Russia Spain Sweden Turkey

Cordage

14 AWG / 3C, SJTW, Temp Rating 105 °C

Rating 125V, 15A

Plug NEMA 5-15P

Connector IEC 60320 C19

Approvals UL, C-UL

RoHS Compliant

2

Cordage

K60227 IEC53 3G 1.5 mm H05VV-F 3G 1.5 mm

+

2

Rating 250V, 16A

Plug CEE 7/7 European Schuko

Connector IEC 60320 C19

Approvals European.CE+KC, VDE+KC, EAC

RoHS Compliant

Power Cord

Game Ready PN 303839

India

Power Cord

Game Ready PN 303840

Switzerland

Cordage H05VV-F 3G 0.75 mm

Rating 250V, 16A

Plug IS 6538 India

Connector IEC 60320 C19

Approvals BIS

RoHS Compliant

Cordage H05VV-F 3G 1.5 mm

Rating 250V, 10A

Plug SEV 1011 Swiss

Connector IEC 60320 C19

Approvals European, CE, SEV

RoHS Compliant

2

Power Cord

Game Ready PN 303837

Hong Kong Kuwait Saudi Arabia United Arab Emirates United Kingdom

Power Cord

Game Ready PN 303838

Chile Italy

Cordage H05VV-F 3G 1.5 mm

2

Rating 250V, 13A

Plug BS1363 UK13

Connector IEC 60320 C19

Approvals European.CE, BSI+PSB

RoHS Compliant

Cordage H05VV-F 3G 1.5 mm

2

Rating 250V, 16A

Plug CEI 23-16 Italian

Connector IEC 60320 C19

Approvals EUROPEAN, VDE

Power Cord

Game Ready PN 303841

Brazil

Power Cord

Game Ready PN 303842

Argentina

Cordage

IEC 60227-5 60227 IEC 53 3G

2

1.5 mm

Rating 250V, 10A

Plug NBR 14136 Brazil

Connector IEC 60320 C19

Approvals INMETRO

RoHS Compliant

Cordage H05VV-F 3G 1.5 mm

2

Rating 250V, 10A

Plug IRAM 2073:2009 Argentina

Connector IEC 60320 C19

Approvals European, VDE, CE

RoHS Compliant

EN -70 PRODUCT SPECIFICATIONS

RoHS Compliant

Power Cord

Game Ready PN 303843

Australia

Cordage H05VV-F 3G 1.5 mm

Rating 250V, 15A

2

Power Cord

Cordage K60227 IEC53 3C 1.5 mm

2

Game Ready PN 303847

Korea

Rating 250V, 16A

Power Cord

Game Ready PN 303844

Denmark

Plug AS/NZS 4417 Australia 15A

Connector IEC 60320 C19

Approvals European, SAA

RoHS Compliant

Cordage H05VV-F 3G 1.5 mm

2

Rating 250V, 10A

Plug SRAF 1962/DB 16/87 Danish

Connector IEC 60320 C19

Approvals European, VDE

RoHS Compliant

Plug KSC 8305 Korean

Connector IEC 60320 C19

Approvals KC

RoHS Compliant

IMPORTANT: Use only Game Ready supplied Power Cord.

Only the Power Cord suitable for your country will be included

with Med4 Elite.

Replacement power cords can be purchased through your local autho -

rized Game Ready Representative or by contacting Game Ready Cus-

tomer Service. In the U.S. call 1.88 8. Game Ready (1.888.426.3732)

or +1.510.86 8.2100. Outside the U.S., contact your local distributor. for

additional parts. See Accessories and Replacement Parts for additional

parts and accessories.

Power Cord

Game Ready PN 303845

Israel

Power Cord

Game Ready PN 303846

Japan

Cordage H05W-F 3G 1.5 mm

Rating 250V, 16A

Plug SI 32 Israel

Connector IEC 60320 C19

Approvals VDE, CE

RoHS Compliant

Cordage VCTF 3C 2.0 mm

2

Rating 125V, 15A

Plug JIS 8303 Japan

Connector IEC 60320 C19

Approvals PSE

2

RoHS Compliant

EN -71PRODUCT SPECIFICATIONS

UL CLASSIFICATION

Classication: CL ASS I ME EQUIPMENT

Applied Part Type: TYPE B APPLIED PART

THE MED4 ELITE SYSTEM IS CONSIDERED TO BE

CLASS I (PROTECTIVELY EARTHED)

Protection against

electric shock:

Protection against harmful

ingress of water:

Pollution Degree

Classication:

Degree of safety in the

presence of ammable

anesthetics or oxygen:

MED4 ELITE SYSTEM: GENERAL MEDICAL

EQUIPMENT AS TO ELECTRICAL SHOCK, FIRE

AND MECHANICAL HAZ ARDS ONLY IN

ACCORDANCE WITH ANSI/AAMI ES60601-1:2005/(R)2012 and

CAN/CSA- C22.2 No. 60601-1:2014

This product is categorized as IP

X0.

This product is classiﬁed as Pollution degree 2.

Not suitable for use in an oxygen enriched environment or in the

presence of ﬂammable anesthetics.

EN -72 UL CLASSIFICATION

ESSENTIAL PERFORMANCE

ELECTROMAGNETIC COMPATIBILITY

The Essential Performance of the Med4 Elite System is:

INTERMITTENT PNEUMATIC COMPRESSION CYCLES

No compression

Medium

(5–50 mmHg)

Pressure (mmH g)

(5–15 mmHg)

(5–75 mmHg)

Air Pressure Accuracy: ±10 mmHg

Pressure vs Time

Time (Min utes)

Low

High

Medium-Low (5–30 mmHg)

High

Medium

Medium-Low

Low

TEMPERATURE CONTROL

• Cold Therapy: The Cold Reservoir temperature will be

adjustable between 38–60 °F (3.33–15.56 °C)

• Heat Therapy: The Heat Reservoir temperature will be adjustable between 95–113 °F (35–45 °C)

• Rapid Contrast Therapy: Alternates between Cold Therapy and Heat Therapy. See above for ranges.

• Compression-Only Therapy: Temperature control does not

apply.

Water Temperature Accuracy: ±4 °F (±2 °C)

The Med4 Elite complies with the appropriate IEC 60601-1-2 speciﬁca-

tions regarding electromagnetic compatibility. Ensure that the Med4

Elite is installed and used according to the electromagnetic compatibili -

ty information provided.

• WARNING: Use of accessories or cables other than those

speciﬁed or provided by the manufacturer of this equipment

could result in increased electromagnetic emissions or

decreased electromagnetic immunity of this equipment and

result in improper operation.

• WARNING: Use of this equipment adjacent to or stacked with

other equipment should be avoided because it could result in

improper operation. If such use is necessary, this equipment

and the other equipment should be observed to verify that

they are operating normally.

• WARNING: Portable RF communications equipment (including

peripherals such as antenna cables and external antennas)

should be used no closer than 30 cm (12 inches) to any part of

the Med4 Elite. Otherwise, degradation of the performance

of this equipment could result.

• NOTE: The emissions characteristics of this equipment make

it suitable for use in industrial areas and hospitals (CISPR

11 class A). If it is used in a residential environment (for

which CISPR 11 class B is normally required) this equipment

might not offer adequate protection to radio-frequency

communication services. The user might need to take

mitigation measures, such as relocating or re-orienting the

equipment.

Guidance and Manufacturer’s Declaration

for Electromagnetic Emissions:

Emissions Test Compliance

Conducted and radiated RF

CISPR 11 Group 1 Class A

emissions

Harmonic distortion CISPR 11 Group 1 Class A. See

IEC 61000 -3-2.

Voltage ﬂuctuations and ﬂicker CISPR 11 Group 1 Class A. See

IEC 61000-3-3.

If Essential Per formance is lost, the device may display an Alarm

screen or Error message, may stop therapy, and/or may shut down.

EN -73ELECTROMAGNETIC COMPATIBILITY

ELECTROMAGNETIC COMPATIBILITY

Guidance and Manufacturer’s Declaration for Electromagnetic Immunity:

Immunity Test Basic EMC standard or test

method

Electrostatic Discharge IEC 61000- 4-2 ± 8kV contact ± 8kV contact

Radiated RF EM Fields IEC 61000-4-3 3 V/m

Proximity Fields From RF

Wireless Communications

Equipment

Rated Power Frequency

Magnetic Fields

Electrical Fast Transients /

Bursts

Surges Line-to-Line IEC 61000-4-5 ± 0.5kV, ± 1kV ± 0.5kV, ± 1kV

Surges Line-to-Ground IEC 61000-4-5 ± 0.5kV, ± 1kV, ± 2kV ± 0.5kV, ± 1kV, ± 2kV

Conducted Disturbances

induced by RF Fields

IEC 61000-4-3 See table See table

IEC 61000-4-8 30 A/m

IEC 61000-4-4 ± 2kV

IEC 61000-4-6 3 V

Immunity Test Levels Compliance Levels

± 2kV, ± 4kV, ± 8kV, ± 15kv air ± 2kV, ± 4kV, ± 8kV, ± 15kv air

3 V/m

80 MHz – 2.7 GHz

80% AM at 1 kHz

50 Hz or 60 Hz

100 kHz repetition frequency

0.15 MHz – 80 MHz

80 MHz – 2.7 GHz

80% AM at 1 kHz

30 A/m

50 Hz or 60 Hz

± 2kV

100 kHz repetition frequency

3 V

0.15 MHz – 80 MHz

6V in ISM bands between 0.15

MHz and 80 MHz

80% AM at 1 kHz

Voltage Dips IEC 61000-4-11 0% UT; 0.5 cycle

At 0°, 45°, 90°, 135°, 180°,

225°, 270 °, a nd 315°

0% UT; 1 cycle

and

70% UT ; 25/30 cycles

Single phase: at 0°

Voltage Interruptions IEC 61000-4-11 0% UT; 250/ 300 cycle Device will power down and/or

Note: UT is the AC mains voltage prior to the application of the test level

6V in ISM bands between 0.15

MHz and 80 MHz

80% AM at 1 kHz

0% UT; 0.5 cycle

At 0°, 45°, 90°, 135°, 180°,

225°, 270 °, a nd 315°

0% UT; 1 cycle

and

70% UT ; 25/30 cycles

Single phase: at 0°

reboot if power is interrupted

for ﬁve seconds.

EN -74 ELECTROMAGNETIC COMPATIBILITY

Proximity Fields From RF Wireless Communications Equipment

Test Frequency

(MHz)

385 380-390 TETRA 400 Pulse

450 430 - 470 GMRS 460, FRS

710 70 4 -78 7 LTE Band 13, 17 Pulse

745

780

810 800-960 GSM 800/900,

870

930

172 0 1700-1990 GSM 1800,

184 5

1970

2450 2400 -2570 Bluetooth,

5240 5100-5800 WLAN 8 02.11

5500

Band Service Modulation Maximum

modulation 18

Hz

FM ± 5kHz

460

TETRA 800,

iDEN 820,

CDMA 850, LTE

Band 5

CDMA 1900,

GSM 1900,

DECT, LTE

Band 1, 3, 4, 25,

UMTS

WLAN, 802.11

b/g/n, RFID

2450, LTE Band

7

a/n

deviation

1 kHz sine

modulation

217 H z

Pulse

modulation 18

Hz

Pulse

modulation 217

Hz

Pulse

modulation 217

Hz

Pulse

modulation 217

Hz

Distance (m) Immunity Test

Power (W)

1.8 0.3 27

2 0.3 28

0.2 0.3 9

2 0.3 28

0.2 0.3 9

Le vel ( V/m)

5785

EN -75ELECTROMAGNETIC COMPATIBILITY

ACCESSORI ES AND REPLACEMENT PARTS

WARRANTY

Accessories and Replacement Parts can be purchased through

your local authorized Game Ready Representative or by contacting

Game Ready Customer Ser vice. In the U.S. call 1.888. Game Ready

(1.888.426.3732) or +1.510.868.2100. Outside the U.S., contact your

local distributor.

ACCESSORIES

• Game Ready ATX® Series Wraps are available in various sizes

for various parts of the body including: shoulder, elbow, hand/

wrist, back, hip/groin, knee, leg, and ankle.

• Custom Med4 Elite Travel Case for transporting Control Unit

To view a complete list of products visit www.gameready.com.

REPLACEMENT PARTS

• Connector Hose

• Filter

• Reservoir Fill Port Screens

MANUFACTURER'S LIMITED WARRANTY

CoolSystems warrants that the Med4 Elite (including the Connector

Hoses and Power Cord), if properly used, will be free from defects in

material and workmanship for a period of two (2) years after the date

the Med4 Elite was purchased. If the Med4 Elite, which is the subject

of this Limited Warranty, malfunctions during the warranty period for

reasons covered by this Limited Warranty, CoolSystems, at its sole

option, will:

• REPAIR the Med4 Elite

OR

REPLACE the Med4 Elite with another Med4 Elite.

EXTENT OF LIM ITE D WARR ANTY

CoolSystems may elect to replace or repair the Med4 Elite with either

a new or reconditioned product. The returned product shall become

CoolSystems’ property upon receipt. The replacement Med4 Elite

is warranted under this written warranty and is subject to the same

limitations and exclusions for the remainder of the original warranty

period. THIS LIMITED WARRANT Y APPLIES ONLY TO THE ORIGINAL

PURCHASER OF THE Med4 Elite AND IS NOT TRANSFERABLE.

• Drain Hose

• Power Cord

NOtE: Only Game Ready accessories and replacement parts

should be used with the Med4 Elite. Using products with the

Med4 Elite other than Game Ready products may void the

Med4 Elite Warranty.

EN -76 WarraNty

LIMITED WARRANTY EXCLUSIONS

This limited warranty does not cover damages due to external caus-

es, including, without limitation, storage, usage or handling not in

accordance with product instructions, accident, misuse, neglect, or

alteration, or an unauthorized repair.

HOW TO OBTAIN WARRANTY SERVICE

To obtain warranty service, in the U.S. call Game Ready Customer

Service at 1.888.426.3732 (+1.510.86 8.2100); from outside of

the U.S. please contact your local distributor. If you are not sure

who the local distributor is, call Game Ready Customer Service

at +1.510.86 8.2100 and we will refer you to one. You must have

registered the product online with CoolSystems within thirty (30)

days from the date of purchase to qualify for warranty service. If you

qualify for warranty service from CoolSystems, CoolSystems, or its

distributor, will schedule an authorized service technician to provide

on-site repair. If CoolSystems authorizes the return of the Med4 Elite,

you will be issued a Return Material Authorization (RMA) number. You

should keep this RMA number for your records. CoolSystems, or its

distributor, will make arrangements for the shipment of the Med4 Elite

to CoolSystems (at CoolSystems expense). Customer is not to return

the Med4 Elite without prior written authorization from CoolSystems.

CoolSystems may require you to verif y in writing that you are the

original purchaser of the Med4 Elite.

WARRANTY DISCLAIMERS

THESE WARRANTIES ARE IN LIEU OF AN Y AND ALL OTHER WAR-

RANTIES, EXPRESS OR IMPLIED INCLUDING, BUT NOT LIMITED

TO, THE IMPLIED WARRANTIES OF MERCHANTABILIT Y AND

FITNESS FOR A PARTICULAR PURPOSE. COOLSYSTEMS MAKES

NO EXPRESS WARRANTIES BEYOND THOSE STATED HERE. COOL-

SYSTEMS DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IM-

PLIED INCLUDING, WITHOUT LIMITATION, IMPLIED WARR ANTIES

OF MERCHANTABILIT Y AND FITNESS FOR A PARTICULAR PUR-

POSE. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF

IMPLIED WARRANTIES SO THIS LIMITATION MAY NOT APPLY TO

YOU. ALL EXPRESS AND IMPLIED WARRANTIES ARE LIMITED IN

DURATION TO THE LIMITED WARRANT Y PERIOD. NO WARRAN-

TIES APPLY AFTER THAT PERIOD. SOME JURISDICTIONS DO NOT

ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARR ANTY

LASTS, SO THIS LIMITATION MAY NOT APPLY TO YOU.

LIMITATIONS OF LIABILITY

COOLSYSTEMS’ RESPONSIBILITY UNDER THIS, OR ANY OTHER

WARRANT Y, IMPLIED OR EXPRESS, IS LIMITED TO REPAIR OR

REPLACEMENT, AS SET FORTH ABOVE. THESE REMEDIES ARE

THE SOLE AND E XCLUSIVE REMEDIES FOR ANY BREACH OF WAR-

RANTY. IN NO EVENT SHALL COOLSYSTEMS BE LIABLE TO ANY

PERSON FOR ANY INCIDENTAL, SPECIAL, PUNITIVE OR CONSE-

QUENTIAL DAMAGES, INCLUDING LOST PROFITS, COST OF PRO-

CUREMENT OF SUBSTITUTE GOODS, DOWNTIME, GOODWILL,

DAMAGE TO OR REPL ACEMENT OF EQUIPMENT OR PROPERT Y

OR ANY INDIRECT DAMAGES EVEN IF COOLSYSTEMS HAS BEEN

INFORMED OF THE POSSIBILITY THEREOF AND NOTWITHSTAND -

ING THE FAILURE OF ESSENTIAL PURPOSE OF ANY LIMITED

REMEDY STATED HEREIN. SOME JURISDICTIONS DO NOT ALLOW

THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUEN-

TIAL DAMAGES, SO THE ABOVE LIMITATIONS OR EXCLUSIONS

MAY NOT APPLY TO YOU. THIS LIMITED WARRANTY GIVES YOU

SPECIFIC RIGHTS, AND YOU MAY ALSO HAVE OTHER RIGHTS THAT

VARY FROM JURISDICTION TO JURISDICTION.

INTELLECTUAL PROPERTY

TRADEMARKS, TRADE NAMES, COPYRIGHTS AND

PAT E N T S

The Med4 Elite and all accessories are covered by intellectual propert y

rights including, but not limited to, trademarks, trade names, copy-

rights and patents, owned or licensed by CoolSystems. No license

under such intellectual property rights are granted to users, and all

such rights are hereby expressly reserved by CoolSystems. User shall

not (i) modify any Med4 Elite product or documentation CoolSystems

provides to user or (ii) reverse engineer, decompile, or disassemble any

Med4 Elite product, or encourage or assist any third par ty in doing so.

Certain of CoolSystems trademarks, trade names and copyrights are

listed herein.

SOFTWARE LICENSE

Med4 Elite products contain software that is installed in the products

by CoolSystems. CoolSystems owns or licenses this software from

third parties. Each sale of a Med4 Elite product is not a sale of the soft-

ware contained therein but rather is only a license to use the software

in the Med4 Elite product in which the software was initially installed.

Any license granted by CoolSystems to use the software contained

in its Med4 Elite products does not give the user/licensee the right to

copy, alter, disassemble, reverse engineer, create derivative works of

such software or to use such software in either original or modiﬁed

form in any product other than the Med4 Elite product in which the

software was initially installed by CoolSystems.

WARRANTY REGISTRATION

Please complete the Warranty Registration within 30 days for the

Med4 Elite online at www.gameready.com. Visit the Product Registra-

tion page, ﬁll out the form, and submit your information. You will need

the following information to complete your Warranty Registration: The

Control Unit’s model number (REF) and its serial number (SN). These

numbers are located on the label on the backside of the Control Unit

and may also be found on the Information screen in System Settings.

WARRANTY OF MED4 ELITE ACCESSORI ES

Warranty information for Game Ready’s Heat Exchangers, Wraps and

Sleeves is available at ww w.gameready.com.

EN -77WarraNty

100-240 VAC

1200 VA

50-60Hz

SYMBOL DESCRIPTIONS

MED4 ELITE SYSTEM: GENERAL MEDICAL

EQUIPMENT AS TO ELECTRICAL SHOCK,

FIRE AND MECHANICAL HA ZARDS ONLY IN

ACCORDANCE WITH ANSI/AAMI ES6 06 01-

1:2005/(R)2012 and CAN/CSA- C22.2 No.

60601-1:2014

Powered by AC Current

Type B Applied Parts

Caution: Dangerous voltage

(IEC 6 0 417- 50 3 6)

Caution: Fan Finger Hazard. Keep ﬁngers away

from blades of fan.

Qualiﬁed Service Technician

Refrigerant Type

REF

Stand-by (On/Off button)

This symbol on the Control Unit or its packaging

means that this product must not be disposed

of with household/consumer waste. To learn

where to drop off your electrical and electronic

waste, please contact your local city/municipal

waste disposal service ofﬁce or contact Game

Ready for assistance.

Manufacturer

Symbol for “Made in” a speciﬁc country (USA)

Symbol for “Assembled in” a speciﬁc country

(USA)

Indicates the manufacturer's catalogue number

so that the medical device can be identiﬁed

Refrigerant Amount in grams

Warning: It is mandatory to fully read and under-

stand the User Manual before using the device.

Failure to follow operating instructions could

result in serious injury.

Attention: Consult User Manual

SN

UDI

Serial Number

Unique Device Identiﬁer

A UDI is a unique numeric or alphanumeric

code that consists of two parts: a ﬁxed device

identiﬁer and a variable production identiﬁer (i.e.

serial number or lot/batch number)

EN -78 Symbol DEScriptioNS

CONTACT GAM E RE ADY

CORPORATE OFFICES

CoolSystems®, Inc.

DBA Game Ready

®

1800 Sutter Street, Suite 500

Concord, California 94520

USA

PRODUCT and TECHNICAL SUPPORT

Inside the U.S.

Call Toll-Free

1.888.426.3732, Option 3

Representatives are available 24 /7 to answer questions about the

products and provide troubleshooting assistance.

International customers contact your local distributor.

Game Ready has Authorized Distributors across the globe. Find

the closest one to you. Visit www.gameready.com for a list of our

International Distributors.

PHONE, EMAIL, & FAX

Inside the U.S.

Call Toll-Free

1.888.GameReady

1.888.426.3732

Phone 1.510.86 8.210 0

Fax 1.510.559.9402

Email info@gameready.com

Monday– Friday

Hours:

9:00 a.m. to 5:00 p.m. PST

EMERGO EUROPE

Prinsessegracht 20

2514 AP The Hague

The Netherlands

EMERGO AUSTRALIA

201 Sussex Street

Darling Park, Tower II , Level 20

Sydney NSW 2000

Australia

EN -79CONTACT GAME READY

COOLSYSTEMS®, INC. DBA GAME READY

®

1800 SUTTER STREET, SUITE 500 CONCORD, CA 94520 USA

1.888.GAMEREADY +1.510.868.2100 www.gameready.com

www.gameready.com/patents

Med4 Elite Control Unit User Manual PN 704444 Rev F

Game Ready User Manual User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual