SYS*STIM ®
INTERFERENTIAL
220
NEUROMUSCULAR
STIMULATOR
Mettler
1333
South
Anaheim,
(714)
Toll
533-2221
Free
Electronics
Claudina
CA
92805
(800)854-9305
Corp.
Street
U.S.A.
MAINTENANCE
MANUAL
copyright©
copyright©
IR6-64
1989
1992
by
by
(November,
Mettler
Mettler
1993)
Electronics
Electronics
1
Corp.
Corp.
--Anaheim,
Anaheim,
CA
CA
TABLE OF CONTENTS
SECTION
Introduction
Precautions
Labels
Abbreviations
Limited
Warrant
Equipment
Controls
and
Operating
Routine
Fuse
Maintenance
Replacement
Cleaning
Functional
y
Description
Displays
Instructions
Troubleshooting
PAGE
3
4
5
5
6
7
9
14
17
17
17
18
Theory
Sys*Stim
of
Operation
220
Troubleshooting
Specifications
sys*Stim
Drawings
220
and
Test
Procedure
Guide
Parts
List
Schematics
19
23
32
33
34
38
2
Introduction
This
manual
technicians
interferential
guidance
to
malfunctions.
This
information
Electronics
considered
and
address
necessary.
Mettler
Manual
1333
Anaheim,
The
ME220
amplitude
is
modulated
by a membrane
In
the
premodulated
premodulated
ments
amplitude
tively
and
made
modulated
increase
currents.
is
intended
in
the
neuromuscular
aid
the
is
Corp.
may
to:
Electronics
Update
S.
Claudina
an
interferential
control
for
output
to
reciprocate
the
to
servicing
technician
current
make
To
List
CA
92805
and
premodulated
panel.
mode,
to
mode,
area
aid
biomedical
and
stimulator.
in
as
of
changes
receive
Corp.
street
neuromuscular
interferential
one
or
between
the
treatment
being
treated
engineers
repair
of
It
troubleshooting
publication.
if
and
when
manual
updates,
operating
currents
two
channels
the
two
field
by
the
the
Sys*stim
contains
Mettler
they
stimulator
modes
for
channels.
rotates
interferential
and
and
are
send
controlled
can
two
220
sufficient
repairing
your
providing
be
pad
treat-
In
the
to
effec-
name
Bright
Both
channel
display.
either
Operating
If
the
section
that
If
section
you
Service
digital
outputs
A
dual
channel
instructions
operational
are
desired,
is
need
further
Department
displays
are
control
separately
characteristics
go
pictured
assistance,
toll
show
displayed
knob
or
in
this
to
that
and
free
treatment
simultaneously
is
used
both
together.
manual
of
portion
fully
described.
calI
at
(800)854-9305
time
to
adjust
are
a
particular
of
Mettler
and
keyed
the
Electronics
or
output
on
the
to
intensity.
the
intensity
illustrations.
membrane
instructions
(714)533-2221.
LED
of
panel
where
Corp.
3
PRECAUTIONS
1.
2.
3.
4.
5.
6.
7.
8.
DISCONNECT
THE
LINE SUPPLY
UNIT.
Servicing
recommended
The
ME220
to
preserve
Adhere
servicing
To
insure
plicable
checked
USE
OF
PROCEDURES
should
calibrated
should
protection
to
standard
medical
compliance
safety
and
safety
CONTROLS
OTHER
standards,
OR
ME220 INSTRUCTION
TO
ELECTRICAL
Do
not
shortwave
Replace
specified
fire
and
operate
line
other
ENERGY.
or
microwave
fuses
in
the
the
component
be
performed
test
be
plugged
against
safety
electronic
with
tested
ADJUSTMENTS,
THAN
THOSE
MANUAL,
ME220
in
diathermies.
with
list
the
of
specifications
damage.
CORD
PRIOR
by
qualified
and
measurement
into
a
electric
practices
equipment.
performance
the
ME220
at
least
OR
SPECIFIED
MAY
RESULT
close
same
proximity
type
TO
DISASSEMBLY
technicians
equipment.
grounded
wall
shock
for
troubleshooting
specifications
should
once
each
be
year.
PERFORMANCE
HEREIN,
IN
HAZARDOUS
with
and
rating
to
avoid
OF
outlet
hazards.
and
performance
OF
AND
IN
THE
EXPOSURE
operating
as
risk
THE
using
only
and
ap-
of
9.
Primary
specified
UL-544
circuit
components
standard
components
to
insure
for
medical
must
and
be
replaced
continued
dental
with
compliance
equipment.
factory-
with
the
4
LABELS
1.
2.
3.
AC
BPS
DB
DC
DVM
Hz
kohm
LG1
LG2
mA
msec
mW
usec
Vdc
Vac
W
The
Food
devices
the
Sys*Stim
product.
Care
should
alized
such
actions
labels.
Include
assistance.
alternating
beats
display
direct
digital
hertz
-
Kilo-ohm
logic
logic
milliampere
-
millisecond
milliwatt
-
microsecond
voltage
voltage
watts
and
be
uniquely
be
labels,
applicable
per
current
voltmeter
(cycles
one
two
Direct
Alternating
Drug
220
with
taken
especially
as
removing
current
second
board
(1000
board
board
(1/1000
(1/1000
(1/1000
(1/1,000,000
Administration
identifiable.
seriaI
to
preserve
during
access
seriaI
ABBREVIATIONS
per
numbers
second)
ohms)
ampere)
second)
watt)
Current
Current
requires
number
the
servicing
covers
when
second)
This
labels
integrity
that
is
accomplished
unique
and
could
damage
requesting
medical
to
of
the
repair
service
on
each
seri-
when
the
5
LIMITED
WARRANT
Y
The
workmanship
During
will,
without
For
returned
Mettler
sys*Stim
the
applicable
at
its
charge
service
by
Electronics
Electronics
The
buyer
proof
without
of
must
the
proof
out-of-warranty
service
rates.
Alteration,
warranty.
Except
Electronics
includinq
without
merchantability
to
the
Product.
law,
they
are
Mettler
indirect,
from
any
special,
defect
220
for
a
period
discretion,
for
under
the
buyer
Corp.
under
also
date
of
of
the
product
misuse,
as
Corp.
makes
limitation
or
If
limited
Electronics
in
is
warranted
of
two
warrant
either
these
Corp.
types
this
within
warrant
Shippinq
this
include
a
purchase.
date
of
at
or
Mettler
neqlect
specifically
no
warranties,
fitness
any
in
for
implied
duration
corp.
consequential
or
use
of
against
years
y
period
repair
of
defects.
y ,
the
applicable
warrant
copy
If
of
the
purchase,
Electronics
set
any
implied
a
particular
warranties
to
shall
or
the
Product.
defects
from
Mettler
the
or
date
replace
Product
charqes
y
must
the
be
sales
Product
it
will
of
the
Product
forth
express
warrant
apply
one
year.
not
be
incidental
in
of
purchase.
Electronics
the
must
warrant
to
paid
and
y
from
by
receipt
is
returned
be
serviced
Corp.'s
voids
above,
p~pose,
or
y
Mettler
implied,
of
as
liable
for
damaqes
materials
Product
be
period
Mettler
the
or
prevailinq
with
a
matter
any
resultinq
Corp.
to
buyer.
other
as
this
respect
and
an
of
Any
warrant
claim
courts
Sorne
warrant
consequential"
not
apply
legal
from
state
legal
y
must
arises
located
y
lasts,
rights,
and
states
to
the
to
action
be
commenced
must
in
Orange
do
not
or
the
damages,
buyer.
and
the
state.
brought
within
be
brought
County,
allow
exclusion
so
the
This
buyer
by
limitations
above
warrant
may
also
the
buyer
one
year
only
California.
or
in
limitation
limitations
y
gives
have
relating
from
the
on
other
state
how
of
the
to
the
date
or
long
incidental
or
exclusions
buyer
rights
this
any
federal
an
implied
specifie
which
or
may
vary
6
EQUIPKENT
DESCRIPTION
1.
2.
3.
4.
5.
The
sys*stim
channel,
a
choice
operational
The
two
circuitry
front
base
There
Display,
consisting
and
supply
later
The
switches
Displays
indicate
tain
injection
halves,
half.
that
are
logic
circuits.
in
membrane
(LED's),
error
220
is
interferential
of
four
modes.
a
and
is
four
Logic
of
boards
the
and
consisting
green
control
conditions
frequency
molded
front
indicator
The
back
removed
printed
1
and
two
conta
Theory
control
connector
LED
operation,
a
ABS
half
by
Logic
line
Each
of
panel
of
mode
portable,
neuromuscular
modulation
plastic
and
a
subassemblies
half
in
are
provides
means
circuit
2.
fuses
of
Operation
into
7-segment
indicators,
and
most
these
incorporates
one
end
explained
of
of
solid
enclosure
back
four
boards
The
a
the
subassemblies
section.
replaceable
state,
stimulator
modes
half.
are
a
protective
phillips
in
RFI
line
operating
graphies,
.
light
of
emitting
and
an
treatment
later.
for
is
Electronics
assembled
the
board
filter.
component
audible
time
digital,
that
each
divided
coyer
head
ME220:
is
a
The
and
is
described
circuitry,
diodes
and
dual
offers
of
into
into
screws.
RFI,
small
display
power
.
signal
cer-
two
the
and
pcb
7
time
05.00'-'1
min
IIlngle
lIec
intensity
1[,12
J
(-;
(~~~~1~~
~
(-
0
o 7
,
10
,
__
Î0
\
(
o f
- ;
(-----'
milliamplI
~~15
bpll
bplI
0 -250
bpll
lIec.
~_-'
am
(1)
,~)
~
.-
_)
..) interfer.loHI
_.
---1
'.
.>
-,
:
J
'.
fast
!
freq,
sweep
'i
amp.
recip.lb)
!bi
single
Ifreq.
select
13
mod.lIl
poln
~:
;2
Ion)
beat
frequency
lIelector
."[J.n
power
CONTROL
AND
DISPLAY PANEL
8
1
channel
1+2
0
"\7
\1
min
pUllh
intensity
2
•
\,-:7
'V
mex
CONTROLS
AND
DISPLAYS
[
min
Time
Up
05.
Oown
00
••
c
Oisplay
arrows
J
1.
2.
3.
The
time
and
seconds.
the
display
Up
and
down
immediately
display
select
time.
one
switch
ly
•.
will
time.
The
operator
when
fully
the
Time
minute
is
Holding
rapidly
"Go"
intensity
counterclockwise.
display
is
arrows
below
allow
desired
will
steps
depressed
switch
to
begin
shows
The
format
00.00.
located
the
the
operator
treatment
increment
when
the
switch
increment
allows
treatment
controls
minutes
for
time
to
in
the
momentari-
down
the
the
are
GO
HOLO
(
RESET
Switch
Switch
switch
)
4.
5.
The
"Hold"
treatment
desired
or
time.
zero
once
The
time
clears
parameters.
treatment
if
before
again.
"Reset"
display
aIl
pressed
switch
without
treatment
Intensity
"Go"
switch
to
previously
It
and
reset
during
suspends
altering
parameters
must
is
pressed
returns
zero
will
and
also
parameters
"Go".
set
be
stop
the
to
the
9
beet:frequency
.elect:or
6.
The
"Single
tor"
control
beat
"single
is
cies
selected.
thumbwheel
frequency
activated.
from
the
freq.
1-299
Frequency
switches
input
of
when
select"
Beat
bps
Selec-
a
single
the
switch
frequen-
may
be
single
Frequency
power
Main
Power
switch
intensity
1ŒD@]e
Intensity
Display
Selector
7.
8.
The
Main
rocker
pressed
power
The
intensity
the
output
and
2
liamps.
Power
switch
to
·to
the
simultaneously
the
of
Switch
which,
right,
unit.
display
both
is
if
de-
applies
shows
Channels
in
mil-
a
1
When
tor
the
lights
following
to
the
"0-15"
mode
left
switch
selector
of
each
switches
switch
9.
10
are
will
The
"0-15"
beat
bps.
from
15
selected,
control
sweep,
lationtrecip.
modes
frequency
A
15
bps
takes
amplitude
may
activated,
be
lit.
switch
normal
to
0
the
the
fast
also
sweep
sweep
bps
and
14
sec.
switches
frequency
modu-
and
be
indica-
activates
of
0-15
cycle
back
When
which
bipolar
activated.
a
to
10.
The
"80-150"
a
beat
150
bps.
from
150
150
bps
selected,
control
amplitude
and
bipolar
activated.
switch
frequency
A
normal
to
80
bps
takes
the
the
14
switches
fast
modulation/recip.
modes
activates
sweep
sweep
and
sec.
freq.
may
of
back
When
which
sweep,
also
80-
cycle
to
be
"80-150"
"0-250"
( 0 7
l~
7
sec
switch
switch
_ee.
~
switch
J
::::.
.weep
11.
12.
The
beat
bps.
from
250
"0-250"
frequency
A
250
bps
selected,
control
tude
modulation/recip.
bipolar
activated.
The
switch
fast
freq.
frequency
seven
seconds,
frequency
It
cannot
"single
being
used.
switch
normal
to
0
bps
takes
the
modes
the
"7
14
switches
fast
may
sec",
sweep,
sweep
sweep
be
selected
Frequency
sweep
sweep
and
sec.
sweep,
also
activates
twice
as
the
of
Select"
activates
of
0-250
cycle
back
When
which
ampliand
be
labeled
as
normal
14
seconds.
when
a
to
a
fast,
is
'------_----/'
_11"[
AmpUlud.
'~'"
~
r
..
'.1'....
••
Amp.
...
_11"(
fl.çlp.oulkN\
mod.
8mp.mod.m
recip.lbJ
lIIloclulllion (Il
: ,
•.
1
,l,
(I)/recip.
13.
(b)
When
either
to
and
channel
mode,
rocation
occurs
In
displays
output
channel
switch
11
selected
40%
back
or
each
modulate
of
the
alternately
in
the
a
four
of
each
in
the
case
will
intensity
as
they
this
switch
the
set
intensity
interferential
second
channel
bipolar
the
intensity
indicate
of
change.
will
amplitude
in
each
recip-
mode.
the
each
[ -
o
~
~
Jbi
polar
interfer.[offJ
[onJ
14.
This
tor
only
stimulation
premodulated
frequency
pads
ment.
frequency
with
Hz,
is
available
When
lected
the
Channel
frequency
channel
that
depending
cy
Four
interferential
switch
to
treat
two
electrodes.
are
required
Example:
another
the
output
100
bps.
this
the
interferential
two
one
varies
settings
pads
allows
a
patient
currents
to
so
that
of
4000
frequency
beat
The
on
both
switch
Sys*stim
always
of
4000
has
from
on
the
described
~ust
be
therapy.
the
are
create
only
for
The
carrier
Hz
is
frequency
output
channels.
is
not
220
mode.
has
Hz,
while
a
frequency
4001-4299
beat
used
operausing
The
a
beat
two
treat-
mixed
of
4100
is
se-
is
a
frequenabove.
for
in
Hz,
Bipolar
o f
[
____
Single
(on)/Interfer.
single
freq.
select
J
freq.
select
15.
switch
16.
(off)
Channel
adjusts
Channel
be
clockwise
sity
switch
The
single
activates
switches
of
a
frequency.
used
modulation/recip.
stimulation
this
13
and
The
Intensity
allow
the
intensity
either
pressing
to
rotate
neously
knob
initiate
adjusts
rotated
to
which
single
for
amplitude
option
14)
the
simultaneously
down
or
1
the
2.
zero
treatment
freq.
the
thumbwheel
allow
treatment
Only
may
is
selected.
control
operator
of
on
both
and
to
knobs
singly.
the
the
intensity
Both
fully
reset
in
select
the
and
be
used
to
both
the
The
intensity
upper
channels
counter-
the
order
by
switch
selection
beat
switches
bipolar
when
(See
knobs
adjust
channels
by
top
knob
simulta-
lower
knob
for
must
intento
pressing
for
12
1
0
chenn.'
1+&
pueh
V
min
0
intensity
2
•
\l
mex
"Go".
the
the
unit
reading
the
changes
patient/pad/cord
ance
in
position.
It
intensity
stimulation
terminaIs.
in
stimulation
as
changes
the
intensity
should
mA
the
be
controls
voltage
The
will
current
loop
without
control
noted
control
meter
change
resist-
a
change
at
that
the
and
Intensity
control
13
OPERATING INSTRUCTIONS
power
Main
min
1
o
Power
channel
1+2
pu.h
Switch
intensity
Intensity
Controls
time
[
05.00J
min
Bec
2
•
max
1.
2.
3.
Turn
Adjust
fully
is
minimum
Select
time
located
play".
or
down
the
time
minute.
button
the
minute
time
time
play.
sary
operate
an
time.
time
59
minutes.
indefinite
initiate
"Go"
on
the
main
both
counter-clockwise
the
using
below
Briefly
arrow
will
intervals.
which
by
observing
NOTE:
to
the
without
intensity
intensity.
desired
the
up
or
Holding
rapidly
up
or
can
Verify
input
Sys*Stim
operation
entering
upjdown
the
pressing
will
down
down
be
It
time
time
power
treatment
"Time
increment
one
down
increment
in
The
entered
the
time
is
not
in
220.
is
by
switch.
controls
which
arrows
Dis-
an
the
one
maximum
is
input
dis-
neces-
order
If
desired,
pressing
a
preset
up
to
Up
l0
Down
~
~
BEATFREQ.
100
BPS
Arrows
J
~i
polar
Interfer.(offJ
ConJ
4.
Select
choice
choose
channel
(Channel
1 =
trode
bipolar/pre-modulated
is
be
14
the
here
the
treatment
2 =
4000-4299
placement
pressed,
premixed
treatment
will
interferential,
the
in
automatically
type.
4000
Hz,
#9).
currents
the
Hz,
see
unit
type.
Channel
elec-
If
the
button
will
and
No
2
each
pre-modulated
of
channel
0-299
bps.
will
beat
supply
frequency
a
Beat
100
( 0
080-150
(0
( J
o
BPS
°bP~!5
bp.
f
7.ec.
Freq.
J
Î
./
single
freq.
aelect
f.at
freq.
aweep
5.
6.
Select
beat
pressing
lowing:
cycle
frequency
time
o -
80 -150
o -
elect
frequency
Frequency
If
sweep
to
cycle
seconds.
more
time
The
from
to
a
you
range,
complete
is
aggressive
of
sweep
15
15
bps
one
of
the
any
one
(NOTE:
=
14
15
bps
bps
250
bps
or
single
by
pressing
Select".
select
approximately
Press
7
bps
.
a
the
an
entire
seconds.
cycle
to
0
three
sweep
sec.)
treatment
beat
normal
"7
sweep
for
bps
modes
of
the
normal
frequency
sec"
Example:
"0-15"
and
preset
fol-
sweep
"Single
time
sweep
14
for
cycle
back
by
a
is
•
lnBle
beet:frequencv
•
elect:or
7.
8.
If
you
frequency
desired
frequency
Beat
thumbwheel
frequency
Press
the
channel
the
sensation
stimulation
the
Activation
15
select
select",
treatment
by
Frequency
switches.
range
this
amplitude
interferential
patient
switch
alternately
of
is
when
of
"single
dial
beat
using
to
movement
experienced
this
the
Selector"
is
0-299
to
40%
mode.
in
switch
in
"Single
The
bps
modulate
in
each
when
this
of
in
the
mode.
the
beat
.
A
by
in
r-
I 0
~mm
~r[b)
CH'
----+
Amplitude
t
l'f---i-
.--.TIME
Reciprocatlon
TIME
amp.
recip.
Modulation
cr
__
(B)
mDd.
lb)
4-CH2
(1)
UJ
bipolar
the
Channels
channel
mode
bipolar
one
will
approximately
during
In
displays
indicate
of
each
each
each
case
will
the
channel
will
reciprocate
stimulus
and
two.
be
on
four
cycle.
the
intensity
dynamically
output
.
between
Each
for
seconds
intensity
int:ensit:y
'1@]@]e
9.
10.
11.
Install
2 dummy
ohm)
Press
controls
GO
(both
must
counterclockwise).
Adjust
the
dual
By
upper
controls
the
desired
intensity
pressing
control
output
level
down
will
simultaneously.
adjust
lower
two
the
intensity
will
Channel
control
is
adjusted
upper
be
control
for
displayed
milliamps.
loads.
intensity
be
fully
intensity
using
control
gently
knob
rotate
In
one,
knob.
by
knob.
both
in
(lK
the
knob.
on
both
order
rotate
Channel
rotating
channels
to
the
to
the
The
12.
13.
If
any
program
desired,
ad
just
ment
suspend
intensity
intensity
counter-clockwise
pressing
treatment.
When
the
elapsed,
sound.
displays
the
electrical
stop.
16
except
s,
press
treatment.
by
rotating
controls
"GO"
to
treatment
the
buzzer
The
time
will
display
changes
intensity
"Hold"
fully
before
reinitiate
time
and
output
are
Reset
both
has
will
intensity
"0"
will
to
the
and