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Intelect TranSport Combo User Manual

1. D Moving i D d E Rehabilitation k A cy a A eS S a A Forward i m TR ec ORT COM User Manual 2738 Combination Ultrasound and Stimulation Unit chattanooga ISO 13485 Certified TABLE OF CONTENTS FOREWORD eeeeeeeevaeaeeeeeeeeeeeeeeeeeeeenenoeeeneeeeee 1 PRODUCT DESCRIPTION ccccccccccccccccccce I 2 SAFETY PRECAUTIONS cccccccccccccccccccccccccce PRECAUTIONARY DEFINITIONS ccccccccccee 2 CAUTIONS cccccccccccccccccccccccccsccccscsccese 3 WARNINGS ccc ccc ccccccccccccccccccccccscccescee D DANGERS cccccccccccccccccccccccccccccccccsccce 7 INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS FOR ELECTROTHERAPY 9 Indications for Russian High Voltage Pulsed Current HVPC Interferential and Premodulated Waveforms 9 Additional Indications for Interferential and Premodulated Waveforms ccceeeeecc cece eeees 9 Contraindications ccc cc eee cc eee eee eees 9 Additional Precautions 0c cece ccc eee ees 9 Adverse Effects 0 0 ccc cece cece cece ccc cece eeeenee 10 INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS FOR ULTRASOUND THERAPY 11 Indications for Ultrasound ccc cece eee eee eee 11 Contraindications cc cece ccc ee eee cee e ees 11 Additional Precautions 0 cece e ee ee ee eee 11 Potential for Burns ce ccc cc eee ee eee ences 12 Preventing Overheating of the Sound Head
2. ELECTROMAGNETIC COMPATIBILITY TABLES Guidance and manufacturer s declaration electromagnetic emissions The Intelect Transport Combo is intended for use in the electromagnetic environment specified below The customer or the user of the Intelect Transport Combo should assure that it is used in such an environment Emission tests Compliance Electromagnetic environment guidance RF emissions Group 1 The Intelect Transport Combo uses CISPR 11 RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class A The Intelect Transport Combo is CISPR 11 suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions Class A IEC 61000 3 2 Voltage fluctuations Complies IEC 61000 3 3 29 Intelect Transport Combo Guidance and manufacturer s declaration electromagnetic immunity The Intelect Transport Combo is intended for use in the electromagnetic environment specified below The customer or the user of the Intelect Transport Combo should assure that it is used in such an environment Immunity test IEC 60601 Compliance level Electromagnetic test level environment guidance Electrostatic discharge 6kV cont
3. 14 Turn system power OFF by pressing the Power On Off button The unit beeps once and the blue light on the Power On Off button flashes intermittently 47 OPERATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING ULTRASOUND THERAPY To apply ultrasound therapy do the following 1 2 Ensure the ultrasound applicator is plugged in On the Home screen use the Up and Down Arrow buttons to highlight Ultrasound Press the Enter button The Ultrasound parameters screen displays Press the Up and Down Arrow buttons to highlight Frequency Press the Enter button to select 1 or 3 3 MHz When the button is pressed the frequency will toggle from 1 to 3 3 MHz and back again as long as the button is being pressed excluding the 1 cm2 sound head An audible tone will be heard when changes are made NOTE With 2 cm and 5 cm sound heads switching from 1 to 3 3 MHz results in no change in power When using a 10 cm head with greater than 10 watts changing from 1 to 3 3 MHz reduces power to 10 watts Press the Up and Down Arrow buttons to highlight Duty Cycle Press the Enter button to display the Duty Cycle menu Press the Up and Down Arrow buttons to highlight 10 20 50 or Continuous duty cycle When the buttons are pressed an audible tone will be heard as the duty cycle toggles through the options on the LCD Press the Enter button to accept the selection 48 OPE RATION Intel
4. 3 V m 3 V m NOTE U is the a c mains voltage prior to application of the test level Power frequency magnetic fields should be at levels characteristic of a typical location ina typical commercial or hospital environment SPECIFICATIONS ELECTROMAGNETIC COMPATIBILITY TABLES CONTINUED Intelect Transport Combo Guidance and manufacturer s declaration electromagnetic immunity The Intelect Transport Combo is intended for use in the electromagnetic environment specified below The customer or the user of the Intelect Transport Combo should assure that it is used in such an environment Recommended separation distances between portable and mobile RF communications equipment and the Intelect Transport Combo Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 3 Vrms 150 kHz to 80 MHz 3 V m 80 MHz to 2 5 GHz 3V 3 V m Portable and mobile RF communications equipment should be used no closer to any part of the Intelect Transport Combo including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 5 P Vi d 3 5 VP 80 MHz to 800 MHz E d Z VP 800 MHz to 2 5 GHz E where P is the maximum output power rating of the transmit
5. C Wait until ultrasound session is complete 200 399 Refer to Warning on next page Refer to Warning on next page TROUBLESHOOTING ee asp Cabo ERROR CODES CONTINUED In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the unit and contact the dealer or DJO LLC for service Errors and Warnings in these categories indicate an internal problem with the unit that must be tested by DJO LLC or a Field Service Technician certified by DJO LLC before any further operation or use of the system Use of a unit that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or extensive internal damage to the system 79 TROUBLESHOOTING ee asp cabo TROUBLESHOOTING THE DISPLAY AND ERROR MESSAGES Troubleshooting the Display i If you press the Power On Off button and the LCD remains blank longer than a few seconds the contrast may require adjusting To adjust it turn the contrast control dial clockwise until the display contrast is optimal Troubleshooting Error Messages The following messages are displayed on the LCD under the following conditions Message Displayed When Over Temp sound head reaches a temperature which could damage the crystal Unplugged sound head not plugged in or faulty sound head Uncoupled sound head is not making good contact with the patient 80 ACCESSORI ES Intelect Transport Combo Sta
6. Battery icon will display e Any error message is displayed e Therapy begins e The therapy time reaches 0 00 Changing Protocol Parameters You may change any parameter prior to or during therapy To make Intensity and Treatment Time changes touch the respective buttons and use the up or down arrows to advance to the desired settings To change other parameters during therapy do the following 1 On the home screen use the Up and Down Arrow buttons to highlight the channel on which therapy is currently running Z Press the Enter button to select the highlighted option The parameters of the current therapy session display Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment 65 OPE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED Changing Default Protocols for Electrotherapy To change the power up presets do the following On the home screen press the Up and Down Arrow buttons to highlight either Stim Channel 1 or Stim Channel 2 2 Press the Enter button to select the highlighted option The Select Waveform screen displays Use the Up and Down Arrow buttons to highlight the appropriate waveform Press the Enter button The parameter screen displays Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press
7. Electrotherapy Patient Preparation beginning on page 38 2 Turn system power ON by pressing the Power On Off button The message Initializing System displays The unit will go through self diagnostics and the home screen displays on the LCD 43 OPE RATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING ELECTROTHERAPY CONTINUED gt Connect the Lead Wires to the appropriate electrodes To see a list of recommended electrodes and their preparation see pages 38 41 NOTE Do not use unnecessary force to connect the electrodes to the lead wires 4 Place the self adhesive electrodes on the sites prescribed by a qualified practitioner Make sure you press them firmly on the patient s skin to ensure good conductivity Depending on the type of waveform you intend to use and the number of patients you intend to treat insert the Lead Wire into Channel 1 Channel 2 or both Lead Wire Connections on the Accessory Panel 44 OPERATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING ELECTROTHERAPY CONTINUED 6 Use the Up and Down Arrow buttons to highlight either Stim Channel 1 or Stim Channel 2 Press the Enter button The Waveform screen displays Use the Up and Down Arrow buttons to highlight the appropriate waveform Press the Enter button The Electrotherapy parameter screen displays 45 OPE RATION Intelect Transport Combo STARTING STOPPING A
8. Nylatex The warranty period for applicators is one year 12 months This warranty does not cover Replacement parts or labor furnished by anyone other than the Company the selling dealer or a service technician certified by the Company Defects or damage caused by labor furnished by someone other than Company the selling dealer or a certified Company service technician Any malfunction or failure in the Product caused by product misuse including but not limited to the failure to provide reasonable and required maintenance or any use that is inconsistent with the Product User s Manual COMPANY SHALL NOT BE LIABLE IN ANY EVENT FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES Some locations do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you To obtain service from Company or the selling dealer under this warranty 1 A written claim must be made within the warranty period to the Company or the selling dealer Written claims made to the Company should be sent to DJO LLC 1430 Decision St Vista CA 92081 USA T 1 800 592 7329 USA T 1 317 406 2209 F 1 317 406 2014 and 2 The Product must be returned to the Company or the selling dealer by the owner This warranty gives you specific legal rights and you may also have other rights which vary from location to location The Company does not authorize any person or representative to create for it any other obligatio
9. Select this button to access the following functions e Retrieve User Protocol e Restore Factory Settings Restore Factory Protocols e Languages 7 View Unit Information 4 TIME Press the Up or Down arrow buttons to set total treatment time of therapy lt lt Back Use this button to return to the previous window STOP Select this button to stop a treatment session y Down Arrow When the window displays a list of options press the Down Arrow button to scroll down the list PAUSE Use this button to pause the treatment session To restart therapy press the PAUSE button 21 gt g N O M E N C LAT U R E Intelect Transport Combo Sound Head The aluminum face of the applicator that contacts the patient s skin It covers a transducer mechanism that converts electrical energy to mechanical energy in the form of a vibrating crystal LED Indicator Output Power When illuminated this green light signifies that ultrasound energy is being distributed through the applicator Applicator The hand held assembly used to deliver ultrasonic energy The applicator includes the sound head transducer and related electronics Accessory Panel The Accessory Panel serves as a port of connection for the electrodes and ultrasound applicator Q Channel 1 Lead Wire Connection This port serves as the connection point between the unit and the Channel 1 Lead Wire I Channel 2 Lead Wire Connection This port serves as the connecti
10. Wires to the appropriate electrodes For example for all waveforms used by Channel 1 all waveforms except Interferential use the black Lead Wire as the negative and the applicator as the positive For the Interferential waveform you will use three lead wires and the applicator for combination therapy use the black Lead Wire for Channel 1 as the negative electrode the applicator as the positive and the other Lead Wires for channel 2 as you would for an electrotherapy treatment NOTE Do not use unnecessary force to connect the electrodes to the Lead Wires 3 Place the self adhesive electrodes on the sites prescribed by a qualified practitioner Make sure you press them firmly on the patient s skin to ensure good conductivity Ensure the ultrasound applicator is plugged in Depending on the type of waveform you intend to use insert the Lead Wire into Channel 1 or both Lead Wire Connections on the Accessory Panel On the Home screen press the Up and Down Arrow buttons to highlight Combo iy 5 A OPERATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING COMBINATION THERAPY CONTINUED re Press the Enter button The Ultrasound parameters screen displays with the Edit Stim option highlighted NOTE When you are using combination therapy for Channel 1 all waveforms except Interferential you may only set up electrotherapy for Channel 1 If you want to use both channels of electrotherapy in co
11. can be a delay between exposure to air and spontaneous combustion gt g SAFETY PRECAUTIONS DANGERS CONTINUED NDANGER e Charge the battery pack according to the instructions found in this manual Never attempt to charge the battery pack on any other charging mechanism e Use the battery pack only with the Intelect Transport Series units e Do not reverse the polarity of the battery pack Doing so can increase the individual cell temperature and cause cell rupture or leakage e Never dispose of the battery pack in fire Never short circuit the battery pack The battery pack may explode ignite leak or get hot causing serious personal injury e Dispose of NiMH batteries according to national state and local codes and regulations Intelect Transport Combo gt g SAFETY PRECAUTIONS _ _ _ _ eremm INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS FOR ELECTROTHERAPY Indications for Russian High Voltage Pulsed Current HVPC Electrode placements must be avoided that apply current to the Interferential and Premodulated Waveforms carotid sinus region anterior neck or transcereberally through e Relaxation of muscle spasms the head e Prevention or retardation of disuse atrophy Safety has not been established for the use of therapeutic electrical stimulation during pregnancy e Powered muscle stimulators should not be used on patients with cardiac demand pacemakers e There should not
12. cm2 and 10 cm2 e Fifteen user defined memory positions e Lightweight design e Battery powered option Common Terms Applicator This apparatus is the hand held assembly used to deliver ultrasonic energy The applicator includes the sound head transducer and related electronics Accommodation This condition is where nerves lose their ability sensitivity to respond to electrotherapy Amplitude Modulation Ampl Mod Amplitude Modulation is an increase and decrease in intensity during treatment For example at an 80 amplitude modulation with the intensity set to 10 mA the intensity decreases to 2 mA and then increases to 10 mA throughout the treatment The available amplitude modulations are 40 60 80 100 and Static none 14 gt g OVE RVI EW Intelect Transport Combo Beam Non Uniformity Ratio BNR By nature an ultrasound beam is not homogeneous The BNR is a ratio of the highest intensity found in the beam field to the average intensity as indicated on the output display of the unit This measure may not exceed 5 0 1 Because of the areas of increased intensity the sound head is moved continuously during the treatment Beat Fixed Associated with the Interferential waveform Beat Fixed is the parameter at which the beat frequency remains constant When the Sweep setting is turned off you must select a fixed beat for the therapy session The available settings for Beat Fixed are 1 to 200 Hz Beat Frequency A
13. communications equipment can affect Medical Electrical Equipment DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the control panel This unit should be operated transported and stored in temperatures between 59 F and 104 F 15 C and 40 C with relative humidity ranging from 30 60 and where the atmospheric pressure is between 950 h Pa and 1050 h Pa The Intelect battery pack is designed for use only with Chattanooga Intelect Transport Stim Combo and Ultrasound systems The unit should be routinely checked before each use to determine that all controls function normally especially that the intensity control properly adjusts the intensity of the electrotherapy and ultrasonic power Output in a stable manner Also determine that the treatment time control actually terminates electrotherapy and ultrasonic power output when the timer reaches zero e Inspect cables and connectors before each use e The Intelect Transport Combo is not designed to prevent the ingress of water or liquids Ingress of water or liquids could cause malfunction of internal components of the system and therefore create a risk of injury to the patient DO NOT permit any foreign materials or liquids to enter the unit Take care to prevent any foreign materials including but not limited to inflammables water and metallic objects from entering the unit These may cause unit damage malfunction electrical
14. een e ees 41 ULTRASOUND THERAPY PATIENT PREPARATION 42 TABLE OF CONTENTS OPERATION PET A A A E A are ere PETTE STARTING STOPPING AND INTERRUPTING ELECTROTHERAPY cccccccccccvcccccccccccsces AS STARTING STOPPING AND INTERRUPTING ULTRASOUND THERAPY ccccccccccccccccccee 48 STARTING STOPPING AND INTERRUPTING COMBINATION THERAPY ccccccccccccccccee D2 CREATING A USER PROTOCOL FOR ELECTROTHERAPY ccccccccccccccccccccccccccces DO CREATING A USER PROTOCOL FOR ULTRASOUND es ee re ee ee O CREATING A USER PROTOCOL FOR COMBINATION THERAPY 266 ie oe Ve Si ee e6 hob 5o5bs0siecsdereseueses OU USING PROTOCOLS PE ETE EEA EEEE E EE Oo SYSTEM UTILITIES E E E E E E EE E E Oo AUdIDIE TONGS cesncantneonmorecueneensenacweneweiass 65 Changing Protocol Parameters e cence ee 65 Changing Default Protocols for Electrotherapy 66 Changing Default Protocols for Ultrasound Therapy 68 Changing Default Protocolsfor Combination Therapy 69 Brightening or Dimming the LCD 72 Restoring Factory Protocols cece eee ees 73 Changing LanguageS cece cece ccc eeeeeeeees 74 Restoring Factory Settings ccc eee e eee eee 75 Viewing Unit Version Information 00ee eee 76 Intelect Transport Combo TROUBLESHOOTING ssssssssssssssssssssssssssese 78 ERROR CODES EEE EPPE TS TTET FT EELT TEATE TEREN a TROUBLESHOOTING THE DISPLA
15. medium or sponges is not required or recommended DURA STICK Electrodes are manufactured to ensure the optimum conductivity during therapy when properly applied For combination therapy place the electrode on the black lead and use Stim Channel 1 40 Intelect Transport Combo Securing Electrodes Remove the DURA STICK Electrodes from the protective backing and apply to the treatment area as prescribed Ensure the entire electrode surface is in contact with patient skin by pressing into place PATIENT PREPARATION Fenton ELECTROTHERAPY PATIENT PREPARATION CONTINUED Reusable Carbon Electrodes Optional Connecting Lead Wires Conductive Medium Securing Electrodes Insert the lead with the red electrode Use wet sponges or liberally apply Use Nylatex Wrap to secure each electrode connector into electrode Insert the lead Conductor Transmission Gel to electrode in position on the patient with the black electrode connector into prior to placement on patient the other electrode Make certain the lead wires are seated completely into the electrodes RED LEAD WIRE BLACK gt LEAD WIRE Nylatex Wraps contain dry natural rubber and may cause allergic reactions in patients with allergies to latex NOTE For combination therapy place the electrode on the black lead and use Stim Channel 1 41 PATI ENT PREPA RATION Intelect Transport Combo ULTRASO
16. off To restore power press the Power On Off button 37 PATIENT PREPARATION Fenton ELECTROTHERAPY PATIENT PREPARATION Electrode Placement Use the following guidelines when preparing patients for electrotherapy e Examine the skin for any wounds and clean the skin Apply the electrodes to the treatment area e Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns e Output current density is inversely related to electrode size i e Ensure the electrodes are applied securely to the skin Ensure good contact between each pececoe and the skin the larger the electrode the lower the current density Improper e Check the electrode contact regularly during the treatment application may result in patient injury If any question arises as to Examine the skin again after the treatment the proper electrode size consult a licensed practitioner prior to therapy session Choose electrodes that fit the anatomy Py Eol d f i e Powered muscle stimulators should be used only with the leads and Follow electrode manuracturer Instructions electrodes recommended for use by the manufacturer 38 PATIENT PREPARATION ELECTROTHERAPY PATIENT PREPARATION CONTINUED DURA STICK Electrodes Chattanooga DURA STICK Electrodes are a self adhesive single patient one time use disposable product designed specifically for use with Chattanooga Elec
17. patient injury Always keep the sound head in constant motion Always keep the sound head in full contact with the patient s skin or Submerged under water when setting intensity Use ample conductive gel to ensure good coupling throughout the treatment If needed apply when setting intensity Be sure to read all instructions for operation before treating a patient Dispose of all products in accordance with local and national regulations and codes SAFETY PRECAUTIONS eFC WARNINGS CONTINUED e Use of controls adjustments or performance of procedures other than those specified herein may result in hazardous exposure to ultrasonic energy Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous conditions causing damage to the battery pack or cells To prevent electrical shock disconnect the battery pack from the system before attempting any maintenance procedures Do not drop the applicator on hard surfaces Do not cool an overheated sound head with ice water or ice packs Do not allow the sound head to reach maximum temperatures repeatedly All of these conditions are likely to damage the sound head crystal Damage resulting from these conditions is not covered under the warranty In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the unit and contact the dealer or DJO LLC for service Errors and Warni
18. the Enter button after each adjustment Press the Clinical Library button The Save Protocol screen displays 66 OPERATION SYSTEM UTILITIES CONTINUED Intelect Transport Combo Use the Up Arrow and Down Arrow buttons to highlight Save as Default protocol This will become the protocol displayed when the waveform is selected on the Waveform screen Press the Enter button to accept the highlighted selection The Default Protocol Confirmation window displays Press any key to confirm the settings You are returned to the Clinical Library menu 67 OPERATION SYSTEM UTILITIES CONTINUED Intelect Transport Combo Changing Default Protocols for Ultrasound Therapy 1 2 On the home screen press the Up and Down Arrow buttons to highlight Ultrasound Press the Enter button to select the highlighted option The Ultrasound parameters screen displays Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment Press the Clinical Library button The Save Protocol screen displays Use the Up Arrow and Down Arrow buttons to highlight Save as Default protocol This will become the protocol displayed when Ultrasound is selected on the Home screen Press the Enter button to accept the highlighted selection The Default Protocol Confirmation window displays 68 OPE RATION Int
19. user defined protocols are erased and the waveforms are restored to the original parameters Then the Restore Factory Protocols Confirmation window displays 4 Press any button on the Operator Interface You are returned to the Clinical Library window 73 OPE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED Changing Languages You may change the language displayed by the Intelect Transport Combo to the following e English e Spanish To change the language displayed on the LCD do the following iF Press the Clinical Library button The Clinical Library screen displays Use the Down Arrow and Up Arrow buttons to highlight the Language option Press the Enter button to accept the highlighted selection The Language menu displays Press the Up and Down Arrow buttons to highlight the appropriate language 74 OPE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED Press the Enter button to accept the highlighted selection The unit now displays the language you selected Restoring Factory Settings To restore the original language on the unit do the following 1 On the Home screen press the Clinical Library button The Clinical Library screen displays Press the Up Arrow or Down Arrow buttons to highlight the Restore Factory Settin option Press the Enter button to accept the highlighted selection The Restore Factory Settings Confirmation screen displays 75 O
20. warnings and precautions Consult other resources for additional information regarding the application of electrotherapy Product Description The Intelect Transport Combo designed and manufactured by DJO LLC offers a new dimension in clinical electrotherapy and ultrasound made possible by software design and digital signal processing Effectiveness of this treatment is dependent upon correct use If treatment times are exceeded the therapy may not result in positive clinical outcomes Stay current with the latest clinical developments in the field of electrotherapy Observe all applicable precautionary measures for treatment Keep informed of appropriate indications and contraindications for the use of electrotherapy and ultrasound This equipment is to be used only under the prescription and supervision of a licensed practitioner 2010 DJO LLC Vista California USA Any use of editorial pictorial or layout composition of this publication without express written consent from DJO LLC is strictly prohibited This publication was written illustrated and prepared for distribution by DJO LLC 1 SAFETY PRECAUTIONS PRECAUTIONARY DEFINITIONS Intelect Transport Combo The precautionary instructions found in this section and throughout this manual are indicated by specific symbols Understand these symbols and their definitions before operating this equipment The definition of these symbols are as follows Caution
21. wipe down with a clean lint free cloth moistened with water and mild antibacterial soap To clean the optional reusable carbon electrodes remove them from the Lead Wires and wipe down with isopropyl alcohol Repeat this procedure for the sponges as well The following items should be checked at least monthly to ensure proper operation of this unit e Power cord and plug Check to make sure the cord is not frayed kinked and does not have torn or cut insulation e Applicator cable Check to make sure the cable is flexible free of kinks not frayed and the insulation is intact e Sound head face Check to see that there is no build up of gel or foreign material on the aluminum face NOTE The sound head must be cleaned with alcohol between each therapy session The aluminum surface may be disinfected with alcohol but avoid the plastic area NOTE The unit must be recalibrated annually The unit was calibrated during the manufacturing process and is ready to be placed into service upon delivery 82 gt g MAI NTENANCE Intelect Transport Combo FACTORY SERVICE When the Intelect Transport Combo requires factory service contact the selling dealer or DJO LLC Service Department All units returned to the factory for service must include the following WARRANTY REPAIR OUT OF WARRANTY REPAIR 1 Written statement containing the following information e RA Return Authorization Number Obtain from Factory EU Directive on Waste Electri
22. ND INTERRUPTING ELECTROTHERAPY CONTINUED Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment Press Enter to accept the parameters The Parameter screen refreshes and the new parameters are displayed To begin therapy press the START button The timer counts down the output power ramps up and Running displays below the timer NOTE When the therapy time has expired the unit beeps three times During therapy you can press the TIME button to raise or lower treatment time in one minute increments using the up and down arrows During therapy you can press the INTENSITY button to raise or lower the output using the up and down arrows Therapy can be interrupted at any time by pressing the STOP or PAUSE buttons When the STOP button is pressed the unit stops emitting output and the unit returns to the home screen To resume therapy repeat steps 6 11 During treatment the following occurs whenever the PAUSE button is pressed e the timer pauses e the unit beeps quickly 5 times e Paused displays below the timer e the unit stops emitting output To resume therapy press the PAUSE button or the START button 46 O P E RAT O N Intelect Transport Combo STARTING STOPPING AND INTERRUPTING ELECTROTHERAPY CONTINUED 13 When you have completed treatment remove all electrodes from the patient
23. PE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED Press any button on the Operator Interface The default power up settings are restored and you are returned to the Clinical Library screen Viewing Unit Version Information Use this utility to determine the unit s software version To do this do the following 1 On the Home screen press the Clinical Library button The Clinical Library screen displays Use the Up Arrow and Down Arrow buttons to highlight the View Unit Information option Press the Enter button to accept the highlighted selection The Unit Version Information screen displays 76 OPE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED Press any key to return to the Clinical Library window 77 TROUBLESHOOTING nt arsport Cont ERROR CODES The Intelect Transport Combo displays error messages to inform the user of problems or potential problems with the unit modality or accessories These are numbered so the user can possibly correct the problem without the aid of service personnel Use the following Troubleshooting Charts to define the error codes and locate the probable cause and possible remedies before contacting the dealer or factory for technical service Code Type Message Probable Cause Possible Remedies Number 104 Message User attempted to perform an electrotherapy session but both A Wait until the previous therapy session finishes channels are
24. Text with a CAUTION indicator will explain possible safety infractions that could have the potential to cause minor to moderate injury or damage to equipment Text with a WARNING indicator will explain possible safety infractions that will potentially cause serious injury and equipment damage VAN YN e1 5 3 Text with a DANGER indicator will explain possible safety infractions that are imminently hazardous situations that would result in death or serious injury Voltage Text with a Dangerous Voltage indicator serves to inform the user of possible hazards resulting in the electrical charge delivered to the patient in certain treatment configurations of waveforms NOTE Throughout this manual NOTE may be found These Notes are helpful information to aid in the particular area or function being described SAFETY PRECAUTIONS Intelect Transport Combo CAUTIONS e Read understand and practice the precautionary and operating instructions Know the limitations and hazards associated with using any electrical stimulation or ultrasound device Observe the precautionary and operational decals placed on the unit DO NOT operate the Intelect Transport Combo unit when connected to any unit other than DJO LLC devices DO NOT operate this unit in an environment where other devices are being used that intentionally radiate electromagnetic energy in an unshielded manner Portable and mobile RF
25. UND THERAPY PATIENT PREPARATION Before applying the sound head to the patient you must first prepare the patient s skin for ultrasound therapy By properly preparing the patient s skin for ultrasound therapy you will allow more ultrasound energy to reach the targeted areas and reduce the risk of skin irritation To prepare the patient s skin for ultrasound therapy do the following 1 Thoroughly wash the skin on which you intend to place the sound head with mild soap and water 2 Dry the skin thoroughly 3 Apply the ultrasound gel generously to the target area on the patient NOTE For combination therapy place the electrode on the black lead and use Stim Channel 1 42 OPERATION STARTING STOPPING AND INTERRUPTING ELECTROTHERAPY The Operator Interface consists of buttons with a liquid crystal display LCD The operator is able to view parameter options on the display and make selections by pressing the buttons on the control panel The LCD will provide continuous information during the treatments concerning power and elapsed time Parameters are adjusted using control panel buttons on the front of the unit The output can be stopped by pressing the PAUSE or STOP buttons located on the control panel Intelect Transport Combo Do not turn the unit on or off while it is connected to the patient To apply electrotherapy do the following Follow all appropriate procedures listed in the section entitled
26. VERSE EFFECTS FOR ELECTROTHERAPY CONTINUED Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium The irritation can usually be reduced by using an alternative conductive medium or an alternative electrode placement Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner e Powered muscle stimulators should be used only with the lead wires and electrodes recommended for use by the manufacturer With waveforms isolated cases of skin irritation may occur at the site of electrode placement following long term application The effectiveness of waveforms is highly dependent upon patient selection by a person qualified in the management of pain patients Adverse Effects e Skin irritation and burns beneath the electrodes have been reported with the use of powered muscle stimulators 10 SAFETY PRECAUTIONS Intelect Transport Combo INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS FOR ULTRASOUND THERAPY Indications for Ultrasound Application of therapeutic deep heat for the treatment of selected sub chronic and chronic medical conditions such as e Relief of pain muscle spasms and joint contractures e Relief of pain muscle spasms and joint contractures that may be associated with e Adhesive capsulitis e Bursitis with slight calcification e Myositis e Soft tissue injuries e Shorten
27. Y AND ERROR MESSAGES EEEE EEEE TEPE TTT EEEE E PETE Oo Troubleshooting the Display eee eee 80 Troubleshooting Error MessageS eeeeees 80 ACCESSORIES eeeeeeeeeaeeeeeeeeeeeewneneeeweeneeeeeeeeee 81 Standard Accessories cece ccc eee eee eens 81 Optional Accessories cece ccc ccc eee eees 81 MAINTENANCE byaeeeee E E siete ee MAINTAINING THE UNIT cccccccccccccccccccces 82 Cleaning the Unit and the Accessories 82 FACTORY SERVICE Gea eaeuee Cueee sees eee ee ees eeeee Oo WARRANTY er ee ee ee ee P O R EWO R D Intelect Transport Combo This manual has been written for the users of the Intelect Transport Combo units It contains general information on the operation precautionary practices and maintenance information In order to maximize use efficiency and the life of the unit read this manual thoroughly and become familiar with the controls as well as the accessories before operating the system Specifications put forth in this manual were in effect at the time of publication However owing to DJO LLC s policy of continual improvement changes to these specifications may be made at any time without obligation on the part of DJO LLC Before administering any treatment to a patient the users of this equipment should read understand and follow the information contained in this manual for each mode of treatment available as well as the indications contraindications
28. act 6kV contact Floors should be wood ESD concrete or ceramic tile If 8kV air 8kV air floors are covered with IEC 61000 4 2 synthetic material the relative humidity should be at least 30 Electrical fast 2kV for power supply 2kV for power supply Mains power quality transient burst lines lines should be that of a typical commercial or hospital IEC 61000 4 4 1kV for input output 1kV for input output environment lines lines Surge 1kV differential mode 1kV differential mode Mains power quality should be that of a typical IEC 61000 4 5 2kV common mode 2kV common mode commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 lt 5 U gt 95 dip in U for 0 5 cycle 40 U 60 dip in U for 5 cycles 70 U 30 dip in U for 25 cycles lt 5 U gt 95 dip in U for 5 sec lt 5 U gt 95 dip in U for 0 5 cycle 40 U 60 dip in U for 5 cycles 70 U 30 dip in U for 25 cycles lt 5 U gt 95 dip in U for 5 sec Mains power quality should be that of a typical commercial or hospital environment If the user of the Intelect Transport Combo requires continued operation during power mains interruptions it is recommended that the Intelect Transport Combo be powered from an uninterrupted power supply or a battery Power frequency 50 60Hz magnetic field IEC 61000 4 8
29. already in use B Press the STOP button to end the therapy session on either channel 105 Message User selected a two channel electrotherapy treatment but at least A Wait until the previous therapy session finishes one channel is already in use B Press the STOP button to end the therapy session on either channel 106 Warning Overcurrent A Check Electrodes and Lead Wires Make certain Lead Wires are not damaged and are properly connected to the system Make certain Lead Wires are properly connected to the Electrodes and that electrodes are not damaged and are making proper contact with treatment area B Replace Lead Wires and Electrodes 107 Warning Bad Contact Quality A Make certain Electrodes are making proper contact with the treatment area B Make certain Lead Wires are properly connected to Electrodes C Replace Electrodes and Lead Wires 108 Warning Shorted Lead Wires A Check Electrodes and Lead Wires Make certain Lead Wires are not damaged and are properly connected to the system Make certain Lead Wires are properly connected to the Electrodes and that electrodes are not damaged and are making proper contact with treatment area B Replace Lead Wires and Electrodes While performing ultrasound therapy using the 10 cm sound at A Use a smaller sound head an intensity greater than 15 W 1 7 W cm user attempted to B Set the ultrasound at an intensity less than 15 W 1 7 W cm2 begin an electrotherapy session on a second channel
30. apeutic ultrasound diathermy or laser diathermy anywhere on their body Energy from diathermy shortwave microwave ultrasound and laser can be transferred through the implanted neurostimulation system can cause tissue damage and can result in severe injury or death Injury damage or death can occur during diathermy therapy even if the implanted neurostimulation system is turned off e DO NOT connect the unit to an electrical supply without first verifying that the power supply is the correct voltage Intelect Transport Combo VAN YN e Incorrect voltage may cause unit damage malfunction electrical shock fire or personal injury Your unit was constructed to operate only on the electrical voltage specified on the Voltage Rating and Serial Number Plate Contact your DJO LLC dealer if the unit is not properly rated NiMH Batteries contain Class E corrosive materials In the event of battery cell rupture or leakage handle battery pack wearing neoprene or natural rubber gloves Contents of a ruptured or leaking battery can cause respiratory irritation Hypersensitivity to nickel can cause allergic pulmonary asthma Contents of cell coming in contact with skin can cause skin irritation and or chemical burns Never under any circumstances open the battery pack housing or cells Should an individual battery from a battery pack become disassembled soontaneous combustion of the negative electrode is possible There
31. be any use of waveforms on patients with cardiac demand pacemakers e Increase local blood circulation e Muscle re education e Maintaining or increasing range of motion e Immediate post surgical stimulation of calf muscles to prevent venous thrombosis Additional Precautions Additional Indications for Interferential and Premodulated Caution should be used for patients with suspected or diagnosed Waveforms i heart problems e Symptomatic relief of chronic intractable pain l l e Caution should be used for patients with suspected or diagnosed e Post traumatic acute pain a pilepsy Post surgical acute pain e Caution should be used in the presence of the following Contraindications When there is a tendency to hemorrhage following acute e This device should not be used for symptomatic local pain trauma or fracture relief unless etiology is established or unless a pain syndrome Following recent surgical procedures when muscle contraction has been diagnosed may disrupt the healing process e This device should not be used when cancerous lesions are Over a menstruating or pregnant uterus e This device should not be used when open wounds are present in the treatment area e Other contraindications are patients suspected of carrying serious infectious disease and or disease where it is advisable for general medical purposes to suppress heat or fevers SAFETY PRECAUTIONS eFC INDICATIONS CONTRAINDICATIONS AND AD
32. cal e Model Number and Electronic Equipment e Serial Number WEEE ensures that product Contact Person with Phone and Fax Numbers is appropriately disposed of or ijji recycled at the end of its life E Billing Address for Out of Warranty Repair y i e Shipping Address Where to Ship Unit after Repair e Detailed Description of Problem or Symptoms 2 Copy of original invoice issued at purchase 3 Ship the unit to address specified by an authorized service technician Service to these units should be performed only by Service Technicians certified by DJO LLC 83 WARRANTY Intelect Transport Combo DJO LLC Company warrants that the Intelect Transport Combo Product is free of defects in material and workmanship This warranty shall remain in effect for two years 24 months from the date of original consumer purchase If this Product fails to function during the two year warranty period due to a defect in material or workmanship at the Company s option the Company or the selling dealer will repair or replace this Product without charge within a period of thirty days from the date on which the Product is returned to the Company or the dealer All repairs to the Product must be performed by a service center certified by the Company Any modifications or repairs performed by unauthorized centers or groups will void this warranty The warranty period for accessories is 90 days Accessories include Lead Wires Electrodes and
33. e the unit is resting on a flat surface or mounted on a wall the equipment required to mount the unit is not included To mount the unit on a wall do the following Remove the repositional base from the back of the unit 2 Using the repositional base as a guide mark the 4 wall holes with a pencil or pen 31 S ETU P Intelect Transport Combo MOUNTING THE UNIT ON THE WALL CONTINUED D Using an appropriate size drill bit drill the four holes you marked in the previous step 4 Press 4 appropriately sized drywall anchors into the wall so that the drywall anchor is flush with the wall 32 S ET U P Intelect Transport Combo MOUNTING THE UNIT ON THE WALL CONTINUED 5 Screw four 8 pan head sheet metal screws 1 inch or 2 54 cm into the wall anchors Make sure you leave 1 4 of an inch 0 635 cm between the wall and the head of the screw 6 Replace the repositional base on the back of the unit 33 SETU P Intelect Transport Combo MOUNTING THE UNIT ON THE WALL CONTINUED k Line up the screw heads with the holes on the repositional base and slide the unit down slightly until the screw heads are securely fastened to the repositional base 34 S E T U P Intelect Transport Combo INSTALLING THE BATTERY PACK The Intelect Transport Combo accommodates both AC mains power and an optional battery pack The pack contains 20 Nickel Metal Hydride NiMH drycell batteries To install the
34. ect Transport Combo STARTING STOPPING AND INTERRUPTING ULTRASOUND THERAPY CONTINUED Press the Down Arrow button to highlight Display Press the Enter button to select either Watts or W cm2 When the button is pressed the frequency will toggle from Watts to W cm2 and back again as long as the button is being pressed Press the Down Arrow button to highlight Warming Press the Enter button to select either On or Off When the button is pressed the head warming feature will toggle from On to Off and back again as long as the button is being pressed When the head warming feature is On the sound head will warm to slightly above body temperature The Warming message displays in the status window Press the Down Arrow button to highlight Coupling Press the Enter button to display the Coupling menu The coupling feature is designed to indicate when the sound head is not making adequate contact with the patient s skin Good coupling is achieved when the appropriate amount of gel is used and the sound head is making satisfactory contact ey to the patient s skin Good coupling results in the most efficient use of ultrasound therapy wi 49 A OPE RATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING ULTRASOUND THERAPY CONTINUED NOTE The green light located on the back of the applicator flashes intermittently when the sound head breaks contact with the patient Also when the applicator beco
35. ed tendons due to past injuries and scar tissues e Relief of sub chronic and chronic pain and joint contractures resulting from e Capsular tightness e Capsular scarring Contraindications This device should not be used e For symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed e When cancerous lesions are present in the treatment area e When open wounds are present in the treatment area e On patients suspected of carrying serious infectious disease and or disease where it is advisable for general medical purposes to Suppress heat or fevers e Over or near bone growth centers until bone growth is complete 11 e Over the thoracic area if the patient is using a cardiac pacemaker e Over a healing fracture e Over or applied to the eye e Over a pregnant uterus e On ischemic tissues in individuals with vascular disease where the blood supply would be unable to follow the increase in metabolic demand and tissue necrosis might result Additional Precautions Additional precaution should be used when the ultrasound is used on patients with the following conditions e Over an area of the spinal cord following a laminectomy i e when major covering tissues have been removed e Over anesthetic areas e On patients with hemorrhagic diatheses DANGER Patients with an implanted neurostimulation or defibrillator device must not be treated with or be in close proximity
36. een displays On the parameter screen press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment Press the Clinical Library button The Save Protocol screen displays Press the Up Arrow and Down Arrow buttons to highlight any unused user protocol If you select the Save as Default protocol this will become the protocol displayed when Ultrasound is selected on the Home screen Press the Enter button to accept the highlighted selection and save your custom protocol The User Protocol Confirmation window displays to indicate that the protocol is now saved as the number you specified 58 OPE RATION Intelect Transport Combo CREATING A USER PROTOCOL FOR ULTRASOUND THERAPY CONTINUED 7A Press any button on the Operator Interface The Parameter screen displays and your new protocol is now saved 59 OPE RATION Intelect Transport Combo CREATING A USER PROTOCOL FOR COMBINATION THERAPY To create User Protocols for combination therapy do the following 1 On the Home screen press the Up and Down Arrow buttons to highlight Combo Press the Enter button The Ultrasound parameter screen displays Press the Up and Down Arrow buttons to highlight Waveform Press the Enter button The Waveform menu displays Press the Up and Down Arrow buttons to highlight the appropriate waveform Press the Enter button to acc
37. elect Transport Combo SYSTEM UTILITIES CONTINUED Press any key to confirm the settings You are returned to the Clinical Library menu Changing Default Protocols for Combination Therapy 1 On the home screen press the Up and Down Arrow buttons to highlight Combo A Press the Enter button to select the highlighted option The Ultrasound parameters screen displays Press the Up and Down Arrow buttons to highlight Waveform Press the Enter button The Waveform menu displays 69 OPERATION SYSTEM UTILITIES CONTINUED Intelect Transport Combo Press the Up and Down Arrow buttons to highlight the appropriate waveform Press the Enter button to accept the selection The Waveform menu closes Press the Up and Down Arrow buttons to highlight Edit Stim Press the Enter button to accept the selection The waveform s parameters display Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment Press the Up and Down Arrow buttons to highlight Edit Ultrasound Press the Enter button to accept the highlighted selection The Ultrasound parameter screen displays 70 OPE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED ae tra Press the Up and Down Arrow buttons to highlight the parameter you want to fetal change and adjust it accordingly making sure to press the Enter button aft
38. en eens 2 200 Hz Cycle Time Continuous 5 5 4 12 10 10 10 20 10 30 and 10 50 Mode Selection 6 ccc cece seen nenen eee eeeeesesseseeeas CGorcy e aa is c6 65a c tsa eeadeceetacsdneuecetaues 1 60 min CC Constant Current CV Constant Voltage Intelect Transport Combo we Interferential Interferential current is a medium frequency waveform Current is distributed through two channels four electrodes The currents cross each other in the body at the area requiring treatment The two currents interfere with each other at this crossing point resulting in a modulation of the intensity the current intensity increases and decreases at the beat frequency Comer TOQUGNCY pitncs4aceeeunes EEE 2000 5000 Hz PECE OU I oae eE EESE ENEE 1 200 Hz eea AEE E E N 1 200 Hz sweep LOW Beal FreQueNCY 20 s40sssa0xcebilaueseseses 1 199 Hz Sweep High Beat Frequency cc cece eee nee 2 200 Hz FO WICC 8 ts hares ee ance tote EE enone eae 0 100 mA KECA Wei erreen aei 1 60 min Mode Selection 0 ccc cece nce cece nee e nee rrn CCorcy SPECIFICATIONS WAVEFORM SPECIFICATIONS CONTINUED NN High Voltage Pulsed Current HVPC The High Voltage Pulsed Current HVPC has a very brief pulse duration characterized by two distinct peaks delivered at high voltage The waveform is monophasic current flows in one direction only The high voltage causes a decreased skin resistance making the current comfortable and ea
39. ept the selection The Waveform menu closes Press the Up and Down Arrow buttons to highlight Edit Stim Press the Enter button to accept the selection The waveform s parameters display 60 OPE RATION Intelect Transport Combo CREATING A USER PROTOCOL FOR COMBINATION THERAPY CONTINUED 9 Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment 10 Press the Up and Down Arrow buttons to highlight Edit Ultrasound 11 Press the Enter button to accept the highlighted selection The Ultrasound parameter screen displays Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment Press the Clinical Library button The Save Protocol screen displays 61 OPE RATION Intelect Transport Combo CREATING A USER PROTOCOL FOR COMBINATION THERAPY CONTINUED Press the Up Arrow and Down Arrow buttons to highlight any unused user protocol If you select the Save as Default protocol this will become the protocol displayed when Combo is selected on the Home screen Press the Enter button to accept the highlighted selection and save your custom protocol The User Protocol Confirmation window displays to indicate that the protocol is now saved as the number you specified Press any button on the Op
40. er each adjustment Press the Clinical Library button The Save Protocol screen displays Streak en Edit Stim Waveform AA I Le rie a Hiagh Walt Use the Up Arrow and Down Arrow buttons to highlight Save as Default protocol This will become the protocol displayed when Ultrasound is selected on the Home screen Press the Enter button to accept the highlighted selection The Default Protocol Confirmation window displays 71 OPE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED 16 Press any key to confirm the settings You are returned to the Clinical Library menu Brightening or Dimming the LCD __ To brighten or dim the LCD turn the contrast control dial until the display contrast is optimal 72 OPE RATION Intelect Transport Combo SYSTEM UTILITIES CONTINUED Restoring Factory Protocols If necessary you can choose to restore the unit s original default waveform parameters when it was shipped to you NOTE This procedure will erase all user defined protocols To restore the unit s original waveform parameters do the following 1 On the Home screen press the Clinical Library button The Clinical Library window displays 2 Press the Up Arrow or Down Arrow buttons to highlight Restore Factory Protocols 3 Press the Enter button to accept the highlighted selection The unit displays the message Restoring Protocols Please wait The
41. erator Interface The Parameter screen displays and your new protocol is now saved 62 Intelect Transport Combo OPERATION USING PROTOCOLS On the home screen press the Clinical Library button The Clinical Library screen displays Using the Up Arrow and Down Arrow buttons highlight the Retrieve User Protocol option Press the Enter button to accept the highlighted selection A list of user defined protocols displays Press the Up and Down Arrow button to highlight the appropriate protocol As you highlight each protocol a description of the protocol s parameters displays to the right Press the Enter button to select the highlighted protocol The Parameters screen displays the parameters of the protocol you selected 63 OPERATION USING PROTOCOLS CONTINUED Intelect Transport Combo Verify the parameters of this program and use the appropriate buttons on the Operator Interface to adjust any setting if necessary For example to adjust the time press the up and down arrows on the TIME button To begin therapy and depending on if you intend to apply electrotherapy ultrasound therapy or combination therapy perform the appropriate procedures outlined on pages 38 55 64 OPE RATION Intelect Transport Combo SYSTEM UTILITIES Audible Tones Audible tones will be heard in the following conditions e Any button is pressed e The rechargeable battery s power is low in which case the Low
42. h as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Intelect Transport Combo is used exceeds the applicable RF compliance level above the Intelect Transport Combo should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Intelect Transport Combo Over the frequency range 150 kHz to 80 MHz field strengths should be less than V V m For transmitters rated at a maximum output power not listed above the recommended separation distance din meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people SETU P Intelect Transport Combo MOUNTING THE UNIT ON THE WALL The Intelect Transport Combo can be operated whil
43. he treatment time This limits the amount of energy delivered to the tissues Ramp Ramp is the gradual increase and decrease in current The purpose of ramping up the current is to maximize patient comfort by preventing the abrupt and sudden exposure to the current Sound Head The aluminum face of the applicator that contacts the patient s skin It covers a transducer mechanism that converts electrical energy to mechanical energy in the form of a vibrating crystal Sweep This is the modulation of therapeutic frequency commonly used to prevent accommodation Sweeps are measured in pulses per second pps and Hertz Hz Treatment Time Measured in minutes and seconds it is the suggested time in which therapy is given Vector A vector is a geometrically descriptive feature used to increase the effective therapeutic current at the crossing point of Interferential Vector Position The available vector positions are O to 90 degrees Vector Scan Measured in percentages vector scans are the rhythmic changes of the position of vector The available vector scans are Manual Auto 40 and Auto 100 Waveforms Waveforms are current or voltage that is varied by time and are the geometrical descriptions of a DC AC or pulsed DC AC current For more specifications and types of waveforms available on the Intelect Transport Combo refer to the section entitled Waveform Specifications 18 OVE RVI EW Intelect Transport Combo Descr
44. he unit to the patient The unit provides two channels of electrical stimulation Phase Duration his is the time in which the current flows in one direction only Phase duration is the determined period of time elapsing from the beginning to the end of one phase usually expressed in microseconds usec or milliseconds ms Polarity Polarity refers to the charge of an individual lead positive or negative Polarity Reversal This is a feature available on the unit in which the polarity changes at a determined time Power A measure of the intensity of the ultrasound delivered to the patient The unit of measure is watts W Protocol A group of parameters e g Frequency Duty Cycle etc unique to a form of therapy i e electrotherapy or ultrasound Pulse Duration Refers to the amount of time the ultrasound is being delivered in the pulsed mode For example in the 20 duty cycle mode the ultrasound is delivered for 2 msec and off for 8 msec at 100 Hz throughout the treatment period Pulse Frequency The pulse frequency is the number of pulses per second and is expressed in hertz The available pulse frequencies for ultrasound therapy is 100 Hz 17 gt g OVE RVI EW Intelect Transport Combo Pulsed Mode Electrotherapy This is an available mode on the unit in which electrotherapy is distributed intermittently Pulsed Mode Ultrasound The output of the ultrasound is automatically interrupted during t
45. in VCs i ohio eguasiepeaneedeteekup apnea taeeonen 25 7 cm 10 125 in CVO Mig seva sencan aan an do cay yes mea T 18 4 cm 7 25 in Weight Standard Weight with base 0 0 eae 2 3 kg 5 07 Ib Bote PACK anuctaaatencebeervenustorcquunvstubors 0 85 kg 1 87 Ib Power POUT seige ea wskaweceen wdyane 100 240 V 1 0 A 50 60 Hz 100 W Max EEE TEONE EE E te rieens een an aoandae eae 4 24V 3 125A E ena kl E gee E E TEE CLASS I Electrical Type Ultrasound TYPE B Electrotherapy TYPE BF Battery TWOGsiiasevsus coves eondeene es Nickel Metal Hydride NiMH E EE aa kak W on Mehdi 4 ee eae han ae 1 2 V x 20 size AA Operating Environment Temperature Between 59 F and 104 F 15 C and 40 C Relative Humidity i sicciiaravtieiaisedeenaaenesara esa ar 30 60 Atmospheric Pressure 00 0 cece cence ees 950 1050 h Pa Complies with UL IEC EN 60601 1 C IEC EN 60601 1 2 IEC 60601 2 10 0473 SPECIFICATIONS WAVEFORM SPECIFICATIONS MA Premodulated Premodulated current is a medium frequency waveform Current comes out of one channel two electrodes The current intensity is modulated it increases and decreases at a regular frequency the Beat Frequency UEN E ereere EE T 0 100 mA Eine E a aT EE 2500 Hz Beat Fixed Sweep Off 0 ccc cece cece eee ees 1 200 Hz Sweep LOW Beat FrEQUENCY s lt ccicecsdudsavneed tarii nini 1 199 Hz Sweep High Beat Frequency cc cece we
46. interrupted at any time by pressing the STOP or PAUSE buttons When the STOP button is pressed the applicator stops emitting ultrasound energy and the unit returns to the default settings To resume therapy press the Start button When the PAUSE button is pressed the timer pauses and the applicator stops emitting ultrasound energy To resume therapy press the PAUSE button again The parameters of the therapy can be changed at any time during the therapy session by pressing the appropriate button After therapy is complete wipe excess ultrasound gel from the patient s skin and the sound head 51 OPE RATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING COMBINATION THERAPY Combination therapy consists of using electrotherapy and ultrasound therapy simultaneously You may choose to use one or both channels of electrotherapy in conjunction with ultrasound Combination therapy utilizes the ultrasound modality in conjuction with High Voltage Pulsed Current HVPC Premodulated or Interferential to generate a therapeutic effect In this mode of therapy the sound head of the ultrasound applicator becomes one half of the electrical circuit An electrode attached to the black Lead Wire completes the circuit To do this do the following 1 Follow all appropriate procedures listed in the section entitled Electrotherapy Patient Preparation on page 38 and Ultrasound Patient Preparation on page 42 2 Connect the Lead
47. iption of Ultrasonic Field The spatial distribution of the radiated field is essentially a collimated beam of the ultrasonic energy having a cross sectional area of 8 5 cm2 for the 10 cm2 sound head when measured at a point 5 mm from the transducer face The energy distribution within the radiated field is 3 0 W cm peak and it takes a generally conic shape having decreasing intensity at progressively increasing distance from the face of the transducer This field distribution applies for the radiation emitted into the equivalent of an infinite medium of distilled degassed water at 86 F and with the line voltage variations in the range of 10 of the rated line voltage 19 N o M E N s LATU RE Intelect Transport Combo Power A LCD Intensity On Off Contrast Dial Sound Head LCD Ee Clinical LED Indicator Power Cord Power Library A Output Power Connection Cord Applicator N TENSITY E Display Enter Channel 1 Channel 2 Ultrasound Lead Wire Lead Wire Applicator ae S Connection Connection Connection STOP Accessory Panel 20 N O M E N C LAT U R E Intelect Transport Combo O O Power On Off The Power On Off button controls the flow of electricity to the unit NOTE Make certain there are no electrodes on the patient when turning the unit on or off LCD The LCD Liquid Crystal Display allows the user to view and monitor the information displayed before during and after therapy W Clinical Library
48. istributed 54 OPERATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING COMBINATION THERAPY CONTINUED 2i 2 26 2 22 23 24 If you want to use Channel 2 for additional electrotherapy continue with step 22 If you do not want to use additional electrotherapy skip to step 25 Press the Up and Down Arrow buttons to highlight Stim Channel 2 Press the Enter button The Select Waveform screen displays Follow steps 8 12 of the section entitled Starting Stopping and Interrupting Electrotherapy on pages 43 47 You may make parameter changes and stop or pause therapy on Channel 1 Channel 2 or Ultrasound by highlighting the appropriate form of therapy and making the necessary changes When you have completed treatment remove all electrodes from the patient Turn system power OFF by pressing the Power On Off button The unit beeps once and the blue light on the Power On Off button flashes intermittently 55 OPERATION Intelect Transport Combo CREATING A USER PROTOCOL FOR ELECTROTHERAPY This is a library you create You may store up to 15 protocols in the User Protocol Library To create User Protocols for electrotherapy do the following 1 On the home screen press the Up and Down Arrow buttons to highlight either Stim Channel 1 or Stim Channel 2 Press the Enter button NOTE User protocols can be used on any channel Stim Channel 1 Stim Channel
49. me amplitude regardless of changes in tissue impedance over time Constant voltage is a stimulator capable of delivering a source of voltage at the same amplitude regardless of changes in tissue impedance over time Keep in mind that the amount of stimulation is directly proportional to the current Channel Mode The available channel modes are Single Channel in which electrotherapy is distributed from one channel Reciprocal where electrotherapy alternates between channels and Co Contract where electrotherapy is distributed from both channels at the same gu A time 15 iby OVE RVI EW Intelect Transport Combo Clinical Library Select this button to access the following functions Retrieve User Protocols Restore Factory Settings Restore Factory Protocols Language and View Unit Information Collimating Coll The shape of the ultrasound beam While neither focused nor dispersed this ultrasound beam resembles a column when applied from the unit through the sound head Continuous Mode The output of the ultrasound is not interrupted during the treatment time This mode imparts the most energy to the tissues and is used when a maximal effect is desired See Duty Cycle Coupling Media An agent used to insure that the ultrasound is transmitted from the sound head to the tissue to be treated Gels or lotions labeled for therapeutic ultrasound use are recommended Cycle Time Cycle Time is the alternating time which
50. mes uncoupled the message Uncoupled displays in the status window Do not apply the Ultrasound Applicator to the patient during the Head Warming period Applicator must remain in Applicator Hook duing the Head Warming period Press the Up and Down Arrow buttons to select the manner in which you want to be notified when the sound head becomes uncoupled The following list details these options e Pause timer amp beep the timer stops and the unit beeps once Pause timer no beep the timer stops but the unit does not give an audible tone Run timer amp beep the timer continues to count down and the unit beeps once Run timer no beep the timer continues to count down but the unit does not give an audible tone NOTE When the applicator becomes uncoupled during treatment it continues to distribute ultrasound energy 17 Press the Enter button to accept the selection 50 OPERATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING ULTRASOUND THERAPY CONTINUED 18 19 20 21 22 23 Press the Time button and raise or lower treatment time using the up and down arrows Press the INTENSITY button and raise or lower the unit s output using the up and down arrows Press the Start button The unit will beep 5 times and the ultrasound power will distribute the selected output NOTE When treatment time has expired a tone will sound three times The therapy can be
51. must keep the device out of the reach of children Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the manufacturer Before administering any treatment to a patient you should become acquainted with the operating procedures for each mode of treatment available as well as the indications contraindications warnings and precautions Consult other resources for additional information regarding the application of electrotherapy and ultrasound To prevent electrical shock disconnect the unit from the power source before attempting any maintenance procedures Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns e Long term effects of chronic electrical stimulation are unknown Severe spasm of the laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing Stimulation should not be applied transthoracically because the introduction of electrical current into the heart may cause cardiac arrhythmia Stimulation should not be applied over swollen infected and inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins etc Stimulation should not be applied over or in proximity to cancerous lesions Output current density is inversely related to electrode size Improper application may result in
52. n or liability in connection with the sale of the Product Any representation or agreement not contained in the warranty shall be void and of no effect THE FOREGOING WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING ANY WARRANTY OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE 84 gt g aall Moving Rehabilitation Forward chattanooga ISO 13485 Certified DJO LLC 1430 Decision St Vista CA 92081 USA T 1 800 592 7329 USA T 1 317 406 2209 F 1 317 406 2014 chattgroup com 2010 DJO LLC 28384_C
53. ndard Accessories Optional Accessories Ref Description Qty Ref Description 2809 Electrotherapy Accessory Kit Includes the following 27381 1 cm2 Applicator Gray 26 AWG 68 89 in 174 143 cm Shielded 27312 Channel 1 Lead Wire 16 18 AWG 98 43 in 250 012 cm Unshielded 27382__ 2 cm Applicator Gray 26 AWG 68 89 in 174 143 cm Shielded 27313 Channel 2 Lead Wire 16 18 AWG 98 43 in 250 012 cm Unshielded 27384 _ 10 cm Applicator Gray 26 AWG 68 89 in 174 143 cm Shielded in 42044 2 75 in 7 cm Round Disposable Electrodes 4 per pack 27478 _ NiMH Battery Pack he Ultrasound Transmission Gel 9 oz 255 g bottle 10648 72852 3 8 cm Black Rubber Carbon Electrodes 2 per pack 72853 3 8 cm Red Rubber Carbon Electrodes 2 per pack 81 MAI NTENANCE Intelect Transport Combo MAINTAINING THE UNIT Cleaning the Unit and the Accessories With the unit disconnected from the power source clean the unit with a clean lint free cloth moistened with water and mild antibacterial soap If a more sterile cleaning is needed use a cloth moistened with an antimicrobial cleaner Do not submerge the unit in liquids Should the unit accidentally become wet contact the dealer or DJO LLC Service Department immediately Do not attempt to use a unit that has been wet inside until inspected and tested by a Service Technician Certified by DJO LLC To clean the Lead Wires disconnect them from the unit and
54. ngs in these categories indicate an internal problem with the unit that must be tested by DJO LLC or a Field Service Technician certified by DJO LLC before any further operation or use of the system Use of a unit that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or extensive internal damage to the system e Do not turn the unit on or off while it is connected to the patient e Do not apply the Ultrasound Applicator to the patient during the Head Warming period Applicator must remain in Applicator Hook duing the Head Warming period e Use only accessories that are specially designed for this unit Do not use accessories manufactured by other companies on this unit DJO LLC is not responsible for any consequence resulting from using products manufactured by other companies The use of other accessories or cables may result in increased emissions or decreased immunity of this unit SAFETY PRECAUTIONS DANGERS NDANGER e Stimulus delivered by the waveforms of this device in certain configurations will deliver a charge of 25 microcoulombs uC or greater per pulse and may be sufficient to cause electrocution Electrical current of this Magnitude must not flow through the thorax because it may cause a cardiac arrhythmia Patients with an implanted neurostimulation device must not be treated with or be in close proximity to any shortwave diathermy microwave diathermy ther
55. njunction with ultrasound you must first begin treatment You may set up electrotherapy for Channel 2 later in these procedures step 21 Press the Up and Down Arrow buttons to highlight Waveform Press the Enter button The Waveform menu displays Press the Up and Down Arrow buttons to highlight the appropriate waveform Press the Enter button to accept the selection The Waveform menu closes Press the Up and Down Arrow buttons to highlight Edit Stim Press the Enter button to accept the selection The current waveform s parameters display 53 OPE RATION Intelect Transport Combo STARTING STOPPING AND INTERRUPTING COMBINATION THERAPY CONTINUED Press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment Press Enter to accept the parameters The Parameter screen refreshes and the new parameters are displayed Press the up and down arrows on the INTENSITY button to raise or lower the electrotherapy output Press the Up and Down Arrow buttons to highlight Edit Ultrasound Press the Enter button to accept the selection The Ultrasound parameter screen displays Continue with steps 4 23 of the section entitled Starting Stopping and Interrupting Ultrasound Therapy on pages 48 51 Press the START button The unit will beep 5 times you are returned to the Home screen and the ultrasound and electrotherapy is d
56. oaen pack in the Intelect Transport Combo do the following k Locate the battery access door at the bottom of the unit and loosen the screw with a flat head screwdriver 2 Remove the battery access door and retain it 35 S ETU pP Intelect Transport Combo INSTALLING THE BATTERY PACK CONTINUED 3 Connect the battery pack cable to the unit s battery connector in the bottom of the battery recess 4 Put the battery pack into the unit making sure to orient it as shown 36 S E T U P Intelect Transport Combo INSTALLING THE BATTERY PACK CONTINUED 5 Replace the battery access door and re tighten the screw using the screwdriver 6 Reverse the steps in this section in order to remove the battery pack CHARGING THE BATTERY PACK The battery pack is automatically charged by the unit whenever there is mains power connected Charging may be interrupted during operation of the unit by the control circuitry to limit total power consumption A fully charged battery will provide 2 5 hours of treatment depending on the applicator and the pulsed mode used NOTE Even when the battery pack is connected the unit will default to mains power when plugged in USING THE BATTERY PACK To save battery power the Intelect Transport Combo is equipped with a power off function This function is activated when the unit is powered on and has been left idle for approximately 5 minutes at which time the unit powers
57. on point between the unit and the Channel 2 Lead Wire f Ultrasound Applicator Connection This port serves as the connection point between the unit and the ultrasound applicator lt gt START Select Start to begin a treatment session lt Parameter Display Enter Select this button to display the parameters of the waveform during treatment Also this button is used to accept the highlighted selection A INTENSITY Use the up or down arrow on the INTENSITY button to increase or decrease output power 22 N O M E N C LAT U R E Intelect Transport Combo A Up Arrow When the window displays a list of options press the Up Arrow button to scroll up the list Battery Indicator When displayed on the LCD this symbol indicates the battery pack option is present on the unit This symbol also displays the charge status of the battery LCD Intensity Contrast Dial If the intensity of the LCD display diminishes turn the dial until the display contrast is optimal Charge Indicator This symbol displays when the unit is connected to mains power and the battery pack is charging NOTE During battery operation if the unit is left on but is not active for more than five minutes it will Dower off to conserve battery power To restore power press the Power On Off button 23 SPECIFICATIONS UNIT SPECIFICATIONS 24 Intelect Transport Combo Dimensions LMU OLEE TE andes boyeda eines rus btn chs 29 2 cm 11 5
58. or Ultrasound It does not matter on which channel they are created The Select Waveform screen displays Use the Up and Down Arrow buttons to highlight the appropriate waveform Press the Enter button The Parameter screen displays On the parameter screen press the Up and Down Arrow buttons to highlight the parameter you want to change and adjust it accordingly making sure to press the Enter button after each adjustment Press the Clinical Library button The Save Protocol screen displays 56 OPE RATION Intelect Transport Combo CREATING A USER PROTOCOL FOR ELECTROTHERAPY CONTINUED Press the Up Arrow and Down Arrow buttons to highlight any unused user protocol If you select the Save as Default protocol this will become the protocol displayed when the waveform is selected on the Waveform screen Press the Enter button to accept the highlighted selection and save your custom protocol The User Protocol Confirmation window displays to indicate that the protocol is now saved as the number you specified Press any button on the Operator Interface The Parameter screen displays and your new protocol is now saved 57 OPE RATION Intelect Transport Combo CREATING A USER PROTOCOL FOR ULTRASOUND THERAPY To create User Protocols for ultrasound therapy do the following 1 On the Home screen press the Up and Down Arrow buttons to highlight Ultrasound 2 Press the Enter button The Ultrasound parameter scr
59. ral Peak to Average Ratios ee E nt ee ee ee 2 1 20 for 50 Duty Cycle Codes Heit E nce mers ater oad 5 1 20 for 20 Duty Cycle EE A E E ene snees 9 1 20 for 10 Duty Cycle Intelect Transport Combo Maximum Treatment Time 5 30 Minutes Output FIGS o kara nesaen E asters 1 MHz or 3 3 MHz signal modulated 100 by the 100 Hz rectangular wave with the selected Duty Cycle CONNU a oe sen anne a eonuen canes 1 MHz or 3 3 MHz nominal signal that is activated as long as the timer is operating Timer Accuracy 0 2 Minutes Pulse Duration Modulation Period ms Modulation Frequency On Times ms 10 20 50 H2 Off Times ms 100 10 20 50 100 Oow 10 000 2 000 5 000 9 000 8 000 5 000 0 000 27 SPECIFICATIONS SOUND HEAD SPECIFICATIONS 1 cm2 Sound Head EOUN o een Ara EE 3 3 MHz all 5 F OVI EA E EAT I E T O watt to 2 watts Effective Radiating Area 6 ccc ccc ccc cece eee cren 0 7 cm2 1 cm2 Maximum beam non uniformity ratio 00 cece eee c cece 5 0 1 DEAN VOG a EErEE ETETE sae R Collimating 2 cm Sound Head E A EAER 1 MHz 3 3 MHz all 5 POW SU wean EEI EE EEE TETTE ET O watt to 4 watts Effective Radiating Area 0 cece cece eee cece eee 14 cm 2 cm2 Maximum beam non uniformity ratio 6 cece cece eee 5 0 1 Beam Type ccc cece eens cece cece sees nnneneneee esse ees Collimating Head Warming Fea
60. rough the use of a coupling agent such as gel lotion or water underwater treatments only Anything used as a coupling agent must be highly conductive Air is a very poor conductor of ultrasonic waves Head Max Temp Disclaimer Head Max Temp is for the protection of the equipment not for the protection of the patient For more information see page 80 13 Intelect Transport Combo OVE RVI EW Intelect Transport Combo The Intelect Transport Combo designed and manufactured by DJO LLC offers a new dimension in portable electrotherapy and ultrasound made possible by advanced software design and digital signal processing The result is a unit with extraordinary versatility based on simplicity of operation The Intelect Transport Combo offers On the Go clinical electrotherapy and ultrasound The unit provides an innovative case design with a logical control system and a large easy to read graphical LCD User defined protocols allow you to customize any treatment to the specific needs of your patient The repositional base allows the unit to be configured for desktop or wall mount use The following features are available on the Intelect Transport Combo e Two channels of electrotherapy stimulation output e Four waveforms Russian High Voltage Pulsed Current HVPC Interferential and Premodulated e 1 or 3 3 MHz frequencies for each applicator excluding the 1 cm2 sound head e Four available sound heads 1 cm2 2 cm2 5
61. s 12 Preventing Adverse Effects cc cc cece eee ee ees 2 OVERVIEW win oneewde ice tsutkdiesseedueerscssaseonss 14 COMMON TElSex casa news dunawied dns oxnwtoniewedanns 14 Intelect Transport Combo Description of Ultrasonic Field 008 19 NOMENCLATURE 6 i64640566000000000s00006s05600nee 20 SPECIFICATIONS 666 ssibisc0ovsvensesseseresesesencceda UNIT SPECIFICATIONS ccccccsccccsccccccsees 24 WAVEFORM SPECIFICATIONS ccccsccccccscese 25 ULTRASOUND TECHNICAL SPECIFICATIONS 27 SOUND HEAD SPECIFICATIONS ccccceseeeee 28 ELECTROMAGNETIC COMPATIBILITY TABLES 29 MOUNTING THE UNIT ON THE WALL 31 INSTALLING THE BATTERY PACK eseeceeeee 35 CHARGING THE BATTERY PACK ccescccsser 37 USING THE BATTERY PACK ccccccscscccecese 37 PATIENT PREPARATION cscccccccscseccescsses 38 ELECTROTHERAPY PATIENT PREPARATION 38 Electrode Placement cece cece nee e eee eeenes 38 DURA STICK Electrodes 0 ccccceeeeeeeees 39 Reusable Carbon Electrodes Optional 39 DURA STICK Electrode Instructions 40 Connecting Lead WireS cc cece e cece e ene eees 40 Reusable Carbon Electrodes Optional 41 Connecting Lead WireS cc cece e cece e eee eees 41 Conductive Medium ccc cece cece eee eeeeees 41 Securing Electrodes cc ccc ee eee e ete
62. shock fire or personal injury Handle the applicator with care Inappropriate handling of the applicator may adversely affect its characteristics Before each use inspect the applicator for cracks which may allow the ingress of conductive fluid This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to other devices in the vicinity However there is no guarantee that interference will not occur in a particular installation Harmful interference to other devices can be determined by turning this equipment on and off Try to correct the interference using one or more of the following reorient or relocate the receiving device increase the separation between the equipment connect the equipment to an outlet on a different circuit from that to which the other device s are connected and consult the factory field service technician for help SAFETY PRECAUTIONS 0am Comte CAUTIONS CONTINUED e DO NOT remove the cover This may cause unit damage malfunction electrical shock fire or personal injury There are no user serviceable parts inside the unit If a malfunction occurs discontinue use immediately and consult the dealer for repair e Where the integrity of the external protective earth conductor arrangement is in doubt equipment shall be operated from its internal electrical power source e Using a high inten
63. sity electrotherapy setting in conjunction with service e Failure to use and maintain the Intelect Transport Combo and its accessories in accordance with the instructions outlined in this manual will invalidate your warranty e Nylatex Wraps contain dry natural rubber and may cause allergic reactions in patients with allergies to latex high intensity ultrasound setting may cause the unit to reset e The battery pack should be removed when storing the unit for extended periods of time e DO NOT disassemble modify or remodel the unit or accessories This may cause unit damage malfunction electrical shock fire or personal injury SAFETY PRECAUTIONS WARNINGS Intelect Transport Combo e These devices are restricted to sale by or on the order of a physician e Stimulation should not be applied over the anterior neck or mouth or licensed practitioner This device should be used only under the continued supervision of a physician or licensed practitioner Make certain the unit is electrically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable national and local electrical codes Care must be taken when operating this equipment around other equipment Potential electromagnetic or other interference could occur to this or to the other equipment Try to minimize this interference by not using other equipment in conjunction with it i e cell phones etc The user
64. ssociated with the Interferential waveform Beat Frequency is the frequency at which the amplitude of the current increases and decreases The beat frequency is considered to be the therapeutic frequency and is measured in hertz H2 Beat High During a sweep the Beat High setting is the highest number to which the beat frequency increases The available range for the Beat High parameter is 2 to 200 Hz This parameter is unique to the Premodulated and Interferential waveforms Beat Low During a sweep the Beat Low setting is the lowest number to which the beat frequency decreases The available range for the Beat Low parameter is 1 to 199 Hz This parameter is unique to the Premodulated and Interferential waveforms Burst A burst is a series of pulses at a predetermined pulse frequency Burst Frequency Freq his is the number of bursts per second bps The available burst frequencies on the Intelect Transport Combo are 1 to 10 bps Carrier Frequency Freq Associated with the Interferential Premodulated and Russian waveforms Carrier Frequency is the frequency of the un modulated medium frequency current The carrier frequency for Premodulated and Russian is at a fixed frequency of 2500 Hz The available carrier frequencies for Interferential are 2000 2500 4000 and 5000 Hz CC CV This is the abbreviation for Constant Current Constant Voltage Constant current is a stimulator capable of delivering an electric current that flows at the sa
65. sy to tolerate OUROUT INCAS eseas RAG 0 500 V AE LE E E E EE as Positive or Negative E AN ES E E E E 0 5 sec 1 sec 2 Sec 5 sec ISOLA E E EE E EEEE Peak Current or Volts SWEEP 6 eee eee Continuous 80 120 pps 1 120 pps 1 10 pps ESNE cate necks cue eatin veocucescateassees accu 10 120 pps Cycle Time 5 5 4 12 10 10 10 20 10 30 10 50 Continuous TSN Gea S E E CC Constant Current CV Constant Voltage 26 Intelect Transport Combo LHI Russian Russian Current is a sinusoidal waveform delivered in bursts or series of pulses This method was claimed by its author Kots to produce maximal muscle strengthening effects without significant discomfort to the patient CULOUE MMS E A E EEE 0 100 mA Channel Mode scce Single Reciprocal and Co Contract DULY Cycle aessaad ai i Ei EAEE AS 10 20 30 40 50 Moge Selection er ersrisresrr dirai tine ea a EEEREN ates CC orcy Cycle Time 5 5 4 12 10 10 10 20 10 30 10 50 and Continuous DUCT FICGUENCY aah ca sctwanssGesreperiewesaeaiarasoes 20 100 bps PAO cst cet ua nee noeaedeeeeducesuae cee as 0 5 1 2 and 5 sec Treatment TiM oe a SPECIFICATIONS ULTRASOUND TECHNICAL SPECIFICATIONS Sound Heads Ian 2an saa 10 am Duty Cycles FOGG A E EE IAE 10 20 and 50 BoE oE OE EE EE T 100 Pulse Frequency 0 aeaaee 100 Hz Output accuracy 20 above 10 of maximum Amplitude Tempo
66. t is being made throughout the treatment e When treating in water make sure that the sound head is completely under water e For direct coupling you may need to apply more conductive gel or lotion during the treatment to achieve better coupling 12 e You can also reduce the power or duty cycle during the treatment if you are treating an area where it is difficult to obtain good coupling Preventing Adverse Effects Perform the following procedures to avoid the negative effects of ultrasound therapy Sound Head Movement If movement of the sound head is too slow the patient may feel periosteal pain characterized by a deep ache or pain If motion is too fast or if the sound head does not maintain good contact with the skin the therapeutic effect of the sound waves will be reduced and the sound head may overheat Patient Susceptibility Some patients are more sensitive to ultrasound output and may experience a reaction similar to a heat rash Be sure to inspect the treatment area during and following treatment Discontinue if an adverse reaction Occurs Output Power Choose a lower watt setting to reduce output or select a pulsed duty cycle Higher output levels have a greater potential for patient discomfort SAFETY PRECAUTIONS INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS FOR ULTRASOUND CONTINUED Coupling Coupling is described as contact between the sound head and the treatment site and may be accomplished th
67. ter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Cp The Intelect Transport Combo is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Intelect Transport Combo can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Intelect Transport Combo as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter Separation distance according to frequency of transmitter m w 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 3 5 VP d 3 5 VP d Z VP V1 El E1 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 73 100 12 12 23 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters suc
68. the current is on and off Using the 10 30 setting as an example the current is on for 10 seconds and off for 30 The available cycle times are Continuous 5 5 4 12 10 10 10 20 10 30 and 10 50 Display Available only on the High Voltage Pulsed Current HVPC waveform the Display feature allows you to change the displayed Intensity parameter from Volts to Peak Current Amps Duty Cycle This is the ratio of the On time to Total time of the cycle expressed as a percentage The duty cycle describes the pulsed modes of electric stimulation and ultrasound The lower the percentage the lower temporal average intensity 100 is continuous electrotherapy The available Duty Cycles are 10 20 30 40 50 Effective Radiating Area ERA A measure of the ultrasound beam made underwater 5 mm from the radiating surface of the sound head The ERA is always smaller than the geometric area of the sound head but should be as close as possible This measurement is used to calculate the ultrasound intensity in W cm2 Frequency Electrotherapy Frequency is the number of times per second a pulse cycle burst or beat will repeat itself The unit is selectable from 1 200 Hz beat 20 100 Hz burst and 2000 5000 Hz carrier Frequency Ultrasound Selectable to 1 or 3 3 MHz with the 2 cm2 5 cm2 or 10 cm sound head excluding the 1 cm2 sound head The lower the frequency the longer the wavelength the deeper the penetration of ul
69. to any shortwave diathermy microwave diathermy therapeutic ultrasound diathermy or laser diathermy anywhere on their body Energy from diathermy shortwave microwave ultrasound and laser can be transferred through the implanted neurostimulation system can cause tissue damage and can result in severe injury or death Injury damage or death can occur during diathermy therapy even if the implanted neurostimulation system is turned off SAFETY PRECAUTIONS Intelect Transport Combo INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS FOR ULTRASOUND CONTINUED Potential for Burns It is possible for ultrasound therapy to cause burns if the therapy is not properly performed Skin burns can result from one or more of the following e If the intensity Dower is too high If you are using too low a frequency e Using a stationary technique holding the sound head in one place e Moving the sound head too slowly e Treating an area with sensory nerve damage or the loss of normal skin sensations e Desensitized areas can be overheated or burned without the patient s knowledge Use extreme caution with these patients e g diabetes neural damage etc e Bony prominences are especially vulnerable they reflect sound waves and increase intensity to the periosteum Preventing Overheating of the Sound Heads To prevent the sound head from becoming overheated do the following e Check to be sure proper contac
70. trasound Frequency Modulation Freq Mod This is the rhythm at which a frequency changes The available frequency modulations are O to 250 Hz in increments of 5 Hz 16 OVE RVI EW Intelect Transport Combo Intensity Electrotherapy Intensity is the output of electrotherapy distributed by the unit to the patient Depending on the waveform intensity is measured in milliamps mA or volts V Intensity Ultrasound Ultrasound power delivered to the patient expressed in total power as watts W or in terms of the sound head s effective radiating area watts per centimeter squared W cm2 LCD The LCD Liquid Crystal Display allows the user to view and monitor the information displayed during ultrasound therapy The following information is displayed on the LCD Frequency Duty Cycle Power and Treatment Time Lead Zirconate Titanate A synthetic crystal used to create the ultrasound beam by vibrating 1000000 1 MHz or 3300000 3 3 MHz times per second This type of crystal is both durable and efficient in its functions Leadwires The leadwires consist of the main plugs that are connected to the unit and 4 leads 2 black and 2 red that connect to electrodes Medium Frequency Current These are the currents used by Interferential Premodulated and Russian waveforms that is higher than 1000 Hz but lower than 5000 Hz Operating Channels Operating Channels are the paths by which the electrotherapy is distributed from t
71. trotherapy systems It is recommended that Chattanooga DURA STICK Electrodes be used whenever possible to ensure the highest level of contact with the treatment area and most uniform delivery of the prescribed electrotherapy treatment Properly dispose of used DURA STICK Electrodes upon completion of the therapy session Intelect Transport Combo Reusable Carbon Electrodes Optional If used for delivery of electrotherapy the Carbon Electrodes must be inserted into the soonges moistened with distilled water prior to placement on the patient These Carbon Electrodes should be secured to the treatment area using Nylatex Wraps Nylatex Wraps contain dry natural rubber and may cause allergic reactions in patients with allergies to latex gt g PATIENT PREPARATION ELECTROTHERAPY PATIENT PREPARATION CONTINUED DURA STICK Electrode Instructions Connecting Lead Wires Insert the lead with the Red electrode connector into one DURA STICK Electrode Insert the lead with the Black electrode connector into the other electrode Make certain the lead wires are seated completely into the electrodes Also ensure that the numbers on the electrodes correspond to the appropriate color being used i e the black electrode labeled number 1 should be used with the red electrode labeled number 1 LEAD WIRE SEATED RED LEAD WIRE ELECTRODE NUMBER BLACK LEAD WIRE NOTE NOTE Use of conductive
72. ture The Head Warming feature of an Intelect Transport Combo utilizes Ultrasound output resulting in warming of the Sound Head to increase patient comfort With Head Warming enabled ultrasound is emitted without pressing the Start button The Applicator LED will not illuminate during the Head Warming period US Channel will indicate Head Warming DTT EEEE 0 50 Cycling of maximum power POU eer cce ETA TEREE ESS 3 3 MHZ Sound Head Temperature 85 F 110 F 29 4 C 43 3 C Intelect Transport Combo 5 cm2 Sound Head FIGQUEINCY eies ieser Eeri 1 MHz 3 3 MHz all 5 FOG loa ccamde open cheer EE E E O watt to 10 watts Effective Radiating Area 6 cece eee e eee e eee 3 5 cm2 5 cm Maximum beam non uniformity ratio ssususiesresrrsnn 5 0 1 Pea a nc eeeras ev E O E E E Collimating 10 cm Sound Head ECU SEEE TE 1 MHz 3 3 MHz all 5 POWE ien tues onedcoenseaaeanaeadeeesencncere 1 MHz O watt to 20 watts 0 to 15 watts if 2 channels of electrotherapy are used simultaneously er ee E eer er ee eer ery ener 3 3 MHz O watt to 10 watts Effective Radiating Area 02 cece cece cece cece eee es 6 8 cm2 10 cm2 Maximum beam non uniformity ratio 0 0 eee cece ees 5 0 1 Be aN IOS A E E PITE OAT Collimating Do not apply the Ultrasound Applicator to the patient during the Head Warming period Applicator must remain in Applicator Hook duing the Head Warming period SPECIFICATIONS

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