User manual
Contents
1. function controls stimulation energies by keeping them at an effec tive level and reducing the number of unwanted contractions It works by performing a series of short measurement tests lasting 2 to 3 sec onds at regular intervals throughout the entire programme A test is automatically launched whenever the stimulation energies are increased The subject must remain perfectly still during the test to ensure optimal results Depending on the results the stimulator may automatically reduce the stimula tion energies slightly NOTE It is important to ensure that patients adopt the most comfortable position possible during stimulation remain still and do not contract any of the muscles in the stimulation area Illi ANGE The M rance function is used in pro grammes which depend on the triggering of vigorous muscle twitches to indicate the optimal stimulation energy range It is therefore only available in some of the programmes that use low stimulation frequencies less than 10 Hz When the Mll2 RANGe function is ena bled the stimulator will check whether you are working in the optimal energy range If the level is too low it will prompt you to increase the level by displaying a series of signs on the screen Once the stimulator has detected the ideal energy range a square bracket will appear to the right of the bar graph corresponding to the stimulation chan nel the is conne2. ENDORPHINIC DECONTRACTION PW MODULATED TENS BURST TENS MIXED TENS MUSCLE PAIN JOINT PAIN FRACTURE PAIN lt 5 d e dem e m E gt 9 uc 9 o N o lt 24 a gt Q 4 3 4 3 E uw 9 w VI LIST OF PROGRAMS Theta 500 PROGRAMS M scan M tens M Rance Optional 2 2 VASCULAR VENOUS INSUFFICIENCY 1 VENOUS INSUFFICIENCY 2 ARTERIAL INSUFFICIENCY 1 ARTERIAL INSUFFICIENCY 2 CAPILLARIZATION SPECIFIC TREATMENT PROGRAMS M scan Mi action M RaNce Optional 2 2 AESTHETIC TONING FIRMING SHAPING REFINEMENT ELASTICITY VI LIST OF PROGRAMS Theta 500 PROGRAMS Mi scan M tens M2 Rance Optional 2 2 SPORT POTENTIATION ENDURANCE RESISTANCE STRENGTH EXPLOSIVE STRENGTH HYPERTROPHY REGENERATION LOW BACK REINFORCEMENT CORE STABILIZATION ACTIVE RECOVERY RECOVERY PLUS FITNESS MUSCLE BUILDING MUSCLE DEFINITION POWER MASSAGE TONING MASSAGE RELAXING MASSAGE REVIVING MASSAGE
3. lt 5 4 N e ive w dem e 4 T oO gt 9 uc 9 o w lt 24 lt a Q 4 3 He 4 3 de E e 9 w N VI LIST OF PROGRAMS Theta 500 PROGRAMMING CUSTOM PROGRAMS M scan M tens Optional 2 2 5 CONT CONVENTIONAL CONT MODULATED PW CONT MODULATED FREQ BURST INTERMITT CONVENTIONAL INTERMITT MODULATED FREQ TENS CONVENTIONAL BURST MIXED FREQUENCY MODULATED PW MODULATED FREQUENCY 2 2 PROGRAMS FREQ MODULATED TENS TENS MODULATED PW BURST TENS ENDORPHINIC REINFORCEMENT SMALLER MUSCLE GROUPS REINFORCEMENT LARGER MUSCLE GROUPS DISUSE ATROPHY SMALLER MUSCLE GROUPS DISUSE ATROPHY LARGER MUSCLE GROUPS
4. 9 o N N lt 24 lt a Q 4 3 He 4 3 de E e uw 9 N VI LIST OF PROGRAMS MiTheta 600 PROGRAMMING CUSTOM PROGRAMS NMES M scan Mi action M tens M2 RaNce Optional 2 2 CONT CONVENTIONAL CONT MODULATED PW CONT MODULATED FREQ BURST INTERMITT CONVENTIONAL INTERMITT MODULATED FREQ TENS CONVENTIONAL BURST MIXED FREQUENCY MODULATED PW MODULATED FREQUENCY 2 2 PROGRAMS FREQ MODULATED TENS PW MODULATED TENS BURST TENS ENDORPHINIC REINFORCEMENT SMALLER MUSCLE GROUPS REINFORCEMENT LARGER MUSCLE GROUPS DISUSE ATROPHY SMALLER MUSCLE GROUPS DISUSE ATROPHY LARGER MUSCLE GROUPS VI LIST OF PROGRAMS Theta 500 COMMON TREATMENT PROGRAMS M scan M tens M RANGe Optional 2 2 REHABILITATION DISUSE ATROPHY PREV OF DISUSE ATROPHY REINFORCEMENT NEURO REHAB Slow start BACK TRUNK STABILIZATION ATROPHY Mod Freq FORCE Mod Freq INCREASE CIRCULATION MUSCLE LESION MOTOR POINT SPECIFIC REHABILITATION HIP PROSTHESIS PATELLAR SYNDROME HEMIPLEGIA PAIN RELIEF TENS 100Hz TENS 80Hz FREQ MODULATED TENS
5. Optional 2 2 AGONIST ANTAGONIST ATROPHY 1 2 REINFORCEMENT 1 REINFORCEMENT 2 SPASTICITY HEMIPLEGIC FOOT SPASTICITY 5 SHOULDER SUBLUXATION x HAEMOPHILIA H DISUSE ATROPHY 5 s 5 REINFORCEMENT 5 AESTHETIC TONING FIRMING 5 BUTTOCKS ELASTICITY lt e lt i He Ne Us gt a gt 9 gt Ee 9 N VI LIST OF PROGRAMS MiTheta 600 PROGRAMS M scan M action M tens li RANGE Optional 2 2 SPORT POTENTIATION ENDURANCE RESISTANCE STRENGTH EXPLOSIVE STRENGTH HYPERTROPHY REGENERATION LOW BACK REINFORCEMENT CORE STABILIZATION ACTIVE RECOVERY RECOVERY PLUS FITNESS MUSCLE BUILDING MUSCLE DEFINITION POWER MASSAGE TONING MASSAGE RELAXING MASSAGE REVIVING MASSAGE ANTI STRESS MASSAGE UNDULATED MASSAGE 1 UNDULATED MASSAGE 2 lt 5 a4 N 2 e e m dc oO gt 9 uc
6. 24 lt a Q 4 3 He 4 3 de a E uw 9 CEN A 2 Connections A Connecting the cables The stimulator cables plug into the 4 sockets on the base of the device All 4 cables can be connected simultaneously Both the buttons and the cables are colour coded to simplify use and facilitate identification of the different channels The kit includes four snap connector cables and four 2 1 mm pin connector cables To connect a snap connector cable to an electrode simply insert the snap end of the cable into the electrode eyelet and twist it a quarter turn In addition to these standard cables Mi Theta 600 comes with 2 special cables fitted with the M2 sensor These cables can be connected to any of the 4 sockets for the stimulation channels on the base of the stimulator Just like the standard cables they must also be connected to 2 electrodes NOTE For Theta 500 you can make an optional purchase of maximum one sen sor cable B Connecting the motor point pen Never use the motor point pen for any purposes other than locating the motor point of the muscle Follow the instruc tions in this manual Clean and disinfect the tip of the motor point pen that comes in contact with the skin before each use Apply a small amount of gel to the skin when looking for the motor point to enhance patient comfor
7. bility for consequences arising from electrodes placed in other positions 2 Body position Refer to the pictures of the electrode placement to determine the stimulation position for your patient depending on the placement of the electrodes and the chosen program This position will vary depending on the position of the electrodes the muscle group you wish to stimulate and the program you are using For programmes that do not involve muscle contractions Pain relief pro grammes for example make sure that the patient is as comfortable as possible 3 Adjusting stimulation energies The number of fibres recruited in a stimulated muscle depends on the stimulation energies used It is therefore extremely important to use maximum stimulation energies where possible in order to recruit the maximum number of fibres If the stimulation energy is too low too few fibres will be obliged to work and the improvement in muscle quality will be negligible It takes at least 3 sessions to reach this maximum energy level The first few sessions serve to introduce progres sive increments in stimulation energy and muscle contraction levels and to help the patient to become used to the method After an initial warm up period which should produce very clear muscle twitch es increase the stimulation energies gradually contraction by contraction for the duration of the session 4 Level progression Generally speaking
8. ent muscle groups can be taken per session The number of measurements depends on how many sensors are con nected to the stimulator Each channel that is connected to a standard cable receives the same data as a channel connected to a M2 sensor cable see below 2 3 4 t 1 El lt gt REGE a Ny t t m Before a programme is executed the sensor scans the muscle briefly During this time a horizontal bar will move up and down the figure to the left on the screen It is essential that the patient remains completely still and relaxed while these measurements are being taken The M sensor system is very sensitive and the slightest contraction or movement could interfere with its results Note that certain people might feel an unpleasant tingling sensation during the test Once the test is complete a symbol will appear on the screen indicating that the programme can be started M2 actian NOTE Only available for MiTheta 600 M2 action is a work mode in which the patient triggers an electrically induced stimulation by voluntarily contracting one of his muscles The stimulation contraction is therefore controlled by the patient AN For a patient to fully benefit from the M2 action training mode his muscles must be well developed Insufficiently developed muscles may in some case prevent the triggering of the electrically induced contraction Programmes run in
9. 264 VAC 47 64 Hz 0 5 A max Output 9 V 1 4A 15 W B Neurostimulation electrical specifications are given for an impedance of 500 1000 Ohm per channel Channels Four individually adjustable channels that are electrically isolated from each other and earthed Impulse shape Constant rectangular current with pulse compensation to eliminate any direct current component to prevent residual polarization at skin level Maximum pulse intensity 120 mA Pulse intensity increments Manual adjustment of stimulation intensity 0 999 energy units Minimum increment 0 5 mA Pulse width 30 to 400 microseconds Maximum electrical charge per pulse 96 microcoulombs 2 x 48 uC compensated Standard pulse ramp up time 3 micro seconds 2025 8096 of maximum current Pulse frequency 1 150 Hz lt 2 5 a4 e dem e m E oO gt 9 uc 9 o l lt 24 lt a Q 4 3 He 4 3 de E uw 9 C Information related to electromag netic compatibility EMC The MiTheta600 Theta 500 is designed to be used in typical domestic or clinical environments and is approved accord ing to the EMC safety standard of EN 60601 1 2 This device emits very low levels in the radio frequency RF inter
10. The horizontal bars on top of the display shows the total duration and different phases of the programs Left bar for P1 and right bar for P2 P1 shows the program chosen for channel 1 and 2 P2 shows the program chosen for channel 3 and 4 F Programming mode In the programming mode you could create a custom program and select your own parameters Then name your pro gram and save it in the custom programs category MENU COMMON TREATMENT SPECIFIC TREATMENT CONDITIONING CUSTOM PROGRAMS PROGRAMMING Go to the programming category PROGRAMMING TENS lt exo lt 2 5 a4 e e T gt 9 ut o lt 24 lt a gt Q 4 3 4 3 E E uw 9 N e Select NMES or TENS NMES CONTINUOUS MF CONTINUOUS MF CONTINUOUS BURST INTERMITTENT CONV INTERMITTENT MF rc m Select the stimulation form In order to personalize the parameters FL INTERHMITTENT CON 3221355 ini 150 4444444444 16 30 03 00 ER exa EXA 17a 17b 17c 17d 17e 17a Press the On Off button to return to the previous screen 17b Use the channel 1 button to move the cursor between the different se
11. at the point where it was interrupted lt 2 5 a4 e dem e m E oO gt 9 uc 9 o ENG l lt 24 lt a Q 4 3 He 4 3 de E 9 N N End of programme Different statistics are displayed de pending on the programmes and options used see Figures 22 and 23 It should be noted however that statistics are not available for all programmes ECT OOO OOO ODD At the end of each session a small flag will be displayed on the screen and a short melody will be played NOTE Press the i button to access the contraction info screen To turn off the stimulator press the ON OFF button 5 Battery status and recharging Never recharge the stimulator with out first disconnecting the stimulation cables Never recharge the battery with a charger other than that supplied by CefarCompex The Mi Theta 600 Theta 500 is powered by a rechargeable battery unit The bat tery s duration varies according to the programmes and stimulation energies used We strongly recommend you to fully charge the battery before using it for the first time as this will extend bat tery duration and life time If you do not use your stimulator for long periods o
12. is easily identi fied by its changing numbers and the mi logo above the channel The 4 but tons will be disabled for the duration of the test 10a Press the On Off button to interrupt the test at any moment To relaunch the test from the start press any of the 4 buttons Press the On Off button a second time to return to the list of programmes Once the test is complete you will automatically be taken to the default programme start screen and prompted to increase the stimulation energies Adjusting stimulation energies When you start a programme you will be prompted to increase the stimulation energies This is the key to the success of any treatment Session duration in min 11 11b 11c 11d 11 Heat waves depicting the warm up sequence 11a Press the On Off button to return to the previous screen 11b cde The unit will beep and the symbols for the 4 channels will alternate between and 000 The energy level for the 4 channels is at 0 To start the programme you will need to increase the energy levels in the channels you are going to use To do this use the cor responding buttons NOTE If you want to increase the energy levels in all 4 channels simultane ously press the i button Press it twice to increase the levels in the first 3 chan nels and 3 times to increase the levels in the first 2 channels Interdependent channels will be highlighted in
13. it is not advisable to try to reach maximum stimulation levels too quickly The different levels in each stimulation programme are designed to reeducate the muscle gradually We recommend you to prioritize the stimulation energies at each level to recruit as many fibres as possible before moving on to the next level Also seek to progressively increase energy levels from session to session For maintenance purposes it is a good idea to hold one session per week with the energy level you used in the previous cycle lt 2 5 a4 e dem e m E oO gt 9 uc 9 o lt 24 lt a gt Q 4 3 4 3 de E uw 9 IV m2 TECHNOLOGY NOTE Mi Theta 600 Two Mi sensors are included in the kit and gives you the possibility to fully use the Mi technology with M2 action 2 M tens and M scan Theta 500 This device is Mi Ready You can make an optional purchase of maximum one sensor cable and take the advantage of the Mi Technology with and M scan 1 Practical guidelines for using the mi system AN To access the III functions make sure that the stimulation cable fitted with the M2 sensor is connected to the stimulat
14. place electrodes on healthy skin and never on skin lesions of any kind wounds swelling burns irritation eczema etc Always turn off the stimulator or make sure that the intensity for each chan nel is 0 before moving or removing the electrodes Do not place the electrodes or the pen in water Do not apply solvents of any kind to the electrodes or pen Do not use electrodes with a surface lt 18 cm as there will be a risk of suffering a burn injury Caution should always be exercised with current densities 2mA cm For optimal results wash clean and dry the skin before attaching the electrodes e Attach the electrodes so the entire surface is in contact with the skin For hygiene reasons each patient must have his own set of electrodes Never use the same electrodes on dif ferent patients Some people with very sensitive skin may experience redness under the electrodes after a session This redness is generally harmless and normally disappears within 10 to 20 minutes Do not start another stimula tion session in the same area as long as the redness is still visible When the electrodes loose their adhe siveness and do not stick properly to the skin the stimulation can feel un pleasant Be sure that the electrodes are in good condition otherwise they have to be replaced Clean and disinfect the tip of the motor point pen that comes in contact with the skin before eac
15. will beep and alternately display a pair of elec trodes and an arrow pointing to the channel where the problem was detect ed In the example above the stimulator has detected an error in channel 2 The electrode error message can mean that there are no electrodes connected to this channel the electrodes are old worn and or the contact is poor try using new electrodes e the electrode cable is faulty try con necting it to another channel If the problem persists replace the cable If for any reason yor device seems to present a malfunction other than those presented above please contact Cefar Compex customer service lt 2 5 a4 e dem e m E oO gt 9 uc 9 o N 5 ENG VI LIST OF PROGRAMS MiTheta 600 COMMON TREATMENT PROGRAMS M scan Mi action Wi rews Optional 2 2 REHABILITATION DISUSE ATROPHY x x x PREV OF DISUSE ATROPHY x x REINFORCEMENT X x NEURO REHAB Slow start X BACK TRUNK STABILIZATION X x ATROPHY Mod Freq x x x FORCE Mod Freq x x x INCREASE CIRCULATION X x MUSCLE LESION X MOTOR POINT SPECIFIC REHABILITATION HIP PROSTHESIS x lt PATELLAR SYNDROME x A
16. 0 Theta 500 has been designed manufactured and distributed in compliance with the requirements of the European Directive 93 42 EEC on medical devices CefarCompex Mi Theta 600 Theta 500 also complies with the IEC 60601 1 standard on general safety requirements for medical electrical devices the IEC 60601 1 2 standard on electromagnetic compatibility and the IEC 60601 2 10 standard on particular safety require ments for nerve and muscle stimulators CefarCompex Mi Theta 600 Theta 500 also complies with Directive 2002 96 EEC on waste electrical and electronic equipment WEEE 7 Standardized symbols A Read the operating instructions before use CefarCompex Mi Theta 600 Theta 500 is a class device with internal electric power and type BF applied parts Waste electrical and electronic equip ment WEEE marking according to EN 50419 standard 1250 In compliance with the requirements of the European Directive 93 42 EEC on medical devices 8 Technical specifications A General information Battery 941213 Nickel metal hydride NiMH rechargeable battery 4 8 V 2000 mAh Battery chargers Only battery chargers bearing the following information can be used to recharge the batteries supplied with MiTheta 600 Theta 500 stimulators Europe 683010 Type TR1509 06 E 133A03 Input 90 264 VAC 47 64 Hz 0 5 A max Output 9 V 1 4 A 15 W UK 683012 Type TR1509 06 U 133A03 Input 90
17. 5 menu press the i button before selecting a programme The menu can be accessed from the type of treatment screen Figure 4 the programme category screen Figure 5 or the programme list screen Figure 6 5 ACL MODULATED TENS 1 DISUSE ATROPHY 1 RESISTANCE 1 FRE OF DISUSE EE Ex LLL 7a 7b 7d 7e 7a Press the On Off button to return to the previous screen 7b Use the channel 1 button to choose the programme you want 7d Use the channel 3 button to personalize the programme 7e Press the channel 4 button to start the programme D Personalizing a programme Not all programmes have an option screen M sensor not connected In certain programmes you will need to choose the muscle group you want to stimulate when there are no cables connected to the stimulator The target area is shown in black on the figure above channel 1 AID 25 n oT OFF Ea EXE ES 8a 8b 8c 8d 8e 8a Press the On Off button to return to the previous screen 8b Use the channel 1 button to choose the desired treatment area You can choose among 7 areas 8c Press the channel 2 button to delete the warming up sequence and to choose if you want to combine with any of the 2 2 programs on channel 3 and 4 8d Use the channel 3 button to choose the programme difficulty level 8e Use the channel 4 button to confirm your choices and launch th
18. CONTENTS WARNINGS T Counter indications etre rn nro hemos 4 2 Safety measures PRESENTATION Ei grum 6 2 6 3 Storage and transportation conditions 6 4 Usage conditions 5 Elimination 6 Standards mesh 7 St ndardized symbols sais sania sence 7 8 Technical ceases 7 USAGE GUIDELINES 1 PLAGEMENE of electrodes eoe a etae 9 2 Body 5 epar eve 20 9 3 Adjusting stimulation energies 9 4 Level DrogressiOn 9 IV m TECHNOLOGY Practical guidelines for using the system 10 V USING THE STIMULATOR 1 Description of stimulator nene o sre sede e eeu Riso E ee 13 2 Connections Ay Connecting the db ranae rede prega aes 14 B Connecting the motor point pen 14 C CHANGING demas ratu 14 3 Preliminary settings A Language contrast volume 15 4 Neurostimulation programmes A Choosing a typeof treatment 16 B Choosing a programme category 16 C Choosing
19. Practical Guide carefully 2 Safety measures AN Important points to take into account when using MiTheta 600 Theta 500 and the M system Do not use the stimulator or the system in water or humid environments saunas hydrotherapy pools etc If pregnant do not place electrodes directly over the uterus or connect pairs of electrodes across the abdo men The reason is that theoretically the current could affect the foetus s heart although there are no reports of it being harmful Observe caution if treating patients with sensitivity problems or who are unable to let you know if they feel any discomfort however slight Observe caution when stimulating in the immediate vicinity of cellular phones that are switched on since this may affect the output power of the stimulator Do not use the stimulator or system on a patient who is connected to a high frequency surgical instrument as this could cause skin irritation or burns under the electrodes Do not use the stimulator or system within one metre of short wave or microwave devices as this could alter the currents gener ated by the stimulator Only use stimulation cables recharge able battery units and charger sup plied by CefarCompex Always turn off the stimulator or make sure that the intensity for each chan nel 15 0 before disconnecting cables from stimulator or electrodes Never co
20. S PROGRAMMING ECT 4 4 4 4a Press the On Off button to turn off the unit 4b Use the channel 1 buttons to choose another type of treatment for ex Specific Treatment or Conditioning 4e Press the channel 4 button to confirm your choice and access the pro gramme category selection screen Press the i button to access the Top 5 menu B Choosing a programme category COMMON TRERTHENT SPECIFIC FAIN RELIEF SPECIFIC FAIN RELIEF VASCULAR Ex 5 5b 5e 5a Press the On Off button to return to the previous screen 5b Use the channel 1 button to choose a category 5e Press the channel 4 button to confirm your choice and access the programme selection screen Press the i button to access the Top 5 menu C Choosing a programme NOTE Consult our Practical Guide for help in choosing a programme Once you choose a category the screen will display a list of available programmes REHABILITATION ISE ATROPHY OF DISUSE ATROPHY REINFORCEMENT HEWRO SLOW START BACK TRUNK EE Ex 6b 6e 6a Press the On Off button to return to the previous screen 6b Use the channel 1 button to choose the programme you want Press the channel 4 button to confirm your choice Certain pro grammes start right away while others allow you to specify additional options TOP 5 To access the Top
21. a programme ave 16 D Personalizing a programme 17 E Choosing the 2 2 FUNGON ENTE EURA ENEN 19 F Programming MOE 2 19 Gy Stimulation mode i onus oce ng vene e dire itera ui 20 5 Battery status and recharging Battery status er 22 B Recharging 6 Troubleshooting VI LIST OF PROGRAMS ED nui 24 25 Theta SOO 29 lt 5 a4 e dem e m E oO gt 9 uc 9 o l lt 24 lt a Q 4 3 He 4 3 de E uw 9 WARNINGS 1 Counter indications Do not treat persons with implanted electronic equipment such as pace makers and intracardiac defillibrators Avoid electrode placement at the front and side areas of the neck e Pregnant women should not be treated during the first trimester 12 weeks Do not use thoracic stimulation on patients with cardiac arrythmia Avoid lower limb stimulation in case of venous thrombosis or servere arte rial obstruction ischemia Avoid abdominal stimulation if you have abdominal or inguinal hernia Important Read this manual and the accompany ing
22. cted to The figures enclosed by this bracket indicate the range you must work in in order to achieve optimal results If you set the energy level below this range the stimulator will prompt you to increase it by flashing a series of signs on the screen V USING THE STIMULATOR AN You are strongly advised to read the counter indications and safety measures described at the beginning of this manual chapter 1 Warnings prior to using your stimulator 1 Description of stimulator A B 1 HJ On Off button i button This is used to Increase stimulation energies in several channels simultaneously Access the Top 5 menu showing 5 most recently used programs Access the contraction info menu showing number of contractions and total contraction time Access parameter info menu for personalised programmes buttons for 4 stimulation chan nels Mi Thetasoo E F Sockets for 4 stimulation cables Battery charger socket Stimulation cables Channel 1 blue Channel 2 green Channel 3 yel low Channel 4 red Stimulation cables fitted with M sensor system Stimulation cable fitted with snap connector Stimulation cable fitted with pin connector Rechargeable battery compartment Belt clip socket lt 5 a4 Q 4 3 dem Q Q m E oO gt 9 uc 9 o w ENG lt
23. e programme Mi sensor connected The stimulator will automatically select the muscle group to be stimulated when cable is connected to the unit Reminder The Il ecAw function will activate automatically in programmes that accommodate this function when at least one cable is connected to the stimulator e 25 8 itt ACTION ON OFF Bl EX3 E 9a 9b 9c 9d 9e Session duration in min 9a Press the On Off button to return to the previous screen 9b NOTE Only available in MiTheta 600 Use the channel 1 button to enable the function When the function is enabled the screen will display the word ON or OFF When in ON mode it is the patient who triggers the stimulation Reminder Not all motor nerve stimulation programmes use the M2 action function If the M2 action function is not available there will be no symbol above channel 1 9c Press the channel 2 button to de lete the warming up sequence Press the channel 2 button to choose if you want to combine with any of the 2 2 programs on channel 3 and 4 NOTE When the 2 2 function is ena bled the 2 cannot be activated and the corresponding symbol will disap pear automatically from the screen Use the channel 2 button to delete the default warm up period m m warm up sequence warm up sequence 9d Use the channel 3 button to choose the pro
24. f time remember to recharge the battery regularly A Battery status The status of the battery is indicated by a battery icon on the screen If the battery icon contains just two lines this means that power is running low Stop the session and recharge the unit T ous 25 UE esa exa exa suu Battery charge state icon fig 25 If the START symbol normally displayed above the channel 4 button is not visible and the battery icon is flashing this means that the battery is complete ly discharged The stimulator can no longer be used Recharge immediately B Recharging Remove all stimulation cables from the stimulator before recharging it Connect the charger to the mains and then con nect the stimulator to the charger The charge menu shown below will automati cally appear on the screen 3 2 The duration of the recharging operation is displayed on the screen The charger supplied with the stimulator fully recharges the stimulator within 2 2 5 hours The battery icon is animated while the battery is recharging When fully charged the icon will be full and the total time taken to recharge the battery will flash on the screen Simply discon nect the charger and the Mi Theta 600 Theta 500 will turn off automatically 6 Troubleshooting 1 55 ERR m Electrode error The Mi Theta 600 Theta 500
25. gramme difficulty level 9e Use the channel 4 button to confirm your choices and launch the programme Preliminary M scan test This test is launched only if a cable fitted with the Ml2 sensor system is al ready connected to the stimulator when this is turned on AN It is essential that the patient remains completely still and relaxed during the entire test If the M sensor cable is connected the test will begin as soon as you choose and personalise your programme NOTE The test is not launched if you choose a programme that does not require the pre selection of a muscle group lt 5 d e dem e m E oO gt 9 uc 9 o N ENG l lt 24 lt a Q 4 3 He 4 3 de E uw 9 E 050 10 10 10e In this example the IIl logo above channel 4 indicates that the cable is connected to the stimulator on channel 4 The figures in channel 4 will automatically change during the test as the sensor record different measure ments NOTE When several sensors are connected simultaneously the M2 scan test is performed progressively one connected channel after the other The channel being scanned
26. h use lt 5 N dem e m E oO gt 9 uc 9 o ENG l lt 24 lt a Q 4 3 He 4 3 de E uw 9 PRESENTATION 1 Warranty This warranty is valid only if accompa nied by proof of purchase Your legal rights are not affected by this warranty Your CefarCompex Mi Theta 600 Theta 500 stimulator is guaranteed for a period of 2 years from the date of purchase The warranty covers the stimulator and the stimulation cables fitted with the Mi sensor system material and work manship but not the battery unit other cables or charger All defects arising from substandard material or workman ship are covered The warranty does not cover damage resulting from impact accident improper use insufficient protection against damp immersion in water or repair work conducted by unauthorized personnel 2 Maintenance e Clean with a soft cloth and alcohol based solvent free cleaning product Use only a minimum amount of liquid when cleaning the unit Do not disassemble the stimulator or charger as these all contain high volt age components that could cause electric shock This may only be done by persons or repair services author ized by CefarCompex Your stim
27. ies of short beeps with decreas ing frequency voluntary contrac tion still possible and work rate still satisfactory e f no voluntary contractions are de tected within a certain time this var ies from programme to programme the stimulator will automatically enter Standby mode NOTE The system needs to record the muscle twitches in the active rest phase in order to offer optimal re sults If the twitches are not sufficiently intense during this phase the stimulator will emit a series of beeps and a sign will appear on the screen Note that these muscle twitches will only occur if the muscles are sufficiently relaxed Patients should therefore be encouraged to adopt a position in which they will be as relaxed as possible at the end of each contraction phase The Mi rens function can be used to considerably reduce the number of un wanted muscular contractions enhanc ing both user comfort and treatment efficacy lt 2 5 a4 e dem e m E oO gt 9 uc o ENG l lt 24 lt a Q 4 3 He 4 3 de E uw 9 It is available only for the TENS Modu lated TENS Epicondylitis and Arthral gia programmes When enabled the
28. mode of fer a number of distinct benefits They require the active participation of patients and encourage them to become fully involved in their treat ment They allow patients to control their contractions allowing them to feel more at ease with the system They optimize performance by combining voluntary and electrical stimulation exercises which results in a more intensive recruitment of muscle fibres They help to retone the body and fa cilitate motor reeducation in patients with neuromuscular disorders They integrate the stimulation of stabilising muscles into a broader functional exercise plan The mode is only available for certain programmes Programmes run in Mt action mode always preceded by M scan test The mode is enabled only during work sequences not during warm up and relaxation sequences The first muscle contraction in the work sequence is triggered automatically This is followed by an active rest phase con sisting of a series of muscle twitches A new contraction can only be triggered after a minimum rest time which varies from programme to programme The stimulator emits a signal to notify the patient when he can trigger another contraction This signal can take different forms Aseries of short beeps with increas ing frequency voluntary contraction possible continuous beep ideal moment for voluntary contraction Aser
29. nnect the stimulation cables to an external power source due to risk of electric shock Do not use the MiTheta 600 Theta 500 stimulator or charger if any of the elements are damaged case cables etc or if the battery compartment is open There is a risk of electric shock Unplug the charger immediately if your MiTheta 600 Theta 500 emits a continuous beeping sound or if you notice any abnormal heat smell or smoke from either the charger or the stimulator Never recharge the battery ina confined space carrying case etc as this could cause a fire or electric shock Keep MiTheta 600 Theta 500 and its accessories out of the reach of chil dren Keep the stimulator battery compart ment and charger clean Sudden temperature changes can cause condensation to build up inside the stimulator To prevent this allow it to reach ambient temperature before use Do not use your MiTheta 600 Theta 500 while driving or operating machin ery Observe caution when using electro therapy at the same time as the patient is connected to monitoring equipment with body worn electrodes The stimu lation might interfere with the signals to the monitoring equipment AN Precautions when using the elec trodes and the motor point pen Only use electrodes and pen supplied by CefarCompex Other electrodes and pens may have electrical properties that are incompatible with the Mi Theta 600 Theta 500 stimulator Only
30. or before this is turned on Do not connect the M sensor cable if the stimulator is already on The Ml2 sensor system may not work properly if restrained or subject to pres sure in any way The must be connected to an adhesive electrode at all times during a stimulation session M sensor This is a small sensor that links the stimulator to the electrodes It performs a key function in that it measures cer tain physiological characteristics of the muscle to be stimulated and transfers this data to the stimulator which in turn analyses the data and adapts its parameters accordingly This tailoring of each programme to the changing condition of the muscle clearly enhances both patient comfort and therapeutic efficacy M2 scan Just before beginning a stimulation ses sion the M2 scan analyses the excitabil ity of the muscle to be stimulated The M2 scan determines the chronaxy of the muscle in approximately 12 seconds and sends this data to the stimulator so that it can adapt the pulse width duration accordingly Adapting the pulse width to the chronaxy of the muscle to be stimu lated allows the same muscle response to be achieved with less energy NOTE The M2 scan function is ena bled only when a cable fitted with the M2 sensor system is connected to the stimulator Maximum one sensor can be used for the THETA 500 As many as 2 different chronaxy meas urements corresponding to 2 differ
31. otally independ ent of the contraction intensities Pause mode 19a Press the On Off button to inter rupt the programme momentarily To restart it simply press the channel 4 button 19e The session will resume at 8096 of the energy levels that were being used prior to the interruption NOTE If your MiTheta 600 Theta 500 emits a beeping sound and the symbols under the active channels begin to flash the stimulator is suggesting you to in crease the level of the stimulation ener gies If you are working at the patient s maximum tolerance level simply ignore this message Contraction information When working with a muscle contraction programme you can access the contrac tion info screen at any time to consult the number of contractions and total contraction time To access the screen simply hold down the i button lt lt lt MRE DISUSE ATROPHY CONTRACTION INFOS TOT TIME zd zac 7 HLIMEER 14 O21 OOO OOO Skip function NOTE The Skip function is not available for THETA 500 In certain programmes the skip function allows you to end the current pro gramme phase and move on to the next one For skip function to work the unit must be in Pause mode dC 2510 55 lt ESL 21 214 21 21a Press the On Off button to return to the list of programmes in the category you are working with 21d Use the channel 3 button to skip a par
32. s bring up the options screen by holding the On Off button on the front of the stimulator for a few seconds FRANCAIS DEUTSCH ITALIANO ESFAROL NEDERLANDS E 3a 3b 3c 3d 3e 3b Use the channel 1 button to choose the language you wish to use 3c Use the channel 2 button to adjust the contrast of the screen 3d Use the channel 3 button to adjust the volume 3e Use the channel 4 button to adjust the backlighting On Backlighting always on Off Backlighting always off Auto Backlighting activated whenever a button is pressed 3a Use the On Off button to confirm and save your choices The settings will be applied immediately lt 2 5 N dem e m E oO gt 9 uc 9 BEY ENG l lt 24 a Q 4 3 He de E 9 4 Neurostimulation programmes To start the stimulator press the On Off button To choose a programme you must first choose a type of treatment and a programme category NOTE There is a table summarizing the different programmes and their func tions at the end of this manual A Choosing a type of treatment 5151 TREATHENT SPECIFIC TEERTHEHT CONMDITIONHIHG CUSTOM PROGRAM
33. t ss Refer to the picture above to see how to connect the pen Connect the tip of the motor point preferably to the red connector The other snap connector must be connected to an electrode already on the muscle to be stimulated C Charging The Mi Theta 600 Theta 500 is a port able muscle stimulator powered by a rechargeable battery unit Recharging To recharge the Mi Theta 600 Theta 500 first disconnect the electrode cables from the device then plug the charger to a wall socket and finally connect the stimulator to the charger The charge menu illustrated below ap pears automatically 27 m 1 1b 1a The stimulator has been charged for 7 minutes and 27 seconds a full charge may take 2 2 5 hours with the rapid charger delivered with your device 1b Charging is in progress When charg ing is completed total charge duration flashes and the battery symbol is com pletely full The stimulator switches off automatically as soon as you disconnect the charger 3 Preliminary settings A Language contrast volume When you start the stimulator for the first time you will need to choose the interface language you wish to use from the options screen See below for in structions on how to proceed There are a range of settings that you can adjust to suit your needs interface language display contrast backlighting volume To change any of these setting
34. ticular sequence of a pro gramme When you do this the unit will beep and the cursor under the progress bar will move to the beginning of the next sequence 21e Use the channel 4 button to resume the programme at the chosen sequence NOTE The skip function is not available for all programmes It should also be noted that this function can reduce the effectiveness of a programme if used to shorten the work sequence excessively Statistics NOTE The Statistics function is not available for THETA 500 The Mi Theta 600 Theta 500 stimulator includes a statistics menu containing important programme information that can be consulted in real time To access the statistics screen you must place the stimulator in pause mode or wait for the programme to end HUN S G 2 m EHERGY 125 145 144 140 EL 22 In neuromuscular electrostimulation NMES programmes MAX indicates the maximum stimulation energy level reached per channel during the contrac tion phase AVG indicates the average stimulation energy level used by the different channels during the contrac tion phase 2 20 D 8 R aHGE ER m umm 20 23e In low frequency programmes the function figure enclosed by a single square bracket shows what per centage of stimulation time was spent in the optimal energy range 22 23e Press the channel 4 button to resume the programme
35. ttings 17c Use the channel 2 button to increase or decrease the setting values 17d Use the channel 3 button to show further parameters possible to adjust 17e Use the channel 4 button to save the program Saving programme 18a Press the On Off button to return to the previous screen ENTER NRME F INTERMITTENT EXA 18a 18b 18c 18d 18e 18b Use the channel 1 button to move the cursor in the program name 18c Use the channel 2 button to write letters and figures 18d Use the channel 3 button to maximize or minimize the space 18e Use the channel 4 button to save the program NOTE You can save maximum 10 custom programs NOTE Also the custom programs are possible to combine with a program from the 2 2 list by adding and selecting the 2 2 option When you save this program will consist of one program on channel 1 2 P1 and one program for channel 3 4 P2 Please see section Choosing the 2 2 function G Stimulation mode 1440 NS i Mj ov 107 19 19b 19c 19d 19e 19 bc de The different energies reached during the contraction phase are shown by a series of black bar graphs Active rest phase energies are shown by hatched bar graphs NOTE Active rest phase stimulation energies are automatically set at 50 of contraction intensities but can be modified during the rest phase Once modified they will be t
36. ulator does not require calibration If your stimulator contains parts that seem worn or defective please contact your nearest Cefar Compex customer service centre regarding an upgrade Medical and health professionals are obliged to service the unit in compli ance with relevant national laws and regulations This involves testing performance and safety parameters at regular intervals 3 Storage and transporta tion conditions The CefarCompex Mi Theta 600 Theta 500 contains rechargeable batteries and so the storage and transportation condi tions must not exceed the following figures Storage and transportation tempera ture 20 C to 45 C Maximum relative humidity 75 Atmospheric pressure 700 hPa to 1060 hPa 4 Usage conditions Temperature 0 to 40 Relative humidity 30 to 75 Atmospheric pressure 700 hPa to 1060 hPa Do not use in an explosion risk area 5 Elimination Batteries must be disposed in compli ance with relevant national regulatory requirements Any products bearing the WEEE mark ing a crossed out wheeled bin must be separated from ordinary household waste and sent to special collection facilities for recycling and recovery 6 Standards CefarCompex Mi Theta 600 Theta 500 is designed for use by health profession als and as such complies with relevant medical standards and regulatory requirements To guarantee your safety CefarCom pex Mi Theta 60
37. val and is therefore not likely to cause any inter ference with nearby electronic equip ment radios computers telephones etc The MiTheta 600 Theta 500 is designed to withstand foreseeable disturbances originating from electrostatic discharg es mains supply magnetic fields or radio frequency transmitters Despite this it is not possible to guarantee that the stimulator is not affected by strong RF radio frequency fields emitting from for example mobile phones More detailed information can be received upon request by contacting CefarCompex USAGE GUIDELINES 1 Placement of electrodes For optimal results use the electrode positions recommended by CefarCom pex For the placement of electrodes refer to the electrode placement il lustration It is crucial to choose the right size of the electrodes and correctly position these on the muscle group you want to stimulate to ensure the efficacy of the treatment To do this always use the sizes and positions shown in the pictograms unless otherwise required by medical needs Where necessary look for the best possible position by slowly moving the electrode over the muscle until you find the point that will produce the best contraction the motorpoint or the most comfort for the patient These recommended positions are also the optimal positions for the MlZ sensor system and as such should be followed closely AN CefarCompex disclaims all responsi
38. white against a black background E Choosing the 2 2 function You now have the possibility to choose the 2 2 function which means that you can choose one program for the channel 1 and 2 then select one program from the 2 2 program list for channel 3 and 4 This means that you could treat two different body parts at the same time or combine two different programs on the same body part 22 AAM a Gt ENDORPHINIC EXA 2 12 125 12 124 12 12a Press the On Off button to return to the previous screen 12b Use the channel 1 button to choose the desired treatment area You can choose from 7 areas 12c Press the channel 2 to delete the warming up sequence by pressing the channel 2 the 2 2 mode is selected and the first program in the list is displayed Press the channel 2 again in order to display the next program in the list 12d Use the channel 3 button to choose the program difficulty level 12e Use the channel 4 button to confirm your choices and launch the program NOTE The timer for ch 1 2 will control the total session time This means that the total time for ch 3 4 could not ex ceed the session time for ch 1 2 NOTE The program for ch 3 4 is always in one phase NOTE If a preset program uses more than two channels it s not avalable for the 2 2 mode 307 ICSUSE ATROPHY NHEHDORFHIHMIC i D ooo noo ooo
39. x 2 HEMIPLEGIA x x ROTATOR CUFF x x s x 7 E CARDIO TRAINING x x ri 8 PAIN RELIEF TENS 100Hz x gt 5 80 2 FREQ MODULATED 5 1 E ENDORPHINIC x DECONTRACTION x x x PW MODULATED TENS BURST TENS x 9 MIXED TENS x 2 MUSCLE PAIN x JOINT PAIN x FRACTURE PAIN N gt VI LIST OF PROGRAMS MiTheta 600 PROGRAMS Mi scan Mi action Wi rews 0 Optional 2 2 SPECIFIC PAIN RELIEF KNEE PAIN x TRAPEZIUS PAIN SHOULDER PAIN CERVICAL PAIN LO CERVICAL PAIN HI THORACIC BACK PAIN LOW BACK PAIN LOW BACK MUSCLE PAIN LUMBOSCIATICA LUMBAGO EPICONDYLITIS TORTICOLLIS x X x ARTHRALGIA X x VASCULAR HEAVY LEGS x VENOUS INSUFFICIENCY 1 VENOUS INSUFFICIENCY 2 ARTERIAL INSUFFICIENCY 1 ARTERIAL INSUFFICIENCY 2 CRAMP PREVENTION CAPILLARIZATION x lt 5 sd N e e m E oO gt 9 uc 9 o N ENG VI LIST OF PROGRAMS MiTheta 600 SPECIFIC TREATMENT PROGRAMS M scan M action Wi rews
Download Pdf Manuals
Related Search