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User Manual - 3B Scientific

1. aaa Turning Therapy System On 0 00 c cee eee of gt GENERAL INFORMATION OPERATOR REMOTE 7 J T Installing the Operator Remote 0 9 6 AD b gt GENERAL INFORMATION THERAPY SYSTEM CART X17 gt Nomenclature Se ee e teens Specifications 000 cece ete eee ene het b gt MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART 78 Ee Assembling the Therapy System Cart A Preparing the Therapy System Cart Mounting Therapy System to Cart 0 05 Connecting Mains Power 60 eee eee eee eee Installing Storage Bins ez Removing System from Therapy System Cart N Calibrating Ultras icatorS o OPTION OPERATION se ssessessesseesee ONA N Pi FACTORY SI encase cen ee 91 BUSING THE OPERATOR REMOTE 00 TAARIA WARRANTY er rr re ee ree 92 Nomenclature naaar V UA 3 Operation EE EE Ee Ese Se ss es ee ss ss We ES N Storing the Operator Remote Vo aa BUSING THE THERAPY SYSTEM CART osse se sesse see 1 LZ Nomenclature 0 cc ccc cece cece eee e ees wR Operation 0 ee tree a Eam BUSING THE NiMH BATTERY MODULE Nomenclature SS Se ee ene ene ens Pb CHARGING BATTERY MODULE cccecccccccers 84 When to Recharge aaa
2. 0 cece eee eee Adjustable 20 1 000 usec FCO WEG MA N TT AE ER EE ED 1 250 FZ Mode SelectON ee Se ee cence ee ee ee CC or CV od de eld iis OER EE N EN EN 0 25 bps Frequency Modulation SS SE eee ee 0 250 Hz Amplitude Modulation Off 40 60 80 and 100 iS ap Se TINS snes N OE N EE EE EE E 1 60 minutes CC Constant Current CV Constant Voltage Tan Microcurrent Microcurrent is a monophasic waveform of very low intensity that closely simulates the electrical current generated by the human body Microcurrent can be applied via electrodes or probe Output Mode See Electrodes or Probe ide d ie EE ey ee OE ee ee E 0 1000 uA Polarity 0 cece eee Positive Negative or Alternating Tip ED WSs ee eie eae cout ded een e a ones 1 60 minutes Available on channels 00 cee 1 amp 2 3 amp 4 Option Stimulus delivered by the TENS 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 SPECIFICATIONS WAVEFORM SPECIFICATIONS CONTINUED MP Premodulated Traditional 2 Pole IFC 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 Ampli
3. 28 lt lt PauseTreatment cece cece cece ee eeeeeees 37 DURA STICK Electrode Instructions 29 Stop Treatment ee ee ee ee ee ee ee 37 Connecting Lead Wires EE cee eens 29 Save tO Patient Data Card ooo cece cece eee eee eee 7 Securing Electrodes SS Se ee ee eee ees 29 PADJUSTING ELECTROTHERAPY CHANNEL PARAMETERS Reusable Carbon Electrodes Optional 30 DURING TREATMENT 2 cee ee esse esse sees esse esse 38 Connecting Lead Wires 00 ccc cece cece eee 30 Selecting Channel 0 00 c ccc ccc cece ees 38 Conductive Medium 00 ccc cece cece cece 30 Editing Channel Parameters 6 60 ke EE RE RE N 38 Securing Electrodes ie 30 ULTRASOUND esse ses see se AE Ne RAN be RE Ne N EN N ee GE N 39 7 TABLE OF CONTENTS Preparing Patient SE Se SS Se ee ee 39 Selecting Modality aaaea 39 Editing Ultrasound Parameters aaa a 39 Head Warming ees Qos eee NEE Setting Ultrasound Intensity F ee Intensity Knob Rotation EE Se ee ee NT Starting Treatment ES eee ee Pausing Treatment a Stopping Treatment cece eee eee N Saving to Patient Data Card ee EE ee AT Editing Ultrasound from Home Screen EN Editing Ultrasound from Treatment Review Screen 42 BCOMBINATION soes sesse s
4. BEES 7 O P R AT j O N Intelect Legend XI Therapy System DELETING USER PROTOCOLS General Information The following information provides instructions for the deletion of one User Protocol at a time Once any single User Protocol is deleted it cannot be recovered Should the Default Protocols be restored through the User Utilities all User Protocols will be permanently removed from the system There is no method for recovery of the User Protocols nor can they be saved to any other medium Selecting Clinical Resources Library Selecting User Protocol to Delete Deleting User Protocol Press the Clinical Resources Library button Press the UP and Down Arrow buttons until the Press the Delete button to delete highlighted Then press the User Protocols button desired User Protocol to delete is highlighted User Protocol UP AND DOWN A verification screen will appear Press Yes ARROW BUTTONS button to delete protocol or No button to keep protocol USER PROTOCOLS BUTTON 1 Huailable 2 Available Available Repeat this process until all desired User Protocols are deleted Press the Home button to return to the Home screen 60 OPERATION Intelect Legend XT Therapy System 7 USING USER PROTOCOLS Accessing User Protocols Press the Clinical Resources Library button Press the User Protocols button CHALIAN Clinical Library User Protocols MMC Graphical Library Chi Available Ch
5. 16 25 in 41 3 cm Storage Standard Weight 24 Ibs 10 9 kg Bins 6 Shipping Weight 33 Ibs 15 0 kg 6 Cart Top Power Reduired 100 240 V 50 60 Hz CART ONLY HEIGHT WITH SYSTEM amp SYSTEM WITH MODULE 77 INSTALLATION REMOVAL MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART Assembling the Therapy System Cart Follow the Assembling Therapy System Cart instructions shipped with the Cart for proper assembly If the instruction sheet is not available visit the Chattanooga Group website www chattgroup com to obtain a copy of the instruction sheet Preparing the Therapy System Cart Remove all the Storage Bins from both sides of the Therapy System Cart by pulling each bin out and up REMOVE ALL BINS Allow approximately 4 5 in 11 5 cm of the power cord extending through the top of the cart for connecting to system If the system is equipped with an optional NiMH Battery Laser or Channel 3 4 Electrotherapy Module it will be necessary to allow 6 5 in 16 5 cm of the Power Cord extending through the top of the Therapy System Cart 4 5 IN 11 5 CM SYSTEM ONLY 6 5 IN 16 5 CM SYSTEM W MODULE 78 NOTE Secure the System to the cart by Intelect Legend XI Therapy System Mounting the Therapy System to Cart Position the Therapy System onto the Therapy System Cart with the rear of the System over the Mains Power Cord Secure the System to the cart w
6. 69 INSTALLATION REMOVAL INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Installing Lead Wires and Accessories Install Lead Wires and additional accessories to Front Panel Refer to page 13 for Symbol Definitions Installing Front Access Panel Install the new Extended Front Access Panel onto Therapy System Make certain Lanyard does not become kinked LANYARD If mounting Therapy System to a Therapy System Cart refer to pages 78 through 79 for instructions 70 Intelect Legend XI Therapy System Connecting Mains Power Connect the Mains Power Cord to the Therapy System Install Rear Access Panel Connect the Mains Power Cord to an approved power source REAR a 7 ACCESS i PANEL t y O Wi gt MAINS POWER CORD INSTALLATION REMOVAL INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Turning Therapy System On Turn the System On using the On Off Switch The System will automatically recognize the added Module and display a configuration change message Read and carefully follow the instructions on the screen Unit meduk configuration has Changed since the last time the unt was tumed On P the START button to acknowledge that the Elecirothera py Module is corenty installed Call Chatancog G Technical Supponat f 1 890 852 7229 F the modula mentioned above is rat the comect module ne WARNING L
7. 0c cece eee ee A Specifications ee 66 B gt CREATING USER PROTOCOLG ccceceeeeen es VSB aveform amp Current Specifications uaaa 66 General Information ccc cece eee ee a Disconnecting Mains Power eee eee 6 Selecting Modality cece cece eee ee ZAAN Removing Lead Wires and Accessories 6 7 Editing Modality Parameters 000 05 58 _ Removing Therapy System from Cart 005 6 Selecting Clinical Resources Library 0 58 lt Releasing Ribbon Gable ees 68 Entering User Protocol Name 0 cee eeeee eee es 59 Positioning Therapy System and Module 68 B gt DELETING USER PROTOCOLS ee ee se ee ee 60 Conn Ribbon fno EE ED N 68 General Information EG sees sees 60 Setting Therapy System onto Module aaao 69 Selecting Clinical Resources Library wo 60 ___ Securing Therapy System to Module ee 69 Selecting User Protocol to Delete Seal WA 60 Attachingthe Lany id ee 69 Deleting User Protocol cece even We HAA 60 Installing Lead Wires and Accessories 5 70 BUSING USER PROTOCOLS cccceccene AY 61 Installing Front Access Panel 0 0 0 c neces 70 Accessing User Protocols cccceeeeeeestestaetu
8. Ultrasound should be routinely checked before each use to determine that all controls function normally especially that the intensity control does properly adjust the intensity of the ultrasonic power output in a stable manner Also determine that the treatment time control does actually terminate ultrasonic power output when the timer reaches zero 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 Handle Ultrasound Applicator with care Inappropriate handling of the Ultrasound Applicator may adversely affect its characteristics Before each use inspect Ultrasound Applicator for cracks which may allow the ingress of conductive fluid each use The Intelect Legend XT Therapy System 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 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
9. EDIT l BUTTON F Ultrasound 2 c Head Warming Frequency Off 1 MHz 1 H re 1 i I a Duty Cycle Ha 100 O d li i Display p W cm2 1 io I I L I I i F Le j N g 0 0 me Time aa ee Ny 4 x Ch 1 Available Peer EE 2 ER as UU Intelect LEGEND Press the Back button to return to Treatment Review screen 39 Head Warming The Intelect Legend XT Therapy System incorporates a Head Warming feature that Dre heats the Sound Head of the Applicator for increasing patient comfort The control for the Head Warming feature is in the Edit screen of the Ultrasound modality Press the Head Warming button until On is displayed HEAD WARMING BUTTON To set the default of the Head Warming feature to On press the Home button after On is displayed in the Head Warming icon Head Warming will then start when the Therapy System is turned On NOTE Head warming time is approximately 2 minutes TOG we wi hk OPERATION ULTRASOUND CONTINUED Setting Ultrasound Intensity Set intensity by rotating the Intensity Control Knob to the prescribed level E EE 2 Tr T A Clockwise Increases Intensity Counterclockwise Decreases Intensity Intelect Legend XT Therapy System lt gt staring bewese GY Pausing Treatment Press the Start button to begin therapy Press the Pause button to pause therapy ESSION session and maintain remaining time To
10. Move the Applicator in a circular motion resume treatment press the Pause button over the treatment area again NOTE The Applicator LED will not illuminate when the session has been paused BUTTON BUTTON NOTE When the Applicator LED is illuminated the Applicator is emitting Ultrasound 40 mt Es OPERATION ULTRASOUND CONTINUED Stopping Treatment To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display Saving to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 48 through 57 for Patient Data Card Setup and use 41 Intelect Legend XI Therapy System 7 7 O P R AT j O N Intelect Legend XI Therapy System ADJUSTING ULTRASOUND PARAMETERS DURING TREATMENT The ultrasound parameters may be changed during a treatment session without pausing or stopping the treatment The following information provides instructions for changing ultrasound treatment parameters during a treatment session The ultrasound intensity may be increased or decreased at any time during the session without utilizing this process Editing Ultrasound from Home Screen Editing Ultrasound from Treatment Press Select Channel button until US Press the corresponding parameter button Review Screen Running is framed and edit as prescribed Press the Edit button on the Treatment Press View Edit Channel butto
11. System H vase 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 Output Mode cece eee eee ed Electrodes Veld si ie RA EE N EE EE NE neste cen 0 100 mA Channel Mode 000 cece Single Reciprocal Co Contract Duty Cycle sesse sesse Re Ee es ee 10 20 30 40 50 Mode Selection 0 cece cece see ee ee ee Re ee ee Ee EE OFE PN e dIE N EE N N OIT or On Cycle Time 5 5 4 12 10 10 10 20 10 30 10 50 Continuous Burst Frequency Anti Fatigue Of ee 20 100 bps slae AAR AE OE EO EE ON N 0 5 1 2 and 5 sec iis eed Ed ETE EE N AN Te 1 60 minutes Available on Channels 000 00 c eee ee 1 amp 2 3 amp 4 Option 7 SPECIFICATIONS 7 Intelect Legend XT Therapy System WAVEFORM SPECIFICATIONS CONTINUED p gt TENS Symmetrical Biphasic The Symmetrical Biphasic waveform has a short pulse duration and is capable of strong stimulation of nerve fibers in the skin and in muscle This waveform is often used in portable muscle stimulation units and some TENS devices Because of its short pulse duration the patient typically tolerates the current well even at relatively high intensities Output Mode ccc cece eee eee ee Electrodes OUtPUTINTENS a osse see En on ie ee a mene ewe bo as 0 80 mA Phase Duration
12. Therapy System ERROR CODES General Information The Intelect Legend XT Therapy Systems incorporate error messages and warnings to inform the user of problems or potential problems with the system 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 Probable Cause Possible Remedies Number Message l 101 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 102 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 Blank Patient ID Properly enter Patient ID Refer to Therapy System User Manual for Patient Data Card instructions Warning 1 Blank Protocol Name Properly enter Protocol or Sequence Name Refer to the appropriate section of the Therapy System 2 Blank Sequence Name User Manual Warning 1 Attempting to delete factory set Sequence Cannot dele
13. Warning Stim Board Main Software upgrade warning Upgrade Stim Board Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions 88 23 24 26 135 136 13 7 bby wii A TROUBLESHOOTING ee een They stern ERROR CODES CONTINUED Code Type Probable Cause Possible Remedies Number Message Upgrade Ultrasound Board Software to latest version Contact dealer or Chattanooga Group for 138 Warning Ultrasound Board Software upgrade warning latest software upgrade and instructions 141 Warning Battery Module Software upgrade warning Upgrade Battery Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Warning Patient Data Card button on Home screen was pressed with no Properly insert a Patient Data Card set up and perform the treatment and save data to Patient Patient Data Card installed into system port and no treatment Data Card currently being performed In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanooga Group for service Errors and Warnings in these categories indicate an internal problem with the system that must be tested by Chattanooga Group or a Field Service Technician certified by Chattanooga Group before any further operation or use of the system Use of a system that indicat
14. and maintain remaining time To once Treatment will stop and the Move the Applicator in a circular motion resume treatment press the Pause button Completed Treatment Review screen will on the treatment area again display BUTTON Saving to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 48 through 57 for Patient Data Card Setup and use 46 7 Intelect Legend XT Therapy System OPERATION ADJUSTING COMBINATION PARAMETERS DURING TREATMENT The channel parameters may be changed during a treatment session without pausing or stopping the treatment The following information provides instructions for changing Combination Treatment Electrotherapy Channel and Ultrasound parameters during a treatment session Editing Waveform Parameters Press the Edit Stim button to edit the parameters of the waveform selected Press the corresponding button to edit each parameter as prescribed Rotate the Intensity knob to increase or decrease waveform intensity as prescribed oo Interfer lt a ike VA yee Vector Scan off ET Lan 1 Li I f I I li ot t 1 Carrier Freq ae 0 Hz 2 1 1 Edit 7 min Beat Fixed 100 Hz 400 0000 SB Volts CV i Chi Setup 00x a Ch 2 Setup OOR a US Setup 0o07 8 00 0 0 Volts CU Editing Ultrasound Parameters Press the Edit Ultrasound button Press the corresponding button to edi
15. 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 Module housing or cells Should an individual cell from a battery become disassembled spontaneous combustion of the negative electrode is possible There can be a delay between exposure to air and spontaneous combustion e Dispose of NiMH batteries according to national state and local codes and regulations 85 STORING THE BATTERY MODULE Short Term Storage The Battery Module 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 Long Term Storage For long term storage of the Battery Module remove the Battery Module from the System and store in temperatures between 59 F and 104 F 15 C and 40 C with Relative Humidity ranging from 30 60 When charging the Battery Module for the first time after long term storage restore the battery service life by charging and discharging the Battery Module several times If storing the Battery Module for periods longer than one year charge the Battery Module at least once per year to prevent performance deterioration and battery leakage due to self discharge from storage gt tes 7 T RO U BS L E S ie OOTI N G Intelect Legend XT
16. have no curative value TENS is a symptomatic treatment and as such suppresses the sensation of pain which would otherwise serve as a protective mechanism e The user must keep the device out of the reach of children Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when TENS stimulation is in use Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the manufacturer e Long term effects of chronic electrical stimulation are unknown 7 Intelect Legend XT Therapy System e In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanooga Group for service Errors and Warnings in these categories indicate an internal problem with the system that must be tested by Chattanooga Group or a Field Service Technician certified by Chattanooga Group before any further operation or use of the system Use of a system that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or cause extensive internal damage to the system Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous exposure to ultrasonic energy Before administering any treatment to a patient you should become acquainted with the operating procedures for each mode of treatment available as well
17. the Re install Lead Wires and Accessories to the screw retaining the existing Front Access Therapy System Front Panel Panel Install Lanyard to the original Front Access Panel using the same screw f E Oe d h 5 i LANYARD NOTE When re installing the Front Access Panel to the Therapy System make certain the Lanyard does not become kinked 74 Connecting Mains Power Connect the Mains Power Cord to the Therapy System Install Rear Access Panel Connect the Mains Power Cord to an approved power source REAR a ACCESS a PANEL Kiita D MAINS POWER CORD INSTALLATION REMOVAL REMOVING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Turning Therapy System On Turn the System On using the On Off Switch The System will automatically recognize the Module has been removed and will display a configuration change message Read and carefully follow the instructions on the screen Unit module configuration has changed since the last time the unit was tumed On P the START button to acknowledge that the Elecirothera py Module is curranii ivetaled eel Gropi Tanh Moe ek 1 800 592 7329 the module mentioned above Pe ha comin ne gere th i Piece pere bead a DONE OT pres ed START bumon 2008 200 C Soman oe a hattanooga Group Verify that the Module installed is the Module displayed in the message BEFORE pressing the START b
18. 2 Available US Ayailable USER PROTOCOLS BUTTON Selecting User Protocol Press the UP and Down Arrow buttons until the prescribed User Protocol is highlighted Press the Accept and Return Arrow button UP ARROW BUTTON nn E GROUP Preparing Patient Refer to pages 27 through 30 for Electrotherapy and page 31 for Ultrasound patient preparation instructions Editing Modality Parameters Press the Edit button Select Protocol Chi Available Ch2 Available US Available ACCEPT AND RETURN ARROI BUTTON 61 DOWN ARROW BUTTON Edit modality parameters as prescribed Refer to page 35 for Electrotherapy modalities and page 39 for Ultrasound Treatment Review Ch 1 2 EDIT Waveform Inter ferential B UTTON CV i i EET i Carrer Freq 4000 Hz Frequency 20 150 Hz Vector Sean Off Treatment Time 20 minutes OPERATION USING USER PROTOCOLS CONTINUED Using Optional Patient Interrupt Switch Give Patient Interrupt Switch to patient and explain that pressing the Red button Make certain the Patient Interrupt Switch for once pauses the therapy session the channel s being used is connected to the Therapy System Refer to page 13 for Symbol Definitions LANYARD If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a sec
19. 7 through 30 for Press button beside the desired waveform Press Edit button to access waveform electrode selection preparing patient and from the listing on the screen Parameters securing electrodes Press the corresponding button to edit PRESS DESIRED WAVEFORM BUTTON each parameter as prescribed Select Modality Press the Electrotherapy button on the Home screen ELECTROTHERAPY BUTTON Chattanooga Group Intelecf AT mad Electrotherapy 1 Available Ch 2 Available US Available Ch 2 Setup J US Available Channel None Inserted jf 5 Ee Refer to Specifications section of this l manual for all available waveforms on the Intelect Legend XT Therapy System Press the Back button to return to the Treatment Review screen N Intelect A cz LEGEND Chi Available 35 mt ES O P R AT O N Intelect Legend XI Therapy System GENERAL ELECTROTHERAPY WAVEFORM SETUP CONTINUED Switch Give Patient Interrupt Switch to patient Set intensity by rotating the Intensity Control Make certain the Patient Interrupt Switch is and explain that pressing the Red button Knob to the prescribed level connected to the Therapy System Refer to once pauses the therapy session page 13 for Symbol Definitions PRESSING BUTTON ONCE PAUSES SESSION LANYARD Patent switch for Chi and 2 was pressed Press any button to continue peat Low Larner rreg 4000 Hz If Patient Interrupt Sw
20. Accessing Electro lacement a 50 Setting up Electrodes EE RE EE N HE EE TEE 50 5 Selecting Bon fF Pan ov Editing Pain Locations 0 00 c ccc cece 52 Deleting Pain Locations 00 0 ccc ccc eens 53 Pain Scales ccc cence nent ee ee nen eens 53 Selecting Pain Scale ee ences 53 Adjusting Pain Scale ee ee ee ee ee 53 Saving to Patient Data Card ee ee ee 54 _EXISTINGIPATIENT DATA CARD USE ees sesse sesse 55 Inserting Existing Patient Data Card 55 Accessing Patient Data Card 0 0 0 eee es Viewing Patient Data Card Ee ee ee ee 55 Starting a New Treatment from Patient Data Card 50 Using the Optional Patient Interrupt Switch 56 7 TA B L E O CO N T E N TS Intelect Legend XT Therapy System Setting Intensity L a ccc nce eee 56 Saving to Patient Data Card 00 cence 63 Intensity Knob Rotation 0 cece eens 56 INSTALLATION REMOVAL ccccccccccccccccccccccce 64 Starting Treatment EE GE eee 3m INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY Pausing Treatment 0000 00 000 cece cece cece eevee ees A AND NIMH BATTERY MODULE 20seeeeeeee 64 Erasing Patient Data Card aaa s ri Nomenclature Channel 3 4 Electrotherapy Module 65 Stopping Treatment
21. EE Te Mi oes ER rede Pd dy a ae she BE hi er Pies de ol dees NMS stea DOM OT x Ee BO La DONOT p derdes STRAT bumen z Sorts we to 2008 2004 ee Group Verify that the Module installed is the Module displayed in the message BEFORE pressing the START button If it is not DO NOT press the START button Turn the System OFF and back ON If the problem continues call the selling dealer or Chattanooga Group Technical Support immediately DO NOT USE THE SYSTEM until all necessary repairs are made by a Technician certified by Chattanooga Group If use is attempted before repairs are made the System may operate unpredictably and has the potential of causing injury to the patient or damage to the System s internal components 71 Intelect Legend XT Therapy System 7 7 INSTALLATION REMOVAL Intelect Legend XT Therapy System REMOVING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE Disconnecting Mains Power Removing Lead Wires and Accessories Removing Therapy System from Cart Remove the Front Access Cover and Remove the Therapy System from the disconnect the Lead Wires and Accessories Therapy System Cart if equipped Refer DISCONNECT THE SYSTEM FROM THE POWER from the Therapy System and Channel 3 4 to pages 78 through 79 for proper SOURCE OUTLET OR REMOVE BATTERY Electrotherapy Module instructions MODULE IF INSTALLED BEFORE ATTEMPTING ANY MAINTENANCE INSTALLATION REMOVAL OR REPLACEMENT PROCEDURES TO
22. Ibs 2 7 kg Power Combination and Electrotherapy Units OWE ug N EE EE OE 100 240 V 1 0 A 50 60 Hz Output Internal Power Supply EE EES cea 24 V 7 3 A Ee EA AA EE E OE CLASS Electrical Type UltrasOUNd o an ran TYPEB Electrotherapy and SEMG ESE ee ee TYPE BF Regulatory Compliance UL IEC EN 60601 1 IEC EN 60601 1 2 IEC 60601 2 5 IEC 60601 2 10 7 mt Es SPECIFICATIONS WAVEFORM SPECIFICATIONS pan IFC Interferential Traditional 4 Pole 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 a regular frequency ed ee oe ee nner ee eee ES Electrodes Caio PeOUe NC AA EE N res 2 500 5 000 Hz Beat FrEQUENCY sewes sea k aae ke aa SS ee ee ee ee ee ee 1 200 Hz Sweep TIME cee cece eee ee Ee Ee Ge ee 15 sec Weer Low Beat FEQGUENCY MERE EE OG 1 200 Hz Sweep High Beat Frequency 0cce cece cence 1 200 Hz al Pele Ge ass RS senses Static 10 40 100 Amplitude c ccc cece eee 0 100 mA Peak into 500 ohm TAURI Hie sss tu EN OE EG 1 60 minutes Available on Channel cece eee 1 amp 2 3 amp 4 Option CC Constant Current CV Constant Voltage 16 Intelect Legend XT Therapy
23. Insert a new Patient Data Card into the Setup the patients prescribed treatment With new Patient Data Card inserted in system access port as shown below The Refer to the appropriate area of this manual the system press the Save to Patient Card Therapy System will automatically format for modality setup button abel pec Card and a verification Administer treatment as prescribed When SAVE TO treatment is complete the Treatment PATIENT CARD Press any button to continue Review screen will be visible INSERT NEW PATIENT DATA CARD Waveform Interferent Carrier Freg 4000 Hz Frequency 80 150 Hz Vector Scan Off Start End Time 12 44 08 PM Amplitude 08 08 Y PRESS ANY TO CONT 80 150 Hz Scan Of Start End Time T24406 PM 124503 PM Ampktude 08 08 VO Treatment Time 1 minutes Treatment Time 1 minutes 48 OPERATION Intelect Legend XT Therapy System 7 PATIENT DATA CARD SETTING UP OF NEW CARD CONTINUED Entering Patient ID Select the row of alpha or numeric characters desired by pushing the button beside the corresponding row Select the desired character in the row by pressing the row button until the desired letter is framed SELECT ROW AND CHARACTERS a When the desired character is framed press the Accept and Return Arrow button The character selected will display in the top of the screen and the cursor will advance to the next position To move back a character pre
24. Microcurrent Probe Connector Ultrasound Applicator Connector 11 Intelect Legend XI Therapy System Rear Access Panel 1 Screen Contrast Control 2 Power On Off Switch 3 Technical Maintenance Port 4 Mains Power Cord 5 Rear Access Panel 6 Serial Decal NOMENCLATURE USER INTERFACE 15 12 Intelect Legend XT Therapy System Rear Access Panel See Page 11 Ultrasound Applicator LED Indicator Combination only Ultrasound Applicator 5 cm Standard Optional 1 cm 2 cm and 10 cm applicators available Combination only Intensity knob Cable and Lead Wire Hook Front Access Panel See Page 11 Start button Pause button Stop button Clinical Resources Library button Home Screen button Back button Patient Data Card Port Multimedia Card MMC Port Unused User Setup and Parameter Control buttons NOMENCLATURE SYMBOL DEFINITIONS Intelect Legend XT Therapy System Below are the definitions for all of the symbols used in the Intelect Legend XT hardware and software Study and learn these symbols before any operation of the system System Hardware Symbols q CONTRAST CONTROL OO ON OFF SWITCH OOI ss ol MULTIMEDIA CARD PATIENT DATA CARD Q STOP TREATMENT Software Symbols PATIENT INTERRUPT 4 MOVE DOWN CHANNEL 1 LEAD WIRES MOVE RIGHT D CHANNEL 2 LEAD WIRES MOVE LEFT MICROCURRENT PROBE ea THERAPY INTENSITY CONTR
25. NING indicator will explain possible safety will explain possible safety infractions that could create _ infractions that will potentially cause serious injury and conditions for a Spontaneous Combustion if the material is equipment damage mishandled and not disposed of properly Biohazardous Materials Text with a BIOHAZARD indicator serves to inform the user of possible hazards resulting in improper handling of components and accessories that have come in contact with bodily fluids NDANGER d Text with a DANGER indicator will explain possible safety S infractions that are imminently hazardous situations that would NOTE Herder es oe NOTE a He result in death or serious injury otes are helpful information to aid in the particular area or function being described mt Es Intelect Legend XT Therapy System ABOUT INTELECT LEGEND XT e Read understand and practice the precautionary and operating e Inspect Applicator cables and associated connectors before 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 Legend XT Therapy System when connected to any unit other than Chattanooga Group devices DO NOT operate this unit in an environment where other devices are being used that intentionally radiate electromagnetic energy in an unshielded manner
26. OL CLINICAL RESOURCES LIBRARY ey HOME W ACCEPT AND RETURN lt lt a BACK R DO NOT ACCEPT AND RETURN Qusman p sae E ve ULTRASOUND PAD CONTACT QUALITY CONTROL APPLICATOR SINGLE CHANNEL GRAPH mnr ri 9o p PAD CONTACT QUALITY Used for System Software DUAL CHANNEL GRAPH Upgrades 13 Optional Module and Accessory Symbols Operator Remote Channel 3 4 Electrotherapy INCREASE Module INTENSITY PATIENT INTERRUPT SWITCH DECREASE INTENSITY PAUSE el CHANNEL 3 LEAD WIRES TREATMENT M MANUAL STIMULATION Pp CHANNEL 4 LEAD WIRES Battery Module MICROCURRENT PROBE CHARGE LEVEL CHANNEL 3 4 OPERATOR REMOTE CONTROL BATTERY CHARGING OPTIONAL 7 N O M E N C LAT U R Intelect Legend XI Therapy System GENERAL TERMINOLOGY Below are the definitions for all of the unique terminology used throughout this manual Study these and become familiar with these terms for ease of system operation and familiarization with the components and control functionality of the Intelect Legend XT Therapy System Some of these terms and definitions refer to a specific button or control on the system Refer to page 13 for Symbol Definitions ULTRASOUND ai Back button N The dedicated button on the Main unit below the display that each time pressed takes the user back one screen at a time Previous Page button The button used in some modalities and functions that will take the user back one page when reading multiple
27. PREVENT ELECTRICAL SHOCK AND POSSIBLE DAMAGE TO SYSTEM Place Therapy System face down on a clean working surface protected with a soft clean fabric to prevent damage to the lens REMOVE LEAD WIRES AND Disconnect the Mains Power Cord from ACCESSORIES the power supply Remove the Rear Access Panel and disconnect the Mains Power Cord from the Therapy System REAR o MES Ki ai PANEL tty MAINS POWER CORD NOTE Keep Lead Wires and accessories for later re installation to the Therapy System 72 INSTALLATION REMOVAL Intelect Legend XT Therapy System REMOVING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Removing Screws Securing Module Disconnecting Ribbon Cable at Module Storing and Securing Ribbon Cable With a 1 Phillips Screwdriver remove the Separate the Module from the Therapy Roll the Ribbon Cable up and store in four 4mm x 20 mm screws securing the System and disconnect the Ribbon Cable the cavity of the Therapy System Secure Module to the Therapy System from the Module Connector Pins Ribbon Cable with a nonpermanent adhesive tape Do not disconnect Ribbon Cable from the Therapy System MODULE ONLY 73 INSTALLATION REMOVAL Intelect Legend XI Therapy System REMOVING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Attaching the Lanyard Installing Lead Wires and Accessories With a 1 Phillips Screwdriver remove
28. TEM SETUP CONTINUED Pad Contact Quality Selecting Language The Pad Contact Quality feature indicates to the user the contact To change the language TT quality of the electrodes on the patient This function if On displayed on the system press Medium displays a bar graph at the bottom of Treatment Review screen for the Language button until the the following waveforms only desired language is displayed The Therapy System Pad Contact Quality default is ON Press Home button to set the ee A language and return to Home RET e Interferential ad RA TAS eae Hele Eie If Unit Default Settings are Language e IFC Premod 2p EEN restored the language will revert Single Channel Graph d Version Information ae back to English e Russian re Single Channel Graph Erase Patent Card To turn On or Off press Pad aksies Contact Ouality button until On SINGLE CHANNEL GRAPH ee oos or Off as desired is displayed OD bemes Single Channel Waveforms will EE US Available PRESS HOME BUTTON display a single bar graph Dual GOOD CONTACT i ST Channel waveforms will display a QUALITY La double bar JARN EE iiai Intelect Contact quality is measured by CHANNEL 1 yd GEND the amount of the graph filled GOOD CONTACT QUALITY with black An ideal contact quality is 75 or more of the graph filled CHANNEL 2 NO CONTACT QUALITY 25 Intelect Legend XI Therapy System 7 SETUP THERAPY SYSTEM SETUP CONTINUED Connecting Accessories t
29. TTON Editing Pain Locations Press the Add button to continue selecting Press the Edit button on the Pain Map in sequence the radiating path of the pain window using the above procedure Up to eight pain locations may be selected ADD BUTTON UP AND DOWN ARROW BUTTONS D gE OT ED rae E lt a ee EDIT NEXT BUTTON i il OD mag eect ma Es CO SiG ACCEPT AND RETURN 4 Press the Edit Next button to highlight the Pain Location to be edited Use the Up and Down Arrow buttons to relocate the selected Pain Location Press the Accept and Return Arrow button Repeat until all editing is complete then press the Back button 59 z After all desired Pain Locations have been made press the Back button 52 7 mtES OPERATION PATIENT DATA CARD SETTING UP OF NEW CARD CONTINUED Deleting Pain Locations Press the Delete button on the Pain Map window UP AND DOWN _ ARROW BUTTONS Thi Completed DELETE h gt Completed BUTTON 5 Available ACCEPT AND RETURN ARROW BUTTON Use the Up and Down Arrow buttons to highlight the Pain Location to be deleted Press the Delete button Press the Accept and Return Arrow button Repeat until all editing is complete then press the Back button Pain Scales Intelect Legend XT Therapy System The Intelect Legend XT Therapy Syste
30. aa BAR fs O R EWO R D Intelect Legend XT Therapy System This manual has been written for the users of the Intelect Legend XT Therapy Systems It contains general information on the operation precautionary practices and maintenance information In order to maximize use efficiency and the life of the system please read this anu ey and become familiar mit the cone as well as the ENS ore operating the system tructions as well as installation instructions for the optional the users of the Intelect Legend XT Therapy two channel Before administering any treatment to a patient the users of this Y contained in this manual for each mode of treatment available as well as the dicati con Consult other resources for additional information regarding the application of electrotherapy a PRODUCT DESCRIPTION p The Intelect Legend XT Therapy Systems are two channel elecu tnerapy and co Finatiog systems with the option of adding additional channels of electrotherapy by installation of the optional Channel 3 4 Flectrothera Module F optional modality modules are available for separate purchase and may be installed by the end user Stay current with the latest clinical developments in the field of electrotherapy and ultrasound 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 use
31. 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 7 ABOUT INTELECT LEGEND XT EK eg seen e Stimulation should not be applied over the anterior neck or mouth 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 in that 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 related to electrode size Improper application may result in patient injury If any question arises as to the proper electrode size consult a licensed practitioner prior to therapy session The Intelect Legend XT Therapy System optional modules and associated accessories are designed for use only with the Chattanooga Group Intelect Legend XT Elect
32. button prescribed aj MODALITYBUTTONS Refer to respective sections of this manual N emee E for the specific modality prescribed Electrotherapy f View Edit Patient Card EE Channel None Inserted l i i Select Channel Interferential CV 4000 Hz 80 150 Hz Me Eed Ch 2 Available US Available EDIT BUTTON 58 OPERATION Intelect Legend XT Therapy System 7 CREATING USER PROTOCOLS CONTINUED Entering User Protocol Name Select the row of alpha or numeric characters desired by pushing the button beside the corresponding row Select the desired character in the row by pressing the row button until the desired letter is framed SELECT ROW AND CHARACTERS 4 Lit DAT To wa t LA i sy n When the desired character is framed press the Accept and Return Arrow button The character selected will display in the top of the screen and the cursor will advance to the next position To move back a character press the Left Arrow button NOTE To add a space select the area to the left of the letter A 59 To delete a character press the Left Arrow button until the character to be deleted is framed Press the Delete button To discard entire entry press the Back button Repeat this procedure until the desired Patient ID is entered After Patient ID is entered press the Save button E Lo SAE R74 Press the BACK button to cancel Save i
33. button to begin therapy Press the Pause button to pause therapy session session and maintain remaining time To resume treatment press the Pause button START O pene BUTTON To aoe ko 57 Intelect Legend XT Therapy System O suona nesmen To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display STOP BUTTON Erasing Patient Data Card Refer to page 23 for proper Patient Data Card Erasing instructions 7 O P R AT O N Intelect Legend XI Therapy System CREATING USER PROTOCOLS General Information This library is a series of protocols created by the user and stored in the system memory The following information gives general instructions as to setting up saving and accessing User Protocols Should the Default Protocols be restored through the User Utilities all User Protocols will be permanently removed from the system The Therapy System memory will accommodate up to 200 user defined protocols Selecting Modality Editing Modality Parameters Selecting Clinical Resources Library Press the button beside the desired Press the modality Edit button usually Press the Clinical Resources Library button modality on the Home screen or select a in the lower right corner of the modality to begin the save process of the new User User Protocol using the Clinical Resources Treatment Review screen and edit as Protocol Library
34. 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 The Nylatex Wraps contain dry natural rubber and may cause allergic reactions in patients with allergies to latex ABOUT INTELECT LEGEND XT e U S A Federal Law restricts these devices to sale by or on the order of a physician 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 The safety of TENS waveforms for use during pregnancy or birth has not been established TENS is not effective for pain of central origin This includes headache TENS should be used only under the continued supervision of a physician or licensed practitioner TENS waveforms
35. ctrode manufacturer instructions 27 mt Es PATIENT PREPARATION ELECTROTHERAPY PATIENT PREPARATION CONTINUED DURA STICK Electrodes Chattanooga Group DURA STICK Electrodes are a self adhesive single patient one time use disposable product designed specifically for use with Chattanooga Group Electrotherapy systems It is recommended that Chattanooga Group 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 Legend XT Therapy System Reusable Carbon Electrodes Optional If used for delivery of electrotherapy the Carbon Electrodes must be used with a conductive medium such as Conductor Transmission Gel These Carbon Electrodes should be secured to the treatment area using Nylatex Wraps 7 BEET PATIENT PREPARATION ELECTROTHERAPY PATIENT PREPARATION CONTINUED Dura Stick Electrode Instructions Connecting Lead Wires Securing Electrodes Insert the lead with the Red electrode EES EE MERE dE OP connector into one DURA STICK Electrode Insert the lead AG a aoe MR treatment area as prescribed Ensure the connector Into the otner electrode entire electrode surface is in contact with Make certain the lead wires are patient skin by pressing into place sea
36. d only under the prescription and supervision of a licensed practitioner f Val G 2008 Encore Medical Corporation and its affiliates Austin Texas USA Any use of editorial pictorial or layout composition of this publication without express written consent from Chattanooga Group of Encore Medical L P is strictly prohibited This publication was written illustrated and prepared for distribution by Chattanooga Group of Encore Medical L P ABOUT INTELECT LEGEND XT ne ese STANDARD PRECAUTIONARY INSTRUCTIONS 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 Dangerous Voltage Text with a Dangerous Voltage indicator serves to inform the user of possible hazards resulting in the electrical Caution charge delivered to the patient in certain treatment Text with a CAUTION indicator will explain possible safety configurations of TENS waveforms infractions that could have the potential to cause minor to C Come moderate injury or damage to equipment ed ton with a CORROSIVE indicator will explain possible safety infractions if the chemical components of the battery are exposed to air skin or other materials AN Spontaneous Combustion Warning Text with a SPONTANEOUS COMBUSTION indicator Text with a WAR
37. ed Intelect 2 nl meu ce Mi BLE GEND LEGEND Operation amp Installation Instructions for Therapy Systems 2760 Two Channel Combination System 2788 Four Channel Combination System 2763 Two Channel Electrotherapy System 2786 Four Channel Electrotherapy System Optional Equipment 2780 Therapy System Cart Unassembled 2780ASY Therapy System Cart Assembled 2 6 NiMH Battery Module 27508 and 27079 User Remote Controls 2781 Channel 3 4 Electrotherapy Module CHATTANOOGA Nell ISO 13485 CERTIFIED j Electromagnetic Compatibility EMC Tables User Manual TOC il A TABLE OF CONTENTS Intelect Legend XT Therapy System FOREWORD ccccccccccccccccccccescssccccess o NENN 1 PINTELECT LEGEND XT ELECTROTHERAPY PRODUCT DESCRIPTION ccccccccccvcccccvceveces 1 AND COMBINATION THERAPY SYSTEMS 10 ABOUT INTELECT LEGEND XT cccccccccccccccccdeccccece 2 Two Channel Electrotherapy System 10 STANDARD PRECAUTIONARY INSTRUCTIONS Two Channel Combination System 005 10 Caution 0 0ccce cece ee eee eens Neee eee N Front Acce Panel Ee GE GER SE ESE N Ee ee ee 11 Warning N N ti Sl Rear Access Panel ee ee ee ee ee ee ee 11 Danger 0 0 00ccc cece eee eee MI o gt RINTERFACE ee ees see ese ese ee eee Ee ee ee eee ee es 12 Dang
38. ed a 1 60 minutes Available on Channels 00 c cece 1 amp 2 3 amp 4 Option 7 SPECIFICATIONS ULTRASOUND SPECIFICATIONS Ultrasound Field nie AAS AE N EN 1 MHz 5 3 3 Mhz 45 DO CY CIES N N ears 10 20 50 Continuous PUISE FYEQUENCY ME ccc cece cece ence nent IE 100 Hz Pulse Duration 1 mSec 420 2 mSec 420 5 mSec 420 Output Power HO er ps tal oos MG SE 0 20 W at 1 MHz 0 10 W at 3 3 MHz EE OE N N eee 0 10 W 1 and 3 3 MHz ER N OG 0 4 W 1 and 3 3 MHz EE RE OE ees 0 2 W 3 3 MHz Only 5 cm Crystal 2 cm Crystal 1 cm Crystal Amplitude uueuunaueuna O to 2 5 w cm2 in continuous mode 0 3 w cm2 in pulsed modes Output acCuraCY 0 cece eee 20 above 10 of maximum Temporal Peak to Average Ratio 2 1 20 at 50 Duty Cycle 5 1 20 at 20 Duty Cycle 9 1 20 at 10 Duty Cycle Beam Nonuniformity Ratio 00005 5 0 1 maximum els Me ME OE veg in OE N OE Collimating 19 Intelect Legend XT Therapy System Effective Radiating Areas 10 cm Crystal 6 8 cm2 10 cm2 5 cm Crystal 3 5 cm2 5 cm2 2 cm Crystal 1 4 cm2 2 cm2 1 cm Crystal 0 7 cm2 1 cm2 Treatment IIME ccc eee ee ee eee 1 30 minutes Head Warming Feature The Head Warming feature of an Intelect Legend XT Combination Therapy System utilizes Ultrasound output resulting in warming of the Sound Head to increase patient comfort With Head Warming enabled ultrasound is emit
39. ed for patient use Install the Operator Remote as described on page 76 Set up electrotherapy session as described on pages 35 37 Start electrotherapy session by pressing the Start Treatment Button START TREATMENT BUTTON 80 Pause session by pressing the Pause Button on the Remote being used Press the M Button on the remote to apply Manual Stimulation Release the M Button to stop Manual Stimulation application Increase or Decrease the intensity by pressing the Up or Down Button on the Operator Remote for the respective channel being used This can be done while Manual Stimulation is being applied To Stop session press the Stop Treatment Button Verify each Operator Remote is connected to the applicable jack for the channels being used mt Es OPTION OPERATION USING THE OPERATOR REMOTE CONTINUED Storing the Operator Remote Normal storage of the Operator Remote is on the Front Access Panel of the System Place the storage hook into one of the Remote Storage Indents as shown 81 Intelect Legend XI Therapy System mt Es OPTION OPERATION USING THE THERAPY SYSTEM CART 1 Front and Rear Extrusion 2 Cart Base 3 Front Locking Swivel Casters 2 4 Rear Swivel Casters 2 5 Removable Storage Bins 6 6 Cart Top Make certain the unit is electrically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable nationa
40. ee sees sesse ese sg oo ee ee 43 Preparing Patient Se Se ee eee eee 43 Selecting Modality 0 0 0 0 0 0 ccc eee eee N dl 43 Accessing Combination Parameters NANA 43 Editing Ultrasound Parameters WAS 44 Selecting Waveform 0 00 0 c cece eee eee AAR TANS 44 Using the Optional Patient Interrupt Switch 44 Editing Waveform Parameters 00 cee eee 45 Setting Waveform Intensity Se eee ee 45 Intensity Knob Rotation 00 anaa SE Ee ee ee ee ee 45 Setting Ultrasound Intensity 0 88 45 Intensity Knob Rotation 0 0 c ccc cece eee 45 Starting Treatment EE ES ee ee ee ee ee ee 46 Pausing Treatment SE Se cee eee 46 Stopping Treatment EE SE Se ee ee ee ee 46 Saving to Patient Data Card ie 46N Intelect Legend XT Therapy System ADJUSTING COMBINATION PARAMETERS DURING TREATMENT esse see sesse see sesse see se ese see 47 Editing Waveform Parameters SS Se Se ee 47 Editing Ultrasound Parameters 0 0005 47 PATIENT DATA CARD SETTING UP A NEW CARD 48 General Information 48 serting New Patient Data Card uaaa 48 etting up TreatmMent 000 48 Setting up a New Patient Data Card 48 Entering Patient ID aaan 49
41. em User Manual for has reached the maximum allowed 200 instructions JE Warning 1 Attempted to read a treatment from Patient Data Card that is A Use a Patient Data Card with proper treatment data for the system 120 Warning not a valid treatment for the system B Properly insert a Patient Data Card 121 Warning 2 Attempted to use a Non Patient Data Card C Insert a known good Patient Data Card eae NO NO Warning 3 No Patient Data Card inserted into system port D If problem continues contact dealer or Chattanooga Group for service 4 Unknown type of smart card inserted into system Patient Data Card is full Frase Patient Data Card Refer to Therapy System User Manual for instructions Warning Patient Treatment Data already saved A Cannot save same data again on Patient Data Card B Use a new Patient Data Card to resave data C Erase Patient Data Card and resave treatment data Warning No valid channels are available for attempted treatment A Complete existing treatment before attempting to start another B Reset Therapy System by turning main power switch Off and On Warning Control Board Software upgrade warning Upgrade Control Board Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Warning Stim Board Main Software upgrade warning Upgrade Stim Board Software to latest version Contact dealer or Chattanooga Group for latest TOC software upgrade and instructions di
42. empting to perform Ultrasound treatment with no Applicator A Connect the desired Ultrasound Applicator to the system connected to the system B If Ultrasound Applicator is connected reset system by turning power switch Off and On C If problem persists connect a known good Ultrasound Applicator If problem continues contact dealer or Chattanooga Group for service Warning Ultrasound Applicator is not calibrated Attempt to use a Known good Applicator If problem continues contact dealer or Chattanooga Group for service Ultrasound Applicator is too hot Allow Ultrasound Applicator Sound Head to cool to ambient temperature Warning 1 No Patient Data Card is inserted into the system A Properly insert the Patient Data Card into the system port Refer to Therapy System User Warning 2 Attempted to use an Invalid Patient Data Card Manual for new and existing Patient Data Card instructions 112 113 114 ils 116 C Make certain only a Patient Data Card is being used me D If problem continues contact dealer or Chattanooga Group for service B Attempt to use a known good Patient Data Card wey 87 T RO U E L E S E OOTI N G Intelect Legend XT Therapy System ERROR CODES CONTINUED Code Type Probable Cause Possible Remedies Number Message 118 Warning Attempting to save additional User Protocols after system memory Delete some User Protocols Refer to appropriate section of the Therapy Syst
43. erous Voltage 0 0 cece rara st ABOL DEFINMTIONS ee see ses ses ses ses ses sesse 13 Corrosive ee ee ee ee ee ee eee ws N System Hardware Symbols ees ee ee ee ee ee ee ee 13 Spontaneous Combustion 00 Paaa TENDE System Software dee EE EE EET 13 Biohazardous Materials 0 aBa Z 2 N Optional Module and Accessory Symbols 13 CAUTIONS cece EE oe 3 Cae MA EE eee ene 13 WARNINGS 0 0 ccc ccc cece cece cece cess nile ce ccnee 4 _ Batter dule O ee ee eee ee 13 BDANGERS sesse esse esse ss see ees ss se ee ane EE 6 _ Channel 3 4 Electrotherapy Module iii 13 b gt ELECTROTHERAPY INDICATIONS CONTRAINDICATIONS _B gt GENERAL TERMINOEOGY cece ss see ween eee 14 AND ADVERSE EFFECTS ceeeeee0 KEER eee ees 7 PULTRASOUND Wese ee EE RE ee ER ee 14 Indications for Russian TENS High Voltage Pulsed Ct irrent SPECIFICATIONS RE Te Tes TT Teer re Tree ee 15 HVPC Interferential and Premodulated waveforms WA B gt SYSTEM SPECIFICATIONS cccccccceceecssceeeees 15 Additional Indications for Microcurrent Interferential XA DIMENSIONS ese sesse se se se se see ee se se se se ee ee ese 15 Premodulated and TENS waveforms aan N N akeM N EE N 15 Contraindications ENE 7 Standard Weight occ n 15 Additional Precautions 0 ccc ccc eaa 8 ie Power ombination and E
44. es 61 Mounting to Therapy System Cart ee 70 Selecting User Protocol cece e e 61 _ Connecting Mains Power ee ee ee ee 70 Preparing Patient aaao a 61 N __ Turning Therapy System On 71 Editing Modality Parameters 0c cee cece 61 REMOVING THE CHANNEL 3 4 ELECTROTHERAPY Using the Optional Patient Interrupt Switch 62 AND NIMH BATTERY MODULE see see see see see see 72 Setting Modality Intensity 0 0 c cece ee eevee ees 62 Disconnecting Mains Power 0 cece 72 Intensity Knob Rotation 00 cc cceeeeeeeeeeeeeeees 62 g Removing Lead Wires and Accessories ie ee AZ Starting Treatment c cece cece eeeeee eves 63 Removing Therapy System from Cart ee 72 Pausing Treatment ee e eee 63 Removing Screws Securing Module 73 Stopping Treatment 0 0 c ccc c cece eeeeeeeees 63N Disconnecting Ribbon Cable at Module E Storing and Securing Ribbon Cable 73 TA B L E O CO N T E N TS Intelect Legend XI Therapy System Attaching the Lanyard 0 0 0 ee Se ee ee ee 74 Charging Temperature Se ee Se ee ee 84 Installing Lead Wires and Accessories 00 B gt BATTERY MODULE SERVICE LIFE Connecting Mains Power
45. es an Error or Warning in these categories may pose a risk of injury to the patient user or extensive internal damage to the system 89 REPLACEMENT ACCESSORIES menuts GENERAL INFORMATION The following provides the users of the Intelect Legend XT Therapy System the necessary information to order the replacement accessories most commonly used with the System This list of replacement accessories are designed for use with the Intelect Legend XT Therapy System When ordering provide the respective part number description and quantity desired PART NUMBER DESCRIPTION PART NUMBER DESCRIPTION Black Rubber Carbon Electrodes 3 in 8 cm Round Red Rubber Carbon Electrodes 3 in 8 cm Round DURA STICK Il 2 75 in 7 cm Electrodes 40 case Conductor Ultrasound Gel 9 oz Bottle 24 case TOC lie Wii 90 MAINTENANCE CARING FOR THE THERAPY SYSTEM Cleaning the Therapy System With the system disconnected from the power source clean the system 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 submerse the system in liquids Should the unit accidentally become submersed contact the dealer or Chattanooga Group Service Department immediately Do not attempt to use a system that has been wet inside until inspected and tested by a Service Technician Certified by Chattanooga Group Do no
46. ess any button to return to the Utilities screen Setting Date and Time Press Set Date and Time button Press the UP or Down Arrow button for the respective area until desired change is displayed After all desired changes are made press the Back button to return to the Utilities screen 23 mo Restore Default SET DATE Protocols AND TIME BUTTON Unit Seting Erase Patent Card None Inserted US Available PRESS THE RESPECTIVE UP OR DOWN ARROW BUTTONS TO CHAN Restore Default gt t is SETUP Intelect Legend XT Therapy System THERAPY SYSTEM SETUP CONTINUED Setting System Volume Press Volume button until the desired system volume is achieved There are six settings Off X Low Low Med High and X High Each time the Volume button is pressed the setting displayed will emit three beep tones at that level VOLUME pe BUTTON a LANOOGA sg ties Version 2 0 Volume Medium Display Unit Version Information Pad Contact Quality On Language English Displaying Unit Version iedereen Press the Display Unit Version Information button to show the system software versions installed Press the Back button to return the Operator Utilities screen 24 PRESS DISPLAY UNIT VERSION BUTTON TO VIEW SOFTWARE VERSIONS Display Unit Version Information 7 S ET U p Intelect Legend XT Therapy System THERAPY SYS
47. for Ultrasound Application of therapeutic deep heat for the treatment of selected This device should not be used over or near bone growth sub chronic and chronic medical conditions such as centers until bone growth is complete e Relief of pain muscle spasms and joint contractures This device should not be used over the thoracic area if the e Relief of pain muscle spasms and joint contractures that may patient is using a cardiac pacemaker be associated with This device should not be used over a healing fracture Adhesive capsulitis This device should not be used over or applied to the eye e Bursitis with slight calcification This device should not be used over a pregnant uterus e Myositis e This device should not be used on ischemic tissues in Soft tissue injuries 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 precautions should be used when ultrasound is used on patients with the following conditions e Shortened tendons due to past injuries and scar tissues e Relief of sub chronic chronic pain and joint contractures resulting from e Capsular tightness e Capsular scarring Contraindications e This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed This device should not be used when ca
48. hese units should be performed only by Service Technicians certified by Chattanooga Group TOG lie wi 8 Ultrasound Applicators require annual calibration from the date placed in service by the Factory or a Service Technician certified by Chattanooga Group WARRANTY Chattanooga Group a division of Encore Medical L P Company warrants that the Intelect Legend XT Therapy System and Channel 3 4 Electrotherapy Module Products are 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 these Products fail 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 the respective Product without charge within a period of thirty 30 days from the date on which the Product is returned to the Company or the dealer Intelect Legend XT Therapy System 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 certain accessories is 90 days Accessories consist of Lead Wires Operator Remote Electrodes Patient Data Cards and Nylatex The warranty period for the Therapy System Cart Battery Module and Ultrasound Applicators is one year 12 Months To participa
49. ient Data Card the optional Patient Data Management Press any button System Treatment saved to the Patient Card Press any button to continue NUMEF IC Pain Scale After pressing any button the Completed Treatment Review screen will display 54 Intelect Legend XT Therapy System Intelect Legend XT Therapy System 7 OPERATION EXISTING PATIENT DATA CARD USE Inserting Existing Patient Data Card Accessing Patient Data Card Viewing Patient Data Card Insert the Patient Data Card assigned to the Press the Patient Card button to access patient receiving treatment into the system Patient Data Card access port as shown below Press the corresponding button beside the Patient Data to be viewed fae ad Select the date of the treatment session INSERT EXISTING desired using the Up and Down Arrow er Al a Electrode PI t Numeri PATIENT DATA CARD buttons until date desired is highlighted ME 7 Treatment Area PATIENT CARD Pain M i Visual BUTTON aihe Pam Scale Session Patent card forD eae UP ARROW BUTTON lt lt _ Numeric Pain Scale _ Chi Available Ch 2 Available Us Available NOTE No Session Notes will be available unless the optional Patient Data Management System was utilized to enter Session Notes onto the Patient Data Card Available Available Available DOWN ARROW BUTTON TOC bey w
50. ing Channel Editing Channel Parameters Press the Home button Press the Select Channel button until the Press the Edit button Edit parameters as channel desired is framed desired VIEW EDIT View Edit Channel Select Channel Ch 2 Available US Available SELECT CHANNEL BUTTON 0 0 0 0 Treatment Time Volts CV 20 rnin When finished editing the selected channel press the Home button to select another channel if desired Press the View Edit Channel button The is To view the Treatment Review screen if Treatment Review screen will display the Home screen is displayed press the View Edit Channel button If the Edit screen is displayed press the Back button 38 OPERATION Intelect Legend XT Therapy System 7 ULTRASOUND The following information gives general instructions for the setup of ultrasound therapy when selecting Ultrasound from the Home screen Preparing Patient Refer to page 31 for Applicator sizes patient preparation and use of conductive medium NOTE Use only Intelect Legend XT Ultrasound Applicators Previous models of Chattanooga Group Ultrasound Applicators will not work with the Intelect Legend XT Therapy System Selecting Modality Press the Ultrasound button on the Home screen ULTRASOUND BUTTON Editing Ultrasound Parameters Press Edit button to access ultrasound parameters Press the corresponding button to edit as prescribed
51. ion is complete Refer to pages 16 through 18 for available waveform specifications 66 mt Es INSTALLATION REMOVAL eet een Teg Ste INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Disconnecting Mains Power Removing Lead Wires and Accessories Removing Therapy System from Cart Remove the Front Access Cover and Remove the Therapy System from the disconnect the Lead Wires and Accessories Therapy System Cart if equipped Refer Disconnect the system from the from the Therapy System to pages 78 through 79 for proper power source outlet or remove battery instructions module if installed before attempting any maintenance installation removal or replacement procedures to prevent electrical shock and possible damage to the system Place Therapy System face down on a clean working surface protected with a soft clean fabric to prevent damage to the lens REMOVE LEAD WIRES AND ACCESSORIES Disconnect the Mains Power Cord from ie the power supply Remove the Rear Access P mete Panel and disconnect the Mains Power Cord from the Therapy System REAR N t ee MES e Kt ai PANEL MAINS POWER CORD LANYARD 67 INSTALLATION REMOVAL een Tepe INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Releasing Ribbon Cable Positioning Therapy System and Module Connecting Ribbon Cable Remove and discard the vinyl label holding Positi
52. itch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is Clockwise Increases Intensity TOC depressed a second time the Counterclockwise Decreases Intensity j NOTE When reinstalling the Front Access message will clear from the Wg Panel make certain the Lanyard does screen and the treatment will not become kinked remain paused eld n 4 Intelect Legend XT Therapy System 4 gt Start Treatment 7 Pause Treatment Stop Treatment Press the Start button to begin therapy Press the Pause button to pause therapy To Stop treatment press the Stop button session session and maintain remaining time To once Treatment will stop and the resume treatment press the Pause button Completed Treatment Review screen will again display PAUSE STOP BUTTON BUTTON Bi Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 48 TOG through 57 for Patient Data Card Setup and use 37 us Wil fh 7 OPERATION Intelect Legend XT Therapy System ADJUSTING ELECTROTHERAPY CHANNEL PARAMETERS DURING TREATMENT The Electrotherapy channel parameters may be changed during a treatment session without pausing or stopping the treatment The waveform Intensity may be increased or decreased at any time during the session without utilizing this process Select
53. ith the four socket head screws in the Therapy System Cart Top HAND TIGHTEN THE SOCKET HEAD SCREWS TO SECURE SYSTEM TO CART tightening the screws by hand TOC only Do not use a wrench to tighten the screws Overtightening may cause damage to the System or Module housing gu 8 INSTALLATION REMOVAL ee een Tey st MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART CONTINUED Connecting Mains Power Installing Storage Bins Removing System from Therapy Plug Power Cord into the System Mains Install Storage Bins into Therapy System System Cart Disconnect and reinstall the Rear Access Cart Start with bottom Storage Bin first To remove the Therapy System from the Panel Install all lead wires and cables to Therapy System Cart repeat the Mounting the System instructions CONNECT MAINS POWER CORD 79 7 OPTION OPERATION 7 Intelect Legend XT Therapy System USING THE OPERATOR REMOTE 2 p gt BLUE FOR CHANNELS 1 2 OPERATOR REMOTE ORANGE FOR CHANNELS 3 4 OPERATOR REMOTE 1 Remote Storage Hook 2 reatment Pause Button 3 Channel 2 Increase Intensity Button 4 Channel 2 Decrease Intensity Button 5 Manual Stimulation Button 6 Channel 1 Decrease Intensity Button 7 Channel 1 Increase Intensity Button NOTE Refer to page 13 for Symbol Definitions Operator Remote is to be used under supervision of a physician or licensed practitioner only The Operator Remote is not intend
54. ity modules by the user Specifically designed for use with the Intelect Legend XT Therapy Systems these modules configure the Therapy System to meet many of the therapeutic needs that a clinician may have The following is a list of possible configurations of the Intelect Legend XT Therapy System e Four Channel Electrotherapy or Combination System Install the Channel 3 4 Electrotherapy Module to the Two Channel Electrotherapy or Combination System e Battery Powered Two Channel Electrotherapy or Combination System Install the NiMH Battery Module NOTE The Battery Module cannot be installed on a Four Channel System The Channel 3 4 Electrotherapy must first be removed The Channel 3 4 Electrotherapy and NiMH Battery modules are shipped with all necessary lead wires and accessories in order to complete the installation and allow immediate use by a physician or licensed practitioner No special tools or equipment are required for optional Module installation The System is programmed to automatically recognize the new Module s therefore no software installation is required This section explains user installation procedures for the following modules Channel 3 4 Electrotherapy Module and NiMH Battery Module 64 7 INSTALLATION REMOVAL oo meel Tey ste INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Nomenclature Channel 3 4 Electrotherapy Module 1 Extended Front Access Panel 2 Module to Syste
55. l and local electrical codes 82 2 Open Storage Bins and place 3 Lock the Front Locking Swivel Intelect Legend XI Therapy System Operation 1 Install the Therapy System Cart as described on pages 78 through 79 items for storage Close Bins until they snap into position DOWN TO LOCK Casters by pushing Lock down with toe of shoe Unlock by pulling Lock up with toe of shoe UP TO UNLOCK O PTI O N O P RAT j o N Intelect Legend XT Therapy System USING THE NIMH BATTERY MODULE The Intelect Legend XT Battery Module allows easy upgrade of the Intelect Legend XT Electrotherapy and Combination Systems to create a battery powered Therapy System The information in this section instructs the owner operator or user as to the initial setup and operation of the optional NiMH Battery Module No additional Software is required for the Module as the System automatically recognizes its presence and activates all necessary software inherent in the System Read understand and follow all Safety Precautions on pages 2 through 9 and throughout this manual before operating this Therapy System Modules or Accessories Nomenclature 1 Battery Module 2 Extended Front Access Panel 3 Module to System Mounting Holes 4 Module to System Feet Alignment Indents 5 Power Cord Routing area 6 Ribbon Cable Connector 83 mt Es OPTION OPERATION CHARGING BATTERY MODULE Use the following instructions t
56. lectrotherapy Units 15 Adverse Effects ee e ete Ee ee ee ee 8 ay dn EE eN 15 gt ULTRASOUND INDICATIONS AND CONTRAINDICATIONS 9 Regulatory Compliance EE E E IE oe 15 Indications for Uitrasound ee ee eee 9 EWAVEFORM SPECIFICATIONS ccccccccccccccccce 16 Contraindications 2 9 IFC Interferential Traditional 4 Pole Additional Precautions 0ssssss00 s RUSSIAN 2 22 ee ee ee e eee e ee NOMENCLATURE cccccccccsccccscccseceseuse N S a N TENS Symmetrical Biphasic Microcurrent 7 TABLE OF CONTENTS Intelect Legend XT Therapy System Premodulated Traditional 2 Pole IFC 18 b gt ULTRASOUND PATIENT PREPARATION 000 31 High Voltage Pulsed Current HVPC 400 18 Preparing Treatment Area aaaea 31 B ULTRASOUND SPECIFICATIONS 0 0 dceeeees 19 Size of Applicator 31 Ultrasound 0 A Applicator Preparation 0 00 0 0 0 cece eee 31 Q SETUP 0 ccccccccccccccncnccccscecss e ET A Conductive Medium 31 BINTELECT LEGEND XT THERAPY SYSTEMS ER ele Treatment Area ccc nee ee ee ee ee 31 B gt THERAPY SYSTEM SETUP ese se se ses ese esse sese kes pplicatorLED cece cece ccc c nee eeeeeeeees 31 ClinicName e eee eee ees et le EE EO Ee 32 Resto
57. low 5 CM2 STANDARD 1 CM2 2 CM2 ppli P Clean applicator before each therapy session with warm soapy water Conductive Medium Liberally apply Conductor Transmission Gel or equivalent to the treatment area on the patient Treatment Area Move the Sound Head during therapy session in a circular motion The area treated should be two times the diameter of the Sound Head Applicator LED After pressing the Start button to begin Ultrasound Therapy the Applicator LED will illuminate green indicating that the Applicator is emitting Ultrasound 31 Intelect Legend XT Therapy System OPERATION Intelect Legend XT Therapy System 7 OPERATOR INTERFACE The Intelect Legend XT Therapy System Operator Interface houses all of the functions and controls necessary for the operator to access all operator utilities modalities and parameters for modification and system setup 1 1 12 2 3 11 4 10 9 5 Top of Screen The Title Bar indicates the Screen Title for the modality being used When at the System Home screen the Clinic Name is displayed Center of Screen Contains available Modality options Select Modality by pressing the desired Modality button and then make parameter modifications Bottom of Screen Displays available channels and their respective status Displays Treatment Time and status After starting therapy session Modality and Parameter butt
58. m Mounting Holes 3 Module to System Feet Alignment Indents 4 Power Cord Routing Port 5 Module to System Connector 6 Operator Remote Control Connector 7 Patient Interrupt Switch Connector 8 Channel 3 Lead Wire Connector 9 Channel 4 Lead Wire Connector 1 0 Microcurrent Probe Connector Also Included e Four 4 mm X 20 mm mounting screws Channel 3 and 4 Lead Wires Sample of DURA STICK II electrodes Refer to page 13 for Symbol Definitions 65 7 INSTALLATION REMOVAL Intelect Legend XT Therapy System INSTALLING THECHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Specifications DIMENSIONS Width aaaea 8 250 in 21 cm Depth 11 875 in 30 cm Height 4 500 in 11 5 cm dd SR WEIGHT Standard Weight cece eee ee ences 1 0 Ibs 50 kg POWER se ER OO ON EE Ne System Dependent OUTPUT AA EO N eE System Dependent Electrical ClasS cece cc cece ee se eg ee ee ee ee ee CLASS Electrical Type n a reen TYPE BF Regulatory Compliance UL IEC EN 60601 1 IEC 60601 2 10 NOTE All waveforms except High Voltage Pulsed Current HVPC of the Intelect Legend XT Therapy System have been Waveform amp Current Specifications designed wie Ee see eT IE IE aeon All waveform currents available to the Intelect Legend XT output intensities are measured specified and listed to peak Therapy System are available to the Channel 3 4 Electrotherapy not peak to peak Module once installat
59. m incorporates two internationally recognized Pain Scales VAS Visual Analog Scale which has no indicator marks and Numeric Scale indicated 1 through 10 Use either of these for describing the amount of pain the patient is experiencing When either pain scale is set the other will automatically set to the corresponding level Selecting Pain Scale Select the desired Pain Scale by pressing the corresponding button NUMERIC PAIN SCALE BUTTON Save to Patient Card D Electrode Placement Pain Map Numeric Pain Scale Visual Pain Seale Save to Patient Card pleted lable VISUAL PAIN SCALE BUTTON 53 Adjusting Pain Scale Press the Left and Right Arrow buttons to adjust the Pain Scale to the level the patient is experiencing P1232 6 7 8 SA Worst Possible ain Move the line to the area that represents your level of pain Da aae ACCEPT AND RE ARROW BUT ON After the desired level is achieved press the Accept and Return Arrow button NOTE Numeric Pain Scale illustrated OPERATION PATIENT DATA CARD SETTING UP OF NEW CARD CONTINUED Saving to Patient Data Card After all desired session data has been Press the Home button entered in the Patient Data Card screens Remove the Patient Data Card for filing with press the Save to Patient Card button A patient records message will appear stating the data has The Patient Data Card can also be used with been saved to the Pat
60. n Review screen Press the corresponding parameter button and edit as prescribed Press the Edit button on the Treatment Review screen 2 d i I ls i Duty Cycle a 100 i Display W em2 H i Chi Available SELECT Ch 2 Available CHANNEL BUTTON 0 0 see Time ao Chi Available EE a Available UU US RUNNING FRAMED When editing is complete press the Back button to return to Treatment Review When editing is complete press the Back screen button to return to Treatment Review screen 42 7 O P R AT i O N Intelect Legend XI Therapy System COMBINATION The Intelect Legend XT Therapy System Combination modality allows the user to select and use ultrasound therapy in combination with electrical muscle stimulation Combination therapy utilizes the Ultrasound modality in conjunction with High Voltage Pulsed Current HVPC IFC 4p IFC Premodulated 2p or Symmetrical Biphasic 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 Preparing Patient Selecting Modality Accessing Combination Parameters Refer to pages 27 through 30 to Press the Combination button on the Home Press Edit button to access Combination prepare patient select electrode and Screen parameters securing electrodes Refer to page 31 for pm Ult
61. ncerous lesions are present in the treatment area e Other contraindications are patients suspected of carrying serious infectious disease and disease where it is advisable for general medical purposes to suppress heat or fevers Over an area of the spinal cord following a Laminectomy i e when major covering tissues have been removed Over anesthetic areas On patients with hemorrhagic diatheses mt Es N O M E N C LAT U R Intelect Legend XI Therapy System i INTELECT LEGEND XT ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS Two Channel Electrotherapy System Two Channel Combination System Two Channel Electrotherapy System User Interface See Page 12 Front Access Panel Rear Access Panel Patient Data Card access port Multimedia Card MMC access port Unused Two Channel Combination System User Interface See Page 12 Front Access Panel Rear Access Panel Patient Data Card access port Multimedia Card MMC access port Unused Ultrasound Applicator 5cm shown Ou BWN Ou BWN 10 NOMENCLATURE INTELECT LEGEND XT ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS CONTINUED Front Access Panel N OU BU N Front Access Panel Lanyard When reinstalling the Front Access Panel make certain the Lanyard does not become kinked Operator Remote Control Connector Patient Interrupt Switch Connector Channel 1 Lead Wire Connector Channel 2 Lead Wire Connector
62. nd 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 obligation or liability in connection with the sale of the Product Any representative 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 92 Moving Rehabilitation Foward al N ANOO GROUP ISO 13485 CERTIFIED 4717 Adams Road PO Box 489 Hixson IN 37343 U S A Telephone 1 423 870 2281 U S A 1 800 592 7329 U S A 1 800 366 6661 CANADA 1 423 875 5497 U S A FAX chattgroup com 27423E 2008 Encore Medical L P
63. nently remove all of the User Protocols and User Sequences from the P PROTOCOLS System press the No button HEY ARE DE lot 22 Restoring Default Unit Settings Press the Restore Default Unit Settings button to restore the system defaults This control will neither change the Date and Time nor affect any of the Clinical Protocols stored in the system After the settings have been restored a message will appear stating that the Default Unit Settings are restored Press any button to return to Utilities screen RESTORE DEFA SETTINGS BUT Utilities Version 3 Restore Default Protocols Restore Default Unit Settings Erase Patient Card None Inserted Utilities Version 2 0 Clinic Name Volume CHATTANOOGA GROU Medium Default Settings Restored 1 Press any button to continue restore Veraut g Visplay UNIT Unit Settings Version Information Erase Patient Card Pad Saale Quality None Inserted Set Date and Time SETUP Intelect Legend XT Therapy System 7 THERAPY SYSTEM SETUP CONTINUED Erasing Patient Data Card Install Patient Data Card to be INSERT ERASE PATIENT erased into Patient Data Card PATIENT CARD BUTTON Access Port on the system CARD ey Press Erase Patient Card button Press the Yes button to erase all data from Patient Data Card Press the No button to keep all data on Patient Data Card After Patient Data Card is erased a verification message will appear Pr
64. o 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 Module housing or cells Should an individual cell from a battery become disassembled soontaneous combustion of the negative electrode is possible There can be a delay between exposure to air and spontaneous combustion Charge the Battery Module according to the instructions found in this manual Never attempt to charge the Battery Module on any other charging mechanism Use the Battery Module only with the Intelect Legend XT Therapy Systems Do not reverse the polarity of the Battery Module Doing so can increase the individual cell temperature and cause cell rupture or leakage Never dispose of Battery Module in fire Never short circuit the battery The battery may explode ignite leak or get hot causing serious personal injury Dispose of NiMH batteries according to national state and local codes and regulations 7 7 ABOUT INTELECT LEGEND XT ne ea sen ELECTROTHERAPY INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS Indications for Russian TENS High Voltage Pulsed Current Contraindications HVPC Interferential and Premodulated waveforms e This device should not be used for symptomatic local pain relief e Relaxation of muscle spasms unless etiology is established or unless a pain syndrome has e Prevention or retardation
65. o properly charge the Intelect Legend XT Battery Module for use When to Recharge Charging of the Battery Module is required when the Battery Indicator begins flashing When charging Battery Module make certain the System is electrically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable national and local electrical codes Using any other power source will cause extensive damage to internal components and render the System unsafe for patient therapy With Battery Module installed on the Intelect Legend XT Therapy System plug the System into an approved grounded power outlet Turn the System on The Lightning Bolt icon will display indicating the battery is charging As the battery charges the Battery indicator icon will progressively fill until it is solid black indicating full charge BATTERY 460 NOTE The Lightning Bolt icon will continue to display as long as the System is connected to a power SOUICE VAN YN e1 5 Charge the battery according to the instructions found in this manual Never attempt to charge the battery on any other charging mechanism Use the Battery Module only with the Intelect Legend XT Therapy System Do not reverse the polarity of the Battery Module Doing so can increase the individual cell temperature and cause cell rupture or leakage 84 7 Intelect Legend XT Therapy System Charging Tempera
66. o the Therapy System Install Lead Wires Ultrasound Applicator Patient Interrupt Switch and any other accessories according to the Front Access Panel as illustrated below Refer to page 13 for Symbol Definitions OPERATOR REMOTE MICROCURRENT PROBE OPTIONAL OPTIONAL CHANNEL 1 2 CHANNEL 1 CHANNEL 2 ULTRASOUND APPLICATOR PATIENT INTERRUPT SWITCH LEAD WIRE LEAD WIRE COMBO SYSTEMS ONLY OPTIONAL BLACK GREY 26 7 PATIENT PREPARATION esa neg ser ELECTROTHERAPY PATIENT PREPARATION Electrode Placement Examine the skin for any wounds and clean the skin Apply the electrodes to the treatment area Ensure the electrodes are applied securely to the skin e Ensure good contact between each electrode and the skin Check the electrode contact regularly during the treatment 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 related to electrode size Improper e Examine the skin again after the treatment application may result in patient injury If any question arises as to Choose electrodes that fit the anatomy the proper electrode size consult a licensed practitioner prior to Refer to the respective electrode type instructions on pages 28 SE Ea through 30 e Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the manufacturer Follow ele
67. of disuse atrophy been diagnosed Increase local blood circulation This device should not be used when cancerous lesions are present in the treatment area e Muscle re education e Stimulation should not be applied over swollen infected inflamed areas or skin eruptions e g phlebitis Additional Indications for Microcurrent Interferential thrombophlebitis varicose veins etc Premodulated and TENS waveforms e Maintaining or increasing range of motion e Other contraindications are patients suspected of carrying Symptomatic relief and management of chronic serious infectious disease and or disease where it is advisable intractable pain for general medical purposes to suppress heat or fevers e Post traumatic acute pain Electrode placements must be avoided that apply current Post surgical acute pain to the carotid sinus region anterior neck or transcerebrally through the head e Safety has not been established for the use of therapeutic electrical stimulation during pregnancy Powered muscle stimulators should not be used on patients with cardiac demand pacemakers There should not be any use of TENS waveforms on patients with cardiac demand pacemakers 7 ABOUT INTELECT LEGEND XT ne ea sen ELECTROTHERAPY INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS CONTINUED Additional Precautions e With TENS waveforms isolated cases of skin irritation may Caution should be used for patients
68. on Therapy System and the Channel Carefully align the Ribbon Cable Connector the Ribbon Cable in the cavity on the 3 4 Electrotherapy Module as shown to the Module Connector Pins and press Rd down to connect Therapy System Carefully unroll the Ribbon Cable making certain not to disconnect it from the Therapy System CAREFULLY UNROLL RIBBON CABLE NOTE Ribbon Cable must be connected as shown Make certain Ribbon Cable is completely seated to Module Connector Pins 68 DERS INSTALLATION REMOVAL ee een Tey ste INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE CONTINUED Securing Therapy System to Module Attaching the Lanyard Carefully place the Therapy System and With a 1 Phillips Screwdriver remove the Do not twist Ribbon Cable If power is Module on one side With a 1 Phillips screw retaining the existing Front Access applied to the system with misalignment Screwdriver install the four 4 mm x 20 mm Panel of pins or a twisted ribbon cable the screws Install Lanyard to the new Extended Front Tighten screws until the Module does not Access Panel using the same screw move on the Therapy System Ty controlling electronics in the Module will be destroyed and possible damage to the System s internal components could occur Setting Therapy System onto Module Set the Therapy System on the Module Make certain the Feet of the Therapy System are resting in the Module Indents
69. ond time the message will clear from the screen and the treatment will remain paused NOTE When reinstalling the Front Access Panel make certain the Lanyard does not become kinked 62 Intelect Legend XT Therapy System Setting Modality A Set intensity by rotating the Intensity Control Knob to the prescribed level Clockwise Increases Intensity Counterclockwise Decreases Intensity Degg Starting Treatment Press the Start button to begin therapy Session NOTE Modality parameters may be edited at any time during the therapy session Refer to page 48 for Electrotherapy and page 52 for Ultrasound 3v Pausing Treatment Press the Pause button to pause therapy session and maintain remaining time To resume treatment press the Pause button again PAUSE BUTTON 63 Intelect Legend XT Therapy System Stopping Treatment To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display STOP BUTTON Saving to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 48 through 57 for Patient Data Card Setup and use 7 TOC us Wi hk INSTALLATION REMOVAL oo meel Tey st INSTALLING THE CHANNEL 3 4 ELECTROTHERAPY AND NiMH BATTERY MODULE Possible System Configurations The Intelect Legend XT Electrotherapy and Combination Systems allow installation of optional modal
70. ons are used to select and modify channel parameters Unit On Indicator lluminates green when System is connected to an AC mains power source When the System is On the indicator will illuminate blue With System On and if the system sits unused the Screen Saver initiates blank screen and the Blue Indicator will flash Back button Used to return back one screen Used in conjunction with the Home button to access the Operator Utilities screen 32 6 Clinical Resources Library button Used to access User Protocols screen 7 Intensity knob Rotate clockwise to increase Modality intensity Rotate counterclockwise to decrease Modality intensity 8 Start button Press to start therapy session after all initial parameters have been set 9 Pause button Press to pause a therapy session Press again to restart session 10 Stop button Press to completely stop the therapy session 11 Home button Used to go back to the System Home screen Used in conjunction with the Back button to access the Operator Utilities screen 12 Modality and Parameter buttons Used to select modality and edit treatment parameters mt Es OPERATION 7 Intelect Legend XT Therapy System HOME SCREEN The Intelect Legend XT Home screen affords access to all of the system modalities and functions The area surrounding the screen has 10 modality and parameter modification buttons EL Patient Card None Inserted Elec
71. ote into its respective jack CHANNEL 1 2 OPERATOR Pd moe n REMOTECHANNEL 3 4 OPERATOR REMOTE 3 Reinstall the System Front Access Panel 76 NOTE If the System is equipped with the Channel 3 4 Electrotherapy Module the Channel 3 4 User remote will be installed into the respective jack on the Module Operator Remote is to be used under supervision of a physician or licensed practitioner only The Operator Remote is not intended for patient use mt Es 7 INSTALLATION REMOVAL ee een Tess GENERAL INFORMATION THERAPY SYSTEM CART The optional Therapy System Cart is designed for use with the Intelect Legend XT Electrotherapy and Combination Systems only and allows the user to easily transport the System from patient to patient within the clinic as well as store all necessary accessories supplies and applicators used for the various modalities of the System The following instructions will explain the proper installation of the Intelect Legend XT Therapy System with and without optional modules to a Therapy System Cart Nomenclature Specifications ee 1 Front and Rear Dimensions Extrusion Height 2 Cart base Cart Only 33 75 in 85 7 cm hell 3 Front Locking With System 42 50 in 108 cm EE oe With System and Module 44 25 in 4 Swivel 112 4 cm Rear Swive Casters 2 Width 17 in 43 2 cm B ele Depth
72. pages of text UP and DOWN Arrows Controls used in various modality parameter screens to navigate or change a value up or down within the parameter 1 Sound Head That component of the Applicator that makes contact with the patient during Ultrasound or Combination therapy Electrotherapy 2 Applicator Refers to the Electrical muscle or nerve Stimulation modalities of The assembly that connects to the System and incorporates the system the Sound Head iem 3 Applicator LED The primary system with all controls and functions The component of the Applicator which when illuminated Module indicates if the Sound Head is emitting Ultrasound Any optional modular modality component designed for installation onto the System 14 SPECIFICATIONS SYSTEM SPECIFICATIONS HEIGHT NOTE All waveforms except High Voltage Pulsed Current HVPC have been designed with a 200 mA current limit TENS waveform output intensities are measured specified and listed to peak not peak to peak 15 Intelect Legend XT Therapy System DIMENSIONS Width Combination System 0c cence ees 11 375 in 28 9 cm Electrotherapy SYSteM sesse ss cece nee ke 9 750 in 24 8 cm Depth Combination and Electrotherapy System 12 750 in 32 4 cm Height Combination and Electrotherapy System 8 750 in 22 2 cm Standard Weight Two Channel Combination System 65 7 lbs 3 2 kg Two Channel Electrotherapy System 6
73. rasound patient preparation RS vo COMBINATION ee enna BUTTON Connect the Black Lead Wire from EE Channel 2 to the electrode Make certain the Lead Wire is completely seated in the electrode Chattanooga Group Infelect XT Electrotherapy The Red Lead Wire is not used The Ultrasound Applicator completes the Ultrasound Combination circuit for Combination Therapy Select Waveform igh Volt Edit Stim a Chi Available Ch 2 Setup View Edit Patient Card Channel None Inserted Press the Back button to return to the Treatment Review screen 43 OPERATION 7 Intelect Legend XT Therapy System COMBINATION CONTINUED Editing Ultrasound Parameters Press the corresponding button to edit the desired Ultrasound parameter as prescribed NOTE See page 39 for Head Warming feature instructions Selecting Waveform Press the Select Waveform button UP ARROW BUTTON ACCEPT AND RETUN ARROW BUTTON DOWN ARROW BUTTON Press the Up or Down Arrow buttons until the prescribed waveform is highlighted Press the Accept and Return Arrow button 44 Using Optional Patient Interrupt Switch Connect Patient Interrupt Switch to the Therapy System Give Patient Interrupt Switch to patient and explain that pressing the Red button once pauses the therapy session If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the Sys
74. red is not select another channel and repeat above listed select Other procedures After positioning the electrodes press the Accept and Return Arrow button PAD BUTTON se CHAN BUTTON 1 SIDE BUTTON SIZE i BUTTON gt Size NOTE When Ultrasound is the modality only the Side button is available ELECTRODES Chi Completed Ch 2 Completed US Available 50 mt Es OPERATION PATIENT DATA CARD SETTING UP OF NEW CARD CONTINUED Press the Pain Map button to select Press the Pain Type button until the the body area of the associated pain as desired description is displayed in the Pain described diy the patient Type icon PAIN TYPE BUTTON 51 Intelect Legend XT Therapy System Adding Pain Locations Press the Add button The Add Pain Map window will display ADD BUTTON BAA a ed LE i l l my TT EN LH Es Completed US Available feo G i EGEN DKAI NOTE A maximum of eight Pain Locations may be selected OPERATION Intelect Legend XT Therapy System PATIENT DATA CARD SETTING UP OF NEW CARD CONTINUED Selecting Location of Pain Press the Up and Down Arrow buttons to move the Pain Locator to the area of the body where the pain is located Press the Accept and Return Arrow button The Pain Map window will display i UP AND DOWN Ch 2 Completed US Available ACCEPT AND RETURN EE ARROW BU
75. ring Default Protocols aaa N P OPERATOR INT EE es GEORG ED EER ORE Eg RE tees 32 Restoring Default Unit Settings 9 0 VN 22 ee DHOMESCREEN WA cece cece cece ss sesse sesse ee 33 Erasing Patient Data Card ER 93 N BELECTROTHERAPY SCREEN soe sesse sesse see sesse see 34 Setting Date and Time EE ee ee ee ee 23 GENERAL ELECTROTHERAPY WAVEFORM SETUP 35 Setting System Volume anaana de ee ee 24 _ Prepa TR EE ee eee 35 Displaying Unit Version Information 5 N ae 24 Select Modality 2 00 0 0 00 0 0 o coc cc cece cece ec ee eee ee ee eens 35 Pad Contact Quality ee dd 25 __ Select Waveform De ee ee ee ee ee ee Selecting Language 0 000 eee WS A ee 4 Edit orm Parameters 0 0 00 c ccc cece eens J5 Connecting Accessories to the Therapy System N ERAS 26 J Installing Optional Patient Interrupt Switch 36 PATIENT PREPARATION cccccccccece NAY 27 Optional Patient Interrupt SWitch ooon 36 b gt ELECTROTHERAPY PATIENT PREPARATION MH BAY 27 Setting Waveform Intensity 0 c cece eee 36 Electrode Placement 00 0 c cece a DY _ Intensity Knob Rotation EE Ee Ee ee ee 36 DURA STICK Electrodes STR 28 WAM Start Trediment EE GE Ge ee ee RR ee ee 37 Reusable Carbon Electrodes Optional
76. rotherapy and Combination Therapy Systems ABOUT INTELECT LEGEND XT DANGERS VAN DANGER e Stimulus delivered by the TENS 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 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 oft Handle clean and dispose of components and accessories that have come in contact with bodily fluids according to National Local and Facility rules regulations and procedures AN Intelect Legend XT Therapy System NDANGER NiMH Batteries contain Class E Corrosive materials In the event of battery cell rupture or leakage handle Battery Module wearing neoprene or natural rubber gloves Contents of a ruptured or leaking battery can cause respiratory irritation Hypersensitivity t
77. ss the Left Arrow button CHARA Patient Ham ig Chik Competed Ch Completed Le Available NOTE To add a space select the area to the left of the letter A 49 To delete a character press the Left Arrow button until the character to be deleted is framed Press the Delete button To discard entire entry press the Back button Repeat this procedure until the desired Patient ID is entered After Patient ID is entered press the Save button Press the BACI button to cancel BEET 7 O PERATI O N Intelect Legend XT Therapy System PATIENT DATA CARD SETTING UP OF NEW CARD CONTINUED Accessing Electrode Placement Setting up Electrodes Electrode Placement The following information uses an IFC Press the Pad button to select the Red or Press the Up Down Left and Right Arrow Treatment as an example Electrode Black electrode buttons to position the selected electrode Placement procedures for all modalities are piece thechanrboron leer Chamel as close to the actual treatment location as performed in the same basic fashion arc hanncl possible Press the Pad button to select the other electrode Repeat above procedure for electrode positioning Press the Electrode Placement button Press the Side button to select Front Back Left or Right of the body graphic Press the Size button until desired electrode f applicable press the Chan button to size is displayed If electrode desi
78. t the desired Ultrasound parameter as prescribed Vector S T sr EDIT E C PARAMETER j i Ultrasound f 7 min Duty Cycle 100 Select Waveform Display High Volt Edit Stim 00 Chi Available NOTE See page 39 for Head Warming feature instructions 47 NOTE To edit parameters from the Home screen see page 38 for selecting channel instructions 7 O P R AT O N Intelect Legend XI Therapy System PATIENT DATA CARD SETTING UP OF NEW CARD General Information The Intelect Legend XT Therapy System incorporates a Patient Data Card reading and recording device that allows transfer of patient therapy data from the system to the card for reviewing patient modality and pain profile information Information may be transferred to a PC via the optional Patient Data Management System The PC software is designed to allow easy access to patient data and printing of reports as well as adding session notes to the Patient Data Card The reading and recording device allows storage and recall of the following patient session data onto the Patient Data Card therapy session parameters Electrode Placement Pain Map Numeric Pain Scale or Visual Pain Scale and Session Notes stored on card via PC only Each Patient Data Card can store multiple sessions and each session can be recalled on the Intelect Legend XT Therapy System Inserting New Patient Data Card Setting up Treatment Setting up a New Patient Data Card
79. t allow liquids to enter the ventilation holes in the optional modules This could permanently damage the modules Cleaning the Lens Clean the Therapy System Screen Lens using NOVUS Polish System Contact Novus at www novuspolish com CALIBRATION REQUIREMENTS Calibrating Ultrasound Applicators Annual factory calibration is required for all Ultrasound Applicators Only the Applicators should be sent to the factory or a Field Technician certified by Chattanooga Group for this procedure NOVUS is the Registered Trademark of NOVUS Inc 91 Intelect Legend XT Therapy System FACTORY SERVICE When the Intelect Legend XT Therapy System or any of the accessory modules require factory service contact the selling dealer or Chattanooga Group Service Department All Therapy System and accessory modules 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 Number Obtain from Factory Therapy System or Module Model Number Therapy System or Module Serial Number e Contact Person with Phone and Fax Numbers Billing Address for Out of Warranty Repair e Shipping Address Where to Ship Unit after Repair Detailed Description of Problem or Symptoms 2 Copy of original invoice issued at purchase of the Therapy System or Module 3 Ship the unit to address specified by an authorized service technician Service to t
80. te factory set Clinical Protocols or factory set Sequences Warning 2 Attempting to delete Clinical Protocol 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 103 104 106 107 TOC ef TROUBLESHOOTING ee een xT Thepy stern ERROR CODES CONTINUED Code Type Probable Cause Possible Remedies Number Message 108 Warning Attempting to save additional User Protocols or Sequences after Delete some User Protocols or Sequences Refer to appropriate section of the Therapy System User system memory has reached the maximum allowed 200 Manual for instructions 109 Warning Attempting to access protocols and none are found in the system f A User Protocols No protocols have been saved in the system Refer to Therapy System User 110 Warning Manual to save User Protocols 111 Warning Warning Ultrasound Applicator disconnected from system during treatment A Connect Ultrasound Applicator to system a B If Ultrasound Applicator is connected reset system by turning power switch Off and On C If problem persists connect a known good Ultrasound Applicator If problem continues contact dealer or Chattanooga Group for service Warning Att
81. te in warranty coverage this Product s warranty registration card included with Product must be filled out and returned to the Company by the original owner within ten 10 business days of purchase This Warranty Does Not Cover e Replacement parts or labor furnished by anyone other than the Company the selling dealer or a certified Company service technician 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 states 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 4717 Adams Road PO Box 489 Hixson IN 37343 USA Telephone 1 423 870 2281 or 1 800 592 7329 U S A 1 800 366 6661 CANADA 1 423 875 5497 Facsimile and 2 The Product must be returned to the Company or the selling dealer by the owner This warranty gives you specific legal rights a
82. ted completely into the electrodes j f the protective backing and apply to the NOTE Use of conductive medium or sponges is not required or recommended DURA STICK Electrodes are manufactured to ensure the optimum conductivity during therapy when properly applied LEAD WIRE SEATED RED LEAD WIRE pd BLACK LEAD WIRE Pad 29 Intelect Legend XI Therapy System 7 PATIENT PREPARATION meerde neg Sytem ELECTROTHERAPY PATIENT PREPARATION CONTINUED Reusable Carbon Electrodes Optional Connecting Lead Wires Conductive Medium Securing Electrodes Insert the lead with the Red electrode Liberally apply Conductor Transmission connector into Red electrode Insert the Gel to electrode prior to placement on lead with the black electrode connector patient into the Black electrode Use Nylatex Wrap to secure each electrode in position on the patient Make certain the lead wires are seated completely into the electrodes LEAD WIRE SEATED SECURE WITH NYLATEX ee RED LEAD WIRE Nylatex Wraps contain dry natural rubber and may cause allergic reactions in patients with allergies to latex BLACK LEAD WIRE 30 gt t Es PATIENT PREPARATION ULTRASOUND PATIENT PREPARATION Preparing Treatment Area Examine the skin for any wounds and clean the skin Size of Applicator Sound Heads are available in the sizes shown be
83. ted without pressing the Start button The Applicator LED will not illuminate during the Head Warming period US Channel will indicate Head Warming UROL EED SESE 0 50 Cycling of maximum power geld ie AE AR EE OE EE EN 3 3 Mhz Sound Head Temperature 85 F 110 F 29 4 C 43 3 C Do not apply the Ultrasound Applicator to the patient during the Head Warming period Applicator must remain in Applicator Hook during the Head Warming period 7 S ET U P Intelect Legend XI Therapy System INTELECT LEGEND XT THERAPY SYSTEMS Remove the Intelect Legend XT Two or Four Channel Therapy System and all accessories from the shipping carton Visually inspect for damage Report any damage to the carrier immediately Contents of Carton Intelect Legend XT Two or Four Channel Electrotherapy or Combination System e Patient Data Cards 1 Electrotherapy Lead Kit that includes Lead Wires one for Channel 1 and one for Channel 2 DURA STICK II 2 75 in 7 cm Round Disposable Electrodes 1 pack of 4 Lead Wires one for Channel 3 and one for Channel 4 Four Channel Systems only 5 cm Ultrasound Applicator Combination Systems Only Cord Set e Conductor Transmission Gel 1 bottle Combination Systems Only User Manual 20 mt Es SETUP 7 Intelect Legend XT Therapy System THERAPY SYSTEM SETUP Utiliti Plug unit into wall outlet Turn system On Press the Home and Back buttons sim
84. tem screen Press any button to clear the message TOG NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment will remain paused gu hk Ef OPERATION Intelect Legend XT Therapy System COMBINATION CONTINUED Editing Waveform Parameters Setting Waveform Intensity Setting Ultrasound Intensity Press the Edit Stim button to edit the Set intensity by rotating the Intensity Control Press the Edit Ultrasound button parameters of the waveform selected knob to the prescribed level Set Ultrasound intensity by rotating the Press the corresponding button to edit Intensity Control knob to the prescribed level Carrier Freq 4000 Hz t Edit Ultrasound Treatment Time 7 min soa aT ye p i Vector Scan f 1 li I T Beat Fixed 100 Hz rtial Of i N E Carrier Freq 1 4000 Hz H 1 1 Edit k Ultrasound 0 0 0 0 Treatment Time vie folts CV j 7 min Intensity Knob Rotation en dem n Clockwise Increases intensity Intensity Knob Rotation Counterclockwise Decreases intensity Clockwise Increases intensity Counterclockwise Decreases intensity 45 Intelect Legend XT Therapy System Starting Treatment vv Pausing Treatment Stopping Treatment Press the Start button to begin therapy Press the Pause button to pause therapy To Stop treatment press the Stop button SESSION session
85. trotherapy Accesses all the available waveforms and parameter editing controls Ultrasound Accesses the Ultrasound setup screen and parameter editing controls Combination Accesses combination therapy setup screens and parameter editing controls View Edit Channel Accesses the selected channel and allows editing of the channel s parameters during therapy Also used in the saving of information to the Patient Data Card Patient Card Accesses Patient Data Card data Select Channel Use to select desired channel for viewing and editing of channel parameters 33 2 O P R AT O N Intelect Legend XI Therapy System ELECTROTHERAPY SCREEN The screen allows the operator to access set up and modify parameters of each of the available waveforms within the Intelect Legend XT Therapy System The following pages give a general explanation of a treatment setup Refer to the Specifications section beginning on page 15 for detailed specifications of the system and each available waveform 34 O P R AT j O N Intelect Legend XI Therapy System GENERAL ELECTROTHERAPY WAVEFORM SETUP The following information is an example of step by step setup for the Electrotherapy waveforms All waveforms in the Intelect Legend XT Therapy System are set up and edited in the same basic fashion The following setup instructions use Interferential Waveform Prepare Patient Select Waveform Edit Waveform Parameters Refer to pages 2
86. tude Modulation Frequency Ai io vd sie ARE SE AE OE Oe OE EN ON Te Electrodes UT OUT OSGI sa ER EK RO EE EE ORE 0 100 mA eds FeOME ie MAA AE EEN AE EE sa 2 500 Hz Beat Fixed Sweep Off ccc cece cece ences 1 200 Hz Sweep Low Beat Frequency cc ccc cece eee ees 1 200 Hz Sweep High Beat Frequency 0c0 cece nena es 81 200 Hz Cycle Time Continuous 5 5 4 12 10 10 10 20 10 30 10 50 Mode Selection 0 ccc ccc cee ese ene Ee ee ee EE ee ee ee Ee CC or CV Ns edele eke ENG EE NE EO EE EE 1 60 minutes Available on Channel ee 1 amp 2 3 amp 4 Option CC Constant Current CV Constant Voltage 18 Intelect Legend XT Therapy System hh 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 easy to tolerate Output Mode 0 eee eee Electrodes or Probe Output INtensity eessen cece eee a a ees 0 500 V POMOC me ORE ha ee ek EE ie ep eh ee Positive or Negative POW RE N 0 5 sec 1 sec 2 sec 5 sec BE N EN EE E Peak Current or Volts NEED EER RE Continuous 80 120 pps 1 120 pps 1 10 pps EE ME EE EE TE OE ON 10 120 pps Cycle Time 5 5 4 12 10 10 10 20 10 30 10 50 Continuous reann TE cries Gite vae gen Ee Sah peered wat
87. ture Charging efficiency is optimum within a temperature range of 50 F to 86 F 10 C to 30 C Charge the Battery Module within this temperature range e At temperatures below 32 F 0 C the gas absorption reaction is not sufficient and causes an increase of the gas pressure inside the battery This condition can activate the safety vent and lead to alkaline gas leaking and battery performance deterioration Charging efficiency of the Battery Module drops at temperatures above 104 F 40 C and can disrupt full charging lead to deterioration in performance and battery cell leakage mt Es OPTION OPERATION 7 Intelect Legend XT Therapy System BATTERY MODULE SERVICE LIFE Since NiMH Batteries are designed for multiple cycles of charging and discharging the expected cycle life of the Battery Module is at minimum 500 cycles utilizing proper discharging and charging procedures When the service time use time between charges of the Battery Module is significantly reduced the service life of the Battery Module is exceeded and should be replaced with a new Chattanooga Group Battery Module Never attempt to rebuild the Battery Module Properly dispose of old Battery Module VAN YN TA NiMH Batteries contain Class E Corrosive materials In the event of battery cell rupture or leakage handle Battery Module wearing neoprene or natural rubber gloves Contents of a ruptured or leaking battery
88. u 55 OPERATION 7 Intelect Legend XT Therapy System EXISTING PATIENT DATA CARD USE CONTINUED Set intensity by rotating the Intensity Control Knob to the prescribed level Starting a New Treatment from Patient Data Card Refer to pages 27 30 for Electrotherapy patient preparation select electrodes and secure electrodes Refer to page 31 for Ultrasound patient preparation Press the Up and Down Arrow buttons to highlight the desired treatment date and time Press the View Treat button Press Start New Treatment button START NEW TREATMENT BUTTON Completed Treatment Fi Start New Treatment Waveform Interferential Carrier Freq 4000 Hz Frequency 80 150 Hz Vector Scarc Off Start End Time 12 44 08 PM 12 45 09 PM Amplitude 08 08 V CY Treatment Time 1 minutes Connect Patient Interrupt Switch to the Therapy System Give Patient Interrupt Switch to patient and explain that pressing the Red button once pauses the therapy session If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message Clockwise Increases Intensity NOTE If the Patient Interrupt Switch is Counterclockwise Decreases Intensity depressed a second time the message will clear from the screen and the treatment will remain paused 56 OPERATION EXISTING PATIENT DATA CARD USE CONTINUED Press the Start
89. ultaneously To return to the System Home screen press the Home button Clinic Name CLINIC NAME Press Clinic Name button Restore Default Protocols 21 Select the row of aloha or numeric characters desired by pushing the button beside the corresponding row Select the desired character in the row by pressing the row button until the desired letter is framed NOTE To add a space select the area to the left of the letter A Once selection is framed press the Accept and Return Arrow button The character just chosen will display in the top of the screen and the cursor will advance to the next character 234567 65 O To go back a character press the Move Left Arrow button To delete the character press the Delete button Once Clinic Name is completed press the Save button To discard entry press the Back button ABCOEFG K I IK tue i SELECT ROW AND CHARACTER BUTTONS HOPOR STUY WE RETURN EE r Tr SETUP D Intelect Legend XT Therapy System THERAPY SYSTEM SETUP CONTINUED Restoring Default Protocols Press Restore Default Protocols button Restore Default Protocols Restore Default Unit Settings Press Yes button to restore the PRESS YES BUTTON TO Protocols to Factory Settings This RESTORE PROTOCOLS will permanently remove all User Protocols and Sequences NOTE This will permanently remove all User Protocols If it is not desired to perma
90. utton If it is not DO NOT press the START button Turn the System OFF and back ON If the problem continues call the selling dealer or Chattanooga Group Technical Support immediately DO NOT USETHE SYSTEM until all necessary repairs are made by a Technician certified by Chattanooga Group If use is attempted before repairs are made the System may operate unpredictably and has the potential of causing injury to the patient or damage to the System s internal components 75 Intelect Legend XI Therapy System INSTALLATION REMOVAL GENERAL INFORMATION OPERATOR REMOTE Intelect Legend XT Therapy System The Optional Operator Remote is designed for use with the Intelect Legend XT Electrotherapy and Combination Systems only and allows the operator to control the application of manual muscle stimulation therapy as well as increase and decrease the waveform intensity There are two different Operator Remotes One is designed for use with Channels 1 and 2 It is designated by a blue Pause Button on the control The other is designed for use on channels 3 and 4 Systems with the optional Channel 3 4 Electrotherapy Module installed and is designated with an orange color Pause Button Make certain the remote for the channels being used is connected to the respective System or Module before administering any therapy with the Operator Remote Installing the Operator Remote 1 Remove the Front Access Panel 2 Connect the Operator Rem
91. with suspected or occur at the site of electrode placement following long term application diagnosed heart problems The effectiveness of TENS waveforms is highly dependent upon patient selection by a person qualified in pain management Adverse Effects e Skin irritation and burns beneath the electrodes have been reported with the use of powered muscle stimulators e Caution should be used for patients with suspected or diagnosed epilepsy e Caution should be used in the presence of the following When there is a tendency to hemorrhage following acute trauma or fracture e Potential adverse effects with TENS are skin irritation and Following recent surgical procedures when muscle electrode burns contraction may disrupt the healing process Over a menstruating or pregnant uterus e Over areas of the skin which lack normal sensation e 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 Powered muscle stimulators should be used only with the lead wires and electrodes recommended for use by the manufacturer 7 ABOUT INTELECT LEGEND XT Merwen ULTRASOUND INDICATIONS AND CONTRAINDICATIONS Indications

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