Quattro 2.5 Manual - Current Solutions
Contents
1. Connect the power adapter to a wall socket of the power adapter N Caution e Priorto connecting this device to the power supply check that the voltage and frequency stated on the rating label match with the available power supply e The power adapter is a part of the supply circuit on which the device s safety partly depends upon The approvals for Quattro 2 5 are only valid if used in combination with this type of adapter 5 3 Switch on the device using ON OFF switch L_ The device executes a Switching on self test checking all important functions and enters standby mode about 6 8 seconds later 5 4 e Switch off the device by switching the ON OFF switch from the to Switching off the position and e Remove the power adapter from the wall socket disconnecting e Remove the power adapter from the device power adapter 6 OPERATION 6 1 Measures with regards to treatments 6 1 1 Ensure there are no contraindications to treatment Electrotherapy Inspect the skin treatment area for any abrasions inflammation Before surface veins etc the e Clean the skin treatment area with soap or alcohol 70 treatment e Shaving or clipping excessive hair on the skin treatment area can provide optimal treatment e Test the heat sensitivity of the treatment area 6 1 2 Examine the skin for any wounds and clean the skin Electrode When using self adhesive electrodes remove the electrode fro2. Simulation eL icon which is located on the side of the device Set up Procedure na ag 2 When you turn the Quattro 2 5 on the device ie om P will perform a self check for about 6 8 seconds SN and then the default parameters will display the 100 last treatment mode FOS Press channel button or to enter channel land channel 2 parameter setting mode Waveibum 4 Press the Waveform button to choose the CC CV therapeutic waveform Then rotate the Parameters Control Knob to select EMS S or EMS wavetorm 5 Press the Program button to choose the oe therapeutic program Then rotate the Parameters Control Knob to select the therapeutic C programs from 1 to P 8 Normal mode in EMS S waveform or from S 1 to S 8 Professional mode in EMS S waveform There are 2 programs 01 02 or S 01 02 for you to select in EMS A waveform 26 Quattro 2 5 DQ8450 6 There are two modes in Quattro 2 5 Normal mode and Professional mode Switch between the two modes by pressing and holding the Step button until you hear a Beep sound the program will change from P 1 Normal mode to S 1 Professional mode In professional mode each program has 2 treatment steps press the Step button again and the LCD will display as shown by the figure to the left Press the Step button to select treatment ste
3. TENS Stimulation Set up Procedure 1 To turn on the device press the ON OFF switch to icon which is located on the side of the device When you turn the Quattro 2 5 on the device will perform a self check for about 6 8 seconds and then the default parameters will display the last treatment mode ca 3 E Press channel button or toenter channel land channel 2 parameter setting mode Wavatorn Press the Waveform button to choose the therapeutic waveform Then rotate the Parameters Control Knob to select TENS waveform Press the Program button to choose the therapeutic program Then rotate the Parameters Control Knob to select the therapeutic programs from P 1 to P 10 Normal mode or from S 1 to S 10 Professional mode There are two modes in Quattro 2 5 Normal mode and Professional mode Switch between the two modes by pressing and holding the Step button until you hear a Beep sound the program will change from P 1 Normal mode to S 1 Professional mode In professional mode each program has 2 treatment steps press the Step button again and the LCD will display as shown by the below figure to the left Press the Step button to select treatment steps from to 2 The parameters of each step can be set according to the following methods Pr
4. 0 2 0 0 4 0 9 0 6 0 7 0 8 0 9 0 10 50 100us 100 O 15 min CC 1 30 Hz 250us 100 0 4 12 5s 15min CC 2 30 Hz 50us 10096 o 10 10 15 15min CC 3 50 Hz 150us 100 10 10 2 15 CC 4 100 Hz 150us 100 0 10 10 2s 20min CC 5 100 Hz 50us 100 0 2s 20min CC 6 50 Hz 250 100 0 10 10 2s 20min CC 7 150 Hz 7Ous 60 O 4 12 2s 15min CC 8 I50Hz 605 60 o 4 12 55 20min CC 1 50 Hz 250 8 100 0 10 30 58 15min CC 2 50 Hz 50us 100 10 30 1s 15min CC 19 Quattro 2 5 DQ8450 Russian S A 20 30 Hz 5096 4 12 5s 15min CC 30 Hz 50 4 12 ls 15min CC 50 Hz 50 10 10 3s 15min CC 100 Hz 50 10 10 1s 20min CC 50 Hz 5096 10 30 5s l5 min CC 50 Hz 5096 10 30 2s l5 min CC 100 Hz 5096 4 12 5s 15min CC 50 Hz 5096 4 12 2s l5 min CC 100 Hz 50 10 30 58 15min CC 100 Hz 50 10 30 5s 15min CC 6 4 Each stimulation set up procedure 6 4 1 4 Pole Interferential Stimulation Set up Procedure ca 3 Waveform CC CV Program C QuattroTM 2 5 DQ8450 1 To turn on the device press the ON OFF switch to icon which is located on the side of the device When you turn the Quattro 2 5 on the device will perform a self check for a
5. modes by pressing and holding the Step button until you hear a Beep sound the program will change from P 1 Normal mode S 1 Professional mode In professional mode each program has 2 treatment steps press the Step button again and the LCD will display as shown by the below figure to the left Press the Step button to select treatment steps from to 2 The parameters of each step can be set according to the following methods Press the Waveform CC CV button twice to select CC or CV control mode 33 Quattro 2 5 8450 8 Press the Duty button and then rotate the Parameters Control Knob to set the parameter from 10 to 50 10 step 9 Press the Freq button and then rotate the Parameters Control Knob to set the frequency from 20Hz tol OOHz 5Hz step 10 Press the Time button and then rotate the Parameters Control Knob to set the treatment timefrom 1min to 60min 1 min step Press the Time button again to choose Cycle time and then rotate the Parameters Control Knob CJ to select the cycle time contr relax from continuous 5 5 4 12 10 10 10 20 10 30 and 10 50 Press the Time button again to choose Ramp time and then rotate the Parameters Control Knob 5 to select the ramp time from 1s 2s ond 5s T 13 Press and hold the Save button until you hear a Save beep sound if you want to save all setti
6. settings will not be saved if you have not followed the steps above ccm 12 Place the electrodes the patient Depending patient need one or two channels can be used 13 Adjust the output intensity and start treatment by rotating the output intensity adjustment knobs on the control panel 0 5mA step or 0 5V step The STIM symbol in the LCD indicates there is intensity output For safety purposes the load detection function was designed so when the output intensity surpasses 10 0mA 10 0V and there are no electrodes placed on the patient s skin or the device has not been connected to electrodes an alarm buzzer will sound and the intensity value will flash and reset to zero 25 Quattro 2 5 DQ8450 15 Press the channel button re or 27 to enter channel 3 and 4 parameter setting mode if necessary Then set the parameters following steps 4 thru 14 above To pause current channels treatment press output intensity knob until desired channels either 1 and 2 or 3 and 4 begin flashing Then press below button Press the button to stop treatment of the current channel s If you want to stop the other channel s treatment press corresponding channel button first and then press the button This will only stop the selected flashing channels not all 4 channels 6 4 3 EMS S A 1 To turn on the device press the ON OFF switch to
7. the treatment has finished Press any button to cancel the beeping sound 2 lf you want to restore factory parameter settings turn the device off then press and hold knobs 1 and 2 at the same time and then turn on the device by pressing the ON OFF switch keep pressing the 1 and 2 knobs and the device will continuously beep until all parameters are restored to the factory setting 35 Quattro 2 5 8450 7 MAINTENANCE 7 1 Switch off the device and disconnect it from the power supply The apparatus Cleaning of be cleaned with a damp cloth Use lukewarm water and a non abrasive the device liquid household cleaner no abrasive no alcohol content solution If a more sterile cleaning is needed use a cloth moistened with an antimicrobial cleaner Caution Do not submerse the device in liquids Should the unit become accidentally submersed contact the dealer or Authorized Service center immediately Do not attempt to use a system that has been submersed in liquid until inspected and tested by a Service Technician Certified by an Authorized Service center Do not allow liquids to enter the ventilation holes 7 2 e Apply the protective backing to the tacky side of the electrode before storing Cleaning the lt may be helpful to improve repeated application by spreading a few drops electrodes of cold water over the adhesive on the electrode and turn the surface up to air dry Oversaturation of the electrode wit
8. 2 10 10 10 20 10 30 and 10 50 Press the Time button again to choose Ramp time parameters and then rotate the Parameters Control Knob to select the ramp time from 15 25 and 5s 15 Press and hold the Save button until you hear a beep sound if you want to save all settings Note The settings will not be saved if you have not followed the steps above 16 Place the electrodes on the patient Depending on patient need one or two channels can be used rotating the output intensity adjustable knobs on the control panel 0 5mA step or 0 5V step The STIM symbol in the LCD indicates there is intensity output For safety purposes the load detection function was designed so when the output intensity surpassesl 0 0mA 10 0V and there are no electrodes placed on the patient s skin or the device has not been connected to electrodes an alarm buzzer will sound and the intensity value will flash and reset to zero Note If the pulse duration is less than 80us the load detection function will activate when output intensity surpasses or equal 40 0mA 40 0V 19 Press the channel button a or to enter channel 3 and 4 parameter setting mode if necessary Then set the parameters following steps 4 thru 18 above 26 Quattro 2 5 8450 20 To pause current channels treatment press output intensity knob until desired channels either 1 and 2 or 3 and 4 begin flas
9. E Improper electrode Reposition electrode mefecie Unknown Conc dimicon or EQ Restart the device if the problem LED Hardware problem is still exist please contact the pray manufacturer or distributor displays on Detected the device is The device will stop treatment LED over temperature limit automatically please wait displays Detected the working several minutes before using LCD current is over the limit 0901 Stimulation is wea Stimulation stops disolayson Memorizer kila the if the pm LCD detected is still exist please contact the manufacturer or distributor Remark If there is a failure a beeping sound will appear until the failure has been corrected or eliminated or until the button on the panel has been pressed Quattro 2 5 8450 9 SPECIFICATIONS 9 1 General Adapter supply voltage 100V 240V 50Hz 60Hz 0 6A Specificati Adapter output 15V 1 2 Max ons Type of protection against Class Il Equipment electric shock Adapter Dimensions 88mm L 48mm W 29mm H Dimensions 250mm L 185mm L 82mm H Operating Environmental Temperature 1 0 C 50 F to 40 C 104 F Relative humidity 30 85 Storage Environmental Temperature 20 C 4 F to 55 C 131 F Relative humidity 20 90 9 2 Waveform Specifications 4 Pole Mode Mode Select CC Constant Current or Constant Voltage V
10. P d 22 VP d 4 P For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W accordable to the transmitter manufacturer NOTE At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 45 Quattro 2 5 DQ8450 13 Please contact your dealer or the device center in case of a claim under WARRANTY the warranty If you have to send in the device enclose a copy of your receipt and state the defect A The following warranty terms apply The warranty period for Quattro 2 5 products is two years from date of purchase In case of a warranty claim the date of purchase has to be proven by means of the sales receipt or invoice e Defects in material or workmanship will be removed free of change within the warranty period e Repairs under warranty do not extend the warranty period either for the device or for the replacement parts B Thefollowing is excluded under the warranty e Any damage which has arisen due to improper treatment e g nonobservance of the user instruction e Any damage which is due to repairs or tampering
11. Qua ttro 2 5 INSTRUCTION MANUAL CAUTION United States Federal Law restricts this device to sale by or on the order of a physician www roscoemedical com This manual is valid for the Quattro 2 5 This user manual is published by Roscoe Medical Inc Roscoe Medical Inc and reserves the right to improve and amend it at any time without prior notice Amendments will be published in a new edition of this manual All Rights Reserved Rev V1 0 2013 20131216 Declaration of conformity Roscoe Medical Inc declares that the Quattro 2 5 complies with the following normative documents IEC60601 1 IEC60601 1 2 IEC60601 2 10 ISO 7010 ISO14971 ISO10993 1 15010993 5 ISOT0993 10 Complies with MDD 93 42 EEC and Amended by directive 2007 47 EC reguirements Quattro 2 5 DQ8450 Contents 1 FOREWORD 4 2 SAFETY INFORMATION 4 3 INDICATIONS FOR USE 7 APE EON 8 5 1 ij 6 2 12 7 0 222 222 9 2 36 8 5 2 100 0 0 37 39 4 VE VA 42 2 TI WARRANT 46 IA 47 Quattro 2 5 8450 1 FOREWORD 1 1 General information The microprocessor controlled Qua
12. and manufacturer s declaration Electromagnetic immunity The Quattro 2 5 is intended for use in the electromagnetic environment specified below The customer or the user of the Quattro 2 5 should assure that it is used in such an environment Immunity IEC 60501 Compliance Electromagnetic test testlevel level environment guidance Portable and mobile RF Communications equipment should be used no closer to any part of the device including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter 3 Vrms Recommended separation distance Conducted RF IEC 150 kHz to d 22 P 80 MHz to 800 MHZ d HVP 800 MHz to 2 5 GHz 3 V m 80 MHz to Where P is the maximum output 2 5 GHz power rating of the transmitter In watts W according to the Transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked n un following NOTE At 80 MHz ends 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 44 Quattro 2 5 DQ8450 Field strengths from fixed trans
13. bout 6 8 seconds and then the default parameters will display the last treatment mode Press channel button or to enter channel land channel 2 parameter setting mode Press the Waveform button to choose the therapeutic waveform and then rotate the Parameters Control Knob to select IF 4P waveform Press the Program button to choose the therapeutic program P10 Then rotate the Parameters Control Knob to select the therapeutic programs from P 1 to 1 0 Normal mode or from 5 1 to S 10 Professional mode There are two modes in the Quattro 2 5 device Normal mode and Professional mode Switch between the two modes by pressing and holding the Step button until you hear a Beep sound the program will change from P 1 Normal mode to S T Professional mode In professional mode each program has 2 treatment steps press the Step button again and the LCD will display as shown in the below figure to the left Press the Step button to select treatment steps from to 2 The parameters of each step can be set according to the following methods Press the Waveform CC CV button twice to select CC or CV control mode 21 Quattro 2 5 8450 22 Press the Vector button then rotate the Parameters Control Knob to set the vector manual parameter from 0 to 90 15 step Press the Vector button again to change to au
14. by the customer or unauthorized third parties Damage which has arisen during transport from the manufacturer to the consumer or during transport to the service center e Accessories which are subject to normal wear and tear e Liability for direct or indirect consequential losses caused by the unit is excluded even if the damage to the unit is accepted as a warranty claim 46 KORNADZED SYMBOLS GEO QE 159 Quattro 2 5 08450 ON OFF Switch Power polarity Type BF Applied Part Type of protection against electric shock Class Il Equipment Refer to Instruction Manual Electrical devices are recyclable material and should not be disposed of with household waste after their usetul life Help us to protect the environment and save resources and take this device to the appropriate collection points Please contact the organization which is responsible for waste disposal in your area if you have any questions Equipment capable of delivering output values in excess of 10 mA r m s or 10V r m s averaged over any period of 5s Stop treatment Start Pause the treatment Serial Number 47 ROSCOE Wo Manufactured for Roscoe Medical Inc 21973 Commerce Parkway Strongsville Ohio 44149 Ph 800 871 7858 www roscoemedical com
15. c energy in an unshielded manner 4 DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the control panel 5 Inspect applicator cables and associated connectors before each use 6 This device should not be used adjacent to or stacked with other equipment If adjacent to or stacked equipment use is necessary this device should be observed to verify that it is operating within the normal configuration in which it is to be used 7 This device needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the manual 8 Portable and mobile RF communications equipment can affect this device Do not use a mobile phone or other device that emits electromagnetic fields near the unit This may result in incorrect operation of the device 9 This device has been thoroughly tested and inspected to assure proper performance and operation 2 2 WARNING Quattro 2 5 DQ8450 United States Federal Law restricts this device to sale to 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 2 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 3 Care must be taken when operating this equipment around ot
16. d 2 Displays 7 therapeutic waveform IF 4P IFC Interferential Traditional 4 Poles IF 2P Premodulated Traditional 2 Poles IFC TENS EMS S Synchronous EMS A Asynchronous or Russian S Synchronous and Russian A Asynchronous Displays parameters of B7 button Beat H A M Duty Displays parameters of B5 button Vector F M Burst Displays parameters of B8 button Beat L PDur Freq Displays parameters of B6 button C F Freq Displays treatment time cycle time or ramp time of channels 3 and 4 Displays therapeutic programs including professional mode of channels 3 and 4 Quattro 2 5 8450 5 INSTALLATION 5 1 Remove the equipment and all accessories from shipping carton and Before Use box Visually check if there is any damage or missing parts or accessories If yes please report to local dealer or retailer where you purchase this unit Your Quattro 2 5 098450 equipment contains the following accessories 2 we ue 5 gn cr uy kai i pd 6 SE Na Part Rubber Electrodes 2 5 X 3 5 Rubber Electrodes 2 75 x 4 3 Electrode Sponges 2 75 x 4 5 7 ZAE pes Fe Eecrodes 2x35 Elastic Wrap 3 x 23 5 8 EW3047BW2 Elastic Wrap 3 x 47 s wasosmus ier iz UserMana Quattro 2 5 8450 5 2 e Connect the power adapter to the device connector Connection
17. eclaration electromagnetic emissions The Quattro 2 5 is intended for use in the electromagnetic environment specitied below The customer or the user of the Quattro 2 5 should ensure that it is used in such an environment Emissions test RF emissions 15 11 RF emissions CISPR1 1 Harmonic emissions IEC 61000 3 2 Voltage fluctuations flicker emissions IEC 61000 3 3 Compliance Group 1 Class B Not applicable Electromagnetic environment guidance The Quattro 2 5 uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The Quattro 2 5 is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Quattro 2 5 DQ8450 Guidance and manufacturer s declaration electromagnetic immunity The Quattro 2 5 is intended for use in the electromagnetic environment specified below The customer or the user of the Quattro 2 5 should ensure that it is used in such an environment IEC 60601 Compliance Immunity test test level level Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge 1 kV line s to IEC 61000 4 5 line s 596 UT gt 95 dip in UT for 0 5 Voltage dips short cycle
18. ect the parameter Vector F M Burst Press the button to select the parameter C F Freq B7 Press the B7 button to select the parameter Beat H A M Duty B8 Press the button to select the parameter Beat L P Dur Freq Remark CC Constant Current output mode CV Constant Voltage output mode EM Frequency Modulation Burst Burst Frequency Freq Frequency C F Carrier Frequency Duty Duty Cycle for Russian Waveform Beat H Sweep High Beat Frequency A M Amplitude Modulation Beat L Sweep Low Beat Frequency P Dur Pulse Duration Time Treatment time Cycle Cycle time Con Rel Ramp Ramp time 10 Adapter Receptacle 11 ON OFF Switch 12 Output Connector connect with connector of cable Quattro 2 5 8450 4 2 User interface 8 9 10 11 12 13 5 Fi Treat pu EB 86 56 RA Eius D E lade se VOKALI K Displays output intensity of channel 1 Displays total treatment steps of channels 1 and 2 Displays output intensity of channel 2 Displays treatment steps of channels 1 and 2 Displays output intensity of channel 3 Displays total treatment steps of channels 3 and 4 Displays output intensity of channel 4 Displays treatment steps of channels 3 and 4 Displays therapeutic programs including professional mode of channels 1 and 2 Displays treatment time cycle time or ramp time of channels 1 an
19. edar Auto 0 100 Manual 0 90 Carrier Frequency 4 0kHz Sweep Low Beat Frequency 1 Beat H Hz Beat L Sweep High Beat Frequency Beat H Beat L 150 Hz 0 50mA CC at 1k ohm load 0 50V CV at 1k ohm load Treatment time 1 60 minutes Output Intensity 39 Quattro 2 5 208450 o 2 Pole T Mode Mode Selecti CC Constant Current or eere CV Constant Voltage Carrier Frequency 4 0kHz Sweep High Beat Frequency Beat H Beat L 150 Hz Sweep Low Beat Frequency 1 Beat H Hz Beat L 0 50 at 1k ohm load 0 50V CV at 1k ohm load CC Constant Current or Mode Selection CV Constant Voltage Frequency Modulation FM 0 249Hz Burst rate Burst 0 10Hz 7 pulse Phase duration PDur 30 400us Amplitude Modulation A M 096 10096 Output Intensit 0 100mA CC at 1k ohm load 0 100V CV at 1k ohm load Cycle time Cycle Continuous 4 4 4 8 7 7 5 5 4 12 i 10 10 10 20 10 30 10 50 40 Quattro 2 5 DQ8450 EMS S A modd Waveform Type Bicphasic square O CC Constant Current or CV Constant Voltage Step duration PDur 30 400us Amplitude Modulation A M 096 10096 0 100mA CC at 1k ohm load 0 100V CV at 1k ohm load Cycle time Cycle Continuous 4 4 4 8 7 7 5 5 4 12 10 10 10 20 10 30 10 50 CC Constant Current or CV Constant Voltage Output Intensity 0 50mA CC at 1k ohm load 0 50V CV at 1
20. ent parameters for channel 1 and 2 e During treatment press to display treatment parameters for channel 2 Rotate to adjust the output intensity for channel 2 Parameters Control Knob and Pause button Stop Treatment Button Press to stop current channels treatment Power Indicator Light LCD display Shows the current information of the device Channel Button Press to enter treatment parameters for channel 3 and 4 e During treatment press to display treatment parameters for channel 3 and 4 Rotate to adjust the output intensity for channel 3 Quattro 2 5 DQ8450 8 Channel Button Press to enter treatment parameters for channel 3 and 4 During treatment press to display treatment parameters for channel 3 and 4 Rotate to adjust the output intensity for channel 4 9 Forthe eight parameters selection buttons see below for details In standby mode press the button a second time to select the therapeutic waveform In setting mode press the B1 button to select CC CV output mode B2 In standby mode press the B2 button a second time and hold it about 5 seconds to switch to professional therapy or normal therapy In professional therapy standby mode press the B2 button to switch treatment step B3 Press the B3 button to select the parameter Time Cycle Ramp B4 Press the B4 button to select the therapeutic program Press and hold the B4 button again to save settings B5 Press the B5 button to sel
21. ess the Waveform CC CV button twice to select CC or CV control mode 30 Quattro 2 5 DQ8450 8 Press the F M button and then rotate the Vector Parameters Control Knob to set the EM urs parameter from to 249 Hz Hz step But F M 250Hz 9 Press the EM button again to switch to Burst and then rotate the Parameters Control Knob O to set the Burst rate from OHz to 10Hz 1 Hz step But Burst x 8 lt Freq 10 Press the Freg button and then rotate the Parameters Control Knob set the frequency from 1Hz to 250Hz 1Hz step But Freq Burst x 8 or Freq x 250 Press the A M button then rotate the Parameters Control Knob to set the parameter from 0 to10096 A M means amplitude modulation the setting value indicates percentage of modulation e g 096 means no modulation the intensity is outputting at the setting value continuously 10096 means the output intensity is modulated between O and the setting value The A M waveform patterns shown on page 29 2096 step Press the P Dur button and then rotate the Parameters Control Knob C to set the pulse duration from 30us to 400us 5us step Press the Time button and then rotate the Parameters Control Knob to set the treatment time from 1 min to 60min 1 min step Press the Time button again to switch to Cycle time and then rotate the Parameters Control Knob to select
22. eted by any unauthorized person s Opening of the equipment by unauthorized agencies is not allowed and will terminate any claim to warranty 8 TROUBLESHOOTING For optimal Replace lead wires annually Use Please follow the directions on the electrode packaging for the care of electrodes The life of the electrodes varies depending on skin conditions skin preparation storage and climate Replace electrodes that no longer stick e NOTE If the following measures fail to alleviate the problem please call your dealer 37 Quattro 2 5 DQ8450 38 Problem Possible Cause Solution Ensure adapter is connected Check the following Displays fail to Adapter contact contacts light up failure All contacts are in place All contacts are not broken Ensure that adapter is connected Electrodes k 1 Dried out or 1 Replace contaminated 2 Electrodes must be a 2 Placement minimum of 2 inches apart Lead wires Old worn damaged Replace Poor electrode contact Reapply electrodes secure firmly Damaged or worn Replace electrodes or lead wires Stimulation is Intensity is too high Decrease intensity uncomfortable Electrodes are too Reposition the electrodes close together Electrodes must be a minimum of 2 inches apart Damaged or worn Replace electrodes or lead wires Electrode active area Replace electrodes with ones size is too small that have an active area no less than 25 0cm S
23. h water will reduce the adhesive properties The rubber electrodes should be cleaned with lukewarm water To disinfect the electrodes or to remove stubborn stains of dirt use a 7096 alcohol solution The alcohol solution may discolor the electrode however this does not affect the operation of the electrodes The sponge pads should be washed in warm water using a household cleaner After washing they must be rinsed with clear water thoroughly drained and then dried Damaged sponge pads should be replaced e Between uses store the electrodes in the reusable bag and in a cool dry place N Caution e The self adhesive electrodes are intended for single patient use only If the electrodes do not adhere completely to the patient s skin it may cause a slight shock If irritation occurs discontinue use and consult your clinician e Always use the electrodes with CE mark or are legally marketed in the United States under an approved 510 K procedure 7 3 Cleaning the lead wires and cables Periodically wipe the lead wires clean with a cloth dampened in a mild soap solution and then gently wipe them dry Use of rubbing alcohol on the lead wires will damage the insulation and dramatically shorten their life 36 Quattro 2 5 8450 7 4 Maintenance and all repairs should only be carried out by an authorized Maintenance agency The manvfacturer will not be held responsible for the results of maintenance or repairs compl
24. he patient In order to turn on the device press ON OFF switch to O icon which is located on the side of the device When you turn the Quattro 2 5 on the device will perform a self check for about 6 8 seconds and then the default parameters will display the last treatment mode Connect the electrode wires to the cable note the color of the wires and the color marks on the cable they should correspond Caution If you want to use 4 channels connect all electrode lead wires to two cables Plug the cable s to the device connector s the left connector corresponds to output channel 1 and channel 2 the right connector corresponds to output channel 3 and channel 4 Connect the electrodes to electrode lead wires Place the electrodes on the patient according to section 6 1 ZON Press channel button or to enter channel land channel 2 parameter setting mode Quattro 2 5 8450 8 There are 7 therapeutic waveforms for you to select Press the Waveform button to choose the therapeutic waveform Then rotate the Parameters Control Knob to select one of the following waveform IF 4P IF 2P EMS S EMS A TENS Russian S and Russian A There are 50 programs for all waveforms For detailed preset programmable parameters for each program refer to section 6 3 in this manual Program To change parameters refer to each waveforms ne Set up Procedure Press the P
25. her equipment Potential electromagnetic or other interference could occur to this device or to the other equipment Try to minimize this interference by not using the other equipment in conjunction with it 4 Before administering any treatment to a patient you should become acquainted with the operating procedures for each mode of treatment available as well as the indications contraindications warnings and precautions Consult other resources for additional information regarding the application of electrotherapy 5 To prevent electrical shock disconnect the unit from the power source before attempting any maintenance procedures 6 The use of accessories transducers and cables other than those specified with the exception of transducers and cables sold by the manufacturer as replacement parts for internal components may result in increased emissions or decreased immunity of the device 7 This device is not designed to be use in an MRI environment and should be removed prior to MRI exposure 8 Do not apply stimulation over the patient s neck because this could cause severe muscle spasms resulting in closure of the airway difficulty in breathing or adverse effects on heart rhythm or blood pressure 9 Do not apply stimulation across the patient s chest because the introduction of electrical current into the chest may cause rhythm disturbances to the patient s heart which could be lethal 10 Do not apply stimulation over open wound
26. hing Then press below button Press the button to stop treatment of the current channel s If you want to stop the other channel s treatment press corresponding channel button first and then press the button This will only stop the selected flashing channels not all 4 channels A M waveform 4 Intensity Intensity t r t 65 M 10096 100 80 0 ae M ill Time A M 0 20 Intensity Intensity 4 t 65 10096 10096 ay 40 0 d Time Time T LoT 65 A M 10096 A M 6096 Remark 1 EMS 5 Synchronous stimulation For this treatment use two channels either channels 1 amp 2 or 3 amp 4 Electrodes for each channel will be placed on different muscle groups During treatment both channels will stimulate at the same time Best used for Bi lateral conditions 2 EMSA Asynchronous stimulation For this treatment use two channels either 1 amp 20r 3 amp 4 Electrodes for each channel will be placed on separate muscle groups During treatment channels will alternate stimulation Best used when treating opposing muscle groups 29 Quattro 2 5 8450 6 4 4
27. interruptions and voltage variations on power supply input lines cycles IEC 61000 4 11 seconds Power frequency 50 60Hz magnetic field IEC 61000 4 8 6 kV contact 8 kV air 2 kV for power supply lines 4096 UT 6096 dip in UT for 5 cycles 7096 UT 3096 dip in UT for 25 596 UT 79596 dip in UT for 5 6 kV contact 8 kV air 2 kV for power supply lines 596 UT 79596 dip in UT for 0 5 cycle 4096 UT 6096 dip in UT for 5 cycles 7 096 UT 3096 dip in UT for 25 cycles lt 5 UT 29596 dip in UT for 5 seconds Electromagnetic environment guidance Floors should be wood concrete or ceramic tile If floors are covered wit synthetic material the relative humidity should be at least 30 96 Main power quality should be that of a typical commercial or hospital environment Main power quality should be that of a typical commercial or hospital environment Main power quality should be that of a typical commercial or hospital environment If the user of the device requires continued operation during power mains interruptions it is needed that the device be powered from an uninterruptible power supply Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE U is the a c main voltage prior to application of the test level 43 Quattro 2 5 8450 Guidance
28. k ohm load 1096 2096 3096 4096 and 5096 Cycle time Continuous 5 5 4 12 10 10 10 20 10 30 10 50 Treatment time 1 60 minutes Caution This device has been thoroughly tested and inspected to assure proper performance and operation 10 For a prolonged pause in treatment store the device with the adapter STORAGE in a dry room and protect it against heat sunshine and moisture Store the machine in a cool well ventilated place Never place any heavy objects on the machine 4 Quattro 2 5 DQ8450 11 DISPOSAL 12 EMC TABLES 42 Please dispose of the device in accordance with the directive 2002 96 EC WEEE Waste Electrical and Electronic Equipment Contact your local distributor for information regarding disposal of the unit and accessories 1 The device requires special precautions regarding electromagnetic compatibility EMC and needs to be installed and put into service according to the EMC information supplied in this manual 2 Care must be taken when operating this device adjacent to or stacked with other equipment Potential electromagnetic or other interference could occur to this device or other equipment Try to minimize this interference by not using other equipment in conjunction with it 3 The performance of the device was determined to be essential This device has been tested and inspected thoroughly to assure proper performance and operation Guidance and manufacturer s d
29. m plastic Placement backing Apply the electrodes to the treatment area Ensure that the electrodes are applied securely to the skin Ensure good contact between each electrode and the skin Check the electrode contact regularly during the treatment Examine the skin again after the treatment Choose electrodes to properly fit the anatomy Follow electrode manufacturer s instructions for use 12 Quattro 2 5 DQ8450 6 1 3 Self Adhesive electrodes To avoid skin irritation due to high current density do not use electrodes smaller in surface area than 25cm2 self adhesive electrodes AN Caution 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 application may result in patient injury If any question arises as to the proper electrode size consult a licensed practitioner prior to the therapy session e Powered muscle stimulators should be used only with the leads and electrodes recommended by the manufacturer This device is supplied with 8 pieces 2 x2 and 8 pieces 2 x 3 5 adhesive electrodes You can select the appropriate sized electrodes according to the treatment area and output current density It is recommended that manufacturer s electrodes be used whenever possible to ensure the highest level of performance and contact with the treatment area and to give
30. mitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Quattro 2 5 is used exceeds the applicable RF compliance level above should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Quattro 2 5 Over the frequency range 150 kHz to 80 field strengths should be less than 3 V m Recommended separation distances between portable and mobile RF communications equipment and the Quattro 2 5 device The Quattro 2 5 device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Quattro 2 5 device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Quattro 2 5 as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency Rated maximum of transmitterm output power 150 kHz to 80 MHz to 800 MHz to of transmitter 80 MHZ 800 MHZ 2 5 GHz d 32
31. ngs C Note The settings will not be saved if you have not followed the step above 14 Place the electrodes on the patient Depending on patient need one or two channels can be used 15 Adjust the output intensity and start treatment by rotating the output intensity adjustable knobs on the control panel 0 5mA step or 0 5V step The STIM symbol in the LCD indicates there is intensity output 34 Quattro 2 5 DQ8450 For safety purposes the load detection function was designed so when the output intensity surpasses 10 0mA 10 0V and there are no electrodes placed on the patient s skin or the device has not been connected to electrodes an alarm buzzer will sound and the intensity value will flash and reset to zero Press the channel button ut or es to enter channel 3 and 4 parameter setting mode if necessary Then set the parameters following steps 4 thru 16 above To pause current channels treatment press output intensity knob until desired channels either 1 and 2 or 3 and 4 begin flashing Then press below button Press the Q button to stop treatment of the current channel s If you want to stop the other channel s treatment press corresponding channel button first and then press the button This will only stop the selected flashing channels not all 4 channels Remarks 1 There is a beeping sound which will appear for approximately 20 seconds to alert the user after
32. o electrodes an alarm buzzer will sound and the intensity value will flash and reset to zero Press the channel button e or to enter channel 3 and 4 parameter setting mode if necessary Then set the parameters following steps 4 thru 16 above To pause current channels treatment press output intensity knob until desired channels either 1 and 2 or 3 and 4 begin flashing Then press below button Press the Q button to stop treatment of the current channel s If you want to stop the other channel s treatment press corresponding channel button first and then press the Q button This will only stop the selected flashing channels not all 4 channels 23 Quattro 2 5 8450 6 4 2 2 Pole Interferential Stimulation Set up 1 To turn on the device press the ON OFF switch to Procedure icon which is located on the side of the device When you turn the Quattro 2 5 on the device will perform a self check for about 6 8 seconds and then the default parameters will display the last treatment mode ca Ec E3ES gem Press channel button or toenter channel land channel 2 parameter setting mode Waveform Press the Waveform button to choose the therapeutic waveform Then rotate the Parameters Control Knob to select IF 2P waveform Press the Program button to choose the therapeutic p
33. ps from to 2 The parameters of each step can be set according to the following methods 7 Press the Waveform CC CV button twice to select CC or CV control mode 8 Press the EM button and then rotate the parameters control knob O to set the EM parameter from OHz to 249Hz Hz step But F M Freq x250Hz 9 Press the Freq button B and then rotate the Parameters Control Knob O to set the freguency 1Hz to 250Hz 1 Hz step But Freq lt 250 TO Press the A M button then rotate the Parameters Control Knob J to set the parameter from 0 to 100 A M means amplitude modulation the setting value indicates percentage of modulation e g 0 means no modulation the intensity is outputting at the setting value continuously 100 means the output intensity is modulated between and the setting value The A M waveform patterns are shown on page 29 20 step Press the PDur button and then rotate the A Parameters Control Knob CO to set the pulse duration from 30us to 400us 5us step Press the time button and then rotate the Parameters Control Knob J to set the treatment time from 1 min to 60min 1min step 27 Quattro 2 5 DQ8450 13 Press the Time button again to choose Cycle time and then rotate the Parameters Control Knob O to select the cycle time Contr Relax from continuovs 4 4 4 8 7 7 5 5 4 1
34. rogram Then rotate the Parameters Control Knob to select the therapeutic programs from P 1 to P 10 Normal mode or from S 1 to S 10 Professional mode There are two modes in Quattro 2 5 Normal mode and Professional mode Switch between the two modes by pressing and holding the Step button until you hear a Beep sound the program will change from P 1 Normal mode to 5 1 Professional mode In professional mode each program has 2 treatment steps press the Step button again and the LCD will display as shown by the figure to the left Press the Step button to select treatment steps from to 2 The parameters of each step can be set according to the following methods Press the Waveform CC CV button twice to select CC or CV control mode 24 Quattro 2 5 DQ8450 8 Press the Beat H button and then rotate the Parameters Control Knob to set the parameter from Beat L Hz tol 50Hz 1Hz step 9 Press the Beat L button and then rotate the Parameters Control Knob O to set the parameter from 1Hz to Beat Hz 1Hz step Note Beat L parameter will not exceed Beat H setting 10 Press the Time button and then rotate the Parameters Control Knob to set the treatment time from 1 min to 60min 1 min step Pegam 1 1 Press and hold the Save button until you hear a Save beep sound if you want to save all settings Note The
35. rogram button to choose the therapeutic program Then rotate the Parameters Control Knob to select the therapeutic programs in the corresponding waveform Press the Waveform CC CV button twice to select CC or CV control mode Adjust the output intensity and start treatment by rotating the output intensity adjustment knobs on the control panel 0 5mA step or 0 5V step The STIM symbol in the LCD indicates there is intensity output For safety purposes the load detection function was designed so when the output intensity surpasses 10 0mA 10 0V and there are no electrodes placed on the patient s skin or the device is not connected to the electrodes an alarm buzzer will sound and the intensity value will flash and reset to zero Caution In TENS or EMS mode when the pulse duration is less than 80us the load detection function will activate when the output intensity surpasses 40 0mA 40 0V Press the channel button or i to enter channel 3 and 4 parameter setting mode if necessary Then set the parameters following steps 8 thru 12 above 16 Quattro 2 5 DQ8450 14 To pause current channels treatment press the output intensity knob until desired channels either 1 and 2 or 3 and 4 flash Then press below button Press the button to stop treatment of the current channel s If you want to stop the other channel s treatment press corre
36. rritation inflammation and electrode burns beneath the Adverse electrodes are potential adverse reactions reaction 2 Patients may experience headache and other painful sensations during or following the application of electrical stimulation near the eyes and to the head and face 3 The clinician should stop using this device and should consult with the patient s attending physician should the patient experience any adverse reactions from treatment used with this device 3 INDICATIONS FOR USE For TENS Interferential and Premodulated IFC 1 Symptomatic relief of chronic intractable pain 2 Post traumatic acute pain 3 Post surgical acute pain Additionally for EMS and Russian 1 Relaxation of Muscle spasms 2 Prevention or retardation of disuse atrophy Increasing local blood circulation Muscle re education Maintaining or increasing range of motion Immediate postsurgical stimulation of calf muscles to prevent venous thrombosis OO A Quattro 2 5 8450 4 4 1 Panel For front view PRESENTATION 2 cem ENS TENS A Russian D 5s 88 98 EHE Bh ig Wes ggg BEB Channel Button Press to enter treatment parameters for channel 1 and 2 During treatment press to display treatment parameters for channel land 2 Rotate to adjust the output intensity for channel 1 Channel Button Press to enter treatm
37. s or rashes or over swollen red infected or inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins 11 Do not apply stimulation over or in proximity to cancerous lesions 12 Do not apply stimulation in the presence of electronic monitoring equipment e g cardiac monitors ECG alarms which may not operate properly when the electrical stimulation device is in use 13 Do not apply stimulation when the patient is in the bath or shower 14 Do not apply stimulation while the patient is sleeping 15 Do not apply stimulation while the patient is driving operating machinery or during any activity in which electrical stimulation can put the patient at risk for injury 16 Consult with the patient s physician before using this device because the device may cause lethal rhythm disturbances to the heart insusceptible individuals 17 Apply stimulation only to normal intact clean dry healthy skin 18 This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed Quattro 2 5 8450 2 3 CONTRA INDICATIONS 2 4 PRECAUTIONS 19 Patients with arterial or venous thrombosis or thrombophlebitis are at risk of developing embolisms when electrical stimulation is applied over or adjacent to the vessels containing the thrombus If a patient has a history of deep vein thrombosis even many years past the affected area sho
38. sing the electrode firmly into place 6 1 4 If used for delivery of electrotherapy there are two conductive mediums Rubber for you to select from the first one is to use electrode sponges as Electrodes conductive mediums and the other is to use a conductive medium such Rubber as an FDA approved Transmission Gel Note transmission gel is sold Electrodes separately The rubber electrodes should be secured to the treatment area using the Instructions nylon wraps that are included with the Quattro 2 5 device Connecting Insert the lead with the red electrode connector Lead Wires into one rubber electrode Insert the lead with the black electrode connector into the other rubber electrode Make certain the lead wires are seated completely into the electrodes and there are no bare metal parts of the pins exposed Conductive Medium 1 Insert the rubber electrodes into the electrode sponges that have been moistened with distilled water Conductive Medium 2 Liberally apply transmission gel to electrode prior to placement on the patient Please note purchase the transmission gel with CE mark or that has been cleared by the FDA 14 Quattro 2 5 DQ8450 Securing Electrodes 6 2 Quick Set up for Electrical Stimulation D E3 Use Nylon Wrap to secure each rubber electrode into position on t
39. sponding channel button first and then press the button This will only stop the selected flashing channels not all 4 channels 6 3 Each therapeutic waveform has 10 programs with default parameters but Using Preset you can also set and save the parameters according to the patient s need Programs The default parameters for each program are referenced below Quattro 2 5 8450 IFC 4P Premodulated IFC 2P 45 4 kHz80 Hz 150 Hz15 min CC 2 45 4 kHz130 Hz 150 Hz15 min CC 3 45 4 kHz 80 Hz 120 Hz15 min 4 45 4 kHz 5 Hz 15 Hz 15 min 5 45 4 kHz 80 Hz 130 Hz 15 min 6 45 4kHz 15 min5 15Hz80 120Hz 7 45 4 kHz 80 Hz 120 Hz 15 min CC 8 45 4 kHz 15 Hz 100 Hz 15 min 9 45 4 kHz 2 Hz 4 Hz 15 min 10 45 4 kHz 80 Hz 120 Hz 15 min 1 45 4 kHz80 Hz 150 Hz15 min CE 2 45 4 kHz130 Hz 150 Hz15 min 3 45 4 kHz 80 Hz 120 Hz15 min 4 45 4 kHz 5 Hz 15 Hz 15 min 5 45 4 kHz 80 Hz 130 Hz15 min 6 45 4kHz 15 min5 15Hz 80 120Hz 7 45 4 kHz 80 Hz 120 Hz15 min CC 45 4 kHz 15 Hz 100 Hz15 min CC 9 45 4 kHz 2 Hz 15 min CC 10 45 80 Hz 120 Hz15 min TENS EMS S A Quattro 2 5 DQ8450 1
40. the cycle time Contr Relax from continuous 4 4 4 8 77 77 4712 10 20 10 30 and 10 50 Program 19 Press and hold the Save button until you hear a save beep sound if you want to save all settings Note The settings will not be saved if you have not followed the step above 81 Quattro 2 5 DQ8450 16 Place the electrodes on the patient Depending on patient need one or two channels can be used Adjust the output intensity and start treatment by rotating the output intensity adjustable knobs on the control panel 0 5mA step or 0 5V step The STIM symbol in the LCD indicates there is intensity output For safety purposes the load detection function was designed so when the output intensity surpasses 10 0mA 10 0V and there are no electrodes placed on the patient s skin or the device has not been connected to electrodes an alarm buzzer will sound and the intensity value will flash and reset to zero Note If the pulse duration is less than 80us the load detection function will activate when output intensity surpasses or equal 40 0mA 40 0V 19 Press the channel button o or ga to enter channel 3 and 4 parameter setting mode if necessary Then set the parameters following steps 4 thru 18 above To pause current channels treatment press output intensity knob until desired channels either 1 and 2 or 3 and 4 begin flashing Then press below b
41. the management of pain 6 The safety of electrical stimulation during pregnancy has not been established 7 Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium gel 8 Physician recommended precautions should be followed when treating patients with suspected or diagnosed heart disease 9 Physician recommended precautions should be followed when treating patients with suspected or diagnosed epilepsy 10 Physician recommended precautions should be followed when treating patients who have a tendency to bleed internally such as following an injury or fracture 11 Physician recommended precautions should be followed when treating patients who recently had any surgical procedures stimulation may disrupt the patient s healing process 12 Use caution if stimulation is applied over the menstruating or pregnant uterus 13 Use caution if stimulation is applied over areas of skin that lacks normal sensation 14 Use of this device on a patient should only be used under the continued supervision of a licensed practitioner 15 Electrical stimulation is ineffective for pain of central origin Quattro 2 5 8450 16 Use extreme caution when treating desensitized areas on patients who may not be able to report discomfort or pain 17 Patients should not be left unattended during any treatment 18 Keep this device out of the reach of children 25 1 Skin i
42. the most uniform delivery of the prescribed electrotherapy treatment Properly dispose of used electrodes upon completion of the therapy session If you are unsure of your electrode s adhesive properties it is suggested that you order new replacement electrodes Replacement electrodes should be re ordered through or on the advice of your physician to ensure proper quality Before applying electrodes be sure the skin surface over which electrodes are placed is thoroughly cleaned and dried Make sure the electrodes are placed firmly to the skin and make good contact between the skin and the electrodes Place the electrodes over the skin attach them properly firmly and evenly MN Caution 1 Before applying the self adhesive electrodes it is recommended to wash and degrease the skin and then dry it 2 Do not turn on the device when the electrodes are not positioned on the body 3 Never remove the self adhesive electrodes from the skin while the device is still turned on 4 It is recommended that at minimum 2 x 2 self adhering based square electrodes are used at the treatment area 13 Quattro 2 5 8450 Connecting Lead Wires into the electrodes and there are no bare metal parts of the pins exposed Securing Electrodes Remove the adhesive electrodes from the protective backing and apply to the treatment area as prescribed Ensure that the entire electrode surtace is in contact with the patient s skin by pres
43. to mode the LCD displays 0 as shown in the figure to the left Rotate the Parameters Control Knob O to set the vector auto parameter from 0 to 100 20 step 10 Press the Beat H button and then rotate the Parameters Control Knob J to set the parameter from Beat L Hz tol 50Hz 1 Hz step 11 Press the Beat L button and then rotate the Parameters Control Knob Q to set the parameter from 1Hz to Beat H Hz 1 Hz step Note Beat L parameter will not exceed Beat setting 12 Press the Time button and then rotate the AN Parameters Control Knob to set the treatment time from 1 min to 60min 1 min step 13 Press and hold the Save button until you hear a beep sound if you want to save all settings Note The settings will not be saved if you have not followed the steps above 14 Place the electrodes on the patient You will need two electrodes for each channel four in total as shown in the example figure to the left 15 Adjust the output intensity and start treatment by rotating the output intensity adjustment knobs on the control panel 0 5mA step or 0 5V step The STIM symbol in the LCD indicates there is intensity output Quattro 2 5 DQ8450 16 For safety purposes the load detection function was designed so when the output intensity surpassesl 0 0mA 10 0V and there are no electrodes placed on the patient s skin or the device has not been connected t
44. ttro 2 5 provides Interferential 4 pole interferential Premodulated 2 pole interferential medium frequency Russian S and A EMS Sand A and TENS waveforms You can choose between several different amplitude modulation options The Interferential and Premodulated waveforms offer frequency modulation as well as a static frequency option There are four output channels available with the Quattro 2 5 Channel 1 and 2 are grouped together and are independent of the grouped channels 3 and 4 This design feature enables the Quattro 2 5 to be used on two patients with different waveforms programs and output intensities simultaneously 1 2 This manual has been written for the users of the Quattro 2 5 It contains Introduction general information on operation precautionary practices and to This maintenance In order to maximize its use efficiency and the life of the Manual stimulator please read this manual thoroughly and become familiar with the controls as well as the accessories before operating the stimulator 2 SAFETY INFORMATION 2 1 1 Keep yourself informed of the contraindications CAUTION 2 Read understand and practice the warnings cautions and operating instructions Know the limitations and hazards associated with using any device Observe the precautionary and operational decals placed on the unit 3 DO NOT operate this unit in an environment where other devices used intentionally radiate electromagneti
45. uld not be stimulated 20 Fresh fractures should not be stimulated in order to avoid unwanted motion 21 Stimulation should not be applied immediately following trauma orto tissues susceptible to hemorrhage 22 Do not apply electrodes directly over the eyes or inside body cavities 23 Do not use electrical stimulation in conjunction with high frequency surgical equipment or microwave or shortwave therapy systems 24 Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns 25 Since the effects of stimulation of the brain are unknown stimulation should not be applied across the head and electrodes should not be placed on opposite sides of the head 1 Do not use this device on patients who have a cardiac pacemaker implanted defibrillator or other implanted metallic or electronic device because this may cause electric shock burns electrical interference or death 2 Do not use this device on patients whose pain syndromes are undiagnosed 1 Federal law USA restricts this device to sale to or on the order of a physician 2 The long term effects of chronic electrical stimulation are unknown 3 Electrical stimulation devices have no curative value 4 Electrical stimulation is not a substitute for pain medications and other pain management therapies 5 Effectiveness is highly dependent upon the patient and the selection of a practitioner qualified in
46. utton Press the button to stop treatment of the current channel s If you want to stop the other channel s treatment press corresponding channel button first and then press the button This will only stop the selected flashing channels not all 4 channels 24 6 4 5 Russian 5 Stimulation Set up Procedure ca ca Ea Cu E3ES Waveform CC CV QuattroTM 2 5 DQ8450 To turn on the device press the ON OFF switch to icon which is located on the side of the device When you turn the Quattro 2 5 on the device will perform a self check for about 6 8 seconds and then the default parameters will display the last treatment mode Press channel button or toenter channel channel 2 parameter setting mode Press the Waveform button to choose the therapeutic waveform Then rotate the Parameters Control Knob J to select Russian S or Russian A waveform Press the Program button to choose the therapeutic program Then rotate the Parameters Control Knob J to select the therapeutic programs from P 1 to P O9 Normal mode in Russian S waveform or from S 1 to S 09 Professional mode in Russian S waveform There are 1 programs P 01 or S 01 for you to select in Russian waveform There are two modes in Quattro 2 5 Normal mode and Professional mode Switch between the two
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