Home

BTL-5000 SWT Series - Frank`s Hospital Workshop

1. Zm na Popis zm ny Kreslil Konstruoval Schvalil P v verze Change No Change description Drawn by Designed by Approved by Previous ver v4 added prescript for GD pump 1 01 12 2008 PL01 12 2008 TN01 12 2008 103 v3 fan system added PL15 09 2008 PL15 09 2008 TN15 09 2008 10221 Prodi BTL 014 SWT BOX Product name Kreslil Materi l ID Dawn bv PL17 01 2008 Material Konstr Povrch U a M tko lt Designed by PL1 7 01 2008 Surface finish Scale Schvalil List slo v k TECHNOLOGIES by TN17 01 2008 Sheet 1 of 22 Sheet number 014 psswtbox1 04 MAINS BOARD SRO10 13 MEC10 MEC12 N zev v robku BTL 014 SWT BOX Kreslil Materi l gt PL17 01 2008 lsiera Konstr Povrch prava M tko Designed by PL1 7 01 2008 Surface finish Scale MEDICAL Appovd TN17 01 2008 2 22 Sheet mmbor 014 psswtbox104 BASE FRAME SRO100 103 MEC101 a MEC100 POD100 103 KON100 105 ep MEC102 103 1 SSS N zev v robku BTL 044 SWT BOX GID Dow PL17 01 2008 VS ess PLITIO1 2008 Sots ipewanr TN17 01 2008 55 3 22 014 psswtbox104 FAN SYSTEM x J251 252 1250 x m MEC101 blac MAT254
2. CI Yes O The fuse box contains the proper L Yes L No Check of leakage currents according to OTP 126 a leakage current mains functional earthing of device less than 900A Single fault condition less than 450 uA Normal Single fault condition b leakage current mains box frame communication footswitch pacient Ein Eout less than 200A Single fault condition less than 90 uA Normal condition Sees eee d cul EID A Single fault condition M Normal condition A leakage current box frame communication footswitch patient part Ein Eout less than 90 Ti P A d leakage current communication footswitch patient part Ein Eout less than 90 HA uA e leakage current footswitch patient part EintEout less than 90 pA Check of insulation barriers according to 260 a Insulation barrier patient part Ein Eout more than 19 99 O Yes L No b Insulation between patient part A and patient part B more than 19 99 MO O Ye
3. 20 2 6 ii a b 20 2 6 1 Start Interruption End of Therapy cete rr i eb rase Sea e 20 2 6 2 Running Therapy Sergey uu rio SS aa e seductus E 22 2 7 Therapy Parameters ede eet n eg teo e 22 2 0 essere e a aa 22 29 Therapy Saving esa Sisi erbe e utens 23 2 9 1 Save Therapy and Add It to the Client Data enne 24 2 9 2 End of Therapy Shock Generation uu uuu uuu susan cedet 25 3 DEVICE MENU 26 3 1 A nas iss 26 3 1 1 Installation Gf ACCeSSOTIGS tio tert eere i 26 3 1 2 Information about 26 PAGE 47 3 1 3 Information about Connectors a n nn aa 26 32 Unit 27 3 2 1 Password 27 3 2 2 sound Yak 27 3 2 3 Screen Saver and Auto Switch O lf l 28 3 2 4 5 E a 28 3 2 5 Setting
4. BQIPOA juefodez 1 9 Joqui s efnzexn exfods e ZOU npjejuo few 1 ze etm emm cm ex dosojuo u V nda1ino a HOIVMI lav OVNIdS INZON H 0005118 M09 OGAVE ZHOS OVAOVZ 00L ICT Il veo HOldVav 19U39 3 O LLO LO TT ll me be 4 yp KA JI Ase x Aq panoiddy L Jequinu 1eeus I PSA ZOLNZJJAEMMJOUSTS TLO NSADIAA Z002 11 9 SA IP3IP W Aq pouBisag L00Z LL 9LSA m eujeu 98014 UN ONENJPOUS ILE npyefoid uonduoseg uefodud Aoyolg sidoq yonpza fuegejis COS xl 5 E a Gc Em ver rs 1L I E I Si 40 Ci Nm gt 4 to nz sal ae r T or P U 4 H A E ioe Mv H L uoo dde 03122 BTL 5000 SWT Series CABLE DRAWINGS CONTENT T 01 4 5501POWAW 100 eerte et Tete t ue tee OE 1 2 01455502SPEAK2W 100 p meti e ni eiaa E aaia n 2 3 O14 5503PQOW2QW 100 u neue nee E eee el 3 4 014 5504COMT14W102 i a Ee 4 5 014 5505CONTRHOL2W 00 ttt ertet ei ett tee xt pp as 5 6 014 5506 INKBW
5. FRG EN 6 lieno f sy 9 i R168 10151 E i 2 3 zi 5 i 0161 1 4 R174 5 L GND Vee SLINK 5 8 E 107 R79 21 afer RESET 12 24V_IN z POWER ON 5y 3 4 FL EUTTOR 3 GND gt FAST_CONNECT ELECTRO_GEN_SWITCH R79 RB 1 24V u R e GND off t 3 5 051 BT 4 a 4 GND 12 Ton NC R221 R80 R162 079 7 sl 83 3 lt sill GND GND GND GND GND Starting circuit for 12V power source R281 Fan control 12V Motor control m TA RI91 BLOW_OFF_VALVE GND CONNECT_ELECTRO_GEN APP_ELGEN_PLU SUDDEN SWITCH OFF VALVE R169 GND 5 5 GND_TOUCH ELECTROGENER 12V J16 Current limitation 1 DC_MOTOR_VCC 450mA x 5 3 g I 818 RAS 5 GND GND jis xT un 1 2 2 GND f PWM 36kHz T21 R33 FAN PWM DC_MOTOR_GND a s g 5 8 GND 1 GND R264 GND RI9 GND GND Valve contro J4 317 1 J14 L DS14 2 056 0510 ap 2 T24 R6 GND OUT T
6. nens 9 2 INSTRUCTIONS FOR USE U tnis tria uu isse sn 10 2 1 Front Panelofthe BTL 5000 SWT irri rere ttr 10 22 Rear Panel of hE BTL 5000 SWT inttr rni b a p a ave nedala p 11 2 3 Assembly and Putting into 12 24 OPERATING THE DEVICE erit ccena ttn aaa pak awha Muy 14 2 4 1 ruas 14 2 4 2 Numeric Keypad 15 29 Therapy Setting PFIDCIDIS 2 a n 0 SS 16 2 5 1 Diagram of the Therapy Setting 16 2 5 2 Welcome Screen and Selection of Channels Tabs and Accessories 17 2 5 3 Setting Therapy Parameters Via the diag Button 18 2 5 4 Setting Therapy Parameters Via the prog 18 2 5 5 Setting Therapy Parameters Manually User Setup Via the man 19 2 5 6 Therapy Parameters Screen Ergonomic Standard and Expert 20 2 5 7 setting Number of Shocks elaine e n Let deda Haee ee ed ec lee 20 2 5 8 Setting Therapy Intensitvi Rx
7. 7 3 2 22 qas 7 3 37 Configuration Information isib a Ra a d eu vues eth case Eee a 8 3 3 1 Master 8 3 3 2 Slaves JO 8 3 3 3 Serial Number MEME 9 3 3 4 Limitation 10 3 3 5 Diagnoses and Programs oa e 10 3 3 6 11 3 3 7 RTC Time and Date 11 3 4 Device Comm Quran A ia i E 12 3 4 1 IUIr e E 12 35 Factory Sellings ie e S n 12 3 5 1 SYS TP 0 rue e 12 3 5 2 Syst Contrast Setfill0l u uuu CPP 13 3 5 3 System Language ERR 13 3 5 4 Setting of HNDP and VNDP a 14 3 5 5 15 3 5 6 Check ta RIDES 15 3 6 SEMVICE FUNCTIONS ioc pir n c a D oui One Le au Eo ER ME Le mete udal 18 3 6 1 Format ANd SCa disk u aa xe eet esas 18 3 6 2 Buin 18 3 6 3 Final CHECK 18 3 6 4 PO BAGG i a ke i ak a ei 18 3 6 5 Ventilator TL TNT 18 3 6 6 Speaker Test E 19 3 6 7 Buttons Fest iu
8. BTL 5000 SWT Series ELECTRICAL DRAWINGS Reset circuit 5y 5y 5 E E 2 Ck205 05 SENSE QRESET 5 74 EXTAL s gt par gt PAI6 C e 2 RESN 5 lt P Bi i S Z2 TAL P zu Es B 4 76 NE RENESAS SH7084 EE 735 lupi PAREN 75 upo j i PAZ ICLI E Attention PAG TCLK Fwe 1 Hidden supply pins 1T S sc ASEWDO 33 ASENDU 7084 VCC 21 37 55 80 103 l PU 5v 35 WDTOVF GND 3 27 39 55 61 71 90 101 PA2 SCK i iss PAVTxXI Emulator PAO AKE 7084 vce E10A
9. M lH 8 GND SUNK 0210 Qu 3 SV U 10 0 GND SUN 2x Not connected i 2115 al 8 1 R236 121 1 12 t GND_SLINK gt 13 BH 18 RE 14 A DE 122 5 GND D H 237 gt lt H t E 1 Xl 0718 Son a al S 4 SLE j L i GND SLINK GND_SLINK GND_SLINK L GND_SLINK AT ILINK RST 1 3 3V A FAST CONNECT R224 KZ R245 3 s k i 9 E lt T38 bz l GND GND SLINK GND SLINK 4 0227 5 E z I GND_SLINK GND_SLINK VCC SLINK I R44 24V Power Supply Estimated drain bellow 2A 12V Power Supply Estimated drain bellow 800mA CK2 R9 E CK74 PGND PGND PGND PGND Power Supply ted drain bellow 50mA 3 3 PGND 0017 MOTOR_SWITCH GND APPLICATOR_SWITCHING_VALVE 85232 CONNECT J ESI at B 5 E TPS Insulation 4kV ND i VCC_SLINK l 5y 2 f 5 5 z 5 03 GND SLINK DDI 12 5002 2 1 RS485_DE 11 6
10. Enter name of diagnosis Enter program name Select client All information entered enter Enter description must be saved After saving the therapy will be displayed with the following lists See the next page INSTRUCTIONS FOR USE PAGE 24 OF 47 COD The saved therapy be found in these lists on the relevant channel List of diagnosis List of programs List of therapies of the selected client 2 9 2 END OF THERAPY SHOCK GENERATION On a regular basis the therapy ends after the application of the adjusted number of shocks If for whatever reason you want to end or interrupt the therapy before finishing the adjusted number of shocks it is possible to interrupt the therapy by pressing the time stop key or the button on the applicator To end the therapy press esc The generation of shocks will finish by expiry of the adjusted number of shocks applied or it is possible to finish their generation by releasing in a state of continual mode and pressing again the button of the applicator in a state of ON OFF mode see the chapter Shockwave setting applicator button mode INSTRUCTIONS FOR USE PAGE 25 OF 47 COD 3 1 DEVICE MENU After pressing menu 4 it is possible to browse the following offers by using the select knob Accessories e Encyclopaedia see the chapter Encyclopaedia e Unit settings e Specific settings ACCESSORIES In this submenu yo
11. 2 0 PROBEI PROBE2 FL ROBE2 BE GND APP ELGEN PLUS GND APP_BUTTON R133 R125 R122 R127 R132 2 2 Programming 058 GND R177 R152 GND 310735 GND Normal operation regime FWE 0 MDO 1 MD1 1 Single Chip Mode GND GND RI6 R37 GND Programming in production FWE 1 MDO 0 MD1 0 Booting mode In application programming FWE 1 MDO 1 MD1 1 User prog mode SWITCH_FWE CK86 97 CK40 CK42 Cki05 GND FWE NZI NZ2 MHS MHZ 1 O 1 O 1 O 0O sz MH2 MH6 Mna PN 1 1 1 1 Zmena Popis zmeny Change No Change description Schvalil Approved by Predesla verze Previous version 105 5 file Pozadavky upravy verze 105 xis A625 03 2008 VS25 03 2008 10421 This design is on intellectual property of Medical Technologies Ltd ond Gan not Be used without written permission of the Medical Technologies Ltd Unauthorized distribution is a violation of applicable laws 28 02 2008 VS 28 02 2008 SHOCK WAVE Approved by Nozev vyrobku Product name Medical Technologies Ltd Velikost SIZE Al MEDICAL TECHNOLOGIES
12. Select one of the three modes see the chapter Therapy Parameters Screen Ergonomic Standard and Expert Mode The ergonomic mode is preset by the manufacturer as standard TOUCH PANEL CALIBRATION If the buttons on the touch screen do not react when pressed the touch screen needs calibration The calibration procedure is apparent from the screen of the device It is advisable to use the touch pen during calibration and follow the instructions displayed on the screen of the device Unsuccessful calibration can always be interrupted by pressing the esc button To verify the touch screen adjustments use the touch panel function test feature USER OPTIONS Here you can set e Direction of movement in the menu when turning the select 9 knob e Alphabetical order of diagnosis and certain menus from A to Z from Z to A e Position of the tab bar up down e Sound volume DEVICE MENU PAGE 28 OF 47 CSD 3 2 11 3 2 12 3 2 13 3 2 14 3 2 15 STYLE OF OPERATION e NEW STYLE OF OPERATION Use this option for main units of the first series manufactured in 2001 and start of 2002 These devices have the knobs 11 and 12 marked as time 11 and start stop 12 It is necessary for these devices to select the option new style of operation no after download of the new version of firmware New units are preset by the manufacturer to a new operation mode new style of operation yes e END OF THERAPY SETT
13. Scale TN17 01 2008 Sheet number 01 4 psswtbox104 ASSY OF MEC400 MEC400 KON401 MEC400 A for 014 PUMPSETDxxx L 350mm HAD401 B for 014 PUMPSETGxxx L 520mm HAD401 MEC400 KON403 MOTOR CONFIGURATION Duerr T MEC400 MEC402 MEC400 MEC403 REF WIRE COLOR MOTOR A black U2 5 blue V1 V2 yellow PE black U1 O brown W1 N zev vyrobku Product name BTL 014 SWT BOX AA n PL17 01 2008 Mater CSD PL17 01 2008 prava Seales MEDICAL Designed by Surface finish TN17 01 2008 1 82 22 O14 psswtbox104 MOTOR VALVE ASSY GLUE KON130 BY WACON LOCK KONTO V132 HAD125 L 400mm 117 SRO133 134 2 SRO131 132 M 4 N BUZ355 transparent L 350mm a V130 V131 7 55 MEC400 IL 350mm HAD401 KON131 L 350mm HAD125 MEC400 L 340mm HAD401 L 350mm Nazev vyrobku Product name BTL 014 SWT BOX WWW Grown vy PL17 01 2008 Matera v Konstr Povrch prava M tko MEDICAL Designed by PL1 7 01 12008 Surface finish Scale TECHNOLOGIES 41 TN17 01 2008 List 9 z slo v kresu Sheet 7 of 22 Sheet n
14. 2 5 1 THERAPY SETTING PRINCIPLE DIAGRAM OF THE THERAPY SETTING PROCESS ENTRY SCREEN DIAGNOSIS SELECTION MANUAL SETTING THERAPY INTERRUPTION time stop THERAPY START time stop RUNNING THERAPY THERAPY time stop INTERRUPTION INSTRUCTIONS FOR USE PAGE 16 OF 47 2 5 2 WELCOME SCREEN AND SELECTION OF CHANNELS TABS AND ACCESSORIES After switching the device ON the entry screen includes information on the channel tabs with icons of connected accessories The number of channels tabs dependents on the required configuration of the device By pressing the tab information of the actual channel displays Information adjusted on the invisible channels will definitely remain saved Almost the full screen is available for the selected channel see the picture Switching the channels Tab of accessories connected to Tab of accessories connected to the input out B 39 the input out A 39 To switch between the connected accessories press the W1 tab see the picture If both shockwave accessories are connected then the channel W1 displays the tab of accessories connected to the input out A 39 and by pressing it information on accessories connected to the input out B 39 will display Examples of information on the tabs Tab of channel W1 with no connected accessories Tab of a selected channel W1 where the shockwave therapy can be applied
15. Abort action button However after starting a device with incompletely loaded firmware there is a risk of its failure RESET AND DISCONNECTION OF THE DEVICE If this work with the device is complete disconnect it by pressing the Restart unit button The device first restarts itself and then the PC disconnects from it PROCESS OF UPLOAD PAGE 5 OF 6 APPENDIX SUPPLEMENTARY DESCRIPTION AND EXPLANATION Loading is completely automatic i e it is not necessary to check the versions in the device and the loaded file The program automatically modifies itself according to the parameters read from the device i e if the program finds out that the device contains another type of hardware than is set in the loaded file the loaded file is internally modified before loading so that it corresponds to the configuration of the device The exception is files for colour and b w device which are so much different that they cannot be mutually substituted and modified This automatic control is fully functional if there have not been any major hardware changes in the device If there have been such changes it is necessary to load the correct new configuration i e file with the correct new hardware configuration at least once to the device A typical example is replacement of the supply part in physiotherapy devices by a more powerful one in such case it is not possible to load the universal file to the device as usually but at the first loading
16. Drawn by P v verze Konstruoval h Previous ver Designed by Approved by N zev vyrobku Product name supply cable POWER with pump GD 6 MEDICAL TECHNOLOGIES Kreslil Material Drown by PL01 12 2008 Material Designed by PLO1 12 2008 Sei Schv lil List z Cislo vykresu Approved by TN01 12 2008 Sheet 1 of 1 Sheet number 014 5513pow6w100 BTL 5000 SWT ist of Components L REFERENCE COMPONENT MEC1 014 1100COVER101 MEC15 014 1201COVERAS102 MEC160 MEC180 MEC143 40 102 103 014 2103PROFILE102 MEC120 121 MEC13 14 MEC105 MEC150 MEC117 MEC141 MEC112 MEC10 250 MEC151 MEC3 MEC12 MEC450 MEC325 330 MEC110 MEC360 MEC335 340 MEC350 MEC111 014 5510CONTROL2W 100 70 375 MEC380 MEC200 MEC142 MEC100 MEC101 MEC400 MEC300 MEC315 MEC345 MEC190 4 7 MEC355 MEC320 MEC205 BUZ1 4 BUZ110 117 250 BUZ355 HAD155 160 165 HAD135 115 116 HAD100 105 110 120 125 140 IPA120 121 J110 250 J112 113 251 252 EJ 4200 TXXO LIST OF COMPONENTS PAGE 2 OF 3 REFERENCE COMPONENT J451 452 EJ GX3LOCXX1 KAB145 EKAB PU4x2 5XX0 KON148 EKON TD6G2x1 4XX1 MTR170 175 EMTR PEFOIL3XX0 SLO150 158 SRO122 123 133 134 127 130 ESRO 40x10XX0 EV E22 024VXX0 SRO1 2 100 103 144 145 ESRO M3x6XX1 LIST OF COMPONENTS PAGE 3 OF 3 CSD
17. For selection use the arrows and then press enter to exit the menu without change of language press esc DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 13 OF 21 syst TP calibration syst contrast setting setting of HNDP and VNDP burn in final check english Gmperial Czech German Polish Spanish 3 5 4 SETTING OF HNDP AND VNDP This function serves for setting of frequency characteristics of the display The used default values need not be changed Change of these values affects the quality of displaying and the refresh frequency of the display diag syst TP calibrati syst contrast setting system language burn in final check VNDP Hitachi PalmTech DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 14 OF 21 3 5 5 3 5 6 BURN IN This function serves for burn in of completely assembled and set device The burn in process is controlled by an internal program The program is designed so that the device is loaded as much as possible but at the same time that the load corresponds to the real use of the device From the view of reliability the most critical aspect is periodical heating and cooling of the device The burn in program works in periods During each period one half of the device one half of all generators is switched on at full power and the other half is switched off After expiration of the period the halves swap The total time of burn in is not limited and depends o
18. prava Surface finish d Approves by TN17 01 2008 Shee 12 22 Sicertumper 014 psswtbox104 MEC105 TECHNOLOGIES REAR PANEL Placement of MAT14 17 J451 452 MEC15 SRO18 21 MEC325 330 suva gt MEC300 SW10 2 SRO22 23 MEC340 MEC350 MEC450 MEC13 14 i Placement of Me SRO14 17 reducT board MEC450 HAD116 dus s v MEC325 L 200mm MEC330 L 7 9 T o 18 21 HAD115 L 200mm N zev v robku BTL 014 SWT BOX AA Dow PL17 01 2008 Maer QED Kons PL17 01 2008 Bouch prav FUSD 199 100 re iNOLo ies TN17 01 2008 SS 13 22 Seve 944 psswtbox104 L 10mm 3 2 AND 5 2 VALVE ASSY HAD110 L 53mm MEC111 HAD105 is 200m m _L 850mm i I p Ce 6 L 200mm 7 KON115 s SRO122 123 SRO118 121 N zev v robku BTL 044 SWT BOX 53 PL17 01 2008 MEDICAL Konstr Povrch prava M tko Designed by PL1 7101 2008 Surface finish Scale TECHNOLOGIES Sil TN17 01 2008 544 22 S805 O14 psswtbox104 GENPNEU 1 BOARD ASSY SRO150 153 SRO154 155 MEC150 s Pe css MN _ MEC151 SLO150 153 POD150 153 N zev v robku BTL 014 SWT BOX Kreslil Materi l A Drow
19. program equipment FirmwareLoaderService exe version 5 91 or higher hereinafter FirmwareLoader PC with operating system and a USB port USB COM BTL adapter Serial upload cable for SWT CONNECTION TO PC Switch off the compressor unit device and disconnect it from the main unit Connect the serial upload cable with the USB COM adapter cable and plug the red end in the compressor unit and the black end in the PC USB port Start the FirmwareLoader exe program on the PC We recommend setting the communication speed to 115200 bit s Press the Switch to Boot button and switch on the compressor unit After a while the PC connects with the compressor unit and the system is ready SERVICE UPLOAD OF APPLICATION INTO THE COMPRESSOR UNIT PAGE 3 OF 6 Firmware Loader for Service 5 91 Settings Unit info Programming Hw Key File name to programm C dokumentyA014 5 amp gener304 PCBV105 bin 9 Programm File Auto amp Show file header Status Progress wf Check connection c amp Switch to Boot J Restart unit The version of the loader can be found out after loading of HW Info see below If you are not sure you can leave this item checked off the loading will work even with the new devices but it will be slower Set the proper communication port Settings tab and communication rate It is possible to use the Auto find function which will try to find the device in all available ser
20. 43 of CF6 do not assembly CF6 AG22 04 2008 VS22 04 2008 102 I 102 Changed heat sink and added SW load switch SW3 AG03 03 2008 VS03 03 2008 10121 I I I I I I I I I I I BTL 5000 RJ 45 This design is an intellectual property of Medical Technologies CZ a s and 7 2 can not be used without written permission of Medical Technologies CZ a s Medical Technologies CZ a s Unauthorized distribution is a violation of applicable laws Navrhoval AG 22 1 2008 e Velikost 4 Designed by ote SIZE Schvalil MEDICAL TECHNOLOGIES List Approved by VS 22 1 2008 Sheet of 1 Nazev vyrobku Cislo vykresu Product Mains Pneu SWT jet 014 535mains102z1 Applicator 1 A 8 Applicator 2 B Popis zmeny Navrhoval Schvalil Predesla verze Change No Change description Designed by Approved by Previous version This design is an intellectual property of Medical Technologies CZ a s and can not be used without written permission of Medical Technologies CZ a s Medical Technologies CZ a s Unauthorized distribution is a violation of applicable laws Navrhoval Velikost Designed by AG 10 6 2008 SIZE A4 Schvalil MEDICAL TECHNOLOGIES List Approved by VS 12 6 2008 Sheet 1 Nazev vyrobku Cislo vykresu Product Redukce Pneu SWT jet 014 53reduct100 FRONT PANEL POD1 2 SRO1 2 4 0 9 lt MEC3 MEC345
21. 7 OF 15 CSD PAIN IN THE HAMSTRING INSERTIONS Program W 0105 program W 0105 pain in the hamstring insertions Therapy parameters type continual pressure 2 5 frequency 10 number of shocks 2000 scar area no Patient position lying prone Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painful points in the area of tuber ischiadicum and along the hamstrings Application of gel Start the therapy with 400 shocks 2 5 bar 10 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks then apply successively over the rear side of the thigh last 400 pulses apply with a frequency of 15 Hz Note If needed the number of shocks may be increased by additional 2 000 during one application Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1112 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 8 OF 15 CSD PAIN ON THE PALMAR SIDE OF THE WRIST Program W 0110 program W 0110 pain on the palmar side of the wrist Therapy parameters type continual pressure 2 frequency 10 number of shocks 1500 scar area no Patient position lying on back or sitting arms in the right angled flexion in the elbow comfortably supported preferably with a soft elast
22. 8 2 PBB SCK E BEEEEEE Uu BA O eee EE 25 xi E Sl RS485_DEt ib m 1 i EL ek 85485 DE2 m EARS TRET PE12 TIOC4A PB4 IRQ 39 i URS PETI TIOC3D PB3 SL ME R50 gt L DASEMDO PE10 TIOC3C PB2 SC 38 rpo PE9 TI0C3B PBI TICE F PEB TIOC3A PBO TICSI 2 855 JASEBRI s g PC 3 lis gt Toms 2 8 PE7 TI0C2B BS PC n R103 5 PEG TIOC2A PC dn Om ASEBRK PES TIOCIB En amp TCK PE4 TIOCIA TCK P 5B TDO PE3 TIOCOD TDO PC Gl TDI PE2 TIOCOC TDI F TRST PE1 TIOCOB TR F TMS PEO TIOCOA TMS F F GND F F F 7 F PF6 AN6 5 5 F PF4 AN4 PF3 AN3 2 2 PF1 ANI PL PWM V PFO ANO alves Voltage check PL gt 24 i av i H R46 RA 6 R48 R241 6 F z 5 F E J 4 F 5 3 F i I i 2 5 F o x f 9 S 5 E l 5 GND o Avge avec GND e o 22 2 a o GND o j 1 is o AGND 1 gt c 2 o o v ul AGND AGND AGND 33v APP ESD 5y I U6 A Ica t or 1 E 31 GND VICES E R77 a R270 VCCB J12 R45 ipo vo iu gn 6X vi 2 L ITOUCH se Hn R15 R272 e x jA RS485 DE2 8 5 Y5 8 6 8 10176 5 RII 7 1 B 2 x He OE 10 Ho 7 12 H APP_ESD 1314 GND u io Touch memorvi p any 003 1 J7 RLI 1 127 k A 128 4 7 T y n 5y
23. Applicator2 B 2 m wer p a B pROBE1 2 A TOUCHE RY si e o E x GND 5 EL R205 24V EX 12V GND 1 RD 1 p 2_ 0 L T B86 2 5 ET TOUCH MEM TX2 ND 1 ET 24 _PROBE2 is GND GND 5 m GND APP_ESD Touch emory2 12 lt 1 GND GND om PRC ND PROBES ON GND 129 PROBEI 2 R88 L30 GND 8 GND CK30 EL_BUTION FAST_CONNECT PROBES ON 1 2 3 R161 TXO RXO TOUCH MEM RX TOUCH MEM TXT TOUCH MEM RX2 TOUCH MEM TX2 R68 Pressure sensor avec R167 DPRESSI v AGND AGND AGND 7084 vcc 5 lt 15 015 4 014 13 013 12 012 0 D10 SUDDEN SWITCH OFF VALVE APP BUTTON BLOW OFF VALVE APPLICATOR SWITCHING VALVE CONNECT ELECTRO GEN ELECTRO GEN SWITCH LED indicators CPU decoupling capacitors 7084 r CK14 CK25 CK54 CE6 CE19 CK55 CK56 CK57 CK38 2 GND R69 ies CK43 5 D9 R151 R102 R28 R134 2 GND Ut3 D U13 E U13 F 013 6 12 U13 B U13 C 13 69 200 06 2 lt arri_con
24. List z Sheet 1552 Cislo vykresu pe m014 53genpneut05 DC MOTOR VCC Input Filter GND gt N 054 gt N A qu 3 iZ 5 DC MO OR U I GND PGND GND uzs 3 L 1 GND 12 GND GND_5 RJ 4 protocol speed 115 200 5 B ILINK FAST protocol B speed 691 200 Bd R238 12 24V_IN ot ek i SET B a i PGND POWER ON B T20 2 SA lt 5 8 i E EH x8 Au s E TA Hysteresis 2 4 1 12 24V_IN 12 24V_IN Pond L T A PGND PGND PGND T B Circuit follower U CK126 8 3 12 TIVES vi t 1 300 Rs COMP eee
25. O Yes No g Check safety switch off Yes LI No IC UT L Yes L No 1 Check safety cies ss eite re ree cree etes a e L Yes L No 1 AG30 05 2008 AU Medical Technologies 014 96swtbox102z3 16 Tightness check a Pressure decrease during first test less than 0 5 seem nennen Bar b Reach of upper pressure limit less than 25 sec L enne Sec C Pressure decrease during second test less than 0 8 Bar d Pressure decrease during third test less than 0 8 eene Bar 17 EEPROM content check n O Yes L No 18 Reset statistics counter een L Yes L No 19 Check cleanness again L Yes L No Dati SIQnat r l i nne conse he 20 Packaging completing Date M W Signature u uuu i 2 AG30 05 2008 1 2 4 5 6 ad 7 ad 8 ad 9 ad 10 ad 11 ad 12 ad 13 014 96swtbox102z3 Notes to the Report Check the type of the device Stated on the manufacture label write it down List of used equipment for possible later check w
26. TOO sissies sissies asik tente a A erac dE RE pees siete PROPER 6 7 014 5508PAC7WH100 erint rece a ane B Ka eate 7 8 014 5509PAC2W100 iie niente eme PO Pte tcn ee ides 8 9 014 5510CONTRHOL2W 100 ettet EG d Er it der anra e ire be ee nds 10 10 0 44 5SSITTEARTHIW100 uu u u u tete eret tet ote tee Ies head Eat e EE ad doa ayy 11 11 014 5512DETECT2W100 i nte ER EO ebe 12 12 O14 551SPOW GW 100 u a iecit RHET e EU REUS ERU 13 014 5501POW4W100 1x yellow green 16AWG 570mm 5 100 250 VAC KAB1 2 yellow green N KAB3 4 lt u 2 0n a 1 2 G E 2 4x shrinkable tubing black LO m CN m G E 2 3x black blue red 16AWG 550mm 5 100 250 VAC A puzs J6 9 silicone PVC insulated tubing 530mm 5mm MOTOR PIN WIRE COLOR LINK 4 black U2 2 blue V1 3 red V2 4 yellow green PE Connectors Description Reference Molex JST AVA Housing 5 08 Pitch J1 1004258049 4300 4P V terminals J2 5 5168 5167 SVH 21T P1 1 8400 T TA Mating products 5281 NA B2P VB 4 4400 4P Quick connect J6 J9 Female Receptable Mating products Zm na Popis zm ny Kreslil Konstruoval Schv lil P v verze Change No Change description Drawn by Designed by Approved by Pr
27. applicability for two different therapies without the need to change the transmission elements Soft buttons of the menu Information achillodynia W continual frequency intensity 2 0 Bar frequency 1 O Hz number of shocks 2000 shocks Soft buttons for therapy on the selected channel neit sity Channel marking W shockwave 1 No of generator Tab of the selected channel Buttons with the same function as 8 and 10 Information about connected accessories NUMERIC KEYPAD In addition to setting the numerical values with the select knob 9 on all the screens you can also use the ynumeric keypad for quicker setting Icon to open the window with the numeric keypad man menu number of shocks shocks 9999 shocks Press the numeric keypad button to display the window with the numeric keypad for the parameter with the light button on the picture the button number of shocks 2000 Set the required values and return to the previous screen by pressing the enter 8 button If you do not want to enter any values or change the selected parameter leave the window with the numeric keypad by pressing the esc 10 button If you enter a value out of the allowed range of values stated above the entering box or the device cannot set it then the value is rounded to the nearest lower allowed value INSTRUCTIONS FOR USE PAGE 15 OF 47 N Q Sy 2 5
28. body is not strained by pharmaceuticals except a short term effect of local anaesthesia possibility to prevent from necessity of surgical intervention and relevant hazard e thanks to ambulatory treatment the absence from work reduces to a minimum as well as the absence from training routine of sportsmen e for some indications e g tennis elbow there is basically no other effective treatment POSSIBLE SIDE EFFECTS AFTER THE SHOCKWAVE TREATMENT erythema or swelling can temporarily occur in the treated area 1055 of bodily sensation or itching can temporarily occur in the treated area e momentary increase of pain can appear immediately after the treatment e haematoma petechia e skin damage after previous corticoid therapy e shockwave application can cause undesirable heart activity INDICATIONS FOR THE SHOCKWAVE TREATMENT e plantar fasciitis e achilodynia achillobursitis e inflammations and calcification of shoulder joint tendons pain in the groin area e epicondylitis tennis and golf elbow e apex patellae syndrome and tibial stress syndrome pain in the area of the hip and the iliotibial tract e jumper s knee patellar tendinitis e pain in the hamstring insertions pain on the palmar side of the wrist e exostoses of small hand joints in case of grade 1 arthrosis e acupuncture pain trigger points painful points in muscles GENERAL CHARACTERISTICS OF THE DEVICE PAGE 8 OF 47 CSD
29. et Eee se Insulation 4V 1 VOUT l Fou E RT CT ISENSE i 8 zl 9 8 D a i t GND PWR GND FS_vCC 1 gL Footswitch 8 L Led sd 146 i ji 8 1 lt H R188 R208 1 FOOTSWITCH PEND E i PEND PGND 5 3 p GND GND Estimoted droin bellow 500mA R209 R173 Ton delay 1s 3 3V R218 Ren i Estima a l 730 5 us U14 Der R210 5 4 5 KA T T 7 GND 1 8 GND OFF YN OUT E R s 3 5 ad sl s lenp ell 2 a B x4 052 8 a 1 az Tr mm 5 3 g BL y GND GND GND GND GND t 4 4 a 5 5 Al GND_5 a GND 1 1 1 1 I py by do A Er ooo Bl PA l RS232 CONNECT l 4 l VCC SLINK gl alg 735 lt 5 T ki J5 i M o 2 g GND_SLINK H 0724 X 8 fa 1 s go 8 us he Hn lt m ow 8 2 ee A a 0725 1 a e 2 6 v cit 5 5 1 6 EA i 717 lt 0722 Ct L sy cat HE A GND_SLINK GND_SLINK GND_SLINK GND_SLINK cz N 230 J18 16 14 tourt TINI L 18 R226 7229 7 1200 Tain 10 g i 2x connected 8227 120 GND SLINK R228 13 IRIN RIOUT 12 8231 120 XOU 5232 CONNECT pe R2IN R20UT 9 R248 i lt lt i lt GND 5 4 0715 0734 GND SLINK l GND_SLINK GND_SLINK i um ILINK_RST iiis l iz FAST CONNECT Il 5 Rt Hr qet s T_T 7 5 8
30. is internally modified before loading so that it corresponds to the configuration of the device The exception is files for colour and b w device which are so much different that they cannot be mutually substituted and modified This automatic control is fully functional if there have not been any major hardware changes in the device If there have been such changes it is necessary to load the correct new configuration i e file with the correct new hardware configuration at least once to the device A typical example is replacement of the supply part in physiotherapy devices by a more powerful one in such case it is not possible to load the universal file to the device as usually but at the first loading after the replacement it is necessary to load to the device a specific file containing this change Next loading works standardly with the automatic configuration It is possible to upload to several devices at the same time their number is limited only by the number of COM ports on the PC Each of these devices has its own Firmware Loader session running During loading do not move the window with the running application in the Windows environment otherwise there is a risk of a programming error in such case restart programming Picture of the upload cable of the compressor unit connected with the USB COM adapter SERVICE UPLOAD OF APPLICATION INTO THE COMPRESSOR UNIT PAGE 6 OF 6 gt 12 13 14 1
31. movement of the applicator on related areas 1110 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 14 OF 15 CSD 3TRIGGER POINTS Program W 0111 program W 0111 trigger points Therapy parameters type continual pressure 2 frequency 10 number of shocks 2000 scar area no Patient position depending on the treated area Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of trigger points by means of palpation Application of gel Apply directly on trigger points in the whole area 1118 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 15 OF 15 CSD BTL 5000 SWT Service Mode USER S MANUAL 5 1 BRIEF DESCRIPTION OF THE SERVICE MENU SERVICE MODE 3 2 ENTERING THE SERVICE MODE 3 3 DESCRIPTION OF INDIVIDUAL SERVICE MENU 5 2 2 4 3 1 Distributor LOCALIZATION coo es 4 3 1 1 Initial LOGO Of DEVICE Mee PE 4 3 1 2 1 0 4 3 1 3 Initial Address TIEREN 5 3 1 4 Defaults E e E IE 6 3 1 5 View the Opening SCKECM m 6 3 1 6 System LANGUAGE ee
32. of Display GoOntraSt u uu u ua ata 28 3 2 6 Date Time Setfing u u an fede 28 3 2 7 Language Selling ERR 28 3 2 8 Operation suu ecg vat eons ee l 28 3 2 9 Touch HE loro mS 28 3 2 10 User OptONS mS 28 9 2 11 Style of Operation cree ea uc ka pupas 29 32 12 Setting of HW Key uuu s 29 9 2 13 Unit Information aa reet du eate ex da 29 3 22 14 Unlock Code i pr a 29 39 2 15 Service iii a epe UR accu dle e o 29 3 3 _Sp eCGifierSetlingSu ss u E E hisa us se 30 3 3 1 Shockwave Settingan A ii Ah De ahe E 30 3 3 2 Applicator Kit Replacement Wizard uu deseni aiiai aaia 31 4 USER OPTIONS e 32 4 1 toad P ta 32 LUMBER 32 4 9 User Diagrioses Programs u un d eeu ert dde o pa ecu p pa aiea 33 4 4 List of Recent Therapies oer c e e hee KVA ved 33 5 APPLICATION OF SHOCKWAVWES eese nennen 34 D EMEN MesIlenil 36 7 MAINTENANCE AND SAFE
33. side of the device Use a screwdriver to gently slide the blade under the cap and take it out Align the accessory holder and secure it with two screws from below 00000000000 00000000000 00000000000 00000000000 00000600000 00000 00000 Installation of supports on the compressor unit The supports are only installed if the compressor unit will not sit on the cart different legs are supplied with the cart The BTL 5000 e stim SWT package includes compressor unit legs which prevent the unit from moving during therapy Screw the supports according to the following picture INSTRUCTIONS FOR USE PAGE 12 OF 47 oS v e Connection of the BTL 5000 SWT main unit with the compressor is accomplished by connecting the communication cable to the input output of the communication link on the relevant unit Plug the communication cable into the link connector on the main unit 31 and into the link connector 34 on the unit of the compressor At first connect the shockwave compressor to the socket and then the main unit of the BTL 5000 SWT device Plug the device directly into the mains socket Do not use any multi connection extension cables or adapters Check the correct mains voltage 230 V or 115 V Before the first connection of the device to the mains it is necessary to check if both the mains voltage switches 26 and 28 are in the position corresponding to local voltage standards eit
34. specification Connection cable PL26 11 2007 PL26 11 2007 TN26 11 2007 P Medical Technologies Kreslil Drown by PL30 10 2007 Materi l Material Konstr Designed by PL30 10 2007 Povrch prava Surface finish M tko Scale Schv lil Approved by TN30 10 2007 List z Sheet 1 of 1 Cislo vykresu Sheet number 014 5506link8w100z2 014 5508PAC7W100 BUz1 BUZ3 9 J1 300mm 10mm VARIOUS COLORS 1 blue modr 2 red erven 3 black ern 4 green zelen 5 yellow Zluz 6 violet fialov 7 white b l NOR WD Zm na Popis zm ny Kreslil Konstruoval Schv lil P v verze Change No Change description Drawn by Designed by Approved by Previous ver change of length cable 21 04 2008 PL21 04 2008 TN21 04 2008 N zev vyrobku patient cable GENER Product name AA PL18 12 2007 Materia 9 4 Konstr Povrch prava M tko CSD PL18 12 2007 Designed by Surface finish Scale Medical Technologies So 18 12 2007 5 1 2 1 014 5508pac7w100z1 014 5509PAC2W100 green red MEC1 y yellow white BUZ2 L 300mm 300mm 10mm BUZ1 N Zm na Popis zm ny Change No Change description Kreslil Drawn b
35. then after its release the device will be set to the option ON OFF see below By selecting the continual mode you will set the generation of the adjusted shockwaves by only one press of the button on the shockwave applicator 18 or the foot pedal 40 to end the generation of shockwaves another touch of the button on the applicator is necessary or pressing the pedal During activated option of the ON OFF mode it is necessary to hold the button of the applicator 18 or the foot pedal 40 pressed throughout the time of the application of shockwaves Releasing the button or the pedal stops the generation of the shockwaves The setting is saved separately for the button of the applicator and for the foot pedal DEVICE MENU PAGE 30 OF 47 3 3 2 APPLICATOR KIT REPLACEMENT WIZARD If after a certain time the applicator stops generating shockwaves correctly it is possible to change the applicator kit following the chapter Procedure of worn out tube and roller replacement Install this replaced kit according to the displayed instructions Procedure of the applicator kit replacement on the device 1 2 Connect the original applicator to the compressor Start the applicator kit replacement guide Now disconnect the original applicator from the compressor and complete the replacement of the kit see the chapter Procedure of worn out tube and roller replacement After completion of the kit replacement connect the applicat
36. to picture 8 see attachment Set the test voltage to 1 800 V Start generation of the test voltage Wait until the values on the display are steady Write down the measured value The maximum permissible value of the measured current is 5 LA b Connect according to picture 9 see attachment Assure that box is placed on nonconductive pad Set the test voltage to 4 800 V Start generation of the test voltage Wait until the values on the display are steady Write down the measured value The maximum permissible value of the measured current is 5 pA Be cautious there is 4800V applied to box frame Assure that nobody touches it c Connect according to picture 10 see attachment Set the test voltage to 4 800 V Start generation of the test voltage Wait until the values on the display are steady Write down the measured value The maximum permissible value of the measured current is 5 uA 3 AG30 05 2008 014 96swtbox102z3 d Connect according to picture 11 see attachment Set the test voltage to 4 800 V Start generation of the test voltage Wait until the values on the display are steady Write down the measured value The maximum permissible value of the measured current is 5 pA e Connect according to picture 12 see attachment Set the test voltage to 4 800 V Start generation of the test voltage Wait until the values on the display are steady Write down the measured value The maximum permissible value of the measu
37. 1 8 CONTRAINDICATIONS TO THE SHOCKWAVE TREATMENT e application to certain tissues eyes and their surroundings myocardium spinal cord gonad kidneys liver e coagulation of blood disorders polvpusin the area of treatment e pregnancy e coagulation of blood disorders and the use of anticoagulants e thrombosis e tumour disease e polyneuropathy e acute inflammation e growing cartilage in children e therapy using corticoids e inapplicable in areas and organs with possible gas content e inapplicable on areas in proximity to large nerves vessels spinal cord and head GENERAL CHARACTERISTICS OF THE DEVICE PAGE 9 OF 47 2 2 1 INSTRUCTIONS FOR USE FRONT PANEL OF THE BTL 5000 SWT Ol 9 O diag button to select diagnosis prog button to select therapy program man button to set therapy parameters manually menu button to set date time language display contrast sounds user options etc user button lists of clients user diagnoses programs and sequences recent therapies etc touch screen ON OFF power switch status indicated by the blue backlight enter key to confirm selection or setting select knob to select and set individual parameters esc key to cancel selection or setting and return to the previous status time stop knob to set therapy time and to start and stop therapy intensity knob to set intensity hand rest of the applicator shock tr
38. 100 D s 2 ss D 1 q 28 J45 8 PIN1 wa lt 54 2 black S gt 2x 16AWG J 17 P 100 250 E 1 BUZ5 silicone PVC insulated tubing 530mm 5mm MOTOR PIN WIRE COLOR LINK 2 black U1 1 red W1 Connectors Description Reference Molex JST AVA Housing 5 08 Pitch J1 Ton 1004250645 ERA 4300 2P Y terminals 123 5168 5167 SVH 21T P1 1 8400 T TA Mating products 5281 NA B2P VB 4 4400 2P Quick connect J4 5 Female Receptable Mating products Schv lil Approved by P v verze Previous ver Konstruoval Designed by Kreslil Drawn by Zm na Popis zm ny Change No Change description correction of PIN1 PL17 04 2008 PL17 04 2008 TN17 04 2008 correction of color wire PL27 02 2008 PL27 02 2008 TN27 02 2008 length change PL26 11 2007 PL26 11 2007 TN26 11 2007 N zev vyrobku Product name change of cable AWG supply cable POWER PL12 11 2007 PL12 11 2007 TN12 11 2007 GID Medical Technologies Kreslil Drown by PL30 10 2007 Materi l Material Konstr Designed by PL30 10 2007 Povrch prava Surface finish Scale M tko Schv lil Approved by I N30 10 2007 List z Sheet 1 of 1 slo v k
39. 257 KON250 MEC250 9 9 BTL 014 SWT BOX GID Drown by PL17 01 2008 materia _ Genesis PL17 01 2008 rise thin Seales py TN17 01 2008 54 22 Sees O14 psswtbox104 014 psswtbox104 9 EE 35 Z SE a _ 9 Y 8 N QN ge se tw Rt LL i N 2 Si mm Z lt z 88 m 15s 2588 a o F 55 58 o P m lt o lt ajoc B is DN 5 2X 25 20 59 3 z o lt O lt 110 117 5 110 117 ASSY MEC400 A 014 PUMPSETDxxx SRO410 41 N SRO420 427 KON404 407 __ MAT420 427 7 MAT410 413 SS POD410 413 ___ KON402 Nazev vyrobku BTL 014 SWT BOX Product name T Ker PL17 01 2008 Matera 6 Designed by PL17 01 2008 Surface fish Seales MEDICAL Schv lil List z slo v kresu TECHNOLOGIES Approved by TN17 01 2008 Sheet 6 of 22 Sheet number 014 psswtbox1 04 ASSY MEC400 B 014 PUMPSETGXXX KON404 407 N __ POD424 427 POD420 423 8 4 30 17 8 4 8 6 5 MAT420 423 MAT410 413 POD410 413 BTL 014 SWT BOX oa by PL17 01 2008 M tko
40. 5 014 96swtbox102z3 Test Protocol Type of device BTL SWT BASIC BTL SWT ESTIM BTL AWT BASIC BTL AWT ESTIM BTLSWTPOWER BTL EAT LI BTL POWER OOOO Serial number uu a er ip T Fav EET PERO Kawza cays test device TKO1 Meditest Multimeter TMO3 reg Cable 270 232 USB10022 reg Cable 214 55load100 reg Touch memory porgramming device reg n nn narrar OEN Measuring conditions ambient temperature l L n Atmosphere assassins mains voltage 215 to 240 V Burn in of device Time of burn in hrs Burn in OK L Yes O Appearance check OK see Sa Fa a aka saqsa ass L Yes O The device does not clatter when 1 mee O Yes L No Type manufacture and safety labels are properly Yes L1 Voltage switch 115V 230V is in position by order 115 or 230
41. 559 014 psswtbox104 KAB145 KON190 MEC190 _ A com in out fuse 2xT6 3A IOO IPOV 50 SOHz 200 240V 50 60Hz in out outA A AB 2 out B Tupe BTL SOOO SWT MEC200 frar ux MEC205 210 N zev v robku BTL 014 SWT BOX GID Dow 17 01 2008 materia onstr ovrch prava tko v by PL1 7 01 2008 2 finish bet MEDICAL TECHNOLOGIES 945 TN17 01 2008 5 1 22 S85 044 psswtbox104 Sheet number GENPNEU BOARD 151 CONNECTION OF GENPNEU 1xx BOARD GENPNEU BOARD MEC151 MEC325 30 mm m MEC320 MEC335 MEC142 24V P o o 70 o o tv MEC315 MEC340 MEC110 MEC355 2 BUZ355 lt 1 MEC360 HAD165 oni HAD135 MEC380 KON200 Maven BTL 014 SWT BOX sian A m Kreslil Materi l A Drown by PL17 01 2008 Material CSD uuo mamwmee TECHNOLOGIES py TN17 01 2008 20 22 014 psswtbox104 CONNECTION OF MAINS 1xx BOARD MAINS BOARD MEC12 MEC142 MEC320 220 J3 310 42 J13 J5 142 300 305 310 315 MEC MEC MEC MEC EC MEC315 N zev BTL 014 SWT BOX Drownty PL17 01 2008 materia V onstr ovrch prava tko lt Desig
42. ART STOP and the ENTER button and when holding them pressed switch the device on The display should remain dark and after a while approx 10 seconds the device should play a short tune If so the device is in the mode for upload of firmware by external serial line Connect the loading cable to the com out connector on the rear panel The other end of the cable connect to the serial port of the PC it is also possible to use the USB COM adapter Start the FirmwareLoader exe program on the PC We recommend setting the communication speed to 115200 bit s The version of the loader can be found out after loading of HW Info see below If you are not sure you can leave this item checked off the loading will work even with the new devices but it will be slower Set the proper communication port tab and communication rate It is possible to use the Auto find function which will try to find the device in all available serial ports only the ports really connected to the computer are displayed To check the connection with the device at any time press the Check connection button in the program If everything works OK the dialog box with the message Unit present must appear then If there appears the message Unit not found the computer cannot connect to the device for a reason it is necessary to find out why try to repeat the previous steps with other communication rate check the cable etc PROCESS OF UPLOA
43. B 2P VH 4100 2PST Zm na Popis zm ny Kreslil Konstruoval Schv lil P v verze Change No Change description Drawn by Designed by Approved by Previous ver change of connector PIN at J1 PL10 08 2008 PL10 08 2008 TN10 08 2008 length change PL26 11 2007 PL26 11 2007 TN26 11 2007 change of connector PIN at J1 PL12 11 2007 PL12 11 2007 TN12 11 2007 N zev vyrobku Product name Operating cable AA DBrownty PL30 10 2007 bi gt Konstr Povrch prava M tko WA Designed bv PL30 1 0 2007 Surface finish Scale edical Technologies hv lil List slo TN30 10 2007 Sheet 1 of 1 1 014 5505control2w100z3 014 5506LINK8W 100 L 350mm WIRE COLOR NC green blue pink yellow brown PIN1 green blue pink yellow brown ES Com m J1 terminals J2 J7 Connectors Description Reference Molex JST AVA Housing 3 96mm pitch J1 VHR 6N 4200 6P female terminals J2 7 4200 T Mating products B 6P VH 4100 6PST P v verze Previous ver Zm na Popis zm ny Kreslil Konstruoval Schv lil Change No Change description Drawn by Designed by Approved by BUZ2 6 added PL 18 07 2008 PL18 07 2008 TN18 07 2008 Nazev vyrobku Product name length
44. BTL 5000 SWT Series SERVICE USER GUIDE 10 11 12 13 USER S MANUAL 3 THERAPEUTIC 50 SERVICE MENU MANUIUJAI ean 65 TROUBLESHOOTING irt tt e ER i ient altere dieu eder RS 86 PROCESS OF UPLOAD OF APPLICATIONS FROM PC BY SERIAL LINE END USERS s 89 PROCESS OF UPLOAD OF APPLICATIONS FROM PC BY SERIAL LINE FOR SERVICE nette uua RE Lr ifia iet pieta uns 94 PROCESS OF UPLOAD OF APPLICATION IN THE SWT COMPRESSOR UNIT FROM PC BY SERIAL LINE FOR 2 1 100 OUTPUT CONTROL 106 BLOCK DIAGRAM itii a e E 110 ncn 113 LIST OF H 127 ELECTRICAL SHEETS AND 5 130 ASSEMBLY DRAWYINGS 2 5 inerti Ep bad ed alae deris 137 BTL 5000 Shockwave Series USER S MANUAL BEFORE YOU START Thank you for showing your interest and buying our device the BTL 5000 SWT Series We hope you will be satisfied and thanks to you this device will help many patients All of us at BTL wish you every success with your BTL 5000 SWT Series We pride ourselves on being as respons
45. D PAGE 3 OF 6 gt Firmware Loader for Factory 5 91 Settings Unit info Programming Hw Key Serial Number Service Resources Bin file info File name to programm C dokumentvADI 4 SEgener304 105 Bol Programm file 9 Programm File amp uto CI Apply modify Status Progress amp amp f Check unit Switch to Boot Abort action Restart unit Close The version of the loader can be found out after loading of HW Info see below If you are not sure you can leave this item checked off the loading will work even with the new devices but it will be slower Set the proper communication port Settings tab and communication rate It is possible to use the Auto find function which will try to find the device in all available serial ports only the ports really connected to the computer are displayed To check the connection with the device at any time press the Check connection button in the program If everything works OK the dialog box with the message Unit present must appear then If there appears the message Unit not found the computer cannot connect to the device for a reason it is necessary to find out why try to repeat the previous steps with other communication rate check the cable etc PROCESS OF UPLOAD PAGE 4 OF 6 UNIT HW INFO Switch over to the Unit info tab and press the Reload button in the upper left corner of the window The percenta
46. IES The device is not designed for use in connection with different accessories and other medical equipment except those stated in this manual The following list includes a summary of all accessories that can be supplied with the device For detailed information on individual accessories see the enclosed leaflet Standard BTL accessories e 1x trolley for the BTL 5000 SWT 1 shockwave applicator with multi focus shock transmitter 15mm e 1 replaceable multi focus shock transmitter e 1 replaceable focusing shock transmitter 15mm e 1 exchangeable kit includes a spare set of O rings e 1 applicator holder e 1x gel 1000 ml e 1 power cord e 1 communication cable e 4x silent blocks for compressor unit e 1 spare fuse T1 6A 250V for the main unit e 2 spare fuse T6 3A 250V for the compressor unit e 1x pen for the for touch screen e 1x CD with the user s manual e 2 dust cover of the main unit e _ markers for output cables Optional BTL accessories e transport case for the BTL 5000 SWT e additional shockwave applicator with focusing shock transmitter foot pedal e gel 300 ml ACCESSORIES PAGE 36 OF 47 P 7 MAINTENANCE AND SAFETY INSTRUCTIONS Service inspection and measuring of all parameters of the device and relevant recalibration must be executed at intervals shorter than 30 calendar months The inspection is carried out by authorised BTL customer service on the basi
47. ING ZERO INTENSITY TIME After the end of the therapy you can choose if you want to leave the adjusted data of time and intensity on the screen in zero values or display the values of the last performed therapy e REPEAT SOUND FOR END This item can switch on off the function of repeated warning tone of the therapy end SETTING OF HW KEY The device can be remotely configured For example if you later decide to purchase the upgrade the manufacturer distributor will send you 64 digit code so called HW key that you will enter and the device will reconfigure its hardware according to the entered key For the actual HW configuration see the chapter Unit information UNIT INFORMATION This item shows certain information about the device serial number device type firmware version etc It also contains the information up to when the device will operate so called device validity If the operation of the device is time limited this item indicates until which date the device stays fully functional UNLOCK CODE If the operation of the device is time limited then in this item you can enter the so called unlocking code for cancellation of the operational time limitation of the device SERVICE FUNCTIONS e REPAIR OF FILES This checks the file system in the device system of saved information and repairs possible errors deletes empty files etc We recommend using this feature in the case of lack of memory if the devic
48. JECTILE REPLACEMENT If the applicator stops working correctly after a certain time it is possible to change the worn out system of tube and projectile by using the exchangeable kit that is part of the BTL 5000 SWT package Do not use damaged applicators otherwise you may cause risk of injury to the operating staff or the client The packaging of the spare kit includes 1 exchangeable kit e 1 key to unscrew screw the cartridge screw cap e 1x plastic covering of the exchangeable kit e 1x set of spare O rings Replacement procedure 1 Firstly according to the chapter Applicator kit replacement wizard start guide of the kit replacement 2 Unscrew the screw cap of the shock transmitter by hand 15 zd 3 Remove the shock transmitter from the applicator 14 including both O rings O rings MAINTENANCE AND SAFETY INSTRUCTIONS PAGE 39 OF 47 oS gt 4 Using the key part of the packaging unscrew the screw cap of the cartridge follow the pictures 5 Remove the worn out kit from the cartridge of the applicator 6 Take out a new replaceable kit from the plastic cover MAINTENANCE AND SAFETY INSTRUCTIONS PAGE 40 OF 47 oS gt Carefully insert the kit as it is into the cartridge of the applicator in the direction shown in the picture do not touch the rear cover behind the spring as it is coated with a thin layer of lubricant from production The front cover of the kit must b
49. LESHOOTING Fault description After pressing the ON OFF switch nothing happens Checking out Error localization is the main switch of each device in the I position Result Action Remedy swtch the main switch in the I position Is the compressor unit connected with the main unit by the communication cable connect the compressor unit by the communication cable with the main unit is the 115V 230V switch in the proper position Switch the switch over to the proper position corresponding to the local mains are the fuses of the main unit OK replace the fuses The applicator gives strange noise generation of shocks is irregular Low energy of the applied shocks at the max setting Therapy cannot be started The applicator does not generate shocks is the nut of the bumper tight no tighten the nut of the bumper no tighten the nut of the replacement kit is the nut of the replacement kit tight yes replace the tube and roller kit is the nut of the bumper tight no tighten the nut of the bumper no tighten the nut of the replacement kit is the nut of the replacement kit tight yes replace the tube and roller kit is the generation of shocks irregular no replace the tube and roller kit is the applicator connected properly connect the applicator is the correct channel selected select the channel of the active accessories is there any visible damage of pin
50. OF UPLOAD Lu LLL Se ba du tard daru O 4 4 CONNECTION bio 4 5 LOADING OF FIRMWARE SS itr ap eii span dad dda ka da 5 6 RESET AND DISCONNECTION OF THE 5 PAGE 2 OF 5 NEEDED EQUIPMENT AND TOOLS program equipment FirmwareLoaderMini exe version 5 91 or higher hereinafter FirmwareLoader Serial loading cable PC with MS Windows operating system and a serial port it is possible to use a USB COM adapter CONTROLS OF FIRMWARELOADER 1 2 ES Firmware Loaderjfor Users 5 91 File name to programm C dokumenty 038 56auto609R101_PCBY_120_200_cvgal bin 3 FE Browse file Programm File Auto 4 Programming status Status N A 5 Progress N A Communication port Communication speed 57 600 bits 6 com l 9 115 200 bits s w Ready 9 10 1 path and name of the file with new firmware 6 selection of communication port 2 button for starting of upload of new firmware 7 setting of communication speed 3 button for searching for a file with new firmware 8 button for check of correct connection of the device to PC 4 process of upload of new firmware 9 button for restart of the device 5 button for automatic searching 10 button for termination of the program FirmwareLoader APPENDIX PAGE 3 OF 5 PROCESS OF UPLOAD Switch the device off by the mains switch rocker switch on the rear pa
51. RVICE MODE PAGE 17 OF 21 3 6 3 6 1 3 6 2 3 6 3 3 6 4 3 6 5 SERVICE FUNCTIONS FORMAT AND SCANDISK The functions work in the same way as the similar service functions in the standard operation Attention Function format deletes all user data and settings in the device BURN IN Similar to the function in factory settings see above FINAL CHECK Similar to the function in factory settings see above PC BRIDGE A specialized function for control of internal generators in the device directly from the PC The device switches over to the mode in which it only forwards data from PC to the respective generator This function is used for development and service purposes VENTILATOR TEST A separate function for testing of the ventilator in the device After pressing of this button the ventilator is switched on at full speed switched off The ventilator status must correspond to the indication on the display shockwave statistics shockwave service mode scandisk Ain leak test ofi the SWT system burn in Safety valve check final check _SWT pulse length _ PC Bridge SD cand services speaker test delete all key files buttons test region settings knobs test RTC time and date ventilator DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 18 OF 21 3 6 6 3 6 7 3 6 8 SPEAKER TEST This function serves for testing of correct connection of the speaker Pressing of this button starts s
52. TL Industries Limited operates a policv of continuous development Therefore it reserves the right to make changes and improvements to the products without prior notice The content of this document is provided as it is Except as required by applicable law no warranties of any kind either expressed or implied are made in relation to the accuracy reliability or contents of this document BTL Industries Limited reserves the right to revise this document or withdraw it at any time without prior notice TECHNICAL PARAMETERS PAGE 46 OF 47 9 DEVICE CONFIGURATION BTL 5000 SWT BASIC BTL 5000 SWT POWER Number of shockwave therapies 1 1 colour touch screen Display diag diag 5 7 colour touch screen diag 8 4 Client s records x x Encyclopaedia Encyclopaedia with anatomical pictures Predefined diagnosis Preset programs Language versions Sound schemes Colour schemes Recent therapy Electrotherapy upgrade Laser therapy upgrade Magnetic therapy upgrade Ultrasound therapy upgrade x Additional applicator optional Shockwave parameters Pressure 1 5 5 Bar Frequency 1 22 Hz Individual shocks mode Continual mode Burst mode Possible simultaneous connection of two applicators DEVICE CONFIGURATION PAGE 47 OF 47 ED BTL THERAPEUTIC ENCYCLOPAEDIA 2 calcanei
53. TY u uu uu 37 7 1 1 Shock Transmitter Replacement Procedure eene enemies 38 7 1 2 Procedure of Worn out Tube and Projectile Replacement 39 7 2 Safety ol the DBvIC6 dere Ep HOHER Oe 42 7 3 Waranty Conditions Eases a 43 8 TECHNICAL PARAMETERS ceterae sock nn U na Dr mana na cn KK Ke e aa 44 8 1 Applicable rere i ka tenen cri Re ee ae maaa aa Gli idee 45 8 2 IM uuu s t O 46 9 DEVICE CONFIGURATION U nnne 47 PAGE 4 OF 47 GENERAL CHARACTERISTICS OF THE DEVICE The BTL 5000 SWT Series is a modern device enabling the application of therapies by using no invasive shockwaves Shockwaves are one of the most effective ways of treatment of pain connected to the musculoskeletal system Today this is the second most frequent reason of absence from work The devices are equipped with a colour touch screen on the main unit and considerably simplifies the use of the device The touch screen is equipped with a touch pen for easy operation of the device A vertically positioned device enables you to see the information on the screen clearly from different servicing positions In addition the brightness of the display can be adju
54. This operation be accomplished only by person familiarized with this procedure If in doubt contact the authorised BTL customer service The manufacturer is not responsible for any damage incurred by incorrect switchover Transport and storage We recommend retaining the original packaging of the device to ensure its maximum protection during transportation Disconnect the mains cables and the accessories cables Avoid heavy shocks The device must be stored or transported under the conditions defined in the chapter Technical parameters SHOCK TRANSMITTER REPLACEMENT PROCEDURE The shock transmitter 14 can be replaced by another one as necessary three shock transmitters are the part of the BTL 5000 SWT standard accessories e 1 replaceable multi focus shock transmitter 15mm e 1 replaceable multi focus shock transmitter 9mm e 1 replaceable focusing shock transmitter 15mm Replacement procedure 1 Unscrew the screw cap of the shock transmitter by hand 15 TA 2 Remove the shock transmitter from the applicator 14 including both rings amp gt eo O rings 3 Insert the selected shock transmitter as it is to the applicator including the mounted O rings pannuna 4 Put the shock transmitter s screw cap of the applicator back on and screw it tightly by hand 15 MAINTENANCE AND SAFETY INSTRUCTIONS PAGE 38 OF 47 ED v PROCEDURE OF WORN OUT TUBE AND PRO
55. after the replacement it is necessary to load to the device a specific file containing this change Next loading works standardly with the automatic configuration It is possible to upload to several devices at the same time their number is limited only by the number of COM ports on the PC Each of these devices has its own FirmwareLoader session running During loading do not move the window with the running application in the Windows environment otherwise there is a risk of a programming error in such case restart programming APPENDIX PAGE 6 OF 6 BTL 5000 SWT Service process of the upload of application in the SWT compressor unit from PC via the serial line USER S MANUAL 5 1 GENERAL INFORMATION L asa da aa aaa Pad 3 2 NEEDED EQUIPMENT AND TOOLS nnn 3 3 CONNECTION TO u a abu bad d duwa ad 3 4 UNIT HW dliem 5 5 LOADING OF FIRMWARES SSA dad ad 5 6 RESET AND DISCONNECTION OF THE u 5 7 APPENDIX SUPPLEMENTARY DESCRIPTION AND EXPLANATION 6 PAGE 2 OF 6 GENERAL INFORMATION Application shall be loaded into the assembled equipment containing an application or the program loader NEEDED EQUIPMENT AND TOOLS
56. ainful point with approx 1000 shocks then apply successively in the entire shoulder girdle last 400 pulses apply with a frequency of 15 Hz Note We recommend performing ultrasound localization of calcifications Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1114 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 10 OF 15 CSD PATELLAR TENDINOPATHY JUMPERS KNEE Program W 0102 program W 0102 patellar tendinopathy jumpers knee Therapy parameters type continual pressure 2 frequency 10 number of shocks 2000 scar area no Patient position lying on back supported knee Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painful points by means of palpation on the edges of the patella and the insertion of m quadriceps femoris Application of gel Start the therapy with 400 shocks 2 bar 5 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks then apply successively on additional painful points on the thigh Increase the energy gradually up to 3 bar according to the patient s reaction last 400 pulses apply with a frequency of 10 Hz Note If needed the number of shocks may be increased by additional 2 000 during one application Painful points are indi
57. alization of painful points by means of palpation along the Achilles tendon Application of gel Start the therapy with 400 shocks 2 5 bar 5 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks always longitudinally along the tendon then apply successively on additional painful points in the calf Increase the energy gradually up to 3 bar according to the patient s reaction last 400 pulses apply with a frequency of 10 Hz If needed the number of shocks may be increased by additional 2 000 during one application Note We recommend ultrasound examination of the Achilles tendon especially in the patients who have formerly received local administration of corticosteroids Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1108 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 3 OF 15 CSD CALCAR CALCANEI PLANTAR FASCIITIS Program W 0100 program W 0100 calcar calcanei plantar fasciitis Therapy parameters type continual pressure 2 5 frequency 10 number of shocks 2000 scar area no Patient position Lying prone leg supported under the ankle Manual localization of the painful point by means of palpation Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painf
58. anel in a round black box 27 Fuses of the shockwave compressor are placed on the rear panel of the unit in a round black box 37 Check the accuracy of the inserted fuses during their replacement The main unit 25 and the shockwave compressor 35 both use different types of fuses Before replacement first make sure that the mains switches of the main unit 25 and the shockwave compressor 35 are in 0 position and disconnect the power cords from both units Use a suitable screwdriver or a coin to turn the segment of the fuse case to the left and remove the fuse Insert a new fuse and finish the replacement similar way but turn it to the right It is prohibited to insert a fuse with different indication than mentioned on the sign above the fuse box This operation can be accomplished only by a person familiarized with this procedure Switching the device to different mains voltage The witch of the main unit 28 is placed under the device in a round black box The switch of the shockwave compressor 38 is placed on the rear panel of the unit Before switching over firstly make sure that the power switches 25 35 are in the 0 position and disconnect the power cords from the device Use a suitable screwdriver or a coin to turn the segment of the switches so sign on the switch with the arrow pointing to correspond to the voltage of the local mains distribution system MAINTENANCE AND SAFETY INSTRUCTIONS PAGE 37 OF 47 oS gt
59. ansmitter of the applicator shock transmitter screw cap of the applicator connector of the applicator guide mark of the connector applicator button for therapy start power activation indicator of the compressor indicator signalling ready to generate shockwaves ready active tab indicator for the applicator output out A active tab indicator for the applicator output out B handles for easy transport of the compressor unit BTL 5000 SWT USER S MANUAL PAGE 10 OF 47 2 2 REAR PANEL OF THE BTL 5000 SWT 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 dummy plugs of the connectors mains switch to switch the main unit on off socket for connection of the mains cable 230 V or115 V to the main unit line fuse of the main unit power switch 230V 115V bottom part of the main unit label with serial number and production date com in communication link input for the main unit for servicing purposes only com in out communication link connector between the main unit and the compressor type plate showing device type manufacturer and safety precautions and warning signs ventilation louver communication link input output for the compressor unit ON OFF power switch for the compressor unit Socket to connect the mains cable 230 V or 115 V to the compressor unit line fuses of the compressor unit power switch 230V 115V of the compressor unit connectors for the shoc
60. ated by label above the fuse box Proceed as follows a Measure according to picture 1 see attachment The upper switch of the Meditest device is in position Unikaj c proud Leakage current Measure in position S t Pr stupn st Mains Accessible Part indirect of the lower switch Write down measured value The maximum permissible value of the measured current is 900 LA single fault condition indirect methode Measure in positions S P stupn st Mains Accessible Part direct and differential of the lower switch Write down the worst measured value The maximum permissible value of the measured current is 450 normal condition direct methode and differential methode b Measure according to picture 2 see attachment The upper switch of the Meditest device is in position Unikaj c proud Leakage current Measure in position S P lo n st MAINS Applied Part Indirect of the lower switch Write down measured value The maximum permissible value of the measured current is 200 LA single fault condition standard requires less than 450 Measure in position S P lo n st MAINS Applied Part direct of the lower switch Write down measured value The maximum permissible value of the measured current is 90 normal condition c Measure according to picture 3 see attachment The upper switch of the Meditest device is in posi
61. available serial ports Note In some types of computer this function may not work reliably Check the connection with the device by the Check connection button 8 If everything works OK the dialog box with the message Unit present must appear after pressing this button If there appears the message Unit not found the computer cannot connect to the device for a reason it is necessary to find out why try to repeat the previous steps with other communication speed check the cable etc Note If the program does not find the device on the first try it is suitable to press the Check connection button 8 for several more times the device could respond later APPENDIX PAGE 4 OF 5 LOADING OF FIRMWARE ATTENTION Loading of firmware is a very delicate process which under certain conditions can disable work with the device The loading program is designed to minimize the possibility of an error however some risk still remains Therefore it is recommended that you have some experience with computers before performing this action Do not switch the device and or the PC during loading incorrectly loaded firmware could cause locking of the device this status could require even a servicing intervention of the manufacturer During loading do not move the window with the running application in the Windows environment otherwise there is a risk of a programming error in such case restart programming Pres
62. aves are aimed at the affected areas that are the cause of chronic pain The influence of shockwaves leads to for example dissolution of calcic deposits and better vascularisation and in its final effect it causes relief of pain Outside the client s body extracorporeally a pressure pulse with a high amplitude is generated and its energy is concentrated into the target area in the body The pressure pulse without major losses travels through a water medium to the client and penetrates soft tissue The pressure course of the shockwave in time expressively differs from the pressure course of the harmonic sound wave The shockwave is compared to the ultrasonic waves particularly characterized by a pressure jump change higher amplitude and non periodicity In the shockwave the positive amplitude is generally much bigger than the negative amplitude The frequency rate of the shockwaves is usually low Hz units and eventual cavitation disturbance of material consistency rise of cavities will relax Consequently there is no threat of energy exhaustion on cavitations as in the case of continuous ultrasound A substantial part of the shockwave energy penetrates into liquid of the organism with a great positive pressure pulse Its diffusion is only limited by the actual tissue absorption and eventual reflections on acoustic inhomogeneities The shockwave is defined as a pressure pulse with these characteristics High positive pressure amplit
63. calization f the SWT system check final check prog man menu touch panel calibration push the button below Cor ENTER button to start touch screen calibration follow the instructions touch panel function test what is test start calibration CENTER to calibrate DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 12 OF 21 3 5 2 SYST CONTRAST SETTING This function serves for factory setting of the display contrast The stored value is used if the user selects restoration of the factory settings or file system formatting The contrast setting is the same as in the standard mode of the device except in case of fast setting by simultaneous pressing of esc enter and turning of the select knob After selection of this function the screen displays the bar graph with the current value To change contrast turn the select knob The change of contrast appears immediately on the display The set contrast should make the display well readable To save the set value press enter To return to the previous screen without saving the new value of contrast press esc select 7 HEED amis 3 5 3 SYSTEM LANGUAGE This item serves for setting of the language which the device switches to if the user selects to delete all data or to restore the factory settings The screen displays a select menu containing all languages that are loaded in the device The current language has a checkmark to the left
64. cated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1109 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 11 OF 15 CSD RADIAL ULNAR EPICONDYLITIS Program W 0108 program W 0108 radial ulnar epicondylitis Therapy parameters type continual pressure 2 frequency 10 number of shocks 2000 scar area no Patient position lying on back or sitting arms in the right angled flexion in the elbow comfortably supported preferably with a soft elastic pad Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painful points in the area of radial ulnar epicondyle and along the related muscle groups of the forearm Application of gel Start the therapy with 400 shocks 2 bar 5 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks then apply successively in the related muscle groups of the forearm last 400 pulses apply with a frequency of 10 Hz Note Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1115 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 12 OF 15 CSD 17 STIMULATION OF ACUPUNCTURE POINTS Program W 0112 program W 0112 stimulation of acupuncture points Therap
65. d Is the compressor unit connected with the main unit by the communication cable festartihe main unit Internal EEPROM error the configuration has not been written 1406 Internal EEPROM error reading configuration failed 1407 Internal EEPROM error reading failed Internal voltage out of range 22V 26V replace the supplv adapter inside the compressor unit replace PCB 014 52GENPNEU replace PCB 014 52MAINS replace applicator check and repair all pressure connections from proportional valve to output connector replace the proportional valve Does the supply adapter inside the compressor unit work well Does has the adapter output voltage 24V Do you hear any signs of leaking the air from applicator and or Difference between set pressure output pressure of proportional valve is too high Do you hear any signs of leaking the air from compressor unit connect all connections in the compressor unit Are connections inside the compressor unit connected properly properly PAGE 3 OF 3 BTL 5000 BTL 5000 SWT BTL 4000 Topline Process of Upload of Application from PC by serial line for end USER S MANUAL 5 1 NEEDED EQUIPMENT AND n EAn a ANAE a sn dada 3 2 CONTROLS FIRMWARELOADER I u u u u u uuu u u 3 3 PROCESS
66. d of the applicator must be in immediate contact with the skin and subcutaneous tissue BIOLOGICAL EFFECTS OF THE SHOCKWAVE The shockwave effects mainly occur at sites where there is a change in impedance such as the bone soft tissue interface There is an improvement of regeneration and repair of tissues in the following areas and achievement of the following effects e cellular effect increase in transmittance of a cell membrane improvement of ionic channels activity stimulation of cell division stimulation of cellular cytokines production reproduction of vessels in the area of tendons and muscles improvement of blood circulation and MTB increase in concentration of growth factor beta 1 chemotactic and mitogenic effect on osteoblasts e effect on nitrogen oxide system bone healing and re modelling e improvement of micro circulation and metabolism e dissolution of calcic fibroblasts e support of collagen production e reduction of tissue tension e analgetic effect destruction of afferent nerves and nerve receptors CNS stimulants sensed as pain are also inflammation transmitter substances regression of pain caused by local ischemia gate control theory of pain GENERAL CHARACTERISTICS OF THE DEVICE PAGE 7 OF 47 CS 1 5 1 6 1 7 ADVANTAGES OF THE SHOCKWAVE TREATMENT e targeted operation of the shockwave strain of surrounding tissues is quite insignificant e
67. e adjusted in position shown in the picture and inserted in one level with the edge of the outer case of the applicator push the kit a tiny bit inside the case of the applicator The replaced kit must move freely 10 11 12 After the insertion of the kit firmly screw the screw cap of the cartridge back using the key When replacing the applicator kit we recommend replacing the O rings on the applicator attachment too Spare O rings are included in the accessories Then put the applicator attachment 14 with both O rings replaced back in Insert the shock transmitter back to the applicator 14 including both O rings Put the screw cap of the shock transmitter back on and screw it tightly by hand 15 Connect the applicator back to the BTL 5000 SWT device and finish the installation of the new kit according to the chapter Applicator kit replacement wizard MAINTENANCE AND SAFETY INSTRUCTIONS PAGE 41 OF 47 7 2 SAFETY OF THE DEVICE ATTENTION A A Only accessories connected to the connectors marked as follows can be applied to the client The client s part is of BF type Attention the values of power electric current or voltage can exceed the safe values of the power current and voltage The device is equipped with a protective system against the connection of different equipment other than supplied by the manufacturer consequently it does not allow for operation with equipment from other manufacturer
68. e is carried out by third parties In case of malfunction of the device always contact the authorized BTL service centre MAINTENANCE AND SAFETY INSTRUCTIONS PAGE 43 OF 47 8 TECHNICAL PARAMETERS Identification of the device BTL 5000 SWT BASIC BTL 5000 SWT POWER Operating conditions Ambient temperature Relative humidity Atmospheric pressure Position Type of operation Transport and storage conditions Ambient temperature Relative humidity Atmospheric pressure Position of the main unit Position of the compressor Storage time Additional conditions Power supply Main unit max Input Compressor maximum input Mains voltage switched Frequency Equipment protection class External exchangeable fuse Power switch according to IEC 601 1 Design Weight main unit only Weight compressor unit Weight applicator Main unit dimensions w x h x d Compressor unit dimensions w x h x d Dimensions applicator w x h x d IP code according to EN 60 529 Display units Graphic colour touch screen Indicators Classification Applied part type Class according to MDD 93 42 EEC TECHNICAL PARAMETERS PAGE 44 OF 47 10 C to 40 C 30 to 75 700 hPa to 1060 hPa vertical on legs permanent 10 C to 55 C 25 to 85 650 hPa to 1100 hPa any basic max 1 year transport only in the supplied packing 80VA 550VA 100 V to 120 V 115 V nominal 200 V
69. e rejects to save any data or if you are in doubt that some data may have been lost etc e FILE SYSTEM FORMATTING If the feature repair of damaged files did not help you select this function Unfortunately together with this formatting you will loose all the user data and user setup of the device e DELETE ACCESSORIES This item will delete all the installed accessories use it when you install the accessories incorrectly e g bad scattered picture on the tab the connected accessories cannot be detected permanently displayed question mark etc e DEFAULT SETTING WITHOUT LOSS OF USER DATA Restoration of all functions of the device the way they were preset by the manufacturer User data clients therapies etc will stay saved DEVICE MENU PAGE 29 OF 47 3 3 3 3 1 SPECIFIC SETTINGS SHOCKWAVE SETTING e COMPRESSOR MODE It adjusts two different types of the mode of pressure control in the system quick start silent mode When using quick start the pressure control in the system is activated during switching the device on therefore the therapy start is instantaneous We recommend using this setting especially during frequent operations The disadvantage of this mode is a higher noise level of the device In silent mode the pressure control in the system is activated only immediately before the start of therapy during entry to the manual screen of the main unit and after leaving the pressure
70. ec position masten Ebi Visible firmware 1 01 power mode extension temperature DESCRIPTION OF THE SERVICE MENU SERVICE PAGE 9 OF 21 3 3 4 LIMITATION This item displays information about the set limitation of the device It contains limitation of all possible items The whole information consists of 8 screens with similar structure For smooth switching among the screens use the buttons with symbols gt gt or lt lt Structure of information The header of the table displays titles of the columns The first column displays what the limitation refers to type of current or therapy number of generators etc The second column labelled HW displays limitation determined by the hardware key of the device The third column displays limitation determined by the software used in the device The fourth column labelled Act displays the resulting current limitation which is set according to the previous two columns and according to the generators which are installed in the device The value YES indicates that the device supports the respective type the value NO indicates that the item is forbidden To return to the previous screen press esc select 3 3 5 DIAGNOSES AND PROGRAMS This item displays information of all diagnoses and programs in the device To return to the previous screen press esc e ag pos configuration information diagnoses and progra
71. ens You can save the therapy always after setting the therapy parameters i e from the screen of therapy parameters see the chapter Therapy parameters screen ergonomic standard and expert mode The following information is saved for each shockwave therapy e Frequency e Number of shocks e Intensity When saving the therapy enter of the diagnosis therapy will be displayed in list of diagnosis under the diag 1 button e Program number will be displayed between programs under the prog 2 button e Description additional information it is displayed in both lists below the line INSTRUCTIONS FOR USE PAGE 23 OF 47 P You can choose the number of the saved program from the numbers 8000 to 8999 The device offers you the lowest available number And during saving it adds a letter of the corresponding compressor belonging to the program So the resulting number can be e g W 8001 for the shockwave therapy 2 9 1 SAVE THERAPY AND ADD IT TO THE CLIENT DATA All therapy parameters that are saved in this item of the menu are the same as the previous item included in the therapy saving menu The saved therapy will also appear in both lists the list of diagnosis and the list of programs In addition it will also display in the list of therapies assigned to the entered client See the following diagram displaying the whole dialog of the therapy saving Set therapy parameters Save therapy
72. ere should appear the standard opening screen of the application and it is possible to standardly work with the device To check that the new version of firmware is loaded in the device see the unit information menu item APPENDIX PAGE 5 OF 5 BTL 5000 BTL 5000 SWT BTL 4000 Topline Process of Upload for service USER S MANUAL En 5 1 GENERAL INFORMATION L asa da aa aaa Pad 3 2 NEEDED EQUIPMENT AND TOOLS nnn 3 3 CONNECTION TO u a abu bad d duwa ad 3 4 UNIT HW dliem 5 5 LOADING OF FIRMWARES SSA dad ad 5 6 RESET AND DISCONNECTION OF THE u 5 7 APPENDIX SUPPLEMENTARY DESCRIPTION AND EXPLANATION 6 PAGE 2 OF 6 PROCESS OF UPLOAD OF APPLICATION FROM PC BY SERIAL LINE FOR SERVICE Application shall be loaded into the assembled equipment containing an application or the program loader NEEDED EQUIPMENT AND TOOLS program equipment FirmwareLoaderService exe version 3 02 or higher hereinafter FirmwareLoader serial loading cable PC with operating system and a COM port it is possible to use a USB COM adapter CONNECTION TO PC Switch the device off press simultaneously the two lower knobs INTENSITY TIME ST
73. evious ver correction of yellow wire on ground wire PL17 04 2008 PL17 04 2008 TN17 04 2008 correction of color wire PL27 02 2008 PL27 02 2008 TN27 02 2008 length change PL26 11 2007 PL26 11 2007 TN26 11 2007 change of cable AWG PL12 11 2007 PL12 11 2007 TN12 11 2007 N zev vyrobku Product name supply cable POWER AA Drownty PL30 10 2007 5 Konstr Povrch prava M tko CSD PL30 10 2007 Designed by Surface finish _ Scale Medical Technologies TN30 10 2007 55 424 014 5501 pow4w100z4 Sheet number 014 5502SPEAK2W100 KAB1 s A 4 2 3mm TINED Leni a e red ENDS W O INSULATION yellow white 2x UL1007 22AWG n NN 450mm 10mm J1 terminals J2 J3 BUZ1 silicone PVC insulated tubing 430mm 5mm Connectors Description Reference Molex JST AVA Housing 3 96mm pitch J1 35977 0200 VHR 2N 4200 2P female terminals J2 3 35922 9002 SVH 41T P1 1 4200 T Mating products B 2P VH 4100 2PST N zev vyrobku Product name Speaker cable AA Drownby PL30 10 2007 Material 4 Konstr Povrch prava M tko V Designed by PL30 1 0 2007 ini Surface finish Scale Medical Technologies Bs TN30 1 0 2007 ur 1 7 2 1 Cislo v kresu 014 5502speak2w1 00 Sheet number 014 5503POW2W
74. f the full opening screen as it will look like on the device s display To exit the screen press enter or esc BTL 5000 SWT POWER STL industries Ltd 161 Cleveland Way Stevenage Hertfordshire SG1 680 UK tel 420 220 517 Ole fax 420 220 515 520 http uxuubtinet com sales btinetcom DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 6 OF 21 3 2 SYSTEM LANGUAGE This item serves for setting of the language which the device switches to if the user selects to delete all data or to restore the factory settings The screen displays a select menu containing all languages that are loaded in the device The current language has a checkmark to the left For selection use the arrows and then press enter to exit the menu without change of language press esc prog man menu user distributor localization initial logo of device prefix of device name initial address englist Tengishicimperial Czech German Polish Spanish SPECIAL SETTING Items from this submenu are relating to the Electro generator 1 prog man menu user system language Default mode function enables to select as a default unit for electro generator the voltage or current unit Slowly change intensity determines the speed of setting p rustku intensity Electro generator maximal steps of intensity determines how many mA will be changed by one slight turning of knob Velikost jednoho kroku prid n intensity Note If y
75. ge status of communication should appear at the bottom of the window After a while a table in the program should list the hardware configuration of the tested device On the Unit info tab you can see the hardware configuration of the device The key data are especially the version of the loader and the versions of particular printed circuits in the equipment Unit info can be updated reloaded from the device at any time by pressing the Reload button LOADING OF FIRMWARE If the information in the Unit info is correct it is possible to start loading of firmware Switch to the Programming tab Press the button with a directory tree symbol to select the file with the application to be loaded to the device 300 56autoXXX C bin or 300 56autoXXX BW bin The selected file is displayed in the upper field The program remembers the last setting Press the Program file auto button to start the procedure which compares the selected file with data from the device if the device is compatible this procedure modifies the loaded file according to parameters read from the device and starts loading of the program to the device If any problem occurs there appears an error message with possible description of the error During loading the program informs about the current percentage status of completion If programming passed OK there appears the dialog box Complete OK Now you can reset and disconnect the device To abort programming press the
76. he device This information serves for service purposes To return to the previous screen press esc Information about RTC time 30 second 2008 year mae DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 11 OF 21 3 4 3 4 1 3 5 3 5 1 DEVICE CONFIGURATION TIME OF USAGE This item serves for checking the operational time limitation of device when the operation of the device is time limited FACTORY SETTINGS SYST TP CALIBRATION This item serves for factory calibration of the touch panel The values saved during this calibration are used if the user selects return to the factory settings or file system formatting The process of calibration is the same as in the standard mode of the device After start of the calibration first touch in the upper right corner of the display follow the displayed instructions then in the lower left corner again follow the displayed instructions Then it is possible to check the successfulness of the calibration when touching the display there should always appear a small white square and the tip of the touch pen shall be inside it It is necessary to test particularly all four corners of the display If calibration is OK confirm and save it by touching in the centre of the display if it is not press esc to cancel the calibration mode without saving changes and start calibration again o le menu_ service special distri or lo
77. he device s real time internal clock Similar to the function in configuration information settings see above SD CARD SERVICES VIEW ENCY PICTURES this items serves for browsing all pictures saved in SD card CREATE FILE LISTS TO SD CARD function is intended ONLY for the production It scans the structure of SD card creates the list of all files on SD card and then this list saves to SD card this list is used when the device starts DELETE FILE LISTS FROM DISC L function is intended ONLY for the production It deletes the file list from the disc L shockwave service mode leak test of the SWT system Safety valve check SWT pulse length view ency pictures service functions delete all key files region settings create file lists to SD delete file lists from disk card L DESCRIPTION OF THE SERVICE MENU SERVICE PAGE 20 OF 21 3 8 DELETE ALL KEY FILES This function deletes all files with HW key in the device Air leak test of the SWT system Safety valve check Are you sure delete all keys region settings Delete all key files 3 9 REGIONAL SETTING This item presets the default setting of device from which the device is starting US market and the rest of the world Safety valve check region settings SWT pulse length service functions SD card senvices delete ey files DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 21 OF 21 BTL 5000 SWT TROUB
78. her in the position 230V or 115V For details see the note Switching the device to different mains voltage in the chapter MAINTENANCE AND SAFETY INSTRUCTIONS In case of any questions please call your BTL distributor Connect the supplied accessories step by step to the output connectors 39 on the rear panel of the shockwave compressor as follows item No 3 on the picture Turn the connector of the applicator so the red spot on its end is in direct line with the red spot on the output connector of the shockwave compressor and then plug the connector in INSTRUCTIONS FOR USE PAGE 13 OF 47 CSD 2 4 2 4 1 WHEN DISCONNECTING THE CONNECTOR hold the grooved end part of the applicator of the connector with your fingers slowly pull the connector towards you and disconnect it carefully WARNING DO NOT TURN THE WHOLE CONNECTED CONNECTOR BY FORCE AS IT CAN DAMAGE THE DEVICE The device detects the accessories specifies the type and displays it on the screen in the appropriate tab In the case of connecting improper accessories by mistake a warning and help will display on the screen with instructions where to connect the appropriate accessories 4 Activate the ON OFF power switch of the compressor unit 35 5 Then turn the power supply switch to switch the main unit ON OFF 25 6 Press the ON OFF switch placed on the front panel of the main unit 7 Note After switching on the device will test all its i
79. ial number etc And mainly it displays for which generator output input the accessory has been intended and the number of already applied shocks INFORMATION ABOUT CONNECTORS In the BTL 5000 SWT this item of the menu only includes the specification of blind connected connectors on the rear panel of the main unit DEVICE MENU PAGE 26 OF 47 CSD 3 2 UNIT SETTINGS This submenu offers the options of setting and displaying these parameters e Password setting e Sound setting e Screen saver and auto switch off e Colour setting e Setting of display contrast e Date and time setting e Language setting e Operation mode e Touch panel calibration e User options e Style of operation e Setting of HW key e Unit information e Unlocking code e Service functions 3 2 1 PASSWORD SETTING This menu can change the code password demanded by the device when it is switched on There is no further work with the device possible without entering this password As standard the device is supplied unlocked with the password switched off 3 2 2 SOUND SETTING This includes acoustic signalling of the pressed buttons touch panel etc and accomplishment of certain operations therapy start therapy interruption end of therapy etc The device includes standard sounding as set from the manufacturer i e signalling the therapy operations All audio tones can be switched off without tones or modified as re
80. ial ports only the ports really connected to the computer are displayed To check the connection with the device at any time press the Check connection button in the program If everything works OK the dialog box with the message Unit present must appear then If there appears the message Unit not found the computer cannot connect to the device for a reason it is necessary to find out why try to repeat the previous steps with other communication rate check the cable etc SERVICE UPLOAD OF APPLICATION INTO THE COMPRESSOR UNIT PAGE 4 OF 6 UNIT HW INFO Switch over to the Unit info tab and press the Reload button in the upper left corner of the window The percentage status of communication should appear at the bottom of the window After a while a table in the program should list the hardware configuration of the tested device On the Unit info tab you can see the hardware configuration of the device The key data are especially the version of the loader and the versions of particular printed circuits in the equipment Unit info can be updated reloaded from the device at any time by pressing the Reload button LOADING OF FIRMWARE If the information in the Unit info is correct it is possible to start loading of firmware Switch to the Programming tab Press the button with a directory tree symbol to select the file with the application to be loaded to the device 014 56generXXX PCBVXXX bin The selected file is disp
81. ibutor localization initial address Industries Ltd 161 Cleveland Way Stevenage Hertfordshire 561 6BU UK tel 420 220 517 012 fax 420 220 515 520 initial logo of http umu btinetcom sales btinet com prefix of device name company name BTL Industries Ltd defaults peru ue ay Stevenage Hertfordshire 561 GBU UK tel 420 220 517 O12 fax 420 220 515 520 http wuubtinet com salesGbtinet com SWT POWER BTU Industries Ltd 161 Cleveland Way Stevenage Hent fordshire 561 6BU UK tel 420 220 517 Ole fax 420 220 515 526 http uuu btinetcom salesObtinetcom EN DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 5 OF 21 3 1 4 DEFAULTS The device provides preset addresses so that it is not necessary to fill in always the full address It is also possible to quickly and completely delete the entire address After selection of the address the program requires confirmation and then the selected address shall be set To view or edit the address follow the above described process To exit the screen press enter or esc view the initial screen system language VITMED Equipamentos M dicos Uda Do you want to load the address for Medical Technologies CZ as gt deleting of BTL zdravot PO HE _ BTL ROMANI BTU Polsk warning VITMED Equipamentos M dicos Lda 3 1 5 VIEW THE OPENING SCREEN This item serves for clear displaying o
82. ic pad Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Palmar manual localization of painful points Application of gel Start the therapy with 400 shocks 2 bar 5 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks last 400 pulses apply with a frequency of 10 Hz Note Caution Avoid the area of the passage of vessels and nerve bundles on the wrist Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1117 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 9 OF 15 CSD 8 PAINFUL SHOULDER CALCIFICATION TENDONITIS IMPINGEMENT SYNDROME Program W 0107 program W 0107 painful shoulder calcification tendonitis impingement syndrome Therapy parameters type continual pressure 3 frequency 10 number of shocks 2000 scar area no Patient position lying on back or sitting Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painful points in soft tissues around the shoulder joint by means of palpation localization of painful points located in deeper structures by means of shockwaves Application of gel Start the therapy with 400 shocks 3 bar 10 Hz around the most painful point subsequently treat the most p
83. ice or the health care centre The trolley includes a range of accessory containers and baskets Please visit our corporate website at http www btlnet com for the latest information on BTL products and services GENERAL CHARACTERISTICS OF THE DEVICE PAGE 5 OF 47 CS 1 1 1 2 BTL 5000 SWT SYSTEM SERIES The device consists of three units the main unit the compressor unit and the applicator a Main system BTL 5000 unit which includes the main microcomputer and software for control of the whole equipment including user encyclopaedia and the therapy guide Compressor apart from the compressor there is also the complete electronics attached for the regulation of the ballistic pressure Applicator ergonomical applicator simplifies the course of the therapy following the instructions of the main unit The system enables the connection of two applicators Each applicator can contain a different transmission element differing in its size and characteristic Thereby the system features an advantage of service abilities for two different therapies with no need to change the transmission elements However only one applicator can be active at a time It is not possible to use two applicators together at the same time SHOCKWAVE AND ITS CHARACTER The shockwave is defined as a wave with a rapid increase of pressure in a very short time and gradual decline with a phase of small negative pressure Shockw
84. icr shaves scan ss 19 3 6 8 Knobs 19 3 6 9 RTC Time ato M Dale Li ka aEte 20 3 7 20 9 0 Delete All Key Files z uu uuu Cfoe 21 3 9 Regional ie ated cee enema p e 21 PAGE 2 OF 21 BRIEF DESCRIPTION OF THE SERVICE MENU SERVICE MODE In this mode it is possible to perform the distributor localization of the device change the initial logo of the device set the prefix of the device s name change the address on the opening screen and set the system language in which the device will communicate with the user by default Then it is possible to find out some technical parameters of the device such as number and types of individual generators versions of all components used in the device number of diagnoses in the device current limitations etc In addition it is possible to put the entire device into the demo mode This mode serves mainly for service setting and testing of the device ENTERING THE SERVICE MODE Press the ON OFF button to switch the device off Press the enter button and while holding it pressed switch the device on by the ON OFF button After there appears the dialog box requesting for a service code or an acce
85. its subsequent release the therapy will stop as in the continual mode see the chapter APPLICATOR BUTTON MODE FOOT PEDAL MODE During the time of pressing the button or the foot pedal generation of shockwaves will be in progress If the button of the applicator or the foot pedal is pressed for less than 1sec then after its release the device will be set to the option ON OFF see the chapter APPLICATOR BUTTON MODE FOOT PEDAL MODE INSTRUCTIONS FOR USE PAGE 21 OF 47 N Q Sy 2 6 2 RUNNING THERAPY SCREEN Name of selected therapy program and set parameters Adjusted frequency No of applied shocks Adjusted no of shocks N B ks 4 Adjusted intensity lt gt No of remaining shocks Icon and name of connected Time of applied therapy accessories Symbolic description of generated output Pressing the time stop 11 key can also start and interrupt the therapy see the chapter Start interruption end of therapy the maximum frequency value according to the relevant configuration of the device is 15 Hz or 22 Hz see more in the table in the chapter Device configuration 2 7 THERAPY PARAMETERS Each therapy can have different parameters For each therapy only the parameters that describe that therapy will be displayed and these parameters can be adjusted in the manual mode after pressing the man button An exact description of the parameters for individual therapies can be found in the relevant U
86. ive as possible to our customers needs Your suggestions and comments are always welcome since we believe an ongoing relationship with our customers is critically important to our future product line Please call or email us your suggestions While we would like you to start using your equipment right away we encourage you to thoroughly read this manual in order to fully understand the operational features of the BTL 5000 SWT system Again thank you for being a BTL customer In the event of any problem or if you require service please make an initial call to your local distributor who will decide whether to refer the problem to our office PAGE 2 OF 47 5 1 GENERAL CHARACTERISTICS OF THE 1 11 5 1 1 BTL 5000 SWT System Series u u uuu u u uuu aia inahi inSain ifi aaa 6 1 2 Shockwave and Its Character oiii asas as 6 1 3 Shockwave ssa ee de ene ee eda eee 7 1 3 1 Ballistic Principle of the Shockwave 7 1 4 Biological Effects of the 2 E KRK nennen enne nennen 7 1 5 Advantages of the Shockwave 8 1 6 Possible Side Effects After the Shockwave 8 1 7 Indications for the Shockwave 8 1 8 Contraindications to the Shockwave
87. kwave applicators input for connection of foot pedal communication connectors for servicing only catchment container INSTRUCTIONS FOR USE PAGE 11 OF 47 2 3 ASSEMBLY AND PUTTING INTO OPERATION Inspect the package and in case of any damage report it to the delivery service or your distributor Do not proceed with installation or assembly if the package is damaged Unpack the device and place it on a stable horizontal surface suitable for the weight of the device Always position the unit out of direct sunlight The device heats up therefore it must be placed away from a direct heat sources such as radiators or room heaters Cooling of the equipment is provided for by forced air circulation Cooling vents are located on the rear panel and at the bottom of the BTL 5000 SWT and must not be covered Do not position the device on a soft surface as it may obstruct the air flow to the bottom cooling vents Do not put any objects producing heat or containing water or other liquid on the top of the device Do not place the device close to equipment producing strong electromagnetic electric or magnetic field diathermy X rays etc as the electronic systems of the device could be undesirably influenced In case of any questions please call your authorised BTL distributor Retain the original packaging to ensure the eventual safe transportation of the device Attaching the accessory holder Remove the protective caps from the holes on a
88. l divergences from this instruction manual then the user is responsible for any damage caused by the device e Do not disassemble the device any case Dismantling and unlocking the safety cover can cause danger of electric shock Eventual replacement of the lithium battery and the air micro filter must by carried out by authorised BTL service centre e All materials and parts that come into direct contact with the client s body detergents used for cleaning the shock transmitter must meet the appropriate standards relevant to irritation allergization toxicity genotoxicity carcinogenity according to the standards ISO 10993 1 ISO 10993 3 ISO 10993 5 The user himself is responsible for all these materials and parts that were not supplied by the BTL device distributor e Do not connect the connectors used for the accessories and the other connectors with anything other than the equipment intended by the service instructions as it can cause danger of electric shock and serious damage of the device e The device does not radiate or does not use any toxic materials during its operation storage and transport under the given conditions e When transferring the device from a cold environment into warm wait before plugging it into the power mains until the temperature levels 2 hours minimum e Before starting the therapy check whether all the adjusted parameters correspond to your requirements e The shock wave is used as the co
89. layed in the upper field The program remembers the last setting Press the Program file auto button to start the procedure which compares the selected file with data from the device if the device is compatible this procedure modifies the loaded file according to parameters read from the device and starts loading of the program to the device If any problem occurs there appears an error message with possible description of the error During loading the program informs about the current percentage status of completion If programming passed OK there appears the dialog box Complete OK Now you can reset and disconnect the device To abort programming press the Abort action button However after starting a device with incompletely loaded firmware there is a risk of its failure RESET AND DISCONNECTION OF THE DEVICE If this work with the device is complete disconnect it by pressing the Restart unit button The device first restarts itself and then the PC disconnects from it SERVICE UPLOAD OF APPLICATION INTO THE COMPRESSOR UNIT PAGE 5 OF 6 APPENDIX SUPPLEMENTARY DESCRIPTION AND EXPLANATION Loading is completely automatic i e it is not necessary to check the versions in the device and the loaded file The program automatically modifies itself according to the parameters read from the device i e if the program finds out that the device contains another type of hardware than is set in the loaded file the loaded file
90. lling in the paper report DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 15 OF 21 SERIAL NUMBER prog menu service syst calibration distributor localization syst contrast i jal setting system languag configuration information ting of HNDP and VNDP device configuration burn in shockuav shockwave shockuav Air leak test of the SWT system Safety value check Stant results of the last final check ts of final check utput current voltage and power START man menu gt menu final check I from 36 Check if tha surface of the device is not scratched check if individual grey pants knobs covers match if all letterings the device readable if connectors are properly mounted and do not slip if bolts are tight s of final checks output current voltage and power DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 16 OF 21 RESULTS OF THE LAST FINAL CHECK prog man final test results Final test pesults run points 1 2 4 5 6 7 3 16 18 23 26 35 35 success ful all tested points list of results of final checks measure output current voltage and power LIST OF RESULTS OF FINAL CHECK number the last final check 23 07 2008 09 1256 23 07 2008 09 13 18 t voltage and power S NresultVKO serial number start results of the last final check list of results of final checks DESCRIPTION OF THE SERVICE MENU SE
91. mode can be entered from any mode by the quick selection press the man 3 button SETTING NUMBER OF SHOCKS The total number of shocks for the therapy can be adjusted on screen of the therapy parameters even during the therapy course The number is set either by pressing the button number of shocks or quick selection by turning the select 9 knob With the button number of shocks you can select endless therapy see the picture mm The endless therapy includes an infinite number of shocks that can be applied at the start of the therapy end of therapy is not limited by marginal number of shocks SETTING THERAPY INTENSITY The intensity power of the shockwave therapy can be only adjusted on the screen of the therapy parameters even during the therapy course The intensity is adjusted either by pressing the intensity button or quick selection by turning the intensity 12 knob To enter the quick mode of intensity setting press the intensity knob and turn it at the same time the adjusted intensity changes much faster COURSE OF THERAPY START INTERRUPTION END OF THERAPY Start the therapy by pressing time stop 11 The therapy can start only if the channel screen displays the therapy parameters and all the parameters are adjusted correctly The device will signalize possible discrepancies INSTRUCTIONS FOR USE PAGE 20 OF 47 P End of interrupted therapy esc Start of interrupted Thera
92. ms number of all programs W1 25 number of default programs Wil 13 number of default diagnoses W 1 1 diagnose names Wi achillodynia calcar calcanel plantar fasciitis esc enter DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 10 OF 21 3 3 6 FILE SYSTEM This item displays information about the file systems in the device The information is displayed separately for each file system for switching among them use the gt gt or lt lt buttons The E file system is designed for saving of all user data the S file system serves for system purposes and is not accessible to the user The information about free space is available also to the user in the service functions during standard operation This information serves mostly for service purposes To return to the previous screen press esc configuration information Information about filesystem Free Space on disk master 755 kB slaves File disk serial number 34 files limitation Number of free clusters diagnoses and programs 11851 clusters Number of deleted clusters 243 clusters Number of used clusters 194 clusters 3 3 7 RTC TIME AND DATE This item displays information about the internal time of the device This value cannot be changed and serves only for information It can differ from the actual date and time For setting date and time use menu during standard operation of t
93. n by PL17 01 2008 Material MAT150 153 Konstr Povrch prava M tko k Designed by PL1 7 01 2008 Surface finish Scale A MEDICAL TecHNOLoGieS Aaproved by TN17 01 2008 Sheer 18 22 Sie dune 014 psswtbox104 8 0 170 175 70 75 we Nazev vyrobku Product name BTL 014 SWT BOX LID Drown by PL17 01 2008 onstr ovrch prava tko lt by PL1 7 01 2008 es finish ell TECHNOLOGIES FONSI by TN17 01 2008 Sheet 16 22 slo v kresu Sheet number 014 psswtbox104 SRO160 166 AL MTR1 70 rd AT tna w c ci g a c A u uu a c ty lt Fi TIN ri 7 SRO174 177 ki df 4 3 4 1 4 4 eee Productname BTL 014 SWT BOX Kreslil Materi l rown by PL17 01 2008 Matera SRO180 183 ID lt TM sme lt Designed by PL1 7 01 2008 Surface finish Scale TECHNOLOGIES 945 TN17 01 2008 5172 22 89 O14 psswtbox104 175 180 180 181 MTR180 181 SRO168 a 80167 N zev v robku BTL 044 SWT BOX gt eat PL417 01 2008 Masra Q Sy Konstr Povrch prava M tko Designed by PL1 7 01 2008 Surface finish Scale MEDICAL TecHNOLOGIES py TN17 01 2008 sheer 18 22
94. n the operator The display informs about the current status number of passed periods and total time of burn in Before starting the operator can change duration time of the period To start stop this function press the respective button syst TP calibration syst contrast setting system language setting of HNDP and VNDP final check run burn in total time 00 00 00 h m s period winding A Shockwave 1 00 00 winding B external S FINAL CHECK This function serves for final testing of most of the functions and modules in the device The function runs step by step and the operator has to successively fulfil all requirements described on the display of the device If all requirements of a particular point in the final check are fulfilled press the pass button otherwise press the fail button for moving among the individual points of final check use the buttons with symbols gt gt and lt lt The reset button serves for putting the point into the initial state e g if you want to check the point again After completion of all points of the final check there is displayed an overview of the test results this overview is saved in the memory of the device together with the date of check To leave the final check press esc The user can view the results of the last check as well as those of all the previous checks The serial number item is only information for the operator in case of fi
95. ned by PL1 7 01 2008 2 fin h e TECHNOLOGIES A by TN17 01 2008 21 22 89 014 psswtbox104 PLACEMENT TIE STRIPS KON201 202 203 KON205 206 207 N zev v robku BTL 044 SWT BOX GID Drownty PL17 01 2008 materia VS aay PL17 01 2008 Seale MEDICAL z a TecHnoLosies Approved py N 17 04 2008 2522 22 014 psswtbox104
96. ned to work in an environment defined in the chapter Technical parameters It must not be used in an environment with threats of e g explosion hazard or water penetration The device must not be used in connection with flammable anaesthetics or oxidative gases O2 20 e Place the device out of direct sunlight and out of reach of strong electromagnetic fields to avoid undesirable interactions In case of undesirable interactions place the device away from source of disturbance or contact the authorised BTL service centre e Before every use examine the device properly loose cables damaged cable insulation the surface of accessories functions of the display operating elements etc and in case of any discrepancy stop using the device and contact the authorised BTL service centre If the behaviour of the device shows any divergences from the function procedure described in the instruction manual stop using the device and contact the authorised BTL service centre MAINTENANCE AND SAFETY INSTRUCTIONS PAGE 42 OF 47 7 3 e If the device shows any signs of defects or you in doubt about its correct operation stop the therapy immediately If you cannot detect the source of doubts even after careful reading through the instruction manual appeal to the authorised service department of the BTL device without delay If the device is used contrary to this instruction manual or it is used despite the device showing functiona
97. nel Connect the mains cable to the device and switch on the mains switch Then switch the device on by longer holding of the ON OFF button on the front panel After a while the button should light up and after releasing it the device should remain in the ON status shining After some 15 seconds there should appear the opening screen of the application If the device contains the proper version of the application do not continue The version of the application is stated in the initial title on the start up screen OS SP2001 ver XX XX XXXX or in the menu item unit settings unit information CONNECTION TO PC Connect the loading cable to the com out connector on the rear panel The other end of the cable connect to the serial port of the PC it is also possible to use the USB COM adapter Switch the device off press simultaneously the two lower knobs INTENSITY TIME STOP and the ENTER button and when holding them pressed switch the device on The display should remain dark and after a while approx 10 seconds the device should play a short tune then you can release the buttons Now the device is in the mode for upload of firmware by external serial line Start the FirmwareLoader program on the PC We recommend setting the communication speed to 115200 bit s 7 Set the correct communication port 6 and communication speed 7 It is possible to use the Auto find function 5 which will try to find the device in all
98. ntact therapy Do not in any case apply on damaged skin e Do not terminate the application by switching off the mains switch but by pressing the time stop 11 key When switching the device off and on there is a time delay necessary of at least 3 seconds e When disposing of the device after years of operation it is necessary to remove the lithium battery Dispose of it in a proper way do not put the battery into the communal waste The device can then be disposed of in the usual way The device does not contain any toxic materials that could damage the environment when disposed of in the ecological way e Itis not allowed to use the device and accessories other than according to the instruction manual e This device must be kept out of reach of the children The device does not include any components to be reparable by the user except the replacement kit Do not remove any covers from the device Repairs must always be provided by the authorised BTL service centre Donotunplug the applicator during therapy WARRANTY CONDITIONS The manufacturer provides a 24 months guarantee for the device from the date of purchase mentioned in the certificate of warranty and 6 months for the accessories and the expendable supplies guarantee does not apply to common wear of the parts Conditions of the guarantee determine if the device is not used in compliance with this instruction manual or unprofessional intervention to the devic
99. nternal circuits and functions about 10 15 secs and in the case of any fault the system will signalize it and lock itself into a secure mode If this situation occurs please call your authorised BTL distributor OPERATING THE DEVICE TOUCH SCREEN The touch screen can display several graphic items some of them are only informative some can be pressed and thereby activated See the following basic items e soft buttons can be pressed to change the indicated values e informative text e channels tabs switching between the channels and selection The items on the touch screen can be pressed by a finger or by using a special pointer with a soft tip so called touch pen which is included in the accessories of the device The touch screen must not come in contact with any sharp objects ball pens etc Selected channel The BTL 5000 SWT Series allows the connection of up to two applicators but only one can be active Only one so called selected channel can be operated at a time The selected channel has a light tab All information on the screen and all control elements relate to this channel The most important information about therapies on the other channels can be viewed on their tabs INSTRUCTIONS FOR USE PAGE 14 OF 47 2 4 2 The BTL 5000 SWT does not allow the use of two applicators at the same time Each applicator can contain a different transmission item differing in its size This brings the advantage of
100. o interference characteristics EN 55011 EMC electrostatic discharge IEC 61000 4 2 EMC radiated electromagnetic field IEC 61000 4 3 EMC fast electric transient effects pulse groups IEC 61000 4 4 EMC shock pulse IEC 61000 4 5 Medical electric device Part 4 Programmable electric medical systems IEC 60601 1 4 Medical device risk analysis ISO 14971 Bio compatibility of medical device ISO 10 993 1 Statutory rules for determination of technical reguirements to sanitary engineering assets NV 181 2001 Col MDD 93 42 EEC Particular reguirements for the safety of eguipments for extracorporeally induced lithotripsy IEC 60601 2 36 Medical electrical equipment Part 2 10 Particular requirements for the safety of nerve and muscle stimulators IEC 60601 2 10 Clinical investigation of medical devices for human subjects ISO 14155 TECHNICAL PARAMETERS PAGE 45 OF 47 8 2 MANUFACTURER This product is manufactured in accordance with the EU Medical Devices Directive by BTL Industries Ltd 161 Cleveland Way Stevenage Hertfordshire SG1 6BU United Kingdom E mail sales btInet com http www btlnet com For service please contact the service department at service obtinet com CE No part of this manual may be reproduced saved in a research centre or transferred by any means incl electronic mechanic photographic or other records without previous approval from BTL Industries Limited B
101. oaded applicator which e Provides proper and exactly specified contact of the applicator with the treated tissue during the therapy e Minimizes transmission of reverse shocks to the hand of the therapist thanks to an inbuilt air damper The component part of the applicator is an ergonomic hand rest 13 used for a comfortable grip of the applicator and prevents unwanted slipping of the hand from the holder of the applicator during the therapy The ergonomic hand rest spins and can be any time adjusted into the desired position The anatomical shape of the handle allows the therapist to grip the holder of the applicator comfortably in different positions exactly according to the type of the applied therapy and personal preferences of the therapist left handed person right handed person man woman The ergonomic shape of the handle offers the therapist sufficient support during the application thereby preventing from the development of tiredness of the hand during the therapy Examples of holding the shockwave applicator Examples illustrate the application of shockwaves in different places and various of ways of holding the applicator Painful shoulder Trigger points Tibial edge syndrome Calcar calcanei plantar fasciitis APPLICATION OF SHOCKWAVES PAGE 34 OF 47 oS gt Epicondylitis Achyllodinia Patellar tendinopathy jumper s knee Trigger points APPLICATION OF SHOCKWAVES PAGE 35 OF 47 oS gt ACCESSOR
102. off air so that pressure falls bellow 1 5 Bar b After blow off should system reach upper hysteresis limit within 25 seconds c The pressure decrease during second test can not be higher than 0 8 Bar d For third test stick applicator to connector B The pressure decrease during third test can not be higher than 0 8 Bar ad 17 Stay in service regime and check that EEPROM configuration data are correct menu servis functions extra shockwave eeprom It should be set as follows I Type of compressor 10r2 Air tank volume 750 or 900ml Max therapy pressure 5000mBar Max shots frequency 22Hz Min air tank pressure 6000mBar Max air tank pressure 7000mBar Max system pressure 7500mBar Compressor starting delay 500ms Last four items are OK if system has passed therapy check ad 18 Stay in service regime enter menu service special shockwave statistics hit button options and choose clear all statistics option 4 AG30 05 2008 BTL 5000 SWT Series BLOCK DIAGRAM s A dd PSA ZOLIZJONEMMOONSPS PLO Tekn osia GOZILLISISA B 06 JE2Ip3IN Ag peuBiseq 400Z L1 9LSA eureu amp 7119 npjefoud A9ZeN uonduoseg sidoq kelueq Z JUQEJOZI eu es efonsud z uan few jopjeuoy efonsud e 9 OJJSIJA JUBJUZOJ
103. on of movement of the applicator on related areas 1111 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 6 OF 15 CSD PAIN IN THE GROIN AREA Program W 0106 program W 0106 pain in the groin area Therapy parameters type continual pressure 2 5 frequency 10 number of shocks 2000 scar area no Patient position lying on back lower extremity supported in slight semiflexion both in the hip joint and knee joint and in slight abduction Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painful points in the groin region and along the muscles on the front and inner side of the thigh Application of gel Start the therapy with 400 shocks 2 5 bar 10 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks then apply successively over the inner and front side of the thigh last 400 pulses apply with a frequency of 15 Hz If needed the number of shocks may be increased by additional 2 000 during one application Note Caution Avoid application on the inguinal channel passage of large vessels and nerve bundles lymph nodes Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1113 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE
104. or back to the same channel of the compressor unit Finish the guide The device has successfully installed the replaced kit DEVICE MENU PAGE 31 OF 47 4 USER OPTIONS Pressing the user 5 button will display the menu with items referring to the data saved by the user or referring to certain special functions of the shockwave generator e Clients e User sequences e User diagnoses programs e Recent therapies 4 1 CLIENTS This item allows you to enter edit and delete information about the clients A particular therapy can be assigned to each client select 4 2 USER SEQUENCES This feature user sequences is not active for the BTL 5000 SWT Series USER OPTIONS PAGE 32 OF 47 CS 43 USER DIAGNOSES PROGRAMS It is possible to start the user therapies adjust their parameters names and descriptions delete them and sort them by using the buttons and offers on the screen It is very similar to the creation of a new diagnosis program see the chapter Therapy saving On the tab of the compressor you can only see those therapies that were created and belong to this tab 44 LIST OF RECENT THERAPIES This feature allows you to choose one of the recent accomplished therapies on the selected tab and after pressing the load button you can restart it and view its parameters USER OPTIONS PAGE 33 OF 47 COD APPLICATION OF SHOCKWAVES Application of shockwaves is provided by a spring l
105. ost painful points subsequently treat the most painful points with approx 1000 shocks last 400 pulses can be applied on the palm with a frequency of 10 Hz Note Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1116 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 5 OF 15 CSD PAIN IN THE AREA OF THE HIP AND THE ILIOTIBIAL TRACT Program W 0104 program W 0104 pain in the area of the hip and the iliotibial tract Therapy parameters type continual pressure 2 5 frequency 10 number of shocks 2000 scar area no Patient position lying on side Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painful points in the trochanter major region and along the iliotibial tract Application of gel Start the therapy with 400 shocks 2 5 bar 10 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks then apply successively along the iliotibial tract last 400 pulses apply with a frequency of 15 Hz If needed the number of shocks may be increased by additional 2 000 during one application Note Caution Aim the shockwave at soft tissues only avoid direct application on the bone Painful points are indicated by the dotted areas in the picture The arrows indicate the directi
106. ouch_mem_prog GND_TOUCH Zmena Change No Popis zmeny Change description Sehvalil Approved Predesla verze Designed by Previous version This design is on intellectual property of Medical Technologies Ltd and Gan not Be used without written permission of the Medical Technologies Ltd Unauthorized distribution is a violation of applicable laws Medical Technologies Ltd 226 VS 28 02 2008 Approved by Navrhoval Velikost Designed by AG 28 02 2008 Yokes A1 Schvalil MEDICAL TECHNOLOGIES Nozev vyrobku Product name SHOCK WAVE List z Sheet 2 s 2 Cislo vykresu rest number 014 535genpneut05 Insulation 4kV Creepage distance 8mm Air clearrance 5mm Mains Power E 115V 230V AC 1 7 z L N Class Y2 300V Ad Adaptor BTL 4000 5 100 240V 24V 2 5A JI i CK8 CK7 ER Test voltage 1500V 50Hz 4 Nominal voltage 250V Compressor Torid Chokes Durr Technik A038 E HOLDER of ofS J9 used 300 5510100 5 Uon 12V Ri 220R J3 1 9 72 1 75 NZ2 NZ6 6 Creepage distance 6mm Use cable Air clearrance 4mm 038 5501100 6 6 NZ4 NZ8 ee Zmena Popis zmeny Navrhoval Schvalil Predesla verze mi Change No Change description Designed by Approved by Previous version I I I I I I I I 10221 j Changed parameter
107. our device does not include electro generator do not use this function prog man diag prog man menu user menu service special ES special setting default mode Ccurrent voltage distributor localization curr cc e slowly change intensity configuration information de configuration electro generator maximal steps of intenzity o default DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 7 OF 21 3 3 3 3 1 3 3 2 CONFIGURATION INFORMATION MASTER This item contains information about all major electronic components in the device It is designed especially for service purposes and for possible communication with the service department For movement in the displayed page use the arrows or the select knob To return to the previous screen press enter or esc distributon localization special setting device configuration slaves li settings Serial number jave eeprom limitation shockwave statistics diagnoses and programs shockwave service mode file system EEPROM tupe PU tise Xtal frequency type PCB version Project type Si of program Flash Type of data Flash SLAVES This item contains information about all generators installed in the device Here it is possible to find out which generators are installed in the device what are their software versions what is their temperature etc It is possible to install 4 generator
108. pattern in case of any questions please contact the service department prafix of device name initial address defaults view the initial screen system language PREFIX OF DEVICE NAME This item serves for change of prefix in front of the type name of the device The current value is displayed in the upper part of the screen To change the prefix press the button under the line where the current value is displayed After pressing there appears a keyboard where the user prefix can be entered To confirm press enter to return without changes press esc Example BTL 5000 SWT POWER BTL prefix of name can be changed 5000 SWT POWER type name of the device cannot be changed Note The prefix may be whatever it is limited to one text line longer text is not displayed After switch on of the national keyboard it is also possible to enter special characters DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 4 OF 21 prog man menu prefix of device name initial logo of device INITIAL ADDRESS This item serves for change of the address displayed on the opening screen The current address is displayed in the upper part of the screen if you want to change it press the button containing the item to be changed below the line then there appears a keyboard where the user address company name phone number etc can be entered To confirm press enter to return without changes press esc prog distr
109. plantar fasciitis L A a aaa aa aaa aaa ae 4 3 exostoses of small hand joints in case of grade 1 arthrosis 4 u u uu u 5 4 pain in the area of the hip and the iliotibial tract 6 B pain in the groin afet as 7 6 pain in the hamstring 5 U U uu uu 8 T iris pain on the palmar side of the Wrist U III III edie dances a Esa 9 8 painful shoulder calcification tendonitis impingement syndrome eene 10 9 patellar tendinopathy jumpers knee IU 11 10 radial ulnar aa U u uu u u u 12 11 stimulation of acupuncture points U u uuu u 13 12 tibial edge Syndrome I U U U 14 13 trigger pollits i u u 15 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 2 OF 15 CSD ACHILLODYNIA Program W 0101 program W 0101 achillodynia Therapy parameters type continual pressure 2 frequency 10 number of shocks 2000 scar area no Patient position lying prone leg supported under the ankle Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual loc
110. py START therapy time stop time stop Therapy parameters Running therapy Paused therapy screen screen screen freguency gt time sto im Setting frequency total shocks p t stop number of shocks and intensity Therapy interrupt Adjusting number of therapy intensity C shocks and intensity KS during interruption Interrupted therapy paused therapy can be restarted by pressing the time stop key and can be finished by pressing esc 10 In pause interrupted therapy the parameters of intensity and total number of applied shocks can be modified by turning the time stop 11 knob The intensity can be also changed during the therapy by turning the intensity 12 knob to the right to increase the intensity or to the left to decrease the intensity For a quicker intensity setting press the intensity 12 knob while turning The intensity setting will be much faster when pressing the knob 4 Pd intensity N Direction of intensity increase 4 The shockwaves therapy can also be started interrupted by the button located on the shockwave applicator 18 or by the foot pedal 40 The initial setup of the button or the pedal is adjusted to AUTO The device automatically recognizes the holdoff time of the button on the applicator or the foot pedal and the selected method of control If you hold the button or the foot pedal for more than 1sec then after
111. quired This item can edit individual audio schemes create new ones and modify audio tones for each operation separately The sound volume can be sets in the menu item User options DEVICE MENU PAGE 27 OF 47 CSD 3 2 3 3 2 4 3 2 5 3 2 6 3 2 7 3 2 8 3 2 9 3 2 10 SCREEN SAVER AND AUTO SWITCH OFF This includes the setup of the screen saver type activation time of the screen saver period of time during which the screen should be switched off and idle time of the whole device COLOUR SETTING The user can set colours of all elements displayed on the screen There are 50 preset colour schemes available to choose from or if not satisfied with any of them the user can create and save his her own colour schemes In the custom colour scheme the user can step by step select individual elements SETTING OF DISPLAY CONTRAST After selecting this offer the optimum contrast readability of the display can be set by turning the select 9 knob As the contrast of the screen depends on various factors such as temperature there is a fast and direct setting of the screen contrast by using the select 9 knob while simultaneously holding the enter 8 and esc 10 keys DATE AND TIME SETTING This allows the user to set the date and time in the device LANGUAGE SETTING Preferred language of the texts displayed in the device As standard English is preset by the manufacturer OPERATION MODE
112. r 5 DETECTOR CABLE AA Downey PL18 12 2007 5 Konstr Povrch prava M tko CSD Kos PL18 12 2007 Surface finish Scale Medical Technologies PENA TN 18 12 2007 55 421 Shoot dumber 014 5512detect2w100 014 5513POW6W100 KON1 4x yellow green black orange red 16AWG 160mm 5 100 250 yellow green ac orange x ES BUZ2 silicone PVC insulated PINA tubing 160mm 5mm BUZ1 silicone PVC insulated white 4 tubing 530mm 5mm blue K J6 terminals J7 8 2x white blue 16AWG 530mm 5 100 250 VAC b a ps Connectors Description Reference Molex JST AVA Housing 5 08 Pitch J6 Ron 1004 5040 VBR 2 4300 2P Y terminals J7 8 5168 5167 SVH 21T P1 1 8400 T TA Mating products 5281 NA B2P VB 4 4400 2P Description Reference Molex JST AVA Housing 5 08 Pitch J1 Som 10 01 5042 4 4300 4P V terminals J2 5 5168 5167 SVH 21T P1 1 8400 T TA Mating products 5281 NA B2P VB 4 4400 4P J1 terminals J2 J5 Zm na Change No Connectors PIN WIRE COLOR 1 red 2 orange 3 black 4 yellow green PIN WIRE COLOR 1 white 2 blue Popis zm ny Change description 7 BUZ3 silicone PVC insulated tubing 150mm 5mm Kreslil Schv lil
113. red current is 5 LA ad 14 Connect proper communication cable 270 232 05 10022 and 214 55load100 to communication connector placed at rear side of Shockwave Stick touch pen into small hole beside communication connector and press button inside and than Turn the power of Shockwave ON Open Firmware loader on your PC Try connection between PC and Shockwave Then load appropriate version of firmware and correct serial number into Shockwave ad 15 Start BTL5000 in normal mode Connect to patient connector A test simulator of SWT applicator with manometer 114 gunt100 On program screen start therapy w 01 00 continual shooting frequency 10Hz pressure 2 5 Bars a Check pressure on barometer and write value b Repeat procedure with simulator of applicator 114 gunt100 connected to output B Check that frequency conforms to set parameter Check that fans in Shockwave box start to blow when therapy is launched Check correct LED s shining it should be as follows when SWT is on LED Power is shining if channel A is active then out A LED is shining if channel B is active then out LED is shining When therapy is started LED ready is shining Connect footswitch to proper connector set footswitch therapy control menu specific settings shockwave settings therapy control check footswitch function and set again therapy control by applicator g Check proper function of Safety Switch off valve by following p
114. resu Sheet number 014 5503pow2w100z4 014 5504COM14W102 J2 key BUZ 1 gt 240mm 5mm 0mm 3 14wire Flat Cable 5 260mm 5mm Omm Connectors Description Reference Molex JST AVA Ribon cable J1 J2 39 51 2263 RA S261T 1290 6700 A 26P Y A B S1 Connectors Pitch Mating products 39 26 7265 RK 4261TD 6900 A 10 S B T Puv verze Previous ver Schv lil Approved by Konstruoval Designed by Kreslil Popis zm ny Dian bi Change description Zm na Change No Nazev vyrobku Product name change of key at J2 PLO1 10 2008 communication cable PLO1 10 2008 01 10 2008 eT Medical Technologies Kreslil Drown by PL30 10 2007 Materi l Material Konstr Designed by PL30 10 2007 Povrch prava Surface finish M tko Scale Schv lil Approved by TN30 10 2007 List z Sheet 1 of 1 slo v kresu Sheet number 014 5504com14w102z1 014 5505CONTROL2W100 V1 xx L 290mm PIN CONNECTION PIN WIRE COLOR VALVE 1 black TM 2 3 red red black BUZ1 L 270mm J1 terminals J2 J3 Connectors Description Reference Molex JST AVA Housing 3 96mm pitch J4 35977 0300 VHR 3N 4200 3P female terminals J2 3 35922 9002 SVH 41T P1 1 4200 T Mating products
115. ric keypad INSTRUCTIONS FOR USE PAGE 18 OF 47 COD 2 5 5 SETTING THERAPY PARAMETERS MANUALLY USER SETUP VIA THE MAN BUTTON The screen of the therapy parameters for the user manual setting will display by pressing the man 3 button All specifications of the therapy can be adjusted and possibly saved as the user program or the diagnosis By pressing the particular soft buttons the actual menus and setup dialogs will appear The majority of dialogs include illustrations and symbols See the option diagram of individual settings in this mode time stop THERAPY START INSTRUCTIONS FOR USE PAGE 19 OF 47 COD 2 5 6 2 5 7 2 5 8 2 6 2 6 1 THERAPY PARAMETERS SCREEN ERGONOMIC STANDARD AND EXPERT MODE This screen always opens before the start of therapy by pressing the diag 1 or prog 2 buttons see Diagram of the therapy setting process The screen either shows the most important parameters of the therapy you have selected the ergonomic operation mode or is shows all information on the therapy you have selected the expert or standard operation mode In addition the expert mode can modify all the parameters The differences between the modes are apparent from the following pictures Ergonomic mode Standard mode Expert mode The operation mode can be set in the menu of the device by pressing menu 4 for more details see the chapter Operation mode The expert operation
116. rite down their registration numbers 114 gunt100 testing applicator with manometer Here state the measuring conditions temperature atmospheric pressur in the room and voltage in the mains Minimum time of burn in is 4 hours Temperature in the room during burn in must be at least 23 Connect 114 gunt100 to patient connector A Switch the device to the burn in mode service mode menu service functions special service functions burn in Check if the surface of the device is not scratched check if all parts match if all letterings on the device are readable if connectors are properly mounted and do not slip if all bolts are tight Check that on bottom of box are prepared four holes containing thread for silentblocks Check that tube draining condensate from SWT box is properly sticked into plastic bottle at the bottom of rear side of SWT box Take the completely assembled device and tilt it to all sides It must not make any noise suggesting that some part or some screw or bolt can be freed Check if the type label and serial number are stuck on proper place at the right bottom area of the rear panel The voltage switch is at the rear panel of the device Switch it to 230V if the device is shipped to the country with 230V supply If it will be delivered to country with 115V supply switch it to 115V position The fuse box is on the rear panel of the device check if the box contains the fuse of the same type as st
117. rocedure Plug applicator simulator to output A start therapy and during therapy turn Shockwave power switch OFF Air must remain in Shockwave box it must not blow off from box with loud noise h Check E stim functionality by following procedure Restart device in service regime Enter Shockwave service mode Press button SWT Electro and check conductivity between connectors Ein and Eout pins 1 3 4 5 7 Check also conductivity between pin 2 of connector Ein and pink lead of fake applicator 114 guntxxx signal E GENER Switch button SWT Electro off and check that path between pin 2 of connector Ein and pink lead of fake applicator is not conductive Connect device for programming touch memory to connector Ein and check proper reading of touch memory content into PC there must be proper data for E stim present in touch memory i In service mode Service functions special launch Safety valve check and check that pressure in system before compressor stops is less then 8 4 Bar and within 10 seconds after compressor stops this pressure is less than 8 Bar ad 16 Stay in service mode Blow off air from air tank Enter menu Service functions special Shockwave service mode press E P valve test and use blow off button on fake applicator 114 guntxxx Enter menu Service functions special air leak test of the SWT system and follow instructions on display a The pressure decrease during first test can not be higher than 0 5 Bar Blow
118. s Do not apply the shockwave to the areas with the body organs containing gases or close to big nerves vessels spinal cord or the head The device does not use any pharmaceuticals or matters which would be applied or were an integral part of the device A A The connectors marked with these signs can be connected with the foot pedal for initiation of the therapy The foot pedal is placed under the bottom part of the shockwave compressor General safety precautions e Carefully read the service instructions before the first activation of the device e The device should only be used under the control of a physician who determined the indication e All personnel using this device must be knowledgeable in the servicing technique maintenance and verification of the device and about the principles of safe work with the device e Electrical mains connected to the device must be performed according to the existing valid standards IEC 364 and must be certificated according to these standards If you are not sure that the power mains supply is in perfect order carry out a technical revision by an engineering inspector e Crosscheck whether the parameters of the power mains supply correspond with the requirements of the device according to the chapter Technical parameters and if the mains voltage switch on both units of the device is switched to the correct voltage according to the parameters of the power mains e The device is desig
119. s L No Check of insulation barriers according to OTP 124 a insulation barrier mains functional earthing of device 1 800 V 5 uA b insulation barrier box frame mains communication footswitch patient part Ein Eout 4 800 V MAX WAN a ta e ek nti A fadal HA c insulation barrier mains communication footswitch pacient part Ein Eout 4 800 V max EA a Ea T HA d insulation barrier communication footswitch patient part Ein Eout 4 800 V max 5 HA e insulation barrier footswitch patient part Ein Eout 4 800 V 5 HA Check of proper communication with PC firmware loader see Yes L No Therapy check a Check output pressure of Shockwave channel from 2 3 to 2 7 Bar b Check output pressure of Shockwave channel B from 2 3 to 2 7 Bar Check shooting of applicator valve with shooting frequency 10 HZ Yes O No a CHECK fans io conem erede teo dons tei eaa aede Re cu paa Pn ai L Yes L No e Check that LEDs are shining Yes L No f Checkoffootswiteh
120. s at the most To return to the previous screen press enter or esc Note All the connected generators are displayed here regardless of the variant of the device and the number of the displayed generators need not correspond to the number of generators which the device works with in the standard mode For example if the device is in variant N non upgradable it works always with one permitted generator regardless of how many they actually are in the device DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 8 OF 21 3 3 3 SERIAL NUMBER select This item contains information about the serial number of the device the loaded program version the device number in the network and the time limits of operation The entire screen is also accessible from the standard mode via the menu To return to the previous screen press enter or esc prog configuration information Serial number the device type BTL 5O00 SWT POWER Firmware version select S 09 2328R100 unit time limitation to no limit Mode of HW key KEY_MODE_SWT_POWER 9 003 64 Free disk space info 755 kB 774016 bytes Information about master EEPROM type EEPROM UNKNOWN O CPU tupe CPU 7727F160 5 Xtall frequency 16588800 Hz PCB type PEBT_FYSIOR 8 Version of program Flash FLASH 1X 28F640 2 Tupe of data Flash 016 fea ftest joxoo
121. s of the applicator connector is the set intensity too low replace the applicator increase the intensity to the maximum are there leaks of the compressed air in the applicator connector replace the applicator is the way of control of therapy in the Specific Settings of the unit correct correct the way of control of therapy in the Specific Settings the valve in the applicator responses but shocks are generated at the maximum intensity setting replace the tube and roller kit the cumber of the shocks applied increases but the applicator does not generate shocks replace the applicator does the applicator respond to pressing of the button PAGE 2 OF 3 replace the applicator Error code Fault description checking out error localization pm action remedy f connect the compressor unit by the communication Is the compressor unit connected with the main unit by the cable with the main unit communication cable restart the main unit Do you hear any signs of leaking the air between compressor Yes check all pressure connections and tightness between and proportional valve compressor and proportional valve Pressure up the system failed e check the connection of compressor Is the compressor running replace the compressor 1403 Internal EEPROM error counter has not been written Internal EEPROM error the structure for 1404 uv the new tube has not been initialize
122. s the Browse file button 3 with a directory tree symbol to select the file with the application to be loaded to the device The selected file is displayed in the upper field 1 The program remembers the last setting Press the Program file auto button 2 to start loading of the program to the device First there is detected configuration of the device and consistency of the loaded file This part is indicated by the message Reading unit information 4 If any incompatibilities or other problems are found there appears an error message with the description of the error These errors are usually caused by incorrect or corrupted input file in such case it is necessary to get a new file After this testing the process of loading is started it is indicated by the message Programming 4 If any problem appears during programming an error message is displayed During loading the program informs about the current percentage status of completion If an error occurs during programming do not switch the device off and restart programming If the error repeats contact the service department If programming passed OK there appears the dialog box Complete OK Now you can reset and disconnect the device RESET AND DISCONNECTION OF THE DEVICE If this work with the device is complete disconnect it by pressing the Restart unit button 9 The device first restarts and then the PC disconnects from it After restart of the device th
123. s user s order The manufacturer does not guarantee for the technical parameters and safe operation of the product if the inspection is not executed on the defined schedule Keep the device clean do not store or use it for a long time in extremely dusty environments and do not spill any liquid onto the surface Before using check the device and its accessories especially cables for mechanical or other damages Do not use the device if damaged Cleaning the surface of the device and its parts Clean the BTL 5000 SWT and its parts only with a lightly damp soft cloth Use water or a 2 detergent solution Never use agents containing alcohol ammonia petrol thinners etc To clean the device do not use abrasive materials as they could damage the surface of the device and e g deteriorate metal parts of the applicator There are no aseptic parts of the device and there is no need to sterilize them Cleaning accessories getting in contact with the client e g shock transmitters Cleanse after each client using agents approved by the competent health officer You can use e g Sekusept Bacilol and other For the cables of the accessories you can use e g Incidur spray etc Surface of the shock transmitter with the cap can be washed with warm water however for the complete removal of gel from the shock transmitter it is necessary to unscrew the shock transmitter and clean it Fuse replacement The fuse of the main unit is set on the rear p
124. ser s manual 2 8 ENCYCLOPAEDIA The encyclopaedia includes information on possible therapies and examples of areas for the shockwave application The device is always supplied with a hard copy of encyclopaedia Its electronic format is included in the device and is available from most screens and menus Icon to open the encyclopaedia If you open the encyclopaedia after a selection of a particular diagnosis the existent information to the selected diagnosis will be displayed Otherwise you will enter the contents of the encyclopaedia the list of particular diagnosis You can browse through the encyclopaedia by turning select 9 After the selection of the required diagnosis you will enter the particular information about the diagnosis by pressing enter 8 INSTRUCTIONS FOR USE PAGE 22 OF 47 P 2 9 Information on diagnosis Moving between information if not displayed on one screen Loading parameters of selected diagnosis to the parameter screen the device is ready for therapy Moving between diagnosis Display of graphic information about diagnosis e g therapy area Display of other graphic information about diagnosis optional skin muscle skeleton THERAPY SAVING The user can select a particular operation after pressing the save button Depending on a selected operation a form with the appropriate data will be revealed An example of the procedure is displayed on the following scre
125. ss password release the enter button If the request for entering a password is enabled in the device it is necessary to enter the password first If you do not know the password enter the universal one 00000000 Upon the request enter service code enter the code 7913 and press the enter button to confirm After the device s opening screen appears press the menu button if the correct service code has been entered the last menu item is service functions special Select the service functions special item and press enter to enter the device service setting mode b X 5 SWT POWER 161 Qeveland Way Stevenage Hertfordshire SG 634 UK td 420 220 517 fax 420 220 515 520 http tmmsabtinet com saleseotinet com PHYSIOTHE SERVICE MODE PAGE 3 OF 21 DESCRIPTION OF INDIVIDUAL SERVICE MENU ITEMS DISTRIBUTOR LOCALIZATION INITIAL LOGO OF DEVICE This item serves for change of logo on the opening screen of the device It provides selection of several preset pictures and the no logo option in case of which the opening screen will not display any picture For selection use the arrows or the select knob the preview of the selected picture is in the upper part of the screen To confirm selection of the displayed picture press enter to return without changes press esc Note Possible additional pictures logos can be added to the device according to the supplied
126. sted to suit the light conditions in the office or the health centre The information displayed on the screen will guide you throughout the whole therapy simply adjust the parameters by pressing the touch screen buttons and turning the knobs on the device Selecting a diagnosis from a list of alphabetically organized treatment protocols or selecting a program will make an easy and efficient start to the therapy You can adjust any treatment parameter manually by the simple use of the touch screen buttons Throughout the whole therapy the device informs you about the therapeutical method used type of treatment number of applied shocks total and remaining shocks frequency used intensity and other necessary data Save your time by using the predefined programs of the main unit Based on detailed research and practical use of the device the well organized predefined protocols will present recommendations for treatment of various conditions The BTL 5000 SWT allows you to insert the names of your clients and other relevant information into the internal memory of the device and connect the client data with predefined or your own protocols When your clients call again simply recall their name and apply the pre set therapy With every BTL 5000 SWT you can purchase a trolley specially designed for the BTL products Its design offers maximum comfort of storage and use of the device Four steady wheels provide simple movement of the device in the off
127. stops being kept in the system That eliminates the noise of the device if not in use The disadvantage can be the prolonged start of the therapy according to pressure in the system the start can be extended for about 10 to 15 seconds We recommend using this setting for quieter operations e THERAPY CONTROL Here you can set whether you want the therapy to be controlled by the button on the applicator 18 or using the foot pedal connected to the unit of the compressor 40 After selecting the type of therapy control you can continue by setting the options of the applicator button mode or the foot pedal mode see the following chapter e APPLICATOR BUTON MODE FOOT PEDAL MODE This enables setting of the three different types of modes for the applicator button or the foot pedal according to setting in the previous chapter You can choose from AUTO mode Continual mode ON OFF mode continual ON OFF When setting the AUTO mode the device automatically recognizes the holdoff time of the button on the applicator 18 or pressing the foot pedal 40 and the selected way of control If you hold the button or the foot pedal for more than sec then after its subsequent release the therapy will stop as in the continual mode see below During the time of pressing the button or the foot pedal generation of shockwaves will be in progress If the button of the applicator or the foot pedal is pressed for less than 1sec
128. su Approved by I N21 12 2007 Sheet 1 Sheet number 014 5510control2w100 014 5511EARTH1W100 BUZ1 BUZ2 E AH J1 KAB1 J2 E 120 mm 9 BUZ1 BUZ2 2x Shrinkable tubing black KAB1 green yellow earthing cable imm Cable length 100mm Description Reference MOLEX JST AVA Quick Connect J1 J2 94512 0201 Female Receptacle for 6 3x0 8mm Tabs Zm na Change No Popis zm ny Change description Konstruoval Designed by Kreslil Drawn by Schv lil Approved by P v verze Previous ver N zev vyrobku Product name cable length changed Earthing cable PL29 02 2008 PL29 02 2008 TN29 02 2008 gt Medical Technologies Kreslil Drown by PL10 01 2008 Materi l Material Konstr Designed by PL10 01 2008 Povrch prava Surface finish M tko Scale Schv lil Approved by TN10 01 2008 List z Sheet 1 of 1 Cislo vykresu Sheet number 014 5511earth1w100 014 5512DETECT2W100 BUZI BUZ2 3 5 mm BUZ4 green red P I u BUZ1 L 175mm yellow white A 170mm 10mm Zm na Popis zm ny Kreslil Konstruoval Schv lil P v verze Change No Change description Drawn by Designed by Approved by Previous ve
129. tion Unikaj c proud Leakage current Measure in position P lo n st P stupn st Applied part Accessible Part of the lower switch Write down measured value The maximum permissible value of the measured current is 90 pA d Measure according to picture 4 see attachment The upper switch of the Meditest device is in position Unikaj c proud Leakage current Measure in position P lo n st P stupn st Applied part Accessible Part of the lower switch Write down measured value The maximum permissible value of the measured current is 90 HA Measure according to picture 5 see attachment The upper switch of the Meditest device is in position Unikaj c proud Leakage current Measure in position P lo n st P stupn st Applied part Accessible Part of the lower switch Write down measured value The maximum permissible value of the measured current is 90 HA Measuring according to OTP 260 The upper switch of the Meditest device is in position Izola n odpor Insulation Resistance position of the lower switch does not matter The minimum permissible value of the measured resistance is higher than 19 99 MO the device displays 1 a Connect device according to picture 6 from attachment and perform measurement b Connect device according to picture 7 from attachment and perform measurement Process of measuring a Connect according
130. to 240 V 230 V nominal 50 Hz to 60 Hz II according to IEC 536 1xT1 6A 250V tube safety fuse 5 x 20 mm according to IEC 127 2 main unit 2xT6 3A 250V tube safety fuse 5 x 20 mm according to IEC 127 2 compressor unit at the back of the device position 0 and max 5 3 kg max 20 kg max 900 g including cable 230 x 390 x 260 mm 330 x 270 x 320 mm 40 x 280 x 140 mm IP 20 diag 5 7 14 5 cm resolution 320x240 pixels BTL 5000 SWT Basic diag 8 4 21 5 cm 640x480 pixels BTL 5000 SWT Power 1x blue for the main unit 1x green 1x yellow 2x blue for the compressor BF 8 1 Adjustable values Shock intensity max 3 5 Bar maximum instantaneous value Shock frequency max 15 Hz 22 Hz Therapy period 0 9999 shocks only for BTL 5000 SWT POWER Shockwave specifications Maximum positive pressure max 15 8 MPa Maximum negative pressure max 0 9 MPa Energy density 0 25 mJ mm Steps of adjustable values Intensity 0 1 Bar Freguency 1 Hz Total number of pulses per therapy dynamically according to size from 1 to 50 shocks APPLICABLE STANDARDS Name IEC EN ISO MDD Medical electric device Part 1 General reguirements for safety IEC 601 1 Appendices to EN 601 1 2 11 A12 Medical electric device Part 1 1 Systems IEC 60601 1 1 Medical electric device Part 1 EMC reguirements and examinations IEC 60601 1 2 ISM radi
131. tops playing of the tune from the speaker The playing status must correspond to the indication on the screen diag ERO man menu user diag prog man menu user TED E zi BUTTONS TEST This item serves for testing of all buttons on the device The screen displays images of all buttons of the device including those on the knobs After pressing a button there should appear its name and its image should be highlighted To pass the test no one button image may remain inactive To end testing press the button on the screen not the esc button as usually diag prog man menu user diag prog man menu user functions O buttons test Stccessively press all buttons on the device end of test KNOBS TEST This item serves for testing of all knobs on the device The screen displays images of all knobs of the device After turning a knob in one and then in the other direction there should appear the knob s name and its image with the respective direction should be highlighted To pass the test no one knob image may remain inactive diag prog man menu usen diag prog man menu user service functions Successively turn all knobs to the left and to the right DESCRIPTION OF THE SERVICE MENU SERVICE MODE PAGE 19 OF 21 3 6 9 3 7 RTC TIME AND DATE This item serves for verification of functionality of t
132. u can select e Installation of accessories e Information about connected accessories e Information about the number of clients and connection of connectors on the rear panel of the device INSTALLATION OF ACCESSORIES Each connected accessory has the memory that includes identification data of the actual accessory According to this data the device recognizes which accessory is connected if it is compatible or not and if the device can work with the connected accessory or not The memory also contains a serial number of the accessory As the memory contains a lot of information and its downloading lasts from 30 seconds to 2 minutes there is an installation of accessories provided for faster work of the device After the installation only the serial number of the accessory is downloaded from the accessory memory and the other information is read from the device memory During the installation process follow the instructions on the screen In particular e During the installation switch off therapies on all the compressors of the device Do not have other accessories connected than the one that is being installed and connect it directly not via interface cables These guides are necessary for decrease of electromagnetic interference that could cause improper downloading of the memory data INFORMATION ABOUT ACCESSORIES This item of the menu displays the information about connected accessories such as Name of the accessory its ser
133. ude 10 to 1000 MPa 100 to 1000 Bar 100x atmospheric pressure Low negative pressure amplitude 1 to 10 MPa Short time duration 1 us to 20 us Rapid pressure increase 100 ns Broad frequency spectrum 1 Hz to 1 MHz GENERAL CHARACTERISTICS OF THE DEVICE PAGE 6 OF 47 CS 1 3 1 3 1 1 4 For therapeutical application these values are lower especially the maximum pressure amplitude which is about 15 MPa pulse length is 10 to 20 us and frequency of the applied shockwave is 1 to 25Hz The treatment is generally carried out without local anaesthetic and lasts about 15 to 30 minutes During the first week after the treatment the client should avoid all activities that could excessively strain the treated area SHOCKWAVE GENERATION Several types of generators were developed for the shockwave therapy providing shockwaves with varied characteristics Shockwaves in their time span and spatial arrangement carry the imprint of the generation method The BTL 5000 SWT uses the ballistic principle of the shockwave generation BALLISTIC PRINCIPLE OF THE SHOCKWAVE GENERATION A pressure wave is formed via a projectile by accelerated compressed air which is generated by an electronically controlled ballistic pressure compressor Using elastic impact the kinetic energy of the projectile is transferred into a probe of the applicator and into the client s body via this probe Consequently during the treatment the en
134. ul points by means of palpation around the heel and on the sole Application of gel Start the therapy with 400 shocks 2 5 bar 10 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks then apply successively in the surrounding tissues including the plantar aponeurosis and the Achilles tendon Increase the energy gradually up to 3 5 bar according to the patient s reaction last 400 pulses apply with a frequency of 15 Hz Note If needed the number of shocks may be increased to 2 500 during one application Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of movement of the applicator on related areas 1107 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 4 OF 15 CSD EXOSTOSES OF SMALL HAND JOINTS IN CASE OF GRADE 1 ARTHROSIS Program W 0109 program W 0109 exostoses of small hand joints in case of grade 1 arthrosis Therapy parameters type continual pressure 2 frequency 10 number of shocks 1500 scar area no Patient position lying on back or sitting arms in the right angled flexion in the elbow comfortably supported preferably with a soft elastic pad Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Palmar manual localization of painful points Application of gel Start the therapy with 400 shocks 2 bar 5 Hz around the m
135. umber 014 psswtbox104 FILTER ASSY MEC142 KON141 147 l HAD120 L 400mm IN KAB145 L 200mm OUT SRO144 145 POD144 145 MEC141 SRO140 143 MEC140 KON147 KON140 KAB145 L 200mm lt KON148 lt V140 KON149 HAD120 L 400mm OUT IN Product name BTL 014 SWT BOX ID Drown by PL17 01 2008 Mater T Designed by PL17 01 2008 fhish eg TECHNOLOGIES py TN17 01 2008 List slo v kresu Sheet 1 6 22 Sheet number 014 psswtbox104 AIR TANK ASSY KON120 s sss A IPA120 121 MEC120 121 KON121 HAD120 KON122 L 400mm SRO127 130 BTL 014 SWT BOX Downey PL17 01 2008 Matera v Designed by PL17 01 2008 Surface fish Seale MEDICAL PTH iet m 3 TecHNOLOGIES py 17 01 2008 sheer 1 22 Shoot mer 014 psswtbox104 HAD100 L 150mm L 430mm HAD140 HAD135 L 200mm HAD125 L 400mm E P VALVE KON106 109 MAT104 105 W POD104 105 j MEC105 SRO104 105 Connection of V100 V100 KON135 136 KON137 eA HAD105 d L 350mm x MEC360 we N zev v robku BTL 044 SWT BOX NA PL17 01 2008 L 1 50mm Pm bs PL1 7 01 2008 Povrch
136. with the connected accessories BTL 214 1 SWT A Tab of a selected channel W1 where the shockwave therapy can be applied with the connected accessories BTL 214 1 SWT B INSTRUCTIONS FOR USE PAGE 17 OF 47 COD 2 5 3 2 5 4 SETTING THERAPY PARAMETERS VIA THE DIAG BUTTON A list of diagnosis will display after pressing the diag 1 button Each tab channel has its own assigned list of diagnosis A fast search for diagnosis can be done by pressing the buttons with initial letters For example press the MNOP button once and all diagnosis beginning with the letter M will display According to of the number of presses other letters will display e g 2 presses of MNOP N 3 presses O and 4 presses P The actual selected letter is displayed in the box on the right next to the buttons After finding the required diagnosis select it by pressing the enter 8 button Information on therapy encyclopaedia select select KT time stop SETTING THERAPY PARAMETERS VIA THE PROG BUTTON After pressing the prog 2 button a screen will display where a number of the required therapy program can be entered Numbers of the particular programs include prefix a letter matching the selected therapy W Shockwave therapy Switching between the two parts of the program number For faster entry of the program number you also use the numeric keypad for more details see the chapter Nume
137. y Konstruoval Designed by PIN3 PIN4 J1 Schv lil Approved by P v verze Previous ver length changed PL23 04 2008 PL23 04 2008 TN23 04 2008 10021 BUZ2 added Nazev vyrobku Product name PL20 12 2007 PACIENT CABLE GENER PL20 12 2007 TN20 12 2007 100 Kreslil Drown by PL18 12 2007 Materi l Material Konstr Designed by gt 18 12 2007 Povrch Uprava Surface finish M tko Scale Schv lil Approved by Medical Technologies TN18 12 2007 List z Sheet 1 of 1 Cislo vykresu Sheet number 014 5509pac2w100z2 014 5510CONTROL2W100 V1 L 300mm black gt ml N BUZ1 L 270mm J1 terminals J2 J3 Connectors Description Reference Molex JST AVA Housing 3 96mm pitch J1 35977 0200 VHR 2N 4200 2P female terminals 02 3 35922 9002 SVH 41T P1 1 4200 T Mating products B 2P VH 4100 2PST Zm na Popis zm ny Kreslil Konstruoval Schv lil P v verze Change No Change description Drawn by Designed by Approved by Previous ver N zev v robku Product name Operating cable AA 55 PL21 12 2007 lt w Konstr Povrch prava M tko v PL21 12 2007 Designed by Surface finish Scale Medical Technologies Schv lil List z slo v kre
138. y parameters type continual pressure 1 frequency 10 number of shocks 500 Scar area no Patient position depending on the treated area Frequency of treatments preferably within 2 5 days Number of treatments 3 10 sessions Process of treatment Apply directly on acupuncture points 1119 SHOCKWAVE THERAPY BTL THERAPEUTIC ENCYCLOPAEDIA PAGE 13 OF 15 CSD TIBIAL EDGE SYNDROME Program W 0103 program W 0103 tibial edge syndrome Therapy parameters type continual pressure 1 5 frequency 10 number of shocks 2000 scar area no Patient position lying on back supported knee Frequency of treatments preferably within 5 10 days Number of treatments 3 5 sessions Process of treatment Manual localization of painful points along the tibia Application of gel Start the therapy with 400 shocks 1 5 bar 5 Hz around the most painful point subsequently treat the most painful point with approx 1000 shocks then apply successively on additional painful points Increase the energy gradually up to 2 5 bar according to the patient s reaction last 400 pulses apply with a frequency of 10 Hz If needed the number of shocks may be increased by additional 500 during one application Note Caution Aim the shockwave at soft tissues only avoid direct application on the bone Painful points are indicated by the dotted areas in the picture The arrows indicate the direction of

BTL-5000 SWT Series - Frank`s Hospital Workshop

Contents

Download Pdf Manuals

Related Search

Related Contents