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AutoSound 7.6-5.6 Rev F - Rich

1. Setting Device Defaults pone Treatment Screen ae AutoSound 5 6 amp 7 6 Ultrasound Operation I Instructions Applying the AutoS ound Transducer pease Saving a Treatment as a Preset Combining the AutoS ound 5 6 with a an 1 External Stimulator AutoS ound 7 6 Stimulation Operation Instructions Stimulation Presets and Treatment Settings AutoS ound 7 6 Stimulation Intensity Increment Control AutoS ound 7 6 Combination US Stim Operation Instructions AutoS ound 7 6 Concurrent Stim amp Ultrasound oe Inst eae coe AutoS ound 5 6 amp 7 6 cummin ne eee Troubleshooting Cavitation Test Ultrasound Indications amp Contraindications A AutoS ound 5 6 k 7 6 Stimulation Indications amp Contraindications AutoSound 7 6 iiia aan Disinfecting Recommendations Ultrasound Technical Information AutoSound 5 6 amp 7 6 Calibrating the AutoSound 5 6 amp 7 6 Ultrasound sser e Stimulation Technical Information AutoS ound 7 6 only AUTOSOUND 5 6 LIMITED WARRANTY This equipment is sold under an exclusive two year warranty from date of sale which warrants it to be free from defects in material and workmanship We agree to repair or replace at the point of manufacture without charge all parts showing such defects provided the unit is delivered to us prepaid to our factory intact for our examination within two years from date of Sale and provided such examination discloses in our f
2. Rich Mar AutoSound 7 6 Muscle Stimulation Indications for Treatment For Monophasic and Russian Waveforms Rich Mar stimulation devices are indicated for the following conditions Relaxation of muscle spasms Prevention or retardation of disuse atrophy Increasing local blood circulation Muscle re education Maintaining or increasing range of motion Immediate post surgical stimulation of calf muscles to prevent venous thrombosis H UT ES W NN FO Interferential Current Indications for Treatment Interferential stimulation devices are also indicated for the following conditions 1 Symptomatic relief of chronic intractable pain 2 Management of pain associated with post traumatic or post operative conditions TENS Indications for Treatment 1 Symptomatic relief of chronic intractable pain 2 Management of pain associated with post traumatic or post operative conditions Rich Mar AutoSound 7 6 Muscle Stimulator Contraindications and Warnings Contraindications This device should not be used in the following areas On persons wearing a cardiac pacemaker On persons who have known or suspected malignant lesions This includes cancer patients Over the carotid sinus area Transcerebrally Over the pregnant uterus UI Ae U N e Warnings Eei 1 The long term effects of chronic electrical stimulation are unknown 2 Stimulation should not be applied over the carotid sinus nerves particularly in patients with a
3. Over anesthetized areas 2 On patients with hemorrhagic diastheses 3 Ultrasound treatment should not be performed over an area of the spinal cord following laminectomy i e when major covering tissues have been removed Caution 1 Excessive doses of ultrasound may cause damage to tissue Periosteal pain is an indication of excess Intensity and if it occurs the power should be reduced the transducer should be moved more rapidly over the area being treated or a lower pulsed duty cycle should be used 2 Ifthe soundhead has been operated unloaded for an extended period of time the transducer will get hot If the soundhead is applied to the patient while the transducer is hot a burn may result Warning 1 Do not operate the soundhead in an unloaded condition for extended periods of time greater than 1 minute It is possible that unrepairable damage may occur to the transducer in an unloaded state 30 2 Use ofthe AutoSound beyond 12 minutes may cause excessive tissue temperature If treatments beyond 12 minutes are administered this should be closely monitored by the health care professional Warning Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous exposure to ultrasonic energy Restriction of Sale Federal law restricts the sale of this device by or on the order of a physician or any other practitioner licensed in the state in which said person practices
4. patients with a know Sensitivity to the carotid sinus reflex 33 c Interferential current should not be applied over the neck or mouth Severe spasm of the laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing d Interferential current should not be applied transthoracically in that the introductions of electrical current in the heart may cause arrhythmias e Interferential current should not be applied transcerebrally f Interferential current should not be applied over swollen infected or inflamed areas or Skin eruptions e g phlebitis thrombophlebitis varicose veins etc g Interferential current should not be applied over or in proximity to cancerous lesions Precautions 1 Safety of interferential current stimulators for use during pregnancy has not been established 2 Caution should be used for patients with suspected or diagnosed heart problems 3 Caution should be used for patients with suspected or diagnosed epilepsy 4 Caution should be used in the presence of the following a When there is a tendency to hemorrhage following acute trauma or fracture b Following recent surgical procedures when muscle contraction may disrupt the healing process c Over the menstruating or pregnant uterus and d Over areas of the skin which lack normal sensation 5 Some patients may experience skin Irritation or hypersensitivity due to t
5. 1 Duty 1 Example 5 duty 05 min duty max Rtpa Rtpa 1 05 1 Rtpa 20 1 Example 95 duty 95 max pulsed duty min R toa Rtpa 1 95 1 Rtpa 1 05 1 See the following chart for Duty cycle to Rtpa comparison Duty Cycle Rtpa Indicated on front panel of device 5 20 1 10 10 1 15 8 33 1 20 51 25 4 1 30 3 33 1 35 2 86 1 40 2 5 1 45 2 22 1 50 2 1 55 1 82 1 60 1 66 1 65 1 54 1 70 1 43 1 75 1 33 1 80 1 25 1 85 1 18 1 90 1 11 1 95 1 05 1 The Rtpa tolerance does not exceed 20 The temporal maximum intensity for each duty cycle as well as the 100 modulation is whatever is indicated on the meter The temporal average intensity for each duty cycle will be the meter indication multiplied by the percentage duty cycle Temporal Average Duty x Meter Indication Example 5 Watts 35 Duty Temporal Average 35 x 5 Watts 1 75 Watts The Spatial Average Intensities for each of these setting will be divided by the transducer s Effective Radiating Area ERA Spatial Average Temporal Average ERA Example 5 Watts 35 Duty 5cm2 Transducer 37 Spatial Average 1 75 Watts 5cm2 0 35 Watts cm2 The pulse width On time of all Rich Mar therapeutic ultrasound devices is 2 5 milliseconds mS The time between pulses Off time in milliseconds is calculated as follows Pulse width On time 2 5mS Off time 2 5 2 5 Duty cycle Duty cycle Where Duty cycle is represented as a dec
6. MODE SET STIM LEUL me After setting the Channel 1 stim level press the Select button once and use the arrows to set the stim level of channel 2 or the channel balance if using the Quadpolar interferential waveform NE 1 TIE Select ph GUIAD IFC VECTOR u or S 15GH2 NORMAL Mo BALANCE LEWELS Press Select once more or Start to begin treatment 20 CHAHHEL 1 Be CHAHHEL 2 005 Fob ia Resume WUAD IFC MECTOR OH SH 156Hz HORMAL MOGE A stimulation treatment may be paused by pressing the Stop P ause button Output will immediately cease indicated by the intensity displays reading 000 and the output indicator boxes blank as shown below The treatment time will blink and will not advance When treatment is paused pressing the arrow buttons will adjust the treatment time up or down To resume treatment press the Start Resume button pane Hand Hal r 2 ES aan Be nA Patient Control or cal VECTOR OH switch a NORMAL MODE To Stop Stimulation Treatment Press the Stop Pause button or the Patient Control Switch once to pause treatment Press the Stop P ause button or the Patient Control Switch again to terminate treatment Press the Stop Pause button or the Patient Control Switch a third time to return to the Main Menu By hie AutoSound 7 6 Combination US Stim Operation Instructions COMBINATION TREATMENT To begin an ultrasound stimulation combination treatment From the main
7. menu use the arrow buttons to highlight COMBO AutoSound 7 6 Combo Use arrows to highlight ULTROSOUHD treatment and STIMULATION then Fress Start B a ress SELECT to access susten meny Press the Start button to access the Combination Treatment Screen seen below CH1 CH2 C ae gt m 000 O00 00 0 Resume mA mA yu le a me WIAD IFC HOTE HHH jem fee W S6 156H gt HORMAL LMH l s DOTY Ji AUTOSOUND 7 6 COMBINATION SET UP Note in Combination mode the ultrasound transducer becomes the white pin of Channel 2 Attach a lead cord to channel 2 and leave the white pin disconnected Putan electrode on the red pin and apply itto the patient Apply the ultrasound applicator to the patient the ultrasound applicator will actas the white lead electrode from channel 2 to complete the stimulation circuit The AutoSound 7 6 will output stimulation on channel 2 only during combination treatment Channel 1 will be disabled except when the Quadpolar interferential waveform is selected CAUTION When adjusting stimulation levels in combination mode the ultrasound applicator must remain in contact with the patient Failure to do so may result in uncomfortable sensation to the patient when the applicator is applied When performing a combination treatment the Russian waveform is not available Surge and Alternate modes are also disabled Select a stimulation preset by pressing the Preset button The P indicator to the left of the
8. other person to assume for us any other liability in connection with the sale or use of this equipment In no event shall we be liable for consequential or Special damages We make no warranty whatsoever in respect to accessories or parts not supplied by us AutoSound by Rich Mar The AutoS ound may prove to be the greatest advancement in therapeutic ultrasound since its inception The patented design allows you to provide an excellent ultrasound treatment for your patient eliminating virtually every error that manual application can cause plus it saves you time for more therapy because it does not require manual application For those areas that may not be best Suited for the AutoS ound applicator you also have the option of using the Therapy Hammer transducer for manual ultrasound The Therapy Hammer has a patented dual head design giving you both a 2cm2 and a 5cm transducer on a single applicator The following operating instructions detail its use and parameters l Up and Down Arrow buttons Display Screen Start Resume button Select button STOP Pause button Preset button AutoSoundm 7 6 Combo ultrasound stim combination device Two channels of stimulation s ll n Optional Therapy Hammer manual ultrasound applicator has both a 2cm and a 5cm soundhead on a single AutoSoundrm 5 6 transducer eee device AutoSound i hands free ultrasound applicator AutoSound
9. straps Black long 48 Gray medium 24 Blue short 15 AutoSound Operating Instructions Getting Started Turning the device on Plug the device into an electrical outlet and press the switch located on the back of the device to activate is on and O Is off Once the device is completes its diagnostics you will see the Opening Screen Opening Screen Accessing System screen or Treatment screen On the Opening Screen you will see the name of the device listed as well as instructions to begin a treatment or to access the System Menu i AutoSound utoSound 7 6 Combo l IND Use to ULTE T AUT OMAT I c ULTRASOUND p o Erg highlight ST ae 1n IHL START to begin then Press aiit eren o ELECT to access sustem menu Press SELECT to access Le TE AutoSound 5 6 Ultrasound Opening Screen AutoSound 7 6 Combo Opening Screen System Menu Setting unit defaults At the Opening Screen press the SELECT button to access the System Menu for either AutoS oundrm device Atthe System Menu you can adjust the following settings Output You can select to have the output intensity displayed in either Watts or W cm Contrast Select the ILM illumination setting for the screen contrast Presets Select to either have the presets LOCKED or UNLOCKED When locked presets cannot be edited INC CNTRL Turn ON to reduce the rate at which stim levels may be incremented Factory Defaults Will reset system settings to Factory Default
10. to O00 oo HUAC IFC HECTOR OH SH 158H HORMAL MODE There are 15 preset stimulation treatments and 5 different waveforms available on the AutoSound 7 6 Combo These are summarized in the following tables Autosound Stimulation Presets Quadpolar Interferential waveform Normal mode 80 150 Hz Scanned Pulse Rate Vector on Pl P2 Pre Mod Bipolar Interferential waveform Normal mode 2 200 Hz Scanned Pulse Rate Vector on s Pre Mod Bipolar IFC waveform Alternating mode channels 1 and 2 alternate 10 seconds each 50Hz Fixed Pulse Rate P5 Russian waveform 50 Duty Cycle Surge mode 10 seconds on 30 seconds off 50 Hz Fixed Pulse Rate Microcurrent Normal Mode 2 7s Fixed Cycle 500Hz Pulse Rate NOTE Some older software versions have only five available presets WAVEFORMS The following table summarizes the allowed range of settings and options for each waveform Autosound 7 6 Stimulation Settings Table Quad Interferential Pre Mod Interferential Hi Volt On Off On Off Mode Normal Normal Surge Normal Surge Normal Surge Normal Alternate Alternate Alternate Pulse Rate Fixed High Low Fixed High Low Fixed Only Fixed Only Fixed Only Mode High Low High Low Pulse Range 2Hz 200Hz 2Hz 200Hz 2Hz 200Hz 2Hz 200Hz 1000Hz 50us 100us 50us_ Fixed 50 Fixed 2 75 Oma 200me Oma 200ma Oua 999ya 19 S urge Mode Both channels turn on and off together Options
11. waveform description will blink Use the arrows to scroll through the stimulation presets until the desired preset is displayed Press the Preset button again the P indicator for the ultrasound presets will begin blinking use the arrow buttons to select an ultrasound preset Press the Preset button again or press the Select button to adjust the stimulation intensity treatment time ultrasound intensity transducer frequency and duty cycle parameters Use the arrows to adjust the highlighted parameter a pe The display below shows the stimulation level on channel 2 being adjusted noe O ULTRASOUND OD a 5 PRE 00 F 2 262 HORMAL AUTO HH H fm EA SET CH2 LEVEL os LMH2 100 DUT JE Press Select and use the arrow buttons to adjust the treatment time CH ULTRASOUND O03 le 00 02 i cme me PRE MOG IFC or y ES 2EGHe HORMAL AUTO HH H fems ADJUST TIME u IMHz 168 DUTY Press Select Highlight the ultrasound intensity and use the arrows to set the output intensity 2 CHe il m WL TRASOUND Select O05 T 0 s bee F PFRE MOD IFC AS 2 268H HWORMAL HUT 4 1 SET ULTRASOUND LMH Press Select Highlight the duty cycle and adjust CH2 m 1 SIULTRAS ee O05 meal OD Tex Mz MM PRE MOD IFC AB 2 268H2 NORMAL AUTO F SELECT DUTYCYCLE iHz Press Select Highlight the ultrasound frequency and set as desired 23 CH A HL gare elec O05 U0 ta a lm p FFE nor I
12. 0 minutes maximum 10 RUTOSOUND Example 3 Select Duty Cycle Press the SELECT button until Duty Cycle is highlighted Use the arrow buttons to select the desired duty cycle AUTOSOUND J is oh Tl Be lg dg lg za ancl ee ae Example 4 Select Frequency Press the SELECT button until the Frequency is highlighted use the arrow buttons to select the treatment frequency FREQUENCY i MHZ CI AUTOSOUND CI cm2 OS cnz FE r ssc DUTY CYCLE siia vV E Tsi UL O0 F Gee Fa A zi re Ousact Zieh sos cies E Notice here that both the 1MHz and the 3MHz frequencies are highlighted 1MHz is solid and 3MHz is gray This indicates that you have selected the Frequency Chain mode that alternates 1MHz and 3MHz output With each pass of the four crystals the device will automatically alternate between 1MHz and 3MHz providing you the benefits of both frequencies in one treatment Using the Frequency Chain will assure maximum ultrasound coverage throughout the entire tissue depth both deep and shallow Example 5 Selecting a Transducer if device has optional Therapy Hammer transducer If your device has the Therapy Hammer transducer the output can be sent to either the 2cm2 5cm2 or the AutoS ound transducer To change the output device press the SELECT button until the Transducer setting is highlighted Use the arrow buttons to select the desired transducer The Icon below
13. 5s ON 5s OFF 5s ON 10s OFF 10s ON 10s OFF 10s ON 20s OFF 10s ON 30s OFF 10s ON 50s OFF Alternate Mode Channels alternate while channel 1 is on channel 2 will be off Options 5s 10s 20s 30s Cycle Descriptions Hi Volt always two 50us pulses separated by 100us Russian always operates at a 50 duty cycle Micro Pulses alternate polarity every 2 s All preset treatments default to a 10 minute treatment time but the treatment time can be adjusted anywhere from 1 to 99 minutes Stimulation presets can be edited and saved in the same way as ultrasound presets See page 16 To select one of the fifteen stimulation presets press the Preset button and the P in the lower left flash Use the arrows to scroll through the presets until the desired preset is displayed Press the Preset button once more to select the desired preset If all parameters except intensity are appropriate for the desired treatment set the stim intensity and begin treatment as shown below Press the up arrow the display will change and the stim level will highlight Notice that the intensity of channel one is being set and the output indicator box to the right of the CHANNEL 1 label is filled in This indicates the device is outputting the displayed stimulation parameters on channel 1 NOTE If the Quadpolar Interferential waveform is selected both channels will be adjusted simultaneously Te 1 Wie P GOAD IFC VECTOR goa 1582 NORMAL
14. FC or w PS 70AHZ HORMAL AL UTO SELECT FREQ Press Start treatment will begin Both stimulation and ultrasound will be output simultaneously with stimulation coming through the AutoSound ultrasound applicator The treatment timer will begin to count down CH fi LTR ASOUME 005 OD ia tea g PRE MOb sue AUTO WH H H Jm eA 2EGHs NORMAL SMHz 287 DUTY Start Resume To pause a combination treatment press the Stop P ause button and output ceases indicators go blank and intensity displays read 000 and the treatment timer will flash To resume treatment press the Start Resume button AD USTING STIMULATION AND ULTRASOUND INTENSITIES DURING TREATMENT Press one of the arrow keys while treatment is running to set the stimulation level After adjusting the stimulation level press Select to highlight and adjust the level balance ultrasound intensity and treatment time To Stop a Combination Treatment Press the Stop Pause button once to Pause twice to cancel the treatment and return to the Combination Treatment Screen three times to return to the Main Menu 24 AutoSound 7 6 Concurrent Stim amp Ultrasound Operation Instructions CONCURRENT STIM AND ULTRASOUND TREATMENTS The AutoS ound 7 6 allows separate ultrasound and stimulation treatments to run simultaneously Concurrent operation is different from Combination mode rather than outputting stimulation through the ultrasound applicator the AutoS oun
15. NGUAGE ENGLISH RESTORE FACTORY DEFAULTS PRESS 70 Select SYSTEM SETUP OUTPUT weom TECH MENU 5635 CONTRAST 32 ILM PRESETS KuHa ESN LANGUAGE ENGLISH RESTORE FACTOR DEFAULTS PRESS SYSTEM SETUP OUTPUT weom2 TECH MENU 56 3 5 CONTRAST 32 ILM PRESETS LOCKED Hei TIN LANGUAGE ENGLISH RESTORE FACTORY DEFAULTS Rocca gt Select gt AutoSound 5 6 amp 7 6 Ultrasound Operation Instructions Treatment Screen Beginning a Treatment On the AutoS ound 5 6 pressing the START RESUME button from the Opening Screen will access the Treatment Screen as seen below On the AutoSound 7 6 use the arrow keys to select ULTRASOUND and press START RESUME to display the treatment screen On the treatment screen the following parameters are displayed e Transducer Displayed in the upper left hand corner Indicates which transducer is currently selected S electable between the AutoS ound applicator the manual 2cm transducer and the manual 5cm transducer only if the device has the optional Therapy Hammer manual transducer If your device has only one applicator this option is disabled e Treatment Time Displayed in the upper middle Displays minutes and seconds e Output Displayed in the upper right corner Output can be displayed in either W cm or Watts see System Menu e US Active Displayed in lower left corner Will indicate if device is currently outputting ultrasound e Fre
16. Rich Mar AutoSound 5 6 Ultrasound amp AutoSound 7 6 Ultrasound amp Stimulation Combination Unit Operation Handbook and Service Manual j a kN 3 0 if an ws kad T al A Ron MAKING WAVES IN THERAPY Part 42453 ey Batch 001 CAUTION This device is not designed to be connected with any electrical equipment unless manufactured and approved by Rich Mar These include patient lead cords self adhesive electrodes carbon electrodes ultrasound lotion and gel NOTE This includes whirlpools and accessories NOT manufactured or approved by Rich Mar CAUTION When using carbon electrodes with any Rich Mar stimulator or combination unit a moistened interface cloth or sponge MUST be utilized between these electrodes and the patient to avoid skin irritation and or electrical burns WARNING Federal law restricts this device to sale by or on the order of a physician or any other practitioner licensed by the law of the state in which said person practices For continued protection against fire hazard replace fuses ONLY with those of the same type and rating This equipment should always be grounded Grounding reliability can only be achieved when the equipment is connected to an equivalent marked Hospital Grade This device should be kept out of the reach of children Table of Contents MVM IOS a E T A eenoaeane cates Be ADE o eE E E E A ceases STINGS ANEU cea Opening Screen System Menu
17. action Microcurrent provides sub sensory stimulation Within each waveform a particular pulse rate or beat frequency can be chosen Low pulse rates 0 10 are thought to be the best for indications involving chronic problems while higher pulse rates 80 200 are thought to be best for indications involving acute problems A pulse rate of 50Hz is thought to provide the best motor stimulation contraction without rapid fatigue Broad base protocol conventions exist for all electrical stimulation as described above but within each waveform certain parameters are the key to eliciting a particular response The AutoSound 7 6 Combo units have been programmed to have the most common treatment options as factory waveform default settings However the AutoSound 7 6 Combo units are designed to provide the most sophisticated and customized treatments imaginable Helpful Hint If you desire further information regarding waveform descriptions recommended reading to supplement this section is ELECTROTHERAPEUTIC TERMINOLOGY in Physical Therapy published by the American Physical Therapy Association For more information contact the APTA 1111 North Fairfax Street Alexandria VA 22314 1488 Quadpolar Interferential four pads Electrical stimulation at higher frequencies 5000HZ penetrates the skin easily due to capacitive effects of the skin but has little therapeutic effect Lower frequencies 0 200 are therapeutic yet produce irritation o
18. d 7 6 stimulation and ultrasound sections function separately as if the AutoSound 7 6 were separate stimulation and ultrasound devices Start one treatment normally either ultrasound or stimulation The press Start again to bring up the concurrent treatment screen Examples of both are given Example Ultrasound treatment started first Fon OS eee rT DUTY CYCLE fm AR CO PA LI Sas O 10A Once the ultrasound treatment is running as in the above screen with the treatment timer counting down and ultrasound being output Press the Start button a second time The screen will split showing the currently running ultrasound treatment on the right and a new stimulation treatment on the left CHi O i CH2 O LISLE ain Star 000 0 10 000 ihi 00 52 Resume mA mA m SM HI WOLT AUTO LHH H fm p LHBAS HORMAL IMH lhe DOTY The ultrasound treatment will continue to run uninterrupted Stimulation parameters can now be set as in a solo stimulation treatment Once the stimulation treatment parameters have been set press Start and the stim timer will begin counting down now a stim treatment is running concurrently with an ultrasound treatment as shown below ooo DDD ooo mb mA AB CUAL IFC MS6 150H gt HORMOL iMH 100x DUTY 295s RM HI WOLT RB 00Hz HORMAL 010 19 5 coo id mH aF HI LOLT kM 1 GHz ADJ USTING STIMULATION AND ULTRASOUND INTENSITIES DURING TREATMENT Press one of the arrow keys while treat
19. e the intensity If the device is outputting ultrasound the water should cavitate or bubble on the soundhead CAUTION Do not operate the ultrasound in an unloaded condition for more than one minute at intensities greater than 1 0 W cm2 Itis possible that the transducer may overheat and damage the unit 29 Rich Mar AutoSound 5 6 and 7 6 Ultrasound Indications for Treatment Therapeutic Ultrasound Rich Mar Ultrasound devices are indicated to produce therapeutic deep heat for the following conditions 1 Relief of pain 2 Muscle spasms 3 J oint contractures But not for the treatment of malignancies Rich Mar AutoSound 5 6 and 7 6 Ultrasound Contraindications Ultrasound should not be used in the following areas SS ee ee Near or over the heart Near or over the eyes On the head Near or over reproductive organs On the lower back during pregnancy or over the pregnant uterus Directly over the spinal column Over growing bone in children Where the skin suffers from any sensory impairment Over areas of malignancies In the area of visceral plexus and large autonomous ganglion Over the thoracic area if the patient is using a cardiac pacemaker Over a healing fracture Over ischemic tissues in individuals with vascular disease where the blood supply would be unable to follow the increase in metabolic demand and tissue necrosis might result Precautions should be taken when used 1
20. educed by using an alternate conductive medium or alternate electrode placement 6 Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner 7 Powered muscle stimulators should be kept out of the reach of children 8 Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the manufacturer Adverse Reactions Adverse reactions to electrical stimulation are usually limited to sensations of discomfort Excessive stimulation can cause muscle spasms as well as Soreness such as can be expected with excessive natural exercise In all cases treatment should not exceed the patient s comfortable tolerance to the stimulation level Note Skin irritation and burns beneath the electrodes have been reported with the use of powered muscle stimulators Rich Mar AutoSound 7 6 TENS Contraindications and Warnings 530 Contraindications 1 Any electrode placement that applies current to the carotid sinus neck region 2 Any use of TENS on patients who have a demand type cardiac pacemaker 3 Any electrode placement that causes current to flow transcerebrally through the head 4 The use of TENS whenever pain syndromes are undiagnosed until etiology is established Warnings 1 The safety of TENS devices for use during pregnancy or birth has not been established TGENS is not effective for pain of central origin This includes headache TENS devic
21. es 0 20 min ultrasound amp combo 0 99 min stim Frequencies Frequencies 1 3 MHz or 1 amp 3MHz Chain Same BNR BNR Maximum of 5 5 1 Same ERA ERA AutoS ound 3 5cm2 treatment area of 14cm AutoS ound 3 5cm2 treatment area of 14cm Therapy Hammer 2cm and 5cm Therapy Hammer 2cm and 5cm Input Input 115 VAC or 230 VAC Same Presets Presets 15 programmable presets 15 progammable US presets 5 fixed stim presets Patient Control Switch Patient Control Switch Included Same Weight Weight Approx 8lbs Approx 14 lbs Dimensions Dimensions 12 W x 9 D x7 H 12 W x 12 D x 7 H Waveforms Waveforms Not Applicable Quadpolar IFC Premodulated IFC High Volt Russian Power Consumption Power Consumption 100 Watts 100 Watts Fuse Fuse 1 Amp 1 Amp Line Leakage Line Leakage Less than 50 micro amps Less than 50 micro amps 28 Trouble S hooting Rich Mar Corporation takes pride in its Technical Support Hotline If you have any questions please contact your distributor or you can contact us at 800 762 4665 in the US 1 918 543 2222 internationally or at info richmarweb com We have an outstanding staff ready to take your calls and help with diagnosing and troubleshooting problems Listed below are several options for troubleshooting the AutoS ound 1 The device fails to turn on Check to verify that the power cord Is fully plugged into the corcom power entry module below the AC Switch on the rear of the device Also veri
22. es should be used only under the continued supervision of a physician TENS devices have no curative value TENS is a symptomatic treatment and as such suppresses the sensation of pain which would otherwise serve as a protective mechanism The user must keep the device out of the reach of children Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when TENS stimulation is in use UI e W N N oA Precautions 1 Isolated cases of skin irritation may occur at the site of electrode placement following long term application 2 Effectiveness is highly dependent upon patient selection by a person qualified in the management of pain patients Adverse Reactions Skin irritation and electrode burns are potential adverse reactions Rich Mar AutoSound 7 6 Interferential Current Contraindications and Warnings Contraindications This device should not be used in the following areas On persons wearing a Cardiac pacemaker On persons who have known or suspected malignant lesions This includes cancer patients Over the carotid sinus area Transcerebrally Over the pregnant uterus Interferential current therapy must NOT be used on persons with implants of any electrical nature H UT Ae WW NN FO Warnings a The long term effects of chronic electrical stimulation interferential current are unknown b Interferential current should not be applied over the carotid sinus nerves particularly in
23. eter such as the Ohmic UPM 30 or equivalent Degassed water must be used to obtain accurate readings 4 parts per million of oxygen Warning Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous exposure to ultrasonic energy Calibration and Tuning Procedure Instructions A graphical AutoS ound 5 6 calibraton instruction is available on our website www richmarweb com as a PDF file under the Service tab Once you have accessed the instructions from the website and still have questions regarding calibration please call the Rich Mar Service Department at 918 543 2222 ext 232 for additional information 39 AutoSound 7 6 Stimulation Technical Information The AutoSound 7 6 Combo units represent the most sophisticated electrical waveform generation ever developed in electrotherapy The waveforms are software generated using advanced algorithms in the CPU of the AutoSound 7 6 Combo unit Each waveform has particular characteristics that are suited to a physiological response Classic or Quadpolar Interferential is conventionally thought to provide the smoothest feeling current available for sensory stimulation Hi Volt Monophasic current provides a net charge effect when needed provides low current density stimulation and historically has been used when an ultrasound combination is utilized The Russian waveform is thought to be the best waveform for motor contr
24. fy that the power cord is fully plugged into the AC wall outlet Check the fuse to verify that it has not blown CAUTION To ensure personal safety unplug the unit before checking the fuse 2 Ultrasonic Active indicator fails to illuminate box doesn t black in Verify that the soundhead connections are plugged firmly into the main board 3 TEMP indicator comes on next to the Ultrasound Output display Indicates that the AutoSound applicator is getting too warm and the device will first display TEMP and revert to a 10 pulsed output until it cools if the device gets too hot it will cease ultrasound output Check to make sure your intensity level is not too high ifso decrease the intensity If that does not make the TEMP indicator go away turn off the device and pour some cool water in the gel well If the TEMP indicator remains on all the time it may indicate that the device may need some service please call Rich Mar Technical Service at 800 762 4665 When using the AutoS ound 5 6 OR 7 6 check that the soundhead in use Is active Also be sure to use an adequate amount of coupling gel an AutoGel pad or a lotion specifically designed for ultrasound transmission Cavitation Test Output Troubleshooting Rich Mar suggests that ultrasound output be tested once a week To do this turn on the device and Start a treatment at 100 output The outputting head should be facing up towards the user Pour some water on the soundhead and increas
25. he electrical stimulation or electrical conductive medium The irritation can usually be reduced by using an alternate conductive medium or alternate electrode placement 6 Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner 7 Interferential current stimulators should be kept out of the reach of children 8 Interferential current stimulators should be used only with the leads and electrodes recommended for use by the manufacturer Adverse Reactions Adverse reactions to electrical stimulation are usually limited to sensations of discomfort Excessive Stimulation can cause muscle spasms as well as Soreness such as can be expected with excessive natural exercise In all cases treatment should not exceed the patients comfortable tolerance to the stimulation level Note Skin irritation and burns beneath the electrodes have been reported with the use of interferential Stimulators Disinfecting Recommendations To disinfect the applicator transducer between therapy treatments Rich Mar recommends using a disinfectant cleaner for ultrasound OSHA addresses the need for prudent infection control OSHA Instruction CPL 2 2 33C to include decontamination of equipment between patients 34 Ultrasound Technical Information AutoSound 5 6 and 7 6 Applicator Type The ultrasonic radiation fields produced by Rich Mar therapeutic ultrasound transducers are of the plane wave type and are es
26. ill begin counting down e The US Active indicator will be filled indicating ultrasound is being output e The transducer icon will be depicted as outputting UTOSOUND eaz k T ii ome Resume HIH H FREQUENCY DUTY Ee Fii Helpful hints Intensity can be adjusted at any time during a running treatment by pressing the up or down arrow buttons as shown below The Duty Cycle and Time can be adjusted while treatment is running by pressing the SELECT button until the desired setting is highlighted Use the arrow buttons to change the parameter The Frequency and Transducer can also be changed during treatment by pausing the treatment and using the Select and arrow buttons Remember to move the transducer over the treatment area if using the 2cm or 5cm manual applicator Also ALWAYS use a coupling medium Gel Lotion or AutoGel pad with any of the transducers to assure conduction To Pause a Treatment To pause a treatment press the STOP PAUSE button or press the Patient Control Switch 14 While treatment is paused The treatment time indicator will blink and not count down Intensity will be shown as 00 0 STOP Pause or Patient Control Switch To Resume a Paused Treatment By pressing the START RESUME button a paused treatment will resume Start Resume Stopping a Treatment To stop a running treatment first pause the treatment by pressing STOP PAUSE or the Patient Control Switch Once a treatment is paused
27. imal Please see the following example for computing the Off time for a 10 Duty cycle Off tme 2 5 2 5 0 10 0 10 22 5 milliseconds Additional Technical Notes The peak power is the same in the pulsed modes as in the 100 modulated mode Unless otherwise Stated all technical parameters are accurate within 20 When in the pulse modes the unit is still generating therapeutic heat although it is an amount reduced by a factor directly related to the duty cycle The pulse rates are used to allow the practitioner to treat areas of bony prominences without creating periosteal pain The line leakage is tested in both the forward and reverse polarities to be less than 50 microamperes exceeding all standards for medical devices in this class The device is designed to meet or exceed UL Standards 2601 1 for medical devices and the Canadian Standards Association C22 2 No 601 1 38 Ultrasound Calibration and Tuning Procedure for AutoSound 5 6 and 7 6 Ultrasound Service Information Rich Mar Corporation recommends that all Rich Mar ultrasonic therapy products be returned to the factory or to a servicing Rich Mar distributor for service or calibration It is recommended that the device be calibrated annually or when any major component is changed Caution Calibration and peaking adjustments must not be attempted unless the person performing these adjustments has the proper test equipment which must include an acceptable ultrasonic wattm
28. imulators also have the capability to produce a Hi Volt Symmetric Square Wave Monophasic stimulation having two equal positive phases per pulse This results in a net charge effect The polarity of Hi Volt Monophasic will be positive for the red pin for each channel and negative for the white pin Total Output Current for the Hi Volt 200 mA Waveform volts 0 50 100 T w0 20 700 250 0 450 S00 Hi Volt Monophasic Parameters Carrier Frequency Not Applicable Pulse Rate 2Hz to 200Hz Adjustable Fixed Phase Duration 50uS Interphase Interval 100uS Surge and Co Cont rates 5 5 5 10 10 10 10 30 10 20 or 10 50 on off Seconds Alternating Rate 5 10 20 or 30 seconds Ramp On Fixed 3 seconds Ramp Off Fixed 1 seconds 43 Russian Total Output Current 50 mA rms Russian is a 2500Hz time modulated waveform having a sinusoidal frequency that is burst modulated at 50 duty Russian is available in surge and co contraction and alternating modes Russian Waveform volts 0 2 4 6 amp 10 12 l4 l E ZU Russian Parameters Carrier Frequency 2500Hz Beat Frequency Fixed 50Hz Pulse Rate 2 Hz to 200Hz Fixed Surge and Co Cont rates 5 5 5 10 10 10 10 30 10 20 or 10 50 on off Seconds Alternating Rate 5 10 20 or 30 seconds Vector Options Not Available Ramp On Fixed 3 seconds Ramp Off Fixed 1 seconds 44 Microcurrent The microcurrent waveform is a low intensity treatment alternating in p
29. inal judgment that it is defective This warranty does not apply if the equipment has been subject to misuse neglect accidents incorrect wiring not our own improper installation or put to use in violation of instructions furnished by us has been damaged by excess voltage or has been repaired or altered outside our factory or if the equipment has had Its serial number altered or removed Changes Rich Mar reserves the right to modify or change the equipment in whole or in part at any time prior to delivery in order to include refinements deemed appropriate by the Company but without incurring any liability to modify or change equipment previously delivered or to supply new equipment in accordance with earlier specifications This warranty will be honored only if the enclosed card is filled out and returned to the factory This warranty is valid only to original purchaser This warranty is expressly in lieu of all other warranties expressed or implied including the warranties of merchantability and fitness for use and all other obligations on our part and we neither assume nor authorize any other person to assume for us any other liability in connection with the sale or use of this equipment In no event shall we be liable for consequential or special damages We make no warranty whatsoever in respect to accessories or parts not supplied by us AUTOSOUND 7 6 LIMITED WARRANTY This equipment is sold under an exclusive one year warranty from da
30. it can be stopped by pressing the STOP PAUSE button or the Patient Control Switch again The US ACTIVE indicator blank To Stop treatment first press STOP PAUSE or press Patient Control switch to pause Treatment time blinking and not counting T Intensity shown as 00 0 STOP Pause or Patient Control Switch The US ACTIVE indicator blank 15 Press STOP PAUSE again or press Patient Control switch again to stop and clear treatment aid 1i D LD Patient Control eee DUTY CYCLE sw itch 3 Once a treatment is stopped the original treatment time will be displayed Saving a Treatment as a Preset The AutoS ound allows you to store up to 15 treatments as Presets To save a treatment as a preset select the Preset Number to store by pressing the PRESET button the P icon will flash use the arrow buttons to select the desired Preset P set up the treatment to be stored press and hold the PRESET button until a long beep is heard and the message preset updated is displayed Example To save a treatment as Preset 2 Press and release the Preset button the P icon will flash use the arrow buttons until 2 is displayed under the P in the lower right corner press Preset again Change the parameters to be saved for this Preset VERY IMPORTANT To save these settings as the Preset indicated press and hold the PRESET button until you hear a beep After that your displayed treatment is saved as
31. know sensitivity to the carotid sinus reflex 3 Stimulation should not be applied over the neck or mouth Severe spasm of the laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing 4 Stimulation should not be applied transthoracically in that the introductions of electrical current in the heart may cause arrhythmias 5 Stimulation should not be applied transcerebrally 6 Stimulation should not be applied over swollen infected or inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins etc 7 Stimulation should not be applied over or in proximity to cancerous lesions Precautions 1 Safety of powered muscle stimulators for use during pregnancy has not been established 2 Caution should be used for patients with suspected or diagnosed heart problems 3 Caution should be used for patients with suspected or diagnosed epilepsy 4 Caution should be used in the presence of the following a When there is a tendency to hemorrhage following acute trauma or fracture b Following recent surgical procedures when muscle contraction may disrupt the healing process c Over the menstruating or pregnant uterus and d Over areas of the skin which lack normal sensation 5 Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium The irritation can usually be r
32. ment is running to set the stimulation level After adjusting the stimulation level press Select to highlight and adjust the level balance ultrasound intensity and treatment times Example Stimulation treatment started first Starting an ultrasound treatment while a stimulation treatment is running is done exactly the same way With a stim treatment screen displayed like the one shown below tis 5 as as HUAC IFC UECTOR OH SH 1S6Hz HORMAL MODE Press the Start button the screen will split and the ultrasound treatment screen will display on the right Hani 008 007 P Il 00 04 mA FB GUAL IFC AUTO HH H m RS 26 158Hz HORMAL iMH 168 DUTY The stim treatment will continue to run uninterrupted and the ultrasound treatment screen is now shown Use the Select button to highlight the ultrasound parameters and set up a treatment as for a 26 Solo ultrasound treatment The Preset button can also be used to select a preset as when performing a solo ultrasound treatment PAUSING CONCURRENT AUTOSOUND 7 6 TREATMENTS If concurrent stim and ultrasound treatments are running pressing the Stop Pause button will pause BOTH treatments This will be indicated by output ceasing intensity displays reading 0 output indicators being blank and the treatment times flashing While paused the Select button and arrows can be used to change treatment parameters if desired To resume treatment press the Start Resume bu
33. nt the beam has a more uniform intensity and is called the far field Figure 2 shows the far field distribution at 16cm from the transducer face The preceding descriptions apply for radiation emitted into the equivalent of an infinite medium of distilled degassed water at 30 C and with line voltage variations in the range of 10 of the rated value Transducer Parameters and Tolerances The Rich Mar ultrasound units operate at frequencies of either 1MHz or 3MHz 10 The effective radiating areas ERA of the transducers are ten five three and a half 3 5 or two square centimeters 35 depending upon the size of the transducer being used The tolerance for the ERA is 25 on the 2 3 5 and 5 square centimeter transducers The tolerance for the 10 square centimeter transducers is 0 25 The Beam Nonuniformity R atio BNR of any Rich Mar transducer is 5 5 1 or less 100 Mode When operated in the 100 mode the generator produces a non interrupted sinusoidal waveform of one or three MHz The peak power and average power are therefore the same The error in indication of radiated power in intensity for the continuous mode does not exceed 14 allowing for a 6 error in the wattmeter which equals 20 Pulsed Mode When operated in the pulsed mode the generator produces a square wave burst of sinusoidal waveform of 1MHz or 3MHz of 2 5 milliseconds in duration Depending upon the Rich Mar model of therapeutic ult
34. olarity every 2 7 seconds Microcurrent is indicated for the following conditions Symptomatic relief of chronic intractable pain Management of pain associated with post traumatic or post operative conditions Waveform Carrier Frequency Not Applicable Pulse Rate Fixed 3 1000Hz Pulse Rate Chain Fixed Low Fixed High Phase Duration 50mS Interphase Interval Dependent upon pulse rate P ositive Negative Interval 2 7 seconds Alternating Rate Not Applicable Surge Rates Not Applicable Ramp On Fixed 3 seconds Ramp Off Fixed 1 seconds phases alternate from positive to negative every 2 seconds The amplitude is adjustable from zero to 999uA 45
35. quency Displayed in the lower middle Selectable for either MHz amp 3MHz e Duty Cycle Displayed to the right of the Frequency Indicates which duty cycle is active Selectable between 100 50 20 and 10 e P Preset Displayed in lower right hand corner Indicates the currently active Preset 1 thru 15 Transducer ai Time Output Im FREGUENCY DUTY CYCLE COUS ACTIVE Ultrasound Active Frequency Duty Cycle Preset Indicator To access and change Output Time Duty Cycle or Transducer press the SELECT button until the desired parameter is highlighted Once highlighted use the Up and Down Arrow keys scroll through the available settings for that parameter Please see the following examples on how to set up a treatment Setting up an ultrasound treatment Example 1 Setting Adjusting Ultrasound Output Press the SELECT button once to highlight the Output Use the arrow buttons to set the desired intensity Note that there is no output at this point the US ACTIVE indicator remains empty Output is disabled until treatment is begun AutoS ound at 3MHz Is limited to 1 5 W cm i i AUTOSOUND Z2 em2 O5 cm2 AUTOSOUND C2 cme WM H F a DUTY CYCLE HHH FREQUENCY T DUTY CYCLE MHZ E 1a CO 20 JE OUS ACTIVE 3MH2 O56 Cie Example 2 To Select Treatment Time Press the SELECT button until the Treatment Time is highlighted Use the arrow buttons to set the desired treatment time 20 0
36. r even pain if applied directly Interferential current utilizes two high frequencies to pass through the skin barrier and then mixes the two frequencies to produce a low frequency within the tissues Quadpolar mode is named such because two channels totaling four quad electrodes work in conjunction to provide treatment of one site 40 The AutoSound 7 6 Combo stimulators can provide Quadpolar Interferential by producing two separate sine wave outputs By crossing these electrodes the two sine waves mix and produce a beat frequency within the tissue This beat is the difference in the two sine wave outputs Waveform Quadpolar interferential Tho Channels Four lootrades Two channels required for Quadpolar FC 0 50 100 150 200 250 300 350 400 450 500 s The AutoSound 7 6 Combo stimulators produce 5000Hz sine waves from channel one and produce between 5000 and 5200Hz sine waves and channel two Channels one and two operate in concert to treat one site The device scans between a low beat and a high beat setting Quadpolar Interferential Parameters Carrier Frequency 5000Hz Beat Frequency Fixed 2Hz to 200Hz Beat Frequency Scan Low 2Hz to 80Hz Beat Frequency Scan High 80Hz to 150Hz Vector Options On Off Alternating Rate NA Surge Rates On NA Off Na Ramp On Fixed 3 seconds Ramp Off Fixed 1 seconds Quadpolar Interferential The Total Output Current 50mA rms The meter sho
37. rasound in use the duty cycle can be chosen between 5 and 95 duty This then implies the repetition rate is selectable between 20 and 380 pulses per second This is computed by taking the inverse of the duty cycle 1 380 95 1 20 05 The tolerance for the pulsed mode is 20 See the following chart for second comparison on Duty cycle to pulses Duty Cycle Pulses Second Indicated on front panel of device 20 10 40 15 60 20 80 25 100 30 120 35 140 40 160 45 180 50 200 55 220 60 240 65 260 70 280 15 300 80 320 85 340 90 360 95 380 The error in indication of radiated power in intensity for the pulsed mode does not exceed 14 allowing for an allowable 6 error in the wattmeter which equals 20 Timer Accuracy The Food and Drug Administration requires that the treatment timer accuracy is to within 0 5 minutes for the preset duration of emission for settings less than five minutes to within 10 of the preset duration of emission for settings from five to ten minutes and to within one minute of the preset duration of emission for settings greater than ten minutes Ratio of Temporal Peak to Temporal Average Rtpa 36 The ratios of temporal peak to temporal average intensities Rtpa will vary with the pulse rate of the device Depending upon the Rich Mar model of therapeutic ultrasound in use the duty cycle can be chosen between 5 and 95 duty The Rtpa is calculated in the following manner Rtpa
38. s The Tech Menu and si selections are not operable at this time NOTE When the INC CNTRL Increment Control option is enabled in the System Setup menu stimulation intensity will increment by 1ma for every five presses of the up or down arrow This safeguard goes into effect anytime the stim intensity is above a predetermined level The increment control feature is implemented to avoid accidental rapid jumps in the level of stim sensation which may be uncomfortable to the patient A small bar graph alongside the stim intensity indicator shows how close the output is to stepping to the next full intensity level Example At the System Setup screen press SELECT until the PRESETS setting Is highlighted Then press one of the arrow keys until LOCKED is displayed Now the Presets are LOCKED and cannot be changed To erase any Presets you may have entered and restore the factory default settings press SELECT until FACTORY DEFAULTS is highlighted and press the UP arrow STORING DATA TO EE will be displayed indicating the factory defaults have been restored over any customer entered presets Once adjustments have been made to the system settings press STOP or START to return to the Opening Screen SYSTEM SETUP Select OUTPUT wen TECH MENU 563 5 CONTRAST ay PRESETS UNLOCKED LANGUAGE ENGLISH RESTORE FACTORY DEFAULTS PRESS SYSTEM SETUP OUTPUT weem2 TECH MENU 5 S liina CONTRAST 32 ILM PRESETS Mimra LA
39. sentially cylindrical in shape This type of applicator is referred to as a collimating applicator acy Applicator Label i A gt Each Rich Mar applicator is labeled to provide the user with information on its applicable parameters The following abbreviations are used on the label Gen The Rich Mar ultrasonic generator for which the applicator is intended f The operating frequency in MHz for the applicator Area The effective radiating area of the applicator in square centimeters fan R n aie x R R i an o Z we ee NR s is ENS AK eo K es SEES es a RRRS G oes Oy ZS BNR The Beam Nonuniformity Ratio Type Coll means collimating applicator 303320 ka Fig 2 Far Field Distribution Near Field Far Field If measurements are made of the sound intensity along the central axis of the beam produced by the applicator the intensity distribution shows maxima and minima near the applicator and then a gradual decline beyond the last maximum intensity The interference or near field is the area in the ultrasound beam extending from the applicator Surface to the location of the most distant intensity maximum In this area maxima and minima of intensity are located close to each other This is the area in which most therapeutic application occurs This is shown in the Figure 1 measured 0 5cm from the transducer face Beyond this poi
40. t with the patient Failure to do so may result in uncomfortable sensation to the patient when the applicator is applied Rich Mar AutoSound 7 6 Stimulation Operation Instructions The Rich Mar AutoSoundtm 7 6 Combo is the next generation in the AutoS oundrw line of products The AutoSound 7 6 Combo provides both the unique Hands Free ultrasound applicator and stimulation To begin plug the device in and turn it on via the power switch The AutoSound 7 6 Combo will run internal diagnostics and the screen will look like this the version numbers may differ AUTOSOUND 7 6 _ ESTIM ULTRASOUND COMBO i GUI WER F1 a0 B SIM VER 1 13 US VER 62 15 Once the device completes its diagnostics a screen similar to the one below will be displayed From the Main Menu you can press the Select button to access the System Menu or use the Arrow Buttons and the Start R esume button to proceed to the Ultrasound Stimulation or Combo treatment screens AutoSound 7 6 Combo Use arrows to highlight EERE E treatment and STIMULATION STIMULATION then Fress Start cone t Fess SELECT to access system menu STIMULATION TREATMENT From the Main Menu use the arrows to highlight STIMULATION and press Start Resume 3 AutoSound 7 6 Combo Use arrows to highlight ILTRASOUND Featment an STIMULATION then Fress Start COMBO rress SELECT to access system menu 18 The Stimulation Treatment screen will be displayed as shown below
41. te of sale which warrants it to be free from defects in material and workmanship We agree to repair or replace at the point of manufacture without charge all parts showing such defects provided the unit is delivered to us prepaid to our factory intact for our examination within two years from date of Sale and provided such examination discloses in our final judgment that it is defective This warranty does not apply if the equipment has been subject to misuse neglect accidents incorrect wiring not our own improper installation or put to use in violation of instructions furnished by us has been damaged by excess voltage or has been repaired or altered outside our factory or if the equipment has had Its serial number altered or removed Changes Rich Mar reserves the right to modify or change the equipment in whole or in part at any time prior to delivery in order to include refinements deemed appropriate by the Company but without incurring any liability to modify or change equipment previously delivered or to supply new equipment in accordance with earlier specifications This warranty will be honored only if the enclosed card is filled out and returned to the factory This warranty is valid only to original purchaser This warranty is expressly in lieu of all other warranties expressed or implied including the warranties of merchantability and fitness for use and all other obligations on our part and we neither assume nor authorize any
42. the displayed number Preset P You must do this prior to starting the treatment You cannot save a running treatment as a Preset Select o gt 16 r Ty T m E FREQUENCY 5 aie ae E US ACTIVE Select T Wn FRESUENCY 7 DUTY CYCLE V rot Press and hold Preset until you hear a long beep Combining the AutoSound 5 6 Ultrasound with an External Rich Mar Stimulator The Rich Mar AutoS ound 5 6 is designed to be connected with any Rich Mar muscle stimulator Thus enabling the user to provide combination therapy to patients in either a Hands Free manner with the AutoS ound applicator or in a manual technique with the Therapy Hammer transducer To connect the AutoS ound 5 6 unit to a stimulator simply plug an electrode lead from the stimulator into the jack on the lower right front side of the AutoS ound ultrasound unit the jack is next to the Therapy Hammer cable coming out of the device Using the other electrode of the stimulator to complete the circuit with either the Therapy Hammer or AutoS ound applicator the user will be able to provide electrical stimulation as well as ultrasound through the transducer CAUTION When using a combination treatment note that both faces of the Therapy Hammer transducer and the AutoSound applicator face will output stimulation CAUTION When adjusting stimulation levels in combination mode the ultrasound applicator must remain in contac
43. the indicator will change showing the selected transducer Oa FREQUENCY 7 DUTY CYCLE O AUTOSOUND 2 Mz F O5 cm2 E 207 mm EAL V t mA O ia 12 Using the AutoSound Transducer If treatment is being performed using the AutoS ound transducer a coupling medium must be applied to the Gel Well Rich Mar recommends use of AutoGel Pads which provides excellent conduction are much easier to use and create less mess than normal gel To use the AutoGel Pad open the pack Spray a little water on the AutoGel if itis not wet and place it in the Gel Well Apply the transducer to the patient and secure it with the appropriate size strap See the pictures below for the appropriate use of the straps If you do not have AutoGel Pads you can use Rich Mar Aloe S ound Gel Plus or Aloe S ound Lotion by filling the Gel Well with gel lotion and applying the AutoS ound transducer to the patient Secure the transducer to the patient with the appropriate strap and method as shown above NOTE The AutoS ound applicator is water resistant but not designed to be submerged for underwater treatment Submerging the applicator could cause serious damage to the applicator 13 Starting a Treatment Once all treatment parameters have been set the coupling agent applied and the transducer properly attached to the patient Begin treatment by pressing the START RESUME button Once the treatment has started e The timer w
44. tton and BOTH treatments will resume LMZ or STOP T ERDI l 1 O ULTRASOUHD Pause oog Iji ll E mA Patient Control REPRE Mt IFC AUTO switch AA 2 2 06H HORMAL ZMHZ CH2 E 4 ULTRASOUND Start l ll W as JA tn Ee PRE MOD IFC auto JIH HH fm fie M2 20GH gt HORMAL SMHz 20 DUTY STOPPING CONCURRENT TREATMENTS To Stop concurrently running treatments both treatments must be stopped they cannot be terminated separately Press the Stop P ause button to pause output Press the Stop Pause button again and the AutoS ound display will return to the Main Menu screen ADJ USTING STIMULATION AND ULTRASOUND INTENSITIES DURING TREATMENT Press one of the arrow keys while treatment is running to set the stimulation level After adjusting the stimulation level press Select to highlight and adjust the level balance ultrasound intensity and treatment time To end one treatment without affecting the other the Select button can be used to highlight the intensity for a treatment Use the arrow buttons to reduce the intensity to zero for the selected treatment The electrodes or applicator can now be removed from the patient oT AutoSound 5 6 Ultrasound Specifications AutoSound 7 6 Combo Specifications Ultrasound Duty Cycles Ultrasound Duty Cycles 100 50 20 and 10 Same Ultrasound Output Ultrasound Output 0 2 0 W cm2 Note AutoSound 3MHz and Same 1 amp 3MHz Chain are limited to 1 5 W cm Timer Timer 0 20 minut
45. wn on the display of the AutoS ound 7 6 Combo units is listed as rms current To convert rms to peak current multiply rms by 1 414 Examples are given below Meter Reading ms Peak Current Milllamps mA Conversion mA 5 7 1 10 14 1 15 21 2 20 28 2 25 35 4 30 42 4 35 49 5 40 56 6 45 63 6 50 10 7 4l Pre Mod IFC Interferential Pre Mod IFC Interferential operates with a carrier frequency but it is premodulated within the AutoSound 7 6 Combo stimulators This enables a single channel two electrode system to be used Pre Mod IFC Interferential can select a pulse rate or a beat frequency between 2 and 200Hz Waveform Pre Mod IFC Interferential Parameters Carrier Frequency 5000Hz Beat Frequency Fixed 2Hz to 200Hz Adjustable Beat Frequency Scan Low 2Hz to 80Hz Beat Frequency Scan High 80Hz to 150Hz Vector Options On Off Surge and Co Cont rates 5 5 5 10 10 10 10 30 10 20 or 10 50 on off Seconds Alternating Rate 5 10 20 or 30 seconds Ramp On Fixed 3 seconds Ramp Off Fixed 1 seconds Pre Mod IFC Interferential The Total Output Current 50mA rms The meter shown on the screen of the Theramini is listed as rms current To convert rms to peak current multiply rms by 2 34 1 414 707 Examples are given below Meter Reading ms Peak Current Milllamps mA Conversion mA 5 11 7 10 23 4 15 35 1 20 46 8 25 58 5 30 170 1 42 Hi Volt Monophasic The AutoSound 7 6 Combo st

AutoSound 7.6-5.6 Rev F - Rich

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