Home

Sonicator® Plus 940

1. a 3 3 MHz 811 MHz Figure 7 2 Ultrasound Absorption Fat 57 Mettler Electronics Corp Rev D_07 02 12 A oe o a DT AOS j IR g ERR O E ERE EE RN EE A RR T 2 Tissue Depth 3 4 5 Centimeters o 243 3 MHz 71 MHz Figure 7 3 Ultrasound Absorption Muscle with the Ultrasound Beam Perpendicular to the Muscle Fibers 100 90 SS SN 80 704 E t 80 7 8 Yo S M i 2 C 7 E 40 O L 5 so SS mm TEX lr Dos de cb odo LES sb tens denm ass E dE tede o sp HH em Lb AAA nw nb abu dona er don be does eT Tissue Depth Centimeters Z3 3 MHz 71 MHz Figure 7 4 Ultrasound Absorption Bone The physics of ultrasound and audible sound are similar except for frequency Both travel as longitudinal waves through a conducting medium Ultrasound waves can be propagated in a gaseous liquid or solid medium but not in a vacuum Rarefaction Areas of compression and rarefaction of the molecules form high frequency sound waves Ultrasound exhibits certain beaming properties and can be reflected refracted scattered or absorbed In passing through media it is attenuated and the absorbed energy is transformed into heat The attenuation coefficient for longitudinal waves in liquid and soft tissues is high producing the phenomenon at bone surface
2. to 99 sec In 1 sec steps U to 3 sec In 0 5 sec steps U to 30 sec In 0 5 sec steps U to 3 sec in 0 5 sec steps 1 to 999 times All 1 amp 2 or 3 amp 4 for simultaneous or alternate Burst modulated sine wave None 50 V 20 Peak value 500 load 0 100 mA peak 500 2 load 2500 Hz Burst at 10 ms on and 10 ms off Independent Simultaneous Alternate to 30 sec In 1 sec steps to 99 sec In 1 sec steps U to 3 sec In 0 5 sec steps U to 30 sec In 0 5 sec steps U to 3 sec in 0 5 sec steps to 999 times All 1 amp 2 or 3 amp 4 for simultaneous or alternate Monophasic twin peak Positive negative or both 0 to 150 V Peak value 500 load 300 mA peak Peak value 500 load 10 to 80 us In 10 us steps Constant 0 5 to 200 Hz Burst 60 Hz Fixed Sweep 1 to 200 Hz Independent Simultaneous 67 Mettler Electronics Corp Rev D_07 02 12 TENS Mode 68 Figure 9 12 TENS Waveform Frequency Modulation Burst frequency 2 Available Amplitude Modulation Options On time 1 Off time 1 Ramp up time 1 Hold time 1 Ramp down time 1 Contraction 1 Available Channels Alternate 20 to 200 Hz Constant Burst Sweep 0 5 to 7 Hz 0 5 0 7 Hz to 7 Hz In 1 Hz steps Independent Simultaneous Alternate to 30 sec In 1 sec steps to 99 sec In 1 sec steps 0 to 3 sec In 0 5 sec steps U to 30 sec In
3. US o D 2 9 868060 O ud Memen Sts eoi O RD 0 O v Figure 2 1 Sonicator Plus 940 top view Touch screen LCD CHI intensity UP control CHI intensity DOWN control CH2 intensity UP control CH2 intensity DOWN control CH3 intensity UP control CH3 intensity DOWN control CH4 intensity UP control CH4 intensity DOWN control Ultrasound intensity UP control Ultrasound intensity DOWN control Pause control Stop control Ultrasound applicator cradle se dq M m Ran Kd LB ad Kad H O BONRS 11 Mettler Electronics Corp Rev D_07 02 12 2 3 List of Abbreviations cm Hz LCD LED MHz us mA min sec S N W cm 12 Square centimeters Hertz pulses per second Liquid crystal display Light Emitting Diode Megahertz 1 x 10 cycles per second Microsecond 1 x 10 second Milliampere 1 x 10 ampere Millisecond 1 x 10 second Minutes Seconds Serial Number Watts Watts per square centimeter Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Section 3 Installation 3 1 Installation Instructions 1 10 NCAUTION When installing the unit pay attention to the following e Install the unit beyond the reach of possible water splashes e Install the unit where it will not be adversely affected by atmospheric pressure temperature humidity sunlight dust ventilation salt air sulfur or other such harmful substances e Protect the unit against
4. We strongly encourage careful maintenance of the electrode system This includes the lead wires as well as the pads themselves Worn cables and or poor pads or the wrong sized pads can have a significant impact upon treatment results Do not exceed the number of recommended uses listed on the instructions for V Trodes or other reusable self adhesive electrodes Make sure that the entire surface of the electrode is contacting the patient Do not use moist hot packs to secure electrodes To avoid skin irritation due to high current density do not use electrodes smaller in surface area than the 2 in diameter V Trode self adhesive electrode ME 2702 Do not use conductive carbon electrodes with this product Do not use self adhesive electrodes with the Direct Current mode Use sponge type electrodes with plain tap water moistening the sponges Whenever clinically possible utilize the largest possible pads to reduce local increases in current density In situations where small pads are required use the lowest stimulation intensity necessary to achieve the desired clinical results 17 Mettler Electronics Corp Rev D_07 02 12 The table below illustrates the relationship between electrode diameter and current density As you can see the current density increases rapidly when diameter decreases Diameter Surface Area Current Density inches Square inches mA sq in for 10mA m P 8 2 2 00 3 1 3 2 3 00 7 1 1 4 4 b 4 b N E
5. 4 Dua Frq 200 150 low 3 21 3 Constant 250 Frequency 4 10 3 Sugedo 10 5 5 3 Comtn 170 1 3 3 Bus 10 A AA EOS ESE ee uL E O A E Frequency 4 80 Note When a random program is selected the parameters cannot be changed and the data cannot be saved Sur ram Ramp up 2 sec Hold 4 sec Ramp down 1 sec Off 6 sec NI GI GI GO Go d Q Ha Ha T 23 Mettler Electronics Corp Rev D_07 02 12 Microcurrent preset programs EN A MEM NNNG LU AAA eme 7 5 O O 2 03 A Alemae 10 10 Altemae 5 03 Alternate 10 Alternate 35 03 Alternate 10 o 1 200 Alemate A 05 Alternate 19 Alternate 35 4 m AH o oo 1 Ultrasound preset programs One MHz T Ti EE mode Output Doni E reatment ime W cm p09 8 0 o a a a a a o p00 NPA EA E E NA eee o Apo 15 pp N A 5 6 1 59 a 08 2 N A po 5 Ay polio pp N A 5 NPA AA A Yo NA Yo 5 10 TI NPA PET T A i HA N il N tat Three MHz E Ti lil mode Output Corb eae reatment ime W cm 3 OES 9 i IO o OO NPA AA NPA pO NPA 5 NPA 17 71 NA H 24 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 4 6 Saving a Treatment Protocol cut zc cho sedere es cha ad A I ese Bo CT EE 3 Choose the channel
6. 73 74 79 97 9401 9402 9906 72 Optional high volt DC probe pin to banana adapter and 3 Y x 7 sponge electrode for the Sonicator Plus 940 V Trode 2 diameter round electrodes with lead wires case of ten packages four electrodes pkg V Trode 2 75 diameter round electrodes with lead wires case of 10 packages four electrodes pkg V Trode 2 x 4 oval electrodes with lead wires case of 10 packages four electrodes pkg V Trode 2 square electrodes with lead wires case of 10 packages four electrodes pkg Three shelf mobile cart for all Sonicator Plus products Holds unit on the top shelf with lower shelves for accessories Rugged plastic cart features three shelves and large lockable wheels Model 74 cart with a built in hospital grade surge protector to plug in up to three pieces of equipment Sturdy stainless steel cabinet with a platform for Mettler electrotherapy products and three shelves with a plastic door with two locking wheels Sonicator Plus 940 applicator 5 5 cm 1 or 3 MHz Sonicator Plus 940 applicator 0 9 cm 1 or 3 MHz Sonicator Plus 940 Pocket Guide
7. To insure the efficient current conduction necessary for proper treatment certain preparations must be made Cleaning or wetting should eliminate any impairment to current conduction on the patient s skin such as an oily or dry surface or excessive hair coverage Shaving may be necessary depending upon the density of hair coverage Failure to provide for maximum current conduction efficiency could result in skin irritation relating to an increase in current density at the electrode site Using reusable electrodes for longer periods of time than those recommended by the package insert could result in ineffective treatments or cause skin irritation Care should be taken to ensure application of the total electrode surface area to the patient s skin prior to commencing treatment Quadpolar electrode application technique Quadpolar techniques should be used with the Interferential waveform The electrodes from Channel 1 are placed diagonally from each other While the electrodes from Channel 2 are placed diagonally across from each other to form an X over the treatment area The zone of maximum interference between the two channels occurs roughly in the center of the X Constantly changing the intensity levels of the two channels will change the interference pattern felt by the patient Pressing the amplitude modulation key will constantly change the intensity of the outputs of the two channels during treatment increasing the area
8. 4 2 4 3 4 4 4 5 7 1 La 7 3 7 4 7 5 7 6 7 7 9 1 9 2 9 3 9 4 9 5 9 6 C 9 8 9 9 9 10 9 11 9 12 9 13 References Specifications General Specifications Ultrasonic Generator Specifications Ultrasonic Applicator Specifications Waveform Specifications Accessories Ordering Information Sonicator Plus 940 Accessories List of Figures Title Sonicator Plus 940 Sonicator Plus 940 Top View Sonicator Plus 940 Back view Mains Power Switch and Line Cord Connection Sonicator Plus 940 Front view Electrode and Ultrasound Applicator Cable Connections Sonicator Plus 940 Top View With Ultrasound Applicator Cradle Membrane panel and Touch Sensitive Screen Electrode Sizes and Current Density Quadpolar Electrode Placement Technique Bipolar Electrode Placement Technique Monopolar Electrode Placement Technique Ultrasound Absorption Skin Ultrasound Absorption Fat Ultrasound Absorption Muscle with the Ultrasound Beam Perpendicular to the Muscle Fibers Ultrasound Absorption Bone High Frequency Sound Waves Ultrasound Application Techniques Underwater Treatment Technique Pulse Waveform 50 Duty Cycle Continuous Waveform 100 Duty Cycle Large Applicator 1 MHz ME 9401 Three Dimensional Beam Patterns Large Applicator 3 MHz ME 9401 Three Dimensional Beam Patterns Small Applicator 1 MHz ME 9402 Three Dimensional Beam Pattern Small Applicator 3 MHz ME 9402 Three Dimen
9. Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers Carrier Frequency ur pop Treatment lime EG programs Phase Carrier Frequency Beat Frequency Time Mode Treatment lime eu i Hz om Program High 3 4 5 1 2 3 1 2 3 4 Constant Sweep Sweep Sweep Constant Constant Sweep Constant Constant Sweep Sweep wow w Constant Note When a random program is selected the parameters cannot be changed and the data cannot be saved 27 Mettler Electronics Corp Rev D_07 02 12 4 8 2 Pole Interferential Stimulation Set up Procedure POWER IO See TE TObeats 0154 Er 1 00 T min C sec min sec 0 15 00 5 00 og ogl og 0900 2 Pole 12 Interferential HHHH or HHHH beat 70 beats mint eee 15 00 1 N Turn on the mains power switch located on the back of the unit by 11 I pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the channel key of the channel where you would like to run 2 Pole interferential Premodulated therapy For this mode you will need one channel Press the waveform button on the touch scree
10. d Ultrasound Couplant 20 1 B Turn on the mains power switch located on the back of the unit by 11 I pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed For ultrasound plug the ultrasound applicator into the receptacle labeled US Apply a layer of ultrasound couplant gel to the treatment area Select whether Gel GEL or another topical product OTM is being used as a couplant Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LEDs on either side of the applicator will light when coupling is achieved Adjust the intensity level for the ultrasound If you hear an intermittent beeping sound or the indicator light on the applicator goes out there is inadequate coupling to the patient Reapply gel and treatment will resume again when coupling is established Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers Sonicator Plus 940 Instruction Manual Rev D_07 02 12 4 5 Using Preset Programs 1 Pick the channel tha
11. Min frequency Max frequency All EMS Mode Figure 9 9 EMS Waveform Russian Mode M HN NM M Figure 9 10 Russian Waveform Hi Volt Mode Figure 9 11 Hi Volt Waveform Sonicator Plus 940 Instruction Manual Rev D 07 02 12 Waveform Type Polarity Maximum Voltage Current Carrier Frequency Interference frequency Amplitude Modulation Options On time Off time Ramp up Time Hold Time Ramp down time Contraction Available Channels Waveform Type Polarity Maximum Voltage Current Frequency Available Amplitude Modulation Options On time Off time Ramp up Time Hold Time Ramp down time Contraction Available Channels Waveform Type Polarity Voltage Maximum Current Phase Duration Frequency Amplitude modulated sine wave None 50 V 20 Peak value 5000 load 0 100 mA peak 500 2 load 2 kHz 4 kHz 5 kHz 20 to 250 beats in 10 beat steps Independent Simultaneous Alternate to 30 sec In 1 sec steps
12. S O1 C E O il m o Z PNS gt al E o Z Z NIN gt gt IM O1 O O1 05 NA 8 AA NA O1 O1 Three MHz T Ti d mode Output Combination reatment ime W cm 45 Mettler Electronics Corp Rev D_07 02 12 4 16 Combination Therapy Setup Procedure POWER IO es ees oov Tou Tus LTE HH amz T Obeats 10150 BU us 1 00 eO vemos O la 20 00 15 00 5 00 mA w cm oa og y Jg i 100 us Frequency 7Onz Frequency 100 Hz I 8 TN 6 1 10 Turn on the mains power switch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the ultrasound channel to select the ultrasound set up screen Press the Comb button for a combination therapy treatment Press the Comb button repeatedly to select the waveform that you would like to use You may choose from the following stimulation waveforms High voltage 2 pole interferential DC Micro Current and TENS Press the GEL button twice to select OTM if you are going to use a cream or ointment for your treatment Use GEL if you are using an ultrasound gel as a couplant for your treatment Remember since you are doing comb
13. allow you to quickly set up treatments 61 preset treatment setups allow you to quickly set up a treatment that is already in the memory plus you have room to store up to 80 of your own favorite treatment protocols In addition the Sonicator Plus 940 remembers the last treatment that you performed on any stimulation channel or on the ultrasound channel The Sonicator Plus 940 can provide electrical stimulation only ultrasound only and combination therapy with the premodulated TENS high voltage microcurrent and DC waveforms Add one of the two optional treatment carts to create a mobile therapy center for your office The Sonicator Plus 940 has been certified by Intertek Testing Services to meet the requirements for ETL Listing per the following standards e UL 60601 1 Standard for Safety Medical Electrical Equipment Part 1 General Requirements for Safety Mettler Electronics Corp Rev D_07 02 12 e CAN CSA C22 2 NO 601 1 Medical Electrical Equipment Part 1 General Requirements for Safety e EC60601 2 5 Safety of Ultrasonic Physiotherapy Equipment e 1EC60601 2 10 Safety of Nerve and Muscle Stimulators In addition the Sonicator Plus 940 also meets the following standards for radio frequency emissions and immunity e EN 60601 1 2 e CISPR 11 Mettler Electronics Corp has been certified by VTT Expert Services LTD to be compliant with EN ISO 13485 2003 and MDD 93 42 EEC Annex II requirements In addition Mettler is certi
14. by a service facility authorized by Mettler Electronics to perform warranty repair work A service manual for the Sonicator Plus 940 is available from Mettler Electronics Corp for a nominal charge 1 4 Caution NCAUTION Federal law restricts the sale of this device to or on the order of a physician dentist veterinarian or any other practitioner licensed by law of the state in which he practices Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous exposure to ultrasonic energy Treatment should be administered only under the direct supervision of a health care professional The electric energy delivered by this device may possibly be lethal Treatment should be administered only under the direct supervision of a health care professional The stimulus delivered by this device may be sufficient to cause electrocution Electrical current above 25 uC must not flow through the thorax because it may cause a cardiac arrhythmia 1 5 Shipping Damage Your new Sonicator Plus 940 is shipped complete in one carton Upon receipt please inspect the carton and the unit for visible and hidden damage If you discover any damage hold all shipping materials including the carton and call the shipping agent who delivered the unit They are responsible for all damage in transit therefore all claims should be filed directly with them The factory will not be responsible for any damage in shi
15. channels or reciprocation by pressing the mode button until the correct one is displayed Select the burst Duty Cycle control and then adjust it in 10 increments using the up and down arrows on the touch screen display The range is 10 to 100 This sets percentage of on time within a period of 20 ms For example a duty cycle of 50 produces a burst of 10 ms on and 10 ms off Set the On Off time by pressing the large numbers under On and Off and then pressing the up and down arrows on the touch screen display The maximum On time is 30 seconds The maximum Off time is 99 seconds Usually the Off time is twice the On time You can also set the up and down ramp times by pressing the numbers in the illustration to the right of the large numbers and then pressing the up and down arrows on the touch screen display Ramp times are included in the On time Maximum ramp time for both the up and down ramps is 3 seconds Select the number of contractions using this selector and then pressing the up and down arrows on the touch screen display The time will go up or down based on the number of contractions requested You can also set the treatment time by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 60 minutes The number of contractions will change up or down with the treatment time Plug the electrode cable s into the channel s corresponding to the
16. covered by the interference pattern 49 Mettler Electronics Corp Rev D_07 02 12 Figure 4 5 Monopolar Electrode 50 Figure 4 4 Bipolar Electrode Placement Technique Placement Technique 4 Bipolar electrode placement techniques Bipolar electrode placement techniques should be used to provide stimulation to larger muscle groups such as the quadriceps or the hamstrings The symmetrical waveforms of the EMS and Russian waveforms are usually applied to the body using the bipolar technique Equal size electrodes are placed at each end of the muscle or muscle group Current concentration is over the entire length of that muscle or muscle group and especially effective on weak musculature Electrode placement should be at opposite ends of the limb or muscle group Care should be taken to insure that electrodes are not placed too close together which could produce current concentration along the edges of the pads This is the so called edging effect which can cause patient discomfort The figure on the left shows a pad set up for stimulation of the quad riceps Monopolar electrode application techniques Monopolar techniques may be used with the High Voltage and TENS waveforms The smaller active electrode is placed over the muscle motor point In treatments designed to relieve pain the active electrode is placed over the painful area The larger dispersive electrode is placed on the sa
17. due to phase cancellations Sample curves measured in the far field from the surface are shown in Figures 9 3 through 9 6 Figure 9 4 Large Applicator 3 MHz ME 9401 Three Dimensional Beam Pattern Figure 9 5 Small Applicator 1 MHz ME 9402 Three Dimensional Beam Pattern 65 Mettler Electronics Corp Rev D_07 02 12 Figure 9 6 Small Applicator 3 MHz ME 9402 Three Dimensional Beam Pattern 9 4 Waveform Specifications 4 Pole Interferential Mode Figure 9 7 4 Pole Interferential Waveform Waveform Type Polarity Maximum Voltage Current Carrier Frequency Interference frequency Frequency Modulation Vector sweep angle Available Channels 2 Pole Interferential Premodulated Figure 9 8 2 Pole Interferential Waveform 66 Waveform Type Polarity Maximum Voltage Current Carrier Frequency Interference frequency Frequency Modulation Available Channels Sinewave None 50 V 20 Peak value 500 load 0 100 mA peak 500 2 load 2 kHz 4 kHz 5 kHz 1 250 beats to 10 in 1 beat steps and 10 to 250 in 10 beat steps For Sweep Min frequency Max frequency 0 15 30 45 degrees Channels 1 amp 2 or 3 amp 4 Amplitude modulated sine wave None 50 V 20 Peak value 500 load 0 100 mA peak 500 load 2 kHz 4 kHz 5 kHz 1 250 beats 1 to 10 in 1 beat steps and 10 to 250 in 10 beat steps For Sweep
18. iameter N 3 y EN i d t A P d emen K ES diameter Figure 4 2 Electrode Sizes and Current Density 4 2 General Operating Instructions Before you start 18 a S 2 Review precautions contraindications and side effects adverse reactions listed in Section 5 Use Mettler Electronics electrodes to ensure safe and effective operation Verify connection of the line cord to a grounded wall receptacle and the Sonicator Plus 940 For ultrasound and combination therapy make sure that the applicator is securely connected to the Sonicator Plus 940 For combination therapy make sure the electrode cable marked with a 4 is attached to electrode cable connection for Channel 4 Plug your dispersive electrode into the red tipped lead wire marked combo The black tipped lead wire is not connected to anything For electrical stimulation connect electrode cables ME 2266 into the electrode connections for the channels that are going to be used The cables are marked with numbers indicating the channel they should be plugged into There is an arrow on the top of the connector which always faces up when you plug in the cable For waveforms that have polarity such as DC microcurrent and high voltage the black tipped electrode cable with the black stripe on the cable is negative The side with the red tipped lead wire with no black stripe is positive The Sonicator Plus 940 will retain in memory the last treatment perfor
19. programmed lt A 11 A 12 e 13 14 CH1 25 15 OPEN ERROR 16 1 17 Preset programs Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Plug the cables into four electrodes Stick the electrodes on the patient You will need two electrodes for each channel four in total Adjust the intensity and start treatment for either channel 1 or 3 depending on which channel pair you are using by pressing the Up arrow on the control panel The other channel in the channel pair will go up simultaneously If you then want to fine tune the intensity in the other channel 2 or 4 you can adjust it independently The maximum intensity is 100 mA peak The channel buttons of the two channels that have active stimulation treatments will blink to let you know that they are active Channel buttons that are not blinking are not active and can be used for additional setups If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings
20. the min sec button and then the up and down arrows on the touch screen display You can choose 1 5 00 from 1 60 minutes 7 Plugone electrode cable into the channel corresponding to the channel that you have programmed 8 Plug the cable into two electrodes For DC you cannot use self adhesive gt NE electrodes unless they are marked for use with DC current You must use sponge electrodes moistened with tap water To adapt to the pin connectors use pin to banana adapters T 9 You may also use the High Voltage Probe First snap in the electrode size that you want to use for your application 10 Place the sponge over the disc and then cover with the fabric cover to hold the sponge in place Moisten with tap water E 11 On the free pin connector place a pin to banana adapter and then a P P P p sponge electrode Press the button on the high voltage probe when you L 71 want to deliver stimulation to the patient 12 Secure the sponge electrodes to the patient with Velcro straps 42 O U m Z ERROR 9G 13 14 15 16 17 Sonicator Plus 940 Instruction Manual Rev D 07 02 12 Adjust the intensity of the channel that you are using Use caution when applying direct current since it can be extremely irritating and can even cause burns if not applied properly The maximum intensity with this waveform is 20 mA If you attempt to adjust the intensity of a channel with no electro
21. the channel you would like to run interferential therapy For this mode you will need 2 channels either channels 1 amp 2 together or 3 amp 4 together Regardless of which channel you select the Sonicator Plus 940 will automatically pick the other channel of the channel pair Press the waveform button on the touch screen display until 4 Pole Interferential is displayed Select the Mode either continuous or frequency modulation by pressing the mode button until the correct one is displayed Select the carrier frequency by pressing the symbol on the left then pressing the up and down arrows on the touch screen display You can choose from 2 4 or 5 kHz Select the beat frequency by pressing the symbol on the left then pressing the up and down arrows on the touch screen display You can choose from 1 250 beats For the beat frequency sweep press first the lower number and adjust it and then press the upper number and adjust it by pressing the up and down arrows on the touch screen display Select the Vector Sweep angle by pressing the V Sweep button and then the up and down arrows on the touch screen display You can choose from 0 15 30 or 45 Select the treatment time by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Plug two electrode cables into either channels 1 amp 2 or 3 amp 4 corresponding to the channels that you have
22. the electrode size that you want to use for your application Place the sponge over the disc and then cover with the fabric cover to hold the sponge in place Moisten with tap water Press the button on the high voltage probe when you want to deliver stimulation Use either a self adhesive electrode or the sponge electrode supplied with the high voltage probe as a dispersive electrode Secure a sponge electrode to the patient with a Velcro strap Adjust the intensity and start treatment for the channel that you are using If you are using Surge in two channels they will go up together To fine tune the second channel press the up arrow on that channel In the reciprocation mode you will adjust each channel separately The second channel will be off during the first channel s adjustment and vice versa You can adjust intensity up or down at any time The timer will stop during the adjustment and resume the On and Off time cycle after a few seconds Please note In the surge mode the Sonicator Plus 940 enters adjustment mode when the clinician presses the intensity control button It remains in adjustment mode for 10 seconds after the button is released Check the subjective intensity experienced by the patient during this time and adjust output intensity accordingly The timer will be active during this time The channel button of the channel that has an active stimulation treatment will blink to let you know that it is active Channel but
23. you want to use Then set the treatment parameters that you would like to retain in memory in the treatment setup mode To the right of the waveform this icon is displayed to indicate that you can save to User defined program slot Press the Save button to store your program into memory Press 1 on the touch screen to store the program into the 1 Free Program slot There are ten slots for programs to be saved for each waveform ultrasound and combination therapy You can immediately use your program by pressing the Back button on the touch screen Adjust the intensity and start treatment for the channel that you are using by pressing the Up arrow on the control panel 25 Mettler Electronics Corp Rev D_07 02 12 4 7 4 Pole Interferential Stimulation Set up Procedure POWER IO es ees Toe Tou Tus Da HH amz 7054 10150 50us 1 00 R times 20 min sec min D 20 00 sec mine ses mia e er 15 00 5 00 0 0 mA V mA w cm Interferential c beat 70 beats Or c beat 5 2 beats V Sweep niin dec 15 00 1 10 Turn on the mains power switch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the channel key of
24. 0 5 sec steps U to 3 sec In 0 5 sec steps to 999 times All 1 amp 2 or 3 amp 4 for simultaneous or alternate 1 May be set only in Independent Simultaneous or Alternate mode 2 This frequency to be set only in Burst mode Waveform Type Polarity Maximum Voltage Current Phase Duration Frequency Frequency Modulation Burst frequency 2 Available Amplitude Modulation Options On time 1 Off time 1 Ramp up time 1 Hold time 1 Ramp down time 1 Contraction 1 Available Channels Biphasic square None 50 V 20 Peak value 500 load 0 100 mA peak 5000 load 50 to 300 us In 10 us steps Constant 0 5 to 250 Hz Burst 100 Hz Fixed Sweep to 250 Hz Independent Simultaneous Alternate 20 to 250 Hz Constant and Sweep 0 5 to 7 Hz 0 5 0 7 Hz to 7 Hz In 1 Hz steps Burst Independent Simultaneous Alternate to 30 sec In 1 sec steps to 99 sec In 1 sec steps 0 to 3 sec In 0 5 sec steps U to 30 sec In 0 5 sec steps U to 3 sec In 0 5 sec steps to 999 times All 1 amp 2 or 3 amp 4 for simultaneous or alternate 1 May be set only in Independent Simultaneous or Alternate mode 2 This frequency to be set only in Burst mode Microcurrent Mode Figure 9 13 Microcurrent Waveform Direct Current Mode Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Waveform Typ
25. 3 4 9 Ca 0 31 L4 4 93 60 O 1 p 5 4 1020 J 300 L 15 fE Random programs ESL AEN S Constant Sweep Sweep Sweep Constant Constant Sweep S Program High 7 Random Program Low 8 Random Program High Low Constant Constant Sweep Sweep O1 JUI AJA UJ elU OI OI OT 4 WN KAI U N AIO A W N WWW Q2 CQ2 C0 WIW WWW QU Ha O1 Constant Note When a random program is selected the parameters cannot be changed and the data cannot be saved 2 Pole Interferential Premod preset programs Preset programs Carrier E Sweep F F2 Treatment Time Beat Hz 0 100 O SSS d i 3 O O o 3 01 TI 7B I MELLE I M 100 200 0 15 EE programs NI Constant Sweep Sweep Sweep Constant Constant Sweep Constant o Program High 7 Random Program Low 8 Random Program High Low Constant Sweep Sweep TE 5 5 5 5 4 5 4 4 5 5 WWW WILD C2 WWW YU f 3 4 5 1 2 3 1 2 3 4 5 Le m a e Note When a random program is selected the parameters cannot be changed and the data cannot be saved ane Ramp up one Time Ramp down Ee Time Beat Treatment Frequency Frequency Time sec sec Beat Hz min 15 15 15 15 15 15 Constant ao os 80 05 80 05 i 7 10 20 II 2 Sonicator Plus 940 Instruction Manu
26. Muscle Stimulation Russian TENS High Voltage Mettler Electronics Corp Rev D_07 02 12 Direct Current DC Ultrasound treatment Combination treatment Carrier frequency for 4 pole and 2 pole interferential and EMS Beat frequency for 4 pole and 2 pole interferential and EMS Duty cycle for Russian mode Set pulse width Set twin pulse width for high voltage Set individual pulse width for high voltage Positive polarity Negative polarity Bipolar Vector sweep mode Continuous mode Burst mode Frequency modulation mode Surge mode Surge mode 2 channels Reciprocation Alternate mode Frequency sweep range Set on off times Using gel for ultrasound treatment Using cream for ultrasound treatment Large 5 5 cm ultrasound applicator plugged in Small 0 9 cm ultrasound applicator plugged in Watts per square centimeter selected for intensity display Watts selected for intensity display Select ultrasound frequency 1 or 3 MHz Select ultrasound duty cycle 5 10 20 30 40 50 or 100 Mains On Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Mains Off Attention consult instruction manual Diagram of Pulsed Mode duty cycles Type BF Equipment Class I Non ionizing radiation IPX7 Protected against the effects of immersion TERT El ETL and C ETL Listed C US 2 2 Control Descriptions 2 qo Sonicator Plus 940 ch1 A ch2 ch3 B 1 C
27. Stimulation Set up Procedure EMS Stimulation Set up Procedure Russian Stimulation Set up Procedure High Voltage Stimulation Set up Procedure TENS Stimulation Set up Procedure Microcurrent Stimulation Set up Procedure DC Stimulation Set up Procedure Therapeutic Ultrasound Set up Procedure Combination Therapy Set up Procedure Electrode Positioning Indications Contraindications Precautions and Adverse Reactions Indications for Therapeutic Ultrasound Indications for Pain Management Indications for Neuromuscular Electrical Stimulation Indications for Muscle Spasm Contraindications for Therapeutic Ultrasound Contraindications for Neuromuscular Electrical Stimulation Warnings for Neuromuscular Electrical Stimulation Precautions for Therapeutic Ultrasound Precautions for Neuromuscular Electrical Stimulation Side Effects Adverse Reactions for Neuromuscular Electrical Stimulation Maintenance and Troubleshooting Cleaning the Sonicator Plus 940 Routine Maintenance Troubleshooting the Sonicator Plus 940 Ultrasound Theory of Operation Introduction to Ultrasound Q Q O00 0010 o oci M LOD KA d N e Ra kad O1 Y W b a a pea OO uA QO Q M P2 KM MOM a ka a ka O0 MEHM QA OG v 0 1 O1 OI UI OI UI OI OI OI OI OI Ol BO GEM EA GA GA GA GA GA a O1 QI QI QI ON O1 O1 OI O1 gI N N Q9 Mettler Electronics Corp Rev D_07 02 12 8 9 9 1 92 9 3 9 4 10 10 1 10 2 No 1 1 2 1 3 1 9 2 3 3 4 1
28. al Rev D_07 02 12 Russian preset programs Carrier Number of Frequency Contractions Preset Programs S ne UN LG e 12 5 L Rie 35 neo 59 5 eiie 18 A A AAA e po Sweep D 25 J 5 A Positive 4315 O S Sweep 3 89 5 Pita 15 6 Sweep 3 4010 50 Positive 15 Random Programs Random Programs ee AE se ETA 8 2 50 90 3 Swep High 30 60 Sweep Alternate g Sweep Frequency 4 40 3100 3 Sweep 5 7 3 Constant o 1 5 3 Constant 2 2 2 3 Constant tw 3 25 3 Sweep 50 Alternate 15 TE L4 1 3 Constant _ A Fort 10 2 3 Constant LwsHgh 3 110 3 Sweep 50 Alternate 15 Frequency L1 3090 3 Sweep 90 93 Constant Note When a San program is selected the parameters cannot be changed and the data cannot be saved H l OO NTR OT GO DN GI GI GI GW G1 G GI Ga Go Hi TIE m OW OO GQ TENS preset programs Preset Programs ne Pulse Duration Treatment Time Name cise 1 Surge 5 Hz L8 2 Surge 50Hz 53 1 3 8 E Surge 100 Hz Random Programs Constant A 4 a a UE Surge 120 High 3 30 80 4 Dual Freq 200 3 100 Frequency 4 150 3 Surge50 60 m Me 5 10 f 3 Constant N II 2 2 Bus 10 3 7
29. am any programs that are different from the default settings 15 Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers Microcurrent preset programs SS rp 2 03 Altemte 10 31 10 Altea 93 O OS Alternate o1 0 1 80 Alternate 5 3 3 5 mae 39 34 239 Atemae 3 LL O E o1 0 La p 39 Ama 58 a S tete 0 41 Mettler Electronics Corp Rev D_07 02 12 4 14 DC Stimulation Set up Procedure POWER 1 Turn on the mains power switch located on the back of the unit by P pressing I icon on switch CREA E a A me m m 70s 2 When you first turn the Sonicator Plus 940 on the default parameters for Ei each of the four stimulation channels and the ultrasound channel are displayed T min C sec min sec 0 15 00 5 00 EE w cm On the touch screen press the channel key of the channel where you would like to run Direct Current For this mode you will need one channel Press the waveform button on the touch screen display until DC is displayed g 5 Select the Mode for either positive or negative by using the up and down arrows on the touch screen display Ge 4 Zac 6 Youcan set the treatment time by pressing
30. any claim arises and must be brought only in the state or federal courts located in Orange County California Some states do not allow limitations on how long an implied warranty lasts or the exclusion or limitation of incidental or consequential damages so the above limitations or exclusions may not apply to the buyer This warranty gives the buyer specific legal rights and the buyer may also have other rights which vary from state to state Sonicator Plus 940 Instruction Manual Rev D_07 02 12 section 2 Symbol Glossary Control Descriptions and List of Abbreviations 2 1 Symbol Glossary mn sue Me v Preset Load gt Save Free P 1 OPEN ERROR CH S Dd MM EMS x Increase intensity button Decrease intensity button Hold treatment button pauses treatment for all active channels and ultrasound but retains set treatment parameters and remaining treatment time Adjust intensity to resume treatment Stop treatment button stops all output and resets all treatment parameters to their default settings Set time and time display minutes and seconds Increase parameter value control Decrease parameter value control Select a preset protocol Load a preset protocol Save a treatment protocol Free program slot There are no electrodes connected to the patient or there is not a completed circuit Channel 4 Pole Interferential 2 Pole Interferential Premodulated Electrical
31. ation the microcurrent buzzer should be turned off The buzzer interval setting increases or decreases the time between double beeps for ultrasound and microcurrent treatments The Ultrasound Buzzer controls when the double beeps occur during a treatment as follows e On only when coupling is lost e On when the applicator is coupled to the patient e Off Never on Pressing the Back key returns you to the Settings menu Pressing this key automatically adjusts the touch sensor in the touch screen to fit your needs Cross marks appears in the upper left corner then the upper right corner and finally in the lower right corner Press them as they are displayed If no indication appears touch each cross mark Once adjustment is complete you will be returned to the Settings menu If you press yes on the Memory Initialization screen the unit will cycle off and restore all Settings to factory set values Pressing End will save the changes you have made into memory You will be returned to the starting menu once this process is complete Sonicator Plus 940 Instruction Manual Rev D_07 02 12 section 4 Operating Instructions pce se cu sa cn mece AAI use PEE E T e e rm TIT Frequency LOvents 10150 ek la 00 Figure 4 1 Membrane panel and touch sensitive screen 4 1 A Note about Electrodes To ensure safe operation of the Sonicator Plus 940 follow the recommendations listed below 1
32. ation channels and the ultrasound channel are displayed On the touch screen press the ultrasound channel to select the ultrasound set up screen Press the ultrasound only button for an ultrasound treatment Press this button twice to select OTM if you are going to use a cream or ointment for your treatment Use GEL if you are using an ultrasound gel as a couplant for your treatment Press the ultrasound frequency button to select 1 or 3 MHz Press the Duty button to set the duty cycle by using the up and down arrows on the touch screen display Continuous ultrasound is 100 The other choices are 5 10 20 30 40 or 50 The pulse rate is always 100 Hz Press the Set Power button to preset the ultrasound intensity by using the up and down arrows on the touch screen display In the continuous mode the maximum power is 2 00 w cm In the pulsed mode the maximum power is 3 00 w cm You can set the treatment time by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 30 minutes You can set the units for the display by pressing the w cm symbol next to the 0 00 Once selected pressing it additional times toggles between w and w cm For ultrasound plug the ultrasound applicator into the receptacle labeled 44 US Wait for the L or S indicator to illuminate on the screen showing which applicator is in use Sonica
33. cation modes by pressing the large numbers under On and Off and then pressing the up and down arrows on the touch screen display The maximum On time is 30 seconds The maximum Off time is 99 seconds Usually the Off time is twice the On time You can also set the up and down ramp times by pressing the numbers in the illustration to the right of the large numbers and then pressing the up and down arrows on the touch screen display Ramp times are included in the On time Maximum ramp time for both the up and down ramps is 3 seconds Select the number of contractions for the surge and reciprocation modes using this selector and then pressing the up and down arrows on the touch screen display The time will go up or down based on the number of contractions requested You can also set the treatment time by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 60 minutes The number of contractions will change up or down with the treatment time CH1 LL OPEN ERROR 15 16 17 15 16 18 19 20 Sonicator Plus 940 Instruction Manual Rev D 07 02 12 Plug the electrode cable s into the channel s corresponding to the channel s that you have programmed Plug each cable into two electrodes Stick the electrodes on the patient You will need two electrodes for each channel You may also use the High Voltage Probe First snap in
34. ccupying lesions should not be exposed to ultrasound 51 Mettler Electronics Corp Rev D_07 02 12 6 7 10 11 12 Ultrasound should not be applied to the testes to avoid increases in temperature Areas of thrombophlebitis should not be treated with therapeutic ultrasound due to the increased possibility of clotting or dislodging a thrombus Conditions where this might occur are deep vein thrombosis emboli and severe atherosclerosis Tissues previously treated by deep x ray or other radiation should not be exposed to therapeutic ultrasound Ultrasonic treatment over the stellate ganglion the spinal cord after laminectomy subcutaneous major nerves and the cranium should be avoided Do not treat 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 Do not apply therapeutic ultrasound over a healing fracture Ultrasound should not be applied over the epiphyseal areas bone growth centers of the bones of growing children 5 6 Contraindications for Neuromuscular Electrical 10 11 12 13 14 15 Stimulation Electrical neuromuscular stimulation should not be administered to individuals who are or may be pregnant Do not stimulate a patient who has a cardiac demand pacemaker Patients with implanted electronic devices should not be subjected to stimulation Placement of electrodes acros
35. channel s that you have programmed Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Plug each cable into two electrodes Stick the electrodes on the patient You will need two electrodes for each chamnel 13 Adjust the intensity and start treatment for the channel that you are using If you are using Surge in two channels they will go up together To fine tune the second channel press the up arrow on that channel In the reciprocation mode you will adjust each channel separately The second channel will be off during the first channel s adjustment and vice versa You can adjust intensity up or down at any time The timer will stop during the adjustment and resume the On and Off time cycle after a few seconds The maximum intensity is 100 mA peak Please note In the surge mode the Sonicator Plus 940 enters adjustment mode when the clinician presses the intensity control button It remains in adjustment mode for 10 seconds after the button is released Check the subjective intensity experienced by the patient during this time and adjust output intensity accordingly The timer will be active during this time 14 The channel button of the channel that has an active stimulation treatment will blink to let you know that it is active Channel buttons that are not blinking are not active and can be used for additional setups 15 If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient
36. cted the parameters cannot be changed and the data cannot be saved 29 Mettler Electronics Corp Rev D_07 02 12 4 9 EMS Stimulation Set up Procedure POWER 1 O sae eT T Obeats 015 E 1 00 os min C sec min sec 0 15 00 5 00 og ogl og 0900 w cm m o TE que ADAM ox 3 lt or 5 O Buil a MUL KTbeat 7 8 Contraction 7 40 times 10 min 4 sec 15 00 11 30 Turn on the mains power switch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the channel key of the channel where you would like to run EMS electrical muscle stimulation For this mode you will need one or two channels Press the waveform button on the touch screen display until EMS is displayed Select the Mode either surge surge in 2 channels or reciprocation by pressing the mode button until the correct one is displayed Select the carrier frequency by pressing the symbol on the left then pressing the up and down arrows on the touch screen display You can choose from 2 4 or 5 kHz Select the beat frequency by pressing the symbol on the left then pressing the up and down arrows on the touch screen display You can choose from 20 250 beats Set the On Off tim
37. ctrode is 3 ERROR partly detached from the treatment area or moved out of position Reattach the electrodes firmly Press either the error message or Stop to reset the treatment after resolving the cause of the error Then readjust the treatment intensity by pressing the Up arrow to begin the treatment again PROBE Appears when a problem occurs in the ultrasound 4 ERROR applicator Check the ultrasound applicator for damage and replace if necessary Make sure that it is firmly connected to the Sonicator Plus 940 Press either the error message or Stop to reset the treatment after resolving the cause of the error Then readjust the treatment intensity by pressing the Up arrow to begin the treatment again 5 CONNECTION Appears when an internal connection is disconnected or ERROR similar problem has occurred Remove the electrodes from the patient Turn off power then turn back on If the error is not resolved the Sonicator Plus 940 requires servicing If problem is not addressed above or if additional troubleshooting guidance is desired call 800 854 9305 or email our service department at service Omettlerelectronics com The distributor who sold the Sonicator Plus 940 should be able to assist you with a loaner unit during warranty service 56 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 section 7 Ultrasound Theory of Operation 7 1 Introduction to Ultrasound Ultrasound is a form of acous
38. d the parameters cannot be changed and the data cannot be saved Sur ram Ramp up 2 sec Hold 4 sec Ramp down 1 sec Off 6 sec e 5 ARTE A 2 TO W NO GI GO GO CO A Ha T 39 Mettler Electronics Corp Rev D_07 02 12 4 13 Microcurrent Stimulation Set up Procedure POWER IO TE T Obeats 015 E 1 00 os min C sec min sec 0 15 00 5 00 og ogl og 0900 w cm Phase 1 Mode tru Phase 2 Frequency 70 Hz mine ege 15 00 40 1 Turn on the mains power switch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the channel key of the channel where you would like to run Microcurrent stimulation For this mode you will need one channel Press the waveform button on the touch screen display until Micro Current is displayed Select the Mode for Phase 1 either positive negative or bipolar by using the up and down arrows on the touch screen display Select the Mode for Phase 2 either none positive negative or bipolar by using the up and down arrows on the touch screen display Setting Phase 2 to something other than none allows you to set up a second round of Micro Current stimulation with different parameters that will i
39. des stuck on the patient you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient This function is disabled when using the High Voltage Probe The channel button of the channel that has an active stimulation treatment will blink to let you know that it is active Channel buttons that are not blinking are not active and can be used for additional setups To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers 43 Mettler Electronics Corp Rev D_07 02 12 4 15 Therapeutic Ultrasound Setup Procedure POWER IO TT T Obeats 0158 E 1 00 E os min C sec min sec 0 15 00 5 00 w cm Set Power w cm 1 00 1 11 12 Turn on the mains power switch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimul
40. display You can choose from 1 30 minutes You can set the units for the display by pressing the w cm symbol next to the 0 00 Once selected pressing it additional times toggles between w and w cm2 For ultrasound plug the ultrasound applicator into the receptacle labeled US Plug the 4 electrode cable into ch4 Wait for the L or S indicator to illuminate on the screen showing which applicator is in use Plug red tipped cable end into one electrode If it is an original cord set 4 the red tipped end will be marked with Comb Apply the dispersive electrode to the patient ZNWARNING Apply the dispersive electrode in such a manner to prevent transthoracic stimulation Apply a layer of ultrasound couplant gel to the treatment area 47 Mettler Electronics Corp Rev D_07 02 12 Ultrasound Couplant 21 D 23 0 00 w cm 24 Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LEDs on either side of the applicator will light when coupling is achieved after treatment is initiated Adjust the intensity level for the ultrasound It will immediately go up to the level that was preset before treatment began If you hear an intermittent beeping sound there is inadequate coupling to the
41. e Polarity Maximum Voltage Current Phase Duration Frequency Available Channels Waveform Type Polarity Maximum Voltage Current Available Channels Mono or Bi phasic square Plus minus or both 0 4 V 20 Peak value 500Q load 0 to 750 uA peak 5009 load Duty fixed at 50 0 3 to 400 Hz All Continuous DC Plus or minus 10 V 20 500Q2 load U to 20 mA peak 500Q load All 69 Mettler Electronics Corp Rev D_07 02 12 70 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Section 10 Accessories 10 1 Ordering Information Therapy products and accessories are available from Mettler Electronics authorized Distributors For information regarding either Mettler products or a distributor near you please call toll free 800 854 9305 or phone 714 533 2221 in areas outside the continental United States Ask for Customer Service Mettler Electronics is open from 7 AM until 5 PM Pacific Time for your convenience You can also reach our Customer Service Department via email at mail amp mettlerelectronics com 10 2Sonicator Plus 940 Accessories Catalogue 1844 1851 1852 1853 1860 1861 1863 1864 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2027 2221 2227 2223 2224 2266 Item Description Sonigel salt free colloidal water couplant case of 12 9 5 oz tubes Sonigel clear gel couplant 12 x 250 ml Sonigel clear gel co
42. e by pressing the large numbers under On and Off and then pressing the up and down arrows on the touch screen display The maximum On time is 30 seconds The maximum Off time is 99 seconds Usually the Off time is twice the On time You can also set the up and down ramp times by pressing the numbers in the illustration to the right of the large numbers and then pressing the up and down arrows on the touch screen display Ramp times are included in the On time Maximum ramp time for both the up and down ramps is 3 seconds Select the number of contractions using this selector and then pressing the up and down arrows on the touch screen display The time will go up or down based on the number of contractions requested You can also set the treatment time by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 60 minutes The number of contractions will change up or down with the treatment time Plug the electrode cable s into the channel s corresponding to the channel s that you have programmed OPEN ERROR Y QU EMS preset programs Carrier Frequency kHz Ramp up sec 14 15 16 17 18 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Plug each cable into two electrodes Stick the electrodes on the patient You will need two electrodes for each channel Adjust the intensity and start treatment for th
43. e channel that you are using If you are using Surge in two channels they will go up together To fine tune the second channel press the up arrow on that channel In the reciprocation mode you will adjust each channel separately The second channel will be off during the first channel s adjustment and vice versa You can adjust intensity up or down at any time The timer will stop during the adjustment and resume the On and Off time cycle after a few seconds The maximum intensity is 100 mA peak Please note In the surge mode the Sonicator Plus 940 enters adjustment mode when the clinician presses the intensity control button It remains in adjustment mode for 10 seconds after the button is released Check the subjective intensity experienced by the patient during this time and adjust output intensity accordingly The timer will be active during this time The channel button of the channel that has an active stimulation treatment will blink to let you know that it is active Channel buttons that are not blinking are not active and can be used for additional setups If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing
44. erapeutic ultrasound The applicator handles for the Sonicator Plus 940 have been designed to allow the practitioner to perform underwater treatments without exposing the hands to ultrasound 3 Ifa patient complains of periosteal pain deep achy pain during ultrasonic treatment intensity should be reduced to a comfortable level 4 Any bleeding tendency is increased by heating because of the increase in blood flow and vascularity of the heated tissues Care therefore should be used in treating patients with therapeutic ultrasound who have hemorrhagic diatheses or bleeding disorders 5 Moving technique of the applicator should be used when applying therapeutic ultrasound at intensities greater than 0 5 W cm to assure even exposure of tissues to ultrasound 6 Heating of the joint capsule in acute or subacute arthritis should be avoided Electric treatment tables or whirlpools which may come in contact with the patient during a treatment with the Sonicator Plus 940 should be adequately grounded and safety tested to insure safe operation with the Sonicator Plus 940 5 9 Precautions for Neuromuscular Electrical Stimulation 1 Care should be taken in the treatment of patients receiving another type of electrotherapeutic treatment such as conventional TENS or having indwelling electrodes lead wires or transmitters for electrophrenic pacing or cerebellar or urinary bladder stimulation Stimulation currents should not cross the lead wi
45. fied by DOS Medizinprodukte GMBH to be compliant with ISO 13485 2003 CMDCAS Canadian Medical Device requirements 1 2 Introduction to This Manual Read the contents of this manual before treating patients with the Sonicator Plus 940 This manual has been written to assist you with the safe operation of the Sonicator Plus 940 It is intended for use by the owners and operators of the Sonicator Plus 940 The goal of this manual is to direct the correct operation and maintenance of this unit The specifications and instructions presented in this manual are in effect at the time of its publication These instructions may be updated at any time at the discretion of the manufacturer e The operating manual is required for safe use of the unit If you lend or transfer the unit to another party such as a facility be sure to provide this manual with the unit e Carefully read the Safety Precautions before operating the unit Follow the precautions given e To prevent injury to the operator or patient or property damage the manual uses the following terms and symbols to represent varying levels of danger Make sure you understand what these symbols mean before reading the manual N D AN G E R Improper handling may result in a high risk of death or serious injury NWARN N G Improper handling may result in a risk of death or serious injury NC AUTI O N Improper handling may result in injury or property damage Calls attention to Danger Wa
46. hould be based on the guidance of the prescribing practitioner 14 Effectiveness for pain management is highly dependent upon patient selection by a person qualified in the management of pain patients 15 The Sonicator Plus 940 should be used only with electrode cables and electrodes recommended for use by Mettler Electronics Corp 16 Turn on the Sonicator Plus 940 before applying electrodes to the patient 5 10Side Effects Adverse Reactions for Neuromuscular Electrical Stimulation 1 Skin irritation and burns beneath the electrodes have been reported with the use of electrical muscle stimulators 2 Possible allergic reactions to tape gel or electrodes may occur 54 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Section 6 Maintenance and Troubleshooting 6 1 Cleaning the Sonicator Plus 940 The Sonicator Plus 940 can be wiped off with a damp cloth The power cord should be disconnected from the unit before this is done In the case of stubborn dirt a gentle household cleaner can be sprayed on the cloth and then wiped on the unit If this method is used remove any cleaner residue with a damp cloth Do not spray cleaner into the vents of the unit Follow the V Trode package insert for the use and care of the electrodes supplied with the Sonicator Plus 940 For routine cleaning of the electrode cables use soap and water Thoroughly dry after cleaning Use soap and water for routine cleaning of the Sonicator Plu
47. hysical Therapy 65 186 196 1985 Snyder Mackler L and Robinson A J eds Clinical Electrophysiology Electrotherapy and Electrophysiologic Testing Williams and Wilkins 1989 Starkey C Therapeutic Modalities for Athletic Trainers F A Davis Company 1993 Wadsworth H and Chanmugam A P P Electrophysical Agents in Physiotherapy Therapeutic and Diagnostic Use Science Press Marrickville NSW 2204 Australia 1983 Warron C G Koblanski J N and Sigelmann R A Ultrasound Coupling Media Their Relative Transmissivity Arch Phys Med Rehab Vol 57 1976 pp 218 222 Wilkie C D Interferential Therapy Physiotherapy 55 503 506 1969 Wolf S L ed Electrotherapy Churchill Livingstone New York 1981 This manual has been written as a guideline for the correct use of the Sonicator Plus 940 Reading the above references will provide a more complete understanding of the correct use of therapeutic ultrasound neuromuscular stimulation and combination therapy 62 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 section 9 Specifications 9 1 General Specifications Input Certification ETL and C ETL Listed Weight Dimensions Operating Temperature Humidity Storage Temperature Timer Accuracy Maximum Treatment Time Treatment Timer 120 V 60 Hz 85 VA The Sonicator Plus 940 complies with the ultrasound performance standards set forth in the Code of Federal Regulat
48. ination therapy the preparation that you use must conduct electricity to be effective For high voltage TENS and 2 pole interferential waveforms select the Mode either continuous or frequency modulation by pressing the mode button until the correct one is displayed For the high voltage and TENS waveforms the burst mode is also available For microcurrent and DC the mode that you can select is positive or negative Microcurrent also has a bipolar mode For high voltage select positive negative or bipolar Set the pulse duration for high voltage or TENS For the continuous frequency modulated and burst modes input the treatment frequency Set Power w cm 1 00 mm see 9 00 0 00 w cm 11 12 13 14 16 17 19 Sonicator Plus 940 Instruction Manual Rev D 07 02 12 Press the ultrasound frequency button to select 1 or 3 MHz Press the Duty button to set the duty cycle by using the up and down arrows on the touch screen display Continuous ultrasound is 10076 The other choices are 5 10 20 30 40 or 5076 The pulse rate is always 100 Hz Press the Set Power button to preset the ultrasound intensity by using the up and down arrows on the touch screen display In the continuous mode the maximum power is 2 00 w cn In the pulsed mode the maximum power is 3 00 w cn You can set the treatment time by pressing the min sec button and then the up and down arrows on the touch screen
49. instability vibration or impact including during transportation e Do not leave the unit in locations with combustible airborne materials such as combustible anesthetic gases mixed with oxygen nitrogen suboxide and air or combustible disinfecting agents or cleaning agents mixed with air e Do not install the unit where chemical products are stored or where gases may be emitted e To avoid accidents due to distortion of the main unit and accessories keep the unit away from flames or fire e If operated near something that emits loud noises the unit may fail or operate inconsistently Take appropriate precautionary measures such as moving the product a safe distance from such noise sources The Sonicator Plus 940 may be susceptible to interference originating from shortwave diathermy units operating in close proximity to it Avoid operating the Sonicator Plus 940 adjacent to and simultaneously with operating shortwave devices Connect the line cord to the back of the Sonicator Plus 940 See Figure 3 1 Make sure that the power switch is in the Off position Grasp the plug of the line cord ME 9403 and insert it into a grounded wall outlet that is rated between 100 240 VAC 50 60 Hz Your power supply must match the voltage requirements listed on the serial number label of your device Do not connect the Sonicator Plus 940 to a power supply rated differently than that described above The line cord comes equipped with a standard 3 pr
50. ions Title 21 Food and Drugs Part 1050 10 Model ME 940 11 pounds 4 9 in H x 13 6 in W x 10 5 in D 50 F to 104 F Operating 30 to 75 Relative Humidity at 104 F Nonoperating 5 to 95 Relative Humidity non condensing 40 F to 167 F 3 60 minutes electrical stimulation 30 minutes ultrasound or combination therapy Treatment time counts down to zero The digital timer indicates time in minutes and seconds The timer also indicates the remaining treatment time during the Hold period 9 2 Ultrasonic Generator Specifications Frequency Modes Pulse Repetition Rate Pulse Duration Temporal Peak average intensity ratio Maximum output power Maximum intensity Indication accuracy 1 0 MHz 5 3 0 MHz 5 Continuous Pulsed 5 10 20 30 40 and 50 duty cycle 100 Hz 20 0 5 1 2 3 4 and 5 msec 20 20 1 10 1 5 1 3 3 1 2 5 1 and 2 1 10 11 W 10076 with large applicator 1 MHz ME 9401 16 5 W pulsed with large applicator 1 MHz ME 9401 12 W 10076 with large applicator 3 MHz ME 9401 18 W pulsed with large applicator 3 MHz ME 9401 1 8 W 10076 with small applicator 1 or 3 MHz ME 9402 2 7 W pulsed with small applicator 1 or 3 MHz ME 9402 2 0 W cnv 10076 3 0 W cm pulsed mode 20 for any level above 10 of maximum 63 Mettler Electronics Corp Rev D_07 02 12 Output description The output waveform is continuous or pu
51. itch and Line Cord Connection Figure 3 2 Sonicator Plus 940 Front View Electrode Cable and Ultrasound Applicator Connections Sonicator Plus 940 Figure 3 3 Sonicator 940 with ultrasound applicator cradle Sonicator Plus 940 Instruction Manual Rev D_07 02 12 3 2 Customizing the Optional Settings The Sonicator Plus 940 has a number of options that the user can set to regulate the volume of the buzzer and determine the lighting of the LCD screen This section will guide you through the process POWER IO EXE EE N 40 D HH ame 7 4kHz T Obeats 1 0 50 50 US 1 00 E PTUS adesse aid age min sec min sec 0 15 00 20 00 15 00 5 00 w cm 7 LCD White Buzzer Volume Switch Location e on Touch Panel END 1 9o 11 11 K Turn on the mains power switch by pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed Press any one of the channel selectors You will then see the setup for that channel Press the Save button on the touch screen panel On the next screen press the Settings button You will then see the Settings screen After you are done with setting the various options you will always press End and the Sonicat
52. ive and can be used for additional setups If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers Sonicator Plus 940 Instruction Manual Rev D_07 02 12 TENS preset programs Preset Programs e Pulse Duration Treatment Time Name He EE 2 Surge 50Hz Cog n ooo IO Surge 100 Hz Random Programs Constant o 4 ee Hg 3 30 80 4 DualFreg 200 100 TEM 18 3 Sugei amp Constant 60 150 2 3 7 4 DualFreg 200 150 tow 3 2 23 Constant 250 Frequency f A 10 3 Sugel 310 pS ff O 170 3 Bus 120 9 6 AA se 3 318 La EINEN SENE HUMO E M Hepees O E 7 Note When a random program is selecte
53. linking are not active and can be used for additional setups If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers 2 Pole Interferential Premod preset programs Preset programs No Carrier Frequency Sweep F F2 Treatment Time j kHz Beat Hz j 4 80 100 15 15 1 100 15 30 60 15 100 200 Random 6 Random Program High 7 Random Program Low 8 Random Program High Low programs Phase Carrier Frequency Beat Frequency Time Mode Treatment Time kHz Beat Hz min min 1 4 80 L O1 AJA OF lU OI OI OI 2 3 4 5 1 2 3 1 2 3 Ha O1 Constant Sweep Sweep Sweep Constant Constant Sweep Constant Constant Sweep Sweep WWW Q O WWIW WWW W Constant Note When a random program is sele
54. lsed as programmed by the membrane panel control In the pulse mode the 1 or 3 MHz sine wave pulses are modulated The power level is adjusted by varying the pulse amplitude The pulse waveform shown below represents all the available pulsed options The frequency remains the same while the on and off times vary 1 or 3 MHz Ultrasound 90 5 ms 5 ms 5 ms Figure 9 1 Pulse Waveform 50 Duty Cycle In the continuous mode the power is on at least 95 of the time the timer is running The continuous mode waveform is shown below 1 or 3 MHz Ultrasound 100 Figure 9 2 Continuous Waveform 9 3 Ultrasonic Applicator Specifications Individual Applicator Specifications Applicator Part Frequency Effective Radiating Maximum Beam Non Type Number Area Uniformity Ratio ME 9401 1 MHz 5 5 5 cm 20 Collimated ME 9401 3 MHz 5 6 0 cm 20 Collimated ME 9402 1 MHz 15 0 9 cm 20 ME 9402 3 MHz 5 0 9 cm 20 Collimated Spatial Pattern The applicator produces a collimated cylindrical beam with an area listed measured 5 mm from the ceramic disc surface when the radiation is emitted into the equivalent of an infinite medium of distilled water at 30 C 64 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 The beam of the applicator is circular in all planes parallel to the applicator face A few inches from the face it is a single smooth bell shaped curve Nearer the face the pattern varies more
55. me side of the body at some point distal to the active electrode The dispersive pad is generally three to four times larger than the active electrode so that current density is too low to cause muscle contractions under the dispersive electrode Never place the dispersive electrode over the antagonist muscle The monopolar electrode placement technique has been found to be especially useful for muscle stimulation of the upper extremities and small muscle groups This technique helps concentrate the stimulation effect on the muscle under the smaller electrode The figure on the left illustrates one possible electrode placement for muscle stimulation of the forearm Additional information about electrode placement Motor point charts are available as guides from Mettler Electronics Corp These points may vary from patient to patient and at time of injury may vary in the same patient Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Section 5 Indications Contraindications Precautions and Adverse Heactions 5 1 Indications for Therapeutic Ultrasound Application of therapeutic deep heat for the treatment of selected sub chronic and chronic medical conditions such as 1 Relief of pain muscle spasms and joint contractures 2 Relief of pain muscle spasms and joint contractures that may be associated with e Adhesive capsulitis e Bursitis with slight calcification e Myositis e Soft tissue injuries e Shortened tendons due
56. med on any stimulation channel or on ultrasound When the output current remains below the setting for a certain period of time the setting may be automatically lowered Check whether the electrodes are properly attached before using the Sonicator Plus 940 The unit performs an operation corresponding to the button pressed first If another button is pressed while one button is still depressed the first operation continues Release the first button and then press the button you want to activate next Confirm that the attached electrodes are not touching before starting a treatment If you attempt to turn up the output when electrodes are too close or touching the intensity will not go up and the timer will not start As soon as the problem is corrected the Sonicator Plus 940 will begin to respond to the intensity control button Note Descriptions of the symbols used on controls are in Section 2 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 4 3 Quick Set up for Electrical Stimulation POWER OS carrier Frequency LAN at gt On fon Vott Set N msi LEES 03 15 00 5 00 og ogl og 09 EC w cm 1 Turn on the mains power switch located on the back of the unit by 11 I pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed If you wish to use one
57. mmediately follow Phase 1 Select the frequency control to set the frequency using the up and down arrows on the touch screen display The frequency range is from 0 3 to 400 Hz You can set the treatment time for both phases by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 60 minutes for either as long as the total between phases does not exceed 60 minutes Plug one electrode cable into the channel corresponding to the channel that you have programmed Sonicator Plus 940 Instruction Manual Rev D_07 02 12 10 Plug the cable into two electrodes 11 Stick the electrodes on the patient You will need two electrodes for each channel 12 Adjust the intensity and start treatment for the channel that you are using If no electrodes are plugged in the output will not increase but there will be no Open Error as seen with other stimulation waveforms The maximum intensity is 750 pA 13 The channel button of the channel that has an active stimulation C H1 Tua treatment will blink to let you know that it is active Channel buttons that s are not blinking are not active and can be used for additional setups 14 To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogr
58. n display until 2 Pole Interferential is displayed Select the Mode either continuous or frequency modulation by pressing the mode button until the correct one is displayed Select the carrier frequency by pressing the symbol on the left then pressing the up and down arrows on the touch screen display You can choose from 2 4 or 5 kHz Select the beat frequency by pressing the symbol on the left then pressing the up and down arrows on the touch screen display You can choose from 1 250 beats For the beat frequency sweep press first the lower number and adjust it and then the upper number by pressing the up and down arrows on the touch screen display Select the treatment time by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Plug one electrode cable into the channel corresponding to the channel that you have programmed ay EN 10 Plug the cable into two electrodes da 28 14 OPEN ERROR 15 11 12 13 16 Sonicator Plus 940 Instruction Manual Rev D 07 02 12 Stick the electrodes on the patient You will need two electrodes for each channel Adjust the intensity and start treatment for the channel that you are using The maximum intensity is 100 mA peak The channel button of the channel that has an active stimulation treatment will blink to let you know that it is active Channel buttons that are not b
59. nstant 3 Constant D Low High 1 Sweep Alternate grans 3090 3 Sweep 5 50 3 Constant Note When a random program is selected the parameters cannot be changed and the data cannot be saved s l Ha ti WIVI QW QO C2 Q 36 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 4 12 TENS Stimulation Set up Procedure POWER IO es ees oe Tou Tus 00 HH amz 7054 110150 50us 1 00 R times 20 min sec min Q 20 00 sec wine ses mie eee 15 00 5 00 m w cm TELE PD TE 100 us 70Hz or Frequency 80 100 Contraction 40 times min eue 15 00 1 T 10 Turn on the mains power switch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the channel key of the channel where you would like to run TENS For this mode you will need one or two channels Press the waveform button on the touch screen display until TENS is displayed Select the Mode either continuous burst frequency modulation surge surge in 2 channels or reciprocation by pressing the mode button until the correct one is displayed Select the P D control to set the pulse duration using the up and down arrows on the touch sc
60. of the starting electrical stimulation protocols plug the electrode cable into the channel corresponding to the channel that you want to use on the display Plug the cable into the electrode Stick the electrodes on the patient You will need two electrodes for each channel Adjust the intensity and start treatment for the stimulation channel that you are using by pressing the Up arrow on the control panel If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers 19 Mettler Electronics Corp Rev D_07 02 12 4 4 Quick Set up for Therapeutic Ultrasound POWER 10 Gs ETES EENETI Iu ERE Frequency FW ato On fon Vott Ser TORET ux Eoo 03 15 00 5 00 RC REC w cm aN
61. ong plug This plug provides grounding for the Sonicator Plus 940 Do not defeat its purpose by using 3 to 2 prong adapters or any other means of attaching to a wall outlet Line up the key at the top applicator cable connector with the slot on the round receptacle located on the front of the Sonicator Plus 940 See Figure 3 2 The side with the arrow on it is up so you can see it Place the applicator onto the applicator cradle See Figure 3 3 Plug the electrode cables ME 2266 into the electrode cable connections as seen in Figure 3 2 Each cable has an arrow on it Place the arrow facing up and then press into the connector For combination therapy procedures plug the electrode cable with the 4 into the electrode connection for Channel 4 Each cable is marked with a number indicating which channel to plug in the cable Do not use sharp objects to operate the membrane panel switches or touch screen If the tough outer layer of the membrane is broken moisture may leak into the switches resulting in switch failure Using objects other than finger tips may damage the screen Once you have verified proper functioning of your Sonicator Plus 940 using the instructions in Section 4 please fill in the enclosed self addressed Warranty Registration Card and mail it to Mettler Electronics 13 Mettler Electronics Corp Rev D_07 02 12 14 _ eee AC LINE INPUT Figure 3 1 Sonicator Plus 940 Back View Mains Power Sw
62. onicator Plus 940 Instruction Manual ANANETTLER lt ECTRONICS corp 1333 South Claudina Street Anaheim CA 92805 U S A Toll Free 800 854 9305 Telephone 714 533 2221 FAX 714 635 7539 Web Site http Avww mettlerelectronics com Email mail mettlerelectronics com IR9 47 Rev D 07 02 12 Copyright O 2007 2011 by Mettler Electronics Corp Anaheim CA Mettler Electronics Corp Rev D_07 02 12 FCC Frequency Interference Statement Warning This equipment generates and uses radio frequency energy and if not installed and operated in strict accordance with the manufacturer s instructions may cause radio frequency interference Notice 1 This equipment has been verified to comply with the specifications in Part 18 of FCC Rules which are designed to provide reasonable protection against radio frequency interference However there is no guarantee that interference will not occur in a particular installation Notice 2 If this equipment is found to be the source of radio frequency interference which can be determined by turning the equipment off and on the user should try to correct the interference by one or more of the following measures Reorient the receiving antenna as applicable e Relocate the Sonicator Plus 940 with respect to the receiver e Move the Sonicator Plus 940 away from the receiver e Plug the Sonicator Plus 940 into a different outlet than the receiver e If necessary the
63. or Plus 940 will save your changes to memory so that the next time you turn on the unit it will remember your custom settings To set the background color of the LCD to white with blue letters press the LCD White button on the touch screen panel To set the background color of the LCD to blue with white letters press the LCD Blue button on the touch screen panel There are four different settings for the buzzer volume Press Buzzer Volume on the touch screen panel to adjust the volume or turn off the buzzer The Buzzer Control button gets you to the menu that sets specific buzzer traits for microcurrent ultrasound and how often you will hear the buzzer during non coupling conditions for ultrasound treatments 15 Mettler Electronics Corp Rev D_07 02 12 Buzzer Control Ultrasound Micro Current O ON Buzzer OFF Buzzer SON j LOT L O ON Jui BL OOFFJ L L Buzzer Interval 4 3 SEC D Micro Current O ON e OFF Buzzer Buzzer Interval 3 SEC Ultrasound Buzzer ON J WIN L O ON Jom oml OOFFJ L J L BACK BACK Switch Location Adjust on Touch Panel Memory Initialization OYes No 6 12 13 14 T5 16 17 18 19 This is the menu that will show for all buzzer functions You will press Back to return to the Settings menu With the Sonicator Plus 940 in its current configur
64. patient Reapply gel and start again If the display never leaves zero and the bar doesn t darken the couplant is not appropriate for ultrasound Adjust the intensity of Channel 4 stimulation so that it produces a comfortable tingling sensation Open Error is defeated during combination therapy so that you can easily move the applicator during treatment However if contact is lost the output will go to zero and the timer will stop counting down The Channel 4 and Ultrasound buttons will blink while the treatment is ON active Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers 4 17 Electrode Position 1 Figure 4 3 Quadpolar Electrode Placement Technique Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Ng General information Placement of electrodes may be by the quadpolar bipolar or monopolar techniques Proper positioning and contact will insure treatment comfort and efficiency Electrodes should never be placed in such a manner as to produce current flow through the cardiac area For safe operation of the Sonicator Plus 940 review contraindications warnings precautions and Side Effects Adverse Reactions in sections 5 6 5 7 5 9 and 5 10 before positioning electrodes Preparation of the skin prior to electrode application
65. pment nor allow any adjustments unless proper formal claim has been filed by the receiver against the carrier The carton in which your new Sonicator Plus 940 was received is specially designed to protect the unit during shipping Please retain all shipping materials in the event that you will need to return your unit for servicing NOTE All warranty repairs are to be performed by Mettler Electronics Corp or an authorized Mettler Electronics warranty repair center 1 6 Package Contents Your new Sonicator Plus 940 comes complete with all the necessary components to perform therapeutic ultrasound neuromuscular electrical stimulation and combination therapy Below is a list of items that are included in the shipping carton Sonicator Plus 940 Large ultrasound applicator 5 5 cm at 1 and 3 MHz ME 9401 Sonigel ultrasound couplant gel one sample tube 100 ml ME 1846 Four electrode cable sets ME 2266 One package V Trodes 2 diameter ME 2702 Two 4 x 4 sponge electrodes ME2002 Two pin to banana adapters ME 2027 Detachable U L listed hospital grade line cord Instruction Manual on a CD ROM and Warranty Card M C E E I M e Mettler Electronics Corp Rev D_07 02 12 1 7 Limited Warranty The Sonicator Plus 940 combination unit for neuromuscular electrical stimulation and therapeutic ultrasound is warranted against defects in materials and workmanship for a period of two years from date of purchase The Sonicato
66. r Plus 940 applicator is warranted against defects in materials and workmanship for a period of one year from date of purchase During the applicable warranty period Mettler Electronics Corp will at its discretion either repair or replace the Product without charge for these types of defects For service under this warranty the Product must be returned by the buyer within the applicable warranty period to Mettler Electronics Corp Shipping charges to Mettler Electronics Corp under this warranty must be paid by the buyer The buyer must also include a copy of the sales receipt or other proof of the date of purchase If the Product is returned without proof of the date of purchase it will be serviced as an out of warranty product at Mettler Electronics Corp s prevailing service rates Alteration misuse or neglect of the Product voids this warranty Except as specifically set forth above Mettler Electronics Corp makes no warranties express or implied including without limitation any implied warranty of merchantability or fitness for a particular purpose with respect to the Product If any implied warranties apply as a matter of law they are limited in duration to one year Mettler Electronics Corp shall not be liable for any indirect special consequential or incidental damages resulting from any defect in or use of the Product Any legal action brought by the buyer relating to this warranty must be commenced within one year from the date
67. reen display These can be set from 50 300 ps in 10 ps increments Select the frequency control to set the frequency using the up and down arrows on the touch screen display This can be set from 0 5 250 Hz for the continuous mode 0 5 7 Hz in the burst mode 20 250 Hz in the surge and reciprocation modes In the frequency modulation mode the low and high frequencies can be set from 1 250 Hz Set the On Off time for the surge and reciprocation modes by pressing the large numbers under On and Off and then pressing the up and down arrows on the touch screen display The maximum On time is 30 seconds The maximum Off time is 99 seconds Usually the Off time is twice the On time You can also set the up and down ramp times by pressing the numbers in the illustration to the right of the large numbers and then pressing the up and down arrows on the touch screen display Ramp times are included in the On time Maximum ramp time for both the up and down ramps is 3 seconds Select the number of contractions for the surge and reciprocation modes using this selector and then pressing the up and down arrows on the touch screen display The time will go up or down based on the number of contractions requested You can also set the treatment time by pressing the min sec button and then the up and down arrows on the touch screen display You can choose from 1 60 minutes The number of contractions will change up or down with
68. res or electrodes 2 Itis advisable to insulate patients preferably by use of a wooden treatment table or one that is completely padded by non conductive material Added safety is provided if the patient cannot touch any grounded metal parts 3 Limit treatment intensity to 50 mA 50 V or less when using small electrodes 2 diameter to reduce the chance of thermal burns due to high current density Avoid current densities exceeding 2 mA cm when using this device 4 Isolated cases of skin irritation may occur at the site of electrode placement following long term application 5 Avoid placing electrodes directly over open wounds since current density tends to concentrate in these areas 6 Use extreme caution when treating desensitized areas or on patients who may not be able to report discomfort or pain Use caution in applying electrical stimulation over areas where there is a loss of normal skin sensation Adequate precautions should be taken in the case of persons with suspected or diagnosed epilepsy 9 Patients should not be left unattended during any treatment 10 Care should be taken following recent surgical procedures when muscle contraction may disrupt the healing process 11 Do not apply electrical stimulation over the menstruating uterus 12 The long term effects of chronic electrical stimulation are unknown 53 Mettler Electronics Corp Rev D_07 02 12 13 Electrode placement and stimulation settings s
69. rinciples and Practice of Electrotherapy Churchill Livingstone New York 1987 Kottke F J Stillwell G K and Lehman J F ed Krusen s Handbook of Physical Medicine and Rehabilitation W B Saunders Co Philadelphia 1982 Mannheimer J S and Lampe G N Clinical Transcutaneous Electrical Nerve Stimulation F A Davis Company 1984 Michlovitz S L and Wolf S L ed Thermal Agents in Rehabilitation F A Davis Co Philadelphia 1990 Nelson R M and Currier D P Clinical Electrotherapy Appleton and Lange 1991 61 Mettler Electronics Corp Rev D_07 02 12 26 27 28 29 30 31 92 33 34 35 36 Dus 38 Nikolova L Treatment with Interferential Current Churchill Livingstone 1987 Nyborg W L and Ziskin M C ed Biological Effects of Ultrasound Vol 16 of Clinics in Diagnostic Ultrasound Churchill Livingstone New York 1985 Prentice W E Therapeutic Modalities in Sports Medicine Times Mirror Mosby College Publishing 1990 Reid D C and Cummings G C Efficiency of Ultrasound Coupling Agents Physiotherapy Vol 63 8 1977 pp 255 257 Savage B Interferential Therapy Faber and Faber Boston 1984 Schwann H P and Carstensen E L Advantages and Limitations of Ultrasonics in Medicine JAMA 5 52 Vol 149 1952 pp 121 125 Selkowitz D M Improvement in Isometric Strength of the Quadriceps Femoris Muscle After Training with Electrical Stimulation P
70. rning or Caution items This particular symbol means Electric Shock Hazard Indicates an action to be avoided This particular symbol means Do Not Disassemble Indicates a mandatory action This particular symbol means Remove the plug from the power outlet 1 3 Safety Precautions NWARNING The Sonicator Plus 940 operates with high voltages Qualified biomedical technicians with training in ultrasound and neuromuscular stimulator service should perform servicing of the Sonicator Plus 940 or it should be returned directly to the factory To maximize safety during use the unit should be plugged into a grounded wall outlet General safety guidelines for medical electronic equipment should be followed 6 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 To assure compliance with FDA 21 CFR 1050 10 ultrasound standard the ultrasound portion of the Sonicator Plus 940 should be calibrated and safety tested on an annual basis This service may be obtained from the manufacturer by sending the Sonicator Plus 940 in its original shipping container to Mettler Electronics Corp 1333 South Claudina Street Anaheim CA 92805 ATTN Service Department Telephone toll free 800 854 9305 Alternate telephone number 1 714 533 2221 This service may also be performed by qualified biomedical engineers or technicians trained in ultrasound calibration NOTE All warranty repairs must be performed by Mettler Electronics Corp or
71. rp Rev D_07 02 12 60 10 11 12 13 14 15 16 17 18 19 20 2 22 23 24 29 Sonicator Plus 940 Instruction Manual Rev D 07 02 12 Section 8 References Baker L L Bowman B R and McNeal D R Effects of Waveform on Comfort During Neuromuscular Electrical Stimulation Clinical Orthopedics and Related Research No 233 pp 75 85 August 1988 Belcher J Interferential Therapy N Z Journal of Physiotherapy 6 29 34 1974 Benton L et al Functional Electrical Stimulation A Practical Guide Rancho Los Amigos Hospital 1981 Bowman B R and Baker L L Effects of Waveform Parameters on Comfort During Transcutaneous Neuromuscular Electrical Stimulation Annals of Biomedical Engineering Vol 13 pp 59 74 1985 Brooks M E Smith E M and Currier D P Effect of Longitudinal Versus Transverse Electrode Placement on Torque Production by the Quadriceps Femoris Muscle during Neuromuscular Electrical Stimulation JOSPT 11 11 pp 530 534 De Dominico G New Dimensions in Interferential Therapy A Theoretical and Clinical Guide Reid Medical Books Sydney 1987 De Dominico G Motor Stimulation with Interferential Currents Australian Journal of Physiotherapy 31 225 230 1985 De Dominico G Pain Relief with Interferential Therapy Australian Journal of Physiotherapy 28 14 18 1982 DeLitto A and Snyder Mackler L Two Theories of Muscle Streng
72. s 940 applicator Rinse the applicator thoroughly after disinfection to remove any residue You can disinfect the stainless steel part of ultrasound applicator with a cloth moistened with an approximately 70 alcohol solution The Sonicator Plus 940 applicator is neither autoclavable nor gas sterilizable 6 2 Houtine Maintenance T 10 To assure accurate performance of the Sonicator Plus 940 calibration verification of ultrasonic output should be performed on an annual basis Refer to the Maintenance Manual for guidance on this procedure Standard medical electrical safety checks should be performed annually by qualified biomedical engineers or technicians trained to perform these procedures Inspect electrode cables and associated connectors for damage Inspect ultrasound applicator for cracks since they may allow ingress of conductive fluid s The ultrasound probe is waterproof and should never be disassembled since doing so may degrade its waterproofing or the performance of the transducer resulting in electric shock IPX7 Inspect the applicator cable and its connector for damage The applicator is an integral part of delivering safe and effective therapeutic ultrasound Avoid rough handling of the ultrasound applicator since it is relatively fragile and can be damaged if dropped or otherwise abused Never open the Sonicator Plus 940 Doing so may lead to malfunctions or accidents Do not damage break modify bend forcibly
73. s known as selective heating Figure 7 5 High Frequency Sound Waves Compression Clinical ultrasound is produced through the reverse piezoelectric effect Electricity is carried from a radio frequency source to an electrode in contact with the surface of a specially cut crystal The electrical charges applied to the crystal surface produce mechanical vibrations or the so called reverse piezoelectric effect The crystal may be natural or synthetic and may be salt quartz polycrystalline or ceramic When this crystal is in resonance with the driving oscillator optimum conversion from electrical to mechanical energy is achieved The Sonicator Plus 940 uses a silicon dioxide SiO ceramic for its transducers 58 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Ultrasonic power is expressed in watts W or watts per square centimeter W cm Average intensity W cm is obtained by measuring the total output of the applicator in watts and then dividing it by the size of the effective radiating area of the applicator The ERA effective radiating area is indicated on the label of each Mettler applicator Please note the ERA is different from the overall dimension of the applicator face Ultrasound waves need a medium for their transmission and that is accomplished by using a proper coupling agent This coupling layer between the transducer and body surface will assist in the propagation of the mechanical vibrations and preven
74. s the chest laterally or anterior posterior creates a possible hazard with cardiac patients and is therefore not recommended Do not use transthoracically in any mode Great care should be exercised in applying the electrical stimulus current to any region of the thorax because the stimulus current may produce cardiac arrhythmia In patients with known heart disease electrical stimulation should be used only after careful physician evaluation and patient instruction Place electrodes in such a way to avoid stimulation of the carotid sinus neck region Patients with arterial or venous thrombosis or thrombophlebitis are at risk of developing embolisms when electrical stimulation is applied over or adjacent to the vessels containing the thrombus If a patient has a history of deep vein thrombosis even many years past the affected area should not be stimulated Do not use over swollen infected or inflamed areas Do not place electrodes over skin eruptions Fresh fractures should not be stimulated in order to avoid unwanted motion Do not apply stimulation transcerebrally through the head Do not use on cancer patients Stimulation should not be applied immediately following trauma or to tissues susceptible to hemorrhage Positioning electrodes over the neck or mouth may cause severe spasm of the laryngeal or pharyngeal muscles These contractions may be strong enough to close the airway or cause difficulty in breathing Do not apply stim
75. sional Beam Pattern 4 Pole Interferential Waveform 2 Pole Interferential Waveform EMS Waveform Russian Waveform High Voltage Waveform TENS Waveform Microcurrent Waveform 61 63 63 63 64 66 71 71 71 Page 11 14 14 14 17 18 49 50 50 57 57 58 58 58 59 59 64 64 65 65 65 66 66 66 67 67 67 68 69 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Section 1 Introduction 1 1 Introduction to the Sonicator Plus 940 Thank you for purchasing the Sonicator Plus 940 four channel combination unit for therapeutic ultrasound and muscle stimulation The microprocessor controlled Sonicator Plus 940 provides interferential 4 pole premodulated 2 pole interferential medium frequency Russian EMS high volt TENS microcurrent and direct current DC waveforms In addition the Sonicator Plus 940 offers 1 and 3 MHz ultrasound using a dual frequency 5 5 cm applicator An optional 0 9 cm applicator at 1 and 3 MHz is also available The four channel Sonicator Plus 940 allows you to utilize up to four different waveforms using four channels simultaneously You can choose between several different amplitude modulation options such as the surge reciprocation and vector sweep The interferential and premodulated modes offer frequency modulation as well as a static frequency option Figure 1 1 Sonicator Plus 940 The Sonicator Plus provides both a membrane panel and a touch sensitive screen to
76. t loss of transmission Once the coupling agent is applied to the body surface the applicator placed in contact and the desired output selected in total watts or watts per square centimeter the technique of application is by means of circular or stroking movement In the circular method the sound head of the applicator is moved in slow and circular overlapping movements In the stroking or paintbrush method slow back and forth strokes are used again with slight overlapping Motion with either technique should be slow enough to insure proper energy absorption yet fast enough to eliminate excessive amounts of absorption that could produce periosteal pain Some references recommend that the treatment area covered by this moving technique be two to three times the effective radiating area of the transducer for every five minutes of exposure E Figure 7 6 Ultrasound Application Techniques On occasion irregular surfaces of the body are treated hands and may offer a poor surface for proper sound head contact The underwater technique may be used for these applications The part to be treated and the sound head are submerged in water and the sound head is moved over the area keeping the head 1 2 to 1 inch away from the area of treatment As air bubbles appear on the surface of the sound head they should be wiped away to insure proper transmission of energy Figure 7 7 Underwater Treatment Technique 59 Mettler Electronics Co
77. t you want to use by pressing the touch screen 4 Pole 2 Pickthe waveform that you wish to use Please note the preset programs for Interferential each of the waveforms and ultrasound are listed below for your convenience 3 Press the Load button You will see Load Preset Program or Load Free Program at the top of the screen 4 Select either to load Preset or user defined Free protocols by pressing the option on the touch screen 5 Usethe up and down buttons on the touch screen to scroll up or down to the preset or free treatment option that you would like to use If the arrow is outlined and not solid it is not active 6 Select the number of the preset treatment that you want to use by pressing the program number on the touch screen The program parameters will be displayed in the treatment setup screen 7 This symbol will be displayed next to the waveform to indicate the Preset or user defined Free program that has been selected 8 Atthis point you may adjust any of the treatment parameters or just go to the next step 9 Adjust the intensity of the channel that you are using and start treatment by pressing the Up arrow on the control panel 21 Mettler Electronics Corp Rev D_07 02 12 4 Pole Interferential preset programs Preset programs No Carrier d Sweep F F2 Vetor Sweep igne Time Beat Hz AAA 8399 35 L 29 J e _ T1340 2 0 0m 29
78. tch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the channel key of the channel where you would like to run High Voltage Stimulation For this mode you will need one or two channels Press the waveform button on the touch screen display until High Voltage is displayed Select the Mode either continuous burst frequency modulation surge surge in 2 channels or reciprocation by pressing the mode button until the correct one is displayed WI hh Mh Select the Polarity control and then adjust it to or using the up and down arrows on the touch screen display is equal to positive polarity is equal to negative polarity and is equal to bipolar Select the P D control to set the pulse duration using the up and down arrows on the touch screen display These can be set from 10 70 ps in 10 Us increments Select the frequency control to set the frequency using the up and down arrows on the touch screen display This can be set from 0 5 200 Hz for the continuous mode 0 5 7 Hz in the burst mode 20 200 Hz in the surge and reciprocation modes In the frequency modulation mode the low and high frequencies can be set from 1 200 Hz Set the On Off time for the surge and recipro
79. th Augmentation Using Percutaneous Electrical Stimulation Physical Therapy 70 158 164 1990 Dyson M Mechanisms Involved in Therapeutic Ultrasound Physiotherapy March 1987 Vol 73 3 pp 116 120 Electrotherapy Standards Committee of the Section on Clinical Electrophysiology of the American Physical Therapy Association Electrotherapeutic Terminology in Physical Therapy APTA 1990 Ganne J M Interferential Therapy Australian Journal of Physiotherapy 22 101 110 1976 Hayes K W A Manual for Physical Agents Appleton amp Lange 1993 Hecox B Mehreteab T A and Weisberg J Physical Agents A Comprehensive Text for Physical Therapists Appleton amp Lange 1994 Kahn J Principles and Practice of Electrotherapy Churchill Livingstone 1987 Killian C B Electrical Stimulation Overview Introduction to High Frequency Stimulation Stimulus 1986 Kottke F J Stillwell G K and Lehman J F eds Krusen s Handbook of Physical Medicine and Rehabilitation W B Saunders Company 1982 Low J and Reed A Electrotherapy Explained Principles and practice Butterworth Heinemann 1994 Jaskoviak P A and Schafer R C Applied Physiotherapy Practical Clinical Applications with Emphasis on the Management of Pain and Related Syndromes Associated Chiropractic Academic Press A C A 1986 Jorgenson S P Interferential Therapy ACA Journal of Chiropractic 23 12 28 30 1986 Kahn Joseph P
80. the treatment time 37 Mettler Electronics Corp Rev D_07 02 12 OPEN ERROR 11 13 14 15 16 17 18 Plug the electrode cable s into the channel s corresponding to the channel s that you have programmed Plug each cable into two electrodes Stick the electrodes on the patient You will need two electrodes for each channel Adjust the intensity and start treatment for the channel that you are using If you are using Surge in two channels they will go up together To fine tune the second channel press the up arrow on that channel In the reciprocation mode you will adjust each channel separately The second channel will be off during the first channel s adjustment and vice versa You can adjust intensity up or down at any time The timer will stop during the adjustment and resume the On and Off time cycle after a few seconds The maximum intensity is 100 mA peak Please note In the surge mode the Sonicator Plus 940 enters adjustment mode when the clinician presses the intensity control button It remains in adjustment mode for 10 seconds after the button is released Check the subjective intensity experienced by the patient during this time and adjust output intensity accordingly The timer will be active during this time The channel button of the channel that has an active stimulation treatment will blink to let you know that it is active Channel buttons that are not blinking are not act
81. this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers Hold Time Ramp down Off Time peat area men Frequency Time sec sec l Beat Hz min 31 Mettler Electronics Corp Rev D_07 02 12 4 10 Russian Stimulation Set up Procedure POWER 1 O sae eT T Obeats 015 E 1 00 os min C sec min sec 0 15 00 5 00 og ogl og 0900 CH1 4 J Russian O ADAM ox 3 lt or 5 O gt OA 6 Duty lt gt 50 7 Contraction 8 40 times 9 10 32 Turn on the mains power switch located on the back of the unit by 11 pressing I icon on switch When you first turn the Sonicator Plus 940 on the default parameters for each of the four stimulation channels and the ultrasound channel are displayed On the touch screen press the channel key of the channel where you would like to run Russian Stimulation For this mode you will need one or two channels Press the waveform button on the touch screen display until Russian is displayed The carrier frequency is automatically set to 2 5 kHz Select the Mode either surge surge in 2
82. tical vibration occurring at frequencies too high to be perceived by the human ear The limit for the audible range is at about 20 kHz Frequencies above this level are considered ultrasound The range 700 kHz to 1 1 MHz appeared during early investigative work to be best suited to clinical applications Most therapeutic ultrasound devices operate at frequencies within this range Recent studies have been conducted utilizing a frequency of 3 MHz Since 3 MHz allows ultrasound transmission only 1 3 the depth of 1 MHz it has been used for the treatment of more superficial structures Figures 7 1 7 2 7 3 and 7 4 illustrate the relative depths of penetration of 1 and 3 MHz Since the body is actually composed of a variety of tissues the depth of penetration will depend on the amount of each tissue in the path of the ultrasound beam Quite frequently the presence of bone in the ultrasound beam will be the limiting factor in determining the actual depth to which the ultrasound beam will reach This is best illustrated in Figure 7 4 In the fingers and toes ultrasound can pass around the bone to the opposite surface of the digit In this case if the intensity is high enough the patient may report heat or discomfort on the surface opposite the ultrasound application Ultrasound Remaining Per Cent Tissue Depth Centimeters gz3 3 MHz 1 MHz Figure 7 1 Ultrasound Absorption Skin
83. to past injuries and scar tissues 3 Relief of pain muscle spasms and joint contractures resulting from e Capsular tightness e Capsular tightening 5 2 Indications for Pain Management 4 Pole Interferential 2 Pole Interferential TENS and Microcurrent waveforms 1 Symptomatic relief of chronic intractable pain 2 Post traumatic pain 3 Post surgical pain 9 3 Indications for Neuromuscular Stimulation EMS TENS Hi Volt and Russian waveforms 1 Relaxation of muscle spasms Increase local blood circulation Prevention or retardation of disuse atrophy Muscle re education Maintaining or increasing range of motion Immediate post surgical stimulation of calf muscles to prevent venous thrombosis oven gm Sl 5 4 Indications for Muscle Spasm DC Direct Current waveform 1 Relaxation of muscle spasm 5 5 Contraindications for Therapeutic Ultrasound 1 Therapeutic ultrasound should not be applied over the pregnant or potentially pregnant uterus Therefore therapeutic ultrasound should not be applied over the uterus unless specific assurance can be attained from the patient that she is not pregnant 2 Patients who have cardiac pacemakers should be protected from direct ultrasound exposure over the thorax to protect the lead wires and pacer from such exposure 3 Therapeutic ultrasound should not be applied to the eye Applications of therapeutic intensities of ultrasound should be avoided over the heart 5 Neoplastic tissues or space o
84. tons that are not blinking are not active and can be used for additional setups If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient 35 Mettler Electronics Corp Rev D_07 02 12 21 To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings The maximum intensity is 150 mA peak 22 Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers High Voltage preset programs Aem Programs CIA ee Li mem 23 5 L Ree 35 7 eo 39 5 ewe 15 Surges0 80 35 Postve 315 a Ls INTITTAEE C AIEO E Random Proerams ow me me ee H GI GI GI Ga E cosas 8 mx cmm ME GER X MRNNECENUME RUNE GN Alternate RENE OO 3 Sweep Sweep 3 Constant Low ee Ber 50 Alternate 15 PRU L1 L1 Constant 3 3 Co
85. tor Plus 940 Instruction Manual Rev D_07 02 12 13 Apply a layer of ultrasound couplant gel to the treatment area Ultrasound Couplant 14 Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LEDs on either side of the applicator will light when coupling is achieved after treatment is initiated 15 Adjust the intensity level for the ultrasound It will immediately go up to the level that was preset before treatment began 16 If you hear an intermittent beeping sound or the green light on the applicator does not illuminate there is inadequate coupling to the patient Reapply gel and start again If the display never leaves zero and the bar 0 00 w cm doesn t darken the couplant is not appropriate for ultrasound In addition the timer does not run if there is inadequate coupling so if you are using a marginal couplant treatments may take longer than expected 17 Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers Ultrasound preset programs One MHz Mu mode Output Coniiaataa Treatment Time W AE E min L TH H H H N A 3 TH HHH N A 3 8 E NA 3
86. tug on twist or bundle the electrode cord If a heavy object is placed on the cord or it is pinched or modified the cord may be damaged resulting in fire electric shock or other accident When cleaning the unit do not wipe using paint thinner gasoline kerosene polishing powder hot water or chemicals to prevent discoloration of the main unit and probes Wipe with a cloth soaked in cold water or lukewarm water and forcefully wrung If you plan to use a unit that has been left standing for some time always check to ensure that the unit functions normally and safely 5D Mettler Electronics Corp Rev D_07 02 12 6 3 Troubleshooting the Sonicator Plus 940 Symptom Action 1 Nothing lights when main power Is line cord connected to outlet switch is turned on Does the outlet have power Unit may require servicing if none of the above resolves the problem OPEN Appears when a current flow is interrupted e g an 2 ERROR electrode is detached from the treatment area Check the electrode cable connections to make sure that they are connected Make sure both electrodes are attached to the cables and to the patient Try fresh electrodes and or cables to resolve this problem Press either the error message or Stop to reset the treatment after checking the electrodes Then readjust the treatment intensity by pressing the Up arrow to begin the treatment again DIFF Appears when the current level spikes e g the ele
87. ulation for undiagnosed pain syndromes until etiology is established Do not apply electrodes directly over the eyes or inside body cavities Do not use electrical stimulation in conjunction with high frequency surgical equipment or microwave or shortwave therapy systems 9 7 Warnings for Neuromuscular Electrical Stimulation 2 92 Electrical stimulation is ineffective for pain of central origin Electrical stimulation must be applied by a physician or other qualified practitioner and should be used for only the prescribed purposes Electrical stimulation is of no curative value Sonicator Plus 940 Instruction Manual Rev D_07 02 12 4 Electrical stimulation is a symptomatic treatment and as such suppresses the sensation of pain which could serve as a protective mechanism 5 Thesafety of electrical stimulators for use on children has not been determined Keep out of reach of children 6 Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when electrical stimulation is in use 5 8 Precautions for Therapeutic Ultrasound 1 Ultrasound should not be applied in areas of reduced sensation or circulation Patients having reduced sensation will not be able to notify the practitioner of discomfort if ultrasound intensities are too high Patients with compromised circulation may have an excessive heat buildup in the treatment area 2 Operators should not routinely expose themselves to th
88. uplant 1 x 5 liters Sonigel clear gel couplant 4 X 5 liters Sonigel clear gel couplant in tubes for therapeutic ultrasound and muscle stimulation 4 cases of 12 x 9 5 oz tubes Sonigel clear gel couplant in bottles for therapeutic ultrasound and muscle stimulation 4 cases of 12 x 250 ml bottles Sonigel Lotion with Aloe Vera 1 gallon with pump and pour off bottle Sonigel Lotion with Aloe Vera 4 X 1 gallon individually packaged 4 Sponge electrodes 2 x 2 24 Sponge inserts 2 x 2 4 Sponge electrodes 4 x 4 24 Sponge inserts 4 x 4 Sponge electrode 3 5 x 7 12 Sponge inserts 3 5 x 7 1 Sponge electrode 8 x 10 12 Sponge inserts 8 x 10 4 Electrode straps 24 4 Electrode straps 48 Pin to banana adapter plug set to be used with ME 2260 or 2201 electrode cables Four each gray EZ Trode 2 diameter round self adhering reusable electrodes with lead wires case of ten packages four electrodes pkg EZ Trode 3 diameter round self adhering reusable electrodes with lead wires case of ten packages four electrodes pkg EZ Trode 2 x 5 self adhering reusable electrodes with lead wires case of 10 packages 2 electrodes pkg EZ Trode 2 square self adhering reusable electrodes with lead wires case of ten packages four electrodes pkg Electrode cable for the Sonicator Plus 940 71 Mettler Electronics Corp Rev D_07 02 12 2267 2702 2703 2704 2705
89. user should consult with the dealer or manufacturer for additional suggestions The user may find FCC s Interference Handbook helpful It is available from the U S Government Printing Office Washington D C 20402 Stock No 004 000 00450 7 Notice 3 The manufacturer is not responsible for any interference caused by unauthorized modification to this equipment Mettler Electronics Corp 1333 S Claudina St Anaheim CA 92805 Toll Free 800 854 9305 Or 714 533 2221 Section 1 1 1 1 2 1 3 1 4 1 5 1 6 1 7 2 2 1 2 2 9 3 3 1 9 2 4 4 1 4 2 4 3 4 4 4 5 4 6 4 7 4 8 4 9 4 10 4 11 4 12 4 13 4 14 4 15 4 16 4 17 5 1 9 D 9 5 4 5 5 5 6 57 5 8 5 9 5 10 6 1 6 2 6 3 7 1 Sonicator Plus 940 Instruction Manual Rev D_07 02 12 Table of Contents Title Introduction Introduction to the Sonicator Plus 940 Introduction to this Manual Safety Precautions Caution Shipping Damage Package Contents Limited Warranty Symbol Glossary and List of Abbreviations Symbol Glossary Control descriptions List of Abbreviations Installation Installation Instructions Customizing the Optional Settings Operating Instructions A Note About Electrodes General Operating Instructions Quick Set up for Electrical Stimulation Quick Set up for Therapeutic Ultrasound Using Preset Programs Saving a Treatment Protocol 4 Pole Interferential Stimulation Set up Procedure 2 Pole Interferential
90. you will get an Open Error You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient 16 To clear an error press the red Stop key and the channels will reset You can then correct the error and restart the treatment Pressing this button will also reset all treatment parameters to their default values so you will need to reprogram any programs that are different from the default settings 17 Pressing Hold on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers Russian preset programs Carrier Frequency kHz Duty Cycle Ramp up e pas Off Time M Number of A Time down Time s sec S Contractions S sec min 0 C 50 15 80 sa 10 10 6 15 80 60 8 17 amd cain 3 5 NE NER ec 50 30 40 40 240 8 33 Mettler Electronics Corp Rev D_07 02 12 4 11 High Voltage Stimulation Set up Procedure POWER 4 IO lt b TOuz 100 5 7 10150 50us 1 00 times 20 ES min min Esei D 20 00 High Voltage HHH or HH or 8 HAHAHA or UD gt or OO O_O LOL or o X P D Aaa 10 50 us 70 Hz SE e Frequency 1 00 7 Hz I Min cae i 15 00 34 13 Turn on the mains power swi

Sonicator® Plus 940

Contents

Download Pdf Manuals

Related Search

Related Contents

Sonicator&reg; Plus 940

Contents

Download Pdf Manuals

Related Search

Related Contents

Sonicator® Plus 940