BTE Technologies Multi-Cervical Unit User manual

40040005 rev. 000
USER MANUAL

40040005 rev. 000

40040005 rev. 000
Copyright 2005
BTE Technologies
All Rights Reserved
Information in this document is subject to change
without notice. Companies, names and data used in
examples are fictitious unless otherwise noted. No
part of this manual may be reproduced or transmitted
in any form or by any means electronic, mechanical, or
otherwise, including photocopying and recording or in
connection with any information storage and retrieval
system, without prior permission from BTE Technologies.
BTE Technologies, Inc.™ may have patents or pending
patent applications, trademarks copyrights or other
intellectual property rights covering subject matter in this
document. The furnishing of this document does not give
you license to these patents, trademarks, copyrights, or
other intellectual property except as expressly provided in
any written license agreement from BTE Technologies, Inc.™
Printed in the U.S.A.
This manual supports the BTE Multi-Cervical™ Unit
Rev. 000
BTE Technologies
7455-L New Ridge Road
Hanover, MD 21076
Phone: [phone]
Toll Free: 800.331.8845
Fax: [phone]
[email protected]
www.BTEtech.com

40040005 rev. 000
Warranty
We guarantee that the BTE Technologies, Inc. rehabilitation products
are free of manufacturer defects in both workmanship and material.
We will replace or repair defective parts or equipment for a period
of time and in accordance with the conditions set forth below:
This warranty covers the structure and framework for 1 year of normal
institutional use. All mechanical components including bearings,
bushings, pulleys and glides are warranted from manufacturer
defects in both workmanship and material for a one-year period.
Cords and padding are covered for a 1-year period under normal use.
This limited warranty is in lieu of all warranties, expressed or implied
and all other obligations or liabilities on the part of BTE Technologies
Inc. We neither assume nor authorize any person to assume any other
obligation or liability in connection with the sale of this product.
Under no circumstances shall BTE Technologies, Inc. be liable by virtue
of this warranty or otherwise, for damage to any person or property what
so ever for any special, indirect, secondary or consequential damage of
any nature however arising out of the use or inability to use this product.
This limited warranty applies only while the BTE Technologies, Inc. product
remains in the possession of the original purchaser and has not been
subject to accident, misuse, abuse, unauthorized modification, failure
to follow instructional use, failure to do proper maintenance, incorrect
adjustments or failure due to cause beyond the manufacture’s control.
Disclaimer
The information presented in this manual is given in good faith and is
to the best of our knowledge accurate. However, anyone who uses this
information in any way does so entirely at his or her own risk. Neither BTE
Technologies, Inc., its officers nor their representatives can accept any
responsibility for any damage or injury incurred as a result of information
presented here except under the terms of the product warranty.
Class A Digital Device
This equipment has been tested and found to comply with the limits
for a Class A digital device, pursuant to part 15 of the FCC Rules.
These limits are designed to provide reasonable protection against
harmful interference when the equipment is operated in a commercial
environment. This equipment generates, uses, and can radiate
radio frequency energy and, if not installed and used in accordance
with the instruction manual, may cause harmful interference to
radio communications. Operation of this equipment in a residential
area is likely to cause harmful interference in which case the user
will be required to correct the interference at his own expense.

40040005 rev. 000
01 - Installation and Setup
02 - General Operation
03 - Client Information
04 - Templates
05 - Calibration
06 - Protocols
07 - Reports
08 - Cervical Conditioning
09 - Maintenance
10 - The Melbourne Protocol
USER
MANUAL

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01 - INSTALLATION & SETUP
Introduction 3
MCU™Components 3
Multi-Cervical™Station 3
Calibration Tools 4
Computer Equipment and Cart 4
Assembly Instructions 4
Setting up the MCU™ Station 4
Setting up the Computer Equipment and Cart 6
Strongly Recommended Additional Purchases 7
Computer Care 7
Check Computer Cables 7
Environment Requirements 7

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INSTALLATION AND SETUP
I. INTRODUCTION
When you first look at the MCU™, it may be difficult to imagine that a cervical assessment can
be so simple. However, once you familiarize yourself with the basic components of the unit and
practice its operation following appropriate training, you will wonder how you ever did assess-
ments without it.
This MCU™ Operator’s Manual will review the basic components of the Multi Cervical™ Unit.
Once you are familiar with the components, you can explore the techniques and protocols for
performing a cervical assessment, including range of motion and isometric strength testing.
This Manual will also review the different types of reports that are automatically generated
using the information acquired throughout the assessment, as well as the clinical documenta-
tion you provide the Objective Documentation Evaluation System (ODES™) computer diagnostic
system component.
BTE Technologies recommends that the Multi-Cervical™ Unit be used in conjunction with a cer-
tified training program on The Melbourne Protocol. Two-day comprehensive training programs
are tailored to suit the specific needs of your facility. Refer to Section 10 for more information.
II. MCU™ COMPONENTS
A. MULTI CERVICAL™ STATION
The Multi Cervical™ Station consists of the base, column with weight stack, seat, halo,
weight stack pins, ROM stop, (2) head braces, (3) Velcro straps, and (4) RJ45 cables - 2
short and 2 long (Figure 1-1).
Figure 1-1. Multi-CervicalTM Station
Head Braces
Velcro Straps
RJ45 Cables
Base
Seat
Column
Halo
Weight Stack Pins
& ROM Stop
DO NOT CHANGE OR MODIFY ANY COMPONENTS
Any changes or modifications, especially to the wireless components, not expressly approved
by BTE Technologies, Inc. could void the user’s authority to operate the equipment.

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B. CALIBRATION TOOLS
The MCU™ calibration kit consists of (1) calibration block, (1) 10 lb.
weight, and (1) 15 lb. weight (Figure 1-2).
C. COMPUTER EQUIPMENT AND CART
The computer equipment consists of a computer cart, LCD monitor, CPU, printer, speakers,
isolation transformer, and a wireless hub (Figure 1-3).
III. ASSEMBLY INSTRUCTIONS
Once the MCU™ Station and computer cart have been unpacked, you are ready to start assem-
bling the unit.
A. SETTING UP THE MCU™ STATION
The MCU™ is shipped on casters to provide maximum protection in transit and ease of
installation. The caster assemblies provide adjustable ground clearance. The system is
shipped in the highest position to clear ramps, curbs, and thresholds, but it can also be
lowered to pass under low doorways.
Step 1. Move the MCU™ to the location you wish it to be used. Using a 3/4” wrench, lower
each caster a small amount until the MCU™ base is resting on the ground. Once the base
is on the ground, remove the casters (Figure 1-4).
Figure 1-2.
Calibration Tools
LCD Monitor
Computer Cart
Printer
CPU
Speakers
Wireless Hub
Isolation
Transformer
Figure 1-3. Computer Equipment and Cart
Lower the Casters Remove the Casters
Figure 1-4. Lowering and Removing the Casters

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Step 2. Locate the weight stack pins and ROM stop pin and place them in the correspond-
ing holes on the calibration plate (Figure 1-5).
Step 3. Locate the head braces and secure them to the calibra-
tion plate (Figure 1-6).
Step 4. Locate the Velcro straps and RJ45 cables. These may be placed on the computer
cart.
Step 5. Locate the calibration weights and calibration block and
place them in the triangular bracket on the base (Figure 1-7).
Step 6. Locate the 2 antennas and then locate the far-
right hole on the top back of the MCU™ station. Insert
one of the antennas through this hole and secure it to the
PCB (Figure 1-8).
Figure 1-5. Location of Weight Stack Pins & ROM STop Pin
Figure 1-6. Head Braces
Secured to Column
Figure 1-7. Location
of Calibration Tools
Figure 1-8. Attaching the
Antenna
ACCEPTABLE ANTENNA(S)
This device has been designed to operate with the antenna(s) listed below and having
a maximum gain of 2.7 dBi. Antennas not included in this list or having a gain greater
than 2.7 dBi are strictly prohibited for use with this device. The required antenna im-
pedance is 50 ohms.
Acceptable antenna(s) include:
1. Linx Technologies 916MHz 1/4 Wave Whip Antenna (ANT-916-CW-QW)
To reduce potential radio interference to other users, the antenna type and its gain
should be so chosen that the equivalent isotropically radiated power (e.i.r.p.) is not
more than that permitted for successful communication.

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Step 7. Locate the arm rests, note which is labeled left and which is right, and attach
them to the seat on the appropriate sides (Figure 1-9). Note that the armrest is inserted
below the plastic piece that is within the bracket.
Step 8. Plug the power cord, which is located at the bottom back of the MCU™, into the
designated wall outlet. Hold your hand above the back of the MCU™, next to the antenna,
and verify a red light shines on your hand; this confirms the PCB is receiving power (Figure
1-10).
B. SETTING UP THE COMPUTER EQUIPMENT AND CART
1. LCD MONITOR
If you haven’t done so, remove the small bag from the top shelf of the computer cart
and mount the LCD monitor to the cart (Figure 1-11). Plug the power cord and serial
cable into the back of the LCD monitor.
Threaded hole
on arm rest
Arm Rest Bracket
under Seat Insert Arm Rest
into Bracket
Arm Rest Knob
Thread Knob into
Threaded Hole Final Result
Figure 1-9. Attaching the Arm Rests
Figure 1-10. Plugging in the MCU
Figure 1-11. Securing LCD Monitor
Slide monitor
through brackets
Secure monitor
with set screw

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2. PRINTER
Remove the printer from its box and place it on the 2nd shelf of the computer cart. Fol-
lowing the instructions from the printer box, insert the ink cartridges and plug in the
power cord and USB cable. Once the computer is running and the printer is turned on,
print a test page.
3. CPU
Remove the CPU (computer tower) from its box and place it on the 3rd shelf of the com-
puter cart. Plug in the power cord, monitor serial cable, and printer USB cable.
4. SPEAKERS
Remove the speakers from their box and place them on the 3rd shelf of the computer
cart. Plug the cable from the left speaker into the designated jack on the right speaker.
Next, plug the power cord into the designated jack on the right speaker. Finally, plug the
speaker cable, which is attached to the right speaker into the CPU.
5. KEYBOARD & MOUSE
Remove the keyboard and mouse from their box. Place the keyboard on the auxiliary
shelf of the computer cart and plug the cord into the CPU. Place the mouse on the top
shelf of the computer cart and plug the cord into the CPU.
6. WIRELESS HUB
Locate the wireless Hub and place it on the 2nd shelf of the
computer cart. Note that inside of the Hub are magnets, which
are intended to keep the Hub stable on the shelf. Secure the 2nd
antenna (from Step 6 of ‘Setting up the MCU Station’) to the Hub
(Figure 1-12). Plug the USB cable into the CPU.
Note that is important to store the Hub in a location such that its
antenna is at least 3 feet from the antenna at the top of the MCU.
7. ISOLATION TRANSFORMER
Locate the isolation transformer and its power cord and place
it next to the designated wall outlet. Attach the computer cart
cable, which is located at the bottom back of the cart, to the
isolation transformer. Plug one end of the isolation transformer
power cord into the isolation transformer and the other end into
the designated wall outlet. Turn on the isolation transformer via
the green switch (Figure 1-13).
Figure 1-12. Place-
ment of Hub
Figure 1-13. Place-
ment of Transformer
The use of extension cords is not recommended. If an extension cord cannot be avoid-
ed, use no less than 14 gauge wire. Keep the cord as short as possible, and use only
hospital approved plugs. The extension cord MUST complete the ground from the ER
power supply cord to the wall outlet.

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IV. STRONGLY RECOMMENDED ADDITIONAL PURCHASES
In addition to the equipment shipped to you from BTE Technologies, the purchase of the fol-
lowing items from a local supplier is strongly recommended for adequate protection of your
patient data:
• Several “CD-RW” re-writable compact discs for backing up and archiving copies of patient
data
• An Uninterruptible Power Supply (UPS) unit providing at least 14 amps as a safeguard
against the permanent loss of patient information due to power surge or electrical power
failure.
• Disinfectant wipes to clean the commonly used surfaces on the machine and components.
VI. COMPUTER CARE
A computer’s hard disk is vulnerable to loss of data and “corruption” of data (may not function
correctly when you attempt to retrieve patient information) from a sudden change in the level
of electrical power. In the event of a power failure, the UPS battery will generate electricity
long enough to allow you to shut down the system without damage to your patient data.
Since computers are sensitive to extremes of temperature, do not place equipment close to a
direct source of heat or cold (for example, in direct sunlight, next to a radiator or an air condi-
tioner).
Do not install any additional software onto the controlling computer. The BTE Technologies
MCU™ system is in constant communication with the computer, so a “clean”, dedicated com-
puter system is crucial to the integrity of this communication system. Lastly, your computer will
not be covered under the warranty if any unapproved software has been installed.
A. CHECK COMPUTER CABLES
Check that all cables are securely connected to the computer. Just about every cable
connector is made in such a way that it will only attach in its appropriate location. If the
cables are not secured properly, there may be an interruption of the data transmission,
resulting in error messages.
B. ENVIRONMENT REQUIREMENTS
The MCU™ is designed to operate within the following environmental conditions:
Ambient Temperature: 50oF to 100oF (10oC to 40oC)
Relative Humidity: 30% to 75%
Atmospheric Pressure: 700hPa to 1060 hPa
Voltage Supply: 110-120 VAC (International Voltages differ)
IMPORTANT
In case of a malfunction, your computer can be repaired or replaced, but your valuable patient
data can only be restored from copies kept on “back-up” CDs (See Section 2 - General Informa-
tion).
IMPORTANT
Handle your computer with extreme care. A drop or a bump, even from a height of 3-4 inches,
may cause serious damage, which is not covered by the warranty.

section 02
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02 - GENERAL OPERATION
Getting Started 3
Basic Software Navigation 3
The Windows XP Environment 3
Using the ODES Software 3
Home (Start-Up) Screen 4
Administration Menu 5
Clinic Information 6
Practitioner Information 6
Environment Settings 7
Data Acquisition Channel 7
Device Settings 7
Global Settings 8
URFIO Configuration Application 8
User Manager 9
Import, Export, and Archive Data 10
Job Demand Templates 11
Superficial Tenderness Reports 11
Protocol Hibernation 12
Remove Current Case 12
Taskbar 13
File Drop-Down Menu 13
Database Utilities 13
Compact and Repair Database 13
Back Up Database 13
Restore Database 14
Log Off and Exit 14
Calibration Drop-Down Menu 14
Statistics Drop-Down Menu 14
Employer Information 14
Patient Status Information 14
Patient Information 15
Referral Information 15

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Insurance Information 15
Statistical Queries 15
Real Time Analysis 15
Export Cervical Data 16
Export Admin Information 16
Import Admin Information 17
Snapshots 17
Creating a Snapshot 18
Emailing, Saving, Removing, and Viewing a Snapshot 18
Forms Drop-Down Menu 18
Utilities Drop-Down Menu 18
Standing/Sitting Tolerance Report 18
Calculators Drop-Down Menu 18
Calculator 18
Deviation Calculator 18
Digital Capture 18
Help Drop-Down Menu 19
Help Manuals 19
About 19

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40040005 rev. 000
GENERAL OPERATION
I. GETTING STARTED
Ensure that you have carefully read Section 1 of this manual prior to starting up your MCU™.
IMPORTANT
Voltages over 125V can result in eventual damage to the MCU™ electronics and produce
frequent error messages. Even if you have a dedicated circuit for your MCU™, have a tech-
nician check the outlet with a voltmeter to ensure that the wall voltage does not exceed
125 Volts (U.S. and Canada). If your wall voltage exceeds this voltage, call BTE Technolo-
gies immediately.
Damage to your MCU™ resulting from wall voltages exceeding 125 Volts is not covered un-
der the warranty.
Step 1. After making sure everything is plugged in properly, turn on the computer.
Step 2. Once the system is booted and the MCU™ is ready to use, click on the Start Button
and select BTE URFIO Config. The URFIO Config screen will appear for 5 seconds and then dis-
appear; however, it is still running in the background. Refer to Section IV-C on how to access
the URFIO Config screen through ODES.
Step 3. Open the software by double-clicking the ODES icon, which is located on the “desk-
top” of the computer monitor.
II. BASIC SOFTWARE NAVIGATION
The BTE Technologies MCU™ is controlled through its own unique software. Use this section as
both an initial primer and a to-the-point, quick reference guide to your ODES software.
A. THE WINDOWS XP ENVIRONMENT
As a new user of MCU™, it is important for you to first acclimate yourself to the Microsoft
Windows XP operating system.
Familiarize yourself with these basic functions:
Desktop – Once Windows loads up, the entire screen is taken up by the ‘desktop’.
Double-clicking the ODES ‘shortcut’ icon, which is located on the desktop, launches the
ODES software.
Minimize – Clicking this button ‘hides’ the open program and
reduces it to a button on the start bar (Figure 2-1).
Maximize/Restore – Expands the program window to fit the
size of the entire screen. If the program is already expanded,
clicking this will shrink the screen to a smaller window (Fig-
ure 2-1).
Close – Closes the active program window (Figure 2-1).
Scrollbars – Click the small black “up” and “down” arrows on the bar at the right of a
given window to scroll up and down in screens.
Start bar - This horizontal bar located at the bottom of your screen displays a button of
every open program. Clicking a program name here switches you to that program.
Start button – This button is used to launch nearly every program and
function of Microsoft Windows (Figure 2-2).
Figure 2-2.
Start Icon
Minimize
Maximize
Close
Figure 2-1. Minimize/
Maximize/Close

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B. USING THE ODES SOFTWARE
Once you are comfortable with Windows XP, take some time to familiarize yourself with the
general layout and functioning of the ODES software. Doing this now will maximize your ef-
ficiency down the line.
To access ODES, click on the ODES icon, which is displayed on the computer’s desktop. You
will be prompted for a username and password (Figure 2-3). The username is odes and the
password is bte (both lower case); the username and password may be modified through
the Administration Menu if you choose to do so later.
Upon entering ODES, you will notice the following elements are used throughout:
Title Bar – The narrow blue strip located at the top of the screen which displays the data-
base into which the data is being stored.
Taskbar – Located at the top of the screen under the title bar; while in the home screen,
this bar includes the menus: File, Calibration, Statistics, Snapshots, Forms, Utilities, Cal-
culators, Digital Capture, Patient Standing and Sitting icons, and Help. This bar changes
depending on which area of the software you are using.
Taskbar items – Items listed under each menu title which allow you to perform an opera-
tion or to pull up a report.
Text fields – Text and numerical values are entered into “fields”. To enter text or an in-
teger into a field, click the field, and a blinking black cursor will indicate that the field is
active. Type in the required information.
Check boxes – A checkbox is like a switch; click one to activate a setting and click it again
to de-activate the setting.
Drop-down menu – A text field with an arrowhead pointing down. When the arrowhead is
clicked, the menu drops down to show a list of options available.
III. HOME (START-UP) SCREEN
The first active screen you will see when the ODES program is initiated is the Home Screen (Fig-
ure 2-4). From this screen, all of the settings, patient information, and protocols may be ac-
cessed.
Figure 2-3. ODES Username and Password
Note that the sections on Self Reports, ROM Tests, Strength Tests, and Exercise Program are
covered in this manual; however, these sections are also comprehensively covered in the train-
ing program on The Melbourne Protocol. Refer to Section 10 for more information on this training
program.

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IV. ADMINISTRATION MENU
From the Administration Menu you can control several types of settings, templates, and proto-
cols as well as remove cases (Figure 2-5).
A. History – Patient History Templates
B. Examination – Patient Examination Re-
sults Templates
C. Diagnosis – Patient Diagnosis Templates
D. X-Rays/Lab – Patient X-Ray and Lab Re-
sults Templates
E. Referral – Patient Referral Letter Tem-
plates
F. Impairment – Patient Impairment and
Disability Templates
G. Return To Work – Patient Return To Work
(RTW) Letter Templates
H. Custom Note – Blank Template for Cus-
tomized Notes
I. Progress Analysis – Patient Progress
Analysis Templates
J. Validity Analysis – Comparison of Actual
Results vs. Expected Results
K. Job Demands – Comparison of Job De-
mand vs. Ability Demonstrated
L. Self Reports – Patient-Filled Question-
naires
M. Cardio – Cardiovascular Measurement
Protocols
N. ROM Tests – Range of Motion Protocols
O. Strength Tests – Muscular Strength Pro-
tocols
P. Work Sim Tests – Work Simulation Proto-
cols
Q. Clinical Tests – Clinical Analysis of Pain
Protocols
R. Impairment Ratings – Patient Impairment
Ratings
S. Testing Analysis – Analysis of the Test
Results Templates
T. Recommendations – Recommendation
Letter Templates
U. Cover Letter – Cover Letter Templates
V. Exercise Program – Pre-programmed Ex-
ercises to add to a case
W. Client Information – Create and find cli-
ents and cases; display the current client
X. Reports – Create, edit, and print reports
Y. Exit – Exit the ODES software
Z. Administration – Clinic and Practitioner
Personalization Settings, Software Settings,
Heart Rate Comments, and Protocol Settings
A
B
C
D
E
F
G
H
I
J
K
W X Y Z
L
M
N
O
P
Q
R
S
T
U
V
Figure 2-4. ODES Home Screen

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A. CLINIC INFORMATION
This screen allows you to personalize the reports with your clinic’s information and logo
Figure 2-6).
Add a clinic by clicking New.
To enter a clinic logo, double click
on the Clinic Logo blank field.
Locate the saved logo file on your
hard drive.
The logo can be in any graphic file
format (.jpg, .gif, etc.) and should
be 3.2” x 0.8”, so that it doesn’t
become distorted when attached to
a report.
Edit a clinic’s information by pull-
ing up the clinic’s screen, modify-
ing the necessary information, and
then clicking New, Previous, Next,
or Close.
Remove a clinic by clicking Remove.
Change the default clinic by clicking Next or Previous to select the correct location and
then checking the ‘Set as default clinic’ box. Note that a default clinic cannot be removed
until another clinic has been assigned as the default.
When a report is printed, the default clinic and logo are included on the report.
B. PRACTITIONER INFORMATION
This screen allows you to personalize the reports with the practitioner’s name and digital
signature (Figure 2-7).
Figure 2-6. Clinic Information
Figure 2-5. Administration Menu