BTL 6000 SWT TOPLINE User manual

GENERAL CHARACTERISTICS OF THE DEVICE | PAGE 1 OF 38
BTL-6000 SWT
TOPLINE
USER’S MANUAL
v100AS08/01/2010EN

PAGE 2 OF 38
BEFORE YOU START
Dear Customer,
Thank you for purchasing BTL technology. All of us at BTL wish
you every success with your system. We pride ourselves on being
as responsive as possible to our customers’ needs. Your
suggestions and comments are always welcome since we believe
an ongoing relationship with our customers is critically important to
our future product line.
While we would like you to start using your new equipment right
away, we encourage a thorough reading of this manual in order to
fully understand the operational features of the system.
Please visit our corporate website at http://www.btlnet.com for the
latest information on BTL products and services.
Again, thank you for being a BTL customer.
BTL Industries, Ltd.

PAGE 3 OF 38
CONTENTS
1 GENERAL CHARACTERISTICS OF THE DEVICE...............................................................................................................5
1.1 BTL–6000 SWT Topline System Series..............................................................................................................................5
1.2 Shockwave and Its Character.............................................................................................................................................6
1.3 Shockwave Generation.......................................................................................................................................................6
1.3.1 Ballistic Principle of Shockwave Generation.....................................................................................................................6
1.4 Biological Effects of Shockwave Treatment........................................................................................................................7
1.5 Advantages of Shockwave Treatment ................................................................................................................................7
1.6 Possible side Effects of Shockwave Treatment...................................................................................................................7
1.7 Indications for Shockwave Treatment.................................................................................................................................8
1.8 Contra-indications for Shockwave Treatment......................................................................................................................8
2 INSTRUCTIONS FOR OPERATION......................................................................................................................................9
2.1 The Front Panel of the BTL-6000 SWT Topline..................................................................................................................9
2.2 Applicator for BTL-6000 SWT Topline ................................................................................................................................9
2.3 The Rear Panel of the BTL-6000 SWT Topline.................................................................................................................10
2.4 Assembly and Set-Up.......................................................................................................................................................11
2.5 Basic Displays and Operating of the Device .....................................................................................................................12
2.5.1 Initial Screen and Types of Tabs....................................................................................................................................12
2.5.2 Touch Screen.................................................................................................................................................................12
2.5.3 Numeric Keypad ............................................................................................................................................................13
2.6 Setting of Therapy............................................................................................................................................................13
2.6.1 Setting Therapy Parameters Via the ‘diag’ Button ..........................................................................................................13
2.6.2 Setting Therapy Parameters Via the 'prog' Button..........................................................................................................13
2.6.3 Setting Therapy Parameters Manually (User Setup) Via the ‘man' Button ......................................................................14
2.6.4 Setting the Number of Shocks........................................................................................................................................14
2.6.5 Setting Therapy Intensity................................................................................................................................................15
2.6.6 Therapy Parameters Screen – Ergonomic, Standard and Expert Mode..........................................................................16
2.7 Course of Therapy............................................................................................................................................................16
2.7.1 Start, Interruption and End of Therapy............................................................................................................................16
2.7.2 Running Therapy Screen ...............................................................................................................................................17
2.7.3 End of Therapy / Generation of Shocks..........................................................................................................................17
2.8 Application of Shockwaves...............................................................................................................................................17
2.9 Saving Therapy ................................................................................................................................................................19
2.10 User Settings: The ‘user’ Button.......................................................................................................................................19
2.10.1 Clients............................................................................................................................................................................20
2.10.2 User Diagnoses/Programs .............................................................................................................................................20
2.10.3 Recent Therapies...........................................................................................................................................................20
2.11 Unit Settings: The ‘menu’ Button ......................................................................................................................................20
2.11.1 Accessories....................................................................................................................................................................20
2.11.1.1 Installation..............................................................................................................................................................20
2.11.1.2 Information..............................................................................................................................................................21
2.11.2 Encyclopaedia................................................................................................................................................................21
2.11.3 Unit Settings...................................................................................................................................................................22
2.11.3.1 Password Setting....................................................................................................................................................22
2.11.3.2 Sound Setting.........................................................................................................................................................22
2.11.3.3 Screen Saver and Auto Switch-Off..........................................................................................................................22
2.11.3.4 Colour Setting.........................................................................................................................................................22
2.11.3.5 Setting of Display Contrast......................................................................................................................................23
2.11.3.6 Date and Time Setting............................................................................................................................................23
2.11.3.7 Language Setting....................................................................................................................................................23

PAGE 4 OF 38
2.11.3.8 Operation Mode......................................................................................................................................................23
2.11.3.9 Touch Panel Calibration..........................................................................................................................................23
2.11.3.10 User Options...........................................................................................................................................................23
2.11.3.11 Setting of HW Key ..................................................................................................................................................23
2.11.3.12 Unit Information ......................................................................................................................................................23
2.11.3.13 Unlock Code...........................................................................................................................................................23
2.11.3.14 Service Functions...................................................................................................................................................24
2.11.4 Specific Settings ............................................................................................................................................................24
2.11.4.1 Applicator Button Mode...........................................................................................................................................24
2.11.4.2 Applicator Kit Replacement Wizard.........................................................................................................................24
3 LIST OF STANDARD AND OPTIONAL ACCESSORIES....................................................................................................25
4 MAINTENANCE AND SAFETY INSTRUCTIONS................................................................................................................26
4.1.1 Shock Transmitter Replacement Procedure...................................................................................................................27
4.1.2 Procedure of Worn-out Tube and Projectile Replacement..............................................................................................28
4.2 General Safety Precautions..............................................................................................................................................31
4.3 Used Symbols..................................................................................................................................................................32
4.4 Warranty...........................................................................................................................................................................32
5 TECHNICAL PARAMETERS ..............................................................................................................................................33
5.1 EMC Information ..............................................................................................................................................................35
5.2 Applicable Standards........................................................................................................................................................37
5.3 Manufacturer....................................................................................................................................................................38

GENERAL CHARACTERISTICS OF THE DEVICE | PAGE 5 OF 38
1GENERAL CHARACTERISTICS OF THE DEVICE
The BTL-6000 SWT Topline is a state-of-the-art device allowing the application of therapy using non-invasive shockwaves.
Shockwaves are one of the most effective ways to treat pain associated with the musculoskeletal system. Musculoskeletal pain
is currently the second-leading cause of absences in the workplace.
The device is equipped with a color touch screen on the main unit which considerably simplifies its use. The touch screen is
equipped with a stylus (touch-pen) for easy operation of the device. The horizontally orientation of the device allows the
information on the screen to be seen clearly from different servicing positions. Additionally, the brightness of the screen can be
set to match the lighting in the room of the office or the health-care center. The on-screen information will guide the user step-
by-step through the entire therapy process. The therapeutic parameters are easily set using the touch screen buttons and
knobs/keys on the device.
Therapy is easily and efficiently started by simply selecting a diagnosis from an alphabetized list of treatment protocols or by
selecting a therapy program. The treatment parameters can be manually set by the simple use of the touch screen buttons.
Throughout the course of a therapy session, the device will keep the user informed about the therapeutic method in use, the
type of treatment, the total number of shocks to be applied, the number of shocks applied and remaining, the frequency being
used, the intensity and other necessary data.
A time-saving feature of the BTL-6000 SWT Topline is the predefined programs stored in the memory of the main unit. Based on
detailed research and practical use of the device, the well-organized predefined programs will provide recommendations for the
treatment of various conditions.
The BTL-6000 SWT Topline allows the entering of client names and other relevant information into the internal memory of the
device and to link their data with the predefined programs or with the user’s own. When a client has a return visit, simply call up
their name and begin the pre-set therapy.
We also carry a specially-designed cart for the BTL-6000 SWT Topline which is sold separately. The design allows convenient
movement and use of the device. Four stable castors ensure smooth and easy movement of the device in the office or the
health-care center.
For the latest information on BTL products and services, please visit our corporate website at http://www.btlnet.com.
1.1 BTL–6000 SWT TOPLINE SYSTEM SERIES
The device consists of two parts: the main unit and the applicator
Main Unit: BTL-6000 SWT Topline which contains the main microcomputer and software for controlling the entire system,in
also includes the user encyclopaedia and the therapy guide.
Applicator – ergonomical applicator simplifies the „course of" the therapy, following the instructions of the main unit.
The BTL-6000 SWT Topline is a state-of-the-art device allowing the application of therapy using non-invasive shockwaves.
Shockwaves are one of the most effective ways to treat pain associated with the musculoskeletal system. Musculoskeletal pain
is currently the second-leading cause of absences in the workplace.
The device consists of two parts:
•Main Unit – contains the main microcomputer and software for controlling the entire system
•Applicator – this ergonomically designed applicator will simplify the course of therapy

GENERAL CHARACTERISTICS OF THE DEVICE | PAGE 6 OF 38
1.2 SHOCKWAVE AND ITS CHARACTER
A shockwave is defined as a wave with a rapid increase of pressure within a very short time and then having a gradual decrease
of pressure with a small negative pressure phase.
Shockwaves are aimed at the affected areas that are the source of chronic pain. The influence of the shockwaves causes to the
dissolution of calcium deposits and leads to better vascularization. The after-effect is relief from the pain.
Outside of the client's body (extra-corporeally), a pressure pulse of high amplitude is generated and its energy is concentrated
on the target area. The pressure pulse travels through a liquid medium gel into the client’s body and penetrates soft tissue
without major energy loss.
The pressure course of the shockwave in real-time in expressively different from the pressure course of the harmonic sound
wave. Shockwaves can be compared to ultrasonic waves which are particularly characterized by a pressure jump change, a
higher amplitude and non-periodicity.
In the shockwave, the positive amplitude is generally much larger than the negative amplitude. The frequency rate of the
shockwaves is usually low (in Hz units) and the eventual cavitation (the disturbance of material consistency and the
development of cavities) will relax. Consequently, there is no threat of energy absorption in the cavitations as is the case with
continuous ultrasound.
A substantial part of the shockwave energy penetrates into the liquid (of the organism) with a great positive pressure pulse. Its
diffusion is only limited by the actual tissue absorption and eventual reflections on acoustic non-homogeneities.
A shockwave is defined as a pressure pulse with these characteristics:
•High positive pressure amplitude: 10 to 1000 MPa = 100 to 1000 Bar (100x atmospheric pressure)
•Low negative pressure amplitude: 1 to 10 MPa
•Short time duration: 1 µs to 20 µs
•Rapid pressure increase: < 100 ns
•Broad frequency spectrum: 1 Hz to 1 MHz
For therapeutic applications, these values are lower, especially the maximum pressure amplitude. The maximum pressure
amplitude is about 15 MPa, the pulse length is 10 to 20 µs, and the frequency of the applied shockwave is 1 to 15Hz. The
treatment is generally carried out without local anaesthesia and lasts about 15 to 30 minutes. During the first week after
treatment, the client should avoid all physical activities that could excessively strain the treated area.
1.3 SHOCKWAVE GENERATION
Several types of generators have been developed for shockwave therapy, each producing shockwaves with varied
characteristics. Each type of generation method induces shockwaves with different time progressions and spatial arrangements.
The BTL-6000 SWT Topline uses the ballistic principle of shockwave generation.
1.3.1 BALLISTIC PRINCIPLE OF SHOCKWAVE GENERATION
A pressure wave is formed via a projectile by using accelerated compressed air. The compressed air is generated by an
electronically-controlled ballistic-pressure compressor. Using elastic impact, the kinetic energy of the projectile is transferred into
the probe of the applicator and then into the client's body. Consequently, during the treatment, the end of the applicator must be
in direct -contact with the skin and subcutaneous tissue.

GENERAL CHARACTERISTICS OF THE DEVICE | PAGE 7 OF 38
1.4 BIOLOGICAL EFFECTS OF SHOCKWAVE TREATMENT
The effects of the shockwaves mainly occur at sites where there is a change in impedance, such as the bone-soft tissue
interface.
There is an improvement in the regeneration and repair of tissues in the following areas and the achievement of the following
effects:
•Cellular: Increase in cell membrane transmittance by improving ionic channels activity, stimulation of cell division,
stimulation of cellular cytokines production.
•Reproduction of vessels in the area of tendons and muscles: Improvement of blood circulation and MTB, increase in
concentration of growth factor beta 1, chemotactic and mitogenic effect on osteoblasts.
•Effect on nitrogen oxide system: Bone healing and re-modelling.
•Improvement of micro-circulation and metabolism
•Dissolution of calcified fibroblasts
•Supports the production of collagen
•Reduction in tissue tension
•Analgesic effect:
oDestruction of afferent nerves and nerve receptors.
oCNS stimulants, sensed as pain, are also inflammation transmitter substances.
oRegression of pain caused by local ischemia.
oGate control theory of pain.
1.5 ADVANTAGES OF SHOCKWAVE TREATMENT
•By the targeted application of theshockwaves, stress to the surrounding tissues is quite insignificant.
•The body is not burdened by pharmaceuticals, except the short-term effect of local anaesthesia, if used.
•The possibility of preventing the necessity of surgical intervention and its relevant hazards.
•Thanks to ambulatory treatment, work absences are reduced to a minimum. Additionally, training routine absences for
sport athletes is likewise reduced.
•For some indications, such as Tennis Elbow, there is really no other effective treatment.
1.6 POSSIBLE SIDE EFFECTS OF SHOCKWAVE TREATMENT
•Erythema or swelling can temporarily occur in the treated area.
•Loss of bodily sensation or itching can temporarily occur in the treated area
•Hematoma
•Petechiae
•Skin damage after previous corticoid therapy
•Shockwave application can cause undesirable heart activity

GENERAL CHARACTERISTICS OF THE DEVICE | PAGE 8 OF 38
1.7 INDICATIONS FOR SHOCKWAVE TREATMENT
•Plantar Fasciitis
•Achillodynia/Achillobursitis
•Inflammations and calcification of shoulder joint tendons.
•Pain in the groin area.
•Epicondylitis (Tennis and Golf Elbow)
•Apex Patellae Syndrome and Tibial Stress Syndrome.
•Pain in the hip area and/or the iliotibial tract.
•Jumper's Knee (Patellar Tendinitis)
•Pain in the hamstring insertions.
•Pain on the palmar side of the wrist.
•Exostoses of small hand joints from Grade 1 Arthrosis.
•Acupuncture
•Pain trigger-points or painful points in muscles.
1.8 CONTRA-INDICATIONS FOR SHOCKWAVE TREATMENT
•Application to certain tissues: The eyes and the surrounding area, the myocardium, the spinal cord, the gonads, the
kidneys and the liver
•Blood disorders, coagulation problems or the use of anticoagulants
•Blood thinning medications (Warfarinization)
•Polypus in the area of treatment
•Pregnancy
•Thrombosis
•Tumor diseases
•Polyneuropathy
•Acute inflammation
•Growing cartilage in children
•Therapy using corticoids
•Inapplicable on areas of the body and organs with possible gas content
•Inapplicable on areas in proximity to large nerve bundles, blood vessels, the spinal cord and the head

INSTRUCTIONS FOR OPERATION | PAGE 9 OF 38
2INSTRUCTIONS FOR OPERATION
2.1 THE FRONT PANEL OF THE BTL-6000 SWT TOPLINE
1
1010101010101010210101010101010105
7
10101010101010103
10101010101010104
6
1. touch screen
2. select knob (to select individual parameters)
3. enter key
4. esc key
5. start / stop key (to start and stop therapy)
6. ON/OFF switch (back lit, in blue, when the control unit is ‘’on’’ )
7. USB port in the space of the device’s grip for use only in compliance with IEC 60950-1
The USB port serves only for service purposes such as upload of firmware; it is not designed for therapy use!
2.2 APPLICATOR FOR BTL-6000 SWT TOPLINE
8. hand rest of the applicator
9. shock transmitter of the applicator
10. shock transmitter screw cap of the applicator
11. connector of the applicator
12. guide mark of the connector
13. applicator button: to start therapy

INSTRUCTIONS FOR OPERATION | PAGE 10 OF 38
2.3 THE REAR PANEL OF THE BTL-6000 SWT TOPLINE
14. connector for shockwave applicator
15. control unit mains fuse
16. connector for power cable
17. power on/off switch
18. vessel for collecting condensed water
19. type label – contains type of the device, manufacturer and safety and warning signs
20. venting grid

INSTRUCTIONS FOR OPERATION | PAGE 11 OF 38
2.4 ASSEMBLY AND SET-UP
Inspect the box for damage and report any damage to the transport carrier and the distributor. Do not proceed with assembly
and set-up if the box is damaged. Keep the original box and packaging to ensure safe future transport of the device.
When bringing the device from a cold environment into a warm one, do not plug it into the power source until the device has had
to equilibrate to room temperature (Minimum 2 hours).
Unpack the device and place it on a stable horizontal surface which is suitable for its weight. Always position the device out of
direct sunlight. During operation, the control unit gets warm, so it must not be positioned near direct heat sources. The device is
self-cooled by forced air circulation. The cooling vents are located on the rear panel and on the bottom. Do not cover or block
these vents. Allow a minimum of 4 inches (10cm) clearance behind the rear panel. Do not place the device on a soft surface
(such as a towel) which may obstruct air flow to the bottom cooling vents. Do not put any heat-producing devices or any objects
containing water or other liquids on the device. Do not put any heat-producing devices or objects containing water or other liquid
on the device. Do not place the device close to appliances producing strong electromagnetic, electric or magnetic field
(diathermy, X-rays, etc.), otherwise it could be undesirably influenced.
In the event of any questions, please contact an authorized service of BTL devices.
Procedure:
1. First connect the device in mains by means of the supplied power supply adapter, which you will connect to the connector
on the rear panel of the device and to a 100 V or 240 V mains socket. The device detects the voltage automatically.
Plug the device directly into the mains socket. Do not use any multi-connection extension cables or two-socket adaptors.
2. Connect the applicator to the connector on the rear panel as follows:
Turn the applicator so that the red dot on its end is in straight line with the red dot on the output connector and only then
plug the connector in.
When disconnecting the connector take the indented part of the applicator connector’s end in your fingers and pull slowly
towards you to disconnect the connector carefully.
CAUTION! DO NOT TURN THE ENTIRE CONNECTED CONNECTOR BY FORCE, OTHERWISE THERE IS A RISK OF
DAMAGE TO THE DEVICE!
The device detects the accessory, specifies its type and displays it on the screen in the appropriate tab. If you connect an
improper accessory by mistake, the display shows a message with a help where to connect the given accessory.
3. Then switch on the power on/off switch on the rear panel of the device.
4. Press the on/off switch located on the front panel of the device.
Note:
After switching the device on, the device will run a self-diagnostic of its internal circuits and its functions for about 10 to 15
seconds. If any fault is detected, the screen will display a warning message. If necessary; the control unit will lock itself into a
“secure” mode. If this situation occurs, please contact your authorized BTL distributor.

INSTRUCTIONS FOR OPERATION | PAGE 12 OF 38
2.5 BASIC DISPLAYS AND OPERATING OF THE DEVICE
2.5.1 INITIAL SCREEN AND TYPES OF TABS
The initial screen after the switch-on of the device contains the tab displaying information about the connected accessories.
Examples of information shown on the tabs:
Indicates that no accessories are connected
Indicates that the applicator is connected and shockwave
therapy can be applied.
2.5.2 TOUCH SCREEN
The touch screen can display several graphic elements. Some are only for informative purposes but others can be pressed and
activated. These basic elements include:
•3D buttons which can be pressed to change the indicated values
•Informative text
•Channels tabs to switch between the channels and selection
The items on the touch screen can be pressed by a finger or by using a special pointer with a soft tip, so - called touch- pen,
which is included in the accessories of the device. The touch screen must not come in contact with any sharp objects, ball pens
etc.
Information
3D
buttons of the menu
Buttons with the same function as
esc and enter on the control panel
3D buttons
Channel marking:
W = shockwave
1 = No. of generator
Information about connected accessories
Comment [andy1]:
Neni
dostupné této verzi

INSTRUCTIONS FOR OPERATION | PAGE 13 OF 38
2.5.3 NUMERIC KEYPAD
In addition to setting the numerical values with the select knob on all the screens, the ”numeric keypad" can be use for the
faster setting of values.
This is the icon for the opening of the numeric keyboard window:
Press the numeric keypad button to display the window with the numeric keypad for the parameter with the “pressed” light
button (on the picture: the button - number of shocks - 2000). Set the required values and return to the previous screen by
pressing the enter button. If you do not want to enter any values or change the selected parameter, leave the window with the
numeric keypad by pressing the esc button.
If you enter a value out of the allowed range of values (stated above the entering box) or the device cannot set it, then the value
is rounded to the nearest lower allowed value.
2.6 SETTING OF THERAPY
2.6.1 SETTING THERAPY PARAMETERS VIA THE ‘DIAG’ BUTTON
A list of diagnosis will display after pressing the diag button. Each tab/channel has its own assigned list of diagnosis.
To find a diagnosis quickly, press the button for the first letter of the therapy required. For example, after pressing the MNOP
button once, there are listed diagnoses starting with the first letter, in this case "M". Other letters are searched depending on
how many times the button is pressed. Thus pressing MNOP twice will equal N, pressing the button three times will equal "O"
and pressing the button four times will equal "P". The currently selected letter will be displayed in the box to the right of the
buttons:
After finding the required diagnosis, press the enter button to select it.
2.6.2 SETTING THERAPY PARAMETERS VIA THE 'PROG' BUTTON
After pressing the prog button, a screen will appear, where the number of the required therapy program can be entered. The
numbers of the particular programs will be prefixed with the letter “W”: Shockwave therapy. For faster entry of the program
number, use the numeric keypad. For more details see the Numeric keypad section.

INSTRUCTIONS FOR OPERATION | PAGE 14 OF 38
2.6.3 SETTING THERAPY PARAMETERS MANUALLY (USER SETUP) VIA THE ‘MAN' BUTTON
The therapy parameters screen for the user (manual) setting will be displayed by pressing the man button. All specifications of
the therapy can be set and possibly saved as a user program or a diagnosis.
Pressing of individual buttons will open an individual menu and pop-up boxes for the settings. Most of the pop-ups are
accompanied with illustrative pictures and/or symbols.
2.6.4 SETTING THE NUMBER OF SHOCKS
The total number of shocks for a therapy can be set on screen of the therapy parameters, even during the course of therapy.
The number can be set either by pressing the button labeled number of shocks, or for quick selection, turn the select knob.
Using the “number of shocks” button, it is possible to select "endless therapy”. This is the symbol shown:

INSTRUCTIONS FOR OPERATION | PAGE 15 OF 38
The endless therapy option allows for an infinite number of shocks, that can be applied from the start of the therapy.
The end of therapy is not limited to the number of shocks.
2.6.5 SETTING THERAPY INTENSITY
The intensity (power) of the shockwave therapy can be set on the therapy parameters screen, even during the course of
therapy. After pressing the intensity button it is possible to set the intensity either by means of the numeric keypad, present
values written on the buttons or by the select knob. During therapy, the intensity value can only be changed by means of the
select knob.

INSTRUCTIONS FOR OPERATION | PAGE 16 OF 38
2.6.6 THERAPY PARAMETERS SCREEN – ERGONOMIC, STANDARD AND EXPERT MODE
This screen always appears before the start of therapy when the diag or prog buttons are pressed (see Diagram of the
therapy setting process). If only the most important therapy parameters are shown, then the ergonomic operation mode was
selected. If all therapy parameters are shown, then either the standard or the expert operation mode was selected. However, in
the expert mode all of these therapy parameters can be modified.
The differences between the operational modes can be seen in the following pictures:
+
Ergonomic mode Standard mode Expert mode
The operation mode can be set by pressing menu. For more details, see the Operation mode section. The expert operation
mode can be quickly entered from any mode by pressing the man button.
2.7 COURSE OF THERAPY
2.7.1 START, INTERRUPTION AND END OF THERAPY
Start the therapy by pressing the start button on the screen or by pressing the start/stop key on the front panel of the device.
The therapy can only start if the channel screen displays the therapy parameters and all those parameters are correctly set. The
device will warn of any possible discrepancies.
To interrupt therapy, press the pause button on the screen or the start/stop key on the panel of the device. To resume the
interrupted – paused – therapy press the start/stop key on the panel again or press the continual button. To stop, press esc.
During interrupted/paused therapy, the parameters of intensity and the total number of applied shocks can be modified by
turning the select knob.
The intensity can also be changed during therapy by turning the select knob to the right to increase the intensity or to the left to
decrease the intensity.
Shockwaves therapy can also be started or interrupted by using the button located on the shockwave applicator. The factory
default setting of the button is the AUTO mode. The device automatically recognizes the hold time of the button on the
applicator as well as the selected method of control. If the button is held for more than 1 second, then after its subsequent
release the therapy will stop (as in the continual mode, see the chapter APPLICATOR BUTTON MODE). During the time while
pressing the applicator button, generation of shockwaves will continue. If the applicator button is pressed for less than 1 second,
then after its release the device will be set to the ON/OFF option (see the chapter APPLICATOR BUTTON MODE).

INSTRUCTIONS FOR OPERATION | PAGE 17 OF 38
2.7.2 RUNNING THERAPY SCREEN
2.7.3 END OF THERAPY / GENERATION OF SHOCKS
Normally, therapy ends after application of the preset number of shocks. However, it is possible to end or interrupt (pause) the
therapy before it has finished running. To interrupt therapy, press start/stop key on the front panel of the device or press the
button on the applicator. To end therapy, simply press esc.
The generation of shocks will stop when the preset number of shocks have been applied. It is also possible to terminate their
generation by releasing (in continual mode) or pressing the button of the applicator again (in the ON /OFF mode).
For more information, see the section Shockwave setting: Applicator button mode.
2.8 APPLICATION OF SHOCKWAVES
Application of shockwaves is provided via a spring-loaded applicator, which:
•Provides proper and exactly specified contact of the applicator with the treated tissue during therapy.
•Minimizes the transmission of reverse shocks to the hand of the therapist due to the built-in air damper
An integral part of the applicator is the ergonomic hand rest (13) which provides a comfortable grip and prevents unwanted
slippage of the hand during therapy. The ergonomic hand rest swivels and can be set into the desired position at any time.
The ergonomically-shaped handle allows the therapist to grip the applicator comfortably in various different positions. The
orientation can be varied according to the type of applied therapy and the personal preferences of the therapist whether they are
left-handed/right-handed or male/female.
The ergonomic shape of the handle offers the therapist sufficient support during the application. This reduces the tiring of the
therapist hands during the course of therapy.
Name of selected therapy /
program and the set parameters
Set intensity
Number of appl
iedshocks
Set number of shocks
Set frequency
Number ofremainingshocks
Time of applied therapy
Icon and name of connected
accessories
Symbolic description of
generated output

INSTRUCTIONS FOR OPERATION | PAGE 18 OF 38
Examples of how to hold the shockwave applicator
These examples illustrate the application of shockwaves in different areas and several of ways of holding the applicator.
Painful shoulder Trigger-points
Tibial Edge Syndrome Calcar Calcanei (Plantar Fasciitis)
Patellar Tendinopathy (Jumper’s Knee)
Achillodynia
Trigger points
Epicondylitis

INSTRUCTIONS FOR OPERATION | PAGE 19 OF 38
2.9 SAVING THERAPY
A particular operation can selected after pressing the “save” button. Depending on which operation is selected,
a chart with the appropriate data will be shown. An example of the procedure is displayed on the following screens.
It is always possible to save the therapy after setting its parameters, for example from the screen of therapy parameters – see
the chapter Therapy parameters screen. The following information is saved for each shockwave therapy program:
•Frequency
•Number of shocks
•Intensity
To save a therapy, enter:
•The name of the diagnosis (therapy): This will be displayed in list of diagnosis under the diag button.
•The program number: This will be displayed among the programs under the prog button.
•The description and/or additional information: This will be displayed in both lists below the line.
After entering this data, it is possible to assign a unique name to that particular therapy program. The name of the therapy
program will consist of the letter “W” (for shockWave therapy) and a number from 8000 to 8999. The device will automatically
offer the lowest available number in this range or it can be chosen by the user. For example, the resulting program number
could be: “W-8001”
You will find the saved therapy in the list of diagnoses under the name of the user diagnose or in the list of programs under the
number assigned by you (or automatically). If you choose to save therapy with adding it to the client data, the therapy will
display also after selecting the client in the list of his/her assigned therapies.
2.10 USER SETTINGS: THE ‘USER’ BUTTON
By pressing the user button, the menu with options regarding the data saved by the user will be displayed. Additionally, certain
“special" functions of the shockwave generator will be displayed as well:
•Clients
•User diagnoses / programs
•Recent therapies

INSTRUCTIONS FOR OPERATION | PAGE 20 OF 38
2.10.1 CLIENTS
This feature allows the entering, editing and deleting of information about clients. A particular therapy can be assigned to each
client.
2.10.2 USER DIAGNOSES/PROGRAMS
This feature makes it possible to start the user therapies, to adjust their parameters, names and descriptions, to delete them and
to sort them by using the buttons and choices shown on the screen. It is very similar to the creation of a new diagnosis/program.
For more information, see the Therapy saving section.
2.10.3 RECENT THERAPIES
This feature allows the choosing of one of the recently used therapies on the selected tab. After pressing the load button, the
therapy can be restarted and its parameters viewed.
2.11 UNIT SETTINGS: THE ‘MENU’ BUTTON
After pressing menu it is possible to browse the following menus using the select knob:
•Accessories
•Encyclopaedia
•Unit settings
•Specific settings
2.11.1 ACCESSORIES
In this submenu you can select:
•Installation of accessories
•Information about connected accessories
2.11.1.1 Installation
Each accessory has a memory-chip that contains identification data. From the data in the chip, the device can recognize which
accessory has been connected. The device will also determine if the connected accessory is compatible and if the device can
use it or not. The memory-chip also contains the unique serial number of the accessory.