BTL BTL-4000 Topline Series User manual

GENERAL CHARACTERISTICS | Page 1of 67
BTL-4000 Topline
Series
USER‘S GUIDE
100IE20/12/2007

PAGE 2 OF 67
BEFORE YOU START
Take a moment to reflect on the advantages of the BTL-4000 Topline Electrical
Stimulation, Ultrasound, Laser and Magnet technology in your own clinic. The BTL-4000
Topline system has many benefits not available in other systems. For example, the touch
screen is a major step forward since it allows users to precisely monitor the therapy and
document and store patient data for later recall. A choice of therapy protocols offers
maximum flexibility in a variety of clinical applications.
The combination electrical stimulation / ultrasound / laser and magnet therapy system
also offers substantial benefits since it eliminates the need to purchase separate units.
We sincerely believe the latest BTL physiotherapy system is technically superior to any
other physiotherapy products available and will provide years of trouble-free and
profitable use.
All of us at BTL wish you every success with your BTL-4000 Topline 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. Please call or email us your
suggestions.
While we would like you to start using your equipment right away, we encourage you to
thoroughly read this manual in order to fully understand the operational features of the
BTL-4000 Topline system.
Again, thank you for being a BTL customer. In the event of any problem, or if you require
service, please make an initial call to your local distributor, who will decide whether to
refer the problem to our office.

PAGE 3 OF 67
CONTENTS
1GENERAL CHARACTERISTICS........................................................................................................................ 6
2INSTRUCTIONS FOR USE ................................................................................................................................ 7
2.1 Top Panel ...................................................................................................................................................... 7
2.2 Rear Panel..................................................................................................................................................... 8
2.3 Front Panel .................................................................................................................................................... 8
2.4 Installation of Touch Pen Holder.................................................................................................................... 9
2.5 Unpacking And Assembly.............................................................................................................................. 9
2.6 Operating the Unit ....................................................................................................................................... 12
2.6.1 Touch Screen......................................................................................................................................... 12
2.6.2 Numerical Keyboard............................................................................................................................... 13
2.7 Therapy Setting ........................................................................................................................................... 14
2.7.1 Therapy Flow Chart................................................................................................................................ 14
2.7.2 Welcome Screen and Selection of Channels, Tabs and Accessories.................................................... 15
2.7.3 Setting Therapy Parameters Via Diag Option ........................................................................................ 16
2.7.4 Setting Therapy Parameters Via Prog Option ........................................................................................ 17
2.7.5 Setting Therapy Parameters Manually Via The ‘MAN' Button................................................................ 18
2.7.6 Therapy Parameters Screen – Ergonomic, Standard and Expert Mode ................................................ 19
2.8 Course of Therapy ....................................................................................................................................... 20
2.8.1 Start, Interrupt and End of Therapy........................................................................................................ 20
2.8.2 Running Therapy Screen ....................................................................................................................... 21
2.8.3 Electrotherapy – Setting During Therapy ............................................................................................... 21
2.8.4 Accessories / Applicators – Visual Signalization. ................................................................................... 22
2.8.5 Indication of Operation – Energy On Operation ..................................................................................... 24
2.9 Therapy Parameters .................................................................................................................................... 26
2.10 ENCYCLOPAEDIA ...................................................................................................................................... 26
2.11 Therapy Saving ........................................................................................................................................... 27
2.11.1 Save Therapy......................................................................................................................................... 27
2.11.2 Save Therapy and Add It To The Patient Data ...................................................................................... 28
2.11.3 CopYing the Settings of The Therapy Parameters Between Tabs of the Same Type............................ 29
2.12 Interconnection of Units ............................................................................................................................... 30
2.12.1 Interconnection of BTL 4000 Topline Puls (combi) and Vacuum Unit BTL Vac ..................................... 30
2.12.2 Interconnection of BTL-4000 Topline Puls and BTL-4000 Topline Sono................................................ 30
2.12.3 Interconnection of BTL-4000 Topline Puls, BTL-4000 Topline Sono and BTL Vac................................ 31
2.12.4 Setup and Operation of Combined Therapy in INDIVIDUAL Devices .................................................... 32
2.12.5 Stopping Combined Therapy in INDIVIDUAL Devices ........................................................................... 32
3MENU BUTTON................................................................................................................................................ 33
3.1 Accessories ................................................................................................................................................. 33
3.1.1 Installation of Accessories...................................................................................................................... 33
3.1.2 Information About Accessories .............................................................................................................. 33
3.1.3 Connectors – Information....................................................................................................................... 33
3.2 Unit Settings ................................................................................................................................................ 34
3.2.1 Password Setting ................................................................................................................................... 34
3.2.2 Sound Setting ........................................................................................................................................ 34
3.2.3 Screen Saver and Auto Switch-Off ........................................................................................................ 34
3.2.4 Setting of Colours .................................................................................................................................. 35
3.2.5 Display Options...................................................................................................................................... 35

PAGE 4 OF 67
3.2.6 Date and Time Setting ........................................................................................................................... 35
3.2.7 Language Setting................................................................................................................................... 35
3.2.8 Operation Mode ..................................................................................................................................... 35
3.2.9 Touch Panel Calibration......................................................................................................................... 35
3.2.10 User Options .......................................................................................................................................... 36
3.2.11 Style of Operation .................................................................................................................................. 36
3.2.12 Setting of HW Key.................................................................................................................................. 36
3.2.13 Unit Information...................................................................................................................................... 36
3.2.13 Unlock Code .......................................................................................................................................... 36
3.2.14 Service Functions .................................................................................................................................. 36
3.3 Special Settings........................................................................................................................................... 37
4USER SETTINGS OPTION............................................................................................................................... 38
4.1 Clients.......................................................................................................................................................... 38
4.2 User Sequences .......................................................................................................................................... 39
4.2.1 Creating New Sequence ........................................................................................................................ 39
4.2.2 Parameters of Sections in Sequence ..................................................................................................... 41
4.2.3 Saving New Sequence........................................................................................................................... 41
4.3 User Diagnoses / Programs......................................................................................................................... 42
4.4 List of Recent Therapies.............................................................................................................................. 42
5ACCESSORIES ................................................................................................................................................ 43
5.1 Power Supply Adapter 60W / Adapter 90W................................................................................................. 43
5.2 Accumulator................................................................................................................................................. 43
5.3 Lithium Battery............................................................................................................................................. 44
5.4 Accessories Common for All Units .............................................................................................................. 44
5.5 Accessories for Electrotherapy .................................................................................................................... 44
5.6 Accessories for Ultrasound Therapy............................................................................................................ 45
5.7 Accessories for Laser Therapy .................................................................................................................... 45
5.8 Accessories for Magnetotherapy ................................................................................................................. 45
6MAINTENANCE AND SAFETY INSTRUCTIONS ............................................................................................ 46
6.1 Safety .......................................................................................................................................................... 47
6.2 Contraindications......................................................................................................................................... 51
6.2.1 Contraindications for Electrotherapy ...................................................................................................... 51
6.2.2 Contraindications for Ultrasound............................................................................................................ 52
6.2.3 Contraindications for Laser Therapy ...................................................................................................... 52
6.2.4 Contraindications for Magnetotherapy ................................................................................................... 53
6.3 Useful Addresses......................................................................................................................................... 53
6.4 Warranty ...................................................................................................................................................... 53
7TECHNICAL PARAMETERS ........................................................................................................................... 54
7.1 Technical Parameters of The BTL-4000 Topline Series Devices ................................................................ 54
7.2 Technical Parameters of Power Supply Adapter 60W / Adapter 90W ......................................................... 55
7.3 Basic Parameters of Electrotherapy Generator ........................................................................................... 56
7.4 Basic Parameters of Ultrasound Generator ................................................................................................. 56
7.5 Basic Parameters of Laser Generator ......................................................................................................... 57
7.6 Basic parameters of Magnet Generator....................................................................................................... 57
7.7 Technical Parameters of Ultrasound Heads ................................................................................................ 58
7.8 Technical Parameters of Laser Probes........................................................................................................ 58
7.9 Technical Parameters of Laser Clusters...................................................................................................... 59
7.10 Technical parameters of Magnetic Applicators ............................................................................................ 60
7.11 Applicable Standards................................................................................................................................... 60
7.12 Interconnection of Devices .......................................................................................................................... 61

PAGE 5 OF 67
7.13 Manufacturer ............................................................................................................................................... 61
8UNITS CONFIGURATIONS.............................................................................................................................. 62
8.1 Table of Configurations of the Combined Devices BTL 4000 Topline Series .............................................. 62
8.2 Table of Configurations of the Electrotherapy Devices BTL-4000 Topline Puls........................................... 65
8.3 Table of Configurations of the Ultrasound Therapy Devices BTL-4000 Topline Sono ................................. 66
8.4 Table of Configurations of the Laser Therapy Devices BTL-4000 Topline Laser......................................... 66
8.5 Table of Configurations of the Magnetotherapy Devices BTL-4000 Topline Magnet................................... 67

GENERAL CHARACTERISTICS | Page 6of 67
1GENERAL CHARACTERISTICS
The BTL-4000 Topline Series offers advanced and well designed physiotherapy units for professional use.
Depending on the required configuration, each system can consist of up to four units - for electrotherapy,
ultrasound, laser or magnet therapy treatment.
The touch-controlled display considerably simplifies the use of the unit. The touch screen is equipped with a touch
stylus for more convenient operation. The vertically positioned case of the instrument enables you to see the
information on the screen clearly and from different positions. In addition, the display's brightness can be adjusted
to fit the light conditions in the office. The information displayed on the screen will guide you throughout the whole
therapy. Simply adjust the parameters by pressing the touch screen buttons and turn the main knob to set the
intensity.
The modular design of the BTL equipment allows you to build the combination you require. Combine an
electrotherapy unit of your choice with either ultrasound, laser or magnet all in a single unit. This can save
considerable money in your physiotherapy investment
Selecting a diagnosis from a list of alphabetically organized treatment protocols, or selecting a program, will make
an easy and efficient start of the therapy. Naturally, you can adjust any treatment parameter manually by the
simple use of the touch screen buttons. Throughout the whole therapy, the display informs you about the
remaining therapy time, channel and therapeutic method used, the type of therapy applied, attached accessories,
and other necessary data.
If several accessories are attached to your unit at the same time, you can easily recognize the accessory required
for a specific treatment. Select a treatment on the display (electrotherapy, ultrasound, laser or magnet), and the
control light on the corresponding accessory (electrotherapy cable, ultrasound head, laser probe / cluster or
magnet disc / double disc / linear or solenoid applicator) will start blinking to indicate that this accessory should be
used.
Save time by using the pre-programming of the BTL-4000 Topline units. Based on detailed research and practical
use of the units, the well-organized pre-programmed protocols will give you recommendations for treating various
conditions. The unit also includes up to 500 free lots to define your own protocols. Moreover, you can recall the
last 20 treatments.
Add the names of your patients and other relevant information to the unit's internal memory and connect the
patient data with pre-programmed or your own protocols. When your patients call again, simply recall their name
and apply the pre-set therapy.
With every BTL unit, you can purchase a cart specially designed for BTL products. Its versatile design allows you
to conveniently store and use 1 or 2 physiotherapy units and a vacuum unit. The cart includes a range of
accessory trays and baskets. Four well-built and steady castors ensure easy movement of the unit in the office or
hospital.
Please visit our corporate website at http://www.btlnet.com for the latest information on BTL products and
services.

INSTRUCTIONS FOR USE | PAGE 7 OF 67
2INSTRUCTIONS FOR USE
2.1 TOP PANEL
1. - 6 outputs for patient cables on the rear panel of the device, see chapter Rear Panel
7. display
8 diag/prog button, for quick selection of diagnosis or programs
9 man button, for manual setting of all therapy parameters
10 menu button, to set date, time, language, display contrast, sounds, user options, etc.
11 enter button to confirm selection or setting
12 esc button to cancel selection or setting and return to the original setting
13 select knob to select individual parameters

INSTRUCTIONS FOR USE | PAGE 8 OF 67
2.2 REAR PANEL
1 -6 patient outputs – for exact configuration, see table Configuration of Output Connectors
14 mains switch for switching the device on/off – positions I / 0.
15 socket for connection of external power supply Adapter 60W / Adapter 90W
16 warning label with parameters of power supply and input of the device
2.3 FRONT PANEL
17 display of the remaining time of therapy for the active channel
18 display of the current intensity for the active channel
19 start button, for starting or pausing the therapy on the active channel
20 stop button, for pausing or stopping the therapy on the active channel
21 on/off switch – serves for switching the device on/off
22 service connector under a cover and the type, manufacture and warning labels (placed on the bottom
cover of the device)

INSTRUCTIONS FOR USE | PAGE 9 OF 67
2.4 INSTALLATION OF TOUCH PEN HOLDER
Lean the upper part of the holder against the upper part of any selected gap between the ribs on the rear panel of
the device. Press the holder to plug the parts indicated on the picture up to stop.
2.5 UNPACKING AND ASSEMBLY
Inspect the box for damage and report any damage to the carrier and your distributor. Do not proceed with
installation and assembly if the box is damaged.
Unpack the equipment and place it on a stable horizontal surface suitable for the equipment's weight. Always
position the unit out of direct sunlight as this may make the touch screen difficult to read. Always position the unit
away from direct heat sources such as radiators or a room heater. Cooling of the equipment is provided by forced
air circulation. Cooling vents are located on the rear panel and at the bottom of the equipment and must not be
covered. Place the equipment so that the free space behind the rear side is at least 10 cm. Do not position the
equipment on a soft surface which may obstruct air flow to the bottom cooling vents. Do not put any heat-
producing devices or objects containing water or other liquid on the equipment. Do not place the equipment close
to devices producing strong electromagnetic, electric or magnetic field (diathermy, X-rays, etc.), as equipment
electronics could be undesirably influenced. In case of any questions, please call your distributor or service agent.
The same installation conditions should be observed for the Adapter 60W / Adapter 90W power supply adapter.
Retain the original packaging to ensure future possible transportation of the device.
Plug the device into the mains socket by means of the Adapter 60W / Adapter 90W power supply adapter
(see chapter Technical Parameters).
PLUG THE POWER SUPPLY ADAPTER DIRECTLY INTO THE MAINS SOCKET; DO NOT USE ANY MULTI-
CONNECTION EXTENSION CABLE OR ADAPTOR.
In case of any questions, please call your distributor or service agent.
Switching the device on:
Connect the power supply adapter to the device and plug its mains cable into the mains socket, switch the I/ 0
rocker switch (14) on the rear panel to the Iposition and finally press the ON/OFF switch (21) on the front panel.
The system will then run a self-test. If the self-test finds no faults, the screen will display the equipment type and it
is ready for use - see note below.

INSTRUCTIONS FOR USE | PAGE 10 OF 67
Connection of accessories
Connect the accessories to the output connectors (1) - (6) on the rear panel in this way:
Put in the cable connector and secure the fluted ring by pressing and turning in clockwise. ATTENTION WHEN
DISCONNECTING THE CONNECTOR, first of all, it is necessary to take by the fingers the fluted ring NOT THE
WHOLE connector. TURN THE FLUTED RING ANTICLOCKWISE and then after releasing the ring, disconnect
the connector by pulling the fluted ring still held in the fingers!
ATTENTION!!! DO NOT TURN THE WHOLE CONNECTOR USING FORCE, THE DEVICE COULD BE
DAMAGED.
For configuration of the output connectors (1) to (6), see the table Configuration of Output Connectors
The unit will automatically detect the accessories type and display it on the screen. If a wrong one is connected,
the equipment will not operate and the screen will display a warning and help about where to connect which
accessory.
Recharging the accumulator
The device accumulator is sold in half-charged status. That is why we recommend formatting the accumulator
after purchase of the device: connect the device to the mains via the external adapter for at least 48 hours without
interruption, with the mains rocker switch (14) in position I. The device will be recharged and the accumulator
will be properly formatted. A properly formatted accumulator enables longer operation of the device without mains
supply. For details, see the chapter Accumulator.
Restart of the device - reset
If for any reason (electromagnetic interference, etc.) the device stops responding to the user's commands and the
message "please wait..." with small moving squares is not displayed, the device can be put into the initial state by
simultaneously pressing the man (9) and enter (11) buttons. After this, the device immediately goes into the initial
status.
Note:
After switching on, the unit tests for about 10 - 15 secs all internal functions. If any fault exists, the screen will
display a warning. If any fault that compromises patient safety exists, the system will 'lock' itself into ‘secure’
mode. If this situation occurs, please call your local distributor for service advice.