BTL BTL-5000 Series User manual

v112RK21/04/2005EN
BTL-5000
Series
USER’S MANUAL

BTL-5000 SERIES USER'S MANUAL
page 2 of 56
Before You Start
Take a moment to reflect on the advantages of the BTL-5000
Electrical Stimulation, Ultrasound and Laser technology in your
own clinic. The BTL-5000 system has many benefits not
available on other systems. For example, the touch screen is a
major step forward since it allows users to precisely monitor
therapy and document and store patient data for later recall. A
choice of therapy protocols offers maximum flexibility for a
variety of clinical applications.
The combination electrical stimulation / ultrasound / laser
therapy system also offers substantial benefits since it
eliminates the need to purchase separate units. We sincerely
believe the newest 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-5000
system. We pride ourselves on being as responsive as possible
to our customer’s 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 us or email us your suggestions.
While we would like you to start using your equipment right
away, we encourage a thorough reading of this manual in order
to fully understand the operational features of the BTL-5000
system.
Please remember to complete the warranty registration form
printed in this manual. The warranty form should be returned to
us no later than 30 days following installation of your equipment
to initiate warranty protection.
Again, thanks for being a BTL customer. In the event of a
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.

BTL-5000 SERIES USER'S MANUAL
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CONTENTS
1GENERAL CHARACTERISTICS ........................................................................................................................5
2INSTRUCTIONS FOR USE.................................................................................................................................6
2.1 Front View......................................................................................................................................................6
2.2 Rear View ......................................................................................................................................................7
2.3 Unpacking and Assembly...............................................................................................................................9
2.4 Operating the Unit........................................................................................................................................10
2.4.1 Touch Screen .........................................................................................................................................10
2.4.2 Numerical Keyboard ...............................................................................................................................11
2.5 Therapy Setting............................................................................................................................................12
2.5.1 Therapy Flow Chart ................................................................................................................................12
2.5.2 Welcome Screen and Selection of Channels, Tabs and Accessories ....................................................13
2.5.3 Setting Therapy Parameters via the ‘diag’ Button ..................................................................................14
2.5.4 Setting Therapy Parameters via the 'prog' Button ..................................................................................15
2.5.5 Setting Therapy Parameters Manually via the ‘man' Button ...................................................................16
2.5.6 Therapy Parameters Screen – Ergonomic, Standard and Expert Mode.................................................17
2.5.6.1 Setting Therapy Time .......................................................................................................................17
2.5.6.2 Setting Intensity ................................................................................................................................17
2.6 Course of Therapy .......................................................................................................................................18
2.6.1 Start, Interruption and End of Therapy ...................................................................................................18
2.6.2 Running Therapy Screen........................................................................................................................19
2.6.3 Electrotherapy – Settings during Therapy ..............................................................................................19
2.6.3.1 Setting the Intensity in 4-electrode Therapies...................................................................................19
2.6.3.2 Manual Control of Vector in Dipole Interference ...............................................................................19
2.6.4 Accessories – Visual Signaling...............................................................................................................20
2.6.5 Indication of Operation – Energy on Output ...........................................................................................20
2.6.5.1 Electrotherapy...................................................................................................................................20
2.6.5.2 Ultrasound Therapy ..........................................................................................................................21
2.6.5.3 Laser Therapy...................................................................................................................................21
2.7 Therapy Parameters ....................................................................................................................................21
2.8 Encyclopaedia..............................................................................................................................................22
2.9 Therapy Printing and Saving........................................................................................................................23
2.9.1 Save Therapy .........................................................................................................................................23
2.9.2 Save Therapy and Add It to the Patient Data .........................................................................................23
2.10 Interconnection of Units ...............................................................................................................................26
2.10.1 Interconnection of BTL-5000 Puls (Combi) and Vacuum Unit BTL vac ..................................................26
2.10.2 Interconnection of BTL-5000 Puls and BTL-5000 Sono .........................................................................26
2.10.3 Interconnection of BTL-5000 Puls, BTL-5000 Sono and BTL vac ..........................................................27
2.10.4 Setup and Operation of Combined Therapy in Single Devices...............................................................28
2.10.5 Stopping Combined Therapy in Single Devices .....................................................................................28
3MENU BUTTON ................................................................................................................................................29
3.1 Accessories..................................................................................................................................................29
3.1.1 Installation of Accessories ......................................................................................................................29
3.1.2 Information about Accessories ...............................................................................................................29
3.1.3 Connectors - Information ........................................................................................................................29
3.2 Unit Settings.................................................................................................................................................30
3.2.1 Password Setting ...................................................................................................................................30
3.2.2 Audio Tones Setting ...............................................................................................................................30
3.2.3 Setting of Colours (for colour variant only) .............................................................................................30
3.2.4 LCD Screen Saver and Auto Power Off .................................................................................................30
3.2.5 Setting of Contrast of LCD Screen .........................................................................................................30
3.2.6 Date and Time Setting............................................................................................................................30
3.2.7 Language Setting ...................................................................................................................................30
3.2.8 Operation Mode......................................................................................................................................31
3.2.9 Touch Panel Calibration .........................................................................................................................31
3.2.10 User Options ..........................................................................................................................................31
3.2.11 Way of Operation ...................................................................................................................................31
3.2.11.1 New Operation Mode ........................................................................................................................31
3.2.11.2 End of Therapy – Setting Zero Intensity and Time Values................................................................31
3.2.12 Network Setting ......................................................................................................................................31
3.2.13 Information about the Unit ......................................................................................................................31
3.2.14 Service Functions...................................................................................................................................31

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3.2.14.1 Repair of Files...................................................................................................................................31
3.2.14.2 File System Formatting.....................................................................................................................32
3.2.14.3 Delete Installed Accessories.............................................................................................................32
3.2.14.4 Default Setting without Losing User Data .........................................................................................32
3.2.14.5 Restart of All Generators ..................................................................................................................32
3.2.14.6 Information of Free Space for User Data ..........................................................................................32
3.2.15 Special Settings......................................................................................................................................32
4USER OPTIONS VIA THE “USER” BUTTON ..................................................................................................33
4.1 Patients ........................................................................................................................................................33
4.2 User Sequences...........................................................................................................................................34
4.2.1 Creating New Sequence.........................................................................................................................34
4.2.1.1 Parameters of Sections in Sequence................................................................................................36
4.2.2 Saving New Sequence ...........................................................................................................................36
4.3 User Diagnoses/Programs ...........................................................................................................................37
4.4 List of Recent Therapies ..............................................................................................................................37
5ACCESSORIES.................................................................................................................................................38
5.1 Accessories Common for All Units...............................................................................................................38
5.2 Accessories for Electrotherapy ....................................................................................................................38
5.3 Accessories for Ultrasound Therapy ............................................................................................................38
5.4 Accessories for Laser Therapy ....................................................................................................................38
6MAINTENANCE AND SAFETY INSTRUCTIONS.............................................................................................39
6.1 Safety...........................................................................................................................................................40
6.2 Useful addresses .........................................................................................................................................42
6.3 Warranty ......................................................................................................................................................42
6.4 Contraindications .........................................................................................................................................43
6.4.1 Contraindications - Electrotherapy .........................................................................................................43
6.4.2 Contraindications - Ultrasound ...............................................................................................................43
6.4.3 Contraindications – Laser therapy..........................................................................................................43
7TECHNICAL PARAMETERS............................................................................................................................44
7.1 Basic Parameters of Electrotherapy Generator............................................................................................44
7.2 Basic Parameters of Ultrasound Generator .................................................................................................45
7.3 Basic Parameters of Laser Generator..........................................................................................................45
7.4 Technical Parameters of Ultrasound Heads.................................................................................................46
7.5 Technical Parameters of Laser Probes ........................................................................................................46
7.6 Technical Parameters of Laser Clusters ......................................................................................................47
7.7 Applicable Standards ...................................................................................................................................48
7.8 Interconnection of Devices...........................................................................................................................48
7.9 Manufacturer................................................................................................................................................49
8UNITS CONFIGURATIONS ..............................................................................................................................50
8.1 Table of Configurations of the Combined Devices BTL 5000 Combi ...........................................................50
8.2 Table of Configurations of the Electrotherapy Devices BTL-5000 Puls........................................................54
8.3 Table of Configurations of the Ultrasound Therapy Devices BTL-5000 Sono .............................................. 55
8.4 Table of Configurations of the Laser Therapy Devices BTL-5000 Laser......................................................55

BTL-5000 SERIES USER'S MANUAL
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1 GENERAL CHARACTERISTICS
The BTL-5000 series offers advanced and well designed physiotherapy units for professional use. Depending on the
required configuration, each system can consist of up to three units -- for electrotherapy, ultrasound or laser therapy
treatment.
The touch-controlled display considerably simplifies the use of the unit. The displays are supplied as black and white
or colour. The touch screen is equipped with a touch stylus for a more convenient operation. A 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 or laser or both into a single unit. This can save considerable
money on your physiotherapy investment. Alternatively, you may wish to upgrade your unit later, as your needs grow.
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 therapeutical method used, 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 or laser), and the control light on the
corresponding accessory (electrotherapy cable, ultrasound probe, or laser probe/cluster) will switch on to indicate that
this accessory should be used.
Save your time by using the pre-programming of the BTL-5000 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 into 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 in hospital
Please visit our corporate website at http://www.btlnet.com for the latest information on BTL products and services.

BTL-5000 SERIES USER'S MANUAL
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14
15
12
13
9
11
8
7
10
17
18
16
2 INSTRUCTIONS FOR USE
2.1 FRONT VIEW
1- 6line outputs for patient cables on the rear panel, see 2.2 Rear View
7 ON/OFF power switch (“ON” status indicated by the blue backlight)
8 diag button to select diagnosis
9prog button to select program number
10 touch screen
11 man button to set therapy parameters manually
12 menu button to set date, time, language, display contrast, sounds, user options, etc.
13 user button to work with lists of patients, user diagnoses, programs and sequences, recent therapies and
other functions
14 select knob to select individual parameters
15 enter button to confirm selection or setting
16 esc button to cancel selection or setting and return to the original setting
17 time / stop knob to set therapy time, and to start and stop therapy
18 intensity knob to set intensity

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2.2 REAR VIEW
1- 6patient outputs – for exact configuration see Tab. 2.1
21 mains switch to switch the power supply on/off
22 socket for connection of the mains cable
23 label showing equipment type and manufacturer and safety precautions and warnings
24 mains fuse receptacle
25 in – communication line input
26 out – communication line output
27 voltage switch 230V / 115V (underneath the chassis)
28 label showing serial number and production date

BTL-5000 SERIES USER'S MANUAL
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Tab. 2.1 Configuration of output connectors
Type Output 1 Output 2 Output 3 Output 4 Output 5 Output 6
BTL-5110 Laser L1A L1B Acup Door
BTL-5120 Laser L1A L2A L1B L2B Acup Door
BTL-561x / 5621 Puls* E1
BTL-5620 / 5625 Puls* E1 E2
BTL-563x Puls* E2 E1 E3
BTL-5640 Puls* E1A, E1B E2A, E2B
BTL-5660 Puls* E2A, E2B E1A, E1B E3A, E3B
BTL-5710 Sono U1A U1B E input E output
BTL-5720 Sono U1A U2A U1B U2B E input E output
BTL-5800 SL Combi U1A L1A U1B L1B Acup Door
BTL-581x / 5621 S Combi* U1A U1B E1
BTL-581x / 5621 S2 Combi* U1A U2A U1B U2B E1
BTL-581x / 5621 SL Combi U1A L1A U1B L1B E1 Door
BTL-581x / 5621 L Combi L1A L1B E1 Door
BTL-581x / 5621 LL Combi L1A L2A L1B L2B Door E1
BTL-5820 / 5625 S Combi* U1A U1B E1 E2
BTL-5820 / 5625 SL Combi U1A L1 U1B Door E1 E2
BTL-5820 / 5625 L Combi L1A Door E1 E2
BTL-583x L Combi L1A E2 Door E1 E3
BTL-5840 S Combi* U1A U1B E1A, E1B E2A, E2B
BTL-5840 SL Combi U1A L1 U1B Door E1A, E1B E2A, E2B
BTL-5840 L Combi L1A Door E1A, E1B E2A, E2B
BTL-5860 L Combi L1A E2A, E2B Door E1A, E1B E3A, E3B
* can be supplied or upgraded with HVT module
Notes:
E1 connector for connection of electrotherapy accessories (BTL-236-1, BTL vac) to E1 generator
E2 connector for connection of electrotherapy accessories (BTL-236-1, BTL vac) to E2 generator
E3 connector for connection of electrotherapy accessories (BTL-236-1, BTL vac) to E2 generator
E1A, E1B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E1 generator
E2A, E2B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E2 generator
E3A, E3B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E3 generator
E input connector for electrotherapy input BTL-56xx Puls on the ultrasound for combined therapy
E output connector for electrotherapy output BTL-56xx Puls on the ultrasound for combined therapy
L1A connector for connection of laser probe/cluster BTL-448/BTL-445 (e.g. red) to L1 generator
L1B connector for connection of laser probe/cluster BTL-448/BTL-445 (e.g. infrared) to L1 generator
L2A connector for connection of laser probe/cluster BTL-448/BTL-445 (e.g. red) to L2 generator
L2B connector for connection of laser probe/cluster BTL-448/BTL-445 (e.g. infrared) to L2 generator
L1 connector for connection of laser probe/cluster BTL-448/BTL-445 to L1 generator
U1A connector for connection of ultrasound head BTL-237 (e.g. 1 cm2) to U1 generator
U1B connector for connection of ultrasound head BTL-237 (e.g. 4 cm2) to U1 generator
U2A connector for connection of ultrasound head BTL-237 (e.g. 1 cm2) to U2 generator
U2B connector for connection of ultrasound head BTL-237 (e.g. 4 cm2) to U2 generator
Door connector for sensor of open door
Acup connector for acupuncture electrode
How many patients and to which outputs you can simultaneously connect can be seen on the display after pressing
the menu button in menu / accessories / connectors - information.

BTL-5000 SERIES USER'S MANUAL
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2.3 UNPACKING AND ASSEMBLY
Inspect the box for damage and report any damage to carrier and your distributor. Do not proceed with installation and
assembly if 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 radiator or room heater. Cooling of the equipment is provided for by forced air circulation.
Cooling vents are located on the rear panel and at the bottom of the equipment and must not be covered. 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 questions please call your distributor or service agent.
Retain original packaging to ensure safe transportation of the device.
Attaching the accessory holder:
Remove the protective caps from the holes on a side of the unit. Use a screwdriver to gently slide the blade under the
cap and pry it out. Align the accessory holder and secure with screws (supplied) from below. Do not over-tighten.
PLUG THE DEVICE DIRECTLY IN THE MAINS SOCKET. DO NOT USE ANY MULTI-CONNECTION EXTENSION
CABLE OR ADAPTER.
Check of correct mains voltage:
Before first connection of the equipment to the mains check if the mains voltage switch (27) located at the bottom of
the equipment is in the position corresponding to local voltage standards, either in the "230V" or "115V" position. For
details, see the note " Switching the equipment to different mains voltage " in 6 MAINTENANCE AND SAFETY
INSTRUCTIONS.
In case of questions please call your distributor or service agent.
Switching the device on:
Plug the mains cable into the mains socket and switch the O/ Irocker switch (21) on the rear panel to the Iposition.
Press the ON/OFF switch (7) on the front panel. The ON status is indicated by the backlighting of the switch (7). 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.

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Connection of accessories:
Connect the accessories to the output connectors (1) - (6) on the rear panel according to the Tab. 2.1. The unit will
automatically detect their type and display them on the screen. If the wrong device is connected, the equipment will
not operate and the screen will display a warning and a help where to connect which accessory.
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 exists that compromises patient safety, the system will 'lock' itself into ‘secure’ mode. If this
situation occurs, please call your local distributor for service advice.
2.4 OPERATING THE UNIT
2.4.1 Touch Screen
The touch screen may be operated by finger touch or use of special soft tip stylus that is supplied with the unit. DO
NOT TOUCH THE SCREEN WITH ANY SHARP OBJECT OR PEN, AS THIS MAY CAUSE PERMANENT DAMAGE.
Select required parameters by pressing:
1. 3D buttons
2. Bright tabs of the selected channel (in the lower left corner of the screen) to switch between connected
accessories, such as ultrasound heads
3. The dark tab of the required channel (in the lower left corner of the screen) to switch between channels
Touch screen buttons:
The touch screen buttons have three dimensional (3D) shading and may be pressed with the finger or special stylus.
To confirm requested changes or values, press enter. To cancel changes, press escape.
Selected channel:
Although most of the configurations allow running of several therapies at a time, only one channel can be controlled at
once. The tab of this selected channel is shaded light. All information on the screen and all controls relate to this
channel. The most important information about the therapies on the other channels is visible on their tabs.
3D buttons
(for therapy on the selected
channel)
Channel marking:
E– electrotherapy
1– number of E
generator
Information
Tab with running therapy of the unselected channel
Buttons with the same
function as (15) and (16)
Indication of
connected accessory
Tab of the selected channel
Name of screen for the selected channel
Information about other
generator possibilities:
combined therapies,
HVT etc...
Tab of the unselected channel
Tab of the channel with wrong accessory
Information about
connected accessories
(e.g.): 1 – one cable
4 – 4 electrodes

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2.4.2 Numerical Keyboard
In addition to setting numerical value with the select (14) button, you can also use “numerical keyboard”.
Press this icon to open window with numerical keyboard:
Set numerical values of the parameter that has been selected - “white” button on the picture above. Enter the value
and press enter (15) to return to original screen. Press esc (16) to exit the screen. If you set the value that exceeds
the allowed value range (allowed value range is stated on top of the screen), or if the unit cannot set the required
value, the value will be rounded as close as possible to the allowed value.
ente
r

BTL-5000 SERIES USER'S MANUAL
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2.5 THERAPY SETTING
2.5.1 Therapy Flow Chart
SETTING OF MOST
IMPORTANT
THERAPY
PARAMETERS
select
diag prog man menu user
select
DIAGNOSIS SELECTION
THERAPY START
RUNNING
THERAPY
SCREEN
esc
WELCOME SCREEN
esc
PROGRAM SELECTION
SCREEN
esc
enterenter
man
esc
time / sto
p
time / stop
MANUAL SETTING
- SETTING OF ALL THERAPY
PARAMETERS
time / stop time / stop
INTERRUPTION
OF THERAPY
INTERRUPTION
OF THERAPY
escesc

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2.5.2 Welcome Screen and Selection of Channels, Tabs and
Accessories
The welcome screen, accessed upon power up, displays channel tabs and icons showing which accessories are
connected. The number of channels displayed depends on the unit configuration. The following diagram shows that
almost the entire display is available for the selected channel.
If more accessories are connected to one generator (e.g. two ultrasound heads connected to a single ultrasound
generator), pressing the channel tab of the generator will switch between accessories.
The colour of the selected channel tab is white.
Examples of information on tabs:
Tab of channel E1 which is not selected and has no accessories
Tab of selected channel E2 with the possibility to apply HVT therapy and with electrotherapy accessory
BTL-236-1 with two electrodes
Tab of channel E1 with electrotherapy accessory BTL-236-1 and possibility to apply combined therapy
Tab of channel E2 with electrotherapy accessory BTL-236-1 and possibility to apply combined and HVT
therapies
Tab of selected channel E2 with electrotherapy accessory BTL-236-2.
Tab of selected generator U1 with connected ultrasound heads. Press the tab to
switch between the 1cm2and 4cm2heads.
Tab of selected generator L1 with connected laser probes. Press the tab to switch
between the 685nm and 830nm probes.
Tab of selected channel E2 with wrong accessory.

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2.5.3 Setting Therapy Parameters via the ‘diag’ Button
Press the diag (8) button to display a list of therapy protocols / diagnoses. Each channel tab has its own list of therapy
protocols. For example, the channel tab of ultrasound generator includes the list of therapy protocols for ultrasound
treatment. If the tab depicts a HVT or combined therapy symbols (see Chapter 2.5.2 Welcome Screen and Selection
of Channels, Tabs and Accessories), the list includes protocols for HVT or combined therapies.
To find a therapy protocol fast, press the button with the starting letter of the protocol required. The selected letter
depends on how many times the button is pressed. For example, after pressing the MNOP button once, there are
listed protocols starting with the first letter, M. Pressing MNOP twice = N, three times = Oand four times = P. The
currently selected letter is displayed in the box to the left of the buttons.
To select the found required diagnosis press the enter button (15). If the protocol has more therapies they are listed
after selecting the protocol.
Your own protocols can be easily recognized by the ‘card’ icon in front of the name of the protocol.
See 2.5.6 Therapy Parameters Screen
–
Ergonomic,
Standard and Ex
p
ert Mode
select
select
ente
r
select
ente
r
Information on therapy, encyclopaedia
Prevailing physiological effects of
therapy: A-analgesic, E-antiedematous,
T-trophic, R-myorelaxation, S-
myostimulation

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2.5.4 Setting Therapy Parameters via the 'prog' Button
Press the prog (9)button to set the required program number. The program numbers generally correspond to the
program numbers used in the traditional BTL physiotherapy line. A letter in front of each number corresponds to the
type of therapy selected: E– electrotherapy; U– ultrasound; L– laser.
Combined therapies E+U are listed among E programs and can be found on the electrotherapy tab with the symbol of
ultrasound head (see Chapter 2.5.2 Welcome Screen and Selection of Channels, Tabs and Accessories). They
are on the positions E-35xx - E-39xx.
Your own therapy protocols (except sequences) can be saved under the following numbers: E-80xx - E-89xx for
electrotherapy, U-80xx - U-89xx for ultrasound therapies, and L-80xx - L-89xx for laser therapies.
Your own sequences are saved under the following numbers: E-95xx - E-99xx for electrotherapy, U-95xx - U-99xx for
ultrasound therapies, and L-95xx - L-99xx for laser therapies.
Programs recommended for diagnoses can be found in the User’s Guide.
For fast program number selection, use numerical keyboard. See chapter 2.4.2 Numerical Keyboard for details.
See 2.5.6 Therapy Parameters Screen
–
Ergonomic, Standard
and Expert Mode
Switching between the two parts of
the program number
ente
r
select select

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START TERAPY
2.5.5 Setting Therapy Parameters Manually via the ‘man'
Button
Press the man (11) button to select manual setting for therapy. You may store manual settings for use at a later time.
Press individual 3D buttons to open menus and setting screens. The majority of screens are accompanied by
illustrating pictures and symbols. See the example below:
time / stop
enter
enter
enter
select
select
enter
select

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2.5.6 Therapy Parameters Screen – Ergonomic, Standard and
Expert Mode
This screen opens after pressing the diag (8) or prog (9) button (see 2.5.1 Therapy Flow Chart) before the start of
therapy. The screen shows either the most important therapy parameters (you have selected the ergonomic mode) or
all information about therapy (you have selected expert or standard mode). In addition, in expert mode you can modify
all parameters.
The differences between modes are best seen here:
ergonomic mode standard mode expert mode
Set the operation mode via the menu (12) button - refer to Chapter 3.2.8 Operation Mode for details. For a fast
switch to expert mode from any other operation mode, press man (11) button.
2.5.6.1 Setting Therapy Time
Press the time screen button on the therapy parameters screen to set the required time. For fast settings, use the
time / stop (17) knob.
2.5.6.2 Setting Intensity
Ultrasound and laser therapies: intensity (output) can be set only on the therapy parameters screen and only when the
therapy is not running. To set the intensity, press the intensity screen button or turn the intensity (18) knob.
Electrotherapy: Intensity is set during therapy and can only be adjusted by turning the intensity (18) knob.
For faster intensity setting, keep the intensity (18) knob pressed down while turning it .
time/stop
select
enter

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START / STOP
2.6 COURSE OF THERAPY
2.6.1 Start, Interruption and End of Therapy
To start therapy on the selected channel, press the time / stop (17) knob. The therapy can start only if the therapy
parameters screen is displayed.
Interrupted therapy can be resumed by pressing the time / stop (17) knob or stopped by pressing the esc (16) button.
During therapy interruption, you can adjust the time (except for laser therapies and all types of sequences) by the
time / stop (17) button.
During electrotherapy, you can adjust the intensity during therapy by turning the intensity (18) knob to the right (to
increase intensity) or to the left (to decrease intensity). For faster intensity setting, keep the intensity (18) knob
pressed down while turning it left or right.
intensity
Direction of
increase of intensity
Laser therapy can also be started / interrupted by the start / stop button on the laser probe.
time / sto
p
time / sto
p
time / sto
p
esc
time/stop
intensity
Stopping therapy after pause
Running therapy
screen
Therapy
parameters screen
Interrupted
therapy screen
Setting of intensity
(only electrotherapy)
Interruption of therapy
(pause)
Starting therapy Resuming of
interrupted therapy
Time adjustment
during pause

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2.6.2 Running Therapy Screen
2.6.3 Electrotherapy – Settings during Therapy
2.6.3.1 Setting the Intensity in 4-electrode Therapies
Making a therapy with four electrodes, your can set different intensities between each pair of electrodes. In case of 4-
pole interference the output intensity is set by the intensity (18) button on both channels at the same time (the screen
button 1+2 is pressed) or on each channel separately (the screen button 1or 2 is pressed).
If the intensity on one of the channels is set to zero, the therapy is terminated.
2.6.3.2 Manual Control of Vector in Dipole Interference
Dipole angle is set manually by the select (14) button during therapy. Dipole position is schematically displayed on
the screen below time value.
intensityintensity
select
Therapy description
Indication if monitoring of
contact between therapy
applicator and patient is
switched on /off
Intensity
Indication of sound
control (on/off)
Time till end of
therapy
Symbolic description
of generation
Icon and info
on connected accessory
Info in the head's contact
with patient (ultrasound)

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When rotating dipole, the unit automatically switches to diagnostic mode (Spectrum value = 0Hz). After 1 or 2 seconds
the unit returns to therapeutic mode (Spectrum value = preset value).
2.6.4 Accessories – Visual Signaling
Accessories BTL-236 (for electrotherapy) and BTL-237 (ultrasound heads) feature blue pilot lights that signal their
operating conditions.
BTL-236-1: patient cable with two electrodes. Blue pilot light signals:
•Slow blinking – accessories prepared for therapy, therapy settings screen displayed
•Solid light – therapy in process, possible dangerous voltage on electrodes
BTL-236-2: patient cable with four electrodes. Blue pilot light signals:
•Slow blinking – accessories prepared for therapy, therapy settings screen displayed; pilot light
blinks on a pair of selected electrodes
•Blinking in rhythm of generated currents or solid light – therapy in process, possible dangerous
voltage on electrodes with pilot light blinking
BTL-237: ultrasound head of 1 cm2or 4 cm2Blue pilot ring signals:
•Slow blinking – accessories prepared for therapy, therapy settings screen displayed
•Solid light – therapy in process
•Rapid blinking – wrong contact of head with patient's tissue, therapy paused; contact must be re-
established to continue therapy
BTL-448: laser probes: red and infrared – green pilot light and focusing beam:
•Blinking in rhythm of generated laser or solid light– laser irradiation (also indicated by acoustic
signal)
BTL-445: laser clusters: red, infrared and combined – focusing beam:
•Blinking in rhythm of generated laser or solid light – laser irradiation (also indicated by acoustic
signal)
BTL vac: vacuum unit for electrotherapy – see separate manual
For detailed information, please refer to the leaflet enclosed with each accessory supplied.
2.6.5 Indication of Operation – Energy on Output
2.6.5.1 Electrotherapy
Presence of electrotherapy voltage on output is indicated:
•on the screen – by value of intensity of output current
•on the screen – by showing the remaining time till the end of
therapy
•on the screen – by icon of running electrotherapy current
•on the channel tab – by value of intensity and time
•on the electrotherapy accessory BTL-236 – by blue pilot light
Disconnection of electric circuit (such as in case of wrong contact between
electrode and patient) is indicated by blinking information about intensity
and time on the corresponding channel tab, or by audio signaling.
This function can be switched on and off in the menu of the unit. Its current state is marked by a figure symbol
(crossed-out if disabled). Audio signaling can be switched on and off -- marked by a bell symbol on the screen
(crossed-out if disabled).