BTL BTL-6000 SWT EASY User manual

BTL-6000 SWT EASY
USER´S MANUAL

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.
Again, thank you for being a BTL customer.
BTL Industries, Ltd.

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 5 OF 32
CONTENTS
1GENERAL CHARACTERISTICS OF THE DEVICE...........................................................................................6
1.1 Intended Purpose ............................................................................................................................................6
1.2 User Profile......................................................................................................................................................6
1.3 Operating Environment....................................................................................................................................6
1.4 Patient Profile ..................................................................................................................................................6
1.5 Possible Side Effects of Shockwave Treatment...............................................................................................6
1.6 Contra-Indications for Shockwave Treatment..................................................................................................7
2INSTRUCTIONS FOR OPERATION ..................................................................................................................8
2.1 The Front Panel of the BTL-6000 SWT Easy...................................................................................................8
2.2 Applicator for BTL-6000 SWT Easy.................................................................................................................8
2.3 The Rear Panel of the BTL-6000 SWT Easy...................................................................................................9
2.4 Assembly and Set-Up....................................................................................................................................10
2.5 Basic Operation.............................................................................................................................................11
2.5.1 Controls for Setting Frequency, Number of Shocks, Pressure ....................................................................11
2.5.2 Controls for Setting Program and Mode ......................................................................................................12
2.6 Setting Options ..............................................................................................................................................12
2.6.1 Program.......................................................................................................................................................12
2.6.2 Frequency....................................................................................................................................................12
2.6.3 Number of Shocks.......................................................................................................................................12
2.6.4 Pressure Bar................................................................................................................................................12
2.6.5 Mode............................................................................................................................................................12
2.7 Start, Progress and End of Therapy ..............................................................................................................13
2.7.1 Application of Shockwaves..........................................................................................................................13
2.8 Saving of Therapy..........................................................................................................................................15
2.9 Device Settings..............................................................................................................................................15
2.9.1 User Settings...............................................................................................................................................15
2.9.1.1 Sound Volume.......................................................................................................................................15
2.9.2 Additional Settings.......................................................................................................................................15
2.9.2.1 Brightness Setting.................................................................................................................................15
2.9.2.2 Firmware Version Display.....................................................................................................................15
2.9.2.3 Displaying of the Number of Shot Shocks.............................................................................................15
2.9.3 Error Messages ...........................................................................................................................................16
3LIST OF STANDARD AND OPTIONAL ACCESSORIES................................................................................17
4MAINTENANCE AND SAFETY INSTRUCTIONS............................................................................................18
4.1 Maintenance Instructions...............................................................................................................................18
4.1.1 Regular Maintenance...................................................................................................................................18
4.1.2 Shock Transmitter Replacement .................................................................................................................20
4.1.3 Applicator Kit Cleaning ................................................................................................................................21
4.1.4 Applicator Kit replacement...........................................................................................................................22
4.2 General Safety Precautions...........................................................................................................................24
4.3 Used Symbols................................................................................................................................................26
5TECHNICAL PARAMETERS...........................................................................................................................27
5.1 EMC Information............................................................................................................................................29
5.1.1 Essential Performance of the Device...........................................................................................................30
5.2 Manufacturer..................................................................................................................................................31

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 6 OF 32
1GENERAL CHARACTERISTICS OF THE DEVICE
The BTL-6000 SWT EASY is a state-of-the-art device allowing the application of therapy using non-invasive
shockwaves. The BTL-6000 SWT EASY uses the ballistic principle of shockwave generation.
1.1 INTENDED PURPOSE
BTL-6000 SWT Easy is a non-invasive therapeutic device using acoustic waves in order to stimulate local
biological response of the treated tissue. Biological response includes decrease of local pain sensation, muscle
relaxation and increase of blood microcirculation resulting in local metabolism enhancement and local trophic
improvement. The BTL-6000 SWT Easy can be used to treat painful conditions of musculoskeletal system such
as chronic tendinopathies, insertional pain, trigger points and other painful syndromes and for treatment of
degenerative and overuse conditions of musculoskeletal system such as arthrosis, arthritis, calcifications and
chronic inflammations.
1.2 USER PROFILE
The device shall be used by medically educated personnel. The user shall be familiar with all safety precautions,
operating procedures and maintenance instructions given in this User’s Manual.
1.3 OPERATING ENVIRONMENT
The device is intended solely for professional use in medical facilities. The device is designed for indoor use only,
not for use in a location where explosion or water intrusion hazards are present, not for use in dusty or humid
environment and not to be exposed to direct sunshine. The device is not intended for home-use.
1.4 PATIENT PROFILE
The use of the device is not limited by gender, age or weight of the patient. The patient must not show any signs
of contraindications determined for the device. The user should take into account a detailed patient’s medical
history and examine the patient thoroughly to determine whether or not the application of therapy is suitable for
the patient.
1.5 POSSIBLE SIDE EFFECTS OF SHOCKWAVE TREATMENT
Erythema or swelling can temporarily occur in the treated area.
Loss of bodily sensation, mild pain or itching can temporarily occur in the treated area.
Hematoma
Petechiae
Skin damage after previous corticoid therapy

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 7 OF 32
1.6 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
Polypus in the area of treatment
Pregnancy
Thrombosis
Tumor diseases
Polyneuropathy
Acute inflammation
Application in proximity to bone growth zone in children
Therapy using local corticosteroid application in therapy area
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

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 8 OF 32
2INSTRUCTIONS FOR OPERATION
2.1 THE FRONT PANEL OF THE BTL-6000 SWT EASY
1
6 10101010101010105
10101010101010103
10101010101010104
10101010101010102
1. control panel
2. select knob (to select individual parameters)
3. enter button
4. esc button
5. start/stop button (to start and stop therapy)
6. on/off switch (back lit, in blue, when the control unit is ‘’on’’ )
2.2 APPLICATOR FOR BTL-6000 SWT EASY
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

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 9 OF 32
2.3 THE REAR PANEL OF THE BTL-6000 SWT EASY
19
17
16
15
14
18
20
14. connector for shockwave applicator
15. fuse of control unit
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

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 10 OF 32
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 (10 cm) 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.
Set-up 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 - 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!
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 control unit will lock itself into a “secure” mode. If this situation
occurs, please contact your authorized BTL distributor.

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 11 OF 32
2.5 BASIC OPERATION
After turning the device on using the on/off button (6) on the front panel, the control panel will light up.
select
2.5.1 CONTROLS FOR SETTING FREQUENCY, NUMBER OF SHOCKS, PRESSURE
Frequency, number of shocks and pressure can be set in two ways.
First, press the button of the desired function (after selecting the therapy program) and when the currently set
value begins to blink, the function is active for modification.
Then, either:
1. Use the "select" knob: Turn it to the right to increase the value and to the left to decrease the value.
or
1. Press the respective button again to change the set value as follows:
oFrequency: The frequency will increase by 1 Hz.
oNumber of Shocks: The number will increase by 500 shocks
oPressure: The pressure will increase by 0.5 bar
After the user has finished making the changes, the function will be active and blinking for five (5) more seconds.
When the blinking stops, the changes are entered.
Whenever setting therapy, first select the program and only then set the values of frequency, number of shock
and pressure. The changed values can be saved in the device's temporary memory by quickly pressing the enter
button or by clicking on the button of another function. These values are saved only temporarily for the therapy
you are currently preparing; after the change of the therapy program or switch-off of the device there are again
loaded the values saved in the permanent memory for the given program.
After the device is turned off and then turned back on, the control panel will display the last active therapy used
with the permanent memory saved values.
to change these values, turn the
"select" knob or press the
respective button as many times
as needed until the desired
indicator lights up

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 12 OF 32
2.5.2 CONTROLS FOR SETTING PROGRAM AND MODE
The settings for program and mode can be changed by pressing the respective button the corresponding
number of times until the desired indicator lights up.
2.6 SETTING OPTIONS
2.6.1 PROGRAM
The device contains 8 pre-set programs/therapies:
program
frequency
number of
shocks
pressure Bar
manual
8 Hz
1500
1.9
calcar calcanei, plantar fasciitis
10 Hz
2000
2.5
pain in the groin / hip area
10 Hz
2000
2.5
patellar tendinopathy
10 Hz
2000
2.0
achillodynia
10 Hz
2000
2.0
epicondylitis
10 Hz
2000
2.0
painful shoulder
10 Hz
2000
3.0
trigger points
10 Hz
2000
2.0
2.6.2 FREQUENCY
Setting of the frequency of the applicator pulse in Hz.
10 Hz is set by default for each therapy. The maximum settable value of frequency is 15 Hz.
2.6.3 NUMBER OF SHOCKS
It is possible to set 9,999 shocks. For continuous therapy turn the select knob to the left. Setting of continuous
therapy is indicated by four dashes on the display:
2.6.4 PRESSURE BAR
This function displays the value of pressure. Each program has another preset value of pressure - see Chapter
Program. The maximum settable value is 4 bar.
Caution!
Always set pressure according to the physician’s recommendations and the patient’s feeling. The therapy should
not cause unpleasant sensation to the patient; that is why the pressure can be modified even during the
procedure!
2.6.5 MODE
Setting of the way of control of the start button on the applicator.
continual
First pressing of the button to start the shockwave; second pressing of the button to stop the shockwave.
single
Each pressing of the button makes one shock.

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 13 OF 32
2.7 START, PROGRESS AND END OF THERAPY
After setting of the therapy parameters according to your requirements, press the start/stop button on the front
panel of the device and then the button on the applicator to start therapy. Depending on your selected mode for
the applicator button (continual or single) you can control the progress of the shockwave.
By default, the therapy ends after completion of the set number of shocks; to stop the therapy immediately, press
start/stop.
To interrupt the therapy, release the button on the applicator (in the single mode) or press it (in the continual
mode). To resume the interrupted therapy, press the button on the applicator and hold it pressed (in the single
mode) or just press the button again (in the continual mode).
During therapy you can modify the values of pressure, frequency and, if pulses are not being generated, the
number of shocks.
2.7.1 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 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.

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 14 OF 32
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.
Patellar Tendinopathy (Jumper’s Knee)
Achillodynia
Trigger points
Epicondylitis
Painful shoulder
Trigger-points
Tibial Edge Syndrome
Calcar Calcanei (Plantar Fasciitis)

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 15 OF 32
2.8 SAVING OF THERAPY
You can change the default values of therapy programs permanently saved in the device's memory.
For each therapy program, you can permanently preset the following parameters: frequency, number of shocks
and pressure.
You can set and then save the new parameters for therapy frequency, number of shocks and pressure by
pressing the enter button and holding it until the backlighting of the buttons blink. The selected settings are saved
in the device's permanent memory and will be loaded as presets when the device is turned on the next time.
If you wish to change the program parameters back to the original (default) settings, you should select the therapy
to reset then press the esc button and hold it until the backlighting of the buttons blink. The values of therapy
program will be automatically changed.
2.9 DEVICE SETTINGS
2.9.1 USER SETTINGS
To access the user menu, press the buttons enter + esc + mode simultaneously.
To switch between functions in the menu, turn the select knob.
To change the on/off setting, press the enter button.
To exit the user setting menu, press the esc button.
2.9.1.1 Sound Volume
Displayed on the control panel: 1 Snd
On: Turns on the audio signalling of the device. A tone will sound at switch-on or switch-off of the device
and at the end of therapy.
Off: Mutes the audio signalling of the device.
2.9.2 ADDITIONAL SETTINGS
2.9.2.1 Brightness Setting
To set the brightness of the backlighting of all buttons, press and hold the buttons enter + esc simultaneously and
then turn the select knob to change the brightness.
2.9.2.2 Firmware Version Display
Press and hold the buttons enter + esc + pressure simultaneously to display the last firmware version loaded in
the device.
2.9.2.3 Displaying of the Number of Shot Shocks
After pressing the combination of buttons enter + esc + number of shocks you will enter the menu, in which you
can view the number of shocks shot by the applicator and/or by the device. For switching between the number of
shocks shot by the device and the number of shocks shot by the applicator you can use the select knob. Number
of shots is displayed in format X.XXX, where dot means that number must be multiplied x1000. For example
1.234 means, that 1 million 234 thousands shots have been applied yet.
To reset the number of shocks of the applicator, hold the enter button for 5 seconds. The number of shocks of the
device cannot be reset.

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 16 OF 32
2.9.3 ERROR MESSAGES
Unconnected or improperly connected applicator
If the applicator is not connected to the device or is connected improperly, the display shows the following
graphics at the option number of shocks:
If the applicator is missing, connect it to the device as described in the Chapter Assembly and Set-Up. If the
applicator is connected improperly, disconnect it from the device and repeat the connecting process according to
Chapter Assembly and Set-Up.
The device is ON, but it does not generate shockwave
If the device is ON but cannot generate shockwave because of an internal error, the display shows the
following text at the number of shocks option:
Switch off the device and contact the authorized service of BTL devices.
The device shows message "Water"
After 150,000 shot shocks the device will prompt you automatically by message "Water" to pour out the
condensate from the vessel.
Turn the unit OFF. To release the vessel for condensate, screw it out by turning to the left. Unscrew transparent
part as whole, do not loosen the blue screw. After pouring the condensate out screw the vessel back into position
tightly and press enter button. After turning the unit ON the warning message should disappear.

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 17 OF 32
3LIST OF STANDARD AND OPTIONAL ACCESSORIES
The device is not designed for use with other accessories or other medical equipment other than those stated in
this manual.
The first list is of all standard accessories that are supplied with the device. The second list is of the optional
accessories available from BTL.
For more detailed information on individual accessories, see the enclosed leaflet.
Standard accessories:
1x shockwave applicator with multi-focus shock transmitter Ø 15 mm
1x replaceable multi-focus shock transmitter Ø 9 mm
1x replaceable focusing shock transmitter Ø 15 mm
1x applicator holder
1x gel 300 ml
1x adapter
1x spare fuse T6.3AL/250 V
1x user’s manual
Optional accessories:
transport case for the BTL-6000 SWT
gel 300 ml
20 mm vibrating transmitter
36 mm vibrating transmitter
15 mm multifocused titanium transmitter
9 mm multifocused trigger transmitter
20 mm titanium transmitter with sanitary cover
20 mm transmitter with sanitary cover
set of sanitary covers 20 mm (100 pcs)
Set of 2 transmitters
Set of 4 transmitters
Set of 6 transmitters
Full set of transmitters

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 18 OF 32
4MAINTENANCE AND SAFETY INSTRUCTIONS
The recommended intervals for inspection of the device are 24 months after installation, subsequently each
12 months. The intervals may differ according to the local regulations. The inspection shall be performed
according to procedure authorized by BTL.
To keep the device clean, do not store or use it in extremely dusty environment for a long time. Do not immerse it
in any liquid. Before each use, checks that the device and its accessories (especially cables) are not mechanically
or otherwise damaged. Do not use the device if it is damaged!
Exterior cleaning of the device:
Use a soft cloth slightly moistened with water or with a 2% detergent solution to clean the exterior of the
BTL-6000 SWT Easy device and its parts. Never use cleaning agents containing alcohol, ammonia, benzine,
thinners, etc. Never use abrasive cleaning materials which will scratch the device's surfaces. No parts of the
device require sterilization. Care should be given to prevent water or other liquids from getting inside the device.
Cleaning and maintenance of accessories which come into contact with the patient:
Clean and disinfect after each client using approved cleaning agents. For example, Sekusept, Bacilol, and Incidur
Spray can be used. For the cables of accessories, use Incidur Spray and the alike. DO NOT USE SOLVENTS!!!
The exterior surface of the shock transmitter can be washed with warm water with its cap on. However, to
completely remove all of the contact gel from the shock transmitter, it will be necessary to unscrew the shock
transmitter and clean it.
Fuse replacement:
The fuse is placed in the round black boxes on the rear panel. During replacement, check the correctness of the
fuse being inserted. This action should only be done by a person acquainted with this procedure!
Before replacement, make sure that the main power switch of the device is in the “0” position and the adapter is
unplugged from the unit. Turn the segment of the fuse box to the left using a flathead screwdriver or coin in the
slot to remove the fuse. Insert a new fuse and turn it to the right.
Do not use fuses other than those stated above the fuse box!
Plugging the device into an electrical outlet:
The device is equipped with automatic voltage detection, so it can be used for voltages within the 100-240V.
Transport and Storage:
Keep the shipping container and all packaging materials. Transport the unit in original box to ensure maximum
protection. Unplug the main power cable and all accessory cables. Take care to avoid shocks or jarring
movements to the device during transport. This device should only be transported and stored under the conditions
defined in the chapter Technical Parameters.
4.1 MAINTENANCE INSTRUCTIONS
4.1.1 REGULAR MAINTENANCE
At the end of each therapy day, the amount of condensate in the vessel on the rear side of the device should be
checked. If not empty, remove all the collected condensate and clean the vessel. Additionally, the device
automatically prompts you after 150,000 shot pulses the device to pour out the condensate from the vessel.

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 19 OF 32
To release the vessel for condensate, screw it out by turning to the left; after pouring the condensate out screw
the vessel back into position tightly.
Once per week unscrew nut of the shock transmitter (by transmitter nut wrench) and body nut (by body nut
wrench), rinse them in a clear water to remove all residues of contact gel. Clean the shock transmitter as well and
remove impurities and residues of contact gel from the gap between applicator’s grip and front part of the
cartridge. This procedure prevents threads of both nuts from stiffen, what may make unscrewing of the nuts and
changing of shock transmitter or cartridge difficult or impossible.
Once per month check condition shock transmitter’s O-rings. If their outer surface is worn and flattened, they
have to be exchanged by the spare ones included in accessories. This will ensure correct transmittion of the
shock energy and prevent the contact gel from penetration inside the applicator and damage it. Latest together
with the applicator kit replacement the O-rings should be exchanged.
OK
WORN
Nut of shock transmitter
Body nut
Transmitter nut wrench
Body nut wrench

BTL-6000 SWT EASY –USER’S MANUAL I PAGE 20 OF 32
4.1.2 SHOCK TRANSMITTER REPLACEMENT
The shock transmitter can be replaced as necessary. Three shock transmitters are included as part of the
BTL-6000 SWT Easy standard accessories:
1x replaceable multi-focus shock transmitter (Ø 15 mm)
1x replaceable multi-focus shock transmitter (Ø 9 mm)
1x replaceable focusing shock transmitter (Ø 15 mm)
Replacement procedure:
1. Use the transmitter nut wrench (included in the box with applicator) to unscrew the nut of the shock
transmitter.
2. Take the shock transmitter together with both O-rings out from the applicator.
3. Insert the selected shock transmitter to the applicator including mounted O–rings.
4. Put the nut back in place and tighten it firmly using the transmitter nut wrench.
!ATTENTION!
If the nut is not TIGHTENED PROPERLY, the projectile may get jammed after mere few thousand
shocks!