Chattanooga Intelect Advanced 2765CS User manual

User Manual
Operation & Installation
Instructions for:
Color Series
2765CS- Two Channel Electrotherapy System with sEMG
2755CS- Two Channel Electrotherapy System
2762CC- Two Channel Combination System with sEMG
2752CC- Two Channel Combination System
Monochromatic Series
2773MS- Two Channel Electrotherapy System
2772MC- Two Channel Combination System
Optional Modules
2770- Channel 3/4 Electrotherapy Module
Therapy System
Electromagnetic
Compatibility
(EMC) Tables
DJO is an ISO 13485 Certified Company

TABLE OF CONTENTS
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Intelect® Advanced Therapy System
FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PRODUCT DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
SAFETY PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
PRECAUTIONARY DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
WARNINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
DANGERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
ELECTROTHERAPY INDICATIONS, CONTRAINDICATIONS, AND
ADVERSE EFFECTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Indications for VMS, VMS Burst, Russian, TENS, High Voltage Pulsed . . . . .
Current (HVPC), Interferential, and Premodulated waveforms. . . . . . . . . . . 7
Additional Indications for Microcurrent, Interferential, Premodulated, . .
VMS™, VMS™ Burst, and TENS waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Indications for Galvanic Continuous Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Additional Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Adverse Eects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ULTRASOUND INDICATIONS AND CONTRAINDICATIONS. . . . . . . . . . . . . . . . . .9
Indications for Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Additional Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
NOMENCLATURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-14
INTELECT ADVANCED ELECTROTHERAPY AND COMBINATION
THERAPY SYSTEMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Two (2) Channel Electrotherapy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Two (2) Channel Combination System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Front Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Rear Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
USER INTERFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
SYMBOL DEFINITIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
System Hardware Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
SystemSoftware Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Operator Remote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Battery Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Channel 3/4ElectrothrapyModule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
GENERAL TERMINOLOGY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-26
SYSTEM SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DIMENSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Width. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Standard Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Power (Combination and Electrotherapy Units). . . . . . . . . . . . . . . . . . . . . . . . . 15
Electrical Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
WAVEFORM SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
IFC (Interferential) Traditional (4 Pole). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
TENS- Asymmetrical Biphasic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
TENS- Symmetrical Biphasic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
TENS- Alternating Rectangular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
TENS- Monophasic Rectangular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
High Voltage Pulsed Current (HVPC). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
VMSTM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Diadynamic Waveforms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
IFC Premodulated (2p) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Russian . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Microcurrent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
VMSTM Burst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
MONOPHASIC: Monophasic Rectangular Pulsed . . . . . . . . . . . . . . . . . . . . . . . . 22
MONOPHASIC: Monophasic Triangular Pulsed . . . . . . . . . . . . . . . . . . . . . . . . . . 22
GALVANIC: Continuous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
GALVANIC: Interrupted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Träbert (Ultrareiz) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
SURGED: Monophasic Rectangular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
SURGED: Monophasic Triangular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ULTRASOUND SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
SET-UP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27-34
INTELECT ADVANCED COLOR SERIES THERAPY SYSTEMS . . . . . . . . . . . . . . . 27
Color Series Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Color Series Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Mains Power Cords. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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Intelect® Advanced Therapy System
INTELECT ADVANCED MONOCHROMATIC SERIES
THERAPY SYSTEMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Monochromatic Series Standard Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Monochromatic Series Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Mains Power Cords. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
THERAPY SYSTEM SET UP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Clinic Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Restore Default Protocols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Restore Default Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Erase Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Set Date and Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Setting System Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Ultrasound Coupling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Display Unit Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Pad Contact Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Select Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Connecting Accessories to the Therapy System . . . . . . . . . . . . . . . . . . . . . . . . . 34
PATIENT PREPARATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35-39
ELECTROTHERAPY PATIENT PREPARATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Dura-Stick™ Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Reusable Carbon Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Dura-Stick™ Electrode Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Connecting Lead Wires. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Securing Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Reusable Carbon Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Connecting Lead Wires. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Conductive Medium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Securing Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
ULTRASOUND PATIENT PREPARATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Preparing Treatment Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Size of Applicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Applicator Preparation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Conductive Medium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Treatment Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Applicator Coupling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40-94
OPERATOR INTERFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
HOME SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
ELECTROTHERAPY SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
GENERAL ELECTROTHERAPY WAVEFORM SET UP. . . . . . . . . . . . . . . . . . . . . . . 43
Prepare Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Select Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Select Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
View Waveform Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
View Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Edit Waveform Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Install Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Set Waveform Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
ADJUSTING ELECTROTHERAPY CHANNEL PARAMETERS
DURING TREATMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Select Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Edit Channel Paramenters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Prepare Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Select Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
View Parameter Rationale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Sound Head Recommendation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Edit Ultrasound Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Head Warming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Set Ultrasound Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

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Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Editing Ultrasound from Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Editing Ultrasound from Treatment Review Screen . . . . . . . . . . . . . . . . . . . . . 51
QUICK LINK INDICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Available Quick Link Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Prepare Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Select Quick Link Indication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
View Waveform Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
View Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Edit Waveform Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Install Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Setting Waveform Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Editing Parameters during Treatment Session . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
COMBINATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Prepare Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Select Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
View Application Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
View Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Access Combination Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Edit Ultrasound Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Select Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Edit Waveform Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Set Waveform Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Set Ultrasound Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
ADJUSTING COMBINATION PARAMETERS DURING TREATMENT . . . . . . . . . 62
Edit Waveform Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Edit Ultrasound Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
PATIENT DATA CARD- SET UP OF NEW CARD . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Insert New Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Setup Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Set Up of New Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Enter Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Access Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Electrode Placement Set Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Access Pain Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Select Pain Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Add Pain Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Select Location of Pain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Editing Pain Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Deleting Pain Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Pain Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Select Pain Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Adjust Pain Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
EXISTING PATIENT DATA CARD USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Insert Existing Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Access Patient Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
View Patient Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Starting a New Treatment from Patient Data Card . . . . . . . . . . . . . . . . . . . . . . 71
Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Set Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

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Erasing Patient Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
CLINICAL RESOURCES LIBRARY- CLINICAL PROTOCOLS™ . . . . . . . . . . . . . . . 73
Clinical Protocols™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Access Clinical Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Access Clinical Protocols™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Select Body Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Select Clinical Indication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Select Pathological Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Select Pathological Severity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
View Waveform Rationale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
View Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Prepare Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Edit Modality Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Set Modality Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
CLINICAL RESOURCES LIBRARY- CREATING USER PROTOCOLS . . . . . . . . . . 78
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Select Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Edit Modality Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Select Clinical Resources Library. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Enter User Protocol Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
CLINICAL RESOURCES LIBRARY- DELETING USER PROTOCOLS . . . . . . . . . . 80
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Select Clinical Resources Library. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Select User Protocol to Delete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Delete User Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
CLINICAL RESOURCES LIBRARY- USING USER PROTOCOLS . . . . . . . . . . . . . . 81
Access User Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Select User Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
View Waveform Rationale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
View Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Prepare Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Edit Modality Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Set Modality Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
CLINICAL RESOURCES LIBRARY- CREATING NEW SEQUENCES . . . . . . . . . . . 85
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Access Sequencing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Select Sequence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Select First Waveform or Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Edit First Waveform or Current. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Select Second Waveform or Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Saving New Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Enter Sequence Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
CLINICAL RESOURCES LIBRARY- DELETING SEQUENCES . . . . . . . . . . . . . . . . 88
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Access Sequencing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Select Sequence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Delete Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
CLINICAL RESOURCES LIBRARY- USING SEQUENCES. . . . . . . . . . . . . . . . . . . . 89
Access Sequencing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Select Sequence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Select Waveform/Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
View Waveform Rationale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
View Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Prepare Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Set Sequence Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Intensity Knob Rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

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Intelect® Advanced Therapy System
Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Save to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Stop Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
CLINICAL RESOURCES LIBRARY- MMC GRAPHICAL LIBRARY . . . . . . . . . . . . 93
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Select Clinincal Resources Library . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Select MMC Graphical Library . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Select Body Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Select Library Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
INSTALLATION/REMOVAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95-106
INSTALLATION- CHANNEL 3/4 ELECTROTHERAPY MODULE . . . . . . . . . . . . . 95
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Nomenclature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Specications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Waveform & Current Specications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Disconnect Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Remove Lead Wires and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Remove Therapy System from Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Release Ribbon Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Position Therapy System and Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Connect Ribbon Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Set Therapy System onto Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Secure Therapy System to Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100
Front Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100
Install Lead Wires and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Install Front Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Mount to Therapy System Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Connect Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Turn Therapy System On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102
REMOVAL- CHANNEL 3/4 ELECTROTHERAPY MODULE. . . . . . . . . . . . . . . . . 103
Disconnect Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103
Remove Therapy System from Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103
Remove Lead Wires and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Remove Screws Securing Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104
Disconnect Ribbon Cable at Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104
Store and Secure Ribbon Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104
Front Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105
Install Lead Wires and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Connect Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Turn Therapy System On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107-112
ERROR CODES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107-112
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113
CARING FOR THE THERAPY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Cleaning the Therapy System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Cleaning the Lens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113
CALIBRATION REQUIREMENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Calibrating Ultrasound Applicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113
FACTORY SERVICE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

FOREWORD
1
Intelect® Advanced Therapy System
This manual has been written for the users of the Intelect Advanced Therapy Systems. It contains general information on the operation,
precautionary practices, and maintenance information. In order to maximize use, efficiency, and the life of the system, please read this
manual thoroughly and become familiar with the controls, as well as the accessories before operating the system.
This manual contains general safety, operating, maintenance, and care instructions as well as installation instructions for the optional
Channel 3/4 Electrotherapy Module for the users of the Intelect Advanced Therapy two channel electrotherapy and combination systems.
Instructions for additional options such as sEMG, sEMG + Stim, Laser, Battery, and Vacuum are found in their respective User Manuals which
contain operation and installation instructions.
Specifications put forth in this manual were in effect at the time of publication. However, owing to DJO, LLC's policy of continual
improvement, changes to these specifications may be made at any time without obligation on the part of DJO, LLC.
Before administering any treatment to a patient, the users of this equipment should read, understand and, follow the information
contained in this manual for each mode of treatment available, as well as the indications, contraindications, warnings, and precautions.
Consult other resources for additional information regarding the application of electrotherapy and ultrasound.
PRODUCT DESCRIPTION
The Intelect Advanced Therapy Systems are two channel electrotherapy and combination systems with the option of adding additional
channels of electrotherapy by installation of the optional Channel 3/4 Electrotherapy Module. Other optional modality modules are
available for separate purchase and may be installed by the end user.
Stay current with the latest clinical developments in the field of electrotherapy, ultrasound, laser therapy, sEMG, and sEMG + Stim. Observe
all applicable precautionary measures for treatment.
Keep informed of appropriate indications and contraindications for the use of electrotherapy, ultrasound, laser therapy, sEMG, and
sEMG+Stim.
This equipment is to be used only under the prescription and supervision of a licensed practitioner.
© 2011 DJO, LLC. All rights reserved. Any use of editorial, pictorial, or layout composition of this publication without express written consent from DJO, LLC is strictly prohibited. This publication was
written, illustrated, and prepared for distribution by DJO, LLC.

SAFETY PRECAUTIONS
2
Intelect® Advanced Therapy System
The precautionary instructions found in this section and throughout this manual are indicated by specific symbols. Understand these
symbols and their definitions before operating this equipment. The definition of these symbols are as follows;
Text with a “CAUTION” indicator will explain possible safety
infractions that could have the potential to cause minor to
moderate injury or damage to equipment.
Text with a “WARNING” indicator will explain possible safety
infractions that will potentially cause serious injury and equipment
damage.
Text with a “Dangerous Voltage” indicator serves to inform
the user of possible hazards resulting in the electrical charge
delivered to the patient in certain treatment configurations
of TENS waveforms.
NOTE:
Throughout this manual, “NOTE” may be found. These Notes are
helpful information to aid in the particular area or function being
described.
PRECAUTIONARY DEFINITIONS
Caution-
Warning-
Text with a “Dangerous Voltage” indicator serves to informText with a “Dangerous Voltage” indicator serves to inform
Dangerous Voltage-
Text with a “DANGER” indicator will explain possible safety
infractions that are imminently hazardous situations that would
result in death or serious injury.
Text with a “DANGER” indicator will explain possible safetyText with a “DANGER” indicator will explain possible safety
Danger-
DANGER
WARNING
CAUTION

SAFETY PRECAUTIONS
3
Intelect® Advanced Therapy System
CAUTION
CAUTION
Read, understand, and practice the precautionary and operating
instructions. Know the limitations and hazards associated with
using any electrical stimulation or ultrasound device. Observe the
precautionary and operational decals placed on the unit.
• DO NOT operate the Intelect Advanced Therapy System when
connected to any unit other than Chattanooga devices.
• DO NOT operate this unit in an environment where other devices
are being used that intentionally radiate electromagnetic energy
in an unshielded manner.
• Ultrasound should be routinely checked before each use to
determine that all controls function normally, especially that the
intensity control does properly adjust the intensity of the ultrasonic
power output in a stable manner. Also, determine that the
treatment time control does actually terminate ultrasonic
power output when the timer reaches zero.
• DO NOT use sharp objects such as a pencil point or ballpoint pen
to operate the buttons on the control panel.
• This unit should be operated, transported and stored in
temperatures between 15° C and 40° C (59° F and 104° F), with
Relative Humidity ranging from 30%-60%.
• Handle Ultrasound Applicator with care. Inappropriate handling of
the Ultrasound Applicator may adversely affect its characteristics.
• Before each use, inspect Ultrasound Applicator for cracks, which
may allow the ingress of conductive fluid.
• Inspect Applicator cables and associated connectors before
each use.
• The Intelect Advanced Therapy System is not designed to prevent
the ingress of water or liquids. Ingress of water or liquids could cause
malfunction of internal components of the system and therefore
create a risk of injury to the patient.
• This equipment generates, uses and can radiate radio frequency
energy and, if not installed and used in accordance with the
instructions, may cause harmful interference to other devices in
the vicinity. However, there is no guarantee that interference will
not occur in a particular installation. Harmful interference to other
devices can be determined by turning this equipment on and off.
Try to correct the interference using one or more of the following:
Reorient or relocate the receiving device, increase the separation
between the equipment, connect the equipment to an outlet on a
different circuit from that to which the other device(s) are connected
and consult the factory field service technician for help.
The Nylatex® Wraps shipped with this unit contain dry natural rubber
and may cause allergic reactions in patients with allergies to latex.
CAUTIONS

SAFETY PRECAUTIONS
4
Intelect® Advanced Therapy System
These devices are restricted to sale by, or on the order of, a physician
or licensed practitioner. This device should be used only under the
continued supervision of a physician or licensed practitioner.
• For continued protection against fire hazard, replace fuses only with
ones of the same type and rating.
• Make certain the unit is electrically grounded by connecting only to a
grounded electrical service receptacle conforming to the applicable
national and local electrical codes.
• Care must be taken when operating this equipment around other
equipment. Potential electromagnetic or other interference could
occur to this or to the other equipment. Try to minimize this
interference by not using other equipment in conjunction with it.
• The safety of TENS waveforms for use during pregnancy or birth
has not been established.
• TENS is not effective for pain of central origin. (This includes
headache.)
• TENS should be used only under the continued supervision of a
physician or licensed practitioner.
• TENS waveforms have no curative value.
• TENS is a symptomatic treatment, and as such, suppresses the
sensation of pain which would otherwise serve as a protective
mechanism.
• The user must keep the device out of the reach of children.
• Electronic monitoring equipment (such as ECG monitors and ECG
alarms) may not operate properly when TENS stimulation is in use.
WARNINGS
• Powered muscle stimulators should be used only with the leads and
electrodes recommended for use by the manufacturer.
• In the event that an Error message or Warning appears beginning
with a 2 or 3, immediately stop all use of the system and contact the
dealer or DJO for service. Errors and Warnings in these categories
indicate an internal problem with the system that must be tested by
DJO or a Field Service Technician certified by DJO before any further
operation or use of the system. Use of a system that indicates an Error
or Warning in these categories may pose a risk of injury to the patient,
user or cause extensive internal damage to the system.
• Use of controls or adjustments or performance of procedures other
than those specified herein may result in hazardous exposure to
ultrasonic energy.
• Before administering any treatment to a patient you should become
acquainted with the operating procedures for each mode of
treatment available, as well as the indications, contraindications,
warnings, and precautions. Consult other resources for additional
information regarding the application of Electrotherapy and
Ultrasound.
• To prevent electrical shock, disconnect the unit from the power
source before attempting any maintenance procedures.
• Keep electrodes separated during treatment. Electrodes in contact
with each other could result in improper stimulation or skin burns.
Long term effects of chronic electrical stimulation are unknown.
WARNING
WARNING

SAFETY PRECAUTIONS
5
Intelect® Advanced Therapy System
WARNINGS (continued)
WARNING
Stimulation should not be applied over the anterior neck or mouth.
Severe spasm of the laryngeal and pharyngeal muscles may occur and
the contractions may be strong enough to close the airway or cause
difficulty in breathing.
• Stimulation should not be applied transthoracically in that the
introduction of electrical current into the heart may cause cardiac
arrhythmia.
• Stimulation should not be applied over swollen, infected, and
inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis,
varicose veins, etc.
• Stimulation should not be applied over, or in proximity to, cancerous
lesions.
Output current density is related to electrode size. Improper application
may result in patient injury. If any question arises as to the proper
electrode size, consult a licensed practitioner prior to therapy session.

SAFETY PRECAUTIONS
6
Intelect® Advanced Therapy System
• Stimulus delivered by the TENS waveforms of this
device, in certain configurations, will deliver a charge of
25 microcoulombs (µC) or greater per pulse and may be
sufficient to cause electrocution. Electrical current of this
magnitude must not flow through the thorax because it
may cause a cardiac arrhythmia.
• Patients with an implanted neurostimulation device
must not be treated with or be in close proximity to
any shortwave diathermy, microwave diathermy, therapeutic
ultrasound diathermy, or laser diathermy anywhere on
their body. Energy from diathermy (shortwave, microwave,
ultrasound, and laser) can be transferred through the
implanted neurostimulation system, can cause tissue
damage, and can result in
severe injury or death. Injury, damage, or death can
occur during diathermy therapy even if the implanted
neurostimulation system is turned “off.”
DANGERS
DANGER

SAFETY PRECAUTIONS
7
Intelect® Advanced Therapy System
ELECTROTHERAPY INDICATIONS, CONTRAINDICATIONS, AND ADVERSE EFFECTS
INDICATIONS FOR VMS, VMS BURST, RUSSIAN, TENS, HIGH
VOLTAGE PULSED CURRENT HVPC, INTERFERENTIAL AND
PREMODULATED WAVEFORMS
• Relaxation of muscle spasms
• Prevention or retardation of disuse atrophy
• Increase local blood circulation
• Muscle re-education
• Maintaining or increasing range of motion
Additional Indications for Microcurrent, Interferential,
Premodulated, VMS™, VMS™ Burst and TENS waveforms
• Symptomatic relief and management of chronic,
intractable pain
• Post-traumatic acute pain
• Post-surgical acute pain
Indications for Galvanic Continuous Mode
• Relaxation of muscle spasm
Contraindications
• This device should not be used for symptomatic local pain relief
unless etiology is established or unless a pain syndrome has
been diagnosed.
• This device should not be used when cancerous lesions are
present in the treatment area.
• Stimulation should not be applied over swollen,
infected, inflamed areas, or skin eruptions, e.g. phlebitis,
thrombophlebitis, varicose veins, etc.
• Other contraindications are patients suspected of carrying
serious infectious disease and or disease, where it is advisable,
for general medical purposes, to suppress heat or fevers.
• Electrode placements must be avoided that apply current
to the carotid sinus region (anterior neck) or transcerebrally
(through the head).
• Safety has not been established for the use of therapeutic
electrical stimulation during pregnancy.
• Powered muscle stimulators should not be used on patients
with cardiac demand pacemakers.
There should not be any use of TENS waveforms on patients with
cardiac demand pacemakers.

SAFETY PRECAUTIONS
8
Intelect® Advanced Therapy System
ELECTROTHERAPY INDICATIONS, CONTRAINDICATIONS, AND ADVERSE EFFECTS (continued)
ADDITIONAL PRECAUTIONS
• Caution should be used for patients with suspected or
diagnosed heart problems.
• Caution should be used for patients with suspected or
diagnosed epilepsy.
• Caution should be used in the presence of the following:
• When there is a tendency to hemorrhage following acute
trauma or fracture.
• Following recent surgical procedures when muscle
contraction may disrupt the healing process.
• Over a menstruating or pregnant uterus; Over areas of the
skin which lack normal sensation.
• Some patients may experience skin irritation or hypersensitivity
due to the electrical stimulation or electrical conductive
medium. The irritation can usually be reduced by using an
alternative conductive medium or an alternative electrode
placement.
• Electrode placement and stimulation settings should be based
on the guidance of the prescribing practitioner.
• Powered muscle stimulators should be used only with the
lead wires and electrodes recommended for use by the
manufacturer.
• With TENS waveforms, isolated cases of skin irritation may
occur at the site of electrode placement following long-term
application.
• The effectiveness of TENS waveforms is highly dependent upon
patient selection by a person qualified in pain management.
Adverse Effects
• Skin irritation and burns beneath the electrodes have been
reported with the use of powered muscle stimulators.
Potential adverse effects with TENS are skin irritation and electrode
burns.

SAFETY PRECAUTIONS
9
Intelect® Advanced Therapy System
INDICATIONS FOR ULTRASOUND
• Application of therapeutic deep heat for the treatment of
selected sub-chronic and chronic medical conditions such as:
• Relief of pain, muscle spasms, and joint contractures
• Relief of pain, muscle spasms, and joint contractures that may
be associated with:
• Adhesive capsulitis
• Bursitis with slight calcification
• Myositis
• Soft tissue injuries
• Shortened tendons due to past injuries and scar tissues
• Relief of sub-chronic, chronic pain, and joint contractures
resulting from:
• Capsular tightness
• Capsular scarring
Contraindications
• This device should not be used for symptomatic local pain relief
unless etiology is established or unless a pain syndrome has
been diagnosed.
• This device should not be used when cancerous lesions are
present in the treatment area.
• Stimulation should not be applied over swollen,
infected, inflamed areas, or skin eruptions, e.g. phlebitis,
thrombophlebitis, varicose veins, etc.
ULTRASOUND INDICATIONS AND CONTRAINDICATIONS
• Other contraindications are patients suspected of carrying
serious infectious disease and disease where it is advisable for
general medical purposes to suppress heat or fevers.
• This device should not be used over or near bone growth
centers until bone growth is complete.
• This device should not be used over the thoracic area if the
patient is using a cardiac pacemaker.
• This device should not be used over a healing fracture.
• This device should not be used over or applied to the eye.
• This device should not be used over a pregnant uterus.
• This device should not be used on ischemic tissues in
individuals with vascular disease where the blood supply would
be unable to follow the increase in metabolic demand and
tissue necrosis might result.
Additional Precautions
• Additional precautions should be used when ultrasound is
used on patients with the following conditions:
• Over an area of the spinal cord following;
• Laminectomy, i.e., when major covering tissues have been
removed.
• Over anesthetic areas.
On patients with hemorrhagic diatheses.

NOMENCLATURE
10
Intelect® Advanced Therapy System
Two (2) Channel Electrotherapy System
INTELECT ADVANCED ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS
1. Two (2) Channel Electrotherapy System
2. User Interface (See Page 12)
3. Front Access Panel
4. Rear Access Panel
5. Patient Data Card and sEMG Data Card access port.
6. Multimedia Card (MMC) access port.
5
4
6
1
2
3
7
1. Two Channel Combination System
2. User Interface (See Page 12)
3. Front Access Panel
4. Rear Access Panel
5. Patient Data Card and sEMG Data Card access port.
6. Multimedia Card (MMC) access port.
Ultrasound Applicator (5cm2shown) Combination
Systems Only
Two (2) Channel Combination System
5
4
6
1
2
3

NOMENCLATURE
11
Intelect® Advanced Therapy System
INTELECT ADVANCED ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS (continued)
1. Screen Contrast Control (Not functional on Color Systems)
2. Power On/Off Switch
3. Technical Maintenance Port
4. Fuses
5. Mains Power Cord
6. Rear Access Panel
7. Serial Decal
2
1
3
4
5
6
1. Front Access Panel Lanyard
When reinstalling the Front Access Panel, make certain the
Lanyard does not become kinked.
2. Operator Remote Control Connector
3. Patient Interrupt Switch Connector
4. Channel 1 Lead Wire Connector
5. Channel 2 Lead Wire Connector
6. Microcurrent Probe Connector
7. Ultrasound Applicator Connector
1
2
3
4
5
6
7
7
Rear Access PanelFront Access Panel

NOMENCLATURE
12
Intelect® Advanced Therapy System
12
3
4
5
6
7
6
8
9
10
11
12
13
14
15 1. Rear Access Panel (See Page 11)
2. User Interface (Color Shown)
3. Ultrasound LED Coupling Indicator
(Combination only)
4. Ultrasound Applicator- 5 cm2Standard.
(Optional 1 cm2, 2 cm2and 10 cm2)
applicators available (Combination only)
5. Intensity Knob
6. Cable and Lead Wire Hook
7. Front Access Panel (See Page 11)
8. Start Button
9. Pause Button
10. Stop Button
11. Clinical Resources Library Button
12. Home Screen button
13. Back Button
14. Patient Data Card and sEMG Data Card Port
15. User Set Up and Parameter Control buttons
16. Multimedia Card (MMC) Port
USER INTERFACE
16

NOMENCLATURE
13
Intelect® Advanced Therapy System
SYMBOL DEFINITIONS
Below are the definitions for all of the symbols used in the Intelect Advanced hardware and software. Study and learn these symbols before
any operation of the system.
ON/OFF SWITCH
DATA PORT
MULTIMEDIA CARD,
PATIENT DATA CARD,
AND SEMG DATA CARD
STOP TREATMENT
PAUSE TREATMENT
START TREATMENT
THERAPY
INTENSITY
CONTROL
CHANNEL 1/2
OPERATOR
REMOTE
CONTROL
(OPTIONAL)
PATIENT INTERRUPT
SWITCH
CHANNEL 1
LEAD WIRES
CHANNEL 2
LEAD WIRES
MICROCURRENT PROBE
ULTRASOUND
APPLICATOR
HOME
CLINICAL
RESOURCES
LIBRARY
BACK
MOVE UP
MOVE DOWN
MOVE RIGHT
MOVE LEFT
ACCEPT AND
RETURN
DO NOT ACCEPT
AND RETURN
M
INCREASE
INTENSITY
DECREASE
INTENSITY
PAUSE
TREATMENT
MANUAL
STIMULATION
CHANNEL 3 LEAD WIRES
CHANNEL 4 LEAD WIRES
MICROCURRENT PROBE
CHARGE LEVEL
BATTERY CHARGING
CHANNEL 3/4 OPERATOR
REMOTE CONTROL
(OPTIONAL)
PATIENT INTERRUPT SWITCH
CONTRAST CONTROL
(NOT FUNCTIONAL ON
COLOR SYSTEMS)
System Hardware Symbols System
Software Symbols Optional Module and Accessory Symbols
Operator Remote
Battery Module
Channel 3/4
Electrothrapy
Module
PAD CONTACT QUALITY
(SINGLE CHANNEL GRAPH)
PAD CONTACT QUALITY
(DUAL CHANNEL GRAPH)

NOMENCLATURE
14
Intelect® Advanced Therapy System
Below are the definitions for all of the unique terminology used throughout this manual. Study these and become familiar with these
terms for ease of system operation and familiarization with the components and control functionality of the Intelect Adavnced Therapy
System. Some of these terms and definitions refer to a specific button or control on the system. Refer to page 13 for Symbol Definitions.
The dedicated button on the Main unit, below the display, that
each time pressed takes the user back one screen at a time.
1
GENERAL TERMINOLOGY
That component of the Applicator that makes contact with
the patient during Ultrasound or Combination therapy.
2
Back button
Previous Page button
UP and DOWN Arrows
Electrotherapy
System
Module
1. Sound Head
2. Applicator
3. Coupling LED
3
The button used in some modalities and functions that will take
the user back one page when reading multiple pages of text.
Controls used in various modality parameter screens to navigate or
change a value up or down within the parameter.
Refers to the Electrical muscle or nerve Stimulation modalities of
the system.
The primary system with all controls and functions.
Any optional modular modality component designed for
installation onto the System.
The assembly that connects to the System and incorporates
the Sound Head.
The component of the Applicator which indicates if
the Sound Head is Coupled or Uncoupled on the the
treatment area.
ULTRASOUND