Chattanooga Intelect Advanced 2771 User manual

User Manual
Operation & Installation
Instructions for:
2771- sEMG and sEMG + Stim Module
Therapy System
DJO is an ISO 13485 Certified Company

Intelect® Advanced sEMG and sEMG + Stim Module
i
FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PRODUCT DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
SAFETY PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
PRECAUTIONARY DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
WARNINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
DANGERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
SEMG INDICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
sEMG + STIM INDICATIONS, CONTRAINDICATIONS
AND ADVERSE EFFECTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Indications- sEMG + Stim using VMS™, Symmetrical Biphasic (TENS), . . . .
Asymmetrical Biphasic (TENS) or Russian waveforms . . . . . . . . . . . . . . . . . . . . 7
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Additional Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Adverse Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
NOMENCLATURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
sEMG and sEMG + STIM STANDARD ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . 8
SYMBOL DEFINITIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
System Hardware Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
SystemSoftware Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Operator Remote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Battery Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Channel 3/4ElectrothrapyModule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
TERMINOLOGY DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-13
SEMG AND sEMG + STIM MODULE SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . 11
WAVEFORM SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
TENS- Asymmetrical Biphasic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
TENS- Symmetrical Biphasic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
VMSTM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
High Voltage Pulsed Current (HVPC). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
INSTALLATION & REMOVAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-19
GENERAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
sEMG Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Therapy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
THERAPY SYSTEM PREPARATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Disconnect System Mains. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Disconnect Leads and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Remove Therapy System from Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Remove Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Remove Breakout Tabs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSTALLING SEMG MODULE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Position sEMG Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Secure sEMG Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Install and Reinstall Additional Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Install Rear Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Install Cables and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Apply Mains Power. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
REMOVING SEMG MODULE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Prepare System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Remove sEMG Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
sEMG Plug Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
PATIENT PREPARATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20-24
SEMG AND SEMG+STIM PATIENT PREPARATION. . . . . . . . . . . . . . . . . . . . . . . . . 20
Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Dura-Stick™ II Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Install sEMG Lead Wires to System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Install Dura-Stick™ II Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Select Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Select Body Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
View Electrode Placement Graphic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
View Electrode Placement Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Prepare Treatment Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Intra-Vaginal Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25-43
SEMG THERAPY SET UP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Optional Patient Data Management System (PDMS). . . . . . . . . . . . . . . . . . . . 25
sEMG Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
TABLE OF CONTENTS

Intelect® Advanced sEMG and sEMG + Stim Module
ii
Prepare System and Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Select sEMG Modality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
View sEMG Description Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Select Edit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Select Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Set Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Set Audio Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Select Target Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Setting Max Target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Setting Avg Target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Setting Manual Target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Set Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Start sEMG Therapy Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Stopping sEMG Therapy Session. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
SEMG+STIM THERAPY SET UP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Prepare System and Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Select sEMG + Stim Modality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Select Edit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Select Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Set Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Set Audio Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Select Stim Waveform. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Edit Stim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Select Target Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Setting Max Target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Setting Avg Target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Setting Manual Target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Set Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Set Auto Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Start sEMG Therapy Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Stopping Stim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Stopping Therapy Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
SET UP OF NEW SEMG DATA CARD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Insert New sEMG Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Prepare System and Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Set Up sEMG Therapy Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Enter Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Begin Save . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
End Save. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44-49
ERROR CODES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44-49
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
REPLACEMENT ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Color Series Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Color Series Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Mains Power Cords. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
CARING FOR THE THERAPY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Cleaning the Therapy System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Cleaning the Lens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
FACTORY SERVICE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
TABLE OF CONTENTS

Intelect® Advanced sEMG and sEMG + Stim Module
1
This manual has been written for the owners of an Intelect Advanced Therapy System, sEMG and sEMG + Stim Module. It contains general
information on the operation, precautionary practices, installation and maintenance for the Intelect Advanced sEMG and sEMG + Stim
Module. In order to maximize use, efficiency, the life of the Therapy System, and the Intelect Advanced sEMG and sEMG + Stim Module,
please read this manual thoroughly and become familiar with the Intelect Advanced sEMG and sEMG + Stim Module before operating the
system.
This manual contains general safety, operating, maintenance and care instructions as well as installation instruction for the Intelect
Advanced sEMG and sEMG + Stim Module for the users of the Intelect Advanced Therapy Two Channel and Four Channel Electrotherapy
and Combination Therapy Systems. Instructions for the Intelect Advanced Therapy System and its additional modules such as Battery,
Laser, and Vacuum Electrode modules are found in their respective User Manuals that also contain installation and operation 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 and the Therapy System User 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, ultrasound,
sEMG (Surface Electromyography), sEMG + Stim (Surface Electromyography with Triggered Stimulation), and Laser therapy.
PRODUCT DESCRIPTION
The Intelect Advanced sEMG and sEMG + Stim Module is designed for use with the Intelect Advanced Therapy Two and Four Channel
Electrotherapy and Combination Therapy Systems only. Additional options are available for separate purchase and can be installed by the
end user.
Stay current with the latest clinical developments in the field of Electrotherapy, Ultrasound, sEMG (Surface Electromyography) , sEMG
+ Stim (Surface Electromyography with Triggered Stimulation), and Laser Therapy. Observe all applicable precautionary measures for
treatment.
Keep informed of appropriate indications and contraindications for the use of Electrotherapy, Ultrasound, sEMG (Surface
Electromyography), sEMG + Stim (Surface Electromyography with Triggered Stimulation), and Laser Therapy.
This equipment is to be used only under the prescription and supervision of a physician or 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.
FOREWORD

Intelect® Advanced sEMG and sEMG + Stim Module
2
SAFETY PRECAUTIONS
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-
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.
Danger-
Text with a “BIOHAZARD” indicator serves to inform
the user of possible hazards resulting in improper
handling of components and accessories that have
come in contact with bodily fluids.
Biohazardous Materials-
DANGER
WARNING
CAUTION

Intelect® Advanced sEMG and sEMG + Stim Module
3
CAUTIONCAUTION
Read, understand and practice the precautionary and operating
instructions. Know the limitations and hazards associated with using
any electrical stimulation. Observe the precautionary and operational
decals placed on the unit.
• DO NOT operate the Intelect Advanced Therapy System sEMG
Module 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.
• DO NOT use sharp objects such as a pencil point or ballpoint pen to
operate the buttons on the control panel as damage may result.
• 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%.
• Inspect Lead wires and associated connectors for signs of damage
before each use. Replace damaged lead wires immediately with
new before any treatment is applied.
• 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/or 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

Intelect® Advanced sEMG and sEMG + Stim Module
4
WARNING
WARNING
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.
• 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.
• 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 sEMG + Electrical
Stimulation.
• To prevent electrical shock, disconnect the unit from the power
source before attempting any maintenance procedures.
• Keep stim 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.
• 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.
WARNINGS
• 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, inflamed
areas or skin eruptions, e.g., phlebitis, thrombophlebitis, varicose
veins, etc.
• Stimulation should not be applied over, or in proximity to, cancerous
lesions.
• The safety of TENS devices for use during pregnancy or birth has
not been established.
• TENS is not effective for pain of central origin. (This includes
headache.)
• TENS devices should be used only under the continued supervision
of a physician or licensed practitioner.
• TENS devices 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.
• Before each therapy session begins, make certain the patient has
the appropriate patient switch for the channels being used.
SAFETY PRECAUTIONS

Intelect® Advanced sEMG and sEMG + Stim Module
5
• 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.”
• Handle, clean, and dispose of components and accessories
that have come in contact with bodily fluids according
to National, Local and Facility rules, regulations and
procedures.
DANGERS
SAFETY PRECAUTIONS
DANGER

Intelect® Advanced sEMG and sEMG + Stim Module
6
SEMG INDICATIONS
To determine the activation timing of muscles for:
• Retraining of muscle activation
• Coordination of muscle activation
• An indication of the force produced by muscle for control and
maintenance of muscle contractions.
• Relaxation muscle training
• Muscle re-education
SAFETY PRECAUTIONS
Indications- Surface EMG

Intelect® Advanced sEMG and sEMG + Stim Module
7
sEMG + STIM INDICATIONS, CONTRAINDICATIONS AND ADVERSE EFFECTS
SAFETY PRECAUTIONS
• Stroke rehab by muscle re-education
• Relaxation of muscle spasms
• Prevention or retardation of disuse atrophy
• Increase local blood circulation
• Muscle re-education
• Maintaining or increasing range of motion
• 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 the management of pain patients.
Indications- sEMG + Stim using VMS™, Symmetrical Biphasic
(TENS), Asymmetrical Biphasic (TENS) or Russian waveforms
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 erruptions, 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 transcereberally (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.
Additional Precautions
• 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.
Adverse Effects

Intelect® Advanced sEMG and sEMG + Stim Module
8
DANGER
sEMG & sEMG + STIM STANDARD ACCESSORIES
NOMENCLATURE
1. Surface EMG (sEMG) Module
2. sEMG + Electrical Stimulation Lead Wires for Channel 1
3. sEMG + Electrical Stimulation Lead Wires for Channel 2
4. Dura-Stick II 3.2 cm (1.25”) Self Adhesive disposable
Electrodes (3 packs of 4)
5. User Manual (CD-ROM)
6. Intra-Vaginal Probe (not illustrated)
1
2
3
4
5
Handle, clean, and dispose of components and accessories
that have come in contact with bodily fluids according
to National, Local and Facility rules, regulations and
procedures..

Intelect® Advanced sEMG and sEMG + Stim Module
9
SYMBOL DEFINITIONS
ON/OFF
SWITCH
DATA
PORT
MULTI-MEDIA
AND
PATIENT 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)
NOMENCLATURE
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)
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.

Intelect® Advanced sEMG and sEMG + Stim Module
10
TERMINOLOGY DEFINITIONS
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, component and control functionality of the Intelect Adavnced Therapy System. Some of these terms
and definitions refer to a specific button, control, or module on the system. Refer to page 9 for symbol definitions.
The dedicated button on the System, below the display, that
each time pressed takes the user back one screen at a time.
GENERAL TERMINOLOGY
NOMENCLATURE
Back Button
Previous Page Button
UP and DOWN Arrows
Electrotherapy
System
sEMG Module
Abbreviation for the Surface Electromyography modality.
sEMG
sEMG + Stim
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.
The Module installed into the bottom cavity of the System and
utilized by the System to cause the sEMG and sEMG + Stim
modalities to function.
Abbreviation for Surface Electromyography with Triggered
Electrical Stimulation modality.

Intelect® Advanced sEMG and sEMG + Stim Module
11
sEMG AND sEMG + STIM MODULE SPECIFICATIONS
HEIGHT
SPECIFICATIONS
WIDTH
DEPTH
DIMENSIONS
Width. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.3 cm (3.25”)
Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.2 cm (3.625”)
Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 cm (1.187”)
Input Impedance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .> 1,000,000 ohm
Input Sensitivity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < 1.0 µV RMS
Frequency Range . 15 Hz-300 Hz with CMMR of > 120 dB CMMR
at 50/60 Hz > 180 dB
Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 g (3.8 oz)
Product Type
Internally Powered . . . . . . . . . .Intelect Advanced Therapy System
Electrical Class. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Class I
Electrical Type. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type BF
For Continuous Operation
Regulatory Compliance
UL/IEC/EN 60601-1
IEC/EN 60601-1-2
IEC 60601-2-10

Intelect® Advanced sEMG and sEMG + Stim Module
12
WAVEFORM SPECIFICATIONS
The Asymmetrical Biphasic waveform has a short pulse duration.
It is capable of strong stimulation of the nerve fibers in the skin
as well as of muscle tissue. This waveform is often used in TENS
devices. Because of its short pulse, the patient typically tolerates
the current well, even at relatively high intensities.
Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes
Output Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-110 mA
Phase Duration . . . . . . . . . . . . . . . . . . . . . . . . . Adjustable 20-1,000 µsec
Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-250 Hz
Mode Selection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC or CV*
Burst Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-10 bps
Frequency Modulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-250 Hz
Amplitude Modulation . . . . . . . . . . . . Off, 40%, 60%, 80% and 100%
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes
*CC= Constant Current
CV= Constant Voltage
SPECIFICATIONS
TENS- Asymmetrical Biphasic
The Symmetrical Biphasic waveform has a short pulse duration
and is capable of strong stimulation of nerve fibers in the skin
and in muscle. This waveform is often used in portable muscle
stimulation units, and some TENS devices. Because of its short
pulse duration, the patient typically tolerates the current well,
even at relatively high intensities.
Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes
Output Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-80 mA
Phase Duration . . . . . . . . . . . . . . . . . . . . . . . . . Adjustable 20-1,000 µsec
Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-250 Hz
Mode Selection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC or CV*
Burst Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-4 bps
Frequency Modulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-250 Hz
Amplitude Modulation . . . . . . . . . . . . Off, 40%, 60%, 80% and 100%
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes
TENS- Symmetrical Biphasic
DANGER
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.

Intelect® Advanced sEMG and sEMG + Stim Module
13
The High Voltage Pulsed Current (HVPC) has a very brief pulse
duration characterized by 2 distinct peaks delivered at high
voltage. The waveform is monophasic (current flows in one
direction only). The high voltage causes a decreased skin
resistance making the current comfortable and easy to tolerate.
Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Electrodes or Probe
Output Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-500 V
Polarity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Positive or Negative
Ramp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.5 sec, 1 sec, 2 sec, 5 sec
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Peak Current or Volts
Sweep. . . . . . . . . . . . . .Continuous, 80/120 pps, 1/120 pps, 1/10 pps
Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-120 pps
Cycle Time. . . . . .5/5, 4/12, 10/10, 10/20, 10/30, 10/50, Continuous
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 Minutes
Available on Channels . . . . . . . . . . . . . . . . . . . . . . . . 1 & 2, 3 & 4 Option
*CC= Constant Current
CV= Constant Voltage
WAVEFORM SPECIFICATIONS (continued)
SPECIFICATIONS
High Voltage Pulsed Current (HVPC)
VMS is a symmetrical biphasic waveform with a 100 µsec interphase
interval. Because the pulse is relatively short, the waveform has a low
skin load, making it suitable for applications requiring high intensities,
such as in muscle strengthening protocols.
Output Mode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes
Output Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-255 mA
Channel Mode . . . . . . . . . . . . . . . . . . . . . . . . . Single, Reciprocal, Co-Contract
Phase Duration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-1000µsec
Mode Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC or CV*
Anti-Fatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Off or On
Set Intensity . . . . . . . . . . . . . . . . . . . . Individual Channel Intensity Setting in
Reciprocal and Co-Contract modes
Cycle Time. . . . . . . . . . .Continuous, 5/5, 4/12, 10/10, 10/20, 10/30, 10/50
Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-200 pps
Ramp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0.5 sec, 1 sec, 2 sec, 5 sec
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes
Available on Channels . . . . . . . . . . . . . . . . . . . . . . . . 1 & 2, 3 & 4 Option
VMSTM

Intelect® Advanced sEMG and sEMG + Stim Module
14
GENERAL INFORMATION
INSTALLATION & REMOVAL
The Intelect Advanced (Color Series) Electrotherapy and
Combination Therapy Systems have, as standard equipment, an
sEMG Module factory installed.
A second sEMG Module may be installed onto the Optional
Channel 3/4 Electrotherapy Module only. The sEMG Module will
not install to any other optional modules such as the Battery or
Laser Modules.
The sEMG Module is available as an option for the Intelect
Advanced (Monochromatic) Therapy System.
These instructions assume that there is no sEMG Module installed
on the Therapy System in order to provide the proper installation
instructions for future use should it become necessary.
sEMG Module
If installing the sEMG Module on a Therapy System equipped
with a Battery, Laser, or the Channel 3/4 Electrotherapy Module
and it is desired to install the sEMG Module onto the Therapy
System, it will be necessary to remove the Battery, Laser, or
Channel 3/4 Electrotherapy Module. Refer to the respective
Module User Manual for Instructions.
Installing the sEMG Module on the System will make the sEMG
and sEMG + Stim modalities available for Channels 1/2. If installed
on the Optional Channel 3/4 Electrotherapy Module, sEMG and
sEMG + Stim modalities will be available on Channels 3/4.
If two sEMG Modules are installed, one on the Therapy System
and one on the Channel 3/4 Electrotherapy Module, sEMG and
sEMG + Stim modalities will be available to all four Channels.
However, only two channels at a time may be used; either
Channels 1/2 or Channels 3/4.
This section provides general instructions to prepare the Therapy
System and the optional Channel 3/4 Electrotherapy Module for
installation of the sEMG and sEMG + Stim Module(s).
Therapy System
WARNING
Disconnect the system from the power source (outlet or remove
battery module if installed) before attempting any maintenance,
installation, removal, or replacement procedures to prevent electrical
shock and possible damage to system.

Intelect® Advanced sEMG and sEMG + Stim Module
15
THERAPY SYSTEM PREPARATION
INSTALLATION & REMOVAL
Disconnect System Mains
Disconnect the Power Cord from the
power supply.
Remove the Rear Panel and disconnect the
Power Cord from the System.
Remove the Front Access Panel and discon-
nect all accessories.
REAR
ACCESS
PANEL
DISCONNECT
POWER CORD
Disconnect Leads and Accessories
To remove Therapy System from Cart, refer
to the Therapy System Cart User Manual.
DISCONNECT ALL ACCESSORIES
Remove Therapy System from Cart
Place the System upside down on a
smooth surface. Place a soft, clean fabric or
cushion under the System Display Lens to
prevent damage.
Remove Module
Remove Channel 3/4 Electrotherapy,
Battery, or Laser Module if equipped. Refer
to the respective User Manual for the
Module being removed.
WARNING
Disconnect the system from the power source (outlet or remove
battery module if installed) before attempting any maintenance,
installation, removal, or replacement procedures to prevent electrical
shock and possible damage to system.

Intelect® Advanced sEMG and sEMG + Stim Module
16
THERAPY SYSTEM PREPARATION (continued)
INSTALLATION & REMOVAL
Remove Breakout Tabs
Using a flat blade screwdriver, carefully
remove the four sEMG Breakout Tabs on
the system bottom.
NOTE:
Twist the screwdriver to break tabs free.
If installing on the Channel 3/4
Electrotherapy Module, remove tabs from
the Module in the same manner.
BREAKOUT
TABS
CAUTION
Be careful not to cause any damage to the PC Board Contacts that
will be exposed once the Breakout Tabs are removed.

Intelect® Advanced sEMG and sEMG + Stim Module
17
INSTALLING SEMG MODULE
INSTALLATION & REMOVAL
Position the sEMG Module so that the two
mounting tabs are inserted into the System
or Channel 3/4 Electrotherapy Module
mounting slots.
Position sEMG Module
MOUNTING
SLOTS
MOUNTING
TABS
Secure sEMG Module
Push the upper portion of the sEMG
Module until it snaps and is locked into
position.
NOTE:
If installing the System to a Therapy System
Cart, refer to the Therapy System Cart User
Manual for proper instructions.
If desired, install a Channel 3/4, Battery
or Laser Module to the System, refer to
the respective module User Manual for
installation instructions prior the following
procedures.
Install and Reinstall Additional Module
Install Rear Access Panel
Insert the Power Cord into the System
Mains connector. Install the Rear Access
Panel.
REAR
ACCESS
PANEL
CONNECT
POWER CORD