Chattanooga Intelect HPL7 User manual

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User Manual
Intelect®HPL7
and HPL15

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Images
BC
D
A
E
G
F
H I
N L
J M K
A. Handpiece
B. 7” Touch screen display
C. Emergency stop button
D. Multi-function knob
E. Calibration socket
F. Label showing laser data
G. Product identification label
H. Main switch
I. 2x2AT Fuses
J. 100-240 V ~ 50/60 Hz socket
K. Cooling fan
L. Interlock
M. Footswitch socket
N. Interlock for patient button
(Optional)

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Accessories
Laser handpiece
Footswitch
(4930)
Safety glasses
(4800)
3 pole interlock
(4900)
Power cable
(4910)
Ø 38 mm Applicator
Magnetic attachment
(207902)
Ø 26 mm Applicator
Magnetic attachment
(207901)

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Device of Class I, BF type
Alternating current electricity
~
LL00115
Radiation not ionized
General danger symbol
Legal manufacturer DJO
France S.A.S
Serial number device
Open (disconnection of mains
supply)
Applicator for optical fibre
Laser hazard Product identification label
(Intelect HPL 7)
Patient button interlock
(only ScanX version)
Sticker for footswitch socket
Label for interlock
Conformity to Directive 93/42/
EEC with Identification of
Intertek Notified Body
Attention: Laser
specifications of IV class
Intelect HPL 7
P 7 W
810 + 980 nm
y
Closed (connection of mains
supply)
Symbology on label and device
0
I
Obligation to follow
instruction for use
Laser stop
0473
WEEE Mark (European Directive 2012/19/
EU). Indicates separate treatment from
general waste at end of life”. Within the
European Union – EU-wide legislation,
as implemented in each Member
State requires that the waste electrical
and electronic products carrying this mark must be
disposed of separately from normal household waste.
This includes the device and electrical accessories, such
as the Power cables and Footswitch. For UK customers
contact DJO Ltd Customer Services to arrange return.
Outside the European Union – If you wish to dispose of
used electrical and electronic products, please contact
your local authority to ensure the equipment does not
end up in the ‘normal’ household waste.

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Contents
1. Introduction ..................................................................7
1.1 What is Intelect®HPL 7 and HPL15?.................................7
1.2 What is Intelect HPL 7 and HPL15 used for? ...............7
1.3 Advantages................................................................................7
1.4 Who can use Intelect HPL 7 and HPL15?..................... 8
1.5 Indications................................................................................. 8
1.6 Contraindications.................................................................. 9
1.7 General warning .................................................................... 9
2. Quick use guide ...........................................................11
2.1 How to use the handpiece...............................................14
3. Instructions for use.................................................... 15
3.1 Start-up.....................................................................................15
3.2 Mode..........................................................................................16
3.2.1 Continuous mode.......................................................16
3.2.2 Interrupted mode......................................................17
3.2.3 Pulsed mode ................................................................ 17
3.2.4 Single Pulse mode.....................................................18
3.2.5 Burst mode...................................................................18
3.2.6 Stochastic mode ........................................................19
3.2.7 Anti-Inflam. mode.....................................................19
3.3 CPS............................................................................................ 20
3.4 Favorites ................................................................................. 22
3.5 Guide......................................................................................... 22
3.6 Programming ....................................................................... 22
3.7 Calibration.............................................................................. 23
3.8 Settings....................................................................................24

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4. Warnings .....................................................................25
4.1 Attention during use.......................................................... 25
4.2 Therapeutic care.................................................................26
5. Standards and safety.................................................28
5.1 Laser standards.....................................................................28
5.2 Safety features .....................................................................28
5.3 Classification.........................................................................30
6. Maintenance...............................................................32
6.1 Ordinary maintenance...................................................... 32
6.2 Troubleshooting and periodical maintenance....... 33
6.3 Alarms .....................................................................................34
7. Labels ...........................................................................35
8. Warranty .....................................................................36
9. Technical data.............................................................37
10. EMC tables.................................................................38

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1.1 What is Intelect®
HPL 7 and HPL15?
1.2 What is Intelect
HPL 7 and HPL15
used for?
1.3 Advantages
1. Introduction
Intelect HPL 7 (REF 2879) and HPL15 (REF 2979) are medical devices for
high energy laser therapy, designed for the treatment of pathologies
aecting muscles and bones such as lumbago, epicondylitis, shoulder pain,
arthrosis, as well as contracture, sprains and many other complaints. They
are powerful and accurate tools which are able to meet most therapeutic
requirements.
Intelect HPL 7 and HPL15 feature a range of settings for power and
wavelength, up to 7W of power (Intelect HPL 7), up to 15W of power
(Intelect HPL 15).
The photochemical eect of Intelect HPL 7 and HPL15 generates deep bio-
stimulation in tissue, reactivating cellular metabolism. The laser light may
be emitted in continuous, pulsed and single-pulsed modes, as well as the
stochastic mode. The latter allows therapeutic results to be maximized in
complete safety, limiting the thermal eects on tissue.
Intelect HPL 7 and HPL15 are highly innovative therapeutic lasers.
The equipment has been designed with a range of important features:
- Real-Time operating system and 7’’ touch-screen
- Interactive library with over 60 therapeutic protocols
- Various power configurations, up to 7W eective (Intelect HPL 7),
up to 15W eective (Intelect HPL 15)
- Ideal therapeutic wavelengths (810+980nm) for HPL 7 and (810+980+1064)
for the HPL15
- Intelect HPL 7 and HPL15 features a variety of operation modes:
continuous, interrupted, pulsed, single pulse, burst, stochastic, anti-inflam.
At a therapeutic level Intelect HPL 7 and HPL15 guarantee mitochondrial
stimulation which generates an increase in ATP production, the activation
of micro circulation and lymphatic peristalsis. The hyperpolarization of nerve
fibre membranes generates an analgesic eect, while the transformation of
prostaglandin into prostacyclin (with consequent blocking of inflammation
mediators), results in an anti-edema eect.

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1.4 Who can use
Intelect HPL 7 and
HPL15?
Intelect HPL 7 and HPL15 are designed to be used for laser therapy.
Laser therapy falls within the field of physiotherapy and analgesic therapy.
The operator must be qualified and competent and in one of the following
categories:
Medical personnel:
Physiatrists
Sports medics
Orthopedists
Chiropractors
Podiatrist
Doctors
Paramedic personnel
Physical Therapist
Rehabilitation Therapist
Athletics Therapist
Physical Therapist Assistant or Chiropractor Assistant under
supervision of a Licensed Physical Therapist or Chiropractor
Sub acromial conflicts
Cu injuries
Arthrosis
Epicondylitisi
Epitrocleitis
Bursitis
Fracture aftereects
Tendinitis
Carpal tunnel syndrome
Pubalgia
Gonarthrosis
Reconstruction of anterior cruciate ligament
Crow’s foot bursitis
Sprains
Plantar faciitis
Achiles tendon
Cervicalgia
Cervical brachialgia
Contracture
Spondylosis
Lumbago
Coxarthrosis
Piriformis syndrome
Sciatica
1.5 Indications

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Because the laser source used emits light in the near infrared range,
contraindications are essentially of two types.
- Eye damage
- Thermal damage to tissue exposed to the therapy, with particular attention
to continuous emission and the phototype of the patient.
The first case is prevented by using protective glasses, while the second
is avoided through the operator’s ability to evaluate the correct thermal
sensitivity of the patient and their phototype. Keep to the values and usage
specifications detailed in the “Instructions” section.
In particular, avoid use on:
- Patients with suspected or obvious neoplasm
- Pregnant women
- Treatment of photo-sensitive areas
- Treatment of infected areas
- Epileptic patients
- Areas of hemorrhage
- Treatment of the sympathetic nerve, vagus nerve, or cardiac area of cardiac
patients.
1.6 Contraindications
Before application, the user must read the user manual completely and
attentively, including the treatment method, indications and contra-
indications, the warnings and the operation instructions.
To avoid the risk of electric shock, this equipment must only be
connected to a mains supply with protective ground.
The device must be used with the power cable supplied.
The power cable must be protected from strains and must be easy to
remove should it be necessary.
Magnetic and electrical fields are capable of interfering with the
proper performance of the unit. For this reason make sure that all
external devices operated in the vicinity of the unit comply with the
relevant EMC requirements provided at the end of this user manual.
X-ray equipment, MRI devices, radio systems and cell phones are
possible sources of interference as they may emit higher levels of
electromagnetic radiation. Keep the unit away from such equipment
and verify its performance before use.
1.7 General warning

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The unit must be disconnected before every maintenance or clean,
removing the cable from the socket. This is to avoid the risk of electric
shocks.
We recommend avoiding the use of flammable anesthetic gas or
oxidizing gas like Nitric Oxyde (NO) and oxygen.
Some materials (the wadding, for example) can burn at extremely high
temperatures when saturated in oxygen, even from the NORMAL USE
OF THE DEVICE. The adhesive solvents and inflammable solutions
used to clean or disinfect the unit should be allowed to evaporate
before using the LASER DEVICE. Pay attention to fire risks, such as
endogenous gas.
Poor function of the ray (absence or deviation) may indicate incorrect
operation of the emission.
Fixing electric circuits must be carried about by authorised and skilled
personnel, with a document from the manufacturer.
We recommend contacting the manufacturer of the device in the
event of breakage to avoid loss of warranty conditions.
Do not use other accessories than the ones provided by DJO. Other
accessories can generate a danger, aect the unit EMC properties or
damage the unit.
Inspect the unit before use. If the unit or an accessory is damaged, do
not use the unit and contact your distributor.
Do not modify the unit. The unit can only be repaired by DJO
authorized personnel.
Intelect HPL 7 and HPL15 isn’t suitable for use in areas of explosive,
flammable or combustive atmosphere.

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2. Quick use guide
Before using the Intelect HPL 7 and HPL15, make sure it is resting on a stable surface.
Make sure the power switch is set to “0”.
Make sure the power cable is attached to the machine; connect the plug to a power socket.
In case of any questions during the setup of the Intelect HPL 7 and HPL15, please contact DJO (contact list at
the end of this User Manual).
Connect the pneumatic footswitch
cable to the appropriate socket on
the back of the machine.
Connect the interlock to the
appropriate central socket on the
back of the machine.
After connecting the interlock
to the machine, Intelect HPL 7
and HPL15 is fully functional; the
connection to the treatment room
door switch must be carried out
by a qualified electrician.
Switch on the machine using the
switch on the back of the case.

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Attach the magnetic applicator to
the handpiece.
Make sure that those present
(operator and patient) wear
certified protective glasses.
After the welcome screen, a
keyboard will be displayed. Enter the
password to start up the machine.
The password is 1-2-3-4.
Select the mode to start the therapy.

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To set the treatment parameters: press
“Quick start”. This will bring you to a
screen that allows you to choose the
mode (continuous, interrupted, pulsed,
single pulse, burst, stochastic, anti-
inflam) before the emission starts. By
choosing a mode you will be directed to
a screen where you can set the therapy
parameters.
To choose the energy quantity that
should be transferred, press the square
(Joule) on the right of the screen and
turn the knob clockwise; adjusting the
amount of joules will automatically adjust
the therapy time (top left square).
To set the chosen power, click on the
“laser power” icon and turn the knob
clockwise. The parameter is displayed in
the lower left of the screen.
Laser emission starts by pressing “play”
on the bottom right area of the screen
and pressing the pneumatic footswitch.
During the emission the sound output
signal (intensity adjustable) gets activated
and therapy parameters (Watts, time,
Joules and laser head temperature) are
displayed in the rectangles on the bottom
of the screen. Laser emission stops when
interrupting pressure on the footswitch.
Identify the area of the body to be treated
and position the handpiece perpendicular
to the area.

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Turn o the machine using the
switch on the back of the machine.
To reset the parameters (time,
amount of energy and power),
press the “stop” button.
Always use the laser handpiece with the applicator supplied.
We recommend performing the calibration procedure prior to every
treatment.
To switch the device o securely: complete the treatment and stop
emitting from the laser, turn the unit o with the button at the back of
the machine, ensure it is positioned at “0”.
To complete the disconnection, for optimal safety, remove the power
cable from the device.
2.1 How to use
the handpiece

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3. Instructions for use
To start the treatment press “Quick start”, choose the emission mode
(continuous, interrupted, etc), set power parameter by pressing “Laser
power” and energy quantity by pressing “Joule”, take out the handpiece
from its holder, put on the handpiece spacer and press the footswitch to
activate laser emission. The handpiece must always be held perpendicular
to the patient; you can increase or decrease the power by turning the knob
clockwise / counter-clockwise.
The lower part of the screen shows the actual power delivered, the time, the
amount of energy transferred and the temperature of the laser head.
3.1 Start-up
After the device is switched on and the welcome screen has appeared, you
will come to the main ‘device management’ screen, and will need to enter
the password.

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3.2.1 Continuous mode
The modes are divided in 7 sections:
A) Continuous (cap 3.2.1)
B) Interupted (cap 3.2.2)
C) Pulsed (cap 3.2.3)
D) Single Pulse (cap 3.2.4)
E) Burst (cap 3.2.5)
F) Stochastic (cap 3.2.6)
G) Anti-Inflam (cap 3.2.7)
In this part of the menu it is possible to select continuous mode functioning.
It is the only emission mode that ensures an adequate energy exchange in
order to trigger the photobiostimulation eect, increasing the production
of ATP. Output is delivered in a constant way. The continuous output mode
is fundamental to trigger a tissue regeneration process; it is indicated for
deep injury pathologies. To start the treatment choose continuous emission
mode, set power parameter by pressing “laser power” and energy quantity
by pressing “Joule”, take out the handpiece from its holder, put on the
handpiece spacer and press the footswitch to activate laser emission. The
lower part of the screen shows the actual power delivered, the time, the
amount of energy transferred and the temperature of the laser head.
3.2 Mode

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3.2.2 Interrupted mode
3.2.3 Pulsed mode
To start the treatment choose Interrupted emission mode, set power
parameter by pressing “laser power” and energy quantity by pressing “Joule”.
The duty cycle can be modified. Take out the handpiece from its holder, put
on the handpiece spacer and press the footswitch to activate laser emission.
The lower part of the screen shows the actual power delivered, the time, the
amount of energy transferred and the temperature of the laser head.
The pulsed mode is the most commonly indicated for the acute phase
treatment, optimizing the anti-inflammatory action and increasing the bio-
stimulation while minimising thermal impact. This mode enables the laser
emission optimization depending on the skin type.
By choosing the duration of the impuls < 500ms it is possible to change the
frequency by selecting the appropriate option on the screen.
After setting the parameters of frequency and pulse duration by clicking
on “laser power” you can change the working power, while clicking “joules”
in the upper right of the screen allows you to set the amount of energy to
be transferred. By removing the handpiece from its holder, putting on the
applicator, pressing “Start” and acting on the pneumatic footswitch you can
begin the therapy session.
The lower part of the screen shows the actual power delivered, the time,
the amount of energy transferred and the temperature of the laser head. To
change the parameters of time and energy you need to press the square at
the top of the screen.

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3.2.4 Single Pulse mode
3.2.5 Burst mode
This mode lets you set the duration of a single pulse. The Single Pulse mode
delivers a pulse, the duration of which is defined by the operator each time
the footswitch is pressed. It is possible to select a duration of 20 ms to a
maximum of 1000 ms by pressing the square at the center of the screen.
Pressing “Start” and applying pressure to the footswitch will activate a single
pulse, which will be delivered for the pre-specified time frame. Continuing
to press the footswitch will deliver an identical pulse. The lower part of the
screen shows the actual power delivered, the time, the amount of energy
transferred and the temperature of the laser head.
This mode lets you set the pulse frequency and the duration of each pulse.
Selecting the pulse duration <500ms allows you to change the frequency
(10Hz max) by making the appropriate selections. After setting the
parameters of frequency and pulse duration by clicking on “laser power” you
can change the working power. By removing the handpiece from its holder,
putting on the applicator, pressing “Start” and acting on the pneumatic
footswitch, you can begin the therapy session. The lower part of the
screen shows the actual power delivered, the time, the amount of energy
transferred and the temperature of the laser head.

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3.2.6 Stochastic mode
Stochastic emission mode generates variable power laser pulses; this
particular mode interacts with the peripheral nervous system, greatly
limiting the perception of heat during the treatment. “Naturally thermal”
emissions combined with thermo-mechanical action on the peripheral
receptors, allow a rapid depolarization of nociceptive pathways, polarizing
the A-delta fibers, and so counterposing the pain coming from noxa through
the action of the Gate Control. Pressing the “joule” icon sets the amount
of energy to be transferred during therapy, the power can be selected
by pressing on “laser power”. If you want to set the therapy time, press
“treatment time” and consequently the Joule value will change. By removing
the handpiece from its lodging, putting on the applicator, pressing “Start”
and acting on the pneumatic footswitch, you can begin the therapy session.
The lower part of the screen shows the actual power delivered, the time, the
amount of energy transferred and the temperature of the laser head.
3.2.7 Anti-Inflam. mode
Pulsed emission mode is designed to allow to obtain an anti-inflammatory
eect by limiting the thermal eect during the treatment. Pressing the
“joule” icon sets the amount of energy to be transferred during therapy,
the power can be selected by pressing on “laser power”. If you want to
set the therapy time, press “treatment time” and consequently the Joule
value will change. By removing the handpiece from its holder, putting on
the applicator, pressing “Start” and acting on the pneumatic footswitch,
you can begin the therapy session. The lower part of the screen shows the
actual power delivered, the time, the amount of energy transferred and the
temperature of the laser head.

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The pathology section allows the operator to follow the guided treatment
protocols.
In this section there are a number of therapeutic protocols divided
according to the anatomical area that you want to treat. It is possible to
select the anatomical area from the displayed human body figure; pressing
on the chosen area accesses the respective treatment protocols.
3.3 CPS
For each anatomical district there are therapeutic protocols for the
treatment of specific pathologies of the musculoskeletal system.
Once a pathology has been selected, you will be invited to specify:
- Patient’s age
- Patient’s phototype