Chattanooga Intelect Shortwave 400 Series User manual

Moving
Rehabilitation
Forward™
User Manual
Operation & Installation
Instructions for:
Intelect Shortwave
3813- 115V
3814- 230V
Optional Equipment:
020-453218 - Capacitive Plate Electrodes
020-453216 - Capacitive Plate Electrodes
020-453267 - Soft Rubber Electrode
020-453267 - Soft Rubber Electrode
020-969553 - Diplode with Cable (Coil Field Electrode)
020-453263 - Diplode (Coil Field Electrode)
Electromagnetic
Compatibility (EMC)
Tables

Intelect® Shortwave 400
TABLE OF CONTENTS
i
FOREWORD ........................................... 1
Product Description.................................. 1
SAFETY INSTRUCTIONS ............................. 211
General ............................................. 2
Precautionary Definitions ............................ 3
Cautions........................................... 4
Warnings .......................................... 5
Dangers ........................................... 6
Personal Safety ...................................... 8
Protection of the Unit ............................... 10
INDICATIONS......................................1215
CONTRAINDICATIONS .............................1618
INSTALLATION ....................................1920
Requirements for Installation ........................ 19
Requirements for Installation Location ............... 19
Transport of the Unit ................................ 19
Unpacking the Unit ................................. 20
Inspection upon Receipt............................. 20
NOMENCLATURE ..................................2124
Operator Side....................................... 21
Patient Side ........................................ 22
Accessories ......................................... 23
SPECIFICATIONS...................................2536
Unit Specifications .................................. 25
Description of Functions ............................ 26
Shortwave Therapy in the
Capacitive - Dielectric Field . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Shortwave Therapy in the Inductive Field............. 28
Program Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Display and Control Element....................... 29
Main Menu ....................................... 30
Indications Menu ................................. 32
Programming Menu ............................... 35
Basic Settings Menu............................... 36
OPERATION .......................................3746
Putting the Unit into Operation ...................... 37
Preparing the Unit for Operation ................... 37
Check for Operational Safety ...................... 37
Positioning of the Electrodes ...................... 38
Setting the Electrode- Skin Distance................ 41

Intelect® Shortwave 400
TABLE OF CONTENTS
ii
Switching on the Unit ............................... 42
Setting the Parameters .............................. 42
Direct Input of Parameters......................... 42
Selecting Parameters in the Indications Menu....... 43
Selecting Parameters in the Program Menu . . . . . . . . . 43
Basic Operations.................................... 44
Beginning the Treatment .......................... 44
Interrupting/Ending Treatment .................... 45
Changing the Basic Settings ....................... 46
MAINTENANCE ...................................4752
Maintenance and Repairs............................ 47
Routine Maintenance.............................. 47
Cleaning and Disinfection ......................... 47
Safety Inspection ................................. 49
Visual Inspection.................................. 49
Functional Test.................................... 49
Electrical Tests .................................... 50
Error Messages ................................... 51
Operator Errors ................................... 51
Internal Errors .................................... 51
Repairs ........................................... 52
Service ........................................... 52
ACCESSORIES ...................................... 53
WARRANTY ........................................ 54

Intelect® Shortwave 400
FOREWORD
1
This manual has been written for the owners of the Intelect® Shortwave 400 system. It contains general information on the operation,
precautionary practices, and maintenance information. In order to maximize use, efficiency, and the life of your unit, please read this
manual thoroughly and become familiar with the controls, as well as the accessories, before operating the unit. This manual contains
general safety, operating, maintenance, and care instructions for the owners and operators of the Intelect Shortwave 400 system.
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 user 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 shortwave therapy.
Product Description
The Intelect Shortwave 400 system utilizes both inductive and capacitive electrodes to administer electromagnetic energy to the patient’s
body at shortwave frequencies.
Stay current with the latest clinical developments in the field of shortwave therapy. Observe all applicable precautionary measures for
treatment.
Keep informed on appropriate indications and contraindications for the use of shortwave therapy.
This equipment is to be used and sold only under the prescription and supervision of a licensed practitioner.
This product is NOT FOR SALE or USE in the United States of America or any of its Territories.
© 2012 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.

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
2
GENERAL INFORMATION
The Intelect Shortwave 400 therapy unit and the accompanying components and individual elements fulll individually and as
a unit, the currently valid safety standards and comply with the stipulations of IEC 601 and the medical products regulations.
The unit and its external components (accessory elements) are safe if used properly and in compliance with the explanations
and instructions provided in this documentation.
Nevertheless, the unit or its external components can pose dangers.
Therefore, we urgently recommend that anyone operating the shortwave therapy unit become aware of the potential dangers
of the unit and its external components before beginning work.
Please read and observe all safety instructions in this operating manual.

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
3
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 an “Explosion Hazard” indicator will explain
possible safety infractions if this equipment is used in the
presence of flammable anesthetics.
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
Explosion Hazard
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 “Non-ionizing Electromagnetic Radiation"
indicator informs the user of possible hazards resulting
from elevated, potentially dangerous, levels of non-ionizing
radiation.
Non-ionizing Electromagnetic Radiation
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/NMES waveforms.
Dangerous Voltage
Refer to Instruction Manual/Booklet
DANGER
WARNING
CAUTION

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
4
•Read, understand, and practice the precautionary operating
instructions. Know the limitations and hazards associated with using
any shortwave device. Observe the precautionary and operational
decals placed on the unit.
•DO NOT operate the Intelect Shortwave 400 in conjuction with any
other devices.
•DO NOT operate this unit in an environment where other devices
are being used that intentionally radiate electromagnetic energy
in an unshielded manner. Portable and mobile RF communications
equipment can affect Medical Electrical Equipment.
•Other equipment, including patient connected devices, may be
adversely affected when in close proximity to shortwave therapy
equipment.
•The unit should be routinely checked before each use to determine
that all controls function normally, especially that the output control
does properly adjust the intensity of the shortwave power output
in a stable manner. Also, determine that the treatment time control
does actually terminate shortwave 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 as damage may result.
•This unit should be transported and stored in temperatures
between -40°C and 70°C (-40°F and 158°F) to prevent damage to
the unit or its components.
•Handle shortwave accessories with care. Inappropriate handling of
the accessories may adversely affect their characteristics.
•Inspect cables and associated connectors before each use.
•Remove hearing aids prior to treatment.
•Treatment should not be given through clothing, although it is
permissible to administer treatment through a dressing or plaster
in pulsed modes.
•External conductive material should be removed from the
immediate treatment area.
•Do not use accessories other than those supplied with the unit, or
recommended by DJO, LLC. The safety of other products has not
been established, and their use could result in injury to the patient
and degrade minimum safety.
•Disconnect the power supply cord before removing covers on
this equipment. Refer the servicing of this unit to qualified service
personnel.
•This equipment has an output that is capable of producing a
physiological effect.
•This unit 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.
CAUTION CAUTION

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
5
•Since relatively high powers are used, there is the possibility of
producing shock, localized burns, and cataracts if the patient is
unaware of the heat due to reduced thermal sensation, or if the
patient does not know what to expect during treatment.
•Metal in treatment area will provide low impedance paths to the
induced radio frequency current, producing local heating and the
possibility of burning. In particular, treatment should never be
given in the area of metal implants, metal jewelry, buckles, etc.
These items must be removed.
•At average power levels above 5 W, patients should not be allowed
to come into contact with conductive parts which are earthed or
which have an appreciable capacitance to earth and which may
provide unwanted pathways for the radio frequency current. In
particular, treatment must never be given with the patient on
metal framed couches or chairs. Do not use conductive mattresses
or mattress covers.
•Use of controls or adjustments or performance of procedures other
than those specified herein may result in hazardous exposure to
shortwave energy.
•For continued protection against fire hazard, replace fuses only
with ones of the same type and rating.
•Make certain that the unit is electrically earthed by connecting
only to a earthed electrical service receptacle, conforming to the
applicable national and local electrical codes.
•This device should be kept out of the reach of children.
•Improper installation, operation or maintenance of the shortwave
therapy system may result in malfunctions of this unit or other
devices.
•Do not store or operate the unit in a dusty environment.
•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.
•Keep all electrodes, accessories, and their cords separated during
treatment by using the cable clips located on the side of the arm
extenders. Electrodes or their cords in contact with each other
during treatment could result in improper stimulation or skin burns.
Do not cross cables.
•Do not lean on or hold the cables during treatment.
•Keep all line cords away from the diathermy unit cables. Do not
store or coil line cords where they can come close to the cables on
an operating shortwave diathermy unit.
•This equipment 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.
•Care must be taken when operating this unit adjacent to or
stacked with other equipment. Potential electromagnetic or other
interference could occur to this or other equipment. Try to minimize
this interference by not using other equipment in conjunction with it.
•Use only accessories that are specially designed for this unit. Do
not use accessories manufactured by other companies on this unit.
DJO, LLC is not responsible for any consequence resulting from
using products manufactured by other companies. The use of other
accessories or cables may result in increased emissions or decreased
immunity of this unit.
WARNING
WARNING

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
6
WARNING
•Induction field electrodes that are operated without a patient could
be destroyed due to overheating.
•In case of display failure or other obvious defects, switch the unit
o immediately by means of the power switch and notify your
authorized service partner.
•Before increasing the output in response to a report of inadequate
patient heating, verify that the cables are properly routed, spaced
correctly, and away from metal or grounded objects. The heating
effect may be misdirected and heating may be occurring in an
unwanted area.
•Be aware that some synthetics and plastics, though assumed to be
nonconductive, may be heated by shortwave diathermy.
•If the unit is not safe for operation, then it must be
repaired by the authorized service personnel and the
operators must be informed of the dangers posed by
the unit.
•In order to prevent electrical shock, unplug the power
plug from the socket before cleaning or disinfecting the
unit.
•Under no circumstances may liquid penetrate the
openings on the unit, e.g. the connecting sockets of
the electrode cables. Therefore, do not use cleaning or
disinfectant sprays.
• The unit, electrodes and cables may not be sterilized using
steam or gas.
•Never clean the unit with abrasives, disinfectants or
solvents that could scratch the housing or damage the
unit.
•In order to prevent excessive warming of tissue, the
eective output power, as summarized in the Type of
Electrode/Max. Eective Power table, must not be
exceeded.
• Do no perform unauthorized repairs under any
circumstances.
• The unit and the electrodes must be positioned so that
there is no danger of personal injury. Therefore, you must
read and observe the safety instructions and the list of
contraindications before putting the unit into operation.
• The Electrode-Skin Distance (ESD) must be small for surface
warming and large for depth warming. A larger Electrode-
Skin Distance (ESD) is necessary for patients with a thick
layer of subcutaneous fat in order to achieve the necessary
warming of deep-lying tissue.
•Explosion hazard if Intelect Shortwave 400 is used in
the presence of flammable anesthetics mixture with air,
oxygen, or nitrous oxide. The warning symbol for this
hazard is prominently displayed on the cabinet.
DANGER
DANGER

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
7
•Shortwave diathermy should not be used on patients who
have any implanted metallic lead or any implanted system
that may contain a lead. Both the heating and non-heating
modes of operation pose a risk of tissue destruction. If
you are a licensed practitioner who implants or monitors
patients with leads or implanted systems with leads,
explain to the patient what diathermy is and stress that
they should not receive shortwave diathermy treatment.
If you are a licensed practitioner who uses diathermy
in your practice, be sure to ask patients about possible
implants before deciding to administer shortwave
diathermy therapy.
•Do not administer shortwave diathermy therapy to a
patient who has had an implant in the past unless you
are absolutely certain that the implant and all leads in
their entirety have been removed. Note that the leads
are often left implanted after the implant is removed.
•This unit generates non-ionizing radiation. Patients with
implanted electronic devices, such as cardiac pacemakers
and defibrillators, cochlear implants, bone growth
stimulators, deep brain stimulators, spinal cord stimulators,
and other nerve stimulators, must not be treated, even if
the device has been turned off.
•The function of certain implanted devices (e.g.,
pacemakers) may be adversely affected during treatment
with shortwave diathermy. In case of doubt, the advice of
a licensed practitioner in charge of the patient should be
sought.
•Never, under any circumstances, attempt to hold any of the
electrodes in your hands during therapy.
•The unit must be installed so that there is no danger to the
patient, the operator or other persons. Therefore, you must read
the safety instruction and contraindications.
•In case of damage from transport that could endanger personal
safety, the unit must not be connected to the Mains Power
Supply.
•Keep all unnecessary persons out of the treatment location. No
other person should be located within 2 meters of the unit.
DANGER
DANGER

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
8
PERSONAL SAFETY
In case of improper or unauthorized use of the unit, the
operator, the patient or other persons may be subjected to
the danger of electric shock due to high voltage produced
by the unit, the danger of inuence on active implantations
by magnetic elds produced by the unit and the danger of
being burned due to erroneously positioned electrodes or
false parameters such as the duration of treatment, power
output or operating mode.
Before operating the unit, please read this instruction
manual carefully and observe the information
contained therein.
Pay special attention to the list of contraindications. Refer
to the Safety Instructions, and Contraindications.
Before operating the unit each time, check whether:
• The unit has been correctly connected to the Mains
Power Supply.
• The unit has been set up so that it is free-standing and
the patient is not in direct contact with metal objects
such as heating radiators, metal beds or other
equipment.
• The insulation of the RF output jack and electrode
connection cables is not damaged.
• The electrode connection cable is connected properly
and is not cross-routed (which may cause capacitive
short circuits).
• Only accessories (cables, electrodes) approved by the
manufacturer are connected.
• The patient to be treated (and the personnel) have
removed all electric devices (e. g. hearing aids,
electrotherapy electrodes, mobile telephones) and all
conductive objects (e. g. rings, chains, watches, earrings
or other jewelry, eyeglasses) and that they are not in the
immediate vicinity of the unit, the patient is in a
composed state and the bodily areas to be treated are
dry on the exterior.
• The electrodes are positioned according to the doctor’s
instructions (to be checked by the doctor or
physiotherapist if applied by assisting personnel).
• There is no danger of unwanted local warming due
to electrode constrictions and no other persons are
located within 2 meters of the unit.

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
9
Before using the unit, speak with the patient to make
sure that he is in a comfortable position during the entire
treatment, he is not in contact with the unit, the electrode
connection cable, the electrodes or other devices or metal
objects and he should (and can) let you know if he feels
unwell.
Before using the unit, determine the maximum
nominal output power of the respective accessory
in order to avoid overheating of tissue. Refer to
Beginning the treatment.
At regular intervals during the treatment, check
that the unit is functioning properly, for moisture
development* (perspiration) in the area of the
electrodes and whether the patient feels well.**
After the treatment, ask the patient about his
tolerance of the treatment and visit the treatment
environment (Licensed Practitioner).
* The aected parts of the body should be unclothed
during treatment, since accumulation of moisture on the
skin or in folds can cause local overheating of the skin.
This is especially important in case of clothing made of
moisture-resistant fabric such as silk or synthetic bers.
**The output power must always be set according to the
subjective response of the patient. Particular care is to be
taken with patients who have a reduced capacity for heat
perception. (Dosage levels according to Schliephake)
PERSONAL SAFETY CONTINUED

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
10
Before connecting the unit, make sure that:
•The voltage rating on the safety label corresponds to
the available system voltage.
•The frequency rating on the rating plate corresponds to
the system frequency.
•An earthed socket outlet with earthing contact is
available for connecting the unit.
•The routing of the power cable from the unit to the
socket outlet with earthing contact does not pose a
danger for personnel or the patient.
•The Mains Power Supply is designed for the
comparatively high (possibly additional) power input of
the unit (~ 1500VA) and the line is suciently protected
in accordance with regulations.
PROTECTION OF THE UNIT
Improper installation, operation or maintenance of the
shortwave therapy unit may result in malfunctions of this
unit or other devices.
Observe the following instructions in order to prevent
malfunctions:
• In order to prevent electromagnetic disturbances,
place the unit at least 6 meters from any other devices.
Also make sure that there is sucient distance
between the unit and Mains Power Supply or data
cables in walls, ceilings and oors, since the
electromagnetic radiation from the unit can pass these
essentially without hindrance.
• In selecting the location for the unit, make sure that
the patient has contact during the treatment to the
non-earthed application element and, due to
equalizing currents in case of diering potentials, that
the patient is never in contact with metal elements
(especially if they are earthed), such as heating
radiators, metal beds or other earthed devices.
Make certain that the unit is electrically earthed
by connecting only to a earthed electrical service
receptacle, conforming to the applicable national and
local electrical codes.
WARNING
WARNING

Intelect® Shortwave 400
SAFETY INSTRUCTIONS
11
• Clean and disinfect the unit only when the Mains
Power Supply is deactivated (power switch o, power
plug disconnected).
• Clean and disinfect the unit only by means of
disinfection by wiping. Disinfecting by spraying can
damage the unit due to penetrating moisture.
• Never clean the unit with abrasives, disinfectants or
solvents that could scratch the housing or damage the
unit.
• Never perform unauthorized service work.
• All service work must be performed only by service
technicians who have been authorized by the
manufacturer.
Do not connect the unit to the Mains Power Supply until
these requirements have been fullled:
•Before putting the unit into operation, check to make
sure that the electrode connection cable and the
electrodes are undamaged and have been connected
correctly to the unit.
•Never operate the unit with open outputs, (i.e. without
electrodes).
•Do not operate the unit for an extended period with
no load (without a patient), especially in coil (induction
eld) mode. When operating the unit without power
output, induction eld electrodes could be destroyed
due to overheating.
•Pay attention to the routing of the electrode
connection cables. These must always be in the air and
must never lie on surfaces.
•Keep chip cards, magnetic cards, audio and video
cassettes and other data media that are susceptible to
interference away from the unit.
PROTECTION OF THE UNIT CONTINUED

Intelect® Shortwave 400
12
INDICATIONS
Shortwave therapy is the application of electromagnetic
energy to the body at shortwave frequencies. Shortwave
therapy equipment normally uses 27.12 MHz to produce the
desired deep heating eect on the tissues of the body.
At these frequencies, electromagnetic energy is converted
to thermal energy by the induction of circulating currents in
the insulating tissue.
The heating eect produced by Shortwave diathermy aids
the healing process by generating heat deep within the
tissue resulting in numberous benical eects.
Shortwave therapy is indicated for the following:
A. Osteoarthritis
Denition: Chronic joint disorders (knee, hip, shoulder,
elbow, hand, foot and mandibular joints)
Goal of treatment: Analgesia, tone reduction,
stimulation of perfusion
B. Chronic polyarthritis of the hip and shoulder
Joints
Denition: Inammation of more than one joint
Goal of treatment: Pain relief, lessening of inammation
General C. Achillodynia
Denition: Irritation of the Achilles tendon
Goal of treatment: Stimulation of perfusion, elimination
of functionally- impaired contractures, analgesia, trophic
improvement
D. Bechterew's disease
Denition: Inammatory, stiening disorder of the spine
and of the major joints
Goal of treatment: Pain relief, local stimulation of
perfusion, alleviation of muscular tension
E. Bursitis
Denition: Bursal synovitis
Goal of treatment: Normal function without irritation
F. Distortions, dislocations, contusions
Denition: Twisted joints, overextended joints, sprains,
dislocations (luxation), crushing, injury due to brute force
(contusion), always consider the possibility of fracture
Goal of treatment: Pain relief, local stimulation of
perfusion hematoma resorption, luxations must rst be
set and immobilized until capsules are healed

Intelect® Shortwave 400
13
INDICATIONS
G. Epicondylitis
Denition: Tennis elbow, inammation of tendon
attachments on cubital or radial part of elbow joint
(humeral)
Goal of treatment: Pain relief, elimination of irritation
H. Facial paralysis (peripheral)
Denition: Paralysis of the nervus facialis
Goal of treatment: Accelerated healing, facilitation of
new innervation
I. Fracture
Denition: Broken bones
Goal of treatment: Accelerated callus formation,
especially in case of fractures that heal poorly
J. Intercostal neuralgia
Denition: Nerve pain. Acute, painful irritation starting
from the thoracic spine; Possible causes of this are nerve
root compressions and acute blockages in the area of the
kinetic elements or the joint faces of the vertebral bodies
Goal of treatment: Pain relief
K. Ischialgia
Denition: Pain in ending of nervus ischiadicus, always
radicular, usually caused by damaged intervertebral disc
Goal of treatment: Analgesia, tone reduction,
hyperaemisation of the aected muscles
L. Contracture
Denition: Loss of motion in a joint due to the shortening
of soft tissue
Goal of treatment: Physiological joint motion and muscle
length
M. Lumbago
Denition: Muscle pain in the lumbar region, lumbar
rheumatism
Goal of treatment: Elimination of the painful muscle
tension, tone reduction
N. Myalgia
Denition: Muscle pain
Goal of treatment: Freedom from pain, full muscular
function, tone reduction

Intelect® Shortwave 400
14
INDICATIONS
O. Neuralgia / neuritis
Denition: Nerve pain, nerve inammation
While neuritis is characterized by clear symptoms of
dysfunction, neuralgia refers to conditions where pain is
primary, normally during the night
Goal of treatment: Pain relief, acceleration of healing
and regeneration without loss of function, inammation
stop
P. Frozen shoulder
Denition: Shoulder pain accompanied by limitation of
movement
Goal of treatment: Freedom from pain, stimulation of
perfusion, full joint movement
Q. Periostitis
Denition: Cortical osteitis
Goal of treatment: Pain relief, inammation stop
R. Raynaud´s disease
Denition: Acute arterial blood supply in the ngers
(angiospasms)
Goal of treatment: Reduction of the frequency,
intensity and duration of the attacks
S. Spondylosis / osteochondrosis
Denition: Arthrosis of the vertebral bodies
Degeneration of the intervertebral discs
Goal of treatment: Freedom from aiction, retardation of
degeneration, muscle relaxation, stimulation of perfusion
T. Sudeck´s dystrophy
Denition: Fracture disorder, healing decompensation.
Dystrophy refers to a dystrophic alteration of the extremities
occurring especially after fractures and operations
Goal of treatment: Slow, careful improvement of the
metabolism of the extremity; Prevention of atrophy and
stiness of joints

Intelect® Shortwave 400
15
INDICATIONS
U. Tendovaginitis
Denition: Inammation of tendon and sheath; Painful
grating or chang of the aected tendon after
overstraining or dull trauma
Goal of treatment: Inammation stop, pain relief, free
movement function
V. Cervical syndrome
Denition: Post-traumatic neck syndrome; Refers to
aictions beginning in the cervical spine that can
emanate into the shoulder muscles or arms
Goal of treatment: Pain relief, stimulation of perfusion,
specic relaxation and stretching of tense muscle groups
Heat
perception
Treatment Dosage
1 2 3 4
None
Low
Medium
Strong
NOTE:
Always begin the treatment with an intially low dosage.
After the treatment has been in progress for 1 - 2 minutes,
make the nal setting based on the subjective response of
the patient.
Dosage Levels according to Schliephake
Dosage 1: No perceptible heat (athermal, subliminal)
Dosage 2: Slight warming (heat just perceptible)
Dosage 3: Pleasantly warm (pleasant, tolerable
perception of warmth)
Dosage 4: Strong warming (strong but still tolerable
perception of heat)

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16
CONTRAINDICATIONS
The following list of contraindications – which is by no
means to be regarded as being comprehensive – should
always be observed when applying shortwave treatment for
therapeutic purposes.
Always be sure to ask the patient about these
contraindications, as not all contraindications are
immediately recognizable by the therapist (e.g. pregnancy).
In addition, any external signs that might point to the
existence of contraindications (e.g. scars, etc.) should
always be reason enough to ask the patient about
contraindications.
As a rule, any shortwave therapy must be strictly based on
an accurate diagnosis.
Contraindications
• Patients with a cardiac pacemaker may under no
circumstances be subjected to shortwave
therapy. The effects of the applied high frequency
on the pacemaker could cause ventricular
fibrillation. Any other persons with pacemakers
must also remain outside of the treatment area
during the shortwave therapy.
•Patients whose condition could be negatively affected by
heat.
•Patients with tuberculosis.
•Patients with hemorrhages or risk of hemorrhage.
•Patients with septic conditions and empyemas.
•Patients with malignant tumors and tumors that are not
yet identified. ¹
¹According to Schneider (in Elektromedizin 7/62):Tissue and organ sections with
inflammations, necroses, pus formation and abscesses. In such cases, the therapist must
choose between the application of cold or heat in accordance with general pathological
considerations, depending on the degree of inflammation. Inflammatory conditions that
are still in statu nascendi are treated with cold. Inflammatory conditions with necroses and
a cavitary tendency are treated with therapeutic means that generate heat and hyperemia.
Chronic and unspecific inflammations are treated in the same way (heat and hyperemia),
as this supports resorption, reparation and regeneration. Specific chronic inflammations
(such as tuberculosis), however, are activated by heat. Accordingly, they represent a
contraindication.The same applies in the case of malignant tumorous conditions. Heat
application in the case of a tumorous disease can only be regarded as malpractice. Moreover,
cardiac congestions must be removed prior to any heat application.
General

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CONTRAINDICATIONS
Contraindications (continued)
•Implants, areas where implants have been removed,
damaged implants or metal inclusions²
•Implants that could be impaired by shortwave irradiation
•Swellings that still feel warm
•Thermohyperesthesia
•Thermohypesthesia
•Acute inammations
•Severe arterial obstructions (stage III and IV)
•Gynecological disorders involving acute inammation³
•Wetness, perspiration or damp bandages
•Permeating irradiation of the thorax in cases of severe
heart diseases (heart valve diseases, myocardial
insuciency, myocardiac infarct, severe coronary
sclerosis)
•Pregnancy, since irradiation of the abdomen could cause
teratogenous damage due to alterations of blood
circulation and diusion
•During the menstrual cycle
•Sudeck’s syndrome, stage I and II
•Basedow’s disease (irradiation could cause serious states
of agitation)
•Varicose veins (irradiation could cause congestive pain)
² The higher conductivity of metals causes concentration of the field, producing a high
temperature in the border area of the tissue.This, in turn, can cause excessive local
heat, leading to (irreparable) third-degree burns.Therefore, caution is also necessary
in case of long-existing metal inclusions, such as shell fragments.
³ Further contraindications relating to gynecological disorders include (see Möbius,
Gynecological University Clinic, Jena): genital tuberculosis, endo-metriosis, pyosalpinx
or pyo-ovarium, tubal carcinoma.