Chiroform SONIC VITAL XTcoloR User manual

Operating Manual Art.-Nr. 101719-V02
SONIC VITAL XTcoloR
ULTRASOUND THERAPY DEVICE

schwa-medico Operating Manual - SONIC VITAL XTcoloR
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Contents
General 3
Purpose of Use 3
Precautionary Measures 3
Safety Instructions 4
Contra-Indications 4
Side Effects of Therapeutic Ultrasound 6
Programs and Indications 6
Progam Listing / Indications 6
Programs Sorted According to the Typeof Indication (Program Group) 11
Ultrasonophoresis 17
Special indications 17
4. Device Description 18
Set-Up and Starting 19
Main Menu 20
Settings 25
System Settings 26
Standby 27
Technical Informations 28
Rating Plate 28
Symbols 28
Technical Data 29
Classification 29
Maintenance and Safety Technical Controls 30
Cleaning and Checking the Ultrasound Head 32
Warranty 32
Guarantee 32
Disposal 32
Delivery Content 33
Accessories 33
Manufacturer‘s declaration forthe medicalproduct Sonic VITAL XTColoR 34
Guidelines and manufacturer‘s declaration -
electromagnetic interferences resistance 35

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General
Purpose of Use
The SONIC vital XTcoloR is intended for use by qualified therapists for low intensity,
non-invasive, external pulsed ultrasound therapy on persons. The aim of the
treatment is to re-establish normal functioning of skin and muscle tissue, tendons
and joints and to exert a positive influence on the pain relief process. The SONIC
vital XTcoloR is particularly well suited for use in orthopaedic, trauma and sports
medicine disciplines. The SONIC vital XTcoloR is furthermore suitable for use for
sonophoresis for the comparable spectrum of indications as outlined above.
Precautionary Measures
»
The SONIC vital XTcoloR may only be used in compliance with this instruction
manual and in relation to the medical contra-indications.
»
The SONIC vital XTcoloR may only be operated by qualified and trained personnel.
»
Never use adapters or extension leads of any sort. Such use can cause increased
emissions or a reduction in the stability of the SONIC vital XTcoloR.
»
Damaged cables or plugs must be replaced immediately.
»
If the SONIC vital XTcoloR is damaged in any way, it must be returned to the
manufacturer for testing before re-use.
»
Always disconnect the mains plug and all other cables before cleaning and
servicing the device.
»
All maintenance and inspection work must be performed by qualified
professionals who have been trained in the functioning of the SONIC vital
XTcoloR and using suitable and properly calibrated measuring equipment.
»
Never use in close proximity to combustible anaesthetics or gases. Explosion
hazard!
»
Vessels containing liquids must be kept well away from the SONIC vital XTcoloR.
The penetration of liquids into the SONIC vital XTcoloR is to be avoided. But if
such penetration into the SONIC vital XTcoloR has occurred, the device must be
subjected to a technical safety check before being re-used.
»
Before connecting to the mains power supply, check that the mains voltage and
frequency are in compliance with the values stated on the rating plate.
»
The SONIC vital XTcoloR may only be operated in ambient temperatures of 10
°C to 40 °C and a relative humidity factor of less than 90 %. Devices which have

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been stored in cold places must have attained ambient temperature before
being switched on to avoid condensation. The SONIC vital XTcoloR must not be
used in damprooms.
»
Any deviations from these precautionary measures are the sole responsibility of
the operator.
Safety Instructions
»
Only those articles listed under „Accessories“ in this instruction manual may be
used in conjunction with the SONIC vital XTcoloR.
»
Operating in the proximity of short wave or microwave therapeutic devices can
cause fluctuations in the output values of the SONIC vital XTcoloR.
To avoid such undesirable effects please observe the following
recommendations:
»
The output level should be set as low as possible for the purpose involved.
»
The interferences generated through the use of the SONIC vital XTcoloR may
affect the functioning of other electronic devices. Portable and mobile HF
communication equipment may interfere with the functioning of electronic
medical devices. Please observe the start-up instructions.
»
We exhibit, on request of, a manufacturer explanatieon with respect to the
electromagnetic compatibility for the SONIC vital XTcoloR.
»
The operator of the device is responsible for checking all accessories at regular
intervals.Thecablesinparticularmustbeinspectedforpotentialdamagetothe
insulation.
Contra-Indications
Therapeutic Ultrasound Contra-Indications
General Contra-Indications
»
Serious cardiovascular and circulatory diseases, in particular with the treatment
directed at areas with large autonomous nerves and nerve centres.
» Serious systemic diseases.
»
Malignant diseases in the area of treatment.
»
Bacterial, viral or fungal infections in the area of treatment.

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»
Hypaesthesia in the treatment area and in patients with loss of autonomic
function.
» Patients with dementia.
»
Children under five years old.
» Application in the area of acive epiphyseal cartilage.
»
Application to female and male gonads and glandular tissue.
» During pregnancy.
»
Application in the area in the vicinity of the eyes.
»
Implants, including all electronic implants (for example, pace makers).
»
Advanced circulatory disorders, with the exception of low intensity wound
treatments.
»
Serious bleeding disorders, for example such as haemophilia and patients on
anti-coagulants.
»
Serious vascular damage and danger of bleeding.
» Deep venous thrombosis.
»
Application in the area of the unprotected brain and spinal cord, e. g. after
laminectomy.
»
Unhealed fractures (with the exception of low intensity application) and stress
fractures.
»
Application where osteoporosis is present.
» Around the pelvis during menstruation.
»
Application where osteonecrosis is present.
»
Application in the facial area (1 MHz).
»
Application in the cardiac area where serious cardiac disease is present.
Additional Contra-Indications Related to Thermal Applications
» All diseases where heat treatment is contra-indicated, as, for example Serious
injuries.
» Infections within the treatment area.
» Thrombophlebitis.
Additional Contra-Indications Related to Ultrasonophoresis
»
Specific contra-indications of substances and auxiliary substances.

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Side Effects of Therapeutic Ultrasound
» Worsening of infections.
» Increase in pain levels.
» Wound healing complications.
»
Tissue trauma caused by incorrect application and overdosing.
»
Reactions of the autonomous nerve system, for example circulatory haemostasis
caused by stationary waves resulting from insufficient ultrasound head
movement.
Additional Side Effects Related to Ultrasound Phoresis
»
Specific substance and auxiliary substance side effects.
» Skin irritation.
Programs and Indications
All statements are to be regarded as treatment suggestions which, as and when
necessary should be adapted according to the case under treatment.
The treatment times relate to a treatment area twice the size of theultrasound
head, that is a maximum of 8 cm² with the large surface ultrasound head and
2 cm² with the smaller ultrasound head.
Partly modified parameters according to Tim Watson, „Therapeutic Ultrasound“
(www.electrotherapy.org).
Progam Listing / Indications
Program /
Indication
Type of
indication
Frequency
in MHz
Min. Duty Cycle
As a %
Watt
per cm²
Treatment
Frequency
Graphics
1 Rheumatoid
Arthritis Fingers
Other
3 3
10 0.5 Every day
2 Osteoarthritis of
the Wrist
Other
1 7
100 0.5 3 times a week

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Program /
Indication
Type of
indication
Frequency
in MHz
Min. Duty Cycle
As a %
Watt
per cm²
Treatment
Frequency
Graphics
3 Cervical Osteoar-
thritis
Other 1 7 100 0.5 3 times a week
4 Bursitis (with
chronic calcification)
Chronic
1
7.5 100 1.5 3 times a week
5 Hypertrophic Scar
Other 3 15 100 2 Every day
6 Post-Surgical Scar
Tissue (new)
Other 3 10 20 0.5 Every day
7 Frozen Shoulder Other
1 7
100
2
3 times a week
8 Dupuytren‘s Con-
tracture
Other
1 6
100 1.5 3 times a week
9 Coxarthrosis Other
1 7
100 1.5 3 timesa week
10 Decubitus Ulcers
Other
3 1
20 0.5 Every day
11 Knee Distortion
(acute)
Acute
1 5
10
1
Every day
12 Interphalangeal
Joints Distortion
(acu.)
Acute
3 3
10
1
Every day
13 Interphalangeal
Joints Distorsion
(chr.)
Chronic
3 7
100
1
Every day
14 Ankle Joint
Distorsion (acute)
Acute
3 3
10
1
Every day
15 Ankle Joint
Distorsion (chronic)
Chronic
3 7
100
1
3 times a week
16 Epicondylitis Type
1 (subacute)
Subacute
3 5
30 0.5 Every day

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Program /
Indication
Type of
indication
Frequency
in MHz
Min. Duty Cycle
As a %
Watt
per cm²
Treatment
Frequency
Graphics
17 Epicondylitis Type
1 (chronic)
Chronic 3 7 100 1 3 times a week
18 Epicondylitis Type
2 (subacute)
Subacute
3 5
30 0.5 Every day
19 Epicondylitis Type
2 (chronic)
Chronic
3 7
100
1
3 times a week
20 Epicondylitis Type
3 (subacute)
Subacute
3 5
30 0.5 Every day
21 Epicondylitis Type
3 (chronic)
Chronic
3 7
100
1
3 times a week
22 Epicondylitis Type
4 (subacute)
Subacute
3 5
30 0.5 Every day
23 Epicondylitis Type
4 (chronic)
Chronic
3 7
100
1
3 times a week
24 Plantar Fasciitis Other
1 6
100
2
3 times a week
25 Periarthritis
Scapulohumeralis
Other
1
15 100
2
3 times a week
26 Gonarthrosis Other
1 7
100
1
3 times a week
27 Chronic
Haematoma
Chronic
3 7
100 1.5 3 times a week
28 Lumbar Disc
Herniation
Other
1 5
20 1.5 Every day

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Program /
Indication
Type of
indication
Frequency
in MHz
Min. Duty Cycle
As a %
Watt
per cm²
Treatment
Frequency
Graphics
29 Lumbago (acute)
Acute 1 5 20 1 Every day
30 Lumbago (chronic)
Chronic
1 7
100 1.5 3 times a week
31 Spondylarthritis
(general)
Other
1 7
20 1.5 3 times a week
32 Spondylarthritis
(sacroiliac joints)
Other
1 7
20 1.5 3 times a week
33 Thromboangiitis
Obliterans (lo. ext.)
Other
1 7
100 0.3 Every day
34 Thromboangiitis
Obliterans (up. ext.)
Other
1 7
100 0.3 Every day
35 Raynaud‘s
Disease (lower
extremities)
Other
1 7
100 0.3 Every day
36 Raynaud‘s
Disease (upper
extremities)
Other
1 7
100 0.3 Every day
37 Sudeck‘s Dystro-
phy (lower ext.)
Other
1 7
100 0.3 Every day
38 Sudeck‘s
Dystrophy
(upper ext.)
Other
1 7
100 0.3 Every day
39 Myalgia
(e.g. M. vastus
lateralis)
Other
1 7
20 0.5 Every day
40 Low Back Pain
(discs)
Other
1 5
100 1.5 Every day

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Program /
Indication
Type of
indication
Frequency
in MHz
Min. Duty Cycle
As a %
Watt
per cm²
Treatment
Frequency
Graphics
41 Phantom Pain Other 1 5 100 1 Every day
42 Search For Painful
Points
Other
1
10 100
1
43 Rheumatoid
Arthritis
(finger joints)
Chronic
1 7
100 0.5 3 times a week
44 Stress Fracture Other
1
10 100
1
45 Subluxation
(acute)
Acute
1 5
10
1
Every day
46 Subluxation
(chronic)
Chronic
1 7
100
1
3 times a week
47 Achilles Tendinitis
(subacute)
Subacute
3 5
30 0.5 Every day
48 Achilles Tendinitis
(chronic)
Chronic
3 7
100 0.5 3 times a week
49 Adductor
Tendinitis (subacute)
Subacute
3 5
30 0.5 Every day
50 Adductor
Tendinitis (chronic)
Chronic
3 7
100 0.5 3 times a week
51 Tendinitis
M. Infraspinatus
(subacute)
Subacute
3 5
30 0.5 Every day
52 Tendinitis
M. Infraspinatus
(chronic)
Chronic
3 7
100 0.5 3 times a week

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Program /
Indication
Type of
indication
Frequency
in MHz
Min. Duty Cycle
As a %
Watt
per cm²
Treatment
Frequency
Graphics
53 Patellar Tendinitis
(subacute)
Subacute 3 5 30 0.5 Every day
54 Patellar Tendinitis
(chronic)
Chronic
3 7
100 0.5 3 timesa week
55 Tendinitis
M. Subscapularis
(subacute)
Subacute
3 5
30 0.5 Every day
56 Tendinitis
M. Subscapularis
(chronic)
Chronic
3 7
100 0.5 3 times a week
57 Supraspinatus
Tendinitis (subacute)
Subacute
3 5
30 0.5 Every day
58 Supraspinatus
Tendinitis (chronisch)
Chronic
3 7
100 0.5 3 times a week
59 Trigger Finger Chronic 3 6 100 2 3 timesa week
60 Leg Ulcer Chronic
3
10 50 0.5 Every day
Programs Sorted According to the Type of Indication (Program Group)
Acute Indications
Program /
Indication
Frequency
in MHz
Min. Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
11 Knee
Distortion (acute)
1 5
10
1
Every day Gentle;
Athermic
12 Interphalangeal
Joints Distortion (acu.)
3 3
10
1
Every day Gentle;
Athermic

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Program /
Indication
Frequency
in MHz
Min. Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
14 Ankle Joint
Distorsion (acute)
3 3 10 1 Every day
Gentle; Ather-
mic; Option:
Underwater
treatment
29 Lumbago (acute)
1 5
20
1
Every day
Gentle; Ather-
mic effect
45 Subluxation (acute)
1 5
10
1
Every day Gentle;
Athermic
Subacute Indications
Program /
Indication
Frequency
in MHz
Min.
Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
16 Epicondylitis Type 1
(subacute)
3 5
30 0.5 Every day Gentle;
Athermic
18 Epicondylitis Type 2
(subacute)
3 5
30 0.5 Every day Gentle;
Athermic
20 Epicondylitis Type 3
(subacute)
3 5
30 0.5 Every day Relatively
Gentle; Slight
thermal effect
22 Epicondylitis Type 4
(subacute)
3 5
30 0.5 Every day Relatively
Gentle; Slight
thermal effect
47 Achilles Tendinitis
(subacute)
3 5
30 0.5 Every day Relatively
Gentle; Slight
thermal effect
49 Adductor Tendinitis
(subacute)
3 5
30 0.5 Every day Relatively
Gentle; Slight
thermal effect
51 Tendinitis
M. Infraspinatus
(subacute)
3 5
30 0.5 Every day Relatively
Gentle; Slight
thermal effect

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Program /
Indication
Frequency
in MHz
Min.
Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
53 Patellar Tendinitis
(subacute)
3 5 30 0.5 Every day Relatively
Gentle; Slight
thermal effect
55 Tendinitis
M. Subscapularis
(subacute)
3 5
30 0.5 Every day Relatively
Gentle;Slight
thermal effect
57 Supraspinatus
Tendinitis (subacute)
3 5
30 0.5 Every day Relatively
Gentle; Slight
thermal effect
Chronic Indications
Program /
Indication
Frequency
in MHz
Min. Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
4 Bursitis (with chronic
calcification)
1
7.5 100 1.5 3 times a week
Intensive; Ther-
mal effect
13 Interphalangeal
Joints Distorsion (chr.)
3 7
100
1
Every day
Intensive; Ther-
mal effect
15 Ankle Joint
Distorsion (chronic)
3 7
100
1
3 times a week
Intensive; Ther-
mal effect
17 Epicondylitis Type
1
(chronic)
3 7
100
1
3 times a week
Intensive; Ther-
mal effect
19 Epicondylitis Type
2
(chronic)
3 7 100 1 3 times a week
Intensive; Ther-
mal effect
21 Epicondylitis Type
3
(chronic)
3 7
100
1
3 times a week
Intensive; Ther-
mal effect
23 Epicondylitis Type
4
(chronic)
3 7
100
1
3 times a week
Intensive; Ther-
mal effect
27 Chronic
Haematoma
3 7
100 1.5 3 times a week
Intensive; Ther-
mal effect

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Program /
Indication
Frequency
in MHz
Min. Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
30Lumbago(chronic)
1 7 100 1.5 3 times a week
Intensive; Ther-
mal effect
43 Rheumatoid
Arthritis (finger joints)
1 7
100 0.5 3 times a week
Intensive; Ther-
mal effect
46 Subluxation
(chronic)
1 7
100
1
3 times a week
Intensive; Ther-
mal effect
48 Achilles Tendinitis
(chronic)
3 7
100 0.5 3 times a week
Intensive; Ther-
mal effect
50 Adductor Tendinitis
(chronic)
3 7
100 0.5 3 times a week
Intensive; Ther-
mal effect
52 Tendinitis
M. Infraspinatus
(chronic)
3 7
100 0.5 3 times a week
Intensive; Ther-
mal effect
54 Patellar Tendinitis
(chronic)
3 7
100 0.5 3 times a week
Intensive; Ther-
mal effect
56 Tendinitis
M. Subscapularis
(chronic)
3 7
100 0.5 3 times a week
Intensive; Ther-
mal effect
58 Supraspinatus
Tendinitis (chronisch)
3 7
100 0.5 3 times a week
Intensive; Ther-
mal effect
59 Trigger Finger
3 6
100
2
3 times a week
Relatively
Gentle; Slight
thermal effect
60 Leg Ulcer
3
10 50 0.5 Every day
Gentle; ather-
mic effect

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Other Indications
Program /
Indication
Frequency
in MHz
Min.
Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
1 Rheumatoid Arthri-
tis Fingers
3 3
10 0.5 Every day
Gentle; Ather-
mic; Option:
Underwater
treatment
2 Osteoarthritis Of
The Wrist
1 7
100 0.5 3 times a
week
Intensive; Ther-
mal effect
3 Cervical Osteoar-
thritis
1 7
100 0.5 3 times a
week
Intensive; Ther-
mal effect
5 Hypertrophic Scar
3
15 100
2
Every day
Intensive; Ther-
mal effect
6 Post-Surgical Scar
Tissue (new)
3
10 20 0.5 Every day
Gentle; Ather-
mic
7 Frozen Shoulder
1 7
100
2
3 times a
week
Intensive; Ther-
mal effect
8 Dupuytren‘s Con-
tracture
1 6
100 1.5 3 times a
week
Intensive;
Thermal effect;
Option : Under-
water treatment
9 Coxarthrosis
1 7
100 1.5 3 times a
week
Intensive; Ther-
mal effect
10 Decubitus Ulcers
3 1
20 0.5 3 times a
week
24 Plantar Fasciitis
1 6
100
2
3 times a
week
Intensive; Ther-
mal effect
25 Periarthritis Scapu-
lohumeralis
1
15 100
2
3 times a
week
Intensive; Ther-
mal effect
26 Gonarthrosis
1 7
100
1
3timesaweek
Intensive; Ther-
mal effect

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Program /
Indication
Frequency
in MHz
Min.
Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
28 Lumbar Disc
Herniation
1 5 20 1.5 Every day Relatively
Gentle;Slight
thermal effect
31 Spondylarthritis
(general)
1 7
20 1.5 3 times a
week
Relatively
Gentle; Slight
thermal effect
32 Spondylarthritis
(sacroiliac joints)
1 7
20 1.5 3 times a
week
Relatively
Gentle;Slight
thermal effect
33 Thromboangiitis
Obliterans (lo. ext.)
1 7
100 0.3 Every day
Intensive; Ther-
mal effect
34 Thromboangiitis
Obliterans (up. ext.)
1 7
100 0.3 Every day
Intensive; Ther-
mal effect
35 Raynaud‘s Disease
(lower extremities)
1 7
100 0.3 Every day
Intensive; Ther-
mal effect
36 Raynaud‘s Disease
(upper extremities)
1 7
100 0.3 Every day
Intensive; Ther-
mal effect
37 Sudeck‘s Dystro-
phy (lower ext.)
1 7
100 0.3 Every day
Intensive; Ther-
mal effect
38 Sudeck‘s Dystro-
phy (upper ext.)
1 7
100 0.3 Every day
Intensive; Ther-
mal effect
39 Myalgia (e.g. M.
vastus lateralis)
1 7
20 0.5 Every day Relatively
Gentle; Slight
thermal effect
40 Low Back Pain
(discs)
1 5
100 1.5 Every day
Intensive; Ther-
mal effect
41 Phantom Pain
1 5
100
1
Every day
Intensive; Ther-
mal effect

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17
Program /
Indication
Frequency
in MHz
Min.
Duty Cycle
as a %
W/
cm²
Treatment
Frequency
Comments Graphics
42 Search For Painful
Points
1 10 100 1
Intensive; Ther-
mal effect
44 Stress Fracture
1
10 100
1
Intensive; Ther-
mal effect
Ultrasonophoresis
»
In cause of better coupling, gels are more convenient for sonophoresis than oint-
ments.
»
Before use, the skin can be heated to increase the absorption.
»
Dosage 0.5 – 1 W/cm²
»
The pulsed ultrasound seems to have better results than continuous ultrasound.
Special indications
Program / indication frequency min. duty cycle W/cm²
61 Ultrasonophoresis
1 5
30 0.5 – 1.0

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4. Device Description
1.
Display
1
2.
Pressure rotating button
2
3.
UltrasoundConnection,Channel2
4.
UltrasoundConnection,Channel1
5.
ON/OFF Switch
6.
Mains Power ConnectingCable
4 5 6 3
7.
Ultrasound Head SVDF 4
(large) 4 cm²
(Standard Accessory)
7
8.
Ultrasound Head SVDF 1 8
(small) 1 cm²
(Optional Accessory)
9.
Ultrasound gel
10.
Transport Case 10
(Optional accessory)
9

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19
Set-Up and Starting
The following describes the setting up and the starting of the SONIC vital
XTcoloR.
1.
The device should be placed on a smooth, even surface.
2.
Please ensure that the SONIC vital XTcoloR is not placed immediately adjacent
to other devices and neither should it be stacked on other devices. This is to
avoid reciprocal interference. If this is not possible, the function of the respec-
tive devices must be kept under observation to ensure that proper operation
is not compromised.
3.
Voltage supply connection
Theconnectionforthemainspowercableislocatedonthereverseside ofthe
device.Itmustbecheckedthatthemainsvoltagesupplyvalues areincompli-
ance with the values stated on the rating plate. Once this has been checked,
the mains cable is to be connected to the device and plugged into the mains
socket.
4.
Connecting the ultrasoundheads
Connect the required ultrasound head(s) to any of the connectors on the
reverse side of the device. When removing the ultrasound head from its
socket never pull on the cable: always grasp the plug casing! Otherwise, the
ultrasound head could be damaged or ruined.
5.
The device is switched on with the ON/OFF switch which is located on the
reverse side of the device.
6.
The start video screen will appear after a few seconds.
7.
Once the main menu appears in the display, the device is ready to operate.

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Main Menu
The following menu points can be selected in the main menu:
Program Listing
All programs of the SONIC VITAL XTcoloR are available for selection.
User Programs
Your freely definable user program.
Favourites
Listing of favourite programs as specified by you.
Program Group
Programs ordered according to the type of indication: acute, subacute,
chronic or other.
Settings
Edit user programs, delete all favourites and system settings.
Usingtherotatingbutton,selecttherequiredmenupoint.Themenupointselected
willbedisplayeddownintheforeground.Selection isconfirmedbydepressingthe
rotating button.