Dynatronics DYNATRON SmarTRAC User manual

®
Operator’s Manual
®

SMARTRAC | OPERATOR’S MANUAL REV. 0 | 4/06/2018 II
COMPLIANCE: e contents of this “Instructions For Use” manual are exactly the same in both the printed and electronic forms.
Inventory 5D00310 Rev. 0
Dynatron® SmarTRAC Operator’s Manual
© Copyright 2018
A R R
Dynatronics Corporation
7030 Park Centre Drive, Cottonwood Heights, UT 84121
[phone] / [phone]
www.dynatronics.com / [e-mail]
CAUTION
Federal law restricts the SmarTRAC for sale by or on the order of a physician, chiropractor, physical therapist,
or dentist licensed by the law of the state in which said person practices to use or order the use of the device.
IMPORTANT: Traction erapy must be prescribed by a licensed practitioner following an appropriate
physical examination and diagnostic analysis.
WARNING
DANGER - Explosion Hazard:
Do not use in the presence of ammable anesthetics.
Do not use the Traction System near X-ray or Diathermy devices. ese devices may emit high frequency noise
that could aect the operation of the SmarTRAC Traction device.
IMPORTANT: Before treating a patient with any Dynatron® SmarTRAC device, see the “Contraindications, Warnings,
and Precautions” in this manual. Read the operating instructions carefully.
INDICATIONS FOR USE
e SmarTRAC Traction device, with its accessories, is intended to provide relief for the management of pain and
symptoms from a variety of pressures on muscular or skeletal structures. e SmarTRAC Traction device may be
used to treat pain and symptoms associated with the following conditions: herniated discs, bulging or protruding
intervertebral discs, degenerative disc disease, posterior facet syndrome, acute facet problems, radicular pain,
prolapsed discs, spinal root impingement, hypomobility, degenerative joint disease, facet syndrome, compression
fractures, joint pain, and discogenic pain.

TABLE OF CONTENTS
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Table of Contents
Introduction ............................................................................................................................................I
Essential Performance ............................................................................................................................................................... I
Operator’s Prole ....................................................................................................................................................................... I
Before You Treat a Patient......................................................................................................................................................... I
SmarTRAC Features............................................................................................................................... 2
Unpacking...................................................................................................................................................................................2
Principles of Operation.............................................................................................................................................................2
Device Design.............................................................................................................................................................................3
Touch Screen Control................................................................................................................................................................3
Safety Features ............................................................................................................................................................................4
Traction erapy Programs ....................................................................................................................................4
Installation ............................................................................................................................................. 7
Standard Components...............................................................................................................................................................7
Connection to Power Supply....................................................................................................................................................7
Disconnect From Power Supply...............................................................................................................................................7
Attachment Carabiner Hook....................................................................................................................................................8
Mounting on the Traction Frame ............................................................................................................................................8
Cord Guidance ...........................................................................................................................................................................9
Cervical Traction Operating.....................................................................................................................................................9
Operating Instructions ........................................................................................................................ 10
Operator Controls....................................................................................................................................................................10
Basic Operation........................................................................................................................................................................10
Home .........................................................................................................................................................................................12
Protocols....................................................................................................................................................................................12
Favorites ....................................................................................................................................................................................12
Manual Operation....................................................................................................................................................................13
Treatment Screen .....................................................................................................................................................................14
Start, Pause, and Stop Treatments..........................................................................................................................................15
Favorites ....................................................................................................................................................................................16
System Settings.........................................................................................................................................................................17
Shutting Device Down ............................................................................................................................................................18
Warnings, Precautions, and Contraindications .................................................................................. 19
Treatment Preparation..........................................................................................................................................19
Warnings................................................................................................................................................................19
Cautions.................................................................................................................................................................20
Contraindications ....................................................................................................................................................................21

TABLE OF CONTENTS
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General Specications.......................................................................................................................... 22
Standard Components.............................................................................................................................................................22
Technical Specications ..............................................................................................................................................................
22
Environmental Conditions .....................................................................................................................................................23
SmarTRAC Labeling................................................................................................................................................................23
Denition of Symbols and Labeling ......................................................................................................................................24
Maintenance and Troubleshooting...................................................................................................... 25
Cleaning and Disinfection ......................................................................................................................................................25
Warning Messages, Error Messages, and Troubleshooting ................................................................................................25
Technical Maintenance............................................................................................................................................................26
End of Life.................................................................................................................................................................................27
EMC Details.......................................................................................................................................... 28
Manufacturer Product Liability........................................................................................................... 32
Warranty............................................................................................................................................... 33
Warranty Registration .............................................................................................................................................................34

INTRODUCTION
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Introduction
is manual has been written for the owners and operators of the SmarTRAC traction device. It contains general instructions
on operation, precautionary practices, maintenance, and parts information. In order to maximize the use, eciency, and
lifespan of the unit, please read this manual thoroughly and become familiar with the controls as well as the accessories
before operating the unit.
Essential Performance
e essential performance of the device is to apply rhythmic, or according to a pattern, dierent dosed forces on the spine or
limbs of a patient, limited to 202 lbs. (900 Newtons) lumbar and 45 lbs. (200 Newtons) cervical, without unacceptable risk.
Operator’s Prole
All operators shall be properly trained and certied medical practitioners or those working under the direction of a licensed
medical practitioner, capable of reading and comprehending instructions for use as described in this manual. Operators will
have reasonable mobility and dexterity to attach electrodes, and monitor patient response to treatments. e operator should
be able to hear an audible signal indicating completion of treatments.
Before You Treat a Patient
Before administering a treatment to a patient with a SmarTRAC device, familiarize yourself with all the operating instructions,
as well as the contraindications, warnings, and precautions.
In addition to this information, consult other published sources for additional application and safety instructions regarding
use of traction therapy.

SMARTRAC FEATURES
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SmarTRAC
Features
Unpacking
When you receive the unit, immediately unpack it and all accessories. Check for possible damage, obvious or concealed. In
case of damage, immediately notify the freight carrier and take any steps necessary to le a claim for the damage sustained.
Do not destroy or discard the shipping carton. If possible, the carton should be reused if the device must be shipped for any
reason, including calibration. e carton is specially designed to protect the unit from shipping damage. Improper packaging
of the unit during transport can result in damage and invalidate the warranty.
Complete the warranty registration form located at the back of this manual and return it to Dynatronics within 30 days of
purchase. is will insure that you are not billed for services that are covered by the warranty policy. Warranty registration
should include the serial number for the device.
Connect the AC power cord, which is provided as a hospital grade, UL listed plug, to a properly grounded 110/120V 60 Hz
AC outlet. e device will automatically switch to 220/240V 50 Hz when connected to a power source with that voltage. e
power cord must also be rmly plugged into the device itself. When the cord is properly connected, it cannot be easily pulled
out. Do not place the cord or the device in a place where the cord could be tripped over or accidentally pulled out of its socket
during a treatment.
Principles of Operation
e SmarTRAC traction device applies forces to the spine to alleviate pain caused by a variety of pressures on muscular
or skeletal structures. It exerts dened forces on the human body to alleviate pain. It utilizes computer technology for
programming of dierent kinds of traction. When a static force is applied, the patient’s muscles relax. By increasing the force
aer relaxation of the muscles, the treatment can be more eective.

SMARTRAC FEATURES
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Device Design
e SmarTRAC is a combination of computer technology, functional design, and operational convenience.
e device is intended for use by professional users only, such as qualied personnel in physiotherapy, rehabilitation, and
adjacent areas. e device is ideal for lumbar and cervical traction. Sequential programming is possible in order to program
combinations of traction which can be stored as favorites for later use.
e device is designed in a plastic housing with a full color touch screen interface on which the professional user can enter
various parameters by a single touch. Parameters for traction include traction force, base force, base hold time, treatment
time, speed, and others, depending on the selected traction mode. Dierent settings can be congured, like language,
brightness, end of treatment sounds, force unit (N, Kg, lbs), and body weight unit (Kg, lbs).
e professional user must operate the device by selecting one or a combination of force protocols categorized in 5 groups
(Continuous, Intermittent, Cyclic, Progressive, and Regressive) for the treatment of the patient.
e device motor delivers traction to the patient via the cord and connected accessories at a force between 3.5 lbs (15
Newton) and 202 lbs. (900 Newton). e maximum protocol time is 150 minutes. As a safety measure, if more than 150
minutes are set, the device will not start.
Several safety measures are running and controlling the device during operation. e patient stop is one of these measures. It
needs to be connected for the SmarTRAC to function. When the user presses the patient stop, or if it becomes disconnected,
the treatment will end and the force will be lowered by means of the hardware design. An optional remote can be used by the
patient to decrease actual force during treatment.
e SmarTRAC is used in conjunction with a suitable treatment table. e treatment table is not part of the SmarTRAC
package and must be purchased separately.
e original SmarTRAC was developed before 1982 and has proven to be a reliable therapeutic device over the years.
Touch Screen Control
By means of a touch-screen interface, the device is easy to operate. A single touch can select four main functions from the
main touch screen:
• Conguration
• Clinical Protocols
• Favorites (pre-programmed protocols)
• Manual Operation
English is the default language; however, French and Spanish can also be selected through the touch screen. Brightness can
be adjusted, an auditory tone signaling the end of treatment can be selected, and other congurations are possible.
Clinical Protocol
With one touch on the main screen, “Clinical Protocol” can be selected. A new screen reveals a selection of protocols from
which to choose. If necessary, additional information will be requested before nalizing the selection an be made.

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Favorites
With one touch “Favorites” can be selected from the main screen. It will show the list of earlier stored manual
protocols.
Manual Operation
When no “Clinical Protocol” or “Favorite” is requested, a single click on “Manual Operation” from the main screen will start
a wizard which leads the user through all congurations that must be set up. is wizard is easy and fast to follow, and it does
not skip any necessary setting.
Treatment erapies
e SmarTRAC can be mounted to an appropriate treatment table where the patient lies down on their back. Popular traction
therapy programs can be selected and pre-programmed protocols can be used. Manually programmed therapy programs can
also be stored. Up to ve types of therapy can be sequentially programmed. e ve types are as follows:
• Continuous
• Intermittent
• Cyclic
• Progressive
• Regressive
Parameters can be adjusted during treatment. e device motor delivers traction force between 3.5 lbs. (15 Newton) and 202
lbs. (900 Newton) to the patient via the cord and other accessories. Specic accessories are designed and required for use in
lumbar and cervical traction treatments, see published literature for information and instructions.
Safety Features
To protect the patient from potential hazards, multiple mitigations are designed into the hardware and soware. ere are
electronic safeguards of force and mechanical safety for maximum force limitation. Additional hardware mitigations are
applied to protect the patient from a too high level of force. If no soware is running, or if no Patient Stop is connected, the
hardware is designed to lower the force. ere is also a Patient Stop, which must be held by the patient during therapy. e
patient can press it to stop therapy immediately. If it is pressed, the force will lower to release the patient from the device.
e Patient Stop is controlled in the hardware, and any soware will be overruled, if it is pressed. A remote control can be
used as an option for decreasing the force delivered to the patient during treatment. As a safety feature, the remote cannot
increase the force.
Traction Therapy Programs
e therapy programs can be selected by the buttons corresponding with the graphs illustrated on the following page. e
therapy program buttons are shown below the graphs.
See paragraph titled “Navigation” (page 11) for an explanation of all the SmarTRAC device buttons.

SMARTRAC FEATURES
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Single Continuous Traction
e force is increased to the Traction Force with the congured Speed and stays there for the
Traction Force Hold Time.
Depending on the congured Speed and the Traction Force, the total treatment time is calculated
and shown in the treatment screen.
Single Intermittent Traction
e force is increased to the Traction Force with the congured Speed and stays there for the
Traction Force Hold Time. en it will lower the force towards the Base Force with the same
congure Speed and stays there for the Base Force Hold Time. is sequence is repeated as
congured.
Depending on the congured Speed, the Traction Forces, and number of repeats; the total treatment
time is calculated and shown in the treatment screen.
Single Cyclic Traction
e force is increased to the Traction Force with the congured Speed. en it will be lowered
to the Base Force with the congured Ramp Down Time. When the Base Force is reached, the
force is increased again to the Traction Force, this time with the congured Ramp Up Time. is
sequence is repeated as congured. Aer the last repeat the force is lowered towards zero with the
congured Speed.
With the congured Speed, the Traction Forces , Ramp Up Time, Ramp Down Time, and number
of repeats; the total treatment time is calculated and shown in the treatment screen.
Single Progressive Traction
e force is increased in a congured number of Steps. Each Step increases the force partly, in
such a way that all Steps together result in the programmed Traction Force. Between each Step the
force stays there for the Steps Hold Time. e force between Steps is increased with the congured
Speed. When the last Steps Hold Time of the last Step has ended, the force is lowered towards zero
(if no other traction type is added).
With the congured Speed, the Traction Force, and number of Steps; the total treatment time is
calculated and shown in the treatment screen.
Single Regressive Traction
e force is increased towards the Traction Force and then lowered in a congured number of
Steps. Each Step decreases the force partly, in such a way that all Steps together result in a zero force
value. Between each Step the force stays there for the Steps Hold Time. e force between Steps is
decreased with the congured Speed. When the last Steps Hold Time of the last Step has ended,
the force is zero.
With the congured Speed, the Traction Force, and number of Steps; the total treatment time is
calculated and shown in the treatment screen.

SMARTRAC FEATURES
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NOTE
Single Progressive Traction and Single Regressive Traction are not oen used as single therapy programs, but most
oen in combination with other traction types to start and nish a combined traction treatment.
NOTE
Starting a combined traction protocol with regressive traction is not possible. It only lowers a previous programmed
Traction Force towards zero in a congured number of Steps or towards the Traction Force value programmed.

INSTALLATION
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Installation
Standard Components
Device
1671902 SmarTRAC
Standard SmarTRAC Accessories
7B0087 Patient Stop Switch
7B0084 Fixing Knobs, set of 4
7B0085 Nylon Cord, 170 cm with Carabiner Hook
7B0086 Power Cord UL-CSA 115V straight socket black or grey (for USA)
5D00310 SmarTRAC Operator’s Manual
Connection to Power Supply
• Insert the power cable into power socket on the back of the console and into a wall socket.
• Turn on the device with push button located on the console above the power socket.
• e device will initialize and perform a self-test. is may take a while.
• At the end of the self-test the device enters the Home Menu and is ready for use.
Disconnect From Power Supply
Turn o the device using the push button located above the power socket on the back of the console.

INSTALLATION
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Attachment Carabiner Hook
Mounting on the Traction Frame
e SmarTRAC may be mounted on dierent traction tables by way of a traction frame/arm. Moreover, the device may be
mounted on a mobile traction frame for cervical traction. For mounting instructions, please refer to the manufacturers’
documentation included with the traction frame/arm.
CAUTION
e cord must be attached to the carabiner hook by means of a knot capable of withstanding considerable traction,
without coming undone. A suitable knot is shown in the gure below.
CAUTION
Do not place the device in a location where the power cord could be tripped over or pulled out during treatment.
Do not attempt to use the device if it is not properly grounded. Make certain that the device is electrically grounded
by connecting it only to a grounded electrical service receptacle that conforms to the applicable national and local
electrical codes regarding medical environments.

INSTALLATION
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Cord Guidance
CAUTION
To avoid damage to the device, guide the cord
over the pulley exactly
as illustrated in the graphic to the le.
Cervical Traction Operating
For cervical traction, forces over 45 lbs. (200 Newton) are not allowed. By selecting a traction force higher than 45 lbs. (200
Newton), a warning will be issued about exceeding this limit.
WARNING
To ensure safe use during cervical traction, when the limit warning appears, do NOT press the “Accept” button in
order to prevent traction forces over 45 lbs. (200 Newton) during the cervical traction treatment.

OPERATING INSTRUCTIONS
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Operating Instructions
Operator Controls
1. Cord
2. Pulley
3. Display with Touch Screen
4. Power Switch
0 Device disconnected from power supply
1 Device connected to power supply touch screen
5. Power Input and Power Fuses
6. Type Number Plate
Provides device information: type and serial
number, as well as data on voltage and maximum
current consumption.
7. Patient Stop Switch Connection
8. Remote Control Connection
Basic Operation
Switch on the device “ON” using the Power Switch located on the back of the console (#4).

OPERATING INSTRUCTIONS
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Navigation
e following buttons are displayed on the navigation bar.
Button Signicance
Back, return to previous screen.
Continue, continue to next screen.
Home, return to Home screen.
Page Number / number of pages in multi-page menu screens or treatment step number / number of
treatment steps in sequential protocols.
Arrow Up. Scrolls through pages.
Arrow Down. Scrolls through pages.
Store therapy parameters or a programmed sequential protocol as Favorite.
Delete.
Pause / Interrupt Treatment. Power will be reduced to zero.
Start / Continue Treatment.
Accept selected option.
Stop. Power reduces to zero.
Emergency Stop. Power reduces to zero at maximum speed.
System Settings.
Remote Control is connected.
Static Traction type selection button.
Intermittent Traction type selection button.
Progressive Traction type selection button.
Regressive Traction type selection button.
Cyclic Traction type selection button.
Add Traction type button. When the rst traction type is selected, a following traction type can be
added by pressing this button to congure a combined traction treatment.

OPERATING INSTRUCTIONS
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Please select a menu item by pressing the relevant button to navigate to the next screen. You can return to the previous
screen by pressing the back arrow at the top of the screen. You can return to the Home menu anywhere during navigation
by pressing the home button.
Home
e Home menu provides access to the following functions:
• Protocols
• Favorites
• Manual Operation
• System Settings
(e button for System Settings is the icon located at the top right-hand
side of the navigation bar)
Protocols
Selecting Protocols
Aer selecting the Protocols menu in the main menu, a list
will appear with pre-programmed protocols.
Scroll through this list using the arrows on the navigation
bar. Select the required protocol by pressing the relevant
button.
Protocol Information
For more information about a protocol, press the info
button on the le hand side of the protocol.
Favorites
Retrieving Favorites
Aer selecting the Favorites in the main menu, a list will
appear with stored favorites.
By selecting the required favorite, the treatment screen
will appear showing the main parameters of the favorite. If
required, each parameter can be adjusted here.
(A program that requires use of the remote control will be preceded by
the remote control symbol.)

OPERATING INSTRUCTIONS
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Removing Favorite
To remove a favorite, rst press the recycle bin and then the
favorite you want to remove.
Manual Operation
Form of erapy
Aer selecting Manual Operation in the main menu, the
possible forms of therapy appear.
Depending on the selected form of therapy, you will be
prompted to enter the required parameters. See paragraph
titled “Navigation” (page 11) for button explanation.
Setting of Parameters
Use the arrow keys on the screen to adjust the parameter.
Press ACCEPT on the navigation bar to conrm the set
value. e screen for setting the next parameter appears.
You can use the back key on the navigation bar to return to
the previous parameter.
Setting with Body Weight
You have the option to set the body weight and a percentage
to determine the required power.
To do this, press the “Congure by Body Weight” key at the
bottom of the screen.
Set the patient’s body weight. In the next screen you can
insert the percentage of the body weight.
(e desired tractive power will be calculated for you. e absolute value
will be shown when you are in the treatment screen).

OPERATING INSTRUCTIONS
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Speed
e speed with which the tractive power changes can be set
very accurately using the arrow keys. Moreover, you can use
the three pictograms at the bottom of the screen: S L O W,
MEDIUM, AND FAST.
When all required parameters have been set, you will arrive
at the treatment screen.
Treatment Screen
Screen Layout
At the right-hand side of the treatment screen you will be
able to quickly view the main parameter settings. In the
middle of the screen the treatment setting will be depicted
in a diagram.
On the le-hand side of the screen you see a symbol for the
therapy form setting. In the case of a sequential program,
you will nd the sequence of the programmed forms of
therapy from top to bottom.
Adjusting Parameters
You can adjust the parameters by pressing the relevant
button on the right-hand side of the screen and using the
arrow keys in the next screen. Conrm using the ACCEPT
button on the navigation bar.

OPERATING INSTRUCTIONS
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Diagram
e center screen has ve small keys located within it, one
located in each corner and one at the bottom center. ese
keys oer the option to zoom in and out of the depiction, or
to move across the time line.
ese keys appear when the screen is touched once in the
center.
(Aer a number of seconds the depiction will automatically return to
the current position in the treatment).
Sequential Programming
By pressing the “ADD” key you can add another form of
therapy. e device will ask you to enter the parameters for
this other form of therapy.
To remove part of a sequential program, start by selecting
the recycle bin on the navigation bar immediately followed
by pressing the symbol of the relevant form of therapy in the
le-hand column.
Start, Pause, and Stop Treatments
START - Start the therapy with the Start button on the
navigation bar.
PAUSE - To interrupt the treatment, press on the Pause
button on the navigation bar. is button will appear in the
place of the Start button when the treatment is in progress.
To continue the treatment, press the Start button.
To stop the treatment, press the STOP button on the
navigation bar. is will appear when the treatment is in
progress.
When the treatment is started, the STORE and HOME
buttonsdisappear andthe PAUSE,STOP, andEMERGENCY
STOP buttons appear.

OPERATING INSTRUCTIONS
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When the PAUSE button is pressed, the force is lowered
towards zero and the PAUSE button is replaced again for
the START button.
When the STOP button is pressed the START/PAUSE button
disappears and the force is slowly lowered toward zero. Only
the EMERGENCY STOP button is still shown and can be
pressed to lower the force fast.
When the EMERGENCY STOP button is pressed the device
acts the same as pressing the Patient Stop button and the
force is lowered as fast as possible towards zero. All buttons
disappear until the force is back on zero lbs./Newton again.
Favorites
Storing Favorites
When a treatment screen has been set completely as
required, the setting can be stored as a Favorite. As long as
the treatment has not been started, a Store button is available
on the navigation bar.
Press the Store button to store your settings. Also aer
termination, stopping or pausing of the treatment, the
treatment remains visible on the screen and can still be
stored as a favorite.