Hill Laboratories IFC User manual

4-Channel Multi-Wavelength Interferential Unit
Hill IFC
NEXT GENERATION

InstrHILLIFCuctionManualInstru
c
tionManual
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ThefrontpanelofHILLIFChavethefollowingfunctionswhichareexplainedasfollows.
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1.OutputSocket: Usedtogivetheoutputforthetreatmentwiththehelpofleadwire.
2. Patient Switch: - There is a patientemergency stop switch whichisconnected to thedevicevia
cabletoturnoffthedeviceimmediatelybypatient.WhenthePatientpressedtheEmergencyStop
Button,thedevicewillpauseallstimulations(allstartedtreatments)withoutany delay.The
resume oftreatmentscanbe done only throughmainuserinterface–itmeansthatpaused
treatmentscannotberesumedbyPatientSwitch,againyouhavetostartthetreatmentbytapon
thestart/stopoption.
3.PowerInput:Itisusedtoconnectthelinecordintothegroundedwalloutlet.
4.RockerSwitch:-Tostart(ON)thedevicepresstherockerswitch.
5.Output1and2Icon:ThisIconisusedtoselecttheoutputchannel1&2orchannel3&4.The
backlightindicationwillprovideinfoaboutselectedchannels(output).
6.Mode Selection Icon –This optionisusedtoselect the treatment modes asper
requirement:IFT(IFC),TENS,GALVANIC,HIGHVOLTAGE,FARADIC.
7.Start/Stop Icon: Start/Stopicon on thepanelis provided to start or stop a particulartreatment.
8.SetupIcon –Usedto select or enter thefollowing parametersoftreatment: CyclicON,Cyclic
OFF, Ramp Up/Down, Frequency, Low Beat Frequency; High BeatFrequency,PulseWidth.
9.Time/Intensity/Polarity/ Increment / Decrement(Up/Down) Selection Icon: Thisicon isused for
setup the treatment time/Intensity/Polarity andincreasingordecreasingthe following
parameters: Time, CyclicON, CyclicOff, Ramp Up/Down, Frequency, Low Beat Frequency,High
BeatFrequency,PulseWidth,presetProtocols,Time,Intensity.
10. Preset:- Thisiconisusedforselectingpresettreatments.
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Note:
1.NoLoadDetection:Atnoloaduserwillnotbeabletoincreasetheintensityabove5%butthisisnot
applicabletoHighvoltagePulseCurrentTreatmentMode.
2.OutputSwitching:Inordertoswitchbetweentwooutputs,SelectOutputonPanel.
3.ScreenLock:After60secofinactivity,screengetslocked.Tounlock,LongtaponanyIconfor3seconds.
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page A

IFC Presets:
• P01 Acute pain
• P02 Chronic pain
• P03 Edema 1 (1-30 Hz)
• P04 Edema 2 (1-10Hz)
• P05 Nerve Block
• P06 Custom
Accessories
Preparing for Treatment
Technical Specications
page B

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Precau
ti
onary
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st
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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definitionsofthesesymbolsareasfollows:
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CAUTION-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.
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WARNING-Textwitha“WARNING”indicatorwillexplainpossibleSafetyinfractions
thatwillpotentiallycauseseriousinjuryandequipmentdamage.
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DANGER-Textwitha“DANGER”indicatorwillexplainpossiblesafetyinfractionsthatare
imminentlyhazardoussituationsthatwouldresultindeathorseriousinjury.
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NOSITTING–Textwitha”NOSITTING”indicatorwillexplainpossiblesafety
instructionsthatwillpotentiallycauseseriousinjuryandequipmentdamage.
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NOSTEPPINGONSURFACE-Textwitha“NOSTEPPINGONSURFACE”indicatorwill
explainpossiblesafetyinfractionsthatwillcauseequipmentdamage.
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NOTE:Throughoutthismanual“NOTE”maybefound.TheseNOTESarehelpfulinformationtoaidinthe
particularareaorfunctionbeingdescribed.
NOMENCLATURE:Thefollowingarethesymbolsusedinmanualandsticker:
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Hardwaresymbols:
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page C

page 15
HILLIFCInstru
c
tionManual
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CONTENTS
PanelFunctionsExplained..................................................................................................................... A
Accessories/PreparingforTreatment.................................................................................................... B
PrecautionaryInstructions..................................................................................................................... C
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1. INSTRUCTIONFORTHEUSER.......................................................................................................... 2
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1.1CAUTION................................................................................................................................. 2
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1.2Warnings.................................................................................................................................2
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1.3 Precautions............................................................................................................................. 2
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1.4AdverseReactions................................................................................................................... 3
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1.5 Conditions ............................................................................................................................... 3
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1.6 Contraindicatedconditions..................................................................................................... 3
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1.7 ContraindicatedAreas............................................................................................................ 3
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2.Introduction .................................................................................................................................... 4
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2.1 IntendedUse........................................................................................................................... 4
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3.ACCESSORIES................................................................................................................................... 5
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4.SPECIFICATIONS.............................................................................................................................. 5
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4.1GeneralSpecification .............................................................................................................. 5
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4.2 TechnicalSpecification............................................................................................................ 5
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HILLIFCPredefinedIFCTreatments................................................................................................5
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4.3TENS........................................................................................................................................ 7
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4.4Galvanic................................................................................................................................... 8
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4.5FaradicCurrent(Rectangular).................................................................................................. 8
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4.6FaradicCurrent(Triangular).................................................................................................... 8
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4.7HighVoltagePulsedCurrent(HVPC)....................................................................................... 9
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4.8DeviceTreatmentModesandPRESETS................................................................................10
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5. DEVICEOPERATIONMODE ........................................................................................................... 11
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5.1PREPARINGELECTRODES:..................................................................................................... 11
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5.2 INSTRUCTIONFORUSECARBONELECTRODE....................................................................... 11
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5.3 PREREQUISITES:.................................................................................................................... 11
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5.4PREPARINGTHESKIN............................................................................................................ 12
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6.HowtoOperateDevice................................................................................................................. 12
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6.1 PLUGINTHEDEVICE.............................................................................................................12
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6.2 DeviceON.............................................................................................................................. 12
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6.3AudioIndication.................................................................................................................... 12
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6.4VisualIndication.................................................................................................................... 12
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6.5 DEVICEOPERATIONRUNTIME .............................................................................................12

HILLIFC
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6.6
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6.7
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6.8
Instru
c
tionManual
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DEVICEINTENSITY................................................................................................................. 12
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MODEANDTREATMENTSELECTION....................................................................................12
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Howtogobacktothetreatment:........................................................................................ 14
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7.Turningoffthedevice................................................................................................................... 14
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8.TROUBLESHOOTING...................................................................................................................... 14
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9.MAINTENANCE.............................................................................................................................. 14
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9.1Cleaningthedevice...............................................................................................................14
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9.2Cleaningtheaccessories .......................................................................................................15
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9.3CareforElectrodes:............................................................................................................... 15
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10. RoutineMaintenance............................................................................................................... 15
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10.1Overview ............................................................................................................................... 15
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11. SUGGESTEDELECTRODEPLACEMENTCHART..........................................................................16
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12. WARRANTY................................................................................................................................16
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12.1WARRANTYCOVERAGE......................................................................................................... 16
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12.2WARRANTYDISCLAIMERS.....................................................................................................16
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12.3LEGALREMEDIES................................................................................................................... 17
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12.4WARRANTYPERFORMANCE................................................................................................. 17
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12.5CUSTOMERSERVICE.............................................................................................................. 17
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12.6WarrantyPeriod....................................................................................................................17
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12.7OUTOFWARRANTYSERVICE................................................................................................ 17
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1|Page

HILLIFCInstru
c
tionManual
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1.
 I
NSTRUCT
I
ON
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FOR
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THE

USER
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Please read thisinstruction manualcarefullybefore usingHILL IFCbecauseitis unsafe to start
using the devicebeforereading the whole manual. Theinstructionon the following pageswill
show youhowto use andcare foryourHILLIFCinageneralmanner.You shouldbeparticularly
familiarwiththeprescriptionandinformationprecautionsbeforeproceeding.
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PurposeofThisManual
Thismanual containsimportantinformation regardingthe safe and effective operationofyour
HILL IFC. YourHILL IFCisanelectrical device thatcan provide yearsofusefulservice withthe
propercareandmaintenance,asdescribedinthismanual.
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1.1 CAUTION
• This devicemust beusedonlyunder thecontinuedsupervisionof aphysicianorlicensed
practitionerinthestatehe/shepractices.
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• DO NOT operate thisunitinan environmentwhere other devices are being used that
intentionallyradiateselectromagneticenergyinanunshieldedmanner.
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• DONOTusesharpobjectssuchaspencilpointorballpointpentooperatethebuttonson
thetouchscreen.
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• Thisunitshould be operatedintemperature between+10°Cto+40°C,transportedand
storedintemperaturebetween-30°Cto+60°C,withrelativehumidityrangesfrom10%to
95%.
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• TheHILL IFC system is not designated to prevent the ingressof waterliquids. Ingress of
water
or liquidscouldcausemalfunction of internal components of thesystem and therefore create a
risk  of  injuryto  the  patient.
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1.2Warnings
• Thelong-termeffectsofchronicelectricalstimulationareunknown.
• Stimulationshouldnotbeappliedoverthecarotidsinusnerves,particularinpatientwith
knownsensitivitytothecarotidsinusreflex.
• Theelectrodeshouldnotbeappliedovertheneckormouth,oranywhereelseonthehead.
Ifstimulationisappliedovertheneckormouthespecially,severespasmofthelaryngealand
pharyngealmusclemayoccurandthecontractionmaybestrongenoughtoclosetheairway
orcausedifficultyinbreathing.
• Stimulationshouldnotbeappliedtransthoracially in that theintroduction ofelectrical
currentintotheheartmaycausecardiacarrhythmias.
• Stimulationshouldnotbeappliedoverswollen,infected,orinflamedareasorskineruption,
e.g.phlebitis,thrombophlebitis,varicoseveins,etc.
• Stimulationshouldnotbeappliedover,orinproximityto,cancerouslesion.
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1.3Precautions
• SafetyoftheHILLIFCforuseduringpregnancyhasnotbeenestablished.
• Cautionshouldbeusedforpatientwithsuspectedordiagnosedheartproblems.
• Cautionshouldbeusedforpatientswithsuspectedordiagnosedepilepsy.
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2|Page
page 2

HILLIFCInstru
c
tionManual


• Cautionshouldbeusedinpresenceoffollowing:
• Whenthereisatendencyofhemorrhagefollowingacutetraumaorfracturefollowing
recentsurgicalprocedureswhenmusclecontractionmaydisruptthehealingprocess
• Overthemenstruatingorpregnantuterus
• Overareaoftheskinwhichlacknormalsensation.Somepatientsmayexperienceskin
irritationorhypersensitivityduetotheelectricalstimulationorelectricalconductive
medium.Theirritationcanusuallybereducedbyusinganalternateconductivemediumor
alternateelectrodeplacement.
• Stimulationsettingsshouldbebasedontheguidanceoftheprescribingpractitioner.
Electrodeplacementshouldbebasedontheguidanceoftheprescribingphysician.
• HILLIFCshouldbekeptoutofthereachofchildren.TheHILLIFCshouldbeusedonly
withtheelectrodecablesandelectrodesrecommendedforusebythemanufacturer.
• TheHILLIFCshouldnotbeusedwhiledriving,operatingmachineryorduringanyactivityin
whichInvoluntarymusclecontractionmayputtheuseratundueriskofinjury.
• Ensuretheintensityisadjustedslowlyandsmoothlyandnotincreasedbeyondthe
patient'stolerance.
• WhiletreatmentDonotliftelectrodesofftheskinwithouttheintensitybeingturneddown
tozerofirst.
• Alsobeawareoftheskin'sresistanceasthismaysuddenlydropcausingtheintensityto
increase.

1.4 AdverseReactions
Skinirritationandbumsbeneaththeelectrodeshavebeenreportedwithuseofthisdevice.

1.5Conditions
ThataffectUseTheuserneedselectricoutletnearthetreatmentarea.

• Theunitshouldnotbeusedinwetenvironment.
• PatientshouldnotmovewhilethetreatmentisON,thismaycauseelectrodestoleavethe
skinorelectrodecablesmaybreak.

1.6Contraindicatedconditions
It

is

contraindicated

to

apply

therapeutic

ultrasound

to

patients

with

any

of

the

following

conditions:


1.
Pregnancy

2.
Cardiac

pacemaker

3.
Skin

diseases



1.7ContraindicatedAreas
It

is

contraindicated

to

apply

to

any

of

the

following

areas:


1.
To

the

eye

2.
To

the

ear

3.
Over

a

carotid

sinus

4.
To

the

heart







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HILLIFCInstru
c
tionManual


2.
 I
n
t
roduc
ti
on

HILLIFCisanelectrotherapydevicethatprovidesmulti-waveformwhichistailoredforprecisepain-
reliefandrehabilitationneedsofthepatientswithmostcomfortableelectricalstimulation.

Thedeviceoffersseriesofstandardprotocols:

• IFC(InterferentialTraditional),
• IFCPremodulated,
• Russian,
• Galvanic(DCandInterrupted),
• High-voltagepulsedcurrent(HVPC)(Pulse,Continuous).
• Faradic(Rectangular,Triangular)
• TENS(Conventional,Burst,andModulation)and
Whoseparameterscanbeadjustedbeforethetreatmentandduringthetreatment.

HILLIFCdevicewhichhastouchscreenforuser-interfacewithtwooutputs(4channels)of
electricalstimulation(ESTIM).Thecliniciancanprovidetwodifferenttreatmentssimultaneously
throughthetwooutputs. 


Thedevicealsohas8predefinedProtocols(PRESETS):
• Edema,
• Deconditioning,
• ChronicPain,
• AcutePain,
• WoundHealing,
• Endurance,
• Nerveblockand
• MuscleRe-education.


2.1IntendedUse
A)Interferentialcurrentstimulation,PremodulatedBipolarMode,andFaradicstimulationmodeis
indicatedfor:
1.Symptomaticreliefandmanagementofchronic(longterm)intractablepain.
2.Adjunctivetreatmentinthemanagementofpost-traumaticandpostsurgicalacutepaincondition.

B)EMS(Russianandgalvanicinterrupted)isindicatedfor:
1.RelaxationofMusclespasm.
2.PreventionorRetardationofdisuseatrophy.
3.Increasinglocalbloodcirculation.
4.Musclere-education.
5.Immediatepost-surgicalstimulationofcalfmusclestopreventvenousthrombosis
6.Maintainingorincreasingrangeofmotion.

c)Galvanic-DCContinuousmodeisindicatedfor:
1.Painassociatedwithtraumaorresultingfrommedicalconditions
2.Swelling,Edema,Inflammation,MuscletensionandNervepain


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HILLIFCInstru
c
tionManual


3.

ACCESSOR
I
ES


Thedevicecomeswiththenecessarycomponentsasshownbelow:




4.

SPEC
I
F
I
CAT
I
ONS

4.1GeneralSpecification
Length
Width

Height

NetWeight

PowerInput

ElectricalClass

OperatingTemperatures

StorageTemperatures

4.2 TechnicalSpecification
HILLIFCPredefinedIFCTreatments

: 12”/300mm

: 6.75”/170mm

: 3”/75mm

: 4pounds/Approx.1.90Kg.

: 220/110AC,50/60Hz

: CLASSIIa

:
Between+10°Cto+40°C

: Between-30°Cto+60°C
• IFC(Interferential)Traditional(4Pole)P1–Specifications.
a.BeatFrequency:80-150Hz(fmin=80Hz,fmax=150Hz);
•SweepLowBeatFrequency:80Hz(fmin=80Hz);
•SweepHighBeatFrequency:150Hz(fmax=80Hz);
b.Allotherparametersaswellasthewaveformsarethesameastheyaredefinedfor
generalIFC.

• IFC(Interferential)Traditional(4Pole)P2–Specification
a.BeatFrequency:1-50Hz(fmin=1Hz,fmax=50Hz);
•SweepLowBeatFrequency:1Hz(fmin=1Hz);
•SweepHighBeatFrequency:50Hz(fmax=50Hz);
b.Allotherparametersaswellasthewaveformsarethesameastheyaredefinedfor
generalIFC



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HILLIFCInstru
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tionManual



• IFC(Interferential)Traditional(4Pole)P3–Specification
a.BeatFrequency:0-10Hz(fmin=0Hz,fmax=10Hz);
•SweepLowBeatFrequency:0Hz(fmin=0Hz);
•SweepHighBeatFrequency:10Hz(fmax=10Hz);
b.Allotherparametersaswellasthewaveformsarethesameastheyaredefinedfor
generalIFC.

• IFC(Interferential)Traditional(4Pole)P4–Specification
a.BeatFrequency:1-150Hz(fmin=1Hz,fmax=150Hz);
•SweepLowBeatFrequency:1Hz(fmin=1Hz);
•SweepHighBeatFrequency:150Hz(fmax=150Hz);
b.Allotherparametersaswellasthewaveformsarethesameastheyaredefinedfor
generalIFC.

• IFC(Interferential)Traditional(4Pole)P5–Specification
a.BeatFrequency:1-250Hz(fmin=1Hz,fmax=250Hz);
•SweepLowBeatFrequency:1Hz(fmin=1Hz);
•SweepHighBeatFrequency:250Hz(fmax=250Hz);
b.Allotherparametersaswellasthewaveformsarethesameastheyaredefinedfor
generalIFC.

• IFC(Interferential)Traditional(4Pole)P6CUSTOM–
Specificationa.BeatFrequency:0-250Hz(fmin=0-250Hz,
fmax=0-250Hz);•SweepLowBeatFrequency:0-250Hz
(fmin=0-250Hz);•SweepHighBeatFrequency:0-250
Hz(fmax=0-250Hz);
•SystemshouldcontainprotectionthatLowBeatFreq (fmin) mustbe lowerthanHigh
BeatFreq(fmax);Once06isselected,tapSETUPandchangeLowFrequencywith
arrows;tapSETUPagainandchangeHighFrequencywitharrows.TapSTART.
b.Allotherparametersaswellasthewaveformsarethesameastheyaredefinedfor
generalIFC.

• IFCPremodulatedSpecification
a)Waveform:StepSineWave;
b) Topology:ESTIMCV(ConstantVoltage);
c)Configuration:2P(itisworkingin4P,pleaseconsidercomment);
d)AvailableonChannel(s):1&2or3&4(allfourpadsmustbeused)
e)CarrierFrequency:4000Hz;
f)BeatFrequency:1-250Hz(Fixed)
g) SweepRate:1Hz/200msec;
h) CycleONTime:1–30Sec;
i) CycleOffTime:0–30Sec(0forcontinuous);
j)Rampup/downtime:2/2Sec(cannotbechanged);
k)Intensity:0–70Vpp@500ΩResistiveload;

• IFCRussianSpecification
a)Waveform:StepSineWave;
b) Topology:ESTIMCV(ConstantVoltage);
c)Configuration:2P(itisworkingin4P,pleaseconsidercomment);
d)AvailableonChannel(s):1&2or3&4;
e)CarrierFrequency:2500Hzsinewavefrequencymodulatedbya2550Hzfixed
frequencysinewaveofequalamplitudes;




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HILLIFCInstru
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

f) CycleONTime:1–30Sec;
g) CycleOffTime:0–30Sec(0forcontinuous);
h)Rampup/downtime:2/2Sec(cannotbechanged);
i) Intensity:0–70Vpp@500Resistiveload;

4.3 TENS
• TENSConventional
TENSConventionalprotocolisperformedthroughoneESTIMchannel(twoelectrodes).This
protocolcanbestartedonsinglechannel(channel #1 orchannel #2) or on bothchannels
simultaneously.
Specification
a)Waveform:SymmetricalBiphasicSquarewave;
b) Topology:ESTIMCV(ConstantVoltage);
c)Configuration:2P(itisworkingin4P,pleaseconsidercomment);
d)AvailableonChannels:1&2,3&4;
e)Frequency:1–150Hz;
f) PulseWidth:50–400μsec;
a.Step50μsec;
g) CycleONTime:1–30Sec;
h) CycleOFFTime:0–30Sec(0forcontinuousmode);
i)Rampup/downtime:2/2Sec(cannotbechanged);
j) Intensity:0–80Vpp@500ΩResistiveload;

• TENSBurst
!Waveform:SymmetricalBiphasicSquarewave;
!Topology:ESTIMCV(ConstantVoltage);
!Configuration:2P(itisworkingin4P,pleaseconsidercomment);
!AvailableonChannels:1&2,3&4;
!Frequency:1–150Hz;
!PulseWidth:50–400μsec;
o Step50μsec;
!Burstrate:7PulsesperBurstin14slots(7ON/7OFF);
!CycleONTime:1–30Sec;
!CycleOFFTime:0–30Sec(0forcontinuousmode);
!Rampup/downtime:2/2Sec(cannotbechanged);
!Intensity:0–80Vpp@500ΩResistiveload;

• TENSModulation
!Waveform:SymmetricalBiphasicSquarewave;
!Topology:ESTIMCV(ConstantVoltage);
!Configuration:2P(itisworkingin4P,pleaseconsidercomment);
!AvailableonChannels:1&2,3&4;
!Frequency:1–150Hz;
!PulseWidth:50–400μsec;oStep50μsec;
!Modulation:Pulsewidth(PW)modulation;
!ModulationPeriod:total4sec;2 Secondsforchanging PulseWidth from100%ofPWto
PW-40%ofPW(60%ofPW)and2secondsforreturnbackto100%ofPW;
!CycleONTime:1–30Sec;
!CycleOFFTime:0–30Sec(0forcontinuousmode);
!Rampup/downtime:2/2Sec(cannotbechanged);
!Intensity:0–80Vpp@500ΩResistiveload;



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HILLIFCInstru
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
4.4 Galvanic
• Galvanic–ContinuousDC
!Waveform:Constantvalue;
!Topology:ESTIMCV(ConstantVoltage);
!Configuration:2P(itisworkingin4P,pleaseconsidercomment);
!AvailableonChannels:1&2,3&4;
!PolarityReversal:OnorOff;
WithPolarityChangeOn,polaritywillchangeevery5minutes;
!CycleONTime:1–30Sec;
!CycleOFFTime:0–30Sec(0forcontinuousmode);
!Rampup/downtime:2/2Sec(cannotbechanged);
!Intensity:0–16Vpp@500ΩResistiveohmload;

• Galvanic–InterruptedDC
!Waveform:Constantvalue;
!Topology:ESTIMCV(ConstantVoltage);
!Configuration:2P(itisworkingin4P,pleaseconsidercomment);
!AvailableonChannels:1&2,3&4;
!PulseONPeriod:2msec(fixed);
!Frequency:1Hz(fixed);
!PolarityReversal:OnorOff;
!CycleONTime:1–30Sec;
!CycleOFFTime:0–30Sec(0forcontinuousmode);
!Rampup/downtime:2/2Sec(cannotbechanged);
!Intensity:0–16Vpp@500ΩResistiveohmloadwhenPW#2msec;
17–35Vpp@500ΩResistiveohmloadwhenPW#1msec;
!Intensity:0-100%

4.5 FaradicCurrent(Rectangular)
!Waveform:MonophasicRectangularPulses;
!Topology:ESTIMCV(ConstantVoltage);
!Configuration:2P(itisworkingin4P,pleaseconsidercomment);
!AvailableonChannels:1&2,3&4;
!Pulsewidth:0.1–1msec(selectable);Step:0.1msec;
!Frequency:30–70Hz(selectable);Step:1Hz;
!PolarityReversal:OnorOff;
!CycleONTime:1–30Sec;
!CycleOFFTime:0–30Sec(0forcontinuousmode);
!Rampup/downtime:1–9Sec(selectable);
!Intensity:0–35Vpp@500Resistiveohmload;

4.6 FaradicCurrent(Triangular)
• Waveform:
• Topology:
• Configuration:
• AvailableonChannels:
• Pulsewidth:
o Step:

MonophasicTriangularPulses;
ESTIMCV(ConstantVoltage);
2P;
1&2,3&4;
0.1–5msec(selectable);
0.1msec;
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8|Page
page 8

HILLIFCInstru
c
tionManual


• Frequency:
o Step:
• PolarityReversal:
• CycleONTime:
• CycleOFFTime:
• Rampup/downtime:
• OutputVoltage:
• Intensity:

5–60Hz(selectable);
1Hz;
OnorOff;
1–30Sec;
0–30Sec(0forcontinuousmode);
1–9Sec(selectable);
0–14Vpp@500Resistiveohmload;
0-100%


4.7HighVoltagePulsedCurrent(HVPC)
!Waveform:Twomonophasicpulsesonthedistanceof~70usec;
!Topology:HVPC;
!Configuration:2P(itisworkingin4P,pleaseconsidercomment);
!AvailableonChannels:1&2,3&4;
!Polarity:PositiveorNegative
!Frequency:10-120pps;
!Sweep:Continuous,80/120pps,1/120pps,1/10pps;
Fixedperiodof4secwhenthereisnoselectedContinuousMode;
!CycleONTime:1–30Sec;
!CycleOFFTime:0–30Sec(0forcontinuousmode);
!Rampup/downtime:0.5Sec,1Sec,2Sec,5Sec;
!Intensity:500Vpeak@500ΩResistiveohmload;
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9|Page
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page 10
4.8 DEVICETREATMENTMODE
1.Thedevicesupportedbelowtreatmentmodes:
•
IFChavethreesubwaveform:
a.(InterferentialTraditional),
b.IFCPremodulated
c.Russian
•
Galvanichavetwosubwaveform:
a.DC
b.Interrupted
•
Faradichavetwosubwaveform:
a.Rectangular
b.Triangular
•
TENShavethreesubwaveform:
a. Conventional,
b. Burst,
c. Modulationand
•
High-voltagepulsedcurrent(HVPC)havetwosubwaveform:
a. Continuous
b. Pulse
Note:Theaboveparameterscanbeadjustedbeforeorinbetweenthetreatment.

2.Thisdevicealsosupports8predefinedprotocols(PRESETS)asmentionedbelow:












Note:TheaboveparametersarepredefinedandcanbeselectedthroughPresetmode.
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page 11
HILLIFCInstru
c
tionManual


5.

DEV
I
CE

OPERAT
I
ON

MODE

5.1PREPARINGELECTRODES:
• Useonlytheelectrodecablesandelectrodesprovidedwiththedevicebymanufacturer.
• Makesurethattheentiresurfaceoftheelectrodeisinfirmcontactwiththeskin.
• Prepare the skinprior to electrodeapplication. Cleaningof skin shalleliminate any
impairment to current conduction on thepatient's skinsuchasan oily or dry surface,or
excessive hair coverage. Shaving maybenecessarydependingupon the densityofhair
coverage.
• Failuretoprovideformaximumcurrentconductionefficiencycouldresultinskinirritation
relatingtoincreaseincurrentdensityatelectrodesite.
• Westrongly recommendcareful maintenanceof theelectrodes. This includesthe
maintenanceofelectrodecableandtheelectrodes.Worncablesand/orpoorelectrodes(or
wrongsizedelectrodes)canhaveasignificantimpactupontreatmentresults.

5.2INSTRUCTIONFORUSECARBONELECTRODE



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
5.3PREREQUISITES:
• Electrodesshouldneverbeplacedinsuchamannerastoproducecurrentflowthroughthe
cardiacarea. Thepatientshouldbesuitably positionedensuring maximumcomfortand
suitableexposureofthebodyparttobetreated.
• Carefully mark the points whereelectrodes are to beplacedandplace the electrodes
accordingly.
• Theelectrodesshouldbeappliedtothemarkedpoints.
• Thepatientshouldbeexplainedaboutthesubjectivesensorymotorfeelingthathe/shewill
experience. The patient should experienceasensation of deep, sufficiently strongbut
pleasantvibrationsatrhythmicalfrequenciesandapleasanttinglingsensation.
• Patientshouldimmediatelyinformthetherapist,ofanyunpleasantsensationoranyother
discomfort.
• Reviewprerequisites,contraindicationsandadversereactionslistedabovebeforestarting
thedevice.
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page 12
HILLIFCInstru
c
tionManual

5.4PREPARINGTHESKIN
Beforeapplyingelectrodes, ensure thattheareas selected for electrode placement are
cleanedproperlyandtheskinisclearandfreeofsurfacedebris.

6.

How
t
o

Opera
t
e

Dev
i
ce

6.1PLUGINTHEDEVICE
Connectthelinecordtothebacksideofthedevice.Plugthelinecordintothegroundedwall
outletthathas110or220VAC/50,60Hz.Yoursupplymustmatchthevoltagerequirements.
DonotconnecttheHILLIFCtoapowersupplyrateddifferentlythandescribedabove.

6.2DeviceON
YoucanONthedevicewiththehelpofrockerswitchwhichislocatedonthebacksideofthedevice.

6.3AudioIndication
Thereisaudioindicationprovided throughbuzzer,whichbeeps on below respective
condition.

• Keypressedsound-Thesingle“beep”effect
• Errorsound–Repeated2timesbeep;
• Treatmenttimetimeoutindication–Longbeep

6.4VisualIndication
Thereis  visualindicationprovided  throughLED,which  blinkorstablewhichisdescribedbelow

• Blinking:Activestate,Itcanbechangedbyuser.
• Stable: Inactive state or selected state, thedisplayedinformation showsthe userselected
choice.
• AllLEDsBlinking:ItstatesthatErrorhasgenerated.

6.5DEVICEOPERATIONRUNTIME
Defaultvalueoftreatmenttimeis10minutesforallstandardtreatmentsbutusercanchange
the time duration from 5 minutes to 60 minutes withthehelpofincrement option.The
increment(step)inprocessofsetupthetreatmenttimeis5minute.

6.6DEVICEINTENSITY
Thestrength of stimulationwillbe controlledbyIntensity. TheIntensity canbeadjusted
duringatreatmentorwhenthetreatmentispaused.Youcanadjusttheintensityfrom1to
100withthehelpofincrementoption.

Note:
1.Polaritycanbechange(Eitherpositive/negative)beforestartthetreatment,duringthe
treatmentusercannotchangethepolarity.


6.7MODEANDTREATMENTSELECTION
•Turnswitchto“ON”inthebackoftheunit

•Attachtheelectrodepadstothepatient

•HandPatientShutoffSwitchtothepatient





•SelectQuadpolarbytappingIFC.
UsearrowstoselectfromP01-P06.
Whenflashing,taptoselect.

IFCPresets:
•P01Acutepain
•P02Chronicpain
•P03Edema1(1-30Hz)
•P04Edema2(1-10Hz)
•P05NerveBlock
•P06Custom

•TouchStart/Stop

•Timeandintensitywillbeblinking
-Timeissetat10minutes.Tochange,tap“Time”andusethearrows:thentap“Time”again
tolockin.
- Intensity will blink. Tap “Intensity” and use the arrows to increase intensity to patient’s
comfort.Tap“Intensity”againtolockin.
-Timeandintensitycanbechangedwhiletheunitisrunning.

Tostopthetreatment
•HoldtheStart/Stopbuttonfor2to3seconds

Tousebothoutputs
•OnceOutput1hasbeenset,pressandholdOutput2
• Repeat treatment selection as you did with Output 1. You may choose a completely
differenttreatmentmodeandtime.
• Once both modes are running, you may toggle between modes by pressing the desired
outputbutton.
PressOutput1--timeandintensitywillbeshown,thenpressOutput2toseeitssettings.

Tostopbothoutputs
•Youmuststoponeatatime.HoldtheStart/Stopfor2to3secondstostoptheoutputthat
ispresentlyselected.NowselecttheotheroutputandholdtheStart/Stopbuttonagainfor
2to3seconds.


If the unit is turned off using the patient switch, both outputs will be stopped at the same
time.
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HILLIFCInstru
c
tionManual


• Inany of thetreatment (IFC,Galvanic,High Volt, Faradic and TENS,),user can change
theintensityandtimebytapontheUp/downarrow icononthepanelandthenpressthe
starticon.
6.8 Howtogobacktothetreatment:
Togobacktotheanytreatmentmodelongtaponthestart/stopbutton.

7.

Turn
i
ng

off
t
he

dev
i
ce

• PresstherockerswitchtoSwitchOFFthedevice.
NOTE:Asurgeprotectorisalsostronglyrecommendedtoprotectthedevicewheninuse.


8.

TROUBLESHOOT
I
NG


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9.
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MA
I
NTENANCE
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9.1Cleaningthedevice
• Thedevicehastobealwaysturnedoffby meansof the mainswitchwhencleaning.Themains
powerswitchhastobeinOFF(“0”)position.
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•
Devicemustbecleanedthoroughlypriortousagetoremovevisiblesoil.Tocleanthedevice,
useasoftclothslightlymoistenedwithwater.Neveruseagentscontainingalcohol,chlorine,
ammonia,acetone,benzeneorthinners.
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•
Cleanthetouchscreengentlybyusingadrysoftcloth.Theclothmaybeslightlymoistened
withacommerciallyavailablescreencleaner.Neverapplythecleanerdirectlytothescreen!
Neveruse abrasive materials; thesurfaceofthedeviceoraccessoriescouldgetdamaged.
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HILLIFCInstru
c
tionManual
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•
Alwaysturnthedeviceoffbeforedisinfectingtheleadwires.Disinfectantsmustnotreach
theairvents.
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•
Cleanthelead wires after each use withdisinfectantsapproved for useinmedical
environments. Donot use agents containingchlorineor those with a highalcohol content
(morethan20%).
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•
Useasoftclothslightlymoistenedwithdisinfectant.Afterdisinfection,theaccessoriesmust
berinsedwithasoftclothslightlymoistenedwithcleanwatersoastopreventanundesired
allergicreaction!
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•
Thedevice’saccessoriesaredesignedfornon-invasiveuse;therefore,theydonotneedtobe
sterileandcannotbesterilized
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9.2Cleaningtheaccessories
ElectrodeCables:
•
Forroutinecleaningoftheelectrodecablesusesoapandwaterandthoroughlydrythem
aftercleaning.
•
Electrodewiresshouldbekeptlooselywindedorbreakagemayoccur.
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•
Inspectionofultrasoundheadforcracks,whichmayallowtheingressofconductivegel,if
foundcrackedthenitshouldbereplacedbynewone.
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9.3 CareforElectrodes:
•
Usetheelectrodesrecommendedbythemanufacturerandobeytheinstructionsattached
totheelectrodes.
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•
Donotuseelectrodesonmultipleuser’s/patients.Eachpatientshouldhaveitsown
electrodepack.
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•
Donotimmerseelectrodesinanyliquids.
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•
Storetheelectrodesinare-sealablepouchorplasticbag.
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•
Ifelectrodesgetsoiledorlosetheiradhesion;itisadvisedthatyoureplacethem.
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•
Afterusinganyoftheseelectrodes,graspthecorneroftheelectrodeandgentlyremoveit
fromyourskin.
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•
Donotpullontheelectrodesnaporwireconnection.Reapplythereleaselinertothe
adhesivesideoftheelectrode.Storetheelectrodeinare-sealablepouchorplasticbag’.
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10.Rou
ti
ne

Ma
i
n
t
enance
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10.1 Overview
•
Beforeany maintenance, switchthe device offandunplug itfrom the mains!Observeall
safetyprinciples.Neverdismantlethedeviceanditsaccessoriesduringcleaning!
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