MTR+ SineBravo User manual
Operators Manual
SineBravo
2-Channel EMG-Biofeedback
Medical Device
Please read this manual before using the device!
SineBravo Operators Manual
2
Content
Please read the Operators Manual carefully
before using the device and pay attention
to all references !
Page
I. Biofeedback-device SineBravo
Delivery & Accessories / Medical Device Reporting 4
Technical Data 5
Explanation of Symbols 6
Introduction – What is SineBravo ? 6
Indication 7
Contraindication 7
Warnings 8
Advice on Application of Electrodes 9
Maintenance 10
Warranty 10
II. Display and Operating Elements
Operating Elements 11
Battery Compartment 11
Connections 12
The Display 13
The Info-Line 14
III. Use of SineBravo
Basic Settings 15
Setup Real Time Clock 16
Setup Language 16
Preparation of Therapy 17
Therapy with SineBravo 18
SineBravo Operators Manual
3
Content
Page
IV. Programs 19
V. Additional Options for Conguration of SineBravo 19
&RQ¿JXUDWLRQRI&XVWRP3URJUDPV 19
Parameters of Custom Programs 20
Lock-Button 20
Threshold 21
Setting of threshold before start of treatment 21
Automatic adjustment of threshold during treatment 21
VI. Therapy-Control
Therapy-Control 22-23
Statistics 24
Trouble Shooting Guide 25
Anatomy 26
Conguration 27
Waste Disposal / Recycling of Batteries / Literature / Copyright 28
Electromagnetic Compatibility 29-31
SineBravo Operators Manual
4
Included in the delivery:
REF: 010E-087: 1 unit SineBravo, 2 dual pin lead wires to connect the electrodes, 1 single pin
reference lead wire, 8 self-adhesive electrodes (40 x 40 mm), 1 stand, 4 batteries type AA and
1 operators manual
Accessories:
REF
011E-006: 1 unit self adhesive electrodes 40x40 (4 pieces)
011E-007: 1 unit self adhesive electrodes 40x80 (4 pieces)
011E-008: 1 vaginal probe “IncoProbe V”
011E-009: 1 rectal probe “IncoProbe R”
011E-017: 1 vaginal probe “Probe V plus”
011E-018: 1 rectal probe “Probe R plus”
Spare parts:
REF
012E-120: 1 lead wire to connect the electrodes
012F-037: 1 tube electrode jelly for probes
012F-086: 1 carrying case
012F-083: 1 reference lead wire
012F-805: 4 batteries type AA
012E-097: 1 operators manual SineBravo
SineBravo shall only be used with original accessories.
The expected service life of SineBravo is 5 years. The batteries life is approximately 12 hours
or more. The storage time of the batteries is approximately 2 years. The service life (expiry
date) of electrodes, probes and electrode jelly is printed on each package.
Medical Device Reporting:
If there is a serious deterioration in the state of your health when using the medical device,
report this to your distributor or to the manufacturer and to the competent authorities of your
country.
Delivery & Accessories
SineBravo Operators Manual
5
1. Dual Channel
2. EMG Range: 0.2 to 2000 µV RMS (continuous)
3. Sensitivity: 0.l µV RMS
6HOHFWDEOH%DQGSDVV¿OWHUGE%DQGZLGWK
a. Wide: 18 Hz +/- 4 Hz bis 370 Hz +/- 10 % - Reading below 235 microvolts
10 Hz +/- 3 Hz bis 370 Hz +/- 10 % - Reading above 235 microvolts
b. Narrow: 100 Hz +/- 5 Hz bis 370 Hz +/- 10 %
1RWFK¿OWHU+]GEV
6. Common Mode Rejection Ratio: 130 dbs Minimum @ 50 Hz
7. Batteries: 4 x AA
8. Work / Rest periods: 2-99 seconds
9. Number of Trials: 2-99
10. Dimensions: L 141,6 mm / W 74 mm / H 40,4 mm
11. Weight of the device: 270 g (incl. batteries)
12. Firmware version 3.1B or later
Max. environmental conditions for transportation: -25 to +70 degree centigrade, 0-93%
atmospheric humidity. Recommended environmental conditions for storage: -25 to +40 degree
centigrade, 0-93% atmospheric humidity. The device shall not to be stored in direct sunlight.
Allow up to one hour for the device to return to normal operating temperature if stored in
conditions below +5°C or above +40°C.
Environmental conditions for use: +5 to +40 degree centigrade, 0-93% atmospheric humidity,
air pressure 700-1060 hPa. During use the surface temperature of the device can be 41°C or
higher, but never exceeds 48°C.
The SineBravo is protected against debris larger than 12.5 mm in diameter from entering the
cabinet and is not water resistant and rated IP20.
Radio Link:
RF Frequency Range: 2.4000 GHz to 2.4835 GHz
RF Default Output Power: <= 1,0 mW
RF Maximum Output Power: <= 2,52 mW
Antenna Gain: 0 dBi
7KLVGHYLFHLVTXDOLW\FRQWUROOHGDQGIXO¿OOVDOOOHJDOUHTXLUHPHQWVIRUPHGLFDOSURGXFWV
Therefore this device carries the CE-sign „CE 0123“. The serial number is on the rear of the
unit.
Manufacturer: MTR+ Vertriebs GmbH,
Kamenzer Damm 78, 12249 Berlin - Germany
www.mtrplus.com
Technical Data
SineBravo Operators Manual
6
Explanation of Symbols
Introduction – What is SineBravo ?
The SineBravo is a modern device for EMG biofeedback The term biofeedback refers to a
method to perceive biological processes with the help of a technical device. This instrument
measures physical activity - even if there are no visible or no voluntary muscle contractions -
and converts them to optical and/or sound signals. SineBravo is a combined two-channel device
WKDWFDQEHH[LEO\XVHGIRU(0*ELRIHHGEDFNWUDLQLQJ’RFWRUVDQGSDWLHQWVDUHWKHLQWHQGHG
operators for this unit.
The clip on the back of the unit allows the user to fasten the device to the clothes, the unit is
intended to be supported by hand during normal use. The belt clip is for temporary relief only.
During treatment it’s not necessary to hold SineBravoVLQFHLWFDQVWDQGXSULJKWRQDDW
surface in its stand. This allows the patient to train without help while observing the success of
WKHLQGLYLGXDOHuRUWV7KHPXVFOHDFWLYLW\LVLQGLFDWHGE\D\HOORZJUHHQEDUJUDSKRQHDFKVLGH
of the screen and by numerical values in the bottom-line of the display.
At the end of each session, the screen automatically displays the average values of muscle
activity in this session. The SineBravo can be used with or without connection to a personal
computer. The stored treatment data can be transmitted to the PC at a later date using software
available separately.
SineBravo Operators Manual
7
Contraindication
During the application of the SineBravo it is necessary to take precautions.
SineBravo may not be used in the following cases:
- while operating machinery with dangerous potential.
- if patients cannot use the device properly, due to mental or physical limitations.
- while driving a vehicle.
SineBravo is an electronic device, therefore users with cardiac pacemakers may be at risk of
interference. Although EMG is not expected to interfere with pacemakers, MTR + does not
permit the use of the SineBravo for people with pacemakers.
Please don’t use a probe:
- during the menstrual period.
- during pregnancy.
LIDQLQDPPDWLRQRIWKHYDJLQDDQXVRUXULQDU\WUDFWLVSUHVHQW
- in the presence of symptoms of a bladder infection.
The device for EMG biofeedback training, SineBravo, can be used according to the instructions
of the attending physician or of a physiotherapist to assist in muscle training for the following
indications.
Elimination of light to mid strength faecal incontinence
Elimination of light to mid strength urinary incontinence
- Urge-incontinence
- Stress-incontinence
- Mixed-incontinence
Stroke Rehabilitation
Relaxation Training
Indications
SineBravo Operators Manual
8
- SineBravo is a type BF equipment
- Do not immerse SineBravo into water or any other liquids.
- Do not use SineBravo iQSUHVHQFHRIDPPDEOHDQHVWKHWLFPL[WXUHVZLWKDLURUZLWKR[\JHQ
or nitrous oxide.
- If using rechargeable batteries be sure to use a CE approved battery charger. Never connect
the SineBravo directly to the mains, to a battery charger or to any other net-powered
equipment.
- The operator may not touch the battery contacts & patient simultaneously.
7RDYRLGWKHHuHFWVRIHOHFWURPDJQHWLFLQWHUIHUHQFHQHYHUXVHWKHSineBravo in the EMG-
mode, with less than 4 metres distance to a cellular telephone or near any other powerful
radio interference producing equipment that causes electrical signals etc. In the EMG Mode,
the SineBravo may be susceptible to strong interfering radio type emissions that may lead to
temporally increased EMG microvolt readings. If suspected interference is causing a problem
with EMG readings, change position of the device and move away from any electrical
emitting equipment. The reading will immediately return to the correct value when the
interference ceases.
- The power supply of some laptop computers or devices which do not have an earth connection
PD\FDXVHVLJQL¿FDQWLQWHUIHUHQFHDuHFWLQJWKH’XR%UDYR$VDSUHFDXWLRQDU\PHDVXUH
please make sure that the power cord of the laptop or the devices are as far away as possible
from the lead wires of the patient. If interference persists, remove the power cable from your
computer and use it with its battery. Winding the lead wires around a limb (arm or leg) may
also help this interference.
- If in the case of treatment with the incontinence probes, pain or irritation appear in the area of
the pelvis, or bleeding in-between menstruation, interrupt the therapy and consult your doctor.
- If you have swallowed any part of the device or any of its accessories, please contact a doctor
immediately.
- Remove batteries and battery cover, drain water from device and allow (SineBravo) to dry
normally for 48 hours if accidentally submerged in water.
Please, keep this device stored out of the reach of children. Do not leave the lead wires in
reach of children, since strangulation is possible due to the length of the lead wires.
Warnings
SineBravo Operators Manual
9
Advice on Application of Electrodes
Make sure that SineBravoLVWXUQHGRuQRLQGLFDWLRQYLVLEOHRQWKH/&’GLVSOD\
Now connect the single poled ends of the lead wires with the electrodes.
The output plugs of the electrode lead wires will be plugged into the channels A or B of the
SineBravo. The reference lead wire will be connected to its jack as well.
)XUWKHUPRUHPDNHVXUHWKDWDOOSOXJV¿WFRPSOHWHO\LQWRWKHHOHFWURGHVRFNHWVDVZHOODVWKH
device sockets.
If you are using a probe, lubricate it with water or a gel suitable for electrotherapy.
Now place the electrodes or the probe according to the instructions of your doctor or
physiotherapist. The self-adhesive skin electrodes are provided with a sticky gel and can be re-
used after removal from the skin. Replace these electrodes when the adhesive force is weak.
Electrodes which are damaged due to careless handling may not be used.
Electrodes with damaged lead wire insulation (e.g. visible copper wire) may not be used.
Electrodes with damaged, missing or stained aluminium coating or carbon layer, also with
LQVXvFLHQWDGKHVLYHJHOPD\QRWEHXVHG
Electrodes may not be altered or tampered with (e.g. by scissors or other tools).
Do not pull the electrodes by force on the electrode lead wire. To remove the electrodes from
the skin, please lift the electrode at the rim towards the middle.
’RQRWXVHHOHFWURGHVZLWKRLQWPHQWVRUFUHDPVHVSHFLDOO\ZKLFKHQKDQFHWKHEORRGRZRUDFW
as local anaesthesia).
Apply the electrodes on clean and healthy skin only.
In the case of strong bodily hair growth, the hair should be shaved or shortened with scissors.
Neither stretch the skin nor the electrodes when applying the electrodes.
For standard treatment we recommend the use of our self-adhesive electrodes with a minimum
area of 40x40 mm. This size is suited for the reference electrode as well. For best results please
make sure that the reference electrode is placed on a bone near the treatment area, not on
muscles.
)RUWUHDWPHQWRIWKHPXVFOHVRIWKHSHOYLFRRUZHUHFRPPHQGWKHXVHRIRXUYDJLQDO
(IncoProbe V) or rectal-probes (IncoProbe R).
If using a probe, please clean it carefully before and after use with a mild detergent (without
alcohol) and ensure the probe is rinsed thoroughly to remove all cleaning residues. Ensure the
connectors are not submerged in water as they may corrode. Ensure the probe is completely dry
before storage.
After all electrodes have been removed, wash the skin with mild soap and rinse thoroughly.
Then dry your skin.
All electrodes or probes are for single person use only.
6NLQHOHFWURGHVDVZHOODVSUREHVFDQFRQWDLQDPRXQWVRIQLFNHO$OOHUJ\VXuHUHUVVKRXOGFKHFN
this before using. Should skin irritation occur whilst using the SineBravo, please interrupt the
application and inform your doctor, so that an allergic reaction can be excluded.
SineBravo Operators Manual
10
Maintenance
Warranty
MTR+ Vertriebs GmbH provides a 24 month warranty, commencing from the date of our
delivery (invoice date), that in case of failure, the SineBravo will be serviced or replaced free
RIFKDUJH$OOUHWXUQVPXVW¿UVWEHDXWKRULVHGE\0759HUWULHEV*PE+LQDGYDQFH
Excluded from this warranty are failures of the SineBravo which result from excessive use,
careless or improper handling as well as damage by force.
The warranty loses its lawful meaning if the producer MTR+ Vertriebs GmbH has not given
its consent in writing prior to repairworks or servicing being carried out. Without this written
consent the manufacturer will not return the device.
The manufacturer reserves the right of technical changes, which may serve to increase treatment
success, the functionality of the device or its accessories.
SineBravo has been designed to be maintenance free. Nevertheless, please adhere to the
following advices:
If needed, please clean SineBravo with a mild detergent, water and a damp cloth. Do not
expose SineBravo to extreme humidity and do not submerge under water.
You may clean the lead wires with a damp cloth. You may also from time to time treat the lead
wires with talcum powder in order to prevent cracks and to improve the lead wires life.
A clean cloth, moistened with an alcohol free disinfection liquid can be used to clean the device.
Please follow all instructions of the manufacturer of the liquid.
The SineBravo does not require calibration. SineBravo is not repairable and contains no user
VHUYHDEOHSDUWV1RPRGL¿FDWLRQWRWKHSineBravo is allowed.
After termination of the therapy, SineBravo can be re-used by other patients. Please clean the
device with a mild disinfectant cleaner before it is used by other patients.
SineBravo Operators Manual
11
Operating Elements
The START-button allows the choice of automatic (press) or manual (hold the button pressed
for 3 seconds) threshold-setting. The program will start after the START-button is released.
&HQWUDO2Q2uEXWWRQ
+/- buttons for
threshold-setting for
channel A, as well
as for selection of
parameters in the
programming-mode
Battery Compartment
LOCK-button for
¿[LQJRQHVLQJOH
program and for
connection to a PC
Scheme for placement of 4 batteries type AA
+/- buttons for
threshold-setting for
channel B, as well
as for altering the
parameters in the
programming-mode
SET-button for
basic settings and
FRQ¿JXUDWLRQRI
custom programs
PRG-button for choice of program and for
storing the individual parameters. Hold PRG
for one second to select next phase.
SineBravo Operators Manual
12
Connections
Jacks to connect the electrode-lead wires of
channel A and/or B, each suited for surface-
electrodes or probes.
Jack for the single pin EMG-reference
lead wire (skin-electrode)
Attention:Even if the device is used with a probe, please always connect the single pin reference
lead wire.
SineBravo Operators Manual
13
The Display
After selecting a program with the PRG-button SineBravo shows information about those
SDUDPHWHUVLQLWV‡+RPH6FUHHQ·WKDWDUHXVHGLQWKH¿UVWSKDVHRIWKHSURJUDPQXPEHURI
trials, threshold, etc.). Start the treatment by pressing or holding START, the display changes to
work-screen and shows necessary information for treatment in the active phase.
Work-Screen
Selected program
Battery indicator
LOCK-Symbol
Remaining Total-Time
of treatment
Active Mode in this
phase
threshold
channel B
6\PERO¿VW
+ arrow up
= prompt for work
Symbol open hand +
arrow down =
prompt for relax
Number of remaining trials
Countdown of seconds for
work or rest periods
EMG-level channel A
EMG-level channel B
EMG-Bargraphs
threshold
channel A
SineBravo Operators Manual
14
The Info-Line
The info line in the upper part of the screen shows always the remaining time of the entire
program during treatment.
Outside a treatment session, it provides more additional information:
- While setting the clock or when chosing the language, it shows values to be set in plain text.
7KHLQIROLQHGLVSOD\VDOOFXVWRPVHWWLQJVIRUFRQ¿JXULQJWKHGHYLFH,QWKHIROORZLQJ\RX¿QG
all expressions and abbreviations that are used in the programming-loop in alphabetical order:
&+%21&+%2))&KDQQHO%LVVZLWFKHGRQRURu
FB.ABOVE / FB.BELOW: Feedback above or below the threshold
FB. CONT: Continuous acoustic feedback
FB. OFF: No acoustic feedback
,1+,%2),QKLELWLRQVZLWFKHGRu
INHIB.ON: Inhibition of feedback on channel B
1$552:1DUURZEDQGSDVV¿OWHU
PC SWC: Connection to PC by secured wireless connection
3&2))&RQQHFWLRQWR3&LVVZLWFKHGRu
REST: Duration of rest-sequences in seconds
THRESH: Threshold-adjustment during treatment automatically (AUTO) or manually (MAN)
TRIALS: Number of repetitions
VOLUME: Sound volume of beeps and spoken instructions
:,’(:LGHEDQGSDVV¿OWHU
WORK: Duration of work-sequences in seconds
SineBravo Operators Manual
15
In all programs, even in the preset programs, individual settings can be made as follows.
After you have put in four batteries type AA (s.p. 38) and you have turned on the device with
the ON/OFFEXWWRQ\RXHQWHUWKHFRQ¿JXUDWLRQPRGHE\SUHVVLQJWKHSET button in the bat-
tery compartment for three seconds. Now you can adjust the settings of the selected program.
The parameter that can be changed is shown in the info line and can be altered by pressing the
EXWWRQRIFKDQQHO%3UHVVLQJWKHEXWWRQRIFKDQQHO$ZLOOFRQ¿UPWKHFKRLFHDQGWKHQH[W
variable parameter is displayed. This system - changing settings with B / storage and stepping
forward with A - remains the same during the entire process.
Please note that the following settings you make here, are automatically stored for all other
programs as well. Of course you can change any setting at any time in the same way again.
7KHIROORZLQJIXQFWLRQVFDQEHLQXHQFHG:
- Sound-volume
$XWRPDWLFWKUHVKROGDGMXVWPHQWRQRURu
:LGHRUQDUURZ¿OWHUIRUFKDQQHO$
&KDQQHO%VZLWFKHGRQRURu
- Filter for channel B if it is in use
- 3&6HOHFWRuRU6:&ZLUHOHVV
In the customizable programs PC1 - PC4 of course you have the ability to set additional
parameters in the same way as described on page 47.
Basic Settings
SineBravo Operators Manual
16
Setup Real Time Clock
%HIRUH¿UVWXVHRISineBravo the “Real Time Clock” that is integrated should be set. It’s
necessary for future therapy-control. SineBravo has a small assistance battery that will support
the clock with energy for several years. For this reason, there is no need to set again, even if the
4 main batteries have been substituted or removed. But we recommend to check and readjust
periodically.
For setting time and date, please select any program and press the SET-button for at least 3
VHFRQGV<RX¶OOUHDFKWKHFRQ¿JXUDWLRQPRGH1RZSUHVVSET once again for 10 seconds. On
screen HOUR is indicated and you can set the hour with the +button of channel B (00-23).
%\SUHVVLQJWKHEXWWRQRIFKDQQHO$\RXFRQ¿UPWKLVFKRLFHDQGVWHSIRUZDUGWRWKHVHWWLQJRI
MINUTE. This is indicated on the screen as well, giving the opportunity to select the minutes
via +button of channel B in the same way as before.
This way you are able to set one after the other:
- HOUR
- MINUTE
- DAY
- MONTH and
- YEAR
,IDOOVHWWLQJVDUH¿QLVKHGSOHDVHSUHVVWKHESC-button on the frontside of the device. All values
will be automatically stored and the clock starts working.
Setup Language
SineBravoLVDEOHWRVKRZGLuHUHQWODQJXDJHV,I\RXDUHLQWKHVHWWLQJPRGHRIWKH57&VHH
above), please press the SET-button for 10 seconds once again. Now you can select German-,
English-, French-, Spanish-, Italian- or Polish-language with the B-buttons. Finally you store
your choice with the ESC-button.
SineBravo Operators Manual
17
Preparation of Therapy
1. Open the battery compartment at the back by pushing down the lid and insert 4 batteries type
AA by hand according to the instructions on page 38. Then shut the battery-compartment.
2. Please make sure, that SineBravoLVVZLWFKHGRuQRLQGLFDWLRQLQ/&’GLVSOD\&RQQHFW
the single pin ends of the electrodes plugs to the surface-electrodes or to a probe.
3. Insert one electrode-lead wire into the jack named A in the head of the device. If you want to
use both channels, insert the second lead wire into jack B.
4. Additionally, put the black round EMG-reference plug into the bigger round jack, named
“EMG-REF” and connect the other ends to a skin-electrode.
)XUWKHUPRUHPDNHVXUHWKDWDOOSOXJV¿WFRPSOHWHO\LQWRWKHHOHFWURGHVRFNHWVDVZHOODVWKH
device sockets.
6. If you are using a probe, lubricate it with water or a gel suitable for electrotherapy. Don’t use
RLORLQWPHQWRUFUHDPVLQFHDOOWKHVHKDYHDQLQVXODWLQJHuHFW
7. Now place all electrodes according to the instructions of your therapist on clean unwounded
skin only. If you are using a probe, place the single reference-electrode onto the hip bone and
then insert the probe.
8. Now switch on SineBravo by pressing the central ON/OFF-button once. You can see the
version of the device for 3 seconds before the last used program appears, showing its
parameters.
9. If the device is not locked to a single program, you can select your kind of treatment by
repeatedly pressing the PRG-button. There are two preset and three custom EMG programs
available.
$IWHUVHOHFWLQJDSURJUDP\RXDOZD\VVHHWKH‡+RPH6FUHHQ·¿UVWZLWKDOOLQIRUPDWLRQ
regarding the parameters, that can be used in this program. If you want to use the automatic
threshold-setting, no adjustments have to be done and the treatment starts by pressing the
START-button shortly. Follow the work/rest prompts, so the device can automatically select
the threshold setting for you.
If you prefer manual threshold setting, please hold the START-button pressed for three
seconds. Then you can set the threshold by use of the +/- buttons.
11. EMG is susceptible for interference. For best results do not use lead wires longer than 1.5 m
and keep the lead wires as close to your body as possible.
SineBravo Operators Manual
18
Therapy with SineBravo
SineBravo is a versatile device for biofeedback-treatment.
The device has two pre-set EMG-programs (P01 + P02), that can be used without further
adjustment. But if you like to create your own treatment with custom parameters, you can select
one of the three custom programs (PC1 - PC3). +HUH\RXFDQFRQ¿JXUH\RXURZQSURJUDPVWR
meet your therapy requirements.
Use of pre-set programs
1. Connect the electrodes to the device (s.p. 39)
2. Place electrodes or probe according to the instructions of your therapist
3. Switch on SineBravo with the central ON/OFF-button
4. Select the desired program with the PRG-button
5. Press START and the threshold will be set automatically by doing two short
ZRUNUHVWSHULRGV,IWKDW¶VQRWUHTXLUHG\RXFDQVZLWFKRuWKLVIXQFWLRQE\KROGLQJWKH
START-button for three seconds (s.p. 48) In this case you can set threshold manually with
the +/-button of the respective channel before starting the program.
The device indicates a pre-set rhythm of work and rest, that the patient shall execute as precisely
as possible.
’XULQJZRUNSHULRGWKHV\PERORIWKH¿VWZLWKDUURZXS
is displayed on the screen. The feedback regarding the
success of your own muscular activities is given by the
increasing numbers in the lowest line and by the yellow/green
bargraph on each side of the display. Reaching the green area shows
that the threshold - regardless whether it has been detected automatically or has been set
manually - is met and the trial was successful. Additionally this success is indicated by beeps.
3OHDVHWDNHFDUHWRNHHS\RXUHuRUWVDFWLYHXQWLOWKHWLPHWKDWLVLQGLFDWHGEHVLGHWKH¿VWKDV
counted down to zero and the symbol of the open hand with arrow down appears.
Then relax the muscle as much as possible.
If you have chosen automatic threshold adjustment during
treatment, threshold will be reduced if you are not
successful and it would be easier to succeed in the next trial.
If this next trial is successful again, the threshold will increase.
The whole process of work and rest shall be repeated until the number
of remaining trials 00 (s.p. 39). Please note that the display doesn’t change before the rest-
phase is completed.
If relaxation is the target for the treatment, the positive signal will be given during the work
SHULRGWKDWLVLQGLFDWHGE\WKH¿VWLIPXVFOHWHQVLRQLVbelow the threshold.
SineBravo Operators Manual
19
Options for Conguration of SineBravo
Additionally to the use of pre-set programs as described in the previous chapter, SineBravo
RuHUVDJUHDWYDULHW\RISRVVLELOLWLHVWRDGDSWWKHWKHUDS\SDUDPHWHUVDFFRUGLQJWRLQGLYLGXDO
needs.
This concerns the pre-set programs that can vary in regard of the basic adjustments as well
as the 3 customizable programs, in which the experienced therapist or user is able to create
completely new programs.
Conguration of Custom Programs
&UHDWLQJDQHZSURJUDPLVQRWGLvFXOWEHFDXVHWKHSURJUDPPLQJDOZD\VIROORZVWKHVDPHHDV\
VFKHPH7KHGHYLFHOHDGVLQDORRSWRHDFKSDUDPHWHUWKDWFDQEHFKRVHQLQGLFDWHGE\DVKLQJ
bars.
1. Switch on SineBravo with the ON/OFF-button
2. Select PC1, PC2 or PC3 with the PRG-button.
3. Hold the SET-button in the battery-compartment pressed for 3-5 seconds. Then SineBravo
FKDQJHVWRSURJUDPPLQJPRGHDQGWKHEDUVEHVLGHWKH¿UVWSDUDPHWHUWKDWFDQEHVHWZLOODVK
4. In the following the right “+/-”buttons (channel B) are responsible for changing the
ashing parameter, while the left “+” button (channel A) is used to store the choice and
step forward to the next parameter. With the left “-”button it is possible to go one step back.
With the described scheme “right side changing / left side storing and step forward” all
QHFHVVDU\VHWWLQJVFDQEHDGMXVWHG,IWKH¿UVWSDUDPHWHULVVKRZQDVHFRQGWLPHWKH
FRQ¿JXUDWLRQLVFRPSOHWH1RZWKHSURJUDPFDQEHVWRUHGE\SUHVVLQJ(6&7KLVFRQ¿JXUDWLRQ
will stay memorized XQWLODQHZSURJUDPLVFRQ¿JXUHGLQLW¶VSODFHRUWKHGHYLFHLVUHVHWWRLW¶V
default state.
Programs
Program Nr. No. of Trials Work Time Rest Time
EMG Urology P01 40 8 sec. 8 sec.
EMG Neurology P02 30 8 sec. 12 sec.
Custom EMG PC1 2-99 2-99 sec. 2-99 sec.
Custom EMG PC2 2-99 2-99 sec. 2-99 sec.
Custom EMG PC3 2-99 2-99 sec. 2-99 sec.
SineBravo Operators Manual
20
PC 1-3 are single-phase EMG-programs. With A+ the following parameters can be chosen and
then altered by B+, if necessary.
- Volume - (indicated in display: VOLUME) - sets the volume of sounds for feedback in steps
1-10
- Duration of work-period (WORK) - sets the time one single muscle contraction is held for
- Duration of rest-period (REST) - sets the time of relaxation after contraction
- Number of trials (TRIALS) - sets the number of active exercises that shall be done
- Threshold7+5(6+GH¿QHVZKHWKHUDXWRPDWLFWKUHVKROGDGMXVWPHQWGXULQJWKHUDS\LV
VZLWFKHGRQ$872RURu0$1 .
- EMG Sound Feedback–D2u)%2))2Q)%21$ERYH7KUHVKROG)%$%29(–
normally used when training muscle force, Below Threshold (FB.ABOVE) – normally used
for relaxation training.
- Wide or narrow lter (WIDE / NARROW) for channel A - this choice is necessary to avoid
ZURQJPHDVXUHPHQWFDXVHGE\KHDUWEHDW+]1DUURZ¿OWHUVKRXOGEHXVHGIRUWKH
WRUVRZLGH¿OWHUVKRXOGEHXVHGIRUOHJVDQGDUPV
- Channel B&+%21&+%2))VZLWFKHGRQRURu
- Wide or narrow lter for channel B
- Feedback inhibition (INHIB.OF / INHIB.ON) - will be selected, if the user shall get
positive feedback only, if (s)he will be above threshold of channel A and below threshold of
channel B. This method is used to avoid wrong EMG-results, caused by contraction of wrong
muscles, which might be near the muscles that shall be measured.
- and PC-Interface (PC SWC / PC OFF) - here you can decide whether all treatment data will
directly be transfered during treatment to a PC with optional therapist-software by secured
wireless connection or not. During home-therapy PC OFF should always be selected to save
battery-power.
The work- and rest-periods can be adjusted between 1 and 99 seconds by steps of 1 second.
Parameters of Custom Programs
Lock-Button
Lock is used if the therapist wants to lock a program in place for their patient preventing other
programs from being selected. To lock a program select the desired program and press the
LOCK-button with a thin pin. For this you can use the electrode connector. You’ll hear a short
beep and the symbol of a padlock appears on screen.
If you want to use any other program later, or if you need to unlock all programs, LOCK must
be pressed in Home Screen once again and
- ’$<6LQXVHZLOODSSHDUDQGDQDUURZDWWKHWRSRIWKHVFUHHQZLOODVKLQGLFDWLQJWKHGHYLFH
is ready to transmit data to the PC.
- NO.STATS (= no statistics) will appear.
Hold the PRG button pressed for 3 seconds, the display changes to Home Screen and all
programs will be available. Press PRG for less than one second to return to the Home Screen
with the unit still locked.
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