Richmar Quattro 2.5 User manual

INSTRUCTION MANUAL
Quattro™2.5

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This manual is valid for the
QUATTRO™ 2.5
This user manual is published by Richmar.
Richmar does not guarantee its contents and reserves the
right to improve and amend it at any time without prior
notice. Amendments may however be published in new
editions of this manual.
All Right Reserved. Rev. V2 © 2019
United States Federal Law restricts this device to sale by or
on the order of a physician or licensed practitioner
Conformity to safety standards
Richmar declares that the device complies with following
normative documents:
IEC60601-1, IEC60601-1-2, IEC60601-2- 10, IEC60601-1-4,
ISO10993-5, ISO10993-10, ISO10993-1
Complies with MDD 93/42/EEC and Amended by directive
2007/47/EC requirements

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TABLE OF CONTENTS
1. GENERAL INFORMATION _______________________________4
1.1 General Description
1.2 Indication for Use
2. SAFETY INFORMATION _________________________________5
2.1 Contraindications
2.2 Warnings, Cautions, Adverse Reactions
3. PRESENTATION _______________________________________10
3.1 Construction
3.2 User Interface
4. INSTALLATION _______________________________________13
4.1 Before Use
4.2 Connection of the Power Adapter
4.3 Switching On
4.4 Switch O and Disconnecting Power Adapter
5. OPERATION __________________________________________15
5.1 Check Before Treatment
5.2 Quick Set-Up for Electrical Stimulation
5.3 Using Preset Programs
5.4 Stimulation Set-up Procedures
6. SPECIFICATIONS ______________________________________41
6.1 General Specifications
6.2 Waveform Specifications
7. CLEANING AND CARE _________________________________44
7.1 Tips for Skin Care
7.2 Cleaning the Device
7.3 Cleaning the Electrodes
7.4 Cleaning the Lead Wires and Cables
7.5 Maintenance
8. TROUBLESHOOTING ___________________________________46
9. STORAGE ____________________________________________47
10. DISPOSAL ___________________________________________47
11. ELECTROMAGNETIC COMPATIBILITY (EMC) TABLES ________48
12. GLOSSARY OF SYMBOLS ______________________________52
13. WARRANTY _________________________________________53

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1.1 General Description
The microprocessor controlled Quattro™ 2.5 provides Interferential
(4-pole interferential), Premodulated (2-pole interferential), medium
frequency Russian (S and A), EMS (S and A) and TENS waveforms.
You can choose between several different amplitude modulation
options. The Interferential and Premodulated waveforms offer
frequency modulation as well as a static frequency option. There are
four output channels available with the Quattro™ 2.5. Channel 1 and 2
are grouped together and are independent of the grouped channels 3
and 4. This design feature enables the Quattro™ 2.5 to be used on two
patients with different waveforms, programs and output intensities
simultaneously.
This manual has been written for the users of the Quattro™ 2.5. It
contains general information on operation, precautionary practices,
and maintenance. In order to maximize its use, efficiency, and the life
of the stimulator, please read this manual thoroughly and become
familiar with the controls, as well as the accessories before operating
the stimulator.
1. GENERAL INFORMATION
1.2 Indication For Use
The Quattro™ 2.5 may be used for the following conditions:
TENS, Interferential and Premodulated (IFC):
1. Symptomatic relief and chronic intractable pain
2. Post-traumatic acute pain
3. Post-surgical acute pain
For EMS and Russian:
1. Relaxation of muscle spasm.
2. Increase of blood flow circulation.
3. Prevention of disuse atrophy.
4. Muscle re-education.
5. Maintaining or increasing range of motion.
6. Immediate post-surgical stimulation of lower leg muscles to
prevent venous thrombosis.

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2. SAFETY INFORMATION
Read instruction manual before operating. Be sure to comply with all
“Contraindications”, Warnings”, “Cautions” and “Adverse reactions” in
the manual. Failure to follow instructions may cause harm to user or
device.
2.1 Contraindications
1. DO NOT use this device on patients who have a cardiac pacemaker,
implanted defibrillator, or other implanted metallic or electronic
device, because this may cause electric shock, burns, electrical
interference, or death.
2. DO NOT use this device on patients whose pain syndromes are
undiagnosed.
Safety Symbols Used in this Manual
WARNING
Indicates a potentially hazardous situation which, if not
avoided, could result in serious injury and equipment
damage.
CAUTION
Indicates a potentially hazardous
situation which, if not avoided, may result in minor or
moderate injury to the user or patient or damage to the
device or other property.
2.2 Warnings, Cautions and Adverse Reactions
WARNINGS:
1. United States Federal Law restricts this device to sale to, or on the order
of, a physician or licensed practitioner. This device should be used only under
the continued supervision of a physician or licensed practitioner.
2. Make certain the unit is electrically grounded by connecting only to
a grounded electrical service receptacle conforming to the
applicable national and local electrical codes.
3. Care must be taken when operating this equipment around other
equipment. Potential electromagnetic or other interference could
occur to this device or to the other equipment. Try to minimize this
interference by not using the other equipment in conjunction with it.

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4. Before administering any treatment to a patient you should
become acquainted with the operating procedures for each mode
of treatment available, as well as the indications, contraindications,
warnings and precautions. Consult other resources for additional
information regarding the application of electro-therapy.
5. To prevent electrical shock, disconnect the unit from the power
source before attempting any maintenance procedures.
6. The use of accessories, transducers and cables other than those
specified, with the exception of transducers and cables sold by
the manufacturer as replacement parts for internal components,
may result in increased emissions or decreased immunity of the
device.
7. This device is not designed to be use in an MRI environment and
should be removed prior to MRI exposure.
8. DO NOT apply stimulation over the patient’s neck because this
could cause severe muscle spasms resulting in closure of the
airway, diculty in breathing, or adverse eects on heart rhythm
or blood pressure.
9. DO NOT apply stimulation across the patient’s chest, because the
introduction of electrical current into the chest may cause rhythm
disturbances to the patient’s heart, which could be lethal.
10. DO NOT apply stimulation over open wounds or rashes, or over
swollen, red, infected, or inflamed areas or skin eruptions (e.g.,
phlebitis, thrombophlebitis, varicose veins).
11. DO NOT apply stimulation over, or in proximity to, cancerous lesions.
12. DO NOT apply stimulation in the presence of electronic monitoring
equipment (e.g., cardiac monitors, ECG alarms), which may not
operate properly when the electrical stimulation device is in use.
13. DO NOT apply stimulation when the patient is in the bath or shower.
14. DO NOT apply stimulation while the patient is sleeping.
15. DO NOT apply stimulation while the patient is driving, operating
machinery, or during any activity in which electrical stimulation can
put the patient at risk for injury.
16. Consult with the patient’s physician before using this device,
because the device may cause lethal rhythm disturbances to the
heart insusceptible individuals.
17. Apply stimulation only to normal, intact, clean, dry, healthy skin.
18. This device should not be used for symptomatic local pain relief
unless etiology is established or unless a pain syndrome has been
diagnosed.

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19. Patients with arterial or venous thrombosis or thrombophlebitis are
at risk of developing embolisms when electrical stimulation is
applied over or adjacent to the vessels containing the thrombus. If
a patient has a history of deep vein thrombosis, even many years
past, the aected area should not be stimulated.
20. Fresh fractures should not be stimulated in order to avoid
unwanted motion.
21. Stimulation should not be applied immediately following trauma
or to tissues susceptible to hemorrhage.
22. DO NOT apply electrodes directly over the eyes or inside body
cavities.
23. DO NOT use electrical stimulation in conjunction with high
frequency surgical equipment or microwave or shortwave therapy
systems.
24. Keep electrodes separated during treatment. Electrodes in contact
with each other could result in improper stimulation or skin burns.
25. Since the eects of stimulation of the brain are unknown,
stimulation should not be applied across the head, and electrodes
should not be placed on opposite sides of the head.
CAUTIONS:
1. Keep yourself informed of the contraindications.
2. Read, understand, and practice the warnings, cautions and
operating instructions. Know the limitations and hazards
associated with using any device. Observe the precautionary and
operational decals placed on the unit.
3. DO NOT operate this unit in an environment where other devices
used intentionally radiate electromagnetic energy in an unshielded
manner.
4. DO NOT use sharp objects such as a pencil point or ballpoint pen
to operate the buttons on the control panel.
5. Inspect applicator cables and associated connectors before each use.
6. This device should not be used adjacent to or stacked with other
equipment. If adjacent to or stacked equipment use is necessary,
this device should be observed to verify that it is operating within
the normal configuration in which it is to be used.
7. This device needs special precautions regarding EMC and needs
to be installed and put into service according to the EMC
information provided in the manual.

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8. Portable and mobile RF communications equipment can aect this
device. DO NOT use a mobile phone or other device that emits
electromagnetic fields, near the unit. This may result in incorrect
operation of the device.
9. This device has been thoroughly tested and inspected to assure
proper performance and operation!
ADVERSE REACTIONS:
1. Skin irritation, inflammation, and electrode burns beneath the
electrodes are potential adverse reactions.
2 Patients may experience headache and other painful sensations
during, or following the application of, electrical stimulation near
the eyes and to the head and face.
3 The clinician should stop using this device and should consult with
the patient’s attending physician should the patient experience any
adverse reactions from treatment used with this device.
Note: Always use devices that are legally marketed and sold in the
United States under 510K guidelines.
.If the stimulation levels are uncomfortable, reduce the stimulation
intensity to a comfortable level and contact your physician if any
problems persist.
WARNING
The device complies completely with all parts of 21 CFR 1050.
10 of the performance standard for sonic, infrasonic and
ultrasonic radiation-emitting product.
CAUTION
Use of controls or adjustments or performance of procedures
other than those specified herein may result in hazardous exposure
to ultrasonic energy.

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PRECAUTIONS
1. Federal law (USA) restricts this device to sale to or on the order of
a physician.
2 The long-term eects of chronic electrical stimulation are unknown.
3 Electrical stimulation devices have no curative value.
4 Electrical stimulation is not a substitute for pain medications and
other pain management therapies.
5 Eectiveness is highly dependent upon the patient and the
selection of a practitioner qualified in the management of pain.
6 The safety of electrical stimulation during pregnancy has not been
established.
7 Some patients may experience skin irritation or hypersensitivity
due to the electrical stimulation or electrical conductive medium (gel).
8 Physician recommended precautions should be followed when
treating patients with suspected or diagnosed heart disease.
9 Physician recommended precautions should be followed when
treating patients with suspected or diagnosed epilepsy.
10 Physician recommended precautions should be followed when
treating patients who have a tendency to bleed internally, such as
following an injury or fracture.
11 Physician recommended precautions should be followed when
treating patients who recently had any surgical procedures;
stimulation may disrupt the patient’s healing process.
12 Use caution if stimulation is applied over the menstruating or
pregnant uterus.
13 Use caution if stimulation is applied over areas of skin that lacks
normal sensation.
14 Use of this device on a patient should only be used under the
continued supervision of a licensed practitioner.
15 Electrical stimulation is ineective for pain of central origin.
16 Use extreme caution when treating desensitized areas on patients
who may not be able to report discomfort or pain.
17 Patients should not be left unattended during any treatment.
18 Keep this device out of the reach of children.

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3. PRESENTATION
3.1 Construction
1. Channel 1 Knob
• Press to enter treatment parameters for Channel 1 and 2.
• During treatment, press to display treatment parameters for
channel 1 and 2
• Rotate to adjust the output intensity for channel 1
2. Channel 2 Knob:
• Press to enter treatment parameters for channel 1 and 2.
• During treatment, press to display treatment parameters for
channel 1 and 2
• Rotate to adjust the output intensity for channel 2
3. Central Controller Dial and Pause button.
4. Stop Treatment Button: Press to stop current channels’ treatment.
5. Power Indicator Light
1234
Waveform
CC/CV
Time
Cycle
Ramp
Vector
F.M.
Burst
Beat H.
A.M.
Duty
Step
Program
Save
C.F.
Freq.
Beat L.
F. Dur.
Freq.
Quattro™ 2.5
STOP

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6. LCD display: Shows the current information of the device.
7. Channel 3 Knob:
• Press to enter treatment parameters for channel 3 and 4.
• During treatment, press to display treatment parameters for
channel 3 and 4
• Rotate to adjust the output intensity for channel 3
8. Channel 4 Knob:
• Press to enter treatment parameters for channel 3 and 4.
• During treatment, press to display treatment parameters for
channel 3 and 4
• Rotate to adjust the output intensity for channel 4.
 AdapterReceptacle
 ONOFFSwitch
 OutputConnectorconnectwithconnectorofcable
 Parameter Adjustment Panel: See below for details:
Button Remark
Waveform
CC/CV
Press to toggle between CC/CV.
CC = Constant Current Output
CV = Constant Voltage Output
Step
Professional Mode Only
Switch from default mode to profes-
sional mode and to set up treatment
steps within professional mode.
Time—Treatment Time
Cycle—Cycle time (Con/Rel)
Ramp—Ramp Time
Press to adjust either the Treatment
time, Cycle time or Ramp time.
Program
Save
Press to choose or save a program
1-10.
Vector
F.M.—Frequency Modulation
Burst—Burst Frequency
Press to adjust, either the Vector, Fre-
quency Modulation (F.M.) or Burst.
C.F.—Carrier Frequency
Freq.—Frequency
Press to adjust either the Carrier
Frequency or Frequency
Beat H. Sweep High Beat
Frequency
A.M.—Amplitude Modulation
Duty—Duty Cycle for Russian
Waveform
Press to adjust either the Beat High
Frequency, A.M. or Duty Cycle.
Beat L.—Sweep Low Beat
Frequency
P. Dur—Pulse Duration
Freq.—Frequency
Press to adjust either the Beat Low
Frequency, P. Dur or Frequency.
Waveform
CC/CV
Step
Time
Cycle
Ramp
Program
Save
Vector
F.M.
Burst
C.F.
Freq.
Beat H.
A.M.
Duty
Beat L.
F. Dur.
Freq.

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3.2 User Interface
1. Displays output intensity of channel 1;
Displays total treatment steps of channels 1 and 2.
2. Displays output intensity of channel 2;
Displays treatment steps of channels 1 and 2.
3. Displays output intensity of channel 3;
Displays total treatment steps of channels 3 and 4.
4. Displays output intensity of channel 4;
Displays treatment steps of channels 3 and 4.
5. Displays therapeutic programs (including professional mode) of
channels 1 and 2.
6. Displays treatment time, cycle time or ramp time of channels 1 and 2.
7. Displays 7 therapeutic waveform: IF-4P (IFC-Interferential,
Traditional 4 Poles), IF-2P (Premodulated, Traditional 2 Poles IFC),
TENS, EMS S (Synchronous), EMS A (Asynchronous), or Russian S
(Synchronous), and Russian A (Asynchronous).
8. Displays parameters of Beat H./A.M./Duty button.
9. Displays parameters of Vector/F.M./Burst button.
10. Displays parameters of Beat L./P.Dur./Freq button.
11. Displays parameters of C.F./Freq button
12. Displays treatment time, cycle time or ramp time of channels 3
and 4.
13. Displays therapeutic programs (including professional mode) of
channels 3 and 4.

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4. Installation
4.1 Before Use
Remove the equipment and all accessories from shipping carton and
box. Visually check if there is any damage or missing parts or accessories.
If yes, please report to local dealer or retailer where you purchase this unit.
Your equipment contains the following Quattro™ 2.5 – DQ8450 accessories.
No. Part # Part Quantity
1 ER2535B2 Rubber electrodes 2.5”x3.5” 4
2 ER2743B2 Rubber electrodes 2.75”x4.3” 4
3 ES2740Y2 Electrode Sponges 2.75”x4” 4
4 ES3047Y2 Electrode Sponges 3.0”x4.75” 4
5 E1P2020WC2 Self-adhesive Electrodes 2”x2” 8
6 E1P2035WC2 Self-adhesive Electrodes 2”x3.5” 8
7 EW2023BW2 Elastic Wrap 3”x23.5” 2
8 EW3047BW2 Elastic Wrap 3”x47” 2
9 WQ6005PLUG Lead Wires 4
10 DQ2001MGC Adapter 100-240V/50-60Hz 1
11 DQ8432CPLUG Connector of cable 2
12 User Manual 1

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4.2 Connection of the Power Adapter
• Connect the power adapter to the device connector
• Connect the power adapter to a wall socket
CAUTION: Prior to connecting this device to the power supply,
check that the voltage and frequency stated on the rating label
match with the available power supply.
4.3 Switching On
Switch on the device, using ON/OFF switch . The device executes a
self-test, checking all important functions and enters standby mode
about 6~8 seconds later.
4.4 Switch O and Disconnecting Power Adapter
• Switch off the device by switching the ON/OFF switch from the
[ ] to the [ ] position.
• Remove the power adapter from the wall socket.
• Remove the power adapter from the device.

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5. OPERATION
5.1 Check Before Treatment
• Ensure there are no contraindications to treatment.
• Inspect the skin treatment area for any abrasions, inflammation,
surface veins etc.
• Clean the skin treatment area with soap or alcohol (70%).
• Shaving or clipping excessive hair on the skin treatment area can
provide optimal treatment.
• Test the heat sensitivity of the treatment area.
5.1.2 Electrode Placement
• Examine the skin for any wounds and clean the skin.
• When using self-adhesive electrodes, remove the electrode from
plastic backing.
• Apply the electrodes to or around the treatment area. Electrode
should be placed at least 2” but no more than 6” apart, per channel.
• Ensure that the electrodes are applied securely to the skin.
• Ensure good contact between each electrode and the skin.
• Check the electrode contact regularly during the treatment.
• Examine the skin again after the treatment.
• Choose electrodes to properly fit the anatomy.
• Follow electrode manufacturer’s instructions for use.
• To avoid skin irritation due to high current density, DO NOT
use electrodes smaller in surface area than 25cm2self-adhesive
electrodes.
CAUTION:
• Keep electrodes separated during treatment. Electrodes in contact
with each other could result in improper stimulation or skin burns.
• Output current density is related to electrode size. Improper
application may result in patient injury. If any question arises as to
the proper electrode size, consult a licensed practitioner prior to
the therapy session.
• Powered muscle stimulator should be used only with the leads and
electrodes recommended by the manufacturer

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Connecting Lead
Wires
Insert the lead with the red (+) electrode
connector into one adhesive electrode.
Insert the lead with the black (-) electrode
connector into the other electrode. Make
certain the lead wires are seated completely
into the electrodes, and there are no bare
metal parts of the pins exposed.
Securing Electrodes Remove the adhesive electrodes from
the protective backing and apply to the
treatment area as prescribed. Ensure that the
entire electrode surface is in contact with the
patient’s skin by pressing the electrode firmly
into place.
5.1.3 Self-Adhesive Electrodes
This device comes with 8 pieces 2”×2” and 8 pieces 2”×3.5” adhesive
electrodes. You can select the appropriate sized electrodes according
to the treatment area and output current density.
It is recommended that manufacturer’s electrodes be used whenever
possible to ensure the highest level of performance and contact
with the treatment area and to give the most uniform delivery of the
prescribed electro-therapy treatment.
After the electrodes no longer stick to the treatment site completely,
dispose of electrodes and start with new electrodes. Replacement
electrodes should be re-ordered through or on the advice of your
physician to ensure proper quality.
CAUTION
1. Before applying the self-adhesive electrodes, it is recommended
to wash and degrease the skin, and then dry it.
2. DO NOT turn on the device when the electrodes are not positioned
on the body.
3. NEVER remove the self-adhesive electrodes from the skin while
the device is still turned on.
4. It is recommended that, at minimum, 2”x2” self-adhering based,
square electrodes are used at the treatment area.

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Rubber Electrodes
- Connecting Lead
Wires
Insert the lead with the red (+) electrode
connector into one adhesive electrode.
Insert the lead with the black (-) electrode
connector into the other electrode.
Make certain the lead wires are seated
completely into the electrodes, and
there are no bare metal parts of the pins
exposed.
Conductive Medium 1 Insert the rubber electrodes into the
electrode sponges that have been
moistened with distilled water.
Conductive Medium 2 Liberally apply transmission gel to
electrode prior to placement on the
patient. Note: purchase the transmission
gel with CE mark or that has been cleared
by the FDA.
Elastic Straps to
secure rubber
electrodes in place
Use Nylon Wrap to secure each rubber
electrode into position on the patient.
5.1.4 Rubber Electrodes
If used for delivery of electro-therapy, there are two conductive
mediums for you to select from, the first one is to use electrode
sponges as conductive mediums, and the other is to use a conductive
medium such as an FDA approved Transmission Gel transmission gel
is sold separately. If using sponges, make sure the sponges are damp
before putting electrodes into the sponges.
The rubber electrodes should be secured to the treatment area using
the nylon wraps that are included with the Quattro™ 2.5 device.

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1. In order to turn on the device, press ON/
OFF switch to [ ] icon which is located on
the left side of the device
2. When you turn the Quattro™ 2.5 on,
the device will perform a self-check for
about 6~8 seconds, and then the default
parameters will display the last treatment
mode.
3. Connect the electrode wires to the cable;
Note the color of the wires and the color
marks on the cable, they should correspond.
CAUTION: If you want to use 4 channels,
connect all electrode lead wires to two
cables.
4. Plug the cable(s) to the device
connector(s), the left connector corresponds
to output channel 1 and channel 2; the right
connector corresponds to output channel 3
and channel 4.
5. Connect the electrodes to electrode lead
wires.
6. Place the electrodes on the patient.
7. Press channel 1 or channel 2 knob to enter
the desired parameters for Channel 1 or 2.
5.2 Quick Set-Up for Electrical Stimulation

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8. There are 7 therapeutic waveforms for you
to select. Press the [Waveform] button to
choose the therapeutic waveform. Then rotate
the central controller dial ( ) to select one of
the following waveforms: IF-4P, IF-2P, EMS S,
EMS A, TENS, Russian S and Russian A.
9. There are 50 programs for all waveforms.
For detailed preset programmable parameters
for each program refer to Program
Parameters Table on page 22. To change
parameters refer to each waveforms “Set-up
Procedure”. Press the [Program] button to
choose the therapeutic program. Then rotate
the central controller dial ( ) to select the
therapeutic programs in the corresponding
waveform.
10. Press the [Waveform] button to choose
CC for Constant Current.
11. Adjust the output intensity and start
treatment by rotating the output intensity
adjustment knobs on the control panel.
(0.5mA/step or 0.5V/step). The “STIM”
symbol in the LCD indicates there is intensity
output. Some waveforms have a pause in the
middle of treatment and then will start up
again. DO NOT increase intensity if “STIM” is
not blinking at the top.
12. For safety purposes, the load detection
function was designed so when the output
intensity surpasses 10.0mA/10.0V, and there
are no electrodes placed on the patient’s
skin or the device is not connected to the
electrodes, an alarm buzzer will sound and
the intensity value will flash and reset to zero.
CAUTION: In TENS or EMS mode when
the pulse duration is less than 80μs, the load
detection function will activate when the
output intensity surpasses 40.0mA/40.0V.

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13. Press the channel button ( 3 or 4 ) to
enter channel 3 and 4 parameter setting
mode if necessary. Then set the parameters
following steps 8 through 12 above.
14. To pause a channel’s current, press the
corresponding channel knob and then press
the Central Dial to pause that channel.
15. Press the [STOP] button to stop
treatment of the current channel(s). If you
want to stop the other channel(s)treatment,
press corresponding channel button first,
and then press the [STOP] button.
CAUTION: This will only stop the selected
flashing channels, not all 4 channels.