schwa-medico Amplimove medical User manual

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Amplimove medical
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2
abbreviatedInstructIons
1
2
3
»Choosing a program
»▲▼keys left:
choosing a group / program
»󰋾key: confirming
»Connecting the mains adapter
»Switching ON with the key:
(ready after approx. 13 s)
Switch to
the left side
Connectors
for the elec-
trode cables
Connector
for the mains
adapter

3
abbreviatedInstructIons
4
5
6
»Starting the stimulation
»▲ ▼ keys left:
Increase/decrease the intensity
of channel 1
»▲ ▼ keys right:
Increase/decrease the intensity
of channel 2
»Pausing the stimulation
»Ekey: to pause the stimulation
»▲key: to restart the stimulation
⬅ key: Stopping the stimulation
Channel 2
Channel 1

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schwa-medico Operating Manual - AmpliMove medical
Content
1 Intended Use 5
2 For safe use 5
Safety Instructions 5
Contra-indication 6
Possible side effects 7
3 Description of the
AmpliMove medical Device 8
Display of the Start Menu 9
4 Technical Information 10
Description of the symbols 10
Technical Data 11
5 Introduction to Medium frequency
Electro-Stimulation 12
General Notes Regarding
Medium frequency Currents 12
Further Notes on the Modulation
of the Impulse 13
6 Power Mode 16
7 Operating the AmpliMove medical 17
Basic Programs 21
Expert Programs 22
Connecting the Cables 24
Starting the Stimulation 25
8 Description of the programs 32
Basic Programs 32
Expert Programs 33
Pain Management Programs 35
Incontinence Programs 37
Tissue Nutrition Programs 38
Dynamic Programs 39
9 General Information 40
Adjustments, Modifications
and Repairs 40
Classification 40
Reference sheet for battery
retraction and disposal 40
Warranty 40
Guarantee 41
Maintenance and Cleaning 41
Technical Check 41
Combination with
Original Accessories 42
10 Delivery Content 42
11 Accessories 42
Mains Adapter and Cables 42
STIMEX Self-Adhesive Electrodes 42
Silicone Electrodes 43
STIMEX-TEX Stimulation Sleeves 44
Vaginal- and rectal electrodes 45
Contact Gel 45
12 Program List 46
Basic Programs 46
Expert Programs 46
Tissue Nutrition 47
Dynamic Stimulation 47

5
English
1 Intended Use
TheAmpliMovemedicaldevicehasbeendesignedforthegenerationoftranscutaneous
stimulation of muscles and nerves with mid-frequency current on humans and may
not be used for any other purposes.
2 For safe use
Safety Instructions
Please read the operating instructions carefully before using the AmpliMove medical.
Health disorders may indicate serious disease. Please consult a physician and/or a
physiotherapist and consider the contra-indication and side-eects of the AmpliMove
medical.
To ensure safe use of the AmpliMove medical:
»Only use the AmpliMove medical with original accessories.
»Keep the AmpliMove medical away from water or other liquids.
»Do not use the AmpliMove medical if it is not working properly or if it has been
damaged in any way.
»The USB connector serves exclusively for software updates. Do not connect any
other device (e.g. printer) than a USB flash drive with a software update to the
USB connector of the AmpliMove medical device. Do not try to charge an external
appliance with the USB connector. Do not treat a patient with AmpliMove medical
when using its USB connector.
»Do not simultaneously connect a patient to AmpliMove medical and to.
»Do not operate the AmpliMove medical close to a high frequency surgical device,
another medical unit, a short wave or microwave unit or a mobile telephone system
as it can cause fluctuations in the output values of the electric current stimulation
unit.
»Avoid electrodes placement over the anterior chest wall. The electrodes should be
positioned in such ways that the current flow will not cross through the heart.
»The sizes of the electrodes are to be not less than 2 cm². If the applies current density
goes below 2 mA/cm², special attention on the patient is required.
»Only connect one patient to the AmpliMove medical.
»Do not use the AmpliMove medical during the simultaneous operation of other
machines, when driving or when asleep.
»Do not hold anything in the hand if using the stimulation sleeves STIMEX-TEX on
the upper extremities. Remain seated if using the stimulation sleeves STIMEX-TEX
on the lower extremities.
»Do not drop the AmpliMove medical, do not use it inappropriately or expose it to
extreme temperatures or high levels of humidity (not less than 10°C or more than 40

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schwa-medico Operating Manual - AmpliMove medical
°C or a relative humidity of more than 90 %).
»Be careful when using the AmpliMove medical near or on children.
»Always store the AmpliMove medical in its case to protect it from damage and dust.
»Silicone electrodes used for stimulation with the AmpliMove medical should be
replaced after 100 therapy sessions in order to avoid burns of the skin underneath
the electrodes. Silicone electrodes are losing electrical conductivity with the time.
We recommend to let check your silicone electrodes regularly and to apply enough
contact gel before each stimulation session.
Contra-indication
AmpliMove medical should not be used without having checked with a physician if
the following applies to you:
»Patients with electronic implants such as heart pacemakers, defibrillators or pumps,
»Patients with implants if unpleasant sensation occurs during stimulation,
»Patients with skin disorders in the vicinity of the electrodes,
»Patients with inflammation in the region of application. – particularly vascular
inflammation
»Patients with recent thrombosis in the region of application.
»Patients with cardiac rhythm disorders,
»During pregnancy,
»Patients subject to seizures,
»Patients with malignant diseases in the region of application.
»Stimulation on the stomach region if patient is subject to hernia (rupture)
»Stimulation on the stomach and pelvic floor region if patient is subject to uterine or
vaginal disorders
»Patients with bone disease involving high fracture risks in the region of application.
(e.g. severe osteoporosis),
»Patients who cannot autonomously control the stimulation due to their age or their
psychological condition,
»Patients under the age of five,
»Loss of sensitivity which do not allow to feel the stimulation current,
»Electrode position in the throat area to avoid spasms of respiratory muscles and
cardiovascular response.
Please further consider the contra-indication of anal and vaginal probes.

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English
Possible side eects
»Paresthesia (abnormal sensation) during or after stimulation. This can result from
too high intensity, lack of electrode contact to the skin or in the vicinity of sensitive
nerves.
»Pain enhancement or pain provocation if used for the treatment of pain.
»Muscular pain after muscle stimulation (muscle soreness).
»Skin irritation due to the reaction of the electrode material or the current.
»Cardiac arrhythmia (heart rhythm problems) can occur if electrodes are placed
in such way the current is crossing the heart. Electrode placement over the chest
should be avoided by patients with heart rhythm problems.
»Movement limitation due to muscle contractions. The user should take particular
care during muscle sustained contractions since the mobility is then reduced. If the
electrodes are placed on the chest, this can aect the respiration.

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schwa-medico Operating Manual - AmpliMove medical
3 Description of the AmpliMove medical Device
11
1098765
4 3
21
1 LED light for the charging mode
2 LED light for the main circuit mode
3 ON/OFF key
4 Key to select menu and to increase intensity of channel 1
5 Key to select menu and to decrease intensity of channel 1
6 Confirmation key
7 Information key
8 Edit key
9 Back key
10 Key to select menu and to increase intensity of channel 2
11 Key to select menu and to decrease intensity of channel 2

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English
1413
12
1615
Display of the Start Menu
Name of
the menu
Explanation
of the keys
Power mode:
Battery ( ) or power supply
Time
Menu
The explanation of the keys is noted on the lower side of the display.
12 Switch: Operating mode (left) / Charging mode (right) if mains adapter is con-
nected.
The switch has no function if the mains adapter is not plugged in.
The switch from battery operation to mains operation mode is automatic if the
mains adapter is connected.
13 Socket for the mains adapter
14 Socket for the USB flash drive (for software updates)
15 Socket for the electrode cable of channel 2
16 Socket for the electrode cable of channel 1

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schwa-medico Operating Manual - AmpliMove medical
4 Technical Information
Description of the symbols
Manufacturer
Attention: Read accompanying documents, especially user manual!
Follow instructions for use
Type BF applied part
Date of manufacture
Catalogue number
Serial number
Environment
Do not dispose of the appliance with the normal household waste at the end of its life,
but hand it in at an ocial collection point for recycling. By doing this you will help to
protect the environment.
By labelling with CE mark, the manufacturer asserts that the product fulfills all relevant
requirements of the respective EC Directives. A conformation assessment process has
been successfully completed. The identification number in respect of the conformation
assessment process is given in accordance with the CE labelling of the relevant notified
body .
Stand-by
Battery check
Polarity of d. c. power connector
USB connector
Output

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English
Technical Data
Operating voltage
External mains adapter SNT 15-2000 100-240 VAC / 50 - 60 Hz / 700 mA
Max. current consumption
on 110 VAC / RL = 500 Ωapprox. 120 mA
Max. current consumption
on 230 VAC / RL = 500 Ωapprox. 70 mA
Internal lithium-ion battery 10.8 V / 2200 mAh
Charging time 5 h
Output voltage
Maximum Output voltage
with RL = 500 Ω75 V peak-to-peak (+/- 8 V)
Program parameters
Therapy duration 1-99 min (+/- 10 %) in steps of 1 min
Carrier frequency 2-10 kHz (+/- 10 %) in steps of 0.5 kHz
Low frequency modulation 1-100 Hz (+/- 10 %) in steps of 1 Hz
Modulation depth 0-100 %
Surge current modulation
Rising ramp 0.1-3 s (+/- 10 %)
Working time 0-25 s (+/- 10 %)
Falling ramp 0.1-3 s (+/- 10 %)
Pause 0-25 s (+/- 10 %)
in steps of 0.1 s / 1 s
Modulation depth 0-100 %
Contact control
Contact control turns on at ≥20 % of maximum intensity
Size and weight
Size (H x B x D) 6.5 x 22 x 17 cm
Weight (without accessories) 830 g
Working conditions
Temperature range 10-40 °C
Relative humidity 30-70 %

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schwa-medico Operating Manual - AmpliMove medical
Storing conditions
Temperature range -10-55 °C
Relative humidity 10-90 %
5 Introduction to Medium frequency Electro-Stimulation
General Notes Regarding Medium frequency Currents
The AmpliMove medical operates with rectangular impulses between 1000 and 10000
Hz – therefore in the electro-physical medium frequency range which is encompassed
between 1000 and 100000 Hz. This is quite dierent from the low frequency range
(1 - 1000 Hz), in which, for example transcutaneous electrical nerve stimulation, is
located (TENS).
A significant characteristic is the pleasing aspect of stimulation in the medium
frequency range. Higher frequencies overcome the resistance of the skin, in particular
that of the poorly conducting epidermis, much more eciently. The 4000 Hz frequency
which is often used in medium frequency therapy must only overcome a resistance
of 40 Ohm; at 50 Hz it is 80 times higher. This enables an eective current flow at
reduced sensitivity unpleasantness. Powerful muscular contractions can be triggered
and a greater treatment area/treatment volume realized. Particularly electrical current
muscular stimulation profits from this eect. It is for this reason that it is a domain
for the medium frequency range. The AmpliMove medical provides the requirements
for a therapy which is ecient on account of its tolerability and its volume without
causing compliance problems which frequently occur in the low frequency range.
These advantages have an eect in pain therapy with the AmpliMove medical. There
arises one of the transcutaneous electrical nerve stimulation (TENS) comparable to
the analgetic eect which is attained via a low frequency modulation of the carrier
frequency. The positive characteristics of the medium frequency electro-stimulation
remain thereby preserved.

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English
Further Notes on the Modulation of the Impulse
The continuous stimulation with higher frequencies hinders the repolarisation on the
cell membranes and leads to the depletion of the neurotransmitter reservoirs on the
neuromuscular end-plate (Illustration 1).In order to maintain a stimulation eect, the
stimulation must be modulated in respect of the frequency or the intensity (that is,
the amplitude). The AmpliMove medical operates with amplitude modulation.
Traditionally, this has applied in the Nemec’s interference current whereby two
current circuits with diering frequencies are superimposed in the body. A frequency
dierence results from the interference of the impulses. The application of 4000
Hz (first current circuit) and 3900 Hz (second current circuit) theoretically leads to a
stimulation of 100 Hz. But in practice and on account of the complex electro-physical
conditions in the human body, the stimulations results are dicult to predict.
However, with the AmpliMove medical the modulations occur within the device
so in contrast to interferential current, therapy can proceed with only one channel.
The medium frequency alternating current serves as a carrier from two possible
modulations which are independent of each other:
»A low frequency modulation with a frequency range of 1 - 100 Hz (Illustration2). The
eect of these frequencies diers in respect to those generated by TENS without the
medium frequency carrier wave. But general experience gained from low frequency
eects can be transferred in respect of their analgetic and muscular stimulating
eects.
»An overlapping envelope curve modulation (Illustration 3), by which in addition, the
ramp, working and pause phases are specified. This modulation prevents premature
fatigue, especially of the striated musculature.
The modulations can proceed in dierent degrees of 1 to 100 %, whereby a stronger
modulation level provides a more intensive stimulus. Both types of modulation can be
freely combined with each other.
Illustration 1
Unmodulated medium
frequency carrier wave
Illustration 2
Low frequency amplitude
modulation of the medium
frequency carrier wave
Illustration 3
Overlapping envelope curve
modulation

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schwa-medico Operating Manual - AmpliMove medical
The Polarity
The medium frequency rectangular impulses of the AmpliMove medical are zero
line symmetric and trigger, on account of their short width and high frequency,
only minimal ion migration in the tissue. Treatment with the AmpliMove medical
is therefore gentle on the skin and well tolerated. A polarity and a dierential in a
cathode and an anode are omitted. Both electrodes function in the same manner. This
provides easy electrode placement.
Regarding Frequency and Intensity
A characteristic of medium frequency is the increasing distance between the motoric
and the sensitive threshold with an increase in the frequency. As a result, the motoric
threshold declines and has, at 10000 Hz, the greatest dierential to the sensitive
threshold. The motoric stimulation in this frequency range is accompanied by a
minimum of sensitive stimulation.
By contrast, a reduction in the frequency to 1000 Hz, the threshold draws increasingly
nearer. A motoric stimulation is therefore related to an increasing perception of the
electrical current. The motoric stimulation eect and the development of power are
more pronounced in the lower frequency range, with a maximum of 1000 Hz.
With regard to muscle stimulation, the frequency selection represents a compromise
between the sensitive stimulation/inconvenience and the required motoric reaction.
Many therapists often use the frequency 4000 Hz. For electrical current sensitive
patients, a higher frequency could be advisable. If an intensive stimulation is wished,
a lower frequency should be selected.
Higher frequencies can, on account of their lesser electrical current perception,
mislead to the application of enhanced current strength and an increase in the training
intensity. This can cause, during and after the stimulation, to a muscular reaction such
as fatigue and the occurrence of pain.
Current intensity which triggers a visible muscle contraction of the greater part of
the muscle is generally sucient to eect muscular stimulation. Maximum strain on
untrained or weak muscles is to be avoided and as a matter of principle, muscular
contractions should not be painful.
Pain therapy requires muscle contractions only in the lower modulation range of up
to 15 Hz. This range is appropriate in particular for the treatment of chronic pain. For
higher frequency modulations of up to 100 Hz the sensitive stimulation is decisive
for the eect. Muscular contractions are not required here and this enables longer
stimulation periods without resulting in muscular fatigue. A lower intensity is selected
accordingly. On account of the specific stimulation quality of the medium frequency
impulses, muscular reactions and their related application time limitation cannot,
however, always be avoided.

15
English
AmpliMove medical Therapy Programs
The programs are indication related. All stimulation parameters are defined up to
the individually set current intensities. The parameters can be changed according to
requirements and own programs can also be written.
A particular program can often be used for further indications which are not noted in
the program title. Further indication options are referred to in the accompanying text
when a program is selected.
A program is divided into several sequences. A change of sequence causes the current
intensity to be somewhat reduced so that subsequent adjustment may be necessary.
This is designated with “Intensity adaptation”.
The images attached to the program with indications and electrode placement
represent treatment examples which, as and when necessary, can be varied or
supplemented.
Regarding Electrical Muscle Stimulation
Electrical muscle stimulation (EMS) is an instrument for the selective activation of
muscles and groups of muscles and has application in the sport and medical fields.
Dierentiation between endurance and strength training is eected depending on
the selection of the parameters. In addition to muscular stimulation, the activation
of the associated joints, ligaments and tendons is important for the contracture
prophylaxis and tissue nutrition.
Muscle stimulation with the AmpliMove medical is suitable for all patients who are
subject to existing, or the prevention of, inactivity atrophy. This includes patients with
painful, pain-related, post-traumatic and post-operative immobility as well as patients
who may be subjected to low levels of physical exertion by suering from cardiac,
respiratory or other systemic illnesses and patients with central paresis.
EMS has its place in stationary applications, ranging from the intensive care unit to the
rehabilitation clinic. And just as important also where chronic illness is involved and
continuing ambulatory and domestic use are necessary in order to maintain mobility
and quality of life levels.
A great virtue of electrical muscle stimulation lies in the primary stimulation of Type
II fibres (strength fibres) which can be preferentially attained on account of reduced
electrical resistance levels. The training of the strength fibres is frequently dicult
because greater physical exertion is required here and to which patients often cannot
be subjected.

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schwa-medico Operating Manual - AmpliMove medical
6 Power Mode
You can use the device directly from the 220 Volt mains or with the rechargeable
battery in the device. The power mode is shown in the upper right side of the display.
The device works on mains circuit.
The device works on battery.
Charging the Battery / Battery Operation
If you wish to use your new AmpliMove medical on battery, you first need to charge it.
Connect the mains adapter to the socket at the rear side of the device (no. 13). Turn
the power switch (no. 12) to the position “charging battery” . Connect the
mains adapter to your mains circuit socket. The left LED on the upper side of the case is
lighting red while the device is charging. The LED is turning to green once the battery
is fully charged. The device cannot be turned ON while charging and cannot be used
for stimulation. Once the device is fully charged, disconnect the mains adapter from
the mains circuit and from the device and store it in the transportation case. Turn the
power switch (no. 12) back to the power mode .
The battery level is indicated on the upper right side of the display with the
symbol. The battery need to be recharged once the battery symbol turns to red .
Please note: The device is automatically in battery operation if the mains adapter is
not connected to the device.
Important! Please handle the mains adapter with care and do not drop it.
Operation on Mains Circuit
Connect the mains adapter to the socket at the rear side of the device (no. 13). Turn
the power switch (no. 12) to the position “power mode” . Connect the mains
adapter to your mains circuit socket. The right LED on the upper side of the case is
lighting green and the plug symbol indicates on the right side of the display that
the device is operating on mains circuit.
Please note: The battery is not recharged during mains circuit operation.
Important! If you turn the switch to the “battery mode” position while the device is
connected to the mains circuit, the device will automatically turn OFF and will not
be available for stimulation purpose. The device automatically switches from battery
operation to mains circuit operation if a mains adapter is connected to the device.

17
English
7 Operating the AmpliMove medical
The AmpliMove medical device is operated via the keys. The colour display indicated
on the upper left side the current menu. The indications on the lower side of the
display are explaining the functions of the dierent keys. Those vary depending on
the selected menu.
Switching ON the device
Press the
key to switch ON the device. The device is ready after approximately 13
seconds.
Start Menu / Choice of Menu/
Five dierent menus can be
selected:
»Favourites (the last five
programs in use)
»Basic programs (parameters of
thepredecessorunitAmpliMed)
»Expert programs (new pro-
grams with dierent sequences)
»User programs (for own
parameters)
»Settings (time, date, language, software update)
To select the desired menu:
▲▼ keys left ............... Select a menu
󰋾 key .............................. Confirm your choice
Menu „Favourites“
Select the point “Favourites”
with the ▲▼ keys in the start
menu. Confirm your choice with
the 󰋾 key. The“favourites”menu
displays the last five programs in
use. These programs can come
from all 3 categories of programs
(basic, expert and user).
Start the selected program by
pressing the intensity keys ▲▼
(left for channel 1 and right for channel 2).
Press the i key to delete all user programs. Press the ⬅ key to return to the start menu.

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schwa-medico Operating Manual - AmpliMove medical
▲▼keys left ................. Select a program
󰋾key ................................ Start the selected program
i key ................................... Delete all favourite programs
⬅key ................................. Return to “Start Menu”
Menu „Settings“
Select the point “Settings” with
the ▲▼ keys in the start menu.
Confirm your choice with the
󰋾 key.
▲▼keys left ................. Select a setting
󰋾key ................................ Confirm the selected setting
⬅key ................................. Return to “Start Menu”
Parameters
In this menu the stimulation
parameters can be adjusted
directly without creating a user
program.
Select the point “Parameters”
with the ▲▼ keys in the
“settings” menu. Confirm your
choice with the 󰋾 key. Press the
left ▲▼ keys to jump from one
parameter to the next one. Press
the right ▲▼ keys to modify the parameter value. Confirm your modification with
the 󰋾 key. The selected parameters are stored even after turning the device OFF. A
user program cannot be created though. Please consult the chapter “User programs”
for creating own programs. Press the ⬅ key to return to the “Settings” menu.
Therapy duration .................................................... 1-99 min
Carrier frequency .................................................... 2-10 kHz

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Low frequency current modulation:
Modulation depth of low frequency current .. 0-100 %
Low frequency ......................................................... 1-100 Hz
Surge current modulation:
Modulation depth of surge current .................... 0-100%
Rising ramp .................................................................... 0.1-3 s
Working phase .............................................................. 0-25 s
Falling ramp ................................................................... 0.1-3 s
Pause ................................................................................. 0-25 s
▲▼keys left ................. Select a parameter
▲▼keys right .............. Modify the parameter
󰋾key ................................ Save the selected parameters and start stimulation
⬅key ................................. Return to menu “Settings”
Setting Date and Time
In this menu the date and time
can be adjusted.
Select the point “Date / time”
with the ▲▼ keys in the
“settings” menu. Confirm your
choice with the 󰋾 key. Press
the left ▲▼ keys to jump from
one value to the next one.
Press the right ▲▼ keys to
modify the value. Confirm your
modification with the 󰋾 key. Press the ⬅ key to return to the “Settings” menu.
▲▼keys left ................. Select the date or time
▲▼keys right .............. Modify the date or time
󰋾key ................................ Save the selected date and time
⬅key ................................. Return to menu “Settings”

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schwa-medico Operating Manual - AmpliMove medical
Setting the Language
In this menu the language can be changed.
Select the point “Language” with the ▲▼ keys in the “settings” menu. Confirm your
choice with the 󰋾 key. Press the left ▲▼ keys to select the desired language. Confirm
your choice with the 󰋾 key. Press the ⬅ key to return to the “Settings” menu without
changing the language.
▲▼keys left ................. Select a language
󰋾key ................................ Confirm the selected language
⬅key ................................. Return to menu “Settings”
Software Update
Copy all files of the software
update on an unpartitioned
USB flash drive. Select the point
“Software update” with the
left ▲▼ keys in the “settings”
menu. Confirm your choice with
the 󰋾 key. Plug the USB flash
drive with the copied files in the
USB socket (no. 14) on the back
side of the device. Wait until the
device has detected the flash drive then press again the 󰋾 key to start the software
update. The files are then copied and installed. The device automatically restarts. Pull
out the flash drive after the successful software update.
Important note! Do not connect any other device than a USB flash drive to the USB
connector (no. 14) of the AmpliMove medical device. Do not try to charge an external
appliance with the USB connector. The battery of the AmpliMove medical cannot be
recharged via the USB connector.