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1. 4 OPERATING CONTROLS HOME SCREEN CONTINUED Traction Technique Button provides visual steps as to how to set up a patient for traction treatment of the desired body area NOTE After viewing the steps for set up the Forward Arrow button will automatically go to the Treatment Screen NOTE There are no traction techniques for the Hip Body Area Edit Button provides access to the Treatment Screen to set up parameters for treatment Back and Home Buttons go back to the Home Screen Rope Release Releases the Traction Cord from the unit Multimedia Card MMC Graphics Library The MMC Graphics Library button provides access to visual anatomical libraries of the four body areas Cervical Lumbar Hip and Hand Wrist Patient Card The Patient Card button allows access to retrieve previously saved patient treatment information from the Patient Card Rope Release Releases the Traction Cord from the unit 28 OPERATION Li Triton Traction OPERATING CONTROLS TREATMENT SCREEN The Touch Screen User Interface allows the operator to access and set up for therapy in the following areas of the Treatment Screen NOTE Should you make a mistake while entering data you may correct by re pressing the appropriate key and re entering the data NOTE On the Touch Screen User Interface any parameters surrounded in blue boxes are active and can be changed at any time Any parameters surrounded in gray bo
2. by disruptions in the power supply such as a voltage break and excess or inadequate voltage Errors may also be caused by patient movement during the traction therapy All traction unit errors and warnings are categorized by three numerical digits Messages beginning with a 1 are general errors a 2 symbolizes internal warnings and errors and a 3 signifies a critical error where the problem has locked up the unit See Warning on Page 53 for more information Before calling for service carefully review this User Manual In the event you are still unable to correct the problem contact your Chattanooga Group dealer for all repair service Be certain to specify your model number serial number and a detailed description of the issue you encountered The Power On Off Switch is in the ON position e Verify the Mains Power Cord is properly connected to the power supply outlet nothing happens e Contact dealer or Chattanooga Group for service The LED Indicator Power On Off Light glows but there is nothing displayed on the LCD or the LCD displays confusing wording e Verify the voltage from the power supply of the electrical outlet is the same as that is listed on your Voltage Rating and Serial Number Plate The LED Indicator Power On Off blinks e The unit is in Screen Saver Mode Touch the screen or any button to reactivate the nothing is displayed on the screen unit The Patient Interrupt Switch is not working e Mak
3. Session screen to acknowledge This will return Notes onto the Patient Data Card you to the Treatment Screen HEPES oo Remove the Patient Data Card for filing A 7 pgg with patient records Bue m Patient Card Treatment l 40 RETRIEVING DATA FROM EXISTING PATIENT DATA CARD Existing Patient Data Card Use Insert the Patient Data Card with the gold chip facing up into Patient Data Card port located on the front of the traction unit The treatment list is located on the right side Press the Up or Down Arrow button to select the desired treatment Press the Return Arrow to accept This will show the following information Before and After Treatment Pain Information Pain Map Pain Scale and Pain Type and Session Notes Press the Clinical Resources button on NOTE The box located on the left the front of the traction unit a en Press the Patient Card Patient s Name review of treatment parameters button located in the Patient Card Brine sclactad T section of the menu Sells The review of the treatment Notes hows the following information NOTE If the Patient Data Card is not Saa J Tester Patient s Name Date Start inserted this button is Pain Map Treatment Time End Treatment deactivated Time Treatment Parameters and Session Notes stored on card via PC only Press Run This Treatment button Read and follow the steps of the TOC Patient Preparation section on P
4. This device should only be used under the continued supervision of a licensed practitioner e Care must be taken when operating this equipment adjacent to or stacked with other equipment Potential electromagnetic or other interference could occur to this or other equipment Try to minimize this interference by not using other equipment in conjunction with it Use of controls or adjustments or performance of procedures other than those specified herein may result in a hazardous traction related injury Before connecting the unit to an electrical outlet make certain the unit is electronically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable national and local electrical codes Do not use a damaged Mains Power Cord Using a damaged Mains Power Cord may cause unit damage malfunction electrical shock fire or personal injury If the Mains Power Cord becomes damaged discontinue use immediately and contact the dealer for replacement of the Mains Power Cord To prevent electrical shock disconnect the unit from the power source before attempting any maintenance procedures This device should be kept out of the reach of children Always hand tighten the Lock Knob securely to avoid any slippage The Patient Interrupt Switch must be in the patient s grasp throughout the traction therapy Do not apply external pressure heat or cold to the electrode sites during therapy Dispose of all pr
5. a Patient Data Card interface that allows transfer of patient therapy data from the unit to the Patient Data Card The unit allows storage and recall of the following patient session data onto the Patient Data Card all therapy session parameters before and after Patient Pain Profiles and Session Notes stored on card via PC only Each Patient Data Card can store multiple sessions and each session can be recalled within the unit New Patient Data Card Setup Insert a new Patient Data Card with the gold chip facing up into the Patient Data Card port located on the front of the traction unit NOTE Insert the Patient Data Card before treatment Press the Clinical Resources button on the front of the traction unit Pain Type Press the Edit Current Pain Profile button Throbbing an Profi located in the Patient Card section of Edit the menu Pain Map Enter the following information under the Pain Before Treatment column 38 Pain Scale There are eleven pain scale settings to choose from a numeric scale of 0 to 10 Press the arrows left to right from what the patient describes pain from being No Pain 0 to Worst Pain Possible 10 NOTE If the patient is unsure of rating pain from a numeric scale a visual pain scale is available Toggle the middle button between the left and right arrows to choose between a Numeric or a Visual Analog Scale Press the arrows left to right to move the visual bar
6. devices manufactured by other companies on Chattanooga Group equipment Chattanooga Group is not responsible for any consequence resulting from using products manufactured by other companies Handle the unit with care Inappropriate handling of the unit may adversely affect its characteristics Before each use inspect the Traction Cord for wear Prolonged wear on the cord will cause it to break which may cause sudden release of traction pressure on a patient Inspect lead wires and associated connectors for signs of damage before each use Replace damaged lead wires immediately before any treatment is applied Always test the Patient Interrupt Switch cable before each use for proper operation Do not use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the Touch Screen base as damage may result Do not remove the cover This may cause unit damage malfunction electrical shock fire or personal injury There are no user serviceable parts inside the unit If a malfunction occurs discontinue use immediately disconnect the Mains Power Cord from the outlet and consult the dealer for repair service Do not disassemble modify or remodel the unit or accessories This may cause unit damage malfunction electrical shock fire or personal injury Do not use the traction unit near devices such as X ray units or diathermy units These units may emit high frequency noise that may affect the operation of th
7. e Muscles e CTS Palmer View e Tendons e Dupuytren s Contracture Scarring e Tendonitis Hip Bones e Muscles OPERATION Triton Traction DTS PULL PATTERNS IF APPLICABLE The DTS Pull Patterns only available with Model 2841 Triton DTS Traction Unit with sEMG offer a selection of various intermittent traction programs It is up to the clinician to determine the applicability and appropriate parameters of the presets as applied to the patient Installing DTS Software Upgrade Card Turn the traction unit off with the On Off Switch on the back of the unit Remove the Multimedia Card MMC from the front of the traction unit NOTE The Multimedia MMC Card can be discarded once removed Insert the DTS Software Upgrade Card into the Multimedia Card MMC Port Turn the traction unit on with the On Off Switch on the back of the unit A message will display on the Touch Screen User Interface saying Unit has been changed to a DTS unit Touch anywhere to continue Selecting a DTS Pull Pattern DTS Pull Clinical Patterns Protocols MMC Graphics Library DTS Pattern 1 DTS Pattern 2 DTS Pattern 3 DTS Pattern 4 DTS Pattern 5 48 From the Home Screen press the DTS Pull Pattern button Choose the desired body area for the DTS Pull Pattern Select one of the five desired DTS Pull Patterns NOTE The DTS Pull Pattern parameters can be edited and saved as the default Pull Pa
8. from what the patient describes pain from being No Pain to Worst Pain Possible Pain Type here are eleven pain types to choose from based on how the patient describes pain Numbing Dull Ache Throbbing Pulsing Tingling roc Nagging Pinching Burning Shooting thy Stabbing Radiating or None Selected OPERATION Triton Traction SAVING TREATMENT TO A NEW PATIENT DATA CARD CONTINUED Pain Type Throbbing Edit Pain Map Patient Card JEFF Pain Map Press the Edit Pain Map button Press the area of the body to highlight where the patient describes pain Each time an area of the body diagram is pressed a highlighted square is produced Press the area again to remove the highlighted square Pain Type NOTE The Clear button clears all Dull Ache highlighted areas of the body Edit diagram Fain Map Press the Back button or Home button TEE l Run This to begin set up and to perform the patient therapy session Treatment NOTE All pain information can be edited during a patient therapy session by pressing the Clinical Resources button and Edit Current Pain Profile button However it is recommended to enter all pre treatment pain information before the patient therapy session 39 Once a therapy session has been completed press the Clinical Resources button Press Edit Save Completed Pain Profile button to enter all post treatment pain information after the
9. in contact with bodily fluids according to National Local and Facility rules regulations and procedures Give the Patient Interrupt Switch to the patient instructing that pressing the red button will stop the treatment The Patient Interrupt Switch also serves as a visual indicator for the patient with sEMG Once a patient is hooked up to electrodes the blue lights on the Patient Interrupt Switch show the amount of tension of the patient The increased number of blue lights indicate higher levels of tension in a patient OPERATION Triton Traction sEMG TRACTION TREATMENT CONTINUED Cervical Lumbar Traction Traction Clinical Protocols MMC Patient Card Graphics Library JEFF I z Y ELA Graph Edit Win 7 Mans Levels So wll Target Manual Add just Target Press the sEMG Traction button from A the Home Screen arget NOTE Once the sEMG Traction Manual button is pressed a continuous audible tone will sound from the Patient Interrupt Switch to indicate SEMG Traction activity readings Set the parameters for SEMG Traction treatment using the following buttons on the Treatment Screen Capture View Graph Target The View Graph button allows the clinician to toggle between the Treatment Graph to the sEMG graph sEMG Graph The sEMG Graph allows the setting target level of muscle activity for triggering traction therapy to start There are three buttons and a scal
10. on wal the back of the unit 4 The Triton traction unit was designed to be utilized with Chattanooga Group traction tables e Do not operate the unit when connected to any unit other than Chattanooga Group devices Do not use devices manufactured by other companies on Chattanooga Group equipment Chattanooga Group is not responsible for any consequence resulting from using products manufactured by other companies To prevent accidental disengagement this unit must be securely attached to the mounting surface of the pedestal or traction stand It is the responsibility of the user to verify the adequacy of the installation before use in patient therapy NOTE The Triton traction unit should be mounted facing the direction of pull so the Traction Cord does not contact the side of the slot from which it extends Triton Traction 7 SETUP ATTACHING THE PATIENT INTERRUPT SWITCH HOOK The Patient Interrupt Switch Hook may be placed on either the left or Insert the Patient Interrupt Switch right side of the unit to hook the Patient Interrupt Switch Hook Cover to cover the hook screw hole A screw hole cap with the Chattanooga Group logo is located on both sides of the traction unit Using a screwdriver pop the screw hole cap off The Patient Interrupt Switch can now be placed on the Patient Interrupt Switch Hook Place the Patient Interrupt Switch Hook over the screw hole and tighten the Hook Scre
11. or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps OPERATION 7 Triton Traction OPERATING CONTROLS TREATMENT SCREEN CONTINUED 11 Speed The percentage of speed of when the Traction Cord is being pulled or released There are three speed options to choose from 30 50 or 100 12 Pre tension Pre tension allows the clinician to Entry Method set a certain level in weight and time to allow the opportunity to make adjustments to harnesses before treatment starts 13 Edit Hold Rest Times Displays the amount of hold and rest times 0 99 seconds of Progressive TX and Regressive traction entered during setup To enter the hold or rest time press the appropriate button then enter the desired time using the number keypad Press the Return Arrow button to accept NOTE The Hold and Rest Time can be changed during the traction therapy session by pressing the 31 Edit Hold Rest Times button press the appropriate button and use the Up or Down Arrow buttons any changes Press the Return Arrow button to accept 14 Edit Min Max Levels Displays the Minimum and Maximum Traction Tension entered during setup To enter the Minimum or Maximum Traction Tension press the Edit Min Max Levels
12. red button A warning A licensed practitioner experienced with traction therapy must be message will be displayed saying The Patient Interrupt Switch has familiar with all instructions contained in this manual before traction been pressed Touch the screen to continue therapy Do not attempt to become familiar with the Triton traction unit while administering traction therapy on a patient To prepare the patient for traction therapy do the following 1 Attach the Patient Interrupt Switch by e Always test the Patient Interrupt Switch cable before each use for proper operation inserting the male end of the cable into the Patient Interrupt Switch Receptacle located on the front of the unit 4 Give the Patient Interrupt Switch to the patient instructing that pressing the red button will stop the treatment e The Patient Interrupt Switch must be in the patient s grasp throughout the traction therapy OPERATION Triton Traction PATIENT PREPARATION CONTINUED 6 Position the patient on the appropriate type of table in accordance with the instructions supplied with the table e Use only tables stands power cords and accessories that are specially designed for the Triton traction unit Do not use accessories manufactured by other companies on the Triton traction unit Chattanooga Group is not responsible for any consequence resulting from using products manufactured by other companies The use of ot
13. tone sounds e the motor is stopped e a warning will display saying The Patient Switch has been pressed The treatment has been terminated Touch the screen to acknowledge the warning and the tension will decrease to zero e the Traction Cord will release If the unit loses power e the motor stops e In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps STARTING PAUSING AND STOPPING TREATMENT CONTINUED When the traction therapy is finished the audible tone sounds the traction tension will decrease gradually the Traction Cord will release and a message will display saying Treatment has been completed Do you want to save data to Patient Card Touch the Yes or No button to respond See Saving Treatment to a Patient Data Card for more information NOTE The beeper will beep every 30 seconds until the screen is touched to acknowledge the message NOTE Wait until all tension has released automatically before attempting to remove the harness from the patient Release the patient from the traction harness according to the manufacturer s instructions 37 OPERATION Triton Traction SAVING TREATMENT TO A PATIENT DATA CARD The Triton traction unit incorporates
14. 99 minutes 1 minute Hold Period 0 seconds 99 seconds 1 second Rest Period 0 seconds 99 seconds 1 second Traction Tension O Ib 0 kg O N 200 Ib 90 kg 890 N 1 Ib 1 kg 5 N Progressive and Regressive Steps 1 step 9 steps 1 step Meets Directive 93 42 EEC 3 err IEC UL EN 60601 1 C C 60601 1 2 0413 C S ERS us CAN C22 2 No 601 1 M90w A2 9700675 Height SPECI FICATIONS Triton Traction sEMG MODULE DIMENSIONS AND SPECIFICATIONS Width ccc cnc eens 6 63 in 16 83 cm DGD erre ennen rE REE E E EEEE DR E Eara 3 in 7 62 cm Height 1 63 in 4 13 cm Input Impedance 00 00000 gt 1 000 000 ohm Input Sensitivity 00 0 0 0 cee eee lt 1 0 uV RMS Frequency Range 15Hz 1000Hz with CMMR of gt 120 dB CMMR at 50 60 Hz gt 180 dB UCL ee ee 5 2 oz 146 g Product Type Internally Powered 0 cece cc eee nn eee eee Triton Traction Unit EIS CWICA aS ersen FNA Read Meee aed ERIN tas Class Electrical Type oo occ cece cece cece ec RIAR seen Type BF For Continuous Operation Regulatory Compliance Meets Directive 93 42 EEC ATER IEC UL EN 60601 1 C l 60601 1 2 0413 c us CAN C22 2 No 601 1 M90w A2 9700675 15 7 DESCRIPTION OF DEVICE MARKINGS The markings on the Triton traction unit are your assurance of its conformity to the highest applicable standards of medical equipment safety and electromagnetic compatibility One or more o
15. Moving SS Rehabilitation D Forward O oe a User Manual Model 4739 Triton Traction Unit Model 4778 Triton Traction Unit with sEMG Model 2841 Triton DTS Traction Unit with sEMG PB CHATTANOOGA GROUP SES ISO 13485 CERTIFIED gt iis TABLE OF CONTENTS Titon Traction FOREWORD b6 5 6 66 064606646 000046 6600 660060066004400404 1 b Operating Controls Home Screen ccc cece cece ee eeeeeees 26 28 P Product Description cccececec cece ceceecncececcuceceucucucens 1 Operating Controls Treatment Screen eee e cence eens 29 32 b sEMG Traction Treatment cc cece cece cece e eee e eee eeeeees 33 35 ABOUT TRACTION THERAPY seeccccccescccccccccees 28B P Starting Pausing and Stopping Treatment e eee eee 36 37 gt Precautionary INSTIUCTIONS 6 0464 esiw eur ioctsseterseneesiasciewarnenses 2 P Saving Treatment to a Patient Data Card ececcecececeeeees 38 40 gt Cautions cas pease anaes Le he setae emueeiedaueeamaen E tas 3 4 gt Retrieving Data from Existing Patient Data Card eseseseseees 41 a Ta P Erasing Patient Data Card cece cece cece cence centeeeeseeeses 42 A angers Oe ee eee 2 User Protocols srssrscirersrsriresttrireni ire T ArEEN rE S eE TAKES 43 44 e O VETEN Of Mie CUTE TORIA Py i nyiur dea ide ugine s Clinical Protocols asrsisieseiseenen toink A 45 46 gt Common WOMINS 4264 00t ve en cst acon coos toasts E tor t
16. OPERATION iran CLINICAL PROTOCOLS CONTINUED Press the Traction Rationale button to view the text explaining the rationale for the type of traction associated with the Clinical Protocol selected as well as a definition of terms associated to the Treatment Screen Press the Traction Technique button to view patient preparation instructions NOTE There are no traction techniques for the Hip body area Press the Edit button to enter the sara Maximum and Minimum Traction Levels uated Or to Change any of the Clinical Protocol a presets 46 MULTIMEDIA CARD MMC GRAPHICS LIBRARY The Multimedia Card MMC Graphics Library offers an anatomical library Once the body area is selected a list of related items to the body that is designed to aid the operator in visually identifying and recognizing area will be displayed Choose from the following specific skeletal structures and muscles Lumbar Press the MMC Graphics Library button e Bones e Radicular Pain from the Home Screen e Muscles e Herniated Disc e Scoliosis e Sciatica MMC Graphics Library e Sacroiliac Joint e Degenerative Disc e Hip Bursitis e Spinal Stenosis e Ankylosing Spondylitis Cervical e Bones e Tension Headache e The Spine e Anterior Cervical Muscles e The Cervical Spine e Whiplash Select the button of the desired body hd vale Mee Hand Wrist e Bones e Carpal Tunnel e Ligaments e CTS Cross Section e Palmer View e CTS
17. Structural disease secondary to tumor or infection The Triton traction device may be used to relieve peripheral radiation SOR l l l e Patients with vascular compromise sciatica and pain associated with e Any condition for which movement is contraindicated e Protruding discs e Spinal root impingement Bulging discs Hypomobility e Patients with acute strains sprains and inflammation which would be e Herniated discs e Degenerative joint disease aggravated by traction therapy e Degenerative disc disease e Facet syndrome e Patients with joint instability of the spine g y J y e Posterior facet syndrome e Compressions fracture Pregnancy e Acute facet problems e Joint pain e Radicular pain e Discogenic pain Osteoporosis e Prolapsed discs e Hiatus hernia e Claustrophobia The Triton traction device achieves these effects through mechanical traction of intervertebral discs that is unloading due to distraction and positioning Triton Traction NOMENCLATURE BASE UNIT FRONT VIEW The Base Unit serves to house the mechanical and electrical components Touch Screen a 5 User Interface g a that provide the actual traction tension for the Triton traction unit under the electronic control and supervision of the Controller Traction Cord To prevent wear and fraying the unit should be mounted facing toward the desired direction of pull so that the Traction Cord does not contact the side of the slot fro
18. T WARRANTY ccccccccccccccccccccccccccccccccccees DD I Contents of Carton odccsece ne eudw den edunds veins nsdeeeestewianscoewes 17 b Mounting Unit on Table 6650600446655 saa 04 hwo henson Nd Raeeiedeens 18 b Attaching the Patient Switch Hook ccc cece cece cece teenies 19 b Installing the SEMG Module ccc cece cece e cece e ee eeeeeeees 20 P Removing the SEMG Module cece cece cece cece ce eeeeeeees 21 P Initial Unit Setup 4450605 Gncdn dn awewioeesen seasurisouduwssanwensnas 22 23 OPERATION cea ed ee ae eRe ak baw eenateee een 2 ee b Patient Preparation cc cece ccc ccec cc cceeeccccsesccceseees 24 25 7 This manual has been written for the operators of the Triton traction unit It contains general instructions for operation precautionary instructions and maintenance recommendations In order to obtain maximum life and efficiency from your Triton traction unit and to assist in the proper operation of the unit read and understand this manual thoroughly The specifications put forth in this manual were in effect at the time of publication However owing to Chattanooga Group s policy of continuous improvement changes to these specifications may be made at any time without obligation on the part of Chattanooga Group Before administering any treatment to a patient you should become acquainted with the operating procedures as well as the indications contraindications cautions wa
19. TX section The first button allows you to choose from Static Intermittent or Cyclic Traction Mode to use during the traction phase of the traction therapy session The second button allows you to enter the amount of time in minutes 1 99 desired for the traction phase of the traction therapy session NOTE The TX Time can be changed during treatment Press the TX Time button and use the Up or Down Arrows to change the time in one minute increments Press the Return Arrow to accept changes 9 Regressive There are two buttons to use under the Regressive section The first button allows you to choose from Static or Intermittent Traction Mode to use during the Regressive phase of the traction therapy session The second button allows you to enter the step number 1 9 desired in the Regressive phase of the traction therapy session NOTE The third box in the Regressive section is an inactive button that displays the approximate amount of time in minutes selected for the regressive phase of the traction program 10 Rope Release The Rope Release button is used to release the Traction Cord in order to pull out of the unit freely for setup To release the cord either pull on the Traction Cord and it will slowly feed out or hold the Rope Release button down and pull the Traction Cord out NOTE If there is more than 5 Ibs 2kg or 19N of tension the Rope Release button is disabled e In the event of a loss of power to the unit
20. ages 23 24 to set up traction treatment ety Press the Start button to begin wal treatment 4 7 ERASING PATIENT DATA CARD When the Patient Data Card is erased a message will be displayed saying Patient Card has been erased Touch the screen to acknowledge the message and it will return to the Clinical Resources Screen Insert the Patient Data Card with the gold chip facing up to be erased into the Patient Data Card port located on the front of the traction unit Press the Clinical Resources button on renee the front of the traction unit Press the Erase Patient Card button located in the Patient Card section of the menu A message will display asking Are you sure you want to erase the Patient Card Press Yes or No Patient Card JEFF 42 USER PROTOCOLS This library is a series of protocols created by the user and stored in the unit memory The following information gives general instructions as to setup saving and access of User Protocols Should the Restore Default After the Return Arrow is pressed a keyboard will be displayed to enter the 1 f2 afe sfelzfefsfo name of the User Protocol Once the Protocol button be pressed through the Utilities section of the Clinical EXER ser Protocol name has been entered Resources Screen all User Protocols will be permanently removed from ERTETEK press the Return Arrow to accept the unit BREE NOTE Twenty User Protocol
21. anish NOTE The default of Language is set as English Reset Unit Settings Press the Reset Unit Settings button to restore the unit defaults Clinic Name Volume Unit of Measure and Language This control will not change the Date and Time nor will it affect any of the User Protocols stored in the unit 23 PATIENT PREPARATION NOTE The Patient Interrupt Switch must be plugged in for the unit to operate If the Patient Interrupt Switch is not inserted into the traction unit a continuous audible tone will sound and a message will display saying Patient Switch is not plugged into Traction therapy may be given by or on order of a qualified licensed practitioner The person administering the treatment must be familiar with the principles of traction therapy and be able to choose the correct mode of traction traction forces and treatment times Any settings the unit Correct the problem Touch the Screen anywhere to or types of traction mentioned in this manual are for illustrative and CONTINUE expository purposes only Each patient should be individually assessed 2 Turn the unit on from the Power On Off Switch located on the back of by a licensed practitioner to determine the appropriateness of the parameter settings prior to use the unit Wait about five seconds for the unit to go through initialization before attempting any further patient preparation procedures 3 Test the Patient Interrupt Switch by pressing the
22. button press the appropriate button then enter the desired setting using the number keypad Press the Return Arrow button to accept NOTE The Minimum and Maximum Traction Tension can be changed during the traction therapy session by pressing the Edit Min Max Levels button press the appropriate button then use the Up or Down roc Arrow buttons to make th tag changes in 1 Ib 1 kg or 1 N increments Press the Return eal Arrow button to accept OPERATION Triton Traction OPERATING CONTROLS TREATMENT SCREEN CONTINUED FOR LUMBAR TRACTION ONLY The Minimum and Maximum Traction Tension levels can be entered in two different ways Force Levels in Weight or Percentage of Body Weight For Force Levels in Weight simply enter the Minimum and Maximum levels as described previously For Percentage of Body Weight Press the Body Weight button and enter the body weight of the patient Press the Max Level of BW button to enter the percentage of the patient s body weight to be the maximum traction tension level Press the Min Level of BW button to enter the percentage of the patient s body weight to be the minimum traction tension level Entry Method Percentage of Body Weight 32 15 Clinical Resources This button offers the following features of the traction unit See Patient Data Card and User Protocols in the Operation Section for more information e Patient Card e Patient Card Patie
23. crobial cleaner Do not submerse the system in water Should the unit accidentally become submersed contact the dealer or Chattanooga Group Service Department immediately Do not allow cleaning solutions or water to enter the ventilation holes in the unit This could permanently damage the unit Do not attempt to use a unit that has been wet inside until inspected and tested by a Field Service Technicians certified by Chattanooga Group Touch Screen Cleaning Clean unit display lens using a soft damp cloth moistened with warm water and soap if necessary DO NOT USE alcohol or chlorine based solvents as this may damage the display PREVENTIVE MAINTENANCE SCHEDULE The design of this device is mechanical in nature and thereby has moving parts that may become worn or require lubrication from time to time It is recommended that this device be placed on a periodic maintenance schedule to examine for lubrication needs or replacement of components Please reference the Service Manual for particular parts and maintenance The schedule of the maintenance depends upon the frequency and duration of device usage and should be determined by the user CALIBRATION REQUIREMENTS Annual factory calibration is required for Triton traction units The unit should be sent to the factory or a Field Service Technician certified by Chattanooga Group for this procedure 54 SERVICE Should the Triton Traction Unit require service contact the selling deale
24. e chosen 12 1 LED Indicator Power On Off This indicator will illuminate when the unit is powered on NOTE The LED indicator will blink when the unit goes in screen saver mode the screen will go blank after twenty minutes of inactivity Simply touch the screen to reactivate 2 Clinical Resources This button allows you to access the following features of the traction unit e Patient Card e Patient Card Patient Name e Edit Current Pain Profile e Edit Save Completed Pain Profile e Erase Patient Card e Utilities e Unit Settings 3 Stop This button will stop the treatment program Traction tension slowly decreases to zero 4 Pause This button will pause the treatment program Traction tension slowly decreases to zero Press the pause button again to resume treatment program and traction tension 5 Start Touch this button to start the treatment program 6 Patient Data Card Port Access port to insert a Patient Data Card to save and retrieve patient treatments 7 Multimedia Card MMC Port Access port to insert a MMC Card to display traction techniques and the anatomical library e Protocols e Retrieve Protocol e Save Protocol e Clinical Protocols NOMENCLATURE Triton Traction SYMBOL DEFINITIONS Below are the definitions for all of the Symbols used on the Triton traction unit hardware and software Study and learn these symbols before any operation of the unit System Hardware Sy
25. e sure the Patient Interrupt Switch is properly connected to the Patient Interrupt Switch Receptacle The Rope Release will not work e Release all tension on the Traction Cord e f there is more than 5 Ibs 2kg or 19N of tension the Rope Release button is disabled e If patient is attached have patient move towards the traction head to release tension e Shake the Traction Cord while holding down the Rope Release button e Turn unit off and return to Chattanooga Group for repair Unable to properly read Patient Data Card e Properly insert a Patient Data Card e Use a known good Patient Data Card If problem persists contact dealer or Chattanooga Group for service Attempted to use an Invalid Patient Data Card Properly insert a Patient Data Card e Use a known good Patient Data Card e If problem persists contact Chattanooga Group for service No Session Data is available on the inserted Patient e Save session data to Patient Data Card Data Card e Use a known good Patient Data Card If problem persists contact dealer or Chattanooga Group for service Patient Data Card is full e Purchase additional Patient Data Cards from an authorized Chattanooga Group dealer e Save to the Patient Data Management System PDMS sEMG Traction button is grayed out e An sEMG Module is required to initiate EMG Traction e Make sure SEMG Module is properly inserted into the Triton traction unit If problem persists contact deale
26. e to set the sEMG target 34 Target button This toggle button allows the clinician to select the target either manually or take the average of muscle activity achieved over a 15 second period Adjust Capture Target button Once the target is selected this button allows the clinician to either adjust the manual target or capture the average target To Adjust the Manual Target Press the Target button until Manual is selected press the Adjust Target button press the Up or Down Arrow Toc buttons to adjust the Target to the prescribed level and press the Return Arrow to accept The target range is from 5 to 2 000 uV wal OPERATION Triton Traction sEMG TRACTION TREATMENT CONTINUED Begin Capture End Capture 8 SEL Alarm Above To Capture the Average Target Press the Target button until Average is selected Press the Capture Target button Press the Begin Capture button to initiate the 15 second period Once the 15 second period is completed the average target of muscle activity is captured and the Up and Down Arrow buttons can be used to increase up to 200 or decrease down to 5 the percentage of the captured target value The Reset button can be pressed to clear the captured target NOTE he capture may be stopped at any time during the 15 second period by pressing the End Capture button Alarm button This button allows the clinician to choose if the a
27. e unit 7 ABOUT TRACTION THERAPY e Do not use the Clevis as a handle to pick up or carry the unit e Do not permit any foreign materials or liquids to enter the unit Take care to prevent any foreign materials including but not limited to inflammables water and metallic objects from entering the unit These may cause unit damage malfunction electrical shock fire or personal injury If you have difficulty operating the unit after carefully reviewing this operator s guide contact your Chattanooga Group dealer for assistance Failure to use and maintain the traction unit and its accessories in accordance with the instructions outlined in this manual will invalidate your warranty The Patient Interrupt Switch is essential for the functioning of the unit If it is not connected or if it is malfunctioning the unit will not work A licensed practitioner experienced with traction therapy must be familiar with all instructions contained in this manual before administering traction therapy Do not attempt to become familiar with the Triton traction unit while administering traction therapy on a patient In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps Triton Traction e
28. ealer under this warranty 1 A written claim must be made within the warranty period to the Company or the selling dealer Written claims made to the Company should be sent to 4717 Adams Road PO Box 489 Hixson TN 37343 USA Phone 1 423 870 2281 Fax 1 423 875 5497 2 The Product must be returned to the Company or the selling dealer by the owner This warranty gives you specific legal rights and you may also have other rights which vary from location to location The Company does not authorize any person or representative to create for it any other obligation or liability in connection with the sale of the Product Any representation or agreement not contained in the warranty shall be void and of no effect THE FOREGOING WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING ANY WARRANTY OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE 55 48037A Moving Rehabilitation Forward CHATTANOOGA KS GROUP HE ISO 13485 CERTIFIED 4717 Adams Road P O Box 489 Hixson TN 37343 U S A 1 423 870 2281 1 800 592 7329 U S A 1 800 361 6661 CANADA 1 423 870 7200 OUTSIDE USA chattgroup com 2005 Encore Medical L P
29. ed in areas of the Treatment Screen Traction Technique Button provides visual steps as to how to set up a patient for cervical traction NOTE After viewing the steps for set up the Forward Arrow button will automatically go to the Treatment Screen Edit Button provides access to the Treatment Screen to set up parameters for treatment Back and Home Buttons go back to the Home Screen Rope Release Releases the Traction Cord from the unit Lumbar Traction The Lumbar Traction button will go straight to the Lumbar Traction menu The Lumbar Traction menu offers the following options Traction Rationale Button provides a description of the traction being used as well as definitions of terms used in areas of the Treatment Screen Traction Technique Button provides visual steps as to how to set up Toc a patient for lumbar supine or lumbar prone traction NOTE After viewing the steps for set up the Forward Arrow button will automatically go to the Treatment Screen wal 4 OPERATING CONTROLS HOME SCREEN CONTINUED Edit Button provides access to the Treatment Screen to set up Edit Button provides access to the Treatment Screen to set up parameters for treatment parameters for treatment and to the sEMG Graph to set up the Back and Home Buttons go back to the Home Screen SEMG target Rope Release Releases the Traction Cord from the unit Back and Home Buttons go back to the Home Screen Rope Re
30. ees a eens 6 gt Multimedia Card MMC Graphics Library 0cecececeeeececeeess 47 b Indications berrrrtrerrrrrsrrereerereereereserereerereerereenerereeres 7 b DTS Pull Patterns If Applicable cccccececececececececeecess 48 CONAINGICANIONS 64 5454i0s500504 sess erases bese Ree DEP AREEN EE EREN A 7 NOMENCLATURE cccccccccccccccccccccccccccee 8 13 ACCESSORIES ee T T T TTE P Base Unit Front View ccc cc ccc cc ccc cece cece cece ce eeeeees 8 9 TROUBLESHOOTING ccccccccccccccccccccccccc o 30 53 i Base Unit Rear VieW 222 ovcccascccsasosccka cases cuesawsesaenaceinss 10 11 be TOUDIESHOGUNG 135 assce cater d sds ve arrun na ENRE ATERAT 50 51 LCD Bases dioere os eco abe Seni eae Meese ncene se esiea eee E EA 12 P Error Messages cccccccccccccecceeceeeteeccesseeseesseuaee 52 53 b Symbol Definitions cc ccc ccc cece eee ee cece ese e eens eeeeceees 13 MAINTENANCE ccccccccccecccceccccececcecese 54 SPECIFICATIONS cccccccccccccccccccccceess 14 16 Be ClCANING EE A EE E E E 54 gt Traction Unit Dimensions and Specifications see eee eens 14 Preventative Maintenance Schedule ccceeceeceeceuceuceues 54 sEMG Module Dimensions and Specifications eeeeeeees 15 Calibration Requirements ssssesusneseesessosecesessssccceee 54 p Description of Device Markings essessessessseseerserserssere 16 SOIC PEII EENEI A E ETAS E AIAT T 54 O AE TTE E A E
31. essage will display saying Beginning traction Ensure table is unlocked Touch anywhere to continue NOTE If the screen is not touched the message will disappear in 3 seconds e the Traction Cord tightens e traction therapy begins e the Treatment Screen displays the maximum traction tension the minimum traction tension the hold time the rest time the current tension the time remaining in the traction therapy and the running status e the Treatment Graph of the traction therapy becomes shaded as it goes through the treatment NOTE Monitor the traction therapy closely When the Pause button is pressed e the audible tone sounds e traction therapy is paused e the Traction Cord will release the tension slowly decreases to zero NOTE The Pause button may be used to adjust the patient s harness or position during treatment Resume the traction therapy by pressing the Pause button again Traction therapy can be stopped at any time by pressing the Stop button or by pressing the red button of the Patient Interrupt Switch When the Stop button is pressed e traction tension will decrease gradually e the Traction Cord will release the audible tone sounds e the Treatment Screen will return to Setup Mode If necessary check the patient s harness and position on the table and change the traction parameters Restart traction therapy by pressing the Start button When the red button of the Patient Interrupt Switch is pressed e the audible
32. ew of the base unit is the site of electric current control and surge protection and serves as a connection point for both the traction controls and safety features of the Triton traction unit Power On Off Switch C Lock The Power On Off Switch is a toggle Power Knob On Off switch located on the back of the Switch unit This switch controls the flow of electricity from the outlet to the unit Mai Data Port alt Factory oo use Only Cord Receptacle Mains Power Cord Receptacle The Mains Power Cord Receptacle accepts the Mains Power Cord female end Serial Number a Screen Contrast Control The Screen Contrast Control is used to set a comfortable viewing of brightness of the Touch Screen User Interface Functional On Monochrome Units Only 10 gt iis NOMENCLATURE BASE UNIT REAR VIEW CONTINUED Lock Knob The Lock Knob is used to clamp the Triton traction unit to the base i e pedestal traction stand 11 Triton Traction 7 NOMENCLATURE Triton Traction LCD BASE The LCD Base serves as a programming terminal during the selection of the traction parameters as well as a display showing all the factors affecting the traction during therapy Traction parameters are selected with the buttons on the LCD Base and the Touch Screen User Interface The Touch Screen and beeper make various audio and visual indications and warn the operator when unsuitable parameters ar
33. f the following markings may appear on the device Meets Directive 93 42 EEC witha IEC UL EN 60601 1 60601 1 2 Ell Cc us 9700675 CAN C22 2 No 601 1 M90w A2 Electromedical equipment Canadian Electrical Code C Part Il Safety standards for Electrical Equipment Risk Class 1 0413 Classified by Intertek Group PLC with respect to electric shock fire and mechanical hazards only in accordance with UL 60601 1 and CAN C22 2 No 601 1 M90wW A2 Refer to ACCOMPANYING DOCUMENTS A A Type B Equipment Type BF Equipment 57 gt gt 16 SETUP action CONTENTS OF CARTON Remove the Triton traction unit and all accessories from the shipping NOTE When shipping the unit back to the dealer or factory make cartons Visually inspect for damage certain the original packaging is used If the original packaging Report any damage to the carrier immediately is not available contact Chattanooga Group to obtain the following packaging materials for shipment 48059 Inner Pack Box Top 48093 Left Inner Pack 48094 Right Inner Pack 48092 Shipping Box 48095 Shipping Bag Contents of Cartons Model 4739 Triton Traction Unit e Triton Traction Unit e Patient Data Cards 5 e Securing Bracket e Patient Interrupt Switch 9 ft 2 75 m in cable length shielded 26 AWG Patient Interrupt Switch Hook Kit Any damage sustained from improper packaging may render the e Mains Power Cord 80 in 203 cm in cable len
34. ga Group for service Errors and Warnings in these categories indicate an internal problem with the unit that must be tested by Chattanooga Group or a Field Service Technician certified by Chattanooga Group before any further operation or use of the unit Use of a unit that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or extensive internal damage to the unit Triton Traction e Disconnect the traction unit from the power source before attempting any maintenance installation removal or replacement procedures to prevent electrical shock and possible damage to the unit e The traction unit should only be used by a qualified licensed practitioner in a position of supervision during therapy For that reason do not attempt to put yourself in traction with this unit NDANGER e Handle clean and dispose of components and accessories that have come in contact with bodily fluids according to National Local and Facility rules regulations and procedures Do not connect the unit to an electrical supply without first verifying that the power supply is the correct voltage Incorrect voltage may cause unit damage malfunction electrical shock fire or personal injury Your unit was constructed to operate only on the electrical voltage specified on the Voltage Rating and Serial Number plate Contact your Chattanooga Group dealer if the unit is not properly rated Should Traction Cord f
35. gth shielded 18 AWG vara Melanie vos e User Manual CD ROM Model 4778 Triton Traction Unit with sEMG Model 2841 Triton DTS Traction Unit with sEMG e Triton Traction Unit e Patient Data Cards 5 e Securing Bracket e SEMG lead wire 8 ft 2 44 m in cable length unshielded 16 18 AWG e 4 Dura Stick Il Electrodes 1 25 in 3 cm Round e 4 Dura Stick Il Electrodes 2 in 5 cm Round e Patient Interrupt Switch 9 ft 2 75 m in cable length shielded 26 AWG e Patient Interrupt Switch Hook Kit e Mains Power Cord 80 in 203 cm in cable length shielded 18 AWG e User Manual CD ROM 17 7 SETUP ation MOUNTING UNIT ON TABLE 1 To secure the Triton traction unit to the mounting surface press the Lock Knob to raise the knob and turn left to loosen the clamp Fit the unit to the mounting surface and turn right to tighten the clamp down onto the mounting surface Push the Lock Knob to secure the unit to the mounting surface 2 Remove the cover on the back of the unit and connect the Mains Power Cord female end to the Mains Power Cord Receptacle 3 Verify that there is a good connection between the Mains Power Cord and the Mains Power Cord Receptacle Always make certain that the Mains Power Cord is properly plugged into the unit 4 Check the voltage rating on the serial plate located on the back of TOC the unit Plug the Mains Power Cord into a 100V 240V AC outlet as required Replace the cover
36. her accessories or cables may result in increased emissions or decreased immunity of the Triton traction unit 7 Fit the appropriate traction harness on the patient by following the fitting instructions supplied with the type of harness to be used 8 Tighten any slack in the harness that may have occurred during positioning so that it fits the patient according to the manufacturer s instructions 9 Push and hold the Rope Release button on the Touch Screen and slowly pull the end of the Traction Cord out from the traction unit 10 Attach the Accessory Clip to the connection point of the traction harness according to the manufacturer s instructions 25 e In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps OPERATION OPERATING CONTROLS HOME SCREEN Cervical Traction oy Traction MC Graphics Library Lumbar Traction Clinical Protocols Patient Card JEFF Rope Rel 7 Triton Traction Cervical Traction The Cervical Traction button will go straight to the Cervical Traction menu The Cervical Traction menu offers the following options Traction Rationale Button provides a description of the traction being used as well as definitions of terms us
37. ices are being used that intentionally radiates electromagnetic energy in an unshielded manner Portable and mobile RF communications equipment can affect Medical Electrical Equipment This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to other devices in the vicinity However there is no guarantee that interference will not occur in a particular installation Harmful interference to other devices can be determined by turning this equipment on and off Try to correct the interference using one or more of the following reorient or relocate the receiving device increase the separation between the equipment connect the equipment to an outlet on a different circuit from that which the other device s are connected and consult the Chattanooga Group Service Department for help This unit should be operated transported and stored in temperatures between 60 F and 104 F 16 C and 38 C and atmospheric pressure range between 700 1060 hPa with relative humidity ranging from 30 60 The unit should be routinely checked before each use to determine all controls function normally Do not use electrodes that have been previously used as the electrodes used with this unit are designed for single use only Triton Traction e Do not operate the unit when connected to any unit other than Chattanooga Group devices Do not use
38. larm should sound above or below the target Above The alarm will sound when the sEMG activity exceeds the target Below The alarm will sound when the sEMG activity is below the target 35 Press the Start button on the front of the unit to begin treatment NOTE Once the Start button is pressed the continuous audible tone from the Patient Interrupt Switch will stop during treatment NOTE When traction treatment begins if SEMG readings are above target a message will display saying Ask the patient to relax Once the patient has relaxed and the sEMG readings go below the target the message will disappear and treatment will start Check the sEMG Graph from the Treatment Screen to assure that the SEMG signal is being received NOTE he continuous audible tone from the Patient Interrupt Switch will begin again once treatment is complete if the Patient Interrupt Switch has been pressed during treatment or if the Stop button is pressed Examine the patient s skin again after treatment OPERATION r Triton Traction STARTING PAUSING AND STOPPING TREATMENT NOTE Read and follow steps of the Patient Preparation section on Pages 23 24 the Operating Controls of the Home and Treatment Screens on Pages 25 31 and the sEMG Traction section on Pages 32 34 as well as learn Operating Controls of the Treatment Screen to set up traction treatment When the Start button is pressed the audible tone sounds A m
39. lease Releases the Traction Cord from the unit sEMG Traction Models 4778 and 2841 Only The sEMG Traction button goes to a Clinical Protocols menu to select the desired body area Press the desired body area button to go to the desired body area sEMG Traction menu The Clinical Protocols button goes to a menu to select the desired body area Press the desired body area button to go to the desired body area menu The desired body area sEMG Traction menu offers the following options Traction Rationale Button provides a description of the traction NOTE FOR CERVICAL AND LUMBAR ONLY There are four menu being used as well as definitions of terms used in options to choose from before entering the Cervical or Lumbar Traction areas of the Treatment Screen menu Disc Involvement with Muscle Guarding Disc Involvement Traction Technique Button provides visual steps as to how to set up without Muscle Guarding Joint Segment with Muscle Guarding and a patient for the desired body area SEMG Joint Segment without Muscle Guarding TOC traction NOTE After viewing the steps for set up the Forward Arrow button The desired body area menu offers the following options will automatically go to the Treatment Screen Traction Rationale Button provides a description of the traction NOTE There are no traction techniques for the Hip Body Area being used as well as definitions of terms used in aad areas of the Treatment Screen
40. m which it extends TPE Traction Cord sEMG Lead Wire Receptacle Model 4778 2841 or with Patient sEMG Module Interrupt P N 4766 e Should Traction Cord fray or damage to the Traction Cord or knot be Switch apparent from visual inspection immediately stop use of the unit and Receptacle contact the Dealer or Chattanooga Group for service e Do not attempt to repair the Traction Cord e An improperly tied knot may result in injury Do not attempt to re tie the knot unless properly trained NOMENCLATURE BASE UNIT FRONT VIEW CONTINUED Accessory Clip The Accessory Clip allows you to attach the desired accessory ie Spreader Bar or traction harnesses to the unit Clevis Attachment Slots The Clevis Attachment Slots serve as a connection point for other traction apparatus not included such as cervical or wrist Do not use the Clevis as a handle to pick up or carry the unit Triton Traction Patient Interrupt Switch Receptacle The Patient Interrupt Switch Receptacle is located on the front of the unit e The Patient Interrupt Switch is essential for the functioning of the unit If it is not connected or if it is malfunctioning the unit will not work sEMG Lead Wire Receptacle Model 4778 2841 or with sEMG Module P N 4766 The sEMG lead wire connection is located on the front of the unit TOC BASE UNIT REAR VIEW Screen Contrast Control The rear vi
41. mbols Contrast Control On Off Switch Data Port Factory Use Only Push Lock Knob Lock Unlock Lock Knob Stop Treatment Pause Treatment Start Treatment SEMG Lead Wires Patient Interrupt Switch Patient Card Multi Media Card MMC DTS Software Upgrade Card Clinical Resources 13 System Software Symbols A Xiti Move UP Move DOWN Accept and Return Cancel Back Forward Home SPECIFICATIONS Triton Traction TRACTION UNIT DIMENSIONS AND SPECIFICATIONS Width 2000 9 5 in 24 cm DOD ices rewind Sncgauduidewn juswngd veorsdseee weaned 17 5 in 45 cm PUA noise co nicest ee ee oat bade ipai sA 17 5 in 45 cm Weight Standard Weight 6 6 ccc eens 30 Ibs 14 kg SHIDOING WEIGHT essersi EEEE EE AO Ibs 18 kg Power WONG ea prey beatae dined HA news E E wu deme 100V 240V 50 60Hz Power COMSUIMDUOM i560 care cned 4 Hedent aes esaea REER 9 eis 75 VA CUTE OSU ee eirata rA wate eae aden baad 3 2 Amps Max VOUS tC yuo E dete Besta Geese eaten Safa dard ican o ad Class Traction Electrical Type 0 ccc cnc ene nee Type B SEMG Electrical Type 0 0 ccc cee nee ee enn e en eees Type BF fe For Continuous Operation Traction Modes Static Intermittent Cyclic and their combinations Traction Type Mechanical LCD Display High contrast color touch screen Traction Tension Parameters Minimum Maximum Increments Traction Period 1 minute
42. nt Name e Edit Current Pain Profile e Edit Save Completed Pain Profile e Erase Patient Card e Protocols e Retrieve Protocol e Save Protocol e Clinical Protocols e Utilities e Unit Settings see Pages 21 22 for more information 16 Stop Stops the treatment program Traction tension slowly decreases to zero 17 Pause Pauses the treatment program Traction tension slowly decreases to zero Press the Pause Button again to resume treatment program and traction tension 18 Start Starts the treatment program OPERATION 7 Triton Traction sEMG TRACTION TREATMENT NOTE sEMG is only used as a trigger to begin traction therapy Preparing for sEMG Traction Therapy Plug the sEMG lead wire into the front of the unit e Do not apply electrodes over broken or compromised skin e g Sunburn cuts acne due to increased risk of skin reactions Examine the patient s skin for any wounds and clean the skin Chattanooga Group recommends using only Dura Stick Il Electrodes to obtain the most accurate SEMG feedback Connect the Dura Stick II disposable electrodes to the lead wire Leave the electrodes on the protective backing until treatment area has been prepared Ensure the electrodes are applied securely to the skin e The Patient Interrupt Switch must be in the patient s grasp throughout the traction therapy NDANGER e Handle clean and dispose of components and accessories that have come
43. oducts in accordance with local and national regulations and codes ABOUT TRACTION THERAPY e Use only tables stands power cords and accessories that are specially designed for the Triton traction unit Do not use accessories manufactured by other companies on the Triton traction unit Chattanooga Group is not responsible for any consequence resulting from using products manufactured by other companies The use of other accessories or cables may result in increased emissions or decreased immunity of the Triton traction unit Do not use other accessories other than those supplied with the system or recommended by Chattanooga Group The safety of other products has not been established and their use could result in injury to the patient To prevent accidental disengagement this unit must be securely attached to the mounting surface of the pedestal or traction stand It is the responsibility of the user to verify the adequacy of the installation before use in therapy Do not apply electrodes over broken or compromised skin e g sunburn cuts acne due to increased risk of skin reactions Do not plug lead wires into power outlets such as wall sockets and line cord receptacles Doing so could result in severe shock or burns whether or not the lead wires are attached to the unit In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanoo
44. ody part for the desired User Protocol to retrieve 44 OPERATION atom CLINICAL PROTOCOLS The Clinical Protocols section is a series of traction protocol presets where the body area is selected by the user and the Clinical Protocols algorithm will select the parameter settings These Clinical Protocols are to be used only as guidelines Each patient should be individually assessed by a licensed practitioner to determine the appropriateness of the protocol parameters prior to use All Clinical Protocols can be edited to suit appropriate patient treatment prescription and patient comfort The following information gives general instructions to access select and setup Clinical Protocols Each Clinical Protocol can be set up and edited in the same basic manner Select the desired body area for a Clinical Protocol Lumbar There are four options to choose from for Cervical and Lumbar only e Disc Involvement with Muscle Guarding Press the Clinical Protocols button SeA TEE e Disc Involvement without Muscle from the Home Screen a Guarding e Joint Segment with Muscle Guarding e Joint Segment without Muscle Guarding Disc involvement with Joint segment with muscle guarding muscle guarding Lumbar Traction sEMG Traction MMC Patient Card Graphics Library JEFF The next screen will show the body area Traction Traction menu of the Clinical Protocol Rationale Technique 45
45. oftware Contact Dealer or Chattanooga Group for Service Unknown Contact Dealer or Chattanooga Group for Service User pressed START but has not yet set the Max Level value to a value greater than zero User has not completed Treatment Setup Complete Treatment Setup prior to pressing Start 100 Ea EE E Ea 101 102 104 105 106 107 108 112 113 114 15 1 User pressed HOME button from treatment review screen while a treatment was running Home button has been pressed Press Stop To End Treatment prior to pressing Home ERROR MESSAGES e In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanooga Group for service Errors and Warnings in these categories indicate an internal problem with the unit that must be tested by Chattanooga Group or a Field Service Technician certified by Chattanooga Group before any further operation or use of the unit Use of a unit that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or extensive internal damage to the unit 53 MAINTENANCE Triton Traction CLEANING NOTE Before cleaning disconnect the unit from the power source Periodically clean the system with a clean lint free cloth moistened with water and mild antibacterial soap If a more sterile cleaning is needed use a cloth moistened with an antimi
46. om a few minutes up to 99 minutes The shorter duration is usually coupled with more tension Static lumbar traction is most effective if a split table is utilized to reduce friction It is important that it is the type that maintains constant tension This way any slack developed as the patient relaxes during the traction therapy is automatically taken up and the desired amount of traction is maintained Static traction is sometimes referred to as sustained traction Intermittent Traction Therapy This form of traction alternates traction tension between tension levels Maximum and Minimum every few seconds throughout the timed treatment It is also most effective if a split table is used to reduce friction when giving lumbar traction In the progressive and regressive phases the traction unit pulls to the calculated tension holds for the set hold time then drops to 50 of this tension holds the set rest time and then repeats this step for the number of steps selected However once the minimum level is reached the traction unit uses the minimum level for the rest time Cyclic Traction Cyclic traction refers to progressive and regressive phases of the traction program being repeated continuously throughout the entire course of the traction treatment INDICATIONS CONTRAINDICATIONS The Triton traction device provides traction and mobilization of skeletal Traction is contraindicated for the following STUN one Ne let U Gee e
47. om the date of original consumer purchase If this Product fails to function during the one year warranty period due to a defect in material or workmanship Company or the selling dealer will repair or replace this Product without charge within a period of thirty 30 days from the date on which the Product is returned to the Company or the dealer All repairs to the Product must be performed by a service center authorized by the Company Any modifications or repairs performed by unauthorized centers or groups will void this warranty The warranty period for the accessories shipped with the unit is 90 days Accessories consist of the materials shipped with the unit This Warranty Does Not Cover Replacement parts or labor furnished by anyone other than the Company the selling dealer or a certified Company service agent Defects or damage caused by labor furnished by someone other than Company the selling dealer or a certified Company service agent Any malfunction or failure in the Product caused by product misuse including but not limited to the failure to provide reasonable and necessary maintenance or any use that is inconsistent with the Product User Manual COMPANY SHALL NOT BE LIABLE IN ANY EVENT FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES Some locations do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you To obtain service from Company or the selling d
48. placement procedures to prevent electrical shock and possible damage to the unit Turn the unit off Disconnect the traction unit from its power source Disconnect the Patient Interrupt Switch and the sEMG lead wire from the receptacles Gently press the tabs underneath the unit pull and remove the sEMG Module from the traction unit Cervical Lumbar Traction Traction Clinical Protocols MMC Patient Card Graphics Library JEFF 21 Gently push the front panel back into the front of the traction unit Once the plastic of the unit and the front panel are aligned the connector should be inserted properly with the tabs locked in place Plug the traction unit back into the power source Connect the Patient Interrupt Switch into its receptacle Turn the unit on The traction unit should automatically recognize that the sEMG Module has been removed with the sEMG Traction button now being inactive on the Home Screen SETUP tion INITIAL UNIT SETUP Accessing User Utilities Clinic Name Press the Clinic Name button Enter the Clinic Name on the keyboard To save the Clinic Name as entered press the Return Arrow button To Turn the unit On discard the Clinic Name press the Cancel X button NOTE The default of the Clinic Name is set as Chattanooga Group Patient Card JEFF Press the Clinical Resources button Edit Current Pai A PEP p e Volume Press the Volume button until the desired
49. r or Chattanooga Group Service Department All returned units to the factory for service must include the following WARRANTY REPAIR OUT OF WARRANTY REPAIR 1 Written statement containing the following information e RA Number Obtain from Factory e Unit Model Number e Unit Serial Number e Contact person with Phone and Fax Numbers e Billing Address for Out of Warranty Repair e Shipping Address Where to Ship Unit after Repair e Detailed Description of Problem or Symptoms 2 Copy of original invoice issued at purchase of the unit 3 Ship unit to Factory in the original container with all accessories and information as required in item one 1 above to Chattanooga Group 4717 Adams Road Hixson TN 37343 USA Phone 1 423 870 2281 Fax 1 423 875 5497 When shipping the unit to the dealer or factory make certain the original packaging is used If the original packaging is not available contact Chattanooga Group to obtain the packaging materials listed on Page 16 for shipment Any damage sustained from improper packaging may render the warranty null and void Toc t wal Service to these units should be performed only by a Field Service Technician certified by Chattanooga Group 7 WARRANTY Triton Traction Chattanooga Group Company warrants that the Triton Traction Unit Product is free of defects in material and workmanship This warranty shall remain in effect for one year 12 months fr
50. r or Chattanooga Group for service ERROR MESSAGES ERROR ERROR DEFINITION PROBABLE CAUSES POSSIBLE REMEDY CODE TYPE Treatment has been running for 8 seconds but no tension is Too much slack in Traction Cord Remove Traction Cord slack detected on the rope Patient pressed Patient Interrupt Switch Patient Interrupt Switch is unplugged Patient Interrupt Switch button pressed Touch the Touch Screen to clear the message Patient Interrupt Switch not properly connected to unit Properly connect Patient Interrupt Switch and touch the Touch Screen to clear message ARNING User selected Patient Card button on Utilities Screen but no Insert correct Patient Data Card traction treatments were found on the card Wrong or bad Patient Data Card inserted into unit W User selected Save To Card but no card is inserted into the No Patient Data Card is inserted Properly insert correct Patient Data Card into unit W ARNING User selected Save To Card but the card currently inserted is Insert correct Patient Data Card not a Patient Card Wrong or bad Patient Data Card inserted into unit User selected Save To Card but the card currently inserted Save Data to PDMS and erase Patient Data Card is full Memory full on Patient Data Card used User typed in a blank Patient Name No Patient ID assigned Enter Patient ID Error upgrading Control Board Software Unknown WARNING Error upgrading Motor Board S
51. ray or damage to the Traction Cord or knot be apparent from visual inspection immediately stop use of the unit and contact the Dealer or Chattanooga Group for service Do not attempt to repair the Traction Cord An improperly tied knot may result in injury Do not attempt to re tie the knot unless properly trained ABOUT TRACTION THERAPY Triton Traction OVERVIEW OF TRACTION THERAPY Effects of Traction Therapy The Triton traction device provides a treatment in static intermittent and cyclic distraction forces to relieve pressures on structures that may be causing pain of skeletal or muscular origin cervical thoracic lumbar hip wrist shoulder Therapeutic distraction can be applied in a variety of programmable patterns cycles and functions COMMON TERMS Progressive Traction Progressive traction refers to a traction phase during the treatment when the tension gradually increases Regressive Traction Regressive traction refers to a traction phase during the treatment when the tension gradually decreases TX Traction TX Traction refers to the type of traction used during a treatment There are three modes to choose from Static Intermittent or Cyclic Traction Mode Steps The term step refers to the increment in which the traction tension is either increased or decreased during therapy Static Traction Therapy This term denotes that a steady amount of traction is applied for periods fr
52. rnings and dangers Consult other resources for additional information regarding the application of traction therapy Product Description The Triton traction unit is a simple to use digital touch screen user interface traction unit that offers static intermittent and cyclic traction with user definable hold rest and treatment times An optional SEMG Module and DTS software upgrade are available for separate purchase Patient Pain Profiles are recorded before and after treatment with a Numeric Pain Scale VAS Visual Analog Scale and Pain Map for each patient Once treatment parameters are customized for a patient clinicians can store them as either the default user protocol or as one of twenty user defined protocols The Triton traction unit contains a Patient Data Card port providing access to store the above session parameters on Patient Data Cards Information may be transferred to a PC via the optional Patient Data Management System The PC software is designed to allow easy access to patient data and printing of reports as well as adding session notes to the Patient Data Card This equipment is to be used only under the prescription and supervision of a licensed practitioner TOC 2006 Encore Medical Corporation or its affiliates Austin Texas USA Any use of editorial pictorial or layout composition of this publication without express written consent from the Chattanooga Group of Encore Medical L P is strictly prohibited This p
53. s can be saved per body part as well as a IK cee oa as Default Protocol for Cervical and Lumbar only Bees Setup and Saving User Protocols A message will be displayed saying Current treatment settings have been saved as Protocol Name Touch the screen to continue Select and edit the parameters of the oe desired treatment from the Treatment J col JEFF Screen HS HS ES ES SS SS SS Press the Clinical Resources button on eed ee EE the front of the traction unit BE ee Press the Save Protocol button located in the Protocols section of the menu Press the Up or Down Arrow button to select the number of User Protocol to save the desired treatment to or the Default Protocol button to save treatment as the default Press the Return Arrow to accept NOTE The Default Protocol is only available for Cervical or Lumbar Traction 43 USER PROTOCOLS CONTINUED Accessing User Protocols The list of the User Protocols is located on the right side and the body part buttons are located on the left side to toggle between body part User Protocols Press the Up or Down button to review the User Protocols Press the Clinical Resources button on ee a the front of the traction unit Edit Current a Matte ae Press the Retrieve Protocol button S mpleter Clinical Protocols located in the Protocols section of the menu Select the desired User Protocol by pressing the Return Arrow Select the b
54. therapy session See previous instructions for Pain Scale Pain Type and Pain Map and enter information under the Pain After column to show any progress made from the treatment NOTE Once pain information is entered review all information to ensure of accuracy Once saved pain information cannot be changed Press the Save to Patient Card button to save patient therapy session This will save all session parameters and pain information TOC SAVING TREATMENT TO A NEW PATIENT DATA CARD CONTINUED After the Save to Patient Card button is Approximately ten treatments can be saved on a Patient Data Card Use ressed a keyboard will be displayed one card per patient The Patient Data Card can also be used with the f 2 s e s s 7 efefo 7 enter the Seite name if age optional Patient Data Management System pafwfejetr yjulrfole is blank Once the patient s name is patstofri e u s fx fe entered press the Return Arrow to Information may be transferred to a PC via the optional Patient Data BEEBE accept Management System The PC software is designed to allow easy access IK cre vet Space 4 to patient data and printing of reports as well as adding Session Notes to ba iLE Coca mc A message will be displayed saying the Patient Data Card treatment has been saved to the Patient NOTE No Session Notes will be available unless the optional Patient Card for patient s name Touch the Data Management System has been utilized to enter
55. ttern or as a User Protocol See the User w Protocol Section on Pages 42 43 for more information The following provides the users of the Triton traction unit the necessary information to order the replacement accessories most commonly used with the system This list of replacement accessories are designed for use with Chattanooga Group traction devices When ordering provide the respective part number description and quantity desired Saunders Cervical Traction Device TXA 1 Accessory Package Includes 1 Adjustable Cervical Traction Halter 1 Heavy Duty Pelvic Carpal Trac Traction Set 2 TX Pillows and Covers and 1 17 in 43 cm Spreader Bar Carpal Trac Replacement Wrist Strap 12 in 31 cm Stainless Steel Spreader Bar Traction Clevis 17 in 43 cm Stainless Steel Spreader Bar QuikWrap Belt System TX Cervical Pillow without Cover TX White Cotton Pillow with Cover TX Pillow Cover Patient Interrupt Switch Patient Interrupt Switch with sEMG Patient Switch Hook Kit Replacement Traction Cord Patient Data Cards 25 pack Patient Data Management System SEMG Lead Wire SEMG Module Multimedia MMC Card Dura Stick II Electrodes 2 in 5 cm Round 40 case Dura Stick Il Electrodes 1 25 in 3 cm Round 40 case TROUBLESHOOTING Triton Traction The Triton traction unit is designed with patient safety in mind An error can be caused by both external and internal disturbances Errors can be caused
56. ublication was written illustrated and prepared for print by the Chattanooga Group of Encore Medical L P A ABOUT TRACTION THERAPY Triton Traction PRECAUTIONARY INSTRUCTIONS 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 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 Warning Text with a WARNING indicator will explain possible safety infractions that will potentially cause serious injury and equipment damage NDANGER Danger Text with a DANGER indicator will explain possible safety infractions that are imminently hazardous situations that would result in death or serious injury NOTE Throughout this manual NOTE may be found These Notes are helpful information to aid in the particular area or function being described ABOUT TRACTION THERAPY e Read understand and practice the precautionary and operating instructions Know the limitations and hazards associated with using SEMG DTS Pull Patterns and the Triton traction unit Observe the precautionary and operational decals placed on the unit DO NOT operate this unit in an environment where other dev
57. unit volume is achieved There are six settings Off X Low Low Med High and X High Each time the Volume button is pressed the setting displayed will also give three audible tones of that level NOTE The default of the unit volume is set at Medium Units of Measure There are three units of measure to choose from pounds lbs kilograms kg and newtons N Press the Unit of Measure button to toggle to the desired unit of measure and the setting will automatically save Language NOTE The default of the unit of measure is set in pounds Ibs Enalish Press the Unit Settings button under the Utilities section Clinic Name Set Date and Time atta G 5 12 2005 08 45 Chatta qr Oup 15 Units of Measure Pande Set Date and Time Reset Default Press the Set Date and Time button Press the Move Up or Down Arrow button for the respective area Year Month Day Hour and Minute until the desired change is displayed NOTE The time is set in a 24 hour format 22 7 INITIAL UNIT SETUP CONTINUED Language Reset Default Protocols To change the language displayed on the unit press the Language Press the Reset Default Protocols to restore all protocols to factory button until the desired language is displayed and the setting will settings automatically save NOTE All User Protocols will be removed The available languages are To return to the unit Home Screen press the Home button e English e French e Sp
58. w in place 19 SETU P Triton Traction INSTALLING THE sEMG MODULE Patient NOTE Model 4739 can be upgraded to become a traction unit with E R FRONT VIEW sEMG SEMG by attaching a SEMG Module P N 4766 to the unit Receptacle Lead Wire Receptacle Connector e Disconnect the traction unit from the power source before attempting any maintenance installation removal or replacement procedures to prevent electrical shock and possible damage to the unit Turn the unit off Disconnect the traction unit from its power source Disconnect the Patient Interrupt Switch from its receptacle Gently press the tabs underneath the unit pull and remove the front panel from the traction unit sEMG Traction 20 MMC Graphics Library Gently push the sSEMG Module into the front of the traction unit Once the plastic of the unit and the module are aligned the connector should be inserted properly with the tabs locked in place Plug the traction unit back into the power source Connect the Patient Interrupt Switch and the sEMG lead wire into the receptacles Turn the unit on TOC The traction unit should automatically es recognize the sEMG Module with the sEMG Traction button now being daai active on the Home Screen SETUP Triton Traction REMOVING OF THE sEMG MODULE e Disconnect the traction unit from the power source before attempting any maintenance installation removal or re
59. xes are inactive and cannot be changed 1 Traction Meter Displays the amount of tension being delivered to a patient in pounds kilograms or newtons 2 Time Remaining Displays the approximate number of minutes that remain in the current traction therapy session 3 Time Remaining During Hold Rest Cycles Displays an amount of time when a Hold or Rest cycle is occurring during treatment as well as show the number of minutes that remain in that cycle 4 Treatment Status Displays one of the following to show the current status of the treatment being performed Setup Running Paused and Completed gt tis OPERATION 7 Triton Traction OPERATING CONTROLS TREATMENT SCREEN CONTINUED 5 Home The Home button will return to the Home Screen of the unit 6 Back The Back button will return to the previous screen 7 Progressive There are two buttons to use under the Progressive section The first button allows you to choose from Static or Intermittent Traction Mode to use during the Progressive phase of the traction therapy session The second button allows you to enter the step number 1 9 desired in the Progressive phase of the traction therapy session NOTE The third box in the Progressive section is an inactive button that displays the approximate amount of time in minutes selected for the progressive phase of the traction program 8 TX Traction There are two buttons to use under the

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