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Vectra Genisys User Manual

1. 118 Select Seduence SS Ee Se ee ee ee 109 Release Ribbon Cable cc ccc ccccccccccccceeveceeeene 119 Select Waveform Current 0 0 00 c cece eee eee 109 Position Therapy System and Module 119 View Waveform Rationale 0 0 110 Connect Ribbon Cable 000 0000 cece cece 119 View Electrode Placement 0 cece cece eeee 110 Set Therapy System onto Module 5 120 Prepare Patient ES Se ee ee ee ee 110 Secure Therapy System to Module ii 120 Optional Patient Interrupt Switch ee 110 Front Access Panel 000 cece cece cce cece eee 120 Set Sequence INGENSILY ss is iss EE ESE EE ER WERS RE E SEE 111 Install Lead Wires and Accessories u a 121 Intensity Knob Rotation Ee ee ee ee ee 111 Install Front Access Panel 0 ccc ccc cece eee ueee 121 Start Treatment esse Ee Ge e Re ke ke Ge ene es 112 Mount to Therapy System Cart ee 121 Pause Treatment 0 0 ccc ce eee eee neeees 112 Connect Mains Power 200 LLL 121 Stop Treatment ES SS ens 112 Turn Therapy System On ccc 122 Save to Patient Data Card 0 eee 112 gt REMOVAL CHANNEL 3 4 ELECTROTHERAPY gt CLINICAL RESOURCES LIBRARY NiMH BATTERY AND LASER MODULE 123 MMC GRAPHICAL LIBRARY sc ee
2. 00 cece eee 11 Adverse Effects 00 cence ete e nee 11 b gt ULTRASOUND INDICATIONS AND CONTRAINDICATIONS 12 Indications for Ultrasound 0 cece 12 Contraindications 0 en 12 Additional Precautions 00 00 e cee eee 12 NOMENCLATURE soos sssssssessssssessessesssee 13 17 gt VECTRA GENISYS ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMG 000 13 Two Channel Electrotherapy System 13 Two Channel Combination System 0 13 Front Access Panel ES SE ee ee ee 14 Rear Access Panel EE ee Se ee ee ee 14 B gt USERINTERFACE ese sesse ee se see se se sesse se see ee se 15 gt SYMBOL DEFINITIONS ees e sesse se se sesse se see ee se 16 System Hardware Symbols ee ee ee ee ee 16 System Software Symbols naaa 16 Optional Module and Accessory Symbols 16 Operator Remote SS Se een 16 Battery Module SE ccc cence ee ee 16 Channel 3 4 Electrothrapy Module 16 gt GENERAL TERMINOLOGV ee see ee se se sesse ses ee ee 17 Back BUMON ss oe KA EE ESE EE AA N N GE DA eN 17 Previous Page Button EE Se Se ee ee ee ee 17 UP and DOWN ArOWS ii 7 gi ElectrotherapY 00 0 ccc ccc ee ee ee ee ences 17 TABLE OF CONTENTS Vectra Genisys Therapy System VSCOM RO N OE RE N 17 MOD
3. INSTALLATION REMOVAL Mees They stm REMOVAL CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Front Access Panel Install Lead Wires and Accessories Connect Mains Power With a 1 Phillips Screwdriver remove the Re install Lead Wires and Accessories to the Connect the Mains Power Cord to the screw retaining the existing Front Access Therapy System Front Panel Therapy System Panel Install Rear Access Panel Install Lanyard to the original Front Access LANYARD Connect the Mains Power Cord to an Panel using the same screw approved power source REAR MAINS POWER CORD NOTE When re installing the Front Access Panel to the Therapy System make certain the Lanyard does not become kinked 125 mt Es INSTALLATION REMOVAL REMOVAL CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Turn Therapy System On Turn the System On using the On Off Switch The System will automatically recognize the Module has been removed and will display a configuration change message Read and carefully follow the instructions on the screen ration h was tumad On Pass the START barion to mo bere the SERS Module a camaniy mars Vectra GENISYS ad er Verify that the Module installed is the Module displayed in the message BEFORE pressing the START button If it is not DO NOT press the START button Turn the System OFF and back ON If the problem continues call the selli
4. CLINICAL RESOURCES LIBRARY BUTTON PROTOCOLS BUTTON Clirecal Protocols Sequencing 93 Vectra Genisys Therapy System OPERATION CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS CONTINUED Select Clinical Indication Select Pathological Condition Select Pathological Severity Press the button beside the Clinical Press the button beside the desired Press the button beside the desired Protocol desired in either the Electrotherapy Pathological Condition Pathological Condition or Ultrasound screen section PATHOLOGICAL CONDITION BUTTONS NOTE Not all Pathological Conditions have corresponding Pathological Severity windows Some go directly to the associated modality Treatment Review screen CLINICAL PROTOCOL BUTTONS 94 mt Es OPERATION Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS CONTINUED View Waveform Rationale Press the Waveform Rationale button Electrotherapy Modalities or the Parameter Rationale Ultrasound Modality to view the text explaining the rationale for the modality associated with the specific Clinical Protocol selected Press the Back button to return to the Treatment Review screen View Electrode Placement Press the Electrode Placement button to view the specific electrode placement for the Clinical Protocol selected EE BUTTON Vectra GENIS YS Press the Next Page button to view text relating
5. Press the Adjust Target button Press the Accept and Return Arrow button Has ADJUST TARGET BUTTON ACCEPT AND RETURN ARROW BUTTON DOWN ARROW BUTTON 77 Set Volume Press Volume button until the desired volume level is displayed in the Volume icon The available volume levels are Low Medium High and Of ae VOLUME mf BUTTON NOTE If Volume is Off no alarm will be heard when contraction reaches the target setting gu A OPERATION SEMG STIM THERAPY SET UP CONTINUED Set Auto Feature Start SEMG Therapy Session The sEMG Stim Auto feature is designed After all parameters for SEMG and Stim have to work in conjunction with the Target been completed press the Start SEMG settings When On the Auto feature will Stim button automatically adjust the maximum target as the patient fatigues Press the Auto button until Off or On is displayed in the Auto icon AUTO BUTTON 78 Vectra Genisys Therapy System Have patient perform contractions as prescribed When the contraction reaches the target the alarm will sound the screen will change and Stim will begin The patient should hold the contraction throughout the short period of Stim NOTE The Stim Intensity may be adjusted only during the Stim portion of the sEMG Stim therapy session OPERATION SEMG STIM THERAPY SET UP CONTINUED S ina Sti After Stim is complete the screen will Stim may be
6. information provides instructions for changing ultrasound treatment parameters during a treatment session The ultrasound intensity may be increased or decreased at any time during the session without utilizing this process Editing Ultrasound from Home Screen Editing Ultrasound from Treatment Press Select Channel button until US Press the corresponding parameter button Review Screen Running is framed and edit as prescribed Press the Edit button on the Treatment Press View Edit Channel button Review screen Press the Edit button on the Treatment Review screen Press the corresponding parameter button and edit as prescribed VIEW EDIT CHANNEL BUTTON View Edit Channel SELECT CHANNEL BUTTON US RUNNING FRAMED When editing is complete press the Back button to return to Treatment Review When editing is complete press the Back screen button to return to Treatment Review screen 52 O P E R AT I O N Vectra Genisys Therapy System sEMG THERAPY SET UP General Information The Vectra Genisys SEMG modality reads and records the sEMG biofeedback activity of a muscle or muscle group by sensing the electrical impulses generated during a voluntary muscle contraction and relax cycle These signals are accurately relayed to the Vectra Genisys Therapy System through 1 25 in 3 cm DURA STICK II Disposable Electrodes SEMG can be beneficial to muscle retraining therapy by setting target values and ch
7. SYSTEM W MODULE 132 Vectra Genisys Therapy System Mount Therapy System to Cart Position the Therapy System onto the Therapy System Cart with the rear of the System over the Mains Power Cord Secure the System to the cart with the four socket head screws in the Therapy System Cart Top HAND TIGHTEN THE SOCKET HEAD SCREWS TO SECURE SYSTEM TO CART NOTE Secure the System to the cart by tightening the screws by hand only Do not use a wrench to tighten the screws Overtightening may cause damage to the System or Module housing INSTALLATION REMOVAL MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART CONTINUED Connect Mains Power Install Storage Bins Plug Power Cord into the System Mains Install Storage Bins into Therapy System Disconnect and reinstall the Rear Access Cart Start with bottom Storage Bin first Panel Install all lead wires and cables to the System CONNECT MAINS POWER CORD 133 Vectra Genisys Therapy System Removing System from Therapy System Cart To remove the Therapy System from the Therapy System Cart repeat the Mounting instructions mt Es OPTION OPERATION OPERATOR REMOTE OPERATION Nomenclature Ps 2 BLUE FOR CHANNELS 1 2 OPERATOR REMOTE ORANGE FOR CHANNELS 3 4 OPERATOR REMOTE 1 Remote Storage Hook 2 Treatment Pause button 3 Channel 2 Increase Intensity button 4 Channel 2 Decrease Intensity button 5 Manual Stimulation button
8. Safety has not been established for the use of therapeutic electrical stimulation during pregnancy e Relaxation of muscle spasm Powered muscle stimulators should not be used on patients with cardiac demand pacemakers There should not be any use of TENS waveforms on patients with cardiac demand pacemakers gt ft Es SAFETY PRECAUTIONS Vectra Genisys Therapy System ELECTROTHERAPY INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS CONTINUED Additional Precautions e Caution should be used for patients with suspected or diagnosed heart problems e Caution should be used for patients with suspected or diagnosed epilepsy e Caution should be used in the presence of the following When there is a tendency to hemorrhage following acute trauma or fracture Following recent surgical procedures when muscle contraction may disrupt the healing process Over a menstruating or pregnant uterus e Over areas of the skin which lack normal sensation Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium The irritation can usually be reduced by using an alternative conductive medium or an alternative electrode placement Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner e Powered muscle stimulators should be used only with the lead wires and electrodes recommended for us
9. VMS a VMS Burst ad High Volt iN DC Electr other Mia H A Witi A a Premod Russian Symmetrical Euphasec Indicatons 43 The screen allows the operator to access set up and modify parameters of each of the available waveforms within the Vectra Genisys Therapy System The following pages give a general explanation of a treatment setup Refer to the Specifications section beginning on page 18 for detailed specifications of the system and each available waveform O P E R ATI O N Vectra Genisys Therapy System GENERAL ELECTROTHERAPY WAVEFORM SET UP The following information is an example of step by step set up for the Electrotherapy waveforms All waveforms in the Vectra Genisys Therapy System are set up and edited in the same basic fashion The following set up instructions use Interferential Waveform P Pati Select Wavef View Wavef D Refer to pages 32 through 35 for Press button beside the desired waveform Press the Waveform Description button electrode selection preparing patient and from the listing on the screen to view text explaining the waveform securing electrodes rationale PRESS DESIRED WAVEFORM BUTTON Select Modality Press the Electrotherapy button on the Home screen ELECTROTHERAPY se BUTTON Inches bore Lomtuna ton sEMG Stim View Edit Patient Card hied E Refer to Specifications section of this EI manual for all available waveforms on the
10. Vectra Genisys Therapy System Reusable Carbon Electrodes Optional If used for delivery of electrotherapy the Carbon Electrodes must be used with a conductive medium such as Conductor Transmission Gel These Carbon Electrodes should be secured to the treatment area using Nylatex Wraps Deg PATIENT PREPARATION ELECTROTHERAPY PATIENT PREPARATION CONTINUED DURA STICK Electrode Instructions Connecting Lead Wires Insert the lead with the Red electrode LEAD WIRE SEATED connector into one DURA STICK Electrode Insert the lead with the Black electrode connector into the other electrode Make certain the lead wires are seated completely into the electrodes RED LEAD WIRE NOTE Use of conductive medium or sponges is not required or BLACK recommended DURA STICK ED Electrodes are manufactured to ensure the optimum conductivity during therapy when properly applied 34 Vectra Genisys Therapy System Securing Electrodes Remove the DURA STICK Electrodes from the protective backing and apply to the treatment area as prescribed Ensure the entire electrode surface is in contact with patient skin by pressing into place mt ES PATIENT PREPARATION Wee wer ELECTROTHERAPY PATIENT PREPARATION CONTINUED Reusable Carbon Electrodes Optional Connecting Lead Wires Insert the lead with the Red electrode connector into Red electrode Insert the lead with
11. 5 Rear Access Panel 6 Serial Decal mt Es NOMENCLATURE USER INTERFACE 16 15 Vectra Genisys Therapy System Rear Access Panel See Page 14 User Interface Ultrasound LED Coupling Indicator Combination only Ultrasound Applicator 5 cm Standard Optional 1 cm 2 cm and 10 cm applicators available Combination only Intensity Knob Cable and Lead Wire Hook Front Access Panel See Page 14 Start Button Pause Button lt Stop Button Clinical Resources Library Button Home Screen Button Back Button Patient Data Card and sEMG Data Card Port Multimedia Card MMC Port User Set Up and Parameter Control Buttons TOG Whey will th NOMENCLATURE Vectra Genisys Therapy System SYMBOL DEFINITIONS Below are the definitions for all of the symbols used in the Vectra Genisys hardware and software Study and learn these symbols before any operation of the system System Hardware Symbols System Software Symbols CONTRAST CONTROL PATIENT INTERRUPT NOT FUNCTIONAL ON EE ONA t MOVE UP COLOR SYSTEMS THERAPY INTENSITY MOVE DOWN CONTROL el CHANNEL 1 LEAD WIRES MOVE RIGHT Olmo fa gt n HOME EP GM EI MULTIMEDIA CARD PATIENT DATA CARD AND sEMG DATA CARD LEAD WIRES MOVE LEFT CLINICAL RESOURCES LIBRARY ei ACCEPT AND MICROCURRENT PROBE ea RETURN DO NOT ACCEPT Z semen lt a BACK R AND RETURN K Pause eenen J CHAN
12. EE Se ee ee ee ee ee 36 di TABLE OF CONTENTS ena iy Therapy tem Applicator Preparation 0 0 0000 0 0 c ccc cee ees 36 Intensity Knob Rotation 0 0 0 cece eee 46 Conductive Medium 0 00 000 c ccc cece cee 36 Start Treatment 0 0c ccc ee ee 46 Treatment Area SS cnn eee eee ns 36 Pause Treatment L n aaua 47 Applicator Coupling 0 00 00 Se cece ccc ene 36 Stop Treatment SE SE Se ee ee ee ee ee 47 gt sEMG AND sEMG STIM PATIENT PREPARATION 37 Save to Patient Data Card ee ee ee ee 47 Install sEMG Lead Wires to System Ee ee ee al gt ADJUSTING ELECTROTHERAPY CHANNEL Install DURA STICK Il Electrodes ee x PARAMETERS DURING TREATMENT 006 48 Select Modality aaaea 37 Select Channel EE Se ee ee ee ee ee ee 48 Select Body Area eee eea 38 Edit Channel Paramenters ee eee eee 48 View Electrode Placement Graphic 0 2 38 gt ULTRASOUND 005 sei er is wee SR ER De Gee ee GR N 49 View Electrode Placement Text 2 cece 39 Prepare Patient SS ES ES Se ee ee ee ee ee ee 49 Prepare Treatment Area aaan 39 Select Modality 0 00 00 0 c ccc cnn ence ees 49 Electrode Placement ee 40 View Parameter Rationale ee ee 49 Intra VaginalProbe ee ee ee ee ee ee 40 Sound Head Recommendation ee ee A9
13. Select Channel 1 Channel 2 or Channel 142 Channel 142 is the Default Unit Setting 2 Target Select Average Max or Manual Target Max Target is the Default Unit Setting 3 Alarm Set Alarm to sound Above Below or at Target Above Target is the Default Unit Setting 4 Capture Target Captures target value while patient is performing a series of muscle contractions 5 Audio Allows selection of Constant Pulsed or Dynamic audio types Constant is the Default Unit Setting 6 Volume Set volume level to Low Medium High or Off Medium is the Default Unit Setting 54 gt E OPERATION sEMG THERAPY SET UP CONTINUED Vectra Genisys Therapy System Prepare Therapy System and patient Refer Press the sEMG Description Text button to Press the Next Page button to view to pages 37 through 40 view text explaining the rationale of sEMG additional text Select sSEMG Modality Hs El Press the Prev Page button to review Press the SEMG button on the Home sEMG DESCRIPTION TEXT previous page stLlieerl Press the Back button to return to the Treatment Review screen BACK BUTTON Electrode Placement Refer to pages 37 through 40 for Patient Preparation and Electrode Placement 55 OPERATION Vectra Genisys Therapy System sEMG THERAPY SET UP CONTINUED Select Edit Press the Edit button on the Treatment Review screen to edit SEMG parameters as prescribed Select Channel Press
14. and sEMG Stim patient preparation refer to pages 37 through 40 Edit Modality Parameters Press the Edit button Edit modality parameters as prescribed Refer to page 45 for Electrotherapy modalities and page 50 for Ultrasound Refer to pages 53 through 60 for sEMG set up and pages 72 through 79 for SEMG Stim modality set up _ BE on BUTTON 102 Vectra Genisys Therapy System Optional Patient Interrupt Switch Make certain the Patient Interrupt Switch for the channel s being used is connected to the Therapy System Refer to page 16 for Symbol Definitions LANYARD NOTE When reinstalling the Front Access Panel make certain the Lanyard does not become kinked TOC ue m A OPERATION CLINICAL RESOURCES LIBRARY USING USER PROTOCOLS CONTINUED Set Modality Intensity Give Patient Interrupt Switch to patient Set intensity by rotating the Intensity Control and explain that pressing the Red button Knob to the prescribed level once pauses the therapy session TE 7 INTENSITY DISPLAYED E iss Intensity Knob Rotation Clockwise Increases Intensity Counterclockwise Decreases Intensity If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment
15. barePatienit oes Ee EER ee EE DE 95 Edit Modality Parameters ee ee ee ee ee ee ee 102 Edit Modality Parameters 0000000 ccc ceeeeeeee sees 95 Optional Patient Interrupt Switch 06 102 Optional Patient Interrupt Switch aaaea 96 Set Modality Intensity 0 0 0 00 000 0 cece cece es 103 Set Modality Intensity 0c ccc cece cece cece sees 96 Intensity Knob Rotation 0 eee eee 103 Intensity Knob Rotation 0 c cece eee eee 96 Start Ireatment sd RE EE RE ED EE RE de Ee EE EERS 103 StartTreatment ee neces 97 PAUSE Treatment ses sie is EE ED tia RE DR os WERE 104 PauseTreatment 00 0 cece cece cece ce eeeeeeeteernnees 97 Stop Treatment iss se EE ES ED De N gr kg ed 104 Stop Treatment e cece eect n een ees 97 Save to Patient Data Carai is ers n ER GE men DE nts 104 Save to Patient Data Card ccc cece eee ee 97 gt CLINICAL RESOURCES LIBRARY B gt CLINICAL RESOURCES LIBRARY CREATING NEW SEOUENCES osse ssessseeass esse ees 105 CREATING USER PROTOCOLS SS SS SE SS ee ee 98 General Information 0 0 00 0 ee 105 General Information aaa 98 ACCESS SEQUENCING oces e map vaintern 105 Select Modality 0 00000 ara 98 SEIECE SEQUENCE irrepeta EE oe Con GEE EG RE 105 Edit Modality Parameters 0000 ee ee ees 98 Select First Waveform or Current e sees 105 Select C
16. constantly illuminated NOTE Refer to page 29 for US Coupling settings 36 Vectra Genisys Therapy System PATIENT PREPARATION sEMG AND sEMG STIM PATIENT PREPARATION This section applies only to models capable of supporting the functions of the SEMG module Install sSEMG Lead Wires to System Remove the Front Access Cover from the Therapy System and remove the existing Lead Wires Connect the sEMG Lead wires to the channel s desired for use with the SEMG or SEMG Stim modality CONNECT sEMG LEAD WIRES Replace the Front Access Cover NOTE Two Channels may be used for SEMG Therapy at the same time If four electrotherapy channels are available a maximum of only two may be used at a time and must be channels 1 2 or 3 4 Install DURA STICK Il Electrodes Connect a DURA STICK II 1 25 in 3 cm disposable electrode to each lead These electrodes are designed for use with Chattanooga Group equipment and will provide an accurate reading of SEMG activity Leave electrodes on the protective backing until treatment area has been prepared ACTIVE BLACK REFERENCE GREEN LEAD LEAD ACTIVE RED LEAD 37 Vectra Genisys Therapy System Select Modality Press the SEMG or sEMG Stim button as required for the therapy prescribed Electro Placement PATIENT PREPARATION eta enisys Therapy System SEMG AND sEMG STIM PATIENT PREPARATION CONTINUED Select Body A
17. the row button until the desired letter is the next position Ese framed l To move back a character press the Left Ee AITE Po eeen Repeat this procedure until the desired User Protocol Name is entered After User Protocol Name is entered press the Save button apclole FGHIJKLM Wo TT LEFT ARROW BUTTON NOTE To add a space select the area to Intelect the left of the letter A 99 OPERATION CLINICAL RESOURCES LIBRARY DELETING USER PROTOCOLS General Information Vectra Genisys Therapy System The following information provides instructions for the deletion of one User Protocol at a time Once any single User Protocol is deleted it cannot be recovered Should the Default Protocols be restored through the User Utilities all User Protocols will be permanently removed from the system There is no method for recovery of the User Protocols nor can they be saved to any other medium Select User Protocol to Delete Select Clinical Resources Library Press the Clinical Resources Library button Then press the User Protocols button USER PROTOCOLS BUTTON Press the UP and Down Arrow buttons until the desired User Protocol to delete is highlighted 100 UP AND DOWN Delete User Protocol Press the Delete button to delete highlighted User Protocol A verification screen will appear Press Yes button to delete protocol or No button to keep protocol Repeat this process until
18. 3 Module to system mounting holes 4 Module to system feet alignment indents 5 Power cord routing area 6 Ribbon cable connector 137 OPTION OPERATION CHARGING BATTERY MODULE Use the following instructions to properly charge the Genisys Battery Module for use When to Recharge Charging of the Battery Module is required when the Battery Indicator begins flashing When charging Battery Module make certain the System is electrically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable national and local electrical codes Using any other power source will cause extensive damage to internal components and render the System unsafe for patient therapy With Battery Module installed on the Vectra Genisys Therapy System plug the System into an approved grounded power outlet Turn the System on The Lightning Bolt icon will display indicating the battery is charging As the battery charges the Battery indicator icon will progressively fill until it is solid black indicating full charge alley NOTE The Lightening Bolt icon will continue to display as long as the System is connected to a power source A DANGER e Charge the battery according to the instructions found in this manual Never attempt to charge the battery on any other charging mechanism Use the Battery Module only with the Vectra Genisys Therapy System Do not reverse the polari
19. EERS ER ES EE BR EDE SS eae DE EE DE se Continuous Electrical Type Degree of Protection dd od AE N EE EE N TYPEB Electrotherapy and SEMG 0 c cence eens TYPE BF Regulatory Compliance UL IEC EN 60601 1 IEC7EN 60601 1 2 IEC 60601 2 5 IEC 60601 2 10 NOTE All waveforms except High Voltage Pulsed Current HVPC have been designed with a 200mA current limit VMS VMS Burst and all TENS waveform output intensities are measured specified and listed to peak not peak to peak 18 DESCRIPTION OF DEVICE MARKINGS Refer to Instruction Manual Booklet Equipment capable of delivering output values in excess of 10 MA r m s or 10V r m s averaged over any period of 5 s Classified by Intertek Testing Services NA Inc Dangerous Voltage SPECIFICATIONS WAVEFORM SPECIFICATIONS oe IFC Interferential Traditional 4 Pole Interferential Current is a medium frequency waveform Current is distributed through two channels four electrodes The currents cross each other in the body at the area requiring treatment The two currents interfere with each other at this crossing point resulting in a modulation of the intensity the current intensity increases and decreases at a regular frequency OUP OUE eo RE OT OR EE EE Electrodes Stire PAIDRA In Ee ER RR ER Se Ek ee ee ata 0 100 mA CC 0 100 V CV Carrer FrEQueNCY sees ee SE EE SN ER 2 500 4 000 and 5 000 Hz Beat Frequency Sweep Of ee se se es 1 200 Hz Sweep
20. ERROR CODES CONTINUED Code Type Probable Cause Possible Remedies Number Message Warning Attempting to save additional User Protocols or Sequences after Delete some User Protocols or Sequences Refer to appropriate section of the Therapy System User system memory has reached the maximum allowed 200 Manual for instructions Warning 1 Attempted to read a treatment from Patient Data Card that is A Use a Patient Data Card with proper treatment data for the system Warning not a valid treatment for the system B Properly insert a Patient Data Card Warning 2 Attempted to use a Non Patient Data Card C Insert a known good Patient Data Card Warning 3 No Patient Data Card inserted into system port D If problem continues contact dealer or Chattanooga Group for service 4 Unknown type of smart card inserted into system Patient Data Card is full Erase Patient Data Card Refer to Therapy System User Manual for instructions Warning Patient Treatment Data already saved A Cannot save same data again on Patient Data Card B Use a new Patient Data Card to resave data C Erase Patient Data Card and resave treatment data Warning Multimedia Card MMC not in system port A Properly insert the MMC card into the system port B Insert a known good MMC Card If problem continues contact dealer or Chattanooga Group for service Warning No valid channels are available for attempted treatment A Complete existing treatment before attempting t
21. Factory Settings NOTE This will permanently remove all User Protocols and User saved Sequences If it is not desired to permanently remove all of the User Protocols and User Sequences from the System press the No button RESTORE DEFA PROTOCOLS B Cinc Mame ANDOGA GROU Restore Default Protocol Restore Default Unit Settings 27 Press the Restore Default Unit Settings button to restore the system defaults This control will neither change the Date and Time nor affect any of the Clinical Protocols stored in the system After the settings have been restored a message will appear stating that the Default Unit Settings are restored Press any button to return to Utilities screen RESTORE DEFA SETTINGS BU Ciroc Heme CHATTANOOGA GROU Restore Default Protecots Restore Default Unit Settings Erase Patient Card None Inserted BG L 1 TAMOOGA GROU E CHAT Erate Patient Card p Mone Inserted mt Es SET UP Vectra Genisys Therapy System THERAPY SYSTEM SET UP CONTINUED Erase Patient Data Card Install Patient Data Card to be INSERT TERASE PATIENT erased into Patient Data Card PATIENT CARD BUTTON Access Port on the system CARD rA S Press Erase Patient Card button Press the Yes button to erase all data from Patient Data Card Press the No button to keep all data on Patient Data Card After Patient Data Card is erased a verification message wi
22. INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Nomenclature Channel 3 4 Electrotherapy Module oa DM SS a oa 9 1 1 Channel 3 4 Electrotherapy Module Extended Front Access Panel Module to System Mounting Holes Module to System Feet Alignment Indents Power Cord Routing Port Module to System Connector Operator Remote Control Connector Patient Interrupt Switch Connector Channel 3 Lead Wire Connector 0 Channel 4 Lead Wire Connector 1 Microcurrent Probe Connector Also Included 116 Four 4mm X 20 mm mounting screws Channel 3 and 4 Lead Wires Sample of DURA STICK II electrodes Refer to page 16 for Symbol Definitions INSTALLATION REMOVAL INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Specifications HEIGHT NOTE All waveforms except High Voltage Pulsed Current HVPC of the Vectra Genisys Therapy System have been designed with a 200 mA current limit VMS VMS Burst and all TENS waveform output intensities are measured specified and listed to peak not peak to peak 117 Vectra Genisys Therapy System Dimensions ii e Ii RE EE AE EE EE EE EN 8 250 in 21 cm Depth a EG OE De ee ei Ee 11 875 in 30 cm lle a5 ceo nt EE EE 4 500 in 11 5 cm Weight Standard Weight 00 c cece nsec cece nen ees 1 0 Ibs 50 kg Power WOM ooo Geena EE asus caste anes eats System Dependent ORE oe EE EE GE D
23. Off Switch The System will automatically recognize the added Module and display a configuration change message Read and carefully follow the instructions on the screen the ERS Marduk a oamandr in tac Tse modi man Spron see WARNING rre su DEER ta va ES ee Te anaa boes Fate twee DO MOT prani ta START bunor a re vd eN Vectra GENISYS Verify that the Module installed is the Module displayed in the message BEFORE pressing the START button If it is not DO NOT press the START button Turn the System OFF and back ON If the problem continues call the selling dealer or Chattanooga Group Technical Support immediately DO NOT USE THE SYSTEM until all necessary repairs are made by a Technician certified by Chattanooga Group If use is attempted before repairs are made the System may operate unpredictably and has the potential of causing injury to the patient or damage to the System s internal components 122 Vectra Genisys Therapy System INSTALLATION REMOVAL REMOVAL CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE Disconnect Mains Power Disconnect the system from the power source outlet or remove battery module if installed before attempting any maintenance installation removal or replacement procedures to prevent electrical shock and possible damage to system Disconnect the Mains Power Cord from the power supply Remove the Rear Access Panel and disconnect the M
24. Set Modality Intensity Set intensity by rotating the Intensity Control Knob to the prescribed level L INTENSITY DISPLAYED Nteleci Intensity Knob Rotation Clockwise Increases Intensity Counterclockwise Decreases Intensity Deeg OPERATION CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS CONTINUED lt gt Start Treatment Pause Treatment Press the Start button to begin therapy Press the Pause button to pause therapy session session and maintain remaining time To resume treatment press the Pause button again PAUSE BUTTON NOTE Modality parameters may be editied at any time during the therapy session Refer to page 48 for Electrotherapy and page 52 for Ultrasound 97 Vectra Genisys Therapy System To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display STOP BUTTON Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 80 through 89 for Patient Data Card Setup and use TOG Whey wal A O P E R ATI O N Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY CREATING USER PROTOCOLS General Information This library is a series of protocols created by the user and stored in the system memory The following information gives general instructions as to setting up saving and accessing User Protocols Should the Default Protocols be restored through the U
25. Vectra Genisys Therapy System Press the Next Page button to view additional text Press the Back button to return to the Treatment Review screen Ad mt Es OPERATION Vectra Genisys Therapy System GENERAL ELECTROTHERAPY WAVEFORM SET UP CONTINUED View Electrode Placement Edit Waveform Parameters Install Optional Patient Interrupt Switch Press the Electrode Placement button to Press Edit button to access waveform Make certain the Patient Interrupt Switch is view the most commonly used electrode parameters connected to the Therapy System Refer to placement for the waveform selected Press the corresponding button to edit page 16 for Symbol Definitions each parameter as prescribed LANYARD NOTE When reinstalling the Front Access TOC Panel make certain the Lanyard Press the Next button to read Electrode d Placement Text Press the Back button to does not become kinked Press the Back button to return to the Treatment Review screen wai return to the Treatment Review screen 45 O P E R ATI O N Vectra Genisys Therapy System GENERAL ELECTROTHERAPY WAVEFORM SET UP CONTINUED Optional Patient Interrupt Switch Set Waveform Intensity lt gt Start Treatment Give Patient Interrupt Switch to patient Set intensity by rotating the Intensity Control Press the Start button to begin therapy and explain that pressing the Red button Knob to the prescribed level session once pauses the therapy sessio
26. all desired User Protocols are deleted Press the Home button to return to the Home screen gt ft Es OPERATION Vectra Genisys Therapy System 7 CLINICAL RESOURCES LIBRARY USING USER PROTOCOLS Access User Protocols Press the Clinical Resources Library button Press the User Protocols button Cirneal Protecods USER PROTOCOLS BUTTON Select User Protocol Press the UP and Down Arrow buttons until the prescribed User Protocol is highlighted Press the Accept and Return Arrow button UP ARROW BUTTON DOWN ARROW BUTTON BUTTON 101 View Waveform Rationale Press the Waveform Rationale button Electrotherapy Modalities or the Parameter Rationale Ultrasound Modality button to view the text explaining the rationale for the modality associated with the User Protocol selected BACK BUTTON Press the Back button to return to the Treatment Review screen gt tes OPERATION CLINICAL RESOURCES LIBRARY USING USER PROTOCOLS CONTINUED View Electrode Placement Press the Electrode Placement button to view the electrode placement for the User Protocol selected ED BUTTON Vectra GENIS YS Press the Next Page button to view text relating to the electrode placement Press the Back button to return to the Treatment Review screen Prepare Patient Refer to pages 32 through 35 for Electrotherapy and page 36 for Ultrasound patient preparation instructions For SEMG
27. c0c0cececes 90 General Information 0 00 0 0000 c ccc cece eee 90 Insert New sEMG Data Card 0 000 0 cece eee 91 Prepare System and Patient SE ee ee ee 91 Set Up sEMG Therapy SessioN Ee Se ee 91 Enter Patient ID ccc ccc ee ee ee 91 delik EE EE EE ER 92 End Save ccc a 92 wll TABLE OF CONTENTS ena iy Therapy tem gt CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS 93 Select Clinical Resources Library 005 100 Clinical Protocols Se eens 93 Select User Protocol to Delete alaa 100 Access Clinical ResourcesS 0 00 c ccc cece ees 93 Delete User Protocol 0 00 0 cece eee 100 Access Clinical Protocols 0 00 c cece cece een 93 gt CLINICAL RESOURCES LIBRARY Select Body Area c cece ete e eee e eee 93 USING USERPROTOCOLS ese sesse se sesse see ses 101 Select Clinical Indication ee 94 Access User Protocols 2 iccs aseecvivescncansendadeariivenqess 101 Select Pathological Condition cee 94 Select User Protocol ES eaaa 101 Select Pathological Severity ee ee ee 94 View Waveform Rationale cece 101 View Waveform Rationale a LLL 95 View Electrode Placement 0c cee eee 102 View Electrode Placement ccc cece cece eee ees 95 Prepare Patient soes wrede Pd E paes DR ER REK EG DE ES RA 102 Pi
28. cable the Tighten screws until the Module does not controlling electronics in the Module will move on the Therapy System be destroyed and possible damage to the System s internal components could occur Set the Therapy System on the Module Make certain the Feet of the Therapy System are resting in the Module Indents Front Access Panel With a 1 Phillips Screwdriver remove the screw retaining the existing Front Access Panel Install Lanyard to the new Extended Front Access Panel using the same screw mt Es INSTALLATION REMOVAL Mees They stm INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Install Lead Wires and Accessories Install Front Access Panel Connect Mains Power Install Lead Wires and additional accessories Install the new Extended Front Access Panel Connect the Mains Power Cord to the to Front Panel Refer to page 16 for Symbol onto Therapy System Therapy System Definitions Make certain Lanyard does not become Install Rear Access Panel kinked Connect the Mains Power Cord to an LANYARD j approved power source REAR MAINS POWER CORD Mount to Therapy System Cart If mounting Therapy System to a Therapy System Cart refer to pages 131 through 133 for instructions 121 mt Es INSTALLATION REMOVAL INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Turn Therapy System On Turn the System On using the On
29. delivery of electrical stimulation in the SEMG Stim Modality 40 Intra Vaginal Probe If using the Intra Vaginal Probe plug the active ends of the sEMG lead wire red and black into the Intra Vaginal Probe The Intra Vaginal Probe is for single patient use only Refer to the instructions packaged with the probe for proper use care and disposal e Keep stim electrodes separated during SEMG Stim treatment Electrodes in contact with each other could result in improper stimulation or skin burns e Long term effects of chronic electrical stimulation are unknown e Stimulation should not be applied over the anterior neck or mouth Severe spasm of the laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing OPERATION Vectra Genisys Therapy System OPERATOR INTERFACE The Vectra Genisys Therapy System Operator Interface houses all of the functions and controls necessary for the operator to access all operator utilities modalities and parameters for modification and system set up 1 1 Top of Screen The Title Bar indicates the Screen Title for the modality being used When at the System Home screen the Clinic Name is displayed Center of Screen Contains available Modality options Select Modality by pressing the desired Modality button and then make parameter modifications Bottom of Screen Displa
30. e eens 136 Install and Reinstall Additional Module 127 BE de AAR OOR OO N OE OE RE N 136 Install Rear Access Panel Ee cece ee 127 gt NiMH BATTERY MODULE OPERATION ses ee ee ses 137 Install Cables and Accessories EE ee ee 128 Nomenclature ee ee ee ee ee ee 137 Apply Mains Power Se Se Se Se ee cence 128 gt CHARGING BATTERY MODULE se esse sees sees see 138 B REMOVING sEMG MODULE sesse ee es sesse ee esse 129 When to Recharge EE ee ee ee ee 133 Prepare System Se Se ee ee ee ee ee ee 129 Charging Temperature Ee ee ees 138 Remove sEMG Module ee ee ee 129 gt BATTERY MODULE SERVICE LIFE see se ee sees see 139 SEMG Plug Ki ee ee Se See ee ee ee ee 129 gt STORAGE OF BATTERY MODULE ses e see e sees ese 139 GENERAL INFORMATION OPERATOR REMOTE 130 Short Term Storage 139 Operator Remote Installation Se ee 130 Long Term Storage nnana aaaeeeaa 139 gt GENERAL INFORMATION THERAPY SYSTEM CART 131 TROUBLESHOOTING ee sseeessssssssssssseeee 140 145 Nomenclature Ea 131 gt ERROR CODES osse ee esse sees ee see e ee ees se ee 140 145 Specifications Ee ee ee ee ee ee eens 131 General Information ee ee ee ee ee 140 gt MOUNTING THERAPY SYSTEM TO REPLACEMENT ACCESSORIES ss ssssssssssseeeeeeee 146 THERAPY SYSTEM CAR
31. instructions Warning 1 Blank Protocol Name Properly enter Protocol or Sequence Name Refer to the appropriate section of the Therapy System 2 Blank Sequence Name User Manual Warning 1 Attempting to delete factory set Sequence Cannot delete factory set Clinical Protocols or factory set Sequences Warning 2 Attempting to delete Clinical Protocols 140 102 Warning Bad Contact Quality A Make certain Electrodes are making proper contact with the treatment area B Make certain Lead Wires are properly connected to Electrodes C Replace Electrodes and Lead Wires 106 107 TROUBLESHOOTING MORG Tess ERROR CODES CONTINUED Code Type Probable Cause Possible Remedies Number Message Warning Attempting to save additional User Protocols or Sequences after Delete some User Protocols or Sequences Refer to appropriate section of the Therapy System User system memory has reached the maximum allowed 200 Manual for instructions Warning Attempting to access protocols or sequences and none are found A User Protocols No protocols have been saved in the system Refer to Therapy System User Warning in the system Manual to save User Protocols 8 9 0 Warning B Sequences No User Sequences have been saved in the system Refer to Therapy System User Manual to save Sequences 2 3 4 5 7 Warning Ultrasound Applicator disconnected from system during treatment A Connect Ultrasound Applicator to system ae B
32. is repeated throughout the therapy session Session parameters can be stored on a Patient Data Card The Patient Data Card can be used with the optional Patient Data Management System for adding session notes and printing reports Several sessions can be stored on a Patient Data Card Any of the sessions stored on the Patient Data Card can be recalled in the Therapy System for future use It is recommended that each patient be assigned a Patient Data Card Refer to the Vectra Genisys User Manual for Patient Data Card set up and use instructions The sEMG portion of sEMG Stim modality is used to force the patient to contract the muscle to a prescribed target The data cannot be recorded or stored on the Patient Data Card or the sEMG Data Card NOTE This section applies only to models capable of supporting the functions of the sEMG module 72 gt ft Es OPERATION sEMG STIM THERAPY SET UP CONTINUED Prepare System and Patient Select Edit Prepare Therapy System and patient Refer Press the Edit button on the Treatment to pages 37 through 40 Review screen to edit SEMG Stim Select sEMG Stim Modality parameters as prescribed Press the SEMG Stim button on the Home screen EDIT BUTTON sEMG STIM Er BUTTON 73 Vectra Genisys Therapy System Select Channel Press the Channel button until the prescribed channel is displayed in the icon Therapy System Available selections are 1 or 2 Channel 3 4 Elect
33. or adjustments or performance of procedures other than those specified herein may result in hazardous exposure to ultrasonic energy Before administering any treatment to a patient you should become acquainted with the operating procedures for each mode of treatment available as well as the indications contraindications warnings and precautions Consult other resources for additional information regarding the application of Electrotherapy and Ultrasound To prevent electrical shock disconnect the unit from the power source before attempting any maintenance procedures Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns e Long term effects of chronic electrical stimulation are unknown SAFETY PRECAUTIONS oo ee ese e Stimulation should not be applied over the anterior neck or mouth Severe spasm of the laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing Stimulation should not be applied transthoracically in that the introduction of electrical current into the heart may cause cardiac arrhythmia Stimulation should not be applied over swollen infected and inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins etc Stimulation should not be applied over or in proximity to cancerous lesions Output current density is re
34. pain locations may be selected The Pain Map window will display Sapp PP if di A ME Ne LOCATOR BUTTON ACCEPT AND RETURN ARROW BUTTON Em EENISTS TE After all desired Pain Locations have been made press the Back button 84 Vectra Genisys Therapy System Editing Pain Locations Press the Edit button on the Pain Map window EDIT NEXT BUTTON DT AND RETURN ARROW BUTTON Press the Edit Next button to highlight the Pain Location to be edited Use the Up and Down Arrow buttons to TOC relocate the selected Pain Location Press the Accept and Return Arrow button Whey Repeat until all editing is complete then ai press the Back button OPERATION PATIENT DATA CARD SET UP OF NEW CARD CONTINUED Deleting Pain Locations Press the Delete button on the Pain Map window ARROW BUTTON Use the Up and Down Arrow buttons to highlight the Pain Location to be deleted Press the Delete button Press the Accept and Return Arrow button Repeat until all editing is complete then press the Back button Pain Scales Vectra Genisys Therapy System The Vectra Genisys Therapy System incorporates two internationally recognized Pain Scales one VAS Visual Analog Scale has no indicator marks and two Numeric Scale indicated 1 through 10 Use either of these for describing the amount of pain the patient is experiencing When either pain scale is set the other will automatica
35. patient s prescribed therapy Available Indications Acute Pain Chronic Pain Relax Muscle Spasm Prevent Retard Disuse Atrophy Range of Motion Increase Local Circulation Muscle Re education Stroke Muscle Re ed Waveforms Link to Waveform and Current Library Same as under Electrotherapy on Home screen Prepare Patient Refer to pages 32 through 35 for electrode selection preparing patient and securing electrodes Select Indication Press the Indications button on the Home screen Press the corresponding button beside the desired Indication PRESS DESIRED BUTTON j aa 5s 61 additional text Press the Back button to View Waveform Description Press the Waveform Description button to view text explaining the waveform rationale ectra GEN SYS Press the Next Page button to view return to the Treatment Review screen OPERATION Vectra Genisys Therapy System INDICATIONS CONTINUED View Electrode Placement Edit Waveform Parameters Install Optional Patient Interrupt Switch Press the Electrode Placement button to Press Edit button to access waveform Make certain the Patient Interrupt Switch is view the most commonly used electrode parameters connected to the unit Refer to page 16 for placement for the waveform selected Press the corresponding button to edit Symbol Definitions each parameter as prescribed LANYARD Vecind GENISTS NOTE When reinstalling th
36. perform the prescribed contractions End Save To stop recording press the End Save button The sEMG Data Card will record approximately 7 minutes of SEMG data O P E R ATI O N Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS The Vectra Genisys Clinical Resources Library contains Clinical Protocols User Protocols Sequencing functions and access to the Multimedia Card MMC which contains the Anatomical and Pathological Libraries Clinical Protocols This library is a series of protocol presets where the Body Area Clinical Indication Pathological Condition and Pathological Severity are 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 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 selection and setup of Clinical Protocols Each Clinical Protocol is set up and edited in the same basic manner Access Clinical Resources Access Clinical Protocols Select Body Area Press the Clinical Resources Library button Press the Clinical Protocols button Press the button corresponding to the CLINICAL p body area desired BODY AREA BUTTONS
37. the Black electrode connector into the Black electrode Make certain the lead wires are seated completely into the electrodes LEAD WIRE SEATED RED LEAD WIRE BLACK LEAD WIRE Conductive Medium Securing Electrodes Liberally apply Conductor Transmission Use Nylatex Wrap to secure each electrode Gel to electrode prior to placement on in position on the patient patient SECURE WITH NYLATEX Nylatex Wraps contain dry natural rubber and may cause allergic reactions in patients with allergies to latex 35 gt ft Es PATIENT PREPARATION ULTRASOUND PATIENT PREPARATION Preparing Treatment Area Examine the skin for any wounds and clean the skin Size of Applicator View the Sound Head Recommendation in the Treatment Review screen for Ultrasound as a reference point only prior to administering treatment Sound Heads are available in the sizes shown below 5 CM2 STANDARD 10 CM2 1CM2 2 CM Clean applicator before each therapy session with warm soapy water Conductive Medium Liberally apply Conductor Transmission Gel or equivalent to the treatment area on the patient Treatment Area Move the Sound Head during therapy session in a circular motion The area treated should be two times the diameter of the Sound Head Applicator Coupling If US Coupling is On the Sound Head is properly coupled to the patient and administering ultrasound when the LED is
38. to prevent electrical shock and possible damage to system Remove sEMG Module Insert a Flat Blade Screwdriver into the Release Slot and pry against the Locking Tab of the sEMG Module until the sSEMG Module is free from the Therapy System Vectra Genisys Therapy System sEMG Plug Kit The sEMG Plug Kit part number 28027 is designed to protect the exposed PC Board contacts on the bottom of the Therapy System and the Channel 3 4 Electrotherapy Module when the sEMG Module has been removed The sEMG Plug Kit must be installed when a SEMG Module has been removed for service related problems and the Therapy System will be put back into service without the sEMG module The sEMG Plug Kit is installed and removed in the same fashion as a SEMG Module Refer to page 127 for installation instructions INSTALLATION REMOVAL GENERAL INFORMATION OPERATOR REMOTE Vectra Genisys Therapy System The Optional Operator Remote is designed for use with the Vectra Genisys Electrotherapy and Combination Systems only and allows the operator to control the application of manual muscle stimulation therapy as well as increase and decrease the waveform intensity There are two different Operator Remotes One is designed for use with Channels 1 and 2 It is designated by a blue Pause button on the control The other is designed for use on channels 3 and 4 Systems with the optional Channel 3 4 Electrotherapy Module installed and is desig
39. to the electrode placement Press the Back button to return to the Treatment Review screen 95 Prepare Patient Refer to pages 32 through 35 for Electrotherapy and page 36 for Ultrasound patient preparation instructions For SEMG and sEMG Stim patient Preparation refer to pages 37 through 40 Edit Modality Parameters Press the Edit button Edit modality parameters as prescribed Refer to page 45 for Electrotherapy modalities and page 50 for Ultrasound Refer to pages 53 through 60 for sEMG modality set up and pages 72 through 79 for SEMG Stim modality EDIT BUTTON mm OPERATION CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS CONTINUED Optional Patient Interrupt Switch Make certain the Patient Interrupt Switch for the channel s being used is connected to the Therapy System Refer to page 16 for Symbol Definitions Give Patient Interrupt Switch to patient and explain that pressing the Red button once pauses the therapy session LANYARD If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen NOTE When reinstalling the Front Access Press any button to clear the message Panel make certain the Lanyard NOTE If the Patient Interrupt Switch does not become kinked is depressed a second time the message will clear from the screen and the treatment will remain paused 96 Vectra Genisys Therapy System
40. 43 cm Shielded Operator Remote Channels 3 amp 4 26 AWG 68 89 in 174 143 cm Shielded 1 cm Ultrasound Applicator 26 AWG 68 89 in 174 143 cm Shielded 2 cm Ultrasound Applicator 26 AWG 68 89 in 174 143 cm Shielded 5 cm Ultrasound Applicator Standard 26 AWG 68 89 in 174 143 cm Shielded 10 cm Ultrasound Applicator 26 AWG 68 89 in 174 143 cm Shielded 42044 DURA STICK II 2 75 in 7 cm Electrodes 40 case 4748 Conductor Ultrasound Gel 9 oz Bottle 24 case 42061 DURA STICK Il 1 25 in 3 cm Round Electrodes 40 Case PART DESCRIPTION NUMBER 27469 Patient Interrupt Switch Channel 1 amp 2 26 AWG 68 89 in 174 143 cm Shielded 27470 Patient Interrupt Switch Channel 3 amp 4 26 AWG 68 89 in 174 143 cm Shielded 7 1 27312 Electrotherapy Lead Wire Channel 1 16 18 AWG 98 43 in 250 012 cm Unshielded 13 4 Electrotherapy Lead Wire Channel 2 16 18 AWG 98 43 in 250 012 cm Unshielded 146 MAINTENANCE 7 Vectra Genisys Therapy System CARING FOR THE THERAPY SYSTEM Cleaning the Therapy System With the system disconnected from the power source 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 antimicrobial cleaner Do not submerse the system in liquids Should the unit accidentally become submersed contact the dealer
41. 6 Channel 1 Decrease Intensity button 7 Channel 1 Increase Intensity button NOTE Refer to page 16 for Symbol definitions Operation Operator Remote is to be used under supervision of a physician or licensed practitioner only The Operator Remote is not intended for patient use Install the Operator Remote as described on page 130 Set up electrotherapy session as described on pages 44 46 Start electrotherapy session by pressing the Start Treatment Button START TREATMENT BUTTON 134 Vectra Genisys Therapy System Pause session by pressing the Pause Button on the Remote being used Press the M Button on the remote to apply Manual Stimulation Release the M Button to stop Manual Stimulation application Increase or decrease the intensity by pressing the Up or Down Button on the Operator Remote for the respective channel being used This can be done while Manual Stimulation is being applied To Stop session press the Stop Treatment Button Verify each Operator Remote is connected to the applicable jack for the channels being used OPTION OPERATION OPERATOR REMOTE OPERATION CONTINUED Operator Remote Storage Normal storage of the Operator Remote is on the Front Access Panel of the System Place the storage hook into one of the Remote Storage Indents as shown 135 Vectra Genisys Therapy System mt Es O PT j O N O pP E R AT j O N Vectra Genisys Therapy System TH
42. 63 Setting Waveform Intensity 0 0 0 0 0 cece eee 63 Intensity Knob Rotation Ee ee cece ee 63 Start Treatment cece tenn en ees 64 Vectra Genisys Therapy System Pause Treatment ee eens 64 Stop Treatment ES Se e en 64 Editing Parameters during Treatment Session 65 Save to Patient Data Card 0c eee 65 gt COMBINATION ee esse see ee esse ee es see ee es see ee 66 Prepare Patient SS ES ES ee ee ee ee ee ee ee ee 66 Select Modality 0 0 0 66 View Application Description 000 00 66 View Electrode Placement 0c cece eee eee 67 Access Combination Parameters auaa 67 Edit Ultrasound Parameters aaa 67 Select WavefOFM 0 00 ccc ccc cece eee ete ee 68 Optional Patient Interrupt Switch 68 Edit Waveform Parameters 0 cece eee ees 68 Set Waveform Intensity 0 0 00 0 00000 69 Intensity Knob Rotation 0 0 0 0 cece cece 69 Set Ultrasound Intensity 0 0 aaaea 69 Intensity Knob Rotation 0 ccc cece eee 69 Start Treatment cece eee eens 69 Pause Treatment ee es 70 Stop Treatment SE cece teen nen 70 Save to Patient Data Card 0c 70 gt ADJUSTING COMBINATION PARAMETERS DURING TREATMENT esse ss ees sees sesse esse ese ee 71 Edit W
43. A GEE GE os System Dependent Eeu iS OOR N OE EE N a CLASS NGC KS es sold sa EERS REG EE ES OG EE TYPE BF Regulatory Compliance UL IEC EN 60601 1 IEC 60601 2 10 Waveform amp Current Specifications All waveform currents available to the Vectra Genisys Therapy System are available to the Channel 3 4 Electrotherapy Module once installation is complete Refer to pages 19 through 23 for available waveform specifications INSTALLATION REMOVAL e INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Disconnect Mains Power Remove Lead Wires and Accessories Remove Therapy System from Cart disconnect the Lead Wires and Accessories Therapy System Cart if equipped Refer Disconnect the system from the from the Therapy System to pages 131 through 133 for proper instructions Place Therapy System face down on a clean working surface protected with a soft clean fabric to prevent damage to the lens power source outlet or remove battery module if installed before attempting any maintenance installation removal or replacement procedures to prevent electrical shock and possible damage to system REMOVE LEAD WIRES AND ACCESSORIES SEMG Disconnect the Mains Power Cord from MODULE the power supply Remove the Rear Access Panel and disconnect the Mains Power Cord from the Therapy System MAINS POWER CORD NOTE Do not remove the sEMG Module if installed The
44. AA OR EE OR REEN OE Electrodes OT DUAN SVISI TT ET EE 0 200 mA CC 0 200 V CV Channel Mode 000e eee Single Reciprocal Co Contract Prase WUC ico EE ON EIN 20 400 usec Mees ede MAA AO N OE OE AE OE N CC or CV PU Wr al QUC AA OE EE N Off or On Set INtensity 0 0 0 6605 0c ee se Individual Channel Intensity Setting in Reciprocal and Co Contract modes Cycle Time Continuous 5 5 4 12 10 10 10 20 10 30 10 50 ase je EE N EE RE N 1 200 pps ONO AE EE EEE 0 5 sec 1 sec 2 Sec 5 Ser iis vs AE EE EE EE 1 60 min Available on Channels Ee ee 1 amp 2 3 amp 4 Option CC Constant Current CV Constant Voltage 22 Vectra Genisys Therapy System TT wees VMS Burst is a symmetrical biphasic waveform delivered in a burst format Because the pulse is relatively short the waveform has a low skin load making it suitable for applications requiring high intensities such as in muscle strengthening protocols OUTPUT MOGE EE EE EE N Electrodes slet pices Geer IE ER RR 0 200 mA CC 0 200 V CV Channel Mode cece cece eee Single Reciprocal Co Contract Prase DUN ve MA N ON OE EE N 20 400 usec Mone See rs EN EE ER Ee ge EE de 6 pd ge ele EA AO OE eN OIT or On Set Intensity ee esse ss ees Individual Channel Intensity Setting in Reciprocal and Co Contract modes Cycle Time Continuous 5 5 4 12 10 10 10 20 10 30 10 50 oie d ie RE N EE E sees 1 200 pps POM EA EE ON OE N EE N 0 5
45. EE EG ER Ge EG CC or CV Tie Er HG sass deen SEER SE SE 1 60 Min Available on Channel Ee ee 1 amp 2 3 amp 4 Option CC Constant Current CV Constant Voltage 21 Vectra Genisys Therapy System NN High Voltage Pulsed Current HVPC The High Voltage Pulsed Current HVPC has a very brief pulse duration characterized by two distinct peaks delivered at high voltage The waveform is monophasic current flows in one direction only The high voltage causes a decreased skin resistance making the current comfortable and easy to tolerate OULDUT MOAE sis RS OE EERS DORS Ee Ge Electrodes or Probe rre dd II RE EE setae eas 0 500 V Hoe AE EE ET N N EE Positive or Negative FAM OES N EE 0 5 sec 1 sec 2 Sec 5 sec Bls eevee eee TE ER EE IE HE Peak Current or Volts SWEEP ee Continuous 80 120 pps 1 120 pps 1 10 pps Eise tisie EE pose EE ORE N N 10 120 pps Cycle Time Continuous 5 5 4 12 10 10 10 20 10 30 10 50 TAGE MI RR N OE OE skeen 1 60 Min Anti Fatigue ee ccc ccc cece cence ee ee ed ee ee Off or On Available on Channels 0 cece eee 1 amp 2 3 amp 4 Option SPECIFICATIONS WAVEFORM SPECIFICATIONS CONTINUED Ny VMS VMS is a symmetrical biphasic waveform with a 100 usec interphase interval Because the pulse is relatively short the waveform has a low skin load making it suitable for applications requiring high intensities such as in muscle strengthening protocols OUT DUE ee
46. EMG modality target Max Maximum of muscle contractions in 10 seconds Avg Average of maximums achieved in 15 seconds of muscle contractions Manual Set Target manually Press the Target button until the prescribed target option is displayed in the Target icon TARGET BUTTON Target Max Capture Target ad 57 Vectra Genisys Therapy System Setting Max Target Make certain Target Max is displayed in the Target icon Press the Capture Target button Have the patient begin contracting the muscle and press the Begin Capture button Patient should contract the muscle as hard as possible during the preset 10 second contraction period Target Max Capture i Target EE EI i APTURE TARGET BUT BEGIN CAPTURE BUTTON E NOTE The capture may be stopped by pressing the End Capture Button The System will then select the maximum contraction level achieved during the preset 10 second contraction period O P E R AT I O N Vectra Genisys Therapy System SEMG THERAPY SET UP CONTINUED Setting Avg Target During the preset 10 second contraction Make certain Target Avg is displayed in the During the preset 15 second contraction period the Therapy System captures Target icon period the Therapy System captures and and retains the maximum level of the Press the Capture Target button Have the retains the average maximum level of the contraction the patient perform
47. ENT DATA CARD Access Patient Data Card Press the Patient Card button to access Patient Data Card Select the date of the treatment session desired using the Up and Down Arrow buttons until date desired is highlighted PATIENT CARD N oe UP ARROW BUTTON ctrode Placement i Treatment Area roe Numeric Pain Scale DOWN ARROW BUTTON 87 View Patient Data Card Press the corresponding button beside the Patient Data to be viewed Patient card for All Electrode Placement Treatment Area Mune Pain Scale Visual Pain Scale NOTE No Session Notes will be available unless the optional Patient Data Management System was utilized to enter Session Notes onto the Patient Data Card TOG gt ft amp OPERATION EXISTING PATIENT DATA CARD USE CONTINUED Starting a New Treatment from Patient Data Card Refer to pages 32 35 for Electrotherapy patient preparation select electrodes and secure electrodes Refer to page 36 for Ultrasound patient preparation Press the Up and Down Arrow buttons to highlight the desired treatment date and time Press the View Treat button Press Start New Treatment button VIEW TREAT BUTTON Connect Patient Interrupt Switch to the Therapy System Give Patient Interrupt Switch to patient and explain that pressing the Red button once pauses the therapy session If Patient Interrupt Switch is depressed the treatme
48. ERAPY SYSTEM CART OPERATION Operation 1 Front and Rear Extrusion 1 Install the Therapy System 2 Cart Base Cart as described on pages 3 Front Locking Swivel 131 through 133 Casters 2 2 Open Storage Bins and place 4 Rear Swivel Casters 2 items for storage Close Bins 5 Removable Storage Bins until they snap into position 6 6 Cart Top Make certain the unit is electrically grounded by connecting only to a DOWN TO LOCK grounded electrical service receptacle conforming to 3 Lock the Front Locking Swivel the applicable national and Casters by pushing Lock local electrical codes down with toe of shoe Unlock by pulling Lock up with toe of shoe UP TO UNLOCK 136 OPTION OPERATION Veen ea pen NiMH BATTERY MODULE OPERATION The Vectra Genisys Battery Module allows easy upgrade of the Genisys Electrotherapy and Combination Systems to create a battery powered Therapy System The information in this section instructs the owner operator or user as to the initial set up and operation of the optional NiMH Battery Module No additional software is required for the Module as the System automatically recognizes its presence and activates all necessary software inherent in the System Read understand and follow all Safety Precautions on pages 3 through 9 and throughout this manual before operating this Therapy System Modules or Accessories Nomenclature 1 Battery module 2 Extended front access panel
49. HOLOGICAL SELECTIO Press the Back button to return to the Press the Back button to return to the selection screen selection screen Press the Home button to return to the Press the Home button to return to the Home screen Home screen 114 INSTALLATION REMOVAL oo Mees eye INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE Possible System Configurations The Vectra Genisys Electrotherapy and Combination Systems allow installation of optional modality modules by the user Specifically designed for use with the Vectra Genisys Therapy Systems these modules configure the Therapy System to meet virtually every therapeutic need that a clinician may have The following is a list of possible configurations of the Vectra Genisys Therapy System e Four Channel Electrotherapy or Combination System Install the Channel 3 4 Electrotherapy Module to the Two 2 Channel Electrotherapy or Combination System e Two Channel Electrotherapy or Combination System with Laser Install the Laser Module to the Two 2 Channel Electrotherapy or Combination System Vectra Genisys Laser Applicators are sold separately e Two or Four Channel Electrotherapy or Combination System with sEMG and sEMG Electrical Stimulation Install the sSEMG Module s onto the System or the Channel 3 4 Electrotherapy Module if equipped This allows the System to have the potential of SEMG and SEMG Electrical Stimulation available on two chan
50. If Ultrasound Applicator is connected reset system by turning power switch Off and On C If problem persists connect a known good Ultrasound Applicator If problem continues contact dealer or Chattanooga Group for service Warning Attempting to perform Ultrasound treatment with no Applicator A Connect the desired Ultrasound Applicator to the system connected to the system B If Ultrasound Applicator is connected reset system by turning power switch Off and On C If problem persists connect a known good Ultrasound Applicator If problem continues contact dealer or Chattanooga Group for service Warning Ultrasound Applicator is not calibrated Attempt to use a known good Applicator If problem continues contact dealer or Chattanooga Group for service ms Wamning Ultrasound Applicator is too hot Allow Ultrasound Applicator Sound Head to cool to ambient temperature 116 Warning 1 No Patient Data Card is inserted into the system A Properly insert the Patient Data Card into the system port Refer to Therapy System User 1 Warning 2 Attempted to use an Invalid Patient Data Card Manual for new and existing Patient Data Card instructions B Attempt to use a known good Patient Data Card C Make certain a Patient Data Card and not an sEMG Data Card is being used D If problem continues contact dealer or Chattanooga Group for service 10 10 11 11 11 11 11 11 1 141 TROUBLESHOOTING ete
51. Moving Rehabilitation Forward on a 4 Jser Manua Operation amp Installation Instructions for Therapy Systems 2761 Two Channel Combination System 2789 Four Channel Combination System 2764 Two Channel Electrotherapy System 2787 Four Channel Electrotherapy System 2871 Two Channel Electrotherapy System no sEMG 2872 Two Channel Combination System no sEMG 2873 Four Channel Electrotherapy System no sEMG 2874 Four Channel Combination System no sEMG 2875K Two Channel Electrotherapy System with Cart no sEMG 2876K Two Channel Combination System with Cart no sEMG 2877K Four Channel Electrotherapy System with Cart no sEMG 2878K Four Channel Combination System with Cart no sEMG Optional Equipment 2775 Therapy System Cart Unassembled 2775ASY Therapy System Cart Assembled lt CHATTANOOGA r 2767 NiMH Battery Module bey GROUP 2799 Dual Channel sEMG Module 27508 and 27079 User Remote Controls ISO 93485 CERTIFIED 2781 Channel 3 4 Electrotherapy Module wil s A s a T j S TOG TABLE OF CONTENTS FOREWORD eeeoeeeeeeeoeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeeeeeee 1 B PRODUCT DESCRIPTION sesse ses e se se se sesse se se se 1 SAFETY PRECAUTIONS sos ssesseessesseesseesseeee 2 12 gt PRECAUTIONARY DEFINITIONS sesse sesse sesse see 2 Caution AAR OE EE AE EN EO oho EE 2 WV ARN Gs ota EE EE ET OOR EE N seen 2 i alleel ES oe c
52. NEL 1 2 QS i OPERATOR NE NET START TREATMENT air ie PAD CONTACT QUALITY DUAL CHANNEL GRAPH 16 Battery Module BATTERY CHARGING Patient Interrupt Optional Module and Accessory Symbols Operator Remote Channel 3 4 Electrothrapy Module PATIENT INTERRUPT SWITCH OPTIONAL CHANNEL 3 LEAD WIRES Gl CHANNEL 4 LEAD WIRES L MICROCURRENT PROBE CHANNEL 3 4 OPERATOR REMOTE CONTROL OPTIONAL SE me BY iS NOMENCLATURE Vectra Genisys Therapy System Below are the definitions for all of the unique terminology used throughout this manual Study these and become familiar with these terms for ease of system operation and familiarization with the components and control functionality of the Vectra Genisys Therapy System Some of these terms and definitions refer to a specific button or control on the system Refer to page 16 for Symbol Definitions GENERAL TERMINOLOGY Back Button The dedicated button on the Main unit below the display that each time pressed takes the user back one screen at a time Previous Page Button The button used in some modalities and functions that will take the user back one page when reading multiple pages of text UP and DOWN Arrows Controls used in various modality parameter screens to navigate or change a value up or down within the parameter Electrotherapy Refers to the Electrical muscle or nerve Stimulation modalities of the system System The pr
53. OPERATION cccccccccccccccccccccccccccccccccccce 41 114 Edit Ultrasound Parameters 0 cc eee ee 50 B OPERATOR INTERFACE cccccccccccccccccececs 41 Head Warming ses on oen DERE EE EE AR OR SS REDE ER DS DE DE 50 B gt HOME SCREEN see esse ee sees esse ees se ee esse ee se ee 42 Set Ultrasound Intensity 00 cece eee 50 gt ELECTROTHERAPY SCREEN ccccccccscccccccscecs 43 Intensity Knob Rotation 0 0 Ge Ge ee ee se 50 gt GENERAL ELECTROTHERAPY WAVEFORM SET UP 44 Start Treatment cece eee en oy Prepare Patient 0 ccc cece e eee e ees 44 Pause Treatment ese ER EE e een ener Re Re 51 Select Modality cece eee 44 StOP TEAMENE bi ER EE iernare enre EEEa nay 51 Select WavefOFM ccc earen 44 Save to Patient Data Card uas EE EE ef 51 View Waveform Description Ee cece eee 44 gt ADJUSTING ULTRASOUND PARAMETERS View Electrode Placement 0 00 00 ccc cece eee 45 DURING TREATMENT see es ee ee se ee see ees ee een ee ee Ee ee Edit Waveform Parameters aara 45 Editing Ultrasound from Home Screen 645 Install Optional Patient Interrupt Switch 45 Editing Ultrasound from Treatment Review Screen Optional Patient Interrupt Switch 0 46 P SEMG THERAPY SET UP 02100 canassciennomeraveaunienseyes Set Waveform Intensity 000 0 ccc c
54. OURCES LIBRARY MMC GRAPHICAL LIBRARY General Information The Clinical Resources Library contains the unique Anatomical and Pathological Graphic Libraries from Chattanooga Group These Graphic Libraries are contained on a single Multimedia Card MMC and are designed to aid the operator in visually understanding and locating specific muscle groups and commonly found problems associated with Pathological Conditions as well as providing an educational tool for the clinician to use with the patient Select Clinincal Resources Library Select MMC Graphical Library Select Body Area Make certain the Multimedia Card MMC is Press the MMC Graphical Library button The default setting displays Upper Body inserted into the system MMC Access Port i Selections To view Lower Body Selections Press the Clinical Resources Library button press the Lower Body button Press the button beside the desired Body i Graphical Library IL Area NOTE For representation purposes the Shoulder has been selected for this section Copyright 2003 Nucleus Medical Art All rights reserved www nucleusinc com 113 OPERATION Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY MMC GRAPHICAL LIBRARY CONTINUED Select Library Type Select the desired graphic by pressing the Anatomical Example Muscles Superficial corresponding button Left Side buttons Anatomical Selections Right Side buttons Pathological Selections ANATOMICAL PAT
55. P ARROW BUTTON ACCEPT AND RETUN ARROW BUTTON EEE DOWN ARROW Genisys BUTTON Press the Up or Down Arrow buttons until the prescribed waveform is highlighted Press the Accept and Return Arrow button Optional Patient Interrupt Switch Connect Patient Interrupt Switch to the Therapy System Give Patient Interrupt Switch to patient and explain that pressing the Red button once pauses the therapy Session PATIENT INTERRUPT SWITCH If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment will remain paused 68 Edit Waveform Parameters Press the Edit Stim button to edit the parameters of the waveform selected Press the corresponding button to edit each parameter as prescribed Deg OPERATION COMBINATION CONTINUED Set Waveform Intensity Set intensity by rotating the Intensity Control Knob to the prescribed level 80 fib mu Fi ma Trai INTENSITY LSP DISPLAYED EE Is vs A gt ROTATE INTENSITY NOB Clockwise Increases Intensity Counterclockwise Decreases Intensity Set Ultrasound Intensity Press the Edit Ultrasound button Set Ultrasound intensity by rotating the Intensity Control Knob to the prescribed leve
56. QUENCES CONTINUED View Waveform Rationale Press the Waveform Description button to view the text explaining the rationale for the modality associated with the Sequence selected Press the Back button twice to return to the Sequence screen View Electrode Placement Press the Electrode Placement button to view the electrode placement for the Sequence selected NEXT PAGE _ BUTTON Cet ae S BUTTON Press the Next Page button to view text relating to the electrode placement Press the Back button twice to return to the Sequence screen 110 Vectra Genisys Therapy System Prepare Patient Refer to pages 32 through 35 for Electrotherapy patient preparation instructions Optional Patient Interrupt Switch Make certain the Patient Interrupt Switch for the channel s being used is connected to the Therapy System Refer to page 16 for Symbol Definitions LANYARD NOTE When reinstalling the Front Access Panel make certain the Lanyard does not become kinked 7 O p E R AT l O N Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY USING SEQUENCES CONTINUED Set Sequence Intensity Give Patient Interrupt Switch to patient The first waveform current in the Sequence Press the Down Arrow button until the and explain that pressing the Red button should be highlighted Set intensity by second waveform current in the sequence is once pauses the therapy session rotating the Intensity Contr
57. SEMG Module will not interfere with installation of the Channel 3 4 Electrotherapy Module 118 j N STA L L AT O N R M OVA L Vectra Genisys Therapy System INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Release Ribbon Cable Position Therapy System and Module Connect Ribbon Cable Remove and discard the vinyl label holding Position Therapy System and the Channel Carefully align the Ribbon Cable Connector the Ribbon Cable in the cavity on the 3 4 Electrotherapy Module as shown to the Module Connector Pins and press Therapy System down to connect Carefully unroll the Ribbon Cable making certain not to disconnect it from the Therapy System i i CAAA a 4 tn S is m 2 CAREFULLY UNROLL RIBBON CABLE tr N EA TE dd SAAN NENI NIIN 4 F b f N i i ON r n l r is a ie Ee ka NOTE Ribbon cable must be as shown Make certain Ribbon Cable is completely seated to Module Connector Pins 119 INSTALLATION REMOVAL Vectra Genisys Therapy System INSTALLATION CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Set Therapy System onto Module Secure Therapy System to Module Carefully place the Therapy System and Module on one side With a 1 Phillips Screwdriver install the four 4 mm x 20 mm Do not twist Ribbon Cable If power is applied to the system with misalignment EIE Aa of pins or a twisted ribbon
58. SIDE BUTTON SIZE BUTTON NOTE When Ultrasound is the modality only the Side button is available 82 Vectra Genisys Therapy System Electrode Placement Press the Up Down Left and Right Arrow buttons to position the selected electrode as close to the actual treatment location as possible Press the Pad button to select the other electrode Repeat above procedure for electrode positioning f applicable press the Chan button to select another channel and repeat above procedures After positioning the electrodes press the ER aie Return Arrow button OPERATION PATIENT DATA CARD SET UP OF NEW CARD CONTINUED Access Pain Map Select Pain Type Press the Pain Map button to select Press the Pain Type button until the the body area of the associated pain as desired description is displayed in the Pain Type icon Vectra Genisys Therapy System Add Pain Locations Press the Add button The Add Pain Map window will display EE anne PAIN TYPE Vectra GENISYS NOTE A maximum of eight Pain Locations Wey may be selected 83 A OPERATION PATIENT DATA CARD SET UP OF NEW CARD CONTINUED Select Location of Pain Press the Up and Down Arrow buttons to Press the Add button to continue selecting move the Pain Locator to the area of the in sequence the radiating path of the pain body where the pain is located using the above procedure Press the Accept and Return Arrow button Up to eight
59. T ese se ses es esse cence ese ses 132 B gt GENERAL INFORMATION ee ees seed ee ee ss dd ee ee 146 Therapy System Cart Assembly ee 132 MAINTENANCE iss oes gese does se eed e ss es des we sed ees de AT Prepare Therapy System Cart ee ee ee 132 gt CARING FOR THE THERAPY SYSTEM cce0e 147 Mount Therapy System to Cart 132 Cleaning the Therapy System 0 00 00 cece eee eee 147 Connect Mains Power essere 133 Cleaning the Lens si ve EE EE RR GR RED ED IG 147 Install Storage BINS EENS E EE ER RE RE OE EES RE ER 133 CALIBRATION REQUIREMENTS sees se esse ee see 147 Removing System from Therapy System Cart 133 Calibrating Ultrasound Applicators 0 a 147 GOPTION OPERATION ses ese sesse sesess sesse ses ss 134 139 B gt FACTORY SERVICE esse esse esse esse esse ees sees sees ee 147 MWARRANTY ss ds se es ed oa eds NA GER GRA ewe id VAR viii F O RE WO RD Vectra Genisys Therapy System This manual has been written for the users of the Vectra Genisys Therapy Systems It contains general information on the operation precautionary practices and maintenance information In order to maximize use efficiency and the life of the system please read this manual thoroughly and become familiar with the controls as wellas the accessories before operating the system This manual contains general safety operating maint
60. Time Fixed ccc cece cence eee Ee ee ee 15 sec Sweep LOW beat FICQUCNICY kie REEDE RE ESE SS DE 1 199 Hz Sweep High Beat FregueNCY 0 ccc cece see ee 1 200 Hz VEGLOl SCAN es RS Ee rae Off Manual 40 and 100 dd iN EE N N N NA 1 60 Minutes Mode Selection SS Available on Channel SS CC Constant Current CV Constant Voltage Vectra Genisys Therapy System Is TENS Asymmetrical Biphasic The Asymmetrical Biphasic waveform has a short pulse duration It is capable of strong stimulation of the nerve fibers in the skin as well as of muscle tissue This waveform is often used in TENS devices Because of its short pulse the patient typically tolerates the current well even at relatively high intensities used oe AA RE RE sence Electrodes OUtDU MENSE sees sre SARA EE DE RE on ee OG 0 110 mA CC 0 110 V CV Prose DUTON MA ES EE 20 1 000 usec edele sede ES De RE EE 1250 Hz Mode Selection ME EE EO OO OE ee CE Or EF Burst Frequency AE ss N OE eaaddons 0 10 bps Frequency Modulation 401050000 ES RE DERE EE De GE sun 0 250 Hz Amplitude Modulation Off 40 60 80 and 100 Cycle Time 4 4 4 8 7 7 5 5 4 12 10 10 10 20 10 30 10 50 N es ad EE EN EE EE EE N 1 60 min Stimulus delivered by the TENS waveforms of this device in certain configurations will deliver a charge of 25 microcoulombs uC or greater per pulse and may be sufficient to cause electrocution Electrical current of
61. ULS si DE EE SS EE ID GE GO GR eo E SEMEE n ERROR RIES ER E EE EE eo 17 SEMG di EE EE ae wees ev Need eens 17 B gt ULTRASOUND ccc cece cess cess ee ss ee GE ee Ge ees ee 17 Sound Head 00 ccc cece n teen nen 17 Applicator re as PS EE SE GE be ons oho Se ae EG 17 Coupling LED Se ccc ee ee 17 SPECIFICATIONS ccccccccccccccccccccccccccccscses 18 24 gt SYSTEM SPECIFICATIONS AND DIMENSIONS 18 gt DESCRIPTION OF DEVICE MARKINGS 6 18 B gt WAVEFORM SPECIFICATIONS ese ee ese ee ese see se ee 19 IFC Interferential Traditional 4 Pole 19 TENS Asymmetrical Biphasic 0 00005 19 TENS Symmetrical Biphasic 0 000005 20 Microcurrent 0000 c ccc ccc e eee ee 20 IFC Premodulated Traditional 2 Pole IFC 21 High Voltage Pulsed Current HVPC 0 21 VMS RE EE N N OE N EE OE ORE dene 22 VMS Burst cece ce cece eee eee e eee eeneneteenenes 22 Russian ee 23 DC Direct Current 000 eens 23 b gt ULTRASOUND SPECIFICATIONS cccececscccees 24 Ultrasound RO eae eneeca AL EE N EE EE Ed 24 Ouput Power cent ee ee ee ee 24 Head Warming Feature Se See ee ee ee 24 OSET UP oni sooo den OE Se se ee ED De AE B gt VECTRA GENISYS THERAPY SYSTEMS ee ee esse ee 25 b gt THERAPY SYSTEM SET UP e
62. Vectra Genisys Home screen affords access to all of the system modalities and functions The area surrounding the screen has 10 modality and parameter modification buttons 1 Corbmaton sEMG Stim oa 4 __ e Patent Card None Inserted 10 Electrotherapy Accesses all the available waveforms and parameter editing controls Indications Accesses specific pre programmed indications for general reference only which aid in selecting the proper waveform and electrode placement for particular indicated patient syndrome diagnoses Ultrasound Accesses the Ultrasound set up screen and parameter editing controls Combination Accesses combination therapy set up screens and parameter editing controls sEMG Accesses the Surface EMG SEMG modality and parameter editing controls sEMG Stim Accesses the Surface EMG SEMG Electrical Stimulation modality and parameter editing controls View Edit Channel Accesses the selected channel and allows editing of the channel s parameters during therapy Also used in the saving of information to the Patient Data Card Patient Card Accesses Patient Data Card data Select Channel Use to select desired channel for viewing and editing of channel parameters Unused Reserved for optional expansion Modules 42 mt Es OPERATION Vectra Genisys Therapy System ELECTROTHERAPY SCREEN Interferental _ Biphasic Asymmetrical 4 J TUG Microcurrent
63. Voltage indicator serves to inform the user of possible hazards resulting in the electrical charge delivered to the patient in certain treatment configurations of TENS waveforms Corrosive Text with a Corrosive indicator will explain possible safety infractions if the chemical components of the battery are exposed to air skin or other materials Spontaneous Combustion Text with a Spontaneous Combustion indicator will explain possible safety infractions that could create conditions for a spontaneous combustion if the material is mishandled and not disposed of properly Biohazardous Materials Text with a Biohazard indicator serves to inform the user of possible hazards resulting in improper handling of components and accessories that have come in contact with bodily fluids ts Non lonizing Electromagnetic Radiation A Text with a Non lonizing Electromagnetic Radiation indicator informs the user of possible hazards resulting from elevated potentially dangerous levels of non ionizing radiation AN As NOTE Throughout this manual NOTE may be found These Notes are helpful information to aid in the particular area or function being described gt ft Es SAFETY PRECAUTIONS e Read understand and practice the precautionary and operating instructions Know the limitations and hazards associated with using any electrical stimulation or ultrasound device Observe the precautionary and operational decals pla
64. Y REPAIR OUT OF WARRANTY REPAIR 1 Written statement containing the following information e RA Number Obtain from Factory Therapy System or Module Model Number e Therapy System or Module 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 Therapy System or Module 3 Ship the unit to address specified by an authorized service technician Service to these units should be performed only by Service Technicians certified by Chattanooga Group Ultrasound Applicators require annual calibration from the date placed in service by the Factory or a Service Technician certified by Chattanooga Group Through the purchase of a Service Manual Chattanooga Group has made available circuit diagrams component part lists descriptors or other information which will assist authorized technical personnel to repair those parts of the equipment which are designated by Chattanooga Group as repairable TOG Whey Wi A NOVUS is the Registered Trademark of NOVUS Inc WA R R A N TY Vectra Genisys Therapy System Chattanooga Group a division of Encore Medical L P Company warrants that the Vectra Genisys Therapy System Channel 3 4 Electrotherapy Module Laser Module and sEMG Module Products are free of defects in material and workmanship T
65. after the treatment e Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns e Output current density is related to electrode size Improper Choose electrodes that fit the anatomy application may result in patient injury If any question arises View the Electrode Placement recommendations in the as to the proper electrode size consult a licensed practitioner Treatment Review screen for the particular modality being used prior to therapy session for treatment as a reference point only prior to administering Powered muscle stimulators should be used only with by EE the leads and electrodes recommended for use by the e Refer to the respective electrode type instructions on pages 33 manufacturer through 35 Follow electrode manufacturer instructions 32 PATIENT PREPARATION ELECTROTHERAPY PATIENT PREPARATION CONTINUED DURA STICK Electrodes Chattanooga Group DURA STICK Electrodes are a self adhesive single patient one time use disposable product designed specifically for use with Chattanooga Group Electrotherapy systems It is recommended that Chattanooga Group DURA STICK Electrodes be used whenever possible to ensure the highest level of contact with the treatment area and most uniform delivery of the prescribed electrotherapy treatment Properly dispose of used DURA STICK Electrodes upon completion of the therapy session
66. ains Power Cord from the Therapy System REAR MAINS POWER CORD Remove Lead Wires and Accessories Remove the Front Access Cover and disconnect the Lead Wires and Accessories from the Therapy System and Channel 3 4 Electrotherapy Module REMOVE LEAD WIRES AND ACCESSORIES NOTE Keep Lead Wires and accessories for later re installation to the Therapy System 123 Vectra Genisys Therapy System Remove Therapy System from Cart Remove the Therapy System from the Therapy System Cart if equipped Refer to pages 131 through 133 for proper instructions Place Therapy System face down on a clean working surface protected with a soft clean fabric to prevent dei to the lens NOTE It is not necessary to remove the sEMG Module from the Channel 3 4 Electrotherapy Module if installed INSTALLATION REMOVAL e REMOVAL CHANNEL 3 4 ELECTROTHERAPY NiMH BATTERY AND LASER MODULE CONTINUED Remove Screws Securing Module Disconnect Ribbon Cable at Module Store and Secure Ribbon Cable With a 1 Phillips Screwdriver remove the Separate the Module from the Therapy Roll the Ribbon Cable up and store in four 4 mm x 20 mm screws securing the System and disconnect the Ribbon Cable the cavity of the Therapy System Secure Ribbon Cable with a nonpermanent adhesive tape Module to the Therapy System from the Module Connector Pins DISCONNECT RIBBON FROM MODULE ONLY 124 Deeg
67. are patient select electrode and screen to view text explaining the waveform securing electrodes Refer to page 36 for z N rationale Ultrasound patient preparation E CHATTANOOGA COMBINATION BUTTON Connect the Black Lead Wire from Channel 2 to the electrode Make certain the Lead Wire is completely seated in the electrode The Red Lead Wire is not used The Indications Ultrasound Applicator completes the circuit for Combination Therapy Combination sEMG Stim VR GENISTS Press the Back button to return to the Treatment Review Screen 66 O P E R ATI O N Vectra Genisys Therapy System COMBINATION CONTINUED View Electrode Placement Access Combination Parameters Edit Ultrasound Parameters Press the Electrode Placement button to Press Edit button to access Combination view the most commonly used electrode parameters placement for Combination therapy Press the corresponding button to edit the desired Ultrasound parameter as prescribed BUTTON Veo Vectra i ri a GEMISTS GENIS TS Press the Next button to read Electrode Placement Text Press the Back button to return to the Treatment Review screen NOTE See page 50 for Head Warming Press the Back button to return to the feature instructions Treatment Review screen 67 OPERATION Vectra Genisys Therapy System COMBINATION CONTINUED Select Waveform Press the Select Waveform button U
68. arrying serious infectious disease and disease where it is advisable for general medical purposes to suppress heat or fevers 12 NOMENCLATURE Vectra Genisys Therapy System VECTRA GENISYS ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS Two Channel Combination System Two Channel Electrotherapy System 1 Two Channel Electrotherapy System 2 User Interface See Page 15 3 Front Access Panel 4 Rear Access Panel 5 Patient Data Card and sEMG Data Card access port 6 Multimedia Card MMC access port 13 N OU BWN Two Channel Combination System User Interface See Page 15 Front Access Panel Rear Access Panel Patient Data Card and sEMG Data Card access port Multimedia Card MMC access port Ultrasound Applicator 5cm shown mt Es NOMENCLATURE VECTRA GENISYS ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS CONTINUED Front Access Panel N OU BW N Front Access Panel Lanyard NOTE When reinstalling the Front Access Panel make certain the Lanyard does not become kinked Operator Remote Control Connector Patient Interrupt Switch Connector Channel 1 Lead Wire Connector Channel 2 Lead Wire Connector Microcurrent Probe Connector Ultrasound Applicator Connector 14 Vectra Genisys Therapy System Rear Access Panel 1 Screen Contrast Control Not functional on Color Systems 2 Power On Off Switch 3 Technical Maintenance Port 4 Mains Power Cord
69. arting the patient progress in reaching those goals in a specific muscle or muscle group Within this section general set up procedures of the various parameters of SEMG are explained Also set up and use of the optional sSEMG Data Card for recording sEMG Data are demonstrated NOTE This section applies only to models capable of supporting the functions of the sEMG module Optional Patient Data Management System PDMS The sEMG data can be recorded onto the optional SEMG Data Card and viewed in graph form via the ee optional Patient Data Management System connected A to a Windows PC This allows the clinician to record ES i session activity as well as see progress the patient Mexes Memos may be making through therapy saving the data and printing patient graphs and reports Illustrated is an example of the sSEMG Graph through the optional Patient Data Management System PDMS rabent Marner TAS miEh John DI 21 3455769 53 gt ft Es O P E R ATI O N Vectra Genisys Therapy System sEMG THERAPY SET UP CONTINUED sEMG Screen The Vectra Genisys SEMG screen affords access to all of the SEMG parameters and functions The area surrounding the screen has 10 parameter modification buttons However only six are used for the sEMG modality Below is a general description of each of the sEMG parameter buttons Each sEMG parameter button is explained in greater detail in the following pages of this section 1 Channel
70. ata Card The reading and recording device allows storage and recall of the following patient session data onto the Patient Data Card Therapy Session Parameters Electrode Placement Pain Map Numeric Pain Scale or Visual Pain Scale and Session Notes stored on card via PC only Each Patient Data Card can store multiple sessions and each session can be recalled on the Vectra Genisys Therapy System Insert New Patient Data Card Set Up Treatment Set Up of New Patient Data Card Insert a new Patient Data Card into the Set up the patient s prescribed treatment With new Patient Data Card inserted in system access port as shown below The Refer to the appropriate area of this manual the system press the Save to Patient Card Therapy System will automatically format for modality set up button the new Patient Data Card and a verification messaae will appear Administer treatment as prescribed When SAVE TO J EE treatment is complete the Treatment PATIENT CARD Press any button to continue Review screen will be visible UV aS BUTTON Completed Treat a 3 Save to Patent Card INSERT NEW PATIENT DATA CARD TO CONTINUE 80 O P E R AT I O N Vectra Genisys Therapy System PATIENT DATA CARD SET UP OF NEW CARD CONTINUED Enter Patient ID Select the row of aloha or numeric When the desired character is framed press To delete a character press the Left Arrow characters desired by pushing the button the Accept and Ret
71. aveform Parameters ccc eee eee ees 71 Edit Ultrasound Parameters 0 0 ccc eee eee 71 b gt sEMG STIM THERAPY SET UP sesse esse sesse sesse 72 General Information 00000 een 72 TABLE OF CONTENTS Prepare System and Patient 00 0000 73 Select sEMG Stim Modality SE Se ee een 73 Select Edit ie RR AR AA NE OE ed vinnie oe eo Oe iii i Select Channel naana ccc ccc cence ences 73 Set Alarm PA N EE N N TN 74 Set Audio Type nananana ER ED tons PER DE abies 74 Select Stim Waveform 20 00 00 74 Edit SUM AE SE OE ab SE OE EN 75 Select Target Option EE ES ccc 75 Setting Max Target SE Se ee ee ee 75 Setting Avg Target SS ccc cence nee es 76 Setting Manual Target 0 0 0 00 c ccc cece nee 77 Set Volume EE BR DE RE Re ee ER DE GE GE ep ee 77 Set Auto Feature SS Se ee ee ee ee ee ee ee ee ee 8 Start SEMG Therapy SesSiON SE Se ee ee 8 Stopping Stim 00 SE Se ee Se ee ee nee ee 79 Stopping Therapy Session 0 0 SE cece cece 79 gt PATIENT DATA CARD SET UP OF NEW CARD 80 General Information 0 0 00 0 ccc ee ee ee ee 80 Insert New Patient Data Card 0 0 00000005 80 Setup Treatment EE SE Se en 80 Set Up of New Patient Data Card 80 Enter Patient ID ES SS Se Se ee ee ee ee ee 81 Acce
72. bination Systems Only Cord Set e Conductor Transmission Gel 1 bottle Combination Systems Only e User Manual 25 SET UP Vectra Genisys Therapy System THERAPY SYSTEM SET UP Plug unit into wall outlet Turn system On ri Press the Home and Back buttons simultaneously EE N 7 ME Seg age eee 4 q EE lsvs To return to the System Home screen press the Home button Clinic Name Press Clinic Name button Ginko Name CHATTANOOGA GAOL Restore Default Protocols 26 Select the row of alpha or numeric SELECT ROW AND CHARACTER BUTTONS characters desired by pushing the button beside the corresponding row Select the desired character in the row by pressing the row button until the desired letter is framed NOTE To add a space select the area to the left of the letter A Once selection is framed press the Accept and Return Arrow button The character just chosen will display in the top of the screen and the cursor will advance to the next character To go back a character press the Move Left Arrow button To delete the character press the Delete button Once Clinic Name is completed press the Save button To discard entry press the Back button mt Es SET UP Vectra Genisys Therapy System THERAPY SYSTEM SET UP CONTINUED Restore Default Protocols Press Restore Default Protocols button Press Yes button to restore the Protocols to
73. cators will not Ee NET work with the Vectra Genisys H PAGE Sounded Therapy System EERS EE BUTTON Press the Ultrasound button on the Home screen ULTRASOUND BUTTON BACK BUTTON Electrotherapy Indica Litracound Press the Back button to the return to oe Ee Sui cree Press the Back button to the return to Treatment Review screen 49 OPERATION Vectra Genisys Therapy System ULTRASOUND CONTINUED Edit Ultrasound Parameters Press Edit button to access ultrasound parameters Press the corresponding button to edit as prescribed Press the Back button to return to Treatment Review screen Head Warming The Vectra Genisys Therapy System incorporates a Head Warming feature that pre heats the Sound Head of the Applicator for increasing patient comfort The control for the Head Warming feature is in the Edit screen of the Ultrasound modality Press the Head Warming button until On is displayed Duty Cyel wart To set the default of the Head Warming feature to On press the Home button after On is displayed in the Head Warming icon Head Warming will then start when the Therapy System is turned On NOTE Head Warming time is approximately 2 minutes 50 Set Ultrasound Intensity Set intensity by rotating the Intensity Control Knob to the prescribed level 2 INTENSITY DISPLAYED GEN SYS Intensity Knob Rotation Clockwise Increases Intensity Counte
74. ccecceeeeeeeeeeene A6 General Information 000 0 000 ee ee ee ee Optional Patient Data Management System PDMS TABLE OF CONTENTS SEMG Screen SERS SRSA EES ts OR EER EE SA EE De 54 Prepare System and Patient 00000 005 55 Select SEMG Modality 0 0 0 00 c ccc ccc cence ees 55 View sEMG Description Text 00 c cece eee 53 Electrode Placement Se ee ee ee ee a Select Edit oi ne eg N DE satin tore pian 56 Select Channel EE Ee Se Se Se ee ee ee 56 Set Alarm aeaaaee aaaea 56 Set Audio Type EE Ee Se ee Se ee ee ee ee 57 Select Target Option 0 000s 57 Setting Max Target SS ccc cence eens 57 Setting Avg Target SS Se Se Se ee ee ee ee 58 Setting Manual Target 0 00 000 c ccc cence ences 59 Set ie Ee 59 Start SEMG Therapy SesSiON SE Se ee ee 60 Stopping sEMG Therapy Session 60 gt INDICATIONS iis eise GIDS DE ED DE EDE ES EE Se ie 61 Available Indications EE Se ee ee ee 61 Prepare Patient SE Se Se ee ee ee ee ee ee 61 Select Indication EE ES ee Se ee ee ee 61 View Waveform Description ee ee ee 61 View Electrode Placement 006 0 ee ccc nee 62 Edit Waveform Parameters ee Se ee eee eee 62 Install Optional Patient Interrupt Switch 62 Optional Patient Interrupt Switch 0
75. ced on the unit DO NOT operate this unit in an environment where other devices are being used that intentionally radiate electromagnetic energy in an unshielded manner Ultrasound should be routinely checked before each use to determine that all controls function normally especially that the intensity control does properly adjust the intensity of the ultrasonic power output in a stable manner Also determine that the treatment time control does actually terminate ultrasonic power output when the timer reaches zero DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the control panel This unit should be operated transported and stored in temperatures between 59 F and 104 F 15 C and 40 C with Relative Humidity ranging from 30 60 Handle Ultrasound Applicator with care Inappropriate handling of the Ultrasound Applicator may adversely affect its characteristics Before each use inspect Ultrasound Applicator for cracks which may allow the ingress of conductive fluid Vectra Genisys Therapy System e Inspect Applicator cables and associated connectors before each use The Vectra Genisys Therapy System is not designed to prevent the ingress of water or liquids Ingress of water or liquids could cause malfunction of internal components of the system and therefore create a risk of injury to the patient This equipment generates uses and can radiate radio frequency energy an
76. clature Front and Rear Extrusion Cart Base Front Locking Swivel Casters 2 Rear Swivel Casters 2 Removable Storage Bins 6 Cart Top Specifications Dimensions Height Cart Only sers ER With System With System and Module AA 25 in 131 17 in 43 2 cm 24 Ibs 10 9 kg 33 Ibs 15 0 kg Power Required 100 240 V 50 60 Hz 33 75 in 35 7 cm he 42 50 in 108 cm 112 4 cm HEIGHT WITH SYSTEM amp SYSTEM WITH MODULE 16 25 in 41 3 cm CART ONLY mt Es INSTALLATION REMOVAL MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART Therapy System Cart Assembly Follow the Assembling Therapy System Cart instructions shipped with the Cart for proper assembly If the instruction sheet is not available visit the Chattanooga Group website www chattgroup com to obtain a copy of the instruction sheet Prepare Therapy System Cart Remove all the Storage Bins from both sides of the Therapy System Cart by pulling each bin out and up REMOVE ALL BINS Allow approximately 4 5 in 11 5 cm of the power cord extending through the top of the cart for connecting to system If the system is equipped with an optional NiMH Battery Laser or Channel 3 4 Electrotherapy Module it will be necessary to allow 6 5 in 16 5 cm of the Power Cord extending through the top of the Therapy System Cart 4 5 IN 11 5 CM SYSTEM ONLY 6 5 IN 16 5 CM
77. d 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 to which the other device s are connected and consult the factory field service technician for help Nylatex Wraps contain dry natural rubber and may cause allergic reactions in patients with allergies to latex e Use of parts or materials other than Chattanooga Group s can degrade minimum safety gt ft Es SAFETY PRECAUTIONS e U S A Federal Law restricts these devices to sale by or on the order of a physician or licensed practitioner This device should be used only under the continued supervision of a physician or licensed practitioner Make certain the unit is electrically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable national and local electrical codes Care must be taken when operating this equipment around other equipment Potential electromagnetic or other interference could occur to this or to the other equipment Try to m
78. d Ultrasound parameters during a treatment session Edit Waveform Parameters Press the Edit Stim button to edit the parameters of the waveform selected Press the corresponding button to edit each parameter as prescribed Rotate the Intensity Knob to increase or decrease waveform intensity as prescribed Caci W avelo High Yot Edit Ultrasound Parameters BET EE eeu button NOTE To edit parameters from the Home Press the corresponding button to edit es preg preci uN the desired Ultrasound parameter as l prescribed NOTE See page 50 for Head Warming feature instructions 71 O P E R AT O N Vectra Genisys Therapy System sEMG STIM THERAPY SET UP General Information The Vectra Genisys SEMG Stim modality utilizes sSEMG biofeedback activity coupled with triggered electrical muscle stimulation using selected electrotherapy waveforms for the maximum benefit in muscle retraining The SEMG Stim will not function as a multi channel modality It is designed for single channel use only However it is available to all electrotherapy channels The Electrical Muscle Stimulation is triggered when the muscle contraction SEMG portion of the therapy reaches the target SEMG stops and the muscle is then electrically stimulated for a period After stimulation the patient is given a short rest period and then repeats the muscle contraction attempting to reach the target to again trigger the electrical stimulation This
79. device should not be used over the thoracic area if the Relief of pain muscle spasms and joint contractures that may patient is using a cardiac pacemaker be associated with This device should not be used over a healing fracture e Adhesive capsulitis This device should not be used over or applied to the eye Bursitis with slight calcification This device should not be used over a pregnant uterus e Myositis e This device should not be used on ischemic tissues in e Soft tissue injuries individuals with vascular disease where the blood supply would Shortened tendons due to past injuries and scar tissues be unable to follow the increase in metabolic demand and us B tissue necrosis might result e Relief of sub chronic chronic pain and joint contractures Additi IP ti resulting from itional Precautions Capsular tightness e Additional precautions should be used when ultrasound is used on patients with the following conditions Over an area of the spinal cord following e Laminectomy i e when major covering tissues have been removed Over anesthetic areas On patients with hemorrhagic diatheses e Capsular scarring Contraindications This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed This device should not be used when cancerous lesions are present in the treatment area Other contraindications are patients suspected of c
80. e Applicator Sound Head is r Display Urii re coupled to the patient the Version Information Treatment Timer will automatically restart US COUPLING BUTTON Beep ee Emits an audible beep No Beep No beep is emitted Off Turns off the Ultrasound Coupling feature mt Es SET UP THERAPY SYSTEM SET UP CONTINUED Display Unit Version Information Press the Display Unit Version Information button to show the system software versions installed Press the Back button to return the Operator Utilities screen 30 Vectra Genisys Therapy System Pad Contact Quality The Pad Contact Quality feature indicates to the user the contact quality of the electrodes on the patient This function if On displays a bar graph at the bottom of Treatment Review screen for the following waveforms only The Therapy System Pad Contact Quality default is ON e Interferential Dual Channel Graph e IFC Premod 2p med Single Channel Graph ae IE e Russian Single Channel Graph To turn On or Off press Pad Contact Quality button until On SINGLE CHANNEL GRAPH or Off as desired is displayed Single Channel Waveforms will 3 NEE display a single bar graph Dual GOOD CONTACT Channel waveforms will display a OUALITY double bar graph N DUAL CHANNEL GRAPH Contact quality is measured by CHANNEL 1 the amount of the graph filled GOOD CONTACT QUALITY with black An ideal contact quality is 75 or more of the g
81. e Front Access Press the Next button to read Electrode ad Panel make certain the Lanyard does Placement Text Press the Back button to not become kinked return to the Treatment Review screen Press the Back button to return to the Treatment Review screen 62 O P E R ATI O N Vectra Genisys Therapy System INDICATIONS CONTINUED Give Patient Interrupt Switch to patient Reset intensity and press the Start button Set intensity by rotating the Intensity Control and explain that pressing the Red button to resume session Knob to the prescribed level once pauses the therapy session START BUTTON INTENSITY DISPLAYED SES sys If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message Intensity Knob Rotation NOTE If the Patient Interrupt Switch Clockwise Increases Intensity is depressed a second time Counterclockwise Decreases Intensity the message will clear from the screen and the treatment will remain paused 63 OPERATION Vectra Genisys Therapy System INDICATIONS CONTINUED Press the Start button to begin therapy session Press the Pause button to pause therapy session and maintain remaining time To resume treatment press the Pause button again To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will d
82. e N ED eee we Me ED ee ED oe 2 Dangerous Voltage Ee ee ee ee ee ee 2 8 die ER EE EE EE EEN 2 Spontaneous Combustion Ee cece eens 2 Biohazardous Materials 0 0 00 0 ccc cece cee A Non lonizing Electromagnetic Radiation 2 B gt CAUTIONS EE EE HE HE EE 3 B WARNINGS ooie ees ese se sesse see se se se see ee Ge se se 4 BP DANGERS ccc cece cece cece cnecececncesesececuceacs 6 gt ELECTROTHERAPY INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS sesse ssesssss ss ss se ee ese ese 7 Indications for VMS VMS Burst Russian TENS High Voltage Pulsed Current HVPC Interferential and Premodulated Waveforms 000 c eee e eens 7 Additional Indications for Microcurrent Interferential Premodulated VMS VMS Burst and TENS Waveforms 7 Indications for DC Direct Current Mode 7 Contraindications 000s 7 Additional Precautions 00 c cece ee een 8 Adverse Effects ccc cece nent e en eees 8 B SEMG INDICATIONS cccccceeccceececeeeececees 9 gt sEMG STIM INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS osse sees ee ees sedes see es 10 Vectra Genisys Therapy System Indications sEMG Stim using VMS Symmetrical Biphasic TENS Asymmetrical Biphasic TENS or Russian waveforms 10 Contraindications 00 ee 10 Additional Precautions
83. e by the manufacturer e With TENS waveforms isolated cases of skin irritation may occur at the site of electrode placement following long term application The effectiveness of TENS waveforms is highly dependent upon patient selection by a person qualified in pain management Adverse Effects e Skin irritation and burns beneath the electrodes have been reported with the use of powered muscle stimulators e Potential adverse effects with TENS are skin irritation and electrode burns SAFETY PRECAUTIONS sEMG INDICATIONS Indications Surface EMG To determine the activation timing of muscles for e Retraining of muscle activation e Coordination of muscle activation e An indication of the force produced by muscle for control and maintenance of muscle contractions e Relaxation muscle training e Muscle re education Vectra Genisys Therapy System mt Es SAFETY PRECAUTIONS oo ee ese sEMG STIM INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS Indications sSEMG Stim using VMS Symmetrical Biphasic Contraindications TENS Asymmetrical Biphasic TENS or Russian waveforms e This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed This device should not be used when cancerous lesions are present in the treatment area e Stimulation should not be applied over swollen Muscle re education infected inflamed areas o
84. e materials In the event of battery cell rupture or leakage handle Battery Module wearing neoprene or natural rubber gloves Contents of a ruptured or leaking battery can cause respiratory irritation Hypersensitivity to nickel can cause allergic pulmonary asthma Contents of cell coming in contact with skin can cause skin irritation and or chemical burns Never under any circumstances open the Battery Module housing or cells Should an individual cell from a battery become disassembled soontaneous combustion of the negative electrode is possible There can be a delay between exposure to air and spontaneous combustion e Dispose of NiMH batteries according to national state and local codes and regulations 139 STORAGE OF BATTERY MODULE Short Term Storage The Battery Module should be operated transported and stored in temperatures between 59 F and 104 F 15 C and 40 C with Relative Humidity ranging from 30 60 Long Term Storage For long term storage of the Battery Module remove the Battery Module from the System and store in temperatures between 59 F and 104 F 15 C and 40 C with Relative Humidity ranging from 30 60 When charging the Battery Module for the first time after long term storage restore the battery service life by charging and discharging the Battery Module several times If storing the Battery Module for periods longer than one year charge the Battery Module at least once
85. ed then patient begin contracting and releasing the contractions the patient performed then automatically displays the Adjust SEMG muscle Press the Begin Capture button automatically displays the Adjust SEMG Target screen The patient should contract and release the Target screen Use the Up and Down Arrow buttons to muscle as many times as possible during Use the Up and Down Arrow buttons to adjust the Target percentage displayed at the preset 15 second contraction period adjust the Target percentage displayed at the bottom of each channel column Press the Accept and Return Arrow button to set the Target the bottom of each channel column Press the Accept and Return Arrow button to set the Target ACCEPT AND RETURN ARROW BUTTON Capture Target ACCEPT AND RETURN ARROW BUTTON 100 100 DOWN ARROW BUTTON DOWN ARROW BUTTON 58 OPERATION Vectra Genisys Therapy System sEMG THERAPY SET UP CONTINUED Setting Manual Target Make certain Target Manual is displayed in Press the Up and Down Arrow buttons to the Target icon adjust Target to prescribed level Press the Adjust Target button Press the Accept and Return Arrow button eos to set the Target ADJUST TARGET BUTTON ACCEPT AND RETURN ARROW BUTTON DOWN ARROW BUTTON 59 Set Volume Press Volume button until the desired volume level is displayed in the Volume icon The available volume levels are Low Hig
86. em The Therapy System memory will accommodate up to 200 user defined protocols This is inclusive of all User Protocols Sequences and System Default Protocols It does not include the Clinical Protocols Access Sequencing Select Sequence Select First Waveform or Current Press the Clinical Resources Library button Press the Up and Down Arrow buttons until Press the New button Press the Up and Press the Sequencing button the desired sequence is highlighted Down Arrow buttons to highlight the Press the Accept and Return Arrow button desired waveform current UP ARROW is Clinical Protocols DOWN ARROW BUTTON BUTTON Press the Accept and Return Arrow button wi 105 A OPERATION Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY CREATING NEW SEQUENCES CONTINUED Edit First Waveform or Current Press the Edit button on the Sequence screen Press the Edit button on the waveform current Treatment Review screen d EDIT BUTTON BUTTON Edit waveform or current as prescribed Press the Back button twice to go back to the Sequence screen Select Second Waveform or Current Saving New Sequence Press the Down Arrow button on the After all waveforms currents have been Sequence screen to highlight the next selected and edited as prescribed press the waveform in the Sequence Save button on the Sequence screen Repeat steps used in selecting and editing first wavefor
87. enance and care instructions as well as installation instructions for the optional Therapy System Cart Channel 3 4 Electrotherapy NiMH Battery Laser and Dual Channel sEMG Modules for the users of the Vectra Genisys Therapy two channel electrotherapy and combination systems Specifications put forth in this manual were in effect at the time of publication However owing to Chattanooga Group s policy of continual 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 the users of this equipment should read understand and follow the information contained in this manual for each mode of treatment available as well as the indications Ontraindications warnings and precautions Consult other resources for additional information regarding the application of slectrotheralg and ultrasound PRODUCT DESCRIPTION The Vectra Genisys Therapy Systems are two channel electrotherapy and nation systems with the option of adding additional channels of electrotherapy by installation of the optional Channel 3 4 Electrotherapy Module Other optional modality modules are available for separate purchase and may be installed by the end user Stay current with the latest clinical developments in the field of electrotherapy ultrasound laser therapy SEMG and sEMG Stim Observe all applicable precautionary measures for treatment Keep informed of appro
88. from the system There is no method for recovery of the user defined Sequences nor can they be saved to any other medium There are eight Default Sequences indicated by an asterisk that cannot be deleted Access Sequencing Select Sequence Delete Sequence Press the Clinical Resources Library button Press the Up and Down Arrow buttons until Press the Delete button to delete highlighted Press the Sequencing button the desired Sequence is highlighted Sequence UP AND DOWN A verification screen will appear Press Yes button ARROW BUTTONS to delete Sequence or No button to keep Sequence SEQUENCING BUTTON Repeat this process until all desired user defined MT Sequences are deleted Press the Home button to return to the Home screen 108 A OPERATION CLINICAL RESOURCES LIBRARY USING SEQUENCES Access Sequencing Select Sequence Press the Clinical Resources Library button Press the UP and Down Arrow buttons until the Press the Sequencing button prescribed Sequence is highlighted Press the Accept and Return Arrow button UP ARROW BUTTON DOWN ARROW BUTTON SEQUENCING alli BUTTON 109 Vectra Genisys Therapy System Select Waveform Current Press the Down Arrow button on the Sequence screen to highlight the prescribed waveform current in the Sequence Press the Edit button DOWN ARROW AE Burton a como mt Es OPERATION CLINICAL RESOURCES LIBRARY USING SE
89. h and Off VOLUME BUTTON NOTE If Volume is Off no alarm will be heard when contraction reaches the target setting OPERATION sEMG THERAPY SET UP CONTINUED Start SEMG Therapy Session Have patient perform contractions as prescribed As the patient contracts the muscle the Vertical Scale for the channel being used will begin to fill from bottom to top When the scale reaches the Target the alarm will sound DISPLAYED VERTICAL SCALE a a CHANNEL TARGET gt 153 ull Ene SCALE TARGET POINT lt _ EACH CONTRACTION MAXIMUM Stopping sEMG Therapy Session Press the Stop Button The Completed Treatment Review Screen will display 60 Vectra Genisys Therapy System NOTE To record the sEMG Data to a SEMG Data Card refer to the sEMG Data Card Section of this Manual for Set Up and use of the sEMG Data Card To save the session parameters to a Patient Data Card refer to pages 80 through 89 for set up and use of the Patient Data Card The sEMG Data Card cannot be used to save session parameters OPERATION Vectra Genisys Therapy System INDICATIONS The Vectra Genisys Therapy System incorporates a unique Indications section which allows the user to select specific Clinical Indications and apply the most common therapy for the Indication selected All modalities are editable in their normal editing fashion in order to customize the treatment for each
90. he Sound Head to increase patient comfort With Head Warming enabled ultrasound is emitted without pressing the Start button The Applicator LED will not illuminate during the Head Warming period US Channel will indicate Head Warming UU cosa gees corner EE 0 50 Cycling of maximum power Bielie axa tau ON OE EE EE EE 3 3 Mhz Sound Head Temperature 29 4 C 43 3 C 85 F 110 F Do not apply the Ultrasound Applicator to the patient during the Head Warming period Applicator must remain in Applicator Hook during the Head Warming period S ET U P Vectra Genisys Therapy System VECTRA GENISYS THERAPY SYSTEMS Remove the Vectra Genisys Two or Four Channel Therapy System and all accessories from the shipping carton Visually inspect for damage Report any damage to the carrier immediately Contents of Carton e Vectra Genisys Two or Four Channel Electrotherapy or Combination System e SEMG Module Installed on System e Patient Data Cards 1 e DURA STICK II 1 25 in 3 cm Round Disposable Electrodes 2 packs of 4 for use with sEMG and sEMG Electrical Stimulation e SEMG Lead Wires one for Channel 1 and one for Channel 2 Electrotherapy Lead Kit that includes e Lead Wires one for Channel 1 and one for Channel 2 e DURA STICK II 2 75 in 7 cm Round Disposable Electrodes 1 pack of 4 Lead Wires one for Channel 3 and one for Channel 4 Four 4 Channel Systems only 5 cm2 Ultrasound Applicator Com
91. his warranty shall remain in effect for two years 24 months from the date of original consumer purchase If these Products fail to function during the two year warranty period due to a defect in material or workmanship at the Company s Option Company or the selling dealer will repair or replace the respective 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 certified by the Company Any modifications or repairs performed by unauthorized centers or groups will void this warranty The warranty period for certain accessories is 90 days Accessories consist of Lead Wires Operator Remote Electrodes Patient Data Cards SEMG Data Cards and Nylatex The warranty period for the Therapy System Cart Battery Module Laser Applicators and Ultrasound Applicators is one year 12 Months To participate in warranty coverage this Product s warranty registration card included with Product must be filled out and returned to the Company by the original owner within ten 10 business days of purchase This Warranty Does Not Cover e Replacement parts or labor furnished by anyone other than the Company the selling dealer or a certified Company service technician Defects or damage caused by labor furnished by someone other than Company the selling dealer or a certified Company service technician Any malfunct
92. ibed waveform is highlighted Press the Accept and Return Arrow button TOG gt e OPERATION Vectra Genisys Therapy System SEMG STIM THERAPY SET UP CONTINUED Edit Stim Press the Edit Stim button EDIT STIM BUTTON BUTTON vectra GEN SYS Refer to page 45 for Stim Editing procedures After editing is complete press the Back button NOTE Stim treatment time is fixed and cannot be changed Select Target Option Three options are available for setting the sEMG modality target Max Maximum of muscle contractions in 10 seconds Avg Average of maximums achieved in 15 seconds of muscle contractions Manual Set Target manually Press the Target button until the prescribed TARGET BUTTON Capture Target 75 Setting Max Target Make certain Target Max is displayed in the Target icon Press the Capture Target button Have the patient begin contracting the muscle and press the Begin Capture button Patient should contract the muscle as hard as possible during the preset 10 second contraction period BEGIN CAPTURE i BUTTON NOTE The capture may be stopped by pressing the End Capture button The System will then select the maximum contraction level achieved during the preset 10 second contraction period OPERATION Vectra Genisys Therapy System SEMG STIM THERAPY SET UP CONTINUED During the preset 10 second contraction pe
93. ies that have come in contact with bodily fluids according to National Local and Facility rules regulations and procedures Vectra Genisys Therapy System NDANGER NiMH Batteries contain Class E Corrosive materials In the event of battery cell rupture or leakage handle Battery Module wearing neoprene or natural rubber gloves Contents of a ruptured or leaking battery can cause respiratory irritation Hypersensitivity to nickel can cause allergic pulmonary asthma Contents of cell coming in contact with skin can cause skin irritation and or chemical burns Never under any circumstances open the Battery Module housing or cells Should an individual cell from a battery become disassembled soontaneous combustion of the negative electrode is possible There can be a delay between exposure to air and spontaneous combustion e Charge the Battery Module according to the instructions found in this manual Never attempt to charge the Battery Module on any other charging mechanism Use the Battery Module only with the Vectra Genisys Therapy Systems Do not reverse the polarity of the Battery Module Doing so can increase the individual cell temperature and cause cell rupture or leakage Never dispose of Battery Module in fire Never short circuit the battery The battery may explode ignite leak or get hot causing serious personal injury e Dispose of NiMH batteries according to national state and local c
94. imary system with all controls and functions Module Any optional modular modality component designed for installation onto the System sEMG Abbreviation for the Surface Electromyography modality 17 sEMG Stim Abbreviation for Surface Electromyography with Triggered Electrical Stimulation modality ULTRASOUND 1 Sound Head That component of the Applicator that makes contact with the patient during Ultrasound or Combination therapy 2 Applicator The assembly that connects to the System and incorporates the Sound Head 3 Coupling LED The component of the Applicator which indicates if the Sound Head is Coupled or Uncoupled on the the treatment area SPECIFICATIONS Vectra Genisys Therapy System SYSTEM SPECIFICATIONS AND DIMENSIONS Width Combination SYSTEM ccc cece cence cece eee 11 375 in 28 9 cm Electrotherapy System 0 cc cece se se se se 9 750 in 24 8 cm Depth Combination and Electrotherapy System 12 750 in 32 4 cm Height Combination and Electrotherapy System 8 750 in 22 2 cm Standard Weight Two Channel Combination System EE ee eee 7 Ibs 3 2 kg Two Channel Electrotherapy System 0 0 c eee aes 6 Ibs 2 7 kg Power Combination and Electrotherapy Units Vele te EE N NO ag 100 240 V 1 0 A 50 60 Hz Output Internal Power Supply 00 e cece cece 24V 7 3A PICCUNG ai hls RE ER OE ER ROET EN CLASS Model OP OP sass terro
95. inimize this interference by not using other equipment in conjunction with it The safety of TENS waveforms for use during pregnancy or birth has not been established TENS is not effective for pain of central origin This includes headache TENS should be used only under the continued supervision of a physician or licensed practitioner TENS waveforms have no curative value TENS is a symptomatic treatment and as such suppresses the sensation of pain which would otherwise serve as a protective mechanism e The user must keep the device out of the reach of children Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when TENS stimulation is in use Vectra Genisys Therapy System e Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the manufacturer 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 system that must be tested by Chattanooga Group or a Field Service Technician certified by Chattanooga Group before any further operation or use of the system Use of a system that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or cause extensive internal damage to the system Use of controls
96. ion or failure in the Product caused by product misuse including but not limited to the failure to provide reasonable and required maintenance or any use that is inconsistent with the Product User s Manual COMPANY SHALL NOT BE LIABLE IN ANY EVENT FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES Some states 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 dealer 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 IN 37343 USA Telephone 1 423 870 2281 or 1 800 592 7329 Canada 1 800 366 6661 Facsimile 1 423 875 5497 and 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 representative 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 148 gt ft Es Moving Rehabilita
97. isplay BUTTON 64 mt Es OPERATION INDICATIONS CONTINUED Editing Parameters during Treatment Save to Patient Data Card Session After session is complete press the Save The parameters may be edited during to Patient Card button Refer to pages 80 a treatment session without pausing or through 89 for Patient Data Card Setup stopping the treatment and use Refer to page 48 for parameter changes to electrotherapy waveforms and currents and page 52 for editing Ultrasound NOTE The intensity can be increased or decreased by rotating the Intensity Knob as desired without pressing the Edit button 65 Vectra Genisys Therapy System O P E R ATI O N Vectra Genisys Therapy System COMBINATION The Vectra Genisys Therapy System Combination modality allows the user to select and use ultrasound therapy in combination with electrical muscle stimulation Combination therapy utilizes the Ultrasound modality in conjuction with High Voltage Pulsed Current HVPC IFC 4p IFC Premodulated 2p Asymmetrical Biphasic Symmetrical Biphasic or VMS to generate a therapeutic effect In this mode of therapy the Sound Head of the Ultrasound Applicator becomes one half of the electrical circuit An electrode attached to the Black Lead Wire completes the circuit P Pati Select Modality vaas hose Dese sie Refer to pages 32 through 35 to Press the Combination button on the Home Press the Waveform Description button prep
98. l Intensity Knob Rotation Clockwise Increases Intensity Counterclockwise Decreases Intensity 69 Pi 4 Vectra Genisys Therapy System lt gt Start Treatment Press the Start button to begin therapy Move the Applicator in a circular motion on the treatment area BUTTON F Al T Oe NOTE If US Coupling is On and the Sound Head loses coupling with the treatment area the session will TOE pause When coupling is re P established the session will like automatically restart See page 29 for US Coupling W ji settings A OPERATION COMBINATION CONTINUED 2 Pause Treatment Press the Pause button to pause therapy session and maintain remaining time To resume treatment press the Pause button again PAUSE BUTTON dn Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display 70 Vectra Genisys Therapy System Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 80 through 89 for Patient Data Card Setup and use mt Es OPERATION Vectra Genisys Therapy System ADJUSTING COMBINATION PARAMETERS DURING TREATMENT The channel parameters may be changed during a treatment session without pausing or stopping the treatment The following information provides instructions for changing Combination Treatment Electrotherapy Channel an
99. lated to electrode size Improper application may result in patient injury If any question arises as to the proper electrode size consult a licensed practitioner prior to therapy session The Vectra Genisys Therapy System optional modules and associated accessories are designed for use only with the Chattanooga Group Vectra Genisys Electrotherapy and Combination Therapy Systems Remove the Ultrasound or Laser Applicator by pulling the cable connector only DO NOT remove by pulling the cable SAFETY PRECAUTIONS BIOHAZARD DANGER e Stimulus delivered by the TENS waveforms of this device in certain configurations will deliver a charge of 25 microcoulombs uC or greater per pulse and may be sufficient to cause electrocution Electrical current of this magnitude must not flow through the thorax because it may cause a Cardiac arrhythmia Patients with an implanted neurostimulation device must not be treated with or be in close proximity to any shortwave diathermy microwave diathermy therapeutic ultrasound diathermy or laser diathermy anywhere on their body Energy from diathermy shortwave microwave ultrasound and laser can be transferred through the implanted neurostimulation system Can cause tissue damage and can result in severe injury or death Injury damage or death can occur during diathermy therapy even if the implanted neurostimulation system is turned off Handle clean and dispose of components and accessor
100. linical Resources LibraFY 000 98 Edit First Waveform or Current 0 0 c eee 106 Enter User Protocol Name 0 cece eee eee ees 99 Select Second Waveform or Current 106 gt CLINICAL RESOURCES LIBRARY Saving New Seduence unaua aaraa ee ee 106 DELETING USER PROTOCOLS osse esseessses sees se 100 Enter Sequence Name Se ccc eens 107 li General Information 0 00 00 0 0 0 ccc cece cee eee 100 vi TABLE OF CONTENTS ena iy Therapy te gt CLINICAL RESOURCES LIBRARY gt INSTALLATION CHANNEL 3 4 ELECTROTHERAPY DELETING SEQUENCES ccc cc cece sesse sesse see se 108 NiMH BATTERY AND LASER MODULE 2 115 General Information 0 00 00 00 ccc ccc cece 108 Possible System Configurations 0045 115 Access Seduencing ES SE ee ee ee 108 Nomenclature Channel 3 4 Electrotherapy Module 116 Select Seduence ccc ee ee ee 108 Specifications ee ee ee ee ee ee ee Lele Delete Sequence 00 ccc cence nen 108 Waveform amp Current Specifications 117 gt CLINICAL RESOURCES LIBRARY Disconnect Mains Power oa 118 USING SEQUENCES ies ses se KEES Ese Ee SE Ve GE ER SEG 109 Remove Lead Wires and AccessorieS unana 118 Access Sequencing ES SE SE ee ee ee 109 Remove Therapy System from Cart
101. ll appear Press any button to return to the Utilities screen 28 Set Date and Time Press Set Date and Time button Press the UP or Down Arrow button for the respective area until desired change is displayed After all desired changes are made press the Back button to return to the Utilities screen Restore Default Uni Settings Erase Patent Card MF Hone Irereried Set Date and Time we oR e T DAAGS 253 Ph SET UP Vectra Genisys Therapy System THERAPY SYSTEM SET UP CONTINUED Setting System Volume Press Volume button until VOLUME the desired system volume is My e BUTTON achieved There are six settings Off X Low Low Med High and X High Each time the Volume button is Fe zoe pressed the setting displayed will MM youre emit three beep tones at that level US Couping Display Lirut Version Information Pad Contact Quality Off Language Engheh 29 Ultrasound Coupling This warning system works in conjunction with the Applicator LED to alert the user should the Sound Head become uncoupled from the patient Press the US Coupling button until the desired setting is displayed There are four different alarm settings and an Off setting Pause and Beep Pauses Treatment Time and emits an audible beep When the Applicator Sound Head is re coupled to the patient the Treatment Timer will automatically restart Pause and No Beep Pauses Treatment Timer When th
102. lly set to the corresponding level Select Pain Scale Select the desired Pain Scale by pressing the corresponding button NUMERIC PAIN ETER N BUTTON Placenerit Mumeric Pain Scale Gave to Patient Card VISUAL PAIN SCALE BUTTON 85 Adjust Pain Scale Press the Left and Right Arrow buttons to adjust the Pain Scale to the level the patient is experiencing RIGHT ARROW i BUTTON After the desired level is achieved press the Accept and Return Arrow button NOTE Numeric Pain Scale illustrated OPERATION PATIENT DATA CARD SET UP OF NEW CARD CONTINUED Save to Patient Data Card After all desired session data has been Press the Home button entered in the Patient Data Card screens Remove the Patient Data Card for filing with press the Save to Patient Card button A patient records message will appear stating the data has The Patient Data Card can also be used with been saved to the Patient Data Card the optional Patient Data Management Press any button System fe Save Patent L a ard After pressing any button the Completed Treatment Review screen will display 86 Vectra Genisys Therapy System mt Es OPERATION 2 Vectra Genisys Therapy System EXISTING PATIENT DATA CARD USE Insert Existing Patient Data Card Insert the Patient Data Card assigned to the patient receiving treatment into the system access port as shown below INSERT EXISTING PATI
103. m current for second and third waveform current 106 gt ft Es O P E R AT I O N Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY CREATING NEW SEQUENCES CONTINUED Enter Sequence Name Select the row of aloha or numeric When the desired character is framed press To delete a character press the Left Arrow characters desired by pushing the button the Accept and Return Arrow button The button until the character to be deleted is beside the corresponding row Select the character selected will display in the top of framed Press the Delete button desired character in the row by pressing the screen and the cursor will advance to To discard entire entry press the Back the row button until the desired letter is the next position Son framed l To move back a character press the Left Repeat this procedure until the desired SELECT ROW AND CHARACTERS Arrow button sequence name is entered After sequence name is entered press the Save button NOTE To add a space select the area to the left of the letter A 107 OPERATION Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY DELETING SEQUENCES General Information The following information provides instructions for the deletion of one user defined sequence at a time Once any single sequence is deleted it cannot be recovered Should the Default Protocols be restored through the User Utilities all user defined sequences will be permanently removed
104. n C Connect a known good Laser Applicator D If problem continues send Laser Module to Factory for service Patient Data Card button on Home screen was pressed with no Properly insert a Patient Data Card set up and perform the treatment and save data to Patient Patient Data Card installed into system port and no treatment Data Card currently being performed 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 system that must be tested by Chattanooga Group or a Field Service Technician certified by Chattanooga Group before any further operation or use of the system Use of a system 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 system 145 gt ft Es REPLACEMENT ACCESSORIES eis hey item GENERAL INFORMATION The following provides the users of the Vectra Genisys Therapy System the necessary information to order the replacement accessories most commonly used with the System This list of replacement accessories are designed for use with the Vectra Genisys Therapy System When ordering provide the respective part number description and quantity desired PART DESCRIPTION NUMBER Operator Remote Channels 1 amp 2 26 AWG 68 89 in 174 1
105. n Edit parameters as channel desired is framed desired VIEW EDIT BUTTON View Edit Patie Channel None SELECT CHANNEL BUTTON When finished editing the selected channel press the Home button to select another channel if desired Press the View Edit Channel button The To view the Treatment Review screen if Treatment Review screen will display the Home screen is displayed press the View Edit Channel button If the Edit screen is displayed press the Back button 48 O P E R ATI O N Vectra Genisys Therapy System ULTRASOUND The Vectra Genisys Therapy System Ultrasound modality allows the user to select specific Sound Head recommendations and edit treatment parameters for various syndromes requiring the use of ultrasound therapy The following information gives general instructions for the setup of ultrasound therapy when selecting Ultrasound from the Home screen Clinical Protocols Indications and Ultrasound treatment parameters are edited in their respective fashions Refer to page 36 for Applicator sizes Press the Parameter Rationale button for Press Sound Head Recommendation patient preparation and use of conductive text Press the Next Page button to continue button to view text explaining how to select medium viewing text an Ultrasound Applicator size based on treatment area NOTE Use only Vectra Genisys Ultrasound Applicators Previous models of Chattanooga Group Ultrasound Appli
106. n av wr START BUTTON If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message Intensity Knob Rotation NOTE If the Patient Interrupt Switch Ore PE EnS i Counterclockwise Decreases Intensity is depressed a second time the message will clear from the screen and the treatment will remain paused 46 Deeg OPERATION GENERAL ELECTROTHERAPY WAVEFORM SET UP CONTINUED Or ennen seer Press the Pause button to pause therapy To Stop treatment press the Stop button session and maintain remaining time To once Treatment will stop and the resume treatment press the Pause button Completed Treatment Review screen will again display 47 Vectra Genisys Therapy System Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 80 through 89 for Patient Data Card Setup and use mt Es OPERATION Vectra Genisys Therapy System ADJUSTING ELECTROTHERAPY CHANNEL PARAMETERS DURING TREATMENT The Electrotherapy channel parameters may be changed during a treatment session without pausing or stopping the treatment The waveform Intensity may be increased or decreased at any time during the session without utilizing this process Select Channel Edit Channel Paramenters Press the Home button Press the Select Channel button until the Press the Edit butto
107. nated with an orange color Pause button Make certain the remote for the channels being used is connected to the respective System or Module before administering any therapy with the Operator Remote Operator Remote Installation 1 Remove the Front Access Panel 2 Connect the Operator Remote into its respective jack CHANNEL 1 2 OPERATOR REMOTE Pa bi ia me sae ty ri j a a j j CHANNEL 3 4 OPERATOR REMOTE 3 Reinstall the System Front Access Panel 130 NOTE If the System is equipped with the Channel 3 4 Electrotherapy Module the Channel 3 4 User remote will be installed into the respective jack on the Module Operator Remote is to be used under supervision of a physician or licensed practitioner only The Operator Remote is not intended for patient use Vectra Genisys Therapy System INSTALLATION REMOVAL GENERAL INFORMATION THERAPY SYSTEM CART The optional Therapy System Cart is designed for use with the Vectra Genisys Electrotherapy and Combination Systems only and allows the user to easily transport the System from patient to patient within the clinic as well as store all necessary accessories supplies and applicators used for the various modalities of the System The following instructions will explain the proper installation of the Vectra Genisys Therapy System with and without optional modules to a Therapy System Cart Nomen
108. nels 1 and 2 or 3 and 4 The Vectra Genisys Therapy System is equipped with a factory installed SEMG Module NOTE The sEMG Module cannot be installed onto the Battery or Laser Module It can only be installed onto the Two Channel System or the Channel 3 4 Electrotherapy Module e Battery Powered Two Channel Electrotherapy or Combination System with sEMG and sEMG Electrical Stimulation Install the NIMH Battery Module The sEMG Module is factory installed on Vectra Genisys Therapy Systems NOTE The Battery Module cannot be installed on a Four Channel System or a system with the Laser Module installed The Channel 3 4 Electrotherapy or Laser Module must first be removed The Channel 3 4 Electrotherapy NIMH Battery and sEMG Optional Modules are shipped with all necessary lead wires and accessories in order to complete the installation and allow immediate use by a physician or licensed practitioner The Laser Module requires separate purchase of a Vectra Genisys Laser Applicator before the Laser Module will function No special tools or equipment are required for optional Module installation The System is programmed to automatically recognize the new Module s therefore no software installation is required This section explains user installation procedures for the following modules Channel 3 4 Electrotherapy Module NiMH Battery Module and SEMG Module 115 TOG Whey Wi A INSTALLATION REMOVAL Vectra Genisys Therapy System
109. ng dealer or Chattanooga Group Technical Support immediately DO NOT USE THE SYSTEM until all necessary repairs are made by a Technician certified by Chattanooga Group If use is attempted before repairs are made the System may operate unpredictably and has the potential of causing injury to the patient or damage to the System s internal components 126 Vectra Genisys Therapy System INSTALLATION REMOVAL INSTALLING sEMG MODULE This section applies only to models capable Secure sEMG Module of supporting the functions of the SEMG Push the upper portion of the SEMG module Module until it snaps and is locked into Position sEMG Module position Position the sEMG Module so that the two mounting tabs are inserted into the System or Channel 3 4 Electrotherapy Module mounting slots MOUNTING TABS 127 Vectra Genisys Therapy System Install and Reinstall Additional Module If desired install a Channel 3 4 Battery or Laser Module to the System Refer to pages 118 through 122 for installation instructions prior to the following procedures Install Rear Access Panel Insert the Power Cord into the System Mains connector Install the Rear Access Panel REAR ACCESS CONNECT PANEL POWER CORD NOTE If installing the System to a Therapy System Cart refer to pages 131 through 133 for proper instructions INSTALLATION REMOVAL oo Mees They stem INSTALLING sEMG MODULE CONTINUED Ins
110. nt will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment will remain paused 88 Vectra Genisys Therapy System Set Intensity Set intensity by rotating the Intensity Control Knob to the prescribed level INTENSITY DISPLAYED EE isvs ROTATE INTENSITY Intensity Knob Rotation Clockwise Increases Intensity Counterclockwise Decreases Intensity Deeg OPERATION EXISTING PATIENT DATA CARD USE CONTINUED lt gt start Treatment GY Pause Treatment Press the Start button to begin therapy session Press the Pause button to pause therapy session and maintain remaining time To j resume treatment press the Pause button START Nes el an BUTTON PAUSE BUTTON 89 Vectra Genisys Therapy System To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display STOP BUTTON Erasing Patient Data Card Refer to page 28 for proper Patient Data Card Erasing instructions mt ES O P E R AT I O N Vectra Genisys Therapy System SET UP OF NEW sEMG DATA CARD General Information The Vectra Genisys Therapy System incorporates a sEMG Data Card that allows the recording of SEMG data from sEMG therapy sessions After recording the sEMG data it can be im
111. o start another B Reset Therapy System by turning main power switch Off and On Warning 1 No sEMG Channels are available for treatment A Wait until current treatment is complete Warning 2 No sEMG Module installed or detected by system B Reset Therapy System by turning main power switch Off and On C Make certain sEMG Module is properly installed Refer to SEMG Module User Manual for installation instructions D Replace SEMG Module with known good sEMG Module E If problem continues contact dealer or Chattanooga Group for service 142 TROUBLESHOOTING oo EG Tere ERROR CODES CONTINUED Code Type Probable Cause Possible Remedies Number Message Warning SEMG Data Card full SEMG Data Card faulty Insert a known good sEMG Data Card If problem continues contact dealer or Chattanooga Group for service Warning Another treatment is running while attempting to set up and A Allow existing treatment to complete before starting Laser Therapy perform a Laser Therapy treatment B If no other treatment is running reset Therapy System by turning main power switch Off and On Warning Treatment Room Laser Interlock is breached A Make certain Treatment Room Door is completely closed B Make certain the Laser Interlock cable is connected to the system C Replace Laser Interlock to System cable with a known good cable D Contact department responsible for installation of the Treatment Room Laser Interlock mechanism f
112. odes and regulations f f SAFETY PRECAUTIONS Vectra Genisys Therapy System ELECTROTHERAPY INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS Indications for VMS VMS Burst Russian TENS High Voltage Contraindications Pulsed Current HVPC Interferential and Premodulated This device should not be used for symptomatic local pain relief Waveforms unless etiology is established or unless a pain syndrome has e Relaxation of muscle spasms been diagnosed e Prevention or retardation of disuse atrophy e This device should not be used when cancerous lesions are Increase local blood circulation present in the treatment area e Stimulation should not be applied over swollen infected inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins etc e Muscle re education e Maintaining or increasing range of motion Additional Indications for Microcurrent Interferential e Other contraindications are patients suspected of carrying Premodulated VMS VMS Burst and TENS Waveforms serious infectious disease and or disease where it is advisable Symptomatic relief and management of chronic intractable for general medical purposes to suppress heat or fevers pam Electrode placements must be avoided that apply current e Post traumatic acute pain to the carotid sinus region anterior neck or transcerebrally e Post surgical acute pain through the head Indications for DC Direct Current Mode
113. ol Knob to the Highlighted prescribed level Set intensity by rotating the Intensity Control Knob to the prescribed level Patent swich for Chi and Pwan prenead Fares any button In continue If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the Intensity Knob Rotation screen and the treatment will Clockwise Increases Intensity Repeat for the third waveform current in the remain paused Counterclockwise Decreases Intensity sequence 111 OPERATION CLINICAL RESOURCES LIBRARY USING SEQUENCES CONTINUED lt gt Start Treatment Q Pause Treatment Press the Start button to begin therapy Press the Pause button to pause therapy session session and maintain remaining time To resume treatment press the Pause button again START BUTTON PAUSE BUTTON 112 Vectra Genisys Therapy System Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display STOP BUTTON Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 80 through 89 for Patient Data Card Setup and use Toc hey wal A O P E R ATI O N Vectra Genisys Therapy System CLINICAL RES
114. or Chattanooga Group Service Department immediately Do not attempt to use a system that has been wet inside until inspected and tested by a Service Technician Certified by Chattanooga Group Do not allow liquids to enter the ventilation holes in the optional modules This could permanently damage the modules Cleaning the Lens Clean the Therapy System Screen Lens using NOVUS Polish System Contact Novus at novuspolish com Cleaning Reusable Electrodes Use distilled water on a damp cloth to wipe the surface regularly after usage CALIBRATION REQUIREMENTS Calibrating Ultrasound Applicators Annual factory calibration is required for all Ultrasound Applicators Only the Applicators should be sent to the factory or a Field Technician certified by Chattanooga Group for this procedure NOTE The unit was calibrated during the manufacturing process and is ready to be placed into service upon delivery Council Directive 2002 96 EC concerning Waste Electrical and Electronic WEEE Indicates a requirement not to dispose of WEEE as municipal waste Contact your local distributor for information regarding disposal of the unit and accessories 147 FACTORY SERVICE When the Vectra Genisys Therapy System or any of the accessory modules require factory service contact the selling dealer or Chattanooga Group Service Department All Therapy System and accessory modules returned to the factory for service must include the following WARRANT
115. or maintenance or repair E If problem continues send Laser Module to Factory for service plugged in B If Applicator is connected reset Therapy System by turning main power switch Off and On C Connect a known good Laser Applicator D If problem continues send Laser Module to Factory for service Warnin Laser Applicator became unplugged while performing a laser A Connect desired Laser Applicator to the system g gg g y treatment B If Laser Applicator is connected reset Therapy System by turning main power switch Off and On C Connect a known good Laser Applicator D If problem continues send Laser Module to Factory for service Warning Entered incorrect laser PIN A Enter correct Laser PIN number B If problem continues send Laser Module to Factory for service 143 BS Warning Attempted to start a laser treatment but no Laser Applicator is A Connect desired Laser Applicator to the system TROUBLESHOOTING Vectra Genisys Therapy System ERROR CODES CONTINUED Code Probable Cause Number Type Message Battery Module Software upgrade warning Warning A Laser Protocol was selected but no Laser Module is installed on system A Laser Protocol was selected but no Laser Applicator connected to system 144 Possible Remedies Upgrade Control Board Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Upgrade Stim Board Soft
116. per year to prevent performance deterioration and battery leakage due to self discharge from storage gt ft Es TROUBLESHOOTING 00a ents Sten ERROR CODES General Information The Vectra Genisys Therapy Systems incorporate error messages and warnings to inform the user of problems or potential problems with the system modality or accessories These are numbered so the user can possibly correct the problem without the aid of service personnel Use the following Troubleshooting Charts to define the error codes and locate the probable cause and possible remedies before contacting the dealer or factory for technical service Code Type Probable Cause Possible Remedies Number Message Warning Overcurrent A Check Electrodes and Lead Wires Make certain Lead Wires are not damaged and are properly connected to the system Make certain Lead Wires are properly connected to the Electrodes and that electrodes are not damaged and are making proper contact with treatment area B Replace Lead Wires and Electrodes Warning Shorted Lead Wires A Check Electrodes and Lead Wires Make certain Lead Wires are not damaged and are properly connected to the system Make certain Lead Wires are properly connected to the Electrodes and that Electrodes are not damaged and are making proper contact with treatment area B Replace Lead Wires and Electrodes Blank Patient ID Properly enter Patient ID Refer to Therapy System User Manual for Patient Data Card
117. ported saved to and viewed through a Windows PC equipped with the optional Patient Data Management System The Patient Data Management System software and Card Reader are designed to allow importing and easy access to the sEMG data printing of reports adding session notes and adding other sEMG specific information to the sEMG data through a Windows PC The Therapy System sEMG Data Card allows recording only of the sSEMG Data No sEMG Data may be recorded from the PC and saved to the SEMG Data Card for use in the Therapy System However the sEMG session parameters may be saved to a Patient Data Card refer to pages 80 through 89 and recalled in the Therapy System Each time an existing SEMG Data Card is used for another sEMG therapy session the existing SEMG data is overwritten with the new session data It is recommended that each patient be assigned a SEMG Data Card sEMG Data cannot be saved or recorded to the Patient Data Card NOTE This section applies only to models capable of supporting the functions of the sEMG module 90 OPERATION SET UP OF NEW sEMG DATA CARD CONTINUED Insert New sEMG Data Card Set Up sEMG Therapy Session Insert a new sEMG Data Card into the Set up the patient s prescribed sEMG system access port as shown below The therapy session Refer to pages 53 Therapy System will automatically format through 60 of this manual for sEMG the new sEMG Data Card and a verification modality set up message will appea
118. priate indications and contraindications for the use of electrotherapy ultrasound SEMG and sEMG Stim This equipment is to be used only under the prescription and supervision of a licensed practitioner 2008 Encore Medical L P and its affiliates Austin Texas USA Any use of editorial pictorial or layout composition of this publication without express written consent from Chattanooga Group of Encore Medical L P is strictly prohibited This publication was written illustrated and prepared for distribution by Chattanooga Group of Encore Medical L P 1 SAFETY PRECAUTIONS Vectra Genisys Therapy System PRECAUTIONARY DEFINITIONS 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 definition 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 VAN DANGER Text with a DANGER indicator will explain possible safety infractions that are imminently hazardous situations that would result in death or serious injury Dangerous Voltage Text with a Dangerous
119. r Press the Setup sEMG Card button Press any button to continue INSERT NEW sEMG DATA CARD SETUP sEMG CARD BUTTON Prepare System and Patient Prepare Therapy System and patient Refer to pages 37 through 40 91 Vectra Genisys Therapy System Enter Patient ID Select the row of aloha or numeric characters by pushing the button beside the corresponding row Select the desired character in the row by pressing the row button until the desired letter is framed SELECT ROW AND CHARACTERS OPERATION Vectra Genisys Therapy System SET UP OF NEW sEMG DATA CARD CONTINUED When the desired character is framed press To delete a character press the Left Arrow the Accept and Return Arrow button The button until the character to delete is character selected will display in the top of framed Press the Delete button the screen and the cursor will advance to he To discard entire entry press the back the next position Button To move back a character press the Left Repeat this procedure until the desired Arrow button p P Patient ID is entered After Patient ID is entered press the Save button ABC OJEFGHIJKLM M SAVE BUTTON ARROW BUTTON NOTE To add a space select the area to the left of the letter A 92 Begin Save Press the Begin Save button A message will appear verifying that sEMG data is being recorded After the message has been removed have the patient
120. r skin eruptions e g phlebitis e Maintaining or increasing range of motion thrombophlebitis varicose veins etc e Other contraindications are patients suspected of carrying serious infectious disease and or disease where it is advisable for general medical purposes to suppress heat or fevers Electrode placements must be avoided that apply current to the carotid sinus region anterior neck or transcereberally through the head Safety has not been established for the use of therapeutic electrical stimulation during pregnancy Powered muscle stimulators should not be used on patients with cardiac demand pacemakers There should not be any use of TENS waveforms on patients with cardiac demand pacemakers Stroke rehab by muscle re education e Relaxation of muscle spasms Prevention or retardation of disuse atrophy e Increase local blood circulation 10 SAFETY PRECAUTIONS Vectra Genisys Therapy System sEMG STIM INDICATIONS CONTRAINDICATIONS AND ADVERSE EFFECTS CONTINUED Additional Precautions e Caution should be used for patients with suspected or diagnosed heart problems e Caution should be used for patients with suspected or diagnosed epilepsy e Caution should be used in the presence of the following When there is a tendency to hemorrhage following acute trauma or fracture Following recent surgical procedures when muscle contraction may disrupt the healing process Over a menstr
121. raph filled CHANNEL 2 wll NO CONTACT QUALITY a S ET U P Vectra Genisys Therapy System THERAPY SYSTEM SET UP CONTINUED Select Language Connecting Accessories to the Therapy System To change the language Install Lead Wires Ultrasound Applicator Patient Interrupt Switch displayed on the system press and any other accessories according to the Front Access Panel as the Language button until the illustrated below Refer to page 16 for Symbol Definitions desired language is displayed Display Ura Press Home button to set the Ed lee language and return to Home med OPERATOR REMOTE MICROCURRENT PROBE Pad Contact Quality OPTIONAL OPTIONAL screen afi If Unit Default Settings are Language restored the language will revert i back to English Erase Patent Card Pad Contact Quality None Inserted DIT Set Date and Time Language 2 7 2005 253 PM Engish CHANNEL 1 2 CHANNEL 1 CHANNEL 2 ULTRASOUND APPLICATOR PATIENT INTERRUPT SWITCH LEAD WIRE LEAD WIRE COMBO SYSTEMS ONLY OPTIONAL BLACK GREY 31 Deeg PATIENT PREPARATION RE wer ELECTROTHERAPY PATIENT PREPARATION Electrode Placement Examine the skin for any wounds and clean the skin e Apply the electrodes to the treatment area Ensure the electrodes are applied securely to the skin e Ensure good contact between each electrode and the skin e Check the electrode contact regularly during the treatment e Examine the skin again
122. rclockwise Decreases Intensity Deeg OPERATION ULTRASOUND CONTINUED lt gt start Treatment Press the Start button to begin therapy session Move the Applicator in a circular motion over the treatment area BUTTON NOTE If US Coupling is On and the Sound Head loses coupling with the treatment area the session will pause When coupling is reestablished the session will automatically restart See page 29 for US Coupling settings 2 Pause Treatment Press the Pause button to pause therapy session and maintain remaining time To resume treatment press the Pause button again or If US Coupling is On and the Sound Head loses coupling with the treatment area the session will pause When coupling is reestablished the session will automatically restart Refer to page 29 for US Coupling settings PAUSE BUTTON 51 Vectra Genisys Therapy System F stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Treatment Review screen will display STOP BUTTON Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 80 through 89 for Patient Data Card Setup and use Toc u m A O P E R ATI O N Vectra Genisys Therapy System ADJUSTING ULTRASOUND PARAMETERS DURING TREATMENT The ultrasound parameters may be changed during a treatment session without pausing or stopping the treatment The following
123. rea View Electrode Placement Graphic Press the Electrode Placement button to Press the Up and Down Arrow buttons Press the Accept and Return Arrow button view the Select Body Area screen until the area desired is highlighted to view the specific electrode placement graphic ELECTRODE PLACEMEN EPT AND RETURN ARROW BUTTON Electrode Placement 1 Flexor carpi radialis longus DOWN ARROW BUTTON NOTE The Page Up and Page Down buttons allow navigation either NOTE at the top or bottom of the available selections As illustrated the two Black electrodes represent Active electrodes and the one White electrode represents the Reference electrode 38 gt ft Es PATIENT PREPARATION _ _ _ vem sEMG AND sEMG STIM PATIENT PREPARATION CONTINUED View Electrode Placement Text Prepare Treatment Area Press the Next Page button to view Press the Next Page button to view Examine the skin for any wounds text relating to the specific electrode additional text Thoroughly clean the treatment area by placement selected and typical conditions Press the Prev Page button to review the scrubbing the skin with medical grade of the area previous page alcohol Press the Back button to return to the Select Body Area screen Press the Back button a second time to return to the Treatment Review screen SCRUB AREA WITH MEDICAL GRADE ALCOHOL NOTE Thorough and proper cleaning of the trea
124. riod the Therapy System captures and retains the maximum level of the contraction the patient performed then automatically displays the Adjust sEMG Target screen Use the Up and Down Arrow buttons to adjust the Target percentage displayed at the bottom of each channel column Press the Accept and Return Arrow button to set the Target ACCEPT AND RETURN ARROW BUTTON DOWN ARROW BUTTON Setting Avg Target Make certain Target Avg is displayed in the Target icon Press the Capture Target button Have the patient begin contracting and releasing the muscle Press the Begin Capture button The patient should contract and release the muscle as many times as possible during the preset 15 second contraction period 76 During the preset 15 second contraction period the Therapy System captures and retains the average maximum level of the contractions the patient performed then automatically displays the Adjust SEMG Target screen Use the Up and Down Arrow buttons to adjust the Target percentage displayed at the bottom of each channel column Press the Accept and Return Arrow button to set the Target ACCEPT AND RETURN ARROW BUTTON DOWN ARROW BUTTON mt Es OPERATION Vectra Genisys Therapy System SEMG STIM THERAPY SET UP CONTINUED Setting Manual Target Make certain Target Manual is displayed in Press the Up and Down Arrow buttons to the Target icon adjust Target to prescribed level
125. ro ea EI AA OR OE 5 1000 uA Polar ee RD REG RD NE Positive Negative or Alternating Thea ens WSs EE OE ORE EE OER Oe 1 60 Minutes 1 60 Seconds Probe Caner aie dis AN N EE 0 1 1000 Hz DUI Cy aid oe EN EE OE IE OE OE Ie 50 POMP ie oe RE OE EE EE N N vars 1 second Available on channels se ses ee 1 amp 2 3 amp 4 Option ANY ed Stimulus delivered by the TENS waveforms of this device in certain configurations will deliver a charge of 25 microcoulombs uC or greater per pulse and may be sufficient to cause electrocution Electrical current of this magnitude must not flow through the thorax because it may cause a cardiac arrhythmia SPECIFICATIONS WAVEFORM SPECIFICATIONS CONTINUED M Premodulated Traditional 2 Pole IFC Premodulated Current is a medium frequency waveform Current comes out of one channel two electrodes The current intensity is modulated it increases and decreases at a regular frequency the Amplitude Modulation Frequency OUTOUL VOCS AAR N EE EE N OE EE Eee p Electrodes C10 018 8 GE AN ee eee ree 0 100 mA CC 0 100 V CV Carrier Frequency Fixed 2 0 ccc cece cence cent en eens 2 500 Hz Beat Frequency Sweep OF ee eee eens 1 200 Hz Sweep Time Fixed ccc cece cece teen e ees 15 seconds sweep Low beat FICQUCNCY ss RR EE ER S 1 199 Hz Sweep High Beat FredueNCY sesse ss ese ses ese 2 200 Hz WO COL EO Ee EE EE EL Off Manual 40 and 100 Mode Select se seed ie
126. rotherapy Module Available selections are 3 or 4 CHANNEL BUTTON NOTE The sEMG Stim will not function as a multi channel modality It is designed for single channel use only However it is available to all electrotherapy channels OPERATION Vectra Genisys Therapy System SEMG STIM THERAPY SET UP CONTINUED Set Alarm Set the alarm trigger in relation to the target by pressing the Alarm button until the desired selection is displayed in the Alarm icon The available selections are Above Alarm sounds when a muscle contraction surpasses the target Target Alarm sounds when a muscle contraction reaches the target Below Alarm sounds when a muscle contraction is below the target lar m Above Sudio Constant NOTE If Volume is Off no alarm will be heard Set Audio Type Audio sets the type of sound heard when the muscle contraction reaches the Alarm setting Press the Audio button until the desired audio type is displayed in the Audio icon The available selections are Constant Continuous sound Pulsed Fast short beeps Dynamic Slow long beeps __ IT Til BUTTON Audio Constant NOTE If volume is Off no Audio type will be heard 74 Select Stim Waveform Press the Stim button SIM BUTTON N E ACCEPT AND RETURN ARROW BUTTON DOWN ARROW BUTTON Press the Up and Down Arrow buttons until the prescr
127. sec 1 sec 2 Sec 5 sec di vee nd AE MR OE EE N OE PES 1 60 min Available on Channels se se ss see 1 amp 2 3 amp 4 Option SPECIFICATIONS WAVEFORM SPECIFICATIONS CONTINUED MH russian Russian Current is a sinusoidal waveform delivered in bursts or series of pulses This method was claimed by its author Kots to produce maximal muscle strengthening effects without significant discomfort to the patient reld eis AE EE ER EE Electrodes Ad ie VG T EE EE OE Oe 0 100 mA CC 0 100 V CV Carrier Frequency FIXed 0 cece cece cece eee RE Ee 2 500 Hz Channel Mode 000seeeeee Single Reciprocal Co Contract ESE o RO N meee ne 10 20 30 40 50 Mode SeleCHOM ii RR RS EE ERG EG ie ES CC or CV ie veld AA RE EE AE EE N Off or On Cycle Time Continuous 5 5 4 12 10 10 10 20 10 30 10 50 Burst FICQUCIICY vanes sexe RO EK ER EA SR 20 100 bps POO AA RO ones asec oe eens 0 5 1 2 and 5 sec Weier it TES os RE EE RR ER EE RE eke 1 60 min Available on Channels se se se see se 1 amp 2 3 amp 4 Option CC Constant Current CV Constant Voltage 23 Vectra Genisys Therapy System DC Current is a direct current flowing in one direction only The Current can be continuous or interrupted DC Direct Current O Tie EL ea oe EE OE ONE OT N Electrodes OUTWIT ie EO N EE OO 0 4 mA Poeier oa DERE ES ED TO ED RR ED On or Off With Polarity Reversal On Polarity will change at 50 of
128. ser Utilities all User Protocols will be permanently removed from the system The Therapy System memory will accommodate up to 200 user defined protocols This is inclusive of all User Protocols User Sequences and System Default Protocols It does not include the Clinical Protocols Select Modality Edit Modality Parameters Select Clinical Resources Library Press the button beside the desired Press the modality Edit button usually Press the Clinical Resources Library button modality on the Home screen or select in the lower right corner of the modality to begin the save process of the new User a Clinical Protocol using the Clinical Treatment Review screen and edit as Protocol Resources Library button prescribed Refer to respective sections of this manual for the specific modality prescribed BUTTON 98 O P E R AT I O N Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY CREATING USER PROTOCOLS CONTINUED Enter User Protocol Name Select the row of aloha or numeric When the desired character is framed press To delete a character press the Left Arrow characters desired by pushing the button the Accept and Return Arrow button The button until the character to be deleted is beside the corresponding row Select the character selected will display in the top of framed Press the Delete button desired character in the row by pressing the screen and the cursor will advance to To discard entire entry press the Back
129. sesse see 113 Disconnect Mains Power 0 ccc cece eee eee 123 General Information 0 000 0 000 113 Remove Lead Wires and Accessories L aaau 123 Select Clinical Resources Library 05 113 Remove Therapy System from Cart 123 Select MMC Graphical Library 5 113 Remove Screws Securing Module 124 Select Body Area 00 06 ccc nen eens 113 Disconnect Ribbon Cable at Module 124 Select Library Type SE Se Se Se ee ee ee 114 Store and Secure Ribbon Cable 124 wi INSTALLATION REMOVAL see ssessesssssesseseeed15 133 Front Access Panel 0 000 c ccc ccc cece en 125 vii TABLE OF CONTENTS ena iy Therapy ter Install Lead Wires and Accessories 04 125 PP OPERATOR REMOTE OPERATION ee see see ee see ee 134 Connect Mains Power SE SE Se ee ee ee 125 Nomenclature ee ee ee ee ee ee 134 Turn Therapy System On o an 126 Operation uses ke rie ees HEDE ER ES GE DE 134 B gt INSTALLING SEMG MODULE ese sees ee see see see ee 127 Operator Remote Storage SE Se ee ee ee laa Position SEMG Module 0 0 0 0 ccc cece eens 127 gt THERAPY SYSTEM CART OPERATION 0 0000 136 Secure SEMG Module 00 0 0 c ccc ccc eee 127 Nomenclature EE ee
130. ss Electrode Placement 00 00 c ccc cece ees 82 Electrode Placement Set Up nuanua anaana aeaaea 82 Electrode Placement aaaea ccc cece ees 82 Access Pain Map SE See Se ee ee erra 83 Select Pain Type EE SE Se Se ee Se ee ee ee 83 Vectra Genisys Therapy System Add Pain Locations 0 000 ee ee ee ee ee nee 83 Select Location of Pain EE ee ee ee 84 Editing Pain Locations 0 0 0 00 ccc ee ee ee 84 Deleting Pain Locations 0 0 0 ccc ccc cece nee 85 Pain Scales ee EG EE ai maroon BE Ke GR RO ee 85 Select Pain Scale Se ee ee ee ee ee 85 Adjust Pain Scale Se Se ee ee ee ee 85 Save to Patient Data Card SE Ee Se ee ee 86 B gt EXISTING PATIENT DATA CARD USE 0000 87 Insert Existing Patient Data Card 0 87 Access Patient Data Card Se ee ee 87 View Patient Data Card Se Se ee ee 87 Starting a New Treatment from Patient Data Card 88 Optional Patient Interrupt Switch EE ee ee 88 Set Intensity 6 600 rasse GES AS BEE ER WE DE SE SE ED Ee 88 Intensity Knob Rotation 0 0 0 0 ccc cee eee 88 Start Treatment nce ene ee ee ee 89 Pause Treatment ES ES Se ens 89 Stop Treatment 0 araara 89 Erasing Patient Data Card 0 0 0 ccc eee eee 89 B gt SET UP OF NEW sEMG DATA CARD
131. sse sees es cece es ss sees 26 Accessing Operator Utilities 0 ccc cece ss se ee ee ee 26 Clinic Name Se Se ee ee ee ee ee ee 26 Restore Default Protocols SE ESE ee ee 27 Restore Default Unit Settings ESE ee 27 Erase Patient Data Card Se ee ee ee 28 Set Date and Time aarre 28 Setting System Volume SE Se cece ees 29 Ultrasound Coupling ES Se ee ee ee 29 Display Unit Version Information EE ee 30 Pad Contact Quality EE Se ee ee ee 30 SelectLanguage EE ccc nnn ences F Connecting Accessories to the Therapy System Al PATIENT PREPARATION ccccccceccccecccccccses 32 40 B gt ELECTROTHERAPY PATIENT PREPARATION 32 Electrode Placement Se ee ee ee ee 32 DURA STICK Electrodes 0 ccc cece ene 33 Reusable Carbon Electrodes Optional 33 DURA STICK Electrode Instructions 34 Connecting Lead WireS SE ee ee ee ee 34 Securing Electrodes Se Se ee ee ee ee 34 Reusable Carbon Electrodes Optional 35 Connecting Lead Wires 00 ccc ccc nes 35 Conductive Medium uaaa aaaeeeaa aeea 35 Securing Electrodes Se Se See ee ee ee 35 gt ULTRASOUND PATIENT PREPARATION ese se ses ese 36 Preparing Treatment Area SS See ee ee 36 Size of Applicator
132. stopped at any time during change and the patient should relax the the session by pressing the Stop sEMG contraction Stim button STOP SEMG STIM BUTTON After the Relax period is complete the Stim may be restarted at any time during screen will change to Go the session by pressing the Start SEMG Repeat the process throughout the Stim button prescribed treatment time or until the NOTE With Stim Off the SEMG portion of patient is fatigued the session may continue 79 Vectra Genisys Therapy System Stopping Therapy Session Press the Stop button The Completed Treatment Review screen will display NOTE Refer to pages 80 through 89 for Patient Data Card set up and use The sEMG Data Card cannot be used to save session parameters SEMG data from an sEMG Stim therapy session cannot be recorded to a sSEMG Data Card or Patient Data Card TOG gn A O P E R ATI O N Vectra Genisys Therapy System PATIENT DATA CARD SET UP OF NEW CARD General Information The Vectra Genisys Therapy System incorporates a Patient Data Card reading and recording device that allows transfer of patient therapy data from the system to the card for reviewing patient modality and pain profile information 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 D
133. tall Cables and Accessories Apply Mains Power Install all cables and accessories to the Front Access Panel Refer to page 16 for Symbol Plug Power Cord into an approved outlet ae Turn the System On using the On Off Definitions Switch The System will automatically Verify that the Module installed is the Module recognize the added Module and display a displayed in the message BEFORE pressing configuration change message the START Button If it is not DO NOT press the START Button Turn the System OFF and back ON If the problem continues call the selling dealer or Chattanooga Group Read and carefully follow the instructions on the Screen Technical Support immediately DO NOT USE THE SYSTEM until all necessary repairs are made by a Technician certified by Chattanooga Group If use is attempted before repairs are made the System may operate unpredictably and has the potential of causing injury to the patient or damage to the System s internal components CONNECT ALL CABLES AND ACCESSORIES Press the we cia Ee Re 128 INSTALLATION REMOVAL REMOVING sEMG MODULE The sEMG Module should only be removed for service related problems Prepare System Prepare the Therapy System for removal of the sEMG Module Refer to Page 118 Disconnect the system from the power source outlet or remove battery module if installed before attempting any maintenance installation removal or replacement procedures
134. the Channel Button until the prescribed channel is displayed in the icon Therapy System Available selections are 1 2 or 142 Channel 3 4 Electrotherapy Module Available selections are 3 4 or 3 4 CHANNEL BUTTON Alarm Above NOTE A maximum of two channels may be used to administer SEMG Therapy Either channels 1 2 or 3 4 SEMG will not function as a four channel modality 56 Set Alarm Set the alarm trigger in relation to the target by pressing the Alarm button until the desired selection is displayed in the Alarm icon The available selections are Above Alarm sounds when a muscle contraction surpasses the target Target Alarm sounds when a muscle contraction reaches the target Below Alarm sounds when a muscle contraction is below the target ALARM BUTTON Alarm Above Audio Constant NOTE If Volume is Off no alarm will be heard OPERATION SEMG THERAPY SET UP CONTINUED Set Audio Type Audio sets the type of sound heard when the muscle contraction reaches the Alarm setting Press the Audio button until the desired audio type is displayed in the Audio icon The available selections are Constant Continuous sound Pulsed Fast short beeps Dynamic Slow long beeps FIG ttt AUDIO a Above Audio Constant BUTTON NOTE If volume is Off no Audio type will be heard Select Target Option Three options are available for setting the S
135. this magnitude must not flow through the thorax because it may cause a cardiac arrhythmia SPECIFICATIONS WAVEFORM SPECIFICATIONS CONTINUED M p gt TENS Symmetrical Biphasic The Symmetrical Biphasic waveform has a short pulse duration and is capable of strong stimulation of nerve fibers in the skin and in muscle This waveform is often used in portable muscle stimulation units and some TENS devices Because of its short pulse duration the patient typically tolerates the current well even at relatively high intensities OUMU MOOG AR AO EE teid N EG ET Electrodes UO EERS Pesag ED 0 80 MA CC 0 80 V CV ai BE vei N RE eN 20 1000 usec set sie saa OE EE N N se 250 TAZ Mode Selection as nes DE EG DERS EE GE RD SE CE Or Pel ele se RD N EE EG EG sayin 0 10 bps Frequency Modulation 0 0 ccc cece eee een 0 250 Hz Amplitude Modulation Off 40 60 80 and 100 Cycle Time 4 4 4 8 7 7 5 5 4 12 10 10 10 20 10 30 10 50 He en HIE cen congener ee seemed ae a ER 1 60 min Available on channels 0 0 cee ees 1 amp 2 3 amp 4 Option CC Constant Current CV Constant Voltage 20 Vectra Genisys Therapy System Wham Microcurrent Microcurrent is a monophasic waveform of very low intensity that closely simulates the electrical current generated by the human body Microcurrent can be applied via electrodes or probe OUTIL MOE ers ss bede EE SS VER RR EG Electrodes or Probe E
136. tion Forward Geel CHATTANOOGA b GROUP ISO 13485 CERTIFIED 4717 Adams Road P O Box 489 Hixson TN 37343 u s Telephone 1 423 870 2281 U S A 1 800 592 7329 U S A 1 800 366 6661 CANADA 1 423 875 5497 U S A FAX chattgroup com 27190F 2008 Encore Medical L P mm ft Es
137. tment area to remove any topical medication and cream film as well as loose skin particles from the treatment area is critical to the skin contact and reception of the Electrodes during sEMG and sEMG Stim therapy mt Es PATIENT PREPARATION Vectra Genisys Therapy System sEMG AND sEMG STIM PATIENT PREPARATION CONTINUED Electrode Placement Using DURA STICK II 1 25 in 3 cm electrodes place the Active red and black lead electrodes in the center of the muscle belly and parallel with the muscle fibers Position the Reference electrode green lead in close proximity to the treatment area Review the specific Electrode Placement graphic for positioning of the Reference green lead electrode REFERENCE GREEN LEAD ACTIVE BLACK LEAD NOTE The electrodes may be placed for specific general and quasi specific biofeedback muscle or muscle group activity Using small electrodes and placing them closer together will render a more specific reading of muscle activity during SEMG and sEMG Stim therapy The Active electrodes may be placed farther apart to obtain a general reading of a muscle or muscle group activity during the session Chattanooga Group recommends using only DURA STICK II electrodes to obtain the most accurate sEMG feedback Follow the electrode manufacturer instructions Trimming or cutting electrodes may interfere with the reception of sSEMG data and may affect the
138. treatment time Cycle TE eo EE RE SEED RE eee Continuous 5 60 10 60 Mode ede IE N OO ER ON Th Teen WIC os asses bee Ee EE DE GE EG 1 10 min Available on Channels ee ee ee 1 amp 2 3 amp 4 Option SPECIFICATIONS ULTRASOUND SPECIFICATIONS SQ ultrasound selde NEG 1 MHz 5 3 3 Mhz 5 OY Cy cd EA NE IE EN 10 20 50 Continuous Pulse FYEQUENCY OR N N EE EE EE N 100 Hz Pulse Duration 1 mSec 420 2 mSec 420 5 mSec 420 Output Power 10CM Civstal ses RR AE 0 20 W at 1MHz 0 10 W at 3 3 MHz Ses OR OE HE eho 0 10 W 1 and 3 3 MHz DC ly AE N 0 4 W 1 and 3 3 MHz Fee MR EE EE N 0 2 W 3 3 MHz Only AmPpItude ee O to 2 5 w cm2 in continuous mode 0 3 w cm2 in pulsed modes Output ACCUIaCy 2 cece eee 20 above 10 of maximum Temporal Peak to Average Ratio 2 1 20 at 50 Duty Cycle 5 1 20 at 20 Duty Cycle 9 1 20 at 10 Duty Cycle Beam Nonuniformity Ratio 00008 5 0 1 maximum BE E E Collimating ed nk UN N EE OR OE GE NN IPXO IPXX Rating Tor ADDIICatof iss ses EE EE EE SE RR DE DE IPX7 Vectra Genisys Therapy System Effective Radiating Areas 10 cm Crystal 68 cm2 10 cm2 5 cm Crystal 3 5 cm2 5 cm 2 cm Crystal 14 cm2 2 cm2 1 cm Crystal 0 7 cm2 1 cm HRS ee oa EE EE OG EEN 1 30 min Head Warming Feature The Head Warming feature of an Vectra Genisys Combination Therapy System utilizes Ultrasound output resulting in warming of t
139. ty of the Battery Module Doing so can increase the individual cell temperature and cause cell rupture or leakage 138 Vectra Genisys Therapy System Charging Temperature Charging efficiency is optimum within a temperature range of 50 F to 86 F 10 C to 30 C Charge the Battery Module within this temperature range e At temperatures below 32 F 0 C the gas absorption reaction is not sufficient and causes an increase of the gas pressure inside the battery This condition can activate the safety vent and lead to alkaline gas leaking and battery performance deterioration Charging efficiency of the Battery Module drops at temperatures above 104 F 40 C and can disrupt full charging lead to deterioration in performance and battery cell leakage OPTION OPERATION Vectra Genisys Therapy System BATTERY MODULE SERVICE LIFE Since NiMH Batteries are designed for multiple cycles of charging and discharging the expected cycle life of the Battery Module is at minimum 500 cycles utilizing proper discharging and charging procedures When the service time use time between charges of the Battery Module is significantly reduced the service life of the Battery Module is exceeded and should be replaced with a new Chattanooga Group Battery Module Never attempt to rebuild the Battery Module Properly dispose of old Battery Module NDANGER NiMH Batteries contain Class E Corrosiv
140. uating or pregnant uterus Over areas of the skin which lack normal sensation Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium The irritation can usually be reduced by using an alternative conductive medium or an alternative electrode placement Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner Powered muscle stimulators should be used only with the lead wires and electrodes recommended for use by the manufacturer e With TENS waveforms isolated cases of skin irritation may occur at the site of electrode placement following long term application The effectiveness of TENS waveforms is highly dependent upon patient selection by a person qualified in the management of pain patients 11 Adverse Effects e Skin irritation and burns beneath the electrodes have been reported with the use of powered muscle stimulators e Potential adverse effects with TENS are skin irritation and electrode burns SAFETY PRECAUTIONS oo Wee messe ULTRASOUND INDICATIONS AND CONTRAINDICATIONS Indications for Ultrasound Application of therapeutic deep heat for the treatment of selected This device should not be used over or near bone growth sub chronic and chronic medical conditions such as centers until bone growth is complete e Relief of pain muscle spasms and joint contractures This
141. urn Arrow button The button until the character to be deleted is beside the corresponding row Select the character selected will display in the top of framed Press the Delete button desired character in the row by pressing the screen and the cursor will advance to To discard entire entry press the Back the row button until the desired letter is the next position icon framed l To move back a character press the Left l l l SELECT ROW AND CHARACTERS Pele pd Repeat this procedure until the desired Patient ID is entered After Patient ID is entered press the Save button ABC O EFGHIJKLM N PURS WW AD SAVE BUTTON ARROW BUTTON NOTE To add a space select the area to the left of the letter A 81 OPERATION PATIENT DATA CARD SET UP OF NEW CARD CONTINUED Access Electrode Placement The following information uses an IFC Treatment as an example Electrode Placement procedures for all modalities are performed in the same basic fashion Press the Electrode Placement button Vectra GENISYS Electrode Placement Set Up Press the Pad button to select the Red or Black electrode Press the Chan button to select Channel 1 or Channel 2 Press the Side button to select Front Back Left or Right of the body graphic Press the Size button until desired electrode size is displayed If electrode desired is not listed select Other PAD BUTTON x CHAN BUTTON
142. ware to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Upgrade Stim Board Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Upgrade Ultrasound Board Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Upgrade Laser Board Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Upgrade MMC Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Upgrade Battery Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions Install Laser Module to Therapy System Refer to Laser Module User Manual for installation instructions A Connect proper Laser Applicator to the system B If Laser Applicator is connected reset Therapy System by turning main power switch Off and On C Connect a known good Laser Applicator D If problem continues send Laser Module to Factory for service TROUBLESHOOTING MORG Tess ERROR CODES CONTINUED Code Number Type Message Probable Cause Possible Remedies Wrong Laser Applicator connected to system for the protocol A Connect correct Laser Applicator to the system selected B If Applicator is connected reset Therapy System by turning main power switch Off and O
143. will remain paused 103 Vectra Genisys Therapy System lt gt start Treatment Press the Start button to begin therapy session START BUTTON NOTE Modality parameters may be edited at any time during the therapy session Refer to page 48 for Electrotherapy and page 52 for Ultrasound mt Es OPERATION CLINICAL RESOURCES LIBRARY USING USER PROTOCOLS CONTINUED EJ mm Pause Treatment Stop Treatment Press the Pause button to pause therapy session and maintain remaining time To resume treatment press the Pause button again To Stop treatment press the Stop button once Treatment will stop and the Completed Treatment Review screen will display 104 Vectra Genisys Therapy System Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 80 through 89 for Patient Data Card Setup and use mt Es O P E R AT I O N Vectra Genisys Therapy System CLINICAL RESOURCES LIBRARY CREATING NEW SEQUENCES General Information This Library is a series of Electrotherapy Waveform Current Sequences created by the user for special electrotherapy treatment purposes and stored in the system memory for recall and use The following information gives general instructions for setting up saving and accessing of sequences Should the Default Protocols be restored through the User Utilities all user saved Sequences will be permanently removed from the syst
144. ys available channels and their respective status Displays Treatment Time and status After starting therapy session Modality and Parameter buttons are used to select and modify channel parameters Unit On Indicator lluminates green when System is connected to an AC mains power source When the System is On the indicator will illuminate blue With System On and if the system sits unused the Screen Saver initiates blank screen and the Blue Indicator will flash Back button Used to return back one screen Used in conjunction with the Home button to access the Operator Utilities screen 41 6 Clinical Resources Library button Used to access Clinical Protocols User Protocols Sequencing and the Clinical Anatomical Pathological Libraries screen Intensity Knob Rotate clockwise to increase Modality intensity Rotate counterclockwise to decrease Modality intensity Start button Press to start therapy session after all initial parameters have been set Pause button Press to pause a therapy session Press again to restart session 10 Stop button Press to completely stop the therapy session 11 Home button 12 Modality and Parameter buttons Used to go back to the System Home screen Used in conjunction with the Back button to access the Operator Utilities screen Used to select modality and edit treatment parameters OPERATION 7 Vectra Genisys Therapy System HOME SCREEN The

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