INSTRUCTION MANUAL - Current Solutions
Contents
1. Electromagnetic test testlevel level environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the Quattro II device including cables than the recommended separation distance calculated from the equation applicable to the Condueed 3 Vers frequency of the transmitter Recommended separation distance 3 V m d 1 24P 80 MHz to d 1 2JP 80MHz to 800MHz d 2 3 P 800MHz to 2 5MHz Where P is the maximum output power rating of the transmitter In watts W according to the transmitter manufacturer and d ls the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur In the vicinity of equipment marked with the following symbol 5 NOTE 1 At 80 MHz ends 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 36 Qua ttro II CURRENT SOLUTIONS Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment2. 7 7 5 5 4 12 10 10 10 20 10730 and 10 50 14 Stick the electrodes on the patient You can use one or two channel as your needs 15 Adjustthe output intensity and start electrical treatment that you are using by rotating the output intensity adjustable knob on the control panel 0 5mA step or 0 5V step For safety using load detection was designed in this device after the output intensity surpass 10 0mA 10 OV If there are no electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing 17 Press button to pause treatment you can press it again to restart the treatment 26 CURRENT SOLUTIONS 6 4 4 Russian Stimulation Set up Procedure Duty Qua ttro II 1 In order to turn on the device please press ON OFF switch to icon which is located on the side of the device 2 When you turn the Quattro the device will get down to self check about 6 8 seconds and then the default parameters are displayed the last treatment mode 3 Press B1 Waveform button to toggle the therapeutic waveform then rotating the parameters control knob to select Russian waveform 4 Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs from to P10 Each program has
3. Ee x o gt O 2 E un LL LL O d BE uu gt Russian programs E 20 CURRENT SOLUTIONS 6 4 Each stimulation set up procedure 6 4 1 4 Pole Interferential Stimulation Set up Procedure Qua ttro II 1 In order to turn the device please press ON OFF switch to icon which is located on the side of the device 2 When you turn the Quattro II the device will get down to self check about 6 8 seconds and then the default parameters are displayed the last treatment mode 3 Press B1 Waveform button to toggle the therapeutic waveform then rotating the parameters control knob to select IF 4P waveform 4 Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs from to P10 Each program has 3 treatment phases you can set and save the parameters according to patient s need 5 Press B2 Program button to select CC or CV control mode 6 There are two modes in Quattro II press and hold B8 button to switch Normal mode and Professional mode In professional mode each program has 3 treatment phase the LCD display like left figure Rotating the parameters control knob to select phase program from 1 to 3 when the device enter into professional mode The parameters of
4. Toggle the parameter Beat H A M Toggle the parameter Beat L P Dur Toggle the parameter Treat Cycle Ramp time Step button Qua ttro II CURRENT SOLUTIONS Remark CC Constant current output mode e CV Constant voltage output mode Frequency Modulation e Burst Burst Frequency Freq Frequency C F Carrier Frequency e Duty Duty Cycle for Russian waveform Beat H Sweep High Beat Frequency A M Amplitude Modulation Sweep Low Beat Frequency e PDur Pulse Duration Treat Treatment time e Cycle Cycle time e Ramp Ramp time 10 Adapter receptacle 11 ON OFF switch 12 Output connector connect with connector of cable 4 2 User Interface rap Russian Y EMS TENS cv ow 0 V F M s MIAN en rm V Beat L ru VAIN ma Total Ste Vector re Li Beat rui nz ret Symbol definitions Symbol definitions IF C Interferential Premodulated IF 4P Traditional 4 Pole IF 2P Traditional 2 Pole IFC Electrical stimulation Time indicator D Electrical output channel 1 Electrical output channel 2 indicator indicator Electrical output channel 3 3 Electrical output channel 4 indicator indicator CC Constant current control CV Constant Voltage control
5. 12 Stick the electrodes on the patient You can use oneortwo channel as your needs 13 Adjust the output intensity and start electrical treatment that you are using by rotating the output intensity adjustable knob on the control panel 0 5mA step or 0 5V step For safety using load detection was designed in this device after the output intensity surpass 10 OmA 10 OV If there are no electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing 15 Press the gt button to pause treatment you can press it again to restart the treatment Remark If you want to restore factory parameter settings please firstly press and hold knobs and at the same time and then turn on the device by pressing ON OFF switch keep pressing O 2 knobs and the device will keep pealing until all parameters restore factory settings Qua ttro II CURRENT SOLUTIONS 7 MAINTENANCE 7 1 Switch off the device and disconnect it from the power supply The apparatus Cleaning of be cleaned with a damp cloth Use lukewarm water and a non abrasive the device liquid household cleaner no abrasive no alcohol content solution If a more sterile cleaning is needed use a cloth moistened with an antimicrobial cleaner AN Caution Do not submerse the apparatus in liquids Should the unit accidentally become submersed contact the dealer or Authorized Service center immediately Do not
6. Qua ttro II CURRENT SOLUTIONS 120Hz 0 7 continuou14mi 1 12094 0 70us Omin 0 70us Omin ma 5 2 o e NC 3 o E BREE N N T N gt oOojo o o o lo o o 9 3153 5 clo oos ox te o nin o ts 5 Pa ec o poo e epo o poo on s rine eo o oos om e onmes A 3 2 5 3 CC o 0 2 0 70 continuous o 0 2 0 70us continuous 7 o pe oe omine 3 o pane 06 70 piens L1 feel o o pas 2 foc o pao ox ous onte ari 3 o 70u arin H 2 npe 4 5 1 1 1 1 1 1 1 min min 0 10Hz 0 180 continuous Omin L1 o jare eosdem 2 cc o o 80 0 continuous Omi o qaos ox imo on jon eric Fs ceps eos ox s ool rin L1 jec o pae ox os farina aan epo jon oe fmm ain CURRENT SOLUTIONS Quattro IT Omin Omin p lt 91561569556556 5 8
7. equipment e g cardiac monitors ECG alarms which may not operate properly when the electrical stimulation device is in use 13 Do not apply stimulation when the patient is in the bath or shower 14 Do not apply stimulation while the patient is sleeping and Quattro IT 2 3 CONTRAI NDICATIONS 2 4 PRECAUTIONS CURRENT SOLUTIONS 15 Do not apply stimulation while the patient is driving operating machinery or during any activity in which electrical stimulation can put the patient at risk of injury 16 Consult with the patient s physician before using this device because the device may cause lethal rhythm disturbances to the heart in susceptible individuals and 17 Apply stimulation only to normal intact clean healthy skin 18 This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed 19 Patients with arterial or venous thrombosis or thrombophlebitis are at risk of developing embolisms when electrical stimulation is applied over or adjacent to the vessels containing the thrombus Ifa patient has a history of deep vein thrombosis even many years past the area should not be stimulated 20 Fresh fractures should not be stimulated in order to avoid unwanted motion 21 Stimulation should not be applied immediately following trauma or to tissues susceptible to hemorrhage 22 Do not apply electrodes directly over t
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9. This device should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary this machine should be observed to verify normal operation in the configuration in which it will be used 7 This device needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the manual 8 Portable and mobile RF communications equipment can affect this device Do not use a mobile phone or other device that emit electromagnetic fields near the unit This may result in incorrect operation of the device Qua ttro II CURRENT SOLUTIONS 2 2 WARNING 9 9 This device has been thoroughly test and inspected to assure proper performance and operation 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 minimize this interference by not using other equipment in conjunction with it Before administering any treatment to a patient y
10. Quattro CURRENT SOLUTIONS 5 INSTALLATION 5 1 Remove the equipment and all accessories from shipping carton and Before Use Visually check if there is any damage or missing parts or accessories If yes please report to local dealer or retailer where you purchase this unit Your Quattro II equipment contains the following accessories MEMO 5 T ee Quantity Rubber Electrodes 60x9 0mm 4pcs Rubber Electrodes 70x110mm 4pcs Electrode Sponges 70x100mm 4pcs Electrode Sponges 80x120mm 4pcs Self adhesive Electrodes 50x50mm 8pcs Self adhesive Electrodes 50x100mm 8pcs taste Wrap 75 600 2s flectrode wires Qua ttro II CURRENT SOLUTIONS 5 2 Connect the power adapter to the device connector Connection Connect the power adapter to a wall socket of the power adapter Caution Prior to connecting this apparatus to the power supply check that the voltage and frequency stated on the rating label match with the available power supply The power adapter 15 part of the supply circuit on which the device s safety partly depends The approvals for Quattro II are only valid if used in combination with this type of adapter 5 3 Switching Switch on the device using ON OFF switch 1 5 4 T ES e Switch off the device by switching the ON OFF switch from to en oti 0 position Pull out the power adapter the w
11. SOLUTIONS Vector Vector uo t 1B Phase Auto Pas a pues seams ooo o 4s son oo onis Ls cc o 49 sori omn 9 sons sore nie Ta o 49 sor Onin Fs o amp sore sore omn 1 CC 45 4kHz 15092 90Hz 15min 2 o 4 amp aes omn Ge ps oe a oe 1 fcc 45 4kHz 15min o ass nos oos onn Ls fec o s ane nos oon Orin s nons ors Ez fec o oon in o s aet noe oor L1 ee 9 45 ets nor 00 Toni ec o s ues noe poo ron s ec o 4s ues noe oor e o OF oor roin ec o as jue nos cons nin a ec o s aes nore oor ne ee o ues nore poor rmn fec o ues nos ors ron ec o 4 amp aes non oore e o ne nore oor ec o as jue nons eors in 3 ec o s ror foot in Qua ttro II CURRENT SOLUTIONS ae 10 110Hz 100Hz e 3 ie TENS Treat 20 70 continuous 14 120Hz 0 7Ous continuous Omin 0 70 5 continuous 00 60us continuous 20mi 60 continuou 6Ous 180ps continuou 180ps c
12. due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Quattro II device is used exceeds the applicable RF compliance level above should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Quattro Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Recommended separation distances between portable and mobile RF communications equipment and the Quattro II device The Quattro II device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the QuattroTM II device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Quattro II as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency Rated maximum of transmitterm output power 150 kHz to 80 MHz to 800 MHz to of transmitter 80 MHZ 800 MHZ 2 5 GHz d 1 24P d 1 24P 4 2 3 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output
13. each phase program can be set according to following methods 7 Press B3 button to toggle Vector parameter then rotating the parameters control knob to set the vector manual parameter from O to 90 15 step 8 Press B3 button again the vector parameter change to auto mode the LCD display 0 like lett figure rotating the parameters control knob to set the vector auto parameter from O 96 to 10096 20 step 21 Quattro CURRENT SOLUTIONS 9 Press B5 button to toggle Beat H parameter then rotating the parameters control knob to set the parameter from Beat L Hz to 150Hz 1 Hz step 10 Press B6 button to toggle Beat L parameter then rotating the adjust parameters contorl ULL knob to set the parameter from 1 Hz to Beat H Hz 1 Hz step Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 60min 1 min step Stick the electrodes on the patient You will need two electrodes for each channel four in total 13 Adjust the output intensity and start electrical treatment that you are using by rotating the output intensity adjustable knobs on the control panel 0 5mA step or 0 5V step For safety using load detection was designed in this device after the output intensity surpass 10 0mA 10 0V If there are no electrodes stuck on patient skin an alarm buzzer sou
14. 3 treatment phases you can set and save the parameters according to patient s need 5 Press B2 Program button to select CC or CV control mode 6 There are two modes in Quattro II press and hold B8 button to switch Normal mode and Professional mode In professional mode each program has 3 treatment phase the LCD display like left figure Rotating the parameters control knob to select phase program from 1 to 3 when the device enter into professional mode The parameters of each phase program can be set according to following methods 7 Press B4 button to toggle Freq parameter then rotating the parameters control knob to set the frequency from 20Hz to 100Hz 5Hz step 8 Press B3 button to toggle Duty parameter then rotating the parameters control knob to set the parameter from 1096 to 5096 1096 step 9 Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 60min 1 min step 27 Quattro IT 28 CURRENT SOLUTIONS 10 Press B7 button again to toggle Cycle time parameter then rotating the parameters control knob to select the cycle time work time rest time from continuous 5 5 4 12 10 10 10 20 10 30 and 10 50 11 Press B7 button again to toggle Ramp time parameter then rotating the parameters control knob to select the ramp time Is 2s and 5s
15. Q Restart the device if the problem Hardware problem is still exist please contact the py manufacturer or distributor Stimulation weak Stimulation stops Qua ttro II CURRENT SOLUTIONS displays on the device device will stop treatment limitative temperature automatically please wait displays Detected the working several minutes before using LCD current over the limit E5 displays Memorizer failure is io the ie if the Bm LCD detected is stil exist please contact the manufacturer or distributor 9 SPECIFICATIONS 9 1 General Adapter supply voltage 100V 240V 50Hz 60Hz 0 8A Specificati 15V 1 2 Max PN Adapter Dimensions 83mm L 50mm W 4 1 mm H Dimensions 250mm L 185mm L 82mm H Operating Environmental Temperature 1 O C 50 F to 40 C 104 F Relative humidity 3096 8596 Storage Environmental Temperature 20 C 4 F to 55 C 131 F Relative humidity 20 90 Maximum Treatment Time Treatment Time 60 minutes 9 2 Waveform Specifications A Pole Wavetorm Waveform Type Bi phasic square CC Constant Current or CV Constant Voltage Auto 0 100 Manual 0 90 Carrier Frequency C F 4 0kHz Interferential Mode Mode Selection Vector Sweep Low Beat Frequency Beat 1 Beat Sweep High Beat Frequency Beat L 150 Hz Beat H 0 50mA CC at 1k ohm load 0 50V CV at 1k ohm load Treatm
16. Qua ttro II INSTRUCTION MANUAL CAUTION United States Federal Law restricts this device to sale by or on the order of a physician www currentsolutionsnow com This manual is valid for the Quattro II This user manual is published by Current Solutions LLC Current Solutions LLC reserves the right to improve and amend it at any time without prior notice Amendments may however be published in new editions of this manual All Rights Reserved Rev V1 0 2012 Declaration of conformity Current Solutions LLC declares that the Quattro IT complies with following normative documents 1 60601 1 IEC60601 1 2 IEC60601 2 10 150 7010 15014971 15010993 1 15010993 5 15010993 10 Qua ttro II CURRENT SOLUTIONS Contents 1 4 2 SAFETY INFORMATION c cccccceccececcececcececcececeeeceeeacess 4 3 INDICATIONS FOR 7 4 e mee nnan 8 5 INSTAIATIO Merrin ea eie E 10 6 OPERATION Rees 7 MAINTENANCE rti t ibn tht cocaine 29 8 TROUBLESHOOTING 30 9 5 Re eme e emen rne nin 31 VO STORAGE 33 EA E EENES 33 12 sess Ie e ree e ene rr eene ener 34 38 T4 NORMALIZED SYMBOLS earen e r AEE 39 Quattro II 1 FOREWORD 1 1 General information CURRENT SOLUTIONS Thank you for purchasing the Quattro II The microprocessor c
17. all socket disconnect e Pull out the power adapter trom device power adapter 6 OPERATION 6 1 Measures with regard to treatments 6 1 1 Ensure there are no contraindications to treatment Electrotherapy Inspect the treatment area skin seriously for any abrasions Before inflammation surface veins etc the Clean the skin of the treatment area with soap or alcohol 7090 treatment e Ifthe skin is hairy shaving can get optimal treatment Test the heat sensibility of the treatment area 6 1 2 Examine the skin for any wounds and clean the skin Electrode Apply the electrodes to the treatment area Ensure that the electrodes are applied securely to the skin Ensure good contact between each electrode and the skin Check the electrode contact regularly during the treatment Examine the skin again after the treatment Choose electrodes that fit the anatomy Follow electrode manufacturer s instructions To avoid skin irritation due to high current density do not use electrodes smaller in surface area than 25cm self adhesive electrode Placement 11 Quattro CURRENT SOLUTIONS Caution Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns Output current density is related to electrode size Improper application may result in patient injury If any question arises as to the proper electrode size consult a licensed prac
18. attempt to use a system that has been wet inside until inspected and tested by a Service Technician Certified by Authorized Service center Do not allow liquids to enter the ventilation holes 7 2 Apply the protective backing to the tacky side of the electrode Place the Cleaning the electrode on the side of the protective backing that is labeled with the word electrodes n t may be helpful to improve repeated application by spreading a few drops of cold water over the adhesive and turn the surface up to air dry Over Saturation with water will reduce the adhesive properties Between uses store the electrodes in the reusable bag in a cool dry place AN Caution The electrodes are intended for single patient use only e f irritation occurs discontinue use and consult your clinician e Always use the electrodes with CE mark or are legally marketed in the US under 510 K procedure 7 3 Periodically wipe the lead wires clean with a cloth dampened in a mild soap Cleaning the solution and then gently wipe them dry Use of rubbing alcohol on the lead lead wires wires will damage the insulation and dramatically shorten their life and cables 7 4 Maintenance and all repairs should only be carried out by an authorized Maintenance agency The manvfacturer will not be held responsible for the results of maintenance or repairs by unauthorized persons Opening of the equipment by unauthorized agencies is not allowed and will terminate a
19. dance The Quattro II device uses RF energy only for its internal function Therefore RF emissions CISPR 11 Group 1 its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Harmonic a emissions The Quattro II device is suitable for IEC Class A use in all establishments other than 61000 3 2 domestic and those directly connected to the public low voltage power supply Fuchu network that supplies buildings used flicker Applicable for domestic purposes emissions IEC 61000 3 3 Qua ttro Guidance and manufacturer s declaration electromagnetic immunity The Quattro II device is intended for use in the electromagnetic environment specified below The customer or the user of the Quattro II should assure that it is used in such an environment IEC 60601 Compliance Electromagnetic Immunity test test level level environment guidance Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 96 CURRENT SOLUTIONS Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 6 kV contact 8 kV air 8 kV air Electrical fast Mains power quality should be that of a typical commercial or hospital environment 2 kV for power 2 kV for power transient burst ly li IEC 61000 4 4 supply lines supply lines Ma
20. de The parameters of each phase program can be set according to following methods 7 Press B3 button to toggle F M parameter then rotating the parameters control knob to set the parameter from OHz to 249 Hz 1 Hz step Freq lt 250Hz 8 Press B3 button again to toggle Burst rate then rotating the parameters control knob to set the Burst rate from OHz to 10Hz 1 Hz step But Burst 8 lt Freq 9 Press B4 button to toggle Freq parameter then rotating the parameters control knob to set the frequency from 1 Hz to250Hz 1 Hz step But Freq ZBurst x 8 or Freq 250 F M 25 Quattro CURRENT SOLUTIONS Press B5 button to toggle A M parameter then rotating the parameters control knob to set the parameter from 0 to 10096 0 means the output intensity always in setting value 100 means the output intensity changes form O to setting value 2096 step 11 Press B6 button to toggle P Dur parameter then rotating the parameters control knob to set the pulse duration from to 400us 12 Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 60min 1 min step 13 Press B7 button again to toggle Cycle time parameter then rotating the parameters control knob to select the cycle time work time rest time from continuous 4 4 4 8
21. ent time 1 60 minutes 31 Output Intensity Quattro IT ___W_______BURRENT SOLUTIONS 2 Pole cte feram Mode Noda Select CC Constant Current or Meet CV Constant Voltage Carrier Frequency C F 2 5kHz Sweep High Beat Frequency Sweep Low Beat Frequency 1 Beot H Hz Beat L Output Intensit 0 50mA CC at 1k ohm load i ai obi load Cycle time cycle Continuous 5 5 4 12 10 10 10 20 10 30 10 50 ea saa TENS and EMS Mode Mode Selecti CC Constant Current or ode Selection CV Constant Voltage 1 250 Frequency Modulation 0 249Hz Fe Output Intensit O 100mA CC at 1k ohm load i 0 100V CY at 1k ohm load Cycle time Cycle Continuous 4 4 4 8 7 7 5 5 4 12 i d 10 10 10 20 10 30 10 50 32 Qua ttro II CURRENT SOLUTIONS Russian Mode Waveform Bi phasic square CC Constant Current or CV Constant Voltage Carrier Frequency C F 2 Burst frequency Freq 20 100 Hz Output Intensity 0 50mA CC at 1k ohm load Mode Selection 0 50V CV at 1k ohm load Duty cycle 1096 2096 3096 4096 and 5096 Cycle time Continuous 5 5 4 12 10 10 10 20 10 30 10 50 Treatment time 1 60 minutes Ramp time 1s 2s and 5s Caution This device has been thoroughly tested according to tested and inspected to assure proper performance and operation 10 For a prolonged pause in treatment store the device with the adap
22. er remove the self adhesive electrodes from the skin while the device is still turns on 4 1115 recommended that at minimum 50mm x 50mm self adhering based square electrodes are used at the treatment area 12 CURRENT SOLUTIONS Qua ttro II Electrode Instructions Connecting Lead Wires Securing Electrodes 6 1 4 Rubber electrodes Reusable rubber Electrodes Connecting Lead Wires Conductive Medium 1 Conductive Medium 2 are seated completely into the electrodes there are no bare metal of the pins exposed Remove the adhesive Electrodes from the protective backing and apply to the treatment area as prescribed Ensure that the entire electrode surface is in contact with patient skin by pressing into place If used for delivery of electrotherapy there are two conductive mediums for you to select the first one is use electrode sponges as conductive mediums another is use other conductive medium such as Transmission Gel These Rubber Electrodes should be secured to the treatment area using the Nylon Wraps shipped with the Therapy System Insert the lead with the Red electrode connector into one rubber electrode Insert the lead with the Black electrode connector into the other rubber electrode Make certain the lead wires are seated completely into the electrodes Inserted the Rubber Electrodes into the electrode sponges moistened with distilled water prior to placement on the patien
23. he eyes or inside body cavities 23 Do not use electrical stimulation in conjunction with high frequency surgical equipment or microwave or shortwave therapy systems 24 Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns 25 Since the effects of stimulation of the brain are unknown stimulation should not be applied across the head and electrodes should not be placed on opposite sides of the head 1 Do not use this device on patients who have a cardiac pacemaker implanted defibrillator or other implanted metallic or electronic device because this may cause electric shock burns electrical interference or death 2 Do not use this device on patients whose pain syndromes are undiagnosed 1 Federal law USA restricts this device to sale by or on the order of physician 2 The long term effects of chronic electrical stimulation are unknown 3 Electrical stimulation devices have no curative value 4 Electrical stimulation is not a substitute for pain medications and other pain management therapies 5 Effectiveness is highly dependent upon patient selection by a practitioner qualified in the management of pain patients 6 The safety of electrical stimulation during pregnancy has not been established Qua ttro II CURRENT SOLUTIONS 7 Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or elect
24. ins power quality should be that of a typical commercial or hospital environment Surge IEC 61000 4 5 596 UT 79596 dip in UT for 0 5 cycle 4096 UT 6096 dip in UT for 5 cycles 7096 UT 3096 dip in UT for 25 596 UT gt 95 dip in UT for 0 5 cycle 4096 UT 6096 dip in UT for 5 cycles 7 096 UT 3096 dip Mains power quality should be that of a typical commercial or Voltage dips short ITER DITOR hospital environment and voltage If the user of the device variations requires continued on power operation during power supply input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic field IEC 610004 8 cycles lt 5 UT gt 95 dip in UT for 5 seconds UT for 25 cycles lt 5 UT gt 95 dip in UT for 5 seconds mains interruptions it is needed that the device be powered from an uninterruptible power supply Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE is the a c mains voltage prior to application of the test level 35 Quattro CURRENT SOLUTIONS Guidance and manufacturer s declaration Electromagnetic immunity The Quattro II device is intended for use in the electromagnetic environment specified below The customer or the user of the Quattro II should assure that it is used in such an environment Immunity IEC 60501
25. m 1 to when the device enter into professional mode The parameters of each phase program can be set according to following methods 8 Press B5 button to toggle Beat H parameter then rotating the parameters control knob 3 to set the parameter from Beat L Hz to 150Hz 1 Hz step 9 Press B6 button to toggle Beat L parameter then rotating the parameters control knob to set the parameter from 1 Hz to Beat H Hz 1 Hz step 10 Press B7 button to toggle Treat time parameter then rotating the parameters control knob 8 to set the treatment from 1 min to 60min 1 min step 23 Quattro IT 24 CURRENT SOLUTIONS Press B7 button again to toggle Cycle time parameter then rotating the parameters control knob to select the cycle time work time rest time from continuous e Old AJI 1 0 1 0 10 20 10730 and 10 50 Stick the electrodes on the patient You can use one or two channel as your needs Adjust the output intensity and start electrical treatment that you are using by rotating the output intensity adjustable knob on the control panel 0 5mA step or 0 5V step For safety using load detection was designed in this device after the output intensity surpass 10 0mA 10 OV If there are no electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing Press the button to stop treat
26. ment if any emergency happened Press the button to pause treatment you can press it again to restart the treatment CURRENT SOLUTIONS 6 4 3 TENS and EMS Stimulation Set up Procedure Pit m des n m du S ournm 5 4 00 i EMS TENS Qua ttro II 1 In order to turn on the device please press ON OFF switch to icon which is located on the side of the device 2 When you turn the Quattro the device will get down to self check about 6 8 seconds and then the default parameters are displayed the last treatment mode 3 Press B1 Waveform button to toggle the therapeutic waveform then rotating the parameters control knob 3 to select TENS or EMS waveform 4 Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs from to P10 Each program has 3 treatment phases you can set and save the parameters according to patient s need 5 Press B2 Program button to select CC or control mode 6 There are two modes in Quattro II press and hold B8 button to switch Normal mode and Professional mode In professional mode each program has 3 treatment phase the LCD display like left figure Rotating the parameters control knob to select phase program from 1 to 3 when the device enter into professional mo
27. nd will appear and the intensity value flashing Press the button to stop treatment if any emergency happened Press the pill button to pause treatment you can press it again to restart the treatment 22 CURRENT SOLUTIONS 6 4 2 2 Pole Interferential Stimulation Set up Procedure Treat ur VU Qua ttro II 1 In order to turn on the device please press ON OFF switch to icon which is located on the side of the device 2 When you turn the Quattro the device will get down to self check about 6 8 seconds and then the default parameters are displayed the last treatment mode 3 Press B1 Waveform button to toggle the therapeutic waveform then rotating the parameters control knob to select IF 2P waveform 4 Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs from to P10 Each program has 3 treatment phases you can set and save the parameters according to patient s need 5 Press B2 Program button to select CC or CV control mode 6 There are two modes in Quattro II press and hold B8 button to switch Normal mode and Professional mode In professional mode each program has 3 treatment phase the LCD display like left figure Rotating the parameters control knob to select phase program fro
28. ny claim to warranty 29 Quattro IT CURRENT SOLUTIONS 8 TROUBLESHOOTING For optimal Replace lead wires annually use Please follow the directions on the electrode packaging for the care 30 of electrodes The life of the electrodes varies depending on skin conditions skin preparation storage and climate Replace electrodes that no longer stick NOTE If the following measures fail to alleviate the problem please call your dealer Problem Possible Cause Solution Ensure adapter is connect Check the following Displays fail to Adapter contact contacts light up failure All contacts are in place All contacts are not broken Ensure that adapter is connected Electrodes 1 Dried out or 1 Replace contaminated 2 Electrodes must be a 2 Placement minimum of 2 inches apart Lead wires Old worn damaged Replace Poor electrode contact Reapply electrodes secure firmly Damaged or worn Replace electrodes or lead wires Stimulation is Intensity is too high Decrease intensity uncomfortable Electrodes are too Reposition the electrodes close together Electrodes must be a minimum of 2 inches apart Damaged or worn Replace electrodes or lead wires Electrode active area Replace electrodes with ones size is too small that have an active area no less than 25 0cm Stimulation is Improper electrode Reposition electrode Unknown Contat or E
29. ontinuou 180us continuou fcc 0 120Hz 0 7Ous continuous 14 2 0 20 4 0 continuous 14mi tece e pa 0 70 5 continuou 14 1 CC o 0 120 0 70us continuou 14min 2 CC o 12090 0 70us continuou chines continuou epo gn ox s one ann o 2 fccf o o ane ox fina in Ls 70 zi 3 5 O 5 5 5 3 5 4 0 N N gt 5 5 45 T N 100us continuous 30mi 5 100 5 continuous Omin 77 100 5 continuous Omin l mi 77 O N 30us continuou OHz 0 30us continuou continuou continuou 096 continuou 7Ous continuou OHz 3 e 3 14 4 14 OHz OHz 120Hz 0 120Hz 0 N h2 h2 09 CO 5 5 gt 70 5 continuous 14mi 70us continuou 14 70 continuou 14 gt 3 5 3 lt lt 0 0 0 2 CC 0 0 3 cc 0 0 0 8 cc 0 0 2 ESC ENEA 50Hz 2 0 3 cc son eee 6 2 cc 0 0 8 cc 0 0 o 2 ae N N 5 5 JBA HEROON x lt e e olaola ljo o o o olojo oio 1 oio Ala Alaa 5 HEE 5 A 3 I 3
30. ontrolled Quattro II provides interferential 4 pole premodulated 2 pole interferential medium frequency Russian EMS and TENS waveform You can choose between several different amplitude modulation options The interferential and premodulated modes offer frequency modulation as well as a static frequency option 1 2 This manual has been written for the users of Quattro II Introduction contains general information on the operation precautionary practices to This and maintenance information In order to maximize its use efficiency Manual and the life of the system please read this manual thoroughly and become familiar with the controls as well as the accessories before operating the system 2 SAFETY INFORMATIONS 2 1 1 Keep yourself informed of the contraindications Caution 2 Read understand and practice the warnings cautions and operating instructions Know the limitations and hazards associated with using any device Observe the precautionary and operational decals placed on the unit Always follow the operating instructions prescribed by your healthcare practitioner 3 DO operate this unit in an environment where other devices are being used that intentionally radiates electromagnetic energy in an unshielded manner 4 DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the control panel 5 Inspect Applicator cables and associated connectors before each use 6
31. orm like IF 4P IF 2P TENS EMS and Russian 14 Qua ttro II CURRENT SOLUTIONS 8 Each therapeutic waveform has programs The details parameters for each program please refer to section 6 3 in this manual Program Press the B2 Program button to toggle the CCICV therapeutic program and then rotating the Parameters control knob to select the therapeutic programs in corresponding waveform Press B2 Program button to select CC or CV control mode 10 Adjust the output intensity and start electrical treatment that you are using by rotating the output intensity adjustable knobs on the control panel 0 5mA step or 0 5V step For safety using load detection was designed in this device after the output intensity surpass 10 0mA 10 0V If there are no electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing 12 Press the Q button to stop treatment if any emergency happened 13 Press 1 button to pause treatment you can press it again to restart the treatment 6 3 Each therapeutic waveform has 10 programs They have default Using Preset parameters for each program but you can set and save the parameters Programs according to patient s need the default parameters for each program please refer to below Quattro IT 4 Pole Interferential preset programs am Interferential Traditional IF 4P 10 CURRENT
32. ou 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 To prevent electrical shock disconnect the unit from the power source before attempting any maintenance procedures The use of accessories transducers and cables than those specified with the exception of transducers and cables sold by the manufacturer as replacement parts for internal components may result in increased emissions or decreased immunity of the device This device is not designed to be use in an MRI Environment and should be removed prior to MRI exposure Do not apply stimulation over the patient s neck because this could cause severe muscle spasms resulting in closure of the airway difficulty in breathing or adverse effects on heart rhythm or blood pressure Do not apply stimulation across the patient s chest because the introduction of electrical current into the chest may cause rhythm disturbances to the patient s heart which could be lethal 10 Do not apply stimulation over open wounds or rashes or over swollen red infected or inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins 11 Do not apply stimulation over or in proximity to cancerous lesions 12 Do not apply stimulation in the presence of electronic monitoring
33. power rating of the transmitter in watts W accordable to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 37 Quattro CURRENT SOLUTIONS 13 Please contact your dealer or the device center in case of a claim under WARRANTY the warranty If you have to send in the device enclose a copy of your receipt and state the defect A The following warranty terms apply The warranty period for Quattro II products is one year from date of purchase In case of a warranty claim the date of purchase has to be proven by means of the sales receipt or invoice Defects in material or workmanship will be removed free of change with in the warranty period Repairs under warranty do not extend the warranty period either for the device or for the replacement parts B The following is excluded under the warranty All damage which has arisen due to improper treatment e g nonobservance of the user instruction e All damage which is due to repairs or tampering by the customer or unauthorized third parities Damage which has arisen during transport from the manufacturer to the consumer or during transport to the service centre e Accessories which are subject to normal wear and tear liabili
34. rical conductive medium gel 8 Patients with suspected or diagnosed heart disease should follow precautions recommended by their physicians and 9 Patients with suspected or diagnosed epilepsy should follow precautions recommended by their physicians 10 Use caution when the patient has a tendency to bleed internally such as following an injury or fracture 11 Use caution following recent surgical procedures when stimulation may disrupt the patient s healing process 12 Use caution if stimulation is applied over the menstruating or pregnant uterus and 13 Use caution if stimulation is applied over areas of skin that lack normal sensation 14 Use this device only under the continued supervision of a licensed practitioner 15 Electrical stimulation is ineffective for pain of central origin 16 Use extreme caution when treating desensitized areas or on patients who may not be able to report discomfort or pain 17 Patients should not be left unattended during any treatment 18 Keep this device out of the reach of children 2 5 Skin irritation inflammation and electrode burns beneath the Adverse electrodes are potential adverse reactions reaction Patients may experience headache and other painful sensations during or following the application of electrical stimulation near the eyes and to the head and face and Patients should stop using the device and should consult with their physicians if they experience adve
35. rse reactions from the device 3 INDICATIONS FOR USE For TENS Interferential and premodulated IFC 1 Symptomatic relief of chronic intractable pain 2 Reduction of inflammation 3 Post traumatic acute pain and edema 4 Post surgical acute pain and edema Additionally for EMS and Russian Relaxation of Muscle spasms and edema reduction Prevention or retardation of disuse atrophy Increasing local blood circulation Muscle re education Maintaining or increasing range of motion Immediate postsurgical stimulation of calf muscles to prevent venous thrombosis Quattro IT 4 PRESENTATION 4 1 Panel For front view CURRENT SOLUTIONS Tap Russian EE EMS TENS ty OF BBB Bas ma 8 Ba 888 Adjust the output intensity of channel 1 Adjust the output intensity of channel 2 Parameters control knob and pause button Stop treatment button Power indicator LCD display Shows the current information of the device Adjust the output intensity of channel 3 Adjust the output intensity of channel 4 Eight parameters selection buttons see below for details Bl B2 Toggle the therapeutic waveform Toggle the therapeutic program and select the output mode Toggle the parameter Vector Duty F M Burst Toggle the parameter Freq C F
36. t Liberally apply Transmission Gel to electrode prior to placement on patient Please note Please purchase the Transmission gel with CE mark or that is cleared by the FDA 18 Quattro CURRENT SOLUTIONS Securing Electrodes Use Nylon Wrap to secure each rubber electrode in position on the patient 1 In order to t the devi Quick Set up In order to turn on the device please press ON OFF switch to icon which is located on the side of the device When you turn the Quattro II on the device will get down to self check about 6 8 seconds and then the default parameters are displayed the last treatment mode for Electrical Stimulation Connect the electrode wires to the cable please note the color of the wires and the color marks on the cable they should be corresponding Caution lf you want to use 4 channels please connect all electrode wires to two cables 4 Two connectors are individual each connector output two channels through a cable So you can plug the cable s into one or two output conne ctors 2connectors according to patient s need 5 Connect the electrodes to electrode wires 6 Place the electrodes on the patient according to section 6 1 There are 5 therapeutic waveforms for you to select Press the Waveform button to toggle the therapeutic waveform and then rotating the Parameters control knob to select wavef
37. ter STORAGE in a dry room and protect it against heat sunshine and moisture Store the machine in a cool well ventilated place Never place any heavy objects on the machine 11 Please dispose of the device in accordance with the directive DISPOSAL 2002 96 WEEE Waste Electrical and Electronic Equipment Contact your local distributor for information 7 regarding disposal of the unit and accessories 33 Quattro IT 12 EMC TABLES 34 CURRENT SOLUTIONS The device needs special precautions regarding electromagnetic compatibility EMC and needs to be installed and put into service according to the EMC information supplied in this manual Care must be taken when operating this device adjacent to or stacked with other equipment Potential electromagnetic or other interference could occur to this or other equipment Try to minimize this interference by not using other equipment in conjunction with it The performance of the device was determined to be essential performance This device has been thoroughly tested according to tested and inspected to assure proper performance and operation Guidance and manufacturer s declaration electromagnetic emissions The Quattro II device is intended for use in the electromagnetic environment specified below The customer or the user of the Quattro II should assures that it is used in such an environment Emissions test Compliance Electromagnetic environment gui
38. titioner prior to therapy session Powered muscle stimulators should be used only with the leads and electrodes recommended by the manufacturer 6 1 3 This device is supplied with 8 pieces 50mm x 50mm and 8 pieces Adhesive 50mm x 100mm adhesive electrodes You can select the right adhesive electrodes electrodes according to treatment area and output current density It is recommended that manufacturer s 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 Electrodes upon completion of the therapy session If you are unsure of your electrode adhesive properties order new replacement electrodes Replacement electrodes should be re ordered through or on the advice of your physician to ensure proper quality Apply electrodes to the exact site indicated by your physician or therapist before applying electrodes be sure the skin surface over which electrodes are placed is thoroughly cleaned and dried Make sure the electrodes are placed firmly to the skin and make good contact between the skin and the electrodes Place the electrodes over the skin attach them properly firmly and evenly Caution 1 Before applying the self adhesive electrodes it is recommended to wash and degrease the skin and then dry it 2 notturns on the device when the electrodes are not positioned on the body 3 Nev
39. ty for direct or indirect consequential losses caused by the unit is excluded even if the damage to the unit is accepted as a warranty claim 38 CURRENT SOLUTIONS 14 70 NORMALIZED SYMBOLS OCO QE 159 Qua ttro ON OFF Switch Power polarity Type BF Applied Part Type of protection against electric shock Class Il Equipment Refer to Instruction Manual Electrical devices are recyclable material and should not be disposed of with household waste after their useful life Help us to protect the environment and save resources and take this device to the appropriate collection points Please contact the organization which is responsible for waste disposal in your area if you have any questions Equipment capable of delivering output values in excess of 10 mA r m s r m s averaged over any period of 5s Stop treatment Start Pause the treatment Serial Number 39 CURRENT SOLUTIONS Manufactured for Current Solutions LLC 3814 Woodbury Drive Austin 78704 Ph 800 871 7858 www currentsolutionsnow com
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