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Sonicator® Plus 920

1. POWER 1 Turn on the mains power switch located on the back of the unit by P pressing I icon on switch ura Mode HHH NONO UM Fre RNC S 2 When you first turn the Sonicator Plus 920 on the stored parameters for uo qoom poem each of the two stimulation channels and the ultrasound channel are EM displayed Press the channel key for the channel that you would like to 15 00 O 15 00 run H2 0 0 mA 0 00 W cm Yi mamam YS 15 00 Mode Carrier 3 Press the waveform button to change the waveform to go to the iss waveform selection screen 4 Electrode 0 0 mA 4 Press the EMS button on the touch screen display to highlight it and then press OK gt CHI IUE lt gt 2kHz 50Hz 10 20 20 00 Mods 2e carier 5 Pressany of the five additional buttons on the screen to select which ern SE parameters you would like to change 20 00 Electrode 0 0 m 9 Select the mode by pressing the symbol that describes what you want to do 1 channel surge 2 channel surge or reciprocation Press OK to select the option and return to the treatment screen 22 Carrier CH1 6 Select the carrier frequency by pressing the symbol on the left then pressing the up and down arrows on the touch screen display You can choose from 2 4 or 5 kHz Press OK to select the option and return to the treatment screen 7 Select the beat frequency by pressing the symbol on the left then pr
2. 13 15 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Plug one electrode cable into the channel corresponding to the channel that you have programmed Plug the cable into two electrodes Stick the electrodes on the patient You will need two electrodes Adjust the intensity and start treatment for the channel that you are using The maximum intensity is 100 mA peak If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Error 1 You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient Output will stop To clear an error press the Pause key for the affected channel will allow you to correct the problem with electrode contact Once the electrodes are secure you can then adjust the intensity up again Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value 4 13 Microcurrent Stimulation Set up Procedure POWER ura Mode HHH Carrier AkHz Carrier AkHz Freg MHz IF Freg 80Hz IFFreqg 80Hz al 100 Preset Output 0 80 wem 15 00 15 00 15 00 CHI C 0 0 0 0 0 00 win V YS l cm PO1 4kHz 70Hz 15 00 2 1F 2 u Eee _70Hz iFFreq 15 00 CO Electrode 0 0 m 1 Turn on the mains power switch
3. Adjust the intensity of the channel that you are using and start treatment by pressing the Up arrow on the control panel 4 5 Using Saved Programs eG IF 4 US Mode HHH ET Carrier 4kHz les Sinis IF Freq 70Hz gt 100 v sweep 8 0 On 15 00 5 00 00 0 0 na 0 00 men Mode Carrier IF Freq V Sweep CH1 0 0 mA CH2 0 0 mA Back Config Load Save Mode Carrier IF Freq Electrode 0 0 mA Back Config toad Save 2 Loading program 4kHz 70Hz 15 00 No Remarks CA 4kHz 70Hz 15 00 Cw 4kHz 70Hz 15 00 PO3 4kHz 70Hz 15 00 PO4 4kHz 70Hz 15 00 PO5 4kHz 70Hz 15 00 11 12 13 14 16 Pick the channel that you want to use by pressing the touch screen Once the treatment setup screen is displayed you can change the waveform by pressing the waveform selector on the screen Pick the waveform that you wish to use and then press ok Please note There are stored programs for each of the waveforms ultrasound and combination therapy Press the Load button Press the program that you would like to use When the program that you would like to use is highlighted press OK 25 Mettler Electronics Corp Rev F_07 02 12 Yi YS FE en P01 4kHz 70Hz 15 00 IF 2 Mode Carrier 17 This symbol will be displayed next to the wavefor
4. 1861 1863 1864 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2027 2221 2222 2223 2224 2266 Item Description Sonigel salt free colloidal water couplant case of 12 9 5 oz tubes Sonigel clear gel couplant 12 x 250 ml Sonigel clear gel couplant 1 x 5 liters Sonigel clear gel couplant 4 X 5 liters Sonigel clear gel couplant in tubes for therapeutic ultrasound and muscle stimulation 4 cases of 12 x 9 5 oz tubes Sonigel clear gel couplant in bottles for therapeutic ultrasound and muscle stimulation 4 cases of 12 x 250 ml bottles Sonigel Lotion with Aloe Vera 1 gallon with pump and pour off bottle Sonigel Lotion with Aloe Vera 4 X 1 gallon individually packaged 4 Sponge electrodes 2 x 2 24 Sponge inserts 2 x 2 4 Sponge electrodes 4 x 4 24 Sponge inserts 4 x 4 1 Sponge electrode 3 5 x 7 12 Sponge inserts 3 5 x 7 1 Sponge electrode 8 x 10 12 Sponge inserts 8 x 10 4 Electrode straps 24 4 Electrode straps 48 Pin to banana adapter plug set to be used with ME 2260 or 2201 electrode cables Four each gray EZ Trode 2 diameter round self adhering reusable electrodes with lead wires case of ten packages four electrodes pkg EZ Trode 3 diameter round self adhering reusable electrodes with lead wires case of ten packages four electrodes pkg EZ Trode 2 x 5 self adhering reusable electrodes with lead wires case of 10 p
5. 50 60 Hz 95 VA The Sonicator Plus 920 complies with the ultrasound performance standards set forth in the Code of Federal Regulations Title 21 Food and Drugs Part 1050 10 Model ME 920 11 pounds 4 9 in H x 13 6 in W x 10 5 in D 50 F to 104 F 30 to 75 700 to 1060 hPa 14 F to 140 F 30 to 95 700 to 1060 hPa 14 F to 140 F 30 to 95 700 to 1060 hPa 3 60 minutes electrical stimulation 30 minutes ultrasound or combination therapy Treatment time counts down to zero The digital timer indicates time in minutes and seconds The timer also indicates the remaining treatment time during the Hold period 9 2 Ultrasonic Generator Specifications Frequency Modes Pulse Repetition Rate Pulse Duration Temporal Peak average intensity ratio Maximum output power 1 0 MHz 5 3 0 MHz 5 Continuous Pulsed 5 10 20 30 40 and 50 duty cycle 100 Hz 20 0 5 1 2 3 4 and 5 msec 20 20 1 10 1 5 1 3 3 1 2 5 1 and 2 1 10 11 W 100 with large applicator I MHz ME 9201 16 5 W pulsed with large applicator 1 MHz ME 9201 12 W 100 with large applicator 3 MHz ME 9201 18 W pulsed with large applicator 3 MHz ME 9201 1 8 W 100 with small applicator I MHz ME 9202 2 7 W pulsed with small applicator I MHz ME 9202 1 6 W 100 with small applicator 3 MHz ME 9202 2 4 W pulsed with small applicator 3 MHz ME 9202 61 Mettler Electronics
6. You can select a burst mode frequency from 1 to 7 bps Use the arrows to raise or lower the values and then press OK when you are finished Adjust the pulse width by pressing the us button on the touch screen Use the up and down arrows to adjust the value and then press OK when you are finished If you have chosen an amplitude modulation option change the On Off and Ramp times or the number of cycles Press the corresponding key to open the sub window and change the parameters Touch to select the value of On time or Off time and set the new value using the up and down arrows This setting automatically changes the number of cycles To change the Ramp up time Ramp down time or Hold time touch to select the value you want changed and set the new value using the up and down arrows The Ramp up time Ramp down time and Hold time can be specified within the range of the On time 3 To set the treatment time or the number of muscle contractions touch to select the value you want changed and set the new value using the up and down arrows This setting automatically changes the respective values Press OK to select the option and return to the treatment screen Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen CH1 Error 1 11 12
7. Attention consult instruction manual Diagram of Pulsed Mode duty cycles Type BF Equipment Class I Non ionizing radiation Read the information in the instruction manual Not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Protected against the effects of immersion ETL and C ETL Listed 11 Mettler Electronics Corp Rev F_07 02 12 2 2 OFUR IT gw uu paces Control Descriptions Sonicator Plus 920 Figure 2 1 Sonicator Plus 920 top view Touch screen LCD CH1 pause control CH1 intensity controls CH2 pause control CH2 intensity controls Ultrasound intensity controls Stop control Ultrasound applicator cradle List of Abbreviations CH Channel cm Square centimeters COMBO Combination Hz Hertz pulses per second LCD Liquid crystal display LED Light Emitting Diode MHz Megahertz 1 x 106 cycles per second US Microsecond 1 x 10 second mA Milliampere 1 x 103 ampere ms Millisecond 1 x 103 second min Minutes sec Seconds S N Serial Number US Ultrasound W Watts W cm Watts per square centimeter 12 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 3 Installation 3 1 Installation Instructions NCAUTION 1 10 When installing the unit pay attention to the following e Install the unit beyond the reach of possible water splash
8. Freq button on the treatment screen If continuous is selected the top screen will be displayed Use the up and down arrows to adjust the frequency and then OK when you are finished If frequency modulation is selected the middle screen will be displayed Press the lower number or the upper number to adjust the frequency modulation sweep range Use the arrows to raise or lower the values and then press OK when you are finished If burst mode is selected the lower screen will be displayed You can select a burst mode frequency from 1 to 7 bps Use the arrows to raise or lower the values and then press OK when you are finished 35 Mettler Electronics Corp Rev F_07 02 12 N 36 MU P Duration CH1 ANN 50 us TA 20 00 Cont 40 times VA 10 11 13 14 15 Adjust the pulse width by pressing the us button on the touch screen Use the up and down arrows to adjust the value and then press OK when you are finished If you have chosen an amplitude modulation option change the On Off and Ramp times or the number of cycles Press the corresponding key to open the sub window and change the parameters Touch to select the value of On time or Off time and set the new value using the up and down arrows This setting automatically changes the number of cycles To change the Ramp up time Ramp down time or Hold time touch t
9. N 2 Tissue Depth 3 4 5 Centimeters eo 743 3 MHz 11 MHz Figure 7 3 Ultrasound Absorption Muscle with the Ultrasound Beam Perpendicular to the Muscle Fibers 100 90 SS N 80 70 E t 80 7 8 Yo 22 M i 3a 7 E 40 D gt SS mm TEX lr Dos de cb odo LES sb tens denm ass E dE tede o sp den em Lb el 3 dena nw nb abu dona er don be does eT Tissue Depth Centimeters 43 3 MHz 1 MHz Figure 7 4 Ultrasound Absorption Bone The physics of ultrasound and audible sound are similar except for frequency Both travel as longitudinal waves through a conducting medium Ultrasound waves can be propagated in a gaseous liquid or solid medium but not in a vacuum Rarefaction Areas of compression and rarefaction of the molecules form high frequency sound waves Ultrasound exhibits certain beaming properties and can be reflected refracted scattered or absorbed In passing through media it is attenuated and the absorbed energy is transformed into heat The attenuation coefficient for longitudinal waves in liquid and soft tissues is high producing the phenomenon at bone surfaces known as selective heating Figure 7 5 High Frequency Sound Waves Compression Clinical ultrasound is produced through the reverse piezoelectric effect Electricity is carried from a radio frequency source to
10. Recommended separation distance Conducted RF 3 Vrms d 1 2VP IEC 61000 4 6 150 kHz to 80 GHz Radiated RF 3V m d 1 2VP 80MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 2 3VP 800MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is 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 gt Interference may occur in the vicinity of equipment marked with the following symbol G NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies 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 environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Sonicator Plus 920 is used exceeds the applicable RF compliance level above the Sonicator Plus 920 should be observed to verify normal operation If abnormal performance is observed a
11. coupling to the patient Reapply gel and treatment will resume again when coupling is established Pressing Stop on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers If channels 1 and or 2 are running return the treatment intensity to 0 00 and all ultrasound output will stop General information Placement of electrodes may be by the quadpolar bipolar or monopolar techniques Proper positioning and contact will insure treatment comfort and efficiency Electrodes should never be placed in such a manner as to produce current flow through the cardiac area For safe operation of the Sonicator Plus 920 review contraindications warnings precautions and Side Effects Adverse Reactions in sections 5 6 5 7 5 9 and 5 10 before positioning electrodes 2 Preparation of the skin prior to electrode application To insure the efficient current conduction necessary for proper treatment certain preparations must be made Cleaning or wetting should eliminate any impairment to current conduction on the patient s skin such as an oily or dry surface or excessive hair coverage Shaving may be necessary depending upon the density of hair coverage Failure to provide for maximum current conduction efficiency could result in skin irritation relating to an increase in current density at the ele
12. is by means of circular or stroking movement In the circular method the sound head of the applicator is moved in slow and circular overlapping movements In the stroking or paintbrush method slow back and forth strokes are used again with slight overlapping Motion with either technique should be slow enough to insure proper energy absorption yet fast enough to eliminate excessive amounts of absorption that could produce periosteal pain Some references recommend that the treatment area covered by this moving technique be two to three times the effective radiating area of the transducer for every five minutes of exposure 8 Figure 7 6 Ultrasound Application Techniques On occasion irregular surfaces of the body are treated hands and may offer a poor surface for proper sound head contact The underwater technique may be used for these applications The part to be treated and the sound head are submerged in water and the sound head is moved over the area keeping the head 1 2 to 1 inch away from the area of treatment As air bubbles appear on the surface of the sound head they should be wiped away to insure proper transmission of energy Figure 7 7 Underwater Treatment Technique 57 Mettler Electronics Corp Rev F_07 02 12 58 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 8 References Belanger A Therapeutic Electrophysical Agents Evidence Behind Practice Williams and Wilkins A Walters K
13. the Up arrow for that channel on the control panel If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient the intensity display will not go up and the treatment will not start If you lose contact while the treatment is running CH1 Error1 will be displayed If the electrode cable is broken or the electrode is not making good contact with the patient you will have similar symptoms To clear an error press the pause key for the affected channel and then you can attempt to restart the treatment by adjusting the intensity up after you have resolved the problem Pressing pause will stop that specific channel and not change all of the parameters including remaining treatment time Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value 23 Mettler Electronics Corp Rev F_07 02 12 4 4 Quick Set up for Therapeutic Ultrasound POWER 10 eX IF 4 Mode HHH Carrier 4kHz Freq MHz IF Freq 70Hz Bl 100 Preset Output VENER amp 0 1 00w cm 15 00 5 00 00 0 0 na 0 00 wen aN d Ultrasound Couplant 24 B Turn on the mains power switch located on the back of the unit by u pressing I icon on switch When you first turn the Sonicator Plus 920 on the default parameters for each of the two stimulation channels and the ultrasoun
14. the channel that you would like to use D 15 00 5 00 0 0 mA 0 0 mA 0 00 W cm Carrier 3 Press the waveform button to change the waveform to go to the G 0 vows waveform selection screen Electrode 4 Press the IF 2 button on the touch screen display to highlight it and then press OK 5 Press any of the four additional buttons on the screen to select which parameters you would like to change Press OK to select the option and return to the treatment screen Back Config Load Save N I Mode P 6 Select the mode by pressing the symbol that describes what you want to do either continuous or modulated frequency Press OK to select the option and return to the treatment screen 2 IF Freg 7 Adjust the IF frequency by pressing the IF Freq button on the treatment screen If continuous is selected the top screen will be displayed Use the up and down arrows to adjust the frequency and then OK when you are finished If frequency modulation is selected the lower screen will be displayed Press the lower number or the upper number to adjust the frequency modulation sweep range Use the arrows to raise or lower the values and then press OK when you are finished i Carrier il 11 Press the Carrier button and select whichever carrier frequency that you 4z would like to use Press OK to accept the val
15. the stimulation effect on the muscle under the smaller electrode The figure on the left illustrates one possible electrode placement for muscle stimulation of the forearm Additional information about electrode placement Motor point charts are available as guides from Mettler Electronics Corp These points may vary from patient to patient and at time of injury may vary in the same patient 47 Mettler Electronics Corp Rev F_07 02 12 48 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 5 Indications Contraindications Precautions and Adverse Reactions 5 1 Indications for Therapeutic Ultrasound Application of therapeutic deep heat for the treatment of selected sub chronic and chronic medical conditions such as 1 Relief of pain muscle spasms and joint contractures 2 Relief of pain muscle spasms and joint contractures that may be associated with e Adhesive capsulitis e Bursitis with slight calcification e Myositis e Soft tissue injuries e Shortened tendons due to past injuries and scar tissues 3 Relief of pain muscle spasms and joint contractures resulting from e Capsular tightness e Capsular tightening 5 2 Indications for Pain Management 4 Pole Interferential 2 Pole Interferential TENS and Microcurrent waveforms 1 Symptomatic relief of chronic intractable pain 2 Post traumatic pain 3 Post surgical pain 5 3 Indications for Neuromuscular Stimulation EMS TENS Hi Volt and Russian
16. to the body using the bipolar technique Equal size electrodes are placed at each end of the muscle or muscle group Current concentration is over the entire length of that muscle or muscle group and especially effective on weak musculature Electrode placement should be at opposite ends of the limb or muscle group Care should be taken to insure that electrodes are not placed too close together which could produce current concentration along the edges of the pads This is the so called edging effect which can cause patient discomfort The figure on the left shows a pad set up for stimulation of the quad riceps Monopolar electrode application techniques Monopolar techniques may be used with the High Voltage and TENS waveforms The smaller active electrode is placed over the muscle motor point In treatments designed to relieve pain the active electrode is placed over the painful area The larger dispersive electrode is placed on the same side of the body at some point distal to the active electrode The dispersive pad is generally three to four times larger than the active electrode so that current density is too low to cause muscle contractions under the dispersive electrode Never place the dispersive electrode over the antagonist muscle The monopolar electrode placement technique has been found to be especially useful for muscle stimulation of the upper extremities and small muscle groups This technique helps concentrate
17. water at 30 C The beam of the applicator is circular in all planes parallel to the applicator face A few inches from the face it is a single smooth bell shaped curve Nearer the face the pattern varies more due to phase cancellations Sample curves measured in the far field from the surface are shown in Figures 9 3 through 9 6 Figure 9 4 Large Applicator 3 MHz ME 9201 Three Dimensional Beam Pattern 63 Mettler Electronics Corp Rev F_07 02 12 Figure 9 5 Small Applicator 1 MHz ME 9202 Three Dimensional Beam Pattern 10 4 Figure 9 6 Small Applicator 3 MHz ME 9202 Three Dimensional Beam Pattern 9 4 Waveform Specifications 6 4211 111010 Lee Waveform Type Polarity Maximum Voltage Current Carrier Frequency Interference frequency Frequency Modulation Figure 9 7 4 Pole Interferential Waveform Vector sweep angle Available Channels 64 Sinewave None 50 V 20 Peak value 500 load 0 100 mA peak 500 2 load 2 kHz 4 kHz 5 kHz 1 250 beats to 10 in 1 beat steps and 10 to 250 in 10 beat steps For Sweep Min frequency Max frequency 0 15 30 45 degrees Channels 1 amp 2 together Figure 9 8 2 Pole Interferential EMS Mode Figure 9 9 EMS Waveform Russian Mode Figure 9 10 Russian Wavef
18. waveforms 1 Relaxation of muscle spasms Increase local blood circulation Prevention or retardation of disuse atrophy Muscle re education Maintaining or increasing range of motion Immediate post surgical stimulation of calf muscles to prevent venous thrombosis re Sl 5 4 Indications for Muscle Spasm DC Direct Current waveform 1 Relaxation of muscle spasm 5 5 Contraindications for Therapeutic Ultrasound 1 Therapeutic ultrasound should not be applied over the pregnant or potentially pregnant uterus Therefore therapeutic ultrasound should not be applied over the uterus unless specific assurance can be attained from the patient that she is not pregnant 2 Patients who have cardiac pacemakers should be protected from direct ultrasound exposure over the thorax to protect the lead wires and pacer from such exposure 3 Therapeutic ultrasound should not be applied to the eye Applications of therapeutic intensities of ultrasound should be avoided over the heart 5 Neoplastic tissues or space occupying lesions should not be exposed to ultrasound 49 Mettler Electronics Corp Rev F_07 02 12 6 7 10 11 12 Ultrasound should not be applied to the testes to avoid increases in temperature Areas of thrombophlebitis should not be treated with therapeutic ultrasound due to the increased possibility of clotting or dislodging a thrombus Conditions where this might occur are deep vein thrombosis emboli and severe at
19. 16 17 Plug the cable into two electrodes Use sponge electrodes with DC current Self adhesive electrodes will be permanently ruined if you attempt to use them Moisten the sponges with tap water You may also use the High Voltage Probe First snap in the electrode size that you want to use for your application Place the sponge over the disc and then cover with the fabric cover to hold the sponge in place Moisten with tap water Press the button on the high voltage probe when you want to deliver stimulation Use a sponge electrode supplied with the high voltage probe as a dispersive electrode Secure a sponge electrode to the patient with a Velcro strap Use caution when applying direct current since it can be extremely irritating and can even cause burns if not applied properly The maximum intensity with this waveform is 20 mA When you use the high volt probe intensity will be limited to 2 mA to prevent high current densities If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Error 1 You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient Output will stop To clear an error press the Pause key for the affected channel will allow you to correct the problem with electrode contact Once the electrodes are secure you can then adjust the intensity up again Pressing stop on the
20. 2 Introduction to This Manual Read the contents of this manual before treating patients with the Sonicator Plus 920 This manual has been written to assist you with the safe operation of the Sonicator Plus 920 It is intended for use by the owners and operators of the Sonicator Plus 920 The goal of this manual is to direct the correct operation and maintenance of this unit The specifications and instructions presented in this manual are in effect at the time of its publication These instructions may be updated at any time at the discretion of the manufacturer To ensure that you receive important updates to this manual or announcements about this product please register the warranty for your Sonicator Plus 920 on line at http www mettlerelectronics com product registration e The operating manual is required for safe use of the unit If you lend or transfer the unit to another party such as a facility be sure to provide this manual with the unit e Carefully read the Safety Precautions before operating the unit Follow the precautions given e To prevent injury to the operator or patient or property damage the manual uses the following terms and symbols to represent varying levels of danger Make sure you understand what these symbols mean before reading the manual N D AN G E R Improper handling may result in a high risk of death or serious injury NWARN N G Improper handling may result in a risk of death or serious injury NC AUT
21. A 0 00 W cm Yi mamam YS F 2 HHH mode Carrier 3 Press the waveform button to change the waveform to go to the PEN waveform selection screen 4 Electrode 0 0 m 4 Press the Rus button on the touch screen display to highlight it and then press OK WD vere 2 52 Carr 5 Press any of the three additional buttons on the screen to select which TED oer parameters you would like to change QD Electrode 0 0 mA Back Config Load Save 6 Select the mode by pressing the symbol that describes what you want to do 1 channel surge 2 channel surge co contraction or reciprocation alternate Press OK to select the option and return to the treatment screen M Mode CH1 Gs EG 7 To change the On Off and Ramp times or the number of cycles Press the corresponding key to open the sub window and change the parameters Touch to select the value of On time or Off time and set the new value using the up and down arrows This setting automatically changes the number of cycles Q To change the Ramp up time Ramp down time or Hold time touch to select the value you want changed and set the new value using the up and down arrows The Ramp up time Ramp down time and Hold time can be specified within the range of the On time 3 To set the treatment time or the number of muscle contractions touch to select the value you want change
22. Constant Burst Sweep 0 5 to 7 Hz 0 5 0 7 Hz 1 to 7 Hz In 1 Hz steps Independent Simultaneous Alternate 1 to 30 sec In 1 sec steps includes ramp up hold and ramp down times 1 to 99 sec In 1 sec steps 0 to 3 sec In 0 5 sec steps 0 to 30 sec In 0 5 sec steps 0 to 3 sec In 0 5 sec steps 1 to 1 800 times All 1 May be set only in Independent Simultaneous or Alternate mode 2 This frequency to be set only in Burst mode Waveform Type Polarity Maximum Voltage Current Phase Duration Frequency Frequency Modulation Burst frequency 2 Available Amplitude Modulation Options On time 1 Biphasic square None 50 V 20 Peak value 500 load 0 100 mA peak 5000 load 50 to 300 us In 10 us steps Constant 0 5 to 250 Hz Burst 100 Hz Fixed Sweep to 250 Hz Independent Simultaneous Alternate 20 to 250 Hz Constant and Sweep 0 5 to 7 Hz 0 5 0 7 Hz 1 to 7 Hz In 1 Hz steps Burst Independent Simultaneous Alternate to 30 sec In 1 sec steps includes ramp up hold and ramp down times Microcurrent Mode T Figure 9 13 Microcurrent Waveform Direct Current Mode Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Off time 1 Ramp up time 1 Hold time 1 Ramp down time 1 Contraction 1 Available Channels 1 to 99 sec In 1 sec steps 0 to 3 sec In 0 5 sec steps 0 to 30 sec
23. Corp Rev F_07 02 12 Maximum intensity 2 0 W cm 100 3 0 W cm pulsed mode Indication accuracy 20 for any level above 10 of maximum Output description The output waveform is continuous or pulsed as programmed by the membrane panel control In the pulse mode the 1 or 3 MHz sine wave pulses are modulated The power level is adjusted by varying the pulse amplitude The pulse waveform shown below represents all the available pulsed options The frequency remains the same while the on and off times vary 1 or 3 MHz Ultrasound 90 5 ms 5 ms 5 ms Figure 9 1 Pulse Waveform 50 Duty Cycle In the continuous mode the power is on at least 95 of the time the timer is running The continuous mode waveform is shown below 1 or 3 MHz Ultrasound 100 Figure 9 2 Continuous Waveform 9 3 Ultrasonic Applicator Specifications Individual Applicator Specifications Applicator Part Frequency Effective Radiating Maximum Beam Non Type Number Area Uniformity Ratio ME 9201 1 MHz 5 5 5 cm 20 Collimated ME 9201 3 MHz 5 6 0 cm 20 Collimated ME 9202 1 MHz 5 0 9 cm 20 ME 9202 3 MHz 5 0 8 cm 20 Collimated 62 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Spatial Pattern The applicator produces a collimated cylindrical beam with an area listed measured 5 mm from the ceramic disc surface when the radiation is emitted into the equivalent of an infinite medium of distilled
24. I O N Improper handling may result in injury or property damage Calls attention to Danger Warning or Caution items This particular symbol means Electric Shock Hazard Indicates an action to be avoided This particular symbol means Do Not Disassemble Indicates a mandatory action This particular symbol means Remove the plug from the power outlet 1 3 Safety Precautions WARNING The Sonicator Plus 920 operates with high voltages Qualified biomedical technicians with training in ultrasound and neuromuscular stimulator service should perform servicing of the Sonicator Plus 920 or it should be returned directly to the factory To maximize safety during use the unit should be plugged into a grounded wall outlet General safety guidelines for medical electronic equipment should be followed To assure compliance with the FDA 21 CFR 1050 10 ultrasound standard the ultrasound portion of the Sonicator Plus 920 should be calibrated and safety tested on an annual basis This service may be obtained from the manufacturer by sending the Sonicator Plus 920 in its original shipping container to Mettler Electronics Corp 1333 South Claudina Street Anaheim CA 92805 ATTN Service Department Telephone toll free 800 854 9305 Alternate telephone number 1 714 533 2221 This service may also be performed by qualified biomedical engineers or technicians trained in ultrasound calibration NOTE All warranty repairs must be perf
25. In 0 5 sec steps 0 to 3 sec In 0 5 sec steps 1 to 1 800 times All 1 May be set only in Independent Simultaneous or Alternate mode 2 This frequency to be set only in Burst mode Waveform Type Polarity Maximum Voltage Current Phase Duration Frequency Available Channels Waveform Type Polarity Maximum Voltage Current Available Channels Mono or Bi phasic square Plus minus or both 0 375 V 20 Peak value 500 load 0 to 750 uA peak 5009 load Duty fixed at 50 0 3 to 400 Hz 0 3 0 5 0 7 1 10 set in 1 Hz increments 10 400 set in 10 Hz increments All Continuous DC Plus or minus 10 V 20 50002 load 0 to 20 mA peak 500Q load All 67 Mettler Electronics Corp Rev F_07 02 12 68 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 10 Accessories 10 1 Ordering Information Therapy products and accessories are available from Mettler Electronics authorized Distributors For information regarding either Mettler products or a distributor near you please call toll free 800 854 9305 or phone 714 533 2221 in areas outside the continental United States Ask for Customer Service Mettler Electronics is open from 7 AM until 5 PM Pacific Time for your convenience You can also reach our Customer Service Department via email at mail mettlerelectronics com 10 2Sonicator Plus 920 Accessories Catalogue 1844 1851 1852 1853 1860
26. Mettler Electronics Corp Rev F_07 02 12 p 5 S amp en G amp qq 9 5 p Js NN us Sas EEE OT i ON OFF sec 4 Q m m 10 TENS High Voltage Direct Current DC Ultrasound treatment Combination treatment Large ultrasound applicator plugged in Small ultrasound applicator plugged in Large ultrasound applicator active Small ultrasound applicator active Carrier frequency for 4 pole and 2 pole interferential and EMS Beat frequency for 4 pole and 2 pole interferential and EMS Duty cycle for Russian mode Set pulse width Set twin pulse width for high voltage Set individual pulse width for high voltage Positive polarity Negative polarity Bipolar Vector sweep mode Continuous mode Burst mode Frequency modulation mode Surge mode Surge mode 2 channels Reciprocation Alternate mode Frequency sweep range Set on off times Electrode symbol Using gel for ultrasound treatment IPXO IPX7 C US LisTEO Intertek 3123653 Classified Sonicator Plus 920 Instruction Manual Rev F 07 02 12 Using cream for ultrasound treatment Large 5 5 cm ultrasound applicator plugged in Small 0 9 cm ultrasound applicator plugged in Watts per square centimeter selected for intensity display Watts selected for intensity display Select ultrasound frequency 1 or 3 MHZ Select ultrasound duty cycle 5 10 20 30 40 50 or 10076 Mains On Mains Off
27. Mettler Electronics Corp 16 Turn on the Sonicator Plus 920 before applying electrodes to the patient 5 10Side Effects Adverse Reactions for Neuromuscular Electrical Stimulation 1 Skin irritation and burns beneath the electrodes have been reported with the use of electrical muscle stimulators 2 Possible allergic reactions to tape gel or electrodes may occur 92 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 6 Maintenance and Troubleshooting 6 1 Cleaning the Sonicator Plus 920 The Sonicator Plus 920 can be wiped off with a damp cloth The power cord should be disconnected from the unit before this is done In the case of stubborn dirt a gentle household cleaner can be sprayed on the cloth and then wiped on the unit If this method is used remove any cleaner residue with a damp cloth Do not spray cleaner into the vents of the unit Follow the V Trode package insert for the use and care of the electrodes supplied with the Sonicator Plus 920 For routine cleaning of the electrode cables use soap and water Thoroughly dry after cleaning Use soap and water for routine cleaning of the Sonicator Plus 920 applicator Rinse the applicator thoroughly after disinfection to remove any residue You can disinfect the stainless steel part of ultrasound applicator with a cloth moistened with an approximately 70 alcohol solution The Sonicator Plus 920 applicator is neither autoclavable nor gas sterilizable 6 2 R
28. Sonicator Plus 920 on line at http www mettlerelectronics com product registration 13 Mettler Electronics Corp Rev F_07 02 12 re AC LINE INPUT Figure 3 1 Sonicator Plus 920 Back View Mains Power Switch and Line Cord Connection Fa WAN ch2 UETAN Figure 3 2 Sonicator Plus 920 Front View Electrode Cable and Ultrasound Applicator Connections Sonicator Plus 920 ch1 ch2 Combo pause Enke LECTRONICS corp Figure 3 3 Sonicator 920 with ultrasound applicator cradle 14 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 3 2 Customizing the Optional Settings The Sonicator Plus 920 has a number of options that the user can set to regulate the volume of the buzzer and determine the lighting of the LCD screen This section will guide you through the process POWER l SxS IF A HHH Mode Carrier AkHz Freq Mkz 70Hz Fl 100 Preset Output 1 00w cm 5 00 IF Freq V Sweep amp 0 15 00 CHi 0H 0 0 mA 0 0 mA 0 00 W cm Carrier IF Freq V Sweep H1 0 0 mA CH2 0 0 mA mLCD ll Buzzer Volume lll End Melody E Buzzer Control E US Power Unit ll Gel OTM H Initialize Config On Os MED i ED Gon 1 p O g u Turn on the mains power switch by pressing I icon on switch When you first turn the Sonicator Plus 920 on the default parameters for each of the two stimulation cha
29. The Sonicator Plus 920 applicator is warranted against defects in materials and workmanship for a period of one year from date of purchase During the applicable warranty period Mettler Electronics Corp will at its discretion either repair or replace the Product without charge for these types of defects OE II SO em vous PONES For service under this warranty the Product must be returned by the buyer within the applicable warranty period to Mettler Electronics Corp Shipping charges to Mettler Electronics Corp under this warranty must be paid by the buyer The buyer must also include a copy of the sales receipt or other proof of the date of purchase If the Product is returned without proof of the date of purchase it will be serviced as an out of warranty product at Mettler Electronics Corp s prevailing service rates 7 Mettler Electronics Corp Rev F_07 02 12 Alteration misuse or neglect of the Product voids this warranty Except as specifically set forth above Mettler Electronics Corp makes no warranties express or implied including without limitation any implied warranty of merchantability or fitness for a particular purpose with respect to the Product If any implied warranties apply as a matter of law they are limited in duration to one year Mettler Electronics Corp shall not be liable for any indirect special consequential or incidental damages resulting from any defect in or use of the Product Any legal action bro
30. ackages 2 electrodes pkg EZ Trode 2 square self adhering reusable electrodes with lead wires case of ten packages four electrodes pkg Electrode cable for the Sonicator Plus 920 69 Mettler Electronics Corp Rev F_07 02 12 70 2267 2702 2703 2704 2705 73 97 9201 9202 Optional high volt DC probe pin to banana adapter and 3 1 2 x 7 sponge electrode for the Sonicator Plus 920 V Trode 2 diameter round electrodes with lead wires case of ten packages four electrodes pkg V Trode 2 75 diameter round electrodes with lead wires case of 10 packages four electrodes pkg V Trode 2 x 4 oval electrodes with lead wires case of 10 packages four electrodes pkg V Trode 2 square electrodes with lead wires case of 10 packages four electrodes pkg Three shelf mobile cart for all Sonicator Plus products Holds unit on the top shelf with lower shelves for accessories Sturdy stainless steel cabinet with a platform for Mettler electrotherapy products and three shelves with a plastic door with two locking wheels Sonicator Plus 920 applicator 5 5 cm 1 or 3 MHz Sonicator Plus 920 applicator 0 9 cm 1 or 3 MHz
31. an electrode in contact with the surface of a specially cut crystal The electrical charges applied to the crystal surface produce mechanical vibrations or the so called reverse piezoelectric effect The crystal may be natural or synthetic and may be salt quartz polycrystalline or ceramic When this crystal is in resonance with the driving oscillator optimum conversion from electrical to mechanical energy is achieved The Sonicator Plus 920 uses a silicon dioxide SiO ceramic for its transducers 56 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Ultrasonic power is expressed in watts W or watts per square centimeter W cm Average intensity W cm is obtained by measuring the total output of the applicator in watts and then dividing it by the size of the effective radiating area of the applicator The ERA effective radiating area is indicated on the label of each Mettler applicator Please note the ERA is different from the overall dimension of the applicator face Ultrasound waves need a medium for their transmission and that is accomplished by using a proper coupling agent This coupling layer between the transducer and body surface will assist in the propagation of the mechanical vibrations and prevent loss of transmission Once the coupling agent is applied to the body surface the applicator placed in contact and the desired output selected in total watts or watts per square centimeter the technique of application
32. ause of the error Then readjust the treatment intensity by pressing the Up arrow to begin the treatment again 4 Error3 Appears when a problem occurs in the ultrasound applicator Check the ultrasound applicator for damage and replace if necessary Make sure that it is firmly connected to the Sonicator Plus 920 Press either the error message or Stop to reset the treatment after resolving the cause of the error Then readjust the treatment intensity by pressing the Up arrow to begin the treatment again 5 Error 4 Appears when an internal connection is disconnected or similar problem has occurred Remove the electrodes from the patient Turn off power and then turn back on If the error is not resolved the Sonicator Plus 920 requires servicing If problem is not addressed above or if additional troubleshooting guidance is desired call 800 854 9305 or email our service department at service mettlerelectronics com The distributor who sold the Sonicator Plus 920 should be able to assist you with a loaner unit during warranty service 54 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 section 7 Ultrasound Theory of Operation 7 1 Introduction to Ultrasound Ultrasound is a form of acoustical vibration occurring at frequencies too high to be perceived by the human ear The limit for the audible range is at about 20 kHz Frequencies above this level are considered ultrasound The range 700 kHz to 1 1 MHz appeare
33. control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value 4 15 Therapeutic Ultrasound Setup Procedure POWER l oR IF 4 Mode HHH Carrier AkHz Freq 1 MHz IF Freq 70Hz el 100 V Sweep amp 0 OOwscm 15 00 5 00 0 0 0 010 000 42 Preset Output I Turn on the mains power switch located on the back of the unit by u K pressing I icon on switch When you first turn the Sonicator Plus 920 on the default parameters for each of the two stimulation channels and the ultrasound channel are displayed Press the tab at the top labeled US to see in detail all of the options Pot iMHz 100 1 00 5 00 a GEL 100 el IL b d Preset Output 1 00 wien N amp Preset Output x 1 00 W cm VA amp Duty ur e 100 V A Cx amp Preset Output us 1 00 W cm VA Ultrasound Couplant 10 Sonicator Plus 920 Instruction Manual Rev F 07 02 12 There are four options that on the left side of the screen that you can change Press the MHz button to change from 1 to 3 MHz Use the arrow keys to change the value and press OK to accept the displayed value Press the button to the duty cycle for the pulsed ultrasound Use the arrow keys to change the value and press OK to accept the displayed value Select the treatment time by pr
34. crete or ceramic tile If floors are covered with synthetic material relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If the user of the Sonicator Plus 920 requires continued operation during power mains interruptions it is needed that the Sonicator Plus 920 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 Ur is the A C mains voltage prior to application of the test level 18 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Guidance and manufacturer s declaration electromagnetic immunity The Sonicator Plus 920 is intended for use in the electromagnetic environment specified below The customer or the user of the Sonicator Plus 920 should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance Electromagnetic environment guidance level Portable and mobile RF communications equipment should be used no closer to any part of the Sonicator Plus 920 including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter
35. ctrode site Using reusable electrodes for longer periods of time than those recommended by the package insert could result in ineffective treatments or cause skin irritation Care should be taken to ensure application of the total electrode surface area to the patient s skin prior to commencing treatment Figure 4 4 Bipolar Electrode Placement Technique Figure 4 5 Monopolar Electrode Placement Technique Sonicator Plus 920 Instruction Manual Rev F 07 02 12 Quadpolar electrode application technique Quadpolar techniques should be used with the Interferential waveform The electrodes from Channel 1 are placed diagonally from each other While the electrodes from Channel 2 are placed diagonally across from each other to form an X over the treatment area The zone of maximum interference between the two channels occurs roughly in the center of the X Constantly changing the intensity levels of the two channels will change the interference pattern felt by the patient Pressing the amplitude modulation key will constantly change the intensity of the outputs of the two channels during treatment increasing the area covered by the interference pattern Bipolar electrode placement techniques Bipolar electrode placement techniques should be used to provide stimulation to larger muscle groups such as the quadriceps or the hamstrings The symmetrical waveforms of the EMS and Russian waveforms are usually applied
36. d and set the new value using the up and down arrows This setting automatically changes the respective values Press OK to select the values and return to the treatment screen 33 Mettler Electronics Corp Rev F_07 02 12 N CH1 34 Error 1 11 Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen Plug one electrode cable into the channel corresponding to the channel that you have programmed Plug the cable into two electrodes Stick the electrodes on the patient You will need two electrodes Adjust the intensity and start treatment for the channel that you are using The maximum intensity is 100 mA peak If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Error 1 You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient Output will stop To clear an error press the Pause key for the affected channel will allow you to correct the problem with electrode contact Once the electrodes are secure you can then adjust the intensity up again Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requ
37. d channel are displayed For ultrasound plug the ultrasound applicator into the receptacle labeled TS f Apply a layer of ultrasound couplant gel to the treatment area Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LEDs on either side of the applicator will light when coupling is achieved Adjust the intensity level for the ultrasound If you just press the US intensity control once the preset output intensity will be delivered If you hear an intermittent beeping sound or the indicator light on the applicator goes out there is inadequate coupling to the patient Reapply gel and treatment will resume again when coupling is established Pressing Stop on the control panel will stop output on all channels and on ultrasound but will not reset the treatment parameters to their default values Treatment time will also display remaining time on the timers If channels 1 and or 2 are running return the treatment intensity to 0 00 and all ultrasound output will stop V l gt CHI PO1 4kHz 70Hz 15 00 2 IF 2 HH Mode Carrier _70Hz irren 0 0 mA 9 10 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 At this point you may adjust any of the treatment parameters or just go to the next step
38. d during early investigative work to be best suited to clinical applications Most therapeutic ultrasound devices operate at frequencies within this range Recent studies have been conducted utilizing a frequency of 3 MHz Since 3 MHz allows ultrasound transmission only 1 3 the depth of 1 MHz it has been used for the treatment of more superficial structures Figures 7 1 7 2 7 3 and 7 4 illustrate the relative depths of penetration of 1 and 3 MHz Since the body is actually composed of a variety of tissues the depth of penetration will depend on the amount of each tissue in the path of the ultrasound beam Quite frequently the presence of bone in the ultrasound beam will be the limiting factor in determining the actual depth to which the ultrasound beam will reach This is best illustrated in Figure 7 4 In the fingers and toes ultrasound can pass around the bone to the opposite surface of the digit In this case if the intensity is high enough the patient may report heat or discomfort on the surface opposite the ultrasound application Ultrasound Remaining Per Cent Tissue Depth Centimeters 3 3 MHz 1 MHz Figure 7 1 Ultrasound Absorption Skin a 23 3 MHz 51 MHz Figure 7 2 Ultrasound Absorption Fat 5D Mettler Electronics Corp Rev F_07 02 12 I oe o a f DT ARA Diet j DE E ERE EE m EE A ma
39. d patient instruction Place electrodes in such a way to avoid stimulation of the carotid sinus neck region Patients with arterial or venous thrombosis or thrombophlebitis are at risk of developing embolisms when electrical stimulation is applied over or adjacent to the vessels containing the thrombus If a patient has a history of deep vein thrombosis even many years past the affected area should not be stimulated Do not use over swollen infected or inflamed areas Do not place electrodes over skin eruptions Fresh fractures should not be stimulated in order to avoid unwanted motion Do not apply stimulation transcerebrally through the head Do not use on cancer patients Stimulation should not be applied immediately following trauma or to tissues susceptible to hemorrhage Positioning electrodes over the neck or mouth may cause severe spasm of the laryngeal or pharyngeal muscles These contractions may be strong enough to close the airway or cause difficulty in breathing Do not apply stimulation for undiagnosed pain syndromes until etiology is established Do not apply electrodes directly over the eyes or inside body cavities Do not use electrical stimulation in conjunction with high frequency surgical equipment or microwave or shortwave therapy systems 9 7 Warnings for Neuromuscular Electrical Stimulation 2 50 Electrical stimulation is ineffective for pain of central origin Electrical stimulation must be appl
40. dditional measures may be necessary such as reorienting or relocating the Sonicator Plus 920 Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 19 Mettler Electronics Corp Rev F_07 02 12 Recommended separation distances between portable and mobile RF communications equipment and the Sonicator Plus 920 The Sonicator Plus 920 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Sonicator Plus 920 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Sonicator Plus 920 as recommended below according to the maximum output power of the communications equipment Rated maximum output Separation distance men to frequency of transmitter power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2NP d 1 2NP d 2 3VP 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 power rating of the transmitter in watts W according 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 Electromagnet
41. e 0 0 m 4 Press the TENS button on the touch screen display to highlight it and then press OK CHI WD voce 20H Frea 5 Press any of the five additional buttons on the screen to select which 2000s t Ze ovon parameters you would like to change 15 00 adn 0 0 mA Back Config Load Save 37 Mettler Electronics Corp Rev F_07 02 12 6 v J PDuration CH1 8 Ar 200 us VA 9 Q r On Off ut 10 J Time CH1 10 C 15 00 VA 38 Select the mode by pressing the symbol that describes what you want to do You can select 1 channel surge 2 channel surge co contraction reciprocation alternate continuous frequency modulation or burst options Press OK to select the options and return to the treatment screen Adjust the pulse frequency by pressing the Freq button on the treatment screen If continuous is selected the top screen will be displayed Use the up and down arrows to adjust the frequency and then OK when you are finished If frequency modulation is selected the middle screen will be displayed Press the lower number or the upper number to adjust the frequency modulation sweep range Use the arrows to raise or lower the values and then press OK when you are finished If burst mode is selected the lower screen will be displayed
42. e and Athletic Training Mc Graw Hill Companies 2008 Shapiro s Electrical Currents from Physical Agents in Rehabilitation From Research to Practice Elsevier 2008 Sparrow KJ Therapeutic Ultrasound from Modalities for Therapeutic Intervention Contemporary Perspectives in Rehabilitation F A Davis Company 2005 Starkey C Thermal Agents from Therapeutic Modalities FA Davis Company 1999 Stillwell GK Electrotherapy from Krusen s Handbook of Physical Medicine and Rehabilitation W B Saunders Company 1982 Sweitzer R Thermal Agents 13 Ultrasound from Physical Agents A Comprehensive Text for Physical Therapists Appleton amp Lange 1994 This manual has been written as a guideline for the correct use of the Sonicator Plus 920 Reading the above references will provide a more complete understanding of the correct use of therapeutic ultrasound neuromuscular stimulation and combination therapy 59 Mettler Electronics Corp Rev F_07 02 12 60 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 9 Specifications 9 1 General Specifications Input Certification ETL and C ETL Listed Weight Dimensions Operating Temperature Relative Humidity Atmospheric Pressure Storage Temperature Relative Humidity Atmospheric Pressure Transportation Temperature Relative Humidity Atmospheric Pressure Timer Accuracy Maximum Treatment Time Treatment Timer 100 240 V
43. e heated tissues Care therefore should be used in treating patients with therapeutic ultrasound who have hemorrhagic diatheses or bleeding disorders 5 Moving technique of the applicator should be used when applying therapeutic ultrasound at intensities greater than 0 5 W cm to assure even exposure of tissues to ultrasound 6 Heating of the joint capsule in acute or subacute arthritis should be avoided Electric treatment tables or whirlpools which may come in contact with the patient during a treatment with the Sonicator Plus 920 should be adequately grounded and safety tested to insure safe operation with the Sonicator Plus 920 5 9 Precautions for Neuromuscular Electrical Stimulation 1 Care should be taken in the treatment of patients receiving another type of electrotherapeutic treatment such as conventional TENS or having indwelling electrodes lead wires or transmitters for electrophrenic pacing or cerebellar or urinary bladder stimulation Stimulation currents should not cross the lead wires or electrodes 2 Itis advisable to insulate patients preferably by use of a wooden treatment table or one that is completely padded by non conductive material Added safety is provided if the patient cannot touch any grounded metal parts 3 Limit treatment intensity to 50 mA 50 V or less when using small electrodes 2 diameter to reduce the chance of thermal burns due to high current density Avoid current densities exceeding 2
44. ectrodes To avoid skin irritation due to high current density do not use electrodes smaller in surface area than the 2 in diameter V Trode self adhesive electrode ME 2702 Do not use conductive carbon electrodes with this product Do not use self adhesive electrodes with the Direct Current mode Use sponge type electrodes with plain tap water moistening the sponges Whenever clinically possible utilize the largest possible pads to reduce local increases in current density In situations where small pads are required use the lowest stimulation intensity necessary to achieve the desired clinical results 21 Mettler Electronics Corp Rev F_07 02 12 The table below illustrates the relationship between electrode diameter and current density As you can see that the current density increases rapidly when diameter decreases Diameter Surface Area Current Density inches Square inches mA sq in for 10mA 1 25 IE 82 2 00 3 1 32 3 00 7 1 1 4 4 i N y bh 1 25inch Y N diameter 1 y f 4 N 2 00 inch N X diameter p N x x N S 4 x Dx CM Me Te ie p N NS Si ne E X E 3 00 inch EN w diameter Figure 4 2 Electrode Sizes and Current Density 4 2 General Operating Instructions Before you start 22 a 2 Review precautions contraindications and side effects adverse reactions listed in Section 5 Use Mettler Electronics electrodes to ensure safe and effective operation Verify connect
45. electronic equipment RF emissions Class B CISPR 11 Harmonic emissions Class A This unit is suitable for use in all establishments including IEC 61000 3 2 domestic establishments and those directly connected to the public low voltage power supply network that supplies Voltage Complies buildings used for domestic purposes fluctuations flicker emissions IEC 61000 3 3 17 Mettler Electronics Corp Rev F_07 02 12 Guidance and manufacturer s declaration electromagnetic immunity The Sonicator Plus 920 is intended for use in the electromagnetic environment specified below The customer or the user of the Sonicator Plus 920 should assure that it is used in such an environment Immunity test IEC 60601 Compliance level Electromagnetic environment test level guidance Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge TEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic field IEC 61000 4 8 6 kV contact 8 kV air 2 kV for power supply lines 1 kV for input output lines supply lines 1 kV line s to line s 2 kV line s to earth lt 5 Ur gt 95 dip in Ur for 0 5 cycle 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip in Ur for 25 cycles lt 5 Ur 29576 dip in Ur for 5 seconds 2 kV for power Floors should be wood con
46. es e Install the unit where it will not be adversely affected by atmospheric pressure temperature humidity sunlight dust ventilation salt air sulfur or other such harmful substances e Protect the unit against instability vibration or impact including during transportation e Do not leave the unit in locations with combustible airborne materials such as combustible anesthetic gases mixed with oxygen nitrogen suboxide and air or combustible disinfecting agents or cleaning agents mixed with air e Do not install the unit where chemical products are stored or where gases may be emitted e To avoid accidents due to damage to the main unit and accessories keep the unit away from flames or fire e If you are not going to use the unit for an extended period of time remove the power cord from the wall outlet The Sonicator Plus 920 may be susceptible to interference originating from shortwave diathermy units operating in close proximity to it Avoid operating the Sonicator Plus 920 adjacent to and simultaneously with operating shortwave devices Keep at least 5 feet 1 5 m away from operating shortwave diathermy devices Connect the line cord to the back of the Sonicator Plus 920 See Figure 3 1 Make sure that the power switch is in the Off position Grasp the plug of the line cord ME 9203 and insert it into a grounded wall outlet that is rated between 100 240 VAC 50 60 Hz Your power supply must match the voltage requiremen
47. essing the up and down arrows on the touch screen display You can choose from 20 250 beats Press OK to select the option and return to the treatment screen DO 50 Hz 8 To change the On Off and Ramp times or the number of cycles Press the corresponding key to open the sub window and change the parameters Touch to select the value of On time or Off time and set the new value using the up and down arrows This setting automatically changes the 2000 Cont 40 times number of cycles VA Q To change the Ramp up time Ramp down time or Hold time touch to select the value you want changed and set the new value using the up 31 Mettler Electronics Corp Rev F_07 02 12 15 CH1 Error 1 32 10 13 and down arrows The Ramp up time Ramp down time and Hold time can be specified within the range of the On time 3 To set the treatment time or the number of muscle contractions touch to select the value you want changed and set the new value using the up and down arrows This setting automatically changes the respective values Press OK to select the option and return to the treatment screen Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen Plug one electrode cable into the channel c
48. essing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 30 minutes Press OK to accept the value and return to the treatment screen Adjust the preset output by pressing the up and down arrow keys to raise or lower the output Press OK to accept the value and return to the treatment screen For ultrasound plug the ultrasound applicator into the receptacle labeled TS Apply a layer of ultrasound couplant gel to the treatment area Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LEDs on either side of the applicator will light when coupling is achieved 43 Mettler Electronics Corp Rev F_07 02 12 11 Adjust the intensity level for the ultrasound If you just press the US intensity control once the preset output intensity will be delivered You can then raise or lower the output intensity by using the arrow keys labeled US If you hear an intermittent beeping sound or the indicator light on the applicator goes out there is inadequate coupling to the patient Reapply gel and treatment will resume again when coupling is established Pressing Stop on the control panel will stop output on all channels and on ultrasound but will not reset t
49. ested value Sonicator Plus 920 Instruction Manual Rev F_07 02 12 4 11 High Voltage Stimulation Set up Procedure POWER 1 Turn on the mains power switch located on the back of the unit by pressing I icon on switch ura Mode HHH ou v Fre ER 2 When you first turn the Sonicator Plus 920 on the stored parameters for uo qoom poem each of the two stimulation channels and the ultrasound channel are EM displayed Press the channel key for the channel that you would like to 15 00 15 00 15 00 run 0 0 mA 0 00 W cm Yi mamam YS Carrier 3 Press the waveform button to change the waveform to go to the waveform selection screen Or Electrode 0 0 m 4 Press the HV button on the touch screen display to highlight it and then press OK gt CH1 CWM moo 20 Frea 5 Press any of the five additional buttons on the screen to select which a ED ove parameters you would like to change 15 00 OD ED Electrode 0 0 Back Config Load Save ns olany Mode 6 Select the mode by pressing the symbol that describes what you want to Qo do You can select the polarity and 1 channel surge 2 channel surge co DD contraction reciprocation alternate continuous frequency modulation CHHH or burst options Press OK to select the options and return to the treatment screen 7 Adjust the pulse frequency by pressing the
50. et up Procedure Russian Stimulation Set up Procedure High Voltage Stimulation Set up Procedure TENS Stimulation Set up Procedure Microcurrent Stimulation Set up Procedure DC Stimulation Set up Procedure Therapeutic Ultrasound Set up Procedure Combination Therapy Set up Procedure Electrode Positioning Indications Contraindications Precautions and Adverse Reactions Indications for Therapeutic Ultrasound Indications for Pain Management Indications for Neuromuscular Electrical Stimulation Indications for Muscle Spasm Contraindications for Therapeutic Ultrasound Contraindications for Neuromuscular Electrical Stimulation Warnings for Neuromuscular Electrical Stimulation Precautions for Therapeutic Ultrasound Precautions for Neuromuscular Electrical Stimulation Side Effects Adverse Reactions for Neuromuscular Electrical Stimulation Maintenance and Troubleshooting Cleaning the Sonicator Plus 920 Routine Maintenance Troubleshooting the Sonicator Plus 920 Ultrasound Theory of Operation I N Q CO NNNND AUD hi N N p N JI W Q2 HE oH oW Hd 02 0 C9 C9 CO h2 h2 h2 Ph2 h2 h2 h2 h2 N COANE ON OFW RON DD OF PWN O1 O01 1 OFF JI A A SE SE BE A Nen OOO OO OO OO OO O QI Ol QI QI H DOW W Jl Wy g Mettler Electronics Corp Rev F_07 02 12 71 Introduction to Ultrasound 55 8 References 59 9 Specifications 61 9 1 General Specifications 61 92 Ultrasonic Generator Specifications 61 29 Ultraso
51. he treatment parameters to their default values Treatment time will also display remaining time on the timers If channels 1 and or 2 are running return the treatment intensity to 0 00 and all ultrasound output will stop 4 16 Combination Therapy Setup Procedure POWER ire y Mode HHH Carrier 4kHz Carrier AkHz Freq 1 MHz IFFreq 80Hz IF Freq 80Hz el 100 Preset Output 0 80 wem 15 00 15 00 O 15 00 CHI C 0 0 0 0 0 00 u CH1 US PO1 1MHz 100 1 00 5 00 I ee m 1 00W cm Preset Output C890 1 00 W cm lt gt COMBO P01 1MHz 100 1 00 H 5 00 2 iF 2 it Mode Carrier Ga O IF Freq Electrode 0 0 m uz 100 Freq OOwim Preset Output C800 0 00 win amp 44 Turn on the mains power switch located on the back of the unit by u pressing I icon on switch When you first turn the Sonicator Plus 920 on the default parameters for each of the two stimulation channels and the ultrasound channel are displayed Press the tab at the top labeled US to see in detail all of the options Press the COMBO button to display the options available for combination therapy Channel This screen shows all of the options available for ultrasound and electrical stimulation Press the waveform button to change the stimulation waveform for combination therapy Pre
52. herosclerosis Tissues previously treated by deep x ray or other radiation should not be exposed to therapeutic ultrasound Ultrasonic treatment over the stellate ganglion the spinal cord after laminectomy subcutaneous major nerves and the cranium should be avoided Do not treat ischemic tissues in individuals with vascular disease where the blood supply would be unable to follow the increase in metabolic demand and tissue necrosis might result Do not apply therapeutic ultrasound over a healing fracture Ultrasound should not be applied over the epiphyseal areas bone growth centers of the bones of erowing children 5 6 Contraindications for Neuromuscular Electrical 10 11 12 13 14 15 Stimulation Electrical neuromuscular stimulation should not be administered to individuals who are or may be pregnant Do not stimulate a patient who has a cardiac demand pacemaker Patients with implanted electronic devices should not be subjected to stimulation Placement of electrodes across the chest laterally or anterior posterior creates a possible hazard with cardiac patients and is therefore not recommended Do not use transthoracically in any mode Great care should be exercised in applying the electrical stimulus current to any region of the thorax because the stimulus current may produce cardiac arrhythmia In patients with known heart disease electrical stimulation should be used only after careful physician evaluation an
53. hether you are using an ultrasound gel GEL or some other less efficient couplant OTM 15 Mettler Electronics Corp Rev F_07 02 12 Initialize 16 QED ac Initializing am DD 14 15 16 The Initialize key will erase all the initial settings and stored programs and reset the unit to the factory set values Do not initialize the system if you wish to preserve your stored treatment program settings This is the initialization screen Press Cancel and then OK if you do not wish to reset all of the user controlled settings When you press Initialize and then OK the initialization begins When it is complete the unit will reset itself beep twice and return to the startup menu Sonicator Plus 920 Instruction Manual Rev F_07 02 12 3 3 EMC Guidance e Medical electronic devices are designed to ensure electromagnetic compatibility EMC These devices must be installed and used in accordance with the EMC information provided in the following section e Portable and mobile RF communications devices may affect medical electronic devices e Cable lengths 1 Ultrasound probe L 5 9 feet 1 8 m 2 Electrode cable 6 9 feet 2 1 m 3 Power supply cord 8 feet 2 44 m 4 Ultrasound probe S 5 9 feet 1 8 m 5 HV DC probe 6 9 feet 2 09 m e If accessories other than those supplied as spare parts by the manufacturer are used the emission of this ins
54. ic propagation is affected by absorption and reflection from structures objects and people Guidance and manufacturer s declaration No Mode of Operation Essential Performance Degradation Allowed 1 Unit tested to 230 Unit designed to be failure safe in VAC for CE abnormal condition Unit tested to 120 VAC for US Canada Unit has two Reset allowed as long as failure safe stimulation channels with ultrasound 20 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 4 Operating Instructions G 1F 4 Mode HHH Carrier 4kHz Freq 1MHz IF Freq 70Hz RB 100 ee Go Toon 15 00 5 00 00 0 0 0 00 Sonicator Plus 920 ch1 ch2 Combo US m omme pause ETTLER pause v LEGTRONICS prp corp Figure 4 1 Membrane panel and touch sensitive screen 4 1 A Note about Electrodes To ensure safe operation of the Sonicator Plus 920 follow the recommendations listed below 1 We strongly encourage careful maintenance of the electrode system This includes the lead wires as well as the pads themselves Worn cables and or poor pads or the wrong sized pads can have a significant impact upon treatment results Do not exceed the number of recommended uses listed on the instructions for V Trodes or other reusable self adhesive electrodes Make sure that the entire surface of the electrode is contacting the patient Do not use moist hot packs to over the el
55. ied by a physician or other qualified practitioner and should be used for only the prescribed purposes Electrical stimulation is of no curative value Sonicator Plus 920 Instruction Manual Rev F_07 02 12 4 Electrical stimulation is a symptomatic treatment and as such suppresses the sensation of pain which could serve as a protective mechanism 5 The safety of electrical stimulators for use on children has not been determined Keep out of reach of children 6 Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when electrical stimulation is in use 5 8 Precautions for Therapeutic Ultrasound 1 Ultrasound should not be applied in areas of reduced sensation or circulation Patients having reduced sensation will not be able to notify the practitioner of discomfort if ultrasound intensities are too high Patients with compromised circulation may have an excessive heat buildup in the treatment area 2 Operators should not routinely expose themselves to therapeutic ultrasound The applicator handles for the Sonicator Plus 920 have been designed to allow the practitioner to perform underwater treatments without exposing the hands to ultrasound 3 Ifa patient complains of periosteal pain deep achy pain during ultrasonic treatment intensity should be reduced to a comfortable level 4 Any bleeding tendency is increased by heating because of the increase in blood flow and vascularity of th
56. ims should be filed directly with them The factory will not be responsible for any damage in shipment nor allow any adjustments unless proper formal claim has been filed by the receiver against the carrier The carton in which your new Sonicator Plus 920 was received is specially designed to protect the unit during shipping Please retain all shipping materials in the event that you will need to return your unit for servicing NOTE All warranty repairs are to be performed by Mettler Electronics Corp or an authorized Mettler Electronics warranty repair center 1 6 Package Contents Your new Sonicator Plus 920 comes complete with all the necessary components to perform therapeutic ultrasound neuromuscular electrical stimulation and combination therapy Below is a list of items that are included in the shipping carton Sonicator Plus 920 Large ultrasound applicator 5 5 cm at 1 and 3 MHz ME 9201 Sonigel ultrasound couplant gel one sample tube 100 ml ME 1846 Two electrode cable sets ME 2266 One package V Trodes 2 diameter ME 2702 Two 4 x 4 sponge electrodes ME2002 Two pin to banana adapters ME 2027 Detachable U L listed hospital grade line cord Instruction Manual on a CD ROM 1 Limited Warranty The Sonicator Plus 920 combination unit for neuromuscular electrical stimulation and therapeutic ultrasound is warranted against defects in materials and workmanship for a period of two years from date of purchase
57. ion of the line cord to a grounded wall receptacle and the Sonicator Plus 920 For ultrasound and combination therapy make sure that the applicator is securely connected to the Sonicator Plus 920 Use only applicators designated for use with this product 9201 and 9202 For combination therapy make sure the electrode cable marked with a 4 is attached to electrode cable connection for Channel 2 Plug your dispersive electrode into the red tipped lead wire marked combo The black tipped lead wire is not connected to anything For electrical stimulation connect electrode cables ME 2266 into the electrode connections for the channels that are going to be used There is an arrow on the top of the connector which always faces up when you plug in the cable For waveforms that have polarity such as DC microcurrent and high voltage the black tipped electrode cable with the black stripe on the cable is negative The side with the red tipped lead wire with no black stripe is positive The Sonicator Plus 920 will retain in memory the last treatment performed on any stimulation channel or on ultrasound If you attempt to increase the stimulation intensity without electrodes connected to the patient you will get a double beep the intensity does not increase and the time will not begin to count down Check whether the electrodes are properly attached before using the Sonicator Plus 920 The unit responds to the button pressed first If an
58. ity and start treatment for the channel that you are using by pressing the Up arrow on the control panel Sonicator Plus 920 Instruction Manual Rev F_07 02 12 4 7 4 Pole Interferential Stimulation Set up Procedure POWER 1 eG IF 4 Mode HHH Carrier AkHz Freq 1 MHz 2 IF Freq 70Hz Bl 100 u 8o T e 15 00 e 5 00 CH1 CH2 0 0 mA 0 0 mA 0 00 W cm 3 Carrier IF Freq V Sweep CH1 0 0 mA CH2 0 0 mA 4 Mode Carrier 5 IF Freq V Sweep a9 Electrode CH1 0 0 mA CH2 0 0 mA Back Config Load Save N Mode el 6 7 8 Turn on the mains power switch located on the back of the unit by u pressing I icon on switch When you first turn the Sonicator Plus 920 on the default parameters for each of the two stimulation channels and the ultrasound channel are displayed Once you have used the unit it will remember the last treatments that you completed On the touch screen press the channel key of the channel you would like to run interferential therapy For this mode you will need 2 channels so simply pressing the CH1 or CH2 selector will pick the one you want If IF 4 Interferential is not displayed press the waveform button on the screen Press the IF 4 button on the touch screen display to highlight it and then press OK You can then change any of the five additional parameters shown by
59. located on the back of the unit by u K pressing I icon on switch When you first turn the Sonicator Plus 920 on the stored parameters for each of the two stimulation channels and the ultrasound channel are displayed Press the channel key for the channel that you would like to run Press the waveform button to change the waveform to go to the waveform selection screen 39 Mettler Electronics Corp Rev F_07 02 12 gt CHI IUE Phasel 1Hz 5 00 Tur Microcu rrent Phase1 Phase2 Phase2 0 3Hz 10 00 Polarity Polarity Ge Goo Electrode 0 0 T Back Config Load Save Ih Polarity CH1 Phasel ER IL Freq CH1 Phase1 zo 1 Hz VA N CH1 Phase1 JU Time C 5 00 VA 40 11 12 13 Press the MCR button on the touch screen display to highlight it and then press OK Press any of the six additional buttons on the screen to select which parameters you would like to change You can program two treatment phases with different parameters for microcurrent The optional fields are the same for each phase of the treatment but may have different parameters Select the polarity by pressing the polarity button Press the polarity that you would like to set and then OK when you are finished Adjust the pulse frequency by pressing the Freq button on the treatmen
60. luwer Business 2010 Cameron MH Ultrasound from Physical Agents in Rehabilitation From Research to Practice Elsevier 2008 Cohn JC and Mullin C Neuromuscular Applications for Electrical Stimulation from Physical Agents for the Physical Therapist Assistant FA Davis Company 1996 Gillespie CA Foundations for Electrical Stimulation from Physical Agents for the Physical Therapist Assistant FA Davis Company 1996 Hooper PD Physical Modalities A Primer for Chiropractic Williams amp Wilkins 1996 Kenna KM Pain Management with Electrical Stimulation from Physical Agents for the Physical Therapist Assistant FA Davis Company 1996 Knight KL and Draper DO Therapeutic Ultrasound from Therapeutic Modalities The Art and Science Lippincott Williams amp Wilkins a Wolters Kluwer business 2008 Lehmann JF and de Lateur BL Diathermy and Superficial Heat and Cold from Krusen s Handbook of Physical Medicine and Rehabilitation W B Saunders Company 1982 Mehreteab TA Weisberg J and Nelson A Electrotherapy from Physical Agents A Comprehensive Text for Physical Therapists Appleton amp Lange 1994 Mullin D and Gardner ER Physiologic Basis of Electrical Stimulation from Physical Agents for the Physical Therapist Assistant FA Davis Company 1996 Nussbaum EL Therapeutic Ultrasound from Physical Agents for the Physical Therapist Assistant FA Davis Company 1996 Prentice W Therapeutic Modalities For Sports Medicin
61. m to indicate the Preset _70Hz irren 0 0 mA Ve cm P01 4kHz 70Hz 0 15 00 IF 4 T Mode Carrier IF Freq V Sweep CH1 0 0 mA CH2 0 0 mA 28 Saving program 4kHz 70Hz 0 15 00 Remarks 3 8 Saving program 4kHz 70Hz Remarks 4 4kHz 70Hz 4kHz 70Hz 4kHz 70Hz 4kHz 70Hz 4kHz 70Hz Carrier 5 IF Freq V Sweep rap Electrode CH1 0 0 mA CH2 0 0 mA 6 4kHz 70Hz 0 15 00 2 or user defined Free program that has been selected 4 6 Saving a Treatment Protocol Choose the channel you want to use Then set the treatment parameters that you would like to retain in memory in the treatment setup mode Press the Save button to go to the screen where you will save the protocol Press the line number where you would like to save the protocol Press Edit to add a remark Use the key board to add text that describes the protocol that you are saving Press OK when you see the text that best describes the protocol that you are saving Pressing Clear will back up the cursor to retype a letter or number Pressing Back will send you back to the previous screen The text you input will show in the program space that you are saving into Pressing OK will enter save that protocol into the program space that you have selected You will then go back to the treatment screen and you can then use the protocol or program a new one Adjust the intens
62. mA cm when using this device 4 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 alternate conductive medium or alternate electrode placement 5 Avoid placing electrodes directly over open wounds since current density tends to concentrate in these areas 6 Use extreme caution when treating desensitized areas or on patients who may not be able to report discomfort or pain Use caution in applying electrical stimulation over areas where there is a loss of normal skin sensation 8 Adequate precautions should be taken in the case of persons with suspected or diagnosed epilepsy 9 Patients should not be left unattended during any treatment 10 Care should be taken following recent surgical procedures when muscle contraction may disrupt the healing process 11 Do not apply electrical stimulation over the menstruating uterus 51 Mettler Electronics Corp Rev F_07 02 12 12 The long term effects of chronic electrical stimulation are unknown 13 Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner 14 Effectiveness for pain management is highly dependent upon patient selection by a person qualified in the management of pain patients 15 The Sonicator Plus 920 should be used only with electrode cables and electrodes recommended for use by
63. nic Applicator Specifications 62 9 4 Waveform Specifications 64 10 Accessories 69 10 1 Ordering Information 69 10 2 Sonicator Plus 920 Accessories 69 List of Figures No Title Page 1 1 Sonicator Plus 920 5 24 Sonicator Plus 920 Top View 12 3 1 Sonicator Plus 920 Back view Mains Power Switch and Line Cord Connection 14 52 Sonicator Plus 920 Front view Electrode and Ultrasound Applicator Cable 14 Connections 3 3 Sonicator Plus 920 Top View With Ultrasound Applicator Cradle 14 4 1 Membrane panel and Touch Sensitive Screen 21 4 2 Electrode Sizes and Current Density 22 4 3 Quadpolar Electrode Placement Technique 47 4 4 Bipolar Electrode Placement Technique 47 4 5 Monopolar Electrode Placement Technique 47 7 1 Ultrasound Absorption Skin 55 72 Ultrasound Absorption Fat 55 7 9 Ultrasound Absorption Muscle with the Ultrasound Beam Perpendicular to the Muscle 56 Fibers 7 4 Ultrasound Absorption Bone 56 7 9 High Frequency Sound Waves 56 7 6 Ultrasound Application Techniques 57 7 7 Underwater Treatment Technique 57 9 1 Pulse Waveform 50 Duty Cycle 62 92 Continuous Waveform 100 Duty Cycle 62 99 Large Applicator 1 MHz ME 9201 Three Dimensional Beam Patterns 63 9 4 Large Applicator 3 MHz ME 9201 Three Dimensional Beam Patterns 63 9 5 Small Applicator 1 MHz ME 9202 Three Dimensional Beam Pattern 64 9 6 Small Applicator 3 MHz ME 9202 Three Dimensional Beam Pattern 64 9 7 4 Pole Interferential Wa
64. nnels and the ultrasound channel are displayed The original default stimulation program is for interferential Press any one of the channel selectors at the top of the screen You will then see the setup for that channel Press the Config button on the touch screen panel You will then see the Config screen After you are done with setting the various options you will always press Back and the Sonicator Plus 920 will save your changes to memory so that the next time you turn on the unit it will remember your custom settings Touching the Language key allows you to select one of 11 languages for the menus English German French Italian Spanish Portuguese Finnish Swedish Turkish Greek or Chinese Once you select the desired language press the back key to return to the Config Menu Press the Back key to return to the setup menu To select the desired volume for the buzzer press any one of the four selectors Use the M selectors to pick one of three end of treatment sounds You will hear your selection when you press the selector You can determine whether you will get beeps when you lose contact for either microcurrent MCR or ultrasound US You will get a submenu asking whether you want the beep on or off for that kind of treatment Use this selector to determine the units in which you would like to see ultrasound output displayed Use this selector to tell the Sonicator Plus 920 w
65. o select the value you want changed and set the new value using the up and down arrows The Ramp up time Ramp down time and Hold time can be specified within the range of the On time 3 To set the treatment time or the number of muscle contractions touch to select the value you want changed and set the new value using the up and down arrows This setting automatically changes the respective values Press OK to select the option and return to the treatment screen Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen Plug one electrode cable into the channel corresponding to the channel that you have programmed Plug the cable into two electrodes Stick the electrodes on the patient You will need two electrodes You may also use the High Voltage Probe First snap in the electrode size that you want to use for your application Place the sponge over the disc and then cover with the fabric cover to hold the sponge in place Moisten with tap water Press the button on the high voltage probe when you want to deliver stimulation Sonicator Plus 920 Instruction Manual Rev F_07 02 12 16 Use either a self adhesive electrode or the sponge electrode supplied with the high voltage probe as a dispersive electrode Secure a sponge electrode to the pa
66. onicator Plus 920 Instruction Manual WETTLER scTRONICS corp 1333 South Claudina Street Anaheim CA 92805 U S A Toll Free 800 854 9305 Telephone 714 533 2221 FAX 714 635 7539 Web Site http www mettlerelectronics com Email mail mettlerelectronics com IR9 67 Rev F 07 02 12 Copyright 2011 by Mettler Electronics Corp Anaheim CA Mettler Electronics Corp Rev F_07 02 12 Section 1 1 1 1 2 1 3 1 4 1 5 1 6 1 7 2 2 1 22 2 9 3 3 1 9 2 3 3 4 4 1 4 2 4 3 4 4 4 5 4 6 4 7 4 8 4 9 4 10 4 11 4 12 4 13 4 14 4 15 4 16 4 17 o 5 2 59 5 4 5 9 5 6 5 7 5 8 5 9 5 10 6 1 6 2 6 3 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Table of Contents Title Introduction Introduction to the Sonicator Plus 920 Introduction to this Manual Safety Precautions Caution Shipping Damage Package Contents Limited Warranty Symbol Glossary and List of Abbreviations Symbol Glossary Control descriptions List of Abbreviations Installation Installation Instructions Customizing the Optional Settings EMC Guidance Operating Instructions A Note About Electrodes General Operating Instructions Quick Set up for Electrical Stimulation Quick Set up for Therapeutic Ultrasound Using Saved Programs Saving a Treatment Protocol 4 Pole Interferential Stimulation Set up Procedure 2 Pole Interferential Stimulation Set up Procedure EMS Stimulation S
67. orm Sonicator Plus 920 Instruction Manual Rev F_07 02 12 2 Pole Interferential Premodulated Waveform Type Polarity Maximum Voltage Current Carrier Frequency Interference frequency Frequency Modulation Available Channels Waveform Type Polarity Maximum Voltage Current Carrier Frequency Interference frequency Amplitude Modulation Options On time Off time Ramp up Time Hold Time Ramp down time Contraction Available Channels Waveform Type Polarity Maximum Voltage Current Frequency Available Amplitude Modulation Options On time Off time Ramp up Time Hold Time Ramp down time Contraction Available Channels Amplitude modulated sine wave None 50 V 20 Peak value 500 load 0 100 mA peak 500 2 load 2 kHz 4 kHz 5 kHz 1 250 beats to 10 in 1 beat steps and 10 to 250 in 10 beat steps For Sweep Min frequency Max frequency All Amplitude modulated sine wave None 50 V 20 Peak value 500 load 0 100 mA peak 500 2 load 2 kHz 4 kHz 5 kHz 20 to 250 beats in 10 beat steps Independent Simultaneous Al
68. ormed by Mettler Electronics Corp or by a service facility authorized by Mettler Electronics to perform warranty repair work A service manual for the Sonicator Plus 920 is available from Mettler Electronics Corp for a nominal charge Sonicator Plus 920 Instruction Manual Rev F_07 02 12 1 4 Caution NCAUTION Federal law restricts the sale of this device to or on the order of a physician dentist veterinarian or any other practitioner licensed by law of the state in which he practices Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous exposure to ultrasonic energy Treatment should be administered only under the direct supervision of a health care professional The electric energy delivered by this device may possibly be lethal Treatment should be administered only under the direct supervision of a health care professional The stimulus delivered by this device may be sufficient to cause electrocution Electrical current above 25 uC must not flow through the thorax because it may cause a cardiac arrhythmia 1 5 Shipping Damage Your new Sonicator Plus 920 is shipped complete in one carton Upon receipt please inspect the carton and the unit for visible and hidden damage If you discover any damage hold all shipping materials including the carton and call the shipping agent who delivered the unit They are responsible for all damage in transit therefore all cla
69. orresponding to the channel that you have programmed Plug the cable into two electrodes Stick the electrodes on the patient You will need two electrodes Adjust the intensity and start treatment for the channel that you are using The maximum intensity is 100 mA peak If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Error 1 You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient Output will stop To clear an error press the Pause key for the affected channel will allow you to correct the problem with electrode contact Once the electrodes are secure you can then adjust the intensity up again Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value Sonicator Plus 920 Instruction Manual Rev F_07 02 12 4 10 Russian Stimulation Set up Procedure POWER 1 Turn on the mains power switch located on the back of the unit by P pressing I icon on switch Qra Mode HHH og es er ie 2 When you first turn the Sonicator Plus 920 on the stored parameters for q Bo qoom Coe each of the two stimulation channels and the ultrasound channel are EM displayed Press the channel key for the channel that you would like to 15 00 15 00 15 00 run CHI CH2 0 0 mA 0 0 m
70. other button is pressed while one button is still depressed the first operation continues Release the first button and then press the button you want to activate next Make sure that the electrodes are not touching each other before starting a treatment If you attempt to turn up the output when electrodes are too close or touching the intensity will not go up and the timer will not start As soon as the problem is corrected the Sonicator Plus 920 will begin to respond to the intensity control button Note Descriptions of the symbols used on controls are in Section 2 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 4 3 Quick Set up for Electrical Stimulation POWER 10 SR IF 4 Mode HHH Carrier 4kHz Freq MHz IF Freq 70Hz Bl 100 Preset Output VENER amp 0 1 00w cm 15 00 5 00 0 0 0 0 0 00 CH Error 1 10 Turn on the mains power switch located on the back of the unit by u pressing I icon on switch When you first turn the Sonicator Plus 920 on the default parameters stimulation and ultrasound are displayed Plug in the stimulation cables into the receptacles marked ch1 and ch Plug the cable into the electrode Stick the electrodes on the patient You will need two electrodes for each channel If the treatment that you want to run is displayed adjust the intensity and start treatment for the stimulation channel that you are using by pressing
71. our own treatment protocol The Sonicator Plus 920 can provide electrical stimulation only ultrasound only and combination therapy with the premodulated TENS high voltage microcurrent and DC waveforms Add one of the two optional treatment carts to create a mobile therapy center for your office The Sonicator Plus 920 has been certified by Intertek Testing Services to meet the requirements for ETL Listing per the following standards e IEC 60601 1 1988 A1 1991 A2 1995 UL60601 1 2003 IEC60601 1 1 2000 Standard for Safety Medical Electrical Equipment Part 1 General Requirements for Safety e IEC 60601 1 1988 A1 1991 A2 1995 CAN CSA C22 2 NO 601 1 1 M 90 Medical Electrical Equipment Part 1 General Requirements for Safety e IEC60601 2 5 2000 Safety of Ultrasonic Physiotherapy Equipment e IEC60601 2 10 1987 A1 2001 Safety of Nerve and Muscle Stimulators e 5014971 2007 CAN CSA ISO13485 Risk Management e CMDR SOR98 282 In addition the Sonicator Plus 920 also meets the following standards for radio frequency emissions and immunity e IEC60601 1 2 2007 e FCC Part 18 2008 Mettler Electronics Corp has been certified by VTT Expert Services LTD to be compliant with EN ISO 13485 2003 and MDD 93 42 EEC Annex II requirements In addition Mettler is certified by DOS Medizinprodukte GMBH to be compliant with ISO 13485 2003 CMDCAS Canadian Medical Device requirements Mettler Electronics Corp Rev F_07 02 12 1
72. outine Maintenance T 10 To assure accurate performance of the Sonicator Plus 920 calibration verification of ultrasonic output should be performed on an annual basis Refer to the Maintenance Manual for guidance on this procedure Standard medical electrical safety checks should be performed annually by qualified biomedical engineers or technicians trained to perform these procedures Inspect electrode cables and associated connectors for damage Inspect ultrasound applicator for cracks since they may allow ingress of conductive fluid s The ultrasound probe is waterproof and should never be disassembled since doing so may degrade its waterproofing or the performance of the transducer resulting in electric shock IPX7 Inspect the applicator cable and its connector for damage The applicator is an integral part of delivering safe and effective therapeutic ultrasound Avoid rough handling of the ultrasound applicator since it is relatively fragile and can be damaged if dropped or otherwise abused Never open the Sonicator Plus 920 Doing so may lead to malfunctions or accidents Do not damage break modify bend forcibly tug on twist or bundle the electrode cord If a heavy object is placed on the cord or it is pinched or modified the cord may be damaged resulting in fire electric shock or other accident When cleaning the unit do not wipe using paint thinner gasoline kerosene polishing powder hot water or chemicals
73. p and down arrow keys to raise or lower the output Press OK to accept the value and return to the treatment screen For ultrasound plug the ultrasound applicator into the receptacle labeled US and plug the electrode cable into Plug red tipped cable end into one electrode If it is an original cord set 4 the red tipped end will be marked with Comb Apply the dispersive electrode to the patient ZNWARNING Apply the dispersive electrode in such a manner to prevent transthoracic stimulation Apply a layer of ultrasound couplant gel to the treatment area 45 Mettler Electronics Corp Rev F_07 02 12 Ultrasound Couplant 18 19 20 4 17 Electrode Positioning 1 46 17 Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LEDs on either side of the applicator will light when coupling is achieved after treatment is initiated Adjust the intensity level for the ultrasound If you just press the US intensity control once the preset output intensity will be delivered You can then raise or lower the output intensity by using the arrow keys labeled US Then adjust the stimulation intensity If you hear an intermittent beeping sound or the indicator light on the applicator goes out there is inadequate
74. ss the waveform button to select the waveform that you would like to use Choose from IF 2 high volt TENS microcurrent or DC continuous Press OK when you are finished For high voltage TENS and 2 pole interferential waveforms select the Mode either continuous or frequency modulation For the high voltage and TENS waveforms the burst mode is also available For microcurrent high volt and DC you set the polarity Microcurrent and high volt also have a bipolar mode Press OK when you are finished Set the pulse duration for high voltage or TENS For the continuous frequency modulated and burst modes input the treatment frequency N amp Preset Output e 1 00 W cm VA amp Duty e 100 V A Cx amp Preset Output US 1 00 W cm VA 10 11 12 13 15 Sonicator Plus 920 Instruction Manual Rev F 07 02 12 Press the MHZ button to change from 1 to 3 MHz Use the arrow keys to change the value and press OK to accept the displayed value Press the 75 button to the duty cycle for the pulsed ultrasound Use the arrow keys to change the value and press OK to accept the displayed value Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 30 minutes Press OK to accept the value and return to the treatment screen Adjust the preset output by pressing the u
75. t screen If continuous is selected the top screen will be displayed Use the up and down arrows to adjust the frequency and then OK when you are finished Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen Plug one electrode cable into the channel corresponding to the channel that you have programmed Plug the cable into two electrodes Stick the electrodes on the patient You will need two electrodes Adjust the intensity and start treatment for the channel that you are using The maximum intensity is 100 mA peak To momentarily stop this channel use the Pause key for this channel Once you are ready to resume adjust the intensity up again Sonicator Plus 920 Instruction Manual Rev F_07 02 12 14 Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value 4 14 DC Stimulation Set up Procedure POWER E A 1F 2 B r 2 US Mode HHH Mode HHHH ep Carrier AkHz Carrier AkHz Freq MHz IF Freq 80Hz IFFreg 80Hz Pl 100 Preset Output 0 80 wem 15 00 15 00 O 15 00 0 0 0 00 00 wien PO1 4kHz 70Hz 15 00 IF 2 CH mode Arte cari 70 IF Freq 15 00 CO elec
76. ternate to 30 sec In 1 sec steps includes ramp up hold and ramp down times to 99 sec In 1 sec steps 0 to 3 sec In 0 5 sec steps 0 to 30 sec In 0 5 sec steps 0 to 3 sec in 0 5 sec steps 1 to 1 800 times All 1 amp 2 or 3 amp 4 for simultaneous or alternate Burst modulated sine wave None 50 V 20 Peak value 500 load 0 100 mA peak 500 2 load 2500 Hz Burst at 50 bps 10 ms on and 10 ms off Independent Simultaneous Alternate to 30 sec In 1 sec steps includes ramp up hold and ramp down times to 99 sec In 1 sec steps 0 to 3 sec In 0 5 sec steps 0 to 30 sec In 0 5 sec steps 0 to 3 sec in 0 5 sec steps to 1 800 times All 65 Mettler Electronics Corp Rev F_07 02 12 Hi Volt Mode Figure 9 11 Hi Volt Waveform TENS Mode Figure 9 12 TENS Waveform 66 Waveform Type Polarity Voltage Maximum Current Phase Duration Frequency Frequency Modulation Burst frequency 2 Available Amplitude Modulation Options On time 1 Off time 1 Ramp up time 1 Hold time 1 Ramp down time 1 Contraction 1 Available Channels Monophasic twin peak Positive negative or both 0 to 150 V 20 Peak value 500Q load 300 mA peak Peak value 500Q load 10 to 80 us In 10 us steps Constant 0 5 to 200 Hz Burst 60 Hz Fixed Sweep 1 to 200 Hz Independent Simultaneous Alternate 20 to 200 Hz
77. the buttons on the screen Select the mode by pressing the symbol that describes what you want to do either continuous or modulated frequency Press OK to select the option and return to the treatment screen Press the Carrier button and select whichever carrier frequency that you would like to use Press OK to accept the value and return to the treatment screen Adjust the IF frequency by pressing the IF Freq button on the treatment screen If continuous is selected the top screen will be displayed Use the up and down arrows to adjust the frequency and then OK when you are finished If frequency modulation is selected the lower screen will be displayed Press the lower number or the upper number to adjust the frequency modulation sweep range Use the arrows to raise or lower the values and then press OK when you are finished 27 Mettler Electronics Corp Rev F_07 02 12 N 22 V Sweep 0 Sn D 9 Select the Vector Sweep angle by pressing the V Sweep button and the value that you would like to use Press OK to accept the value and return to the treatment screen 10 Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen 11 Plug two electrode cables into channels 1 amp 2 12 Pl
78. tient with a Velcro strap m 17 Adjust the intensity and start treatment for the channel that you are using The maximum intensity is 150 volts peak 18 If you attempt to adjust the intensity of a channel with no electrodes stuck CH1 Error 1 on the patient you will get an Error 1 You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient Output will stop 19 To clear an error press the Pause key for the affected channel will allow you to correct the problem with electrode contact Once the electrodes are secure you can then adjust the intensity up again v 20 Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value 4 12 TENS Stimulation Set up Procedure POWER 1 Turn on the mains power switch located on the back of the unit by 1G pressing I icon on switch Qr Mode HHH cuu ccm esc dec 2 When you first turn the Sonicator Plus 920 on the stored parameters for Poe Bue Neuen Bore mm each of the two stimulation channels and the ultrasound channel are EM displayed Press the channel key for the channel that you would like to 15 00 15 00 15 00 run CHI CH2 0 0 mA 0 0 mA 0 00 W cm Y amama YS E IF 2 HHH mode Carrier 3 Press the waveform button to change the waveform to go to the i waveform selection screen ap Electrod
79. to prevent discoloration of the main unit and probes Wipe with a cloth soaked in cold water or lukewarm water and forcefully wrung If you plan to use a unit that has been left standing for some time always check to ensure that the unit functions normally and safely 53 Mettler Electronics Corp Rev F_07 02 12 6 3 Troubleshooting the Sonicator Plus 920 Symptom Action 1 Nothing lights when main power Is line cord connected to outlet switch is turned on Does the outlet have power Unit may require servicing if none of the above resolves the problem 2 CH 1Error1 Appears when the current flow is interrupted e g an electrode is detached from the treatment area or if there is a break in the electrode cable The display also indicates which channel is affected Check the electrode cable connections to make sure that they are connected Make sure both electrodes are attached to the cables and to the patient Try fresh electrodes and or cables to resolve this problem Press either the error message or Stop to reset the treatment after checking the electrodes Then readjust the treatment intensity by pressing the Up arrow to begin the treatment again 3 CH 1Error2 Appears when the current level increases suddenly e g the electrode is partly detached from the treatment area or moved out of position Reattach the electrodes firmly Press either the error message or Stop to reset the treatment after resolving the c
80. trode 0 0 m Back Config C Load Save 41 Polarty ap Electrode 0 0 mA N J Polarity an cD Turn on the mains power switch located on the back of the unit by u pressing I icon on switch When you first turn the Sonicator Plus 920 on the stored parameters for each of the two stimulation channels and the ultrasound channel are displayed Press the channel key for the channel that you would like to run Press the waveform button to change the waveform to go to the waveform selection screen Press the HV button on the touch screen display to highlight it and then press OK Press any of the two additional buttons on the screen to select which parameters you would like to change Select the polarity by pressing either the or button Press OK to accept the polarity and return to the treatment screen Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen Plug one electrode cable into the channel corresponding to the channel that you have programmed 41 Mettler Electronics Corp Rev F_07 02 12 d E EU ai p gt i e cm iif CH1 Error 1 DO 11 12 13 14 15
81. trument may increase and immunity may be reduced e Do not place this instrument next to or on top of another device when using it If it has to be placed next to or on top of another device check that this instrument and the device function properly before use CAUTION Medical Electrical Equipment needs special precautions regarding Electromagnetic Compatibility EMC and needs to be installed and put into service according to the EMC information provided in the following tables Portable and mobile Radio Frequency RF communications equipment can affect Medical Electrical Equipment Accessories Hospital Medical grade power cord of a maximum length of 120 inches WARNING The use of accessories other than those specified except those supplied or sold by Mettler Electronics Corp Incorporated as replacement parts for internal or external components may result in increased EMISSIONS or decreased IMMUNITY of the Sonicator Plus 920 Guidance and manufacturer s declaration electromagnetic emissions The Sonicator Plus 920 is intended for use in the electromagnetic environment specified below The customer or the user of the Sonicator Plus 920 should assure it is used in such an environment Emissions Test Compliance Electromagnetic environment guidance RF emissions Group 1 This unit uses RF energy only for its internal function CISPR 11 Therefore its RF emissions are very low and are not likely to cause any interference in nearby
82. ts listed on the serial number label of your device Do not connect the Sonicator Plus 920 to a power supply rated differently than that described above The line cord comes equipped with a standard 3 prong plug This plug provides grounding for the Sonicator Plus 920 Do not defeat its purpose by using 3 to 2 prong adapters or any other means of attaching to a wall outlet Line up the key at the top applicator cable connector with the slot on the round receptacle located on the front of the Sonicator Plus 920 See Figure 3 2 The side with the arrow on it is up so you can see it Please note only ultrasound applicators labeled for use on the Sonicator Plus 920 9201 and 9202 should be used others are unacceptable To avoid malfunctions or accidents do not handle the ultrasound applicator roughly Place the applicator onto the applicator cradle See Figure 3 3 Plug the electrode cables ME 2266 into the electrode cable connections as seen in Figure 3 2 Each cable has an arrow on it Place the arrow facing up and then press into the connector Do not use sharp objects to operate the membrane panel switches or touch screen If the tough outer layer of the membrane is broken moisture may leak into the switches resulting in switch failure Using objects other than finger tips may damage the screen Once you have verified proper functioning of your Sonicator Plus 920 using the instructions in Section 4 please register the warranty for your
83. ue and return to the treatment screen 29 Mettler Electronics Corp Rev F_07 02 12 CH1 30 Error 1 12 18 Select the treatment time by pressing the up and down buttons and then the up and down arrows on the touch screen display You can choose from 1 60 minutes Press OK to accept the value and return to the treatment screen Plug one electrode cable into the channel corresponding to the channel that you have programmed Plug the cable into two electrodes Stick the electrodes on the patient You will need two electrodes Adjust the intensity and start treatment for the channel that you are using The maximum intensity is 100 mA peak If you attempt to adjust the intensity of a channel with no electrodes stuck on the patient you will get an Error 1 You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient Output will stop To clear an error press the Pause key for the affected channel will allow you to correct the problem with electrode contact Once the electrodes are secure you can then adjust the intensity up again Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value Sonicator Plus 920 Instruction Manual Rev F_07 02 12 4 9 EMS Stimulation Set up Procedure
84. ug the cables into four electrodes 13 Stick the electrodes on the patient You will need two electrodes for each channel four in total 14 Adjust the intensity and start treatment for either channel 1 or 2 by pressing the Up arrow on the control panel The other channel in the channel will go up simultaneously The maximum intensity is 100 mA peak 15 If you attempt to adjust the intensity of a channel with no electrodes stuck CH1 Error 1 on the patient you will get an Error 1 You will also get this message if the electrode cable is broken or the electrode is not making good contact with the patient Output will stop 16 To clear an error press the Pause key for the affected channel will allow you to correct the problem with electrode contact Once the electrodes are secure you can then adjust the intensity up again 17 Pressing stop on the control panel will stop output on all channels and on ultrasound Treatment time will reset to the originally requested value 28 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 4 8 2 Pole Interferential Stimulation Set up Procedure POWER 1 Turn on the mains power switch located on the back of the unit by P pressing I icon on switch e IF 4 Mode HHH U eur ae IL 2 When you first turn the Sonicator Plus 920 on the default parameters for Lio PME eie de each of the two stimulation channels and the ultrasound channel are en 1 00wen displayed Press
85. ught by the buyer relating to this warranty must be commenced within one year from the date any claim arises and must be brought only in the state or federal courts located in Orange County California Some states do not allow limitations on how long an implied warranty lasts or the exclusion or limitation of incidental or consequential damages so the above limitations or exclusions may not apply to the buyer This warranty gives the buyer specific legal rights and the buyer may also have other rights which vary from state to state Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 2 Symbol Glossary Control Descriptions and List of Abbreviations 2 1 Symbol Glossary Increase intensity button Decrease intensity button Pause treatment button pauses treatment for all either channel one or two but retains set treatment parameters and remaining treatment time Adjust intensity to resume treatment Stop treatment button stops all output and resets all treatment parameters to their default settings Time symbol Increase parameter value control Decrease parameter value control Config Go to the configuration menu Load a protocol save Save a treatment protocol Back Go back a step Accept a setting Egge oec Channel Ultrasound tab C o Combination tab 4 Pole Interferential 2 Pole Interferential Premodulated Electrical Muscle Stimulation Russian ems e O cas eNS ER O UJ O
86. veform 64 9 8 2 Pole Interferential Waveform 65 99 EMS Waveform 65 9 10 Russian Waveform 65 911 High Voltage Waveform 66 912 TENS Waveform 66 9 13 Microcurrent Waveform 67 Sonicator Plus 920 Instruction Manual Rev F_07 02 12 Section 1 Introduction 1 1 Introduction to the Sonicator Plus 920 Thank you for purchasing the Sonicator Plus 920 two channel combination unit for therapeutic ultrasound and muscle stimulation The microprocessor controlled Sonicator Plus 920 provides interferential 4 pole premodulated 2 pole interferential medium frequency Russian EMS high volt TENS microcurrent and direct current DC waveforms In addition the Sonicator Plus 920 offers 1 and 3 MHz ultrasound using a dual frequency 5 5 cm applicator An optional 0 9 cm applicator at 1 and 3 MHz is also available The two channel Sonicator Plus 920 allows you to utilize up to two different waveforms using two channels simultaneously You can choose between several different amplitude modulation options such as the surge reciprocation and vector sweep The interferential and premodulated modes offer frequency modulation as well as a static frequency option Figure 1 1 Sonicator Plus 920 The Sonicator Plus provides both a membrane panel and a touch sensitive screen to allow you to quickly set up treatments 90 treatment setups allow you to quickly set up a treatment that is already in the memory plus you customize any of these programs with y

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Sonicator® Plus 920