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1. Yetti Lock Knob The Lock Knob is used to clamp the unit to the base i e pedestal traction stand 11 TX Traction 7 NOMENCLATURE TX Traction LCD BASE The LCD Base serves as a programming terminal during the selection of the traction parameters as well as a display showing all the factors affecting the traction during therapy Traction parameters are selected with the buttons on the LCD Base and the Touch Screen User Interface The Touch Screen and beeper make various audio and visual indications that warns the operator when unsuitable parameters are chosen 12 1 LED Indicator Power On Off This indicator will illuminate when the unit is powered on NOTE The LED indicator will blink when the unit goes in screen saver mode the screen will go blank after twenty minutes of inactivity Simply touch the screen to reactivate 2 Clinical Resources This button allows you to change the following features of the traction unit Patient Card Name Edit Treatment Being Setup Erase Patient Card Utilities Unit Settings 3 Stop This button will stop the treatment program Traction tension slowly decreases to zero 4 Pause This button will pause the treatment program Traction tension slowly decreases to zero Press the Pause button again to resume treatment program and traction tension 5 Start Press this button to start the treatment program 6 Patient Data Card Port Access port to inser
2. system These replacement accessories are designed for use with Chattanooga Group traction devices When ordering provide the respective part number description and quantity desired Description Saunders Cervical Traction Device Carpal Trac Carpal Trac Replacement Wrist Strap Traction Clevis Patient Interrupt Switch Patient Switch Hook Kit Replacement Traction Cord Patient Data Cards 25 pack Patient Data Management System TXA 1 Accessory Package Includes 1 Adjustable Cervical Traction Halter 1 Heavy Duty Pelvic Traction Set 2 TX Pillows and Covers and 1 17 in 43 cm Spreader Bar 12 in 31 cm Stainless Steel Soreader Bar 17 in 43 cm Stainless Steel Spreader Bar Universal Traction Halter Cervical Traction Halter Medium Description Cervical Traction Halter Large Cervical Traction Halter Adjustable Universal Thoracic Restraint Universal Single Pull Pelvic Belt Double Pull Pelvic Belt Medium Double Pull Pelvic Belt Large Double Pull Pelvic Belt X Large Heavy Duty Pelvic Traction Two Straps Thoracic Restraint Heavy Duty Pelvic Belt Heavy Duty Thoracic Belt Replacement Strap with Buckle TX Cervical Pillow without Cover TX White Cotton Pillow Cover TROUBLESHOOTING TX Traction The TX traction unit is designed with patient safety in mind An error can be caused by both external and internal disturbances Errors can be caused by disruptions in the power supply such as a voltage
3. Release the patient from the traction harness according to the manufacturer s instructions 27 OPERATION SAVING TREATMENT TO A PATIENT DATA CARD The TX traction unit incorporates a Patient Data Card interface that allows transfer of patient therapy data from the unit to the Patient Data Card The unit allows storage and recall of the following patient session data onto the Patient Data Card all therapy session parameters before and after Patient Pain Profiles and Session Notes Each Patient Data Card can store multiple sessions and each session can be recalled within the unit New Patient Data Card Setup gt Insert a new Patient Data Card with the gold chip facing up into the Patient a Data Card port located on the front of the traction unit NOTE Insert the Patient Data Card before treatment Press the Clinical Resources button on the front of the traction unit Press the Edit Current Pain Profile button located in the Patient Card section of the menu Patient Card Patient Card Not Inserted Edit Current Pain Profile Edit Save Completed Pain Profile Erase Patient Card Enter the following information under the Pain Before Treatment column 28 Pain Type Dull Ache Edit Fam Map Edit Treatment Inform Ho Worst Fair Possible Fair Numeric Edit Treatment Intorrr Pain Before Treatment Worst Possible Pain TX Traction Pain Scale There are eleven pain scale set
4. This could permanently damage the unit Do not attempt to use a unit that has been wet inside until inspected and tested by a Field Service Technicians certified by Chattanooga Group Touch Screen Cleaning Clean unit display lens using a soft damp cloth moistened with warm water and soap if necessary DO NOT USE alcohol or chlorine based solvents as this may damage the display PREVENTIVE MAINTENANCE SCHEDULE It is highly recommended that the TX Traction Unit be placed on a quarterly Preventive Maintenance Schedule to ensure long life proper adjustment and functioning of the unit Preventive Maintenance should be performed only by Field Technicians certified by Chattanooga Group CALIBRATION REQUIREMENTS Annual factory calibration is required for TX traction units The unit should be sent to the factory or a Field Service Technician certified by Chattanooga Group for this procedure 39 SERVICE Should the TX Traction unit require service contact the selling dealer or Chattanooga Group Service Department All returned units to the factory for service must include the following WARRANTY REPAIR OUT OF WARRANTY REPAIR 1 Written statement containing the following information e RA Number Obtain from Factory e Unit Model Number e Unit Serial Number e Contact person with Phone and Fax Numbers e Billing Address for Out of Warranty Repair e Shipping Address Where to Ship Unit after Repair e Detailed Description of Pro
5. e the audible tone sounds e the Home Screen will return to Setup Mode If necessary check the patient s harness and position on the table and change the traction parameters Restart traction therapy by pressing the Start button When the red button of the Patient Interrupt Switch is pressed e the audible tone sounds e the motor is stopped e a warning will display saying The Patient Switch has been pressed The treatment has been terminated Touch the screen to acknowledge the warning and the tension will decrease to zero e the Traction Cord will release If the unit loses power e the motor stops e In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps 7 OPERATION acon ADJUSTING TRACTION DURING TREATMENT CONTINUED When the traction therapy is finished the audible tone sounds the traction tension will decrease gradually the Traction Cord will release and a message will display saying treatment has been completed Touch the screen to acknowledge the message NOTE The beeper will beep every 30 seconds until the screen is touched to acknowledge the message NOTE Wait until all tension has released automatically before attempting to remove the harness from the patient
6. Home while a treatment was running 108 2 3 114 _ User selected Patient Card button on Utilities Screen butno Wrong or bad Patient Data Card inserted into unit Insert correct Patient Data Card traction treatments were found on the card 115 TROUBLESHOOTING tn ERROR MESSAGES e In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanooga Group for service Errors and Warnings in these categories indicate an internal problem with the unit that must be tested by Chattanooga Group or a Field Service Technician certified by Chattanooga Group before any further operation or use of the unit Use of a unit that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or extensive internal damage to the unit 38 MAINTENANCE TX Traction CLEANING NOTE Before cleaning disconnect the unit from the power source Periodically clean the system with a clean lint free cloth moistened with water and mild antibacterial soap If a more sterile cleaning is needed use a cloth moistened with an antimicrobial cleaner Do not submerse the system in water Should the unit accidentally become submersed contact the dealer or Chattanooga Group Service Department immediately Do not allow cleaning solutions or water to enter the ventilation holes in the unit
7. Return Arrow to accept A message will be displayed saying treatment has been saved to the Patient Card for patient s name Touch the screen to acknowledge This will return you to the Home Screen Remove the Patient Data Card for filing with patient records NOTE Ten or more treatments can be saved on a Patient Data Card Use one card per patient The Patient Data Card can also be used with the optional Patient Data Management System 30 7 OPERATION acon RETRIEVING DATA FROM EXISTING PATIENT DATA CARD E jf Existing Patient Data Card Use ee The treatment list is located on the j Insert the Patient Data Card with the right side Press the Up or Down Arrow gold chip facing up into Patient Data button to select the desired treatment Card port located on the front of the Press the Return Arrow to accept This traction unit will show the following information Before and After Treatment Pain Information Pain Map Pain Scale and Pain Type and Session Notes e ee eee eT Press the Clinical Resources button on SEE E E EE E A e aaa ae ae Sheed list is a acres review of treatment parameters button located in the Patient Card p Pain Profile seciono the menu of the selected treatment E ie T The review of the treatment a NOTE If the Patient Data Card is not shows the following information inserted this button is deactivated Patient s Name Date Start Treatment Time End Treatment Time and Treatment Parame
8. TX Time button and use the Up or Down Arrow button to change the time in one minute increments Press the Return Arrow to accept changes 7 Regressive There are two buttons to use under the Regressive section The first button allows you to choose from Static or Intermittent Traction Mode to use during the Regressive phase of the traction therapy session The second button allows you to enter the step number 1 9 desired in the Regressive phase of the traction therapy session NOTE The third box in the Regressive section is an inactive button that 23 displays the approximate amount of time in minutes selected for the regressive phase of the traction program 8 Rope Release Releases the Traction Cord in order to pull out of the unit freely for setup To release the cord either pull on the Traction Cord and it will slowly feed out or hold the Rope Release button down and pull the Traction Cord out NOTE If there is more than 5 Ibs 2kg or 19N of tension the Rope Release button is disabled e In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps 9 Rest Time Displays the amount of rest time 0 99 seconds entered during setup To enter the rest time press the Rest Tim
9. Traction Cord Remove Traction Cord slack detected on the rope _ D cS 0 Patient pressed Patient Interrupt Switch Patient Interrupt Switch button pressed Touch the Touch Screen Patient Interrupt Switch is unplugged Patient Interrupt Switch not properly connected to unit Properly connect Patient Interrupt Switch and touch the Touch Screen to clear message 1 2 24 4 5 User selected Save Io Card but no card is inserted into the No Patient Data Card is inserted Properly insert correct Patient Data Card into unit unit User selected Save To Card but the card currently inserted is Wrong or bad Patient Data Card inserted into unit Insert correct Patient Data Card not a Patient Card 5 E 6 User selected Save Io Card but the card currently inserted Memory full on Patient Data Card used Save Data to PDMS and erase Patient Data Card is full User typed in a blank Patient Name No Patient ID assigned Enter Patient ID Error upgrading Control Board Software Contact Dealer or Chattanooga Group for Service Error upgrading Motor Board Software Contact Dealer or Chattanooga Group for Service User pressed START but has not yet set the Max Level value User has not completed Treatment Setup Complete Treatment Setup prior to pressing Start to a value greater than zero User pressed HOME button from treatment review screen Home button has been pressed Press Stop To End Treatment prior to pressing
10. break and excess or inadequate voltage Errors may also be caused by patient movement during the traction therapy All traction unit errors and warnings are categorized by three numerical digits Messages beginning with a 1 are general errors a 2 symbolizes internal warnings and errors and a 3 signifies a critical error where the problem has locked up the unit See Warning on Page 38 for more information Before calling for service carefully review this user manual In the event you are still unable to correct the problem contact your Chattanooga Group dealer for all repair service Be certain to specify your model number serial number and a detailed description of the issue you encountered Problem Possible Remedy The Power On Off Switch is in the ON position e Verify the Mains Power Cord is properly connected to the power supply outlet nothing happens e Return to Chattanooga Group for replacement The LED Indicator Power On Off Light glows but there is nothing displayed on the LCD or the LCD displays confusing wording e Verify the voltage from the power supply of the electrical outlet is the same as that listed on your Voltage Rating and Serial Number Plate The LCD contrast may need to be adjusted Use the Adjustment knob on the back of LCD Display The LED Indicator Power On Off blinks e The unit is in Screen Saver Mode Touch the screen or any button to reactivate the nothing is displayed on the screen
11. sssssessesssssssssesssesoososeeoneonnoonnenonn 7 gt Service gah ed ba aba ees ba e ae os bd be ee ee bee ese 39 NOMENCLATURE KG E E 6 S00 60S on eee eee en cece ece Ole WARRANTY os ara wa ees acl 0 8 a O82 eee P Base Unit Front View essessessesessescescescessesceseeseeo 8 9 Base Unit Rear View ssssssssssssoseesssceeessoceessoceeeso 10 11 WLCD Base cs ai E E Cosas caveats A E E E 12 b Symbol Definitions sesessssesesoesesescscesssceecesesescsseoes 13 SPECIFICATIONS eeeeaeeaeeeeaeoeeeeeeeeeeseeaeeeeeneeneeeee 14 P Unit Dimensions and Specifications cece cece cece ee eeeees 14 OS Sg ee res oe E Contents of Carton s ssrsieccssrccesecicesssror eiet es esris etette va 15 b Mounting Unit on Table ssssssossscesocesssesesesseesoeesoee 16 P Initial Unit Setup sessososesesesesesecsosososssesesesseeeso 17 18 b Attaching The Patient Switch Hook sssssssssssssssssessseesoes 19 OPERATION eeeeeeeaeseevaevaeaeaeeaeeeseaeseesanesaesneaenaeneneneneoeeeeeeeeeee 20 33 b Patient Preparation cc ccc cece cece cece cece cc cceeeeeeseecs 20 21 b Operating Controls Home Screen cece cece cece sete eeees 22 25 b Adjusting Traction During Treatment ccc cece eee eee eeee 26 27 b Saving Treatment to a Patient Data Card cece ee eee ee 28 30 b Retrieving Data from Existing Patient Data Card ccc eee eeee 31 7 FO REWORD T
12. tension slowly decreases to zero Press the Pause button again to resume treatment program and traction tension 16 Start Starts the treatment program 25 OPERATION TX Traction ADJUSTING TRACTION DURING TREATMENT NOTE Read and follow steps of the Patient Preparation section on Pages 20 21 as well as learn Operating Controls of the Home Screen to set up traction treatment When the Start button is pressed the audible tone sounds e the Traction Cord tightens e traction therapy begins e the Touch Screen displays the maximum traction tension the minimum traction tension the hold time the rest time the current tension the time remaining in the traction therapy and the running status e the Touch Screen graph of the traction therapy becomes shaded as it progresses through treatment NOTE Monitor the traction therapy closely When the Pause button is pressed the audible tone sounds e traction therapy is paused e the Traction Cord will release e the tension slowly decreases to zero NOTE The Pause button may be used to adjust the patient s harness or position during treatment Resume the traction therapy by pressing the Pause button again 26 Traction therapy can be stopped at any time by pressing the Stop button or by pressing the red button of the Patient Interrupt Switch When the Stop button is pressed e traction tension will decrease gradually e the Traction Cord will release
13. unit The Patient Interrupt Switch is not working e Make sure the Patient Interrupt Switch is properly connected to the Patient Interrupt Switch Receptacle The Rope Release will not work e Release all tension on the Traction Cord e If patient is attached have patient move towards the traction head to release tension e Shake the Traction Cord while holding down the Rope Release button e Turn unit off and return to Chattanooga Group for repair 7 TROUBLESHOOTING seihctin O Problem Possible Remedy Unable to properly read Patient Data Card e Properly insert a Patient Data Card e Use a known good Patient Data Card If problem persists contact Chattanooga Group for service Attempted to use an Invalid Patient Data Card Properly insert a Patient Data Card e Use a known good Patient Data Card e If problem persists contact Chattanooga Group for service No Session Data is available on the inserted Patient e Save session data to Patient Data Card Data Card e Use a known good Patient Data Card If problem persists contact Chattanooga Group for service Patient Data Card is full e Purchase additional Patient Data Cards from an authorized Chattanooga Group dealer e Save to the Patient Data Management System PDMS 36 ERROR MESSAGES ERROR ERROR DEFINITION PROBABLE CAUSES POSSIBLE REMEDY CODE TYPE Treatment has been running for 8 seconds but no tension is Too much slack in
14. Moving Rehabilitation So CHATTANOOGA A GROUP a8 User Manual Model 4759 TX Traction Unit TABLE OF CONTENTS TX Taction FOREWORD 66666646000 es usecase sevanevenadecedeceds I b Erasing Patient Data Card cc ccc ccc ccc cece eee e eee eeeeees 32 P Product Description cc cece ce cecceceececcuceuceccuceucuss 1 ie User Protocols csisaccivsseiaaidieeteses dane dieeted veises deeetedsetas 33 ABOUT TRACTION THERAPY cccccccccccccccccce 2 7 ACCESSORIES ccccccccccccccccccccccccccccccccses D4 gt Precautionary Instructions E LET E A A E T T 2 TROUBLESHOOTING ccc ccc ccc ccc ccc cc ccc ccc ee 35 38 b Cautions E E E ETE EE E E EE E E 3 B Troubleshooting ceecceceecccececcceeeccceeecsaceeeuas 35 36 We Warnings 22526 0ccacetucswedadaceaavesmecnesteateaeseeedndcutecasetess 4 P Error MessageS s0cccceecccececccccecccceeeeacceeeuaceeenuas 37 38 Be DANGEIS cosets cccteniwasest snudacawe de ds osetessewsasheeetaeese eae ba 5 b Overview of Traction Therapy cccccc cece cece cece eee eeeeeeeens 6 MAINTENANCE 0 eee eeeeecceceecceeceeeeee ene 39 P COMMON Terms cccccccccccucceccuccuccucceccuccecceuceeceuvenees 6 WM Clea carevccnscemiseovncdastachanomnsenvetisa see ncanwaterceneuces 39 PP INCICAUONS cc cevscseeredevatdawnsipensws hesenweninasd Riwesewnincerences 7 gt Calibration Requirements sseeeeeeeeeeeeeee eee eneneeeeees 39 b ContraindicationS
15. Patient Data Card port that allows the unit to store the above session parameters on Patient Data Cards This equipment is to be used only under the prescription and supervision of a licensed practitioner Toc ad 2005 Encore Medical Corporation or its affiliates Austin Texas USA Any use of editorial pictorial or layout composition of this publication without express written consent from the Chattanooga Group of Encore Medical L P is strictly prohibited This publication was written illustrated and prepared for print by the Chattanooga Group of Encore Medical L P ABOUTTRACTIONTHERAPY ton PRECAUTIONARY INSTRUCTIONS NOTE Throughout this manual NOTE may be found These Notes are helpful information to aid in the particular area or function being described The precautionary instructions found in this section and throughout this manual are indicated by specific symbols Understand these symbols and their definitions before operating this equipment The definitions of these symbols are as follows Caution Text with a CAUTION indicator will explain possible safety infractions that could have the potential to cause minor to moderate injury or damage to equipment Warning Text with a WARNING indicator will explain possible safety infractions that will potentially cause serious injury and equipment damage VAN YN e1 5 Danger Text with a DANGER indicator will ex
16. X Traction This manual has been written for the operators of the TX traction unit It contains general instructions for operation precautionary instructions and maintenance recommendations In order to obtain maximum life and efficiency from your TX traction unit and to assist in the proper operation of the unit read and understand this manual thoroughly The specifications put forth in this manual were in effect at the time of publication However owing to Chattanooga Group s policy of continuous improvement changes to these specifications may be made at any time without obligation on the part of Chattanooga Group Before administering any treatment to a patient you should become acquainted with the operating procedures as well as the indications contraindications cautions warnings and dangers Consult other resources for additional information regarding the application of traction therapy Product Description The TX traction unit is a simple to use digital touch screen user interface traction unit that offers static intermittent and cyclic traction with user definable hold rest and treatment times Patient Pain Profiles are recorded before and after treatment with a Numeric Pain Scale VAS Visual Analog Scale and Pain Map for each patient Once treatment parameters are customized for a patient clinicians can store them as either the default user protocol or as one of ten user defined protocols The TX traction unit contains a
17. a Field Service Technician certified by Chattanooga Group before any further operation or use of the unit Use of a unit that indicates an Error or Warning in these categories and may pose a risk of injury to the patient user or may cause extensive internal damage to the unit ABOUTTRACTIONTHERAPY tn NDANGER e Do not connect the unit to an electrical supply without first verifying that the power supply is the correct voltage Incorrect voltage may cause unit damage malfunction electrical shock fire or personal injury Your unit was constructed to operate only on the electrical voltage specified on the Voltage Rating and Serial Number plate Contact your Chattanooga Group dealer if the unit is not properly rated Should Traction Cord fray or damage to the Traction Cord or knot be apparent from visual inspection immediately stop use of the unit and contact the Dealer or Chattanooga Group for service e Do not attempt to repair the Traction Cord e An improperly tied knot may result in injury Do not attempt to re tie the knot unless properly trained ABOUT TRACTION THERAPY TX Traction OVERVIEW OF TRACTION THERAPY Effects of Traction Therapy The TX traction unit provides a treatment in static intermittent and cyclic distraction forces to relieve pressures on structures that may be causing pain of skeletal or muscular origin cervical thoracic lumbar hip wrist shoulder Therapeutic distrac
18. blem or Symptoms 2 Copy of original invoice issued at purchase of the unit 3 Ship unit to Factory in the original container with all accessories and information as required in item one 1 above to Chattanooga Group 4717 Adams Road Hixson TN 37343 USA Phone 1 423 870 2281 Fax 1 423 875 5497 When shipping the unit to the dealer or factory make certain the original packaging is used If the original packaging is not available contact Chattanooga Group to obtain the packaging materials listed on Page 15 for shipment Any damage sustained from improper packaging may render the warranty null and void Toc ad wal Service to these units should be performed only by a Field Service Technician certified by Chattanooga Group 7 Chattanooga Group Company warrants that the TX Traction Unit Product is free of defects in material and workmanship This warranty shall remain in effect for one year 12 months from the date of original consumer purchase If this Product fails to function during the one year warranty period due to a defect in material or workmanship Company or the selling dealer will repair or replace this Product without charge within a period of thirty days from the date on which the Product is returned to the Company or the dealer All repairs to the Product must be performed by a service center authorized by the Company Any modifications or repairs performed by unauthorized centers or grou
19. ces Screen all User Protocols will be permanently removed from Press the Retrieve Protocol button the unit located in the Protocols section of the NOTE Ten User Protocols can be saved as well as a Default Protocol Patient Card Utities menu Unit Settings The list of the User Protocols is located l on the right side and the Default ae Select and edit the parameters of the Halide juslis Protocol is located on the left side Press i etrieve desired treatment from the Home E Protos Cedar re a the Page Up or Page Down buttons to M review the User Protocols Edit Save Completed ee a z Press the Clinical Resources button on CUE Ea SA the front of the traction unit Patient Card Setup and Saving User Protocols Clinical Library Select the desired User Protocol by pressing the number of the User Press the Save Protocol button located E o Protocol button in the Protocols section of the menu Protocol 2 Save Curent Celny Select the number of User Protocol to ser save the desired treatment to or select urrent settings saved as Protocol n the Default Protocol button to save Touch anywhere to continue hs treatment as the defa u It A message will be displayed saying Current Settings saved as Protocol Touch the screen to continue 33 7 ACCESSORIES tics The following provides the users of the TX traction unit the necessary information to order the replacement accessories most commonly used with the
20. dden release of traction pressure on a patient Test the Patient Interrupt Switch cable before each use for proper operation e Do not use the Clevis as a handle to pick up or carry the unit TX Traction e Do not remove the cover This may cause unit damage malfunction electrical shock fire or personal injury There are no user serviceable parts inside the unit If a malfunction occurs discontinue use immediately disconnect the Mains Power Cord from the outlet and consult the dealer for repair service Do not use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the Touch Screen as damage may result Do not permit any foreign materials or liquids to enter the unit Take care to prevent any foreign materials including but not limited to inflammables water and metallic objects from entering the unit These may cause unit damage malfunction electrical shock fire or personal injury Do not disassemble modify or remodel the unit or accessories This may cause unit damage malfunction electrical shock fire or personal injury Do not use the unit near devices such as X ray units or diathermy units These units may emit high frequency noise that may affect the operation of the unit If you have difficulty operating the unit after carefully reviewing this operator s guide contact your Chattanooga Group dealer for assistance Failure to use and maintain the traction unit and its accessorie
21. e button Press the Move Up or Down Arrow button for the respective area Year Month Day Hour and Minute until the desired change is displayed NOTE The time is set in a 24 hour format 7 SETUP TX Traction INITIAL UNIT SETUP CONTINUED Reset Unit Settings Reset Default Protocols Press the Reset Unit Settings button to restore the unit defaults Clinic Press the Reset Default Protocols to restore all protocols to factory Name Volume Unit of Measure and Language This control will not settings change the Date and Time nor will it affect any of the User Protocols NOTE All User Protocols will be removed stored in the unit To return to the unit Home Screen press the Home button Select Language To change the language displayed on the unit press the Language button until the desired language is displayed The setting will automatically save The available languages are e English Default e French e Spanish NOTE The default Language is English 18 TX Traction 7 SETUP ATTACHING THE PATIENT INTERRUPT SWITCH HOOK The Patient Interrupt Switch Hook may be placed on either the left or Insert the Patient Interrupt Switch right side of the unit to hook the Patient Interrupt Switch Hook Cover to cover the Hook Screw Hole A Screw Hole Cap with the Chattanooga Group logo is located on both sides of the unit Using a screwdriver pop the Screw Hole Cap off The Patient Interru
22. e button then enter the desired rest time using the number keypad Press the Return Arrow button to accept NOTE The Rest Time can be changed during the traction therapy session by pressing the Rest Time button then use the Up or Down Arrow buttons to make any changes Press the Return Arrow button to accept OPERATION 7 TX Traction OPERATING CONTROLS HOME SCREEN CONTINUED 10 Hold Time Displays the amount of hold time 0 99 seconds entered during setup To enter the hold time press the Hold Time button then enter the desired Hold Time using the number keypad Press the Return Arrow button to accept NOTE The Hold Time can be changed during the traction therapy session by pressing the Hold Time button then use the Up or Down Arrow buttons to make any changes Press the Return Arrow button to accept 11 Minimum Level Displays the minimum traction tension entered during setup To enter the minimum traction tension press the Min Level button then enter the desired minimum setting using the number keypad Press the Return Arrow button to accept NOTE The Minimum Traction Tension can be changed during the traction therapy session by pressing the Min Level button then use the Up or Down Arrow buttons to make changes in 1 Ib 1 kg or 1 N increments Press the Return Arrow button to accept 12 Maximum Level Displays the maximum traction tension entered during setup To enter the maximum traction
23. eir combinations Traction Type Mechanical LCD Display High contrast monochrome Touch Screen Traction Tension Parameters Minimum Maximum Increments Traction Period 1 minute 99 minutes 1 minute Hold Period O seconds 99 seconds 1 second Rest Period O seconds 99 seconds 1 second Traction Tension O Ib 0 kg O N 200 Ib 90 kg 890 N 1 Ib 1 kg 5 N Progressive and Regressive Steps 1 step 9 steps 1 step Meets Directive 93 42 EEC vATERTEy IEC UL EN 60601 1 lj 60601 1 2 Pe C CAN C22 2 No 601 1 M90w AZ iste 7 S ETU P TX Traction CONTENTS OF CARTON Remove the TX traction unit and all accessories from the shipping cartons Visually inspect for damage Report any damage to the carrier immediately Contents of Cartons e X Traction Unit e Patient Data Cards 5 e Patient Interrupt Switch e Patient Interrupt Switch Hook Kit e Securing Bracket P N 48117 e Mains Power Cord e User Manual CD ROM NOTE When shipping the unit back to the dealer or factory make certain the original packaging is used If the original packaging is not available contact Chattanooga Group to obtain the following packaging materials for shipment 48059 Inner Pack Box Top 48093 Left Inner Pack 48094 Right Inner Pack 48092 Shipping Box 48095 Shipping Bag Any damage sustained from improper packaging may render the warranty null and void 15 7 S ETU P TX Traction MOUNTING UNIT ON TABLE 1 To secure the uni
24. errupt Switch Receptacle The Patient Interrupt Switch Receptacle is located on the front of the unit Clevis Attachment Slots The Clevis Attachment Slots serve as a connection point for other traction a p e The Patient Interrupt Switch is essential for the functioning of the unit If apparatus not included such as it is not connected or if it is malfunctioning the unit will not work cervical or wrist e Do not use the Clevis as a handle to pick up or carry the unit NOMENCLATURE r TX Traction BASE UNIT REAR VIEW Screen Contrast Control Lock Power Knob On Off Switch Mains Data Port Power Ill Ii i Factory Cord JA use Only Receptacle Serial Numk Electrical f Plate 10 The rear view of the base unit is the site of electric current control and surge protection and serves as a connection point for both the traction controls and safety features of the TX traction unit Power On Off Switch O The Power On Off Switch is a toggle switch located on the back of the unit This switch controls the flow of electricity from the outlet to the unit Mains Power Cord Receptacle The Mains Power Cord Receptacle accepts the Mains Power Cord female end Screen Contrast Control TOC The Screen Contrast Control is used m to set a comfortable viewing of et brightness of the Touch Screen User Interface wal A NOMENCLATURE BASE UNIT REAR VIEW CONTINUED Mn
25. he Mains Power Cord into a 100 V 24 V AC outlet as required Replace the cover on the back of the unit 16 th SETUP 7 TX Traction INITIAL UNIT SETUP Accessing User Utilities Turn the unit On Press the Clinical Resources button Press the Unit Settings button under the Utilities section nit Setup Control Wer 0 1 Motor Wer 0 1 Clinic Hame Set Date and Time Chattanooga Group 1405 1 55 FM Volume Reset Unit Mediu Settings Units of Measure Language Pounds English Reset Default Protocols 17 Clinic Name Press the Clinic Name button Enter the Clinic Name on the keyboard To save the Clinic Name as entered press the Return Arrow button To discard the Clinic Name press the Cancel X button NOTE The default of the Clinic Name is set as Chattanooga Group Unit Volume Press the Volume button until the desired unit volume is achieved There are six settings Off X Low Low Med High and X High Each time the Volume button is pressed the setting displayed will also give three audible tones of that level NOTE The default of the unit volume is set at Medium Unit of Measure There are three units of measure to choose from pounds Ibs kilograms kg and newtons N Press the Unit of Measure button to toggle to the desired unit of measure and the setting will automatically save NOTE The default of the unit of measure is set in pounds Ibs Set Date and Time Press the Set Date and Tim
26. injury 7 Fit the appropriate traction harness on the patient by following the fitting instructions supplied with the type of harness to be used 8 Tighten any slack in the harness that may have occurred during positioning so that it fits the patient according to the manufacturer s instructions NOTE It is usually easier to align the harness on patients while they are standing and then tighten the harness after positioning them on the table 9 Push and hold the Rope Release button on the touch screen and slowly pull the end of the Traction Cord out from the traction unit 10 Attach the Accessory Clip to the connection point of the traction harness according to the manufacturer s instructions 21 OPERATION TX Traction OPERATING CONTROLS HOME SCREEN Be 8 Running 22 The Touch Screen User Interface allows the operator to access and set up for therapy in the following areas of the Home Screen NOTE Should you make a mistake while entering data you may correct by re pressing the appropriate key and re entering the data NOTE On the user interface touch screen any parameters surrounded in white boxes are active and can be changed at any time Any parameters surrounded in gray boxes are inactive and cannot be changed 1 Traction Meter Displays the amount of tension being delivered to a patient in pounds kilograms or newtons 2 Time Remaining Displays the approximate nu
27. ire or personal injury If the Mains Power Cord becomes damaged discontinue use immediately and contact the dealer for replacement of the Mains Power Cord TX Traction e This device should be kept out of the reach of children e Always hand tighten the Lock Knob securely to avoid any slippage e Care must be taken when operating this equipment around other equipment Potential electromagnetic or other interference could occur to this or to the other equipment Try to minimize this interference by not using other equipment in conjunction with it The Patient Interrupt Switch must be in the patient s grasp throughout the therapy To prevent accidental disengagement this unit must be securely attached to the mounting surface of the pedestal or traction stand It is the responsibility of the user to verify the adequacy of the installation before use in therapy The traction unit should only be used by a qualified licensed practitioner in a position of supervision during therapy For that reason do not attempt to put yourself in traction with this unit Dispose of all products in accordance with local and national regulations and codes In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanooga Group for service Errors and Warnings in these categories indicate an internal problem with the unit that must be tested by Chattanooga Group or
28. l Scale Pain Type and Pain Map and Before Treavrent pa highlighted areas of the body enter information under the Pain is diagram After column to show any progress made from the treatment Press the Back button or Home button to begin set up and to perform the NOTE Once pain information is patient therapy session entered review all information to ensure accuracy Once NOTE All pain information can be saved pain information Cinical Library edited during a patient cannot be changed ne 5 therapy session by pressing Proa the Clinical Resources button Press the Save to Patient Card button Edit Current Save E and Edit Current Pain Profile to save patient therapy session This will DS button However it is save all session parameters and pain Patont Card fre recommended to enter all information tn pre treatment pain information ettings before the patient therapy session 29 OPERATION SAVING TREATMENT TO A NEW PATIENT DATA CARD CONTINUED Enter the Patient s Name max 25 characters ea ee ye ea plete et Tole Xe A FS Ti Patient Card Treatment Enter the Patient s Name max 25 cha racters JOHN DOER i Treatment has been sawed to the patient card for JOHN DOE I ee oo wre Ta Patient Card Treatment After the Save to Patient Card button is pressed a keyboard will be displayed to enter the patient s name if the card is blank Once the patient s name is entered press the
29. mber of minutes that remain in the current traction therapy session 3 Time Remaining During Hold Rest Cycles Displays an amount of time when a Hold or Rest cycle is occurring during treatment as well as show the number of minutes that remain in that cycle 4 Treatment Status Displays one of the following to show the current status of the treatment being performed Setup Running Paused and Completed OPERATION TX Traction OPERATING CONTROLS HOME SCREEN CONTINUED 5 Progressive There are two buttons to use in the Progressive section The first button allows you to choose from Static or Intermittent Traction Mode to use during the Progressive phase of the traction therapy session The second button allows you to enter the step number 1 9 desired in the Progressive phase of the traction therapy session NOTE The third box in the Progressive section is an inactive button that displays the approximate amount of time in minutes selected for the progressive phase of the traction program 6 TX Traction There are two buttons to use under the TX section The first button allows you to choose from Static Intermittent or Cyclic Traction Mode to use during the traction phase of the traction therapy session The second button allows you to enter the amount of time in minutes 1 99 desired for the traction phase of the traction therapy session NOTE The TX Time can be changed during treatment Press the
30. plain possible safety infractions that are imminently hazardous situations that would result in death or serious injury ABOUT TRACTION THERAPY e Read understand and practice the precautionary and operating instructions Know the limitations and hazards associated with using any electrical traction device Observe the precautionary and operational decals placed on the unit Use this unit only with tables stands power cord and accessories specifically designed and manufactured by Chattanooga Group Not adhering to this guideline may cause damage to the unit malfunction electrical shock fire or personal injury This unit should be operated transported and stored in temperatures between 60 F and 104 F 16 C and 38 C or atmospheric pressure range between 700 1060 hPa with relative humidity ranging from 30 60 Do not operate the unit when connected to any unit other than Chattanooga Group devices Do not use devices manufactured by other companies on Chattanooga Group equipment Chattanooga Group is not responsible for any consequence resulting from using products manufactured by other companies The unit should be routinely checked before each use to determine all controls function normally Handle the unit with care Inappropriate handling of the unit may adversely affect its characteristics Before each use inspect the Traction Cord for wear Prolonged wear on the cord will cause it to break which may cause su
31. ps will void this warranty The warranty period for the accessories shipped with the unit is ninety days Accessories consist of the materials shipped with the unit To participate in warranty coverage this Product s warranty registration card included with Product must be filled out and returned to the Company by the original owner within ten business days of purchase This Warranty Does Not Cover e Replacement parts or labor furnished by anyone other than the Company the selling dealer or an certified Company service agent Defects or damage caused by labor furnished by someone other than Company the selling dealer or an certified Company service agent e Any malfunction or failure in the Product caused by product misuse including but not limited to the failure to provide reasonable and necessary maintenance or any use that is inconsistent with the Product User s Manual COMPANY SHALL NOT BE LIABLE IN ANY EVENT FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES Some locations do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you To obtain service from Company or the selling dealer under this warranty 1 A written claim must be made within the warranty period to the Company or the selling dealer Written claims made to the Company should be sent to 4717 Adams Road PO Box 489 Hixson TN 37343 USA Phone 1 423 870 2281 Fax 1 423 875 5497 2 The Prod
32. pt Switch can now be placed on the Patient Interrupt Switch Hook Place the Patient Interrupt Switch Hook over the Screw Hole and tighten the Hook Screw in place 19 OPERATION 7 TX Traction PATIENT PREPARATION Traction therapy may be given by or on order of a qualified licensed practitioner The person administering the treatment must be familiar with the principles of traction therapy and be able to choose the correct mode of traction traction forces and treatment times Any settings or types of traction mentioned in this manual are for illustrative and expository purposes only Each patient should be individually assessed by a licensed practioner to determine the appropriateness of the parameter settings prior to use e A licensed practitioner experienced with traction therapy must be familiar with all instructions contained in this manual before administering traction therapy Do not attempt to become familiar with the TX traction unit while administering traction therapy on a patient To prepare the patient for traction therapy do the following 1 Attach the Patient Interrupt Switch by inserting the male end of the cable into the Patient Interrupt Switch Receptacle located on the front of the unit 2 Turn the unit on from the Power On Off Switch located on the back of the unit Wait five seconds for the unit to go through initialization before attempting any further patient preparation procedure
33. racture Osteoporosis Acute facet problems Joint pain e Hiatus hernia e Radicular pain e Discogenic pain e Claustrophobia e Prolapsed discs The TX traction unit achieves these effects through decompression of intervertebral discs that is unloading due to distraction and positioning NOMENCLATURE tcton BASE UNIT FRONT VIEW Touch Screen The Base Unit serves to house the mechanical and electrical components User Interface that provide the actual traction tension for the TX traction unit under the electronic control and supervision of the Controller Traction Cord To prevent wear and fraying the unit should be mounted facing toward the desired direction of pull so that the Traction Cord does not contact the side of the slot from which it extends Traction Cord Clevis Attachment Slots DANGER e Should Traction Cord fray or damage to the Traction Cord or knot be apparent from visual inspection immediately stop use of the unit and contact the Dealer or Chattanooga Group for service e Do not attempt to repair the Traction Cord Patient Interrupt Switch Receptacle e An improperly tied knot may result in injury Do not attempt to re tie the knot unless properly trained NOMENCLATURE ton BASE UNIT FRONT VIEW CONTINUED Accessory Clip The Accessory Clip allows you to attach the desired accessory i e Spreader Bar or traction harnesses to the unit Patient Int
34. reduce friction when giving lumbar traction In the progressive and regressive phases the unit pulls to the calculated tension holds for the set hold time then drops to 50 of this tension holds the set rest time and then repeats this step for the number of steps selected However once the minimum level is reached the unit uses the minimum level for the rest time Cyclic Traction Cyclic traction refers to progressive gradually increasing traction tension and regressive gradually decreasing traction tension phases of the traction program being repeated continuously throughout the entire course of the treatment ABOUTTRACTIONTHERAPY ton INDICATIONS CONTRAINDICATIONS The TX traction unit provides traction and mobilization of skeletal Traction is contraindicated for the following structures and skeletal muscles l e Structural disease secondary to tumor or infection The TX traction unit may be used to relieve peripheral radiation sciatica Patients with vascular compromise and pain associated with e Any condition for which movement is contraindicated Protruding discs Spinal root impingement e Patients with acute strains sprains and inflammation which would be Bulging discs Hypomobility aggravated by traction therapy Herniated discs Degenerative joint disease e Patients with joint instability of the spine e Degenerative disc disease e Facet syndrome e Pregnancy Posterior facet syndrome e Compressions f
35. s 20 3 Verify that there is a good connection between the Patient Interrupt Switch and the Patient Interrupt Switch Receptacle NOTE The Patient Interrupt Switch must be plugged in for the unit to operate 4 Test the Patient Interrupt Switch by pressing the red button A warning message will be displayed saying The Patient Interrupt Switch has been pressed Touch the screen to continue Always test the Patient Interrupt Switch cable before each use for proper operation 5 Give the Patient Interrupt Switch to the patient instructing that pressing the red button will stop the treatment e The Patient Interrupt Switch must be in the patient s grasp throughout the traction therapy 7 OPERATION action PATIENT PREPARATION CONTINUED 6 Position the patient on the appropriate Chattanooga Group Traction table in accordance with the instructions supplied with the table e In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps e Use this unit only with tables stands power cord and accessories specifically designed and manufactured by Chattanooga Group Not adhering to this guideline may cause damage to the unit malfunction electrical shock fire or personal
36. s in accordance with the instructions outlined in this manual will invalidate your warranty e The Patient Interrupt Switch is essential for the functioning of the unit If it is not connected or if it is malfunctioning the unit will not work 7 ABOUT TRACTION THERAPY e A licensed practitioner experienced with traction therapy must be familiar with all instructions contained in this manual before administering traction therapy Do not attempt to become familiar with the TX traction unit while administering traction therapy on a patient e In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps e This device should only be used under the continued supervision of a licensed practitioner e Use of controls or adjustments or performance of procedures other than those specified herein may result in a hazardous traction related injury e Before connecting the unit to an electrical outlet make certain the unit is electronically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable national and local electrical codes e Do not use a damaged Mains Power Cord Using a damaged Mains Power Cord may cause unit damage malfunction electrical shock f
37. t a Patient Data Card to save and retrieve patient treatments User Protocols Retrieve Protocol Save Protocol Reset Default Protocol NOMENCLATURE 7 TX Traction SYMBOL DEFINITIONS Below are the definitions for all of the symbols used on the TX traction unit hardware and software Study and learn these symbols before any operation of the unit System Hardware Symbols Control Y O swn 1 j Pata Port Lo Pi Factory Use Only Push Lock ri tL i oy Lock Unlock Lock Knob M Contrast Stop Treatment Pause Treatment Start Treatment Patient Interrupt Switch Patient Card Clinical Resources System Software Symbols Aiit i gt Move UP Move DOWN Accept and Return Cancel Back Home SPECIFICATIONS TX Traction UNIT DIMENSIONS AND SPECIFICATIONS Width 9 5 in 24 cm Depth a 17 5 in 45 cm Height ccc tne eens 17 5 in 45 cm Weight Standard Weight 0 0 0 ccc ccc eee eee nes 30 Ibs 14 kg 134 N SHIDOING WIG scuot needa taseutiend eee ENEA 40 Ibs 18 kg 178 N Power WOM e sn5 s dann das E ewan Pane eng yaqed eae 100 V 240 V 50 60 Hz PONET OM UMD O esanei trar AAEE RABAR I TEEDE ERREPA RERA 75 VA urene COMSUIMPUIOM e ira ee A AEE E A 3 2 Amps Max Becca I ereraa a an aaae Class FECT ICal VPE sss ncearo veya vanwshmadwa harbor Sea AATE Type B Traction Modes Static Intermittent Cyclic and th
38. t to the mounting surface push the Lock Knob down and turn left to loosen the clamp Fit the unit to the mounting surface and turn right to tighten the clamp down onto the mounting surface Push the Lock Knob again to secure the unit to the mounting surface The TX traction unit was designed to be utilized with Chattanooga Group traction tables e Do not operate the unit when connected to any unit other than Chattanooga Group devices Do not use devices manufactured by other companies on Chattanooga Group equipment Chattanooga Group is not responsible for any consequence resulting from using products manufactured by other companies 2 Remove the cover on the back of the unit and connect the Mains Power Cord female end to the Mains Power Cord Receptacle 3 Verify that there is a good connection between the Mains Power Cord and the Mains Power Cord Receptacle Always make certain that the Mains Power Cord is properly plugged into the unit To prevent accidental disengagement this unit must be securely attached to the mounting surface of the pedestal or traction stand It is the responsibility of the user to verify the adequacy of the installation before use in patient therapy NOTE The TX traction unit should be mounted facing the direction of pull so the Traction Cord does not contact the side of the slot from which it extends 4 Check the voltage rating on the serial plate located on the back of the unit Plug t
39. tension press the Max Level button then enter the desired maximum setting using the number keypad Press the Return Arrow button to accept 24 If the Maximum Level of traction tension is greater than 39 Ibs 17 kg or 166 N a message will be displayed saying Cervical traction should not be performed with a tension greater than 39 Ibs 17 kg or 166 N indicate the type of traction to be performed The Lumbar button must be pressed to start treatment otherwise press the Cervical button and re enter the Maximum Level of traction tension to be equal to or lower than 39 lbs 17 kg or 166 N NOTE The Maximum Traction Tension can be changed during the traction therapy session by pressing the Max Level button then use the Up or Down Arrow buttons to make changes in 1 Ib 1 kg or 1 N increments Press the Return Arrow button to accept 13 Clinical Resources This button offers the following features of the traction unit See Patient Data Card and User Protocols in the Operation Section for more information e Patient Card e Patient Card Patient Name Edit Treatment Being Setup e Erase Patient Card e Protocols e Retrieve Protocol e Save Protocol e Utilities e Unit Settings see Pages 17 18 for more information TX Traction OPERATION OPERATING CONTROLS HOME SCREEN CONTINUED 14 Stop Stops the treatment program Traction tension slowly decreases to zero 15 Pause Pauses the treatment program Traction
40. ters Clinical Library Patient Card Protocols Press the Run This Treatment button Patient Card Retrieve Press the Start button to begin Edit C Say treatment Pain Profile Erase Patient Card 31 7 OPERATION Tato ERASING PATIENT DATA CARD Insert the Patient Data Card with the gold chip facing up to be erased into the Patient Data Card port located on the front of the traction unit Press the Clinical Resources button on the front of the traction unit Press the Erase Patient Card button Clinical Library located in the Patient Card section of Patient Card Protocols nement JOHN DOE Protocol Edit Current Save When the Patient Data Card is erased Edit Save Completed F a message will be displayed Touch the eee screen to acknowledge the message and it will return to the Clinical Resources Screen Clinical Library Patient a EF ished Patient Card has been erased Touch anywhere to continue Patient Card Utilities Unit Settings 32 7 OPERATION acon USER PROTOCOLS This library is a series of protocols created by the user and stored in the Accessing User Protocols unit memory The following information gives general instructions as to Pe Press the Clinical Resources button on setup saving and access of User Protocols Should the Restore Default the front of the traction unit Protocol button be pressed through the Utilities section of the Clinical Resour
41. tings to choose from a numeric scale of 0 to 10 Press the arrows left to right from what the patient describes pain as being No Pain 0 to Worst Pain Possible 10 NOTE If the patient is unsure of rating pain from a numeric scale a visual pain scale is available Toggle the middle button between the left and right arrows to choose between a Numeric or a Visual Analog Scale Press the arrows left to right to move the visual bar from what the patient describes pain as being No Pain to Worst Pain Possible Pain Type There are eleven pain types to choose from based on how the patient describes pain Numbing Dull Ache Throbbing Pulsing Tingling Nagging Pinching Burning Shooting Stabbing Radiating or None Selected OPERATION acon SAVING TREATMENT TO A NEW PATIENT DATA CARD CONTINUED Pain Map Press the Edit Pain Map era Once a therapy session has been Pain T ype button Press the area of the body to ET E completed press the Clinical Resources Dull Ache highlight where the patient describes button Press the Edit Save Completed Pain Profile i 4 Pain Profile button to enter all post pain Each time an area of the body Edit diagram is pressed a highlighted square treatment pain information after the Pain Map is produced Press the area again to Patient Card ities therapy session remove the highlighted square See previous instructions for Pain a T T NOTE The Clear button clears al
42. tion can be applied in a variety of programmable patterns cycles and functions COMMON TERMS Progressive Traction Progressive traction refers to a traction phase during the treatment when the tension gradually increases Regressive Traction Regressive traction refers to a traction phase during the treatment when the tension gradually decreases TX Traction TX Traction refers to the type of traction used during a treatment There are three modes to choose from Static Intermittent or Cyclic Traction Mode Steps The term step refers to the increment in which the traction tension is either increased or decreased during therapy Static Traction Therapy This term denotes that a steady amount of traction is applied for periods from a few minutes up to 99 minutes The shorter duration is usually coupled with more weight Static lumbar traction is most effective if a split table is utilized to reduce friction It is important that it is the type that maintains constant tension This way any slack developed as the patient relaxes during the traction therapy is automatically taken up and the desired amount of traction is maintained Static traction is sometimes referred to as sustained traction Intermittent Traction Therapy This form of traction alternates traction tension between tension levels Maximum and Minimum every few seconds throughout the timed treatment It is also most effective if a split table is used to
43. uct must be returned to the Company or the selling dealer by the owner This warranty gives you specific legal rights and you may also have other rights which vary from location to location The Company does not authorize any person or representative to create for it any other obligation or liability in connection with the sale of the Product Any representation or agreement not contained in the warranty shall be void and of no effect THE FOREGOING WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING ANY WARRANTY OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE 40 Moving Rehabilitation Forward CHATTANOOGA A GROUP 2 ISO 13485 CERTIFIED 4717 Adams Road P O Box 489 Hixson TN 37343 U S A 1 423 870 2281 1 800 592 7329 U S A 1 800 361 6661 CANADA 1 423 870 7200 OUTSIDE USA www chattgroup com 48036A 2005 Encore Medical L P

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