Direct Supply CX4 User Manual

Direct Supply CX4 User Manual

Electrotherapy / ultrasound
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Direct Supply
CX4/EX4
®
USER MANUAL
Operation Instructions For:
Direct Supply EX4
(Electrotherapy)
Direct Supply CX4
(Combination — Electrotherapy & Ultrasound)

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Summary of Contents for Direct Supply CX4

  • Page 1 Direct Supply CX4/EX4 ® USER MANUAL Operation Instructions For: Direct Supply EX4 (Electrotherapy) Direct Supply CX4 (Combination — Electrotherapy & Ultrasound)
  • Page 2: Table Of Contents

    Do Not Use This Device Under These Conditions ...6 CX4 – Operating Controls ......27 – 28 Electrode Warnings .
  • Page 3: Forward

    System Settings ........46 This manual has been written for the users of the Direct Supply, AND WARNINGS Waveform Selection .
  • Page 4: Direct Supply Cx4 & Ex4 Devices

    • Over areas of skin that lack normal sensation. • Electrodes should not touch each other when placed onto patient’s skin. Do not use RFID systems near the Direct Supply CX and EX devices. in breathing, or adverse effects on heart rhythm or •...
  • Page 5: General Warnings

    • Patients should remove all metal accessories (i.e. necklace, watch, • The Direct Supply CX and EX devices are not suitable for use • The long-term effects of chronic electrical stimulation are unknown. • Additional precautions should be used when ultrasound is used on ring(s), etc.) prior to administering therapy as these items may cause...
  • Page 6: Intended Use

    Safety Precautions Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Intended Use ELECTROTHERAPY INDICATIONS & CONTRAINDICATIONS CONTRAINDICATIONS CAUTION GENERAL PRECAUTIONS • This device should not be used for symptomatic pain relief CAUTION WHILE USING THE STIMULATOR (CONT .) Indications for TENS, EMS, NMS, NMS Burst, Russian (RUSS), •...
  • Page 7: Ultrasound Indications & Contraindications

    Intended Use Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Adverse Effects PARAMETER DEFINITIONS ULTRASOUND INDICATIONS & CONTRAINDICATIONS • Therapeutic ultrasound should not be applied over the APPLICATOR MOVEMENT OF ULTRASOUND pregnant or potentially pregnant uterus. Therefore, If movement of the applicator is too slow, the patient may feel...
  • Page 8: Waveform Specifications

    Waveform Specifications Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Waveform Specifications ELECTROTHERAPY IFC (Interferential) Premodulated (2 Pole) Stimulator Output Parameters Premodulated Current is a medium frequency waveform. Current Waveform Type Sinewave IF-4P: IFC (Interferential) Traditional (4 Pole) Stimulator Output Parameters comes out of one channel (two electrodes).
  • Page 9 Waveform Specifications Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Waveform Specifications BIPHASIC (TENS) Stimulator Output Parameters BIPHASIC (RAAS) Stimulator Output Parameters The Asymmetrical Biphasic and the Symmetrical Biphasic waveforms Rapid Agonist Antagonist Sequencing (RAAS) is proposed to mimic TENS Asymmetrical Biphasic...
  • Page 10: Russian

    Waveform Specifications Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Waveform Specifications RUSSIAN STIMULATION Stimulator Output Parameters HIGH VOLT Stimulator Output Parameters Russian Current is a medium frequency rectangle waveform, The High Volt waveform has a very brief pulse duration characterized Frequency 1 –...
  • Page 11: Microcurrent

    Waveform Specifications Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Waveform Specifications MICROCURRENT Stimulator Output Parameters Stimulator Output Parameters Microcurrent is a monophasic waveform of very low intensity which NMS is a symmetrical biphasic waveform with a 120 µs interphase...
  • Page 12: Ultrasound Specifications

    Waveform Specifications Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Ultrasound Specifications ULTRASOUND THERAPY ULTRASOUND THERAPY (cont .) Transportation and Storage Environment Pulse Frequency 100 Hz Output Power Parameter Limit Temperature -20°C (-4°F) to 55°C (131°F) Parameters: For security, the device has some limitations for electrotherapy. The Duty Factor ≥80% for 5 cm...
  • Page 13: Package Contents

    Optional Accessories: 110" Lead Wires (2/bag) DS-WQ8110 Therapy System Cart w/ Storage DS-DQCART 78" Combination Lead Wire (Green) DS-WQ8000-SNGL 1 cm Sound Head (For use with CX4 Only) DQ8000W1 CD with Electronic Manual DS-DQDISC - 24 - - 25 -...
  • Page 14 Operating Instructions Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Operating Instructions OPERATOR CONTROLS — OPERATOR CONTROLS (CONT .) DEVICE SYMBOLS DIRECT SUPPLY CX4 13. Power Button Symbol Meaning 14. Carry Handle Power LED Indicator Electrode Cable Connection 15. Grounding Test Post Touch Screen Display 16.
  • Page 15: Product Description

    Direct Supply — CX4/EX4 Product Description OPERATOR CONTROLS (CONT .) DEVICE SYMBOLS The Direct Supply CX and EX devices are a family of clinical therapy devices which offers the practitioner a wide range of treatment 17. Power Button Symbol Meaning options.
  • Page 16: Home Screen Display (Ex4/Cx4)

    Product Description Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Product Description ELECTROTHERAPY TREATMENT SCREEN HOME SCREEN DISPLAY MAIN THERAPY DISPLAY TOUCHSCREEN DISPLAY NAVIGATION BAR When you turn on the unit, you will fi rst enter the Home Menu. In...
  • Page 17: Ultrasound Treatment Screen

    Product Description Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Application Information ULTRASOUND TREATMENT SCREEN COMBINATION THERAPY SCREEN ELECTROTHERAPY • Depending on the electrode size, use two or three wraps to maximize the contact surface. • After use clean the electrodes as described in the user...
  • Page 18: Electrotherapy Set-Up - Clinical Protocols

    Direct Supply — CX4/EX4 Navigation This manual contains instructions for both the Direct Supply EX4 & CX4. For the Direct Supply EX4, set-up instructions are on pages 33 – 37. Electrotherapy Set-Up — Clinical Protocols (cont.) 5 . Treatment Time Adjustment For the Direct Supply CX4, set-up instructions for all modalities are on pages 33 –...
  • Page 19: Electrotherapy Set-Up - Manual Operation

    Navigation Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Navigation 6 . Start Therapy (cont .) • Enter the name of your favorite using Electrotherapy Set-Up — Manual Operation the keyboard. 3 . Channel Selection • To pause the treatment, touch the 1 .
  • Page 20: Treatment Time Adjustment

    Navigation Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Ultrasound Application Ultrasound Therapy — Application Before Treatment 7 . Storing Your Favorite Settings • Check the patient for contraindications. See page 12 for details. • When a treatment screen is completely Contact Control 5 .
  • Page 21: Ultrasound Therapy Set-Up - Clinical Protocols

    Navigation Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Navigation Ultrasound Therapy Set-Up — Clinical Protocols Ultrasound Therapy Set-Up — Clinical Protocols (cont.) To ensure effi cient transfer of energy, a contact medium is required between the ultrasound applicator and the body. The best medium 3 .
  • Page 22: Ultrasound Therapy Set-Up - Manual Operation

    Navigation Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Navigation Ultrasound Therapy Set-Up — Clinical Protocols (cont.) Ultrasound Therapy Set-Up — Manual Operation 3 . Parameters To ensure effi cient transfer of energy, a contact medium is required between the ultrasound applicator and the body. The best medium •...
  • Page 23: Combination Therapy Set-Up - Manual Operation

    Navigation Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Navigation Combination Therapy Set-Up — Manual Operation 3 . Setting Electrotherapy Parameters Combination Therapy Set-Up — Manual Operation (cont.) • The fi rst parameter screen that is shown PLEASE NOTE: Combination Therapy combines ultrasound &...
  • Page 24: Operating Details

    Operating Details Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Maintenance System Settings Adjusting Current Amplitude Cleaning Cleaning of Display Panel The unity of the displayed current amplitude depends on the Use a soft and dry cotton or micro fi ber cloth to clean the panel.
  • Page 25: Cleaning Lead Wires And Cables

    Maintenance Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Troubleshooting Cleaning the Lead Wires and Cables Error Codes Periodically wipe the lead wires clean with a cloth dampened in a Error Error mild soap solution, and then gently wipe them dry. Use of rubbing...
  • Page 26: Technical Maintenance

    This equipment complies with all requirements of 21 CFR1050.10, • All other technical maintenance is restricted to authorized manufacturer The Direct Supply CX and EX devices contain materials that can Performance Standard for Ultrasonic Therapy devices. maintenance personnel.
  • Page 27: Emc Table

    (60% dip in U 40% UT environment. If the environment specified below. The customer or user of the Direct Supply CX and EX devices Portable and mobile RF communication systems (e.g. mobile phones) 5 cycles) (60% dip in UT for use of the Direct should ensure that it is used in such an environment.
  • Page 28: Warranty

    AM and FM radio and d= 1.2 √P d= 0.35 √P d= 0.7 √P Device purchaser, a warranty for the Direct Supply EX4 or Direct Supply CX4 Period (Parts) Usable Device Life TV broadcasting. To determine the electromagnetic environment 0.01 0.12...
  • Page 29 Our promise to you is that you will have a convenient and easy ______________________________________________________________ ______________________________________________________________ consequential damages, or how long an implied warranty lasts, so ordering experience, receive a quality Direct Supply EX4 or CX4 de- ______________________________________________________________ ______________________________________________________________ the above limitations or exclusions may not apply to you. If implied vice and enjoy outrageous customer service.
  • Page 30 Notes Direct Supply — CX4/EX4 Direct Supply — CX4/EX4 Notes NOTES: NOTES: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________...
  • Page 31 Manufactured for: Compass Health Brands Distributed by: Direct Supply Manufacturing, Inc. 6635 N. Industrial Ave. Milwaukee, WI 53223 Ph: 1-800-634-7328 www.directsupply.com...

This manual is also suitable for:

Ex4

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