Chattanooga Intelect Advanced 2771 User Manual
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Chattanooga Intelect Advanced 2771 User Manual

Therapy system -semg and semg + stim module
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Therapy System
User Manual
Operation & Installation
Instructions for:
2771- sEMG and sEMG + Stim Module
DJO is an ISO 13485 Certified Company

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  • Page 1 Therapy System User Manual Operation & Installation Instructions for: 2771- sEMG and sEMG + Stim Module DJO is an ISO 13485 Certified Company...

  • Page 2: Table Of Contents

    TABLE OF CONTENTS Intelect® Advanced sEMG and sEMG + Stim Module FOREWORD ..............1 THERAPY SYSTEM PREPARATION .
  • Page 3 TABLE OF CONTENTS Intelect® Advanced sEMG and sEMG + Stim Module Prepare System and Patient..........27 Insert New sEMG Data Card.

  • Page 4: Foreword

    FOREWORD Intelect® Advanced sEMG and sEMG + Stim Module This manual has been written for the owners of an Intelect Advanced Therapy System, sEMG and sEMG + Stim Module. It contains general information on the operation, precautionary practices, installation and maintenance for the Intelect Advanced sEMG and sEMG + Stim Module.

  • Page 5: Safety Precautions

    SAFETY PRECAUTIONS Intelect® Advanced sEMG and sEMG + Stim Module PRECAUTIONARY DEFINITIONS The precautionary instructions found in this section and throughout this manual are indicated by specific symbols. Understand these symbols and their definitions before operating this equipment. The definition of these symbols are as follows; DANGER CAUTION Caution-...

  • Page 6: Cautions

    DO NOT operate the Intelect Advanced Therapy System sEMG not occur in a particular installation. Harmful interference to other Module when connected to any unit other than Chattanooga devices can be determined by turning this equipment on and off. devices.

  • Page 7: Warnings

    SAFETY PRECAUTIONS Intelect® Advanced sEMG and sEMG + Stim Module WARNINGS WARNING WARNING • These devices are restricted to sale by, or on the order of, a physician Stimulation should not be applied transthoracically in that the introduction of electrical current into the heart may cause cardiac or licensed practitioner.

  • Page 8: Dangers

    SAFETY PRECAUTIONS Intelect® Advanced sEMG and sEMG + Stim Module DANGERS DANGER • Stimulus delivered by the TENS waveforms of this device, in certain configurations, will deliver a charge of 25 microcoulombs (µC) or greater per pulse and may be sufficient to cause electrocution.

  • Page 9: Semg Indications

    SAFETY PRECAUTIONS Intelect® Advanced sEMG and sEMG + Stim Module EMG INDICATIONS Indications- Surface EMG To determine the activation timing of muscles for: • Retraining of muscle activation • Coordination of muscle activation • An indication of the force produced by muscle for control and maintenance of muscle contractions.

  • Page 10: Semg + Stim Indications, Contraindications And Adverse Effects

    SAFETY PRECAUTIONS Intelect® Advanced sEMG and sEMG + Stim Module sEMG + STIM INDICATIONS, CONTRAINDICATIONS AND ADVERSE EFFECTS Indications- sEMG + Stim using VMS™, Symmetrical Biphasic Additional Precautions (TENS), Asymmetrical Biphasic (TENS) or Russian waveforms • Caution should be used for patients with suspected or diagnosed heart problems.

  • Page 11: Nomenclature

    NOMENCLATURE Intelect® Advanced sEMG and sEMG + Stim Module sEMG & sEMG + STIM STANDARD ACCESSORIES Surface EMG (sEMG) Module sEMG + Electrical Stimulation Lead Wires for Channel 1 sEMG + Electrical Stimulation Lead Wires for Channel 2 Dura-Stick II 3.2 cm (1.25”) Self Adhesive disposable Electrodes (3 packs of 4) User Manual (CD-ROM) Intra-Vaginal Probe (not illustrated)

  • Page 12: Symbol Definitions

    NOMENCLATURE Intelect® Advanced sEMG and sEMG + Stim Module SYMBOL DEFINITIONS Below are the definitions for all of the symbols used in the Intelect Advanced hardware and software. Study and learn these symbols before any operation of the system. System System Hardware Symbols Optional Module and Accessory Symbols Software Symbols...

  • Page 13: Terminology Definitions

    NOMENCLATURE Intelect® Advanced sEMG and sEMG + Stim Module TERMINOLOGY DEFINITIONS Below are the definitions for all of the unique terminology used throughout this manual. Study these and become familiar with these terms for ease of system operation, component and control functionality of the Intelect Adavnced Therapy System. Some of these terms and definitions refer to a specific button, control, or module on the system.

  • Page 14: Specifications

    SPECIFICATIONS Intelect® Advanced sEMG and sEMG + Stim Module sEMG AND sEMG + STIM MODULE SPECIFICATIONS DIMENSIONS Width ..........8.3 cm (3.25”) Depth .

  • Page 15: Waveform Specifications

    SPECIFICATIONS Intelect® Advanced sEMG and sEMG + Stim Module WAVEFORM SPECIFICATIONS TENS- Symmetrical Biphasic TENS- Asymmetrical Biphasic The Symmetrical Biphasic waveform has a short pulse duration The Asymmetrical Biphasic waveform has a short pulse duration. and is capable of strong stimulation of nerve fibers in the skin It is capable of strong stimulation of the nerve fibers in the skin and in muscle.

  • Page 16: Vms Tm

    SPECIFICATIONS Intelect® Advanced sEMG and sEMG + Stim Module WAVEFORM SPECIFICATIONS (continued) High Voltage Pulsed Current (HVPC) VMS is a symmetrical biphasic waveform with a 100 µsec interphase The High Voltage Pulsed Current (HVPC) has a very brief pulse interval. Because the pulse is relatively short, the waveform has a low duration characterized by 2 distinct peaks delivered at high skin load, making it suitable for applications requiring high intensities, voltage.

  • Page 17: Installation & Removal

    INSTALLATION & REMOVAL Intelect® Advanced sEMG and sEMG + Stim Module GENERAL INFORMATION sEMG Module Therapy System The Intelect Advanced (Color Series) Electrotherapy and If installing the sEMG Module on a Therapy System equipped Combination Therapy Systems have, as standard equipment, an with a Battery, Laser, or the Channel 3/4 Electrotherapy Module sEMG Module factory installed.

  • Page 18: Therapy System Preparation

    INSTALLATION & REMOVAL Intelect® Advanced sEMG and sEMG + Stim Module THERAPY SYSTEM PREPARATION Disconnect System Mains Remove Module WARNING Place the System upside down on a smooth surface. Place a soft, clean fabric or cushion under the System Display Lens to prevent damage.

  • Page 19: Remove Breakout Tabs

    INSTALLATION & REMOVAL Intelect® Advanced sEMG and sEMG + Stim Module THERAPY SYSTEM PREPARATION (continued) Remove Breakout Tabs Using a flat blade screwdriver, carefully remove the four sEMG Breakout Tabs on the system bottom. CAUTION Be careful not to cause any damage to the PC Board Contacts that will be exposed once the Breakout Tabs are removed.

  • Page 20: Installing Semg Module

    INSTALLATION & REMOVAL Intelect® Advanced sEMG and sEMG + Stim Module INSTALLING EMG MODULE Position sEMG Module Secure sEMG Module Install and Reinstall Additional Module Push the upper portion of the sEMG Position the sEMG Module so that the two If desired, install a Channel 3/4, Battery Module until it snaps and is locked into mounting tabs are inserted into the System...

  • Page 21: Install Cables And Accessories

    INSTALLATION & REMOVAL Intelect® Advanced sEMG and sEMG + Stim Module INSTALLING EMG MODULE (continued) Install Cables and Accessories WARNING Install all cables and accessories to the Front page 9 Access Panel. Refer to for Symbol Apply Mains Power Definitions. Verify that the Module installed is the Module displayed in the message BEFORE pressing the START Button.

  • Page 22: Removing Semg Module

    INSTALLATION & REMOVAL Intelect® Advanced sEMG and sEMG + Stim Module REMOVING EMG MODULE The sEMG Module should only be removed for service related problems. Prepare System Remove sEMG Module sEMG Plug Kit Prepare the Therapy System for removal of Insert a Flat Blade The sEMG Plug Kit, part number 28027, Page...

  • Page 23: Patient Preparation

    Intelect® Advanced sEMG and sEMG + Stim Module EMG AND EMG+STIM PATIENT PREPARATION Electrode Placement Dura-Stick™ II Electrodes Chattanooga Dura-Stick II Examine the skin for any wounds and clean the skin. • Electrodes are a self adhesive, Apply the electrodes on the treatment area.

  • Page 24: Install Semg Lead Wires To System

    PRESS EMG OR EMG+STIM BUTTON to the channel(s) desired for use with the Chattanooga equipment and will provide sEMG or sEMG + Stim modality. an accurate reading of sEMG activity. Leave electrodes on the protective backing until treatment area has been prepared.

  • Page 25: Select Body Area

    PATIENT PREPARATION Intelect® Advanced sEMG and sEMG + Stim Module EMG AND EMG+STIM PATIENT PREPARATION (continued) Select Body Area View Electrode Placement Graphic Press the Electrode Placement button to Press the Up and Down Arrow buttons Press the Accept and Return Arrow button view the Select Body Area screen.

  • Page 26: View Electrode Placement Text

    PATIENT PREPARATION Intelect® Advanced sEMG and sEMG + Stim Module EMG AND EMG+STIM PATIENT PREPARATION (continued) View Electrode Placement Text Prepare Treatment Area Examine the skin for any wounds. Press the Next Page button to view Press the Next Page button to view text relating to the specific electrode additional text.

  • Page 27: Electrode Placement

    PATIENT PREPARATION Intelect® Advanced sEMG and sEMG + Stim Module EMG AND EMG+STIM PATIENT PREPARATION (continued) Intra-Vaginal Probe Electrode Placement NOTE: Using Dura-Stick™ II 3 cm (1.250") If using the Intra-Vaginal Probe for The electrodes may be placed for specific, electrodes, place the Active (red and Incontinence Therapy, plug the active general and quasi-specific biofeedback...

  • Page 28: Operation

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP General Information The Intelect Advanced sEMG modality reads and records the sEMG biofeedback activity of a muscle or muscle group by sensing the electrical impulses generated during a voluntary muscle contraction and relax cycle. These signals are accurately relayed to the Intelect Advanced Therapy System through 3 cm (1.250") Dura-Stick™...

  • Page 29: Semg Screen

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP (continued) sEMG Screen The Intelect Advanced sEMG screen affords access to all of the sEMG parameters and functions. The area surrounding the screen has 10 parameter modification buttons. However, only six are used for the sEMG modality. Below is a general description of each of the sEMG parameter buttons.

  • Page 30: Prepare System And Patient

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP (continued) Prepare System and Patient View sEMG Description Text Prepare Therapy System and patient. Refer Press the sEMG Description Text button to Press the Next Page button to view pages 20 through view text explaining the rationale of sEMG additional text.

  • Page 31: Select Edit

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP (continued) Select Edit Select Channel Set Alarm Set the alarm trigger in relation to the Press the Edit button on the Treatment Press the Channel Button until the target, by pressing the Alarm button until Review screen to edit sEMG parameters as prescribed channel is displayed in the icon.

  • Page 32: Set Audio Type

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP (continued) Set Audio Type Select Target Option Setting Max Target Audio sets the type of sound heard when Three options are available for setting the Make certain Target Max is displayed in the the muscle contraction reaches the Alarm sEMG modality target: Target icon.

  • Page 33: Setting Avg Target

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP (continued) Setting Avg Target Make certain Target Avg is displayed in the During the preset 15 second contraction During the preset 10 second contraction Target icon. period, the Therapy System captures and period, the Therapy System captures retains the average maximum level of the and retains the maximum level of the...

  • Page 34: Setting Manual Target

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP (continued) Setting Manual Target Set Volume Press the Up and Down Arrow buttons to Press Volume button until the desired Make certain Target Manual is displayed in the Target icon.

  • Page 35: Start Semg Therapy Session

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG THERAPY SET UP (continued) Start sEMG Therapy Session Stopping sEMG Therapy Session Have patient perform contractions as Press the Stop Button. The Completed NOTE: prescribed. Treatment Review Screen will display. To record the sEMG Data to an sEMG Data Card, refer to the sEMG Data Card Section of As the patient contracts the muscle, the...

  • Page 36: Semg+Stim Therapy Set Up

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG+STIM THERAPY SET UP General Information The Intelect Advanced sEMG + Stim modality utilizes sEMG biofeedback activity coupled with triggered electrical muscle stimulation using selected electrotherapy waveforms for the maximum benefit in muscle retraining. The sEMG + Stim will not function as a multi-channel modality.

  • Page 37: Prepare System And Patient

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG+STIM THERAPY SET UP (continued) Prepare System and Patient Select Edit Select Channel Prepare Therapy System and patient. Refer Press the Edit button on the Treatment Press the Channel button until the pages 20 through Review screen to edit sEMG + Stim prescribed channel is displayed in the icon.

  • Page 38: Set Alarm

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG + STIM THERAPY SET UP (continued) Set Alarm Set Audio Type Select Stim Waveform Set the alarm trigger in relation to the Audio sets the type of sound heard when Press the Stim button.

  • Page 39: Edit Stim

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG + STIM THERAPY SET UP (continued) Edit Stim Select Target Option Setting Max Target Press the Stim button. Three options are available for setting the Make certain Target Max is displayed in the sEMG modality target: Target icon.

  • Page 40: Setting Avg Target

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG + STIM THERAPY SET UP (continued) Setting Avg Target Make certain Target Avg is displayed in the During the preset 15 second contraction During the preset 10 second contraction Target icon. period, the Therapy System captures and period, the Therapy System captures retains the average maximum level of the...

  • Page 41: Setting Manual Target

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG + STIM THERAPY SET UP (continued) Set Volume Setting Manual Target Press Volume button until the desired Make certain Target Manual is displayed in Press the Up and Down Arrow buttons to volume level is displayed in the Volume the Target icon.

  • Page 42: Set Auto Feature

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG + STIM THERAPY SET UP (continued) Set Auto Feature Start sEMG Therapy Session The sEMG + Stim Auto feature is designed After all parameters for sEMG and Stim have Have patient perform contractions as to work in conjunction with the Target been completed, press the Start sEMG + prescribed.

  • Page 43: Stopping Stim

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module EMG + STIM THERAPY SET UP (continued) Stopping Stim Stopping Therapy Session After Stim is complete, the screen will Stim may be stopped at any time during Press the Stop button. The Completed change and the patient should relax the the session by pressing the Stop sEMG + Treatment Review screen will display.

  • Page 44: Set Up Of New Semg Data Card

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module SET UP OF NEW sEMG DATA CARD General Information The Intelect Advanced Therapy System incorporates an sEMG Data Card recording device that allows the recording of sEMG data from sEMG therapy sessions. After recording the sEMG data, it can be imported, saved to, and viewed through a Windows® PC equipped with the optional Patient Data Management System.

  • Page 45: Insert New Semg Data Card

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module SET UP OF NEW sEMG DATA CARD (continued) Insert New sEMG Data Card Set Up sEMG Therapy Session Enter Patient ID Insert a new sEMG Data Card into the Set up the patient's prescribed sEMG Select the row of alpha or numeric system access port as shown below.

  • Page 46: Begin Save

    OPERATION Intelect® Advanced sEMG and sEMG + Stim Module SET UP OF NEW sEMG DATA CARD (continued) Begin Save When the desired character is framed, press To discard entire entry, press the back Press the Begin Save button. A message will the Accept and Return Arrow button.

  • Page 47: Troubleshooting

    TROUBLESHOOTING Intelect® Advanced sEMG and sEMG + Stim Module ERROR CODES General Information The Intelect Advanced Therapy Systems use error messages and warnings to inform the user of problems or potential problems with the system, modality, or accessories. These are numbered so the user can possibly correct the problem without the aid of service personnel. Use the following Troubleshooting Charts to define the error codes and locate the probable cause and possible remedies before contacting the dealer or factory for technical service.
  • Page 48 TROUBLESHOOTING Intelect® Advanced sEMG and sEMG + Stim Module ERROR CODES (continued) Code Type Message Probable Cause Possible Remedies Number Warning Attempting to save additional User Protocols or Sequences after Delete some User Protocols or Sequences. Refer to appropriate section of the Therapy System User system memory has reached the maximum allowed (200).
  • Page 49 TROUBLESHOOTING Intelect® Advanced sEMG and sEMG + Stim Module ERROR CODES (continued) Code Type Probable Cause Possible Remedies Number Message Warning Attempting to save additional User Protocols or Sequences after Delete some User Protocols or Sequences. Refer to appropriate section of the Therapy System User system memory has reached the maximum allowed (200).
  • Page 50 TROUBLESHOOTING Intelect® Advanced sEMG and sEMG + Stim Module ERROR CODES (continued) Code Type Probable Cause Possible Remedies Number Message Warning Another treatment is running while attempting to set up and A. Allow existing treatment to complete before starting Laser Therapy. perform a Laser Therapy treatment.
  • Page 51 TROUBLESHOOTING Intelect® Advanced sEMG and sEMG + Stim Module ERROR CODES (continued) Code Type Probable Cause Possible Remedies Number Message Warning Stim Board Main software upgrade warning. Upgrade Stim Board sSoftware to latest version. Contact dealer or DJO for latest software upgrade and instructions.

  • Page 52: Troubleshooting

    TROUBLESHOOTING Intelect® Advanced sEMG and sEMG + Stim Module ERROR CODES (continued) Code Type Probable Cause Possible Remedies Number Message Warning Patient Data Card button on Home screen was pressed with no Properly insert a Patient Data Card, set up and perform the treatment, and save data to Patient Data Patient Data Card installed into system port and no treatment Card.

  • Page 53: Replacement Accessories

    REPLACEMENT ACCESSORIES Intelect® Advanced sEMG and sEMG + Stim Module General Information When ordering replacement or optional accessories, provide the respective part number, description and quantity desired. Color Series Standard Features Color Series Mains Power Cords Optional Accessories Order No. Description Order No.

  • Page 54: Maintenance

    MAINTENANCE Intelect® Advanced sEMG and sEMG + Stim Module CARING FOR THE THERAPY SYSTEM SERVICE Should the unit require service, warranty, or repair, please contact Cleaning the Therapy System the selling dealer or your local DJO customer service. With the system disconnected from the power source, clean the Ultrasound Applicators require annual calibration, from the date system with a clean, lint free cloth moistened with water and mild antibacterial soap.

  • Page 55: Warranty

    WARRANTY Intelect® Advanced sEMG and sEMG + Stim Module DJO, LLC ("Company") warrants that the Intelect Advanced Electrotherapy System sEMG and sEMG + Stim Module ("Product") is free of defects in material and workman- ship. This warranty shall remain in effect for two years (24 months) from the date of original consumer purchase. If this Product fails to function during the two 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 (30) days from the date on which the Product is returned to the Company or the dealer.
  • Page 56 DJO is an ISO 13485 Certified Company DJO France SAS Centre Europeen de Fret 3 rue de Bethar 64990 Mouguerre, France T: + 33 (0) 5 59 52 86 90 F: + 33 (0) 5 59 52 86 91 djoglobal.eu/fr_FR ©...

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