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Mettler Electronics Sys Stim 240 Instruction Manual

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Sys * Stim
240
®
Instruction Manual
1333 South Claudina Street • Anaheim, CA 92805, U. S. A.
Toll Free: (800) 854–9305 • Telephone: (714) 533–2221 • FAX: (714) 635–7539
Web Site: http://www.mettlerelectronics.com • Email: mail@mettlerelectronics.com
IR9–58
Rev.I_09/23/19
Copyright © 2012 by Mettler Electronics Corp.—Anaheim, CA

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  • Page 1 Instruction Manual 1333 South Claudina Street • Anaheim, CA 92805, U. S. A. Toll Free: (800) 854–9305 • Telephone: (714) 533–2221 • FAX: (714) 635–7539 Web Site: http://www.mettlerelectronics.com • Email: mail@mettlerelectronics.com IR9–58 Rev.I_09/23/19 Copyright © 2012 by Mettler Electronics Corp.—Anaheim, CA...
  • Page 2 Mettler Electronics Corp. — Rev.I_09/23/19...

  • Page 3: Table Of Contents

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Table of Contents Section Title Page Introduction Introduction to the Sys * Stim 240 Introduction to this Manual Safety Precautions Caution Shipping Damage Package Contents Limited Warranty Symbol Glossary and List of Abbreviations Symbol Glossary Control descriptions Laser and Cluster Applicators –...
  • Page 4 Mettler Electronics Corp. — Rev.I_09/23/19 Contraindications for Neuromuscular Electrical Stimulation Contraindications for Laser Light Therapy Warnings for Neuromuscular Electrical Stimulation Precautions for Laser Light Therapy Precautions for Neuromuscular Electrical Stimulation 5.10 Side Effects/Adverse Reactions for Neuromuscular Electrical Stimulation Maintenance and Troubleshooting...

  • Page 5: Introduction

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 1: Introduction 1.1 Introduction to the Sys * Stim 240 Thank you for purchasing the Sys * Stim 240 two-channel neuromuscular stimulator with optional light therapy capability. The technically advanced Sys * Stim 240 provides Interferential (4 pole), Premodulated (2 pole), Medium Frequency (Russian), Biphasic, High Volt Pulsed Galvanic, Microcurrent, TENS-Asymmetrical Biphasic, TENS-Symmetrical Biphasic and Galvanic (Continuous DC) waveforms.

  • Page 6: Introduction To This Manual

     FCC 47 CFR, FCC Sub Part 18 Industrial, Scientific and Medical (ISM) Equipment Mettler Electronics Corp. has been certified by VTT Expert Services LTD to be compliant with EN ISO 13485:2003 and MDD 93/42/EEC Annex II requirements. In addition, Mettler is certified by DQS Medizinprodukte GMBH to be compliant with ISO 13485:2003 (CMDCAS) Canadian Medical Device requirements.

  • Page 7: Safety Precautions

    NOTE: All warranty repairs must be performed by Mettler Electronics Corp. or by a service facility authorized by Mettler Electronics to perform warranty repair work. A service manual for the Sys * Stim 240 is available from Mettler Electronics Corp. for a nominal charge.

  • Page 8: Package Contents

    90 days from date of purchase. During the applicable warranty period Mettler Electronics Corp. will, at its discretion, either repair or replace the Product without charge for these types of defects.

  • Page 9: Symbol Glossary And List Of Abbreviations

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 2—Symbol Glossary, Control Descriptions and List of Abbreviations 2.1 Symbol Glossary Stop all treatments selector Start or pause a treatment Enter control used to select an item. Channel one selector Channel two selector Light (laser) therapy selector Information selector Interferential (4-pole) symbol...
  • Page 10 Mettler Electronics Corp. — Rev.I_09/23/19 High Volt Pulsed Galvanic Microcurrent TENS-Symmetrical Biphasic TENS-Asymmetrical Biphasic Galvanic (Continuous DC) Amplitude Modulation (Vector, Surge and Reciprocation) Pulse width and frequency Frequency Modulation Polarity functions Time Output intensity Laser applicator in use Cluster applicator in use...
  • Page 11 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Enter passcode Begin or forward (not selected) Begin or forward (selected) Back (not selected) Back (selected) Time in status bar Output in status bar Pencil electrode function active Battery status Device plugged in and running on mains power supply. Info options System check being conducted AC power...
  • Page 12 Mettler Electronics Corp. — Rev.I_09/23/19 Mains On. Mains Off. Fuse rating symbol Patient safety switch symbol Recycle the rechargeable lithium ion battery. Rechargeable lithium ion battery, dispose of separately from other trash. UL Recognized Component Mark Tested to comply with FCC standards CE mark on battery ETL and C–ETL Listed...

  • Page 13: Control Descriptions

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 2.2 Control Descriptions Figure 2.1— Sys * Stim 240, control panel and display 1. Back-lit LCD display 2. Stop all treatments button 3. Channel 1 selector button 4. Enter button 5. Light (Laser) selector button 6.

  • Page 14: Laser And Cluster Applicators - Controls, Output Aperture And Indicators

    Mettler Electronics Corp. — Rev.I_09/23/19 2.3 Laser and Cluster Applicators – Controls, Output aperture and Indicators Figure 2.2— Laser Applicator Label Descriptions—Top 1. Laser Output Aperture 4. “Laser Activate” Capacitance Switch 2. Aperture Warning Label 5. Increase Output Energy (repeat dosage) 3.

  • Page 15: List Of Abbreviations

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Laser On Indicator The green Laser On indicator illuminates when the laser is lasing. When the laser beam is turned off after the treatment time has elapsed, the Laser On indicator will turn off. Note: When the Sys * Stim 240 turned on, the Green Indicator will flash momentarily and you will hear a brief beep, this is normal and is provided as a start-up lamp test.
  • Page 16 Mettler Electronics Corp. — Rev.I_09/23/19...

  • Page 17: Installation

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 3—Installation 3.1 Installation Instructions 1. When installing the unit, pay attention to the following:  Install the unit beyond the reach of possible water splashes.  Install the unit where it will not be adversely affected by atmospheric pressure, temperature, humidity, sunlight, dust, ventilation, salt air, sulfur, or other such harmful substances.

  • Page 18: Sys * Stim 240, Bottom View Showing Battery Door

    Mettler Electronics Corp. — Rev.I_09/23/19 applicator, you must wear the protective glasses and instruct your patient to wear the glasses during treatment to prevent exposing the eyes to infrared energy. 13. Finally, plug the patient safety cable into the back of the unit as shown in Figure 3.3.

  • Page 19: Sys * Stim 240, Bottom View-Installing The Battery

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Figure 3.2— Sys * Stim 240, Bottom View— Installing the battery Figure 3.3— Sys * Stim 240, Back View Showing the On/Off Switch and Power Cord and Patient Safety Cable Connections Figure 3.4— Sys * Stim 240, Side View Showing the Electrode Cable Connection Figure 3.5—...

  • Page 20: A Brief Operational Overview Of The Sys * Stim 240

    Mettler Electronics Corp. — Rev.I_09/23/19 Figure 3.6— Sys * Stim 240, Front View Showing the Laser or Cluster Cable Connector 3.2 A Brief Operational Overview of the Sys * Stim 240 The Sys * Stim 240 has touch sensitive controls that include the patented M Wheel which is used to scroll through menu selections and increase or decrease treatment time, stimulation intensity or laser dosage.

  • Page 21: Optional Setting

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Press the start/pause button to begin a treatment or the pause it in order to make changes to the electrode setup on your patient. You can also start a treatment by simply increasing the stimulation intensity.

  • Page 22: Emc Guidance

    WARNING: The use of accessories, other than those specified, except those supplied or sold by Mettler Electronics Corp., Incorporated as replacement parts for internal or external components, may result in increased EMISSIONS or decreased IMMUNITY of the Sys * Stim 240.
  • Page 23 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Guidance and manufacturer’s declaration – electromagnetic immunity The Sys * Stim 240 is intended for use in the electromagnetic environment specified below. The customer or the user of the Sys * Stim 240 should assure that it is used in such an environment. Immunity test IEC 60601 Compliance level...
  • Page 24 Mettler Electronics Corp. — Rev.I_09/23/19 Guidance and manufacturer’s declaration – electromagnetic immunity The Sys * Stim 240 is intended for use in the electromagnetic environment specified below. The customer or the user of the Sys * Stim 240 should assure that it is used in such an environment.
  • Page 25 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Recommended separation distances between portable and mobile RF communications equipment and the Sys * Stim 240 The Sys * Stim 240 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
  • Page 26 Mettler Electronics Corp. — Rev.I_09/23/19...

  • Page 27: Operating Instructions

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 4—Operating Instructions Figure 4.1—Touch controls and Display 4.1 A Note about Electrodes To ensure safe operation of the Sys * Stim 240, follow the recommendations listed below: 1. We strongly encourage careful maintenance of the electrode system. This includes the lead wires as well as the pads themselves.

  • Page 28: General Operating Instructions

    Review precautions, contraindications and side effects/adverse reactions listed in Section 5. Use Mettler Electronics electrodes to ensure safe and effective operation. Verify connection of the line cord to a grounded wall receptacle and the Sys * Stim 240. For electrical stimulation, connect electrode cables (ME 2260) into the electrode connections for the channels that are going to be used.

  • Page 29: Quick Set-Up For Electrical Stimulation

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 4.3 Quick Set-up for Electrical Stimulation Turn on the mains power switch located on the back of the unit by pressing dot on the switch to the “On” position. Image shows switch in “Off” position. Press either “1”...

  • Page 30: Set-Up For Light Therapy

    Mettler Electronics Corp. — Rev.I_09/23/19 4.4 Set-up for Optional Light Therapy Turn on the mains power switch located on the back of the unit by pressing dot on the switch to the “On” position. Image shows switch in “Off” position.
  • Page 31 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Press enter to select “Dose”. Adjust the time or dose using the M Wheel. Press the enter key to accept the dose value before proceeding to the next step. Once the desired parameters have been set, the laser output can be initiated by placing a finger or thumb over the top of the “Laser Activate”...

  • Page 32: Using Preset Programs

    Mettler Electronics Corp. — Rev.I_09/23/19 4.5 Using Preset Programs Press the “Info” button. You will get the screen to the right. Use the M Wheel to scroll to either “Electrical Stimulation”, “Light Therapy” or “User Defined Protocol”. Press “Enter” when you get to the one that you would like to use.

  • Page 33: Saving A Treatment Protocol

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 4.6 Saving a Treatment Protocol Either select stimulation or light therapy. Setup the protocol that you would like to save into memory. Press the “Info” button. Scroll down to “Save Current Protocol” and press “Enter”. Scroll down to the channel that you have your protocol setup on or to “Light Therapy”...

  • Page 34: Interferential (Ifc, 4-Pole) Procedure

    Mettler Electronics Corp. — Rev.I_09/23/19 4.7 Interferential (IFC, 4-Pole) Procedure Turn on the mains power switch located on the back of the unit by pressing dot on the switch to the “On” position. Image shows switch in “Off” position. Press either “1” or “2” to select channel one or two. Please note that Interferential mode requires both channels.

  • Page 35: Premodulated (Ifc, 2-Pole) Procedure

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 4.8 Premodulated (IFC, 2-Pole) Procedure Turn on the mains power switch located on the back of the unit by pressing dot on the switch to the “On” position. Image shows switch in “Off” position. Press either “1”...

  • Page 36: Medium Frequency (Russian) Procedure

    Mettler Electronics Corp. — Rev.I_09/23/19 the treatment is complete. A buzzer will sound and the end-of- treatment message will appear. Please note: If you change time during a treatment, press “Enter” once the time is entered to restart the timer at the new time. The time will then count down from the newly entered time.

  • Page 37: Biphasic Procedure

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 If all of the parameters are set correctly, position the cursor over the output window and press “Enter”. Then use the M Wheel by dragging your finger in a clockwise direction to adjust the intensity up.

  • Page 38: High Volt Procedure

    Mettler Electronics Corp. — Rev.I_09/23/19 Use the M Wheel to scroll to any of the parameters that you would like to change. The parameters and their ranges are listed here for your reference: Frequency: 1-200 pps Phase Duration 20-400 µs...
  • Page 39 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Place the electrodes on the patient. Insert the patient safety cable into the jack located on the back of the unit and hand the end with the button to the patient letting him/her know that they can push this button at any time during the treatment to stop it.

  • Page 40: Microcurrent Procedure

    Mettler Electronics Corp. — Rev.I_09/23/19 4.12 Microcurrent Procedure Turn on the mains power switch located on the back of the unit by pressing dot on the switch to the “On” position. Image shows switch in “Off” position. Press either “1” or “2” to select channel one or two.

  • Page 41: Tens, Symmetrical Biphasic Procedure

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 4.13 TENS, Symmetrical Biphasic Procedure Turn on the mains power switch located on the back of the unit by pressing dot on the switch to the “On” position. Image shows switch in “Off” position. Press either “1”...

  • Page 42: Tens, Asymmetrical Biphasic Procedure

    Mettler Electronics Corp. — Rev.I_09/23/19 from the newly entered time. Failure to do this will cause the treatment to go on indefinitely. Notes: - FM and Burst may not be used simultaneously. - FM may not be used if two channels are selected.

  • Page 43: Dc Low Amplitude Procedure

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 If all of the parameters are set correctly, position the cursor over the output window and press “Enter”. Then use the M Wheel by dragging your finger in a clockwise direction to adjust the intensity up.
  • Page 44 Mettler Electronics Corp. — Rev.I_09/23/19 Use the M Wheel to scroll to any of the parameters that you would like to change. The parameters and their ranges are listed here for your reference: Polarity: Positive or Negative Amplitude Modulation: Surge:...

  • Page 45: Combination Therapy Setup Procedure

    Application of simultaneous therapeutic ultrasound and electrical neuromuscular stimulation can be accomplished using the Sys * Stim 240 with any Sonicator® therapeutic ultrasound unit from Mettler Electronics Corp. 1. Turn on the mains power switch located on the back of the unit by pressing dot on the switch to the “On”...
  • Page 46 Mettler Electronics Corp. — Rev.I_09/23/19 2. Press the “Info” button. 3. You will get the screen to the right. Use the M Wheel to scroll to either “Use Pencil Electrode”. Press “Enter” when you get to it and then select which channel you would like to use for combination therapy.

  • Page 47: Indications, Contraindications, Precautions And Adverse Reactions

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 5—Indications, Contraindications, Precautions and Adverse Reactions Indications for Medium Frequency (Russian), Biphasic, High Volt Pulsed Current (HVPC), Interferential (4P) and Premodulated (2P) waveforms  Relaxation of muscle spasms  Prevention or retardation of disuse atrophy ...

  • Page 48: Contraindications For Laser Light Therapy

    Mettler Electronics Corp. — Rev.I_09/23/19 5.6 Contraindications for use of a Therapeutic Laser Avoid direct irradiation of the eyes. Do not use within 4 to 6 months after radiation therapy. Do not use over hemorrhaging regions Do not treat locally over the endocrine glands.

  • Page 49: Precautions For Neuromuscular Electrical Stimulation

    Powered muscle stimulators should be kept out of the reach of children. Powered muscle stimulators should be used only with the leads and electrodes recommended for use by Mettler Electronics Corp. TENS is not effective for pain of central origin, including headache.
  • Page 50 Mettler Electronics Corp. — Rev.I_09/23/19...

  • Page 51: Maintenance And Troubleshooting

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 6—Maintenance and Troubleshooting 6.1 Cleaning the Sys * Stim 240 1. The Sys * Stim 240 can be wiped off with a damp cloth. The power cord should be disconnected from the unit before this is done. In the case of stubborn dirt a gentle household cleaner can be sprayed on the cloth and then wiped on the unit.

  • Page 52: Troubleshooting The Sys * Stim 240

    Mettler Electronics Corp. — Rev.I_09/23/19 Do not damage, break, modify, bend forcibly, tug on, twist, or bundle the electrode cord. If a heavy object is placed on the cord or it is pinched or modified, the cord may be damaged, resulting in fire, electric shock, or other accident.
  • Page 53 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Error E60 - Output Voltage Error There is an output voltage error for electrical stimulation. This error happens only in constant voltage mode, when the output voltage exceeds the target voltage by 20%. Press “Enter”...
  • Page 54 Mettler Electronics Corp. — Rev.I_09/23/19 Error E70 - Impedance Too High Appears when a current flow is interrupted during treatment. (e.g., an electrode is detached from the treatment area, electrode partially detached, electrodes worn out or electrode cable either not connected or damaged).
  • Page 55 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Error E80 - Overcurrent Error Appears when the current level spikes (e.g., the electrode is partly detached from the treatment area or moved out of position). Press “Enter” to return to the waveform screen. Check the electrodes.
  • Page 56 Mettler Electronics Corp. — Rev.I_09/23/19 Error E90 - Impedance Too Low Check the electrodes. Move further apart, make sure the area between the electrodes is clean and dry and then resume treatment by doing the following: Press “Enter” to return to the waveform screen. Check the electrodes.
  • Page 57 Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Plug in either a cluster or a laser applicator. If one is Unknown or No Applicator plugged in, inspect the cable and the connector to make sure they are not damaged. If you have a second applicator, plug it in and see if the error message is resolved.
  • Page 58 Mettler Electronics Corp. — Rev.I_09/23/19...

  • Page 59: References

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 7—References References for Neuromuscular Electrical Stimulation: 1. Bélanger A: Therapeutic Electrophysical Agents: Evidence Behind Practice, Williams and Wilkins, A Walters Kluwer Business, 2010. 2. Cohn JC and Mullin C: Neuromuscular Applications for Electrical Stimulation, from Physical Agents for the Physical Therapist Assistant, FA Davis Company, 1996.
  • Page 60 Mettler Electronics Corp. — Rev.I_09/23/19 7. Knight KL and Hopkins T: Laser and Light Therapy from Therapeutic Modalities: The Art and Science, Lippincott Williams & Wilkins, a Wolters Kluwer business, 2008. 8. Prentice W: Therapeutic Modalities: For Sports Medicine and Athletic Training, Mc Graw Hill Companies, 2009.

  • Page 61: Specifications

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Section 8—Specifications 8.1 General Specifications: Input: 100-240VAC , 50/60 Hz External Fuse: 1.0 A, 250 V, GDC/S506 5 X 20 mm, Time Delay 2 X T1.0, AL250V ETL and C-ETL Listed: Model ME 240 (9801427) Classification: Protective Class I Equipment and Internally Powered Equipment...

  • Page 62: Waveform Specifications

    Mettler Electronics Corp. — Rev.I_09/23/19 8.2 Waveform Specifications: Interferential (IFC, 4-Pole) Waveform Type: Sinewave Polarity: None Current: 0-100 mA peak, 500Ω load Carrier frequency: 2500, 4000 or 5000 Hz Interference frequency 0-250 Hz Frequency Modulation: Low set: 0-250 Hz High set: 0-250 Hz...

  • Page 63: Biphasic Waveform

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 Recip: Ch1 (s)/Ch2 (s) 5/5, 4/12, 10/10, 10/20, 10/30, 10/50, Manual: 1-240/1-240 Ramp: 0.5, 1, 2 or 5 seconds Type: CC or CV Available Channels: Biphasic Waveform Type: Amplitude modulated sine wave Polarity: None Current:...

  • Page 64: Tens, Sym. Waveform

    Mettler Electronics Corp. — Rev.I_09/23/19 Frequency: 0.5-500 pps Type: Available Channels: TENS, Symmetrical Biphasic Waveform Type: Biphasic square Polarity: None Current: 0 –80 mA peak, 500Ω load Phase Duration: 20-1,000 µs Frequency: 1-250 pps Frequency Modulation: 0-250 pps Amplitude Modulation: 40, 60, 80, and 100% Figure 8.7—TENS Sym.

  • Page 65: Optional Laser Performance

    Sys * Stim 240 Instruction Manual — Rev.I_09/23/19 8.3 Optional Laser Performance: Output power: Dependent on Applicator (automatically sensed) Laser diode applicator 80 mW at 785nm Optional: cluster 500 mW at 660/950nm applicator Delivered energy: 0.01 to 99.99 Joules Operation modes: Continuous and Pulsed Pulse mode: Pulse width:...
  • Page 66 Mettler Electronics Corp. — Rev.I_09/23/19 Total Power 500 mW ± 50 mW Treatment area illumination The 660 nm LED's are visible and illuminate treatment area Output activation Capacitance Switch on Cluster Applicator handle Eye protection Uvex glasses with a minimum of 80% attenuation in the wavelength range of 780 nm to 1200 nm.

  • Page 67: Accessories

    (800) 854–9305 or phone (714) 533–2221 in areas outside the continental United States. Ask for Customer Service. Mettler Electronics is open from 7 AM until 5 PM Pacific Time for your convenience. You can also reach our Customer Service Department via email at mail@mettlerelectronics.com.
  • Page 68 Mettler Electronics Corp. — Rev.I_09/23/19 (four electrodes/pkg.) 2704 V Trode –2" x 4" oval electrodes with lead wires, case of 10 packages (four electrodes/pkg.) 2705 V Trode –2" square electrodes with lead wires, case of 10 packages (four electrodes/pkg.) 5403...

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