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Summary of Contents for Performance Health Performa Combin8 Quattro
- Page 1 Performa Professional Series ™ Performa Professional Series InTENSity Professional Series USER MANUAL Operation Instructions For: Performa Combin8 Quattro ™ Performa Combin8 Duo ™ Performa Stimul8 ™ Performa Gener8 ™...
- Page 2 ™ THIS USER MANUAL IS VALID FOR THE PERFORMA PROFESSIONAL SERIES DEVICES ™ This user manual is published by Performance Health ® Performance Health reserves the right to improve and amend it at any time ® without prior notice. Amendments will however be published in a new edition of this manual.
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Page 3: Table Of Contents
Performa Professional Series Performance Health ™ ® TABLE OF CONTENTS Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Package Contents . - Page 4 Performance Health Performa Professional Series ® ™ Navigation (Cont .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 – 50 Operating Details .
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Page 5: Forward
Performa Professional Series Forward ™ IMPORTANT SAFETY PRECAUTIONS INTENDED USER/OPERATOR This manual has been written for the users of the Performa ™ AND WARNINGS Professional Series medical devices. It contains general information on the operation, precautionary practices, and It is important that you read all the warnings and maintenance information. -
Page 6: Do Not Use With These Medical Devices
Safety Precautions Performa Professional Series ™ DANGER WARNING THIS STIMULATOR MUST NOT BE USED IN COMBINATION DO NOT USE THIS DEVICE UNDER THESE CONDITIONS: WITH THE FOLLOWING MEDICAL DEVICES: • If a patient has a cardiac pacemaker, implanted defibrillator, or other implanted metallic or electronic device. -
Page 7: Electrode Warnings
Performa Professional Series Safety Precautions ™ WARNING (cont .) WARNING (cont .) DO NOT USE ON THESE INDIVIDUALS: • The electrodes are already pre-gelled and will adhere to clean skin. • To avoid damage to the adhesive surface of the electrodes, put them •... -
Page 8: General Warnings
Safety Precautions Performa Professional Series ™ WARNING (cont .) WARNING (cont .) ELECTROTHERAPY WARNINGS GENERAL WARNINGS: • Make certain the unit is electrically grounded by connecting only to • TENS therapy has not been established for pain of central origin. a grounded electrical service receptacle conforming to the applicable •... -
Page 9: Cautions & General Precautions
Performa Professional Series Safety Precautions ™ WARNING (cont .) CAUTION ULTRASOUND WARNINGS (CONT .) CAUTION WHILE USING THE STIMULATOR: • Moving technique of the applicator should be used when applying • If the stimulator is not functioning properly or the patient feels therapeutic ultrasound at intensities greater than 0.5 W/cm²... - Page 10 Safety Precautions Performa Professional Series ™ CAUTION GENERAL PRECAUTIONS CAUTION WHILE USING THE STIMULATOR (CONT .) • Keep unit out of the reach of young children. The unit contains small pieces that may be swallowed. The electrode cord can cause •...
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Page 11: Intended Use
Performa Professional Series Intended Use ™ ELECTROTHERAPY INDICATIONS* & CONTRAINDICATIONS CONTRAINDICATIONS • This device should not be used for symptomatic pain relief Indications for TENS, EMS, NMS, NMS Burst, Russian (RUSS), unless etiology is established or unless a pain syndrome has High Voltage Pulsed Current (HVPC), Interferential, been diagnosed. -
Page 12: Ultrasound Indications & Contraindications
Intended Use Performa Professional Series ™ ULTRASOUND INDICATIONS* & CONTRAINDICATIONS • Therapeutic ultrasound should not be applied over the pregnant or potentially pregnant uterus. Therefore, INDICATIONS FOR ULTRASOUND therapeutic ultrasound should not be applied over the • Relief of pain, muscle spasms and joint contractures uterus unless specific assurance can be attained from that may be associated with: the patient that she is not pregnant. -
Page 13: Adverse Effects
Performa Professional Series Adverse Effects ™ PARAMETER DEFINITIONS APPLICATOR MOVEMENT OF ULTRASOUND If movement of the applicator is too slow, the patient may feel periosteal pain characterized by a deep ache or pain. If motion is C .C . Constant Current Output Mode too fast, or if the applicator does not maintain good contact with C .V . -
Page 14: Waveform Specifications
Waveform Specifications Performa Professional Series ™ ELECTROTHERAPY (Applicable to the Performa Stimul8, Combin8 Quattro & Duo only.) ™ Stimulator Output Parameters IF-4P: IFC (Interferential) Traditional (4 Pole) Waveform Type Sinewave Interferential Current is a medium frequency waveform distributed Output Mode Electrodes through two channels (four electrodes)*. -
Page 15: Ifc (Interferential) Premodulated (2 Pole)
Performa Professional Series Waveform Specifications ™ IFC (Interferential) Premodulated (2 Pole) Stimulator Output Parameters Premodulated Current is a medium frequency waveform. Current Waveform Type Sinewave comes out of one channel (two electrodes). A bipolar technique in Output Mode Electrodes which the two frequencies are “mixed” inside the machine prior to Mode Selection CC (Constant Current) or tissue delivery. -
Page 16: Tens: Biphasic - Asymmetrical & Symmetrical
Waveform Specifications Performa Professional Series ™ BIPHASIC (TENS) Stimulator Output Parameters The Asymmetrical Biphasic and the Symmetrical Biphasic waveforms TENS Asymmetrical Biphasic are often used in TENS (Transcutaneous Electrical Nerve Stimulation) Output Mode Electrodes applications. TENS is low frequency waveform and has a short pulse Mode selection CC (Constant Current) or CV (Constant voltage) duration. -
Page 17: Raas: Biphasic
Performa Professional Series Waveform Specifications ™ BIPHASIC (RAAS) Stimulator Output Parameters Rapid Agonist Antagonist Sequencing (RAAS) is proposed to mimic RAAS Asymmetrical/Symmetrical Biphasic muscle-firing patterns of healthy individuals. It uses the electrical Output Mode Electrodes stimulation of sensory and motor nerves to achieve a skeletal muscle Mode selection CC (Constant Current) or CV (Constant voltage) contraction using an electromyogram —... -
Page 18: Russian
Waveform Specifications Performa Professional Series ™ RUSSIAN STIMULATION Stimulator Output Parameters Russian Current is a medium frequency rectangle waveform, Carrier Frequency 2.5 KHz delivered in bursts or series of pulses. This method was claimed Frequency 20 – 100 Hz, Stepping 5 Hz by its author (Kots) to produce maximal muscle strengthening effects without significant discomfort to the patient. -
Page 19: High Volt
Performa Professional Series Waveform Specifications ™ HIGH VOLT Stimulator Output Parameters The High Volt waveform has a very brief pulse duration characterized Frequency 1 – 120 Hz, Stepping 1 Hz by 2 distinct peaks delivered at high voltage. High voltage causes a Polarity Positive, or Negative, decreased skin resistance making the current comfortable and easy... -
Page 20: Microcurrent
Waveform Specifications Performa Professional Series ™ MICROCURRENT Stimulator Output Parameters Microcurrent is a monophasic waveform of very low intensity which Frequency 0.1 – 1,000 Hz, Stepping 0.1 Hz/1 Hz replicates the body’s use of natural frequencies when repairing Polarity Positive, Negative, Alternating or growing its new cells. -
Page 21: Nms
Performa Professional Series Waveform Specifications ™ Stimulator Output Parameters NMS is a symmetrical biphasic waveform with a 120 µs interphase Output Mode Electrodes interval. Because the pulse is relatively short, it is suitable Mode selection CC (Constant Current) or for applications requiring high intensities, such as in muscle CV (Constant Voltage) strengthening protocols. - Page 22 Waveform Specifications Performa Professional Series ™ ULTRASOUND THERAPY Pulse Frequency 100 Hz (Applicable to the Performa Stimul8 and Combin8 devices only. ™ Output Power PARAMETERS: Duty Factor ≥80% for 5 cm 0.5W – 10.0W Ultrasound Expressed in MHz, it is the frequency of the ultrasound Duty Factor ≤70% for 5 cm 0.5W –...
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Page 23: Ultrasound Specifications
Performa Professional Series Ultrasound Specifications ™ ULTRASOUND THERAPY (cont .) Transportation and Storage Environment Parameter Limit Temperature -20°C (-4°F) to 55°C (131°F) For security, the device has some limitations for electrotherapy. The Relative Humidity 20% – 90% maximum intensity has a relationship with the frequency and pulse Atmosphere Pressure 700hPa –... -
Page 24: Package Contents
Package Contents Performa Professional Series ™ Performa Stimul8 Performa Combin8 Quattro ™ ™ Description SKU# Qty . Description SKU# Qty . Performa ™ Stimul8 Electrotherapy Device 081716356 Performa ™ Combin8 Quattro 4-channel 081716349 Electrotherapy/Ultrasound Combo Device Printed Manual Printed Manual Quick Start Guide Quick Start Guide Medical Grade Power Cord... - Page 25 Performa Professional Series Package Contents ™ Performa Gener8 Performa Combin8 Duo ™ ™ Description SKU# Qty . Description SKU# Qty . Performa ™ Gener8 Dual 081716380 Performa ™ Combin8 Duo 2-channel 081716372 Soundhead Ultrasound Electrotherapy/Ultrasound Combination Device Printed Manual Printed Manual Quick Start Guide Quick Start Guide Medical Grade Power Cord...
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Page 26: Operating Controls
Operating Controls Performa Professional Series ™ PERFORMA STIMUL8 ™ Power LED Indicator Touch Screen Display Electrotherapy Button Patient Stop Switch Button Central Control Dial with Light Ring Patient Stop Switch Connection Channel 1 Lead Wire Connections Channel 2 Lead Wire Connections Channel 3 Lead Wire Connections 10. - Page 27 Performa Professional Series Operating Controls ™ OPERATOR CONTROLS (CONT .) DEVICE SYMBOLS 13. Power Button Symbol Meaning 14. Carry Handle Electrode Cable Connection 15. Grounding Test Post 16. USB Diagnostic Port* 17. On/Off Switch 18. Power Cord Connection BF Application Part Patient Stop Button Connection Please refer to the manual for detailed instructions * USB Diagnostic Port is used for repairs and/or maintenance issues...
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Page 28: Combin8 Quattro - Operating Controls
Operating Controls Performa Professional Series ™ PERFORMA COMBIN8 QUATTRO ™ Power LED Indicator Touch Screen Display Electrotherapy Therapy Button Patient Stop Switch Button Central Control Dial with Light Ring Patient Stop Switch Connection Channel 1 Lead Wire Connections Channel 2 Lead Wire Connections Channel 3 Lead Wire Connections 10. - Page 29 Performa Professional Series Operating Controls ™ OPERATOR CONTROLS (CONT .) DEVICE SYMBOLS 17. Power Button Symbol Meaning 18. Carry Handle Electrode Cable Connection 19. Grounding Test Post 20. USB Diagnostic Port* 21. On/Off Switch 22. Power Cord Connection BF Application Part Ultrasound Applicator Connection Patient Interrupt Button Connection Please refer to the manual for detailed instructions...
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Page 30: Combin8 Duo - Operating Controls
Operating Controls Performa Professional Series ™ PERFORMA COMBIN8 DUO ™ Power LED Indicator Touch Screen Display Electrotherapy Therapy Button Patient Stop Switch Button Central Control Dial with Light Ring Patient Stop Switch Connection Channel 1 Lead Wire Connections Channel 2 Lead Wire Connections Ultrasound Therapy Button 10. - Page 31 Performa Professional Series Operating Controls ™ OPERATOR CONTROLS (CONT .) DEVICE SYMBOLS 15. Power Button Symbol Meaning 16. Carry Handle Electrode Cable Connection 17. Grounding Test Post 18. USB Diagnostic Port* 19. On/Off Switch 20. Power Cord Connection BF Application Part Ultrasound Applicator Connection Patient Interrupt Button Connection Please refer to the manual for detailed instructions...
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Page 32: Gener8 - Operating Controls
Operating Controls Performa Professional Series ™ PERFORMA GENER8 ™ Power LED Indicator Touch Screen Display Ultrasound Therapy Button Patient Stop Switch Button Central Control Dial with Light Ring Channel 1 Ultrasound Head Connection Clinical Protocol Button Favorites Button Ultrasound Indicator Light (Same on Both) 10. - Page 33 Performa Professional Series Operating Controls ™ OPERATOR CONTROLS (CONT .) DEVICE SYMBOLS 13. Power Button Symbol Meaning 14. Carry Handle BF Application Part 15. Grounding Test Post 16. USB Diagnostic Port* 17. On/Off Switch Ultrasound Applicator Connection 18. Power Cord Connection Please refer to the manual for detailed instructions * USB Diagnostic Port is used for repairs and/or maintenance issues and should only be used by a certified technician.
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Page 34: Device Descriptions
Product Description Performa Professional Series ™ PERFORMA COMBIN8 DUO The Performa Professional Series is a family of clinical therapy ™ ™ devices which offers the practitioner a wide range of treatment The Performa Combin8 Duo is a combination device, with the same ™... -
Page 35: Home Screen Display
Performa Professional Series Product Description ™ HOME SCREEN DISPLAY MAIN THERAPY DISPLAY When you turn on the unit, you will first enter the Home Menu. In After navigating from the Home Menu, the below screen will be the Home Menu, none of the channels are selected. The Home Menu the main therapy display (content subject to change). -
Page 36: Touchscreen Display
Product Description Performa Professional Series ™ ELECTROTHERAPY TREATMENT SCREEN TOUCHSCREEN DISPLAY — NAVIGATION BAR (Applies to the Performa ™ Stimul8 & Combin8 Devices.) Icon Name Function Back Return to previous screen. Electrode Output Indicator Channel Indicator Home Return to Home screen. (Channel 1, 2, 3 or 4)* Remaining Treatment Time Page Number The number of pages in multi-page menu... -
Page 37: Ultrasound Treatment Screen
Performa Professional Series Product Description ™ ULTRASOUND TREATMENT SCREEN COMBINATION THERAPY SCREEN (Applies to the Performa ™ Gener8 and Ultrasound portion of the (Applies to the Performa ™ Combin8 Quattro & Duo.) Performa Combin8 Quattro & Duo.) ™ Ultrasound Output Indicator Electrode Output Indicator Remaining Treatment Time Remaining Treatment Time... -
Page 38: Navigation
Application Information Performa Professional Series ™ ELECTROTHERAPY Connection and Disconnection Reactions Constant Current (CC) output characteristics may cause (Applies to Performa Stimul8, Quattro & Duo.) ™ unpleasant connection and disconnection reactions if the electrodes are not securely placed or lose contact with the skin. CAUTION Make sure the current amplitude is set to 0 mA when you apply •... -
Page 39: Electrotherapy Set-Up - Clinical Protocols
Performa Professional Series Navigation ™ This manual contains instructions for the Performa Professional Series Gener8, Stimul8, Combin8 Quattro & Duo. ™ 2 . Clinical Protocols (cont .) Electrotherapy Set-Up* — Clinical Protocols • Use the central control dial to 1 . Home scroll through the pages, then select •... -
Page 40: Channel Selection
Navigation Performa Professional Series ™ 5 . Treatment Time Adjustment Electrotherapy Set-Up — Clinical Protocols (cont.) • Touch the timer. The color will 3 . Channel Selection* change to orange. Adjust the • Select the channels for desired treatment. treatment time with the central control dial. -
Page 41: Storing Favorites
Performa Professional Series Navigation ™ 6 . Start Therapy (cont .) • Enter the name of your favorite using the keyboard. • To pause the treatment, touch the • Press to store your favorite under pause button in the navigation bar. the name just entered. -
Page 42: Electrotherapy Set-Up - Manual Operation
Navigation Performa Professional Series ™ Electrotherapy Set-Up* — Manual Operation 3 . Channel Selection* 1 . Manual Operation • Select the channels for electrotherapy. • The electrotherapy menu provides access to the following functions: • When channel 1 is selected, 1. -
Page 43: Treatment Time Adjustment
Performa Professional Series Navigation ™ 7 . Storing Your Favorite Settings • When a treatment screen is completely 5 . Treatment Time Adjustment set as required, you can save those • Touch the timer. The color will settings as a Favorite for later use. change to orange. -
Page 44: Ultrasound Therapy - Application
Ultrasound Application Performa Professional Series ™ Before Treatment Ultrasound Therapy — Application (Performa Gener8, Combin8 Quattro & Duo only.) ™ • Check the patient for contraindications. See page 12 for details. Contact Control • Test the warmth sensitivity of the treatment area. •... -
Page 45: Ultrasound Therapy Set-Up - Clinical Protocols
Performa Professional Series Navigation ™ Ultrasound Therapy Set-Up — Clinical Protocols (Performa Stimul8 and Combin8 devices only) ™ 2 . Clinical Protocols (cont .) 1 . Home • Use the central control dial to scroll through the pages, then select •... -
Page 46: Parameters
Navigation Performa Professional Series ™ Ultrasound Therapy Set-Up — Clinical Protocols (cont.) To ensure efficient transfer of energy, a contact medium is required between the ultrasound applicator and the body. The best medium 3 . Parameters for the transfer of ultrasound energy is a gel. •... -
Page 47: Storing Favorites
Performa Professional Series Navigation ™ Ultrasound Therapy Set-Up — Clinical Protocols (cont.) Ultrasound Therapy Set-Up — Manual Operation 6 . Storing Your Favorite Settings 1 . Home • When a treatment screen is completely • The Home Menu gives access set as required, you can save those to all functions of the unit. -
Page 48: Parameters
Navigation Performa Professional Series ™ 3 . Parameters To ensure efficient transfer of energy, a contact medium is required between the ultrasound applicator and the body. The best medium • Adjust the parameters by touching for the transfer of ultrasound energy is a gel. the desired parameter button and change the value with the central 5 . -
Page 49: Combination Therapy Set-Up - Manual Operation
Performa Professional Series Navigation ™ 3 . Setting Electrotherapy Parameters Combination Therapy Set-Up — Manual Operation • The first parameter screen that is shown (Performa Combin8 and Duo Only) ™ is for electrotherapy parameters. Select PLEASE NOTE: Combination Therapy combines ultrasound & the desired electrotherapy waveform by electrotherapy through the sound head. -
Page 50: Parameters - Ultrasound
Navigation Performa Professional Series ™ Combination Therapy Set-Up — Manual Operation (cont.) 7 . Storing Your Favorite Settings 5 . Setting Ultrasound Parameters • When a treatment screen is completely • Once you are finished setting the set as required, you can save those electrotherapy parameters, press the settings as a favorite for later use. -
Page 51: Operating Details
Performa Professional Series Operating Details ™ System Settings Adjusting Current Amplitude The unity of the displayed current amplitude depends on the 1 . Home Screen previously selected current waveform and can be expressed in • From the Home Menu, choose “System mA or V by pressing the CC/CV button. -
Page 52: Maintenance
Maintenance Performa Professional Series ™ Cleaning Cleaning of Display Panel Use a soft and dry cotton or micro fiber cloth to clean the panel. Cleaning of the Device To remove fingerprints or grease, use a non-abrasive glass • Switch off the device and disconnect it from the power supply. cleaning agent. -
Page 53: Cleaning Lead Wires And Cables
Performa Professional Series Maintenance ™ Cleaning the Lead Wires and Cables (Performa ™ Stimul8 and Combin8 devices only.) Periodically wipe the lead wires clean with a cloth dampened in a mild soap solution, and then gently wipe them dry. Use of rubbing alcohol on the lead wires will damage the insulation and dramatically shorten their life. -
Page 54: Troubleshooting
Troubleshooting Performa Professional Series ™ Error Codes Error Error Reason for Tone Solution Problem Still Exists? Reason for Tone Solution Problem Still Exists? Code Code The storage for favorites Delete some of the is full. favorite programmings. There is no electrode load Check the electrode detected. -
Page 55: Technical Maintenance
Performa Professional Series Troubleshooting ™ TECHNICAL MAINTENANCE • Replace lead wires annually. (Performa Stimul8, ™ Combin8 and Duo only) • Please follow the directions on the electrode packaging for the care of the electrodes. The life of an electrode varies, depending CAUTION on skin conditions, skin preparation, storage and climate. -
Page 56: End Of Life
Troubleshooting Performa Professional Series ™ Safety and Performance Standards Stimulation is Intensity is too high. Decrease intensity. Uncomfortable. IEC 60601-1 Electrodes are too close Reposition the electrodes. together. General requirements for the safety of electrical medical systems, Electrodes must be a minimum of 1.5 inches apart. -
Page 57: Emc Table
Performa Professional Series EMC Table ™ EMC Details RF emissions according to Class A Medical electrical devices such as the Performa Professional Series ™ CISPR 11 The Performa Combin8 Quattro device ™ is suitable for use in all establishments are subject to special precautions with regard to electromagnetic Harmonic emissions Class A other than domestic and those directly... - Page 58 EMC Table Performa Professional Series ™ The main features of the Performa Professional Series devices are ™ Surge IEC 6100-4-5 ± 1 kV differential ± 1 kV differential Power outlet quality as follows: interference-free delivery of shockwaves, interference-free mode mode should be that of a ±...
- Page 59 Performa Professional Series EMC Table ™ Theoretically, it is not possible to exactly predict the field strengths Rated Output of Separation Distance According to Frequency of Transmitter m of fixed transmitters such as base stations for radio telephones and Transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz...
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Page 60: Warranty
4) The following is excluded under the warranty: at Performance Health’s option, to replace the Product with a • All damage which has arisen due to improper treatment, new or factory certified refurbished product without charge to the e.g. - Page 61 Performa Professional Series Notes ™ NOTES: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________...
- Page 62 Notes Performa Professional Series ™ NOTES: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________...
- Page 63 Performa Professional Series Notes ™ NOTES: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________...
- Page 64 Manufactured for: Performance Health Supply, Inc. ® Cedarburg, WI 53012 www.Performancehealth.com 42-PH8000-MAN_00...
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