Related Manuals for BTL BTL-4000 Topline Series
Summary of Contents for BTL BTL-4000 Topline Series
- Page 1 BTL-4000 Topline Series USER‘S GUIDE GENERAL CHARACTERISTICS | Page 1 of 67 100IE20/12/2007...
- Page 2 BTL-4000 Topline system. Again, thank you for being a BTL customer. In the event of any problem, or if you require service, please make an initial call to your local distributor, who will decide whether to refer the problem to our office.
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Page 3: Table Of Contents
CopYing the Settings of The Therapy Parameters Between Tabs of the Same Type......29 2.12 Interconnection of Units ..........................30 2.12.1 Interconnection of BTL 4000 Topline Puls (combi) and Vacuum Unit BTL Vac ........30 2.12.2 Interconnection of BTL-4000 Topline Puls and BTL-4000 Topline Sono..........30 2.12.3 Interconnection of BTL-4000 Topline Puls, BTL-4000 Topline Sono and BTL Vac........ - Page 4 Useful Addresses............................53 Warranty ..............................53 TECHNICAL PARAMETERS ........................... 54 Technical Parameters of The BTL-4000 Topline Series Devices ..............54 Technical Parameters of Power Supply Adapter 60W / Adapter 90W ............55 Basic Parameters of Electrotherapy Generator ................... 56 Basic Parameters of Ultrasound Generator ....................56 Basic Parameters of Laser Generator ......................
- Page 5 Manufacturer ............................... 61 UNITS CONFIGURATIONS ..........................62 Table of Configurations of the Combined Devices BTL 4000 Topline Series ..........62 Table of Configurations of the Electrotherapy Devices BTL-4000 Topline Puls........... 65 Table of Configurations of the Ultrasound Therapy Devices BTL-4000 Topline Sono ......... 66 Table of Configurations of the Laser Therapy Devices BTL-4000 Topline Laser.........
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Page 6: General Characteristics
With every BTL unit, you can purchase a cart specially designed for BTL products. Its versatile design allows you to conveniently store and use 1 or 2 physiotherapy units and a vacuum unit. The cart includes a range of accessory trays and baskets. -
Page 7: Instructions For Use
2 INSTRUCTIONS FOR USE 2.1 TOP PANEL 1. - 6 outputs for patient cables on the rear panel of the device, see chapter Rear Panel display diag/prog button, for quick selection of diagnosis or programs man button, for manual setting of all therapy parameters menu button, to set date, time, language, display contrast, sounds, user options, etc. -
Page 8: Rear Panel
2.2 REAR PANEL 1 -6 patient outputs – for exact configuration, see table Configuration of Output Connectors mains switch for switching the device on/off – positions I / 0. socket for connection of external power supply Adapter 60W / Adapter 90W warning label with parameters of power supply and input of the device 2.3 FRONT PANEL display of the remaining time of therapy for the active channel... -
Page 9: Installation Of Touch Pen Holder
2.4 INSTALLATION OF TOUCH PEN HOLDER Lean the upper part of the holder against the upper part of any selected gap between the ribs on the rear panel of the device. Press the holder to plug the parts indicated on the picture up to stop. 2.5 UNPACKING AND ASSEMBLY Inspect the box for damage and report any damage to the carrier and your distributor. - Page 10 Connection of accessories Connect the accessories to the output connectors (1) - (6) on the rear panel in this way: Put in the cable connector and secure the fluted ring by pressing and turning in clockwise. ATTENTION WHEN DISCONNECTING THE CONNECTOR, first of all, it is necessary to take by the fingers the fluted ring NOT THE WHOLE connector.
- Page 11 * units 4610 Topline and 4615 Topline can be supplied or upgraded with the HVT module Notes: connector for connection of electrotherapy accessories (BTL-236-1(2), BTL vac) to E1 generator connector for connection of electrotherapy accessories (BTL-236-1(2), BTL vac) to E2 generator...
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Page 12: Operating The Unit
2.6 OPERATING THE UNIT 2.6.1 TOUCH SCREEN The touch screen may be operated by finger touch or using the special soft tip stylus that is supplied with the unit. DO NOT TOUCH THE SCREEN WITH A SHARP OBJECT OR PEN, AS THIS MAY CAUSE PERMANENT DAMAGE. -
Page 13: Numerical Keyboard
2.6.2 NUMERICAL KEYBOARD In addition to setting the numerical value with the select (13) button, you can also use the “numerical keyboard”. Press this icon to open the window with the numerical keyboard: Set numerical values of the parameter that has been selected - the “orange” button in the left picture above. Enter the value and press enter (11) to return to the original screen. -
Page 14: Therapy Setting
2.7 THERAPY SETTING 2.7.1 THERAPY FLOW CHART INSTRUCTIONS FOR USE | PAGE 14 OF 67... -
Page 15: Welcome Screen And Selection Of Channels, Tabs And Accessories
Tab of channel E2, which is selected and has no accessories Tab of selected channel E1 with the possibility to apply HVT therapy and with electrotherapy accessory BTL-236-1 with two electrodes. HVT generator can be added only to units 4610 Topline and 4615 Topline... -
Page 16: Setting Therapy Parameters Via Diag Option
If the tab depicts an HVT (only BTL-4610 Topline and BTL-4615 Topline units) or combined therapy symbols (see the chapter Welcome Screen and Selection of Channels, Tabs and Accessories), the list includes protocols for HVT or combined therapies. -
Page 17: Setting Therapy Parameters Via Prog Option
Press the diag/prog (8) button twice to set the required program number. The program numbers generally correspond to the program numbers used in the traditional BTL physiotherapy line. The letter in front of each number corresponds to the type of therapy selected: E – electrotherapy; U – ultrasound; L – laser;... -
Page 18: Setting Therapy Parameters Manually Via The 'Man' Button
2.7.5 SETTING THERAPY PARAMETERS MANUALLY VIA THE ‘MAN' BUTTON Press the man (9) button to select manual setting for the therapy. You may store manual settings for use at a later time. Press individual 3D buttons to open menus and setting screens. The majority of screens are accompanied by illustrating pictures and symbols. -
Page 19: Therapy Parameters Screen - Ergonomic, Standard And Expert Mode
2.7.6 THERAPY PARAMETERS SCREEN – ERGONOMIC, STANDARD AND EXPERT MODE This screen opens after loading a diagnosis or a program via pressing the diag/prog (8) button respectively once or twice (see the chapter Therapy Flow Chart), before the start of therapy. The screen shows either the most important therapy parameters (you have selected the ergonomic mode) or all information about the therapy (you have selected the expert or standard mode). -
Page 20: Course Of Therapy
2.8 COURSE OF THERAPY 2.8.1 START, INTERRUPT AND END OF THERAPY To start a therapy on the selected channel, press the start (19) button. The therapy can start only if the therapy parameters screen is displayed. To pause the therapy, press the start (19) button again or the stop (20) button. The paused therapy can be resumed by again pressing the start (19) button or stopped by pressing the esc (12) button. -
Page 21: Running Therapy Screen
2.8.2 RUNNING THERAPY SCREEN Therapy description Intensity Time remaining till the end of the therapy Info for the contact between the ultrasound Indication whether head and the patient monitoring of the contact between therapy applicator and Indication of sound control (on/off) Symbolic description Icon and info for the of generation... -
Page 22: Accessories / Applicators - Visual Signalization
Rapid blinking – wrong contact of head with patient's tissue, therapy paused; contact must be re-established to continue therapy. BTL-448: laser probes: red and infrared – green pilot light and focused beam: • Blinking in rhythm of generated laser or continuous light. - Page 23 Slow blinking – accessory is prepared for therapy. Therapy settings screen displayed. • Continuous light or blinking in therapy rhythm – therapy in process. BTL-239-8 solenoid ø70 cm magnetic applicator with couch– blue pilot light signals: • Slow blinking – accessory is prepared for therapy. Therapy settings screen displayed.
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Page 24: Indication Of Operation - Energy On Operation
– by value of intensity and time • on the electrotherapy accessory BTL-236 – by continuously lit blue pilot light. Disconnection of electric circuit (such as in the case of wrong contact between electrode and patient) is indicated by blinking information about intensity and time on the corresponding channel tab, or by audio signalling. - Page 25 – by counting down the remaining time till the end of therapy – by icon of running magnetic field • on the channel tab – by value of intensity and remaining time • on the magnetic applicator BTL-239 – by blue pilot light. INSTRUCTIONS FOR USE | PAGE 25 OF 67...
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Page 26: Therapy Parameters
2.9 THERAPY PARAMETERS Therapy parameters are variable. Only the parameters that characterize the therapy and that can be set in manual mode are displayed - by pressing the man (9) button. For a detailed description of parameters for individual therapies, refer to the User’s Guide. 2.10 ENCYCLOPAEDIA The encyclopaedia provides information about individual therapies, examples of electrode and magnet applicator placement and application areas for ultrasound and laser. -
Page 27: Therapy Saving
2.11 THERAPY SAVING Pressing the save/copy button allows you to make several choices. Simply complete the form by entering the required data field as shown on the screens below. 2.11.1 SAVE THERAPY You can save your therapy after setting therapy parameters from the therapy parameters screen – see chapter Therapy Parameters Screen –... -
Page 28: Save Therapy And Add It To The Patient Data
The unit suggests the lowest available number (from the range of 8000-8999) and adds the letter of the corresponding generator (E for electrotherapy and combined therapies, U for ultrasound therapies, L for laser therapies and M for magnetotherapy). 2.11.2 SAVE THERAPY AND ADD IT TO THE PATIENT DATA The therapy is saved as described above and assigned to the patient in their list of therapies. -
Page 29: Copying The Settings Of The Therapy Parameters Between Tabs Of The Same Type
A saved therapy will be visible in the: List of diagnoses List of programs And in the list of therapies of the selected patient 2.11.3 COPYING THE SETTINGS OF THE THERAPY PARAMETERS BETWEEN TABS OF THE SAME TYPE For the units with more than one channel of the same kind, there is the option to directly copy the therapy settings between them. -
Page 30: Interconnection Of Units
INTERCONNECTION OF BTL 4000 TOPLINE PULS (COMBI) AND VACUUM UNIT BTL VAC Combine any BTL-4000 Topline Puls or Combi unit with the vacuum unit BTL vac to apply electrotherapy currents by means of suction cup electrodes. Adjustable vacuum pressure ensures simple and convenient attachment of patient electrodes, especially on parts of the body hard to reach with classic electrodes. -
Page 31: Interconnection Of Btl-4000 Topline Puls, Btl-4000 Topline Sono And Btl Vac
If you want to apply only electrotherapy with such interconnected devices, it is no problem. Uncheck the option "with electro" on the BTL-4000 Topline Sono device, and the electrotherapy electrodes are automatically connected to the electrotherapy output. Connectors E-input and E-output are interconnected inside the ultrasound device even if the BTL-4000 Topline Sono device is off. -
Page 32: Setup And Operation Of Combined Therapy In Individual Devices
2.12.4 SETUP AND OPERATION OF COMBINED THERAPY IN INDIVIDUAL DEVICES After checking for correct interconnection of the electrotherapy and ultrasound units, select a diagnosis or program that utilizes combined therapy. Select these separately on the electrotherapy and on the ultrasound units. -
Page 33: Menu Button
Make sure the installed accessory is connected directly, not via interface cable and vacuum or BTL-4000 Topline Sono devices. This will help decrease electromagnetic interference, which could cause improper reading of memory data. -
Page 34: Unit Settings
Changes the password required to operate the unit after power-up. The units as standard come with this function disabled. If the unit includes a laser generator - BTL-4000 Topline Laser, BTL-48xx Topline L, BTL-4800 Topline xL, you cannot disable the password code (in compliance with the applicable standards). In this case, the four-digit code is factory-set to 0000. -
Page 35: Setting Of Colours
3.2.4 SETTING OF COLOURS The user can set the colours of all elements displayed on the screen: select one of the available preset colour schemes or, if not satisfied with any of them, create and save custom colour schemes. In the custom colour scheme, the user successively selects individual elements. -
Page 36: User Options
Press ‘ESC’ to stop calibration. To verify touch screen adjustments, use the "TOUCH PANEL FUNCTION TEST". 3.2.10 USER OPTIONS It is possible to set: • direction of cursor movement when using the select (13) control • listing of therapies and some other menu options (in ascending or descending alphabetical order) •... -
Page 37: Special Settings
• DELETE ACCESSORIES Deletes all installed accessories. Use only in case of improper installation – corrupted accessory image on the channel tab, connected accessories are not detected (the “?” symbol is displayed), etc. • DEFAULT SETTING WITHOUT LOSING USER DATA All factory settings are restored. -
Page 38: User Settings Option
4 USER SETTINGS OPTION Press menu, select the user settings option - opens a screen allowing access to special features of the unit, as well as to data saved by the user. The following items can be selected: • clients •... -
Page 39: User Sequences
4.2 USER SEQUENCES This article 4.2 User sequences is valid for electrotherapy, ultrasound therapy and laser therapy generator. User sequences serve to work with the list of self-designed sequences of therapy programs. The selected sequence can be run, edited, and deleted from this menu. 4.2.1 CREATING NEW SEQUENCE There is limitation of the choice of currents in one sequence when there is no pause set between the sections:... - Page 40 Open the therapy parameters screen. In the manual mode, select therapy sequence (or ultrasound sequence or laser sequence). Creation of a new sequence is displayed in the following diagram: USER SETTINGS OPTION | PAGE 40 OF 67...
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Page 41: Parameters Of Sections In Sequence
4.2.2 PARAMETERS OF SECTIONS IN SEQUENCE A sequence consists of a few currents / programs that are called sections. Parameters of sections must be set when creating a sequence. Each program includes basic current parameters such as frequency, pulse length, modulation, etc. For more information, please refer to the chapter Save Therapy. -
Page 42: User Diagnoses / Programs
4.3 USER DIAGNOSES / PROGRAMS Use this feature to run user designed therapies, to edit and delete their parameters, names and therapy comments. It is very similar to the creation of a new diagnosis / program – see the chapter Therapy Saving. On each channel tab, you can see only those therapies that were created on this tab. -
Page 43: Accessories
5.1 POWER SUPPLY ADAPTER 60W / ADAPTER 90W The devices of the BTL-4000 Topline series can be connected to the mains exclusively via the supplied power supply Adapter 60W or Adapter 90W. Adapter 90W is more powerful and is used only for the connection of specific device configurations. -
Page 44: Lithium Battery
The device contains a lithium battery for backing up the date and time. The type of battery is stated in the chapter Technical Parameters. Replacement is provided by the authorized service of BTL devices. 5.4 ACCESSORIES COMMON FOR ALL UNITS •... -
Page 45: Accessories For Ultrasound Therapy
- BTL-239-4 • multi disc applicator - BTL-239-5 • linear applicator - BTL-239-6 • solenoid applicator ø70cm with couch- BTL-239-8 • interface cable for connection of old type of applicators from BTL-09 • fixation belts ACCESSORIES | PAGE 45 OF 67... -
Page 46: Maintenance And Safety Instructions
30 months. The inspection and recalibration is performed by the authorized BTL service department on the basis of the user's order. If the inspection is not done within the stated term, the manufacturer does not guarantee the technical parameters or safe operation of the product. -
Page 47: Safety
If you do not determine the source of uncertainty after thorough study of the Manual, contact the BTL service department. If the equipment is not used in accord with this Manual or is used even if it shows functional differences from this Manual, the user is responsible for the damage caused by the equipment. - Page 48 • The equipment does not contain any components which can be repaired by the user. Do not remove any covers from the equipment. All repairs should be done by the authorized BTL service department. • Don’t connect equipment to the patient when it is still connected to the computer (via service connector).
- Page 49 • For therapy, use only the BTL ultrasound gel; the head is not tested for other gels or oils and their use could damage the head. If you still want to use other gels, we recommend them to be only water-based gels.
- Page 50 Safety precautions for laser: • Mark the laser workplace with the respective warning notices and connect the door switch. • Equip the laser workplace with an operating code which must be approved by a competent health officer. • When using a laser probe with an output of 200 mW or more (300 mW, 400 mW) and if the laser power is set higher than 150 mW, the duration of therapy must not exceed 15 min.
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Page 51: Contraindications
6.2 CONTRAINDICATIONS The list of contraindications the cases when the manufacturer does not recommend applying the selected therapy. If a specialised medical workplace decides to apply the therapy in spite of it, they bear all the responsibility for this action. 6.2.1 CONTRAINDICATIONS FOR ELECTROTHERAPY •... -
Page 52: Contraindications For Ultrasound
6.2.2 CONTRAINDICATIONS FOR ULTRASOUND • Active tuberculosis • Allergies to used ultrasound gels • Applications on peripheral nerves (located on the bone, close to skin surface) • Applications on glands with inner secretion • Applications on areas around the eyes, brain, spinal cord •... -
Page 53: Contraindications For Magnetotherapy
For service, please contact the service department at service@btlnet.com. WARRANTY The Manufacturer of this product guarantees the product is free of defects in workmanship and material for the period and conditions defined in the BTL General Service Conditions. MAINTENANCE AND SAFETY INSTRUCTIONS | PAGE 53 OF 67... -
Page 54: Technical Parameters
7 TECHNICAL PARAMETERS 7.1 TECHNICAL PARAMETERS OF THE BTL-4000 TOPLINE SERIES DEVICES Device Type: BTL-4000 Topline Series – physiotherapy Display: •dimensions: diagonal: 10.922 cm (4.3”) •resolution: 480 x 272 Low battery indication: on the display Design Weight – device only 2.9 kg... -
Page 55: Technical Parameters Of Power Supply Adapter 60W / Adapter 90W
Therapy duration For electro and laser therapies 0 to 100 minutes For ultrasound therapies 0 to 30 minutes For magnetotherapies 0 to 100 minutes Step of setting 1 second Accuracy of therapy time ± 2 % of the set value Accuracy of time values 5 seconds per day 7.2 TECHNICAL... -
Page 56: Basic Parameters Of Electrotherapy Generator
7.3 BASIC PARAMETERS OF ELECTROTHERAPY GENERATOR Output current* max. 140 mA (maximum instantaneous value) Output current - HVT** max. 4 A (maximum instantaneous value) Output current - microcurrents** max. 999 µA (maximum instantaneous value) Output voltage max. 130 V (maximum instantaneous value) Output voltage - HVT** max. -
Page 57: Basic Parameters Of Laser Generator
10mA active level settable positive / negative logic Adjustable values Frequency*** 0 – 10000 Hz with laser probe BTL-448 0 – 500 Hz with laser cluster BTL-445 ± 3 % of the stated value accuracy of frequency Dose* 0.1 – 100.0 J/cm accuracy of dose ±20% (according to IEC 60601-2-22) -
Page 58: Technical Parameters Of Ultrasound Heads
7.7 TECHNICAL PARAMETERS OF ULTRASOUND HEADS BTL-237-1-13 – small head Effective radiation area (ERA) ± 20% ERA (EN 61689) 0.7 cm ERA (21 CFR 1050) ± 20% 0.9 cm Maximum effective intensity ± 20% 3 W/cm 2.1 W ± 20%... -
Page 59: Technical Parameters Of Laser Clusters
Type: BTL-448-40IC Output power: 400 mW ± 20 % Wavelength: 830 nm Class*: Beam: collimated Aperture: Ø 4.4 mm 0.015 rad ± 0.005 rad BNR: NOHD**: 19.2 m * Laser class is classified according to IEC 60601-2-22:1995 and IEC 60825-1:1993/A2:2001. -
Page 60: Technical Parameters Of Magnetic Applicators
7.6 mT (76 G) These mentioned parameters for applicators are basic. The exact values and shape of the magnetic field – please see 2 part of manual – BTL-4000 Topline Magnetotherapy User’s Guide. 7.11 APPLICABLE STANDARDS Name IEC, EN, ISO, MDD Medical electrical equipment. -
Page 61: Interconnection Of Devices
The contents of this document are provided "as is". Except as required by the applicable law, no warranties of any kind, either expressed or implied, are made in relation to the accuracy, reliability or contents of this document. BTL Industries Limited reserves the right to revise this document or withdraw it at any time without prior notice. -
Page 62: Units Configurations
8 UNITS CONFIGURATIONS 8.1 TABLE OF CONFIGURATIONS OF THE COMBINED DEVICES BTL 4000 TOPLINE SERIES Type: 4800SL 4810S 4815S 4810L 4815L Number of therapies Electrotherapy Ultrasound therapy Laser therapy Magnetotherapy Patient cardfile (positions) min. 500 min. 500 min. 500 min. 500 min. - Page 63 Type: 4810M2 4815M2 4800LM2 4800SM2 4820L Number of therapies Electrotherapy Ultrasound therapy Laser therapy Magnetotherapy Patient cardfile (positions) min. 500 min. 500 min. 500 min. 500 min. 500 User programs min. 500 min. 500 min. 500 min. 500 min. 500 User sequences min.
- Page 64 Type: 4825L 4820S 4825S 4816S 4818S 4816L 4818L Number of therapies Electrotherapy Ultrasound therapy Laser therapy Magnetotherapy Patient cardfile (positions) min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 User programs min. 500 min. 500 min.
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Page 65: Table Of Configurations Of The Electrotherapy Devices Btl-4000 Topline Puls
8.2 TABLE OF CONFIGURATIONS OF THE ELECTROTHERAPY DEVICES BTL-4000 TOPLINE PULS Type: 4610 4615 4620 4625 Number of electrotherapies User programs / diagnoses min. 500 min. 500 min. 500 min. 500 User sequences min. 150 min. 150 min. 150 min. 150... -
Page 66: Table Of Configurations Of The Ultrasound Therapy Devices Btl-4000 Topline Sono
, 1 and 3 MHz optional Detection of contact continuous Continuous operation mode Pulse operation mode Duty factor 8.4 TABLE OF CONFIGURATIONS OF THE LASER THERAPY DEVICES BTL-4000 TOPLINE LASER Type: 4110 Topline Number of laser therapies Patient cardfile (positions) min. 500 User programs min. -
Page 67: Table Of Configurations Of The Magnetotherapy Devices Btl-4000 Topline Magnet
8.5 TABLE OF CONFIGURATIONS OF THE MAGNETOTHERAPY DEVICES BTL- 4000 TOPLINE MAGNET Type: 4920 Topline Number of magnetotherapies Patient cardfile (positions) min. 500 User programs min. 500 User sequences min. 150 Step of setting of values fine Encyclopaedia Language versions...
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Questions and answers
Можно применять для лечения после эндопротезирования тазобедренных суставов? Противопоказания
The BTL-4000 should not be used for treatment after hip joint replacement if metal implants are present, as metal implants are listed as a contraindication for electrotherapy.
Contraindications for electrotherapy include:
- Active tuberculosis
- Allergy to electrode sponge solutions
- Applications near the heart and eyes
- Groundless stimulation
- Cardiovascular diseases
- Electronic implants (e.g., pacemaker, cochlear implants)
- Metal implants
- Malignancies in the current path
- Skin defects or inflammations
- Bleeding conditions
- Menstruation
- Tumor diseases
- Sensitivity disorders at electrode site
- Psychopathological and organic psychosyndromes
- Multiple sclerosis
- Pregnancy
- Inflammations of veins and lymphatic paths
If a specialized medical workplace decides to use the therapy despite contraindications, they bear full responsibility.
This answer is automatically generated
Dobrý den, nemohu najít manuál na BTL 49-20 Smart.