ACP OMNISTIM 500A User Manual
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ACP OMNISTIM 500A User Manual

Electrotherapy system
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®
OMNISTIM
500A
Electrotherapy System
User Manual
Revised 070101
Part No. 290500A
This Manual contains confidential and proprietary information owned by Accelerated Care Plus ("ACP") which is protected by copyright. This
Manual or any portion thereof may not be photocopied, reproduced or translated to another language without the express prior written consent of
ACP. This Manual may only be used by entities who have purchased the equipment or have implemented the ACP program and are covered by
an executed Lease Agreement with ACP containing a Confidentiality Agreement, which is incorporated by reference in its entirety. This Manual
may not be used for any other purpose.
Any additional copies of the Manual shall be ordered from ACP. No changes or modifications shall be made to the Manual without prior review
and written authorization from ACP. No authorization is given to market, sell, disclose, or exploit this Manual except as for purposes of using the
Equipment as contemplated by the Lease Agreement.
ACCELERATED CARE PLUS MAKES NO WARRANTY OF ANY KIND WITH REGARD TO THIS MANUAL, INCLUDING, BUT NOT
LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Accelerated
Care Plus shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance
or use of this Manual.
The information contained in this document is subject to change without notice.
COPYRIGHT 2001 - 2007, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED
CONFIDENTIAL AND PROPRIETARY

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  • Page 1 Manual or any portion thereof may not be photocopied, reproduced or translated to another language without the express prior written consent of ACP. This Manual may only be used by entities who have purchased the equipment or have implemented the ACP program and are covered by an executed Lease Agreement with ACP containing a Confidentiality Agreement, which is incorporated by reference in its entirety.
  • Page 2 500A USER MANUAL ® OMNISTIM 500A ACP manufactures a premier line of electromedical devices to assist health care professionals in the rehabilitation of their patients. The ACP product line includes Pain Control Systems, Muscle Stimulators, Interferential Therapy, and ® ®...

  • Page 3: Table Of Contents

    ® OMNISTIM 500A USER MANUAL TABLE OF CONTENTS INDICATIONS & CONTRAINDICATIONS ......................4 Indications................................4 Contraindications ..............................4 Adverse Reactions ..............................4 WARNINGS & PRECAUTIONS ..........................5 Warnings................................5 Precautions................................6 ® THE OMNISTIM 500 ..............................8 ® Delivery of the OMNISTIM 500 ........................8 Introduction.................................8 Controls and Functions ............................9 Factory Settings ..............................10 Battery Charger / Power Supply Operation ......................11 Operational Sequence ............................12...

  • Page 4: Indications & Contraindications

    ® OMNISTIM 500A USER MANUAL INDICATIONS & CONTRAINDICATIONS CAUTION: Federal law restricts this device for sale or use by, or on the order of, a Practitioner licensed by the laws of the state in which he/she practices to use or order the use of the device. Please note that Accelerated Care Plus cannot provide medical advice.

  • Page 5: Warnings & Precautions

    ® OMNISTIM 500A USER MANUAL WARNINGS & PRECAUTIONS CAUTION: Federal law restricts this device for sale or use by, or on the order of, a Practitioner licensed by the laws of the state in which he/she practices to use or order the use of the device. Please note that Accelerated Care Plus cannot provide medical advice.

  • Page 6: Precautions

    • Use only ACP specified accessories and/or supplies with ACP devices. Do not use any power cords, or power supplies, other than the ones provided or specified for this device. Use of any other power supply could seriously damage the device and will void the warranty.
  • Page 7 • ACP does not recommend the use of the Denervated Muscle or Low Intensity DC protocols, and does not supply the DC or Microcurrent adapter required for use with these protocols. If this device is used with a DC or Microcurrent adapter, follow the specific treatment guidelines, indications, contraindication, warning and precautions specified in the DC or Microcurrent adapter manual.

  • Page 8: The Omnistim ® 500

    500, inspect the shipping container and contents for any obvious or concealed damage. All ACP products are packaged carefully for rapid, safe delivery. We guarantee delivery in perfect condition to the postal or delivery services. However any damage or loss incurred during transportation or delivery is the Postal or Delivery Company’s responsibility.

  • Page 9: Controls And Functions

    ® OMNISTIM 500A USER MANUAL Controls and Functions A. Main power switch. Press for power ON, press again for power OFF. The display illuminates with SELECT MODALITY/PROGRAM. B. Parameter select button provides adjustment of stimulation parameters, screen contrast, audio on/off and button speed and sensitivity.

  • Page 10: Factory Settings

    ® OMNISTIM 500A USER MANUAL Q. Output for channel “B” in IFC, MFAC and LVPC modes. R. Output for channel “A” in IFC, MFAC and LVPC modes. S. Lead wire adapter – 3 pin. T. Super twist LCD graphics display for all functions and parameters. The graphics screen allows display of: Modality selected •...

  • Page 11: Battery Charger / Power Supply Operation

    ® OMNISTIM 500A USER MANUAL Battery Charger / Power Supply Operation ® Before using the OMNISTIM 500 battery charger/power supply: ® 1. Verify that rechargeable batteries are installed within the OMNISTIM 500 battery compartment. 2. Check to see that the battery type selector switch located inside the battery compartment has been switched to the rechargeable position.

  • Page 12: Operational Sequence

    ® OMNISTIM 500A USER MANUAL Operational Sequence SET OUTPUT A/B A:00 mA B:00 mA r2.0 1. Press the ON/OFF button to turn on the power. The display panel will illuminate. There will be no stimulation current and the unit will be in the SELECT MODALITY/PROGRAM mode. 2.

  • Page 13: Treatment Guidelines

    ® OMNISTIM 500A USER MANUAL TREATMENT GUIDELINES Introduction to Medium Frequency Currents Medium frequency (MF) currents may be described as electrical currents applied to the body for therapeutic purposes, which fall in the range of 1000 to 10,000 cycles per second (Hz). This is in contrast to low frequency currents (0.1 to 1000 Hz) such as LVPC, HVPC, and high frequency currents (1 million Hz and beyond), which include ultrasound, shortwave and microwave diathermy.

  • Page 14: Electrode Application Techniques

    ® OMNISTIM 500A USER MANUAL Electrode Application Techniques The following electrode placement diagrams are a theoretical representation of treatment set-ups using the ® 500. Monopolar, bipolar and quadripolar techniques are illustrated for various areas of the body. OMNISTIM Electrode placement is dependent on the etiology of the condition. Monopolar (Mono-Polar) Technique This technique may use two electrodes of different sizes.
  • Page 15 ® OMNISTIM 500A USER MANUAL Quadripolar (Quadri-Polar) Technique This technique requires the use of two output channels and four electrodes usually, but not exclusively of the same size. The two electrodes from one channel are usually placed diagonally across the tissue area or joint to be treated with the second channel electrodes placed on the opposite diagonal.

  • Page 16: Treatment Preparation

    ACP Reusable Electrodes Remove the electrodes from their foil packaging. Cleanse the skin then apply the electrodes over the treatment site points according to the electrode placements techniques described in this manual.

  • Page 17: Infection Control Equipment And Principles Of Use

    After each use, clean common contact surfaces, such as control panel and lead wires with ACP germicidal wipes. • With a second ACP germicidal cloth, wipe again leaving surfaces wet for at least 5 minutes. Allow the surface to air dry before patient use. •...

  • Page 18: Use Of Barriers - Intermediate Level Disinfection

    ® OMNISTIM 500A USER MANUAL Use of Barriers – Intermediate Level Disinfection The use of an all-purpose barrier film provides surface protection from cross-contamination resulting from a variety of applications. This procedure should be used whenever dealing with non-intact skin or the chance of coming in contact with bodily fluids.

  • Page 19: Modes Of Operaton: Protocol Reference Sheets

    MODES OF OPERATON: Protocol Reference Sheets Interferential Current (IFC) PROTOCOL / CLINICAL STIMULATION PARAMETERS MECHANISM OF ACTION APPLICATION TECHNIQUE OPERATIONAL SEQUENCE INDICATION • Press IFC button until screen reads "ANALGESIA - SENSORY" ANALGESIA - SENSORY Sensory stimulation activates A-beta fibers Target tissue - superficial and deep.

  • Page 20: Medium Frequency Alternating Current (Mfac)

    Medium Frequency Alternating Current (MFAC) PROTOCOL / CLINICAL STIMULATION PARAMETERS MECHANISM OF ACTION APPLICATION TECHNIQUE OPERATIONAL SEQUENCE INDICATION • Press MFAC until screen reads "NMES EDEMA-MUSCLE PUMP" • Press START / STOP until screen reads " SET OUTPUT A" • Set Output A until the desired contraction of the Ch A muscle group is Target tissue - superficial and deep muscle groups NMES EDEMA-MUSCLE Activation of muscle causing contraction of...

  • Page 21: Low Volt Pulsed Current (Lvpc)

    • Protocol requires the use of a DC adapter which is no longer available No longer used Intentionally left blank Intentionally left blank D.C. from ACP. • Do not use this protocol. • Protocol requires the use of a DC adapter which is no longer available LOW INTENSITY D.C. No longer used...

  • Page 22: High Volt Pulsed Current (Hvpc)

    High Volt Pulsed Current (HVPC) PROTOCOL / CLINICAL STIMULATION PARAMETERS MECHANISM OF ACTION APPLICATION TECHNIQUE OPERATIONAL SEQUENCE INDICATION • Press HVPC until screen reads "HVPC SENSORY" HVPC SENSORY Sensory stimulation reduces pain through • Press START / STOP until screen reads " SET OUTPUT A segmental release of Enkephalin and Dynorphin Target tissue - superficial and deep.

  • Page 23: Stimulation Therapy Modes

    ® OMNISTIM 500A USER MANUAL STIMULATION THERAPY MODES Interferential Current Therapy (IFC) The new Webster Encyclopedia Dictionary of the English Language defines interference as “the mutual action of waves of any kind (water, sound, heat or light) upon each other, by which the vibrations and their effects are increased, diminished or neutralized.”...
  • Page 24 ® OMNISTIM 500A USER MANUAL RATE SCAN ON OR OFF 3. IFC FF-Full Field Mode: 2500 or 5000 Hz Pulsed at 100Hz The well-known attributes of modulated medium frequency currents, i.e. deep tissue penetration, 2500 or 5000 Hz asynchronous neural stimulation, and low tissue Pulsed at 100Hz resistance, allows the creation of an interferential Three zones of...
  • Page 25 ® OMNISTIM 500A USER MANUAL ANALGESIA – SENSORY (FULL FIELD): Target tissue is superficial and deep. Sensory stimulation activates A-beta fibers causing the release of spinal Enkephalin and Dynorphin to block pain at the segmental level (Gate Control). Duration of relief is typically from 30 minutes to 2 hours.
  • Page 26 ® OMNISTIM 500A USER MANUAL ANALGESIA – MOTOR (FULL FIELD): Target tissue is superficial and deep. Motor level stimulation activates motor and A-delta fibers causing the release of Bendorphin systemically. Duration of relief is typically from 2 to 6 hours. Slow onset of relief usually within 30 minutes to 1 hour.
  • Page 27 ® OMNISTIM 500A USER MANUAL ANALGESIA / MOTOR – SENSORY: Target tissue is superficial and deep. Combines motor and sensory stimulation. Starts with motor and ends with sensory. More aggressive protocol. Duration of relief is typically from 2 hours to 6 hours. Slower onset of relief usually within 30 minutes.
  • Page 28 ® OMNISTIM 500A USER MANUAL ANALGESIA – NERVE BLOCK: Blocks pain by causing a temporary nerve block through reactive depolarization (Conduction block) of the pain signal on its way to the spinal input. Also known as Wedensky inhibition. Duration of relief is typically from 1 to 2 hours.
  • Page 29 ® OMNISTIM 500A USER MANUAL IFC CUSTOM (FREQUENCY DIFFERENCE): Protocol fully adjustable by therapist, which can be customized for deep tissue treatment. RANGE OF USER PARAMETER DEFAULT VALUES ADJUSTABLE VALUES IFC Mode: Frequency Difference 2.0 KHz, 2.5 KHz, Carrier frequency: 5.0 KHz 4.0 KHz 5.0 KHz Burst frequency:...

  • Page 30: Medium Frequency Alternating Current (Mfac)

    The intensity should be increased to produce at least 50 to 80% of Maximum Voluntary Contraction (MVC). Place ACP Reusable Electrodes in a bipolar or quadripolar pattern on the muscle(s) being stimulated. The treatment should be approximately 15 minutes duration 3 to 4 times a week.
  • Page 31 ® OMNISTIM 500A USER MANUAL MAFC WAVEFORM 2. Treatment Programs The MFAC mode contains six pre-programmed modes and a custom program which may be programmed and saved by the user. The custom program will remain as long as the batteries remain charged or are not removed. All parameters other than the Carrier frequency may be varied during operation.
  • Page 32 ® OMNISTIM 500A USER MANUAL NMES - MUSCLE SPASM: Activation of muscle with electrical stimulation with a 1:1 ratio of ON/OFF times causes muscle fatigue reducing muscle spasm. Sensory stimulation of the muscles also reduces pain and thus reflex muscle spasm. RANGE OF USER PARAMETER DEFAULT VALUES...
  • Page 33 ® OMNISTIM 500A USER MANUAL HIGH PERFORMANCE MFAC RE-ED POWER: Activation of muscle with electrical stimulation at a high intensity for a short time with short ON/OFF ramps reduces atrophy and improves power. The patient should participate to the extent possible by contracting during the stimulation ON time.
  • Page 34 ® OMNISTIM 500A USER MANUAL SPASTICITY REDUCTION: Stimulation of the spastic muscle’s antagonists activates reciprocal inhibition of the spastic muscle reducing tone. Slow ramps decrease the potential to trigger spasticity of the agonist. RANGE OF USER PARAMETER DEFAULT VALUES ADJUSTABLE VALUES 2.0 KHz, 2.5 KHz, Carrier frequency: 2.5 KHz...

  • Page 35: Low Volt Pulsed Current (Lvpc)

    ® OMNISTIM 500A USER MANUAL Low Volt Pulsed Current (LVPC) 1. Treatment Programs The LVPC mode contains seven pre-programmed modes and a custom program, which may be programmed and saved by the user. The custom program will remain as long as the batteries remain charged or are not removed. All parameters may be varied during operation.
  • Page 36 ® OMNISTIM 500A USER MANUAL NMES – R.O.M.: Activation of muscle causing contraction of the agonist and antagonist to move the joint and improve the R.O.M. The patient should participate to the extent possible by contracting during the stimulation time. RANGE OF USER PARAMETER DEFAULT VALUES...
  • Page 37 ® OMNISTIM 500A USER MANUAL NMES RE-ED ENDURANCE: Activation of muscle with electrical stimulation at lower intensity for a longer time reduces disuse atrophy and improves endurance. The patient should participate to extent possible by contracting during stimulation ON time. RANGE OF USER PARAMETER DEFAULT VALUES...
  • Page 38 ® OMNISTIM 500A USER MANUAL LVPC CUSTOM: LVPC protocol which can be customized by the therapist. RANGE OF USER PARAMETER DEFAULT VALUES ADJUSTABLE VALUES Phase duration: 200 µS 30 µS – 500 µS Pulse rate: 100 Hz .0 Hz to 999 Hz Phase duration mod: 0 –...

  • Page 39: High Volt Pulsed Current Hvpc

    ® OMNISTIM 500A USER MANUAL High Volt Pulsed Current HVPC 1. Treatment Programs The HVPC mode contains two pre-programmed modes and a custom program which may be programmed and saved by the user. The custom program will remain as long as the batteries remain charged or are not removed. All parameters may be varied during operation.
  • Page 40 ® OMNISTIM 500A USER MANUAL 2. Adjustable Parameters Pushing the set button during operation brings up the available adjustable parameters. These may be altered during system operation. To adjust any parameter simply push the parameter set button at any time during operation. This will display a parameter that may be changed.

  • Page 41: Troubleshooting

    OMNISTIM 500A USER MANUAL TROUBLESHOOTING The following table lists machine problem symptoms and possible areas to check for the problem causes. If these suggested measures do not correct the machine malfunction, call your ACP customer service representative. PROBLEM CAUSE REMEDY •...
  • Page 42 ® OMNISTIM 500A USER MANUAL INSPECT BATTERY CONTACTS / VERIFY BATTERY SWITCH SET TO RECHARGEABLE Remove batteries if they are installed. Inspect the battery contacts for any corrosion or discoloration. If corrosion or discoloration is found, perform the following steps to clean the metal contacts: •...

  • Page 43: Service Center

    Figure 6 Service Center For repair or service of ACP Products and accessories, please call (800) 350-1100 and follow the prompts. Normal hours of operation are 7:00am to 5:00pm Pacific Standard Time. After hours, please leave a message and a technician will return your call during the next scheduled workday.

  • Page 44: Technical Specifications

    ® OMNISTIM 500A USER MANUAL TECHNICAL SPECIFICATIONS GENERAL: 9.5" (24cm) W x 6.5" (16.5cm) D x 3" (7.6cm) H Dimensions: 3lbs. 14oz. (1.75 kgs) Weight (including batteries): 120/240VAC; 50/60Hz; 50W Operating Power: 4 x 1.5VDC “D” cell alkaline or rechargeable batteries. New alkaline batteries operate the system for 40 hours at full output and over 100 hours at normal settings.
  • Page 45 Caution: Federal law restricts this device to sale by or on the order of a physician (or other health practitioner licensed by their State). ACP reserves the right to change technical specifications and product availability without notice. COPYRIGHT 2001 - 2007, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED...

  • Page 46: Omnistim

    ® OMNISTIM 500A USER MANUAL ® OMNISTIM 500 STANDARD AND OPTIONAL ACCESSORIES ITEM ITEM NO. DESCRIPTION ® OMNISTIM 500 MULTIMODALITY MICROPROCESSER CONTROLLED TREATMENT SYSTEM 2 channels of programmable stimulation with 100500A IFC Frequency Difference Interferential, MFAC (Russian style NMES), High Volt Pulsed Current and Low Volt Pulsed Current.

  • Page 47: Electrodes

    ® OMNISTIM 500A USER MANUAL Electrodes ITEM ITEM NO. DESCRIPTION 2x2 Silver Backed Reusable Electrode (4 per ERC 2 X 2 package) 2x4 Silver Backed Reusable Electrode (4 per ERC 2 X 4 package) 3x5 Silver Backed Reusable Electrode (2 per ERC 3 X 5 package) 4x4 Disposable Non-Gelled Electrode (for...

  • Page 48: Limited Product Warranty

    Only those items returned to the ACP Service Center within the warranty period, and also within 30 days after notification to ACP of the defect, shall be eligible for repair under the product warranty. ACP may, at its...

  • Page 49: Return Of Defective Products

    ACP is not responsible for any loss or damage to the equipment prior to receipt at an ACP Service Center. Equipment returned for warranty service must be shipped complete with all accessories (except for manuals) in its original packing or equivalent so as not to be damaged while in transit.
  • Page 50 Suite A-1 Reno, NV 89502 Thank you for choosing ACP, we appreciate your business. The serial number of the equipment may be found on the label, on the underside of the unit. For your convenience, record these numbers below, and retain along with your proof of purchase, to serve as a permanent record of your purchase.

  • Page 51: Appendix - Illustrated Operational Sequence

    ® OMNISTIM 500A USER MANUAL APPENDIX - ILLUSTRATED OPERATIONAL SEQUENCE Procedure for Quick Start-Up The following procedure can be used when the treatment protocols are going to be used as pre-set in the unit, and when there is no need to modify the pre-select parameters SELECTING TREATMENT MODALITY AND PROTOCOL: When the POWER button is pressed, the following screen appears: SELECT MODALITY/PROGRAM...
  • Page 52 ® OMNISTIM 500A USER MANUAL Once the desired protocol is selected (in the example below, the selection is ANALGESIA – SENSORY), press the START/STOP button. The following screen is displayed: SET OUTPUTS A – B: A: 0mA B: 0mA Adjust the output intensity by using the UP or DOWN buttons for OUTPUT A and OUTPUT B, as shown below: SET OUTPUTS A –...

  • Page 53: Detailed Operational Sequence

    ® OMNISTIM 500A USER MANUAL Detailed Operational Sequence Follow this procedure for detailed instructions on adjusting parameters for selected treatment protocols. SELECTING TREATMENT MODALITY AND PROTOCOL: When the POWER button is pressed, the following screen appears: SELECT MODALITY/PROGRAM TREATMENT OFF Select the desired treatment MODALITY by pressing one of the four MODALITY buttons on the far right of the ®...
  • Page 54 ® OMNISTIM 500A USER MANUAL ADJUSTING PARAMETERS FOR A SELECTED TREATMENT PROTOCOL: Once the modality and treatment protocol have been selected, the parameters for that treatment protocol can be adjusted by following the instructions below: In the example below, the ANALGESIA NERVE BLOCK protocol was selected within the IFC modality. ANALGESIA NERVE BLOCK LOCAL ACUTE To adjust the parameters for the treatment protocol, press the SELECT PARAMETERS button.
  • Page 55 ® OMNISTIM 500A USER MANUAL Press the SELECT PARAMETERS button again to advance to the next parameter. The next parameter is the AUTO INTENSITY. The default setting is 10% as shown below: AUTO INTENSITY: LOCAL ACUTE Press the UP of DOWN arrows to adjust the AUTO INTENSITY setting. The AUTO INTENSITY can be adjusted from 0% to 20%.
  • Page 56 ® OMNISTIM 500A USER MANUAL Press the UP or DOWN arrows to adjust the TREATMENT TIME setting. The TREATMENT TIME can be adjusted from 0 MINS to 99 MINS. TREATMENT TIME: 17MINS LOCAL ACUTE Press the SELECT PARAMETERS button again to advance to the next parameter. The next parameter is the CARRIER FREQ.
  • Page 57 ® OMNISTIM 500A USER MANUAL SETTING TREATMENT OUTPUTS: Once the protocol has been selected, the parameters adjusted per treatment requirements, and the electrodes placed on the patient, the treatment outputs can be adjusted per the directions below Once the parameters are adjusted, press the START/STOP button once. The display, depending on the length of time lapsed from parameter adjustment to pressing the START/STOP button, will show one of the two following screens: 1.
  • Page 58 ® OMNISTIM 500A USER MANUAL Adjust the output intensity by using the UP or DOWN buttons for OUTPUT A and OUTPUT B, as shown below: SET OUTPUTS A – B: A: 7mA B: 7mA When the desired output intensity is selected based on patient sensation, press the START/STOP button to initiate the treatment.

  • Page 59: Adjusting Global Factory Settings

    ® OMNISTIM 500A USER MANUAL Adjusting Global Factory Settings When the POWER button is pressed, the following screen appears: SELECT MODALITY/PROGRAM TREATMENT OFF Press SELECT PARAMETER button. The BATTERY VOLTAGE parameter will appear, as shown below. This screen is for informational purposes and cannot be adjusted. BATTERY VOLTAGE: 5.1 TREATMENT OFF Press SELECT PARAMETERS button again to advance to the next setting.
  • Page 60 ® OMNISTIM 500A USER MANUAL Adjust the SCREEN CONTRAST setting by pressing the UP or DOWN arrow buttons, as shown below. The SCREEN CONTRAST setting can be adjusted from 0 to 50. SCREEN CONTRAST TREATMENT OFF Press SELECT PARAMETERS button again to advance to the next setting. The BUTTON SPEED A-B parameter will appear.
  • Page 61 ® OMNISTIM 500A USER MANUAL Press SELECT PARAMETERS button again to advance to the next setting. The BUTTON SPEED BEAT ETC parameter will appear. The default setting is 93, as shown below: BUTTON SPEED BEAT ETC: 93 TREATMENT OFF Adjust the BUTTON SPEED BEAT ETC setting by pressing the UP or DOWN arrow buttons, as shown below. The BUTTON SPEED BEAT ETC setting can be adjusted from 0 to 99.
  • Page 62 ® OMNISTIM 500A USER MANUAL Adjust the BUTTON DELAY setting by pressing the UP or DOWN arrow buttons, as shown below. The BUTTON DELAY setting can be adjusted from 0 to 99. BUTTON DELAY: TREATMENT OFF Press SELECT PARAMETERS button again to advance to the next setting. The AUDIO parameter will appear. The default setting is ON, as shown below: AUDIO: TREATMENT OFF...

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