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- 18 -

 

 

  OMNISTIM

®

 500 PRO USER MANUAL 

 

 

COPYRIGHT © 2004 - 2018, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED 

 

OMNISTIM

®

 

500 PRO PROGRAM MENU 

 

Pain Control 

 

The following protocols are found by pressing the PAIN protocol button.  The first protocol displayed is IFC 

SENSORY.  Other protocols follow, in the sequence presented below, by continuously pressing the PAIN button. 

 

  A.   IFC SENSORY: 

Provides symptomatic relief of superficial and deep pain from localized dermatome or segmental origin.  

Bilateral, bipolar or quadripolar application through the painful area or over the involved spinal segments.  

Apply parallel to incision line for post op pain management.  Set intensity to illicit a pleasant tingling 

sensation, just below muscle contraction.  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.  Fast onset of relief is usually within 15-20 minutes. 

 

 

USER ADJUSTABLE 

PARAMETER (Y/N) 

ORDER IN 

PARAMETER 

SET LOOP 

PARAMETER NAME 

ADJUSTABLE 

RANGE (UNIT) 

DEFAULT 

(UNIT) 

N 

 

CARRIER FREQ 

 

5.0 (kHz) 

N 

 

BURST FREQUENCY 

 

100 (Hz) 

N 

 

BURST RATE SCAN 

 

20 (%) 

N 

 

RATE SCAN 

 

ON 

N 

 

RATE SCAN TIME 

 

20 (s) 

Y 

2 

VECTOR 

Slow 45,  Fast 45, 

Slow 90, Fast 90, OFF 

Fast 90 

Y 

1 

TREATMENT TIME 

0…99 (min) 

15 (min) 

 

  B.   TENS-LVPC SENSORY: 

This program provides symptomatic relief of superficial pain from localized dermatome or segmental 

origin.  Bilateral, bipolar application through the painful area or over the involved spinal segments.  Apply 

parallel to incision line for post op pain management.  Set intensity to illicit a pleasant tingling sensation, 

just below muscle contraction.  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.  Fast onset of relief is usually within 15-20 minutes. 

 

USER ADJUSTABLE 

PARAMETER (Y/N) 

ORDER IN 

PARAMETER 

SET LOOP 

PARAMETER NAME 

ADJUSTABLE 

RANGE (UNIT) 

DEFAULT 

(UNIT) 

Y 

2 

PHASE DURATION 

40…300 (μs)

 

80 (μs)

 

Y 

3 

PULSE RATE 

0.0…250 (Hz) 

100 (Hz) 

N 

 

PHASE DURATION MOD 

 

20 (%) 

N 

 

MODULATION 

 

OFF 

N 

 

RATE SCAN TIME 

 

4 (s) 

Y 

1 

TREATMENT TIME 

0…99 (min) 

15 (min) 

N 

 

CHANNEL MODE 

 

A/B SIM. 

                         

 

 

Summary of Contents for OMNISTIM 500 PRO

Page 1: ...e 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...

Page 2: ...e Diathermy devices and advanced Therapeutic Exercise Systems Our OMNISWD MEGAPULSE OMNIVERSA NEUROPROBE OMNISTIM OMNISOUND OMNICYCLE OMNISTAND OMNIVR and SYNCHRONY DYSPHAGIA SOLUTIONS by ACP represent the most recent worldwide advances available for therapeutic application of electromedical devices and other rehabilitation technology ACP is internationally recognized for its contribution to resea...

Page 3: ...uments Caution electrical precautions Remote Control connection CE mark of confidence compliant to MDD 93 42 EEC Connection Electrode Cable IP2X Classification against intrusion of water dust accidental contact of a body part Proper disposal required Do not dispose of with regular household waste Follow state and or local regulations Alternating current device Observe the user manual Consult instr...

Page 4: ...ons 13 Universal Precautions Body Substance Isolation 13 Cleaning Disinfecting of the Omnistim 500 Pro 13 Cleaning and Low Level Disinfection 13 Intermediate Level Disinfection and Barriers 13 Use of Barriers Intermediate Level Disinfection 14 MODES OF OPERATON 15 Pain Control 15 Circulation 16 Muscle Tone Spasm 17 Range of Motion ROM 17 Muscle Re Education 17 OMNISTIM 500 PRO PROGRAM MENU 18 Pain...

Page 5: ...cle stimulator devices should only be used under medical supervision for adjunctive therapy for the treatment of medical diseases and conditions Contraindications Do not use this device on patients who have a cardiac pacemaker implanted defibrillator or other implanted metallic or electronic device because this may cause electric shock burns electrical interference or death Note There is no contra...

Page 6: ...vice can pick up the magnetic field output of the diathermy and through induction convert it into an electrical field transmit the energy into the patient increasing the current density at the electrodes of applicators Since the patient may not feel the 27 MHz frequency they lack the protective sensation and tissue burns could result Short wave field could potentially damage or reset medical devic...

Page 7: ... and federal survey and JCAHO require all equipment to be maintained and calibrated according to the manufacturer recommended schedules A potential electric shock hazard exists once the device outer casing has been in part or fully removed Only qualified service personnel should perform Service and repairs Warranty will be voided if the outer casing has been removed or tampered with Use caution wh...

Page 8: ...cal procedures fractures or healing bone and soft tissue when muscle contraction may disrupt the healing process Caution should be used for patients with suspected or diagnosed epilepsy Patients with suspected or diagnosed epilepsy should follow precautions recommended by their physicians Electrodes should not be placed in direct contact or in close proximity one inch or less of each other during ...

Page 9: ... 500 Pro If questions remain unanswered contact your ACP sales representative or call 1 800 350 1100 Outside the USA call 1 775 685 4000 Introduction The Omnistim 500 Pro is designed to provide Interferential Current Therapy IFC Medium Frequency Alternating Currents MFAC Low Voltage Pulsed Current LVPC and High Voltage Pulsed Current Therapy HVPC Its two separate generators produce medium frequenc...

Page 10: ...ult display SELECT PROTOCOL TREATMENT OFF E LEAD WIRE TESTER indicator LED When lead wires are properly connected to the LEAD WIRE TESTER the LED will display green if lead wires function properly and it will be red if lead wires are faulty or are not connected to the LEAD WIRE TESTER properly F Connector for the distal patient end of the lead wire when testing lead wire in the LEAD WIRE TESTER Ob...

Page 11: ...power supply is plugged in and power is supplied to the unit V Solid carrying handle for easy transport of the unit Factory Settings The Omnistim 500 Pro comes with the following factory settings Button Speed A B Output 91 Audio ON These are generally suitable for most clinicians To adjust these default settings proceed as follows 1 When the main screen comes up and states SELECT PROTOCOL TREATMEN...

Page 12: ...00 Hours Operational Sequence 1 Press the POWER button 1 5 to turn on the power The display panel will illuminate There will be no stimulation current and the unit will be in the SELECT PROTOCOL mode 2 At this time select the appropriate treatment protocol by pressing one of the protocol buttons 2 to select PAIN CIRCULATION MUSCLE TONE SPASM ROM or MUSCLE RE ED protocols 3 Press the SELECT PARAM b...

Page 13: ... followed by set up of output B 5 Adjust output by pressing the up down buttons 3 for channel A and channel B When the desired output is obtained press the START STOP button 4 to begin treatment The following screen will be displayed At this time the timer display on right side of the screen will display the selected treatment time and will continuously display time remaining during treatment 6 Du...

Page 14: ...r or in Quadripolar Interferential mode for patient treatment With medium frequency currents the energy of each individual pulse is low providing for stimulation of only one or two neurons Since the pulses are coming in very rapid succession stimulation of surrounding neurons occurs prior to completion of the previous neurons refractory period This allows for asynchronous activation of individual ...

Page 15: ...technique for muscle stimulation This technique utilizes two electrodes but not exclusively of the same size One electrode should be applied over the motor point and the other electrode over the belly of the muscle as far away from the motor point as possible This technique allows for more effective muscle and nerve fiber recruitment since the entire neural innervation of the muscle is furnished w...

Page 16: ...sites to decrease or eliminate skin irritation on electrically sensitive patients If skin irritation persists with alternate site applications decrease the treatment times and lower the intensities if necessary discontinue treatment If an allergic reaction is suspected attempt to identify and change the allergic substance s If skin irritation persists discontinue treatment until the source of irri...

Page 17: ...ty infection control policy ACP recommends the following guidelines Cleaning and Low Level Disinfection This is a recommended daily housekeeping practice to keep the equipment clean and free of contaminants which could contribute to transmission of infection The following practices are recommended for use when treating intact skin without the presence of physiologic fluids such as blood and urine ...

Page 18: ... 2 Apply Intermediate Level Disinfection prior to barrier application 3 Select tear or cut with clean scissors a length of barrier film to fit over the operator surfaces of the Omnistim 500 Pro unit 4 Select and cut with clean scissors a 2 foot length of plastic sleeve and fit over the lead wire and the electrode cabling 5 Prepare any items which may become in contact with the therapist during tre...

Page 19: ... Treatment time of 15 minutes Motor level stimulation activates motor and A delta fibers causing the release of Bendorphin systemically Duration of relief is typically from 2 6 hours Slow Onset of relief usually within 15 minutes to 1 hour Target tissue superficial and deep Bipolar placement over local and distal acu trigger points quadripolar placement over area of local pain or quadripolar place...

Page 20: ...easant tingling sensation just below muscle contraction The patient will feel a higher intensity at trigger points motor points or over painful areas as the transducer is moved over the treatment site which may illicit a muscle contraction Press PAIN button until screen reads COMBO HVPC SENSORY Connect the Negative Black CHA lead wire to the Ultrasound input port Set US output parameters and apply...

Page 21: ... INDICATION STIMULATION PARAMETERS MECHANISM OF ACTION APPLICATION TECHNIQUE OPERATIONAL SEQUENCE MFAC INCREASE ROM To provide e stim assisted passive or active assisted R O M at a joint 2500Hz 35 BPS 4Sec ON and 12Sec OFF time Channels fire alternately Ramps are for 2Sec ON OFF Treatment time of 15 minutes Activation of muscle causing contraction of the agonist and antagonist to move the joint an...

Page 22: ...AMETER Y N ORDER IN PARAMETER SET LOOP PARAMETER NAME ADJUSTABLE RANGE UNIT DEFAULT UNIT N CARRIER FREQ 5 0 kHz N BURST FREQUENCY 100 Hz N BURST RATE SCAN 20 N RATE SCAN ON N RATE SCAN TIME 20 s Y 2 VECTOR Slow 45 Fast 45 Slow 90 Fast 90 OFF Fast 90 Y 1 TREATMENT TIME 0 99 min 15 min B TENS LVPC SENSORY This program provides symptomatic relief of superficial pain from localized dermatome or segmen...

Page 23: ... 0 5 0 10 0 kHz 2 5 kHz Y 4 BURST FREQUENCY 0 0 250 Hz 4 0 Hz N BURST RATE SCAN 50 N RATE SCAN ON N RATE SCAN TIME 20 s Y 2 VECTOR Slow 45 Fast 45 Slow 90 Fast 90 OFF Fast 90 Y 1 TREATMENT TIME 0 99 min 15 min D TENS LVPC MOTOR Symptomatic relief of superficial pain with inflammation or pain of a generalized or multi segmental nature Bilateral placement over local and distal acu trigger points or ...

Page 24: ...DJUSTABLE PARAMETER Y N ORDER IN PARAMETER SET LOOP PARAMETER NAME ADJUSTABLE RANGE UNIT DEFAULT UNIT N CARRIER FREQ 5 0 kHz N BURST FREQUENCY 15 0 Hz N BURST RATE SCAN 50 N RATE SCAN ON N RATE SCAN TIME 15 s Y 2 VECTOR Slow 45 Fast 45 Slow 90 Fast 90 OFF OFF Y 1 TREATMENT TIME 0 99 min 5 min IFC Motor Sensory Subprogram 2 USER ADJUSTABLE PARAMETER Y N ORDER IN PARAMETER SET LOOP PARAMETER NAME AD...

Page 25: ...AN TIME 15 s Y 2 VECTOR Slow 45 Fast 45 Slow 90 Fast 90 OFF OFF Y 1 TREATMENT TIME 0 99 min 10 min IFC Sensory Motor Subprogram 1 USER ADJUSTABLE PARAMETER Y N ORDER IN PARAMETER SET LOOP PARAMETER NAME ADJUSTABLE RANGE UNIT DEFAULT UNIT N CARRIER FREQ 5 0 kHz N BURST FREQUENCY 2 0 Hz N BURST RATE SCAN 50 N RATE SCAN ON N RATE SCAN TIME 15 s Y 2 VECTOR Slow 45 Fast 45 Slow 90 Fast 90 OFF Fast 90 Y...

Page 26: ... Y 1 TREATMENT TIME 0 99 min 15 min Circulation The following protocols are found by pressing the CIRCULATION protocol button The first protocol displayed is HVPC SENSORY Other protocols follow in the sequence presented below by continuously pressing the CIRCULATION button A HVPC SENSORY Symptomatic relief of pain from localized dermatome or segmental origin as well as increased circulation Monopo...

Page 27: ...6 RAMP DOWN 0 0 9 9 s 2 0 s Y 3 T ON 0 30 s 10 s 1 Y 4 T OFF 0 199 s 20 s 1 Y 7 Channel Mode A B SIMULTANEOUS A B ALTERNATE B DELAYED A B ALT 1 When T OFF 0 T ON CONTINUOUS 2 B OUTPUT DELAY parameter is shown only when the Channel Mode is set to B DELAYED Muscle Tone Spasm The following protocols are found by pressing the MUSCLE TONE SPASM protocol button The first protocol displayed is MOTOR NERV...

Page 28: ...OFF 0 T ON CONTINUOUS 2 B OUTPUT DELAY parameter is shown only when the Channel Mode is set to B DELAYED C MFAC RECIPROCAL INHIBITION Reduces muscle tone spasm of spastic muscle A single channel A or B is used over the spastic muscle s antagonist Set intensity to elicit a grade 2 3 muscle contraction Ensure the intensity is not too high to induce overflow activation of the spastic muscle Reduce tr...

Page 29: ...ade 3 4 muscle contraction Activation of muscle causing contraction of the agonist and antagonist causes joint movement and improved R O M USER ADJUSTABLE PARAMETER Y N ORDER IN PARAMETER SET LOOP PARAMETER NAME ADJUSTABLE RANGE UNIT DEFAULT UNIT Y 9 CARRIER FREQ 2 0 2 5 4 0 5 0 10 0 kHz 2 5 kHz Y 6 BURST FREQUENCY 0 0 250 Hz 35 Hz N BURST RATE SCAN 20 N RATE SCAN ON N RATE SCAN TIME 4 s Y 1 TREAT...

Page 30: ... 8 2 B OUTPUT DELAY 0 0 9 9 s 0 0 s Y 4 RAMP UP 0 0 9 9 s 2 0 s Y 5 RAMP DOWN 0 0 9 9 s 2 0 s Y 2 T ON 0 30 s 10 s 1 Y 3 T OFF 0 199 s 50 s 1 Y 7 Channel Mode A B SIMULTANEOUS A B ALTERNATE B DELAYED A B SIM 1 When T OFF 0 T ON CONTINUOUS 2 B OUTPUT DELAY parameter is shown only when the Channel Mode is set to B DELAYED B LVPC SURFACE MUSCLE Treatment of muscle disuse atrophy for strength developm...

Page 31: ...ed on the fact that they cause temporary nerve membrane depolarization while present This effect is known as Wedensky Inhibition or nerve block Medium frequency currents have an inhibitory effect on pain transmission and sensation within the field of treatment This effect is responsible for the decreased sensation under the stimulation electrodes Medium frequencies are also selected due to their e...

Page 32: ... of pain The effects of full field interferential current therapy may be described as follows a Stimulation of deep and surface tissues b May be used to produce deep and surface analgesia via nerve block Wedensky Inhibition when MF mode is used 3 Vector Technique In order to move the position of the deep interferential fields researchers developed systems to alter the relative amplitudes between s...

Page 33: ...se intensity to maximum patient tolerance during each contraction Place electrodes in a monopolar bipolar or quadripolar pattern on the muscles in spasm The treatment time should be of approximately 20 minutes duration repeated 2 or 3 times per week c Increased Blood Flow Edema Reduction Long and short term electrical stimulation of muscle has been shown to alter the vascular dynamics affecting lo...

Page 34: ... Voltage Pulsed Current LVPC High Voltage Pulsed Current HVPC PULSE RISE TIME 500 NANOSECONDS INTERPHASE INTERVAL 100 MICROSECONDS 0 250 VOLTS LOW VOLTAGE PULSED CURRENT WAVEFORM LVPC is generally used for surface and smaller muscle stimulation and pain control with TENS technique HIGH VOLTAGE PULSED CURRENT WAVEFORM Continuous or surged operation with fully adjustable ON and OFF times and ramps a...

Page 35: ...ectors while observing polarity red black Plug the device end of the lead wire into the receptacle labeled LEAD WIRE TESTER When the POWER is on green LED will turn on if the lead wire passes the test LED will be red if the lead wires are faulty and need to be replaced See Figure 7 below Remove electrode s and replace if necessary Patient cannot detect output Failure of lead wire s electrode s or ...

Page 36: ... thoroughly as needed Figure 3 Figure 3 3 Verify the switch inside the battery compartment is set to the RECHARGEABLE BAT position assuming rechargeable batteries are being used which is recommended 4 Install the rechargeable batteries into the unit 5 Verify the battery door opens and closes correctly The door should lock into place when closed INSPECT POWER SUPPLY OPERATION 1 Connect the power co...

Page 37: ...nking Figure 6 5 Power on the stimulator and verify that you hear a click of the safety circuit relay energizing Figure 6 Charge light For reference only Charge light solid charging in progress Charge light blinks slowly charging completed Charge light flickers blinks rapidly batteries not installed or are not charging properly Press power supply switch ON ...

Page 38: ...s flickering between red to green the lead wire should be replaced Figure 7 UNIT OUTPUT TEST When testing a unit for output the output tester should be used on a constant output protocol Power unit ON Insert output tester into channel A Select Pain IFC Sensory Increase the output level to 20mA on channel A Observe the output tester LED If the output tester has a solid brightly lit LED then there i...

Page 39: ...biphasic square wave LVPC or monophasic pulsed current HVPC mode Output Amplitude IFC FD and NMES modes 0 to 70 mA RMS current into a 500Ω LVPC mode 75mA P P HVPC mode 250VDC peak into 500Ω loads Channel Isolation Independent transformer isolation Line Leakage 50 µA when operated with the charger system IFC MODES Frequency Difference Rate Output channel A fixed at 2KHz 2 5KHz 4KHz or 5KHz Output c...

Page 40: ...utput is simultaneous In delayed mode channel B is delayed TIMING SELECTIONS Ramp Time Adjustable from 0 1 to 9 seconds in 0 1 second increments Ramps overlap in NMES Alt mode or with channel delay ON Time Adjustable from 1 to 30 seconds in 1 second increments OFF Time Adjustable from 0 continuous to 199 seconds in 1 second increments PATIENT SAFETY SYSTEMS Activation Patient safety hand control s...

Page 41: ...ce Interferential MFAC Russian style NMES High Volt Pulsed Current HVPC and Low Volt Pulsed Current LVPC Shipping Weight 5 lbs 2 3 kg Accessories ITEM ITEM NO DESCRIPTION 48758 Lead Wire Standard Blue Green pair 39555 Patient Safety Switch 51122 Omnistim Power Supply 110v 19856 Omnistim Power Cord A C Hospital Grade 13331 Omnistim Output Tester 67652 Omnistim Leatherette Soft Carry Case 65662 Rech...

Page 42: ...ound Care ONLY Infection Control Supplies ITEM ITEM NO DESCRIPTION 52479 Barrier Film for Surfaces Infection Control 4 x 6 perforated sheets 1200 sheets roll 66431 Barrier Film for Surfaces Infection Control 6 x 9 perforated Sheets 1200 sheets roll 50593 Barrier Film for Surfaces Infection Control 12 x 14 perforated Sheets 800 sheets roll 63574 Protective Barrier Tubing 3 1200ft roll 55536 Super S...

Page 43: ...oid if any of the following have occurred 1 The product contains repairs or replacement parts not furnished by ACP 2 The product is damaged resulting from misuse or negligence 3 The product has been tampered with and or altered including serial number alteration Note Use of the Equipment with accessories and or supplies not approved by ACPL for use with the Equipment may void the warranty if such ...

Page 44: ... warranty ACP is not responsible for any loss or damage to the Equipment prior to receipt at the 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 Note Any Equipment sent to the ACP Service Center that is not covered by the ACP Limited Product War...

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