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Intelect® Advanced Therapy System

SPECIFICATIONS

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WAVEFORM SPECIFICATIONS (continued)

VMS is a symmetrical biphasic waveform with a 100 µsec interphase
interval. Because the pulse is relatively short, the waveform has a low
skin load, making it suitable for applications requiring high intensities,
such as in muscle strengthening protocols.

Output Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes

Output Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-255 mA

Channel Mode . . . . . . . . . . . . . . . . . . . . . . . . . Single, Reciprocal, Co-Contract

Phase Duration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-1000µsec

Mode Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC or CV*

Anti-Fatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Off or On

Set Intensity . . . . . . . . . . . . . . . . . . . . . Individual Channel Intensity Setting in

Reciprocal and Co-Contract modes

Cycle Time . . . . . . . . . . .Continuous, 5/5, 4/12, 10/10, 10/20, 10/30, 10/50

Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-200 pps

Ramp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0.5 sec, 1 sec, 2 sec, 5 sec

Treatment Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 min

Available on Channels . . . . . . . . . . . . . . . . . . . . . . . . 1 & 2, 3 & 4 Option

The Diadynamic waveforms are rectified alternating currents. The
alternating current is modified (rectified) to allow the current to
flow in one direction only.

Output Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes

Output Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-80 mA

Treatment Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 min

Available on channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1, 2, 3, 4

MF:

(Monophasé Fixe) - Frequency of 50 Hz: phase duration of

10 ms followed by a pause of 10 ms.

DF:

(Diphasé Fixe) - Frequency of 100 Hz: phase duration of 10 ms

followed immediately by another identical phase of 10 ms.

CP:

(Modulé en Courtes Périodes) - 1 second of MF followed

abruptly by 1 second of DF.

LP:

(Modulé en Longues Périodes) - Rhythmical fluctuation

between 2 MF currents.

CP-iso:

(Courtes Periodes Isodynamic) - A combination of MF and

DF waveforms.

CP-id:

Same as CP-iso.

MF+CP:

A period of MF followed by a period of CP.

MF+CP-id:

A period of MF followed by a period of CP-ID.

DF+LP:

A period of DF followed by a period of LP.

DF+CP:

A period of DF followed by a period of CP.

*CC= Constant Current

CV= Constant Voltage

VMS

TM

Diadynamic Waveforms

Supplied by EME Services Ltd

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Summary of Contents for Intelect Advanced Therapy System

Page 1: ...FACE 12 SYMBOL DEFINITIONS 13 System Hardware Symbols 13 SystemSoftware Symbols 13 Operator Remote 13 Battery Module 13 Channel 3 4ElectrothrapyModule 13 GENERAL TERMINOLOGY 14 SPECIFICATIONS 15 26 SYSTEM SPECIFICATIONS 15 DIMENSIONS 15 Width 15 Standard Weight 15 Power Combination and Electrotherapy Units 15 Electrical Type 15 WAVEFORM SPECIFICATIONS 16 IFC Interferential Traditional 4 Pole 16 TE...

Page 2: ... Securing Electrodes 38 ULTRASOUND PATIENT PREPARATION 39 Preparing Treatment Area 39 Size of Applicator 39 Applicator Preparation 39 Conductive Medium 39 Treatment Area 39 Applicator Coupling 39 OPERATION 40 94 OPERATOR INTERFACE 40 HOME SCREEN 41 ELECTROTHERAPY SCREEN 42 GENERAL ELECTROTHERAPY WAVEFORM SET UP 43 Prepare Patient 43 Select Modality 43 Select Waveform 43 View Waveform Description 4...

Page 3: ...et Waveform Intensity 60 Intensity Knob Rotation 60 Set Ultrasound Intensity 60 Intensity Knob Rotation 60 Start Treatment 60 Pause Treatment 61 Stop Treatment 61 Save to Patient Data Card 61 ADJUSTING COMBINATION PARAMETERS DURING TREATMENT 62 Edit Waveform Parameters 62 Edit Ultrasound Parameters 62 PATIENT DATA CARD SET UP OF NEW CARD 63 General Information 63 Insert New Patient Data Card 63 Se...

Page 4: ...ect User Protocol to Delete 80 Delete User Protocol 80 CLINICAL RESOURCES LIBRARY USING USER PROTOCOLS 81 Access User Protocols 81 Select User Protocol 81 View Waveform Rationale 81 View Electrode Placement 82 Prepare Patient 82 Edit Modality Parameters 82 Patient Interrupt Switch 82 Set Modality Intensity 83 Intensity Knob Rotation 83 Start Treatment 83 Pause Treatment 84 Stop Treatment 84 Save t...

Page 5: ... onto Module 100 Secure Therapy System to Module 100 Front Access Panel 100 Install Lead Wires and Accessories 101 Install Front Access Panel 101 Mount to Therapy System Cart 101 Connect Mains Power 101 Turn Therapy System On 102 REMOVAL CHANNEL 3 4 ELECTROTHERAPY MODULE 103 Disconnect Mains Power 103 Remove Therapy System from Cart 103 Remove Lead Wires and Accessories 103 Remove Screws Securing ...

Page 6: ...d and follow the information contained in this manual for each mode of treatment available as well as the indications contraindications warnings and precautions Consult other resources for additional information regarding the application of electrotherapy and ultrasound PRODUCT DESCRIPTION The Intelect Advanced Therapy Systems are two channel electrotherapy and combination systems with the option ...

Page 7: ...plain possible safety infractions that will potentially cause serious injury and equipment damage Text with a Dangerous Voltage indicator serves to inform the user of possible hazards resulting in the electrical charge delivered to the patient in certain treatment configurations of TENS waveforms NOTE Throughout this manual NOTE may be found These Notes are helpful information to aid in the partic...

Page 8: ...tor with care Inappropriate handling of the Ultrasound Applicator may adversely affect its characteristics Before each use inspect Ultrasound Applicator for cracks which may allow the ingress of conductive fluid Inspect Applicator cables and associated connectors before each use The Intelect Advanced Therapy System is not designed to prevent the ingress of water or liquids Ingress of water or liqu...

Page 9: ...roperly when TENS stimulation is in use WARNINGS Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the manufacturer In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanooga Group for service Errors and Warnings in these categories indicate an internal ...

Page 10: ...tion of electrical current into the heart may cause cardiac arrhythmia Stimulation should not be applied over swollen infected and inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins etc Stimulation should not be applied over or in proximity to cancerous lesions Output current density is related to electrode size Improper application may result in patient injury If any q...

Page 11: ...nts with an implanted neurostimulation device must not be treated with or be in close proximity to any shortwave diathermy microwave diathermy therapeutic ultrasound diathermy or laser diathermy anywhere on their body Energy from diathermy shortwave microwave ultrasound and laser can be transferred through the implanted neurostimulation system can cause tissue damage and can result in severe injur...

Page 12: ...matic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed This device should not be used when cancerous lesions are present in the treatment area Stimulation should not be applied over swollen infected inflamed areas or skin erruptions e g phlebitis thrombophlebitis varicose veins etc Other contraindications are patients suspected of carrying serious infec...

Page 13: ...the electrical stimulation or electrical conductive medium The irritation can usually be reduced by using an alternative conductive medium or an alternative electrode placement Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner Powered muscle stimulators should be used only with the lead wires and electrodes recommended for use by the manuf...

Page 14: ...ombophlebitis varicose veins etc ULTRASOUND INDICATIONS AND CONTRAINDICATIONS Other contraindications are patients suspected of carrying serious infectious disease and disease where it is advisable for general medical purposes to suppress heat or fevers This device should not be used over or near bone growth centers until bone growth is complete This device should not be used over the thoracic are...

Page 15: ...ccess Panel Patient Data Card and sEMG Data Card access port Multimedia Card MMC access port 1 2 3 4 5 6 5 4 6 1 2 3 7 Two Channel Combination System User Interface See Page 12 Front Access Panel Rear Access Panel Patient Data Card and sEMG Data Card access port Multimedia Card MMC access port Ultrasound Applicator 5cm2 shown Combination Systems Only 1 2 3 4 5 6 Two 2 Channel Combination System 5 ...

Page 16: ... Access Panel Serial Decal 1 2 3 4 5 6 7 2 1 3 4 5 6 Front Access Panel Lanyard When reinstalling the Front Access Panel make certain the Lanyard does not become kinked Operator Remote Control Connector Patient Interrupt Switch Connector Channel 1 Lead Wire Connector Channel 2 Lead Wire Connector Microcurrent Probe Connector Ultrasound Applicator Connector 1 2 3 4 5 6 7 1 2 3 4 5 6 7 7 Rear Access...

Page 17: ...ional 1 cm2 2 cm2 and 10 cm2 applicators available Combination only Intensity Knob Cable and Lead Wire Hook Front Access Panel See Page 11 Start Button Pause Button Stop Button Clinical Resources Library Button Home Screen button Back Button Patient Data Card and sEMG Data Card Port User Set Up and Parameter Control buttons Multimedia Card MMC Port 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 USER INTER...

Page 18: ...ROCURRENT PROBE ULTRASOUND APPLICATOR HOME CLINICAL RESOURCES LIBRARY BACK MOVE UP MOVE DOWN MOVE RIGHT MOVE LEFT ACCEPT AND RETURN DO NOT ACCEPT AND RETURN M INCREASE INTENSITY DECREASE INTENSITY PAUSE TREATMENT MANUAL STIMULATION CHANNEL 3 LEAD WIRES CHANNEL 4 LEAD WIRES MICROCURRENT PROBE CHARGE LEVEL BATTERY CHARGING CHANNEL 3 4 OPERATOR REMOTE CONTROL OPTIONAL PATIENT INTERRUPT SWITCH CONTRAS...

Page 19: ...ct with the patient during Ultrasound or Combination therapy 2 Back button Previous Page button UP and DOWN Arrows Electrotherapy System Module 1 Sound Head 2 Applicator 3 Coupling LED 3 The button used in some modalities and functions that will take the user back one page when reading multiple pages of text Controls used in various modality parameter screens to navigate or change a value up or do...

Page 20: ...d Electrotherapy Units Input 100 240 V 1 0 A 50 60 Hz Output 12 V 8 3 A Fuses Two 6 3A Time Lag Part Number 71772 Electrical Class CLASS I Electrical Type Ultrasound TYPE B Electrotherapy and sEMG TYPE BF Regulatory Compliance UL IEC EN 60601 1 IEC EN 60601 1 2 IEC 60601 2 5 IEC 60601 2 10 SYSTEM SPECIFICATIONS WIDTH DEPTH HEIGHT NOTE All waveforms except High Voltage Pulsed Current HVPC have been...

Page 21: ...form has a short pulse duration It is capable of strong stimulation of the nerve fibers in the skin as well as of muscle tissue This waveform is often used in TENS devices Because of its short pulse the patient typically tolerates the current well even at relatively high intensities Output Mode Electrodes Output Intensity 0 110 mA Phase Duration Adjustable 20 1 000 µsec Frequency 1 250 Hz Mode Sel...

Page 22: ...Rectangular waveform is an interrupted biphasic current with a rectangular pulse shape This waveform is commonly used as a pain management application Output Mode Electrodes Output Intensity 0 100 mA Phase Duration Adjustable 20 1 000 µsec Frequency 1 200 Hz Mode Selection CC or CV Burst Frequency 0 10 bps Frequency Modulation 0 250 Hz Amplitude Modulation Off 40 60 80 and 100 Treatment Time 1 60 ...

Page 23: ...only The high voltage causes a decreased skin resistance making the current comfortable and easy to tolerate Output Mode Electrodes or Probe Output Intensity 0 500 V Polarity Positive or Negative Ramp 0 5 sec 1 sec 2 sec 5 sec Display Peak Current or Volts Sweep Continuous 80 120 pps 1 120 pps 1 10 pps Frequency 10 120 pps Cycle Time 5 5 4 12 10 10 10 20 10 30 10 50 Continuous Treatment Time 1 60 ...

Page 24: ...re rectified alternating currents The alternating current is modified rectified to allow the current to flow in one direction only Output Mode Electrodes Output Intensity 0 80 mA Treatment Time 1 60 min Available on channels 1 2 3 4 MF Monophasé Fixe Frequency of 50 Hz phase duration of 10 ms followed by a pause of 10 ms DF Diphasé Fixe Frequency of 100 Hz phase duration of 10 ms followed immediat...

Page 25: ...0 Hz Treatment Time 1 60 Min Available on Channel 1 2 3 4 Option Russian Current is a sinusoidal waveform delivered in bursts or series of pulses This method was claimed by its author Kots to produce maximal muscle strengthening effects without significant discomfort to the patient Output Mode Pads Output Intensity 0 100 mA Channel Mode Single Reciprocal Co Contract Duty Cycle 10 20 30 40 50 Mode ...

Page 26: ...is a symmetrical biphasic waveform delivered in a burst format Because the pulse is relatively short the waveform has a low skin load making it suitable for applications requiring high intensities such as in muscle strengthening protocols Output Mode Electrodes Output Intensity 0 255 mA Channel Mode Single Reciprocal Co Contract Phase Duration 20 1000 µsec Mode Selection CC or CV Anti Fatigue Off ...

Page 27: ...lar pulse shape Output Mode Electrodes Output Intensity 0 80 mA Phase Duration 0 1 500 0 ms Phase Interval 5 5000 ms Treatment Time 1 60 min Available on Channels 1 2 3 4 Option Stimulus delivered by the TENS waveforms of this device in certain configurations will deliver a charge of 25 microcoulombs µC or greater per pulse and may be sufficient to cause electrocution Electrical current of this ma...

Page 28: ... 10 30 10 50 Treatment Time 1 60 min Available on Channels 1 2 3 4 Option Galvanic Current is a direct current flowing in one direction only The current can be continuous or interrupted Output Mode Electrodes Output Intensity 0 80 mA Polarity Reversal On or Off With Polarity Reversal On Polarity will change every five minutes CycleTime Continuous 5 5 4 12 10 10 10 20 10 30 10 50 Treatment Time 1 6...

Page 29: ...se before the pause This waveform is well suited for muscle strengthening Output Mode Electrodes Output Intensity 0 80 mA Phase Duration 0 2 5 0 ms Frequency 5 60 Hz Surges 1 min 20 min Pause 0 57 sec Treatment Time 1 60 min Available on Channels 1 2 3 4 Option Stimulus delivered by the TENS waveforms of this device in certain configurations will deliver a charge of 25 microcoulombs µC or greater ...

Page 30: ...y 5 60 Hz Surges 1 min 20 min Pause 0 57 sec Treatment Time 1 60 min Available on Channels 1 2 3 4 Option Stimulus delivered by the TENS waveforms of this device in certain configurations will deliver a charge of 25 microcoulombs µC or greater per pulse and may be sufficient to cause electrocution Electrical current of this magnitude must not flow through the thorax because it may cause a cardiac ...

Page 31: ...ltrasound Effective Radiating Areas 10 cm2 Crystal 8 5 cm2 1 5 5 cm2 Crystal 4 0 cm2 1 0 2 cm2 Crystal 1 8 cm2 0 2 0 4 1 cm2 Crystal 0 8 cm2 0 2 0 4 Treatment Time 1 30 min Head Warming Feature The Head Warming feature of an Intelect Advanced Combination Therapy System utilizes Ultrasound output resulting in warming of the Sound Head to increase patient comfort With Head Warming enabled ultrasound...

Page 32: ...el 1 A LeadWire 1 27322 sEMG Channel 2 B LeadWire 1 77725 Intravaginal Probe 1 42061 3 2 cm 1 25 Round Disposable Electrode Pack 4 per pack 3 27455 User Manual CD ROM 1 Color Series Optional Accessories Order No Description 2770 Two Channel Electrotherapy Module 2767 NiMH Battery Module 2766 LaserTherapy Module 2771 sEMG Module 27567 sEMG Accessory Kit 2785 Vacuum Electrode Module 2774 Vacuum Elec...

Page 33: ...o Type Qty 21284 Euro 1 78121 US 1 20971 Australian 1 20972 Swiss 1 20973 UK 1 20974 Danish 1 20975 Japanese 1 20976 Indian 1 20977 Israeli 1 Remove the Therapy System and all accessories from shipping cartons Visually inspect for damage Report any damage to the carrier Order No Description 2770 Two Channel Electrotherapy Module 2767 NiMH Battery Module 2766 LaserTherapy Module 2771 sEMG Module 27...

Page 34: ...en and the cursor will advance to the next character To go back a character press the Move Left Arrow button To delete the character press the Delete button Once Clinic Name is completed press the Save button To discard entry press the Back button Plug unit into wall outlet Turn system On Press the Home and Back buttons simultaneously To return to the System Home screen press the Home button POWER...

Page 35: ...the No button RESTORE DEFAULT PROTOCOLS BUTTON PRESS YES BUTTON TO RESTOREPROTOCOLS Press the Restore Default Unit Settings button to restore the system defaults This control will neither change the Date and Time nor affect any of the Clinical Protocols stored in the system After the settings have been restored a message will appear stating that the Default Unit Settings are restored Press any but...

Page 36: ... rif at o s ag wi ap ar r s an bu on r t r t the ilities scr n ERASE PAT NT CARD BUTT Erase Patie Data Card T RAPY SYSTEM ET UP conti ed I SERT A NT C R BUT ON BUT O ess Set Date a Tim ton Pre s th or Down Arrow button for th respec e r a un il d s e cha e play A t r d s r d ch g re ade r s t k b tt t r t the U i ie c ee E DAT ND TIM U P ESS THE S UP N AR W B T ON CH NGE Se Dat i BACK TO YES U T Y...

Page 37: ...d Head is re coupled to the patient the Treatment Timer will automatically restart Pause and No Beep Pauses Treatment Timer When the Applicator Sound Head is re coupled to the patient the Treatment Timer will automatically restart Beep Emits an audible beep No Beep No beep is emitted Off Turns the Ultrasound Coupling feature Ultrasound Coupling This warning system works in conjunction with the App...

Page 38: ...ph at the bottom of Treatment Review screen for the following waveforms only PAD CONTACT QUALITY BUTTON Pad Contact Quality IFC Traditional 4p Dual Channel Graph IFC Premod 2p Single Channel Graph Russian Single Channel Graph To turn on press Pad Contact Quality button until On is displayed Single Channel Waveforms will display a single bar graph Dual Channel waveforms will display a double bar gr...

Page 39: ... HOME BUTTON TO SET LANGUAGE THERAPY SYSTEM SET UP continued Select Language Install Lead Wires Ultrasound Applicator Patient Interrupt Switch and any other accessories according to the Front Access Panel as illustrated below Refer to page 13 for Symbol Definitions Connecting Accessories to the Therapy System OPERATOR REMOTE OPTIONAL CHANNEL 1 2 PATIENT INTERRUPT SWITCH CHANNEL 1 LEAD WIRE BLACK C...

Page 40: ...ent as a reference point only prior to administering treatment Refer to the respective electrode type instructions on pages 37 through 38 Follow electrode manufacturer instructions ELECTROTHERAPY PATIENT PREPARATION Electrode Placement Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns Output current density is relate...

Page 41: ...vel of contact with the treatment area and most uniform delivery of the prescribed electrotherapy treatment Properly dispose of used Dura Stick Electrodes upon completion of the therapy session Reusable Carbon Electrodes If used for delivery of electrotherapy the Carbon Electrodes must be inserted into the sponges moistened with distilled water prior to placement on the patient These Carbon Electr...

Page 42: ...E Use of conductive medium or sponges is not required or recommended Dura Stick Electrodes are manufactured to ensure the optimum conductivity during therapy when properly applied RED LEAD WIRE BLACK LEAD WIRE Dura Stick Electrode Instructions Connecting Lead Wires Remove the Dura Stick Electrodes from the protective backing and apply to the treatment area as prescribed Ensure the entire electrode...

Page 43: ...ad Wires Insert the lead with the Red electrode connector into electrode Insert the lead with the black electrode connector into the other electrode Make certain the lead wires are seated completely into the electrodes RED LEAD WIRE BLACK LEAD WIRE ELECTROTHERAPY PATIENT PREPARATION continued Reusable Carbon Electrodes LEAD WIRE SEATED SECURE WITH NYLATEX TheNylatex Wrapscontaindrynaturalrubberand...

Page 44: ...nt Sound Heads are available in the sizes shown below Size of Applicator Clean applicator before each therapy session with warm soapy water 1 CM2 2 CM2 5 CM2 STANDARD 10 CM2 Applicator Preparation Conductive Medium APPLY CONDUCTIVE GEL If US Coupling is On the Sound Head is properly coupled to the patient and administering ultrasound when the LED is constantly illuminated Treatment Area Move the S...

Page 45: ...the System is On the indicator will illuminate blue With System On and if the system sits unused the Screen Saver initiates blank screen and the Blue Indicator will flash Back button Used to return back one screen Used in conjunction with the Home button to access the Operator Utilities screen 1 2 3 4 5 OPERATOR INTERFACE Clinical Resources Library button Used to access Clinical Protocols User Pro...

Page 46: ...EMG sEMG Electrical Stimulation modality and parameter editing controls View Edit Channel Accesses the selected channel and allows editing of the channel s parameters during therapy Also used in the saving of information to the Patient Data Card Patient Card Accesses Patient Data Card data Select Channel Use to select desired channel for viewing and editing of channel parameters Unused Reserved fo...

Page 47: ...tem The following pages give a general explanation of a treatment setup Refer to the Specifications section beginning on page 15 for detailed specifications of the system and each available waveform NOTE Give patient the appropriate Patient Interrupt Switch for the channels being used Prior to starting a therapy session explain to the patient how to use the Patient Interrupt Switch Supplied by EME...

Page 48: ...the listing on the screen Press the Waveform Description button to view text explaining the waveform rationale Refer to Specifications section of this manual for all available waveforms on the Intelect Advanced Therapy System Press the Next Page button to view additional text Press the Back button to return to the Treatment Review screen Refer to pages 35 through 38 for electrode selection prepari...

Page 49: ...NEXT PAGE BUTTON BACK BUTTON Press Edit button to access waveform parameters Press the corresponding button to edit each parameter as prescribed Press the Back button to return to the Treatment Review screen Edit Waveform Parameters EDIT BUTTON PARAMETER BUTTONS Make certain the Patient Interrupt Switch is connected to theTherapy System Refer to page 13 for Symbol Definitions NOTE When reinstallin...

Page 50: ...NCE PAUSES SESSION INTENSITY DISPLAYED ROTATE INTENSITY KNOB Clockwise Increases Intensity Counterclockwise Decreases Intensity Intensity Knob Rotation If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from t...

Page 51: ...ing time To resume treatment press the Pause button again Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Home screen will display Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 63 through 72 for Patient Data Card Setup and use PAUSE BUTTON STOP BUTTON Supplied by EME Services Ltd ...

Page 52: ...veform Intensity may be increased or decreased at any time during the session without utilizing this process SELECT CHANNEL BUTTON DESIRED CHANNEL FRAMED VIEW EDIT BUTTON Press the View Edit Channel button The Treatment Review screen will display Edit Channel Paramenters EDIT BUTTON PARAMETER BUTTONS When finished editing the selected channel press the Home button to select another channel if desi...

Page 53: ... when selecting Ultrasound from the Home screen Clinical Protocol and Quick Link Indication Ultrasound treatment parameters are edited in the same basic fashion Press the Ultrasound button on the Home screen Refer to page 39 for Applicator sizes patient preparation and use of conductive medium NOTE Use only Intelect Advanced Ultrasound Applicators Previous models of Chattanooga Group Ultrasound Ap...

Page 54: ... NOTE Head Warming time is approximately 2 minutes Edit Ultrasound Parameters Press the Back button to return to Treatment Review screen EDIT BUTTON PARAMETER BUTTONS BACK BUTTON Head Warming HEAD WARMING BUTTON To set the default of the Head Warming feature to On press the Home button after On is displayed in the Head Warming icon Head Warming will then start when the Therapy System is turned On ...

Page 55: ...s reestablished the session will automatically restart Refer to page 32 for US Coupling settings Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Treatment Review screen will display NOTE If US Coupling is On and the Sound Head looses coupling with the treatment area the session will pause When coupling is reestablished the session will automatically restart ...

Page 56: ...ssion without utilizing this process ADJUSTING ULTRASOUND PARAMETERS DURING TREATMENT Editing Ultrasound from Home Screen SELECT CHANNEL BUTTON VIEW EDIT CHANNEL BUTTON US RUNNING FRAMED EDIT BUTTON When editing is complete press the Back button to return to Treatment Review screen PARAMETER BUTTONS BACK BUTTON Press the cooresponding parameter button and edit as prescribed Editing Ultrasound from...

Page 57: ...tem press the corresponding button for the desired Pathological Severity Select Quick Link Indication QUICK LINK INDICATIONS BUTTON PRESS DESIRED BUTTON Refer to pages 35 through 38 for electrode selection preparing patient and securing electrodes Prepare Patient Available Quick Link Indications Pain Acute SubacuteandChronic IncreaseLocalCirculation NeuromuscularRe education Spasticity MuscleRe ed...

Page 58: ...he Electrode Placement button to view the most commonly used electrode placement for the waveform selected Press the Next button to read Electrode Placement Text Press the Back button to return to the Treatment Review screen ELECTRODE PLACEMENT BUTTON View Electrode Placement NEXT PAGE BUTTON BACK BUTTON Press Edit button to access waveform parameters Press the corresponding button to edit each pa...

Page 59: ...Interrupt Switch to patient and explain that pressing the Red button once pauses the therapy session Patient Interrupt Switch PRESSING BUTTON ONCE PAUSES SESSION If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will cl...

Page 60: ...NSITY DISPLAYED ROTATE INTENSITY KNOB Clockwise Increases Intensity Counterclockwise Decreases Intensity Intensity Knob Rotation Start Treatment Press the Start button to begin therapy session Pause Treatment Press the Pause button to pause therapy session and maintain remaining time To resume treatment press the Pause button again START BUTTON PAUSE BUTTON Supplied by EME Services Ltd ...

Page 61: ...tment Refer to page 47 for parameter changes to electrotherapy waveforms and currents and page 51 for editing Ultrasound NOTE The intensity can be increased or decreased by rotating the Intensity Knob as desired without pressing the Edit button Editing Parameters during Treatment Session Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 63 thr...

Page 62: ...o the Red Lead Wire completes the circuit Press the Combination button on the Home screen Refer to pages 35 through 38 to prepare patient select electrode and securing electrodes Refer to page 39 for Ultrasound patient preparation Connect the Black Lead Wire from Channel 2 to the electrode Make certain the Lead Wire is completely seated in the electrode The Red Lead Wire is not used The Ultrasound...

Page 63: ... Ultrasound parameter as prescribed NOTE See page 49 for Head Warming feature instructions Edit Ultrasound Parameters PARAMETER BUTTONS Press the Electrode Placement button to view the most commonly used electrode placement for Combination therapy Press the Next button to read Electrode Placement Text Press the Back button to return to the Treatment Review screen ELECTRODE PLACEMENT BUTTON View El...

Page 64: ...errupt Switch CONNECT PATIENT INTERRUPT SWITCH PATIENT INTERRUPT SWITCH If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment will remain paused Press the Select Waveform button ...

Page 65: ... session Move the Applicator in a circular motion on the treatment area NOTE If US Coupling is On and the Sound Head looses coupling with the treatment area the session will pause When coupling is reestablished the session will automatically restart See page 32 for US Coupling settings Set intensity by rotating the Intensity Control Knob to the prescribed level Set Waveform Intensity INTENSITY DIS...

Page 66: ...he Pause button again Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Home screen will display COMBINATION continued Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 63 through 72 for Patient Data Card Setup and use PAUSE BUTTON STOP BUTTON Supplied by EME Services Ltd ...

Page 67: ...A S Supplied by EME Services Ltd ...

Page 68: ...eric Pain Scale or Visual Pain Scale and Session Notes stored on card via PC only Each Patient Data Card can store multiple sessions and each session can be recalled on the Intelect Advanced Therapy System With new Patient Data Card inserted in the system press the Save to Patient Card button Insert New Patient Data Card Insert a new Patient Data Card into the system access port as shown below The...

Page 69: ...s the Accept and Return Arrow button The character selected will display in the top of the screen and the cursor will advance to the next position To move back a character press the Left Arrow button To discard entire entry press the Back button Repeat this procedure until the desired Patient ID is entered After Patient ID is entered press the Save button CHARACTER DISPLAYED ACCEPT AND RETURN ARRO...

Page 70: ...ion the selected electrode as close to the actual treatment location as possible Press the Pad button to select the other electrode Repeat above procedure for electrode positioning If applicable press the Chan button to select another channel and repeat above procedures After positioning the electrodes press the Accept and Return Arrow button Electrode Placement ACCEPT AND RETURN ARROW BUTTON ELEC...

Page 71: ...ody area of the associated pain as described by the patient Access Pain Map PAIN MAP BUTTON Select Pain Type Press the Pain Type button until the desired description is displayed in the Pain Type icon PAIN TYPE BUTTON Add Pain Locations Press the Add button The Add Pain Map window will display ADD BUTTON Supplied by EME Services Ltd ...

Page 72: ...e Add button to continue selecting in sequence the radiating path of the pain using the above procedure Up to eight pain locations may be selected ADD BUTTON After all desired Pain Locations have been made press the Back button BACK BUTTON Editing Pain Locations EDIT BUTTON Press the Edit Next button to highlight the Pain Location to be edited Use the Up and Down Arrow buttons to relocate the sele...

Page 73: ...nd Right Arrow buttons to adjust the Pain Scale to the level the patient is experiencing The Intelect Advanced Therapy System incorporates two internationally recognized Pain Scales VAS Visual Analog Scale Scale has no indicator marks or Numeric indicated 1 through 10 for use in describing the amount of pain the patient is experiencing Once one of the pain scales is set the other will automaticall...

Page 74: ...to the Patient Data Card Press any button PATIENT DATA CARD SET UP OF NEW CARD continued Save to Patient Data Card SAVE TO PATIENT CARD BUTTON After pressing any button the Completed Treatment Review screen will display Press the Home button Remove the Patient Data Card for filing with patient records The Patient Data Card can also be used with the optional Patient Data Management System Supplied ...

Page 75: ... Data Card Press the Patient Card button to access Patient Data Card Select the date of the treatment session desired using the Up and Down Arrow buttons until date desired is highlighted UP ARROW BUTTON DOWN ARROW BUTTON View Patient Data Card Press the corresponding button beside the Patient Data to be viewed NOTE No Session Notes will be available unless the optional Patient Data Management Sys...

Page 76: ...escribed level Set Intensity INTENSITY DISPLAYED Clockwise Increases Intensity Counterclockwise Decreases Intensity Intensity Knob Rotation ROTATE INTENSITY KNOB Connect Patient Interrupt Switch to the Therapy System Give Patient Interrupt Switch to patient and explain that pressing the Red button once pauses the therapy session Patient Interrupt Switch CONNECT PATIENT INTERRUPT SWITCH PATIENT INT...

Page 77: ... button to pause therapy session and maintain remaining time To resume treatment press the Pause button again Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Home screen will display Erasing Patient Data Card Refer to page 31 for proper Patient Data Card Erasing instructions START BUTTON PAUSE BUTTON STOP BUTTON Supplied by EME Services Ltd ...

Page 78: ...on and Pathological Severity are selected by the user and the Clinical Protocols algorithm will select the parameter settings These Clinical Protocols are to be used only as guidelines Each patient should be individually assessed to determine the appropriateness of the protocol parameters prior to use All Clinical Protocols can be edited to suit appropriate patient treatment prescription and patie...

Page 79: ... or Ultrasound screen section Select Clinical Indication CLINICAL INDICATION BUTTONS Select Pathological Condition PATHOLOGICAL CONDITION BUTTONS Select Pathological Severity Press the button beside the desired Pathological Condition PATHOLOGICAL SEVERITY BUTTONS NOTE Not all Pathological Conditions have corresponding Pathological Severity windows Some go directly to the associated modality Treatm...

Page 80: ...ality associated with the specific Clinical Protocol selected Press the Back button to return to the Treatment Review screen CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS continued View Waveform Rationale WAVEFORM RATIONALE BUTTON BACK BUTTON View Electrode Placement ELECTRODE PLACEMENT BUTTON BACK BUTTON NEXT PAGE BUTTON Press the Next Page button to view text relating to the electrode placement ...

Page 81: ...itch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment will remain paused Make certain the Patient Interrupt Switch for the channel s being used is connected to theTherapy System Refer to page 13 for Sy...

Page 82: ...he Stop button once Treatment will stop and the Home screen will display CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS continued NOTE Modality parameters may be editied at any time during the therapy session Refer to page 47 for Electrotherapy and page 51 for Ultrasound Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 63 through 72 for Patien...

Page 83: ...lt Protocols It does not include the Clinical Protocols Press the button beside the desired modality on the Home screen or select a Clinical Protocol using the Clinical Resources Library button Select Modality Press the Clinical Resources Library button to begin the save process of the new User Protocol MODALITY BUTTONS CLINICAL RESOURCES LIBRARY BUTTON Press the modality Edit button usually in th...

Page 84: ...d will display in the top of the screen and the cursor will advance to the next position To move back a character press the Left Arrow button To discard entire entry press the Back button Repeat this procedure until the desired User Protocol Name is entered After User Protocol Name is entered press the Save button CHARACTER DISPLAYED ACCEPT AND RETURN ARROW BUTTON LEFT ARROW BUTTON To delete a cha...

Page 85: ... permanently removed from the system There is no method for recovery of the User Protocols nor can they be saved to any other medium Press the Clinical Resources Library button Then press the User Protocols button Select Clinical Resources Library USER PROTOCOLS BUTTON Select User Protocol to Delete UP AND DOWN ARROW BUTTONS PresstheDeletebuttontodeletehighlighted UserProtocol Averificationscreenw...

Page 86: ...resstheAcceptandReturnArrowbutton Select User Protocol UP ARROW BUTTON DOWN ARROW BUTTON ACCEPT AND RETURN ARROW BUTTON Press the Waveform Rationale button Electrotherapy Modalities or the Parameter Rationale Ultrasound Modality button to view the text explaining the rationale for the modality associated with the User Protocol selected Press the Back button to return to the Treatment Review screen...

Page 87: ...otherapy modalities and page 49 for Ultrasound Refer to the sEMG and sEMG Stim Module User Manual for sEMG and sEMG Stim modalities Prepare Patient Refer to pages 35 through 38 for Electrotherapy and page 39 for Ultrasound patient preparation instructions For sEMG and sEMG Stim patient preparation refer to the sEMG and sEMG Stim Module User Manual Edit Modality Parameters EDIT BUTTON Make certain ...

Page 88: ...s Intensity Counterclockwise Decreases Intensity Intensity Knob Rotation If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment will remain paused Start Treatment Press the Start ...

Page 89: ...ain Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Home screen will display Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 63 through 72 for Patient Data Card Setup and use CLINICAL RESOURCES LIBRARY USING USER PROTOCOLS continued PAUSE BUTTON STOP BUTTON Supplied by EME Services Ltd ...

Page 90: ...emory will accommodate up to 200 user defined protocols This is inclusive of all User Protocols Sequences and System Default Protocols It does not include the Clinical Protocols Access Sequencing Press the Clinical Resources Library button Press the Sequencing button SEQUENCING BUTTON Select Sequence Press the Up and Down Arrow buttons until the desired sequence is highlighted Press the Accept and...

Page 91: ...prescribed Press the Back button twice to go back to the Sequence screen Select Second Waveform or Current Press the Down Arrow button on the Sequence screen to highlight the next waveform in the Sequence DOWN ARROW BUTTON Repeat steps used in selecting and editing first waveform current for second and third waveform current Saving New Sequence After all waveforms currents have been selected and e...

Page 92: ... press the Accept and Return Arrow button The character selected will display in the top of the screen and the cursor will advance to the next position To move back a character press the Left Arrow button To discard entire entry press the Back button Repeat this procedure until the desired sequence name is entered After sequence name is entered press the Save button CHARACTER DISPLAYED ACCEPT AND ...

Page 93: ...leted it cannot be recovered Should the Default Protocols be restored through the User Utilities all user defined sequences will be permanently removed from the system There is no method for recovery of the user defined Sequences nor can they be saved to any other medium There are nine Default Sequences indicated by an asterisk that cannot be deleted PresstheDeletebuttontodeletehighlighted Sequenc...

Page 94: ...sstheUPandDownArrowbuttonsuntilthe prescribedSequence ishighlighted PresstheAcceptandReturnArrowbutton Select Sequence UP ARROW BUTTON DOWN ARROW BUTTON ACCEPT AND RETURN ARROW BUTTON Select Waveform Current Press the Down Arrow button on the Sequence screen to highlight the prescribed waveform current in the Sequence Press the Edit button DOWN ARROW BUTTON EDIT BUTTON Supplied by EME Services Ltd...

Page 95: ...ected View Electrode Placement ELECTRODE PLACEMENT BUTTON BACK BUTTON NEXT PAGE BUTTON Press the Next Page button to view text relating to the electrode placement Press the Back button twice to return to the Sequence screen Prepare Patient Refer to pages 35 through 38 for Electrotherapy patient preparation instructions Make certain the Patient Interrupt Switch for the channel s being used is conne...

Page 96: ...ty Intensity Knob Rotation If Patient Interrupt Switch is depressed the treatment will be paused and a message will appear on the System screen Press any button to clear the message NOTE If the Patient Interrupt Switch is depressed a second time the message will clear from the screen and the treatment will remain paused CLINICAL RESOURCES LIBRARY USING SEQUENCES continued Press the Down Arrow butt...

Page 97: ...session and maintain remaining time To resume treatment press the Pause button again Stop Treatment To Stop treatment press the Stop button once Treatment will stop and the Home screen will display Save to Patient Data Card After session is complete press the Save to Patient Card button Refer to pages 63 through 72 for Patient Data Card Setup and use START BUTTON PAUSE BUTTON STOP BUTTON Supplied ...

Page 98: ...l for the clinician to use with the patient Make certain the Multimedia Card MMC is inserted into the system MMC Access Port Press the Clinical Resources Library button Copyright 2003 Nucleus Medical Art All rights reserved www nucleusinc com General Information Select Clinincal Resources Library MMC CARD Select MMC Graphical Library Press the MMC Graphical Library button Select Body Area The defa...

Page 99: ...cal Selections Right Side buttons Pathological Selections PATHOLOGICAL SELECTIONS ANATOMICAL SELECTIONS Anatomical Example Muscles Superficial Press the Back button to return to the selection screen Press the Home button to return to the Home screen Pathological Example Rotator Cuff Tear Press the Back button to return to the selection screen Press the Home button to return to the Home screen Supp...

Page 100: ... internal components of the equipment and render the system unsafe for patient therapy Understand all symbols and their definitions before operating or performing any installation or removal of optional modules and accessories The Symbol Definitions are on pages 2 and 13 of this manual Follow all safety precautions before during and after any treatment Read understand and follow the indications co...

Page 101: ...Cord Routing Port 6 Module to System Connector 7 Operator Remote Control Connector 8 Patient Interrupt Switch Connector 9 Channel 3 Lead Wire Connector 10 Channel 4 Lead Wire Connector 11 Microcurrent Probe Connector Also Included Four 4 mm X 20 mm mounting screws Channel 3 and 4 Lead Wires Patient Interrupt Switch Ch 3 4 Carbon Electrodes Electrode Sponges Sample of Dura Stick II electrodes Nylat...

Page 102: ... IEC EN 60601 1 IEC 60601 2 10 All waveform currents available to the Intelect Advanced Therapy System are available to the Channel 3 4 Electrotherapy Module once installation is complete Refer to pages 16 through 25 for available waveform specifications NOTE All waveforms except High Voltage Pulsed Current HVPC of the Intelect Advanced Therapy System have been designed with a 200 mA current limit...

Page 103: ...rapy System Remove the Therapy System from the Therapy System Cart if equipped Refer to the Therapy System Cart User Manual for proper instructions Place Therapy System face down on a clean working surface protected with a soft clean fabric to prevent damage to the lens REAR ACCESS PANEL MAINS POWER CORD Remove Therapy System from Cart NOTE Do not remove the sEMG Module if installed The sEMG Modul...

Page 104: ...ign the Ribbon Cable Connector to the Module Connector Pins and press down to connect RIBBON CABLE MUST BE AS SHOWN Make certain Ribbon Cable is completely seated to Module Connector Pins Remove and discard the vinyl label holding the Ribbon Cable in the cavity on the Therapy System Carefully unroll the Ribbon Cable making certain not to disconnect it from the Therapy System Release Ribbon Cable C...

Page 105: ...hillips Screwdriver remove the screw retaining the existing Front Access Panel Install Lanyard to the new Extended Front Access Panel using the same screw Do not twist Ribbon Cable If power is applied to the system with misalignment of pins or a twisted ribbon cable the controlling electronics in the Module will be destroyed and possible damage to the System s internal components could occur Set T...

Page 106: ...System Cart If mounting Therapy System to a Therapy System Cart refer to Therapy System Cart User Manual for instructions Install Lead Wires and Accessories Install Lead Wires and additional accessories to Front Panel Refer to page 13 for Symbol Definitions Connect Mains Power Connect the Mains Power Cord to the Therapy System Install Rear Access Panel Connect the Mains Power Cord to an approved p...

Page 107: ...T USETHE SYSTEM until all necessary repairs are made by a Technician certified by Chattanooga Group If use is attempted before repairs are made the System may operate unpredictably and has the potential of causing injury to the patient or damage to the System s internal components Turn the System On using the On Off Switch The System will automatically recognize the added Module and display a conf...

Page 108: ...m the Therapy System Cart if equipped Refer to the Therapy System Cart User Manual for proper instructions Place Therapy System face down on a clean working surface protected with a soft clean fabric to prevent damage to the lens REAR ACCESS PANEL MAINS POWER CORD Remove Therapy System from Cart NOTE It is not necessary to remove the sEMG Module from the Channel 3 4 Electrotherapy Module if instal...

Page 109: ...MODULE continued Disconnect Ribbon Cable at Module Separate the Module from the Therapy System and disconnect the Ribbon Cable from the Module Connector Pins Do not disconnect Ribbon Cable from the Therapy System DISCONNECT RIBBON FROM MODULE ONLY Store and Secure Ribbon Cable Roll the Ribbon Cable up and store in the cavity of the Therapy System Secure Ribbon Cable with a nonpermanent adhesive ta...

Page 110: ...sories to the Therapy System Front Panel Install Lead Wires and Accessories Connect Mains Power Connect the Mains Power Cord to the Therapy System Install Rear Access Panel Connect the Mains Power Cord to an approved power source REAR ACCESS PANEL MAINS POWER CORD NOTE When re installing the Front Access Panel to the Therapy System make certain the Lanyard does not become kinked LANYARD REMOVAL CH...

Page 111: ...installed is the Module displayed in the message BEFORE pressing the START button If it is not DO NOT press the START button Turn the System OFF and back ON If the problem continues call the selling dealer or Chattanooga Group Technical Support immediately DO NOT USETHE SYSTEM until all necessary repairs are made by a Technician certified by Chattanooga Group If use is attempted before repairs are...

Page 112: ...ment area B Replace LeadWires and Electrodes 101 Warning Shorted LeadWires A Check Electrodes and LeadWires Make certain LeadWires are not damaged and are properly connected to the system Make certain LeadWires are properly connected to the Electrodes and that electrodes are not damaged and are making proper contact with treatment area B Replace LeadWires and Electrodes 102 Warning Bad Contact Qua...

Page 113: ...lem continues contact dealer or Chattanooga Group for service 113 Warning Attempting to perform Ultrasound treatment with no Applicator connected to the system A Connect the desired Ultrasound Applicator to the system B If Ultrasound Applicator is connected reset system by turning power switch Off and On C If problem persists connect a known good Ultrasound Applicator If problem continues contact ...

Page 114: ...Card is full Erase Patient Data Card Refer toTherapy System User Manual for instructions 124 Warning PatientTreatment Data already saved A Cannot save same data again on Patient Data Card B Use a new Patient Data Card to resave data C Erase Patient Data Card and resave treatment data 125 Warning Multimedia Card MMC not in system port A Properly insert the MMC card into the system port B Insert a k...

Page 115: ...epartment responsible for installation of theTreatment Room Door Lockout mechanism for maintenance or repair E If problem continues send Laser Module to Factory for service 132 Warning Attempted to start a laser treatment but no Laser Applicator is plugged in A Connect desired Laser Applicator to the system B If Applicator is connected resetTherapy System by turning main power switch Off and On C ...

Page 116: ...139 Warning Laser Board Software upgrade warning Upgrade Laser Board Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions 140 Warning MMC Software upgrade warning Upgrade MMC Software to latest version Contact dealer or Chattanooga Group for latest software upgrade and instructions 141 Warning Battery Module Software upgrade warning Upgrade Ba...

Page 117: ...o system port and no treatment currently being performed Properly insert a Patient Data Card set up and perform the treatment and save data to Patient Data Card In the event that an Error message or Warning appears beginning with a 2 or 3 immediately stop all use of the system and contact the dealer or Chattanooga Group for service Errors and Warnings in these categories indicate an internal probl...

Page 118: ...he following information RA Number Obtain from Factory Therapy System or Module Model Number Therapy System or Module Serial Number Contact Person with Phone and Fax Numbers Billing Address for Out of Warranty Repair Shipping Address Where to Ship Unit after Repair Detailed Description of Problem or Symptoms 2 Copy of original invoice issued at purchase of the Therapy System or Module 3 Ship the u...

Page 119: ...tion or failure in the Product caused by product misuse including but not limited to the failure to provide reasonable and required maintenance or any use that is inconsistent with the Product User s Manual COMPANY SHALL NOT BE LIABLE IN ANY EVENT FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES Some locations do not allow the exclusion or limitation of incidental or consequential damages so the above limi...

Page 120: ... 4717 AdamsRoad P O Box489 Hixson TN 37343 U S A 1 423 870 7200 OUTSIDE U S A 1 423 870 2046 OUTSIDE U S A FAX www chattgroup com ISO 13485 CERTIFIED 0413 2005 Encore Medical L P Supplied by EME Services Ltd ...

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