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Triton® Traction

48

operAtion

dts pull pAtterns (iF ApplicAble)

The DTS Pull Patterns, only available with P/N 2842 Triton DTS Card, offer a
selection of various intermittent traction programs. It is up to the clinician
to determine the applicability and appropriate parameters of the presets
as applied to the patient.

Selecting a DTS Pull Pattern

Turn the traction unit off with the On/
Off Switch on the back of the unit.

Remove the Multimedia Card (MMC)
from the front of the traction unit.

NOTE:

The Multimedia (MMC) Card can

be discarded once removed.

Insert the Triton DTS Card into the
Multimedia Card (MMC) Port.

Turn the traction unit on with the On/
Off Switch on the back of the unit.

A message will display on the Touch
Screen User Interface saying,

"Unit has

been changed to a DTS unit. Touch
anywhere to continue."

From the Home Screen, press the DTS
Pull Pattern button.

Choose the desired body area for the
DTS Pull Pattern.

Select one of the five desired DTS Pull
Patterns.

NOTE:

The DTS Pull Pattern parameters

      can be edited and saved as the
      default Pull Pattern or as a User
      Protocol.

(See the User

Protocol Section on Pages
43 - 44 for more information)

Installing DTS Software Upgrade Card

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Summary of Contents for Triton 4749

Page 1: ...Moving Rehabilitation Forward User Manual Model 4749 Triton Traction Unit Model 4798 Triton DTS Traction Unit Electromagnetic Compatibility EMC Tables ISO 13485 Certified ...

Page 2: ...tch Hook 19 Installing the sEMG Module 20 Removing the sEMG Module 21 Initial Unit Setup 22 23 Operation 24 48 Patient Preparation 24 25 Operating Controls Home Screen 26 28 Operating Controls Treatment Screen 29 32 sEMG Traction Treatment 33 35 Starting Pausing and Stopping Treatment 36 37 Saving Treatment to a Patient Data Card 38 40 Retrieving Data from Existing Patient Data Card 41 Erasing Pat...

Page 3: ...onal information regarding the application of traction therapy Product Description The Triton traction unit is a simple to use digital touch screen user interface traction unit that offers static intermittent and cyclic traction with user definable hold rest and treatment times An optional sEMG Module and DTS software upgrade are available for separate purchase Patient Pain Profiles are recorded b...

Page 4: ... a WARNING indicator will explain possible safety infractions that will potentially cause serious injury and equipment damage Danger Text with a DANGER indicator will explain possible safety infractions that are imminently hazardous situations that would result in death or serious injury Precautionary INSTRUCTIONS ABOUT TRACTION THERAPY NOTE Throughout this manual NOTE may be found These Notes are...

Page 5: ...hat have been previously used as the electrodes used with this unit are designed for single use only Do not operate the unit when connected to any unit other than Chattanooga devices Do not use devices manufactured by other companies on Chattanooga equipment DJO LLC is not responsible for any consequence resulting from using products manufactured by other companies Handle the unit with care Inappr...

Page 6: ...n the patient harness adjustment straps This device should only be used under the continued supervision of a licensed practitioner Care must be taken when operating this unit adjacent to or stacked with other equipment Potential electromagnetic or other interference could occur to this or other equipment Try to minimize this interference by not using other equipment i e cell phones etc in conjunct...

Page 7: ...ories other than those supplied with the system or recommended by DJO LLC The safety of other products has not been established and their use could result in injury to the patient To prevent accidental disengagement this unit must be securely attached to the mounting surface of the pedestal or traction stand It is the responsibility of the user to verify the adequacy of the installation before use...

Page 8: ...s The shorter duration is usually coupled with more tension Static lumbar traction is most effective if a split table is utilized to reduce friction It is important that it is the type that maintains constant tension This way any slack developed as the patient relaxes during the traction therapy is automatically taken up and the desired amount of traction is maintained Static traction is sometimes...

Page 9: ...t problems Joint pain Radicular pain Discogenic pain Prolapsed discs The Triton traction device achieves these effects through mechanical traction of intervertebral discs that is unloading due to distraction and positioning Traction is contraindicated for the following Structural disease secondary to tumor or infection Patients with vascular compromise Any condition for which movement is contraind...

Page 10: ...hat the Traction Cord does not contact the side of the slot from which it extends Traction Cord Patient Interrupt Switch Receptacle Touch Screen User Interface Clevis Attachment Slots Should Traction Cord fray or damage to the Traction Cord or knot be apparent from visual inspection immediately stop use of the unit and contact the Dealer or DJO LLC for service Do not attempt to repair the Traction...

Page 11: ...tus not included such as cervical or wrist Do not use the Clevis as a handle to pick up or carry the unit Patient Interrupt Switch Receptacle The Patient Interrupt Switch Receptacle is located on the front of the unit The Patient Interrupt Switch is essential for the functioning of the unit If it is not connected or if it is malfunctioning the unit will not work sEMG Lead Wire Receptacle Model 479...

Page 12: ...ted on the back of the unit This switch controls the flow of electricity from the outlet to the unit Mains Power Cord Receptacle The Mains Power Cord Receptacle accepts the Mains Power Cord female end Screen Contrast Control The Screen Contrast Control is used to set a comfortable viewing of brightness of the Touch Screen User Interface Functional On Monochrome Units Only Screen Contrast Control P...

Page 13: ...Triton Traction 11 NOMENCLATURE base unit rear view continued Lock Knob The Lock Knob is used to clamp the Triton traction unit to the base i e pedestal traction stand ...

Page 14: ...the screen to reactivate 2 Clinical Resources This button allows you to access the following features of the traction unit Patient Card Protocols Patient Card Patient Name Retrieve Protocol Edit Current Pain Profile Save Protocol Edit Save Completed Pain Profile Clinical Protocols Erase Patient Card Utilities Unit Settings 3 Stop This button will stop the treatment program Traction tension slowly ...

Page 15: ...efore any operation of the unit Contrast Control On Off Switch Data Port Factory Use Only Patient Card Multi Media Card MMC DTS Software Upgrade Card Stop Treatment Pause Treatment Start Treatment System Hardware Symbols Patient Interrupt Switch Clinical Resources Home Move UP Move DOWN Accept and Return System Software Symbols Cancel Back Lock Unlock Lock Knob sEMG Lead Wires Forward ...

Page 16: ...l Type Type B sEMG Electrical Type Type BF Traction Modes Static Intermittent Cyclic and their combinations Traction Type Mechanical LCD Display High contrast color touch screen Traction Tension Parameters Minimum Maximum Increments Traction Period 1 minute 99 minutes 1 minute Hold Period 0 seconds 99 seconds 1 second Rest Period 0 seconds 99 seconds 1 second Traction Tension 0 kg 0 lb 0 N 90 kg 2...

Page 17: ...tivity 1 0 µV RMS Frequency Range 15Hz 1000Hz with CMMR of 120 dB CMMR at 50 60 Hz 180 dB Weight 146 g 5 2 oz Product Type Internally Powered Triton Traction Unit Electrical Class Class I Electrical Type Type BF For Continuous Operation Regulatory Compliance Depth Height Width Meets Directive 93 42 EEC IEC UL EN 60601 1 60601 1 2 Certified to CAN CSA Standard C22 2 No 601 1 M90w A2 ...

Page 18: ... compatibility One or more of the following markings may appear on the device Meets Directive 93 42 EEC IEC UL EN 60601 1 60601 1 2 Certified to CAN CSA Standard C22 2 No 601 1 M90w A2 Refer to Instruction Manual Booklet Type B Equipment Type BF Equipment Protective Earth This product complies with WEEE Directive 2002 96 EG waste electrical and electronic equipment Separate collection for electric...

Page 19: ...5 sEMG lead wire 2 44 m 8 ft in cable length unshielded 24 28 AWG 4 Dura Stick II Electrodes 3 cm 1 25 in Round 4 Dura Stick II Electrodes 5 cm 2 in Round Patient Interrupt Switch 2 75 m 9 ft in cable length shielded 26 AWG Patient Interrupt Switch Hook Kit Mains Power Cord 203 cm 80 in in cable length shielded 18 AWG User Manual CD ROM NOTE When shipping the unit back to the dealer or factory mak...

Page 20: ...here is a good connection between the Mains Power Cord and the Mains Power Cord Receptacle Always make certain that the Mains Power Cord is properly plugged into the unit 4 Check the voltage rating on the serial plate located on the back of the unit Plug the Mains Power Cord into a 100V 240V AC outlet as required Replace the cover on the back of the unit To prevent accidental disengagement this un...

Page 21: ...le cap off Place the Patient Interrupt Switch Hook over the screw hole and tighten the Hook Screw in place Insert the Patient Interrupt Switch Hook Cover to cover the hook screw hole The Patient Interrupt Switch can now be placed on the Patient Interrupt Switch Hook The Patient Interrupt Switch Hook may be placed on either the left or right side of the unit to hook the Patient Interrupt Switch ...

Page 22: ...ance installation removal or replacement procedures to prevent electrical shock and possible damage to the unit Gently push the sEMG Module into the front of the traction unit Once the plastic of the unit and the module are aligned the connector should be inserted properly with the tabs locked in place Plug the traction unit back into the power source Connect the Patient Interrupt Switch and the s...

Page 23: ...r should be inserted properly with the tabs locked in place Plug the traction unit back into the power source Connect the Patient Interrupt Switch into its receptacle Turn the unit on The traction unit should automatically recognize that the sEMG Module has been removed with the sEMG Traction button now being inactive on the Home Screen Turn the unit off Disconnect the traction unit from its power...

Page 24: ...ill also give three audible tones of that level NOTE The default of the unit volume is set at Medium Units of Measure There are three units of measure to choose from kilograms kg pounds lbs and newtons N Press the Unit of Measure button to toggle to the desired unit of measure and the setting will automatically save NOTE The default of the unit of measure is set in kilograms kg Set Date and Time P...

Page 25: ...utton until the desired language is displayed and the setting will automatically save The available languages are English German French Italian Spanish Dutch Portuguese Danish Norwegian Swedish Finnish Turkish Greek Chinese Czech Polish NOTE The default of Language is set as English Reset Unit Settings Press the Reset Unit Settings button to restore the unit defaults Clinic Name Volume Unit of Mea...

Page 26: ... must be plugged in for the unit to operate If the Patient Interrupt Switch is not inserted into the traction unit a continuous audible tone will sound and a message will display saying Patient Switch is not plugged into the unit Correct the problem Touch the Screen anywhere to continue 2 Turn the unit on from the Power On Off Switch located on the back of the unit Wait about five seconds for the ...

Page 27: ... Clip to the connection point of the traction harness according to the manufacturer s instructions In the event of a loss of power to the unit or when quick release is needed traction tension should only be released by having the patient move towards the traction head to release the tension on the rope Once the tension on the rope has been released loosen the patient harness adjustment straps Use ...

Page 28: ...ly go to the Treatment Screen Edit Button provides access to the Treatment Screen to set up parameters for treatment Back and Home Buttons go back to the Home Screen Rope Release Releases the Traction Cord from the unit Lumbar Traction The Lumbar Traction button will go straight to the Lumbar Traction menu The Lumbar Traction menu offers the following options Traction Rationale Button provides a d...

Page 29: ...ically go to the Treatment Screen NOTE There are no traction techniques for the Hip Body Area Edit Button provides access to the Treatment Screen to set up parameters for treatment and to the sEMG Graph to set up the sEMG target Back and Home Buttons go back to the Home Screen Rope Release Releases the Traction Cord from the unit Clinical Protocols The Clinical Protocols button goes to a menu to s...

Page 30: ...Body Area Edit Button provides access to the Treatment Screen to set up parameters for treatment Back and Home Buttons go back to the Home Screen Rope Release Releases the Traction Cord from the unit Multimedia Card MMC Graphics Library The MMC Graphics Library button provides access to visual anatomical libraries of the four body areas Cervical Lumbar Hip and Hand Wrist Patient Card The Patient C...

Page 31: ...rs surrounded in gray boxes are inactive and cannot be changed 1 Traction Meter Displays the amount of tension being delivered to a patient in kilograms pounds or newtons 2 Time Remaining Displays the approximate number of minutes that remain in the current traction therapy session 3 Time Remaining During Hold Rest Cycles Displays an amount of time when a Hold or Rest cycle is occurring during tre...

Page 32: ...t Press the TX Time button and use the Up or Down Arrows to change the time in one minute increments Press the Return Arrow to accept changes 9 Regressive There are two buttons to use under the Regressive section The first button allows you to choose from Static or Intermittent Traction Mode to use during the Regressive phase of the traction therapy session The second button allows you to enter th...

Page 33: ...n Arrow button to accept NOTE The Hold and Rest Time can be changed during the traction therapy session by pressing the Edit Hold Rest Times button press the appropriate button and use the Up or Down Arrow buttons any changes Press the Return Arrow button to accept 14 Edit Min Max Levels Displays the Minimum and Maximum Traction Tension entered during setup To enter the Minimum or Maximum Traction...

Page 34: ...treatment program Traction tension slowly decreases to zero Press the Pause Button again to resume treatment program and traction tension 18 Start Starts the treatment program FOR LUMBAR TRACTION ONLY The Minimum and Maximum Traction Tension levels can be entered in two different ways Force Levels in Weight or Percentage of Body Weight For Force Levels in Weight simply enter the Minimum and Maximu...

Page 35: ...ue lights indicate higher levels of tension in a patient Handle clean and dispose of components and accessories that have come in contact with bodily fluids according to National Local and Facility rules regulations and procedures Examine the patient s skin for any wounds and clean the skin DJO LLC recommends using only Dura Stick II Electrodes to obtain the most accurate sEMG feedback Connect the...

Page 36: ...he setting target level of muscle activity for triggering traction therapy to start There are three buttons and a scale to set the sEMG target Target button This toggle button allows the clinician to select the target either manually or take the average of muscle activity achieved over a 15 second period Adjust Capture Target button Once the target is selected this button allows the clinician to e...

Page 37: ... Switch has been pressed during treatment or if the Stop button is pressed Examine the patient s skin again after treatment To Capture the Average Target Press the Target button until Average is selected Press the Capture Target button Press the Begin Capture button to initiate the 15 second period Once the 15 second period is completed the average target of muscle activity is captured and the Up ...

Page 38: ...ton may be used to adjust the patient s harness or position during treatment Resume the traction therapy by pressing the Pause button again Traction therapy can be stopped at any time by pressing the Stop button or by pressing the red button of the Patient Interrupt Switch When the Stop button is pressed traction tension will decrease gradually the Traction Cord will release the audible tone sound...

Page 39: ...has been completed Do you want to save data to Patient Card Touch the Yes or No button to respond See Saving Treatment to a Patient Data Card for more information NOTE The beeper will beep every 30 seconds until the screen is touched to acknowledge the message NOTE Wait until all tension has released automatically before attempting to remove the harness from the patient Release the patient from th...

Page 40: ...Resources button on the front of the traction unit Press the Edit Current Pain Profile button located in the Patient Card section of the menu Enter the following information under the Pain Before Treatment column Pain Scale There are eleven pain scale settings to choose from a numeric scale of 0 to 10 Press the arrows left to right from what the patient describes pain from being No Pain 0 to Worst...

Page 41: ... the Clinical Resources button and Edit Current Pain Profile button However it is recommended to enter all pre treatment pain information before the patient therapy session Once a therapy session has been completed press the Clinical Resources button Press Edit Save Completed Pain Profile button to enter all post treatment pain information after the therapy session See previous instructions for Pa...

Page 42: ...Return Arrow to accept A message will be displayed saying treatment has been saved to the Patient Card for patient s name Touch the screen to acknowledge This will return you to the Treatment Screen Remove the Patient Data Card for filing with patient records saving treatment to a NEW patient data card continued Approximately ten treatments can be saved on a Patient Data Card Use one card per pati...

Page 43: ...Press the Up or Down Arrow button to select the desired treatment Press the Return Arrow to accept This will show the following information Before and After Treatment Pain Information Pain Map Pain Scale and Pain Type and Session Notes NOTE The box located on the left side of the treatment list is a review of treatment parameters of the selected treatment The review of the treatment shows the foll...

Page 44: ...sources button on the front of the traction unit Press the Erase Patient Card button located in the Patient Card section of the menu A message will display asking Are you sure you want to erase the Patient Card Press Yes or No When the Patient Data Card is erased a message will be displayed saying Patient Card has been erased Touch the screen to acknowledge the message and it will return to the Cl...

Page 45: ...ters of the desired treatment from the Treatment Screen Press the Clinical Resources button on the front of the traction unit Press the Save Protocol button located in the Protocols section of the menu Press the Up or Down Arrow button to select the number of User Protocol to save the desired treatment to or the Default Protocol button to save treatment as the default Press the Return Arrow to acc...

Page 46: ... located in the Protocols section of the menu Select the body part for the desired User Protocol to retrieve The list of the User Protocols is located on the right side and the body part buttons are located on the left side to toggle between body part User Protocols Press the Up or Down button to review the User Protocols Select the desired User Protocol by pressing the Return Arrow ...

Page 47: ...patient treatment prescription and patient comfort The following information gives general instructions to access select and setup Clinical Protocols Each Clinical Protocol can be set up and edited in the same basic manner Press the Clinical Protocols button from the Home Screen Select the desired body area for a Clinical Protocol There are numerous options to choose from for Cervical and Lumbar o...

Page 48: ...iated with the Clinical Protocol selected as well as a definition of terms associated to the Treatment Screen Press the Traction Technique button to view patient preparation instructions NOTE There are no traction techniques for the Hip body area Press the Edit button to enter the Maximum and Minimum Traction Levels or to change any of the Clinical Protocol presets ...

Page 49: ...nce the body area is selected a list of related items to the body area will be displayed Choose from the following Lumbar Bones Radicular Pain Muscles Herniated Disc Scoliosis Sciatica Sacroiliac Joint Spinal Stenosis Degenerative Disc Ankylosing Spondylitis Cervical Bones Tension Headache The Spine Anterior Cervical Muscles The Cervical Spine Whiplash Herniation Whiplash II Hand Wrist Bones Carpa...

Page 50: ... The Multimedia MMC Card can be discarded once removed Insert the Triton DTS Card into the Multimedia Card MMC Port Turn the traction unit on with the On Off Switch on the back of the unit A message will display on the Touch Screen User Interface saying Unit has been changed to a DTS unit Touch anywhere to continue From the Home Screen press the DTS Pull Pattern button Choose the desired body area...

Page 51: ...nders Cervical Traction Device 2825 Quickwrap DTS Belting System 48039 Traction Clevis 48083 Patient Interrupt Switch 48084 Patient Interrupt Switch with sEMG 48018 Patient Switch Hook Kit 48031 Replacement Traction Cord 27465 Patient Data Cards 25 pack 2768 Patient Data Management System 27321 sEMG Lead Wire 4766 sEMG Module 2842 Triton DTS Card 48129 Multimedia MMC Card 42192 32 mm Round Dura St...

Page 52: ...ns Power Cord 20972 Swiss Mains Power Cord 20973 UK Mains Power Cord 20974 Danish Mains Power Cord 20975 Japanese Mains Power Cord 20976 Indian Mains Power Cord 20977 Israeli Mains Power Cord NOTE The Mains Power Cord shipped with the System will accommodate the electrical requirements for the country of use Not to be sold in the US ...

Page 53: ...lem Possible Remedy The Power On Off Switch is in the ON position Verify the Mains Power Cord is properly connected to the power supply outlet nothing happens Contact dealer or DJO LLC for service The LED Indicator Power On Off Light glows but there Verify the voltage from the power supply of the electrical outlet is the same as that is nothing displayed on the LCD or the LCD displays is listed on...

Page 54: ... persists contact dealer or DJO LLC for service No Session Data is available on the inserted Patient Save session data to Patient Data Card Data Card Use a known good Patient Data Card If problem persists contact dealer or DJO LLC for service Patient Data Card is full Purchase additional Patient Data Cards from an authorized DJO LLC dealer sEMG Traction button is grayed out An sEMG Module is requi...

Page 55: ... unit NoPatientDataCardisinserted Properly insert correct Patient Data Card into unit 106 WARNING User selected SaveTo Card but the card currently inserted is not a Patient Card WrongorbadPatientDataCardinsertedintounit Insert correct Patient Data Card 107 WARNING User selected SaveTo Card but the card currently inserted is full MemoryfullonPatientDataCardused Save Data to PDMS and erase Patient D...

Page 56: ...aler or DJO LLC for service Errors and Warnings in these categories indicate an internal problem with the unit that must be tested by DJO LLC or a Field Service Technician certified by DJO LLC before any further operation or use of the unit Use of a unit that indicates an Error or Warning in these categories may pose a risk of injury to the patient user or extensive internal damage to the unit ...

Page 57: ...DJO LLC Service Department immediately Do not allow cleaning solutions or water to enter the ventilation holes in the unit This could permanently damage the unit Do not attempt to use a unit that has been wet inside until inspected and tested by a Field Service Technicians certified by DJO LLC Touch Screen Cleaning Clean unit display lens using a soft damp cloth moistened with warm water and soap ...

Page 58: ...oga Repair Center 47492 SD Hwy 22 PO Box 709 Clear Lake SD 57226 USA service When shipping the unit to the dealer or factory make certain the original packaging is used If the original packaging is not available contact DJO LLC to obtain the packaging materials listed on Page 17 for shipment Any damage sustained from improper packaging may render the warranty null and void Service to these units s...

Page 59: ... malfunction or failure in the Product caused by product misuse including but not limited to the failure to provide reasonable and necessary maintenance or any use that is inconsistent with the Product User 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 abo...

Page 60: ...Moving Rehabilitation Forward ISO 13485 Certified DJO LLC 1430 Decision St Vista CA 92081 USA T 1 800 592 7329 USA T 1 317 406 2209 F 1 317 406 2014 chattgroup com 2011 DJO LLC 48144_F ...

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