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Sys*Stim 240 Instruction Manual — Rev.I_09/23/19 

9 

Section 2—Symbol Glossary, Control 

Descriptions and List of Abbreviations  

2.1 Symbol 

Glossary 

 

Stop all treatments selector 

 

Start or pause a treatment 

 

Enter control used to select an item. 

 

Channel one selector 

 

Channel two selector 

 

Light (laser) therapy selector 

 

Information selector 

 

Interferential (4-pole) symbol 

 

Select a preset protocol 

 

Medium Frequency (Russian) 

 

Biphasic 

Summary of Contents for Sys Stim 240

Page 1: ...dina Street Anaheim CA 92805 U S A Toll Free 800 854 9305 Telephone 714 533 2221 FAX 714 635 7539 Web Site http www mettlerelectronics com Email mail mettlerelectronics com IR9 58 Rev I_09 23 19 Copyright 2012 by Mettler Electronics Corp Anaheim CA ...

Page 2: ...Mettler Electronics Corp Rev I_09 23 19 2 ...

Page 3: ...imulation 29 4 4 Set up for Light Therapy 30 4 5 Using Preset Programs 32 4 6 Saving a Treatment Protocol 33 4 7 Interferential IFC 4 Pole Procedure 34 4 8 Premodulated IFC 2 Pole Procedure 35 4 9 Medium Frequency Russian Procedure 36 4 10 Biphasic Procedure 37 4 11 High Volt Procedure 38 4 12 Microcurrent Procedure 40 4 13 TENS Symmetrical Biphasic Procedure 41 4 14 TENS Asymmetrical Biphasic Pro...

Page 4: ...ssories 67 List of Figures No Title Page 1 1 Sys Stim 240 5 2 1 Sys Stim 240 Control Panel and Display 13 2 2 Laser Applicator Label Descriptions Top 14 2 3 Laser Applicator Label Descriptions Bottom 14 3 1 Sys Stim 240 Bottom View Showing battery door 18 3 2 Sys Stim 240 Bottom View Installing the battery 19 3 3 Sys Stim 240 Back View Showing the On Off Switch and Power Cord and Patient Safety Ca...

Page 5: ...with electrode placement guidance allow you to quickly program treatment parameters for your patients There is even space to save your own special treatment protocols for each waveform The Sys Stim 240 has an optional battery pack so that you can take either electrical stimulation or light therapy to your patient A carrying case is also available which holds the units and all the accessories neces...

Page 6: ...tim 240 This manual has been written to assist you with the safe operation of the Sys Stim 240 It is intended for use by the owners and operators of the Sys Stim 240 The goal of this manual is to direct the correct operation and maintenance of this unit The specifications and instructions presented in this manual are in effect at the time of its publication These instructions may be updated at any...

Page 7: ...nsed by law of the state in which he practices The electric energy delivered by this device may possibly be lethal Treatment should be administered only under the direct supervision of a health care professional The stimulus delivered by this device may be sufficient to cause electrocution Electrical current above 25 µC must not flow through the thorax because it may cause a cardiac arrhythmia If ...

Page 8: ... period to Mettler Electronics Corp Shipping charges to Mettler Electronics Corp under this warranty must be paid by the buyer The buyer must also include a copy of the sales receipt or other proof of the date of purchase If the Product is returned without proof of the date of purchase it will be serviced as an out of warranty product at Mettler Electronics Corp s prevailing service rates Alterati...

Page 9: ...f Abbreviations 2 1 Symbol Glossary Stop all treatments selector Start or pause a treatment Enter control used to select an item Channel one selector Channel two selector Light laser therapy selector Information selector Interferential 4 pole symbol Select a preset protocol Medium Frequency Russian Biphasic ...

Page 10: ...trical Biphasic TENS Asymmetrical Biphasic Galvanic Continuous DC Amplitude Modulation Vector Surge and Reciprocation Pulse width and frequency Frequency Modulation Polarity functions Time Output intensity Laser applicator in use Cluster applicator in use No light therapy applicator installed ...

Page 11: ...s bar Output in status bar Pencil electrode function active Battery status Device plugged in and running on mains power supply Info options System check being conducted AC power Attention consult instruction manual Warning symbol indicates that the device emits laser energy and that proper precautions listed in this manual need to be taken Type BF Equipment Class I ...

Page 12: ...e rating symbol Patient safety switch symbol Recycle the rechargeable lithium ion battery Rechargeable lithium ion battery dispose of separately from other trash UL Recognized Component Mark Tested to comply with FCC standards CE mark on battery ETL and C ETL Listed ...

Page 13: ... 1 Sys Stim 240 control panel and display 1 Back lit LCD display 2 Stop all treatments button 3 Channel 1 selector button 4 Enter button 5 Light Laser selector button 6 Information selector button 7 Channel 2 selector button 8 M Wheel rotary control dial 9 Start Pause treatment button ...

Page 14: ...e Output Energy Laser Warning Labels The laser applicator has four warning labels two of these labels are visible on figure 2 2 These two labels are the international Laser Hazard symbol which is located on the Laser Activate capacitance switch pad and the other is the yellow Laser Aperture label which has an arrow pointing to the laser aperture at the front of the laser applicator The two other l...

Page 15: ...s body capacitance across a sensing Pad The Pad is a rectangular shaped area and has the words Laser Activate on it By placing a finger or thumb over the Pad the capacitance is increased and the switch is activated The advantage is that it requires no force to actuate and therefore reduces the strain a practitioner may experience holding down a mechanical switch for possibly long periods of time I...

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Page 17: ...y into the compartment as shown in Figure 3 2 Turn the unit upside down while installing the battery 6 Close the battery compartment lid and reattach it by tightening the Phillips head screws 7 Connect the line cord to the back of the Sys Stim 240 See Figure 3 3 8 Plug the line cord into a grounded wall outlet that is rated at 100 240 VAC 50 60 Hz Your mains power supply must match the voltage req...

Page 18: ...horting the battery Do not immerse in water Do not disassemble or deform the battery Do not expose the battery to fire Do not dispose of the battery in fire Avoid excessive physical shock or vibration Keep out of the reach of children Never use a battery that appears to have suffered abuse Lithium ion batteries are recyclable Regulations for disposal vary for different countries Dispose of in acco...

Page 19: ...stalling the battery Figure 3 3 Sys Stim 240 Back View Showing the On Off Switch and Power Cord and Patient Safety Cable Connections Figure 3 4 Sys Stim 240 Side View Showing the Electrode Cable Connection Figure 3 5 Sys Stim 240 Side View Showing the Installation of the Applicator Holder ...

Page 20: ...e background denotes an item that can be selected A yellow background shows where the curser is A dark blue background indicates that you have selected the item and now you can change its value If a menu item is grayed out it cannot be selected or edited 2 Press either the Channel 1 or Channel 2 key to go to the Electrical Stimulation screen 3 Press the Laser key to go to the Light Therapy screen ...

Page 21: ...e optional settings include language for all menus and setting the volume for the audio prompts made by the Sys Stim 240 1 Press the info key to enter into the information menu 2 Use the M Wheel to scroll down to the Volume option and press enter 3 Use the M Wheel to select the volume that you want and press enter The sound you hear will increase or decrease as you look at the bar increasing or de...

Page 22: ...Corp Incorporated as replacement parts for internal or external components may result in increased EMISSIONS or decreased IMMUNITY of the Sys Stim 240 Guidance and manufacturer s declaration electromagnetic emissions The Sys Stim 240 is intended for use in the electromagnetic environment specified below The customer or the user of the Sys Stim 240 should assure it is used in such an environment Em...

Page 23: ...1000 4 5 1 kV differential mode 2 kV common mode 1 kV differential mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 seconds ...

Page 24: ...hs from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absor...

Page 25: ...01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 ...

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Page 27: ...of recommended uses listed on the instructions for V Trodes EZ Trodes or other reusable self adhesive electrodes 4 Make sure that the entire surface of the electrode is contacting the patient 5 Do not use moist hot packs to secure electrodes 6 To avoid skin irritation due to high current density do not use electrodes smaller in surface area than the 2 in diameter V Trode or EZ Trode self adhesive ...

Page 28: ...Instructions Before you start a Review precautions contraindications and side effects adverse reactions listed in Section 5 b Use Mettler Electronics electrodes to ensure safe and effective operation c Verify connection of the line cord to a grounded wall receptacle and the Sys Stim 240 d For electrical stimulation connect electrode cables ME 2260 into the electrode connections for the channels th...

Page 29: ...erential press enter and then use the M Wheel by dragging your finger in a clockwise direction to adjust the intensity up You will notice that if two channels are being used they will go up simultaneously The intensity in the digital display will go up and the green bar will get larger as the intensity increases Moving your finger around the M Wheel in a counterclockwise direction will decrease th...

Page 30: ...d the patient wear a set of these glasses during treatment when laser energy is being administered to prevent inadvertent exposure to laser light energy 4 The laser energy emitted by this device is relatively low power but because it is in the low red infrared region of the visible spectrum there is a potential hazard when using this device Although the laser beam is divergent and not finely focus...

Page 31: ...tor should touch the skin during treatment 9 Some treatments require the same dosage of laser energy to be applied at several different points of the patient s body Once the first treatment has been performed treatment time counted down to zero i e Timer is 00 00 the same dosage can be achieved by pressing the Output Up button once on the Laser applicator ensure your thumb is off the Laser Activat...

Page 32: ...al stimulation or light therapy For electrical stimulation you may also choose a protocol by waveform type 4 Each protocol will have a treatment diagram some notes and the treatment parameters on one screen If this is the one you want you will press the Enter key to go to the treatment screen 5 Once you get to the treatment screen you can change any of the parameters shown You would set up the pat...

Page 33: ...wn to Save Current Protocol and press Enter 5 Scroll down to the channel that you have your protocol setup on or to Light Therapy and press Enter 6 A message box will indicate that Save Current Protocol Succeeded along with a number indicating the slot it was saved into Press Enter to continue There are ten slots for each waveform as well as one each for the cluster or laser applicator The numbers...

Page 34: ...Interference frequency 0 250 Hz Frequency Modulation Low set 0 250 Hz High set 0 250 Hz Preset Frequency Sweeps 1 15 Hz 80 150 Hz 1 150 Hz Vector 10 40 and 100 Type CC or CV 7 If all of the parameters are set correctly press Enter and then use the M Wheel by dragging your finger in a clockwise direction to adjust the intensity up If two channels are being used they will go up simultaneously The in...

Page 35: ...ters and their ranges are listed here for your reference Carrier frequency 2500 4000 or 5000 Hz Interference frequency 1 250 Hz Frequency Modulation Low set 1 250 Hz High set 1 250 Hz Preset Frequency Sweeps 1 15 Hz 80 150 Hz 1 150 Hz Amplitude Modulation Surge On s Off s 5 5 4 12 10 10 10 20 10 30 10 50 Manual 1 240 1 240 Recip Ch1 s Ch2 s 5 5 4 12 10 10 10 20 10 30 10 50 Manual 1 240 1 240 Ramp ...

Page 36: ...of the unit by pressing dot on the switch to the On position Image shows switch in Off position 2 Press either 1 or 2 to select channel one or two Please note that Reciprocation requires 2 channels 3 Insert the electrode cable into the channel connector for the channel that you will be using 4 Place the electrodes on the patient 5 Insert the patient safety cable into the jack located on the back o...

Page 37: ... the newly entered time Failure to do this will cause the treatment to go on indefinitely 8 Notes You will adjust each channel separately for the Reciprocation mode since both channels cannot be On at the same time When using the Surge or Reciprocation modes once you turn up the intensity to the desired level Restarting will appear in a window indicating that the surge or recip program is starting...

Page 38: ...clockwise direction will decrease the intensity The time will begin to count down until the treatment is complete A buzzer will sound and the end of treatment message will appear Please note If you change time during a treatment press Enter once the time is entered to restart the timer at the new time The time will then count down from the newly entered time Failure to do this will cause the treat...

Page 39: ...sor over the output window and press Enter Then use the M Wheel by dragging your finger in a clockwise direction to adjust the intensity up You will notice that if two channels are being used they will go up simultaneously The intensity in the digital display will go up and the green bar will get larger as the intensity increases Moving your finger around the M Wheel in a counterclockwise directio...

Page 40: ...ive or Both Phase Duration 1 1 000 ms Frequency 0 5 500 pps Options Channel s 1 or 2 7 If all of the parameters are set correctly position the cursor over the output window and press Enter Then use the M Wheel by dragging your finger in a clockwise direction to adjust the intensity up You will notice that if two channels are being used they will go up simultaneously The intensity in the digital di...

Page 41: ...equency 1 250 pps Frequency Modulation 0 250 pps Amplitude Modulation 40 60 80 and 100 Burst frequency 0 30 bps Type CC or CV Options Channel s 1 or 2 Please note Frequency Modulation is not available in 2 channel mode in the interest of patient comfort 7 If all of the parameters are set correctly position the cursor over the output window and press Enter Then use the M Wheel by dragging your fing...

Page 42: ...nnel one or two 3 Insert the electrode cable into the channel connector for the channel that you will be using 4 Place the electrodes on the patient 5 Insert the patient safety cable into the jack located on the back of the unit and hand the end with the button to the patient letting him her know that they can push this button at any time during the treatment to stop it 6 Use the M Wheel to scroll...

Page 43: ...ill then count down from the newly entered time Failure to do this will cause the treatment to go on indefinitely 8 Notes FM and Burst may not be used simultaneously FM may not be used if two channels are selected When using the AM mode once you turn up the intensity to the desired level Restarting will appear in a window indicating that AM is starting 4 15 DC Low Amplitude Procedure 1 Turn on the...

Page 44: ...ill decrease the intensity The time will begin to count down until the treatment is complete A buzzer will sound and the end of treatment message will appear Please note If you change time during a treatment press Enter once the time is entered to restart the timer at the new time The time will then count down from the newly entered time Failure to do this will cause the treatment to go on indefin...

Page 45: ...dispersive pad Apply dispersive electrode in such a manner to prevent transthoracic stimulation 6 Pressing the switch located on the pencil electrode will allow treatment currents to be delivered to the patient Four tips of different sizes are included with the pencil electrode The figure on the left shows an application of the pencil electrode 7 With the button depressed on the pencil electrode a...

Page 46: ...k For most Sonicators this will require a pin to banana adapter The red lead wire is connected to a dispersive electrode which is applied to the patient to complete the electrical circuit When the electrical output is generated by the stimulator it will be passed through the metal ring on the applicator head by means of this connection 6 Please review all therapeutic ultrasound precautions and con...

Page 47: ...Direct Current Mode Relaxation of muscle spasm 5 4 The laser and cluster applicators of the Sys Stim 240 emit infrared energy for Temporary increase in local blood circulation Temporary relief of minor muscle and joint aches pains and stiffness Relaxation of muscles Temporary relief of muscle spasms Temporary relief of minor pain and stiffness associated with arthritis 5 5 Contraindications for Ne...

Page 48: ...eins etc 7 Stimulation should not be applied over or in proximity to cancerous lesions 8 Consult with the patient s physician before using this device because the device may cause lethal rhythm disturbances to the heart in susceptible individuals 9 Apply stimulation only to normal intact clean healthy skin 10 Do not apply stimulation in the presence of electronic monitoring equipment e g cardiac m...

Page 49: ...thermal burns due to high current density Avoid current densities exceeding 2 mA cm when using this device 17 Turn on the stimulator before applying electrodes to the patient 5 9 Precautions for use of a Therapeutic Laser 1 Only authorized and trained practitioners are to apply the treatment 2 Protective eyewear to be used always 3 Ensure shiny patient jewelry is removed from treatment region 4 Av...

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Page 51: ...er diode in the tip of the applicator Regular cleaning with a damp cloth soaked in a mixture of mild soap and water is recommended Note The Laser or Cluster Applicator must be disconnected from the front panel socket when cleaning This is a precaution to ensure the laser applicator has no power and therefore cannot activate while looking at the cover glass 7 If there are concerns about cross infec...

Page 52: ...ing for some time always check to ensure that the unit functions normally and safely 6 3 Troubleshooting the Sys Stim 240 Symptom Action 1 Nothing lights when main power switch is turned on Is line cord connected to outlet Does the outlet have power Unit may require servicing if none of the above resolves the problem 2 Self Test Failed Turn off the unit and then back on again If the error persists...

Page 53: ...ntensity is being turned up when the current is not flowing properly due to electrodes or cables It will appear at 5 mA in continuous current or 50 volts in high volt Check all cables and electrodes for the channel that is affected Then resume turning up the intensity 7 Error E65 Voltage too low Press Enter to return to the waveform screen Check the electrodes Check the electrode cable connections...

Page 54: ...tient Try fresh electrodes and or cables to resolve this problem Press the Start Pause key and to restart the treatment and return to the previously set intensity Or press the Stop button to stop the treatment and return to the treatment screen Pressing the Start Pause key will restart the treatment at the beginning You will need to press Enter to begin to increase the intensity and start the trea...

Page 55: ...the treatment If this does not correct the problem the unit requires servicing Report the error to service provider to assist with hardware troubleshooting 10 Error E85 Current too low Check the electrodes Resume the treatment by doing the following Press Enter to return to the waveform screen Check the electrodes Check the electrode cable connections to make sure that they are connected Make sure...

Page 56: ... error to service provider to assist with hardware troubleshooting 12 Error E100 E101 E102 E103 E104 E105 E106 System errors Remove electrode cables from the Sys Stim 240 Turn power off and on again Plug the cables back in set up resume treatment If the error repeats the Sys Stim 240 requires servicing Report the error to service provider to assist with hardware troubleshooting 13 Error E110 E111 ...

Page 57: ...ve a second applicator plug it in and see if the error message is resolved If neither applicator is recognized Sys Stim 240 requires servicing If problem is not addressed above or if additional troubleshooting guidance is desired call 800 854 9305 or email our service department at service mettlerelectronics com The distributor who sold the Sys Stim 240 should be able to assist you with a loaner u...

Page 58: ...Mettler Electronics Corp Rev I_09 23 19 58 ...

Page 59: ...Company 1996 9 Prentice W Therapeutic Modalities For Sports Medicine and Athletic Training Mc Graw Hill Companies 2008 10 Shapiro s Electrical Currents from Rehabilitation From Research to Practice Elsevier 2008 11 Sparrow KJ Electrotherapeutic Modalities Electrotherapy and Iontophoresis from Modalities for Therapeutic Intervention Contemporary Perspectives in Rehabilitation F A Davis Company 2005...

Page 60: ...unovic Z Lasers in Medicine and Dentistry Basic Science and up to date Clinical Application of Low Energy Level Laser Therapy LLLT European Medical Laser Association 2000 10 Weisberg J 26 Lasers from Physical Agents A Comprehensive Text for Physical Therapists Appleton Lange 1994 This manual has been written as a guideline for the correct use of the Sys Stim 240 Reading the above references will p...

Page 61: ... a flammable anesthetic mixture with air or with nitrogen oxide Certification The Sys Stim 240 complies with the light emitting and laser product performance standards set forth in the Code of Federal Regulations Title 21 Food and Drugs Parts 1040 10 and 1040 11 US Patent D593684 Weight 4 5 pounds 5 5 pounds with battery Dimensions 13 L x 8 W x 8 H Temperature Operating Nonoperating 50 F to 104 F ...

Page 62: ... wave Polarity None Current 0 100 mA peak 500Ω load Carrier frequency 2500 4000 or 5000 Hz Interference frequency 1 250 Hz Frequency Modulation Low set 1 250 Hz High set 1 250 Hz Preset Frequency Sweeps 1 15 Hz 80 150 Hz 1 150 Hz Amplitude Modulation Surge On s Off s 5 5 4 12 10 10 10 20 10 30 10 50 Manual 1 240 1 240 Recip Ch1 s Ch2 s 5 5 4 12 10 10 10 20 10 30 10 50 Manual 1 240 1 240 Ramp 0 5 1...

Page 63: ...1 240 1 240 Ramp 0 5 1 2 or 5 seconds Type CC or CV Available Channels All High Volt Figure 8 5 High Volt Waveform Waveform Type Monophasic twin peak Polarity Positive negative or both Voltage 0 to 500 V peak 500Ω load Phase Duration 15 µs Frequency 10 120 pps Frequency Modulation 1 10 80 120 1 120 pps Amplitude Modulation Surge On s Off s 5 5 4 12 10 10 10 20 10 30 10 50 Manual 1 240 1 240 Recip ...

Page 64: ...sym Waveform Waveform Type Asymmetrical biphasic Polarity None Current 0 110 mA peak 500Ω load Phase Duration 20 1 000 µs Frequency 1 250 pps Frequency Modulation 0 250 pps Amplitude Modulation 40 60 80 and 100 Burst frequency 0 30 bps Type CC or CV Available Channels All DC Low Amplitude Waveform Type Continuous DC Polarity Positive or Negative Current 0 4 mA DC 500Ω load Amplitude Modulation Sur...

Page 65: ...ional Applicator Specifications Laser Applicator Lasing device Sanyo Single AlGaAs Diode Class 3B laser device Wavelength 785 nm 10 nm Power 80 mW 10 mW Treatment area illumination Three Blue LED s 470 nm visible through eyewear protection that attenuates Infrared Near Infrared Output activation Capacitance Switch on Laser Applicator handle NOHD Nominal Ocular Hazard Distance is less than 35 cm MP...

Page 66: ...n The 660 nm LED s are visible and illuminate treatment area Output activation Capacitance Switch on Cluster Applicator handle Eye protection Uvex glasses with a minimum of 80 attenuation in the wavelength range of 780 nm to 1200 nm The Uvex glasses supplied with the unit meet these requirements ...

Page 67: ...s 48 2023 Pencil electrode set with push button stimulation control includes handle 4 different sizes of stainless steel spot electrode tips and carrying case 2027 Pin to banana adapter set to be used with ME 2260 or 2201 electrode cables Four each gray 2230 Bifurcation cable set 2 cables one red and one black pin termination 2221 EZ Trode 2 diameter round self adhering reusable electrodes with le...

Page 68: ...ckages four electrodes pkg 5403 One pair of protective glasses 7293 Detachable U L listed hospital grade line cord 73 Three shelf mobile cart for all Sys Stim or Sonicator products Holds unit on the top shelf with lower shelves for accessories 7401 Optional battery pack 97 Sturdy stainless steel cabinet with a platform for Mettler electrotherapy products and three shelves with a plastic door with ...

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