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MTR+ DuoBravo U, Operator'S Manual, Page: 1 / 48

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Operators Manual

Biofeedback & EMG-triggered stimulation

DuoBravo U

      

 Medical Device

Please read this manual before using the device!

Summary of Contents for DuoBravo U

Page 1: ...Operators Manual Biofeedback EMG triggered stimulation DuoBravo U Medical Device Please read this manual before using the device...

Page 2: ...ery Accessories Medical Device Reporting 4 Technical Data 5 Explanation of Symbols 6 Safety Adjustments 6 Introduction What is DuoBravo 7 Indication 8 Contraindication 9 Warnings 10 Advice on Applicat...

Page 3: ...ograms 25 Parameters of Free Programs 26 29 Programming PC1 26 Programming PC2 27 Programming PC3 28 Programming PC4 29 Lock Button 30 Threshold 30 31 Setting of threshold before start of treatment 30...

Page 4: ...self adhesive electrodes 40x40 4 pieces 011E 007 1 unit self adhesive electrodes 40x80 4 pieces 011E 008 1 vaginal probe IncoProbe V 011E 009 1 rectal probe IncoProbe R 011E 017 1 vaginal probe Probe...

Page 5: ...treatment programs 2 11 Automatic output shut off with detection of open electrode 0 5 mA The graphics of the waveform and of the intensity depending on resistance can be found on page 91 Dimensions...

Page 6: ...contains stimulation the intensity is automatically set to 8 mA and must be set to the desired setting by the user 4 The DuoBravo features a stimulation circuit failure detection system incorporated...

Page 7: ...ble programs in which individual STIM EMG and or ETS phases and a combination can be set The clip on the back of the unit allows the user to fasten the device to the clothes the unit is intended to be...

Page 8: ...ion for DuoBravo U Improvement of blood flow Improvement of muscle spasticity Muscle Strengthening Avoidance of muscular imbalances Activation of muscular fibers Muscle Fatigue Strengthening of atroph...

Page 9: ...odes When using metal containing contraceptive spirals Please pay unconditional attention to the following basic rules Do not stimulate transcerebraly via the head Do not stimulate via the Carotis Sin...

Page 10: ...icrowave cellular or other wireless equipment instability of the values of the stimulator could occur causing a temporary reduction in current Move away from the source of interference and continue th...

Page 11: ...de at the edge towards the middle Do not use electrodes with ointments or creams especially which enhance the blood flow or act as local anaesthesia Apply the electrodes on clean and healthy skin only...

Page 12: ...ease treatment success the functionality of the device or its accessories DuoBravo has been designed to be maintenance free Nevertheless please adhere to the following advices If needed please clean D...

Page 13: ...s well as for selection of parameters in the programming mode Battery Compartment LOCK button for fixing one single program and for uploading statistics to a PC Scheme for placement of 4 batteries typ...

Page 14: ...ires of channel A and or B each suited for surface electrodes or probes Jack for the single pin EMG reference lead wire skin electrode Attention Even if the device is used with a probe please always c...

Page 15: ...necessary information for treatment in the active phase Work Screen in EMG mode Selected program Number of active phases in this program Battery indicator LOCK Symbol Remaining Total Time of treatmen...

Page 16: ...EMG OFF EMG ON EMG measuring during rest period of STIM phases FB CONT Continuous acoustic feedback FB OFF No acoustic feedback FB ABOVE FB BELOW Feedback above or below the threshold FREQ Number of...

Page 17: ...nging settings with B storage and stepping forward with A remains always the same during the entire process Please note that the following settings you make here are automatically stored for all subse...

Page 18: ...with the button of channel B 00 23 By pressing the button of channel A you confirm this choice and step forward to the setting of MINUTE This is indicated on the screen as well giving the opportunity...

Page 19: ...f you are using a probe place the single reference electrode onto the hip bone and then insert the probe 8 Now switch on DuoBravo by pressing the central ON OFF button once You can see the version of...

Page 20: ...ulse width change in a predetermined rhythm This creates a feeling of rising and falling intensity Current in work rest rhythm where a muscle is stimulated in each work period to cause contraction In...

Page 21: ...d the mA segments will flash showing that the current can be adjusted with the button of any used channel The intensity will increase 1 mA with each press please adjust current to the desired comforta...

Page 22: ...ation intensity is indicated with numbers in the bottom line of the display and is shown by the lateral bar graphs on the screen as well The more bars are active the higher the current intensity If yo...

Page 23: ...s indicated by beeps Please take care to keep your efforts active until the time that is indicated beside the fist has counted down to zero and the symbol of the open hand with arrow down appears Then...

Page 24: ...ill not receive stimulation and the rest period starts at once after termination of the work period If you have chosen automatic threshold adjustment during treatment s p 83 threshold will be reduced...

Page 25: ...3 16 In the left upper corner of the screen PC1 PC4 will be indicated 3 Keep the SET button in the battery compartment pressed for 3 5 seconds Then DuoBravo changes to programming mode and the bars be...

Page 26: ...PC OFF should always be selected to save battery power If you want to use both channels in a work rest rhythm simultaneously please select SYN In this case the following parameters can be set Duratio...

Page 27: ...xation training Wide or narrow filter WIDE NARROW for channel A this choice is necessary to avoid wrong measurement caused by heart beat 60 120 Hz Narrow filter should be used for the torso wide filte...

Page 28: ...ed when training muscle force Below Threshold FB ABOVE normally used for relaxation training Wide or narrow filter WIDE NARROW for channel A this choice is necessary to avoid wrong measurement caused...

Page 29: ...tensity has to be adjusted newly to a therapeutic effective level without causing any pain The settings can be made as follows Frequency 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Hz then incr...

Page 30: ...indicated in the infoline The threshold is calculated automatically after the second phase of work and is set at 80 of the average value of the period with higher performance Please note that the firs...

Page 31: ...during a trial it increases for the next attempt and if you don t succeed to reach the threshold it goes down slightly The stepsize of increase or decrease depends on the time that was needed to reac...

Page 32: ...s To access the statistics press the LOCK button in the battery compartment once if the device was locked in a program or twice if it was not The DuoBravo displays the number of treatment days saved t...

Page 33: ...red to the computer when the screen displays the number of days and time used NO STATS will be displayed if the memory is empty The data transfer starts automatically and your PC shows a message that...

Page 34: ...ts 2 seconds or less The number of valid onsets is displayed above the onset value If the number of valid onsets is lower than the number of trials it means some onsets were rejected 4 RELEASE Average...

Page 35: ...er second samples from the average value in the second in which they occur excluding the first second of each rest segment If deviation is more than 20 it is considered problematic 8 ETS AVG Average i...

Page 36: ...our meters away from the offending device and resume treatment EMG reading is unstable Reference electrode is missing Place reference electrode Device is being used with a notebook computer Disconnect...

Page 37: ...4 Phase 5 Mode EMG Number of cycles 40 Work time secs 8 Rest time secs 8 Progr 03 ETS Urology Phase 1 Phase 2 Phase 3 Phase 4 Phase 5 Mode ETS Number of cycles 25 Frequency work Hz 35 Pulse duration...

Page 38: ...y Phase 1 Phase 2 Phase 3 Phase 4 Phase 5 Phase time min 5 5 Number of cycles 20 20 Mode W R EMG W R EMG Frequency work Hz 35 35 Pulse duration S 250 250 Ramp up time secs 1 1 Ramp down time secs 1 1...

Page 39: ...uency work Hz 10 Pulse duration S 250 Progr 10 Stress and Faecal incontinence Urology Phase 1 Phase 2 Phase 3 Phase 4 Phase 5 Phase time min 20 Mode W R Frequency work Hz 30 Pulse duration S 200 Ramp...

Page 40: ...R W R W R W R Frequency work Hz 35 35 35 35 Pulse duration S 250 250 250 250 Ramp up time secs 2 0 5 2 0 5 Ramp down time secs 1 0 5 1 0 5 Work time secs 7 1 7 1 Rest time secs 5 2 5 2 Progr 14 Pain 1...

Page 41: ...Operators Manual 41 Mark the points of electrode placement if necessary Anatomy...

Page 42: ...Operators Manual 42 Configuration...

Page 43: ...aging the health and well being of people and animals 1 European Community directive 2012 19 EU on waste electrical and electronic equipment Recycling of Batteries The batteries should be replaced whe...

Page 44: ...s set for medical products in the standard IEC 60601 1 2 2020 These limits serve to the safety of the user regarding electromagnetic disturbances The DuoBravo is a Class B device and is suitable for h...

Page 45: ...nd voltage variations on power supply input lines IEC 61000 4 11 At 0 45 90 135 180 225 270 and 315 phases 0 UT for 0 5 cycle And at single phase 0 0 UT for 1 cycle 70 UT for 25 30 cycles 0 UT for 250...

Page 46: ...lation Modu lation W Dis tan ce m IMMUNITY TEST LEVEL V m 385 380 390 TETRA 400 Pulse modulation 18 Hz 1 8 0 3 27 450 380 390 GMRS 460 FRS 460 FM c 5 kHz deviation 1 kHz sine 2 0 3 28 710 704 787 LTE...

Page 47: ...Operators Manual 47 Graphics Waveform Intensity depending on resistance PW Pulse Width...

Page 48: ...Operators Manual 48 This device is presented by Not for sale or use in the USA...

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