Interferential Unit

Nu-Tek® Stim Rehab2 − MT2200 Specifications:

Power Supply: AC100-240V 47/63 Hz
Two Channel Electrotherapy
Number of Channels: 2 independently controllable
Features & Benefits: IF Carrier Frequency: 2 - 10 kHz
• Provided with the most common currents: 4-pole IF, 2-pole Frequency: IF 1-200 Hz, Biphasic/NMS 1-250 Hz, HV
IF (Premode), NMS,Russian, Biphasic (TENS), Hi-Voltage 1-120 Hz, MCR 0.1-1000 Hz
(HV), Microcurrent (MCR), DC: Galvanic, Faradic, Current Amplitude (peak): IF Russian 100mA, Biphasic/NMS 200mA
HV 500 V, MCR 1000uA, DC 80mA
Diadynamic (DF, MF, CP, CP-ISO, LP, RS)
Dimensions: 285mm (L) x 197mm (W) x 153mm (H)
• Touch screen for easy operation
• 2-channel simultaneous monitoring Weight: 2kg
• 42 pre-set programs and 80 custom programs provided Certification: FDA Clearance, EU MDD, CFDA, TGA, CMD-
CAS, Russian approved
Safety Tests: IEC 60601-1, IEC 60601 2-5, IEC 60601-2-10
Screen Shot: Electrical Safety Class: Class I, Type BF

Standard Accessories:
NUPOWERCABLE Nu-Tek Power Cable
User Manual
NUELECRUB6090 Rubber Electrodes - 60 x 90mm (Pair)
NUELECRUB70110 Rubber Electrodes - 70 x 110mm (Pair)
NUSPOENV70100 Envelope Sponges - 70 x 100mm (Pair)
NUSPOENV80120 Envelope Sponges - 80 x 120mm (Pair)
ACF35050 AllCare Electrodes - 50 x 50mm Square (x4)
- Self Adhesive
ACF35090 AllCare Electrodes - 50 x 90mm Rectangle (x4)
- Self Adhesive
NUSTRAP751200 Nu-Tek Straps - 75 x 1200mm
NUSTRAP75600 Nu-Tek Straps - 75 x 600mm
NULEADSTIMGY Nu-Tek Stim Leads - Grey
NULEADSTIMBU Nu-Tek Stim Leads - Blue

Optional Accessories:
Optional
Nu-Tek Trolley NUTROLLEY Nu-Tek Trolley
NUBATTERY Nu-Tek Battery Pack

Code: Description:
NUSTIM Nu-Tek® Stim Rehab2 - MT2200

physiosupplies.co.uk REDEFINING | PHYSIOTHERAPY | FITNESS | MEDICAL

The Warehouse Beck Bank West, Pinchbeck, Spalding, Lincolnshire, PE11 3QN Phone: 01775 640972 Email: sales@physiosupplies.co.uk
Rehab – Series
USER MANUAL

0197

www.nutekmedical.com
Rehab-Series

Declaration of conformity:
Shenzhen Dongdixin Technology Co.,LTD.declares that the ComboRehab-Series,
StimRehab-Series and UltraRehab-Series complies with following normative documents:

IEC60601-1,IEC60601-1-2,IEC60601-2-10,IEC60601-2-5,ISO7010
IEC61689,ISO14971,ISO10993-1,ISO10993-5,ISO10993-10

Complies with MDD 93/42/EEC and Amended by

directive 2007/47/EC requirements
2
Rehab-Series

1. Foreword

1.1 Intended User/Operator

This manual has been written for the users of the Rehab-Series include ComboRehab-
Series, StimRehab- Series and UltraRehab-Series. It contains general information on the
operation, precautionary practices,and maintenance information. In order to maximize its
use, efficiency,and the life of the system, please read this manual thoroughly and become
familiar with the controls, as well as the accessories before operating the system.
This device is designed to only be used by or under the supervision of persons using the
medical device in the course of their work and in the framework of a professional healthcare
activity, who understand the benefits and limitations of electrotherapy and ultrasound
therapy.

WARNING (USA only):

U.S.A. Federal Law restricts these devices to sale by, or on the orderof, a physician or
licensed practitioner. This device should be used only under the continued supervision of a
physician or licensed practitioner.
Specifications put forth in this manual were in effect at the time of publication. However,
owing to manufacturer her policy of continual improvement, changes to these specifications
may be made at any time without obligation on the part of manufacturer.

2. Product Description

The Rehab-Series is a family of products for physical therapy, the Rehab-Series offers the
practitioner a wide range of treatment options. The devices share an identical control panel
equipped with a full colour touch panel means treatment setup has never been easier. A few
simple key presses are all you need to quickstart a treatment. The User Interface intuitively
groups and displays all the options for a modality setup on the large touch screen to ensure
that treatment parameters can easily be selected and adjusted. The devices are mains pow-
ered and can optionally be equipped with a battery for mains independent operation. The
family comprises the products described below.

3
Rehab-Series

StimRehab

The StimRehab is equipped with two or four completely identical electrotherapy channels.
The electrotherapy channels can be used in combination (linked) or totally independent. A
comprehensive set of current waveforms is available, targeting both pain management and
muscle stimulation applications.
Protocols can run on linked or independent channels. With independent channels two or
four different protocols can be performed simultaneously.

UltraRehab

The UltraRehab is an ultrasound therapy device. The device provides two positions for
attachment of an ultrasound applicator. Depending on the device configuration ordered,
the UltraRehab comes with an applicator with a large contact area, an applicator with a
small contact area or with both applicators. The applicators can operate in continuous or
pulsed mode at an ultrasound frequency of 1 MHz or 3 MHz. The lower frequency (1 MHz)
penetrates deeper than a higher frequency (3 MHz), thus the practitioner can decide which
frequency to use according to the condition and depth to be treated. Contact control sus-
pends the application of ultrasonic energy when acoustical contact with the treatment area
becomes insufficient. The applicators are suitable for subaqual treatments.

ComboRehab

The ComboRehab is a combination device, combining the functions of the StimRehab and
the UltraRehab in a single device. With the ComboRehab the simultaneous application of
ultrasound and electrotherapy (combination therapy) is also possible. The remaining elec-
trotherapy channel can then be used independently.

VAM200

Electrotherapy can be applied through standard or vacuum electrodes. With vacuum elec-
trodes the VAM200 generates the vacuum through which the vacuum electrodes are
attached to the patient. The device is placed beneath the StimRehab or ComboRehab, from
which its power is derived and through which it is also operated.

MTM200

The MTM200 is a two channel electrotherapy module intended to upgrade the StimRehab
and ComboRehab to Four Channel Electrotherapy or Combination Therapy Systems. This
4
Rehab-Series

module is designed for use with the StimRehab or ComboRehab only.

EMG200

The EMG200 is designed for use with the StimRehab and the ComboRehab. With EMG
electrodes the EMG200 generates the sEMG (Surface Electromyography) , ETS (Surface
Electromyography with Triggered Stimulation) through which the EMG electrodes are
attached to the patient.

BTM200

The BTM200 Battery Module is designed for use with the Rehab-Series systems to create a
battery powered Therapy System. No additional Software is required for the Module as the
System automatically recognizes its presence and activates all necessary software inherent
in the System.

Vacuum module EMG module Battery module

Name Model Mainframe VAM200 EMG200 (BTM200)

CT2200
Mainframe
ComboRehab² (two channels electrotherapy,
CT2200
ultrasound and combo)

CT2201
two channels electrotherapy, Mainframe
ComboRehab² Vac
ultrasound and combo+vacuum CT2200
module

CT2202
two channels electrotherapy, Mainframe
ComboRehab² Bio
ultrasound and combo+EMG
CT2200
module

CT2203
two channels electrotherapy, Mainframe
ComboRehab² Plus
ultrasound and combo+battery
CT2200
module

5
Rehab-Series

Vacuum module EMG module Battery module

Name Model Mainframe VAM200 EMG200 (BTM200)

CT2204
two channels electrotherapy, Mainframe
ComboRehab² VB
ultrasound and combo+vacuum CT2200
module +EMG module

CT2205
two channels electrotherapy, Mainframe
ComboRehab² Vac
Plus ultrasound andcombo+vacuum CT2200
module+ battery module

CT2206
ComboRehab² Bio two channels electrotherapy, Mainframe
Plus ultrasound and combo+battery CT2200
module + EMG module

Mainframe
CT2400
CT2400
ComboRehab4 four channels electrotherapy,
CT2200
ultrasound and combo
+MTM200

CT2401 Mainframe
4 four channels electrotherapy, CT2400
ComboRehab Vac
ultrasound and combo+vacuum CT2200
module +MTM200

CT2402 Mainframe
four channels electrotherapy, CT2400
ComboRehab4 Bio
ultrasound and combo+EMG CT2200
module +MTM200

CT2403 Mainframe
four channels electrotherapy, CT2400
ComboRehab4 Plus
ultrasound and combo+battery CT2200
module +MTM200

MT2000 Mainframe
StimRehab²
two channels electrotherapy MT2200

6
Rehab-Series

Vacuum module EMG module Battery module

Name Model Mainframe VAM200 EMG200 (BTM200)

MT2201
Mainframe
Stim Rehab² Vac two channels electrotherapy
MT2200
+vacuum module

MT2202
Mainframe
two channels electrotherapy
Stim Rehab² Bio
MT2200
+EMG module

MT2203
Mainframe
Stim Rehab² Plus two channels electrotherapy
MT2200
+battery module

MT2204
two channels electrotherapy Mainframe
Stim Rehab² VB
+vacuum module+EMG MT2200
module

MT2205

Stim Rehab² Vac two channels electrotherapy Mainframe

+vacuum module+battery MT2200
module

MT2206

Stim Rehab² Bio two channels electrotherapy Mainframe

Plus +battery module+EMG MT2200
module

Mainframe
MT2400
MT2400
Stim Rehab4 four channels electrotherapy
MT2200
+MTM200

MT2401 Mainframe
four channels MT2400
Stim Rehab4 Vac
electrotherapy +vacuum module MT2200
+MTM200

7
Rehab-Series

Vacuum module EMG module Battery module

Name Model Mainframe VAM200 EMG200 (BTM200)

MT2402 Mainframe
four channels MT2400
Stim Rehab4 Bio
electrotherapy +EMG module MT2200
+MTM200

MT2403 Mainframe
four channels MT2400
Stim Rehab4 Plus
electrotherapy +battery module MT2200
+MTM200

UT2200 Mainframe
UltraRehab
two channels ultrasound UT2200

UT2201
UltraRehab Plus two channels ultrasound Mainframe

+battery module UT2200

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8
Rehab-Series

3. Precautionary Instructions

In this section general Warnings and Precautions are listed, that you should be aware of
when using the Rehab-Series. See also chapter 4.1 for Warnings and Precautions that are
application specific.

WARNING:

‡ Federal law (USA only) restricts this device to sale by, or on the order of, a physician
or licensed practitioner. This device should be used only under the continued supervi-
sion of a physician or licensed practitioner.
‡ Make certain that the unit is electrically grounded by connecting only to a grounded
electrical service receptacle conforming to the applicable national and local electrical
codes.
‡ Do not operate the unit in an environment of short-wave or micro-wave diathermy.
‡ The device is designed for indoor use only.It is prohibited to use the device in a loca-
tion where explosion or water intrusion risk are present and in dusty or humid
environment.It is prohibited to use the device in spaces where flammable anaesthetics
oxidizing gases(O2,N2O) and other flammable gases or vapors are present.
‡ This device should be kept out of the reach of children.
‡ Place the device out of direct sunlight and strong electromagnetic fields of surrounding
devices(diathermy,X-rays,mobile phones and other radio-frequence equipment) to
prevent unwanted interference.If unwanted interference occurs,place the device farther
from the source of interference or contact the Nu-Tek authoried service.
‡ Before administering any treatment to a patient you should become acquainted with
the operating procedures for each mode of treatment available, as well as the indica-
tions, contraindications, warnings and precautions. Consult other resources for addi-
tional information regarding the application of electrotherapy and Ultrasound.
‡ No modification of this equipment is allowed! Do not try to open or remove the
protective covers or disassembly the device for any reason.There is a danger of electric
shock and serious injury.All service actions must be done by an authorized Nu-Tek
service only;otherwise Nu-Tek bear no responsibility for further operation of the
device.
‡ Never use the accessories connector and other connectors to plug in anything else
except transducers and cables sold by the manufacturer as replacement parts for inter-
nal components.There is a serious risk of electric shock and serious damage to the
device
‡ This device is not designed to be use in an MRI Environment and should be removed
prior to MRI exposure.

9
Rehab-Series

CAUTION:

‡ Keep yourself informed of the contraindications.

‡ Read the User’s Manual carefully and become familiar with all its safety requirements,
operating procedures and maintenance instruction prior to use of the device.It is pro-
hibited to use the device and its accessory in any manner that is not in accordance with
the User’s Manual. Know the limitations and hazards associated with using any electri-
cal stimulation device. Observe the precautionary and operational stickers placed on
the unit.
‡ DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the but-
tons on the control panel.
‡ Before each therapy check carefully the device and its accessories
(cables,connectors,electrodes,ultrasound heads,controls,touch screen) for any
mechanical, functional or other damage.If any faults or anomalies in the device func-
tion are found, stop using the device immediately .
‡ Handle the ultrasound applicator with care. Inappropriate handling of the ultrasound
applicator may adversely affect its characteristics.
‡ Inspect the ultrasound applicator for cracks which may allow the ingress of conductive
fluid before each use.
‡ This unit should be operated in temperatures between 10 °C and 40 °C (50 °F and
104 °F), with a Relative Humidity ranging from 30%-85% non condensing.
‡ Do not expose the unit to direct sunlight, heat radiated from a heat radiator, excessive
amounts of dust, moisture, vibrations and mechanical shocks.
‡ The device has applied parts of the BF (Body Floating) type-i.e. parts which come
into direct physical contact with the patient during normal device use.This includes the
electrodes for electrotherapy and applicators for ultrasound therapy.
‡ The device heats up during operation and therefore must not be located near devices
that heat up or produce heat.The device is cooled by forced air circulation.The cooling
vents are located on the rear and side panel of the device and they must not be
covered.When placing the device,leave at least 10 cm of space behind the rear panel.
‡ It is prohibited to place any objects that produce heat or objects that contain water or
other liquid on the device. If in the case of ingress of liquids, unplug the unit from the
mains supply and have it checked by an authorized person (see the paragraph on
maintenance).
‡ Before administering any treatment to a patient you should become acquainted with
the operating procedures for each mode of treatment available, as well as the indica-
tions, contra-indications, warnings and precautions. Consult other resources for addi-
tional information regarding the application of electrotherapy and ultrasound therapy.

10
Rehab-Series

‡ The device is designed to only be used by or under the supervision of persons using
the medical device in the course of their work and in the framework of a professional
healthcare activity, who understand the benefits and limitations of electrotherapy and
ultrasound therapy. I.e.“professional users”.

4. Intended Use

4.1 Intended Use Electrotherapy

4.1.1 Pain Management

Pain Management is the use of electrical stimulation for pain relief.

4.1.1.1 Indications Pain Management

Symptomatic relief and management of chronic, intractable pain. Management of pain

associated with post- traumatic or postoperative conditions.

4.1.1.2 Contra-indications Pain Management

Do not use this device on patients whose pain syndromes are undiagnosed.

‡ Do not use this device on patients who have a cardiac pacemaker, implanted defibril-
lator, or other implanted metallic or electronic device, because this may cause electric
shock, burns, electrical interference, or death.
‡ Do not use this device on patients whose pain syndromes are undiagnosed.

4.1.1.3 Warnings Pain Management

‡ Do not apply stimulation over the patient’s neck because this could cause severe
muscle spasms resulting in closure of the airway, difficulty in breathing, or adverse
effects on heart rhythm or blood pressure;
‡ Do not apply stimulation across the patient’s chest, because the introduction of electri-
cal current into the chest may cause rhythm disturbances to the patient’s heart, which
could be lethal;

11
Rehab-Series

‡ Do not apply stimulation over open woundsor rashes, or over swollen, red, infected,
or inflamed areas or skin eruptions (e.g., phlebitis, thrombophlebitis, varicose veins);
‡ Do not apply stimulation over, or in proximity to, cancerous lesions;
‡ Do not apply stimulation in the presence of electronic monitoring equipment (e.g.,
cardiac monitors, ECG alarms), which may notoperate properly when the electrical
stimulation device is in use;
‡ Do not apply stimulation when the patient is in the bath or shower;
‡ Do not apply stimulation while the patient is sleeping;
‡ Do not apply stimulation while the patient is driving, operating machinery, or during
any activity in which electrical stimulation can put the patient at risk of injury.
‡ Consult with the patient’s physician beforeusing this device, because the device may
cause lethal rhythm disturbances to the heart in susceptible individuals;
‡ Apply stimulation only to normal,intact, clean, healthy skin.
‡ See also chapter 3, Precautionary Instructions, for general Warnings and Precautions.

4.1.1.4 Precautions Pain Management

‡ TENS is not effective for pain of central origin, including headache;

‡ TENS is not a substitute for pain medications and other pain management therapies;
‡ TENS devices have no curative value;
‡ TENS is a symptomatic treatment and, as such, suppresses the sensation of pain that
would otherwise serve as a protective mechanism;
‡ Effectiveness is highly dependent upon patient selection by a practitioner qualified in
the management of pain patients;
‡ The long-term effects of electrical stimulation are unknown;
‡ Since the effects of stimulation of the brain are unknown, stimulation should not be
applied across the head, and electrodes should not be placed on opposite sides of
‡ The safety of electrical stimulation during pregnancy has not been established;
‡ Some patients may experience skin irritation orhypersensitivity dueto the electrical
stimulation or electrical conductive medium (gel);
‡ Patients with suspected or diagnosed heart disease should follow precautions recom-
mended by their physicians;
‡ Patients with suspected or diagnosed epilepsy should follow precautions recom-
mended by their physicians;
‡ Use caution when the patient has a tendency to bleed internally, such as following an
injury or fracture;
‡ Use caution following recent surgical procedures when stimulation may disrupt the
patient’s healing process;

12
Rehab-Series

‡ Use caution if stimulation is applied over the menstruating or pregnant uterus;

‡ Use caution if stimulation is applied over areas of skin that lack normal sensation.
‡ Isolated cases of skin rash may occur at the site of electrode placement following
long-term applications. The irritation may be reduced by use of an alternate conduc-
tive medium or an alternative electrode placement.
‡ See also chapter 3, Precautionary Instructions, for general Warnings and Precautions.

4.1.1.5 Adverse Effects Pain Management

Add:

‡ Patients may experience skin irritation and burns beneath the stimulation electrodes
applied to the skin;
‡ Patients may experience headache and other painful sensations during or following
the application of electrical stimulation near the eyes and to the head and face;
‡ Patients should stop using the device and should consult with their physicians if they
‡ experience adverse reactions from the device.

4.1.1.6 Current Waveforms Pain Management

For pain management the following current waveforms are recommended 4.1.3.1, 4.1.3.2,
4.1.3.3, 4.1.3.5, 4.1.3.6, 4.1.3.7, 4.1.3.9, 4.1.3.10.

4.1.2 Muscle Stimulation

4.1.2.1 Indications Muscle Stimulation

‡ Relaxation of muscle spasms

‡ Prevention or retardation of disuse atrophy
‡ Increasing local blood circulation
‡ Muscle re-education
‡ Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
‡ Maintaining or increasing range of motion
‡ increasing the stimulated muscle’s strength
‡ increasing the stimulated muscle’s resistance to fatigue
‡ Dysphagia

13
Rehab-Series

4.1.2.2 Contra-indications Muscle Stimulation

‡ Do not use this device on patients who have a cardiac pacemaker, implanted defibril-
lator, or other implanted metallic or electronic device, because this may cause electric
shock, burns, electrical interference, or death.

4.1.2.3 Warnings Muscle Stimulation

‡ If you are in the care of a physician, consult with your physician before using this
device;
‡ Do not apply stimulation over your neck because this could cause severe muscle
spasms resulting in closure of your airway, difficulty in breathing, or adverse effects on
heart rhythm or blood pressure;
‡ Do not apply stimulation across your chest because the introduction of electrical cur-
rent into the chest may cause rhythm disturbances to your heart, which could be lethal;
‡ Do not apply stimulation over painful areas. If you have painful areas, you should con-
sult with your physician before using this device;
‡ Do not apply stimulation over open woundsor rashes, or over swollen, red, infected,
or inflamed areas or skin eruptions (e.g., phlebitis, thrombophlebitis, varicose veins);
‡ Do not apply stimulation over, or in proximity to, cancerous lesions;
‡ Do not apply stimulation in the presence of electronic monitoring equipment (e.g.,
cardiac monitors, ECG alarms), which may notoperate properly when the electrical
stimulation device is in use;
‡ Do not apply stimulation whenin the bath or shower;
‡ Do not apply stimulation while sleeping;
‡ Do not apply stimulation while driving, operating machinery, or during any activity in
which electrical stimulation canput you at risk of injury;
‡ Do not use the device on children, if it has not been evaluated for pediatric use;
‡ Consult with your physician before using this device, because the device may cause
lethal rhythm disturbances to the heart in susceptible individuals;
‡ Apply stimulation only to normal,intact, clean, healthy skin.
‡ See also chapter 3, Precautionary Instructions, for general Warnings and Precautions.

4.1.2.4 Precautions Muscle Stimulation

‡ The long-term effects of electrical stimulation are unknown;

14
Rehab-Series

‡ Since the effects of stimulation of the brain are unknown, stimulation should not be
applied across your head, and electrodes should not be placed on opposite sides of
your head;
‡ The safety of electrical stimulation during pregnancy has not been established;
‡ You may experience skin irritation or hypersensitivity due to the electrical stimulation
or electrical conductive medium (gel);
‡ If you have suspected or diagnosed heart disease, you should follow precautions
recommended by your physician;
‡ If you have suspected or diagnosed epilepsy, you should follow precautions recom-
mended by your physician.
‡ Use caution if you have a tendency to bleed internally, such as following an injury or
fracture;
‡ Consult with your physician prior to using the device after a recent surgical procedure,
because stimulation may disrupt the healing process;
‡ Use caution if stimulation is applied over the menstruating or pregnant uterus;
‡ Use caution if stimulation is applied over areas of skin that lack normal sensation;
‡ Keep this device out of the reach of children;
‡ Use this device only with the leads, electrodes, and accessories recommended by the
manufacturer.
‡ Some patients may experience skin irritation or hypersensitivity due to electrical stimu-
lation or electrical conductive medium. The irritation can usually be reduced by using
an alternative conductive medium, or alternate electrode placement.
‡ See also chapter 3, Precautionary Instructions, for general Warnings and Precautions.

4.1.2.5 Adverse Effects Muscle Stimulation

‡ You may experience skin irritation and burns beneath the stimulation electrodes
applied to your skin;
‡ You may experience headache and other painful sensations during or following the
application of electrical stimulation near your eyes and toyour head and face;
‡ You should stop using the device and should consult with your physician if you experi-
ence adverse reactions from the device.

4.1.2.6 Current Waveforms Muscle Stimulation

‡ For muscle stimulation the following current waveforms are recommended 4.1.3.2,
4.1.3.3, 4.1.3.4, 4.1.3.8, 4.1.3.10

15
Rehab-Series

These waveforms are often applied in combination with a surge program, which consists of
a sequence of exercise and rest periods. Two options are available here:

‡ Reciprocal application, where stimulation alternates between agonists and antago-

nists. This is accomplished through asynchronous stimulation over two current chan-
nels with an appropriate delay between the two channels.
‡ Co-contract application, where two channels operate synchronously to co-contract
agonist and antagonist or different sections of a larger muscle group.

4.1.3 Description Current Waveforms

Remark:

‡ CC — Constant current output mode.

‡ CV — Constant voltage output mode.
‡ F.M. — Frequency Modulation
‡ Burst— Burst Frequency
‡ Freq. — Frequency
‡ C.F — Carrier Frequency
‡ Duty — Duty Cycle
‡ Beat H. — Sweep High Beat Frequency
‡ Beat L . — Sweep Low Beat Frequency
‡ A.M. — Amplitude Modulation
‡ P.Dur. — Phase Duration
‡ Cycle— Cycle time
‡ Ramp— Ramp time

4.1.3.1 IF-4P IFC(Interferential) Traditional (4 Pole)

Interferential Current is a medium frequency waveform. Current is distributed through of two

channels (four electrodes). The currents cross each other in the body at the area requiring
treatment. The two currents interfere with each other at this crossing point, resulting in a
modulation of the intensity (the current intensity increases and decreases at a regular
frequency).

16
Rehab-Series

Parameters:

Carrier frequency: Carrier frequency is the base frequency of the alternating current.
Beat Frequency: The frequency at which the amplitude is modulated. This is the effective
therapeutic frequency.
Vector-Auto: Vector-Auto is a form of amplitude modulation and is a percentage of the
interferential amplitude (intensity) and will decrease from its maximum level over 6 seconds.
Vector-Manual Vector-Manual is a form of amplitude modulation. When Vector-Manual
set to a different Angle, the output intensities of two channels are different. The rhythmical
varying of the current amplitude of each channel produces the perceived movement of the
interferential field by the patient.

4.1.3.2 IFC(Interferential) Premodulated (2 Pole)

Premodulated Current is a medium frequency waveform. Current comes out of one channel
(two electrodes). The current intensity is modulated: it increases and decreases at a regular
frequency (the Amplitude Modulation Frequency).

Parameters:

Carrier frequency: Carrier frequency is the base frequency of the alternating current.
Beat Frequency: The frequency at which the amplitude is modulated. This is the effective
therapeutic frequency.
Cycle Time: refers to the time that the current is On and Off (in seconds). Example: for a
Cycle Time of 10/50, the current will be flowing for 10 seconds and resting for 50 seconds.
Ramp Time: the time that the current will take to increase to the set intensity level. Ramps
occur at the beginning and ending of a timed On cycle.

4.1.3.3 Biphasic TENS

The Asymmetrical Biphasic and the Symmetrical Biphasic waveform are often used in TENS
(Transcutaneous Electrical Nerve Stimulation) applications. The TENS has a short pulse
duration. It is capable of strong stimulation of the nerve fibers in the skin as well as of muscle
tissue. Because of its short pulse, the patient typically tolerates the current well, even at rela-
tively high intensities. The Alternating Rectangular waveform is an interrupted biphasic
current with a rectangular pulse shape. This waveform is commonly used as a pain manage-
ment application.

17
Rehab-Series

Parameters:

Phase Duration: expressed in µs, is the elapsed time from the beginning to the end of the
initial pulse phase.
Frequency: In a pulsed current the Frequency refers to the number of pulses that occur in a
one second period of time and is denoted as in Hz or Pulses Per Second (pps).
Frequency Modulation: expressed in Hz, defines a variable frequency range that is summed
to the Pulse frequency i.e when the Pulse frequency is set to 80 Hz and the Frequency modu-
lation is set to 40 Hz, the final frequency will vary from 80 – 120 Hz.
Amplitude Modulation: Rhythmical fluctuation of the intensity to prevent accommodation.
Burst Frequency: expressed in Hz or bps, defines the repetition rate of bursts of pulses. A
Burst (an interrupted train) is a finite series of pulses that are delivered at a specific
frequency and are separated by interburst intervals.

4.1.3.4 Russian Stimulation

Russian Current is a rectangle 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.

Parameters:

Carrier Frequency: Carrier frequency is the base frequency of the alternating current.
Frequency: In a pulsed current the Frequency refers to the number of pulses that occur in a
one second period of time and is denoted as in Hz or Pulses Per Second (pps).
Duty: The percentage of the total treatment time that the current is actually flowing.
Cycle Time: refers to the time that the current is On and Off (in seconds). Example: for a
Cycle Time of 10/50, the current will be flowing for 10 seconds and resting for 50 seconds.
Ramp: The time that the current will take to increase to the set intensity level. Ramps occur
at the beginning and ending of a timed On cycle.

4.1.3.5 High Volt

The High Volt waveform has a very brief pulse duration characterized by 2 distinct peaks
delivered at high voltage. The waveform is monophasic (current flows in one direction
only).The high voltage causes a decreased skin resistance making the current comfortable
and easy to tolerate. The very short pulse duration followed by a very long interpulse interval
eliminates the formation of any appreciable chemical or thermal effects in the tissue.

18
Rehab-Series

The High Volt waveform is frequently used to increase local blood circulation and relax
muscles in spasm.

Frequency: In a pulsed current the Frequency refers to the number of pulses that occur in a
one second period of time and is denoted as in Hz or Pulses Per Second (pps).
Polarity: This refers to the polarity (+/-) of the red lead wire; connect the lead wire to the
active electrode.
Cycle Time: refers to the time that the current is On and Off (in seconds). Example: for a
Cycle Time of 10/50, the current will be flowing for 10 seconds and resting for 50 seconds.
Ramp: The time that the current will take to increase to the set intensity level. Ramps occur
at the beginning and ending of a timed On cycle.

4.1.3.6 Micro Current

Microcurrent is a monophasic waveform of very low intensity. The literature reports benefi-
cial effects of this waveform in the treatment of wounds. The physiological working mecha-
nism of this effect is as yet not clearly understood. It is thought to stimulate tissue healing by
stimulating the 'current of injury', a current which naturally occurs in healing tissue.

Parameters:

Frequency: In a pulsed current the Frequency refers to the number of pulses that occur in a
one second period of time and is denoted as in Hz or Pulses Per Second (pps).
Polarity: This refers to the polarity (+/-) of the red lead wire; connect the lead wire to the
active electrode.

4.1.3.7 Trabert

It is a monophasic waveform with a phase duration of 2 ms and a pause of 5 ms resulting

in a frequency of approximately 143 Hz.

Parameters:

Polarity: This refers to the polarity (+/-) of the red lead wire; connect the lead wire to the
active electrode.

19
Rehab-Series

4.1.3.8 Diadynamic Currents

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

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.d: (Courtes Periodes Isodynamic) - A combination of MF and DF waveforms.

4.1.3.9 NMS

NMS is a symmetrical biphasic waveform with a 120 µsec interphase interval (NMS Burst 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.

Frequency: In a pulsed current the Frequency refers to the number of pulses that occur in a
one second period of time and is denoted as in Hz or Pulses Per Second (pps).
Phase Duration: expressed in µs, is the elapsed time from the beginning to the end of the
initial pulse phase.
Cycle Time: refers to the time that the current is On and Off (in seconds). Example: for a
Cycle Time of 10/50, the current will be flowing for 10 seconds and resting for 50 seconds.
Ramp: The time that the current will take to increase to the set intensity level. Ramps occur
at the beginning and ending of a timed On cycle.

4.1.3.10 Galvanic Current

Galvanic Current is a direct current flowing in one direction only. The current can be con-
tinuous or interrupted.

Parameters:

Polarity: This refers to the polarity (+/-) of the red lead wire; connect the lead wire to the
active electrode.

20
Rehab-Series

Polarity: This refers to the polarity (+/-) of the red lead wire; connect the lead wire to the
active electrode.
Cycle Time: refers to the time that the current is On and Off (in seconds). Example: for a
Cycle Time of 10/50, the current will be flowing for 10 seconds and resting for 50 seconds.
Ramp: The time that the current will take to increase to the set intensity level. Ramps occur
at the beginning and ending of a timed On cycle.

4.1.4 Illustrations Current Waveforms

f Carrier frequency
fb Beat frequency

Premod

 
1/f
f Carrier frequency
CH1: fb Beat frequency

CH2:

Beat:

IFC-4P

 
f Beat frequency
100mA  max.

1/f

Russian

21
Rehab-Series

Biphasic Pulsed Current TENS

  t Phase duration
f Pulse frequency
200mA  max.

1/f
Asymmetrical

  t Phase duration
200mA  max. f Pulse frequency

1/f
Alternating

  t Phase duration
200mA  max.
f Pulse frequency

t
1/f
Symmetrical

  f Burst frequency
200mA  max.

1/f

Burst Asymmetrical

 
200mA  max. f Burst frequency

1/f
Burst Symmetrical

22
Rehab-Series

 
f Burst frequency
200mA  max.

1/f
Burst Alternating

 
fp Phase duration:
80mA  max. 2 ms
ti Phase interval:
tp ti 5 ms
Träbert, 2 – 5 Current

 
tp Phase duration
80mA  max. f Pulse frequency

tp
1/f

Rectangular Pulsed current

 
tp Phase duration
80mA  max.
f Pulse frequency
tp
1/f

Triangular Pulsed Current

NMS
 
t
t Phase duration
200mA  max. f Pulse frequency

100ms

1/f NMS

23
Rehab-Series

 
f Burst frequency
200mA  max.

1/f
NMS Burst

Galvanic Current

 
f Carrier frequency
- 8 kHz fixed
80mA  max.

1/f Duty cycle - 90 % fixed

Galvanic Interrupted

 
80mA  max.

Galvanic Continuous

 
t Peak interval
500V    max. - 100 µs fixed
f Pulse frequency
1/f

High Voltage

  f Frequency
1000uA  max.

1/f

Micro Current

24
Rehab-Series

Diadynamic Current

 
70mA  max. MF

 
70mA  max. DF

 
70mA  max. LP

 
70mA  max.
CP
1s 1s 1s

 
70mA  max. CPid

1s 1s 1s

Modulation program

 
Ramp  Up Ramp  Dowm

Reset  Time
Surge program parameters

25
Rehab-Series

Frequence Modulation

 
1/Frequency 1/Freq.  Mod.+Frequency

TENS

IPC-4P/Premod

 
Beat  High Beat  Low

Channel Mode

 
CH1:

CH2:

10s 10s
Co-Cont Both(ON:10/OFF:10)

 
CH1:

CH2:

10s 10s 10s Reciprocal(ON:10/OFF:10)

26
Rehab-Series

4.2 Intended Use Ultrasound therapy

Ultrasound is a mechanical energy consisting of high-frequency vibrations applied by means

of an ultrasound applicator. These vibrations pass through the tissue of the body and are
gradually absorbed and transformed into heat. The resulting temperature increase triggers
biological changes to occur in the tissue for the relief of pain, relaxation of muscle spasms
and reduction of joint contractures.

4.2.1 Indications Ultrasound

Ultrasound is indicated for conditions that benefit from the application of deep heat: relief
of pain, muscle spasms and joint contractures. The objective of therapeutic ultrasound in the
treatment of selected medical conditions associated with the chronic and sub chronic condi-
tions of bursitis/ capsulitis, epicondylitis, ligament sprains, tendinitis, scar tissue healing and
muscle strain, is to reduce pain.

4.2.2 Contra-indications Ultrasound

‡ The established contra-indications to heat therapy itself.

‡ In an area of the body where a malignancy is known to be present.
‡ Over or near bone growth centers until bone growth is complete.
‡ Over the thoracic area if the patient is using a cardiac pacemaker.
‡ Over a healing fracture.
‡ Over ischemic tissues in individuals with vascular disease where the blood supply
would be unable to follow the increase in metabolic demand and tissue necrosis might
result.
‡ In the presence of metal implants of any type.
‡ Patients with sensory loss on the area to be treated.
‡ The gonads or to the developing fetus.
‡ The heart.
‡ The brains.
‡ The testicles.
‡ The eyes.
‡ Facial sinus as this exposes the eyes to the same hazards.
‡ Ultrasound should not be used on unconscious patients.

27
Rehab-Series

4.2.3 Precautions and Warnings Ultrasound

‡ Precaution should be taken when using therapeutic ultrasound on patients with hem-
orrhagic diatheses.
‡ Ultrasound treatment presents a potential safety hazard in patients whose pain
response has been decreased because of disease, previous surgery, ionizing radiation
therapy, chemotherapy, general or regional anaesthesia. It may cause burns. Do not
use on insensitive areas or in the presence of poor circulation.
‡ Large thermal doses may result in regions of thermal aseptic necrosis which may not
be apparent on inspection of the skin.
‡ See also chapter 3, Precautionary Instructions, for general Warnings and Precautions.

4.2.4 Relevant Hazards Ultrasound

‡ Use of ultrasound in treating areas above the shoulders may pose relevant hazards.
While it is recognized that certain specific conditions involving the eyes can and have
been treated by specialists qualified by training, knowledge and experience to admin-
ister such treatments, such application carries with it recognized hazards of applying
heat to the eyes.
‡ Treatment of the facial sinus exposes the eyes to the same hazards.
‡ Treatment of the thyroid, as well as lymph nodes in the neck, may expose the patient
to as yet undetermined effects, in as much as the safety of such treatments has not yet
been established.

4.2.4 Relevant Hazards Ultrasound

‡ Cataracts. ‡ Male sterility.

‡ Enhanced drug activity. ‡ Thermal stress.

4.2.4 Relevant Hazards Ultrasound

Ultrasound Frequency: expressed in MHz, is the frequency of the ultrasound waves. The
ultrasound frequency determines the penetration depth, which has the largest value at 1
MHz. The ultrasound frequency can be set at 1 MHz or 3 MHz.
Duty Cycle: expressed in %, defines the ratio of the pulse duration to the pulse repetition
time. Ultrasound can be applied in pulsed or in continuous mode. When the Duty Cycle is
set to 100%, the apparatus operates in continuous mode.

28
Rehab-Series

Effective Radiation Area (ERA): expressed in cm², defines the cross-sectional area of the
ultrasound beam (See technical specifications for details). The Effective Radiation Area is
fixed and defined by the size of the ultrasound applicator.
Ultrasound Power: is the ultrasound output expressed in Watt. The ultrasound output
display can be toggled between Watt and Watt/cm². In pulsed mode the power during the
pulse is displayed. The time averaged power can be obtained by multiplying this value with
the Duty Cycle.
Ultrasound Amplitude: expressed in Watt/cm², is the quotient of Ultrasound Power and
Effective Radiation Area. The ultrasound output display can be toggled between Watt and
Watt/cm². In pulsed mode the Amplitude during the pulse is displayed. The time-averaged
Amplitude can be obtained by multiplying this value by the Duty Cycle.

4.3 Combination Therapy

Combination therapy is the combined application of ultrasound and electrical stimulation.

With combination therapy the metal surface of the ultrasound applicator becomes the nega-
tive electricalstimulation electrode, while the lead wire with the red connector remains the
positive electrical stimulation electrode. Combination therapy is available with all current
waveforms, but limited to channel 2. Combination therapy is typically used for the reduction
of muscle spasm.The combined Contra-indications and Adverse Effects of paragraph 4.1
and 4.2 apply

4.4 EMG Therapy

Myofeedback is a form of feedback, in which the patient receives electronically recorded

information about his own physiological processes. The electromyographic recording used
in the diagnostics and treatment of the moving mechanism is an indispensable supplement
to the study of movement. When we place electrodes on the skin to obtain information from
an EMG signal about the underlying musculature, we must be acquainted with the develop-
ment of the EMG signal and the construction and function of the motor mechanism. Thus,
properties and mutations in the musculature, the joints system, the sensory and the neural
system can be found in the motor system and also in the EMG recording. Surface EMG pro-
vides us with detailed information about the organ-specific properties of a muscle, such as:

‡ the activation of the muscle;

‡ the muscle’s capacity for relaxation;
‡ coordination between muscles;
‡ the tiredness of a muscle;

29
Rehab-Series

‡ the capacity of a muscle to lengthen;

This makes Myofeedback especially suitable as a measuring instrument for charting our
locomotive operations.

4.4.1 Parameters

Program time Max:99mins

Threshold (µV) 0.6-2000µV, During work period the patient is prompted to contract above the
Threshold. In the rest phase the patient is prompted to relax their pelvic muscle.
Filter Wide/Narrow
Biofeedback Above/Below/Continue/OFF:
Above the threshold, Below the threshold, Continue-full scale, OFF-no bar graph
sound
Work/Rest time (s) 2-99 sec
Threshold setting Auto/Manual
Trial Number of work/rest repetitions, 2-99
Threshold setting Auto/Manual
STIM time(s) 1-99sec
Frequency (Hz) 2-100Hz
Pulse width (µS) 50-450 µS
Ramp up/down time(s) 0.1-9.9sec

4.4.2 Indications/Contraindications and Adverse Effects for Biofeedback

Indications

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‡&UDQLRPDQGLEXODUG\VIXQFWLRQ
‡7HQVLRQKHDGDFKH0LJUDLQH
‡6WUHVVUHODWHGGLVRUGHUV
‡/RZ%DFN3DLQ
‡5HVSLUDWRU\GLVHDVHV
‡2UWKRSHGLFSRVWWUDXPDWLFDQGSRVWVXUJLFDOGLVRUGHUV
‡3HULSKHUDOQHUYHOHVLRQV
‡0LPLF )DFLDO 5HKDELOLWDWLRQ
‡3HOYLF)ORRU5HHGXFDWLRQ ,QFRQWLQHQFH
‡'\VSKDJLD

30
Rehab-Series

Contraindications

Because Biofeedback therapy does not “do” anything to the body, few contraindications
exist. Biofeedback therapy is not recommended for persons with severe psychosis, depres-
sion, or obsessional neurosis, nor for debilitated patients or those with psychopathic person-
alities. However, because resulting functional improvements can require strenuous physical
effort, individuals interested in Biofeedback may need to be aerobically fit.

Precautions and Warnings:

Biofeedback is dangerous for diabetics and others with endocrine disorders, as it can
change the need for insulin and other medications. Please check with the doctor to see
whether this is an appropriate treatment for you.

5 Package Contents

Device model:

The package contents depend on the device model ordered. The following models are avail-
able:

5.1 CT2200

Standard Accessories:

Serial  No.   Name   Quantity  

1053283 CT2200 mainframe 1

1183323 Patient Interrupt Switch 1

7160132830 Mains Power cable 1

2
1811361 5cm ultrasound applicator 1

2240000006 Ultrasound Transmission Gel 1

7100100001 Rubber electrodes(﴾60x90mm)﴿ 2

7100100000 Rubber electrodes(﴾70x110mm)﴿ 2

9051650011 Electrode Sponges(﴾70x100mm)﴿ 2

31
Rehab-Series

9051650010 Electrode Sponges(﴾80x120mm)﴿ 2

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 4

7100000152 Self-adhesive Electrodes(﴾50x100mm)﴿ 4

7200300010 Fixation strap(﴾75x1200mm)﴿ 1

7200300050 Fixation strap(﴾75x600mm)﴿ 1

7101000016 Stim Lead Wires 2

2003321 Holder for ultrasound applicator 1

9011032830 User manual 1

5.2 MT2200

Standard Accessories:

Serial  No.   Name   Quantity  

1093294 MT2200 mainframe 1

1183323 Patient Interrupt Switch 1

7160132830 Mains Power cable 1

7100100001 Rubber electrodes(﴾60x90mm)﴿ 2

7100100000 Rubber electrodes(﴾70x110mm)﴿ 2

9051650011 Electrode Sponges(﴾70x100mm)﴿ 2

9051650010 Electrode Sponges(﴾80x120mm)﴿ 2

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 4

7100000152 Self-adhesive Electrodes(﴾50x100mm)﴿ 4

7200300010 Fixation strap(﴾75x1200mm)﴿ 1

7200300050 Fixation strap(﴾75x600mm)﴿ 1

7101000016 Stim Lead Wires 2

9011032830 User manual 1

32
Rehab-Series

5.3 UT2200

Standard Accessories:

Serial No. Name Quantity

1043305 UT2200 mainframe 1

7160132830 Mains Power cable 1

1811361 5cm2 ultrasound applicator 1

2240000006 Ultrasound Transmission Gel 1

1811373 1cm2 ultrasound applicator 1

2003321 Holder for ultrasound applicator 2

9011032830 User manual 1

5.4 MTM200

Standard Accessories:

Serial  No.   Name   Quantity  

1223317 MTM200 mainframe 1

1183323 Patient Interrupt Switch 1

7100100001 Rubber electrodes(﴾60x90mm)﴿ 2

7100100000 Rubber electrodes(﴾70x110mm)﴿ 2

9051650011 Electrode Sponges(﴾70x100mm)﴿ 2

9051650010 Electrode Sponges(﴾80x120mm)﴿ 2

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 4

7100000152 Self-adhesive Electrodes(﴾50x100mm)﴿ 4

7200300010 Fixation strap(﴾75x1200mm)﴿ 1

7200300050 Fixation strap(﴾75x600mm)﴿ 1

7101000016 Stim Lead Wires 2

33
Rehab-Series

5.5 BTM200

Standard Accessories:

Serial  No.   Name   Quantity  

1223315 BTM200 mainframe 1

5.6 VAM200

Standard Accessories:

Serial  No.   Name   Quantity  

1223314 VAM200 mainframe 1

7900033220 Vacuum Electrode Cups Ø 60mm 4

7120033290 Vacuum Sponges Ø 60mm 4

7130033300 Vacuum Lead Hose (﴾Red)﴿ 2

7130033310 Vacuum Lead Hose (﴾Black)﴿ 2

5.7 EMG200

Standard Accessories:

Serial  No.   Name   Quantity  

1223316 EMG200 mainframe 1

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 8

10260041 Intravaginal Probe(﴾26.5mm)﴿ 1

7101000016 Stim Lead Wires 2

7101000017 EMG Leadwire 1

34
Rehab-Series

6 Installation
6.1 Installation of functional modules

6.1.1 Rehab series with or without a pre-install module

Remove the Rehab2 series device and any additional items ordered from the carton
‡
and inspect for damage that may have occurred during shipment.
the device on a desk or Cart200. Ensure that there is sufficient air flow below the
‡
device (do not place the device on a table-cover).

6.1.2 Rehab series with a module (VAM200/ EMG200/ BTM200/ MTM200)

Remove the functional module and any additional items ordered from the carton and
‡
inspect for damage that may have occurred during shipment.
Place the functional module on a desk or Cart200. Ensure that there is sufficient air
‡
flow below the device (do not place the device on a table-cover).
Remove the Rehab2 series device and any additional items ordered from the carton
‡
and inspect for damage that may have occurred during shipment.
Place the main device on top of the functional module.
‡
Carefully lift the main device at the front and insert flat cable into connector.
‡
6.1.3 Rehab series with two modules

Remove the bottom functional module and any additional items ordered from the
‡
carton and inspect for damage that may have occurred during shipment.
Place the bottom functional module on a desk or Cart200. Ensure that there is suffi-
‡
cient air flow below the device (do not place the device on a table-cover) and the white
gap on front panel is upward.
Remove the top functional module and any additional items ordered from the carton
‡
and inspect for damage that may have occurred during shipment.
Place the top functional module on top of the bottom functional module and ensure
‡
the white gap on front panel is downward.
Carefully lift the top functional module at the front and insert flat cable into connector.
‡
Place the main device on top of functional modules.
‡
Carefully lift the main device at the front and insert flat cable into connector.
‡

35
Rehab-Series

6.2 Connection to mains supply

Insert the mains cable into socket and connect it to a wall socket.

CAUTION:
‡ Do not place the device in a location where the power cord could be tripped over or
pulled out during treatment.
‡ Do not attempt to use the device if it is not properly grounded. Make certain that the
device is electrically grounded by connecting it only to a grounded electrical service
receptacle conformable with the applicable national and local electrical codes regard-
ing medical environments.
‡ Set power line switch On(1).
‡ Power LED indicator is lit green indicating that the device is connected to the mains
supply.
‡ The device will initialize and perform a self test. This may take a while.
‡ At the end of the self test the device enters the Home menu and is ready for use.

6.3 Disconnection from mains supply

Systems without a battery:

‡ When you have finished treatments turn the device off by setting the power line switch
to Off(0). The device is now disconnected from the mains supply.
Systems with a battery:
‡ Turn off the device with push button
‡ Set power line switch Off (0) to stop charging and to disconnect the unit from the mains
supply.

6.4 Operation from the battery module (BTM200)

‡ Leave power line switch in the Off position (0) and turn on the device on using push
button.
‡ Power LED indicator is lit orange, indicating that the device is operating from the bat-
tery.
‡ The charge status of the battery is indicated in the right hand top corner of the display.
‡ When you have finished treatments turn off the device using push button
‡ With the power line switch On (1), the battery is automatically charged, independent
of the state of the on/off push button. We recommend to use the apparatus from the
powerline whenever possible. This will increase the service life of the battery.

36
Rehab-Series

7 Application Information
7.1 Electrotheraphy

CAUTION:
‡ Connection of accessories other than the ones specified by the manufacturer can
adversely affect the safety of the patient and correct functioning of the equipment, and
is therefore not permitted.
‡ To prevent infection, electrodes and sponge pads should not be used on broken skin.

7.1.1 Before treatment

‡ Check the patient for contra-indications and warnings as described in paragraph 4

Test the heat sensibility of the treatment area.
‡ Rinse the treatment area. Shaving hairy skin is recommended.

7.1.2 Flexible rubber electrodes

We recommend using the flexible rubber electrodes in combination with the supplied sponge
pads. When properly moistened, the sponge pads ensure low impedance between the skin
and the stimulator during treatment and they are easily cleaned afterwards. Follow the
guidelines below when using these electrodes.

‡ Prior to initial use thoroughly rinse the sponge pads in warm tap water to remove the
impregnating agent.
‡ Before application saturate the sponge pads with tap water. In areas with soft tap water
use a saline solution instead. This will improve electrical conduction.
‡ The supplied sponge pads have three layers. With AC currents, apply one sponge layer
between the skin and the electrode for minimum resistance.
‡ With DC currents, apply two sponge layers between the skin and the electrode. Two
layers provide more absorbing capacity for electrolysis by-products.
‡ Fix the electrode/sponge pad assembly to the patient using the supplied fixation straps.
‡ Depending on the electrode size, use two or three wraps to maximize the contact
surface. See the illustrations below.
‡ Use the stimulator in the Constant Current (CC) mode. This will maintain the set current
amplitude, even when the impedance of the sponge pads increases during treatment
caused by water evaporation.
‡ Keep the sponge pads well moistened during treatment, especially with DC currents. If
the current display starts blinking, it is an indication of poor electrical contact.
‡ After use clean the sponge pads as described in the User Maintenance instructions.

37
Rehab-Series

7.1.3Vacuum electrodes

There is a choice of large and small electrodes. The areas of the electrodes correspond to
those of the 4 x 6cm and 6 x 8cm flexible rubber electrodes. The vacuum electrodes are
sufficiently flexible to ensure optimum contact with the skin, but rigid enough to prevent any
changes in the contour of the part being treated, allowing full advantage to be taken of the
massage effect of the pulsed vacuum.

Keep the sponge pads well moistened during treatment.

After use clean the sponge pads as described in the User Maintenance instructions.

7.1.4 Self-adhesive electrodes

Self-adhesive electrodes have higher series impedance than flexible rubber electrodes. This
can cause the stimulator to terminate treatment at higher current amplitudes. When this
occurs it is recommended to continue the treatment with flexible rubber electrodes, com-
bined with properly moistened sponge pads.

Self-adhesive electrodes are not recommended for use with currents that contain a DC com-
ponent.

CAUTION:

Do not use electrodes on open wounds.

7.1.5 Electrolytic effects

Electrolysis occurs under the electrodes when current types with a DC component are
applied. Because the largest concentration of electrolytic by-products caused by ion migra-
tion occur under the electrodes, we recommend the use of the supplied sponges to keep the
effects to a minimum. Make sure that the sponges are kept well moistened and place the
thick side of the sponge between the flexible rubber electrode and the patient.

7.1.6 Current density

In the particular standard for Electrical Nerve and Muscle Stimulators, IEC 60601-2-10, it is
recommended not to exceed a current density of 2 mA r.m.s. / cm², otherwise skin irritations
or burns can occur. For current types that contain a DC component we recommend not to

38
Rehab-Series

exceed a current density of 0.2 mA / cm².

To find the maximum recommended current amplitude in mA for the Interferential, Premodu-
lated and Russian Stimulation current waveforms, multiply the electrode surface in cm² by
two. For all other current waveforms the stimulator output current can never exceed 50 mA
r.m.s. This implies that with an electrode surface of 25 cm² the current density can never
exceed 2 mA r.m.s. / cm². As a rule of thumb for smaller electrodes, such as the 3.2mm self
adhesives, the maximum current setting available on the stimulator for a given current wave-
form should proportionally be reduced.

For a precise calculation of the r.m.s. value of a pulsed current waveform the following
IRUPXODFDQEHXVHG,506 ,SHDN¥ 3KDVHGXUDWLRQ>—V@ SXOVHIUHTXHQF\>+]@ 

For symmetrical TENS currents, the Phase duration should be multiplied by 2. The value of
the peak current Ipeak can be taken from the current display.

Electrodes should be placed with care, ensuring good electrical contact over the entire elec-
trode surface.

7.1.7 Connection and disconnection reactions

Constant Current (CC) output characteristics may cause unpleasant connection and discon-
nection reactions if the electrodes are not securely placed or lose contact with the skin. Make
sure the current amplitude is set to 0 mA when you apply or remove the electrodes. Use the
Constant Voltage (CV) output mode with dynamic electrode applications.

7.2 Ultrasound

7.2.1 Contact control

The ultrasound applicator has a contact control function that suspends treatment when the
acoustical contact with the body drops below a certain level (see paragraph 10.1). The indi-
cator light on the applicator is turned on to signal this situation, the ultrasound Amplitude
display will start blinking and the treatment timer will stop counting down. During this situa-
tion the applicator emits a small amount of energy to sense restoration of acoustical contact.
You may experience this when the applicator only partially contacts the body. When contact
restoration is sensed the treatment is resumed at the set Amplitude.
The contact control function does not work at Amplitudes below 0.2 Watt/cm².

39
Rehab-Series

7.2.2 The contact medium

To ensure efficient transfer of energy, a contact medium is required between the ultrasound
applicator and the body. Air causes virtually total reflection of the ultrasound energy. The
best medium for the transfer of ultrasound energy is a gel.

‡ The gel should be applied to the part of the body to be treated and then spread out
with the ultrasound applicator.
‡ Never apply the gel to the ultrasound applicator. The applicator will register this as
acoustical contact and may emit ultrasound energy, which could damage the applica-
tor.

If the body surface is very irregular, making it difficult to obtain good contact between the
ultrasound applicator and the body, or if direct contact must be avoided (e.g. due to pain),
the affected area may be treated under water (subaqual method). The water should be
degassed (by previous boiling) in order to prevent air bubbles arising on the ultrasound
applicator and the body.

7.2.3 Before treatment

‡ Check the patient for contra-indications. See section 4.2.2 for details.
‡ Test the warmth sensibility of the treatment area.
‡ To optimize ultrasound transmission, clean the skin of the treatment area with soap or
a 70% alcohol solution.
‡ Strong hair growth has to be shaved.

7.2.4 During treatment

‡ The ultrasound applicator has to be moved constantly, also with the semi-static
method. During treatment the displayed ultrasound Amplitude can vary around the set
value, caused by fluctuations in acoustical coupling.
‡ Ask the patient regularly for his/her findings. If necessary the treatment will have to be
adapted. The Amplitude can be reduced or the continuous mode can be changed to
pulsed mode or vice versa.
‡ When there are signs that the ultrasound transmission is bad, add more contact gel or
spread it with the applicator.

40
Rehab-Series

CAUTION:

‡ The ultrasound applicator is a precision instrument. Great care has been taken during
the development and in production to obtain the best possible beam characteristics.
Rough treatment (jarring or dropping) can adversely affect these characteristics, and
must therefore be avoided.

7.2.5 After treatment

‡ Clean the skin of the patient and the ultrasound applicator with a towel or tissue. Clean
the applicator with a 70% alcohol solution.
‡ Check for the effects that can be expected (for example pain, circulation and mobility).
‡ Ask the patient to inform the therapist of any reactions.

7.3 Vacuum

Vacuum electrodes make good contact with the skin, which means that effective use is made
of the whole electrode area. The massage effect resulting from the pulsed vacuum ensures
a good blood flow through the skin under the electrodes. This reduces the resistance of the
skin and increases he effectiveness of the stimulation current.

‡ See paragraph 7.1.3 for the application of the vacuum electrodes.

‡ When you use only one vacuum channel, close the other channel with one of the
vacuum cables not in use.

7.4.1 Skin electrodes/Probe placement

f using the EMG or ETS phase,connect the EMG reference lead to a surface skin electrode
and place it appropriately on the body, making sure the skin is free from grease and dirt;
repeat the above procedure with the other two skin electrodes. If using a probe, place the
single surface skin electrode on the thigh area and then insert the probe.
Always use Reference wire (REF) for the precise EMG measurement!
Place reference electrode anywhere on your skin.When using with Vaginal probe, you can
place the reference electrode on your thigh.

41
Rehab-Series

7.4.2 Probes

Vaginal / Rectal Probes:

‡ Check if the connectors connected with the probe.
‡ We advice you to use NU-TEK’s Probe.
‡ Cleaning: Remember! The Vaginal or Rectal probe is for use with one patient only!
Carefully clean the Probe after use. Wash the probe gently in mild soapy water, rinse
and make sure the probe is completely dry before returning to storage in the plastic
bag. Read carefully the probe instruction of use, originally attached to the probe pack-
age.

NOTE:

Only NU-TEK, or appointed distributors /importers are approved to undertake servicing.

Please contact us about our Vaginal /Rectal Probe.

AC4001(24.5x97mm) NT1041(26.5x97mm)

AC4000(29.5x97mm) NT1011(14x132mm)

42
Rehab-Series

8 Operating Instructions
8.1 Operator Controls

8 11
7 10

12
1
9

3
13 14 15 16

[1] Mainframe of CT2200

[2] Power line switch
0...Device disconnected from mains supply
1...Device connected to mains supply
[3] Connector for mains cable
Type number/warning sticker
Provides information on the apparatus, such as type and serial number, as well as connection
data such as mains voltage and maximum current consumption.
[4] LOGO [5] ON/OFF swich button
[6] Display with Touch screen technology [7] Patient interrupt switch
[8] Electrotherapy Therapy button Combo-Rebah,Stim- Rehab /Treatment
button(Ultra-Rehab)
[9] LED indicator
[10] Combination Therapy button(Combo-Rehab)/ Favorites button(StimRehab, UltraRehab)
[11] Ultrasound Therapy button(Combo-Rehab)/ Clinical Protocol button(StimRehab, Ultra-
Rehab)
[12] Central controller with light ring
Use this controller to scroll through the pages and to adjust the parameters. The linear led
indicator is illuminated when the controller is ready to use.
[13] Emergency Stop button [14] Connection Electrode Cable Electrotherapy channel 1
[15] Connection Electrode Cable Electrotherapy channel 2
[16] Connection Ultrasound applicator

43
Rehab-Series

[17] MTM200 module

[18] Connection Electrode Cable Electrotherapy channel 4
[19] Connection Electrode Cable Electrotherapy channel 3
[20] BTM200
[21] VAM200 module
[22] Connections Vacuum Cables Electrotherapy channel 1
[23] Connections Vacuum Cables Electrotherapy channel 2
[24] EMG200 module
[25] Reference Electrode Cable channel
[26] EMG Electrode Cable channel 1
[27] EMG Electrode Cable channel 2

44
Rehab-Series

CAUTION:

‡ Connection of accessories other than the ones specified by the manufacturer can
adversely affect the safety of the patient and correct functioning of the equipment, and
is therefore not permitted. For combined applications only use CARETALK type BF
equipment. The very low leakage current of this type of equipment ensures absolute
safe therapy.
‡ The ultrasound applicator is a precision instrument. Great care has been taken during
the development and in production to obtain the best possible beam characteristics.
Rough treatment (jarring or dropping) can adversely affect these characteristics, and
must therefore be avoided.

CAUTION:

&RQQHFWLRQV>@>@>@>@>@>@>@>@>@>@>@DUHLQWHQGHGIRUWKH
connection of type BF applied parts complying with the leakage current requirements
of IEC 60601-1.

8.2 Symbol

Symbol Meaning Symbol Meaning

Connection Electrode Cable Transportation and storage
Electrotherapy temperature limits.
Transportation and storage
BF appliation part
humidity limits.
Connection Ultrasound Transportation and storage
applicator atmospheric pressure limits.
Disposal in accordance with
Connection Emergency Stop button
Directive 2002/96/EC (WEEE)

Please refer to instruction manual

The name and address of
because of the higher levels
manufacturer
of output.

Complies with the European Medical Device Directive (93/42/EEC) and amended
0197
by directive 2007/47/EC requirements. Notified body TÜV Rheinland (CE0197)

45
Rehab-Series

8.3 Basic Operation

8.3.1 Device turn on

‡ Turn on the apparatus as described in paragraph 6.3

8.3.2 Display Organization

The display is organized as a spreadsheet of 3 sheets, one for each channel. The channels
refer to the patient connector groups accessible at the front of the unit. A sheet can be
selected by touching its tab. The tab shows important information, such as the output ampli-
tude and the remaining treatment time. This information is continuously visible, also when
the sheet is not selected.

[A] Device model.

[B] Navigation level. Shows where you reside in the navigation.
[C] Battery indicator (only visible when operating from the battery).
[D] Navigation bar. Provides screen dependent buttons for several functions. See paragraph
8.2.5.1 for details.
[E] Screen header. Shows the name of the screen, such as Manual Operation or a the name
of the selected Clinical Protocol.
[F] Screen body. Shows the parameters of a selected channel or, when no channels are
selected, the menu buttons.
[G] Channel tab. Used to select a channel. and to display and adjust the treatment time and
the output amplitude of that channel. See paragraph 8.2.5.2 for details.

46
Rehab-Series

A selected sheet gives an overview of the parameters belonging to that channel. A param-
eter can be selected by touching it, which causes its sheet to be lit and the strip lamp in the
bottom of the screen bar is to be illuminated. The parameter can now be adjusted with the
FHQWUDOFRQWUROOHU>@7KHSDUDPHWHUFDQEHFORVHGE\WRXFKLQJDQRWKHUSDUDPHWHU

To adjust the output amplitude of a channel, touch the tab of the selected channel again. Its
colour will change into orange. The output amplitude can now be adjusted with the central
FRQWUROOHU>@

For some applications, such as interferential therapy and combination therapy, two adjacent
channels can be linked. Linked channels are indicated by a combined tab. The tab halves
show the output amplitude of each channel, while the parameters on the remainder of the
sheet apply to both channels.

When you turn on the unit, you will first enter the Home menu. In the Home menu none of
the channels are selected. The Home menu provides a structured access to all therapies
available within the unit, with appropriate parameter defaults. Just select a menu item by
touching the button to navigate to the next screen. You can navigate back to the previous
screen by touching the back arrow at the top of the screen. Anywhere in the navigation, you
can jump back to the Home menu, by touching the home button .

8.3.3 Sign

8.3.3.1 Navigation Bar

Icon name Meaning

Back return to previous screen.

Home return to Home screen.

Page number / number of pages in multi page
Page number
menu screens or treatment step number

favorite ed sequential protocol in a favorite.

Delete Delete Favorite.

Pause treatment. The output current decreases to 0 and

Pause
the treatment timer suspends counting down.

47
Rehab-Series

Icon name Meaning

Start/Continue treatment. The output current increases to the
Start/Continue
previous value and the treatment timer resumes counting down.
Accept Accept the selected option.

Stop Stop the treatment,reset the treatment time and intensity.

8.3.3.2 Channel Tab Information

Channel Tab Illustration Of Electrotherapy

 
 
A Output Indicator   Standard electrodes

B   Channel Indicator   Channel 1

   
Channel 2
 

Remaining treatment time. When a sequential protocol has been loaded, the value
C  
indicates the total remaining treatment time of the sequential protocol.
D   Output value
E   Unit of Output value: mA, V

Channel Tab Illustration Of Ultrasound

 
                                   
Remaining treatment time. When a sequential protocol has been loaded, the value
F  
indicates the total remaining treatment time of the sequential protocol.
G   Output value
H   Unit of Output value: Watt Watt/cm²

48
Rehab-Series

Channel Tab Illustration Of Combination

I   Output Indicator Standard electrodes

 
J   Output Indicator Ultrasound Applicator
 
Remaining treatment time. When a sequential protocol has been loaded, the value
K  
indicates the total remaining treatment time of the sequential protocol.
L   Output value
M   Unit of Output value: mA, V
N   Output value
O   Unit of Output value: Watt Watt/cm²

8.3.4 Navigation

8.2.4.1 Electrotherapy  

Home

The Home menu gives access to all functions

of the unit.
Select the desired function or therapy by touching
the button.
The next screen appears.

49
Rehab-Series

   

Electrotherapy “Clinical Protocols”

The electrotherapy menu gives access to functions

‡&OLQLFDO3URWRFROV
‡)DYRULWHV
‡0DQXDO2SHUDWLRQ
Select Clinical Protocols by touching the button.
The next screen appears.
 

   

Use the central controller to scroll through the list and

select the clinical protocol by touching the button.
The channel selection screen appears.

For therapy information touch the info button

on the left side of the protocol and the therapy
info will appear.

   

Therapy information

Use the central controller to scroll through the pages,

in most cases the first page is text followed by one
or more illustrations.

50
Rehab-Series

   

Channel Selection

Here you can select the channels for electrotherapy.

When channel 1 is selected, channel 2 is still
available for another therapy.
When Channel 1+2 is selected both channels
have the same parameters. Only the intensity can
be set differently.
 

   

Parameter screen (therapy screen)

In this screen the user can adjust the intensity or

change the parameter by touching the button and
changing the value with the central controller .

   

Treatment time adjustment

Touch the timer button, the color changes into

orange and adjust the treatment time with the
FHQWUDOFRQWUROOHU>@

Repeat this for all other parameters.

51
Rehab-Series

   

Start the therapy by adjusting the intensity with the

FHQWUDOFRQWUROOHU>@
‡7RSDXVHWKHWUHDWPHQWWRXFKWKHSDXVH
button in the navigation bar.
‡7RFRQWLQXHWKHWUHDWPHQWWRXFKWKHUXQ
button in the navigation bar.
‡7R6WRSWKHWUHDWPHQWWRXFKWKH6723
button in the navigation bar.

Electrotherapy
  “Manual Operation”

The electrotherapy menu gives access to functions

‡&OLQLFDO3URWRFROV
‡)DYRULWHV
‡0DQXDO2SHUDWLRQ
Select Manual Operation by touching the button.
The next screen appears.

Select
  from the list a current waveform
6FUROOWRWKHQH[WSDJHZLWKWKHFHQWUDOFRQWUROOHU>@
or select the current waveform by touching the button.

Note: some of these selections are groups and in the

next screen another list appears from which the
current wave can be selected.

52
Rehab-Series

   

Channel Selection

Here you can select the channels for electrotherapy.

When channel 1 is selected, channel 2 is still
available for another therapy.

When Channel 1+2 is selected both channels have

the same parameters. Only the intensity can be
set differently.
 

   

Parameter screen

Adjust the parameters by touching the button

DQGFKDQJHWKHYDOXHZLWKWKHFHQWUDOFRQWUROOHU>@

Note: some parameters are grouped and in the

next screen the settings can be changed the
same way as above.
 

   

Treatment time adjustment

Touch the timer button, the color changes into

orange and adjust the treatment time with the
FHQWUDOFRQWUROOHU>@
Repeat this for all other parameters.

53
Rehab-Series

   

Start the therapy by adjusting the intensity with the

FHQWUDOFRQWUROOHU>@

‡7RSDXVHWKHWUHDWPHQWWRXFKWKHSDXVH
button in the navigation bar.
‡7RFRQWLQXHWKHWUHDWPHQWWRXFKWKHUXQ
button in the navigation bar.
‡7R6WRSWKHWUHDWPHQWWRXFKWKH6723
button in the navigation bar.  

 
8.2.4.2 Ultrasound Therapy  

The Home menu gives access to all functions

of the unit.

Select in the Home menu ultrasound therapy

by touching the button “ Ultrasound”.

The next screen appears.

   

Ultrasound Therapy “Clinical Protocols”

The Ultrasound Therapy menu gives access to functions.

‡&OLQLFDO3URWRFROV
‡)DYRULWHV
‡0DQXDO2SHUDWLRQ

Select Clinical Protocols by touching the button

The next screen appears.  

54
Rehab-Series

   

Use the central controller to scroll through the

ist and select the clinical protocol by touching
the button.

For therapy information touch the info button

left of the protocol and the therapy info
will appear.

   

Therapy information

8VHWKHFHQWUDOFRQWUROOHU>@WRVFUROOWKURXJK
the pages, in most cases the first page is text
followed by one or more illustrations.

   

The count-down starts when the contact control

is de-activated.
Parameters can always be changed, before
or during the treatment.

55
Rehab-Series

8.2.4.3 Combination Therapy  

This therapy combines ultrasound and electrotherapy.

The Home menu gives access to all functions of the

unit. Select in the Home menu combination therapy
by touching the button “Combination”.

The next screen appears.

   

Combination Therapy “Clinical Protocols”

The Combination menu gives access to functions

‡&OLQLFDO3URWRFROV
‡)DYRULWHV
‡0DQXDO2SHUDWLRQ
Select Manual Operation by touching the button.
The next screen appears.
 

   

Select in this menu the current waveform by touching

the button

Note: some of these selections are groups and in

the next screen another list appears from which
the current wave can be selected.

56
Rehab-Series

8.2.4.3 Combination Therapy  

Adjust the current parameters and treatment time

‡7RXFKWKHSDUDPHWHUEXWWRQDQGDGMXVW
ZLWKWKHFHQWUDOFRQWUROOHU>@

   

‡6HOHFWWKHXOWUDVRXQGEXWWRQWRDGMXVWWKH
ultrasound parameters.

‡7RXFKWKHHOHFWURWKHUDS\EXWWRQWRUHWXUQWR
the previous screen.

   

‡7RXFKWKHXOWUDVRXQGUHDGRXWDQGDGMXVW
WKHLQWHQVLW\ZLWKWKHFHQWUDOFRQWUROOHU>@
‡7RXFKWKHFXUUHQWUHDGRXWFKDQQHOWR
adjust the current intensity. (electrode and
treatment head need to be in contact with
the patient).

57
Rehab-Series

8.2.4.4 Vacuum  

The Home menu gives access to all functions of the unit.

Select in the Home menu vaccum therapy by touching

the button “Vacuum” if a unit is equipped with a
Vacotron it’s possible to select either.

The next screen appears.

 

   

‡7RXFKWKHEXWWRQDQGDGMXVWWKHSUHVVXUH
XVLQJWKHFHQWUDOFRQWUROOHU>@7KHYDFXXP
cups are automatically selected when the pump
starts to run.

   

Continuous – Pulsed mode

‡7RXFKWKHEXWWRQDQGVHOHFWWKHGHVLUHG
PDVVDJHUK\WKPXVLQJWKHFHQWUDOFRQWUROOHU>@
You can choose between Continuous,
Pulsed mode 1 s and Pulsed mode 2 s.

58
Rehab-Series

8.2.4.5 MTM200  

4 channel electrical stimulation

If a unit is equipped with MTM200,electrical
stimulation increased to four channel.
Here you can select the channels for electrotherapy.
When channel 1 is selected, channel 2,3 and 4 are
still available for another therapy.
When Channel 1+2 or 3+4 is selected both
channels have the same parameters.
Only the intensity can be set differently.  

   

Touch the botton,the screen will switch to

parameters of channel 3-4 .

 8.2.4.6 EMG200  

Select in the Home menu vaccum therapy

by touching the button “EMG” if a unit
is equipped with EMG200.

59
Rehab-Series

The Combination menu gives access to functions

‡(0*
‡(76

Select ETS by touching the button.

The next screen appears.

   

The EMG menu gives access to functions.

‡&OLQLFDO3URWRFROV
‡)DYRULWHV
‡0DQXDO2SHUDWLRQ

Select Manual Operation by touching the button

The next screen appears.
 

   

Select from the list a current waveform

6FUROOWRWKHQH[WSDJHZLWKWKHFHQWUDOFRQWUROOHU>@
or select the current waveform by touching the button.

60
Rehab-Series

Channel Selection

Here you can select the channels for electrotherapy.

When channel 1 is selected, channel 2 is still
available for another therapy.

When Channel 1+2 is selected both channels

have the same parameters. Only the intensity
can be set differently.
 

   

In this screen the user can adjust the intensity

or change the parameter by touching the button
and changing the value with the central controller .
Touch the timer button, the color changes into
orange and adjust the treatment time with the
FHQWUDOFRQWUROOHU>@
Touch the E-Stim button to switch to parameters
of EMG.
 

   

In this screen the user can adjust the intensity

or change the parameter by touching the button
and changing the value with the central controller .
Touch the timer button, the color changes into
orange and adjust the treatment time with the
FHQWUDOFRQWUROOHU>@
Touch the E-Stim button to return to the
previous screen.
 

61
Rehab-Series

8.2.4.7 Storing Favorites  

When a treatment screen is completely set as required,

its settings can be stored in a favorite for later use:
‡$VORQJDVWKHWUHDWPHQWKDVQRWEHHQVWDUWHG
a Store button is available on the navigation bar.
To store your settings,touch the Store button .

   
Enter the name of your favorite using the keyboard.
Touch to store your favorite under the name
just entered.
Notes:
Once saved, favorites can be retrieved from the
Electrotherapy, Ultrasound Therapy and Combination
Therapy menus.
4-polar treatments are automatically saved and
loaded as a dual channel treatment.
Vacuum settings are not saved.  

 8.2.4.8 System Settings  

The Home menu gives access to all functions

of the unit. Select in the Home menu System
Settings by touching the button “System Settings”

The next screen appears.

62
Rehab-Series

   

In this screen you can personalize the unit. Several

settings can be changed or adjusted.
‡/DQJXDJHWRXFKWKHODQJXDJHEXWWRQDQGVHOHFWWKH
GHVLUHGODQJXHXVLQJWKHFHQWUDOFRQWUROOHU>@
Touch the language button again or touch another
button to confirm.
‡%ULJKWQHVVKHUH\RXFDQFKDQJHWKHLQWHQVLW\
of the backlight of the screen.
‡5HSHDWWKLVIRUDOORWKHURSWLRQVLQWKH6\VWHP  
Settings menu.
‡7RXFKWKH%DFNDUURZLQWKHQDYLJDWLRQEDU
to return to the Home menu.

8.2.5 Shutting device down

Turn off the device as described in paragraph 6.4.

8.2.6 Operating Details

8.2.6.1 Shortcut Button

‡ Electrotherapy Therapy button:Pressing this button can enter Electrotherapy Therapy

screen which is selected last time.
‡ Ultrasound Therapy button: Pressing this button can enter Ultrasound Therapy screen
which is selected last time.
‡ Combination Therapy button: Pressing this button can enter Combination Therapy
screen which is selected last time.
‡ Treatment button: Pressing this button can enter Treatment screen which is selected last
time.
‡ Favorites button: Pressing this button can enter Favorites screen which is selected last
time.
‡ Clinical Protocols button: Pressing this button can enter Clinical Protocols screen which
is selected last time.

63
Rehab-Series

8.2.6.2 Adjusting current amplitude

To adjust the output current, touch the tab of the selected channel. Its colour will change to
RUDQJHDIWHUZKLFKWKHFXUUHQWDPSOLWXGHFDQEHVHWZLWKWKHFHQWUDOFRQWUROOHU>@

The current amplitude can only be adjusted when the clock has been set.

With 4 polar interferential current waveforms the current amplitude operates on both chan-
nels simultaneously. In this case a balance facility is available for the classical interferential
current waveform (see paragraph 4.1.3 for details).

The unity of the displayed current amplitude depends on the previously selected current
waveform and can be expressed in mA, µA or V.

A treatment is started by adjusting the current amplitude, unless a surge program has been
selected. To start a surge program, touch the Start/Continue button in the navigation bar.

8.2.6.3 CC/CV mode

Depending on the selected current waveform, the electrotherapy channels can be used in the
Constant Current or Constant Voltage mode. It is advised to use the CV mode with dynamic
electrode applications. In CV mode the output current depends on the electrical contact with
the patient and can therefore vary. You can change the CC/CV setting in the parameter
menu.

8.2.6.4 Current polarity

When DC currents are used, the red connection is the positive connection and the black one
the negative connection.

Manually changing the polarity during a treatment will result in a current decaying to 0,
followed by a current with the opposite polarity, rising to a value equal to 80% of the previ-
ous value

64
Rehab-Series

9. Maintenance and Troubleshooting

9.1 Cleaning

9.1.1 Cleaning of the device

Switch off the device and disconnect it from the power supply.The apparatus can be
cleaned with a damp cloth. Use lukewarm water and a non-abrasive liquid household
cleaner (no abrasive, no alcohol content solution). If a more sterile cleaning is needed,
use a cloth moistened with an antimicrobial cleaner.

CAUTION:

Do not submerse the apparatus in liquids. Should the unit accidentally become sub-
mersed, contact the dealer or Authorized Service center immediately .Do not attempt to
use a system that has been wet inside until inspected and tested by a Service Technician
Certified by Authorized Service center . Do not allow liquids to enter the ventilation
holes.

9.1.2 Cleaning of display panel

Use a soft and dry cotton cloth or micro fiber tissue to clean the panel. To remove
fingerprints or grease, use a non-abrasive glass cleaning agent. Apply a small amount
of the cleaning agent to a soft cotton cloth and then carefully clean the panel.

CAUTION:

‡ Do not spray the cleaning agent directly on the glass panel.

‡ Do not use cleaning agents that contain strong alkalis, lye, acid, detergents with
fluoride or detergents with ammonia.

9.1.3 Cleaning the electrodes

‡ Apply the protective backing to the tacky side of the electrode. Place the electrode
on the side of the protective backing that is labeled with the word on.
‡ It may be helpful to improve repeated application by spreading a few drops of
cold water over the adhesive and turn the surface up to air dry . Over Saturation
with water will reduce the adhesive properties.
‡ Between uses, store the electrodes in the reusable bag in a cool dry place.

65
Rehab-Series

CAUTION:

‡ The electrodes are intended for single patient use only .

‡ If irritation occurs, discontinue use and consult your clinician.
‡ Always use the electrodes with CE mark, or are legally marketed in the US under
510(K) procedure.

9.1.4 Cleaning the lead wires and cables

Periodically wipe the lead wires clean with a cloth dampened in a mild soap solution, and
then gently wipe them dry . Use of rubbing alcohol on the lead wires will damage the insula-
tion and dramatically shorten their life.

9.1.5 Ultrasound applicator

To prevent corrosion,clean and dry the contact surface immediately after use.Make sure that
no ultrasound gel remains on the applicator.We further recommend cleaning the applicator
and cable daily,using lukewarm water.The applicator can be disinfected using a cloth moist-
ened with a 70% alcohol solution.Check the applicator and cable regularly for damage.

9.1.6 Vacuum electrodes and sponges

The vacuum electrodes and sponges should be cleaned with lukewarm water. In the case of
persistent dirt, and for disinfection, a 70% alcohol solution may be used.

Sponges should be replaced regularly. It is recommended to keep sponges and a spare elec-
trode in stock.

Calcium scale can be deposited on the metal surfaces of the electrodes. This has an insulat-
ing effect. In order to maintain optimum conductivity, these surfaces should be regularly
cleaned and polished.

9.1.7 Vacuum cables

Clean the vacuum cable with a damp cloth. Use lukewarm water and a non-abrasive house-
hold cleaning agent. Do not use an alcohol solution. Check the cable regularly for damages
and/or bad electrical contact. We advise, keeping a spare vacuum cable in stock.

66
Rehab-Series

9.1.8 Cleaning Vaginal/Rectal probes

Carefully clean the probe after use.Wash the probe gently in mild soapy water,rinse and
make sure the probe is completely dry before returning to storage in the plastic bag.

9.1.9 Cleaning the water reservoir and hoses

‡ Detach the vacuum cups from the vacuum cables.

‡ Place a container filled with a cleaning liquid below the system.
‡ Place the peripheral ends of the cables in the container.
‡ Go to System Settings and select Tank Cleaning.
‡ The water reservoir will be filled with the cleaning liquid until the water reservoir is full.

9.2 Warning Messages, Error Messages

9.2.1 Prompt tone

Content
error code reason System processing
Tooltip Voice

Output pause
Ultrasound applicar is system recover
001 without load
N/A Prompt tone
output when
detecting load.

Parameters is sett upper limit Parameters remain

002 N/A Prompt tone
in upper limit

Parameters remain
003 Parameters is sett lower limit N/A Prompt tone in lower limit

Choose occupied channel The operation is

004 N/A Prompt tone
operation invalid

Touch operation that is not The operation is

005 N/A Prompt tone
allowed invalid

Touch option that cannot be The operation is

006 N/A Prompt tone
changed invalid

67
Rehab-Series

9.2.2 Warning tone

Content
System
error code reason
processing
Tooltip Voice

Electrical stimulation Bad contact quality on Warning System Stop

channel 1 is without channel 1.Check pads tone Electrical
101
load and lead wires. stimulation
output

Electrical stimulation Bad contact quality on Warning System Stop

channel 2 is without channel 2.Check pads tone Electrical
102
load and lead wires. stimulation
output

Electrical stimulation Bad contact quality on Warning System Stop

channel 3 is without channel 3.Check pads tone Electrical
103
load and lead wires. stimulation
output

Electrical stimulation Bad contact quality on Warning System Stop

channel 4 is without channel 4.Check pads tone Electrical
104
load and lead wires. stimulation
output

The program saved Attempting to save Favorite Warning The operation

is more than system Protocols after system tone is invalid
105 capacity memory has reached the
maximum allowed

System detect Ultrasound Applicator Warning System Stop

Ultrasound handle disconnected from system tone Ultrasound
106 is not connect in during treatment session treatment output
Ultrasound treatment

68
Rehab-Series

System detect Ultrasound Attempting to perform System Stop

handle is not connect Ultrasound treatment Warning
107 Ultrasound
when the Ultrasound with no Applicator tone
treatment output
treatment is selected. connected to the system

Ultrasound applicar Ultrasound Applicator Warning System Stop

108 overheat is too hot. tone Ultrasound
treatment output

Electrical stimulation Overcurrent on Warning System Stop

109 channel 1 short circuit channel 1. Check pads tone Electrical
and lead wires. stimulation output

Electrical stimulation Overcurrent on Warning System Stop

110 channel 2 short circuit channel 2. Check pads tone Electrical
and lead wires. stimulation output

Electrical stimulation Overcurrent on Warning System Stop

111 channel 3 short circuit channel 3. Check pads tone Electrical
and lead wires. stimulation output

Electrical stimulation Overcurrent on Warning System Stop

112 channel 4 short circuit channel 4. Check pads tone Electrical
and lead wires. stimulation output

Battery level is Low Battery level too Low Warning The operation
113
tone is invalid

Battery is not enough The battery is insufficiently Warning The operation

charged to complete the tone is invalid
114
treatment at the currently
set therapy levels.

water reservoir is full The water separation Warning The operation

115 tank of the Vacotron tone is invalid
is full.

69
Rehab-Series

Vacuum adsorption There probably is Warning The operation

116 module e leak a leak in the vacuum tone is invalid
system.

Device inside System is too hot. Warning System stop

117 Overtemperature tone output

Battery overtemperature Battery is too hot. Warning System stop

118 tone output

9.3 Maintenance

9.3.1 User Maintenance

9.3.1.1 Technical Maintenance

On request a service manual can be made available containing: spare part list, descriptions,
calibration instructions and other information which will assist the user’s qualified technical
personnel to repair those parts of the equipment which are designated by the manufacturer
as repairable.

CAUTION:

‡ Electrical safety of the device relies on a properly earthed electrical connection via the
power cord. It is therefore necessary to have this connection checked annually.
‡ To ensure continued compliance with the 21 CFR 1050.10 standard, this unit should
be adjusted and safety tested once each year. Procedures laid down in the service
manual should be followed. This may be carried out by your supplier, or by another
agency, authorized by the manufacturer. It is also recommended that a service history
record is maintained. In some countries this is even obligatory.
‡ Use of controls or adjustments or performance of procedures other than those speci-
fied herein may result in hazardous exposure to ultrasonic energy.

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Rehab-Series

WARNING:

‡ This unit operates with high voltages. No attempt should be made to disassemble the
unit.Maintenance and repair should be carried out by authorized personnel only. The
manufacturer will not be held responsible for the results of maintenance or repairs by
unauthorized persons.

All other technical maintenance is restricted to authorized Nu-Tek maintenance personnel.

Authorized service personnel can make use of 1498770
Service manual REHAB SERIES

9.4 Troubleshooting

‡ Replace lead wires annually.

‡ Please follow the directions on the electrode packaging for the care of electrodes. The
life of the electrodes varies, depending on skin conditions, skin preparation, storage
and climate. Replace electrodes.
‡ that no longer stick.
‡ NOTE: If the following measures fail to alleviate the problem, please call the autho-
rized agency or your supplier

Problem Possible cause Solution

Ensure adapter is connect.

Displays Check the following contacts:
Adapter contact failure ‡All contacts are in place.
fail to light up
‡All contacts are not broken.
‡Ensure that adapter is Connected.

Electrodes 1. Replace.
1. Dried out or contaminated 2. Electrodes must be a minimum of 2
Displays fail inches apart.
2. Placement
to light up
Lead wires Old/worn/damaged Lead wires Old/worn/damaged

Poor electrode contact Reapply electrodes, secure firmly

Stimulation
stops
Damaged or worn electrodes
Replace
or lead wires

71
Rehab-Series

Intensity is too high Decrease intensity .

Reposition the electrodes.

Electrodes are too
close together Electrodes must be a minimum of 2
Stimulation is
inches apart.
uncomfortable.

Damaged or worn electrodes

Replace
or lead wires

Electrode active area size is Replace electrodes with ones that have
too small an active area no less than 25.0cm .

Improper electrode Reposition electrode

Stimulation is
ineffective
Unknown Contact clinician

9.5 End of life

The REHAB SERIES contains materials that can be

recycled and/or are noxious to the environment.
Specialized companies can dismantle the unit and
sort out these materials. When you dispose of the
unit, find out about local regulations concerning
waste management

72
Rehab-Series

10. Specifications
10.1 Ultrasound parameters

Frequency.........................................................................1 MHZ,±10%;3 MHZ,±10%

Duty Cycles.............................................................10%-100%,Continues,stepping 10%
Pulse duration...........................................................1 – 9 ms ± 10 % (set by duty cycle)
PulseFrequency....................................................................................16 48 100Hz

Output Power

'XW\IDFWRU•IRUFP²........................................................................0.5W-10.0W
'XW\IDFWRU”IRUFP²........................................................................0.5W-15.0W
'XW\IDFWRU•IRUFP²..........................................................................0.1W-2.0W
'XW\IDFWRU”IRUFP²..........................................................................0.1W-2.0W
Output accuracy........................................± 20% (for any level above 10% of maximum)

Peak out Amplitude Duty

'XW\IDFWRU•:FPò
'XW\IDFWRU”:FPò
Treatment timer.............................................................................0 - 30 min ± 0.1 min

5 cm² Applicator

ERA (Effective Radiation Area) ................................................................................5cm²

Beam type:
1 MHz.........................................................................................................Collimating
3 MHz.........................................................................................................Collimating
BNR (Beam Non-uniformity Ratio)...............................................................5:1 maximum

1cm² Applicator

ERA (Effective Radiation Area).................................................................................1cm²

Beam type:
1 MHz..................................................................................................................1cm²
3 MHz..................................................................................................................1cm²
BNR (Beam Non-uniformity Ratio)...............................................................5:1 maximum

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Rehab-Series

10.2 Stimulator output parameters

10.2.1 IFC-4P IFC(Interferential) Traditional (4 Pole)

Interferential Current is a medium frequency waveform. Current is distributed through of two

channels (four electrodes). The currents cross each other in the body at the area requiring
treatment. The two currents interfere with each other at this crossing point, resulting in a
modulation of the intensity (the current intensity increases and decreases at a regular
frequency).

Vector Scan...........................Auto:20%-100%,stepping 20%;manual:0°-90°,stepping 15°

Output Mode................................................................................................Electrodes
Carrier Frequency..................................................................2-10KHz, stepping 0.5KHz
Beat High.........................................................................(Beat L.)-200 Hz,stepping 1Hz
Beat Low..............................................................................1-(Beat H.)Hz,stepping 1Hz
Intensity.....................................CC:0-100mA,stepping 0.5mA;CV:0-100V,stepping 0.5V
Treatment Time.........................................................................................1-60 minutes

10.2.2 IF-2P IFC(Interferential) Premodulated (2 Pole)

Premodulated Current is a medium frequency waveform. Current comes out of one channel
(two electrodes). The current intensity is modulated: it increases and decreases at a regular
frequency (the Amplitude Modulation Frequency).

Carrier Frequency..................................................................2-10KHz, stepping 0.5KHz

Beat High.........................................................................(Beat L.)-200 Hz,stepping 1Hz
Beat Low..............................................................................1-(Beat H.)Hz,stepping 1Hz
Intensity....................................CC:0-100mA,stepping 0.5mA;CV:0-100V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

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Rehab-Series

10.2.3 Biphasic TENS

The Asymmetrical Biphasic and the Symmetrical Biphasic waveform are often used in TENS
(Transcutaneous Electrical Nerve Stimulation) applications. The TENS has a short pulse
duration. It is capable of strong stimulation of the nerve fibers in the skin as well as of muscle
tissue. Because of its short pulse, the patient typically tolerates the current well, even at rela-
tively high intensities. The Alternating Rectangular waveform is an interrupted biphasic
current with a rectangular pulse shape. This waveform is commonly used as a pain manage-
ment application.

10.2.3.1 TENS Asymmetrical

Frequency .................................................................................1-250Hz, stepping 1Hz

F.M. ...........................................................................0-250Hz, stepping 1Hz,cycle 16s
P.Dur. ..................................................................................20us-1000us,stepping 5us
Intensity....................................CC:0-200mA,stepping 0.5mA;CV:0-100V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.3.2 TENS Asymmetrical Burst

Frequency .................................................................................1-250Hz, stepping 1Hz

Burst. .........................................................................................1-9bps, stepping 1bps
P.Dur. ..................................................................................20us-1000us,stepping 5us
Intensity....................................CC:0-200mA,stepping 0.5mA;CV:0-100V,stepping 0.5V
Treatment Time.........................................................................................1-60 minutes
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.3.3 TENS Symmetrical

Frequency .................................................................................1-250Hz, stepping 1Hz

F.M. ........................................................................................ 0-250Hz, stepping 1Hz
P.Dur. ..................................................................................20us-1000us,stepping 5us
Intensity....................................CC:0-200mA,stepping 0.5mA;CV:0-100V,stepping 0.5V

75
Rehab-Series

Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode

Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.3.4 TENS Symmetrical Burst

Frequency..................................................................................1-250Hz, stepping 1Hz

Burst ..........................................................................................1-9bps, stepping 1bps
P.Dur....................................................................................20us-1000us,stepping 5us
Intensity....................................CC:0-200mA,stepping 0.5mA;CV:0-100V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.3.4 TENS Alternating Rec.

Frequency .................................................................................1-250Hz, stepping 1Hz

F.M...........................................................................................0-250Hz, stepping 1Hz
P.Dur....................................................................................20us-1000us,stepping 5us
Intensity....................................CC:0-200mA,stepping 0.5mA;CV:0-200V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.3.5 TENS Alternating Rec.Burst

Frequency .................................................................................1-250Hz, stepping 1Hz

Burst...........................................................................................1-9bps, stepping 1bps
P.Dur....................................................................................20us-1000us,stepping 5us
Intensity....................................CC:0-200mA,stepping 0.5mA;CV:0-200V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

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Rehab-Series

10.2.4 Russian

Russian Current is a rectangle 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.

Carrier Freq....................................................................................................2-10KHz
Burst Frequency.........................................................................20-100Hz,stepping 5Hz
Duty cycle.................................................................................10%-50%,stepping 10%
Intensity....................................CC:0-200mA,stepping 0.5mA;CV:0-200V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.5 Microcurrent

Microcurrent is a monophasic waveform of very low intensity. The literature reports benefi-
cial effects of this waveform in the treatment of wounds. The physiological working mecha-
nism of this effect is as yet not clearly understood. It is thought to stimulate tissue healing by
stimulating the 'current of injury', a current which naturally occurs in healing tissue.

Frequency....................................................................0.1-1000Hz,stepping 0.1Hz/1Hz
Polarity................................................................................................Positive,negative
Intensity..............................................................................CC:0-1000uA,stepping 5uA
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp..........................................................................0/0,1/1,2/2,5/5,8/8,custom:0-9

10.2.6 Faradic

10.2.6.1 Trabert

It is a monophasic waveform with a phase duration of 2 ms and a pause of 5 ms resulting

in a frequency of approximately 143 Hz.

Polarity................................................................................................Positive,negative

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Rehab-Series

Phase Duration.....................................................................................Positive,negative
Phase Duration.......................................................................................................2ms
Interval..................................................................................................................5ms
Intensity.........................................CC:0-70mA,stepping 0.5mA;CV:0-70V,stepping 0.5V
Treatment Time.........................................................................................1-60 minutes

10.2.6.2 Rectanglar

Frequency..................................................................0.2Hz-200Hz.stepping 0.1Hz/1Hz
Polarity................................................................................................Positive,negative
P.Dur......................................................................20-10000us,steping 100us/1000us
Intensity.........................................CC:0-80mA,stepping 0.5mA;CV:0-80V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.6.3 Triangular

Frequency..................................................................0.2Hz-200Hz.stepping 0.1Hz/1Hz
Polarity................................................................................................Positive,negative
P.Dur......................................................................20-10000us,steping 100us/1000us
Intensity.........................................CC:0-80mA,stepping 0.5mA;CV:0-80V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.7 Diadynamic

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

Mode...............................................................................................MF,dF,LP,CP,CP.id
Polarity................................................................................................Positive,negative
Intensity........................................CC:0-70mA,stepping 0.5mA; CV:0-70V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes

78
Rehab-Series

Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.8 High Voltage

The High Voltage Pulsed Current (HVPC) has a very brief pulse duration characterized by two
distinct peaks delivered at high voltage. The waveform is monophasic (current flows in one
direction only). The high voltage causes a decreased skin resistance making the current
comfortable and easy to tolerate.

Frequency...................................................................................1-120Hz,stepping 1Hz
Polarity................................................................................................Positive,negative
P.Dur.................................................................................................................100us
Intensity.....................................................................................CV:0-500V,stepping 5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.9 NMS

10.2.9.1NMS

Mode...................................................................................................NMS,NMS Burst
Frequency...................................................................................1-250Hz,stepping 1Hz
P.Dur....................................................................................20us-1000us,stepping 5us
Intensity.....................................CC:0-200mA,stepping 0.5mA;CV:0-200V,stepping 0.5V
Channel mode....................Single channel Mode,Reciprocal Mode,Co-Contraction Mode
Treatment Time.........................................................................................1-60 minutes
Cycle Time........................................continues,10/10,10/20,10/30,10/50,custom:0-60
Ramp.........................................................................0/0,1/1, 2/2,5/5,8/8,custom:0-9

10.2.10 Galvanic

10.2.10.1 Continuous

Polarity................................................................................................Positive,negative
Intensity................................................CC:0-80mA,stepping 5uA;CV:0-80V,stepping 5V

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Rehab-Series

10.2.10.2 Interrupted

Frequency.....................................................................................................8KHz fixed
Polarity................................................................................................Positive,negative
Duty cycle......................................................................................................90% fixed
Intensity................................................CC:0-80mA,stepping 5uA;CV:0-80V,stepping 5V

10.3 Parameter Limit

For security, the device has some some limited for electrotherapy.The maximum intensity has
a relationship with the frequency and pulse duration following below table:

10.4 Technical Data

Power supply..................................................................100V-240V, 47Hz-63Hz, 1.35A

Power output............................................................................................15V , 4A Max
Dimensions............................................................................256x180x124mm(LxWxH)
Operating Environmental:
Temperature......................................................10°C(50°F) to 40°C(104°F)
Relative humidity........................................................................30%-85%
Atmosphere pressure.......................................................700hPa-1060hPa
Storage Environmental:
Temperature....................................................-10°C(14°F) to 55°C(131°F)
Relative humidity........................................................................10%-90%
Atmosphere pressure.......................................................700hPa-1060hPa

10.5 Technical Data

For security, the device has some some limited for electrotherapy.The maximum intensity has
a relationship with the frequency and pulse duration following below table:

Pulse frequency phase duration Max Current output

<100 <300uS 200mA
<100 300-500µSec 150mA
<100 500-1000µSec 100mA
100-250 <500µSec 100mA
100-250 500-1000µSec 70mA

80
Rehab-Series

10.6 Safety and Performance standards

IEC 60601-1
General requirements for the safety of electrical medical systems, including Annex 1,
national differences for Australia, Canada and the United States.

Safety class according to IEC 60601-1

class I type BF

IEC 60601-2-5
Particular requirements for the safety of ultrasonic therapy equipment.

IEC 60601-2-10
Particular requirements for the safety of nerve and muscle stimulators.

0197
This equipment complies with all requirements of the Medical Device Directive (93/42/EEC).

Medical device classification

IIa

21 CFR 1050.10
This equipment complies with all requirements of 21 CFR1050.10, Performance Standard
for Ultrasonic Therapy devices.

21 CFR 898
This equipment complies with all requirements of 21 CFR 898, Performance Standard for
electrode lead wires and patient leads.

10.6 EMC details

Medical electrical devices such as the Rehab-series are subject to special precautions with
regard to electromagnetic compatibility (EMC) and must be installed and commissioned in
accordance with the EMC advice given in the instructions for use and accompanying docu-
ments.

Portable and mobile RF communication systems (e.g. mobile phones) may interfere with
medical electrical Rehab-series.

81
Rehab-Series

The Rehab-series should only be operated with the original mains cable specified in the list
of contents delivered.

Operating the device with any other mains cable can lead to increased emissions or reduced
interference immunity of the device.

Guidelines and manufacturer's declaration – electromagnetic interference

The REHAB SERIES device is intended for operation in an electromagnetic environment

as indicated below. The customer or user of the REHAB SERIES unit should ensure that
it is operated in such an environment.

Interference tests Conformity Electromagnetic environment guideline

The Rehab-series device uses RF energy

solely for its internal functioning. It RF
emission is therefore very low and it is
RF emissions according to CISPR 11 Group 1
unlikely that this will cause interference
to neighbouring electronic Rehab-series

RF emissions according to CISPR 11 ClassA The Rehab-series device is suitable for use
in all establishments other than domestic
Harmonic emissions according to and those directly connected to the public
Class A
IEC 61000-3-2 low-voltage power supply network that
supplies buildings used for domestic
purposes.
Voltage fluctuation emissions and
Conforms
flicker according to IEC 61000-3-3

The device should not be used when placed immediately next to or stacked on top of other
devices. If operation is necessary when immediately next to or stacked on top of other
devices, the device should be monitored to ensure it is operating as intended in this arrange-
ment.

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Rehab-Series

Guidance and manufacturer’s declaration – Electromagnetic immunity

The REHAB SERIES device is intended for use in the electromagnetic environment specified
below. The customer or the user of the REHAB SERIES device should assure that it is used
in such an environment.
IEC 60601 Compliance Electromagnetic
Immunity test
test level level environment - Guidance
Floors should be wood,
Electrostatic concrete or ceramic tile.
discharge (ESD) to ± 6 kV contact ± 6 kV contact If floors are covered with
IEC 61000-4-2 ± 8 kV air ± 8 kV air synthetic material, the
relative humidity should
be at least 30%.
± 2 kV for Mains power quality should
Electrical fast ± 2 kV
power supply lines be that of a typical
transient / burst to for power supply lines
± 1 kV for commercial or hospital
IEC 61000-4-4 not applicable
input /output lines environment.
± 1 kV ± 1 kV Mains power quality should
Surge differential mode differential mode be that of a typical
IEC 6100-4-5 ± 2 kV ± 2 kV commercial or hospital
common mode common mode environment.
Mains power quality should
<5% UT <5% UT
be that of a typical
(>95% dip in UT for (>95% dip in UT for
Voltage dips, short commercial or hospital
0.5 cycle) 40% UT 0.5 cycle) 40% UT
interruptions and environment. If the use
(60% dip in UT for (60% dip in UT for 5
voltage variations of the REHAB SERIES
5 cycles) 70% UT cycles) 70% UT
on power supply device requires continued
(30% dip in UT for (30% dip in UT for 25
input lines operation during mains
25 cycles) <5% UT cycles) <5% UT
IEC 61000-4-11 power interruptions,
(>95% dip in UT for (>95% dip in UT for 5
it is recommended to
5 seconds) seconds)
install a battery.
Power frequency magnetic
Power frequency fields should be at levels
(50/60 Hz) characteristic of a typical
3 A/m 3 A/m
magnetic field to location in a typical
IEC 61000-4-8 commerical or hospital
environment.
Note: UT is the AC mains voltage prior to application of the test level.

83
Rehab-Series

The main features of the REHAB SERIES devices are as follows: interference-free delivery of
shockwaves, interference-free control of all functions. Uninterrupted operation is not
required with the use intended.

Guidelines and manufacturer's declaration – electromagnetic interference immunity

The REHAB SERIES device is intended for operation in the electromagnetic environment
specified below. The customer or user of the REHAB SERIES should ensure that it is used
in such an environment.

Interference Electromagnetic
IEC 60601-test level Compliance level environment-guidelines
immunity tests
Portable and mobile radio should
not be used any closer to the REHAB
SERIES devices, including cables,
than the recommended separation
distance calculated from the equa-
tion applicable to the transmission
Conducted frequency.
RF disturbance Recommended separation distance:
variables G ¥3
according G ¥3IRU0+]WR0+]
to IEC 3 Veffective value 3 Veffective value G ¥3IRU0+]WR*+]
61000-4-6 150 kHz to 80MHz 150 kHz to 80 MHz Where P is the rated power of the
Radiated RF 3 V/m 3 V/m transmitter in Watts (W) according to
disturbance 80 MHz to 2.5GHz 80 MHz to 2.5 GHz the transmitter manufacturer and d is
variables the recommended separation
according distance in meters (m).
to IEC According to an investigation in
61000-4-3 situa, the field strength of stationary
radio transmitters should be less
than the compliance level at all
frequencies.
Interference may occur in the vicinity
of REHAB SERIES devices which is
marked with the following symbol:

84
Rehab-Series

NOTE 1 At 80 MHz and 800 MHz the higher frequency range is applicable.
NOTE 2 These guidelines may not be applicable in all cases. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

Theoretically, it is not possible to exactly predict the field strengths of fixed transmitters such
as base stations for radio telephones and land mobile radios, amateur radio stations, AM
and FM radio and TV broadcasting. To determine the electromagnetic environment in rela-
tion to the fixed transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location where the REHAB SERIES device is to be used exceeds
the above compliance levels, the REHAB SERIES device should be monitored in order to
ensure that it is functioning as intended. If unusual features are noticed, additional measures
may be necessary such as re-orienting or relocating the REHAB SERIES device.
Above the frequency range from 150 kHz to 80 MHz the field strength should be less than
3 V/m.

Recommended separation distances between portable and mobile RF telecommunications

4- series and the REHAB SERIES device

The REHAB SERIES device is intended for operation in an electromagnetic environment

where RF disturbances are monitored. The customer or user of the REHAB SERIES device can
help prevent electromagnetic interference by maintaining a minimum distance between por-
table and mobile RF telecommunications 4- series (transmitters) and the REHAB SERIES
device – according to the output power of the communications device, as indicated below.

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Rehab-Series

Separation distance according to frequency of transmitter m

Rated output of transmitter
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
W
G ¥3 G ¥3 G ¥3
0.01 0.12 0.035 0.07

0.1 0.38 0.11 0.22

1 1.2 0.35 0.70

10 3.8 1.1 2.2

100 12 3.5 7

For transmitters rated at a maximum output which is not listed above, the recommended
separation distance d in meters (m) can be determined using the equation applicable to
the respective column, whereby P is the maximum rated output of the transmitter in Watts (W)
according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz the higher frequency range is applicable.

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Rehab-Series

11. Ordering information

Model numbers:

11.1 CT2200

Standard Accessories:

Serial No. Name Quantity

1053283 CT2200 mainframe 1

1183323 Patient Interrupt Switch 1

7160132830 Mains Power cable 1

2
1811361 5cm ultrasound applicator 1

2240000006 Ultrasound Transmission Gel 1

7100100001 Rubber electrodes(﴾60x90mm)﴿ 2

7100100000 Rubber electrodes(﴾70x110mm)﴿ 2

9051650011 Electrode Sponges(﴾70x100mm)﴿ 2

9051650010 Electrode Sponges(﴾80x120mm)﴿ 2

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 4

7100000152 Self-adhesive Electrodes(﴾50x100mm)﴿ 4

7200300010 Fixation strap(﴾75x1200mm)﴿ 1

7200300050 Fixation strap(﴾75x600mm)﴿ 1

7101000016 Stim Lead Wires 2

2003321 Holder for ultrasound applicator 1

9011032830 User manual 1

Optional Accessories:

Serial No. Name Quantity

1811373 1cm2 ultrasound applicator 1

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Rehab-Series

11.2 MT2200

Standard Accessories:

Serial No. Name Quantity

1093294 MT2200 mainframe 1

1183323 Patient Interrupt Switch 1

7160132830 Mains Power cable 1

7100100001 Rubber electrodes(﴾60x90mm)﴿ 2

7100100000 Rubber electrodes(﴾70x110mm)﴿ 2

9051650011 Electrode Sponges(﴾70x100mm)﴿ 2

9051650010 Electrode Sponges(﴾80x120mm)﴿ 2

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 4

7100000152 Self-adhesive Electrodes(﴾50x100mm)﴿ 4

7200300010 Fixation strap(﴾75x1200mm)﴿ 1

7200300050 Fixation strap(﴾75x600mm)﴿ 1

7101000016 Stim Lead Wires 2

9011032830 User manual 1

11.3 UT2200

Standard Accessories:

Serial No. Name Quantity

1043305 UT2200 mainframe 1

7160132830 Mains Power cable 1

1811361 5cm2 ultrasound applicator 1

2240000006 Ultrasound Transmission Gel 1

1811373 1cm2 ultrasound applicator 1

2003321 Holder for ultrasound applicator 2

9011032830 User manual 1

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Rehab-Series

11.4 MTM200

Standard Accessories

Serial No. Name Quantity

1223317 MTM200 mainframe 1

1183323 Patient Interrupt Switch 1

7100100001 Rubber electrodes(﴾60x90mm)﴿ 2

7100100000 Rubber electrodes(﴾70x110mm)﴿ 2

9051650011 Electrode Sponges(﴾70x100mm)﴿ 2

9051650010 Electrode Sponges(﴾80x120mm)﴿ 2

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 4

7100000152 Self-adhesive Electrodes(﴾50x100mm)﴿ 4

7200300010 Fixation strap(﴾75x1200mm)﴿ 1

7200300050 Fixation strap(﴾75x600mm)﴿ 1

7101000016 Stim Lead Wires 2

 
11.5 BTM200

Standard Accessories:

Serial No. Name Quantity

1223315 BTM200 mainframe 1

 
11.6 VAM200

Standard Accessories:

Serial No. Name Quantity

1223314 VAM200 mainframe 1

7900033220 Vacuum Electrode Cups Ø 60mm 4

7120033290 Vacuum Sponges Ø 60mm 4

7130033300 Vacuum Lead Hose (﴾Red)﴿ 2

7130033310 Vacuum Lead Hose (﴾Black)﴿ 2

  89
Rehab-Series

11.7 EMG200

Standard Accessories

Serial No. Name Quantity

1223316 EMG200 mainframe 1

7100000081 Self-adhesive Electrodes(﴾50x50mm)﴿ 8

10260041 Intravaginal Probe(﴾26.5mm)﴿ 1

7101000016 Stim Lead Wires 2

7101000017 EMG Leadwire 1

 
Optional Accessories:

Serial No. Name Quantity

11811670 Intravaginal Probe(﴾29.5mm)﴿ 1

10660042 Anal Probe 1

 
11.8 Cart:

Serial No. Name Quantity

1243319 Therapy System Cart 1

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