Quattro 2.5 Manual - Current Solutions

Quattro 2.5 Manual - Current Solutions
INSTRUCTION MANUAL
CAUTION: United States Federal Law restricts this
device to sale by or on the order of a physician
www.roscoemedical.com
This manual is valid for the Quattro
TM
2.5
This user manual is published by Roscoe Medical, Inc. Roscoe Medical, Inc.
and reserves the right to improve and amend it at any time without prior notice.
Amendments will be published in a new edition of this manual.
All Rights Reserved.Rev. V1.0 © 2013, 20131216
Declaration of conformity:
Roscoe Medical, Inc. declares that the Quattro™ 2.5 complies with the
following normative documents:
IEC60601-1, IEC60601-1-2, IEC60601-2-10, ISO 7010, ISO14971,
ISO10993-1, ISO10993-5, ISO10993-10
Complies with MDD 93/42/EEC and Amended by directive 2007/47/EC requirements
Quattro™ 2.5 DQ8450
Contents
1. FOREWORD....................................................................4
2. SAFETY INFORMATION.....................................................4
3. INDICATIONS FOR USE.....................................................7
4. PRESENTATION................................................................8
5. INSTALLATION...............................................................11
6. OPERATION..................................................................12
7. MAINTENANCE..............................................................36
8. TROUBLESHOOTING......................................................37
9 SPECIFICATIONS.............................................................39
10. STORAGE....................................................................41
11. DISPOSAL....................................................................42
12. EMC TABLES................................................................42
13. WARRANTY..................................................................46
14. NORMALIZEDSYMBOLS.................................................47
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Quattro™ 2.5 DQ8450
1.
FOREWORD
1.1
General
information
The microprocessor controlled Quattro™2.5 provides Interferential (4pole interferential), Premodulated (2-pole interferential), medium
frequency Russian (S and A), EMS (S and A)and TENS waveforms.
You can choose between several different amplitude modulation options.
The Interferential and Premodulated waveforms offer frequency
modulation as well as a static frequency option. There are four output
channels available with the Quattro™ 2.5. Channel 1 and 2 are grouped
together and are independent of the grouped channels 3 and 4. This
design feature enables the Quattro™ 2.5 to be used on two patients with
different waveforms, programs and output intensities simultaneously.
1.2
Introduction
to This
Manual
This manual has been written for the users of the Quattro™ 2.5. It contains
general information on operation, precautionary practices, and
maintenance. In order to maximize its use, efficiency, and the life of the
stimulator, please read this manual thoroughly and become familiar with
the controls, as well as the accessories before operating the stimulator.
2.
SAFETY
INFORMATION
2.1
CAUTION
4
1) Keep yourself informed of the contraindications.
2) Read, understand, and practice the warnings, cautions and operating
instructions. Know the limitations and hazards associated with using
any device. Observe the precautionary and operational decals placed
on the unit.
3) DO NOT operate this unit in an environment where other devices used
intentionally radiate electromagnetic energy in an unshielded manner.
4) DO NOT use sharp objects such as a pencil point or ballpoint pen to
operate the buttons on the control panel.
5) Inspect applicator cables and associated connectors before each use.
6) This device should not be used adjacent to or stacked with other
equipment. If adjacent to or stacked equipment use is necessary, this
device should be observed to verify that it is operating within the
normal configuration in which it is to be used.
7) This device needs special precautions regarding EMC and needs to be
installed and put into service according to the EMC information
provided in the manual.
8) Portable and mobile RF communications equipment can affect this
device. Do not use a mobile phone or other device that emits
electromagnetic fields, near the unit. This may result in incorrect
operation of the device.
9) This device has been thoroughly tested and inspected to assure proper
performance and operation!
Quattro™ 2.5 DQ8450
2.2
WARNING
1) United States Federal Law restricts this device to sale to, or on the order of,
a physician or licensed practitioner. This device should be used only under
the continued supervision of a physician or licensed practitioner.
2) Make certain the unit is electrically grounded by connecting only to a
grounded electrical service receptacle conforming to the applicable
national and local electrical codes.
3) Care must be taken when operating this equipment around other equipment.
Potential electromagnetic or other interference could occur to this device or
to the other equipment. Try to minimize this interference by not using the
other equipment in conjunction with it.
4) 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 indications, contraindications, warnings and
precautions. Consult other resources for additional information regarding
the application of electrotherapy.
5) To prevent electrical shock, disconnect the unit from the power source before
attempting any maintenance procedures.
6) The use of accessories, transducers and cables other than those specified,
with the exception of transducers and cables sold by the manufacturer as
replacement parts for internal components, may result in increased emissions
or decreased immunity of the device.
7) This device is not designed to be use in an MRI environment and should be
removed prior to MRI exposure.
8) 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.
9) Do not apply stimulation across the patient's chest, because the introduction
of electrical current into the chest may cause rhythm disturbances to the
patient's heart, which could be lethal.
10) Do not apply stimulation over open wounds or rashes, or over swollen, red,
infected, or inflamed areas or skin eruptions (e.g., phlebitis, thrombophlebitis,
varicose veins).
11) Do not apply stimulation over, or in proximity to, cancerous lesions.
12) Do not apply stimulation in the presence of electronic monitoring equipment
(e.g., cardiac monitors, ECG alarms), which may not operate properly when
the electrical stimulation device is in use.
13) Do not apply stimulation when the patient is in the bath or shower.
14) Do not apply stimulation while the patient is sleeping.
15) 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 for
injury.
16) Consult with the patient's physician before using this device, because the
device may cause lethal rhythm disturbances to the heart insusceptible
individuals.
17) Apply stimulation only to normal, intact, clean, dry, healthy skin.
18) This device should not be used for symptomatic local pain relief unless
etiology is established or unless a pain syndrome has been diagnosed.
5
Quattro™ 2.5 DQ8450
19) Patients with arterial or venous thrombosis or thrombophlebitis are at risk of
developing embolisms when electrical stimulation is applied over or adjacent
to the vessels containing the thrombus. If a patient has a history of deep vein
thrombosis, even many years past, the affected area should not be stimulated.
20) Fresh fractures should not be stimulated in order to avoid unwanted motion.
21) Stimulation should not be applied immediately following trauma orto tissues
susceptible to hemorrhage.
22) Do not apply electrodes directly over the eyes or inside body cavities.
23) Do not use electrical stimulation in conjunction with high frequency surgical
equipment or microwave or shortwave therapy systems.
24) Keep electrodes separated during treatment. Electrodes in contact with each
other could result in improper stimulation or skin burns.
25) 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 head.
1) Do not use this device on patients who have a cardiac pacemaker, implanted
2.3
defibrillator, or other implanted metallic or electronic device, because this
CONTRAmay
cause electric shock, burns, electrical interference, or death.
INDICATIONS
2) Do not use this device on patients whose pain syndromes are undiagnosed.
1) Federal law (USA) restricts this device to sale to or on the order of a physician.
2.4
PRECAUTIONS 2) The long-term effects of chronic electrical stimulation are unknown.
3) Electrical stimulation devices have no curative value.
4) Electrical stimulation is not a substitute for pain medications and other pain
management therapies.
5) Effectiveness is highly dependent upon the patient and the selection of a
practitioner qualified in the management of pain.
6) The safety of electrical stimulation during pregnancy has not been established.
7) Some patients may experience skin irritation or hypersensitivity due to the
electrical stimulation or electrical conductive medium (gel).
8) Physician recommended precautions should be followed when treating
patients with suspected or diagnosed heart disease.
9) Physician recommended precautions should be followed when treating
patients with suspected or diagnosed epilepsy.
10) Physician recommended precautions should be followed when treating
patients who have a tendency to bleed internally, such as following an injury
or fracture.
11) Physician recommended precautions should be followed when treating
patients who recently had any surgical procedures; stimulation may disrupt
the patient's healing process.
12) Use caution if stimulation is applied over the menstruating or pregnant uterus.
13) Use caution if stimulation is applied over areas of skin that lacks normal
sensation.
14) Use of this device on a patient should only be used under the continued
supervision of a licensed practitioner.
15) Electrical stimulation is ineffective for pain of central origin.
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Quattro™ 2.5 DQ8450
16) Use extreme caution when treating desensitized areas on patients who may
not be able to report discomfort or pain.
17) Patients should not be left unattended during any treatment.
18) Keep this device out of the reach of children.
2.5
Adverse
reaction
1) Skin irritation, inflammation, and electrode burns beneath the
electrodes are potential adverse reactions.
2) 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.
3) The clinician should stop using this device and should consult with the
patient’s attending physician should the patient experience any
adverse reactions from treatment used with this device.
3.
INDICATIONS
FOR USE
For TENS, Interferential and Premodulated(IFC):
1) Symptomatic relief of chronic intractable pain
2) Post-traumatic acute pain
3) Post-surgical acute pain
Additionally for EMS and Russian:
1) Relaxation of Muscle spasms
2) Prevention or retardation of disuse atrophy
3) Increasing local blood circulation
4) Muscle re-education
5) Maintaining or increasing range of motion
6) Immediate postsurgical stimulation of calf muscles to prevent venous
thrombosis
7
Quattro™ 2.5 DQ8450
4.
PRESENTATION
1
4.1
Panel For
front view
2
6
7
2
1
8
4
3
B2
Save
B4
Vector
F.M.
Burst
C.F.
Freq.
B6
Beat H.
A.M.
Duty
Beat L.
P. Dur.
Freq.
Time
Cycle
Ramp
3
B8
B1
B3
B5
B7
9
4
5
DC15V/1.2A
4
10
2
3
1
11
12
1) Channel Button:
•Press to enter treatment parameters for channel 1 and 2.
•During treatment, press to display treatment parameters for channel
1and 2.
•Rotate to adjust the output intensity for channel 1.
2) Channel Button:
•Press to enter treatment parameters for channel 1 and 2.
•During treatment, press to display treatment parameters for channel
1 and 2.
•Rotate to adjust the output intensity for channel 2.
3) Parameters Control Knob and Pause button.
4) Stop Treatment Button : Press to stop current channels’ treatment.
5) Power Indicator Light
6) LCD display: Shows the current information of the device.
7) Channel Button:
•Press to enter treatment parameters for channel 3 and 4.
•During treatment, press to display treatment parameters for channel
3 and 4.
•Rotate to adjust the output intensity for channel 3.
8
Quattro™ 2.5 DQ8450
8) Channel Button:
•Press to enter treatment parameters for channel 3 and 4.
•During treatment, press to display treatment parameters for channel
3 and 4.
•Rotate to adjust the output intensity for channel 4.
9) For the eight parameters selection buttons, see below for details:
B1: In standby mode, press the B1 button a second time to select the
therapeutic waveform;
In setting mode, press the B1 button to select CC/CV output mode.
B2: In standby mode, press the B2 button a second time and hold it about
5 seconds to switch to professional therapy or normal therapy;
In professional therapy standby mode, press the B2 button to switch
treatment step.
B3: Press the B3 button to select the parameter Time/Cycle./Ramp.
B4: Press the B4 button to select the therapeutic program.
Press and hold the B4 button again to save settings.
B5: Press the B5 button to select the parameter Vector/F.M/Burst.
B6: Press the B6 button to select the parameter C.F./Freq.
B7: Press the B7 button to select the parameter Beat H./A.M./Duty.
B8: Press the B8 button to select the parameter Beat L./P.Dur/Freq.
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 for Russian Waveform
Beat H. — Sweep High Beat Frequency
A.M. — Amplitude Modulation
Beat L. — Sweep Low Beat Frequency
P.Dur. — Pulse Duration
Time. — Treatment time
Cycle— Cycle time(Con/Rel)
Ramp— Ramp time
10 Adapter Receptacle.
11) ON/OFF Switch.
12) Output Connector: connect with connector of cable.
9
Quattro™ 2.5 DQ8450
4.2
User interface
1) Displays output intensity of channel 1;
Displays total treatment steps of channels 1 and 2.
2) Displays output intensity of channel 2;
Displays treatment steps of channels 1 and 2.
3) Displays output intensity of channel 3;
Displays total treatment steps of channels 3 and 4.
4) Displays output intensity of channel 4;
Displays treatment steps of channels 3 and 4.
5) Displays therapeutic programs (including professional mode) of
channels 1 and 2.
6) Displays treatment time, cycle time or ramp time of channels 1 and 2.
7) Displays 7 therapeutic waveform: IF-4P (IFC-Interferential, Traditional
4 Poles), IF-2P (Premodulated, Traditional 2 Poles IFC), TENS, EMS S
(Synchronous), EMS A (Asynchronous), or Russian S (Synchronous),
and Russian A (Asynchronous).
8) Displays parameters of B7 button: Beat H./A.M./Duty.
9) Displays parameters of B5 button: Vector/F.M./Burst.
10) Displays parameters of B8 button: Beat L./P.Dur./Freq.
11) Displays parameters of B6 button: C.F./Freq.
12) Displays treatment time, cycle time or ramp time of channels 3 and 4.
13) Displays therapeutic programs (including professional mode) of
channels 3 and 4.
10
Quattro™ 2.5 DQ8450
5.
INSTALLATION
5.1
Before Use
Remove the equipment and all accessories from shipping carton and
box. Visually check if there is any damage or missing parts or accessories.
If yes, please report to local dealer or retailer where you purchase this unit.
Your Quattro™ 2.5 – DQ8450 equipment contains the following accessories.
1
4
3
2
5
6
7
8
9
10
11
12
INSTRUCTION MANUAL
CAUTION: United States Federal Law restricts this
device to sale by or on the order of a physician
www.roscoemedical.com
Replenishment
Part #
1 ER2535B2
Rubber Electrodes,2.5” X 3.5”
4pcs
2
ER2743B2
Rubber Electrodes, 2.75” x 4.3”
4pcs
3
ES2740Y2
Electrode Sponges, 2.75” x 4”
4pcs
4
ES3047Y2
Electrode Sponges,3.0” x 4.75”
4pcs
5
Self-adhesive Electrodes, 2” x 2”
8pcs
6
Self-adhesive Electrodes,2” x 3.5”
8pcs
Part
No.
Quantity
7
EW2023BW2
Elastic Wrap, 3” x 23.5”
2pcs
8
EW3047BW2
Elastic Wrap , 3” x 47”
2pcs
9
WQ6005PLUG
Lead wires
4pcs
10 DQ2001MGC
Adapter 100-240V/50-60Hz
1pc
11 DQ8432CPLUG
Connector of cable
2pcs
12
User Manual
1pc
11
Quattro™ 2.5 DQ8450
5.2
Connection
of the power
adapter
Connect the power adapter to the device connector.
Connect the power adapter to a wall socket.
Caution
Prior to connecting this device to the power supply, check that the
voltage and frequency stated on the rating label match with the
available power supply.
The power adapter is a part of the supply circuit on which the device's
safety partly depends upon. The approvals for Quattro™ 2.5 are only
valid if used in combination with this type of adapter.
5.3
Switch on the device, using ON/OFF switch [
].The device executes a
Switching on self-test, checking all important functions and enters standby mode about
6~8 seconds later.
5.4
Switching off
and
disconnecting
power adapter
Switch off the device by switching the ON/OFF switch from the [
the [
] position.
Remove the power adapter from the wall socket.
Remove the power adapter from the device.
] to
6.
OPERATION
6.1
Measures
with regards
to treatments
6.1.1
Electrotherapy
Before
the
treatment
Ensure there are no contraindications to treatment.
Inspect the skin treatment area for any abrasions, inflammation,
surface veins etc.
Clean the skin treatment area with soap or alcohol (70%).
Shaving or clipping excessive hair on the skin treatment area can
provide optimal treatment.
Test the heat sensitivity of the treatment area.
6.1.2
Electrode
Placement
Examine the skin for any wounds and clean the skin.
When using self-adhesive electrodes, remove the electrode from plastic
backing.
Apply the electrodes to the treatment area.
Ensure that the electrodes are applied securely to the skin.
Ensure good contact between each electrode and the skin.
Check the electrode contact regularly during the treatment.
Examine the skin again after the treatment.
Choose electrodes to properly fit the anatomy.
Follow electrode manufacturer’s instructions for use.
12
Quattro™ 2.5 DQ8450
To avoid skin irritation due to high current density, do not use electrodes
smaller in surface area than 25cm2 self-adhesive electrodes.
Caution
Keep electrodes separated during treatment. Electrodes in contact with
each other could result in improper stimulation or skin burns.
Output current density is related to electrode size. Improper application
may result in patient injury. If any question arises as to the proper
electrode size, consult a licensed practitioner prior to the therapy session.
Powered muscle stimulators should be used only with the leads and
electrodes recommended by the manufacturer.
6.1.3
SelfAdhesive
electrodes
This device is supplied with 8 pieces 2”×2” and 8 pieces 2”×3.5” adhesive
electrodes. You can select the appropriate sized electrodes according to the
treatment area and output current density.
It is recommended that manufacturer's electrodes be used whenever possible
to ensure the highest level of performance and contact with the treatment
area and to give the most uniform delivery of the prescribed electrotherapy
treatment.
Properly dispose of used electrodes upon completion of the therapy session.
If you are unsure of your electrode’s adhesive properties, it is suggested that
you order new replacement electrodes. Replacement electrodes should be
re-ordered through or on the advice of your physician to ensure proper
quality.
Before applying electrodes, be sure the skin surface over which electrodes
are placed is thoroughly cleaned and dried. Make sure the electrodes are
placed firmly to the skin and make good contact between the skin and the
electrodes. Place the electrodes over the skin; attach them properly, firmly,
and evenly.
Caution
1) Before applying the self-adhesive electrodes, it is recommended to wash
and degrease the skin, and then dry it.
2) Do not turn on the device when the electrodes are not positioned on the
body.
3) Never remove the self-adhesive electrodes from the skin while the device
is still turned on.
4) It is recommended that, at minimum, 2”x 2” self-adhering based, square
electrodes are used at the treatment area.
13
Quattro™ 2.5 DQ8450
Connecting
Lead Wires
Securing
Electrodes
6.1.4.
Rubber
Electrodes
Rubber
Electrodes
Instructions
Connecting
Lead Wires
Conductive
Medium 1
Conductive
Medium 2
14
Insert the lead with the red (+) electrode connector
into one adhesive electrode. Insert the lead with the
black (-) electrode connector into the other electrode.
Make certain the lead wires are seated completely
into the electrodes, and there are no bare metal
parts of the pins exposed.
Remove the adhesive electrodes from the protective
backing and apply to the treatment area as
prescribed. Ensure that the entire electrode surface
is in contact with the patient’s skin by pressing the
electrode firmly into place.
If used for delivery of electrotherapy, there are two conductive mediums
for you to select from, the first one is to use electrode sponges as
conductive mediums, and the other is to use a conductive medium such
as an FDA approved Transmission Gel(Note: transmission gel is sold
separately).
The rubber electrodes should be secured to the treatment area using the
nylon wraps that are included with the Quattro™ 2.5 device.
Insert the lead with the red (+) electrode connector
into one rubber electrode. Insert the lead with the
black (-) electrode connector into the other rubber
electrode. Make certain the lead wires are seated
completely into the electrodes, and there are no
bare metal parts of the pins exposed.
Insert the rubber electrodes into the electrode
sponges that have been moistened with distilled
water.
Liberally apply transmission gel to electrode prior to
placement on the patient.
Please note: purchase the transmission gel with CE
mark or that has been cleared by the FDA.
Quattro™ 2.5 DQ8450
Securing
Electrodes
6.2
Quick Set-up
for Electrical
Stimulation
Use Nylon Wrap to secure each rubber electrode
into position on the patient.
1. In order to turn on the device, press ON/OFF
switch to [ ] icon which is located on the side
of the device
2. When you turn the Quattro™ 2.5 on, the device
will perform a self-check for about 6~8 seconds,
and then the default parameters will display the
last treatment mode.
3. Connect the electrode wires to the cable; note
the color of the wires and the color marks on
the cable, they should correspond.
Caution: If you want to use 4 channels, connect
all electrode lead wires to two cables.
4. Plug the cable(s) to the device connector(s), the
left connector corresponds to output channel 1
and channel 2; the right connector corresponds to
output channel 3 and channel 4.
5. Connect the electrodes to electrode lead wires.
6. Place the electrodes on the patient according
to section 6.1.
7. Press channel button (
or
) to enter
channel 1and channel 2 parameter setting mode.
15
Quattro™ 2.5 DQ8450
Save
8. There are 7 therapeutic waveforms for you to
select. Press the “Waveform” button to choose the
therapeutic waveform. Then rotate the Parameters
Control Knob (
) to select one of the following
waveform:IF-4P, IF-2P, EMS S, EMS A,TENS,
Russian S and Russian A.
9. There are 50 programs for all waveforms. For
detailed preset programmable parameters for
each program refer to section 6.3 in this manual.
To change parameters refer to each waveforms
“Set-up Procedure”.
Press the “Program” button to choose the
therapeutic program. Then rotate the Parameters
Control Knob (
) to select the therapeutic
programs in the corresponding waveform.
10. Press the“Waveform/CC/CV” button twice to
select “CC” or “CV” control mode.
11. Adjust the output intensity and start treatment by
rotating the output intensity adjustment knobs on
the control panel. 0.5mA/step or 0.5V/step. The
"STIM” symbol in the LCD indicates there is
intensity output.
12. For safety purposes, the load detection function
was designed so when the output intensity
surpasses10.0mA/10.0V, and there are no
electrodes placed on the patient’s skin or the
device is not connected to the electrodes, an
alarm buzzer will sound and the intensity value
will flash and reset to zero.
Caution: In TENS or EMS mode when the pulse
duration is less than 80µs, the load detection
function will activate when the output intensity
surpasses 40.0mA/40.0V.
13. Press the channel button (
or
) to
enter channel 3 and 4 parameter setting mode
if necessary. Then set the parameters following
steps 8 thru 12 above.
16
Quattro™ 2.5 DQ8450
14. To pause current channels’ treatment, press the
output intensity knob until desired channels’
(either 1 and 2 or 3 and 4) flash. Then press
below button.
15. Press the (
) button to stop treatment of the
current channel(s).
If you want to stop the other channel(s)treatment,
press corresponding channel button first, and
then press the (
) button. This will only stop the
selected flashing channels, not all 4 channels.
6.3
Using Preset
Programs
Each therapeutic waveform has 10 programs with default parameters, but
you can also set and save the parameters according to the patient’s need.
The default parameters for each program are referenced below:
17
Quattro™ 2.5 DQ8450
Symptoms Program Vector C.F. Beat L. Beat H. Time Step 1
Step 2
CC/
CV
Premodulated
Symptoms Program Vector C.F. Beat L. Beat H. Time Step 1
IFC-2P
Step 2
CC/
CV
IFC-4P
18
Quattro™ 2.5 DQ8450
Symptoms
Program
Freq.
Pulse Dur. A.M. F.M/
Burst
Time
CC/
CV
19
Quattro™ 2.5 DQ8450
Russian S/ A
20
Quattro™ 2.5 DQ8450
6.4
Each stimulation
set-up procedure
6.4.1
4-Pole
Interferential
Stimulation
Set-up
Procedure
1. To turn on the device, press the ON/OFF switch to
[ ] icon which is located on the side of the device.
2. When you turn the Quattro™ 2.5 on, the device
will perform a self-check for about 6~8 seconds,
and then the default parameters will display the
last treatment mode.
3. Press channel button (
or
) to enter
channel 1and channel 2 parameter setting mode.
4. Press the “Waveform” button to choose the
therapeutic waveform, and then rotate the
Parameters Control Knob (
) to select “IF-4P”
waveform.
Save
Step
5. Press the“Program” button to choose the
therapeutic program (P1 – P10).Then rotate the
Parameters Control Knob (
) to select the
therapeutic programs from P-1 to P-10(Normal
mode)or from S-1 to S-10 (Professional mode).
6. There are two modes in the Quattro™ 2.5 device:
Normal mode and Professional mode. Switch
between the two modes by pressing and holding
the “Step” button until you hear a “Beep” sound,
the program will change from “P-1”(Normal mode)
to “S-1”(Professional mode). In professional mode,
each program has 2 treatment steps, press the
“Step” button again, and the LCD will display as
shown in the below figure to the left. Press the
“Step” button to select treatment steps from1 to 2.
The parameters of each step can be set according
to the following methods.
7. Press the“Waveform/CC/CV” button twice to
select “CC” or “CV” control mode.
21
Quattro™ 2.5 DQ8450
8. Press the “Vector” button, then rotate the
Parameters Control Knob (
) to set the vector
(manual) parameter from 0° to 90°,15°/step.
Vector
F.M.
Burst
%
10. Press the “Beat H.” button, and then rotate the
Parameters Control Knob (
) to set the
parameter from (Beat. L) Hz to150Hz, 1Hz/step.
Beat H.
A.M.
Duty
Beat L.
P. Dur.
Freq.
11. Press the “Beat L.” button, and then rotate the
Parameters Control Knob (
) to set the
parameter from 1Hz to(Beat. H)Hz, 1Hz/step.
(Note: Beat L. parameter will not exceed Beat H. setting)
12. Press the “ Time” button, and then rotate the
Parameters Control Knob (
) to set the
treatment time from 1min to 60min, 1min/step.
Time
Cycle
Ramp
Save
①
9. Press the “Vector” button again to change to auto
mode, the LCD displays “0%” as shown in the figure
to the left. Rotate the Parameters Control Knob (
)
to set the vector (auto) parameter from 0 % to 100%,
20%/step.
13. Press and hold the “Save” button until you hear a
“beep” sound if you want to save all settings.
Note: The settings will not be saved if you have not
followed the steps above.
14. Place the electrodes on the patient. You will need
two electrodes for each channel, four in total as
shown in the example figure to the left.
15. Adjust the output intensity and start treatment by
rotating the output intensity adjustment knobs on
the control panel. 0.5mA/step or 0.5V/step. The
"STIM” symbol in the LCD indicates there is
intensity output.
22
Quattro™ 2.5 DQ8450
16. For safety purposes, the load detection function
was designed so when the output intensity
surpasses10.0mA/10.0V, and there are no
electrodes placed on the patient’s skin or the
device has not been connected to electrodes, an
alarm buzzer will sound and the intensity value
will flash and reset to zero.
17. Press the channel button (
or
) to
enter channel 3 and 4 parameter setting mode
if necessary. Then set the parameters following
steps 4 thru 16 above.
18. To pause current channels’ treatment, press
output intensity knob until desired channels
(either 1 and 2 or 3 and 4) begin flashing.
Then press below button.
19. Press the (
) button to stop treatment of the
current channel(s).
If you want to stop the other channel(s) treatment,
press corresponding channel button first, and
then press the (
) button. This will only stop the
selected flashing channels, not all 4 channels.
23
Quattro™ 2.5 DQ8450
6.4.2
2-Pole
Interferential
Stimulation
Set-up
Procedure
1. To turn on the device, press the ON/OFF switch to
[ ] icon which is located on the side of the device.
2. When you turn the Quattro™ 2.5 on, the device
will perform a self-check for about 6~8 seconds,
and then the default parameters will display the
last treatment mode.
3. Press channel button (
or
) to enter
channel 1and channel 2 parameter setting mode.
4. Press the “Waveform” button to choose the
therapeutic waveform. Then rotate the Parameters
Control Knob (
) to select “IF-2P” waveform.
Save
Step
5. Press the “Program” button to choose the
therapeutic program. Then rotate the Parameters
Control Knob (
) to select the therapeutic
programs from P-1 to P-10 (Normal mode) or from
S-1 to S-10 (Professional mode).
6. There are two modes in Quattro™ 2.5: Normal
mode and Professional mode. Switch between the
two modes by pressing and holding the “Step”
button until you hear a “Beep” sound, the program
will change from “P-1”(Normal mode) to “S-1”
(Professional mode). In professional mode, each
program has 2 treatment steps, press the “Step”
button again, and the LCD will display as shown by
the figure to the left. Press the “Step” button to
select treatment steps from1 to 2.The parameters
of each step can be set according to the following
methods.
7. Press the “Waveform/ CC/CV” button twice to
select “CC” or “CV” control mode.
24
Quattro™ 2.5 DQ8450
8. Press the “Beat H.” button, and then rotate the
Parameters Control Knob (
) to set the parameter
from (Beat. L) Hz to150Hz, 1Hz/step.
Beat H.
A.M.
Duty
Beat L.
P. Dur.
Freq.
9. Press the “Beat L.” button, and then rotate the
Parameters Control Knob (
) to set the parameter
from 1Hz to (Beat. H) Hz, 1Hz/step.
(Note: Beat L parameter will not exceed Beat H. setting)
10. Press the “Time” button, and then rotate the
Parameters Control Knob (
) to set the treatment
time from 1min to 60min, 1min/step.
Time
Cycle
Ramp
Save
11. Press and hold the “Save” button until you hear a
“beep” sound if you want to save all settings.
Note: The settings will not be saved if you have not
followed the steps above.
12. Place the electrodes on the patient. Depending on
patient need, one or two channels can be used.
13. Adjust the output intensity and start treatment by
rotating the output intensity adjustment knobs on
the control panel. 0.5mA/step or 0.5V/step. The
"STIM” symbol in the LCD indicates there is
intensity output.
14. For safety purposes, the load detection function
was designed so when the output intensity
surpasses10.0mA/10.0V, and there are no
electrodes placed on the patient’s skin or the
device has not been connected to electrodes, an
alarm buzzer will sound and the intensity value
will flash and reset to zero.
25
Quattro™ 2.5 DQ8450
15. Press the channel button (
or
) to
enter channel 3 and 4 parameter setting mode
if necessary. Then set the parameters following
steps 4 thru 14 above.
16. To pause current channels’ treatment, press
output intensity knob until desired channels
(either 1 and 2 or 3 and 4) begin flashing.
Then press below button.
17. Press the (
) button to stop treatment of the
current channel(s).
If you want to stop the other channel(s) treatment,
press corresponding channel button first, and
then press the (
) button. This will only stop the
selected flashing channels, not all 4 channels.
6.4.3
EMS S/A
Stimulation
Set-up
Procedure
1. To turn on the device, press the ON/OFF switch to
[ ] icon which is located on the side of the device.
2. When you turn the Quattro™ 2.5 on, the device
will perform a self-check for about 6~8 seconds,
and then the default parameters will display the
last treatment mode.
3. Press channel button (
or
) to enter
channel 1and channel 2 parameter setting mode.
4. Press the “Waveform” button to choose the
therapeutic waveform. Then rotate the Parameters
Control Knob (
) to select “EMS S” or “EMS A”
waveform.
Save
26
5. Press the “Program” button to choose the
therapeutic program. Then rotate the Parameters
Control Knob (
) to select the therapeutic
programs from P-1 to P-8(Normal mode in EMS S
waveform)or from S-1 to S-8 (Professional mode in
EMS S waveform). There are 2 programs (P-01~02
or S-01~02 ) for you to select in EMS A waveform.
Quattro™ 2.5 DQ8450
Step
6. There are two modes in Quattro™ 2.5: Normal
mode and Professional mode. Switch between the
two modes by pressing and holding the “Step”
button until you hear a “Beep” sound, the program
will change from “P-1”(Normal mode) to “S-1”
(Professional mode). In professional mode, each
program has 2 treatment steps, press the “Step”
button again, and the LCD will display as shown
by the figure to the left. Press the “Step” button to
select treatment steps from1 to 2.The parameters
of each step can be set according to the following
methods.
7. Press the “Waveform/ CC/CV” button twice to
select “CC” or “CV” control mode.
8. Press the “F.M.” button, and then rotate the
parameters control knob (
) to set the F.M.
parameter from 0Hz to 249Hz,1Hz/step.
But F.M.+Freq.≤250Hz.
Vector
F.M.
Burst
C.F.
Freq.
10. Press the “A.M.” button, then rotate the Parameters
Control Knob (
) to set the parameter from 0%
to 100% (“A.M.” means amplitude modulation, the
setting value indicates percentage of modulation,
e.g.: "0%" means no modulation, the intensity is
outputting at the setting value continuously. "100%"
means the output intensity is modulated between 0
and the setting value. The “A.M. waveform”
patterns are shown on page 29, 20%/step.
Beat H.
A.M.
Duty
Beat L.
P. Dur.
Freq.
Time
Cycle
Ramp
9. Press the “Freq.”button (B6),and then rotate the
Parameters Control Knob (
) to set the frequency
from 1Hz to 250Hz,1Hz/step. But Freq.≤ 250-F.M.
11. Press the “P.Dur.” button,and then rotate the
Parameters Control Knob (
) to set the pulse
duration from 30µs to 400µs,5µs/step.
12. Press the “time” button, and then rotate the
Parameters Control Knob (
) to set the
treatment time from 1min to 60min, 1min/step.
27
Quattro™ 2.5 DQ8450
13. Press the “ Time” button again to choose
Cycle time, and then rotate the Parameters
Control Knob (
) to select the cycle time
(Contr./Relax) from “-/-(continuous)”, “4/4”,
“4/8”, “7/7”, “5/5”, “4/12”, “10/10”, “10/20”,
“10/30” and “10/50”.
14. Press the “ Time” button again to choose Ramp
time parameters, and then rotate the Parameters
Control Knob (
) to select the ramp time from
1s, 2s and 5s.
Save
15. Press and hold the “Save” button until you hear a
“beep” sound if you want to save all settings.
Note: The settings will not be saved if you have not
followed the steps above.
16. Place the electrodes on the patient. Depending on
patient need, one or two channels can be used.
17. Adjust the output intensity and start treatment by
rotating the output intensity adjustable knobs on the
control panel. 0.5mA/step or 0.5V/step. The "STIM”
symbol in the LCD indicates there is intensity output.
18. For safety purposes, the load detection function
was designed so when the output intensity
surpasses10.0mA/10.0V, and there are no
electrodes placed on the patient’s skin or the
device has not been connected to electrodes, an
alarm buzzer will sound and the intensity value
will flash and reset to zero.
Note: If the pulse duration is less than 80µs, the load
detection function will activate when output intensity
surpasses or equal 40.0mA/40.0V.
19. Press the channel button (
or
) to
enter channel 3 and 4 parameter setting mode
if necessary. Then set the parameters following
steps 4 thru 18 above.
28
Quattro™ 2.5 DQ8450
20. To pause current channels’ treatment, press
output intensity knob until desired channels
(either 1 and 2 or 3 and 4) begin flashing.
Then press below button.
21. Press the (
) button to stop treatment of the
current channel(s).
If you want to stop the other channel(s) treatment,
press corresponding channel button first, and
then press the (
) button. This will only stop the
selected flashing channels, not all 4 channels.
A.M. waveform:
Remark:
1) EMS S (Synchronous) stimulation: For this treatment, use two channels
(either channels 1 & 2 or 3 & 4). Electrodes for each channel will be
placed on different muscle groups. During treatment, both channels
will stimulate at the same time. Best used for Bi-lateral conditions.
2) EMS A (Asynchronous) stimulation: For this treatment, use two channels
(either 1 & 2 or 3 & 4). Electrodes for each channel will be placed on
separate muscle groups. During treatment, channels will alternate
stimulation. Best used when treating opposing muscle groups.
29
Quattro™ 2.5 DQ8450
6.4.4
TENS
Stimulation
Set-up
Procedure
1. To turn on the device, press the ON/OFF switch to
( ) icon which is located on the side of the device.
2. When you turn the Quattro™ 2.5 on, the device
will perform a self-check for about 6~8 seconds,
and then the default parameters will display the
last treatment mode.
3. Press channel button (
or
) to enter
channel 1and channel 2 parameter setting mode.
4. Press the “Waveform” button to choose the
therapeutic waveform. Then rotate the Parameters
Control Knob (
) to select “TENS” waveform.
Save
Step
5. Press the“Program” button to choose the
therapeutic program. Then rotate the Parameters
Control Knob (
) to select the therapeutic
programs from P-1 to P-10(Normal mode) or from
S-1 to S-10 (Professional mode).
6. There are two modes in Quattro™ 2.5: Normal
mode and Professional mode. Switch between the
two modes by pressing and holding the “Step”
button until you hear a “Beep” sound, the program
will change from “P-1”(Normal mode) to “S-1”
(Professional mode). In professional mode, each
program has 2 treatment steps, press the “Step”
button again, and the LCD will display as shown
by the below figure to the left. Press the “Step”
button to select treatment steps from1 to 2. The
parameters of each step can be set according to
the following methods.
7. Press the “Waveform/CC/CV” button twice to
select “CC” or “CV” control mode.
30
Quattro™ 2.5 DQ8450
8.Press the“F.M.” button, and then rotate the
Parameters Control Knob (
) to set the F.M.
parameter from 0Hz to 249Hz,1Hz/step.
But F.M.+Freq.≤250Hz.
Vector
F.M.
Burst
9. Press the“F.M.” button again to switch to Burst, and
then rotate the Parameters Control Knob (
) to set
the Burst rate from 0Hz to 10Hz, 1Hz/step.But Burst
×8≤Freq.
C.F.
Freq.
10. Press the“Freq.”button, and then rotate the
Parameters Control Knob (
) to set the frequency
from 1Hz to 250Hz,1Hz/step. But Freq. ≥Burst x 8
or Freq.≤ 250-F.M.
11. Press the “A.M.” button, then rotate the Parameters
Control Knob (
) to set the parameter from 0%
to100% (“A.M.” means amplitude modulation, the
setting value indicates percentage of modulation,
e.g.: "0%" means no modulation, the intensity is
outputting at the setting value continuously.
"100%" means the output intensity is modulated
between 0 and the setting value. The “A.M.
waveform” patterns shown on page 29), 20%/step.
Beat H.
A.M.
Duty
Beat L.
P. Dur.
Freq.
12. Press the “P.Dur.” button, and then rotate the
Parameters Control Knob (
) to set the pulse
duration from 30µs to 400µs, 5µs/step.
13. Press the “Time” button, and then rotate
the Parameters Control Knob (
) to set the
treatment time from 1min to 60min, 1min/step.
Time
Cycle
Ramp
14. Press the “Time” button again to switch to
Cycle time, and then rotate the Parameters
Control Knob (
) to select the cycle time
(Contr./Relax) from “-/-(continuous)”, “4/4”,
“4/8”, “7/7”, “5/5”, “4/12”, “10/10”, “10/20”,
“10/30” and “10/50”.
Save
15. Press and hold the “Save” button until you hear a
“beep” sound if you want to save all settings.
Note: The settings will not be saved if you have not
followed the step above.
31
Quattro™ 2.5 DQ8450
16. Place the electrodes on the patient. Depending
on patient need, one or two channels can be used.
17. Adjust the output intensity and start treatment by
rotating the output intensity adjustable knobs on
the control panel. 0.5mA/step or 0.5V/step. The
"STIM” symbol in the LCD indicates there is intensity
output.
18. For safety purposes, the load detection function
was designed so when the output intensity
surpasses10.0mA/10.0V, and there are no
electrodes placed on the patient’s skin or the
device has not been connected to electrodes, an
alarm buzzer will sound and the intensity value
will flash and reset to zero.
Note: If the pulse duration is less than 80µs, the load
detection function will activate when output intensity
surpasses or equal 40.0mA/40.0V.
19. Press the channel button (
or
) to
enter channel 3 and 4 parameter setting mode
if necessary. Then set the parameters following
steps 4 thru 18 above.
20. To pause current channels’ treatment, press
output intensity knob until desired channels
(either 1 and 2 or 3 and 4) begin flashing.
Then press below button.
21. Press the (
) button to stop treatment of the
current channel(s).
If you want to stop the other channel(s) treatment,
press corresponding channel button first, and
then press the (
) button. This will only stop the
selected flashing channels, not all 4 channels.
32
Quattro™ 2.5 DQ8450
6.4.5
Russian S/ A
Stimulation
Set-up
Procedure
1. To turn on the device, press the ON/OFF switch to
( ) icon which is located on the side of the device
2. When you turn the Quattro™ 2.5 on, the device
will perform a self-check for about 6~8 seconds,
and then the default parameters will display the
last treatment mode.
3. Press channel button (
or
) to enter
channel 1and channel 2 parameter setting mode.
4. Press the “Waveform” button to choose the
therapeutic waveform. Then rotate the Parameters
Control Knob (
) to select “Russian S” or
“Russian A” waveform.
Save
Step
5. Press the“Program” button to choose the
therapeutic program. Then rotate the Parameters
Control Knob (
) to select the therapeutic
programs from P-1 to P-09(Normal mode in
Russian S waveform) or from S-1 to S-09
(Professional mode in Russian S waveform).
There are 1 programs (P-01 or S-01) for you to
select in Russian A waveform.
6. There are two modes in Quattro™ 2.5: Normal
mode and Professional mode. Switch between the
two modes by pressing and holding the “Step”
button until you hear a “Beep” sound, the program
will change from “P-1”(Normal mode) to “S-1”
(Professional mode). In professional mode, each
program has 2 treatment steps, press the “Step”
button again, and the LCD will display as shown
by the below figure to the left. Press the “Step”
button to select treatment steps from1 to 2. The
parameters of each step can be set according to
the following methods.
7. Press the “Waveform/ CC/CV” button twice to
select “CC” or “CV” control mode.
33
Quattro™ 2.5 DQ8450
8. Press the “Duty” button, and then rotate the
Parameters Control Knob (
) to set the parameter
from 10% to 50%, 10%/step.
Beat H.
A.M.
Duty
Beat L.
P. Dur.
Freq.
9. Press the “Freq.” button and then rotate the
Parameters Control Knob (
) to set the frequency
from 20Hz to100Hz, 5Hz/step.
10. Press the “Time” button, and then rotate the
Parameters Control Knob (
) to set the treatment
timefrom 1min to 60min, 1min/step.
Time
Cycle
Ramp
11. Press the “Time” button again to choose
Cycle time, and then rotate the Parameters
Control Knob (
) to select the cycle time (contr/
relax) from “-/-(continuous)”, “5/5”, “4/12”,
“10/10”, “10/20”, “10/30” and “10/50”.
12. Press the “Time” button again to choose
Ramp time, and then rotate the Parameters
Control Knob (
) to select the ramp time from
1s, 2s and 5s.
Save
13. Press and hold the “Save” button until you hear a
“beep” sound if you want to save all settings.
Note: The settings will not be saved if you have not
followed the step above.
14. Place the electrodes on the patient. Depending on
patient need, one or two channels can be used.
15. Adjust the output intensity and start treatment by
rotating the output intensity adjustable knobs on
the control panel. 0.5mA/step or 0.5V/step. The
"STIM” symbol in the LCD indicates there is
intensity output.
34
Quattro™ 2.5 DQ8450
16. For safety purposes, the load detection function
was designed so when the output intensity
surpasses10.0mA/10.0V, and there are no
electrodes placed on the patient’s skin or the
device has not been connected to electrodes, an
alarm buzzer will sound and the intensity value
will flash and reset to zero.
17. Press the channel button (
or
) to
enter channel 3 and 4 parameter setting mode
if necessary. Then set the parameters following
steps 4 thru 16 above.
18. To pause current channels’ treatment, press
output intensity knob until desired channels
(either 1 and 2 or 3 and 4) begin flashing.
Then press below button.
19. Press the (
) button to stop treatment of the
current channel(s).
If you want to stop the other channel(s) treatment,
press corresponding channel button first, and
then press the (
) button. This will only stop the
selected flashing channels, not all 4 channels.
Remarks:
1) There is a "beeping" sound which will appear for approximately 20
seconds to alert the user after the treatment has finished. Press any
button to cancel the "beeping" sound.
2) If you want to restore factory parameter settings, turn the device off
then press and hold knobs (1) and (2) at the same time, and then turn
on the device by pressing the ON/OFF switch, keep pressing the (1)
and (2) knobs and the device will continuously beep until all
parameters are restored to the factory setting.
35
Quattro™ 2.5 DQ8450
7.
MAINTENANCE
7.1
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 device in liquids. Should the unit become accidentally
submersed, contact the dealer or Authorized Service center immediately. Do not
attempt to use a system that has been submersed in liquid until inspected and
tested by a Service Technician Certified by an Authorized Service center. Do not
allow liquids to enter the ventilation holes.
7.2
Cleaning the
electrodes
Apply the protective backing to the tacky side of the electrode before storing.
It may be helpful to improve repeated application by spreading a few drops
of cold water over the adhesive on the electrode and turn the surface up to
air dry. Oversaturation of the electrode with water will reduce the adhesive
properties.
The rubber electrodes should be cleaned with lukewarm water. To disinfect
the electrodes or to remove stubborn stains of dirt, use a 70% alcohol
solution. The alcohol solution may discolor the electrode; however, this
does not affect the operation of the electrodes.
The sponge pads should be washed in warm water, using a household
cleaner. After washing they must be rinsed with clear water, thoroughly
drained and then dried. Damaged sponge pads should be replaced.
Between uses, store the electrodes in the reusable bag and in a cool dry
place.
Caution
The self-adhesive electrodes are intended for single patient use only.
If the electrodes do not adhere completely to the patient’s skin, it may
cause a slight shock.
If irritation occurs, discontinue use and consult your clinician.
Always use the electrodes with CE mark, or are legally marketed in the
United States under an approved 510(K) procedure.
7.3
Cleaning the
lead wires
and cables
36
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 insulation and dramatically shorten their life.
Quattro™ 2.5 DQ8450
7.4
Maintenance
Maintenance and all repairs should only be carried out by an authorized
agency. The manufacturer will not be held responsible for the results of
maintenance or repairs completed by any unauthorized person(s).
Opening of the equipment by unauthorized agencies is not allowed and
will terminate any claim to warranty.
8.
TROUBLESHOOTING
For optimal
use:
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
your dealer.
37
Quattro™ 2.5 DQ8450
Problem
Displays fail to
light up
Possible Cause
Adapter contact
failure
Electrodes
Stimulation is weak 1. Dried out or
contaminated
2. Placement
Lead wires
Old/worn/damaged
Poor electrode contact
Stimulation stops
Stimulation is
uncomfortable.
Stimulation is
ineffective.
Solution
Ensure adapter is connected.
Check the following
contacts:
All contacts are in place.
All contacts are not broken.
Ensure that adapter is
connected.
1. Replace.
2. Electrodes must be a
minimum of 2 inches apart.
Replace.
Reapply electrodes, secure
firmly.
Replace
Damaged or worn
electrodes or lead wires
Decrease intensity.
Intensity is too high
Reposition the electrodes.
Electrodes are too
close together
Electrodes must be a
minimum of 2 inches apart.
Damaged or worn
Replace.
electrodes or lead wires
Electrode active area
Replace electrodes with ones
size is too small.
that have an active area no
less than 25.0cm2.
Improper electrode
Reposition electrode
Unknown
Contact clinician.
"E1" or "E2"
displays on LCD
Hardware problem
Restart the device, if the problem
is still exist, please contact the
manufacturer or distributor
“E3” displays on
LCD
“E4” displays on
LCD
Detected the device is
over temperature limit
Detected the working
current is over the limit
The device will stop treatment
automatically, please wait
several minutes before using
again.
“E5” displays on
LCD
Memorizer failure is
detected
Restart the device, if the problem
is still exist, please contact the
manufacturer or distributor
Remark: If there is a failure, a beeping sound will appear until the failure has
been corrected or eliminated, or until the button on the panel has
been pressed.
38
Quattro™ 2.5 DQ8450
9.
SPECIFICATIONS
9.1
General
Specifications:
Adapter supply voltage:
100V-240V, 50Hz-60Hz, 0.6A
Adapter output:
15V
Type of protection against
electric shock:
Class II Equipment
Adapter Dimensions:
88mm(L)*48mm(W)*29mm(H)
Dimensions:
250mm(L)*185mm(L)*82mm(H)
Operating Environmental:
Temperature:10°C(50°F) to 40°C(104°F),
1.2A Max.
Relative humidity: 30%-85%
Storage Environmental:
Temperature: -20°C(-4°F) to 55°C(131°F),
Relative humidity: 20%-90%
Maximum Treatment Time:
60 minutes
9.2
Waveform
Specifications:
4-Pole
Interferential
Mode
Waveform Type
Bi-phasic square
Mode Selection
CC (Constant Current) or
CV (Constant Voltage)
Vector
Auto: 0%-100%
Manual: 0°-90°
Carrier Frequency (C.F.)
4.0kHz
Sweep High Beat Frequency
(Beat H.)
(Beat L.) -150 Hz
Sweep Low Beat Frequency
(Beat L.)
1-(Beat H.) Hz
Output Intensity
0-50mA (CC, at 1k ohm load)
0-50V (CV, at 1k ohm load)
Treatment time
1-60 minutes
39
Quattro™ 2.5 DQ8450
2-Pole
Interferential
Mode
Waveform Type
Bi-phasic square
Mode Selection
CC (Constant Current) or
CV (Constant Voltage)
Carrier Frequency (C.F.)
Sweep High Beat Frequency
(Beat H.)
TENS Mode
40
4.0kHz
(Beat L.) -150 Hz
Sweep Low Beat Frequency
(Beat L.)
1-(Beat H.) Hz
Output Intensity
0-50mA(CC, at 1k ohm load)
0-50V(CV, at 1k ohm load)
Treatment time
1-60 minutes
Waveform Type
Mono-phasic square
Mode Selection
CC (Constant Current) or
CV (Constant Voltage)
Frequency
1 - 250 Hz
Frequency Modulation (F.M.)
0-249Hz
Burst rate (Burst)
0-10Hz (7 pulse)
Phase duration (P.Dur.)
30-400μs
Amplitude Modulation (A.M.)
0%-100%
Output Intensity
0-100mA(CC, at 1k ohm load)
0-100V(CV, at 1k ohm load)
Cycle time (Cycle)
Continuous,4/4, 4/8,7/7, 5/5, 4/12,
10/10, 10/20, 10/30, 10/50
Treatment time
1-60 minutes
Quattro™ 2.5 DQ8450
EMS S/A mode
Russian Mode
Waveform Type
Bi-phasic square
Mode Selection
CC (Constant Current) or
CV (Constant Voltage)
Frequency
1 - 250 Hz
Frequency Modulation (F.M.)
0-249Hz
Step duration (P.Dur.)
Amplitude Modulation (A.M.)
30-400μs
0%-100%
Output Intensity
0-100mA(CC, at 1k ohm load)
0-100V(CV, at 1k ohm load)
Treatment time
1-60 minutes
Ramp time
1s, 2s, 5s
Cycle time (Cycle)
Continuous,4/4, 4/8,7/7, 5/5, 4/12,
10/10, 10/20, 10/30, 10/50
Waveform Type
Bi-phasic square
Mode Selection
CC (Constant Current) or
CV (Constant Voltage)
Carrier Frequency (C.F.)
2 .5kHz
Burst Frequency (Freq.)
20-100 Hz
Output Intensity
0-50mA(CC, at 1k ohm load)
0-50V(CV, at 1k ohm load)
Duty cycle
10%, 20%, 30%, 40%, and 50%.
Cycle time
Continuous, 5/5, 4/12, 10/10, 10/20,
10/30, 10/50.
Treatment time
1-60 minutes
Ramp time
1s, 2s, 5s
Caution
This device has been thoroughly tested and inspected to assure proper
performance and operation!
10
STORAGE
For a prolonged pause in treatment, store the device with the adapter
in a dry room and protect it against heat, sunshine and moisture. Store
the machine in a cool, well-ventilated place. Never place any heavy
objects on the machine.
41
Quattro™ 2.5 DQ8450
11
DISPOSAL
12
EMC TABLES
Please dispose of the device in accordance with the directive
2002/96/EC – WEEE (Waste Electrical and Electronic Equipment).
Contact your local distributor for information regarding disposal
of the unit and accessories.
1. The device requires special precautions regarding electromagnetic
compatibility (EMC) and needs to be installed and put into service
according to the EMC information supplied in this manual.
2. Care must be taken when operating this device adjacent to or stacked
with other equipment. Potential electromagnetic or other interference
could occur to this device or other equipment. Try to minimize this
interference by not using other equipment in conjunction with it.
3. The performance of the device was determined to be essential. This
device has been tested and inspected thoroughly to assure proper
performance and operation!
Guidance and manufacturer's declaration - electromagnetic emissions
The Quattro™2.5 is intended for use in the electromagnetic
environment specified below. The customer or the user of the
Quattro™ 2.5 should ensure that it is used in such an environment.
Compliance
Electromagnetic environment - guidance
RF emissions
CISPR 11
Group 1
The Quattro™2.5 uses RF energy only for
its internal function. Therefore, its RF
emissions are very low and are not likely
to cause any interference in nearby
electronic equipment.
RF emissions
CISPR11
Class B
Emissions test
Harmonic
emissions
lEC
61000-3-2
Voltage
fluctuations /
flicker
emissions
lEC
61000-3-3
42
Class A
Not
applicable
The Quattro™ 2.5 is suitable for use in
all establishments other than domestic
and those directly connected to the
public low-voltage power supply network
that supplies buildings used for domestic
purposes.
Quattro™ 2.5 DQ8450
Guidance and manufacturer's declaration — electromagnetic immunity
The Quattro™ 2.5 is intended for use in the electromagnetic environment
specified below. The customer or the user of the Quattro™ 2.5 should ensure
that it is used in such an environment.
Immunity test
IEC 60601
test level
Electrostatic
±6 kV contact
discharge (ESD)
±8 kV air
lEC 61000-4-2
Electrical fast
±2 kV for power
transient/burst
supply lines
IEC 61000-4-4
Surge
±1 kV line (s) to
IEC 61000-4-5 line (s)
Voltage dips,
short
interruptions
and voltage
variations
on power
supply
input lines
IEC
61000-4-11
Compliance
level
±6 kV contact
±8 kV air
Electromagnetic
environment - guidance
Floors should be wood,
concrete or ceramic tile.
If floors are covered with
synthetic material, the
relative humidity should
be at least 30 %.
±2 kV for power Main power quality
should be that of a
supply lines
typical commercial or
hospital environment.
±1 kV line (s)to
line (s)
Main power quality
should be that of a
typical commercial or
hospital environment.
<5% UT (>95% <5% UT (>95% Main power quality
dip in UT) for 0.5 dip in UT) for 0.5 should be that of a
cycle
cycle
typical commercial or
hospital environment.
40% UT (60% dip 40% UT (60% dip
in UT) for 5 cycles in UT) for 5 cycles If the user of the device
requires continued
70% UT (30% dip 70% UT (30% dip operation during power
in UT) for 25
in UT) for 25
mains interruptions, it is
cycles
cycles
needed that the device
be powered from an
<5% UT (>95% <5% UT (>95%
uninterruptible power
dip in UT) for 5
dip in UT) for 5
supply.
seconds
seconds
Power
frequency
(50/60Hz)
magnetic field 3 A/m
IEC 61000-4-8
3 A/m
Power frequency
magnetic fields should
be at levels characteristic
of a typical location in a
typical commercial or
hospital environment.
NOTE: U T is the a.c. main voltage prior to application of the test level.
43
Quattro™ 2.5 DQ8450
Guidance and- manufacturer’s declaration. Electromagnetic immunity
The Quattro™ 2.5 is intended for use in the electromagnetic
environment specified below. The customer or the user of the
Quattro™ 2.5 should assure that it is used in such an environment.
Immunity
test
Conducted
RF lEC
61000-4-6
IEC 60501 Compliance Electromagnetic
test level
level
environment - guidance
3 Vrms
150 kHz to
80 MHz
3 Vrms
Portable and mobile RF
Communications equipment
should be used no closer to any
part of the device, including
cables, than the recommended
separation distance calculated
from the equation applicable to
the frequency of the transmitter.
Recommended separation
distance
80 MHz to 800 MHZ
800 MHz to 2.5 GHz
Radiated
RF lEC
61000-4-3
3 V/m
80 MHz to
2.5 GHz
3 V/m
Where P is the maximum output
power rating of the transmitter In
watts (W) according to the.
Transmitter manufacturer and d
is the recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by
an electromagnetic site survey,a
should be less than the
compliance level in each
frequency range.b
Interference may occur in the
vicinity of equipment marked
with the following
symbol:
NOTE I At 80 MHz ends 800 MHz. the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations.
Electromagnetic propagation is affected by absorption and reflection
from structures, objects and people.
44
Quattro™ 2.5 DQ8450
a. Field strengths from fixed transmitters, such as base stations for radio
(cellular/cordless) telephones and land mobile radios, amateur radio, AM
and FM radio broadcast and TV broadcast cannot be predicted theoretically
with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the Quattro™ 2.5 is used
exceeds the applicable RF compliance level above, should be observed to
verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as reorienting or relocating the
Quattro™ 2.5.
b. Over the frequency range 150 kHz to 80 MHz, field strengths should be less
than 3 V/m.
Recommended separation distances between portable and mobile
RF communications equipment and the Quattro™ 2.5 device
The Quattro™ 2.5 device is intended for use in an electromagnetic environment
in which radiated RF disturbances are controlled. The customer or the user of the
Quattro™ 2.5 device can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications
equipment (transmitters) and the Quattro™ 2.5 as recommended below,
according to the maximum output power of the communications equipment.
Separation distance according to frequency
of transmitterm
Rated maximum
output power
of transmitter
W
150 kHz to
80 MHZ
80 MHz to
800 MHZ
800 MHz to
2,5 GHz
0.01
0.117
0.117
0.233
0.1
0.369
0.369
0.738
1
1.167
1.167
2.333
10
3.689
3.689
7.379
100
11.667
11.667
23.333
For transmitters rated at a maximum output power not listed above, the
recommended separation distance d in meters (m) can be estimated using the
equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) accordable to
the transmitter manufacturer.
NOTE I At 80 MHz and 800 MHz. the separation distance for the higher
frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic
propagation is affected by absorption and reflection from structures, objects
and people.
45
Quattro™ 2.5 DQ8450
13.
Please contact your dealer or the device center in case of a claim under
WARRANTY the warranty. If you have to send in the device, enclose a copy of your
receipt and state the defect.
A. The following warranty terms apply:
The warranty period for Quattro™ 2.5 products is two years from
date of purchase. In case of a warranty claim, the date of purchase
has to be proven by means of the sales receipt or invoice.
Defects in material or workmanship will be removed free of change
within the warranty period.
Repairs under warranty do not extend the warranty period either for
the device or for the replacement parts.
B. The following is excluded under the warranty:
Any damage which has arisen due to improper treatment, e.g.
nonobservance of the user instruction.
Any damage which is due to repairs or tampering by the customer or
unauthorized third parties.
Damage which has arisen during transport from the manufacturer to
the consumer or during transport to the service center.
Accessories which are subject to normal wear and tear.
Liability for direct or indirect consequential losses caused by the unit
is excluded even if the damage to the unit is accepted as a warranty
claim.
46
Quattro™ 2.5 DQ8450
14.
NORMALIZED
SYMBOLS
/
ON/OFF Switch
Power polarity
Type BF Applied Part
Type of protection against electric shock:
Class II Equipment
Refer to Instruction Manual.
Electrical devices are recyclable material and should
not be disposed of with household waste after their
useful life! Help us to protect the environment and
save resources and take this device to the appropriate
collection points.
Please contact the organization which is responsible
for waste disposal in your area if you have any questions.
Equipment capable of delivering output values in
excess of 10 mA r.m.s. or 10V r.m.s. averaged over
any period of 5 s
Stop treatment
Start/Pause the treatment
SN
Serial Number
47
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