BTL 5000 User Manual
BTL 5000 User Manual
Series
USERS MANUAL
v114IE25/04/2007EN
BTL-5000 SERIES USER'S MANUAL
While we would like you to start using your equipment right away,
we encourage a thorough reading of this manual in order to fully
understand the operational features of the BTL-5000 system.
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CONTENTS
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1 GENERAL CHARACTERISTICS
The BTL-5000 series offers advanced and well designed physiotherapy units for professional use. Depending on the
required configuration, each system can consist of up to four units -- for electrotherapy, ultrasound, laser or magnet
therapy treatment.
The touch-controlled display considerably simplifies the use of the unit. The displays are supplied as black and white or
colour. The touch screen is equipped with a touch stylus for a more convenient operation. A vertically positioned case
of the instrument enables you to see the information on the screen clearly and from different positions. In addition, the
display's brightness can be adjusted to fit the light conditions in the office. The information displayed on the screen will
guide you throughout the whole therapy. Simply adjust the parameters by pressing the touch screen buttons and turn
the main knob to set the intensity.
The modular design of the BTL equipment allows you to build the combination you require. Combine an electrotherapy
unit of your choice with either ultrasound, laser or magnet all into a single unit. This can save considerable money on
your physiotherapy investment. Alternatively, you may wish to upgrade your unit later, as your needs grow.
Selecting a diagnosis from a list of alphabetically organized treatment protocols, or selecting a program, will make an
easy and efficient start of the therapy. Naturally, you can adjust any treatment parameter manually by the simple use of
the touch screen buttons. Throughout the whole therapy, the display informs you about the remaining therapy time,
channel and therapeutical method used, type of therapy applied, attached accessories, and other necessary data.
If several accessories are attached to your unit at the same time, you can easily recognize the accessory required for a
specific treatment. Select a treatment on the display (electrotherapy, ultrasound, laser or magnet), and the control light
on the corresponding accessory (electrotherapy cable, ultrasound probe, laser probe / cluster or magnet disc / double
disc / linear or solenoid applicator) will switch on to indicate that this accessory should be used.
Save your time by using the pre-programming of the BTL-5000 units. Based on detailed research and practical use of
the units, the well-organized pre-programmed protocols will give you recommendations for treating various conditions.
The unit also includes up to 500 free lots to define your own protocols. Moreover, you can recall the last 20 treatments.
Add the names of your patients and other relevant information into the unit's internal memory and connect the patient
data with pre-programmed or your own protocols. When your patients call again simply recall their name and apply the
pre-set therapy.
With every BTL unit, you can purchase a cart specially designed for BTL products. Its versatile design allows you to
conveniently store and use 1 or 2 physiotherapy units and a vacuum unit. The cart includes a range of accessory trays
and baskets. Four well-built and steady castors ensure easy movement of the unit in the office or in hospital
Please visit our corporate website at http://www.btlnet.com for the latest information on BTL products and services.
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10
11
9
12
8
13
7
14
16 15
17
18
1-6 line outputs for patient cables on the rear panel, see 2.2 Rear View
7 ON/OFF power switch (ON status indicated by the blue backlight)
8 diag button to select diagnosis
9 prog button to select program number
10 touch screen
11 man button to set therapy parameters manually
12 menu button to set date, time, language, display contrast, sounds, user options, etc.
13 user button to work with lists of patients, user diagnoses, programs and sequences, recent therapies and
other functions
14 select knob to select individual parameters
15 enter button to confirm selection or setting
16 esc button to cancel selection or setting and return to the original setting
17 time / stop knob to set therapy time, and to start and stop therapy
18 intensity knob to set intensity
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Inspect the box for damage and report any damage to carrier and your distributor. Do not proceed with installation and
assembly if box is damaged.
Unpack the equipment and place it on a stable horizontal surface suitable for the equipment's weight. Always position
the unit out of direct sunlight as this may make the touch screen difficult to read. Always position the unit away from
direct heat sources such as radiator or room heater. Cooling of the equipment is provided for by forced air circulation.
Cooling vents are located on the rear panel and at the bottom of the equipment and must not be covered. Do not
position the equipment on a soft surface which may obstruct air flow to the bottom cooling vents. Do not put any heat-
producing devices or objects containing water or other liquid on the equipment. Do not place the equipment close to
devices producing strong electromagnetic, electric or magnetic field (diathermy, X-rays, etc.), as equipment electronics
could be undesirably influenced. In case of questions please call your distributor or service agent.
PLUG THE DEVICE DIRECTLY IN THE MAINS SOCKET. DO NOT USE ANY MULTI-CONNECTION EXTENSION
CABLE OR ADAPTER.
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Connection of accessories:
Connect the accessories to the output connectors (1) - (6) on the rear panel according this way:
The cable connector put in and secure the fluted ring by pressing and turning in the clockwise. ATTENTION AT THE
CONNECTOR DISCONNECTING, first of all it is necessary to take by the fingers the fluted ring NO WHOLE connector.
TURN BY THE FLUTED RING IN THE ANTICLOCKWISE and then after releasing of the ring disconnect the connector
by the pulling, fluted ring still hold in the fingers!
ATTENTION!!! DO NOT TURN THE WHOLE CONNECTOR BY THE FORCE, THE DEVICE CAN BE DAMAGED.
The configuration of output connectors (1) to (6) see into the Tab. 2.1.
The unit will automatically detect their type and display them on the screen. If the wrong device is connected, the
equipment will not operate and the screen will display a warning and a help where to connect which accessory.
Note:
After switching on, the unit tests for about 10 - 15 sec all internal functions. If any fault exists the screen will display a
warning. If any fault exists that compromises patient safety, the system will 'lock' itself into secure mode. If this
situation occurs, please call your local distributor for service advice.
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Notes:
E1 connector for connection of electrotherapy accessories (BTL-236-1, BTL vac) to E1 generator
E2 connector for connection of electrotherapy accessories (BTL-236-1, BTL vac) to E2 generator
E3 connector for connection of electrotherapy accessories (BTL-236-1, BTL vac) to E3 generator
E1A, E1B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E1 generator
(adapter)
E2A, E2B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E2 generator
(adapter)
E3A, E3B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E3 generator
(adapter)
E1A or E1B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E1 double
generator
E2A or E2B connector for connection of electrotherapy accessories (BTL-236-2, BTL vac) to E2 double
generator
E input connector for electrotherapy input on the ultrasound unit for combined therapy
E output connector for electrotherapy output on the ultrasound unit for combined therapy
L1A, L1B connector for connection of laser probe/cluster BTL-448/BTL-445 to L1 generator
L2A, L2B connector for connection of laser probe/cluster BTL-448/BTL-445 to L2 generator
L1 connector for connection of laser probe/cluster BTL-448/BTL-445 to L1 generator
2
U1A, U1B connector for connection of ultrasound head BTL-237 (e.g. 1 cm ) to U1 generator
U2A, U2B connector for connection of ultrasound head BTL-237 (e.g. 1 cm2) to U2 generator
Door connector for sensor of open door
Acup connector for acupuncture electrode
M1 connector for connection of magnetotherapy applicators (BTL-239) to M1 generator
M2; connector for connection of magnetotherapy applicators (BTL-239) to M2 generator
M3 connector for connection of magnetotherapy applicators (BTL-239) to M3 generator
M4 connector for connection of magnetotherapy applicators (BTL-239) to M4 generator
M1A master (primary) connector for connection of magnetotherapy applicators (BTL-239)
M1B slave (secondary) connector for connection of magnetotherapy applicators (BTL-239)
How many patients and to which outputs you can simultaneously connect can be seen on the display after pressing the
menu button in menu / accessories / connectors information.
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The touch screen may be operated by finger touch or use of special soft tip stylus that is supplied with the unit. DO
NOT TOUCH THE SCREEN WITH ANY SHARP OBJECT OR PEN, AS THIS MAY CAUSE PERMANENT DAMAGE.
Selected channel:
Although most of the configurations allow running of several therapies at a time, only one channel can be controlled at
once. The tab of this selected channel is shaded light. All information on the screen and all controls relate to this
channel. The most important information about the therapies on the other channels is visible on their tabs.
Name of screen for the selected channel
Information
Indication of
connected accessory
3D buttons
(for therapy on the selected
Channel marking: channel)
E electrotherapy
1 number of E
generator
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enter
Set numerical values of the parameter that has been selected - white button on the picture above. Enter the value and
press enter (15) to return to original screen. Press esc (16) to exit the screen. If you set the value that exceeds the
allowed value range (allowed value range is stated on top of the screen), or if the unit cannot set the required value, the
value will be rounded as close as possible to the allowed value.
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WELCOME SCREEN
esc
esc
diag prog man menu user
select
select
man
SETTING OF MOST
IMPORTANT
THERAPY
PARAMETERS
RUNNING
THERAPY
SCREEN
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If more accessories are connected to one generator (e.g. two ultrasound heads connected to a single ultrasound
generator), pressing the channel tab of the generator will switch between accessories.
Tab of selected channel E2 with the possibility to apply HVT therapy and with electrotherapy accessory
BTL-236-1 with two electrodes
Tab of channel E1 with electrotherapy accessory BTL-236-1 and possibility to apply combined therapy
Tab of channel E2 with electrotherapy accessory BTL-236-1 and possibility to apply combined and HVT
therapies
Tab of selected generator U1 with connected ultrasound heads. Press the tab to
switch between the 1cm2 and 4cm2 heads.
Tab of selected generator L1 with connected laser probes. Press the tab to switch
between the 685nm and 830nm probes.
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To find a therapy protocol fast, press the button with the starting letter of the protocol required. The selected letter
depends on how many times the button is pressed. For example, after pressing the MNOP button once, there are listed
protocols starting with the first letter, M. Pressing MNOP twice = N, three times = O and four times = P. The currently
selected letter is displayed in the box to the left of the buttons.
To select the found required diagnosis press the enter button (15). If the protocol has more therapies they are listed
after selecting the protocol.
select select
enter
select
See chapter:
2.5.6 Therapy Parameters Screen Ergonomic, Standard
and Expert Mode
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Your own protocols can be easily recognized by the card icon in front of the name of the protocol.
Combined therapies E+U are listed among E programs and can be found on the electrotherapy tab with the symbol of
ultrasound head (see Chapter Welcome Screen and Selection of Channels, Tabs and Accessories). They are on
the positions E-35xx - E-39xx.
Your own therapy protocols (except sequences) can be saved under the following numbers: E-80xx - E-89xx for
electrotherapy, U-80xx - U-89xx for ultrasound therapies, L-80xx - L-89xx for laser therapies and M-80xx - M-89xx for
magnetotherapy.
Your own sequences are saved under the following numbers: E-95xx - E-99xx for electrotherapy, U-95xx - U-99xx for
ultrasound therapies, L-95xx - L-99xx for laser therapies and M-95xx - M-99xx for magnetotherapy.
select select
enter
See
Therapy Parameters Screen Ergonomic, Standard and Expert
Mode
For fast program number selection, use numerical keyboard. See chapter 2.4.2 Numerical Keyboard for details.
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Press individual 3D buttons to open menus and setting screens. The majority of screens are accompanied by
illustrating pictures and symbols. See the example below:
select
enter
enter select
time / stop
START TERAPY enter
enter
select
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This screen opens after pressing the diag (8) or prog (9) button (see 2.5.1 Therapy Flow Chart) before the start of
therapy. The screen shows either the most important therapy parameters (you have selected the ergonomic mode) or
all information about therapy (you have selected expert or standard mode). In addition, in expert mode you can modify
all parameters.
Set the operation mode via the menu (12) button - refer to Chapter 3.2.8 Operation Mode for details. For a fast switch
to expert mode from any other operation mode, press man (11) button.
select
time/stop
enter
Electrotherapy: Intensity is set during therapy and can only be adjusted by turning the intensity (18) knob.
For faster intensity setting, keep the intensity (18) knob pressed down while turning it.
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Resuming of
Starting therapy interrupted therapy
time / stop time / stop
Therapy Running therapy Interrupted
parameters screen screen therapy screen
Interrupted therapy can be resumed by pressing the time / stop (17) knob or stopped by pressing the esc (16) button.
During therapy interruption, you can adjust the time (except for laser therapies and all types of sequences) by the time /
stop (17) button.
During electrotherapy, you can adjust the intensity during therapy by turning the intensity (18) knob to the right (to
increase intensity) or to the left (to decrease intensity). For faster intensity setting, keep the intensity (18) knob pressed
down while turning it left or right.
intensity
Direction of
increase of intensity
Laser therapy can also be started / interrupted by the start / stop button on the laser probe.
START / STOP
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Therapy description
Intensity
Indication of sound
control (on/off)
If the intensity on one of the channels is set to zero, the therapy is terminated.
Note:
Devices with 4-pole electrotherapy generator cannot be connected with HVT module and they do not allow starting the
therapy with microcurrents.
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select
When rotating dipole, the unit automatically switches to diagnostic mode (Spectrum value = 0Hz). After 1 or 2 seconds
the unit returns to therapeutic mode (Spectrum value = preset value).
BTL-236-1: patient cable with two electrodes. Blue pilot light signals:
Slow blinking accessories prepared for therapy, therapy settings screen displayed
Continuous light therapy in process, possible dangerous voltage on electrodes
BTL-236-2: patient cable with four electrodes. Blue pilot light signals:
Slow blinking accessories prepared for therapy, therapy settings screen displayed; pilot light blinks
on a pair of selected electrodes
Blinking in rhythm of generated currents or continuous light therapy in process, possible
dangerous voltage on electrodes with pilot light blinking
BTL-448: laser probes: red and infrared green pilot light and focusing beam:
Blinking in rhythm of generated laser or continuous light laser irradiation (also indicated by
acoustic signal)
For detailed information, please refer to the leaflet enclosed with each accessory supplied.
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BTL-239-8: solenoid 70 cm magnetic applicator with couch blue pilot light signals:
Slow blinking - accessories prepared for therapy, therapy settings screen displayed.
Continuous light or blink in therapy rhythm therapy in process.
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2.6.5.1 Electrotherapy
Presence of electrotherapy voltage on output is indicated:
on the screen by value of intensity of output current
on the screen by showing the remaining time till the end of
therapy
on the screen by icon of running electrotherapy current
on the channel tab by value of intensity and time
on the electrotherapy accessory BTL-236 by blue pilot light
Insufficient contact between the ultrasound head and the tissue is indicated by
rapid blinking of the blue light ring on the head and blinking of the
information on intensity and time on the channel tab of the corresponding ultrasound generator.
This function is indicated by a figure symbol on the screen.
Acoustic indication is signalled by a symbol of bell. (If the function is disabled, the bell is crossed-out.)
2.6.5.4 Magnetotherapy
Presence of magnetotherapy field on output is indicated:
on the screen by value of intensity of output mag. field
on the screen by counting down the remaining time till the end of therapy
on the screen by icon of running magnetic field
on the channel tab by value of intensity and remaining time
on the magnetic applicator BTL-239 by blue pilot light
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Therapy parameters are variable. Only the parameters are displayed that characterize the therapy and that can be set
in manual mode by pressing the man button. For detailed description of parameters for individual therapies refer to
the Users Guide.
2.8 ENCYCLOPAEDIA
The encyclopaedia provides information about individual therapies, examples of electrode placement and application
areas for ultrasound and laser. Each unit is supplied with a hard copy of encyclopaedia. Its electronic format is included
in the unit, and is available from most screens and menus.
Note: Treatment protocols and related information is only a guide and is not intended as a replacement for good clinical
judgment and experience!
Opening the encyclopaedia after selection of a treatment protocol will give you information about the selected protocol.
Otherwise, you will enter the encyclopaedia contents move between the diagnoses using the select (14) button.
Select a diagnosis and press the enter (15) button to get required information:
select
Moving between
information if not on one
screen
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Pressing the save button allows you to make several choices. Simply complete the form by entering the required data
filed as shown on the screens below.
* output intensity can be entered into a comment (e.g. at threshold motor level)
The unit suggests the lowest available number (from the range of 8000-8999) and adds the letter of the corresponding
generator (E for electrotherapy and combined therapies, U for ultrasound therapies, L for laser therapies and M for
magnetotherapy).
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select
enter
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The electrotherapy unit has its outputs connected with the vacuum unit. Both vacuum and flat electrodes are attached
to the vacuum unit. Each channel on the vacuum unit has a switch. When the switch is on, current is brought to the
vacuum electrodes. When the switch is off, current is brought to the standard electrodes.
BTL-5000
Puls (Combi)
BTL vac
(the pictures serve only as an illustration, for actual interconnection follow the table Tab. 2.1 Configuration of output
connectors)
For interconnection, use the interface cables leading from BTL-5000 Puls outputs E1 and E2 and connected to BTL
vac inputs IN1 and IN2. See the BTL vac manual for details.
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To apply electrotherapy only with interconnected units, cancel the choice interconnection with electrotherapy on
the BTL-5000 Sono screen. The electrotherapy electrodes are automatically connected to the electrotherapy output.
BTL-5000 BTL-5000
Puls Sono
BTL vac
(the pictures serve only as an illustration, for actual interconnection follow the table below and the table Tab. 2.1
Configuration of output connectors)
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After checking for correct interconnection of the electrotherapy and ultrasound units, select a diagnosis or program that
utilizes combined therapy. Select these separately on the electrotherapy and on the ultrasound units. Set the
electrotherapy unit to CV mode. Then attach the respective electrode to the patient to close the electric circuit
ultrasound head-patient-electrode (see the above diagrams). It is now possible to run the ultrasound by the time / stop
button. Position the ultrasound head in contact with tissue and notice that the timer commences counting down. Slowly
increase intensity on the electrotherapy by turning the intensity button to the right in the "+" direction. Combined
therapy is now running. If the contact between the ultrasound head and the treated tissue during the therapy was not
continuous, the times shown on both devices can differ, because timer countdown on the ultrasound device does not
run when contact is interrupted.
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3 MENU BUTTON
Press the menu (12) button and scroll through the following options:
accessories
encyclopaedia see Chapter 2.8 Encyclopaedia
special settings
3.1 ACCESSORIES
Select:
installation of accessories and
information about connected accessories
information about the number of patients and connection of connectors on the rear panel of the device
This will help decrease electromagnetic interference that could cause improper reading of memory data.
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If the unit includes a laser generator - BTL-5000 Laser, BTL-58xx L, BTL-58xx xL, you cannot disable the password
code (in compliance with the applicable standards). In this case a four-digit code is factory-set to 0000.
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Press ESC to stop calibration. To verify touch screen adjustments, use the "TOUCH PANEL FUNCTION TEST".
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4.1 PATIENTS
Insert, edit, or delete a patients name. The patient can be assigned a particular therapy. If your stimulator is equipped
with electrodiagnostics, you can assign to the patient a measured I/t curve, accommodation coefficient, and rheobasis
and chronaxie values.
Patient card
select
enter
Start of therapy
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This article 4.2 User sequences is valid for electrotherapy, ultrasound therapy and laser therapy generator.
User sequences serves to work with the list of self-designed sequences of therapy programs. The selected sequence
can be run, edited, and deleted from this menu.
If the option pause between sections is set, the unit stops generation after each current and the intensity of the next
current has to be set manually. In this case, there is no limitation and the user can select and combine any current in
one sequence. We suggest to set this option for electrotherapy sequences.
If the pause between sections is not set, the unit generates the same intensity for all currents. Be careful when setting
sequences. Each current is felt differently by the patient. Whereas in case of TENS the patient tolerates intensity of
about 100 mA, the maximum tolerated intensity in case of DD currents is 10 times lower. Combine in one sequence
only currents that are perceived by the patient in a similar way such as currents with the same pulse length and with
maximum difference in frequency 1:10. Monophasic, symmetric and alternating currents should not be mutually
combined.
The following combinations are recommended if the pause between sections is not set:
diadynamic currents
monophasic pulses of the same length with DC component (differing in frequency or modulation)
symmetric pulses of the same length with zero DC component (differing in frequency or modulation)
alternating pulses of the same length with zero DC component (differing in frequency or modulation)
mid-frequency bipolar currents (differing in frequency or modulation)
interferences
TENS (differing in frequency or modulation)
ultrasound therapies
laser therapies
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Open the therapy parameters screen. In the manual mode select therapy / sequence (or ultrasound sequence or
laser sequence). Creation of a new sequence is displayed in the following diagram:
select
Pressing enter will confirm the sequence and exit to the therapy
parameters screen. Here you can press the print/save button to
select the way of saving and parameters and to save the
sequence (see 4.2.2 Saving New Sequence).
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Each program includes basic current parameters such as frequency, pulse length, modulation etc.. For more
information, please refer to Chapter 2.9.1 Save Therapy. Set all data in the manual setting screen and save them as a
user-designed program (diagnosis). Insert the program in the sequence. Set the length of time of the section when
inserting the program in the sequence (except laser, where the time of section depends on the currently connected
laser probe). Obviously, the factory-preset programs can also be inserted in the sequences. In the section only the
polarity can be set (for electrotherapy sequence). The other parameters must be specified and saved in the inserted
program.
Example: you want to create a sequence of diadynamic DF current (without base, positive polarity, CC mode, time of
stimulation: 1 minute) and CP-ISO current (base 10%, reversal of polarity in the middle of the set time, CC mode, 10
minutes). Press man to select the manual mode, set diadynamic currents, DF type, without base, positive polarity, CC
mode. Save this setting as (for example) program E-8001. Then set the parameters of the CP-ISO current: base 10%,
positive, reversal, CC mode, and save it as (for example) program E-8002. Select therapy and press new sequence
then press new, set the program number 8001, set the time of section 1:00, positive polarity, and press enter. Then
add the second section in the same way new, program number 8002, time of section 10:00, positive polarity with
reversal, and press enter. Then press enter again to return to the manual settings screen, press print/save and save
the sequence (for example as number 9501). The cv/cc mode is set globally for the whole sequence before starting it.
User-made sequences are saved under numbers 9500 - 9999. They can be found in the list of programs, in the list of
diagnoses or in the list of sequences.
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Use this feature to run user designed therapies and edit and delete their parameters, names and therapy comments. It
is very similar to the creation of a new diagnosis / program see Therapy Saving 2.9. On each channel tab, you can
see only those therapies that were created on this tab. An icon before the name of the therapy will tell you which type of
generator the therapy has been designed for.
Allows the user to select a recent therapy on the selected tab, run it again after pressing the load button or view its
parameters.
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5 ACCESSORIES
The equipment is not designed for use in connection with other medical devices except those stated in this manual.
Following is a list of accessories that can be supplied with the units, both standard and optional. For detailed
information on individual accessories see the enclosed leaflet and/or the user's manual.
mains cable
spare fuse
touch-pen
users manual
markers for output cables
cart
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Safe operation of any item of medical equipment requires close attention to detail. Please check the following on a
regular basis:
Power cord and plug: Check for frays and kinks. Ensure that the insulation is not damaged in any way.
Ultrasound head surface: Gel should always be thoroughly cleaned from the surface of the head. Always maintain this
surface in as clean a condition as possible. Do not use any abrasive products for cleaning this surface as they could
damage this delicate accessory.
Wires, cables and electrodes: Check for frays, cuts or tears in the insulation. Always route electrical cords and cables
away from user or patient foot traffic areas where they could increase the chance of a tripping-related accident.
Check the unit before each use to determine that all controls function normally.
Cleaning
To keep the device clean, do not store or use it in dusty environment and do not spill any liquid on the surface. To
clean, turn the equipment off and unplug the power supply. Clean the unit with a damp cloth. Do not use abrasive
materials. Do not use agents containing alcohol, ammonia, benzine, thinners. Clean the accessories that come into
contact with the patient after each treatment. Use appropriate agents. No part of the equipment needs to be aseptic or
sterilized.
Laser probes/clusters: Keep the lens clean. After each application wipe the head of the probe by a cotton cloth
(divergent probes). Unscrew the head, wipe the lens and blow compressed air through the head (convergent probes).
In laser clusters wipe the laser aperture with a cotton cloth so as to keep the protective glass clean.
Laser optical attachments: Can be sterilized for 20 minutes at the temperature of 180C.
Fuse replacement
The fuse is located in the round black box (24) on the rear panel. Make sure the mains switch (21) is in the "0 position.
Unplug the power cord from the mains and from the equipment. Turn the segment of the fuse case to the left by a fitting
screwdriver or coin in the slot. Remove the fuse. Insert a new fuse of the same rating and turn the box to the right.
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6.1 SAFETY
ATTENTION!
The consumed current or voltage of the connectors marked by this label can exceed the safety values.
ATTENTION!
This system has no user-serviceable parts or assemblies. Do not remove the instrument covers under any
circumstances. Call your distributor for advice about any malfunction.
The device is equipped with a protection system that prevents connection of other accessories than supplied
from the manufacturer.
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When applying DC currents (the polarity button is active) pay extra attention to the set intensity and time of
application. Improper values can cause skin burning.
The maximum safety effective value of current density on the electrodes is 2 mA/cm2 (according to IEC 601-2-10)
2
and can be extended only when electrodes smaller than 70 cm are used. In this case pay extra attention to
application of currents! Improper values can cause skin burning.
Application of electrodes in the area of the thorax may increase the risk of cardiac fibrillation.
Simultaneous connection of the patient to a high-frequency surgical device may cause burning in the place of the
electrodes and possible damage to the electrotherapy device.
Simultaneous connection of the patient to an ECG monitor or ECG alarm system can lead to temporary improper
functioning of the systems.
Operation of the equipment close to (within 1m) a short-wave or micro-wave therapeutic device may cause
instability of the equipment's output..
All supplied electrodes can be used for maximum intensities of currents and voltage as enabled by the equipment
Always take great care when handling the ultrasound head since it contains delicate components that may be
damaged by dropping or impact with furniture or the hard surfaces. Do not bend the mains cable.
During therapy hold the sound head so that you do not touch its metallic parts.
For therapy use only the BTL ultrasound gel; the head is not tested for other gels or oils and use of them could
damage the head. If you still want to use other gels, we recommend them to be only water-based gels.
Mark the laser workplace by respective warning labels as required by law. Activate the door sensor function.
Equip the laser workplace by working rules in accordance with your national standards.
The therapy duration must not exceed 15 min. in case the laser probe/cluster of 200mW output and higher is
used, and provided the laser output is set to over 150mW.
The use of product out of accord with the recommended settings can cause dangerous exposition to radiation.
The equipment works with the 3B class laser beam. Prevent the laser beam from hitting eyes, thyroid and other
endocrine glands, head, etc. Both the therapist and the patient must wear protective glasses during therapy.
Follow all instructions in this manual. Incorrect use of the equipment may cause dangerous radiation and damage
to the eyes!
Do not disconnect the probe/cluster from the equipment and do not switch the equipment off during radiation!
Protect laser probes/clusters from shocks! The probe/cluster is not water-proof.
Protect yourself and people around from direct hit by the laser beam.
Never use damaged applicators. Electrical shock to personnel or patient may be caused.
Attending personnel should keep out from the patient applicator side when applicator is in use. Relevant channel
should be switched off during necessary manipulation.
Watches, electronic devices and magnetic recording carriers can be damaged when exposed closely to
applicators and cables.
Do not connect anything else into connectors there is a danger of injury by electric shock and / or serious
damage to instrument.
Instrument must not be used in presence of pregnant women!
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6.3 WARRANTY
The Manufacturer of this product warrants the product to be free from defects in workmanship and material for a period
of twelve months after the date of shipment from the factory. This warranty excludes any disposable items and
accessories, including, but not limited to cables or leads, power cords and electrodes. The manufacturer agrees to
correct such defects without charge, or at its option to replace the item with a comparable model. To register and be
eligible for warranty service, you must send or fax the fully completed warranty registration form within 30 days of
installation. All costs of shipment are the responsibility of the purchaser. Damage to any part such as by accident or
misuse or improper installation or by use of any accessories or abrasive material not produced by the Manufacturer is
not covered by this warranty. Because of varying climatic conditions, this warranty does not cover any changes in finish,
including rusting, pitting, corrosion, tarnishing or peeling. Servicing performed by unauthorized persons render this
warranty invalid. There is no other express warranty. The Manufacturer hereby disclaims any and all warranties,
including but not limited to, those of merchantability and fitness for a particular purpose to the extent permitted by law.
The duration of any implied warranty which cannot be disclaimed is limited to the time period as specified in the express
warranty. The Manufacturer shall not be liable for incidental, consequential, or special damages arising out of, or in
connection with product use or performance except as may be otherwise accorded by law.
This warranty may differ from the warranty terms and conditions provided by your supplier and by applicable laws in
your country.
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6.4 CONTRAINDICATIONS
The list of contraindications gives the cases when the manufacturer does not recommend to apply the selected therapy.
If a specialised medical workplace decides to apply the therapy in spite of it, they bear all the responsibility for this
action.
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7 TECHNICAL PARAMETERS
Operating conditions
Ambient temperature + 10 C to + 40 C
Relative humidity 30 % to 75 %
Atmospheric pressure 700 hPa to 1060 hPa
Position vertical on legs
Type of operation continuous
Power supply
Input max. 80 VA
Voltage ~ 99 V - 126 V (115 V nominal), alternately
~ 198 V to 252 V (230 V nominal), alternately
Frequency 50 Hz - 60 Hz
Equipment protection class II (according to IEC 536)
External exchangeable fuse T1.6A / 250V, tube fuse 5 x 20 mm, according to IEC 127-2
Mains switch according to IEC 601-1 on the rear side of the equipment, positions 0 and I
Power switch on the front panel, labelled on off
Design
Weight device only max. 5 kg
Weight including packing and max. 8 kg
accessories
3
Dimensions (l x h x w) 230 x 390 x 260 mm , ( 9.1 x 15.4 x 10.2 )
Dimensions when packed (l x h x w) 480 x 500 x 400 mm3, (18.9 x 19.7 x 15.8)
Covering grade according to EN 60 529 IP 20
Display unit
Display LCD b/w 320x240 ( VGA), diag. 14.5 cm (5.7)
LCD colour 640x480 (VGA), diag. 21.3 cm (8.4)
Classification
Applied part type BF
Class according to MDD 93/42/EEC IIb
Time of therapy
For electro and laser therapies 0 to 100 minutes
For ultrasound therapies 0 to 30 minutes
For magnetotherapies 0 to 100 minutes
Step of setting 1 second
Accuracy of therapy time 2 % from the pre-set value
Accuracy of timer 5 second per day
Adjustable values
Output current* max. 140 mA (maximum instantaneous value)
Output current - HVT* max. 4 A (maximum instantaneous value)
Output current - microcurrents max. 999 A (maximum instantaneous value)
Output voltage max. 130 V (maximum instantaneous value)
Output voltage - HVT max. 390 V (maximum instantaneous value)
*maximum value for some currents is limited according to IEC 601-2-10
Tolerance of output amplitude 10 % for 5 mA (5 V, 5 A) and higher; otherwise 30 %
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Adjustable values
Effective intensity
Continuous operation 0.1 to 2 W/cm2 20 % for output intensity higher than 0.2W/cm2
2 2
Pulse operation 0.1 to 3 W/cm 20 % for output intensity higher than 0.2W/cm
Working frequency 1 MHz 5 % and 3.2 MHz 5 %
Modulation frequency 10 to 150 Hz 5 %
Duty factor 6 to 100 % 5 % of the set value
Duty factor default 6.25 % (1:16); 12.5 % (1:8); 25 % (1:4); 50 % (1:2), 100% (1:1) 5 %
of the set value
Maximum output power 12W
Parameters of pulses
Duty Frequency 10 Hz Frequency 50 Hz Frequency 100Hz Frequency 150 Hz
factor period 100 ms period 20 ms period 10 ms period 6.67 ms
Pulse Pause Pulse Pause Pulse Pause Pulse Pause
length length length length length length length length
50 % 50 ms 50 ms 10 ms 10 ms 5 ms 5 ms 3.33 ms 3.33 ms
25% 25 ms 75 ms 5 ms 15 ms 2.5 ms 7.5 ms 1.67 ms 5 ms
10% 10 ms 90 ms 2 ms 18 ms 1 ms 9 ms 0.67 ms 6 ms
6% 6 ms 94 ms 1.2 ms 18.8 ms 0.6 ms 9.4 ms 0.40 ms 6.27 ms
Indication of emission of laser radiation green pilot light on the probe, supplementary lighting of the
probe/cluster, sound
Indication of readiness for emission on the screen
Indication of unreadiness for emission on the screen
Additional safety means - warning labels on the device case and on the probe/cluster
- warning label for the entrance door of the workplace
- connector of the remote control
Adjustable values
Frequency*** 0 10000 Hz with laser probe BTL-448
0 500 Hz with laser cluster BTL-445
accuracy of frequency 3 % of the stated value
2
Dose* 0.1 100.0 J/cm
accuracy of dose 20% (according to IEC 60601-2-22)
Area* 0.1 100.0 cm2
accuracy of area see BNR
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Adjustable values
Magnetic field max. 128 mT / 1280 Gauss* (max. value on the surface of applicator)
Mode of magnetic field pulses / series of pulses / continuous
Shape of magnetic pulses rectangular, rectangular protracted, exponential, triangular, sinusoidal
Pulse frequency 0 166 Hz
Modulation none, burst, sine / trapezoid / symmetric surge
Random frequency yes / no
Accuracy:
amplitude of magnetic field 30%
time parameters 10%
*) The stated value is maximum for disk applicator. The actual value depends on the type of the connected applicator and on the
settings of the device.
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Type: BTL-448-40IC
Output power: 400 mW 20 %
Wavelength: 830 nm
Class*: 3B
Beam: collimated
Aperture: 4.4 mm
BNR: 0.015 rad 0.005 rad
NOHD**: 19.2 m
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BTL-5000 Puls can be interconnected with: BTL vac, BTL-5000 Sono, BTL-12, BTL-07p, BTL-4000 Sono
BTL-5000 Combi can be interconnected with: BTL vac, BTL-12
BTL-5000 Sono can be interconnected with: BTL-5000 Puls, BTL-4000 Puls
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7.11 MANUFACTURER
This product is manufactured in accordance with the EU Medical Devices Directive by:
E-mail: [email protected]
http://www.btlnet.com
All rights reserved. No part of this manual may be reproduced, saved in a research centre or transferred by any means incl.
electronic, mechanic, photographic or other records without previous approval from BTL Industries Limited
BTL Industries Limited operates a policy of continuous development. Therefore, it reserves the right to make changes and
improvements to the Product described in this manual without prior notice.
The contents of this document is provided "as is". Except as required by applicable law, no warranties of any kind, either expressed or
implied, are made in relation to the accuracy, reliability or contents of this document. BTL Industries Limited reserves the right to revise
this document or withdraw it at any time without prior notice.
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8 UNITS CONFIGURATIONS
Devices of types 5815 and 5821 have similar properties as 5810, but have some additional types of currents.
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5820SL / 5825SL / 5820L / 5825L / 5830L / 5835L / 5840S / 5840SL / 5840L / 5860L /
Type:
5820SLC 5825SL 5820LC 5825LC 5830LC 5835LC 5840SC 5840SLC 5840LC 5860LC
Number of therapies 4 4 3 3 4 4 5 6 5 7
Electrotherapy 2 2 2 2 3 3 4 4 4 6
Ultrasound therapy 1 1 1 1
Laser therapy 1 1 1 1 1 1 1 1 1
Patient cardfile (positions) min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 /
min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500
User programs min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 / min. 150 /
min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500 min. 500
User sequences min. 50 / min. 50 / min. 50 / min. 50 / min. 50 / min. 50 / min. 50 / min. 50 / min. 50 / min. 50 /
min. 150 min. 150 min. 150 min. 150 min. 150 min. 150 min. 150 min. 150 min. 150 min. 150
Step of setting of values fine fine fine fine fine fine fine fine fine fine
Encyclopaedia x x x x x x x x x x
Preset diagnoses 487 508 413 421 465 483 221 510 423 485
Preset programs 628 671 552 582 610 712 387 673 584 714
Preset sequences
Programs 8902 10262 8739 10073 11685 14051 9641 10266 10077 14055
Language versions x x x x x x x x x x
Sound schemes x x x x x x x x x x
Display, diagonal b/w b/w b/w b/w b/w b/w b/w b/w b/w b/w
14.6 cm / 14.6 cm / 14.6 cm / 14.6 cm / 14.6 cm / 14.6 cm / 14.6 cm / 14.6 cm / 14.6 cm / 14.6 cm /
colour colour colour colour colour colour colour colour colour colour
21.3 cm 21.3 cm 21.3 cm 21.3 cm 21.3 cm 21.3 cm 21.3 cm 21.3 cm 21.3 cm 21.3 cm
Screen saver x x x x x x x x x x
Colour schemes -/x -/x -/x -/x -/x -/x -/x -/x -/x -/x
Recent performed therapies 20 20 20 20 20 20 20 20 20 20
Electro parameters:
Channel mode CC / CV CC / CV CC / CV CC / CV CC / CV CC / CV CC / CV CC / CV CC / CV CC / CV
Galvanic, Iontophoresis x x x x x x x x x x
Trbert, Farad, Neofarad x x x x x x x x x x
Diadynamics x x x x x x x x x x
TENS x x x x x x x x x x
Rectangular pulses x x x x x x x x x x
Triangular pulses x x x x x x x x x x
Exponential pulses x x x x x x x x x x
Combined pulses x x x x x x x x x x
Interrupted pulses x x x x x x x
Pulse modulation: x x x x x x x x x x
random frequency sweep x x x x x x x x x x
burst, surges x x x x x x x x x x
Stimulation pulses x x x x x x x x x x
Russian stimulation x x x x x x x x x x
2-pole interference x x x x x x x x x x
4-pole interference x x x x x x x x x x
Isoplanar field (interference) x x x x x x x
Vector field (interference) x x x x x x x
Electrodiagnostics: x x x x x x x
I/t curve (memory position) min. 50 min. 50 min. 50 min. 50 min. 50 min. 50 min. 50
HVT optional
H waves x x x x x x x
Spastic currents x x x x
Microcurrents x x x x x x x
Leduc's current x x x x x x x
Mid-frequency surges x x x x
Ultrasound parameters:
Head of 4 cm2, 1 and 3 MHz x x x x
Head of 1 cm2, 1 and 3 MHz optional optional optional optional
Detection of contact cont. cont. cont. cont.
Continuous operation mode x x x x
Pulse operation mode x x x x
Duty factor x x x x
Laser parameters:
Max. laser output, 685 nm 50 mW 50 mW 50 mW 50 mW 50 mW 50 mW 50 mW 50 mW 50 mW
Max. laser output, 830 nm 400 mW 400 mW 400 mW 400 mW 400 mW 400 mW 400 mW 400 mW 400 mW
Continuous operation mode x x x x x x x x x
Pulse operation mode x x x x x x x x x
Duty factor x x x x x x x x x
Nogier frequencies x x x x x x x x x
EAV frequencies x x x x x x x x x
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Devices of types 5615 and 5621 have similar properties as 5610, but have some additional types of currents.
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