NeuroTrac Sports Operation Manual Aug 2011

NeuroTrac™ Sports Operation Manual

Warnings * * * * * *

* * * * *

*

*

This unit must be used with the guidance of a Physiotherapist or Doctor. Type BF equipment, Continuous Operation. Do not insert lead wires into a mains power supply. Do not immerse unit into water or any other substance. Do not use the NeuroTrac™ Sports unit in the presence of a flammable anaesthetic gas mixture and air or with Oxygen or Nitrous Oxide. If using rechargeable 9 Volt PP3 Nickel Metal Hydride batteries, be sure to use a CE approved battery charger. Never connect the NeuroTrac ™ Sports directly to a battery charger or to any other mains powered equipment. We advise not to use Ni-Cad rechargeable batteries. Patient Electrodes are for single patient use only. Keep out of reach of children. Do not use this stimulator on your facial area unless you are under strict guidance from a qualified Clinician. Application of electrodes near the thorax may increase the risk of cardiac fibrillation. Operation in close proximity (e.g. 1m) to a shortwave or microwave therapy equipment may produce instability in the stimulator output. Simultaneous connection of a patient to a high frequency surgical equipment may result in burns at the site of the stimulator electrodes and possible damage to the stimulator. No modification of this equipment is allowed!

Symbols on the rear cabinet of NeuroTrac™ Sports explained: Caution (output)

Type BF Equipment

Follow instructions for use

Do not dispose in normal dustbin (see page 18 for the disposal instructions)

Revised Issue Date: 09/08/2011 Document Number: VM-ECS401-OM002-13 2

NeuroTrac™ Sports Operation Manual

Contents Contents

Page

Warnings What is STIM? Contra Indications & Precautions Description of STIM Unit & Functions Quick Start Instructions Setting up the Customised Programme PC1, PC2 or PC3 Sports Treatment Programmes Electrode Types & Tips Care, Maintenance, Accessories and Disposal Applications Specifications Information regarding Electromagnetic compatibility and interference (EMC) Warranty Clinical References

2 4 5 6 7 8 9 17 18 19 20

3

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NeuroTrac™ Sports Operation Manual

What is STIM? Neuromuscular Stimulation has been used for many years to stimulate muscle and nerve fibres to treat a number of muscle and nerve related conditions. Over the last 30 years numerous clinical trials and papers have been written. The NeuroTrac™ Sports is one of a new breed of modern Neuromuscular Stimulators which Verity Medical have developed with the Therapist and Patient in mind. Our principle aim is to design products that have high levels of functional use, are sensibly priced, compact and user friendly. The NeuroTrac™ Sports is a dual channel device combining several treatment programmes into one unit. Neuromuscular Stimulation is increasingly understood by Therapists and Doctors. There is a better understanding of the mechanisms which exist between nerves and muscles that makes it possible to stimulate the neuromuscular system with precise electrical signals. The NeuroTrac™ Sports offers precision giving full control of Pulse Widths, Rates, Ramp up times, Work / Rest cycles as well as alternating or synchronous application if two channels are being applied. Customer Care We welcome constructive comments regarding our equipment particularly those that might help us to improve existing features, add new ones or develop new products for the future.

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NeuroTrac™ Sports Operation Manual

Contra Indications & Precautions Before using this equipment you must first seek the advice of your Physiotherapist or Doctor. Read this operating manual before using the STIM unit STIM should not be used: * * * * * * * *

* * * * *

By patients fitted with a demand style cardiac pacemakers unless so advised by their Doctor During pregnancy [unless medically advised] By patients with undiagnosed pain conditions By patients with undiagnosed skin, vaginal or rectal conditions With patients who have diminished mental capacity or physical competence who cannot handle the device properly On anaesthetised or desensitised skin When driving a vehicle or operating potentially dangerous equipment Do not place electrodes: * Over carotid sinus nerves * Over larynx or trachea * Inside mouth * Over the area of the heart unless so advised by your Doctor * On your facial area unless under strict guidance from a qualified Clinician The patient should use the unit only as prescribed Do not immerse the unit in water or any other liquid Keep unit out of reach of children If in doubt about the use of the STIM unit, call your Doctor, Therapist, Clinician or your distributor for advice Only use CE approved skin electrodes

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NeuroTrac™ Sports Operation Manual

Description of STIM Unit & Functions

Channel A

Channel B

LCD Display

Select Programme Lead Wire and Pin

NeuroTrac ™ Sports

Lock

SET ESC

Front

Rear

* PRG button

Selects the desired set programme from P01 - P15 or customised programme PC1 - PC3.

* SET button

Displays the menu and changes the parameters for Pulse Rate, Pulse Width, Time, Work, Rest, Ramp up time, ChA / ChB Synchronous or Alternating and delay for custom programmes.

* ESC button

Stores customised programme and returns to the home position.

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NeuroTrac™ Sports Operation Manual

Quick Start Instructions 1.

2. 3. 4. 5. 6.

Insert a 9 volt PP3 Alkaline battery. Alternatively insert a rechargeable Nickel Metal Hydride battery {which is safer and has a much longer life than the Ni-Cad rechargeable batteries} into the battery compartment. Insert lead wire/s to Channel A and B if you are using two channels. Switch on the unit by pressing the on/off button on the front of the unit. Press the PRG button to select one of the pre-set programmes P01 P15 or PC1 - PC3 for the customised programmes (see page 8 for customised programmes). When you have selected one of the programmes, (P01 - P15, PC1 PC3) press the + button/s to start the programme and to increase the mA intensity. To stop the programme press the on/off button which will turn the unit off.

Lock Button A "concealed" Lock button is included in the NeuroTrac™ Sports which allows the clinician to accurately monitor "Home Compliance" of the patent between appointments. It also locks the customised or built in programmes. To Lock the Unit 1. Select the built in or customised programme required. In the case of a customised programme, make sure that the pulse width, frequency, time etc. are set-up correctly. 2. Remove the battery cover and, using a thin rod gently press on the lock button as shown in the diagram on page 6 until you hear a double beep. The unit is now "locked" and cannot be altered until "unlocked" To Unlock the Unit Remove the battery cover and press the concealed switch with a thin rod until a single beep is heard. Now the LCD will display the average mA used on each channel and the total hours the unit has been in use as shown in the diagram. To return to normal "unlocked" operation, simply press the ESC button. Hours Used

45 20mA 20mA Ch.A

Ch.B

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NeuroTrac™ Sports Operation Manual

Setting up the Customised Programme PC1, PC2 or PC3 Remove the battery cover where you will see two buttons SET and ESC, these buttons are used to set up a customised programme. First press the ESC button to return to the home screen 1.

Press the SET button and the Hz symbol will flash on/off, then press the + or – button on the front panel to adjust the Pulse Rate.

2.

Press the SET button again and the μS symbol will flash on/off, then press the + or – button to adjust the Pulse Duration from 50 to 450 μS

3.

Press the SET button again and the Clock [Time] symbol will flash on/ off, then press the+ or – button to adjust the time Channel A +/- button to alter the hours and Channel B +/- button to adjust minutes. [Maximum time 1 hour 30 minutes].

4.

Press the SET button again and the WRK [Work] symbol will flash on/ off, then press the + or – button to adjust the work period from 2 –99 seconds.

5.

Press the SET button again and the RST [Rest] symbol will flash on/ off, then press the + or – button to adjust the rest period 2 – 99 seconds.

6.

Press the SET button again and the RMP [Ramp up] symbol will flash on/off, then press the + or - button to adjust the ramp up period from 0.1 - 9.9 seconds.

7.

Press the SET button again and ALT [Alternating] or SYN [Synchronous] symbol will flash on/off, then press the + or – button to select ALT or SYN.

8.

If SYN [Synchronous] has been selected, press the SET button again to set the required delay time of Ch. B stimulation after Ch. A one. DLY will flash on the LCD display. Select the delay by pressing the Ch. B +/- buttons to read the appropriate delay value (between 0.1 sec. and 4 sec).

After setting up the programme, press the ESC button to install and store the customised programme. Repeat the above procedure to re-programme. Note: You must press the ESC button before locking the unit.

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NeuroTrac™ Sports Operation Manual

Sports Treatment Programmes Programme : P01 Phase time

Warm up min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

6 C ont

Frequency work Frequency rest Pulse duration Modulation time

secs

Ramp up time

secs

Ramp down time

secs

Work time

secs

Rest time

secs

Alternating Synchronous O verall time

* 6 min

Used before starting strenuous physical activity. Activates the metabolism, increases the muscle/s temperature and oxygenates the muscle by speeding up blood flow .

Programme: P02 Phase time

Capillary

Phase 1

min

20

Mode

Phase 2

Phase 3

Phase 4

Phase 5

C ont

Frequency work Frequency rest Pulse duration Modulation time

secs

Ramp up time

secs

Ramp down time

secs

Work time

secs

Rest time

secs

Alternating Synchronous O verall time

* 20 min

Developing the capillary bed density system surrounding the muscle fibres to improve the resistance qualities of the fast glycolytic muscle twitch fibres and its recovery. Used for all type of sports activities

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NeuroTrac™ Sports Operation Manual

Programme: P03 Phase time

Endurance min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

50 W/R

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

* 50 min

Improving the capacity to sustain long periods of aerobic muscle activity. Developing the efficacy of oxygen muscle consumption and storage of glycogen in the fast twitch fibre white muscle.

Programme: P04

Phase time

R e s is tance force output 1 min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

5

12

7

10

16

Cont

W/R

Cont

W/R

Cont

*

*

*

*

*

Frequency work Frequency rest Pulse duration Modulation time

secs

Ramp up time

secs

Ramp down time

secs

Work time

secs

Rest time

secs

Alternating Synchronous O verall time

50 min

Increasing the capacity to habitually develop a high level of muscle force. Improving oxygen consumption at muscular level and to increase the capacity to withstand toxin amassing. Used on sports activities requiring prolonged and high levels of muscle force: Cycling, Rowing, Middle distance running

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NeuroTrac™ Sports Operation Manual

Programme: P05

R e s is tance force output 2

Phase time

min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

5

12

5

12

6

C ont

MF

C ont

MF

C ont

*

*

*

*

*

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

40 min

Improving and increasing the capacity to develop very high level of muscle force over a long period of time. Improving the efficacy of the oxygen consumption at the muscle level and the capacity to with stand toxin accretion, such as lactic acid. For sports activities that require very high levels of prolonged muscle activity: Rowing, C ycling, Middle distance running.

Programme: P06

R e s is tance force output 3

Phase time

min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

5

10

10

12

Cont

MF

MF

Cont

*

*

*

*

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

37 min

Same as Programme 5

11

Phase 5

NeuroTrac™ Sports Operation Manual

Programme: P07

Phase time

M aximum force output min

Mode

Phase 1

Phase 2

Phase 3

5

20

10

C ont

W/R

C ont

*

*

*

Phase 4

Phase 5

Frequency work Frequency rest Pulse duration Modulation time

secs

Ramp up time

secs

Ramp down time

secs

Work time

secs

Rest time

secs

Alternating Synchronous O verall time

35 min

Developing the muscle to cope with and produce maximum muscle force output, and to develop muscle bulk. Used in activities of Anaerobic activity. Used in sports such as weight lifting, Judo, Ball games, sprint running and cycling.

Programme: P08

Phase time

Explos ive force output min

Mode

Phase 1

Phase 2

Phase 3

5

15

15

C ont

W/R

C ont

*

*

*

Phase 4

Phase 5

Frequency work Frequency rest Pulse duration Modulation time

secs

Ramp up time

secs

Ramp down time

secs

Work time

secs

Rest time

secs

Alternating Synchronous O verall time

35 min

Anaerobic activity- increasing the muscle capacity to a level of instantaneous maximum muscle force, changing muscle force into explosive action. Used for all activities requiring maximum muscle output in a very short space of time, such as Judo, short distance sprinting, throwing the discuss or shot put.

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NeuroTrac™ Sports Operation Manual

Programme: P09

Phase time

Lipolys is Anti Ce llulite min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

5

5

5

5

5

Cont

W/R

Cont

W/R

Cont

*

*

*

*

*

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

25 min

Increasing the flow of blood circulation, and modifying the metabolism of the lipocytes. To help stimulate the subcutaneous deposits of fat. To assist reduce or eliminate the O range Peel effect of the skin surface.

Programme: P10 Phase time

M us cle at R e s t min

Mode

Phase 1

Phase 2

Phase 3

20

20

10

MF

MF

W/R

*

*

*

Phase 4

Phase 5

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

50 min

To help improve recovery after high levels of training and to reduce the possibilities of muscle contraction commonly know as Cramp. Used after intense levels of sporting activity and completions in particular.

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NeuroTrac™ Sports Operation Manual

Programme: P11 Phase time

M as s M us cle Contraction

Phase 1

Phase 2

Phase 3

min

5

15

10

Cont

W/R

Cont

*

*

*

Mode

Phase 4

Phase 5

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

30 min

To increase muscle bulk and volume and to improve muscle force. Searching for muscular hypertrophy.

Programme: P12 Phase time

Active R e cove ry

Phase 1

Phase 2

min

10

25

Cont

Cont

*

*

Mode

Phase 3

Phase 4

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

35 min

To help improve muscle recovery after prolonged activity, helps to rid the system of toxin waste. Used 10 to 24 hours after prolonged activity.

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Phase 5

NeuroTrac™ Sports Operation Manual

Programme: P13 Phase time

R e s ume Training

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

min

5

15

10

15

5

Cont

W/R

W/R

W/R

Cont

*

*

*

*

*

Mode Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

50 min

To promote the slow twitch fibres to build muscle strength to help reduce muscle atrophy ready for resuming training activities. Used for all type of sports.

Programme: P14 Phase time

M us cle Toning min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

5

3

3

2

2

Cont

W/R

W/R

W/R

W/R

*

*

*

*

*

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

15 min

Strengthening the muscles, improving blood circulation and capillary bed density. Ideal for applying to the Thigh, Legs, Bottom and Abdomen. 15

NeuroTrac™ Sports Operation Manual

Programme: P15 Phase time

Calming the M us cle min

Mode

Phase 1

Phase 2

Phase 3

25

20

10

Cont

Cont

W/R

*

*

*

Phase 4

Frequency work Frequency rest Pulse duration Modulation time Ramp up time Ramp down time Work time Rest time Alternating Synchronous O verall time

55 min

Relaxing the muscles as much as possible and to promote the bodies natural endorphins to promote pain relief and to improve the blood circulation and provide oxygen into the muscle. Used on the Trapezius , Deltoid area of the shoulder, upper and lower Trapezius and neck area.

MF = MODULATED FREQUENCY IN LINEAR STEPS W/R = INTERMITTENT WORK/REST CONT = CONTINUOUS

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Phase 5

NeuroTrac™ Sports Operation Manual

Electrode Types & Tips *

Self-Adhesive Hypoallergenic electrodes have a typical life span (if looked after) of 4/6 weeks. We recommend cleaning the skin before use. After use place the electrodes back onto the plastic film then enclose them back into the ziptag plastic pouch and store in a cool environment. Skin Electrode Types Available: SHAPE

CODE

DESCRIPTION

VS.4040

40 x 40 mm, square [** max 53mA]

VS.5050

50 x 50 mm, square (recommended for general use)

VS.9040

90 x 40 mm, rectangular

VS.9050

90 x 50 mm, rectangular

VS.10050 100 x 50 mm, rectangular VS.30

30 mm diameter, round [** max 46mA]

VS.50

50 mm diameter, round

** IMPORTANT : Don’t use VS 4040 at more than 53mA and VS3030 at more than 46 mA.

A Few Good Tips [Self- Adhesive Electrodes] *

* *

If you find the electrodes will not stick due to oily skin, cleanse the skin with soap and water, then rinse and dry the area around the electrode site. If this does not work, try cleansing the skin with a swab impregnated with alcohol. Clip away hairy skin using a scissors; don’t use a razor to remove the hairs! The electrodes conductive material is water- based. If it becomes saturated (e.g. from perspiration), it will lose its adhesive qualities. After use leave the electrodes face up overnight to dry out (replace on plastic film in the morning). At some point the electrodes will become dry. Moisten the adhesive surface with a few drops of water, and apply onto the plastic film overnight. This procedure will give you a few more days of electrode life. 17

NeuroTrac™ Sports Operation Manual

Care, Maintenance, Accessories and Disposal WARNING! Only medically approved accessories should be used! CONTROL UNIT * Wipe the surface once a week with a damp cloth or antiseptic wipe * Do not use cleaning sprays or alcohol based cleaning solutions * Control unit disposal: please return to Verity Medical LTD or to the appointed distributor ACCESSORIES Battery: * To change the battery, open the battery door on the rear of the control unit by pressing down on the raised rib pattern just below the belt clip. Lift the battery out of the compartment. This is very easy and can be done by the user * Check periodically for any discharge from the battery * Remove battery completely from unit if not in use for any extended period of time (typically one week) * Low battery indicator of 6.9 volts shown on LCD display, when flashing change battery for a new one * Preferably use a PP3 alkaline battery * Battery disposal: please return to the supplier from whom you’ve purchased it. Lead Wires: * The lead wires should be handled carefully and never stretched, as this can cause the stimulation to function below normal standards or not at all * Examine lead wires before each treatment for loose connections or damage * Avoid stretching and twisting the lead wires * Store the lead wires carefully after each use * Lead wires Disposal: please return to the supplier from whom you’ve purchased them.

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NeuroTrac™ Sports Operation Manual

Self-Adhesive Electrodes: * Check the short connectors have not become separated from the electrodes * Replace electrodes onto plastic film after use. If they drop onto the floor debris will adhere to conductive gel rendering the electrodes ineffective Electrode life can be considerably reduced by: * The type and condition of the skin * Deep seated moisturisers or make-up For the Best Results: * Before each use cleanse the skin * After each use stick the pads on the shiny insert card and store in a cool and dry place, such as the fridge. (not freezer). Caution: Static electricity may damage this product NOTE:

Only Verity Medical Ltd or appointed distributors / importersare approved to undertake servicing.

Applications *

Increases muscle strength

*

Maintains or improves range of movement

*

Increases and improves the blood supply to the muscle in cases of intermittent caudication

*

As a warm up prior to exercise

*

Prevents disuse atrophy (e.g. rheumatoid arthritis)

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NeuroTrac™ Sports Operation Manual

Specifications STIM 1. 2.

3. 4. 5. 6. 7. 8. 9. 10. 11.

Dual channel: individually isolated circuits. Amplitude: 0 - 90 mA into 500 Ohm load; indication only. Actual mA will tend to be less than indicated due to electrode impedance: at 1000 Ohms load (Electrodes in poor condition) the maximum will be limited to 70 mA, at 1500 Ohms load the maximum will be limited to 65 mA. Type: Constant current, maximum output voltage 180 Volts +10 / -30 Volts Waveform: Asymmetrical, rectangular bi-phasic with zero DC current. Selectable pulse width: 50μS – 450μS [2% accuracy]. Pulse Rate selection: in the continuous mode 2 – 100 Hz [2% accuracy]. Time duration of the treatment selectable: 1 minute to 90 minutes. Low Battery Indicator: If the battery goes below 6.9 volts +/- 0.2 volts the battery symbol will flash on/off once every second. Open Electrode Detect: If an open circuit is detected at the output of channel A or B the output current will be reset at zero. Ramp up time 0.3 - 9.9 seconds. If the battery voltage is below 6.6 (+/- 0.2) volts the unit will not turn on.

Physical dimensions: 108 x 62 x 23 mm. Weight: 0.07KG without battery, 0.1KG with battery. Environmental Conditions for use: +10 to +30 degrees Centigrade. 0-90% Humidity. Environmental conditions for storage & transport: -10 to +50 degrees Centigrade, 0-90% Humidity.

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