NeuroTrac Sports XL Dual Channel Stim Unit Operators Manual Aug 2011

NeuroTrac™ Sports XL 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 XL 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 XL 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 XL explained: Caution (output)

Type BF Equipment

Follow instructions for use

Do not dispose in normal dustbin (see page 24 for the disposal instructions)

Revised Issue Date: 09/08/2011 Document Number: VM-ETS201-OM002-9 2

NeuroTrac™ Sports XL Operation Manual

Contents Contents

Page

Warnings What is STIM? Contra Indications & Precautions Description of STIM Unit & Functions Quick Start Instructions Lock Button 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 8 10 11 23 24 25 26

3

27 30 31

NeuroTrac™ Sports XL 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 XL 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 XL is a dual channel device (with 2 lead wires for each channel giving a total of 8 electrode positions) 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 make it possible to stimulate the neuromuscular system with precise electrical signals. The NeuroTrac™ Sports XL 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 XL 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 XL Operation Manual

Description of STIM Unit & Functions

Channel A

Channel B (2 Lead wires per channel)

LCD Display

Lead Wire and Pin Select Programme

Lock

SET

NeuroTrac ™ Sports XL

Front

Rear

* PRG button

Selects the desired set programme from P01 - P21 or customised programme PC1 - PC3. Pauses (reducing the intensity (MA) to zero) and escapes from a running programme.

* SET button

Reduces the intensity (MA) to zero and pauses the programme (if a programme is running) and moves the phase one step forward. Displays the menu for programmes PC1 - PC3 and allows the parameters for Time, Work, Rest, Ramp up time, CH.A / CH.B Synchronous or Alternating and delay to be set.

6

NeuroTrac™ Sports XL Operation Manual

Lock symbol

Frequency & Current phase / pulse width of phase phase indicator 5 Hz 300 uS

Programme Total programme time

Low battery indicator

P08

•Work •Rest •Alt •Cont •Mod

Number of phases

35 : 5

Time of current phase

Min

Min

Phase mode

0

0

Channel A milliamps

Channel B milliamps

MA

MA

Example of preset programme Phase being set Programme

Total programme time adds cumulatively as time added to phases

PC1

3 Hz 250 uS

•Work •Rest •Alt •Cont •Mod

5 : WK Min

4

Phase mode

Number of phases Current setting being altered (work in this example)

SEC

Set Work / Rest / Ramp / Delay seconds Example of custom programme 7

NeuroTrac™ Sports XL Operation Manual

Quick Start Instructions 1.

2.

3. 4.

5. 6. 7.

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 in to Channel A and B, if you are using two channels. You may use up to four sets of lead wires, two for channel A and two for channel B giving either 4 or 8 electrode placements on the body. [Ivory = Channel A, Black = Channel B] 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 P21 outlined in the tables on page 11 to 21 or PC1 - PC3 for the customised programmes (see page 9 for setting customised programmes). You can press the set button to change to the next phase of the current programme if required. To start the programme, press channel A + and / or B + if you are using both channels, then increase the mA intensity to the desired level. To stop the programme press the on/off button which will turn the unit off or alternatively press the PRG button twice to return to the home screen.

Low Battery Indicator When the battery power is low, the low battery indicator will appear on the screen (shown in the diagram on page 7). When the battery indicator shows one bar, replace the battery. Electrode Disconnection Indicator When an electrode becomes disconnected or when an electrode no longer conducts the electrical current or if the lead wires are faulty, the milliamp level will return to zero and the effected channel will flash on and off. Setting up the Customised Programmes PC1, PC2 or PC3 First, if a programme is running, press the PRG button twice to return to the home screen. Refer to the example of custom programme diagram on page 7.

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NeuroTrac™ Sports XL Operation Manual

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Press the PRG button until PC1, PC2 or PC3 is selected. Press and hold the SET button for three seconds, the phase indicator arrow and Hz symbol will flash on and off. Press CH.B +/- to set the frequency between 2 Hz and 100 Hz. Press CH.A +, the μS symbol will flash, press CH.B +/- to set the pulse duration between 50 μS and 330 μS. Press CH.A +, the MIN symbol will flash, press CH.B +/- to set the length of the phase time between 1 and 99 minutes. Set the time to zero to end the programme on this phase. Press CH.A +, the WORK / REST or the CONT symbols will flash, Press the CH.B +/- to select WORK / REST or CONT (continuous). Note: if continuous is selected, the menu will loop back to step 2. Press CH.A +, WK will appear and flash, press CH.B +/- to set the work seconds between 2 and 99 seconds. Press CH.A +, RT will appear and flash, press CH.B +/- to set the rest seconds between 2 and 99 seconds. Press CH.A +, RP will appear and flash, press CH.B +/- to set the ramp seconds between 0.1 and 9.9 seconds. Press CH.A +, AL or SY will appear and flash, press CH.B +/- to select alternating or synchronous current. Note: if alternating is selected, the menu will loop back to step 2. Press CH.A +, DY will appear and flash, press CH.B +/- to set the delay of channel B starting between 0 and 4 seconds after channel A. The menu will now loop back to step 2 and the Hz symbol will flash. To set the next phase, press the set button. The phase symbol will flash over the next phase, continue with step 2 to set this phase. When finished setting the phases, press the PRG button to save the settings and return to the home screen. The programme will be saved permanently.

Setting the phase time of phase 2,3,4 or 5 to zero will cause the programme to end at that phase. Following procedures 1 to 12 can reprogramme a customised programme. If for example there are 5 pre-set phases in one overall programme and only 4 phases are now required, input 0 (zero) into the phase time that is no longer required and press the PRG key to store the new information.

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NeuroTrac™ Sports XL Operation Manual

Lock Button Frequency & pulse width of phase

Lock symbol (flashes when being unlocked)

Programme Hours and minutes unit was used in the locked mode

5 Hz 300 uS

P08 35 : 05 Min

30

Phase mode

Number of phases Minutes

20

MA

Average milliamps CH.A

•Work •Rest •Alt •Cont •Mod

MA

Average milliamps for CH.B

A "concealed" lock button is included in the NeuroTrac™ Sports XL which allows the clinician to accurately monitor "Home Compliance" of the patent between appointments. It records the time in use and the average intensity (MA). It also locks the customised programmes, stopping them from being altered. To Lock the Unit 1. Select the pre-set 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”. Note: The lock symbol will appear on the LCD when the unit is “locked”. 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 and minutes the unit has been in use as shown in the diagram. To return to normal "unlocked" operation, simply press SET.

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NeuroTrac™ Sports XL 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 min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

20 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 XL Operation Manual

Programme: P03 Phase time

Endurance

Phase 1

min

50

Mode

Phase 2

Phase 3

Phase 4

Phase 5

W/R

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

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 Ramp up time Ramp down time Work time Rest time 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

12

NeuroTrac™ Sports XL 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 1

Phase 2

Phase 3

Phase 4

min

5

10

10

12

Cont

MF

MF

Cont

*

*

*

*

Phase time Mode 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

13

Phase 5

NeuroTrac™ Sports XL 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 Ramp up time Ramp down time Work time Rest time 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 Ramp up time Ramp down time Work time Rest time 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.

14

NeuroTrac™ Sports XL 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.

15

NeuroTrac™ Sports XL Operation Manual

Programme: P11 Phase time

M as s M us cle Contraction

Phase 1

min

Mode

Phase 2

Phase 3

5

15

10

Cont

W/R

Cont

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 min

Mode

Phase 1

Phase 2

10

25

Cont

Cont

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.

16

Phase 5

NeuroTrac™ Sports XL Operation Manual

Programme: P13 Phase time

R e s ume Training

Phase 1

min

Mode

Phase 2

Phase 3

Phase 4

Phase 5

5

15

10

15

5

Cont

W/R

W/R

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

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

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

min

5

3

3

2

2

Cont

W/R

W/R

W/R

W/R

*

*

*

*

*

Mode 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.

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NeuroTrac™ Sports XL 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

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

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.

Programme: P16 Phase time

Pain R e lie f

Phase 1

min

40

Mode

MF

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

Reduces uncomfortable pain. 18

Phase 2

Phase 3

Phase 4

Phase 5

NeuroTrac™ Sports XL Operation Manual

Programme: P17 Phase time

Ce llulite min

Mode

Phase 1

Phase 2

Phase 3

Phase 4

Phase 5

Phase 2

Phase 3

Phase 4

Phase 5

30 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

* 30 min

Reduces fat cells.

Programme: P18

Phase time

Explos ive Stre ngth Le ve l 1

Phase 1

min

35

Mode

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

* 35 min 19

NeuroTrac™ Sports XL Operation Manual

Programme: P19

Phase time

Explos ive Stre ngth Le ve l 2

Phase 1

Phase 2

Phase 3

min

20

10

10

Cont

W/R

Cont

*

*

*

Explos ive Stre ngth Le ve l 3

Phase 1

Phase 2

Phase 3

min

20

10

10

Cont

W/R

Cont

*

*

*

Mode

Phase 4

Phase 5

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

Programme: P20

Phase time

40 min

Mode 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

20