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User Manual: Operation & Installation Instructions For
User Manual: Operation & Installation Instructions For
v
FOREWORD Intelect® Legend XT Therapy System
This manual has been written for the users of the Intelect Legend XT Therapy Systems. It contains general information on the operation,
precautionary practices, and maintenance information. In order to maximize use, efficiency, and the life of the system, please read this
manual thoroughly and become familiar with the controls, as well as the accessories before operating the system.
This manual contains general safety, operating, maintenance, and care instructions as well as installation instructions for the optional
Therapy System Cart, Channel 3/4 Electrotherapy and NiMH Battery for the users of the Intelect Legend XT Therapy two channel
electrotherapy and combination systems.
Specifications put forth in this manual were in effect at the time of publication. However, owing to Chattanooga Group's policy of
continual improvement, changes to these specifications may be made at any time without obligation on the part of Chattanooga Group.
Before administering any treatment to a patient, the users of this equipment should read, understand and follow the information
contained in this manual 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 and ultrasound.
PRODUCT DESCRIPTION
The Intelect Legend XT Therapy Systems are two channel electrotherapy and combination systems with the option of adding additional
channels of electrotherapy by installation of the optional Channel 3/4 Electrotherapy Module. Other optional modality modules are
available for separate purchase and may be installed by the end user.
Stay current with the latest clinical developments in the field of electrotherapy and ultrasound. Observe all applicable precautionary
measures for treatment.
Keep informed of appropriate indications and contraindications for the use of electrotherapy and ultrasound.
This equipment is to be used only under the prescription and supervision of a licensed practitioner.
©2005 Encore Medical Corporation or its affiliates, Austin, Texas, USA. Any use of editorial, pictorial, or layout composition of this publication without express written consent from Chattanooga Group
of Encore Medical, L.P. is strictly prohibited. This publication was written, illustrated, and prepared for distribution by Chattanooga Group of Encore Medical, L.P.
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ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
2
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
CAUTIONS
• Read, understand, and practice the precautionary and operating • Inspect Applicator cables and associated connectors before
instructions. Know the limitations and hazards associated with each use.
using any electrical stimulation or ultrasound device. Observe the • The Intelect Legend XT Therapy System is not designed to prevent
precautionary and operational decals placed on the unit. the ingress of water or liquids. Ingress of water or liquids could cause
• DO NOT operate the Intelect Legend XT Therapy System when malfunction of internal components of the system and therefore
connected to any unit other than Chattanooga Group devices. create a risk of injury to the patient.
• DO NOT operate this unit in an environment where other devices • This equipment generates, uses and can radiate radio frequency
are being used that intentionally radiate electromagnetic energy in energy and, if not installed and used in accordance with the
an unshielded manner. instructions, may cause harmful interference to other devices in
• Ultrasound should be routinely checked before each use to the vicinity. However, there is no guarantee that interference will
determine that all controls function normally, especially that not occur in a particular installation. Harmful interference to other
the intensity control does properly adjust the intensity of the devices can be determined by turning this equipment on and off.
ultrasonic power output in a stable manner. Also, determine that Try to correct the interference using one or more of the following:
the treatment time control does actually terminate ultrasonic power reorient or relocate the receiving device, increase the separation
output when the timer reaches zero. between the equipment, connect the equipment to an outlet on a
different circuit from that to which the other device(s) are connected
• DO NOT use sharp objects such as a pencil point or ballpoint pen to
and consult the factory field service technician for help.
operate the buttons on the control panel.
• This unit should be operated, transported and stored in
• The Nylatex® Wraps shipped with this unit contain dry natural rubber
and may cause allergic reactions in patients with allergies to latex.
temperatures between 59° F and 104° F (15° C and 40° C), with
Relative Humidity ranging from 30%-60%.
• Handle Ultrasound Applicator with care. Inappropriate handling of
the Ultrasound Applicator may adversely affect its characteristics.
• Before each use, inspect Ultrasound Applicator for cracks, which
may allow the ingress of conductive fluid.
3
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
WARNINGS
• U.S.A. Federal Law restricts these devices to sale by, or on the order • Powered muscle stimulators should be used only with the leads and
of, a physician or licensed practitioner. This device should be used electrodes recommended for use by the manufacturer.
only under the continued supervision of a physician or licensed • In the event that an Error message or Warning appears beginning
practitioner. with a 2 or 3, immediately stop all use of the system and contact
• For continued protection against fire hazard, replace fuses only with the dealer or Chattanooga Group for service. Errors and Warnings in
ones of the same type and rating. these categories indicate an internal problem with the system that
• Make certain the unit is electrically grounded by connecting only to a must be tested by Chattanooga Group or a Field Service Technician
grounded electrical service receptacle conforming to the applicable certified by Chattanooga Group before any further operation or use
national and local electrical codes. of the system. Use of a system that indicates an Error or Warning in
• Care must be taken when operating this equipment around other these categories may pose a risk of injury to the patient, user or cause
equipment. Potential electromagnetic or other interference could extensive internal damage to the system.
occur to this or to the other equipment. Try to minimize this • Use of controls or adjustments or performance of procedures other
interference by not using other equipment in conjunction with it. than those specified herein may result in hazardous exposure to
• The safety of TENS waveforms for use during pregnancy or birth has ultrasonic energy.
not been established. • Before administering any treatment to a patient you should become
• TENS is not effective for pain of central origin. (This includes acquainted with the operating procedures for each mode of
headache.) treatment available, as well as the indications, contraindications,
• TENS should be used only under the continued supervision of a warnings, and precautions. Consult other resources for additional
physician or licensed practitioner. information regarding the application of Electrotherapy and
• TENS waveforms have no curative value. Ultrasound.
• TENS is a symptomatic treatment, and as such, suppresses the • To prevent electrical shock, disconnect the unit from the power
sensation of pain which would otherwise serve as a protective source before attempting any maintenance procedures.
mechanism. • Keep electrodes separated during treatment. Electrodes in contact
• The user must keep the device out of the reach of children. with each other could result in improper stimulation or skin burns.
• Electronic monitoring equipment (such as ECG monitors and ECG • Long term effects of chronic electrical stimulation are unknown.
alarms) may not operate properly when TENS stimulation is in use.
4
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
WARNINGS (continued)
5
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
DANGERS
• Stimulus delivered by the TENS waveforms of this • NiMH Batteries contain Class E Corrosive materials. In the
device, in certain configurations, will deliver a charge of event of battery cell rupture or leakage, handle Battery
25 microcoulombs (μC) or greater per pulse and may be Module wearing neoprene or natural rubber gloves. Contents
sufficient to cause electrocution. Electrical current of this of a ruptured or leaking battery can cause respiratory
magnitude must not flow through the thorax because it irritation. Hypersensitivity to nickel can cause allergic
may cause a cardiac arrhythmia. pulmonary asthma. Contents of cell coming in contact with
• Patients with an implanted neurostimulation device skin can cause skin irritation and/or chemical burns.
must not be treated with or be in close proximity to • Never, under any circumstances, open the Battery Module
any shortwave diathermy, microwave diathermy, housing or cells. Should an individual cell from a battery
therapeutic ultrasound diathermy, or laser diathermy become disassembled, spontaneous combustion of the
anywhere on their body. Energy from diathermy negative electrode is possible. There can be a delay between
(shortwave, microwave, ultrasound, and laser) can be exposure to air and spontaneous combustion.
transferred through the implanted neurostimulation • Charge the Battery Module according to the instructions
system, can cause tissue damage, and can result in found in this manual. Never attempt to charge the Battery
severe injury or death. Injury, damage, or death can Module on any other charging mechanism.
occur during diathermy therapy even if the implanted • Use the Battery Module only with the Intelect Legend XT
neurostimulation system is turned “off.” Therapy Systems.
• Handle, clean, and dispose of components and accessories • Do not reverse the polarity of the Battery Module. Doing so
that have come in contact with bodily fluids according can increase the individual cell temperature and cause cell
to National, Local and Facility rules, regulations and rupture or leakage.
procedures.
• Never dispose of Battery Module in fire. Never short circuit
the battery. The battery may explode, ignite, leak or get hot
causing serious personal injury.
• Dispose of NiMH batteries according to national, state and
local codes and regulations.
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ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
7
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
8
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System
9
NOMENCLATURE Intelect® Legend XT Therapy System
3 3
5 5
5 2
3
4
1 3 5 7
2 4 6
6
1. Front Access Panel Lanyard
When reinstalling the Front Access Panel, make certain the
Lanyard does not become kinked. 1. Screen Contrast Control
2. Operator Remote Control Connector 2. Power On/Off Switch
3. Patient Interrupt Switch Connector 3. Technical Maintenance Port
4. Channel 1 Lead Wire Connector 4. Fuses
5. Channel 2 Lead Wire Connector 5. Mains Power Cord
6. Microcurrent Probe Connector 6. Rear Access Panel
7. Ultrasound Applicator Connector 7. Serial Decal
11
NOMENCLATURE Intelect® Legend XT Therapy System
USER INTERFACE
1
15
1. Rear Access Panel (See Page 11)
2
14 2. Ultrasound Applicator LED Indicator
(Combination only)
3. Ultrasound Applicator- 5 cm2 Standard
(Optional 1 cm2, 2 cm2, and 10 cm2
13 applicators available, Combination only)
4. Intensity knob
3
12 5. Cable and Lead Wire Hook
6. Front Access Panel (See Page 11)
11 7. Start button
8. Pause button
4 9. Stop button
10
10. Clinical Resources Library button
9 11. Home Screen button
12. Back button
8 5 13. Patient Data Card Port
14. Multimedia Card (MMC) Port (Unused)
7 15. User Setup and Parameter Control buttons
6
5
12
NOMENCLATURE Intelect® Legend XT Therapy System
SYMBOL DEFINITIONS
Below are the definitions for all of the symbols used in the Intelect Legend XT hardware and software. Study and learn these symbols
before any operation of the system.
System Hardware Symbols System Optional Module and Accessory Symbols
Software Symbols
CONTRAST CONTROL
PATIENT INTERRUPT Operator Remote Channel 3/4
SWITCH MOVE UP
Electrotherapy
INCREASE Module
THERAPY
INTENSITY
INTENSITY MOVE DOWN
ON/OFF SWITCH CONTROL CHANNEL 1
LEAD WIRES PATIENT INTERRUPT SWITCH
DECREASE
MOVE RIGHT INTENSITY
DATA PORT
HOME CHANNEL 2 PAUSE
LEAD WIRES CHANNEL 3 LEAD WIRES
TREATMENT
MOVE LEFT
MULTIMEDIA CARD*
CLINICAL MANUAL
PATIENT DATA CARD
RESOURCES
ACCEPT AND
M STIMULATION CHANNEL 4 LEAD WIRES
LIBRARY
MICROCURRENT PROBE RETURN
STOP TREATMENT
BACK DO NOT ACCEPT
AND RETURN
Battery Module MICROCURRENT PROBE
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NOMENCLATURE Intelect® Legend XT Therapy System
GENERAL TERMINOLOGY
Below are the definitions for all of the unique terminology used throughout this manual. Study these and become familiar with these
terms for ease of system operation and familiarization with the components and control functionality of the Intelect Legend XT Therapy
System. Some of these terms and definitions refer to a specific button or control on the system. Refer to page 13 for Symbol Definitions.
ULTRASOUND
Back button
1
The dedicated button on the Main unit, below the display, that 3
each time pressed takes the user back one screen at a time.
Previous Page button
The button used in some modalities and
functions that will take the user back one page when reading 2
multiple pages of text.
UP and DOWN Arrows 1. Sound Head
Controls used in various modality parameter screens to navigate That component of the Applicator that makes contact with
or change a value up or down within the parameter. the patient during Ultrasound or Combination therapy.
Electrotherapy 2. Applicator
Refers to the Electrical muscle or nerve Stimulation modalities of The assembly that connects to the System and incorporates
the system. the Sound Head.
System
3. Applicator LED
The primary system with all controls and functions. The component of the Applicator which, when illuminated,
Module indicates if the Sound Head is emitting Ultrasound.
Any optional modular modality component designed for
installation onto the System.
14
SPECIFICATIONS Intelect® Legend XT Therapy System
15
SPECIFICATIONS Intelect® Legend XT Therapy System
WAVEFORM SPECIFICATIONS
IFC- Interferential (Traditional 4 Pole) Russian
Interferential Current is a medium frequency waveform. Current is Russian Current is a sinusoidal waveform, delivered in bursts or
distributed through two channels (four electrodes). The currents series of pulses. This method was claimed by its author (Kots)
cross each other in the body at the area requiring treatment. to produce maximal muscle strengthening effects without
The two currents interfere with each other at this crossing point, significant discomfort to the patient.
resulting in a modulation of the intensity (the current intensity
increases and decreases at a regular frequency). Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes
Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes Output Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-100 mA
Carrier Frequency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,500-5,000 Hz Channel Mode . . . . . . . . . . . . . . . . . . . . . . . . . Single, Reciprocal, Co-Contract
Beat Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-200 Hz Duty Cycle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%, 20%, 30%, 40%, 50%
Sweep Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 sec Mode Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC or CV*
Sweep Low Beat Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-200 Hz Anti-Fatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Off or On
Sweep High Beat Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-200 Hz Cycle Time. . . . . .5/5, 4/12, 10/10, 10/20, 10/30, 10/50, Continuous
Scan Percentage . . . . . . . . . . . . . . . . . . . . . . . . . . Static, 10%, 40%, 100% Burst Frequency (Anti-Fatigue Off ) . . . . . . . . . . . . . . . . . . . . 20-100 bps
Amplitude . . . . . . . . . . . . . . . . . . . . . . . . . .0-100 mA Peak into 500 ohm Ramp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.5, 1, 2, and 5 sec
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes
Available on Channel . . . . . . . . . . . . . . . . . . . . . . . . . 1 & 2, 3 & 4 Option Available on Channels . . . . . . . . . . . . . . . . . . . . . . . . 1 & 2, 3 & 4 Option
16
SPECIFICATIONS Intelect® Legend XT Therapy System
17
SPECIFICATIONS Intelect® Legend XT Therapy System
18
SPECIFICATIONS Intelect® Legend XT Therapy System
ULTRASOUND SPECIFICATIONS
Ultrasound
Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 MHz, ± 5%; 3.3 Mhz, ±5% Effective Radiating Areas. . . . . . . . . . . . 10 cm2 Crystal: 8.5 cm2, ±1.5
Duty Cycles . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%, 20%, 50%, Continuous 5 cm2 Crystal: 4.0 cm2, ±1.0
Pulse Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Hz 2 cm Crystal: 1.8 cm2, +0.2/- 0.4
2
Pulse Duration . . . . . . . 1 mSec, ±20%; 2 mSec, ±20%; 5 mSec, ±20% 1 cm2 Crystal: 0.8 cm2, +0.2/-0.4
Output Power Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-30 minutes
10 cm2 Crystal . . . . . . . . . . . . . . . . 0-20 W at 1 MHz, 0-10 W at 3.3 MHz Head Warming Feature
5 cm2 Crystal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-10 W, 1 and 3.3 MHz The Head Warming feature of an Intelect Legend XT Combination
Therapy System utilizes Ultrasound output resulting in warming
2 cm2 Crystal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-4 W, 1 and 3.3 MHz
of the Sound Head to increase patient comfort.
1 cm2 Crystal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-2 W 3.3 MHz Only
With Head Warming enabled, ultrasound is emitted without
Amplitude . . . . . . . . . . . . . . . . . . . .0 to 2.5 w/cm2 in continuous mode, pressing the Start button. The Applicator LED will not illuminate
0-3 w/cm2 in pulsed modes during the Head Warming period. US Channel will indicate "Head
Output accuracy. . . . . . . . . . . . . . . . . . . ±20% above 10% of maximum Warming".
Temporal Peak to Average Ratio: . . . . 2:1, ± 20%, at 50% Duty Cycle Output . . . . . . . . . . . . . . . . . . . . . . . 0 - 50% Cycling of maximum power
5:1, ± 20%, at 20% Duty Cycle Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3 Mhz
9:1, ± 20%, at 10% Duty Cycle Sound Head Temperature . . . . . . . . . 85 °F - 110 °F (29.4 °C - 43.3 °C)
Beam Nonuniformity Ratio. . . . . . . . . . . . . . . . . . . . . . . 5.0 : 1 maximum
Beam Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Collimating
Do not apply the Ultrasound Applicator to the patient during the
Head Warming period. Applicator must remain in Applicator Hook
during the Head Warming period.
19
SETUP Intelect® Legend XT Therapy System
20
SETUP Intelect® Legend XT Therapy System
21
SETUP Intelect® Legend XT Therapy System
Press Yes button to restore the PRESS YES BUTTON TO After the settings have been
Protocols to Factory Settings. This RESTORE PROTOCOLS restored, a message will appear
will permanently remove all User stating that the Default Unit
Protocols and Sequences. Settings are restored. Press any
NOTE: This will permanently button to return to Utilities
remove all User Protocols. screen.
22
SETUP Intelect® Legend XT Therapy System
23
SETUP Intelect® Legend XT Therapy System
BACK
BUTTON
24
SETUP Intelect® Legend XT Therapy System
25
SETUP Intelect® Legend XT Therapy System
26
PATIENT PREPARATION Intelect® Legend XT Therapy System
27
PATIENT PREPARATION Intelect® Legend XT Therapy System
28
PATIENT PREPARATION Intelect® Legend XT Therapy System
RED +
LEAD WIRE
BLACK
LEAD WIRE
29
PATIENT PREPARATION Intelect® Legend XT Therapy System
LEAD WIRE
SEATED
SECURE WITH
NYLATEX
RED +
LEAD WIRE
30
PATIENT PREPARATION Intelect® Legend XT Therapy System
5 CM2
STANDARD 10 CM2 Treatment Area
1 CM2 2 CM2
Move the Sound Head during
therapy session in a circular
motion. The area treated should
be two times the diameter of the
Sound Head.
Applicator LED
After pressing the Start button
to begin Ultrasound Therapy, the APPLICATOR
Applicator LED will illuminate LED
green indicating that the
Applicator is emitting Ultrasound.
Applicator Preparation
Clean applicator before each therapy session with warm soapy
water.
31
OPERATION Intelect® Legend XT Therapy System
OPERATOR INTERFACE
The Intelect Legend XT Therapy System Operator Interface houses all of the functions and controls necessary for the operator to access all
operator utilities, modalities, and parameters for modification and system setup.
1. Top of Screen 6. Clinical Resources Library button
1 Used to access User Protocols screen.
The Title Bar indicates the Screen Title for
2 the modality being used. When at the 7. Intensity knob
System Home screen, the Clinic Name is Rotate clockwise to increase Modality
12 12 displayed. intensity. Rotate counterclockwise to
2. Center of Screen decrease Modality intensity.
3 Contains available Modality options. 8. Start button
Select Modality by pressing the desired Press to start therapy session after all
Modality button and then make initial parameters have been set.
parameter modifications. 9. Pause button
4
3. Bottom of Screen Press to pause a therapy session. Press
Displays available channels and their again to restart session.
respective status. Displays Treatment 10. Stop button
Time and status. After starting therapy Press to completely stop the therapy
5 session, Modality and Parameter buttons session.
11 are used to select and modify channel 11. Home button
parameters. Used to go back to the System Home
6 4. Unit On Indicator screen. Used in conjunction with the
10 Illuminates green when System is Back button to access the Operator
connected to an AC mains power source. Utilities screen.
9 7 When the System is On, the indicator 12. Modality and Parameter buttons
will illuminate blue. With System On, Used to select modality and edit
and if the system sits unused, the Screen treatment parameters.
Saver initiates (blank screen) and the Blue
Indicator will flash.
8 5. Back button
Used to return back one screen. Used in
conjunction with the Home button to
access the Operator Utilities screen.
32
OPERATION Intelect® Legend XT Therapy System
HOME SCREEN
The Intelect Legend XT Home screen affords access to all of the system modalities and functions. The area surrounding the screen has 10
modality and parameter modification buttons.
1. Electrotherapy
Accesses all the available waveforms and parameter editing controls.
2. Ultrasound
Accesses the Ultrasound setup screen and parameter editing controls.
1
3. Combination
2 3 Accesses combination therapy setup screens and parameter editing controls.
4. View/Edit Channel
Accesses the selected channel and allows editing of the channel's parameters
4 5 during therapy. Also used in the saving of information to the Patient Data Card.
5. Patient Card
6 Accesses Patient Data Card data.
6. Select Channel
Use to select desired channel for viewing and editing of channel parameters.
33
OPERATION Intelect® Legend XT Therapy System
ELECTROTHERAPY SCREEN
The screen allows the operator to access, set up, and modify
parameters of each of the available waveforms within the
Intelect Legend XT Therapy System. The following pages give a
general explanation of a treatment setup.
Refer to the Specifications section, beginning on page 15,
for detailed specifications of the system and each available
waveform.
NOTE: Give patient the appropriate Patient Interrupt Switch
for the channels being used. Prior to starting a therapy
session, explain to the patient how to use the Patient
Interrupt Switch.
34
OPERATION Intelect® Legend XT Therapy System
BACK
BUTTON
35
OPERATION Intelect® Legend XT Therapy System
INTENSITY
DISPLAYED
PATIENT
INTERRUPT
SWITCH
ROTATE
INTENSITY
KNOB
36
OPERATION Intelect® Legend XT Therapy System
37
OPERATION Intelect® Legend XT Therapy System
SELECT CHANNEL
BUTTON DESIRED
CHANNEL
FRAMED
When finished editing the selected
channel, press the Home button to select
another channel if desired.
Press the View/Edit Channel button. The To view the Treatment Review screen, if
Treatment Review screen will display. the Home screen is displayed, press the
View/Edit Channel button. If the Edit
screen is displayed, press the Back button.
38
OPERATION Intelect® Legend XT Therapy System
ULTRASOUND
The following information gives general instructions for the setup of ultrasound therapy when selecting Ultrasound from the Home screen.
Preparing Patient Editing Ultrasound Parameters Head Warming
Refer to page 31 for Applicator sizes, Press Edit button to access ultrasound The Intelect Legend XT Therapy System
patient preparation, and use of conductive parameters. incorporates a Head Warming feature that
medium. Press the corresponding button to edit as pre-heats the Sound Head of the Applicator
NOTE: Use only Intelect Legend XT prescribed. for increasing patient comfort. The control
Ultrasound Applicators. Previous EDIT
for the Head Warming feature is in the Edit
models of Chattanooga Group BUTTON screen of the Ultrasound modality.
Ultrasound Applicators will not Press the Head Warming button until On is
work with the Intelect Legend displayed.
XT Therapy System.
HEAD WARMING
Selecting Modality BUTTON
Press the Ultrasound button on the Home
screen.
ULTRASOUND
BUTTON
ULTRASOUND (continued)
Setting Ultrasound Intensity Starting Treatment Pausing Treatment
Set intensity by rotating the Intensity Control Press the Start button to begin therapy Press the Pause button to pause therapy
Knob to the prescribed level. session. session and maintain remaining time. To
Move the Applicator in a circular motion resume treatment, press the Pause button
over the treatment area. again.
NOTE: The Applicator LED will not illuminate
INTENSITY
when the session has been paused.
DISPLAYED
START
BUTTON PAUSE
ROTATE BUTTON
INTENSITY
KNOB
40
OPERATION Intelect® Legend XT Therapy System
ULTRASOUND (continued)
To Stop treatment, press the Stop button After session is complete, press the Save
once. Treatment will stop and the to Patient Card button. Refer to pages 48
Completed Treatment Review screen will through 57 for Patient Data Card Setup
display. and use.
STOP BUTTON
41
OPERATION Intelect® Legend XT Therapy System
SELECT
CHANNEL
BUTTON BACK
BUTTON
US: RUNNING BACK
FRAMED PARAMETER
BUTTON
BUTTONS
EDIT
BUTTON
When editing is complete, press the Back
button to return to Treatment Review When editing is complete, press the Back
screen. button to return to Treatment Review
screen.
42
OPERATION Intelect® Legend XT Therapy System
COMBINATION
The Intelect Legend XT Therapy System Combination modality allows the user to select and use ultrasound therapy in combination with
electrical muscle stimulation.
Combination therapy utilizes the Ultrasound modality in conjunction with High Voltage Pulsed Current (HVPC), IFC (4p), IFC Premodulated
(2p), or Symmetrical Biphasic to generate a therapeutic effect. In this mode of therapy, the Sound Head of the Ultrasound Applicator
becomes one half of the electrical circuit. An electrode attached to the Black (+) Lead Wire completes the circuit.
Preparing Patient Selecting Modality Accessing Combination Parameters
Refer to pages 27 through 30 to Press the Combination button on the Home Press Edit button to access Combination
prepare patient, select electrode and screen. parameters.
securing electrodes. Refer to page 31 for
Ultrasound patient preparation. COMBINATION
BUTTON
Connect the Black (-) Lead Wire from
Channel 2 to the electrode. Make certain EDIT
the Lead Wire is completely seated in the BUTTON
electrode.
The Red (+) Lead Wire is not used. The
Ultrasound Applicator completes the
circuit for Combination Therapy.
43
OPERATION Intelect® Legend XT Therapy System
COMBINATION (continued)
Editing Ultrasound Parameters Selecting Waveform Using the Patient Interrupt Switch
Press the corresponding button to edit Press the Select Waveform button. Connect Patient Interrupt Switch to the
the desired Ultrasound parameter as Therapy System. Give Patient Interrupt
SELECT WAVEFORM
prescribed. BUTTON
Switch to patient and explain that pressing
the Red button once pauses the therapy
PARAMETER UP ARROW
BUTTONS BUTTON
session.
CONNECT PATIENT
INTERRUPT SWITCH
PATIENT INTERRUPT
SWITCH
ACCEPT AND
RETUN ARROW
BUTTON
DOWN ARROW
BUTTON If Patient Interrupt Switch is depressed, the
treatment will be paused and a message
will appear on the System screen.
Press the Up or Down Arrow buttons until
NOTE: See page 39 for Head Warming the prescribed waveform is highlighted. Press any button to clear the message.
feature instructions. NOTE: If the Patient Interrupt Switch is
Press the Accept and Return Arrow button.
depressed a second time, the
message will clear from the screen
and the treatment will remain
paused.
44
OPERATION Intelect® Legend XT Therapy System
COMBINATION (continued)
Editing Waveform Parameters Setting Waveform Intensity Setting Ultrasound Intensity
Press the Edit Stim button to edit the Set intensity by rotating the Intensity Control Press the Edit Ultrasound button.
parameters of the waveform selected. knob to the prescribed level.
Set Ultrasound intensity by rotating the
Press the corresponding button to edit Intensity Control knob to the prescribed level.
each parameter as prescribed.
EDIT
EDIT STIM ULTRASOUND
BUTTON BUTTON
INTENSITY
PARAMETER DISPLAYED
BUTTONS
ROTATE
INTENSITY
KNOB ROTATE
INTENSITY
KNOB
45
OPERATION Intelect® Legend XT Therapy System
COMBINATION (continued)
46
OPERATION Intelect® Legend XT Therapy System
PARAMETER
BUTTONS
47
OPERATION Intelect® Legend XT Therapy System
48
OPERATION Intelect® Legend XT Therapy System
SAVE
BUTTON
SIZE
BUTTON
50
OPERATION Intelect® Legend XT Therapy System
51
OPERATION Intelect® Legend XT Therapy System
EDIT NEXT
BUTTON
ACCEPT AND RETURN
ARROW BUTTON
BACK
ACCEPT AND RETURN BUTTON Press the Edit Next button to highlight the
ARROW BUTTON Pain Location to be edited.
Use the Up and Down Arrow buttons to
relocate the selected Pain Location.
After all desired Pain Locations have been Press the Accept and Return Arrow button.
made, press the Back button. Repeat until all editing is complete, then
press the Back button.
52
OPERATION Intelect® Legend XT Therapy System
DELETE
BUTTON
ACCEPT AND RETURN
ARROW BUTTON
SAVE TO PATIENT
CARD BUTTON
54
OPERATION Intelect® Legend XT Therapy System
UP ARROW
BUTTON
55
OPERATION Intelect® Legend XT Therapy System
START NEW
TREATMENT
BUTTON
56
OPERATION Intelect® Legend XT Therapy System
57
OPERATION Intelect® Legend XT Therapy System
CLINICAL RESOURCES
LIBRARY BUTTON
EDIT
BUTTON
58
OPERATION Intelect® Legend XT Therapy System
SAVE
BUTTON
LEFT
ARROW ACCEPT AND RETURN
BUTTON ARROW BUTTON
DELETE
USER BUTTON
PROTOCOLS
NO YES
BUTTON
BUTTON BUTTON
EDIT
BUTTON
ACCEPT AND
RETURN ARROW DOWN ARROW
BUTTON BUTTON
USER
PROTOCOLS
BUTTON
61
OPERATION Intelect® Legend XT Therapy System
INTENSITY
DISPLAYED
PATIENT
INTERRUPT
SWITCH ROTATE
INTENSITY
KNOB
62
OPERATION Intelect® Legend XT Therapy System
63
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
64
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Nomenclature- Channel 3/4 Electrotherapy Module 1. Extended Front Access Panel
2. Module to System Mounting Holes
5
4 3. Module to System Feet Alignment Indents
4. Power Cord Routing Port
1
5. Module to System Connector
6. Operator Remote Control Connector*
7. Patient Interrupt Switch Connector*
3 8. Channel 3 Lead Wire Connector*
9. Channel 4 Lead Wire Connector*
10. Microcurrent Probe Connector*
Also Included:
2
• Four 4 mm X 20 mm mounting screws
• Channel 3 and 4 Lead Wires
• Patient Interrupt Switch (Ch 3/4)
• Carbon Electrodes
• Sample of DURA-STICK™ II electrodes
• Nylatex® Wraps
65
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
NOTE: All waveforms except High Voltage Pulsed Current (HVPC) of 0413
the Intelect Legend XT Therapy System have been Waveform & Current Specifications
designed with a 200 mA current limit. TENS waveform
All waveform/currents available to the Intelect Legend XT
output intensities are measured, specified and listed to peak,
Therapy System are available to the Channel 3/4 Electrotherapy
not peak to peak.
Module once installation is complete. Refer to pages 16 through
18 for available waveform specifications.
66
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Disconnecting Mains Power Removing Lead Wires and Accessories Removing Therapy System from Cart
Remove the Front Access Cover and Remove the Therapy System from the
disconnect the Lead Wires and Accessories Therapy System Cart, if equipped. Refer
Disconnect the system from the from the Therapy System. to pages 78 through 79 for proper
power source (outlet or remove battery instructions.
module if installed) before attempting
any maintenance, installation, removal, or Place Therapy System face down on a clean
replacement procedures to prevent electrical working surface protected with a soft, clean
shock and possible damage to the system. fabric to prevent damage to the lens.
REMOVE LEAD
WIRES AND
ACCESSORIES
Disconnect the Mains Power Cord from
the power supply. Remove the Rear Access
Panel and disconnect the Mains Power
Cord from the Therapy System.
REAR
ACCESS
PANEL
MAINS
POWER LANYARD
CORD
67
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Releasing Ribbon Cable Positioning Therapy System and Module Connecting Ribbon Cable
Remove and discard the vinyl label holding Position Therapy System and the Channel Carefully align the Ribbon Cable Connector
the Ribbon Cable in the cavity on the 3/4 Electrotherapy Module as shown. to the Module Connector Pins and press
Therapy System. down to connect.
Carefully unroll the Ribbon Cable, making
certain not to disconnect it from the
Therapy System.
CAREFULLY UNROLL
RIBBON CABLE
INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Securing Therapy System to Module Attaching the Lanyard
Carefully place the Therapy System and With a #1 Phillips Screwdriver, remove the
Do not twist Ribbon Cable. If power is Module on one side. With a #1 Phillips screw retaining the existing Front Access
applied to the system with misalignment Screwdriver, install the four 4 mm x 20 mm Panel.
of pins or a twisted ribbon cable, the screws. Install Lanyard to the new Extended Front
controlling electronics in the Module will Access Panel using the same screw.
Tighten screws until the Module does not
be destroyed and possible damage to the
System's internal components could occur. move on the Therapy System.
69
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Installing Lead Wires and Accessories Installing Front Access Panel Connecting Mains Power
Install Lead Wires and additional accessories Install the new Extended Front Access Panel Connect the Mains Power Cord to the
to Front Panel. Refer to page 13 for Symbol onto Therapy System. Therapy System.
Definitions. Make certain Lanyard does not become Install Rear Access Panel.
kinked. Connect the Mains Power Cord to an
LANYARD approved power source.
REAR
ACCESS
PANEL
MAINS
POWER
CORD
70
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Turning Therapy System On
Turn the System On using the On/Off
Switch. The System will automatically
recognize the added Module and display a Verify that the Module installed is the Module
configuration change message. displayed in the message BEFORE pressing
Read and carefully follow the instructions the START button. If it is not, DO NOT press
on the screen. the START button. Turn the System OFF and
back ON. If the problem continues, call the
selling dealer or Chattanooga Group Technical
Support immediately.
DO NOT USE THE SYSTEM until all necessary
repairs are made by a Technician certified
by Chattanooga Group. If use is attempted
before repairs are made, the System may
operate unpredictably and has the potential
of causing injury to the patient or damage to
the System's internal components.
71
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
REAR
ACCESS
PANEL
MAINS
POWER NOTE: Keep Lead Wires and accessories
CORD for later re-installation to the
Therapy System.
72
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
REMOVING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Removing Screws Securing Module Disconnecting Ribbon Cable at Module Storing and Securing Ribbon Cable
With a #1 Phillips Screwdriver, remove the Separate the Module from the Therapy Roll the Ribbon Cable up and store in
four 4 mm x 20 mm screws securing the System and disconnect the Ribbon Cable the cavity of the Therapy System. Secure
Module to the Therapy System. from the Module Connector Pins. Ribbon Cable with a nonpermanent
adhesive tape.
DISCONNECT
RIBBON FROM
MODULE ONLY
73
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
REMOVING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Attaching the Lanyard Installing Lead Wires and Accessories Connecting Mains Power
With a #1 Phillips Screwdriver, remove the Re-install Lead Wires and Accessories to the Connect the Mains Power Cord to the
screw retaining the existing Front Access Therapy System Front Panel. Therapy System.
Panel. Install Rear Access Panel.
Install Lanyard to the original Front Access LANYARD Connect the Mains Power Cord to an
Panel using the same screw. approved power source.
REAR
ACCESS
PANEL
MAINS
POWER
CORD
74
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
REMOVING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)
Turning Therapy System On
Turn the System On using the On/Off
Switch. The System will automatically
recognize the Module has been removed Verify that the Module installed is the Module
and will display a configuration change displayed in the message BEFORE pressing
message. the START button. If it is not, DO NOT press
Read and carefully follow the instructions the START button. Turn the System OFF
on the screen. and back ON. If the problem continues, call
the selling dealer or Chattanooga Group
Technical Support immediately.
DO NOT USE THE SYSTEM until all necessary
repairs are made by a Technician certified
by Chattanooga Group. If use is attempted
before repairs are made, the System may
operate unpredictably and has the potential
of causing injury to the patient or damage to
the System's internal components.
75
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
76
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
Nomenclature Specifications
1. Front and Rear Dimensions
Extrusion Height
6 2. Cart Base Cart Only . . . . . . . . . . . 33.75 in (85.7 cm)
HEIGHT
Width . . . . . . . . . . . . . . . . . . . 17 in (43.2 cm)
Casters (2)
1 Depth . . . . . . . . . . . . . . . . 16.25 in (41.3 cm)
5. Removable
CART ONLY
Standard Weight . . . . . . . . . 24 lbs (10.9 kg)
HEIGHT
5 Storage
Bins (6) Shipping Weight. . . . . . . . . . 33 lbs (15.0 kg)
6. Cart Top Power Required. . . . 100 - 240 V, 50/60 Hz
DEPTH
4
WIDTH
3
77
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
78
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System
CONNECT
MAINS POWER
CORD
79
OPTION OPERATION Intelect® Legend XT Therapy System
80
OPTION OPERATION Intelect® Legend XT Therapy System
81
OPTION OPERATION Intelect® Legend XT Therapy System
82
OPTION OPERATION Intelect® Legend XT Therapy System
Nomenclature
6
1. Battery Module
5 1
2. Extended Front Access Panel
3. Module to System Mounting Holes
2
4. Module to System Feet Alignment Indents
5. Power Cord Routing area
6. Ribbon Cable Connector
4
83
OPTION OPERATION Intelect® Legend XT Therapy System
84
OPTION OPERATION Intelect® Legend XT Therapy System
85
TROUBLESHOOTING Intelect® Legend XT Therapy System
ERROR CODES
General Information
The Intelect Legend XT Therapy Systems incorporate error messages, and warnings to inform the user of problems or potential problems
with the system, modality, or accessories. These are numbered so the user can possibly correct the problem without the aid of service
personnel. Use the following Troubleshooting Charts to define the error codes, and locate the probable cause and possible remedies
before contacting the dealer or factory for technical service.
86
TROUBLESHOOTING Intelect® Legend XT Therapy System
87
TROUBLESHOOTING Intelect® Legend XT Therapy System
135 Warning Control Board Software upgrade warning. Upgrade Control Board Software to latest version. Contact dealer or Chattanooga Group for latest
software upgrade and instructions.
136 Warning Stim Board Main Software upgrade warning. Upgrade Stim Board Software to latest version. Contact dealer or Chattanooga Group for latest
software upgrade and instructions.
137 Warning Stim Board Main Software upgrade warning. Upgrade Stim Board Software to latest version. Contact dealer or Chattanooga Group for latest
software upgrade and instructions.
88
TROUBLESHOOTING Intelect® Legend XT Therapy System
89
REPLACEMENT ACCESSORIES Intelect® Legend XT Therapy System
GENERAL INFORMATION
The following provides the users of the Intelect Legend XT Therapy System the necessary information to order the replacement accessories
most commonly used with the System. This list of replacement accessories are designed for use with the Intelect Legend XT Therapy
System. When ordering, provide the respective part number, description and quantity desired.
90
MAINTENANCE Intelect® Legend XT Therapy System
91
WARRANTY Intelect® Legend XT Therapy System
Chattanooga Group ("Company") warrants that the Intelect Legend XT Therapy System and Channel 3/4 Electrotherapy Module ("Products") are free of defects in material and workmanship. This
warranty shall remain in effect for two years (24 months) from the date of original consumer purchase. If these Products fail to function during the two year warranty period due to a defect in
material or workmanship, Company or the selling dealer will repair or replace the respective Product without charge within a period of thirty (30) days from the date on which the Product is returned
to the Company or the dealer.
All repairs to the Product must be performed by a service center authorized by the Company. Any modifications or repairs performed by unauthorized centers or groups will void this warranty.
The warranty period for certain accessories is 90 days. Accessories consist of Lead Wires, Operator Remote, Electrodes, Patient Data Cards, and Nylatex®.
The warranty period for the Therapy System Cart, Battery Module and Ultrasound Applicators is one year (12 Months).
To participate in warranty coverage, this Product's warranty registration card (included with Product) must be filled out and returned to the Company by the original owner within ten (10) business
days of purchase.
This Warranty Does Not Cover:
• Replacement parts or labor furnished by anyone other than the Company, the selling dealer or a certified Company service technician.
• Defects or damage caused by labor furnished by someone other than Company, the selling dealer or a certified Company service technician.
• Any malfunction or failure in the Product caused by product misuse, including, but not limited to, the failure to provide reasonable and required maintenance or any use that is inconsistent
with the Product User's Manual.
COMPANY SHALL NOT BE LIABLE IN ANY EVENT FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES.
Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you.
To Obtain Service From Company or the selling dealer under this warranty:
1. A written claim must be made within the warranty period to the Company or the selling dealer. Written claims made to the Company should be sent to:
4717 Adams Road
P.O. Box 489
Hixson, TN 37343 USA
Telephone: 1-423-870-2281 or 1-800-592-7329 U.S.A.
1-800-366-6661 CANADA
+1-423-870-7200 Outside USA
1-423-875-5497 Facsimile
and
2. The Product must be returned to the Company or the selling dealer by the owner.
This warranty gives you specific legal rights and you may also have other rights which vary from location to location.
The Company does not authorize any person or representative to create for it any other obligation or liability in connection with the sale of the Product.
Any representative or agreement not contained in the warranty shall be void and of no effect.
THE FOREGOING WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING ANY WARRANTY OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
92
ISO 13485 CERTIFIED
4717 Adams Road
P.O. Box 489
Hixson, TN 37343 U.S.A.
Telephone:
1-423-870-2281 U.S.A.
1-800-592-7329 U.S.A.
1-800-366-6661 CANADA
+1-423-870-7200 OUTSIDE U.S.A
+1 423-870-2046 OUTSIDE U.S.A. FAX
www.chattgroup.com
27423C 0413
© 2005 Encore Medical, L.P.