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User Manual

Operation & Installation


Instructions for:
Therapy Systems
2791K- Two Channel Combination System
2795K- Four Channel Combination System
2793K- Two Channel Electrotherapy System
2797K- Four Channel Electrotherapy System
Optional Equipment
2780- Therapy System Cart
2767- NiMH Battery Module
27508 and 27079- User Remote Controls
2781- Channel 3/4 Electrotherapy Module

© 2005 Encore Medical, L.P.


TABLE OF CONTENTS Intelect® Legend XT Therapy System

FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 INTELECT LEGEND XT ELECTROTHERAPY


PRODUCT DESCRIPTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 AND COMBINATION THERAPY SYSTEMS . . . . . . . . . . . . . . . . . . . . 10
ABOUT INTELECT LEGEND XT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Two Channel Electrotherapy System . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
STANDARD PRECAUTIONARY INSTRUCTIONS . . . . . . . . . . . . . . . 2 Two Channel Combination System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Caution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Front Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Warning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Rear Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Danger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 USER INTERFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Dangerous Voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 SYMBOL DEFINITIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Corrosive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 System Hardware Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Spontaneous Combustion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 System Software Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Biohazardous Materials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Optional Module and Accessory Symbols. . . . . . . . . . . . . . . . . . . . . . .13
CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Operator Remote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
WARNINGS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Battery Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
DANGERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Channel 3/4 Electrotherapy Module . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
ELECTROTHERAPY INDICATIONS, CONTRAINDICATIONS, GENERAL TERMINOLOGY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
AND ADVERSE EFFECTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Indications for Russian, TENS, High Voltage Pulsed Current SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
(HVPC), Interferential and Premodulated waveforms. . . . . . . . . . . . 7 SYSTEM SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Additional Indications for Microcurrent, Interferential, DIMENSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Premodulated, and TENS waveforms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Standard Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Additional Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Power (Combination and Electrotherapy Units). . . . . . . . . . . . . . . . .15
Adverse Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Electrical Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
ULTRASOUND INDICATIONS AND CONTRAINDICATIONS. . . . 9 Regulatory Compliance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Indications for Ultrasound. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 WAVEFORM SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 IFC- Interferential (Traditional 4 Pole) . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Additional Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Russian. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
NOMENCLATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 TENS- Symmetrical Biphasic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Microcurrent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
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Premodulated (Traditional 2 Pole IFC). . . . . . . . . . . . . . . . . . . . . . . . . . .18 ULTRASOUND PATIENT PREPARATION . . . . . . . . . . . . . . . . . . . . . . 31


High Voltage Pulsed Current (HVPC) . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Preparing Treatment Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
ULTRASOUND SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Size of Applicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Applicator Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
SETUP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Conductive Medium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
INTELECT LEGEND XT THERAPY SYSTEMS . . . . . . . . . . . . . . . . . . 20 Treatment Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
THERAPY SYSTEM SETUP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Applicator LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Clinic Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Restoring Default Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 OPERATOR INTERFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Restoring Default Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 HOME SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Erasing Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 ELECTROTHERAPY SCREEN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Setting Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 GENERAL ELECTROTHERAPY WAVEFORM SETUP . . . . . . . . . . . 35
Setting System Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Prepare Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Displaying Unit Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Select Modality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Pad Contact Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Select Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Selecting Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Edit Waveform Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Connecting Accessories to the Therapy System. . . . . . . . . . . . . . . . .26 Installing Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
PATIENT PREPARATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
ELECTROTHERAPY PATIENT PREPARATION . . . . . . . . . . . . . . . . . 27 Setting Waveform Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Electrode Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Intensity Knob Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
DURA-STICK™ Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Start Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Reusable Carbon Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Pause Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
DURA-STICK™ Electrode Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Stop Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Connecting Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Save to Patient Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Securing Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 ADJUSTING ELECTROTHERAPY CHANNEL PARAMETERS
Reusable Carbon Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 DURING TREATMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Connecting Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Selecting Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Conductive Medium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Editing Channel Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Securing Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
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Preparing Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 ADJUSTING COMBINATION PARAMETERS


Selecting Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 DURING TREATMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Editing Ultrasound Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Editing Waveform Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Head Warming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Editing Ultrasound Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Setting Ultrasound Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 PATIENT DATA CARD SETTING UP A NEW CARD . . . . . . . . . . . . 48
Intensity Knob Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Starting Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Inserting New Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Pausing Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Setting up Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Stopping Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Setting up a New Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Saving to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Entering Patient ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Editing Ultrasound from Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . .42 Accessing Electrode Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Editing Ultrasound from Treatment Review Screen . . . . . . . . . . . . .42 Setting up Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
COMBINATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Electrode Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Preparing Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Accessing Pain Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Selecting Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Selecting Pain Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Accessing Combination Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Adding Pain Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Editing Ultrasound Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Selecting Location of Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Selecting Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Editing Pain Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Using the Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Deleting Pain Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Editing Waveform Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Pain Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Setting Waveform Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Selecting Pain Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Intensity Knob Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Adjusting Pain Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Setting Ultrasound Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Saving to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Intensity Knob Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 EXISTING PATIENT DATA CARD USE . . . . . . . . . . . . . . . . . . . . . . . . . 55
Starting Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Inserting Existing Patient Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Pausing Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Accessing Patient Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Stopping Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Viewing Patient Data Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Saving to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Starting a New Treatment from Patient Data Card . . . . . . . . . . . . . .56
Using the Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
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TABLE OF CONTENTS Intelect® Legend XT Therapy System

Setting Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Saving to Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63


Intensity Knob Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 INSTALLATION/REMOVAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Starting Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY
Pausing Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 AND NiMH BATTERY MODULE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Erasing Patient Data Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Nomenclature- Channel 3/4 Electrotherapy Module. . . . . . . . . . . .65
Stopping Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
CREATING USER PROTOCOLS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Waveform & Current Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Disconnecting Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Selecting Modality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Removing Lead Wires and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . .67
Editing Modality Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Removing Therapy System from Cart . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Selecting Clinical Resources Library. . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Releasing Ribbon Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Entering User Protocol Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Positioning Therapy System and Module . . . . . . . . . . . . . . . . . . . . . . .68
DELETING USER PROTOCOLS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Connecting Ribbon Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Setting Therapy System onto Module . . . . . . . . . . . . . . . . . . . . . . . . . .69
Selecting Clinical Resources Library. . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Securing Therapy System to Module . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Selecting User Protocol to Delete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Attaching the Lanyard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Deleting User Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Installing Lead Wires and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . .70
USING USER PROTOCOLS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Installing Front Access Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
Accessing User Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Mounting to Therapy System Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
Selecting User Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Connecting Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
Preparing Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Turning Therapy System On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
Editing Modality Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 REMOVING THE CHANNEL 3/4 ELECTROTHERAPY
Using the Patient Interrupt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 AND NiMH BATTERY MODULE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Setting Modality Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Disconnecting Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
Intensity Knob Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Removing Lead Wires and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . .72
Starting Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Removing Therapy System from Cart . . . . . . . . . . . . . . . . . . . . . . . . . . .72
Pausing Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Removing Screws Securing Module . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Stopping Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Disconnecting Ribbon Cable at Module. . . . . . . . . . . . . . . . . . . . . . . . .73
Storing and Securing Ribbon Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
iv
TABLE OF CONTENTS Intelect® Legend XT Therapy System

Attaching the Lanyard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 Charging Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84


Installing Lead Wires and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . .74 BATTERY MODULE SERVICE LIFE . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Connecting Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 STORING THE BATTERY MODULE. . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Turning Therapy System On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Short Term Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
GENERAL INFORMATION OPERATOR REMOTE . . . . . . . . . . . . . 76 Long Term Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Installing the Operator Remote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
GENERAL INFORMATION THERAPY SYSTEM CART . . . . . . . . . 77 ERROR CODES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Nomenclature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 REPLACEMENT ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART 78 GENERAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Assembling the Therapy System Cart . . . . . . . . . . . . . . . . . . . . . . . . . . .78 MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Preparing the Therapy System Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 CARING FOR THE THERAPY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . 91
Mounting Therapy System to Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 Cleaning the Therapy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Connecting Mains Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Cleaning the Lens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Installing Storage Bins. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 CALIBRATION REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Removing System from Therapy System Cart . . . . . . . . . . . . . . . . . . .79 Calibrating Ultrasound Applicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
OPTION OPERATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 FACTORY SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
USING THE OPERATOR REMOTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Nomenclature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Storing the Operator Remote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
USING THE THERAPY SYSTEM CART. . . . . . . . . . . . . . . . . . . . . . . . . 82
Nomenclature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
USING THE NiMH BATTERY MODULE . . . . . . . . . . . . . . . . . . . . . . . . 83
Nomenclature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
CHARGING BATTERY MODULE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
When to Recharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

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.

1
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System

STANDARD PRECAUTIONARY INSTRUCTIONS


The precautionary instructions found in this section and throughout this manual are indicated by specific symbols. Understand these
symbols and their definitions before operating this equipment. The definition of these symbols are as follows:
Dangerous Voltage
Text with a “Dangerous Voltage” indicator serves to inform
the user of possible hazards resulting in the electrical
Caution charge delivered to the patient in certain treatment
Text with a “CAUTION” indicator will explain possible safety configurations of TENS waveforms.
infractions that could have the potential to cause minor to Corrosive
moderate injury or damage to equipment. Text with a “CORROSIVE" indicator will explain possible
safety infractions if the chemical components of the battery
are exposed to air, skin, or other materials.
Spontaneous Combustion
Warning Text with a “SPONTANEOUS COMBUSTION" indicator
Text with a “WARNING” indicator will explain possible safety will explain possible safety infractions that could create
infractions that will potentially cause serious injury and conditions for a Spontaneous Combustion if the material is
equipment damage. mishandled and not disposed of properly.
Biohazardous Materials
Text with a “BIOHAZARD” indicator serves to inform the
user of possible hazards resulting in improper handling of
components and accessories that have come in contact
Danger with bodily fluids.
Text with a “DANGER” indicator will explain possible safety
infractions that are imminently hazardous situations that would NOTE: Throughout this manual, “NOTE” may be found. These
result in death or serious injury. Notes are helpful information to aid in the particular area
or function being described.

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)

• Stimulation should not be applied over the anterior neck or mouth.


Severe spasm of the laryngeal and pharyngeal muscles may occur
and the contractions may be strong enough to close the airway or
cause difficulty in breathing.
• Stimulation should not be applied transthoracically in that the
introduction of electrical current into the heart may cause cardiac
arrhythmia.
• Stimulation should not be applied over swollen, infected, and
inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis,
varicose veins, etc.
• Stimulation should not be applied over, or in proximity to, cancerous
lesions.
• Output current density is related to electrode size. Improper
application may result in patient injury. If any question arises as to
the proper electrode size, consult a licensed practitioner prior to
therapy session.
• The Intelect Legend XT Therapy System optional modules and associated
accessories are designed for use only with the Chattanooga Group
Intelect Legend XT Electrotherapy and Combination Therapy Systems.

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.

6
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System

ELECTROTHERAPY INDICATIONS, CONTRAINDICATIONS, AND ADVERSE EFFECTS


Indications for Russian, TENS, High Voltage Pulsed Current Contraindications
(HVPC), Interferential and Premodulated waveforms • This device should not be used for symptomatic local pain relief
• Relaxation of muscle spasms unless etiology is established or unless a pain syndrome has
• Prevention or retardation of disuse atrophy been diagnosed.
• Increase local blood circulation • This device should not be used when cancerous lesions are
present in the treatment area.
• Muscle re-education
• Stimulation should not be applied over swollen,
• Maintaining or increasing range of motion infected, inflamed areas or skin eruptions (e.g. phlebitis,
Additional Indications for Microcurrent, Interferential, thrombophlebitis, varicose veins, etc.).
Premodulated, and TENS waveforms • Other contraindications are patients suspected of carrying
• Symptomatic relief and management of chronic, serious infectious disease and or disease where it is advisable,
intractable pain for general medical purposes, to suppress heat or fevers.
• Post-traumatic acute pain • Electrode placements must be avoided that apply current
• Post-surgical acute pain to the carotid sinus region (anterior neck) or transcerebrally
(through the head).
• Safety has not been established for the use of therapeutic
electrical stimulation during pregnancy.
• Powered muscle stimulators should not be used on patients
with cardiac demand pacemakers.
• There should not be any use of TENS waveforms on patients
with cardiac demand pacemakers.

7
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System

ELECTROTHERAPY INDICATIONS, CONTRAINDICATIONS, AND ADVERSE EFFECTS (continued)


Additional Precautions • With TENS waveforms, isolated cases of skin irritation may
• Caution should be used for patients with suspected or occur at the site of electrode placement following long-term
diagnosed heart problems. application.
• Caution should be used for patients with suspected or • The effectiveness of TENS waveforms is highly dependent upon
diagnosed epilepsy. patient selection by a person qualified in pain management.
• Caution should be used in the presence of the following: Adverse Effects
• When there is a tendency to hemorrhage following acute • Skin irritation and burns beneath the electrodes have been
trauma or fracture. reported with the use of powered muscle stimulators.
• Following recent surgical procedures when muscle • Potential adverse effects with TENS are skin irritation and
contraction may disrupt the healing process. electrode burns.
• Over a menstruating or pregnant uterus.
• Over areas of the skin which lack normal sensation.
• Some patients may experience skin irritation or hypersensitivity
due to the electrical stimulation or electrical conductive
medium. The irritation can usually be reduced by using an
alternative conductive medium or an alternative electrode
placement.
• Electrode placement and stimulation settings should be based
on the guidance of the prescribing practitioner.
• Powered muscle stimulators should be used only with the
lead wires and electrodes recommended for use by the
manufacturer.

8
ABOUT INTELECT LEGEND XT Intelect® Legend XT Therapy System

ULTRASOUND INDICATIONS AND CONTRAINDICATIONS


Indications for Ultrasound
Application of therapeutic deep heat for the treatment of selected • This device should not be used over or near bone growth
sub-chronic and chronic medical conditions such as: centers until bone growth is complete.
• Relief of pain, muscle spasms, and joint contractures • This device should not be used over the thoracic area if the
• Relief of pain, muscle spasms, and joint contractures that may patient is using a cardiac pacemaker.
be associated with: • This device should not be used over a healing fracture.
• Adhesive capsulitis • This device should not be used over or applied to the eye.
• Bursitis with slight calcification • This device should not be used over a pregnant uterus.
• Myositis • This device should not be used on ischemic tissues in
• Soft tissue injuries individuals with vascular disease where the blood supply would
• Shortened tendons due to past injuries and scar tissues be unable to follow the increase in metabolic demand and
tissue necrosis might result.
• Relief of sub-chronic, chronic pain, and joint contractures
resulting from: Additional Precautions
• Capsular tightness Additional precautions should be used when ultrasound is used
on patients with the following conditions:
• Capsular scarring
• Over an area of the spinal cord following a
Contraindications Laminectomy, i.e., when major covering tissues have been
• This device should not be used for symptomatic local pain relief removed
unless etiology is established or unless a pain syndrome has • Over anesthetic areas
been diagnosed.
• On patients with hemorrhagic diatheses
• This device should not be used when cancerous lesions are
present in the treatment area.
• Other contraindications are patients suspected of carrying
serious infectious disease and disease where it is advisable for
general medical purposes to suppress heat or fevers.

9
NOMENCLATURE Intelect® Legend XT Therapy System

INTELECT LEGEND XT ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS


Two Channel Electrotherapy System Two Channel Combination System
4 4
1 1
6 6 7
2
2

3 3
5 5

1. Two Channel Electrotherapy System 1. Two Channel Combination System


2. User Interface (See Page 12) 2. User Interface (See Page 12)
3. Front Access Panel 3. Front Access Panel
4. Rear Access Panel 4. Rear Access Panel
5. Patient Data Card access port 5. Patient Data Card access port
6. Multimedia Card (MMC) access port (Unused) 6. Multimedia Card (MMC) access port (Unused)
Ultrasound Applicator (5cm2 shown)
10
NOMENCLATURE Intelect® Legend XT Therapy System

INTELECT LEGEND XT ELECTROTHERAPY AND COMBINATION THERAPY SYSTEMS (continued)


Front Access Panel Rear Access Panel
1

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

PAUSE TREATMENT CHANNEL 1/2


OPERATOR PAD CONTACT QUALITY CHARGE LEVEL
REMOTE ULTRASOUND CHANNEL 3/4 OPERATOR
APPLICATOR SINGLE CHANNEL GRAPH
CONTROL REMOTE CONTROL
START TREATMENT OPTIONAL BATTERY CHARGING OPTIONAL

PAD CONTACT QUALITY


* Used for System Software DUAL CHANNEL GRAPH
Upgrades

13
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

SYSTEM SPECIFICATIONS DIMENSIONS


Width
Combination System . . . . . . . . . . . . . . . . . . . . . . . . . 11.375 in (28.9 cm)
Electrotherapy System . . . . . . . . . . . . . . . . . . . . . . . . . 9.750 in (24.8 cm)
Depth (Combination and Electrotherapy System) . 12.750 in (32.4 cm)
Height (Combination and Electrotherapy System) . 8.750 in (22.2 cm)
Standard Weight
Two Channel Combination System. . . . . . . . . . . . . . . . . . 7 lbs (3.2 kg)
Two Channel Electrotherapy System . . . . . . . . . . . . . . . . 6 lbs (2.7 kg)
HEIGHT
Power (Combination and Electrotherapy Units)
Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 - 240 V - 1.0 A, 50/60 Hz
Output (Internal Power Supply) . . . . . . . . . . . . . . . . . . . . . . . . +24 V, 7.3 A
Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two 6.3 A Time Lag
Electrical Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CLASS I
Electrical Type
Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TYPE B
DEPTH
WIDTH Electrotherapy and sEMG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TYPE BF
Regulatory Compliance
UL/IEC/EN 60601-1
IEC/EN 60601-1-2
IEC 60601-2-5
NOTE: All waveforms except High Voltage Pulsed Current (HVPC) IEC 60601-2-10
have been designed with a 200 mA current limit.
TENS waveform output intensities are measured, specified
and listed to peak, not peak to peak. 0413

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

*CC= Constant Current


CV= Constant Voltage

16
SPECIFICATIONS Intelect® Legend XT Therapy System

WAVEFORM SPECIFICATIONS (continued)


TENS- Symmetrical Biphasic Microcurrent
The Symmetrical Biphasic waveform has a short pulse duration Microcurrent is a monophasic waveform of very low intensity that
and is capable of strong stimulation of nerve fibers in the skin closely simulates the electrical current generated by the human
and in muscle. This waveform is often used in portable muscle body. Microcurrent can be applied via electrodes or probe.
stimulation units, and some TENS devices. Because of its short
pulse duration, the patient typically tolerates the current well, Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Electrodes or Probe
even at relatively high intensities. Output Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-1000 μA
Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes Polarity . . . . . . . . . . . . . . . . . . . . . . . . . Positive, Negative, or Alternating
Output Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-80 mA Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes
Phase Duration . . . . . . . . . . . . . . . . . . . . . . . . . Adjustable 20-1,000 μsec Available on channels . . . . . . . . . . . . . . . . . . . . . . . .1 & 2, 3, & 4 Option
Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-250 Hz
Mode Selection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC or CV*
Burst Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-25 bps
Frequency Modulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-250 Hz
Amplitude Modulation . . . . . . . . . . . . Off, 40%, 60%, 80%, and 100%
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes

Stimulus delivered by the TENS waveforms of this device,


in certain configurations, will deliver a charge of 25
microcoulombs (μC) or greater per pulse and may be
*CC= Constant Current sufficient to cause electrocution. Electrical current of this
magnitude must not flow through the thorax because it may
CV= Constant Voltage cause a cardiac arrhythmia.

17
SPECIFICATIONS Intelect® Legend XT Therapy System

WAVEFORM SPECIFICATIONS (continued)


Premodulated (Traditional 2 Pole IFC) High Voltage Pulsed Current (HVPC)
Premodulated Current is a medium frequency waveform. Current
The High Voltage Pulsed Current (HVPC) has a very brief pulse
comes out of one channel (two electrodes). The current intensity
duration characterized by two distinct peaks delivered at
is modulated: it increases and decreases at a regular frequency
high voltage. The waveform is monophasic (current flows in
(the Amplitude Modulation Frequency).
one direction only). The high voltage causes a decreased skin
Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrodes resistance making the current comfortable and easy to tolerate.
Output Intensity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-100 mA Output Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Electrodes or Probe
Carrier Frequency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,500 Hz Output Intensity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0-500 V
Beat Fixed (Sweep Off ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-200 Hz
Polarity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Positive or Negative
Sweep Low Beat Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-200 Hz
Ramp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.5 sec, 1 sec, 2 sec, 5 sec
Sweep High Beat Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . 81-200 Hz
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Peak Current or Volts
Cycle Time . . . . . . . . . . .Continuous, 5/5, 4/12, 10/10, 10/20, 10/30, 10/50
Sweep . . . . . . . . . . . . . .Continuous, 80/120 pps, 1/120 pps, 1/10 pps
Mode Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CC or CV*
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-120 pps
Available on Channel . . . . . . . . . . . . . . . . . . . . . . . . .1 & 2, 3, & 4 Option Cycle Time. . . . . .5/5, 4/12, 10/10, 10/20, 10/30, 10/50, Continuous
Treatment Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-60 minutes
Available on Channels . . . . . . . . . . . . . . . . . . . . . . . .1 & 2, 3, & 4 Option

*CC= Constant Current


CV= Constant Voltage

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

INTELECT LEGEND XT THERAPY SYSTEMS


Remove the Intelect Legend XT Two or Four Channel Therapy System and all accessories from the shipping carton. Visually inspect for
damage. Report any damage to the carrier immediately.
Contents of Carton:
• Intelect Legend XT Two or Four Channel Electrotherapy or Combination System
• Patient Data Cards (5)
• Patient Interrupt Switch for Channels 1 and 2
• Electrotherapy Lead Kit that includes:
• Nylatex® Wrap- 2 rolls- 2.5 in X 24 in (6 cm X 61 cm)
• Lead Wires (one for Channel 1 and one for Channel 2)
• 3 in (7.6 cm) Round Carbon Electrodes (one set of 4 - 2 Black and 2 Red)
• DURA-STICK™ II 2.75 in (7 cm) Round Disposable Electrodes (1 pack of 4)
• Patient Interrupt Switch for Channels 3 and 4 (Four Channel Systems only)
• Lead Wires- (one for Channel 3 and one for Channel 4 - Four Channel Systems only)
• 5 cm2 Ultrasound Applicator (Combination Systems Only)
• Cord Set
• Conductor Transmission Gel - 1 bottle (Combination Systems Only)
• User Manual

20
SETUP Intelect® Legend XT Therapy System

THERAPY SYSTEM SETUP


Accessing Operator Utilities Select the row of alpha or numeric SELECT ROW AND CHARACTER BUTTONS
Plug unit into wall outlet. characters desired by pushing the
POWER SWITCH
button beside the corresponding
Turn system On.
row. Select the desired character in
the row by pressing the row button
until the desired letter is framed.

NOTE: To add a space, select the


area to the left of the letter
A.
Press the Home and Back buttons
simultaneously.
Once selection is framed, press the MOVE ACCEPT AND
Accept and Return Arrow button. LEFT RETURN
To return to the System Home The character just chosen will
screen, press the Home button. display in the top of the screen and
the cursor will advance to the next
character.
To go back a character press the DELETE SAVE
Move Left Arrow button. To delete
Clinic Name CLINIC NAME BUTTON the character, press the Delete
Press Clinic Name button. button.
BACK
Once Clinic Name is completed,
press the Save button.
To discard entry, press the Back
button.

21
SETUP Intelect® Legend XT Therapy System

THERAPY SYSTEM SETUP (continued)


Restoring Default Protocols Restoring Default Unit Settings
Press Restore Default Protocols RESTORE DEFAULT Press the Restore Default Unit RESTORE DEFAULT UNIT
button. PROTOCOLS BUTTON Settings button to restore the SETTINGS BUTTON
system defaults. This control will
neither change the Date and
Time nor affect any of the Clinical
Protocols stored in the 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.

If it is not desired to permanently


remove all of the User Protocols
and User Sequences from the PRESS NO BUTTON TO
System, press the No button. KEEP PROTOCOLS
AS THEY ARE

22
SETUP Intelect® Legend XT Therapy System

THERAPY SYSTEM SETUP (continued)


Erasing Patient Data Card Setting Date and Time
Install Patient Data Card to be INSERT ERASE PATIENT Press Set Date and Time button.
erased into Patient Data Card PATIENT CARD BUTTON SET DATE
Access Port on the system. CARD AND TIME
BUTTON
Press Erase Patient Card button.

Press the Yes button to erase YES NO


all data from Patient Data Card. BUTTON BUTTON
Press the UP or Down Arrow PRESS THE RESPECTIVE UP OR DOWN
Press the No button to keep all button for the respective area ARROW BUTTONS TO CHANGE
data on Patient Data Card. until desired change is displayed.
After all desired changes are
made, press the Back button to
return to the Utilities screen.
After Patient Data Card is YES
erased, a verification message BUTTON
will appear. Press any button to
return to the Utilities screen.
BACK
BUTTON

23
SETUP Intelect® Legend XT Therapy System

THERAPY SYSTEM SETUP (continued)


Setting System Volume Displaying Unit Version Information
Press Volume button until VOLUME Press the Display Unit Version PRESS DISPLAY UNIT
the desired system volume is BUTTON Information button to show VERSION BUTTON TO VIEW
achieved. There are six settings: the system software versions SOFTWARE VERSIONS
Off, X-Low, Low, Med, High and installed.
X-High.
Each time the Volume button is
pressed the setting displayed will
emit three beep tones at that
level.

Press the Back button to return


the Operator Utilities screen.

BACK
BUTTON

24
SETUP Intelect® Legend XT Therapy System

THERAPY SYSTEM SETUP (continued)


Pad Contact Quality Selecting Language
The Pad Contact Quality feature indicates to the user the contact To change the language LANGUAGE
quality of the electrodes on the patient. This function, if On, displayed on the system, press BUTTON
displays a bar graph at the bottom of Treatment Review screen for the Language button until the
the following waveforms only: desired language is displayed.
The Therapy System Pad Contact Quality default is ON. Press Home button to set the
language and return to Home
• Interferential: PAD CONTACT QUALITY screen.
Dual Channel Graph BUTTON
If Unit Default Settings are
• IFC Premod (2p): restored, the language will revert
Single Channel Graph back to English.
• Russian:
Single Channel Graph
To turn On or Off, press Pad
Contact Quality button until On SINGLE CHANNEL GRAPH
or Off as desired is displayed.
Single Channel Waveforms will
display a single bar graph. Dual PRESS HOME BUTTON
GOOD CONTACT TO SET LANGUAGE
Channel waveforms will display a QUALITY
double bar graph.
DUAL CHANNEL GRAPH
Contact quality is measured by CHANNEL 1:
the amount of the graph filled GOOD CONTACT QUALITY
with black.
An ideal contact quality is 75% or
more of the graph filled. CHANNEL 2:
NO CONTACT QUALITY

25
SETUP Intelect® Legend XT Therapy System

THERAPY SYSTEM SETUP (continued)


Connecting Accessories to the Therapy System
Install Lead Wires, Ultrasound Applicator, Patient Interrupt Switch,
and any other accessories according to the Front Access Panel as
illustrated below. Refer to page 13 for Symbol Definitions.

OPERATOR REMOTE MICROCURRENT PROBE


OPTIONAL OPTIONAL

CHANNEL 1/2 CHANNEL 1 CHANNEL 2 ULTRASOUND APPLICATOR


PATIENT INTERRUPT SWITCH LEAD WIRE LEAD WIRE COMBO SYSTEMS ONLY
BLACK GREY

26
PATIENT PREPARATION Intelect® Legend XT Therapy System

ELECTROTHERAPY PATIENT PREPARATION


Electrode Placement
• Examine the skin for any wounds and clean the skin.
• Apply the electrodes to the treatment area.
• Ensure the electrodes are applied securely to the skin.
• Ensure good contact between each electrode and the skin. • Keep electrodes separated during treatment. Electrodes in contact
with each other could result in improper stimulation or skin burns.
• Check the electrode contact regularly during the treatment. • Output current density is related to electrode size. Improper
• Examine the skin again after the treatment. application may result in patient injury. If any question arises as to
• Choose electrodes that fit the anatomy. the proper electrode size, consult a licensed practitioner prior to
• Refer to the respective electrode type instructions on pages 28 therapy session.
through 30. • Powered muscle stimulators should be used only with the leads and
electrodes recommended for use by the manufacturer.
• Follow electrode manufacturer instructions.

27
PATIENT PREPARATION Intelect® Legend XT Therapy System

ELECTROTHERAPY PATIENT PREPARATION (continued)


DURA-STICK™ Electrodes Reusable Carbon Electrodes
Chattanooga Group DURA-STICK™ Electrodes are a self adhesive, If used for delivery of electrotherapy, the Carbon Electrodes
single patient, one time use disposable product designed must be used with a conductive medium such as Conductor™
specifically for use with Chattanooga Group Electrotherapy Transmission Gel.
systems. These Carbon Electrodes should be secured to the treatment area
It is recommended that Chattanooga Group DURA-STICK™ using the Nylatex® Wraps shipped with the Therapy System.
Electrodes be used whenever possible to ensure the highest level
of contact with the treatment area and most uniform delivery of
the prescribed electrotherapy treatment.
Properly dispose of used DURA-STICK™ Electrodes upon
completion of the therapy session.

28
PATIENT PREPARATION Intelect® Legend XT Therapy System

ELECTROTHERAPY PATIENT PREPARATION (continued)


Dura-Stick™ Electrode Instructions
Connecting Lead Wires Securing Electrodes
Insert the lead with the Red (+) electrode Remove the DURA-STICK™ Electrodes from
connector into one DURA-STICK™ Electrode. the protective backing and apply to the
Insert the lead with the Black (-) electrode treatment area as prescribed. Ensure the
connector into the other electrode. entire electrode surface is in contact with
Make certain the lead wires are patient skin by pressing into place.
seated completely into the electrodes.
NOTE: Use of conductive medium or
sponges is not required or
recommended. DURA-STICK™
Electrodes are manufactured to
ensure the optimum conductivity
during therapy when properly
applied.
LEAD WIRE SEATED

RED +
LEAD WIRE

BLACK 
LEAD WIRE

29
PATIENT PREPARATION Intelect® Legend XT Therapy System

ELECTROTHERAPY PATIENT PREPARATION (continued)


Reusable Carbon Electrodes
Connecting Lead Wires Conductive Medium Securing Electrodes
Insert the lead with the Red (+) electrode Liberally apply Conductor™ Transmission Use the Nylatex® Wrap to secure each
connector into Red electrode. Insert the Gel to electrode prior to placement on electrode in position on the patient.
lead with the black (-) electrode connector patient.
into the Black electrode.
Make certain the lead wires are seated
completely into the electrodes.

LEAD WIRE
SEATED

SECURE WITH
NYLATEX

RED +
LEAD WIRE

The Nylatex® Wraps contain dry natural rubber and


may cause allergic reactions in patients with allergies
to latex.
BLACK 
LEAD WIRE

30
PATIENT PREPARATION Intelect® Legend XT Therapy System

ULTRASOUND PATIENT PREPARATION


Preparing Treatment Area Conductive Medium
Examine the skin for any wounds and clean the skin. Liberally apply Conductor™ APPLY
Size of Applicator Transmission Gel or equivalent to CONDUCTIVE GEL
the treatment area on the patient.
Sound Heads are available in the sizes shown below.

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

GENERAL ELECTROTHERAPY WAVEFORM SETUP


The following information is an example of step by step setup for the Electrotherapy waveforms. All waveforms in the Intelect Legend XT
Therapy System are set up and edited in the same basic fashion. The following setup instructions use Interferential Waveform.
Prepare Patient Select Waveform Edit Waveform Parameters
Refer to pages 27 through 30 for electrode Press button beside the desired waveform Press Edit button to access waveform
selection, preparing patient, and securing from the listing on the screen. parameters.
electrodes. Press the corresponding button to edit
PRESS DESIRED WAVEFORM BUTTON each parameter as prescribed.
Select Modality
Press the Electrotherapy button on the
Home screen. PARAMETER
EDIT BUTTON BUTTONS
ELECTROTHERAPY
BUTTON

BACK
BUTTON

Refer to Specifications section of this


manual for all available waveforms on the
Intelect Legend XT Therapy System. Press the Back button to return to the
Treatment Review screen.

35
OPERATION Intelect® Legend XT Therapy System

GENERAL ELECTROTHERAPY WAVEFORM SETUP (continued)


Installing Patient Interrupt Switch Patient Interrupt Switch Setting Waveform Intensity
Make certain the Patient Interrupt Switch is Give Patient Interrupt Switch to patient Set intensity by rotating the Intensity Control
connected to the Therapy System. Refer to and explain that pressing the Red button Knob to the prescribed level.
page 13 for Symbol Definitions. once pauses the therapy session.
LANYARD PRESSING BUTTON ONCE PAUSES SESSION

INTENSITY
DISPLAYED
PATIENT
INTERRUPT
SWITCH
ROTATE
INTENSITY
KNOB

If Patient Interrupt Switch is depressed, the


treatment will be paused and a message
will appear on the System screen.
Press any button to clear the message. Intensity Knob Rotation
NOTE: If the Patient Interrupt Switch is Clockwise- Increases Intensity
NOTE: When reinstalling the Front Access depressed a second time, the Counterclockwise- Decreases Intensity
Panel, make certain the Lanyard does message will clear from the
not become kinked. screen and the treatment will
remain paused.

36
OPERATION Intelect® Legend XT Therapy System

GENERAL ELECTROTHERAPY WAVEFORM SETUP (continued)

Start Treatment Pause Treatment Stop Treatment


Press the Start button to begin therapy Press the Pause button to pause therapy To Stop treatment, press the Stop button
session. session and maintain remaining time. To once. Treatment will stop and the
resume treatment, press the Pause button Completed Treatment Review screen will
START again. display.
BUTTON
PAUSE STOP BUTTON
BUTTON

Save to Patient Data Card


After session is complete, press the Save
to Patient Card button. Refer to pages 48
through 57 for Patient Data Card Setup
and use.

37
OPERATION Intelect® Legend XT Therapy System

ADJUSTING ELECTROTHERAPY CHANNEL PARAMETERS DURING TREATMENT


The Electrotherapy channel parameters may be changed during a treatment session without pausing or stopping the treatment. The
waveform Intensity may be increased or decreased at any time during the session without utilizing this process.
Selecting Channel Editing Channel Parameters
Press the Home button. Press the Select Channel button until the Press the Edit button. Edit parameters as
channel desired is framed. desired.
VIEW/EDIT
BUTTON
EDIT PARAMETER
BUTTON BUTTONS

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

PARAMETER BACK To set the default of the Head Warming


BUTTONS BUTTON feature to On, press the Home button after
On is displayed in the Head Warming icon.
Head Warming will then start when the
Therapy System is turned On.
Press the Back button to return to
Treatment Review screen. NOTE: Head warming time is
approximately 2 minutes.
39
OPERATION Intelect® Legend XT Therapy System

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

NOTE: When the Applicator LED is


Intensity Knob Rotation illuminated, the Applicator is
Clockwise- Increases Intensity emitting Ultrasound.
Counterclockwise- Decreases Intensity

40
OPERATION Intelect® Legend XT Therapy System

ULTRASOUND (continued)

Stopping Treatment Saving to Patient Data Card

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

ADJUSTING ULTRASOUND PARAMETERS DURING TREATMENT


The ultrasound parameters may be changed during a treatment session without pausing or stopping the treatment. The following
information provides instructions for changing ultrasound treatment parameters during a treatment session. The ultrasound intensity may
be increased or decreased at any time during the session without utilizing this process.
Editing Ultrasound from Home Screen Editing Ultrasound from Treatment
Press Select Channel button until US: Press the corresponding parameter button Review Screen
Running is framed. and edit as prescribed. Press the Edit button on the Treatment
Press View/Edit Channel button. PARAMETER
Review screen.
BUTTONS Press the corresponding parameter button
Press the Edit button on the Treatment
Review screen. and edit as prescribed.
EDIT
VIEW/EDIT BUTTON
CHANNEL
BUTTON

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.

Press the Back button to return to the


Treatment Review screen.

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

Intensity Knob Rotation


Clockwise- Increases intensity Intensity Knob Rotation
Counterclockwise- Decreases intensity Clockwise- Increases intensity
Counterclockwise- Decreases intensity

45
OPERATION Intelect® Legend XT Therapy System

COMBINATION (continued)

Starting Treatment Pausing Treatment Stopping Treatment


Press the Start button to begin therapy Press the Pause button to pause therapy To Stop treatment, press the Stop button
session. session and maintain remaining time. To once. Treatment will stop and the
Move the Applicator in a circular motion resume treatment, press the Pause button Completed Treatment Review screen will
on the treatment area. again. display.
START PAUSE STOP BUTTON
BUTTON BUTTON

Saving to Patient Data Card


After session is complete, press the Save
to Patient Card button. Refer to pages 48
through 57 for Patient Data Card Setup
and use.

46
OPERATION Intelect® Legend XT Therapy System

ADJUSTING COMBINATION PARAMETERS DURING TREATMENT


The channel parameters may be changed during a treatment session without pausing or stopping the treatment. The following
information provides instructions for changing Combination Treatment Electrotherapy Channel and Ultrasound parameters during a
treatment session.
Editing Waveform Parameters Editing Ultrasound Parameters
Press the Edit Stim button to edit the Press the Edit Ultrasound button. NOTE: To edit parameters from the Home
parameters of the waveform selected. Press the corresponding button to edit screen, see page 38 for selecting
Press the corresponding button to edit the desired Ultrasound parameter as channel instructions.
each parameter as prescribed. prescribed.
Rotate the Intensity knob to increase or EDIT
decrease waveform intensity as prescribed. ULTRASOUND
BUTTON PARAMETER
BUTTONS
EDIT STIM
BUTTON

PARAMETER
BUTTONS

NOTE: See page 39 for Head Warming


feature instructions.

47
OPERATION Intelect® Legend XT Therapy System

PATIENT DATA CARD SETTING UP OF NEW CARD


General Information
The Intelect Legend XT Therapy System incorporates a Patient Data Card reading and recording device that allows transfer of patient therapy
data from the system to the card for reviewing patient modality and pain profile information. Information may be transferred to a PC via the
optional Patient Data Management System. The PC software is designed to allow easy access to patient data and printing of reports as well as
adding session notes to the Patient Data Card.
The reading and recording device allows storage and recall of the following patient session data onto the Patient Data Card: therapy session
parameters, Electrode Placement, Pain Map, Numeric Pain Scale or Visual Pain Scale, and Session Notes (stored on card via PC only). Each
Patient Data Card can store multiple sessions and each session can be recalled on the Intelect Legend XT Therapy System.
Inserting New Patient Data Card Setting up Treatment Setting up a New Patient Data Card
Insert a new Patient Data Card into the Setup the patient's prescribed treatment. With new Patient Data Card inserted in
system access port as shown below. The Refer to the appropriate area of this manual the system, press the Save to Patient Card
Therapy System will automatically format for modality setup. button.
the new Patient Data Card and a verification
Administer treatment as prescribed. When SAVE TO
message will appear. PATIENT CARD
treatment is complete, the Treatment
BUTTON
Press any button to continue. Review screen will be visible.
INSERT NEW
PATIENT DATA CARD
PRESS ANY BUTTON
TO CONTINUE

48
OPERATION Intelect® Legend XT Therapy System

PATIENT DATA CARD SETTING UP OF NEW CARD (continued)


Entering Patient ID
Select the row of alpha or numeric When the desired character is framed, press To delete a character, press the Left Arrow
characters desired by pushing the button the Accept and Return Arrow button. The button until the character to be deleted is
beside the corresponding row. Select the character selected will display in the top of framed. Press the Delete button.
desired character in the row by pressing the screen and the cursor will advance to
To discard entire entry, press the Back
the row button until the desired letter is the next position.
button.
framed.
To move back a character, press the Left
SELECT ROW AND CHARACTERS
Repeat this procedure until the desired
Arrow button.
Patient ID is entered.
CHARACTER
DISPLAYED After Patient ID is entered, press the Save
button.

SAVE
BUTTON

ACCEPT AND RETURN


LEFT
ARROW BUTTON
ARROW
BUTTON

NOTE: To add a space, select the area to


the left of the letter A.
49
OPERATION Intelect® Legend XT Therapy System

PATIENT DATA CARD SETTING UP OF NEW CARD (continued)


Accessing Electrode Placement Setting up Electrodes Electrode Placement
The following information uses an IFC Press the Pad button to select the Red (+) or Press the Up, Down, Left and Right Arrow
Treatment as an example. Electrode Black (-) electrode. buttons to position the selected electrode
Placement procedures for all modalities are Press the Chan button to select Channel 1 as close to the actual treatment location as
performed in the same basic fashion. or Channel 2. possible.
Press the Electrode Placement button. Press the Pad button to select the other
Press the Side button to select Front, Back, electrode. Repeat above procedure for
ELECTRODE PLACEMENT BUTTON Left, or Right of the body graphic. electrode positioning.
Press the Size button until desired electrode If applicable, press the Chan button, to
size is displayed. If electrode desired is not select another channel and repeat above
listed, select Other. procedures.
PAD After positioning the electrodes, press the
BUTTON Accept and Return Arrow button.
ELECTRODES
CHAN POSITIONED
BUTTON
SIDE
BUTTON

SIZE
BUTTON

NOTE: When Ultrasound is the modality, ACCEPT AND RETURN


only the Side button is available. ARROW BUTTON

50
OPERATION Intelect® Legend XT Therapy System

PATIENT DATA CARD SETTING UP OF NEW CARD (continued)


Accessing Pain Map Selecting Pain Type Adding Pain Locations
Press the Pain Map button to select Press the Pain Type button until the Press the Add button. The Add Pain Map
the body area of the associated pain as desired description is displayed in the Pain window will display.
described by the patient. Type icon.
ADD
PAIN MAP BUTTON BUTTON
PAIN TYPE
BUTTON

NOTE: A maximum of eight Pain Locations


may be selected.

51
OPERATION Intelect® Legend XT Therapy System

PATIENT DATA CARD SETTING UP OF NEW CARD (continued)


Selecting Location of Pain Editing Pain Locations
Press the Up and Down Arrow buttons to Press the Add button to continue selecting, Press the Edit button on the Pain Map
move the Pain Locator to the area of the in sequence, the radiating path of the pain window.
body where the pain is located. using the above procedure. EDIT
Press the Accept and Return Arrow button. Up to eight pain locations may be selected. BUTTON
The Pain Map window will display. ADD UP AND DOWN
BUTTON ARROW BUTTONS
UP AND DOWN
PAIN ARROW BUTTONS
LOCATOR

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

PATIENT DATA CARD SETTING UP OF NEW CARD (continued)


Deleting Pain Locations Pain Scales
Press the Delete button on the Pain Map The Intelect Legend XT Therapy System incorporates two internationally recognized
window. Pain Scales; VAS (Visual Analog Scale), which has no indicator marks and Numeric Scale
DELETE (indicated 1 through 10). Use either of these for describing the amount of pain the patient
BUTTON is experiencing. When either pain scale is set, the other will automatically set to the
corresponding level.
UP AND DOWN
ARROW BUTTONS Selecting Pain Scale Adjusting Pain Scale
Select the desired Pain Scale by pressing the Press the Left and Right Arrow buttons to
corresponding button. adjust the Pain Scale to the level the patient
NUMERIC PAIN is experiencing.
SCALE BUTTON RIGHT
LEFT
ARROW ARROW
BUTTON BUTTON

DELETE
BUTTON
ACCEPT AND RETURN
ARROW BUTTON

Use the Up and Down Arrow buttons to ACCEPT AND RETURN


highlight the Pain Location to be deleted. ARROW BUTTON

Press the Delete button. VISUAL PAIN


Press the Accept and Return Arrow button. SCALE BUTTON After the desired level is achieved, press the
Accept and Return Arrow button.
Repeat until all editing is complete, then
press the Back button.
NOTE: Numeric Pain Scale illustrated.
53
OPERATION Intelect® Legend XT Therapy System

PATIENT DATA CARD SETTING UP OF NEW CARD (continued)


Saving to Patient Data Card
After all desired session data has been Press the Home button.
entered in the Patient Data Card screens, Remove the Patient Data Card for filing with
press the Save to Patient Card button. A patient records.
message will appear stating the data has The Patient Data Card can also be used with
been saved to the Patient Data Card. the optional Patient Data Management
Press any button. System.

SAVE TO PATIENT
CARD BUTTON

After pressing any button, the Completed


Treatment Review screen will display.

54
OPERATION Intelect® Legend XT Therapy System

EXISTING PATIENT DATA CARD USE


Inserting Existing Patient Data Card Accessing Patient Data Card Viewing Patient Data Card
Insert the Patient Data Card assigned to the Press the Patient Card button to access Press the corresponding button beside the
patient receiving treatment into the system Patient Data Card. Patient Data to be viewed.
access port as shown below.
Select the date of the treatment session
desired using the Up and Down Arrow
INSERT EXISTING
PATIENT DATA CARD buttons until date desired is highlighted.
PATIENT CARD
BUTTON

UP ARROW
BUTTON

NOTE: No Session Notes will be


available unless the optional
Patient Data Management System
DOWN ARROW was utilized to enter Session Notes
BUTTON onto the Patient Data Card.

55
OPERATION Intelect® Legend XT Therapy System

EXISTING PATIENT DATA CARD USE (continued)


Starting a New Treatment from Patient Using the Patient Interrupt Switch Setting Intensity
Data Card Connect Patient Interrupt Switch to the Set intensity by rotating the Intensity Control
Refer to pages 27-30 for Electrotherapy Therapy System. Give Patient Interrupt Knob to the prescribed level.
patient preparation, select electrodes, and Switch to patient and explain that pressing
secure electrodes. Refer to page 31 for the Red button once pauses the therapy
Ultrasound patient preparation. session.
Press the Up and Down Arrow buttons to CONNECT PATIENT
highlight the desired treatment date and INTERRUPT SWITCH INTENSITY
time. DISPLAYED

Press the View Treat button. PATIENT


Press Start New Treatment button. INTERRUPT ROTATE
SWITCH INTENSITY
VIEW TREAT KNOB
BUTTON

START NEW
TREATMENT
BUTTON

If Patient Interrupt Switch is depressed, the


treatment will be paused and a message
will appear on the System screen.
Press any button to clear the message. Intensity Knob Rotation
NOTE: If the Patient Interrupt Switch is Clockwise- Increases Intensity
depressed a second time, the Counterclockwise- Decreases Intensity
message will clear from the screen
and the treatment will remain
paused.

56
OPERATION Intelect® Legend XT Therapy System

EXISTING PATIENT DATA CARD USE (continued)

Starting Treatment Pausing Treatment Stopping Treatment


Press the Start button to begin therapy Press the Pause button to pause therapy To Stop treatment, press the Stop button
session. session and maintain remaining time. To once. Treatment will stop and the
resume treatment, press the Pause button Completed Treatment Review screen will
START
BUTTON
again. display.
PAUSE STOP BUTTON
BUTTON

Erasing Patient Data Card


Refer to page 23 for proper Patient Data
Card Erasing instructions.

57
OPERATION Intelect® Legend XT Therapy System

CREATING USER PROTOCOLS


General Information
This library is a series of protocols created by the user and stored in the system memory. The following information gives general instructions as
to setting up, saving and accessing User Protocols. Should the Default Protocols be restored, through the User Utilities, all User Protocols will be
permanently removed from the system.
The Therapy System memory will accommodate up to 200 user defined protocols.

Selecting Modality Editing Modality Parameters Selecting Clinical Resources Library


Press the button beside the desired Press the modality Edit button (usually Press the Clinical Resources Library button
modality on the Home screen or select a in the lower right corner of the modality to begin the save process of the new User
User Protocol using the Clinical Resources Treatment Review screen) and edit as Protocol.
Library button. prescribed.
MODALITY BUTTONS Refer to respective sections of this manual
for the specific modality prescribed.

CLINICAL RESOURCES
LIBRARY BUTTON

EDIT
BUTTON

58
OPERATION Intelect® Legend XT Therapy System

CREATING USER PROTOCOLS (continued)


Entering User Protocol Name
Select the row of alpha or numeric When the desired character is framed, press To delete a character, press the Left Arrow
characters desired by pushing the button the Accept and Return Arrow button. The button until the character to be deleted is
beside the corresponding row. Select the character selected will display in the top of framed. Press the Delete button.
desired character in the row by pressing the screen and the cursor will advance to
To discard entire entry, press the Back
the row button until the desired letter is the next position.
button.
framed. To move back a character, press the Left
Repeat this procedure until the desired
SELECT ROW AND CHARACTERS Arrow button.
Patient ID is entered.
CHARACTER
DISPLAYED After Patient ID is entered, press the Save
button.

SAVE
BUTTON

LEFT
ARROW ACCEPT AND RETURN
BUTTON ARROW BUTTON

NOTE: To add a space, select the area to


the left of the letter A.
59
OPERATION Intelect® Legend XT Therapy System

DELETING USER PROTOCOLS


General Information
The following information provides instructions for the deletion of one User Protocol at a time. Once any single User Protocol is deleted, it
Deleting User Protocols
cannot be recovered. Should the Default Protocols be restored through the User Utilities, all User Protocols will be permanently removed from
the system.
There is no method for recovery of the User Protocols nor can they be saved to any other medium.
Selecting Clinical Resources Library Selecting User Protocol to Delete Deleting User Protocol
Press the Clinical Resources Library button. Press the UP and Down Arrow buttons until the Press the Delete button to delete highlighted
Then press the User Protocols button. desired User Protocol to delete is highlighted. User Protocol.
UP AND DOWN
A verification screen will appear. Press Yes
ARROW BUTTONS button to delete protocol or No button to keep
protocol.

DELETE
USER BUTTON
PROTOCOLS
NO YES
BUTTON
BUTTON BUTTON

Repeat this process until all desired User


Protocols are deleted.
Press the Home button to return to the Home
screen.
60
OPERATION Intelect® Legend XT Therapy System

USING USER PROTOCOLS


Accessing User Protocols Selecting User Protocol Preparing Patient
Press the Clinical Resources Library button. Press the UP and Down Arrow buttons until the Refer to pages 27 through 30 for
Press the User Protocols button. prescribed User Protocol is highlighted. Electrotherapy and page 31 for Ultrasound
Press the Accept and Return Arrow button. patient preparation instructions.
Editing Modality Parameters
UP ARROW
BUTTON Press the Edit button.
Edit modality parameters as prescribed.
Refer to page 35 for Electrotherapy
modalities and page 39 for Ultrasound.

EDIT
BUTTON

ACCEPT AND
RETURN ARROW DOWN ARROW
BUTTON BUTTON

USER
PROTOCOLS
BUTTON

61
OPERATION Intelect® Legend XT Therapy System

USING USER PROTOCOLS (continued)


Using the Patient Interrupt Switch Setting Modality Intensity
Make certain the Patient Interrupt Switch, Give Patient Interrupt Switch to patient Set intensity by rotating the Intensity Control
for the channel(s) being used, is connected and explain that pressing the Red button Knob to the prescribed level.
to the Therapy System. Refer to page 13 for once pauses the therapy session.
Symbol Definitions.
PRESSING BUTTON ONCE PAUSES SESSION
LANYARD

INTENSITY
DISPLAYED
PATIENT
INTERRUPT
SWITCH ROTATE
INTENSITY
KNOB

If Patient Interrupt Switch is depressed, the


treatment will be paused and a message Intensity Knob Rotation
will appear on the System screen. Clockwise- Increases Intensity
Press any button to clear the message. Counterclockwise- Decreases Intensity

NOTE: If the Patient Interrupt Switch is


NOTE: When reinstalling the Front Access
depressed a second time, the
Panel, make certain the Lanyard does
message will clear from the
not become kinked.
screen and the treatment will
remain paused.

62
OPERATION Intelect® Legend XT Therapy System

USING USER PROTOCOLS (continued)

Starting Treatment Pausing Treatment Stopping Treatment


Press the Start button to begin therapy Press the Pause button to pause therapy To Stop treatment, press the Stop button
session. session and maintain remaining time. To once. Treatment will stop and the
resume treatment, press the Pause button Completed Treatment Review screen will
START
BUTTON
again. display.
PAUSE
STOP BUTTON
BUTTON

NOTE: Modality parameters may be


edited at any time during the
Saving to Patient Data Card
therapy session. Refer to page
48 for Electrotherapy and page 52 After session is complete, press the Save
for Ultrasound. to Patient Card button. Refer to pages 48
through 57 for Patient Data Card Setup
and use.

63
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System

INSTALLING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE


Possible System Configurations
The Intelect Legend XT Electrotherapy and Combination Systems allow installation of optional modality modules by the user. Specifically
designed for use with the Intelect Legend XT Therapy Systems, these modules configure the Therapy System to meet many of the therapeutic
needs that a clinician may have. The following is a list of possible configurations of the Intelect Legend XT Therapy System.
• Four Channel Electrotherapy or Combination System: Install the Channel 3/4 Electrotherapy Module to the Two Channel Electrotherapy
or Combination System.
• Battery Powered Two Channel Electrotherapy or Combination System: Install the NiMH Battery Module.
NOTE: The Battery Module cannot be installed on a Four Channel System. The Channel 3/4 Electrotherapy must first be removed.
The Channel 3/4 Electrotherapy and NiMH Battery modules are shipped with all necessary lead wires and accessories in order to complete the
installation and allow immediate use by a physician or licensed practitioner.
No special tools or equipment are required for optional Module installation. The System is programmed to automatically recognize the new
Module(s), therefore, no software installation is required.
This section explains user installation procedures for the following modules: Channel 3/4 Electrotherapy Module and NiMH Battery Module.

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

* Refer to page 13 for Symbol Definitions.


6 8 10
7 9

65
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System

INSTALLING THECHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE (continued)


Specifications DIMENSIONS
Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.250 in (21 cm)
Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.875 in (30 cm)
Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.500 in (11.5 cm)
WEIGHT
HEIGHT Standard Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.0 lbs (.50 kg)
POWER
Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .System Dependent
Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .System Dependent
DEPTH
Electrical Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CLASS I
Electrical Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TYPE BF
WIDTH Regulatory Compliance
UL/IEC/EN 60601-1
IEC 60601-2-10

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

NOTE: Ribbon Cable must be connected


as shown!

Make certain Ribbon Cable is completely


seated to Module Connector Pins.
68
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System

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.

Setting Therapy System onto Module


Set the Therapy System on the Module.
Make certain the Feet of the Therapy
System are resting in the Module Indents.

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

Mounting to Therapy System Cart


If mounting Therapy System to a Therapy
System Cart, refer to pages 78 through 79
for instructions.

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

REMOVING THE CHANNEL 3/4 ELECTROTHERAPY AND NiMH BATTERY MODULE


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 POWER from the Therapy System and Channel 3/4 to pages 78 through 79 for proper
SOURCE (OUTLET OR REMOVE BATTERY Electrotherapy Module. instructions.
MODULE IF INSTALLED) BEFORE ATTEMPTING Place Therapy System face down on a clean
ANY MAINTENANCE, INSTALLATION, working surface protected with a soft, clean
REMOVAL, OR REPLACEMENT PROCEDURES fabric to prevent damage to the lens.
TO PREVENT ELECTRICAL SHOCK AND
POSSIBLE DAMAGE TO SYSTEM. REMOVE LEAD
WIRES AND
Disconnect the Mains Power Cord from ACCESSORIES
the power supply. Remove the Rear Access
Panel and disconnect the Mains Power
Cord from the 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.

Do not disconnect Ribbon Cable from


the Therapy System.

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

NOTE: When re-installing the Front Access


Panel to the Therapy System, make
certain the Lanyard does not become
kinked.

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

GENERAL INFORMATION OPERATOR REMOTE


The Optional Operator Remote is designed for use with the Intelect Legend XT Electrotherapy and Combination Systems only and allows
the operator to control the application of manual muscle stimulation therapy as well as increase and decrease the waveform intensity.
There are two different Operator Remotes. One is designed for use with Channels 1 and 2. It is designated by a blue Pause Button on the
control. The other is designed for use on channels 3 and 4 (Systems with the optional Channel 3/4 Electrotherapy Module installed) and
is designated with an orange color Pause Button. Make certain the remote for the channels being used is connected to the respective
System or Module before administering any therapy with the Operator Remote.
Installing the Operator Remote
1. Remove the Front Access Panel. 2. Connect the Operator Remote into its NOTE: If the System is equipped with the
respective jack. Channel 3/4 Electrotherapy
Module, the Channel 3/4 User
CHANNEL 1/2 OPERATOR remote will be installed into the
respective jack on the Module.

Operator Remote is to be used under


supervision of a physician or licensed
practitioner only. The Operator Remote
is not intended for patient use.

REMOTECHANNEL 3/4 OPERATOR REMOTE

3. Reinstall the System Front Access


Panel.

76
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System

GENERAL INFORMATION THERAPY SYSTEM CART


The optional Therapy System Cart is designed for use with the Intelect Legend XT Electrotherapy and Combination Systems only and allows the
user to easily transport the System from patient to patient within the clinic as well as store all necessary accessories, supplies and applicators used
for the various modalities of the System.
The following instructions will explain the proper installation of the Intelect Legend XT Therapy System, with and without optional modules, to a
Therapy System Cart.

Nomenclature Specifications
1. Front and Rear Dimensions
Extrusion Height
6 2. Cart Base Cart Only . . . . . . . . . . . 33.75 in (85.7 cm)

WITH SYSTEM & SYSTEM WITH MODULE


3. Front Locking With System . . . . . . . . 42.50 in (108 cm)
Swivel Casters
With System and Module . . . . . .44.25 in
(2)
(112.4 cm)
4. Rear Swivel

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

MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART


Assembling the Therapy System Cart
Follow the "Assembling Therapy System Allow approximately 4.5 in (11.5 cm) of Mounting the Therapy System to Cart
Cart" instructions shipped with the Cart for the power cord extending through the Position the Therapy System onto the
proper assembly. If the instruction sheet is top of the cart for connecting to system. Therapy System Cart with the rear of the
not available visit the Chattanooga Group If the system is equipped with an optional System over the Mains Power Cord.
website, www.chattgroup.com, to obtain a NiMH Battery, Laser or Channel 3/4
Electrotherapy Module, it will be necessary Secure the System to the cart with the four
copy of the instruction sheet.
to allow 6.5 in (16.5 cm) of the Power Cord socket head screws in the Therapy System
Preparing the Therapy System Cart extending through the top of the Therapy Cart Top.
Remove all the Storage Bins from both System Cart. HAND TIGHTEN THE SOCKET
sides of the Therapy System Cart by pulling HEAD SCREWS TO SECURE
each bin out and up. SYSTEM TO CART

4.5 IN 11.5 CM


SYSTEM ONLY
6.5 IN 16.5 CM
SYSTEM W/MODULE

NOTE: Secure the System to the cart by


tightening the screws by hand
REMOVE only. Do not use a wrench to
ALL BINS tighten the screws. Overtightening
may cause damage to the System
or Module housing.

78
INSTALLATION/REMOVAL Intelect® Legend XT Therapy System

MOUNTING THERAPY SYSTEM TO THERAPY SYSTEM CART (continued)


Connecting Mains Power Installing Storage Bins Removing System from Therapy
Plug Power Cord into the System Mains Install Storage Bins into Therapy System System Cart
Disconnect and reinstall the Rear Access Cart. Start with bottom Storage Bin first. To remove the Therapy System from the
Panel. Install all lead wires and cables to Therapy System Cart, repeat the Mounting
the System. instructions.

CONNECT
MAINS POWER
CORD

79
OPTION OPERATION Intelect® Legend XT Therapy System

USING THE OPERATOR REMOTE


Nomenclature Operation
7 1 Pause session by pressing the Pause Button
on the Remote being used.
Operator Remote is to be used under Press the M Button on the remote to apply
6 supervision of a physician or licensed Manual Stimulation. Release the M Button
practitioner only. to stop Manual Stimulation application.
The Operator Remote is not intended for Increase or Decrease the intensity by
2* patient use. pressing the Up or Down Button on the
Operator Remote for the respective channel
3 Install the Operator Remote as described being used. This can be done while Manual
4 on page 76. Set up electrotherapy session Stimulation is being applied.
5 as described on pages 35-37.
To Stop session, press the Stop Treatment
Start electrotherapy session by pressing the Button.
* BLUE FOR CHANNELS 1/2 OPERATOR REMOTE Start Treatment Button.
ORANGE FOR CHANNELS 3/4 OPERATOR REMOTE
STOP
1. Remote Storage Hook TREATMENT
BUTTON Verify each Operator Remote is
2. Treatment Pause Button connected to the applicable jack for the
3. Channel 2 Increase Intensity Button channels being used.
4. Channel 2 Decrease Intensity Button
5. Manual Stimulation Button START
TREATMENT
6. Channel 1 Decrease Intensity Button BUTTON
7. Channel 1 Increase Intensity Button
NOTE: Refer to page 13 for Symbol
Definitions.

80
OPTION OPERATION Intelect® Legend XT Therapy System

USING THE OPERATOR REMOTE (continued)


Storing the Operator Remote
Normal storage of the Operator Remote is
on the Front Access Panel of the System.
Place the storage hook into one of the
Remote Storage Indents as shown.

81
OPTION OPERATION Intelect® Legend XT Therapy System

USING THE THERAPY SYSTEM CART


Nomenclature Operation
1. Front and Rear Extrusion
1. Install the Therapy System
2. Cart Base Cart as described on pages
6
3. Front Locking Swivel 78 through 79.
Casters (2) 2. Open Storage Bins and place
4. Rear Swivel Casters (2) items for storage. Close Bins
5. Removable Storage Bins (6) until they snap into position.
6. Cart Top
1
5
Make certain the unit
is electrically grounded
by connecting only to a DOWN TO LOCK
grounded electrical service
2
receptacle conforming to
the applicable national and 3. Lock the Front Locking Swivel
local electrical codes. Casters by pushing Lock
4
down with toe of shoe.
3 Unlock by pulling Lock up
with toe of shoe. UP TO UNLOCK

82
OPTION OPERATION Intelect® Legend XT Therapy System

USING THE NIMH BATTERY MODULE


The Intelect Legend XT Battery Module allows easy upgrade of the Intelect® Legend XT Electrotherapy and Combination Systems to create a
battery powered Therapy System. The information in this section instructs the owner, operator or user as to the initial setup and operation of
the optional NiMH Battery Module. No additional Software is required for the Module as the System automatically recognizes its presence and
activates all necessary software inherent in the System.
Read, understand and follow all Safety Precautions on pages 2 through 9 and throughout this manual before operating this Therapy
System, Modules or Accessories.

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

CHARGING BATTERY MODULE


Use the following instructions to properly Charging Temperature
charge the Intelect® Legend XT Battery
• Charging efficiency is optimum within a
Module for use.
temperature range of 50 °F to 86 °F (10
When to Recharge °C to 30 °C). Charge the Battery Module
Charging of the Battery Module is required within this temperature range.
when the Battery Indicator begins flashing. • At temperatures below 32 °F (0 °C) the
BATTERY
INDICATOR gas absorption reaction is not sufficient
LIGHTNING ICON and causes an increase of the gas
BOLT ICON
pressure inside the battery. This condition
When charging Battery Module, make
can activate the safety vent and lead
certain the System is electrically grounded
NOTE: The Lightning Bolt icon will to alkaline gas leaking and battery
by connecting only to a grounded
continue to display as long as the performance deterioration.
electrical service receptacle conforming to
System is connected to a power • Charging efficiency of the Battery Module
the applicable national and local electrical
source. drops at temperatures above 104 °F
codes. Using any other power source
will cause extensive damage to internal (40 °C) and can disrupt full charging,
components and render the System lead to deterioration in performance and
unsafe for patient therapy. • Charge the battery according to the battery cell leakage.
With Battery Module installed on the instructions found in this manual.
Intelect Legend XT Therapy System, plug Never attempt to charge the battery
the System into an approved, grounded on any other charging mechanism.
power outlet. • Use the Battery Module only with the
Turn the System on. The Lightning Bolt Intelect Legend XT Therapy System.
icon will display indicating the battery • Do not reverse the polarity of the
is charging. As the battery charges, the Battery Module. Doing so can increase
Battery indicator icon will progressively fill the individual cell temperature and
until it is solid black indicating full charge. cause cell rupture or leakage.

84
OPTION OPERATION Intelect® Legend XT Therapy System

BATTERY MODULE SERVICE LIFE STORING THE BATTERY MODULE


Since NiMH Batteries are designed for multiple cycles of charging Short Term Storage
and discharging, the expected cycle life of the Battery Module is The Battery Module should be operated, transported and stored
at minimum 500 cycles utilizing proper discharging and charging in temperatures between 59° F and 104° F (15° C and 40° C), with
procedures. Relative Humidity ranging from 30%-60%.
When the service time (use time between charges) of the
Battery Module is significantly reduced, the service life of the Long Term Storage
Battery Module is exceeded and should be replaced with a new For long term storage of the Battery Module, remove the Battery
Chattanooga Group Battery Module. Module from the System and store in temperatures between
Never attempt to rebuild the Battery Module. 59° F and 104° F (15° C and 40° C), with Relative Humidity ranging
from 30%-60%.
Properly dispose of old Battery Module.
When charging the Battery Module for the first time after long
term storage, restore the battery service life by charging and
discharging the Battery Module several times.
If storing the Battery Module for periods longer than one
• NiMH Batteries contain Class E Corrosive materials. In the year, charge the Battery Module at least once per year to
event of battery cell rupture or leakage, handle Battery
Module wearing neoprene or natural rubber gloves. Contents
prevent performance deterioration and battery leakage due to
of a ruptured or leaking battery can cause respiratory self-discharge from storage.
irritation. Hypersensitivity to nickel can cause allergic
pulmonary asthma. Contents of cell coming in contact with
skin can cause skin irritation and/or chemical burns.
• Never, under any circumstances, open the Battery Module
housing or cells. Should an individual cell from a battery
become disassembled, spontaneous combustion of the
negative electrode is possible. There can be a delay between
exposure to air and spontaneous combustion.
• Dispose of NiMH batteries according to national, state and
local codes and regulations.

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.

Code Type Probable Cause Possible Remedies


Number Message
100 Warning Overcurrent A. Check Electrodes and Lead Wires. Make certain Lead Wires are not damaged and are
properly connected to the system. Make certain Lead Wires are properly connected to
the Electrodes and that electrodes are not damaged and are making proper contact with
treatment area.
B. Replace Lead Wires and Electrodes.
101 Warning Shorted Lead Wires A. Check Electrodes and Lead Wires. Make certain Lead Wires are not damaged and are properly
connected to the system. Make certain Lead Wires are properly connected to the Electrodes
and that electrodes are not damaged and are making proper contact with treatment area.
B. Replace Lead Wires and Electrodes.
102 Warning Bad Contact Quality A. Make certain Electrodes are making proper contact with the treatment area.
B. Make certain Lead Wires are properly connected to Electrodes.
C. Replace Electrodes and Lead Wires.
103 Warning Blank Patient ID Properly enter Patient ID. Refer to Therapy System User Manual for Patient Data Card instructions.
104 Warning 1. Blank Protocol Name Properly enter Protocol or Sequence Name. Refer to the appropriate section of the Therapy System
2. Blank Sequence Name User Manual.
106 Warning 1. Attempting to delete factory set Sequence. Cannot delete factory set Clinical Protocols or factory set Sequences.
107 Warning 2. Attempting to delete Clinical Protocol.

86
TROUBLESHOOTING Intelect® Legend XT Therapy System

ERROR CODES (continued)


Code Type Probable Cause Possible Remedies
Number Message
108 Warning Attempting to save additional User Protocols or Sequences after Delete some User Protocols or Sequences. Refer to appropriate section of the Therapy System User
system memory has reached the maximum allowed (200). Manual for instructions.
109 Warning Attempting to access protocols and none are found in the system. A. User Protocols- No protocols have been saved in the system. Refer to Therapy System User
110 Warning Manual to save User Protocols.
111 Warning
112 Warning Ultrasound Applicator disconnected from system during treatment A. Connect Ultrasound Applicator to system.
session. B. If Ultrasound Applicator is connected, reset system by turning power switch Off and On.
C. If problem persists, connect a known good Ultrasound Applicator. If problem continues,
contact dealer or Chattanooga Group for service.
113 Warning Attempting to perform Ultrasound treatment with no Applicator A. Connect the desired Ultrasound Applicator to the system.
connected to the system. B. If Ultrasound Applicator is connected, reset system by turning power switch Off and On.
C. If problem persists, connect a known good Ultrasound Applicator. If problem continues,
contact dealer or Chattanooga Group for service.
114 Warning Ultrasound Applicator is not calibrated. Attempt to use a known good Applicator. If problem continues, contact dealer or Chattanooga
Group for service.
115 Warning Ultrasound Applicator is too hot. Allow Ultrasound Applicator Sound Head to cool to ambient temperature.
116 Warning 1. No Patient Data Card is inserted into the system. A. Properly insert the Patient Data Card into the system port. Refer to Therapy System User
117 Warning 2. Attempted to use an Invalid Patient Data Card. Manual for new and existing Patient Data Card instructions.
B. Attempt to use a known good Patient Data Card.
C. Make certain only a Patient Data Card is being used.
D. If problem continues, contact dealer or Chattanooga Group for service.

87
TROUBLESHOOTING Intelect® Legend XT Therapy System

ERROR CODES (continued)


Code Type Probable Cause Possible Remedies
Number Message
118 Warning Attempting to save additional User Protocols after system memory Delete some User Protocols. Refer to appropriate section of the Therapy System User Manual for
has reached the maximum allowed (200). instructions.
119 Warning 1. Attempted to read a treatment from Patient Data Card that is A. Use a Patient Data Card with proper treatment data for the system.
120 Warning not a valid treatment for the system B. Properly insert a Patient Data Card.
121 Warning 2. Attempted to use a Non-Patient Data Card. C. Insert a known good Patient Data Card.
122 Warning 3. No Patient Data Card inserted into system port. D. If problem continues, contact dealer or Chattanooga Group for service.
4. Unknown type of smart card inserted into system.
123 Warning Patient Data Card is full. Erase Patient Data Card. Refer to Therapy System User Manual for instructions.
124 Warning Patient Treatment Data already saved. A. Cannot save same data again on Patient Data Card.
B. Use a new Patient Data Card to resave data.
C. Erase Patient Data Card and resave treatment data.
126 Warning No valid channels are available for attempted treatment. A. Complete existing treatment before attempting to start another.
B. Reset Therapy System by turning main power switch Off and On.

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

ERROR CODES (continued)

Code Type Probable Cause Possible Remedies


Number Message
138 Warning Ultrasound Board Software upgrade warning. Upgrade Ultrasound Board Software to latest version. Contact dealer or Chattanooga Group for
latest software upgrade and instructions.
141 Warning Battery Module Software upgrade warning. Upgrade Battery Software to latest version. Contact dealer or Chattanooga Group for latest
software upgrade and instructions.
145 Warning Patient Data Card button on Home screen was pressed with no Properly insert a Patient Data Card, set up and perform the treatment and save data to Patient
Patient Data Card installed into system port and no treatment Data Card.
currently being performed.

In the event that an Error message or Warning appears beginning


with a 2 or 3, immediately stop all use of the system and contact the
dealer or Chattanooga Group for service. Errors and Warnings in these
categories indicate an internal problem with the system that must be
tested by Chattanooga Group or a Field Service Technician certified by
Chattanooga Group before any further operation or use of the system
Use of a system that indicates an Error or Warning in these categories
may pose a risk of injury to the patient, user, or extensive internal
damage to the 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.

PART NUMBER DESCRIPTION PART NUMBER DESCRIPTION


2767 Battery Module 27508 Operator Remote- Channels 1 & 2
2781 Channel 3/4 Electrotherapy Module 27079 Operator Remote- Channels 3 & 4
2775 Therapy System Cart 27333 1 cm2 Ultrasound Applicator
2768 Patient Data Management System 27334 2 cm2 Ultrasound Applicator
27465 Patient Data Card (Pack of 25) 27335 5 cm2 Ultrasound Applicator (Standard)
27469 Patient Interrupt Switch (Channel 1 & 2) 27336 10 cm2 Ultrasound Applicator
27470 Patient Interrupt Switch (Channel 3 & 4) 27468 Carrying Bag
27312 Electrotherapy Lead Wire- Channel 1 79977 High Voltage Pulsed Current (HVPC) Probe Kit
27313 Electrotherapy Lead Wire- Channel 2 79976 Microcurrent Probe Kit
27314 Electrotherapy Lead Wire- Channel 3 1264 Nylatex® Wrap- 3 pack, 2.5 in X 24 in (6 cm X 61 cm)
27315 Electrotherapy Lead Wire- Channel 4 72852 Black Rubber Carbon Electrodes- 3 in (8 cm) Round
72853 Red Rubber Carbon Electrodes- 3 in (8 cm) Round
42044 DURA-STICK™ II 2.75 in (7 cm) Electrodes (40/case)
4248 Conductor™ Ultrasound Gel- 9 oz Bottle (24/case)

90
MAINTENANCE Intelect® Legend XT Therapy System

CARING FOR THE THERAPY SYSTEM FACTORY SERVICE


Cleaning the Therapy System When the Intelect Legend XT Therapy System or any of the
With the system disconnected from the power source, clean the accessory modules require factory service, contact the selling dealer
system with a clean, lint free cloth moistened with water and or Chattanooga Group Service Department.
mild antibacterial soap. If a more sterile cleaning is needed, use a All Therapy System and accessory modules returned to the factory for
cloth moistened with an antimicrobial cleaner. service must include the following:
Do not submerse the system in liquids. Should the unit WARRANTY REPAIR/OUT OF WARRANTY REPAIR
accidentally become submersed, contact the dealer or 1. Written statement containing the following information:
Chattanooga Group Service Department immediately. Do not • RA Number- Obtain from Factory
attempt to use a system that has been wet inside until inspected • Therapy System or Module Model Number
and tested by a Service Technician Certified by Chattanooga Group.
• Therapy System or Module Serial Number
Do not allow liquids to enter the ventilation holes in the optional
• Contact Person with Phone and Fax Numbers
modules. This could permanently damage the modules.
• Billing Address (for Out of Warranty Repair)
Cleaning the Lens
• Shipping Address (Where to Ship Unit after Repair)
Clean the Therapy System Screen Lens using NOVUS® Polish System.
Contact Novus at: www.novuspolish.com • Detailed Description of Problem or Symptoms
2. Copy of original invoice issued at purchase of the Therapy System
or Module.
CALIBRATION REQUIREMENTS
3. Ship the unit to address specified by an authorized service
Calibrating Ultrasound Applicators technician.
Annual factory calibration is required for all Ultrasound Applicators. Service to these units should be performed only by Service
Only the Applicators should be sent to the factory or a Field Technicians certified by Chattanooga Group.
Technician certified by Chattanooga Group for this procedure.
Ultrasound Applicators require annual calibration, from the date
placed in service, by the Factory or a Service Technician certified by
Chattanooga Group.
NOVUS is the Registered Trademark of NOVUS Inc.

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.

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