VANQUISH

(WITH BTL VANQUISH ME TECHNOLOGY)

USER´S MANUAL
Vanquish
User’s Manual
BEFORE YOU START

Dear Customer,

Thank you for purchasing the Vanquish system

for your clinic. All of us at BTL wish you every
success with your new device. We pride
ourselves on being as responsive as possible to
our customer’s needs. Your suggestions and
comments are always welcome since we believe
an ongoing relationship with our customers is
critically important to our future product line.

While we would like you to start using your new

equipment right away, we encourage a thorough
reading of this manual in order to fully
understand the operational features of the
system.

BTL Industries, Ltd.

CONTENTS

1 GENERAL CHARACTERISTICS ............................................................................................................6

1.1 ABOUT VANQUISH ............................................................................................................................6
1.2 INTENDED USE AND INDICATIONS FOR USE ...............................................................................6

2 TREATMENT SAFETY ............................................................................................................................7

2.1 PATIENT AND OPERATOR SAFETY ................................................................................................7
2.2 CONTRAINDICATIONS ....................................................................................................................10
2.3 PRECAUTIONS ................................................................................................................................12
2.4 POTENTIAL SIDE EFFECTS AND ADVERSE EVENTS .................................................................13

3 SAFETY PRECAUTIONS ......................................................................................................................14

3.1 MAINTENANCE ................................................................................................................................14
3.1.1 GENERAL MAINTENANCE .........................................................................................................14
3.1.2 CLEANING OF THE SYSTEM CONSOLE ..................................................................................15
3.1.3 CLEANING AND DESINFECTION OF THE ACCESSSORIES ..................................................15
3.2 SAFETY INSPECTIONS ...................................................................................................................15
3.2.1 VISUAL INSPECTION (DAILY) ...................................................................................................15
3.2.2 FUNCTIONAL TEST (DAILY) ......................................................................................................15
3.3 FUSE REPLACEMENT .....................................................................................................................16
3.4 SYMBOLS AND ABBREVIATIONS USED .......................................................................................16
3.5 GENERAL SAFETY INFORMATION AND PRECAUTIONS ............................................................17
3.5.1 GENERAL CAUTIONS ................................................................................................................17
3.5.2 EXPLOSION AND FIRE HAZARDS ............................................................................................18
3.5.3 HIGH VOLTAGE HAZARDS ........................................................................................................18
3.5.4 ELECTROMAGNETIC ENERGY OPERATIONAL SAFETY .......................................................18
3.6 SELECTING APPROPRIATE LOCATION FOR THE UNIT .............................................................19
3.7 PROTECTION OF THE UNIT ...........................................................................................................20

4 SYSTEM DESCRIPTION .......................................................................................................................21

4.1 THE FRONT PANEL OF THE VANQUISH .......................................................................................21
4.2 VANQUISH APPLICATORs ..............................................................................................................22
4.3 THE REAR PANEL OF THE VANQUISH .........................................................................................23
4.4 PATIENT SAFETY SWITCH .............................................................................................................24
4.5 SOFTWARE ......................................................................................................................................24

5 ASSEMBLY AND SET-UP ....................................................................................................................25

5.1 UNPACKING THE UNIT ...................................................................................................................25
5.2 PACKAGE CONTENTS ....................................................................................................................25
5.3 REQUIREMENTS FOR INSTALLATION ..........................................................................................26
5.4 CONNECTING TO THE MAINS .......................................................................................................26
5.5 TURNING THE UNIT ON ..................................................................................................................26
5.6 INSTALLING THE APPLICATOR .....................................................................................................26
5.7 TOUCH SCREEN..............................................................................................................................31
5.7.1 MAIN SCREEN ............................................................................................................................31
5.7.2 TOUCH SCREEN ELEMENTS AND OPERATION .....................................................................31
5.7.3 NUMERIC KEYPAD .....................................................................................................................31

VANQUISH – USER’S MANUAL I PAGE 4 OF 48

6 OPERATING INSTRUCTIONS ..............................................................................................................33
6.1 PREPARATION OF THE PATIENT BEFORE THE THERAPY ........................................................33
6.2 ADJUSTING THE APPLICATOR ......................................................................................................33
6.3 SETTING THERAPY PARAMETERS ...............................................................................................34
6.3.1 TREATMENT TIME......................................................................................................................34
6.4 START, INTERRUPTION AND END OF THERAPY ........................................................................34
6.5 OUTPUT POWER .............................................................................................................................35
6.6 UNIT SETTINGS: THE “MENU” BUTTON ........................................................................................36
6.6.1 UNIT SETTINGS ..........................................................................................................................37
6.6.2 SPECIFIC SETTINGS..................................................................................................................39
6.6.3 TREATMENT RECORDS ............................................................................................................39

7 LIST OF STANDARD AND OPTIONAL ACCESSORIES.....................................................................40

8 TECHNICAL PARAMETERS ................................................................................................................41

8.1 DEVICE PARAMETERS ...................................................................................................................41
8.2 MODEL PARAMETERS ....................................................................................................................42
8.3 TECHNICAL PARAMETERS OF APPLICATORS ............................................................................42
8.4 EMC TABLES ....................................................................................................................................43
8.5 MANUFACTURER ............................................................................................................................47

VANQUISH – USER’S MANUAL I PAGE 5 OF 48

 1 GENERAL CHARACTERISTICS
1.1 ABOUT VANQUISH
Vanquish system is designed for deep tissue heating by means of high-frequency
electromagnetic field. The multi-jointed arm firmly supports the applicator during treatment.
Large knobs lock and unlock the joints to make positioning the applicators to the patient
quick, easy and secure.
The control unit consists of the control system and the electronic system. The control system
contains the main microcomputer and software for control of the entire equipment; the
electronic system contains the complete electronics for electromagnetic field generation.
Easy-to-use colour touch screen allows for maximum operator comfort. A large control knob
is provided to increase and decrease output power.
The Vanquish system is placed in a specially designed cart, the shape of which provides
maximum operator comfort and easy movement of the device in the office.

1.2 INTENDED USE AND INDICATIONS FOR USE

The Vanquish is a device designed for deep tissue heating by high-frequency
electromagnetic field for non-invasive body shaping procedures.

VANQUISH – USER’S MANUAL I PAGE 6 OF 48

 2 TREATMENT SAFETY
The information provided in this manual is not intended to replace the professional
knowledge, experience, and/or training of the healthcare professional regarding the clinical
use of the system.

2.1 PATIENT AND OPERATOR SAFETY

In case of improper or unauthorized use of the unit, the operator, the patient or other persons
may be subjected to the danger of electric shock due to high voltage produced by the unit,
the danger of influence on active implantations by electromagnetic fields produced by the
unit and the danger of being burned due to erroneously positioned applicator or false
parameters such as the duration of treatment, power output or operating mode.
Before operating the unit, please read this Operator‘s Manual carefully and observe the
information contained therein.
Refer to "Contraindications" in Chapter 2.2, "Precautions" in Chapter 2.3 and "Safety
Precautions" in Chapter 3.

Since the effects of high-frequency fields on unborn life have not yet been
sufficiently researched, we recommend that pregnant persons are not within 14 meters
(45 feet) of the applicator when the unit is activated.

Before operating the unit each time, verify that:

• The unit has been correctly connected to the mains.
• The unit is freestanding and the patient is not in direct contact with metal objects such
as heating radiators, metal beds, or other equipment.
• The insulation of the RF output jack and applicator connection cables is not
damaged.
• The applicator connection cable is connected properly and is not cross-routed (which
may cause short circuits).
• Only accessories (cables, applicator) approved by the manufacturer are connected.
• The patient to be treated and the personnel have removed all electric devices (e. g.
hearing aids, electrotherapy electrodes, mobile telephones) and all conductive
objects (e.g. rings, chains, watches, earrings or other jewellery, and eyeglasses) and
that they are not in the immediate vicinity of the unit.
• The patient is in a composed state and the bodily areas to be treated are dry on the
exterior.
• There are no superfluous personnel in the room.
• To test the Patient Safety Switch, follow the procedures listed in Chapter 4.4.

VANQUISH – USER’S MANUAL I PAGE 7 OF 48

Make sure that the patient cannot come into any contact with metal during treatment. Metal
objects within the treatment area should be removed and placed outside the electromagnetic
field. These include, but are not limited to:

• Metal in the environment:

• Within 1 foot of beds, treatment tables, standard chairs, wheelchairs, swivel stools,
step stools, splints, braces, scissors, forceps, and scalpels.
• Within 11 meters (36 feet) – see the Cautions in Chapter 3.5.4 for more
information, of electronically controlled medical devices, such as CPM devices,
electric wheelchairs, electrotherapy devices or other electrical systems,
computers, etc.

• Metal near the patient:

• Jewellery, body piercing earrings, watches, keys, coins, belt buckles, underwire
bra, hearing aids, zipper in clothing or pillow cases. Any metal contained in the
clothing may cause burning.

• Metal objects within the treatment area that cannot be removed should be avoided.
These include, but are not limited to:
• External metal: orthodontic braces, dental fillings, staples, external fixation
devices.
• Internal metal: valves, joint replacements, metal IUDs, shrapnel, metal implants,
internal fixation devices-rods, plates, screws, wires, etc.

Before treatment, determine the maximum nominal output power of the respective accessory
in order to avoid overheating the tissue. Speak with the patient to verify that:
• The patient is in a comfortable position during the entire treatment.
• The patient is not in contact with the unit, the applicator cable, the applicator or other
devices or metal objects.

At regular intervals during the treatment, verify that:

• The unit is functioning properly
• There is no moisture development* (perspiration) in the area of the applicator
• The patient feels well and the treatment is tolerable.

After the treatment, ask the patient about the tolerance of the treatment.

* The affected parts of the body should be unclothed during treatment, since accumulation of moisture on the skin
or in folds can cause local overheating of the skin. This is especially important in the event that the patient is
wearing clothing made of moisture-resistant fabric such as silk or synthetic fibres.

VANQUISH – USER’S MANUAL I PAGE 8 OF 48

 • This equipment has an output that is capable of producing a physiological effect.
• Observe the precautionary and operational decals placed on the unit.
• Do not operate the Vanquish system in conjunction with any other devices on the
patient.
• Metal in treatment area will provide low impedance paths to the induced radio
frequency current, producing local heating and the possibility of burning. Never treat
in the area of metal implants. In addition, patients must remove metal jewellery,
buckles, cell phones, etc.
• Do not administer the Vanquish to a patient who has had an implant in the past
unless you are absolutely certain that the implant and all leads in their entirety
have been removed. Note that the leads are often left implanted after the
implant is removed.
• Do not treat on a metal treatment table, mattress with metal springs, wheel chair or a
metal stool. Make sure that the patient cannot come into any contact with metal
during treatment.
• Do not treat with clothing containing metal. Any metal contained in the clothing, such
as zippers, bra hooks or rivets may cause burning. In addition, remove jewellery,
watches and hearing aids during treatment.
• Do not treat patients who have reduced thermal sensitivity over the proposed area of
treatment, unless the physician in charge of the patient is notified. Patients having
reduced sensation will not be able to notify the practitioner of discomfort if the
intensities are too high. There is the risk of producing shock, localized burns, and
cataracts if the patient is unaware of the heat due to reduced thermal sensation, or if
the patient does not know what to expect during treatment.
• Treatment should not be given through clothing.
• The unit should be routinely checked before each use to determine that all controls
function normally, especially that the output control does properly adjust the intensity
of the power output in a stable manner.
• Use of a unit that indicates an Error may pose a risk of injury to the patient, user, or
extensive internal damage to the system.
• Tighten the arm so it does not move during therapy. Observe the patient and the
position of the arm at all times during therapy. Inform the patient that the arm is not
supposed to move during therapy.
• Patients should not come into contact with conductive parts which are earthed or
which have an appreciable capacitance to earth and which may provide unwanted
pathways for the radio frequency current. In particular, do not treat patients placed on
metal framed couches, chairs, or beds. Do not use conductive mattresses or mattress
covers.
• Before increasing the output in response to a report of inadequate patient heating,
verify that the cables are properly routed, spaced correctly, and away from metal or
grounded objects. The heating effect may be misdirected and heating may be
occurring in an unwanted area.
• Internal burns can occur with the incorrect application of Vanquish due to excessive
intensity and/or excessive exposure time.

VANQUISH – USER’S MANUAL I PAGE 9 OF 48

 • The operator should not use Vanquish over the heart in order to prevent theoretical
cardiac signal interference.
• Determine that the treatment time control does actually terminate power output when
the timer reaches zero.
• Do not leave your patient unattended during the therapy.

2.2 CONTRAINDICATIONS
Do not treat (or expose) patients if the following conditions are present:
• Implanted electronic device such as a cardiac pacemaker, bladder stimulator, spinal
cord stimulator or electrodes for a myoelectric prosthesis, or implanted metallic leads.
Do not treat patients who have had an implant in the past unless you are absolutely
certain that the implant and all leads in their entirety have been removed. Note that
leads are often left implanted after the implant is removed. The effects of the applied
high frequency on the pacemaker could cause ventricular fibrillation. Any other
persons with pacemakers must also remain outside of the treatment area. No one
wearing a cardiac pacemaker should be within 14 meters (45 feet) of an operating
unit.
• Negative affection by heat.
• Haemorrhages or risk of haemorrhage.
• Septic conditions and emphysema.
• Malignant tumours and undiagnosed tumours.*
• Implants, areas where implants have been removed, damaged implants, and metal
inclusions.†
• Implants that could be impaired by electromagnetic field.
• Swellings that still feel warm.
• Thermohypesthesia (diminished perception of temperature differences).
• Thermohyperesthesia (very acute thermoesthesia or temperature sense; exaggerated
perception of hot and cold).
• Acute inflammations.
• Severe arterial obstructions (stage III and IV).

*According to Schneider (in Elektromedizin 7/62): Tissue and organ sections with inflammations, necroses, pus
formation and abscesses. In such cases, the therapist must choose between the application of cold or heat in
accordance with general pathological considerations, depending on the degree of inflammation. Inflammatory
conditions that are still in status nascendi are treated with cold. Inflammatory conditions with necroses and a
cavitary tendency are treated with therapeutic means that generate heat and hyperaemia. Chronic and unspecific
inflammations are treated in the same way (heat and hyperaemia), as this supports resorption, reparation and
regeneration. Specific chronic inflammations (such as tuberculosis), however, are activated by heat. Accordingly,
they represent a contraindication. The same applies in the case of malignant tumorous conditions. Heat
application in the case of a tumorous disease can only be regarded as malpractice. Moreover, cardiac
congestions must be removed prior to any heat application.
†
The higher conductivity of metals causes concentration of the field, producing a high temperature in the border
area of the tissue. This, in turn, can cause excessive local heat, leading to (irreparable) third-degree burns.
Therefore, caution is also necessary in case of long-existing metal inclusions, such as shell fragments.

VANQUISH – USER’S MANUAL I PAGE 10 OF 48

 • Gynaecological disorders involving acute inflammation.*
• Wetness, perspiration, or damp bandages.
• Permeating irradiation of the thorax in cases of severe heart diseases (heart valve
diseases, myocardial insufficiency, myocardiac infarct, severe coronary sclerosis).
• Pregnancy, since irradiation could cause teratogenous damage due to alterations of
blood circulation and diffusion.
• Menstruation.
• Nursing.
• Sudeck’s syndrome, stage I and II.
• Basedow’s disease (irradiation could cause serious states of agitation).
• Varicose veins (irradiation could cause congestive pain).
• Cardiac conditions.
• Deep vein thrombosis, phlebitis, varices.
• Arterial disease, circulatory insufficiency.
• Occlusive vascular disease, such as arteriosclerosis obliterans and thromboangitis
obliterans, in which organic occlusion and ischemia are evident.
• Ischemic tissues in individuals with vascular disease where the blood supply would
be unable to follow the increase in metabolic demand and tissue necrosis might
result.

Vanquish must not be applied:

• Over eyes, testes, head and neck
• Over pelvic or low back area when an IUD is present.
• Over cardiac pacemakers and defibrillators, cochlear implants, bone growth
stimulators, deep brain stimulators, spinal cord stimulators, and other nerve
stimulators.
• Over open lamina (after laminectomy; spina bifida).
• Over superficial endoprosthesis or metal implants.
• Directly over the carotid sinuses, cervical stellate ganglion, or vagus nerve located in
the anterior neck triangle.
• Directly over cancerous tumours or lesions due to its potential to increase blood flow
to the area of malignancy.
• Over neoplastic tissues or space occupying lesions.
• Directly over the epiphysis of growing bones.†
• In the presence of systemic or local infection (sepsis, osteomyelitis, tuberculosis) or if
the patient has an elevated temperature.

* Further contraindications relating to gynecological disorders include (see Möbius, Gynecological University
Clinic, Jena): genital tuberculosis, endometriosis, pyosalpinx or pyoovarium, tubal carcinoma.
†
The mean age for skeletal maturity is 15 ½ years in females and 17 ½ years in males.

VANQUISH – USER’S MANUAL I PAGE 11 OF 48

 • If there is a scar in or near the treatment area, check with the patient and/or the
patient's chart to determine if there is metal under the scar.
• Vanquish should not be applied over the uterus unless specific assurance can be
attained from the patient that she is not pregnant.
• Do not treat children under the age of 18.

2.3 PRECAUTIONS
When administering the device, keep in mind the following:
• Caution is advised in patients who cannot perceive or report pain or heat sensation
accurately. Absent or diminished sensation should be avoided or, if unavoidable,
treated with caution. Establishment of acceptable intensity levels for desensitized
areas may be related to the intensity levels tolerated on normal skin in opposite or
related body parts. Frequent monitoring of intensity level and skin response should
occur during all treatments.
• If there is a surgical history there is a possibility of decreased sensation; proceed with
caution. If a scar is present, the scar tissue will heat more quickly than the
surrounding tissue due to its higher resistance or impedance and decreased blood
flow of the tissue. Because of decreased blood circulation, the scarred skin is unable
to cool itself as quickly and effectively as healthy skin.
• Caution is suggested when using Vanquish immediately after the application of
superficial and deep heat or cold modalities. The application of thermal modalities
prior to treatment with Vanquish can alter the patient's perception of warmth and pain.
• Caution is advised when applying thermal Vanquish directly to an area with impaired
arterial blood supply because the compromised blood flow may not meet the
increased metabolic demand placed on the tissues by the thermal energy dose.
Always start with a low dose and observe patient response. Increase in dose may be
made in subsequent treatments if the patient can tolerate the dosage given.
• Caution should be exercised when treating over adipose tissue.
• Vanquish should be applied with caution over bone where minimal (bony prominence)
or no (Stage IV wounds) soft tissue is present.
• The function of other patient connected equipment may be adversely affected by the
operation of the Vanquish. Maintain maximum distance between units in order to
reduce any tendency to interaction.
• Any bleeding tendency is increased by heating because of the increase in blood flow
and vascularity of the heated tissues. Care, therefore, should be used in treating
patients with bleeding disorders.
• Heating of the joint capsule in acute or subacute arthritis should be avoided.
• Vanquish may interfere with other electronic therapeutic devices such as
neuromuscular stimulators and therapeutic ultrasound units. Never use another
electronic device on the same patient when Vanquish is being applied.

VANQUISH – USER’S MANUAL I PAGE 12 OF 48

 • Be aware that some synthetics and plastics, though assumed to be non-conductive,
may be heated by this system.
• Use caution when treating obese patients since this method of application may
generate excessive heat.
• Frequent monitoring of intensity level and skin response should occur during all
treatments.

2.4 POTENTIAL SIDE EFFECTS AND ADVERSE EVENTS

Adverse effects may include, but are not limited to:

• Serious injury or death to patients with implanted devices with leads (e.g. deep brain
stimulator, implantable infusion pumps), even if the implanted device is not turned on,
and even if the lead is no longer connected to an implanted system.
• Oedema of the skin, subcutaneous fat, and muscle tissue due to excessive heating.
• Exacerbation of symptoms, especially when higher doses are used.
• Spread of existing pathologies, e.g. tumours, tuberculosis or infection.
• Superficial burns due to excessive exposure, reduced thermal sensation,
hypersensitive skin, impaired blood flow, moisture in the treatment area.
• Deep burns due to non-uniform heating of different tissue layer or to reduced heat
dissipation mechanisms.
• Heat injury to the tissue surrounding a metal-containing IUD.
• Temporary sterility or permanent damage of the testes due to temperature increase.
• Teratogenic effects due to significant temperature increase of the foetus.
• Faintness due to sudden fall in blood pressure.
• Increased menstrual flow in female patients receiving treatment to the lower back or
pelvic area.
• Erythema.

VANQUISH – USER’S MANUAL I PAGE 13 OF 48

 3 SAFETY PRECAUTIONS
3.1 MAINTENANCE

3.1.1 GENERAL MAINTENANCE

All maintenance and service must be carried out by BTL authorized technical personnel.
BTL bears no responsibility for repairs or service performed by personnel not directly trained
by the company.
Improper installation, operation or maintenance of this system may result in malfunctions of
this unit or other devices.
In case of display failure or other obvious defects, switch the unit off immediately by means
of the power switch, disconnect the power cord from the power outlet, and notify BTL
authorized technical personnel.
Adjustment or replacement of components may result in the equipment failing to meet the
requirements for interference suppression.
If the system cannot be installed immediately after delivery, the unit and its external
components or accessory elements must be stored in their original packaging in a dry place.
Do not store or operate the unit in a dusty environment. Do not immerse it in any liquid. Do
not place it near running water. Avoid placing the device in direct sunlight.

Caution

Exterior cleaning of the device: Never use cleaning agents containing alcohol, ammonia,
petrol, thinners, etc. Never use abrasive cleaning materials, which will scratch the device
surfaces.
No parts of the device require sterilization. Care should be given to prevent water or other
liquids from getting inside the device.
Applicator cables, power cord and plug: Check for frays and kinks. Ensure that the
insulation is not damaged in any way.
Do not use damaged components and contact your BTL authorized service provider for
service. Always route electrical cords and cables away from staff or patient foot-traffic areas
where they could increase the chance of a tripping related accident.
All maintenance by the operator must only take place when the system is shut down and
disconnected from the power source.

Caution
With the exception of surface cleaning of the console and components and the
replacement of the fuse, the Vanquish system has no user-serviceable parts or
assemblies. Do not remove the instrument covers under any circumstances. Call
your distributor for advice about any malfunction.
The Vanquish is equipped with a protection system that prevents the connection of
accessories other than those supplied by the manufacturer.
The Vanquish system does not use any drugs, creams, gels or other substances which are
applied during its use.

VANQUISH – USER’S MANUAL I PAGE 14 OF 48

3.1.2 CLEANING OF THE SYSTEM CONSOLE
Switch the unit off and unplug the power plug from the power outlet. Use a soft cloth slightly
moistened with water or with a 2 % detergent solution to clean the exterior of the Vanquish
device and its parts. Never use cleaning agents containing alcohol, ammonia, benzine,
thinners, etc. Never use abrasive cleaning materials, which will scratch the device's surfaces.
• In order to prevent electrical shock, unplug the power plug from the power outlet
before cleaning or disinfecting the unit.
• Never spray aerosol cleaners directly onto the equipment. Aerosol spray cleaners are
permitted to clean the cabinet, but the cleaner should be sprayed onto a clean cloth,
which may then be used to wipe the dirty area.

3.1.3 CLEANING AND DESINFECTION OF THE ACCESSSORIES

After each patient use, clean the accessories using a soft clean cloth dampened with water
and a commercially available surface disinfectant, or use a pre-moistened wipe such as
“Sani-Cloth HB”. Avoid the use of abrasive materials, strong organic acids, oxygen-splitting
compounds and cleaning solvents.
• Follow your local rules and regulations for appropriate disinfectant choice.
• Wait until the console and accessories are completely dry before operating it again.

3.2 SAFETY INSPECTIONS

Safety inspections must be performed by persons who, based on training, knowledge or
practical experience, are capable of conducting the inspections correctly and independently.

3.2.1 VISUAL INSPECTION (DAILY)

When performing daily inspections of the system, pay particular attention to the following
areas of potential damage:
• Unit housing
• Power cord
• Applicator connection
• Applicator cables
• Applicator

3.2.2 FUNCTIONAL TEST (DAILY)

When performing daily inspections of the system, pay particular attention to the following
areas of potential damage:
• Touch screen display
• Patient Safety Switch

It is the responsibility of the health care facility to verify that the unit complies with
the facility, local and national Earth Leakage limits.

VANQUISH – USER’S MANUAL I PAGE 15 OF 48

3.3 FUSE REPLACEMENT
The fuses for the Vanquish system are located in the black fuse housing (15) on the rear
panel of the console (see picture in Chapter 4.3). Ensure that the type and rating of the new
and the replaced fuses match.
1. Turn off the system and disconnect the power cord from the system and the outlet.
2. Remove the fuse housing by using a screwdriver.
3. Remove the burnt fuse.
4. Insert the new fuse. Make sure the fuse is properly seated within the fuse housing.
5. Connect the power cable to the system and to the mains outlet.
6. Turn on the system.

3.4 SYMBOLS AND ABBREVIATIONS USED

General warning sign

Non-ionizing Radiation

Type BF Applied Part

Follow Instructions for Use

Waste electrical and electronic equipment

Name and address of the manufacturer

Date of manufacture

Serial number of the device

Batch code

Catalogue number

VANQUISH – USER’S MANUAL I PAGE 16 OF 48

 3.5 GENERAL SAFETY INFORMATION AND PRECAUTIONS

3.5.1 GENERAL CAUTIONS

Personnel operating the system must read this manual thoroughly and become
familiar with all its safety requirements and operating procedures prior to use of the device.

• The Vanquish system is not intended for use in wet environmental conditions.
• Keep the equipment out of the reach of children.
• The Vanquish system should only be repaired by BTL authorized service personnel.
• The Vanquish system should be transported and stored in temperatures between
-10 °C to +55 °C (+14 °F to +131 °F) to prevent damage to the device or its
components.
• The unit, applicator and cables may not be sterilized using steam or gas.
• Make sure all operators are familiar with the Vanquish system’s controls.
• Improper installation, operation or maintenance of the Vanquish system may result in
malfunctions of this unit or other devices.
• The Vanquish system console has a touch screen. Do not use sharp objects or
ballpoint pens to operate the touch screen. A special, soft tip stylus is provided for
this purpose. Alternatively, the user may use their fingers to operate the touch screen
buttons.
• Malfunction of the system could result in an unintended increase of power output and
unintended injury to the patient. If the system shows any deviations from a normal
operating situation, discontinue use and report the fault to BTL authorized service
personnel.
• Accessories that are not manufactured by BTL for use with the Vanquish system
must not be attached to the system to prevent potential harm to the patient and/or
damage to the unit.
• Avoid the use of liquids in the immediate vicinity of the system. Any liquid spilled onto
the cabinet may cause serious damage to the system’s internal components. Never
spray aerosol cleaners directly onto the system.
• Do not cover the cooling vents to avoid the equipment overheating.
• Keep the applicator and its cables separated during treatment. Applicator or its cables
in contact with each other during treatment could result in improper stimulation, skin
burns, or damage to the cable or applicator. Do not cross cables.
• Do not let the cable touch the applicator during the treatment.
• Remove the applicator by pulling the cable connector only. Do not remove by pulling
the cable. To remove the cable from the applicator, make certain the power is off.
Hold the applicator while removing the cable to prevent the applicator from dropping
to the floor.
• Inappropriate handling of the accessories may adversely affect their characteristics.
• Use of controls or adjustments or performance of procedures other than those
specified in this manual may result in hazardous exposure to electromagnetic energy.

VANQUISH – USER’S MANUAL I PAGE 17 OF 48

 • You should never, under any circumstances, attempt to hold the applicator in your
hands during therapy.
• Always position the unit and the applicator in such a way that there is no danger to
the patient, the operator or other persons. Therefore, you must read and observe the
safety instructions and the list of contraindications before putting the system into
operation.
• Keep all unnecessary persons out of the treatment location.
• If it is necessary to discard the device, the lithium battery must be removed. The
removed battery must be disposed according to local hazardous waste disposal
requirements. Do not place the device in municipal waste containers. The device
itself does not contain any toxic materials which could harm the environment.

3.5.2 EXPLOSION AND FIRE HAZARDS

• Do not operate the system in the presence of volatile solvents, such as alcohol,
gasoline or other solvents to prevent explosions and/or fire.
• A possible explosion hazard exists if the system is used in the presence of flammable
anaesthetics mixture with air, oxygen, or nitrous oxide.

3.5.3 HIGH VOLTAGE HAZARDS

• Make sure the electrical network in your facility complies with the applicable national
and local electrical codes, and that the equipment is electrically earthed.
• Do not dismantle the equipment under any circumstances. Removal of protective
covers can result in danger of electrical injury.
• The connectors must only be used for what they are designed for, otherwise there is
a danger of electrical shock injury and serious damage to the equipment.

3.5.4 ELECTROMAGNETIC ENERGY OPERATIONAL SAFETY

• Allow access to the treatment room only to personnel who have been well trained in
the required safety procedures.
• Do not operate Vanquish system together with other devices that intentionally radiate
electromagnetic energy in an unshielded manner. Portable and mobile RF
communications equipment can affect medical electrical equipment.
• This unit generates, uses, and can radiate radio frequency energy and, if not installed
and used in accordance with the instructions, may cause harmful interference to other
devices in the vicinity. However, there is no guarantee that interference will not occur

VANQUISH – USER’S MANUAL I PAGE 18 OF 48

 in a particular installation. Harmful interference to other devices can be determined by
turning this equipment on and off. Try to correct the interference using one or more of
the following: reorient or relocate the receiving device, increase the separation
between the equipment, connect the equipment to an outlet on a different circuit from
that to which the other device(s) are connected, and consult the BTL authorized
personnel.
• Medical devices that are to be used within 11 meters (36 feet) of Vanquish should
have an electromagnetic site survey completed.
• To determine the distance of separation for all equipment operating near the
Vanquish, consult the EMC tables applicable to the other equipment. If the distance
cannot be determined, make certain that the other equipment is operated from a
distance of no less than 11 meters (36 feet).
• Harmful interference can be completely eliminated when Vanquish is installed in a
shielded room, i.e. one containing a Faraday cage. (A Faraday cage is enclosed by a
metal housing or grid that prevents the penetration of electric fields.) Use of
absorbing curtains is enough for most treatment rooms.
• Do not lean on or hold the cables during treatment.
• Keep all line cords away from the Vanquish unit cables. Do not store or coil line cords
where they can come close to the cables on an operating unit.

• This unit generates non-ionizing radiation. Patients with implanted electronic

devices, such as cardiac pacemakers and defibrillators, cochlear implants,
bone growth stimulators, deep brain stimulators, spinal cord stimulators, and
other nerve stimulators, must not be treated, even if the device has been turned
off.
• Other equipment, including patient connected devices, may be adversely affected
when in close proximity to Vanquish.
• Adhere to federal, state, and local rules, regulations, and ordinances concerning the
appropriate use of high-powered radio frequency fields.
• Any persons with pacemakers or implants must remain outside of the treatment
area during therapy. No one wearing a cardiac pacemaker should be within
14 meters (45 feet) of an operating Vanquish.

3.6 SELECTING APPROPRIATE LOCATION FOR THE UNIT

Observe the following instructions in order to prevent malfunctions:
• In order to prevent electromagnetic disturbances, place the unit at least 11 meters (36
feet) – see the Cautions in Chapter 3.5.4 for more information, from other devices.
Also, make sure that there is sufficient distance between the Vanquish and Mains
Power Supply or data cables in walls, ceilings and floors, since the electromagnetic
radiation from the unit can pass these essentially without hindrance.
• In selecting the location for the unit, make sure that the patient has contact during the
treatment to the non-earthed application element and that the patient is never in
contact with metal elements (especially if they are earthed), such as heating
radiators, metal beds or other earthed devices.

VANQUISH – USER’S MANUAL I PAGE 19 OF 48

 • Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic
material, the relative humidity should be at least 30%.
• Place the device in such a way that enables quick and easy disconnection of the
power cord from the device and from the mains.

Before connecting the unit, make sure that:

• The Voltage Rating on the safety label corresponds to the available system voltage.
• The Frequency Rating on the rating plate corresponds to the system frequency.
• An earthed socket outlet with earthing contact conforming to the applicable
electrical codes is available for connecting the unit.
• The routing of the power cord from the unit to the socket outlet with grounding contact
does not pose a danger for personnel or the patient.
• The Mains Power Supply is designed for the comparatively high peak power input of
the unit (~ 3000 VA) and the line is sufficiently protected in accordance with
regulations. It is recommended that the Vanquish be connected to a dedicated circuit
breaker with appropriate characteristics.
• When the device (unit or applicator) is transferred from a cold environment to a warm
one, wait until temperatures are equalized (at least 2 hours) before plugging it in.

It is advisable to post warnings for wearers of pacemakers in the rooms where

the Vanquish therapy is applied.

3.7 PROTECTION OF THE UNIT

Improper installation, operation or maintenance of the Vanquish system may
result in malfunctions of this unit or other devices.
Do not connect the unit to the Mains Power Supply until the following
requirements have been met:

• Before putting the unit into operation, make sure that the cables and applicator are
undamaged and correctly connected to the unit.
• Do not operate the unit without a patient.
• Pay attention to the routing of the applicator connection cables. These must always
be in the air and must never lie on surfaces.
• Keep chip cards, magnetic cards, hard disks, and other data media susceptible to
interference away from the unit.
• Never perform unauthorized service. Only service technicians authorized by the
manufacturer are allowed to perform service work.

For cleaning and disinfection instructions, please refer to Chapter 3.1.2 and 3.1.3.

VANQUISH – USER’S MANUAL I PAGE 20 OF 48

 4 SYSTEM DESCRIPTION
4.1 THE FRONT PANEL OF THE VANQUISH

1. touch screen display

2. select knob (to select individual parameters)
3. enter key
4. esc key
5. start/stop key (to start and stop therapy)
6. ON/OFF switch (back lit, in blue, when the control unit is ‘’on’’)
7. USB port (For use only in compliance with IEC 60950-1. The USB port is used ONLY
for technician service purposes such as the uploading of firmware. It is not designed for
therapy use!)

VANQUISH – USER’S MANUAL I PAGE 21 OF 48

4.2 VANQUISH APPLICATORS

8a. Applicator 713/1; 686 x 192 x 105 mm (27 x 7.6 x 4.1 in)

8b. Applicator 713/2; 732 x 287 x 124 mm (28 x 11.3 x 4.8 in)

VANQUISH – USER’S MANUAL I PAGE 22 OF 48

4.3 THE REAR PANEL OF THE VANQUISH

9. type label and manufacture label

10. mains power switch
11. articulated arm
12. ventilation
13. connectors for the connection of applicator
14. voltage switch 115V/230 V
15. two fuses
16. connector for the mains cable
17. applicator (without connection cable, the cable is not part of the applicator)
18. patient’s safety switch

VANQUISH – USER’S MANUAL I PAGE 23 OF 48

 19. 360° rotating joints for the applicator positioning
20. control knobs for positioning of the arm

• When loosening the control knobs during handling the arm, always hold the arm with
one hand and loosen the knob with the other, to prevent the injury of the operator or
patient and damage to the arms. Before the start of therapy, always make sure that
the control knobs are firmly tightened, to prevent the arm from moving during the
therapy.
• Keep applicator, accessories, and their cables separated. Applicator or their cables in
contact with each other during treatment could result in improper stimulation, skin
burns, or damage to the cable or applicator.

4.4 PATIENT SAFETY SWITCH

The therapy can be terminated at any time during a treatment session by the patient pulling
the Patient Safety Switch. If the therapy is stopped by pulling the safety switch:
• the applicator immediately stops emitting electromagnetic energy
• the unit switches to pause mode

The operator can resume the therapy by pressing the continue button. Please refer to
Chapter 6.4 for further details.

4.5 SOFTWARE
To view the software version, press the menu button on the home screen. Then scroll down
and select unit settings. Scroll down again and select unit information.

VANQUISH – USER’S MANUAL I PAGE 24 OF 48

 5 ASSEMBLY AND SET-UP
5.1 UNPACKING THE UNIT
The unit is shipped complete in one or more boxes with the packaging material supplied by
the manufacturer. Since the unit weighs approximately 38 kg (84 lbs), it must be unpacked
by at least two persons.
Inspect each box for damage and report any damage to the transport carrier and the
distributor. Do not proceed with assembly and set-up if the box is damaged.
Keep the original box and packaging to ensure safe transport of the device in case of return
or repair.
Immediately upon unpacking the unit, perform the following steps:
• Verify the delivery documents to make sure that the delivery is complete.
• Check the external components and accessories for possible damage due to
transport.
• Verify that the packaging contains all items listed in Chapter 5.2.

• In case of damage from transport that could endanger personal safety, the unit must
not be connected to the mains before inspection is complete.
• When bringing the device from a cold environment into a warm one, do not plug it into
the mains until the device has adapted itself to room temperature (minimum 2 hours).

Place the unpacked device on a stable horizontal surface suitable for its weight. The unit
must not be positioned in direct sunlight or near direct heat sources. The device is self-
cooled by forced air circulation. The cooling vents are located on the rear panel and on the
bottom. Do not cover or block these vents. Allow a minimum of 10 cm (4 in) clearance behind
the rear panel. Do not place the device on a soft surface (such as a towel) which may
obstruct air flow to the bottom cooling vents. Do not put any heat-producing devices or any
objects containing water or other liquids onto the device. Do not place the device close to
appliances producing strong electromagnetic, electric or magnetic field (X-rays, etc.)
otherwise it could be undesirably influenced.
In the event of any questions, please contact BTL authorized personnel.

5.2 PACKAGE CONTENTS

Prior to installing the unit please verify that the packaging contains all items (see Chapter 7).

Do not attempt to connect applicator or other accessories not manufactured by

BTL Industries!

VANQUISH – USER’S MANUAL I PAGE 25 OF 48

5.3 REQUIREMENTS FOR INSTALLATION
The unit must be installed so that there is no danger to the patient, the operator, or other
persons. Before the unit can be installed and put into operation, please follow instructions
given in Chapter 3.6. The operator must be able to access the unit from the front.

5.4 CONNECTING TO THE MAINS

Vanquish must be connected to the mains power of 100 – 120 V, 50 – 60 Hz, or 200 – 240 V,
50 – 60 Hz. An earthed socket outlet with earthing contact is necessary.
1. Before connecting to the mains check that the voltage switch (14) on the rear side of the
device is set to the correct voltage. For the voltage range of 100-120 V, set the switch to
the 115 position. For the voltage range of 200-240 V, set the switch to the 230 position.

selected voltage

2. The selected value is always below the triangle (arrow) indicating the set voltage value
(see picture above).
3. Should you need to switch the voltage, use a screwdriver to turn the voltage switch (14) to
the desired position. Do not forget to replace the fuses (15) in the device with those
designed for the selected voltage!

5.5 TURNING THE UNIT ON

Switch the power on using the switch (10) on the rear side of the unit. The Vanquish is now
in the stand-by mode of operation. The on/off switch (6) is back lit. Turn the unit on by
pressing the on/off switch (6).
Caution: After switching the device on, the unit self-tests (15 to 20 seconds) on
power up. If any fault is detected, the screen displays a warning and the device
may disable itself. Call a BTL authorized service personnel.

5.6 INSTALLING THE APPLICATOR

• Do not cross applicator’s cables.

• To remove the cable from the applicator, make certain the power is off. While the
applicator is being supported by the arm, hold the applicator while removing the cable
to prevent the applicator from dropping to the floor.
• Tighten the arm so it does not move during therapy.

VANQUISH – USER’S MANUAL I PAGE 26 OF 48

a) Make sure that the arms are fixed to the unit and the applicator holder is positioned in
a convenient way.
b) Push the applicator inside the applicator holder until the applicator lock locks itself into
place.

The applicator 713/1:

applicator lock

applicator holder

VANQUISH – USER’S MANUAL I PAGE 27 OF 48

The applicator 713/2:

c) Attach the applicator cable to the applicator.

The applicator 713/1:

VANQUISH – USER’S MANUAL I PAGE 28 OF 48

The applicator 713/2

d) Connect the applicator cable to the unit. The applicator is connected to connectors (13)
on the rear side of the unit.

VANQUISH – USER’S MANUAL I PAGE 29 OF 48

e) To release the applicator from its holder, press the applicator lock.

applicator lock

applicator holder

VANQUISH – USER’S MANUAL I PAGE 30 OF 48

 5.7 TOUCH SCREEN

5.7.1 MAIN SCREEN

An example of the Vanquish main screen is shown on picture below. Information about
connected applicator can be found on the channel tab in bottom left corner.

channel tab

5.7.2 TOUCH SCREEN ELEMENTS AND OPERATION

The Vanquish touch screen displays several graphic elements. While some elements are for
informative purposes only, others can be pressed and activated. Basic elements include:
• push buttons
• informative text
• channel tab

The items on the touch screen can be pressed by a finger or by using a special pointer with a
soft tip which is included in the accessories of the device. Press a button to perform desired
action or to set-up a value. The esc and start buttons have similar function as start/stop
key (5) on the front panel.

5.7.3 NUMERIC KEYPAD

In addition to setting the numerical values with the select knob (2), the numeric keypad can
be used for direct typing of desired values.
Whenever applicable, numeric keypad will be activated by pressing this button:
Typing the desired value and pressing enter will store the desired value and deactivate the
numeric keypad. Pressing esc will cancel the numeric keypad window without changing
the pre-set value. If the stored value exceeds the permitted value range (the permitted value
range is displayed above the dialogue box), the stored value will be rounded-down to the
closest permitted value.

VANQUISH – USER’S MANUAL I PAGE 31 OF 48

 press this button
to activate numeric keypad

press esc to cancel press enter

the numeric keypad to confirm the value
window

Caution: Do not use sharp objects or ballpoint pens to operate the touch screen.
A special, soft tip stylus is provided for this purpose.

VANQUISH – USER’S MANUAL I PAGE 32 OF 48

 6 OPERATING INSTRUCTIONS
6.1 PREPARATION OF THE PATIENT BEFORE THE THERAPY
To ensure an optimum therapy, the patients should be in a comfortable lying or sitting
position. The parts of the body involved should be treated in unclothed condition.

• Never treat a patient on metal chairs, tables or beds. For safety reasons, check that
the patient has removed all metal objects (chains, earrings, watches, glasses, metal
implants...) from his/her vicinity before the start of the therapy. During the therapy the
patient must not be wearing hearing aids.
• Synthetic fibres (perlon, nylon, etc.) are characterized by low absorbency which can
cause the skin beneath such fabrics to quickly become moist. Therefore, it is
recommended that the body areas to be treated be completely unclothed and the
patient’s skin dried, particularly where perspiration accumulates in folds of the skin.
This applies especially when a higher dosage is being applied.
• Check the patient for perspiration regularly. Should you notice any signs of
perspirations, use a single layer of absorbent towelling between the patient and the
applicator.
• Make sure the patient’s skin is free of any creams, lotions, make-up, etc before any
type of procedure. Either ask the patient to come in “lotion-free” or suggest cleansing
in office before treatment.
• For further precautions and safety information please refer to Chapter 2.

Before the start of therapy hand the safety switch to the patient and instruct him/her in its
use. Patient should shut off the Vanquish if any discomfort is felt such as overheating or
nausea. Please refer to the Chapter 4.4 for further details.

• Do not leave patients who cannot use the Patient Safety Switch unattended while
operating this device.

6.2 ADJUSTING THE APPLICATOR

Evaluating the heat effect of the applicator is based on the heat felt by the patient. This is
influenced by a number of factors, e.g. treatment through clothes, blood circulation,
temperature of the skin, etc.
Position the applicator on the part of the body to be treated.

VANQUISH – USER’S MANUAL I PAGE 33 OF 48

 • The applicator cables should be placed in a way which prevents their contact with the
patient and with conductive or energy absorbing objects.
• Before the start of therapy check that the insulation of the cables and the cover of the
applicator are undamaged.

The method of application transforms the electromagnetic energy into heat in tissues of low
blood circulation. The tissues near the skin’s surface are heated so that not only the
transformed energy but also the distance between applicator and skin is important for the
subjective sensation of heat.
For best results place the applicator parallel to the skin’s surface. This will spread out the
energy over the entire treatment area and prevent hot spots.

• Do not allow applicator cables to come into contact with the patient. Use cable holder
to insulate the patient from the cables.
• Local overheating can also occur due to applicator’s constrictions. We recommend
that spacer be used to determine proper distance from the affected body part and the
applicator.

6.3 SETTING THERAPY PARAMETERS

The therapy parameter screen will appear after pressing the therapy button.
6.3.1 TREATMENT TIME
Adjust treatment time by using the select knob (2) or using the numeric keypad. For more
details about the numeric keypad please refer to Chapter 5.7.3. Pre-set treatment cycle time
is 30 minutes. Maximum overall treatment time is 45 minutes.

Treatment times depend on the required depth and area of treatment. Shorter times should
be used for areas of small tissue volume. Longer times should be used for larger tissue
volume.

6.4 START, INTERRUPTION AND END OF THERAPY

Set the desired parameters and start the therapy by pressing the start/stop key (5) on the
unit or the start button on the touch screen. Therapy can only be started if the therapy
parameters screen is displayed on the channel display and all parameters are set correctly.
The Vanquish will warn the user about any discrepancies.
To interrupt the therapy, press the start/stop key (5) on the unit or the pause button on the
touch screen. While the therapy is interrupted (paused), you can modify the therapy time. To
restore the interrupted (paused) therapy, press the start/stop key (5) again or press the
continue button on the touch screen.

VANQUISH – USER’S MANUAL I PAGE 34 OF 48

 To stop the therapy, press the esc button while in the pause mode.

button to pause buttons to continue

therapy or stop therapy

By default, the therapy ends after the set time elapses.

• During the therapy, you can modify the output power using the select knob.
• The patient can turn the unit off by pulling the Patient Safety Switch. For further
details, please refer to Chapter 4.4.
• The Vanquish control unit automatically monitors the system to help ensure the safety
of the patient and the device. Should any error occur, the output is shut off.

6.5 OUTPUT POWER

After the treatment parameters have been selected and therapy has been started, you may
increase or decrease the output power. To increase the output, turn the select knob (2) to
the right, to decrease the output, turn the select knob (2) to the left.

select

The default output power is 10 points. After any therapy interruption (pause), the therapy re-
starts at the output of 10 points.
The Vanquish automatically tunes to the patient when the select knob (2) is turned
clockwise. The energy transfer to the patient is initiated when at least 75 % tuning is
achieved. The Vanquish continuously monitors the intensity level. If the patient moves, the
intensity is automatically readjusted. When patient coupling to the applicator is not sufficient,
the tuning bar indicator is only partially lit. If there is insufficient coupling, the intensity cannot
be adjusted to the maximum level. The desired intensity will never be exceeded even when

VANQUISH – USER’S MANUAL I PAGE 35 OF 48

 coupling improves. Thus, the patient is protected from any unintended higher power levels as
long as the power adjustment is not changed.

insufficient coupling: best coupling:

device is tuning device is tuned and full
at minimum power power is emitted

The output power must always be set according to the subjective response of the patient.
Refer to "Dosage Levels” as stated in the table below:

Dosage level Heat perception

I (lowest) No perception of heat
II (low) Slight warming (Mild perception of heat)
III (medium) Pleasant warming (Comfortable perception of heat)
IV (heavy) Strong warming (strong but tolerable perception of heat)

• The energy tuning is indicated by loud clicking and it is displayed on the screen.
Output power is limited until Vanquish is tuned at least to 75%.
• Before increasing the output in response to inadequate patient heating, verify that the
cables are properly routed and away from metal or grounded objects. The heating
effect may be misdirected and heating an unwanted area may occur.

6.6 UNIT SETTINGS: THE “MENU” BUTTON

Press the menu button to scroll through the following menus with the select knob (2):
• unit settings
• specific settings
• treatment records

VANQUISH – USER’S MANUAL I PAGE 36 OF 48

6.6.1 UNIT SETTINGS
The menu allows personalization of the working environment. In this submenu you may
display and adjust the following parameters:
• password setting
• sound setting
• screen saver and auto switch-off
• colour setting
• setting of display contrast
• LED brightness settings
• date and time setting
• language setting
• operation mode
• touch panel calibration
• user options
• style of operation
• setting of hw key
• unit information
• service function

Password Setting. Set and change password required by the Vanquish after the switch-on.
The Vanquish comes with this function disabled.

In case you forgot your password, please contact your authorized BTL service
personnel.

Sound Setting. Set acoustic signalling for when buttons or the touch screen are pressed as
well as for certain operations such as therapy start, therapy interruption, end of therapy, etc.
All audio tones can be muted (no sound) or modified as required. Edit individual audio
schemes, create new ones and modify audio tones for each operation. The user-created
data will be displayed at the end of the list of sound schemes. The sound volume can be set
under the User options menu.

Screen Saver and Auto Switch-off. Set up the screen saver type, the screen saver
activation time, the period of time before which the screen will switch off and idle time for the
system. To cancel the screen saver mode, press the esc key on the device. Save the
settings by pressing the enter key.

Colour Setting. Set the colours of all items displayed on the screen. Select from wide range
of factory preset colour schemes, or personalize your own colour scheme.
Setting display contrast. Adjust the display contrast by turning the select knob. To quickly
change the contrast, turn the select knob while simultaneously holding the keys enter and
esc.

Date and Time Setting. Set the date and time.

VANQUISH – USER’S MANUAL I PAGE 37 OF 48

Language Setting. Set the language. The factory default is English.

Touch Panel Calibration. If the touch screen buttons do not react when pressed, the touch
screen needs to be calibrated. A simple wizard controls the entire process. During
calibration, use the touch-pen (stylus) and follow the on-screen instructions. Calibration can
be interrupted at any time by pressing the esc button. To verify the touch screen
adjustments, use the touch panel function test function.

User Options. This submenu allows the setting and displaying of the following parameters:
• direction of movement of menu (standard/reverse)
• tabs position (top/bottom)
• speaker volume

Style of Operation. This submenu allows the setting and displaying of the following
parameters:
• set zero time – you can select whether after the end of therapy, the time values on
the screen shall remain zero, or whether the values of the last performed therapy will
be displayed
• repeat sound for end – you can enable or disable the repeating audio signal which
indicates the end of therapy session

Unit Information. This submenu contains information about the device: the serial number,
the device type, the firmware version, etc. If the operation of the device is time restricted, this
submenu will indicate the date until when the device remains fully functional.

Unlock Code. Time restrictions imposed on the use of the Vanquish system operation can
be removed by entering the unlock code. Unlock code can be obtained from your BTL dealer
or service technician.

Service Functions
• Repair of files – Checks the file storage system. It repairs errors, deletes empty files,
etc. Use in case of a lack of memory space, if you have difficulties saving data, or if
you suspect data loss.
• File system formatting – Use only if the repair of files did not help. When used, the
entire memory is re-formatted and all the user-data and the user setup are lost.
• Delete accessories – Deletes all the previously installed accessory data. Use in case
of incorrectly installed applicator, or when the connected applicator cannot be
detected (question mark on the tab).
• Default setting without loss of the user data – Restores all functions of the device to
the factory default settings. User-created data will not be deleted.
• Unit log data export

VANQUISH – USER’S MANUAL I PAGE 38 OF 48

6.6.2 SPECIFIC SETTINGS
Acoustic Signal Settings. Enable or disable acoustic signal in case of insufficient tuning.
Therapy Checkpoints Settings. Set therapy pause at a given interval (factory preset is 10
minutes). This feature can be disabled.

6.6.3 TREATMENT RECORDS

This submenu displays the list of the last performed treatments.

VANQUISH – USER’S MANUAL I PAGE 39 OF 48

7 LIST OF STANDARD AND OPTIONAL ACCESSORIES
The device is not designed for use with other accessories or other medical devices except
those stated in this manual. For more detailed information on individual accessories, please
refer to Chapter 8.3.

Standard accessories:
• mains power cord
• 2x spare fuses T6.3AL/250 V (for 100-120 V, 50-60 Hz)
• 2x spare fuses T3.15AL/250 V (for 200-240 V, 50-60 Hz)
• stylus (touch-pen)
• user’s manual
• arm with applicator 713/1
• cable for the connection of applicator
• cable holder
• IR Thermometer
• box of spacers

Optional accessories:

• applicator 713/2

Accessories not manufactured by BTL for use with the Vanquish system must not
be attached to the system to prevent potential harm to the patient and/or damage the unit.

VANQUISH – USER’S MANUAL I PAGE 40 OF 48

 8 TECHNICAL PARAMETERS
8.1 DEVICE PARAMETERS
Identification of the Device
Vanquish
Device name
(with BTL Vanquish ME technology)
Operating conditions
Ambient temperature +10 °C to +30 °C (+50 °F to +86 °F)
Relative humidity 30 % to 75 %
Atmospheric pressure 800 hPa to 1060 hPa
Position on castors
Mode of operation continuous
Transport and storage conditions
Ambient temperature -10 °C to +55 °C (+14 °F to +131 °F)
Relative humidity 25 % to 85 %
Atmospheric pressure 650 hPa to 1100 hPa
Position vertical
Time of storage max. 1 year
Additional conditions transport only in original containers
Power supply
Maximum power input 600 VA
Mains voltage ~ 100 V – 120 V / ~ 200 V – 240 V
Frequency 50 Hz to 60 Hz
Electrical protection class Class I
2 x T6.3AL/250 V, tube safety fuse 5 x 20 mm
(for supply voltage ~ 100 V – 120 V)
External exchangeable fuse
2 x T3.15AL/250 V, tube safety fuse 5 x 20 mm
(for supply voltage ~ 200 V – 240 V)
On the back of device, positions O (off) and I (on).
Power switch To disconnect from the mains, unplug the male plug of the
power cord from the mains socket outlet.
Weight 38 kg (84 lb)
Dimensions (w x h x d) 560 x 980 x 560 mm (22 x 39 x 22 in)
International protection rating IP 20
Display elements
Graphic colour touch screen 8.4"/21.3 cm, 640 x 480 pixels
Indicator lights 1x orange, 4x blue
Classification
Electrical Type (Degree of Protection) BF

VANQUISH – USER’S MANUAL I PAGE 41 OF 48

8.2 MODEL PARAMETERS
Rated output power (see Note 1) 200 W at 25 Ω
Output frequency 27.12 MHz
Adjustable values
Treatment time 1 to 45 min
Maximum treatment cycle time 30 minut
Mode continuous
Output power 0 W – 200 W

Note 1: The rated power is measured by means of a load at the nominal impedance of 25Ω
Applicator must be placed in distance of 0 to 10 mm from the sensing metal plates of the
load.

8.3 TECHNICAL PARAMETERS OF APPLICATORS

Applicator Dimensions without Weight Max. power [W]

cable (w x h x d)
713/1 686 x 192 x 105 mm 1760 g (3.9 lb) 200 W
(27x 7.6 x 4.1 in)
713/2 732 x 287 x 124 mm 1260 g (2.8 lb) 200 W
(28 x 11.3 x 4.8 in)

VANQUISH – USER’S MANUAL I PAGE 42 OF 48

8.4 EMC TABLES
Medical, electrical devices are subject to special precautions concerning the EMC. They
must be installed and operated according to the EMC-advice given in this Chapter. In
particular medical electrical devices may be influenced by portable and mobile RF-
communication devices.
The manufacturer guarantees the conformity of the unit with the EMC-requirements only
when using accessories listed in this manual. The usage of other accessories may cause an
increased emission of electromagnetic disturbances or may lead to a reduced
electromagnetic immunity.
The unit must not be arranged physically close to other devices or stacked with them. If such
an order is necessary nevertheless, the unit must be observed in order to check it for the
intentional operation.
EMI problems should be reported to the manufacturer and to regulatory authorities.

GUIDANCE AND MANUFACTURER’S DECLARATION – ELECTROMAGNETIC EMISSIONS

The Vanquish unit is intended for use in the electromagnetic environment specified in the
table below. The user of the Vanquish unit should assure that it is used in such an
environment.

Emission Tests Compliance Electromagnetic Environment – Guidance

The equipment must emit electromagnetic
RF emissions energy in order to perform its intended function.
Group 2
CISPR 11 Nearby electronic equipment may be affected.

RF emissions
Class A
CISPR 11 The device is suitable for use in all
Harmonic emissions establishments, other than domestic, and those
Class A directly connected to the public low-voltage
IEC 61000-3-2
power supply network that supplies buildings
Voltage fluctuations/ used for domestic purposes.
Flicker Emissions Complies
IEC 61000-3-3

VANQUISH – USER’S MANUAL I PAGE 43 OF 48

GUIDANCE AND MANUFACTURER’S DECLARATION – ELECTROMAGNETIC
IMMUNITY

Guidance and manufacturer’s declaration – electromagnetic immunity

The Vanquish is intended for use in the electromagnetic environment specified below. The customer
or the user of the Vanquish should assure that it is used in such an environment.
IEC 60601 Compliance
Immunity test Electromagnetic environment – guidance
test level level
Portable and mobile RF communications
equipment should be used no closer to any part of
the Vanquish, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.
Recommended separation distance
3 Vrms
Conducted RF 150 kHz to d = [3.5/E1]√P
3V
IEC 61000-4-6 80 MHz d = [3.5/E1]√P 80 MHz to 800 MHz
d = [7/V1]√P 800 MHz to 2.5 GHz

where P is the maximum output power rating of

the transmitter in watts (W) according to the
transmitter manufacturer and d is the
Radiated RF 3 V/m recommended separation distance in metres (m).
IEC 61000-4-3 80 MHz to 3 V/m
2.5 GHz
Field strengths from fixed RF transmitters, as
(a)
determined by an electromagnetic site survey,
should be less than the compliance level in each
(b)
frequency range.
Interference may occur in the
vicinity of equipment marked with
the following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a) Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the measured field strength in the
location in which the Vanquish is used exceeds the applicable RF compliance level above, the
Vanquish should be observed to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as re-orienting or relocating the Vanquish.
b) Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

VANQUISH – USER’S MANUAL I PAGE 44 OF 48

 Guidance and manufacturer’s declaration – electromagnetic immunity
The Vanquish is intended for use in the electromagnetic environment specified below. The customer
or the user of the Vanquish should assure that it is used in such an environment.

IEC 60601 Electromagnetic environment

Immunity test Compliance level
test level – guidance
Floors should be wood, concrete
Electrostatic or ceramic tile. If floors are
± 6 kV contact ± 6 kV contact
discharge (ESD) covered with synthetic material,
± 8 kV air ± 8 kV air
IEC 61000-4-2 the relative humidity should be at
least 30 %.
± 2 kV for power ± 2 kV for power Mains power quality should be that
Electrical fast
supply lines supply lines
transient/burst of a typical commercial or hospital
± 1 kV for input/output N/A – no input/output
IEC 61000-4-4 environment.
lines lines

Mains power quality should be that

Surge ± 1 kV line(s) to line(s) ± 1 kV line(s) to line(s)
IEC 61000-4-5 ± 2 kV line(s) to earth ± 2 kV line(s) to earth of a typical commercial or hospital
environment.
<5 % UT <5 % UT
(>95 % dip in UT) (>95 % dip in UT)
for 0,5 cycle for 0,5 cycle
Mains power quality should be that
Voltage dips, of a typical commercial or hospital
40 % UT 40 % UT
short (60 % dip in UT) (60 % dip in UT) environment. If the user of the
interruptions for 5 cycles for 5 cycles Vanquish requires continued
and voltage
variations on operation during power mains
power supply 70 % UT 70 % UT interruptions, it is recommended
input lines (30 % dip in UT) (30 % dip in UT)
that the Vanquish be powered
IEC 61000-4-11 for 25 cycles for 25 cycles
from an uninterruptible power
supply or a battery.
<5 % UT <5 % UT
(>95 % dip in UT) (>95 % dip in UT)
for 5 s for 5 s
Power frequency magnetic fields
Power
frequency should be at levels characteristic
(50/60 Hz) 3 A/m 3 A/m of a typical location in a typical
magnetic field commercial or hospital
IEC 61000-4-8
environment.
NOTE: UT is the a.c. mains voltage prior to application of the test level.

VANQUISH – USER’S MANUAL I PAGE 45 OF 48

RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE
RF COMMUNICATIONS EQUIPMENT AND THE VANQUISH
The Vanquish unit is intended for use in the electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of the device can help prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communications equipment (transmitters) and the Vanquish as recommended
below, according to the maximum output power of the communications equipment.

Rated Maximum Output Separation Distance According to Frequency of Transmitter

Power of Transmitter [m]
[W] 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
d = [3.5]√P/ V1 d = [3.5]√P/ E1 d = [7]√P/ E1
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
200 17 17 34

For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter
in watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

VANQUISH – USER’S MANUAL I PAGE 46 OF 48

8.5 MANUFACTURER

BTL Industries Ltd.

161 Cleveland Way
Stevenage
Hertfordshire
SG1 6BU
United Kingdom

For service, please contact our service department at service@btlnet.com.

Date of last revision: 25th January 2016

ID: 713-80MANEN200

© All rights reserved. No part of this manual may be reproduced, saved or transferred by any
means including electronic, mechanical, and photographic without the prior written approval
from BTL Industries Limited.

VANQUISH – USER’S MANUAL I PAGE 47 OF 48

713-80MANEN200