Professional Documents
Culture Documents
FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 SETUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Operator Qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Unpacking the Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Product Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Requirements for Installation . . . . . . . . . . . . . . . . . . . . . . . . 23
Requirements for the Installation Location . . . . . . . . . . . . 23
SAFETY INSTRUCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Precautionary Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 NOMENCLATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Rear View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Dangers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Personal Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Software Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Protection of the Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ABOUT RADIAL PRESSURE WAVE THERAPY . . . . . . . . . . . . . 16
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Pulsed Radial Pressure Wave - Introduction . . . . . . . . . . . . 17 Unit Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Operating Data and Ratings . . . . . . . . . . . . . . . . . . . . . . . . . . 29
INDICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Radial Pressure Wave Specifications . . . . . . . . . . . . . . . . . . . 30
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Transport and Storage Conditions . . . . . . . . . . . . . . . . . . . . 30
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
CONTRAINDICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Applicator Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 R-SW Handpiece Technical Data . . . . . . . . . . . . . . . . . . . . . . 31
Description of Device Markings . . . . . . . . . . . . . . . . . . . . . . 32
ADDITIONAL PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Possible Side Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Description of Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
i
TABLE OF CONTENTS Intelect® RPW
ii
TABLE OF CONTENTS Intelect® RPW
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Maintaining the Intelect RPW . . . . . . . . . . . . . . . . . . . . . . . . 73
Routine Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Removing and Replacing the Water Bottle . . . . . . . . . . . . 75
Replacing the Projectile and Guide Tube . . . . . . . . . . . . . . 76
Safety Inspections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Warranty Repair/Out of Warranty Repair . . . . . . . . . . . . . . 82
ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Standard Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
APPENDIX A - EMC TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Table 1: Guidance and Manufacturer’s Declaration–
Electromagnetic Emissions . . . . . . . . . . . . . . . . . . . 85
Table 2: Guidance and Manufacturer’s Declaration–
Electromagnetic Immunity . . . . . . . . . . . . . . . . . . . 86
Table 3: Recommended Separation Distances
between Portable and Mobile RF
Communications Equipment and the
Intelect RPW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
iii
FOREWORD Intelect® RPW
This manual has been written for the owners and operators of the Intelect® RPW system. It contains general information on the operation,
precautionary practices, and maintenance information. In order to maximize use, efficiency, and the life of your unit, please read this
manual thoroughly and become familiar with the controls, as well as the accessories, before operating the unit. This manual contains
general safety, operating, maintenance, and care instructions for the owners and operators of the Intelect RPW system.
Specifications put forth in this manual were in effect at the time of publication. However, owing to DJO, LLC's policy of continual
improvement, changes to these specifications may be made at any time without obligation on the part of DJO, LLC.
Before administering any treatment to a patient, the user 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 radial pressure wave treatment.
Operator Qualifications
The Intelect RPW is intended exclusively for use by medical specialists and is only allowed to be used by qualified and instructed medical
persons in a clinical environment. These specialists are expected to have practical knowledge of medical procedures and applications as
well as of the technology, and should be experienced in treating the indications listed on page 18. Specialists must have the basic physical
and cognitive prerequisites such as vision, hearing, and literacy. Also, the basic functions of the upper extremities is expected.
The Intelect RPW is designed for a demographic target group between 18 and 65 years of age.
1
FOREWORD Intelect® RPW
Product Description
The Intelect RPW is intended for the use in predominately non-sterile medical sites. The Intelect RPW allows for the treatment of
indications with radial, pneumatically generated, low energy acoustic waves (shock waves) or pressure pulses.
The Intelect RPW is a compressed air operated ballistic shock wave generator featuring high-precision ballistic components in its
applicator for shock wave generation. The motion and weight of the projectile accelerated by compressed air produce kinetic energy that
is converted into sound energy when the projectile strikes an unmoved surface (shock transmitter). This acoustic pulse is transmitted to
the target tissue directly.
These waves are physically classified as radial pressure waves. The applied pressure pulse propagates radially within the tissue and has a
therapeutic effect on areas of the tissue.
NOTE: Medical devices operating on the basis of the above principle are generally referred to as extracorporeal shock wave systems
in modern medical literature.
Stay current with the latest clinical developments in the field of radial pressure wave treatment. Observe all applicable precautionary
measures for treatment. Keep informed on appropriate indications and contraindications for the use of radial pressure wave treatment.
This equipment is to be used by, and sold to, a trained clinician only under the prescription and supervision of a licensed
practitioner.
© 2017 DJO, LLC. All rights reserved. Any use of editorial, pictorial, or layout composition of this publication without express written consent from DJO, LLC is strictly prohibited. This publication
was written, illustrated, and prepared for distribution by DJO, LLC. Certain portions of this manual have been reproduced with the consent of STORZ MEDICAL.
2
FOREWORD Intelect® RPW
D-20mm D-35mm
Caution D-20mm: Avoid using the D-20mm transmitter with pressures levels exceeding 3 Bars on screen when not applying
on a non-impact surface (body). Handset is at risk for damage.
Caution D-35mm: Avoid pressure over 3 Bars on screen at all times with D-35mm Transmitter. Handset is at risk for damage.
3
FOREWORD Intelect® RPW
GENERAL INFORMATION
The Intelect RPW unit and the accompanying components and individual elements fulfill, as a unit, the currently valid safety standards and
comply with the stipulations of IEC 60601-1 and the medical products regulations. For more information about the standards to which the
Intelect RPW complies, see page 30.
The unit and its external components (accessory elements) are safe if used properly and in compliance with the explanations and
instructions provided in this documentation. Nevertheless, the unit or its external components can pose dangers. Therefore, it is essential
that anyone operating the radial pressure wave unit become aware of the potential dangers of the unit and its external components before
beginning work.
Please read and observe all safety instructions in this manual.
The following features are available on the Intelect RPW unit:
Clinical Protocols™
An efficient approach for setting up a treatment using preset parameters.
4
FOREWORD Intelect® RPW
Screen Saver
The screen saver function acts like any other screen saver on a normal computer to reduce LCD screen burn-in. The unit will enter screen
saver mode after 10 minutes of inactivity. If the user presses the touch screen or any button on the User Interface, it will return to the Home
screen.
Realtime Clock
The Realtime Clock keeps track of date and time even when the unit is turned off or unplugged.
Intensity Ramping
Ramping the intensity via the Ramp button on the Home and Edit Treatment screens allows the unit to gradually increase the intensity
from 1.4 bar to the set intensity. This feature is useful in treating conditions in which a build up of intensity is preferred over giving the
patient the full intensity from the beginning of the treatment.
Some patients may be initially uncomfortable with the idea of RPW. However, ramping the intensity serves to acclimate the patient to the
pressure of the output. Specifically, if the ramp feature is turned on, the intensity increases to the full preset number of bars after one-third
of the pulses have been given. For more information on the ramping feature available on the Intelect RPW unit, see pages 44-45.
5
SAFETY INSTRUCTIONS Intelect® RPW
PRECAUTIONARY DEFINITIONS
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:
Explosion Hazard
CAUTION Text with an “Explosion Hazard” indicator will explain
possible safety infractions if this equipment is used in the
Text with a “CAUTION” indicator will explain possible safety presence of flammable anesthetics.
infractions that could have the potential to cause minor to
moderate injury or damage to equipment. Dangerous Voltage
Text with a “Dangerous Voltage” indicator serves to inform
the user of possible hazards resulting in the electrical charge
WARNING delivered to the patient or operator in certain treatment
configurations.
Text with a “WARNING” indicator will explain possible safety
infractions that will potentially cause serious injury and
Refer to Instruction Manual/Booklet
equipment damage.
6
SAFETY INSTRUCTIONS Intelect® RPW
CAUTION CAUTION
• Read, understand, and practice the precautionary operating • The unit should be routinely checked before each use to determine
instructions. Know the limitations and hazards associated with that all controls function normally (e.g., the STOP button ends
using any radial pressure wave treatment device. Observe the treatment, the START button causes the treatment to begin, the
precautionary and operational decals placed on the unit. trigger button on the handpiece causes the transmitter to pulse,
• Before use of the Intelect RPW, make sure you have read and etc.), especially that up and down arrow buttons (see page 27)
understood all information provided in this manual. Familiarity with adjust the number of pulses the transmitter emits.
the information included in this manual is an essential requirement • DO NOT use sharp objects such as a pencil point or ballpoint pen to
to ensure efficient and optimal use of the system, to avoid dangers operate the buttons on the control panel as damage may result.
to persons and to the equipment, and to obtain good treatment • This unit should be transported and stored in temperatures between
results. 0 °C and 60 °C (32 °F and 140 °F) to prevent damage to the unit or its
• Knowledge of the content of this manual is an essential prerequisite components.
for operating the Intelect RPW. • Handle radial pressure wave treatment accessories with care.
• Disregarding any information in this manual is considered to be Inappropriate handling of the accessories may adversely affect their
abnormal usage of the unit. characteristics.
• DO NOT operate the Intelect RPW in conjunction with any other • Inspect cables, associated connectors, and accessories before each
devices. use.
• DO NOT operate this unit in an environment where other devices • Do not use accessories other than those supplied with the unit, or
are being used that intentionally radiate electromagnetic energy recommended by DJO. The safety of other products has not been
in an unshielded manner. Portable and mobile RF communications established, and their use could result in injury to the patient and
equipment can affect medical electrical equipment. degrade minimum safety.
7
SAFETY INSTRUCTIONS Intelect® RPW
CAUTION CAUTION
• Disconnect the power supply cord before removing covers on • To determine the distance of separation for all equipment operating
this equipment. Refer the servicing of this unit to qualified service near the Intelect RPW, consult the EMC tables applicable to the
personnel. other equipment.
• This equipment has an output that is capable of producing a • This equipment is to be used by, and sold to, a trained clinician only
physiological effect. under the prescription and supervision of a licensed practitioner.
• Grounding reliability can only be achieved when the equipment is • Only users trained in the use of radial pressure wave therapy should
connected to an equivalent receptacle marked "Hospital Only" or operate the unit and its applicators.
"Hospital Grade." • The Power On/Off button is considered a "soft" switch and does
• Medical electrical equipment needs special precautions regarding not isolate the unit from mains power when the unit is turned off.
EMC and needs to be installed and put into service according to Therefore, you must disconnect the male end of the power supply
the EMC information provided in this manual. cord from the electrical outlet (mains power supply) in order to
• This unit can radiate radio frequency energy and, if not installed isolate it.
and used in accordance with the instructions, may cause harmful • The Intelect RPW is not intended for the treatment of kidney stones.
interference to other devices in the vicinity. However, there is no • Depress the tabs of the caster locks to prevent the front wheels from
guarantee that interference will not occur in a particular installation. moving during treatment and storage.
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 factory field service
technician for help.
8
SAFETY INSTRUCTIONS Intelect® RPW
WARNING WARNING
• Improper installation, operation, or maintenance of the • This equipment is not designed to prevent the ingress of water
radial pressure wave system may result in malfunctions of or liquids. Ingress of water or liquids could cause malfunction of
this unit or other devices. internal components of the system and therefore create a risk of
• User must not make modification to the equipment using injury to the patient.
non-DJO, LLC parts. • Care must be taken when operating this unit adjacent to or stacked
• In case of display failure or other obvious defects, switch with other equipment. If adjacent or stacked use is necessary, the
the unit off immediately by means of the power on/off Intelect RPW should be observed to verify normal operation in the
button, disconnect the power cord from the power outlet, configuration in which it will be used. Potential electromagnetic
and notify a certified service technician. or other interference could occur to this or other equipment. Try
• Adjustments or replacement of components may result to minimize this interference by not using other equipment in
in the equipment failing to meet the requirements for conjunction with it.
interference suppression. • Use only accessories that are specially designed for this unit. Do
• If the unit cannot be installed immediately after delivery, not use accessories manufactured by other companies on this unit.
the unit and its external components or accessory DJO is not responsible for any consequence resulting from using
elements must be stored in their original packaging in a products manufactured by other companies. The use of other
dry place. accessories or cables (other than those specified) may result in
increased emissions or decreased immunity of this unit.
• Do not store or operate the unit in a dusty environment.
• Use of controls or adjustments or performance of procedures other
• Position the unit to ensure safe and easy accessibility to than those specified herein may result in hazardous exposure to
power cord. radial pressure wave energy.
• Keep all line cords away from the unit cables. Do not • Make certain that the unit is electrically earthed by connecting
store or coil line cords where they can come close to the only to a earthed electrical service receptacle, conforming to the
cables on an operating radial pressure wave unit. Position applicable national and local electrical codes.
the power cord in such a way that it does not present a
tripping hazard. • This device should be kept out of the reach of children.
• Do not block the air vents. • Do not leave patient unattended during radial pressure wave therapy.
9
SAFETY INSTRUCTIONS Intelect® RPW
WARNING WARNING
• Remove the applicator by pulling the cable connector only. DO • The surface of the transmitter can become hot if the unit is used
NOT remove by pulling the cable. outside of the parameters listed on page 29. Therefore, the operator
• To remove the cable from the applicator, make certain the power must monitor the temperature of the transmitter during the
is off. Hold the applicator while removing the cable to prevent the treatment session.
applicator from dropping to the floor. • Do not apply more than 300 pulses to the same spot.
• Observe the patient at all times during therapy. • For continued protection against fire hazard, replace fuses only
• Operating the unit at pressures higher than 3 bar without an with ones of the correct type and rating.
impact surface can result in damage to the handset.
• In the event that an Error message or Warning appears beginning
with a 2 or 3, immediately stop all use of the unit and contact the
dealer or DJO for service. Errors and Warnings in these categories
indicate an internal problem with the unit that must be tested
by DJO or a Field Service Technician certified by DJO before any
further operation or use of the system. Use of a unit 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.
• Empty the water bottle at least once weekly or if it is half full. For
instructions on removing and replacing the water bottle, see page 75.
• Treatment should never be given in the area of metal implants.
• Place the unit on a flat surface during treatment and storage to
prevent tipping and rolling.
• The surface of the transmitter can become hot. Extended skin
contact can cause minor burns. Interrupt therapy after a maximum
of 6000 pulses to allow the transmitter to cool.
10
SAFETY INSTRUCTIONS Intelect® RPW
DANGER DANGER
• The function of certain implanted devices (e.g., pacemakers) from the socket before cleaning or disinfecting the unit.
may be adversely affected during treatment with radial • Under no circumstances may liquid penetrate the openings
pressure wave. In case of doubt, the advice of a licensed on the unit (e.g. the connecting sockets of the cables).
practitioner in charge of the patient should be sought. Therefore, do not use cleaning or disinfectant sprays.
• Other equipment, including patient connected devices, • The unit and cables may not be sterilized using steam or gas.
may be adversely affected when in close proximity to radial
pressure wave equipment. • Never clean the unit with abrasives, disinfectants or solvents
that could scratch the housing or damage the unit.
• Patients should not be treated with radial pressure wave
when they have a sensitivity to acoustic pressure. • The unit's components are under pressure and subject to
high voltage. Do not perform unauthorized repairs under
• Patients should not be treated with radial pressure wave any circumstances.
when they have reduced thermal sensitivity over the
proposed area of treatment, unless the physician in charge • Shock waves must not be applied to target areas located
of the patient is notified. above air filled tissue (lungs), nor to any regions near large
nerves, vessels, the spinal column or head.
• Treatment should not be given through clothing, although it
is permissible to administer treatment through a dressing in • The operator should not use radial pressure wave over
pulsed modes. the heart in order to prevent theoretical cardiac signal
interference.
• Remove hearing aids prior to treatment.
• The unit must be installed so that there is no danger to the
• Before each use, check the condition of the housing and the patient, the operator, or other persons. Therefore, you must
insulation of the applicator and power supply cable. Also read the safety instruction and contraindications.
make sure that the cables have been routed correctly.
• Explosion hazard if the Intelect RPW is used in the presence
• If the unit is not safe for operation, then it must be repaired of flammable anesthetics mixture with air, oxygen, or nitrous
by certified service personnel and the operators must be oxide.
informed of the dangers posed by the unit.
• In order to prevent electrical shock, unplug the power plug
11
SAFETY INSTRUCTIONS Intelect® RPW
DANGER DANGER
• The Intelect RPW unit may contain Di (2-ethylhexyl) • The effects of BPA and DEHP are not known in the
phthalate (DEHP) which is the plasticizer for most PVC concentrations present in the unit and its applicators.
medical devices. Everyone is exposed to small levels of • In case of damage from transport that could endanger
DEHP in everyday life. However, some individuals can be personal safety, the unit must not be connected to the
exposed to high levels of DEHP through certain medical mains power supply before inspection is complete.
procedures. DEHP can leach out of plastic medical devices
into solutions that come into contact with the plastic. • Adhere to rules, regulations, and ordinances that may vary
The amount of DEHP that will leach out depends on from location to location concerning the appropriate use
the temperature, the lipid content of the liquid, and the of high powered radio frequency fields.
duration of contact with the plastic. As a preventative
measure, use PVC devices that do not contain DEHP, or
devices made of other materials such as ethylene (EVA),
silicone, polyethylene, or polyurethane for all clinical
procedures. Avoid using DEHP-leaching PVC when
performing all clinical procedures on male neonates,
pregnant women who are carrying male fetuses, or
peripubertal males.
• The Intelect RPW unit may contain bisphenol-A (BPA)
which is a building block of polycarbonate plastic used
to make numerous consumer products (baby bottles, 5
gallon water bottles, etc). This chemical is considered an
Unclassifiable Carcinogen and a suspected Endocrine
disruptor which may interfere with or block hormones.
BPA is highly toxic if swallowed, absorbed through the
skin, or inhaled.
12
SAFETY INSTRUCTIONS Intelect® RPW
PERSONAL SAFETY
In case of improper or unauthorized use of the unit, the operator, Before using the unit, speak with the patient to verify:
the patient or other persons may be subjected to the danger of • The patient is in a comfortable position during the entire
electric shock due to high voltage produced by the unit, the danger treatment.
of influence on active implantations by magnetic fields produced • That the patient is comfortable before and during treatment.
by the unit and the danger of being burned due to erroneously • That the patient understands what to expect during and
positioned handset or false parameters such as the duration of after treatment.
treatment, power output or operating mode.
Before using the unit, determine the maximum nominal output
Before operating the unit, please read this instruction manual power of the respective accessory in order to avoid overheating the
carefully and observe the information contained therein. tissue.
Pay special attention to the list of contraindications. Refer to "Safety At regular intervals during the treatment, verify:
Instructions" on pages 7-12, "Contraindications" on pages 19-20, • That the unit is functioning properly
and "Additional Precautions" on page 21.
• If the patient feels well.
Before operating the unit each time, verify that: After the treatment, ask the patient about the tolerance of the
• The unit has been correctly connected to the Mains Power treatment. The treatment environment should be inspected by a
Supply. licensed practitioner.
• The handset connection cable is connected properly and is The affected parts of the body should be unclothed during
not cross-routed (which may cause capacitive short circuits).
treatment, since accumulation of moisture on the skin or in folds
• Only accessories approved by the manufacturer are can cause local overheating of the skin. This is especially important
connected.
in the event that the patient is wearing clothing made of moisture-
• The handset is positioned according to the doctor’s resistant fabric such as silk or synthetic fibers.
instructions (to be checked by the doctor or physiotherapist if
applied by assisting personnel). The output power must always be set according to the subjective
response of the patient. Particular care is to be taken with patients
who have a reduced capacity for heat perception.
13
SAFETY INSTRUCTIONS Intelect® RPW
WARNING
Improper installation, operation or maintenance of the radial pressure
wave unit may result in malfunctions of this unit or other devices.
WARNING
Make certain that the unit is electrically earthed by connecting only to
a earthed electrical service receptacle, conforming to the applicable
national and local electrical codes.
14
SAFETY INSTRUCTIONS Intelect® RPW
15
ABOUT RADIAL PRESSURE WAVE THERAPY Intelect® RPW
OVERVIEW
Radial shock waves (R-SW) are introduced into the body by means • Shock waves stimulate nociceptors which, in turn, release
of a freely moved applicator and cover the entire pain region. Radial a high amount of neural pulses. As described by the Gate
shock waves are often referred to as radial pressure waves, which is Control Theory, transmission of these pulses to the central
the correct definition in physical terms. nervous system is inhibited.
The transmitter is a compressed air operated, ballistic shock wave
• Owing to the mode of action of shock waves, the chemical
environment of the cells is changed by free radicals which
generator. A projectile is accelerated by compressed air. The produce pain inhibiting substances.
kinetic energy stored in the motion and weight of the projectile
• Based on the hypothesis towards associative pain memory
is converted into acoustic energy in the form of long-wave shock (Wess), afferent pain signals are transmitted through the
pulses when the projectile strikes a shock transmitter. central nervous system by multiple synaptic junctions which
Radial shock waves propagate divergently after application and lose eventually cause efferent fibers to control muscle tone. The
energy as the penetration depth increases. They are characterized reflex mechanism works just like a regulatory circuit.
by long wave lengths and cannot be focused on deep target During shock wave therapy, strong pain signals are conducted
areas. Penetration depths are between 1 and 3 cm. Their maximum electrically, stimulating chemical processes at the synaptic contact
energy flux density is at the exit point from the shock transmitter. sites. The complex spatial and time-related stimulus pattern is
There are different working hypotheses for the mode of action of stored at the synapses as a memory engram in the form of long-
shock waves which can also be applied to radial shock waves: term modifications. The pathological association between pain and
muscle tone and vascular tone is broken as a result of shock wave
• Shock waves destroy cell membranes. Consequently, the
nociceptors are no longer able to produce generator therapy and the strong stimuli it produces, thus enabling natural
potential and can thus no longer send out any pain signals. movement patterns to be remembered and recalled. In this manner,
a non-pathological condition of the muscle tone can be restored.
16
ABOUT RADIAL PRESSURE WAVE THERAPY Intelect® RPW
OVERVIEW (CONTINUED)
Treatment results have demonstrated that shock wave therapy provides improved blood circulation in the treated pain regions and that
a long term stimulation of metabolism is achieved in areas which, by nature, are poorly supplied with blood. Since repeated treatment
sessions have shown to increase the beneficial effects of shock wave therapy, there is every reason to assume that shock waves also
produce secondary effects as described in the hypothesis towards associative pain memory, for instance.
17
INDICATIONS Intelect® RPW
GENERAL
Before a treatment with Radial Pressure Wave, a correct examination Pulse Vibration Massage
and diagnosis should be performed. Please stay current with the latest Soothing relief from muscle strain and stress.
developments and medical publications on Radial Pressure Wave therapy
for details on contraindications and side effects not known at the time of Disorder of Tendon Insertions
manufacturing.
Plantar Fasciitis, Heel Pain, or Heel Spur
Plantar Fasciitis is an inflammatory condition of the foot caused by
INTENDED USE excessive wear to the plantar facia that supports the arch
The device is intended to be used as a therapeutic modality by clinicians
needing to provide patients with a powerful and a proven method of Tendinosis Calcarea/Supraspinatus-Tendon
treating indications as pain, Myofascial trigger points, Disorders of tendon Shoulder calcifications and chronic shoulder pain
insertions, activation of muscle and connective tissue. Radial and Ulnar Humeral Epicondylitis
Tennis elbow, inflammation of tendon attachments on cubital or radial part
INDICATIONS FOR USE of elbow joint (humeral)
Radial pressure wave therapy is indicated for the following: Achillodynia
Pain due to inflammation of the Achilles tendon or the bursa associated
Myofascial Trigger Points (MTrP) with it.
Localizing and Deactivating Trigger Points Retropatellar Pain Syndrome
Triggers are localized at the low energy level (approximately 2 bar) by Pain in the front of, behind, and around the kneecap.
passing the transmitter over the muscle region being treated (increased
sensitivity to pain) and then deactivated using a higher energy level Tibial Edge Syndrome
(approximately 3 bar). Pain located along or just behind the medial edge of the tibia
Proximal Iliotibial Band Friction Syndrome/Trochanteric Insertion
Activation of Muscle and Connective Tissue Tendonitis
Increasing Circulation Pain or aching on the outer side of the knee or hip
Promotes blood flow through the tissue and boosting metabolism.
18
CONTRAINDICATIONS Intelect® RPW
GENERAL
Before a treatment with Radial Pressure Wave, a correct examination • Patients with hemorrhages or risk of hemorrhage.
and diagnosis should be performed. Stay current with the latest • Patients with malignant tumors and undiagnosed tumors.
developments and medical publications on Radial Pressure Wave • Swellings that still feel warm.
therapy for details on contraindications and side effects not • Implants, areas where implants have been removed,
known at the time of manufacturing. The Intelect RPW unit is damaged implants, and metal inclusions.
contraindicated for the following:
• Do not use Radial Pressure Wave treatment on any body part • Over superficial endoprosthesis or metal implants.
during pregnancy. • Severe arterial obstructions (stage III and IV).
• Over the pregnant or potentially pregnant uterus. Therefore, • Gynecological disorders involving acute inflammation.
radial pressure wave treatment should not be applied over • Deep vein thrombosis, phlebitis, varices.
the uterus unless specific assurance can be attained from the • Arterial disease, circulatory insufficiency.
patient that she is not pregnant. • Over eyes.
• Haemophilia, or other coagulation disorders. • Over reproductive organs.
• Anticoagulant pharmaceuticals, especially Marcumar. • Over cardiac pacemakers and defibrillators, cochlear implants,
• Acute inflammations. Do not use over swollen, inflamed, bone growth stimulators, deep brain stimulators, spinal cord
infected tissue, skin eruptions or on other acute tissue lesions. stimulators, and other nerve stimulators.
• Polyneuropathy area. A Diabetes patient often obtains • Over open lamina (after laminectomy; spina bifida).
disturbed sensory and nervous function in the • Directly over the carotid sinuses, ceruical stellate ganglion, or
polyneuropathic area. Vagus nerve located in the anterior neck triangle.
• Cortisone therapy: Wait minimum 6 weeks after local • Direct application over cancerous tumors or lesions due to its
cortisone injection before treatment with radial pressure potential to increase blood flow to the area of malignancy.
waves.
• Neoplastic tissues or space occupying lesions.
19
CONTRAINDICATIONS Intelect® RPW
GENERAL (CONTINUED)
• Occlusive vascular disease, such as arteriosclerosis obliterans
and thromboangitis obliterans, in which organic occlusion
and ischemia are evident.
• In the presence of systemic or local infection (sepsis,
Osteomyelitis, tuberculosis) or if the patient has an elevated
temperature.
• Shock waves must not be applied to target areas located
above air filled tissue (lungs), nor to any regions near large
nerves, vessels, the spinal column or head.
20
ADDITIONAL PRECAUTIONS Intelect® RPW
GENERAL
When administering radial pressure wave treatment, keep in mind Possible Side Effects
the following: Side effects could occur after a treatment with Radial Pressure wave
• Radial pressure wave treatment should be applied with therapy. The majority will appear after 1-2 days.
caution over bone where minimal (bony prominence) or no
Do not repeat a treatment until the previous side effects have
(Stage IV wounds) soft tissue is present.
diminished. Common side effects include:
• Hearing aids should be removed.
• The function of other patient connected equipment may • Reddening
be adversely affected by the operation of the pulsed radial • Swelling
pressure wave equipment. Maintain maximum distance • Pain
between units in order to reduce any tendency to interaction. • Hematoma
Refer to the EMC tables beginning on page 85 for more • Petechiae, red spots
information.
• Skin lesions after previous cortisone therapy
• Any bleeding tendency is increased by heating because
of the increase in blood flow and vascularity of the heated These side effects generally abate after 5 to 10 days.
tissues. Care, therefore, should be used in treating patients
with therapeutic radial pressure wave treatment who have
bleeding disorders.
• Frequent monitoring of intensity level and skin response
should occur during all treatments.
• Always apply the transmitter on the skin with small circular
movements.
• Never use Radial Pressure Wave therapy on the head.
• Do not treat direct in an area with a metal implant.
• Patients with active autoimmune diseases may not respond
positively with the treatment.
21
SETUP Intelect® RPW
DANGER
The unit is generally delivered with the packaging material supplied
by the manufacturer. Since the unit weighs approximately 32.66 kg
(72 lbs), it must be unpacked by at least 2 persons.
In case of damage from transport that could endanger personal
Proceed as follows: safety, the unit must not be connected to the Mains Power Supply
• Position the transport packaging so that the arrows are before inspection is complete.
pointing upward.
• Remove the safety bands from the transport packaging. 3. Verify that the packaging contains the following
• Remove the transport packaging upward. • Intelect RPW unit
• Remove the remaining foam material. • Intelect RPW CD User Manual
• Using at least 2 people, lift the unit from the lower packaging • Intelect RPW Quick Start Guide
element. • Conductor™ Transmission Gel-250 ml (8.5 oz) bottle
Standard Accessory Kit that Includes the following:
Inspection
Immediately upon unpacking the unit, perform the following steps: – R-SW Handpiece Applicator
1. Verify the delivery documents to make sure that the delivery is – Projectile
complete. – R15 - 15 mm ESWT Transmitter
2. Check the external components and accessories for possible – D20-S D-ACTOR® 20 mm Transmitter
damage due to transport. – Sealing Set
– Guide Tube
– Cleaning Brush
• Power cord
4. Retain the original packaging. It may prove useful for any
equipment transport.
22
SETUP Intelect® RPW
WARNING
• If the unit 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.
DANGER
The unit must be installed so that there is no danger to the patient,
the operator, or other persons. Therefore, you must read the Safety
Instructions on pages 6-12 and the following information.
Keep in mind the room and the installation location must be large
enough so that the unit can be operated from the front even if the
handpiece is positioned inconveniently.
23
NOMENCLATURE Intelect® RPW
FRONT VIEW
1. User Interface (see page 26)
1
2. Handpiece
3. Handpiece connection cable
4. Locking caster
5. Non locking castors
9
6. IEC Connector for Power Cord
7. Storage Bin
2 8. Grab Bar
8
9. Swivel Console
3
7
4
6
5
24
NOMENCLATURE Intelect® RPW
REAR VIEW
25
NOMENCLATURE Intelect® RPW
USER INTERFACE
2
1 1. Power On/Off Button
2. Liquid Crystal Display (LCD) and Touch Screen
3. Clinical Resources Button
4. START Button
3 5. PAUSE Button
6. Multimedia Card (MMC) Port
7. Patient Data Card Port
8. STOP Button
9. Power LED
4
5
6
8
7
26
NOMENCLATURE Intelect® RPW
SOFTWARE SYMBOLS
Display the Edit Treatment Screen Cancel and Return to Previous Screen
Pause
Back (Return to Previous Screen)
Transmitter Type
Display the Home Screen
Pulse Frequency
Move the cursor to the right one space
Accept/Select (Parameters)
27
NOMENCLATURE Intelect® RPW
ACCESSORIES
Handpiece 1. 20 mm Insert
WARNING (Transmitter)
2. Front Cap
Keep all accessories and their cords separated during treatment by 3. Rear Cap
using the hook located on the side of the unit. Accessories or their
cords in contact with each other during treatment could result in 4. Shaft
improper stimulation, skin burns, or damage to the cord or accessory.
5. Handle
6. Trigger Button
4
7. Vibration Absorber
Cushion
8. Cable
1
2 3 5 6 7
28
SPECIFICATIONS Intelect® RPW
UNIT SPECIFICATIONS
Ambient temperature . . . . . . . . . . . . . . +10 °C to 35 °C (50 °F to 95 °F)
Relative Humidity . . . . . . . . . . . . . . . . 5% to 90% NC (non-condensing)
Air Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500 hPa to 1060 hPa
Power Consumption . . . . . . . . . . . . . . . . . . . . . . . . . 840 VA (Model 2082)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 780 VA (Model 2073)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 610 VA (Model 2074)
Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 V ~, 50/60 Hz (Model 2082)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 V ~, 60 Hz (Model 2073)
HEIGHT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230 V ~, 50 Hz (Model 2074)
Pressure Vessel Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.3 L
DEPTH
Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Single or Continuous
Compressed Air Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.4 - 5 bar
Power Increment Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.2 bar
Power Indication . . . . . . . . . . . . . . . . . . . maximum and average power
TH Pulse Amplitude . . approx. 2 mm at 3 bar, idling (without coupling)
WID
0086 Pulse Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . approx. 6 - 12 ms
Pulse Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.5 - 21 Hz
Fuses . . . . . . . . . Two 6.3 A Time Lag 5 x 20 mm (not user serviceable)
Electrical Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CLASS I
Electrical Type (Degree of Protection) . . . . . . . . . . . . . . . . . . . TYPE B
Operating Data and Ratings
Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 420 mm (16.5") Protection against water ingress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IPX0
Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410 mm (16.14") Regulatory Risk Class . . . . . . . . . . . . . IIa according to MDD 93/42/EEC
Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1143 mm (45")
Standard Weight (with one handset) . . . . . . . . . . . . . . 32.66 kg (72 lbs)
29
SPECIFICATIONS Intelect® RPW
Safety
The Intelect RPW has been designed to meet the requirements of
IEC/EN 60601-1,
CAN/CSA STD C22.2 No. 601.1
30
SPECIFICATIONS Intelect® RPW
APPLICATOR SPECIFICATIONS
Pay special attention to the list of contraindications. Refer to
"Safety Instructions" on pages 7-12, "Contraindications" on pages
19-20, "Additional Precautions" on page 21, and "Personal Safety"
on page 13.
31
SPECIFICATIONS Intelect® RPW
Adjustments or replacement of components may result in Safety agency symbol indicating device meets general safety
the equipment failing to meet the requirements for requirements for medical electrical equipment
interference suppression.
This equipment is to be used by, and sold to, a trained Ambient temperature . . .+10 °C to 35 °C (50 °F to 95 °F)
clinician only under the prescription and supervision Relative Humidity . . .5% to 90% NC (non-condensing)
Air Pressure . . .500 hPa to 1060 hPa
of a licensed practitioner (U.S. only).
32
SPECIFICATIONS Intelect® RPW
This icon is located adjacent the stop button and terminates the treatment
Stop: Stops treatment
This icon is adjacent to the start button and initiates the treatment.
Starts: Starts treatment
This icon is located directly above the treatment pause button and allows access
Clinical Resources: to access the Educational Libraries to the clinical library.
This icon is located above the patient data card port and allows for software
MMC: multimedia card upgrades.
This icon is located below the multimedia card port and allows for patient
PATIENT CARD: patient data card treatment protocols to be saved on this card.
33
OPERATION Intelect® RPW
DESCRIPTION OF FUNCTIONS
Pressure waves with different features are used in modern medicine today. Pressure waves are usually generated by the collision of solid
bodies with an impact speed of a few metres per second (approx. 5 – 20 m/s), far below the sound velocity. First, a projectile is accelerated,
(e.g. with compressed air using an air gun), to a speed of several meters per second and then abruptly slowed down by hitting an impact
body. The elastically suspended impact body is brought into immediate contact with the surface of the patient above the area to be
treated, preferably using coupling gel. When the projectile strikes the impact body, part of its kinetic energy is transferred to the impact
body, which also makes a translational movement over a short distance (typically < 1 mm) at a speed of around one meter per second
(typically < 1 m/s) until the coupled tissue or the applicator decelerates the movement of the impact body.
The motion of the impact body is transferred to the tissue at the point of contact, from where it propagates divergently as a radial pressure
wave.
Pressure waves as described here emanate from the application point of the impact body and travel radially into the adjacent tissue. The
energy density of the induced pressure wave quickly drops with increasing distance from the application point (by a proportion of 1/r²), so
that the strongest effect is at the application point of the applicator.
It appears that the principle of action is so universal that a multitude of very different indications respond positively to shock wave therapy.
In order to study the mechanisms of action, the shock waves used must be precisely characterized using the parameters described in
the text. This is the only way to determine dosage/effect relationships and to obtain sound knowledge about the mechanism of action.
However, the fact that focused shock waves and unfocused pressure waves, which have clear physical differences, show similar effects,
especially in the stimulation of healing processes, suggests that both forms of energy do not exert a direct mechanical effect but rather
have an impact on the senso-motoric reflex behavior. It seems that a reorganization of pathological reflex patterns that are anchored
in memory due to the stimulating effect of shock and pressure waves cannot be ruled out. This would open up a previously unknown
potential for further therapeutic areas of application.
Intelect RPW units are therefore used for a wide range of applications in hospitals and in private practices by doctors and physiotherapists.
34
OPERATION Intelect® RPW
35
OPERATION Intelect® RPW
36
OPERATION Intelect® RPW
WARNING
.
37
OPERATION Intelect® RPW
DANGER
The unit has been completely assembled in the factory and is
ready for use except for connection of the handpiece and the
power cord.
The unit and the handpiece must be positioned so that there is no
Proceed as follows in order to prepare the unit for operation: danger of personal injury. Therefore, you must read and observe the
• Make sure that the voltage rating on the serial decal safety instructions and the list of contraindications before putting
conforms to the system voltage of the building. the unit into operation.
• Install the required transmitter (insert) into the handpiece.
See page 34 for more information on installing the
WARNING
transmitter.
• Plug the handpiece cable into the socket on the back of
the unit. Attach the connecting cable in the cable hook on
the side of the unit. Make certain that the unit is electrically earthed by connecting
only to an earthed electrical service receptacle, conforming to the
• Check the condition of the housing and the insulation of applicable national and local electrical codes.
the handpiece, handpiece connection cable, and the power
supply cable. Also make sure that the cables have been
routed correctly.
• Insert the power cord plug into an earthed socket outlet.
There is no need to plug the power cord into an isolated
circuit for the proper function of this unit.
• Position the device such that it is not difficult to disconnect
the power cord plug from the outlet, in case of emergency.
• Depress the tabs of the caster locks to prevent the front
wheels from moving.
38
OPERATION Intelect® RPW
39
OPERATION Intelect® RPW
BASIC OPERATION
1. Connect the male end of 4. Press the Power On/Off
the power supply cord to button or touch the LCD.
an appropriate electrical The following occurs when
outlet. the Power On/Off button
is pressed or the LCD is
touched:
• three quick beeps
sound
• the blue LED illuminates
2. Connect the female end of
• the Home Screen
the power supply cord into displays.
the IEC connector on the
The Operator Interface consists of buttons with a touch screen
side of the unit.
liquid crystal display (LCD). The operator is able to view parameter
options on the display and make selections by pressing the buttons
directly on the LCD. The LCD provides continuous information
during the treatments concerning intensity and the number of
pulses given. Parameters are adjusted using the and buttons.
The output can be stopped by the user by pressing the PAUSE or
3. Depress the tabs of the STOP buttons located on the Operator Interface.
caster locks to prevent the
front wheels from moving.
40
OPERATION Intelect® RPW
STARTING THERAPY
The Intelect RPW offers the following methods from which you can Edit Treatment Screen
begin a treatment session:
• Quick Link Indications (page 42) 1. On the Home Screen, press
• Home screen (page 43) the button. The Edit
Treatment screen displays.
• Clinical Protocols (page 48)
• User Protocols (page 50)
• Patient Card (page 57)
Home Screen
The Home screen serves as the main treatment screen. After the
treatment parameters have been selected, you may increase or 2. Increase the parameters on
decrease the output power (in bars) during therapy on the Home the Edit Treatment screen
screen by using the and buttons. by pressing the button.
41
OPERATION Intelect® RPW
42
OPERATION Intelect® RPW
Starting Therapy from the Home Screen 3. Press the trigger button on
the handpiece to activate
1. On the Home screen, press the handpiece. The unit
the and buttons to begins emitting radial
set the appropriate output pressure wave energy.
power (in bars) for therapy.
44
OPERATION Intelect® RPW
45
OPERATION Intelect® RPW
46
OPERATION Intelect® RPW
48
OPERATION Intelect® RPW
49
OPERATION Intelect® RPW
50
OPERATION Intelect® RPW
51
OPERATION Intelect® RPW
52
OPERATION Intelect® RPW
53
OPERATION Intelect® RPW
54
OPERATION Intelect® RPW
56
OPERATION Intelect® RPW
58
OPERATION Intelect® RPW
59
OPERATION Intelect® RPW
60
OPERATION Intelect® RPW
61
OPERATION Intelect® RPW
62
OPERATION Intelect® RPW
63
OPERATION Intelect® RPW
64
OPERATION Intelect® RPW
65
OPERATION Intelect® RPW
66
OPERATION Intelect® RPW
67
OPERATION Intelect® RPW
69
OPERATION Intelect® RPW
TREATMENT TIPS
The applicator is placed over the previously diagnosed pain region. Holding the Handpiece as a Pen
To start and stop shock wave application, the trigger button The handpiece is held
provided on the applicator must be pressed behind the rear cap.
Keep in mind the following: This way of holding the
• Do not apply more than 300 pulses to the same spot. applicator is recommended
• Avoid pressing the transmitter into the treatment area with for tactile treatment.
excessive pressure. Excessive pressure is not needed for
effective and successful treatment.
• Stop treatment after a maximum of 6000 pulses.
Positioning the Handpiece
Position the handpiece on the part of the body to be treated
according to the medical indication.
Holding the Handpiece as a Bar
WARNING
The handpiece is grasped
with the entire hand
behind the rear cap.
Operating the unit at pressures higher than 3 bar without an impact This way of holding the
surface can result in damage to the handset. applicator is recommended
for the treatment of pain
regions covering relatively
large areas.
70
OPERATION Intelect® RPW
TREATMENT TIPS (CONTINUED)
Using Both Hands to Hold the Handpiece
This way of holding the
applicator is recommended
for the treatment of pain
confined to specific points.
71
TROUBLESHOOTING Intelect® RPW
ERRORS
Error Codes and Descriptions
Error Description Error Description
Code Code
100 The Patient Card button was pressed, but no valid treatments 109 The MMC is being accessed, but there is no MMC inserted into
were found on the Patient Card. the MMC port.
101 The Save to Patient Card button was pressed, but there is no 110 The user is attempting to update the unit's software, but the
Patient Card inserted. MMC inserted into the MMC port is not a software update MMC.
102 The Save to Patient Card button was pressed, but the card that 111 There was an error encountered when attempting to update
is currently inserted in the Patient Data Card Port is not a valid the control board software.
patient data card.
112 There was an error encountered when attempting to update
103 The Save to Patient Card button was pressed, but the card that the interface board software.
is currently inserted in the Patient Data Card Port is full.
113 The treatment being accessed on the Patient Card is a traction
104 The Save to Patient Card button was pressed, but there is type of treatment.
already a treatment by that name on the Patient Card.
114 The treatment being accessed on the Patient Card is an
105 No patient name was entered when the Save to Patient Card electrotherapy type of treatment.
button was pressed.
115 The treatment being accessed on the Patient Card is a
106 No protocol name was entered when attempting to save a continuous passive motion (CPM) type of treatment.
protocol.
116 The treatment being accessed on the Patient Card is a
107 The Retrieve Protocol button was pressed, but no user protocols shortwave diathermy type of treatment.
have been set up in the unit. Refer to page 51 for more
117 The treatment being accessed on the Patient Card is an
information about saving user protocols.
unknown type of treatment.
108 The protocol cannot be saved because the unit has the
maximum number of protocols already saved.
72
TROUBLESHOOTING Intelect® RPW
ERRORS (CONTINUED)
WARNING
Error Description
Code
118 A button was pressed that accessed the MMC card (e.g., Radial
Pressure Wave Rationale, Contraindications, etc.), but the MMC In the event that an Error message or Warning appears beginning with
inserted into the MMC port is not the correct MMC. a 2 or 3, immediately stop all use of the unit and contact the dealer or
DJO for service. Errors and Warnings in these categories indicate an
119 The Delete button was pressed while a default (factory) protocol internal problem with the unit that must be tested by DJO or a Field
was highlighted. Service Technician certified by DJO before any further operation or use
121 The START button was pressed, but a handpiece cable is not of the system.
connected to any output socket.
Use of a unit that indicates an Error or Warning in these categories
122 The START button was pressed, but a handpiece cable is not may pose a risk of injury to the patient, user, or extensive internal
connected to the Channel 1 output socket. damage to the system.
123 The START button was pressed, but a handpiece cable is not
connected to the Channel 2 output socket.
124 The user is attempting to use the wrong transmitter for the
WARNING
selected protocol.
125 The transmitter in Channel 1 has reached one million pulses.
126 The transmitter in Channel 2 has reached one million pulses. In case of display failure or other obvious defects, switch the unit
127 The handpiece cable has become disconnected from the off immediately by means of the Power On/Off button and notify a
output socket during a therapy session. certified service technician.
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MAINTENANCE Intelect® RPW
75
MAINTENANCE Intelect® RPW
76
MAINTENANCE Intelect® RPW
77
MAINTENANCE Intelect® RPW
78
MAINTENANCE Intelect® RPW
7. While holding the shaft with one hand, pull the guide tube out of the shaft with the other hand.
NOTE: The guide tube will be tightly fitted into the shaft, so you will need to pull hard to remove it.
9. Clean the outside of the shaft, transmitter, and screw cap using a soft, clean cloth dampened with
water or a mild antibacterial detergent. Avoid the use of abrasive materials and cleaning solvents.
NOTE: Wait until the cleaned components are dry before continuing with step 10.
10. Clean the inside of the shaft (tube) with the cleaning brush provided with hand piece kit. Cleaning
should be performed after each day of usage.
79
MAINTENANCE Intelect® RPW
12. Insert the new guide tube 14. Insert the new projectile
into the shaft. into the guide tube.
NOTE: Make certain to
insert the end of
the guide tube
without the holes
into the shaft.
80
MAINTENANCE Intelect® RPW
81
MAINTENANCE Intelect® RPW
Safety Inspections
The following safety inspections must be performed on this unit.
This must be done by persons who, based on training, knowledge
or practical experience, are capable of conducting the inspections
correctly and independently.
Visual Inspection (Daily)
When performing daily inspections of the unit, pay particular
attention the following areas of potential damage:
• Deformation of unit housing
• Power cable damage
• Handpiece connection damage
• Handpiece cable damage
82
MAINTENANCE Intelect® RPW
MAINTAINING THE INTELECT RPW (CONTINUED)
Service
DANGER
Do not perform unauthorized repairs under any circumstances.
Return unit to DJO for servicing.
83
ACCESSORIES Intelect® RPW
STANDARD ACCESSORIES
REF. Description Qty REF. Description Qty
28668 Intelect RPW CD User Manual 1 One of the following power cords:
28671 Intelect RPW Quick Start Guide 1 14679 US [18 AWG, 118 in (300 cm)] 1
4248 Conductor™ Transmission Gel-250 ml (8.5 oz) bottle 1 14814 Switzerland [18 AWG, 118 in (300 cm)] 1
28700 Standard Accessory Kit that Includes the following: 1 14815 UK [18 AWG, 118 in (300 cm)] 1
28699 D-ACTOR (R-SW) Handpiece Applicator 1 14816 India [18 AWG, 118 in (300 cm)] 1
28736 Projectile 3 14817 Israel [18 AWG, 118 in (300 cm)] 1
17638 R15 - 15 mm ESWT Transmitter 1
14818 Denmark [18 AWG, 118 in (300 cm)] 1
28724 D20-S D-ACTOR® 20 mm Transmitter 1
14819 Austrailia [18 AWG, 118 in (300 cm)] 1
28737 Sealing Set 1
14820 EU [18 AWG, 118 in (300 cm)] 1
28738 Guide Tube 2
14821 Japan [18 AWG, 118 in (300 cm)] 1
28739 Cleaning Brush 1
84
WARRANTY Intelect® RPW
DJO, LLC, ("Company") warrants that the Intelect RPW ("Product") is free of defects in material and workmanship. This warranty shall remain in effect for three years fom the date of original consumer
purchase. If this Product fails to function during the three year warranty period due to a defect in material or workmanship, at the Company's Option, Company or the selling dealer will repair or
replace this Product without charge.
All repairs to the Product must be performed by a service center certified by the Company. Any modifications or repairs performed by unauthorized centers or groups will void this warranty.
The warranty period for accessories is 365 days or 5 Million Shocks.
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 region to region.
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 representation or agreement not
contained in the warranty shall be void and of no effect.
85
APPENDIX A - EMC TABLES Intelect® RPW
86
APPENDIX A - EMC TABLES Intelect® RPW
IEC 60601
Immunity Test Compliance Level Electromagnetic Environment - Guidance
Test Level
Electrostatic discharge (ESD) ±6 kV contact ±6 kV contact Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic material, the relative
IEC 61000-4-2 ±8 kV air ±8 kV air humidity should be at least 30%.
Electrical fast transient/burst ±2 kV for power supply lines ±2 kV for power supply lines Mains power quality should be that of a typical commercial or hospital environment.
IEC 61000-4-4 ±1 kV for input/output lines N/A - No Input/Output lines
Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that of a typical commercial or hospital environment.
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode
Voltage dips, short <5% UT <5% UT Mains power quality should be that of a typical commercial or hospital environment. If the user of the
interruptions and voltage (>95% dip in UT) for 0.5 cycle (>95% dip in UT) for 0.5 cycle Intelect RPW requires continued operation during power mains interruptions, it is recommended that the
variations on power supply 40% UT 40% UT Intelect RPW be powered from an uninterrupted power supply or a battery.
input lines (60% dip in UT) for 5 cycles (60% dip in UT) for 5 cycles
IEC 61000-4-11 70% UT 70% UT
(30% dip in UT) for 25 cycles (30% dip in UT) for 25 cycles
<5% UT <5% UT
(>95% dip in UT) for 5 sec (>95% dip in UT) for 5 sec
Power frequency (50/60Hz) 3 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical
magnetic field commercial or hospital environment.
IEC 61000-4-8
NOTE: UT is the a.c. mains voltage prior to application of the test level.
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APPENDIX A - EMC TABLES Intelect® RPW
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 separation distance for 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.
89
DJO France SAS
Centre Européen de Frêt
3 rue de Béthar
64990 Mouguerre, France
T: 1-800-592-7329 USA
T: + 1-317-406-2209
F: + 1-317-406-2014
0086 chattgroup.com
© 2017 DJO, LLC. All rights reserved.
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