Vectra Stim-Combo
Vectra Stim-Combo
Vectra Stim-Combo
Problem
User Manual
Solving STIM and COMBO
Electroluminescent LCD
Through Clinical Protocol System™
User Defined Protocols
Innovation! Gel Warmer
Product Description
The Vectra ® Series offers a new dimension in electrotherapy, ultrasound and combination treatments. They offer seven
Pain Management and Muscle Contraction waveforms, Ultrasound and Combination therapy (4C, 2C only).
The Clinical Protocol System™ offers over 100 protocols. With user defined protocols, the clinician can create up to
9 unique electrotherapy and ultrasound protocols.
Vectra ® 4C, 2C and Vectra ® 4S, 2S are prescription devices used under the supervision or by the order of a physician or
other licensed healthcare provider.
©2004 Encore Medical Corporation or its affiliates, Austin, Texas, USA. Any use of editorial, pictorial or layout composition of this publication without
expressed written consent from the Chattanooga Group of Encore Medical, L.P. is strictly prohibited. This publication was written, illustrated and
prepared for print by the Chattanooga Group of Encore Medical, L.P.
this equipment. The definition of these symbols are as follows; • DO NOT operate the Vectra ® when connected to any unit other than Chattanooga Group
devices. DO NOT operate the unit in an environment of short-wave diathermy use.
!
=CAUTION- Text with a “CAUTION” indicator will explain • The Ultrasound generator should be routinely checked before each use to determine that
possible Safety infractions that could have all controls function normally, especially that the intensity control does properly adjust the
the potential to cause minor to moderate intensity of the ultrasonic power output in a stable manner. Also, determine that the
injury or damage to equipment. treatment time control does actually terminate ultrasonic power output when the timer
reaches zero.
!
relocate the receiving device, increase the separation between the equipment, connect the
=DANGER- Text with a “DANGER” indicator will
unit to an outlet on a different circuit from that to which the other device(s) are connected
explain possible Safety infractions that are and/or consult the factory field service technician for help.
imminently hazardous situations that would
• Use of controls or adjustments or performance of procedures other than those specified
result in death or serious injury. herein may result in hazardous exposure to ultrasonic energy.
=EXPLOSION HAZARD- • This unit is not designed to prevent the ingress of water or liquids. Ingress of water or
liquids could cause malfunction of internal components of the system and therefore
Text with an “Explosion Hazard” indicator create a risk of injury to the patient.
will explain possible safety infractions if this • DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the buttons
equipment is used in the presence of on the control panel as damage may result.
flammable anesthetics. • This unit should be operated, transported and stored in temperatures between 59° F and
104° F (15° C and 40° C), with Relative Humidity ranging from 30%-60%.
NOTE:- Throughout this manual “NOTE” may be found. These
Notes are helpful information to aid in the particular • Handle ultrasound applicator with care. Inappropriate handling of the ultrasound applicator
may adversely affect its characteristics.
area or function being described.
• Before each use inspect treatment head for cracks, which may allow the ingress of
conductive fluid before each use.
• Inspect treatment head cables and associated connectors before each use.
Optional Accessories
The following is a list of optional accessories available for the Vectra ® 4C, Vectra ® 4S, Vectra ® 2C and Vectra ® 2S:
78046 Applicator, Ultrasound 10 cm 2
78048 Applicator, Ultrasound 2 cm 2
57007 Microcurrent Probe with Switch
79977 High Volt Probe Kit
10832 Strap, Nylatex, Long 21/2" x 48"
10648 Strap, Nylatex, Medium, 21/2" x 24"
10828 Strap, Nylatex, Short, 21/2" x 18"
79541 Manual Stim Switch
79571 Service Manual
Contraindications
• This device should not be used for symptomatic pain relief unless etiology is established or unless a pain syndrome
has been diagnosed. This device should not be used on patients with demand type cardiac pacemakers. This device
should not be used over cancerous lesions.
• Electrode placements must be avoided that apply current to the carotid sinus region (anterior neck) or transcereberally
(through the head).
Warnings
• The long-term effects of chronic electrical stimulation are unknown. Safety has not been established for the use of
therapeutic electrical stimulation during pregnancy.
• Adequate precautions should be taken when treating individuals with suspected or diagnosed heart problems,
or epilepsy.
• Benefits of Interferential stimulation have not been established for pain of central origin.
• This device is to be used as a symptomatic treatment for pain and has no curative value. Patients should be cautioned
and their activities regulated if pain is suppressed that would otherwise serve as a protective mechanism.
• Electronic monitoring equipment (such as ECG monitors and ECG alarms) may not operate properly when electrical
stimulation is being utilized.
Adverse Effects
• Skin irritation and burns beneath the electrodes have been reported with the use of therapeutic electrical stimulation.
(VMS, RUSSIAN, HIGH VOLT only)
Indications
• Relaxation of muscle spasms.
• Prevention or retardation of disuse atrophy.
• Increasing local blood circulation.
• Muscle re-education.
• Maintaining or increasing range of motion.
• Immediate postsurgical stimulation of calf muscles to prevent venous thrombosis.
Contraindications
• This device should not be used on patients with demand type cardiac pacemakers.
• This device should not be used on cancer patients.
Warnings
• The long-term effects of chronic electrical stimulation are unknown.
• Safety has not been established for the use of therapeutic electrical stimulation during pregnancy.
• Adequate precautions should be taken when treating individuals with suspected or diagnosed heart problems.
Adverse Effects
• Skin irritation and burns beneath the electrodes have been reported with the use of therapeutic electrical stimulation.
User Maintenance
To clean, turn unit off and unplug the power supply. Clean the unit with a damp cloth. Do not use abrasive cleaners.
A small amount of mild household detergent may be used, if desired.
Between patient uses, patient applied parts should be wiped clean with a clean damp cloth, then use another clean cloth
to clean with a hospital grade germicide. Follow germicide manufacturer directions. Some highly concentrated
germicide mixtures could damage the product if not diluted in accordance with directions of the germicide manufacturer.
Technical Maintenance
No attempt should be made to disassemble the unit. Maintenance and all repairs should be made by authorized
personnel only. The manufacturer will not be held responsible for the results of maintenance or repairs by unauthorized
persons.
To fully maintain compliance with Federal Regulation Title 21 (21 CFR), this unit must be recalibrated annually. It is
recommended that all Chattanooga Group ultrasound products be returned to the factory or an authorized servicing
dealer for repairs or recalibration. It is also recommended after the replacement or repair of any major component.
Unit Orientation
CONTRAST
Operating Channels – The Vectra ® 4C provides four channels of electrical stimulation POWER ON LED
INTENSITY KNOB
and one channel of ultrasound while the 4S provides four channels of electrical
stimulation. The Vectra ® 2C has two channels of electrical stimulation and one ON
OFF
channel of ultrasound while the 2S has two channels of electrical stimulation.
Probe Port – Connect the Microcurrent probe to the Microcurrent Probe port.
REMOVABLE MEDIA
Ultrasound Port – The Vectra ® 4C and 2C include a 5 cm 2 applicator, which connects
to the ultrasound port. The advanced electronics of the Vectra ® reads the calibration
data of the ultrasound applicator every time you plug it in or access the ultrasound
mode. This sophisticated Electronic Signature ™ assures accurate calibration when
MICROCURRENT
you apply ultrasound therapy. PROBE PORT STIMULATION OUTPUT CHANNELS
Upgrade – The Vectra ® Series can be easily upgraded. The 4S can be upgraded to
add ultrasound. The 2S can be upgraded to include two more channels of
stimulation and/or ultrasound. The 2C can accept two more channels of
electrical stimulation. All Vectra ® Stim or Combo models can be fully upgraded
to a Vectra ® Pro4 model.
MAINS PLUG
Pain Management
The management of post-traumatic, post-operative or chronic intractable pain
associated with many areas of the body can be a difficult task. The Vectra ®
provides multiple waveforms and a Clinical Protocol Library to help you select
the appropriate waveform and parameter settings.
Three waveforms are available for Pain Management therapy; Interferential,
Premodulated and Microcurrent.
Volts CV Volts CV
Volts CV Volts CV
100 Hz
allows the use of the optional Microcurrent Probes.For more detail of microcurrent
probe set-up, refer to page 13.
µA
Polarity of the Microcurrent waveform can be Positive (default), Negative or
Alternating. The Polarity of the active/treating electrode can be changed from
Positive (default) to Negative by pressing the Polarity button. When Positive
(default) polarity is selected, the Red leadwire is the positive polarity and the
Black leadwire is negative polarity. IF YOU SELECT NEGATIVE POLARITY, the
Red leadwire becomes negative polarity and the Black leadwire becomes positive
polarity. In the Alternating mode, the polarity alternates between positive and negative
every 2.5 seconds.
Frequency is the number of cycles delivered per second. The number of cycles per second is expressed in Hertz (Hz). The
range of frequency options is .1 to 1000.0 Hz. To change frequency, press the Frequency button then use the up or down
arrows to change the frequency. Frequency Tuning provides two options, Course and Fine. The Course tuning option
increases the frequency by 1Hz and the Fine tuning option increases by 1 tenth of 1 Hz.
High Volt stimulation has output ranges between 300 and 500 volts. True
Twin-Peak High Volt is designed to deliver very short-duration pulses, which
are very low in pulse charge. High Volt is available on all channels of the 4S,
4C, 2S, and 2C.
Sweep is frequency modulation of the High Volt current. When you press the
Sweep button, 4 options are displayed. They are 80-120 pps ,1-120 pps, 1-10
pps and Fixed (default at 100 pps) The Fixed (continuous) option allows you to
select a continuous fixed frequency from 1-120 pps.
Ramp controls the amount of time required to bring the stimulation up to the
selected amplitude. When you press the Ramp button it will toggle between
0.5 seconds, 1 second, 2 seconds (default) and 5 seconds.
Display provides two options of viewing output. The options are Voltage
(default) and Peak Current. The ability to assess peak current can help
determine tissue response, and an indication of impedance to current at the
electrode skin interface.
Method gives you the option of delivering High Volt to the patient either by
Pads (default) or Probe application.
Polarity of the active/treating electrode can be changed from Positive (default) to Negative by pressing the Polarity
button. When Positive (default) polarity is selected, the Red leadwire is positive polarity and the Black leadwire is
negative polarity. IF YOU SELECT NEGATIVE POLARITY, the Red leadwire becomes negative polarity and the Black
leadwire becomes positive polarity.
Russian
The Russian current is a 2,500 Hz sinusoidal carrier wave, interrupted to create
pulse trains or "bursts." The number of bursts per second is determined by the
burst frequency and the length of the bursts is determined by the duty cycle.
Channel Mode provides three methods of treatment including Single channel
application, Reciprocal application where stimulation alternates between agonists
Current Format
and antagonists and Co-Contract where the timing of stimulation can be CC
coordinated through two channels to simultaneously co-contract agonist and
antagonist or differing sections of a larger muscle group. Pressing the Channel
Mode button will toggle between Single (default), Reciprocal and Co-Contract.
Duty Cycle is the ratio of on time to total time of the burst and is expressed as a CC
percentage. The options are 10%, 20%, 30%, 40% and 50% (default).
Set Intensity button allows you to set the intensity independently for each
CC
individual channel or Both Channels simultaneously. This is important when using
Reciprocal and Co-Contract modes. When selecting the Reciprocal mode, adjust
the intensity for channel 1 (default), press the Set Intensity button and it will
change from channel 1 to channel 2, then set the intensity for channel two.
time from the beginning to the termination of one phase. To change Phase
Duration, press the Phase Duration button then use the up or down arrows to
change the duration.
Set Intensity button allows you to set the intensity independently for each
individual channel or Both Channels simultaneously. This is important when
using Reciprocal and Co-Contract modes.
When selecting the Reciprocal mode, adjust the intensity for channel 1 (default), press the Set Intensity button and it
will change from channel 1 to channel 2, then set the intensity for channel two. The last option is Both Channels, which
allows the intensity of both channels to be adjusted simultaneously.
Contraindications
• An area of the body where a malignancy is known to be present.
• The eyes.
• The reproductive organs.
• An acute infection or sepsis.
• A pregnant uterus.
• Deep vein thrombosis.
• An arterial disease.
• An anesthetized area or condition that causes impairment of sensation, such as chemotherapy.
• The epiphyses of skeletally immature children.
• The thoracic area if the patient is using a cardiac pacemaker.
• A healing fracture.
• 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.
• Patients with an implanted neurostimulation device must not be treated with or be in close proximity to any shortwave
diathermy, microwave diathermy, therapeutic ultrasound diathermy or laser diathermy anywhere on their body. Energy
from diathermy (shortwave, microwave, ultrasound and laser) can be transferred through the implanted
neurostimulation system, can cause tissue damage and can result in severe injury or death. Injury, damage or death can
occur during diathermy therapy even if the implanted neurostimulation system is turned "off."
Step-By-Step Instructions
• Select Combo
• Make any desired parameter changes
• Set ultrasound intensity
• Select Edit Stim
• Set Stimulation intensity
• Press Start to begin treatment
Head Warming is a unique feature of the Vectra ® that allows the aluminum surface
of the Ultrasound applicator to warm up to room temperature, enhancing patient comfort.
Stim button allows the selection of Premodulated (default), High Volt, VMS or Interferential waveforms for combination
with ultrasound.
Vectra Utilities
To access the Utilities screen, press and hold the Home button for three seconds. After making selections, press the
Home button to return to the Home screen.
The Language option allows you to select the desired language that is displayed on the Vectra ® screen. Supported
languages include English, Spanish and French.
The Gel Warmer turns the Gel Warmer feature on or off (2C and 4C only).