DEVICE BASICS

Basic Device Start Up:

Set the “Stimulator Output Control” knob and the “Ultrasound Output Control” knob fully counter-clockwise

1.      Turn on by pressing the "Power Switch".

2.      Set “Output Display Selector” rocker switch to the “Ultrasound “position.

3.      Set the "Treatment Time" selector to the number of minutes for treatment (5 to 8 minutes is recommended).

4.      Set "Power/Intensity Selector” rocker switch to the "Intensity" setting.    

5.      Set "Pulsed/Continuous Selector" rocker switch to “Pulsed” (acute) or “Continuous” (chronic).

6.      Set the "Stimulator Polarity Selector" rocker switch to “Negative” and apply distal ground electrode.

7.      Depress the "Timer On/Off Selector" button to “On” to activate the unit. Apply approximately 1 heaping tablespoons of coupling gel to the face of the Soundhead.

8.      Rotate the "Ultrasound Output Control" knob clockwise until the desired intensity is indicated in the "Output Display" (0.50 W/cm² is recommended).

9.      Switch the “Output Display Selector” rocker switch to the “Stimulator” setting to observe the applied voltage.

Apply the Soundhead to the patient and keep it moving then rotate the "Stimulator Output Control" knob clockwise until the patient reports a slight sensation. This will occur somewhere between 25 & 125 Volts as indicated on the “Output Display”. If no sensation is felt by the time 150 Volts is indicated, then discontinue treatment and troubleshoot the setup.  

This device requires a complete circuit so means an active electrode (Red or Soundhead) and a ground (Black or Large dispersive). These can be held in place with the supplied Velcro wraps.

Basic Steps

1.     Clean the skin of any dirt, sweat or applied oils.

2.     Place Ground - Place either Black Electrode or Large dispersive to act as the ground.

·        Black Electrode (active ground - treats local area using opposite polarity) 

·        Large dispersive (inactive ground – minimizes treatment effect of ground; must be at least 5x larger than active at a minimum greater than 25cm²) which is placed on either the torso, limbs or feet.

Distal ground – setting the ground to get the electrical field through the body by using either a lateral (elbow to elbow) or use a contralateral (example elbow to opposite side knee) electrode placement.

Lateral placement - ground the same area on the opposite side, “Use the left side to ground the right and the right side to ground the left” such as elbow to elbow.

Contralateral placement - "Use the lower body to ground the upper and the upper to ground the lower" and “Use the left side to ground the right and the right side to ground the left” such as left elbow to right knee or right wrist to left ankle.

Limb to Limb correspondence – Outside of arm to outside of leg, inside of arm of inside of leg, front of arm to front of leg, back of arm to back of leg.

Body to Limb correspondence - front of body to front of limb: back of body to back of limb and sides of the body to outside of the limb.

Ground Across– the active Red electrode or Soundhead is used right across from the ground: across either sides of knee or across torso from back to front or side to side.

Active Electrode – use either the Red Electrode or Soundhead on the area to be treated, for Soundhead use adequate amounts of ultrasound/conductivity gel and make sure it is a brand that can effectively transmit ultrasound

• Red electrode – used on area to be treated as passive therapy or used in conjunction with Soundhead. 
• Soundhead - the Soundhead provides ultrasound, pulsed voltage, and photon therapy.
  When used with the Soundhead place Red Electrode on the treated limb,.

When Using the Soundhead

• During a treatment, keep the Soundhead perpendicular and firmly coupled. 
• Move it in a circular manner at about three inches per second. Work an area about 4 times bigger than the Soundhead. 
• Add more coupling gel as required to maintain full contact between the Soundhead and the patient.