Rehab,Theta, Physio Electrotherapy Unit User Manual Rev H Nov 2019

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Con t e n t s

1. How to use the medical equipment (Intended Use)... 7 1.1 Fields of application... 7 1.2 Therapy objectives... 7 1.3 Indications...8 1.4 Contraindications...8 1.5 Secondary effects...9 2. Safety information...10 3. Description of the Rehab/Theta/Physio... 18 3.1 Device components and accessories... 18 3.2 Explanation of symbols (connections and nameplates)... 21 3.2.1 Symbols on device and AC Power Supply... 21 3.3 Description of the device...23 4. Device Setup... 24 4.1 Connecting the cables... 24 4.2 Connecting the motor point pen... 24 4.3 Charging the unit...25 4.4 Preliminary settings... 26 4.4.1 Language, contrast, volume... 26 5. How to perform a treatment, Neurostimulation programs...27 5.1 Select a neurostimulation program...27 5.2 Choosing a type of treatment...27 5.3 Choosing a programme category...27 5.4 Choosing a programme... 28 5.5 Personalising a programme... 29 5.5.1 Choosing a treatment area... 29 5.5.2 Activate the warm-up session... 30 5.5.3 Choosing the 2+2 function... 30 5.5.4 Level progression... 30 5.6 Placement of electrodes...31 5.7 Body position...31 5.8 Adjusting stimulation energies...32 5.9 Stimulation mode...33 5.10 Program progression...34 5.11 Pause mode...35 5.12 End of program...35 5.13 Performance Check... 36

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6. Treatment Options...37 6.1 Muscle Intelligence Technology™...37 6.1.1 Personalized impulse - mi-SCAN... 38 6.1.2 Energy management – mi-RANGE & mi-TENS... 39 6.1.3 Triggering of contraction - mi-ACTION...40 6.2 SKIP Function – Move on to the next phase... 42 6.3 How to use the Motor Point Pen...43 6.4 Statistics...45 6.5 Programming mode... 46 7. Direct Currents (Physio device only)... 48 7.1 Iontophoresis... 48 7.2 Hyperhidrosis... 50 7.3 Oedema...52 8. Denervated programs (Physio device only)...53 8.1 Automatic mode...53 8.1.1 Total automatic...53 8.1.2 Partial automatic... 54 8.1.3 Total manual...55 8.1.4 Partial manual... 56 9. Troubleshooting...57 9.1 Electrode or cable failure...57 9.2 Battery level...57 9.3 Others... 58 10. Care, Maintenance, Transport, Enviromental Statement...60 10.1 Care...60 10.2 Maintenance... 61 10.3 Transport... 62 10.3.1 Transport of the Rehab/Theta/Physio... 62 10.4 Enviromental Statement, Expected Life... 62 11. Technical Data, Standards, Guarantee, Patents... 63 11.1 Technical Data... 63 11.1.1 General information... 63 11.1.2 Neuro-Stimulation Parameters... 63 11.1.3 Denervated currents (Physio device only)... 64 11.1.4 Direct currents (Physio device only)... 64 11.1.5 Information on electromagnetic compatibility (EMC) ... 64 11.1.6 Enviromental conditions... 65 11.2 Standards... 65

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11.3 Guarantee... 66 11.4 Patents... 66 12. EMC Tables...67 12.1 Electromagnetic emissions...67 12.2 Electromagnetic immunity ... 68 12.3 Recommended separation distances ... 70 13. Contact... 71 14. Electrotherapy Theory...72 14.1 Introduction...72 14.1.1 The fundamental law of electrostimulation...72 14.1.2 Summary...76 14.1.3 References... 77 14.2 The Optimum Current... 77 14.2.1 Introduction... 77 14.2.2 Characteristics of the optimal current... 77 14.2.2.1 Electrical stimulation wave produced by the current generator... 77 14.2.2.2 Type of establishment of the electrical stimulation wave...78 14.2.2.3 Shape of the electrical stimulation wave...79 14.2.2.4 Duration of rectangular electrical pulse...80 14.2.2.5 Compensation for the rectangular pulse... 82 14.2.3 Summary... 83 14.3 Basic concepts of excitation electrophysiology... 83 14.3.1 Introduction... 83 14.3.2 Study of the excitation process using a constant current... 85 14.3.3 Excitation by a current with any shape...87 14.3.4 Chronaxy - excitation constant relationship... 88 14.3.5 Hydraulic model of excitation... 88 15. Available Therapy Programs...90 15.1 Standard Version Programs and their usage – Rehab/Theta/Physio...90 15.1.1 Program category REHABILITATION I... 91 15.1.2 Program category PAIN RELIEF... 99 15.1.3 Program category VASCULAR... 106 15.1.4 CONDITIONING I... 113 15.2 Full Version Programs and their usage – Theta/Physio devices only...118 15.2.1 REHABILITATION II...120 15.2.2 AGONIST / ANTAGONIST... 132 15.2.3 PROGRAMMES FOR HAEMOPHILIACS... 135 15.2.4 NEUROLOGICAL...137 15.2.5 PAIN RELIEF II... 142

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15.2.6 CONDITIONING II... 155 15.3 Optimum Version Programs and their usage – Physio device only...173 15.3.1 Incontinence...173 15.3.2 Direct Current...177 15.3.2.1 Iontophoresis...177 15.3.2.2 Hyperhidrosis... 185 15.3.2.3 Oedema... 187 15.3.3 Denervated...189 16. How to use the Rehab/Theta/Physio on specific indications... 193 16.1 Overview... 193 16.2 Disuse atrophy rehabilitation (standard protocol)... 195 16.3 Rehabilitation of the peroneus muscles following an ankle sprain... 197 16.4 Rehabilitation of low back muscles... 200 16.5 Treatment of patellofemoral syndrome...203 16.5.1 Lateral tracking...203 16.5.2 Post-traumatic condition...205 16.6 ACL ligamentoplasty...207 16.7 Rehabilitation of the gluteal muscles following total hip replacement... 211 16.8 Rehabilitation of the shoulder... 213 16.8.1 Rotator cuff tendinopathy... 214 16.8.2 Shoulder instabilities...217 16.8.3 Adhesive capsulitis...220 16.8.4 Cardiac Rehabilitation... 223 16.9 Reflex sympathetic dystrophy (or Complex regional pain syndrome) ...226 16.10 Endorphinic treatment of Rachialgia and Radiculalgia... 231 16.10.1 Endorphinic treatment of cervical pain... 233 16.10.2 Endorphinic treatment of thoracic back pain... 235 16.10.3 Endorphinic treatment of low back pain...237 16.10.4 Treatment of lumbosciatic pain...240 16.11 Hemiplegia - Spasticity... 243 16.11.1 Dorsiflexion of the hemiplegic foot...244 16.11.2 Spasticity... 245 16.11.3 The hemiplegic hand...250 16.11.4 The hemiplegic shoulder... 252 16.12 Treatment of venous insufficiency... 255 16.12.1 Venous insufficiency without oedema... 255 16.12.2 Venous insufficiency with oedema...257 16.13 Treatment of arterial insufficiency in the lower limbs... 260 16.13.1 Stage II arterial insufficiency...261 16.13.2 Stage III arterial insufficiency... 263 16.14 Urinary incontinence...264 16.14.1 Urge incontinence... 265

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16.14.2 Stress incontinence...266 16.14.3 Mixed incontinence (urge and stress incontinence)...268 16.14.4 Postpartum prevention...270 16.15 Denervated muscle electrostimulation...271 16.15.1 Situation 1 – Total denervation outside the time...271 16.15.2 Situation 2 - Partial denervation outside the time... 272 16.15.3 Situation 3 - Total denervation within the time... 274 16.15.4 Situation 4 – Partial denervation within the time...277

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1 . H o w t o u s e t h e m e d i c a l e q u i pm e n t ( In t e n d e d Us e )

Note - This manual is considered as accessory of the therapy unit and therefore it should accompany it at all times. - The specific instructions provided given here are conditions for the intended use and correct operation of the equipment as well as the safety of the patient and the operator using it. - Please read the entire manual carefully and section 2 in particular, since information concerning several chapters is only given once, before using your device!

1 . 1 Fi e ld s o f a p p licat io n The Rehab/Theta/Physio is a stimulator designed for use by health professionals to ensure electric stimulation treatments in pain management (TENS) neuro muscular stimulation (EMS/NMES). The Physio device also allows Direct applications (Iontophoresis/Hyperhidrosis/Oedema) and Denervated muscles stimulation. The Rehab/Theta/Physio unit is an important supplement to medical and therapeutic treatment for use in hospitals, clinics, general practices and at patient’s home by a therapist. When prescribed by a health care professional, Rehab or Theta devices can be used by patients at home without the presence of the health care professional. Patients shall read carefully this manual and contact their health care professional or DJO in case of any questions.

1 . 2 T h e r a py o bject iv e s The Rehab/Theta/Physio is a multifunctional electrotherapy unit for the post surgical and conservative treatment of muscular dysbalance as well as pain management. The following therapy forms are provided by the unit: • TENS (transkutane electrical Nervenstimulation) for painmanagement • NMES (neuromuscular electronical stimulation, also EMS) • FES (functional electrical stimulation) The Physio also provides the following functions: • Direct current (Iontophoresis/Hyperidrosis/Oedema) • Denervated muscles

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1 . H o w t o u s e t h e m e d i c a l e q u i pm e n t ( In t e n d e d Us e )

1 . 3 I nd ic a t io n s The physiotherapy unit is indicated in the treatment of most musculoskeletal injuries and diseases as well as in postoperative treatment after joint surgeries and in the treatment of several pain indications. Examples: As an NMES device, indications are for the following conditions: - Retarding or preventing disuse atrophy - Maintaining or increasing range of motion - Re-educating muscles - Relaxation of muscle spasms - Increasing local blood circulation As a TENS device, indications are for the following conditions: - Symptomatic relief and management of chronic, intractable pain - Adjunctive treatment for post-surgical and post-trauma acute pain - Relief of pain associated with arthritis. As a pulsed current device, indications are for the following conditions: - Reduction of edema (under negative electrode) - Reduction of muscle spasm - Influencing local blood circulation (under negative electrode) - Retarding or prevention of disuse atrophy - Facilitation of voluntary motor function - Maintenance of increase of range of motion

1 .4 Co n t r a in d icat io n s Do NOT use the Rehab/Theta/Physio on patients with: • Implanted electronic devices. Do not use the device if you have a cardiac stimulator, implanted defibrillator or other implanted electronic/electrical device. • Epilepsy • Pregnancy (do not use on abdominal region) • Serious arterial circulation problems in lower limbs • Abdominal or inguinal hernia • Do not use chest stimulation on patients with cardiac arrhythmia This could cause an electrical shock, burns, electrical interference or death.

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1 . H o w t o u s e t h e m e d i c a l e q u i pm e n t ( In t e n d e d Us e )

Heart disease If you have suspected or diagnosed cardiopathy you should follow the precautions for use recommended by your doctor.

Note Fixation metalwork and/or prosthesis equipment The presence of Fixation metalwork and/or prosthesis equipment (metallic equipment in contact with the bone: pins, screws, plates, prostheses, etc.) is not a contraindication for NMES, TENS and Denervated muscle stimulation. The electrical currents of the Rehab/Theta/Physio are specially designed to have no harmful effect on osteosynthesis equipment. Never use direct currents (Iontophoresis/Hyperhidrosis/Oedema) provided by Physio device on patients with osteosynthesis devices or other metal implants.

1 . 5 S e c o n d a r y e f f e ct s Currently, there is no evidence of desired or undesired secondary effects caused by electrotherapy units.

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2 . S a f e t y i nfo r m a t i on

D e f i n it io n s It is mandatory to read the safety statements before using the physiotherapy unit. The safety statements are classified as follows:

D a n g er! This term indicates an imminent hazard. If not avoided, this hazard could result in death or serious injury.

Wa r ning ! This term indicates a hazard. If not avoided, this hazard can result in death or serious injury.

C a u tio n! This term indicates a potential hazard. If not avoided, this hazard can result in minor personal injury and/or product/property damage.

Saf e t y in f o r m at io n D a n g er! Explosion hazard - Rehab/Theta/Physio is not designed for use in areas where an explosion hazard may occur. An explosion hazard may result from the use of flammable anesthetics, oxygen-rich environments, skin cleansing agents and disinfectants.

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Wa r ning ! - Only authorised individuals are allowed to operate the Rehab/Theta/Physio. Individuals are authorised after receiving training in the operation of the unit and reading this operating on manual. - Before using the therapy unit, the operator must ascertain that it is in correct working order and operating condition. The cables and connectors, in particular, must be checked for signs of damage. Damaged parts must be replaced immediately, before use. - Stop therapy immediately if you have doubts about the device settings and/or the therapy protocol. - Patients must be fully conscious while being instructed in the use of the therapy unit and during therapy. - The choice of the therapy parameters to program and of the therapy protocols to use is restricted to the responsible physician or therapist. It is the physician’s or therapist’s decision whether or not to use the unit on a specific patient. - The patient must be familiar with the functions of the Rehab/Theta/Physio device allowing them to stop therapy, if needed. Patients unable to operate the emergency stop function e.g. paralytic patients, must never be left unattended during therapy. - Any accessories used with Rehab/Theta/Physio must first be approved by the manufacturer. - The utmost caution is advised under the following conditions. Depending on the judgement of the responsible physician, the unit may only be applied under supervision and with the parameters defined by the responsible physician. Otherwise the exercise may be too strenuous for the patients with: 1. hypertension (> stage 2), ischemic heart disease and cerebrovascular diseases 2. cardiovascular diseases 3. pregnancy 4. under 16 years of age - Never apply the electrodes: • Near the head • On the front and side of the neck • Counter-laterally, i.e. do not use two poles connected to the same channel on opposite sides of the body. • On or near skin lesions of any kind (wounds, swelling, burns, irritation, eczema, cancerous lesion, etc.) - If the person is pregnant or menstruating do not place electrodes directly on the uterus area or connect pairs of electrodes on either side of the abdomen to avoid any risk for the mother and/or the baby. - Never allow muscular contraction during a stimulation session to result in movement. You should always stimulate isometrically; this means that the extremities of the limb in which a muscle is being stimulated must be firmly fixed, so as to prevent any movement that results from contraction.

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Wa r ning ! - Extreme caution should be taken when in use around small children and babies! Sufficient distance to the device and its accessories is mandatory for their safety! - Never leave the device unattended when it is switched on! - After use, store the device in a safe place to avoid other people not informed to use the device; - This device is not a toy but a medical device. Misunderstanding its use can cause damage!

Wa r ning ! Shock hazard - Strictly observe the following warnings. Failure to do so could endanger the lives of the patient, the user and other persons involved.

Note - Before use allow the Rehab/Theta/Physio to reach room temperature. If the unit has been transported at temperatures below 0 °C (32°F), leave it to reach at room temperature for about 2 hours, until any condensation has disappeared. - Electrosurgical equipment or defibrillators. Disconnect the electrodes from the device before using electrosurgical equipment, or a defibrillator, to avoid cutaneous burns from the electrodes and destroying the device. - Electronic surveillance equipment. Do not apply stimulation near electronic surveillance equipment (e.g. cardiac monitors, ECG alarms), as there is a risk they may not work properly whilst the electrical stimulation device is being used. - Electromagnetic radiation. Do not use the stimulator in areas in which unprotected devices are used to emit electromagnetic radiation. Portablecommunications equipment can interfere with the device. - Cancer. Do not apply stimulation if you have progressive cancer or near any cancerous tumour. The increased metabolism, caused by certain modes of stimulation, is likely to encourage cancer cells to spread. - Muscle shortening. During the muscular contraction phase it is recommended to hold the extremities of the stimulated limbs to avoid any shortening of the muscle during contraction, which could cause cramps. - Contralateral stimulation. Do not use two terminals connected to the same channel on opposite segments of the body (for example, a positive terminal on the left arm and a negative terminal on the right arm).

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- Loss of sensation. Proceed with caution if stimulation is applied to areas of the skin whose level of sensation is lower than normal. Do not apply stimulation to a person who cannot express themselves. - Battery leakage. If there is leak from a component, take steps to ensure the liquid does not come into contact with skin or eyes. Should this occur, wash the affected area with water and consult a doctor. - Strangulation. Do not wind cables around the neck. Tangled cables can cause strangulation. - Post-surgery. Proceed with caution after recent surgery. - Accessibility of the power adaptor. The plug socket must be close to the power adaptor and be easily accessible. - Internal bleeding. Proceed with caution if you are prone to internal bleeding; for example, after an injury or a fracture.

- The Rehab/Theta/Physio must only be operated in dry rooms. - Do not use the Rehab/Theta/Physio in water or in a humid atmosphere (sauna, bath, shower etc.), etc.). - When connecting the unit to other equipment or when creating a medical system, check that the sum of leakage currents will not cause any hazard. Please contact DJO GLOBAL if you have questionsregarding this matter. - No modification of this equipment is allowed. - Do not open the product and its accessories as there is risk of electrocution. - Before cleaning and service interventions, turn the device off. - Liquids and foreign material (such as dust, metal etc.) must not be allowed to enter the device. If such material has entered into the units, it must be immediately checked by a service technician, before it can be reused.

- Electricity supply. Never connect the stimulation cables to an external power supply, as there is a risk of electrocution.

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- Do not apply stimulation near the area of an implant, such as cochlear implants, pacemakers, skeletal anchorage or electric implants. This could cause an electrical shock, burns, electrical interference or death - Never use the Rehab/Theta/Physio or the AC adaptor if it is damaged or open. There is a risk of electric shock. - Disconnect the AC adaptor immediately if there is abnormal heating or smell, or if smoke comes from the AC adaptor or the device.

Wa r ning ! Equipment malfunction - this warnings can cause equipment mailfunctions that result in patient hazards - Magnetic and electrical fields are capable of interfering with the proper performance of the unit. For this reason make sure that all external devices operated in the vicinity of the unit comply with the relevant EMC requirements. X-ray equipment, MRI devices, -radio systems and cell phones are possible sources of interference as they may emit higher levels of electromagnetic radiation. Keep the unit away from such equipment and verify its performance before use. - Do not use the Rehab/Theta/Physio within one meter of short wave or microwave devices as this could alter the currents generated by the stimulator. If you are in any doubt as to the use of the stimulator in close proximity to another medical device, seek advice from the manufacturer of the latter or from your doctor. - Exercise caution when using electrotherapy while the patient is connected to monitoring equipment with electrodes attached to the body. Stimulation could disrupt the signals sent to the monitoring equipment. - Refer repair and maintenance to authorized persons. Persons are authorized after training by a specialist trained and commissioned by the manufacturer. - Inspect the Rehab/Theta/Physio and it’s accessories for damage and loose connections at least once a year. Damaged and worn parts must be immediately replaced with original spare parts by authorized staff.

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C a u tio n! Patient hazard - these cautions need to be observed to avoid the risk of electrical shock or other negative effects to the patient. - Do not apply stimulation close to metal. Remove jewellery, piercings, belt buckles or any other metallic product or device in the area of stimulation. - Be careful if the patient has sensitivity problems or is not able to communicate that he or she feels discomfort, however light. - Never begin an initial stimulation session on a person who is standing. The first five minutes of stimulation must always be performed on a person who is sitting or lying down. In rare instances, people of a nervous disposition may experience a vasovagal reaction. This is of psychological origin and is connected with a fear of the muscle stimulation as well as surprise at seeing one of their muscles contract without having intentionally contracted it themselves. A vasovagal reaction causes heart to slow down and blood pressure to drop, which produces a feeling weakness and a tendency towards fainting. If this does occur, all that is required is to stop the stimulation and for the person to lie down with the legs raised until the feeling of weakness disappears (5 to 10 minutes) - Never allow muscular contraction during a stimulation session to result in movement. You should always stimulate isometrically; this means that the extremities of the limb in which a muscle is being stimulated must be firmly fixed, so as to prevent any movement that results from contraction. - Do not disconnect any channel during the stimulation session. - Do not use the stimulator while driving or operating machinery. - Do not apply stimulation during sleep. - Do not use the stimulator at altitudes of over 3,000 meters. - Always turn off the stimulator before moving or removing any electrodes during a session, to avoid electrical shock to the patient. - Do not try to place electrodes on a body part not directly visible without assistance. - Attach the electrodes in such a way that their entire surface is in contact with the skin. - For obvious reasons of hygiene, each patient must have their own set of electrodes. Do not use the same electrodes on different patients. - Some patients with very sensitive skin may experience redness under the electrodes after a session. Generally, this redness is completely harmless and usually disappears after 10 to 20 minutes. Never start another stimulation session in the same area, however, if the redness is still visible. - Before each use clean and disinfect the motor point pen tip that is in contact with the skin. - When using the REHAB/THETA/PHYSIO to customize programs, take special care that the parameters customized and applied by you to the patient are as you wanted them to be.

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C a u tio n! Equipment damage - Check that the voltage and frequency ratings of your local power line are those indicated on the type plate of the power supply. - Do not expose the Rehab/Theta/Physio to direct sunlight, because some of the components may reach unacceptably high temperatures. - The presence of children, pets and vermin does not normally affect the proper functioning. However, make sure that these sources do not contaminate the physiotherapy unit and keep them away from it. Also, keep the unit clean and protect it from dust and lint. The safety rules and regulations set forth apply in any case. - It is recommended to use the transport bag that comes with the unit, for transport of the device, and to use a proper transport box to ship it. - Always use the AC adaptor (power supply) provided by the manufacturer to recharge the unit. - Do not store the device for a long time with empty batteries. - Only use electrodes and motor point pen supplied by the manufacturer. Other electrodes and motor point pens may have electrical properties that are unsuitable for or may damage the Rehab/Theta/Physio. - Size of electrodes. Do not use electrodes with an active area of less than 16 cm² due to the risk of associated burning. Proceed systematically with caution when the density of the current is over 2 mA/cm². - Do not place the electrodes or pen in water. - Do not apply solvents of any kind to the electrodes or pen. - Skin irritation. Some people, with very sensitive skin, may experience redness under the electrodes after a session. Generally, this redness is totally harmless and usually disappears after 10 to 20 minutes. However, never start another stimulation session on the same area if the redness is still visible - Instructions for electrodes. See the usage and storage instructions displayed on the bag of electrodes

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Note - For best results, wash and clean the skin of any oil and dry it before attaching the electrodes. - Never use a set of adhesive electrodes for more than 15 sessions as the quality of the contact between the electrode and the skin, which is essential for the patient’s comfort and the effectiveness of the stimulation, gradually deteriorates. - For information on use and storage please consult the instructions found on the electrodes packaging.

Note Biocompatibility Those parts of the Rehab/Theta/Physio unit that come into contact with the patient when used as intended, are designed to fulfil the biocompatibility requirements of the applicable standards.

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3 . D e s c r i p t i on of t h e R e h a b / Th e t a / P h y s i o

3 . 1 D e v ic e c o m p o ne nt s and acce s s ories Model: Rehab Part number: 253311x Your kit contains (included in delivery): QUANTITY

DESCRIPTION

PART NUMBER

1

Rehab device

201010

1

Fast charger

683010

1

Battery pack

941213

1

Set of 4 pin cables

601132

1

Snap adaptor kit

6111944

1

Protecting cover

690001

2

Bags of small electrodes (5x5 cm 1 snap connection)

42204

2

2 bags of large electrodes (5x10 cm 2 snap connections)

42203

1

User manual and practical guide on CD/USB

45264xx

1

Quick start guide + warning leaflet

885932

1

Electrode placement leaflet

4526645

1

Bottle of gel

602047

1

Motor point pen

980020

1

Transportation pouch

6680033

1

Belt clip

949000

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3 . D e s c r i p t i on of t h e R e h a b / Th e t a / P h y s i o

Model: Theta Part number: 253481x Your kit contains (included in delivery): QUANTITY

DESCRIPTION

PART NUMBER

1

Theta device

201011

1

Fast charger

683010

1

Battery pack

941213

1

Set of 4 pin cables

601132

1

Snap adaptor kit

6111944

2

Mi cables

601160

1

Protecting cover

690001

2

Bags of small electrodes (5x5 cm 1 snap connection)

42204

2

2 bags of large electrodes (5x10 cm 2 snap connections)

42203

1

User manual and practical guide on CD/USB

45264xx

1

Quick start guide + warning leaflet

885932

1

Electrode placement leaflet

4526645

1

Bottle of gel

602047

1

Motor point pen

980020

1

Transportation pouch

6680033

1

Belt clip

949000

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3 . D e s c r i p t i on of t h e R e h a b / Th e t a / P h y s i o

Model: Physio Part number: 253511x Your kit contains (included in delivery): QUANTITY

DESCRIPTION

PART NUMBER

1

Physio device

201021

1

Fast charger

683010

1

Battery pack

941213

1

Set of 4 pin cables

601132

1

Snap adaptor kit

6111944

4

Mi cables

601160

1

Protecting cover

690001

2

Bags of small electrodes (5x5 cm 1 snap connection)

42204

2

2 bags of large electrodes (5x10 cm 2 snap connections)

42203

1

Set of ultra-flexible electrode for Denervated

602110

1

Set of Iontophoresis electrodes

642110

1

User manual and practical guide on CD/USB

45264xx

1

Quick Start Guide + warning leaflet

885932

1

Electrode placement leaflet

4526645

1

Bottle of gel

602047

1

Motor point pen

980020

1

Transportation case

680031

1

Belt clip

949000