2.3 Electrotherapy
The electrotherapy products of the BTL-5000 Puls series come in several modifications, differing in the number
of outputs and waveform types:
BTL-5000 Single
BTL-5000 Double
BTL-5000 Double Plus
BTL-5000 Triple
BTL-5000 Triple Plus
BTL-5000 Quad
BTL-5000 Hexad
Electrotherapy 17
18 Electrotherapy
The summary of main features
• Functional design with black and white 5.7'' touch
screen or colour 7.5'' touch screen
• Full range of low and medium frequency
waveforms and their modifications
• Large number of pre-programmed protocols and
up to 500 user-defined protocols
• Constant current and current voltage modes
• Reversal of polarity of electrodes
• Programmable sequences
• Built-in patient database connecting patient data
with treatment protocols
• Built-in user guide and online help
• Electrodiagnostics
• Up to 6 outputs in 1 unit
• Connection to a PC and computer network
• Printer interface
• Sound volume adjustment, display colour and
brightness setting, screen saver, auto switch-off
• Self test of electrodes and patient cables
• Combination with ultrasound and/or laser module
• Later upgrade possible
• Optional: HVT, cart and vacuum unit
BTL-5000 Double
BTL-5000 Single
The single channel electrotherapy unit BTL-5000
Single (type BTL-5610 Puls) is equipped with
the most important low and medium frequency
waveforms: Galvanic (Iontophoresis), Diadynamics,
Traebert 2-5, Faradic, Neofaradic, Russian
stimulation, stimulation pulses, rectangular pulses,
TENS - symmetric, asymmetric, alternating, and
2-pole interference.
S t a n d a r d a c c e s s o r i e s f o r B T L - 5 0 0 0 D o u b l e : flat rubber electrodes
5x7cm (4x), sponge covers 5x7cm (4x), set of fixation belts, patient
cable 2x, pen pointer, power cord, manual and user's guide
C C / C V - Whereas constant current is suitable for electrodes that are
firmly connected to the patient's body, the use of the current voltage
mode is particularly recommended when the therapist moves with
the electrode, such as when using the point electrode. It is also useful
for motor stimulation of muscles and combined electro/ultrasound
therapy.
BTL-5000 Triple
This electrotherapy unit (type BTL-5630 Puls) has
3 independent outputs that can be used
simultaneously. It features the same wide range
of low and medium frequency currents as
the BTL-5000 Double.
S t a n d a r d a c c e s s o r i e s f o r B T L - 5 0 0 0 T r i p l e : flat rubber electrodes
5x7cm (6x), sponge covers 5x7cm (6x), set of fixation belts, patient
cable 3x, power cord, manual and user's guide
Electrotherapy 19
S t a n d a r d a c c e s s o r i e s f o r B T L - 5 0 0 0 S i n g l e : flat rubber electrodes
5x7cm (2x), sponge covers 5x7cm (2x), set of fixation belts, patient
cable, pen pointer, power cord, manual and user's guide
The 2-channel electrotherapy unit BTL-5000 (type
BTL-5620 Puls) is an advanced electrotherapy unit
with 2 outputs for simultaneous treatment of two
patients or for application of 4-pole interference.
The BTL-5000 Double unit features the following
waveforms: Galvanic (Iontophoresis), Diadynamics,
Traebert 2-5, Faradic, Neofaradic, Russian
stimulation, stimulation pulses, rectangular pulses,
TENS - symmetric, asymmetric, alternating, 2-pole
interference, 4-pole interference, triangular pulses,
exponential pulses, exponential pulses with rise,
combined pulses, and programmable sequences of
diadynamic currents, TENSes and other selected
currents.
BTL-5000 Double Plus
BTL-5000 Triple Plus
Similar in its performance to the BTL-5000 Double,
the BTL-5000 Double Plus (type BTL-5625 Puls)
features, in addition, electrodiagnostics and an
extended number of waveforms: isoplanar vector
field, dipole vector field, interrupted pulses, Leduc
current, H-waves, and microcurrents.
Similar to the BTL-5000 Triple, the unit has
an
extended
therapeutical
use,
featuring
electrodiagnostics and a number of additional
waveforms: isoplanar vector field, dipole vector
field, interrupted pulses, Leduc current, H-waves,
and microcurrents.
S t a n d a r d a c c e s s o r i e s f o r B T L - 5 0 0 0 D o u b l e P l u s : flat rubber
electrodes 5x7cm (4x), sponge covers 5x7cm (4x), point electrode,
set of fixation belts, patient cable 2x, pen pointer, power cord,
manual and user's guide.
S t a n d a r d a c c e s s o r i e s f o r B T L - 5 0 0 0 T r i p l e P l u s : flat rubber
electrodes 5x7cm (6x), sponge covers 5x7cm (6x), point electrode,
set of fixation belts, patient cable 3x, pen pointer, power cord,
manual and user's guide
I s o p l a n a r v e c t o r f i e l d - This special form of 4-pole interference
enables to reach a 100% modulation depth in all positions. The
placing of electrodes is much easier - they do not need to form
a perfect cross anymore.
D i p o l e v e c t o r f i e l d - The original shape of 4-pole interference is
changed to a 'dipole' line, on which the depth of modulation reaches
100% while 0% in all other directions. The manual or automatic
rotation enables an extremely precise direction of electrotherapy
effect into the treated tissue.
The electrodiagnostics (in BTL-5000 Double Plus, Triple Plus, Quad,
and Hexad) includes:
• Measuring of I/t curves in user-defined number of points
• Up to 50 free program positions for I/t curve storing
• Determination of the motor point
• Calculation of rheobasis and chronaxie
• Measuring of the accommodation coefficient
O p t i o n a l a c c e s s o r i e s f o r B T L - 5 0 0 0 P u l s : bipole rectal electrode, bipole vaginal electrode, ball point electrodes 2mm or 6mm in diameter,
self-adhesive electrodes, flat electrodes 8x12cm, sponge covers 8x12cm, cable for connection with ultrasound, HVT module, cart, vacuum unit, PC
and print connection
Overview of waveforms and other parameters
Electrotherapy unit
Number of electrotherapy outputs
Single
Double
Triple
Quad
Hexad
1
2
3
Double Plus Triple Plus
2
3
4
6
1
2
3
2
3
4
6
x
Number of therapies
that can be performed simultaneously
20 Electrotherapy
Types of currents:
x
Galvanic
x
x
x
x
x
x
x
Diadynamic
x
x
x
x
x
x
x
x
Programmable sequences
50
50
50
50
50
50
x
Traebert, Ultra-Reiz 2-5
x
x
x
x
x
x
x
x
Faradic
x
x
x
x
x
x
x
x
Neofaradic
x
x
x
x
x
x
x
x
Russian stimulation
x
x
x
x
x
x
x
x
Stimulation pulses
x
x
x
x
x
x
x
x
Rectangular pulses
x
x
x
x
x
x
x
x
TENS symmetric, asymmetric, alternating
x
x
x
x
x
x
x
x
2-pole interference
x
x
x
x
x
x
x
x
4-pole interference
x
x
x
x
x
x
x
Triangular pulses
x
x
x
x
x
x
x
Exponential pulses
x
x
x
x
x
x
x
Exponential pulses with rise
x
x
x
x
x
x
x
Combined pulses
x
x
x
x
x
x
x
Isoplanar field
x
x
x
x
x
Dipole vector (hand and auto)
x
x
x
x
x
Interrupted pulses
x
x
x
x
x
Leduc current
x
x
x
x
x
H-wave
x
x
x
x
x
Microcurrents
x
x
x
x
x
Medium frequency currents
x
x
x
Spastic currents
x
x
x
Electrodiagnostics
x
High Volt therapy (HVT)
optional
optional
optional
x
x
x
x
optional
optional
optional
optional
BTL-5000 Quad
BTL-5000 Hexad
This unit's 4 electrotherapy outputs can generate the
following waveforms: Galvanic (Iontophoresis),
Diadynamics, Traebert 2-5, Faradic, Neofaradic,
Russian stimulation, stimulation pulses, rectangular
pulses, TENS - symmetric, asymmetric, alternating,
2-pole interference, 4-pole interference, triangular
pulses, exponential pulses, exponential pulses with rise,
combined pulses, isoplanar vector field, dipole vector
field, interrupted pulses, Leduc current, H-waves,
microcurrents, medium frequency waveforms, and
spastic currents (according to Hufschmidt).
This electrotherapy unit covers the same range of
waveforms as the BTL-5000 Quad, but it is
equipped with 6 outputs.
S t a n d a r d a c c e s s o r i e s f o r B T L - 5 0 0 0 H e x a d : flat rubber electrodes
5x7cm (12x), sponge covers 5x7cm (12x), point electrode, set of
fixation belts (2x), dual patient cable (3x), pen pointer, power cord,
manual and user's guide
H - w a v e s - This bipolar waveform (with both positive and negative
elements) uses 'low' (2Hz) frequency for muscle stimulation and 'high'
(60Hz) frequency for effective pain control. The increase in blood and
lymph drainage accelerates removal of toxins and reduces oedema
('low' frequency), whereas the application of 'high' frequency for pain
management is usually well tolerated even by sensitive patients.
S t a n d a r d a c c e s s o r i e s f o r B T L - 5 0 0 0 Q u a d : flat rubber electrodes
5x7cm (8x), sponge covers 5x7cm (8x), point electrode, set of
fixation belts (2x), dual patient cable (2x), pen pointer, power cord,
manual and user's guide
Electrotherapy 21
Interrupted
pulses
type:
rectangular, triangular, exponential (monophasic, symmetric,
alternating), frequency of interruption: 8000Hz, duty factor 95%,
pulse: 1-30ms, pause: 1-60ms*, frequency: 11.1-500Hz* (* parameters
depend on form of pulse)
Parameters of selected waveforms
G a l v a n i c c u r r e n t ( I o n t o p h o r e s i s ) - type:
interrupted 8000Hz with duty factor 95%
continual,
L e d u c c u r r e n t - type: monophasic, pulse: 1ms, pause: 9ms,
frequency: 100Hz
D i a d y n a m i c c u r r e n t s - type: DF, MF, CP, LP, RS, CP-ISO,
base: 0-0.5-1-2-5-10%, basic frequency: 50 or 60Hz, interruption of
pulses: 8000Hz, duty factor 95%
H - w a v e - type: symmetric, pulse: 2 x 5.6ms, pause: 0.2210000ms, frequency: 0.1-87.7Hz
Traebert, Ultra-Reiz 2-5
Faradic, Neofaradic currents
R u s s i a n s t i m u l a t i o n - carrier frequency: 2500-10000Hz,
pulse frequency: 40-150Hz, duty cycle: from 1:1 - 1:8
Stimulaton pulses (for stimulation according to
e l e c t r o d i a g n o s t i c s ) - type: rectangular, triangular (monophasic),
pulse: 0.1-1000ms, pause: 0.5-10s
M i c r o c u r r e n t s - type: rectangular, triangular, exponential
(monophasic, symmetric, alternating), combined (only in current mode),
pulse: 0.2-1000ms*, pause: 0.1-10000ms*, frequency: 0.1-1000Hz*
(*parameters depend on forms of pulses)
Medium
frequency
waveforms
(with
amplitude
m o d u l a t i o n ) - carrier frequency: 2500-10000Hz, pulse: 0.1-50ms,
pulse frequency: 9.8-1000Hz
S p a s t i c s t i m u l a t i o n ( a c c o r d i n g t o H u f s c h m i d t ) - pulse: 0.125ms, delay between channels: 10-3000ms, frequency: 0.1-50Hz
(according to pre-set pulse length and delay)
Rectangular pulses
Triangular pulses, exponential
pulses, and exponential pulses with rise
C o m b i n e d p u l s e s - type: monophasic, symmetric,
alternating; asymmetric (combined pulses), pulse: 0.2-1000ms*,
pause: 0.1-10000ms*, frequency: 0.1-1000Hz* (* parameters depend
on waveform and form of pulse)
22 Electrotherapy
Tens
type:
symmetric,
alternating, asymmetric, pulse: 10-500µs, pause: 0.15-2500ms,
frequency: 0.2-1000Hz
H i g h V o l t a g e T h e r a p y ( H V T ) - t y p e : single pike, double
pike, triple pike, symmetric, alternating (only in current mode), pulse:
20µs (single pike, symmetric, alternating), 30µs (double pike), 40µs
(triple pike), frequency: 0.1-500Hz
M o d u l a t i o n - constant frequency, random frequency: ± 30%
burst - number of pulses in burst: 3-10, burst
frequency: 0.1-100Hz (according to pulse length and frequency)
sinusoidal surge - surge length: 0.15-35s,
pause length: 0.02-70s
2-pole interference, 4-pole
i n t e r f e r e n c e , i s o p l a n a r f i e l d , D i p o l e v e c t o r - c a r r i e r f r e q u e n c y : 360010000Hz, AMF: 0-200Hz, spectrum: 0-200Hz, isoplanar field
rotation: 0.5-70s, dipole rotation: from 3 cycles per sec to 1 cycle per
30 secs (auto rotation)
trapezoidal surge - surge rise and fall: 1-35s,
stimulation time, pause, between surges: 1-35s
Electrotherapy options and accessories
Electrodes
Colour display
Purchasing the optional large 7.5'' colour touch
screen with any of the units will give you the benefit
of an even more comfortable operation, as well as
several additional functions:
• Increased memory capacity (up to 500 free lots
for patient database; increased space for usercreated protocols; up to 50 free lots for storing
I/t curves)
• Continuous setting of all parameters
• Symmetrical surges and sweep
High Voltage Therapy (HVT)
Make your electrotherapy unit even more powerful
with the High Voltage Therapy. This pulsed
waveform with very short impulses, low intensity
and higher voltage has good myorelaxation and
analgesic effects, and is often indicated for
hypertonic muscles and reflexive muscle changes.
symmetric
surge
-
sweep
time:
1-35s,
contour: 1-99%
The flat rubber electrodes are inserted into sponge
covers that should be moistened by water or, during
Iontophoresis, by a special therapeutic solution.
The flexible rubber electrodes and sponge covers are
supplied in 2 standard sizes: 5x7cm and 12x8cm.
Also available are: self-adhesive electrodes, ball
point electrodes 2mm or 6mm in diameter, and bipole
vaginal and rectal electrodes.
F r e q u e n c y s w e e p ( i n t e r f e r e n c e ) - random frequency option: yes, no,
continual sweep - frequency rise and fall: 1-35s, frequency hold: 0-35s,
sweep in steps - frequency hold: 1-35s, symmetric sweep - sweep time:
1-35s, contour: 1-99%
I n t e n s i t y - Constant current: 0-140mA (max. value can be limited in
some waveforms), Current voltage: 0-100V (max. value can be limited
in some waveforms), High Voltage: 0-400V, Microcurrents:0-999µA
S i z e , w e i g h t a n d m a i n s s u p p l y - Dimensions: 230 x 390 x 260mm,
Weight (less accessories): 4.7-5.3kg, Mains Supply: 230V/50-60Hz,
115V/50-60Hz
Electrotherapy 23
Vacuum unit
You can combine any BTL-5000 Puls or Combi unit
with the vacuum unit BTL Vac to apply
electrotherapy currents by means of suction cup
electrodes. Adjustable vacuum pressure ensures
simple and convenient attachment of patient
electrodes, especially on the parts of body hard to
reach with flat rubber electrodes. Moreover,
the pulse mode provides mechanical massage of
the tissue, improves body metabolism and increases
blood supply.
•
•
•
•
•
Compact design
2 independent outputs
Continuous and pulse mode
4 pre-set programs for pulsation
Pulse frequency 15, 30, 45, and 60 pulses per
minute
• Professionally designed suction cup electrodes
with bio-compatible foam sponges that prevent
skin irritation
• Quiet and easy operation
Standard and optional accessories
Standard: suction cup electrodes 65mm (4x), sponges 65mm (4x),
patient cables (4x), connecting cables (2x) power cord, manual
Optional: suction cup electrodes 95mm, 30mm, sponges 95mm,
30mm, cart
24 Electrotherapy
The BTL Vac has 2 independent outputs and
operates in both pulse and continuous mode.
The unit has 4 pre-defined programs to combine
various pulse frequencies.
The summary of main features
Technical specifications
Dimensions (mm)
320 x 115 x 305
Weight (less accessories)
6.8kg
Mains Supply
230V/50-60Hz, 115V/50-60Hz