BTL-5000 SWT
FOR BTL-6000 HIGH INTENSITY LASER
USER’S MANUAL
BEFORE YOU START
Dear Customer,
Thank you for purchasing BTL technology. All of us at BTL
wish you every success with your system. We pride
ourselves on being as responsive as possible to our
customers’ needs. Your suggestions and comments are
always welcome since we believe an ongoing relationship
with our customers is critically important to our future
product line.
While we would like you to start using your new equipment
right away, we encourage a thorough reading of this manual
in order to fully understand the operational features of the
system.
Please visit our corporate website at http://www.btlnet.com
for the latest information on BTL products and services.
Again, thank you for being a BTL customer.
BTL Industries, Ltd.
CONTENTS
1
GENERAL CHARACTERISTICS OF THE DEVICE ........................................................................................... 5
1.1 Intended Use .................................................................................................................................................... 5
1.2 The BTL-5000 SWT .........................................................................................................................................5
1.3 Shockwave and Its Character .......................................................................................................................... 5
1.4 Shockwave Generation ....................................................................................................................................6
1.4.1 Ballistic Principle of Shockwave Generation .................................................................................................6
1.5 Possible Side Effects of Shockwave Treatment ............................................................................................... 6
1.6 Contra-indications for Shockwave Treatment...................................................................................................6
2
INSTRUCTIONS FOR OPERATION .................................................................................................................. 7
2.1 The Front Panel of the BTL-5000 SWT ............................................................................................................7
2.2 The Rear Panel of the BTL-5000 SWT ............................................................................................................8
2.3 Assembly and Set-up .......................................................................................................................................9
2.4 Basic Displays and Operating of the Device .................................................................................................. 11
2.4.1
2.4.2
2.4.3
2.4.4
2.4.5
2.4.6
Welcome Screen and the Selection of Tabs and Accessories .................................................................... 11
Touch Screen .............................................................................................................................................. 11
Numeric Keypad .......................................................................................................................................... 11
Setting Therapy Parameters Via the ‘diag’ Button ....................................................................................... 11
Setting Therapy Parameters Via the 'prog' Button....................................................................................... 12
Setting Therapy Parameters Manually (User Setup) Via the ‘man' Button .................................................. 12
2.4.6.1
2.4.6.2
2.4.6.3
2.4.6.4
Setting the Therapy Mode ........................................................................................................................ 12
Setting Therapy Intensity .......................................................................................................................... 12
Setting Therapy Frequency ...................................................................................................................... 12
Setting the Number of Shocks .................................................................................................................. 12
2.5 Course of Therapy ......................................................................................................................................... 13
2.5.1 Start, Interruption and End of Therapy ........................................................................................................ 13
2.5.2 Screen During Therapy ............................................................................................................................... 13
2.6 Application of shockwaves ............................................................................................................................. 13
2.7 Device Menu .................................................................................................................................................. 15
2.7.1 Accessories ................................................................................................................................................. 15
2.7.2 Encyclopaedia ............................................................................................................................................. 15
2.7.3 Unit Settings ................................................................................................................................................ 15
2.7.3.1
2.7.3.2
2.7.3.3
2.7.3.4
2.7.3.5
2.7.3.6
2.7.3.7
2.7.3.8
2.7.3.9
Password Setting...................................................................................................................................... 16
Sound Setting ........................................................................................................................................... 16
Screen-Saver and Auto Switch-Off ........................................................................................................... 16
Colour Setting ........................................................................................................................................... 16
Setting of the Display Contrast ................................................................................................................. 16
Date and Time Setting .............................................................................................................................. 16
Language Setting (language) ................................................................................................................... 16
Touch Panel Calibration ........................................................................................................................... 16
User Options............................................................................................................................................. 16
2.7.3.10
2.7.3.11
2.7.3.12
2.7.3.13
2.7.3.14
2.7.3.15
Setting the HW Key .................................................................................................................................. 16
Unit Information ........................................................................................................................................ 17
Unlock Code ............................................................................................................................................. 17
User Accounts .......................................................................................................................................... 17
Firmware Upgrade .................................................................................................................................... 17
Service Functions ..................................................................................................................................... 17
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 3 OF 28
2.7.4 Specific Settings .......................................................................................................................................... 17
2.7.4.1 Shockwave setting.................................................................................................................................... 17
2.7.4.2 Applicator Kit Replacement Wizard .......................................................................................................... 18
3
LIST OF STANDARD AND OPTIONAL ACCESSORIES ................................................................................ 19
4
MAINTENANCE AND SAFETY INSTRUCTIONS ............................................................................................ 20
4.1 Shock Transmitter Replacement Procedure................................................................................................... 21
4.2 Procedure of Worn-out Tube and Projectile Replacement ............................................................................. 22
4.3 General Safety Precautions ........................................................................................................................... 24
4.4 Labels ............................................................................................................................................................ 25
4.5 Used Symbols ................................................................................................................................................ 25
5
TECHNICAL PARAMETERS ........................................................................................................................... 26
5.1 Manufacturer .................................................................................................................................................. 27
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 4 OF 28
1
GENERAL CHARACTERISTICS OF THE DEVICE
The BTL-5000 SWT is a state-of-the-art device allowing the application of therapy using non-invasive
shockwaves. Shockwaves are one of the most effective ways to treat pain associated with the musculoskeletal
system. Musculoskeletal pain is currently the second-leading cause of absences in the workplace.
Therapy is easily and efficiently started by simply selecting a diagnosis from an alphabetized list of treatment
protocols or by selecting a therapy program. The treatment parameters can be manually set by the simple use of
the touch screen buttons. Throughout the course of a therapy session, the device will keep the user informed
about the therapeutic method in use, the type of treatment, the total number of shocks to be applied, the number
of shocks applied and remaining, the frequency being used, the intensity and other necessary data.
A time-saving feature of the BTL-5000 SWT is the predefined programs. Based on detailed research and practical
use of the device, the well-organized predefined programs will provide recommendations for the treatment of
various conditions.
The BTL-5000 SWT allows the entering of client names and other relevant information into the internal memory of
the device and to link their data with the predefined programs or with the user’s own. When a client has a return
visit, simply call up their name and begin the pre-set therapy.
BTL also offers a specially-designed trolley for the BTL-5000 SWT which is sold separately. The design allows
convenient movement and use of the device. Four stable castors ensure smooth and easy movement of the
device in the office or the health-care center. The trolley has a range of accessory bins and baskets.
1.1 INTENDED USE
BTL-5000 SWT is non-invasive therapeutic device intended to be used in case of musculoskeletal system
disorders. Application of shockwave energy into the tissue decreases pain sensations and supports local
microcirculation what results in local metabolism enhancement. The BTL-5000 SWT uses the ballistic principle of
the shockwave generation. The shock wave is formed via a projectile by accelerated compressed air, which is
generated by an electronically controlled air- compressor. The kinetic energy of the projectile is transferred into a
probe of the applicator and subsequently into the client's body. During the treatment the ending part of the
applicator must be in immediate contact with the skin and subcutaneous tissue.
1.2 THE BTL-5000 SWT
The device consists of two parts: compressor unit and applicator.
The compressor unit: In addition to the compressor itself, it also contains all of the electronics regarding the
regulation of the ballistic pressure.
The applicator: By following the instructions shown on the main unit’s display, this ergonomically designed
applicator will simplify the course of therapy.
The BTL-5000 SWT is operated from a separately sold main unit BTL-6000 High Intensity Laser. The main unit
contains the main microcomputer and software for controlling the entire system. It also includes the user
encyclopedia and the therapy guide.
1.3 SHOCKWAVE AND ITS CHARACTER
A shockwave is defined as a wave with a rapid increase of pressure within a very short time and then having a
gradual decrease of pressure with a small negative pressure phase.
Shockwaves are aimed at the affected areas that are the source of chronic pain. The influence of the shockwaves
causes to the dissolution of calcium deposits and leads to better vascularization. The after-effect is relief from the
pain.
Outside of the client's body (extra-corporeally), a pressure pulse of high amplitude is generated and its energy is
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 5 OF 28
concentrated on the target area. The pressure pulse travels through a liquid medium gel into the client’s body and
penetrates soft tissue without major energy loss.
The pressure course of the shockwave in real-time in expressively different from the pressure course of the
harmonic sound wave. Shockwaves can be compared to ultrasonic waves which are particularly characterized by
a pressure jump change, a higher amplitude and non-periodicity.
In the shockwave, the positive amplitude is generally much larger than the negative amplitude. The frequency rate
of the shockwaves is usually low (in Hz units) and the eventual cavitations (the disturbance of material
consistency and the development of cavities) will relax. Consequently, there is no threat of energy absorption in
the cavitations as is the case with continuous ultrasound.
A substantial part of the shockwave energy penetrates into the liquid (of the organism) with a great positive
pressure pulse. Its diffusion is only limited by the actual tissue absorption and eventual reflections on acoustic
non-homogeneities.
1.4 SHOCKWAVE GENERATION
Several types of generators have been developed for shockwave therapy, each producing shockwaves with
varied characteristics. Each type of generation method induces shockwaves with different time progressions and
spatial arrangements.
The BTL-5000 SWT uses the ballistic principle of shockwave generation.
1.4.1
BALLISTIC PRINCIPLE OF SHOCKWAVE GENERATION
A pressure wave is formed via a projectile by using accelerated compressed air. The compressed air is generated
by an electronically-controlled ballistic-pressure compressor. Using elastic impact, the kinetic energy of the
projectile is transferred into the probe of the applicator and then into the client's body. Consequently, during the
treatment, the end of the applicator must be in direct contact with the skin and subcutaneous tissue.
1.5 POSSIBLE SIDE EFFECTS OF SHOCKWAVE TREATMENT

Erythema or swelling can temporarily occur in the treated area.

Loss of bodily sensation or itching can temporarily occur in the treated area.

Momentary increase of pain appearing immediately after treatment.

Hematoma

Petechiae

Skin damage after previous corticoid therapy.
1.6 CONTRA-INDICATIONS FOR SHOCKWAVE TREATMENT

Application to certain tissues: The eyes and the surrounding area, the myocardium, the spinal cord, the
gonads, the kidneys and the liver

Blood disorders, coagulation problems or the use of anticoagulants

Blood thinning medications (Warfarinization)

Pregnancy

Thrombosis

Tumor diseases

Polyneuropathy

Acute inflammation

Growing cartilage in children

Therapy using corticoids

Inapplicable on areas of the body and organs with possible gas content

Inapplicable on areas in proximity to large nerve bundles, blood vessels, the spinal cord and the head
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 6 OF 28
2
INSTRUCTIONS FOR OPERATION
2.1 THE FRONT PANEL OF THE BTL-5000 SWT
11
10
10
10
8
10
9
10
7
10
6
10
1
10
2
10
4
10
5
10
3
1.
hand rest of the applicator
2.
shock transmitter of the applicator
3.
shock transmitter screw cap of the applicator
4.
connector of the applicator
5.
guide mark of the connector
6.
applicator button: to start therapy
7.
power activation indicator of the compressor unit
8.
indicator; signals that the device is ready to generate shockwaves: “ready”
9.
active tab indicator for the applicator output: “out A“
10.
active tab indicator for the applicator output: “out B“(this function is only available for the older types of
device)
11.
handles for easy transport of the compressor unit
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2.2 THE REAR PANEL OF THE BTL-5000 SWT
12
10
13
10
14
10
15
10
16
10
17
10
18
10
19
10
20
10
21
10
12.
ventilation cover
13.
communication link: input / output for the compressor unit.
14.
on/off power switch for the compressor unit.
15.
socket to connect the main power cable 230 V (or 115 V) to the compressor unit
16.
line fuses of the compressor unit
17.
power switch 230 V / 115 V of the compressor unit
18.
connector for the shockwave applicator
19.
input for connection of foot pedal
20.
communication connectors (for servicing purposes only)
21.
condensed water container
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2.3 ASSEMBLY AND SET-UP
Inspect the box for damage and report any damage to the transport carrier and the distributor. Do not proceed
with assembly and set-up if the box is damaged. Keep the original box and packaging to ensure safe future
transport of the device.
When bringing the device from a cold environment into a warm one, do not plug it into the power immediately;
allow it to adjust to the new temperature for approximately 2 hours before use.
Unpack the device and place it on a stable horizontal surface which is suitable for its weight. We recommend
using the BTL trolley, which can be purchased separately.
Always position the device out of direct sunlight. During operation, the device gets warm, so it must not be
positioned near direct heat sources. The device is self-cooled by forced air circulation. The cooling vents are
located on the rear panel and on the bottom of the BTL-5000 SWT. Do not cover or block these vents. Allow a
minimum of 4 inches (10 cm) clearance behind the rear panel. Do not place the device on a soft surface (such as
a towel) which may obstruct air flow to the bottom cooling vents. Do not put any heat-producing devices or any
objects containing water or other liquids on the device. Do not place the device close to appliances producing
strong electromagnetic, electric or magnetic field (diathermy, X-rays, etc.), otherwise it could be undesirably
influenced. In the event of any questions, please contact an authorized BTL distributor.
Keep the original box and packaging to ensure safe future transport of the device.
Installation of supports on the compressor unit:
These supports are only to be installed if the compressor unit will not be used with the BTL trolley. Different legs
are supplied with our trolley.
The BTL-5000 SWT package includes legs for the compressor unit which will prevent it from moving around during
therapy.
Screw in the supports according to the picture.
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13
33
14
3
17
18
1.
Connect the BTL-5000 SWT compressor unit to the main unit by connecting the communication cable to the
input / output of the communication link of the relevant unit. On the BTL-5000 SWT compressor unit, plug the
communication cable into the link connector (13).
2.
First connect the shockwave compressor unit to the electrical outlet and then to the main unit.
Plug the device directly into the main power outlet. Do not use a multi-connection extension cord or
an outlet adapter.
Verify the correct main power voltage of 230 V (or 115 V).
Before the first connection of the device to the main power, it is necessary to check the voltage switch (17) is
in the position corresponding to local voltage standards, either 230 V or 115 V. For further details, see the
note “Switching the device to different mains voltage” in the Chapter Maintenance and safety instructions.
In the event of any questions, please call your BTL distributor.
3.
Connect the supplied accessory to the output connector (18) on the rear panel of the shockwave compressor
unit as follows:
Turn the connector of the applicator so the red spot on its end is lined up with the red spot on the output
connector on the shockwave compressor unit and then plug it in.
WHEN DISCONNECTING THE CONNECTOR, grip the grooved end of the
applicator cable firmly with your fingers slowly pull the connector towards you and
disconnect it carefully.
WARNING!!! DO NOT TURN THE ENTIRE CONNECTED CONNECTOR BY
FORCE, AS IT CAN DAMAGE THE DEVICE!!!
The device detects the accessory connected, determines its type and displays it on
the screen in the appropriate tab. In the event of the connection of improper
accessories by mistake, a warning and help instructions will be displayed on the
screen about where or how to correctly connect the appropriate accessories.
4.
Activate the on/off power switch of the compressor unit (14).
5.
Turn the power supply switch (0/I) to turn on the main unit on/off.
6.
Press the on/off button located on the front panel of the main unit.
Note:
After switching the device on, the device will run a self-diagnostic of its internal circuits and its functions for about
10 to 15 seconds. If any fault is detected, the screen will display a warning message. If necessary; the control unit
will lock itself into a “secure” mode. If this situation occurs, please contact an authorized BTL distributor.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 10 OF 28
2.4 BASIC DISPLAYS AND OPERATING OF THE DEVICE
2.4.1
WELCOME SCREEN AND THE SELECTION OF TABS AND ACCESSORIES
After switching the device ON, the welcome screen includes information on the tabs with icons of the currently
connected accessories. The number of tabs depends on the configuration of the device. By pressing the tab,
information of the actual tab will be displayed. Information entered on the so-called “invisible tabs” will definitely
remain saved.
Examples of information shown on the tabs
Tab indicates that no accessories are
connected.
Tab indicates that shockwave therapy
can be applied using the connected
accessory
2.4.2
TOUCH SCREEN
The touch screen can display several graphic elements. Some are only for informative purposes but others can
be pressed and activated. These basic elements include:

3D buttons which can be pressed to change the indicated values

informative text
The items on the touch screen can be pressed by a finger or by a touch-pen, which is included in the accessories
of the device. The touch screen must not come in contact with any sharp objects, ball pens etc.
2.4.3
NUMERIC KEYPAD
In addition to the setting of the numerical values with the select knob on all the screens, the ”numeric keypad"
can be used for the faster setting of values.
This is the icon for the opening the numeric keyboard window:
Press the numeric keypad button to display the window with the numeric keypad for the parameter with the
“pressed” light button. Set the required values and return to the previous screen by pressing the enter button. If
you do not want to enter any values or change the selected parameter, leave the window with the numeric keypad
by pressing the esc button.
If you enter a value out of the allowed range of values (stated above the entering box) or the device cannot set it,
then the value is rounded to the nearest lower allowed value.
2.4.4
SETTING THERAPY PARAMETERS VIA THE ‘DIAG’ BUTTON
A list of diagnosis will display after pressing the diag button.
To find a diagnosis quickly, press the button for the first letter of the therapy required. For example, after pressing
the MNOP button once, there are listed diagnoses starting with the first letter, in this case "M". Other letters are
searched depending on how many times the button is pressed. Thus pressing MNOP twice will equal “N”,
pressing the button three times will equal "O", etc.. The currently selected letter will be displayed in the box to the
right of the buttons. After finding the required diagnosis, press the enter button to select it.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 11 OF 28
2.4.5
SETTING THERAPY PARAMETERS VIA THE 'PROG' BUTTON
After pressing the prog button, a screen will appear where the number of the required therapy program can be
entered. The numbers of the particular programs for shockwave will be prefixed with the letter “W”, the numbers
of the particular programs for laser therapy will be prefixed with the letter “L”. For faster entry of the program
number, use the numeric keypad. For more details see the Chapter Numeric keypad.
2.4.6
SETTING THERAPY PARAMETERS MANUALLY (USER SETUP) VIA THE ‘MAN' BUTTON
The therapy parameters screen for user (manual) setting will be displayed by pressing the “man” button. All
specifications of the therapy can be set and possibly saved as a user program or a diagnosis.
Pressing of individual buttons will open an individual menu and pop-up boxes for the settings. Most of the pop-ups
are accompanied with illustrative pictures and/or symbols.
2.4.6.1
Setting the Therapy Mode
Following therapy modes can be set:
2.4.6.2

continual frequency

single shocks

burst
Setting Therapy Intensity
The intensity (power) of the shockwave therapy can be set on the therapy parameters screen, even during the
course of therapy. The intensity is set by pressing button labeled the intensity.
2.4.6.3
Setting Therapy Frequency
The frequency of the shockwave therapy can be set on the therapy parameters screen, even during the course of
therapy. The frequency is set by pressing the frequency.
2.4.6.4
Setting the Number of Shocks
The total number of shocks for a therapy can be set on screen of the therapy parameters, even during the course
of therapy. The number can be set by pressing the number of shocks. By pressing
is possible to select
"endless therapy.” The endless therapy option allows for an infinite number of shocks that can be applied from the
start of therapy. The end of therapy is not limited to the number of shocks.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 12 OF 28
2.5 COURSE OF THERAPY
2.5.1
START, INTERRUPTION AND END OF THERAPY
Start therapy by pressing “start” button on the screen. The therapy can only start, if the tab screen displays the
therapy parameters and all those parameters are correctly set. The device will warn of any possible
discrepancies. Normally, the therapy ends after the application of the preset number of shocks. However, it is
possible to end or interrupt (pause) the therapy before it has finished running. To interrupt therapy, press the
“pause” button on the screen or press the button on the applicator. To end therapy, simply press “esc”.
The generation of shocks will stop when the preset number of shocks has been applied. It is also possible to
terminate their generation by releasing (in continual mode) and then pressing the button of the applicator again
(in ON/OFF mode)
Interrupted or paused therapy can be restarted by pressing the “continue” button on the screen and can be
terminated by pressing the “esc” button.
Shockwave therapy can also be started or interrupted by using the button located on the shockwave applicator,
or by using the foot pedal. The factory default setting of the button or the pedal is the AUTO mode. The device
automatically recognizes the hold time of the button on the applicator or on the foot pedal as well as the selected
method of control. If the button or the foot pedal is held for more than 1 second, then after its subsequent release
the therapy will stop (as in the continual mode; see the Chapter Specific settings). During the time while
pressing the applicator button or the foot pedal, the generation of shockwaves will continue.
If the applicator button or the foot pedal is pressed for less than 1 second, then after its release the device will be
set to the ON/OFF option (see the Chapter Specific settings).
2.5.2
SCREEN DURING THERAPY
Name of selected
therapy / program and
set parameters
No. of remaining shocks
Preset frequency
Preset no. of shocks
No. of applied shocks
Time of applied therapy
Preset intensity
Icon of connected
accessories
2.6 APPLICATION OF SHOCKWAVES
Application of shockwaves is provided via a spring-loaded applicator, which:

Provides proper and exactly specified contact of the applicator with the treated tissue during therapy.

Minimizes the transmission of reverse shocks to the hand of the therapist due to the built-in air damper.
An integral part of the applicator is the ergonomic hand rest which provides a comfortable grip and prevents
unwanted slippage of the hand during therapy. The ergonomic hand rest swivels and can be set into the desired
position at any time.
The ergonomically-shaped handle allows the therapist to grip the applicator comfortably in various different
positions. The orientation can be varied according to the type of applied therapy and the personal preferences of
the therapist whether they are left-handed / right-handed or male / female. The ergonomic shape of the handle
offers the therapist sufficient support during the application. This reduces the tiring of the therapist hands during
the course of therapy.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 13 OF 28
Examples of how to hold the shockwave applicator
These examples illustrate the application of shockwaves in different areas and several of ways of holding the
applicator.
Epicondylitis
Achillodynia
Patellar Tendinopathy (Jumper's Knee)
Trigger points
Painful shoulder
Trigger-points
Tibial Edge Syndrome
Calcar Calcanei (Plantar Fasciitis)
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 14 OF 28
2.7 DEVICE MENU
After pressing the menu button on the touch screen you can browse the following menus of the device function:
2.7.1

accessories

encyclopaedia

unit settings

specific settings
ACCESSORIES
From this submenu it is possible to select:

information
This menu item displays the information about connected accessories such as the name of the accessory, its
serial number etc. Mainly, it displays which generator (output / input) the accessory should be connected to and
the number of already applied shocks.
2.7.2
ENCYCLOPAEDIA
The encyclopaedia provides information about the preset clinical protocols, therapeutic possibilities and examples of
how to use the device. An electronic version in the device is accessible from most screens and from the device menu.
Icon to open the encyclopaedia:
After opening the encyclopaedia following the selection of a specific diagnosis, the information on the selected
diagnosis will be displayed. Otherwise you will enter the encyclopaedia’s table of contents which lists the
individual clinical protocols. Here it is possible to scroll using the select knob. After selecting the required
diagnosis, press the enter to get to the specific information on the clinical protocols.
2.7.3
UNIT SETTINGS
This submenu offers the options of setting and displaying the following parameters:

password setting

sound setting

screen-saver and auto switch-off

colour setting

setting the display contrast

led brightness setting

date and time setting

language setting (language)

touch panel calibration

user options

style of operation

setting the hw key

unit information

unlock code

user accounts

firmware upgrade

service functions

dialog history
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 15 OF 28
2.7.3.1
Password Setting
Allows change of the device’s password which is required by the device after it is switched on. Without entering
the password, further work with the device is impossible.
2.7.3.2
Sound Setting
Allows the setting of the acoustic signalling for when buttons or the touch screen are pressed as well as for
certain operations such as therapy start, therapy interruption, end of therapy etc. The device includes a set of
standard sounds from the manufacturer, for example the signalling the therapy operations. All audio tones can be
muted (no sound) or modified as required.
Allows editing of the individual audio schemes, the creation of new ones and the modification of the audio tones for
each operation separately. The user’s own settings will always be displayed at the end of the list of sound schemes.
The sound volume can be also set under the User options menu.
2.7.3.3
Screen-Saver and Auto Switch-Off
Includes the setup of the screen-saver type, the activation time of the screen-saver, the period of time before which
the screen will switch off and idle time for the whole device.
To cancel the Screen-saver mode, press the esc key on the device. Do not forget to save the settings by pressing
the enter key.
2.7.3.4
Colour Setting
Allows setting of the colours of the controls displayed on the screen. There are 5 preset colour schemes available
to choose from.
2.7.3.5
Setting of the Display Contrast
Allows the setting of the optimum contrast of the display by turning the select knob.
Since the contrast of the screen depends on various factors, such as the temperature of the room, there is a faster
and direct way of setting the screen contrast. To quickly change the contrast, turn the select knob while
simultaneously holding enter and esc keys.
2.7.3.6
Date and Time Setting
Allows the setting of the date and time for the device.
2.7.3.7
Language Setting (language)
Allows the setting of the preferred language of the texts displayed on the device’s screen. The factory default is
English.
2.7.3.8
Touch Panel Calibration
If the buttons on the touch screen do not react when pressed, the touch screen needs calibration. The process of
the calibration is shown on the screen. During the calibration, use the touch-pen (stylus) and follow the on-screen
instructions. Calibration, if not successful, can be interrupted at any time by pressing the esc button.
To verify the touch screen adjustments, use the "touch panel function test" function.
2.7.3.9
User Options
This menu items allows the setting of:
2.7.3.10

direction of movement of menu (standard / reverse)

sorting of diagnoses (in ascending order / in descending order)

tabs position (top / bottom)

sound volume
Setting the HW Key
The device can be remotely reconfigured. If it is later decided to purchase the upgrade, the manufacturer
(distributor) will send the 64-digit code (the so-called “HW key”) that when entered will reconfigure its hardware
according to that key. For the actual HW configuration see the next entry, Unit information.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 16 OF 28
2.7.3.11
Unit Information
Shows specific information about the device such as serial number, device type, firmware version etc. It also
contains the information of when the device will operate – so called "device validity". If the operation of the device
is time limited, this item indicates until which date the device stays fully functional.
2.7.3.12
Unlock Code
If the operation of the device is time limited, then in this item you can enter the so-called "unlocking code" for
cancellation of the operational time limitation of the device.
2.7.3.13
User Accounts
The function allows creating personal account for every person who operates the device. Everyone has their own
password to log in.
2.7.3.14
Firmware Upgrade
Enables to upgrade the firmware version in the device.
2.7.3.15
Service Functions

repair of files
Checks the file storage system of the device, the system of saved information. It will repair possible errors,
delete empty files, etc. We recommend using this feature in the event of a lack of memory space, if the
device rejects saving any data, or if you are in doubt that some data may have been lost.

file system formatting
Should be used only if the repair of damaged files feature did not help. Unfortunately, when this feature is
used the entire memory is re-formatted and all the user-data and the user setup of the device will be lost.

default setting without loss of user data
Restores all functions of the device to the factory default settings. However, all user–data related to clients,
programmed therapies, etc. will stay saved.

2.7.4
2.7.4.1
unit log data export
SPECIFIC SETTINGS
Shockwave setting

compressor mode
This allows for the selection of one of the two different types of pressure control modes of the system: quick start
or silent mode.
When using quick start, the pressure control of the system is activated immediately after switching the device
ON, therefore the start of therapy is instantaneous. We recommend using this setting, especially if the device is
used frequently. The disadvantage of this mode is that there is a higher noise level from the device.
In silent mode, the pressure control in the system is activated only immediately before the start of therapy. When
the manual screen is opened and then closed, the pressure stops being held in the system. This eliminates noise
from the device when not actively in use. The disadvantage can be a prolonged period before the start of therapy.
Depending on the pressure in the system, this period could 10 to 15 seconds longer than in quick start mode.
We recommend using this mode for quieter operations.

therapy control
This allows the user to select whether the therapy will be controlled using the button on the applicator or using the
foot pedal which is connected to the compressor unit. After selecting the type of therapy control, continue by
setting the options of either the applicator button mode or the foot pedal mode. Read the next chapter for further
information.

applicator / foot pedal
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 17 OF 28
This allows the selection of one of the three different types of modes for the applicator button function or the foot
pedal, depending on which was selected. The choices are: AUTO, continual or ON/OFF.
In AUTO mode, the device automatically recognizes the hold time of the button on the applicator or the pressing
of the foot pedal as well as the selected way of control it. If the button of the applicator or the foot pedal is pressed
for more than 1 second, then after its subsequent release therapy will stop. This will be the same in the continual
mode. During the time it takes to press the button or the foot pedal, the generation of shockwaves will be in
progress.
If the button of the applicator or the foot pedal is pressed for less than 1 second, then after its release the device
will be set to the ON/OFF mode option (see below).
In continual mode, the generation of the preset shockwaves is accomplished by only one press of the button on
the shockwave applicator or the foot pedal. To end the generation of shockwaves, it is necessary to press the
button on the applicator or the pedal again.
In ON/OFF mode, it is necessary to hold the button of the applicator or the foot pedal pressed throughout the
duration of the application of shockwaves. Releasing the button or the pedal stops the generation of shockwaves.
This setting will be saved separately for the button of the applicator and for the foot pedal.
2.7.4.2
Applicator Kit Replacement Wizard
If, after a certain amount of time, the applicator stops generating shockwaves correctly, it is possible to change
the worn-out applicator parts. Follow the instructions detailed in the Chapter Procedure of Worn-out Tube and
Projectile Replacement of this manual. Install this replacement part according to the instructions.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 18 OF 28
3
LIST OF STANDARD AND OPTIONAL ACCESSORIES
The device is not designed for use with any accessories or medical equipment other than those stated in this
manual. The following table contains a list of all standard and optional accessories that can be supplied with the
device.
Standard accessories:

1x shockwave applicator with multi-focus shock transmitter (Ø 15 mm)

1x replaceable multi-focus shock transmitter (Ø 9 m)

1x replaceable focusing shock transmitter (Ø 15 mm)

1x exchangeable kit (includes a spare set of O-rings)

1x applicator holder

1x gel (1000 ml)

1x power cord

1x communication cable

4x silent blocks for compressor unit

2x spare fuse for the compressor unit (T6.3AL/250 V)

1x user's manual

markers for output cables
Optional accessories:

additional shockwave applicator with focusing shock transmitter

foot pedal

gel (300 ml)
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 19 OF 28
4
MAINTENANCE AND SAFETY INSTRUCTIONS
The recommended intervals for inspection of the device are 24 months after installation, subsequently each
12 months. The intervals may differ according to the local regulations. The inspection shall be performed
according to procedure authorized by BTL.
To keep the device clean, do not store or use it in extremely dusty environment for a long time. Do not immerse it
in any liquid. Before each use, checks that the device and its accessories (especially cables) are not mechanically
or otherwise damaged. Do not use the device if it is damaged!
Cleaning the surface of the device and its parts:
Use a soft cloth slightly moistened with water or with a 2% detergent solution to clean the exterior of the
BTL-5000 SWT device and its parts. Never use cleaning agents containing alcohol, ammonia, benzine, thinners,
etc. Never use abrasive cleaning materials which will scratch the device's surfaces. No parts of the device require
sterilization. Care should be given to prevent water or other liquids from getting inside the device.
Cleaning and maintenance of accessories which come into contact with the client (e.g. shock transmitters):
Clean and disinfect after each client using approved cleaning agents. For example, Sekusept, Bacilol, and Incidur
Spray can be used. For the cables of accessories, use Incidur Spray and the alike. The exterior surface of the
shock transmitter can be washed with warm water with its cap on. However, to completely remove all of the
contact gel from the shock transmitter, it will be necessary to unscrew the shock transmitter and clean it.
Fuse replacement:
The fuses of the shockwave compressor unit are located in the round black box on its rear panel. During
replacement, verify that the correct fuse is being inserted.
Before replacement, make sure that the main power switch of the shockwave compressor unit is in the “0"
position and the power cords is disconnected from the unit. Turn the segment of the fuse box to the left using a
flathead screwdriver or coin in the slot in order to remove the fuse. Insert a new fuse and turn it to the right.
Do not use fuses other than those stated above the fuse box! This action should only be done by a person
acquainted with this procedure!
Switching the device to different main power voltage:
The voltage switch for the shockwave compressor unit is located on its rear panel. Before switching over, first
make sure that the main power switch is in the “0” position and the power cord is disconnected from the unit. Use
a flathead screwdriver or a coin to turn the segment of the switches so that the arrow on the switch points to the
voltage of your local electrical rating.
This operation should only be done by a person familiar with this procedure! If in doubt, contact an authorized
BTL customer service. The manufacturer is not responsible for any damage caused by an incorrect switchover.
Transport and storage:
Keep the shipping container and all packaging materials. Transport the unit in original box to ensure maximum
protection. Unplug the main power cable and all accessory cables. Take care to avoid shocks or jarring
movements to the device during transport. This device should only be transported and stored under the conditions
defined in the Chapter Technical Parameters.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 20 OF 28
4.1 SHOCK TRANSMITTER REPLACEMENT PROCEDURE
The shock transmitter can be replaced as necessary. Three shock transmitters are included as part of the
BTL-5000 SWT standard accessories:

1x replaceable multi-focus shock transmitter (Ø 15 mm)

1x replaceable multi-focus shock transmitter (Ø 9 mm)

1x replaceable focusing shock transmitter (Ø 15 mm)
Replacement procedure:
1.
Use the transmitter nut wrench [1a] (included in the package) to unscrew the screw cap of the shock.
2.
Remove the shock transmitter (14) and both O-rings from the applicator.
O-rings
3.
Insert the selected shock transmitter “as is" to the applicator, including the mounted O-rings.
4.
Put the transmitter screw cap back in place and screw it on tightly, using the transmitter nut wrench.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 21 OF 28
4.2 PROCEDURE OF WORN-OUT TUBE AND PROJECTILE REPLACEMENT
If after some time the applicator stops working correctly, it is possible to replace the old tube and projectile kit by
means of the replacement kit, which is included in the supplied BTL-5000 SWT package.
Do not use damaged applicators! There is a risk of injury to the operating staff or the client.
Replacement procedure:
1.
Start the Applicator kit replacement wizard (menu / specific settings) and follow the instructions on the
screen. Use the transmitter nut wrench [1a/1b] (included in the package) to unscrew the screw cap of the
transmitter.
2.
Remove the transmitter [2/3a/3b] and O-rings [2a/2b/3] from the applicator.
3.
Use the body nut wrench [1b] (included in the package) to unscrew the cap of the cartridge [4]. Follow the
pictures.
4.
Remove the worn/out part [5] from the cartridge of the applicator.
5.
Remove the plastic cover from a new replacement part.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 22 OF 28
6.
Carefully insert the new kit [6] "as is" into the cartridge of the applicator in the direction as shown in the picture.
Do not touch the rear cover behind the spring, as it is coated with a thin layer of lubricant from the factory.
7.
The front cover of the replacement kit must be set to the position shown in the picture and pushed inside flush
with the outer edge of the applicator case (push the kit slightly into the applicator case). The replaced kit must
move freely!
8.
After inserting the new kit, firmly screw the screw cap [4] of the cartridge back in place using the body nut
wrench [1b].
9.
When replacing the applicator kit, replace O-rings [2a/2b/3] on the applicator attachment at the same time.
Spare O-rings are included in the accessories.
10. Insert the transmitter [2/3a/3b] back into the applicator, including its O-rings [2a/2b/3].
11. Put the transmitter screw cap back in place and screw it on tightly, using the transmitter nut wrench [1a/1b].
WARNING! If the screw cap is not TIGHTENED FIRMLY, the projectile may get jammed!
12. Reconnect the applicator to the device. Finish the installation by following the instructions of the Applicator kit
replacement wizard. The new installation will reset the counter of shocks to zero.
The warranty does not cover damages caused by improper installation!!
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 23 OF 28
4.3 GENERAL SAFETY PRECAUTIONS

Read the User’s Manual carefully and become familiar with all its safety requirements, operating
procedures and maintenance instructions before using the device. It is not allowed to use the device and its
accessories in any manner other that is in accordance with the User’s Manual. It is prohibited to use the
device in the way that is not in accordance with the Intended use (defined in the Chapter 1.1).

The device has applied parts of the BF (Body Floating) type – i.e. parts, which come into direct
physical contact with the patient during normal device use.


The connectors marked with this symbol can be connected to the foot operated switch to start therapy.
The foot pedal is located under the bottom part of the shockwave compressor unit.
Shockwave therapy is requires direct bodily contact, therefore do not use on damaged skin!

Do not apply shockwave therapy to areas of the body with gas-containing organs, close to large
nerve bundles or blood vessels, on the spinal cord or on the head!

The device does not use any drugs, creams, gels or other substances which are an integral part or
which are applied by its use.

The device is equipped with a protection system that prevents connecting accessories other than those
supplied by the manufacturer. Consequently, it will not operate with equipment from other manufacturers.

The electrical wiring to which the device is to be connected must be installed and tested according to the
existing valid standards. If the user is not sure that the main power supply is safe, it should be inspected by
an inspection engineer.

Check whether the parameters of the main power supply correspond to the requirements of the device
according to Technical Parameters. Also, verify that the voltage switch on the device is turned to the correct
voltage according to the main power supply parameters.

The device requires the environmental conditions that are stated in the Chapter Technical Parameters.
It must not be used in an environment where there is a danger of explosion or of water penetrating the
device. The device cannot be in connection with flammable anesthetics or oxidizing gasses (O2, N2O, etc.).

Do not place the device in direct sunlight or near strong electromagnetic fields to prevent mutual functionality
influence. If this happens, move the device further away from the source of interference or contact an
authorized BTL service.

Inspect the device thoroughly before each use. Look for loose cables, cracked cable insulation, cracks in the
shockwave applicator’s housing and functional behavioral differences in the display or the operating
elements. If any anomalies or inconsistencies are found, stop using the device and contact an authorized BTL
service. If the behavior of the device shows any divergences from the functionality procedures described in
this user’s manual, stop using the device and contact an authorized BTL service.

If the device shows any defects or if there are any doubts concerning its correct and safe functioning,
terminate therapy immediately. If the source of the concern can be determine after a thorough study of the
user's manual, then contact an authorized BTL service immediately. If the device is not used in accordance
with this manual or if it is used when the device exhibits functional differences from those stated in this
manual, then BTL is not responsible for any damage to or caused by the device.

Do not try to open, remove protective covers, or dismantle the device for any reason. There is a danger of
electrical shock and/or serious injury. Even the replacement of the lithium battery and the air micro-filter must
be done an authorized BTL service only!

The connectors for accessories, as well as the other connectors, must not be used for connecting anything else
other than what they are designed for. There is a danger of electrical shock and/or serious damage to the device.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 24 OF 28

The device does not use or emit any toxic substances during its operation, storage or transport under the
stated conditions.

Before the start of therapy, verify that all of the input parameters correspond to the user's requirements.

To terminate operation, do not use the main power switch! Instead, press the “on/off” button.

The time interval between turning off the main power switch and turning it back on must be at least
3 seconds.

If it is necessary to discard the device, the lithium battery must be removed. The removed battery must be
disposed according to local hazardous waste disposal requirements. Do not place the device in municipal
waste containers. The device itself does not contain any toxic materials which could harm the environment
when disposed of ecologically.

The device and its accessories must be used in compliance with this manual.

The device must be placed out of the reach of children.

The device does not contain any components, except for the fuses and parts containing in the shockwave
transmitter replacement kit, which can be repaired or replaced by the user. Do not remove the cover from the
control unit. All repairs must be done by an authorized BTL service.

Do not disconnect the applicator during therapy.

Do not place the device near running water. Do not spill water (or other liquids) on the device. There is a risk
of electric shock!
4.4 LABELS
Instrument type label
4.5 USED SYMBOLS
Warning: the values of supply voltage exceed safe values.
Class II equipment
Type BF applied part
Read the manual before operating the device
Electric and electronic equipment. Do not use municipal waste to dispose of the unit. Its
disposal is subject to the 2002/95/EC Directive.
Foot operated switch
Name and address of the manufacturer
Date of manufacture
Serial number
Batch code
Catalogue number
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 25 OF 28
5
TECHNICAL PARAMETERS
Name
BTL-5000 SWT
Model
BTL-5000 SWT POWER
The device can be connected
BTL-6000 High Intensity Laser 7 W / 810 + 980 nm
BTL-6000 High Intensity Laser 12 W / 1064 nm
Operating conditions
Ambient temperature
+10 °C to +40 °C / 50 °F to 105 °F
Relative humidity
30 % to 75 %
Atmospheric pressure
800 hPa to 1060 hPa
Position
Vertical: On legs
Type of operation
Permanent
Transport and storage conditions
Ambient temperature
-10 °C to + 55 °C/15 °F to 130 ° F
Relative humidity
25 % to 85 %
Atmospheric pressure
650 hPa to 1100 hPa
Position of the compressor
Basic, fixed with transit bolt
Additional conditions
Transport only in the original container
Power supply
Compressor unit maximum input
550 VA
Mains voltage (switched)
~ 99 V to 126 V (115 V nominal) AC
~ 198 V to 252 V (230 V nominal) AC
Mains frequency
50 Hz to 60 Hz
Equipment protection class
II; In accordance with IEC 61140
External exchangeable fuses
Compressor unit: 2x T6.3AL/250 V tube safety fuses (5 x 20 mm)
In accordance with IEC 60127
Power switch
On the back of device, positions 0 (off) and I (on).
In accordance with IEC 60601-1
To disconnect from the mains, unplug the male plug of the power
cord from the mains socket outlet.
Design
Weight: Compressor unit
Maximum 20 kg/44 lbs.
Weight: Applicator
Maximum 900 g/1.9 lbs. (including cable)
Compressor unit dimensions
330 x 270 x 320 mm (w x h x d)
Applicator dimensions
40 x 280 x 140 mm (w x h x d)
IP code
IP 20; In accordance with EN 60 529
Indicator lights
Compressor unit: 1x green, 1x yellow, 2x blue
Classification
Applied part type
BF
Adjustable values
Shock intensity
Maximum 5 bar (maximum instantaneous value)
Shock frequency
Maximum 22 Hz
Therapy period
Increments of adjustable values
0 – 9999 shocks
Intensity
0.1 bar
Frequency
1 Hz
Total number of shocks per therapy
From 1 to 50 shocks at a time
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 26 OF 28
5.1 MANUFACTURER
BTL Industries Ltd.
161 Cleveland Way
Stevenage
Hertfordshire
SG1 6BU
United Kingdom
E-mail: sales@btlnet.com
http://www.btlnet.com
For service, please contact our service department at service@btlnet.com.
th
Date of last revision: 10 of August 2016
ID: 214-80MANEN200
© No part of this manual may be reproduced, saved in a research centre or transferred by any means incl.
electronic, mechanic, photographic or other records without previous approval from BTL Industries Limited
BTL Industries Limited operates a policy of continuous development. Therefore, it reserves the right to make
changes and improvements to the products without prior notice.
The content of this document is provided "as it is ". Except as required by applicable law, no warranties of any
kind, either expressed or implied, are made in relation to the accuracy, reliability or contents of this document.
BTL Industries Limited reserves the right to revise this document or withdraw it at any time without prior notice.
BTL-5000 SWT FOR BTL-6000 HIGH INTENSITY LASER – USER’S MANUAL I PAGE 27 OF 28
214-80MANEN200