Chattanoga Triton Equipo de Traccion Manual
Chattanoga Triton Equipo de Traccion Manual
Chattanoga Triton Equipo de Traccion Manual
Rehabilitation
Forward™
User Manual
Model 4739 - Triton® Traction Unit
Model 4778 - Triton® Traction Unit with sEMG
Model 2841 - Triton® DTS Traction Unit with sEMG
Product Description
The Triton traction unit is a simple to use digital touch screen user interface traction unit that offers static, intermittent, and cyclic traction
with user definable hold, rest, and treatment times. An optional sEMG Module and DTS software upgrade are available for separate
purchase. Patient Pain Profiles are recorded before and after treatment with a Numeric Pain Scale, VAS (Visual Analog Scale), and Pain Map
for each patient. Once treatment parameters are customized for a patient, clinicians can store them as either the default user protocol or
as one of twenty user defined protocols. The Triton traction unit contains a Patient Data Card port, providing access to store the above
session parameters on Patient Data Cards. Information may be transferred to a PC via the optional Patient Data Management System. The
PC software is designed to allow easy access to patient data and printing of reports as well as adding session notes to the Patient Data
Card.
This equipment is to be used only under the prescription and supervision of a licensed practitioner.
©2006 Encore Medical Corporation or its affiliates, Austin, Texas, USA. Any use of editorial, pictorial, or layout composition of this publication without express written consent
from the Chattanooga Group of Encore Medical, L.P. is strictly prohibited. This publication was written, illustrated, and prepared for print by the Chattanooga Group of Encore
Medical, L.P.
1
ABOUT TRACTION THERAPY Triton® Traction
PRECAUTIONARY INSTRUCTIONS
The precautionary instructions found in this section and throughout this
manual are indicated by specific symbols. Understand these symbols
and their definitions before operating this equipment. The definitions of
these symbols are as follows:
NOTE:
Throughout this manual “NOTE” may be found. These Notes are helpful
information to aid in the particular area or function being described.
Caution-
Text with a “CAUTION” indicator will explain possible safety infractions
that could have the potential to cause minor to moderate injury or
damage to equipment.
Warning-
Text with a “WARNING” indicator will explain possible safety infractions
that will potentially cause serious injury and equipment damage.
Danger-
Text with a “DANGER” indicator will explain possible safety infractions that
are imminently hazardous situations that would result in death or serious
injury.
2
ABOUT TRACTION THERAPY Triton® Traction
• Read, understand, and practice the precautionary and operating • Do not operate the unit when connected to any unit other than
instructions. Know the limitations and hazards associated with using Chattanooga Group devices. Do not use devices manufactured by
sEMG, DTS Pull Patterns and the Triton traction unit. Observe the other companies on Chattanooga Group equipment. Chattanooga
precautionary and operational decals placed on the unit. Group is not responsible for any consequence resulting from using
• DO NOT operate this unit in an environment where other devices products manufactured by other companies.
are being used that intentionally radiates electromagnetic energy • Handle the unit with care. Inappropriate handling of the unit may
in an unshielded manner. Portable and mobile RF communications adversely affect its characteristics.
equipment can affect Medical Electrical Equipment. • Before each use, inspect the Traction Cord for wear. Prolonged wear
• This equipment generates, uses, and can radiate radio frequency on the cord will cause it to break, which may cause sudden release
energy and, if not installed and used in accordance with the of traction pressure on a patient.
instructions, may cause harmful interference to other devices in • Inspect lead wires and associated connectors for signs of damage
the vicinity. However, there is no guarantee that interference will before each use. Replace damaged lead wires immediately before
not occur in a particular installation. Harmful interference to other any treatment is applied.
devices can be determined by turning this equipment on and off. • Always test the Patient Interrupt Switch cable before each use for
Try to correct the interference using one or more of the following: proper operation.
reorient or relocate the receiving device, increase the separation
between the equipment, connect the equipment to an outlet on a • Do not use sharp objects such as a pencil point or ballpoint pen
different circuit from that which the other device(s) are connected to operate the buttons on the Touch Screen base as damage may
and consult the Chattanooga Group Service Department for help. result.
• This unit should be operated, transported, and stored in • Do not remove the cover. This may cause unit damage, malfunction,
temperatures between 0° F and 140° F (-18° C and 60° C). electrical shock, fire, or personal injury. There are no user-serviceable
parts inside the unit. If a malfunction occurs, discontinue use
• The unit should be routinely checked before each use to determine immediately, disconnect the Mains Power Cord from the outlet, and
all controls function normally. consult the dealer for repair service.
• Do not use electrodes that have been previously used as the • Do not disassemble, modify, or remodel the unit or accessories.
electrodes used with this unit are designed for single use only. This may cause unit damage, malfunction, electrical shock, fire, or
personal injury.
• Do not use the traction unit near devices such as X-ray units or
diathermy units. These units may emit high frequency noise that
may affect the operation of the unit.
3
ABOUT TRACTION THERAPY Triton® Traction
• Do not use the Clevis as a handle to pick up or carry the unit. • This device should only be used under the continued supervision of a
• Do not permit any foreign materials or liquids to enter the unit. Take licensed practitioner.
care to prevent any foreign materials including, but not limited to, • Care must be taken when operating this equipment adjacent to or
inflammables, water, and metallic objects from entering the unit. stacked with other equipment. Potential electromagnetic or other
These may cause unit damage, malfunction, electrical shock, fire, or interference could occur to this or other equipment. Try to minimize
personal injury. this interference by not using other equipment in conjunction with it.
• If you have difficulty operating the unit after carefully reviewing • Use of controls or adjustments or performance of procedures other
this operator’s guide, contact your Chattanooga Group dealer for than those specified herein may result in a hazardous traction related
assistance. injury.
• Failure to use and maintain the traction unit and its accessories • Before connecting the unit to an electrical outlet, make certain the
in accordance with the instructions outlined in this manual will unit is electronically grounded by connecting only to a grounded
invalidate your warranty. electrical service receptacle conforming to the applicable national
• The Patient Interrupt Switch is essential for the functioning of the and local electrical codes.
unit. If it is not connected, or if it is malfunctioning, the unit will not • Do not use a damaged Mains Power Cord. Using a damaged Mains
work. Power Cord may cause unit damage, malfunction, electrical shock,
• A licensed practitioner experienced with traction therapy must be fire, or personal injury. If the Mains Power Cord becomes damaged,
familiar with all instructions contained in this manual before discontinue use immediately and contact the dealer for replacement
administering traction therapy. Do not attempt to become familiar of the Mains Power Cord.
with the Triton traction unit while administering traction therapy on • To prevent electrical shock, disconnect the unit from the power
a patient. source before attempting any maintenance procedures.
• In the event of a loss of power to the unit or when quick release • This device should be kept out of the reach of children.
is needed, traction tension should only be released by having the • Always hand tighten the Lock Knob securely to avoid any slippage.
patient move towards the traction head to release the tension on • The Patient Interrupt Switch must be in the patient’s grasp
the rope. Once the tension on the rope has been released, loosen throughout the traction therapy.
the patient harness adjustment straps.
• Do not apply external pressure (heat or cold) to the electrode sites
during therapy.
• Dispose of all products in accordance with local and national
regulations and codes.
4
ABOUT TRACTION THERAPY Triton® Traction
• Use only tables, stands, power cords and accessories that are • Disconnect the traction unit from the power source before attempting
specially designed for the Triton traction unit. Do not use accessories any maintenance, installation, removal, or replacement procedures to
manufactured by other companies on the Triton traction unit. prevent electrical shock and possible damage to the unit.
Chattanooga Group is not responsible for any consequence resulting • The traction unit should only be used by a qualified licensed
from using products manufactured by other companies. The use practitioner in a position of supervision during therapy. For that
of other accessories or cables may result in increased emissions or reason, do not attempt to put yourself in traction with this unit.
decreased immunity of the Triton traction unit.
• Do not use other accessories other than those supplied with the
system or recommended by Chattanooga Group. The safety of other
products has not been established, and their use could result in injury
to the patient.
• To prevent accidental disengagement, this unit must be securely
attached to the mounting surface of the pedestal or traction stand. It • Handle, clean, and dispose of components and accessories that
is the responsibility of the user to verify the adequacy of the have come in contact with bodily fluids according to National, Local
installation before use in therapy. and Facility rules, regulations and procedures.
• Do not apply electrodes over broken or compromised skin (e.g., • Do not connect the unit to an electrical supply without first
sunburn, cuts, acne) due to increased risk of skin reactions. verifying that the power supply is the correct voltage. Incorrect
• Do not plug lead wires into power outlets such as wall sockets and voltage may cause unit damage, malfunction, electrical shock, fire,
line cord receptacles. Doing so could result in severe shock or burns or personal injury. Your unit was constructed to operate only on the
whether or not the lead wires are attached to the unit. electrical voltage specified on the Voltage Rating and Serial Number
• In the event that an Error message or Warning appears beginning plate. Contact your Chattanooga Group dealer if the unit is not
with a 2 or 3, immediately stop all use of the system and contact properly rated.
the dealer or Chattanooga Group for service. Errors and Warnings
in these categories indicate an internal problem with the unit that • Should Traction Cord fray or damage to the Traction Cord or knot be
must be tested by Chattanooga Group or a Field Service Technician apparent from visual inspection, immediately stop use of the unit
certified by Chattanooga Group before any further operation or use and contact the Dealer or Chattanooga Group for service.
of the unit. Use of a unit that indicates an Error or Warning in these • Do not attempt to repair the Traction Cord.
categories may pose a risk of injury to the patient, user or extensive
internal damage to the unit. • An improperly tied knot may result in injury. Do not attempt to
re-tie the knot unless properly trained.
5
ABOUT TRACTION THERAPY Triton® Traction
6
ABOUT TRACTION THERAPY Triton® Traction
INDICATIONS CONTRAINDICATIONS
The Triton traction device provides traction and mobilization of skeletal Traction is contraindicated for the following:
structures and skeletal muscles.
• Structural disease secondary to tumor or infection
The Triton traction device may be used to relieve peripheral radiation/
• Patients with vascular compromise
sciatica and pain associated with:
• Any condition for which movement is contraindicated
• Protruding discs • Spinal root impingement
• Bulging discs • Hypomobility • Patients with acute strains, sprains, and inflammation which would be
• Herniated discs • Degenerative joint disease aggravated by traction therapy
• Degenerative disc disease • Facet syndrome • Patients with joint instability of the spine
• Posterior facet syndrome • Compressions fracture • Pregnancy
• Acute facet problems • Joint pain
• Radicular pain • Discogenic pain • Osteoporosis
• Prolapsed discs • Hiatus hernia
• Claustrophobia
• Cardiac or pulmonary problems
7
NOMENCLATURE Triton® Traction
Traction Cord
To prevent wear and fraying, the unit
should be mounted facing toward the
desired direction of pull so that the
Traction Cord does not contact the
side of the slot from which it extends.
Traction Cord
Clevis
Attachment Slots
sEMG
Lead Wire
Receptacle
(Model 4778,
2841 or with
sEMG Module
Patient
Interrupt
P/N 4766) • Should Traction Cord fray or damage to the Traction Cord or knot be
Switch apparent from visual inspection, immediately stop use of the unit and
Receptacle contact the Dealer or Chattanooga Group for service.
• Do not attempt to repair the Traction Cord.
• An improperly tied knot may result in injury. Do not attempt to re-tie
the knot unless properly trained.
8
NOMENCLATURE Triton® Traction
9
NOMENCLATURE Triton® Traction
BASE UNIT REAR VIEW
Screen The rear view of the base unit is the site of electric current control and
Contrast surge protection, and serves as a connection point for both the traction
Control
controls and safety features of the Triton traction unit.
Data Port
Mains (Factory
Power use Only)
Cord
Receptacle Mains Power Cord Receptacle
The Mains Power Cord Receptacle
accepts the Mains Power Cord
(female end).
Serial Number and
Electrical Rating
Plate
Screen Contrast Control
The Screen Contrast Control is
used to set a comfortable viewing
of brightness of the Touch Screen
User Interface. Functional On
Monochrome Units Only.
10
NOMENCLATURE Triton® Traction
Lock Knob
The Lock Knob is used to clamp the
Triton traction unit to the base
(i.e. pedestal, traction stand).
11
NOMENCLATURE Triton® Traction
LCD BASE
(1) LED Indicator (Power On/Off)
The LCD Base serves as a programming terminal during the selection
This indicator will illuminate when the unit is powered on.
of the traction parameters, as well as a display showing all the factors NOTE: The LED indicator will blink when the unit goes in screen saver
affecting the traction during therapy. Traction parameters are selected mode (the screen will go blank after twenty minutes of inactivity).
with the buttons on the LCD Base and the Touch Screen User Interface. Simply touch the screen to reactivate.
The Touch Screen and beeper make various audio and visual indications, (2) Clinical Resources
and warn the operator when unsuitable parameters are chosen. This button allows you to access the following features of the traction
unit:
• Patient Card • Protocols
• Patient Card (Patient Name) • Retrieve Protocol
1 • Edit Current Pain Profile • Save Protocol
• Edit/Save Completed Pain Profile • Clinical Protocols™
• Erase Patient Card
2 4 • Utilities
• Unit Settings
(3) Stop
This button will stop the treatment program. Traction tension slowly
decreases to zero.
3 (4) Pause
5 This button will pause the treatment program. Traction tension slowly
decreases to zero. Press the pause button again to resume treatment
6 program and traction tension.
(5) Start
7 Touch this button to start the treatment program.
(6) Patient Data Card Port
Access port to insert a Patient Data Card to save and retrieve patient
treatments.
(7) Multimedia Card (MMC) Port
Access port to insert a MMC Card to display traction techniques and the
anatomical library.
12
NOMENCLATURE Triton® Traction
SYMBOL DEFINITIONS
Below are the definitions for all of the Symbols used on the Triton traction unit hardware and software. Study and learn these symbols before any operation
of the unit.
Clinical Forward
Lock/ Resources
Unlock
Lock Knob Home
13
SPECIFICATIONS Triton® Traction
TRACTION UNIT DIMENSIONS AND SPECIFICATIONS
Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.5 in (24 cm) Meets Directive 93 /42 /EEC
Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17.5 in (45 cm) IEC/UL/EN: 60601-1
Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17.5 in (45 cm) 60601-1-2
Weight 9700675
CAN C22.2 No. 601.1-M90w/A2
Standard Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 lbs (14 kg)
Shipping Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 lbs (18 kg)
Power
Voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100V-240V (50/60Hz)
Power Consumption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 VA
Current Consumption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2 Amps Max
Electrical Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Class I
Traction Electrical Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Type B Height
sEMG Electrical Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type BF
For Continuous Operation
Traction Modes
Static, Intermittent, Cyclic, and their combinations.
Traction Type: Mechanical
LCD Display: High contrast color touch screen
Traction Tension
Parameters Minimum Maximum Increments
Traction Period 1 minute 99 minutes 1 minute
Hold Period 0 seconds 99 seconds 1 second
Rest Period 0 seconds 99 seconds 1 second Dep
Traction Tension 0 lb (0 kg/0 N) 200 lb (90 kg/890 N) 1 lb (1 kg/5 N) th
th
Progressive and Wid
Regressive Steps 1 step 9 steps 1 step
14
SPECIFICATIONS Triton® Traction
sEMG MODULE DIMENSIONS AND SPECIFICATIONS
Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.63 in (16.83 cm)
Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 in (7.62 cm)
Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.63 in (4.13 cm)
Input Impedance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 1,000,000 ohm
Input Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < 1.0 μV RMS
Width
Frequency Range . . . . . . . 15Hz - 1000Hz with CMMR of > 120 dB CMMR
at 50/60 Hz > 180 dB
Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.2 oz (146 g)
Product Type
Internally Powered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Triton Traction Unit th
Dep
Electrical Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Class I
Electrical Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type BF Height
For Continuous Operation
Regulatory Compliance
15
SPECIFICATIONS Triton® Traction
DESCRIPTION OF DEVICE MARKINGS
The markings on the Triton traction unit are your assurance of its conformity to the highest applicable standards of medical equipment safety and
electromagnetic compatibility. One or more of the following markings may appear on the device:
9700675
Classified by Intertek Group, PLC with respect to electric shock, fire and
mechanical hazards only in accordance with UL 60601-1, and
CAN C22.2 No. 601.1-M90w/A2.
Type B Equipment
Type BF Equipment
16
SETUP Triton® Traction
CONTENTS OF CARTON
Remove the Triton traction unit and all accessories from the shipping NOTE: When shipping the unit back to the dealer or factory, make
cartons. Visually inspect for damage. certain the original packaging is used. If the original packaging
Report any damage to the carrier immediately. is not available, contact Chattanooga Group to obtain the
following packaging materials for shipment:
Contents of Cartons:
48059 Inner Pack Box Top
Model 4739 - Triton Traction Unit
48093 Left Inner Pack
• Triton Traction Unit
48094 Right Inner Pack
• Patient Data Cards (5) 48092 Shipping Box
• Securing Bracket 48095 Shipping Bag
• Patient Interrupt Switch - 9 ft (2.75 m) in cable length, shielded, 26 AWG
• Patient Interrupt Switch Hook Kit Any damage sustained from improper packaging may render the
warranty null and void.
• Mains Power Cord - 80 in (203 cm) in cable length, shielded, 18 AWG
• User Manual (CD-ROM)
Model 4778 - Triton Traction Unit with sEMG
Model 2841 - Triton DTS Traction Unit with sEMG
• Triton Traction Unit
• Patient Data Cards (5)
• Securing Bracket
• sEMG lead wire - 8 ft (2.44 m) in cable length, unshielded, 16/18 AWG
• (4) Dura-Stick II Electrodes - 1.25 in (3 cm) Round
• (4) Dura-Stick II Electrodes - 2 in (5 cm) Round
• Patient Interrupt Switch - 9 ft (2.75 m) in cable length, shielded, 26 AWG
• Patient Interrupt Switch Hook Kit
• Mains Power Cord - 80 in (203 cm) in cable length, shielded, 18 AWG
• User Manual (CD-ROM)
17
SETUP Triton® Traction
The Triton traction unit was designed to be utilized with Chattanooga 1. To secure the Triton traction unit
Group traction tables: to the mounting surface, press
the Lock Knob to raise the knob
and turn left to loosen the clamp.
Fit the unit to the mounting
surface and turn right to tighten
• Do not operate the unit when connected to any unit other than
the clamp down onto the
Chattanooga Group devices. Do not use devices manufactured by
other companies on Chattanooga Group equipment. Chattanooga mounting surface. Push the Lock
Group is not responsible for any consequence resulting from using Knob to secure the unit to the
products manufactured by other companies. mounting surface.
2. Remove the cover on the back
of the unit and connect the Mains
Power Cord (female end) to the
Mains Power Cord Receptacle.
3. Verify that there is a good
• To prevent accidental disengagement, this unit must be securely connection between the Mains
attached to the mounting surface of the pedestal or traction stand. It Power Cord and the Mains Power
is the responsibility of the user to verify the adequacy of the Cord Receptacle. Always make
installation before use in patient therapy. certain that the Mains Power Cord
is properly plugged into the unit.
NOTE: The Triton traction unit should be mounted facing the direction 4. Check the voltage rating on the
of pull so the Traction Cord does not contact the side of the slot serial plate located on the back of
from which it extends. the unit. Plug the Mains Power
Cord into a 100V-240V AC outlet,
as required. Replace the cover on
the back of the unit.
18
SETUP Triton® Traction
19
SETUP Triton® Traction
BACK VIEW
Connector
• Disconnect the traction unit from the power source before attempting
any maintenance, installation, removal, or replacement procedures to
prevent electrical shock and possible damage to the unit.
Turn the unit off. Disconnect the Gently push the sEMG Module into
traction unit from its power source. the front of the traction unit. Once
Disconnect the Patient Interrupt the plastic of the unit and the module
Switch from its receptacle. are aligned, the connector should
be inserted properly, with the tabs
locked in place.
20
SETUP Triton® Traction
21
SETUP Triton® Traction
Units of Measure
There are three units of measure to choose from: pounds (lbs), kilograms
Press the Unit Settings button under
(kg), and newtons (N). Press the Unit of Measure button to toggle to the
the Utilities section.
desired unit of measure and the setting will automatically save.
NOTE: The default of the unit of measure is set in pounds (lbs).
22
SETUP Triton® Traction
The available languages are: To return to the unit Home Screen, press the Home button.
• English
• French
• Spanish
23
OPERATION Triton® Traction
PATIENT PREPARATION NOTE: The Patient Interrupt Switch must be plugged in for the unit to
operate. If the Patient Interrupt Switch is not inserted into the
Traction therapy may be given by or on order of a qualified licensed
traction unit, a continuous audible tone will sound and a
practitioner. The person administering the treatment must be familiar
with the principles of traction therapy and be able to choose the correct message will display saying, "Patient Switch is not plugged into
mode of traction, traction forces, and treatment times. Any settings the unit. Correct the problem." Touch the Screen anywhere to
or types of traction mentioned in this manual are for illustrative and continue.
expository purposes only. Each patient should be individually assessed 2. Turn the unit on from the Power On/Off Switch, located on the back of
by a licensed practitioner to determine the appropriateness of the the unit. Wait about five seconds for the unit to go through
parameter settings prior to use. initialization before attempting any further patient preparation
procedures.
3. Test the Patient Interrupt Switch by pressing the red button. A warning
• A licensed practitioner experienced with traction therapy must be message will be displayed saying The Patient Interrupt Switch has
familiar with all instructions contained in this manual before traction been pressed. Touch the screen to continue.
therapy. Do not attempt to become familiar with the Triton traction
unit while administering traction therapy on a patient.
24
OPERATION Triton® Traction
25
OPERATION Triton® Traction
Cervical Traction
The Cervical Traction button will go straight to the Cervical Traction
menu. The Cervical Traction menu offers the following options:
Traction Rationale - Button provides a description of the traction
being used as well as definitions of terms used in
areas of the Treatment Screen.
Traction Technique - Button provides visual steps as to how to set up
a patient for cervical traction.
NOTE: After viewing the steps for set up, the Forward Arrow button
will automatically go to the Treatment Screen.
Edit - Button provides access to the Treatment Screen to set up
parameters for treatment.
Back and Home - Buttons go back to the Home Screen.
Rope Release - Releases the Traction Cord from the unit.
Lumbar Traction
The Lumbar Traction button will go straight to the Lumbar Traction
menu. The Lumbar Traction menu offers the following options:
Traction Rationale - Button provides a description of the traction
being used as well as definitions of terms used in
areas of the Treatment Screen.
Traction Technique - Button provides visual steps as to how to set up
a patient for lumbar supine or lumbar prone
traction.
NOTE: After viewing the steps for set up, the Forward Arrow button
will automatically go to the Treatment Screen.
26
OPERATION Triton® Traction
Edit - Button provides access to the Treatment Screen to set up Edit - Button provides access to the Treatment Screen to set up
parameters for treatment. parameters for treatment and to the sEMG Graph to set up the
Back and Home - Buttons go back to the Home Screen. sEMG target.
Rope Release - Releases the Traction Cord from the unit. Back and Home - Buttons go back to the Home Screen.
Rope Release - Releases the Traction Cord from the unit.
sEMG Traction (Models 4778 and 2841 Only)
The sEMG Traction button goes to a Clinical Protocols™
menu to select the desired body area. The Clinical Protocols™ button goes to
Press the desired body area button to a menu to select the desired body
go to the desired body area + sEMG area. Press the desired body area
Traction menu. button to go to the desired body area
menu.
The desired body area + sEMG Traction menu offers the following
options:
Traction Rationale - Button provides a description of the traction NOTE: FOR CERVICAL AND LUMBAR ONLY - There are four menu
being used as well as definitions of terms used in options to choose from before entering the Cervical or Lumbar Traction
areas of the Treatment Screen. menu: Disc Involvement with Muscle Guarding, Disc Involvement
Traction Technique - Button provides visual steps as to how to set up without Muscle Guarding, Joint Segment with Muscle Guarding and
a patient for the desired body area + sEMG Joint Segment without Muscle Guarding.
traction.
NOTE: After viewing the steps for set up, the Forward Arrow button The desired body area menu offers the following options:
will automatically go to the Treatment Screen. Traction Rationale - Button provides a description of the traction
being used as well as definitions of terms used in
areas of the Treatment Screen.
27
OPERATION Triton® Traction
Patient Card
The Patient Card button allows access to retrieve previously saved
patient treatment information from the Patient Card.
Rope Release
Releases the Traction Cord from the unit.
28
OPERATION Triton® Traction
29
OPERATION Triton® Traction
30
OPERATION Triton® Traction
31
OPERATION Triton® Traction
32
OPERATION Triton® Traction
34
OPERATION Triton® Traction
STARTING, PAUSING AND STOPPING TREATMENT Traction therapy can be stopped at any time by pressing the Stop button
or by pressing the red button of the Patient Interrupt Switch.
NOTE: Read and follow steps of the Patient Preparation section on
When the Stop button is pressed:
Pages 24-25 , the Operating Controls of the Home and
Treatment Screens on Pages 26-32, and the sEMG Traction • traction tension will decrease gradually
section on Pages 33-35 as well as learn Operating Controls of the • the Traction Cord will release
Treatment Screen to set up traction treatment. • the audible tone sounds
• the Treatment Screen will return to Setup Mode
When the Start button is pressed:
• the audible tone sounds If necessary, check the patient’s harness and position on the table, and
change the traction parameters. Restart traction therapy by pressing the
• A message will display saying, "Beginning traction. Ensure
Start button.
table is unlocked. Touch anywhere to continue".
NOTE: If the screen is not touched, the message will When the red button of the Patient Interrupt Switch is pressed:
• the audible tone sounds
disappear in 3 seconds.
• the motor is stopped
• the Traction Cord tightens • a warning will display saying The Patient Switch has been
• traction therapy begins pressed. The treatment has been terminated. Touch the screen
• the Treatment Screen displays the maximum traction tension, to acknowledge the warning and the tension will decrease to
the minimum traction tension, the hold time, the rest time, zero
the current tension, the time remaining in the traction • the Traction Cord will release
therapy, and the running status If the unit loses power:
• the Treatment Graph of the traction therapy becomes • the motor stops
shaded as it goes through the treatment
NOTE: Monitor the traction therapy closely.
When the Pause button is pressed:
• the audible tone sounds
• traction therapy is paused • In the event of a loss of power to the unit or when quick release is
• the Traction Cord will release needed, traction tension should only be released by having the
• the tension slowly decreases to zero patient move towards the traction head to release the tension on
NOTE: The Pause button may be used to adjust the patient's harness or the rope. Once the tension on the rope has been released, loosen the
position during treatment. patient harness adjustment straps.
Resume the traction therapy by pressing the Pause button again.
36
OPERATION Triton® Traction
When the traction therapy is finished, the audible tone sounds, the
traction tension will decrease gradually, the Traction Cord will release,
and a message will display saying, "Treatment has been completed. Do
you want to save data to Patient Card?" Touch the Yes or No button to
respond. (See Saving Treatment to a Patient Data Card for more
information.)
NOTE: The beeper will beep every 30 seconds until the screen is touched
to acknowledge the message.
NOTE: Wait until all tension has released automatically before attempting
to remove the harness from the patient. Release the patient from
the traction harness according to the manufacturer’s instructions.
37
OPERATION Triton® Traction
The Triton traction unit incorporates a Patient Data Card interface that Pain Scale - There are eleven pain scale
allows transfer of patient therapy data from the unit to the Patient Data settings to choose from a numeric scale
Card. The unit allows storage and recall of the following patient session of 0 to 10. Press the arrows left to right
data onto the Patient Data Card: all therapy session parameters, before from what the patient describes pain
and after Patient Pain Profiles, and Session Notes (stored on card via from being No Pain (0) to Worst Pain
PC only). Each Patient Data Card can store multiple sessions and each Possible (10).
session can be recalled within the unit. NOTE: If the patient is unsure of rating
pain from a numeric scale, a
New Patient Data Card Setup visual pain scale is available.
Toggle the middle button
between the left and right
Insert a new Patient Data Card (with the
arrows to choose between
gold chip facing up) into the Patient
a Numeric or a Visual Analog
Data Card port located on the front of
Scale. Press the arrows left to
the traction unit.
right to move the visual bar from
NOTE: Insert the Patient Data Card
what the patient describes
before treatment.
pain from being No Pain to Worst
Pain Possible.
Press the Clinical Resources button on
Pain Type - There are eleven pain
the front of the traction unit.
types to choose from based on how
Press the Edit Current Pain Profile button
the patient describes pain: Numbing,
located in the Patient Card section of
Dull Ache, Throbbing, Pulsing, Tingling,
the menu.
Nagging, Pinching, Burning, Shooting,
Stabbing, Radiating, or None Selected.
Enter the following information under
the Pain Before Treatment column:
38
OPERATION Triton® Traction
Pain Map - Press the Edit Pain Map Once a therapy session has been
button. Press the area of the body to completed, press the Clinical Resources
highlight where the patient describes button. Press Edit/Save Completed
pain. Each time an area of the body Pain Profile button to enter all post-
diagram is pressed, a highlighted square treatment pain information after the
is produced. Press the area again to therapy session.
remove the highlighted square.
(See previous instructions for Pain
NOTE: The Clear button clears all Scale, Pain Type, and Pain Map and
highlighted areas of the body enter information under the Pain
diagram. After column) to show any progress
made from the treatment.
Press the Back button or Home button
to begin set up and to perform the NOTE: Once pain information is
patient therapy session. entered, review all information
to ensure of accuracy. Once
NOTE: All pain information can be saved, pain information
edited during a patient cannot be changed.
therapy session by pressing
the Clinical Resources button Press the Save to Patient Card button
and Edit Current Pain Profile to save patient therapy session. This will
button. However, it is save all session parameters, and pain
recommended to enter all pre- information.
treatment pain information
before the patient therapy
session.
39
OPERATION Triton® Traction
40
OPERATION Triton® Traction
Insert the Patient Data Card (with the When the Patient Data Card is erased,
gold chip facing up), to be erased, into a message will be displayed saying,
the Patient Data Card port located on "Patient Card has been erased".
the front of the traction unit. Touch the screen to acknowledge
the message and it will return to the
Clinical Resources Screen.
42
OPERATION Triton® Traction
USER PROTOCOLS
This library is a series of protocols created by the user and stored in the After the Return Arrow is pressed, a
unit memory. The following information gives general instructions as to keyboard will be displayed to enter the
setup, saving and access of User Protocols. Should the Restore Default name of the User Protocol. Once the
Protocol button be pressed, through the Utilities section of the Clinical User Protocol name has been entered,
Resources Screen, all User Protocols will be permanently removed from press the Return Arrow to accept.
the unit.
NOTE: Twenty User Protocols can be saved per body part as well as a
Default Protocol for Cervical and Lumbar only.
44
OPERATION Triton® Traction
CLINICAL PROTOCOLS™
The Clinical Protocols™ section is a series of traction protocol presets Select the desired body area for a
where the body area is selected by the user and the Clinical Protocols™ Clinical Protocol.
algorithm will select the parameter settings.
These Clinical Protocols™ are to be used only as guidelines. Each patient
should be individually assessed by a licensed practitioner to determine
the appropriateness of the protocol parameters prior to use. All
Clinical Protocols™ can be edited to suit appropriate patient treatment
prescription and patient comfort.
The following information gives general instructions to access, select and
setup Clinical Protocols™. Each Clinical Protocol can be set up and edited There are four options to choose from
in the same basic manner. for Cervical and Lumbar only:
• DIsc Involvement with Muscle Guarding
Press the Clinical Protocols™ button • Disc Involvement without Muscle
from the Home Screen. Guarding
• Joint Segment with Muscle Guarding
• Joint Segment without Muscle Guarding
45
OPERATION Triton® Traction
CLINICAL PROTOCOLS™ CONTINUED
46
OPERATION Triton® Traction
MULTIMEDIA CARD MMC GRAPHICS LIBRARY
The Multimedia Card (MMC) Graphics Library offers an anatomical library Once the body area is selected, a list of related items to the body
that is designed to aid the operator in visually identifying and recognizing area will be displayed. Choose from the following:
specific skeletal structures and muscles.
Lumbar
Press the MMC Graphics Library button • Bones • Radicular Pain
from the Home Screen. • Muscles • Herniated Disc
• Scoliosis • Sciatica
• Sacroiliac Joint • Spinal Stenosis
• Degenerative Disc • Ankylosing Spondylitis
Cervical
• Bones • Tension Headache
• The Spine • Anterior Cervical Muscles
• The Cervical Spine • Whiplash
• Herniation • Whiplash II
Select the button of the desired body
area. Hand/Wrist
• Bones • Carpal Tunnel
• Ligaments • CTS: Cross Section
• Palmer View • CTS
• Muscles • CTS: Palmer View
• Tendons • Dupuytren's Contracture Scarring
• Tendonitis
Hip
• Bones
• Muscles
• Hip: Bursitis
47
OPERATION Triton® Traction
DTS PULL PATTERNS IF APPLICABLE
The DTS Pull Patterns, only available with Model 2841 Triton DTS Traction Selecting a DTS Pull Pattern
Unit with sEMG or with P/N 2842 Triton DTS Card, offer a selection
of various intermittent traction programs. It is up to the clinician to From the Home Screen, press the DTS
determine the applicability and appropriate parameters of the presets as Pull Pattern button.
applied to the patient.
Remove the Multimedia Card (MMC) Choose the desired body area for the
from the front of the traction unit. DTS Pull Pattern.
NOTE: The Multimedia (MMC) Card can
be discarded once removed.
Turn the traction unit on with the On/ Select one of the five desired DTS Pull
Off Switch on the back of the unit. Patterns.
NOTE: The DTS Pull Pattern parameters
A message will display on the Touch can be edited and saved as the
Screen User Interface saying, "Unit has default Pull Pattern or as a User
been changed to a DTS unit. Touch Protocol. (See the User
anywhere to continue." Protocol Section on Pages
43-44 for more information)
48
ACCESSORIES Triton® Traction
The following provides the users of the Triton traction unit the necessary information to order the replacement accessories most commonly used with
the system. This list of replacement accessories are designed for use with Chattanooga Group traction devices. When ordering, provide the respective part
number, description and quantity desired.
Ref. Description Ref. Description
7040 Saunders Cervical Traction Device 42061 Dura-Stick II Electrodes - 1.25 in (3 cm) Round (40/case)
48039 Traction Clevis 60044 12 in (31 cm) Stainless Steel Spreader Bar
1410 QuikWrap Belt System 60030 17 in (43 cm) Stainless Steel Spreader Bar
49
TROUBLESHOOTING Triton® Traction
The Triton traction unit is designed with patient safety in mind. An error can be caused by both external and internal disturbances. Errors can be caused
by disruptions in the power supply (such as a voltage break), and excess or inadequate voltage. Errors may also be caused by patient movement during
the traction therapy.
All traction unit errors and warnings are categorized by three numerical digits: Messages beginning with a 1 are general errors, a 2 symbolizes internal
warnings and errors and a 3 signifies a critical error where the problem has locked up the unit. (See Warning on Page 53 for more information)
Before calling for service, carefully review this User Manual. In the event you are still unable to correct the problem, contact your Chattanooga Group
dealer for all repair service. Be certain to specify your model number, serial number, and a detailed description of the issue you encountered.
The LED Indicator (Power On/Off) Light glows, but there • Verify the voltage from the power supply of the electrical outlet is the same as that
is nothing displayed on the LCD, or the LCD displays is listed on your Voltage Rating and Serial Number Plate.
confusing wording.
The LED Indicator (Power On/Off) blinks - • The unit is in Screen Saver Mode. Touch the screen or any button to reactivate the
nothing is displayed on the screen. unit.
The Patient Interrupt Switch is not working. • Make sure the Patient Interrupt Switch is properly connected to the Patient
Interrupt Switch Receptacle.
The Rope Release will not work. • Release all tension on the Traction Cord.
• If there is more than 5 lbs (2kg or 19N) of tension, the Rope Release button is
disabled.
• If patient is attached, have patient move towards the traction head to release tension.
• Shake the Traction Cord while holding down the Rope Release button.
• Turn unit off and return to Chattanooga Group for repair.
50
TROUBLESHOOTING Triton® Traction
Attempted to use an Invalid Patient Data Card. • Properly insert a Patient Data Card.
• Use a known good Patient Data Card.
• If problem persists, contact Chattanooga Group for service.
No Session Data is available on the inserted Patient • Save session data to Patient Data Card.
Data Card. • Use a known good Patient Data Card.
• If problem persists, contact dealer or Chattanooga Group for service.
Patient Data Card is full. • Purchase additional Patient Data Cards from an authorized Chattanooga Group
dealer.
• Save to the Patient Data Management System (PDMS).
sEMG Traction button is grayed out. • An sEMG Module is required to initiate EMG Traction.
• Make sure sEMG Module is properly inserted into the Triton traction unit. If
problem persists, contact dealer or Chattanooga Group for service.
51
TROUBLESHOOTING Triton® Traction
ERROR MESSAGES
52
TROUBLESHOOTING Triton® Traction
ERROR MESSAGES
53
MAINTENANCE Triton® Traction
CLEANING SERVICE
NOTE: Before cleaning, disconnect the unit from the power source.
Periodically, clean the system with a clean, lint free cloth moistened with Should the Triton Traction Unit require service, contact the selling dealer
water and mild antibacterial soap. If a more sterile cleaning is needed, or Chattanooga Group Service Department.
use a cloth moistened with an antimicrobial cleaner. All returned units to the factory for service must include the following:
Do not submerse the system in water. Should the unit accidentally WARRANTY REPAIR/OUT OF WARRANTY REPAIR
become submersed, contact the dealer or Chattanooga Group Service 1. Written statement containing the following information:
Department immediately. Do not allow cleaning solutions or water • RA Number - Obtain from Factory
to enter the ventilation holes in the unit. This could permanently • Unit Model Number
damage the unit. Do not attempt to use a unit that has been wet inside • Unit Serial Number
until inspected and tested by a Field Service Technicians certified by • Contact person with Phone and Fax Numbers
Chattanooga Group. • Billing Address (for Out of Warranty Repair)
Touch Screen Cleaning • Shipping Address (Where to Ship Unit after Repair)
Clean unit display lens using a soft damp cloth, moistened with warm • Detailed Description of Problem or Symptoms
water and soap if necessary. DO NOT USE alcohol or chlorine based
2. Copy of original invoice issued at purchase of the unit.
solvents as this may damage the display.
3. Ship unit to Factory in the original container with all accessories
PREVENTIVE MAINTENANCE SCHEDULE and information as required in item one (1) above to:
The design of this device is mechanical in nature and thereby has Chattanooga Group
moving parts that may become worn or require lubrication from time 4717 Adams Road
to time. It is recommended that this device be placed on a periodic Hixson, TN 37343 USA
maintenance schedule to examine for lubrication needs or replacement Phone: 1-423-870-2281
of components. Please reference the Service Manual for particular parts Fax: 1-423-875-5497
and maintenance. The schedule of the maintenance depends upon the When shipping the unit to the dealer or factory, make certain the
frequency and duration of device usage and should be determined by original packaging is used. If the original packaging is not available,
the user. contact Chattanooga Group to obtain the packaging materials listed on
Page 17 for shipment. Any damage sustained from improper packaging
CALIBRATION REQUIREMENTS may render the warranty null and void.
Annual factory calibration is required for Triton traction units. The unit
should be sent to the factory or a Field Service Technician certified by Service to these units should be performed only by a Field Service
Chattanooga Group for this procedure. Technician certified by Chattanooga Group.
54
WARRANTY Triton® Traction
Chattanooga Group (“Company”) warrants that the Triton Traction Unit (“Product”) is free of defects in material and workmanship. This warranty shall remain in effect for
one year (12 months) from the date of original consumer purchase. If this Product fails to function during the one year warranty period due to a defect in material or
workmanship, Company or the selling dealer will repair or replace this Product without charge within a period of thirty (30) days from the date on which the Product is
returned to the Company or the dealer.
All repairs to the Product must be performed by a service center authorized by the Company. Any modifications or repairs performed by unauthorized centers or groups will
void this warranty.
The warranty period for the accessories shipped with the unit is 90 days. Accessories consist of the materials shipped with the unit.
This Warranty Does Not Cover:
Replacement parts or labor furnished by anyone other than the Company, the selling dealer or a certified Company service agent.
Defects or damage caused by labor furnished by someone other than Company, the selling dealer or a certified Company service agent.
Any malfunction or failure in the Product caused by product misuse, including, but not limited to, the failure to provide reasonable and necessary maintenance or any use
that is inconsistent with the Product User Manual.
COMPANY SHALL NOT BE LIABLE IN ANY EVENT FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES.
Some locations do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you.
To obtain service from Company or the selling dealer under this warranty:
1. A written claim must be made within the warranty period to the Company or the selling dealer. Written claims made to the Company should be sent to:
4717 Adams Road
P.O. Box 489
Hixson, TN 37343 USA
Phone: 1-423-870-2281
Fax: 1-423-875-5497
2. The Product must be returned to the Company or the selling dealer by the owner.
This warranty gives you specific legal rights and you may also have other rights which vary from location to location.
The Company does not authorize any person or representative to create for it any other obligation or liability in connection with the sale of the Product. Any representation
or agreement not contained in the warranty shall be void and of no effect.
THE FOREGOING WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED,
INCLUDING ANY WARRANTY OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
55
Moving
Rehabilitation
Forward™