BTL 5000 Magnetotherapy Franks Hospital Magnetoterapie Uivatelsk Pruoeka PDF

BTL-5000
Magnetotherapy
USER’S GUIDE
V100RK13/07/2006
MAGNETOTERAPIE - UŽIVATELSKÁ PŘÍRUČKA BTL Physiotherapy
CONTENTS
1 M AG N E T O T H E R AP Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2 M AG N E T O T H E R AP Y – P H Y S I C AL B AC K G R O U N D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
2.1 Magnetic Field ................................................................................................. 5
2.1.1 Stationary Magnetic Field .............................................................................. 5
2.1.2 Alternating Magnetic Field ............................................................................. 5
2.1.3 Pulse Magnetic Field ..................................................................................... 6
2.1.3.1 Device Options ......................................................................................... 6
2.2 FMF Technology ............................................................................................... 6
2.3 Magnetic Field Units ......................................................................................... 8
3 T H E R AP E U T I C E F F E C T S O F M AG N E T O T H E R AP Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.1 Analgesic Effect ............................................................................................... 9
3.2 Antiphlogistic Effect .......................................................................................... 9
3.3 Trophic Effect .................................................................................................10
3.4 m yo r e l a x a t i o n a n d s p a s m o l yt i c e f f e c t , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0
3.5 Vasodilatation Effect ........................................................................................10
3.6 Antiedematous Effect .......................................................................................10
4 R E C O M M E N D E D D O S AG E O F M AG N E T O T H E R AP Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1
5 B I B L I O G R AP H Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2
6 S E T T I N G AN D C O N T R O L O F M AG N E T O T H E R AP Y – T E C H N I C AL P AR AM E T E R S . . . . . . . 1 5
6.1 Magnetic Field Intensity ...................................................................................15
6.2 Therapy Time ..................................................................................................15
6.3 P h ys i o l o g i c a l E f f e c t s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 5
6.4 Selection of Therapy ........................................................................................15
6.4.1 Magnetic Pulses ..........................................................................................15
6.4.1.1 Pulse, Pause, Frequency – Setting ............................................................16
6.4.2 Series of Magnetic Pulses ............................................................................16
6.4.2.1 Pulse, Pause, Frequency, Repeating – Setting of Series ...............................16
6.4.3 Continuous Magnetic Field ............................................................................17
6.5 Pulse Shape ...................................................................................................17
6.5.1 Rectangular Pulses ......................................................................................17
6.5.2 Rectangular Protracted Pulses ......................................................................18
6.5.3 Exponential Pulses ......................................................................................19
6.5.4 Sinusoidal Pulses ........................................................................................19
6.5.5 Triangular Pulses ........................................................................................19
6.6 Modulation ......................................................................................................20
6.6.1 Random Frequency ......................................................................................20
6.6.2 Burst..........................................................................................................20
6.6.3 Sine Surges ................................................................................................20
6.6.4 Trapezoid Surges ........................................................................................20
6.6.5 Symmetric Surges ........................................................................................22
6.7 Test of Connected Applicator ............................................................................22
7 AP P L I C AT O R S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3
7.1 “DISC" Applicator ............................................................................................23
7.1.1 Technical Parameters...................................................................................23
7.1.2 Shape of the Magnetic Field of the Applicator .................................................24
7.2 “DOUBLE DISC" Applicator ...............................................................................25
7.3 “Multi DISC" Applicator ....................................................................................27
7.4 “Solenoid 30” Applicator ...................................................................................29
7.5 “Solenoid 60” Applicator ...................................................................................30
7.6 “Linear" Applicator ...........................................................................................31
page 2 of 31

page 3 of 31
1 MAGNETOTHERAPY
M a g n e t o t h e r a p y i s o n e o f t h e b a s i c p h ys i o t h e r a p y p r o c e d u r e s . I t s b a s i c f o r m - a p p l i c a t i o n o f
static magnetic field. i.e. the permanent magnet - has been used since time immemorial as
o n e o f n a t u r a l h e a l i n g s o u r c e s . H o we v e r , o n l y t h e c o m i n g o f e l e c t r o n i c s a n d p o we r f u l
s wi t c h i n g e l e m e n t s e n a b l e d r a p i d d e v e l o p m e n t o f l o w- f r e q u e n c y p u l s e m a g n e t t h e r a p y, t h e
e f f e c t s o f wh i c h a r e s e v e r a l t i m e s h i g h e r t h a n t h o s e o f t h e s t a t i c m a g n e t i c f i e l d . T h e r e c e n t l y
performed studies imply that therapy performed by means of pulse electromagnetic field is up
t o 1 0 0 t i m e s m o r e e f f e c t i v e t h a n t h e a p p l i c a t i o n o f s t a t i o n a r y m a g n e t i c f i e l d . T h a t i s wh y t h e
p u l s e m a g n e t o t h e r a p y i s n o wa d a y s b e c o m i n g o n e o f wi d e s p r e a d p h y s i o t h e r a p y m e t h o d s . A t
some conditions (e.g. chronic pains in degenerative articular diseases) this method has
p r o v e n s u c c e s s f u l a s t h e r a p y wi t h l o n g - l a s t i n g t h e r a p e u t i c e f f e c t e v e n wh e n o t h e r t h e r a p y
methods failed.
Pulse magnetotherapy can be very effective in case of correct indication and application. It
c a n a l s o b e r e c o m m e n d e d f o r u s e i n c o m b i n a t i o n wi t h o t h e r t h e r a p y m e t h o d s , s u c h a s
p h a r m a c o t h e r a p y , t h e e f f e c t s o f wh i c h a r e u s u a l l y s u p p o r t e d b y m a g n e t o t h e r a p y. T h a t i s wh y
magnetotherapy should neither be left out in case of comprehensive approach to treatment,
nor given preference as monotherapy.
The latest findings about physiological response of the organism to the electromagnetic field
i m p l y t h e f o l l o wi n g e f f e c t s o f m a g n e t o t h e r a p y:
• analgesic effect,
• antiedematous effect,
• antiphlogistic effect,
• t r o p h i c e f f e c t ( a c c e l e r a t i o n o f h e a l i n g a n d g r o wt h ) ,
• myorelaxation and spasmolytic effect,
• vasodilatation effect.
T h e f o l l o wi n g c h a p t e r s c o n t a i n b r i e f e x p l a n a t i o n o f p h ys i c a l b a c k g r o u n d o f m a g n e t o t h e r a p y
a n d p h ys i o l o g i c a l m e c h a n i s m s o f i t s e f f e c t wi t h e m p h a s i s o n a p p l i c a t i o n i n i n d i v i d u a l f i e l d s o f
medicine.
T h e E n c y c l o p a e d i a , wh i c h i s a s e p a r a t e a t t a c h m e n t o f t h i s U s e r ’ s G u i d e , c o n t a i n s t h e l i s t o f
recommended parameters of magnetotherapy at selected diagnoses.
The designing of this device utilizes the experience acquired during the development,
manufacturing and long-standing clinical operation of the BTL-09 device and state-of-the-art
devices of the BTL-4000 and BTL-5000 series.
D u r i n g t h e d e s i g n i n g o f n e w m a g n e t i c a p p l i c a t o r s f o r t h i s d e v i c e t h e r e wa s d e v e l o p e d a b r a n d
n e w t e c h n o l o g y - s o c a l l e d “ F M F “ ( “ F o c u s e d M a g n e t i c F i e l d ” ) t e c h n o l o g y. T h u s we m a n a g e d
to increase the electromagnetic field intensity on the patient side and significantly reduce the
e l e c t r o m a g n e t i c f i e l d i n t e n s i t y o n t h e a p p l i c a t o r s i d e , t u r n e d a wa y f r o m t h e p a t i e n t .
C o l l o q u i a l l y s a i d , t h e m a g n e t i c f i e l d wa s m o v e d f r o m t h e i m p r o p e r s i d e t o t h e s i d e wh e r e i t i s
desired.
Thanks to these construction elements and thanks to state-of-the-art sources based on the
p r i n c i p l e o f e l e c t r o n i c s wi t c h i n g e l e m e n t s we h a v e m a n a g e d t o r e d u c e t h e p o we r c o n s u m p t i o n
s i g n i f i c a n t l y wh i l e p r e s e r v i n g t h e s a m e e l e c t r o m a g n e t i c f i e l d i n t e n s i t i e s .
Note
T h e a u t h o r s o f t h i s U s e r ’ s G u i d e a r e a wa r e t h a t s u c h a s m a l l s p a c e i s n o t s u f f i c i e n t f o r
detailed description of the entire magnetotherapy issue. They therefore had to make some
generalizations and simplifications resulting from the limited scope of this text. More details
you can find in the available literature (see Chapter 5 Bibliography)
page 4 of 31
2 MAGNETOTHERAPY – PHYSICAL BACKGROUND
2.1 MAGNETIC FIELD
M a g n e t i c f i e l d i s a n i n t e g r a l p a r t o f e l e c t r o m a g n e t i c f i e l d wh i c h c o n s i s t s o f t h e e l e c t r i c a n d t h e
magnetic components. Both components of the electromagnetic field are mutually closely
c o n n e c t e d a n d c a n n o t e x i s t wi t h o u t e a c h o t h e r , , e x c e p t i n t h e f o l l o wi n g t wo s p e c i a l c a s e s :
• e l e c t r o s t a t i c f i e l d i n wh i c h t h e m a g n e t i c c o m p o n e n t o f t h e f i e l d i s z e r o , a n d
• s t a t i o n a r y m a g n e t i c f i e l d i n wh i c h t h e e l e c t r i c c o m p o n e n t i s z e r o .
O wi n g t o t h e u s e d f r e q u e n c i e s u p t o 1 5 0 H z a n d o w i n g t o t h e d e s i g n o f t h e B T L a p p l i c a t o r s ,
t h e m a g n e t i c c o m p o n e n t o f t h e f i e l d p r e d o m i n a t e s o v e r t h e e l e c t r i c . F o r s h o r t we wi l l c a l l t h e
field by the commonly used term “magnetic field” hereinafter.
T h e p r e s e n c e o f a m a g n e t i c f i e l d i s s e n s e d p r i m a r i l y t h r o u g h i t s f o r c e e f f e c t s b y wh i c h i t
a f f e c t s m a g n e t i c a l l y c o n d u c t i v e t h i n g s , m o v i n g c h a r g e s a n d c o n d u c t o r s wi t h e l e c t r i c c u r r e n t
f l o wi n g t h r o u g h t h e m . T h e f o r c e e f f e c t s a r e n o t v e r y i m p o r t a n t f o r o u r t h e o r y, b e c a u s e
b i o l o g i c a l o b j e c t s a r e d i a m a g n e t i c . H o we v e r , i t i s n e c e s s a r y t o t a k e t h e s e f o r c e e f f e c t s i n t o
a c c o u n t i n c a s e o f m e t a l i m p l a n t s , e s p e c i a l l y t h o s e wh i c h a r e f i x e d i n s o f t t i s s u e s a n d a r e n o t
made of antimagnetic materials.
A n o t h e r i n t e r a c t i o n b e t we e n t h e m a g n e t i c f i e l d a n d t h e m a t t e r o c c u r s a t t h e m o m e n t wh e n t h e
matter is exposed to the magnetic field. At that moment, individual free molecules are
o r i e n t a t e d i n a wa y t o m i n i m i z e t h e e n e r g y i n s i d e t h e f i e l d . I n c a s e o f b i o l o g i c a l o b j e c t s , t h e s e
f o r c e s a c t a g a i n s t t h e b o n d s b e t we e n a t o m s , m o l e c u l e s a n d i o n s i n t h e t i s s u e s , wh i c h
consequently influences also the cellular processes.
The effects important for physiotherapy are based on electrodynamic induction discovered
th
b y t h e p h y s i c i s t M . F a r a d a y i n t h e 1 9 c e n t u r y. I n p r a c t i c e , i f yo u a r e m o v i n g t h e e l e c t r i c
c o n d u c t o r i n t h e m a g n e t i c f i e l d , v o l t a g e a p p e a r s o n i t . I f yo u m a k e a c l o s e d l o o p o f t h e m o v i n g
c o n d u c t o r , e l e c t r i c c u r r e n t wi l l f l o w t h r o u g h i t . A s F a r a d a y d i s c o v e r e d , t h i s p h e n o m e n o n a l s o
wo r k s t h e o t h e r wa y a r o u n d – i f t h e m a g n e t i c f i e l d m o v e s o r c h a n g e s i n t h e c o u r s e o f t i m e
( i n s t e a d o f t h e c o n d u c t o r ) , a s i m i l a r e f f e c t o c c u r s . T h e s e d i s c o v e r i e s we r e o n l y a s h o r t r e m o v e
from the application of alternating magnetic fields in therapy.
In case of living organisms, the moving charges (the conductor moving in the magnetic field)
a r e r e p r e s e n t e d b y t h e c i r c u l a t i n g b o d y f l u i d s ( b l o o d , l ym p h ) . I n c a s e o f e x p o s i t i o n t o
alternating magnetic field it refers to its individual more electrically conductive parts - the
vascular bed (including circulating fluids), peripheral nerves, CNS neural paths and, last but
not least, also individual ions and charges on cellular membranes.
2.1.1 Stationary Magnetic Field

Stationary magnetic field arises around permanent magnets but also around moving electric
c h a r g e s wh i c h m o v e a t a c o n s t a n t s p e e d ( d i r e c t c u r r e n t )
Electric charge may be carried e.g. by ions (electric current f l o wi n g i n l i q u i d s ) a n d e l e c t r o n s
( e l e c t r i c c u r r e n t f l o wi n g i n c o n d u c t o r s ) . I n t h e l a t t e r c a s e , a magnetic field similar to that
around the permanent magnet arises around the electric c o n d u c t o r wi t h c o n s t a n t d i r e c t
e l e c t r i c c u r r e n t f l o wi n g t h r o u g h i t .
2.1.2 Alternating Magnetic Field

Time behaviour of this field is usually derived from the sinusoidal mains voltage. In common
practice, devices most often generate the fields of a frequency of 50 Hz and the sinusoidal
wa v e f o r m . T h e m a g n e t i c f i e l d s o f t h e s e d e v i c e s c h a n g e t h e i r p o l a r i t y i n t h e c o u r s e o f t i m e .
T h e s e f i e l d s , e v e n t h o u g h wi t h m u c h l o we r i n t e n s i t y, e x i s t i n t h e s u r r o u n d i n g o f e a c h e l e c t r i c
conductor, transformers and motors supplied from the AC mains.
page 5 of 31
2.1.3 Pulse Magnetic Field

This field is characterized by fast changes of field; individual pulses are close to rectangular
p u l s e s , t h e i r e d g e s a r e v e r y s t e e p . T h a t i s wh y i n t h e p u l s e m a g n e t i c f i e l d t h e e l e c t r i c
component is higher and is permanently present beside the magnetic component. Some
s t u d i e s , wh i c h d e a l wi t h c o m p a r i s o n o f i n d i v i d u a l m a g n e t i c f i e l d t yp e s , p o i n t o u t t h e v e r y h i g h
efficiency of the pulse magnetic field in comparison with the stationary magnetic field.
T h e r e f o r e t h e q u e s t i o n a r i s e s wh e t h e r t h e p o s i t i v e r e s u l t s o f t h e p u l s e m a g n e t i c f i e l d a r e n o t
caused by the more intensive electric component of the field.
O u t o f a l l p o s s i b l e p u l s e t y p e s , t h e B T L – 5 0 0 0 d e v i c e h a s b e e n e q u i p p e d wi t h t h e f o l l o wi n g
ones. These pulses cover the entire spectrum of required applications, from acute to chronic
states.
2.1.3.1 Device Options

T h e d e v i c e c a n b e s e t t o g e n e r a t e t h e f o l l o wi n g
p u l s e t yp e s :
• rectangular pulses,
• rectangular protracted pulses,
• exponential pulses,
• sinusoidal pulses,
• triangular pulses and
• continuous magnetic field.
A l l t h e a b o v e l i s t e d m a g n e t i c f i e l d wa v e f o r m s c a n
b e f u r t h e r m o d u l a t e d a n d t h e f o l l o wi n g s u r g e s o f
basic pulses can be created:
• trapezoid surges,
• sine surges,
• s ym m e t r i c s u r g e s .
It is also possible to create groups of magnetic pulses - so called bursts.

T h e o p t i o n o f r a n d o m s we e p o f t h e b a s i c s e l e c t e d f r e q u e n c y i s a v a i l a b l e
too.
A l l t h e s e p a r a m e t e r s c a n b e s e t i n we l l - a r r a n g e d m a n u a l m o d e . P r e s e t
programs and recommended diagnoses are available too.
2.2 FMF TECHNOLOGY
FMF = Focused Magnetic Field
In dependence on their spatial distribution, magnetic fields are divided into uniform and non-
uniform. The uniform field has the same intensity and the same direction in all points of the
space.
T h e a p p l i c a t o r s we r e d e s i g n e d u s i n g s t a t e - o f t h e - a r t f e r r o m a g n e t i c a n d m a g n e t i c m a t e r i a l s
wh i c h a l l o w t o a s s e m b l e h i g h l y e f f e c t i v e m a g n e t i c c o n c e n t r a t i o n s y s t e m s . T h e s e e l e m e n t s
f o c u s t h e e l e c t r o m a g n e t i c f i e l d i n t o t h e d e s i r e d s p a c e t o wa r d s t h e t r e a t e d b o d y p a r t .
Therefore the magnetic field of the BTL applicator is intentionally non-uniform and focused.
Standard Magnetic Applicator FMF Technology Applicator of DISC Type
page 6 of 31
T h e s i d e s o f t h e a p p l i c a t o r a r e i d e n t i f i e d a s t h e p a t i e n t s i d e , f r o m wh i c h t h e m a g n e t i c f i e l d i s
e m i t t e d t o a h i g h e r e x t e n t , a n d t h e o p e r a t o r s i d e , a t wh i c h t h e f i e l d i n t e n s i t i e s a r e s e v e r a l
t i m e s l o we r .
blue indicator light
P a t i e n t / Ap p l i c a t i o n S i d e t u r n e d aw a y f r o m t h e p a t i e n t
S i d e o f t h e Ap p l i c a t o r (operator side)
T h e s i d e i s m a r k e d wi t h t h e S i d e m a r k e d wi t h t h e B T L l o g o .
pictograph of a “patient in the I t i s a l s o e q u i p p e d wi t h b l u e
magnetic field”. The intensities at i n d i c a t o r l a m p wh i c h i n d i c a t e s t h e
this side of the applicator are much operation of the applicator
higher than those at the operator (continuous light, fast blinking)
side. During the operation of the and its readiness for operation (slow
device the operator should not touch blinking)
this side of the applicator.
E x a m p l e o f p o s s i b l e u s e o f t h e m a g n e t i c a p p l i c a t o r wi t h F M F t e c h n o l o g y:
page 7 of 31
T h e m a g n e t i c f i e l d o f t h e s o l e n o i d t y p e a p p l i c a t o r s i s f o c u s e d i n wa r d :
Standard applicator and its FMF technology applicator magnetic

field - focused magnetic field
2.3 MAGNETIC FIELD UNITS
Devices BTL-4000 and BTL-5000 use for the magnetic field induction (B) the unit according to
the SI international unit system – Tesla (T) or its one thousandth - millitesla (mT).
O wi n g t o t h e f a c t t h a t t h e f o r m e r l y u s e d u n i t G a u s s ( G ) h a s t h e f o l l o wi n g r e l a t i o n t o m i l l i t e s l a :
1 m T = 1 0 G , t h e d i s p l a y s h o ws t h e c o n v e r t e d v a l u e i n m T / 1 0 .
Then, 1mT/10 = 1G.
Other magnetic field units:

T h e n u n i t o f m a g n e t i c f i e l d i n t e n s i t y i s a m p e r e p e r m e t e r ( A/ m ) .
An older unit of intensity is Oersted (Oe).
T h e r e l a t i o n b e t we e n t h e s e t wo u n i t i s : 1 O e = 7 9 . 5 7 7 A/ m .
T h e r e l a t i o n b e t we e n t h e m a g n e t i c i n d u c t i o n a n d t h e m a g n e t i c i n t e n s i t y i s t h e f o l l o wi n g :
B = µr . µo . H
wh e r e : B is the magnetic induction

H is the magnetic intensity
-6
µ o i s t h e p e r m e a b i l i t y o f v a c u u m , wh i c h e q u a l s t o 1 . 2 5 6 6 . 1 0
µ r i s t h e r e l a t i v e p e r m e a b i l i t y o f t h e e n v i r o n m e n t wh i c h e x p r e s s e s t h e m a g n e t i c
properties of the environment
• f o r va c u u m i t e q u a l s t o 1
• f o r m a g n e t i c a l l y c o n d u c t i ve m a t e r i a l s t h e v a l u e s a r e m u c h h i g h e r t h a n 1 ( e . g .
for steel the values range from 100 to 5800)
• f o r a i r t h e v a l u e i s s i m i l a r a s f o r va c u u m , i . e . a p p r o x i m a t e l y 1 ( 1 . 0 0 0 0 0 0 3 8 t o b e
accurate)
• b i o l o g i c a l t i s s u e s f r o m t h i s v i e w c a n b e c o m p a r e d t o w a t e r , f o r wh i c h t h e v a l u e
equals to 0.999991
It can be calculated that for biological tissues a magnetic field induction of 1mT corresponds
t o a m a g n e t i c f i e l d i n t e n s i t y o f 7 9 5 . 8 A/ m .
page 8 of 31
3 THERAPEUTIC EFFECTS OF MAGNETOTHERAPY
M a g n e t o t h e r a p y i s o n e o f t h e c o m m o n l y u s e d p h ys i o t h e r a p y p r o c e d u r e s . T h i s m e t h o d h a s
p r o v e d s u c c e s s f u l i n s o m e d i s e a s e s a s t h e r a p y wi t h l o n g - l a s t i n g t h e r a p e u t i c e f f e c t ( e . g . a t
c h r o n i c p a i n s o f v e r t e b r o g e n o u s a e t i o l o g y o r a t d e g e n e r a t i v e j o i n t d i s e a s e s ) e v e n wh e n o t h e r
t h e r a p y m e t h o d s f a i l e d . H o we v e r , i t i s n e c e s s a r y t o c o n s i d e r t h a t , l i k e e v e r y t h e r a p e u t i c
procedure, magnetotherapy also has a certain failure rate.
It has been proved that for treatment of patients in acute stages it is better to use static
magnetic field at the beginning; in chronic diseases it is better to use pulse magnetotherapy.
A p p l i c a t i o n o f m a g n e t o t h e r a p y m u s t a l wa ys b e b a s e d o n t h o r o u g h m e d i c a l h i s t o r y a n d d e t a i l e d
examination of the patient.
It is suitable to take into account that the natural magnetic field of the Earth equals
a p p r o x i m a t e l y t o 0 . 0 4 – 0 . 0 5 m T ( 0 . 4 – 0 . 5 G a u s s ) . D e v i c e s B T L - 4 0 0 0 / B T L - 5 0 0 0 wo r k wi t h
m a g n e t i c f i e l d s t h e i n t e n s i t y o f wh i c h m a y b e u p t o 1 0 0 0 t i m e s h i g h e r . T h e r e f o r e t h e
a p p l i c a t i o n r e q u i r e s p a r t i c u l a r c a u t i o n , a l s o wi t h r e s p e c t t o t h e f a c t t h a t m a n h a s n o s p e c i f i c
r e c e p t o r s f o r m a g n e t i c f i e l d a n d t he r e f o r e d o e s n o t p e r c e i v e i t d i r e c t l y – u n l i k e e . g . e l e c t r i c
current.
The latest findings about physiological response of the organism to the electromagnetic field
i m p l y t h e f o l l o wi n g e f f e c t s o f m a g n e t o t h e r a p y:
• analgesic effect,
• antiphlogistic effect,
• t r o p h i c e f f e c t ( a c c e l e r a t i o n o f h e a l i n g a n d g r o wt h ) ,
• myorelaxation and spasmolytic effect,
• vasodilatation effect.
• antiedematous effect,
3.1 ANALGESIC EFFECT
T h e a n a l g e s i c e f f e c t o f m a g n e t o t h e r a p y a p p l i e s i n m o s t a l g e s i c s t a t e s o f m u s c u l a r a s we l l a s
a r t i c u l a r a e t i o l o g y . D e t a i l e d d e s c r i p t i o n o f t h i s e f f e c t i s q u i t e c o m p l i c a t e d ; i t s p h ys i o l o g i c a l
e f f e c t s h a v e b e e n s p e c i f i e d i n r e c e n t ye a r s . A c c o r d i n g t o t h e s e f i n d i n g s , t h e a n a l g e s i c e f f e c t
of magnetotherapy is accounted for by increased secretion of endogenous opioids caused by
m yo r e l a x a t i o n , a n t i p h l o g i s t i c a n d a n t i e d e m a t o u s e f f e c t a n d m a yb e a l s o t h e i m p a c t o n
presinaptic inhibition of nociceptive signals at the level of medullary dorsal horns.
T h e t r e a t m e n t s h o u l d b e c o m b i n e d wi t h a i m e d p h a r m a c o t h e r a p y, m a n u a l t r e a t m e n t a n d
relaxation therapy, at least in the initial stage.
3.2 ANTIPHLOGISTIC EFFECT
This effect has not been convincingly explained so far, but recent studies agree on the
f o l l o wi n g p r i n c i p l e :
The antiphlogistic effect is induced by increased phagocytosis of neutrophils and increased
p r o d u c t i o n o f h y p e r o x i d e . T h i s i s f o l l o we d b y i n d u c t i o n o f h y p e r o x i d e d i s m u t a s e b o u n d t o
e n d o t h e l i u m , wh i c h a l l p r o b a b l y l e a d s t o h i g h e r c o n c e n t r a t i o n o f h y d r o g e n p e r o x i d e i n t h e
e x p o s e d a r e a . O wi n g t o t h e f a s t t h a t h y p e r o x i d e i n h i b i t s t h e a c t i v i t y o f c a t a l a s e , t h e h yd r o g e n
p e r o x i d e i s n o t d e g r a d e d a n d t h u s i t i s a b l e t o d e s t r o y l e u c o t r i e n s , wh i c h b e l o n g t o t h e
strongest activators of phagocytosis.
T h i s m e c h a n i s m a l s o e x p l a i n s t h e i n i t i a l c o n t r o v e r s i a l a c t i n g o f t h e m a g n e t i c f i e l d i n s t e r i le
i n f l a m m a t i o n s a s we l l a s i n t h e m i c r o b i a l l y i n d u c e d i n f l a m m a t i o n s . T h i s e f f e c t a l s o a c c o u n t s
f o r t e m p o r a r y i m p a i r m e n t o f r h e u m a t i c c o n d i t i o n s d u r i n g t h e f i r s t t wo o r t h r e e e x p o s i t i o n s ,
wh e n t h e i n f l a m m a t o r y s y m p t o m s a r e i n t e n s i f i e d b y i n c r e a s i n g l y p r o d u c e d h yp e r o x i d e .
S i m u l t a n e o u s m e d i c a t i o n a n d p h y s i c a l t h e r a p y i s n e c e s s a r y; t h e p a t i e n t m u s t b e m o n i t o r e d
during the therapy and in case of longer negative reaction the therapy must be stopped.
page 9 of 31
3.3 TROPHIC EFFECT
The magnetic field accelerates healing of the skeleton and soft tissues. It is caused by better
b l o o d c i r c u l a t i o n i n t h e e x p o s e d a r e a a n d b y i r r i t a t i o n o f c yt o p l a s m a t i c m e m b r a n e s . T h i s
a c t i v a t e s t h e m e t a b o l i c c h a i n , t h e k e y p o i n t o f wh i c h i s t h e c h a n g e o f t h e c A M P / c G M P r a t i o .
The acceleration of healing, especially of the skeleton, is described in details in the literature
(Chvojka, 1993, 2000).
3.4 MYORELAXATION AND SPASMOLYTIC EFFECT,
I n c r e a s e d b l o o d c i r c u l a t i o n i n t h e a r e a i m p r o v e s wa s h i n g a wa y o f a c i d i c m e t a b o l i t e s wh i c h
cause painful irritation. In the muscles exposed to the magnetic field there also proceeds
2+
increased activity of LDH (lactate dehydrogenase) and efflux of the Ca ion from muscle cells.
3.5 VASODILATATION EFFECT

2+
This effect is caused by the efflux of Ca i o n s wh i c h c a u s e s r e l a x a t i o n o f t h e t o n u s o f t h e
vascular musculature and precapillary sphincters. Probably the n. vagus is also directly
influenced and the increased metabolic activity of cells in the exposed area results in creation
of EDRF and prostacyclins.
3.6 ANTIEDEMATOUS EFFECT
T h i s e f f e c t r e s u l t s f r o m t h e t wo a b o v e d e s c r i b e d e f f e c t s - a n t i p h l o g i s t i c e f f e c t o f t h e m a g n e t
and acceleration of healing and improved blood circulation.
page 10 of 31
4 RECOMMENDED DOSAGE OF MAGNETOTHERAPY
S u i t a b l e d o s a g e f o r t h e p a r t i c u l a r a p p l i c a t i o n c a n b e e s t i m a t e d f r o m t h e f o l l o wi n g r e l a t i o n s .
T h e r e s u l t i n g d o s e r i s e s a l o n g wi t h :
• h i g h e r v a l u e o f m a g n e t i c i n d u c t i o n ( i n t e n s i t y) o f t h e m a g n e t i c f i e l d B m a x [ T ] ,
• higher steepness of rising and falling edges of magnetic field pulses dB/dt [T/s],
• higher frequency of magnetic field pulses f [Hz] and
• longer time of exposition (in hours).
dose = Bmax * dB/dt * time of exposition * f
The optimum dose should range from 4 to 8.
T h e f o l l o wi n g p r o c e d u r e f o r s e l e c t i n g t h e o p t i m u m d o e s o f m a g n e t o t h e r a p y i s r e c o m m e n d e d :
• The applicators should be as close as possible to the patient’s body surface. Direct
c o n t a c t wi t h t h e b o d y i s n o t n e c e s s a r y, t h e r a p y m a y b e a p p l i e d t h r o u g h t h e c l o t h e s o r
bandage.
• M a g n e t o t h e r a p y s h o u l d b e a p p l i e d a s s o o n a s p o s s i b l e - i t wi l l b e t t e r i n f l u e n c e
functional disorders, not structural changes.
• For sterile inflammations it is suitable to use frequency up to 10 Hz.
• For microbially induced inflammations (sinusitises, osteomyelitises) it is suitable to use
pulse frequency about 25 Hz.
• In degenerative diseases of locomotive organs the recommended pulse frequency is
above 10 Hz.
• W h e n t r e a t i n g t e n n i s e l b o ws a n d f r o z e n s h o u l d e r s i t i s s u i t a b l e t o e x p o s e t h e C - s p i n e
at the same time.
• When treating subacute and acute vertebrogenous troubles it is also recommended to
expose the pain trigger points (TPs).
• Individual expositions must be long enough and repeated. The minimum exposition time
is at least 10 minutes, the minimum number of expositions is 10 to 15.
• The total daily time of exposition should not exceed 40 minutes.
• T h e b e s t r e s u l t s a r e a c h i e v e d wh e n t h e f i r s t 5 t o 1 0 e x p o s i t i o n s a r e p e r f o r m e d d a i l y o r
t wi c e a d a y .
• I f m a g n e t o t h e r a p y d o e s n o t s t a r t t o wo r k wi t h i n 2 0 p r o c e d u r e s , i t f a i l s . A n e x c e p t i o n i s
t h e t r e a t m e n t o f p s e u d o - a r t h r o s e s , wh e r e t h e f i r s t v i s i b l e s i g n s o f h e a l i n g c a n b e
observed, using display methods, not sooner than after 30 procedures.
• In approximately 30% of rheumatics there can be expected subjective impairment of the
condition after first 3 expositions.
• If possible, do not end magnetotherapy at once, but by gradual prolongation of
i n t e r v a l s b e t we e n i n d i v i d u a l e x p o s i t i o n s .
S p e c i a l a t t e n t i o n s h a l l b e p a i d t o p a t i e n t s wi t h h yp o t e n s i s a n d h yp e r t e n s i s . D u r i n g t h e r a p y t h e
significant drop of blood pressure may occur, including all side effects. This reaction usually
d i s a p p e a r s wi t h i n 3 0 m i n u t e s a f t e r t h e e n d o f t h e r a p y a n d t h e a d a p t a t i o n o c c u r s a p p r o x i m a t e l y
after 5 expositions.
For contraindications see the main User’s Manual of the device - document “BTL-5000 Series
– User’s Manual”, Chapter 6.4 “Contraindications”.
page 11 of 31
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Bioelectromagnetics, 16, 1995, pp. 295-300.
Pipitone, N. and D. L. Scott. "Magnetic Pulse Treatment for Knee Osteoarthritis: A
R a n d o m i s e d , D o u b l e - B l i n d , P l a c e b o - C o n t r o l l e d S t u d y" , C u r r e n t M e d i c a l R e s e a r c h a n d O p i n i o n ,
Vol. 17, No. 3, 2001, pp. 190-196.
T . L . R i c h a r d s , M . S . L a p p i n , J . A c o s t a - U r q u i d i , G . H . K r a f t , A . C . H e i d e , F . W . L a wr i e , T . E .
Merrill, G. B. Melton, and C. A. Cunningham, “Double-blind Study of Pulsing Magnetic Field
Effects on Multiple Sclerosis”, The Journal of Alternative and Complementary Medicine, 3, 1,
1997, pp. 21-29.
N . J . R o l a n d , J . B . H u g h e s , M . B . D a l e y, J . A . C o o k , A . S . J o n e s , a n d M . S . M c C o r m i c k ,
“ E l e c t r o m a g n e t i c S t i m u l a t i o n a s a T r e a t m e n t o f T i n n i t u s : A P i l o t S t u d y” , C l i n i c a l
Otolaryngology and Applied Sciences, 18, 1993, pp. 278-281.
Sadlonova, J., Korpas, J., Salat, D., Miko, L., Kudlicka, J., "The effect of the pulsatile
e l e c t r o m a g n e t i c f i e l d i n c h i l d r e n s u f f e r i n g f r o m b r o n c h i a l a s t h m a " , A c t a P h ys i o l H u n g . , 9 0 ( 4 ) ,
2003, pp. 327-34.
Sadlonova J, Korpas J, Vrabec M, Salat D, Buchancova J, Kudlicka J., ""The effect of the
pulsatile electromagnetic field in patients suffering from chronic obstructive pulmonary
d i s e a s e a n d b r o n c h i a l a s t h m a " " , B r a t i s l L e k L i s t y; 1 0 3 ( 7 - 8 ) , 2 0 0 2 , p p . 2 6 0 - 2 6 5 . "
E. R. Sanseverino, A. Vannini, and P. Castellacci, “Therapeutic Effects of Pulsed Magnetic
Fields on Joint Diseases", Panminerva Medica, 34, 4, 1992, pp. 187-196.
page 13 of 31
F. Sartucci, L. Bonfiglio, C. Del Seppia, P. Luschi, S. Ghione, L. Murri, and F. Papi, “Changes
in Pain Perception and Painduced by Exposure to Oscillating Magnetic Fields”, Brain
Research, 769, 1997, pp. 362-366.
B. F. Sisken, M. Kanje, G. Lundborg, E. Herbst, and W. Kurtz, “Stimulation of Rat Sciatic
N e r v e R e g e n e r a t i o n wi t h P u l s e d E l e c t r o m a g n e t i c F i e l d s ” , B r a i n R e s e a r c h , 4 8 5 , 1 9 8 9 , p p . 3 0 9 -
316.
M . J . S t i l l e r , G . H . P a k , J . L . S h u p a c k , S . T h a l e r , C . K e n n y, a n d L . J o n d r e a u , “ A P o r t a b l e
Pulsed Electromagnetic Field (PEMF) Device to Enhance Healing of Recalcitrant Venous
Ulcers: A Double-blind, Placebo-controlled Clinical Trial,” British Journal of Dermatology, 127,
1992, pp. 147-154.
S we e n e y, K . B . , M e r r i c k , M . A . , I n g e r s o l l , C h . , D . , a n d J . A . S we z , " T h e r a p e u t i c M a g n e t s D o
Not Affect Tissue Temperatures", J. Athl. Train., 36 (1), 2001 March, pp. 27-31.
F. Tabrah, M. Hoffmeier, F. Gilbert Jr., S. Batkin, and C. A. L. Bassett, “Bone Density
Changes in Osteoporosis prone Women Exposed to Pulsed Electromagnetic Fields (PEMFs)”,
Journal of Bone and Mineral Research, 5, 5, 1990, pp. 437-442.
G. C. Traina, L. Romanini, F. Benazzo, R. Cadossi, V. Canè, A. Chiabrera, M. Marcer, N.
Marchetti, and F. S. Snatori, “Use of Electric and Magnetic Stimulation in Orthopaedics and
T r a u m a t o l o g y : C o n s e n s u s C o n f e r e n c e ” , I t a l i a n J o u r n a l o f O r t h o p a e d i c s a n d T r a u m a t o l o g y, 2 4 ,
1, 1998, pp. 1-31.
D. H. Wilson and P. Jagadeesh, "Experimental Regeneration in Peripheral Nerves and the
Spinal Cord in Laboratory Animals Exposed to a Pulsed Electromagnetic Field”, Paraplegia,
14, 1976, pp. 12-20.
page 14 of 31
6 SETTING AND CONTROL OF MAGNETOTHERAPY –

TECHNICAL PARAMETERS
6.1 MAGNETIC FIELD INTENSITY
The magnetic field intensity can be set from 1 mT/10 (i.e. 1

Gauss) and its maximum value depends on the applicator type
a n d t h e t yp e o f t h e s e l e c t e d t h e r a p y a p p l i c a t i o n . F o r t h e
m a x i m u m v a l u e s i n d e p e n d e n c e o n t h e a p p l i c a t o r t yp e s e e C h a p t e r 7 Ap p l i c a t o r s .
The step of setting is 1 mT/10 (i.e. 1 Gauss).
The set intensity value represents the maximum intensity in space and time
The accuracy of the set intensity value is ± 30%.
6.2 THERAPY TIME
C a n b e s e t wi t h i n t h e r a n g e f r o m 1 s e c o n d t o 1 0 0 m i n u t e s , i . e .
from 00:01 to 99:59 [m:s].
The step of setting is 1 second
The accuracy of the set time is 2%.
6.3 PHYSIOLOGICAL EFFECTS
The effects are defined for preset diagnoses and the user can define them for customer
diagnoses and programs, created and saved by the user.
Legend:
• A – analgesic
• E – antiedematous
• F –antiphlogistic
• S – trophic, acceleration of healing
• R – m y o r e l a x a t i o n a n d s p a s m o l yt i c ( v a s o d i l a t a t i o n , a n t i e d e m a t o u s , . . . )
6.4 SELECTION OF THERAPY
Press the [therapy] button to open the dialog

box (see picture) for selection of the best
m a g n e t i c f i e l d t h e r a p y . T h e f o l l o wi n g t h e r a p y
options are available:
• magnetic pulses
• series of magnetic pulses
• continuous magnetic field.
The properties of individual therapies are
d e s c r i b e d i n t h e p a r a g r a p h s b e l o w.
6.4.1 Magnetic Pulses

S t a n d a r d wa v e f o r m s o f m a g n e t i c p u l s e s ; i t i s p o s s i b l e t o s e l e c t b e t we e n c o n s t a n t a n d
r a n d o m l y s we p t f r e q u e n c y o f t h e s e l e c t e d p u l s e s . F o r s e l e c t i o n o f t h e p u l s e s h a p e u s e t h e
[ p u l s e s h a p e ] b u t t o n . T h e f o l l o wi n g o p t i o n s a r e a v a i l a b l e :
• sinusoidal pulses and
• triangular pulses.
page 15 of 31
T h e f o l l o wi n g m o d u l a t i o n s c a n b e a p p l i e d o n t h e m a g n e t i c p u l s e s :
• burst,
• sine surges,
• trapezoid surges and
6.4.1.1 Pulse, Pause, Frequency – Setting

O n p r e s s i n g o f t h e d i s p l a y e d wi n d o w t h e d i a l o g b o x o p e n s , i n
wh i c h i t i s p o s s i b l e t o s e t t h e f o l l o wi n g p u l s e p a r a m e t e r s :
p u l s e l e n g t h , p a u s e b e t we e n p u l s e s a n d p u l s e f r e q u e n c y .
O wi n g t o t h e f a c t t h a t t h e s e v a l u e s a r e m u t u a l l y
interconnected through mathematical definitions, any
change of a value implies automatic changes of the
other values.
At setting it is necessary to realize that the pause
l e n g t h m u s t b e a l wa y s l o n g e r t h a n t h e p u l s e l e n g t h
(construction limits).
The limits for setting differ for various pulse shapes -

for details see Chapter 6.5 Pulse Shape.
6.4.2 Series of Magnetic Pulses

T h e s e v e r y i n t e r e s t i n g m a g n e t i c p u l s e wa v e f o r m s we r e f i r s t u s e d i n t h e B T L - 0 9 d e v i c e , b u t
we r e l i m i t e d t o r e c t a n g u l a r p u l s e s o n l y. D e v i c e s B T L - 4 0 0 0 / 5 0 0 0 o f f e r t h e s e p u l s e s f o r a l l
pulse shapes:
• sinusoidal pulses and
In principle is it a mix of pulses of various length and frequency in one series to be repeated.
I t i s a d v a n t a g e o u s t o c o m b i n e f o r e x a m p l e l o n g p u l s e s o f l o w f r e q u e n c y wi t h v e r y s h o r t p u l s e s
of high repeating frequency and thus cumulate the therapy effect.
I t i s a l s o p o s s i b l e t o s e l e c t b e t we e n c o n s t a n t a n d r a n d o m l y s w e p t f r e q u e n c y o f t h e s e l e c t e d
pulses.
T h e f o l l o wi n g m o d u l a t i o n s c a n b e a p p l i e d o n t h e m a g n e t i c p u l s e s :
• sine surges,
6.4.2.1 Pulse, Pause, Frequency, Repeating – Setting of Series

After pressing of the displayed button the dialog box opens, in
wh i c h i t i s p o s s i b l e t o s e t t h e f o l l o wi n g p a r a m e t e r s o f t h e
s e r i e s o f p u l s e s : p u l s e l e n g t h , p a u s e b e t we e n p u l s e s , p u l s e
frequency, number in the series and length of the series.
For each period – part of the series – it is possible to

set the standard pulse parameters:
• pulse length,
• l e n g t h o f p a u s e b e t we e n p u l s e s ,
• pulse frequency and
• number of pulses with this setting to be
generated. After the end of generation of this
part the program passes to another one.
page 16 of 31
The limits for setting of the pulse length, pause and frequency differ for various pulse shapes
– for details see Chapter 6.5 Pulse Shape.
T h e n u m b e r o f r e p e t i t i o n s o f i n d i v i d u a l p u l s e s c a n b e s e t wi t h i n t h e r a n g e f r o m 1 t o 2 5 5 .
The step of setting is 1.
T h e wi n d o w d i s p l a y s t h e t o t a l n u m b e r o f p a r t s i n t h e s e r i e s a n d t h e [ a d d n ew ] b u t t o n , t h e f i e l d
for displaying the number of the part being edited (10 in this case) and the button for deleting
of the selected part of the series.
In total it is possible to set 13 parts in one series.
O wi n g t o t h e f a c t t h a t t h e v a l u e s o f t h e p u l s e l e n g t h , p a u s e a n d f r e q u e n c y a r e m u t u a l l y
interconnected through mathematical definitions, any change of a value implies automatic
changes of the other values.
A t s e t t i n g i t i s n e c e s s a r y t o r e a l i z e t h a t t h e p a u s e l e n g t h m u s t b e a l wa ys l o n g e r t h a n t h e p u l s e
length (construction limits).
6.4.3 Continuous Magnetic Field

The BTL 4000 / 5000 devices enable to generate stationary magnetic field,
wh i c h i s s i m i l a r t o t h e f i e l d s a r o u n d p e r m a n e n t m a g n e t s . T h i s f i e l d i s
r e c o m m e n d e d f o r t h e a p p l i c a t i o n s wh e r e t h e e f f e c t s o f t h e p u l s e
electromagnetic field could cause serious problems and it is therefore contraindicated - e.g. in
case of increased bleeding conditions, acute states, post-operative conditions etc. The effect
of this field is also increased by the presence of permanent magnets in our “disc” type
a p p l i c a t o r s . T h e a p p l i c a t i o n o f t h i s t yp e o f f i e l d i s r e c o m m e n d e d i n t h e f i r s t s t a g e s o f
m a g n e t o t h e r a p y ; a p p r o x i m a t e l y a f t e r t h e f i r s t o r s e c o n d we e k i t i s r e c o m m e n d e d t o c h a n g e
over to the pulse field.
Continuous magnetic field can be modulated by slow magnetic field surges of a length of
several seconds or more.
• sine surges,
6.5 PULSE SHAPE
T h i s b u t t o n s e r v e s f o r s e l e c t i o n o f t h e r e q u i r e d s h a p e o f m a g n e t i c p u l s e s . T h e f o l l o wi n g
options are available:
• rectangular pulses
• rectangular protracted pulses
• exponential pulses
• sinusoidal pulses
6.5.1 Rectangular Pulses

T h e s e p u l s e s a r e a s o r t o f “ g o l d s t a n d a r d ” i n p u l s e m a g n e t o t h e r a p y. I n a d d i t i o n t o t h e o p t i o n s
that are available in the BTL-09 device, device BTL 4000 / 5000 provides also modulation of
c o n t o u r o f t h e f o l l o wi n g p u l s e s :
• trapezoid surges,
• sine surges,
• s ym m e t r i c s u r g e s a n d
• bursts.
R e c t a n g u l a r p u l s e s c a n b e s e t wi t h i n t h e f o l l o wi n g r a n g e :
• pulse length tp from 3 ms to 255 ms
o step of setting: 1 ms (from 3 ms to 30 ms)
2 ms (from 30 ms to 50 ms)
o a s p e c i f i c v a l u e ( e . g . 5 8 m s ) c a n b e s e t u s i n g t h e k e yb o a r d
• p a u s e b e t we e n p u l s e s t i f r o m 3 m s t o 6 5 , 0 0 0 m s
o t h e s e t p a u s e i s a l wa y s l o n g e r t h a n t h e s e t p u l s e l e n g t h : t i > t p
page 17 of 31

100 ms (from 1,000 ms to 65,000 ms)
o a specific value (e.g. 583 ms) can be set using the keyboard
• t h e f r e q u e n c y o f p u l s e s c a n b e s e t wi t h i n t h e r a n g e f r o m 0 . 0 1 5 H z t o 1 6 6 H z
o step of setting: 0.01 Hz (from 0.01 Hz to 0.30 Hz)
0.02 Hz (from 0.30 Hz to 0.50 Hz)
0.05 Hz (from 0.50 Hz to 1.00 Hz)
0.10 Hz (from 1.00 Hz to 5.00 Hz)
0.50 Hz (from 5.00 Hz to 10.0 Hz)
1.00 Hz (from 10.0 Hz to 30.0 Hz)
2.00 Hz (from 30.0 Hz to 50.0 Hz)
5.00 Hz (from 50.0 Hz to 70.0 Hz)
10.0 Hz (from 70.0 Hz to 100 Hz)
15.0 Hz (from 100.0 Hz to 166 Hz)
o the specific value is calculated by the device from the values of pulse length
and pause length
f = 1 / (ti + tp)
6.5.2 Rectangular Protracted Pulses

O n t h e b a s i s o f o u r e x p e r i e n c e wi t h p u l s e m a g n e t i c f i e l d s we d e s i g n e d t h i s n e w
t yp e o f c u r r e n t s wh i c h u t i l i z e s t h e a d v a n t a g e o u s p r o p e r t i e s o f r e c t a n g u l a r p u l s e s
– big steepness of the rising and falling edges. At the same time it significantly
r e d u c e s t h e p o we r c o n s u m p t i o n o f t h e g e n e r a t e d m a g n e t i c f i e l d p u l s e s a n d
extends the duration of the pulse. So it is possible to generate pulses of higher intensities
t h a n a t s t a n d a r d r e c t a n g u l a r p u l s e s wi t h t h e s a m e p o we r c o n s u m p t i o n ( t h e s a m e h e a t i n g o f
the applicators).
Similarly as in standard rectangular pulses, all modulations of pulse contours are available
h e r e , i n c l u d i n g r a n d o m f r e q u e n c y s we e p , p r e s e t p r o g r a m s a n d r e c o m m e n d e d d i a g n o s e s .
P r o t r a c t e d r e c t a n g u l a r p u l s e s c a n b e s e t wi t h i n t h e f o l l o wi n g r a n g e :
100 ms (from 1,000 ms to 65,000 ms)
• t h e f r e q u e n c y o f p u l s e s c a n b e s e t wi t h i n t h e r a n g e f r o m 0 . 0 1 5 H z t o 8 3 . 3 H z
o step of setting: 0.01 Hz (from 0.01 Hz to 0.30 Hz)
0.02 Hz (from 0.30 Hz to 0.50 Hz)
0.05 Hz (from 0.50 Hz to 1.00 Hz)
0.10 Hz (from 1.00 Hz to 5.00 Hz)
0.50 Hz (from 5.00 Hz to 10.0 Hz)
1.00 Hz (from 10.0 Hz to 30.0 Hz)
2.00 Hz (from 30.0 Hz to 50.0 Hz)
5.00 Hz (from 50.0 Hz to 70.0 Hz)
10.0 Hz (from 70.0 Hz to 83.3 Hz)
page 18 of 31
and pause length
f = 1 / (ti + tp)
6.5.3 Exponential Pulses

Similarly as in electrotherapy, these pulses are very interesting thanks to their
m i l d g r a d u a l r i s i n g a n d , a t t h e s a m e t i m e , h i g h p u l s e i n t e n s i t i e s , wh i c h t h e y
a c h i e v e a t v e r y l o w p o w e r c o n s u m p t i o n . T h a t i s wh y t h e y a r e s u i t a b l e e s p e c i a l l y i n
t h e a p p l i c a t i o n s wh e r e h i g h e n e r g y o f t h e e l e c t r o m a g n e t i c f i e l d i s u n d e s i r a b l e b u t t h e h i g h
pulse intensity is required. These pulses apply especially at stimulation of neural paths by
induced currents.
At exponential pulses it is also possible to apply surge modulations similarly as at rectangular
pulses.
E x p o n e n t i a l p u l s e s c a n b e s e t wi t h i n t h e f o l l o wi n g r a n g e :
o step of setting: the same as for rectangular protracted pulses
and pause length
f = 1 / (ti + tp)
6.5.4 Sinusoidal Pulses

Classic sinusoidal pulses derived from the mains voltage. They are used
p a r t i c u l a r l y f o r we l l - t r i e d s t a n d a r d t h e r a p i e s . T h e s e t t i n g o p t i o n s a r e t h e s a m e a s
for rectangular pulses, including modulation.
Setting options:
and pause length
f = 1 / (ti + tp)
6.5.5 Triangular Pulses

S ym m e t r i c t r i a n g u l a r p u l s e s wi t h t h e s a m e r i s i n g t i m e a n d f a l l i n g t i m e . I n s o m e
c o u n t r i e s t h e i r u s e i s v e r y wi d e s p r e a d . T h e s e t t i n g o p t i o n s a r e t h e s a m e a s f o r
rectangular pulses, including modulation.
Setting options:
and pause length
f = 1 / (ti + tp)
page 19 of 31
6.6 MODULATION
F o r d e t a i l e d m o d u l a t i o n s e t t i n g s p r e s s t h e [ m a g . p a r a m . ] wi n d o w.
6.6.1 Random Frequency

C a n b e s e l e c t e d f o r a l l p u l s e t y p e s . T h e o p t i o n s wi t c h e s o n
t h e s we e p o f t h e s e t p a u s e l e n g t h wi t h i n t h e r a n g e f r o m 0 t o +
30%.
I n t h e p r e v i o u s d e v i c e B T L - 0 9 t h i s f u n c t i o n wa s c a l l e d “ wa v e s wi n g ” . F o r t h e B T L - 4 0 0 0 / 5 0 0 0
d e v i c e s we d e c i d e d t o u n i f y t h e n a m e wi t h t h e o t h e r t yp e s o f p h ys i o t h e r a p y, s u c h a s
electrotherapy etc.
6.6.2 Burst
This option cannot be used in the series of magnetic pulses
and the continuous field.
It is possible to set the number of pulses in one burst within the range from 3 to 10. The
l e n g t h o f s o d e f i n e d b u r s t i n [ m s ] i s d i s p l a ye d i n t h e
[ b u r s t ] wi n d o w.
T h e l e n g t h o f p a u s e b e t we e n i n d i v i d u a l b u r s t s c a n b e
s e t wi t h i n t h e l i m i t f r o m 1 t o 2 5 5 s .
The step of setting is:
• 1 s (from 1 s to 30 s)
• 2 s (from 30 s to 50 s)
• 5 s (from 50 s to 100 s)
• 10 s (from 100 s to 255 s)
• a s p e c i f i c v a l u e ( e . g . 2 3 6 s ) c a n b e s e t u s i n g t h e k e yb o a r d .
Besides these options it is possible to use some predefined

s e t t i n g s – s e e p i c t u r e , t h e v a l u e i s d i s p l a ye d a s t h e n u m b e r o f
p u l s e s i n b u r s t / l e n g t h o f p a u s e b e tw e e n b u r s t s .
6.6.3 Sine Surges

T h e s u r g e l e n g t h a n d t h e p a u s e l e n g t h c a n b e s e t s e p a r a t e l y,
b o t h wi t h i n t h e r a n g e f r o m 1 s t o 2 5 5 s .
The step of setting of both values is:
• 1 s (from 1 s to 30 s)
• 2 s (from 30 s to 50 s)
• 5 s (from 50 s to 100 s)
• 10 s (from 100 s to 255 s)
• a specific value (e.g. 236 s) can be set using
the keyboard.
It is again possible to use predefined surges for
setting.
6.6.4 Trapezoid Surges

It is possible to set:
• surge rise from 1 s to 255 s
• surge duration from 1 s to 255 s
• fall of intensity from 1 s to 255 s and
page 20 of 31
• pause from 1 s to 255 s.
The step of setting of both values is:

• 1 s (from 1 s to 30 s)
• 2 s (from 30 s to 50 s)
• 5 s (from 50 s to 100 s)
• 10 s (from 100 s to 255 s)
• a s p e c i f i c v a l u e ( e . g . 2 3 6 s ) c a n b e s e t u s i n g t h e k e yb o a r d .
It is again possible to use predefined surges for setting.
page 21 of 31
6.6.5 Symmetric Surges

A n o t h e r wa y o f s e t t i n g o f t r a p e z o i d s u r g e s , v e r y wi d e s p r e a d
in some EU countries.
I t i s p o s s i b l e t o s e t t h e " sw e e p t i m e ” , t h e t i m e o f
d e t u n i n g a n d s t a b i l i z a t i o n o f t h e s u r g e , wi t h i n t h e
range from 1 s to 255 s.
The step of setting is:
• 1 s (from 1 s to 30 s)
• 2 s (from 30 s to 50 s)
• 5 s (from 50 s to 100 s)
• 10 s (from 100 s to 255 s)
• a specific value (e.g. 236 s) can be set using
the keyboard.
T h e “ c o n t o u r ” p a r a m e t e r i s t h e r a t i o b e t we e n t h e c h a n g e a n d t h e s t a b l e p a r t o f t h e s u r g e . I t
c a n b e s e t wi t h i n t h e r a n g e f r o m 1 % t o 1 0 0 % c h a n g e . T h e s t e p o f s e t t i n g i s 1 % ; t h e i n f l u e n c e
of setting is best seen on the animated icon on the device.
It is again possible to use predefined surges for setting.
6.7 TEST OF CONNECTED APPLICATOR
To verify the function of ther connected applicator

p r e s s t h e [ I n d u c t i o n o f M a g n e t Ac c e s s o r i e s ] b u t t o n .
For correct evaluation of the test it is necessary to perform

t h e t e s t o n a n o n - c o n d u c t i n g s u f a c e - wo o d e n o r p l a s t i c .
In addition it is necessary that the double disk or

multidisk applicators are not on top of each other during
the measuring, but beside each other.
The test measures the temperature and magnetic inductivity of the connected applicator. After
t h e m e a s u r i n g t h e m e a s u r e d v a l u e s a r e c o m p a r e d wi t h t h e s t a n d a r d v a l u e s a n d o n t h e b a s i c o f
t h i s c o m p a r i s o n t h e d e v i c e e v a l u a t e s wh e t h e r t h e a p p l i c a t o r wo r k s p r o p e r l y.
I f t h e r e s u l t i n g t e s t v a l u e i s “ o k ” , t h e a p p l i c a t o r wo r k s p r o p e r l y.
I f t h e t e s t r e s u l t i s i n d i c a t e d “ l ow va l u e ” o r “ h i g h va l u e ” ( s e e p i c t u r e ) , t h e a p p l i c a t o r p r o b a b l y
wo r k s i m p r o p e r l y a n d i t i s n e c e s s a r y t o c o n t a c t t h e s e r v i c e .
Note:
I n d u c t i v i t y i s a p h y s i c a l q u a n t i t y wh i c h e x p r e s s e s t h e d i m e n s i o n o f t h e m a g n e t i c i n d u c t i o n f l u x
through the coil.
Inductivity is one of basic characteristics of the coil - it expresses the ability of the coil to
c h a n g e e l e c t r i c p o we r t o m a g n e t i c f i e l d e n e r g y.
page 22 of 31
7 APPLICATORS
T h e p a r a m e t e r s o f t h e m a g n e t i c a p p l i c a t o r s h a v e b e e n o p t i m i z e d wi t h r e s p e c t t o t h e
recommended therapeutic applications. Using the FMF technology, the magnetic field is
f o c u s e d t o t h e t r e a t e d a r e a , wh i c h e n a b l e s , wh i l e p r e s e r v i n g t h e s a m e o u t p u t i n t e n s i t y, t o
r e d u c e t h e p o we r c o n s u m p t i o n o f t h e m a g n e t o t h e r a p y d e v i c e a s we l l a s t h e s p u r i o u s m a g n e t i c
f i e l d o n t h e n o n - p a t i e n t s i d e o f t h e a p p l i c a t o r s , wh i c h m a y p o t e n t i a l l y h i t t h e o p e r a t o r .
The below described types of applicators can be connected to the BTL-4000 / 5000 device.
7.1 “DISC" APPLICATOR
T h e D i s c a p p l i c a t o r i s m a d e o f p l a s t i c . T h e p a r t wh i c h c o m e s i n t o c o n t a c t wi t h t h e p a t i e n t i s
c o a t e d wi t h f i n e d u r a b l e l e a t h e r e t t e .
The applicator is designed using the FMF technology - the patient side emits focused
m a g n e t i c f i e l d , wh i l e o n t h e o t h e r s i d e t h e m a g n e t i c f i e l d i s s c r e e n e d s o t h a t i t s i m p a c t o n t h e
surroundings is as low as possible.
Patient / application S i d e t u r n e d aw a y f r o m t h e p a t i e n t
side of the applicator (operator side)
The magnetic applicator contains also a permanent magnet to increase the effect of soothing
the tissue at traumatic and bleeding conditions.
7.1.1 Technical Parameters

I d e n t i f i c a t i o n - T yp e : BTL-239-1
Name: Disc
Dimensions: 130 x 130 x 30 mm
Weight: 1.05 kg
Intensity of the Permanent Magnet Field: 23 mT (230 Gauss)
Max. Intensity of Pulse Magnetic Field: 102 mT (1020 Gauss)
Max. Intensity of Magnetic Field in Total: 125 mT (1250 Gauss)
Resistance of the Applicator: 4.2 Ω
page 23 of 31
7.1.2 Shape of the Magnetic Field of the Applicator

T h e p i c t u r e s h o ws t h e s h a p e o f t h e a p p l i c a t o r ’ s m a g n e t i c f i e l d o n t h e p a t i e n t s i d e . T h e u n i t o f
the intensity values is mT/10, i.e. Gauss, and the values are valid at the maximum current
f l o wi n g t h r o u g h t h e a p p l i c a t o r . T h e s u m o f i n t e n s i t y o f t h e p e r m a n e n t m a g n e t f i e l d a n d
intensity of the pulse magnetic field is stated. The value 1250 mT/10 is in the centre, on the
surface of the applicator.
[cm]
25
20 [mT/10]
15 5
10
10
20
50
5 100
200
500
1000
0
1250
20 15 10 5 0 5 10 15 20 [cm]
page 24 of 31
7.2 “DOUBLE DISC" APPLICATOR
T h e d o u b l e d i s c a p p l i c a t o r c o n s i s t s o f s e r i e s i n t e r c o n n e c t i o n o f t wo d i s c a p p l i c a t o r s . T h e
a p p l i c a t o r s a r e m u t u a l l y o r i e n t a t e d i n t h e wa y t h a t a l i n e a r i z e d m a g n e t i c f i e l d a r i s e s b e t we e n
them.
S i m i l a r l y a s d i s c , t h e “ d o u b l e d i s c ” a p p l i c a t o r i s m a d e o f p l a s t i c . T h e p a r t wh i c h c o m e s i n t o
c o n t a c t wi t h t h e p a t i e n t i s c o a t e d wi t h f i n e d u r a b l e l e a t h e r e t t e .
Name: double disc
Dimensions: 2x 130 x 130 x 30 mm
Weight: 2.15 kg
page 25 of 31
T h e p i c t u r e s h o ws t h e s h a p e o f t h e a p p l i c a t o r ’ s m a g n e t i c f i e l d b e t we e n t h e p a t i e n t s i d e s . T h e
unit of the intensity values is mT/10, i.e. Gauss, and the values are valid at the maximum
c u r r e n t f l o wi n g t h r o u g h t h e a p p l i c a t o r . T h e s u m o f i n t e n s i t y o f t h e p e r m a n e n t m a g n e t f i e l d a n d
intensity of the pulse magnetic field is stated. The highest value 950 mT/10 is in the centre,
on the surface of the applicator.
mT/10
[ cm] 10
25
50
100
950 250
500
950 750
[ cm]
page 26 of 31
7.3 “MULTI DISC" APPLICATOR
The multi disc applicator consists of series-parallel interconnection of four disc applicators.
T h e a p p l i c a t o r s a r e m u t u a l l y o r i e n t a t e d i n t h e wa y t h a t a l i n e a r i z e d m a g n e t i c f i e l d a r i s e s
b e t we e n t h e m .
T h e m u l t i d i s c a p p l i c a t o r wa s d e s i g n e d a s a p o r t a b l e s u b s t i t u t e f o r t h e s o l e n o i d 6 0 a p p l i c a t o r .
I t c a n b e w e l l u s e d f o r t h e a p p l i c a t i o n s wh i c h r e q u i r e t h e u s e o f t wo d o u b l e d i s c s ( a p p l i c a t i o n
on the extremities). See recommended diagnoses for details.
S i m i l a r l y a s d i s c , t h e m u l t i d i s c a p p l i c a t o r i s m a d e o f p l a s t i c - h a r m l e s s p o l yp r o p yl e n e . T h e
p a r t wh i c h c o m e s i n t o c o n t a c t wi t h t h e p a t i e n t i s c o a t e d wi t h f i n e d u r a b l e l e a t h e r e t t e .
Name: multi disc
Dimensions: 4x 130 x 130 x 30 mm
Weight: 4.30 kg
page 27 of 31
T h e f u n c t i o n o f t h e m u l t i d i s c a p p l i c a t o r i s s i m i l a r t o t h a t o f t h e d o u b l e d i s c a p p l i c a t o r wh e r e
f o u r d i s c a p p l i c a t o r s a r e o n s i m u l t a n e o u s l y d u r i n g t h e t h e r a p y.
The intensity values are listed in Chapter 7.3.1 Technical Parameters (the unit is mT/10, i.e.
G a u s s , a n d t h e v a l u e s a r e v a l i d a t t h e m a x i m u m c u r r e n t f l o wi n g t h r o u g h t h e a p p l i c a t o r ) . T h e n
there is stated the sum of intensity of the permanent magnet field and intensity of the pulse
magnetic field. The value 950 mT/10 is in the centre, on the surface of the applicator. The
shape of the magnetic field of one pair of discs of the multi disc is the same as for the double
disc.
page 28 of 31
7.4 “SOLENOID 30” APPLICATOR
T h e b a s i s o f c o n s t r u c t i o n o f t h i s t u b e - s h a p e d a p p l i c a t o r i s a c a r r yi n g t u b e m a d e o f
p o l y p r o p y l e n e ( P P ) , wh i c h wa s c h o s e n b e c a u s e o f i t s f a v o u r a b l e m e c h a n i c a l p a r a m e t e r s a n d
l o w we i g h t . S i n g l e - l a y e r l i n e a r c o i l i s wo u n d o n t h e t u b e ; t h e e x t e r n a l m a g n e t i c f i e l d i s
s c r e e n e d o f f u s i n g t h e F M F t e c h n o l o g y . T h e d e s i g n o f t h e a p p l i c a t o r wa s a d a p t e d t o t h e
requirement to create linear magnetic field in as large as possible part of the applicator.

Name: solenoid 30
Inner Diameter: 295 mm
Weight: 5.75 kg
Max. Intensity of Pulse Magnetic Field: 9.3 mT (93 Gauss)

T h e p i c t u r e s h o ws t h e s h a p e o f t h e a p p l i c a t o r ’ s m a g n e t i c f i e l d T h e u n i t o f t h e i n t e n s i t y v a l u e s
i s m T / 1 0 , i . e . G a u s s , a n d t h e v a l u e s a r e v a l i d a t t h e m a x i m u m c u r r e n t f l o wi n g t h r o u g h t h e
applicator.
93
90
80
10 15 20 30 40 50 60 70 60 50 40 30 20 15 10
70
80
90
93
[mT/10]
25 20 15 10 5 0 5 10 15 20 25 [cm]
page 29 of 31
7.5 “SOLENOID 60” APPLICATOR
T h e b a s i s o f c o n s t r u c t i o n o f t h i s t u b e - s h a p e d a p p l i c a t o r i s a c a r r yi n g t u b e m a d e o f
p o l y p r o p y l e n e ( P P ) , wh i c h wa s c h o s e n b e c a u s e o f i t s f a v o u r a b l e m e c h a n i c a l p a r a m e t e r s a n d
l o w we i g h t . S i n g l e - l a y e r l i n e a r c o i l i s wo u n d o n t h e t u b e ; t h e e x t e r n a l m a g n e t i c f i e l d i s
s c r e e n e d o f f u s i n g t h e F M F t e c h n o l o g y . T h e d e s i g n o f t h e a p p l i c a t o r wa s a d a p t e d t o t h e
requirement to create linear magnetic field in as large as possible part of the applicator.

Name: solenoid 60
Inner Width: 580 mm
Inner Height: 480 mm
Weight: 10.0 kg
Max. Intensity of Pulse Magnetic Field: 8.5 mT (85 Gauss)

applicator.
85
80
70
60
50
10 20 30 40 45 45 40 30 20 10
50
60
70
80
[mT/10]
25 20 15 10 5 0 5 10 15 20 25 [cm]
page 30 of 31
7.6 “LINEAR" APPLICATOR
The surface of the linear applicator is made of harmless and durable leatherette. The same
t yp e o f l e a t h e r e t t e i s u s e d o n t h e o t h e r a p p l i c a t o r t yp e s .
Name: Linear
Weight: 6.10 kg
applicator.
5 9 cm
page 31 of 31

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BTL-5000

7.6.1 Technical Parameters...................................................................................31

2 MAGNETOTHERAPY – PHYSICAL BACKGROUND

2.1 MAGNETIC FIELD

2.1.1 Stationary Magnetic Field

2.1.2 Alternating Magnetic Field

2.1.3 Pulse Magnetic Field

2.1.3.1 Device Options

It is also possible to create groups of magnetic pulses - so called bursts.

2.2 FMF TECHNOLOGY

FMF = Focused Magnetic Field

Standard Magnetic Applicator FMF Technology Applicator of DISC Type

Standard applicator and its FMF technology applicator magnetic

2.3 MAGNETIC FIELD UNITS

Other magnetic field units:

wh e r e : B is the magnetic induction

3 THERAPEUTIC EFFECTS OF MAGNETOTHERAPY

3.1 ANALGESIC EFFECT

3.2 ANTIPHLOGISTIC EFFECT

3.3 TROPHIC EFFECT

3.4 MYORELAXATION AND SPASMOLYTIC EFFECT,

3.5 VASODILATATION EFFECT

3.6 ANTIEDEMATOUS EFFECT

4 RECOMMENDED DOSAGE OF MAGNETOTHERAPY

dose = Bmax * dB/dt * time of exposition * f

The optimum dose should range from 4 to 8.

6 SETTING AND CONTROL OF MAGNETOTHERAPY –

6.1 MAGNETIC FIELD INTENSITY

The magnetic field intensity can be set from 1 mT/10 (i.e. 1

6.2 THERAPY TIME

6.3 PHYSIOLOGICAL EFFECTS

6.4 SELECTION OF THERAPY

Press the [therapy] button to open the dialog

6.4.1 Magnetic Pulses

6.4.1.1 Pulse, Pause, Frequency – Setting

The limits for setting differ for various pulse shapes -

6.4.2 Series of Magnetic Pulses

6.4.2.1 Pulse, Pause, Frequency, Repeating – Setting of Series

For each period – part of the series – it is possible to

6.4.3 Continuous Magnetic Field

6.5 PULSE SHAPE

6.5.1 Rectangular Pulses

o step of setting: 1 ms (from 3 ms to 30 ms)

6.5.2 Rectangular Protracted Pulses

6.5.3 Exponential Pulses

6.5.4 Sinusoidal Pulses

6.5.5 Triangular Pulses

6.6.1 Random Frequency

Besides these options it is possible to use some predefined

6.6.3 Sine Surges

6.6.4 Trapezoid Surges

• pause from 1 s to 255 s.

The step of setting of both values is:

6.6.5 Symmetric Surges

6.7 TEST OF CONNECTED APPLICATOR

To verify the function of ther connected applicator

For correct evaluation of the test it is necessary to perform

In addition it is necessary that the double disk or

7.1 “DISC" APPLICATOR

7.1.1 Technical Parameters

7.1.2 Shape of the Magnetic Field of the Applicator

7.2 “DOUBLE DISC" APPLICATOR

7.2.1 Technical Parameters