PROMETHEUS MR-20 Handbuch
PATHWAY®
MR-20 Dual Channel
EMG System with
Alpha/Numeric LCD Display
(Part #9710)
OPERATOR’S GUIDE
PATHWAY®MR-20 OPERATOR’S GUIDE 1
Made in the U.S.A.
PATHWAY®MR-20 OPERATOR’S GUIDE 2
One Washington Street, Suite 3171
Dover, New Hampshire 03820 U.S.A.
Tel: 1.800.442.2325
Fax: 603.749.0511
PATHWAY®MR-20 OPERATOR’S GUIDE 3
CONTACT INFORMATION
The Prometheus Group®
One Washington Street, Suite 3171
Dover, New Hampshire 03820 U.S.A.
Tel: 603-749-0733
Toll Free: 1-800-442-2325
Fax: 603-749-0511
FOR ASSISTANCE, CALL YOUR LOCAL SALES REPRESENTATIVE,
DISTRIBUTOR, OR THE PROMETHEUS GROUP®AT 800.442.2325 IN THE
U.S. AND CANADA
OR +1 (011) 603-749-0733 INTERNATIONAL.
FOR TELEPHONE TECHNICAL SUPPORT CALL 800.272.8492
IN THE U.S. AND CANADA
OR +1 (011) 603-742-6053 INTERNATIONAL.
Copyright © 2013 The Prometheus Group®. All rights reserved.
This document contains condential and proprietary information that is the
property of The Prometheus Group®, Inc. and is protected by the copyright
laws of the United States, international copyright treaties, and all other
applicable national laws. Any unauthorized use, reproduction or transfer of
any information in this document is strictly prohibited. This document
contains information regarding technology that is protected under one or
more United States patents and other pending United States and foreign
patents. The Prometheus Group®logo and combinations thereof,
Pathway®and Telesis®are registered trademarks of The Prometheus Group®,
Inc., One Washington Street, Suite 3171, Dover, NH 03820. Easytrode™is a
trademark of Multi Bio Sensors Inc. All other brand and product names are
used for identication only and are the property of their respective holders.
Specications are subject to change without notice.
Printed in the U.S.A.
52_075bEN
PATHWAY®MR-20 OPERATOR’S GUIDE 4
One Washington Street, Suite 3171, Dover, NH 03820
info@theprogrp.com | theprogrp.com | Phone: 1-800-442-2325 | Fax: 603-749-0511
Dear Valued Customer,
On behalf of The Prometheus Group®, we would like to personally thank
you for your recent purchase.
The Prometheus Group® is recognized for providing exceponal
products, outstanding customer service, and unparalleled technical
support.
Because our goal is to build a long-term partnership with your company,
our dedicated team is here to make sure you get the most from your
investment.
Feel free to contact our technical support team to answer any
quesons that you may have concerning the installaon or operaon of
your equipment. Our products are user friendly, and most training and
quesons can be handled eecvely over the phone.
The technical support line may be used as an invaluable tool at your
convenience.
We value our relaonship and look forward to working with you and
your company for years to come.
Respecully,
The Prometheus Group® Technical Support Team
Celebrating
1989
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Technical Support:
Tech Support Phone:
1-800-272-8492
Tech Support Email:
Fax: 603-749-0511
Our support team is
available Monday - Friday,
between 8:30 AM - 5:00 PM EST.
There is never a charge for
Telephone Technical
Support.
PATHWAY®MR-20 OPERATOR’S GUIDE 5
TABLE OF CONTENTS
NOMENCLATURE..........................................................................................7
SERVICE INFORMATION..............................................................................7
INDICATIONS FOR USE................................................................................8
CONTRAINDICATIONS..................................................................................8
CHAPTER 1: PHYSICAL/MECHANICAL OVERVIEW..................................13
Front and Bottom Panels............................................................................13
Top Panel....................................................................................................14
Rear Panel..................................................................................................15
Installing & Replacing the Battery...............................................................16
Pathway®Electrodes (Part #6750).............................................................17
Pathway®Adapter (Part #3660)..................................................................19
Pathway®Intracavity Sensors.....................................................................20
Pathway®Vaginal EMG/Stimulation Sensor (Part #6330)..........................20
Pathway®Vaginal/Rectal EMG Sensor (Part #6320)..................................20
Pathway®Rectal EMG/Stimulation Sensor (Part #6340)............................22
24” Electrode Lead Wire Set (Part #5328)..................................................23
Disposable Lead Wire Electrodes (Part #7400)..........................................25
Display Modes.............................................................................................27
Start-up Display...........................................................................................27
Standard Modes..........................................................................................29
Goals...........................................................................................................29
STIM............................................................................................................32
CHAPTER 2: OPERATION...........................................................................27
CONNECTING THE PATHWAY®PREAMPLIFIER CABLES
(PART #2583) TO:
Cautions.......................................................................................................8
Warnings and Prohibitions...........................................................................9
Contents of Kit............................................................................................12
APPLICATIONS..............................................................................................8
PATHWAY®MR-20 OPERATOR’S GUIDE 6
Max Display................................................................................................32
Ratio Display Mode....................................................................................34
Special Functions Chart.............................................................................35
Selecting WORK/REST MODE..................................................................36
Display Data...............................................................................................38
Clear Data..................................................................................................40
Response Time..........................................................................................41
Obsolete Functions....................................................................................35
Lock Mode.................................................................................................42
CONNECTING THE PATHWAY®MR-20 TO A COMPUTER....................45
Software Available.....................................................................................43
Telesis®Software for the Pathway®MR Series (Sold Separately).............43
Recall Mode..............................................................................................45
CHAPTER 3: TROUBLESHOOTING...........................................................46
Erratic Readings........................................................................................46
High Baseline Readings............................................................................48
Battery Check............................................................................................49
Lock Mode.................................................................................................49
Pathway®MR-20 Care and Maintenance..................................................50
Storage.......................................................................................................50
Cleaning....................................................................................................51
CHAPTER 4: PATHWAY®MR-20 TECHNICAL SPECIFICATIONS.............52
To Order Accessories.................................................................................53
Quick Reference Guide..............................................................................54
STANDARD WARRANTY SERVICE AGREEMENT..................................55
PATHWAY®MR-20 OPERATOR’S GUIDE 7
NOMENCLATURE
SERVICE INFORMATION
In this Operator’s Guide, NOTES, CAUTIONS, and WARNINGS are included,
which have the following implications.
CAUTION: There are no serviceable parts within this device.
The user should not attempt to service the instrument beyond that
described in the Pathway®MR-20 Operator’s Guide. Refer all other
servicing to The Prometheus Group® qualied Technical Support
personnel. Please call 1-800-272-8492 in the U.S.A. and Canada, or
+1 (011) 603-742-6053 international, or e-mail
The device should be serviced by The Prometheus Group®
qualied Technical Support personnel when:
• Any cable, cord, or plug has been damaged.
• The device does not appear to operate normally or exhibits a
marked change in performance.
• The instrument has been dropped, or the casing is damaged.
• Fluid has been spilled on the device, or it has been immersed,
and it appears that uid has entered the housing.
CAUTION: A hazard to a piece of equipment or property –
for example, potential for an electrical short, water damage, or some
other danger to the equipment but not the operator or patient. Can
also be a reference to HIPAA or another medical legal requirement.
WARNING: A hazard to a person - a potential danger to the operator
or patient such as electrical shock or some other potential danger.
GENERAL PROHIBITION: To signify a prohibited action.
NOTE: A procedural emphasis - usually something regarding preparation for
a process or a reminder that some bit of information recorded here will be
used later for another purpose.
PATHWAY®MR-20 OPERATOR’S GUIDE 8
INDICATIONS FOR USE
CONTRAINDICATIONS
APPLICATIONS
CAUTIONS
Surface electromyography is a safe and effective technique for relaxation
training and muscle re-education.
When using internal sensors such as the Pathway®Vaginal EMG Sensor:
EMG biofeedback is a safe and effective technique for the assessment and
treatment of pelvic oor dysfunction and monitoring the performance of Kegel
exercises. The pelvic oor muscles include the levator ani group as well as
the pubococcygeus (PC), iliococcygeus, and coccygeus. These are skeletal
muscles which respond to re-education, strengthening, endurance training,
and relaxation. Conditions that can be assessed or treated using this
technique include stress incontinence, mixed incontinence,
and urge incontinence.
Do not use this device for treatment of incontinence in the presence of:
bladder infection, vaginal infection, or during pregnancy.
For Pelvic Floor and Orthopedic rehabilitation.
Prior to using this device, be sure to read the Pathway®MR-20 Dual
Channel EMG System with Alpha/Numeric LCD Display Operator’s
Guide for installation, maintenance, cleaning, technical data,
service, and warranty information.
Federal law (USA) restricts this device for sale by or on the order of
a licensed medical practitioner, licensed by law in the state in which
they practice.
PATHWAY®MR-20 OPERATOR’S GUIDE 9
CAUTIONS (CONTINUED)
WARNINGS & PROHIBITIONS
When using the Pathway®MR-20 device with Telesis®software, be
sure that the USB Serial Interface Cable is no longer than 3 meters,
as it may affect EMG readings and data transmission.
Skin irritation may develop beneath or around electrode sites.
This device is NOT intended for use with anesthetic gases mixed
with air, oxygen or nitrous oxide. Danger of electrical ignition.
Be sure to read this operator’s manual before using this device.
Use by improperly trained personnel or non-licensed healthcare
professionals may cause damage to the equipment or harm to the
patient.
Use only electrodes and accessories from The Prometheus Group®
with the Pathway® MR-20 device. Any other electrodes or
accessories may not be compatible with the Pathway®MR-20 device
and will void the device warranty.
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