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AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Serial No:
Revision 01/01/02
220 Classic
O W N E R ‘ S M A N U A L
Class I, Type B, IPXO, Equipment
Sales & Service
1-800-699-1008
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Owner'sManual
Table of Contents
Contraindications Page 1A
Important Information Page 1B
Installation and Operating
Procedures
Page 2
Technical Illustrations Page 8
Trouble Shooting Page 13
Parts Price List Page 15
Cleaning and Maintenance Page 16
CPT Codes Page 24
Warranty Information Page 26
Warranty Form Page 28
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Thank you for your confidence in purchasing the AquaMED. We are sure the
Aqua Soothe will serve you and your clients for years to come.
Contraindications
Though massage is of enormous benefit, there are occasions when you should not
massage.
Never massage anyone with any of the following conditions unless their doctor
gives permission:
1. A systematic infection, contagious disease or high
temperature
2. Acute back pain, especially if the pain shoots down the arms
or legs when the back is massaged
3. A skin infection, bruising or acute inflammation
4. An inflammatory circulatory condition such as thrombosis or
phlebitis
5. Swollen joints
6. Varicose veins
7. Heart problems
Always consult your physician
before receiving a massage if
you have ANY reason to
believe a massage may not be in
your best interest.
This product is designed for
Hydrotheraputic use only and
no other use is intended.
Page 1A
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
A WORD OF WARNING
Our continuing program of product improvement makes specifications,
equipment, model availability, options, color and prices subject to change without
notice. Warranty only applies with completion and return of completed
registration information sheet. (Located on the last page of this manual)
1. NEVER LIFT BY THE TUB ALWAYS LIFT BY THE FRAME ! ! ! ! ! !
2. Important Warning ! - Do Not Store Your AQUAMED In Freezing
Conditions
3. If unit is going to be moved to a below freezing atmosphere make sure you
drain the tank, pump and cooler completely. Be sure to drain the radiator.
There is approximately one (1) pint of water in the coils.
4. Ventilation To maintain temperature control, the AQUA MED should be
placed in an area with proper ventilation. It is recommended that air
conditioner vents in the room with the unit or an exhaust fan (500CFM)
capable of moving 500 cubic feet per minute be located in the room.
Page 1B
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 2
Installation & Operating Procedures
INSTALLATION: Unscrew white PVC elbow at pump end of machine and
screw in filler tube provided. Add 25 gallons of distilled water (your local
bottled water supplier can deliver 5 gallon bottles of distilled water).
INITIAL START-UP: Connect power then press START to initialize
(INL). During initialization, any buttons you press, except stop will have
no effect on the machine. The initialization will take about 90 seconds.
The unit should make a full cycle from foot to head back to foot. Once
the unit has initialized and stopped, the display will ready RDY.
OPERATION: When you press the Start Button, the HHC (Hand Held
Control) will read 15 minutes in the display. By pressing Start again, the
machine will begin treatment. The Hydromassage is preset to start each
session on a low pressure, slow speed to provide a full body massage
for 25 minutes. If you desire less time, press the Time Button repeatedly
before pressing the Start Button until the desired time is displayed.
Each time you press the Time Button the time of the session will be
reduced by one minute. If you wish less than 20 minutes, press the
Start Button then the Time Button continuously until the desired time is
displayed, then press Start.
PRESSURE CONTROL: The pressure can be set before or during a
session. Each time the Up or Down arrow is pressed, the pressure will
either decrease or increase. There are three speeds; they can also be
set before or during a session.
AREA MASSAGE:: The area massage will run between the two lights
above the outstretched body on the HHC. If a full body massage is
desire, then leave the lights where they are.
You may set an area massage after a session has started by simply
pressing the Low Area button when the jet reaches the lowest area you
wish massaged and by pressing the High Area button when the jets
reach the highest area you wish to massage.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 3
ADJUSTING THE MASSAGE AREA: To make minor adjustments to the selected area
massage, you can use the buttons marked Therapy Up or Down. After setting an area,
you may press either the area massage up or area massage down button to keep the
same distance bewteenn set points to move the area receiving the massage towards the
head or foot. Each time an up or down button is pushed, the massage area is adjusted
by 2 1/2". ( NOTE very other time an up or down button is pushed the light will not
move. A double light also indicates a change in the massage area).
RESET BUTTON: At any time, you can press the yellow reset button to resume a full
body massage or to set a different area massage, by repeating the same process. To
end a session before time runs out, press the yellow reset button twice. The
machine will reset all functions including the time and return the massage
manifold to the foot position and stop the unit.
TEMPERATURE BUTTON: Pressing the Temp Button will tell you the water
temperature. To change temperature press the Temp Button and the Time Button at
the same time, The current temperature is shown and can be changed. Press the up &
down pressure buttons to increase or decrease the pre-set temp. Each time you adjust it,
the temperature setting will change one (1°) degree. The temperature will not change
immediately. Allow approximately two (2) minutes for each degree of change.
Celsius Readings: By pressing the low area limit and temp buttons at the same time, the
temperature will then read Celsius. By pressing high area and temp the unit will read in
Fahrenheit
IMPORTANT SAFETY CONSIDERATIONS
If your system does not function properly, Re-initialize the system by unplugging
the machine for 15 seconds and plugging it back in. Then press start to begin the
initialization sequence.
OVERHEATING: If the machine reaches 110° F, it will not run, (see pg. 13) CD03
will appear on the Hand Held Control. Inspect the power to the chiller (pg.18 photo
#2) to see if it is running, if not, check fuses (pg. 10)
LOW WATER LEVEL: When the HHC reads CD01 (low water) the machine will not
start. If you experience the pressure going up and down, (pump cavitation) you are low
on water, or there may be foam in your machine, add a tablespoon of defoamer to 1
gallon of distilled water to eliminate the foam.
NOTE: Run unit through at least one complete 15-minute session each day to insure that
the water treatment system runs to its maximum efficiency!
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 4
CONTROL
BUTTON
ACTION AVAILABILITY
Pressure
Down
Decreases water pressure.
Button is active at all times except during
initialization (INL).
Pressure Up Increases Water pressure Button is active at all times except INL.
Speed Down Slows down traveling jet system speed. Button is active at all times except INL.
Speed Up Increases travel jet system speed Button is active at all times except INL.
Low Area Sets lowest massage limit. Button is active at all times except INL.
High Area Sets highest area massage limit. Button is active at all times except INL.
Area Down
After setting an area massage, moves defined
area down
Button is active only after the low area or
high area buttons have been pressed.
Area Up
After setting an area massage, moves defined
area up.
Button is active only after the low area or
high area buttons have been pressed.
Temp Displays the current water temperature.
Time Used to set length of massage. (Note: if in token timer mode, will display A 99/.
Start Starts system time of session .
Reset Pressing reset button once will return the area massage back to a full body massage.
Stop Selection of this button will cause system to halt operation. Does not clear data.
Summary of Hand Held Button Controls
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 5
Hand Held Control Functions
Session Timer:
Press green start button once for 15-minute session. If less time is desired, push time
button to reduce time by one minute. Press green start button a second time to start.
To program session for 30 minutes, push the time button before the start button. The
initial reading will be 0 (zero) and each push of the time button will count doen from thirty
(30) minutes.
Temperature Control Button:
Press temp to display actual water temperature. Press temp and time together the display
setting will show current setting. To change temperature use the up and down pressure
control button to change temperature one degree at a time from 85 degrees F. up to 105
degrees F (30 degrees C. to 40 degrees C.).
Fahrenheit or Centigrade Readings:
To change display from Fahrenheit to Centigrade, press low area and temp together.
Press high area and temp together to change Fahrenheit display.
Pressure Control Button:
May be pre-set or during cycle. Machine always starts at the lowest setting. Use up
pressure button to increase massage intensity.
Travel Speed:
The equipment is pre-set to start at the lowest travel speed. To increase speed
use increase button. To decrease travel speed use decrease button. Low speed
is recommended for smaller area massage and highest speed for full body
massage.
Area Massage:
You may set an area massage after a session has started by simply pressing the Low
Area button when the jet reaches the lowest area you wish massaged and by pressing the
High Area button when the jets reach the highest area you wish to massage. Your
equipment is programmed to provide a full body massage at start up. If you wish to
reduce the massage area to a smaller setting, use the limit buttons. Push the set high
area to set the highest point of massage. To reduce use the set low area to set the lowest
point of massage.
Stop:
Emergency Stop, may be used to reposition client. After waiting 5 seconds, press start to
restart. Pressure will be at lowest setting.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 6
Accessing Special Functions - Special Key Strokes
Initialization:
Unplug unit for 15 seconds, then plug in again and press start. Wait 90 seconds until unit reads
ready.
To Read Temperature:
Push temp button to temperature. Use the up pressure or down pressure buttons to set temp
button 85 degrees to 104 degrees F.
To Set Temperature To Centigrade Degrees:
Press the Temp and Low Area buttons simultaneously. NOTE: Display will be updated on next
Temp request..
To Set Temperature To Fahrenheit Degrees:
Press the Temp and High Area buttons simultaneously. NOTE: Display will be updated on next
Temp request.
To Read Hours Run and Number of Starts:
Press TIME and HIGH AREA simultaneously. Numbers 00000000/00000000
will appear. These are 8 digit numbers, the first set represents hours the machine has been in
operation. the second set of numbers is the number of times the machine started.
Hour Meter Counter:
To use the hour meter counter press the TIME and the HIGH AREA buttons simultaneously while
the machine is in ready (RDY) mode. The first four digits displayed are hours more than 9,999, the
second four digits that appear are hours from 1 hour to 9,999. The third set of four digits will be
times the machine was started more than 9,999, the fourth set of four digits will be the number of
times the machine was started between 1 and 9,999.
One Way Pressure (Option):
For units equipped with the one way pressure option, Press LOW PRESSURE and LOW AREA
buttons simultaneously will pressure on down stroke (toward the head).
Pressing LOW PRESSURE and HIGH AREA button simultaneously will provide highest pressure
on down stroke (head to foot direction).
By using low speed on pressure stroke, the manifold will reduce pressure on reverse direction and
go to maximum speed until it reverses again at which time it will raise the pressure and return to
low speed. To cancel one way massage and return to full massage both directions repeat
engaging procedure. The word OFF will appear momentarily on the hand held control.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 7
Display Status Messages
SP STOP
IDLE
Idle control state, machine needs to be initialized. Seen only when
initially plugged in or after power interruption.
RDY
Ready Control mode following initialization and indicates the
system isS ready to run.
INL
Machine is initializing (booting up) system and performing safety
checks. Hand Held control buttons do not work during
initialization.
RUN
Run indicates normal operation when the start button is pressed.
Message reverts to timer countdown after five (5) seconds.
ESP Emergency STOP – Stops all operating functions.
99
External timer indicator 99 is displayed when the TIME button is
pressed during a mode.
ERR
Error message, which is displayed when the water temperature is
out of sensing range (60 degrees F. - 125 degrees F.) or
temperature sensor is not functioning.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 8
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 9
CLEAR WATER
COOLER LINE
RETURN TO
TANK FROM
COOLER
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 10
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 12
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 13
Trouble Shooting
NOTE: Most problems are a result of power fluctuation. If you are experiencing
erratic performance the first thing to do is reinitialize the machine.
WARNING:
1. Any electrical calibrations or work should only be done by
licensed electrician
2. For maximum performance, it is suggested that only distilled
water be used. If not obtainable, use de-mineralized water.
Minerals present in local tamp water can cause erosion or build
up of deposits that can interfere with operation.
PROBLEM SOLLUTION
No Power Check reset buttons on side of control box
Traveling Jet System Check motor (page 9 #12) and shaft
connection; reinitialize.
Pump Motor Not Operating Circuit breaker/contactor coil (page 11E).
Erratic or No Area Massage Disconnect power for 15 seconds then re-
initialize machine (page 10 #22).
Machine Overheating Fan not operating, Fins dirty, use vacuum
and brush to remove lint, carpet, etc.
Pressure Fluctuating Foam – add defoamer and 1 gallon distilled
water.
Water Cold at Beginning of
Day
No power to heater – power turned off
overnight. Check heater fuses.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 14
Diagnostic Messages
CODE PROBLEM PROCEDURE
cd01 Water level too low. Add water.
cd02 N/A for future use.
Button is active at all times except
INL.
cd03
Water temperatures exceeds 110
degrees F. (40 degrees C.)
Clean colling fins on radiator, check
fan, check fuses.
cd04 Manifold position unknown Re-initialize machine (page 6).
cd05
Foot swtch not operating if manifold is
at the end.
Check reed switch for loose
connection.
Loose connection of motor (page 10
#14) with shaft if manifold is in the
middle.
Re-connect.
cd06
Head qwitch not operating if manifold
is at the end
Check reed switch – see cd05.
cd07
Temperature probe is disconnected or
has failed.
Re-connect or replace.
cd08 TPIC (relay drive) fault Reinitialize unit.
cd09
Communication fault between Hand
Held Control and Main Board.
Re-connect Hand Held Control At
Control Box.
cd10 Operating system fault Reinitialize unit.
Chassis Fuses Circuit Breakers
1) Cooler 2 AMP Slow Blow
2) Heater 3 AMP Fast Blow
3) Main 30 AMP Ceramic Slow Blow
Circuit Board
F1 5 AMP Slow Blow
F2 3 AMP Fast Blow
Position 7 . . . . L1 Black for pump L1 . . . . . . . . . . . .Brown wire
6 . . . . L2 white for pump L2. . . . . . . . . . . ..Bue wire
5. . . . .Ground for pump -green Ground Earth.. . .Green - Yellow
4 . . . . Earth (Green)
2. . . . L2(white)
I . . . . .Ll (Black)
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 15
SUGGESTED RETAIL PRICE LIST
Algaecide $ 5.95
Barrier $ 299.95
Black Box (water tight for shaft w/grommets) $ 12.95
Radiator $ 149.95
Drive Motor $ 310.00
Defoamer $ 5.95
E-Clips $ 1.95
Electrical Control Board $ 599.95
Electrical Control Box (complete w/control board) $ 850.00
Fuses $ 3.95
Guide Cylinder $ 59.95
Hand Held Control $ 399.95
Hand Held Cord $ 64.95
Hose 1 ½ Braided (5’ length) $ 35.95
Jandy Actuator $ 325.00
Liquid Level Switch $ 59.95
Motor Drive Shaft (Stainless Steel) $ 39.95
Motor L Bracket $ 19.95
Motor Ribbon Extension $ 29.95
Nylon Drive Cable w/Clamps $ 75.95
Pump Motor $ 799.95
Pump Seals $ 130.00
Pulley Blocks (each) $ 24.95
Pulley Drive $ 45.95
Pulley Idler Drive $ 19.95
Reed Switch $ 9.95
Safety Net $ 29.95
Water Heater $ 64.95
PLUS SHIPPING
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
CLEANING AND
MAINTENANCE
MANUAL
Page 16
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 17
CLEANING AND MAINTENANCE
INSTRUCTIONS
Here are the instructions you will need to do semi annual service on
your AquaMED.
SPECIAL NOTE:
1. The use of distilled water is necessary or the warranty is void. Even
though city water may appear clean it contains calcium, minerals, and
chlorine, and other impurities which may interfere with operation and
cause premature wear.
2. Cleaning and service of the machine is recommended every six
months and more often in heavy usage situations
3. NECESSARY TOOLS:
Small flat tip screwdriver
Small and medium phillips head screwdriver
7/16" wrench
Adjustable wrench
3/16" wrench or pliers or vice grips
Silicone
Hose or shop VAC
**Towels and scotch brite sponge, cleanser (non-abrasive i.e. soft
scrub)
25 gallons of distilled water
 In order that we may better serve you, if you have any problems
please research the problem area before you call 1-800-699-
1008 to be prepared to answer questions from our service
personnel.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 18
AquaMED Classic page 16 JTL Enterprise
CLEANING INSTRUCTIONS
1. Turn off power - remove side panels, padded rail, and barrier. SEE PHOTO #1
2. Inspect barrier and net for wear. (New nets should have 30 squares across and 29
squares if stretched but not damaged) SEE PHOTO #1
**NOTE: replace the barrier if sticky or there are signs of wear.
Barrier Maintenance
Do not use any commercial cleaners or disinfectants as they may damage the
barrier
 For sanitation use a small amount of alcohol on a hand towel
 Barriers should to be replaced every 2 years.
*Your machine comes with a FDA approved Dura Blue sheet cover, that protects the
barrier.. For sanitation purposes (this can be covered with a disposable paper barrier to
be discarded after each patient) or wiped down with a diluted solution of alcohol and
water, or a solutionof mild soapy water.
3. Clean fins on chiller (vacuum or brush off dust). SEE PHOTO #2
4. Drain and clean the machine. (using non-abrasive cleanser ** rinse thoroughly)
SEE PHOTO #3 for spigot location.
5. Make sure traveling jet system wheels are clean and spin freely. SEE PHOTO #6
6. Check cable for proper tension. If loose, please call 1-800-699-1008.
7. Check motor drive shaft connection. SEE PHOTO #7 If it is loose, the use of lock
tight is recommended.
8. Clean the brass heater tube and the small 3/16" hole (liquid level) next to the heater
tube. Do not jar the brass tube or put anything into the 3/16” hole. SEE PHOTO 8
9. Check all hose clamps inside and out to be sure they are tight. SEE PHOTO #3 &
#12
10.Check the 1 1/2" hose to water manifold for wear. SEE PHOTO #11
11.Rinse the machine thoroughly, refill it with 25 gallons of distilled water. Add
defoamer and algaecide.
12.Replace barrier & padded rail & side panel.
YOUR AquaMED IS NOW READY FOR USE.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 19
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 20
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 21
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 22
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
CPT
CODES
CURRENT
PROCEDURAL
TERMINOLOGY
PAGE 23
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
CPT Coding Guidelines for Dry Hydrotherapy
Revised 1/2/02
AquaMED beds and chairs are listed as Class I physical medicine devices under the FDA 510 (k)
program. At present, there is no specific CPT Code for Dry Hydrotherapy that encompasses all the
aspects of treatment. In March 2000 the Multidisciplinary Academy of Affiliated Medical Arts (MAAMA)
asked the AMA to provide guidance as to how to code Dry Hydrotherapy since there are several
treatments taking place simultaneously. The following is a portion of the response to us, from Dr. R L
Ramsdell, that can be found at www.maama.org/new_page_5.htm.
“… we enclosed your informational materials and our explanation of the combined methods of action
produced by your equipment. We additionally cited its ability to perform simultaneous procedures as
currently identified with individual CPT™ codes such as heat and massage that coincidentally mimic
whirlpool and, with the larger units generate sufficient pressure on the spinal column to produce
intersegmental traction like separation. Their response was as follows:
"From a CPT coding perspective, the product insert included in your request regarding use of the
AquaMed™ and AquaMed II™ devices indicates that both devices incorporate the use of warm,
water-filled surface that acts to massage the affected area, simulating the effects of a number of
modalities. However, only one procedure is performed. Therefore, since there are no codes in CPT
that specify the services provided by the use of the devices indicated and since both of these
procedures are identified as a physical therapy modality, THE MOST APPROPRIATE CODE TO
USE FOR THESE SERVICES WOULD BE CODE 97039 (a report should be included with the use of
this code to identify the specifics involved in performing the service).
“In reviewing this decision, we feel 97039 (unlisted modality, specify type and time if constant attendance)
would be the most appropriate provided the procedure is administered under direct (one on one) patient
contact by the provider or "incident to" provided the supervision requirements are met for that application
scenario.”
Dr. R.L. Ramsdell
It should be noted that the AMA recently changed some coding guidelines. One change, is a direction that
states, “Do not select a CPT code that merely approximates the service provided. If no such procedure or
service exists, then report the service using the appropriate unlisted procedure or service code.”
According to Dr. Ramsdell, this should not affect those who are billing Dry Hydrotherapy solely for the
effects attributable to massage.
In his opinion, it would also be appropriate to code Dry Hydrotherapy treatments as massage (97124)
since the equipment creates “effleurage, petrissage and/or tapotement (stroking, compression,
percussion)”. He also considers Dry Hydrotherapy treatments to be a “Supervised Modality” which does
not require direct patient contact. (A modality is “any physical agent applied to produce therapeutic
changes to biologic tissue; included but not limited to thermal, acoustic, light, mechanical, or electric
energy.”)*
Since codes and reimbursement policies change, and can vary by region as well as insurance carrier, JTL
can make no guarantee that Dry Hydrotherapy treatments will be reimbursed. We recommend that you
contact local authorities, regulators and insurance carriers for their suggestions as to how to best code for
reimbursement.
*Source of definitions: American Medical Association Current Procedural Terminology 2002 AMA 2001 revision
CPT GUIDELINES 97039 / 97124
PAGE 24
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Page 25
Circulatory System
Through its mechanical action on the soft tissues,
produces a reflex vasodilatation of the blood vessels,
thus increasing local circulation. From this primary
effect, the following changes are also produced.
Reduces schema (lack of blood), therefore reduces
pain due to chemical irritation of free nerve endings.
Speeds elimination of metabolites (waste products of
metabolism) from local tissues, thereby relieving
tissue congestion
Helps to reduce edema (swelling) in local tissues and
extremities. Promotes dispersal of metabolic waste
products. It may be used to reduce edema, preventing
fibrosis and possible subsequent adhesion formation.
Increases the number of red blood cells in circulation.
Increases general nutrition of the tissues. Brings
about an increased exchange of fluids and materials
between the blood stream and the tissue's cells
enhancing cell metabolism and removal of wastes.
Increases peripheral circulation from its local
mechanical effect. The initial circulatory stimulation
causes a slight increase in blood pressure followed by
an overall lowering of blood pressure.
Helps to facilitate tissue healing through its
enhancement of circulation.
Reduces pulse rate.
Increase the systolic stroke volume.
Can break the cycle of spasm and pain, decreasing
both.
Enhances vasodilatation.
Nervous System
Sedative or stimulating effect on the nervous system
depending on the type and length of treatment given.
Reduces sympathetic stimulation and helps to
balance the autonomic nervous system.
Relaxes the muscles and helps to reestablish proper
tonus through its effect on the neuromuscular reflex
pathways.
Affects the neurotransmitters of the brain and
increases endorphin secretion in particular.
Can reduce nerve entrapment through the release of
soft tissue or muscle binding.
Lymphatic System
Increases tissue fluid and lymphatic circulation thus
reducing edema and enhancing the immune and
filtering activities of this system.
Increases venous and lymphatic flow.
Reducing swelling by enhancing lymphatic
flow.
Skin
Helps to reduce tension in the skin and adjoining
tissues as well as increase its circulation.
Musculoskeletal Systems
Increases blood supply and nutrition to muscles
.Speeds the elimination of metabolic wastes including
lactic acid. Thus, it helps muscles recover more
quickly from exertion and fatigue.
Relaxes muscles, reducing spasm, tension, and
cramping
Improves muscle tone and helps prevent, or delay,
muscular atrophy resulting from inactivity.
Reduces adhesions and fibrosis thus freeing muscle
fibers and fascia (connective tissue) from restrictive
binding.
Can stretch the connective tissue, rearrange its shape,
and reduce myofascial strain and chronic shortening.
Improves circulation and nutrition of the joints,
increasing joint range of motion.
Helps to reestablish proper tone in the muscles
through its effect on the proprioceptive reflexes.
Reduces muscle and soft tissue pain and can reduce
and eliminate "trigger points".
Reduces joint strain and compression through
releasing tight muscles and tendons.
Increases case and efficiency of movement.
Supports increased work-capacity and metabolism
Can stimulate muscle contraction.
Excretory System
Increases the excretion (via the kidneys) of fluids and
waste products.
Can facilitate elimination through the large intestine
by mechanically stimulating peristalsis and
improving tone.
Respiratory System
Deepens and normalizes the breathing pattern
through relaxation and release of tension in the
breathing structures, both the rib cage and muscles of
respiration.
Biophysical Effects
Increases oxygen intake of tissues
Increases metabolism
.
Neuromuscular Effects
Analgesic
Elevates pain threshold.
Assists in resolution of muscle guarding.
Alters nerve conduction velocity.
In combination with exercise, enhances elasticity of
connective tissues.
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
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Page 26
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Limited Warranty
JTL Enterprises, Inc. will repair or replace, at the company's option, any parts
found to be defective due to workmanship or materials for the following periods.
A) Tank & Frame 3 years
B) Electronics & Mechanical 1 year
C) Barrier & Cushion Rail (Pro Rated) 1 year
D) Labor 90 days
All work requires prior authorization from JTL Enterprises, Inc. "Warranty
Authorization Codes" will be assigned by JTL. The code must appear on the
service warranty invoice to be valid. In the event of Holidays and After hours
(EST), etc., serving the customer should take priority and the code must be
obtained on the next business day.
Time standards for certain repairs will be established and published on an
ongoing basis. (JTL) reserves the final payment approval for all hours reported
on the work performed.
A service report must be included with any invoice explaining the problem, work
performed, parts replaced and travel time required.
Service Rate Schedule A) $15.00 per hour for travel time up to 2 hours
B) $30.00 per hour for on the job repairs
All hourly rates are calculated to the nearest 15-minute increments. On the job
repair is subject to time standards that will be established on an ongoing basis.
This warranty does not apply if: (I) the product has been repaired by anyone
other than a company Authorized Service Representative; (II) the product has
been damaged by improper connection or disconnection with any electrical
device; (III) the product has been damaged by an act of God, accident, misuse,
abuse negligence or any other use other then the product's intended use as set
forth in the company's specifications; (V) the product has suffered damage from a
blow or external trauma; (VI) distilled water was not used. (The warranty does not
cover cosmetic damage.)
The sole remedy under this warranty is the repair or replacement of the product
provided herein. In no event shall the company be liable or responsible for any
incidental consequential or indirect damages for breach of any express of implied
warranty on this product. In any event, if damages are awarded, they will be
limited to the cost of the product.
Page 27
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
Some states do not allow the exclusion or limitations of incidental, indirect or
consequential damages or allow limitation to the length of an implied warranty, in
which case the foregoing warranty shall be extended to conform to the minimum
requirements of such applicable law.
Disclaimers
JTL shall not be liable for loss of use of AquaMED or other incidental or
consequential costs associated with the installation of AquaMED. (Any implied
warranty shall have a duration equal to the duration of the applicable warranty
stated above.) Under no circumstances shall JTL, or any of its' representatives be
held liable for injury to any person or damage to any property, however arising.
This warranty gives you specific legal rights and you may have other rights, which
vary from state to state.
(ALL PARTS SHIPPED FREIGHT COLLECT)
Limited Warranty
From JTL ENTERPRISES INC.: This limited non-transferable warranty is extended from
JTL ENTERPRISES, INC. to the original purchaser of Dry Water Massage Equipment
(Herein "Equipment").
What we will do: JTL ENTERPRISES will administer only the warranty provided by the
original component part or equipment manufacturer.
What is not covered: This warranty does not cover damage resulting from accidents,
alteration, misuse, abuse, tampering, improper or unauthorized maintenance or repairs, use
contrary to published instructions, or purchaser's negligence or neglect. Purchaser must
place the equipment in an area that conforms to JTL Enterprises published space, electrical
and environmental requirements.
Remedies and Limitations: The sale and exclusive remedies under this Limited Warranty
shall be repair and/or replacement as set forth above except where prohibited by law. JTL
ENTERPRISES, INC. shall not be responsible for any damages, whether direct, indirect,
consequential, incidental or economic in this limited warranty. Note: Some states may not
allow the exclusion or limitation of consequential or incidental damages so the above
limitation or exclusion may not apply to you. This thereby limits the duration of all implied
warranties of merchantability and fitness for a particular purpose to time listed on warranty
sheet. Note: Some states may not allow limitations on how long an implied warranty lasts, so
the above limitations may not apply to you.
No Other Warranties Exist: No other warranties, express or implied, exist with respect to
the equipment. Oral statements by salespersons do not constitute warranties. Salespersons
are not authorized to make warranties with respect to the equipment. This entire agreement
is embodied in this writing and no other warranties exist. This writing constitutes the final
expression of the parties' agreement and is the complete and final statement of the terms of
the agreement.
Page 28
AquaMED MANUFACTURED BY:
JTL ENTERPISES, INC
CLEARWATER, FLORIDA
LIMITED WARRANTY
How To Obtain Parts Under Limited Warranty: Return defective parts, within 15 days (no
exceptions) of receipt of new part, to: JTL ENTERPRISES, INC. - 15373 Roosevelt Blvd., Suite
#200, Clearwater, FL 33760
Customer Name:_________________________ Model# ________________________
Address:_______________________________ Serial#_________________________
City/State: _____________________________ Date of Purchase: _______________
Phone #: _______________________________ Dealer's Name:_________________
All replacement parts will be shipped freight collect:
Specific legal rights: This limited Warranty gives you specific legal rights, which vary, from state
to state.
Where to get further help
:
If you need further assistance or information concerning this Limited
Warranty
Call 1- 800-699-1008
Please return this Limited Warranty by mail to:
JTL ENTERPRISES, INC.
15373 Roosevelt Blvd., Suite #200
Clearwater, FL 33760
Before mailing please make a copy for your records.
This form must be returned 30 days (or sooner) from date of installation to activate the Limited
Warranty. If the form is not returned complete this warranty cannot be activated.
Page 29

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AQM 220 CLASSIC.ppt

  • 1. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Serial No: Revision 01/01/02 220 Classic O W N E R ‘ S M A N U A L Class I, Type B, IPXO, Equipment Sales & Service 1-800-699-1008
  • 2. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Owner'sManual Table of Contents Contraindications Page 1A Important Information Page 1B Installation and Operating Procedures Page 2 Technical Illustrations Page 8 Trouble Shooting Page 13 Parts Price List Page 15 Cleaning and Maintenance Page 16 CPT Codes Page 24 Warranty Information Page 26 Warranty Form Page 28
  • 3. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Thank you for your confidence in purchasing the AquaMED. We are sure the Aqua Soothe will serve you and your clients for years to come. Contraindications Though massage is of enormous benefit, there are occasions when you should not massage. Never massage anyone with any of the following conditions unless their doctor gives permission: 1. A systematic infection, contagious disease or high temperature 2. Acute back pain, especially if the pain shoots down the arms or legs when the back is massaged 3. A skin infection, bruising or acute inflammation 4. An inflammatory circulatory condition such as thrombosis or phlebitis 5. Swollen joints 6. Varicose veins 7. Heart problems Always consult your physician before receiving a massage if you have ANY reason to believe a massage may not be in your best interest. This product is designed for Hydrotheraputic use only and no other use is intended. Page 1A
  • 4. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA A WORD OF WARNING Our continuing program of product improvement makes specifications, equipment, model availability, options, color and prices subject to change without notice. Warranty only applies with completion and return of completed registration information sheet. (Located on the last page of this manual) 1. NEVER LIFT BY THE TUB ALWAYS LIFT BY THE FRAME ! ! ! ! ! ! 2. Important Warning ! - Do Not Store Your AQUAMED In Freezing Conditions 3. If unit is going to be moved to a below freezing atmosphere make sure you drain the tank, pump and cooler completely. Be sure to drain the radiator. There is approximately one (1) pint of water in the coils. 4. Ventilation To maintain temperature control, the AQUA MED should be placed in an area with proper ventilation. It is recommended that air conditioner vents in the room with the unit or an exhaust fan (500CFM) capable of moving 500 cubic feet per minute be located in the room. Page 1B
  • 5. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 2 Installation & Operating Procedures INSTALLATION: Unscrew white PVC elbow at pump end of machine and screw in filler tube provided. Add 25 gallons of distilled water (your local bottled water supplier can deliver 5 gallon bottles of distilled water). INITIAL START-UP: Connect power then press START to initialize (INL). During initialization, any buttons you press, except stop will have no effect on the machine. The initialization will take about 90 seconds. The unit should make a full cycle from foot to head back to foot. Once the unit has initialized and stopped, the display will ready RDY. OPERATION: When you press the Start Button, the HHC (Hand Held Control) will read 15 minutes in the display. By pressing Start again, the machine will begin treatment. The Hydromassage is preset to start each session on a low pressure, slow speed to provide a full body massage for 25 minutes. If you desire less time, press the Time Button repeatedly before pressing the Start Button until the desired time is displayed. Each time you press the Time Button the time of the session will be reduced by one minute. If you wish less than 20 minutes, press the Start Button then the Time Button continuously until the desired time is displayed, then press Start. PRESSURE CONTROL: The pressure can be set before or during a session. Each time the Up or Down arrow is pressed, the pressure will either decrease or increase. There are three speeds; they can also be set before or during a session. AREA MASSAGE:: The area massage will run between the two lights above the outstretched body on the HHC. If a full body massage is desire, then leave the lights where they are. You may set an area massage after a session has started by simply pressing the Low Area button when the jet reaches the lowest area you wish massaged and by pressing the High Area button when the jets reach the highest area you wish to massage.
  • 6. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 3 ADJUSTING THE MASSAGE AREA: To make minor adjustments to the selected area massage, you can use the buttons marked Therapy Up or Down. After setting an area, you may press either the area massage up or area massage down button to keep the same distance bewteenn set points to move the area receiving the massage towards the head or foot. Each time an up or down button is pushed, the massage area is adjusted by 2 1/2". ( NOTE very other time an up or down button is pushed the light will not move. A double light also indicates a change in the massage area). RESET BUTTON: At any time, you can press the yellow reset button to resume a full body massage or to set a different area massage, by repeating the same process. To end a session before time runs out, press the yellow reset button twice. The machine will reset all functions including the time and return the massage manifold to the foot position and stop the unit. TEMPERATURE BUTTON: Pressing the Temp Button will tell you the water temperature. To change temperature press the Temp Button and the Time Button at the same time, The current temperature is shown and can be changed. Press the up & down pressure buttons to increase or decrease the pre-set temp. Each time you adjust it, the temperature setting will change one (1°) degree. The temperature will not change immediately. Allow approximately two (2) minutes for each degree of change. Celsius Readings: By pressing the low area limit and temp buttons at the same time, the temperature will then read Celsius. By pressing high area and temp the unit will read in Fahrenheit IMPORTANT SAFETY CONSIDERATIONS If your system does not function properly, Re-initialize the system by unplugging the machine for 15 seconds and plugging it back in. Then press start to begin the initialization sequence. OVERHEATING: If the machine reaches 110° F, it will not run, (see pg. 13) CD03 will appear on the Hand Held Control. Inspect the power to the chiller (pg.18 photo #2) to see if it is running, if not, check fuses (pg. 10) LOW WATER LEVEL: When the HHC reads CD01 (low water) the machine will not start. If you experience the pressure going up and down, (pump cavitation) you are low on water, or there may be foam in your machine, add a tablespoon of defoamer to 1 gallon of distilled water to eliminate the foam. NOTE: Run unit through at least one complete 15-minute session each day to insure that the water treatment system runs to its maximum efficiency!
  • 7. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 4 CONTROL BUTTON ACTION AVAILABILITY Pressure Down Decreases water pressure. Button is active at all times except during initialization (INL). Pressure Up Increases Water pressure Button is active at all times except INL. Speed Down Slows down traveling jet system speed. Button is active at all times except INL. Speed Up Increases travel jet system speed Button is active at all times except INL. Low Area Sets lowest massage limit. Button is active at all times except INL. High Area Sets highest area massage limit. Button is active at all times except INL. Area Down After setting an area massage, moves defined area down Button is active only after the low area or high area buttons have been pressed. Area Up After setting an area massage, moves defined area up. Button is active only after the low area or high area buttons have been pressed. Temp Displays the current water temperature. Time Used to set length of massage. (Note: if in token timer mode, will display A 99/. Start Starts system time of session . Reset Pressing reset button once will return the area massage back to a full body massage. Stop Selection of this button will cause system to halt operation. Does not clear data. Summary of Hand Held Button Controls
  • 8. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 5 Hand Held Control Functions Session Timer: Press green start button once for 15-minute session. If less time is desired, push time button to reduce time by one minute. Press green start button a second time to start. To program session for 30 minutes, push the time button before the start button. The initial reading will be 0 (zero) and each push of the time button will count doen from thirty (30) minutes. Temperature Control Button: Press temp to display actual water temperature. Press temp and time together the display setting will show current setting. To change temperature use the up and down pressure control button to change temperature one degree at a time from 85 degrees F. up to 105 degrees F (30 degrees C. to 40 degrees C.). Fahrenheit or Centigrade Readings: To change display from Fahrenheit to Centigrade, press low area and temp together. Press high area and temp together to change Fahrenheit display. Pressure Control Button: May be pre-set or during cycle. Machine always starts at the lowest setting. Use up pressure button to increase massage intensity. Travel Speed: The equipment is pre-set to start at the lowest travel speed. To increase speed use increase button. To decrease travel speed use decrease button. Low speed is recommended for smaller area massage and highest speed for full body massage. Area Massage: You may set an area massage after a session has started by simply pressing the Low Area button when the jet reaches the lowest area you wish massaged and by pressing the High Area button when the jets reach the highest area you wish to massage. Your equipment is programmed to provide a full body massage at start up. If you wish to reduce the massage area to a smaller setting, use the limit buttons. Push the set high area to set the highest point of massage. To reduce use the set low area to set the lowest point of massage. Stop: Emergency Stop, may be used to reposition client. After waiting 5 seconds, press start to restart. Pressure will be at lowest setting.
  • 9. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 6 Accessing Special Functions - Special Key Strokes Initialization: Unplug unit for 15 seconds, then plug in again and press start. Wait 90 seconds until unit reads ready. To Read Temperature: Push temp button to temperature. Use the up pressure or down pressure buttons to set temp button 85 degrees to 104 degrees F. To Set Temperature To Centigrade Degrees: Press the Temp and Low Area buttons simultaneously. NOTE: Display will be updated on next Temp request.. To Set Temperature To Fahrenheit Degrees: Press the Temp and High Area buttons simultaneously. NOTE: Display will be updated on next Temp request. To Read Hours Run and Number of Starts: Press TIME and HIGH AREA simultaneously. Numbers 00000000/00000000 will appear. These are 8 digit numbers, the first set represents hours the machine has been in operation. the second set of numbers is the number of times the machine started. Hour Meter Counter: To use the hour meter counter press the TIME and the HIGH AREA buttons simultaneously while the machine is in ready (RDY) mode. The first four digits displayed are hours more than 9,999, the second four digits that appear are hours from 1 hour to 9,999. The third set of four digits will be times the machine was started more than 9,999, the fourth set of four digits will be the number of times the machine was started between 1 and 9,999. One Way Pressure (Option): For units equipped with the one way pressure option, Press LOW PRESSURE and LOW AREA buttons simultaneously will pressure on down stroke (toward the head). Pressing LOW PRESSURE and HIGH AREA button simultaneously will provide highest pressure on down stroke (head to foot direction). By using low speed on pressure stroke, the manifold will reduce pressure on reverse direction and go to maximum speed until it reverses again at which time it will raise the pressure and return to low speed. To cancel one way massage and return to full massage both directions repeat engaging procedure. The word OFF will appear momentarily on the hand held control.
  • 10. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 7 Display Status Messages SP STOP IDLE Idle control state, machine needs to be initialized. Seen only when initially plugged in or after power interruption. RDY Ready Control mode following initialization and indicates the system isS ready to run. INL Machine is initializing (booting up) system and performing safety checks. Hand Held control buttons do not work during initialization. RUN Run indicates normal operation when the start button is pressed. Message reverts to timer countdown after five (5) seconds. ESP Emergency STOP – Stops all operating functions. 99 External timer indicator 99 is displayed when the TIME button is pressed during a mode. ERR Error message, which is displayed when the water temperature is out of sensing range (60 degrees F. - 125 degrees F.) or temperature sensor is not functioning.
  • 11. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 8
  • 12. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA
  • 13. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA
  • 14. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 9 CLEAR WATER COOLER LINE RETURN TO TANK FROM COOLER
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  • 16. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 12
  • 17. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 13 Trouble Shooting NOTE: Most problems are a result of power fluctuation. If you are experiencing erratic performance the first thing to do is reinitialize the machine. WARNING: 1. Any electrical calibrations or work should only be done by licensed electrician 2. For maximum performance, it is suggested that only distilled water be used. If not obtainable, use de-mineralized water. Minerals present in local tamp water can cause erosion or build up of deposits that can interfere with operation. PROBLEM SOLLUTION No Power Check reset buttons on side of control box Traveling Jet System Check motor (page 9 #12) and shaft connection; reinitialize. Pump Motor Not Operating Circuit breaker/contactor coil (page 11E). Erratic or No Area Massage Disconnect power for 15 seconds then re- initialize machine (page 10 #22). Machine Overheating Fan not operating, Fins dirty, use vacuum and brush to remove lint, carpet, etc. Pressure Fluctuating Foam – add defoamer and 1 gallon distilled water. Water Cold at Beginning of Day No power to heater – power turned off overnight. Check heater fuses.
  • 18. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 14 Diagnostic Messages CODE PROBLEM PROCEDURE cd01 Water level too low. Add water. cd02 N/A for future use. Button is active at all times except INL. cd03 Water temperatures exceeds 110 degrees F. (40 degrees C.) Clean colling fins on radiator, check fan, check fuses. cd04 Manifold position unknown Re-initialize machine (page 6). cd05 Foot swtch not operating if manifold is at the end. Check reed switch for loose connection. Loose connection of motor (page 10 #14) with shaft if manifold is in the middle. Re-connect. cd06 Head qwitch not operating if manifold is at the end Check reed switch – see cd05. cd07 Temperature probe is disconnected or has failed. Re-connect or replace. cd08 TPIC (relay drive) fault Reinitialize unit. cd09 Communication fault between Hand Held Control and Main Board. Re-connect Hand Held Control At Control Box. cd10 Operating system fault Reinitialize unit. Chassis Fuses Circuit Breakers 1) Cooler 2 AMP Slow Blow 2) Heater 3 AMP Fast Blow 3) Main 30 AMP Ceramic Slow Blow Circuit Board F1 5 AMP Slow Blow F2 3 AMP Fast Blow Position 7 . . . . L1 Black for pump L1 . . . . . . . . . . . .Brown wire 6 . . . . L2 white for pump L2. . . . . . . . . . . ..Bue wire 5. . . . .Ground for pump -green Ground Earth.. . .Green - Yellow 4 . . . . Earth (Green) 2. . . . L2(white) I . . . . .Ll (Black)
  • 19. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 15 SUGGESTED RETAIL PRICE LIST Algaecide $ 5.95 Barrier $ 299.95 Black Box (water tight for shaft w/grommets) $ 12.95 Radiator $ 149.95 Drive Motor $ 310.00 Defoamer $ 5.95 E-Clips $ 1.95 Electrical Control Board $ 599.95 Electrical Control Box (complete w/control board) $ 850.00 Fuses $ 3.95 Guide Cylinder $ 59.95 Hand Held Control $ 399.95 Hand Held Cord $ 64.95 Hose 1 ½ Braided (5’ length) $ 35.95 Jandy Actuator $ 325.00 Liquid Level Switch $ 59.95 Motor Drive Shaft (Stainless Steel) $ 39.95 Motor L Bracket $ 19.95 Motor Ribbon Extension $ 29.95 Nylon Drive Cable w/Clamps $ 75.95 Pump Motor $ 799.95 Pump Seals $ 130.00 Pulley Blocks (each) $ 24.95 Pulley Drive $ 45.95 Pulley Idler Drive $ 19.95 Reed Switch $ 9.95 Safety Net $ 29.95 Water Heater $ 64.95 PLUS SHIPPING
  • 20. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA CLEANING AND MAINTENANCE MANUAL Page 16
  • 21. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 17 CLEANING AND MAINTENANCE INSTRUCTIONS Here are the instructions you will need to do semi annual service on your AquaMED. SPECIAL NOTE: 1. The use of distilled water is necessary or the warranty is void. Even though city water may appear clean it contains calcium, minerals, and chlorine, and other impurities which may interfere with operation and cause premature wear. 2. Cleaning and service of the machine is recommended every six months and more often in heavy usage situations 3. NECESSARY TOOLS: Small flat tip screwdriver Small and medium phillips head screwdriver 7/16" wrench Adjustable wrench 3/16" wrench or pliers or vice grips Silicone Hose or shop VAC **Towels and scotch brite sponge, cleanser (non-abrasive i.e. soft scrub) 25 gallons of distilled water  In order that we may better serve you, if you have any problems please research the problem area before you call 1-800-699- 1008 to be prepared to answer questions from our service personnel.
  • 22. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 18 AquaMED Classic page 16 JTL Enterprise CLEANING INSTRUCTIONS 1. Turn off power - remove side panels, padded rail, and barrier. SEE PHOTO #1 2. Inspect barrier and net for wear. (New nets should have 30 squares across and 29 squares if stretched but not damaged) SEE PHOTO #1 **NOTE: replace the barrier if sticky or there are signs of wear. Barrier Maintenance Do not use any commercial cleaners or disinfectants as they may damage the barrier  For sanitation use a small amount of alcohol on a hand towel  Barriers should to be replaced every 2 years. *Your machine comes with a FDA approved Dura Blue sheet cover, that protects the barrier.. For sanitation purposes (this can be covered with a disposable paper barrier to be discarded after each patient) or wiped down with a diluted solution of alcohol and water, or a solutionof mild soapy water. 3. Clean fins on chiller (vacuum or brush off dust). SEE PHOTO #2 4. Drain and clean the machine. (using non-abrasive cleanser ** rinse thoroughly) SEE PHOTO #3 for spigot location. 5. Make sure traveling jet system wheels are clean and spin freely. SEE PHOTO #6 6. Check cable for proper tension. If loose, please call 1-800-699-1008. 7. Check motor drive shaft connection. SEE PHOTO #7 If it is loose, the use of lock tight is recommended. 8. Clean the brass heater tube and the small 3/16" hole (liquid level) next to the heater tube. Do not jar the brass tube or put anything into the 3/16” hole. SEE PHOTO 8 9. Check all hose clamps inside and out to be sure they are tight. SEE PHOTO #3 & #12 10.Check the 1 1/2" hose to water manifold for wear. SEE PHOTO #11 11.Rinse the machine thoroughly, refill it with 25 gallons of distilled water. Add defoamer and algaecide. 12.Replace barrier & padded rail & side panel. YOUR AquaMED IS NOW READY FOR USE.
  • 23. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 19
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  • 27. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA CPT CODES CURRENT PROCEDURAL TERMINOLOGY PAGE 23
  • 28. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA CPT Coding Guidelines for Dry Hydrotherapy Revised 1/2/02 AquaMED beds and chairs are listed as Class I physical medicine devices under the FDA 510 (k) program. At present, there is no specific CPT Code for Dry Hydrotherapy that encompasses all the aspects of treatment. In March 2000 the Multidisciplinary Academy of Affiliated Medical Arts (MAAMA) asked the AMA to provide guidance as to how to code Dry Hydrotherapy since there are several treatments taking place simultaneously. The following is a portion of the response to us, from Dr. R L Ramsdell, that can be found at www.maama.org/new_page_5.htm. “… we enclosed your informational materials and our explanation of the combined methods of action produced by your equipment. We additionally cited its ability to perform simultaneous procedures as currently identified with individual CPT™ codes such as heat and massage that coincidentally mimic whirlpool and, with the larger units generate sufficient pressure on the spinal column to produce intersegmental traction like separation. Their response was as follows: "From a CPT coding perspective, the product insert included in your request regarding use of the AquaMed™ and AquaMed II™ devices indicates that both devices incorporate the use of warm, water-filled surface that acts to massage the affected area, simulating the effects of a number of modalities. However, only one procedure is performed. Therefore, since there are no codes in CPT that specify the services provided by the use of the devices indicated and since both of these procedures are identified as a physical therapy modality, THE MOST APPROPRIATE CODE TO USE FOR THESE SERVICES WOULD BE CODE 97039 (a report should be included with the use of this code to identify the specifics involved in performing the service). “In reviewing this decision, we feel 97039 (unlisted modality, specify type and time if constant attendance) would be the most appropriate provided the procedure is administered under direct (one on one) patient contact by the provider or "incident to" provided the supervision requirements are met for that application scenario.” Dr. R.L. Ramsdell It should be noted that the AMA recently changed some coding guidelines. One change, is a direction that states, “Do not select a CPT code that merely approximates the service provided. If no such procedure or service exists, then report the service using the appropriate unlisted procedure or service code.” According to Dr. Ramsdell, this should not affect those who are billing Dry Hydrotherapy solely for the effects attributable to massage. In his opinion, it would also be appropriate to code Dry Hydrotherapy treatments as massage (97124) since the equipment creates “effleurage, petrissage and/or tapotement (stroking, compression, percussion)”. He also considers Dry Hydrotherapy treatments to be a “Supervised Modality” which does not require direct patient contact. (A modality is “any physical agent applied to produce therapeutic changes to biologic tissue; included but not limited to thermal, acoustic, light, mechanical, or electric energy.”)* Since codes and reimbursement policies change, and can vary by region as well as insurance carrier, JTL can make no guarantee that Dry Hydrotherapy treatments will be reimbursed. We recommend that you contact local authorities, regulators and insurance carriers for their suggestions as to how to best code for reimbursement. *Source of definitions: American Medical Association Current Procedural Terminology 2002 AMA 2001 revision CPT GUIDELINES 97039 / 97124 PAGE 24
  • 29. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Page 25 Circulatory System Through its mechanical action on the soft tissues, produces a reflex vasodilatation of the blood vessels, thus increasing local circulation. From this primary effect, the following changes are also produced. Reduces schema (lack of blood), therefore reduces pain due to chemical irritation of free nerve endings. Speeds elimination of metabolites (waste products of metabolism) from local tissues, thereby relieving tissue congestion Helps to reduce edema (swelling) in local tissues and extremities. Promotes dispersal of metabolic waste products. It may be used to reduce edema, preventing fibrosis and possible subsequent adhesion formation. Increases the number of red blood cells in circulation. Increases general nutrition of the tissues. Brings about an increased exchange of fluids and materials between the blood stream and the tissue's cells enhancing cell metabolism and removal of wastes. Increases peripheral circulation from its local mechanical effect. The initial circulatory stimulation causes a slight increase in blood pressure followed by an overall lowering of blood pressure. Helps to facilitate tissue healing through its enhancement of circulation. Reduces pulse rate. Increase the systolic stroke volume. Can break the cycle of spasm and pain, decreasing both. Enhances vasodilatation. Nervous System Sedative or stimulating effect on the nervous system depending on the type and length of treatment given. Reduces sympathetic stimulation and helps to balance the autonomic nervous system. Relaxes the muscles and helps to reestablish proper tonus through its effect on the neuromuscular reflex pathways. Affects the neurotransmitters of the brain and increases endorphin secretion in particular. Can reduce nerve entrapment through the release of soft tissue or muscle binding. Lymphatic System Increases tissue fluid and lymphatic circulation thus reducing edema and enhancing the immune and filtering activities of this system. Increases venous and lymphatic flow. Reducing swelling by enhancing lymphatic flow. Skin Helps to reduce tension in the skin and adjoining tissues as well as increase its circulation. Musculoskeletal Systems Increases blood supply and nutrition to muscles .Speeds the elimination of metabolic wastes including lactic acid. Thus, it helps muscles recover more quickly from exertion and fatigue. Relaxes muscles, reducing spasm, tension, and cramping Improves muscle tone and helps prevent, or delay, muscular atrophy resulting from inactivity. Reduces adhesions and fibrosis thus freeing muscle fibers and fascia (connective tissue) from restrictive binding. Can stretch the connective tissue, rearrange its shape, and reduce myofascial strain and chronic shortening. Improves circulation and nutrition of the joints, increasing joint range of motion. Helps to reestablish proper tone in the muscles through its effect on the proprioceptive reflexes. Reduces muscle and soft tissue pain and can reduce and eliminate "trigger points". Reduces joint strain and compression through releasing tight muscles and tendons. Increases case and efficiency of movement. Supports increased work-capacity and metabolism Can stimulate muscle contraction. Excretory System Increases the excretion (via the kidneys) of fluids and waste products. Can facilitate elimination through the large intestine by mechanically stimulating peristalsis and improving tone. Respiratory System Deepens and normalizes the breathing pattern through relaxation and release of tension in the breathing structures, both the rib cage and muscles of respiration. Biophysical Effects Increases oxygen intake of tissues Increases metabolism . Neuromuscular Effects Analgesic Elevates pain threshold. Assists in resolution of muscle guarding. Alters nerve conduction velocity. In combination with exercise, enhances elasticity of connective tissues.
  • 30. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA WWAARRRRAANNTTYY IINNFFOORRMMAATTIIOONN MMAAIILL IINN WWAARRRRAANNTTYY FFOORRMM Page 26
  • 31. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Limited Warranty JTL Enterprises, Inc. will repair or replace, at the company's option, any parts found to be defective due to workmanship or materials for the following periods. A) Tank & Frame 3 years B) Electronics & Mechanical 1 year C) Barrier & Cushion Rail (Pro Rated) 1 year D) Labor 90 days All work requires prior authorization from JTL Enterprises, Inc. "Warranty Authorization Codes" will be assigned by JTL. The code must appear on the service warranty invoice to be valid. In the event of Holidays and After hours (EST), etc., serving the customer should take priority and the code must be obtained on the next business day. Time standards for certain repairs will be established and published on an ongoing basis. (JTL) reserves the final payment approval for all hours reported on the work performed. A service report must be included with any invoice explaining the problem, work performed, parts replaced and travel time required. Service Rate Schedule A) $15.00 per hour for travel time up to 2 hours B) $30.00 per hour for on the job repairs All hourly rates are calculated to the nearest 15-minute increments. On the job repair is subject to time standards that will be established on an ongoing basis. This warranty does not apply if: (I) the product has been repaired by anyone other than a company Authorized Service Representative; (II) the product has been damaged by improper connection or disconnection with any electrical device; (III) the product has been damaged by an act of God, accident, misuse, abuse negligence or any other use other then the product's intended use as set forth in the company's specifications; (V) the product has suffered damage from a blow or external trauma; (VI) distilled water was not used. (The warranty does not cover cosmetic damage.) The sole remedy under this warranty is the repair or replacement of the product provided herein. In no event shall the company be liable or responsible for any incidental consequential or indirect damages for breach of any express of implied warranty on this product. In any event, if damages are awarded, they will be limited to the cost of the product. Page 27
  • 32. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA Some states do not allow the exclusion or limitations of incidental, indirect or consequential damages or allow limitation to the length of an implied warranty, in which case the foregoing warranty shall be extended to conform to the minimum requirements of such applicable law. Disclaimers JTL shall not be liable for loss of use of AquaMED or other incidental or consequential costs associated with the installation of AquaMED. (Any implied warranty shall have a duration equal to the duration of the applicable warranty stated above.) Under no circumstances shall JTL, or any of its' representatives be held liable for injury to any person or damage to any property, however arising. This warranty gives you specific legal rights and you may have other rights, which vary from state to state. (ALL PARTS SHIPPED FREIGHT COLLECT) Limited Warranty From JTL ENTERPRISES INC.: This limited non-transferable warranty is extended from JTL ENTERPRISES, INC. to the original purchaser of Dry Water Massage Equipment (Herein "Equipment"). What we will do: JTL ENTERPRISES will administer only the warranty provided by the original component part or equipment manufacturer. What is not covered: This warranty does not cover damage resulting from accidents, alteration, misuse, abuse, tampering, improper or unauthorized maintenance or repairs, use contrary to published instructions, or purchaser's negligence or neglect. Purchaser must place the equipment in an area that conforms to JTL Enterprises published space, electrical and environmental requirements. Remedies and Limitations: The sale and exclusive remedies under this Limited Warranty shall be repair and/or replacement as set forth above except where prohibited by law. JTL ENTERPRISES, INC. shall not be responsible for any damages, whether direct, indirect, consequential, incidental or economic in this limited warranty. Note: Some states may not allow the exclusion or limitation of consequential or incidental damages so the above limitation or exclusion may not apply to you. This thereby limits the duration of all implied warranties of merchantability and fitness for a particular purpose to time listed on warranty sheet. Note: Some states may not allow limitations on how long an implied warranty lasts, so the above limitations may not apply to you. No Other Warranties Exist: No other warranties, express or implied, exist with respect to the equipment. Oral statements by salespersons do not constitute warranties. Salespersons are not authorized to make warranties with respect to the equipment. This entire agreement is embodied in this writing and no other warranties exist. This writing constitutes the final expression of the parties' agreement and is the complete and final statement of the terms of the agreement. Page 28
  • 33. AquaMED MANUFACTURED BY: JTL ENTERPISES, INC CLEARWATER, FLORIDA LIMITED WARRANTY How To Obtain Parts Under Limited Warranty: Return defective parts, within 15 days (no exceptions) of receipt of new part, to: JTL ENTERPRISES, INC. - 15373 Roosevelt Blvd., Suite #200, Clearwater, FL 33760 Customer Name:_________________________ Model# ________________________ Address:_______________________________ Serial#_________________________ City/State: _____________________________ Date of Purchase: _______________ Phone #: _______________________________ Dealer's Name:_________________ All replacement parts will be shipped freight collect: Specific legal rights: This limited Warranty gives you specific legal rights, which vary, from state to state. Where to get further help : If you need further assistance or information concerning this Limited Warranty Call 1- 800-699-1008 Please return this Limited Warranty by mail to: JTL ENTERPRISES, INC. 15373 Roosevelt Blvd., Suite #200 Clearwater, FL 33760 Before mailing please make a copy for your records. This form must be returned 30 days (or sooner) from date of installation to activate the Limited Warranty. If the form is not returned complete this warranty cannot be activated. Page 29