DOCUMENTS

Regen Pod Training

This is a non-controlled version of the pod training program for general use before the purchase of a pod. It may contain errors. This manual cannot be published or given to anyone without the expressed permission of BioPhotonica.

There are 4 basic concepts related to PhotoBioModulation that determine the effectiveness of the process.

  1. Wavelength Control: Different wavelengths of light interact at the cellular level differently. Using appropriately selected wavelengths of light allows for better control of the PBM process in a wider range of applications.
  2. Optimum Dosage: Controlling the dosage and distributing the dosage over the desired area is a critical element to producing repeatable results. It is dosage that control the photo-chemical response of the cells. Differences in skin color and patient size change the dosage requirements and so these factors should be integrated into the program.
  3. Control of Pulsing/Continuous Wave: Pulsing the light source is similar to the energy work that acupuncturists do. Different parts of the body have different natural frequencies and controlling the light pulsing allows for “recalibrating” of the energetic systems of the body. The Pod can also output continuous wave. In general, research has shown that continuous wave is best for nervous system issues and pulsing is best for most everything else. The Pod also allow users to control the duty cycle (ratio of on time to off time) when pulsing. The factory standard is 85% so that means that the LED are turned on 85% of the time and turn off 15% of the time. A higher duty cycle allow for faster treatment times to reach the same dosage. The Pod can be pulsed from 1 to 10,000 Hz (cycles per second).
  4. Great Programs: High quality programs (or sometimes called protocols) are need to deliver consistent results. Better systems allow for multi-step programs. In many case, there is disagreement about which one pulsing frequencies is the best for a specific condition, To accommodate for this, a good systems should sequentially pulse the light at different pulsing frequencies based on the best knowledge available. This requires multi-step programs to cover multiple pulsing setups. The Pod allows user to add as many steps to a programs as they want and they can control the dosage based on the time of each step. In general, ramp up the pulsing frequency to energize users and reduce the pulsing frequency in each step to relax the user.

The Pod is designed around these 4 basic principals and give users the control they need for each of these critical factors.

FYI, Many of the ideas for the Pod come from the laser therapy market. You can watch some great videos on what makes a laser great here on our other website:
https://www.laser-therapy.us/training/
Click on the eyeball to see videos from a doctor presenting at a traumatic brain injury (TBI) conference. This is not an FDA cleared applicatin but it one the toughest and most exciting areas in PBM so these videos will help you understand the underlying challenges and key elements.
You may also do research on PBM, laser therapy and research specific areas here:
https://www.laser-therapy.us/research/

In general, therapy laser and Pods are doing the same thing but lasers are highly restricted, coherent emitters and better at targeting small areas where pods are less restricted, and can deliver higher dosages in a safer way where the energy is desired to cover a larger area. For specific deep tissue treatments, laser are better but for more complex problems and people with multiple issues, a Pod is the best solution.

Cloud Connectivity is Key

As seen in the picture below, the Pod is cloud connected and can be controlled through the kiosk or the Pod App on an internet “remote control” of the pod can only be done from inside the same Ethernet network.

The Pod system is designed with 2 levels of control:

  • Owners: Owners have full access to setups, programs, presets, user info and system tracking.
  • Users: Untrained users are limited to using the pod through the self-serve interface OR by selecting from the list of favorite programs “permanently” installed on the pod. Users can not change the setup/operation of the system from inside the pod.
  • From the kiosk or app, owners of a Pod can send ONE user program to the pod at a time.
  • Once selected, the graphic display will show details about the active (currently selected) program

The Pod system is designed with 2 levels of control:

  • Owners: Owners have full access to setups, programs, presets, user info and system tracking.
  • Users: Untrained users are limited to using the pod through the self-serve interface OR by selecting from the list of favorite programs “permanently” installed on the pod. Users can not change the setup/operation of the system from inside the pod.
  • From the kiosk or app, owners of a Pod can send ONE user program to the pod at a time.
  • Once selected, the graphic display will show details about the active (currently selected) program

The Internal Graphic User Interface (GUI - Inside the Pod)

All the major interactions with the system like program creation and user management are done from the Kiosk or App, outside the pod. Inside the pod, users can use the touchscreen to select from a favorites list of “permanently” installed programs or execute the one user-specific program.

Selecting and executing a program from the “permanent” favorites list, starting, pausing and stopping the programs are all done from inside the pod. The following image shows an example of the internal display on the pod. During normal operation, the system will show important programs information on the display and the information will be updated during each step in the program.. Once a program is selected, the system will show:

  • User name (Optional)
  • Program name
  • Important warnings about the program
  • Total time
  • Step time
  • Duty cycle (on/off ratio) of the system
  • Current pulsing frequency.
  • Use the START button to turn on the system and execute the one (1) active user-specific program downloaded to pod.
  • Use the SELECTbutton to view a list of “permanently” installed in the pod and then press start to execute that program.

Owners of a Pod have access to all the users and setup variables. When the Pod is shipped, it will have many of the advanced features turned OFF. It is best to work with the system in the basic mode before changing any of the advanced settings. Owners can create and “permanently” save a set of their favorite programs on the pod. These programs will be available even if the pod losses it’s internet connection.

Owners may also create multiple users and each user can have multiple user-specific programs stored on the cloud. One user-specific program can be sent to the pod through the App or kiosk and the program can optionally be adapted to the users skin color and size or not. The kiosk/App is used to manage users, programs, presets and settings and users should only use the internal touchscreen inside the pod to select from the favorites list, start, pause and stop programs. The Pod holds 2 types of programs internally:

  • One user-specific program (which can be adaptive or non-adaptive)
  • A list of favorite program created by the owner on the programs page (non-adaptive)

All the rest of the information regarding a pod (including usage and statistics) is store on the cloud. Every night the system automatically updates itself as required so the Pod is always up to date. In some cases, the remote (included in the app) can be used to turn on and off the system and track user progress.

Understanding The Operating wavelengths

The following tables shows the standard wavelengths and their common applications.

Wavelength Percentage Application
633nm (visible)
30%
Shallow depth of penetration, absorbed by melanin in the skin and hemoglobin in the blood. Best for skin and blood absorption.
810nm (invisible)
10%
The most popular wavelength for therapy lasers. Very high depth of penetration and a very high photochemical response from the mitochondria in every cell.
850nm (invisible)
30%
Similar to 810nm. Near optimum for photobiomodulation. Similar effect as 810nm.
940nm (invisible)
30%
More popular for increasing blood flow and vasodilation. Wavelengths in the 900nm range are very common in pain clinics.

Each wavelength is individually controlled in both pulsing frequency and power level.

Overall System Architecture

The creation of custom user-specific programs is based on 3 levels of “building blocks”. These are the 3 most commonly used tools in the App and you can access them from the links at the top of every page (when not in self serve mode) or from the dashboard.

  • Presets: The basic building blocks of programs. Presets determine the power level and pulsing frequency of each of the wavelengths.
  • Programs: Multi-step plans combining different times for each preset for a specific application.
  • Users: Users may have multiple programs and the programs may be adapted to their skin color and size or not.

These 3 pages and a link to the dashboard are always available on the top tool bar (except with in the self-serve mode)

Accounts and Multi-Pod Installations

  1. Factory programs are available to all Pods
  2. User-created programs are associated with one OWNER account
  3. Users are associated with one OWNER account.
  4. This eco-system allows for many different types of systems:
    1. A national chain might have just one OWNER account so that users can travel anywhere and access their USER accounts anywhere in the world.
    2. If the national chain does not want to have universal access, they will have one OWNER account for group of each facility and pod that will share a group of users.
  5. Kiosks will typically be associated with one pod. This means that in a facility with multiple pods, a user can walk up to a Kiosk and log into their USER account (not a owner account) and retrieve their personal info and download it to the pod associated with the Kiosk.
  6. The concept of OWNER accounts is critical to the security of the systems because no one has access to anyone else’s OWNER account.

WiFi Setup

See the users manual for information about setting up WiFi on the Pod, the Kiosk and using Guided Access to lock down the Kiosk.

Logging On

Anytime an owner runs the Pod app, they must enter their e-mail address and password to get access.

If owner has more than one pod, the system will ask which pod they want the new device to have as a default. This means that systems like a kiosk will only work with 1 pod but the owner can see their entire network of pod in the more advanced areas of the app.

Presets

At the base of the system architecture are presets. Preset specify the:

Pulsing frequency for each of the 4 wavelength
Power level of each of the 4 wavelengths when pulsing. The system delivers 100% power when in continuous wave (CW) mode.
A preset may include continuous wave output (non-pulsing) on any wavelength. Presets may be fixed or sweeping. If the 4 wavelength are pulsed at the same frequency, the preset should be fixed. If each wavelength has a different pulsing frequency, the preset can be:

Fixed: locks each specific pulsing frequency to each wavelength
Sweeping: this will rotate the 4 pulsing frequencies across the 4 wavelengths with each rotation happening for a ¼ of the total time for that step
Here is an example that illustrated how the system will sweep (rotate) a set of pulsing frequencies and power levels in a single preset.

Phase630nm810nm850nm940nm
1/48442741222
2/42228442741
3/47412228442
4/44427412228

There are 3 types of presets:

  • Standard: standard presets include all the classical published pulsing frequencies that are commonly used and installed on laser therapy systems. These include frequencies published by Nogier, Futchenbush, Shumman, and others. These presets are Not user editable.
  • 3rd Party: 3rd Party presets are based on very specific frequencies associated with specific doctors or researcher. 3rd parry preset are not standard on the Pod and must be downloading through the setting page. These protocols uses keyword associated with medical conditions but they are not used to diagnose, treat or cure any medical condition. These preset are not user editable.
  • User: Users can create unlimited custom presets. When looking at standard and 3rd party preset, users can use the duplicate and the edit a user preset. User preset are always displayed above the standard and 3rd party preset in the sort order. User presets can be edited by the creator.

The Presets page shows all the existing standard presets and a summary of the parameters for each preset.

There are 3 types of presets:

  • Standard: standard presets include all the classical published pulsing frequencies that are commonly used and installed on laser therapy systems. These include frequencies published by Nogier, Futchenbush, Shumman, and others. These presets are Not user editable.
  • 3rd Party: 3rd Party presets are based on very specific frequencies associated with specific doctors or researcher. 3rd parry preset are not standard on the Pod and must be downloading through the setting page. These protocols uses keyword associated with medical conditions but they are not used to diagnose, treat or cure any medical condition. These preset are not user editable.
  • User: Users can create unlimited custom presets. When looking at standard and 3rd party preset, users can use the duplicate and the edit a user preset. User preset are always displayed above the standard and 3rd party preset in the sort order. User presets can be edited by the creator.

The Presets page shows all the existing standard presets and a summary of the parameters for each preset.

  • You can hover over the Preset name so see descriptive text about the pulsing used in this preset.
  • If the 3rd party app feature is turned on (in the setup page), the title will reflect the extended presets.
  • If the preset is a factory or 3rd party preset, then the Modify and Remove buttons are disabled. If the protocol is user created then these options are enabled.
  • Preset can not be deleted because once they are added to a program, deleting the preset will crash the program.
  • The First Preset is Continuous wave. This does not pulse any of the wavelengths.
  • Each Preset shows the pulsing frequency and duty cycle (On/Off ratio). 85% is the standard for most protocols.
  • You can click on the  to add a preset to your favorites. This will turn the  gold. Then when you are building programs, your favorites are listed at the top.
  • Use the  button at the top of the presets page to create a new preset.
  • Add a descriptive but anonymous name to the preset. You will probably want to use the preset for multiple people so don’t name it after a person.
  • You can add optional notes that will help to find the best application for the pulsing. The notes will be visible as a floating tool tip on the programs page.
  • Select Either Fixed or Sweep: If the preset has multiple different pulsing frequencies and you want them rotated over all 4 wavelengths, choose sweep. If the pulsing is the same for all 4 wavelengths, choose fixed.
  • You can selectively turn off or pulsing or continuous wave (CW) any one wavelength . If the system will be pulsing, enter the pulsing frequency. The percentage is the duty cycle (Percentage of the time it is ON).
  • When done, press the Add New Preset button.

Once you have completed a preset, you can add more to create a program and add it to the program.

Programs

Programs are built of one or more presets. Each preset is considered a step in the program and the creator defines the step time and step order. These are 3 types of programs:

  • Standard: These programs are generic program that include multiple presets. The can not be user edited.
  • 3rd Party: These programs are not standard in the pod but they can be downloaded through the setup page. These programs use keywords to help in selection but they are not designed to diagnose, treat or cure any health conditions.
  • User: Owners can create unlimited custom programs. Owner can duplicate standard and 3rd party programs and then edit them

The following image show the standard programs screen.

  • If 3rd party protocols are turned on from the setup page, the page title will reflect the availability of these non-factory programs.
  • Click on the  to add any protocol to the list of permanently installed protocols on the Pod. These protocol have a icon to show that they are available from the touchscreen inside the pod.
  • Hover over the name of any program to see a floating description of the goal for this program.
  • This page shows the standard treatment time and number of steps. If adaptive protocols is turn on, the actual treatment time will be adapted based on the users skin color and size.
  • Factory and 3rd party programs can not be deleted or modified. They can only be duplicated. Press the Dup button to make an editable copy of the program.
  • User programs may be modified. If a program is deleted, it is also deleted from all users and it can not be restored.
  • Click on the text button to change the name and description. Click on the Steps button to add and remove presets from a protocol.

Use the  button at the top of the Programs page to create a new user program. This starts the 2 step process of creating a new program.

  • Enter a generic name for the program and a description of what the program will be used for. The notes will appear as a floating tool tip on the users page so this test should describe the goal of the program.
  • Press the Add new Program button to go to the second part of the process.
  • The name of the program has now been saved and you may add any number of pulsing presets to the program.
  • Hover over the name of a preset to see test about it usage.
  • There are 3 icons to show the source of the preset. Factory Preset, 3rd party Preset, User Created Preset
  • Use the buttons to add time for each preset ranging from 15 seconds to 10 minutes. For times longer than 10 minutes, just add it twice.
  • Added presets will show on the list at the top.
  • When adding presets, keep in mind the “ramp up /ramp down” for the order of the each pusling step. Just like in music, if you want to energize the user, start with the lower frequency (slower) pulsing options and then end with the highest frequency pulsing. If you want users to relax, start the high frequency pulsing options and then finish with the lowest pulsing frequency.
  • Use the Up and down buttons to change the order of the preset within the program.
  • Use the X to remove a preset.
  • Click Done when ready.

This is the standard process to create a new program. User programs can be added to the internal list of permanent programs using the  button on the programs page or you can add the program to a specific user.

Users

The Pod system allows for the creation and management of users. Once a user is created, multiple programs can be assigned to the user. User programs can be:

  • Adaptive: Automatically adjust for skin color and patient size.
  • Non-adaptive: NOT adjusted based on skin color and patient size

The adoption of program treatment times is a best-practice in photobiomodulation. This ability can be turned on and off in the setup page.

  • From the users page, select on the name of any user to drill down and review and add programs to this specific users.
  • The Phone number for each user is show. This is the number they will use if they use the self-serve feature on the kiosk.
  • The list also shows how many protocols are assigned to the user and when they were added to the system.
  • To change details about the user, click the Mod button.
  • To delete a user, click the X

When you click on the users name, you see the details page:

  • At the top of the page is the users name followed by the programs assigned to this user.
  • Click on the See history to see which protocols the user had downloaded to the pod.
  • Click on the program name button to send this program to the Pod. They can then get in the pod and press start.
  • Use the review button to see the steps in the program and the X button to delete a program from this users.
  • At the bottom of the page are programs that are available for this users. Click the + Protocol Button to add another program to the user.
  • Hover over the name of an available program to see the description.
  • Press Done to return to the patient list

Dashboard

When an owner logs into the Pod app, the system displays a default dashboard. From this dashboard, owners can get access to every feature of the Pod. In addition to the 3 mainly used buttons for users, programs and presets, the dashboard contains these functions:

  • Self-serve: This button is mainly used on the kiosk to lock out users form most of the system. Once this button is pressed. The system will not allow users access to most of the features of the pod.
  • Setting: This button loads the setup page where the system can be customized.
  • Training: This is the trading page.
  • Support: this page include the user manual and contact information about getting factory support.

Setup

The Setup page allows owners to customize the way the Pod is used. The following screen shows the screen used to setup the system.

WARNING: These setting can have a major impact on how the Pod functions. Owners should only change theses setting from the factory default after then understand exactly how these system change the performance.

Owners must press the Save button to save any changes!

    • Support Feedback: When turned ON the kiosk will automatically ask users about the results of the last session if they are using self-serve mode and they have had a session within the last 2 weeks. The system will ask them to rate the session from 1 to 10 and give them an area to add optional comments. This information can be used to improve the program in the future. Factory default is OFF.

    • Feedback Time: This is the number of days after a session that the system will ask for feedback about the last session. If it becomes too long, people forget and the value is reduced.
    • Red Pulsing Override: When turned ON, this will not pulse the red LEDs at below 60Hz to avoid any potential problems with epileptics or light sensitive people. Unfortunately many of the most popular pulsing frequencies are less than 60Hz so this limits the effectiveness of the system. The override only stops pulsing in the red and does not change the IR pulsing. If turned OFF, they system will give users full access to pulsing down to 2 Hz.
  • Adaptive Dosage: When turn ON, the system will adjust user-specific protocols based on the user’s skin color and size. There is no way to adapt the “permanent” programs installed in the Pod. When OFF, the system will use the default treatment times based on the program.
  • Allow Remote Control: When turned On, the system will show a link on the dashboard and when ever a user specific program is download to the pod. If you click the link it will attach to the Pod server and show a mirror image of what is displayed on the pod Graphical User Interface (GUI). The link only works if the kiosk or App is on the same network so users that are outside the network will get an error when clicking on the link. In a managed facility, this feature allows an attendant at the main desk to see how when users will be done. This can aid in scheduling the Pod for maximum usage.
  • Show User Created Programs in Self Serve Mode: Yes = Default, See table below for the options for these variable.
  • Show Factory Created Programs in Self Serve Mod: Yes = Default, See table below for the options for these variable.
Show Factory Programs (YES) Show Factory Programs (NO)

Show User Programs (YES)

Show both factory and user create programs for maximum options.
Use this setup to display a custom list of user-created programs and no factory programs. Great for private label products.

Show User Programs (NO)

This setup is for pods where the owner creates custom protocols for a single application or user and does not want them available to the general public.
Not Recommend. Show no programs in self serve mode.

**These options only apply to the self serve mode and not to the full access mode.

    • Private User: When turned ON, the system will not show the user name on the GUI inside the pod. This is a better user experience but can allow some users to see other users name. When Off, the system will show the user’s name and the protocol on the pod GUI.

    • Download Program App Store: When selected, the system will download 3rd party programs that are not supported by the factory. These programs include keywords associated with medical conditions but they are not used to diagnoses, treat or cure any medical conditions. These programs use combinations of pulsing frequencies associated with different characteristics of the body.

    • Download Preset App Store: Similarly to the program, the preset app store downloads preset from 3rd party providers that can be used to build custom programs. These presets include keywords associated with medical conditions but they are not designed to be used to diagnoses, treat or cure any medical conditions.

    • Global Time Modifier: This is a fixed percentage that will adapt the treatment time of every program for the specific pod being edited. Programs (both factrory and user created) should all be created with a standard time of about 15 minutes. We can then use the Global Time Modifier to adjust then based on the user and business needs. Systems will a 4000 watt output will ship with this value set to 100%. Systems will 8000 watts will ship with a this value set to 60%. This value can be modified to increase the dosage for every program or to shorted treatment times during peak demand hours but it affects every progam (both user-specific and the pod favorites). It you change this value, you must go to the programs page and download a new set to the pod (by deselecting and and selecting one program).

    • Max Total Program Time: This setting limits the maximum time of any protocol before it is send to the Pod. The system will stop users from pushing a program to the Pod that exceeds this limit. This will prevent the system from having programs that are excessively long.

Self-Serve Mode

Owners can use the self serve mode to limit access of users to the system. To use the Kiosk in self serve mode, it best to click on the self-serve icon on the kiosk to start the self-serve program without any history in the browser. This will open the app at the login screen and there will be do way for users to get access to the user pages. The training on how to use the self-serve Kiosk features is included in a separate document.

Training Videos on the Theory of PhotoBioModulation

The following training videos are from a Dr. Antonucci presenting at a tramatic brain injury conference. This is not an FDA cleared application but it is one of the toughest application so they care about every detail in PBM from the wavelengths to the pulsing, dosage and chemical chain.

The Cellular Mechanisms of Laser Therapy (Photobiomodulation) – Dr. Matthew Antonucci (9:59 Minutes)
Watch this video to better understand the biphasic response of and chemical reactions that occur during laser therapy. This video covers the key role of chromophores, how longer wavelengths penetrate tissue better and shows the convertion of light into ATP. LLLT can also produce secondary, tertiary and systemic effects.

Understanding Light Sources and Dosimetry – Dr. Matthew Antonucci (16:30 Minutes)
Watch this video to better understand how we calculate dosages based on the wavelength, depth and total treatment area.

Traumatic Brain Injury – Dr. Matthew Antonucci (5:41 Minutes)
TBI is not an FDA cleared application but it is a very hot research area. Many of the same principal from this research can help us understand treating tissue deep inside in the body.

An Introduction to using the Pod (Self-Serve)

Most Pods have a select list of internal programs. At any point, a user can enter the Pod and select from the list of general programs and press the start button to begin a session.

When the kiosk is in self-serve mode, the system allows users limited access to the more complex features of the system. Users may do the following:

  1. Create a new account on the system and access basic programs.
  2. Log into their account and add or remove programs
  3. Check contra-indication, see warnings and get basic training.

This is the login screen of the self-serve system.

1. Create a new account

Users can create a new account by selecting the “Create a new account” link on the login page. New user must enter their name and phone number. They must also include their skin color and size so that the system can adapt their programs for a more consistent dosage. Users must also read teh disclaimer and confirm that they have read it before they can create a new account.

  1. User must input a first and last name
  2. Enter your phone number. This will be used to recall your account.
  3. Enter your skin color and size. This information can be used to adjust dosage based on the best practices of PBM.
  4. Choose if the system will be allowed to pulse the system at less than 60 Hz.
    1. Many of the most powerful pulsing frequencies are less than 60 Hz like all the brain wave frequencies.
    2. Pulsing at less than 60 Hz may cause seizures in light sensitive people so the default is to have this feature turned to NO!
  5. Users must also check the block saying that they have read and agreed to the terms and conditions.
    Once they click the add new user button, they are taken to the standard self-serve page where they can add and subtract programs to their new account. This screen is seen in the next section.

2. Using an Existing Account

If a valid account number is entered into the login screen, the user will see their specific user account.

On this page, users can:

  • Click on the eye to see their history of downloads.
  • Load any of the programs to the pod by clicking the blue button with the desired program name.
  • Add and remove programs from their personal list.
  • Click the done button to return the kiosk to the login screen.

This page will automatically close after 3 minutes and go back to the login screen.

This concludes the general Pod training, additional information is available in the user manual on the support page. If you have more questions, please call customer support or use the contact from on the contact page.

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