Download User Manual for Ultima 5 T.E.N.S. UNIT

UserManual
forUltima
5T.E.N.S.
UNIT
PRESCRIBING
INFORMATION
FOREWORD
A
youstarl
ReadthisUserManual
carefully
before
yourUltima
using
5 T.E.N.S.
unit.
Themanufacturer
recommends
strongly
carefully
reading
of the "Wamings
andCautions"and
Chaotens
ofthisUserManual.
WARNINGS
AND CAUTIONS
Prescription
labeling:
Federal
lawrestricts
thisdeviceto saleor use
byor on theorderof a practitioner
so licensed
bythestate,
Contraindications:
1.Donotplacethepadsonlhecarotid
sinuses
located
al thetwosidesof theneck,(where
a doclor
feelsfora pulse),
orovertheeyes.
2, DonotusethisTE.N.S.
unitif youhavea
heartpacemaker
or seriousheartrhythm
oroblem.
placement
3. Anyelectrode
thatcauses
arrrent
(through
toflcrrry
transcerhally
thehed).
painsyndromes
whenever
4. TheuseofT.E,N,S.
isestablished,
untiletiology
areundiagnosed,
WARNINGS
unitduring
the
Do notusethisTE.N.S.
pregnancy
on theaMonen
or at anytirne
p'rEnancy.
dudng
forpain
ThisT.E.N.S.
unitis noleffective
(lnclude
headache)
origin.
ofcentral
be usedonlyunder
TE N S. unitshould
supervision
ofa physician.
thecontinued
t
WARNINGS
Do not useany padwhichsizeis lessthan
40mm
X 40mm.
Allergic
reactions
to lheself -adhesivepads
canoccur,
eventhough
theyarehypallergenic:
r
.
Donolapplyto broken
skin.
Donotapplypadsto skinthatdonothave
normalsensation.
lf the skinis numb,
stimulation
willnotbefeltandtoogreatan
intensity
mightthenbeusedaccidentally,
value.
T.E.N.S.
unithasnocuralive
and
treatment
T,E.N.S.
is a symptomatic
of
the sensation
as suchsuppresses
pain,whichwouldotherwise
serveas a
protective
mechanism.
Theusermustkeepthedeviceoutof the
reachofchildren.
maynot
equipment
monitoring
Electronic
properly
whenT.E.N,S.
slimulation
operate
isinuse.
S.unitif youaredriving
DonotuseT,E.N
machinery.
oroperating
yourdoctor
consult
lf youhaveepilepsy,
23
placethe blackadapter
2. Whereapplicable
closer
to thespinal
column;
e. g. if thearm
placethe blackadaptor
is to be treated,
higher
upthearmthantheredadaptor,
GENERAL
INFORMATION
Statement:This T.E.N.S.Unit has been
testedfor EMCrequirement
accordingto
EN60601.1.2
before
using
T.E,N,S
PRECAUTIONS
1 . Isolaled
casesof skininitation
mayoccur
placement
atlhesiteof eledrode
following
longlerm
application,
Effectiveness
is highlydependent
upon
patientselection
by a personqualified
in
themanagement
of painpatients.
PADS
ADVERSE
REACTIONS
Thepadsthataresupplied
withyourUltima
5
T.E.N
Unitareself-adhesive
and
S PainRelief
can be usedseveraltimes.Skin mustbe
a l l o w etdo b r e a t h es ,o t h ep a d ss h o u l d
be
periodically.
removed
Whennot in use,the
padsshouldbe placedontothe clearplastic
shield,
Skinirritation
andelectrode
burnsareootential
reactions.
adverse
The condition
of the oadsdoes affectthe
theperformance
of
conductivity
and,therefore,
losetheir
the unit.Whenthe padsinitially
quality,
it is possible
to reactivale
adhesive
a finesprayof
byapplying
theiradhesiveness
waler.Oncethe padshavefinallylosttheir
adhesivequality,new pads shouldbe
purchased.
22
GENERAL
WARNINGS
1. Donotimmerse
lE.N.S unitsinwater.
2. Do not placetheT.E.N.S.
unilcloseto
excessive
heat.
3. Do not use any padwhichsizeis less
than40mm
X 40mm.
4. In theUltima
5 modelT,E.N.S
unit,use
either:two
1.5voltAAAlkaline
disposable
(LR6)batteries
or two1.5voltAANj-MH
rechargeable
batteries
only,Theuseof
anyotherbattery
coulddamage
theunit
andis notrecommended.
When using a batterychargerand
with your unit,
rechargeable
batteries
rechargeable
in
batteries
useonlyN|-MH
your charger. Do not place
non-rechargeablebatteries (i.e.
in a battery
batteries)
disposable
alkaline
- thismaycausea battery
leak
charger
explosion.
or possible
if theunitis notused
Remove
batteries
forlhreemonths.
7.
of high
Keeptheunitawayfromsources
magneticfields such as TV ' S,
as
microwave
ovensandhiJispeakers,
thesemayaffecttheLCDscreen.
-20C
& R.H.of storage:
Temperature
--+80C,8%--80%
R.H.
1,2,3,4,5,10,12,1
4,16,18,20,25,
30,35,40,45,50,60,70,80,90,
100,1
10,1
40,1
20,1
30,1
50.
D. Outputvoltagerange
Theoutput
voltage
of twochannels
canbe
adjusted
individually
in 20steps.For500-ohm
load,theoutputvoltage
canbechange
from6V
to73Vinsteps
of3.5Vroughly.
E. Peakpulseoutputcurrent
The peak pulseoutputcurrenlof two
channels
canbe adjusted
individually
in 20
For500-ohm
steps.
load,theoutput
voltage
from12mA
canbechange
to 150mA
insteps
of7mAroughly.
RED&
BI.ACK
FASTENERS
ONTEATF
Temperature
& R.H.of transportation:-20
"C--+80'C,
R H.
8%--80%
At theendof theleadssupplied
withyourunit,
youwillfindredandblackadapters.
Theseare
Cathode
andAnoderespectively.
Thefollowrng
points
general
aremade
foryourinformation:
Moresensation
tendsto comefromthe
(Cathode)
blackadapter
21
Amplitude
CONTENTS
t
lfr
#rime
n
|!)
l"
Contents
(2).Mono-Phasic
waveform
Amplitude
ttn
Instruction
ForUse--....-.
n
4ri-.
II
H o wt oA s s e m bYl oe uUr n i-t . . . . . . . . . . . . . . .7- . .
AfterUse
1a
B.Pulse
duration
ExceptModeB, ModeD and ModeE, which
pulseduration
cannotbe adjusted,
by pressing
PW+or PW-key,thepulsewidthcanbeadjusted
from50u S to250u S instepsof 10u S.
O p e r a t ioofn
t h eT . E . N
S .U n i t - , - . . . - .. - . - . 1 3
Specification
. . . . . , . . . . . . .1. T
.
C.Pulse
frequency
BceptlVode
B andlMode
Ewitha fixedpulse
rate,by pressing
PR+or FR-key,thepulse
ratecanbedjustedto me d thefdlodng
(Fh):
values
20
Features...,....,.-..
Information
General
18
........22
FORPHYSICIAN
INSTRUCTIONS
OPERATING
counter-clockwise.
6
USE
INTENDED
for(Transcutaneous
Electrical
N.S.Stands
T.E,
ThisT.E.N.S.
systemis
NerveStimulation).
pain relieffor
usedto providesymptomatic
pain.
chronic,
acuteor post-operative
WORK
HOWDOEST.E.N.S.
your
T.E.N.S.
is believed
to workby stimulating
pain.
defenses
against
wvnnatural
body's
through
a gentlestimulus
Theunitproduces
padsnormally
placedoverthe areaof pain.
This stimulushelps the body to produce
painrelievers
calledendorphins.
natural
positioning
of thepadsis important
Thecorrect
benefitfrom
Somepeoplefeel immediate
However
somemay only achieve
T.E.N.S.
and
sessions
treatment
afterrepeated
benefit
period
of time,
overanextended
FORUSE
INSTRUCTIONS
YourUltima5 TE.NS.PainReliefunithas
andeasyto use.
to besimple
beendesigned
By pressing"PR-" keyand "PW-"
keysimultmeously,
thewaveform
canbe
intwotypes.
changed
7. Bypressing
"timerkey"for2 seconds
the
unitwill be lockedor unlocked
in toggle.
Whiletheunitis locked,
allparameters
can
notbe adjusted
excepttimerandintensity.
By pressing
ON/OFF
keycannotchange
thestatus
of locked/unlocked.
8. Whenthebatteries
arelow,thesymbol
ol
battery
is flashing
in 2Hzindicating
that
thebatteries
should
bereplaced.
9. Automatic
shutoff: When
theunitintensity
levels
are0 on bothchannels,
andit has
notbeenin usefor5 minutes,
theunitwill
beshutoffautomatically.
Detailinformation
rEardingto the Waveform,
Pulseduration,
Pulsefrequency,
Output
vollage
range,
cunent:
andPeakpulseoutput
A. Waveform
Thereare2 typesofwaveforms:
('l). Symmetrical
Bi-Phasic
rectangular
waveform
19
andthenbackto 100uS in thenext6
Pulserateis selectable.
seconds.
ModeE-- Modulll, PulseraleandPulse
widthModulation
Frequency
increase
from50Hzto 100H2
whilepulsewidthdecrease
from200u S
to60p S within5 seconds.
45min,
15min,30min,
Treatment
timer:Continuous,
60min,
90min
selectable.
FEATURES
the intensity
will
1. Whenmodechanges,
godowntozero;
automatically
Whenthe unit is turnedon, it will
automatically
enterthemodethattheunit
hadworked
inbefore
theunitwastumedoff;
Whenthe treatment
timeris set, it will
beginto countdownoneminuteby one
minute;
Onceit countdownto zero,the
unitwillautomatically
shutoff;
pulsewidthis being
pulse
rate
or
4 . Whenthe
function
isavailable,
theauterepeat
adjusted,
when "PR*" , "PR-" , "PW+" , or
"PW-" keyis helddownover1 second,
il
1
increased/
decreased
will automatically
stepper1/4second.
Twoknobson top of the unitadjustthe
intensity
inclockwise
or
byturning
18
CONTENT
INTHEPACK
pak should
YourT,E.N,S.
contain
thefollowing:
o1xT.E,N,S.Unit
o 2 x Leads
. 4 x SelfAdhesive
PadswithConneclors
( s i z e4: 0 m mX 4 0 m m )
o 2x AlkalineMl,54V
(l-R6)
Battenes
r 1 x Instruction
(which
youarereading)
Booklet
Havingcheckedall the contents
are conect
please
proceed
to assemble
theunit.
HOWTOASSEMBLE
YOURUNIT
Assembly
of theUltima
5 T.E.N
S. PainRelief
unitis verysimple
andrequires
onlyfivesteps.
STEP1 BATTERIES
Remove
he battery
coverandinserttwobattenes,
as shownon thediagram
insidethebattery
compartment.
Replace
thebattery
cover.
SPECIFICATION
Model:
Ultima
5
Channel: Dual
(peak
Maximum
150mA
value)
cross500Ohmload
Pulse
Wdth: From50u Sto250u Sadjuslade
Adjustable
Pulserate: From1Hzto 150H2
Output:
rectangular
Waveform:
Bi-phasic
Symmetrical
Monophasic
rectangular
Mode:
if thebatteries
Note:Yourunitwillnotfunction
Tocheck,press
incorrectly.
areinserled
the@ buttononceandtheLCDdisplay
will startup. Havingmadethis check
pressthe@buttonagainto switchthe
unitoff.
CAUTION
if thebatteries
are
Thereis a riskof explosion
1.5
wilhAAAlkaline
Replace
fittedincorreclly.
(LR6).Donotmixoldandnew
voltbatteries
areavailable
5 Modes
ModeA--Constant
ModeB--Burst
I
Twotrainpersecond,
250mson,
250ms
off;
withinonetrain,pulse
25 pulses
width=200
uS
ModeC--Burstll
Twotrainpersecond,
250mson,
250msoff;
Pulsewidthand Pulserateare
selectable.
ModeD--Modull, Pulsewidth
modulation
'100
from
Pulsewidthmodulated
u S to 250u S within6 seconds
17
batteries,
Do notdisoose
of thebatteries
in a
fireandkeeothemoutof reachof children.
Thebatteries
mustberemoved
fromtheunitif
unitis notusedfora longperiod
oftime.
2 LEADS
STEP
youwishto usetheunitwith
Decide
whether
oneleadortwo.
lf usingtwoleads,inserttheplugsintobothjacks
ontheplugsof theunit.lf onlyusingonelead,
insertintothechl iackasmarked
ontheunit,
\o,
o
,6)
@
O L E Dl i g h t
@ c h 1l i g h t
( t c h 2r i s h t
@ Pulsewidthup
@ PulseRateDown
Upordown
Chl
@ Intensity
@ l n t e n s iUt yp o r d o wCnh 2
RateUp
@ Pulse
@ M o d eS e l e cSt w i t c h
. Conslant
. E u r sIt
. E u r sltl
' M o d uI l
' M o d u| |l
@ TimerforTreatment
. Continuous
. 15/30/45/60/90
min
. Selectable
@ PulseWidthDown
@ onloft , lnlensityLock/unlock
@+@
Waveform
Pleaseread the followingdetal specification
Unit
carefully
before
usingtheT.E.N.S.
to
STEP3 PADS
padsfromthebagandconnect
Remove
tothe
leads.
in counter-clockwise
decrease
the
@ Turn
intensity,
Stands
forPulseRateUp,pressthiskey
toinoeasehefreqrary.
A
I
6
Standsfor PulseWidthUp,pressthis
keyto increase
thePulseWidth.
v
Stands
for PulseWidthDown,pressthis
keyto decrease
thePulseWidth.
Stands
for PulseRateDown,pressthis
keytodecrease
thefrequency,
@
10
tc
9
v
Pressthe keytz &s2 simultaneously
The following
to selectthe waveform
willbedisplayed
for
waveform
symbols
whenyoupressthekey.
3 seconds
tr
Biphasicrectangular
tr .---------.Symmetrical
.
.
n!
M o n o p h a sr ei cc t a n g u l a r
STEP4 PLACEMENTOF
PADS
youintend
Ensure
wherever
to placethepads,
that the skin is cleanand thoroughly
dry,
Remove
thepadsfromtheclearplastic
shield
andposition
onyourbodyasrequired.
NOTE
In a verysmallpercentage
of people,using
T.E.N
Rcetangular
waveform
S in Monophasic
canexacerbate
the symptoms
of pain.lf.this
inthiswaveform
immediately.
ocarc,stoptreatment
Pressthis key to selectmode,total5
Burstl.
modesareavailable.
Constant,
Burstll.Modul
L Modul
ll.
[6]
time
etett thiskeyto setthetreatment
Thesetwoknobsadjusttheintensity
ol
leftsideis for theCh1,right
@ channels,
sideis for Ch2.Turntheknobandthe
overzero,the corresponding
@ intensity
at thetopof theknob
LEDlightlocated
STEP
5 READING
willliohtuo.
increase
trtn inclockwise
theintensity.
G)
14
Readsection
on "Operation
of theT.E.N
S
Unit", anddecide
howto usetheT.E.N.S,
unit
11
qualityin ordernotto affectthe
adhesive
efficiency
oftheunit.
forthetreatment.
USE
NOTE: AFTER
OFF
Alwaysensurethatthe unitis switched
thepads.Afteruse,return
the
before
removing
padsto theclearplastic
Thereis no
shields.
needto separate
thepadsunitfromtheleads
andoads,
OPERATION
THET.E.N.S.
UNIT
Ultima5 T.E.N
S.Unitis easyto operate
by
pressing
thekeyasfollowing
diagram.
@
Intensitv
A @a'71\
9 @9v
WHATDOESEACHKEYDO
f)
:
lose
Lrfeof the@s: Whenthepds initially
quality,
it is posside
toreac'tivate
theradhesive
finespay of
by apSying
ther dhesiveness
thepadswhentheylosetheir
water,
Replace
12
Thiskeynotonlyswitches
the uniton and
off, but also has LocUUnlockintensity
function.By pressing this key for 3
secondsthe unit is on, the LED lioht
(greencolor)andthe LCDdisplaylocaied
al thefrontof the unitwilllightup,there
wrllbe no feelingfromeitherleadal this
timeas the intensity
alwaysstartsal zero.
Whentheunitison,anddesirable
intensity
levelis obtained,
then,pressthiskeyonce
lf you wantto unlock
to lockthe intensity.
pressthiskeyonceagain.
theintensity,
13