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