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1. 20 20 Knee Pain Endorphin 5 10 Burst Endorphin Pain Gate Burst Pain Gate IH 1 PART 2 TENS PROGRAMS Cycle 1 Cycle 2 Cycle 3 Cycle 4 Cycle 5 Cycle 6 Cycle 7 Cycle 8 USES Application Rate Hz On Time Sec Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec Sore Neck Migraine Endorphin 30 20 30 30 30 20 30 30 Sore Uppper Back Endorphin 30 20 30 20 20 Sore Shoulder Endorphin 10 20 8 Rheumatic Arthritis Pain Gate 20 20 Sciatica Pain Gate 20 4 20 4 PMS Endorphin 30 30 Sore Muscle Endorphin 30 30 20 20 Knee Pain Endorphin 5 10 Pain get Endorphin BURST Pain get Endorphin BURST IH 2 PART 1 EMS PROGRAMS Cycle 1 Cycle 2 Cycle 3 Cycle 4 Reference Cycle 5 Cycle 6 Cycle 7 Cycle 8 Target Areas Illustrations Rate On Time Hz Sec Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec Pectoral Deltoid 5 10 15 52. LCD Display Icons Description am Indicating Mode oos Indicating total treatment remained Off time can only be set in TENS 1 2 3 8 LILI min stimulation off time or EMS mode Program 11 20 p Indicating operation status MEMORY Only appears when Program 11 20 selected When this icon appears program in TENS or EMS mode can be manually setup and saved Only appears when batteries are running low er am sors Indicating stimulation intensity level of The more shade the stronger 7 ooo LILI HH each channel intensity mu ee Ll I a Indicating pulse rate Hz pulse width s 6 AV Ma VM SP Cycle on time nction Keys Description Remark UP Program Treatment Time pulse width pulse VW DOWN rate on time off time selections Movement is cyclic in nature Sequentially move between modes Return to previous layer of menu gt MENU ani Review modify confirm on off time Please refer to the advanced m n settings of different cycles operation for detail Review modify confirm pulse rate Hz Please refer to the advanced settings of different cycles operation for detail HZ Review modify confirm pulse width s Please refer to the advanced Hs settings of different cycles operation for detail Review modify confirm Cycle settings per Please refer to the advanced selected program operation for detail Confirm settings mode cycle pulse rate Review Cycle and pulse rate Hz pulse
3. width us on off time Hz setting in TENS or EMS mode treatment time Long press to skip detailed setting On off time pulse rate EER and pulse width in advanced operation and go into treatment time setting Power on off Start Pause stimulation At standby or pause for any TENS EMS programs ENTER can O ll be accessed to review cycle Hz settings eColor coded lead wires eElectrode pads 4 5x4 5cm Intensity adjustment for each channel Only accessible while matching with button colors stimulating three are 8 pies CH1 Yellow CH3 Blue CH2 Pink CH4 Green LCD covering all 16 intensity G maximum each channel on the levels 3 Names of Components amp Quick Start 4 Operation Procedures batteries with correct polarity Every time a valid key is accessed a short beep sounds when an invalid key is accessed two short beeps sound comes FI gg Please refer to Electrode pad positions on page I amp II to ensure on u ee CH1 CH2 m mm CH3 CH4 they are properly placed on the target region before treatment Pa a von a Aa stimulation MV mA 1 Open the battery cover onptfie back of HD4P Inse positions close back tre battery cover Fig 1 2 Connect the lead wires to electrodes Fig 2 3 Refer to Fig 3 Yand Fig 3 2 to connect the plug and socket To Wsconnect refer to 1 Press c Il to turn on HD4P GP 2 Navigate around submenus of TENS EMS and MASSAGE b
4. C IH 5 1 Introduction Dear user thank you for choosing Hivoxs TENS amp EMS HD4P Electric Stimulator Please read the manual carefully to learn the correct operation of this equipment Understand ing the operation will enable you to discover and enjoy the benefits of HD4P for a long time HIVOX HD4P is a TENS and EMS combined unit offering you four independent channels with eight electrode pads It is innovative featuring widely applicable functions for vari ous wellness improving purposes relieving pain maintaining physical fitness revitalizing muscle and alleviating fatigue Its diverse built in programs can conveniently match your individual specific needs All programs come with default settings that can be used directly also customized settings are conveniently available through short cut keys even during treatment stimulation You will find HD4P despite its diverse powerful functions very easy to use in just a few minutes you can navigate the unit without much help from this user manual What is TENS used for TENS Transcutaneous Electrical Nerve Stimulation has been clinically approved as an effective drug free side effect free treatment of relieving physical pains TENS units emit controlled micro electric currents called pulses through skin to interact with nerves acupuncture points and relieve pains i
5. Keep the unit away from children 2 Remove the batteries if the unit will not be used for more than 10 days 3 Disconnect lead wires and electrode pads after each use 4 Reapply the protective film back to the electrode pad after each use How to lengthen the life cycle of electrode pads 1 Clean the sticky surface of the electrode pads with a damp lint free cloth if it gets dirty or less sticky 2 Always store the electrode pads in a cool airy area away from direct sun light 3 Be sure the skin is clean before put on the electrode pads 4 Always store the electrode pads with the protective film inside the zip poly bag Troubleshooting What if the unit fails to turn on through pressing the b l key 1 Press the d I key again and hold it down for 3 minutes 2 Check if the batteries are properly in place with good connection 3 Replace batteries if there is no improvement after 1 What if the electrode pads become difficult to stay attached Clean the sticky surface with a damp lint free cloth let them air dry and try them on If they still do not attach firmly change them What to do if the unit beeps abnormally during treatment 1 Pause the program by pressing XI Check if lead wires are connected securely with the pads Check if the pads are attached firmly on the treated area 2 If the beeping persists replace the batteries with new ones What to do when the stimulation is not felt 1 If
6. Rate On Time Off Time Width Rate On Time us Hz Sec Hz Sec Hz Sec Hz Sec 250 60 60 250ms 15 60 60 250ms 60 60 250 60 250ms 80 90 60 30 Hz modulated 5 80 Hz se k er sec on time per each Hz 250 40 50 5 250 60 90 110 5 250 20 40 50 60 250 60 90 110 60 20Hz 40us 250us 40us Total Cycle time 100 sec 250 6 Attachf Striking Grasping Patting Grasping Numbing Grasping Plucking Rolling Hz modulated 20 110 Hz Hz modulated 20 110 Hz uS modulated 40 250 uS Rhythmic250 Fixed Hz 250 25 Attachf Rhythmic Fixed Hz 250 Attach1 Rhythmic Fixed Hz 100 Attach1 Attach1 80 l Attach1 Rhythmic Hz modulated Attach1 Caution When Massage Programs are used all 4 pads are required Rhythmic Module Sequence Stimulation CH1 CH3 CH2 CH4 on time Pad 1 Pad 2 Pad 1 Pad 2 D Random D 1 1 5 SEC D 1 2 5 SEC D 1 3 5 SEC D 1 4 5 SEC D 2 1 5 SEC D 2 2 5 SEC D 2 3 5 SEC D 2 4 5 SEC D 3 1 5 SEC D 3 2 5 SEC D 3 3 5 SEC D 3 4 5 SEC Attach 1 Rhythmic stimulations Rhythmic Module Sequence Stimulation CH1 CH3 CH2 CH4 on time Pad 1 Pad 2 Pad 1 Pad 2 A All together 20 SEC B Sequential 5 SEC 5 SEC 5 SEC 5 SEC C Two by two Rotation 2 SEC 2 SEC 2 SEC 2 SE
7. TENS amp EMS HD4P Instruction Manual HIVOX Electric imulator Four Independent Channels With Back Lit LCD Illustrations of Muscle amp Pad Positions E Migraine sore shoulder neck pain amp K upper back pain Trapezium Deltoid Pectoral Muscles Deltoid sore muscle W arthritis at joints Large Dorsals Biceps Large Dorsals Triceps Lumbar Region a Tin al Obligue A Buttocks Abdominal Muscles Elbow sciatica Adductors Biceps Fomoris N Sciatic Knee Flexors Plantar Flexors H HIVOX HD 4P PART 1 TENS PROGRAMS Cycle 2 Cycle 6 Cycle 4 Cycle 8 Cycle 1 Cycle 5 Cycle 3 Cycle 7 USES Application Rate Hz On Time Sec Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec Sore Neck Migraine Endorphin 30 20 30 30 30 20 30 30 Sore Uppper Back Endorphin 30 20 30 20 20 Sore Shoulder Endorphin 10 20 8 Rheumatic Arthritis Pain Gate 20 20 Sciatica Pain Gate 20 4 20 4 PMS Endorphin 30 30 Sore Muscle Endorphin 30 30
8. Trapzium Deltoid Large Dorsal 30 20 30 30 20 Large Dorsal Lumbar 10 11 12 10 10 10 Biceps Triceps ForeArm b 18 22 30 Abdominal 1 15 Lumbar 13 14 30 Lumbar 16 17 19 Buttuck 24 28 Quadriceps Bicepmoporis 24 29 Calf Plataris 25 21 30 32 IH 5 PART 2 EMS PROGRAMS Target Areas Reference Illustrations Cycle 1 Cycle 2 Cycle 3 Cycle 4 Cycle 5 Cycle 6 Cycle 7 Cycle 8 Rate Hz On Time Sec Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec Off Time Width Rate Hz On Time Sec 5 10 15 5 Pectoral Deltoid Trapzium Deltoid Large Dorsal 30 20 30 30 Large Dorsal Lumbar 10 11 12 10 20 10 10 Biceps Triceps ForeArm b 18 22 30 30 30 Abdominal 1 15 15 Lumbar 13 14 20 30 Lumbar 16 17 19 30 Buttuck 24 28 Quadriceps Bicepmoporis 24 29 Calf Plataris 25 21 30 32 III 4 MASSAGE Cycle 1 Cycle 2 Cycle 3 Cycle 4 Wave Form Cycle 5 Cycle 6 Cycle 7 Cycle 8 Width Rate On Time Rate On Time Off Time Width
9. cles 3 Pause the treatment stimulation by XI and press CYCLE for viewing modifying total program cycles uS View set and modify pulse width of each cycle in any of the TENS EMS programs 11 20 during 1 program set up 2 stand by 2 At standby before pressing b Il for treatment activation ac cess the uS key for viewing and modifying cycle uS settings of all cycles 3 Pause the treatment stimulation by DVI and access the uS key for viewing and modifying cycle uS settings of all cycles Hz View set and modify pulse rate of each cycle in any of the TENS EMS programs 11 20 during 1 program set up 2 stand by and 3 pause Set modify Hz settings for TENS program 19 or 20 1 After uS value of the last cycle is confirmed by ENTER cycle 1 Hz value flashes on the screen Access A V to select a pulse rate Hz value with confirmation by the Hz or ENTER key and move into Hz setting of cycle 2 Repeat such procedures for viewing setting Hz values for all later cycles 2 At standby before pressing d l for treatment activation ac cess the Hz key for viewing and modifying cycle Hz settings of all cycles 3 Pause the treatment stimulation by XI and access the Hz key for viewing and modifying cycle Hz settings of all cycles H za View set and modify on off times of each cycle in any of the TENS EMS programs 11 20 during 1 program set up 2 stand by and 3 pause 1 After Hz value of the last cycle is confirme
10. d by ENTER cycle 1 on time value flashes on the screen Access the A W key to select a proper on time value with confirmation by Has or ENTER and move into on time setting of cycle 2 Repeat such procedures for viewing setting on time values for all later cycles afterwards naturally pro ceed into the off time value setting of all cycles 2 At standby before pressing ch Il for treatment activation ac cess the Has key for viewing and modifying cycle on time set tings of all cycles first and off time settings second 3 Pause the treatment stimulation by XI and access the Haa key for viewing and modifying cycle on time settings of all cycles first and off time settings second and 3 pause LCD Background Light 1 After confirming the total program cycles needed by CYCLE or HIVOX HD4P is so user friendly that even operation in a room with dim lighting is ENTER cycle 1 uS value flashes on the LCD l n AccessA V convenient because of the LCD background light feature Whenever a key is to select a pulse width uS value with confirmation by the 5 or accessed the LCD background light will be on for one minute after which it ENTER key and move into uS setting of cycle 2 Repeat such shuts off automatically if no other keys are accessed 8 procedures for viewing setting uS values for all later cycles 5 Maintenance amp Troubleshooting e Maintenance Q A zQ 10 How to properly store the HD4P 1
11. er e Abnormal high blood pressure Warnings I WN lt Co gt MN ul KR w Do not use this unit near the heart around the mouth or on diseased skin Do not use this unit in places with high humidity such as the bathroom May need to use under the supervision of a physical therapist For external use only Long term stimulation at the same electrode site may cause skin discomfort Consult a dermatologist if skin discomfort persists Consult a doctor before you use this TENS amp EMS device if you receive other medical treatments Do not disassemble or remodel this unit Consult your local authorities for proper battery disposal Supervision and medical consultancy recommended if you are under age 16 Cautions If the unit is not functioning properly or causes discomfort stop using If you want to move the electrode pads to other regions of your body make sure the unit is paused Do not attach the pads to other people during stimulation treatment Use only for the specific pain problem diagnosed by the physician Do not use this unit while sleeping or driving Be careful not to allow any metal object such as belt buckle or necklace coming into contact with the electrode pads during stimulation Do not use this unit to treat one region for pain relief longer than 30 minutes 3 Names of Components amp Quick Start e Names of Componen ts
12. here the currently used program is flashing afterwards hold down ENTER until total treatment time flashes on the screen Lastly access A to change it with confir mation by ENTER To change treatment parameters of cycles uS Hz and on off times press XI to pause treatment stimulation Then ac cess each of the hot keys for viewing and modifying parameter values by following procedures stated in step 2 through 4 Note During parameter setting of CYCLE s uS Hz on time and off time all confirmation can also be done through ENTER Connector Channel Recognition Function Hivox HD 4P is an advanced 4 channel output TENS EMS device and it can be conveniently used as a three channel unit with 6 electrode pads two channel unit with 4 electrode pads or even one channel unit with 2 electrode pads Such innovation is made available because of the patent Connector Channel Recogni tion Function Use HD 4P as a 3 channel unit with 6 electrode pads 1 Press XI to pause treatment stimulation and remove 2 un needed pads then reapply rearrange the other 6 pads properly Select another treatment program if necessary 2 Press XI to resume stimulation and hold down the CH key corresponding to the flashing CH on the LCD until it disappears 3 Now you can use HD 4P as a 3 channel output unit with 6 pads Use HD 4P as a 2 channel unit with 4 electrode pads 1 Press XI to pause treatment stimulation and remove a lead wi
13. in with a feature lock down function available for all pro grams in the unit When a program is locked nothing can be changed but the treatment stimulation intensity level Further a locked program remains locked even after HD4P is turned off When the unit is turned on again the locked program is standing by ready to be activated through pressing Il 1 When the program is standing by and ready for activation press d I and together for five seconds to lock down the program Two short beeps will be sounded when the program is locked 2 To unlock the program press XI and Haa together for five seconds at stand by or pause When it s unlocked a 1 second long beep will be sounded Shortcut keys CYCLE uS Hz amp Hn Four feature shortcut keys are available during program setup standby and pause therefore all critical parameter settings can be modified conveniently Once a shortcut key is accessed you are in the shortcut key loop to leave long press ENTER for confirming changes if any and go to treatment time setting CYCLE Set modify and view total program cycle of TENS EMS program 11 20 during 1 program set up 2 stand by and 3 pause 1 After confirming the needed program by ENTER access A V for selecting a desirable total program cycle and then press CYCLE for confirmation 2 At standby before pressing DVI for treatment activation press CYCLE for viewing modifying total program cy
14. n mainly four categories 1 chronic illness caused 2 post operation caused 3 sport injury caused and 4 female nature related The pain relieving distracting effect comes from two ways 1 to block the nerve pathway transmitting pain signals and 2 to stimulate the brain to release natural pain killer endorphin Overall high frequency pulses are effective in blocking the nerve pathway and low frequency pulses effective in inducing the secretion of endorphin What is EMS used for EMS Electrical Muscle Stimulation Neuromuscular Muscle Stimulation has also been widely applied for improving one s well being sport rehabilitation anti stress cell revitalization etc The enclosed program charts Page I lll can easily help you to find appropriate programs for your needs Besides the featuring Masseur Touch Technology embedded is able to deliver human massaging comfort to relieve muscle stiffness and fatigue Moreover customized settings are only few keystrokes away for matching your individual characteristics For more information about Hivox TENS amp EMS HD series please visit our website at http www hivox biotek com eng pro islim htm or contact our customer service for further assistance 2 Dangers Warnings amp Cautions Gpo Not Use HD4P With Following Conditions More then 3 months into pregnancy e Metal plates or pace maker implanted e Epileptic e Diabetic e Malignant tumor diagnosed e High fev
15. re plug from the back of HD 4P then reapply rearrange prop erly the other 4 pads attached to the remaining two channels Select another treatment program if necessary Press XI to resume stimulation and begin to use HD 4P as a 2 channel output unit with 4 pads S Note As an alternative you can also remove 4 pads or discon nect them from the lead wires without unplugging the plug However deactivating the pad channel detection function is needed through holding down the CH keys corresponding to those flashing CHs on the LCD Use HD 4P as a 1 channel unit with 2 electrode pads 1 Press XU to pause treatment stimulation and remove 6 un needed pads then reapply rearrange the other 2 pads properly Select another treatment program if necessary 2 Press XI to resume stimulation and hold down the CH keys corresponding to the flashing CHs on the LCD until they disappear 3 Now you can use HD 4P as a 1 channel output unit with 2 pads To restore HD 4P as a normal 4 channel unit with 8 electrode pads 1 Press DVI to pause treatment stimulation and reapply all 8 pads properly Select another treatment program if necessary 2 Press XI to resume stimulation and hold down the CH keys corresponding to those channels without CH on the LCD until they show up 3 Now you can use HD 4P as a normal 4 channel unit with 8 elec trode pads 4 Operation Procedures Lock and Unlock a Program HIVOX HD4P is built
16. stimulation Press MENU to go back to the program selection screen where the currently used program is flashing then hold down ENTER until total treatment time flashes on the screen Lastly access A W to change it with confirmation by ENTER GED CUO II I Sum p Ba MEMORY y v 4 Operation Procedures Advanced opeartions for TENS EMS programs 11 20 1 CH1 CH2 A MEMORY 2 3 gt TY Je Sp 4 ri Rd ut PERL CH1 CH2 L CH3 P MEMORY W P 5 6 7 kk After moving into the submenu TENS EMS pressA to choose a treatment program from 11 to 20 and confirm it by pressing ENTER Select total cycle s through V with confirmation by press ing CYCLE While uS value of C1 blinks on the LCD modify cycle 1 uS value through A V with confirmation by pressing uS and move into uS value setting of cycle 2 and onward When uS values are all set either access Hz key or TIMER key for setting Hz values and on time off time values of all cycles Again pressing A V for selection and hotkeys Hz or TIMER for confirmation and moving on to the next cycle After all parameters are set long press ENTER to go to treat ment time setting Select treatment time through A W and confirm it by pressing ENTER for stand by Press XI to start the treatment program To change total treatment time press XI to pause stimulation Then press MENU to go back to the program selec tion screen w
17. there is a warning beeping sound follow procedures above 2 Press XI again to restart the program 3 Make sure electrode pads are not overlapped 4 Increase the pulse intensity gradually What to do if the skin of treated area turns red Stop the treatment immediately wait until the skin restores to its healthy state If irritation persists consult with a dermatologist 6 Product Specifications Power Pulse rate Pulse width Output voltage Treatment time Pulse strength Operation environment Storage environment Transport environment Size AA battery x 3 1 120 Hz 40 250uS Max 90Vpp based on 500 Ohm load 10 5 90 minutes 5 minutes per interval 0 16 stages adjustable 10 40 C 10 95 RH 10 50 C 30 85 RH 10 50 C 35 85 RH 130 x 70 x 28 mm Type BF AP Note This device comlies with the electromagnetic compatibility requirement of EN 60601 1 2 and EN60601 2 10 as specified in EEC Directive 93 42 EEC Don t try to repair the device There are no user serviceable parts inside Always use the specified accessories in the manual The use of other parts not approved by the manufacturer may be hazardous 11 TAIWAN HIV EK INC BF hingde Ad Sa City Taipei Hsien 241 Taiwan CS
18. y press OO LIT I 30 i ing MENU with selection confirmation by ENTER on fold l c d P MEMORY P P ig 4 gss MENU repeatedly RR the flashing indicator TENS in submenu and press ENTER to confirm Fig TENS EMS MASSAGE There are 20 programs each of TENS and EMS and 10 programs in MASSAGE Here you can adjust program treatment time and pulse strength for each channel Further for TENS EMS programs 11 20 all parameters can be modified and stored Please refer to program charts TENS page Ill 1 2 and EMS page III 3 for stimulation parameter settings and suggested applications Press A W to select your TENS EMS program from program 1 10 and confirm it by pressing ENTER Press b Il to begin your treatment Access the pulse strength keys CH1 CH1 CH2 and CH2 to adjust the stimulation intensity Fig 6 Pause the treatment stimulation anytime by pressing W_ Press XI again to resume treatment Basic operation for treatment programs 01 through 10 in TENS EMS and MASSAGE 1 After moving into the submenu TENS EMS MASSAGE press A V keys to choose a treatment program from 01 to 10 with confirmation by ENTER 2 Select a desirable treatment time through A Wand confirm it by pressing ENTER 3 Press XI to start the treatment stimulation During stimulation access the CH keys to modify pulse intensity levels 4 To change total treatment time press XI to pause treatment
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