Instruction manual (pdf file)
Contents
1. e Apply the electrodes to clean dry and unbroken skin only BACK e Keep electrodes separate during treatment Electrodes coming f i in contact with each other could result in improper stimulation or skin burns 5 Possible adverse reactions Therapy Skin irritation or electrode burn under the electrodes Allergic skin sites reaction to electrode gel may also occur a ADE Front Back Pause oe Intensit a oy indicator OST o 0O lock y Setting i YW 0 i h XI KA rm 5 indicator mode ilinl inl a ta NOI Low ian indicator Pal Lt alia LL Lt Mal dal als a 4 4 indicator see next page es Channel 1 Channel 2 Treatment lead wire lead wire time socket socket Pulse width and Pulse rate and T channel 1 channel 2 Clip output intensity output intensity Battery cover Keys see page 7 INSTRUCTIONS FOR USE Keys 1 Insert batteries L J Press and pull down on the battery cover to open Insert 4xAAA batteries included matching the positive and negative ends of the battery to the markings then close 2 Connect electrodes to lead wires Insert the lead wire connector into gt the electrodes connector ensuring that no bare metal remains exposed d e Turns the device on or off S e Press to confirm user 3 Connect lead wires to the device e In treatment mode press to selection This d2. ELECTRODE PLACEMENT GUIDE ELECTRODE PLACEMENT GUIDE Placement of electrodes Muscle group Adductors Body positionning and voluntary start of the contraction phase Sit and place a rigid but comfortable object between your knees Strongly contract your adductors while vigorously trying to bring your knees together Quadriceps Buttocks Sit The voluntary movement phase can be done in two ways e statically immobilize your knees e dynamically to emphasise the treatment with movement using an object to create a resistance Strongly contract your quadriceps while trying to extend your legs Lie down on your stomach or stand up Important note this treatment requires very good muscular qualities and is not compatible with certain morphologies If you experience repeated failures with this technique we recommend that the buttocks be treated in classic mode Vigorously contract your muscles to try to close your buttocks while trying to bring your thighs behind your back Muscle Placement of Body positionning and voluntary start of group electrodes the contraction phase Plantar arch Sit with your feet resting on the floor muscles Vigorously contract the muscles of your plantar arch trying to dig your toes into the floor Peroneal Sit with your feet resting on the floor muscles Contract your muscles by exercising a strong pressure on the floor with your big toe while also tryi
3. Electrodes are dried Replace and re connect the electrodes stimulation out or dirty Electrodes are Reposition and re connect improperly positioned the electrodes Old worn damaged Replace the lead wires lead wires Stimulationis Intensity is too high Decrease intensity uncomfortable Electrodes are too close together Reposition the electrodes Damaged or worn electrodes or lead wires Replace the lead wires Electrode active area is too small Replace electrodes with ones that are 16 cm 4 cm x 4 cm or 1 5 x 1 5 or larger Refer to the program section on p 12 for more details Please check the manual before use Intermittent output Program option in use Some programs will seem intermittent This is expected Refer to the program section on page 12 for more details Lead wires 18 1 Verify connection is secure and firmly in place 2 Turn down the intensity Rotate lead wires in socket 90 If the problem persists replace lead wire 3 If replacing the lead wire does not solve this problem contact us at 1 800 363 2381 Problem Possible cause Solution Stimulation Improper electrode Reposition electrode is ineffective placement Unknown Contact your doctor The skin Repetitive use of Reposition the electrodes If at any becomes the electrodes on the time you feel pain or discomfort stop red and or same site use immediately you feel a The electrodes aren t Ensur
4. Ja and remaining treatment time i l oO e The intensity of stimulation may be adjusted Figur as required to a maximum of 90 1 level step e Always turn the unit off before removing the electrodes e The safety lock feature automatically activates after 20 seconds of button inactivity You cannot increase the output intensity while the indicator mO is displayed Press CH1 or CH2 button to unlock the device e The device stops automatically once treatment time reaches O e Press 4 to stop treatment at any time and put the device in standby Press the DA to simply pause treatment and press again to resume If the device is locked press CH1 or CH2 first to unlock the device e If an open circuit is detected on either channel and the amplitude level is LOmA or greater the amplitude will be reset to OmA Consulting the memory The device will record the treatment parameters e g recording number program body part the average intensity and treatment time after you finished your treatment The maximum number of records is 30 after which the oldest record will be deleted To check the memory data press and hold S 3 seconds to enter into memory mode Press i to read the memory parameter and press CH1 button to read the next record when the LCD display memory number 10 Notes PRESET PROGRAMS IN TENS MODE e The device will return to standby when you press X Note Treatment length for all options below is 30 minutes or
5. Sit with your elbows placed inside armrests to create a resistance to their movement away from the body Vigorously contract your deltoids while strongly trying to move your elbows away from your body Latissimus dorsi A a a Sit with your elbows placed outside of a chair s armrests to create a resistance to their movement towards the body Vigorously contract your latissimus dorsi while strongly trying to move your elbows towards your body Pectorals a Sit with the palms of your hands in contact with each other WARNING This electrode positioning increases risks of cardiac fibrillation Vigorously contract your pectoral muscles while strongly trying to press the palms of your hands against each other Muscle Placement of Body positionning and voluntary start of group electrodes the contraction phase Lower back Sit Important note it is necessary muscles to have strong muscles to use this method In case of repeated failure we recommend use a gt of classic mode or use of the recommended placement for combined stimulation of the low Y back muscles and erector spinalis In this case always take care to position the electrodes at the level of the dorsal region muscles as shown in the picture Vigorously contract your lower back muscles while trying to sit as tall as possible Erector Sit spinae og Iso Vigorously contract your back muscles while l trying to sit as tall as possibl
6. after 30 seconds of inactivity e To clear the memory Press and hold S for 3 seconds The number of records in memory will flash on screen To delete press Ty To cancel and return to standby press Q width Waveform us Simple modulated pulse 180 Continuous 330 Amplitude 200 modulated Simple modulated pulse 330 Amplitude 200 modulated Simple modulated pulse Simple modulated pulse Simple modulated pulse Alternate 10 Turn the device off Press and hold Q to turn the device off When not in treatment it shuts off automatically 3 minutes after the last button operation Pulse Pulse rate Hz 80 100 80 11 Low battery indicator When the indicator flashes replace the batteries as soon as possible However the stimulator will continue to operate for several hours 70 70 TO CREATE A CUSTOMIZED PROGRAM Turn on the device select TENS or EMS and press P to select a user program Once in U1 press and hold P to enter setting mode In this mode you can set the pulse width from 50 to 350us the pulse rate from 1 to 150 Hz and treatment time from 5 to 90 min Waveform Simple modulated pulse Simple modulated pulse Pulse width modulated 180 Continuous 180 Continuous 200 modulated 200 Synchronous 350 Asynchronous 1 Select the parameter First press CH1 to switch between the parameters to set pulse rate pulse width and treatment time 2 Set each paramet
7. Revi 0812 P N 861 715430 Questions Comments 1 800 363 2381 www amgmedical com AMG Medical Inc Montr al QC H4T 1V5 1 800 363 2381 Alpharetta GA 30022 e 1 866 321 4846 roactWwe Physiotherapy Physioth rapie hera4 3 in 1 Physiotherapy Device Instructions Please read this manual thoroughly before using this device for the first time TABLE OF CONTENTS INTRODUCTION E E ete ieee bdinee 3 e What is pain How does TENS work e What is EMS and how does it work SAFETY INFORMATION c cccccsccssesecseeesseseeseeesesseeseeseesassansaeeaes 4 e Indication for use Contraindication e Warning e Precautions Adverse reactions DEVICE OVERVIEW cccccccccssccssscssecseecseectecseessteseeeseeeseeeseeesteeseees 5 e Components and parts Display symbols Function keys INSTRUCTIONS FOR USE 00 0 ccccccsccsecssecstecseesstesseeseeesteeseseseeeseess 8 e Complete step by step PRE SET PROGRAMS i ssisstsssevacsssccssevsnccenssacsscnvessstzesssesastecnctusvvsaseies 12 e TENS programs EMS programs MASSAGE programs CLEANING AND MAINTENANCE cccsseccssseeessseenseesseenenseneeses 16 e Cleaning the device and accessories e Maintenance TROUBLESHOOTING sccsssstsscnscnsssccseccsnccsencessdsaesesscseasessesssccecccsncsesnense STORAGE 0 cscseessseesneeseeesneeneeesneeneeeeeneneeeneeeseeeeseeseeeeseeseeesseessnenseesens WARRANTY sisssisies cevccnicsccsdeasascscctssececn
8. The long term effects of frequent electrical stimulation are unknown This device should be used only under the continued supervision of a licensed medical practitioner Do not apply stimulation over the thyroid or carotid sinus regions as this could disrupt breathing cardiac frequency or blood pressure Do not use while connected to high frequency surgical equipment or near shortwave or microwave therapy equipment Never use in environments with high humidity ex bathroom Never place the electrodes anywhere on the front of the thorax or transthoracically as it can increase the risk of ventricular fibrillation cause Cardiac arrhythmia and lead to cardiac arrest Never use near the eyes the genitals the heart or on areas which lack normal sensation This stimulator should never be used by patients who are noncompliant or are emotionally cognitively or mentally impaired Keep the stimulator out of reach of children 4 Precautions Display icons e Do not adjust controls while operating machinery or vehicles Therapy modes e Turn the stimulator off before applying or removing electrodes e Only use with ProActive lead wires and electrodes e Long term stimulation atthe same electrode site may cause O A LANL skin irritation Use only as prescribed by a physician f 7 e Never use in rooms where aerosols Sprays are used MASS LEMS i or pure oxygen is being administered Do not use it near highly flammable substances gases or explosives
9. alid for the original purchaser only Any alterations abuse misuse or accidental damage voids this warranty Repairs under warranty do not extend the warranty period For service under warranty call us at 1 800 363 2381 between 8 AM and 5 PM EST e The following is excluded under the warranty A All damage which has arisen due to improper treatment e g nonobservance of the user instructions B All damage which is due to repairs or tampering by the customer or unauthorized third parities C Damage which has arisen during transport from the manufacturer to the consumer or during transport to the service centre D Accessories which are subject to normal wear and tear e Liability for direct or indirect consequential losses caused by the unit are excluded even if the damage to the unit is accepted as a warranty claim TECHNICAL INFORMATION e Material ABS Channel Two channel e Power supply 4x AAA batteries e Waveform Biphase square wave pulse e Pulse duration 30 350us Pulse frequency 1 290Hz e Treatment time 5 to 90min e Intensity Adjustable from O to 9OmA at 1000 ohm e Operating conditions 5 C to 40 C with a relative humidity of 30 85 Atmospheric pressure from 700 hpa to 1060 hpa e Storage conditions 10 C to 50 C with a relative humidity of 10 90 atmospheric pressure from 700 hpa to 1060 hpa e Dimensions 117 x 60 x 25 mm without belt clip e Weight 110 g without batteries 140 g with batteries 20
10. csaedisccsndvccntsncenaiisesesnersnsavciaate TECHNICAL INFORMATION ccssccseeesseeseeeseeeneeenseeseeeneeeseneneeeeeness ELECTRODE PLACEMENT GUIDE INTRODUCTION This device can be used for pain relief muscle stimulation and massage It provides two independent controllable output channels A pair of electrodes which can be connected to each output channel and the current s parameters and intensity level can be adjusted according to your needs What is pain Pain warns our body of injury to prevent additional damage This sensation is important because without it vital parts of our bodies might be injured without our knowledge However long lasting persistent chronic pain once diagnosed serves no apparent purpose and reduces quality of life How does TENS work TENS Transcutaneous Electrical Nerve Stimulation refers to the transmission of small electrical pulses through the skin to the underlying peripheral nerves The theory of TENS suggests two different modes of operation In conventional high frequency TENS continuous mild electrical activity may block the pain signal traveling to the brain If the pain signal does not get through to the brain the pain is not felt In low frequency TENS short bursts of electrical activity may stimulate the release of endorphins the body s own pain control substance Ask your physician or therapist for more details No matter what pain theory is used TENS has been prov
11. e Y Cervical Sit muscles Vigorously contract your back muscles while trying to sit as tall as possible Trapezius Sit Strongly contract your trapezius muscles while trying to shrug your shoulders vigorously 23 Triceps Sit with your forearms and hands resting on armrests Vigorously contract your triceps while strongly trying to dig the palms of your hands into the armrests Biceps Sit with your forearms resting on armrests and the palms of your hands facing up Use a fixing system to avoid any movement or flexion of your elbows during stimulation Vigorously contract your biceps while trying strongly to move the palms of your hands towards your shoulders 24 ELECTRODE PLACEMENT GUIDE Muscle Placement of Body positionning and voluntary start of oop Mecontactonpnases O OOS electrodes the contraction phase Hand Hand fel Sitona chair with your forearm and the palm on a chair with your forearm and the palm extensors of your hand resting on an armrest and your hands solidly attached to the armrest Vigorously contract your hand extensors while trying to raise your hand flexors armrests and a crush proof object in your hand so that your fingers are slightly bent Vigorously contract your hand flexors while firmly trying to grip the object that is in your hand Hand E Sit on a chair with your forearms resting on 25
12. e and then let them air dry to help them last longer s Work time Rest time s 10 3 10 8 a o 2 a us 30 220 150 30 220 150 30 220 150 30 220 150 30 220 150 Pulse rate Hz 169 238 191 168 150 Connector for Lead Wire Pin Program Phase ge Adhesive Pad Reusable self adhesive electrodes 3 Cleaning the electrode cords Clean the electrode cords by wiping them with damp cloth Coating them lightly with talcum powder will reduce tangles and help them last longer 15 16 4 Maintenance e Do not attempt any repairs to the device or any of its accessories Contact us at 1 800 363 2381 for repair information e The manufacturer will not be held responsible for the results of maintenance or repairs by unauthorized persons e Check the device before each use for signs of wear and or damage Replace worn items electrodes lead wires as required 17 TROUBLESHOOTING If your device does not seem to be operating correctly refer to the chart below to determine what may be wrong Should none of these measures correct the problem the device should be serviced Problem Possible cause Solution Displays fail Battery contact failure 1 Install new batteries to light up 2 Ensure batteries are inserted correctly respecting the polarities and that battery contacts are in place and in good condition Weak or no
13. e the electrodes are attached stabbing pain applied on the skin properly securely to the skin The electrodes are dirty Clean the electrode pads with a damp lint free cloth or replace with new electrodes Clean the electrode cord according to the description in the user manual Replace with a new electrode The surface of the electrode is scratched Output current The electrode pads Turn off the device and attach the stops during come off the skin electrode firmly to the skin therapy A cable is disconnected Turn off the device and connect the cable Batteries are low Replace with new batteries STORAGE e Remove the batteries if the device is not in use for long periods of time e Store the device in a dry place and protect it against heat sunshine and moisture e Never place any heavy objects on the device DISPOSAL Used fully discharged batteries must be disposed of in a specially labeled collection container at toxic waste collection points or through an electrical retailer Please dispose of the device in accordance with the directive 2002 96 EC WEEE Waste Electrical and Electronic Equipment Contact your local distributor for information regarding disposal of the unit and accessories a 19 LIMITED WARRANTY AMG Medical Inc warrants the stimulator to be free from defects in material and workmanship for a period of one 1 year to be proven by means of the sales receipt or invoice This warranty is v
14. en useful in pain management for many patients in helping to make their lives better What is EMS and how does it work In normal muscular activity the central and peripheral nervous systems transmit electrical signals to the muscles making them contract EMS Electrical muscle stimulation uses an external source the stimulator via wires and electrodes to achieve the same effect creating involuntary muscle contractions This can help improve and maintain muscle tone without actual physical activity and therefore prevent atrophy SAFETY INFORMATION 1 This device is recommended for e Symptomatic relief of chronic intractable pain acute post traumatic pain or acute post surgical pain Improving local blood circulation Relief from muscle spasms Immediate post surgical stimulation of muscles to prevent venous thrombosis Prevention or retardation of disuse atrophy Maintaining or increasing range of motion 2 Do not use in the following situations Undiagnosed pain syndromes until etiology is established e Cancerous lesions that are present in the treatment area Swollen infected inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins etc Demand type implanted pacemaker or defibrillator e Epilepsy Serious arterial circulatory problems in the lower limbs e Abdominal or inguinal hernia Safety has not been established for use during pregnancy WARNING For external use only
15. er Then press CH2 and CH2 to adjust Press to confirm and go into standby the use CH1 and CH2 to adjust the amplitude of each channel NOTE to change the parameters press and hold P again 330 Amplitude width us 100 200 100 200 70 180 60 80 0 50 rate Hz 2 80 100 2 2 gt gS o a a a gt n 2 3 soso So oo od Q E 2 jee Seog se gt 3 R 5 35 SS 250 S5 5 5 o o gt o gt 33 os S az 5 no no 25 Ls 5 pmi 2 32 539 6 so 2 S eS aE aE J TE AE fo ox 5 8S t o 2 le 5 524 SS as AN od a RN a o 22R o K 19 Zest re 00 lt o a a Pulse Pulse SHOULDER 11 12 MASSAGE PROGRAMS PRESET ONLY PRESET PROGRAMS IN EMS MODE Note Treatment length for all options below is 30 minutes Note Treatment length for all options below is 30 minutes s s SUI SOY SUI 10M snouojyouss srl YpIMasind snoudlyouhsS CH ayer asind HINI jojon aseud weisold p Cd Yd Ed Zd Td Ed Zd Ed Zd Td EE yeg td Ed Zd YOON vd d Zd Td welsold snouojyouss Jap noys ays Adesouy aN snouojyouss snouojyoudsy snouoiyouAsy LSluM snouosyouhS snouosyoucks snouosyouhs 1004 snouosyouhS snouojyoucks snouosyouhS JTMNV snou
16. evice has 2 output channels stop treatment e In standby press to select 2 e Use this key to exit memory a treatment site or press which can be used simultaneously or setting mode and hold for 3 seconds to with 2 electrode pairs or individually enter memory mode 1 channel with 1 electrode pair After w e In user select mode press e In memory mode press making sure that the device is turned Il to select a user U1 or U2 and hold for 3 seconds to off insert the wire plugs into the sockets e In memory mode press to clear memory data H check data or confirm its at the top of the unit deletion Increases decreases the Caution Always use the lead wires e In treatment mode use to cu output intensity of channel 1 supplied with this unit pause or resume e In setting mode press Ch1 to select the next parameter M eln standby press to select a e J 4 Place electrodes on skin therapy mode Increases Sona the 5 Ensure that the skin surface where the electrodes will be placed is c output intensity of channel ita indi P sin standby press P to select Jeinsetting mode press Ch2 clean and dry Apply electrodes to the spent indicated by ne a therapy program and Ch2 to ajust user physician The electrodes should be placed firmly and evenly on the e Press and hold P to enter program parameters skin to ensure good contact setting mode c See p 21 for our electrode placement guide which also includes
17. ng to raise the other toes from the floor Tibialis Sit with your feet placed under a piece of anterior furniture to prevent your ankles from bending Contract your tibialis anterior muscles while vigorously trying to raise the tip of your foot against an object that resists and prevents this movement Calf Q H Sit with your back and feet firmly placed muscles against supports This position is easy to adopt by sitting for exemple in a doorframe Vigorously contract your calf muscles while strongly trying to push the tip of your foot against an object that resists and prevents this movement Hamstrings Lie flat on your stomach with your ankles held down in a convenient way Vigorously contract the muscles on the back of your thighs hamstrings while trying to bend your knees 21 Abdominals A Lie down on your back which can be slightly raised The voluntary movement phase can be done in two ways e statically to simply start the muscular contraction phase e dynamically to associate the treatment with sit ups In this case always work with your knees bent so as to not accentuate the lumbar region arch lordosis Strongly contract your abdominal muscles while vigorously trying to raise your head and shoulders from their support 22 ELECTRODE PLACEMENT GUIDE ELECTRODE PLACEMENT GUIDE Muscle Placement of group electrodes Deltoids Body positionning and voluntary start of the contraction phase
18. osyouhS snouosyoucks snouosyouhs dlH snouoiyouAsy snouojyouckS snouosyouhS Moga snouojyouss snouolyouhs snouojyouss yva paenpow ayes asind asind payejnpow a duis snonuljuo9 MOAN snouosyouhS WOJaAeM snouojyouckS WUOJaAeM asing asing snouosyouhS WOJaAeM YACINOHS weroin a rs A 14 13 CLEANING AND MAINTENANCE MASSAGE PROGRAMS PRESET ONLY CONTINUED 1 Stimulator Note Treatment length for all options below is 30 minutes Remove the batteries before cleaning Wipe the stimulator with a soft slightly moistened cloth If a more thorough cleaning is needed you can also moisten the cloth with mild soapy water Do not use any chemical cleaners or abrasive agents to clean this device 2 Electrodes e Use the device only with the leads and electrodes provided with this device or sold under the ProActive brand following the placements and settings prescribed by your practitioner e It is recommended to use at minimum 4cm x 4cm self adhesive square electrodes e Inspect your electrodes before every use and replace as needed Reusing electrodes too many times may cause slight skin irritation low adhesion or ineffective stimulation e Between uses store the electrodes in the resealed bag in a cool dry place It may be helpful between applications to moisten their adhesive surface with a few drops of water be careful not to over saturat
19. recommendations for stimulation positions 7 8 Caution e Always wash and dry the treatment area before applying the electrodes e Do not turn the device on when the electrodes are not applied to the treatment area Never adjust reposition or remove the electrodes while the device is still on e Always use this device with 4cm x 4cm self adhesive square electrodes or larger Turn the device on Carefully read the contraindications and safety information in this manual before using for the first time Press The device will first go into user select mode see figure Select U1 or U2 by pressing A and press S to continue Select the therapy mode and site Press M to select TENS MASSAGE or EMS The selected mode will flash See figure Il Press S to select the therapy site body part The therapy site will flash once selected see figure Il 7 Select the therapy program Press P to select the therapy program for the treatment site selected Figure Figure II The LCD will display program numbers see figure II See p 12 for details on preset and user defined programs 8 Adjust the intensity to start the treatment IMPORTANT Press CH1 or CH2 to increase the output intensity of the corresponding channel which will begin treatment Use CH1 and CH2 P D to decrease the intensity The LCD will display nome maa ea the current output intensity see figure III P
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