to the SwissSTIM® GOLF user manual.
Contents
1. ON I NDI CATOR minutes Phase PROGRAM PHASE NUMBER INDICATOR 9 Valmed SA Switzerland 20 00 PS fo Ju iimin OSmin O4min 20 00 SELECTED PROGRAM PHASE DURATION INDICATORS minutes ii DI WARM UP PHASE AND DURATION I NDI Indicate that warm up phase is selected dark background and lasts eleven minutes OE min SPEC FI C WORK PHASE INDICATOR AND DURATION Indicate the specific work phase and five minutes duration 04 mih SAMA COOL DOWN PHASE I NDI AND DURATION Indicate the winding down phase and four minutes duration m BATTERY CHARGE INDICATOR Example STIMULATION INTENSITY INDICATORS ON EACH CHANNEL Indicate stimulation ntensity level independently set on the two channels FINISH END OF PROGRAM I NDI CATOR The session is over Switch the unit OFF by pressing one of the two keys with a downward pointing arrow 10 Valmed SA Switzerland SMART CARD ABSENT I NDI CATOR SUI TUR MOLI The smart card on which the programs are recorded is AND IN CARD not in place or is not properly inserted Switch unit OFF open the back battery slot and insert the smart card or check that card is correctly positioned SMART CARD I NVALI D INDICATOR The smart card inserted in the back slot is not valid Switch unit OFF open the back battery slot and insert a valid smart card INFORMATION ON FUNCTIONS DURING TREATMENT PAUSE PAUSE Pause mode during treatment STOP Enables us2. CARD CHANGE CARD appears an invalid card has been inserted F Selecting a Stimulation Program Make sure your Swisssy Golf is ON The LCD display will indicate the number of pro grams Scan the programs by using the scroll keys and select desired program Once a program is selected by using the S Select KEY the LCD display will show specific infor mation about the program name total program time and program phases phase length The program will start with the first program phase unless a specific phase is selected and will complete ALL phases of the program unless the user selects only a specific program phase G Selecting a Phase of a Stimulation Program Selecting only a program phase is possible Once a program has been selected icons for the program phases will appear on the LCD display Use the scroll keys to high light the desired phase and press the S Select KEY to select the phase H Automatic Program OFF Function If no scroll key is pressed within 60 seconds the Swisssz Golf will automatically switch OFF to conserve battery life I Selecting Program Intensity Once a program has been selected the ntensity controls on the Swisssy Golf are activated There 2 scroll keys a 48 and a for each right and left channel of the Swisss7 Golf Use the scroll key for each channel to increase Intensity and the V scroll key to decrease the Intensity level The ntens ty scale is a 100 step scale with 100 96 corre
3. VALMEDU Lm d VM SES swisswaue User Manual 5 155 Golf V 6 0 SS GO V60 EN V10 Phone 0041 27 203 65 81 website www valmed ch Fax 0044 27 203 65 87 email info valmed ch l INTRODUCTION The Swissszm Golf is manufactured distributed by VALMED SA Sion Switzerland The Swisssz Golf Fitness is manufactured in accordance with the requirements of European Safety Standards EN 60601 1 EN 60601 2 10 and meets all requirements of the American Safety Standards for Transcutaneous Stimulators as set forth in ANS AAMI NS4 1985 The SwisSs7 Golf is a Class 11 Medical Device and conforms to the requirements of European Directive CEE 93 42 and holds certificate number CE 0535 a BF device IAW IEC 601 1 External Placement on Body Read this User Manual especially Safety and Indications and Contraindications before using the Swisssz Golf Manufacturer is not liable for any damage caused by the improper use of the Swisssz Golf neuromuscular stimulator 2 Valmed SA Switzerland VI VII VIII TABLE OF CONTENTS INTRODUCTION TABLE OF CONTENTS SAFETY AND PRECAUTIONARY GUIDELINES INDICATIONS FOR USE SwISSSTIM GOLF UNIT COMPONENTS OPERATING INSTRUCTIONS PROGRAM DESCRIPTIONS USEFUL INFORMATION SwISSSTIM GOLF TECHNICAL AND SAFETY DATA ELECTRODE PLACEMENT 14 16 17 19 Valmed SA Switzerland SAFETY AND PRECAUTIONARY GUIDELINES A Special Warnings The Swiss
4. a truly valuable adjunct for training various muscle groups V SWISS sry UNIT COMPONENTS Connectors for electrode cables Display Menu navigation keys Backside cover battery compartment 8 Valmed SA Switzerland VI OPERATING INSTRUCTIONS A Key Symbols and Functions S Select Key Use this KEY to select a program select a program phase to START a selected program Once a program has started use this KEY to make further selections in the program Multiple Function Scroll Keys Use either key to turn the SwisSs7 Golf ON When the Swisssz Golf is ON use these keys to scroll through the pro grams Once a stimulation program has started use these keys to increase the stimulation ntensity one key for each channel V Multiple Function Scroll Keys When the Swisssy Golf is ON use these keys to scroll through the pro grams Once a stimulation program has started use these keys to decrease the stimulation ntensity one key for each channel After stimulation program is completed use either key to turn the Swisssz Golf OFF B Display LCD Screen Indications Swisss 7 Golf START SCREEN GOLF EUROPEAN MASTERS v 6 H8 EHGLISH 8 Froarammes Example Program Screen ZA SELECT P6 ACTIVE RECOVER 24 min Phase os lt MENU NAVIGATION KEY SCROLL I NDI CATORS PE PROGRAM NUMBER I NDI CATOR ACTIVE RECOVERY PROGRAM INDICATOR Sis PROGRAM DURATI
5. attery and insert a fresh 9 volt lithium alkaline or rechargeable NiMh battery Ensure proper battery polarity your SwisSs77 Golf will not oper ate if polarity is reversed B Warnings Concerning Battery Handling Always read and follow the specific instructions provided by battery manufacturers Note the fol lowing Ensure that battery polarity is correct Do not expose batteries to temperatures exceeding manufacturer s specifications Do not store and or ship this unit with batteries inserted Do not attempt to recharge alkaline or lithium batteries Do not dispose of any battery in fire Note that batteries may present burn or fire hazard if short circuited Improper battery handling may result in explosion leakage or flames C Handling Cleaning the Swiss w Golf Unit Use soft brush or soft cloth to clean unit case do not use liquid cleansers Use same procedure with electrical leads Your Swisssz Golf is designed to be maintenance free D Storage Conditions The SwisSs7 Golf may be stored for prolonged periods with no degradation ENSURE that the battery is removed when the unit is not used on a regular basis E Battery Disposal Always dispose of batteries in accordance with battery manufacturer instructions F Warranty Free replacement for two 2 years except for accessories and shipping charges Free re placement will be made if defect is in manufacture of unit free replacement does not apply when damage
6. e desired training level Maximum possible electrical impulse is 20 micro coulombs 4 Cable design prevent the possibility of accidental connection to a power source such as an AC power outlet 5 Automatic control of stimulation current density precludes excessive current density at the electrode skin interface and ensures skin safety 99 18 Valmed SA Switzerland X ELECTRODE PLACEMENT Channel 2 electrodes may be attached to other leg in order to treat both legs Use oval 3 by 5 electrodes for large areas e g leg muscles and round 3 electrodes for smaller areas such as forearm muscles Do not use smaller electrodes than recommended above Leads for Channel 1 are depicted in RED and leads for Channel 2 in BLUE Where only one set of electrodes is shown Channel 1 is depicted but CALVES Channel 2 may be used instead Channels may be reversed if desired from that indicated in the following photos QUADRICEPS On both legs THIGHS Channel 2 electrodes may be at tached to other thighs in order to On one leg treat both thighs TIBIA FEMORAL BICEPS 19 Valmed SA Switzerland FEMORAL BICEPS AND CALVES TRICEPS ABDOMINALS FOREARM UPPER TRAPEZIUS BICEPS DELTOID 20 Valmed SA Switzerland LOWER TRAPEZIUS LUMBAR VERTEBRAE NECK BACK 21 Valmed SA Switzerland
7. e effects on the heart rhythm or blood pressure o Transcerebrally o Over swollen infected or inflamed areas of skin eruptions e g phlebitis thrombo phlebitis varicose veins etc o Across the chest because the introduction of electrical current into the chest may cause rhythm disturbances to the heart which could be fatal Consult with your phy sician before using this device because it maybe possible to cause lethal rhythm dis turbances to the heart in susceptible individuals Over or in proximity to cancerous lesions If you are epileptic After experiencing acute trauma or fracture 4 Valmed SA Switzerland o Following recent surgery o If you have a hernia abdominal or lingual o the frontal laryngeal and temporal regions of the neck Never use the Swisssz Golf while driving operating machinery or during activities in which involuntary muscle contractions may endanger the user or others The effects of stimulation of the brain are unknown Therefore do not apply stimulation across the head and do not place electrodes opposite sides of the head Do not use the Swisssz Golf in the bath or shower Persons with suspected heart problems or epilepsy should obtain appropriate medical ad vice Never use the SwisSs7 Golf while sleeping NEVER immerse the Swisssz Golf unit in any liquid Precautions The safety of neuromuscular stimulation during pregnancy has not been established Use caution when if o User has sk
8. er to stop the program before pre set time RESUME Enables user to quit PAUSE mode and resume treatment from where it was stopped CHANGE PHASE OPTI ON Enables the user to return to the phase menu and repeat or lengthen one particular phase or skip to the following phase C Inserting New Batteries Slide back cover until battery compartment is open Insert new battery use ONLY a 9 volt alkaline or lithium high quality battery and ensure proper polarity D Inserting or Replacing Smart Card The Smart Card contains the specific program information for your Swisssz Golf your stimulator comes with this card installed If the card needs to be installed do so 11 Valmed SA Switzerland ONLY when your Swisssy Golf is OFF Open battery compartment and insert the Smart Card into its slot making sure that the card is properly positioned LOGO on the card facing up E Turning Your Swisss Golf ON Press of the scroll keys marked d to turn the Swisssz Golf ON This activates the LCD screen and sound but not the ntensity function This function is only activated after a program selection has been made If the Swisssz Golf log does not appear or if the display indicates low battery strength your Swisssz Golf will not function prop erly If the message SWITCH OFF NOW AND INSERT CARD appears turn the Swisss Golf OFF by pressing one of the scroll keys Insert Smart Card If the message INVALID
9. h to clean unit case do not use liquid cleansers Use same procedure with electrical leads Your Swisss7 Golf is designed to be maintenance free 17 Valmed SA Switzerland B Safety The Swisssz Golf meets the requirements of ANSI AAMI 54 1985 American Standard and the 601 2 10 European Safety Standard Specific Safety Features and Measures to Prevent Misuse The Swisssz Golf is inherently designed so that improper or accidental application of this unit cannot produce cardiac rhythm disturbances This does not include individuals with im planted cardiac pacemakers This inherent safety is due to the minimal electric charge of all stimulating impulses in the Swisss Golf In all programs of stimulation the typical impulse is below 10 micro coulombs and the maximum possible impulse is 20 micro coulombs zero net current Moreover this maximum charge of 20 micro coulombs is significantly below the cardiac rhythm disturbance safety margin of 25 micro coulombs per pulse the standard as established by the Association for Advancement of Medical Instrumentation AAMI in AAMI ANSI standard NS4 1985 and acknowledged by the U S Food and Drug Administration FDA Specific safety features in your Swisssz Golf include 1 Impossible for users to modify the embedded programs users can only modify the inten sity of stimulation 2 All programs begin with minimal electrical ntensity the user must increase the ntensity to th
10. he following l Is the battery correctly inserted 2 the cable connectors properly inserted into the Swisssy Golf unit 3 Are the skin pads electrodes connected to the cables 4 Are the skin pads electrodes adhering to the skin If not wet the pad surfaces sparingly with water With incorrect non symmetrical stimulation feeling please check the following Electrodes may be dry or greasy Electrodes not positioned correctly Battery almost empty Non symmetrical positioning of the electrodes See Section X Intensity on the two channels are set differently Fa 13 Valmed SA Switzerland Vil PROGRAM DESCRIPTIONS The Swisssz Golf has eight muscle stimulation programs Each program addresses a specific stimulation application for skeletal muscles Always stimulate muscles isometrically make sure that the limb in which a muscle is being stimu lated is firmly secured to prevent the movement of the limb resulting from muscle contraction The SwisSs77y Golf programs are defined as follows Program 1 Potentiation The Potentiation Program prepares muscles to work faster and easier at the very beginning of training This program features two continuous no pause stimulation patterns Muscle contrac tions are tetanic or subtetanic in the first pattern and the frequency of impulses is variable Con tractions in the second pattern are twitch like The two patterns are alternatively repeated ten times Rec
11. in areas that lack normal sensation o Following surgical procedures if muscle contractions might impede the healing proc ess o Over a menstruating or pregnant uterus o There is a tendency to bleed internally following acute trauma or fracture Place electrodes in accordance with illustrations in this User Manual Users should ensure that extremities are isometrically fixed braced during treatment ses sions to prevent movement that results from stimulation This unit should not be used while driving operating machinery or during any activity in which involuntary muscle contractions may place the user at undue risk of injury Some users may experience skin irritation or hypersensitivity due to the electrical stimula tion or the conductive medium Keep the Swisssy Golf neuromuscular stimulator out of the reach of children Application of moderate heat thermal wrap to muscles as well as moistening skin prior to treatment improves treatment efficacy use of cold packs on treated muscles after treat ment is likewise recommended This unit should only be used with the leads electrodes and accessories provided by the manufacturer DO NOT use the Swisssr Golf IF YOU Have an implanted cardiac pacemaker defibrillator or other implanted electronic or metallic devices Have been diagnosed with cancer Are pregnant Have suffered acute trauma or surgical procedure in the past six 6 months Have cardiac problems or cardiac disease Have epi
12. lepsy Have painful and or atrophied muscles Have abdominal or inguinal hernia Have limited range of motion in skeletal joints Have blood circulatory problems 5 Valmed SA Switzerland F Electrode Guidelines The PalsFlex electrodes that are supplied as a standard accessory with your Swisssz Golf mold easily to your body contours and are reusable The specific instructions for electrode use are indi cated on the factory sealed storage pouch The recommended sizes are oval 3 by 5 electrodes for large areas e g leg muscles and round 3 electrodes for smaller areas such as forearm mus cles G Use only skin pads electrodes supplied by manufacturer Other electrodes may not stimu late correctly and may render the treatment ineffective Apply electrodes only to clean intact normal skin Do not apply electrodes over open wounds inflamed swollen or infected skin area or over any skin eruptions such as varicose veins phlebitis etc Do not share electrodes with other users Multiple users may result in adverse skin reac tions Replace self adhesive electrodes when they do not adhere stick firmly to the skin Potential Adverse Reactions Skin irritation and burns beneath the electrodes has been reported from use of some neuromuscu lar stimulators 6 Valmed SA Switzerland IV INDICATIONS FOR USE The SwisSs77 Golf is intended for stimulation of healthy muscles in order to enhance and facili tate improved mu
13. ommended frequency is before all neuromuscular stimulation training sessions and also before any physical exercise or activity Program 2 Endurance Impulse sequences in this program are designed to improve the body s resistance to fatigue improved endurance and consist of warm up and workout periods During the warm up period the stimulation is continuous and muscle contractions are twitch like In the work period stimula tion is intermittent and consists of ON and OFF periods During the ON period contractions are subtetanic while during the OFF period there is a pause with no stimulation and no muscle con tractions Recommended frequency is two to three times weekly on major muscle groups Program 3 Resistance The impulse sequences in this program are intended to increase the time a muscle is able to maintain high power work over short time periods The intensive contractions of stimulated mus cles may induce an exhaustion state in these muscle fibers without psychological fatigue and little cardiovascular stress The Resistance Program activates the anaerobic metabolism and induces the production of lactic acid This program consists of warm up and workout periods During the warm up period the stimulation is continuous no pauses During the workout periods it alter nates between tetanic and twitch contractions There are no pauses during the workout phase Recommended frequency is three times weekly on target muscle groups Prog
14. positive fitness gains B Scheduling Neuromuscular stimulation works by inducing specific contractions at varied user selected inten sity levels When starting neuromuscular training it is not unusual to experience some aching These aches are similar to aches that one experiences after eccentric work such as long downhill walks or intense jumping Scheduling of specific muscle groups is recommended avoid intensive stimulation of the same muscle groups on consecutive days Intensive stimulation tires the mus cles and adequate recovery time is essential to attain improved muscle performance this phe nomenon is known as overcompensation Taking the following steps will help minimize aching e Increase intensity levels workload gradually e Saunas and hot baths accelerate recovery after heavy exercise due to increased blood sup ply to muscles 7 Valmed SA Switzerland C Training Complements Optimal muscle strength improvement is obtained when you combine different methods of muscle exercise Neuromuscular stimulation in conjunction with regular moderately intense exercise is especially effective in attaining maximum strength gains and is recommended for the serious ath lete or physical fitness focused individual Recreational athletes should combine neuromuscular stimulations with other dynamic exercises these exercises can include endurance sports team sports Sport training etc THE BOTTOM LINE The Swisssz Golf is
15. ram 4 Strength This program imposes high power work on the muscle fibers and is intended to develop the maxi mum contractile force in a muscle The program consists of warm up and workout periods Stimu lation is subtetanic twitch and continuous during the warm up phase and alternates between strong tetanic and weak twitch contractions during the workout phase Intensity of stimulation during the continuous twitch periods is automatically reduced in order to provide some rest be tween strong tetanic contractions There are no silent pauses during the workout phase Recommended frequency is not less than twice weekly 14 Valmed SA Switzerland Program 5 Explosive Strength This program increases the speed at which maximum muscle force is achieved This program con sists of warm up and workout phases During warm up the stimulation is continuous at subtet anic twitch frequency while during the workout phase the stimulation alternates between short and strong tetanic and long periods of twitch contractions There is no pause during these phases Recommended frequency is as frequently as desired Program 6 Active Recovery This program consists of low frequency muscle twitches that simulate a massage and induce in creased blood flow The program is one continuous no pause low frequency subtetanic stimula tion The frequency of impulses and the impulse phase duration are constant during the entire program Recommended frequency i
16. s after each stimulation training session Program 7 Relaxation and Pain Control for Back Muscles This is a specific painkilling treatment Its highly diversified work patterns have been specifically designed to fight against pain in the back and paravertebral muscles Program 8 Multi Tens This antalgic program is divided into three phases In depth muscle treatment is offered for pain caused by accidents muscle or tendon inflammation chronic tensive muscle conditions The first phase produces immediate short lasting analgesia while the second phase combines release of natural endorphins with analgesic relief The fourth phase is also a mix of endorphinic and antalgic stimulation acting on pain conducting synapses by gate control mechanisms The timing sequences and frequencies for the SwisSs77 Golf programs are provided in this table Program Program Program Program Program Program Program Program 1 2 3 4 5 6 7 Stimulus frequency Hz 83 83 83 83 10 100 maximum with tetanic contractions Max Impulse us 200 275 240 180 240 180 240 duration Program time min 4 27 30 30 24 30 20 total 15 Valmed SA Switzerland VIII USEFUL INFORMATION A Inserting or Replacing Batteries The battery charge indicator will indicate when the battery weakens and requires replacement If the battery is not replaced your Swisssz Golf will cease to operate within one 1 hour Remove slide the cover of the unit Remove old b
17. s are related to improper use or abuse of unit 16 Valmed SA Switzerland IX SwiSSsrim GOLF TECHNICAL AND SAFETY DATA A Unit Technical Characteristics Stimulation Channels Two independent isolated channels Separate ntensity control levels for each channel Adjustments 5 keys control all stimulation functions and ntensity levels Display The graphical LCD 100 X 30 pixels 46x16 mm signals all stimulation functions stimulation inten sity per channel length of program battery charge status etc Output Current waveform during training Asymmetrical biphasic with fast rise and zero net current Voltage waveform open circuit Low voltage rectangular compensated monophasic impulse Peak open circuit voltage during each impulse 45 Vp 1096 Maximum Output at 500 Load RMS voltage x 5 V volts 10 Peak open circuit voltage during treatment 90mA milliamperes 10 Power Supply One 9 Volt lithium alkaline or NiMh rechargeable battery Battery charge lasts approximally 10 hours according to stimulation intensity The output and program timing parameters are stable 2 throughout the life of the battery Standard Accessories Four skin pads nonpolar self adhesive reusable electrodes One alkaline 9 Volt battery 2 cables Carrying case and User Manual Size Unit size is approximately 12 5 8 1 2 6 cm Weight is 200 grams or approximately 7 oz Cleaning Maintenance Use soft brush or soft clot
18. scle performance The Swisssz Golf is therefore properly considered as a technique or means for muscle training The SwisSs7 Golf is NOT intended for use in any therapy or for treatment of any medical con ditions or diseases The Swisssy Golf training programs are not designed or optimized for in jured or otherwise impaired muscles and use of the Swisss7 Golf on such muscles is contraindi cated 50155 5 Golf provides eight muscle stimulation training programs Each program is for specific application indication and stimulation of skeletal muscles as follows Potentiation training Program Endurance training Program Resistance training Program Strength training Program Explosive Strength training Program Active Recoverytraining Program Relaxation and Pain Control for Back Muscles and TENS po ie pum s pu di A Guidance for Effective Training with the Swisssr u Golf Muscles gain strength when exposed to resistance loads that exceed approximately seventy 70 percent of maximal voluntary contraction MVC force The SwisSs7 Golf achieves this level of MVC forces and in fact produces forces that range from 70 100 percent of your MVC optimal training results occur when muscles are stimulated sornetrically that is the arm s or leg s that is being stimulated is firmly secured to prevent movement of that limb which may result from muscle contractions Neuromuscular stimulation and physical exercise results in the most
19. sponding to the maximum ntensity level 12 Valmed SA Switzerland J Using Pause Function Any SwisSs74 Golf program can be paused by pressing the S Select KEY once When this is done the following choices can be made STOP Stops program RESUME Program resumes from point it was stopped CHANGE PHASE Returns user to program phase menu and allows user to repeat a phase skip to next phase or repeat the entire program Oo K Switching Your Swisss7 Golf OFF During Treatment Press both scroll keys until the ntensity level falls to 0 96 press one of the scroll keys again and the unit will beep and switch OFF L Connections Please refer as needed to the control schematic of the Swisssy x Golf page 8 1 Ensure that the unit is OFF Connect the skin pads electrodes to each output cable 3 Position the skin pads electrodes on the motor points of the muscles to be treated refer to page 19 in this manual for proper positions 4 Connect the output cables to the output socket of the 5 155 Golf unit The two 2 cables can be connected to either output socket on the Swiss S77M Golf the SwissS7 M Golf unit will function properly GO M Automatic Switch OFF The Swisssz Golf will automatically switch OFF three 3 minutes after completion of a pro gram To turn the unit OFF immediately press one of the V scroll keys N Troubleshooting If your Swisssz Golf unit is not working please check t
20. syz Golf is intended for use by ADULTS and ONLY on healthy muscles NEVER use the SwisSs77 Golf on muscles that are Atrophied Painful Suffer spasms or On a limb with painful or otherwise afflicted joints The Swisssz Golf is not intended for the treatment of any medical condition or disease nor is it intended for physiotherapy or muscle rehabilitation It is contraindicated for use on any muscle that is injured or diseased Do NOT attempt to use the Swisssz Golf for Muscle reeducation To prevent muscle atrophy or spasms Improving range of motion Blood flow deficiencies venous thrombosis B Contraindications Do NOT use the Swisssz Golf if you have any of the following medical conditions e An implanted cardiac pacemaker defibrillator or other implanted electronic or metallic de vices e Undiagnosed pain syndromes C Warnings e Long term effects of chronic electrical stimulation are unknown e Apply electrodes ONLY to normal intact clean skin Do not apply electrodes over open wounds or over swollen infected or inflamed areas or skin eruptions e g phlebitis throm bophlebitis varicose veins etc DO NOT APPLY STIMULATION Over frontal area of the neck near site of carotid sinus nerves Over the neck or mouth Severe spasms of the laryngeal and pharyngeal muscles may occur with contractions strong enough to close the airway and or cause diffi culty in breathing Stimulation over the neck could also have a advers
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