Ultima 11 User Manual
Contents
1. Ultima 11 Manufactured for Pain Management Technologies Instruction Guide PADS The pads that are supplied with your Ultima 11 T E N S Unit are self adhesive and can be used several times Skin must be allowed to breathe so the pads should be removed periodically When not in use the pads should be placed onto the clear plastic shield The condition of the pads does affect the conductivity and therefore the performance of the unit When the pads initially lose their adhesive quality it is possible to reactivate their adhesiveness by applying a fine spray of water Once the pads have finally lost their adhesive Quality new pads should be purchased WARNINGS Do not use any pad which size is less than 40mm X 40mm Allergic reactions to the self adhesive pads can oocur even though they are hypoallergenic e Donot apply to broken skin e Donot apply pads to skin that do not have normal sensation If the skin is numb stimulation will not be felt and too great an intensity might then be used accidentally 20 to 73V in steps of 3 5V roughly E Peak pulse output current The peak pulse output currert of two chames can be adusted individually in 20 steps For 500 chm load the output voltage can be change from 127A to 150m in steps of 7nA roughly RED amp BLACK FASTENERS ON LEADS At the end of the leads supplied wth your unit you will find red and black adapters These are Cathode a2. is not effective for pain of central origin Include headache T E N S unit should be used only under the continued supervision of a physician T E N S unit has no curative value TENS is a symptomatic treatment and as such suppresses the sensation of pain which would otherwse serve as a protective mechanism The user must keep the device out of the reach of children Hectronic monitoring equipment may not operate properly when T ENS stimulation IS IN use Do not use T E N S unit if you are driving or operating machinery If you have epilepsy consult your doctor Z 3 Mono Phasic rectangular waveform AmpAlitude B Pulse duration Exoept Mode B Mode D and Mode E which pulse duration can not be adjusted by pressing PV or PW key the pulse width can be adjusted from 50 Sto250 py Sinsteos of 10 u S C Pulse frequency Except Mode B and Mode E with a fixed pulse rate by pressing PR or PR key the pulse rate can be adjusted to one of the following values Hz 1 2 3 4 5 10 12 14 16 18 20 25 30 35 40 45 50 60 70 80 90 100 110 120 130 140 150 D Output voltage range The output voltage of two channels can be adjusted individually in 20 steps For 500 ohm load the output voltage can be changed from 6V 23 16 When the unit intensity levels are 0 on both channels and it has not been in use for 5 minutes the unit will be shut off automatically Detail information regarding to t
3. over an extended period of time INSTRUCTIONS FOR USE Your Ultima 11 T E N S Pain Relief unit has been designed to be simple and easy to use 6 the completed phase Acute Pain Preset Both Pulse Rate and Pulse Vidth are preset to apply a sequence of 3 programs A B optimized to treat the Acute pain Treatment timer Continuous 15min 30min 45min 60min 90min selectable FEATURES 1 When mode changes the intensity will automatically go down to zero 2 When the unit is tumed on it wil automatically enter the mode that the unit had worked in before the unit was tumed of Symbols MANUAL and PRESET on the LCD display will switch on according the program Symbols Gate Control and Endorphins will show automatically if Gate Control or Endorphins techniques are applied By pressing weveform keyand i down key sinuitaneously for 2 seconds the unt will be locked or unlocked in toggle While the unt is locked all parameters can not be adusted excedt timer and intensity By removing batteries or pressing ON OFF key 19 1s on 2s off Both Pulse Rate and Pulse Width wil be freely adjustable Burst 2 One train any 1 5 seconds 0 5s on 1s off Both Pulse Rate and Pulse Width wil be freely adjustable Burst 3 One train any 0 75 seconds 0 25s on 0 5s off Both Pulse Rate and pulse Width wil be freely adjustable Modulation SW Pulse Rate Sweep Moduation Puse Rate i
4. aving made this check press thece gt button again to switch the unit off CAUTION There is a risk of explosion if the batteries are fitted incorrectly Reolace wth AA Alkaline 1 5 volt batteries LR6 Do not mix old and new 8 SPECIFICATION Ultima 11 Dual Maximum 130mA peak value cross 500 Ohm load Fau Sto250u Sadustable From 1Hz to 150Hz Adjustable Symmetrical Bi phasic rectangular Asymretrical B ohasic rectangular Monophasic rectangular 11 Modes are available Constant 1 Both Pulse Rate and pulse Width will be freely adjustable Default values are PR 3Hz and PV WE250 y S Constant 2 Both Pulse Rate and pulse Width will be freely adjustable Default values are PR 20Hz and PW 150 u S Constant 3 Both Pulse Rate and pulse Width wil be freely adjustable Default values are PR 0HZz and PV E50 u S Burst 1 Crnetranany 3 seconds Le 0D 70 BURST Il O OOO OLED light Intensity Up Chl SOn orff Pulse Rate Up Waveform Pulse Width Up llmodes are Intensity Up Ch2 available for selection Intensity D hi Timer for Treatment ee Continuons Pulse Rate Down 15 30 45 60 90 min i ie ane Pulse Width Down Intensity Down Ch2 Please read the following detail specification carefully before using the T E N S Unit 16 batteries Do not dispose of the batteries in a fire and keep them out of reach of children The batteries must be removed from the u
5. he Waveform Pulse duration Pulse frequency Output voltage range and Peak pulse output current A Waveform There are 3 types of waveforms 1 Symmetrical Bi Phasic rectangular waveform AmpAlitude 2 Asymmetrical B Phasic rectangular waveform AmpAlitude before using T E N S PRECAUTIONS 1 Isolated cases of skin irritation may occur at the site of electrode placement fdlowing long term apniication Effectiveness is highly dependent upon patient selection by a person qualified in the management of pain patients ADVERSE REACTIONS Skin imitation and electrode bums are potential adverse reactions GENERAL WARNINGS Do not immerse T E N S units in water Do not place the T E N S unit close to excessive heat Do not use any pad which size is less than 40mm X 40mm Use only the specified batteries 2x 1 5volt AA Alkaline LR6 The use of any other battery could damage the unit Remove batteries if unit is not used for a long period of time 3 6 Do not use the unit while asleep 7 Keep the unit away from sources of high magnetic fields such as TV S microwave ovens and hi fi speakers as these may affect the LCD screen 8 Temperature amp RH of storage 20 C 80 C 8 80 RH 9 Temperature amp RH of transportation 20 C 80 C 8 80 RH the polarity of the symmetrical bi phasic rectangular and mono phasic rectangular wavefamis reversed and the correspond
6. herever you intend to place the pads that the skin is dean and thoroughly dry Remove the pads from the clear plastic shield and position on your body as required STEP 5 READING Read section on Operation of the T E NS Unit and decide how to use the T E N S unit rI for the treatment NOTE AFTERUSE Always ensure that the unit is switched OFF before removing the pads After use return the pads to the clear plastic shields There is no need to separate the pads unit from the leads and pads Life of the pads When the pads intidly lose thar adhesive quality it is possible to reactivate thar adhesiveness by apdying fine spray of water Replace the pads when they lose their 12 1 1 adhesive quality in order not to affect the efficiency of the unit OPERATION OF THE T E N S UNIT Ultima 11 T E N S Unit is easy to operate by pressing the key as following diagram ODODO A ow MA A We Wy WHAT DOES EACH KEY DO This key switches the unit on and off Press once and the unit is on the LED light green color and the LCD display located at the front of the unit will light up there wil be no feeling from either lead at this point as the intensity always starts at zero Press this key again and the unit wil switch off
7. ing symbol is flashed When the treatment timer is set it will begin to count down one minute by one minute Once it count down to zero the unit will automatically shut off When the pulse rate pulse wath or intensity is being adjusted the auto repeat function is available when the key is held down over 1 second it wil automatically increase decrease 1 step per 1 4 second By pressing waveformkey and Ch2 down key simultaneously for 2 seconds the unit wil be Doctortocked or Doctor unlocked in toggle While the unitis Doctor locked all parameters cannot be adjusted except timer and intensity but also the mode cannot be changed By removing batteries or pressing ON OFF key cannot change the Status of Doctor locked Doctor unlocked When one or both of the electrodes does not touch the skin or it is opened the output level of the corresponding channel wil go immediately down to zero this feature is limited to the model Ultima 11 C lt lt cannot change the status of locked unlocked The treatment time will be accumulative recorded when the output level is above zero by pressing ch2 down key and timer key for 2 seconds the treatment time accumulated in minute can be displayed or retum back to the previous normal display in toggle by pressing mode key amp timer key for 2 seconds wil clear the treatment time to zero When the batteries are low the
8. nd Anode respectively The following general points are made for your information 1 More sensation tends to come from the black adapter Cathode 2 Where applicable place the black adapter Closer to the spinal column e g if the arm is to be treated place the black adaptor higher up the arm than the red adaptor GENERAL INFORMATION Statement This TENS Unit has been tested for EMC requirement according to EN 60601 1 2 User Mnd for Ultima 11 TENS UNT PRESCRIBING INFORMATION FOREWORD Read this User Manual carefully before you start using your Ultima 11 TENS unit The manufacturer strongly recommends carefully reading of the Wamings and Cautions ad Chapters of this User Menual WARNINGS AND CAUTIONS Prescription labeling Federal law restricts this device to sale or use by or on the order of a practitioner so licensed by the state Contraindications 1 Do not place the pads on the carotid sinuses located at the two sides of the neck where a doctor feels for a pulse or over the eyes 2 Do not use this T E N S unit if you have a heart pacemaker or serious heart rhythm problem 3 Any electrode placement that causes current to flow transcerbrally through the head l The use of T EN S whenever pain syndromes are undiagnosed until etiology is established WARNINGS Do not use this T E N S unit during the pregnancy or at anytime on the abdomen during pregnancy This T E N S unit
9. nit if unit is not used for a long period of time STEP 2 LEADS Decide whether you wish to use the unit with one lead or two If using two leads insert the plugs into both jacks on the plugs of the unit If only using one lead insert into the ch1 jack as marked on the unit STEP 3 PADS Remove pads from the bag and connect to the leads Press this key to set the treatment time A Press this key to adjust the intensity of every channel left side is for the ch1 Y tight side is for ch2 A increase the intensity v decrease the intenstity Stands for Pulse Rate Up press this key to increase the frequency Stands for Pulse Rate Down press this key to decrease the frequency Stands for Pulse Width Up press this key to increase the Pulse VVidth Stands for Pulse Width Down press this key to decrease the Pulse VVidtth Cir Press the key respectively to select the wevefom The fdlowng wavefrom symbols wil be displayed for 2 seconds when you press the key NOTE In a very sml percentage of peoge using TENS in Monophasic Rectangular waveform can exacerbate the symptoms of pain If this ours stop treatment in this waveform immediately Cu Press this key to select mode total 11 modes are available Constant 1 Constant 2 Constant 3 Burst 1 Burst 2 Burst 3 Modulation SW Modulation 2F Modulation SW Chronic Pain Acute Pain STEP 4 PLACEMENT OF PADS Ensure w
10. s autoreticaly modulated within a basic frequency F1 5Hz and F2 20Hz adusteble fram to 1502 Mboduiation 2 Pulse Rate Dual Frequendes Moduation Pulse Rate is automatically changed any 5 seconds between F1 0Hz adjustable and F2 5 z Modulation SW Preset Frequency amp Pulse Rate Sweeo Modulation Frequency increases from 50Hz to 100Hz while pulse width decrease from200 u Sto50u S within 5 seconds Orraric Pain Preset Both Pulse Rete and Pulse Width are preset to aoply a sequence of 3 pogars A B optimized to treat the Chronic pain The syrbds B a will flash showing the phase in use of will be ON to show the completed phase 18 CONTENT IN THE PACK Your TENS pack should contain the folowing e 1X T ENS Unit e 2 X Leads e 4 x Self Adhesive Pads with Connectors size 40mm X 40mm e 2 x Alkaline AA1 5V LR6 Batteries e 1 x Instruction Booklet which you are reading Having checked all the contents are correct please proceed to assemble the unit HOW TO ASSEMBLE YOUR UNIT Assembly of the Ultima 11 T E N S Pain Relief unit is very simple and requires only five steps STEP 1 BATTERIES Remove the battery cover and insert two batteries as shown on the diagram inside the battery compartment Replace the battery cover Note Your unit will not function if the batteries are inserted incorrectly To check press the button once and the LCD display wil start up H
11. symbol of battery is flashing in 2 Hz indicating that the batteries should be replaced Symbols A B will show the passed phase if permanently ON of the programs Acute Pain and Chronic Pain Symbols Hz or and u S will flash when the respective shown value is different from the Default Whenever the M key is pressed for 2 seconds the defaut parameters of the current mode can be recovered when the unit is in locked mode the Default value will not be restored By pressing the waveform key the form of the stimulation wave is changed and the change is directly felt by the user By pressing the waveform key for 2 seconds a CONTENTS Operating Instruction for Physician Instruction For Use Operation of the T E N S Unit Specification OPERATING INSTRUCTIONS FOR PHYSICIAN INTENDED USE T ENS Stands for Transcutaneous Electrical Nerve Stimulation This T E N S system is used to provide symptomatic pain relief for chronic acute or post operative pain HOW DOES T E N S WORK TENS is believed to work by stimulating your body s own natural defenses against pain The unit produces a gentle stimulus through pads normally placed over the area of pain This stimulus helps the body to produce natural pain relievers called endorphins The correct positioning of the pads is important Some people feel immediate benefit from T E N S However some may only achieve benefit after repeated treatment sessions and
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