Ultima 1 User Manual - Amazon Web Services
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1. 1 Conventional Mode 2 Modulation Mode 3 Burst Mode 4 Acupuncture Mode 5 Brief Intense Mode Control Settings Adjusting the ULTIMA unit for optimum pain relief is a process of custom tailoring settings to the individual patient Pulse Intensity Rate and Width are interactive phenomena and require fine tuning from nominal settings based on the patient s reactions to achieve optimal results The following procedures are recommended for determining the most effective settings for optimum patient treatment The Conventional Mode is recommended as the initial treatment mode for patients new to transcutaneous electrical nerve stimulation treatment Conventional Mode The Conventional Mode provides nerve stimulation with pulse amplitude width and rate fully adjustable PRESET CONTROLS TO Intensity OFF Mode Selector C Pulse Width 60 uS microseconds Pulse Rate 60 pps pulses per second Modulation Mode In the Modulation Mode the pulse width decreases and increases in a cyclic pattern over a period of 5 seconds Because treatment alternates between superficial and deep stimulation we recommend this mode for situations where the patient has developed tolerance to the Conventional Mode PRESET CONTROLS TO Intensity OFF Mode Selector M Pulse Width 60 uS Pulse Rate 60 pps Customizing Control Settings for Conventional amp Modulation Modes 1 Preset controls as indicated 2 Turn ON the inte2. Use at higher Intensity settings resulting in strong muscle contractions to treat chronic deep pain PRESET CONTROLS TO Intensity OFF Mode Selector B Pulse Width 200 uS Pulse Rate Automatically controlled by the ULTIMA unit in this mode 9 pulses per Burst 2 bursts per second Acupuncture Mode High width Low Rate The high intensity Acupuncture Mode provides nerve stimulation with electrodes positioned on the traditional Chinese acupuncture points or on any painful trigger or tender points Stimulation is thought to cause signals to be transmitted to the brainstem which uses descending pathways to block pain through the release of endogenous opiates such as endorphins as well as other pain modulating neurotransmitters such as serotonin This mode is very effective for deep aching chronic pain It is also useful when previous nerve damage has occurred PRESET CONTROLS TO Intensity OFF Mode Selector C Pulse Width 200 uS Pulse Rate 2 4 pps Brief Intense Mode tigh Width High Rate The high intensity Brief Intense Mode is recommended for immediate relief of severe pain It is especially useful during painful therapeutic procedures such as joint mobilization PRESET CONTROLS TO Intensity OFF Mode Selector C Pulse Width 240 uS Pulse Rate 120 pps 11 Modes of Operation The dual channel ULTIMA System is designed to operate in 5 different modes to provide maximum flexibility in pain treatment
3. ceeeeeeeeeeeeee 11 Customizing Control Settings for Burst Acupuncture amp Brief Intense Modes 12 Technical Specifications cccceeseeeeeeeeeeeees 12 Waray cx eanna nn aaa a R a 12 Copyright 1990 Pain Management Technologies All Rights Reserved Reproduction of this manual all or in part is strictly prohibited without written permission from Pain Management Technologies TO THE CLINICIAN These diagrams were produced from 1 second sweep durations of an oscilloscope illustrating the electrical impulses of each of the 5 modes of operation Control settings for each mode are detailed on page 10 GA M REET C M iii ii i I WA CONVENTIONAL MODE ac ij j is uit lite is E spad MODULATION MODE BURST MODE ACUPUNCTURE MODE BRIEF INTENS MODE 6 After this preliminary period slowly advance the Pulse Width control no higher than 200 uS until the patient perceives a change If the perception is only that the stimulation is growing stronger but not expanding the area of pain relief reduce the Pulse Width to the nominal setting If the perception is that the stimulation is growing deeper wider or spreading sustain stimulation at the higher Pulse width setting 7 Relief is usually evident within 10 to 30 minutes 8 Conventional and Modulation Modes may be used as long as desired Burst Mode Use the Burst Mode at low Intensity settings to treat acute superficial pain
4. Burst clinician clinician OFF position as recommended by your clinician Personalizing Control Settings Your clinician will work with you to achieve optimum control settings to custom tailor your ULTIMA unit to your own personal needs Carefully follow his or her instructions regarding electrode placement control settings and user adjustment procedures Changing Batteries Your ULTIMA unit is designed to operate on a 9 Volt rechargeable battery like those included with it or on the disposable alkaline type available in most stores 1 The ULTIMA unit will shut off automatically when the battery needs recharging Prior to shutting off the indicator lights will dim and the unit may perform somewhat erratically 2 Open the battery compartment by pressing up on the latch at the bottom of the compartment cover and lifting the cover off 3 Remove the old battery by lifting up on the end of the lift out tape which should be beneath the battery 4 Insert the battery according to the diagram inside the battery compartment making sure that the terminals are properly aligned Make sure the lift out tape is beneath the battery for easy removal next time 5 If you are using alkaline batteries safely dispose of the old battery 6 Replace the battery compartment cover
5. INDICATOR LIGHT OUTPUT SOCKET INTENSITY CONTROL TOP VIEW DIAL Attaching Electrodes 1 Make sure the ULTIMA unit is turned OFF 2 Determine which channel 1 2 or both you wish to use 3 Plug the L shaped lead wire output plug into the appropriate channel output socket of the ULTIMA unit 4 Insert the red electrode plug into the socket of one electrode 5 Insert the black electrode plug into the socket of other electrode CAUTION Always grip the plug connector when you plug in and unplug the lead wires Pulling the wire can break it Applying Electrodes 1 Your physician or clinician will determine which type of electrode is best suited for your treatment 2 Follow your physician s or clinician s directions as to proper electrode positioning for best results 3 Prepare your skin where electrodes will be placed by washing rinsing and thoroughly drying it making sure all skin oils are removed 4 Apply electrodes following application instructions included with the electrodes packaging 5 Use ULTIMA electrodes for best results p aw Pal SD mows al 1 Each time youuse your 2 Adjust the sliding Mode 3 Adjust the Pulse Rate 4 Adjust the Pulse Width ULTIMA unit begin with Selector Switch to the control the position as control the position the intensity controls for C Conventional recommended by your recommended by your both channels 1 amp 2 turned M Modulated B
6. are interpreted as pain If these impulses can be interfered with before the brain can receive and interpreted them the result is pain relief How ULTIMA Relieves Pain ULTIMA is the advanced pocket sized fully portable Transcutaneous Electrical Nerve Stimulation T E N S system designed to relieve both acute and persistent pain without shots drugs or narcotics It sends gentle electrical impulses through the skin to the nerves to suppress pain by scrambling the pain signals before they reach the brain ULTIMA provides five different modes of operation for pain treatment versatility Because ULTIMA has two channels it can be used to relieve pain at two body locations simultaneously or to provide extra relief at a single body location or over a large body area ULTIMA may not work for everybody who suffers from pain But for many people ULTIMA offers comforting relief reducing and often even eliminating pain Because there are many different kinds of pain and each individual is unique ULTIMA pain relief varies from person to person Some users experience relief only while the ULTIMA unit is turned on For others relief continues for a length of time even after the unit is turned off Some users experience relief in one mode some in others The ULTIMA system can help you return to normal activity It is about the size of a pack of playing cards and battery powered so you can wear it everywhere at home to work in your c
7. patients with these conditions only under the direction and supervision of the prescribing physician PREGNANCY The safety of the ULTIMAT E N S unit during pregnancy or delivery has not been established UNDIAGNOSED PAIN Do not use the ULTIMA unit to treat undiagnosed pain syndromes MACHINERY OPERATION Do not adjust the control settings of the ULTIMA unit while operating vehicles heavy equipment machinery or tools CHILDREN Keep out of the reach of children CAUTION United States Federal Law requires a physician s prescription for the purchase and use of the ULTIMA T E N S system Ultima is approved by the Food amp Drug Administration PATIENT INSTRUCTIONS The ULTIMA T E N S system should be used only under the supervision of a physician or a qualified medical practitioner to whom you are referred by your physician Use it only for the condition for which it is prescribed Understanding Pain Pain is the body s warning system It alerts us to injury or illness And It is absolutely necessary for life and health Unfortunately however this vital warning system is not equipped with an off switch So sometimes long after we have gotten the message and responded to the problem pain signals keep on being sent to the brain Pain signals in the form of electrical impulses travel to the brain through the body s nervous system from the site of the injury or ailment In the brain the impulses
8. JULTIMA USER For Patient an P FAIN agr S GUIDE d Clinician MANAGEMENT TECHNOLOGIES Professional Systems ZULTIMA USER S GUIDE For Patient and Clinician The Personal Pain Relief System That Breaks The Pain Cycle AIN MANAGEMENT DA PECHINOLOGIES Professional Systems ADDENDUM This Manual applies to the Ultima 3 three mode device without timer If you have the Ultima or Ultima 3t please read below The Ultima Is a single mode device This manual will provide accurate instructions omitting the modulation and burst modes The Ultima 3t Is a three mode device with a timer This manual will provide accurate instructions omitting the use of the timer Also note Throughout this manual the c is designated as the conventional mode however on most devices an n or normal mode will be found to have the same function LIFE TIME WARRANTY This warranty is in lieu of any other warranty expressed or implied Pain Management Technologies provides a life time warranty from the date of purchase on each new ULTIMA TENS stimulator against any defects in material and workmanship If the new ULTIMA stimulator is found to be defective within the warranty period it will be replaced or repaired free of charge if returned to your place of purchase This warranty applies to the ULTIMA unit only and does not cover charger batteries electrodes lead wires or other accessories This wa
9. ULTIMA Unit 1 Before applying electrodes and after removing them wash the area of skin where electrodes are placed with mild soap and water Rinse and dry thoroughly 2 Skin oils can be removed by wiping the skin with rubbing alcohol 3 Do not shave electrode area hair may be trimmed short with scissors 4 Always remove electrodes by pulling in the direction of hair growth 5 Avoid skin stress that can be caused by electrodes or tae holding lead wires stretching or pulling the skin TROUBLESHOOTING THE ON INDICATOR LIGHTS UP BUT THE UNIT DOES NOT THE ON INDICATOR IS DIM FUNCTION PROPERLY Control settings may not be set to The battery is discharged prescribed values replace with a fresh one Electrodes may not be in proper position The battery may be improperly Electrodes may be wearing out or positioned follow diagram in drying out A prickling sensation may battery compartment accompany this problem Electrodes may be defective The unit may be damaged Lead wires may not be securely contact your supplier for connected service Lead wires may be broken inside the insulation SIDE VIEW shown without battery compartment lid THE ON INDICATOR DOES NOT LIGHT UP The battery is discharged replace with a fresh one 9 VOLT BATTERY OUTPUT RED amp PLUG BLACK Connects to ELECTRODE ontopof Ss PLUGE 7 ULTIMA Connects BATTERY to socket of electrodes LIFE OUT TAPE EBLT OR PURSE CLIP
10. ar And it is equipped with a convenient clip so you can wear it on your belt or even inside your clothing CLINICIAN INFORMATION Indications The ULTIMA transcutaneous electrical nerve stimulation system is indicated as a first line treatment modality or as part of a multi modality treatment strategy for symptomatic relief and management of acute persistent and chronic pain ULTIMA provides proven effective pain relief for back pain myofascial pain syndrome post operative surgical amp scar pain post traumatic pain knee amp shoulder pain arthritis strains amp sprains TMJ neuropathies neuralgia RSD causalgic pain dysmenorrhea tension headaches carcinoma pain and any pain condition requiring medication References available upon request Contraindications ULTIMA is contraindicated for use on patients using demand type cardiac pacemakers IMPORTANT See Warnings amp Precautions section on page 3 Recommended Electrode Placement This chart shows typical electrode placement positions for treatment of typical pain conditions In line Placement is recommended for neck sciatica and lower back muscle pain Criss Cross Placement is recommended for shoulder knee and lower back spine pain LOWER BACK SCIATICA TMJ Bilateral Placement NECK NECK LOWER BACK SHOULDER OR KNEE Skincare To keep your skin healthy and avoid irritation follow these simple recommendations Introduction to The
11. nsity for the channel being used Note that the channel indicator light begins to blink 3 Gradually turn intensity up until the patient notices a change in sensation in the electrode area 4 Slowly increase the intensity until the patient experiences slight discomfort Then immediately decrease intensity slightly to just below the pain threshold the sensation however should still be detectable This will allow maximum excitation of the large nerve fibers without stimulation of the smaller pain conducting fibers Gate Control Theory 5 As the patient adapts to the sensations typically after 5 to 10 minutes of stimulation and perceives that the strength of stimulation has decreased increase the intensity slightly to restore the desired perception WARNINGS amp PRECAUTIONS CARDIAC PACEMAKERS Do not use the ULTIMA T E N S unit with demand type Cardiac Pacemakers THROAT CARLTID SINUS Do not use over the nerves muscles or arteries of the throat or the larynx voice box strong muscle contractions could close the airway EYES Do not use on the eyelids HEAD Do not place electrodes so electrical flow is from one side of the head to the other EKG MONITORS amp ALARMS Monitors and alarms for EKG units may not operate properly when the ULTIMA unit is in use MYOCARDIAL DISEASE OR ARRYTHMIAS The ULTIMA T E N S unit should be used by
12. rranty does not cover damage caused by misuse negligence accident abuse alteration or modification of the unit 1 CLINICIAN MODE DIAGRAMG 2 WARNINGS amp PRECAUTIONG 3 PATIENT INSTRUCTIONS Understanding Pain cceeeceeeeeeeeeeeeeeeees 4 How ULTIMA Relieves Pain cccceeeeeeeeee 4 Introduction to The ULTIMA Uniit eee 5 Attaching Electrodes ccccessssecceeeeeeeeeeeeeees 6 Applying El6Ctrodesss ccccercuettsecaseerineritintenngidinustiied 6 Adjusting ComtrlS cc vce oi ciehite lenient il 6 Personalizing Control SettingS ceeeee 7 Changing BaneneGissseitiacnccecsistecigeideent caeteedsieee 7 SINCE wc aside a E E teen say eebecens 8 Troubleshooting esis h 8G ee eee es oe 8 CLINICIAN INFORMATION NCIC ATOMS esis ais Mates et ae eE En 9 ContraindicationS s eneseseeneeeneeeneerere ereenn 9 Electrode PlaGementiccs scictciccdeteseiess ites epic apsccsins 9 Modes of Operation cccccceseeeeeeeeeseeeeeeeeeeees 10 Control SOTO Ses iS is Si ehh SA te 10 Conventional Mode ssssssesssneeeees 10 Modulation MOde cscccccccccceeeeeeeeeeeees 10 Customizing Control Settings for Conventional amp Modulation Modes 10 B rst Moden aslinin a a iina 11 Acupuncture Mode High Width Low Rate eceseseeeeeeees 11 Brief Intense Mode High Width High Rate
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