Instructions for use
Contents
1. 0 40 C Operating Environment Air humidity 30 75 Ouo eni o 110mMA adjustable in 15 steps at 500q load Intensity Air pressure 700 hPa 1060 hPa p y level will drop back to zero after programme changes Pulse Frequency 100Hz Pulse Width 150us Boost 2 3 a continuous Temperature 0 40 C Air humidity 30 90 Pulse width adjustment does not change when switching between Burst and Boost modes Air pressure 700 hPa 1060 hPa Default pulse width is 1505 There are 5 adjustable pulse widths selectable in all modes 50 100 150 200 and 2504s Storage and Transport Environment PAIN mode PELVIC mode Programme Display Output Frequency Duration Programme Display Output Frequency Duration eer nr CON Pulse Frequency 100Hz STANT Pulse Width 20 250us Urge 32Hz 2 bursts per second 14 pulses per burst Burst Pulse Frequency 2Hz each Hz 14 pulses per burst Stress Pulse Width 20 250us Pulse Frequency 100Hz fixed frequency Massage modulating on pulse width Mixed Pulse Width 20 250us 3 seconds in mode 1 3 seconds in mode 2 repeat Pulse Frequency 2Hz each Hz 16 pulses per burst Mixed and 100Hz repeated After Care Pulse Width 20 250us Total cycle a cece Total time 45 mins Ti Continuous 15 Minutes 30 Minutes i l imer 45 Minutes and 60 Minutes Pulse Duration Pulse width fixed at 200us for all progammes Output Channel Single Channel Output Channel Dual Channel Output Waveform Bi phasic rectangular Output Wa2. DO NOT place electrodes or vaginal probe across or through the head directly or near the eyes covering the mouth on the front or sides of the neck especially the carotid sinus on the chest and upper back so as to cross over the heart directly over your heart or an area of broken inflamed infected or numb skin 14 Electrodes should only be applied to skin with normal sensation unless under medical supervision as skin irritation may occur following long term application 15 This is an internally powered medical electrical equipment Do not use battery or power sources other than those specified in these instructions 16 No modification of this equipment is allowed Warnings Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when TENS is in use Portable and mobile RF communications equipment can affect medical electrical equipment Operation of the equipment or system below this amplitude or value may cause inaccurate results 2 Mild temporary skin irritation can occur following long term application Simultaneous connection by the user to a high frequency surgical medical electrical equipment may result in burns at the site of the electrodes and equipment Users should seek advice from their medical advisors when use of this equipment is required 3 Keep out of the reach of children and babies at all times Children and babies may be at risk of strangulation by entaglement in leadwires or
3. the Elle TENS probe from your body and disconnect the leads Clean the probe with warm running water but do not soak Rinse all soap and residue from probe Dry with a clean cloth paper towel and allow to air dry Display Important e The Vaginal Probe is single patient use only Additional probes and gel can only be purchased from Body Clock e Probes may be re used by the same patient only e Wash probe as instructed before each use e Do NOT use the probe if the pack is open or damaged Questions and answers in PELVIC mode Q How long will it take to see results A The amount of time varies from woman to woman It is also dependent on the type of incontinence from which you are suffering STRESS Incontinence improvement comes slowly with the building of muscle fibre and nerve sensitivity This can take up to 2 months URGE Incontinence improvements are made by reducing the false signals sent by the bladder to the brain Results can be seen in as little as 14 days MIXED Incontinence improvements are made by building the muscle fibre and nerve sensitivity as well as reducing the false signals being sent to the brain This can take slightly longer but you should be able to notice a difference within 21 days What does it feel like All three PFS programmes feel slightly different In general the feeling is that of a pleasant tingly squeezing sensation that contracts and relaxes the pelvic floo
4. the site of the electrodes This is fully adjustable between 20p s and 250s in steps of 10 ps Using the timer The timer allows you to set your length of treatment There are 5 settings Continuous C 15 mins 30 mins 45 mins and 60 mins In any mode press the Timer Button to cycle through the 5 available time periods The default setting is Continuous C The programme s remaining time is shown in the display Lensth of treatment Continue stimulating for as long as necessary but preferably for no less than 30 minutes unless you experience discomfort Some people achieve pain relief after short periods of time Others may require to use their TENS for a lot Display Using the Elle TENS in PAIN mode Babycare TENS longer If you continue to stimulate for a number of hours temporarily turn off your unit and check to make sure your self adhesive electrodes have not dried out If this is the case dampen them slightly If electrodes are allowed to dry out this can cause minor skin irritation When you have finished Press Press the On Off Button to turn the unit off before removing the wires Remove the jack plugs from sockets holding the plugs between the forefinger and thumb Remove electrodes returning them to the plastic backing and pouch as supplied Questions answers and troubleshooting Refer to page 15 PEL VIC m d NOT to be used until at least 12 weeks after childbirth dae Check the appropriate time
5. with your medical advisor The PELVIC mode is an ultra simple yet powerful digital Pelvic Floor Stimulator PFS It is designed for use by women of all ages to help strengthen pelvic floor muscles and to treat incontinence Like all other muscles in your body the more you stimulate them the stronger they become Women with strong pelvic floor muscles enjoy greater control over their bladder increased vaginal tone and greater sensation during intercourse One in three women suffers from some form of incontinence during her life It can occur at any time most commonly after childbirth The severity of incontinence can vary Contents for PELVIC mode D Controls on your Elle TENS in PELVIC mode 25 Display symbols and their meanings 26 About the 4 programmes 27 Setting up in PELVIC mode 28 Entering PELVIC mode 29 Adjusting your intensity level 30 After use 30 Questions answers and troubleshooting 31 Controls on your Elle TENS in PELVIC mode The Elle TENS is very simple to use However it is advisable to read these instructions to obtain the most out of the unit Leadwire Jack Plug Socket Use in channel 1 only Timer Button goost Timer gt Please ensure that all of the contraindications and precautions have been read thoroughly See pages 34 and 35 On Off Button Opti Max Key Preset for use in the PELVIC mode Channel 1 Intensity Adjustment Keys N B Automatic P
6. your medical adviser 6 Never use TENS to mask undiagnosed pain as this could require urgent treatment 7 The unit MUST NOT be used for Pelvic Floor Stimulation in any mode or with the Vaginal Probe during pregnancy 8 You can only use the unit for Pelvic Floor Stimulation from at least 12 weeks after childbirth Check the appropriate time with your medical advisor 9 Do NOT use the Elle TENS for Pelvic Floor Stimulation with the Vaginal Probe if you are suffering from any urinary or vaginal infection or at the same time as using a barrier contraceptive device such as a diaphragm or cervical cap or during your menstrual period o General Precautions amp Adverse Reactions 1 Do NOT use this unit without first reading these instructions 2 Do NOT immerse the Elle TENS in any liquid 3 Do NOT place it close to any source of excessive heat or operate it in the presence of flammable gas 4 Do NOT drop this unit onto a hard surface 5 Do NOT attempt to dismantle the Elle TENS 6 Only use specified batteries electrodes and probe 7 If damaged do not use Return to supplier 8 Remove the batteries when not in use 9 Do NOT use while driving or operating potentially dangerous machinery 10 Do NOT use in close proximity e g 1m to shortwave or microwave therapy equipment to avoid instability in the stimulator output 11 Do NOT use adjacent to or stacked with other equipment 12 Keep out of the reach of children 13
7. Elle TENS Instructions for use The Elle TENS is a 3 in 1 state of the art efficient method of drug free pain relief This powerful digital TENS unit is smooth sophisticated and simple to use It has been cleverly crafted by Babycare TENS specifically for home use for mums to be for the management of pain for labour and beyond The Elle TENS contains a powerful TENS unit to combat labour pain with a built in contraction timer a TENS unit for general pain relief and a Pelvic Floor Stimulator PFS for treating post natal incontinence The instructions in this manual are designed to cover most operational issues If you have any questions concerning setting up using or maintaining this device which are not covered by these instructions or any other concerns please do not hesitate to contact Babycare TENS at help babycaretens com TENS is recognised as a safe and highly effective method of pain relief and is regularly recommended by medical professionals TENS is drug free with no known side effects It can also be used in conjunction with any additional medication if required Explanation of symbols on unit Equipment providing a particular degree of protection against electric shock particularly regarding allowable leakage currents having an F type floating applied part Warning Please read these instructions before use Denotes a product which must be disposed of safely What is TENS TENS Transcutan
8. ady display PELVIC press the Opti Max Key to cycle through the 3 available modes BIRTH PAIN PELVIC until PELVIC flashes at the top of the display as shown in the diagram c Press the Mode Button to confirm PELVIC mode otherwise your Elle TENS will automatically enter PELVIC mode after a few seconds To select another mode you must first turn off the unit and follow instructions from a above Select the Programme most appropriate for your type of incontinence by pressing the Mode Button refer to page 27 for Programme descriptions Programme Duration How often PROG 1 30 mins Once or twice a day PROG 2 30mins Once a day or every other day depending on severity PROG 3 45 mins Complete the programme once a day PROG 4 45 mins At your discretion 30 Using the Elle TENS in PELVIC mode Do not exceed treatment times unless advised by a medical professional Adjusting your intensity level Begin by pressing the CH1 key Each time you press this key you will see the intensity level increase on the LCD Carefully continue to press CH1 key until you comfortably feel your muscles contracting If the sensation feels too strong simply press the CH1 key to minimise the intensity The programme s remaining time is shown in the display After use Your Elle TENS will automatically switch off once the programme is complete After use always remember to ensure that the Elle TENS is switched off Remove
9. ation This is extremely useful for the final stages of labour when you need an extra surge of power There are 5 Opti Max levels in the BIRTH mode 50 100 150 200 and 250us microseconds The unit will always start up at Opti Max 150us which is exactly half way between the highest and lowest setting N B 1 The Opti Max Key can be used according to your preference and not necessarily for the stage of labour you are in 2 When operating the Opti Max Key the CT information will temporarily be replaced but will return automatically When you have finished Press the On Off Button to turn the unit off before removing the wires Remove the jack plugs from sockets holding the plugs between the forefinger and thumb Remove electrodes returning them to the plastic backing and pouch as supplied Display Useful Tips Continue stimulation for as long as necessary unless you experience discomfort If you stimulate for a number of hours ensure the pads do not become dry If this occurs switch off the unit disconnect the electrodes and apply a small drop of water to them Questions answers and troubleshooting gt oO gt gt O gt O roe gt When shall I start using my Elle TENS Use as early as you can after the onset of labour to allow time for your body s pain killing chemicals to rise Can I try the Elle TENS before going into labour Yes using one leadwire place 2 pads on your forearm to feel the d
10. choking by swallowing small parts or accessories Ensure that from the device and all accessories are stored away Safely out of the reach of children and babies at all times 4 It is unsafe to use accessories detachable parts and materials not described in these instructions for use Please see www bodyclock co uk for suitable accessories or contact us if you require any spare parts on 44 0 20 853 9595 5 Do not interconnect this device with any other equipment not described in these instructions for use 6 Do not modify this equipment in any way The device shall not be serviced or maintained while in use with a patient 8 The Elle TENS is not user repairable and must be returned to the manufacturer if it requires repair N If you have any concerns please do not hesitate to contact Babycare TENS at help babycaretens com Checking system performance and troubleshooting 1 Check if the unit is turned on and if so turn it off before taking any further steps 2 Then replace the batteries and turn the device on If it does not function at all return the device for repair 3 If your unit does not appear to be operating properly or there are changes in the performance of your equipment first replace the batteries following the instructions for doing so in this manual Replacing the battery can eliminate most operational problems If the device still does not appear to function properly or the changes to the performance still cont
11. d and the pads are fixed to the skin Also check batteries 15 Section PAIN mode TENS Transcutaneous Electrical Nerve Stimulation works by passing mild electrical impulses through the skin into the nerve fibres which lie below via electrode pads TENS impulses help your body produce its own pain killing chemicals such as endorphins TENS can be used for many chronic and acute pain conditions such as back pain shoulder pain arthritis sciatica sports injuries migraine period pain and post operative pain pody Clack TENS Freedom from pain Contents for PAIN mode i oe ea 2 Th a a N g i yd i g a 1 1 g E i F SNe rece A ll i 1 1 i Ea Controls on your Elle TENS in PAIN mode 17 a Display symbols and their meanings 18 e About the modes 19 ie E Entering PAIN mode 20 A Adjusting intensity for pain relief 20 ara Mode selection 21 ai Opti Max pulse width adjustment 22 Using the timer 22 When you have finished 23 Questions answers and troubleshooting 24 in PAIN mode The Elle TENS is very simple to use However it is advisable to read these instructions to obtain the most out of the unit Controls on your Elle TENS nm Leadwire Jack Plug Sockets lt Timer Button Please ensure that all of the contraindications and precautions have been read thoroughly See pages 34 and 35 ff B Opti Max Key On Off Button Adjusts depth of the pulses Refer to p22 for m
12. de a You are now ready to use your Elle TENS Ensure that the Boost Button located at the top right of the unit is not pressed in Switch the unit ON by pressing the On Off Button You will see BIRTH flashing in the top left corner of the display b J Press Mode to confirm BIRTH mode otherwise your Elle TENS will automatically enter the BIRTH mode after a few seconds c If the unit does not already display BIRTH i e PAIN or PELVIC is flashing use the Opti Max Key to cycle through the modes until BIRTH is flashing N B Your Elle TENS always starts up in the mode used previously To select another mode you must first turn off the unit and follow the instructions as above Adjusting intensity for pain relief during labour Begin by pressing the CH1 key Each time this key is pressed half moons will appear on the screen increasing in number and size as the intensity is Display Using the Elle TENS in BIRTH mode Display increased You will begin to feel a pulsating sensation The unit is in BURST mode Press CH1 should you wish to reduce the intensity Repeat the previous step with the CH2 and CH2 keys You will now feel a sensation in both sets of pads Burst 1 use between contractions This is the first mode that you will use It feels like a pulsing tingling sensation i e the pulses are off and on periodically This mode will help to promote those all importan
13. e drug free method of pain relief which still allows you to use other analgesics such as pethidine or gas and air if you wish Contents for BIRTH mode A women s guide to ee pain relief drug free gel relief Controls on your Elle TENS 5 cca Display symbols and their meanings 6 camer Setting up your Elle TENS for birth 7 a retin ana TES Suggested electrode placement diagram 9 Entering BIRTH mode 10 Y _ Adjusting intensity for pain relief during labour 10 i toes Burst use between contractions 11 ir Boost use during contractions 11 Using the contraction timer 12 Recalling your contraction history 12 The Mode Button 13 The Opti Max Key 14 Questions answers and troubleshooting 15 Controls on your Elle TENS Leadwire Jack Plug Sockets J in BIRTH mode x Boost Timer Button Used for an extra surge of power during contractions and also activates Contraction Timer The Elle TENS is very simple to use However it is essential to read these instructions to obtain the most out of the unit Boost Timer A Please ensure that all of the contraindications and precautions have been read thoroughly See pages 34 and 35 On Off Button Opti Max Key Adjusts depth of the pulses Refer to p14 for more details Channel 2 Intensity Channel 1 Intensity Adjustment Keys Adjustment Keys N B Automatic Power Off When the intensity levels are zero and the Elle TENS has not b
14. e TENS modes to treat your pain CONSTANT Pulses are continuous and feel like a tingly sensation This mode is generally used for acute pain conditions BURST Pulses are off and on in a regular cycle and will feel like a heartbeat sensation This mode is generally used for chronic pain conditions MASSAGE The pulses decrease and then increase in regular cycles creating a massaging sensation MIXED Dense Disperse or Han Stimulation 3 seconds of Constant and 3 seconds of Burst as described above Professor Han suggests that switching between lowand high frequency stimulation for three seconds each i e 2 100 stimulation produces a simultaneous activation of the of the enkephalin and dynorphin systems which creates a more potent analgesic effect to combat pain Published in the January issue of 2003 of Trends in Neuroscience 26 17 22 19 20 Using the Elle TENS in PAIN mode Press 9 Q Entering PAIN mode a Switch the unit ON by pressing the On Off Button Note that your Elle TENS will always start up in perviously used mode You need to select PAIN b If the unit does not already display PAIN press the Opti Max Key to cycle through the 3 available modes BIRTH PAIN PELVIC until PAIN flashes at the top of the display as shown in the diagram c Press the Mode Button to confirm PAIN mode otherwise your Elle TENS will automatically enter PAIN mode after a few seconds To sel
15. ect another mode you must first turn off the unit and follow instructions as in a above Adjusting intensity for pain relief Begin by pressing the CH1 key Each time this key is pressed half moons will appear on the screen increasing in number and size as the intensity is increased You will begin to feel a tingling sensation Press CH1 should you wish to reduce the intensity Display Press Using the Elle TENS in PAIN mode Repeat the previous step with the CH2 and CH2 keys You will now feel a sensation in both sets of pads Please note that you do not need to use both channels Either one will work on its own Mode selection The Elle TENS has 4 modes as described on page 19 These modes are selected by pressing the Mode Button This allows you to select whichever mode you find to be the most comfortable Select from CONSTANT BURST MASSAGE and MIX Varying the modes helps to avoid or delay your body becoming used to any particular setting You will note that the Opti Max value for each mode changes and is generally set at half way between the highest and lowest setting N B The intensity will drop to zero when changing mode This is safety feature Display 21 Using the Elle TENS in PAIN mode Press 22 Opti Max pulse width adjustment An added facility giving extra versatility to your Elle TENS Increasing or decreasing the pulse width heightens or lessens the sensation at
16. een in use for 5 minutes it will shut off automatically Mode Button Selects modes Space to attach neck cord Display symbols and their meanings in BIRTH mode BURST This function is used at the onset of labour and in between contractions There are two Burst modes available indicated by a1or 2 You can switch between them by pressing the Mode Button see page 11 BOOST The Boost Button at the top right of the unit activates the BOOST mode This function is used during contractions There are two Boost modes available indicated by a1 or 2 You can switch between them by pressing the Mode Button Between Contraction Timer Starts by pressing the Boost Button this automatically measures the time interval between your contractions Mode 1 and 2 There are two mode ranges available each with a Burst and Boost function see page 13 Low Battery Indicator This sign will start flashing if the batteries run low If this is the case change both batteries Please refer to page 7 for instructions Power Bar This shows the output from o to 15 for both channel 1 and 2 Each segment represents approximately 7 of the total output Contraction Timer Starts by pressing the Boost Button this automatically records the duration of your contractions Opti Max Indicates the Opti Max output Refer to p14 for more details Pad contact warning safety cut out This symbol will appear if any of your pads a
17. eous Electrical Nerve Stimulation works by passing mild electrical impulses through the skin via electrode pads into the nerve fibres which lie below The TENS impulses help your body produce its own pain killing chemicals such as endorphins The level of pain relief obtained varies from person to person What can the Elle TENS be used for 1 The Elle TENS provides pain relief during labour However some people may find that other analgesics are also needed during the later stages of labour 2 The Elle TENS can be used for many chronic and acute pain conditions such as back pain shoulder pain arthritis sciatica sports injuries migraine period pain and post operative pain 3 The Elle TENS can also be used for treating incontinence NOT to be used during the 12 weeks following childbirth Using your Elle TENS in BIRTH mode See page 4 Using your Elle TENS in PAIN mode See page 16 Using your Elle TENS in PELVIC mode See page 24 BIRTH mode Waiting for that big day to finally arrive is exciting but it is perfectly natural to feel a little apprehensive You will be thinking about how to For more information make giving birth as easy as possible preparation is essential Please also refer to your Women s guide to drug free Babycare TENS has become the most popular choice for mums to be as it is pain relief specifically designed to combat pain during childbirth This is a safe effectiv
18. er treatment Provided you are not experiencing any muscle fatigue or as a maintenance mode After you have been using the unit on a regular basis and have experienced an improvement in your condition 27 Setting up in PELVIC mode 1 Remove the Vaginal Probe from its packaging Wash hands in soap and warm running water Liberally wash the probe using the same method but do not soak Rinse all soap and residue from hands and probe Dry your hands and the probe with a clean cloth paper towel and allow to air dry 2 Take one of the leadwires and insert the black jack plug into the channel 1 only socket at the top of Jack Plug Channel 1 only 5 Now insert the pins at the other Apply a thin coating of the Elle TENS unit the socket to the right when viewed from the back end of the leadwire into the sockets attached to the Vaginal Probe m CTE Re E C Pins gt Sockets lubricating gel to the probe Urethra J Pelvic Floor Insert the probe until the flange Muscle at the base of the probe is sited between the labia as shown in the diagram There is no need for precise orientation Y Using the Elle TENS in PELVIC mode Press Display Entering PELVIC mode a Switch the unit ON by pressing the On Off Button Note that your Elle TENS will always start up in last previously used mode You need to select PELVIC b SY If the unit does not alre
19. his stage N B Each leadwire has a red and black pin It makes no difference which electrode they are attached to p Pins gt Sockets If you wish attach the easy release neck cord which enables you to hang the Elle TENS from your neck Sticky Electrodes Suggested electrode placement diagram The sticky electrode pads need to be placed in the correct position for maximum pain relief It is preferable to obtain assistance from either your birthing partner or medical adviser when positioning the pads Please read the following instructions carefully 1 Clean the skin thoroughly and allow skin to dry before applying the pads Bra line 2 Carefully peel the pads from the plastic backing using your forefinger and thumb Do not pull on the lead wires Retain plastic backing and pouch for Naval line storage after use 3 Position the top two pads connected to the left socket CH1 approximately Panty line 4cm either side of the spine and 4 5cm above the imaginary navel line as seen in the diagram 4 Position the bottom two pads connected to the right socket CH2 approximately 4cm either side of the spine and 4 5cm below the imaginary navel line as seen in the diagram Reference Cluett E 1994 SRN RM ADM PGCEA Analgesia in Labour A review of the TENS method Professional Care of Mother and Child Mar 4 2 50 2 10 Using the Elle TENS in BIRTH mode Press Entering BIRTH mo
20. ifferent pulse sensations following the instructions on Page 9 Can combine the Elle TENS with other medication Yes you can still use analgesics such as gas and air entinox or pethidine Can the Elle TENS be used in hospital Yes However a midwife may ask you to switch it off temporarily Can I use the Elle TENS if am considering a water birth Yes but not in the water itself Is TENS safe Yes TENS is used widely for pain relief and is recommended by medical professionals Can use it with other medications Yes TENS is drug free so you can use it with any other medication including paracetamol Q A What conditions can TENS be used to treat TENS can be used to treat numerous pain conditions such as back pain neck pain period pain and arthritic pain etc If you are unsure about using TENS please consult your medical adviser or contact Babycare TENS at help babycaretens com Troubleshooting Questions Q A Why does the pulse sensation not appear to be as strong after you have used the Elle TENS for a while Increase the intensity you may have become acclimatised to a lower setting Why does the pulse sensation feel strong but ineffective You may need to reposition the electrode pads don t forget to switch the Elle TENS off before doing so What should I do if I can not feel any or little sensation even on a high intensity setting Check that the leadwires are properly connecte
21. inue turn off the unit and double check that your skin is prepared as instructed above Finally replace your electrodes with new ones If your device still does not appear to function properly or the performance is still changed return the device for repair to the manufacturer 4 Where there are any unexpected operational issues or events when using this device turn off the unit and contact the manufacturer for advice and assistance Maintenance and Care Guidelines for optimum performance 1 Remove the batteries if this device is not likely to be used for some time 2 Change the batteries regularly when regularly using this device 3 The unit must be switched off when changing the batteries Check if the unit is turned on and if so turn it off before taking any further steps 4 The unit should be wiped clean periodically using a very slightly dampened cloth A mild soap may be used but DO NOT apply solvents 5 Follow instructions supplied with your electrodes and take note of their intended number of uses and replace them when needed 6 Do not attempt to open or dismantle this device at any time to undertake any other repairs or maintenance 7 Please see troubleshooting section found on page 15 for further information Battery Replacement Please refer to page 7 Materials The Elle TENS casing is made from ABS plastic and the material used for the vaginal probe is ABS plastic and stainless steel metal Electrodes consist of fib
22. ore details Channel 2 Intensity Channel 1 Intensity Adjustment Keys Adjustment Keys N B Automatic Power Off When the intensity levels are zero and the Elle TENS has not been in use for 5 minutes it will shut off automatically Mode Button Selects one of four different modes Refer to p19 for more details A Space to attach neck cord 17 Display symbols and their meanings in PAIN mode Mode Indicator indicates mode currently in use For more information on the modes available see opposite page Pad contact warning safety cut out This symbol will appear if any of your pads are not attached securely to the skin Timer Shows your selected length of treatment Low Battery Indicator This sign will start flashing if the batteries run low If this is the case change both batteries Please refer to page 7 for instructions Power Bar This shows the output from o to 15 for both channels Each segment represents approximately 7 of the total output Opti Max Indicates the Opti Max output in numerals Setting up your Elle TENS in PAIN mode Re First set up unit as described on page 7 Please contact Body Clock Health Care should you require a new set of electrode pads for using your Elle TENS in the PAIN mode www bodyclock co uk Tel 44 0 20 8532 9595 About the modes The Elle TENS has 4 TENS modes Each has been designed to provide a different sensation You can use any of th
23. ower Off When the intensity levels are zero and the Elle TENS has not been in use for 5 minutes it will shut off automatically Mode Button Selects modes Space to attach neck cord 25 Display symbols and their meanings in PELVIC mode Mode Indicator indicates mode currently in use For more information on the modes available see opposite page Probe contact warning safety cut out This symbol will appear if the probe is not inserted correctly or insufficient gel has been used 26 Timer Shows your length of treatment which is preset in the PELVIC mode Low Battery Indicator This sign will start flashing when the batteries are running low If this is the case change both batteries Please refer to page 5 for instructions Power Bar This shows the output from o to 15 for channel 1 Each segment represents approximately 7 of the total output Opti Max Preset for use in the PELVIC mode Setting up your Elle TENS in PELVIC mode About the 4 programmes Your Elle TENS has four preset programmes PROG 1 For Urge Incontinence Occurs with a strong sudden and uncontrollable urge to urinate PROG 2 For Stress Incontinence Occurs when sneezing coughing laughing lifting or during exercise and causes a Small amount of urine to leak PROG 3 For Mixed Incontinence A combination of urge and stress incontinence PROG 4 After Care This is an optional mode and can be used directly aft
24. r muscles Q Is it suitable for use by all women Yes all women can use it provided none of the contraindications apply Can I use it in PELVIC mode whilst I m pregnant No not until at least 12 weeks after childbirth Check the appropriate time with your medical advisor Are there any side effects No it is totally drug free There are no known side effects 31 32 Specifications General BIRTH mode Equipment type Programme Display Output Frequency Duration Dual Channel Digital TENS Classification m TE Pulse Frequency 16Hz Pulse Width 150s This unit is fully compliant with EEC Directive 93 42 EEC 1 burst per second 8 pulses per burst classified as internally powered equipment type BF It is intended for continuous operation ae ss Pulse Frequency 32Hz Pulse Width 150s Default pulse width after mode changed pulse width not changed when switched between 2 bursts per second 8 pulses per burst BURST and BOOST mode 5 selectable pulse widths in all modes 50 100 150 200 250 Pulse Frequency 80Hz Pulse Width 4505 Unit Size 115mm x 55mm x 30mm Boost 1 continuous Output Jacks CE Touch proof jacks Digital LCD 8 seven segment digits and around Display 95 segments Output Channel Dual Channel Battery Low Detect Output Waveform Symmetrical bi phasic rectangular Batter 2x 1 5v AA Battery Type LR6 J y yp Output Voltage o 55v zero to peak adjustable in 15 steps at 500q load Temperature
25. re conductive carbon mesh and conductive hydro gel Applied Parts The self adhesive electrdoes and the vaginal probe Device failures 1 Please do not attempt to repair damaged devices yourself 2 In case of further inquiries always state the model of your device as this device should only be repaired by the manufacturer s qualified technical personnel 3 This unit is guaranteed for a period of 2 years the service life of this unit against manufacturer s defects excluding consumables Consumables include leadwires batteries a vaginal probe and self adhesive electrodes The expected service life will depend on how often the device is used but the average service life is expected to be 3 months for leadwires 20 hours for batteries 3 months for the vaginal probe and 10 20 applications for self adhesive electrodes depending on skin type 4 Note the guarantee is null and void if any attempt is made to open or modify the unit by unauthorized personnel 5 Inthe event of a fault please contact the supplier address found on the invoice or delivery note or Body Clock 108 George Lane South Woodford E18 1AD Tel 44 20 8532 9595 Fax 44 20 8532 9551 email sales bodyclock co uk Recyclin g Recycling of batteries electrical and electronic equipment WEEE When you decide to dispose of used batteries of if you ever choose to dispose of your device please do so safely using official recycling facilities To find your nearest rec
26. re not attached securely to the skin Setting up your Elle TENS for BIRTH Check the following contents e 1x Elle TENS Unit e 1x Pack of 4 Self Adhesive Electrodes 4omm x 100mm e 2xLeadwires and 1 Spare e 2xAA Batteries and 2 Spare e 1x Carrying Pouch e 1x Easy Release Neck Cord e 1x Instruction Manual e 1x Quick Start Guide e 1x Women s Guide e 1x Electrode Placement Chart e 1x Lubricant Gel Sachet Mm 1x vaginal probe NOT to be used until at least 12 weeks after childbirth See contraindications and precautions on pages 34 and 35 For use only in the PELVIC mode see p24 only if you have purchased this unit The Assembly Stage a b Press and rotate the belt clip at the back of the Elle TENS in either direction to reveal the battery compartment Release the battery compartment cover and insert 2 x AA batteries ensuring the positive and negative terminals are correctly positioned as marked in the battery compartment Replace the cover AGL 9Y VV J 0O D D AA R6 1 5v Release Setting up your Elle TENS for BIRTH c Take two of the pink leadwires and insert each of the black jack plugs into the sockets at the top of the Elle TENS unit Jack Plug Jack Plug r d Now insert the pins at the other end of the leadwires into the sockets attached to the sticky electrodes Do not remove the electrodes from the backing at t
27. t natural pain killing chemicals known as endorphins and encephalins Boost 1 use during contractions When experiencing a contraction simply press the Boost Button once and release This is the big button located at the top right of the unit Your Elle TENS will then switch automatically into the BOOST mode for that extra surge of power required to combat pain during contractions This will feel like a continuous sensation You do not need to hold the button in See page 13 for additional BURST and BOOST information 11 12 Press Using the Elle TENS in BIRTH mode Once the contraction has passed release the Boost Button by lightly pressing it The Elle TENS will return to the original BURST 1 mode Continue this cycle during the early stages of labour Using the contraction timer The first time you press the Boost Button the Elle TENS will automatically trigger the Contraction Timer CT This can be seen in the bottom right of the display This measures the duration of your contractions in seconds Once the contraction has passed and the Boost Button is released the unit will trigger the Between Contraction Timer BCT which measures the time between contractions Recalling your contraction history To recall a list of your last 5 Contraction Times CT and Between Contraction Times BCT press the CH1 and CH2 buttons simultaneously The last recorded set of BCT and CT times are sho
28. veform Asymmetrical bi phasic rectangular Output Voltage 6 68V adjustable inas steps Goon dad peak tas Output Voltage o 40V adjustable in 14 steps across a 500 ohm load Output Intensity nomh adjustable in 15 steps 5000 load Intensity Output Intensity o 80mA adjustable in 14 steps across a 500 ohm load level will drop back to o after mode changes Timer countdown displayed on screen 5Hz 3 mins 10Hz 5 mins 15Hz 5 mins 20Hz 5 Hz 5 mins 10Hz 5 mins 5Hz 2 mins Total time 30 mins 10Hz 5 mins 35Hz 5 mins 50Hz 10 mins 35Hz 5 mins 10Hz 5 mins Total time 30 mins 10Hz 5 mins 20Hz 5 mins 30Hz 5 mins 40Hz 5 mins 50Hz 5 mins 40Hz 5 mins 30Hz 5 mins 20Hz 5 mins 10Hz 5 mins Total time 45 mins gt Ki Frequency Modulation Frequency increases from 2 Hz to 10 Hz in 4 secs and then back to 2Hz in another 4 secs 34 Contraindications Do NOT use TENS before 37 weeks of pregnancy unless under medical supervision 2 Electrodes should only be positioned as recommended for childbirth see page 7 unless otherwise stated by your midwife or medical adviser 3 Do NOT place electrodes on the abdomen before birth the front or side of the neck or areas on the head which could cause current to flow transcerebrally 4 Do NOT use TENS if you have a demand type cardiac pacemaker 5 If you suffer from or any undiagnosed pain have any metal plates or any doubts whatsoever consult
29. wn as 1 Use the Opti Max Key to go back to previous sets eg 2 3 4 5 or forward again by pressing the Opti Max Key Recalling the contraction history will not interrupt the functionality of the unit N B To avoid losing contraction history do NOT switch unit off Display Press Using the Elle TENS in BIRTH mode Display To return back to the original BIRTH mode screen press the CH1 and CH2 buttons together again The Mode Button There are two mode ranges available on the Elle TENS each with a Burst and Boost function Mode 1 BURST 1 and BOOST 1 which has been described above is primarily used for the earlier stages of labour Mode 2 BURST 2 and BOOST 2 usually used when your labour advances and your contractions become more frequent Press the Mode Button to switch between mode ranges You will see from the User Display that the number in the centre of the display will change from 1 to 2 and vice versa N B Both modes are interchangeable and can be used according to your preference not necessarily for the stage of labour you are in 13 14 Using the Elle TENS in BIRTH mode Press The Opti Max Key This provides extra versatility to your Elle TENS Increasing or decreasing the Opti Max Key will allow you to either heighten or lessen the level of pulse power transmitted to the electrode pads Pressing the Opti Max Key either or will increase or decrease Opti Max sens
30. ycling sites for waste electrical and electronic products contact your local council or visit www recycle more co uk and type your postcode into the recycling bank locator Latex Warning The Elle TENS and applied parts are NOT made with latex Please check carefully before choosing to use any other third party accessories other than those provided by the manufacturer Natural rubber latex or its synthetic derivative is used in numerous medical products Repeated exposure can result in sensitivity to natural rubber latex proteins with symptoms ranging from skin redness rash hives or itching to difficulty breathing and wheezing Rarely shock and even death can occur Learn to recognize the symptoms of a natural rubber latex allergy seek medical advice and take all steps recommended by your medical advisors Guarantee The Elle TENS is guaranteed for 2 years against manufacturer s defects excluding consumables 35 January 2014 1 www babycaretens com Body Clock Health Care Ltd 108 George Lane South Woodford London E18 1AD Tel 44 0 20 8532 9595 Fax 44 0 20 8532 9551 www bodyclock co uk e mail customercare bodyclock co uk ISO 9001 2008 ISO 13485 2003 EC DIRECTIVE 93 42 EEC Annex V C C recycle 0 1 20 This manual is recyclable
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