User Manual - Tecno-Gaz
Contents
1. To power off hold down the middle button until the display switches off Navigating GRINDCARE Navigation around the three GRINDCARE menus is easy Electrode On off OK button The middle button allows you to make selections OK or enter The left and right arrow buttons allow you to scroll through the options socket Pressing the right arrow button takes Stimulator you to the next menu entry while pressing the left arrow button takes you Holder Grinddock On off button Electrode connection up one level Treatment Data Config For example press the middle button to start then the right arrow button twice to display Config Now press the middle button once and then press the right arrow button until you display Time Date Press the middle button and experiment with setting the time and date see page 16 Practice navigating around the different menus until you feel familiar and com fortable with GRINDCARE then hold down the left arrow button to return to the start PREPARATION FOR USE Switch on the Stimulator by pressing its on off button for 1 sec A blue LED back bottom left flashes once and stays on for a few sec On status is then indicated by a short blue LED flash every 30 sec and by the battery symbol on the Grinddock screen El Switch on the Grinddock by pressing the middle button Check that both G2. Press the middle button to enter the value and next Synchronizing is displayed to indicate upload of data This can take up to 30 sec depending on the amount of data recorded Select Last treatment to view the results of your last treatment Remember to remove the gel pad from the electrode now while it is still soft and easy to detach GRINDCARE must have recorded at least one hour s data for upload of data to a be possible Possible error sources These screens are displayed only if The Stimulator battery needs charging There is no contact with the Stimulator There is poor contact between the skin and the electrode 11 REDUCING GRINDING CLENCHING Before sleeping Treatment Select a biofeedback level using the arrow buttons Press the middle button to test it The level is correct when you can feel a tingling sensation Press OK to confirm or select a different level Relax Start by relaxing your facial muscles You will see an arrow on the right of the Grinddock display when it disappears completely you will proceed automatically Clench do not grind your teeth especially the back teeth good firm bite around 60 of your maximum bite strength Repeat a couple of times until the arrow disappears Your treatment has now started and there is no longer wireless communication between the Stimulator and Grinddock You can place Grinddock in its holder it will swi
3. Storage and transport temperature 10 C 40 C 50 F 104 F Storage temperature gel pads 40 C 41 F 104 F Dimensions of the Stimulator 53 8 x 39 9 x 13 4 mm 2 12 1 57 x 0 53 WxHxD Dimensions of Grinddock 62 x 120 8 x 21 mm 2 44 x 4 76 x 0 83 WxHxD Weight of the Stimulator 279 0 9 Weight of Grinddock 200g 7 02 Gel pad shelf life See label on the back of gel pad pack Complaints Complaints may be submitted in accordance with applicable legislation An invoice receipt showing the date of purchase must be submitted with any complaints In the event of a complaint the device must be returned to the place where it was purchased If you have any complaints or questions please contact Medotech Customer Service at 45 8672 1500 or your supplier EC Declaration of conformity GRINDCARE 3 Declaration of Conformity is available upon request at help medotech dk or your local distributor About Medotech Medotech A S is a Danish biotech company offering unique expertise in the development and design of electronic medical equipment We aim to deliver relief to patients suffering from bruxism and to improve their quality of life Medotech A S 43A Marielundvej DK 2730 Herlev Denmark medotecm Tel 45 8672 1500 www medotech dk Copyright 2010 Medotech A S 50 7019 013R3 0
4. found at the bottom of the GRINDCARE box A charger which is connected to Grinddock for charging both Grinddock and the Stimulator A holder for keeping Grinddock when not in use when it is to be charged and when data is transferred to a PC StimCover a rubber casing designed for use with the Stimulator it prevents the Stimulator being detached or switched off during restless sleep A Quick Guide to using GRINDCARE which you can keep handy near your bed This User Manual which contains all the information you need for using GRINDCARE 20 MAINTENANCE AND DISPOSAL GRINDCARE unit Wipe clean with a slightly damp cloth Electrode The electrode must not be cleaned with cleaning fluids such as ethanol propylalcohol or similar Wipe the electrode down with water on a damp cloth Gel pads These are for single use only and must not be cleaned They must be replaced every night before use of GRINDCARE Storage of gel pads We recommend that you store the gel pads in a cool dry place To keep the gels moist it is important to keep the gel pads in the plastic bag provided The gel pads must not be exposed to direct sunlight Disposal The authorities require electrical and electronic devices to be collected and parts of such devices to be recycled Electrical and electronic devices bearing the following symbol must be handed in to a local authority recycling facility WEEE directive The WEEE directive Directive on Was
5. you should use GRINDCARE every night In the morning you can check to see how often you have been grinding your teeth and how often GRINDCARE has emitted biofeedback You can also register how much pain or tension you experience after waking After four to six weeks of treatment you will be able to measure the preventive effect and experience less grinding at night and or less pain or tension in the morning Now try skipping treatment with GRINDCARE for a week If your grinding increases again you should resume treatment with GRINDCARE Your aim is to find out how frequently you need to use GRINDCARE to keep your bruxism down to a minimum If you are unsure as to whether you are using GRINDCARE correctly contact your clinician or supplier GETTING STARTED Get to know your GRINDCARE system Before using GRINDCARE for the first time insert the Stimulator into Grinddock you ll feel how it snaps into place This is called docking Now charge them both by connecting the charger to the socket on the back of the Grinddock and to an AC power outlet see page 9 Using Grinddock is easy there are only three pushbuttons on the front and a display Power it on by pressing the middle button briefly The display lights up showing the Treatment icon which is the first of three menus for operating and configuring GRINDCARE The other two are Data and Config Now look at the white bar across t
6. GRINDCARE e User Manual GRINDCARE 3 TABLE OF CONTENTS INTRODUCTION c cics aceon 5 GETTING STARTED 0c cceccet cs ewnd seach eaewe ee 6 PREPARATION FOR 8 MEASURING HOW OFTEN YOU GRIND 10 REDUCING 12 DATA 14 CONFIGURATION 16 TROUBLESHOOTING wea 18 UNPACKING GRINDCARE 19 GRINDCARE COMPONENTS 20 MAINTENANCE AND 5 21 SAFETY 22 eee eee ee wed 22 KEY SYMBOLS 4 cei eed ee 24 TECHNICAL SPECIFICATIONS 26 INTRODUCTION Before use Before using your GRINDCARE for the first time please read this User Manual carefully and keep it handy for future reference Application GRINDCARE is a device intended for use by people who suffer from tooth grinding clenching also called bruxism GRINDCARE can measure and treat bruxism For treatment GRINDCARE emits a small electrical impulse what is known as biofeedback This impulse makes the jaw muscles relax and inhibits tooth grinding Before treatment we recommend that you use GRINDCARE for three nights without biofeedback in order to measure how often you grind your teeth When starting treatment
7. RE for the first time make sure that all these components are included If anything is missing please contact your clinician or supplier at once 19 GRINDCARE COMPONENTS The Stimulator is the central unit It registers your grinding and sends bio feedback through the electrode to your skin All treatment data is saved here Grinddock is used to operate the Stimulator and display the results of your treatment with GRINDCARE Communication between the two units is wireless This wireless communication is terminated automatically while treatment is being given Grinddock is also used to charge the Stimulator and to transfer data from the Stimulator to your clinician s The electrode with three contacts is connected to the Stimulator and placed on the temporalis muscle located on either temple The electrode measures electrical EMG electro myographic signals from the muscle when it moves and emits an electrical impulse which makes the muscle relax The electrode is connected to a combined cover and clip which can conveniently be attached to your nightclothes and ensures that the electrode cannot be inserted into any other socket A safety cord which can be attached to the clip and hung around your neck Rubber clip which is used to attach the cable from the electrode to the safety cord see illustration on page 23 Gel pads x 30 are placed on the electrode to ensure contact between the electrode and skin These can be
8. d should gets in your eye do not rub the eye Rinse well with water and immediately seek medical care If left untreated the battery fluid could cause damage to the eye The GRINDCARE limited warranty will be void in the event of failure to comply with the following 1 The device must not be subject to jolts knocks or other mechanical impacts The electric unit must not be immersed in water or other fluids The device must be protected against moisture The device must be cleaned in accordance with the instructions See the section on maintenance page 21 The performance of the device may be impaired if it is exposed to temperatures below 10 C 50 F and above 40 C 104 F The device must not be dismantled Only the charger supplied may be used to charge the device Only the supplied battery may be used for charging If the battery needs to be replaced the device must be returned to the supplier During transportation the device must be kept in the original packaging supplied otherwise the warranty will be void If the device stops working as intended for any reason the supplier must be contacted 23 KEY TO SYMBOLS Warning Read the user manual before starting to use GRINDCARE Read the user manual before starting to use GRINDCARE There is wireless communication between the Stimulator and Grinddock which may affect patients with pacemakers or hearing aids See under Safety on pa
9. e stimulator and other conductive articles including those connected to protective earth such as other electrical equipment 22 Battery warnings Both Grinddock and the Stimulator contain a lithium polymer battery which may get hot explode or ignite and cause injury if exposed to abuse Be sure to follow the safety warnings listed below e Do replace the battery yourself If the battery needs replacement return the device to your supplier e not place Grinddock or the Stimulator in or near fire on stoves or in other high temperature locations Do not place them in direct sunlight or use or store them inside cars in hot weather Doing so may cause the battery to generate heat ignite or explode It may also result in a loss of performance and reduced battery life e If the device is to be used by a young child the caregiver should explain the contents of this document and provide adequate supervision to ensure the device is used appropriately e Immediately discontinue use of GRINDCARE if while using charging or storing Grinddock or the Stimulator they emit an unusual smell feel hot change color or shape or appear abnormal in any other way Contact Medotech if any of these problems are observed Do not place Grinddock or Stimulator in microwave ovens high pressure containers or on induction cookers In the event of battery leak exercise extreme precaution with the leakage If the flui
10. fter every measurement treatment you should rate your sensation of facial tension pain on a scale from 0 to 10 When Log Tension is displayed use the arrow buttons and press OK to approve your settings GRINDCARE has now saved data on your tension pain The Tension Pain function gives you an opportunity to record your own experiences of any tension or pain You can enable or disable the tension pain query in the Config menu see page 17 GRINDCARE transfers data from the Stimulator to Grinddock for viewing Please note that data is not stored in Grinddock but in the Stimulator only Select Last treatment to view the results of your last measurement treatment according to e How much you have been grinding your teeth in total Grinds e How many hours your treatment lasted Hours Remember that a minimum of one hour s data is required e How many times an hour you have been grinding your teeth Grinds Hour e Experienced tension pain Tension Pain 30 treatments Select 30 treatments to view the results of your last 30 treatments measurements Each column displays data for one treatment according to gt How much you have been grinding your teeth in total Grinds gt How many hours your treatments lasted Hours e How many times an hour you have been grinding your teeth Grinds Hour e Experienced tension pain Tension Pain Measurement data recorded using zero biofeedbac
11. ge 22 Type BF equipment IP classification CE marking applicable in accordance with directive MDD 93 42 EEC The equipment must not be exposed to moisture Specification of general temperature range 104 F 40 C 41F 5 C 200x xx g 4 4 Specification of temperature range for gel pads Not for reuse Expiry date year and month Serial number Batch number WEEE symbol See the section on maintenance and disposal page 21 25 TECHNICAL SPECIFICATIONS Output from the Stimulator Max 40 V peak symmetrical energy pulse duration 250 us frequency 230 hz current regulated max 7 peak Classification Type BF Protection class IP 30 EMG Yes Sample rate 2000 Hz Input impedance 4 4 MOhm CMRR 90 dB Wireless range 3 6 10 20 26 RF transmitter Grinddock and Stimulator Transmission frequency 2433 MHz Modulation MSK 18 Kbit s Effective radiated power 1mW Length of electrode Max 50 cm 19 Data memory capacity 30 days activation data Charger 100 240 V AC 50 60 Hz Battery 3 7 V Lithium Polymer battery Average battery charge time 3 5 hours Anticipated operating time between charges 5 days Maximum altitude for operating and storage 3 000m above sea level Operating and storage humidity 5 85 relative humidity non condensing Temperature during operation 10 C 40 C 50 F 104 F
12. he top of the display On the left the time is displayed if it s incorrect see pages 9 and 16 The middle of the bar is empty but this is where the quality of the electrode contact will be displayed when connected 1 5 bars just like the signal quality displayed on a mobile phone The right part of the bar displays symbols indicating battery status of Grinddock and the Stimulator and whether the Stimulator is powered on or docked Powering the Stimulator on and off Power on the Stimulator by pressing its on off button for 1 sec A blue LED on the back bottom left corner flashes once and stays for few sec status is then indicated a short blue LED flash every 30 sec and by the battery symbol on the Grinddock screen To power off press the Stimulator on off button for 3 sec until the blue LED switches on then release button immediately status can be checked the Grinddock display the Stimulator battery symbol disappears please note that there can be a delay The Stimulator will also turn off automatically if left unused or without electrode contact for 10 minutes Note that the symbol for the Stimulator the Grinddock display varies according to whether the Stimulator is docked or not Powering Grinddock on and off Power Grinddock on by pressing the middle button briefly the display lights up and you can operate the device check battery status etc
13. k level is saved in GRINDCARE a just like all other sessions although it is not possible to see which session used biofeedback and which did not This information is however available to your clinician after the data has been transferred to a PC For this reason it is advisable to keep a record of zero biofeedback sessions by means of manual note keeping e g in a diary 15 CONFIGURATION Settings Demo 16 In Config you can change your settings and view more information on your GRINDCARE and how to use it Select Demo if you want to feel a biofeedback impulse Set the date and time using the arrow buttons Approve each individual setting by pressing OK Choose your required language using the arrow buttons Approve your settings by pressing OK Select Clear Data if you want to delete all treatment data You will be asked to confirm this action so make sure you really want to delete the data collected Select SW Info if you would like to view more information on the software installed on your GRINDCARE Tension Pain Here you can enable or disable the query on tension pain which is asked by default when you select Data from the main menu Use the right arrow button to select then press OK Remember that Tension Pain is your option for rating your own experiences of any tension pain on a scale from 0 to 10 Signal Quality In Signal Quality yo
14. oth grinding data before during and after treatment with GRINDCARE Select Treatment from the main menu Setting biofeedback Bio teedback cul Use the left arrow button to set the biofeedback level to zero Press the middle button OK to skip the test Press OK again to confirm your zero setting and the next steps are to calibrate GRINDCARE to suit your grinding pattern Start by relaxing your facial muscles You will see an arrow on the right of the Grinddock display when it disappears completely you will proceed automatically Clench not grind your teeth especially the back teeth good firm bite around 60 of your maximum bite strength Repeat a couple of times until the arrow disappears Your treatment has now started and there is no longer wireless communication between the Stimulator and Grinddock You can place Grinddock in its holder it will switch to standby after 5 sec 10 Next morning Carefully remove the electrode from your temple without pulling on the cable Measurement will stop automatically Press the Stimulator on off button to establish wireless communication The Stimulator battery symbol will reappear on the display after a brief delay Now select Data and the display will show Log Tension assuming that Log Tension has been selected on under Config Rate the pain tension you experienced on waking on the scale of 0 10
15. over especially if you are a restless sleeper When mounted on the Stimulator it prevents accidental switching off and ensures that the electrode clip cannot become detached during sleep 1 Line up the StimCover as illustrated 2 Mount the electrode clip on the Stimulator and from above thread the electrode and cable through the space on the right of the casing 3 Insert the Stimulator into the StimCover and fit all sides of the rubber casing snugly into place Ensure that the power symbol is over the on off button Time Date Before using GRINDCARE for the first time make sure that the time and date under Config are set correctly otherwise all measurements will be recorded with incorrect dates and times see page 16 Charging Grinddock and the Stimulator must be charged at least once every five days and it is recommended to charge them both together when not in use Dock the Stimulator in Grinddock and connect the charger to Grinddock Place GRINDCARE in the holder for charging The Stimulator can only be charged when the electrode is disconnected MEASURING HOW OFTEN YOU GRIND Before sleeping Treatment Before starting treatment it s important to measure how often you actually grind your teeth during sleep These zero biofeedback sessions provide you with a basis for comparison of your to
16. rinddock and Stimulator are charged Make sure that there is contact between Grinddock and Stimulator Insert the electrode firmly into the Stimulator Place the electrode on a flat surface Remove the short plastic liner from the gel pad Place the gel pad with the recesses over the three terminals Remove the long plastic liner from the gel pad Check that there is no gel left on the liner so all the gel is on the electrode Place the electrode with the gel pad directly on the skin The skin must be is clean and dry The electrode must be placed over the temporalis muscle on the temple You can locate this by placing a couple of fingers on the flat part of your temple and biting down you will feel the muscle bulging out Attach the Stimulator to your nightclothes using the clip or hang it around your neck using the safety cord supplied The safety lock must be at the back of your neck Check that there is good contact with _ theskin There should be a EIL minimum of three bars visible in the electrode contact icon The electrode must stick to the skin along its entire length so that all three terminals maintain good contact with the skin When the electrode is placed correctly you can proceed with either measurement or treatment of your grinding depending on your clinician s instructions See detailed instructions in the next two sections StimCover We recommend that you use the StimC
17. tch to standby after 5 sec 12 Next morning Carefully remove the electrode from your temple without pulling on the cable Treatment will stop automatically Press the Stimulator on off button to establish wireless communication The Stimulator battery symbol will reappear on the display after a brief delay Now select Data and the display will show Log Tension assuming that Log Tension has been selected on under Config Rate the pain tension you experienced on waking on the scale of 0 10 Press the middle button to enter the value and next Synchronizing is displayed to indicate upload of data This can take up to 30 sec depending on the amount of data recorded Select Last treatment to view the results of your last treatment Remember to remove the gel pad from the electrode now while it is still soft and easy to detach GRINDCARE must have recorded at least one hour s data for upload of data to a be possible Possible error sources These screens are displayed only if The Stimulator battery needs charging There is no contact with the Stimulator There is poor contact between the skin and the electrode 13 DATA Data lin Tension Pain Synchronizing 14 Select Data from the main menu to view the results of your measurement treatment Start by making sure there is contact between Grinddock and the Stimulator A
18. te Electrical and Electronic Equipment 2000 96 EC has been adopted in order to ensure that products are recycled using the best processing recovery and recycling techniques in order to safeguard human health and ensure a high degree of environmental protection This product has been designed and produced using high quality materials and components that can be recycled Disposal options e The product can be handed in to any local authority recycling facility or other collection point e The product can be returned to the supplier 21 SAFETY Patients with a pacemaker are not allowed to use GRINDCARE The following must be observed when using GRINDCARE When using GRINDCARE together with a hearing aid the function of the hearing aid may be impaired Some patients may have an allergic reaction to electrode gel i e redness rash or irritation at the point of contact In such case remove electrode wash off any gel residue and contact your clinician The device must only be used for its original purpose i e for the measure ment and treatment of bruxism Electric blankets and magnetic bed linen must not be used when the device is in use Mobile phones must not be placed closer than 50 cm 19 from GRINDCARE as they may affect its operation Do not position the charger so that it is difficult to remove from the AC power outlet When using GRINDCARE avoid accidental contact between the gold contacts on th
19. u can view the number of times the electrode lost contact during your last treatment If this figure is greater than 10 you should check the contact between the electrode and your skin 17 TROUBLESHOOTING 1 The gel the gel pad sticks to the electrode You have positioned the gel pad the wrong way round The gel should be against your skin not against the electrode 2 1 wake up at night and get biofeedback even though not grinding my teeth Make sure that the electrode is sticking to your skin along its entire length so that all terminals maintain good contact with the skin Review your treatment settings again and try to bite down harder This allows you to set a higher threshold for when GRINDCARE is sending biofeedback 3 1 find it difficult to achieve good contact between the electrode and my skin Make sure your skin is clean and dry There must be no hair between the electrode and your skin The electrode must be attached along its entire length If necessary try dampening the gel on the gel pad with a drop of water before you calibrate GRINDCARE For further information please see www grindcare com 18 UNPACKING GRINDCARE All the components required for using GRINDCARE are supplied in a custom box containing e Grinddock e Stimulator e Charger e Holder StimCover e Electrode e Safety cord e Rubber clip Gel pads GRINDCARE User Manual e Quick Guide When you unpack GRINDCA
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