www.kegel8.co.uk USER GUIDE
Contents
1. 20Hz for 3 mins 3Hz for 5 mins 10Hz for 15 mins 20Hz for 15 mins 250uS Ramp up time 0 8 secs 30Hz for 5 mins 40Hz for 5 mins 200uS Ramp up time 0 6 secs 10Hz for 12 mins 250uS Ramp up time 0 8 secs Work Time 4 sec Rest Time 4 sec GENERAL PELVIC FLOOR WORKOUT P08 BUILDING UP ENDURANCE P09 F USER GUIDE Kegel TIGHT amp TONE Taking Care of your Kegel8 Accessories and Modifications Only use CE approved accessories such as probes with your Kegel8 device All official Kegel8 probes are CE approved and so have been tested for safety Do not modify your Kegel8 device Making unauthorised adjustments to your Kegel8 will invalidate your warranty and could result in injury Kegel8 Screen LCD Care Your Kegel8 s LCD is covered with a thin protective layer This layer helps to protect your LCD from scratches If your LCD appears to be scratched gently peel off the protective layer If the scratch only damaged the protective layer it can be replaced with another screen protector If however the LCD itself is damaged you will need to get it repaired For more information please contact Customer Care see page 46 When cleaning your Kegel8 please do not use cleaning sprays or alcohol based cleaning solutions as this could damage the LCD Kegel8 Probe Care Each Kegel8 probe is designed for ease of use and should last 12 18 months with proper care e Never immerse your probe in boilin2. 40 Kegel 5 VERWE References and Contact Details a USER GUIDE Kegel TIGHT amp TONE Warranty Savantini Ltd Medical Dept provides a warranty to the original purchaser that this product will be free from defects in the material components and workmanship for a period of 1 year from the date of purchase invoice date If Savantini Ltd is satisfied that the product s is defective the purchaser may return this unit s to Savantini Ltd Medical Dept or the appointed distributor for repair or replacement with a new unit All returns must first be authorised by Savantini Ltd Medical Dept in advance The liability of Savantini Ltd Medical Dept under this limited product warranty does not extend to any misuse or abuse such as dropping or immersing the unit in water or other liquid substance or tampering with the unit or normal wear and tear Any evidence of tampering will nullify this warranty Manufactured by Savantini Ltd 14D iPark Innovation Drive Kingston upon Hull HU5 1SG England This product is manufactured in compliance with the European Union Medical Device Directive MDD93 42 EEC under the supervision of SGS Notified Body number 0120 C 0120 Savantini Ltd is certified by SGS to the following Quality Standards ISO 9001 2008 ISO13485 2003 42 F USER GUIDE Kegel TIGHT amp TONE Clinical References Neuromuscular Stimulation Knight S Laycock J Naylor D 1998 Evalu
3. We aim to provide our customers with outstanding products and customer service So if you have comments or ideas regarding Kegel8 features please get in touch for contact details Customer Care on page 46 a USER GUIDE Kegel TIGHT amp TONE Warnings Please pay careful attention to the following safety warnings e Do not insert lead wires into a mains power supply e Do not immerse unit into water or any other substance e Type BF equipment Continuous Operation e Do not use the Kegel8 Tight amp Tone unit in the presence of a flammable anaesthetic gas mixture and air or with Oxygen or Nitrous Oxide e f using rechargeable 9 Volt PP3 Nickel Metal Hydride batteries be sure to use a CE approved battery charger Never connect the Kegel8 Tight amp Tone directly to a battery charger or to any other mains powered equipment We advise not to use Ni Cad rechargeable batteries e Patient Probes and Electrodes are for single patient use only e Keep out of reach of children e Do not use this stimulator on your facial area unless you are under strict guidance from a qualified Clinician e Operation in close proximity e g 1m to a shortwave or microwave therapy equipment may produce instability in the stimulator output e Simultaneous connection of a patient to a high frequency surgical equipment may result in burns at the site of the stimulator electrodes and possible damage to the stimulator This unit must be used
4. e 1 x Kegel8 Lead Wire e 1 x Kegel8 Tight amp Tone User Guide e 1 x Kegel8 Product Guarantee Registration Form In the unlikely event that any of the items above are missing please contact Customer Care see page 46 USER GUIDE Kegel 8 TIGHT amp TONE Getting to Know Your Kegel8 Channel A Channel B py uuenes B El 5 S 2 a Ld m 3 5 ng uonenouu 442d OPL SET ESC Front You will use Channel A and Channel B to connect your Kegel8 probe s to your Kegel8 Tight and Tone device We recommend that you connect a vaginal probe to Channel A If you have an anal probe you can connect that to Channel B You will use PRG when setting a programme on your Kegel8 see Choosing a Kegel8 Programme on page 22 SET and ESC are beneath the removable battery cover and are only used when Creating a Custom Programme see page 25 The front of the Kegel8 also has two sets of and buttons You can use these buttons to increase or decrease the strength of the electrical pulse being sent via Channel A and Channel B respectively The buttons labelled A are for Channel A those labelled B are for Channel B 13 a USER GUIDE Kegel TIGHT amp TONE When you first power up your Kegel8 Tight amp Tone the LCD will display the following information Hz Hz amount is the number of electrical pulses per second Hertz This value will vary depending
5. due to electrode impedance e At 1000 Ohms load Electrodes in poor condition the maximum will be limited to 70 mA e At 1500 Ohms load the maximum will be limited to 65 mA 3 Type Constant Current maximum output voltage 180 Volts 10 1 30 Volts 4 Waveform Asymmetrical rectangular bi phasic with zero DC current 5 Selectable pulse width 50 uS 450 uS 2 accuracy 6 Pulse Rate selection in the continuous mode 2 Hz 100 Hz 2 accuracy 7 Time duration of the treatment selectable 1 to 90 minutes 8 Low Battery Indicator If the battery goes below 6 9 volts 0 2 volts the battery symbol will flash on off once every second 9 Open Electrode Detect If an open circuit is detected at the output of Channel A or B the output current will be reset at 0 10 Ramp up time 0 3 9 9 seconds 11 If the battery voltage is below 6 6 0 2 volts the unit will not turn on Physical dimensions 108 x 62 x 23 mm Weight 0 07KG without battery 0 1KG with battery Environmental Conditions for use 10 to 30 degrees Centigrade 0 90 Humidity Environmental conditions for storage amp transport 10 to 50 degrees Centigrade 0 90 Humidity Fr USER GUIDE Kege 1 tichr amp Tone Electromagnetic Compatibility and Interference EMC Kegel8 products are designed to produce very low levels of radio frequency RF emissions interference and to be immune from effects of interference produced by other
6. equipment operating in their vicinity They are also resistant to damage relating to electrostatic discharge when operating in a typical domestic and or clinical environment They are certified to meet the international EMC standard EN60601 1 2 Table 201 Guidance and manufacturer s declaration electromagnetic emissions The Kegel8 product is intended for use in the electromagnetic environment specified below The customer or the user of the Kegel8 product should ensure that it is used in such an environment Emissions Compliance Electromagnetic environment Test guidance The Kegel8 product uses RF energy only for its RF emissions internal function Therefore its RF emissions are CISPR 11 very low and are not likely to cause any interference in nearby electronic eguipment RF emissions Class B The Kegel8 product is suitable for use in all CISPR 11 establishments including domestic establishments and those directly connected to Harmonic emissions N licabl the public low voltage power supply network that IEC 61000 3 2 ot applicable supplies buildings used for domestic purposes IEC 61000 3 2 Voltage fluctuations Not applicable flicker emissions IEC 61000 3 3 i a USER GUIDE Kegel TIGHT amp TONE Table 202 Guidance and manufacturer declaration electromagnetic immunity The Kegel8 product is intended for use in the electromagnetic environment specified below The customer or the user of the Keg
7. from this condition If you have suffered an anal prolapse please contact Customer Care see page 46 We will provide you with a special customised programme for this condition a USER GUIDE Kegel TIGHT amp TONE Q How far should I insert the probe The probe needs to be inserted by just 2 inches 5 5cm This is the optimum level to stimulate the pelvic floor muscles Q find it painful inserting the probe What should do Try using a water based lubricant If this does not help see your doctor as you may be suffering from vaginal atrophy which causes dryness and thinning of the vaginal walls It can be treated quite easily so don t worry you will soon be able to use your Kegel8 Q aim to have my mAs at 40 but on some programmes it drops to 30 why is that While the programme goes through its preset routine the rate and length of the electrical pulses vary When the pulse rate and length increase the mAs drop so that the intensity does not take you by surprise So if you feel a decrease in intensity just use the button to increase the mAs back up to a comfortable level Q Why can t I get the mAs to increase past 6 7 or 8 This is an issue that is usually caused by the probe not making effective contact with your muscles We recommend that you try using your Kegel8 while lying down or sitting with your legs elevated This will help to prevent the probe from becoming misplaced If the probe s
8. is selected and ready for a value to be entered Use the or button to adjust the pulse rate Hertz NOTE Hz HS WRK RST RMP ALT and SYN are explained at the end of this section 5 Press the SET button and the pS symbol will flash on off Use the and button to adjust the pulse duration the possible range is 50 to 450 US 6 Press the SET button and the Clock Time symbol will flash on and off Use the Channel A and buttons to alter the hours and the Channel B and buttons to adjust the minutes Maximum time is 1 hour 30 minutes aj O USER GUIDE Kegel TIGHT amp TONE 7 Press the SET button and the WRK Work symbol will flash on and off Use the and buttons to adjust the work period 2 99 seconds 8 Press the SET button and the RST Rest symbol will flash on and off Use the and buttons to adjust the rest period 2 99 seconds 9 Press the SET button and the RMP Ramp up symbol will flash on off Use the and buttons to adjust the ramp up period 0 1 9 9 seconds 10 Press the SET button and the ALT Alternating or SYN Synchronous symbol will flash on and off Use the and buttons to select ALT or SYN 11 Press ESC to store the custom programme F USER GUIDE Kegel TIGHT amp TONE Kegel8 Programme Settings Explained Each Kegel8 programme has several settings that you will need to understand if you are creating a custom programme Getting to kn
9. off the battery cover and insert the battery Make sure the red material strip is under the battery it makes it easier to remove the battery when a replacement is needed Slide the battery cover back on 3 Make sure the probe is clean by rinsing it in cold or warm water see Kegel8 Probe Care on page 29 Unclean probes could cause infection 4 Connect the lead wire to the vaginal probe and Kegel8 unit All of the wires are fitted with the appropriate connections so all you have to do is e Insert the red pin on the lead wire into one of the connections on the probe s wire e Insert the black pin on the lead wire into the remaining free connection on the probe s wire e Insert the white connection on the lead wire into the Channel A slot on your Kegel8 unit If you are looking at the front of the Kegel8 unit the Channel A socket is on the top left of the unit Push the lead in firmly so that it is fully connected If you are going to use an anal probe connect it to the Channel B socket Kegel8 is designed so that you can use a vaginal probe only an anal probe only or both a vaginal and anal probe at the same time Just make sure that your probes are connected to the appropriate channels Channel A for vaginal Channel B for anal 18 F USER GUIDE Kegel TIGHT amp TONE 5 Insert the Kegel8 probe s i Get into a comfortable position Many women choose to use Kegel8 in a sitting position or standing up Insert
10. on the programme you have selected HS The us amount is the duration of a single electrical pulse The higher the value the more it penetrates your muscles Again this amount will vary depending on the programme you have selected Programme Number or Programme Timer The top right area of the LCD shows either the number of the programme that is currently selected or the amount of time remaining on the programme currently running Channel Outputs in MilliAmps The two large numbers at the bottom of the display show the amount of electric current being output through Channel A and Channel B The large number on the left hand side of the LCD represents Channel A and the large number on the right hand side represents Channel B 14 A V USER GUIDE Kegel TIGHT amp TONE For example if you connect your Kegel8 probe to Channel A set the unit to run programme 6 and press the button for A the LCD could show Your Kegel8 Probe s Your Kegel8 Tight amp Tone comes complete with a vaginal probe which you should connect to Channel A As an optional accessory you can purchase an anal probe for use with Channel B If you have two probes you can use them separately or at the same time Each probe has a wire connected to its tail end and metal strips that run up each side towards the head The electric pulse produced by your Kegel8 is transferred to your pelvic muscles through the metal strips Icons Show
11. 0 KHz 150 KHz to 61000 4 6 to 80 80 MHz MHz Radiated RF 3V m IEC 61000 3V m 80 MHz to 4 3 80 MHz 2 5 GHz to 2 5 GHz d is the recommended separation distance in meters m P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol 6 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which Kegel8 product is used exceeds the applicable RF compliance level above the Kegel8 product should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Kegel8 p
12. 28 P 02 Prolapse Frequent Urination This programme is great for women who have vaginal prolapse or have a frequent urge to urinate but don t suffer from bladder leakage Kegel8 actually has two programmes for helping you overcome frequent urges to urinate We recommend that Programme 02 is used by menopausal and post menopausal women whereas women of child bearing age should start with P 05 New Mothers and Frequent Urination23n For more details see Programme Specifications on page 28 NOTE If you have anal prolapse please contact our care line We can programme your Kegel8 to help with this condition F USER GUIDE Kegel TIGHT amp TONE P 03 Stress Incontinence Lots of women suffer from incontinence especially during exercise and lovemaking Programme 03 is designed to give you improved muscle control so that you can prevent bladder leakage This programme is set at a rate of 40Hz which is the level favoured by UK physiotherapists For more details see Programme Specifications on page 28 P 04 Stress Incontinence Scandinavian Programme 04 is the same as Programme 03 except that it uses a lower rate of 30Hz This is the level favoured by physiotherapists in some Scandinavian countries For more details see Programme Specifications on page 28 P 05 New Mothers and Frequent Urination If you are a new mother or feel the need to pass urine frequently this is the programme for you It is a great w
13. Kegel8 USER GUIDE www kegel8 co uk USER GUIDE ege TIGHT amp TONE F USER GUIDE Kegel TIGHT amp TONE Welcome to Kegel8 Tight and Tone Dear Customer Thank you for choosing Kegel8 Tight amp Tone You are now one step closer to having a stronger healthier pelvic floor Created especially for women the Kegel8 Tight amp Tone is an effective neuromuscular stimulator STIM This means Kegel8 works by producing electrical pulses that stimulate the muscles and nerve fibres in your pelvic area Using Kegel8 Tight amp Tone to exercise your pelvic area can e Help with continence problems e Prevent or reduce pelvic floor problems e Increase sexual satisfaction e Treat vaginal uterine and bowel prolapses depending on severity of symptoms e Help strengthen muscles that have become weakened following childbirth hernia operations or hysterectomies e Improve pelvic muscle strength and blood supply If you have never used a neuromuscular stimulator before you may be a little apprehensive That s quite normal lots of people are cautious at first but soon realise that there is nothing to worry about The probes are designed for comfort and while you will be able to feel the effects of the electric pulses they should not cause any discomfort If you follow the instructions in this User Guide Kegel8 Tight amp Tone is a safe and effective way of exercising your pelvic floor Customer Care
14. When you need to dispose of Kegel8 batteries probes or the Kegel8 device please send them to us see Recycling on page 45 We will make sure they are disposed of correctly and materials are recycled where possible F USER GUIDE Kegel TIGHT amp TONE Frequently Asked Questions Q How soon after the birth of my baby can I start with my Kegel8 Tight amp Tone Please consult with your midwife or doctor Generally women start using Kegel8 after a successful six week check up Q I have an IUD or Mirena coil Can I use the Kegel8 Yes Kegel8 is unaffected by Mirena coils or IUDs Q Can I use Kegel8 while am pregnant No Clinical guidelines advise against using any vaginal STIM devices during pregnancy Q have had pelvic surgery How soon can start using my Kegel8 Please consult with your doctor or consultant as every case is different Using Kegel8 after pelvic surgery could help to speed recovery as it is an effective way of strengthening your pelvic floor Q Can I use my Kegel8 when I have my period Yes However if you are at the peak of your period and the flow is heavy you may prefer to wait Here in the office we tend to use Kegel8 on lighter flow days You may also like to know that many of our customers have reported that Kegel8 helps with menstrual cramps too Q I have suffered an anal prolapse Can I use Kegel8 Yes of course When used with an anal probe Kegel8 can help you recover
15. able too Many women find that they start to feel their muscles being stimulated when Kegel8 is set to around 25mA with settings over 30mA giving the muscles a full workout But everybody is different so you need to choose settings that you are comfortable with The stronger the sensation you can feel the more work your pelvic muscles are doing But don t push yourself too hard If you feel discomfort press the button for the channel to reduce the current As you exercise you will feel your muscles pull up tighten and then relax again During the relaxation part of the exercise your Kegel8 will produce a lower amount of electrical current If you use Kegel8 as described 1 or 2 times per day your pelvic muscles will get stronger This will give you greater control and you will be able to gradually increase the amount of current Now let s get you started go to Starting Your Kegel8 Exercises on page 18 17 a USER GUIDE Kegel TIGHT amp TONE Starting Your Kegel8 Exercises Ready to start your pelvic floor exercises Then let s get to it 1 Before you start using your Kegel8 Tight amp Tone please read the Important Safety Information on page 11 When used correctly the Kegel8 is a safe and effective way of tightening and toning your pelvic floor But remember Kegel8 is an electrical device and if misused can cause harm So please read the Safety Information carefully 2 On the back of your Kegel8 slide
16. allden M Pahlman L 1999 Is electrostimulation of the pelvic floor an effective treatment for neurogenic faecal incontinence Scan J Gastroenterology 34 3 319 24 44 F USER GUIDE Kegel TIGHT amp TONE Recycling In compliance with Waste Electrical and Electronic Equipment WEEE Regulations 2006 we aim to reduce the amount of electrical waste being sent to landfill sites Dispose of Your Kegel8 Responsibly with our Recycling Scheme Simply send your Kegel8 probes batteries and devices to the following address and we will take care of disposal for you WEEE Recycling Savantini LTD 14D iPark Innovation Drive Kingston upon Hull HU5 1SG United Kingdom 45 Customer Care If you want to find out more about our products have a problem with your Kegel8 or just need some assistance please call our friendly Customer Care team Customer Care 44 0 1482 496 932 Call us we re here to help you Monday Friday 8am 5pm GMT Savantini Limited 14D iPark Innovation Drive Kingston upon Hull HU5 1SG United Kingdom Fax 44 0 1482 873570 Email Sales Kegel8 co uk Web www Kegel8 co uk This product is manufactured by Savanti Ltd in compliance with the European Union Medical Device Directive MDD93 42 EEC under the supervision of SGS Notified Body number 0120 C 0120 Savantini Ltd is certified by SGS to the following Quality Standards ISO 90001 2008 ISO 13485 2003
17. ation of neuromuscular electrical stimulation in the treatment of genuine stress incontinence Physiotherapy 84 No 2 61 71 Gibson J N Smith K Rennie MJ 1988 Prevention of disuse muscle atrophy by means of electrical stimulation Maintenance of protein synthesis The Lancet 2 8614 767 70 Lindstrom S Fall M Carlson C A Erlandson BE 1983 The neurophysiological basis of bladder inhibition in response to intravaginal electrical stimulation Fall M Ahlstrom K Carlsson C Ek A Erlandson BE Frankenberg AS Mattiasson A 1986 Contelle Pelvic floor stimulator for female stress urge incontinence A multicentre study Urology 27 282 287 Berghmans L C Hendriks H J Bo K Hay Smith E J deBie RA van Waalwijk Van Doorn E S 1998 Conservative treatment of stress urinary incontinence in women a systematic review of randomised clinical trials Br J Urol 82 2 181 191 Eriksen B C Bergmanm S Eik Nes S H 1989 Maximal Electrostimulation of the pelvic floor in female idiopathic detrusor instability and urge incontinence Neurourol Urodynam 8 219 230 43 a USER GUIDE Kegel TIGHT amp TONE Clinical References Miller K Richardson D A Siegel S W Karram M M Blackwood N B Sand P K 1998 Pelvic Floor electrical stimulation for genuine stress incontinence who will benefit and when Int Urogynecol J Pelvic Floor Dysfunction 9 5 265 270 Osterberg Graf W Eeg Olofsson K H
18. ay to start exercising your pelvic muscles after childbirth You can usually start Programme 05 after your 6 week check up if your healthcare professional says it is okay For more details see Programme Specifications on page 28 P 06 Frequent Urination Scandinavian Designed to help women who feel a frequent urge to urinate Programme 06 uses constant stimulation This is the recommended approach in some Scandinavian countries In the UK a work rest programme is preferred as this allows the muscle to relax and recuperate For more details see Programme Specifications on page 28 i F USER GUIDE Kegel TIGHT amp TONE P 07 Lack of Sensation After surgery or childbirth you may find that you have good muscle control but experience a lack of sensitivity This can be due to nerve damage and is a problem that can be helped with Programme 07 For more details see Programme Specifications on page 28 P 08 General Pelvic Floor Workout Programme 08 is an excellent workout that targets all of the pelvic floor muscles and nerve fibres When you first start using Kegel8 you should use one of the other programmes and P 08 on alternate days For example Monday P 04 Tuesday P08 Wednesday P 04 Thursday P 08 and so on This will help to strengthen your pelvic floor muscles and give them a suitable amount of recovery time When your pelvic muscles are stronger generally after 12 weeks you may be able to change to usi
19. damp cloth or antiseptic wipe Do not use alcohol based products as this could damage the LCD 12 Dry your probe and store it in a clean dry place We recommend that you keep your Kegel in its original packaging i USER GUIDE Kege al TicHT STONE Kegel8 Exercise Tips e Try to Start with a Power Output of 30 mAs or Above The amount of power needed to stimulate pelvic floor muscles varies from person to person By default the Kegel8 unit has a 0 mAs output and you need to increase the power manually by pressing the button You should increase the power to a level where you can feel the effects of the electric pulse but it is not causing any discomfort Many women find that a setting of around 30 mAs is a good starting point but only you can tell what is comfortable for you As your pelvic floor muscles begin to strengthen you should find that you can increase the power output e Exercise 1 2 Times per Day for 12 Weeks We recommend that you use Kegel8 1 or 2 times per day for 12 weeks Alternate between your choice of programme and P 08 General Pelvic Floor Workout24t each day For example Monday P 03 Tuesday P 09 Wednesday P 03 Thursday P 09 Friday P 03 and so on When you have better muscle control you can use P 09 2 3 times per week on an ongoing basis to maintain your muscle strength If you decide to exercise twice a day it is important that you do not do back to back sessions This is because your pel
20. el8 product should ensure that it is used in such an environment and that precautions regarding that environment are heeded Immunity IEC 60601 Compliance Electromagnetic test test level level environment guidance Electrostatic 6 kV 6 kV Floors should be wood concrete or discharge contact contact ceramic tile If floors are covered with ESD 8 KV air 8 KV air synthetic material the relative humid IEC 61000 4 2 ity should be at least 30 Power Power frequency magnetic fields frequency should be at levels characteristic of a 50 60 Hz typical location in a typical commercial magnetic or hospital environment field IEC 61000 4 2 38 y USER GUIDE Kege al tick a Tone Table 204 Guidance and manufacturer s declaration electromagnetic immunity The Kegel8 product is intended for use in the electromagnetic environment specified below The customer or the user of the Kegel8 product should ensure that it is used in such an environment Immunity i Electromagnetic environment test guidance Portable and mobile RF communications equipment should be used no closer to any part of the Kegel8 product including cables than the recommended separation distance This can be calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 2VP 150 KHz to 80 MHz d 1 2VP 80 MHz to 800 MHz Cond ted de lias d 2 3VP 800 MHz to 2 5 GHz RF IEC 15
21. en carefully planned so that they e Work your muscles appropriately helping them to strengthen gradually e Allow your muscles to rest for the correct amount of time e Are easy to use in 20 60 minute sessions There have been many research papers and clinical trials relating to neuromuscular stimulation If you are interested in finding out more a list of relevant papers is included in our Clinical References section on page 43 16 F USER GUIDE Kegel TIGHT amp TONE Using Kegel8 for the First Time What to expect from your Kegel8 When you first use Kegel8 you most likely begin by choosing one of the pre set programmes These programmes are designed to treat a variety of female health problems so you should choose the programme that is best suited to your needs we explain the programmes in Choosing a Kegel8 Programme on page 22 At the start of every programme Kegel8 begins at OmA which means there is no electrical pulse When you are ready to begin you press the button for the appropriate channel repeatedly to increase the electrical current When the electrical current reaches a certain level you will begin to feel a knocking sensation in your pelvic muscles This happens when the electrical current begins to stimulate your muscles at low levels You may also feel a tingling sensation When you get to this stage slowly increase the electrical current to a level that is working your muscles but is comfort
22. g water or boiling liquids This could damage your probe e When inserting a probe hold its base Do not hold it by the wires as this could damage the probe e Before use always clean the probe in warm but not boiling soapy water Alternatively you could clean your probe with an antibacterial cleanser such as our own Kegel Klean a USER GUIDE Kegel TIGHT amp TONE Lead Wires and Connections Care The lead wires and connections are vital to your Kegel8 so please treat them with care e Always handle the wires carefully e Do not stretch or twist the wires as this could damage them If your wires are damaged your Kegel8 may be unable to send the electric pulses to your probe s e Take care when connecting the wires The connections on the Kegel8 and its probes are designed so that they connect to the wires with ease Do not force the wires e Do not cut the wires or attempt to modify the connections Battery Care To take care of the battery e Replace the battery when it is low on power a battery indicator is shown on the LCD when the power is low e f you are not going to use the Kegel8 for a week or longer please remove the battery Batteries can leak so by removing it you are protecting your Kegel8 e Check the battery regularly for signs of discharge If the battery appears to be leaking replace it e We recommend you use a GP Alkaline Pro 9v battery Kegel8 Disposal Use our Recycling Service
23. he area of the heart unless so advised by your doctor e On your facial area unless under strict guidance from a qualified clinician USER GUIDE ege TIGHT amp TONE sh O USER GUIDE Kegel TIGHT amp TONE Contents Kegel8 Tight amp Tone User Instructions Important Safety Information 10 Kegel8 Tight amp Tone Check List 12 Getting to Know Your Kegel8 13 How Your Kegel8 Works 16 Using Kegel8 for the First Time 17 Starting Your Kegel8 Exercises 18 Kegel8 Exercise Tips 21 Choosing a Kegel8 Programme 22 Creating a Custom Programme 25 Programme Specifications 28 Taking Care of your Kegel8 29 Frequently Asked Questions 31 Technical Specifications STIM Specifications 36 Electromagnetic Compatibility and Interference EMC 37 References and Contact Details Warranty 42 Clinical References 43 Clinical References 44 Recycling 45 Customer Care 46 USER GUIDE ege TIGHT amp TONE USER GUIDE Ke ET TIGHT amp TONE Kegel8 Tight amp Tone User Instructions a USER GUIDE Kegel TIGHT amp TONE Important Safety Information Who Can Use Kegel8 Your Kegel8 Tight amp Tone is designed to be used by women and when used correctly is a safe and effective way of strengthening pelvic floor muscles However as it works by using electrical pulses there are some people that should seek medical advice before using Kegel8 DO NOT USE KEGELS e Ifyou have bee
24. ing a probe is similar to inserting a tampon so you may already know what position suits you best ii Hold the base of the probe The base is the plastic part at the tail end the end with the wires iii Position the probe so that the metal strips are on the left and right sides For a vaginal probe this means that the metal strips should be facing the inside of your thighs iv Gently insert the head end of the probe into your vagina anus Push the probe 2 inches 5 5cm inside your vagina anus This is less than you would insert a tampon The base part of the probe should always be outside of your body To ease insertion we recommend that you use a good quality water based lubricant such as KE Gel The lubricant will also help to improve the transfer of the electrical pulse from the probe to your muscles If the lubricant doesn t help you may be suffering from vaginal atrophy a condition that causes dryness and thinning of your vaginal walls Your doctor can prescribe an oestrogen cream that can help Don t use Kegel8 while you are being treated with the cream When you have completed the treatment resume using the Kegel8 you should find that you can insert the probe much more easily Please do not let vaginal atrophy stop you from experiencing the benefits of Kegel8 There are effective solutions available to overcome this painful condition 6 Press the ON button on the Kegel8 control unit 7 Pres
25. lose 1 2m to a shortwave or microwave therapy device microwave oven mobile telephone wireless device or radio These devices can cause instability in your Kegel unit Using your Kegel8 Safely e Only use the Kegel in your vaginal and rectal regions as described in this user guide Never use Kegel on other parts of your body as the electrical pulses could damage your health e To ensure your personal hygiene do not allow other people to use your probes Always clean your probes thoroughly after use Kegel8 Probe Care on page 29 e Only use CE approved vaginal or rectal probes with your Kegel8 All official Kegel8 probes are CE approved e To power your Kegel8 device use a 9v battery Never connect your Kegel8 device or its probes to a mains power supply as this could result in electrocution and death e Do not immerse your Kegel8 device or its probes in water fluids or any other substance e Please be aware that Kegel8 is Type BF equipment provides some protection against electric shock a USER GUIDE Kegel TIGHT amp TONE Kegel8 Tight amp Tone Check List When you open the Kegel8 Tight amp Tone packaging you should find e 1 x Kegel8 Tight amp Tone unit e 1 x 9 Volt Battery e 1 x Kegel8 Probe If you have purchased the Kegel8 Tight amp Tone you will have the Kegel8 Comfort probe If you have purchased the Kegel8 Tight amp Tone Plus you will have the Kegel8 Periform probe
26. metal strips are not in direct contact with your muscles the mAs cannot go higher and the current cuts off for your safety You can also get better results by using a water based lubricant such as KE Gel F USER GUIDE Kegel TIGHT amp TONE Q Why can I only feel stimulation on one side This could be due to 1 The position of the probe To work correctly the metal strips on your probe need to be in direct contact with your muscles We recommend that you sit with your legs held tightly together and squeeze your pelvic floor as much as possible against the probe You can also get better results by using a water based lubricant such as KE Gel 2 You may have nerve damage to one side This type of nerve injury can occur during childbirth caused by the pressure from the baby s head during delivery It means you have less sensation on one side If this is the case we recommend you purchase a Perisize probe which allows you to vary the intensity of each side of the probe Increasing the intensity on the side that is in contact with your desensitised area can help to promote resprouting of the damaged nerves Call our helpline for more information Q Why are there two channels There are two channels because Kegel8 allows you to use two probes alternately or at the same time one vaginal probe one anal probe Channel A left hand side is for a vaginal probe and Channel B right hand side is for an anal probe A selec
27. n fitted with a demand style cardiac pacemaker e During pregnancy e If you have undiagnosed pain skin vaginal or rectal conditions e Onanaesthetised or desensitised skin e If you do not have the mental capacity or physical competence to use the device as instructed e When driving a vehicle or operating potentially dangerous equipment e In water or other fluid Never submerge your Kegel8 e While you are connected to high frequency equipment Applying the Kegel8 probes or electrodes while you are connected to high frequency equipment could cause burns and damage your Kegel8 If in doubt please call your distributor for advice or seek assistance from a doctor or healthcare professional Please note that Kegel8 can be used safely by women fitted with IUD or Mirena coils Kegel8 does not affect these devices IMPORTANT Only Use Your Kegel8 as Described in this User Guide Keep Out of Reach of Children 10 F USER GUIDE Kegel TIGHT amp TONE Important Safety Information Where Can You Use your Kegel8 Kegel8 Tight amp Tone is designed for home use but can be used in medical centres and hospitals too Before you use your Kegel8 please make sure e The room does not contain flammable gases This is especially important in hospitals and medical centres as Kegel8 s electrical pulses can ignite flammable gases such as those used in anaesthetics If in doubt ask for assistance e You are not positioned c
28. n on the Back of your Kegel8 Caution Type BF Equipment output TYPE BF Follow gt Do not dispose in normal li instructions dustbin see Recycling on for use page 45 15 a USER GUIDE Kegel TIGHT amp TONE How Your Kegel8 Works The Kegel8 Tight amp Tone Pelvic Health Device is one of a new breed of modern Neuromuscular Stimulators STIM developed with the aim of achieving optimum pelvic health for women Kegel8 works by producing electrical pulses that stimulate the muscles and nerve fibres in your pelvic area If you haven t used a neuromuscular stimulator before the idea of applying electric pulses to your body can seem a little strange But there s no need to be concerned your body already uses electrical signals all the time For example let s say you want to tense the bicep muscle in your arm To do this your brain sends an electrical signal to your muscle via your nervous system When the signal reaches your bicep it causes the muscle to contract and when the signal is not present your muscle relaxes again Kegel8 works in a very similar way it sends electric pulses to precise areas of the weakened muscles in your pelvic area causing them to contract and relax Over time this strengthens the muscles and nerve fibres giving you greater muscle control and improving tone and tightness Kegel8 Tight amp Tone features several pre set programmes for pelvic floor exercise These programmes have be
29. ng P 08 only 2 3 times a week You can do this on an ongoing basis to keep your pelvic floor muscles tight and toned For more details see Programme Specifications on page 28 P 09 Low Endurance Choose P 09 if you find that you can tense your pelvic floor muscles quite easily but can t keep them tense for very long Programme 09 will help to build up muscle strength and improve muscle endurance For more details see Programme Specifications on page 28 24 F USER GUIDE Kegel TIGHT amp TONE Creating a Custom Programme Many women find that the pre set programmes that are built into Kegel8 are ideal for treating their pelvic floor problems But in certain situations a medical professional may advise a different type of programme This is not a problem as Kegel8 has a custom programme feature that allows doctors to create a simple single phase programme NOTE You only need to create a custom programme if your healthcare professional has advised you that the pre set programmes are unsuitable for your needs To create a custom programme 1 Remove the battery cover to reveal the SET and ESC buttons 2 Turn the Kegel8 on and press the ESC button to display the home screen 3 Press the PRG button on the front repeatedly until the LCD shows PC 1 PC 2 or PC 3 These are your 3 custom programme memory slots 4 Press the SET button on the back The Hz symbol shown on the LCD will flash on and off to show that it
30. ow how these settings work will also help you to understand the specifications for the pre set programmes e Hz The number of electrical pulses per second in Hertz Generally 1 15HZ is for treating slow responding muscle fibres and 35Hz 45Hz for fast responding muscle fibres Values of 45Hz and above are used for treating muscle fatigue and promoting muscle strength and flexibility e HS The duration of a single pulse the pulse width The wider a pulse is the more muscle penetration it has e RMP Ramp Up How long it takes to achieve full muscle contraction in seconds e WRK Work How long the electrical current will keep the muscle tight working Again this is in seconds e RST Rest The amount of time between each pulse in seconds The muscles will rest for this amount of time e ALT Alternating The Kegel8 will output an electric current through one channel at a time e SYN Synchronous The Kegel8 will output an electric current through both channels at the same time r USER GUIDE Kegel TIGHT amp TONE Programme Specifications Work Time in Seconds Programme PO1 to PO9 200 FREQ URGE 1 NEW MOTH ERS P05 10 200 1 5 5 20 FREO URGE 2 aiad KO PI FEE Seguential 3Hz for 3 mins 10Hz for 10 mins aiad SEN 50Hz for 5 mins 250uS J5 Ramp up time 0 8 secs E97 30Hz for 4 mins 40Hz for 3 mins 200uS Ramp up time 0 6 secs Work Time 4 sec Rest Time 4 sec Sequential
31. roduct b Over the frequency range 150 KHz to 80 MHz field strengths should be less than 3V m 39 e USER GUIDE Kegel TIGHT amp TONE Table 206 Recommended separation distances between portable and mobile RF communications equipment and Kegel8 product The Kegel8 product is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Kegel8 product can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Kegel8 product as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum 150k Hz to 80 80 MHz to 800 800 MHz output power of MHz MHz to 2 5 GHz transmitter W For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter For the equation P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people
32. s the PRG button to choose a programme see Starting Your Kegel8 Exercises on page 18 19 i F USER GUIDE Kegel TIGHT amp TONE 8 Press the button s to start the programme If you are using the vaginal probe only you should press the button for Channel A If you are only using the anal probe press the button for Channel B Press both buttons if you are using two probes When you press a button the mA milliamps reading for that channel changes to 1 and your programme begins The programme icon is replaced with a timer that counts down through your exercise routine 9 Once your programme has started press the relevant button to increase the amount of power milliamps in the electrical pulses The higher the amount of mAs the more effective your programme will be but always choose a level that feels comfortable If you are feeling discomfort or pain reduce the amount of mAs by pressing the button for the channel you are using At the end of the programme your Kegel8 will automatically switch off 10 When the programme is complete remove the probe by pulling gently at its base Do not pull the wires as this could damage your probe 11 Clean your probe under running warm water Do not place your probe in boiling water as this will damage your probe For extra peace of mind you can wash your probes with sterilising fluid if you wish We also recommend that you wipe your Kegel8 unit clean with a
33. tion of anal probes is available online at www Kegel8 co uk Q How do I clean my probe Simply rinse the insertable part under the tap keeping the wires dry at all times Do not boil the probe It can be sterilized using a mild sterilizing solution or you can spray it with Kegel Klean For more information Taking Care of your Kegel8 on page 29 aj O USER GUIDE Kegel TIGHT amp TONE Q How long will the battery last If you use the Kegel daily the battery should last about 3 months You can get replacements from us or at your local supermarket please choose a quality 9v battery that will not leak You will know when your battery is low because a battery icon will flash on your Kegel8 screen For more information Taking Care of your Kegel8 on page 29 Q How long will my probe last With normal use your probe should last between 12 18 months We recommend you replace it after this time to keep getting the maximum results from your Kegel8 For more information Taking Care of your Kegel8 on page 29 Q I can t find the answer to my question Get in touch with Customer Care see page 46 we are here to help 34 USER GUIDE ke 1S USER GUIDE Technical Specifications a USER GUIDE Kegel TIGHT amp TONE STIM Specifications 1 Dual channel individually isolated circuits 2 Amplitude 0 90 mA into 500 Ohm load indication only Actual mA will tend to be less than indicated
34. vic floor muscles need time to relax and recover between sessions We suggest that you use Kegel8 once in the morning and once at night e Be Patient Kegel8 WILL Improve Your Pelvic Floor Everybody s different Some people respond to Kegel8 exercises very quickly whereas with others it takes a number of weeks to feel real improvements But rest assured if you use Kegel8 regularly and follow our instructions carefully your pelvic floor muscles and nerve fibres will get stronger a USER GUIDE Kegel TIGHT amp TONE Choosing a Kegel8 Programme Your Kegel8 Tight and Tone has 9 pre set exercise programmes each of which is designed to treat a specific type of pelvic floor problem It also has 3 spare programme slots that your therapist can use to create custom programmes tailored to your needs see Creating a Custom Programme on page 25 To choose a programme turn your Kegel8 on and press the PRG button to cycle through the available programmes Keep pressing the PRG button until the programme you want to use is displayed If you are going to use a pre set exercise choose the programme that is applicable to your health issue P 01 Pain Relief The Kegel8 Pain Relief programme helps treat pain in the pelvic area It is particularly useful for treating vulvodynia a condition that can cause burning stinging irritation and rawness in the female genital area For more details see Programme Specifications on page
35. with the guidance of a Physiotherapist or Doctor No modification of this equipment is not permitted Symbols on rear of Kegel8 explained Caution Type BF Equipment output TYPE BF Follow Do not dispose in normal li instructions dustbin see Recycling on for use page 45 F USER GUIDE Kegel TIGHT amp TONE Contra Indications amp Precautions Please read this Kegel8 Tight amp Tone User Guide before using this stimulation device STIM Kegel8 should not be used e By patients fitted with a demand style cardiac pacemakers unless so advised by their Doctor e During pregnancy unless medically advised e By patients with undiagnosed pain conditions e By patients with undiagnosed skin vaginal or rectal conditions e With patients who have diminished mental capacity or physical competence who cannot handle the device properly e On anaesthetised or desensitised skin e When driving a vehicle or operating potentially dangerous equipment e Use the Kegel8 Tight amp Tone only as directed e Do not immerse the unit in water or any other liquid e Keep unit out of reach of children e Ifin doubt about the use of the Kegel8 Tight amp Tone unit call your distributor for advice Doctor or Healthcare professional e Only use CE approved skin electrodes e Only use CE approved vaginal or rectal probes Do not place electrodes e Over carotid sinus nerves larynx or trachea e Inside mouth e Over t
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