Acticare TENS User Manual Download Page 36

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Technical Information

IC modes

TSE and TENS modes

Safety

Environmental

General Specifications

Peak current

100mA into 500ohm load @ 65V

Waveform type

Sinusoidal

Carrier frequencies

2kHz and 4kHz

AMF range

0 to 250Hz in 5Hz steps

Sweep patterns

6^6, 6/6, 1/1

Treatment Timer

1 to 30 min

Average current limit

20mA @ 250VDC bus

Maximum charge per pulse

25µC per pulse under normal operation
75µC with single component failure

Waveform type

Biphasic, monophasic or twin peak
square wave

Treatment Timer

10 mins to 3 hours

Pulse width

0.5µS to 200µS

Output frequency

1Hz to 500kHz

Device Classification

IIa Medical Devices Directive (93/42/EEC)

Key Design Compliance

EN 60601-1:1990, EN 60601-2-10
ISO EN ISO 14971:2000

Electrical protection rating

Type BF equipment (EN 60601-1).
Not for connection to mains power
except through approved cradle.

Temperature

10C to 50C

-40C to 70C

(Note: maximum 40C when charging)

Relative humidity (non-condensing)

30-75%

10-100%

Atmospheric pressure

860-1060 hPa

500-1060 hPa

Internal power source

Four 1.2V-1.5V AA batteries >1500mA
capacity (rechargeable or alkaline)

Cradle input voltage

Europe / UK / Australian Versions

240-250VAC 50-60Hz

North American Version

115VAC 60Hz

Cradle output voltage

6V @ 1000mA

Dimensions / Weight

100x72x38mm / 235gms (device only)

All electrical specifications are +/- 10% into a 500 ohm load

Operating

Shipping and Storage

Summary of Contents for TENS

Page 1: ......

Page 2: ...t any aspect of your Acticare device please visit our website www acticare com email us at support acticare com or call our UK helpline during office hours on 0870 241 9071 Consult our website for international support numbers Calls may be recorded for quality control purposes Common problems are listed in the troubleshooting guide in section 10 Need Help Warranty information Bioinduction Ltd warr...

Page 3: ...intenance and Care Troubleshooting Settings Menu Technical Information Quick Reference 10 11 12 1 2 5 6 7 8 9 3 4 This manual had been written assuming a level of knowledge of electrotherapy consistent with a clinician experienced in electrotherapy techniques Acticare IC is intended for use only under the guidance of a clinician 13 ...

Page 4: ... levels of current compared to TENS delivering similar power to Interferential devices However TSE generates very little peripheral nerve excitation because of the very short duration of the pulses For more information about TSE visit www acticare com About TSE Acticare IC is a fully portable Electrotherapy System that provides multiple treatment modalities and a fully programmable advanced user m...

Page 5: ... not use if a clinician determines that there is a risk of increased growth or malignancy Interferential current treatments may spread infections the nature of the treatment for example young children or the very elderly or fear of electrical treatments Cardiac pacemakers Epilepsy Transthoracic Stimulation Chest Sensory loss Skin and vascular problems Cranial Stimulation Head Not to be used by per...

Page 6: ... this may be sufficient to affect the operation of adjacent equipment with low radio frequency immunity Do not allow Acticare to come into contact with water or other liquids Do not use in the bathroom Do not use this device in the presence of flammable gases or liquids such as when refueling an automobile Only for external use Not for internal use Do not connect Acticare IC to anything other than...

Page 7: ...scontinue use and seek medical advice This unit contains high voltages Servicing should only be undertaken by qualified personnel or the manufacturer To comply with standards in some countries the device may require calibration and safety testing on an annual basis To the maximum extent permitted by law Bioinduction Ltd its subsidiaries suppliers or resellers collectively Bioinduction accepts no l...

Page 8: ...r package Optional accessories include rubber electrodes available from our website Your Acticare IC Features of the Acticare IC unit Electrode connectors Battery catch Battery cover Belt clip Charger connector TENS TSE Interferential Selector Switch Front View Back View 5 Identifying the Components of Acticare IC Operating light User display On Off button Timer button Plus button Minus button ...

Page 9: ... intensity setting on a visual scale each segment represents 10 output Top bar flashes when power output is at maximum safety current limit TSE Mode Indicates when the device is in TSE mode IC Mode Indicates when the device is in Interferential Current IC mode TENS Mode Indicates when the device is in TENS mode Intensity setting In TSE TENS mode In IC mode shows the intensity voltage setting as a ...

Page 10: ...lug the device into the charger stand as shown below If you need to use the device straight away you can operate from mains power while in the cradle Make sure you push the device fully into the cradle to ensure proper contact An intermittent beeping means that the device is not pushed completely in Using the charger mains power cradle The battery symbol will scan to indicate that the battery is c...

Page 11: ...performance When replacing batteries do not mix old and new rechargeables or batteries of different capacity mA hour ratings Acticare IC can be used with AA sized alkaline batteries You may find this useful if traveling abroad If you plan to store your unit for a period of longer than a month it is essential that you remove the batteries from the unit This helps maintain charge and extends useful ...

Page 12: ... Clinical Applications Therapy Modes Name Carrier Base AMF Peak AMF Pattern Typical Application PROG2 4kHz 0 25 6 6 Muscle Stimulation PROG4 4kHz 10 150 6 6 Acute Chronic Pain PROG6 4kHz 100 150 6 6 Acute Pain PROG8 2kHz 0 25 6 6 Muscle Stimulation PROG1 4kHz 0 10 6 6 Chronic Pain PROG3 4kHz 0 100 6 6 Increased Circulation PROG5 4kHz 50 200 6 6 Acute Pain PROG7 2kHz 0 10 6 6 Muscle Stimulation VAR...

Page 13: ...ram above right Scroll through parameters using the TIMER key and alter the parameter value using the or keys Pressing the TIMER key continuously will cycle through the parameters so you can make any changes or check them menu by pressing and holding the TIMER button To cancel the new settings press and TIMER together You can check the settings by swithcing the device off and on using Example Scre...

Page 14: ...STEP 2 Connect the electrodes and lead wire s 1 Decide whether you are using one or two channels 2 If you are using one channel connect the small pins on the end of one lead wire to two self adhesive or the optional rubber electrodes illustrated If you are using two channels repeat this with another lead wire Self adhesive electrodes are recommended only for stimulation levels below 50mA indicated...

Page 15: ...current cannot flow across the chest even in the event that one of a pair of electrodes falls off STEP 3 Apply the electrodes 5 Interferential Mode STEP 4 Turn on Acticare IC Press and release the ON OFF button to turn on the main unit The current mode will be displayed If in VAR mode a scrolling list of the current settings will also be shown If you wish you can change the therapy mode at this po...

Page 16: ... time which is automatically displayed when you start treatment There is no universal recommended treatment time for interferential current treatments Treatment times as long as 30 minutes can be used if required in practice To adjust the treatment time press the TIMER button The Timer screen will then be displayed showing the last used treatment time Press or to increase or decrease the timer to ...

Page 17: ... 2 Pressing or will then increase or decrease treatment timer from its current value 3 To confirm new time press TIMER again Once your change has been confirmed Acticare IC will return to the running state with the timer counting down and the intensity you originally set Changing treatment programs during treatment Changing the intensity during treatment Increasing or decreasing the timer during t...

Page 18: ...t to two electrodes Stick the electrodes on the skin in one of the two positions shown on page 18 Turn on Acticare TSE by pressing and releasing the ON OFF button Acticare IC has three different TSE therapy modes First time users should use TSE 1 therapy mode for pain relief Acticare IC comes set in TSE 1 mode as standard so you should not need to change these settings on first use When the device...

Page 19: ...eek schedule using the more powerful TSE mode TSE 2 If TSE 2 is ineffective try TSE 3 TSE 3 produces a quite strong tingling sensation because of its longer pulses and may also be applied peripherally over the area of pain like a high powered TENS machine Finding the best treatment time Long term use 4 Press and hold the TIMER button for 1 second to exit and save settings when the mode you wish to...

Page 20: ...way apart from one another To do this slide down the clear plastic sheath on the lead wire and pull apart the pins as shown in the picture Note Do not use carbon rubber TENS electrodes in TSE mode as they may overheat 1 Before connecting the lead wire 2 Connect the metal pins to the electrodes whilst they are still on the backing sheet Electrode life is considerably shortened by use on dirty or oi...

Page 21: ...s For TSE 1 and 2 modes only place electrodes either side of the neck as shown There should be a hand width gap between the electrodes Remove any metallic necklaces when using the neck placement If the user finds the above neck placement uncomfortable try this alternate neck placement with the pads on the top of the shoulders as shown Alternate Neck Placement Neck Placement Do not use neck placeme...

Page 22: ...The last used treatment time or factory default of 30 mins is also shown The intensity is displayed as a percentage from 0 100 at the bottom left of the screen and as a bar graph at the top left where each segment represents 10 If the power bar at the top of the screen flashes this indicates the device is outputting full current which may happen at less than 100 intensity if the skin resistance is...

Page 23: ...operly connected you can increase the power to the desired level See section 10 Troubleshooting for more information Timer Setting Screen Whenever you start a treatment the Timer automatically uses the last treatment time You can however adjust the Timer at any time before or during a treatment See page 15 for advice about deciding the best treatment time To change the treatment timer press the TI...

Page 24: ...g 100Hz 50µS pulse width Most types of chronic and acute pain TENS3 Burst mode tapping 100Hz 100µS pulse width For chronic pains such as 0 1 sec bursts five times back pain and arthritis per second Don t use on damaged muscles TENS5 Modulated fast wave 100Hz 50µS pulse width Most types of chronic and 3 sec modulation period acute pain HFT1 High frequency 500Hz 20µS pulse width Severe acute and chr...

Page 25: ...s normal 4 Electrode Positioning With TENS treatments it is important to place the electrodes in the correct position depending on the location of the pain Choosing the correct electrode positioning for TENS often requires experimentation Refer to the maps on the following pages as a starting point Acticare IC has two outputs which allows the connection of four electrodes This is useful to provide...

Page 26: ... the nape of the neck Knee Pain Place electrodes either side of the knee For best results avoid placing the electrodes on the knee cap Use four electrodes for better coverage if required Shoulder Pain Apply electrodes to the front and back of the painful shoulder Warning Never place TENS electrodes on the side or front of the neck TENS Mode Red positive lead Black negative lead ...

Page 27: ...n Place the electrodes over the tummy area or across the lower back Elbow Pain Place electrodes either side of the elbow one slightly above and one slightly below the joint or use four electrodes to cover joint Arthritis of fingers and hands Place one electrode on the top of the hand and the second close to the elbow on the inside of the forearm TENS Mode ...

Page 28: ...antaneous output charge in normal operation is limited to 25µC per pulse to 0 5 2µS 250V 6 10µS 160V 50µS 90V Only for use by doctors and therapists experienced in electrotherapy 1 With the therapy mode switch in the TSE TENS position 2 Select advanced mode ADV 3 Press TIMER 4 Exit the Therapy Mode Enter the Mode menu by pressing the and TIMER buttons together when prompted to PRESS TO BEGIN TREAT...

Page 29: ...1000mS BF 0 5Hz µ µS µS Hz Hertz cycles per second S Microseconds mS Milliseconds C Micro coulombs unit of charge µ µ Scientific Notation Waveform time in µS 1 000 000 Waveform frequency FRQ Waveform frequencies of 50Hz and below are not available for burst modes Not valid in burst modes Device safety limit prevents continuous output at these frequencies use burst modes with short bursts see page ...

Page 30: ...Because of the higher current level with TSE standard carbon rubber TENS electrodes are not suitable Always use the recommended electrodes available direct from us or your local Acticare agent these have an integral stainless steel or silver conductor for superior current distribution Always store electrodes on their backing sheet in their sealed bag between treatments When not in use do not leave...

Page 31: ...ent if the time between charges has decreased considerably Normally the batteries will last 12 months or 250 cycles if used under proper conditions Disposing of a battery in fire can cause the battery to rupture Also avoid placing batteries in water as this causes batteries to cease to function Replace with good quality AA size NiMH batteries of at least 1500mA hour capacity Always replace with fo...

Page 32: ...he device and the skin electrodes Ensure that the electrodes are firmly stuck to the skin Replace Badly connected lead electrodes if required If skin is very wire hairy cut short underneath the electrodes and try again Very hairy skin If none of the above works disable Pad Detect in Settings p 32 Blank screen Batteries are flat or not Recharge batteries and check correctly inserted orientation Err...

Page 33: ...ing close together Otherwise there is no action required The current limit is a safety feature that ensures that excess current does not flow even if the skin resistance is low Device inserted in Very low battery Leave overnight on charger cradle charger cradle but batteries should slow charge not fast charging Mains not connected Check power socket Batteries too hot Allow device to cool batteries...

Page 34: ...before you call 2 Reset Acticare TSE A similar effect may be observed when using long high voltage pulses in TENS modes particularly where the skin resistance is low or the electrodes are close together Most issues can be resolved by changing the frequency pulse width or burst time Resetting Acticare TSE Understanding Output Limitations Check that battery positive terminal alternates as illustrate...

Page 35: ...bles detection of disconnection of leads and pads This is useful for patients with hairy skin who experience false disconnect messages Disabled in IC modes Year YEAR 2004 2034 Sets year Date DATE 1 31 Sets day of month Minute MIN 0 59 Sets current time minutes Serial port COM ON OFF For clinician use Controls serial communications port Language L English French Allows selection of language for hel...

Page 36: ...vice Classification IIa Medical Devices Directive 93 42 EEC Key Design Compliance EN 60601 1 1990 EN 60601 2 10 ISO EN ISO 14971 2000 Electrical protection rating Type BF equipment EN 60601 1 Not for connection to mains power except through approved cradle Temperature 10C to 50C 40C to 70C Note maximum 40C when charging Relative humidity non condensing 30 75 10 100 Atmospheric pressure 860 1060 hP...

Page 37: ...FT1 500Hz Biphasic 20µS 0µS OFF HFT2 500Hz Biphasic 20µS 0µS 50mS 10Hz See page 26 for diagrams of Waveform shapes and Burst parameters Modulation modes produce a linear variation of pulse width between 10 and 50µS over the specified period IC Mode Program Presets Name Carrier Base AMF Peak AMF Pattern PROG2 4kHz 0 25 6 6 PROG4 4kHz 10 150 6 6 PROG6 4kHz 100 150 6 6 PROG8 2kHz 0 25 6 6 PROG1 4kHz ...

Page 38: ...evel Use to adjust time Press the TIMER button to enter timer setting mode Press and hold for one second to save your new time Some people mistake the intensity for an indication of TSE and TENS preset modes 1 2 3 etc The figure 1 on the display means an intensity of only 1 or 1mA in Interferential modes The active preset is only displayed for one second when the unit is switched on To increase or...

Page 39: ...ch press of causes the menu to cycle through the available modes for a list of Interferential modes see page 9 TSE page 15 TENS page 21 Press and hold TIMER for 1 second to exit and save settings To restore factory settings Start with the device off and hold down the TIMER key while you turn the unit on with the ON OFF key The device should display all segments followed by the software revision nu...

Page 40: ...e device into the supplied cradle A full charge takes 2 hours You can also Site the electrodes on the patient s skin as required IC mode page 12 TSE page 18 TENS pages 22 24 13 Set the therapy mode using the Mode Menu by pressing and together then using and to scroll through available preset modes IC mode p9 TSE p15 TENS p21 Press to save and exit Switch on by holding Electrode connectors Operatin...

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