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Chattanooga

™

Primera Operation Manual

Conventional TENS:

1. Bates J.A.V, Nathan P.W. Transcutaneous electrical nerve stimulation for

chronic pain.

Anaesthesia

1980 August

Volume 35, Issue 8, 817–822.

Ellis B. Transcutaneous electrical nerve stimulators: outpatient response to a

temporary home-loan programme.

Br J Therapy & Rehabilitation

1995: 2(8):

419-422.

2. Chen C. et al. Does the pulse frequency of transcutaneous electrical nerve

stimulation (TENS) influence hypoalgesia? A systematic review of studies

using experimental pain and healthy human participants.

Physiotherapy

2008:

94(1): 11-20.

3. Claydon L. S. et al. Effects of simultaneous dual-site TENS stimulation on

experimental pain.

Eur J Pain 2008

: 12(6): 696-704.

Han J. S. et al. Effect of low and high frequency TENS on Met-enkephalin-

Arg-Phe and dynorphin A immunoreactivity in human lumbar CSF.

Pain

1991:

47(3): 295-8.

4. Sluka K. A, Walsh D. Transcutaneous electrical nerve stimulation: basic

science mechanisms and clinical effectiveness.

J Pain

2003: 4(3): 109-21.

5. Walsh D. M, Baxter D. (1996). Transcutaneous electrical nerve stimulation

(TENS) : A review of experimental studies.

Eur J Phys Med Rehabil

1996:

6(2): 42-50.

Neuromuscular Stimulation:

1. Cabric M. Appell H.J, Resic A. Stereological Analysis of Capillaries in

Electrostimulated Human Muscles.

International Journal of Sports Medicine

1987 Oct: 8(5):327-330.

2. Jansen J.K.S, Lomo T, Nirolaysen K. Hyperinnevation of skeletal muscle

fibre. Dependence on muscle activity;

Science

1973: 181, 559-561.

3. McMiken D, Todd-Smith M, Colin T. Strengthening of human quadriceps

muscles by cutaneous electrical stimulation.

Scandinavian Journal of

Rehabilitation on Medicine

. 1983: 25-28.

4. Pette D. Vrbová G. What does chronic electrical stimulation teach us about

muscle plasticity?

Muscle & Nerve

1999 Jun: 22(6):66-67.

5. Romero JA, Sanford TL, Schroeder RV, Fahey TD. The effects of electrical

stimulation of normal quadriceps on strength and girth.

Med Sci Sports Exerc.

1982:14(3):194-197.

6. Siff M. Applications of Electrostimulation in Physical Conditioning: A

Review.

The Journal of Strength and Conditioning Research

1990 Jan: 4(1).

Clinical References

Summary of Contents for Primera

Page 1: ...Chattanooga Primera Operation Manual 1 Operators Manual Chattanooga Primera DUAL CHANNEL TENS NMES UNIT English ...

Page 2: ...urer s serial number of the unit Present it together with LOT number when you report a technical fault or claim a warranty return Name and address of Manufacturer Date of manufacture Conformity indication with the essential health and safety requirements set out in European Directives 0086 Notified Body identification BSI The Australian government requires that all imported or locally produced ele...

Page 3: ...directly to a battery charger or to any other mains powered equipment Do not use Ni Cad rechargeable batteries Caution Do not use lithium batteries unless they comply with IEC60086 4 Patient Electrodes are for single patient use only Keep out of reach of children Do not use this stimulator on your facial area unless you are under strict guidance from a qualified Clinician Application of electrodes...

Page 4: ...it in TENS mode 11 Treatment Modes 12 Electrode Placement TENS 13 Electrode Types Tips 14 Electrode Positioning TENS 15 Electrode Positioning NMES 16 Care Maintenance Accessories and Disposal 20 Accessories and re order codes 22 Conditions that Respond to TENS 23 Conditions that Respond to STIM NMES 23 Information regarding electromagnetic compatibility and interference EMC 24 Specifications 28 Is...

Page 5: ... At this point the message is switched to a different kind of nerve that travels up the spinal cord to the brain area The brain then analyses the pain message refers it back and the pain is felt Transcutaneous Electrical Nerve Stimulation TENS uses a small battery operated unit to provide a non invasive drug free method of controlling acute and principally long term intractable pain It can also be...

Page 6: ...rstood by Therapists and Doctors There is a better understanding of the mechanisms which exist between nerves and muscles that makes it possible to stimulate the neuromuscular system with precise electrical signals Chattanooga Primera offers precision giving full control of Pulse Widths Rates Ramp up times Work Rest cycles as well as alternating or synchronous application if two channels are being...

Page 7: ...r strict guidance from a qualified Clinician The patient should use the unit only as prescribed Do not immerse the unit in water or any other liquid If you experience skin irritation this may be due to over stimulation In this case leave the skin to heal and use TENS only for the periods prescribed Turning the current up too high can cause skin irritation In this case allow the skin to heal and us...

Page 8: ...to select P01 P07 or HAN for preset TENS programmes P08 P13 for preset STIM programmes The summary of all programmes is on page 10 ON OFF button Turns unit on off and ends the current programme Description of Unit Functions Select Programme Front Back Channel A Channel B LCD display ...

Page 9: ... be used 3 Switch on the unit by pressing the ON OFF button 4 Press the PRG Programme button to select P01 P07 or HAN for preset TENS programmes P08 P13 for preset STIM programmes The summary of all programmes is on page 10 5 To start press channel A and B button if you are using both channels increase the stimulation to the desired level 6 To stop the programme press the ON OFF button which will ...

Page 10: ... a 1 hour P05 BST 150 175 n a n a 1 hour P06 MOD 100 65 200 100 n a n a 1 hour P07 MOD 65 100 200 100 1 hour HAN MOD 2 70 250 150 30 min NMES P08 NMES 12 200 5 5 15 min P09 NMES 35 250 8 8 15 min P10 NMES 12 200 5 10 15 min P11 NMES 35 200 6 12 15 min P12 NMES 12 250 5 15 15 min P13 NMES 35 200 6 18 15 min Key to Program Description for above CON CONTINUOUS TENS BST BURST TENS MOD MODULATION TENS ...

Page 11: ...wider pulse duration is needed to recruit motor fibres where as the narrow pulse duration is used more on the sensory fibres The selection of which pulse duration to use is dependent upon the intended treatment protocol Stimulating the larger nerve fibres is thought to reduce the speed and the amount at which information is transmitted along the smaller nerve fibres Also under certain circumstance...

Page 12: ...n referred to as acupuncture like TENS 3 Modulation TENS This mode was designed to help prevent nerve accommodation that some patient s experience It is achieved by continuously cycling the pulse width and rate 4 Han TENS Han TENS is a variation of modulated TENS It is described as sequence of low and high frequency of stimulation Dense and Disperse DD modes of stimulation where 2 Hz is alternatin...

Page 13: ...orm of electrode placement is the most common method used It involves placing the red lead proximal alongside the spine where the dermatome on which your pain lies enters and exits The black lead distal is normally placed over or near to the pain site Your Physiotherapist or Doctor may direct the current to cross through the pain area or using the bracket system allow the current to flow on either...

Page 14: ...the electrodes will not stick due to oily skin cleanse the skin with soap and water then rinse and dry the area around the electrode site If this does not work try cleansing the skin with a swab impregnated with alcohol Clip away hairy skin using scissors don t use a razor to remove the hairs The electrodes conductive material is water based If it becomes saturated e g from perspiration it will lo...

Page 15: ...anooga Primera Operation Manual 15 Back Pain Lumbar Pain 2 Positions Herpes Zoster Phantom Limb Pain Electrode Positioning TENS Shoulder Pain Red Black Ch B Ch B Ch A Ch B Ch A Ch B Ch A Ch A Ch B Ch A or B ...

Page 16: ...era Operation Manual 16 Electrode Positioning NMES Ch A Ch B Ch B Ch A Ch B Ch A Upper Mid Back Pain Relief Upper Mid Back Muscle Improvement Red Positive Lead Black Negative Lead Red Positive Lead Black Negative Lead ...

Page 17: ...Chattanooga Primera Operation Manual 17 Ch A Ch B Ch A Ch B Trapezius Deltoids Red Positive Lead Black Negative Lead Ch A Ch B Ch A Triceps Red Positive Lead Black Negative Lead Biceps ...

Page 18: ...Chattanooga Primera Operation Manual 18 Ch A Ch B Ch A Ch B Ch A Ch B Abdominal two methods Red Positive Lead Black Negative Lead Ch B Ch A Wrist Red Positive Lead Black Negative Lead Forearm ...

Page 19: ...attanooga Primera Operation Manual 19 Ch A Ch B Ch A Ch B Ch A Ch B Hamstring Red Positive Lead Black Negative Lead Quadriceps Ch A Ch B Femoral Biceps Ch A Ch B Red Positive Lead Black Negative Lead Calf ...

Page 20: ...y completely from unit if not in use for any extended period of time typically one week Low battery indicator of 6 9 volts shown on LCD display when flashing change battery for a new one Preferably use a PP3 alkaline battery Expected service life of a standard 800 mAh alkaline battery is 24 hours Battery disposal must be disposed of in compliance with national regulatory requirements Lead Wires Th...

Page 21: ...iration date is clearly marked on each electrode package Electrode life can be considerably reduced by The type and condition of the skin Deep seated moisturisers or make up User s Manual Keep the user s manual clean dry and away from any open flame or heat source For the Best Results Before each use cleanse the skin After each use stick the pads on the shiny insert card and store in a cool and dr...

Page 22: ...erman and Italian languages are for online download in PDF format 77621 Accessories You can obtain replacement accessories from your authorized Chattanooga Primera dealer Description Item code Chattanooga Primera User s Manual English 77622 Plastic Carrying Case 77623 Chattanooga Primera Unit Sliding Back Cover 77616 Leadwire Set 2 each 77619 Electrode Positioner Belt for the Back 77620 Battery En...

Page 23: ...in Pain after cardiac surgery Back pain General pain Conditions that respond to STIM NMES Upper limb rehabilitation in early stroke Arm function recovery in hemiplegic stroke As a warm up prior to exercise Maintains and improves movement Increases and improves the blood supply to the muscle in cases of intermittent claudication ...

Page 24: ...ctromagnetic emission This product is intended for use in the electromagnetic environment specified below The customer or the user of the This product should ensure that it is used in such environment Emission test Compliance Electromagnetic environment guidance RF emission CISPR 11 Group 1 This product uses RF energy only for its in ternal function Therefore its RF emissions are very low and are ...

Page 25: ...ron ment are heeded Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood con crete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Power frequency 50 60 Hz magnetic field IEC 61000 4 8 3 A m 3 A m P...

Page 26: ...tance in meters m Field strengths from fixed RF transmit ters as determined by an electromag netic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic...

Page 27: ...of transmitter W Separation distance according to frequency of transmitter 150 kHz to 80 MHz d 1 2 P 80 MHz to 800 MHz d 1 2 P 800 MHz to 2 5 GHz d 2 3 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 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...

Page 28: ...d then returning to 100 Hz TENS 7 Width starting at 200 µS and decreasing exponentially to 100µS in three seconds and then returning back to 200 µS in the next three seconds Rate starting 65 Hz increasing exponentially to 100 Hz over 3 seconds and then returning to 62 Hz in the next 3 seconds 10 Han mode variation of Modulated a sequence of alternating Low frequency stimulation 2Hz 260 µS and High...

Page 29: ...ce goes below 6 9 0 2 Volts the battery symbol will flash on off once every second If the battery voltage is below 6 6 0 2 Volts the unit will not turn ON Dispose of batteries responsibly and in full compliance with all laws The unit turns ON but does not carry out commands e g mA intensity increases but then drops to 0mA and readjustment to higher than 10mA level is not possible Open circuit dete...

Page 30: ...y temperature 37 0 0 5 degrees Celsius Problem Cannot reach maximum mA level or The unit cuts off stimulation at certain level or When increase the intensity zero mA is flashing or Power is cutting off when using Solution It is normal behaviour in our and any other quality muscle stimulators and TENS machines and in most cases resolves itself please read the guideance below The stimulation intensi...

Page 31: ... the adhesive will collect With care maximum electrode lifespan can be achieved see Care and Maintenance but eventu ally the electrodes will need to be replaced At some point the electrodes will become dry Moisten the adhesive surface with a few drops of water and apply onto the plastic film overnight This procedure will give you a few more days of electrode life If you find the electrodes will no...

Page 32: ... the unit or normal wear and tear Any evidence of tampering will nullify this warranty Customer Service Please contact the selling dealer or DJO LLC Service department Your invoice of purchase and or the rear cover of this manual should state the name and the contact details of your distributor For assistance if needed in setting up using or maintaining the unit or report unexpected operation or e...

Page 33: ...ual 33 Anterior View Dermatome Charts and Trigeminal Neuralgia Migraine Headache Deep Eye Pain Nose Pain Temporal Mandibular Joint Pain Tension Headache Hand Pain Knee Pain Ankle and or Foot Pain or or or or or or or or or or or or or ...

Page 34: ...ral Pain or or or or or or or or or or or or or or or or or or or or or or or or or or or or or Hand Pain Sciatica Rectal Scrotal Vaginal or Saddle Area Phantom Limb Pain Lower Extremity Lower Back and Bilateral Leg Pain Lower Back Pain Abdominal Pain Mastectomy Pain Phantom Limb Pain Upper Extremity Shoulder and Upper Extremity Pain or or or or or or Cervical Osteoarthritis ...

Page 35: ...nd clinical effectiveness J Pain 2003 4 3 109 21 5 Walsh D M Baxter D 1996 Transcutaneous electrical nerve stimulation TENS A review of experimental studies Eur J Phys Med Rehabil 1996 6 2 42 50 Neuromuscular Stimulation 1 Cabric M Appell H J Resic A Stereological Analysis of Capillaries in Electrostimulated Human Muscles International Journal of Sports Medicine 1987 Oct 8 5 327 330 2 Jansen J K S...

Page 36: ...Primera Special Notes The Chattanooga Primera is equipped with a mA LOCKOUT Forty five seconds after the unit is turned ON the intensity setting will lock To make any adjustment to the intensity setting you must first press the negative button to increase the mA DJO LLC 1430 Decision Street Vista CA 92081 U S A T 33 0 5 59 52 86 90 F 33 0 5 59 52 86 91 http www djoglobal com ...

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