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Direct TENS

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2.2. DESCRIPTION OF THE PROGRAMS AND THE CORRESPONDING INDICATIONS...

Program

Stimulation

Frequency (Hz) General 

Indications

Advantages

1

1 impulse every 2 seconds

0.5

Kaada TENS

(similar to 

acupuncture)

Ideal for sensitive people

Supports acupuncture 

treatment

2

Double pulse at 20 Hz 

(pulse separation 3 ms)

20

Cervical spine 

syndrome

Tense muscles

Muscle relaxation 

by double pulses

3

High frequency, 1000 Hz

1000

Acute, strong back 

pain (lumbar spine)

Strong analgesia

Brief, very intensive TENS

treatment

4

Bi-modal

Channel 1 = 

100Hz

Channel 2 = 4Hz

Tension headache

Neck / back pain

Radiating pain 

Simultaneous treatment

with high and low

frequency 

 

In 2-channel mode, 

channel 1 stimulation is   

superimposed on the low 

frequency stimulation in 

channel 2

5

Burst with alternating work and 

rest phases of 3 and 2 seconds 

respectively

Work = 100Hz

Rest = 0Hz

Tense muscles

Amputation stump 

/phantom limp 

pain

Herpes zoster

Reflex sympathetic 

dystrophy (RSD)

Easily tolerable stimulation

for chronic pain conditions

Sensory as well as motor 

stimulation

6

Similar to program 5, but 

channels 1 and 2 alternating 

and longer work/rest times, 6 

seconds respectively

Work = 100Hz

Rest = 0Hz

See program 5

Similar to program 5, 

but channels 1 and 2 

alternating

7

Intensity decreases 40% in 0.5 

second intervals

100

Lumbar back pain

Joint pain

Similar to massage 

Effects both on the sensory 

and on the motor level

Avoids habituation

Supplied by EME Services Ltd

Summary of Contents for Direct Tens

Page 1: ...Transcutaneous Electrical Nerve Stimulator for Pain Treatment USER GUIDE Supplied by EME Services Ltd...

Page 2: ...iption of the Programs and the Corresponding Indications 3 Preparation 3 1 Inserting Batteries 3 2 Applying Electrodes Connecting Leadwires 3 3 Selection Care and Placement of the Electrodes 4 Treatme...

Page 3: ...belt clip and close battery compartment 3 Connect the electrodes to the leadwire 4 Apply the electrodes The electrode placement depends on the indication see also chapter 2 2 page 11 5 Connect the el...

Page 4: ...ed to prevent the treatment parameters from being changed inadvertently To unlock the keys press either key channel 1 or 2 10 To terminate the treatment simply turn off the device with the ON OFF key...

Page 5: ...t written permission from DJO Key to symbols used on the equipment GENERAL INFORMATION Warning Indicates a hazard If not avoided the hazard can result in death or serious injury Caution Indicates a po...

Page 6: ...nd pacemaker intracardiac defibrillator or other active implants Undiagnosed pain until the cause has been ascertained Epilepsy During pregnancy unless approved by your referring gynaecologist Treatme...

Page 7: ...ays stop using the device and consult your physician Do not apply electrodes around the throat area or the anterior neck as this could cause severe muscle spasms resulting in closure of your airway di...

Page 8: ...fore disconnecting any stimulation cables during a session TENS is a symptomatic treatment and as such suppresses the sensation of pain that would otherwise serve as a protective mechanism TENS device...

Page 9: ...ch therapy session should last 30 minutes minimum and can be continued for several hours This is where you connect the electrode lead wires This key are used to increase the current and thus the inten...

Page 10: ...substances e g endorphins that also alleviate pain motor stimulation Theory Gate Control Theory Endorphin Theory Principle Via sensory nerves Via motor nerves Intensity Low light tingling High just b...

Page 11: ...ment with high and low frequency In 2 channel mode channel 1 stimulation is superimposed on the low frequency stimulation in channel 2 5 Burst with alternating work and rest phases of 3 and 2 seconds...

Page 12: ...sant form of stimulation Reduces muscle fatigue Prolongs battery life 11 Mixed frequency Phase 1 2 150 Hz Phase 2 50 of work freq Strong pain Pleasant stimulation also at higher intensities Permanent...

Page 13: ...sible settings 2 10 20 40 60 100 125 150 Hz Factory defaults for programs 9 to 12 is 100 Hz and 125 Hz for program 13 Changing the frequency 1 Turn on the device and select one of the programs 9 to 13...

Page 14: ...the worn out batteries in accordance with local and national regulations 3 2 Applying Electrodes Connecting Leadwires First connect the electrode leadwires to the electrodes Figure 3 5 The colour of...

Page 15: ...urface with your finger tip If you face bad contact with the skin or repeated open lead detection change the electrodes Remove electrodes by pulling on their edges Do not pull on the leadwire After us...

Page 16: ...please refer to the Notes in section 2 2 Before applying the electrodes observe the care instructions in section 3 3 2 If appropriate you can also use only two electrodes one channel Figure 3 7 Bilat...

Page 17: ...shoulder and shoulder blade Figure 3 14 Electrode application on the cervical spine Indications e g pain caused by intervertebral disk or vertebral arch joint problems cervical spine syndrome cervica...

Page 18: ...eudoradicular back pain Recommended electrode placement paraspinal proximal and distal to the pain area Channels 1 and 2 diagonal Figure 3 18 Electrode application on the back Indications Radicular ra...

Page 19: ...onding key Increase the intensity with great care and in small increments Select a level which causes a pleasant sensation that is felt clearly 4 TREATMENT The keys are locked automatic function To pr...

Page 20: ...ENS stimulator is switched off before you remove the electrodes If the therapy timer is not activated switch off the Direct TENS stimulator with the ON OFF switch Remove the electrodes very carefully...

Page 21: ...tly set therapy time default setting CONT Press the intensity control keys for channel 2 to set the therapy time With you select a longer time with a shorter time Go back to 00 00 to get the Continuou...

Page 22: ...icon is displayed This icon appears when the resistance between electrode and skin is too high Reasons may be a poor electrode attachment or an interrupted electric circuit When the electric circuit...

Page 23: ...the device if it is not used for a prolonged period of time more than approx 3 months Battery Replacement Use only Alkaline batteries 15 A LR6 size AA 1 5 Volt or NiMH rechargeable batteries size AA...

Page 24: ...ronic equipment radios computers telephones etc The Direct TENS is designed to withstand foreseeable disturbances originating from electrostatic discharges mains supply magnetic fields or radio freque...

Page 25: ...irect TENS 25 You have more questions Get in touch with us DJO LLC 1430 Decision Street 92018 Vista CA USA Phone 1 800 336 6569 Fax 1 800 936 6569 www DJOglobal eu a brand Supplied by EME Services Ltd...

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