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Direct TENS

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• Magnetic and electrical fields are capable of  

 

  interfering with the proper performance of the 

  device. Do not use the Direct TENS™ device in 

  the vicinity of equipment that emits high levels 

  of electromagnetic radiation, such as X-ray 

  equipment, MRI devices, radio systems and 

  mobile telephones. These devices may affect the 

  Direct TENS™ output power. Keep the device away 

  from such equipment and verify its performance 

  before use (section “Treatment”). Not for use in 

  presence of shortwave therapy device.

• Disconnect the Direct TENS™ stimulation 

  electrodes before using electrosurgical 

  equipment or defibrillators. Otherwise skin burns 

  may be caused below the electrodes and the 

  Direct TENS™ device may be destroyed. 

• Avoid the simultaneous use of Direct TENS™ and 

  electronic patient monitoring systems. Direct 

  TENS™ may interfere with the proper functioning 

  of these systems, compromising the monitoring 

  quality.

• Do not use more than one stimulator at a time.

• Avoid stimulation in the vicinity of your heart 

  unless approved by your physician.

• Keep the stimulator out of reach of children.

• If you are in the care of a physician, consult your 

  physician before using this device.

• If you have had medical or physical treatment for 

  your pain, consult your physician before 

  using this device.

• If your pain does not improve, worsens, or continues  

  for more than five days, 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, difficulty  

  in breathing, or adverse effects on heart rhythm or  

  blood pressure.

• Do not use the stimulator when in the bath, shower  

  or humid environment 

  (sauna, hydrotherapy, pools, etc.).

• Do not use the stimulator while driving, operating   

  machinery, or during any activity in which electrical  

  stimulation can put you at risk of injury

• Stimulation should not be carried out over swollen,  

  infected, and inflamed areas or skin eruptions, e.g.,  

  phlebitis, thrombophlebitis, varicose veins, etc.

• Stimulation should not be carried out over, or in    

  proximity to, cancerous lesions.

• Never carry out the first 5 minutes of any stimulation  

  session standing. Make sure you are seated or  

 

  lying down. In rare instances, people of a nervous   

  disposition may experience a vasovagal reaction.    

  This is a psychological response triggered by fear of  

  the procedure. 

• Never connect the stimulation cables to an external  

  power source due to risk of electric shock.

• Sudden temperature changes can cause    

 

  condensation to build up inside the stimulator. To   

  prevent this, allow it to reach ambient temperature  

  before use.

• Never use the electrodes contra-laterally, i.e. do not use  

  two poles connected to the same channel on opposite  

  segments of the body.

• Stimulate with precaution while treating angina    

  pectoris and the thoracic region on patients with    

  cardiac arrhythmia.

Warnings

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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