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1727751-51

 

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The unit should be connected to the mains by its power supply unit. Before starting the treatment, 
make  sure  that  the  power  system  specifications  comply  with  the  directives  in  force  within  your 
country. Make sure that the power supply unit will be in a comfortable position and that it will be 
easy to be removed. 

Warnings before use 

We suggest avoiding the use of the device together with other electronic devices, especially with 
those  used  to  maintain  vital  functions.  For  a  correct  use  of  the  Electromedical  device,  make 
reference to the tables attached. If it is necessary to use the device near or together with other 
devices, pay attention to its working. 

 

It  is  recommended  to  read  carefully  the  entire  operating  manual  before  using  the  device; 
keep carefully this operating manual; 

 

The device can emit current value above 10mArms; 

 

Before each use always check the integrity of the unit. This is a fundamental requirement for 
carrying  out  therapies,  do  not  use  the  unit  if  either  the  buttons  or  cables  are  defective  or 
malfunctioning; 

 

It must be used only by people over 18 who are able to understand and take action; 

 

It  should  not  be  used  for  purposes  other  than  neuromuscular  stimulation  as  described  in  this 
manual; 

 

It must be used following the indications and under the physician or physiotherapist’s control; 

 

It  must  be  used  with  the  supplied  electrodes  intended  for  transcutaneous  neuromuscular 
stimulation; 

 

It must be kept out of the reach of children; 

 

ECG monitoring devices may not operate properly when electrostimulation is working; 

 

Do not use the device in trans-thoracic modality because it may cause cardiac arrhythmia, 
imposing its frequency over the heart one. Do not stimulate the pectoral and dorsal muscles 
simultaneously; 

 

If there is any health problem, it must be used only after seeing a doctor; 

 

A  simultaneous  connection  of  the  patient  to  a  high  frequency  electrosurgery  device  can 
cause burns where the electrodes are placed and the electrostimulator can result damaged; 

 

After turning on the device, make sure that in the display the software version and the model 
of the device appear, it means that the device is working and it is ready to be used. If not, or in 
the display all the segments  do not appear, turn it off and on again. If the problem persists, 
contact the service center and do not use the device; 

 

An  unexpected  switching-off  of  the  device  means  that  the  battery  has  run-down.  Charge  it 
according to the instructions in the paragraph: how to charge the batteries. 

 

Warnings during the use 

While using the electrostimulator some warnings should be followed: 

 

In case of damaged cables, they must be replaced with original parts and no longer used; 

 

Use only the electrodes supplied by the company; 

 

The device must be kept out of the reach of any pet that could damage it and contaminate it 
with parasites; 

 

Pay  particular  attention  when  the  current  density  for  every  electrode  is  above  2mA/cm2 
(effective value); 

Summary of Contents for TENSMED S82

Page 1: ...INSTRUCTIONS FOR USE 14 September 2020 1727751 51 TENSMED S82 ...

Page 2: ...1727751 51 2 ...

Page 3: ... NEED The device has been manufactured in compliance with applicable technical standards and has been certified in compliance with Directive 93 42 EEC as amended by directive 2007 47 on medical devices by the Notified Body Kiwa Cermet Italia Via Cadriano 23 40057 Granarolo Dell Emilia BO Italy n 0476 in order to ensure product safety ...

Page 4: ...11 Warnings during the use 11 SIDE EFFECTS AND CONTRAINDICATIONS 12 Contraindications 12 MAINTENANCE AND CLEANING 13 Maintenance and cleaning of the device 13 Accessories Use and storage of the electrodes and the cables 13 INSTRUCTIONS FOR USE 15 ELECTROSTIMULATION 18 Electrostimulation advantages 18 Mechanism of the muscular contraction 18 TENS 20 Incontinence programs 21 Warnings 21 Maintenance ...

Page 5: ...ade in PRC Use conditions Temperature from 0 C to 35 C Max relative humidity from 15 to 93 Atmospheric pressure from 700 hPa to 1060 hPa Technical features of the currents NMES and TENS Channels available channel 1 2 Constant current Yes Intensity 0 100 mA p p per channel Wave form Rectangular biphasic symmetric compensated Working frequency 1 150 Hz Recovery frequency 1 150 Hz Pulse width single ...

Page 6: ...ested to use these electrodes for big areas such as thighs abdomen and glutei E Charger see technical features F Carrying bag G User manual in English printed H CD with user manual in English German French Spanish Italian The device can be used with some optional accessories For purchase information contact your Enraf Nonius dealer or visit www enraf nonius com INTENDED USE The after sales service...

Page 7: ...rt of the unit The inlets are situated exactly under the correspondent channel left or right Insert the cable at the channel you want to use Electrode application Take the electrodes from the original package all new electrodes have a seal on the package Be sure that the device is off To start connect the two cable plugs to the electrodes then disconnect the electrodes from their position and appl...

Page 8: ...ment company or the store in which the product was purchased It indicates the optimal temperatures for the storage and transportation of the product It indicates that the product has been produced respecting the directive 2011 65 EEC It informs the operator that before using the device he must read the manual IP22 It indicates the water protection degree It informs the operator of a compulsory con...

Page 9: ... the electrode Apply on the skin Start the program At the end put the electrode back in the package Electrodes are for personal use It refers to the production lot It indicates the product code It refers to product certification and indicates that complies with directive 93 42 CEE 47 2007CEE It indicates the storage temperature of the electrodes It refers to the expiry date ...

Page 10: ...xts and photos may be reproduced by electronic or mechanical manner without the prior written authorization of the manufacturer It is suggested not to carry out treatments in presence of skin wounds If the package the cable or the connector of the power supply unit show signs of wear or damage replace it instantly Time Program no Working and resting phase time Channel intensity Increase decrease i...

Page 11: ...s intended for transcutaneous neuromuscular stimulation It must be kept out of the reach of children ECG monitoring devices may not operate properly when electrostimulation is working Do not use the device in trans thoracic modality because it may cause cardiac arrhythmia imposing its frequency over the heart one Do not stimulate the pectoral and dorsal muscles simultaneously If there is any healt...

Page 12: ...tion treatment Before removing or touching the probe it is necessary to turn off the stimulator or to regulate the intensity of both the channels on 0 0 mA The treatment is a personalized medical prescription do not borrow the stimulator to other persons SIDE EFFECTS AND CONTRAINDICATIONS Isolated incidents of skin irritation may occur in subjects with high epidermal sensitiveness In case of an al...

Page 13: ...single use electrodes they must be stored using their plastic film and placed in the plastic bag Avoid that the electrodes touch each other or that they overlie one over the other Once the package has been opened the electrodes can be used for 25 30 applications The electrode must be always used with clean hands and they must be replaced if they are not perfectly in contact with the skin If using ...

Page 14: ...t of it in the fire but dispose of the product in the specialized centers and respecting the directives in force within your country When the product has to be disposed of the user can give it back to the retailer when purchasing a new unit A correct separate waste collection or following what above mentioned contribute to avoid possible negative effects on environment and health and promote the r...

Page 15: ...1727751 51 15 INSTRUCTIONS FOR USE ...

Page 16: ...1727751 51 16 ...

Page 17: ...o set the frequency values Frequency from 1 to 150 Hz in steps of 1 Hz Default value 100 Hz The pulse width is automatically modulated from 100 µs to 250 µs and can not be set Treatment time can be set from 5 to 100 min in steps of 5 min default value 20 min PED4 It is possible to set the values of frequency and pulse width Frequency from 1 to 150 Hz in steps of 1 Hz Pulse width from 50 to 320 μs ...

Page 18: ...tely similar to the volunteer one using electrical TENS impulse There are two different ways of use 1 Muscular stimulation ideal for the development of the force and for aesthetic treatments 2 The stimulation to nervous ends ideal for the treatments against the pain Types of muscle The muscle can be subdivided in three different types streaked or voluntary muscle cardiac muscle and smooth or invol...

Page 19: ... a movement of our body the interested muscles produce a state of constant tension Instead when the joint heads of a physical segment are blocked and the musculature produces a tension we talk about an isometric contraction In the event of the electro stimulation an isometric contraction is preferred because it fosters to obtain a more effective control The distribution of the different types of f...

Page 20: ...ven during prolonged treatments The contraction induced is tolerable and pleasant This is the first level on the graphic representation of intensity Intermediate intensity the muscle is visibly contracted but the stimulation does not cause the joints to move This is the second level on the graphic representation of intensity Elevated intensity the muscle is contracted substantially The muscular co...

Page 21: ...es the end of a nerve it produces some substances called neurotransmitters that pass through the synapse and activate the start of the next nerve This process repeats for all the length needed to the signal to reach the brain The opioids involved in the pain reduction have the task to insinuate in the synapse space and impede the neurotransmitter propagation In this way a chemical block of the pai...

Page 22: ... lower limbs SPORT P 7 Reactivity lower limbs SPORT P 8 Capillarization lower limbs SPORT P 9 Active recovery lower limbs SPORT P 10 Muscle cool down lower limbs SPORT P 11 Decontracting lower limbs SPORT P 12 Leg anti cellulite lipolysis BEAUTY P 13 Leg drainage BEAUTY P 14 Leg firming BEAUTY P 15 Leg toning BEAUTY P 16 Leg sculpting BEAUTY P 17 Abdom area post pregnancy drainage BEAUTY P 18 Abdo...

Page 23: ... limb reathletization SPORT PREVENTION P 44 Ankle muscle tone recovery SPORT PREVENTION P 45 Vastus medialis reinforcement REHAB P 46 Swollen ankles REHAB P 47 Hemiplegia upper limbs REHAB P 48 Hemiplegia lower limbs REHAB P 49 Recovery after ACL surgery REHAB P 50 Functional recovery lower limbs REHAB P 51 Quadriceps atrophy with prosthesis REHAB P 52 Shoulder subluxation prevention REHAB P 53 Mu...

Page 24: ... The body position during the stimulation The body position during the elctrostimulation session depends on the body part involved and on the program type that is being carried out During the treatment execution with high intensities we suggest blocking the limbs in order to work in isometry For instance if you want to treat the quadriceps with a strength program we suggest carrying out the treatm...

Page 25: ...program to prepare the muscle for the Explosive Force program Recommended in all sports requiring maximal force under natural load conditions such as sprints ball sports and alpine skiing Intensity maximum muscular contraction at pain threshold limit Active Rest should induce muscular vibrations DECONTRACTING Enables effective muscle relaxation thanks to the pleasant contractions that increase blo...

Page 26: ...experienced the day after the treatment However this effect may be avoided by performing stretching exercises before and after the session or a winding down program The program is suitable for to those who wish to achieve muscular definition in those areas where traditional muscular development exercises are insufficient Intensity inter mediate to high MASS BUILDING A specific program for those wh...

Page 27: ... Atrophy program for a period as soon as the muscle shows a slight recovery of volume and tone Intensity Intermediate HEMIPLEGIA If the patient suffers from a perception problem with decreased attention semi inattention integrating the treatment with training of this ability may be extremely useful The treatment must not be merely passive but the patient can take on an active role in the training ...

Page 28: ...mA it returns immediately to 0 mA Before starting any program check that the cables are connected and that the electrodes are placed on the area to be treated In addition be sure that the electrodes are not worn because this could inhibit their ability to conduct current What kind of electrodes should be used for electrostimulation Use self adhesive electrodes which are practical and improve the q...

Page 29: ... the abdominal zone during menstruation cycle and immediately before or after it Is it possible to use the electrostimulator during lactation Until now no collateral effects regarding lactation have been observed Nonetheless during lactation it is recommended not to stimulate the thoracic region Are dermatological diseases e g psoriasis urticaria contraindications for electrostimulation Yes do not...

Page 30: ... 30 ELECTRODE PLACEMENT FOR NMES TREATMENTS Biceps brachii muscle Triceps brachii muscle Flexor carpi muscle Extensor carpi muscle Deltoid muscle Pectoral muscle Pectoral muscle Trapezius muscle Trapezius muscle ...

Page 31: ... 51 31 ELECTRODE PLACEMENT FOR NMES TREATMENTS Latissimus dorsi muscle Latissimus dorsi muscle Infraspinatus muscle Lumbar muscles Lumbar Dorsal muscles Abdominals Abdominals Abdominals Rectus abdominis muscle ...

Page 32: ...1727751 51 32 ELECTRODE PLACEMENT FOR NMES TREATMENTS Gluteus Gluteus Biceps femoris muscle Adductors Rectus femoris muscle Quadriceps Gastrocnemius muscle Gastrocnemius muscle Tibialis anterior muscle ...

Page 33: ...1727751 51 33 ELECTRODE PLACEMENT FOR TENS TREATMENTS Shoulder pain Elbow pain Cervical pain Lumbar pain Lumbar pain Sciatica Knee pain Knee pain Knee pain ...

Page 34: ...es not detect the contact of the electrode must reset the current of the channel and indicate the resetting on the display Loading of the programs from the memory Error in the data from the memory Execution of an incorrect program The machine must check the correctness of the data of the programs In case an error is detected the device must restart The user can try a new execution of the program I...

Page 35: ...1727751 51 35 ...

Page 36: ...Copyright Enraf Nonius B V Vareseweg 127 3047 AT Rotterdam The Netherlands Tel 31 0 10 20 30 600 info enraf nonius nl ...

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