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2

CONNECT LEAD WIRES

Make sure the device is completely 

turned OFF. Take the pads out of the 

sealed package; insert the lead wire 

pin into the electrode pigtail. Make 

sure no bare metal is exposed.

 

Insert the lead wires into the output 

sockets located at the top of the de-

vice.  Note: If only using one channel, 

only plug in 1 lead wire. 

3

TURNING THE DEVICE ON OR OFF

Press the [ ] button to turn the device “ON” or “OFF”.

If there is an immediate need to pause treatment,  

press the [ 

II

 ] button to pause treatment. 

Press it again to continue treatment or press [ ]  

to stop treatment and go back to the home screen.

6

SET PULSE RATE

8

7

TENS — SET PRESET PROGRAMS — P1 & P2

Select Treatment Mode

Press [ M/II ] button to select the TENS treatment 

mode. Select the body part which you want to 

treat. Press the body part button until the LCD  

displays program “P1” or  “P2” like the screen 

on the left.

To set your treatment time refer back to Step 5

To start your treatment refer back to Step 7.

5

9

TENS — SETTING THE MANUAL PROGRAM — U1

NMES — SETTING THE MANUAL PROGRAM — U1

Never remove the self-adhesive electrodes from the 

skin while the device is turned on!

WARNING:

 Device will not work while charging. Device is 

partially charged upon receipt. 

If the electrodes are not placed 

firmly on the skin or the device has not connected with the lead 

wires  securely, and the output intensity level is equal or greater 

than 10mA, the intensity will stop automatically.

IMPORTANT!

Select Treatment Mode

Press [ M/II ] button to select the TENS treatment 

mode. Select the body part which you want to  

treat. Then press the body part button until the  

LCD displays program “U1” like the first screen  

on the left.

Set Treatment Time

Press [ S ] button to enter treatment time, “Min”  

will flash. Press [ + ] or [ 

 ] adjust time. 

Select Treatment Mode & Body Part

Press [ M/II ] button to select the NMES treatment 

mode. Select the body part which you want to  

treat. Then press the body part button until the  

LCD displays program “U1” like the first screen  

on the left.
Set Treatment Time

Press [ S ] button to enter treatment time and the  

 “min.” will flash. Press [ + ] or [ 

 ] button to adjust  

the treatment time.

Set Pulse Rate

Press [ S ] button to enter the pulse rate and  

the “Hz” will flash. Press [ + ] or [ 

 ] button to  

adjust pulse rate.

1

INSERT BATTERY

Press down on the belt clip to 

release it. Remove the battery cover 

and insert the battery as shown in 

the diagram. Replace the battery 

cover and belt clip.

 

 

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2

3
4

5
6
7

12
11

10

9

8

LCD DISPLAY

Waveform Mode
Home Screen
Set Mode
Output: Start, Pause or Lock
Channel 1 intensity level
Compliance Meter (hours)
Output Intensity of Channel 1
Body Part Selection
Treatment Time (minutes)
Low-Battery Indicator
Load Indicator
Compliance Meter Mode

1
2
3
4

6

10

5

9

7

11

8

12

QUICK REFERENCE GUIDE – 

TWIN STIM IV

 

PAGE 2

QUICK REFERENCE GUIDE – 

TWIN STIM IV

 

PAGE 3

QUICK REFERENCE GUIDE – 

TWIN STIM IV

 

PAGE 4

S

M /

Twin Stim IV

4

SELECT THERAPEUTIC BODY PART

There are 6 therapeutic body part buttons available: 

neck, shoulder, hand, low back, knee and foot. Each 

therapeutic part has 3 programs – P1, P2 and U1.  

Total of 36 programs. 

PULSE WIDTH & START TIME

Pulse Width

Press [ S ] button to enter the pulse width and the  

 “µs” will flash. Press [ + ] or [ 

 ] button to adjust the 

pulse width.

Start Treatment

Press [CH1+] or [CH2+] to increase the output  

intensity of channel 1 and/or channel 2. Press 

[CH1−] or [CH2−] to decrease the output  

intensity of channel 1 and/or channel 2.
When done, press [ S ] or [

] to confirm and return 

to the home screen.

10

SET PULSE WIDTH & PULSE RATE

Set Pulse Rate

Press [ S ] button to enter the pulse rate and  

the “Hz” will flash. Press [ + ] or [ 

 ] button to  

adjust pulse rate. 

Pulse Width

Press [ S ] button to enter the pulse width and the  

 “µs” will flash. Press [ + ] or [ 

 ] button to adjust the 

pulse width.

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