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36

 

 

NexWave

 

Warnings

 

Transcutaneous Electrical Nerve Stimulation (TENS)

 

 

Warnings (Continued)

 

 

· 

Maximum peak output voltage (500 Ω load) = 50 V

 

· 

Maximum peak output current (500 Ω load) = 100 mA

 

· 

Maximum peak output voltage (1 KΩ load) = 100 V

 

· 

Maximum peak output current (1 KΩ load) = 100 mA

 

· 

Maximum peak output voltage (2 KΩ load) = 100 V

 

· 

Maximum peak output current (2 KΩ load) = 50 mA

 

· 

Pulse width range:  120 

-

 300 µs

 

· 

Pulse frequency range:  1 

-

 125 Hz

 

· 

Maximum RMS voltage (500 Ω load) = 7.07 V

 

· 

Maximum RMS current (500 Ω load) = 14.14 mA

 

· 

Maximum output power (500 Ω load) = 0.10 W per channel

 

· 

Maximum RMS voltage (1 KΩ load) = 14.14 V

 

· 

Maximum RMS current (1 KΩ load) = 14.14 mA

 

· 

Maximum output power (1 KΩ load) = 0.20 W per channel

 

· 

Maximum RMS voltage (2 KΩ load) = 14.14 V

 

· 

Maximum RMS current (2 KΩ load) = 7.07 mA

 

· 

Maximum output power (2 KΩ load) = 0.10 W per channel

 

 

· 

The safety of TENS devices for use during pregnancy or birth has not been 
established.

 

· 

This device is not effective for pain of central origin.  (This includes headache.)

 

· 

This device should only be used under the continued supervision of a physician.

 

· 

This device does not have curative value.

 

· 

This device offers symptomatic treatment such as suppressing the sensation of 
pain which would otherwise serve as a protective mechanism.

 

· 

The user must keep this device out of the reach of children.

 

· 

Electronic monitoring equipment (such as ECG monitors and ECG alarms) may not 
operate properly when this device is in use.

 

· 

The long

-

term effects of chronic electrical stimulation are unknown.

 

· 

Stimulation should not be applied over the carotid sinus nerves, particularly in 
patients with known sensitivity to the carotid sinus reflex.

 

· 

Stimulation should not be applied over the neck or mouth.  Severe spasm of the 

laryngeal and pharyngeal muscles may occur and the contractions may be strong 
enough to close the airway or cause difficulty in breathing.

 

13

 

 

NexWave 

Preprogrammed Modes

 

 

Interferential Current (IFC)

 

 

 

Mode

 

Description

 

 

 

Low

-

High

 

The frequency of channel 2 sweeps between 4001 Hz and 4128 

   

Hz every 15 seconds, while the channel 1 frequency remains 

   

fixed at 4000 Hz.

 

 

 

Low

 

The frequency of channel 2 sweeps between 4001 Hz and 4010 

   

Hz every 15 seconds, while the channel 1 frequency remains 

   

fixed at 4000 Hz.

 

 

 

Combo

 

Combo consists of three 2 minute cycles which repeat over the 

   

duration of the treatment.

 

 

   

1st cycle 

-

 Low Mode: as described above.

 

 

   

2nd cycle 

-

 High Mode: like Low Mode, but channel 2 sweeps 

   

between 4064 Hz and 4128 Hz.

 

 

   

3rd 

 

cycle 

-

 Muscle Mode:  The frequency of channel 2 is fixed at 

   

4064 Hz, and the frequency of channel 1 is fixed at 4000 Hz.  

   

Both channels are cycled on and off simultaneously at 6 second 

   

intervals.

 

 

Transcutaneous Electrical Nerve Stimulation (TENS)

 

 

 

Mode

 

Description

 

 

 

Sweep

 

The frequency is decreased linearly from 125 Hz to 11 Hz over a 

   

4 second span. During this time, the pulse width is increased 

   

linearly from 120 µs to 300 µs.  Then the frequency is decreased 

   

from 10 Hz to 1 Hz over a two second span.  The pulse width is 

   

constant at 300 µs.  Then the frequency is increased linearly 

   

from 1 Hz to 10 Hz over a two second span.  The pulse width is 

   

constant at 300 µs.  Then the frequency is increased linearly 

   

from 11 Hz to 125 Hz over a four second span.  During this time, 

   

the pulse width is decreased linearly from 300 µs to 120 µs.

 

 

 

Low frequency 

 

     Modulation

 

Frequency sweeps between 66.7

-

100 Hz and back again over 

   

12 seconds.  Pulse width linearly decreases to 150 µs when 

   

frequency is sweeping up and increases back up to the default 

   

pulse width of 300 µs when frequency is sweeping down.

 

 

 

High frequency 

 

     Modulation

 

Same as Lmd, but with a frequency shift interval of 2 seconds.

 

Summary of Contents for NexWave

Page 1: ...48 P N 300400 Rev 13 0 Zynex Medical Inc 9555 Maroon Circle Englewood CO 80112 USA Phone 1 800 495 6670 Fax 1 800 495 6695 Internet www zynex com Email info zynex com NexWave User s Manual...

Page 2: ...2 47...

Page 3: ...ion 6 Electrodes and Lead Wires Setup 9 Programming Instructions 12 Preprogrammed Modes 13 Controls 15 Operating Instructions 16 Protocols 17 Indications Contraindications and Warnings 32 Precautions...

Page 4: ...ynex com 45 NexWave Warranty Information The NexWave device is warranted to be free from defects in material workmanship and structural integrity when subjected to normal domestic use and service for...

Page 5: ...leaning solutions directly onto the unit or immerse it in water or other liquids 5 About the NexWave The NexWave is a multiple mode stimulator which allows users a choice of treatment options This dev...

Page 6: ...of a flammable anesthetic mixture with air or in the presence of a flammable anesthetic mixture with oxygen or nitrous oxide 43 NexWave Specifications and Accessories Interferential Current IFC Amplit...

Page 7: ...t circuit the outputs If the electrode alarm ceases the problem is with the electrode connection integrity Troubleshooting When the ON button is pressed a flashing Lock icon appears on the display and...

Page 8: ...h suspected or diagnosed heart problems Caution should be used for patients with suspected or diagnosed epilepsy Caution should be used in the presence of the following 1 When there is a tendency to h...

Page 9: ...to high frequency surgical equipment may result in burns at the site of the stimulator electrodes and possible damage to the stimulator Operations within close proximity within one meter of shortwave...

Page 10: ...S voltage 500 load 6 48 V Maximum RMS current 500 load 12 96 mA Maximum output power 500 load 0 084 W per channel Maximum RMS voltage 1 K load 12 96 V Maximum RMS current 1 K load 12 96 mA Maximum out...

Page 11: ...utlet is easily accessible This device is capable of generating current densities for electrodes exceeding 2 mA rms cm2 which may require special attention of the operator Do not exceed 0 5 W cm2 with...

Page 12: ...hlebitis thrombophlebitis varicose veins etc Stimulation shall not be applied over or in proximity to cancerous lesions This device is capable of generating currents and voltages in excess of 10 mA RM...

Page 13: ...e laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing 13 NexWave Preprogrammed Modes Interferential Current IFC Mo...

Page 14: ...l electrical device does not incorporate a power switch to isolate the system from the AC mains Unplug the power cord of the AC adapter from the AC mains outlet in order to positively disconnect from...

Page 15: ...des and possible damage to the stimulator Operations within close proximity within one meter of shortwave or microwave therapy equipment may produce instability in the stimulation output Safety Refere...

Page 16: ...until Unlock button is pressed 33 NexWave Warnings Interferential Current IFC Warnings Continued Maximum peak output voltage 500 load 25 V Maximum peak output current 500 load 50 mA Maximum peak outpu...

Page 17: ...mum stimulation setting 50 mA 2 square Maximum stimulation setting 50 mA Output waveform power information When delivering stimulation energy the NexWave in IFC mode is a constant current output devic...

Page 18: ...channels and crisscrossing the electrodes is optional when using the TENS modality Lumbar Back 31 SPASM REDUCTION Muscle spasm may be reduced by intentionally fatiguing the associated muscle or muscle...

Page 19: ...Journal of Sports Medicine 13 16 20 2003 Lippincott Williams Wilkins Inc Philadelphia IFC Modality Place the electrodes with the RED and BLACK ends of the lead wires according to pattern depicted on...

Page 20: ...e to the left Using both channels and crisscrossing the electrodes is optional when using the TENS modality 29 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comforta...

Page 21: ...ng the electrodes is optional when using the TENS modality ACHILLES TENDON ANKLE ACHILLES TENDON ANKLE 21 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable s...

Page 22: ...odality Palmar View same arm Dorsal View same arm Palmar View same arm Dorsal View same arm 27 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEV...

Page 23: ...rossing the electrodes is optional when using the TENS modality 23 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Tre...

Page 24: ...t Using both channels and crisscrossing the electrodes is optional when using the TENS modality 25 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength...

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