9
4. C a r r y i n g o u t P r o c e d u r e s
Perform the stages as indicated in Articles 1 and 2, paragraph “
Work
sequence
”.
Make sure that 0 mA LED is highlighted on the indicator “
Current mode
”
(6),
whereas
indicator “
Battery
” (5) is not highlighted or blinking.
Connect a headband with electrodes to the Unit.
Make sure that skin at the site of fixing electrodes is clean, free of make-up,
without rash or damage.
A patient should remove any clips or earrings out of ears.
Put a headband with electrodes over a patient’s head (Figure 4). For this:
– put a headband on (15), slightly tight, avoiding an excessive
unpleasant pressure or discomfort, by fixing it with a Velcro closure
above forehead;
– large frontal electrode (16) should be placed up beneath a
headband, right in the middle of the forehead, keeping it free of hairs.
Electrode should be in equal contact with patient’s skin;
– small retromastoid electrodes (17) should be placed beneath a
headband behind ears over the area of mastoid processes. Keep it out
of hairs and wires. Make sure an electrode is in equal contact with
patient’s skin.
Figure 4 – Position of headband with electrodes over patient’s head
a) b)
c) d)
e)
10
MEDICAL INSTRUCTION ON TRANSCRANIAL PULSED
ELECTRIC STIMULATOR «DOCTOR TES-03”
Finding out an appropriate magnitude of stimulating current
Press button (3), and increase the current until patient started to feel
tingling or slight vibration beneath electrodes, or subjective feeling of light
flickering behind closed eyes. While adapting to the applied current patient
may lose such feelings. In this case magnitude of current may be slightly
increased until the described feelings come back. In case the applied
current causes an irritation, discomfort or no adaptation at all, magnitude
of current should be reduced. For this, press button (2) until the
uncomfortable sensation is disappeared.
It is recommended that during the 1
st
session stimulating current should
not be higher than 0.5 mA. For further procedures it should not exceed
higher than 1.5 mA (see pages 16–19).
After procedure completed (in 30 minutes) the Unit will automatically
reduce current reaching 0 mA, and sound signal will be heard.
Take the headband with electrodes off of patient’s head. Disconnect the
electrodes from the Unit.
Switch off the Unit by pressing button (1).
After procedure electrodes should be wiped with a clean swab soaked in
3% hydrogen peroxide solution or alcohol.
ATTENTION!
In case protection mode was initiated during the procedure (Indicator
“
Protection
” (4) is highlighted), intensity of stimulating current slowly
decreases up to 0 mA as displayed on indicator “
Current Mode
” (6), go
directly to the Paragraph “
Common Troubles And Remedies
”, page 23.
General recommendations
It is recommended to perform TES-therapy procedures when patient is
in comfortable supine or sitting position, in calm atmosphere, in about 1-2
hours after meal.
First session is supposed to be an introductory, and aimed at adapting a
patient to a procedure. Thus, intensity of stimulating current must be used
at minimum, ranging up to 0.5 mA, for 15–20 min (stop time manually by
slowly decreasing current till 0 mA). Even though patient may not have any
subjective feelings current intensity should not be higher than recommended.
The main criteria as to how correctly find out an individual regimen for
each patient are tolerability as well as positive clinical effect. In vast majority
the appropriate current intensity is supposed to be reached if patient started
to feel tingling or slight vibration beneath the electrodes, or subjective feeling
