to the P4 SPORT user manual.
Contents
1. Specific Safety Features and Measures to Prevent Misuse P4 Sport is inherently designed such that improper or accidental application of this unit cannot produce cardiac rhythm disturbances in users for which it is recommended This does not include individuals with implanted cardiac pacemakers This inherent safety is due to the minimal electric charge of all stimulating impulses in the P4 Sport all programs of stimulation the typical impulse is below 10 microcoulombs and the maximum possible impulse is less than 20 microcoulombs zero net current Moreover this maximum charge of 20 microcoulombs 15 Significantly below the cardiac rhythm VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 12 VALMED et Valmed SA swisswave disturbance safety margin of 25 microcoulombs per pulse the standard as established by the Association for Advancement of Medical Instrumentation AAMI in AAMI ANSI standard NS4 1985 and acknowledged by the U S Food and Drug Administration FDA Specific safety features in your P4 Sport include 1 Impossible for users to modify the embedded programs users only modify the intensity of stimulation 2 programs begin with minimal electrical intensity the user must increase the intensity to the desired training level 3 Maximum possible electrical impulse is 20 microcoulombs 4 The connector plugs used on P4 Sport cables have covering2. By improving your muscle strength you will e Maintain power force gained during training and e Maintain and refine muscles Improve muscle response and elasticity and e Maintain training Duration This program lasts for 12 minutes power force gained during Application Power Force training at or close to highest intensity level you can tolerate the Frequency of Use Use this program daily recommended or as a minimum not less than twice weekly Position of Skin Pads Electrodes See section Electrodes Placement Additional Comments This program includes potentiation and 15 recommended as a muscle warm up exercise D Program 4 Explosive Strength Description Use this program to improve capability to rapidly effect maximum explosive strength After strenuous exercise use this program to reduce muscle ache accelerate recovery and obtain a feeling of relaxation These benefits result from specific impulse sequences that may be applied to any fatigued muscle such as quad and calf muscles Valmed SA Duration The program lasts for 20 minutes it 15 the minimum duration recommended Application Explosive strength at or close to the highest intensity you can tolerate Post training recovery medium intensity Increased circulation medium intensity Massage low to medium intensity relaxation Frequency of Use This program may be used as often as desired with no adverse effects Position of
3. Skin Pads Electrodes See section Electrodes Placement Additional Comments Use this program after you complete training with programs 1 2 or 3 The Active Recovery phase acts aS a massage induces an increase in blood flow and speeds the lowering of lactic acid leading to faster recovery and relaxation VI I Useful nformation Handling Cleaning the Sport Unit Use soft brush or soft cloth to clean unit case do not use liquid cleansers Use same procedure with electrical leads Your P4 Sport is designed to be maintenance free B Storage Conditions The P4 Sport may be stored for prolonged periods with no degradation ENSURE that the battery is removed when the unit Is stored C Battery Disposal Always dispose of batteries in accordance with battery manufacturer instructions VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 11 VALMED id swisswave D Warranty Free replacement for two 2 years except for accessories and shipping charges Free replacement will be made if defect is in manufacture of unit free replacement does not apply when damages are related to improper use or abuse of unit VIII P4 Sport Technical and Safety Data A Unit Technical Characteristics Stimulation Channels Two independent isolated channels Separate knobs control intensity levels for each channel Controls I ndicators e Two intensity control click
4. open wounds inflamed swollen or infected Skin area or over any skin eruptions such as varicose veins phlebitis etc e Do not share electrodes with other users Multiple users result in adverse skin reactions e Replace self adhesive electrodes when they do not adhere stick firmly to the Skin G POTENTIAL ADVERSE REACTIONS Skin irritation and burns beneath the electrodes has been reported from use of some neuromuscular stimulators IV Indications for Use The P4 Sport is intended for stimulation of healthy muscles in order to enhance and facilitate improved muscle performance The P4 Sport is therefore properly considered as a technique or means for muscle training The P4 Sport is NOT intended for use in any therapy or for treatment of any medical conditions or diseases The P4 Sport training programs are not designed or optimized for injured or otherwise impaired muscles and use of the P4 Sport such muscles is contraindicated P4 Sport provides four muscle stimulation training programs Each program is for specific application indication stimulation skeletal muscles as follows Endurance training Program Resistance training Program Strength training Program Explosive Strength training Program a Valmed SA The P4 Sport also includes a Potentiation stimulation training program for Warm up prior to performing any sports activity Use this program just before starting competi
5. starting neuromuscular training it is not unusual to experience some aching These aches are similar to aches that one experiences after eccentric work such as long downhill walks or intense jumping Scheduling of specific muscle groups is recommended avoid intensive stimulation of the same muscle groups consecutive days Intensive stimulation tires the muscles and adequate recovery time is essential to attain improved muscle performance this phenomenon 15 known as overcompensation Taking the following steps will help minimize aching Increase intensity levels workload gradually e Use Program 4 between intensive SESSIONS Saunas and hot baths accelerate recovery after heavy exercise due to increased blood supply to muscles TRAINING COMPLEMENTS Optimal muscle strength improvement is obtained when you combine different methods of muscle exercise Neuromuscular stimulation in conjunction with regular moderately intense exercise is especially effective attaining maximum strength gains and is recommended for the serious athlete or physical sport focused individual Recreational athletes should combine neuromuscular stimulation with other dynamic exercises these exercises can include endurance sports team sports sport training etc THE BOTTOM LINE The P4 Sport is truly valuable adjunct for training various muscle groups Valmed SA How to Use the P4 Sport A Overview The P4
6. Sport cannot be used without battery see instructions below for proper handling of the battery Ensure that the battery a 9 Volt battery Is not weak or discharged The P4 Sport must be connected to the skin pads electrodes and the electrodes must be positioned on the skin as shown Section X of this manual entitled Electrode Placement page 14 The specific placement of electrodes on your skin depends upon which muscle group or groups you intend to stimulate To use the P4 Sport effectively and safely the following steps must be considered 1 Choosing the appropriate muscle work program 2 Planning the stimulation session 3 Proper placing of electrodes and 4 Setting the current intensity Choosing the Appropriate Muscle Work Program The program chosen determines the type of work imposed the muscle that is being stimulated Based upon your specific objective or need you can select the program that is appropriate Planning the Stimulation Session The recommended number and frequency of training sessions are indicated in Section VII for each program Proper Placing of Electrodes Proper electrode placement is important Make sure the electrodes are positioned as indicated in Section X of this user manual VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 7 VALMED et swisswave Setting of the Current I ntensity The intensity of the electrical curr
7. VALMED m UVF Valmed SA User Manual P4 Sport 4 Neuromuscular Stimulater Neuromuscular Stimulator Official Supplier of Neuromuscular Stimulation Equipment to the European Tour Physiotherapy Unit P4 SP V50 EN V11 VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch VALMED amp a Valmed SA swisswave Introduction The P4 Sport is manufactured distripbuted by VALMED SA Sion Switzerland The P4 Sportis manufactured in accordance with the requirements of European Safety Standards EN 60601 1 EN 60601 2 10 and meets all requirements of the American Safety Standards for Transcutaneous Stimulators as set forth in ANSI AAMI NS4 1985 The P4 Sport is a Class Medical Device and conforms to the requirements of European Directive CEE 93 42 and holds certificate number CE0535 Read this User Manual especially Safety and Indications and Contraindications before using the P4 Sport A Manufacturer is not liable for any damage caused by the improper use of the P4 Sport neuromuscular stimulator Official Supplier of Neuromuscular Stimulation Equipment to the European Tour Physiotherapy Unit See www europeantour com VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 2 Valmed SA 11 Table of Contents Introduction Table of Contents Safety and Precautionary Guidelines Indication
8. acy use of cold packs on treated muscles after treatment 15 likewise recommended e This unit should only be used with the leads electrodes and accessories provided by the manufacturer E DO NOT USE THE P4 SPORT IF YOU e Have an implanted cardiac pacemaker defibrillator or other implanted electronic or metallic devices e Have been diagnosed with cancer e Are pregnant e Have suffered acute trauma or surgical procedure in the past six 6 months e Have cardiac problems or cardiac disease Have epilepsy Have painful and or atrophied muscles Have abdominal or inguinal hernia Have limited range of motion in skeletal joints e Have blood circulatory problems F ELECTRODE GUIDELINES The PalsFlex electrodes that are supplied as a Standard accessory with your P4 Sport mold easily to your body contours and are reusable The specific instructions for electrode use are indicated on the factory sealed storage pouch The recommended sizes are oval 3 by 5 electrodes for large areas e g leg muscles and round 3 electrodes for smaller areas such as forearm muscles e Use only skin pads electrodes supplied by manufacturer Other electrodes may not stimulate correctly and may render VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 5 VALMED et swisswave the treatment ineffective e Apply electrodes only to clean intact normal skin e Do not apply electrodes over
9. e skin If not wet the pad surfaces sparingly with water 5 If you have difficulty selecting the correct program are you pushing the program select button within 5 seconds of turning the control knobs 5 on VI Program Description Your P4 Sport has four 4 programs of neuromuscular stimulation as well as warm up Potentiation and post training Active Recovery programs Note that these programs do not take into account your personal parameters such as age level of physical Sport or your personal training objectives All programs are completely safe Maximum results require firm muscle contractions also ensure that that you stimulate your muscles sometrically that is make sure that arms or legs that are being stimulated are firmly secured to prevent movement of limbs which may result from muscle contractions Each program has a specific function as indicated in the pages that follow VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 9 VALMED et swisswave A Program 1 Endurance The impulse sequences in this program improve the body s resistance to fatigue increased ENDURANCE This program can be applied with outstanding results on all major muscle groups After repeated stimulation muscles will become more resistant to fatigue To fully develop this resistance requires multiple sessions of stimulation Noticeable change in muscle resistance to fatigue typ
10. ent determines the number of working fibers in the stimulated muscle At low current intensity there are fewer working fibers at higher current intensity a larger number of working fibers As a rule the higher the current intensity the more effective the stimulation Set the current intensity at a level between 1 and 8 that you can maintain without discomfort this current intensity level will typically increase as you progress in your training using the P4 Sport Now some specific instructions to ensure safe and proper operation of your P4 Sport INSERTING REPLACING BATTERIES The warning orange light will illuminate when the battery weakens and requires replacement If the battery is not replaced your P4 Sport will cease to operate within one 1 hour and no indicator lights will function Remove slide the cover of the unit Remove old battery if one Is in the unit Insert a fresh 9 volt lithium alkaline or rechargeable NiMh battery Ensure proper battery polarity your P4 Sport will not operate if polarity is reversed C WARNINGS CONCERNING BATTERY HANDLING Always read and follow the specific instructions provided by battery manufacturers Note the following e Ensure that battery polarity is correct e Do not expose batteries to temperatures exceeding manufacturer s Valmed SA specifications e Do not store and or ship this unit with batteries inserted e Do not attempt to recharge alka
11. ically occurs after approximately 20 applications To achieve full and long lasting effect may require up to 50 applications A corollary benefit of improved muscle strength can be noticed much earlier This program is especially valuable for athletes in endurance sports such as cycling triathlon and marathons Duration The optimal duration is pre programmed for 90 minutes but it is possible to train for greater or lesser periods Application On healthy muscles at or close to the highest intensity level you can tolerate Frequency of Use Recommended Use two to three times weekly on major muscle groups Position of Skin Pads Electrodes See section Electrodes Placement Additional Comments This program will generate strong tetanic muscle contractions You can enhance training results by supplementing the stimulated contractions with your own voluntary isometric contractions The stimulated extremities should be braced to prevent their movement during stimulation Valmed SA Program 2 Resistance Muscle Power and Force Description The impulse sequences this program improve muscle power force by increasing the time a muscle is able to maintain a high power working level It is designed for sports activities that require intense physical effort that approaches the threshold of exhaustion such as intermediate track races swimming and cycling You may notice improvement after as few as 5 stimulation
12. line or lithium batteries e Do not dispose of any battery in fire e Note that batteries may present burn or fire hazard if short circuited Improper battery handling may result in explosion leakage or flames D CONNECTIONS Please refer as needed to the control schematic of the P4 Sport page 7 1 Ensure that the intensity control knobs 5 are in the OFF position 2 Connect the skin pads electrodes to each output cable 3 Position the skin pads electrodes on the motor points of the muscles to be treated refer to page 14 in this manual for proper positions 4 Connect the output cables to the output socket 6 of the P4 Sport unit The two 2 cables can be connected to either output socket on the P4 Sport unit the P4 Sport unit will function properly Isometric Position Always stimulate muscles isometrically make sure that the limb in which a muscle is being stimulated is firmly secured to prevent the movement of the limb resulting from muscle contraction F Switching the Unit On Turn the intensity control knobs 5 until you hear a click VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 8 VALMED et swisswave G Selecting a Program l Select program by pushing the program select button 2 until the indicator for the program is lit If you do not make a selection within 5 seconds Program 1 will automatically start 2 Slowly tur
13. n the intensity two control knobs 5 clockwise until you reach the desired intensity If desired different current intensity levels are possible for each cable and set of electrodes Running a Program 1 Do not remove relocate the electrodes during stimulation turn unit OFF before removal or relocation of electrodes 2 Each program consists of several stimulation sequences for example tetanic contractions followed by periods of rest The full program should be completed for maximum benefit I Ending a Program 1 Each program has preprogrammed duration Program completion 15 signaled by three separate events 1 stimulation signals stop 2 both green lights stop blinking and 3 a continuous beeping signal is heard Once the stimulation stops turn both intensity control knobs 5 counterclockwise to the OFF position Failing to do this will cause battery discharge should you forget to do this an audible beep will be heard 2 Remove the skin pads electrodes from the skin 3 Disconnect the skin pads electrodes from the cables and store them in the Valmed SA hermetically sealed bag Troubleshooting J If your P4 Sport unit is not working please check the following 1 Is the battery correctly inserted 2 Are the cable connectors properly inserted into the P4 Sport unit 3 Are the skin pads electrodes connected to the cables 4 Are the skin pads electrodes adhering to th
14. o not apply stimulation across the head and do not place electrodes opposite sides of the head Do not use the P4 Sport in the bath or shower Persons with suspected heart problems or epilepsy should obtain appropriate medical advice Never use the P4 Sport while sleeping NEVER immerse the P4 Sport unit in any liquid D PRECAUTIONS The safety of neuromuscular stimulation during pregnancy has not been established Use caution when if o User has skin areas that lack normal sensation Following surgical procedures if muscle contractions might impede the healing process Over a menstruating or pregnant uterus o There is a tendency to bleed internally following acute trauma or fracture Place electrodes in accordance with illustrations in this User Manual Users should ensure that extremities are isometrically fixed braced during treatment sessions to prevent movement that results from stimulation This unit should not be used while driving operating machinery or during any activity in which involuntary muscle contractions may place the user at undue risk of injury Some users experience skin irritation or hypersensitivity due to the Valmed SA electrical stimulation or the conductive medium e Keep the P4 Sport neuromuscular stimulator out of the reach of children e Application of moderate heat thermal wrap to muscles as well as moistening skin prior to treatment improves treatment effic
15. plastic hoods that effectively prevent the possibility of accidental connection to power source such as an AC power outlet 5 Automatic control of stimulation current density precludes excessive current density at the electrode skin interface and ensures skin safety VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch VALMED Valmed SA IX Electrode Placement 3 1 CALVES 2 FEMORAL BICEPS AND 4 FEMORAL BICEPS CALVES VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 14 VALMED GA UVF Valmed SA 5 ON ONE LEG 7 TRICEPS 6 THIGHS 8 BICEPS VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 15 NF Valmed SA 9 DELTOID 12 LOWER ABDOMI NAL 10 FOREARM 13 LUMBAR VERTEBRAE 11 ABDOMINALS 14 UPPER TRAPEZI US VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 16
16. s at the OFF position e Program selection button e Two green output intensity lights four program indicator lights Low battery warning light knobs audible Output Current waveform during training Asymmetrical biphasic with fast rise and zero net current Voltage waveform open circuit Low voltage rectangular compensated monophasic impulse Peak open circuit voltage during each impulse 45 Vp 10 Maximum Output at 500 Load RMS voltage 5 V volts 10 Peak open circuit voltage during treatment 90mA milliamperes 10 Power Supply One 9 Volt lithium alkaline or NiMh rechargeable battery Battery power drain is 1W Battery power drain during use varies from 0 3W to 0 4W depending upon stimulation Valmed SA intensity setting The output and program timing parameters stable 42 throughout the life of the battery Standard Accessories Four skin pads nonpolar reusable electrodes One alkaline 9 Volt battery 2 cables Carrying case User Manual self adhesive Size Unit size is approximately 10x7x3 cm Weight Is 200 grams or approximately 7 oz Cleaning Maintenance Use soft brush or soft cloth to clean unit case do not use liquid cleansers Use same procedure with electrical leads Your P4 Sport is designed to be maintenance free B Safety P4 Sport meets the requirements of ANSI AAMI NS4 1985 American standard the 601 2 10 European Safety Standard
17. s for Use Operating Instructions Program Descriptions Useful Information P4 Sport Technical and Safety Data Electrode Placement VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 11 12 14 VALMED id swisswave 11 Safety and Precautionary Guidelines A SPECIAL WARNINGS The P4 Sportis intended for use by ADULTS and ONLY on healthy muscles NEVER use the P4 Sport on muscles that are Atrophied Painful Suffer spasms or On a limb with painful or otherwise afflicted joints The P4 Sport is not intended for the treatment of any medical condition or disease nor is it intended for physiotherapy or muscle rehabilitation It 15 contraindicated for use on any muscle that is injured or diseased Do NOT attempt to use the P4 Sport for Muscle reeducation To prevent muscle atrophy or spasms Improving range of motion Blood flow deficiencies venous thrombosis CONTRAI NDI CATI ONS Do NOT use the P4 Sportif you have any of the following medical conditions e An implanted cardiac pacemaker defibrillator or other implanted electronic or metallic devices e Undiagnosed pain syndromes C WARNI NGS Long term effects of chronic electrical stimulation are unknown Valmed SA Apply electrodes ONLY to normal intact clean skin Do not apply electrodes over open wounds or over swollen infected or inflamed areas or skin eruptions e g phlebitis thrombophlebi
18. sessions full and lasting improvement may require up to twenty 20 sessions Individual results are a direct function of the current intensity level you select High current intensity levels may cause some muscle soreness this however is a normal result at the start of stimulation training Duration This program lasts for 15 minutes Applications Power Force training at or close to highest intensity level you can tolerate Abdominal reinforcement or close to highest intensity level you can tolerate the the Frequency of Use Three times weekly on target muscle groups After achieving desired results use once weekly on targeted muscle groups to maintain power force gains Position of Skin Pads Electrodes See section Electrodes Placement Additional Comments Best results for quadriceps are obtained while in sitting position with knees bent at angle of approximately 70 degrees from horizontal with feet braced isometrically against a wall You will improve results by augmenting the stimulation with your own voluntary isometric quadriceps exercises Stimulated VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 10 VALMED et swisswave extremities should be braced to prevent movement during stimulation C Program 3 Strength Description This program uses ultra sophisticated stimulus frequency modulation to generate brief rapid muscle contractions
19. tion or an activity to obtain maximum muscle strength and optimal level of performance The Active Recovery cool down program is used after completing one of the 4 stimulation training programs The Active Recovery program stimulates the muscles to produce low frequency twitches that act like a massage and result in increased blood flow As a result lactic acid levels are reduced and the stimulated muscles recuperate better from fatigue Using Active Recovery is also recommended after hard training sessions or sports competition A GUIDANCE FOR EFFECTIVE TRAINING WITH THE P4 SPORT Muscles gain strength when exposed to resistance loads that exceed approximately seventy 70 percent of maximal voluntary contraction MVC force The P4 Sport achieves this level of MVC forces and in fact produces forces that range from 70 100 percent of your MVC optimal training results occur when muscles are stimulated Isometrically that is the arm s or leg s that is being stimulated is firmly secured to prevent movement of that limb which may result from muscle contractions Neuromuscular stimulation physical exercise results in the most positive sport gains VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 6 VALMED et swisswave B SCHEDULING Neuromuscular stimulation works by inducing specific contractions at varied user selected intensity levels When
20. tis varicose veins etc DO NOT APPLY STI MULATION o Over frontal area of the neck near site of carotid sinus nerves o Over the neck or mouth Severe spasms of the laryngeal and pharyngeal muscles may occur with contractions strong enough to close the airway and or cause difficulty in breathing Stimulation over the neck could also have a adverse effects the heart rhythm or blood pressure Transcerebrally Over swollen infected inflamed areas of skin eruptions e g phlebitis thrombophlebitis varicose veins etc o Across the chest because the introduction of electrical current into the chest may cause rhythm disturbances to the heart which could be fatal Consult with your physician before using this device because it maybe possible to cause lethal rhythm disturbances to the heart in susceptible individuals Over or in proximity to cancerous lesions o If you are epileptic After experiencing acute trauma or fracture Following recent surgery o If you have a hernia abdominal or lingual o To the frontal laryngeal and temporal regions of the neck VALMED SA AV TOURBILLON 34 1950 SION SWITZERLAND www valmed ch info valmed ch 4 VALMED et swisswave Never use the P4 Sport while driving operating machinery or during activities in which involuntary muscle contractions may endanger the user or others The effects of stimulation of the brain are unknown Therefore d
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