TruWave Plus User Manual Rev 00.pub
Contents
1. DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality 23 Post Operative Knee PAIN RELIEF amp EDEMA REDUCTION Post operative pain and swelling may be reduced by the application of electrical stimulation immediately after surgery and continuing as needed INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Combo 40 minutes 3 to 4 times per day TENS Constant As needed for pain and swelling TENS Modulated As needed for pain and swelling ELECTRODE PLACEMENT When applying electrodes in the operating room sterile electrodes must be used and placed away from incisions as shown below Electrodes applied outside the operating room do not need to be sterile and should be placed around the bandaged area in the pattern shown below2. Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality 19 Anterior Knee PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality Lateral Medial Knee 20 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area
3. NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left 25 Tru Wave Plus Indications for Use Safety References Zynex Medical Zynex is only responsible for the safety reliability and function of the device when repairs adjustments and changes have been carried out by persons authorized by Zynex for such work and the device is used according to the user manual Repairs and technical safety tests shall only be carried out by trained personnel Indications This stimulator should only be used under supervision for adjunctive therapy for the treatment of medical diseases and conditions Interferential Current IFC e Symptomatic relief of chronic intractable pain post traumatic and post surgical pain e Increasing local blood circulation e Reduce Edema swelling Neuromuscular Electrical Stimulation NMES Prevention of retardation of disuse atrophy Muscle re education Maintaining or increasing range of motion Relaxation of muscle spasms Immediate post surgical stimulation of calf muscles to prevent venous thrombosis Transcutaneous Electrical Nerve Stimulation TENS e Symptomatic relief of chronic intractable pain post traumatic and post surgical pain 26 TruWave Plus Contraindications amp Warnings Contraindications e This stimulator should not be used on patients with a cardiac demand pacemaker e Electrodes s
4. and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality Shoulder 14 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality 15 Elbow PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed ELECTRODE PLACEMENT Elec
5. figure to the left e Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality I Thoracic Back 12 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality Cervical Neck PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED
6. or questions about an Explanation of Benefits form you received in the mail FAX NUMBER 800 495 6695 MAILING ADDRESS Zynex Medical 9990 Park Meadows Drive Lone Tree CO 80124 EMAIL info Qzynexmed com WEBSITE zynexmed com TruWave Plus Waveforms About the TruWave Plus The Truwave Plus is one of only a few devices available on the market today with three separate modalities to treat a wide variety of symptoms This unique device incorporates Interferential Current IFC Transcutaneous Electrical Nerve Stimulation TENS and Neuromuscular Electrical Nerve Stimulation NMES Interferential Current IFC Interferential Current is used for a wide range of applications generally with the purpose of either pain relief and or muscle stimulation Interferential Current differs from other types of electrical stimulation by its frequency and the principle of interference A substantially higher frequency 4 000 Hz than traditional stimulation 1 150 Hz allows the applied stimulation to penetrate the skin with less resistance The skin impedance is approximately 100 times less using a higher frequency than using traditional TENS and NMES devices The theory is that more of the stimulation energy reaches the nerve and muscle fibers and hence becomes more productive With more stimulation reaching the affected area IFC is recommended to be applied 3 4 times a day for 30 40 minutes per treatment Transcutaneous Electrical N
7. ENS and NMES modalities can use 2 electrodes 1 channel or 4 electrodes 2 channels TruWave Plus Electrode amp Leadwires Set up continued Step 3 Remove each electrode from the plastic backing and place on the treatment site according to the type of modality selected Electrode Arrangement When using the IFC modality RED and BLACK leadwires must be placed in a crisscrossed pattern as shown in the diagram below TENS or NMES do not need to be crisscrossed and can be placed in a side by side pattern IFC TENS or NMES Crisscrossed Pattern Side by Side Pattern 2A LD r W MN az a Note Refer to pages 11 24 for detailed examples of electrode placements for different areas of the body TruWave Plus Electrodes amp Leadwires Set up continued Step 4 Plug leadwires into the top of the device The IFC modality requires both sets of leadwires to be connected channel 1 2 TENS and NMES can use 1 set Channel 1 or 2 sets Channel 1 amp 2 of leadwires Step 5 Proceed to page 10 to start treatment or page 7 to program device TruWave Plus Channel 1 Channel 2 lt TruWave Plus Device Programming Instructions Programming Device Turn device on by pressing channel 1 or 2 Up Button once A RSE 0 pe 4 9X 7 Press Program Button once to enter programming mode Press Up Button until desired modality is displayed on screen Press Program Button
8. Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Crisscrossing the electrodes is optional when using TENS Waveform Protocol based on the following study The Effects of Home Interferential Therapy on Post Operative Pain Edema and Range of Motion of the Knee by Gregg J Jarit MD Karen J Mohr PT SCS Robert Waller BS and Ronald E Glousman MD Published in Clinical Journal of Sports Medicine 13 16 20 2003 Lippincott Williams amp Wilkins Inc Philadelphia Muscle Spasm 24 SPASM REDUCTION Muscle spasm may be reduced by intentionally fatiguing the associated muscle or muscle group INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Combo 40 minutes 3 to 4 times per day NMES S Fatig 40 minutes 3 to 4 times per day ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left
9. TruWave Plus Users Manual TruWave Plus Table of Contents Customer Service Supplies Support 222422411121 Poot ne Tri W ay 6 PIUS oia ir lts Electrodes amp Leadwires Set Up ars coo WoW di Device Programming InstructiONS oooooooooooooooooooconnnnnnnnnnnnnnaninonoss Device Preprogrammed Modes ee EOG ii Device Controls cO AE O dds need Sad AC ak Device Operating MSTUCUO S lt a Z abb AA Electrode Placement Examples Lumo Bak das ca a S Thioracio Bac RAZ EA Cervical ENEE e a dd Posterior Leds dildo dd AMECOC KNCC un taca BOSE AO weed AS Post Operative cesa ee O Muscle PAS lid a cata Device Mdicaons TO USE tiara cios i Device Contraindications amp WarningS eeeeeee aaa aaa ae DEWMCEPICCAUNOBS il tio TTOUDIE SHOOUN Ss a eee dames Device Technical Specification Battery amp Electrode Information cccceeeeeeeeeeees IN Ole Garten A SN a eens O NY A U 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 21 28 29 30 31 Zynex Medical Contact Information CUSTOMER SERVICE 866 940 7030 Supplies To order more electrodes or other accessories Technical Support Questions or problems with using your device Device Return Order a postage paid return envelope to return your device at no charge MAIN OFFICE 800 495 6670 Billing Questions Questions regarding insurance benefits and covered benefits for durable medical equipment
10. ation should not be applied transcerebrally e Stimulation should not be applied over swollen infected or inflamed areas of skin eruptions e g phlebitis thrombophlebitis varicose veins etc e Stimulation should not be applied over or in proximity to cancerous lesions 2 TruWave Plus Precautions Precautions e Isolated cases of skin irritation may occur at the site of the electrode placement following long term application e Effectiveness is highly dependent upon patient selection by a person qualified in management of pain patients e Safety of powered muscle stimulators for use during pregnancy has not been established e Caution should be used for patients with suspected or diagnosed heart problems e Caution should be used for patients with suspected or diagnosed epilepsy e Caution should be used in the presence of the following 1 When there is a tendency to hemorrhage following acute trauma or fracture 2 Following recent surgical procedures when muscle contraction may disrupt the healing process 3 Over the menstruating or pregnant uterus and 4 Over the areas of the skin which lack normal sensation e Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium The irritation can usually be reduced by using an alternate conductive medium or alternate electrode placement e Electrode placement and stimulation settings should be based on t
11. erve Stimulation TENS Transcutaneous Electrical Nerve Stimulation has been used for the treatment of acute and or chronic pain for over 40 years TENS delivers electrical impulses through the skin in the range of 1 150 Hz TENS treatments can range from 20 minutes to many hours and can be applied as needed for pain relief Neuromuscular Electrical Stimulation NMES Neuromuscular Electrical Nerve Stimulation NMES is indicated for treatment of a variety of muscular dysfunctions NMES is commonly used for prevention of disuse atrophy muscle re education relaxation of muscle spasms maintaining or increasing range of motion increasing local blood circulation and strengthening weak or injured muscles NMES works by sending electrical impulses through electrodes placed on motor points located on the targeted muscle or group of muscles When the stimulation is applied at the correct level the targeted muscle will contract Important This device must be ordered or prescribed by a licensed physician TruWave Plus Electrodes amp Leadwires Set up Step 1 Open electrode package and remove electrodes from package Keep electrodes on plastic backing Electrode Connector Plastic Backing A m im WESA Step 2 Insert leadwire pin connectors into electrode connectors as shown below RED leadwire connectors on one side and BLACK leadwire connectors on the other side y IFC modality requires ALL 4 electrodes 2 channels T
12. he guidance of the prescribing practitioner e This device should be kept out of reach of children e This device should be used only with the leads and electrodes recommended for use by the manufacturer e This device should not be used while driving operating machinery or during any activity in which voluntary muscle contractions may put the user at undue risk of injury Adverse Reactions Skin irritation and burns beneath the electrodes are potential adverse reactions Perform the Following Unit stays on even after treatment ends Can not increase level from its current setting Do not feel the traditional I F beat in the center of the four electrodes Display shows electrode alarm TruWave Plus Trouble shooting Hold Off button down for 2 seconds to shut unit off else unit will shut off automatically after 5 minutes of no stimulation Alternatively you can start a new treatment session now without having to start from scratch Turn level down I mA to unlock this safety feature then turn it up to the desired level intensity Intensity level is always locked after 20 seconds of no change of settings Check that the lead wires are connected correctly to the electrodes red opposite to each other black opposite to each other Check your electrodes They must be fresh and stick well Then check your electrodes again possibly change to new electrodes Then check that all four electrodes are con
13. hould not be placed so that current will be applied to the carotid sinus neck region or transcerebrally through the head e This stimulator should not be used whenever pain syndromes are undiagnosed until etiology is established Warnings e The safety of TENS devices for use during pregnancy or birth has not been established e This device is not effective for pain of central origin This includes headache e This device should only be used under the continued supervision of a physician e This device does not have curative value e This device offers symptomatic treatment such as suppressing the sensation of pain which would otherwise serve as a protective mechanism e The user must keep the device out of the reach of children e Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when this device is in use e The long term effects of chronic electrical stimulation are unknown e Stimulation should not be applied over the carotid sinus nerves particularly in patients with known sensitivity to the carotid sinus reflex e 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 e Stimulation should not be applied transthoracically in that the introduction of electrical current into the heart may cause cardiac arrhythmias e Stimul
14. n Button Off button channel 2 decrease intensity control change option in program mode Program Button Navigate between different modalities and modes TruWave Plus Device Operating Instructions Start Treatment Before starting treatment electrodes must be placed on the treatment site refer to pages 11 24 for examples and leadwires and electrodes connected to the device see Electrodes amp Leadwires Set up on page 4 1 Turn TruWave Plus ON by pressing Channel 1 Up Button once 2 Increase intensity by pressing Channel Up Button until a strong but comfortable stimulation level is felt Repeat for Channel 2 if both leadwires are attached and device is in TENS or NMES mode 3 Once desired level of stimulation is set the unit will automatically shut off at the preset treatment time shown on the display If Treatment Timer has been set to Continuous then the device will need to be shut off manually Refer to Programming Instructions on page 7 to adjust Treatment Timer 4 To turn off device manually press and hold the Channel 2 Down Button until display turns off Intensity level can be increased or decreased with either channel I or channel 2 Up and Down buttons when device is set to IFC Mode If Chan I or 2 Electrode message is displayed on the screen see Display Alerts below During Treatment IMPORTANT Button controls lock after 20 seconds of inactivity To unlock button controls press Down b
15. ncy is sweeping down The Frequency is set at 80 Hz with a default Pulse Width set at 150 usec The frequency shifts between 66 and 100 Hz at an interval of 6 seconds The Pulse Width will also shift during the 6 seconds interval The default Pulse Width is 225usec and when the frequency is at it s minimum the Pulse Width is at it s maximum and visa versa Neuromuscular Electrical Stimulation NMES Mode Simultaneous Alternating Fatiguing Description Preset 10 second ON amp OFF time 35 Hz 300usec P W ramp up 3 seconds ramp down 1 second Simultaneous Preset 10 second ON amp OFF time 35 Hz 300usec P W ramp up 3 seconds ramp down 1 second Alternating Preset 10 second ON amp OFF time 80 Hz 300usec P W ramp up 3 seconds ramp down 1 second Simultaneous TruWave Plus Device Controls Program Mode Displays Operating Mode Displays TENS IFC or NMES mA level amp remaining Specific Mode Timer Data treatment time amp alerts LCD Display Leadwire Connection Channel 1 Uses electricity from wall socket instead of 9v battery A C Adapter Outlet TruWave Plus Channel 1 increase intensity control Up Button Down Button Channel 1 decrease intensity control Leadwire Connection Channel 2 Channel 1 amp 2 Intensity Lights amp Low battery indicator Status LEDs On button channel 2 increase intensity control change option in program mode Up Button Dow
16. nected to lead wires and that both lead wires are connected to the unit Eventually put all four metal pins together to short circuit the Outputs That should stop the electrode alarm proving that the problem is the electrode quality Replace electrodes 28 29 TruWave Plus Technical Specifications Interferential Current IFC Amplitude Carrier frequency Modulation frequency I F Modes Muscle Mode 0 50 mA 4000 Hz nominal Continuous 4001 4150 Hz Freq Shift modes 4001 4150 Hz Low High Combo Low 50 Hz 6 sec On 6 sec Off Up ramp is 1 0 sec and down ramp is 0 5 sec Neuromuscular Electrical Stimulation NMES Amplitude Frequency Pulse width NMES Modes On Time Off Time Ramp Up Ramp Down Waveforms 0 100 mA 35 80 Hz 300 usec S Strength A Strength S Fatigue 10 seconds 10 seconds 3 seconds 1 second Symmetrical Biphasic Transcutaneous Electrical Nerve Stimulation TENS Amplitude Frequency Pulse width TENS Modes Waveform Other Specifications Treatment timer Compliance meter Dimensions Weight Warranty 0 100 mA 1 125 Hz 150 usec Sweep Modulated Constant Symmetrical biphasic Continuous 10 90 minutes 10 minutes steps Records total usage time in minutes and number of times used Can be reset 4 5 x 2 5 x 0 9 in 5 oz Incl Battery 3 Years manufacturers warranty on materials and workmanship Accessories excluded Tr
17. of pain located in the center of the electrode area Inside View IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Inside View same leg TENS NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Outside Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality 21 Ankle PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality TENS NMES Modality Place the electrodes with the RED Place the electrodes with the RED and BLACK ends of the leadwires and BLACK ends of the leadwires according to pattern depicted on according to pattern depicted on figure below figure below Crisscrossing the electrodes is optional when using the TENS or NMES modality ACHILLES TENDON ACHILLES TENDON Inside View side Vie Inside View same foot same foot Foot 22 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength
18. once to lock in desired modality Press Up Button until desired mode is displayed on screen see next page for detailed description of each mode Press Program Button to lock in mode Press Up Button until desired treatment time is displayed on screen Press Program Button to lock in treatment time To view Data Compliance Meter press Down Button once Press Program Button to return to Operating Mode and start treatment see page 10 for Device Operating Instructions TruWave Plus Program Button Up Button TruWave Plus Preprogrammed Modes Interferential Current IFC Mode Low High Low Combo Description The IF frequency sweeps between Hz and 150 Hz over a period of 15 seconds continuously The IF frequency sweeps between Hz and 10 Hz over a period of 15 seconds continuously Combo consists of three 2 minute cycles which repeat over the duration of the treatment Ist cycle IFC frequency sweeps between Hz and 10 Hz over a 15 second period 2nd cycle IFC frequency sweeps between 80 and 150 Hz over a 15 second period 3rd cycle IFC frequency of 50 Hz is on for 6 seconds followed by 6 seconds of off time Transcutaneous Electrical Nerve Stimulation TENS Mode Sweep Constant Modulated Description TENS frequency sweeps between Hz and 125 Hz over 14 seconds Pulse Width adjusts down by 50 when frequency is sweeping up and back to original Pulse Width 150 usec when freque
19. trodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure below Dorsal View same atm so ear ae N LTN Palmar View same arm TENS Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure below Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality Dorsal View gt same arm _0 Palmar View same arm 16 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure below Dorsal View Same wrist Palmar View same wrist TENS Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure below Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality Dorsal Vie
20. uWave Plus Maintaining Device amp Electrodes Electrodes and skincare Proper skin care will help make the use of this device more comfortable and trouble free Prior to treatment wash the areas where the electrodes will be placed with mild soap and water rinse and dry the skin thoroughly If necessary remove excess body hair The TruWave Plus is intended to be used with re usable self adhesive electrodes Extended number of uses can be obtained by adding water to the adhesive surface immediately after each use and placing them on the plastic pad They will regain their conductivity and adhesiveness as compared to leaving them dry Sterile electrodes may be required for some post op applications Battery Power One 9 volt Alkaline battery is used The battery compartment on the back of the device opens by sliding the cover downwards Rechargeable batteries are not recommended as they only have a short usage time and are not charged while in the device Battery replacement is indicated by either Bat in the display or a red flashing LED Replace with a new 9 volt Alkaline battery The TruWave Plus accommodates a 9 volt battery even if it is inserted with reverse polarity and the circuitry will ensure full functionality with reverse polarity Please ensure to dispose the used batteries properly AC Power Adapter The Truwave Plus comes with an AC Adapter that is plugged into the left side of the device and then into a 110
21. utton once Increase Intensity To increase intensity after the button controls have locked press the Down button once and then press the Up button for either channel to desired level Decrease Intensity To decrease intensity press the Down button for each channel until desired level of stimulation is felt While in IFC mode pressing either channel Down button will decrease the stimulation level pressing and holding the Down button will turn device off Display Alerts Chan 1 or 2 Electrode Leadwire s and or electrode s may not be attached properly check all connections and try again If problem persists call Technical Support see page 2 Bat Replace Battery immediately or connect the A C Adapter 10 11 Lumbar Back PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according hd to pattern depicted on figure to the left TENS NMES Modality O 4 Place the electrodes with the RED and BLACK ends of the leadwires according 8 to pattern depicted on
22. v electrical outlet While plugged in the device uses the electrical current from the outlet and not the 9 volt battery The battery does not have to be removed while utilizing the AC Adapter 30 9990 Park Meadows Drive Lone Tree CO 80124 800 495 6670 www zynexmed com P N 300300 REV 00
23. w Same wrist Palmar View same wrist 17 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS NMES Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left Using both channels and crisscrossing the electrodes is optional when using the TENS or NMES modality Back of Leg 18 PAIN CONTROL INTENSITY LEVEL The stimulation level should be set to a strong but comfortable strength DEVICE SET UP Modality Mode Treatment Time IFC Low High Low Combo 40 minutes 4 times day TENS Modulated Sweep Constant As needed NMES S Stren S Fatig As needed ELECTRODE PLACEMENT Electrodes should surround the targeted treatment site with area of pain located in the center of the electrode area IFC Modality Place the electrodes with the RED and BLACK ends of the leadwires according to pattern depicted on figure to the left TENS NMES Modality
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