User Guide - DASCO Home Medical Equipment
Contents
1. 20 Practice Sesslons eor Pk ver etr uh 21 How to Load the Tension Ring 22 Easy Action Ring Applicator 23 How to Create an Erection 25 How to Keep the Erection iier eh 27 Removing the Tension Rings 28 Tips for Best Results 0c00ceeeeceeeeceees 29 Situations and Recommendations 4 30 Dont Worry DE os ice base to ue bbb E pce xs 33 System Care zs vesu we tudiese vox verde E e 34 Glossary of Terns eoo voL i bb d ve V En 34 90 Day Return POllOy ti gcse vac is eee ee bai dete qa 35 Notes and Cautions vcs incessere rre rere 36 Notice of Privacy Practices 00 c0eeeeeeee 40 Warranty Registration Card i i esroosee e rs 44 For Further Assistance orta red ce E eere bbb eei 46 Limited Lifetime Warranty cuo voee CEU ER ER 46 iii TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 1 3 Principles of Operation A General Warnings and Precautions A human erection is a complex event that involves the brain hormones blood vessels nerves and muscles inside the penis When these work together properly the penis fills with blood to produce an elongated and hard erection In simple terms an erection is a blood filling and blood storing event which takes place inside a man s penis A vacuum pump pulls blood into the penis to produce an erection A tension ring or band holds the blood in the penis keeping the erection long enough to2. Step 3 Slowly pull the ring s forward and off your penis 15 ErecAid Esteem Vacuum Therapy System Automatic Model Chur 16 TIMM EsteemBroch 07 09 Rv3 7 29 09 9 20 PM Page 17 Components Automatic Model Study the diagram to become familiar with the name and purpose of each part of your new ErecAid Esteem System before you apply the device 17 Pump The automatic pump provides a simple single touch method to create the proper vacuum Cylinder The oval end of the cylinder is designed so you can easily attach the automatic pump The other end of the cylinder fits snugly against your body to help create the vacuum seal Insert The insert may be used to decrease the diameter of the open end of the cylinder if needed You should try using the System with and without the insert to decide which way works best for you Pressure Point Tension Rings The patented pressure point tension rings are medically engineered for safety performance and comfort You may use the rings individually or in various combinations to keep your erection once you have created it using the System refer to Situation on page 31 You will have four pressure point tension rings packaged with your System one Medium and one Large ring in standard tension beige one Medium and one Large ring in high tension pink See Ring Tension Chart for tension and color details on page 22 NOTE
3. 6 An erection achieved with the System usually has greater girth thick ness since the blood vessels are filled to their maximum potential However ErecAid Esteem System is not an enlargement device it simply allows the penis to obtain its largest natural state Z Keep in mind that an erection achieved with the System will remain rigid until you remove the tension ring s Most men are able to continue intercourse after ejaculation orgasm if desired NOTE For automatic model be sure the batteries are in good working order before applying the System Insufficient power may not provide enough vacuum to create an erection Be sure to remove batteries if anticipating an extended period between applications of the System Whenever you turn off the automatic pump be sure to press the vacuum release button briefly before restarting the pump motor 29 Situations and Recommendations Just as there are many causes of Erectile Dysfunction many different situations may occur with its management Some situations may require special attention as you use ErecAid Esteem System If you encounter any of the situations described on the following pages follow the recommendations outlined to achieve a comfortable erection with your ErecAid System This information is not intended to take the place of medical advice from your prescribing physician Situation Erection Not Suitable for Intercourse You have used the pump and cylinder to
4. 21 How to Select the Tension Ring You will need to experiment to find the tension ring that s right for you Begin with the largest Ring A and determine if it is comfortable and provides a satisfactory erection If not try the B Ring then and then the C Ring and then the D Ring Always try to keep the erection with the least amount of tension Correct positioning of the tension ring is also necessary to keep the erection Tension rings should be positioned so that the U shaped notch is on the bottom of the penis and the pressure points are at the top of the penis NOTE When using a combination of rings the ring with the greatest amount of tension should be closest to your body See page 31 for instructions on loading and transferring no more than two tension rings COLOR CODED TENSION RINGS BEIGE PINK Standard Tension High Tension Ring tension letter indicator as listed in Ring Tension Chart Pressure Points Loops U Notch Ring Tension Chart Minimum j Level One One large standard tension ring beige A Tension Level Two One large high tension ring pink B Level Three One medium standard tension ring beige C Level Four One medium high tension ring pink D Level Five One medium standard tension beige C and One large standard tension ring beige A Level Six One medium high tension pink D and One large high tension ring pink B One medium high tension pink
5. Please note that tension rings are a disposable item and will last 1 6 months or longer depending on use and storage Easy Action Ring Applicator The Easy Action ring applicator is a specially designed tool that lets you easily load the Pressure Point tension ring s onto your ErecAid Esteem System cylinder The Easy Action ring applicator consists of two parts a top part or cap and a bottom part or cone Lubricant Osbon Personal Lubricant plays an important part in the overall function of the System Proper application of our water soluble lubricant to the head of the penis and to the open end of the cylinder helps create a good vacuum seal against the body The lubricant also helps you to load and remove the tension rings You should use only water based Osbon Personal Lubricant Other lubricants may damage the tension rings and other System parts as well as void your limited lifetime warranty 18 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 19 How to Assemble Automatic Model Step 1 Step 2 19 Start with the insert in the smaller end of the cylinder as packaged The insert narrows the inside of the cylinder and keeps scrotal tissue from being drawn in while you create your erection If your erection presses uncomfortably against the inside of the insert remove the insert and use the cylinder without it Attach the oval end of the pump to th
6. angle with the open end snugly against the body Tip Rotate cylinder slightly back and forth to make an airtight seal against the body make sure the testicles are not drawn into the cylinder Step 3 Press the power button on the pump to remove the air from the cylinder Now begin creating the vacuum by pressing the power button on the pump for several seconds Then stop the pump and wait 5 to 10 seconds to increase blood flow If the vacuum pressure increases too quickly you may feel discomfort If you have any discomfort stop the pump and press the vacuum release button Then turn the pump on again for several seconds Rather than running the pump continually it is recommended that the pump be turned on for several seconds then turned off for 5 to 10 seconds Continue this until you have achieved an erection You may need to press the vacuum release button several times The amount of vacuum needed for a firm erection will vary according to the individual Experiment to find out how long you ll need to keep the pump running Step4 Usually the penis will lift slightly from the floor of the cylinder when the erection is complete This process may take a few minutes If your erection begins to press uncomfortably against the inside of the insert remove the insert and start over without it NOTE It may take a bit longer than expected for some men to get an erection By repeating
7. 90 day return policy on systems purchased directly from Timm Medical Technologies Inc If the system fails to produce the desired results within 90 days you may qualify for a refund To qualify for a refund you must complete the following steps 1 have completed and mailed the ErecAid Esteem Warranty Registration Card from your System Kit 2 call and receive instruction from a Timm Medical Technologies Inc s Support Service advisor at least twice 3 meet and work with a Timm Medical Technologies Inc s Clinical Technician at the prescribing physician s office when geographically feasible 4 obtain a Return Authorization Number RMA from Technical Support Services and return all System components booklets and video within four weeks of receiving your Return Authorization Number RMA Any system sent to Timm Medical Technologies Inc without a RMA number will be returned to sender without a refund being processed The 90 day return policy is only available for Systems purchased directly from Timm Medical Technologies Inc and is only available to the System s original owner The return policy does not apply to any subsequent System purchase or components This policy is in place of any other policies expressed or implied PURCHASED FROM another vendor and NOT Timm Medical Technologies Inc Please contact the vendor e g store pharmacy doctor s office with regards to their particular refund and return pol
8. Ea 875 Pink Large B High Tension Ring 1 Ea 875 Beige Large A Standard Tension Ring In the event that any of these items are missing immediately call us at 800 438 8592 Please remember to immediately complete and mail in Warranty Registration Card located in back of User Guide within 90 days of purchase The completed Warranty Registration Card will provide you with a limited lifetime warranty refund options assistance with orders for accessories and toll free technical assistance TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page ii Patient Bill of Rights ii This Patient Bill of Rights informs you of your rights prior to receiving services from Timm Medical Technologies Inc Timm Medical Technologies Inc treats the patient in a dignified and respectful manner Timm Medical Technologies Inc respects the patient s right to and need for effective communication Timm Medical Technologies Inc respects the patient s cultural and personal values beliefs and preferences Timm Medical Technologies Inc respects the patient s right to privacy Timm Medical Technologies Inc allows the patient to access request amendment to and obtain information on disclosures of his or her health information in accordance with law and regulation Timm Medical Technologies Inc honors the patient s right to give or withhold informed consent Timm Medical Technologies Inc protects the patient and respects his or her
9. Tension Rings The patented pressure point tension rings are medically engineered for safety performance and comfort You may use the rings individually or in various combinations to keep your erection once you have created it using the System refer to Situation on page 31 You will have four pressure point tension rings packaged with your System one Medium and one Large ring in standard tension beige one Medium and one Large ring in high tension pink See Ring Tension Chart for tension and color details on page 9 NOTE Please note that tension rings are a disposable item and will last 1 6 months or longer depending on use and storage Easy Action Ring Applicator The Easy Action ring applicator is a specially designed tool that lets you easily load the Pressure Point tension ring s onto your ErecAid Esteem System cylinder The Easy Action ring applicator consists of two parts a top part or cap and a bottom part or cone Lubricant Osbon Personal Lubricant plays an important part in the overall function of the System Proper application of our water soluble lubricant to the head of the penis and to the open end of the cylinder helps create a good vacuum seal against the body The lubricant also helps you to load and remove the tension rings You should use only water based Osbon Personal Lubricant Other lubricants may damage the tension rings and other System parts as well as void your limited lifetime
10. WHO WILL FOLLOW THIS NOTICE This notice describes the information privacy practices followed by our employees staff and other office personnel The practices described in this notice will also be followed by health care providers you consult with by telephone when your regular health care provider from our office is not available who provide call coverage for your health care provider YOUR HEALTH INFORMATION This notice applies to the information and records we have about your health health status and the health care and services you receive at this office We are required by law to give you this notice It will tell you about the ways in which we may use and disclose health information about you and describes your rights and our obligations regarding the use and disclosure of that information 40 die TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 41 3 Notice of Privacy Practices continued Notice of Privacy Practices continued HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU For Treatment We may use health information about you to provide you with medical treatment or services We may disclose health information about you to doctors nurses technicians office staff or other personnel who are involved in taking care of you and your health For example your doctor may be treating you for a heart condition and may need to know if you have other health problems that could complicate your treatment The doctor may use
11. an airtight seal against the body make sure the testicles are not drawn into the cylinder 12 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 13 Step 3 Pump slowly to remove the air from the cylinder Begin by pressing the pump handle two times to create the vacuum seal Then wait 5 to 10 seconds between pumps to increase blood flow You should not force the pump handle past its stopping point If the vacuum pressure increases too quickly you may feel discomfort If you have any discomfort stop pumping and press the vacuum release button Then begin pumping again Continue slowly for best results waiting 5 to 10 seconds between pumps You may need to press the vacuum release button several times while creating the erection The number of pumps needed for a firm erection will vary accord ing to the individual Experiment to find out how many times you ll need to pump Step4 13 Usually the penis will lift slightly from the floor of the cylinder when the erection is complete This process may take a few minutes If your erection begins to press uncomfortably against the inside of the insert remove the insert and start over without it NOTE It may take a bit longer than expected for some men to get an erection By repeating the practice sessions you ll be able to get a firmer erection more quickly and be able to use less vacuum How to Keep the Erection Manual Model Wi
12. an erection You will be much more satisfied with results by taking time to complete the practice sessions Practice sessions help you learn your individual comfort level the amount of vacuum you need and the most effective technique for getting a good seal and a firm erection Practice sessions also help you understand what to expect from the System and the sessions can help you become more confident and more satisfied with your sexual experiences Most importantly after a period of sexual inactivity the vessels in the penis need to become accustomed to being filled with blood again After a period of inactivity when the pump has not been utilized practice sessions will again be necessary to recondition penile tissue prior to resuming sexual activity If you will not be having sexual activity on a regular basis you need to continue therapy practice sessions on a regular basis Follow the practice session outlined below you will provide a slow but steady increase of blood through the vessels of the penis giving you a better erection During your initial practice sessions DO NOT use a tension ring s You will only be practicing how to create an erection Later when you become comfortable with creating your erection you will learn how to load and transfer tension rings Proper use of the tension rings lets you keep a full erection suitable for intercourse During practice sessions skip to How to Create an Erection on page 25
13. and Disclosures and Confidential Communications Form Information to Privacy Officer Timm Medical Technologies Inc 6585 City West Parkway Eden Prairie MN 55344 Right to Request Confidential Communications You have the right to request that we communicate with you about medical matters in a certain way or at a certain location For example you can ask that we only contact you at work or by mail To request confidential communications you may complete and submit the Requests For Restricting Uses and Disclosures and Confidential Communications to Privacy Officer We will not ask you the reason for your request We will accommodate all reasonable requests Your request must specify how or where you wish to be contacted Right to a Paper Copy of This Notice You have the right to a paper copy of this notice You may ask us to give you a copy of this notice at any time Even if you have agreed to receive it electronically you are still entitled to a paper copy To obtain such a copy contact Privacy Officer Timm Medical Technologies Inc 6585 City West Parkway Eden Prairie MN 55344 CHANGES TO THIS NOTICE We reserve the right to change this notice and to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future We will post a summary of the current notice in the office with its effective date in the top right hand corner You are entitled to a copy
14. have sexual intercourse When the ring or band is removed the erection quickly goes away Using A Vacuum Therapy Device Please read the following information carefully before using your ErecAid While no serious injury has been reported from proper use of this device it is still important to observe some simple precautions If you have any questions call Timm Medical Technologies Inc s toll free help line at 800 438 8592 A Contraindications External vacuum therapy is a proven safe way to treat Erectile Dysfunction or impotence However some patients should not use the device These include 1 Men with a previous history of spontaneous priapism an erection that lasts more than four hours This may be extremely painful and may cause permanent damage to the penis 2 Men who have sickle cell trait or disease or hypercoagulability excessive blood clotting are more likely susceptible to suffer from priapism 3 Men who have a bleeding disorder or who bruise easily Use of a vacuum device may cause painful bruising of the penis in these men For the general population there is no inherent or significant risk in properly using a vacuum device Misuse of the device or tension rings however may result in painful or permanent injury to the penis Users should therefore read and follow instructions very carefully Caution Talk to your doctor if any complications occur in using this device Stop using the device if complicat
15. local law Research We may use and disclose health information about you for research projects that are subject to a special approval process We will ask you for your permission if the researcher will have access to your name address or other information that reveals who you are or will be involved in your care at the office Organ and Tissue Donation If you are an organ donor we may release health information to organizations that handle organ procurement or organ eye or tissue transplantation or to an organ donation bank as necessary to facilitate such donation and transplantation Military Veterans National Security and Intelligence If you are or were a member of the armed 41 forces or part of the national security or intelligence communities we may be required by military command or other government authorities to release health information about you We may also release information about foreign military personnel to the appropriate foreign military authority Workers Compensation We may release health information about you for workers compensation or similar programs These programs provide benefits for work related injuries or illness Public Health Risks We may disclose health information about you for public health reasons in order to prevent or control disease injury or disability or report births deaths suspected abuse or neglect non accidental physical injuries reactions to medications or problems with products
16. of the notice currently in effect COMPLAINTS If you believe your privacy rights have been violated you may file a complaint with our office or with the Secretary of the Department of Health and Human Services To file a complaint with our office contact Privacy Officer Timm Medical Technologies Inc 6585 City West Parkway Eden Prairie MN 55344 or call toll free 800 438 8592 You will not be penalized for filing a complaint 43 ErecAid Esteem Warranty Registration Card To register please complete fold seal and mail this form within 90 days of purchase or go to www timmmedical com to register on line Indicate Model Manual _ Automatic Battery Print or Type Name Address City State Zip Province Country Postal Code If other than U S Telephone No Date of Birth Place Purchased Date Purchased Email Address Do you wish to receive future information from Timm Medical Technologies Yes No Signature Date Prescribing Physician s Name Medical Specialty Urology L Family Medicine Internal Medicine Other Physician s Address City State Zip Province Country Postal Code If other than U S Telephone No By returning this Warranty Registration Card acknowledge receipt of the ErecAid System and User Guide The User Guide includes the Notice of Privacy Practices disclosure REGISTER WITHIN 90 DAYS OF PURCHASE TO RECEIVE THE FOLL
17. rights during research investigation and clinical trials The patient and his or her family have the right to have complaints reviewed by Timm Medical Technologies Inc Timm Medical Technologies Inc informs the patient about his or her responsibilities related to his or her care treatment or services Included in order forms and systems manuals Timm Medical Technologies Inc informs the patient that they may contact the Joint Commission Office of Quality Monitoring to report any unresolved concerns or complaints related to patient safety and quality of care by either calling 800 994 6610 or email complaints jointcommission org User Guide ErecAid Esteem Manual and Automatic Vacuum Therapy System Contents Page PAG i OLAS 5 Seu acu dace ra Re aero ww aden ee pee ea i Patient Bill of Rights 222r pera ED cress ii Principles of Operation 4 vexevex uses ovre yet er eR 1 Using a Vacuum Therapy Device 000 1 Esteem Manual System COMPONENTS saasina ertet Rte eere Ea xad 5 How to Assembleur ev e RR ete 7 Practice Sessions 0 6 cece cece ee eee 8 How to Load the Tension Ring 9 Easy Action Ring Applicator 10 How to Create an Erection lusus 12 How to Keep the Erection usu 14 Removing the Tension Rings Le 15 Esteem Automatic System Components redes teuer a 17 Bow t Assemble gua ba ES er dolent 19 How to Load the Batteries
18. submit a written request to Privacy Office at Timm Medical Technologies Inc in order to inspect and or copy your health information If you request a copy of the information we may charge a fee for the costs of copying mailing or other associated supplies We may deny your request to inspect and or copy in certain limited circumstances If you are denied access to your health information you may ask that the denial be reviewed If such a review is required by law we will select a licensed health care professional to review your request and our denial The person conducting the review will not be the person who denied your request and we will comply with the outcome of the review 42 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 43 Notice of Privacy Practices continued Right to Amend If you believe health information we have about you is incorrect or incomplete you may ask us to amend the information You have the right to request an amendment as long as the information is kept by this office We may deny your request for an amendment if it is not in writing or does not include a reason to support the request In addition we may deny your request if you ask us to amend information that a We did not create unless the person or entity that created the information is no longer available to make the amendment b Is not part of the health information that we keep You would not be permitted to inspect and copy d Is accu
19. tension ring should now be trans ferred to the cylinder in the correct position If you need to add additional rings to the cylinder slide the first ring 1 4 towards the pump end of the cylinder to allow space for the additional ring s Then choose another ring and repeat steps 2 through 6 Step 8 After you have loaded your tension ring s remove your ring applicator from the cylinder and replace the insert Place the pump handle back on to the cylinder You are now ready to create an erection with your ErecAid Esteem System 24 TIMM EsteemBroch 07 09 Rv3 How to Create an Erection Automatic Model 7 29 09 9 20 PM Page 25 Assemble your System according to the two step procedure on page 19 Step 1 Apply Osbon Personal Lubricant to the following 1 two inches inside the open end of the cylinder 2 the rim of the cylinder which meets the body to form the vacuum seal and 3 the entire head of the penis Applying lubricant properly will help you achieve the best erection possible Tip Trimming the pubic hair around the base of the penis with a pair of scissors may also prove helpful in creating an airtight seal Step 2 It is recommended that you stand for this step the System can also be used when you are sitting or lying down Place the lubricated penis inside the cylinder with the label on the cylinder facing up With one hand hold the cylinder 25 at a downward 45
20. the cylinder in the correct position If you need to add additional rings to the cylinder slide the first ring 1 4 towards the pump end of the cylinder to allow space for the additional ring s Then choose another ring and repeat steps 2 through 6 Step8 After you have loaded your tension ring s remove your ring applicator from the cylinder and replace the insert Place the pump handle back on to the cylinder You are now ready to create an erection with your ErecAid Esteem System How to Create an Erection Manual Model Assemble your System according to the two step procedure on page 7 Step 1 Apply Osbon Personal Lubricant to the following 1 two inches inside the open end of the cylinder 2 the rim of the cylinder which meets the body to form the vacuum seal and 3 the entire head of the penis Applying lubricant properly will help you achieve the best erection possible Tip Trimming the pubic hair around the base of the penis with a pair of scissors may also prove helpful in creating an airtight seal Step 2 It is recommended that you stand for this step the System can also be used when you are sitting or lying down Place the lubricated penis inside the cylinder with the label on the cylinder facing up With one hand hold the cylinder at a downward 45 angle with the open end snugly against the body Tip Rotate cylinder slightly back and forth to make
21. D and One medium standard tension ring beige C Level Seven Maximum Tension 22 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 23 Howto Load the Tension Ring Using the Easy Action Ring Applicator Step 1 Remove the pump and the insert from the cylinder Put a towel on a table or counter top and stand the cylinder on top of the towel with the large end of the cylinder face down The towel will keep the cylinder from slipping Step2 Separate the Easy Action ring applicator by holding the base of the cone in your hand and then pushing the button on the top of the cap Place the base of the ring applicator cone in the small open end of the cylinder Twist the cone so that the white dot on top of the cone lines up with the cylinder groove opposite the cylinder label Step 3 Lubricate the entire cone surface with Osbon Personal Lubricant Step 4 Place the tension ring on the cone making sure to align the U notch on the tension ring with the white dot on the cone 23 Step5 Place the cap back on the cone and tension ring lining up the cross bars of the under side of the cap with the slots on the top of the cone Step6 Then quickly and firmly press straight down on the cap of the ring applicator with one hand while holding the cylinder in an upright position on the towel with your other hand to help stabilize it Step 7 The
22. Health Oversight Activities We may disclose health information to a health oversight agency for audits investigations inspections or licensing purposes These disclosures may be necessary for certain state and federal agencies to monitor the health care system government programs and compliance with civil rights laws Lawsuits and Disputes If you are involved in a lawsuit or a dispute we may disclose health information about you in response to a court or administrative order Subject to all applicable legal requirements we may also disclose health information about you in response to a subpoena Law Enforcement We may release health information if asked to do so by a law enforcement official in response to a court order subpoena warrant summons or similar process subject to all applicable legal requirements Coroners Medical Examiners and Funeral Directors We may release health information to a coroner or medical examiner This may be necessary for example to identify a deceased person or determine the cause of death Information Not Personally Identifiable We may use or disclose health information about you in a way that does not personally identify you or reveal who you are Family and Friends We may disclose health information about you to your family members or friends if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection We may also disclose h
23. OWING BENEFITS Timm Medical Technologies Inc 6585 City West Parkway Eden Prairie MN 55344 USA Toll Free 800 438 8592 Phone 952 947 9410 Fax 952 947 9411 www timmmedical com Limited Lifetime Warranty Refund Options Toll free Technical Assistance REGISTRATION NUMBER h ebeloacosoieici o sciedaceOp cORQa ud 3e0La52000030 9 50000 05a0909 05253622 226 5r dai 9 ca Doc o racc iisclis as illo A cL LORI Se OOo p P IOEe Dno ROSIQe Il po ae ees TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 45 s NO POSTAGE NECESSARY IF MAILED IN THE BUSINESS REPLY MAIL FIRST CLASS PERMIT NO 2586 HOPKINS MN POSTAGE WILL BE PAID BY ADDRESSEE UNITED STATES TIMM MEDICAL TECHNOLOGIES 6585 CITY WEST PKWY EDEN PRAIRIE MN 55344 9831 MH For Further Assistance If you still have questions on the application of your new ErecAid Esteem System after reading this Guide and viewing your video call Timm Medical Technologies Inc s Technical Support available 24 hours a day seven days a week Call toll free 800 438 8592 and ask for Technical Support Services International owners should contact the local ErecAid System distributor When you call Technical Support Services you will have a private conver sation with a trained professional who has earned accredited certification in vacuum therapy training with Er
24. TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 1 OSBON fecAid ESTEEM VACUUM THERAPY SYSTEM All rights reserved This material is protected under the International and Pan American Copyright Conventions It may not be reproduced in whole or in part without written permission m from the publisher Adaptation or any other form of copyright infringement U se r G u d e by any individual firm organization or other entity will not be tolerated by the publisher of this work Copyright 2009 by Timm Medical Technologies Inc Printed in the United States of America Illustrations by W Glass Opa pees Manual Model Gom K Automatic Model gad Timm Medical Technologies Inc 6585 City West Parkway C C 0086 Eden Prairie MN 55344 USA Toll Free 800 438 8592 MediMark Europe Sarl 11 rue Emile Zola BP 2332 md Y EC REP F 38033 Grenoble Cedex 2 France Phone 952 947 9410 a Il ll Fax 952 947 9411 e Caution US federal law restricts this device to sale by or on the order of a physician www timmmedical com medical technologies inc PLO8 0021 Rev B 07 09 Caution Federal USA law restricts this device to sale by or on the order of a physician i TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 3 Indications for Use The ErecAid Esteem Vacuum Therapy System is intended to artificially produce an erection in males suffering from erectile dysfunction impotence in ord
25. ard tension ring beige C 9 How to Load the Tension Ring Using the Easy Action Ring Applicator Step 1 Remove the pump and the insert from the cylinder Put a towel on a table or counte top and stand the cylinder on top of the towel with the large end of the cylinder face down The towel will keep the cylinder from slipping Step2 Separate the Easy Action ring applicator by holding the base of the cone in your hand and then pushing the button on the top of the cap Place the base of the ring applicator cone in the small open end of the cylinder Twist the cone so that the white dot on top of the cone lines up with the cylinder groove opposite the cylinder label Step 3 Lubricate the entire cone surface with Osbon Personal Lubricant Step4 Place the tension ring on the cone making sure to align the U notch on the tension ring with the white dot on the cone r 10 TIMM EsteemBroch 07 09 Rv3 11 7 29 09 9 20 PM Page 11 Step 5 Place the cap back on the cone and tension ring lining up the cross bars of the under side of the cap with the slots on the top of the cone Step 6 Then quickly and firmly press straight down on the cap of the ring applicator with one hand while holding the cylinder in an upright position on the towel with your other hand to help stabilize it Step7 The tension ring should now be trans ferred to
26. e We recommend that you use liquid soap when cleaning your System Rinse thoroughly 4 Let all the parts air dry thoroughly in a ventilated place before storing Be sure to store the System unassembled Glossary of Terms ERECTILE DYSFUNCTION ED the inability to get and keep a penile erection suitable for sexual intercourse ERECTION the bodily process in males which fills and stores blood in the penis making it rigid IMPOTENCE a common name for Erectile Dysfunction PETECHIAE tiny round purplish red spots caused by broken or swollen blood vessels just beneath the surface of the skin PEYRONIE S DISEASE a condition in which the penis curves or bends abnormally due to a build up of scar tissue inside the penis PRIAPISM an erection that lasts more than four hours an abnormally prolonged erection SCROTUM the soft pouch or sac at the base of the penis which contains the testes URETHRAL STRICTURE scar tissue inside the penile urination channel which may cause the channel to narrow blocking the flow of urine and or semen 34 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 35 90 Day Return Policy SPECIAL NOTE This refund policy is affected at the original point of purchase The following return policy is designed to protect and serve your recent purchase of Timm Medical Technologies Inc ErecAid Esteem System PURCHASED DIRECTLY FROM Timm Medical Technologies Inc Timm Medical Technologies Inc provides a
27. e large oval end of the cylinder by pressing them firmly together Be sure to keep the cylinders label face up and in line with the Power Button Now your ErecAid System is fully assembled and you are ready to learn how to use the System Power Button PLEASE NOTE Should you have difficulty attaching the pump to the cylinder using your index finger apply a small amount of lubricant to the outer rim of the pump This will allow the cylinder to connect more easily Too much lubricant could cause it to seep into and damage the motor How to Load the Batteries Automatic Model Step 1 The battery compartment door is located on the back of the pump Remove the door by pressing firmly and sliding it towards the vacuum release button Step 2 Load the batteries to match the diagram inside the compartment The System operates on three 3 AA size batteries Slide the battery compartment door back in place NOTE Be sure to load your new batteries on top of the ribbon found in the compartment By doing this you can pull up on the ribbon to easily lift them out of the compartment when it is time for replacement 20 TIMM EsteemBroch 07 09 Rv3 7 29 09 9 20 PM Page 21 Practice Sessions Automatic Model Practice sessions should be at least 10 15 minutes daily for a minimum of two weeks Before using your ErecAid System for intercourse you must practice creating
28. ealth information to your family or friends if we can infer from the circumstances based on our professional judgment that you would not object For example we may assume you agree to our disclosure of your personal health information to your spouse when you bring your spouse with you into the exam room during treatment or while treatment is discussed OTHER USES AND DISCLOSURES OF HEALTH INFORMATION We will not use or disclose your health information for any purpose other than those identified in the previous sections without your specific written Authorization If you give us Authorization to use or disclose health information about you you may revoke that Authorization in writing at any time If you revoke your Authorization we will no longer use or disclose information about you for the reasons covered by your written Authorization but we cannot take back any uses or disclosures already made with your permission If we have HIV or substance abuse information about you we cannot release that information without a special signed written authorization from you that complies with the law governing HIV or substance abuse records YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU You have the following rights regarding health information we maintain about you Right to Inspect and Copy You have the right to inspect and copy your health information such as medical and billing records that we use to make decisions about your care You must
29. ecAid Esteem System If you have a problem that requires medical attention they will direct you to speak with a physician Limited Lifetime Warranty Timm Medical Technologies Inc protects the major components of your ErecAid Esteem System with a limited lifetime replacement warranty This means that we will repair or replace the cylinder and pump free of charge if they ever fail due to defective workmanship or materials for the lifetime of the product as determined by Timm Medical Technologies Inc The limited lifetime warranty is granted only to the original registered owner of the System and requires return of the damaged or defective component The limited lifetime warranty does not cover accessory items such as tension rings the inserts ring applicator lubricant or carrying case Your System must be registered within 90 days of purchase in order to activate the limited lifetime warranty This limited lifetime warranty is in place of any other warranties expressed or implied 46
30. er the first ring and is closest to the body 7 If you continue to lose firmness during sexual activity after trying all seven tension levels outlined on pages 9 amp 22 call Timm Medical Technologies Inc s Technical Support for assistance 31 Situation Scrotal Tissue Pulled into Cylinder The force of the vacuum pulls body or scrotal tissue into the cylinder Recommendation 1 Remember to pump slowly 2 Try using the optional adapter insert 3 In the beginning do not apply lubricant to the rim area of the cylinder that comes into contact with scrotal tissue However if you find that you need to apply lubricant to the entire rim to get an airtight seal be sure to wipe off any excess lubrication from around the scrotal sac 4 Make sure the underside of the penis is in contact with the floor of the cylinder Reach underneath the cylinder with a dry cloth and gently remove the scrotal tissue from the cylinder If you lose pressure pump a few more times 5 If these steps do not solve the issue an EZ Tension Ring will need to be purchased NOTE Call Timm Medical Technologies Inc s Technical Support for assistance and information about optional EZ Tension Rings at 800 438 8592 Situation Erect Penis has Distortion or Curvature While using your ErecAid Esteem system you discover that the erect penis has a distortion or curvature Recommendation If you notice a distortion bend or curve in your penis when you f
31. er to facilitate sexual intercourse or to create and maintain erections by providing arterial oxygen rich blood flow to the penis during recovery from prostatectomy A vacuum is applied to the penis causing it to become erect and rigid as blood is drawn into the corpora cavernosa A constriction ring is then placed on the base of the penis to restrict venous blood flow out of the penis The device is intended to be used at home or in a doctor s office or clinic Osbon ErecAid Esteem Vacuum Therapy System Timm Medical Technologies Inc 6585 City West Parkway Eden Prairie MN 55344 USA Toll Free 800 438 8592 Phone 952 947 9410 Fax 952 947 9411 email www timmmedical com Device and Component Patent 4 378 008 4 856 498 5 244 455 5 306 277 5 234 402 5 643 290 Other U S and Foreign Patents Pending Packing List ErecAid Esteem Vacuum Therapy System Please immediately check to make sure the following components are included in your box 1 Ea Easy Carrying Case 1Ea DVD ErecAid Esteem Multi lingual Instructions 1 Ea User Guide for Osbon ErecAid Esteem with Warranty Registration Card 1 Ea Component Order Form 1Ea Quick Start Guide 1Ea Inverse Tapered Clear Cylinder with Insert Ea Osbon Personal Lubricant 1 Ea ErecAid Esteem Manual or Automatic Pump Handle Ea Easy Action Ring Loader 1 Ea 750 Pink Medium D High Tension Ring Ea 750 Beige Medium C Standard Tension Ring 1
32. f the tension rings individually but still lose firmness during sexual activity In other words Tension Levels 1 4 described on pages 9 amp 22 have not provided sufficient firmness Recommendation Remove the single tension ring from the penis Follow the steps below to position and transfer no more than two tension rings 1 Begin with one medium and one large standard tension ring Tension Level 5 described on pages 9 amp 22 Continue adjusting ring tension up to Tension Level 7 until sufficient firmness is achieved Once the optimal combination of rings is in place at the base of the erect penis DO NOT adjust them or firmness will be lost 2 Position the ring with the greater amount of tension on the cylinder first Once loaded on the cylinder slide the first ring 3 4 away from the end of the cylinder to allow room for the second ring 3 Position the second ring on the cylinder and recreate the erection 4 Transfer the first ring lowest tension onto the base of your penis this will break the vacuum seal 5 Twist the cylinder slightly to move it over the applied ring and re create the vacuum The first ring will now be inside the cylinder NOTE If you are using the insert remove it completely to reposition the cylinder over the tension ring on the penis 6 Re create the vacuum until the penis again lifts from the floor of the cylinder Transfer the second ring onto the base of the penis so that it leap frogs ov
33. ic can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Esteem Automatic as recommended below according to the maximum output power of the communications equipment output power of m 150 kHz to 80 MHz 155 KHz to 80 MHz 80MHzto800 MHz 800 MHzto 2 5 GHz W d 1 2P d 12P d 23P For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by Rated maximum Separation distance according to frequency of transmitter m fo fa m m 9 T um em P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer absorption and reflection from structures objects and people Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION PLEASE REVIEW IT CAREFULLY If you have any questions about this notice please contact Privacy Officer of our office at Timm Medical Technologies Inc 6585 City West Parkway Eden Prairie MN 55344 toll free 800 438 8592
34. icies NOTE The above Return Policy is subject to change without notice 35 Notes and Cautions bd sx PII DP PD A This symbol means Attention consult accompanying documents This symbol indicates Type BF equipment This symbol indicates that the ErecAid Automatic System should be disposed of properly according to your local laws on regulation CAUTIONS This device is not intended for use in the presence of flammable mixtures This device requires special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the accompanying documents This device may be affected by portable and mobile RF communications equipment This device should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary the Esteem Automatic should be observed to verify normal operation NOTE ON CLASSIFICATION This device is classified as internally powered This device is classified Type BF equipment for protection against electrical shock This device is classified as ordinary equipment without protection against ingress of water This device is classified as suitable for continuous operation NOTE ON DISPOSAL This device contains electronic components and should be disposed of according to local state and national regulations Please contact your local authorities for proper disposal of small electronics devices Rem
35. in which may cause tiny reddish spots petechiae to appear on your penis These are not harmful and should disappear with regular use of the device Bruising may also occur at a deeper level in the penis or scrotum which could result in hemorrhage excessive bleeding and or hematoma blood clot 5 Always use the least amount of vacuum pressure necessary to produce an erection Using too much pressure or increasing the vacuum pressure too quickly may cause discomfort pain or bruising Release vacuum pressure immediately if pain occurs TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 3 3 6 Improper use of the vacuum pump could result in the swelling of the penis and or serious permanent injury to the penis Improper use may also worsen pre existing medical conditions such as Peyronie s disease priapism and urethral strictures 7 Ifyou notice a bend or curve in your penis when you first use your ErecAid talk to your physician 8 If your hands are impaired you should not use this product You must have full use of your hands to safely use the rings and pump If you do not have enough strength in your hands you may not be able to remove the ring Delayed ring removal could damage your penis 9 The vacuum pump may not be safe for men who cannot feel pain in the area around their penis If you have diabetes you may have a reduced ability to feel pain Pain may be a sign that your penis is being bruised 10 Tension rings are no
36. ions continue Caution Do not leave the ring on your penis for more than 30 minutes Do not fall asleep wearing the ring Leaving the ring on too long may damage your penis by keeping blood from flowing into it Caution Allow at least 60 minutes between uses of ErecAid Using the rings too often may cause bruising at the base of the penis where the penis is joined to the body 1 If you have symptoms of Erectile Dysfunction not being able to get or keep an erection that allows you to have sex talk to your doctor before using the ErecAid to prevent a delay in discovering and treating the cause Common causes of Erectile Dysfunction are heart disease diabetes multiple sclerosis cirrhosis of the liver chronic renal failure and alcoholism 2 Ask your doctor about using the ErecAid if you are taking anti coagulant blood thinning medicine if you have a penile implant or if you have Peyronies disease leukemia or other blood disorders where bleeding or clotting may be a problem The effects of the ErecAid system on the components of implanted penile prostheses have not been adequately investigated Therefore if you have a penile prosthesis consult your physician prior to use 3 Do not use the vacuum pump under the influence of drugs or alcohol These substances may reduce your sensitivity to pain or impair your ability to follow directions properly 4 The vacuum pump may bruise the blood vessels just below the surface of the sk
37. irst use your ErecAid system discontinue use and seek your physicians advice Some men who have not been sexually active for some time may have PeyroniesS Disease See Glossary for definition Situation Unable to Release Vacuum You have achieved an erection and the release button does not release pressure Recommendation 1 Press and hold release button 2 Place one finger between the cylinder and body to manually release vacuum 32 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 33 Don t Worry If 33 You feel pressure while applying the vacuum This is not harmful If you feel discomfort however it may be a signal that you are pumping too fast Simply press the vacuum release button wait a moment and begin again Your penis turns slightly dusky or bluish in color after you apply the tension ring s This is a normal response to the increase of blood in the penis The discoloration should disappear when you remove the tension ring s You experience some petechiae very tiny reddish spots beneath the skin or bruising of the penis when you first begin using your System This is a response to placing the penis under vacuum pressure too long too quickly or after a long period of inactivity If this happens discontinue use of the System until discoloration completely disappears about five to seven days You notice a slight drop in the temperature of the penis This coolness is not harmful It is a
38. ld be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol 9 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Esteem Automatic is used exceeds the applicable RF compliance level above the Esteem Automatic should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the Esteem Automatic b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 39 Recommended separation distances between portable and mobile RF communications equipment and the Esteem Automatic The Esteem Automatic is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Esteem Automat
39. ll need to experiment to find the tension ring that s right for you Begin with the largest Ring A and determine if it is comfortable and provides a satisfactory erection If not try the B Ring then and then the C Ring and then the D Ring Always try to keep the erection with the least amount of tension Correct positioning of the tension ring is also necessary to keep the erection Tension rings should be positioned so that the U shaped notch is on the bottom of the penis and the pressure points are at the top of the penis NOTE When using a combination of rings the ring with the greatest amount of tension should be closest to your body See page 31 for instructions on loading and transferring no more than two tension rings COLOR CODED TENSION RINGS BEIGE PINK Standard Tension High Tension Ring tension letter indicator as listed in Ring Tension Chart Pressure Points Loops U Notch Ring Tension Chart Minimum Level One One large standard tension ring beige A Tension Level Two One large high tension ring pink B Level Three One medium standard tension ring beige C Level Four One medium high tension ring pink D Level Five One medium standard tension beige C and One large standard tension ring beige A One medium high tension pink D and One large high tension ring pink B Level Six Level Seven One medium high tension pink D and Maximum Tension One medium stand
40. nment specified below The customer or the user of the Esteem Automatic should assure that it is used in such an environment IMMUNITY test Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic field IEC 61000 4 8 IEC 60601 test level 6 kV contact 8 kV air 2 kV for power supply lines 1 kV for input output lines 1 kV line s to line s 2 kV line s to earth 5 UT gt 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT gt 95 dip in UT for5s Compliance level 6 kV contact 8 kV air Not applicable Not applicable Not applicable NOTE UT is the a c mains voltage prior to application of the test level Electromagnetic environment guidance Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If the user of the Esteem Automatic requires continued o
41. normal response to the reduced blood flow caused by the tension ring It is possible to warm your penis by wrapping a warm washcloth around it for several moments Your erection has a hinge effect The penis may pivot at its base when the ring is in place If this occurs you may find it necessary to guide the penis into the vagina or try different positions with your partner for successful intercourse Your semen does not flow through at point of climax The pressure of the tension ring s sometimes interferes with ejaculation This is not harmful and does not affect climax Instead your semen may flow out when you remove the tension ring s Note Tension rings are NOT a means of contraception Your cylinder develops condensation on the inside This is simply the result of the heat from your body reacting with the lubricant Note This fogging can be reduced by running warm water over your cylinder and then drying it before you use the System System Care After each use carefully clean and store the System as follows 1 Remove the vacuum pump and the insert if used from the cylinder Separate the Easy Action ring applicator into its two parts being sure the cap button remains depressed 2 Wipe the pump with a damp cloth Never wash or immerse the pump in water 3 Wash cylinder insert tension ring s and ring applicator with warm soapy water Never place any ErecAid component in dishwasher or microwav
42. obtain an erection but have not achieved an erection suitable for intercourse Recommendation 1 Liberally lubricate the head of your penis two inches 5 cm inside the open end of the cylinder and the rim of the cylinder as previously described 2 Place the lubricated penis into the cylinder Pump slowly pausing for 5 to 10 seconds between pumps 3 If the penis starts to tingle or feels uncomfortable while pumping push the vacuum release button until that particular feeling goes away Resume pumping until the uncomfortable feeling starts again or until you achieve an erection 4 Release the vacuum allowing the penis to become soft Without removing the cylinder repeat steps two and three Practice this process 10 to 15 minutes daily without the tension ring s see page 8 or page 21 Practice Sessions until you can achieve and maintain an erection within the cylinder Repeat for a minimum of two weeks 30 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 31 Situation Initial Loss of Firmness You lose firmness when you transfer the tension ring s Recommendation Reapply vacuum with ring s still in place Be sure you have adequately lubricated the cylinder Place cylinder over your partially erect penis and tension ring s Hold the cylinder firmly against the body Then slowly pump a few additional times until you achieve sufficient firmness Situation Loss of Firmness During Sexual Activity You have used each o
43. or many of our patients to help us decide what additional services we should offer how we can become more efficient or whether certain new treatments are effective Appointment Reminders We may contact you as a reminder that you have an appointment for treatment or medical care at the office Treatment Alternatives We may tell you about or recommend possible treatment options or alternatives that may be of interest to you Health Related Products and Services We may tell you about health related products or services that may be of interest to you Please notify us if you do not wish to be contacted for appointment reminders or if you do not wish to receive communications about treatment alternatives or health related products and services If you advise us in writing at the address listed at the top of this Notice that you do not wish to receive such communications we will not use or disclose your information for these purposes SPECIAL SITUATIONS We may use or disclose health information about you without your permission for the following purposes subject to all applicable legal requirements and limitations To Avert a Serious Threat to Health or Safety We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person Required By Law We will disclose health information about you when required to do so by federal state or
44. ove batteries and recycle them according to regulations as well Many retail outlets that sell batteries provide for free recycling E NOTE ON TRANSPORT AND STORAGE Ambient temperature range 40 C to 70 C Relative humidity range 10 to 100 including condensation j Atmospheric pressure range 500hPa to 1060 hPa 36 TIMM EsteemBroch 07 09 Rv3 7 29 09 9 20 PM Page 37 Guidance and manufacturer s declaration electromagnetic emissions The Esteem Automatic is intended for use in the electromagnetic environment specified below The customer or the user of the Esteem Automatic should assure that it is used in such an environment cll RF emissions CISPR 11 RF emissions Class A CISPR 11 Harmonic emissions Not applicable IEC 61000 3 2 Voltage fluctuations flicker emissions IEC 61000 3 3 37 Not applicable Electromagnetic environment guidance The Esteem Automatic uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The Esteem Automatic is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Guidance and manufacturer s declaration electromagnetic immunity The Esteem Automatic is intended for use in the electromagnetic enviro
45. peration during power mains interruptions it is recommended that the Esteem Automatic be powered from an uninterruptible power supply or a battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment 38 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 39 Guidance and manufacturer s declaration electromagnetic immunity The Esteem Automatic is intended for use in the electromagnetic environment specified below The customer or the user of the Esteem Automatic should assure that it is used in such an environment IMMUNITY test IEC 60601 Compliance Electromagnetic test level level environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the Esteem Automatic including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms d 1 2VP IEC 61000 4 6 150 kHz to 80 MHz d 1 2VP 80 MHz to 800 MHz d 2 3VP 800 MHz to 2 3 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz shou
46. r Set the cylinder aside during sexual activity The penis will remain erect until you remove the tension ring s Do not leave the tension ring s on your penis longer than 30 minutes 27 28 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 29 Tips for Best Results 1 Be sure the cylinder is firm against your body If you allow air to enter the cylinder the vacuum will not be sufficient to create an erection If getting a good seal is difficult for you use a pair of scissors to trim your pubic hair around the base of the penis so the cylinder can make better contact with your skin Remember to apply lubricant to the rim of the cylinder The lubricant is designed to help create a proper seal 2 Allow your erection to develop slowly Increasing the vacuum too quickly may cause discomfort or temporary bruising 3 If you lose your erection after you transfer the tension ring s you may need to increase the amount of tension Refer to the chart on page 17 to select the best tension for you 4 You may also lose the erection if air enters the cylinder before the tension ring s is in place Be sure you position the tension ring s on the penis before releasing the vacuum Keep the cylinder pressed firmly to your body during transfer of the tension ring s 5 Be sure to remove the tension ring s within 30 minutes Do not fall asleep with the tension ring s in place Remove the tension ring s before urinating
47. rate and complete Right to an Accounting of Disclosures You have the right to request an accounting of disclosures This is a list of the disclosures we made of medical information about you for purposes other than treatment payment and health care operations To obtain this list you must submit your request in writing to Privacy Officer It must state a time period which may not be longer than six years and may not include dates before April 14 2003 Your request should indicate in what form you want the list for example on paper electronically We may charge you for the costs of providing the list We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred Right to Request Restrictions You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment payment or health care operations You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for it like a family member or friend For example you could ask that we not use or disclose information about a surgery you had We are Not Required to Agree to Your Request If we do agree we will comply with your request unless the information is needed to provide you emergency treatment To request restrictions you may complete and submit a Request For Restricting Uses
48. t a means of birth control Do not rely on tension Ere C Aid E steem rings to avoid pregnancy 11 Always use the lowest amount of tension necessary to maintain the Vacuum Therapy System erection Start by using the largest size ring with the lowest tension Add tension if necessary by using the next lowest tension level Do not skip a level when adding tension 12 After a period of inactivity when the pump has not been utilized Manual Model practice sessions will again be necessary to recondition penile tissue prior to resuming sexual activity ea 13 If you will not be having sexual activity on a regular basis you need to continue therapy practice sessions on a regular basis TIMM EsteemBroch 07 09 Rv3 7 29 09 9 20 PM Page 5 Components Manual Model Study the diagram to become familiar with the name and purpose of each part of your new ErecAid Esteem System before you apply the device Pump The manual pump is ergonomically designed to facilitate easy operation to create the proper vacuum Cylinder The oval end of the cylinder is designed so you can easily attach the manual pump The other end of the cylinder fits snugly against your body to help create the vacuum seal Insert The insert may be used to decrease the diameter of the open end of the cylinder if needed You should try using the System with and without the insert to decide which way works best for you Pressure Point
49. t of vacuum you need the best pumping rate for you and the most effective technique for getting a good seal and a firm erection Practice sessions also help you understand what to expect from the System and the sessions can help you become more confident and more satisfied with your sexual experiences Most importantly after a period of sexual inactivity the vessels in the penis need to become accustomed to being filled with blood again After a period of inactivity when the pump has not been utilized practice sessions will again be necessary to recondition penile tissue prior to resuming sexual activity If you will not be having sexual activity on a regular basis you need to continue therapy practice sessions on a regular basis Follow the practice session outlined below you will provide a slow but steady increase of blood through the vessels of the penis giving you a better erection During your initial practice sessions DO NOT use a tension ring s You will only be practicing how to create an erection Later when you become comfortable with creating your erection you will learn how to load and transfer tension rings Proper use of the tension rings lets you keep a full erection suitable for intercourse During practice sessions skip to How to Create an Erection on page 12 and also skip over How to Keep the Erection on page 14 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 9 How to Select the Tension Ring You wi
50. th the tension ring loaded on your cylinder follow the steps you ve learned already to create an erection using the System Remember to use Osbon Personal Lubricant and to place the cylinder over your penis ensuring the U notch is to the bottom of the penis and the loops are to the top NOTE If you are not sure if the ring is positioned correctly remove the ring from the cylinder and repeat the ring loading steps Step 1 Slide the tension ring s from the cylinder to the base of your erect penis one at a time Keep the cylinder snug to the body while sliding off the ring s Many men find it easiest to slide the ring s off by pushing their fingers along the grooves in the cylinder Step2 Press the green vacuum release button and remove the cylinder Set the cylinder aside during sexual activity The penis will remain erect until you remove the tension ring s Do not leave the tension ring s on your penis longer than 30 minutes 14 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 15 Removing the Tension Rings Remove the tension ring s after sexual activity Remember Do not keep the ring s on your penis for longer than 30 minutes Step 1 Apply a small amount of lubricant in front of the ring and on the penis M Step2 Grasp the loops and pull SLIGHTLY outward away from the penis Hold the loops outward for at least 10 seconds or until the penis loses some firmness
51. the practice sessions you ll be able to get a firmer erection more quickly and be able to use less vacuum 26 TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 27 3 How to Keep the Erection Automatic Model Removing the Tension Rings With the tension ring loaded on your cylinder follow the steps you ve Remove the tension ring s after sexual activity Remember learned already to create an erection using the System Remember to Do not keep the ring s on your penis for longer than 30 minutes use Osbon Personal Lubricant and to place the cylinder over your penis ensuring the U notch is to the bottom of the penis and the loops are to the top Step 1 Apply a small amount of lubricant in front of the ring and on the penis NOTE If you are not sure if the ring is positioned correctly remove the ring from the cylinder and repeat the ring loading steps Step 1 Slide the tension ring s from the cylinder to the base of your erect penis one at a time Keep the cylinder snug to the body while sliding off the ring s Many men find it easiest to slide the ring s off by pushing their fingers along the grooves in the cylinder Step2 Grasp the loops and pull SLIGHTLY outward away from the penis Hold for at least 10 seconds or until the penis loses some firmness Step 3 Slowly pull the ring s forward and off Step 2 your penis Press the green vacuum release button and remove the cylinde
52. warranty TIMM EsteemBroch 07 09 Rv3 7 29 09 29 20 PM Page 7 How to Assemble Manual Model Step 1 Start with the insert in the smaller end of the cylinder as packaged The insert narrows the inside of the cylinder and keeps scrotal tissue from being drawn in while you create your erection If your erection presses uncomfortably against the inside of the insert remove the insert and use the cylinder without it Step 2 Attach the oval end of the pump to the large oval end of the cylinder by pressing them firmly together Be sure to keep the cylinders label face up and opposite to the Pump Handle Now your ErecAid Esteem System is fully assembled and you are ready to learn how to use the System Pump Handle PLEASE NOTE If you have difficulty attaching the pump to the cylinder using your index finger apply a small amount of lubricant to the outer rim of the pump This will allow the cylinder to connect more easily Too much lubricant could cause it to seep into and damage the motor Practice Sessions Manual Model Practice sessions should be at least 10 15 minutes daily for a minimum of two weeks Before using your ErecAid System for intercourse you must practice creating an erection You will be much more satisfied with results by taking the time to complete the practice sessions Practice sessions help you learn your individual comfort level the amoun
53. your medical history to decide what treatment is best for you The doctor may also tell another doctor about your condition so that doctor can help determine the most appropriate care for you Different personnel in our office may share information about you and disclose information to people who do not work in our office in order to coordinate your care such as phoning in prescriptions to your pharmacy scheduling lab work and ordering x rays Family members and other health care providers may be part of your medical care outside this office and may require information about you that we have For Payment We may use and disclose health information about you so that the treatment and services you receive at this office may be billed to and payment may be collected from you an insurance company or a third party For example we may need to give your health plan information about a service you received here so your health plan will pay us or reimburse you for the service We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment For Health Care Operations We may use and disclose health information about you in order to run the office and make sure that you and our other patients receive quality care For example we may use your health information to evaluate the performance of our staff in caring for you We may also use health information about all
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