Dual Channel TENS
Contents
1. AccuRelref _ Dual Channel SENS Natural drug free pain relief Target specific pain relief Model ACRL 3000 This manual is valid for the AccuRelief Dual Channel TENS Pain Reliever ACRL 3000 This instruction manual is published by Carex Health Brands Carex Health Brands reserves the right to improve and amend this manual at any time without prior notice Amendments may however be published in new editions of this manual All Rights Reserved Rev V2 0 2014 20140513 Conformity to safety standards Carex Health Brands declares that the device complies with the following normative documents IEC60601 1 IEC60601 1 2 EC60601 2 10 IEC62366 IEC60601 1 11 IS010993 5 1S010993 10 IS010993 1 ISO7010 TABLE OF CONTENTS ECU CTO EPEE ET E AA N T OAN E EN A O AT 4 Important safety precautions and WAMNINGS cccccssseeccceseeccceuseeeceeeeuseceeeeesecesaeueesesauueeessaaneeeeas 5 ROW TENS works Tor Dain TOG freemen enn reece nina rE tee een EE SERENE AEON eee 12 E SELES T EE E E EEE E E E E E E T T 13 PAON E A E A O T sane 14 BS E E E E E E A 16 AA Hale TG I IO ea e ange den NE E AE E N E 16 Easy steps to get started with your therapy with electrode Dads cccccceeessseeeeesseeeeeeeeeeeeeees 17 dither important TUNCTIONS inthis stimulator ce sous sctsaiasceiccncw sentucoauieindel wan e a 24 Fe NN cece ea ene ee tn ees ana ee cotati E eaeee allan loa ee EA A E 20 I UII E E fees tee sn conion EE EE E E E ee2. are intended to keep you safe prevent injury and avoid a situation that could result in damage to O It is important that you read all the warnings and precautions included in this manual because they the device DANGER This stimulator must not be used in combination with the following medical devices SAFETY SYMBOLS USED IN THIS MANUAL A Indicates a potentially hazardous situation which if not avoided could result in death OF Serious Injury Internally transplanted electronic medical devices such as pacemakers which if not avoided could result in Electronic life support equipment such as serious injury and equipment damage respirators Indicates a potentially hazardous situation Electronic medical devices attached to the body N which if not avoided may result in minor such as electrocardiographs or moderate injury to the user or damage Using this stimulator with other electronic medical to the device or other property devices may cause erroneous operation of those devices Indicates a potentially hazardous situation WARNING Consult with your physician before using this device because the device may cause lethal rhythm disturbances in certain susceptible individuals On open wounds or rashes over swollen red infected inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins or on top of or in proximity to cancerous lesions Over areas of skin that lack normal sensatio
3. Replace with lead wires Intensity is too high Decrease intensity Electrodes are too close together Reposition electrodes to be at least 2 inches apart Stimulation is eas EE PEE E EE Replace electrodes with ones have an active uncomfortable area no less than 4 in 2 in x 2 in Is the device being operated according to Please check the manual before use the manual PROBLEM POSSIBLE CAUSES eae SOLUTION Verify connection is secure Insert wires firmly connection is secure Insert wires firmly Turn down the intensity Rotate lead wires in socket 90 Intermittent output Lead wires If still intermittent replace lead wire If still intermittent after replacing lead wire a component may have failed Call the repair department Stimulation is Improper electrode placement Reposition electrode Reposition the electrodes If at any time you feel pain or Using electrodes on the same site every time discomfort stop use immediately The skin becomes Electrodes are not adhered to the skin properly Ensure the electrodes are securely adhered to the skin red and or you feel a cs 5 F p R a stabbing pain ean the electrodes according to description in this The electrodes are dirty manual or replace with new electrodes The surface of the electrode is scratched Replace with new electrodes Turn off the device and place the electrodes on again The electrodes come off the skin or replace with new electrodes Output current st
4. device 3 years Service life of battery with new super heavy duty batteries approx 15 days when used for 30 min day in PO2 program at 13 level intensity HOW TO CONTROL AND REDUCE YOUR PAIN When should the device be used Use as soon as your pain begins Start with one session The unit automatically turns off at 30 minutes If you treat your pain early it may prevent the pain from becoming worse or even chronic It is better to get pain under control sooner so you do not reach such a high pain threshold where it limits your daily activities How to choose the treatment program This device supplies two groups of programs to treat different parts of the body and pain Each treatment part has two treatment programs For instance P6 and PE NECK can be used for treatment of neck pain If your pain does not improve and you become sore from over use after the cycle choose the other program for future treatment Normally we recommend you use PE programs first How long should you use the device Start with one 30 minute session Always turn unit off with pads still adhered to the skin Rate your pain to check your progress 1 low to 25 high Intensity is based upon your level of comfort Begin the first session with a low intensity and a short duration while learning how to operate the device Stop the therapy session if pain has reduced or stopped If your pain does not improve and you become sore from over use refrai
5. lead wires into the TENS unit Hold the lead wire plug and insert it into the socket on the top of the stimulator as shown by the graphic to the right STEP 3 Pad placement Remove the clear plastic film from the pack of the pads Place pads on clean dry and healthy skin near or surrounding the pain at least 2 inches apart and do not let them touch The red lead wire connector denotes the positive electrode and the black lead wire connector denotes the negative electrode For best results before beginning treatment make sure the positive electrodes and negative electrodes are placed exactly as illustrated on pages 18 19 for single channel and pages 20 21 for dual channels or refer to the enclosed Electrode Placement Guide Be sure there is a linear path between the pads Single Channel Electrode Placement The AccuRelief Dual Channel TENS unit features one or two channels for pain relief When using only one channel and one set of electrodes use the following placement guide NECK CERVICAL PAIN Attach both pads on the neck Do not place on the carotid artery or throat SHOULDER PAIN Attach one pad in front and one in back of the muscle CARPAL TUNNEL HAND PAIN Attach both pads on the hand where you feel pain LOWER BACK LUMBAR PAIN Attach both pads on the lower back with the backbone in the center Do not place on the backbone or spine
6. the adhesive surface becomes dirty and or the pads are difficult to attach Wash the pad softly with your fingertips under slow running cold water for several seconds do not use a sponge cloth sharp object like a nail on the adhesive side Do not use detergents chemicals or soap 3 Dry the pads and let the adhesive surface air dry completely do not wipe with a tissue paper or cloth CAUTION The life of pads may vary by the frequency of washing skin condition and storage state If the pad no longer sticks to your skin or the pad is broken you should replace them with new pads AccuRelief Universal Supply Kit ACRL 0001 Before applying the self adhesive electrodes it is recommended to wash and degrease the skin and dry it Do not turn on the device when the electrodes are not positioned on the body Never remove the self adhesive electrodes from the skin while the device is still turned on If replacement electrodes are necessary use only electrodes that are the same size 2 in x 2 in as the electrodes provided with the device Use of electrodes that are larger may reduce the effect of the stimulation Use of electrodes that are much smaller than the electrodes provided with the device may increase the chance of skin irritation or electrode burns occurring under the electrodes Always use electrodes that have been cleared for marketing in the U S by the FDA Storing the electrode pads and lead
7. wires Turn the device off and remove the lead wires from the unit Remove the pad from your body and pull out lead wires from the pads Place the pads on the plastic film and store in the sealed package Wrap the lead wires and store in the sealed package Storing the unit Place the unit electrodes lead wires and manual back into gift box Store the box in a cool dry place 14 F 131 F 10 C 55 C 10 90 relative humidity Do not store in places that can be easily reached by children When not in use for a long period remove the batteries before storage to avoid liquid discharge from batteries DISPOSAL Used fully discharged batteries must be disposed of in a specially labeled collection container at a toxic waste collection point or through an electrical retailer You are under legal obligation to dispose of batteries correctly Please dispose of the device in accordance with local regulations TROUBLESHOOTING If the unit does not operate after taking these measures contact the nearest dealer PROBLEM POSSIBLE CAUSES POSSIBLE SOLUTION The unit cannot Are the batteries exhausted Replace the batteries POWE on Are the batteries installed correctly Insert the batteries observing polarity Electrodes are dried out or dirty Replace with new electrodes Stimulation weak or cannot feel any Electrodes do not stick to skin well Replace with new electrodes stimulation Lead wires are old worn or damaged
8. ELBOW PAIN Attach both pads on either side of the joint with the pain UPPER ARM PAIN Attach both pads on either side of the region where you feel pain WARNING Make sure the device is turned off or the intensities are set to zero 0 levels before placing pads on skin Never remove the self adhesive electrodes from the skin while the device is turned on KNEE JOINT PAIN Attach both pads above the knee or above and below the joint with pain E m _ E CALF PAIN g B Attach both pads on the calf leg where you feel pain Do not place electrode pads simultaneously to the calves of both legs Treat one calf at a time d lt ANKLE FOOT PAIN Attach pads per the illustration on the left for pain on the outside of your ankle foot Attach the pads per the illustration on the right for e pain on the inside of your ankle foot Do not place electrode pads simultaneously to the soles of both feet Treat one at a time Dual Channel Electrode Placement The AccuRelief Dual Channel TENS unit features one or two channels for pain relief When using two channels and two sets of electrodes use the following placement guide NECK CERVICAL PAIN Attach both sets of pads on the neck Do not place on the carotid artery or throat SHOULDER PAIN Attach one set of pads in front and one set in back of the muscle CARPAL TUNNEL HAND PAIN Attach both sets of pads on the hand where you feel p
9. HALL THESE WARRANTIES REQUIRE MORE THAN THE REPAIR OR REPLACEMENT OF ANY PART OR PARTS WHICH ARE FOUND TO BE DEFECTIVE WITHIN THE EFFECTIVE PERIOD OF THESE WARRANTIES NO REFUNDS WILL BE GIVEN IF REPLACEMENT PARTS FOR DEFECTIVE MATERIALS ARE NOT AVAILABLE CAREX HEALTH BRANDS RESERVES THE RIGHT TO MAKE PRODUCT SUBSTITUTIONS IN LIEU OF REPAIR OR REPLACEMENT These warranties do not extend to the purchase of opened used repaired repackaged and or resealed products including but not limited to sale of such products on Internet auction sites and or sales of such products by surplus or bulk resellers Any and all warranties or guarantees shall immediately cease and terminate as to any products or parts thereof which are repaired replaced altered or modified without the prior express or written consent of Carex Health Brands These warranties provide you with specific legal rights You may have additional rights which may vary from state to state Because of individual state regulations some of the above limitations and exclusions may not apply to you For more information regarding our product line in the USA please visit www accurelief com AccuRelief Model Serial Number Date of Purchase Distributor Manufactured for Carex Health Brands Tel 800 328 2935 customerservice carex com a A Copyright 2014 by Carex Health Brands
10. Press the P button to select one of the 6 therapy programs or Press the PE button to select a preset program for the body part you wish to treat Please refer to page 25 for detailed program information We recommend you choose a PE program first to begin with STEP 5a Preset program selection The AccuRelief Dual Channel TENS device offers six 6 PE preset programs that correspond to a selected body part Please refer to page 25 for detailed program information Press the PE button to select the body part you want to treat The A indicator will point to corresponding treatment part as follows HAND NECK SHOULDER RAND 30 PER mo N ai a 0 4 bal MECK J SHO LDER STEP 5b Program selection The AccuRelief Dual Channel TENS device offers six 6 programs P1 P6 for you to select from Different programs suit different parts of the body Please refer to page 25 for detailed program information Press the P button to cycle and select from programs P1 P6 NECK SHOULDER HAND lt ay Ww ey OF mim om i hal e Se oe t 29 R a gt mom it it ie ie Note If you switch programs either P or PE programs during treatment the device automatically resets the intensity to zero 0 and the treatment time to 30 minutes STEP 6 Start treatment and adjust intensity Press A or W button to adjust the output intensity The stimulator will start to work The maximum O
11. SSARY OF SYMBOLS Ht OP gt lt eer aye Electrical devices are recyclable material and should not be disposed of with household waste after their useful life Help us protect the environment and save resources by taking this device to the appropriate collection point Please contact the organization responsible for waste disposal in your area if you have any questions Caution Type BF Applied Part Refer to instruction manual because of the higher levels of output Keep Dry WARRANTY Please contact your dealer or the device center in case of a claim under the warranty If you have to send in the unit enclose a copy of your receipt and clearly state the defect The following warranty terms apply 1 The warranty period for the device is one year from date of purchase In case of a warranty claim the date of purchase has to be proven by means of the sales receipt or invoice 2 Repairs under warranty do not extend the warranty period for the device or for the replacement parts 3 The following is excluded under the warranty All damage due to improper treatment e g nonobservance of the user instruction All damage due to repairs or tampering by the customer or unauthorized third parties Damage during transport from the manufacturer to the consumer or during transport to the service center Accessories which are subject to normal wear and tear 4 Liability for direct or indirect consequen
12. acked with other equipment In case adjacent or stacked use is necessary the medical device should be observed to verify normal operation in the configuration in which it will be used Refer to EMC table guidance regarding the EMC environment in which the device should be used TABLE 1 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC EMISSIONS AccuRelief electrical stimulators are intended for use in the electromagnetic environment specified below The customer or the user of these electrical stimulators should assure that it is used in such environment Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The device uses RF energy only for its internal function Therefore its RF CISPR 11 emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The device is suitable for use in all establishments including domestic ae ee establishments and those directly connected to the public low voltage power oa l supply network that supplies buildings used for domestic purposes Harmonic emissions Not applicable E e Voltage fluctuations Not applicable flicker emissions IEC 61000 3 3 TABLE 2 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY AccuRelief electrical stimulators are intended for use in the electromagnetic environment specified below The customer or the user of these electrical stimulato
13. ain LOWER BACK LUMBAR PAIN Attach both sets of pads on the lower back with the backbone in the center Do not place on the backbone or spine ELBOW PAIN Attach both sets of pads on either side of the joint with the pain UPPER ARM PAIN Attach both sets of pads on either side of the region where you feel pain WARNING Make sure the device is turned off or the intensities are set to zero 0 levels before placing pads on skin Never remove the self adhesive electrodes from the skin while the device is turned on KNEE JOINT PAIN Attach both sets of pads above the knee or above and below the joint with pain m A E CALF PAIN Attach both sets of pads on the calf leg where you feel pain Do not place electrode pads simultaneously to the calves of both legs Treat one calf at a time ANKLE FOOT PAIN Attach pads per the illustration on the left for pain on the outside of your ankle foot Attach the pads per the illustration on the right for pain on the inside of your ankle foot Do not place electrode pads simultaneously to the soles of both feet Treat one at a time STEP 4 Turn on the device Press the button to turn on the device The following screen will appear NECK SHOULDER HAND Peo J at bf ee m w bal al STEP 5 Choose your treatment program This device is equipped with two groups of programs P amp PE to treat different body parts and pain
14. cable to the frequency of the transmitter Recommended separation distance Conducted RF Not applicable d 1 2vpP IEC 61000 4 6 d 1 2 VP 80 MHz to 800 MHz d 2 3 VP 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in Radiated RF 3 V m watts w according to the transmitter manufacturer and d is the IEC 61000 4 3 80 MHz to 2 5 GHz recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol NOTE At 80 MHz ends 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 device is used exceeds the applicable RF compliance level above should be observed to verify normal operation If abnormal performance is
15. ds are already pre gelled and will adhere to your skin To avoid damage to the adhesive surface of the pads put the pads only on the skin or on the plastic film provided Place pads at least 2 inches apart on your skin The pads should never touch each other Always place clean pads in accordance with the illustrations provided Refer to pages 18 and 19 for electrode placement Pads should not touch each other when placed onto your skin Do not place on your spine or backbone Pad should not touch any metal object such as a belt buckle necklace or other jewelry made from metal Pads should not be placed simultaneously on the soles of both feet Pads should not be placed simultaneously on the calves of both legs Do not share pads with another person This may cause a skin irritation or infection Pads are intended for use by one person Do not place or relocate the pads while the device is on Always turn the power off before removing or changing the pad location Do not leave pads attached to the skin after treatment CAUTION WHILE USING THE TENS UNIT If the TENS unit is not functioning properly or you feel discomfort immediately stop using the device Do not use for any other purpose except as described in this manual Do not insert the electrode plug into any place other than the jack on the main TENS unit Do not mix alkaline and manganese batteries as this will shorten the battery life Do n
16. e 26 How to control and reduce your DSI dooce cen cisecciiyn eatexceviessenesduwpienndngundmdienghencandaenosmedamennaneenmanedaesics 26 Gleanng and tore eee tn net een ete ere ree at er te ee tern ee ee 30 PS OS al EEE AAE AEN TEA E E A E E A E O 32 E T e E E E SS Important information regarding electromagnetic compatibility EMC ccccccesececeeeeseeeeeeeees 35 Eor pART meee er NE ee ner erg renner A nce re err anne ee eee 42 E eM E eyesore noes E me eave otis AE E ON E eats some 42 INTRODUCTION Thank you for purchasing the AccuRelief Dual Channel TENS unit Model ACRL 3000 for your pain relief solution In order to use the stimulator safely read the complete manual carefully before using the device for the first time Keep this instruction manual in a convenient place or store with the device for future reference The AccuRelief Dual Channel TENS unit is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder waist back neck upper extremities arm and lower extremities leg due to strain from exercise or normal household work activities It should be applied to normal healthy clean and dry skin of adult patients Standard Parts The package contains the following components No DescRIPTION avann A Dual Channel TENS 1PC Stimulator ACRL 3000 Electrode pad 4PCS 2 in x 2 in To fistucton mana ao IMPORTANT SAFETY PRECAUTIONS AND WARNINGS
17. e Intensity of Channel 1 fa al l _ Val al Wa intensity of Channel 2 BOK ONTS TES Intensity lock indicator INSERTING BATTERIES Remove the battery cover on the back of the device as shown by the graphic to the right Insert 3xAAA batteries Make sure the positive and negative signs correspond with the markings in the device when inserting batteries Reinstall the battery cover as shown by the graphic to the right Notes Please use 3xAAA batteries in this TENS unit Remove the batteries if the device is not in use for long periods of time Do not mix old and new batteries or different types of batteries Remove exhausted batteries from the unit Warning If batteries leak and come into contact with the skin or eyes wash immediately with large amounts of water Batteries must be handled by an adult Keep batteries out of the reach of children Dispose the used batteries safely according to local regulations ATTACHING THE BELT CLIP To attach the belt clip to the device simply slide the clip up into the two connecting points until you hear a click To remove the belt clip from the device simply slide the belt clip down EASY STEPS TO START YOUR THERAPY WITH ELECTRODE PADS STEP 1 Attach pads to the lead wires Take the pads out of the sealed package Insert the lead wire pin into the electrode connector Make sure there are no bare metal pins exposed STEP 2 Insert
18. eness is highly dependent upon patient selection by a practitioner qualified in the management of pain patients You may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium gel on the electrodes If you have suspected or diagnosed heart disease you should follow precautions recommended by your physician If you have suspected or diagnosed epilepsy you should follow precautions recommended by your physician Use caution if you have a tendency to bleed internally such as following an injury or fracture Consult with your physician prior to using the device after a recent surgical procedure because stimulation may disrupt the healing process This stimulation should not be applied over the menstruating or pregnant uterus This stimulation should not be applied over areas of skin that lack normal sensation h Keep unit away from young children The unit contains small pieces that may be swallowed Contact your physician immediately if ingested For best results use this device with the AccuRelief brand electrodes and lead wires Keep unit out of the reach of young children The electrode cord can cause strangulation POSSIBLE ADVERSE REACTIONS Do not use device to treat one region for extended periods of time more than 30 minutes a session up to 3 times day or muscles in that region may become exhausted and sore You may experience skin irritatio
19. ery Mode ACRL 3000 TENS CELL amp AccuReliefF Dual Channel TEN Instruction manual NECK SHOULDER HAND 2in x2in Dual Channel electrode pads LER Quick start guide Electrode placement guide KNOW YOUR DEVICE Features Two output channels TENS stimulator allowing for the option of two or four electrodes The lead wires insert into Channel 1 and Channel 2 and each wire connects to two electrodes The intensity of each pair of electrodes can be adjusted independently and it is not necessary to have both channels running you can use just one wire with two electrodes ACRL 3000 offer six 6 programs P1 P6 for you to choose from plus an additional six 6 PE preset programs that are suitable for different parts of the body and pain 25 intensity levels of therapy one 1 low intensity to 25 high intensity Front and rear panel LCD Power on button Increasing intensity Belt clip button of channel 1 Increasing intensity T button of channel 2 Decreasing intensity button of channel 1 Decreasing intensity button of channel 2 Treatment program Battery cover Output socket select button Treatment body part select button LCD Display Treatment Body part time indicator treatment indicator cmoun IER AND Treatment program gt mn Or O Treatment time indicator m k ne oe Electrode pad indicator T C4 Low battery indicator Do i A Pw i
20. how the pain develops Muscular pain in the thoracic back region 4 weeks 2x day with a 10 minute break between the 2 sessions Muscular pain in the low back region 4 weeks 2x day with a 10 minute break between the 2 sessions Elbow pain 1 weeks 2x day then adapt according to how the pain develops Localized contracture in 1 week 1x day external side of the calf Program Remark You are advised to consult your doctor if no improvement is observed after the first week of use According to requirements the program can be repeated a number of times during the same day You are advised to consult your doctor if no improvement is observed after the first week of use You are advised to consult your doctor if no improvement is observed after the first week of use According to requirements the program can be repeated a number of times during the same day Consult your doctor if no improvement is observed after the first week of use CLEANING AND STORAGE Cleaning the unit 1 Turn unit off and disconnect the lead wires from the unit 2 Clean the device after use with a soft slightly moistened cloth Wipe gently Do not use chemicals like thinner benzene Do not let water get into the internal area Note This device and accessories do not require sterilization Cleaning the electrode pads 1 Turn the power off and remove the lead wires from the pads 2 Wash the pads when
21. n On the opposite sides of your head since the DO NOT USE THIS DEVICE UNDER effects of stimulation of the brain are unknown THESE CONDITIONS If you have a cardiac pacemaker active DO NOT USE ON THESE INDIVIDUALS implanted defibrillator or other implanted metallic or electronic device Such use could cause electric shock burns electrical interference or death Together with a life supporting medical electronic device such as an artificial heart lung or respirator In the presence of electronic monitoring equipment e g cardiac monitors ECG alarms which may not operate properly when the electrical stimulation device is in use Pregnant women because the safety of electrical stimulation during pregnancy has not been established Children or infants because the device has not been evaluated for pediatric use Persons incapable of expressing their thoughts or intentions DO NOT USE THIS DEVICE DURING THESE ACTIVITIES Bathing or showering Sleeping Driving operating machinery or any activity in which electrical stimulation can put you at risk for injury PAIN MANAGEMENT WARNINGS If you have had medical or physical treatment for your pain consult with your physician before using this device If your pain does not improve becomes seriously chronic or severe or continues for more than five days stop using the device and consult with your physician The mere existence of pain functions as a
22. n and burns beneath the stimulation electrodes applied to your skin You should stop using the device and consult with your physician if you experience adverse reactions from using the device HOW TENS WORKS FOR PAIN RELIEF What is it The Dual Channel TENS ACRL 3000 is a two output channel TENS machine and is highly effective in relieving pain TENS is now regularly recommended by doctors physiotherapists and pharmacists throughout the world Transcutaneous Electrical Nerve Stimulation TENS is a noninvasive drug free method of controlling pain TENS uses tiny electrical impulses sent through the skin to the nerves to modify pain perception TENS does not cure any physiological problem It only helps control the pain TENS does not work for everyone However in most patients it is effective in reducing or eliminating the pain allowing for a return to normal activity How TENS works Scientific theory suggests that electrical stimulation therapy may work in several ways The gentle electrical pulses move through the skin to nearby nerves to block the pain message from the source of pain from ever reaching the brain The gentle electrical pulses increase the production of endorphins the body s natural pain killer PACKAGE CONTENTS Lead wires and Accu j AccuRelief Dual Channel AAA batteries Natural drug free pain relief Target specific pain roliet AAA batt
23. n from treating those areas for two 2 days If this issue reoccurs reduce the treatment time and intensity settings for future treatment Recommended treatment session as following Max times day 1 session MERESSA 30 minute 3 sessions per When to stop using device 1 If you experience an adverse reaction skin irritation redness burns headache or other painful sensation or if you feel any unusual discomfort 2 If your pain does not improve becomes seriously chronic and severe or continues for more than five 5 days NOTE If you feel pain dizziness discomfort or nausea call your physician or medical practitioner What type of pain is TENS best for This therapy works best on acute pain because it is localized Acute pain occurs in one area for less than three 3 months If you have chronic pain you may have pain in more than one area and for longer than six 6 months Chronic pain may be compounded by other issues that this device cannot address Remember this device does not cure your pain or the original cause of the pain It provides temporary relief or reduction of pain so that you can control your life and activities better Specific applications Practical recommendations Specific applications Cycle duration Muscular pain in the back 4 weeks 2x day with a of the neck 10 minute break between the 2 sessions Neuralgia of upper limb 1 week 1x day minimum then adapt according to
24. n the waiting state the device will turn off automatically OTHER IMPORTANT FUNCTIONS IN THIS STIMULATOR Safety Lock Feature The lock function automatically activates after there is NO operation in the panel for 30 seconds and will be indicated by the mO display on the LCD This is a Safety feature to prevent accidental changes to your settings and to prevent accidental increase to the output intensity level Press W button to unlock Low battery indicator When the low power indicator i flashes on LCD you should replace the batteries as soon as possible The device will continue to operate for several more hours PROGRAM LIST Program P P2 P3 P4 P5 PE NECK PE SHOULDER PE HAND PE BACK PE JOINTS PE LEG Alternate Ramped Burst ARB Simple Modulated Pulse SMP Simple Modulated Pulse SMP Modulated Amplitude MA Alternate Ramped Burst ARB Modulated Amplitude MA Treatment duration 30 min 30 min 30 min 30 min 30 min 30 min 30 min 30 min 30 min 30 min 30 min 30 min SPECIFICATIONS Power sources 4 5V DC 3xAAA batteries Frequency 2HzZ 150Hz Pulse width 50us 330us Output voltage 0 90MmA Output intensity level O 25 levels Treatment time about 30 minutes Operating Conditions 41 F 104 F 6 C 40 C 30 RH 75 RH Storage and Transportation Conditions 14 F 131 F 10 C 55 C 10 RH 90 RH Size 117mm x 60mm x 34mm Weight about 75 5g without batteries Service life of the
25. observed additional measures may be necessary Such as reorienting or relocating the device b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m TABLE 6 This TENS device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the TENS device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and as recommended below according to the maximum output power of the communications equipment Output power of Separation distance according to frequency of transmitter in meters transmitter in watts 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2V d 1 2 VP d 2 3 VP 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 P is the maximum output power rating of the transmitter in watts w according to the transmitter manufacturer NOTE 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 absorption and reflection from structures objects and people Note EMC tests conducted including attached electrode cord of 1 2 m length GLO
26. ops during therapy The lead wire is disconnected Turn off the device and connect the lead wires The batteries power has been exhausted Replace with new batteries IMPORTANT INFORMATION REGARDING ELECTROMAGNETIC COMPATIBILITY EMC With the increased number of electronic devices such as computers and mobile cellular telephones medical devices in use may be susceptible to electromagnetic interference from other devices Electromagnetic interference may result in incorrect operation of the medical device and create a potentially unsafe situation Medical devices should also not interfere with other devices In order to regulate the requirements for EMC Electro Magnetic Compatibility with the aim to prevent unsafe product situations the IEC60601 1 2 standard has been implemented This standard defines the levels of immunity to electromagnetic interferences as well as maximum levels of electromagnetic emissions for medical devices Medical devices manufactured by Carex Health Brands conform to this IEC60601 1 2 2007 standard for both immunity and emissions Nevertheless special precautions need to be observed The use of accessories and cables other than those specified by Carex Health Brands with the exception of cables sold by Carex Health Brands as replacement parts for internal components may result in increased emission or decreased immunity of the device The medical devices should not be used adjacent to or st
27. ot pull on the electrode cord during treatment Do not use the TENS device while wearing electronic devices such as watches as this may damage the device Do not use near a cell phone as this may cause the TENS unit to malfunction Do not bend or pull the end of the cord When removing the cord from the device hold the plug and pull Replace the cord when broken or damaged The size shape and type of pads may affect the safety and effectiveness of electrical stimulation The electrical performance characteristics of the pads may affect the safety and effectiveness of electrical stimulation Using pads that are too small or incorrectly applied could result in discomfort or skin burns Do not throw the batteries into a fire The batteries may explode Dispose of the device batteries and components according to applicable legal regulations Unlawful disposal may cause environmental pollution GENERAL PRECAUTIONS The long term effects of electrical stimulation are unknown Apply stimulation to only normal intact clean dry and healthy skin TENS is not effective in treating the original source or cause of the pain including headache TENS is not a substitute for pain medications and other pain management therapies TENS devices do not cure disease or injuries TENS is a symptomatic treatment and as such suppresses the sensation of pain that would otherwise serve as a protective mechanism Effectiv
28. over damage caused by misuse or abuse accident the attachment of any unauthorized accessory alteration to the product improper installation unauthorized repairs or modifications improper use of electrical oower supply loss of power dropped product malfunction or damage of an operating part from failure to provide manufacturer s recommended maintenance and storage transportation damage theft neglect vandalism or environmental conditions loss of use during the period the product is at a repair facility or otherwise awaiting parts or repair replacement batteries or any other conditions whatsoever that are beyond the control of Carex Health Brands These warranties are effective only if the product is purchased and operated in the country in which the product is purchased A product that requires modifications or adoption to enable it to operate in any other country than the country for which it was designed manufactured approved and or authorized or repair of products damaged by these modifications is not covered under this warranty THESE WARRANTIES PROVIDED HEREIN SHALL BE THE SOLE AND EXCLUSIVE WARRANTIES THERE SHALL BE NO OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS OR ANY OTHER OBLIGATION ON THE PART OF THE COMPANY WITH RESPECT TO PRODUCTS COVERED BY THESE WARRANTIES CAREX HEALTH BRANDS SHALL HAVE NO LIABILITY FOR ANY INCIDENTAL CONSEQUENTIAL OR SPECIAL DAMAGES IN NO EVENT S
29. rs should assure that it is used in such environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile If discharge ESD 8 kV air 8 kV air floors are covered with synthetic material the relative IEC 61000 4 2 humidity should be at least 30 Electrical fast Not applicable Not applicable Not applicable transient burst IEC 61000 4 4 Surge Not applicable Not applicable Not applicable IEC 61000 4 5 Voltage dips short Not applicable Not applicable Not applicable interruptions and voltage variations on power supply IEC 61000 4 11 Power frequency Power frequency magnetic fields should be at 50 60Hz magnetic field levels characteristic of a typical location in a typical IEC 61000 4 8 commercial or hospital environment TABLE 4 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY AccuRelief electrical stimulators are intended for use in the electromagnetic environment specified below The customer or the user of these electrical stimulators should assure that it is used in such environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Portable and mobile RF Communications equipment should be used no closer to any part of the device including cables than the recommended separation distance calculated from the equation appli
30. tial losses caused by the unit is excluded even if the damage to the unit is accepted as a warranty claim LIMITED ONE YEAR WARRANTY Your AccuRelief device is warranted for a period of 1 year from the date of original purchase Electrodes and lead wires are excluded from this warranty Carex Health Brands sells its products with the intent that they are free of defects in manufacture and workmanship if used in accordance with the instructions provided We will at our option repair or replace without charge any device covered by the above warranties These warranties extend only to Consumers and do not extend to Retailers To obtain warranty service on your AccuRelief product contact Customer Service by calling at 1 800 328 2935 for the repair center address and for the return shipping handling fee Enclose a letter with your name address phone number model number serial number date of purchase location of purchase and description of specific problem Be sure to include your receipt as Proof of Purchase Pack the product carefully to prevent damage in transit Because of possible loss in transit we recommend insuring the product with return receipt requested Carex Health Brands does not authorize anyone including but not limited to Retailers the subsequent consumer purchaser of the product from a Retailer or remote purchasers to obligate Carex Health Brands in any way beyond the terms set forth herein These warranties do not c
31. utput intensity level is 25 ome DoI oO O alal oO O alal t AO mi p A Or pa v4 v4 Val al Gack CNTs CES Setting the intensity Intensity is based upon your level of comfort Begin the first session with a low intensity and a short duration while learning how to operate the device Therefore caution should be used when working with maximum intensities i e always at the limit of what you can support Do not exceed your comfort level CAUTION If the electrodes are not placed firmly on skin or the device is not connected with the electrodes and the output intensity level is over 5 the intensity will stop automatically If the stimulation levels are uncomfortable or become uncomfortable reduce the stimulation intensity to a comfortable level and contact your medical practitioner if problems persist If your pain does not improve and you become sore from over use refrain from treating those areas for two 2 days If this issue reoccurs reduce the treatment time and intensity settings for future treatment If you feel pain dizziness discomfort or nausea call your physician or medical practitioner Caution should be used when working with maximum intensities i e always at the limit of what you can support Do not exceed your comfort level STEP 7 Turn off the device Press the button and hold for five 5 seconds to turn off the device If there is no operation in the panel for two 2 minutes i
32. very important warning telling us that something is wrong Therefore if you suffer from any serious illness consult your physician in order to confirm that it is advisable for you to use this TENS unit WARNINGS AND PRECAUTIONS REGARDING THE PADS Apply pads to normal healthy clean dry skin of adult patients because it may otherwise disrupt the healing process If you experience any skin irritation or redness after a session do not continue stimulation on that area of the skin NEVER APPLY THE PADS TO The head or any area of the face Any area of the throat because this can cause severe muscle spasms resulting in closure of the airway difficulty breathing or adverse effects on heart rhythm or blood pressure Both sides of the thorax simultaneously lateral or front and back or across your chest because the introduction of electrical current may cause rhythm disturbances which could be lethal AN CAUTION WARNINGS AND PRECAUTIONS REGARDING THE PADS Do not bend or fold because the pad may Make sure the components are connected well and the pads are fixed on the part of the body you wish to treat or the therapy may not be effective DO NOT USE YOUR PADS THIS WAY not function properly Place the pads onto the plastic film and then store in the sealed package when not in use Do not apply ointment or any solvent to the pads or to your skin because it will keep the pads from functioning properly The pa
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