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1. STEP 1 BATTERIES Remove the battery cover and insert two batteries as shown on the diagram inside the battery compartment Replace the battery cover Note Your unit will not function if the batteries are inserted incorrectly To check press the D button once and the LCD display will start up Having made this check press the T button again to switch the unit off CAUTION There is a risk of explosion if the batteries are fitted incorrectly Replace with AA Alkaline 1 5 volt batteries LR6 Do not mix old and new SPECIFICATION Model Channel Output Pulse Width Pulse Rate Waveform Mode TENS AA Dual Maximum 150Ma peak value cross 5000 load From 50uS to 250uS adjustable From 1Hz to 150 Hz adjustable Symmetrical Bi phasic rectangular Monophasic rectangular 5 Modes are available Mode A Constant Mode B Burst Two train per second 250ms on 250ms off 25 pulses within one train pulse width 200uS Mode C Burst II Two train per second 250ms on 250ms off Pulse width and Pulse rate are selectable Mode D Modul Pulse width modulation Pulse width modulated from 100uS to 250uS within 6 seconds and then back to 17 4 3 6 8 T 42 40 Ti LED light 8 Pulse wicth up Ch1 light Pulse Rate Down 3 Ch light fo Timerfor Treatment Intensity Up or down Chi Continuous a 15 30 45 60 90 min 5 Intensity Up or down Ch i Seler2. acute or post operative pain HOW DOES T E NS WORK T E NS is believed to work by stimulating your body s own natural defenses against pain The unit produces a gentle stimulus through pads normally placed over the area of pain This stimulus helps the body to produce natural pain relievers called endorphins The correct positioning of the pads is important Some people feel immediate benefit from T E N S However some may only achieve benefit after repeated treatment sessions and over an extended period of time INSTRUCTIONS FOR USE Your T E N S Pain Relief unit has been designed to be simple and easy to use 5 Two knobs on top of the unit adjust the intensity by turning in clockwise or counter clockwise 6 By pressing PR key and PW key simultmeously the waveform can be changed in two types 7 By pressing timer key for 2 seconds the unit will be locked or unlocked in toggle While the unit is locked all parameters can not be adjusted except timer and intensity By pressing ON OFF key can not change the status of locked unlocked 8 When the batteries are low the symbol of battery is flashing in 2Hz indicating that the batteries should be replaced 9 Automatic shut off When the unit intensity levels are 0 on both channels and it has not been in use for 5 minutes the unit will be shut off automatically Detail information regarding to the Waveform Pulse duration Pulse frequency Output vo
3. pain If this occurs stop treatment in this waveform in immediately Press this key to select mode total 5 modes are available Constant Burst Burst II Modul I Modul Il Press this key to set the treatment time These two knobs adjust the intensity of channels left side is for the Ch1 right side is for Ch2 Turn the knob and the intensity over zero the corresponding LED light located at the top of the knob will light up Turn in clockwise increase the intensity 000 p 14 STEP 4 PLACEMENT OF PADS Ensure wherever you intend to place the pads that the skin is clean and thoroughly dry remove the pads from the clean plastic shield and position on your body as required STEP 5 READING Read section on Operation of the T E N S Uint and decide how to use the T E N S uint for the treatment NOTE AFTER USE Always ensure that the unit is switched OFF before removing the pads After use return the pads to the clear plastic shields There is no need to separate the pads unit from the leads and pads Life of the pads When the pads initially lose their adhesive quality it is possible to reactivate their adhesiveness by applying fine spray of water Replace the pads when they lose their adhesive quality in order not to affect the efficiency of the unit OPERATION THE T E N S UNIT TENS AA is easy to operate by pressing the key as following diagram WHAT DOES EACH KEY DO D T
4. F Model TENS AA i Instruction Guide a i WON User Manual for TENS AA PRESCRIBING INFORMATION rorenore Read this User Manual carefully before you start using your TENS AA The manufacturer strongly recommends carefully reading of the Warnings and Cautions and Chapters of this User Manual Federal law restricts this device to sale or use by or on the order of a practitioner so licensed by the state Contraindications 1 Do not place the pads on the carotid sinuses located at the two sides of the neck where a doctor feels for a pulse or over the eyes 2 Do not use this T E N S unit if you have a heart pacemaker or serious heart rhythm problem 3 Any electrode placement that causes current to flow transcerbrally through the head 1 The use of T E N S whenever pain syndromes are undiagnosed until etiology is established WARNINGS WARNINGS Do not use any pad which size is less than 40mm X 40mm Do not use this T E N S unit during the Allergic reactions to the self adhesive pads can pregnancy or at anytime on the abdomen occur even though they are hypoallergenic during pregnancy This T E N S unit is not effective for pain of Do not apply to broken skin central origin Include headache Do not apply pads to skin that do not have T E N S unit should be used only under the normal sensation If the skin is numb continued supervision of a physician stimulation will not be f
5. d cases of skin irritation may occur at the site of electrode placement following long term application 2 Effectiveness is highly dependent upon patient selection by a person qualified in the management of pain patients ADVERSE REACTIONS Skin irritation and electrode burns are potential adverse reactions GENERAL WARNINGS 1 Do not immerse T E N S units in water 2 Do not place the T E N S unit close to excessive heat 3 Do not use any pad which size is less than 40mm X 40mm 4 Use only the specified batteries 2x 1 5volt AA Alkaline LR6 The use of any other battery could damage the unit 5 Remove batteries if unit is not used for a long period of time 6 Do not use the unit while asleep 7 Keep the unit away from sources of high magnetic fields such as TV S microwave ovens and hi fi speakers as these may affect the LCD screen 8 Temperature amp R H of storage 20 80 8 80 R H 9 Temperature amp R H of transportation 20 80 8 80 R H 1 2 3 4 5 10 12 14 16 18 20 25 30 35 40 50 60 70 80 90 100 110 120 130 140 150 D Output voltage range The output voltage of two channels can be adjusted individually in 20 steps For 5000 load the output The peak pulse output current of two channels can be adjusted individually in 20 steps For 5000 load the output voltage can be change from 12mA to 150 mA in steps of 7 mA roughly E Peak pulse output current The peak pu
6. elt and too great an T E N S unit has no curative value intensity might then be used accidentally T E N S is a symptomatic treatment and as such suppresses the sensation of pain which would otherwise serve as a protective mechanism The user must keep the device out of the reach of children Electronic monitoring equipment may not operate properly when T E N S stimulation is in use Do not use T E N S unit if you are driving or operating machinery If you have epilepsy consult your doctor 23 2 Where applicable place the black adapter closer to the spinal column e g if the arm is to be treated place the black adaptor higher up the arm the red adaptor GENERAL INFORMATION Statement This T E N S Unit has been tested for EMC requirement according to EN60601 1 2 PADS The pads that are supplied with your T E N S Pain Relief Unit are self adhesive and can be used several times Skin must be allowed to breathe so the pads should be removed periodically periodically When not in use the pads should be placed onto the clear plastic shield The condition of the pads does affect the conductivity and therefore the performance of the unit When the pads initially lose their adhesive quality it is possible to reactivate their adhesiveness by applying a fine spray of water Once the pads have finally lost their adhesive quality new pads should be purchased 22 before using T E N S PRECAUTIONS 1 Isolate
7. his key switches the unit on and off Press once the unit is on the LED light green color and the LCD display located at the front of the unit will light up there will be no feeling from either lead at this point as the intensity always starts at zero Press this key again the unit will switch off 13
8. lse output current of two channels can be adjusted individually in 20 steps For 500 ohm load the output voltage can be change from 12mA to 150mA in steps of 7mA roughly RED amp BLACK FASTENERS ON LEADS At the end of the leads supplied with your unit you will find red and black adapters these are Cathode and Anode respectively The following general points are made for your information 1 More sensation tends to come from the black adapter Cathode 21 Amplitude Time 2 Mono Phasic waveform Amplitude Time B Pulse duration Except Mode B Mode D Mode E which pulse duration can not be adjusted by pressing PW or PW key the pulse width can be adjusted from 50uS to 250uS in step of 10uS C Pulse frequency Except M Mode B and Mode E with a pulse rate by pressing PR or PR key the pulse width can be adjusted to one of the following values Hz 20 CONTENTS Prescribing Information COMMIS i leali Operating Instruction for Physician Instruction For Use ee How to Assemble Your Unit Ater OSG sera een Operation of the T E N S Unit Specification A A Detail Information OPERATING INSTRUCTIONS FOR PHYSICIAN INTENDED USE T E N S Stands for Transcutaneous Electrical Nerve Stimulation This T E N S system is used to provide symptomatic pain relief for chronic
9. ltage range and Peak pulse output current A Waveform There are 2 types of waveforms 1 Symmetrical Bi Phasic rectangular waveform 19 100uS in the next 6 seconds Pulse rate is selectable Mode E Modul II Pulse rate and Pulse width Modulation Frequency increase from 50Hz to 100Hz while pulse width decrease from 200uS to 60uS within 5 seconds Treatment timer Continuous 15min 30min 45min 60min 90min selectable FEATUERS When mode changes the intensity will automatically go down to zero When the unit is turned on it will automatically enter the mode that the unit had worked in before the unit was turned off When the treatment timer is set it will begin to count down one minute by one minute Once it count down to Zero the unit will automatically shut off When the pulse rate pulse width or intensity is being adjusted the auto repeat function is available when the key is held down over 1 seconds it will automatically increased decreased 1 step per 1 4 seconds CONTENT INTHE PACK Your TENS pack should contain the following e 1 x T E N S Unit e 2 x Leads e 4 x Self Adhesive Pads with Connectors size 40mm X 40mm e 2 x Alkaline AA1 54V LR6 Batteries e 1 x Instruction Booklet which you are reading Having checked all the contents are correct please proceed to assemble the unit HOWTOASSEMBLE YOUR UNT Assembly of the TENS AA unit is very simple and requires only five steps
10. table 8 Pulse Rate Up A Pulse Width Down 7 Mode Select Switch 2 On off He Gr Waveform Burst Il Modul Modul ll Please read the following detail specification carefully before using the T E N S Unit 16 batteries Do not dispose of the batteries in a fire and keep them out of reach of children The batteries must be removed from the unit if unit is not used for a long period of time STEP 2 LEADS Decide whether you wish to use the unit with one lead or two If using two leads insert the plugs into both jacks on the plugs of the unit If only using one lead insert into the chI jack as marked on the unit STEP3 PADS Remove pads from the bag and connect to the leads 10 Turn in counter clockwise decrease the intensity A Stands for Pulse Rate Up press this key to increase the frequency NY Stands for Pulse Rate Down press this key to decrease the frequency ON Stands for Pulse Width Up press his key to increase the Pulse Width Uy Stands for Pulse Width Down press this key to decrease the Pulse Width 15 Press the key simultaneously to select the waveform The following g waveform symbols will be displayed for 3 seconds when you press the key Sq Symmetrical Bi phasic rectangular eu Monophasic rectangular O O NOTE In a very small percentage of people using T E N S in Monophasic Rcetangular waveform can exacerbate the symptoms of
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