User manual - davita
Contents
1. button for 30 seconds till Lock appear on LCD display As Lock appears only call a program from memory and adjust the in tensity functions are workable Other parameters could not be adjusted While call mem cursor flash 16 16 push for 30 seconds till lock apmpear To release lock function Unlock To unlock locate cursor on call mem position then push and hold button for 30 seconds till Lock disappear from LCD display The programs stored will be cleared at the same time mode NI width 125 us 2 Wz While call mem cursor flash rate callimem 16 16 push for 30 seconds till lock disappear 12 Patient Compliance Timer The patient compliance timer can be accumulated up to 999 hours 50 min Each using time will be accumulated automatically to record To call the cumulative treatment time Press the two buttons simultaneously for 5 sec Press these 2 buttons simultane ously for 5 sec lt gt Geh G d A A kV LS wl d Ji wy Wy 4 figures will be shown on the bottom left corner the first 3 figures are hours the last figures represent decade of minutes 10 minutes Ex the accumulative time of 06 23 is 62 hours 30 minutes To delete record of cumulative treatment time Press the two buttons simultaneously for 5 sec the cumulative time will return to 00 00 Press these 2 buttons simu2. to in crease or decrease the rate of the pulse The pulse rate displayed in Hz depicts the rate at which the impulses are released to the electrodes and through those to the skin Pulse rate setting needs to be determined in accordance to the electrode placement chosen When using contiguous and dermatome electrode placement i e Stimulating directly through the area of pain or localized enervation a quick pulse rate setting greater than 80Hz on the pulse rate control is desired The patient should not perceive individual impulses but rather have the sensation of steady continuous stimulation When using point treatment it has been suggested that slow impulses be utilized less than 10Hz At this setting the patient should be able to slightly perceive indi vidual impulses Despite the above recommendations every individual may require varia tions to the above settings determined by their physician Rise time time on and rest time These parameters are for Mode M EMS mode only After setting pulse width and pulse rate user has to set the rise time the time on and rest time Usually the rest time is 3 times of rise time in order to prevent muscle tiredness of a continuous stimulation A Timer B For EMS mode 25m 15 lO e user has to set rise time time on 7 nse tme 0 and rest time after setting pulse width tune on 3 and pulse rate rest tune callimem LO 16 insity While this figure f
3. 70 e Telefax 49 0 1805 911275 E Mail mail davita de e www davita de Basic Equipment of the Instruments DIGITAL FIT TENS 1200 Art No 30037 1 pce instrument 1 pce out put cable set for TENS and TENS EMS 1200 Art No 31013 4 pces self adhesive gel electrodes 5 x 5 cm for TENS and TENS EMS 1200 Art No 31011 4 pces batteries 1 5 volt 1 pce packing case 1 pce instruction manual DIGITAL FIT TENS EMS 1200 Art No 30038 1 pce instrument 1 pce out put cable set for TENS and TENS EMS 1200 Art No 31013 4 pces self adhesive gel electrodes 5 x 5 cm for TENS and TENS EMS 1200 Art No 31011 4 pces batteries 1 5 volt 1 pce packing case 1 pce instruction manual 17 Guarantee DAVITA guarantees for this instrument for a period of 24 months after date of sale Wear parts such as batteries and gel electrodes are excluded from the guarantee The guarantee is valid for material defects and manufactur ing faults and includes the provision of spare parts as well as labour Guar antee expires if the instrument has been damaged or used improperly or unauthorized intervention was carried out Keep the purchase receipt as proof and submit it together with your claim for guarantee DAVITA will only fulfil the guarantee upon receipt of your purchase proof Applications and programs Regarding the examples for possible applications of the electrodes please look at the German version of the User manual a
4. TENS program against shoulder and neck pain 08 16 Modulated program against back pain lumbago 09 16 Modulated program muscle atrophy arms 10 16 Modulated program muscle atrophy legs 11 16 Program for mobilisation of wrist elbow and knees after immobilization 12 16 Program for reducing the spasticity 13 16 Program for strengthen the arms 14 16 Program for strengthen the legs 15 16 Program for endurance 16 16 Program for muscle relaxion and blood circulation DAVITA Medizinische Produkte GmbH amp Co KG Postfach 2004 e D 47518 Kleve Telefon 49 0 1805 911 270 Telefax 49 0 1805 911 275 E Mail mail davita de www davita de Rev Nr 1101081 19
5. b 4 0 7 A DAVIT A Mehr Freude am Leben Y DAMITA Medizinische Produkte GnbhH amp Co KG lt Postfach 2004 e DE 4 518 Klee e User manual Electrostimulation units Digital Fit TENS 1200 Digital EC TENS EMS 1200 Version 1 0 vom 14 01 2008 FGEC e 2 lait ge rel edel EE 3 Overview of Instrument cece eee ee cece ee eees 4 Effective use 5 Using DIGITAL FIT TENS 1200 and TENS EMS 1200 Giart up 6 Introduction of control Gararmmetere cesses 7 Pre set program Tunchon 0c cece eee eeeeee eee ees 10 Lock TULICUOM pasvanntenesehananustenersnatutiessniads ceenteraed 12 Patient compliance me 13 Replacement of Daten 14 Care and Storag i Eege Ree ep 15 E ei lut Tee E E EE 15 Maintenance of the GEI Elechodes 16 Immediate Maintenance tenses 17 Basic equipment of the Instruments o0000aana 17 GUAR ANIC EE 18 Application and programs ccceeeceeeeeee ee eees 18 Precaution Warning People with pacemakers intra cardiac defibrillators or other active im plants pregnant women and children must not use the Digital Fit 1200 Do not use the Digital Fit 1200 if you are connected to high frequency Surgical equipment since this may cause burn injuries on the skin under the electrodes as well as problems with the stimulator Do not use if you have serious arterial circulatory problems in the lower limbs Do not use after trauma or a recent operation Keep out of reac
6. ce apply some water to the adhesive elec trodes after each application Let it dry for a few seconds before attach ing the electrode to the silicone pad Close the bag with the electrodes carefully to avoid desiccation Keep at room temperature 2 Keep in mind that the working life of an electrode depends on correct maintenance as well as on the type of current used and its strength A clean skin is of great importance Electrodes which do not stick properly to the skin must be reattached 3 Apply only to healthy skin In case of allergies or skin irritation stop treatment and consult a doctor A pair of electrodes should be used by one person only 16 Immediate Maintenance An immediate maintenance to be carried out by DAVITA or authorized trained staff is required in the following cases e Mechanical strain e g the instrument was dropped and therefore dam damaged e the instrument was overheated after leaving it near a source of heat e suspicion that water has entered the instrument e case or other instrument s parts are damaged broken or missing e the unit does not seem to work properly NOTE We recommend to have controls carried out exclusively by DAVITA or by authorized trained staff The instrument to be serviced can be sent di rectly to the customer service of the manufacturer or to the dealer Customer service centre DAVITA Medizinische Produkte GmbH amp Co KG Telephone 49 0 1805 9112
7. es when the lose adhesion quality Incase of skin redness under the electrodes after a stimulation session do not start a new stimulation session in the same place if skin redness is till evident Always make sure to turn the power off before attaching or removing the electrodes from your skin Electrode placement To receive maximum results from your stimulator it is important to place the electrodes properly As every patient react differently to electrical stimula tion and individual needs may differ from the conventional settings the user must therefore try several sites before deciding on an optimal placement site The following sections are the recommended electrodes placed posi tions which may provide more successful treatment Painful area This is the most commonly used placement technique Electrodes are placed close to or around the localized area of pain so that the electricity flows through it This is achieved by placing an electrode on each side of the inflicted area This works well if the pain is localized on an extremity or deep within the tissue Peripheral nerve The electrodes may also be placed over a peripheral nerve which has a cu taneous distribution in the painful area For example pain experienced on the dorsum of the lateral aspect of the hand and the first and second digits can be treated with electrodes placed over the superficial radial nerve along its course on the lateral aspect of the lower one
8. h from children Note The stimulator should only be used with skin electrodes intended for ner ve and muscle stimulation The electrodes should only be placed on healthy skin Avoid skin irrita tion by ensuring good contact between electrodes and skin Hypersensi tivity can occur in rare cases If skin irritation should occur treatment with the Digital Fit 1200 should be temporarily discontinued If condition Sip ae persists seek medical advice Switch off stimulation before removing the electrodes from the skin If an electrode comes off shut off the stimulator before picking it up Getting electrical stimulation through the fingers is unpleasant but not harmful Be careful with stimulating in the heart region Use the Digital Fit 1200 only as stated in the operating instructions Inspect the equipment prior to use Never use more than one stimulator at the time Never open the battery lid during stimulation The stimulator meets the requirements of MDD 93 42 EEC including the EMC requirements This however is no guarantee that the equipment will not be affected by electromagnetic disturbances lf the stimulator is not used for some time approximately 3 months the batteries should be removed from the stimulator Introduction Electrical stimulation has successfully been used in pain relief and physical therapy for a long time It sends tiny electrical impulses to the nerve end ings through the skin These impul
9. he individual stimulation pulses vary as regards both pulse width and stimulation current e The variations are random The pulse width multiplied by stimulation current is constant x W Constant Under this set constant the range of output variations are limited as follow 50uS lt Pulse Width lt 350uS 1mA lt lt 50 mA N3 Modulate Rate Hate 100Hz 0 80mA 100 200 Hz adjustable 50 350yS Width 125uS adjustable N4 150 350yS Modulate Hate 100 Hz 0 50mA 20 200 Hz adjustable adjustable Rate Duration Width 150uS 15 During the beginning of 3 Sec the PAW increased from 50uS to the control set value and the P R decrease from the con trol set value to 10Hz And then during next 3 Sec P F increased and DAN decreased Rate 2 Burst second 0 5 5 Bursts per sec 150 350 uS Width 150uS ond adjustable adjustable 0 5 5 0 5 Step 7 pulses per burst frequency fixed on 100HZz 0 5 5 Bursts adjustable per second Rate 100 Hz 10 100 Hz adjustable 100 350 uS Width 175uS adjustable Rise time 1 20 Sec A Work time 0 5 2 Sec B Rest time 0 50 Sec C Waveform Asymmetric bi phase square with zero net DC Memory each channel could store 32 set treatment programs Power Source 4pcs AA battery 1 5V x 4 Size 130 x 70 x 30 mm Weight 115g without battery E Timer counter Store up to 999 hours Maintenance of the GEL Electrodes 1 For the electrodes maintenan
10. lash push the or buttons to increase or decrease the intensity The intensity will increase gradually you may stop in creasing by push buttons at any time Based on variables like tissue resistance skin thickness enervation each user reacts individually to the different levels of intensity Instructions are therefore limited to the following settings sensation intensity is increased so that the patient can feel stimulation but no muscles contract Light contraction intensity is increased so that hardly visible muscle contraction not able to move a joint is effected Ata low pulse rate setting single twitching is visible At a higher pulse rate simply muscle tonus is increased Usually no strong muscle contractions are employed in TENS therapy Mode N1 N4 and Mode B However muscle contraction can be useful when pain is caused by tight muscles or spasm In this event set EMS mode Mode M in order to release the spasm In all cases if the user feels that stimulation is uncomfortable reduce intensity or cease stimulation Timer minutes Timer setting The initial treatment should be kept short lt 30 mins to allow the patient to get used to the sensation The pain should be relieved shortly after inten sity setting has been determined However in some cases pain relief may take as long as 30 minutes to achieve especially when using point placement of the electrodes and a low pulse rate It is
11. ltaneously for 5 seconds Quit and return to treating mode Press the two buttons simultaneously for 5 sec again LCD display will return to treating mode Press these 2 buttons simultaneously for The patient compliance timer will keep the record even when the battery has no charge Replacement of battery A battery indicator will light up on the LCD display when the batteries are almost drained As long as stimulation feels the same as usual you can continue the treatment It is time to replace the batteries when stimula tion starts diminishing or the stimulator stops working Turn the stimulator off Remove the battery cover by pushing the convex and sliding it downwards and take out the batteries Make sure the new batteries are placed correctly with respect to the polarity note and sym bols Push this convex and slide down ward 14 Care and storage Always keep the stimulator and accessories in the original case when not in use Never expose the stimulator to water Wipe it off with a damp cloth if ne cessary Do not pull on wires Keep the stimulator out of the reach of children Pre set mA Rate Hz Width uS under 500 1 2 1Hz Step 50 300 25uS step 10 180 5Hz Step 1300 350 50uS step 180 200 10Hz Step Ni Constant 0 80mA 1 200 Hz adjustable 50 350uS ad Technical data Rate 100Hz 0 25 mA Strength Width 125uS j j Duration T
12. modes N1 N4 B and M are introduced on following section 6 Press button to locate the parameters of pulse width or pulse rate and press or to increase or decrease the setting of option 7 Press button to locate on mA to adjust the intensity The levels of inten 26 sity will increase gradually You may push button at any time to stop the increasing of intensity Introduction of control parameters Treating mode While the mode selection flash push or to NI pus choose the treating mode 125 us rate 2 Hz DIGITAL FIT 1200 contains five different modes for nerve stimulation and one EMS mode for muscle stimulation Mode N1 is conventional mode Mode N2 N4 are modulated modes These modes are designed to prevent nerve accommodation by continuously cycling the treatment intensity Mode B is Burst mode and Mode M is an EMS mode And all these modes allow users to set the necessary parameters pulse width pulse rate intensity range Mode N1 Conventional mode most effective mode for neuralgia athrosis arthritis lumbago with CNS injuries labor pains menstrual cramps and postoperative pain Mode N2 Modulated intensity and pulse width SD mode The individ ual stimulation pulses vary as regards both pulse width and stimulation intensity It is widely believed that by using a combination of intensity and pulse width setting electrical impulses are capable of stimulating different groups
13. of nerve fiber Mode N3 Modulated rate mode This mode simulates the way the nervous system sends impulses to the muscle by slowly varying the frequency of the electrical impulses This makes the stimulation more comfortable Mode N4 Modulated both rate and width mode Mode B Burst mode the most effective mode for radiating pains _7 in arms or legs in conditions with reduced or altered sense of touch with deep muscle pain ischemic extremity pain or when the after effects from conventional mode are short The aim is to achieve contractions in the muscles innervated from the same segment of the spinal cord as the painful area Mode M EMS mode This mode has only the DIGITAL FIT TENS EMS 1200 unit This is a mode for muscle stimulation for the purpose of medical rehabilitation or muscle training The main objective with EMS mode is to create muscle contractions or vibrations Place electrodes on the muscle you want to activate Pulse width While the figure of width flash push to increase or decrease the width of each pulse callimem 00 32 This is to adjust the width of the electrical pulses The pulse width des tines the strength and sensation of stimulation A wider setting will de liver a stronger stimulation A wider pulse width is effective on recruiting motor fibers whereas the narrow pulse width is effective on more sen sory fibers Pulse Rate While the figure of rate flash push or
14. recommended the maximum treatment period of one hour at a time Push Timer button to set timer up to 99 min DIGITAL FIT 1200 allows the user to store the favourite or most frequently used programs It provides 32 memory capacity of each channel total to store up to 64 favourite programs for both channels together 10 To pre set and store a program Set the parameters push button to locate cursor on call mem function then push button for 2 seconds to increase and store the used program in memory lf the memory is full 82 sets each channel a new program added will overwrite the old program 1 While the figure of call mem flash push button for 2 sec onds the current used parame rate Te callimm 16 16 ter will be stored in the memory To recall a program stored in memory push button to locate cur sor on call mem function while the figure flash push or to re call the stored program While cursor flash push or to recall the program To clear all programs stored in memory push button to locate on call mem function while the figure flash push for 30 seconds till Call mem return to 00 00 While cursor flash push for 30 seconds till call mem re turn to 00 00 Lock Function For preventing misusing lost the pre set programs some of the adjusting functions could be locked To Lock Locate cursor on call mem position then push and hold
15. ses help to change the original pain message to the brain and by that process it eliminates the sensation of pain It is also assumed that the TENS stimulation causes release of endorphin into the body and by this release pain is sometimes reduced for hours after using the device DIGITAL FIT TENS EMS 1200 stimulator also contains EMS mode for muscle training The main objective with EMS mode is to create muscle contractions or vibrations through sending the electric pulse to the muscle for the purpose of re educating the muscle Overview of Instrument This user manual is valid for the electro stimulation unit DIGITAL FIT TENS 1200 and the unit DIGITAL FIT TENS EMS 1200 The differences be tween the units are the different programs the instruments contain From the handling of the units there is no difference Socket for electrode wire A group buttons to control chan nel A B group buttons to control channel B Buttons cover Timer FUNCTIONS OF BUTTON Digital Fit 1200 has the feature to control channel A and channel B individually Therefore there are 2 groups of function control but tons for each A and B channel Effective use Advice on skin care Be sure to place the electrodes on healthy skin only Wash skin thoroughly and then dry it before applying the electrodes in order to ensure good conductivity Apply the whole surface of the electrodes firmly to the skin Do not use the electrod
16. t page 27 33 The preset programs for the DIGITAL FIT TENS 1200 you can find on page 13 of the German user manual and the programs of the DIGITAL FIT TENS EMS 1200 at page 15 The names of the programs are as follows 1 Preset TENS Programs e 01 16 02 16 and 03 16 high frequency conventional TENS programs for immediate pain relief via blocking the pain forwarding e 04 16 and 05 16 low frequency conventional TENS programs for a longer persistent pain relief e 06 16 and 07 16 Burst programs for a better blood circulation against acute pain e 08 16 09 16 and 10 16 modulated TENS programs to prevent a habituation regarding the TENS therapy which can appear by the conventional programs 11 16 Conventional TENS program against arthritis 12 16 Modulated TENS program against shoulder and neck pain 13 16 Modulated program against back pain lumbago 14 16 Program against knee pain 15 16 Modulated program against karpaltunnel syndrome 16 16 Modulated program against hip and sciatica pain P2 Preset TENS and EMS Programs e 01 16 and 02 16 high frequency conventional TENS programs for immediate pain relief e 03 16 low frequency conventional TENS programs for a longer persistent pain relief 18 04 16 Burst program for a better blood circulation against pain 05 16 modulated TENS program to prevent a habituation regarding the TENS therapy 06 16 Conventional TENS program against arthritis 07 16 Modulated
17. third of the forearm Acupuncture motor and trigger points Acupuncture points are specific Traditional Chinese Medicine points which asserts can be stimulated to treat disease A motor point is the point of en try of a motor nerve into a muscle And trigger points are areas character ized by tenderness on palpation and the production of referred pain These are points have high tissue conductivity and more sensitive Elec trodes placed on these points need only low intensity to get good stimula tion Using DIGITAL FIT TENS 1200 and TENS EMS 1200 start up To use DIGITAL FIT TENS1200 and TENS EMS 1200 is very simple A group buttons control A channel B group buttons control B channel For saving energy while setting A group buttons only A channel bright B channel is invisible Always use the or to locate on the different options of mode width ra te call mem and mA output intensity Always use or to increase or decrease the setting of option Step vy step 1 Connect a pair of electrodes to an electrode wire and the electrode wire to achannel socket on the stimulator 2 The next step is to place the electrodes on the skin surface of the treating area 3 Make sure the electrodes are properly attached to your body and con nected to your stimulator 4 Press the on off button to turn the stimulator on 5 The option of MODE is flashing Press or to choose the treating mode details of
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