EM49 - Electrostimulator BEURER - Free user manual and instructions

USER MANUAL EM49 BEURER

ENGLISH Read these instructions for use carefully and keep them for later use, be sure to make them acces- Table of contents

1. Delivery scope and accessories.

2. Getting to know your device

8.1 TES program table.

11.2 Impulse frequency.

11.4 Impulse intensity.

11.5 Cycled impuise parameter Variation.

12. Cleaning and storage

14. Problems/solutions.

15. Replacement parts and wearing parts

16. Technical specifications

17. Notes on electromagnetic compatiblity.

sible to other users and observe the information they contain.

1. DELIVERY SCOPE AND ACCESSORIES

Check that the set packaging has not been tampered with and make sure that all components are present. Before use, ensure that there is no visible damage to the device or accessories and that all packaging material has been removed. If you have any doubts, do not use the device and contact your retailer or the specified Customer Services address. 1 x digital EMS/TENS unit (including bel clip) 2 x connection cable 4 x adhesive electrodes (45 x 45 mm) 3 x AAA batteries

2. GETTING TO KNOW YOUR DEVICE

What is a digital EMS/TENS unit and what can it do? Digital EMS/TENS units fall into the electrostimulation device category. They provide three basic functions suitable for combined operation: ololwl»

1. Electrical stimulation of nerve tracts (TENS)

2. Electrical stimulation of muscle tissue (EMS)

3. À massage effect triggered by electrical signals

The unit also features two independent stimulation channels and four sel-adhesive electrodes. It offers a wide range of functions for increas- ing general well-being, pain relief, maintaining physical fitness, relaxation, muscle revitalisation and combating tiredness. For these purposes, you can either choose from pre-set programs or specify your own to suit your individual needs. The principle of electrostimulation devices is based on the imitation of impuises in our bodies that are transferred to nerve and muscle fibres us- ing electrodes via our skin. The electrodes can be applied to many parts of the body: the electrical impulses are completely hamless and virtually painless. In certain applications you will merely notice a slight tingling or vibrating sensation. The electrical impulses that are sent into the tissue influence the transmission of stimulation into nerves, nerve centres and muscle groups in the application area Electrostimulation usually only has an effect after regular applications. With regard to muscles, electrostimulation does not replace regular train- ing. However, it is a sensible, supplementary training element. ENS, or transcutaneous electrical nerve stimulation, relates to the electrical stimulation of the nerves via the skin. TENS is an effective non- pharmacological method of treating different types of pain that have a va- riety of causes. It has no side-effects if administered correct. The meth- od has been cliically tested and approved and can be used for simple self-treatment. The pain-relieving or pain-suppressing effect is achieved by inhibiting the transference of pain to nerve fibres (caused mainly by. high-frequency impulses) and by increasing the secretion of endorphins inthe body. Their effect on the central nervous system reduces the sensa- tion of pain. The method is scientifically substantiated and approved as a form of medical treatment Any symptoms that could be relieved using TENS must be checked by your GP. Your doctor will also give you instructions on how to carry out a TENS self-treatment regime.

TENS is clinically tested and approved to treat the following complaints: + Back pain, particulariy in the lumbar/cervical spine area Sore joints (e.g. knee, hip and shoulder joints) Neuralgia Menstrual cramps in women Pain resulting from injury to the musculoskeletal system Pain caused by circulatory disorders + Chronic pain with various causes. Electrical muscle stimulation (EMS) is a widespread and generally rec- ognised method and has been used in sports medicine and rehabilitation for years. In sports and fitness, EMS is used to complement conventional muscle training, to increase the performance of muscle groups and to adjust physical proportions to achieve the desired aesthetic results. There are two different types of EMS application: one is for targeted strengthen- ing of the muscles {activating application), and the other is to achieve a relaxing, restiul effect (relaxing application). The activating application involves: + Muscle training to increase endurance and/or + Muscle training to support the strengthening of specific muscles or muscle groups, and to achieve the desired changes to physical pro- portions The relaxing application invoives: + Muscle relaxation for easing muscle tension +_Improving symptoms of muscular fatigue + Acceleration of muscle regeneration after high muscle performance (.g. after a marathon) Thanks to integrated massage technology, digital EMS/TENS units are also able to relieve muscle tension and combat fatigue with a program based on the sensation and effects of a real massage. The positioning suggestions and program tables in these instructions for use allow you to quickly and simply determine the corresponding appli- cation (depending on the affected area of the body) and set the unit to achieve the desired effects.

Thanks to the two separately adjustable channels, the digital EMS/TENS unit offers you the advantage of being able to set the intensity of the impuises independentiy from each other for two treatment areas on the body, for example to cover both sides of your body or to evenly stimulate larger areas of tissue. The option to individually set the intensity of each channel also enables you to treat two separate areas of the body simul- taneously instead of having to treat the individual areas in turn, which saves you time.

3. SIGNS AND SYMBOLS

The following symbols are used on the device, in these instructions for use, on the packaging and on the type plate for the device:

Disposal in accordance with the Waste Electrical and Electronic Equipment EC Directive - WEEE C € 0483 CE labelling This product satisfies the requirements of the applicable European and national directives. Manufacturer The device can emit effective output values above 10 mA, averaged over every five-second interval Note on important information Observe the instructions for use Protected against ingress of solid foreign objects greater than 12.5 mm in diameter. Protected against drops of water falling at up to 15° from vertical. WARNING Waming instruction indicating a risk of injury or damage @ Separate the product and packaging elements and dis- to health pose of them in accordance with local regulations. IMPORTANT Safety note indicating possible damage to the device/ tem number accessony Note KE) Importer symbol

Permissible storage and transport temperature and humidity opera Permissible operating temperature and humidity. Separate the packaging elements and dispose of them in accordance with local regulations. Serial number Application part, type BF 2 Ni GO

Marking to identify the packaging material A = Material code, B = Material number: 1-7 = Plastics, 20-22 = Paper and cardboard The device must not be used by persons with medical implants (e.g. heart pacemakers). Otherwise their func- tion could be impaired.

The device is not a substitute for medical consultation and treatment. Consult your doctor first if you are experiencing any pain or are suf- fering from an illness. À WARNING! To avoid damage to health, we strongly advise against using the dig- ital EMS/TENS unit in the following situations: «With implanted electrical devices (such as a pacemaker) © +_Inthe case of metal implants «If you use an insulin pump «If you have a high temperature (e.g. > 39°C) +_lf you have a known or acute cardiac arrhythmia, or disorders of the hearts impulse and conduction system I you suffer from a seizure disorder (e.g. epilepsy) I you are pregnant I you have cancer After an operation, if strong muscle contractions could affect the healing process The device must never be used near to the heart. The stimulation electrodes must not be placed on any part of the front ribcage (where the ribs and breast- bone are located), especially not on the two large pectorals. this can increase the risk of ventricular fi- [ brillation and induce cardiac arrest. On the skeletal skull structure, or around the mouth, throat or larynx In the neck/carotid artery area In the genital area On acutely or chronically diseased (injured or irritated) skin (e.g. in- flamed skin - whether painful or not, reddened skin, rashes, e.g. aller- gies, burns, bruises, swellings, both open and healing wounds, and post-operative scars where the healing process could be affected) In humid environments (e.g. in the bathroom) or when bathing or showering +_ Do not use after consuming alcohol +_lfconnected to a high-frequency surgical device

+_Inthe case of acute or chronic diseases of the gastrointestinal tract +_The stimulation should not be applied above or through the head, directly onto the eyes, covering the mouth, to the front of the neck {especially not to the carotid artery), or with the electrode surfaces placed on the chest and upper back or across the heart. Before using the device, consult your doctor if any of the following applies to you: Serious ilnesses, in particular if you suspect or have been diagnosed with high blood pressure, a blood coagulation disorder, propensity to thrombo-embolic conditions or recurrent malignant growths Any skin conditions Unexplained chronic pain in any part of the body Diabetes Any sensory impairment that reduces the feeling of pain (e.g. meta- bolic disorders) If you are receiving medical treatment In the event of complaints linked to stimulation treatment If you suffer from persistentiy iritated skin due to long-term stimula- tion at the same electrode site À IMPORTANT! Only use digital EMS/TENS units: On adults For the intended purpose and as specified in these instructions for use. Improper use can be dangerous. For external use With the original accessories supplied, which can be re-ordered. Fail- ure to do so invalidates the warranty. PRECAUTIONS: + Always pull fimly on electrodes to remove them from the skin to pre- vent injures in the unusual case of highly sensitive skin. +_ Keep the device away from sources of heat and do not use it in close proximity (approx. 1 m) to shortwave or microwave devices (e.g. mo- bile phones), as doing so can result in unpleasant current peaks. + Do not expose the device to direct sunlight or high temperatures.

Protect the device from dust, dirt and humidity. Never immerse the device in water or other liquids. The device is suitable for self-treatment. For hygiene reasons, the electrodes may only be used on one person. If the device does not work properly, or you feel unwell or experience pain, stop using it immediately. Switch off the unit or the respective channel fist before removing or relocating electrodes to prevent unintentional stimulation. Do not modify electrodes (e.g. by cutting them). This increases the current intensity, which is potentially hazardous (max. recommended output value for the electrodes is 9 mA/cm?, an effective current in- tensity beyond 2 mA/cm? requires increased awareness). Do not use the device wihilst asleep, driving a vehicle or operating machinery. Do not use whilst undertaking any activity where an unexpected reac- tion (e.g. strong muscle contractions even at low intensity) could be dangerous. Ensure that no metalic objects (e.g. belt buckles or necklaces) come into contact with the electrodes during stimulation. f you are wearing jewellery or have piercings in the area to be treated (e.g. a navel pierc- ing), these must be removed before using the device. Failure to do so could result in spot burns. Keep the device away from children. Make sure not to confuse the electrode cables including contacts with your headphones or other devices and do not connect the elec- trodes to other devices. Do not use the device whilst using other devices that transmit electri- cal impulses into your body. Do not use in the vicinity of highly flammable substances, gases or explosives. Do not use rechargeable batteries and always use the same battery types. During the initial few minutes, use the device wile sitting or lying down to minimise the risk of injuries as a consequence of isolated cases of vagal responses (feeling of faintness). I you feel faint, im- mediately switch off the device, lie down and support the legs in an elevated position (approx. 5- 10 min). Treatment of the skin with moisturising lotions or ointments before- hand is not recommended as this considerably increases the elec- trode wear and may cause unpleasant current peaks. This device is not intended for use by children or people with re- stricted physical, sensory (e.g. reduced sensitiity to pain) or mental skills or a lack of experience and/or lack of knowledge, unless they are supervised by a person who is responsible for their safety or are instructed by such a person in howr to use the device. If the adhesive capabilty of the adhesive electrodes decreases, please replace them immediately. Only use the device again with new adhesive electrodes. Otherwise the unequal adhesion ofthe adhesive electrodes may lead to skin injures. Replace the electrodes with new ones after having used them 20 times at the latest. Damage +_Ifthe device is damaged, do not use it and contact your retailer or the specified Customer Services address. In order to perform the effectiveness of function by the device, do not drop the device or disassemble the device. Check the device for signs of wear and tear or damage. If there are such signs of wear and tear or damage or if the device was used impropery, it must be returned to the manufacturer or retailer before further use. Switch the device off immediately ifit is faulty or not working properiy. Do not attempt to open and/or repair the device yourself. Repairs may only be carried out by Customer Services or authorised retailers. Failure to comply wil result in voiding of the warranty. The manufacturer is not liable for damage resulting from improper or careless use. Notes on handling batteries + A\ f your skin or eyes come into contact with battery fluid, rinse the affected areas with water and seek medical assistance.

+ /\ Choking hazard! Small children may swallow and choke on bat- Display (full screen teries. Store the batteries out of the reach of small children. 1. Menu Les + Observe the plus (+) and minus (+) polarity signs. [MASSAGE] +_ lfa battery has leaked, put on protective gloves and clean the battery compartment with a dry cloth. +_ Protect batteries from excessive heat. + /\ Risk of explosion! Never throw batteries into a fire. + Do not charge or short-circuit batteries. +_lfthe device is not to be used for a relatively long period, take the batteries out of the battery compartiment.

+_ Use identical or equivalent battery types only. . Display for frequency (Hz) and puise width (us) + Always replace al batteries at the same time. 9. Timer function (remaining time display) or working time + Do not use rechargeable batteries. + Do not disassemble, open or crush the batteries. 6. INITIAL USE

5. DEVICE DESCRIPTION 1. Remove the belt clip from the unit (f attached).

2. Press the battery compartment cover on the rear of

Buttons: the device and slide it downwards.

3. Insert the three alkaline AAA 1.5V batteries. Make

sure that the batteries are inserted the correct way round.

4. Close the battery compartment lid again carefuly

sk lock On e 5. Reattach the belt clip, if required. ” 2— 6. Connect the connection cables with the electrodes 4 #, (Fig. 2) The electrodes feature clip closures to make “ connection particularly easy.

7. Guide the connection cable plugs into the socket on

the top of the device (Fig. 3).

8. Do not pull, twist or make sharp bends in the cables

(Fig.4). ©) Please note that when the battery is replaced or removed, all settings are restored to the factory 25 default settings.

Notes on use +_The device switches itself off automatically if it is not used for one minute (automatic switch-off). When the unit is switched on again, the LCD screen displays the menu selection and the most recently used menu flashes. À brief acoustic signal is output when a valid button is pressed. To brief acoustic signals are output when an invalid button is pressed. You can pause the stimulation at any time by briefly pressing the ON/ OFF button @. To continue the stimulation, briefly press the ON/OFF button (D again and set the desired impulse intensity again. Starting application Step 1: Look for a suitable program from the program tables (see section

6. Program overview)

Step 2: Place the electrodes on the desired area for treatment (for positi- oning suggestions see section ,6.4 Information regarding the positioning of electrodes*) and connect them to the device. Step 8: Press the ON/OFF button © to switch on the device Step 4: Press the MENU button to navigate through the @EE/ DB ES menus and press the ENTER button to confirm your selection. Step 5: Use the AM setting buttons to select the program number you want and press the ENTER button to confirm your selection. At the start of the stimulation treatment, the impulse intensity of and is set 40 88 by default. No impulses are sent to the electrodes yet. Step 6: Use the left and right A/V setting buttons for EF] and EI to select the impulse intensity you want. The indicator for impuise intensity. inthe display changes accordingly. the program is in a pause phase, the intensity cannot be increased.

(D General information 1 ou wish to return to the previous selection menu, press the MENU button. By holding down the ENTER button, you can skip individual setting steps and start directly with the stimulation treatment. Keylock O- Locks the buttons to avoid them being pressed unintentionaly.

1. To activate the keyiock, hold down the O-1 button until the symbol

is visible in the display (approx. 3 seconds).

2. To deactivate the keylock, hold down the O-sbutton until the symbol

disappears from the display (approx. 3 seconds). Pausing application You can pause the stimulation at any time by briefly pressing the ON/ OFF button (. To continue the stimulation, briefly press the ON/OFF button () again and set the desired impulse intensity again.

The digital EMS/TENS unit features a total of over 70 programs: +15 TENS programs +35 EMS programs + 20 MASSAGE programs In all programs you can set the impulse intensity of both channels indi- vidually. You can also set various parameters in the TENS programs 13 - 15 and the EMS programs 33 - 35 to adjust the stimulating effect to the applica- tion area.

Progr.| Areaofapplication, indications | Running | Possible no. time | electrode {min)__| positions 5 Epishe force of the upper am 30 45 6 | Tightening the upper arm muscles 30 12-15 7 | Shaping the upper arm muscles 30 12-15 8 | Tightening the lower arm muscles 30 16-17 9 Mainisng re strength of the lower 30 5647 10 | Shaping the lower arm muscles 30 16-17 11 [Tightening the abdominal muscles 30 18-20 12 | Maximising the strength of the abdo- 30 18-20 minal muscles 13 _ | Shaping the abdominal muscles 30 18-20 14 |Toning the abdominal muscles 30 18-20 15 _ |Strengthening the thigh muscles 30 23,24 16 | Maximising the strength of the thigh 30 23,24 muscles 17 _ | Explosive force of the thigh muscles 30 23,24 18 | Shaping the thigh muscles 30 23,24 19 | Toning the thigh muscles 30 23,24 20 | Strengthening the lower leg muscles 30 26,27 21 | Maximising the strength of the lower 30 26,27 leg muscles 22 | Explosive force of the lower leg 30 26,27 muscles 23 | Shaping the lower leg muscles 30 26,27 24 |Toning the lower leg muscles 30 26,27 25 _ | Strengthening the shoulder muscles 30 14

31. | Strengthening the gluteal muscles 30 22 7 |RolBxing massage 1

cLNTRT AR UE ER E M 0 M ONE AE,

K is fundamental to the intended success of electrostimulation applica- tions that electrodes are positioned sensibiy. We recommend that you consult your doctor to establish the ideal elec- trode positions for your intended application area. The figure on the display is intended as an initial aid to help you posi- tion the electrodes. The following applies to the selection of electrode positions: Electrode distance The larger the distance between electrodes, the larger the stimulated tis- sue volume. This applies to the area and depth of the tissue volume. At the same time, however, the stimulation intensity of the tissue falls the further the electrodes are apart. As a result, greater distances between electrodes mean a larger tissue volume is stimulated, but less intensively. Consequently, you must increase the impulse intensity to boost stimula- tion. The following guideline applies to selection of the electrode distance: Sensible distance: approx. 5- 15 cm At distances below 5 cm, the unit primarily stimulates surface struc- tures intensively At distances in excess of 15 cm, large areas and deep structures are stimulated very weakiy Relationship between electrodes and muscle fibre structures Adapt the current flow direction to the fibre structure ofthe muscle according to the muscle layer you would like to treat. If you are targeting superfcial muscles, position the electrodes in parallel to the fibre struc- ture (A-B / C-D) and if you are targeting deeper lay- ers of tissue, position the electrodes across the fibre structure. You can do this by positioning electrodes as crosses (Le. diagonall), such as A-D /B-C.

AS part of pain relief treatment (TENS) using the digital EMS/TENS unit and its 2 separately adjustable channels and 2 adhesive elec- trodes each, it is advisable either to position the electrodes of a channel so that the area affected by the pain is between the elec- trodes or to position one electrode directly on the area affected by the pain and the other electrode at a minimum distance of 2-3 cm. You may use the electrodes of the second channel to simuttane- ously treat additional areas affected by pain or use them in con- junction with the electrodes of the first channel to restrict the area affected by pain (position electrodes opposite). In this case, we once again recommend positioning electrodes as crosses. Tip for the massage function: always use all four electrodes for optimum treatment. Use the electrodes on skin that is clean and preferably free from hair and grease in order to prolong the life of the electrodes. If required, clean the skin with water and remove hair prior to treat- ment. ©) If an electrode should come loose during use, the impulse intensity of both channels is reduced to the lowest level. Apply the electrode again and reset the desired impulse intensity.

9. CUSTOMISABLE PROGRAMS

{Applies for TENS 13-15, EMS 33-35) The programs TENS 13-15 and EMS 33-35 can be customised according to your needs. TENS 13 program TENS 18 is a program that you can also customise. In this program, you can set the impulse frequency to between 1 and 150 Hz and the impulse width to between 80 and 250 ps.

1. Place the electrodes on the desired area for treatment (for positioning

suggestions see section “6.4 Information regarding the positioning of electrodes") and connect them to the device.

Select the TENS 13 program as described in section “5.2 Starting ap- plication” (step 3 to step 5). Use the AW setting buttons to select the impulse frequency you want and use the ENTER button to confirm. Use the AMV setting buttons to select the impulse width you want and use the ENTER button to confirm. Use the A setting buttons to select the treatment time you want and use the ENTER button to confirm. Use the left and right AMV setting buttons for EX] and EMA to select the impuise intensity you want. TENS 14 program The TENS 14 program is a burst program that you can also customise. Various impulse sequences run in this program. Burst programs are suita- ble for all areas of application to be treated with changing signal patterns (to minimise the level of accustoming to the treatment). In this program you can set an impuise width of between 80 and 250 us.

1. Place the electrodes on the desired area for treatment (for positioning

suggestions see electrode positions in section 6.4) and connect them to the device. Select the TENS 14 program as described in section “5.2 Starting ap- plication” (step 3 to step 5). Use the A/V setting buttons to select the impulse width you want and use the ENTER button to confirm. Use the A/ setting buttons to select the treatment time you want and use the ENTER button to confirm. Use the left and righ AMV setting buttons for EE and ETA to select the impulse intensity you want. TENS 15 program TENS 15 is a program that you can also customise. In this program, you can set the impulse frequency to between 1 and 150 Hz. The impulse width changes automatically during the stimulation treatment.

. Place the electrodes on the desired area for treatment (for positioning suggestions see electrode positions in section 6.4) and connect them to the device. . Select the TENS 15 program as described in section “5.2 Starting ap- plication” (step 3 to step 5). Use the A/ setting buttons to select the impulse frequency you want and use the ENTER button to confirm. . Use the A/ setting buttons to select the treatment time you want and use the ENTER button to confirm. Use the left and right AMV setting buttons for EEE and III to select the impuise intensity you want. EMS 33 program EMS 83 is a program that you can also customise. In this program, you can set the impulse frequency to between 1 and 150 Hz and the impulse width to between 80 and 320 ps.

1. Place the electrodes on the desired area for treatment (for positioning

suggestions see electrode positions in section 6.4) and connect them to the device. Select the EMS 33 program as described in section “5.2 Starting ap- plication (step 3 to step 5). Use the A/V setting buttons to select the impulse frequency you want and use the ENTER button to confirm. Use the A/V setting buttons to select the impulse width you want and use the ENTER button to confirm. Use the A/V setting buttons to select the treatment time you want and use the ENTER button to confirm. . Use the left and right AMV setting buttons for KEIEI and KA to select the impulse intensity you want. EMS 34 program ES 84 is a program that you can also customise. In this program, you can set the impulse frequency to between 1 and 150 Hz and the impulse width to between 80 and 450 us. You can also set the working time and pause time for this program to between 1 and 30 seconds each

Place the electrodes on the desired area for treatment (for positioning suggestions see electrode positions in section 6.4) and connect them to the device. Select the EMS 34 program as described in section “5.2 Starting ap- plication” (step 3 to step 5). Use the AW setting buttons to select the working time (‘on time*) you want and use the ENTER button to confirm. Use the A/ setting buttons to select the pause time (‘off time") you want and use the ENTER button to confirm. Use the AW setting buttons to select the impulse frequency you want and use the ENTER button to confirm. Use the AW setting buttons to select the impulse width you want and use the ENTER button to confirm. Use the A setting buttons to select the treatment time you want and use the ENTER button to confirm. Use the left and right AMV setting buttons for EX] and EX to select the impuise intensity you want.

EMS 35 program EMS 85 is a burst program that you can also customise. Various impulse sequences run in this program. Burst programs are suitable for all areas of application to be treated with changing signal patterns (to minimise the level of accustoming to the treatment). In this program, you can set the impulse frequency to between 1 and 150 Hz and the impulse width to between 80 and 450 ps. You can also set the working time and pause time for this program to between 1 and 30 seconds each.

1. Place the electrodes on the desired area for treatment (for positioning

suggestions see electrode positions in section 6.4) and connect them to the device.

2. Select the EMS 35 program as described in section “5.2 Starting ap-

plication” (step 3 to step 5).

3. Use the AW setting buttons to select the working time ("on time”) you

want and use the ENTER button to confirm.

4. Use the A/V setting buttons to select the pause time ("off time") you

want and use the ENTER button to confirm.

5. Use the A setting buttons to select the impulse frequency you want

and use the ENTER button to confirm.

6. Use the AW setting buttons to select the impulse width you want and

use the ENTER button to confirm.

7. Use the A/ setting buttons to select the treatment time you want and

use the ENTER button to confirm.

8. Use the left and right AMV setting buttons for EMI and EX to select

The Doctor function is a special setting to allow you to access your personal program even more easily and directly. Your individual program settings are instantiy recalled and activated when the device is switched on. You may wish to adjust this individual program following advice from your doctor. Setting the Doctor’s function + Select your program and the corresponding settings as described in section “5.2 Starting application”. At the start of the stimulation treatment, the impulse intensity of and is set to 05 by default. No impulses are sent to the electrodes yet. Before setting the desired impulse intensity using the intensity setting buttons, press and hold the V -button for 5 seconds. Storage in the Doctor's function is confirmed with a long acoustic signal. f you switch on the device again, the program you saved using the Doctor function is automatically opened directly. Deleting the Doctor's function To clear the device again and to re-allow access to other programs, press and hold the EX V -button again for approx. 5 seconds. To do this, the impulse intensity of EX] and EAA must be set to 00. Deletion of the Doc- tor's function is confirmed with a long acoustic signal.

Therapy memory The EMA records the treatment time. To reach the therapy memory, switch the device on using the ON/OFF Cl) button and press and hold the button A for 5 seconds. The treatment time lapsed appears in the display. The top two numbers stand for minutes; the hours are shown below. To reset the treatment time, press and hold the button Vor 5 seconds. When replacing the battery, the therapy memory is automati- cally reset, Press the ,Menu“ button to return to selecting a program, or switch the device off. Info: Therapy memory cannot be accessed if the Doctor's function is activated.

11. CURRENT PARAMETERS

Electrostimulation units operate with the following current settings, which may affect stimulation effects differentiy, depending on the setting:

This describes the time function of the electrical im- puise. It distinguishes between monophasic and biphasic puise curents. In monophasic pulse currents, the current flous in one direction and in biphasic puise currents the electrical impulse altemates its direc- tion. The digital EMS/TENS unit only provides biphasic pulse currents as these relieve muscles, cause ltle muscle fatigue and provide safer application. pulses each second and is given in Hz (Hertz). It can EE. be calculated by determining the cyclic value for the time period. The relevant frequency determines ich types of muscle fibres react favourably. Slow-reacting fibres react more easily to lower im- puise frequencies up to 15 Hz, wihereas fast-reacting fibres only respond from approximately 35 Hz onwards:

11.2 Impulse frequency

The frequency indicates the number of individual im-

Impuises of approx. 45 - 70 Hz are linked with constant tension in the muscles and quicker fatigue. Higher impulse frequencies are therefore favourable in strength and maximum power training.

This indicates the duration of an individual impulse in microseconds. The impulse width therefore de- termines, among other things, the penetration of the electricity, where usually: larger muscle masses re- quire larger impuise widths.

11.4 Impulse intensity PSS

Setting the intensity levels depends on the individual |" sl i Sensitivity of each user and is determined by a variety | | ofvariables, such as site of application, blood circula- tion to the skin, skin thickness and the quality of the electrode contact. The setting used should be effective but should never cause an unpleas- ant sensation, such as pain, at the site of application. While a gente tin- gling indicates sufficient stimulation energy levels, any setting that causes pain should be avoided. During longer applications it may be necessary to make readjustments due to the adjustment processes over time at the site of application.

11.5 Cycled impulse parameter variation

In many cases it is necessary to cover the overall tissue structure at the site of application by applying several impulse parameters. In the digital EMS/TENS unit, this is achieved by the provided programs, which auto- matically make a cyclical impulse parameter change. This also prevents individual muscle groups at the site of application being affected by fa- tigue. The digital EMS/TENS unit provides sensible default current parameter settings. With this, you can change the impulse intensity at any time dur- ing use. For 6 programs you can also set various parameters for stimula- tion yourself.

Adhesive electrodes + To ensure that the adhesive electrodes remain adhesive for as long as possible, clean them carefully with a damp, lint-free cloth or clean the underside of the electrodes under lukewarm, running water and pat dry with a lint-free cloth. o) Before cleaning with water, remove the connection cables from the electrodes. + Reapply the electrodes to the carrier foil following treatment. Cleaning the device +_ Remove the batteries from the device before cleaning. + Clean the device after use with a soft, slightly damp cloth. I itis very din, you can also moisten the cloth with a mild soapy solution. + Do not use any chemical or abrasive cleaning agents. ÂÀ Ensure that no water enters the device. Reuse of the device Once it has been properly prepared, the device can be used again. Prepa- ration includes replacement of the treatment electrodes as well as clean- ing of the surface of the device using a cloth moistened with a mild soapy solution. Storage Remove the batteries from the device if you will not be using it for a prolonged period of time. Leaking batteries may damage the device. Do not make sharp bends in the connection cables and electrodes. Disconnect the connection cables from the electrodes, Reappiy the electrodes to the carrier foil after use. Store the device and accessories in a cool, wel-ventilated space. Never place any heavy objects on the device.

The empty, completely flat batteries should be disposed of through spe- cially designated collection boxes, recycling points or electronics retailers. You are legally required to dispose ofthe batteries. Note: The codes below are printed on batteries containing harmul substances: Pb = Battery contains lead, Cd = Battery contains cadmium, Hg = Battery contains mercury. For environmental reasons, do not dispose of the device in the household waste at the end of is useful ie. Dispose of the unit at a suitable local collection or recycling point. Dispose of the device in accordance with EC Directive - WEEE (Waste Electri- cal and Electronic Equipment). lf you have any questions, please contact the local authorities responsible for waste disposal.

14. PROBLEMS/SOLUTIONS

The device does not switch when the ON/OFF button (D is pressed. How to proceed: (1) Ensure batteries have been inserted correctiy and are in contact with the terminals. (2) Replace batteries, if applicable. (8) Contact Customer Services. Electrodes do not adhere to the body. How to proceed: (1) Clean the adhesive surface of the electrodes using a damp, lint-free cloth. Replace the electrodes if they still do not adhere securely. (2) Clean the skin prior to any application: do not use skincare lotions or oils prior to treatment. Shaving may increase the life of electrodes. Pb Cd Hg There is no noticeable stimulation. How to proceed:

1) Press the ON/OFF button € to interrupt the program. Check the con-

nection cables are correctiy connected to the electrodes. Ensure the electrodes are in firm contact with the treatment area. (2) Ensure the connection plug is firmiy connected to the device. (8) Press the ON/OFF button (D to restart the program.

{) Check electrode positions and ensure that adhesive electrodes do not overlap. (5) Graduall increase the impulse intensity. (6) The batteries are almost empty. Replace the batteries. The battery symbol is shown. How to proceed: Replace all batteries. You have an unpleasant sensation at the electrodes. How to proceed:

1) The electrodes are not positioned correctiy. Check their positions and

re-position, if necessary. (2) The electrodes are wom. This may cause irritated skin as even distri- bution of the current across the entire area is no longer guaranteed. For this reason, replace the electrodes. Skin in the treatment area turns red. How to proceed: immediately stop treatment and wait until your skin has returned to its normal condition. ff the redness is under the electrode and disappears quick, there is no risk — this is caused by the locally stimulated, in- creased blood flow. However, consult your doctor before you continue treatment if the skin iritation persists and this is accompanied by an itchy sensation or in- flammation. This may be caused by an allergic reaction to the adhesive surface.

15. REPLACEMENT PARTS AND WEARING

PARTS You can obtain the following replacement parts directiy from Customer Services: Designation Item number and/or order number 8 xadhesive electrodes | Item 661.02 (5 x 45 mm) 4x adhesive electrodes | Item 661.0 (50 x 100 mm)

Name and model EM 49 Type EM 49 Output waveform Biphasic rectangular pulse Pulse length 50-450 ps Pulse frequency 1150 Hz Output voltage max. 100 Vpp (500 ohm) Output current max. 200 mApp (500 ohm) Voltage supply 3x AAA batteries Treatment time Adjustable from 5 to 100 minutes intensity Adjustable from 0 to 50 Operating conditions 5°C-40°C (41°F—104°F) at a relative humidity of 40-70% 0° - 40°C (82°F - 104°F) at a relative humidity of 0-20% -25°C- 70°C (-13°F-158°F) at a relative humidity of 0-20% 132 x 63 x 29.5 mm (including belt clip) 83 g (including belt clip, without batteries), 117 g including belt clip and batteries) 3000 m

Storage conditions Transport conditions Dimensions Weight Use Altitude Limit Use Range Atmospheric Pressure The serial number is located on the device or in the battery compartment. Note: If the device is not used acording to the instructions specified, per- fect functionality cannot be guaranteed! We reserve the right to make technical changes to improve and develop the product. This device complies with European standards EN60601-1 and EN60601- 1-2 (in accordance with IEC 61000-4-2, IEC 61000-4-3, IEC 61000-4-4,

IEC 61000-4-5, IEC 61000-4-6, IEC 610004-8 and IEC 610004-11) and is subject to special precautionary measures with regard to electromagnetic compatibiliy. Please note that portable and mobile HF communication systems may interfere with this unit. More details can be requested from the stated Customer Services ad- dress or found at the end of the instructions for use. This device meets the requirements of European Directive 93/42/EEC for medical products, as well as those of the Medizinproduktegesetz (Ger- man Medical Devices Act).

17. NOTES ON ELECTROMAGNETIC COM-

PATIBILITY À WARNING! +_ The device is suitable for use in all environment listed in these in- structions for use, including domestic environments. The use of the device may be limited in the presence of electromag- netic disturbances. This could result in issues such as error messag- es or the failure of the display/device. Avoid using this device directiy next to other devices or stacked on top of other devices, as this could lead to faulty operation. If, how- ever, it is necessary to use the device in the manner stated, this de- vice as well as the other devices must be monitored to ensure they are working proper. The use of accessories other than those specified or provided by the manufacturer of this device can lead to an increase in electromagnet- ic emissions or a decrease in the device's electromagnetic immunity; this can result in faulty operation. Keep portable RF communication devices (including peripheral equipment, such as antenna cables or extemal antennas) at least 30 cm away from all device parts, including all cables included in deliv- ery. Failure to comply with the above can impair the performance of the device.

+ Failure to comply with the above can impair the performance of the device.

18. WARRANTY/SERVICE

Further information on the guarantee and guarantee conditions can be found in the guarantee leaflet supplied. Subject to errors and changes

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