SEM 43 - Fitness Equipment SANITAS - Free user manual and instructions

USER MANUAL SEM 43 SANITAS

1.1 What is Digital EMS/TENS and what can it do?..................................... 18

7.2 Procedure for programs TENS 1–7, EMS 1–27 and MASSAGE 1–10

ENGLISH Please read these instructions for use carefully and keep them for later use, be sure to make them accessible to other users and observe the information they contain. WARNING Warning instruction indicating a risk of injury or damage to health IMPORTANT Safety note indicating possible damage to the unit/accessory Note Note on important information Observe the instructions for use Protect from moisture Serial number Application part, type BF Disposal in accordance with EC Directive – WEEE (Waste Electrical and Electronic Equipment)

The CE labelling certifies that the product complies with the essen- tial requirements of Directive 93/42/EEC on medical products. Tabe of Contents18 Manufacturer Devices that can emit effective output values above 10mA or 10V, averaged over every 5 second interval

1. Getting to know your machine

1.1 What is Digital EMS/TENS and what can it do?

Digital EMS/TENS belongs to the group of electrical stimulation systems. It has three basic functions, which can be used in combination:

1. Electrical stimulation of nerve tracts (TENS).

2. Electrical stimulation of muscle tissue (EMS).

3. A massage effect generated by electrical signals.

For this, the device has two independent stimulation channels and four self- adhesive electrodes. It has various versatile functions in order to increase ge- neral wellbeing, alleviate pain, maintain physical fitness, relaxation, revitalise muscles and combat fatigue. You can either select these functions from preset programmes or determine them yourself according to your requirements. The operating principle of electrical stimulation equipment is based on simulat- ing the body’s own pulses which are transmitted transcutaneously to nerve or muscle fibres by means of electrodes. The electrodes can thereby be attached to many parts of the body, whereby the electrical stimuli are safe and practically painless. You merely feel a gentle prickling or vibrating in some applications. The electrical pulses transmitted to the tissue affect the trans mission of stimula- tion in nerve conductions as well as neural nodes and muscle groups in the field of application. The effect of electrical stimulation is generally only recognisable after regularly repeated application. Electrical stimulation does not replace regular exercising of the muscle, but is able to reasonably supplement the effect thereof. TENS, transcutaneous electrical nerve stimulation, means electrical stimu- lation of nerves through the skin. TENS is recognised as a clinically proven, effec- tive, non-medication method of treating pain from certain causes. It is free from side-effects when used properly, and can also thereby be used as a simple means of self-treatment. The pain-alleviating or suppressing effect is also achieved by preventing pain from being passed on into nerve fibres (above all through high- frequency pulses) and increasing the secretion of the body’s own endorphines which reduce awareness of pain through their effect on the central nervous sys- tem. The method is scientifically underpinned and medically approved. Any symptoms indicating TENS application must be clarified with the doctor in charge of your treatment. The latter will also give you information on the respec- tive benefits of TENS self-treatment. TENS is clinically tested and approved with the following applications:

Back pain, particularly also lumbar and cervical spine problems

Joint pain (e.g. knee joint, hip joint, shoulder)

Women’s period pains

Pain after injuries to musculoskeletal system

Pain with circulatory problems

Chronic pain through various causes Electrical muscle stimulation (EMS) is a widespread and generally recognised method and has been used for years in sports and rehabilitation medicine. In the sports and fitness field, one of the uses of EMS is as a supplement to convention- al muscle training, in order to increase the efficiency of muscle groups and adapt physical proportions to the desired aesthetic results. EMS application goes in two directions. On the one hand, a targeted strengthening of musculature can be pro- duced (activating application) and on the other hand a relaxing, resting effect can also be achieved (relaxing application). Active application includes the following:

Muscle training to improve endurance performance and/or

Muscle training to support the strengthening of certain muscles or muscle groups in order to achieve desired changes to body proportions. Relaxing application includes the following:

Muscle relaxation in order to loosen up muscular tension

Accelerating muscle regeneration after high muscular performance (e.g. after a marathon). Through integrated massage technology, Digital EMS/TENS also offers the possibility of reducing muscular tension and combating fatigue symptoms using a programme based on real massage in terms of sensation and effect.19 Using the positioning suggestions and programme charts in this manual, you can determine the machine setting fast and easily for the respective application (de- pending on the region of the body affected) in order to ensure the desired effect. Through the two separately adjustable channels, the Digital EMS/TENS has the advantage of adapting the intensity of the pulses independently of each other to two parts of the body to be treated, for example in order to cover both sides of the body or ensure even stimulation of larger areas of tissue. The individual intensity setting of each channel also allows you to treat two different parts of the body at the same time, whereby it is possible to save time compared with individual sequential treatment.

these instructions for use

2. Important Information

Use of the machine does not replace medical consultation and treatment. In the event of any type of pain or illness, you must therefore always first ask your doctor. WARNING! In order to prevent any damage to health, we would urgently advise against using the Digital EMS/TENS in the following cases:

With any implanted electrical devices (such as pacemakers)

In case of known or acute cardiac arrhythmias and other disorders in stimulus formation and conduction of the heart

If suffering from attacks (e.g. epilepsy)

After operations where increased muscle contractions might impair the healing process

Never use near the heart. Stimulation electrodes should never be placed anywhere on the front of the thorax (marked by ribs and breastbone), but above all not on the two large pectoral muscles. Here it can increase the risk of ventricular fibrillation and lead to cardiac arrest

On the bony part of the cranium, near the mouth, throat or larynx

Near the throat / carotid artery

On acutely or chronically diseased (injured or inflamed) skin (e.g. in the event of painful and painless inflammation, reddening, skin rashes (e.g. allergies), burns, bruises, swellings, open wounds and wounds in the process of heal- ing, on operation scars in the process of healing)

In environments with high humidity such as in the bathroom or when having a bath or shower

Do not use after consuming alcohol

When a high frequency surgical device is connected at the same time Before using the machine, you should consult with the doctor in charge of your treatment in the event of the following:

Acute diseases, especially if hypertension is suspected or actually exists, or blood-clotting disorders, tendency to thromboembolic diseases or in case of malignant new masses

Chronic pain disorders which have not been clarified, regardless of the region of the body

All sensitivity disorders with reduced pain awareness (such as metabolic dis- turbances)

Medical treatments carried out simultaneously

Complaints arising as a result of the stimulation treatment

Constant skin irritation as a result of prolonged stimulation at the same elec- trode point IMPORTANT! Use the Digital EMS/TENS solely:

For the purpose for which it was developed and in the manner specified in these instructions for use. Any improper use can be hazardous.

For external application.

With the original accessory parts which are supplied and can be re-ordered, otherwise the warranty becomes null and void.20

This unit is not intended for use by children or persons with physical, sensory (e.g. insensitivity to pain) or mental impairments or those who do not know how to use it due to a lack of experience or knowledge, unless they are su- pervised by a person responsible for their safety or have received instructions from them on how to use the unit.

If your skin or eyes come into contact with battery fluid, flush out the affected areas with water and seek medical assistance.

Choking hazard! Small children may swallow and choke on batteries. Store the batteries out of the reach of small children.

If a battery has leaked, put on protective gloves and clean the battery com- partment with a dry cloth.

Protect the batteries from excessive heat.

Risk of explosion! Never throw batteries into a fire.

Do not charge or short-circuit batteries.

If the device is not to be used for a long period, take the batteries out of the battery compartment.

Use identical or equivalent battery types only.

Always replace all batteries at the same time.

Do not use rechargeable batteries.

Do not disassemble, split or crush the batteries. PRECAUTIONARY MEASURES:

Always remove the electrodes from the skin with a moderate pull in order to avoid injury in the event of highly sensitive skin.

Keep the machine away from heat sources and never use it near (~1 m) short-wave or microwave equipment (e.g. mobile phones), as this may lead to unpleasant current spikes.

Do not expose the machine to direct sunlight or high temperatures.

Protect the machine from dust, dirt and humidity. Never submerge the device in water or other liquids.

The machine is suitable for private use.

For reasons of hygiene, the electrodes should only be used on one person.

If the machine is not functioning properly, or if you start feeling unwell or there is any pain, stop the application immediately.

To remove or move the electrodes, first switch off the machine or the appro- priate channel in order to avoid unwanted irritation.

Never modify any electrodes (e.g. by cutting). This leads to a higher current density and can be dangerous (max. recommended output value for electrodes: 9 mA/cm², an effective current density over 2 mA/cm² requires greater attention).

Do not use when asleep, when driving a vehicle or at the same time as oper- ating machinery.

Never use with any activities where an unforeseen reaction (e.g. increased muscle contraction despite low intensity) may be dangerous.

Make sure that no metallic objects such as belt buckles or necklaces can come in contact with the electrodes during stimulation. If you wear any jew- ellery or piercings (e.g. belly piercing) near the application site, you must remove these before using the machine as burning may otherwise occur at some points.

Keep the device away from children to prevent any hazards.

Do not confuse the electrode cables and contacts with your headphones or other devices, and do not connect the electrodes to other devices.

Do not use this machine at the same time as other equipment which sends electrical pulses to your body.

Do not use it near any highly flammable substances, gases or explosives.

Never use accumulators, always use the same types of battery.

In the initial minutes, carry out the application sitting or lying down in order to avoid any unnecessary risk of injury in the rare event of a vagal reac- tion (feeling of weakness). If you start feeling weak, switch the machine off immediately and put your legs up (approx. 5–10 minutes).

It is not advisable to apply any enriching creams or ointments to the skin be- forehand, as this greatly increases electrode wear or else unpleasant current spikes may occur here. Damage

If the device is damaged, do not use it and contact your retailer or the speci- fied Customer Services address.

• Check the device at regular intervals for signs of wear or damage. If you find any such signs or if the device was used improperly, you must bring it to the manufacturer or dealer before it is used again.

• Switch off the device immediately if it is defective or if is not working properly.

• Do not, under any circumstances, attempt to open or repair the machine your- self! Only have repairs carried out by the customer service department or an21 authorized dealer. If these instructions are not heeded, the warranty becomes null and void.

• The manufacturer assumes no liability for damage caused through improper or wrong use.

3. Current parameters

Electrical stimulation machines operate with the following current settings, which will alter the stimulation effect depending on the setting.

This describes the time function of the excitation current whereby monophase pulse trains are differentiated from biphase. With monophase pulse trains, the current flows in one direction. With biphase pulses, the excitation current alternates its direction. In the Digital EMS/TENS unit, there are only biphase pulse trains, as they reduce the strain on the muscle, leading to less muscle fatigue as well as safer application.

Frequency indicates the number of individual pulses per second, and is indicated in Hz (Hertz). It can be calculated by working out the inverse value of the periodic time. The respective frequency determines which types of muscle fibre preferably react. Slow-response fibres tend to react to lower pulse frequencies up to 15 Hz, while fast-response fibres only respond to frequencies over approx. 35 Hz. With pulses of approx. 45–70 Hz, there is permanent tension in the muscle com- bined with premature muscle fatigue. Higher pulse frequencies can therefore preferably be used for elasticity and maximum strength training.

Pulse width is used to indicate the duration of an individual pulse in microseconds. Pulse width also determines the pene tration depth of the current whereby in general, the fol- lowing applies: a greater muscle mass requires a greater pulse width.

Setting the degree of intensity is individually depend- ent on the subjective feeling of each individual user and is determined by a number of parameters such as application site, skin circulation, skin thickness as well as quality of electrode contact. The actual setting should be effective but should never pro- duce any unpleasant sensations such as pain at the site of application. While a slight tingling sensation indicates sufficient stimulation energy, any setting which leads to pain must be avoided. With prolonged application, readjustment may be necessary due to time adjust- ment processes at the site of application.

3.5 Cycle-controlled pulse parameter variation

In many cases it is necessary to cover the entirety of tissue structures at the site of application by using several pulse parameters. With the Digital EMS/TENS unit, this is done by the existing programmes automatically making a cyclical pulse parameter change. This also prevents individual muscle groups at the site of application from getting tired. With the Digital EMS/TENS unit there are useful presettings for current para- meters. With this, you can change the impulse intensity at any time during use. For 6 programs you can also set various parameters for stimulation yourself.

Intensity setting buttons (

Display (full screen):

Timer function (remaining time display) or working time

Impulse intensity channel 1 ( )

Impulse intensity channel 2 ( )

Program number Accessories:

1x belt clip Key functions Every time a key is pressed, this is acknowledged by a signal tone in order to ensure that any unintentional pressing of a key is detected. This signal tone cannot be switched off. ON/OFF (1) Press briefly to switch the device on. (2) Press once to interrupt stimulation treatment. (3) Hold ON/OFF key down (approx. 2 seconds) to switch off the machine. UP and DOWN Choice of treatment program, treatment time, frequency, pulse width, working time and pause time. M (Menu) (1) Navigation between , and menus. (2) Return to program selection screen or menu selection. E (Enter) (1) Menu selection. (2) To confirm a selection made with

DOWN , apart from channel intensity. Intensity setting buttons (

right) Setting pulse intensity. Keylock Locks the buttons to avoid them being pressed unintentionally. (1) To activate the keylock, hold down the button until the symbol is visible in the display (approx. 3 seconds). (2) To deactivate the keylock, hold down the button until the symbol disappears from the display (approx. 3 seconds).

Remove the belt clip from the machine, if attached.

Press the battery compartment cover on the rear of the device and slide it downwards.

Insert three AAA 1.5 V alkaline batteries. Make absolutely sure that you insert the batteries with the correct polarity as marked.

Replace the battery cover carefully (Fig. 1).

5. Reattach the belt clip, if required.

Attach the connecting cable to the electrodes (Fig. 2).

The electrodes have a clip fastener to ensure easy connection.

Guide the connection cable plugs into the socket on the top of the device (Fig. 3).

Please note that when the battery is replaced or removed, all settings are restored to the factory default settings.

The Digital EMS/TENS unit has a total 50 programmes:

10 MASSAGE programmes In all programs you can set the impulse intensity of both channels individually. You can also set various parameters in the TENS programs 8 –10 and the EMS programs 28 – 30 to adjust the stimulating effect to the application area.

6.2 Information on placing the electrodes

For the desired success of any stimulation application, it is important that elec- trodes are placed sensibly. We advise you to coordinate with your doctor regarding the best electrode posi- tions for your intended field of application. The electrode positions suggested inside the cover (Figs. 1– 28) serve as a guide. The following applies when choosing electrode positions: Electrode distance The greater the electrode distance which is selected, the greater will be the volume of tissue that is stimulated. This applies to the area and the depth of the tissue volume. At the same time, however, the strength of tissue stimulation decreases as the electrode distance becomes greater, which means that, if a greater electrode distance is chosen, a greater volume is stimulated, but stimu- lation is weaker. To increase stimulation, pulse intensity must then be increased. The following guideline holds when selecting electrode distances:

most reasonable distance: approx. 5 –15 cm,

below 5 cm, it is mainly surface structures which are strongly stimulated,

over 15 cm, large-area and deep structures are stimulated very weakly. Electrode relationship to muscle fibre orientation Choice of current flow direction must be adapted to the mus- cle fibre orientation according to the desired muscle layer. If surface muscles are to be reached, the electrodes must be placed parallel to the fibre orientation (A – B / C – D). If deep tis- sue layers are to be reached, the electrodes must be placed crosswise to the fibre orientation

The latter arrangement can, for example, be achieved via the cross electrode arrange- ment, e.g. A – D / B – C. Note the colour-codes of the cables and the channels. The white cable belongs to channel CH1 and the grey cable to channel CH2.

In the treatment of pain (TENS) using the Digital EMS/TENS machine with its 2 separately controllable channels and in each case 2 adhesive elec- trodes, it is advisable to either position the electrodes of one channel so that the pain spot lies between the electrodes or else you position one electrode directly on the pain spot and the other at least 2 – 3 cm away. The electrodes of the second channel can be used to treat other pain spots si- multaneously or else, however, together with the electrodes of the first channel, to surround the pain area (opposite). A cross arrangement is again advisable here.

In order to extend the durability of the electrodes, use them on clean skin which is as free as possible from hair and grease. If necessary, clean the skin with water before application and remove the hair.

If an electrode should come loose during use, the impulse intensity of the corresponding channel is reduced to the lowest level. Apply the electrode again and reset the desired impulse intensity.

6.3 TENS program table

Prog. No. Reasonable areas of application Indications Phase Running time ( minutes)

The TENS 8 - 10 programme can be set individually, see 7.3.2 (p. 26).

D24 Note: Electrode position is supposed to surround the painful area. With pain- ful muscle groups, the electrodes are grouped round the muscle affected. In case of joint pain, the joint on the front/rear side of the joint and, if electrode distances permit, on the right and left sides of the joint, should be surrounded with electrodes. Minimal electrode distance should not be less than 5 cm and not exceed 15cm. See figure no. 25 and 28 for knee and ankle joint. Burst programmes are suitable for all sites which should be treated with an al- ternating signal pattern (to ensure minimum habituation).

6.4 EMS program table

Prog. No. Reasonable areas of application Indications Possible electrode position Phase Running time ( minutes) 1 Capillarisation 1 – 28

3 Cooling down after training/match 1 – 28

4 Maximum power of lower limbs 22, 23, 24, 26, 27

5 Resistance of lower limbs 22, 23, 24, 26, 27

6 Explosive power of lower limbs 22, 23, 24, 26, 27

7 Maximum power of torso and upper limbs 1 – 20

8 Resistance of torso and upper limbs 1 – 20

9 Explosive power of torso and upper limbs 1 – 20

10 Lipolysis of lower limbs 22, 23, 24, 26, 27

Prog. No. Reasonable areas of application Indications Possible electrode position Phase Running time ( minutes) 11 Toning of lower limbs 22, 23, 24, 26, 27

12 Strengthening of lower limbs 22, 23, 24, 26, 27

13 Shaping of lower limbs 22, 23, 24, 26, 27

14 Increasing size of lower limbs 22, 23, 24, 26, 27

15 Lipolysis of stomach muscles 18,19, 20

16 Toning of stomach muscles 18,19, 20

17 Strengthening of stomach muscles 18,19, 20

18 Shaping of stomach muscles 18,19, 20

20 Strengthening of upper limbs 12 – 17

22 Increasing size of upper limbs 12 – 17

23 Toning of hips and thighs 20, 23, 24

24 Strengthening of hips and thighs 20, 23, 24

25 Toning of gluteal muscles

26 Strengthening of gluteal muscles

27 Shaping of gluteal muscles

The EMS 28 - 30 programme can be set individually, see 7.3.3 (p. 26).25

6.5 MASSAGE program table

Prog. No. Reasonable areas of applicationIndicationsPhase Running time ( minutes)1 Muscle strain relief 1 202 Relaxing massage 1 253 Invigorating massage 1 204 Tapping massage 1 155 Tapping and jet massage 1 156 Vibrating massage 1 207 Warm up massage 1 1 208 Warm up massage 2 1 109 Pressure massage 1 2010 Kneading and pressure massage 1 20 Electrodes must be placed so that they surround the muscle segments in questi- on. For optimal effect, electrode distance must not be greater than approx. 15cm. The electrodes should not be applied to the anterior wall of the thorax, i.e. never massage the left or right large pectoral muscle.

7.1 Advice on application

If the machine is not used within 2 minutes, it switches off automatically (au- tomatic switch-off function). When the unit is switched on again, the LCD screen displays the menu selection and the most recently used menu flashes.

If an admissible key is pressed, there is one short beep. If an inadmissible key is pressed, there are two short beeps.

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.

7.2 Procedure for programs TENS 1–7, EMS 1–27 and

Select a suitable program from the program tables (p. 23–27).

Place the electrodes on the desired area for treatment (for positioning sug- gestions see electrode positions, p. 2) and connect them to the device. Selecting a program

Press the ON/OFF button to switch on the device.

Using the M button, navigate through the menus / / (Fig. 1, Example TENS display) and confirm your selection with the E button.

Using the UP/DOWN buttons, select the desired program and confirm your selection with the E button (Fig. 2, Example TENS program 03). General information If you wish to return to the previous selection menu, press the M button. By holding down the E button, you can skip individual set- ting steps and start directly with the stimulation treatment. Setting the impulse intensity

At the start of stimulation treatment, the impulse intensity of and is set to 00 as default. No impulses are sent to the electrodes yet.

Using the INTENSITY SETTING buttons, select the desired impulse intensity. The impulse intensity display is adjusted accordingly (Fig. 3). The impulse intensity of and can be set individually.

If the program is in a pause phase, the intensity cannot be increased.

(TENS programs 8-10 and EMS programs 28-30 only) Using the UP/DOWN buttons, select the desired treatment time. You can set a treatment time from 5 minutes to 100 minutes (Fig. 4, Example treatment time of 20 min.). Confirm your selection with the E button. The stimulation treatment begins and the operation status display starts to flash alternately (Fig. 5). Fig. 1 Fig

7.3.2 Setting individual TENS programs

Procedure for TENS 08 program TENS 08 is a preset program that you can also personalise. In this program you can set the impulse frequency to between 1 and 150 Hz and the impulse width to between 50 and 250 µs.

Place the electrodes on the desired area for treatment (for positioning suggestions see electrode positions, p. 2) and connect them to the device. Select the TENS 08 program, as described in section 7.2 “Selecting a program” (p. 25).

Using the UP/DOWN buttons, select the desired impulse frequency and confirm with the E button (Fig. 1, Example impulse frequency of 100 Hz).

Select the desired treatment time, as described in

Select the desired impulse intensity, as described in

7.2 “Setting the impulse intensity” (p. 25).

Procedure for the TENS 09 program TENS 09 is a preset burst program that you can also personalise. In this pro- gram, you can set the impulse width to between 50 and 250 µs.

Place the electrodes on the desired area for treatment (for positioning sugges- tions see electrode positions, p. 2) and connect them to the device. Select the TENS 09 program, as described in 7.2 “Selecting a program” (p.

• Select the desired treatment time, as described in

7.3.1 “Setting the treatment time” (p.

• Select the desired impulse intensity, as described in

7.2 “Setting the impulse intensity” (p.

Procedure for the TENS 10 program TENS 10 is a preset program that you can also personalise. 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, p. 2) and connect them to the device. Select the TENS 10 program, as described in 7.2 “Selecting a program” (p. 25).

Using the UP/DOWN buttons, select the desired impulse fre- quency and confirm with the E button (Fig. 1, Example impulse frequency of 100 Hz).

Select the desired treatment time, as described in

Select the desired impulse intensity, as described in

7.2 “Setting the impulse intensity” (p. 25).

7.3.3 Setting individual EMS programs

Procedure for the EMS 28 program EMS 28 is a preset program that you can also personalise. In this program, you can set the impulse frequency to between 1 and 100 Hz and the impulse width to between 50 and 320 µs.

Place the electrodes on the desired area for treatment (for positioning sugges- tions see electrode positions, p. 2) and connect them to the device. Select the EMS 28 program, as described in 7.2 “Selecting a program” (p. 23).

Using the UP/DOWN buttons, select the desired impulse frequency and confirm with the E button (Fig. 1, Example impulse frequency of 30 Hz).

Select the desired treatment time, as described in

Select the desired impulse intensity, as described in

7.2 “Setting the impulse intensity” (p. 25).

Procedure for the EMS 29 program EMS 29 is a preset program that you can also personalise. In this program, you can set the impulse frequency to between 1 and 100 Hz. The impulse width changes automatically during the stimulation treatment. Fig

Place the electrodes on the desired area for treatment (for positioning suggestions see electrode positions, p. 2) and connect them to the device. Select the EMS 29 program, as described in 7.2 “Selecting a program” (p. 25).

Using the UP/DOWN buttons, select the desired impulse fre- quency and confirm with the E button (Fig. 1, Example impulse frequency of 30 Hz).

Select the desired treatment time, as described in

Select the desired impulse intensity, as described in

7.2 “Setting the impulse intensity” (p. 25).

Procedure for the EMS 30 program EMS 30 is a preset program that you can also personalise. In this program, you can set the impulse frequency to between 1 and 100 Hz. 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, p. 2) and connect them to the device. Select the EMS 30 program, as described in 7.2 “Selecting a program” (p. 23).

Using the UP/DOWN buttons, select the desired length of working time and confirm with the E button (Fig. 1, Example working time of 2 seconds).

Using the UP/DOWN buttons, select the desired length of pause time and confirm with the E button (Fig. 2, Example pause time of 10 seconds).

Using the UP/DOWN buttons, select the desired impulse frequency and confirm with the E button (Fig. 3, Example impulse frequency of 30 Hz).

Select the desired treatment time, as described in

Select the desired impulse intensity, as described in

7.2 “Setting the impulse intensity” (p. 25).

7.4 Changes to the settings

Changing intensity (during application)

: Changing the intensity for each channel. Interrupting stimulation Press the ON/OFF button . Changing application (completely or single parameters)

Doctor’s Function is a specific setting to allow you to call up your specific per- sonal programme even more easily. Your individual program settings are instantly recalled and activated when the device is switched on. Settings for this individual programme may, for example, be on the advice of your doctor. Setting the Doctor’s Function

Select your programme and appropriate settings as described under 7.2 or

At the start of the stimulation treatment, the impulse intensity of and is set to 00 as default. No impulses are sent to the electrodes yet. Be- fore setting the desired impulse intensity using the intensity setting buttons, press and hold the

button for 5 seconds. Storage in the Doctor’s Func- tion is confirmed with a long acoustic signal. Cancelling Doctor’s Function To clear the device again and to reallow access to other programs, press and hold the

button again for approx. 5 seconds. To do this, the impulse in- tensity of and must be set to 00. Deletion of the Doctor’s Function is confirmed with a long acoustic signal.

8. Cleaning and storage

To ensure that the adhesive electrodes remain adhesive for as long as pos- sible, 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. Fig

Before cleaning with water, remove the connection cables from the electrodes.

After use, stick the electrodes onto the backing film. Cleaning the unit

Remove the batteries from the device every time you clean.

Clean the unit after use with a soft, slightly moistened cloth. In case of more extreme soiling you can also moisten the cloth with mild soapy water.

Do not use any chemical cleaners or abrasive agents for cleaning. Ensure that no water enters the device. Storage

Remove the batteries from the unit if you are not going to use it for a longer period. Leaking batteries can damage the unit.

Do not make any sharp kinks in the connecting leads or electrodes.

Detach the connecting cable from the electrodes.

After use, stick the electrodes onto the backing film.

Store the machine in a cool, well-ventilated place.

Never place any heavy objects on the machine.

The empty, completely flat batteries must be disposed of through specially designated collection boxes, recycling points or electronics retailers. You are legally required to dispose of the batteries. The codes below are printed on batteries containing harmful sub- stances: 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 its useful life. Dispose of the unit at a suitable local collection or recycling point. Dispose of the device in accordance with EC Directive – WEEE (Waste Electrical and Electronic Equipment). If you have any questions, please contact the local authorities responsible for waste disposal.

10. Problems and solutions

The machine does not switch on when the ON/OFF button is pressed. What should I do? (1) Make sure that the batteries have been inserted correctly and have contact. (2) Change the batteries if necessary. (3) Contact customer service. The electrodes are detaching themselves from the body. What should I do? (1) Clean the adhesive surface of the electrodes with a damp, lint-free cloth. Then let them dry in the air and attach them again. Should the electrodes still not adhere firmly, they must be replaced. (2) Before each application, clean the skin, avoiding using any skin cream or oils before treatment. Shaving can increase adhesion of the electrodes. There is no noticeable stimulation. What should I do? (1) Interrupt the programme by pressing the ON/OFF button . Make sure that the connecting leads are properly connected to the electrodes. Make sure that there is a firm contact between the electrodes and the treatment area. (2) Make sure that the plug of the connecting lead is firmly connected to the ma- chine. (3) Press the ON/OFF key to start the programme again. (4) Check that the electrodes are positioned properly and make sure that the ad- hesive electrodes are not overlapping. (5) Increase pulse intensity in stages. (6) The batteries are almost empty. Replace these. What to do if the battery symbol is displayed. Replace all batteries. You are aware that the electrodes feel uncomfortable. What should I do? (1) The electrodes are badly positioned. Check positioning and if necessary re- position the electrodes. (2) The electrodes are worn. Due to the fact that current distribution can no longer be guaranteed evenly over the entire surface, these may lead to skin irritation. You must therefore replace these. The skin in the treatment area becomes red. What should I do? Stop treatment immediately and wait until the skin has returned to normal. If any redness beneath the electrode soon disappears, this is not dangerous and is due to the increased circulation which has been stimulated locally.29 If, however, the skin irritation remains and there is possibly itching or inflamma- tion, please consult your doctor before further use. It may possibly be caused by an allergy to the adhesive surface.

11. Technical details

Name and model: SEM 43 Initial curve shape: biphase square-wave pulse Pulse duration: 50 – 450 µs Pulse frequency: 1–150 Hz Output voltage: max. 100 Vpp (at 500 Ohm) Output current: max. 200 mApp (at 500 Ohm) Power supply: 3x AAA batteries Treatment time: adjustable from 5 to 100 minutes Intensity: adjustable from 0 to 50 Operating conditions: 10 °C – 40 °C (50 °F – 104 °F) with a relative humidity of 30 – 85 % Storage conditions: -10 °C – 50 °C (14 °F – 122 °F) with a relative humidity of 10 – 95 % Dimensions: 135 x 66 x 29 mm (incl. belt clip) Weight: 107 g, (incl. belt clip, without batteries) 133 g, (incl. belt clip and batteries) Note: If the machine is not used according to these specifications, perfect func- tioning is not guaranteed. We reserve the right to make any technical alterations that are necessary in or- der to improve and develop the product further. This unit is in line with European Standards EN60601-1, EN60601-1-2 and EN60601-2-10 and is subject to particular precautions with regard to elec- tromagnetic compatibility (EMC). Please note that portable and mobile HF communication systems may interfere with this unit. For more details, please contact customer service at the address indicated. The machine meets the requirements of the European Medical Products Directive 93/42/EC and the German Medical Products Act.

12. Replacement parts and wearing parts

REMARQUES RELATIVES AUX PILES