ALPHAMED Alpha-Stim PPM User manual

OWNER'S MANUAL
Alpha-Stim®PPM
Personal Pain Manager
Microcurrent Stimulator
for control of acute, chronic, and post operative pain

A NOTE TO DOCTORS
Thank you for recommending the Alpha-Stim® PPM . This manual is written for the person who will be using the Alpha-Stim® PPM , but your
input will be invaluable to your patient. One way to help is to explain to your patient exactly where his or her problem is located, along with any
corresponding areas (such as the low back in the case of leg pain). You might suggest specific electrode locations for your patient’s particular
problem. Alpha-Med is available to serve the needs of your patients, and to support you in doing so. New research is constantly available that may
have a direct bearing on one of your patient's specific disorders. Feel free to write, call, fax, or email Alpha-Med for any reason at all.
Type B Equipment. This stimulator is internally powered only.
See Instructions for use.
Read this manual thoroughly before using. Do not plug lead wires into wall sockets or line cord
receptacles under any circumstances. Doing so could result in severe shock or burns whether the lead
wires are attached to the stimulator or not.
Medical Electrical Equipment classified by Underwriters Laboratories Inc.® with respect to electric shock, fire,
mechanical and other specified hazards only in accordance with UL-2601-1 and CAN/CSA C22.2 No. 601.1.
34VF.
Conformity Statement for Europe:
The Alpha-Stim® PPM is a Class IIa, Type B medical device. It has been independently tested by
outside agencies in order to provide assurance of conformity to applicable standards for medical
equipment safety and electromagnetic compliance.
© Copyright 2002 by Electromedical Products International, Inc. ALL RIGHTS RESERVED
Alpha-Stim ® is registered in the US Patent and Trademark office and worldwide.
CONTENTS
Introduction…………………………………………………………………………………………………………………………..
Description…………………………………………………………………………………………………………………………...
Electromedical Therapeutics……………………………………………………………………………………………………….
H ow To Use The Alpha-Stim® PPM For Pain Control…………………………………………........................................….
How to Perform a Self-Diagnostic Test..............................................................................................................................
Skin Care……………………………………………………………………………………………………………………………..
What to Expect………………………………………………………………………………………………………………………
Prescribing Information: Indications, Contraindications, Precautions, Adverse Effects……………………………………..
Technical Specifications……………………………………………………………………………………………………………
Storage and Cleaning………………………………………………………………………………………………………………
Trouble Shooting…………………………………………………………………………………………………………………….
Service……………………………………………………………………………………………………………………………….
5 Year Limited Warranty……………………………………………………………………………………………………………

INTRODUCTION
Congratulations on your selection of the Alpha-Stim® PPM microcurrent electrical therapy (MET) device. You have
purchased a quality medical instrument. In so doing, you have already taken the first step to a more comfortable and
rewarding life.
Alpha-Med was established with the aim of improving the quality of our Clients' lives and we are dedicated to help
those who use our products. We have technical experts available to assure that you receive the best Possible
support. Telephone consultations can be scheduled with you and your doctor, Sunday through Thursday, 10 a.m. to 5
p.m. You may
also communicate with us by mail, fax or email. We stand behind all our Alpha-Stim Stimulators with the
manufacturer's 5 year warranty as indicated In this manual.
The Alpha-Stim® PPM is a precision medical instrument used for the management of acute, chronic, and post
operative
pain. This treatment is non-invasive and drug-free. The Alpha-Stim® PPM provides a welcome alternative to drugs,
especially in disorders that require long-term management. Unlike some drugs, the Alpha-Stim® PPM leaves the
mind alert. The dangerous side effects of drugs are avoided, including accidental, intentional, and/or suicidal
overdosing. After treatment, there are usually no physical limitations imposed so you can resume normal activities.
The treatment
is simple and can easily be self-administered at any time.
The current is applied by easy-to-use self-adhesive electrodes. During a treatment you may experience a mild tingling
sensation as a result of the stimulating current flow.
The Alpha-Stim® PPM is often the only means required to relieve pain. However, it may also be added to other
therapy prescribed by your doctor. The Alpha-Stim® PPM will not interfere with most other treatments.
Once you understand the basic procedures, you will find the Alpha-Stim® PPM is very easy to use. Please read this
entire
manual thoroughly before using it. Be sure to follow the general instructions given herein, and any specific directions
from your doctor.
DESCRIPTION
The Alpha-Stim® PPM was developed through original research by Electromedical Products International, Inc., in
Texas, USA. It is a precision technology which generates a modified square, bipolar waveform of 0.5 pulses per
second (Hz), 10 to 600 millionths of an ampere (µA), at a 50% duty cycle.
The Alpha-Stim® PPM is small, compact and light-weight. Its design lends itself well to treatment in a health
practitioner's office, clinic or hospital as well as self-administered treatment at home.
The single control is simple and easy to operate. A timer assures the prescribed treatment time. The amount of
current can
be easily modified for maximum comfort and effectiveness.
Microcurrent electrical therapy, or MET, is a term used to describe a low level current used for pain control applied
through
easy-to-use self-adhesive electrodes. It is distinguished from previous forms of transcutaneous electrical nerve
stimulation (TENS) in that MET uses far less current, but delivers the current in much longer pulses. Whereas TENS
devices must be constantly worn because they offer virtually no residual effect, MET effects are long-lasting and
cumulative.
Results in electro medicine are based on the design of the waveform, the amount of current (intensity), the location of
the electrodes, and the amount of time it is used. The Alpha-Stim® PPM has 2 waveform generators; one generates
the 0.5 Hz waveform and another serves to add random factors to avoid accommodation by the nervous system. The
Alpha-Stim®PPM is actually a microcomputer, incorporating the latest advances in solid state electronics. All
components are of the highest quality available to assure the user the ultimate in reliable and trouble-free
performance. The output is accurate within 0.1% under all operating conditions. The instrument's design assures
electrical safety to the user by the use of
readily available 1.5 volt batteries.

One important feature incorporated into the Alpha-Stim® PPM is an electronic circuit which operates to maintain a
nearly constant current flow to the electrodes, minimizing the effects of electrode resistance variations due to poor
electrode-to-skin contact.
The Alpha-Stim®PPM was developed by neurobiologist Dr. Daniel L. Kirsch and consultant engineers. Dr. Kirsch
has been a leading pioneer in the field of electromedicine since 1972. He is board-certified in pain management by
the American Academy of Pain Management and is a Fellow of the American Institute of Stress. Dr. Kirsch has
served as Clinical Director of the Center for Pain and Stress-Related Disorders at Columbia-Presbyterian Medical
Center in New York City and the Sports Medicine Group in Santa Monica, California. He lectures frequently to
physicians worldwide on pain and stress management. Only original Alpha-Stim®products meet Electromedical
Products International, Inc.’s exacting specifications.
ELECTROMEDICAL THERAPEUTICS
The application of electro medical currents is not a new concept. Ancients recognized the therapeutic value of
naturally
occurring electrical phenomena long before William Gilbert defined electricity in 1600. Both Aristotle and Plato refer to
the Black Torpedo (electric ray fish) prescribed in 46 AD by the physician Scribonius Largus for the relief of a variety
of medical conditions from headaches to gout (head to foot). In the 1800s dentists reported excellent results using
crude electrical devices for pain control.
One hundred years ago, electrical devices were in widespread use to manage pain and claimed to cure a variety of
medical
disorders. Because of the unrefined early electrical technologies and political clout of the pharmaceutical lobbies, this
form of therapy fell into disrepute by the medical profession in the early part of the 20th century. As a result, medical
colleges stopped teaching electrotherapeutics. Biophysics was virtually eliminated from medical practice leaving
chemistry as the master science and with it the burden of responsibility for curing all of mankind's ills. Now, at the turn
of the 21st century, it is clear that chemistry as the sole explanatory model for medicine has not lived up to its
promise causing modern medicine to re-examine the role of biophysics.
In 1965 Drs. Ronald Melzack of Canada and Patrick Wall of the United Kingdom published a paper explaining a new
comprehensive theory of how pain is processed by our nervous systems. Their “Gate Control” theory also explained
how electrical stimulation can influence the physiology of pain. By 1967 electrical devices were surgically implanted to
control severe low back pain. Shortly thereafter, surface electrical units were used to test the person's response as a
means of screening suitable surgical candidates. It was soon discovered that these surface electrical stimulators
were equally effective and could be used for pain relief alone, avoiding surgery. Since then, these devices, known as
transcutaneous electrical
nerve stimulators (TENS), have become widely accepted by doctors and dentists to control many forms of pain.
TENS technology is based on the concept of using electricity as a force. Repeatedly tapping a painful area with a
blunt object, such as a pen or a spoon accomplishes the same thing. That is why TENS is sometimes referred to as
counter-irritation analgesia. There is virtually no residual effect with TENS and the people who use it develop a
tolerance to electrical stimuli that requires increasing the amount of current until it is ineffective at safe levels.
Modern science has established that there are extensive electrical fields at work in the body. The nervous system, for
example, has long been known to work through both electrochemical and purely electrical signals. In fact, all
molecules are held together by electrical bonding at the atomic level. This knowledge has led medical scientists such
as Dr. Robert Becker of the USA and Dr. Björn Nordenström of Sweden (who served as Chairman of the Nobel
Assembly) to propose completely new theories of physiology based on bioelectrical control systems.
Over the past few decades, technology has surpassed chemical analysis for the diagnostic side of medicine. With
Alpha-Stim® technology, therapeutic intervention based on the new biophysics is finally emerging as a viable
alternative to pharmacological management and surgery. The original Alpha-Stim® Model 2000, a sophisticated
clinical device, weighed 40 pounds and cost $5,850 US when it was first introduced in 1981. The Alpha-Stim® PPM
microcurrent stimulator utilizes the most advanced technology available today. It is now possible, in most cases, to
alleviate pain with far less current than traditional TENS uses, and experience long term and cumulative relief with as
little as only a few minutes of treatment every other day. When used properly, we trust your new Alpha-Stim® PPM
will help to control your pain and improve the quality of your life.

HOW TO USE THE ALPHA-STIM® PPM FOR PAIN CONTROL
1. Clean skin - It is a good idea to clean the skin thoroughly
around the treatment area before applying electrodes. Use mild
soap and water and allow it to dry thoroughly. This is essential
around areas where skin oils or dirt have accumulated, or where
cosmetics or hair spray have been used.
2. Evaluate your pain - Don’t forget to evaluate your pain before,
from time-to-time during, and after each treatment. Your doctor
can give you guidelines to help you do a quick, simple evaluation.
This may consist of simply moving into a position that causes you
to be more aware of your pain, then noting the level of pain you
are experiencing on a 0 (no pain) to 10 (maximum pain) scale at
the beginning and end of the treatment. Moving the affected body part through a range-of-motion and noting the
increased range along with the decreased pain after treatment is also a good indicator of
progress. Because the Alpha-Stim® works so fast in most people, it is necessary to use these reference parameters
to determine effectiveness throughout a single treatment session. Keeping a daily (or even as often as hourly) chart
of changes in your pain levels on a 0 to 10 scale will also assist your doctor in giving you the best possible advice.
Consider 10 as "the worst this condition has been". To help you understand this system, a description of pain levels
follows (use odd numbers for half values):
PAIN LEVEL DESCRIPTION
10 EXCRUCIATING, often debilitating.
8 INTOLERABLE, concentration difficult, only able to perform undemanding tasks.
6 DISTRESSING, but able to continue tasks.
4 DISCOMFORTING, may be ignored at times.
2 MILD, only aware of it when attention is brought to it.
0 NO PAIN.
It is also helpful to keep a record of the Alpha-Stim® treatment times with the intensity (0 - 6 x 100 µA) settings along
with the electrode locations you use.
Some questions that will help you and your doctor understand your pain are:
•When did it start?
•Is there a position that lessens or increases it?
•Is there anything you can do to lessen or increase it?
•Does it feel deep under the skin or superficial?
•Are there any particularly sensitive spots you can point to with one finger?
•Is it always in the same place or does it move around?
•Are you having other symptoms which may be associated with your pain?
•How does it change throughout the day or week?
•What words describe it (such as burning, stabbing, aching, sharp or dull, superficial or deep,
etc.)?
3. Connect wires to Alpha-Stim® PPM - Insert the plug of the electrode wire into the output receptacle
on the Alpha-Stim®. The top receptacle is for channel 1, the bottom is for channel 2.
4. Attach electrodes to wires - Insert the pin jacks directly into the wires coming off the
self-adhesive e l e c t r o d e s. Push gently, but firmly into place for a good connection.
5. Place electrodes - Where you place the AS-Trode™ self-adhesive electrodes is the
most important variable for optimum results. You must always use electrodes in pairs. (if
you are using both channels, you must use one pair for each channel).
Peel the self-adhesive electrodes off of the protective backing and save the backing to
store the electrodes after use. If the adhesive is drying out and the electrodes do not stick
well, you may wet the electrodes by wetting your finger with water and lightly rubbing it
over the electrode for just 1 second (too much water will saturate them and actually
shorten their life). Discard and replace electrodes when adhesive has split or worn
through to the conductive backing. Only use EPI AS-Trode™ brand silver electrodes
ONE SWITCH OPERATION
Read the following instructions
carefully. Then, you may simply
place the electrodes and turn the
POWER control on. That's all there
is to it!
If necessary, adjust the
intensity up or down to a
comfortable level at any ti
me during
treatment.

available through your authorized Alpha-Stim® distributor. Some electrodes are as much as 20 times less conductive
tand will not allow the Alpha-Stim® current to penetrate the skin resistance. A separate individual package of
electrodes should be used for each person using the device.
Follow your physician's recommendations or use the following electrode placement guidelines:
There are only a few principles one must remember when treating pain with the Alpha-Stim® PPM. You should be in
a relaxed position to receive maximum beneficial effects. The most important variable is the position of the self-
adhesive AS-Trode™ electrode pads. Always place the AS-Trode™ electrodes in such a way that if a line were
drawn between them, that line would transect the problem area. Keep in mind that the body is 3-dimensional.
Therefore, there will be many possible ways to draw a line through the problem area. Some lines will work much
better than others. The correct electrode location is the one that works! However, the one that works may be
transient, working well one day, but ineffective another day. As the problem begins to resolve, the electrode locations
may require constant adjustments.
For optimum results, silver AS-Trode™ electrodes may be moved around the problem area. Think in terms of
symmetry.
Consider treating related areas located above, below, left, and right. Treat both sides of your body. This is essential in
back problems, but treating the opposite side is also often helpful in arm and leg problems. Our natural tendency to
protect a bad knee can cause problems to develop in the other knee. Treatment of the other "good" knee may be
necessary to get any results or to increase the longevity of the results. Then it is helpful to connect the 2 knees. This
is done by putting one of the pads from a single channel on each knee, and moving them around to a few different
places.
Often the pain will migrate as a response to therapy. Follow it. Use the same treatment strategy described above for
the pain's new location. In some very rare cases, the treatment may initially increase pain temporarily. If the pain
does increase, continued treatment will usually produce good results. An increase in pain is most likely due to the
treatment’s effects on the body’s compensation for the pain. For example, a weakness of the muscles on one side of
the back often results in a tightness on the opposite side. If the tighter muscles are causing the pain, and treatment is
concentrated solely on the area of pain, the other side will find other ways to compensate. That is why it is always
best to treat a broad area around the pain.
Do not place the electrodes too close together. For example, one right next to each side of the spine is not a good
placement
for back pain. In this 2-dimensional example the current will travel just under the surface of the skin to the other
electrode and not penetrate to the area requiring treatment. Here it would be better to put one electrode next to the
spine and the other on the opposite side of the body, on the side, near the front. Another possible electrode
placement for back pain is to place one on each side of the body (between the shoulders and the hips) at the level of
pain.
Some people require a few minutes, or an hour or more of stimulation daily. Others may need to use the Alpha-Stim®
PPM continuously, all day long.
Helpful Suggestions:
Reevaluate your pain using the 0 to 10 scale after one hour of treatment. For some simple problems, it is preferable
to reevaluate more often. Use the original criteria. Stop when the pain is completely gone, or when the improvement
has reached a plateau after several hours. Continuing to treat the area at this time may cause the pain to return! If the
pain is gone, it is far better to stop treatment until the pain returns.If you can no longer identify any pain, but feel stiff,
this indicates that it is time to stop treatment. The Alpha-Stim® will not reduce residual stiffness. Usually post-pain
stiffness will wear off by itself.
Although most people will have an immediate response to treatment, in some the effects will be delayed, continuing
to improve over a day or 2 after the treatment. In these people, relief will generally occur 1 to 3 hours after treatment
or even as late as the next morning. Some people will experience a combination effect, continuing to improve over
time. People who experience a delayed effect are more difficult to treat due to lack of immediate feedback which
helps to determine the best electrode locations. Usually, people who experience a delayed effect from Alpha-Stim®
treatment also have a delayed effect with anesthetics. If your dentist had to wait more than 10 minutes after injecting
anesthetic prior to doing dental procedures, you may have a delayed effect from Alpha-Stim® treatment. A treatment
diary is helpful in analyzing your progress if you have a delayed effect.

Follow-Up
Most people should try at least 3 weeks of treatment before evaluating their response to Alpha-Stim® PPM therapy. It
helps
to understand that the effects are cumulative. Like antibiotics and most other drugs, one must take several doses
over a period of time to get results. Although results will usually be seen during or subsequent to the first treatment,
the longevity of the results can only be evaluated after a series of treatments. In some cases the results will plateau
to a similar time period regardless of treatment. For example, you may only get 2 days of relief no matter what
combination of treatment strategies are employed. In some cases of severe pathology, the effectiveness may only be
short-lived.
Tips For Limited Or Poor Results
While the Alpha-Stim® PPM is significantly efficacious when it is used correctly (greater than 25% improvement
in signs and symptoms) in at least 90% of the people who use it, it will not work for everyone. However, if pain
relief is not immediate, consider treating the primary area of pain at a lower intensity setting of 1 - 2 (100 to 200
µA) with AS-Trode™ electrodes for as long as necessary. It can be used all day. It may also be necessary to
treat all areas of pain anywhere on the body in order to get results. Finally, If the Alpha-Stim® PPM is not
working well for you, contact Alpha-Med, your local authorized Alpha-Stim® distributor for technical support, or to
upgrade to an Alpha-Stim® 100.
6. Turn the power on and set the intensity - Rotate the dial on the front panel slowly to achieve the desired
amount of current. The dial ranges from 0 to 6. Each number represents 100 microamperes (µA), 1 is for 100 µA, 2 is
for 200 µA, etc. One microampere is one millionth of an ampere, which is a measure of current. First make sure the
intensity dial is set at a low level (no more than 2). The LCD will start to count the treatment time. After placing your
electrodes, turn up the intensity very slowly. Most people can take the full amount of current, but some people are
more sensitive and must use a lower current. Initially treat at 6 (600 µA) if possible. Because the Alpha-Stim® PPM
uses such a low level of current, many people do not feel anything at all, even with the
intensity set at the maximum level of 6. Do not be concerned if you can not feel the current as
this is perfectly normal and your perception of the current will not effect the results. After the
pain is reduced to a comfortable level, turn the current down as low as possible to control the
pain, but never less than 1 (100 µA). Another strategy is to leave the electrodes on, but turn
the power off, just turning it back on as needed.
Over time, most pain related disorders will become manageable with less treatment time.
7. Turn power off - You must turn the power off after use to avoid a drain on the batteries.
8. Disconnect and Remove Electrodes - Carefully replace the electrodes on their protective backing and put them
back in the sealable bag they came in. If you are keeping a diary, record your pain level now, how much current and
treatment time, and note the time interval until the pain returns. Also note improvement in range-of-motion and any
other signs and symptoms.
CHECK BATTERIES OFTEN
Be sure you are using two good, fresh AAA batteries such as the ones provided with the unit.
Replace the batteries when the display indicates they are low. Once the display indicates the
batteries are flat the Alpha-Stim® PPM will discontinue stimulation until new batteries are
installed. Do not use rechargeable batteries.
HOW TO PERFORM A SELF-DIAGNOSTIC TEST
The Alpha-Stim PPM contains circuitry that enables the user to perform a simple self-diagnostic test of the circuitry,
jacks
and plugs to make sure the device is functioning properly.
To perform the self-test follow these steps:
1. Start with the PPM power dial in the OFF position.
2. Connect a lead wire to jack 1 or jack 2.
3. Wet your thumb and index fingers and hold the pins of the lead wires between them, taking care that no two
pins are touching one another.
4. Click ON the PPM power dial but do not turn up the dial. The timer will appear and start counting up from 0. Keep
holding the pins for 10 seconds and look at the right hand side of the display during these 10 seconds.

5. If the circuitry/jacks are good, then nothing will appear on the right hand side of the display. If channel 1 of the
circuitry or jack 1 is defective, then a circle and the number 1 will appear. If channel 2 of the circuitry or jack 2 is
defective, then a circle and a number 2 will appear. If the circuitry and or jacks are defective for both channels,
then a circle and the numbers 1 and 2 will appear.
6. The self test ends after 10 seconds and the right hand side of the display will be cleared. If the jacks are good,
you may now apply the electrodes, turn up the dial to the desired current level and use the PPM normally.
7. To skip the self test, simply turn on the PPM and turn up the dial to the desired current level and use the PPM
normally. In this case, ignore the symbols on the right hand side of the display. The symbols will disappear
after 10 seconds.
Note: You could test the integrity of the self-test by deliberately letting the 2 pins of a lead wires touch one another or
by laying the 2 pins apart on a dry surface. In either case, no current will flow through your body and the PPM will
think that the output circuitry, jack or plug is defective. A circle with a number will appear in this case.
SKIN CARE
1. Apply electrodes on dry, clean unbroken skin only.
2. Before applying and after removing electrodes, wash skin with mild soap and water or clean with baby wet wipes.
Rinse and allow to dry completely.
3. Excess hair at the electrode site should be clipped but not shaved.
4. If skin irritation develops, discontinue use and consult your physician.
WHAT TO EXPECT
Pain reduction is usually experienced during a treatment, but may be seen hours later, or as late as 1 day after
treatment.
After the condition is under control, use of the Alpha-Stim® 3 times per week is usually sufficient to maintain good
results.
After treatment, there are usually no physical limitations imposed so most people can resume normal activities
immediately.
Some people may experience an euphoric feeling, or relaxation that may temporarily impair their mental and/or
physical abilities for the performance of potentially hazardous tasks, such as operating a motor vehicle or heavy
machinery for up to several hours after treatment.
At present, there are about 50 research studies using Alpha-Stim® technology. No significant lasting side effects
have been
reported. Occasional self-limiting headache, discomfort or skin irritation under the electrodes, or lightheadedness may
occur.
PRESCRIBING INFORMATION
CE Conformity Statement for Europe: The Alpha-Stim® PPM is a Class IIa, Type B medical device. It has been
independently tested by outside agencies to provide assurance of conformity to applicable standards for medical
equipment safety and electromagnetic compliance.
Caution Statement: Outside of the USA, this device is available world wide without a prescription but consultation
with a qualified health care professional is recommended for difficult and unresponsive problems or when used in
conjunction
with pharmaceuticals or other therapeutic intervention.
Indications: Alpha-Stim® PPM technology is continuously being subjected to rigorous study and evaluation by the
international medical community. Findings to date indicate that the Alpha-Stim® PPM is an effective treatment with
broad applications for a variety of syndromes involving acute, chronic, and post operative pain. In many cases it is the
sole therapeutic method required. Effective results in pain management have been seen during and/or subsequent to
stimulation over effected body parts, adjacent areas, and areas distant from those in pain. As with any therapeutic
intervention, not all people will respond to the Alpha-Stim® PPM. The degree of efficacy will vary with the nature of
the problem being treated, the overall health of the person, and with the method of treatment.
Contraindications: The Alpha-Stim® PPM may affect the operation of cardiac pacemakers (particularly demand
type pacemakers). Do not stimulate directly on the eyes, or over the carotid sinus (upper side of neck, below the ear
and behind the jaw).

Precautions: For external use only. Do not allow children to use or handle this device without adult supervision. Do
not operate potentially dangerous machinery or vehicles during, and in some cases, for several hours after treatment.
Caution is advised in cases where other forms of analgesia (pain control) would not be used; such as to retain the
beneficial aspects of pain for diagnosis or in cases where people may overuse pain-controlled areas. Safety of
stimulation has not been established during pregnancy.
Adverse Effects: Adverse effects are usually mild and self-limiting. Adverse effects from approximately 4,541
patients participating in controlled, open, uncontrolled research, and by physician survey are skin irritation/electrode
burns (5 cases, 0.11%), and headaches (9 cases, 0.20%).
If the Alpha-Stim® PPM does not control your pain within 3 weeks, consult your physician.
TECHNICAL SPECIFICATIONS
Electrical
Power Source Two AAA 1.5 volt batteries (included). Replace with disposable batteries (alkaline preferred).
Do not use rechargeable batteries.
Timer Continuous
Current 10 to 600 µA continuously adjustable
Frequency 0.5 Hz (pulses per second)
Waveform Bipolar asymmetric rectangular waves, 50% duty cycle, 0 net current (see graphic depiction)
Mechanical
Height 8.0 cm
Width 5.8 cm
Depth 2.0 cm
Weight 82 gm with battery
Accessories
The Alpha-Stim® PPM is packaged complete with one set of 4 self-adhesive AS-Trode™ brand silver electrodes
(good for
approximately 2 weeks to 1 month of use), electrode wires, two 1.5 volt AAA batteries, and an illustrated Owner's
Manual. This is everything necessary to begin to use the Alpha-Stim® PPM right away. Replace self-adhesive
electrodes only with authorized Alpha-Stim® and AS-Trode™ brand products.
STORAGE AND CLEANING
Remove the batteries when storing the Alpha-Stim® PPM for an extended time (more than 1 month). The Alpha-
Stim® PPM and all its accessories should be stored and used within a temperature range between 0°and 36°C, with
a relative humidity of 90% or less, at an atmospheric pressure between 0.9 - 1.1 atm. Clean the Alpha-Stim® PPM by
periodically gently wiping the surface with a damp cloth when dirty. Use mild soap and water. Use of other cleaning
solutions may damage the case. Never spray cleaners directly on to the device.

TROUBLE SHOOTING
PROBLEM POSSIBLE SOLUTIONS
There is no sensation of current………….Note: This is normal for some people. Try turning up the intensity.
Perform the self diagnostic test.
There are no results………………………. Vary the electrode locations. Also treat all other areas of pain. Treat more
often and/or for a
longer time at a lower intensity. Try 5 to 10 treatment sessions. Consult
your doctor.
Electrodes do not stick well………………..Replace AS-Trode™ electrodes. Apply electodes to a clean, dry surface.
There is no output…………………………..Change the battery if the "battery low" or "battery flat" symbols appear. Try
turning up the
intensity. Check lead wires and electrodes: make sure all connections are
firmly in place.
SERVICE
The Alpha-Stim® PPM is not user serviceable.
To obtain service, first contact Alpha-Med -your authorized Alpha-Stim® distributor for advice or a return authorization
number (RAN). Upon authorization by Alpha-Med, you may send the entire unit, with all accessories, packed in the
original carrying case, to Alpha-Med by registered mail or delivery, insured and freight prepaid. Please include a copy
of your invoice and a note describing the problem. Please do not forget to include your return address, your phone
number, and if available, your fax number and email address.
5 YEAR LIMITED WARRANTY
While in the opinion of Electromedical Products International, Inc., (“EPI”), the manufacturer of Alpha-Stim devices,
the Alpha-Stim® PPM (“product”) is generally effective in relieving acute, chronic and postoperative pain, health
care is not an exact science and individual results will vary. Accordingly, EPI makes no warranties as to the
effectiveness of its products for a given individual. Electromedical Products International, Inc. warrants to the original
purchaser (and no one else) that each new Alpha-Stim® PPM is free of defects in workmanship and materials,
under normal use, for a period of 5 years from original purchase date, except for accessories. The warranty
registration card must be completed and returned to Alpha-Med validate the warranty.
Accessories such as batteries and electrodes are excluded from the warranty and are sold “as is” because they may
be easily damaged before or during use.
During the warranty period, EPI’s sole obligation shall be, at EPI’s option, to replace or repair the Alpha-Stim® PPM
without charge. In order to recover under this warranty, purchaser must first contact Alpha-Med, your authorized
Alpha-Stim distributor, by phone, mail, fax, or email for a return authorization number (RAN). Purchaser must have
an original copy of the invoice to prove that the product is still covered by warranty. The authorized return may then
be shipped to Alpha-Med, safely packaged with all accessories, packed in the original carrying case, by registered
mail or delivery, insured and freight prepaid. Alpha-Med and EPI will not be responsible for damage due to improper
packaging or shipment. If EPI determines there is a defect covered by this warranty, the repaired or replaced product
will be shipped back, freight and insurance prepaid, as soon as reasonably possible. If EPI determines in its sole
discretion that the product does not contain defective workmanship or materials, EPI will return the product and the
return freight and insurance charges shall be the purchaser's responsibility. This warranty is voided immediately if the
product has been subjected to abuse, accidental damage, damage in transit, negligence, acts of nature, or damage
resulting from failure to follow operating instructions, or alteration/disassembly by anyone other than by EPI.
Electromedical Products International, Inc. and Alpha-Med shall not be liable for any direct, indirect, special,
incidental, or consequential damages, lost profits or medical expenses caused by any defect, failure, malfunction, or
otherwise of the product, regardless of the form in which any legal or equitable action may be brought against EPI or
Alpha-Med (such as contract, negligence, or otherwise). In no event shall EPI’s or Alpha-Med's liability under any
cause of action relating to the product exceed the purchase price of the product.

Manufactured by:
Electromedical Products International, Inc.
2201 Garrett Morris Parkway
Mineral Wells, Texas 76067-9034 USA
Tel. [phone] in the USA and CANADA
Tel: [phone], Fax [phone]
E-Mail: [email protected]
Importer and Authorized Distributor:
Alpha-Med
Zalman Shazar Street 16
Netanya, 42493 Israel
Tel. [phone] (in Israel)
or [phone] Fax: [phone]
Website: www.alpha-med.co.il
E-Mail: [email protected]
None of the materials provided on this manual may be used, reproduced or transmitted, in whole or in part, in any
form or by any means, electronic or mechanical, including photocopying, recording or by any information storage
and retrieval system without permission in writing from the publisher. Requests for permission to reproduce or
translate materials in whole or in part, whether for sale or for non-commercial distribution, should be addressed to
Alpha-Med.
© All rights reserved.