Babycare TENS Elle TENS User manual

Suggested Electrode
Placement Chart
The sticky electrode pads need to
be placed in the correct position
for maximum pain relief. It is pref-
erable to obtain assistance from
either your birthing partner or
medical adviser when positioning
the pads. Please read the following
instructions carefully:
1. Ensure unit remains switched
off. Carefully peel the pads from
the plastic backing using your
forefinger and thumb. Do not pull
on the lead wires.
2. Position the top two pads
(connected to the left socket CH1)
approximately 4cm either side of
the spine and 4-5cm above the
imaginary navel line as seen in the
diagram.
3. Position the bottom two pads
(connected to the right socket
CH2) approximately 4cm either
side of the spine and 4-5cm below
the imaginary navel line as seen in
the diagram.
Reference: Cluett E. (1994) SRN
RM ADM PGCEA. Analgesia in
Labour: A review of the TENS
method. Professional Care of
Mother and Child. Mar;4 (2): 50-2.
Frequently Asked Questions
Q When shall I start using my
Elle TENS?
A Use as early as you can after
the onset of labour to allow
time for your body’s pain-
killing chemicals to rise.
Q Can I try the Elle TENS before
going into labour?
A Yes, place 2 pads attached
to one leadwire on your
forearm to feel the different
pulse sensations following the
instructions on page 6.
Q Can I combine the Elle TENS
with other medication?
A Yes, you can still use analgesics
such as gas and air (entinox) or
pethidine.
Q Can the Elle TENS be used
in hospital?
A Yes. However, a midwife
may ask you to switch it off
temporarily.
Q Can I use the Elle TENS if I am
considering a water birth?
A Yes, but not in the water itself.
Troubleshooting Questions
Q Why does the stimulation
not appear to be as strong
after you have used the Elle
TENS for a while?
A Increase the intensity, you may
have become used to a lower
setting.
Q Why does the stimulation
feel strong but ineffective?
A You may need to reposition the
electrode pads. Switch the unit
off, and then try the unit again.
Q Why does the stimulation
not feel sufficiently strong
even on a high setting?
A The batteries may need
replacing.
Q What do I do if there is no
stimulation, intermittent
stimulation, or weak
stimulation felt even with
a new battery?
A Check electrode contact. Check
leads. Check batteries. Phone
Babycare TENS on
0333 121 9737.
Using Your Elle TENS
a) You are now ready to start
using your Elle TENS. Switch
the unit on by pressing the
on/off button. Ensure that the
‘boost’ button located at the
top right of the unit is NOT
pressed in. The Elle TENS
will always start up in
BURST 1 mode.
b) Begin by pressing the
CH1+ key. Each time you press
this key, a small ‘half-moon’
shape will appear on the
screen increasing in number
and size as the intensity is
increased.You will begin to feel
a pulsating sensation which will
burst in time with the small
arrow flashing on the screen.
Ensure that you increase
the intensity slowly.
c) Repeat the previous step with
the CH2+ key.You will now
feel a sensation in both sets
of pads.
d) BURST 1 (use between
contractions): This is the
first mode that you will use.
It feels like a bursting, tingling
sensation i.e. the pulses are
off and on periodically. This
mode will help to promote
those all-important natural
pain-killing chemicals known as
‘endorphins’ and ‘encephalins’.
e) BOOST 1 (use during
contractions): When
experiencing a contraction,
simply press the ‘boost’ button
located at the top right of the
unit. The Elle TENS will then
switch automatically into
the BOOST 1 mode for that
extra surge of power required
to combat the pain during
contractions.This will feel like
a continuous sensation.
f) Once the contraction has
passed, simply release the
‘boost’ button. The Elle TENS
will return to the original
BURST 1 mode. Continue this
cycle during your early stages
of labour.
Useful Information
1. Continue stimulation for as
long as necessary, unless you
experience discomfort.
2. If you stimulate for a number
of hours ensure the pads do
not become dry. If this occurs,
switch off the unit, disconnect
the electrodes, and apply a
small drop of water to them.
3. The pads can be used several
times. Replace the pads when
they stop sticking to the skin.
Replacement pads are available
from www.babycaretens.com
4. Always ensure that the unit is
switched off before you remove
all the leads and pads. Do not
pull the wires. ALWAYS remove
the jack plug from its socket
by holding the plug between
the forefinger and thumb and
pulling gently.
5. The Elle TENS can also be used
as a standard TENS unit for
relief of numerous conditions,
including after pains and post
operative pains. It is worth
bearing this in mind if you have
a caesarean section.
Please seek medical advice first.
Post-Natal Pad Placement
Diagrams
KEY:
= first pair of electrodes
= second pair of electrodes
N.B. Electrodes supplied with this
unit are all the same colour - the
black and white squares show
suggested electrode placement only.
The Mode Button
There are two modes available on
the Elle TENS, each with a Burst
and Boost function.
Mode 1 (Burst 1 and Boost 1),
which has been described above, is
primarily used for the earlier stages
of labour.
Mode 2 (Burst 2 and Boost 2)
can be used when your labour
advances and your contractions
become more frequent.
Press the Mode button to
switch between modes. You will
see from the User Display, that the
number in the small circle next to
the BURST or BOOST will change
from 1 to 2 and vice-versa.
NB. Both modes are
interchangeable and can be used
according to your preference,
not necessarily for the stage of
labour you are in. Mode 2 can
be operated in the same way as
mode 1.
The Opti-max Key
This provides extra versatility
to your Elle TENS. Increasing or
decreasing the Opti-max key will
allow you to either heighten or
lessen the level of pulse power
transmitted to the electrode pads.
Pressing the OM key either
+ or - will increase or decrease
Opti-max sensation, this is
extremely useful for the final
stages of labour when you need
an extra surge of power.
There are 5 Opti-max levels
indicated by 5 dots, enlarging in
size as the Opti-max power is
increased. The unit will always start
up at Opti-max 3, which is exactly
half way between the highest and
lowest setting.
NB. The Opti-max key can
be used according to your
preference and not necessarily
for the stage of labour you
are in.
Elle TENS Technical Data
7
10
8
11
9
12
204 2597 Coolgrey 3
204 2597 Coolgrey 3
Instructions
for use
1
2
2
1
Bra line
Navel line
Panty line
Lower Back Pain
Shoulder Pain and Frozen Shoulder
Outer and inner aspect of shoulder
Period Pain
Display TN type LCD
Operation Mode 4 treatment modes:
Burst 1, Burst 2, Boost 1, Boost 2
Pulse (Hz)
Frequency
Pulse Width (µs) Description
Burst 1 16 150* 1 Burst/sec and 8
pulses per burst
Burst 2 32 150* 2 Burst/sec and 8
pulses per burst
Boost 1 80 150* Constant
Boost 2 100 150* Constant
- Output Voltage: 0 – 55V zero to peak at 500Ωload
- Output Waveform: Symmetrical biphasic rectangular
Automatic Power Off 5 Minutes
Output Channel Two Channel
Output Voltage 0 – 55V (zero-to-peak) across a 500Ωload;
adjustable in 14 steps
Output Intensity 0 – 110 mA (max.) into a 500Ωload
Output Waveform Symmetrical bi-phasic rectangle
Output Jacks CE Touch-proof jacks
Load Detector Contact detection between the device and human skin
(This feature is activated from Level 2 and up)
Battery 2 x 1.5V AAA Battery
Battery Low Detect 2.2V ±0.2V
Tolerances All output parameters are subjected to a ±20% tolerance
unless other specified.
Weight 75g
Size 55 x 115 x 30mm
* Default pulse width after mode changed
(pulse width is NOT changed when
switched between BURST and BOOST
mode) 5 selectable pulse widths in all
modes: 50, 100, 150, 200, 250.
Classification This unit is fully compliant
with EEC Directive 93/42/EEC, classified
as internally powered equipment type BF.
It is intended for continuous operation.
Guarantee
Your ElleTENS machine is guaranteed for a period of 2 years against
manufacturer’s defects. Please record purchase details in the space
provided below for your record purposes.The guarantee does not
include leads, electrodes or battery. Applies to purchases only.
Date of purchase:
Invoice number:
Body Clock Health Care Ltd
108 George Lane, South Woodford,
London E18 1AD
Tel (+44) (0)20 8532 9595
Fax (+44) (0)20 8532 9551
www.babycaretens.com
e-mail [email protected]
Babycare TENS is part of the
Body Clock group of companies
This manual is recyclable
May 2018 (6)
0120

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Elle TENS
Quick Reference Guide
If you are in labour, please use
the quick reference guide set out
below. It is however recommended
that you read the section entitled
“Setting Up Your Elle TENS” found
on page 5 to obtain the best
performance from your unit.
Before using the Elle
TENS, please read the
contraindications and warnings on
pages 1 and 2.
1. Ensure the Elle TENS unit is
switched off.
2. Insert 2 x AA batteries in the
compartment at the back of the
unit (see figs 1 and 2, page 6).
3. Insert the leadwire plugs into
the top of the unit (see fig 3,
page 6).
4. Insert the pins at the other
end of the leadwires into
the sockets attached to the
electrode pads. Do not remove
the electrodes from their
backing at this stage (see fig 4,
page 6).
5. Position the electrode pads on
the body as indicated on page.
A pair of electrodes must
be connected to each lead
wire in order for you to feel
any sensation. The electrode
pads must be peeled away
from their backing and placed
directly on your body for you
to feel any sensation.
6. Make sure that the ‘boost’
button at the side of the unit
is NOT pressed in. This ensures
that the unit will start in the
BURST 1 mode (see page 3).
7. Press the (on/off) to turn
the unit on.
8. Now push the (CH1 +)
key until you feel a pulsating
sensation.
9. Repeat the same with the
(CH2+) key.
10. At the onset of a contraction
press the ‘boost’ button for
the additional surge of power
needed to combat the pain.
11. Release the ‘boost’ button once
the contraction has passed and
continue in the BURST 1 mode
as before.
This unit needs special precautions regarding EMC and needs
to be installed and put into service according to the EMC
information provided in the ACCOMPANYING DOCUMENT.
Contents
Elle TENS Quick Reference Guide
How Will The ElleTENS Help Your Pain?......1
Introduction To The Elle TENS .......................... 1
General Precautions.............................................. 2
Controls For The Elle TENS ................................. 3
Display Symbols and their Meanings............ 4
Setting Up Your Elle TENS.................................. 5
Useful Diagrams...................................................... 6
Suggested Electrode Placement Chart......... 7
Using Your Elle TENS ............................................. 8
Frequently Asked Questions........................... 10
Troubleshoooting Questions.......................... 10
Useful Information.............................................. 11
Post natal pad placement diagrams............11
Technical Specifications.................................... 12
Explanation of Symbols on Unit
Equipment providing
a particular degree of
protection against electric
shock particularly regarding
allowable leakage currents
having an F type (floating)
applied part.
Warning - refer to pages 1-2
of these instructions.
Please keep device away
from sprays of water or rain.
IP22 The first number 2:
Protected against access to
hazardous parts with a finger,
and the jointed test finger
of 12 mmФ, 80 mm length,
shall have adequate
clearance from hazardous
parts, and protected against
solid foreign objects of 12.5
mmФand greater.
The second number 2:
Protected against vertically
falling water drops when
enclosure tilted up to 15˚.
Vertically falling drops shall
have no harmful effects
when the enclosure is tilted
at any angle up to 15˚ on
either side of the vertical.
Denotes a product which
must be disposed of safely.
This symbol indicates the
serial number of the device
and includes the year of
manufacture.The serial
number can be found in the
battery compartment of
this device.
How Will The Elle TENS
Help Your Pain?
TENS (Transcutaneous Electrical
Nerve Stimulation) works by
passing mild electrical impulses
through the skin, via electrode
pads, into the nerve fibres which
lie below. The TENS impulses
help your body produce its own
pain killing chemicals, such as
‘endorphins’ and ‘encephalins’.
The level of pain relief obtained
varies from person to person. Some
find that the Elle TENS provides all
the pain relief required during the
whole of labour, whereas others
find that other analgesics are also
needed during the later stages
of labour.
Introduction To The Elle TENS
The Elle TENS uses a state-of-
the-art, efficient method of
drug-free pain relief with no known
side effects. In order to obtain
maximum benefit, it is advised
that you seek guidance from your
medical adviser as well as reading
this instruction guide.
Precautions and
Contraindications
1. TENS must NOT be used
before the 37th week of
pregnancy.
2. If you are pregnant, do NOT
place the electrodes over your
abdomen.
3. Do NOT use if you have
a pacemaker or any other
implanted electrical device.
4. Check with your healthcare
professional before using if you
suffer from a heart condition,
epilepsy, undiagnosed pain,
have any metal implants,
or any doubts whatsoever.
5. Do NOT use if you experience
an allergic reaction to the
electrodes.
6. Never use TENS to mask
undiagnosed pain since this
could require urgent treatment.
Setting Up Your Elle TENS
Check the following contents:
•1 x Elle TENS unit
• 1 x Pack of 4 self adhesive
electrodes (40mm x 100mm)
• 2 x Leadwires
• 2 x AA batteries
• 1 x Carrying pouch
• 1 x Easy-release neck cord
• 1 x Instruction manual
• 1 x EMC documentation
The Assembly Stage
a) Press and rotate the belt clip
at the back of the Elle TENS in
either direction to reveal the
battery compartment (see fig
1, page 6).
b) Release the battery
compartment cover and insert
2 x AA batteries (see fig 2, page
6), ensuring the positive (+)
and negative (-) terminals are
correctly positioned as marked
in the battery compartment.
Replace the cover. Ensure the
unit is switched off.
c) Take two of the purple
leadwires and insert each of
the black jack plugs (at one
end of each leadwire) into the
sockets at the top of the Elle
TENS unit (see fig 3, page 6).
d) Now insert the pins (at the
other end of the leadwires) into
the sockets attached to the
sticky electrodes. Each leadwire
has two pins, ensure each pin
is attached to an electrode.
Do not remove the electrodes
from the backing at this stage
(see fig 4, page 6).
NB. Each leadwire has a
red and black pin. It makes
NO difference whatsoever
which electrode they are
attached to!
e) If you wish, attach the
easy-release neck cord which
enables you to hang the Elle
TENS from your neck whilst
in labour (see fig 5, page 6).
Now place your electrodes
(see page 7).
NB. The unit should be wiped
clean periodically using
medically approved anti-
bacterial wipes or a very slightly
dampened cloth. A mild soap
may be used but DO NOT apply
solvents.
Display Symbols
And Their Meanings
Power Bar: This
shows the output from 0 to 15 for
both left and right channels. Each
segment represents approximately
7% of the total output.
: Pressing the
‘Boost’ button at the top right
of the unit activates the Boost
mode. This function is used during
contractions.The small arrow to
the left of the word Boost will
remain on, indicating the unit is in
a continuous mode. There are two
Boost modes available indicated
by a 1 or 2 in a small circle next to
the word BOOST. You can switch
between them by pressing the
Mode key.
: This function is
used at the onset of labour and
in-between contractions.The small
arrow to the left of the word Burst
will flash in time with the bursting
rhythm you feel from the Elle
TENS. There are two Burst modes
available indicated by a 1 or 2 in
a small circle next to the word
BURST.You can switch between
them by pressing the Mode Key.
Low Battery Indicator: This sign
will start flashing when the bat-
teries are running low. If this is the
case, change both batteries. Please
refer to page 5 for instructions.
Opti-max: Indicates the Opti-max
output. Each segment represents
20% of total Opti-max power.
Please refer to page 8 for more
details.
General Precautions
1. Do NOT use this unit without
first reading these instructions.
2. Do NOT immerse the Elle TENS
in any liquid. Do not use in the
bath or the shower.
3. Do NOT place it close to any
source of excessive heat or
operate it in the presence of
flammable gas.
4. Do NOT drop this unit onto a
hard surface.
5. Do NOT attempt to dismantle
the Elle TENS.
6. Only use specified batteries
and electrodes.
7. If damaged, do not use. Return
to supplier.
8. Remove the batteries when not
in use.
9. Do NOT use while driving or
operating potentially dangerous
machinery or while using a
microwave.
10. Keep out of the reach
of children.
11. Do NOT place electrodes on
or near the eyes, in the mouth,
over the front or sides of the
neck or across the head or
the heart.
12. Do NOT place the electrodes
on varicose veins or recent
scarring or on any area of
broken, inflamed, infected
or numb skin. Electrodes
should generally only be
applied to skin with normal
sensation unless under medical
supervision.
13. Do NOT use in the presence
of tuberculosis, malignant
tumours, very high or very
low blood pressure, high
fever or acute inflammatory
disease unless under medical
supervision.
14. A mild shock may be caused if
one electrode is accidentally
removed. In the event of this
happening the unit should be
turned off immediately.
SN
Controls For The Elle TENS
The Elle TENS is very simple to use. However, it is advisable to read these
instructions to obtain the most out of the unit. Please ensure that all of the
precautions have been read thoroughly. See page 2.
Leadwire Jack
Plug Socket
Connectors
Boost Button -
used for extra
surge during
contractions
On/Off Button
Right Channel
Intensity Keys
Left Channel
Intensity Keys
Mode Key
Hoop for attaching neck
cord used for portability
during labour
User Display
Top
Opti-max Key -
adjusts depth of the
pulses - upwards or
downwards. Particularly
useful in the final stages
of labour or when you
may need extra power
Useful Diagrams
Figure 1
Figure 4
Figure 2
Figure 5
Figure 3
Inserting the battery
Press and rotate the
belt clip to reveal the
battery compartment.
Connecting the
Electrode Pads
Insert a red and black
pin (at the end of each
lead wire) into each
pair of electrodes.
Release the battery
compartment and
insert the batteries.
Using the Neck Cord for mobility during labour
Thread the loop of the neck cord through
the space at the base of the unit. Slip the other
end of the neck cord through the loop and pull
into position.
Connecting the leads
Insert both black jack
plugs into the sockets.