Beurer EM 29 User manual

MF
EM 29
D Knie- und Ellenbogen TENS
Gebrauchsanweisung.............................................. 2–16
G Knee and elbow TENS
Instructions for use ............................................... 17–29
F TENS pour genoux et coudes
Mode d’emploi ....................................................... 30–44
E TENS para rodilla y codo
Instrucciones de uso............................................. 45–58
I TENS per ginocchia e gomiti
Istruzioni per l’uso ................................................. 59–72
T Diz ve dirsek TENS
Kullanım Kılavuzu .................................................. 73–85
r Тренажер для коленей и локтей
Инструкция по применению............................. 86–101
Q Mankiet TENS na kolana iłokcie
Instrukcja obsługi .............................................. 102–116
Electromagnetic Compatibility Information.......... 117–120

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ENGLISH
Contents
1. Getting to know your device ......................................17
2. Signs and symbols.....................................................18
3. Important notes..........................................................19
4. Device description......................................................22
5. Initial use ....................................................................23
6. Operation..................................................................24
7. Cleaning and storage ...............................................26
8. Disposal....................................................................27
9. Troubleshooting........................................................27
10. Technical specifications ...........................................29
Included in delivery
• Knee and elbow universal cu
• 1x Control unit
• 1x Connection cable
• Batteries, 3 x 1.5 V AAA (LR03, Micro)
• These instructions for use
1. Getting to know your device
Dear customer,
Thank you for choosing one of our products. Our name
stands for high-quality, thoroughly tested products for
applications in the areas of heat, weight, blood pressure,
body temperature, pulse, gentle therapy, massage and air.
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.
With kind regards,
Your Beurer team
Pain relief with the EM 29 stimulation device
How does electrical muscle stimulation work?
The knee and elbow TENS works on the basis of electrical
nerve stimulation (TENS). TENS, or transcutaneous electri-
cal nerve stimulation, relates to the electrical stimulation of
the nerves through the skin. TENS is an eective non-phar-
macological method of treating dierent types of pain that
have a variety of causes. It has no side-eects if adminis-
tered correctly. The method has been clinically tested and
approved and can be used for simple self-treatment. The
pain-relieving or pain-suppressing eect is achieved by
inhibiting the transference of pain to nerve fibres (caused
mainly by high-frequency impulses) and by increasing the
secretion of endorphins in the body. Their eect on the

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central nervous system reduces the sensation of pain. This
method is clinically tested and approved. Any symptoms
that could be relieved using TENS must be checked by
your GP. Your doctor will also give you instructions on how
to carry out a TENS self-treatment regime.
2. Signs and symbols
The following symbols appear in these instructions for use.
Warning Warning notice indicating a risk of injury or damage to he-
alth.
Important Safety note indicating pos- sible damage to the device/
accessory.
Note Note on important information.
The device must not be used by persons with
medical implants (e.g. heart pacemakers).
Otherwise their function could be impaired.
The following symbols are used on the type plate.
Application part, type BF
Observe the instructions for use
The device can emit eective output
values above 10 mA, averaged over eve-
ry five-second interval
Manufacturer
Protect from moisture
Serial number
The CE labelling certifies that the pro-
duct complies with the essential require-
ments of Directive 93/42/EEC on medi-
cal products.
Disposal in accordance with the Waste
Electrical and Electronic Equipment EC
Directive – WEEE
Certification symbol for products that are
exported to the Russian Federation and
CIS countries.

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3. Important notes
Safety notes
Warning
• Only use the knee and elbow TENS :
– On humans
– For external use
– For the intended purpose and as specified in these in-
structions for use.
• Any form of improper use can be dangerous.
• In the event of an acute emergency, the provision of first
aid has top priority.
• This device is not intended for commercial or clinical
use; it is designed exclusively for self-treatment in a pri-
vate home.
• Before use, ensure that there is no visible damage to the
device or accessories. If you have any doubts, do not
use the device and contact your retailer or the specified
Customer Services address.
• If you have health concerns of any kind, consult your GP!
• The knee and elbow TENS is for external use on human
knees or elbows only. Using the device on other parts of
the body can lead to serious health problems.
• Slight reddening of the skin after use is normal and will
subside after a short period.
Do not use the device again until the reddening has dis-
appeared.
• If the skin becomes irritated over longer treatment times,
select a shorter application time instead.
• If more serious skin irritation occurs, stop the treatment
and seek medical assistance.
• This device is not intended for use by children or people
with restricted physical, sensory (e.g. reduced sensitivity
to pain) or mental skills or a lack of experience and/or a
lack of knowledge, unless they are supervised by a per-
son who is responsible for their safety or are instructed
by such a person on how to use the device.
• Keep packaging material away from children (risk of suf-
focation!).
• Do not use any additional parts that are not recommend-
ed by the manufacturer.
• Do not move the cu or put it on if the control unit is
switched on.
• Only connect the connection cable for the electrode plug
to the intended control unit and the universal cu that is
included.
• Do not pull on the connection cables during treatment.
• Do not bend or pull on the end of the connection cable.
• Do not wear any electronic devices, such as watches,
while using the device.
Precautions
Warning
• During the initial few minutes, use the device while sitting
or lying down to minimise the risk of injuries as a result of

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isolated cases of vagal responses (feeling of faintness). If
you feel faint, switch o the device immediately, lie down
and support the legs in an elevated position (approx. 5 –
10 min).
• The treatment should be comfortable. If the device does
not work properly, or you feel unwell or experience pain,
stop using it immediately.
• Only remove the cu once the device has been switched
o.
• Do not use the device near (~1m) shortwave or micro-
wave devices (such as mobile phones) as these may
cause fluctuations in the output values of the device.
• Never immerse the device in water or other liquids.
• Do not use in the vicinity of highly flammable substanc-
es, gases or explosives.
Notes on the electrodes
Important
• The electrodes must not be attached to open areas of
skin.
• Max. recommended output value for electrodes is 5 mA/
cm2.
• Eective current densities over 2 mA/cm2require in-
creased attentiveness from the user.
Warning
To avoid damage to health, we strongly advise against
using the device in the following situations:
• Do not use the device if you have a pacemaker
or other implants, such as an insulin pump or
metal implants.
• If you have a high temperature (e.g. > 39 °C).
• If you have a known or acute cardiac arrhythmia (ar-
rhythmia), or disorders of the heart’s impulse and con-
duction system.
• If you suer from a seizure disorder (e.g. epilepsy).
• If you are pregnant.
• If you have cancer.
• After an operation, if strong muscle contractions could
aect the healing process.
• On acutely or chronically aected (injured or irritated)
skin, e.g. inflamed skin, whether painful or not, or red-
dened skin.
• On rashes (e.g. allergies), burns, bruises, swellings, as
well as open and healing wounds.
• On surgical scars that are still healing.
• If you are connected to a high-frequency surgical device.
This may lead to burns under the electrical muscle stim-
ulation areas.
• Under the influence of pain-relieving medication, alcohol
or sleeping tablets.
• While undertaking any activity where an unexpected
reaction (e.g. strong muscle contractions even at low

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intensity) could be dangerous, e.g. while driving or oper-
ating/driving machinery.
• On a sleeping person.
• Do not use this device while using other devices that
transmit electrical impulses into your body.
• The device is suitable for self-treatment.
• For hygiene reasons, the cu may only be used on one
person.
• Ensure that no metallic objects come into contact with
the electrodes during stimulation. Failure to do so could
result in spot burns.
• In the case of acute or chronic diseases of the gastroin-
testinal tract.
• In the case of metallic implants.
• If you use an insulin pump.
• In areas with high humidity such as in the bathroom or
when bathing or showering.
The device must not be used:
• In the head area: this can trigger seizures.
• In the neck/carotid artery area: this can cause a cardiac
arrest.
• In the throat and larynx area: this can trigger muscular
cramps, which may cause suocation.
• In the ribcage area: this can increase the risk of ventricu-
lar fibrillation and induce cardiac arrest.
Consult your GP before use:
• If you suer from a serious illness, in particular if you
suspect or have been diagnosed with a blood coagula-
tion disorder, propensity to thromboembolic conditions
or recurrent malignant growths.
• If you suer from diabetes or other health conditions.
• If you have unexplained chronic pain in any part of the
body.
• Any sensory impairment that reduces the feeling of pain
(e.g. metabolic disorders).
• If you are receiving medical treatment.
• In the event of complaints linked to stimulation treat-
ment.
• If you suer from persistently irritated skin under the
electrodes.
Warning
Using the device is not a substitute for medical consulta-
tion and treatment. Always consult your doctor first if you
are experiencing any pain or are suering from an illness.
Prior to initial use
Important
• Remove all packaging material before using the device.
• Switch the device o immediately if it is faulty or not
working properly.

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• If the self-adhesive covers for the electrode connection
are missing or become detached, we strongly recom-
mend axing the enclosed electrode covers.
• Never put the knee and elbow cu on if it has bare metal
electrodes. Using the knee and elbow cu without elec-
trode covers can cause injury.
Important
• The manufacturer is not liable for damage resulting from
improper or careless use.
• Protect the device from dust, dirt and humidity.
• If the device has been dropped or exposed to high levels
of humidity or has suered any other damage, it must no
longer be used. The device must not be exposed to high
temperatures or direct sunlight.
• Under no circumstances should you open or repair the
device yourself because faultless functionality can no
longer be guaranteed thereafter. Failure to comply will
result in voiding of the warranty.
• For repairs, please contact Customer Services or an au-
thorised retailer.
Notes on handling batteries
• If your skin or eyes come into contact with battery fluid,
rinse the aected areas with water and seek medical as-
sistance.
• Choking hazard! Small children may swallow and
choke on batteries. Store the batteries out of the reach
of small children.
• Observe the plus (+) and minus (-) polarity signs.
• If a battery has leaked, put on protective gloves and
clean the battery compartment with a dry cloth.
• Protect batteries from excessive heat.
• Risk of explosion! Do not throw batteries into a fire.
• Do not charge or short-circuit batteries.
• If the device is not to be used for a relatively 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.
4. Device description
Overview of the control unit

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No. Designation
1 On/O/Pause button
2 Intensity setting
▲Increase
▼Lower
3 Program/lock button
4 Battery compartment
5 Connector socket
6 Screen with LCD display
7Battery status, appears when batteries are dead
8 Intensity, level 0 – 20
9 Pause symbol, flashes when activated
10 TIMER: Remaining time in the active program in
minutes
11 Button lock active
12 Active program
5. Initial use
Inserting the batteries
Open the battery compartment [4]
by pushing the cover in the area
marked with an arrow and sliding
downwards.
Insert the three alkaline AAA 1.5V
batteries. When inserting the batte-
ries, ensure that the correct polarity
is observed.
Then close the battery compartment
lid until you hear and feel it click into
place.
Connecting the connection
cable and positioning the uni-
versal cu
1. Connect the connection cable
with the metallic connection clips
on the universal cu.
Note
You can position the universal cu on either your knee
or elbow.
Before positioning the universal cu, first clean the
body parts to be treated.

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Before positioning the
universal cu, first moi-
sten the water contact
electrodes and the knee/
elbow with water.
Position the universal cu on your knee or elbow. At
this point, ensure that the surfaces of the water con-
tact electrodes surround the knee/elbow. In doing so,
the round opening of the universal cu must lie on the
kneecap/elbow tip.
2. Fix the universal cu in the de-
sired position using the hook-
and-loop fasteners. Ensure
that the universal cu is not too
tight but that the water contact
electrodes still have sucient
contact with the skin.
3. Insert the plug for the connec-
tion cable into the connector
socket [5] on the control unit.
Replacing the battery
Please replace the batteries
when the battery status symbol
appears in the display [7].
• Open the battery compartment [4]
by pushing the cover in the area
marked with an arrow and sliding
downwards.
• 3 x 1.5 V batteries, type AAA (LR 03 Micro) should be
inserted for operation. Ensure the polarity is correct. Ob-
serve the graphic in the battery compartment.
• Do not use rechargeable batteries.
6. Operation
General notes on use
Do not switch on the device until the cu is correctly
positioned. See chapter 5.
The knee and elbow TENS is intended for individual treat-
ment of pain in the knee and elbow.
Switching on
Hold down the On/O button [1] until a short signal sounds
and the LCD display [6] switches on. When the device is

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switched on for the first time, program A is automatically
activated.
Selecting a program
Press the program button P [3] to switch between the pro-
grams.
The following programs are available:
Program Frequency Time
A 4 Hz – 110 Hz (3 phases) 30 min
B 4 Hz 25 min
C 2 Hz (burst) 25 min
D 100 Hz 25 min
Note:
With program A, you will feel the eect become
stronger when the program changes from phase 1
to phase 2 (after approx. 10 minutes). This is normal
and intentional. If the intensity seems too high, you
can lower it by simply pressing the intensity button
▼[2].
Note:
If the program is changed during stimulation (for ex-
ample from A to B), the output intensity will increase
gradually in the new program until it reaches the in-
tensity that was previously set. This can be stopped
if required by pressing and holding the intensity button ▼
[2] for two seconds or by switching o the device by press-
ing and holding the On/O button [1] for two seconds.
Stopping pulses that are too strong
You can lower the intensity at any time or turn the de-
vice o by pressing and holding the On/O button [1]
(~ 2seconds).
Setting the intensity
Press the intensity button ▲[2] to gradually increase the
intensity or the intensity button ▼[2] to lower the intensity.
There are 20 levels of intensity that can be selected. De-
pending on the intensity level, you will start to feel tingling,
which may increase up to muscle contractions.
Select a setting that is comfortable for you during
use.
Preventing unwanted pulse changes
To prevent unintentional increases in intensity during a
treatment, simply switch the button lock on. To do this,
press and hold the program selection button P [3] for ap-
prox. 2 seconds. An acoustic signal sounds and the sym-
bol “ ” appears in the display [6]. To release the button
lock, press and hold the P button [3] for approx. 2 seconds.
Reacting to unpleasant sensations
If you feel a twinge or itching on your skin, you should
switch the device o and proceed as follows:

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• Check that the electrodes are OK and do not show any
signs of damage.
• Check that the round cover is still on the electrode con-
nections.
• Remove the cu and moisten it again completely.
• When you put it back on, ensure that there is good con-
tact with the skin and that the skin is damp.
Pausing a program
If you want to pause a program while it is running, press
the Pause button [1]. An acoustic signal sounds and the
pause symbol “II” flashes in the display [6]. The program
can be continued by pressing the button [1] again.
Contact detection
If the electrodes are not in contact with the body, the inten-
sity will automatically be set to zero. This prevents unwant-
ed electrical stimulation. The intensity cannot be increased
if the electrodes are not in contact with the body.
Memory function
The device saves the last program that was set.
After replacing the battery, the device starts again with the
first program.
7. Cleaning and storage
Cleaning the control unit
Important
Before beginning the cleaning process, disconnect the con-
nection cable from the control unit and the universal cu and
remove the batteries.
Clean the control unit after use with a soft, slightly damp
cloth. If it is very dirty, you can also moisten the cloth with
a mild soapy solution. Do not use any chemical or abra-
sive cleaning agents. Ensure that no water gets inside the
control unit.
Cleaning the universal cu
Important
1. Before beginning the cleaning process, disconnect the
connection cable from the universal cu.
2. Clean the universal cu carefully in lukewarm, soapy wa-
ter. Do not use hot water. Afterwards, rinse it well with
water so that no soap remains on the universal cu.
3. Then carefully pat the universal cu dry with a towel and
leave it to dry.
Warning
• If the universal cu is damaged, it must be replaced.

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• Before repositioning the universal cu, first clean the body
parts to be treated.
Storage
• Switch o the control unit and disconnect the connec-
tion cable.
• Remove the universal cu.
• Disconnect the connection cable from the universal cu.
• Put the control unit, the universal cu and the connection
cable in their original packaging.
• Store the original packaging in a cool, dry place that is
inaccessible to children.
• Remove the batteries from the device if you will not be
using it for a prolonged period of time. Leaking batteries
may damage the device.
8. Disposal
For environmental reasons, do not dispose of the
device in the household waste at the end of its ser-
vice life.
Dispose of the device at a suitable local collection or re-
cycling point. Dispose of the device in accordance with
the Waste Electrical and Electronic Equipment EC Direc-
tive – WEEE.
If you have any questions, please contact the local author-
ities responsible for waste disposal.
Empty, completely flat batteries must be disposed of using
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 harm-
ful substances:
Pb = Battery contains lead
Cd = Battery contains cadmium
Hg = Battery contains mercury
9. Troubleshooting
Problem Possible cause Solution
The device
does not
switch on.
The batteries are
empty. Replace the bat- teries.
The batteries are
not inserted cor-
rectly.
Reinsert the bat-
teries.
Stimulation is
too weak.
Universal cu is
not in sucient
contact with the
skin.
Replace the
universal cu.
Ensure there is
sucient contact
with the skin.
Water contact
electrodes are not
suciently moist.
Switch o the de-
vice. Moisten elec-
trodes.

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Problem Possible cause Solution
Stimulation is
uncomfort-
able.
The intensity on
the device is set
too high.
Lower the intensity
on the device.
Water contact
electrodes are not
suciently moist.
Switch o the de-
vice. Moisten elec-
trodes.
Connection cable
is worn/faulty. Replace the con- nection cable.
Water contact
electrodes are
worn/faulty.
Replace the univer-
sal cu.
Irregular
stimulation. Connection cable faulty.
Reduce the inten-
sity and rotate the
connection cable on
the socket by 90°.
If additional power
failures occur, re-
place the connec-
tion cable.
Stimulation is
ineective.
Water contact
electrodes are not
positioned cor-
rectly on the skin.
Remove water
contact electrodes
and reposition on
the skin. Ensure
there is sucient
contact with the
skin.
Problem Possible cause Solution
The skin
turns red
and/or a
stabbing pain
occurs.
The universal cu
is not positioned
correctly on the
skin.
Ensure that the
universal cu sits
securely on the skin
and cannot move.
The universal cu
is dirty.
Clean the universal
cu as described in
these instructions
for use.
One of the
water contact
electrodes has a
scratch.
Replace the univer-
sal cu.
Water contact
electrodes are not
suciently moist.
Switch o the de-
vice. Moisten elec-
trodes.
Stimulation
stops during
use.
The universal cu
has worked itself
loose from the
skin.
Stop the application
and reposition the
universal cu.
The connection
cable has worked
itself loose.
Stop the application
and reinsert the
connection cable.
The batteries are
empty.
Replace the batter-
ies on the control
unit.

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If you cannot find a solution to your problem here, contact
our Customer Services.
10. Technical specifications
Circumference of
the cu Approx. 25 to 70 cm
Type EM 29
Weight
– Device
– Device, cu and
cable
– Approx. 90 g incl. batteries
– Approx. 210 g incl. batteries
Electrode size Approx. 114 x 59 mm
Parameter (500 ohm
load) Output voltage: max. 50 Vpp / 5.5 V rms
Output current:
max. 100 mApp / 11 mArms
Output frequency: 2 – 110 Hz
Pulse length 60 – 220 μs per phase
Waveform Symmetric, biphasic rectangu-
lar pulse
Voltage supply 4.5 V
(3 x 1.5 V AAA, type LR03)
Operating conditions 0 °C to 40 °C,
20 to 65% relative humidity
Storage 0 °C to 55 °C,
10 to 90% relative humidity
We reserve the right to make technical changes to improve
and develop the product. If the device is not used accord-
ing to the instructions specified, perfect functionality can-
not be guaranteed! This device complies with European
standards EN60601-1 and EN60601-1-2 and is subject to
special precautionary measures with regard to electromag-
netic compatibility. Please note that portable and mobile
HF communication systems may interfere with this device.
More details can be requested from the stated Customer
Service address or found at the end of the instructions for
use.
This device meets the requirements of European Directive
93/42/EC for medical products, as well as those of the
Medizinproduktegesetz (German Medical Devices Act). For
this device, a functional test and instruction in accordance
with Section 5 of the Medical Devices Operator Ordinance
(MPBetreibV) is not required. It is also not necessary to
carry out safety checks in accordance with Section 6 of the
Medical Devices Operator Ordinance (MPBetreibV).
Subject to errors and changes