Beurer EM 29 User manual

MF
EN Knee and elbow TENS
Instructions for use ................................................2
EM 29

2
ENGLISH
Contents
1. Getting to know your device ........................................... 2
2. Signs and symbols .......................................................... 3
3. Important notes ............................................................... 4
4. Device description........................................................... 8
5. Initial use ......................................................................... 8
6. Operation......................................................................... 9
7. Cleaning and storage .................................................... 11
8. Disposal......................................................................... 12
9. Troubleshooting............................................................. 12
10. Technical specifications .............................................. 14
11. Notes on electromagnetic compatibility...................... 15
12. Warranty/service.......................................................... 15
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 DE-
VICE
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 electrical
nerve stimulation, relates to the electrical stimulation of the
nerves through the skin. TENS is an eective non-pharmaco-
logical method of treating dierent types of pain that have a
variety of causes. It has no side-eects if administered correc-
tly. 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 transfe-
rence 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 central nervous system reduces the
sensation of pain. This method is clinically tested and appro-
ved. 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 3
2. SIGNS AND SYMBOLS
The following symbols appear in these instructions for use.
Warning Warning notice indicating a risk
of injury or damage to health.
Important
Safety note indicating possible
damage to the device/acces-
sory.
Note Note on important information.
The device must not be used by persons with
medical implants (e.g. heart pacemakers). Other-
wise 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 every five-se-
cond interval
Manufacturer
Protect from moisture
Serial number
CE labelling
This product satisfies the requirements
of the applicable European and national
directives.
Disposal in accordance with the Waste Elec-
trical and Electronic Equipment EC Directive
– WEEE
Further information on the guarantee and
guarantee conditions can be found in the
guarantee leaflet supplied.
Item number
Importer symbol
Separate the packaging elements and dispose
of them in accordance with local regulations.
B
A
Marking to identify the packaging material.
A = Material code, B = Material number:
1-7 = Plastics, 20-22 = Paper and cardboard

4
Storage
Permissible storage temperature and humidity
Operating
Permissible operating temperature and
humidity
Transportation
Permissible transport temperature and
humidity
Do not dispose of batteries containing haza-
rdous substances with household waste
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
instructions 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 private
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 di-
sappeared.
• 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 recommended
by the manufacturer.

4 5
• Do not move the cu or put it on if the control unit is swit-
ched 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, whi-
le 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
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 microwa-
ve 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 substances,
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/
cm
2
.
• Eective current densities over 2 mA/cm
2
require increa-
sed 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 (arrhyth-
mia), or disorders of the heart’s impulse and conduction
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 af-
fect the healing process.

6
• On acutely or chronically aected (injured or irritated) skin,
e.g. inflamed skin, whether painful or not, or reddened
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 stimu-
lation areas.
• Under the influence of pain-relieving medication, alcohol
or sleeping tablets.
• While undertaking any activity where an unexpected reac-
tion (e.g. strong muscle contractions even at low intensity)
could be dangerous, e.g. while driving or operating/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 ventricular
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 coagulation
disorder, propensity to thromboembolic conditions or re-
current 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 treatment.
• If you suer from persistently irritated skin under the elec-
trodes.
Warning
Using the device is not a substitute for medical consultation
and treatment. Always consult your doctor first if you are expe-
riencing any pain or are suering from an illness.

6 7
Prior to initial use
Important
• Remove all packaging material before using the device.
• Switch the device o immediately if it is faulty or not wor-
king properly.
• Never put the knee and elbow cu on if it has bare metal
electrodes. Using the knee and elbow cu without electro-
de 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 de-
vice 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.

8
4. DEVICE DESCRIPTION
Overview of the control unit
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
7 Battery 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 bat-
teries. When inserting the batteries,
ensure that the correct polarity is ob-
served.
Then close the battery compartment
lid until you hear and feel it click into
place.
Connecting the connection
cable and positioning the
universal cu
1. Connect the connection cable with
the metallic connection clips on the
universal cu.

8 9
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.
Make sure that you can access the control unit and the
universal cu quickly during the treatment so that you
can stop the treatment promptly if it is unpleasant
Before positioning the universal
cu, first moisten 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 contact electrodes sur-
round 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 desired
position using the hook-and-loop
fasteners. Ensure that the universal
cu is not too tight but that the wa-
ter contact electrodes still have suf-
ficient contact with the skin.
3. Insert the plug for the connection
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. Observe 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.

10
The knee and elbow TENS is intended for individual treatment
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 swit-
ched 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 (af-
ter 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 intensi-
ty that was previously set. This can be stopped if requi-
red by pressing and holding the intensity button ▼[2]
for two seconds or by switching o the device by pres-
sing 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 device o
by pressing and holding the On/O button [1] (~ 2seconds).
Setting the intensity
Press the intensity button ▲[2] to gradually increase the inten-
sity or the intensity button ▼[2] to lower the intensity. There are
20 levels of intensity that can be selected. Depending 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 treat-
ment, simply switch the button lock on. To do this, press and
hold the program selection button P [3] for approx. 2 seconds.
An acoustic signal sounds and the symbol “ ” appears in
the display [6]. To release the button lock, press and hold the P
button [3] for approx. 2 seconds.