cefar myo X2 User manual

Art. no. 2526-2006-06
CEFAR Medical AB | Murmansgatan 126 | SE-212 25 Malmö | Sweden
Tel [phone] | Fax [phone] | E-mail [e-mail] | www.cefar.se
Users gUide....................................................3
gebraUchsanweisUng.................................15
Mode d’eMploi.............................................27
ManUal de instrUcciones...........................39
istrUzioni per l’Uso ....................................51
ManUal de instrUções................................63
gebrUikershandleiding..............................75
ИНСТРУКЦИЯ ПО ЭКСПЛУАТАЦИИ И УХОДУ.....87
instrUkcja obsłUgi .....................................99
Οδηγίες χρήςης...........................................111
használati útMUtató.................................123
brUksanvisning.........................................135
istiMal sUreti.............................................147
brUksanvisning.........................................159
brUgsanvisning.........................................171
käyttöohjeet..............................................183

3
TABLE OF CONTENS – USERS GUIDE FOR CEFAR MYO X2 AND CEFAR ACTIV X2
Precautionary Measures............................................................................................................. 4
Overview – Get to Know Your Stimulator ..................................................................................... 5
Buttons ................................................................................................................................. 5
Display Symbols .................................................................................................................... 6
Read this before Use..................................................................................................................7
Operation .................................................................................................................................. 7
Step-by-Step Use................................................................................................................... 7
CEFAR EASY TOUCH™ - AUTOMATIC AMPLITUDE SETTING (AUTO).............................................7
Manual Amplitude Setting ..................................................................................................... 8
Program Guide........................................................................................................................... 9
CEFAR EASY TRAINING™ - Sets and Repetitions (Reps)........................................................... 9
Active Rest ............................................................................................................................ 9
Levels.................................................................................................................................... 9
Program Description.............................................................................................................. 9
CEFAR MYO X2....................................................................................................................9
CEFAR ACTIV X2 ................................................................................................................ 11
Key Lock .................................................................................................................................. 12
Pausing the Program................................................................................................................ 12
Maintenance............................................................................................................................12
Batteries ............................................................................................................................. 12
Care Instructions................................................................................................................. 12
Trouble Shooting......................................................................................................................12
Technical Data......................................................................................................................... 13
Information Related to Electromagnetic Compatibility (EMC)...............................................13
Key to the Stimulator Symbols ................................................................................................. 14
Electrode Placement Guide....................................................................................................195
2526_CEFAR_MYO.ACTIV_X2__ENG_3-13 3 2006-07-07 11:09:55

4
PRECAUTIONARY MEASURES
Inspect the equipment prior to use.
Use the stimulator only as stated in the operating instructions.
Only Cefar accessories should be used with the stimulator
WARNING!
People with implanted electronic equipment, such as pacemakers and intracardiac
defibrillators, must not be treated with TENS.
Pregnant women should not be treated with TENS during the first trimester (12
weeks).
Due to the location of the carotid arteries and the carotid bodies, do not stimulate the
front or sides of the neck, since a drop in blood pressure can occur.
Stimulation should not take place while the user is connected to high-frequency surgi-
cal equipment. It may cause burn injuries on the skin under the electrodes, as well as
problems with the stimulator.
Do not use the stimulator in the vicinity of shortwave or microwave therapy equip-
ment, since this may affect the output power of the stimulator.
Keep the stimulator out of reach of children.
CAUTION
Stimulate with precaution while treating angina pectoris.
The electrodes are only to be placed on healthy skin. Avoid skin irritation by ensuring
that good contact is achieved between electrodes and skin.
Do not place electrodes directly over the uterus or connect pairs of electrodes across
the abdomen if you are pregnant. The reason is that, theoretically, the current could
affect the foetus’s heart (although there are no reports of it being harmful).
If skin irritation should occur, treatment should be temporarily discontinued. If prob-
lems continue, contact your health care provider. Hypersensitivity to tape and gel
can occur in isolated cases. The problem usually disappears when the tape or gel is
changed to another type.
•
•
•
•
•
•
•
•
•
•
•
•
•
Do not use electrodes with a surface < 12 cm2, as there will be a risk of suffering a
burn injury. Caution should always be exercised with current densities > 2 mA/cm2.
Observe caution when using electrotherapy at the same time as the patient is con-
nected to monitoring equipment with body worn electrodes. The stimulation might
interfere with the signals to the monitoring equipment.
Never open the battery cover during stimulation in order to avoid electrical shock.
Turn off the stimulation before removing the electrodes from the skin. If an electrode
comes off, turn off the stimulation before picking it up. Getting electrical stimulation
through the fingers is unpleasant but not harmful.
Observe caution when stimulating in the immediate vicinity of cellular phones that are
switched on, since this may affect the output power of the stimulator.
Observe caution if you use the stimulator while driving, unintentional stimulation
changes might extract focus from the driving and create a hazardous situation.
•
•
•
•
•
•
2526_CEFAR_MYO.ACTIV_X2__ENG_3-14 4 2006-07-07 11:09:55

5
OVERVIEW – GET TO KNOW YOUR STIMULATOR
BUTTONS
1
2
2
3
3
3
3
45
1.
AUTO
P
AUTO
S
Turns the stimulator on and off.
Note! Can be used for terminating the stimulation at all times.
2.
AUTO
P
AUTO
S
Starts the AUTO test mode.
Confirms the selected amplitude level in AUTO test mode.
3.
AUTO
P
AUTO
S
Decreases or increases the stimulation amplitude (intensity of the stimulation) for each channel.
Note! Always increase the amplitude cautiously.
AUTO
P
AUTO
S
also deactivates the key lock.
4.
AUTO
P
AUTO
S
Selects the training program.
Also used for pausing the program in progress.
5.
Selects stimulation for lower or upper body.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-15 5 2006-07-07 11:09:56

6
1. SETS
Total or remaining number of sets in selected
program. If SET is not displayed the bargraf illustrates
stimulation amplitude for left channel.
2. REPS
Total or remaining number of repetitions in each set.
If REP is not displayed, the bargraph illustrates
stimulation amplitude for right channel.
3. BROKEN CIRCUIT
Indicates if the circuit (connection between
stimulator and electrode) is broken.
For further information, see Trouble Shooting.
4. PAUSE
The stimulation program is paused.
5. BATTERY STATUS
Empty batteries. This symbol is shown when the batter-
ies are almost empty.
6. PROGRAM NUMBER
Selected program number. See Program Description for
further information.
7. LEVEL NUMBER
Intensity level. See Program Description for further
information.
8. REMAINING TIME
Remaining program time in minutes and seconds.
Time is flashing during timer setting, also counts down
the time for break between sets.
9. BODY PART
Selected body part for stimulating, indicated by the
filled body part.
10. KEY LOCK
Key lock is activated.
11. WORK/REST
Upper part flashes during work, lower part during rest
periods.
12. AUTO STIMULATION MODE
Activated automatic amplitude setting. “AUTO” is flash-
ing during test mode and steady during stimulation.
13. AMPLITUDE LEVEL
Selected amplitude in mA (not shown in Auto stimula-
tion mode).
For information about the symbols on the stimulator’s back,
see section Key to the Stimulator Symbols.
OVERVIEW – GET TO KNOW YOUR STIMULATOR
DISPLAY SYMBOLS
1. 2.3. 3.4. 5.
6.
11.
12.
13.
7.
8.
9.
10.
12.
13.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-16 6 2006-07-07 11:09:57

7
READ THIS BEFORE USE
To reach your goal and get the most effective training the stimulation should
feel strong but without pain. Since the body initially adapts to the selected
intensity of the stimulation, it is necessary to adjust the amplitude gradually to
reach the optimal level of stimulation.
CEFAR EASY TOUCH™ - AUTOMATIC AMPLITUDE SETTING (AUTO)
By using CEFAR EASY TOUCH™ the amplitude is automatically set and adjusted
during the program, related to the result of the analyse in the TEST that is
automatically done when you use the auto mode.
To get the most effective training the amplitude increases gradually during the
program. You can leave auto mode any time by pressing the arrow buttons;
AUTO
P
AUTO
S
or
AUTO
P
AUTO
S
.
OPERATIONW
STEP-BY-STEP USE
1. Connect the electrodes to a cable.
2. Attach the electrodes to your body.
Follow the recommendation in Electrode Placement Guide , at the end
of this user manual.
3. Connect the cable to one of the stimulator’s two channels.
4. Press
AUTO
P
AUTO
S
to turn the stimulator on.
5. Press to select the stimulation for muscles on upper or lower
body.
6. Press
AUTO
P
AUTO
S
until desired program number is shown.
More information about each program and its level is found in the section
Program Description .
Note! The program can only be changed or selected when the amplitude is
0.0 mA.
To start the training see ‘CEFAR EASY TOUCH™ – Automatic Amplitude Setting
(AUTO)’ (recommended) or ‘Manual Mode’.
CEFAR EASY TOUCH™ – AUTOMATIC AMPLITUDE SETTING (AUTO)
Prepare the equipment as described in Step-by-Step Use , step 1-6
7. Press
AUTO
P
AUTO
S
to start the auto test.
AUTO starts flashing and the amplitude increases gradually.
8. Press
AUTO
P
AUTO
S
once again when you see the first visual muscle response.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-17 7 2006-07-07 11:09:57

8
If you press AUTO too late, or want to start again for any reason, press and
hold the AUTO button for 2 seconds to start over.
9. The AUTO on the other channel starts flashing.
· If you only use one channel: Wait a few seconds and the AUTO stops flas-
hing.
· If you use both channels: Press the other channel’s
AUTO
P
AUTO
S
, to confirm
the two channel use. The other channel’s auto test starts. Repeat step 8 to
set the amplitude.
The amplitude is now optimized for you and the training program will start
after a few seconds. When the program is finished the timer flashes ”00:00”.
AUTO
P
AUTO
S
or
AUTO
P
AUTO
S
can be used to increase or decrease stimulation amplitude at
any time until the stimulation feels pleasant, presumed that the key lock is
inactivated. If doing so, the Automatic Amplitude Setting is lost and the stimu-
lator goes to Manual Amplitude Setting.
MANUAL AMPLITUDE SETTING
Prepare the equipment as described in Step-by-Step Use , step 1-6
7. Press
AUTO
P
AUTO
S
to set the amplitude and start the stimulation.
8. Increase or decrease the amplitude using
AUTO
P
AUTO
S
and
AUTO
P
AUTO
S
until you reach a
comfortable level. Always increase the amplitude cautiously.
When the program is finished the amplitude automatically returns to 0, and
the timer flashes ”00:00”.
Note: Do not forget to set the amplitude for the Active Rest (in manual mode
only), see section Active Rest.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-18 8 2006-07-07 11:09:58

9
PROGRAM GUIDE
CEFAR EASY TRAINING™ – SETS AND REPETITIONS (REPS)
Programs that are physically straining consist of sets and repetitions (reps),
just like the regular muscle training principle. Between each set there is a
break, and the timer counts down the remaining time until the next set starts.
indicates if the training is in a work or rest phase, upper part flashes
during work, lower part during rest.
ACTIVE REST
In the training programs where the intensity is high enough for muscle contrac-
tions, there is stimulation between the contractions, so-called Active Rest. The
stimulation should cause muscle vibrations. The aim is to keep the muscle
prepared for the next contraction and to decrease muscle soreness afterwards.
Note: Do not forget to set the amplitude for the Active Rest in manual mode.
In auto mode the amplitude adjusts automatically in Active Rest.
LEVELS
Some of the programs have 3 different levels: 1, 2 and 3. Use these levels
to gradually increase your training load. If you are not physically active, we
advice you to start with level 1 and gradually increase the level as you want to
increase the workload.
PROGRAM DESCRIPTION
How to read the schedule:
PROGRAM NAME
Program objective.
(P) Program number : (lvl) Training level
CEFAR MYO X2
PROGRESSIVE FORCE
P3 : lvl 1 P4 : lvl 2
Series of contractions that increase, then decrease, for strength
development.
P5 : lvl 3
MAXIMUM FORCE
P6 : lvl 1 P7 : lvl 2
Strength training and developing muscle mass.
P8 : lvl 3
WARM UP
P1 : lvl 1 P2 : lvl 2
Prepares the muscle for exercise.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-19 9 2006-07-07 11:09:58

10
EXPLOSIVE FORCE
P9 : lvl 1 P10 : lvl 2
Increases the capacity for instantaneous maximum force.
P11 : lvl 3
ENDURANCE
P12 : lvl 1 P13 : lvl 2
Improves the capacity for enduring a high workload over a pro-
longed period of time.
P14 : lvl 3
RESISTANCE FORCE
P15 : lvl 1 P16 : lvl 2
Improves the capacity to develop a high level of force over a pro-
longed period of time.
P17 : lv 3
CAPILLARISATION
P18 : lvl 1 P19 : lvl 2
Increases blood flow to the muscle.
RECOVERY
P20
Improves circulation and elimination of lactic acid after a work-
out.
Note: The TENS program does not always treat the cause of the pain.
If the pain persists, seek medical advice.
ACTIVE RECOVERY
P21
Increases the ability to regain muscular capacity after a workout.
MASSAGE
P22
The comfortable vibrations increase circulation and help the mus-
cles to relax.
DRAINAGE
P23
The comfortable vibrations increase circulation and promote
elimination of toxins.
TENS CONVENTIONAL
P24
Offer effective pain relief. It can be used at anytime to soothe
pain.
TENS ENDORPHIN
P25
Offer effective pain relief.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-110 10 2006-07-07 11:09:58

11
CEFAR ACTIV X2
TONING
P2 : lvl 1 P3 : lvl 2
Maintaining muscle tone, ideal for people of all physical condi-
tions.
P4 : lvl 3
SCULPTING
P5 : lvl 1 P6 : lvl 2
Produces an intense workout comparable with regular strength
training sessions.
P7 : lvl 3
STOMACH/BUTTOCKS
P8 : lvl 1 P9 : lvl 2
A muscle-building program designed specifically for the abdomi-
nals and buttocks.
P10 : lvl 3
AEROBIC
P11 : lvl 1 P12 : lvl 2
Increases the aerobic capacity by long sub-maximal training ses-
sions.
P13 : lvl 3
WARM UP
P1
Prepares the muscle for exercise.
RECOVERY
P14
Improves circulation and elimination of lactic acid after a work-
out.
DRAINAGE
P15
The comfortable vibrations increase circulation and promote
elimination of toxins.
RELAXING MASSAGE
P16
Causes a very effective de-contraction of the muscles.
TENS CONVENTIONAL
P17
Offer effective pain relief. It can be used at anytime to soothe
pain.
TENS ENDORPHIN
P18
Offer effective pain relief.
Note: The TENS program does not always treat the cause of the pain.
If the pain persists, seek medical advice.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-111 11 2006-07-07 11:09:59

12
KEY LOCK
The key lock activates, indicated by , if a stimulation program is active and
no buttons are pressed for 10 seconds.
1. To deactivate the keylock, press
AUTO
P
AUTO
S
.
PAUSING THE PROGRAM
If key lock is on, press any of the DECREASE buttons
AUTO
P
AUTO
S
to deactivate it.
1. Press
AUTO
P
AUTO
S
to pause the program.
2. To resume the stimulation, press
AUTO
P
AUTO
S
once again.
indicates that the program is paused and no amplitude is generated. If
the stimulator is paused more than 5 minutes it turns off automatically to save
batteries.
MAINTENANCE
BATTERIES
The in the display shows when it is recommended to replace the bat-
teries. The batteries can still be used until the stimulation feels weaker or the
stimulator stops working.
1. Make sure the stimulator is switched off.
2. Remove the battery cover, by sliding it downwards and then lifting it
upwards.
3. Change the batteries to new ones (type AA 1,5V). Make sure the
polarisation placement (+ and -) is correct.
4. Replace the battery cover.
5. Dispose of the exhausted batteries according to local regulations.
CARE INSTRUCTIONS
Taking care of and cleaning CEFAR ACTIV X2 and CEFAR MYO X2 equipment is
simple, provided the following instructions are observed.
· Keep the stimulator and accessories in the original case when not in use.
· Never expose the stimulator to water. Wipe with a damp cloth if necessary.
· The cables are best preserved if left attached to the stimulator between
sessions.
· Do not jerk cabels or connections.
· The electrodes are re-moistened if necessary with a few drops of water and
kept air-tight (in a plastic bag) on protective paper when they are not in
use.
TROUBLE SHOOTING
The stimulation does not feel the same as usual
· Check that all settings are correct and make sure that the electrodes are
correctly placed.
· Slightly change the position of the electrodes.
The stimulation feels unpleasant
· The skin is irritated. For advice on skin care, see section Precautionary
Measures.
2526_CEFAR_MYO.ACTIV_X2__ENG_3-112 12 2006-07-07 11:10:00

13
· The electrodes begin to lose their stickiness and do not stick properly to the
skin. Moisten the adhesive surface with a few drops of water before placing
on the skin.
· The electrodes are worn out and need to be replaced.
· Slightly change the position of the electrodes.
The stimulation feels weak or not at all
· Check if the batteries need to be replaced, see section Batteries .
· Electrodes are too old and need replacement.
The broken circuit symbol is shown on the display
The broken circuit symbol indicates that the resistance is too high, or that a
cable is broken.
· A too high resistance can be caused by a bad connection between the elec-
trodes and your skin, or that the electrodes need to be replaced.
· A cable breakage can be checked by pressing the cable’s pins against one
another while increasing the amplitude for the corresponding channel to
11 mA. If the amplitude now drops to 0.0 mA and starts flashing, the cable
needs to be replaced.
Note! Never increase the amplitude above 20 mA when you check for cable
breaks, since this can damage the stimulator.
TECHNICAL DATA
CEFAR MYO X2 and CEFAR ACTIV X2 are electrical stimulators with two chan-
nels intended for muscle training and pain relief. They can deliver 100 mA of
constant current through a resistance load of 1000 ohms. With a change in
load from 100 to 1000 ohms, the stimulation current changes less than 10 %
from the set value. The stimulator operates on either two non-rechargeable 1.5
V AA batteries or two rechargeable 1.2 V AA batteries, recharged in a separate
charger.
Information Related to Electromagnetic Compatibility (EMC)
CEFAR MYO X2 and CEFAR ACTIV X2 are designed to be used in typical
domestic or commercial environments and are approved according to the EMC
safety standard of EN 60601-1-2.
CEFAR MYO X2 and CEFAR ACTIV X2 emit very low levels in the radio fre-
quency (RF) interval. Therefore they are not likely to cause any interference in
nearby electronic equipment (radios, computers, telephones etc.).
CEFAR MYO X2 and CEFAR ACTIV X2 are designed to withstand foreseeable
disturbances originating from electrostatic discharges, mains supply magnetic
fields and radio frequency transmitters (such as mobile telephones).
2526_CEFAR_MYO.ACTIV_X2__ENG_3-113 13 2006-07-07 11:10:00

14
CEFAR MYO X2 & CEFAR ACTIV X2
Numberofchannels..........................2
Constant current . . . . . . . . . . . . . . . . . . . . . . . . . . . .Up to a resistance of 1000 ohms
Stimulation current/channel . . . . . . . . . . . . . . . . . . . .0–100 mA
Waveform..................................Symmetricalbiphasicpulse,
100 % compensated
Number of preset programs
CEFARMYOX2..............................50
CEFARACTIVX2.............................36
Stimulation forms . . . . . . . . . . . . . . . . . . . . . . . . . . . .Continuous stimulation:
Conventional
Modulated pulse duration
Modulated frequency
Intermittent stimulation:
Maxpulseduration...........................350μs
Maxfrequency..............................80Hz
Environment for storage, use and shipping . . . . . . . . .Temperature 10 º C–40 ºC
Air humidity 30 %–75 %
Air pressure 700 hPa–1060 hPa
Power source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 x 1.5 V AA non-rechargeable
or 2 x 1.2 V AA rechargeable
batteries
Current consumption for one
channel,80Hz,30mA........................150mA
Ir.m.s.max/channel .........................11mA
Size .....................................120x50x30mm
Weight ...................................ca.180g
KEY TO THE STIMULATOR SYMBOLS
Read the operating instructions before to use.
Patient part type – Body Floating.
Dispose of the worn-out stimulator in accordance with local and national
regulations.
One ore more of the following markings may appear on your device:
Complies with the European Medical Device Directive (93/42/EEC).
Notified body Intertek ETL Semko (0413).
Complies with UL 69050-1, SCA C22.2 No. 69050-1.
Certification mark issued by SGS.
The stimulator has a two-year warranty against defects,
on condition that it is used correctly.
0413
2526_CEFAR_MYO.ACTIV_X2__ENG_3-114 14 2006-07-07 11:10:03

195
2526_CEFAR_MYO.ACTIV_X2_EP_195-2195 195 2006-07-07 11:49:39

196
2526_CEFAR_MYO.ACTIV_X2_EP_195-2196 196 2006-07-07 11:49:40

197
2526_CEFAR_MYO.ACTIV_X2_EP_195-2197 197 2006-07-07 11:49:41

198
2526_CEFAR_MYO.ACTIV_X2_EP_195-2198 198 2006-07-07 11:49:42