Compex sport elite User manual

Compex Muscle Stimulator
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English
Compex Muscle Stimulator
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i
English
TABLE OF CONTENTS
FOREWORD ...................................................1
ABOUT COMPEX SPORT ELITE.........................................29
PRECAUTIONARY INSTRUCTIONS ..................................................2
CAUTIONS ......................................................................34
WARNINGS ......................................................................56
DANGERS .........................................................................7
INDICATIONS FOR USE.............................................................8
CONTRAINDICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
ADVERSE REACTIONS .............................................................9
NOMENCLATURE ......................................... 1011
COMPEX SPORT ELITE ........................................................... 10
ACCESSORIES ................................................................... 11
INTRODUCTION .......................................... 1213
HOW DOES ELECTROSTIMULATION WORK? ...................................... 12
MOTOR NERVE STIMULATION EMS ............................................. 12
BENEFITS OF ELECTROSTIMULATION ............................................ 13
SAFETY GUIDE............................................ 1417
WHO SHOULD NOT USE THE COMPEX SPORT ELITE............................... 14
WHERE NEVER TO APPLY ELECTRODES ........................................1516
PRECAUTIONS WHEN USING ELECTRODES ....................................... 17
OPERATION .............................................. 1827
CONNECTING THE CABLES TO THE STIMULATOR ................................. 18
PRELIMINARY SETTINGS......................................................1819
SELECTING A PROGRAM......................................................... 19
PERSONALIZING A PROGRAM ................................................... 20
DURING THE STIMULATION SESSION..........................................2123
ADJUSTING STIMULATION ENERGIES ........................................ 21
PROGRAM PROGRESSION ................................................... 22
END OF PROGRAM .......................................................... 23
RECHARGING THE DEVICE ....................................................2324
ELECTRICITY CONSUMPTION ................................................ 24
RECHARGING ............................................................... 24
PROGRAMS ..................................................................2527
MUSCLE STIMULATION TRAINING PROGRAMS ............................2526
ENDURANCE ........................................................... 25

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TABLE OF CONTENTS
RESISTANCE ............................................................ 25
STRENGTH ............................................................. 26
EXPLOSIVE STRENGTH.................................................. 26
SPECIALIZED MUSCLE TRAINING PROGRAMS .............................2627
POTENTIATION ......................................................... 26
ACTIVE RECOVERY...................................................... 27
PREWARMUP .......................................................... 27
RECOVERY PLUS........................................................ 27
MASSAGE .............................................................. 27
OPERATIONAL GUIDELINES ............................... 2830
USAGE GUIDELINES ............................................................. 28
CHOOSING THE APPROPRIATE MUSCLE WORK PROGRAM ........................ 28
PLANNING STIMULATION SESSION .............................................. 28
ELECTRODE POSITIONS ......................................................2829
STIMULATION POSITIONS ....................................................... 29
ADJUSTING STIMULATION ENERGIES ............................................ 30
PROGRESSION IN THE LEVELS ................................................... 30
SPECIFICATIONS.......................................... 3138
CLEANING THE UNIT............................................................. 31
MAINTENANCE.................................................................. 31
STORAGE AND TRANSPORTATION CONDITIONS .................................. 31
PATENTS ........................................................................ 31
DISPOSAL....................................................................... 32
STANDARDS .................................................................... 32
HOW TO GET HELP .............................................................. 32
DESCRIPTION OF DEVICE MARKINGS............................................. 33
OUTPUT WAVEFORM ............................................................ 33
UNIT CHARACTERISTICS......................................................... 34
POWER SUPPLY ................................................................. 34
OUTPUT SPECIFICATIONS ....................................................... 34
DESCRIPTION OF ACCESSORIES.................................................. 34
ELECTROMAGNETIC COMPATIBILITY EMC TABLES............................3538
TROUBLESHOOTING ...................................... 3940
WARRANTY ................................................. 41
INDEX.................................................... 4243

English
1
This manual has been written for the owners and operators
of the Compex® Sport Elite. It contains general instructions
for operation, precautionary instructions, and maintenance
recommendations. In order to obtain maximum life and
efficiency from your Compex Sport Elite, and to assist in the
proper operation of the unit, read and understand this manual
thoroughly.
The specifications put forth in this manual were in effect
at the time of the publication. However, changes to these
specifications may be made at any time without obligation on
the part of DJO, LLC.
Before starting any program, you should become
acquainted with the shopcompex.com website to
establish an appropriate training plan.
The shopcompex.com website helps you take your first
steps with the device.
FOREWORD

2
ABOUT Compex Sport Elite
The precautionary instructions found in this section and throughout this
manual are indicated by specific symbols. Understand these symbols and
their definitions before operating this equipment. The definitions of these
symbols are as follows:
CAUTION
Text with a “CAUTION” indicator will
explain possible safety infractions
that could have the potential to
cause minor to moderate injury or
damage to equipment.
WARNING
Text with a “WARNING” indicator will
explain possible safety infractions
that will potentially cause serious
injury and equipment damage.
DANGER
Text with a “DANGER” indicator will
explain possible safety infractions
that are imminently hazardous
situations that would result in death
or serious injury.
PRECAUTIONARY INSTRUCTIONS
NON-IONIZING
ELECTROMAGNETIC
RADIATION
Text with a “Non-Ionizing
Electromagnetic Radiation”
indicator informs the user of
possible hazards resulting from
elevated, potentially dangerous
levels of non-ionizing radiation.
NOTE: Throughout this manual,
“NOTE” may be found. These
Notes are helpful information
to aid in the particular area or
function being described.
EXPLOSION HAZARD
Text with an “Explosion
Hazard” indicator will
explain possible safety
infractions if this equipment
is used in the presence of
flammable anesthetics.
DANGEROUS VOLTAGE
Text with a “Dangerous Voltage”
indicator serves to inform
the user of possible hazards
resulting in the electrical charge
delivered in certain program
configurations of waveforms.
BIOHAZARDOUS MATERIALS
Text with a “Biohazard” indicator
serves to inform the user of
possible hazards resulting
in improper handling of
components and accessories
that have come in contact with
bodily fluids.

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English
Read, understand, and practice the precautionary and operating
instructions found in this manual. Know the limitations and
hazards associated with the treatment table. Observe any and all
precautionary and operational decals placed on the unit.
DO NOT operate this unit in an environment where other devices
are being used that intentionally radiate electromagnetic energy in
an unshielded manner. Portable and mobile RF communications
equipment can affect Medical Electrical Equipment.
This unit generates, uses, and can radiate radio frequency energy
and, if not installed and used in accordance with the instructions,
may cause harmful interference to other devices in the vicinity.
However, there is no guarantee that interference will not occur
in a particular installation. Harmful interference to other devices
can be determined by turning this unit on and off. Try to correct
the interference using one or more of the following: reorient or
relocate the receiving device, increase the separation between the
equipment, connect the unit to an outlet on a different circuit from
that which the other device(s) are connected, and consult DJO, LLC
for help.
Some persons may experience skin irritation or hypersensitivity
due to the electrical stimulation or electrical conductive medium
(gel). The irritation can usually be reduced by using an alternative
conductive medium or electrode placement.
This device should be used only with the leads, electrodes and
accessories recommended for use by the manufacturer.
Caution should be used for users with suspected or diagnosed
heart problems.
The Compex Sport Elite should not be used while driving,
operating machinery, or during any activity in which involuntary
muscle contractions may put the user at undue risk of injury.
ABOUT Compex Sport Elite

4
ABOUT COMPEX SPORT ELITE
The effects of stimulation of the brain are unknown. Therefore,
stimulation should not be applied across the head and electrodes
should not be placed on the opposite sides of the head.
Caution should be used for patients with suspected or diagnosed
epilepsy.
Caution should be used in the presence of a tendency to
hemorrhage following acute trauma or fracture, following recent
surgical procedures when muscle contraction may disrupt the
healing process, over a menstruating or pregnant uterus and over
areas of skin which lack normal sensation.
Do not allow any foreign bodies (soil, water, metal, etc.) to
penetrate the device, the battery compartment and the charger.
Do not use the device in water of in a humid atmosphere (sauna,
hydrotherapy, etc.).
This unit should be operated in temperatures between 32 °F and
104 °F (0 °C and 40 °C), atmospheric pressures between 700 and
1060 hPa and Relative Humidity ranging from 30%-75%.
Sudden temperature changes can cause condensation to build
up inside the stimulator. To prevent this, allow it to reach ambient
temperature before use.
Electrodes should not be shared with other persons. Each person
should have their own set of electrodes; otherwise, undesirable
skin reactions may occur.
Self-adhesive electrodes should be replaced if they no longer
stick firmly to the skin.
Always use the charger provided by DJO, LLC to recharge the
batteries.

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English
ABOUT COMPEX SPORT ELITE
The Compex Sport Elite should not be used adjacent to or stacked
with other equipment, and if adjacent or stacked use is necessary,
the unit should be observed to verify normal operation in the
configuration in which it will be used.
Use only accessories that are specially designed for the Compex
Sport Elite. Do not use accessories manufactured by other
companies on the Sport Elite. DJO, LLC is not responsible for any
consequence resulting from using products manufactured by other
companies. The use of other accessories or cables may result in
increased emissions or decreased immunity of the Sport Elite.
Long term effects of chronic electrical stimulation are unknown.
Safe use of electrotherapy during pregnancy has not been
established.
Stimulation should not be applied over the anterior neck or mouth.
Severe spasm of the laryngeal and pharyngeal muscles may occur
and the contractions may be strong enough to close the airway or
cause difficulty in breathing.
Stimulation should not be applied transthoracically in that the
introduction of electrical current into the heart may cause cardiac
arrhythmia.
Stimulation should not be applied over swollen, infected, and
inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis,
varicose veins, etc.
The user must keep the device out of the reach of children.
Do not disconnect any stimulation cables during a session while the
stimulator is switched on. Switch the stimulator off first.
Never connect stimulation cables to an external power supply. There
is a risk of electric shock.
Never recharge the stimulator without first disconnecting the
stimulation cables.

6
ABOUT COMPEX SPORT ELITE
Never carry out an initial stimulation session on a person who
is standing. The first five minutes of stimulation must always
be performed on a person who is sitting or lying down. In rare
instances, people of a nervous disposition may experience a
vasovagal reaction. This is of psychological origin and is connected
with a fear of the muscle stimulation as well as surprise at seeing
one of their muscles contract without having intentionally
contracted it themselves. A vasovagal reaction causes heart to
slow down and blood pressure to drop, which can make you feel
weak and faint. If this does occur, all that is required is to stop the
stimulation and lie down with the legs raised until the feeling of
weakness disappears (5 to 10 minutes).
Never allow movement resulting from muscular contraction
during a stimulation session. You should always stimulate
isometrically; this means that the extremities of the limb in which
a muscle is being stimulated must be firmly fixed, so as to prevent
the movement that results from contraction.
Do not use the Compex Sport Elite if you are connected to a high-
frequency surgical instrument as this could cause skin irritation or
burns under the electrodes.
Never use the Compex Sport Elite or the charger if it is damaged
(case, cables, etc.) or if the battery compartment is open. There is a
risk of electric shock.
Disconnect the charger immediately if the Compex Sport Elite
“bleeps”continuously, if there is abnormal heating or smell, or if
smoke comes from the charger or the Compex Sport Elite.
Do not recharge the battery in a confined space (carrying case,
etc.). There is a risk of fire or electric shock.
Do not use the stimulator at altitudes of over 9,842 feet (3,000
meters).

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English
ABOUT COMPEX SPORT ELITE
Stimulation should not be applied over the carotid sinus nerve
particularly in patients with a known sensitivity to the carotid sinus
reflex.
Stimulation should not be applied transcerebrally.
Stimulation should not be applied over, or in proximity to,
cancerous lesions.
Stimulus delivered by the waveforms of this device,
in certain configurations, will deliver a charge of 25
microcoulombs (µC) or greater per pulse and may be
sufficient to cause electrocution. Electrical current of this
magnitude must not flow through the thorax because it
may cause a cardiac arrhythmia.
Users with an implanted neurostimulation device
must not be treated with or be in close proximity to
any shortwave diathermy, microwave diathermy,
therapeutic ultrasound diathermy or laser diathermy
anywhere on their body. Energy from diathermy
(shortwave, microwave, ultrasound and laser) can be
transferred through the implanted neurostimulation
system, can cause tissue damage, and can result in
severe injury or death. Injury, damage or death can
occur during diathermy therapy even if the implanted
neurostimulation system is turned “off.”
Handle, clean and dispose of components and accessories
that have come in contact with bodily fluids according
to National, Local and Facility rules, regulations and
procedures.
Explosion hazard if the Compex Sport Elite is used in
the presence of flammable anesthetics mixture with air,
oxygen, or nitrous oxide.

8
ABOUT COMPEX SPORT ELITE
CONTRAINDICATIONS
Never use the Compex Sport Elite on:




Do not use the Compex Sport Elite:






INDICATIONS FOR USE
The Compex Sport Elite is intended to stimulate healthy muscles in order to improve
or facilitate muscle performance. It is to be used by adults only.
The Compex Sport Elite is not intended for adjunctive therapy in the treatment
of medical diseases and conditions of any kind. None of the Compex Sport Elite
stimulation programs are designed for injured or disease afflicted muscles. Its use on
such muscles is contraindicated. The work imposed on the muscles by the Compex
Sport Elite programs is definitely not suitable for rehabilitation and physiotherapy.
The Compex Sport Elite electrical impulses allow the triggering of action potentials
on motoneurones of motor nerves (excitations). These excitations of motoneurones
are transmitted to the muscle fibers via the motor endplate where they generate
mechanical muscle fiber responses that correspond to muscle work. Depending on
the parameters of the electrical impulses (pulse frequency, duration of contraction,
duration of rest, total session duration), different types of muscle work can be
imposed on the stimulated muscles.
The Compex Sport Elite may therefore be considered a technique of muscle training.

9
English
ABOUT COMPEX SPORT ELITE
ADVERSE REACTIONS

the use of powered muscle stimulators.

following the application of electrical stimulation applied to the head, face,
and near the eyes.
CONTRAINDICATIONS CONTINUED
Do not use the Compex Sport Elite if you have one or more of the following
medical conditions:
This device must not be used on persons with cardiac pacemakers, defibrillators, or
other implanted metallic or electronic devices.
cardiac demand pacemakers
epilepsy
following acute trauma or fracture
following recent surgical procedures
critical ischemia of lower limbs
abdominal or inguinal hernia
cancerous lesions
pregnancy (do not use on abdominal region)
serious arterial circulation problems in lower limbs
sensitivity problems or unable to express yourself
Osteosynthesis equipment
The presence of osteosynthesis equipment (metallic equipment in contact with the
bone: pins, screws, plates, prostheses, etc.) is not a contraindication for the use of
Compex Sport Elite programs. The electrical currents of the Compex Sport Elite are
specially designed to have no harmful effect on osteosynthesis equipment.

10
NOMENCLATURE
COMPEX SPORT ELITE
UNDERSIDE
TOPSIDE
ALCD display
B"On/Off" switch ( Ο )
C "i" button-
used to increase stimulation
energies in several channels
simultaneously
D"+" / "–" keys of the
4 stimulation channels
ESocket for battery charger
(slide the red cover to
the right to free the
charger connector while
inserting the charger pin)
FFour sockets for the
4 electrode cables
GElectrode cables
channel 1 = blue
channel 2 = green
channel 3 = yellow
channel 4 = red
HBelt clip socket
ICompartment for the
rechargeable battery
NOTE: You are strongly advised to carefully read the safety precautions and
contraindications described at the start of this manual prior to using your stimulator.
B
A
E
C
F
G
HI
D

11
English
NOMENCLATURE
ACCESSORIES
JCompex Sport Elite stimulator
KBattery charger
LSet of electrode cables (blue/ green/ yellow/ red)
MBags with electrodes (small and large)
N Travel pouch
O Belt Clip
N
M
J
K
O
L

12
HOW DOES ELECTROSTIMULATION WORK?
The principle of electrostimulation is to stimulate nerve fibers by means of electrical
impulses transmitted by electrodes. The electrical pulses generated by Compex Sport
Elite stimulator are high quality pulses - offering safety, comfort and efficiency.
The motor nerves, to stimulate a muscular response. The quantity and the benefits
obtained depend on the stimulation parameters and this is known as electro-
muscular stimulation (EMS).
MOTOR NERVE STIMULATION EMS
In voluntary activity, the order for muscular work comes from the brain, which sends
a command to the nerve fibers in the form of an electrical signal. This signal is then
transmitted to the muscular fibers, which contract. The principle of electrostimulation
accurately reproduces the process observed during a voluntary contraction. The
stimulator sends an electrical current impulse to the nerve fibers, exciting them.
This excitation is then transmitted to the muscular fibers causing a basic mechanical
response (= muscular twitch). The latter constitutes the basic requirement for
muscular contraction. This muscular response is completely identical to muscular
work controlled by the brain. In other words, the muscle cannot distinguish whether
the command comes from the brain or from the stimulator. The parameters of the
Compex Sport Elite programs (number of impulses per second, contraction time, rest
time, total program time) subject the muscles to different types of work, according
to muscular fibers. In fact, different types of muscular fibers may be distinguished
according to their respective contraction speed: slow, intermediate and fast fibers.
Fast fibers will obviously predominate in a sprinter, while a marathon runner will
have more slow fibers. With a good knowledge of human physiology and a perfect
mastery of the stimulation parameters of the various programs, muscular work
can be directed very precisely towards the desired goal (muscular reinforcement,
increased blood flow, firming up, etc.).
INTRODUCTION
Electrical
pulse
Stimulated
muscle
Elementary mechanical response - Twitch
Transmission
of the excitation
Excitation
Motor
nerve

13
English
BENEFITS OF ELECTROSTIMULATION
Electrostimulation is a very effective way to make your muscles work:



greater quantity of work by the muscles compared with voluntary activity.
To be effective, this work must involve the greatest possible number of muscular
fibers. The number of fibers working depends on the stimulation energy. The
maximum tolerable energy should therefore be used. The user controls this aspect
of stimulation. The higher the stimulation energy, the greater the number of
muscular fibers that are working and, therefore, the more significant the progress
achieved. To maximize results, DJO, LLC recommends that you complement your
electrostimulation sessions with other efforts, such as:


INTRODUCTION

14
SAFETY GUIDE
WHO SHOULD NOT USE THE COMPEX SPORT ELITE
Check the following list of 15 questions:
If you answer “Yes”, or “Maybe” , or “I don’t know” to one or more questions, do not
use the device and contact DJO, LLC for more information.
If you have 15 “No” answers, you can use the Compex Sport Elite.
Questions Yes/No
1 Are you equipped with a cardiac pacemaker, debrillator,
or other implanted metallic or electronic device?
2 Are you epileptic?
3 Have you recently been victim of an acute trauma
(less than 6 months)?
4 Have you recently been subject to a surgical procedure
(less than 6 months)?
5 Do you have blood ow deciency in your lower limbs?
6 Do you have an abdominal or inguinal hernia?
7 Do you suer from cancer?
8 Are you pregnant?
9 Do you suer from cardiac problems or diseases?
10 Do you have painful or aicted joints?
11 Do you have muscle spasms?
12 Do you have atrophied muscles?
13 Do you have painful muscles?
14 Do you need muscle reeducation?
15 Do you have any joint showing a decrease in its range
of motion?
DJO, LLC
Toll free: 1-877-266-7398 (877-COMPEX8)

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English
SAFETY GUIDE
WHERE NEVER TO APPLY ELECTRODES
• On the head or any area of the face
• On the neck or any area of the throat