CONTROL SOLUTIONS CS Medical Systems CS6103 User manual

Interferential Stimulator
Document Number: 007147
Revision: A

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 2 of 36
Warranty
For warranty information please refer to the following website: http://www.controls.com/index.php/support/warranty
Disclaimer
CS Medical Systems is a brand name of Control Solutions LLC.
Control Solutions LLC reserves the right to update this manual at any time without notice. This manual supersedes all
previous versions, which must no longer be used. Control Solutions LLC reserves the right to change this product without
any notification.
Control Solutions LLC and the Control Solutions logo are trademarks of Control Solutions LLC.
All other brand and product names, company names, and logos are trademarks or registered trademarks of their
respective companies.
All materials contained within this manual, in printed or electronic format, are protected by copyright laws and other
intellectual property laws.
© Copyright 2012 Control Solutions LLC, Aurora, Illinois, USA. All rights reserved.
Control Solutions LLC
2520 Diehl Road
Aurora, IL 60502
Tel: [phone]
Fax: [phone]
Web:
www.controls.com
www.csmedsys.com

Patient Instruction Manual CS6103 Interferential Stimulator
Page 3 of 36 Control Solutions LLC
Table of Contents
Page
Warranty ..................................................................................2
Disclaimer................................................................................2
Introduction.............................................................................7
Purpose ......................................................................................................7
Scope..........................................................................................................7
Revision Summary......................................................................................7
Precautions.................................................................................................7
Terms..........................................................................................................8
Definitions...................................................................................................8
References .................................................................................................8
Related Products ........................................................................................8
Audience.....................................................................................................8
Interferential Stimulation........................................................9
How it Works...............................................................................................9
How it Feels................................................................................................9
Benefits.......................................................................................................9
Neuromuscular Stimulation..................................................10
How it Works.............................................................................................10
How it Feels..............................................................................................10
Benefits.....................................................................................................10
Safety Precautions and Warnings........................................11
Interferential Stimulation...........................................................................11
Indications...........................................................................................11
Contraindications ................................................................................11
Warnings.............................................................................................12
Precautions.........................................................................................12
Adverse Effects...................................................................................12
Neuromuscular Stimulation.......................................................................13
Indications...........................................................................................13
Contraindications ................................................................................13
Warnings.............................................................................................13
Precautions.........................................................................................14
Adverse Effects...................................................................................15

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 4 of 36
Product Description..............................................................17
Overview...................................................................................................17
Features....................................................................................................18
Specifications............................................................................................19
Kit Content................................................................................................20
Unit Layout ............................................................................21
Display......................................................................................................21
Input and Navigation.................................................................................22
Electrode and DC-IN Jacks.......................................................................23
Operating Instructions..........................................................24
Preparing Electrodes ................................................................................24
Attaching Electrodes.................................................................................25
Treatment Using Standard Built-In Modes................................................26
Modes of Operation ..................................................................................28
Additional Parameters...............................................................................29
After Treatment Care................................................................................29
Reusable Electrode Care....................................................................29
CS6103 Unit Care...............................................................................30
Additional Features...............................................................31
Auto Shut-off.............................................................................................31
Care and Maintenance..........................................................32
Troubleshooting the CS6103................................................33
Error Codes ..............................................................................................34
Contacting Customer Service ..............................................35

Patient Instruction Manual CS6103 Interferential Stimulator
Page 5 of 36 Control Solutions LLC
List of Tables
Page
Table 1 - Abbreviations and Acronyms.............................................................8
Table 2 - CS6103 Product Specifications.......................................................19
Table 3 - Kit Contents.....................................................................................20
Table 4 - Interferential Stimulator Navigation .................................................22
Table 5 - Interferential Stimulator Jacks.........................................................23
Table 6 - Attaching Electrodes........................................................................25
Table 7 - Treatment Setup..............................................................................26
Table 8 - Treatment Button Functions ............................................................27
Table 9 - Mode Details ...................................................................................28
Table 10 - Modes of Operation Descriptions ..................................................29
Table 11 - Additional Parameters...................................................................29
Table 12 - Troubleshooting Hints....................................................................33
List of Figures
Page
Figure 1 - Precaution Blocks.............................................................................7
Figure 2 - CS6103 Interferential Stimulator ....................................................17
Figure 3 - CS6103 Interferential Stimulator Front...........................................21
Figure 4 - CS6103 Interferential Stimulator Top and Right Side.....................23
Figure 5 - Electrode Placement......................................................................25
Figure 6 - Treatment Display..........................................................................26

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 6 of 36
This page intentionally left blank

Patient Instruction Manual CS6103 Interferential Stimulator
Page 7 of 36 Control Solutions LLC
Introduction
Before using the CS6103 Interferential Stimulator please read this entire manual carefully
to become familiar with the features, benefits and operation.
Purpose
This manual is intended to provide the Patient with information required to set-up,
connect and successfully use the CS6103 Interferential Stimulator.
Scope
This manual describes the CS6103 Interferential Stimulator and its layout, buttons,
menu items and usage. It also provides general care and maintenance as well as basic
troubleshooting tips.
Revision Summary
Revision
Update
A
This is the initial release of this document.
Precautions
This document contains hazard statements for your safety. Hazard statements are
provided where safety consequences to personnel, equipment, and operation may exist.
Failure to follow these statements may result in serious consequences.
A standard set of icons are used to draw your attention to the appropriate type of
statement. Refer to Figure 1 for sample icons and statements.
This symbol is used whenever there is relevant supplemental
information.
Figure 1 - Precaution Blocks
A caution statement indicates the presence of a hazard that can or
will cause minor injury or property damage.
Caution
A warning statement indicates the presence of a hazard that can
cause severe injury or death.
Warning

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 8 of 36
Terms
Table 1defines the abbreviations and acronyms used in this document.
Abbreviation –Acronym
Definition
AC
Alternating Current
CSLLC
Control Solutions Limited Liability Company
DC
Direct Current
ECG
Electrocardiogram
ESD
Electrostatic Discharge
HVGS
High-Voltage Galvanic Stimulation
Hz
Hertz
IF
Interferential Stimulation
LCD
Liquid Crystal Display
LED
Light Emitting Diode
NMS
Neuromuscular Stimulation
TENS
Transcutaneous Electrical Nerve Stimulation
Table 1 - Abbreviations and Acronyms
Definitions
None
References
None
Related Products
Below are supported accessories:
CS1210A AC wall adapter
CS1304 Electrodes
CS2110B (1) pair of Touch Proof®electrode wire leads
Audience
This document was prepared for Patients use. It is intended to provide the necessary
information to understand and safely use the CS6103 Interferential Stimulator.

Patient Instruction Manual CS6103 Interferential Stimulator
Page 9 of 36 Control Solutions LLC
Interferential Stimulation
This section describes how Interferential Stimulations works, how it feels and benefits of
therapy.
How it Works
Interferential Stimulation uses two medium frequency currents which are applied to the
patient simultaneously using two pairs of electrodes. The electrodes are placed on the
patient diagonally around the area to be treated. One pair of electrodes is at a fixed
frequency of 4000Hz while the other pair of electrodes is variable, between 4001Hz and
4150Hz. At the point where the two currents cross a beat, or interference frequency
results which is the difference of the two currents (1-150Hz). Since medium frequencies
encounter little skin resistance they penetrate deep into the soft tissue and bone to the
affected area. This causes the body to secrete endorphins and other natural pain killers
to help relieve pain. This type of therapy may be used to provide symptomatic relief and
management of chronic pain, and/or as an adjunctive treatment for the management of
post-surgical and post-traumatic pain. Interferential Stimulation should not be confused
with other forms of neuro-stimulators such as Transcutaneous Electrical Nerve
Stimulation (TENS), Neuromuscular Stimulation (NMS), or High-Voltage Galvanic
Stimulation (HVGS).
How it Feels
Most patients find Interferential Therapy to be extremely beneficial and describe the
treatment as a faint "pins and needles" sensation.
Benefits
Interferential Therapy provides:
Symptomatic relief and management of chronic pain and/or
An adjunctive treatment for the management of post-surgical and post-traumatic pain

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 10 of 36
Neuromuscular Stimulation
This section describes how Neuromuscular Stimulations works, how it feels and benefits of
therapy.
How it Works
Neuromuscular Stimulation uses two medium frequency currents which are applied to
the patient simultaneously using two pairs of electrodes. The electrodes are placed on
the patient diagonally around the area to be treated. One pair of electrodes is at a fixed
frequency of 4000Hz. The other pair of electrodes is at a fixed frequency of 4048Hz. At
the point where the two currents cross a beat, or interference frequency, results at 48Hz.
A sweep of amplitude then causes the treated muscle to contract and relax during the
course of treatment.
How it Feels
Most patients find Neuromuscular Stimulation to be extremely beneficial and describe
the treatment as a faint "pins and needles" sensation with the added sensation of
muscle contraction and relaxation.
Benefits
Neuromuscular Stimulation:
Re-educates muscle
Promotes muscle tone (prevents disuse atrophy)
Maintains or increases range of motion
Relaxes muscle spasms
Increases local blood circulation
Provides immediate post-surgical stimulation of calf muscles to prevent venous
thrombosis

Patient Instruction Manual CS6103 Interferential Stimulator
Page 11 of 36 Control Solutions LLC
Safety Precautions and Warnings
This section of the document lists very important safety precautions and warnings that must
be observed when using the CS6103 Interferential Stimulator.
Interferential Stimulation
Indications
The CS6103 Interferential Stimulator may be used, with a physician's prescription, for
a variety of reasons including:
Symptomatic relief and management of chronic pain and/or
An adjunctive treatment for the management of post-surgical and post-traumatic
pain
The Interferential Current Therapy Modes include:
Standard (Std),
36R,
36A,
Continuous (Cnt), and
Memory (Mem)
[Std, 36R, 36A, Cnt]
For additional explanation refer to the Modes of Operation section of this document.
Contraindications
Below are conditions where this type of therapy should be avoided.
Carotid Sinus - Do not stimulate over the carotid sinus nerves, especially if
an individual has a known sensitivity to the carotid sinus reflex. Severe spasm to
the laryngeal and pharyngeal muscles (throat) may occur when the electrodes are
positioned over the neck and mouth. These contractions may be strong enough to
close the airway passage in the throat to close or cause difficulty in breathing.
Patients with a demand-type cardiac pacemaker should not use the CS6103.
The CS6103 should not be applied transcerebrally (across the brain).
Interferential stimulation should not be used whenever pain syndromes are
undiagnosed, until etiology is established.
The CS6103 should only be used under the medical supervision of a
qualified practitioner for adjunctive therapy for the treatment of medical
diseases and conditions.
Important

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 12 of 36
Warnings
Below are warnings that should be observed before beginning Interferential
Stimulation.
The safety of electrical stimulation during pregnancy or delivery has not yet been
established.
Interferential stimulation is not effective for pain of central origin. (This includes
headache.)
Interferential devices should be used only under the continued supervision of a
physician.
Interferential devices have no curative value.
Interferential current therapy is a symptomatic treatment and as such suppresses
the sensation of pain which would otherwise serve as a protective mechanism.
Electronic monitoring equipment (such as Electrocardiogram (ECG) monitors and
ECG alarms) may not operate properly when interferential stimulation is in use.
Stimulus delivered by this device may be sufficient to cause electrocution.
Electrical current of this magnitude must not flow through the thorax because it
may cause a cardiac arrhythmia.
Precautions
The following precautions should be observed:
Isolated cases of skin irritation may occur at the site of electrode placement
following long-term application.
Effectiveness is highly dependent upon patient selection by a person qualified in
the management of pain patients.
Adverse Effects
Unusually high sensitivity to electrical stimulation may result in skin irritation and
burns beneath the electrodes. If this occurs, discontinue use until the source has
been determined and corrected.
Keep out of the reach of children at all times.
Warning
Federal Law (USA) restricts this device to sale by, or on the order
of, a practitioner licensed by the State in which he/she practices to
use or order the use of the device.
Caution

Patient Instruction Manual CS6103 Interferential Stimulator
Page 13 of 36 Control Solutions LLC
Neuromuscular Stimulation
This section of the document provides general information related to neuromuscular
stimulation.
Indications
The CS6103 may be used, with a physician's prescription, for a variety of reasons
including:
Relaxation of muscle spasm
increasing local blood circulation
maintaining or increasing range of motion
preventing or retarding disuse atrophy, muscle reeducation, and
immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
The Neuromuscular Stimulator Modes include:
Muscle Stimulation (Stm), and
Memory (Mem) [when using Stm function]
Contraindications
Cancer patients or anyone with a demand-type cardiac pacemaker should not use
the CS6103.
Warnings
Below are warnings that should be observed before beginning Neuromuscular
Stimulation.
Carotid Sinus - Do not stimulate over the carotid sinus nerves, especially if
an individual has a known sensitivity to the carotid sinus reflex. Severe spasm to
the laryngeal and pharyngeal muscles (throat) may occur when the electrodes are
positioned over the neck and mouth. These contractions may be strong enough to
close the airway passage in the throat to close or cause difficulty in breathing.
Skin Irritation - The CS6103 should not be used over infected, inflamed, or
swollen areas or skin eruptions, e.g., phlebitis, thrombophlebitis, varicose veins.
Heart Problems/Epilepsy - Persons with suspected or diagnosed heart
problems, or epilepsy, should consult their physicians before considering the use
of electrical muscle stimulation. Caution should be used in the transthoracic
application of electrical muscle stimulators in that the introduction of electrical
current into the heart may cause arrhythmias.
The CS6103 should only be used under the medical supervision of a
qualified practitioner for adjunctive therapy for the treatment of medical
diseases and conditions.
Important

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 14 of 36
Stimulation should not be applied over, or in proximity to, cancerous lesions.
The CS6103 should not be applied transcerebrally (across the brain).
Long term effects of chronic electrical stimulation have not yet been established.
Precautions
The following precautions should be observed:
The safety of electrical stimulation during pregnancy or delivery has not yet been
established.
Caution should be used for patients with suspected or diagnosed heart problems.
Caution should be used for patients with suspected or diagnosed epilepsy.
Precautions should be observed in the presence of the following:
-When there is a tendency to hemorrhage following acute trauma or fracture.
-Following surgical procedures when muscle contraction may disrupt the
healing process.
-Over the menstruating or pregnant uterus.
-Where sensory nerve damage is present by a loss of normal skin sensation.
Some patients may experience skin irritation or hypersensitivity due to the
electrical stimulation or electrical conductive medium. This irritation can usually be
reduced by use of an alternate conductive medium or alternate electrode
placement.
Electrode placement and stimulation settings should be based on the guidance of
the prescribing practitioner.
The CS6103 should be kept out of the reach of children.
The CS6103 should be used only with the leads and electrodes recommended for
use by the manufacturer.
The CS6103 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.
Keep out of the reach of children at all times.
Warning
Federal Law (USA) restricts this device to sale by, or on the order
of, a practitioner licensed by the State in which he/she practices to
use or order the use of the device.
Caution

Patient Instruction Manual CS6103 Interferential Stimulator
Page 15 of 36 Control Solutions LLC
Adverse Effects
Skin irritation and burn beneath the electrodes have been reported with the use of
powered muscle stimulators.
Unusually high sensitivity to electrical stimulation may result in skin irritation and
burns beneath the electrodes. If this occurs, discontinue use until the source has
been determined and corrected.

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 16 of 36
This page intentionally left blank

Patient Instruction Manual CS6103 Interferential Stimulator
Page 17 of 36 Control Solutions LLC
Product Description
This section of the document provides an overview of the CS6103 Interferential Stimulator
and supported features and specifications.
Overview
The CS6103 Interferential Stimulator was specifically designed for the health care
market with the latest innovations in technology and user-friendly ergonomic design. The
unit incorporates interferential (IF) and neuromuscular stimulation (NMS) protocols and
was built to provide portable user-friendly experience for the patient, while offering a
myriad of possibilities for the clinician.
Figure 2 - CS6103 Interferential Stimulator
Keep out of the reach of children at all times.
Warning

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 18 of 36
Features
The Interferential Stimulator provides:
Two channel four lead output
Touch Proof®output safety connectors
Two-line, 16 character LCD display
Water proof membrane keypad and alphanumeric/graphic LCD for user friendliness
and long life
Five preset protocols including Neuromuscular Stimulation (NMS)
One programmable custom clinician set protocol
Pause/resume treatment for maximum flexibility
Easy to use menu interface
Built-in belt clip for hands free operation
Automatic shut-off, output amplitude monitor
Compliance meter (standard)
Customizable front panel membrane graphics with your company name and logo
(private labeling available)

Patient Instruction Manual CS6103 Interferential Stimulator
Page 19 of 36 Control Solutions LLC
Specifications
Table 2 lists the CS6103 Interferential Stimulator product specifications.
Specification
Value
Waveform
Symmetrical biphasic square wave with zero net DC
component
Carrier Frequency
4000Hz
Beat Frequency
1-150 ±1Hz fixed frequency
Variable Frequency
4001-4150 ±1Hz fixed frequency
Output Current
0-50 milliamps @ 500 ohms, per channel
*Output Voltage
0-25 volts peak, 0-50 volts peak-to-peak
Pulse Width
125 µsec
Sweep Time
6 second preset, adjustable 1 to 63 seconds
Compliance Meter
1 minute to 255 hours in 1 minute increments
Power Source
1 - 9V Alkaline battery
Wall Adapter
CS1210A UL approved AC power adapter
Operating Ambient
Temperature
0 –40 C
Dimensions
2.6" x 4.4" x 1.1"
Unit Weight (with battery)
7.37 ounces (208.9 grams)
*0.1 V increments, output voltage accurate to ± 10% of AMP setting
Table 2 - CS6103 Product Specifications
Specifications are subject to change without notice.

CS6103 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 20 of 36
Kit Content
Table 3 provides a list of the items contained within the kit.
Quantity
Item
1
CS6103 Compact Interferential Stimulator Unit
1
CS2110B Touch Proof®electrode wire lead set
1
Patient Instruction Manual
1
Custom cut foam-lined carrying case
1
9V battery
1
CS1210A AC adapter (UL approved)
1
CS1304 Electrodes
(Each package contains four 2" x 2" electrode patches)
Table 3 - Kit Contents
The recommended electrodes to use with the CS6103 Interferential
Stimulator are CS1304.
Only use the supplied CS1210A AC wall adapter to power the CS6103
Interferential Stimulator Unit. Using any other unit may damage the
Interferential Stimulator.
Warning