CONTROL SOLUTIONS CS6101-3 User manual

8-31-23
Document Number: DOC0004332
Revision: A
Interferential Stimulator
Patient Instruction Manual
CS6101-3
Control Solutions LLC
2520 Diehl Road • Aurora, IL
60502
www.controls.com

CS6101-3 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 2 of 36
Warranty
For warranty information and limitation of liability please refer to the following website:
http://www.controls.com/index.php/support/warranty
Disclaimer
Control Solutions LLC reserves the right to update this manual at any time without notice. This manual supersedes all
previous issues, which must no longer be used. Control Solutions LLC reserves the right to change this product without
any notification.
Control Solution 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 2023 Control Solutions LLC, Aurora, Illinois, USA. All rights reserved.
Manufactured by
Control Solutions LLC
2520 Diehl Road
Aurora, Illinois 60502
Tel: [phone]
Fax: [phone]
Web: www.controls.com

Patient Instruction Manual CS6101-3-3 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 (Including Russian) ................ 10
How it Works .............................................................................................10
How it Feels...............................................................................................10
Benefits......................................................................................................10
TENS Stimulation .................................................................... 10
Safety Precautions and Warnings......................................... 11
Interferential Stimulation............................................................................11
Indications............................................................................................11
Contraindications.................................................................................12
Warnings..............................................................................................12
Precautions..........................................................................................12
Adverse Effects....................................................................................13
Neuromuscular Stimulation .......................................................................13
Indications............................................................................................13
Contraindications.................................................................................13
Warnings..............................................................................................13

CS6101-3 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 4 of 36
Precautions..........................................................................................14
Adverse Effects....................................................................................15
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 or Memory Modes..............................26
Patient Modes of Operation.......................................................................28
After Treatment Care.................................................................................29
Reusable Electrode Care.....................................................................29
CS6101-3 Unit Care ............................................................................29
Additional Features................................................................. 31
Auto Shut-off..............................................................................................31
Multiple Treatments...................................................................................31
Care and Maintenance............................................................ 32
Troubleshooting the CS6101-3.............................................. 33
Error Codes...............................................................................................34
Contacting Customer Service................................................ 35

Patient Instruction Manual CS6101-3-3 Interferential Stimulator
Page 5 of 36 Control Solutions LLC
List of Tables
Page
Table 1 - Abbreviations and Acronyms.............................................................8
Table 2 - CS6101-3 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 - Patient Modes of Operation Descriptions ......................................29
Table 11 - Troubleshooting Hints....................................................................34
List of Figures
Page
Figure 1 - Precaution Blocks.............................................................................7
Figure 2 - CS6101-3 Interferential Stimulator .................................................17
Figure 3 - Interferential Stimulator Front.........................................................21
Figure 4 - Interferential Stimulator Left and Right Sides.................................23
Figure 5 - Electrode Placement.......................................................................25
Figure 6 - Treatment Display...........................................................................26
Figure 7 - Battery Capacity .............................................................................30

CS6101-3 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 6 of 36
This page intentionally left blank

Patient Instruction Manual CS6101-3-3 Interferential Stimulator
Page 7 of 36 Control Solutions LLC
Introduction
Before using the CS6101-3 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 CS6101-3 Interferential Stimulator.
Scope
This manual describes the CS6101-3 Interferential Stimulator and its layout, buttons,
and usage. It also provides general care and maintenance as well as basic
troubleshooting tips.
Revision Summary
Revision
Update
A
Converted document to new format and updated the information
to support the latest version of the Interferential Stimulator.
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 and notes are used to draw your attention to precaution or note
statements. Figure 1 provides some sample icons and statements.
A warning statement indicates the presence of a hazard that can
cause severe injury or death.
Warning
A caution statement indicates the presence of a hazard that can or
will cause minor injury or property damage.
Caution
This symbol is used whenever there is relevant supplemental
information.
Figure 1 - Precaution Blocks

CS6101-3 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 Corporation
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
NiMH
Nickel-Metal Hydride
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
•CS2110X (1) pair of Touch Proof®electrode wire leads
•CS4101 7.2 V NiMH battery pack
Audience
This document was prepared for Patients use. It is intended to provide the necessary
information to understand and safely use the CS6101-3 Interferential Stimulator.

Patient Instruction Manual CS6101-3-3 Interferential Stimulator
Page 9 of 36 Control Solutions LLC
Interferential Stimulation
This section describes how Interferential Stimulation 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

CS6101-3 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 10 of 36
Neuromuscular Stimulation (Including Russian)
This section describes how Neuromuscular Stimulations work, 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 between 4001
and 4150Hz as programmed by the clinician. 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
TENS Stimulation
TENS waveforms are the equivalent of single pulses of IF or NMS waveforms with
programmable rest periods in between.

Patient Instruction Manual CS6101-3-3 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 Interferential Stimulator.
Interferential Stimulation
Indications
The CS6101-3 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
For additional explanation refer to the Patient Modes of Operation section of this
document.
The CS6101-3 should only be used under the medical supervision of a
qualified practitioner for adjunctive therapy for the treatment of medical
diseases and conditions.
Important

CS6101-3 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 12 of 36
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 CS6101-3.
•The CS6101-3 should not be applied transcerebrally (across the brain)
•Interferential stimulation should not be used whenever pain syndromes are
undiagnosed, until etiology is established
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:
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
Keep out of the reach of children at all times.
Warning

Patient Instruction Manual CS6101-3-3 Interferential Stimulator
Page 13 of 36 Control Solutions LLC
•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.
Neuromuscular Stimulation
This section of the document provides general information related to neuromuscular
stimulation.
Indications
The CS6101-3 Interferential Stimulator should only be used under the medical
supervision of a qualified practitioner for adjunctive therapy for the treatment of
medical diseases and conditions. The CS6101-3 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
Contraindications
Cancer patients or anyone with a demand-type cardiac pacemaker should not use
the CS6101-3.
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 CS6101-3 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.

CS6101-3 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 CS6101-3 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 CS6101-3 should be kept out of the reach of children.
•The CS6101-3 should be used only with the leads and electrodes recommended
for use by the manufacturer.
•The CS6101-3 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.
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
Keep out of the reach of children at all times.
Warning

Patient Instruction Manual CS6101-3-3 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.

CS6101-3 Interferential Stimulator Patient Instruction Manual
Control Solutions LLC Page 16 of 36
This page intentionally left blank

Patient Instruction Manual CS6101-3-3 Interferential Stimulator
Page 17 of 36 Control Solutions LLC
Product Description
This section of the document provides an overview of the CS6101-3 Interferential
Stimulator and supported features and specifications.
Overview
The CS6101-3 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.
Keep out of the reach of children at all times.
Warning
Figure 2 - CS6101-3 Interferential Stimulator

CS6101-3 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
•Microprocessor controlled frequency and amplitude
•Two-line, 32-character LCD display
•Waterproof membrane keypad and alphanumeric/graphic LCD for user friendliness
and long life
•Five preset protocols including Interferential (IF) and Neuromuscular Stimulation
(NMS)
•Optional custom clinician protocols
•Pause/resume treatment for maximum flexibility.
•Long life quick-charge rechargeable NiMH battery technology
•AC power adapter with battery charger
•Easy to use menu interface.
•Battery charge indicator
•Count-down treatment timer display
•Compliance meter to track of usage

Patient Instruction Manual CS6101-3-3 Interferential Stimulator
Page 19 of 36 Control Solutions LLC
Specifications
Table 2 lists CS6101-3 Interferential Stimulator product specifications.
Specification
Value
Waveform
Symmetrical biphasic square wave with zero net DC
component
Carrier Frequency
4000Hz
Beat Frequency
1-150 ±1Hz Preset modes,
1-240 ±1Hz Clinician programmed modes
Variable Frequency
4001-4150 ±1Hz fixed frequency,
4001-4240 ±1Hz frequency shift mode
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
CS4101 7.2V NiMH battery pack
Operating Ambient Temperature
0 –40 C
Dimensions
3.6" x 5.75" x 1.125"
Unit Weight (with batteries)
13 ounces (370 grams)
*0.1 V increments, output voltage accurate to ± 10% of AMP setting
Table 2 - CS6101-3 Product Specifications
Specifications are subject to change without notice.

CS6101-3 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
Interferential Stimulator Unit
1
CS2110X Touch Proof®electrode wire lead set
1
Patient Instruction Manual
1
Custom cut foam-lined carrying case
1
CS1210A AC adapter (U/L approved)
Table 3 - Kit Contents
Only use the supplied CS1210A AC wall adapter to charge the
Interferential Stimulator Unit. Using any other unit may damage the
Interferential Stimulator or shorten battery life.
Warning
The recommended electrodes to use with the CS6101-3
Interferential Stimulator are Unipatch #654 RePly 2" x 2".