ElectroMedic Stim-Medic User manual

Stim-
Medic
USER
MANUAL
IN ENGLISH
INSTRUCTIONS
OPERATING
BEFORE
USER
MANUAL
IN ENGLISH
NMESNMES
T E N ST E N S
Portable, compact, easy-to-use devices that
effectively respond to an even broader range of
physical rehabilitation care, thanks to our close
and constant collaboration with health care
professionals and their patients.
STIMULATES and RELIEVES
a readaptation at arms reach

1INTRODUCTION BEFORE USING THE STIMULATOR
1.1 Introduction: A Close and Constant Collaboration with Health Care Professionals and Their Patients. 3
1.2 Medical Background. Use and Benets of Nerve Stimulation 4
1.3 Safety Measures. Indications. Contraindications. Precautions. Warnings. Adverse Effects. 5-9
2INTRODUCING THE DEVICE
2.1 Equipment and Accessories 10
2.2 Technical Features, Electrical Specications 11
2.3 Preset Program Options 12
2.4 Keypad Functions 13
2.5 Screen Display 14
3INSTRUCTIONS
3.1 For the Patient 15-16
3.2 Special Instructions 17
3.3 Lock/Unlock a Program 18
3.4 Timer 18
3.5 Manual Controller 18
3.6 Stop/Pause an Ongoing Program 18
3.7 Battery - Battery Charger/The Patient, designated operator 19-20
4PROGRAMS 21
5CUSTOMIZATION
5.1 NMES 22
5.2 TENS 23
6PROGRAMMING CHART 24
7MAINTENANCE AND CLEANING 25
8TROUBLESHOOTING 26
9WARRANTY 27
10 FAQ 27
11 DOCUMENT HISTORY 28
12 LEGEND 29 2
page
1
3-YEAR
WARRANTY
All Electro-Medic devices
come with a 3-year
warranty that starts on
the date of purchase.
THE
ELECTRO-MEDIC
WARRANTY
applies only to the
device, does not cover
any accessories (wires,
batteries, charger),
which are covered by a
3-month warranty.

BEFORE USING THE STIMULATOR
INTRODUCTION
Collaboration
21.1
3
page
1
Thank you for choosing Electro-Medic.
Electro-Medic, a proud Canadian
manufacturer of muscle stimulators
(NMES) and transcutaneous electrical
nerve stimulators (TENS), offers you
high-end devices and accessories on
the cutting edge of technology.
ELECTRO-MEDIC,
in partnership with
Service d’Électro-Thérapie (SET),
expert in Electrotherapy using
TENS and NMES, presents
its new muscle stimulator,
the STIM-MEDIC
Portable, compact, easy-to-use devices that effectively
respond to an even broader range of physical
rehabilitation care,
thanks to our close and constant collaboration with
health care professionals and their patients.
An electrotherapy culture meticulously designed for
muscular rehabilitation and the signicant reduction
of chronic, sports-related, post-operative, and post-
traumatic pain, and more.
A medically recognized therapy technique used both
by health care professionals in a clinical setting and by
patients at home to ensure that the gains made in the
clinic are maintained.

4
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NMES
Transcutaneous neuromuscular stimulation is applied to a muscle that
is normally innervated.
The muscle bres are not directly stimulated; rather, the stimulation is
done through the nerve endings.
The electrodes are applied to the muscle that will be worked so that
the current stimulates the motor nerve. Depending on treatment
goals, an electrode will be positioned directly on its motor point
(where the force generated is greatest) in order to cause a quality
contraction (or with the help of a vaginal probe).
To be effective, transcutaneous neuromuscular stimulation requires
precise adjustment of several parameters, such as: adjusted pulse
shape, sufcient and comfortable current intensity, and adequate
frequency. Therefore, it is important to use it under medical
supervision, as recommended by a health care professional.
TENS
Electrotherapy or transcutaneous electrical nerve stimulation -TENS-
involves depolarizing peripheral nerve bres, transmitted by means of
electrodes placed on the body in order to reinforce the effectiveness
of natural pain control mechanisms.
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION APPLIED
AT THE SENSORY LEVEL
A tingling sensation is provoked to trigger a natural analgesic
reaction.
ACCESSIBLE TO ALL
The option of choosing a TENS program that is appropriate for
one's type of pain makes it a highly effective non-surgical, non-drug
therapy solution. TENS can be used to manage pain during both
activity and at rest, both in the clinic and at home.
In order to optimize the results of TENS nerve stimulation, we
recommend that you be under the care of a health care professional.
*For safe and proper use of the TENS, please follow the
recommendations of your health care professional.
NERVE STIMULATION
Its uses and benefits
Medical Context N M E S
T E N S
1. 2

TENS INDICATIONS
A safe therapeutic technique that is known in the medical
community for its lack of adverse effects under normal conditions
of use.
TENS IS IDEAL FOR RELIEVING
•acute, subacute or chronic pain
•pain due to a trauma
•pre- or post-operative pain
•neuropathic, musculoskeletal, and perineal pain,
•pain related to cancer (under certain conditions)
5
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1.3 SAFETY MEASURES
INDICATIONS, CONTRAINDICATIONS, PRECAUTIONS, WARNING, ADVERSE EFFECTS
NMES INDICATIONS
Transcutaneous neuromuscular stimulation (NMES), which is
particularly effective in preventing and treating amyotrophy, is widely
used in rehabilitation in general.
•Improve muscle quality: increase strength and endurance,
prevent muscular atrophy due to immobilization.
•Improve or stop deterioration of a muscular imbalance.
•Reduce muscle spasms.
•Increase joint mobility (agonist/antagonist stimulation).
•Promote a return to functional activities.
•Act as a static or dynamic brace, for example: correcting a foot
drop, supporting a hemiplegic shoulder, helping the quadriceps
not give out during load-bearing exercise.
•Sports uses: increase mass, strength, endurance and muscle
vascularization.

6
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STRICT CONTRAINDICATIONS (C-I)
USE UNDER MEDICAL OR INTERDISCIPLINARY SUPERVISION
•Pregnancy: endogenous opiates released during muscle contractions induced by electrical stimulation may stimulate myometrial contractions.
Electrical muscle stimulation of large muscle groups should therefore be avoided during pregnancy. (NMES)
•Bleeding (or risk of bleeding): risk of promoting bleeding.
•DVT/blood clot/embolism: a blood clot could move into the bloodstream.
•Anterior cervical region/carotid sinus: risk of stimulating the vagus nerve, phrenic nerve, pharyngeal muscles or carotid sinus.
•Chest/heart: risk of affecting normal heart function.
•Transcranial: risk of affecting normal cerebral function.
•Eyes: The risks of treating this part of the body are not known.
•Undiagnosed persistent pain.
LOCAL CONTRAINDICATIONS (C-I)
USE UNDER MEDICAL OR INTERDISCIPLINARY SUPERVISION
•Heart disease: risk that the heart will have difculty keeping up with the high metabolic demand. Patients with a suspected or diagnosed
cardiomyopathy should follow the recommendations of their doctor.
•Recent surgery, unstable fracture, osteoporosis: muscle contractions could cause a muscle tear or even a displacement of the fracture.
•Epilepsy: Local C-I on the head and neck. Electrical stimulation could trigger a seizure.
•Infection: the infection may spread.
• Malignancy/neoplasia
NMES Resistance is reduced, increasing the risk of a burn.
TENS Risk of spreading metastases. Risk of increasing tumour growth. Cancer (or suspected cancer) is a local contraindication to electrotherapy
currents; therefore, it may be used away from the affected site. In the case of metastases, TENS in general is contraindicated. Patients who have
already had cancer are recommended to wait until they have been in remission for 5 years before using TENS on the affected area. However, under
certain conditions (e.g., palliative care) an interdisciplinary decision may be made to use TENS on cancer patients receiving end-of-life care.
•Skin weakened by radiation therapy: could stimulate the growth of remaining malignant cells.
•Circulatory disorder: the increase in cellular activity also increases the metabolic demand for oxygen. Therefore, the demand for oxygen may
exceed the supply, increasing pain. This may lead to ischemia or even tissue necrosis.
•Tuberculosis: the infection may spread.
•Electronic implant: risk of interference with normal implant function.
Additional local C-I for TENS
•Pregnancy: risk of affecting the development and growth of the foetus. Risk of triggering premature uterine contractions. The effects of the
procedure in the perineal area during pregnancy are unknown.
(local C-I only for TENS and absolute C-I for NMES)
• Damaged or delicate skin: resistance is decreased, which increases the risk of burns.
•Sensory disorder: risk that the patient does not feel the current adequately, which increases the risk of burns or skin irritation.

6
PRECAUTIONS
• Skin disease (e.g., eczema): resistance is decreased, which increases the risk of burns.
•Active epiphyseal plate: risk of impairing bone growth.
•Abundant fat tissue: risk of ineffective treatment; the current does not reach the target tissue (muscle) because the fat tissue increases electrical
impedance, which limits the penetration of the current.
•Impaired cognition or communication: increased risk of injury to the patient. The patient's opinion, judgment and behaviour must be known in
order to use the device safely. (Do not apply stimulation to patients who are unable to express themselves).
•Sensory disorder: risk that the patient does not feel the current adequately, which increases the risk of burns or skin irritation. (Loss of sensation:
Proceed with caution if stimulation is applied to areas of the skin with a lower than normal level of sensation).
•Epilepsy: use caution on the trunk and extremities. Patients with suspected or diagnosed epilepsy should follow the recommendations of their doctor.
(have medical approval to use the device).
•Lower abdomen: high-intensity stimulation may increase gastrointestinal motility.
Additional precautions for TENS
•Circulatory disorder: the stimulation increases metabolic demand and the demand for oxygen may exceed the supply, thus increasing pain.
This could lead to ischemia or tissue necrosis.
•Chest, heart and lower abdominal region.
If pain persists, please consult your doctor. 7
page

8
WARNINGS
• Consult a health care professional before using the device because the device may cause lethal heart rhythm disturbances in
some susceptible individuals.
• Use this device only as recommended by a health care professional. (positioning electrodes, adjusting settings).
• Never begin a rst stimulation session on a person who is standing up. The rst ve (5) minutes of stimulation should be performed while sitting
or lying down. Rarely, nervous individuals may suffer a vasovagal reaction. This reaction is related to a fear of muscular stimulation and the
surprise of seeing one’s muscles contract unintentionally. A vasovagal reaction can cause the heart to slow down and blood pressure to drop,
which can lead to weakness and syncope. If this happens, stop stimulation. The patient should lie down with his or her legs elevated until the
feeling of weakness goes away (5 to 10 minutes).
• Do not apply stimulation to the patient’s neck (on the carotid sinus) or mouth because this could lead to severe muscle spasms resulting in
airway closure, breathing difculties or adverse effects on heart rate or blood pressure.
• Do not apply stimulation to the patient's torso because the passage of an electrical current through the chest can cause life-threatening heart
rhythm disturbances.
• Avoid placing electrodes on either side of the head (transcranial area).
• Do not apply stimulation to open wounds, erythema or rashes, or to swollen, red, infected or inamed areas
(e.g. phlebitis, thrombophlebitis, varicose veins).
• Do not apply stimulation on or near cancerous lesions.
• Do not apply stimulation directly to the eyes.
• Long-term effects: we are unaware of any long-term effects of NMES.
• Do not apply stimulation near metal. Remove all jewelry, piercings, belt buckles or any other metal objects or devices in the area of stimulation.
• Never use the electrodes contralaterally, i.e., by applying two poles of the same channel on either side of the body's midline.
• Abrupt changes in temperature can cause condensation to build up inside the stimulator. To avoid this, allow the device to come
back to room temperature before using it.
• During stimulation sessions, never disconnect a stimulation wire while the stimulator is switched on. The stimulator should be turned off rst.
• During sessions, the stimulator should always be turned off before moving or removing the electrodes.
• Apply NMES on normal, intact, clean and healthy skin.
• Do not use electrodes with an active area of less than 2.54 cm in diameter; otherwise, skin burns may occur.
Proceed with caution if the electric current density is higher than 2 mA/cm².
• Always use conductive gel with carbon electrodes to avoid risk of skin damage.
• The stimulator should be used only with electrodes intended for stimulating nerves and muscles. Muscle pain may occur after stimulation but
generally disappears within a week.
• Inspect the electrodes before each use. Change the electrodes when they begin to wear out or lose adhesiveness. Poor contact between the
electrodes and the patient’s skin increases the risk of irritation or burns on the skin. Apply the electrodes so that their entire surface is in contact
with the skin.
• Do not share electrodes with other patients. Each user should have a packet of electrodes in order to avoid any adverse skin reactions or
disease transmissions.
• The manufacturer denies all liability in cases where electrodes are positioned in ways other than as recommended.
page

ADVERSE EFFECTS
• Patients may feel irritation and skin burns under the stimulation electrodes applied to the skin.
• Patients may experience headaches and other painful sensations during or after the application of electrical stimulation near the eyes, on the
head or the face.
• Patients should stop using the device and consult a doctor if they experience an adverse reaction.
• Some patients may experience extra sensitivity or skin irritation due to the electrical stimulation or the electrical conductor (Gel). Irritation may
be alleviated by using a different conductor or by placing the electrodes differently.
• Some patients may experience redness under the electrodes after the session. This redness generally disappears within a few hours. If skin
redness persists after a few hours, the patient should consult a doctor. Do not begin another stimulation session on the same area if redness is
still visible. Do not scratch red areas.
SAFETY MEASURES
• Keep out of the reach of children.
• Risk of electric shock.
• Near other equipment. Do not use the device when it is placed next to or above other equipment.
If it is necessary to use it in such a conguration, make sure that the device is working properly under these conditions.
• Accessories. Use this device only with manufacturer-recommended electrodes, probes and accessories. Using other accessories may harm the
performance of the device, increase electromagnetic emissions or reduce the electromagnetic immunity of the device.
• Do not modify. No modications to the equipment are authorized.
• Battery or stimulator heating up. Under extreme use conditions, some parts of the casing may reach 43°C (109°F). Handle the battery and hold
the device carefully immediately after use. This temperature may cause an unpleasant sensation but does not pose a particular health risk.
• Strangulation. Do not wrap the wires around the patient's neck and keep out of the reach of children. Tangled wires may lead to strangulation.
• Falls. Pay attention to wires on the ground to prevent falls.
• Damaged device or accessories. Never use the device or accessories if damaged (casing, wires, etc.) or if the battery compartment is open
because there is a risk of electric shock. Carefully inspect the wires and connectors before each use.
• Foreign body. Do not allow any type of foreign body (dirt, water, metal, etc.) to get into the device or the battery compartment.
• Battery. Do not carry the battery in a pocket, wallet or any other place in which the terminals may cause a short-circuit. This may generate
intense heat and cause injury. Never open the battery compartment cover during stimulation due to the risk of electric shock. Remove the
battery from the device if you do not plan to use it for a long period, i.e., more than three (3) months. Leaving the battery in the device for a long
period may damage the battery and the device.
• To avoid damage to the wires, it is best to leave them connected to the stimulator between two (2) sessions.
Do not shake the wires and connectors.
• Muscle strains. Do not apply electrodes to a strained muscle. Using the stimulator on a muscle that is already stretched may stretch it further.
The higher the stimulation intensity, the greater the risk that the muscle will be overstretched.
• Equipment with internal power supply, type BF applied parts are not suitable for:
_ Use in the presence of a ammable anaesthetic mixture with air, oxygen or nitrous oxide.
_ Continuous use
9
page

INTRODUCING THE DEVICE
2.1 EQUIPMENT AND ACCESSORIES MODEL: Stim-Medic
THE STIM-MEDIC PORTABLE MUSCLE STIMULATOR COMES WITH MANY ACCESSORIES INCLUDING
• 1 case • 1 Stim-Medic NMES • 1 quick-start guide • 1 charger and 2Li-ion batteries • 2 wires and 1set of carbon electrodes
• 1 250ml tube of gel • 1 roll of adhesive tape • 1 manual controller • 1 protective silicone sleeve which can be used with • 1 belt
clip and • 1 elastic band for attaching to an extremity for greater comfort and mobility • 1 neck strap for easily wearing the NMES device
ATTENTION
Carefully read the instructions about using the electrodes as explained on their packaging.
10
page
It is recommended
that only accessories
authorized by
Electro-Medic
be used.
2
MDA534627
1 855 230 6334 [email protected] electromedic.ca
L’EXPÉRIENCEDU MOUVEMENT
STIMULE et SOULAGE
650, boul. Industriel Suite 100 Blainville Qc J7C 5Y7
GCAR-4060 4Rectangle 4 x 6 cm
CCAR-4040 4Carrée/Square 4 x 4 cm
Modèle / Model Q Forme / Shape Grandeur /Size
No. lot :
Exp :
Carbon
Electrodes
Électrodes
de carbone
GEL
GEL
Conducteur
Conductive
Pour électrodes | For electrodes
Hypoallergique
Formule hydrosoluble
pour l’électrothérapie
Hypoallergenic
Aqueous Electromedical
Coupling Agent
2015 - 001
GEL-90
3 . oz.(90ml)
Stim-
Medic
USER
MANUAL
IN ENGLISH
READ INSTRUC-
TIONS
USE
BEFORE
USER
MANUAL
IN ENGLISH
NMESNMES
T E N ST E N S
Portable,compact, easy-to-use devices that
effectivelyrespond to an even broader range of
physicalrehabilitation care, thanks to our close
andconstant collaboration with health care
professionalsand their patients.

•Number of channels
•Constant current
•Stimulation current/channel
•Form of pulse
•Number of preset programs
•Number of customizable programs
•Form of stimulation
• Maximum pulse width
• Maximum frequency
• Timer
• Power supply
• Use
• Storage and transportation
• External dimensions
• Weight with battery
• Weight without battery
ELECTRICAL SPECIFICATIONS
2 non-independent in NMES mode
2 independent in TENS mode
1 manual controller
Up to a resistance of 1500 ohms
(an increase in load may reduce the maximum current)
From 0 to 100mA (maximum load: 40µ C)
Symmetrical biphasic pulse, 100% compensated
27
3
Continuous stimulation
Intermittent stimulation
Conventional (Continuous)
Burst
Pulse duration/modulated frequency
40-400 µs
1-150 Hz
From 1-60 min/Continuous (C)
1 rechargeable lithium-ion battery, 3.7 volts/600 mAh
+5°C to +40°C, 15% to 90% R.H. non-condensing: 700hPa and 1060hPa
-10°C to 60°C, 15% to 75% R.H. non-condensing: 700hPa and 1060hPa
110 mm (L), 64 mm (W), 17 mm (D)
Approx. 114 g
Approx. 90 g
10
TECHNICAL FEATURES
The Electro-Medic muscle stimulator is a two-channel stimulator
designed for muscle rehabilitation (NMES) and pain relief (TENS).
The stimulator comes with 27 preset programs and 3 customizable
programs. Electrical stimulation therapy requires a stimulation
current capable of penetrating the resistance of the skin and the
electrode, i.e., approximately 1500 ohms.
The Electro-Medic muscle stimulator can penetrate this resistance
and maintain a current intensity of up to 100 mA. A change in
load from 100 to 1500 ohms results in less than 10% variation in
stimulation current from the set value.
The Electro-Medic muscle stimulator works with a rechargeable,
3.7V/600mAh Li-ion battery with a separate charger.
2.2
11
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12
NMES
TENS
page
• GlobalStrengthening
•Strength (with or without active rest)
•Endurance (with or without active rest)
•Hypertrophy
•Neurology
• Conventional
•Burst
•Pulse duration modulation (MW)
•Frequency modulation (MR)
CHOICE
OF PRESET
PROGRAMS
•Alternating stimulation
•Muscle relaxation (recuperation)
•Massage
•Functionalstimulation
2.3

12
1 ON/OFF BUTTON
In addition to opening and closing the device,
allows stimulation to be stopped at any time.
2 3 FUNCTIONS
INCREASE
Allows the intensity of the left or right channel to be increased.
*Increases the intensity carefully, as prescribed.
CUSTOMIZABLE PROGRAMS
TIMER
Also allows the timer to be adjusted.
34 FUNCTIONS
DECREASE
Allows the intensity of the left or right channel to be reduced.
LOCK
Also deactivates the lock.
CUSTOMIZABLE PROGRAMS
Also allows you to switch from one program to another.
TIMER
Also allows the timer to be adjusted.
4PROGRAMS
Choice of 27 preset programs and 3 custom programs for safe
and effective customized treatment.
52 FUNCTIONS
SELECTION
Hold the button down for 3 seconds
to enter the program customization mode.
Conrm, save the selection of the current program.
WARM-UP
Also allows the warm-up period to be selected.
6DIGITAL SCREEN
7TIMER
Activates the timer, allows you to set the length of treatment. 
Options: 1-60 min. timer or timer on continuous mode Cdepending
on your needs and the recommendations of your health care provider.
8PAUSE
Puts the device in standby mode, brings the intensity down to zero.
The intensity will then resume gradually when you press on the pause button.
The timer stops when the device is in pause mode.
9CHANNEL #2 OUTPUT
10 CHANNEL #1 OUTPUT
11 MANUAL CONTROLLER CONNECTOR
It is possible to manually control contractions during intermittent
stimulation programs.
13
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2 2
3 3
1 4 5 6 47 8
9
10 11
Stim-Medic
CONTROL
BUTTONS
2.4
P
Hz2
ALT CB MXF
CMMRINT MW
uS
WARMUP
MANUAL CTRL
Timerhours
CH1 CH2
SI
ALT
T
SM
1
1
1
2
2
3
3
4
2
-
+

1 OPEN CIRCUIT
• Disconnected electrode
• Wire breakage
• Impedance too high
• Other likely issue
2PROGRAM
Displays the selected program.
• The left side displays the number of the channel 1 program
• The right side displays the number of the channel 2 program
3 TIMER
Displays the remaining time.
4 WORK/REST
- Work/rest indicator for intermittent stimulation programs.
- The upper part of the symbol blinks in work phase.
- The lower part blinks in rest phase.
5 INTENSITY
Intensity of the channel in graduated scale.
6 PULSE INTENSITY
Intensity of the channel represented in numbers.
7 CHANNEL 1
8 INDICATES THE STIMULATION MODE
9 LOCK
Indicates whether the program is locked.
10 CHANNEL 2
11 INTERMITTENT STIMULATION PHASE
This symbol shows the 4 intermittent stimulation phases.
It will be displayed with customized programs that require
a rest period between muscle contractions.
THERE ARE 4 PHASES:
- 1 - Ramp-up Phase
- 2 - Work Phase
- 3 - Ramp-down Phase
- 4 - Rest Phase
1
2
3414
page
P
Hz2
CBMXF
CM
MRINT MW
uS
WARMUP
MANUAL CTRL
Timerhours
CH1 CH2
SI
ALT
T
SM
SCREEN
DISPLAY
2.5
18
1 1
16
15
14
17 13
12
11
2 2
3
4
4
55
6
89
6
19
710
12 DISPLAYS US OR Hz
In selection mode, allows one to know whether the
numerical value is in Us or Hz.
13 DEVICE IN PAUSE MODE
14 SI/ ALT
- Symbol present during NMES muscle stimulation
only (SM mode)
- SI : Indicates that the 2 channels work
simultaneously
- ALT : Indicates alternating between 2 channels
15 MANUAL CONTROLLER (MANUAL CTRL )
- Indicates that the stimulator is in manual mode and
controlled by the manual switch.
- When the manual switch is inserted into the device,
the symbol automatically appears.
16 BATTERY STATUS
Indicates the battery level in thirds
(1/3 - 2/3 - 3/3)
17 WARM-UP PERIOD (WARM-UP)
- The symbol blinks when the device starts up.
- To activate the warm-up period, press S (SELECT)
- Press the up arrow to not use the warm-up period.
18 LOCKED PROGRAM
Program cannot be modied.
19 T or SM
Indicates whether the device is in mode
- TENS (T)
- NMES MUSCLE STIMULATOR (SM)

14
Do not place the device in a position where
it will be difcult to quickly reach the main
power source to cut it off if needed.
DEVICE
SETUP
FOR THE PATIENT
INSTRUCTIONS
The Electro-Medic STIM-MEDIC stimulator
gives you the option of choosing the
treatment mode that best suits your needs:
treatment by NMES or TENS. In addition,
since it has 2 separate outputs, it allows
you to treat several parts of the body at
once in different modes with different
intensities; some programs and parameters
can be modied under the supervision of a
health care professional.
For optimal and completely safe use,
only use accessories provided by
Electro-Medic. In addition, setting the
device to the appropriate intensity and
progressive increases will provide the
comfort, improvement and relief you
seek. Increasing levels too quickly is
not recommended.
3
3.1 INSERTING THE LI-ION
BATTERY INTO THE DEVICE
Please refer to the section
BATTERY REPLACEMENT
(3.7 for more information)
N.B.
Only works
for NMES
programs
Press the ON/OFF button
The electrodes used with this device must never be
smaller than 2.54 cm. Be aware that the smaller the
electrodes are, the more intense the stimulation will be
at the site of the electrodes. This increases the risk of
skin irritation at the site. Skin irritation may also occur
if the entire surface of the self-adhesive electrode does
not adequately stick to the skin. Replacement of the
self-adhesive electrodes after 15 to 20 uses at most
ensures optimal performance of the device. Carbon
electrodes must be used with a conductive gel so that
the current pases through adequately and effectively.
Refer to the additional instructions provided on their
packaging.
CONNECTING THE
ELECTRODES TO THE
WIRES
BA
To non-irritated skin that has been
washed and dried, for the best
adherence and optimal
electrode performance.
Carbon electrodes are
recommended because
they can be moved to
achieve the most effective
positioning on the muscle
you are stimulating.
Self-adhesive electrodes
can then be used for
greater practicality.
CAPPLY THE ELECTRODES CONNECT THE WIRES TO THE UNIT
-NMES-
AT THE INPUT FOR EACH CHANNEL
TURN ON THE DEVICE
CONNECT THE
MANUAL CONTROLLER
(if needed )
D
F
E
-
+
15
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16
page
To select a program, as recommended by your health
care professional for your diagnosed medical condition,
press the button PR or PR until the desired
program is displayed in region 2 on the screen or press
the arrow to start treatment.
For more information about the available programs,
refer to section 4: PROGRAMS.
STOP To stop stimulation, reduce the intensity with the
down arrow until the intensity returns to 0.00 or press
the on/off button.
NMES
You will have the option of doing a warm-up period (WARM-UP) before
starting stimulation.
• To activate the warm-up period, press S (SELECT).
• Press the up arrow if you do not want to use the warm-up period
• Press the button and hold it down to increase the intensity continuously
TENS
Press the INCREASE button for each channel until you reach the preferred
level of stimulation. Press the button and hold it down to increase the
intensity continuously.
N.B. Always increase intensity carefully.
For the following cases, refer to section 3.2:
SPECIAL INSTRUCTIONS
• Intermittent stimulation + manual controller
• Intermittent stimulation with active rest
LOCK The safety lock symbol indicates that the key lock is activated. It will
appear after 10 seconds once the intensity setting is selected. So if you would
like to increase the intensity, rst press the down arrow to deactivate the
safety lock. You can then adjust the intensity level by pressing on the up
or down arrows
Treatment length is preset but can be changed by using the TIMER function
SELECT A PROGRAM (P1 to P30)
STOP STIMULATION
START STIMULATION
G
I
H
PR
+PR
-

Intermittent stimulation
+ with active rest (P8-P9, P12-P15)
+ manual switch (P22-P23 )
The programs indicated above include rest periods between muscle contractions
(work phase) as illustrated in the following gure.
OPERATION
The contraction increases progressively during the ramp-up phase and reaches its maximum during the work phase. During the ramp-down phase,
the stimulation reduces progressively until the start of the rest phase. The rest phase may include stimulations (active rest) or not.
During intermittent stimulation programs, the work/rest symbol is displayed on the screen. The upper part of the symbol blinks in work phase
while the lower part blinks in rest phase.
Programs P22 and P23 allow you to use the manual switch to manually control the length of work and rest phases manually. Once the intensity has
been selected (5 sec.), the muscle stimulator will return to the rest phase. Press the button on the manual switch during the rest phase to start the
ramp-up phase and contractions. The rest phase ends when you press the button on the manual switch again.
INTERMITTENT STIMULATION WITH ACTIVE REST (P8, P9, P12 to P15)
Choosing an active rest program reduces the likelihood of soreness and prepares the muscle for the next stimulation.
It involves a low-frequency stimulation during the rest period.
N.B. The amplitude level will be controlled for the contraction phase and will reduce the amplitude by 50% for the rest phase. Both phases will still
be adjustable.
AMPLITUDE SETTING
FOR CONTRACTIONS (work phase)
When the upper part of the work/rest symbol
is blinking, increase the intensity progressively
until you achieve painless muscle contractions.
AMPLITUDE SETTING FOR ACTIVE REST
When the lower part of the work/rest symbol
is blinking, increase the intensity progressively
until you achieve painless muscle contractions.
3.2
1 1
2 2
3 3 44
• 1- ramp-up phase
• 2- work phase
• 3- ramp-down phase
• 4- rest phase
17
page
SPECIAL
INSTRUCTIONS

18
page
LOCK/UNLOCK
A PROGRAM
To lock or unlock a program, simultaneously press the down arrow of program 2 and the PR button of program 2 for 10 seconds. You will see the
lock symbol, illustrated above, in the section to the left.
• To change the lock status: use the down arrows to conrm the operation.
• If the lock symbol appears: program locked, cannot be changed.
• If the lock symbol does not appear: program unlocked; the user can change the program.
*Do the same operation to unlock the program
TIMER
CHANGE THE LENGTH OF TREATMENT 0-60 MINUTES
• Press the Timer button and the timer will blink.
• The device will count down the elapsed time and will automatically stop once the time has run out
• For the continuous treatment option, without interruption, keep pressing until the signal Cappears. You will need to stop the device yourself
when you think the treatment has been long enough. Conrm your selected option by pressing the Sbutton to save or press the arrow
to start treatment
STOP/PAUSE
DURING A PROGRAM
STOP
PAUSE
MANUAL CONTROLLER (MANUAL Ctrl)
FOR NMES ONLY
•To use the manual controller, connect the wire on top of your stimulator.
The message (MANUAL Ctrl ) will appear on your screen.
•By pressing on the button, you will be able to manually control your muscle contractions.
(Work Phase/Rest Phase)
3.3
3.4
3.5
3.6
To stop stimulation, reduce the intensity with the down arrow until the intensity returns to 0.00 or
press the On/Off button.
At any time during treatment, you can pause for 5 minutes.
•If the device is locked, unlock it by pressing the down arrow then pressing Pause
•The timer will stop while paused as desired
•To resume treatment, press Pause again

18 CHARGER
•Input: 4.2V
•Output: 4.2V
•Green light: fully charged
•Green light: device plugged in without battery
3.7
S/N: 2345628960557
WARNING
MADE IN CHINA
MADE IN CHINA
MAYEXPLODE IF DAMAGE D
ORDISPOSED OF IN FIR E
Li-ion battery
Li-ion
The stimulator only works with an
Electro-Medic 4.2V lithium-ion battery.
You may continue treatment as long as the stimulator
is operating normally. When the effect of stimulation
diminishes or the stimulator turns off, it is time to
recharge the battery. If you are not using the stimulator
for a period of time (approximately three months), it is
preferable to remove the stimulator battery.
BATTERY
REPLACEMENT
a charge cycle refers to a complete
discharge followed by a complete
recharge of the battery.
19
page
BATTERY
You can always check the level of your battery thanks to the following symbol:
BATTERY STATUS As displayed: 1/3 of battery 2/3 of battery 3/3 of battery
LIFE EXPECTANCY
The typical life of a lithium-ion battery is approximately: • Three (3) years
or
• 300 charge cycles
N.B. ONLY USE AN ELECTRO-MEDIC BATTERY FOR THE STIMULATOR AND THE ELECTROMEDIC CHARGER TO RECHARGE THE BATTERY.
LI-ION BATTERY CHARGER
LED INDICATOR LIGHT FEATURES
•Adaptor (Model: JKY36-MDA534627)EN
•Input: 100 V-240 V~, 50/60 HZ, 150 mA
•Output: 4.2 V , 650 mA
•Red light: recharging
•Yellow light: recharging
•Green light: no battery or charging complete

20
page
Do not position the device in
such a way that it would be
difficult to reach the main power
source and that might prevent
the rapid closure of the device
if needed.
THE PATEINT IS THE
DESIGNATED OPERATOR
The patient can use the buttons and change the battery under normal conditions and
maintain the device and its accessories according to the user manual
ATTENTION!
•Use only Electro-Medic rechargeable Li-ion batteries
•NEVER reverse the (+) and (-) terminals when connecting them or let the batteries
come into contact with metal objects (necklaces, hairpins, etc.)
• NEVER charge Li-ion batteries for longer than 72 hours
•The battery charger must be in compliance with IEC 60601-1 standards
SAFETY MEASURES
•Do not expose the equipment to re, direct sunlight or other heat sources, which may
cause a re or explosion, or generate toxic gases
•Do not store or transport the device with metal objects
•Do not disassemble or modify the device components
•Avoid all contact with water or any other liquid
INSTRUCTIONS FOR USING THE CHARGER
•Insert a Li-ion battery. Align the connection terminals (+) and (-) correctly
•Plug the charger into a standard wall outlet
•A red or yellow LED indicates charging
•When fully charged, the LED turns green. Unplug the charger and remove the battery
CHARGING TIME
•A Li-ion battery takes about 3.5 hours to charge.
LI-ION BATTERY
•Limited voltage: 4.2 V
•Rechargeable Li-ion battery: 3.7 V/600 mAh
ADAPTOR
•100-240 v 50-60 Hz, 1.2A
ATTENTION
•Connecting this equipment to an adaptor other than the one provided with the
Electro-Medic equipment is not allowed.
SAFETY MEASURES
•Do not cause a short-circuit
•Do not expose the device to high temperatures
•Use the charger only as specically recommended
The operator’s
immediate response is
required
Colours of indicator lights
and their meaning
The operator’s rapid
response is required
Ready to use
Meaning other than
those here
green
yellow
Other
red
The adaptor is a 2MOPP piece of equipment under
IEC 60601-1-1.
Approval of the equipment is valid if used in
combination with the adaptor provided with this
equipment.
Type BF applied part:
Electrodes
IP22
Continuous operation
Internally powered
Electro-Medic device
Applied part
Electrical equipment
protected against harmful
ingress of water or
particulate matter.
Operation mode
Note: Not intended to be sterilized.
Not for use in an oxygen-rich environment.
Protection from
electric shock
SAFETY CLASSIFICATION OF
ELECTRO-MEDIC EQUIPMENT