Kegel Toner User manual

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Kegel Toner
Pelvic Floor Trainer
INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

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QUICKSTART GUIDE
Connect the unit with the Kegel
Trainer
Insert the Kegel Trainer
Press and hold the ON button
to switch the device on
Regulate the output intensity with
the buttons ▲and ▼
Press and hold the OFF button
to switch the device off
ON
Button P
UP
DOWN
OFF
Select the program by pressing
the button P
1
2
3
4
5
6

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Dear Customer,
Thank you for choosing Kegel Toner. TensCare stands for high-quality,
thoroughly tested products for the applications in the areas of gentle
electrotherapy, muscle toning, continence management and pain relief
during labour.
Please read these instructions for use carefully and keep them for later
use and observe the information they contain.
Best regards,
Your TensCare Team

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Contents
1. INTRODUCTION.................................................................................................5
2. INDICATIONS FOR USE.....................................................................................5
3. KEGEL TONER FEATURES...............................................................................5
4. PELVIC FLOOR EXERCISES.............................................................................6
4.1. PELVIC FLOOR MUSCLES..........................................................................6
4.2. PERFORMING PELVIC FLOOR EXERCISES .............................................7
5. HOW ‘EMS’ WORKS ...........................................................................................8
6. CONTRAINDICATIONS, WARNINGS & PRECAUTIONS...................................9
7. PROGRAMS......................................................................................................12
7.1. PROGRAM SETTINGS...............................................................................12
7.2. PRESET PROGRAMS................................................................................12
8. CONTENT .........................................................................................................12
9. UNIT INFORMATION........................................................................................13
9.1. CONTROLS & DISPLAY.............................................................................13
9.2. OPERATING INSTRUCTIONS...................................................................14
10. SETTING UP AND USING THE KEGEL TONER ..........................................16
10.1. INSTALLATION OF BATTERIES.............................................................16
10.2. CONNECTING LEAD WIRE....................................................................17
10.3. PREPARING FOR SESSION ..................................................................18
10.4. TRAINING SESSION...............................................................................18
10.5. AFTER YOUR TRAINING SESSION.......................................................19
11. CLEANING.....................................................................................................20
12. DISPOSAL OF WASTE ELECTRICAL AND ELECTRONIC PRODUCTS.....20
13. ACCESSORIES .............................................................................................20
14. WARRANTY...................................................................................................21
15. TROUBLESHOOTING ...................................................................................23
16. GENERAL SPECIFICATION..........................................................................25
17. EMC ...............................................................................................................26

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SYMBOLS USED
Attention! Please follow the instructions in the user’s instructions for use.
TYPE BF EQUIPMENT: Equipment providing a degree of protection against
electric shock, with isolated applied part. Indicates that this device has conductive
contact with the end user.
This symbol on the unit means “Refer to instructions for use”.
Temperature Limitation: indicates the temperature limits to which the medical
device can be safely exposed.
Lot Number: indicates the manufacturer’s batch code so that the batch or lot can
be identified.
Humidity Limitation: indicates the humidity limits to which the medical device can
be safely exposed.
Serial Number: indicates the manufacturer’s serial number so that a specific
medical device can be identified.
Do not dispose in household waste.
Catalogue Number: indicates the manufacturer’s catalogue number so that the
device can be identified.
Atmospheric Pressure: indicates the atmospheric limits to which the medicaldevice
can be safely exposed.
Date of Manufacture: indicates the date which the medical device was
manufactured. This is included within the serial number found on the device
(usually in the battery compartment), either as “E/Year/Number” (YY/123456) or
“E/Month/Year/Number” (MM/YY/123456).
This medical device is indicated for home use.
This medical device is not water resistant and should be protected from liquids.
The first number 2: Protected against access to hazardous parts with a finger,
and the jointed test finger of 12 mm ø, 80 mm length, shall have adequate
clearance from hazardous parts, and protected against solid foreign objects of 12.5
mm ø and greater.
The second number 2: Protected against vertically falling water drops when
enclosure is tilted up to 15˚. Vertically falling drops shall have no harmful effects
when the enclosure is tilted at any angle up to 15˚ on either side of the vertical.
LOT
S/N
REF
IP22

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1. INTRODUCTION
Device Description & Principles of
Design
Bladder leakage and incontinence are
common problems for both women and
men, affecting their long-term health.
Exercising the pelvic floor muscles is
recognized as the way of preventing
and treating symptoms of incontinence
and pelvic floor weakness.
The Kegel Toner is a powered muscle
stimulator used for strengthening the
pelvic floor muscles.
It sends a gentle stimulation (similar to
your natural nerve impulses) direct to
your pelvic floor muscles through a
vaginal Trainer with stainless steel
electrodes. These signals make your
pelvic floor muscle contract. If you have
forgotten how to contract your pelvic
floor, are having trouble getting muscle
response, or simply want to bring back
the condition of your pelvic floor
muscles, the Kegel Toner can work
them for you to build up their strength
and help you to develop your own
muscle control. It perfectly
complements pelvic floor exercises.
The Kegel Toner is very easy to use,
with two preset training programs, two
choices of exercise time and simple
push button control.
2. INDICATIONS FOR USE
The Kegel Toner is intended
to provide electrical stimulation
and neuromuscular re-
education for the purpose of
rehabilitation of weak pelvic floor
muscles for the treatment of stress
incontinence in women.
The Kegel Toner is intended for adult
women suffering from the involuntary
loss of urine when coughing, laughing,
sneezing or exercising (known as
stress urinary incontinence).
If you leak urine when you cough,
sneeze, laugh, strain or make sudden
movements, this is called Stress
Incontinence.
It is particularly common in women who
have had a natural childbirth and occurs
when the bladder neck and the other
mechanisms that act to hold urine in the
bladder are not working properly. The
most common cause is a weak pelvic
floor.
Kegel Toner is not recommended if
you ONLY have symptoms of urinary
frequency or urgency (using the
restroom very frequently or having to
rush to the restroom) and have NO
symptoms of leakage when coughing,
laughing, sneezing or exercising.
Warning: Not suitable for use
in children without medical
supervision.
3. KEGEL TONER
FEATURES
•Single Channel
Single channel unit to treat symptoms
of urinary incontinence via a vaginal
Kegel Trainer.
•Comfortable Stimulation
Gentle stimulation with fine tune
adjustment settings for different levels
of intensity, 1 mA per step.
•2 Preset Programs

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TRAIN for stress incontinence and
TONE for aftercare.
•Memory
Features 3 functions: program retention
(automatically starts in the last program
used), number of uses and time of
usage.
•Treatment Timer
Unit defaults to 20 minutes’ treatment to
ensure the pelvic floor muscles are not
over-worked. The user can manually
select a shorter session of 10 minutes if
required.
•Open Circuit Detection
Automatically resets the strength to
zero and flashes LEADS if the
connection comes loose.
•Keypad Lock
Manual keypad lock prevents any
accidental changes in settings.
•Large LCD Screen
Clearly shows the operation of the unit
and the program and intensity being
used.
4. PELVIC FLOOR
EXERCISES
4.1. PELVIC FLOOR
MUSCLES
The “FLOOR” of your pelvis is made up
of layers of muscles that support the
bowel, bladder, urethra and uterus.
These muscles are like a hammock, or
the bottom and sides of a bowl, in
shape. They run from the pubic bone in
the front to the end of the spinal column
(or tail bone) in the back.
The pelvic floor muscles:
•Assist in supporting the abdominal
and pelvic organs.
•Work with the abdominal and back
muscles to stabilize and support the
spine.
•In women, also
oprovide support for the baby
during pregnancy and
oassist in the birthing process
Pelvic floor muscles are also important
for sexual function in both men and
women:
•In men, it is important for erectile
function and ejaculation.
•In women, voluntary contractions
(squeezing) of the pelvic floor
contribute to sexual sensation and
arousal.
However pelvic floor muscles may
become weak. If your pelvic floor
muscles become stretched or
weakened, your pelvic organs may no
longer be fully supported and you may
lose control of your bladder or bowel
movements.
For some women, the pelvic floor
muscles can also become too tight.
This condition is less common, but it
can lead to pelvic pain and make it
difficult for you to empty your bladder or
bowel completely.
Common signs that can indicate a
pelvic floor problem include:
•Accidentally leaking urine when you
exercise, laugh, cough or sneeze

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•Needing to get to the toilet in a hurry
or not making it there in time
•Constantly needing to go to the toilet
•Finding it difficult to empty the
bladder or bowel
•Accidentally losing control of the
bladder or bowel
•Accidentally passing wind
•Pain in your pelvic area
•Painful sex, or
•A prolapse
In women, this may be felt as a bulge in
the vagina or a feeling of heaviness,
discomfort, pulling, dragging or
dropping. This occurs when one or
more of the pelvic organs (bladder,
bowel or uterus) become displaced and
sag down into the vagina. It is very
common in the United Kingdom and
occurs in about 40% of women.
Symptoms tend to become
exacerbated towards the end of each
day and if left untreated, they will
generally worsen over time.
In men, this may be felt as a bulge in
the rectum or a feeling of needing to
use the bowel but not actually needing
to go.
Like other muscles in your body, the
pelvic floor can be strengthened with
regular exercise. Building pelvic floor
strength enables the muscles to better
support your pelvic organs, improves
your bladder and bowel control and can
stop accidental urine, feces or wind
leakage.
It can also reduce your risk of prolapse,
improve your recovery from childbirth
and gynecological surgery, and
increase your sexual pleasure. A
continence therapist can help you learn
how to exercise your pelvic floor.
Doing just a few pelvic floor exercises
every day will help to treat bladder
weakness or prolapse symptoms, and
will help to prevent problems later on.
4.2. PERFORMING PELVIC
FLOOR EXERCISES
It is recommended to make Pelvic Floor
Exercises (sometimes called Kegel
Exercises) part of your daily life.
1) Kegel exercises can be done at any
time and are verydiscreet so you can
do them almost anywhere; lying in
bed, sitting at the computer or
waiting for a bus. It is a good idea to
try and develop a routine which you
can repeat each day.
2) First, it is important tofind your pelvic
floor muscles and feel them working.
So here are a couple of techniques
which might help:
Try inserting one or two clean fingers
into your vagina and then squeezing
the surrounding muscles, lifting up
and towards your belly button –a
squeezing and lifting sensation.
Another way is to try and stop the
flow of urine during urination. If you
are successful, then you know you
are exercising the correct muscles.
Note: These techniques are
just to help you confirm that you
are using the correct muscles.
It is important to have an empty bladder
before starting the exercises.
3) Try to remember the lifting and
squeezing sensation and when you
are ready try to recreate it just using
the muscles you identified earlier;
don't tense the muscles in your legs,

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stomach or buttocks and remember
to breathe normally.
4) Aim to hold each squeeze or
'contraction' for three to five
seconds, then release and relax.
You should feel a ‘letting go’ of the
muscles. Rest for five seconds and
then repeat.
5) Try and do about ten squeezes in
this way.
6) Repeat the whole process three or
four times a day.
7) Over a period of time try to increase
the muscle contractions up to about
ten seconds, but remember to rest in
between each squeeze for longer
periods.
Note: It is important to aim for
quality contractions, not
quantity, so a few good hard squeezes
are better than a series of weak ones.
Do not worry if you find holding for 3
seconds difficult at first. Just squeeze
for as long as you feel comfortable to do
so. The more exercise you do, the
stronger the muscles will become and
the longer you will be able to squeeze.
8) Using your Kegel Toner pelvic floor
stimulator in conjunction with Kegel
exercises will give you a better
understanding of how they work and
how to get the greatest benefit from
them.
5. HOW ‘EMS’ WORKS
E.M.S. stands for Electrical Muscle
Stimulation and has successfully been
used in medical rehabilitation and
training in competitive sports. EMS
produces intensive and effective
muscular contraction.
In rehabilitation, EMS is a well-
established method for treatment of a
broad field of musculoskeletal
diagnoses as well as pelvic floor
weakness. Electrical stimulation of an
intact peripheral nervous system may
create motor responses in patients with
impaired or lost ability for voluntary
muscle activity.
EMS is a complement to other physical
therapy and should always be
combined with active training such as
Kegel exercises (see section 4.2.).
Advantages of EMS
Use of EMS may lead to faster progress
in the patient’s treatment program. The
method is simple and appropriate for
treatment in the clinical setting as well
as for self-treatment at home.
How EMS Works
Electrical Muscle Stimulators can play a
vital role in educating women and men
about their pelvic floor and the
sensation they should feel when doing
pelvic floor exercises. Electrical Pelvic
Floor Exercisers (PFE) offer a non-
invasive method of producing
contraction of muscles via a gentle
stimulation to the pelvic floor through a
discreet trainer. This current then
passes into the nerve fibres controlling
that part of the muscle stimulating it to
contract. So, electrical stimulation
(EMS) artificially activates a muscle for
you enabling you to develop your own
muscle control. These contractions
exercise the muscles and, as with any
kind of exercise if performed regularly,
build strength and tone.
In urge incontinence, pelvic floor
exercisers work in a slightly different

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way. The electrical stimulation is
designed to soothe your bladder
muscles rather than exercise your
pelvic floor. Kegel Toner uses a
gentler, low frequency setting which
promotes release of endorphins and
reduces involuntary contractions of the
bladder (detrusor) muscle.
Different frequencies have different
effects; low frequencies (1-10 Hz)
coupled with long impulse times, for
example, have a purifying and relaxing
effect through individual contractions,
whereby the circulation in the treated
muscle is simultaneously improved and
removal of metabolic end products is
supported (lymphatic drainage).
In contrast, by means of a rapid
succession of contractions (fibrillation),
medium frequencies (20-50 Hz) can put
a high level of strain on the muscle, thus
promoting the muscular structure.
Each preset program has a specific
frequency and pulse width that will offer
the best results for the type of
incontinence treated.
6. CONTRAINDICATIONS,
WARNINGS &
PRECAUTIONS
In this manual:
A Warning is used when failure
to follow the instructions may
result in serious injury or death.
A Caution is used when failure
to follow the instructions may
result in a minor or moderate injury, or
damage to the device or other property.
Notes are used to provide
clarification or
recommendation.
CONTRAINDICATIONS:
•Do not use if you are pregnant
•Do not use if you are attempting to
become pregnant
•Do not use if you have a cardiac
demand pacemaker or implanted
defibrillator
•Do not use if you have symptoms of
active urinary tract infection, vaginal
infections, or localized lesions
•Do not use if you have a diagnosis
of extra-urethral or overflow
incontinence
•Do not use if you have severe urine
retention
•Do not use if you have poor
sensation in the pelvic region
•Do not use if you have cognitive
disabilities, i.e.; Alzheimer’s disease
or dementia
•Do not use if you are unable to
properly insert the Trainer
•Do not use if you have active pelvic
cancer
•Do not use if you have an intestinal
clamp
•You must be 6 weeks post pelvic
surgery or vaginal childbirth to use
this device
•Do not use this device for diagnostic
purposes or critical patient
monitoring
•This device is not (external)
defibrillator-proof
WARNINGS:
Warning: The Kegel Trainer
is intended for single patient
use only. Do not share your Kegel
Trainer with anyone else. Improper
treatment or cross-infection may occur.

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Warning: The device should
not be used while walking,
driving, operating machinery,
or any other activity in which involuntary
muscle contraction may put you at risk
of injury.
Warning: If you have active
cancer, consult with your
clinician before use due to concerns for
stimulation potentially spreading
cancerous cells.
Warning: Caution should be
used if you have suspected or
diagnosed heart problems because
stimulation devices can affect heart
rhythm in certain circumstances.
Warning: Caution should be
used if you have suspected or
diagnosed epilepsy as unexpected
seizures may impair usage.
Warning: Caution should be
used if you have a bleeding
disorder as stimulation increases blood
flow to the stimulated region.
CAUTIONS:
Caution: Read all instructions
before use. Failure to follow
these directions may result in personal
injury or damage to the equipment.
Caution: Do not use a Kegel
Toner device that appears to
be damaged. Using a damaged device
may result in personal injury.
Caution: If tissue irritation
occurs, discontinue treatment
immediately. Ask your care provider
for advice before continuing further
treatment to prevent injury.
Caution: Kegel Toner is
intended for indoor use only
because it is an electronic device.
Caution: Only use
recommended cleaning
solutions that leave no residue to
prevent irritation or infection. Do not
soak as this could damage the device.
Caution: It is important that
the Trainer is cleaned after
each use. Ineffective cleaning may
lead to irritation or infection.
Caution: Never insert or
remove Kegel Trainer unless
the control unit is powered OFF as
insertion or removal when stimulation
is active may cause discomfort or
tissue irritation.
Caution: Do not use a
silicone-based lubricant on
the stimulation contacts as it may
decrease the effectiveness of Kegel
Toner’s muscle stimulation.
Caution: Caution should be
used if you have total/partial
prolapse of the uterus/vagina.
Caution: The long-term
effects of chronic muscle
stimulation are unknown.
Caution: Skin irritation and
burns beneath stimulation
contacts have been reported with the
use of powered stimulators.
Caution: Do not use the
device in water because it is
an electronic device and use in water
may cause patient injury.
Caution: Do not operate
device within 10 feet of
operating televisions, arc welders,
radio thermal treatment equipment, X-
ray machines, MRI machines, or any
other equipment that produces
magnetic fields, sparks, or radio

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transmissions, RF communication
equipment can affect this device.
Caution: The stainless steel in
the Trainer electrodes contains
some Nickel. This could cause a
reaction if you have a Nickel allergy.
KEGEL TRAINER CAUTIONS:
Caution: The Kegel Trainer is
intended for single patient use
only. Do not share your Kegel Trainer
with anyone else. Improper treatment or
cross-infection may occur.
Caution: It is important that the
Kegel Trainer is cleaned after
each use. Ineffective cleaning may lead
to irritation or infection.
Caution: Never insert or
remove Kegel Trainer unless
the control unit is powered OFF as
insertion or removal when stimulation is
active may cause discomfort or tissue
irritation.
Caution: If tissue irritation
occurs, discontinue treatment
immediately. Ask your healthcare
professional for advice before
continuing further treatment to prevent
injury.
Caution: Do not use a silicone-
based lubricant on the metal
plates of the Kegel Trainer as it may
decrease the effectiveness of Kegel
Toner’s muscle stimulation.
Caution: The stainless steel in
the Kegel Trainer’s metal
plates contain some Nickel. This could
cause a reaction if you have a Nickel
allergy.
Use with caution if you have a
copper IUD. If discomfort
occurs, discontinue treatment
immediately and ask your healthcare
professional for advice. There is a small
risk of stimulating the uterine wall if the
IUD is not correctly positioned.
Caution: Do not use this
device with Kegel Trainer
other than those recommended by the
manufacturer in section 13. Electrodes
with smaller surface area may cause
tissue irritation.
TO KEEP YOUR DEVICE IN GOOD
WORKING ORDER, OBSERVE THE
FOLLOWING ADDITIONAL
CAUTIONS:
Do not use this device with a
leadwire or Trainer other than
those recommended by the
manufacturer in section 13.
Do not immerse your unit or
Trainer in water or place it
close to excessive heat as this may
cause it to cease to operate correctly.
Do not attempt to open up the
unit. This may affect the correct
operation of the unit and will invalidate
the guarantee.
Do not mix old, new or different
types of batteries as this may
lead to battery leakage or low battery
indication.
Caution: Temperature &
Relative Humidity of storage: -
20°C to +40°C, 8% to 70% R.H.
Temperature & Relative Humidity of
transportation: -20°C to +40°C, 8% to
70% R.H.

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7. PROGRAMS
7.1. PROGRAM SETTINGS
7.2. PRESET PROGRAMS
The Kegel Toner has two preset
programs. One to treat stress
incontinence (TRAIN) and one
aftercare program to tone the pelvic
floor muscles (TONE).
STRESS INCONTINENCE:
Shown on the screen as: TRAIN
The TRAIN program strengthens the
muscles of the pelvic floor using gentle
stimulation. Once these muscles are
stronger they are better able to resist
urinary leakage caused by external
pressure being applied to the bladder
such as with a cough, sneeze or
physical exertion.
The stimulation causes the muscles to
contract and work. This builds their
strength.
Like any exercise this takes time to
show results. Successful treatment
requires use once a day for one to three
months. You may notice an
improvement after about four weeks. It
helps to keep a diary of leakage
problems so that you can measure this
improvement.
AFTERCARE:
Shown on the screen as: TONE
Having restored your pelvic floor
muscles to an excellent condition you
will want to keep them toned and
strong. Regular use of this program,
about twice a week, will ensure that
your muscles remains fit and toned.
The TONE program may also be used
as an alternative treatment for TRAIN.
8. CONTENT
The pack contains:
•1 x Kegel Toner continence
stimulator unit
•1 x Lead wire (L-CPT)
•1 x Liberty Kegel Trainer (X-VPK)
•2 x AA 1.5V alkaline batteries
•1 x Storage pouch
Prog
TRAIN
TONE
Freq. (Hz)
50
35
Pulse width (μs)
300
250
Ramp Up &
Down (s)
1
2
Plateau (s)
5
3
Rest (s)
10
6
Default duration
(min)
20
20
m
m

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9. UNIT INFORMATION
9.1. CONTROLS & DISPLAY
Program
selected
Program
selector
Time selector
OFF button
ON button
Keypad Lock
Program
duration (min)
Strength
selected (mA)
Strength up
Strength down
Low Battery
Output active
indicator

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9.2. OPERATING
INSTRUCTIONS
ON/OFF
To turn the unit on, press the
ON button and hold for 3 to 5
seconds until the display
shows.
To turn the unit off, press ▼
button to remove keypad lock and press
the OFF button and hold for 3 to 5
seconds until the display stops.
At first use, or after changing batteries,
the display shows that the unit is
automatically set in program TRAIN at
zero strength.
When switched on the unit will
automatically start in the program which
was being used when it was last
switched off.
The strength returns to about 50% of
the level that was being used when the
unit was switched off. This simplifies
start up dramatically.
During start up to stop the increase in
strength at any time, press any key
once.
The unit will turn off automatically:
•When the Timer reaches zero,
•If it is left at zero strength for more
than 5 minutes.
Note: Always check unit is
OFF before applying or
removing Kegel Trainer.
The backlight will turn off 10 seconds
after the last button press.
STRENGTH CONTROLS
The buttons marked ▲ and ▼
are the strength controls.
To increase strength, press
and hold down the button ▲
until required strength is
achieved.
To decrease the strength, press and
release the button ▼.
To increase strength in steps of 1 mA,
press and release the button ▲.
The unit will remain in the WORK part
of the cycle for 5 seconds while
intensity is being adjusted.
The strength levels are shown on the
LCD.
The strength control buttons will not
operate until the unit is properly
connected to you (Kegel Trainer
inserted correctly). Kegel Toner
detects a disconnection and
automatically returns the strength to
zero.
The unit has 99 levelsof strength. If you
hold down the button ▲ for 3 to 5
seconds, the strength will start scrolling.
You may feel nothing over the first few
presses. Continue pressing until the
sensation is strong but comfortable.
Further increases during use may be
necessary if your body becomes used
to the sensation.
The yellow LED on the output socket
indicates that there is an active output.
The display will remain on for 5 seconds
after the plug is removed.
PROGRAM CONTROL
The button marked Pis the
program control. The Kegel
ON
OFF
▲
▼
P

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Toner has two preset programs. At first
use, the unit automatically goes to
program TRAIN. Next time it is
switched on, it will default to the
program used last.
Each time you press and release the P
button, the program changes and is
shown on the LCD.
Each time you change the program, the
strength level reverts back to zero. This
is a safety feature to alleviate any
sudden feeling of a surge, as each
program gives a different sensation.
The LOCK BUTTON can be
used to lock all controls
except for the strength down
▼and OFF buttons. To activate, press
and hold down the Pbutton for at least
5 seconds until the lock icon is
displayed on the screen. To deactivate,
press and hold down the Pbutton for at
least 5 seconds until the lock icon is no
longer displayed on the screen and is
replaced by the programme you are
using.
TREATMENT TIMER
Each time you switch on the
Kegel Toner the length of
time of your program will automatically
revert to 20 minutes.
During use the unit counts down the
minutes which are shown on the
screen. On reaching zero the unit will
switch off.
By pressing and releasing the Tbutton
you can manually override and select a
shorter treatment time of 10 minutes.
You may wish to use this during your
early training sessions.
The length of time that you have
selected will be shown on the screen.
The minutes will start to count down
once you start the program.
If you hold down this key for 5 seconds,
you can PAUSE the timer, allowing you
to interrupt the treatment session, and
resume it later. Press and release the T
button to resume the session.
Return to main screen by pressing any
other key.
LOW BATTERY
An empty battery symbol will
show when you need to
change the batteries. The
unit will shut down about 2 minutes after
this.
LEADS ALARM
The Kegel Toner monitors the
connection and the contact between
you and the Kegel Trainer, or the pads.
This is to prevent sudden changes if a
broken connection is re-made. If either
of these goes outside of a standard
range while the strength is above 20,
the unit will flash LEADS, bleep three
times, and return the strength to 0.
Check the lead and if necessary,
lubricate the Kegel Trainer with a
water-based lubricant. Please see
section 15 for more troubleshooting
tips.
MEMORY
The Kegel Toner has a Memory with
three functions:
1) Program Retention. When you switch
the unit on, it will automatically start in
T

16
the program which was being used
when it was switched off.
2) Usage. Press Tand ▼together and
hold down for 3 to 5 seconds. The
display will show the number of times
the unit has been used and the duration
of use in hours.
Press the same buttons again to return
to normal controls.
3) Memory Reset. To reset memory to
zero, hold down the Tand OFF buttons
together for 3 to 5 seconds.
10. SETTING UP AND
USING THE KEGEL
TONER
10.1. INSTALLATION OF
BATTERIES
1) Remove battery cover by pulling on
tag.
2) Insert batteries.
Ensure that the batteries are inserted
the right way as shown in battery
compartment and that the ribbon is
behind them.
3) Replace battery cover.
When the batteries are
running low, a low battery
indicator will show on the
screen and it is important to change the
batteries as soon as possible.
Rechargeable batteries
The unit will work with rechargeable
batteries, but the display may appear
dim.
Storage
Remove batteries from your Kegel
Toner if the unit is unlikely to be used
Number of
uses
Time used
in hours

17
for a long period. Some types of
batteries may leak corrosive fluid.
Battery Life
Batteries should last about 18 hours at
full power.
Unused batteries have a nominal shelf
life of 3 years, but will usually last longer
than this.
Battery Warnings
Do NOT pierce, open,
disassemble, or use in a humid
and/or corrosive environment.
Do NOT expose to
temperatures over
60°C(140F).
Do NOT put, store or
leave near sources of heat, in
direct strong sunlight, in a high
temperature location, in a pressurized
container or in a microwave oven.
Do NOT immerse in water or
sea water, or get wet.
Do NOT short-circuit.
Do NOT connect the device
unless the battery cover is in
place.
If battery leakage occurs and comes in
contact with the skin or eyes, wash
thoroughly with lots of water.
Keep batteries out of the reach of small
children.
Caution NEVER attempt to
recharge an alkaline battery.
Risk of explosion.
Caution Do not mix old, new or
different types of batteries as
this may lead to battery leakage or low
battery indication.
Disposal: Always dispose of batteries
responsibly according to local
government guidelines. Do not throw
batteries onto a fire. Risk of explosion.
10.2. CONNECTING LEAD
WIRE
Insert the lead wire plug into the base of
the unit.
Connect the lead from the base of
the unit to the lead in the Kegel
Trainer.
Push the pin ends firmly into the pigtail
ends of the Kegel Trainer lead.
The lead wires may be damaged by
rough handling and should be treated
with care.
Lead wire colour coding.
The ends of the lead wire are colored
black or red. This coding is provided for
some professional uses. For most
purposes, the orientation makes no
difference, and you canignore this color
coding.

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10.3. PREPARING FOR
SESSION
1) Before using Kegel Toner you will
need to visit the toilet.
2) Lubricate the metal electrode
surfaces and Kegel Trainer tip with
a water-based lubricant, such as
TensCare Go Gel or water.
Caution: Do not use a silicone-
based lubricant on the
stimulation contacts as it may
decrease the effectiveness of the
Kegel Toner’s muscle stimulation.
3) Choose a comfortable position, such
as lying down on your bed on your
side with your knees raised.
Warning: Ensure the Kegel
Toner is switched OFF before
inserting the Kegel Trainer.
4) After wires are securely connected,
insert the Kegel Trainer into the
vagina, in the same way as a
tampon, with the two silver plates
side to side: one plate on left and the
other on the right, until only the
flange at the end is visible. The
Kegel Trainer will naturally position
itself with the widest part of the
flange vertically.
5) The metal parts conduct the
electrical pulse and should be in
contact with the main part of the
muscle at all times. The tissues close
to the entrance are more sensitive,
so you should avoid stimulating
them.
Note: The flange should not be
inserted into the vagina and
should remain outside of the
vagina at all times.
10.4. TRAINING SESSION
1) Press and hold the ON button on the
control unit for 3 to 5 seconds to
switch the control unit on.
2) You can select from the two preset
programs. Details in section 7 will
help you identify the best program to
suit you.
To change between the programs,
press the program selector, which is
labelled P, in the center of the control
unit keypad.
3) With the required program selected,
you can adjust the intensity of the
muscle stimulation until you reach a
comfortable level. Once you have
reached a comfortable level, 5
seconds after you stop pressing the
button, the intermittent work/rest
phase will start. The machine will
take itself to 0 mA for a rest period
and then take itself back up to the
level of intensity you chose, to work
the muscle. This cycle will continue
for the 20 minutes of the program.
Metal contact Vertical
plates flange

19
Note: The strength required
varies widely between users -
some will use the Kegel Toner
at full power –99 mA. The Kegel Toner
strength will go up at 1 mA increments.
Initially the sensation through the Kegel
Trainer may be limited but will improve
during treatment. Take care not to use
too much strength and thereby over
stimulate the muscles until normal
sensation is restored. The sensation
may not be even as it may vary
depending on the sensitivity of the
nerves.
The LCD display shows the strength of
intensity used. The aim is to increase
this over a few days. But remember
there is no hurry, so only increase the
strength of the stimulation as and when
you are comfortable and ready to
progress.
Note: If the sensation becomes
uncomfortable, reduce the
intensity using the button ▼.
When switched on, in TRAIN and
TONE programs the unit will go through
an exercise program for 3-5 seconds,
followed by a rest period of 6-10
seconds. The Kegel Toner causes a
sensation which feels like a strong
drawing in of the vagina and pulling up
of the pelvic floor. The natural reaction
will be to pull in and up with the
muscles.
At lower strength settings, you may not
feel any sensation at all, this depends
very much on the individual and any
pre-existing physical conditions, so
slowly increase the intensity by
repeatedly pressing the ▲ button until
you begin to feel the muscles around
your vagina contract.
For best results in these programs try to
contract the pelvic floor muscles along
with the Kegel Toner, and to sustain
the contraction into the rest interval. If
possible, link the contraction to your
breathing to get into a gentle rhythm.
Increase the strength as high as it is
comfortable, and then take it back down
one step.
The strength display on the control unit
will reduce to 0 and flash during the rest
period.
The length of each session is
automatically set to 20 minutes. The
length of each session for muscle
strengthening will also depend on your
ability to contract and your resistance to
fatigue. Be careful not to overuse early
on, as the resulting aches may not be
felt until the next day.
Note: If you experience
cramping, switch the unit off
until the symptoms go away
then continue the session with the
intensity set at a lower level.
10.5. AFTER YOUR TRAINING
SESSION
When the timer reaches zero, your
session is complete, and the unit turns
off.
1) Check that the control unit is off. If it
is not, hold down the OFF button to
switch off then remove the Kegel
Trainer from your vagina by holding
the positioning end rim and gently
pulling outwards.