Kegel8 Mother Nurture User manual

Kegel8® Mother Nurture Operation Manual
56
Savantini Ltd.
Savantini House, Foster Street
Stoneferry Road
Hull, HU8 8BT
England
Any queries should be addressed to:
Helpline [phone]
Call us! We’re here to help you
Monday-Friday, 8am - 5pm.
Distributor:
Not for sale or use in the USA
Accessory control information:
Kegel8
Mother Nurture
manual
(English)
OPH310-OM-EN07-10-06-2019
1
Kegel8® Mother Nurture Operation Manual

Kegel8® Mother Nurture Operation Manual
2
Symbols on the unit and case
Caution! (electrical output).
Follow operating instructions! Failure to do so could place
the patient or operator at risk.
Neuromuscular Stimulation (STIM) and EMG Triggered
Stimulation (ETS) should not be used by Patients fi tted with
demand style cardiac pacemakers. Please seek advice from
your health supervisor.
Patient’s shock protection type: BF (Body Floated) Equip-
ment. This equipment is not earthed but contains a battery
within an insulated unit.
Indicates the manufacturer’s catalogue number so that the
medical device can be identifi ed.
Manufacturer's LOT/Batch number. Present it together
with SN number when you report a technical fault or
claim a warranty return.
Manufacturer's serial number of the unit. Present it
together with LOT number when you report a technical
fault or claim a warranty return.
Name and address of Manufacturer.
Date of manufacture.
Conformity indication with the essential health and
safety requirements set out in European Directives.
0088 - Notifi ed body identifi cation (LRQA Ltd.)
This product should be kept dry.
IP20
on the unit
This is an indication for protection against ingress of water
and particulate matter. The mark IP20 on your unit means:
your unit is protected against solid foreign objects of 12.5mm
dia and greater. Not protected against water.
IP02
on the case
IP02 on the carrying case means: Protected from the ingress
of water droplets from a shower of rain.
Do not dispose in normal dustbin (see page 36 for the
disposal instructions).
55
Kegel8® Mother Nurture Operation Manual

Kegel8® Mother Nurture Operation Manual
54 3
Kegel8® Mother Nurture Operation Manual
Dear Customer,
Thank you for choosing Kegel8 Mother Nurture. You now have a new best
friend to support you through the birth of your baby and beyond. Created
especially for women before conception, during labour and after their new
arrival, the Kegel8 Mother Nurture is an eff ective Transcutaneous Electrical
Nerve Stimulator (TENS) and Neuromuscular Stimulator (STIM) device in
one.
Transcutaneous Electrical Nerve Stimulation is an eff ective, drug-free, non-
invasive method of controlling pain. By transmitting mild electrical impulses
to the aff ected area, TENS modifi es the body’s perception of pain to provide
relief.
Neuromuscular Stimulation is an eff ective method of re-building and
strengthening weak or damaged muscle tissue. Muscles and nerve fi bres are
stimulated by electrical pulses causing them to contract as they would in
exercise.
If you have never used a Neuromuscular Stimulator or TENS machine before,
you may be a little apprehensive. That’s quite normal – lots of people are
cautious at fi rst, but soon realise that there is nothing to worry about. The
probes used for neuromuscular stimulation are designed for comfort and while
you will be able to feel the eff ects of the electrical pulses, they should not
cause you any discomfort.
Welcome to Kegel8 Mother Nurture
What is TENS?
What is NMES?

Kegel8® Mother Nurture Operation Manual
4
●labour pain
●stress incontinence
●overactive bladder
Also used for non medical purposes:
●pelvic sensitivity, strength and endurance
Indications for use
The beauty of TENS pain relief is that you are in full control and we will
provide you with all the information you need about correct electrode
placement, so no worries there either.
If you follow the instructions in this User Guide, Kegel8 Mother Nurture is a
safe and eff ective way to prepare your body for carrying a baby, help manage
your pain through labour and exercise your pelvic fl oor back in to pre-baby
shape following childbirth.
Customer Care
We aim to provide our customers with outstanding products and customer
service. So if you have any comments or ideas regarding Kegel8, unanswered
questions or are looking for any sort of reassurance please get in touch with
us – we are here to help. Our contact details can be found on page: Customer
Care.
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Kegel8® Mother Nurture Operation Manual
Notes

Kegel8® Mother Nurture Operation Manual
52
Clinical References
Please contact us for any clinical referencies of Kegel8®: enquiries@
kegel8.com
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Kegel8® Mother Nurture Operation Manual
Please pay careful attention to the following safety warnings:
• Do not insert wires into a mains power supply.
• Do not immerse unit into water or any other substance.
• The unit is not protect from the ingress of water droplets from a shower
of rain if used outside the carrying case.
• This unit is not suitable for use during a water birth.
• Do not use STIM or a vaginal probe during pregnancy.
• Do not use TENS prior to 37 weeks pregnancy.
• Type BF equipment, Continuous Operation.
• Do not use Kegel8 Mother Nurture in the presence of a fl ammable
anaesthetic gas mixture and air or with Oxygen or Nitrous Oxide.
• If using rechargeable 9 Volt PP3 Nickel Metal Hydride batteries, be sure
to use a CE approved battery charger. Never connect the Kegel8 Mother
Nurture directly to a battery charger or to any other mains powered
equipment. We advise not to use Ni-Cad rechargeable batteries.
• Patient Probes and Electrodes are for single patient use only.
• Keep out of reach of children.
• Do not use this stimulator on your facial area unless you are under strict
guidance from a qualifi ed Clinician.
• Application of electrodes to the body between the neck and the abdomen
may increase abnormal heart rhythm (cardiac fi brillation)
• Operation in close proximity (e.g. 1m) to shortwave or microwave
therapy equipment may produce instability in the stimulator output.
• Simultaneous connection of a patient to high frequency surgical
equipment may result in burns at the site of the stimulation electrodes and
possible damage to the stimulator.
• It is recommended this unit be used following guidance of a
Physiotherapist, Doctor or Continence Advisor.
• No modifi cation of this equipment is permitted.
Warnings

Kegel8® Mother Nurture Operation Manual
6
Please read this Kegel8 Mother Nurture User Guide before using this
stimulation device.
Kegel8 Mother Nurture should not be used:
• By patients fi tted with a demand style cardiac pacemaker unless
advised to by their Doctor.
• On a STIM programme during pregnancy (unless medically
advised).
• On a TENS programme prior to 37 weeks pregnancy.
• By patients with undiagnosed pain conditions.
• By patients with undiagnosed skin, vaginal or rectal conditions.
• With patients who have diminished mental capacity or physical
competence who cannot handle the device properly.
• On anaesthetised or desensitised skin.
• When driving a vehicle or operating potentially dangerous
equipment.
When using Kegel8 Mother Nurture:
• Use only as directed.
• Do not immerse the unit in water or any other liquid.
• Keep unit out of reach of children.
• Seek professional advice if you are unsure about using Kegel8
Mother Nurture. Contact your distributor or healthcare professional.
• Only use CE approved skin electrodes and vaginal probes.
• Change your skin electrodes to hypoallergenic electrodes should you
experience any irritation from the adhesive coating on the electrodes
supplied. A range of skin electrodes for sensitive skin can be found
on our website.
• Allow the skin to heal should you experience any skin irritation
before commencing use.
Do not place electrodes:
• Over carotid sinus nerves, larynx or trachea.
• Inside the mouth.
• Over the area of the heart unless so advised by your doctor.
• On your facial area unless under strict guidance from a qualifi ed
clinician.
• Do not apply stimulation across or through the head, directly on the
eyes, covering the mouth, on the front of the neck (especially the
carotid sinus) or via electrodes placed on the chest and upper back or
crossing over the heart.
Contra Indications & Precautions
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Kegel8® Mother Nurture Operation Manual
Warranty
We provide a warranty to the original purchaser, that this product will
be free from defects in the material, components and workmanship, for
a period of 2 years from the date of purchase by the distributor.
If the distributor is satisfi ed that the product is defective, the user may
return the unit directly to Savantini Limited. All returns must be au-
thorised and the warranty does not extend to any misuse or abuse such
as drop ping or immersing the unit in water or other liquid substance
or tampering with the unit or normal wear and tear. Any evidence of
tampering will nullify this warranty.
Customer Service and Distribution:
Please contact your distributor for any customer service enquiries,
including the warranty returns. Your invoice of purchase and/or the
rear cover of this manual should state the name and the contact details
of your distributor.
For assistance, if needed, in setting up, using or maintaining the unit,
or report unexpected operation or events, please visit the distributor’s
website for further details: www.kegel8.co.uk
Distributed by: Savantini Ltd.
Savantini House, Foster Street
Stoneferry Road, Hull
HU8 8BT, UK
Fax: [phone]
Email: [e-mail]
Web: www.kegel8.co.uk
Helpline:
+ 44(0) 1482 496 932
This product is manufactured by Verity Medical Ltd., in
compliance with the European Union Medical Device
Directive MDD93/42/EEC under the supervision of
LRQA Ltd., (Lloyd’s Register Quality Assurance Ltd),
Notifi ed Body number 0088. Verity Medical Ltd., is
certifi ed by LRQA Ltd., to the following Quality
Standards: ISO13485:2016.

Kegel8® Mother Nurture Operation Manual
50 7
Kegel8® Mother Nurture Operation Manual
Content Page
Indications for use 4
Warnings 5
Contraindications and Precautions 6
Basic keypad operation 8
Important Safety Information 9
Kegel8 Mother Nurture Check List 11
Getting To Know Your Kegel8 Mother Nurture 12
How Your Kegel8 Mother Nurture Works 14
Using Kegel8 Mother Nurture For The First Time 16
Exercising With Kegel8 Mother Nurture 18
Inserting The Probe 23
Managing Labour With Mother Nurture 24
Applying Kegel8 Skin Electrodes 27
Kegel8 Tips 28
Choosing A Kegel8 Mother Nurture Programme 30
Increasing mA with each phase 33
Voluntary Exercise 34
Locking and Unlocking the unit 35
Taking Care Of Your Kegel8 36
Frequently Asked Questions 38
Kegel8 Mother Nurture Programme Parameters 42
Specifi cations 46
Electromagnetic Compatibility and Interference (EMC) 47
Warranty 51
Clinical References 52
Contents

Kegel8® Mother Nurture Operation Manual
8
* PRG button
* SET button Displays the menu and changes the parameters for
Pulse Rate, Pulse Width and Time for custom
programmes.
* ESC button Stores customised programme and returns to the
home position.
* ON / OFF button Turns unit on, off and ends the current programme
Basic keypad operation
LCD
Display
Select
Programme
SET to go
to Custom
programme
settings
Channel A Remote Channel B
switch
ESC to stop
programme
or escape
from settings
Remote Switch
+ to start
programme
Front Back
49
Kegel8® Mother Nurture Operation Manual

Kegel8® Mother Nurture Operation Manual
48 9
Kegel8® Mother Nurture Operation Manual
Important Safety Information
Who Can Use Kegel8 Mother Nurture?
Your Kegel8 Mother Nurture is designed to be used by women and when used
correctly, is a safe and eff ective way of strengthening pelvic fl oor muscles and
drug-free pain relief during labour. However, as it works by using electrical
pulses, there are some people that should seek medical advice before using the
device.
DO NOT USE KEGEL8 MOTHER NURTURE:
• If you have been fi tted with a demand style cardiac pacemaker.
• During pregnancy unless using the TENS programme during labour.
• If you have undiagnosed pain, skin, vaginal or rectal conditions.
• On anaesthetised or desensitised skin.
• If you do not have the mental capacity or physical competence to use
the device as instructed.
• When driving a vehicle or operating potentially dangerous
equipment.
• In water or other fl uid, including a birthing pool – never submerge
your Kegel8 in water.
• While you are connected to high frequency equipment. Applying the
Kegel8 probe or electrodes while you are connected to
high frequency equipment could cause burns and damage your
Kegel8. If in doubt, please call your distributor for advice or seek
assistance from a doctor or healthcare professional.
Please note that Kegel8 can be used safely by women fi tted with IUD or
Mirena coils. Kegel8 does not aff ect these devices.
IMPORTANT
Only Use Your Kegel8 As Described
In This User Guide.
Keep Out Of Reach Of Children.

Kegel8® Mother Nurture Operation Manual
10
Where Can You Use Your Kegel8 Mother Nurture?
Kegel8 Mother Nurture is designed for home use, but can be used in medical
centres and hospitals too. Before you use your Kegel8, please make sure:
• The room does not contain fl ammable gases. This is especially
important in hospitals and medical centres as Kegel8’s electrical
pulses can ignite fl ammable gases, such as those used in anaesthetics.
If in doubt, ask for assistance.
• You are not positioned close (e.g. 1m) to a shortwave or microwave
therapy device, microwave oven, mobile telephone, wireless device,
or radio. These devices can cause instability in your Kegel8 unit.
Using Your Kegel8 Mother Nurture Safely
• Only use your Kegel8 in the regions described in this user guide.
Never use Kegel8 on other parts of your body as the electrical pulses
could damage your health.
• To ensure your personal hygiene, do not allow other people to use
your probes or electrodes. Always clean your probes thoroughly (see
Kegel8 Probe Care) and store electrodes in a safe place.
• Only use CE approved vaginal probes and skin electrodes with your
Kegel8. All offi cial Kegel8 probes and electrodes are CE approved.
• To power your Kegel8 device, use a 9v battery. Never connect your
Kegel8 device or its probes to a mains power supply as this could
result in electrocution and death.
• Do not immerse your Kegel8 device or its probes and electrodes in
water, fl uids or any other substances.
• Please be aware that Kegel8 Mother Nurture is Type BF equipment
(provides some protection against electric shock).
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Kegel8® Mother Nurture Operation Manual
Electromagnetic Compatibility and
Interference (EMC)
Kegel8 products are designed to produce very low levels of radio frequency
(RF) emissions (interference), and to be immune from eff ects of interference
produced by other equipment operating in their vicinity. They are also resist-
ant to damage relating to electrostatic discharge when operating in a typical
domestic and or clinical environment.
They are certifi ed to meet the international EMC standard EN60601-1-2.

Kegel8® Mother Nurture Operation Manual
46
STIM Specifi cations
1. Dual channel: individually isolated circuits.
2. Amplitude: 0 - 90 mA into 500 Ohm load; indication only. Actual
mA will tend to be less than indicated due to electrode impedance:
• At 1000 Ohms load (Electrodes in poor condition), the
maximum will be limited to 70 mA
• At 1500 Ohms load the maximum will be limited to 65
mA.
3. Type: Constant Current, maximum output voltage 180 Volts +10 /
-30 Volts
4. Waveform: Asymmetrical, rectangular bi-phasic with zero DC
current.
5. Selectable pulse width: 50 µS - 450 µS [10% accuracy].
6. Pulse Rate selection: in the continuous mode 2 Hz - 100 Hz [5%
accuracy].
7. Time duration of the treatment selectable: 1 to 90 minutes.
8. Ramp up time 0.3 - 9.9 seconds.
9. Battery: PP3 Alkaline, 9V.
Expected average battery life [of standard 800 mAh, alkaline]: 32
hours.
10. Low Battery Indicator: If the battery goes below 6.9 volts +/- 0.2 v
olts the battery symbol will fl ash on/off once every second.
11. If the battery voltage is below 6.6 (+/- 0.2) volts the unit will not
turn on.
12. Open Electrode Detect: If an open circuit is detected at the output of
channel A or B the output current will be reset at zero.
Expected service life: 5 years. Careful use and maintenance extends the life
of the unit over the service life limit.
Physical dimensions: 119.2 x 69 x 28.7 mm.
Weight: 0.07kg without battery, 0.1kg with battery.
Environmental Conditions for use:
+5 to +40 degrees Centigrade. 15-93% Humidity.
Environmental conditions for storage & transport:
-25 to +70 degrees Centigrade, 15-93% Humidity.
11
Kegel8® Mother Nurture Operation Manual
Kegel8 Mother Nurture Check List
When you open the Kegel8 Mother Nurture packaging, you should fi nd:
1x Kegel8 Mother Nurture unit
1x 9 Volt Battery
1x Kegel8 Probe
4x Kegel8 Skin Electrodes (100x50mm)
1x Remote Boost Button
2x Kegel8 Lead Wire
1x Kegel8 Mother Nurture User Guide
1x Kegel8 Product Guarantee Registration Form
In the unlikely event that any of the items above are missing, please contact
our Customer Care Team.

Kegel8® Mother Nurture Operation Manual
12
You will use Channel A (CH.A) to connect your probe to your Kegel8 Mother
Nurture unit for STIM use to exercise your pelvic fl oor muscles prior to con-
ception and/or following recovery from childbirth.
You will use Channel A (CH.A) and Channel B (CH.B) to connect your skin
electrodes to your Kegel8 Mother Nurture unit for TENS use to manage pain
during labour.
You will use the Boost Channel to connect your Remote Boost Button for
control of natural pain relief during labour.
You will use the PRG button to select and set your programme of choice (see
Choosing a Kegel8 Programme)
Kegel8 Mother Nurture has two sets of + and – buttons. You can use these but-
tons to increase (+) and decrease (-) the strength of the electrical pulses being
emitted (the mAs). The positioning of these buttons correspond to the Channel
they control; the + and – buttons to the left control Channel A and those to the
right control Channel B.
Getting To Know Your Kegel8 Mother
Nurture
45
Kegel8® Mother Nurture Operation Manual
P07 – Mixed Incontinence (MIX)
Phase 1 Phase 2
Phase Time Minutes 15 15
Mode W/R W/R
Frequency Work Hz 12 50
Frequency Rest Hz N/A N/A
Pulse Duration µS 300 300
Modulation Time Seconds N/A N/A
Ramp Up Time Seconds 1.0 0.5
Ramp Down Time Seconds 0.2 0.2
Work Time Seconds 5 5
Rest Time Seconds 10 10
Alternating
Synchronous X X
Overall Time 30 Minutes
P08 – Tightening and Gentle Stress Incontinence (TGH)
Phase 1 Phase 2
Phase Time Minutes 15 30
Mode W/R W/R
Frequency Work Hz 15 35
Frequency Rest Hz N/A N/A
Pulse Duration µS 250 250
Modulation Time Seconds N/A N/A
Ramp Up Time Seconds 1.2 0.6
Ramp Down Time Seconds 0.3 0.3
Work Time Seconds 5 5
Rest Time Seconds 8 5
Alternating
Synchronous X X
Overall Time 45 Minutes

Kegel8® Mother Nurture Operation Manual
44
P05 – Overactive Bladder (OAB)
Phase 1
Phase Time Minutes 20
Mode W/R
Frequency Work Hz 10
Frequency Rest Hz N/A
Pulse Duration µS 400
Modulation Time Seconds N/A
Ramp Up Time Seconds 0.8
Ramp Down Time Seconds 0.6
Work Time Seconds 10
Rest Time Seconds 5
Alternating
Synchronous X
Overall Time 20 Minutes
P06 – Stress Incontinence (STR)
Phase 1 Phase 2 Phase 3
Phase Time Minutes 10 30 10 (approx.)
Mode Continuous W/R
10x contractions held
for 10 seconds, fol-
lowed by 5 seconds
of relaxation. Repeat
10 times.
Now 10x contractions
held for 2 seconds
followed by 2 sec-
onds of relaxation.
Repeat 10 times.
Frequency Work Hz 2 35
Frequency Rest Hz N/A N/A
Pulse Duration µS 330 250
Modulation Time Seconds N/A N/A
Ramp Up Time Seconds N/A 1.5
Ramp Down Time Seconds N/A 0.5
Work Time Seconds N/A 5
Rest Time Seconds N/A 5
Alternating
Synchronous X
Overall Time 40 Min +
10 Min
Voluntary
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Kegel8® Mother Nurture Operation Manual
When you fi rst power on your
Kegel8 Mother Nurture, the LCD
display will light and show the
following information:
Hz - Frequency
Hz is the number of electrical pulses per second (Hertz). You will notice that
this number changes depending on the programme you have selected and may
even change throughout the programme.
µS – Pulse Duration
µS is the duration of a single electrical pulse. The higher the value, the more
the stimulation penetrates your muscles. Again, this number will change
depending on the programme you have selected.
Programme Description
To the right of the screen you will see an abbreviation of the programme you
have selected i.e. LBR will display when the Labour Pain Relief programme
is selected. All programme abbreviates can be found in chapter: Choosing A
Kegel8 Mother Nurture Programme.
Time
When you are using Kegel8 Mother Nurture as a STIM device to exercise your
pelvic fl oor, the programme description will disappear when you commence
the programme and will be replaced with a timer. This time is the length of the
programme and will count down as you progress through the session.
mA
At the bottom of the screen you will see two large numbers. When you fi rst
turn the unit on, these numbers will display as 0 (zero). This is a display of
the MilliAmps – the amount (or strength) of electrical current being delivered
through the output channel. This number will change as you control the output
with the + and – buttons on the unit.
Battery Power Level
If your Kegel8 Mother Nurture battery is running low on power, a low battery
symbol will appear in the middle of the screen. If you see this symbol, please
ensure you change your battery to get the best performance from your Kegel8
Mother Nurture.

Kegel8® Mother Nurture Operation Manual
14
How Your Kegel8 Mother Nurture
Works
The Kegel8 Mother Nurture is one of a new breed of dual Neuromuscular
Stimulation (STIM) and Transcutaneous Electrical Nerve Stimulation (TENS)
devices developed with the aim of achieving optimum pelvic health for women
and supporting them through the demanding changes on the body that comes
with starting a family. Kegel8 Mother Nurture works by producing electrical
pulses that stimulate the muscles and nerve fi bres to build muscle strength in
your pelvic area and that work to modify the body’s perception of pain to make
labour more manageable.
If you haven’t used a STIM or TENS device before, the idea of applying elec-
trical pulses to your body can seem a little strange. But there’s no need to be
concerned – your body already uses electrical signals all the time. For example,
let’s say you want to tense the bicep muscle in your arm. To do this, your brain
sends an electrical signal to your muscles via your nervous system. When the
signal reaches your bicep, it causes the muscle to contract, and when the signal
is not present, your muscle relaxes again.
The Neuromuscular Stimulation (STIM) of the Kegel8 Mother Nurture works
in a very similar way – it sends electric pulses to precise areas of the pelvic
fl oor muscles, causing them to contract and relax. Over time, this strengthens
the muscles and nerve fi bres giving you greater muscle control and improving
strength, tone and tightness.
The Transcutaneous Electrical Nerve Stimulation (TENS) of the Kegel8 Moth-
er Nurture targets nerves as opposed to muscles; there are millions of small
nerve fi bres throughout your body and it only takes a few impulses for you
to experience chronic pain. TENS tackles this by stimulating the larger nerve
fi bres in your body, those responsible for our sense of touch and temperature,
which then block the path of the small nerve endings which are sending the
pain signals to your spine – often described as a pain gateway as it acts as a
channel for pain signals to reach the brain.
43
Kegel8® Mother Nurture Operation Manual
P03 – Labour Pain Programme (LBR)
BOOST (during
contractions)
BURST (resting endor-
phins)
Phase Time Minutes Unlimited Unlimited
Mode Continuous Burst
Frequency Work Hz 80 2 reps/sec of 9 impulses at
150Hz
Frequency Rest Hz N/A N/A
Pulse Duration µS 275 200
Modulation Time Seconds N/A N/A
Ramp Up Time Seconds N/A N/A
Ramp Down Time Seconds N/A N/A
Work Time Seconds N/A N/A
Rest Time Seconds N/A N/A
Alternating
Synchronous X X
Overall Time Unlimited Press remote button to switch between BOOST
and BURST
P04 – Continence Recovery (RCV)
Phase 1
Phase Time Minutes 60
Mode W/R Modulated
Frequency Work Hz 12
Frequency Rest Hz 6
Pulse Duration µS 300
Modulation Time Seconds N/A
Ramp Up Time Seconds 2
Ramp Down Time Seconds N/A
Work Time Seconds 5
Rest Time Seconds 8
Alternating
Synchronous X
Overall Time 60 Minutes

Kegel8® Mother Nurture Operation Manual
42
Kegel8 Mother Nurture Programme
Parameters
P01 – Pelvic Sensitivity, Strength and Endurance (KE1)
Phase 1 Phase 2
Phase Time Minutes 15 30
Mode W/R W/R
Frequency Work Hz 10 50
Frequency Rest Hz N/A 2
Pulse Duration µS 300 200
Modulation Time Seconds N/A N/A
Ramp Up Time Seconds 2 0.6
Ramp Down Time Seconds 0.3 0.3
Work Time Seconds 6 6
Rest Time Seconds 10 12
Alternating
Synchronous X X
Overall Time
45 Minutes Relaxation Phase
Pelvic Floor
Muscle Training
with 50 Hz
P02 – Pelvic Sensitivity, Strength and Endurance Work-Out (KE2)
Phase 1 Phase 2 Phase 3
Phase Time Minutes 5 15 10
Mode W/R W/R W/R
Frequency Work Hz 10 50 20
Frequency Rest Hz N/A N/A N/A
Pulse Duration µS 250 250 250
Modulation Time Seconds N/A N/A N/A
Ramp Up Time Seconds 0.6 0.6 0.6
Ramp Down Time Seconds 0.3 0.3 0.3
Work Time Seconds 5 6 5
Rest Time Seconds 5 18 7
Alternating
Synchronous X X
Overall Time 30
Minutes
Relaxation
Phase
Pelvic Floor
Muscle Train-
ing with 50 Hz
15
Kegel8® Mother Nurture Operation Manual
Kegel8 Mother Nurture features a number of pre-set programmes for pelvic
fl oor exercise and natural pain relief during labour. These programmes have
been carefully designed so that they:
• Work your muscles appropriately, helping them to strengthen
gradually.
• Allow your muscles to rest for the correct amount of time
• Naturally ease pain at your control
• Are easy to use
There have been many research papers and clinical trials relating to STIM and
TENS. If you are interested in fi nding out more, a list of relevant papers is
included in our Clinical References.

Kegel8® Mother Nurture Operation Manual
16
When you fi rst use Kegel8 Mother Nurture you need to choose one of the
pre-set programmes based on whether you are using the device pre-conception,
during labour or post childbirth. The programmes are designed in diff er-
ent ways to treat a variety of specifi c female health problems or to naturally
manage pain, so you should choose the programme best suited to your needs
(all of the programmes are explained in Choosing A Kegel8 Mother Nurture
Programme).
At the start of every programme, Kegel8 Mother Nurture begins at 0mA,
which means there is no electrical pulse. When you are ready to begin and the
relevant probe or skin electrodes are in place, press the + button for the ap-
propriate channel repeatedly to gradually increase the electrical current. Please
note that the mAs will not increase above 10mAs until the probe is inserted
into your vagina or your electrodes are in place on your skin.
When the electrical current reaches a high enough level, you will begin to feel
stimulation. This sensation will vary depending on in which mode you are us-
ing the Kegel8 Mother Nurture. If you are using your device pre-conception or
post childbirth with a vaginal probe to exercise your pelvic fl oor you will begin
to feel a knocking sensation in your pelvic fl oor muscles. This happens when
the electrical current begins to stimulate your muscles at low levels. You may
also feel a tingling sensation. When you get to either of these stages, slowly
continue to increase the mAs to a level that you feel is working your muscles
but that is comfortable too. A strong contraction that ‘pulls’ the muscles is what
you should aim to feel.
Many women fi nd that they start to feel their muscles being stimulated when
the mAs are set to around 25, with settings over 30 mA giving the muscles
a full workout. But everybody is diff erent, so you need to choose settings
that you are comfortable with and that you feel are working for you. As you
exercise, you will feel your muscles pull up, tighten, and then relax again. The
stronger the sensation you can feel, the more work your pelvic muscles are
doing. But don’t push yourself too hard, especially if you are newly recovered
from childbirth. If you feel any discomfort at any point in your session, press
the – button for the appropriate channel to reduce the current.
If you use Kegel8 Mother Nurture to exercise (as described above), 1 or 2
times per day for at least 3 months, your pelvic fl oor muscles will get stronger
and you will feel the benefi ts of greater muscle control. Gradually you will be
able to increase the amount of current delivered to the muscles for a stronger
workout.
Using Kegel8 Mother Nurture For The
First Time
41
Kegel8® Mother Nurture Operation Manual
Kegel8
Mother Nurture
Technical Specifi cations

Kegel8® Mother Nurture Operation Manual
40
Q: How do I clean my probe?
Simply rinse the insertable part under the tap, keeping the wires dry at all
times. Do not boil the probe. It can be sterilised using a mild sterilising solu-
tion or you can spray it with Kegel8 Klean, an anti-barterial cleanser. For more
information, see Kegel8 Probe Care.
Q: How long will the battery last?
If you use your Kegel8 daily, the battery should last about 3 months. You
can get replacements from us or at your local supermarket – please choose a
quality 9v battery that will not leak. You will know when your battery is low
because a battery symbol will fl ash on the screen of your Kegel8. For more
information see Battery Care.
Q: How long will my probe last?
With normal use, your probe should last between 12-18 months. We recom-
mend you replace your probe after this time to ensure you continue to get the
best possible results from your Kegel8. For more information see Taking Care
Of Your Kegel8.
Q: I can’t fi nd the answer to my question.
Get in touch with our Customer Care Team, we are here to help.
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Kegel8® Mother Nurture Operation Manual
If you are already pregnant or there is a possibility you could be, Kegel8
Mother Nurture CANNOT be used until you are in stages of labour. When this
time comes, you will use ONLY the TENS pain relief programme of the device
with skin electrodes and the labour Remote Boost Button. At this time, Kegel8
Mother Nurture should be used in a very similar way to when being used for
exercise; increase the mAs using the + button for the appropriate channel.
This programme uses both Channel A and Channel B so you will increase the
mAs on both sides. As with this programme you are stimulating the nerves
as opposed to muscle, you will feel more of a tingling sensation. Continue to
increase the mAs until you feel a massaging pulse and your level of pain being
controlled – remember, TENS is a natural pain management method designed
to produce local endorphins within your body and not a medicated pain killer
so you will still feel some pain but that pain will be signifi cantly reduced. As
you feel a contraction begin press the Remote Boost Button. You will feel the
stimulation change from a massaging pulse to a more intense and continuous
stimulation to help you manage the increased pain naturally, giving you and
your baby the chance to avoid medicated pain relief. As the contraction fades,
press the Remote Boost Button again and return to the massage stimulation.
You can lock your Kegel8 Mother Nurture when using the Labour programme
so that once this programme is set it cannot be changed in error. This can give
you peace of mind that your Mother Nurture is set up ready for use ahead of
the big day and that you cannot change the programme in error during use.
Instructions on Locking And Unlocking Your Kegel8 can be found .
Whether you are using Mother Nurture as a STIM machine for exercise or a
TENS machine for pain relief your electrode(s) (the probe or skin electrodes)
must be in place before the mAs will increase. If your electrode(s) are not in
place then the mAs will not increase past 10mA before dropping back down to
0.
Now, let’s get you started with Exercising With Kegel8 Mother Nurture or, if
you are already expecting your baby, prepare by reading Managing Labour
With Mother Nurture.

Kegel8® Mother Nurture Operation Manual
18
Exercising With Kegel8 Mother
Nurture
Exercising your pelvic fl oor with Mother Nurture is recommended prior to
pregnancy to strengthen your muscles to potentially make conception easier
and get the necessary support ready for pregnancy. It is also recommended
after childbirth (following a fi nal 6 week check-up with your Health Visitor) to
recover and get everything back into shape, and as a treatment method for any
damage caused during pregnancy and childbirth which may have left you with
leaks or frequent dashes to the loo. So, let’s get started!
1. Before you start using Kegel8 Mother Nurture, please read the Im
portant Safety Information.
When used correctly, Kegel8 Mother Nurture is a safe and eff ective
way of tightening and toning your pelvic fl oor. But remember,
Mother Nurture is an electrical device and if misused can cause
harm. So please read the Safety Information carefully.
2. On the back of your Kegel8 Mother Nurture, slide off the battery
cover and insert the battery. Make sure the red material strip is under
the battery but with the end still accessible – this makes it easier to
remove the battery when a replacement is needed. Replace the
battery cover once the battery is in place.
3. Make sure the probe is clean by rinsing in warm water or wiping
clean with a body-friendly antibacterial cleaner (see Kegel8 Probe
Care). Unclean probes could cause infection.
4. Connect a lead wire to the probe:
a. Take the probe and insert the red pin of the lead wire to
one of the connectors of the probe.
b. Now insert the black pin of the lead wire into the other
connector of the probe.
c. Insert the lead wire into Channel A (CH.A) on the top of
the Mother Nurture unit.
d. Ensure all wires are fi rmly connected.
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Kegel8® Mother Nurture Operation Manual
Q: My mAs drop during some programmes – why is that?
While the programme goes through its preset routine the Pulse Frequency (Hz)
and Pulse Duration (µS) vary. When the Pulse Frequency and Pulse Duration
increase, the mAs drop so that the intensity does not take you by surprise. So
if you feel a decrease in intensity, just use the + button to increase your mAs
back up to a comfortable level.
Q: Why can’t I get the mAs to increase past 6, 7 or 8?
This is an issue that is usually caused by the probe not making eff ective contact
with your muscles. We recommend that you try using your Kegel8 while lying
down or sitting with your legs elevated. This will help prevent the probe from
falling out of position.
If the probe’s metal strips are not in direct contact with your muscles, the mAs
cannot go higher and the current cuts off for your safety. You can also get bet-
ter results by using a water-based lubricant, such as KE Gel.
Q: Why can I only feel stimulation on one side?
This could be due to:
1. The position of the probe. To work correctly, the metal strips on your
probe need to be in direct contact with your muscles. We recommend
that you sit with your legs held tightly together and squeeze your
pelvic fl oor as much as possible against the probe. You can also get
better results by using a water-based lubricant such as KE Gel.
2. You may have nerve damage to one side. This type of nerve injury
can occur during childbirth (caused by the pressure from the baby’s
head during delivery). It means you have less sensation on one side.
If this is the case, we recommend you purchase one of our alternative
probes, which allows you to vary the intensity of each side of the
probe. Increasing the intensity on the side that is in contact with your
desensitised area can help to promote re-sprouting or regeneration of
the damaged nerves.
Call our helpline for more information on our range of probes or visit www.
kegel8.com.

Kegel8® Mother Nurture Operation Manual
38
Frequently Asked Questions
Q: How soon after the birth of my baby can I start using my Kegel8
Mother Nurture post-natal programmes?
Please consult with your midwife or doctor. Generally, women start using
Kegel8 after a successful six week check-up.
Q: Can I use my Kegel8 Mother Nurture at all during pregnancy?
Unfortunately not. Clinical guidelines advise against using any vaginal STIM
devices during pregnancy. TENS should only be used during labour and should
not be used before week 37 of your pregnancy.
Q: I have an IUD or Mirena coil. Can I use the Kegel8?
Yes it is safe to use Kegel8 with a Mirena coil or IUD.
Q: Can I use my Kegel8 when I have my period?
Yes, you can use the Kegel8 during your period. However, if you are at the
peak of your period and the fl ow is heavy, you may prefer to wait and just use
it on lighter fl ow days.
Q: I have had pelvic fl oor surgery. How soon can I start using my Kegel8?
Please consult with your doctor or consultant as every case is diff erent.
Q: I have a post 3rd degree tear. Can I use Kegel8?
You should not use Kegel8 or any other Neuromuscular Stimulation until there
is full tissue healing. See your Health Specialist for a physical assessment
before you using your Kegel8.
Q: How far should I insert the probe?
The probe needs to be inserted into your vagina by just 2 inches (5.5cm).
Q: I fi nd it painful inserting the probe. What should I do?
Try using a water-based lubricant such as KE Gel. The lubrication will make
insertion more comfortable.
19
Kegel8® Mother Nurture Operation Manual
5. Now insert the probe into your vagina. To insert the Kegel8 probe:
a. Get into a comfortable position. This may be sitting on the
edge of a seat, squatting, standing or lying down; inserting
the probe is similar to inserting a tampon, so this may give
you an idea of how you will be most comfortable.
b. Hold the base of the probe. This is the plastic part at the
end where the wires leave the probe.
c. Position the probe so that the metal strips (the electrodes)
are down the sides. This will mean these metal strips are
facing the insides of your thighs; hip to hip as opposed to
front to back.
d. Gently insert the head of probe into your vagina. Gently
continue to push the probe 2 inches (5.5cm) inside your
vagina. This is less than you would insert a tampon. The
base of the probe and the wires should always remain on
the outside of your body. To ease insertion, we recommend
that you use a good quality water-based lubricant such
as KE Gel. The lubricant not only helps insertion but also
improves connectivity and the transfer of electrical pulses
from the probe to your muscles.
6. Press the green power button to turn the unit on.
7. Press the PRG button to choose a programme. By pressing PRG
repeatedly you can look through the programmes and using this key,
select the one suitable for you:
These two pre-conception programmes are recommended for preparation
for pregnancy. They work to strengthen your pelvic fl oor with a general
fi tness routine for two positive outcomes – strengthening the muscles in
preparation for pregnancy and increasing intimate sensation whilst trying
to conceive.
This is the TENS programme which is not used for exercising and is only
used for pain relief in labour (see Managing Labour With Mother Nurture).
KE1 – Pelvic Sensitivity, Strength and Endurance
KE2 – Pelvic Sensitivity, Strength and Endurance Workout
LBR – Labour Pain Relief Programme

Kegel8® Mother Nurture Operation Manual
20
This programme is recommended after you have given birth to introduce
your pelvic fl oor muscles to kegel exercises again. It is important you wait
until you are fully healed before you start exercising with Mother Nurture;
this usually takes around 6 weeks but your Health Visitor will advise you
based on your personal circumstances.
These programmes are designed for postnatal treatment and tightening to
get you back into pre-baby shape.
For more information on selecting the right programme for you, see
Choosing A Kegel8 Programme.
8. Press the + button which corresponds to Channel A (CH.A) As you
look at the screen of your Kegel8, this is the + button to the left.
When you press the + button you will see the mA reading increase
and this will begin your programme. You will not feel any
stimulation at initial low levels so continue to press the + button until
you begin to feel the electrical current. This is likely to be a tingling
sensation at fi rst. The sensation you should aim to feel is a strong yet
comfortable pull (contraction) on your pelvic fl oor muscles. The
higher you can get the mAs, the more eff ective the programme will
be but never push yourself beyond your comfort level. If you feel
any discomfort or pain, reduce the mAs by pressing the – button
which corresponds to Channel A (CH.A)
9. Throughout the programme the electrical current will cause your
muscles to contract and relax in repetitive patterns. As this happens
you will see the mAs drop to 0 (zero) as your muscles relax and
climb again to your set level as they contract.
RCV – Continence Recovery
OAB – Overactive Bladder / Nocturia
STR – Stress Incontinence
MIX – Mixed Incontinence
TGH – Tightening Up / Gentle Stress Incontinence
37
Kegel8® Mother Nurture Operation Manual
• Take care when connecting the wires. The connections on the Kegel8
and its probe are designed so that they connect to the wires with
ease. Do not force the wires.
• Do not cut the wires or attempt to modify the connections.
Battery Care
To take care of the battery:
• Replace the battery when it is low on power (a battery symbol will
appear on the LCD and fl ash on/off once every second when the
power is low).
• If you are not going to use your Kegel8 for a week or longer, please
remove the battery. Batteries can leak, so by removing it, you are
protecting your Kegel8.
• Check the battery regularly for signs of discharge. If the battery ap
pears to be leaking, replace it.
• We recommend you use a GP Alkaline Pro 9v battery.
Kegel8 Disposal – use our recycling service
When you need to dispose of Kegel8 batteries, probes or the Kegel8 device
please send them to us. We will make sure they are disposed of correctly and
materials are recycled where possible (see Recycling).