Med-Fit EM6300A Instruction Manual

Patient Instruction & User Manual
Tel: [phone] email: [e-mail]
Med-Fit
Premier TENS & Muscle Stimulator
Pain Relief
TENS Machine
Muscle Toning
med fit
EM6300A
EM6300A

Thank you for purchasing a Premier Range Stimulator. These devices are
manufactured to the highest of medical standards using the latest and most
advanced technology. Each unit is fully tested in final assembly and inspection
ensuring you receive the highest quality and an extremely reliable device.
Important information
lease read the following instructions
The remier range of stimulators use soft touch control technology.
When increasing the intensity control, please press the button in single “light touch” actions. Each
press increases the intensity by
1mA (max 99mA). This is a safety feature which ensures that you stimulate at a pleasant
comfortable rate.
med fit
Med-Fit UK Ltd.
Unit 8
Martel Court
S. Park Business Park
Hamilton Road
Stockport
SK1 2AF.
Tel: [phone]
Fax: [phone]
Email: [email protected]
www.tensmachineuk.com
Company registration number 08758741
Vat registration number 308 286 105
Contents:
1 x Premier TENS Unit
1 x Charger and USB Cable
4 x Packs of Self-Adhesive Electrodes ( 4 electrodes per pack)
1 x Pair of Patient Cables
1 x User Manual

Contents
C NTR LS AND FUNCTI NS 4
STEP BY STEP GUIDE 5
CHARGING INSTRUCTI NS 7
WARNINGS AND CAUTI NS 8
GENERAL DESCRIPTI N 10
INTR DUCTI N T TENS 10
INTR DUCTI N T EMS 11
WHICH PR GRAMME SH ULD I USE 12
H W HIGH SH ULD I TURN THE INTENSITY 12
THE PREMIER PLUS TENS PR GRAMMES P1 - P12 13
MANUAL ADJUSTMENTS 16
HELPFUL TIPS 24
TENS ELECTR DE PLACEMENT 26
EMS & MASSAGE PR GRAMMES 30
THE PREMIER PLUS TENS PR GRAMMES P13 - P24 31
EMS ELECTR DE PLACEMENT 32
WARRANTY 36
SKIN PATCH TEST 36
ELECTR DE INSTRUCTI NS 37
TECHNICAL SPECIFICATI N 38
EMC INF RMATI N 42
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C NTR LS AND FUNCTI NS
On / Off Button
Intensity down
channel 1
Intensity up channel 1
Left channel socket
Mode button to change
from T NS, MS and
Manual Adjustments
Programme selector
up and down
Intensity down
channel 2
Intensity up channel 2
L D charging indicator
Charging portRed key lock button
Right channel socket
The set button is to select the desire parameters in manual mode only
it has no function when using the pre-set programmes.

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STEP BY STEP GUIDE
Before using your premier TENS for the first time, please fully charge the
battery see page 7.
Press the button to switch on the TENS. This is located at the bottom
left hand corner of the TENS device. Please push and hold down the button for
2 seconds to turn the unit on.
Pressing the button will allow you to change from TENS to EMS Mode
(we always recommend to start with a TENS programme (P1-P12).
To change the programmes please use the arrow keys directly below
the set button this will allow you to choose the required programme.
Please refer to the programme charts supplied in this guide for details on
each programme available, please remember that P1-P12 are TENS
programmes and P13-P24 are EMS programmes.
The recommended programme to use for a first time TENS treatment is
programme P1. This is a gentle TENS treatment with a good pain blocking
effect and is an introduction to TENS stimulation.
You are now ready to use the TENS for the first time. (see step 8).
MODE
<
<

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The intensity keys on your TENS are marked CH1 and
CH2. To increase the intensity press the up arrow key,
each press increases the intensity by 1mA and is
displayed in the screen. It is recommended that you
increase the intensity to a sensation which is comfortable
and not too strong. As you use the TENS for longer
periods it may be necessary to increase the intensity to
higher levels. To control your pain more effectively.
It is recommended the first treatment should be a minimum
of 1 hour to 11/2hours to give the best possible results.
For a full explanation of all the settings and modes please refer to pages 13
to 15 for TENS settings or page 31 for EMS settings.
MODE
SET
<
<
CH1 CH2
CH1 CH2
Connect one of the TENS lead cables supplied to the
top of your TENS machine. As shown in Fig1.
Now connect the other end of the TENS cable to the
self-adhesive electrodes supplied. As shown in Fig2.
Next place the self-adhesive electrodes on to the painful site or as
recommended by your healthcare professional. You are now ready to turn up
the intensity on your TENS machine.
Fig1
Fig2
CH1 CH2
CH1 = Channel 1
CH2 = Channel 2
STEP BY STEP GUIDE

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CHARGING INSTRUCTI NS
Before using your Premier TENS & Muscle Stimulator please charge the unit, as
follows:
Charging your TENS device.
Connect the USB cable to the AC adaptor or USB port as shown in figure 1.
Now connect the USB cable directly into the USB socket, which is located on the right
hand side of your Premier TENS.
A red indicating light will be seen in the bottom right hand corner of your TENS device.
We recommend you charge the device for approximately 2 hours. Once fully charged
the unit will be ready for use and the LED charging light will turn to green, this indicates
the unit is fully charged. Remove the USB charging lead from your TENS device and
disconnect from the mains supply or USB port. Please store your adaptor and cable in
the carry case provided when not in use.
Charging
Port
fig1
L D indicator
Important information The USB charging cable connects to TENS charging port as
shown in fig 1 Please ensure you connect the cable the right way round)

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WARNINGS & PRECAUTI NS
PLEASE NOTE:
It is imperative that patients read and understand the warnings and precautions before
using this device. Do not allow your machine or electrodes to be used by anyone else,
as they are designed for single patient use only. It is recommended that proper
medical advice on the use of TENS is sought from a Qualified Practitioner
(Physiotherapist, Doctor or Nurse) prior to use, in order to ensure safe and effective
treatment. If you are taking any medication please carry on as normal but seek advice
from your Doctor/Healthcare Professional before using the device.
WARNING! PATIENTS WITH PACEMAKERS MAY NOT BE TREATED WITH TENS
• Do Not use during pregnancy except during labour
(under medical supervision)
• Do Not place electrodes over the Carotid Sinus
• Do Not use on broken or damaged skin
• Do Not place electrodes close to the eyes or in the mouth.
• Do Not use TENS whilst driving or operating machinery.
TENS is unsuitable and should not be used in the following situations.
• Persons suffering from conditions where the circulation is impaired.
• Epilepsy, Heart Condition or any form of Malignancy.
• Patients with poor skin sensation and non-compliant patients who are emotionally
disturbed or have dementia.
• Over metal implants or in conjunction with sleep apnea or heart monitors.
You should be aware that TENS units provide symptomatic relief only and are not
considered curative.

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WARNINGS
1. The long term effects of chronic electrical stimulation are unknown.
2. Stimulation should not be applied over the carotid sinus nerves, particularly in patients with a known
sensitivity to the carotid sinus reflex.
3. Stimulation should not be applied over the neck or mouth. Severe spasm of the laryngeal and pharyngeal
muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in
breathing.
4. Stimulation should not be applied transthoracically in that the introduction of electrical current into the heart
may cause cardiac arrhythmias.
5. Stimulation should not be applied transcerebrally
6. Stimulation should not be applied over swollen, infected, inflamed areas or skin eruptions, eg, phlebitis,
thrombophlebitis, varicose veins etc.
7. Stimulation should not be applied over or in proximity to cancerous lesions.
Contraindication
Electrical stimulators should not be used on patients with cardiac demand pacemakers.
Adverse Reactions
On rare occasions skin irritation and burns beneath the electrodes have been reported with the use of electrical
stimulators. If irritation occurs, discontinue use and consult your Healthcare Professional.
CAUTI NS
1. Safety of powered muscle stimulators for use during pregnancy has not been established.
2. Caution should be used for patients with suspected or diagnosed heart problems.
3. Caution should be used in the presence of the following:
a. When there is a tendency to haemorrhage following acute trauma or fracture
b. Following recent surgical procedures when muscle contraction may disrupt the healing process
c. Over the menstruating or pregnant uterus and
d. Over areas of the skin which lack normal sensation.
4. Some patients may experience skin irritation or hypersensitivity due to electrical stimulation or electrical
conductive medium. Using an alternate conductive medium, or alternate electrode placement can usually
reduce the irritation.
5. Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner.
6. Powered muscle stimulators should be kept out of the reach of children.
7. Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the
manufacturer.
8. Portable powered muscle stimulators should not be used while driving, operating machinery or during any
activity in which involuntary muscle contractions may put the user at undue risk of injury.

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GENERAL DESCRIPTI N
The EM6300A Digital TENS/EMS is a battery operated pulse generator that sends
electrical impulses electrodes to the body and reach the nerves and underlying
muscle group. This unit is a combination stimulator of TENS and EMS which can be
used for muscle stimulation and pain relief. The device is provided with four
controllable output channels, each independent of each other. An electrode pair can
be connected to each output channel. The intensity level is controlled by press
buttons.
INTR DUCTI N T TENS
EXPLANATION OF PAIN
Pain is a warning system and the body ’s method of telling us that something is wrong.
Pain is important without it abnormal conditions may go undetected, causing damage
or injury to vital parts of our bodies.
Even though pain is a necessary warning signal of trauma or malfunction in the body,
nature may have gone too far in its design. Aside from its value in diagnosis, long-
lasting persistent pain serves no useful purpose. Pain does not begin until coded
message travels to the brain where it is decoded, analysed, and then reacted to. The
pain message travels from the injured area along the small nerves leading to the spinal
cord. Here the message is switched to different nerves that travel up the spinal cord
to the brain. The pain message is then interpreted, referred back and the pain is felt.
EXPLANATION OF TENS
Transcutaneous Electrical Nerve Stimulation is a non-invasive, drug-free method of
controlling pain. TENS uses tiny electrical impulses sent through the skin to nerves to
modify your pain perception. TENS does not cure any physiological problem it only
helps control the pain. TENS does not work for everyone however, in most patients it
is effective in reducing or eliminating the pain, allowing for a return to normal activity.

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INTR DUCTI N T EMS
EXPLANATION OF EMS
Electrical Muscle Stimulation is an internationally accepted and proven way of treating
muscular injuries. It works by sending electronic pulses to the muscle needing
treatment this causes the muscle to exercise passively.
It is a product derived from the square waveform, originally invented by John Faraday in
1831. Through the square wave pattern it is able to work directly on muscle motor
neurons. The EMS has low frequency and this in conjunction with the square wave
pattern allows direct work on muscle groupings. This is being widely used in hospitals
and sports clinics for the treatment of muscular injuries and for the re-education of
paralysed muscles, to prevent atrophy in affected muscles and improving muscle tone
and blood circulation.
HOW EMS WORKS
1. Relaxation of muscle spasms
2. Prevention or retardation of disuse atrophy
3. Increasing local blood circulation
4. Muscle re-education
5. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
6. Maintaining or increasing range of motion
The EMS units send comfortable impulses through the skin that stimulate the nerves
in the treatment area. When the muscle receives this signal it contracts as if the brain
has sent the signal itself. As the signal strength increases, the muscle flexes as in
physical exercise. Then when the pulse ceases, the muscle relaxes and the cycle
starts over again, (Stimulation, Contraction and Relaxation.) Powered muscle
stimulators should only be used under medical supervision for adjunctive therapy for
the treatment of medical diseases and conditions.

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WHICH PR GRAMME SH ULD I USE?
We always recommend you start with programme 1, as already mentioned in your step-
by-step guide. The premier TENS has 12 programmes P1 to P12, Each programme has
been shown to reduce and block pain in a wide range of conditions. It is very difficult to
know which programme is best for you. It is therefore recommended that over a period
of time you try all 12 programmes. To help get you started, we have included some
common conditions with suggested electrode placements including treatment times
and recommended programmes you may wish to try.
H W HIGH SH ULD I TURN THE INTENSITY?
Everybody reacts differently to TENS Stimulation so it is important that you increase
the intensity (sensation feeling) to the correct level.
Increase the intensity to a sensation which is comfortable and always perceptible
never turn up to a level which is strong and uncomfortable.
You may use TENS if required for long periods of time to combat long term chronic pain,
however, please remember to place the electrodes in slightly different areas around
the painful site, as this will help reduce skin irritation.
The most up to date research in TENS treatment times, indicates that a minimum of 1
hour to 11/2hours is required for effective pain relief. Your TENS may be used for much
longer periods and you may find treatment times of 3 to 4 hours may work best for you.
Please remember that the intensity level is always kept at a pleasant sensation, never
increase the intensity to uncomfortable levels as this can possibly have a detrimental
effect on your results.
H W L NG SH ULD A TYPICAL TREATMENT
TIME LAST

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MED-FIT PREMIER TENS PR GRAMMES
P1-P12 - 12 Clinically validated TENS programmes for drug-free pain relief. (All
programmes run on a continuous time indicated by the letter [C] on your display.
Programme 1
Conventional TENS
Ideal for your first TENS treatment, for both acute, chronic and long-term use.
Suitable Conditions
Neck Pain - Shoulder Pain - Knee Pain - Lower Back Pain - Sciatica - Arthritic Pain
Programme 2
Sciatica - Pain Relief
Effective pain relief for irradiation of pain along the path of the sciatic nerve, for
electrode placement please refer to page 19. Recommended treatment time 2 +
hours or until pain alleviates.
Programme 3
Lower back Pain
Programme 3 is most effective for lower back pain and increased blood circulation.
This programme alleviates the pain by stimulating muscles to release the body's own
morphine-like substances for electrode placement please refer to page 19.
Recommended treatment time 90 minutes or until the pain subsides.

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Programme 4
Knee Pain
This programme is ideal for treating knee injuries both acute and chronic including
osteoarthritis rheumatoid arthritis and joint pain. for examples of electrode placement
please refer to pages 20 & 21.
Programme 5
Shoulder Pain
Treating shoulder pain relief from heavy or repetitive lifting, arthritis, and tendinopathy.
Please refer to page 18 for electrode placement.
Programme 6
Muscle Pain
This programme is pre-set for all types of muscle pain relief ideal for muscle tension in
the neck, shoulder and lower back (lumbar spasms). Please refer to pages 18 to 21 for
electrode placement.
MED-FIT PREMIER TENS PR GRAMMES
Programme 7
Migraine Headaches
Reduced pulse width ideal for treating nerve rich areas.
Suitable Conditions
Tension Type Headache, Facial Pain, Neck Pain, Postherpetic Neuralgia.

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Programme 8
Cervical (Neck) Pain
Cervical pain relief due to poor ergonomic work positions. Please see the electrode
placement page 21 for more details.
Programme 9
Epicondylitis - (Elbow)
Pain relief for epicondylitis resulting from repetitive gripping and objects. Please see
the electrode placement page 20 for more details.
Programme 10
Foot & Ankle Pain
This programme is most suited for foot and ankle pain and increases circulation.
Please see the electrode placement page 21 for more details.
Programme 11
Arthritic Pain
This programme is ideal for arthritic pain as it can be used for long periods of time with
little or no accommodation which offers superior pain relief on most areas of the body.
Programme 12
Joint Pain & Fracture Pain
This programme is ideal for all common areas of joint pain, with this treatment we
recommend that the stimulation is increased to a stronger level than the pain itself.
MED-FIT PREMIER TENS PR GRAMMES

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ADJUSTING THE C NTR LS USING
THE MANUAL ADJUSTMENT
1. Power On/Off/Pause Button
The power of unit can be turned on by pressing the On/Off/Pause button. You may
start to adjust the settings when the liquid crystal display is on. Press and hold for 2
seconds to switch off. To pause stimulation press the button once. To resume
stimulation press the button again and stimulation will be restored in 2 seconds.
If the unit is not used (buttons not pressed or output level at 0) for 5 minutes, the
power will be shut off automatically.
2. Mode Control
There are 5 TENS modes(B, N, M, S1, S2) and 3 EMS modes (C, S, A) available. The
mode is selected by pressing the “Mode” control. When a TENS mode is selected, the
LCD shows "TENS". When EMS mode is selected, the LCD shows "EMS"
MODE
0
B
0
60Min
TENS
B60Min
TENS
0
B
0
60Min
TENS

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ADJUSTING THE C NTR LS USING
THE MANUAL ADJUSTMENT
3. Set Control
By pressing the "Set" control you select the setting you intend to adjust. The value is
set by pressing the "Increment" or "Decrement" controls when the "Set" value is
flashing.
4. Increment Control
This button controls the increase of settings.
5. Decrement Control
This button controls the decrease of settings.
6. Intensity Increase Control
There are 99 steps of intensity adjustment control.
Press the button until the desired intensity level is reached.
7. Intensity Decrease Control
There are 99 steps of intensity adjustment control.
Press the button until the desired intensity level is reached.
8. Key Lock Facility
Pressing the "Lock" buttons prevents the settings
being changed but the output may be stopped by
pressing the "On/Off/Pause".
SET
<
<
Key Lock

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ADJUSTING THE C NTR LS F R TENS
9. Steps to Set a TENS Program
The settings can be adjusted according to the following steps.
a. Turn on the Power
b. Select a Mode
Select a mode by pressing the "Mode" control. The mode you selected will show up
on the top of liquid crystal display. There are 5 modes of your option including -
B(Burst), M(Normal), M(Modulation), S1, S2 and P. When a TENS mode is selected, it
shows "TENS" on the liquid crystal display.
After a mode is selected, always press "Set" to enter
next setting, and press " " or
" " to adjust its value.
c. Set Pulse Width
Pulse Width is adjustable from 50
µ s to 300 µ s. Press “SET” control to enter this
menu, then press “ ” or “ ” to adjust the setting. If no instructions
regarding the pulse width are given in therapy, set the control to the suggested 70-
120 µ s setting.
<
<
<
<
0
B
0
300
TENS Width
0
B
0
300
TENS Width

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ADJUSTING THE C NTR LS F R TENS
d. Set Pulse Rate
Pulse rate is adjustable from 2Hz to 150 Hz . Press "SET" control to enter this menu,
then press “ ” or “ ” to adjust the setting. Unless otherwise
instructed, set the pulse rate l to the 70-120 Hz range.
e. Set Timer
The treatment time is adjustable between 5 - 60 minutes and Continue(C). Press
"SET" control to enter this menu, then press “ ” or “ ” to adjust the
setting. The liquid crystal will show the balance treatment time after the stimulation
is started. Output will be terminated when time is up. Turn off the unit when the
output is off.
f. Adjust Intensity
There are 99 steps within the intensity range.
Set the desired level by pressing the
“ ”or“ ”controls. Press the
"Lock" button to prevent accidental changes.
<
<
<
<
0
B
0
50
TENS Rate
0
B
0
60Min
TENS
80
B
80
60Min
TENS
0
B
0
C
TENS
B0Min
TENS
00

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ADJUSTING THE C NTR LS F R EMS
10. Steps to Set a EMS Program
The settings can be adjusted according to the following steps.
a. Turn on the Power
b. Select a Mode
Select a mode by pressing the "Mode" control. The mode you selected will show up
on the top of liquid crystal display. There are 3 modes of your option including -
C(Constant), S(Synchronous), A(Alternate). When an EMS mode is selected, it
shows "EMS" on the liquid crystal display.
After a mode is selected, always press "Set" to enter
next setting, and press “ ” or
“ ” to adjust its value. The settings will be
stored immediately after selected.
c. Set Ramp Time
The ramp time controls the time taken to reach maximum and the time taken to fall
to zero I order to make the contraction more comfortable. The ramp time is
adjustable between 1 - 8 seconds.
<
<
0
S
0
300
EMS Width
0
S
0
8
EMS Ramp
S