Med-Fit EM6300P Product information sheet

The Quick and Easy User Guide
For The remier Easy
TENS and Muscle Stimulators
Model EM6300 - Easy Rechargeable Unit
lease read the User Manual before using your Stimulator
Tel: [phone] www.tensmachineuk.com email: [e-mail]

Med-Fit UK Ltd.
Unit 8
Martel Court
S. Park Business Park
Hamilton Road
Stockport
SK1 2AF.
Tel: [phone]
Fax: [phone]
Email: [e-mail]
www.tensmachineuk.com
Company registration number 08758741
Vat registration number 308 286 105
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.

Contents
CONTROLS AND FUNCTIONS 4
STE BY STE GUIDE 5
CHARGING INSTRUCTIONS 7
WARNINGS AND CAUTIONS 8
GENERAL DESCRI TION 10
INTRODUCTION TO TENS 10
INTRODUCTION TO EMS 11
WHICH ROGRAMME SHOULD I USE 12
HOW HIGH SHOULD I TURN THE INTENSITY 12
THE REMIER LUS TENS ROGRAMS 1 - 12 13
HEL FUL TI S 16
TENS ELECTRODE LACEMENT 17
EMS & MASSAGE ROGRAMMES 22
THE REMIER LUS TENS ROGRAMS 13 - 24 23
EMS ELECTRODE LACEMENT 24
WARRANTY 28
SKIN ATCH TEST 28
ELECTRDOE INSTRUCTIONS 29
TECHNICAL S ECIFICATION 30
EMC INFORMATION 34
3

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CONTROLS AND FUNCTIONS
On / Off Button
Intensity down
channel 1
Intensity up channel 1
Left channel socket
Mode button to change
from TE S to EMS
Programme selector
up and down
Intensity down
channel 2
Intensity up channel 2
LED charging indicator
Charging portRed key lock button
Right channel socket
The set button has no function on this model.

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STE BY STE 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 23 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
STE BY STE GUIDE

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CHARGING INSTRUCTIONS
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
LED 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 & RECAUTIONS
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.
CAUTIONS
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 DESCRI TION
The EM-6300P 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.
INTRODUCTION TO 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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INTRODUCTION TO 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 ROGRAMME SHOULD 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.
HOW HIGH SHOULD 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.
HOW LONG SHOULD A TY ICAL TREATMENT
TIME LAST

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MED-FIT REMIER TENS ROGRAMMES
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 REMIER TENS ROGRAMMES
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 REMIER TENS ROGRAMMES

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HEL FUL TI S FOR SUCCESSFUL
TENS TREATMENT
Once you have familiarised yourself with the controls and features of your TENS
device, it is important to place the TENS electrodes in a position which gives the most
pain relief. This may take 3 or 4 attempts to find the most suitable position, for
maximum pain relief.
If you are using two electrodes, place the electrodes directly onto the painful area at a
position where you feel the pain starts and where it finishes. You may now position the
electrodes around the painful area to locate the most suitable position for maximum
pain relief.
The alternative method is to use four electrodes surrounding the painful area see
examples.
The complete area between the electrodes will now be treated when positioning the
electrodes as shown.

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EXAM LES OF ELECTRODE LACEMENT
Here are three examples of electrode placement for knee pain. For best results, we
recommend you try all variations as shown.
TENS using one channel vertical pad
placement
TENS using both channels
TENS using one channel horizontal pad
placement
Red squares represents placement of
electrode Channel 1
Blue squares represents pPlacement of
electrode Channel 2

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TENS ELECTRODE LACEMENT
Frozen Shoulder
Suggested Programmes
P1, P5, P12
Primary Placement
Shoulder Pain
Suggested Programmes
P1, P5, P12
Primary Placement
Alternative Placement
Degenerative rthritis:
Cervical and Lumbar
Suggested Programmes
P1, P3, P8, P11
Primary Placement
Alternative Placement
Chronic Hip Pain
Suggested Programmes
P1, P11, P12
Primary Placement

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TENS ELECTRODE LACEMENT
Lower Back Pain
Suggested Programmes
P1, P3
Primary Placement
Hip Neuralgia
Suggested Programmes
P12,P11
Primary Placement
Phantom Limb, Lower Extremity
Suggested Programmes
P12
Primary Placement
Sciatica
Suggested Programmes
P1, P2, P3
Alternative Placement
Primary Placement

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TENS ELECTRODE LACEMENT
Low Extremity Pain
Suggested Programmes
P6, P12
Primary Placement Alternative Placement
Primary Placement
Wrist Pain
Suggested Programmes
P1, P12
Primary Placement
Alternative Placement
Carpal Tunnel Syndrome
Suggested Programmes
P6
Primary Placement
Alternative Placement
Elbow & Forearm Pain
Suggested Programmes
P9, P6
Primary Placement
Degenerative rthritis -
Knee Pain
Suggested Programmes
P4, P12
Primary Placement
Telephone: [phone] www.thetenscompany.co.uk