Med-Fit EV-806 Instruction Manual

atient Instruction & User Manual
Tel: [phone] email: [email protected]
Med-Fit
TENS and Muscle Stimulator
Maternity TENS
elvic Floor Stimulator
Muscle Toning Stimulator
ain Relief TENS Machine
med fit

The TENS
company
+
Med-Fit UK Ltd.
Unit 8, Martel Court
S. Park Business Park
Hamilton Road
Stockport
SK1 2AF.
Tel: [phone]
mail: [email protected]o.uk
www.tensmachineuk.com
Company registration number 08758741
Vat registration number 308286105
Mums to be obstetric T NS is supplied
with the following accessories:
1 x Mums to Be T NS
1 x SA20 pack of self-adhesive electrode
1 x 9v PP3 battery (not rechargeable)
1 x Carry case
1 x Pair T NS patient leads
1 x User manual
Total Tone Pelvic Floor Stimulator is
supplied with the following accessories:
1 x Plevic Floor Stimulator
1 x VP001 Vaginal electrode
1 x SA20 pack of self-adhesive electrode
1 x 9v PP3 battery (not rechargeable)
1 x Carry case
1 x Pair T NS patient leads
1 x User manual
Total Tone
To purchase extra self-adhesive pads (SA20) please visit www.tensmachineuk.com

Contents
GENERAL DESCRI TION 4
INTRODUCTION 5
CONTROLS AND FEATURES 6
STIMULATOR ROGRAMMES 7
MATERNITY MODE O ERATING INSTRUCTIONS 8
ELVIC FLOOR STIMULATOR O ERATING INSTRUCTIONS 11
MUSCLE STIMULATOR O ERATING INSTRUCTIONS 16
TENS AIN RELIEF O ERATING INSTRUCTIONS 20
GENERAL RECAUTIONS & WARNINGS 26
TECHNICAL S ECIFICATIONS 28
GRA HIC SYMBOLS 29
ELECTRODE INSTRUCTION FOR USE 30
3

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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. ach unit is fully tested in
final assembly and inspection ensuring you receive the highest
quality and an extremely reliable device.
GENERAL DESCRI TION
Digital battery operated pulse generator that sends electrical impulses to the nerves and
underlying muscle groups. This unit is a combination stimulator of T NS and MS which
can be used for pain relief and muscle stimulation. The device is provided with two
controllable output channels, each independent of the other. A pair of electrodes can be
connected to each output channel. The intensity level and settings are controlled by press
buttons.
Important information
Please read the following instructions
The Premier range of stimulators use soft touch control technolog .
When increasing the intensit control, please press the button in single “light touch” actions.
Each press increases the intensit b 1mA (max 99mA). This is a safet feature which ensures that
ou stimulate at a pleasant comfortable rate.

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INTRODUCTION
The Med-Fit 4 in 1 Obstetric T NS and Muscle Stimulator comes with 4 modes and 12
built-in programmes:
Mode 1 Maternity Mode
Mode 2 Pelvic Floor Stimulation
Mode 3 MS Muscle Stimulator
Mode 4 T NS Pain Relief
ode 1 - aternity ode
Programmes P1 and P2 are specially designed for the use in early and later stages of
labour, see pages 8 to 10 for operating instructions in this mode.
ode 2 - Pelvic Floor Stimulation
Programmes P3 to P6 are specially designed for the use in strengthing and conditioning
the pelvic floor when used with a vaginal probe, see pages 11 to 15 for operating
instructions in this mode.
ode 3 - E S Stimulation ode
Programmes P7 to P10 are specially designed for MS muscle strengthing, muscle re-
education and muscle toning, see pages 16 to 19 for operating instructions and electrode
placement in this mode.
ode 4 - TENS Pain Relief
Programmes P11 and P12 are specially designed for T NS pain relief, see pages 20 to 25
for operating instructions and electrode placement in this mode.

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CONTROLS AND FEATURES
Boost Button
Only operational with programmes
P1& P2 (Obstetic T NS mode)
Keylock facility
9v PP3 Battery
Sockets for electrodes
Channel 2 Intensity controls
Channel 1
Intensity
controls
Mode control
Set control
Up/down control
On-Off
pause
control

Mode Prog Timer
T NS - Pain Relief P11 C = Continuous
T NS - Pain Relief P12 C = Continuous
Pain Relief
Mode Prog Timer
MS - Muscle Atrophy P7 20 minutes
MS - Muscle Training P8 20 minutes
MS - Muscle Re-education P9 30 minutes
MS - Muscle Tone/Conditioning P10 30 minutes
Muscle Stimulation Programs
Mode Prog Timer
Pelvic floor toning P3 C = Continuous
Pelvic floor toning P4 C = Continuous
Pelvic floor toning P5 C = Continuous
Pelvic floor toning P6 C = Continuous
Pelvic Floor Toning Programs
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ROGRAMME DETAILS
Features
Four Modulations, T NS, MS, Muscle Toning, Conditioning, Birth and Pelvic Floor Treatment
Mode Prog Timer
Labour - arly stage contractions P1 C = Continuous
Labour - Later stage contractions P2 C = Continuous
Obstetric Porgrams

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O ERATING INSTRUCTIONS
Using you TENS in Obstetric ( aternity) mode
A. Insert the 9v battery provided into the battery
compartment as shown in Fig1 and fit the battery cover
back in place
B. Now turn on the T NS by pressing the On-Off
button in the bottom left hand corner of the
device
C. You will now see the display as shown in Fig2
The Mums to Be T NS & Muscle stimulator is very simple to
use, pressing the mode button will change the programme
from P1 to P12 each single press of this button changes the
programme from P1 to P2, P3 etc to P12. If at any stage you
require to go back to P1 please hold the mode button for
approx. 3 seconds and the device will re-set at P1.
The obstetric programmes are P1 and P2. The Boost Button
is located on the right hand side of the T NS device as shown
in Fig3
Pressing the boost button to the on position, the display is as
shown in Fig4. Pressing the boost button to the off position
and the display is as shown in Fig5
Once you have familiarised yourself with these features you
are now ready to connect the patient leads and position the
self-adhesive electrodes as shown.
Fig1
Fig2
Fig3
Boost
Button
Fig4 Fig5
MATERNITY MODE

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O ERATING INSTRUCTIONS
OSITIONING ELECTRODES
The 4 self-adhesive electrodes need to be placed correctly for maximum pain relief. For the
best results please ask for assistance from your birthing partners or medical professional.
Carefully remove 2 electrodes from the plastic backing and place approx. 2” (5cm) either
side of the spine just below the bra line as show in Fig8 and connect the patient lead from
channel 1 to these electrodes. Now position the bottom 2 electrodes as shown in Fig8
(middle panty line) and connect to channel 2 patient lead.
Bra line
lectrodes
lectrodes
In line with navel
Panty line
Fig8
MATERNITY MODE
Insert both patient
leads in to the sockets
on top of the device
Connecting the electrodes pads
Insert the pins (at the end of each lead
wire) into each pair of electrodes
When connecting the
Patient leads, please
ensure they are inserted
completely straight and not
at an angle. Pushing at an
angle may bend the pins
Fig 6 Fig7

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INSTRUCTIONS FOR USE
Switch the unit on by pressing the On-Off button as already described, ensure that the
boost button is in the off position (off) and always start with programme (P1).
Begin by pressing the arrow up keys.
ach single press increases the intensity by 1mA.
The intensity level should be set at a level which is strong
and comfortable.
The sensation felt is both tingling and pulsating. This
setting is pulse mode which helps to promote the release of
ndorphins. This is the body’s natural pain blocking
chemical.
RESSING THE BOOST BUTTON
With the on-set of a contraction, simply press the boost button on the right hand side of the
T NS. This will automatically boost the power by 20% and increase the frequency, giving a
constant tingling sensation. Once the contraction has passed, simply switch the boost
button back to its off position. The T NS will return to the original burst settings. Use this
programme (P1) for the early stages of your labour. Programme (P2) can be used as the
contractions become more frequent. This programme offers added boost as the
contractions increase in intensity and frequency.
*(Please remember to return from (P2) to (P1) please hold the mode button for 3 seconds.
RE ARE AND RACTICE
For best results in labour you should be familiar with the T NS before labour begins. You
do not want to be learning how to use a T NS unit between contractions! We recommend
you pick up your Obstetric T NS unit in your 38th week or earlier if your Obstetrician thinks
the baby is coming early. You can practice positioning the electrodes and using the T NS
before you start labour quite safely and it makes using T NS in labour much easier if you
are familiar with it.
MATERNITY MODE

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ELVIC STIMULATOR EXERCISE
Tightens & Tones the pelvic floor muscles, and restores pelvic
health.
Programmes 3,4,5,6 are ideal for women who have given childbirth and would like to
strength, tighten and tone there pelvic floor muscles and restore pelvic health.
TH S 4 PROGRAMM S AR SP CIFICALLY R COMM ND D FOR TH FOLLOWING
A. Weak pelvic floor muscles
B. Bladder weakness
C. All urinary incontinence
D. Tighten, tone and improve pelvic
. Stress incontinence
F. Urge incontinence
PROGRA E INDICATIONS
For A, B & C use Programme P3
For B, C, & F use Programme P4
For A, D use Programme P5
For D use Programme P6
The following probe will be required
to perform any of the listed pelvic floor
stimulation programmes
(The Virginal probe is an option extra
please call for details).
Optional extra
ELVIC FLOOR MODE

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INSTRUCTIONS FOR USE
1. Use the toilet before beginning the treatment if necessary.
2. Clean the probe as per the instructions.
3. Make sure the stimulator is turned off before use.
4. Connect the probe to the device as per the instructions.
5. Apply a thin coating of lubricating gel on to the vagina opening or apply a small amount
of gel on to the tip of the probe.
6. Insert the probe into the vagina, (make sure the metal contacts are facing sideways)
until the flange at the probe is just on the outside and is vertical.
7. Lay down or sit in a comfortable position with your knees up and your back supported
by a cushion or pillow
8. Press the On/Off button for 2 seconds to switch the unit on.
9. Press the On/Off button to select a programme. There are 5 programmes available. The
details of each programme are described in the specifications.
10. Press the Intensity Increase button to increase the amplitude.
11. Press the Intensity Decrease button to decrease the amplitude.
Once a programme is selected, you have 60 seconds to adjust the amplitude to a
comfortable level by pressing the On and Off buttons. After the programme has started,
it will be repeated in a cyclical pattern as described in the specifications. Pattern as
described in the specifications.
12. After use, press the ON/Off button to switch off the unit.
13. Disconnect the lead from the vagina by holding the flange.
14. Clean the probe as per the instructions.
ADJUSTING THE CONTROLS
a. First switch on the unit by pressing the ON/OFF button.
b. Choose your programme (P3), (P4) or (P5) by pressing the mode
button.
c. Connect the Patient Lead to CH1 (Channel One).
d. Increase the intensity by pressing the arrow up key to the left of
the mode button. To decrease press the down arrow key.
e. It is advised to lock the device once the unit is set to the required intensity level by
pressing the small red button on the left hand side of the unit. To unlock press again.
f. All programmes run continually until the unit is switched off. It is recommended to treat
for 30 - 45 minutes per session with 2 sessions per day.
ELVIC FLOOR MODE

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BLADDER CONTROL FOR WOMEN
Urinary incontinence is an inability to hold urine and / or faeces until able to reach a toilet.
It is often temporary, and it always results from an underlying medical condition.
Women experience incontinence twice as often as men. Pregnancy, childbirth, the
menopause and the structure of the female urinary tract account for this difference.
ither sex can become incontinence due to neurotically injury, birth defects, strokes,
multiple sclerosis and physical problems associated with age. It should be noted that
incontinence is not inevitable with age.
Incontinence in females often occurs because of problems with muscles that help to hold
or release urine. The urine is stored in the bladder until urination occurs.
Incontinence in women usually occurs because of problems with muscles that help to hold
or release urine. The kidneys excrete the urine which is stored in the bladder. Urine exists
from the bladder via the urethra. Urination occurs when muscles in the wall of the bladder
contract forcing urine out of the urethra.
At the same time the sphincter muscles surrounding the urethra, let urine pass out of the
body. Incontinence may occur when the sphincter muscles surrounding the urethra
become less effective.
Incontinence is treatable and in many cases may be cured irrespective of age.
TYPES OF INCONTINENCE
There are a number of different types including, the most common stress incontinence,
urge incontinence and mixed incontinence.
STRESS INCONTINENCE
This is associated with the leakage of small amounts of urine during sneezing, coughing
and other activities, which increase the pressure in the abdomen. It is more common in
females and occurs when the bladder neck and other control mechanisms are not working
correctly.
ELVIC FLOOR MODE

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BLADDER CONTROL FOR WOMEN
URGE INCONTINENCE
An overactive bladder cause leakage of large amounts of urine at unexpected times,
including sleep. Sufferers experience a sudden strong urge to go to the toilet and are often
unable to retain the urine. The frequency of urination also increase causing problems for
everyday life.
IXED INCONTINENCE
It is a combination of the above tow types.
ELECTRICAL STI ULATION
Brief courses of electrical stimulation can strengthen muscles in the lower pelvis in a
similar way to exercising the muscles. lectrodes are temporarily placed in the vagina to
stimulate nearby muscles. This helps to stabilize overactive muscles and stimulate
contraction of urethral muscles. lectrical stimulation can be used to reduce both stress
and urge incontinence.
The Stress Incontinence programme is based on strengthening the muscles of the pelvic
floor. Once strength has been improved the] muscles are better able to resist urinary
leakage caused by external pressures applied to the bladder.
Low frequency currents used in this programme increase the blood flow to the muscles
increasing their resistance to fatigue and reducing the involuntary contractions of the
bladder.
CONTRAINDICATIONS AND PRECAUTIONS
Incontinence may be due to a number of different causes. The incontinence stimulator
should never be used unless a medical practitioner has diagnosed the causes and source
of incontinence.
ELVIC FLOOR MODE

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BLADDER CONTROL FOR WOMEN
PRECAUTIONS
1, Read the instruction manual before use.
2. Patients with an implanted electronic device (for example, a pace maker or other device)
must not undergo incontinence stimulation treatment without first consulting their
doctor.
3. If incontinence therapy becomes ineffective or unpleasant stimulation should be
discontinued until its use is re-evaluated by the physician or therapist.
4. Do not use an incontinence stimulator while operating machinery or vehicles.
5. Turn the device off before applying or removing the electrodes.
6. The Mums to Be incontinence stimulator device has no AP/APG protection. Do not use it
in the presence of explosive atmosphere and flammable mixtures.
WARNINGS
1. The incontinence stimulator should not be used during pregnancy.
2. The device should be used only under the continued supervision of a physician.
3. The user must keep the device out of the reach of children.
4. Keep the control unit dry and away from source of heat.
CONTRAINDICATIONS
1. Do not use incontinence stimulator if you suffer from any muscle disorders
2. Do not use incontinence stimulator if a bladder or vaginal infection is present.
3. Do not use incontinence stimulator if you have been diagnosed or treated for cervical
cancer.
4. Do not use incontinence stimulator if you have, or have had epilepsy.
AINTENANCE & CLEANING OF THE PROBE ELECTRODE
The internal probe electrode is for a single user only. It must be cleaned with cold soapy
water or a pad soaked in surgical sprint and then rinsed in clean running water before and
after each treatment. Dry it with a paper towel after cleaning. The lead can be cleaned by
wiping with a damp cloth.
ELVIC FLOOR MODE

INSTRUCTIONS FOR USE
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EMS STIMULATION MODE
TONING AND ASSAGE THERAPY PROGRA ES 7, 8, 9 & 10
The .M.S (electronic muscle stimulation) programmes are designed to help tighten and
tone a range of muscle groups. ach programme runs for 20/30 minutes per session, on
the following pages you will find recommendations for position of electrodes, you may try
each programme (7, 8, 9 & 10) to see which suite you the most.
INTENSITY LEVEL
The intensity level should be set so it is comfortable but always at a level which is not too
strong and unpleasant. Treatment times should always be a minimum of one-hour
minimum treatments two per day. T NS may be used as long as necessary or as required.
EXPLANATION OF E S
lectrical Muscle Stimulation is an accepted and proven way of treating muscular injuries.
It works by sending electronic pulses to the muscle needing treatment; this causes the
muscle to contract and relax.
It is derived from the square wave from, originally invented by John Faraday in 1831. It
works by directly stimulating motor neurons which causes muscle contraction. It is widely
used in hospital and sports clinics for the treatment of muscular injuries and for the re-
education of paralyzed muscles, to prevent atrophy in affected muscle and improve muscle
tone and blood circulation.
HOW E S 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 MS units send comfortable impulses through the skin that stimulate the nerves in the
treatment area. When the muscle receives this signal it contracts. As the signal strength
increases, the muscle contracts as in physical exercise. Then when the pulse ceases, the
muscle relaxes and the cycle starts over again, (Stimulation, Contraction and Relaxation.)

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EMS STIMULATION MODE
EMS ELECTRODE LACEMENT
For uscle Stimulation, Toning and Conditioning
Programmes 7, 8, 9 &10
Toning Abdominals
Leg toning and massage
POSITION OF ELECTRODES
Best results are achieved by placing the electrodes directly over the pain site. With dual
machines, additional electrodes can also be used to stimulation traditional acupressure
points if required.

Electrode lacement
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Buttocks & leg toning
EMS STIMULATION MODE

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EMS STIMULATION MODE
Electrode lacement
Inner thigh toning
Waist line toning & shaping

INSTRUCTIONS FOR USE
HOW TENS WORKS
There is nothing “magic” about Transcutaneous lectrical Nerve Stimulation (T NS). T NS
is intended to be used to relieve pain. The T NS unit sends comfortable impulses through
the skin that stimulate the nerve (or nerves) in the treatment area. In many cases, this
stimulation will greatly reduce or eliminate the pain sensation the patient feels. Pain relief
varies by individual patient, mode selected for therapy, and the type of pain. In many
patients , the reduction or elimination of pain lasts longer than the actual period of
stimulation (sometimes as much as three to four times longer). In others, pain is only
modified while stimulation actually occurs. You may discuss this with your physician or
therapist.
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.
ven 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 messages travel
to the brain where they are decoded, analysed, and reached 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 interpreted and pain is perceived.
EXPLANATION OF TENS
Transcutaneous lectrical Nerve Stimulation is a non-invasive, drug free method of
controlling pain. T NS uses tiny electrical impulses sent through the skin to nerves to
modify your pain perception. T NS does not cure any physiological problem; it only helps
control the pain. T NS does not work for everybody; however, in most patients it is effective
in reducing or eliminating the pain, allowing for a return to normal activity.
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TENS MODE