MEDISTIM ALL-STIM PRO User manual

Finally, an affordable true four-channel stimulator has arrived!
Introducing the all new
4-Channel Combination Stimulator
Four different therapeutic modalities.
Four channels. One device.
 Conventional Muscle Stim
 Russian Stim
 Interferential Stim
 TENS Stim
Your patients can now benefit from four different modalities
that help relieve acute and chronic pain, increase circulation,
reduce muscle spasms, and help re-educate and strengthen muscles.
All this in one easy-to-use, digital, portable device.
Description of Treatment Modes
 Conventional Muscle Stimulation
Conventional muscle stimulation uses low frequencies to stimulate muscles (passive exercise). The electrical current is similar to the elec-
trical impulses produced by the brain to stimulate muscle tissue (active exercise). Rhythmical contraction and relaxation of the muscles
effectively relaxes muscle spasms, increases local blood circulation, maintains or increases range of motion, prevents or retards disuse
atrophy, is used for muscle re-education, and immediate post-surgical stimulation of calf muscles to prevent venous thrombosis.
 Russian Stimulation
Russian stimulation uses medium frequencies to provide electrical stimulation to muscle groups and is used to reduce muscle spasms as
well as for muscle strengthening.
 Interferential Stimulation
Interferential Stimulation uses two independent high frequencies, which when combined together produces a third stronger frequency that
penetrates deeper into the soft tissue and bone of the affected area. This provides for greater pain relief and is used to effectively provide
symptomatic relief and management of chronic pain and/or as an adjunctive treatment for the management of post-surgical and post-
traumatic pain.
 Transcutaneous Electrical Nerve Stimulation
TENS stimulation uses low frequencies to provide electrical stimulation to sensory nerves to block pain signals and increase the release of
endorphins in the body. TENS is used to provide symptomatic relief and management of chronic and acute pain, but the lower frequencies
allow the patient to benefit from longer sustained periods of stimulation to control the pain throughout the day.
All-Stim
Pro
Features
Four Output Channels (8 Electrodes) Microprocessor Controlled
LCD Display Push-Button Control Panel
Intensity Controls For Each Channel Treatment Timer
Treatment Lock-Out Start/Pause Treatment
Four Individually Colored Cables Compliance Monitor
4 AA Alkaline Batteries AC Adapter
Safety Power Switch Hip Tote Protective Carrying Case

ALL-STIM PRO TECHNICAL SPECIFICATIONS
Output Channels: Four
Input Power: 6 Volts (4 each 1. 5V alkaline batteries)
Dimensions: 4.0” W x 6.25” L x 1.75” H
Weight: 14.4 oz. (.9 lbs) Unit only
Operating Temp: 50-90 degrees Fahrenheit
Treatment Timer: 1 to 60 minutes with buzzer sound at the end of treatment time
Compliance Number: Counts the number of times the Start/Stop key is pressed
Compliance Timer: Counts the units of total treatment time unit was used. 1 unit = 5 minutes
Lock Key: Saves the selected treatment parameters and locks out any other input
Electrical Muscle Stim Specifications:
Conventional Stim (MS-CONVL): [Default EMS mode]
Waveform: Symmetrical Biphasic
Output Voltage: 45 Volts peak to peak @ 500 Ohm load (±10%)
Amplitude: 90 mA peak @ 500 Ohm load (±10%)
Pulse Width: 200-450 µs [Default 400 ms]
Pulse Rate: 1-150 Hz [Default 70 Hz]
Contraction Time: 1-60 seconds (+/- 2 sec / 10 sec) [Default 10 sec.]
Relaxation Time: 0-60 seconds (+/- 2 sec / 10 sec) [Default 15 sec.]
Ramp Up/Down Time: 1-9 seconds (+/- 2 sec / 10 sec) [Default 2 sec.]
Russian Stim (MS-RUSS):
Waveform: Symmetrical Biphasic
Output Voltage: 45 Volts peak to peak @ 500 Ohm load (±10%)
Amplitude: 90 mA peak @ 500 Ohm load (±10%)
Pulse Width: 200 µs fixed
Pulse Rate: Channels 1 & 3 fixed at 2500 Hz
Channels 2 & 4 fixed at 2550 Hz
Contraction Time: 1-60 seconds (+/- 2 sec / 10 sec) [Default 10 sec.]
Relaxation Time: 0-60 seconds (+/- 2 sec / 10 sec) [Default 15 sec.]
Ramp Up/Down Time: 1-9 seconds (+/- 2 sec / 10 sec) [Default 2 sec.]
Interferential (IFT) Specifications:
Waveform: True Sine Wave
Output Voltage: 40 Volts peak to peak @ 500 Ohm load (±10%)
Amplitude: 80 mA peak @ 500 Ohm load (±10%)
Pulse Width: 100 µs fixed
Pulse Rate: Channels 1 & 3 fixed at 5000 Hz
Channels 2 & 4 variable 5001-5250 Hz
LOW: [Default IFT mode] Pulse Rate sweeps from 1-10 Hz per second
HIGH: Pulse Rate sweeps from 80 -150 Hz per second
WIDE: Pulse Rate sweeps from 1 -250 Hz per second
FIXED w/ Vector Sweep: Selectable fixed Pulse Rate from 10-200 Hz in 10 Hz increments.
Built-in Vector Sweep provides a “sweeping” effect of the stimulation from
Channel 1 to Channel 2 and from Channel 3 to Channel 4 from 100% - 0%
stimulation and then from 0% - 100% stimulation in a period of 22 seconds
TENS (TNS) Specifications:
Waveform: Symmetrical Biphasic
Output Voltage: 45 Volts peak to peak @ 500 Ohm load (±10%)
Amplitude: 90 mA peak @ 500 Ohm load (±10%)
Conventional TNS: [Default TENS mode]
Pulse Width: Adjustable 50-250 µs [Default 250 ms]
Pulse Rate: Adjustable 1-150 Hz [Default 70 Hz]
Burst TNS:
Pulse Width: 250 µs fixed
Pulse Rate: 50 Hz with bursts of 7 pulses per second followed by 2-second rest
Modulation TNS:
Pulse Width: Modulates between 100-200 µs over a 2 second time period
Pulse Rate: Adjustable 1-150 Hz [Default 150 Hz]
The ALL-STIMPRO Stimulator
comes complete with all the
necessary components to
provide Muscle Stim, Russian
Stim, Interferential Stim, and
TENS Stimulation. Below is a
list of items that are included
with each system:
1 ALL-STIMPRO stimulator
4 Cables (with positive and
negative leads), in four
separate colors
8 Medi-Stim 2” Diam. #1901
reusable self-adhering
electrodes
1 AC Adapter
4 AA Alkaline batteries
1 Instruction Manual
1 ALL-STIMPRO Protective
Hip Tote Carrying Case
One Year Warranty
Manufactured for:
217 Industrial Court
Wabasha MN 55981
1-800-363-7846
Ph.: 1-651-565-2400
Fax: [phone]
www.medi-stim.com

DESCRIPTION OF MODALITIES
The ALL-STIM four-channel combination stimulator offers
four different types of electrotherapy modalities:
Electrical Muscle Stimulation
Russian Stimulation
Interferential Stimulation
TENS Stimulation
The following is a brief description of each modality and
the therapeutic benefits they each provide. Some patients may
respond better to one or another or a combination of two or
more of each modality, depending on the patient’s condition.
This alleviates the need for multiple devices.

1
SEQUENTIAL IFT/EMS SET-UP GUIDE
INTRODUCTION:
The All-Stim is a 4-channel combination stimulator that offers 4 different
treatment modalities: EMS, Russian Stim, Interferential, and TENS.
The unit comes originally equipped with 4 AA rechargeable batteries (also
operates on AA alkaline batteries), battery charger (this is not an AC
adapter), 2 packs of 4 reusable electrodes, 4 different colored lead wires,
and a carrying pouch.
There are three treatment buttons on the unit: EMS, IFT, and TNS.
By pressing the EMS button once or twice, you can choose between
Conventional EMS or Russian Stim.
By pressing the IFT button one to four times, you can choose between Low
Frequency Sweep, High Frequency Sweep, Wide Frequency Sweep, or
Fixed Frequency with Vector Sweep.
By pressing the TNS button one to three times, you can choose from
Conventional (constant) TENS, Burst, or Modulated.
Each mode has defaults that you can accept for easy set-up and use for
most applications.
All treatments are defaulted to shut off after 30 minutes, unless you adjust
the treatment timer.
You can also lock one program in each EMS, IFT, and TENS modes.
Once locked, no parameters can be adjusted except for the intensity.
Using the Lock feature, you can easily access one treatment right after
another.

2
SEQUENTIAL IFT/EMS SET-UP GUIDE
QUICK IFT/EMS SET-UP AND LOCK INSTRUCTIONS:
*** If using rechargeable batteries, please be sure to charge the batteries for 10-12 hours before use.
1. Turn the stimulator on by pressing down the green toggle switch on top of the unit.
2. After the display shows "ALLSTIM", press the EMS button once to select Conventional EMS. The
display will show "MS-CONVL".
3. Press ENTER six more times to accept the defaults. The display will show "READY MS".
4. To lock, press the ENTER button once, and then immediate press again and hold down for 6-8
seconds and then release. If engaged, the display will show "LOCKD MS". If the lock did not engage,
repeat this step.
5. After the EMS is locked, proceed with next steps to lock in the Interferential mode.
6. Press the IFT button once to select Low Frequency Sweep Interferential. The display will show
"IF-LOW".
7. Press ENTER. The display will show "READY IF".
8. Press the ENTER button once, and then immediately press again and hold down for 6-8 seconds and
then release. If engaged, the display will show "LOCKD IF". If the lock did not engage, repeat this
step until it is locked.
9. Hook up the electrodes to the cables and plug the cables into the their appropriate channel ports on
top of the unit.
If using IFT therapy, Channel 1 and Channel 2 must be used together at the same time.
Similarly, Channels 3 and 4 must also be used together at the same time. Place the electrodes
from Channel 1 and Channel 2 in a criss-cross pattern to form an "X" pattern over one pain
site. Place the electrodes from Channel 3 and Channel 4 similarly to cover another pain site.
If using EMS therapy, the electrodes are usually placed at the motor point and belly of the
muscles, but it is OK for them to be left in the criss-cross pattern for pain control.
10. After placing the electrodes on the body, you are ready to start treatment using the locked IFT and
EMS modes. The display should still show "LOCKD IF".
11. Press START to initiate the interferential treatment. The display will show "PWR1 00", ready for
intensity input for Channel 1.
12. Press the UP arrow to increase the intensity to desired level for CHANNEL 1.
13. Press #2 button to access Channel 2, and then press the UP arrow to increase Channel 2 intensity to
be the same or close to the intensity level as Channel 1.
14. Repeat these steps for Channels 3 and 4, if they are being used. Channel 4 intensity should be same
or close to the intensity level as Channel 3.
15. After 30 minutes, the unit will buzz and treatment will stop. The display will show "TIME OFF".
Once the Interferential therapy has been completed, the EMS therapy can then be started.
16. Press the EMS button. The display will show "LOCKD MS".
17. Press START to initiate the EMS treatment. The display will show "PWR1 00", ready for intensity
input for Channel 1.
18. Press the UP arrow to increase the intensity to desired level. Do not press the increase button when
the display reads "RELAX", as this is a period of no stimulation.
19. Continue increasing the intensity for all other channels that are being used.
20. After 30 minutes, the unit will buzz and treatment will stop. The display will show "TIME OFF".
21. Turn device OFF.
22. If using rechargeable batteries, plug the charger into the unit and then plug the charger into a power
source to recharge the batteries for the next use. Disconnect when charged. Store in safe place and
keep out of reach of children.
To unlock the modes, repeat the same steps for locking.
If you need additional assistance, please contact your distributor or Medi-Stim, Inc. at 1-800-363-7846.

Electrical Muscle Stimulation (a.k.a. EMS,NMES, NMS, FES)
Electrical Muscle Stimulation is characterized by using low voltage stimulation targeted to
stimulate motor nerves to cause a muscle contraction. Contraction/relaxation of muscles
has been used for muscle re-education and/or rehabilitation, to treat a variety of
musculoskeletal and vascular conditions. This type of stimulation is typically stronger than
TENS and needs to be in order to elicit a sustained muscle contraction. Most EMS
protocols recommend no more than a total of 2 hours of stimulation treatment per day.
Indications:
 Relax muscle spasm
 Prevent or retard disuse atrophy
 Maintain or increase range of motion
 Increase local blood circulation
 Re-educate muscle
 Immediate post-surgical stimulation of calf muscles to prevent venous
thrombosis
Common Uses:
 Reduction of muscle spasms
 Post-orthopedic surgery
 Joint replacement (hip replacement surgery)
 Major knee surgery
 Rehabilitative programs
 Shoulder subluxation
The ALL-STIM offers fully adjustable parameters for effective Electrical Muscle Stimulation.
Please refer to the Conventional Stim Technical Specifications listed in the ALL-STIM
product brochure.
Russian Stimulation
Russian Stimulation is similar to EMS in that it is designed to stimulate motor nerves to
elicit muscle contraction. However, it uses a medium frequency of approximately 2,500 Hz
which allow for deeper muscle penetration and a more complete and stronger contraction
of the muscle fibers. Most Russian Stim protocols recommend a 10 second contraction
period with a 50 second relaxation period with no more than a total of 2 hours of treatment
per day.
Indications:
 Relax muscle spasm
 Prevent or retard disuse atrophy
 Maintain or increase range of motion
 Increase local blood circulation
 Re-educate muscle
 Immediate post-surgical stimulation of calf muscles to prevent venous
thrombosis
Common Uses
 Reduction of muscle spasms
 Power Strengthening or rehabilitative programs
The ALL-STIM offers fully adjustable parameters for effective Russian Stimulation. Please
refer to the Russian Stim Technical Specifications listed in the ALL-STIM product brochure.

Interferential Stimulation (a.k.a. IFT, IFC, IF, INF)
Interferential Stimulation is characterized by the crossing of two higher independent
frequencies that, at the point of intersection, creates a third stronger frequency, also known
as the “beat frequency.” One of the two currents is usually held at a fixed frequency, and
the other current can be held constant or varied. Interferential currents can stimulate
sensory, motor and pain fibers. Because of the higher frequencies, interferential current
meets low impedance when crossing the skin to enter the underlying tissue. This deep
tissue penetration can be adjusted to stimulate parasympathetic nerve fibers for increased
blood flow. Interferential stimulation can be much more effective than conventional TENS
for the symptomatic relief of chronic intractable pain and/or management of post-traumatic
or post-surgical pain. Typical protocols limit treatment to about 2-3 hours per day.
The ALL-STIM offers four interferential treatment variations to choose from, three that are
preset with sweeping frequencies, and one with a selectable continuous frequency:
LOW: (Pulse Rate sweeps from 1-10 Hz per second.) Most effective for chronic
pain, and inflammatory conditions. Increases the release of endorphins.
HIGH: (Pulse Rate sweeps from 80 -150 Hz per second.) Most effective for acute
pain, creates almost a nerve block effect. Increases the release of
enkephalins.
WIDE: (Pulse Rate sweeps from 1 -250 Hz per second.) Utilizes the full spectrum
of frequencies to effectively treat both chronic and acute pain, and for post-
op recovery.
FIXED w/ Vector Sweep: (Selectable fixed Pulse Rate from 10-200 Hz in 10 Hz
increments with built-in Vector Sweep.) Allows a select fixed frequency to
treat a specified condition. Vector Sweep prevents accommodation to the
fixed frequency and provides a very soothing massage-like sensation.
Indications:
 Relax muscle spasm
 Prevent or retard disuse atrophy
 Maintain or increase range of motion
 Increase local blood circulation
 Re-educate muscle
 Immediate post-surgical stimulation of calf muscles to prevent venous
thrombosis

Relief of acute pain

Relief and management of chronic intractable pain
Common Uses:
 Reduction of muscle spasms
 Pre-and post-orthopedic surgery
 Joint injury syndromes
 Cumulative trauma disorders
 Inflammatory conditions
 Pain control of various diagnosed origins
The ALL-STIM offers fully adjustable parameters for effective Interferential Stimulation.
Please refer to the Interferential Technical Specifications listed in the ALL-STIM product
brochure.

Transcutaneous Electrical Nerve Stimulation (a.k.a. TENS, TNS, TES)
Transcutaneous Electrical Nerve Stimulation is generally characterized by biphasic current
using low frequencies, usually ranging from 1-150 Hz. TENS stimulates sensory nerves to
block pain signals and can also stimulate endorphin production to help normalize
sympathetic function. Because of its low current and frequencies, TENS can be prescribed
to be worn for longer periods of time or even continuously to help manage pain throughout
the day.
The ALL-STIM offers three TENS treatment variations to choose from, with selectable
parameters:
Conventional: (Selectable Pulse Rate 1-150 Hz and selectable Pulse Width
50-250 µs) Offers selection of a specific pulse rate and pulse
width to treat a variety of conditions.
Burst: (Preset Pulse Width of 250 µs and preset Pulse Rate of 50 Hz
providing bursts of 7 pulses per second followed by 2 second rest
period.) This preset setting can help increase the release of
endorphins.
Modulation: (Selectable Pulse Rate of 1-150 Hz, with a preset Pulse Width
modulating between100-200 µs over 2 seconds.) This setting
prevents accommodation to the fixed frequency, and provides a
very soothing massage-like sensation.
Indications:
 Relief of acute pain

Relief and management of chronic intractable pain
Common Uses:
 Chronic low back pain
 Shoulder pain
 Arthritic pain
 Sciatic pain
 RSD
 Neuropathies
The ALL-STIM offers fully adjustable parameters for effective TENS Stimulation. Please
refer to the TENS Technical Specifications listed in the ALL-STIM product brochure.
In summary, the ALL-STIM is a full-feature combination stimulator that combines
four different types of electrotherapy modalities to provide the ultimate in pain
management and rehabilitation. One or a combination of any or all modalities may
be medically necessary in treating the various pain and musculoskeletal conditions
that a patient may have. The ALL-STIM alleviates the need for multiple devices.
The ALL-STIM is safe and easy to use. The ALL-STIM also offers many other helpful
features such as treatment timer, parameter lock-out, and compliance monitor that
keeps a track of total usage time.
The ALL-STIM stimulator is all you need!