Omron Total Power + Heat PM800 User manual

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Modes
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Therapies
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TENS
INSTRUCTION MANUAL
TENS Therapy Pain Relief
Total Power + HeatTM
PM800
Pads are for Single Patient Use Only
®
ENGLISH

2
TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................................3
IMPORTANT SAFETY INFORMATION....................................................................................................4
HOW THE DEVICE WORKS .......................................................................................................................9
1. KNOW YOUR DEVICE ...........................................................................................................................10
2. PREPARATION ........................................................................................................................................12
3. GET STARTED WITH YOUR THERAPY.............................................................................................16
4. HOW TO CONTROL AND REDUCE YOUR PAIN.......................................................................... 27
5. MAINTENANCE..................................................................................................................................... 28
6. TROUBLESHOOTING .......................................................................................................................... 30
7. OPTIONAL ACCESSORIES.................................................................................................................. 33
8. SPECIFICATIONS................................................................................................................................... 34
9. FCC STATEMENT................................................................................................................................... 35
10. LIMITED WARRANTY........................................................................................................................ 36
11. GUIDANCE AND MANUFACTURER’S DECLARATION............................................................ 37

3
INTRODUCTION
Thank you for purchasing the OMRON Total Power + Heat.
The OMRON Total Power + Heat is a portable device that relieves chronic, acute* and arthritic
pain through the combination of soothing heat and TENS (Transcutaneous Electrical Nerve
Stimulation) technology. It is designed to reduce and relieve muscle and joint pain, stiness and
numbness in the back, arms, legs, shoulders and feet. The Total Power + Heat uses gel pads to
deliver TENS therapy to the surface of the skin for pain relief.
TENS is a safe and drug-free pain relief solution that has been used for over 40 years by medical
professionals such as physical therapists and chiropractors.
* Acute pain refers to sore or achy muscles due to strain from exercise or normal household and work activities.
Safety Instructions
This instruction manual provides you with important information about this device. To ensure
the safe and proper use of this device, READ and UNDERSTAND all of these instructions. If you do
not understand these instructions or have any questions, contact 1-800-634-4350 before
attempting to use this device.
Intended Use
The OMRON Total Power + Heat is intended for:
The relief of pain associated with sore or aching muscles of the lower back, arms, legs, shoulder
or foot due to strain from exercise or normal household work activities. When used for the
symptomatic relief and management of chronic, intractable pain and relief of pain associated with
arthritis, use the Tap, Shoulder, Arm or Leg mode of stimulation.
Environments of Use: Clinics, hospital and home environments
Patient Population: Adult
Receiving and Inspection
Remove this device and other components from the packaging and inspect for damage. If this
device or any other components are damaged, DO NOT USE and contact 1-800-634-4350.
Before using your device, inspect these items and ensure that:
1. The cord with pads is not broken.
2. The gels are not damaged.
3. The device is intact and working.
4. The AC adapter is not broken or damaged.
Symbols Glossary
For symbol information, visit: OmronHealthcare.com/symbols-glossary
Contraindication
Do not use this device if you have a cardiac pacemaker, implanted debrillator or other implanted
metallic or electronic device. Such use could cause electric shock, burns, electrical interference or
death.

4
IMPORTANT SAFETY INFORMATION
Read the Important Safety Information in this instruction manual before using this device.
Follow this instruction manual thoroughly for your safety.
WARNING
Indicates a potentially hazardous situation which, if not avoided, could
result in death or serious injury.
•Keep this device out of the reach of infants, toddlers and children because the AC adapter cord
could cause strangulation.
•Consult with your physician before using this device, because the device may cause lethal rhythm
disturbances to the heart in susceptible individuals.
•If you have had medical or physical treatment for your pain, consult with your physician before
using this device.
•If you are in the care of a physician, consult with your physician before using this device.
•If your pain does not improve, becomes more than mild, or continues for more than 5 days, stop
using the device and consult with your physician.
•DO NOT apply the pads across your chest because the introduction of electrical current into the
chest may cause rhythm disturbances to your heart, which could be lethal.
•DO NOT apply the pads over open wounds or rashes or over swollen, red, infected or inamed
areas or skin eruptions (such as varicose veins, phlebitis, thrombophlebitis and thrombosis), or on
top of or close to cancerous lesions, or over areas of skin that lack normal sensation. Any area of
pain with swelling or inammation, the condition may worsen.
•DO NOT apply the pads over your neck because this may cause severe muscle spasms resulting in
closure of your airway, diculty in breathing, or adverse eects on heart rhythm or blood pressure.
•DO NOT apply the pads on the head, the mouth, or any area of the face.
•DO NOT apply the pads near the heart, or on the genital area.
•DO NOT apply the pads on both sides of the chest cavity simultaneously (lateral or front and back).
•DO NOT apply the pads to both legs, such as calves at the same time because cardiac disturbance
may occur.
•DO NOT apply the pads to the bottom of both feet at the same time because cardiac disturbance
may occur.
•DO NOT use this device when bathing, showering, sleeping, during exercise, or while sweating.
•DO NOT use this device on patients with paresthesia (abnormal sensation) or peripheral
neuropathy (damage to your peripheral nerves that causes weakness, numbness, and pain).
•DO NOT apply stimulation while driving, operating machinery or during any activity in which
electrical stimulation can put you at risk of injury.
•DO NOT use this device with any life-supporting electronic medical device such as an articial
heart, lung or respirator.
•DO NOT use this device on pregnant women.
•DO NOT use this device on infants, toddlers, or children because this device has not been
evaluated for pediatric use.
•The unattended use of this pad with gel by infants, toddlers, children or incapacitated persons
may be dangerous.

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•DO NOT use this device on persons incapable of expressing their thoughts or intentions.
•DO NOT use this device on persons who are unable to operate the unit by themselves.
•DO NOT use this device on or near any other heating device or heating element such as a dryer or
oven.
•DO NOT use this device while using another TENS device.
•DO NOT apply stimulation in the presence of electronic monitoring equipment such as cardiac
monitors and ECG alarms, because the equipment may not operate properly when the electrical
stimulation device is in use.
•DO NOT use this device with a heating pad.
•DO NOT use this device under a blanket.
•DO NOT use heat on any muscle or joint which has swelling or edema. It may worsen the pain or
condition.
•DO NOT use over sensitive skin areas or in the presence of poor circulation.
•If used on the elderly, use caution due to more sensitivity of the skin.
•NEVER bend or fold the pads with gels.
•The pad can ONLY be used with the gel.
•If you have any serious illness, consult with your physician before using this device.
•For arthritis pain relief, consult with your physician before using Combo (Modes using heat). The
ecacy of TENS + Heat combination therapy for arthritis pain relief has not been demonstrated.
•The pad with gel should not come into contact with any liquid or water during therapy.
•Apply pads ONLY to normal, intact, clean, healthy skin of adult patients.
•For Hospitals and Clinics, simultaneous connection of a patient to a high frequency surgical
medical equipment may result in burns at the site of the stimulator electrodes and possible
damage to the stimulator.
•Use the device carefully to avoid serious burns.
•If the device is too hot, stop using it immediately.
•For Hospitals and Clinics, operation in close proximity (e.g. 1 m) to a shortwave or microwave
therapy ME equipment may produce instability to the stimulator output.
IMPORTANT SAFETY INFORMATION

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Battery Handling and Usage
•This device contains a built-in rechargeable lithium-ion battery which must be disposed of
properly. Dispose of the device according to applicable local government regulations.
•This rechargeable battery has been specically designed for this product. DO NOT use it in any
other devices.
•DO NOT charge the rechargeable battery once it has been removed from the device.
•DO NOT dispose of the battery into a re.
•DO NOT crush or puncture the battery because it may cause spontaneous ames.
•DO NOT disassemble or modify the device.
•DO NOT connect the + and – poles by using a piece of metal or other conductive objects.
• DO NOT carry it or store it together with item such as necklaces and hair pins.
•DO NOT recharge, use or leave the battery in any high temperature environment such as in a
location near a re or in direct sunlight. Doing so may cause the battery to overheat, ignite or
rupture.
•DO NOT leave a battery that has been removed within reach of children or pets. Doing so may
result in an injury or an accident.
•If liquid comes in contact with the battery, a re or an accident may occur.
•This product has a built-in rechargeable battery. To prevent the risk of overheating, re
or explosion, do not throw into a re, apply heat, puncture or crush, use or leave in a high
temperature environment.
•
CAUTION
Indicates a potentially hazardous situation which, if not avoided, may
result in minor or moderate injury to the user or patient, or cause
damage to the equipment or other property.
•TENS is not eective for pain of central origin, including headache.
•TENS is not a substitute for pain medications or other pain management therapies.
•TENS devices have no curative value.
•TENS is a symptomatic treatment and, as such, suppresses the sensation of pain that would
otherwise serve as a protective mechanism.
•Eectiveness is highly dependent upon patient selection by a practitioner qualied in the
management of pain patients.
•DO NOT use this device to treat one region for extended periods of time. The long-term eects of
electrical stimulation are unknown.
•Since the eects of stimulation of the brain are unknown, stimulation should not be applied across
your head and electrodes should not be placed on opposite sides of your head.
•The safety of electrical stimulation during pregnancy has not been established.
•You may experience skin irritation, redness, burning or hypersensitivity due to electrical
stimulation, the gel or the heat.
•If you experience any skin irritation or redness after a session, DO NOT continue stimulation in that
area of the skin.
IMPORTANT SAFETY INFORMATION

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•If you have suspected or diagnosed heart disease, you should follow precautions recommended
by your physician.
•If you have suspected or diagnosed epilepsy, you should follow precautions recommended by
your physician.
•Use caution if you have a tendency to bleed internally, such as following an injury or fracture.
•Consult with your physician prior to using the device after a recent surgical procedure because
stimulation may disrupt the healing process.
•Use caution if stimulation is applied over the menstruating uterus.
• Use caution if stimulation is applied over areas of skin that lack normal sensation.
•Use this device only with components provided in the Total Power + Heat packaging and
accessories recommended by the manufacturer. (Refer to subsection 1.1 and section 7)
•Place pads at least 1 inch (3 cm) apart for optimal results.
•Place pads on either side of the pain, not directly on the pain.
• DO NOT use on wet skin (from sweating, bathing, high humidity).
•DO NOT use this device for any purpose other than what it is intended.
•DO NOT use this device without proper lighting. You may not be able to operate the device
successfully.
•DO NOT use any AC adapter other than the one provided in the packaging of this device.
•The pads are for Single Patient Use Only. NEVER share the pads with another person.
•DO NOT plug the cord into any device other than this device.
•DO NOT move the pads to another location while the device is on.
•DO NOT overlap pads or put them on top of each other because therapy may weaken or stop. Gels
may also stick together and cause the gels to be removed when separating.
•DO NOT leave the pads attached to the skin after treatment.
•DO NOT apply any lotion, cream or ointment to the pads or to your skin because the pads will not
function properly. The self-adhesive gels will not adhere to your skin.
•DO NOT place this device in a room with high humidity, such as a bathroom. This will damage
the device. Ideal temperature for using the device +50 °F to +104 °F (+10 °C to +40 °C), 30 to 80 %
relative humidity.
•DO NOT insert the plug of the cord into any place other than the jack on the device.
•DO NOT pull on the cord during treatment.
•DO NOT bend or pull the end of the cord.
•NEVER attempt to modify the device.
• Therapy will not work with just one pad. You MUST use two pads at the same time.
•Make sure the components are properly connected and the pads are axed to the body part you
wish to treat.
•The pads should not touch any metal object such as a belt buckle or necklace.
•To avoid damage to the adhesive surface of the gel, ONLY put the pads on your skin or the plastic
pad holder.
•ALWAYS place the clean pads in accordance with the illustrations provided
(Refer to sub-section 3.1).
IMPORTANT SAFETY INFORMATION

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•If the device is not functioning properly or you feel discomfort, immediately stop using the device.
•ALWAYS pull from the plug when removing the cord from the device.
•Replace the cord with pads when broken or damaged.
•Using pads that are too small or incorrectly applied could result in discomfort or skin burns.
•The pads do not work correctly without the gels. For safety and eectiveness, they must be used
together.
•Before use, inspect the cord with pads for open wires or any damage. If damaged, DO NOT use and
replace immediately. The damaged cord with pads may cause skin burns or a re.
•Clean and dry the aected area so it is free of all lotions, oils and sweat. The pads with gels should
be applied only to normal, intact, clean and healthy skin that is not experiencing any swelling or
inammation.
•While using this device, make sure that no mobile device or any other electrical devices that emit
electromagnetic elds is within 12 inches (30 cm). This may result in poor performance of the
device.
•Ensure that this device has acclimated to room temperature before using. Using this device after
an extreme temperature change could lead to an improper operation. OMRON recommends
waiting for approximately 2 hours for the device to warm up or cool down when the device is used
in an environment within the temperature specied as operating conditions after it is stored either
at the maximum or at the minimum storage temperature. For operating, storage and transport
conditions, refer to section 8.
Possible Adverse Reactions
•You may experience skin irritation and burns beneath the stimulation electrodes applied to your
skin.
•You may experience headache and other painful sensations during or following the application of
electrical stimulation near your eyes and to your head and face.
•You should stop using the device and consult with your physician if you experience adverse
reactions from the device.
•DO NOT use to treat one region for extended periods of time (more than 30 minutes per session,
up to three times/day) or muscles in that region may become exhausted and sore.
Note
• The size, shape and type of pads may aect the safety and eectiveness of electrical stimulation.
• The electrical performance characteristics of pads may aect the safety and eectiveness of
electrical stimulation.
IMPORTANT SAFETY INFORMATION

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HOW THE DEVICE WORKS
How does the device work?
The OMRON Total Power + Heat is an innovative device that relieves chronic, acute*and arthritic
pain through the pain relief of TENS and soothing comfort of heat. Physical therapists have been
using the combination of heat and TENS for decades.
Scientic theory suggests that TENS therapy may work in several ways:
1. Gentle electrical pulses move through the skin to nearby nerves to block or shut out the pain
message from ever reaching the brain from the source of the pain.
2. Gentle electrical pulses increase the production of the body’s natural pain killers, such as
endorphins.
3. Blood circulation improves as muscles contract and relax with the ow of the electrical stimulation.
* Acute pain refers to sore or achy muscles due to strain from exercise or normal household and work activities.

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1. KNOW YOUR DEVICE
1.1 Contents
o Device o Cord with Pads o Pad Holder o Gels (2 pairs)
o AC Adapter (HHP-AM11)
AC adapter plug
Power plug
o Soft Case o Instruction Manual
o Quick Start Guide/
Pad Placement
Guide
1.2 Part Names and Functions on the Device
< Device >
AC Adapter
Jack
[SET/START] button
Press to set a mode or
start therapy.
Cord Jack
[Intensity] Button
Set the intensity level
according to your needs.
Press [▲] or [►] for higher
intensity.
Press [▼] or [◄] for lower
intensity.
[Power] Button
Press to turn the
device on. Press again
to turn o.
Screen

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< Screen >
Mode
Minutes Left of Therapy
“Pad” symbol
If the pad detaches,
will appear.
“Battery” symbol
If the battery is low,
the“Battery” symbol
will appear.
Intensity Level
HEAT
< Cord with Pads >
Pads
Cord plug
Cord
Gel
Dark
side
1. KNOW YOUR DEVICE

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2. PREPARATION
2.1 Charging
• If you are using the device for the rst time or the device has not been used for more than three
months, charge the battery to full.
• Once fully charged, the battery will last for approximately four 30-minute uses on average. Once
the battery has been depleted, it takes about ve hours to charge.
• Recommended temperature during battery charging: 41 °F to 95 °F (+5 °C to +35 °C)
1Connect the AC adapter plug to the AC adapter jack on the device.
2Plug the AC adapter into an electrical outlet.
CAUTION
• DO NOT use any AC adapter other than the one provided in the packaging of this device .
Note:
• Make sure not to place your device in a location where it is dicult to plug and unplug the AC
adapter.
• When charging the battery, the “Battery” symbol ashes on the screen.
Charging
• When fully charged, the symbol ( ) will ash shortly on the screen, then power will be
turned o. Press the [Power] button to check that the battery is fully charged.
• For the battery status, refer to “Battery” (Page 13).
Rechargeable battery inside
of device (DO NOT REMOVE)
Electrical outlet

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2. PREPARATION
3Once the battery is fully charged, unplug the power plug, then unplug the AC adapter plug.
1
2
• Unplug the AC adapter when using the device.
“Battery” symbol
Note: While the battery is charging, the device does not work.
Display Description
Battery charge is full.
Battery charge is about half full.
Battery is close to low.
Battery is depleted.
Battery Life
Your device will last up to four 30-minute uses per charge, depending on the use and the storage
condition.
Battery lifespan
Battery life depends on usage and storage conditions. When fully charged, the rechargeable battery
will last for up to 500 uses when used one time per day in normal temperatures. See section 8 for
recommended temperature during battery charging.

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2. PREPARATION
2.2 Assembling Steps
1Prepare pads.
Attach the cord plug into the bottom left side of the device. Place the pads (dark side up) onto a
at surface.
Note: Do not turn the power on before placing the pads on the body.
CAUTION
• Before use, inspect the cord with pads for open wires or any damage. If damaged, DO NOT use and
replace immediately. The damaged cord with pads may cause skin burns or a re.
2Assemble gels.
For rst time use, remove the gels from the sealed plastic bag.
Note:
The pads and the gels must be used together for safety and eectiveness.
Clean and dry aected area so it’s free of all lotions/oils/sweat.
3Place gels onto the pads.
Each gel has two plastic lms. Remove the non-printed side of plastic lms and place gels squarely
onto the dark side of the pads.
Make sure the gel lays evenly and securely with no bubbles, bending or missing pieces. Check for
damage and check the adhesion before each therapy session.
The “SKIN” printed side of plastic lms are on top.

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2. PREPARATION
STORING THE PADS ON THE PAD HOLDER
Remove the plastic lm and place the adhesive side of the gel on
either side of the pad holder.
Pad facing down
Pad holder
Adhesive side up

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3. GET STARTED WITH YOUR THERAPY
3.1 Placing Pads
Before therapy:
• Make sure that the pads stick to the skin.
• Rate your pain from 1 low to 10 high. This mental check gives you a basis you can compare to once
the session is complete.
CAUTION
For optimal therapy:
•Clean and dry aected area so it is free of all lotions, oils and sweat. The pads with gels should
be applied only to normal, intact, clean and healthy skin that is not experiencing any swelling or
inammation.
•Place pads on either side of the pain, not directly on the pain.
•Place pads at least 1 inch (3 cm) apart for optional results.
•Therapy will not work with just one pad. You MUST use two pads at the same time.
•DO NOT overlap pads or put them on top of each other because therapy may weaken or stop. Gels
may also stick together and cause the gels to be removed when separating.
•DO NOT apply any lotion, cream or ointment to the pads or to your skin because the pads will not
function properly. The self-adhesive gels will not adhere to your skin.
•The pads are for Single Patient Use Only. NEVER share the pads with another person.
1Remove the “SKIN” printed side of plastic lms and place the pads onto the skin.
Note: DO NOT turn the device on until pads are on your skin. You MUST use both pads,
otherwise stimulation will not work.

17
WARNING
DO NOT APPLY THE PADS TO THESE BODY AREAS:
On the head, the mouth, or any area of the face.
Over your neck because this may cause severe muscle spasms resulting in closure
of the airway, diculty in breathing, or adverse eects on heart rhythm or blood
pressure.
Near the heart, or on the genital area.
On both sides of the chest cavity simultaneously (lateral or front and back), or across
your chest because the introduction of electrical current into the chest may cause
rhythm disturbances to your heart, which could be lethal.
On both legs, such as calves at the same time because cardiac disturbance may occur.
On the bottom of both feet at the same time because cardiac disturbance may occur.
Open wounds or rashes or over swollen, red, infected or inamed areas or skin eruptions
(such as varicose veins, phlebitis, thrombophlebitis and thrombosis), or on top of or close to
cancerous lesions, or over ares of skin that lack normal sensation. Any area of pain with swelling or
inammation, the condition may worsen.
3. GET STARTED WITH YOUR THERAPY

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(USE FOR A MAXIMUM OF ONE 30 MINUTES PER SESSION)
LOWER BACK
Attach both pads on the lower back according to your pain.
Place pads on muscle of the lower back, not on spine.
LOWER BACK
Attach one pad below and above the region in pain, both on
same side.
3. GET STARTED WITH YOUR THERAPY

19
ARM
Attach pads on each side
of the region where you
feel pain.
JOINT
ELBOW
Attach pads on each side
of the joint with pain.
LEG
HIP & THIGH
Attach pads on each side
of the area with pain.
JOINT
KNEE
Attach both pads above the knee or
above and below the joint with pain.
3. GET STARTED WITH YOUR THERAPY

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3. GET STARTED WITH YOUR THERAPY
LEG
CALF
Attach both pads on the calf where you feel pain.
WARNING
•DO NOT apply the pads to both legs, such as calves at the same time
because cardiac disturbance may occur.
Outside
Inside
FOOT
ANKLE
Attach pads on the left for pain on the outside of your ankle/foot.
Attach the pads on the right for pain on the inside of your ankle/
foot.
WARNING
•DO NOT apply the pads to the bottom of both feet at the same time
because cardiac disturbance may occur.