Performance Health TPN 200 Premier Plus User manual

TPN 200 Premier Plus 09 153 1748 0120
Please read these instructions carefully and retain for future reference

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Table of contents
What is Pain? 3
How Does TENS Work? 3
Indications and Contraindications 3
Warnings and Precautions 4
About this Device 5
Using Controls 6
Mode Functions 6
Attaching the Lead Wires 7
Electrode Selection and Care 7
Tips for Skin Care 7
Connecting the TENS Device 8
Changing the Battery 8
Troubleshooting 9
System Components 9
Technical Specifications 10
Output Parameters 10
Warranty 11

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Introduction to TENS
What is Pain?
Pain is the body’s warning system. Pain is important because it signals an unusual
condition in the body and alerts us before additional damage or injury can occur.
However, long-lasting, persistent pain, often called chronic pain, once diagnosed serves
no apparent purpose. TENS is developed to help relieve some types of chronic and
acute pain.
How Does TENS Work?
TENS is a method of treating pain that is non-invasive and non-narcotic. The TENS device
sends comfortable pulses 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 you feel by masking the original pain message sent to the brain.
It is also believed that TENS stimulation helps release endorphins into the bloodstream
thereby further reducing pain.
TENS devices are clinically proven to be useful in pain management for many patients.
By reading this manual and carefully following the treatment instructions given to you
by your physician/clinician, you will attain the maximum benefit from your TENS device.
Indications and Contraindications
Read the operation manual before using TENS
Indications
Transcutaneous Electrical Nerve Stimulation (TENS) may be used, with a physician’s
prescription, for the symptomatic relief and management of chronic (long term) pain and
for the treatment of post-operative or post-traumatic pain.
Contraindications
• Patients with implanted electronic devices (for example, a pacemaker) or metallic
implants should not undertake TENS treatment without first consulting a physician.
• Any electrode placement that applies current to the carotid sinus (neck) region.

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• Any electrode placement that causes current to flow transcerebrally (through
the head).
• The use of TENS whenever pain symptoms are undiagnosed, until etiology is determined.
Warnings and Precaution
Warnings
• This unit must only be used with the guidance of a Physiotherapist or Doctor.
• Type BF equipment, Continuous Operation.
• Do not insert lead wires into a mains power supply.
• Do not immerse unit in water or any other substance.
• Do not use TENS unit in the presence of a flammable anaesthetic gas mixture
with air, with Oxygen, or Nitrous Oxide. We advise not to use Ni-Cad
rechargeable batteries.
• Patient Electrodes are for single patient use only.
• Keep out of reach of children.
• Do not use this stimulator on your facial area unless you are under strict guidance from
a qualified Clinician.
• Application of electrodes near the thorax may increase the risk of cardiac fibrillation.
• Operation in close proximity (e.g. 1m) to shortwave or microwave therapy equipment
may produce instability in the stimulator output.
• Simultaneous connection of a patient to a high frequency surgical equipment may result
in burns at the site of the stimulator electrodes and possible damage to the stimulator.
• No modification of this equipment is allowed!
Precautions/Adverse Reactions
• Isolated cases of skin irritations may occur at the site of electrode placement during long
term application.
• Effectiveness is highly dependent upon patient selection by a person qualified in the
management of pain patients.
• Skin irritation and electrode burns are potential adverse reactions.

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About This Device
Your TENS device is a battery operated device that includes two controllable output
channels. This TENS device creates electrical impulses whose amplitude, duration, and
modulation can be altered with the controls or switches. The TENS dial controls are very
easy to use and the flip cover prevents accidental changes in settings.
We advise that you consult a physician/clinician before using TENS device.
LED Power Indicator
Pulse Width Control
Pulse Rate Control
Mode Selector
Timer Selector
Battery Strip
Battery Compartment
Flip Battery Cover
Flip Top Cover Lead Connector
Intensity Controls
30
50
70
150 70
45 95
25 115
8130
2150
100 190
220
240
280

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Unit Controls
Panel Cover
A cover conceals the controls for Pulse Width, Pulse Rate, Mode Selector and Modulation
Selector. The TENS dial controls are very easy to use and the flip cover protects accidental
changes in settings.
Intensity
The intensity knobs located on the top of the unit affect the strength of the stimulation and
also function as ON/OFF controls.
Mode
The Mode switch is used to select the type of treatment utilized.
The three modes are Burst (B), Continuous (C), and Modulation (M).
Pulse Width
The Pulse Width knob regulates the pulse width for both channels.
Pulse Rate
The Pulse Rate knob regulates the number of pulses per second for both channels.
Mode Functions
Burst (B) releases individual bursts twice per second, pulse width is adjustable and the
pulse rate is set at 100Hz per second.
Continuous (C) stimulation is delivered continuously at the settings determined by
intensity, rate, and width knobs.
Modulation (M) pulse width decreases from its setting by 60% and maintains the decreased
width for 2 seconds before returning to the original width setting, which is maintained for
3.5 seconds. The cycle is then repeated. The intensity and pulse rate are adjustable.
Time Control
Treatment Time of TENS can be preset with timer control. This switch has 3 positions: 30,
60 minutes and C (continuous). Push the mode selector until engaged in position desired.

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Attaching the Lead Wires
The lead wires provided with the TENS device insert into the jack sockets located on top of
the unit. Holding the insulated portion of the connector, push the plug end of the wire into
one of the jacks; one or two sets of the wires may be used. After connecting the wires to
the stimulator, attach each wire to an electrode.
NOTE: Use care when you plug and unplug the wires. Pulling on the lead wire instead
of its insulated connector may cause wire breakage.
CAUTION: Never insert the plug of the lead wire into an AC power supply socket.
Electrode Selection and Care
Your physician/clinician should decide which type of electrode is best for your condition.
Follow application procedure outlined in the electrode packaging which will provide
instructions for care, maintenance and proper storage of your electrodes.
Tips for Skin Care
Good skin care is important for comfortable use of your TENS device.
• Always clean the electrode site with mild soap and water solution, rinse well and blot dry
thoroughly prior to any electrode application.
• Any excess hair should be clipped, not shaved, to ensure good electrode contact with
the skin.
• You may choose to use a skin treatment or preparation that is recommended by your
physician/clinician.
• Apply, let dry, and apply electrodes as directed. This will both reduce the chance
of skin irritation and extend the life of your electrodes.
• Avoid excessive stretching of the skin when applying electrodes. This is best
accomplished by applying the electrode and smoothly pressing it in place from the
centre outward.
• When removing electrodes, always remove by pulling in the direction of hair growth.
• It may be helpful to rub skin lotion on electrode placement area when not
wearing electrodes.

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Connecting the Tens Device
NOTE: Be sure both intensity controls for Channel 1 and 2 are turned to the
“OFF” position.
1. Prepare the skin as previously discussed and according to instructions provided with
your electrodes. Before attaching the electrodes, identify the area which your clinician
has recommended for electrode placement.
2. Connect the lead wires to the electrodes before applying the electrodes to the skin.
3. Place the electrodes on the skin as recommended by your physician/clinician.
4. Insert Lead Wire Connector to TENS device. Plug end of lead wire into the channel
output receptacle to be used, pushing plug in as far as it will go.
5. Select Treatment Settings. Check and be sure your unit is still set to the proper settings
recommended by your physician/clinician.
6. Adjusting Channel Intensity Control, locate the intensity control knob at the top of
the unit.
Turn channel 1 or 2 clockwise. The indicator light will light up as long as the unit is in
operation. Slowly turn the channel control in a clockwise direction until you reach the
intensity recommended by your medical professional. Repeat for the other channel if both
channels are to be used.
If the stimulation levels are uncomfortable or become uncomfortable, reduce the
stimulation amplitude to a comfortable level or cease stimulation and contact your
physician if problems persist.
Changing the Battery
When the yellow indicator light on the front of the unit does not remain lit once the unit is
turned on, the battery should be replaced with a new battery.
1. Flip open panel cover completely. This will reveal the battery compartment.
2. Remove the discharged battery from the device.
3. Place new battery in compartment. Note the proper polarity alignment indicated on the
battery and the compartment.

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Caring For Your Tens Device
Your TENS device may be cleaned by wiping gently with a damp cloth moistened with
mild soap and water. Never immerse the device in water or other liquids. Wipe lead wires
with a damp cloth as above if they become soiled. To properly store the TENS device for
extended period of time, remove the battery from the unit. Put the unit and accessories in
the carrying case and store in a cool dry location.
Troubleshooting
If the TENS device does not function properly:
1. Make sure the battery is properly installed or replace battery. Be sure to observe proper
polarity markings when replacing the battery. If the yellow light on the front of the unit
does not stay lit when the unit is turned on, replace the battery and check again.
2. If the ON/OFF Indicator Light is flashing and you still feel no stimulation, check that
the lead wires are properly connected and the electrodes are in place. If the unit
appears to be functioning and no stimulation occurs, the lead wires or electrodes may
need
to be replaced.
3. If the battery appears to be charged and the unit is not functioning, turn both lntensity
Control Knobs to the OFF position(counter clockwise). Then gradually turn the lntensity
Control Knob to the on position.
If there is any other problem, please consult or return the device to your distributor.
Do not try to repair a defective device.
System Components
Your TENS device should include the following components or accessories:
• TENS unit
• Lead wires
• Electrodes
• Battery
• Soft Bag

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• Operation Manual
Technical Specifications
Channel: Dual, isolated between channels
Modes of Operations: Continuous, Burst, Modulation
Pulse Intensity: Adjustable 0-80mA peak into 500 ohm load each channel,
constant current
Pulse Rate: 2Hz-150Hz (adjustable)
Pulse Width: 30μs-260μs (adjustable)
Time: Cont., 30 min., 60 min.
Burst Mode: Burst consists 2 burst per sec at 100Hz
Wave Form: Asymmetrical Bi-Phasic square pulse
Voltage: 0-100 Volt (open current)
Power Source: 9 volt battery
Dimensions: 95 (H) x 60 (W) x 23 (T) mm
Weight: 115 grams (battery included)
Output Parameters
Mode Time Intensity (mA) Width (μS) Pulse Rate
Freq(Hz)
Cycle (Sec)
Continuous Adj. 0-80 Adj. 30-260 Adj. 2-150Hz N/A
Burst Adj. Adj. 0-80 Adj. 30-260 100Hz fixed 2
burst per sec.
N/A
Modulation Adj.0-80 Modulates
down from
preset width
setting by 60%
then back to
original setting
Adj. 2-150Hz 5.5 sec total
time

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Warranty
This TENS device carries a two-year warranty from the date of purchase. The warranty
applies to the TENS device and necessary parts and labour relating thereto.
The distributor reserves the right to replace or repair the unit at their discretion.
The warranty does not apply to damage resulting from failure to follow the operating
instructions, accidents, abuse, alteration or disassembly by unauthorised individuals.
Description of Symbols
Caution (Output)
TYPE BF equipment
Follow instructions for use
Do not dispose in normal dustbin
0120

75505 Is2 © Performance Health International Ltd. 2018
Manufactured for
Performance Health International Ltd.
Nunn Brook Road, Huthwaite,
Sutton-in-Ashfield, Nottinghamshire,
NG17 2HU, UK.
UK:
Tel: [phone]
Fax: [phone]
www.performancehealth.co.uk
International:
Tel: [phone]
Fax: [phone]
Performance Health Supply, Inc.
W68 N158 Evergreen Blvd,
Cedarburg, WI 53012
USA
www.performancehealth.com
Performance Health Australia
Unit 3, 3 Basalt Road,
Pemulwuy NSW, Australia 2145.
Tel: [phone]
Fax: [phone]
Performance Health France
13 rue André Pingat,
CS 10045
51724 Reims Cedex
France
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