RC ART DENAS MS Vertebra 2 User manual

Россия/
Russia
ЕС, все
страны/
EU, all
США/
USA
Канада/
Canada
LLC "RC ART" Ekaterinburg, Russia
Device for dynamic electostimulation
and electomassage
Operation Manual
RC ART 13.0-03.72-02 
DENAS® Vertebra 2

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TABLE OF CONTENTS
1. Safety measures.............................................................................4
2. Purpose of the device..................................................................8
3. General information on method, used in the device........9
4. Device description......................................................................10
5. Indications and contraindications for use..........................12
6. Conditions and order of treatment........................................18
7. Technical maintenance and order
of replacement of batteries.........................................................27
8. Troubleshooting list...................................................................29
9. Specifications................................................................................31
10. Complete set..............................................................................35
11. Manufacturer’s warranty........................................................36
12. Address of the manufacturer.................................................37
Warranty maintenance form......................................................39
Acceptance certificate....................................................................42

Thank you for purchasing device
DENAS®-Vertebra-2.
We hope that this device will help you to maintain your
GOOD health in many years to come.
In order to make use of the unit eective and safe, please,
carefully read all sections of this manual.

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1. SAFETY MEASURES
Pay attention to all information, marked with
this sign. It is important for your safety and proper
use of the device.
Information, contained in present
operations manual, is important for your
safety and proper use and maintenance of
the device.
The device is safe for use, because it utilizes internal
power source of low voltage, which is isolated from
work part of the device (article of type B with body
of type F).
The device must not be used for treatment of
patients with implanted electronic devices (for
example, pacemakers) and for treatment of
patients who have individual electric current
intolerance.
Use of the device in direct front projection of heart
is prohibited.
Don’t treat patient with any high-frequency electric
device during stimulation; simultaneous use of the
device and other electric equipment can cause
burns and lead to possible damage of the device.
Work near short-wave and microwave equipment
can bring to instability of output parameters of the
device.
It is prohibited to use batteries, which are
dierent from specified by the manufacturer.
Use of inappropriate batteries can lead to device
malfunction, and also can result in electric shock.

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It is prohibited to deform module of
electrostimulation.
The device contains fragile components. Protect it
from shocks.
Protect the device from influen e of direct
sunbeams under high (>25 °C) air temperatures. It
can lead to malfunction of the device indicator or
destroy batteries.
The device is not waterproof. Protect it from ingress
of moisture.
All works on maintenance and repair of the device
must be executed by qualified specialists of the
manufacturer.
Attention! Prevent the device or its parts (control
panel, utility power source) from falling on the
ground.
Attention! Avoid damage to the control panel
display.
Do not use the AC power source other than the
one supplied by the manufacturer. Using a
different power supply may seriously affect the
safety of the user and device health.
Attention! Before using the machine, make sure
that the mains voltage complies with the power
supply. It is forbidden to use the AC power with the
discrepancy between the network settings.

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Operational conditions: temperature from +10
°C to +35 °C, relative air humidity from 30 to 93%,
atmospheric pressure from 70 to 106 kPa (525 to
795 mm Hg).
Attention! If the device has been stored at the
temperature below 10 °C, keep it in normal climate
conditions for no less than 2 hours - before use.
Utilization: All packaging materials are not
environmentally harmful, they may be used
repeatedly.
Separate collection of electrical and electronic
equipment.
Transportation conditions: temperature from -50
°C to +50 °C, relative air humidity from 30 to 93%,
atmospheric pressure from 70 to 106 kPa (525 to
795 mm Hg
Storage conditions: temperature from -50 °C
to +40 °C, relative air humidity from 30 to 93%,
atmospheric pressure from 70 to 106 kPa (525 to
795 mm Hg
Attention! If the patient is running through a course
of other physical therapy, use of the device is possible
only under approval of attending physician.
Product disposal is technically possible. The product
poses no danger to human life, health and the
environment after the end of its life (operation) and does
not require special measures for preparing and shipping
the compound parts of the product for recycling.

Attention! The device contains valuable materials,
which can be used repeatedly after utilization with
consideration of requirements of environmental
protection. They shall be delivered to specially
intended for this purpose places (consult with
corresponding services in yoiur district) for
collection and processing.
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2. PURPOSE OF THE DEVICE
The device DENAS-Vertebra-2 is intended for conduction
of dynamic electrostimulation and electromassage by way
of impact on dierent zones and areas of the back, and
also for pain relief and correction of functional
disturbances under diseases of dierent body organs.
The device is intended for use in hospitals and in home
conditions in accordance with the instructions of a
physician.
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3. GENERAL INFORMATION ON METHOD,
USED IN THE DEVICE
One of the most promising areas of modern medicine is use
of physiotherapy for treatment and rehabilitation. Currently,
there goes major distributionof complex technologies, such
as neurostimulation (dynamic electroneurostimulation).
The method consists in the therapeutic eects of short
asymmetrical bipolar current pulses,shape of which varies
depending on the electrical resistance of tissues in zone
under electrodes. Safe, simple and with minimal
contraindications, method DENASis used in the treatment
of a wide range of diseases.At present timeDENAS has
been successfully applied in many fields of medicine;
extensive data on the benefits of neurostimulation in
treatment of various diseases of adults and children has
been received. In addition, specially selected modes of
stimulation of the device allow simulating massage eect,
due to muscle contraction. The eects and feelings during
electromassage are comparable with manual massage,
and often surpass itdue todeepertreatment of muscles.

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4. DEVICE DESCRIPTION
Control panel
Fig. 1. Assembled device. Top view
Module of
electrostimulation
Connecting cable
Set of contacts
Fig. 2. Module of electrostimulation (bottom view of the part,
which contains electronic unit)
Cover of battery
Warranty seal
Cover of electronic
module
Jack for AC adaptor

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Presence of
contact
Volume
Time till
the end of
stimulation
Zone of
impact
FIg. 4. Designation of symbols on the device indicator
Fig. 3. Keyboard of control panel
Button for selection of impact area
Button for selection of impact mode
Button for increase of impact power
Button for decrease of impact power
Button for switching the device on and o
Level of battery
charge
Power level
Program of
treatment
Presence of
connection to AC
adaptor

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5. INDICATIONS AND CONTRAINDICATIONS
FOR USE
5.1 General purpose of the device
The device can be used infollowing cases:
— as the primary method of treatment under drug
intolerance and contraindications for application of
other methods;
— as a component of complex treatment in order to
enhance the eect of primary drug, homeopathic,
manual therapy as well as mental therapy and other
methods of treatment;
— as a symptomatic treatment under dierent diseases
and syndromes.
Attention! First of all, the only sign of a serious
illness often is the appearance of sudden pain in
any part of your body. Therefore, ifepisodes of pain
appear for the first time and repeat, and intensity
of the pain increases, urgent consultation with a
doctor is required.
Attention! The use of the device does not
exclude need for other methods of treatment,
prescribed by your doctor.
Attention!Impact, which is formed by the device, is
not a therapeutic massage.
5.2. Indications for use:
— acute and chronic pain syndromes under diseases of
spine, joints and muscles;
— pain relief and correction of functional disordersunder
diseases of internal organs;
— rehabilitation after previous diseases, surgical
interventions, traumas;
— enhancement of adaptive capacity of organism under
physical and mental strain.

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5.3. Contraindications:
— idiosyncrasy;
— presence of an implanted pacemaker;
— status epilepticus;
— neoplasms of any etiology and distribution;
— vein thrombosis;
— acuteagnogenic febrilty;
— state of acute mental excitation ofalcohol or drug origin.
Attention!There have been no controlled
researches on impact of the device on pregnant
women, so the device should be used only if it is
absolutely necessary, after consultation with the
attending physician.
Attention! In the case of presence of above
contraindications, possibility of use of the
deviceshould be discussed with adoctor.
Attention! Use of the device in direct front projection
of heart is prohibited.
Attention! It is prohibited to use the device
inpresence of solution of continuity of skin (wounds,
skin diseases) in zone of impact.

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Pro-
gram
Main zone of
impact Area of application
Period of
program
operation
(min.)
1 2 3 4
А
Zone of the
back at full
length of the
spine
1. Treatment, rehabilita-
tion, complementary pre-
vention of chronic diseas-
es.
2. Prevention and treat-
ment of stress.
3. Enhancement of adap-
tive capacity of organism
under intense physical and
mental work, physical and
mental fatigue, chronic
fatigue syndrome, diffic -
ties under waking in the
morning and afternoon
sleepiness, sleep disorder
in the evening and insom-
nia, hyperirritability, sexu-
al function disorder.
23 ± 1
В
Zone of the
back at the
level of cervi-
cal spine, tho-
racic spine or
lumbar spine -
choosingly
1. Severe topalgia in the
back, associated mainly
with rachiopaty and dam-
age of back muscles.
2. Spastic pain under dis-
eases of internal organs.
3. Rehabilitation in the
postoperative period
23 ± 1
Programs of the device

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1 2 3 4
С
Zone of the
back at the
level of cervi-
cal spine, tho-
racic spine or
lumbar spine -
choosingly
Moderate and mild pain in
the back, associated with
spine injuries. Functional
disorders, associated with
overexertion of back mus-
cles: fatigue, “choking” of
muscles, etc. Chronic pain
syndromes under diseases
of spine and internal or-
gans. Correction of func-
tional disorders under in-
ternals diseases. Treatment,
rehabilitation at all stages,
prevention of long-term ill-
ness of the spine.
26 ± 1
D
Impact on the
selected zone
of the back
with a small
area (applica-
tor mode)
Emergency care under
acute back pain, associ-
ated with rachiopathy
and / or diseases of spinal
nerves. Improvement of
eectiveness of other pro-
grams
10 ± 1
E
Zone of the
back over the
whole length
of the spine
and the
additional
zone
stimulation is
automatically
detects by the
device
1. Bio -controlled therapy
of acute and chronic pain
syndromes, functional
disorders of the internal
organs.
2. Courses of treatment,
prevention, rehabilitation
of internal diseases and
musculoskeletal system
3. Increased general
adaptive capacity of the
organism during intense
physical and mental work,
physical and mental
fatigue, syndrome of
chronic fatigue , difficulty
waking up in the morning
and daytime sleepiness,
37 ± 1*

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Effectiveness of treatment
Under use of the device, it is necessary to consider that
the most intense therapeutic eect is a result of a course
of treatment. Its duration for some diseases should be
6-8sessions, for other diseases - 8-12 sessions, rarely 14-20
sessions. Total therapeutic eect of separate procedures
also ensures a long after-eect of the treatment, which
continues on after its completion, and in some cases, long-
term results are even more significant than direct results.
Attention! If a patient suffers from urolithiasis,
before use of the device it is advised to consult with
a specialist (urologist).
Attention! Insofar if in the list of indications there
is no data on some disease, then before use of
the device, it is recommended to consult with a
specialist.
Attention! It is not recommended to use the
device for more than 40-50 minutes in one session.
Exceeding time-limit is allowed only under presence
of doctor’s pre-trial detention.
disturbances of sleep at
night and insomnia,
increased irritability,
sexual dysfunction.
* E program ends after the 9th phase (see. p. 9.5.5) in case if
additional stimulation zone is not defined. This is not a
malfunction of the system and depends on the current
state of the organism of the patient.

However, keep in mind that prolonged continuous use of a
physical factor increases adaptation to it and may reduce
the eectiveness of a treatment. In addition, the
probabilistic nature of physiological processes in the body
leads tolack of eectiveness for a small number (5%) of
people or lack of favorable reactions from use of
therapeutic factors.
Attention! In the case of breakdown of health
during treatment, youshould consultwith a doctor.
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6. CONDITIONS AND ORDER OFTREATMENT
6.1. General Provisions
Forapplying of treatment with the help of the device, there
is no need to observe any special conditions. The device
should be placed in a warm room on a hard fl t surface
(medical couch, floor), length and width of which should
correspondtothat of the patient. After the procedure,it is
recommended to relaxfor 10-15 minutes.
Patient should be located on the module of electrical
stimulation in such a way that majority of the electrodes
along the length of patient contact with the skin surface.
Otherwise (under absence of skin contact or under
contact with less than 60% of electrodes) program may
not start or stop at one of its stages. Most of programs of
the device, regardless of selected zone, have one or more
phases of stimulation along whole surface of the back. In
case when during this phase part ofelectrode groups will
not contact with the skin, the device will abort program due
to impossibility of its further implementation.
When properly positioned on the module of electrical
stimulation, upper paired electrodes are in the zone
ofneck just below the hairline, andcentral electrodes are in
contact with your skin in projection of the spine. In case of
inconvenience, associated withhyperextension ofcervical
spine, small pillow, folded towel or similar object can be
placed under the head.
Automation of the process of treatment provides ease
and convenience of procedures conduction. During the
session, the device switches electrodes and stimulation
frequency in order, specified by the program. Combination
of certain switching speeds and frequency of impact
secure simulation of massage eect, which is most fully
manifested under use of comfortable and maximum power
levels.

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Attention! Programs of the device consist of several
phases, which subsequently change each other.
Each phase has differentparameters of stimulation,
including repetition rate of impulses. Under
changing of phases,subjective feeling of change of
impact power level is possible.In case of
appearance of sense of discomfort, adjust the
power, using the appropriate buttons on control
panel.
6.2. Determination of intensity (power) of impact
The level of energy treatment with impulse current is
determined individually based on subjective sensations of
the patient. Intensity of electrostimulation is conditionally
divided into three levels.
The first, minimal level — patient does not have any
subjective sensations or has subtle vibrations in area of
impact under electrodes. This level is used when treatment
shall not be intensive –for patients with diseases of
cardiovascular system (hypertension, hypotension, a
syndrome of vegetative-vascular dystonia). For patients
who are experiencing frequent headaches, dizziness,
treatment should also be carried out with minimal power.
Attention! During the work in 9th phase of
program E (see. P. 9.5.5) 11 minutes before the end
of the program, automatically set up to the
minimum power level, wherein is not possible to
increase the power by using a keyboard. This is not
a malfunction of the unit and is necessary for the
correct operation of the program.
Attention! E program ends after the 9th phase (see.
p. 9.5.5) in case if additional stimulation zone is not
defined. This is not a malfunction of the system and
depends on the current state of the organism of the
patient.

Attention! Control of power level is executed
subjectively, considering sensation of patient. You
shall not exceed pain threshold.
Attention! For patients with hypertension,
hypotension, a syndrome of vegetative-vascular
dystonia, as well as patients who have frequent
headaches, dizziness, treatment should be carried
out with minimal power level.
Attention! Power of electrostimulation can be
increased or reduced during the treatment course
depending on the extent of the patient’s sensitivity
and as pain is relieved.
6.3. Preparation for treatment
The second, comfortable level - patient feels light pricking,
vibration or light burning without pain. It is used under
treatment of weak pain and aches of medium intensity.
This is the most frequently used power level.
The third, maximal level - patient feels expressed painful
pricking or burning. Such intensity can be accompanied by
involuntary contraction of muscles close to electrodes. It is
used under expessed pain syndrome.
Open the consumer box and remove the device. If there is
no battery in the battery compartment, set the power
supply or connect to the AC adapter as shown in Fig. 5
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