schwa-medico TENS eco 2 User manual
TENS eco 2
Transcutaneous nerve and muscle stimulator
Operating manual Art.-No. 101446-V03
Art.-No. 104062
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schwa-medico TENS eco 2
Content
Before using TENS eco 2......................................................................................................3
Intended use ..............................................................................................................................3
Safety instructions.....................................................................................................................3
Contra-indications......................................................................................................................4
Side effects................................................................................................................................4
Operating elements ...................................................................................................................4
Technical information ...........................................................................................................5
Description of the symbols........................................................................................................5
Recycling...................................................................................................................................5
Technical specification ..............................................................................................................5
Operating the TENS eco 2 ....................................................................................................6
Connecting cables and electrodes......................................................................................6
Switching ON the TENS eco 2..............................................................................................6
Selecting a program...............................................................................................................7
Setting the intensity ...............................................................................................................7
Terminating the stimulation...................................................................................................7
Interlocking the keypad.........................................................................................................7
Switching ON/OFF the buzzer...............................................................................................8
Creating a user program (P13 – P24 only)..........................................................................8
Factory settings.......................................................................................................................8
Switching OFF the TENS unit................................................................................................8
Setting date and time (for memory query mode) ..............................................................8
Memory Query Mode.............................................................................................................8
Resetting the memory............................................................................................................9
Charging the battery ..............................................................................................................9
Description of the programs ..............................................................................................10
General information.............................................................................................................15
Adjustments, modifications and repairs .................................................................................15
Warranty ..................................................................................................................................15
Guarantee ................................................................................................................................15
Maintenance and cleaning......................................................................................................15
Classification ..........................................................................................................................15
Delivery content.......................................................................................................................15
Accessories...........................................................................................................................16
Reference sheet for battery retraction and disposal .............................................................18
Examples of electrode placements ..................................................................................... 19
Electrode placement for dynamic stimulation (P10, P11, P22, P23) ...........................23
Overview pre-set programs ...............................................................................................24
Overview free programs .....................................................................................................26
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schwa-medico TENS eco 2
Before using TENS eco 2
Intended use
The TENS eco 2 has been designed as a device for the generation of transcutaneous
electrical stimulation of the nerves and muscles and may not be used for any other
purposes.
Safety instructions
Please read the operating instructions carefully before using the TENS eco 2.
- The TENS eco 2 is only to be used for stimulation purposes on one patient at any one
time.
- Only use the TENS eco 2 with original accessories.
- The size of the electrodes should to be not less than 2 cm².
- The electrodes should be positioned in such ways that the current flow will not cross
through the heart.
- Keep the TENS eco 2 away from water or other liquids. Do not drop the TENS eco 2,
do not use it inappropriately or expose it to extreme temperatures or high levels of
humidity (not less than 10 °C or more than 40 °C or a relative humidity of more than
90 %).
- Do not use the TENS eco 2 if it is not working properly or if it has been damaged in
any way.
- Be careful when using the TENS eco 2 near or on children. Keep the unit away from
children.
- Always store the TENS eco 2 in its case to protect it from damage and dust.
- To avoid reciprocal interference, the TENS eco 2 should not be operated in the vicinity
of other electronic devices. If this is not possible, the various unit functions should
be closely monitored during operation so that proper use in accordance with the
regulations is ensured.
- The simultaneous connection to the patient of a high frequency surgical unit can lead
to burning under the electrodes or around the probe.
- Operating close (for example 1m) to short wave and microwave units or mobile
telephone systems can cause fluctuations in the output values of the electric current
stimulation unit.
- Do not use the machine during the simultaneous operation of other machines, when
driving or when asleep.
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schwa-medico TENS eco 2
5
4
3
2
1
8
7
6
Contra-indications
Please check with your physician before using the TENS eco 2 if one of these
apply to you:
- Patients with electronic implants such as heart pacemakers, defibrillators or pumps
- Patients with cardiac rhythm disorders
- During pregnancy
- Patients subject to seizure disorder / epilepsy
- Patients with skin disorders in the vicinity of the electrodes
- Patients with malignant diseases in the region of application
Side effects
- Pain caused by the stimulation: The stimulation can be perceived as uncomfortable/
painful if the electric current is too intensive or if the electrodes have been positioned
unfavorably. Unpleasant side effects can be avoided by adjusting the intensity,
using another program with other parameters and the possible re-positioning of the
electrodes.
- Skin intolerance which can result from the electrodes, the electrode gel or the electric
current impulses. The physician should be consulted in cases of reddening, burning,
itching or blistering under the electrodes or in the vicinity of the electrodes. Slight skin
reddening of short duration in the area of the electrodes following stimulation is quite
normal because blood circulation has been improved by the effects of the stimulation.
- Muscular pain: If the stimulation has been too intense or too long muscular aches
in terms of sore muscle can occur. Shorten the treatment time and the intensity of
stimulation at the beginning of muscle stimulation to avoid muscle ache.
Operating elements
1. Display
2. Menu key (Program choice)
3. Key to enter the programming mode
4. Modification keys to adjust parameters
and to modify the intensity
5. ON/OFF key
6. Output sockets for the cables
7. Output socket for the
battery charger
8. ON/OFF
commutator
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schwa-medico TENS eco 2
Technical information
Description of the symbols
Attention: Read accompanying documents, especially user manual!
Follow instructions for use
Type BF applied part
Date of manufacture
Catalogue number
Serial number
Environment
Do not dispose of the appliance with the normal household waste at the end of its life, but
hand it in at an official collection point for recycling. By doing this you will help to protect
the environment.
Recycling
By labelling with CE mark, the manufacturer asserts that the product fulfills all relevant
requirements of the respective EC Directives. A conformation assessment process has
been successfully completed. The identification number in respect of the conformation
assessment process is given in accordance with the CE labelling of the relevant notified
body.
Technical specification
Two-channel nerve and muscle stimulator with electrically insulated channels, constant
current characteristic, output short circuit control element (AKS), 12 integrated pre-set
programs and 12 user programs.
- Output current : 100 mA (with an actual resistor of 1kΩ)
- Frequency range: 1-120 Hz
- Impulse width: 50-400 μs
- Nominal current: 15 mA
- Power supply: integrated rechargeable battery NiMH 4.8 V
- Dimensions: 11.4 x 5.9 x 2.7 cm
- Weight approx. 300 g
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schwa-medico TENS eco 2
Pulse form with 1kΩload real
Output Power,
Voltage
Time
With ANSI/AAMI standard load
Output
Power
Time Time
Voltage
Change in output current depending on load
500 1000 1500 2000 2500
100
Output Power I
mA
Resistance RL
Ω
Operating the TENS eco 2
The battery of new TENS eco 2 units need to be charged before first use. Please
read the chapter “charging the battery” on page 10.
Connecting cables and electrodes
• Connecttheelectrodeswiththecable(s)(always2electrodespercable).
• Connectthecable(s)totheTENSeco2(no.6).
• Place the electrodes on the desired area (see examples on chapter electrode
placement).
Switching ON the TENS eco 2
• Switchthecommutator(no.8)totheONposition.
• SwitchontheTENSunitbypressingthe key (no. 5)
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schwa-medico TENS eco 2
The program shown on the display is the last which was used during the previous session.
If the display shows a key symbol on the upper left side, the TENS eco 2 has previously
interlocked a specific program (see chapter interlocking the key pad).
Selecting a program
Select a program by pressing the Pkey. To scroll through the programs, press the Pkey
as often as necessary until you have selected the
program of your choice. To return to the previous
program, press one of the keys.
Selecting a program is only possible if the keypad has
not been interlocked on one specific program (see
chapter interlocking the keypad).
Setting the intensity
Start the stimulation by increasing the intensity
with the key of the channel(s) connected to the
electrodes.
key to increase the intensity
key to decrease the intensity
The intensity of each channel is displayed on the screen.
The intensity can be set between 0 and 100 mA.
By keeping the intensity keys pressed, the intensity will increase/decrease more rapidly.
Terminating the stimulation
You can terminate the stimulation at any time by pressing the P key. When the therapy
time is completed the stimulation terminates automatically. If you press the key the
stimulation stops and the TENS eco 2 switches OFF.
Interlocking the keypad
Choose the desired program by pressing the Pkey (see chapter choosing a program).
Press and hold for 3 seconds the Pkey and the right keys to interlock the TENS unit
on the chosen program. The TENS eco 2 can now only be used with the chosen program.
A key symbol appears on the display adjacent to the program number. All keys except
the intensity and the ON/OFF keys are interlocked into this mode. Use the same key
combination to unlock the TENS unit.
Switching OFF the timer
You can use the TENS eco 2 with or without timer. All programs run for 30 minutes. Press
and hold for 3 seconds the Ekey and the left key. The total therapy time appears on the
display. Press the Ekey to switch off the timer. The symbol “---“ appears on the display.
Press the key to save the changes.
Program
Intensity
Channel 1
Intensity
Channel 2
Stop
ON/OFF
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Switching ON/OFF the buzzer
Pressing the left key for three seconds, with Ekeyswitching ON/OFF.
Creating a user program (P13 – P24 only)
Choose one program between P13 and P24. Press the Ekey to access the programming
mode. The parameters to be changed flash. You can modify them by pressing the and
keys. Switch to the next parameter by pressing the Ekey. The frequency, the pulse width
and the time can be modified in the user programs.
Factory settings
The parameters from P1 and P13 are identical in new devices, respectively for P2 and P14,
P3 and P15, … P12 and P24.
Switching OFF the TENS unit
Press the key to switch OFF the TENS eco 2. If the battery level is too low or if the TENS
unit has not been used for the previous 2 minutes, it turns off automatically.
Setting date and time (for memory query mode)
Before you can use the memory query mode you need to set the date and time. Pressing
and holding the Ekey for about 3 seconds leads you to the date/time mode. In date/
time mode the LCD shows two figures: The left figure indicates the date, the right figure
indicates the time.
Pressing the left key increases the date by one day (max. 30).
Pressing the left key decreases the date by one day (min. 1).
Pressing the right key increases the time by one hour (max. 23).
Pressing the right key decreases the time by one hour (min. 0).
Press the key to save all parameters and to leave the date/time mode again. Date and
time are continuously updated.
The TENS eco 2 switches OFF automatically after two minutes if no key is pressed. In this
case none of the adjusted parameters are saved.
Memory Query Mode
First set the date and time (see chapter setting date and
time). The memory query mode is used to read out saved
therapy data from patients. By pressing and holding the
right key and Ekey for about 3 seconds you enter the
memory query mode. If no values are saved, the display
shows “null” for about 2 seconds and the device returns
to standby mode automatically. If you have saved therapy
data, the display shows the parameters of the last therapy
session as shown below:
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schwa-medico TENS eco 2
• Usedprogram=P01 • Therapyduration=0min44s
• Frequency=100Hz • Dayoftherapy=5(fifthday)
• Pulsewidth=200μs • Therapysessionno.=3
You can save up to 90 therapy sessions respectively the last 3 of each day.
- With the left key you can return to the values of the previous day (until you reach
the first recorded day).
- The left key lets you proceed to the next day (until you reach the current or last day).
- The right key brings you to the parameters of the previous therapy session of the
respective day (until you reach the first session of the respective day).
- The right key shows you the parameters of the next therapy session (until you reach
the last session of the respective day).
Resetting the memory
Enter the memory query mode (see above). Pressing and holding the Ekey for about 5
seconds will delete all saved data. The display shows “Clr” for about 2 seconds and the
device can be used for stimulation again. The TENS eco 2 switches OFF automatically after
two minutes if no key is pressed.
Charging the battery
The battery level is shown on the display with a battery symbol with 4 lines. If the battery
level is too low the TENS unit switches OFF automatically and cannot be turned on again.
The battery needs to be re-charged.
• SwitchthecommutatortotheOFFposition(no.8).
• ConnectthechargerwiththeTENSeco2(socketno.7).
• Connectthechargertothemainscircuit.Thediodeonthechargerilluminatesinred.
• ChargetheTENSunituntilthediodeonthechargerilluminatesingreen.
• Thebatteryisfullychargedifthelightonthechargerappearsingreen.PlugOFFthe
charging cable from the mains circuit.
Caution! Do not charge the battery for more than 3 hours.
Important! Do not forget to switch the commutator ON again after charging.
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schwa-medico TENS eco 2
Description of the programs
Program 1 + 13: Gate control 100 Hz
Both channels work with the same frequency and pulse width.
Frequency: 100 Hz
Pulse width: 200 μs
Therapy time: 30 min (1 to 99 min)
Indications: Acute nerve or joint pain
This program is used to treat acute neuropathic and joint pain. The effect is immediate.
Intensity
Time/s
Pulse width
Program 2 + 14: Gate control 80 Hz
Both channels work with the same frequency and pulse width
(see illustration Program 1).
Frequency: 80 Hz
Pulse width: 150 μs
Therapy time: 30 min (1 to 99 min)
Indications: Acute nerve or joint pain
Program 2 is similar to program 1 but works with a lower frequency and may therefore be
considered as more pleasant.
Program 3 + 15: Low frequency 2 Hz
Both channels work with the same frequency and pulse width
(see illustration Program 1).
Frequency: 2 Hz
Pulse width: 250 μs
Therapy time: 30 min (1 to 99 min)
Indications: Diffuse nerve, joint or muscle pain, spasms, lower back pain, neck pain,
fibromyalgia, chronic pain. This program is used to relax painful muscles and to achieve an
endorphin release. Endorphins have an analgesic effect that lasts beyond stimulation, but you
need to run program P3 to the end (30 min). To achieve particularly good effects use kaada
electrodes placement (on the hand).
Program 4 + 16: Gate control (channel 1) + low frequency (channel 2)
The channels work with different frequencies but with the same pulse width.
Therapy time 30 min (1 to 99 min)
Channel 1: Channel 2:
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schwa-medico TENS eco 2
Frequency: 100 Hz Frequency: 2 Hz
Pulse width: 200 μs Pulse width: 200 μs
Indication: Joint pain
This program combines the effects of program 1 and 3, in case the analgesic effect off
program 3 is not strong enough.
Intensity
Time/s
Channel 1
Channel 2
Program 5 + 17: Adaption
After phase 1 the program changes automatically to phase 2.
Therapy time: 30 min (1 to 99 min)
Phase 1: Phase 2:
Frequency: 100 Hz Frequency: 2 Hz
Pulse width: 150 μs Pulse width: 200 μs
Duration: 10 min Duration: 20 min
Indications: Especially for lower back pain and sciatic pain syndrome
Program 5 starts with high frequency stimulation for 10 minutes, to give you
immediate pain relief. After 10 minutes it automatically changes to a 20
minutes low frequency stimulation with acupuncture type impulses to release endorphins
and to retain the analgesic effect even beyond stimulation.
Frequency
Time
Program 6 + 18: HAN stimulation
The device continuously changes between phase 1 and phase 2.
Therapy time: 30 min (1 to 99 min)
Phase 1: Phase 2:
Frequency: 100 Hz Frequency: 2 Hz
Pulse width: 150 μs Pulse width: 200 μs
Duration: 3 s Duration: 3 s
Indications: All kinds of pain
This program combines the analgesic effect of high frequency stimulation with
endorphin release caused by low frequency stimulation. Every 3 seconds it changes between
a “pins and needles” stimulation and a pulsing stimulation.
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Frequency
Time
Program 7 + 19: Burst 2 Hz
This generates pulse packages (Burst).
Frequency: 100 Hz
Pulse width: 150 μs
Modulation: Burst 0.5 s (0.25 s + 0.25 s)
Therapy time: 30 min (1 to 99 min)
Indications: Diffuse nerve, joint or muscle pain, spasms, lower back pain, neck pain,
fibromyalgia.
This program covers the same indications as program 3, but the stimulation is often
considered as more comfortable and pleasant than the normal low frequency stimulation.
Pulses
Time
working
phase working
phase
Pause
Program 8 + 20: Modulation
The frequency continuously changes within the frequency limits.
The pulse width adapts accordingly.
Minimal frequency: 2 Hz (Pulse width: 200 μs)
Maximal frequency: 80 Hz (Pulse width: 100 μs)
Modulation duration: 7.5 s (2 Hz 80 Hz)
Therapy time: 30 min (1 to 99 min)
Indications: Acute nerve or joint pain (as an alternative to P1 and P2)
If you feel that the analgesic effect of program 1 or 2 is decreasing, change to program
8. With frequency modulation the body does not become accustomed to the stimulation.
Build-up
phase
Time
Frequency
Run-down
phase
80
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Program 9 + 21: Muscle stimulation
The intensity continuously changes according to the indicated parameters.
Frequency: 50 Hz Pulse width: 250 μs
Rising ramp: 2 s Working phase: 5 s
Falling ramp: 1 s Pause: 12 s
Therapy time: 30 min (1 to 99 min)
Indications: Prevention of muscular atrophy, muscle strengthening
This program is suitable to maintain the muscle volume, e.g. during injury or recovery, or
to avoid muscle atrophy. In case of muscle atrophy, do not stimulate more than once a day
for the first month. Certainly program 9 can also be used to strengthen a healthy muscle.
working time
Pause
rising time
falling time
Intensity
Time/s
2 7 8
Program 10 + 22: Gate control dynamic slow
The intensity continuously changes. It increases within 1 s to the maximum intensity and
decreases within 1 s to 50% of the maximum intensity. Both channels operate alternately
(massage effect).
Frequency: 80 Hz
Pulse width: 150 μs
Intensity modulation: 1 s rise, 1 s fall
Therapy time: 30 min (1 to 99 min)
Indications: Especially for acute back pain, lower back pain, sciatic pain
This program is recommended for the treatment of back pain. The massage
effect provides a comfortable and pleasant stimulation. The so called Gate Control reflex
which is achieved through this kind of stimulation is a natural reflex that you achieve e.g.
by rubbing a painful area with your hands to calm acute pain. To achieve the massage
effect it is essential to use both channels of the TENS unit.
50%
I
mA
t
s
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schwa-medico TENS eco 2
Program 11 + 23: Gate control dynamic fast
The intensity continuously changes. It increases within 0.25 s to the maximum intensity
and decreases within 0.25 s to 50% of the maximum intensity. Both channels operate
alternately (massage effect). See illustration program 10.
Frequency: 80 Hz
Pulse width: 150 μs
Intensity modulation: 0.25 s rise, 0.25 s fall
Therapy time: 30 min (1 to 99 min)
Indications: Heavy legs (venous return)
Program 11 is similar to program 10, but the movement of the massage waves is faster. It
is used to improve the venous return for patients who suffer from heavy legs. To achieve
the massage effect it is essential to use both channels of the TENS unit.
Program 12 + 24: Deep TENS
Program 12 works just like program 1. However, instead of just one pulse, four short pulse
of 75 μs are generated with a pause of 200 μs between each pulse. 100 pulse packages
aregeneratedperseconds(carrierfrequency=100Hz).
Frequency: 100 Hz
Pulse width: 75 μs
Modulation: four pulses in a group, duration of periods 275 μs
Therapy time: 30 min (1 to 99 min)
This program could be called the last recourse if none of the other programs give analgesic
effect. However, because of the high frequency this program is often felt as less pleasant.
Furthermore, high frequency stimulation needs more battery power.
Intensity
Time
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schwa-medico TENS eco 2
General information
Adjustments, modifications and repairs
The manufacturer is only responsible for the safety and performance of the TENS eco 2
when readjustments, alterations and repairs are carried out by authorised persons and
when the TENS eco 2 is used in accordance with the operating instructions.
Warranty
Legal right of warranty is applied according to German Civil Code.
Guarantee
The manufacturer issues a guarantee of 12 months from the date of purchase.
The guarantee does not apply in the following cases:
- damage due to improper handling
- defects the customer is aware of on the date of purchase
- damage caused by the customer
- for wearing parts and consumable supplies like, for instance, electrodes,
batteries and cables
Maintenance and cleaning
No special cleaning or care agents are required for the TENS eco 2. Clean the TENS unit
with a soft, fluff-free cloth. Please ensure that no moisture permeates the TENS unit.
If moisture does permeate the TENS unit, a technical check must be carried out before
re-use.
Classification
In accordance with the Law on Medical Devices, the TENS eco 2 is classified as being a
Class IIa medical device.
Delivery content
Art.-No. Article Quantity
104062 TENS eco 2 1
106351 Cable Type 5.15 2
283400 Self-adhesive electrodes 50x50 mm (4 pieces) 1
104776 Charger 3PN0508S EU 1
Transportation bag 1
101446 Operating manual 1
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schwa-medico TENS eco 2
Accessories
The following accessories can be combined with the TENS eco 2. The manufacturer
cannot guarantee the security of the TENS eco 2 if it is not used with original
accessories.
Stimex self-adhesive electrodes
Art. No. Article Pieces
281000 Stimex 32 mm round 4
282000 Stimex 50 mm round 4
283400 Stimex 50x50 mm 4
281032 Stimex 50x50 mm 20
283600 Stimex 50x90 mm 2
283000 Stimex 50x130 mm 2
283100 Stimex 80x130 mm 2
281027 Stimex sensitive 50x50 mm 4
Silicone electrodes (to be used with contact gel)
Art. No. Article Pieces
107090 Silicone electrode 20 mm round 2
107010 Silicone electrode 48x48 mm 2
107050 Silicone electrode 70x65 mm 2
107009 Silicone electrode 100x100 mm 2
108000 Contact gel for silicone electrodes (60 g) 1
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schwa-medico TENS eco 2
MedicoBack: for the treatment of low back pain
Low back support bandage with pelotte and integrated electrodes to be used with
pain management programs of the TENS eco 2.
MedicoBack P-type offers patients lumbar vertebrae stabilization and support as
well as easy stimulation provided by the integrated electrodes. The pelotte with
its massage nubs enhances the pain relieving effect. MedicoBack P-type may be
used for slight or acute pain as well as for chronic pain in the lower back area.
Art. No. Article Size Length
107034 MedicoBack P-type S 80 - 90 cm
107036 MedicoBack P-type M 90 - 100 cm
107037 MedicoBack P-type L 100 - 110 cm
107038 MedicoBack P-type XL 110 - 120 cm
107039 MedicoBack P-type XXL 120 - 130 cm
Stimex garment electrodes: gloves and socks
The gloves and socks used in combination with the TENS eco 2 provide stimulation
of the entire hand and/or foot and ankle and avoid the sometimes tiresome
attachment of self-adhesive electrodes on the hand or the foot.
Gloves
Art. No. Article Size Pair
107014 Stimulation gloves S 1
107021 Stimulation gloves M 1
107022 Stimulation gloves L 1
Socks
Art. No. Article Size Pair
107023 Stimulation socks M 1
107024 Stimulation socks L
Charger 3PN0508S EU (Art.-Nr. 104776)
Cables Type 5.15 (Art. No. 106351)
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schwa-medico TENS eco 2
Reference sheet for battery retraction and disposal
In connection with the sales of products which contain batteries or rechargeable batteries,
we are obliged by law (battery law § 18, section 1) to advise you of the following:
The dustbin symbol ( ) marks batteries with hazardous substances as well as the
circumstance that batteries must not be disposed of in the household waste but
professionally. The chemical term of the hazardous substance is below the dustbin symbol.
You are obliged by law to return used batteries.
You may render used batteries at municipal collecting points or in local trade. We are also
obliged to take back used batteries, whereat our obligation restricts to those which are or
were part of our product range.
Therefore, you may send back used batteries to us adequately stamped by mail or render
these at our warehouse free of charge at the following address:
schwa-medico GmbH, Wetzlarer Str. 41-43, 35630 Ehringshausen, Germany
Please refer to the following figures to see the respective symbols of batteries with
hazardous substances:
Battery contains more than 0.002 % cadmium
Battery contains more than 0.0005 % quicksilver
Battery contains more than 0.004 % plumb
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Examples of electrode placements
Back pain
Shoulder pain
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schwa-medico TENS eco 2
Epicondylitis radialis Epicondylitis ulnaris
Arthrosis (hip) Kaada stimulation (1 channel only)
right handed left handed
Blue
Red
Blue
Red
Sciatic pain
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