StimTec TARGET User manual

PRESCRIBING INFORMATION
FOREWORD
Read this manual carefully before using your StimTec
TARGET unit.
The manufacturer strongly recommends carefully reading
the “Warnings and Cautions”, and subsequent chapters of
this manual.
WARNINGS AND CAUTIONS
Contraindications:
1. Do not use this device if you have a cardiac
pacemaker, implanted defibrillator, or other
implanted metallic or electronic device, because this
may cause electric shock, burns, electrical
interference, or death.
2. Do not use this device if your pain syndromes are
undiagnosed.
WARNINGS
1. Do not apply stimulation over your neck or mouth
because this could cause severe muscle spasms
resulting in closure of the airway, difficulty in
breathing, or adverse effects on heart rhythm or
blood pressure.
2. Do not apply stimulation across your chest, because
the introduction of electrical current into the chest
may cause rhythm disturbances to your heart, which
could be lethal.
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3. Do not apply stimulation over open wounds or rashes,
or over swollen, red, infected, or inflamed areas or
skin eruptions (e.g., phlebitis, thrombophlebitis,
varicose veins).
4. Do not apply stimulation over, or in proximity to,
cancerous lesions.
5. Do not apply stimulation in the presence of electronic
monitoring equipment (e.g., cardiac monitors, ECG
alarms), which may not operate properly when the
electrical stimulation device is in use.
6. Do not apply stimulation when you’re in the bath or
shower.
7. Do not apply stimulation while you are sleeping.
8. Do not apply stimulation while you are driving,
operating machinery, or during any activity in which
electrical stimulation can put you at risk of injury.
9. Consult with your physician before using this device,
because the device may cause lethal rhythm
disturbances to the heart in susceptible individuals.
10. Apply stimulation only to normal, intact, clean,
healthy skin.
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PRECAUTIONS
1. TENS is not effective for pain of central origin,
including headache.
2. TENS is not a substitute for pain medications and
other pain management therapies.
3. TENS devices have no curative value.
4. TENS is a symptomatic treatment and, as such,
suppresses the sensation of pain that would
otherwise serve as a protective mechanism.
5. The long-term effects of electrical stimulation are
unknown.
6. Since the effects of stimulation of the brain are
unknown, stimulation should not be applied across
the head, and electrodes should not be placed on
opposite sides of the head.
7. The safety of electrical stimulation during pregnancy
has not been established.
8. Some users may experience skin irritation or
hypersensitivity due to the electrical stimulation or
electrical conductive medium (gel).
9. Users with suspected or diagnosed heart disease
should follow precautions recommended by their
physicians.
10. Users with suspected or diagnosed epilepsy should
follow precautions recommended by their physicians.
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11. Use caution if you have a tendency to bleed
internally, such as following an injury or fracture.
12. Use caution following recent surgical procedures
when stimulation may disrupt your healing process.
13. Use caution if stimulation is applied over the
menstruating or pregnant uterus.
14. Use caution if stimulation is applied over areas of
skin with less than normal sensitivity.
15. Keep this device out of the reach of children.
16. Use this device only with the leads, electrodes, and
accessories recommended by the manufacturer.
ADVERSE REACTIONS
·Users may experience skin irritation and burns beneath
the stimulation electrodes applied to the skin.
·Users may experience headache and other painful
sensations during or following the application of
electrical stimulation near the eyes and to the head
and face.
·Users should stop using the device and should consult
with their physicians if they experience adverse
reactions from the device.
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GENERAL WARNINGS
1. Do not immerse any part of the unit in water.
2. Do not place the unit close to excessive heat.
3. Do not use any electrodes which are less than
50mm X 50mm.
4. Use only the specified batteries: 2x 1.5volt AA
Alkaline (LR6). The use of any other battery could
damage the unit.
5. Remove battery if unit is not used for a long period of
time.
6. Do not use the unit while asleep.
7. Keep the unit away from sources of high magnetic
fields such as TV’S, microwave ovens, and hi-fi
speakers, as these may affect the LCD screen.
8. Temperature & Relative Humidity of storage:
-20°C–+40°C, 8%--70% R.H.
9. Temperature & Relative Humidity of transportation:
-20°C–+40°C, 8%--70% R.H.
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CONTENTS
Prescribing Information………………………..…… 1
Contents …...……………………….…………..….. 6
Operating Instructions ….………….……………… 7
Instruction for Use……………….…………..…….. 8
How toAssemble Your Unit…………….….……… 9
After Use…....……………………….….…..….…… 13
Operation of the STIMTECTARGET Unit……..... 14
Specifications……………….…..………..…..…….. 18
Other Features…………………………...…....…… 21
Electrodes Placement…………………...………… 24
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OPERATING INSTRUCTIONS
INTENDED USE
The StimTec TARGET combines the treatment
capabilities of a TENS device and EMS or NMES device
all in one unit.
TENS stands for Transcutaneous Electrical Nerve
Stimulation. The TENS settings are used to provide
symptomatic pain relief for chronic, acute or
post-operative pain.
EMS stands for Electrical Neuromuscular Stimulation.
The EMS settings are used to provide a muscular training
for localized regeneration and muscular hypertrophy.
HOW DOES T.E.N.S. WORK
Transcutaneous Electrical Nerve Stimulation (TENS)
is believed to work by stimulating your body's own natural
defenses against pain. The unit produces a gentle
stimulus that is communicated through electrodes
normally placed over the area of pain. This stimulus helps
the body to produce natural pain relievers called
endorphins.
The correct positioning of the electrodes is important and
recommend correct placement through experimentation.
Some people feel immediate benefit from EMS/TENS,
however some may only achieve benefit after repeated
treatment sessions and over an extended period of time.
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HOW DOES E.M.S. WORK
Electrical Neuromuscular Stimulation (EMS) is
believed to work by stimulating the muscles with electrical
impulses. When the muscle receives impulses, it
contracts as if the brain has sent the signal itself. As the
pulse strength increases, the muscle flexes as in physical
exercise. Then when the pulse ceases, the muscle
relaxes and the cycle is repeated.
INSTRUCTIONS FOR USE
Your StimTec Target unit has been designed to be simple
and easy to use.
CONTENTS IN THE PACK
Your StimTecTarget pack should contain the following:
•1 StimTec Target Unit
•2 Leads
•4 SelfAdhesive Electrodes with Connectors
(Size: 50mm 50mm)
•2 1.5VAlkalineAA(LR6) Batteries
•1 User Manual
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HOW TO ASSEMBLE YOUR UNIT
Assembly of the StimTec TARGET Unit is very simple and
requires only five steps.
STEP 1 BATTERY
Remove the battery cover and insert the battery, as
shown on the diagram inside the battery compartment.
Replace the battery cover.
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CAUTION
There is a risk of explosion if the batteries are fitted
incorrectly. Do not dispose of the batteries in a fire and
keep them out of reach of children. The batteries must
be removed from the unit if unit is not used for a long
period of time.
STEP 2 LEADS
If only using one lead, insert into one jack. If using two
leads, insert into both jacks.
Channel1 Channel 2
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STEP 3 ELECTRODES
Remove electrodes from the bag and connect to the
leads.
5
6
7
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STEP 4 PLACEMENTS OF ELECTRODES
Ensure wherever you intend to place the electrodes, the
skin is clean and thoroughly dry. Remove the electrodes
from the clear plastic shield and position on your body as
required.
8
9
STEP 5 READING
Read “Operation of the StimTec TARGET Unit” on page
14, and decide how to use the unit for the treatment.
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NOTE: AFTER USE
Always ensure that the unit is switched OFF before
removing the electrodes. After use, return the electrodes
to the clear plastic shields. There is no need to separate
the lead wires from the electrodes.
10
Life of the electrodes: When the electrodes initially lose
their adhesive quality, it is possible to reactivate their
adhesiveness by applying a fine spray of water. Replace
the electrodes when they lose their adhesive quality in
order not to affect the efficiency of the unit.
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OPERATION OF THE STIMTEC TARGET UNIT
StimTec Target Unit is easy to operate using the keys
shown in the following diagram.
WHAT DOES EACH KEY DO
This key switches the unit on or off. Press once
and the unit is on, the LCD display located at the front of
the unit will light up, there will be no feeling from either
lead at this point as the intensity always starts at zero.
Press this key again and the unit will switch off.
There are two stimulation types available with the
StimTec TARGET (TENS & EMS).
Press and hold the “Prog” key at least 3 seconds, to
switch between TENS – EMS. The symbol “TENS”, and
“EMS”will display on the LCD accordingly.
Once the stimulation type is selected, press the “Prog”
key to select the related programs.
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There are a total of 33 programs available:
For TENS treatment:
Program 0-11 --- TENS Preset programs
Program 12-19 ---TENS Manual programs
For EMS treatment:
Program 20-29 --- EMS Preset programs
Program 30-33 --- EMS Manual programs
In EMS preset modes (Prog 20- Prog 29) the treatment
status symbols below will be displayed.
Pressing these two keys to go through and
select the following parameters one by one (manually
selectable only):
TENS Manual Mode(P12-P19) :
FREQUENCY (Hz)
PULSE WIDTH (μs)
Waveform
Treatment Timer (min)
EMS Manual Mode(P30-P33) :
FREQUENCY (Hz)
PULSE WIDTH (μs)
Waveform
Treatment Timer (min)
SYNCHRONOUS/ALTERNATING
ON TIME (sec)
OFFTIME (sec)
RAMP UPTIME (sec)
RAMP DOWN TIME (sec)
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When one of the above parameters has been selected,
the corresponding digits or letters or symbols on the LCD
are flashing, then you can use “+” or “–” key to adjust that
parameter value. Press a “MENU” key to save the value
and skip to the next parameter setting. If there is no input
detected within 5 seconds, the unit will automatically save
the value you last set as the treatment parameter.
When MENU (▲/ ▼) key is pressed, the output level
goes immediately to zero.
By pressing “+” or “–” keys you can increase
or decrease the value of the parameter which has been
selected by the “MENU” keys and is now flashing. An
auto-repeat function is available; when +/- key is held
down over 1 second, the value of the parameter will
increase/decrease 1 step per 1/4 second until the key is
released.
Pressing this key will pause the current
treatment. When the unit is paused, the intensity level
goes down to zero, and “►II” is displayed on the LCD. To
continue, press the key again. The treatment will
continue at the same intensity and progress prior to being
paused.
Press and hold this key for at least 3 seconds to
LOCK or UNLOCK parameters. When the unit is locked,
only intensity and treatment timer can be adjusted.
The symbol displayed on the LCD screen indicates
that the unit is locked.
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For TENS preset modes (Prog 0- Prog 11), if a
preset mode is working, press this key to skip a phase
(sub-programs ⒶⒷⒸ). For EMS preset modes
(Prog 20- Prog 29), if a preset mode is working, press this
key to choose the treatment status.
The treatment status symbols below will be displayed
automatically base on the choice of the user:
WARM-UP
FORCE 1
AEROBIC
EXERCISE FORCE 2
TONING
FAST FORCE
HARDENING EXPLOSIVE
FORCE
RESISTING
FORCE
PROGRESSIVE
RECUPERATION
These two rotated knobs located on the top
of the unit adjust the intensity of channels, the left side is
for Ch1, and the right side is for Ch2. Turn the knob and
the intensity over zero, the corresponding LED light
located at the top of the knob will light up.
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SPECIFICATION
Model: StimTec Target
Channel: Dual
TENS:
Intensity 0-150mAzero to peak at 500ohm load
Frequency 1-150 Hz
Pulse width 50, 60, 70, 80, 90, 100, 110, 120, 130,
140, 150, 160, 170, 180,190, 200, 210,
220, 230, 240, 250μs
Waveform Symmetrical bi-phase rectangular,
Asymmetrical bi-phase rectangular,
Mono-phase positive rectangular,
Mono-phase negative rectangular,
Alternated bi-phasic rectangular
Treatment timer Continuous, 15, 30, 45, 60, 90min
The PRESET program applies a sequence of 3
sub-programs ⒶⒷⒸ, optimized to treat the specific
pain situation. The characters Ⓐ, Ⓑor Ⓒwill flash,
showing the phase in use or will be ON to show the
completed phase.
Mode Constant A – Both Pulse Rate and Pulse Width
are adjustable. Default values are PR=3Hz and
PW=250μs characterized by a de-contraction effect. Use
this program if you want to relax the painful area. The
stimulation level must be set to produce a gentle
muscular contraction.
Mode Constant B – Both Pulse Rate and Pulse Width
are adjustable. Default values are PR=10Hz and
PW=150μs characterized by an endorphins stimulating
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effect. Use this program if you want produce endorphins
at the painful area. The stimulation may reach the
muscular contraction level. If the Pulse Rate will be
increased, the stimulation level must be set to avoid the
muscular contraction.
Mode Constant C – Both Pulse Rate and Pulse Width
are adjustable. Default values are PR=70Hz and
PW=50μs characterized by an endorphins stimulating
effect through the Gate-control mechanism. Use this
program in case of ACUTE PAIN. The stimulation level
must be set to avoid the muscular contraction.
Mode MODulation SW (A)– Pulse Rate Sweep
modulation. Pulse Rate is automatically modulated within
F1=50Hz and F2=80Hz (adjustable); each frequency step
will last 1 sec. F2 can be changed only if the intensity
level of both channels are set to 0. The Pulse Width is
200μs (adjustable from 50μS to 250μS).
Mode MODulation 2F (B) – Pulse Rate Dual
Frequencies modulation. Pulse Rate is automatically
changed every 5 seconds, between F1=70Hz (adjustable)
and F2=5Hz. F1 can be changed only if the intensity level
of both channels are set to 0. The Pulse Width is 50μs
(adjustable from 50μS to 250μS).
Mode Burst A – 3 second Burst sequence = 1s on, 2s off.
Both Pulse Rate and Pulse Width are adjustable. Default
values are PR=30Hz and PW=250μs. The stimulation
level must be set to produce a gentle muscular
contraction.
Mode Burst B – 1.5 second Burst sequence = 0.5s on,
1s off. Both Pulse Rate and Pulse Width are adjustable.
Default values are PR=50Hz and PW=200μs. The
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stimulation level must be set to produce a gentle
muscular contraction.
Mode Burst C – 0.75 second Burst sequence = 0.25s on,
0.5s off. Both Pulse Rate and Pulse Width are adjustable.
Default values are PR=100Hz and PW=150μs. The
stimulation level must be set to produce a gentle
muscular contraction.
EMS:
Intensity 0-130mAto peak at 500ohm load
Frequency 1-110 Hz
Pulse width Positive phase: 50-400μs, in steps of
50μs
Waveform Symmetrical Bi-Phasic rectangular,
AlternatedBi-Phasicrectangular
Ramp up time 0-5s in steps of 1s
Ramp down time 0-5s in steps of 1s
On time 1-60s in steps of 1s
Off time 0-60s in steps of 1s
Treatment timer Continuous, 10, 20, 30, 45, 60, 90min
Program 30-33 (manual) – When using ALTERNATING
Frequency, ensure that the “Ramp up Time”, “On Time”,
and “Ramp down Time” equals “Off Time”.
Ramp Up + OnTime + Ramp Down = OffTime
The will appear on your screen if this formula is not
followed in EMS manual mode.
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