Tens Hi-Dow Planning guide

The TENS+ Company Ltd.
Units C,D and E, 2nd Floor Albert Mill, Compstall Mill Estate, Andrew Street, Compstall, Stockport, SK6 5HN.
Tel: [phone] Fax: [phone] Email: [e-mail] www.tensmachineuk.com
Company registration number 08961942 Vat registration number 184 9281 69
The TENS
company
+

Hi-Dow
Wireless TENS & EMS System
Instruction & ser Manual
Please read this user manual before using this device

Contents
GENERAL DESCRIPTION 4
WARNINGS & PRECA TIONS 5
INTROD CTION TO TENS 6
CONTENTS & GENERAL INFORMATION 8
INSTR CTIONS FOR SE 10
STEP BY STEP TREATMENT 11
PROGRAMME CHOICE AND TREATMENT RECOMMENDATIONS 13
ELECTRODE PLACEMENT 14
TRO BLESHOOTINGS 15
MAINTENANCE, TRANSPORTATION
AND STORAGE OF TENS DEVICE 16
TECHNICAL SPECIFICATIONS 17
PATIENT ACCESSORIES 18
3

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GENERAL DESCRIPTION
The Med-Fit Wireless TENS/EMS System is a battery operated wireless pulse
generator that sends electrical impulses from a REMOTE control to RECEIVER
(round) with ELECTRODE attached to them that are placed on the body to
stimulate the nerves causing pain. When this happens, the nerves “FEEL” gentle
electrical sensations instead of the pain.
The Wireless REMOTE controls the ON/OFF of the system, the INTENSITY and the
MODE functions of the RECEIVER.
The RECEIVER with the electrode attached to it adheres easily and firmly to the
skin. Because the System is Wireless - Needing No Lead Wires - you must use
only Med-Fit SNAP PIN Electrodes.
Lead wire electrodes will not work with this Wireless system.

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WARNINGS & PRECA TIONS
PLEASE NO E:
It is imperative that patients read and understand the warnings and precautions
before using this device. Do not allow your machine or electrodes to be used by
anyone else, as they are designed for single patients use only. It is recommended
that proper medical advice on the use of TENS is sought from a Qualified
Practitioner (Physiotherapist, Doctor or Nurse) prior to use, in order to ensure
safe and effective treatment. If you are taking any medication please carry on as
normal but seek advice from your Doctor/Healthcare Professional before using
the device.
WARNING! PA IEN S WI H PACEMAKER MAY NO BE REA ED WI H ENS
• Do not use during pregnancy except during labour
• Do Not place electrodes over the Carotid Sinus
• Do Not use on broken or damaged skin
• Do Not place electrodes close to the eyes or in the mouth.
• Do Not use TENS whilst driving or operating machinery.
ens is unsuitable and should not be used in the following situations.
• Persons suffering from conditions where the circulation is impaired.
• Epilepsy, Heart Condition or any form of Malignancy.
• Patients with poor skin sensation and non-compliant patients who are
emotionally disturbed or have dementia.
• Over metal implants or in conjunction with sleep apnea or heart monitors.
You should be aware that TENS units provide symptomatic relief only and are not
considered curative.

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INTROD CTION TO TENS
What is ENS?
Transcutaneous electrical nerve stimulation is a pain control treatment. It is often
called TENS for short.
A TENS unit is a portable, pocket-sized, battery-powered device.
The TENS unit uses mild, safe electrical signals to help control pain and delivers
the electrical signal to the body through a connection of a lead wire and self
adhesive conductive electrode.
How does ENS work?
The most common TENS programs use
high-frequency stimulation, which is the first
choice for both acute and chronic pain.
High-frequency stimulation sends impulses
to the nervous system’s own pain-inhibiting
mechanisms, which block the pain.You can
use it as often and as long as you like, but
each treatment should last at least 1 hour.
Another type of TENS is low-frequency
stimulation. Low-frequency TENS treatment
can alleviate pain by stimulating muscles to
release the body’s own morphine-like
substances, endorphins.
Place the electrodes on a muscle in the
painful area so that a visible contraction
occurs.
SKIN
NERVE
MUSCLE

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INTROD CTION TO TENS
During the ENS treatment
If your muscles start to twitch. This may mean that the TENS signals are too
strong or too fast. If you cannot feel any tingling at all. This may mean that the
signal is too weak or too slow.
The electrodes should be removed at least once a day if the TENS treatment is
used around the clock. The skin under the electrodes must be checked to see if it
is red or tender. The skin should also be cleaned and dried while the electrodes
are off. Put lotion on your skin where the electrodes were placed. The electrodes
should be put in a new place for each new treatment. This will help prevent the
skin from becoming red or sore.
ENS can be used for
TENS can be used to treat most types of pain where the cause has been
determined including:
• Arthritis Period Pains
• Back Pain Post Herpatic
• Bruising Neuralgia
• Calf Strain Pregnancy/
• Dead Leg Labour Pains
• Fibrositis Finger Pain
• Rheumatism
• Sciatica
• Headaches
• Migraines
• Shoulder Pain
• Sleeplessness
• Knee Pain Spondylosis
• Lumbago Muscle
• Stress
• Sports Injuries
• Tennis Elbow
• Neck Pain Tenosynovitis
• Neuralgia Wrist Pain
• Osteo-arthritis

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CONTENTS & GENERAL INFORMATION
Please check carefully the contents of the Hi-Dow wireless TENS
1. Remote Control Unit
2. White TENS Module
3. Black TENS Module
4. AC adaptor
5. USB and AC Adaptor Charging Leads x2
6. Self Adhesive Electrode x4
7. Self Adhesive Electrode (Lumbar)
8. Instruction & User Manual
Long
Lasting
Pads
Long
Lasting
Pads
Intensity
Intensity
Channel
Mode
32
4
5
6
6
8
11

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CONTENTS & GENERAL INFORMATION
Battery Charging
Please fully charge the batteries in both the remote unit and TENS modules
before using this device.
Charging the Remote Using the AC Adaptor
Connect the small end of the USB cable to the remote and
the larger end to the AC adaptor (as shown in Fig 1)
Plug the adaptor into any standard mains socket.
When the remote has finished charging the battery icon
indicates full.
Charging the ENS Modules
Connect the USB cable as already described to the TENS
modules and plug the AC adaptor into any mains socket.
A red light indicates the TENS module is now charge
mode, once fully charged the red light will go out
indicating that the TENS module is fully charged.
Charging your devices via a computer USB port
You may charge your TENS remote and tens modules
through a computer by using the USB port (See Fig 2).
Please note your computer must be switched on to
perform this function.
Fig 1
Fig 2

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INSTR CTIONS FOR SE
he Remote Control Features and Functions
Switch remote on by pushing the small black control on the left hand side of the
remote the display will show as seen in Fig 4.
There are four modes or treatments settings available M1, M2, M3, and M4. By
pressing the M button on your remote will change the mode from M1 through to
M4 (an explanation of the choice of modes is under section ???)
Pressing the C button changes the display from 1,2 or 3 for example
This setting would indicate the remote is set for m mode/programme 1 and TENS
module 1.
Intensity Controls
Pressing the + or - buttons will increase and decrease the intensity level and is
displayed as shown.
Please note you can only increased and decreased the intensity once you have
turned on your TENS module you are now ready to use your TENS device.
Please follow these simple steps for your first TENS treatment.
Battery charge condition
C1 = TENS Module
Mode or programme settings
Intensity level

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STEP BY STEP TREATMENT
Set up guide
Switch on the remote unit and the white (no1) TENS module.
( reen Light Indicates the unit is on).
Connect either the large lumbar electrode or two pad
electrodes to the module as shown
Now firmly place the unit on to the painful site of your body to be treated see
examples shown.
Please start by using
Mode/Programme 1 and c1 as displayed on the remote. Now press the + button
until the sensation is strong but pleasant,
Do not over stimulation by increasing the intensity level which is uncomfortable.
Mode/programme, 1 is the ideal setting for pain block and is recommended as you
start up programme.
It is advised to use this programme for the first 3 to 4 days for a minimum of one
hour per session with 3 to 4 sessions per day. You may increase the length of time
per session if required to block pain as required.

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STEP BY STEP TREATMENT
Set up for using two ENS modules
This unique TENS device allows you to treat larger areas or two different body
parts at the same time see examples
To use a second TENS module (Black TENS Module Number 2)
simply press the M button on your remote so that the display shows.
Connect the self adhesive electrodes to the black module
and place over the painful site.
Switch the module on (a green light will be displayed).
Now increase the intensity as already described
previously.
You should now have two modules treating simultaneously
to switch off the TENS modules first turn down the
intensity using the [-] button, now turn the remote unit off
by using the ON/OFF button.
Carefully remove the TENS modules from the treatment
site switch of the TENS modules and place the self
adhesive electrodes back on to the plastic protective film.

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PROGRAMME CHOICE AND
TREATMENT RECOMMENDATIONS
Four programme modes for fast effective pain relief
All modes are set with 30 minute treatment times. Simply switch the TENS
module on to re-start a 30 minute treatment session
Programme / Mode 1
High Frequency Pain Block Stimulation. This is the recommended programme to
use for the first 3 to 4 days as it is clinically proven for effective pain relief with
comfortable stimulation
Programme / Mode 2
High frequency pulsed pain block stimulation
Programme / Mode 3
Low frequency stimulation initiates increased endorphins release in the body to
reduce. We suggest using programme / Mode 2 or 3. After the first 3 or 4 days as
these programmes may help to provide extra pain relief
Programme 4
Mixed frequency stimulation this programme offers a combination of programmes
/ Mode 1, 2 and 3. It is recommended to use this mode for long term use, as mixed
frequency stimulation reduces the effect of accommodation.
NO E
Electrical stimulation is felt differently by each person and some programmes
/ Mode may work better for some of your conditions than others please try all
four modes for your pain condition to see what works best for you.

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ELECTRODE PLACEMENT
Knee Pain - Post-Op Degenerative Arthritis - Knee Pain
Elbow & Forearm Pain Lower Leg Pain
Carpal Tunnel Syndrome Wrist Pain
Low Extremity Pain
Sciatica
Phantom Limb, Lower Extremity
Hip Neuralgia
Chronic Hip Pain Low Back Pain
Shoulder Pain Degenerative Arthritis: Cervical and Lumbar
Chronic Cervical Strain Frozen Shoulder
Cervical Pain
Chronic Cervical Spine Pain (Postlaminectomy)

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TRO BLESHOOTINGS
1. The REMOTE is not turning on or I can’t see anything on the screen.
• Make sure the REMOTE has been fully charged.
2. The power light of RECEIVER flashes continuously.
• Charge the RECEIVER soon or it will turn off automatically.
3. The REMOTE and/or RECEIVER do(es) not seem to be charging.
• Ensure the USB cable is firmly in the REMOTE/RECEIVER on one side and
plugged into the AC adapter into the electrical socket on the other side -
Isolate whether there is a problem with the AC adapter by plugging the USB
cable from the REMOTE/RECEIVER into a computer.
4. Adhesive electrode pads do not stick to skin even after cleaning and moistening
their surface.
• Replace the adhesive gel pads. Pads can be purchased from your distributor
or from www.thetenscompany.co.uk.
5. During use the skin feels a painful burning sensation or the stimulation
becomes weakened.
• Apply a few drops of water to adhesive surface of the pads and make sure the
pads are pressed firmly to the skin during application.
6. When pressing M” (Mode) and “+” “-“(Intensity adjustor) of the REMOTE, there
is no any reaction.
• Make sure both REMOTE and RECEIVERS are turned on, and the Channel
number matches the RECEIVER number correctly.
• If still no any reaction, the user should match the REMOTE and RECEIVERS as
to following steps: Press the “C” button on the REMOTE for more than 3
seconds, you will see “C” and Number (1, 2 or 3) flashing, and then quickly
double click the power switch of the RECEIVER. At this moment, you could see
the Number on the REMOTE stops flashing, which means this RECEIVER is
matched successfully. And also you could match the other RECEIVERS as to the
above steps.
7. The REMOTE can’t control the RECEIVER well.
• Make sure the distance between the REMOTE and RECEIVER is less than 10
meters under the open environment.

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MAINTENANCE, TRANSPORTATION
AND STORAGE OF TENS DEVICE
1. Non-flammable cleaning solution is suitable for cleaning the device.
Note: Do not smoke or work with open lights (for example, candles, etc.) when
working with flammable liquids.
2. Stains and spots can be removed with a cleaning agent.
3. Do not submerge the device in liquids or expose it to large amounts of water.
4. Return the device to the carrying box with sponge foam to ensure that the unit
is well-protected before transportation.
5. If the device is not to be used for a long period of time, remove the batteries
from the battery compartment (acid may leak from used batteries and damage
the device). Put the device and accessories in carrying box and keep it in cool
dry place.
6. The packed EMS device should be stored and transported under the
temperature range of -20°C ~ + 60°C, relative humidity 20% ~ 95%, Atmosphere
pressure 500hPa ~ 1060hPa.

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TECHNICAL SPECIFICATIONS
Channels: Dual channel
Waveform: Asymmetric biphasic square pulse.
Pulse Amplitude: 0~110mA = 0~55 volts, adjustable (at 500 ohm load)
Pulse Frequency: (Hz) 3-140
Pulse Width: (µs) 110 - 260
Power Supply: Lithium ion rechargeable battery (internally powered)
Device: Lithium ion rechargeable battery
Remote Control: Lithium ion rechargeable battery
Modulation Modes:
Mode 1 = Pulse Width and Pulse Rate Modulations
Mode 2 = Pulse Width and Amplitude Modulations
Mode 3 = Pulse Rate and Amplitude Modulations
Mode 4 = Pulse Rate, Pulse Width and Amplitude Modulations
Size:
Remote
Weight(including battery): 6oz
Receiver 2“ round
Safety Standards: IEC/EN/UL 60601-1, IEC/EN 60601-1-2, IEC 60601-2-1, CAN/CSA C22.2
No. 601.1, EN 300200 / EN 301498-3
Atmospheric Pressure
Limitations
1060
hPa
500
hPa
Temperature
Limitations
104ºF
40ºC
50ºF
10ºC
Humidity
Limitations
85%
30%
1083
European
Conformity European
Directive
2002/96/EC
Type BF
Applied Part
EC REP
Physio-Stock
Stockport
UK
Limitations of Use and Storage

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PATIENT ACCESSORIES
ENS Self-Adhesive
Back Electrode
Code: SA-300
1 electrode Per Pack
£5.95
Standard ENS Self-Adhesive
Electrode
Code: SA-310
4 electrodes Per Pack
£5.95
Regular ENS Self-Adhesive
Electrode 5x5cm
Code: SA-320
4 electrodes Per Pack
£4.99
Large ENS Self-Adhesive
Electrode 9x5cm
Code: SA-330
4 electrodes Per Pack
£6.99

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