TensCare Elise 2 User manual

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INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

1
QUICKSTART GUIDE
Read instructions for use and warnings carefully prior to use.
Go to the toilet before use. Choose a
comfortable position, such a leaning back or
lying down on your bed with your knees raised.
Connect the unit with the vaginal probe
Firstly, test the unit with the probe in your hand–hold
the probe tightly, covering as much of the metal plates
on the probe with your skin. Then insert the vaginal
probe (lubricate with a water-based lubricant or
water)
Press and hold the ON button to switch the device on
Regulate the output intensity with +and -
Press and hold the OFF button to switch the device off
ON
Button P
UP
DOWN
OFF
Select the programme by pressing the button P
1
2
3
4
5
6

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Dear Customer,
Thank you for choosing the TensCare Elise 2. TensCare stands for high-
quality, thoroughly tested products for the applications in the areas of
gentle electrotherapy, muscle toning, continence management and pain
relief during labour.
Please read these instructions for use carefully and keep them for later
use and observe the information they contain.
Best regards,
Your TensCare Team

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Contents
1. INTRODUCTION ................................................................................................. 6
2. INTENDED USE .................................................................................................. 6
3. ELISE 2 FEATURES ........................................................................................... 6
4. PELVIC FLOOR EXERCISES ............................................................................. 7
4.1. PELVIC FLOOR MUSCLES ...................................................................... 7
4.2. PERFORMING PELVIC FLOOR EXERCISES .......................................... 8
5. TYPES OF INCONTINENCE............................................................................... 9
6. HOW ‘EMS’ WORKS ......................................................................................... 10
7. CONTRAINDICATIONS, WARNINGS & CAUTIONS ........................................ 11
8. INFORMATION ABOUT THE PROGRAMME SETTINGS ................................ 14
9. PROGRAMMES ................................................................................................ 14
9.1 PROGRAMME SETTINGS ...................................................................... 14
9.2. PRESET PROGRAMMES ....................................................................... 14
10. CONTENT ......................................................................................................... 16
11. UNIT INFORMATION ........................................................................................ 17
11.1. CONTROLS & DISPLAY ......................................................................... 17
11.2. OPERATING INSTRUCTIONS................................................................ 18
12. SETTING UP AND USING THE ELISE 2 .......................................................... 20
12.1. CHARGING THE BATTERY.................................................................... 20
12.2. CONNECTING LEAD WIRE .................................................................... 21
12.3.PREPARING FOR SESSION .................................................................. 21
12.4. TRAINING SESSION............................................................................... 22
12.5. AFTER YOUR TRAINING SESSION....................................................... 23
13. ANAL PROBE.................................................................................................... 24
13.1. CONDITIONS THAT MAY BE TREATED................................................ 24
13.2. HOW TO INSERT THE ANAL PROBE .................................................... 24
14. CLEANING ........................................................................................................ 25
15. EMC................................................................................................................... 25
16. DISPOSAL......................................................................................................... 26
17. ACCESSORIES................................................................................................. 26
18. WARRANTY ...................................................................................................... 27
19. TROUBLESHOOTING....................................................................................... 29
20. GENERAL SPECIFICATION ............................................................................. 31

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SYMBOLS USED
Attention! Please follow the instructions in the user’s instructions for use.
TYPE BF EQUIPMENT: Equipment providing a degree of protection against
electric shock, with isolated applied part. Indicates that this device has
conductive contact with the end user.
This symbol on the unit means “Refer to instructions for use”.
Temperature Limitation: indicates the temperature limits to which the medical
device can be safely exposed.
Humidity Limitation: indicates the humidity limits to which the medical device can
be safely exposed.
Atmospheric Pressure Limitation: indicates the atmospheric limits to which the
medical device can be safely exposed.
Lot Number: indicates the manufacturer’s batch code so that the batch or lot can
be identified.
Serial Number: indicates the manufacturer’s serial number so that a specific
medical device can be identified.
Catalogue Number: indicates the manufacturer’s catalogue number so that the
device can be identified.
Do not dispose in household waste.
Manufacturer Symbol
Date of Manufacture:
indicates the date which the medical device was
manufactured. This is included within the serial number found on the device or
in the battery compartment,
either as “E/Year/Number” (YY/123456) or
“E/Month/Year/Number” (MM/YY/123456).
CE Mark
This medical device is indicated for home use.
This medical device is not water resistant and should be protected from liquids.
The first number 2: Protected against access to hazardous parts with a finger,
and the jointed test finger of 12 mm ø, 80 mm length, shall have adequate
clearance from hazardous parts, and protected against solid foreign objects of
12.5 mm ø and greater.
IP
22

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The second number 2: Protected against vertically falling water drops when
enclosure is tilted up to 15˚. Vertically falling drops shall have no harmful effects
when the enclosure is tilted at any angle up to 15˚ on either side of the vertical.
Notes are used to provide clarification or recommendation.
A Warning is used when failure to follow the instructions may result in serious
injury or death.
A
Caution
is used when failure to follow the instructions may result in a minor
or moderate injury, or damage to the device or other property.
A
Contraindication
is used when a device should not be used because the risk
of use clearly outweighs any foreseeable benefits and may result in serious
injury or death.

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1. INTRODUCTION
Device Description & Principles of
Design
Bladder leakage and incontinence are
common problems for both women and
men, affecting their long-term health.
Exercising the pelvic floor muscles is
recognised as the way of preventing
and treating symptoms of incontinence
and pelvic floor weakness.
The Elise 2 is a powered muscle
stimulator used for strengthening the
pelvic floor muscles.
It sends a gentle stimulation (similar to
your natural nerve impulses) direct to
your pelvic floor muscles through a
vaginal probe with stainless steel
electrodes. These signals make your
pelvic floor muscles contract. If you
have forgotten how to contract them,
are having trouble getting muscle
response, or simply want to bring back
the condition of your pelvic floor
muscles, the Elise 2 can work them for
you to build up their strength and help
you to develop your own muscle
control. It perfectly complements pelvic
floor exercises. The Elise 2 is very easy
to use, with four clearly labelled pre-set
training programmes and a simple push
button control.
The Elise 2 provides relief from
conditions such as:
• Urinary and faecal incontinence:
including stress, urge and mixed types
as well as post prostatectomy urinary
incontinence in men. Additionally, it
may help improve sexual intimacy by
toning the pelvic floor muscles.
• Anal stimulation (requires an
anal probe) may also help men who are
otherwise unable to execute Kegel
exercises to strengthen their pelvic
floor. Pelvic floor muscle training is
recommended for recovery from some
causes of Erectile Dysfunction.
However, it is not intended to treat any
medical issues and your first step in
deciding appropriate therapy should be
to consult your professional medical
advisor.
2. INTENDED USE
Elise 2 has been designed to
be a medical device used in the
home healthcare environment
to treat urinary and/or faecal
incontinence using gentle electrical
stimulation (i.e. EMS – electrical muscle
stimulation).
Do not use the device for any purpose
other than this intended use.
Warning: Not suitable for use
in children without medical
supervision.
3. ELISE 2 FEATURES
•Single Channel
Single channel unit provides relief from
symptoms of all types of incontinence
via a tampon-shaped probe.
•Comfortable Stimulation
Gentle, comfortable stimulation with
small steps of intensity, 0.5mA per step.
•4 Pre-set Programmes
Clinically tested programmes for all
types of incontinence including
STRESS, URGE, MIXED and a TONE
aftercare programme.

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•Treatment Timer
Unit defaults to 20 minutes treatment to
ensure the pelvic floor muscle is not
over-worked. The user can manually
reset this to 10, 20, 30, 45, 60 or 90
minutes.
For the Urge programme the unit
defaults to a C (Continuous) treatment
session. This timer is ONLY available
for the Urge programme.
•Open Circuit Detection
Automatically resets the strength to
zero and flashes ‘LEADS’ if the
connection comes loose.
•Large Backlit Screen
Clearly shows the operation of the unit
and the programme and intensity
currently being used.
•Memory
Features 3 functions: programme
retention (automatically starts in the last
programme used), duration of use and
average strength used.
4. PELVIC FLOOR
EXERCISES
4.1. PELVIC FLOOR
MUSCLES
The “FLOOR” of your pelvis is made up
of layers of muscles that support the
bowel, bladder, urethra and uterus.
These muscles are like a hammock, or
the bottom and sides of a bowl, in
shape. They run from the pubic bone in
the front to the end of the spinal column
(or tail bone) in the back.
The pelvic floor muscles:
•Assist in supporting the abdominal
and pelvic organs.
•Work with the abdominal and back
muscles to stabilise and support the
spine.
•In women, also
oprovide support for the baby
during pregnancy and
oassist in the birthing process
Pelvic floor muscles are also important
for sexual function in both men and
women:
•In men, it is important for erectile
function and ejaculation.
•In women, voluntary contractions
(squeezing) of the pelvic floor
contribute to sexual sensation and
arousal.
However pelvic floor muscles may
become weak. If your pelvic floor
muscles become stretched or
weakened, your pelvic organs may no
longer be fully supported, and you may
lose control of your bladder or bowel
movements.
For some women, the pelvic floor
muscles can also become too tight.
This condition is less common, but it
can lead to pelvic pain and make it
difficult for you to empty your bladder or
bowel completely.

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Common signs that can indicate a
pelvic floor problem include:
•Accidentally leaking urine when you
exercise, laugh, cough or sneeze
•Needing to get to the toilet in a hurry
or not making it there in time
•Constantly needing to go to the toilet
•Finding it difficult to empty the
bladder or bowel
•Accidentally losing control of the
bladder or bowel
•Accidentally passing wind
•Pain in your pelvic area
•Painful sex, or
•A prolapse
In women, this may be felt as a bulge in
the vagina or a feeling of heaviness,
discomfort, pulling, dragging or
dropping. This occurs when one or
more of the pelvic organs (bladder,
bowel or uterus) become displaced and
sag down into the vagina. Symptoms
tend to become exacerbated towards
the end of each day and if left
untreated, they will generally worsen
over time.
In men, this may be felt as a bulge in
the rectum or a feeling of needing to
use the bowel but not actually needing
to go.
Like other muscles in your body, the
pelvic floor can be strengthened with
regular exercise. Building pelvic floor
strength enables the muscles to better
support your pelvic organs, improves
your bladder and bowel control and can
stop accidental urine, faeces or wind
leakage.
It can also reduce your risk of prolapse,
improve your recovery from childbirth
and gynaecological surgery, and
increase your sexual pleasure. A
continence therapist can help you learn
how to exercise your pelvic floor.
Doing just a few pelvic floor exercises
every day will help to treat bladder
weakness or prolapse symptoms, and
will help to prevent problems later on.
4.2. PERFORMING PELVIC
FLOOR EXERCISES
It is recommended to make Pelvic Floor
Exercises (sometimes called Kegel
Exercises) part of your daily life.
1) Kegel exercises can be done at any
time and are very discreet so you can
do them almost anywhere; lying in
bed, sitting at the computer or
waiting for a bus. It is a good idea to
try and develop a routine which you
can repeat each day.
2) First, it is important to find your pelvic
floor muscles and feel them working.
So here are a couple of techniques
which might help:
Try inserting one or two clean fingers
into your vagina and then squeezing
the surrounding muscles, lifting up
and towards your belly button – a
squeezing and lifting sensation.
Another way is to try and stop the
flow of urine during urination. If you
are successful, then you know you
are exercising the correct muscles.
Note: These techniques are
just to help you confirm that you
are using the correct muscles.
It is important to have an empty
bladder before starting the exercises
3) Try to remember the lifting and
squeezing sensation and when you
are ready try to recreate it just using
the muscles you identified earlier;
don't tense the muscles in your legs,

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stomach or buttocks and remember
to breathe normally.
4) Aim to hold each squeeze or
'contraction' for three to five
seconds, then release and relax.
You should feel a ‘letting go’ of the
muscles. Rest for five seconds and
then repeat.
5) Try and do about ten squeezes in
this way.
6) Repeat the whole process three or
four times a day.
7) Over a period of time try to increase
the muscle contractions up to about
ten seconds but remember to rest in
between each squeeze for longer
periods.
Note: It is important to aim for
quality contractions, not
quantity, so a few good hard
squeezes are better than a series of
weak ones.
Do not worry if you find holding for 3
seconds difficult at first. Just squeeze
for as long as you feel comfortable to do
so. The more exercise you do, the
stronger the muscles will become and
the longer you will be able to squeeze.
8) Using your Elise 2 pelvic floor
stimulator in conjunction with Kegel
exercises will give you a better
understanding of how they work and
how to get the greatest benefit from
them.
5. TYPES OF
INCONTINENCE
There are three types of incontinence:
Stress, Urge, and Mixed.
Stress Incontinence
If you leak urine when you cough,
sneeze, laugh, strain or make sudden
movements, this is called Stress
Incontinence.
It is particularly common in women who
have had a natural childbirth and occurs
when the bladder neck and the other
mechanisms that act to hold urine in the
bladder are not working properly. The
most common cause is a weak pelvic
floor.
Urge Incontinence
Describes an overactive bladder. A
person may experience a strong and
sudden urge to go to the toilet but are
not always able to hold on or must go
so frequently that it becomes
inconvenient.
Mixed Incontinence
Is a combination of both Stress and
Urge Incontinence.
Incontinence can have many causes.
You should try to identify the type of
incontinence and the cause before
starting to use this device with your
healthcare professional.

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6. HOW ‘EMS’ WORKS
E.M.S. stands for Electrical Muscle
Stimulation and has successfully been
used in medical rehabilitation and
training in competitive sports. EMS
produces intensive and effective
muscular contraction.
In rehabilitation, EMS is a well-
established method for treatment of a
broad field of musculoskeletal
diagnoses as well as pelvic floor
weakness. Electrical stimulation of an
intact peripheral nervous system may
create motor responses in patients with
impaired or lost ability for voluntary
muscle activity.
EMS is a complement to other physical
therapy and should always be
combined with active training such as
Kegel exercises (see section 4.2.).
Advantages of EMS
Use of EMS may lead to faster progress
in the patient’s treatment programme.
The method is simple and appropriate
for treatment in the clinical setting as
well as for self-treatment at home.
How EMS Works
Electrical Muscle Stimulators can play a
vital role in educating women and men
about their pelvic floor and the
sensation they should feel when doing
pelvic floor exercises. Electrical Pelvic
Floor Exercisers (PFE) offer a non-
invasive method of producing
contraction of muscles via a gentle
stimulation to the pelvic floor through a
discreet probe or electrode pads when
they are placed close to the nerve that
controls the pelvic floor muscles. This
current then passes into the nerve
fibres controlling that part of the muscle
stimulating it to contract. So, electrical
stimulation (EMS) artificially activates a
muscle for you enabling you to develop
your own muscle control. These
contractions exercise the muscles and,
as with any kind of exercise if
performed regularly, build strength and
tone.
In urge incontinence, pelvic floor
exercisers work in a slightly different
way. The electrical stimulation is
designed to soothe your bladder
muscles rather than exercise your
pelvic floor. Elise 2 uses a gentler, low
frequency setting which promotes
release of endorphins and reduces
involuntary contractions of the bladder
(detrusor) muscle.
Different frequencies have different
effects; low frequencies (1-10 Hz)
coupled with long impulse times, for
example, have a purifying and relaxing
effect through individual contractions,
whereby the circulation in the treated
muscle is simultaneously improved and
removal of metabolic end products is
supported (lymphatic drainage). The
oxygen supply to the muscle is
improved.
In contrast, by means of a rapid
succession of contractions (fibrillation),
medium frequencies (20-50 Hz) can put
a high level of strain on the muscle, thus
promoting the muscular structure.

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7. CONTRAINDICATIONS,
WARNINGS &
CAUTIONS
If in doubt, contact your healthcare
professional before using the Elise 2.
CONTRAINDICATIONS:
Do NOT use if you are or may
be pregnant; or in the first 6-8
weeks after childbirth or pelvic
surgery. It is not known whether EMS
may affect foetal development.
Stimulation may disrupt the healing
process.
Do NOT use if you have a
pacemaker (or if you have a
heart rhythm problem) or with
any electronic medical devices. Using
this unit with electronic medical devices
may cause erroneous operation of the
device. Stimulation in the direct vicinity
of an implanted device may affect some
models.
Do NOT use if you have
symptoms of active urinary
tract infection, vaginal
infections, or localized lesions.
Introducing the probe may irritate
sensitive tissue.
Do NOT use if you have poor
sensation in the pelvic region.
You may not be able to control
the intensity of stimulation safely
WARNINGS:.
Do NOT use if you are unable
to properly insert the vaginal or
anal probe. If you have a
severe prolapse, or if any discomfort
occurs when inserting the probe,
consult your healthcare professional
before use.
Do NOT use when walking,
driving, operating machinery,
or similar actions needing
muscular control. Loose electrode
pads, damaged leads, or sudden
changes in contact may cause brief
involuntary muscle movements and put
you at risk of injury.
Do NOT use to mask or relieve
undiagnosed pain. This may
delay diagnosis of a
progressive condition.
Do NOT use if you have, active
or suspected vaginal, pelvic or
prostate cancer or
undiagnosed pain in the area being
treated with a history of cancer.
Stimulation directly through a confirmed
or suspected malignancy should be
avoided as it may stimulate growth and
promote spread of cancer cells.
Do NOT use optional electrode
pads near the thorax as this
may increase the risk of
cardiac fibrillation.
Do NOT use optional electrode
pads on the front of the neck.
Stimulation on the front of the
neck can affect your heart rate or cause
contraction of the throat.
Do NOT use optional
electrodes across the chest.
Very strong stimulation across
the chest may cause an extra
heartbeat.
Do NOT use Elise 2 while
simultaneously connected to
high frequency surgical
equipment as it may result in burns at
the site of stimulator electrodes and
possible damage to the stimulator.

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Do NOT use Elise 2 in close
proximity (e.g. 1 m) to a
shortwave or microwave as this
may produce instability in the stimulator
output.
CAUTIONS:
Caution should be used if you
have a bleeding disorder as
stimulation increases blood
flow to the stimulated region.
Caution should be used if you
have suspected or diagnosed
epilepsy as electrical
stimulation may affect seizure
threshold.
Caution should be observed
when using the device at the
same time as being connected
to monitoring equipment with body
worn electrode pads. It may interfere
with the signals being monitored.
Caution: Simultaneous
connection to high frequency
surgical equipment may result
in burns and damage to the stimulator.
Caution: Strong
electromagnetic fields (electro-
surgery/ microwave cookers/
mobile phones) may affect the correct
operation of this unit. If it appears to
behave unusually, move it away from
these devices.
Caution:Do not permit use by
persons unable to understand
the instructions or persons with
cognitive disabilities, i.e.; Alzheimer’s
disease or dementia.
Caution: Insertion of the
vaginal or anal probe makes it
unsuitable for use in children
without clinical supervision.
Caution: Keep away from
children under 5 years of age.
Long cord -risk of strangulation
in infants.
Caution should be observed
when using the Elise 2 at high
strength settings. Prolonged
use at high settings may cause muscle
injury or tissue inflammation
Note: No serious or long-term
adverse effects have been
reported. Mild adverse
reactions are very rarely reported, but
these have included muscular pain and
cramps, vaginal tenderness, irritation,
and bleeding, mild or short-term urge or
faecal incontinence, and tingling
sensation in legs. If you experience any
of these, stop use. When symptoms
have gone, try resuming at a lower
intensity setting.
PROBE CAUTIONS:
Caution: The Elise 2 vaginal
or anal probe is intended for
single patient use only. Do not
share your Elise 2 probe with anyone
else. Improper treatment or cross-
infection may occur.
Caution: It is important that the
vaginal or anal probe is
cleaned after each use.
Ineffective cleaning may lead to
irritation or infection.
Caution: Never insert or
remove the vaginal or anal
probe unless the control unit is
powered OFF as insertion or removal
when stimulation is active may cause
discomfort or tissue irritation.

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Caution: If tissue irritation
occurs, discontinue treatment
immediately. Ask your
healthcare professional for advice
before continuing further treatment to
prevent injury.
Caution: Do not use a silicone-
based lubricant on the metal
plates of the probe as it may
decrease the effectiveness of Elise 2’s
muscle stimulation. Only use water-
based.
Caution: The stainless steel in
the probe’s metal plates
contain some Nickel. This could
cause a reaction if you have a Nickel
allergy. Alternative gold probe specially
made without Nickel is available (see X-
VPG).
Caution: Do not use this
device with a vaginal or anal
probe other than those
recommended by the manufacturer in
section 17. Electrodes with smaller
surface area may cause tissue irritation.
DO NOT PLACE OPTIONAL
ELECTRODE PADS:
•On skin, which does not have normal
sensation. If the skin is numb too
great a strength may be used, which
could result in skin inflammation.
•On broken skin. The electrode pads
could encourage infection.
•The electrode pads are reusable but
for single patient use. The adhesive
is a peel- able hydrogel (water-
based).
ELECTRODE PADS CAUTION:
Caution: Do not ignore any
allergic reaction to the
electrode pads: If a skin
irritation develops, stop use
immediately, as this type of electrodes
may not be suitable for you.
Caution: Do not use this
device with leads or electrode
pads other than those
recommended by the
manufacturer. Performance may vary
from specification. Electrodes with
smaller surface area may cause tissue
irritation.
Caution: Do not use high
intensity settings if electrodes
are smaller than 50x50mm.
TO KEEP YOUR DEVICE IN GOOD
WORKING ORDER, OBSERVE THE
FOLLOWING ADDITIONAL
CAUTIONS:
Caution: Do not immerse your
device in water or place it close
to excessive heat such as a
fireplace or radiant heater or sources of
high humidity such as a nebulizer or
kettle as this may cause it to cease to
operate correctly.
Caution:Keep the device
away from sunlight, as long-
term exposure to sunlight may
affect the rubber causing it to become
less elastic and crack.
Caution: Keep the device
away from lint and dust, as
long-term exposure to lint or
dust may affect the sockets or cause
the battery connector to develop a bad
contact.
Caution:Temperature &
Relative Humidity of transport
& storage: -25°C to 70°C, up to
93% R.H. Temperature & Relative
Humidity of operation: 5°C to 40°C,
15% to 93% R.H.
Caution: Do not attempt to
open or modify the unit. This

14
may affect the safe operation of the unit
and will invalidate the warranty.
Note: You may safely use the
stimulator during menstruation,
although it may be a little less
comfortable.
8. INFORMATION ABOUT
THE PROGRAMME
SETTINGS
Each programme has its own
combination of Frequency and Pulse
Width settings which allow for different
sensations through the probe or
optional electrode pads and help
treating the different types of
incontinence.
•Frequency (measured in Hz -
pulses per second)
Low frequencies (1-10 Hz) have a
purifying and relaxing effect through
individual contractions.
Medium frequencies (20-50 Hz) can put
a high level of strain on the muscle, thus
promoting the muscular structure.
•Pulse Width (measured in μs -
millionths of a second)
The Elise 2 unit has pulse widths of 200
to 300 μs. Generally speaking, the
higher the pulse width, the more
"aggressive" the stimulation feels, if the
pulse width is set high enough, it will
usually elicit a muscle contraction,
which is required for an effective toning
of the pelvic floor muscles.
9. PROGRAMMES
9.1 PROGRAMME SETTINGS
9.2. PRESET PROGRAMMES
The Elise 2 has four pre-set
programmes. One for each type of
incontinence (stress, urge and mixed),
and one for toning the pelvic floor
muscles (TONE).
STRESS INCONTINENCE:
Shown on the screen as: STRES
The STRES incontinence programme
strengthens the muscles of the pelvic
floor using gentle stimulation. Once
these muscles are stronger, they are
better able to resist urinary leakage
caused by external pressure being
applied to the bladder such as with a
cough, sneeze or physical exertion.
The stimulation causes the muscles to
contract and work. This builds their
strength. Like other fitness training,
Prog STRES URGE MIXED TONE
Freq.
(Hz)
50 10 10/
50
35
Pulse
width
(μs)
300 200 200/
300
250
Ramp Up
& Down
(s)
1
Constant
Con/
1
2
Plateau
(s)
5 Con/
5
3
Rest (s)
10 Con/
10
6
Default
duration
(min)
20
Conti
-
nuous
10/
10
20

15
successful treatment requires
stimulation once a day for one to three
months. Improvement starts becoming
apparent after about four weeks.
The sensation is like a strong drawing
in of the muscles of the vagina, pulling
up the pelvic floor. Your natural reaction
will be to pull your muscles in and up,
thereby exercising and strengthening
them.
For the STRESS program the muscle
MUST contract in order to give a
benefit. Increase the strength as high
as is comfortable and then take it down
one step.
URGE INCONTINENCE:
Shown on the screen as: URGE
The URGE programme works in a
different way to the STRES
programme. The gentle continuous
stimulation soothes the bladder
(detrusor) muscle, reducing its
involuntary contractions. This prevents
the unwanted and unexpected
emptying of the bladder.
Successful treatment requires
stimulation once a day and
improvements can sometimes be seen
in as little as two weeks.
The sensation is a softer, vibrating,
stimulation. Nevertheless, when the
programme finishes, and your pelvic
floor relaxes, it will become apparent
how much your pelvic floor has been
exercised.
For the URGE program there is no need
to have a contraction. The strength
should be comfortable, but always
remain noticeable. You may need to
increase it over the course of the
treatment.
MIXED INCONTINENCE:
Shown on the screen as: MIXED
This programme is perfect if you are
suffering from both Stress and Urge
incontinence. It is a combination of the
STRES and URGE programmes.
The first 10 minutes uses the URGE
programme to reduce sensitivity, then
in the second 10 minutes, the STRES
programme exercises the pelvic floor
muscles. You may need to increase the
strength to feel the muscle contraction
when the STRES programme starts.
Note: The Mixed programme can
ONLY be set to a 20-minute time
session.
TONE:
Shown on the screen as: TONE
Once the pelvic floor muscles have
been strengthened with Elise 2,
continue to exercise them.
Regular use of this programme, about
twice a week, will ensure that your
muscles remain fit and toned.
The TONE programme may also be
used as an alternative treatment for
stress incontinence.
The sensation when using the TONE
programme is a mixture of a strong
drawing in of the muscles and then
releasing.

16
A strong and fit pelvic floor may
increase sexual health and enjoyment.
For the TONE program the muscle
MUST contract in order to give a
benefit. Increase the strength as high
as is comfortable and then take it down
one step.
10. CONTENTS
The pack contains:
•1 x Elise 2 Pelvic Floor Exerciser
•1 x Lead wire (L-ELGR)
•1 x Short probe lead (L-VPCE)
•1 x Liberty probe (X-VP)
•1 x USB charging cable (X-ELISE2-
USB)
•1 x Storage pouch
•1 x Instructions for use booklet

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11. UNIT INFORMATION
11.1. CONTROLS & DISPLAY
Programme
selected
Programme
selector
Time selector
ON/OFF button
Programme
duration (min)
Strength
selected (mA)
Strength up
Strength down
USB charging cable and
lead wire input

18
11.2. OPERATING
INSTRUCTIONS
ON/OFF
To turn the unit on, press the
ON/OFF button and hold for 3 to
5 seconds until the display shows.
To turn the unit off, press the ON/OFF
button and hold for 3 to 5 seconds until
the display stops.
When switched on the unit will
automatically start in the programme
which was being used when it was last
switched off.
During start up to stop the increase in
strength at any time, press any key
once.
The unit will turn off automatically:
•When the Timer reaches zero,
•If it is left at zero strength for more
than 5 minutes.
Note: Always check unit is
OFF before applying or
removing probe or pads.
STRENGTH CONTROLS
The buttons marked +and -are
the strength controls.
To increase strength, press and
hold down the button +until
required strength is achieved.
To decrease the strength, press and
release the button -.
To increase strength in steps of 0.5 mA,
press and release the button +.
The unit will remain in the WORK part
of the cycle for 5 seconds while
intensity is being adjusted.
The strength levels are shown on the
LCD.
The strength control buttons will not
operate until the unit is properly
connected to you (probe inserted
correctly). Elise 2 detects a
disconnection and automatically
returns the strength to zero.
The unit has levels of strength from 0 to
99.0 mA in steps of 00.5 mA. If you hold
down the button +for 3 to 5 seconds,
the strength will start scrolling.
You may feel nothing over the first few
presses. Continue pressing until the
sensation is strong but comfortable.
Further increases during use may be
necessary if your body becomes used
to the sensation.
PROGRAMME CONTROL
The button marked Pis the
programme control. The Elise 2
has four pre-set programmes. At first
use, the unit automatically goes to
programme STRES. Next time it is
switched on, it will default to the
programme used last.
Each time you press and release the P
button, the programme changes and is
shown on the LCD.
Each time you change the programme,
the strength level reverts back to zero.
This is a safety feature to alleviate any
sudden feeling of a surge, as each
programme gives a different sensation.
P
+
-

19
TREATMENT TIMER
The button marked Tcan be
used to set the session duration.
When you switch the unit on, it is
automatically set at 20 minutes.
To set a different time, set the strength
to zero and press T. The min display
will flash.
You can set session times of 10, 20, 30,
45, 60 or 90 minutes with the T button.
The C (Continuous) session timer is
ONLY available for the Urge
programme.
The LCD shows the session duration in
minutes. The unit automatically counts
down the minutes set and switches off
when it reaches 0.
If you hold down this key for 3 to 5
seconds, you can pause the timer,
allowing you to interrupt the treatment
session, and resume it later. Return to
main screen by pressing any other key.
LOW BATTERY
When the battery is running low, the
word BATT will show on the screen.
Although the display fades as the
batteries run down, the strength of the
output does not change until the
warning is shown.
LEADS ALARM
The Elise 2 monitors the connection
and the contact between you and the
probe, or the pads. This is to prevent
sudden changes if a broken connection
is re-made. If either of these goes
outside of a standard range while the
strength is above 20.0 mA, the unit will
flash LEADS, bleep three times, and
return the strength to 00.0 mA.
Check the lead and if necessary,
lubricate the probe with a water-based
lubricant or water. Please see section
19 for more troubleshooting tips.
MEMORY
The Elise 2 has a Memory with three
functions:
1) Programme Retention. When you
switch the unit on, it will automatically
start in the programme which was being
used when it was switched off.
2) Usage. To activate hold down the T
and +buttons together for 3 to 5
seconds. The display will show the total
duration of use in 10 minute intervals
(where 1=10 minutes, 2=20 minutes
etc.) and the average strength used.
Press the same buttons again to return
to normal controls.
3) Memory Reset. To reset memory to
zero, hold down the Tand OFF buttons
together for 3 to 5 seconds.
T
Time used
in 10 minute
intervals
Average
strength used