TensCare Perfect PFE User manual

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INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

1
QUICKSTART GUIDE
Connect the unit with the
vaginal probe
Insert the vaginal probe
Press and hold the ON button
to switch the device on
Regulate the output intensity with
the buttons ▲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 perfect PFE. 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.................................................................................................5
2. INTENDED USE..................................................................................................5
3. PERFECT PFE FEATURES................................................................................6
4. PELVIC FLOOR EXERCISES.............................................................................6
4.1. PELVIC FLOOR MUSCLES..........................................................................6
4.2. PERFORMING PELVIC FLOOR EXERCISES .............................................8
5. TYPES OF INCONTINENCE...............................................................................9
6. HOW ‘EMS’ WORKS ...........................................................................................9
7. HOW ‘TENS’ WORKS .......................................................................................10
8. CONTRAINDICATIONS, WARNINGS & CAUTIONS........................................11
9. INFORMATION ABOUT THE PROGRAMME SETTINGS ................................14
10. PROGRAMMES.............................................................................................15
10.1. PROGRAMME SETTINGS......................................................................15
10.2. PRESET PROGRAMMES.......................................................................15
11. CONTENT......................................................................................................16
12. UNIT INFORMATION.....................................................................................17
12.1. CONTROLS & DISPLAY .........................................................................17
12.2. OPERATING INSTRUCTIONS................................................................18
13. SETTING UP AND USING THE PERFECT PFE...........................................20
13.1. INSTALLATION OF BATTERIES.............................................................20
13.2. CONNECTING LEAD WIRE....................................................................21
13.3. PREPARING FOR SESSION ..................................................................21
13.4. TRAINING SESSION...............................................................................22
13.5. AFTER YOUR TRAINING SESSION.......................................................24
14. ANAL PROBE ................................................................................................24
14.1. CONDITIONS THAT MAY BE TREATED................................................24
14.2. HOW TO INSERT THE ANAL PROBE....................................................25
15. CLEANING.....................................................................................................25
16. EMC ...............................................................................................................26
17. DISPOSAL OF WASTE ELECTRICAL AND ELECTRONIC PRODUCTS
(WEEE)....................................................................................................................26
18. ACCESSORIES .............................................................................................26
19. WARRANTY...................................................................................................27
20. TROUBLESHOOTING ...................................................................................29
21. GENERAL SPECIFICATION..........................................................................31
NOTES.....................................................................................................................33

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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.
Lot Number: indicates the manufacturer’s batch code so that the batch or lot can
be identified.
Humidity Limitation: indicates the humidity limits to which the medical device can
be safely exposed.
Serial Number: indicates the manufacturer’s serial number so that a specific
medical device can be identified.
Do not dispose in household waste.
Catalogue Number: indicates the manufacturer’s catalogue number so that the
device can be identified.
This medical device is not water resistant and should be protected from liquids.
Atmospheric Pressure: indicates the atmospheric limits to which the medicaldevice
can be safely exposed.
Date of Manufacture: indicates the date which the medical device was
manufactured. This is included within the serial number found on the device
(usually in the battery compartment), either as “E/Year/Number” (YY/123456) or
“E/Month/Year/Number” (MM/YY/123456).
This medical device is indicated for home use.
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.
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.
LOT
S/N
REF
IP22

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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 perfect PFE 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 perfect PFE 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 perfect PFE is very easy to use,
with four clearly labelled preset training
programmes, a fifth programme for
chronic pelvic pain and a simple push
button control.
The perfect PFE 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.
•Chronic pelvic pain: vulvodynia,
symphysis pubis or interstitial
cystitis.
•Treatment of erectile dysfunction
in men* and improvement of pelvic
strength (* requires an anal probe).
2. INTENDED USE
Perfect PFE is a medical
device designed to be used in
the home healthcare
environment to treat symptoms of
urinary and/or faecal incontinence and
is suitable for use by all who can control
the device and understand the
instructions.
Perfect PFE may help to relieve
symptoms of chronic pelvic pain.
Do not use the device for any purpose
other than this intended use.
Warning: Not suitable for use
in children without medical
supervision.

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3. PERFECT PFE
FEATURES
•Single Channel
Single channel unit to treat symptoms
of urinary incontinence via a probe with
biofeedback pointer.
•Comfortable Stimulation
Gentle stimulation with fine tune
adjustment settings for different levels
of intensity, 1 mA per step.
•5 Preset Programmes
EMS programmes including STRES,
URGE, MIXED and TONE aftercare;
and additional TENS programme
providing relief from pelvic pain.
•Memory
Features 3 functions: programme
retention (automatically starts in the last
programme used), number of uses and
time of usage.
•Treatment Timer
Unit defaults to 20 minutes’ treatment to
ensure the pelvic floor muscles are not
over-worked. The user can manually
reset this (Continuous, 10, 20, 30, 45,
60 or 90 mins).
•Open Circuit Detection
Automatically resets the strength to
zero and flashes ‘LEADS’ if the
connection comes loose.
•Automatic Keypad Lock
Automatic keypad lock prevents any
accidental changes in settings.
•Large LCD Screen
Clearly shows the operation of the unit
and the programme and intensity being
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.

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•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.
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. It is very
common in the United Kingdom and
occurs in about 40% of women.
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.

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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 verydiscreet 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 tofind 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,
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 perfect PFE 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.
Use the pointer as an indication of how
well you are performing the Kegel
exercises.
•When performed
correctly, the pointer
will move
downwards.
•When performed
incorrectly, the
pointer will move
upwards.

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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.
Chronic Pelvic Pain
Pelvic pain can be due to several
causes such as:
Vulvodynia, Symphysis Pubis, or
Interstitial Cystitis.
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

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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. Perfect PFE 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.
Each preset programme has a specific
frequency and pulse width that will offer
the best results for the type of
incontinence treated.
7. HOW ‘TENS’WORKS
T.E.N.S. stands for Transcutaneous
Electrical Nerve Stimulation. T.E.N.S.
stimulates your body’s own natural
defences against pain, namely the
release of endorphins. TENS is totally
safe and has been used successfully by
thousands of pain sufferers.
TENS sends a gentle stimulation
through the skin which works in
TWO ways:
Pain Gate
It stimulates the
sensory nerves,
which carry touch
and temperature
signals. These
nerves go to the
same connections
in the spine as the
nerves carrying pain. A strong sensory
signal will block the pain signal
travelling up the spine to the brain. This
is known as closing the “Pain Gate” and
takes effect quite quickly after the unit
is switched on. When the gate is open,
pain messages get through to the brain
and we feel pain. When the gate is
closed, these pain messages are
blocked and we do not feel pain.
Evidence suggests that TENS produce
pain relief in a similar way to ‘rubbing
the pain better’. The pain gate can be
closed by activation of
mechanoreceptors through ‘rubbing the
skin’.
Scientifically, the pain gate works by
release of chemical in the synapse at
spinal level that inhibits transmission of
pain signal.

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Endorphin Release
At low frequency
settings, and
slightly stronger
outputs, TENS
drives the motor
nerves to produce
a small repetitive
muscle
contraction. This is seen by the brain as
exercise, and this promotes the release
of endorphins - your body’s own natural
pain killer. The relief builds up and
normally takes about 40 minutes to
reach a maximum level which can last
for hours after the machine is switched
off.
By using TENS, you can expect to
achieve a significant reduction in pain -
if not complete relief from pain.
•TENS is effective for pain from a very
wide range of causes.
•TENS machines can be used to help
reduce pain from problems in
muscles, joints and nerves.
•It can be also used for people with
musculoskeletal pain such as long-
term (chronic) back pain orknee joint
arthritis. They are also often used for
pain relief in the early stages of
labour (see perfect mamaTENS),
particularly whilst a pregnant woman
remains at home.
•Other uses include migraine
headaches, period pain and
endometriosis (see Ova+), cystitis,
sports injuries, Raynaud disease,
fibromyalgia and neuralgia, plantar
fasciitis, post-operative pain and
sometimes non-painful conditions
such as tiredness, insomnia, travel
sickness, tinnitus or dementia.
•You can use low frequency (<10 Hz)
programmes on acupuncture points,
to achieve similar effects to
acupuncture.
•With neurogenic pain (caused by
inflamed nerves) such as shingles
and neuralgia, TENS may start by
increasing the pain. We recommend
that you only use TENS for these
conditions under medical
supervision.
•You can safely use TENS as long as
it gives you pain relief. The effect
may wear off after a few hours (this
is called “accommodation”). If this
happens, take a break of an hour or
so before trying again. If you use
settings that cause muscle
movement for more than 40 minutes,
you may experience aching muscles
a few hours later.
8. CONTRAINDICATIONS,
WARNINGS &
CAUTIONS
In this manual:
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.
Notes are used to provide
clarification or
recommendation.

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CONTRAINDICATIONS:
•Do NOT use if you are or may be
pregnant. It is not known whether
TENS may affect foetal
development.
•Do NOT use with optional electrode
pads 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. Stimulation on the front of
the neck can affect your heart rate.
Very strong stimulation across the
chest may cause an extra heartbeat.
•Do NOT use in the first 6 weeks
following a pelvic surgery or vaginal
childbirth. Stimulation may disrupt
the healing process.
•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 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.
Do NOT use to mask or relieve
undiagnosed pain. This may
delay diagnosis of a progressive
condition.
Do NOT use if you have, in the
area being treated: active or
suspected cancer or undiagnosed pain
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.
CAUTIONS:
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.

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Caution: Insertion of the
vaginal or anal electrode
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 perfect PFE 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 perfect PFE
vaginal probe is intended for
single patient use only. Do not share
your perfect PFE probe with anyone
else. Improper treatment or cross-
infection may occur.
Caution: It is important that the
vaginal probe is cleaned after
each use. Ineffective cleaning may lead
to irritation or infection.
Caution: Never insert or
remove vaginal probe unless
the control unit is powered OFF as
insertion or removal when stimulation is
active may cause discomfort or tissue
irritation.
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 perfect PFE’s
muscle stimulation.
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 should be used if you
have a copper IUD. If
discomfort occurs, discontinue
treatment immediately and ask your
healthcare professional for advice.
There is a small risk of stimulating the
uterine wall if the IUD is not correctly
positioned.
Caution: Do not use this
device with vaginal probe or
anal probe other than those
recommended by the manufacturer in
section 18. 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.

14
ELECTRODE PADS CAUTION:
Caution: Do not ignore any
allergic reaction to the
electrode pads: If a skin irritation
develops, stop using TENS, as this type
of electrodes may not be suitable for
you. Alternative electrode pads
specially made for sensitive skin are
available (see E-696-SS).
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.
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 orkettle 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 storage: -
20°C–+40°C, 8%--70% R.H.
Temperature & Relative Humidity of
transportation: -20°C–+40°C, 8%--70%
R.H.
Caution: Do not attempt to
open or modify the TENS unit.
This may affect the safe operation of
the unit and will invalidate the warranty.
9. 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
Endorphin release (programme PAIN
only): A low frequency of 4 or 10 Hz
allows for the release of endorphins, the
body’s natural morphine-like
substances.
•Pulse Width (measured in μs -
millionths of a second)
The perfect PFEunit 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

15
usually elicit a muscle contraction,
which is required for an effective toning
of the pelvic floor muscles.
10. PROGRAMMES
10.1. PROGRAMME SETTINGS
10.2. PRESET PROGRAMMES
The perfect PFE has five preset
programmes. One for each type of
incontinence (stress, urge and mixed),
one for toning the pelvic floor muscles
(TONE), and one for chronic pelvic pain
(PAIN).
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,
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,
and this exercises and strengthens
them.
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.
MIXED INCONTINENCE:
Prog
STRES
TONE
MIXED
URGE
PAIN
Freq.
(Hz)
50
35
10 /
50
10
4
Pulse
width
(μs)
300
250
200 /
300
200
200
Ramp Up
& Down
(s)
1
2
Constant
Constant
Plateau
(s)
5
3
Rest (s)
10
6
Default
duration
(min)
20
20
20
Conti- nuous
Conti- nuous
m
m
m
i
n

16
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.
TONE:
Shown on the screen as: TONE
Once the pelvic floor muscles have
been strengthened with perfect PFE,
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.
A strong and fit pelvic floor may
increase sexual health and enjoyment.
PAIN:
Shown on the screen as: PAIN
The PAIN programme can be used to
alleviate chronic pelvic pain from many
causes. As with all TENS, it does not
treat the underlying condition and you
should obtain a professional diagnosis
of the cause before starting use. It gives
a constant soothing tingling sensation.
Use with the Liberty Loop vaginal probe
or with optional electrode pads
(positioned on your lower back just
below the knicker line) for at least 40
minutes two or three times a week. Set
the strength as high as you can while
remaining comfortable.
11. CONTENT
The pack contains:
•1 x Perfect PFE continence
stimulator unit
•1 x Lead wire (L-CPT)
•1 x Liberty Loop vaginal probe with
detachable pointer (X-VPL)
•2 x AA 1.5V alkaline batteries
•1 x Detachable belt clip
•1 x Storage pouch
•1 x Manual instruction
m
A

17
12. UNIT INFORMATION
12.1. CONTROLS & DISPLAY
Programme
selected
Programme
selector
Time selector
OFF button
ON button
Keypad Lock
Programme
duration (min)
Strength
selected (mA)
Strength up
Strength down
Low Battery
Output active
indicator

18
12.2. OPERATING
INSTRUCTIONS
ON/OFF
To turn the unit on, press the
ON button and hold for 3 to 5
seconds until the display
shows.
To turn the unit off, press ▼
button to remove keypad lock and press
the OFF button and hold for 3 to 5
seconds until the display stops.
At first use, or after changing batteries,
the display shows that the unit is
automatically set in programme STRES
at zero strength.
When switched on the unit will
automatically start in the programme
which was being used when it was last
switched off.
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.
The backlight will turn off 10 seconds
after the last button press.
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 1 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). Perfect PFE detects a
disconnection and automatically
returns the strength to zero.
The unit has 99 levels of strength. 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.
The yellow LED on the output socket
indicates that there is an active output.
The display will remain on for 5 seconds
after the plug is removed.
PROGRAMME CONTROL
The button marked Pis the
programme control. The
perfect PFE has five preset
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
ON
OFF
▲
▼
P

19
sudden feeling of a surge, as each
programme gives a different sensation.
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 min or
Continuous, (displayed as C)
depending on the programme chosen.
To set a different time, set the strength
to zero and press T. The min display
will flash.
You can set session times of C
(Continuous) or 10, 20, 30, 45, 60 or 90
minutes with the buttons ▲ and ▼.
Press Tagain to save your selection.
The LCD shows the session duration
next to the clock symbol. The unit
automatically counts down the minutes
set and switches off when it reaches 0.
LOW BATTERY
An empty battery symbol will
show when you need to
change the batteries. The unit
will shut down about 2 minutes after
this.
KEYPAD LOCK
If you do not press any keys
for 30 seconds, the keypad
will lock. This is to avoid
accidental changes in setting.
To unlock, press and hold the strength
down control (button ▼).
LEADS ALARM
The perfect PFE 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, the unit will
flash LEADS, bleep three times, and
return the strength to 0.
Check the lead and if necessary,
lubricate the probe with a water based
lubricant such as TensCare Go Gel
(see K-GO). Please see section 20 for
more troubleshooting tips.
MEMORY
The perfect PFE 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. Press Tand ▼together and
hold down for 3 to 5 seconds. The
display will show the number of times
the unit has been used and the duration
of use in hours.
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
Number of
uses
Time used
in hours