TensCare Perfect PFE User manual

Perfect PFE
Pelvic Floor Exerciser
INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

1 Introducon     1
2 Isthisproductrightforyou?   1
3 Contraindicaons,WarningsandCauons 2
4Controls and Display 7
5 LeadsAlarm     11
6 Programmes     11
7  Contents     14
8 Sengup     15
9 Preparingforyourtrainingsession  17
10  Training     19
11  Aeryourtrainingsession   22
12  Cleaning     23
13
FAQs23
14  AnalProbe     25
15 BaeryRemovalandReplacement  27
16 Helpline     28
17  Troubleshoong    28
18  ConsumablesandServicing   31
19  PelvicFloorExercises    32
20  Guarantee     37
21  WEEE      38
22  GeneralSpecicaons   39
23  Electromagnecinterference  42
CONTENTS
Secon Page No.

1.INTRODUCTION
The Perfect PFEisapoweredmusclesmulatorusedfor
strengtheningthepelvicoormuscles.
Itsendsagentlesmulaon(similartoyournaturalnerve
impulses)directtoyourpelvicoormusclesthrough
avaginalProbewithstainlesssteelelectrodes.These
signalsmakeyourpelvicoormusclecontract.Ifyou
haveforgoenhowtocontractyourpelvicoor,are
havingtroublegengmuscleresponse,orsimplywant
tobringbackthecondionofyourpelvicoor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oorexercises.
The Perfect PFEisveryeasytouse,withfourclearly
labelledpre-settrainingprograms,ahprogrammefor
pelvicpainandsimplepushbuoncontrol.
2.ISTHISPRODUCTRIGHTFORYOU?
Therearethreetypesofinconnence:
Stress,Urge and Mixed.
Stress Inconnence
Ifyouleakurinewhenyoucough,sneeze,laugh,
strainormakesuddenmovements,thisiscalledStress
Inconnence.
Itisparcularly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oor.
Urge Inconnence describesanover-acvebladder.A
personmayexperienceastrongandsuddenurgetogoto
thetoiletbutarenotalwaysabletoholdon,orhaveto
gosofrequentlythatitbecomesinconvenient.
Mixed Inconnence isacombinaonofbothStressand
UrgeInconnence.
Chronic Pelvic Pain can be due to a number of causes
suchas:Vulvodynia,SymphasisPubis,orIntersal
Cyss.
Lowfrequencysmulaonencouragesthereleaseof
Endorphins–yourbody’snaturalpainreliefmechanism–
toreducepainwithoutsideeects.
3.CONTRAINDICATIONS,WARNINGSAND
CAUTIONS
CONTRAINDICATIONS
• Do not useifyouarepregnantoraempngtobecome
pregnant.It is not known whether electrical smulaon
may aect foetal development.
• Do not usewiththeoponalself-adhesivepadsif
youhaveacardiacdemandpacemakerorimplanted
debrillatororhaveaheartrhythmproblem.Smulaon
in the direct vicinity of a pacemaker may aect some
models. Smulaon on the front of the neck can aect
your heart rate. Very strong smulaon across the chest
may cause an extra heartbeat.
1 2

3 4
• Do not useifyouhavesymptomsofacveurinary
tractinfecon,vaginalinfecons,orlocalizedlesions.
Introducing the probe may irritate sensive ssue.
• Do not useifyouhavepoorsensaoninthepelvic
region.You may not be able to control the intensity of
smulaon safely.
• Do not useifyouhavecognivedisabilies,i.e.;
Alzheimer’sdiseaseordemena.
• Do not use if you are unable to properly insert the
vaginalprobe.If you have a severe prolapse, or any
discomfort occurs when inserng the probe, consult your
medical advisor before use.
• You must be 6 weeks post pelvic surgery or vaginal
childbirth to use this device. Smulaon may disrupt the
healing process.
Inthismanual:
A Warningisusedwhenfailuretofollowtheinstrucons
mayresultinseriousinjuryordeath.
A Cauonisusedwhenfailuretofollowtheinstrucons
mayresultinaminorormoderateinjury,ordamageto
thedeviceorotherproperty.
Notesareusedtoprovideclaricaonor
recommendaon.
WARNINGS:
Warning:Thedeviceshouldnotbeusedwhile
walking,driving,operangmachinery,orany
otheracvityinwhichinvoluntarymuscle
contraconmayputyouatriskofinjury.
Warning:Ifyouhaveacvecancer,consultwith
your clinician before use due to concerns for
smulaonpotenallyspreadingcancerouscells.
Warning:Cauonshouldbeusedifyouhave
suspected or diagnosed epilepsy as electrical
smulaonmayaectseizurethreshold.
Warning: Cauonshouldbeusedifyouhavea
bleedingdisorderassmulaonincreasesblood
owtothesmulatedregion.
CAUTIONS:
Cauon:ThePerfectPFEvaginalprobeisintended
forsinglepaentuseonly.Donotshareyour
PerfectPFEprobewithanyoneelse.Improper
treatmentorcross-infeconmayoccur.
Cauon:Ifssueirritaonoccurs,disconnue
treatmentimmediately.Askyourcareprovider
foradvicebeforeconnuingfurthertreatmentto
preventinjury.
Cauon:Itisimportantthatthevaginalprobeis
cleanedaereachuse.Ineecvecleaningmay
leadtoirritaonorinfecon.

56
Cauon:Neverinsertorremovethevaginalprobe
unlessthecontrolunitispoweredOFFasinseron
orremovalwhensmulaonisacvemaycause
discomfortorssueirritaon.
Cauon: Do not use a silicone based lubricant on
thesmulaoncontactsoftheprobeasitmay
decreasetheeecvenessofPerfectPFE’smuscle
smulaon.
Cauon:Strongelectromagnecelds
(electrosurgery/microwavecookers/mobile
phones)mayaectthecorrectoperaonofthis
unit-seesecon23.Ifitappearstobehave
unusually,moveitawayfromthesedevices.
Cauon: The stainless steel in the Probe electrodes
containssomeNickel.Thiscouldcauseareaconif
youhaveaNickelallergy.
Cauon:Donotusethisdevicewithvaginalprobe
orself-adhesiveelectrodesotherthanthose
recommendedbythemanufacturerinsecon18.
Electrodeswithsmallersurfaceareamaycause
ssueirritaon.
Cauon: PerfectPFEmayinterferewithpaent
monitoring equipment with body-worn electrode
pads.
Cauon:Simultaneousconnecontohigh
frequency surgical equipment may result in burns
anddamagetothesmulator.
Cauon: Notsuitableforchildrenunder5yearsof
age.Longcord-riskofstrangulaonininfants.
TOKEEPYOURDEVICEINGOODWORKINGORDER,
OBSERVETHEFOLLOWINGADDITIONALCAUTIONS
Donotimmerseyourunitorvaginalprobein
waterorplaceitclosetoexcessiveheatasthis
maycauseittoceasetooperatecorrectly.
Donotaempttoopenuptheunit.Thismay
aectthecorrectoperaonoftheunitandwill
invalidatetheguarantee.
Donotmixold,newordierenttypesofbaeries
asthismayleadtobaeryleakageorlowbaery
indicaon.
Keeptheunitawayfromsourcesofhighmagnec
eldssuchasTV’S,microwaveovensandhi-
speakers,asthesemayaecttheLCDscreen.
Keepthedeviceawayfromareplaceorradiant
heater,astheheatmayaectthedevice.
Keepthedeviceawayfromnebulizerorsteam
kele,asthemoisturemayaectthedevice.

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4.CONTROLSANDDISPLAY
ON
OFF
Strength
DOWN
Programme
Type
Timer
Programme
Duraon
(minutes)
Keypad
Lock Strength
(mA)
Programme
Selector
Strength
UP
Keepthedeviceawayfromsunlight,aslong-term
exposuretosunlightmayaecttherubbercausing
ittobecomelesselascandcrack.
Keepthedeviceawayfromlintanddust,as
long-termexposuretolintordustmayaectthe
socketsorcausethebaeryconnectortodevelop
abadcontact.
ON Buon
Toswitchuniton:
Press and hold down for at least 3 seconds.
One Touch Memory Start
Whenswitchedontheunitwillautomacally
start in the programme which was being used
whenitwasswitchedo.Thestrengthreturns
to50%ofthelevelthatwasbeingusedwhen
theunitwasswitchedo.
To stop the increase in strength during start
up,pressanykeyonce.
OFF Buon
Toswitchunito:
Press▼buontoremovekeypadlock.
PressandholdOFFbuonforat least 3
secondsandtheunitwillswitcho.
NOTE:AlwayscheckunitisOFFbefore
applyingorremovingprobeorpads.
Strength UP Buon
Toincreasestrength:Pressandholddown
unlrequiredstrengthisachieved.
Pressandreleasetoincreaseinsinglesteps.
TheunitwillremainintheWORKpartofthe
cyclefor5secondswhileintensityisbeing
adjusted.

9 10
Strength DOWN Buon
Todecreasestrength:
Holddownbuonandstrengthwilldecrease
steadily.Pressandholdtorelease Keypad
Lock.
Programme Buon
The Perfect PFEhasvepre-selected
programmes.WhenyouFIRSTswitchon,the
unitautomacallygoestoprogrammeSTRES.
Nextmeitisswitchedonitwilldefaultto
theprogrammelastused.
Eachmethe‘P’buonispressedand
releasedtheprogrammechanges.Thescreen
willshowtheprogrammeselected.
Timer /Pause Buon
Theprogrammesdefaultto20minutesor
C-Connuous.
Tosetadierentme,setthestrengthto
zero.Press‘T’andthe‘min’displaywillash.
Adjustthemeusingthe▲▼buons:
C,10,20,30,45,60,90
Press‘T’againtoturnoTimerselect.
Pause
Whenthemerisrunning,pressingthe‘T’and
‘▲’buonstogetherwillpausethemer.‘P’isshownin
thecentreofthedisplay,theclocksymbolashesandthe
intensitydropsto‘0’.IfthemerisPAUSEDfor5minutes,
theunitwillswitcho.
Pressthe‘T’and‘▲’buonstogetheroncemoreto
releasethePAUSEandtheintensitywillreturntothe
previousseng.
Inprogramme‘M’theintensitydoesNOTreturnto‘0’
whenyouenterthemanualsengbypressingthemer
‘T’buon,orwhenyouadjusttheintensitysengs.
Thisistoensurethatyoucanfeeltheeectsofthe
adjustmentsyouaremaking.
LOW BATTERY
Anemptybaerysymbolwillshowwhen
youneedtochangethebaeries.Theunit
willshutdownapproximately2minutesaer
this.
KEYPAD LOCK
Note: If you do not press any keys for 30 seconds the
keypad will lock so that only the ▼ key will work. This is
to avoid accidental changes in settings.
To unlock, press and hold the ▼ key.

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5.LEADSALARM
The Perfect PFE monitorstheconneconandthecontact
betweenyouandtheprobe,orthepads.
If either of these goes outside of a standard range while
thestrengthisabove20,theunitwillash“LEADS”,bleep
threemes,andreturnthestrengthtozero.
Checktheleadandifnecessary,lubricatetheprobewith
awaterbasedpersonallubricanggel.
Pleaseseesecon17formoretroubleshoongps.
6.PROGRAMMES
The Perfect PFEhasvepresetprogrammes.Onefor
eachtypeofinconnence(‘Stress’,‘Mixed’and‘Urge’),
onefortoningofthepelvicoormuscles(‘Tone’),and
oneforchronicpelvicpain(‘Pain’).
STRESSINCONTINENCE:
Shownonthescreenas:“STRES”.
TheSTRESSinconnenceprogramme
strengthensthemusclesofthepelvic
oorusinggentlesmulaon.Oncethese
musclesarestrongertheyarebeer
able to resist urinary leakage caused by
externalpressurebeingappliedtothebladdersuchas
withacough,sneezeorphysicalexeron.
Note: Do not use a silicone based lubricant on the
stimulation contacts of the probe as it may decrease
the effectiveness of the Perfect PFE’s stimulation.
Thesmulaoncausesthemusclestocontractandwork.
Thisbuildstheirstrength.Likeothertnesstraining,
successfultreatmentrequiressmulaononceaday
foronetothreemonths.Improvementstartsbecoming
apparentaeraboutfourweeks.Ithelpstokeepa
record of leakage problems so that you can measure this
improvement.
Thesensaonislikeastrongdrawinginofthemuscles
ofthevagina,pullingupthepelvicoor.Yournatural
reacon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dierent
waytotheSTRESSprogram.Thegentle
connuoussmulaonsoothesthe
bladder(detrusor)muscle,reducingits
involuntarycontracons.Thispreventsthe
unwantedandunexpectedemptyingofthe
bladder.
Successfultreatmentrequiressmulaon
onceadayandimprovementscan
somemesbeseeninaslileastwo
weeks.Thesensaonisasoer,vibrang,
smulaon.Neverthelesswhenthe
programmenishesandyourpelvicoor

13 14
relaxes,itwillbecomeapparenthowmuchyourpelvic
oorhasbeenexercised.
MIXEDINCONTINENCE:
Shownonthescreenas:“MIXED”.
Thisprogramissuitableifyouaresueringfromboth
StressandUrgeinconnence.Itisacombinaonofthe
STRESandURGEprograms.
Therst10minutesusestheURGE
programtoreducesensivity,theninthe
second10minutes,theSTRESprogram
exercisesthepelvicoormuscles.You
may need to increase the strength in order
tofeelthemusclecontraconwhenthe
STRESprogramstarts.
TONE:
Shownonthescreenas:“TONE”.
Havingrestoredyourpelvicoormuscles
toanexcellentcondionyouwillwantto
keepthemtonedandstrong.Regularuse
ofthisprogramme,abouttwiceaweek,
willensurethatyourmusclesremaint
  andtoned.
TheTONEprogrammemayalsobeusedasanalternave
treatmentforSTRES.ThesensaonwhenusingtheTone
programmeisamixtureofastrongdrawinginofthe
musclesandthenreleasing.
Astrongandtpelvicoormuscle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condionandyoushould
obtain a professional diagnosis of the cause before
starnguse.Itgivesaconstantsoothingngling
sensaon.UsewiththeLibertyLoopvaginalelectrode
foratleast40minutestwoorthreemesaweek.Setthe
strengthashighasyoucanwhileremainingcomfortable.
7.PACKCONTENTS
•“PerfectPFE”connencesmulator
•LibertyLoopvaginalprobe(X-VPL)
•ConnecngLeadwires(L-CPT)
•2x1.5vAAbaeries
•Instruconbooklet
• Transit pouch

15 16
8.SETTINGUP
Preparing your Perfect PFEforuseisverysimple.
1)Insertbaeries
i)Removebeltclipby
sliding down
ii)Removebaerycoverby
pulling on tag
iii)Insertbaeries
Ensurethatthebaeriesareinsertedtherightway
asshowninbaerycompartmentandthatthe
ribbonisbehindthem.
2)Pressandholdthe‘ON’buonforatleastthree
seconds.Thedisplayshouldappear.
3)Inserttheleadwireplugintothebaseoftheunit.
4)Connecttheleadfromthebaseoftheunittothelead
intheProbe.
5)YourPerfect PFEisnowreadyforuse.
6)Youcanswitchthecontrolunitoatanymeby
pressingandholdingthe“OFF”buon.The“OFF”buon
istheboomlebuononthecontrolunitkeypad.
Caution: Ensure the control unit is switched OFF
by holding down the OFF button before use.

17 18
9.PREPARINGFORYOURTRAININGSESSION
1)BeforeusingyourPerfect PFE Pelvic
Floor Muscle Smulator you will need to
visitthebathroomandyoumaywantto
lubricate the Probe with a water-based
personallubricanggelorwater,although
thisisn'talwaysnecessary.
2)Chooseacomfortableposion,suchas
leaning back or lying down on your bed with
yourkneesraised.
3)InserttheProbeintothevagina,inthe
samewayasyouwouldatampon,unl
onlytheplascrimatthebaseoftheProbe
isvisible.
4)EnsurethattheProbeisalignedsothatthecontact
plates are to the sides and the longer sides of the
posioningendrimarevercal.
Caution: Ensure the control unit is switched OFF
by holding down the OFF button.
Caution: Do not use a silicone based lubricant on
the stimulation contacts as it may decresase the
effectiveness of Perfect PFE’s muscle stimulation.
Contact Plate Positioning
End Rim
5)TheLibertyLoopprobehasapointeraachment
whichenablesyoutovisuallymonitorthesuccesfullness
ofyourpelvicoorcontracons(theprobecanbeused
withoutthepointer).
•Whenperformed correctly,
the pointerwillmovedownwards.
•Whenperformed incorrectly,
the pointer willmoveupwards.
Thepointerdemonstratesthestrengthandduraon
ofeachcontracon,whethercausedbysmulaonor
performedmanually.Forexample,weakcontraconsare
denedbylileornomovementinthepointer.
Assemblethepointerandaachtotheprobeasfollows:
6)IfusingoponalpadsforUrge,placethepadseither
sideofthespine,aslowaspossibleonthebuocks.
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10.TRAININGSESSION
1)Pressandholdthe“ON”buononthecontrolunitfor
at least 3 secondstoswitchthecontroluniton.
2)Whenswitchedon,in‘STRES’and
‘TONE’programmestheunitwillgo
throughanexerciseprogramfor
4-5seconds,followedbyarestperiod
of8-10seconds.
Thestrengthdisplayonthecontrolunitwillreduceto‘0’
andashduringtherestperiod.
3)Thecontrolunitwillautomacallyselectthe‘STRES’
programtherstmeitisswitchedon.Aerthatitwill
automacallyselecttheprogramyouwereusingthelast
meitwasswitchedo.
4)Youcanselectfromthevepresetprogrammes.
Detailsinsecon6willhelpyouidenfythebestprogram
tosuityou.
To change between the programmes press the
‘programme’buon,whichislabelled‘P’,inthecentreof
thecontrolunitkeypad.
Caution: If tissue irritation occurs, discontinue treatment
immediately. Ask your care provider for advice before
continuing further treatment to prevent injury.
5)Withtherequiredprogrammeselectedyoucannow
adjusttheintensityofthemusclesmulaonbypressing
thestrengthup‘▲’buon,onthetoprightofthekeypad
orthestrengthdown‘▼’buon,ontheboomrightof
thekeypad,unlyoureachacomfortablelevel.
6) The strength required depends on the programmes you
areusing.
Atlowerstrengthsengs,youmaynotfeelanysensaon
atall,thisdependsverymuchontheindividualandany
pre-exisngphysicalcondions,soslowlyincreasethe
intensitybyrepeatedlypressingthe‘▲’buonunlyou
begintofeelthemusclesaroundyourvaginacontract.
ForSTRESandTONEprogrammesthemuscleMUST
contractinordertogiveabenet.
Increasethestrengthashighasiscomfortable,andthen
takeitbackdownonestep.
The‘URGE’and‘PAIN’programmesworkdierently.
Thereisnoneedtohaveacontracon.Thestrength
shouldbecomfortable,butalwaysremainnoceable.You
mayneedtoincreaseitoverthecourseofthetreatment.
7)Ifthesensaonbecomesuncomfortable,reducethe
intensityusingthe‘▼’buon.
8)Ifyouexperiencecramping,switchtheunitounlthe
symptomsgoawaythenconnuethesessionwiththe

21 22
intensitysetatalowerlevel.
The Perfect PFEcausesasensaonwhichfeelslikea
strongdrawinginofthevaginaandpullingupofthe
pelvicoor.Yournaturalreaconwillbetopullinandup
withyourmuscles.Thisexercisesandstrengthensthem.
ForbestresultsintheSTRESSandMIXEDprogrammestry
tocontractthepelvicoormusclesalongwiththePerfect
PFE,andtosustainthecontraconintotherestinterval.
Ifpossible,linkthecontracontoyourbreathinginorder
togetintoagentlerhythm.
9)TheLCDdisplayshowsthe
strengthyouareusing.You
shouldaimtoincreasethisover
anumberofdays.Butremember
thereisnohurry,soonlyincreasethestrengthofthe
smulaonasandwhenyouarecomfortableandready
toprogress.
10)Thelengthofeachsessionisautomacallysetto20
minutes.
The length of each session for muscle strengthening
will also depend on your ability to contract and your
resistancetofague.Becarefulnottooveruseearlyon,
astheresulngachesmaynotbefeltunlthenextday.
Caution: Session times longer than 20 minutes should
only be used in URGE and PAIN programmes, or with
advice from a medical professional.
Ifyouexperiencecramping,youcanreducethesession
meto10minutesandalsoreducetheintensity.
Tosetadierentme,setthestrengthtozero.
Pressthemerbuon‘T’andthe‘min’displaywillash.
Adjustthemeusingthe‘▲’ or ‘▼’buons.
Press‘T’againtoturnoTimerselect.
11.AFTERYOURTRAININGSESSION
Whenthemerreacheszero,yoursessioniscomplete
andtheunitturnso.
1)CheckthatthecontrolunitisOFF.Ifitis
not,holddowntheOFFbuontoswitchothenremove
theprobefromyourvaginabyholdingtheposioning
endrimandgentlypullingoutwards.Becarefulnotto
pullthewireasthismaydamageit.
Ifyouareusingthepointer,detachthisrstbefore
removingtheprobe.
2)Washandthoroughlydrytheprobeandreturnittothe
storagepouch.
3)ThePerfect PFEpelvicoorsmulatorwillnotonly
improveyourpelvicoormusclesbutalsohelpyouto
recognisethecorrectsensaonyouneedtofeelwhen
doingyourKegelexercises(explainedinsecon19).

23 24
12.CLEANING
Followingeachuse,cleantheprobe
witheitheranalcohol-freeanbacterial
wipe or by washing in warm soapy
water,rinseanddrythoroughly.DoNOT
immersetheprobeinwater.
Clean the case of the unit and the lead wire
inthesamewayatleastonceaweek.
13.FREQUENTLYASKEDQUESTIONS
HOWHIGHSHOULDISETTHESTRENGTH?
The Perfect PFEsmulatesthepelvicoormuscles.The
sensaonislikeastrongdrawinginofthemusclesofthe
vaginaandapullingupofthepelvicoor.Themuscle
MUSTcontractinordertogiveabenet.Increasethe
strength as high as is comfortable and then take it back
downonestep.Thelevelrequiredvarieswidelybetween
users–evenuptothefullpoweroftheunit.
Clean after
every use
MON
TUES
WEDS
THURS
FRI
SAT
SUN
Warning: ThePerfectPFEprobeisintended
forsinglepaentuseonly.Donotshareyour
PerfectPFEprobewithanyoneelseas
cross-infeconmayoccur.
NOTE: Atrstitisadvisablenottousethe
Perfect PFEattoohighastrength,orfortoo
long.Aslongasyoucanfeelthecontracon,it
isworking.Youcanbuildupslowlyoveranumberof
days.Withtherstfewsessionsthemusclesmayache
thenextday-thesamereaconyouwouldgetwithany
unaccustomedexercise.Withthepelvicoor,thisgivesa
‘cramping’feeling.Ifthishappens,stopusingyour
Perfect PFEunltheachinggoesaway,thenstartagain
usingalowerstrengthandthe10minutetreatmentme.
Asthepelvicoorbeginstoimprove,itwillbepossibleto
maintainthesmulaonforlonger.
SHOULDITRYTOEXERCISEALONGWITHTHE
PERFECTPFE?
Forbestresultstrytocontractyourpelvicoormuscles
along with the Perfect PFEandtosustainthecontracon
intotherestinterval.Ifpossible,linkthecontraconto
yourbreathinginordertogetintoagentlerhythm.
Oncethepelvicoorhasbeenstrengthenedusingthe
Perfect PFE,connuetoexercisethepelvicoormuscles.
Thepelvicoorneedstobeworkedandreactsverywell
tosuchexercises.

25 26
14.ANALPROBE
Ananalprobe(X-APorX-PR13)canbepurchasedas
anaccessory.Theseprobescanbeusedforfaecal
inconnenceinbothmalesandfemales.
Condions that may be treated
TheseanalprobesmaybeusedtotreatUrinaryand
FaecalInconnenceinasimilarwaytothevaginalprobe.
Becausethesmulaoncannotberestrictedtoone
musclegroup,andthemucosalssuehasdierent
electricalcharacteriscs,analsmulaonisless
comfortablethanvaginal.
Youshouldconsultyourphysicianbeforestarng
treatment.
Faecal Inconnence
Faecalinconnencecanbetheresultofweakenedor
poorlyfunconinganalsphinctermusclesordamageto
thenervescontrollingthem.Thepurposeisto
re-educate the anal sphincter and other muscles of the
pelvicoortocontract.Thetreatmentsaimtoprogress
towardsgraduatedacveexercises,inordertoimprove
pelvicoormusclestrengthandenduranceandtoregain
funcon.YoumaybenetfromthePerfect PFE if you
eitherhavenoacveanalsphinctercontracon,ora
weakorpoorlysustainedcontracon.
UsetheSTRESSorTONEprogrammes.
Intensity should be as strong as possible without being
painful.
Whenpossible,trytocontractthemusclesatthesame
measthePerfect PFE.
Post Prostatectomy Urinary Inconnence
Electricalsmulaonhasbeenfoundtohelpurinary
inconnenceinmenaerradicalprostatectomyinsome
trials.
Usethesameprogrammesasforvaginalsmulaon.
IncreaseintensityinStress,Mixed,orToneprogrammes
tothehighesttolerable.

27 28
15.BATTERYREMOVALANDREPLACEMENT
Whenthebaeriesarerunninglow,alowbaery
indicator will show on the screen and it is
importanttochangethebaeriesassoonaspossible.
Open as shown in secon 8.Toremovebaeriespull
gently on the ribbon that goes around the back of the
baeries.
Baery type:
ONLYuseeither1.5vAAalkalinebaeriesorNiMHAA
rechargeablebaeries.
DONOTmixbaeriesofdierenttypes.
CAUTION:NEVERaempttorechargeanalkaline
baery-there is a risk of explosion.
Storage
Removebaeriesfromyourmachineiftheunitisunlikely
tobeusedforalongperiod.Sometypesofbaerymay
leakcorrosiveuid.
If baery leakage occurs and comes in contact with
the skin or eyes, wash thoroughly with plenty of water.
Baery Life
Baeriesshouldlastabout48hoursatfullpower.
Unusedbaerieshaveanominalshelflifeof3years,but
willusuallylastlongerthanthis.
Caution: Keep batteries out of the reach of small children.
Disposal of baeries
Alwaysdisposeofbaeriessafely.
Do not throw baeries onto a re. Risk of explosion.
16.HELPLINE
Ahelplineisavailable,
MondaytoFriday,8:30am-5.00pm.
Call:01372723434/Overseas:+44(0)1372723434
OrEmail:[e-mail]
17.TROUBLESHOOTING
Iftheunitdoesnotwork:
• No display-changebaeriesandensurethattheyare
insertedcorrectly.Checkbaerysprings.
• Controls won’t work
-IfLOCKisshownondisplay,pressandholdthe▼buon.
-IfnoLOCKisshowing,removeandreplacethebaeries.
• No sensaon and LEADS alarm showing
Checkleadandprobeconnecon:-
-Dampenyourhandwithwaterandaliletablesalt.
Squeezetheprobermlyandcarefullyincreasestrength
unlyoucanfeelsomethingorLEADSalarmshows.

29 30
-Ifyoucan’tfeelanything,eitherleadorunitisfaulty.
-Ifyoucanfeelsomethingonyourhand,andtheLEADS
alarmdoesnotshow,thenthereisnothingwrongwith
theunitorlead.
Theelectricalconducvityofthevaginavarieswidely.
TheLEADSdeteconcircuitintheproductisthereasa
safetyfeature.Itensuresthatrapidchangesinconnecon
cannotcauseveryuncomfortablerapidchangesin
smulaon.Unfortunatelythismeansthatsomeusers,
whofalloutsideofthegeneralrange,mayexperience
unwantedLEADSalarms.
Ifthishappenstoincludeyou,youcantry:-
i)Usingawater–basedlubricant,whichwillimprove
conducon
ii)Crossingyourlegsandsqueezingtoincreasepressure
ontheprobe,whichshouldimprovetheconnecon.If
thisenablesyoutousetheunit,youshouldndthatina
fewweeksofsmulaonthecontactimproves.Ifitdoes
not,thenwearesorrytosaythattheunitwillnotwork
foryou.
Caution: Do not use a silicone based lubricant on the
stimulation contacts of the probe as it may descrease the
effectiveness of the Perfect PFE’s muscle stimulation.
iii)Theprobesuppliedwiththeunithasa28mm
diameter.Anoponal,larger32mmprobe,partnumber
X-VPM,isavailable(seesecon18).
• No sensaon and no LEADS alarm
-IfyouhavetriedthetestaboveandDOhavesensaon
whentheprobeisinyourhand,thenyoumayhave
reducedsensivityduetopreviouslydamagedor
desensizedpudendalnerves(thiscanhappenin
childbirthorsomesurgicalprocedures).Seesecon3.
• No sensaon on one side
-Thecurrentowsfromonesideoftheprobetoother,
soitisnotpossibletohaveoneside“notworking”.
However,thestrengthofthesensaondependsonhow
closetothenervethecurrentows,andalsoinwhich
direconitowsrelavetothenerve.Youcantryslightly
adjusngtheposionontheprobe,orexchangingthe
conneconofthewiresintheprobe.

31 32
18.CONSUMABLESANDSERVICING
PARTNUMBER(REF):
X-VPL  LibertyLoopVaginalProbe(32mmdia.)
X-VP  LibertyVaginalprobe(28mmdia.)
X-VPM LibertyPlusVaginalProbe(32mmdia.)
X-VPG GoldVaginalProbe(26mmdia.)
L-CPT  Replacementlead,1.25mlength
X-AP  Analprobe(25mmdia.)
X-PR13 Smalldiameteranalprobe(19.6mmdia.)
E-CM5050 Self-adhesiveelectrodepads(50x50mm)
K-GO  GoGelPersonalWater-basedLubricant
NOTE: Youshouldonlyusetheprobesuppliedwith
theunitorthereplacementsaboveasperformance
mayvarywithotherelectrodes.
NOTE:DoNOTusesiliconebasedorhybrid(mixed
waterandsilicone)lubricants.
These consumables can be purchased either from your
supplierorbycontacngTensCareon01372 72 34 34 or
by going online to www.tenscare.co.uk
Please ensure that you order the correct part number.
Forservicing,pleasecallTensCareon01372 72 34 34 to
discusstheproblem.
If your unit needs to be returned please send it to
The Service Department, TensCare Ltd, 9, Blenheim
Road, Epsom, Surrey, KT19 9BE, UK.
Pleaseensurethatyouencloseyourname,addressand
contact telephone number so that you can be contacted
andinformedaboutanyproblemandanycostsinvolved.
Therearenouser-serviceablepartsandnocalibraonis
required.Partlistsanddiagramsareavailableonrequest.
19.PELVICFLOOREXERCISES
19.1.WHATISYOURPELVICFLOOR?
Thepelvicoorisagroupofmusclesformingabroad
slingrunningfromfronttobackandtheyformtheoor
ofyourpelvis.

33 34
Whoshoulddopelvicoorexercises?
Allwomenneedtodopelvicoorexercisesthroughout
theirlives.
Pelvicoormusclesmaybecomeweak:
• following childbirth
•throughalackofexercise
• as a result of the menopause
•followingpelvicsurgery,forexampleahysterectomy
(removalofyourwomb),orbladderrepair
• by straining to open your bowels
•bybeingoverweight
•havingachroniccough.
Pelvicoorexercisescanhelpstrengthenyourmuscles
sothattheycangiveyourorganssupportagain.This
willimproveyourbladder/bowelcontrolandcan
improveorstopanyleakage.
19.2.HOWTOPERFORMPELVICFLOOR
EXERCISES
Once your Perfect PFEhashelpedyoutodevelopcontrol
ofyourPelvicFloormusclesandbuiltmusclestrength,
youshouldmakePelvicFloor(somemescalledKegel)
Exercisespartofyourdailylife.
Kegelexercisesareintendedtohelpstrengthenthepelvic
oormuscles.
Thepelvicoormuscleshelptosupportandkeepthe
bladder,uterusandbowelinplace,buttheycanbe
weakenedbythestressesandstrainsofpregnancy,
childbirthandthenaturalprogressionofageing,soitis
importanttoexercisethesemusclestokeepthemstrong.
1)Kegelexercisescanbedoneatanymeandarevery
discreetsoyoucandothemalmostanywhere;lyingin
bed,singatthecomputerorwaingforabus.Itisa
goodideatotryanddeveloparounewhichyoucan
repeateachday.
2)Firstofall,itisimportanttondyourpelvicoor
musclesandfeelthemworking.Sohereareacoupleof
techniqueswhichmighthelp:
Tryinserngoneortwongersintoyourvaginaand
thensqueezingthesurroundingmuscles,liingupand
towardsyourbellybuon–asqueezingandliing
sensaon.
Anotherwayistotryandstoptheowofurineduring
urinaon.Ifyouaresuccessfulthenyouknowyouare
exercisingthecorrectmuscles.Thesetechniquesare
justtohelpyouconrmthatyouareusingthecorrect
muscles.Itisimportanttohaveanemptybladderbefore
starngtheexercises.

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3)Trytoremembertheliingandsqueezingsensaon
andwhenyouarereadytrytorecreatetheexercises,just
usingthemusclesyouidenedearlier;don'ttensethe
musclesinyourlegs,stomachorbuocksandremember
tobreathenormally.
4)Aimtoholdeachsqueezeor'contracon'forbetween
threeandveseconds,thenreleaseandrelax.You
shouldfeela‘lenggo’ofthemuscles.
Restforvesecondsandthenrepeat.
5)Tryanddoabouttensqueezesinthisway.
6)Repeatthewholeprocessthreeorfourmesaday.
7)Overaperiodofmetrytoincreasethemuscle
contraconsuptoabouttenseconds,butrememberto
restinbetweeneachsqueezeforlongerperiods.
Itisimportanttoaimforqualitycontracons,not
quanty,soafewgoodhardsqueezesarebeerthana
seriesofweakones.
Donotworryifyoundholdingfor3secondsdicult
atrst.Justsqueezeforaslongasyoufeelcomfortable.
Themoreexerciseyoudo,thestrongerthemuscleswill
becomeandthelongeryouwillbeabletosqueeze.
8)YoucanalsouseyourPerfectPFEpelvicoor
smulatorinconjunconwithKegelexercises,whichwill
giveyouabeerunderstandingofhowtheyworkand
howtogetthegreatestbenetfromthem.
Usethepointerasanindicaon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.
How can I tell if it’s working?
Everytwoweeks,testthestrengthofyourpelvicoor
bystoppingtheowofurinemid-stream.Thiswill
feelsimilartotheexercisesaboveandusesthesame
muscles.Youmaynotbeabletocompletelystopthe
owofurinetobeginwith,butyoumaynocethatyou
areabletoslowtheowdown.Thisisyourbaseline
assessment.Graduallyovertheweeksyoushouldnoce
animprovement.Itisimportantthatyoudonotdothis
test more than once a fortnight as it may cause problems
withyourbladder.Thisisjustatesttoseehowyouare
progressing.