TensCare iTouch Sure User manual

0
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

2
Dear Customer,
Thank you for choosing itouch sure. 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

3

4
Contents
1. INTRODUCTION.................................................................................................6
2. INTENDED USE..................................................................................................6
3. ITOUCH SURE FEATURES................................................................................7
4. PELVIC FLOOR EXERCISES.............................................................................7
4.1. PELVIC FLOOR MUSCLES..........................................................................7
4.2. PERFORMING PELVIC FLOOR EXERCISES .............................................9
5. TYPES OF INCONTINENCE.............................................................................10
6. HOW ‘EMS’ WORKS .........................................................................................10
7. CONTRAINDICATIONS, WARNINGS & CAUTIONS........................................11
8. INFORMATION ABOUT THE PROGRAMME SETTINGS ................................14
9. PROGRAMMES ................................................................................................15
9.1. PROGRAMME SETTINGS .........................................................................15
9.2. PRESET PROGRAMMES ..........................................................................15
10. CONTENT .........................................................................................................16
11. UNIT INFORMATION........................................................................................17
11.1. CONTROLS & DISPLAY .........................................................................17
11.2. OPERATING INSTRUCTIONS................................................................18
12. SETTING UP AND USING THE ITOUCH SURE...............................................20
12.1. INSTALLATION OF BATTERIES.............................................................20
12.2. CONNECTING LEAD WIRE....................................................................21
12.3. PREPARING FOR SESSION ..................................................................21
12.4. TRAINING SESSION...............................................................................22
12.5. AFTER YOUR TRAINING SESSION.......................................................24
13. ANAL PROBE....................................................................................................24
13.1. CONDITIONS THAT MAY BE TREATED................................................24
13.2. HOW TO INSERT THE ANAL PROBE....................................................25
14. CLEANING ........................................................................................................25
15. EMC...................................................................................................................26
16. DISPOSAL OF WASTE ELECTRICAL AND ELECTRONIC PRODUCTS ........26
17. ACCESSORIES.................................................................................................26
18. WARRANTY......................................................................................................27
19. TROUBLESHOOTING.......................................................................................29
20. GENERAL SPECIFICATION.............................................................................31
NOTES.....................................................................................................................33

5
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

6
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 itouch sure 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 itouch sure 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 itouch sure is very easy to use,
with four clearly labelled preset training
programmes and a simple push button
control.
The itouch sure 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.
•Treatment of erectile dysfunction
in men* and improvement of pelvic
strength (* requires an anal probe).
2. INTENDED USE
Itouch sure 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.
Do not use the device for any purpose
other than this intended use.
Warning: Not suitable for use
in children without medical
supervision.

7
3. ITOUCH SURE
FEATURES
•Single Channel
Single channel unit provides relief from
symptoms of all types of incontinence
via a tampon-shaped probe.
•Comfortable Stimulation
Gentle stimulation in small steps of
intensity, 0.5 mA per step.
•4 Preset Programmes
Clinically tested programmes for all
types of incontinence including stress,
urge, mixed and a tone aftercare
programme.
•Treatment Timer
Unit defaults to 20 minutes’ treatment to
ensure the pelvic floor muscles are not
overworked. The user can manually
reset this (20,30,45,60 or 90 mins).
•Open Circuit Detection
Automatically resets the strength to
zero and flashes ‘LEADS’ if the
connection comes loose.
•Keypad Lock
Enables the user to manually lock the
controls to prevent any accidental
changes in settings.
•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), number of uses and
time of usage.
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.

8
•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 itouch sure 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.

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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.
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

11
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. Itouch sure 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. 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.
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

12
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.
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 itouch sure 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.

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PROBE CAUTIONS:
Caution: The itouch sure
vaginal probe is intended for
single patient use only. Do not share
your itouch sure 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 itouch sure’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 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.
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

14
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: -
10°C to +60°C, 8 to 93% R.H.
Temperature & Relative Humidity of
operation: 0°C to +40°C, 10 to 93%
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.
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 itouch sure 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.

15
9. PROGRAMMES
9.1. PROGRAMME SETTINGS
9.2. PRESET PROGRAMMES
The itouch sure has 4 preset
programmes. One for each type of
incontinence (stress, urge and mixed),
and one aftercare programme 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,
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:
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.
Prog
STRES
URGE
MIXED
TONE
Freq.
(Hz)
50
10
20
35
Pulse
width
(μs)
300
200
250
250
Ramp Up
& Down
(s)
1
1
2
2
Plateau
(s)
5
5
3
3
Rest (s)
10
10
20
6
Default
duration
(min)
20
20
20
20
m
m
m
i
n

16
TONE:
Shown on the screen as: TONE
Once the pelvic floor muscles have
been strengthened with itouch sure,
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.
10. CONTENT
The pack contains:
•1 x itouch sure continence
stimulator unit
•1 x Lead wire (L-IT1-NEW)
•1 x Liberty vaginal probe (X-VP)
•2 x AA 1.5V alkaline batteries
•1 x Storage pouch
•1 x Instructions for use booklet

17
11. UNIT INFORMATION
11.1. CONTROLS & DISPLAY
Programme
selected
Programme
selector
Time selector
OFF button
ON button
Lock button
Time remaining
(min)
Strength
selected (mA)
Strength up
Strength down
Low Battery
Output active
indicator

18
11.2. OPERATING
INSTRUCTIONS
ON/OFF
To turn the unit on, press the ON
button and hold for 3 to 5 seconds
until the display shows.
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 strength returns to 50% of the level
that was being used when the unit was
switched off.
During start up to stop the increase in
strength at any time, press any key
once.
To turn the unit off, press the OFF
button and hold for 3 to 5 seconds
until the display stops.
Alternatively, press and release the
OFF button until the LCD screen
displays 0, any further press will switch
the unit 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 screen is illuminated whenever a
button is pressed.
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). Itouch sure detects a
disconnection and automatically
returns the strength to zero.
The unit has 198 levels of strength (0 to
99.5 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
itouch sure has four preset
programmes. At first use, the unit
automatically goes to programme
▲
▼
P

19
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.
TREATMENT TIMER
The TIMER button can be
used to set the session
duration. When you switch the unit on,
it is automatically set at 20 minutes for
all the programmes.
By repeatedly pressing and releasing
the TIMER button you can manually
override and select 10, 30, 45, 60, 90
minutes or continuous time.
The length of time that you have
selected will be shown on the screen.
The minutes will start to count down
once you start the programme.
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.
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
A low battery indicator BATT will show
when you need to change the batteries.
The unit will shut down about 2 minutes
after this.
LOCK BUTTON
The LOCK button on the top right
hand side of the unit can be used
to lock all controls except for the
▼and OFF buttons.
To activate, press and hold down the
button for 3 to 5 seconds until LOCK is
displayed on the screen. Repeat to
deactivate.
LEADS ALARM
The itouch sure 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 such as TensCare Go Gel
(see K-GO). Please see section 19 for
more troubleshooting tips.
MEMORY
The itouch sure 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 the TIMER button and
▲together and hold down for 3 to 5
seconds. The display will show the
duration of use in hours and the
average strength used.
Press the same buttons again to return
to normal controls.