TensCare Elise User manual

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INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

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QUICKSTART GUIDE
Connect the unit with the vaginal probe
Conecte la sonda vaginal a la unidad
Connectez l’appareil à la sonde vaginale
Verbinden Sie das Gerät mit der Vaginalsonde
Insert the vaginal probe
Introduzca la sonda vaginal
Insérez la sonde vaginale
Führen Sie die Vaginalsonde ein
Press and hold the ON button to switch the device on
Presionar el botón de ON para encender el dispositivo
Appuyez sur le bouton ON pour allumer l’appareil
Halten Sie die ON-Taste gedrückt, um einzuschalten
Regulate the output intensity with +and -
Regule la intensidad con los botones +y -
Choisissez l’intensité avec +et -
Regulieren Sie die Intensität mit +und -
Press and hold the OFF button to switch the device off
Presionar el botón de OFF para apagar el dispositivo
Appuyez sur le bouton OFF pour éteindre l’appareil
Halten Sie die OFF-Taste gedrückt, um auszuschalten
ON
Button P
UP
DOWN
OFF
Select the programme by pressing the button P
Seleccione el programa presionando el botón P
Choisissez le programme avec le bouton P
Wählen Sie ein Programm mit der P-Taste
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3
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5
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Dear Customer,
Thank you for choosing Elise. 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. ELISE FEATURES ..............................................................................................5
4. PELVIC FLOOR EXERCISES.............................................................................6
4.1. PELVIC FLOOR MUSCLES..........................................................................6
4.2. PERFORMING PELVIC FLOOR EXERCISES .............................................7
5. TYPES OF INCONTINENCE...............................................................................8
6. HOW ‘EMS’ WORKS ...........................................................................................8
7. CONTRAINDICATIONS, WARNINGS & CAUTIONS..........................................9
8. INFORMATION ABOUT THE PROGRAMME SETTINGS ................................12
9. PROGRAMMES ................................................................................................13
9.1 PROGRAMME SETTINGS .........................................................................13
9.2. PRESET PROGRAMMES ..........................................................................13
10. CONTENT......................................................................................................14
11. UNIT INFORMATION.....................................................................................15
11.1. CONTROLS & DISPLAY .........................................................................15
11.2. OPERATING INSTRUCTIONS................................................................16
12. SETTING UP AND USING THE ELISE..........................................................18
12.1. CHARGING THE BATTERY....................................................................18
12.2. INSTALLING THE BATTERY ..................................................................19
12.3. CONNECTING LEAD WIRE....................................................................19
12.4. PREPARING FOR SESSION ..................................................................19
12.5. TRAINING SESSION...............................................................................20
12.6. AFTER YOUR TRAINING SESSION.......................................................21
13. ANAL PROBE ................................................................................................21
13.1. CONDITIONS THAT MAY BE TREATED................................................21
13.2. HOW TO INSERT THE ANAL PROBE....................................................22
14. CLEANING.....................................................................................................23
15. EMC ...............................................................................................................23
16. DISPOSAL OF WASTE ELECTRICAL AND ELECTRONIC PRODUCTS
(WEEE)....................................................................................................................23
17. ACCESSORIES .............................................................................................24
18. WARRANTY...................................................................................................25
19. TROUBLESHOOTING ...................................................................................26
20. GENERAL SPECIFICATION..........................................................................28

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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.
Atmospheric Pressure: indicates the atmospheric limits to which the medical device
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.
This medical device is not water resistant and should be protected from liquids.
The first number 2: Protected against access to hazardous parts with a finger,
and the jointed test finger of 12 mm ø, 80 mm length, shall have adequate
clearance from hazardous parts, and protected against solid foreign objects of 12.5
mm ø and greater.
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 Elise is a powered muscle
stimulator used for strengthening the
pelvic floor muscles.
It sends a gentle stimulation (similar to
your natural nerve impulses) direct to
your pelvic floor muscles through a
vaginal probe with stainless steel
electrodes. These signals make your
pelvic floor muscles contract. If you
have forgotten how to contract them,
are having trouble getting muscle
response, or simply want to bring back
the condition of your pelvic floor
muscles, the Elise can work them for
you to build up their strength and help
you to develop your own muscle
control. It perfectly complements pelvic
floor exercises. The Elise is very easy
to use, with four clearly labelled preset
training programmes and a simple push
button control.
The Elise 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
Elise 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.
3. ELISE FEATURES
•Single Channel
Single channel unit provides relief from
symptoms of all types of incontinence
via a tampon-shaped probe.
•Comfortable Stimulation
Gentle, comfortable stimulation with
small steps of intensity, 0.5mA per step.
•4 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 muscle is not
over-worked. The user can manually
reset this (10, 20, 30, 45, 60 or 90
minutes).
•Open Circuit Detection
Automatically resets the strength to
zero and flashes ‘LEADS’ if the
connection comes loose.

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•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.
•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

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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.
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.

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

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Advantages of EMS
Use of EMS may lead to faster progress
in the patient’s treatment programme.
The method is simple and appropriate
for treatment in the clinical setting as
well as for self-treatment at home.
How EMS Works
Electrical Muscle Stimulators can play a
vital role in educating women and men
about their pelvic floor and the
sensation they should feel when doing
pelvic floor exercises. Electrical Pelvic
Floor Exercisers (PFE) offer a non-
invasive method of producing
contraction of muscles via a gentle
stimulation to the pelvic floor through a
discreet probe or electrode pads when
they are placed close to the nerve that
controls the pelvic floor muscles. This
current then passes into the nerve
fibres controlling that part of the muscle
stimulating it to contract. So, electrical
stimulation (EMS) artificially activates a
muscle for you enabling you to develop
your own muscle control. These
contractions exercise the muscles and,
as with any kind of exercise if
performed regularly, build strength and
tone.
In urge incontinence, pelvic floor
exercisers work in a slightly different
way. The electrical stimulation is
designed to soothe your bladder
muscles rather than exercise your
pelvic floor. Elise 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.
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.

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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.
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 Elise at high
strength settings. Prolonged use at high

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settings may cause muscle injury or
tissue inflammation.
Note: No serious or long term
adverse effects have been
reported. Mild adverse
reactions are very rarely reported, but
these have included muscular pain and
cramps, vaginal tenderness, irritation
and bleeding, mild or short term urge or
faecal incontinence, and tingling
sensation in legs. If you experience any
of these, stop use. When symptoms
have gone, try resuming at a lower
intensity setting.
PROBE CAUTIONS:
Caution: The Elise vaginal
probe is intended for single
patient use only. Do not share your
Elise 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 Elise’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 use immediately, 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

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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 unit. This
may affect the safe operation of the unit
and will invalidate the warranty.
Note: You may safely use the
stimulator during menstruation,
although it may be a little less
comfortable.
8. INFORMATION ABOUT
THE PROGRAMME
SETTINGS
Each programme has its own
combination of Frequency and Pulse
Width settings which allow for different
sensations through the probe or
optional electrode pads and help
treating the different types of
incontinence.
•Frequency (measured in Hz -
pulses per second)
Low frequencies (1-10 Hz) have a
purifying and relaxing effect through
individual contractions.
Medium frequencies (20-50 Hz) can put
a high level of strain on the muscle, thus
promoting the muscular structure.
•Pulse Width (measured in μs -
millionths of a second)
The Elise 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.

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9. PROGRAMMES
9.1 PROGRAMME SETTINGS
9.2. PRESET PROGRAMMES
The Elise has four preset programmes.
One for each type of incontinence
(stress, urge and mixed), and one for
toning the pelvic floor muscles (TONE).
STRESS INCONTINENCE:
Shown on the screen as: STRES
The STRES incontinence programme
strengthens the muscles of the pelvic
floor using gentle stimulation. Once
these muscles are stronger they are
better able to resist urinary leakage
caused by external pressure being
applied to the bladder such as with a
cough, sneeze or physical exertion.
The stimulation causes the muscles to
contract and work. This builds their
strength. Like other fitness training,
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.
This programme is recommended for
those who suffer from both Stress and
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
5
3
Rest (s)
10
10
20
6
Default
duration
(min)
20
20
20
20
m
i
n

14
Urge incontinence or are not sure which
form of incontinence is the problem.
The stimulation frequency is midway
between Stress and Urge.
The sensation, as you might expect, is
a combination of both the Stress and
Urge programmes. The sensation is not
as strong as the Stress programme and
has a slight throbbing sensation.
TONE:
Shown on the screen as: TONE
Once the pelvic floor muscles have
been strengthened with Elise,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 Elise continence stimulator unit
•1 x Lead wire (L-IT1-NEW)
•1 x Short probe lead (L-VPCE)
•1 x Liberty probe (X-VP)
•1 x Li-ion battery (B-BL4B)
•1 x Charger cradle
•1 x Mains adaptor
•1 x Storage pouch
•1 x Manual instruction

15
11. UNIT INFORMATION
11.1. CONTROLS & DISPLAY
Programme
selected
Programme
selector
Time selector
ON/OFF button
Programme
duration (min)
Strength
selected (mA)
Strength up
Strength down

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

17
TREATMENT TIMER
The button marked Tcan be
used to set the session duration.
When you switch the unit on, it is
automatically set at 20 minutes.
To set a different time, set the strength
to zero and press T. The min display
will flash.
You can set session times of 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 in
minutes. The unit automatically counts
down the minutes set and switches off
when it reaches 0.
If you hold down this key for 3 to 5
seconds, you can pause the timer,
allowing you to interrupt the treatment
session, and resume it later. Return to
main screen by pressing any other key.
LOW BATTERY
When the battery is running low, the
word BATT will show on the screen.
Although the display fades as the
batteries run down, the strength of the
output does not change until the
warning is shown.
LEADS ALARM
The Elise 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 Elise 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) To activate hold down the Tand +
buttons together for 3 to 5 seconds. The
screen will show the time in hours (to
the nearest hour) and strength in mA.
Press the same buttons again to return
to normal controls.
3) Memory Reset. To reset memory to
zero, hold down the Tand OFF buttons
together for 3 to 5 seconds.
T
Time in
hours
Average
strength

18
12. SETTING UP AND
USING THE ELISE
12.1. CHARGING THE
BATTERY
The Elise is powered by a type BL4B
rechargeable Li-ion battery. A separate
charging cradle and power adaptor with
interchangeable plug are included in
the kit. The battery should need
charging about once a month. The
battery should last at least 15 hours at
50 mA, 300 μs, 50 Hz. To fully charge
the battery it will take about 2 hours.
When the battery is running low, the
word BATT will show on the screen.
Although the display fades as the
batteries run down, the strength of the
output does not change until the
warning is shown.
Warning: Use only the power
adaptor and charging cradle
supplied. Use of other chargers
could be hazardous and will negate the
warranty.
To charge the battery:
Insert the battery into the charging
cradle, connect the charging cradle to
the power adaptor and plug it into the
mains socket.
The red light will appear on the charging
cradle –that means the battery is being
charged.
When the battery is charged, the
indicator light on the cradle will change
from red to green.
Storage
Remove batteries from your Elise if the
unit is unlikely to be used for a long
period. Some types of batteries may
leak corrosive fluid.
Battery Warnings
This product is equipped with a Lithium-
ion battery. Failure to follow these
instructions could cause the lithium-ion
battery to leak acid, become hot,
explode or ignite and cause injury and
/or damage:
Do NOT pierce, open,
disassemble, or use in a humid
and/or corrosive environment.
Do NOT expose to
temperatures over 60°C(140F).
Do NOT put, store or
leave near sources of heat, in
direct strong sunlight, in a high
temperature location, in a pressurized
container or in a microwave oven.
Do NOT immerse in water or
sea water, or get wet.
Do NOT short-circuit.
Do NOT MIX 5V and 4.2V
Power Supplies and Cradles.
This could result in failure to
charge or damage to the battery.
If necessary, it is recommended to
obtain a replacement battery from your
local distributor.
If battery leakage occurs and comes in
contact with the skin or eyes, wash
thoroughly with lots of water.

19
Keep batteries out of the reach of small
children.
Disposal: Always dispose of batteries
responsibly according to local
government guidelines. Do not throw
batteries onto a fire. Risk of explosion.
12.2. INSTALLING THE
BATTERY
1) Remove the battery cover by
pressing down the centre of the battery
cover and slide downwards.
2) Insert the battery into the unit. Line
up the 3 connectors on the battery with
the contact in the unit. Slide in and
press down.
3) Replace the battery cover.
12.3. CONNECTING LEAD
WIRE
Insert the lead wire plug into the baseof
the unit.
Connect the lead from the base of
the unit to the lead in the probe.
Push the pin ends firmly into the pigtail
ends of the probe lead.
The lead wires may be damaged by
rough handling, and should be treated
with care.
12.4. PREPARING FOR
SESSION
1) Before using Elise, you will need to
visit the toilet.
2) Lubricate the metal electrode
surfaces and probe tip with a water-
based lubricant, such as TensCare
Go Gel or water.
Caution: Do not use a silicone
based lubricant on the
stimulation contacts as it may
decrease the effectiveness of the
Elise’s muscle stimulation.
3) Choose a comfortable position, such
as lying down on your bed on your
side with your knees raised.
Warning: Ensure the Elise is
switched OFF before inserting
the probe.
4) After wires are securely connected,
insert the probe into the vagina, in the
same way as a tampon, with the two
silver plates side to side: one plate on
left and the other on the right, until only
the flange at the end is visible. The
probe will naturally position itself with
the widest part of the flange vertically.
The metal parts conduct the electrical
pulse and should be in contact with the
main part of the muscle at all times. The
tissues close to the entrance are more
sensitive, so you should avoid
stimulating them.