TensCare iTouch Sure User manual

0
INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

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

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Dear Customer,
Thank you for choosing the 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 keep this instruction manual in a safe place where it is readily
available.
The illustrations in this manual may differ slightly from the product itself.
Best regards,
Your TensCare Team

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Contents
1. INTRODUCTION ................................................................................................. 6
2. INTENDED USE .................................................................................................. 6
3. ITOUCH SURE FEATURES................................................................................ 6
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 PROGRAM SETTINGS...................................... 14
9. PROGRAMS...................................................................................................... 15
9.1. PROGRAM SETTINGS............................................................................... 15
9.2. PRESET PROGRAMS................................................................................ 15
10. CONTENTS ....................................................................................................... 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 ........................................................................................................ 26
17. ACCESSORIES................................................................................................. 26
18. WARRANTY ...................................................................................................... 27
19. TROUBLESHOOTING....................................................................................... 29
20. GENERAL SPECIFICATION ............................................................................. 31
NOTES..................................................................................................................... 33

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

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Notes are used to provide clarification or recommendation.
A Warning is used when failure to follow the instructions may result in serious
injury or death.
A Caution is used when failure to follow the instructions may result in a minor or
moderate injury, or damage to the device or other property.
A Contraindication is used when a device should not be used because the risk
of use clearly outweighs any foreseeable benefits and may result in serious injury
or death.

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1. INTRODUCTION
Device Description & Principles of
Design
Bladder leakage and incontinence are
common problems for both women and
men, affecting their long-term health.
Exercising the pelvic floor muscles is
recognised as a 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
programs 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.
•Anal stimulation (requires an anal
probe) may also help men who are
otherwise unable to execute Kegel
exercises to strengthen their pelvic
floor. Pelvic floor muscle training is
recommended for recovery from
some causes of Erectile Dysfunction.
However, it is not intended to treat
any medical issues and your first
step in deciding appropriate therapy
should be to consult your
professional medical advisor.
2. INTENDED USE
This device has been designed
to be a medical device used in
the home healthcare
environment to treat urinary and/or
faecal incontinence using gentle
electrical stimulation (i.e. EMS –
electrical muscle stimulation).
Do not use this device for
any purpose other than this intended
use.
Warning: Not suitable for use
in children without medical
supervision.
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

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Gentle stimulation in small steps of
intensity, 0.5 mA per step.
•4 Preset Programs
Clinically tested programs for all types
of incontinence including stress, urge,
mixed and a tone aftercare program.
•Treatment Timer
Unit defaults to 20 minutes’ treatment to
ensure the pelvic floor muscles are not
overworked. The user can manually
reset this (10, 20, 30, 45, 60 or 90 mins)
or continuous.
•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 program and intensity currently
being used.
•Memory
Features 3 functions: program retention
(automatically starts in the last program
used), duration of use and average
strength used.
4. PELVIC FLOOR
EXERCISES
4.1. PELVIC FLOOR
MUSCLES
The “FLOOR” of your pelvis is made up
of layers of muscles that support the
bowel, bladder, urethra and uterus.
These muscles are like a hammock, or
the bottom and sides of a bowl, in
shape. They run from the pubic bone in
the front to the end of the spinal column
(or tail bone) in the back.
The pelvic floor muscles:
•Assist in supporting the abdominal
and pelvic organs.
•Work with the abdominal and back
muscles to stabilise and support the
spine.
•In women, also
oprovide support for the baby
during pregnancy and
oassist in the birthing process
Pelvic floor muscles are also important
for sexual function in both men and
women:
•In men, it is important for erectile
function and ejaculation.
•In women, voluntary contractions
(squeezing) of the pelvic floor
contribute to sexual sensation and
arousal.
However pelvic floor muscles may
become weak. If your pelvic floor
muscles become stretched or
weakened, your pelvic organs may no
longer be fully supported, and you may

8
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 very discreet so you can
do them almost anywhere; lying in
bed, sitting at the computer or
waiting for a bus. It is a good idea to
try and develop a routine which you
can repeat each day.
2) First, it is important to find your pelvic
floor muscles and feel them working.
So here are a couple of techniques
which might help:
•Try inserting one or two clean
fingers into your vagina and then
squeezing the surrounding muscles,
lifting up and towards your belly
button – a squeezing and lifting
sensation.
•Another way is to try and stop the
flow of urine during urination. If you
are successful, then you know you
are exercising the correct muscles.
Note: These techniques are
just to help you confirm that you
are using the correct muscles. It is
important to have an empty bladder
before starting the exercises.
3) Try to remember the lifting and
squeezing sensation and when you
are ready try to recreate it just using
the muscles you identified earlier;
don't tense the muscles in your legs,
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.
Incontinence can have many causes.
You should try to identify the type of
incontinence and the cause before
starting to use this device with your
healthcare professional.
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 program. 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).
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 program has a specific
frequency and pulse width that will offer
the best results for the type of
incontinence treated.
7. CONTRAINDICATIONS,
WARNINGS &
CAUTIONS
If in doubt, contact your healthcare
professional before using the itouch
sure.
CONTRAINDICATIONS:
Do NOT use if you are or may
be pregnant; or in the first 6-8
weeks after childbirth or pelvic
surgery. It is not known whether EMS
may affect foetal development.
Stimulation may disrupt the healing
process.
Do NOT use if you have a
pacemaker (or if you have a
heart rhythm problem) or with
any electronic medical devices. Using
this unit with electronic medical devices
may cause erroneous operation of the
device. Stimulation in the direct vicinity
of an implanted device may affect some
models.
Do NOT use if you have
symptoms of active urinary
tract infection, vaginal
infections, or localized lesions.
Introducing the probe may irritate
sensitive tissue.
Do NOT use if you have poor
sensation in the pelvic region.
You may not be able to control
the intensity of stimulation safely.
WARNINGS:
Do NOT use if you are unable
to properly insert the vaginal or
anal probe. If you have a

12
severe prolapse, or if any discomfort
occurs when inserting the probe,
consult your healthcare professional
before use.
Do NOT use when walking,
driving, operating machinery,
or similar actions needing
muscular control. Loose electrode
pads, damaged leads, or sudden
changes in contact may cause brief
involuntary muscle movements and put
you at risk of injury.
Do NOT use to mask or relieve
undiagnosed pain. This may
delay diagnosis of a
progressive condition.
Do NOT use if you have,
active or suspected vaginal,
pelvic or prostate cancer or
undiagnosed pain in the area being
treated with a history of cancer.
Stimulation directly through a confirmed
or suspected malignancy should be
avoided as it may stimulate growth and
promote spread of cancer cells.
Do NOT use optional electrode
pads near the thorax as this
may increase the risk of
cardiac fibrillation.
Do NOT use optional electrode
pads on the front of the neck.
Stimulation on the front of the
neck can affect your heart rate or cause
contraction of the throat.
Do NOT use optional
electrodes across the
chest. Very strong stimulation
across the chest may cause an extra
heartbeat.
Do NOT use iTouch Sure
while simultaneously
connected to high frequency
surgical equipment as it may result in
burns at the site of stimulator electrodes
and possible damage to the stimulator.
Do NOT use iTouch Sure in
close proximity (e.g. 1 m) to a
shortwave or microwave as this
may produce instability in the stimulator
output.
CAUTIONS:
Caution should be used if you
have a bleeding disorder as
stimulation may increase blood flow to
the stimulated region.
Caution should be used if you
have suspected or diagnosed
epilepsy as electrical
stimulation may affect seizure
threshold.
Caution should be observed
when using the device at the
same time as being connected
to monitoring equipment with body
worn electrode pads. It may interfere
with the signals being monitored.
Caution: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

13
cause muscle injury or tissue
inflammation.
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: 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. Do NOT use iTouch
Sure in close proximity (e.g. 1 m) to a
shortwave or microwave as this may
produce instability in the stimulator
output
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
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 itouch sure
vaginal or anal 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 or anal probe is
cleaned after each use.
Ineffective cleaning may lead to
irritation or infection.
Caution: Never insert or
remove vaginal or anal probe
unless the control unit is
powered OFF as insertion or removal
when stimulation is active may cause
discomfort or tissue irritation.
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. Only use
water-based.
Caution: The stainless steel in
the probe’s metal plates
contain some Nickel. This
could cause a reaction if you have a
Nickel allergy. Alternative gold probe
specially made without Nickel is
available (see X-VPG).
Caution: Do not use this
device with vaginal probe or
anal probe other than those
recommended by the manufacturer in
section 17. Electrodes with smaller
surface area may cause tissue irritation.

14
DO NOT PLACE OPTIONAL
ELECTRODE PADS:
•On skin, which does not have normal
sensation. If the skin is numb too
great a strength may be used, which
could result in skin inflammation.
•On broken skin. The electrode pads
could encourage infection.
•The electrode pads are reusable but
for single patient use. The adhesive
is a peel- able hydrogel (water-
based).
ELECTRODE PADS CAUTION:
Caution: Do not ignore any
allergic reaction to the
electrode pads: If a skin
irritation develops, stop using, as this
type of electrodes may not be suitable
for you.
Caution: Do not use this
device with leads or electrode
pads other than those
recommended by the
manufacturer. Performance may vary
from specification. Electrodes with
smaller surface area may cause tissue
irritation.
Caution: Do not use high
intensity settings if electrodes
are smaller than 50x50mm.
TO KEEP YOUR DEVICE IN GOOD
WORKING ORDER, OBSERVE THE
FOLLOWING ADDITIONAL
CAUTIONS:
Caution: Do not immerse your device
in water or place it close to excessive
heat such as a fireplace or radiant
heater or sources of high humidity such
as a nebulizer or kettle as this may
cause it to cease to operate correctly.
Caution:Keep the device
away from sunlight, as long-
term exposure to sunlight may
affect the rubber causing it to become
less elastic and crack.
Caution: Keep the device
away from lint and dust, as
long-term exposure to lint or
dust may affect the sockets or cause
the battery connector to develop a bad
contact.
Caution:Temperature &
Relative Humidity of transport
& storage: -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 device. 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 PROGRAM
SETTINGS
Each program 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)

15
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.
9. PROGRAMS
9.1. PROGRAM SETTINGS
9.2. PRESET PROGRAMS
The itouch sure has 4 preset
programs. One for each type of
incontinence (stress, urge and mixed),
and one aftercare program for toning
the pelvic floor muscles (TONE).
STRESS INCONTINENCE:
Shown on the screen as: STRES
The STRES incontinence program
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 program works in a different
way to the STRES program. 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.
Prog STRES URGE MIXED TONE
Freq.
(Hz)
50 10 10 /
50
35
Pulse
width
(μs)
300 200 200 /
300
250
Ramp Up
& Down
(s)
1
Constant
2
Plateau
(s)
5 3
Rest (s)
10
6
Default
duration
(min)
20
Conti
-
nuous
20 20

16
The sensation is a softer, vibrating,
stimulation. Nevertheless, when the
program 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 program is perfect if you are
suffering from both Stress and Urge
incontinence. It is a combination of the
STRES and URGE programs.
The first 10 minutes uses the URGE
program to reduce sensitivity, then in
the second 10 minutes, the STRES
program exercises the pelvic floor
muscles. You may need to increase the
strength to feel the muscle contraction
when the STRES program starts.
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 program, about
twice a week, will ensure that your
muscles remain fit and toned.
The TONE program may also be used
as an alternative treatment for stress
incontinence.
The sensation when using the TONE
program 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. CONTENTS
The pack contains:
•1 x itouch sure pelvic floor exerciser
•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

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11. UNIT INFORMATION
11.1. CONTROLS & DISPLAY
Program
selected
ON/OFF button
Time selector
Program
selector
Lock button
Time remaining
(min)
Strength
selected (mA)
Strength up
Strength down
Low Battery
Lead wire
input

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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.
At first use, or after changing batteries,
the display shows that the unit is
automatically set in program STRES at
zero strength.
When switched on the unit will
automatically start in the program 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.
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). The 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.
PROGRAM CONTROL
The button marked Pis the
program control. The itouch
sure has four preset
programs. At first use, the unit
automatically goes to program STRES.
▲
▼
P

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Next time it is switched on, it will default
to the program used last.
Each time you press and release the P
button, the program changes and is
shown on the LCD.
Each time you change the program, the
strength level reverts back to zero. This
is a safety feature to alleviate any
sudden feeling of a surge, as each
program 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 programs.
By repeatedly pressing and releasing
the TIMER button you can manually
override and select 10, 20, 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 program.
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. Please see section 19 for
more troubleshooting tips.
MEMORY
The itouch sure has a Memory with
three functions:
1) Program Retention. When you switch
the unit on, it will automatically start in
the program 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 total
duration of use in 10 minute intervals
(where 1=10 minutes, 2=20 minutes
etc.) and the average strength used.
Press the same buttons again to return
to normal controls.
T