Ultima NEO User manual

Ultima NEO
User’s manual
User Manual for Ultima NEO

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PRESCRIBING INFORMATION
FOREWORD
Read this manual carefully before using your Ultima NEO
unit.
The manufacturer strongly recommends carefully reading
the “Warnings and Cautions”, and subsequent chapters of
this manual.
WARNINGS AND CAUTIONS
Prescription labeling:
Federal law restricts this device to sale or use by or on
the order of a practitioner so licensed by the state.
Contraindications:
1. Do not use this device on patients who have a cardiac
pacemaker, implanted defibrillator, or other implanted
metallic or electronic device, because this may cause
electric shock, burns, electrical interference, or death.
2. Do not use this device on patients whose pain
syndromes are undiagnoseds.
WARNINGS
1. Do not apply stimulation over the patient’s neck or
mouth because this could cause severe muscle
spasms resulting in closure of the airway, difficulty in
breathing, or adverse effects on heart rhythm or blood
pressure;

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2. Do not apply stimulation across the patient’s chest,
because the introduction of electrical current into the
chest may cause rhythm disturbances to the patient’s
heart, which could be lethal;
3. Do not apply stimulation over open wounds or rashes,
or over swollen, red, infected, or inflamed areas or skin
eruptions (e.g., phlebitis, thrombophlebitis, varicose
veins);
4. Do not apply stimulation over, or in proximity to,
cancerous lesions;
5. Do not apply stimulation in the presence of electronic
monitoring equipment (e.g., cardiac monitors, ECG
alarms), which may not operate properly when the
electrical stimulation device is in use;
6. Do not apply stimulation when the patient is in the bath
or shower;
7. Do not apply stimulation while the patient is sleeping;
8. Do not apply stimulation while the patient is driving,
operating machinery, or during any activity in which
electrical stimulation can put the patient at risk of injury.
9. Consult with the patient’s physician before using this
device, because the device may cause lethal rhythm
disturbances to the heart in susceptible individuals;
10. Apply stimulation only to normal, intact, clean, healthy
skin.

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PRECAUTIONS
1. TENS is not effective for pain of central origin,
including headache;
2. TENS is not a substitute for pain medications and other
pain management therapies;
3. TENS devices have no curative value;
4. TENS is a symptomatic treatment and, as such,
suppresses the sensation of pain that would
otherwise serve as a protective mechanism;
5. Effectiveness is highly dependent upon patient
selection by a practitioner qualified in the
management of pain patients;
6. The long-term effects of electrical stimulation are
unknown;
7. Since the effects of stimulation of the brain are
unknown, stimulation should not be applied across
the head, and electrodes should not be placed on
opposite sides of the head;
8. The safety of electrical stimulation during pregnancy
has not been established;
9. Some patients may experience skin irritation or
hypersensitivity due to the electrical stimulation or
electrical conductive medium (gel);
10. Patients with suspected or diagnosed heart disease
should follow precautions recommended by their
physicians;
11. Patients with suspected or diagnosed epilepsy should
follow precautions recommended by their physicians.

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12. Use caution when the patient has a tendency to bleed
internally, such as following an injury or fracture;
13. Use caution following recent surgical procedures
when stimulation may disrupt the patient’s healing
process;
14. Use caution if stimulation is applied over the
menstruating or pregnant uterus;
15. Use caution if stimulation is applied over areas of skin
that lack normal sensation.
16. Keep this device out of the reach of children;
17. Use this device only with the leads, electrodes, and
accessories recommended by the manufacturer; and
18. Use this device only under the continued supervision
of a licensed practitioner.
ADVERSE REACTIONS
·Patients may experience skin irritation and burns
beneath the stimulation electrodes applied to the skin;
·Patients may experience headache and other painful
sensations during or following the application of
electrical stimulation near the eyes and to the head
and face; and
·Patients should stop using the device and should consult
with their physicians if they experience adverse
reactions from the device.

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GENERAL WARNINGS
1. Do not immerse the units in water.
2. Do not place the the unit close to excessive heat.
3. Do not use any pad which size is less than 50mm X
50mm.
4. Use only the specified battery: 1x 3.7volt rechargeable
lithium battery. The use of any other battery could
damage the unit.
5. Remove battery if unit is not used for a long period of
time.
6. Do not use the unit while asleep.
7. Keep the unit away from sources of high magnetic
fields such as TV’S, microwave ovens and hi-fi
speakers, as these may affect the LCD screen.
8. Temperature & R.H. of storage: -20℃--+80℃, 8%--
80% R.H.
9. Temperature & R.H. of transportation: -20℃--+80℃,
8%--80% R.H.

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CONTENTS
Prescribing Information…………………………..…1
Contents …...……………………………..…….……6
Operating Instruction for Physician………….……..7
Instruction For Use………………………............….9
How to Assemble Your Unit…………………..….…10
After Use ...……………………….………………….14
Operation of the ULTIMA NEO Unit………….........16
Specification………………….…..…………..…..…..19
Other Features……………….…..…………..…...….20
Electrodes Placement…………………………..……24

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OPERATING INSTRUCTIONS FOR PHYSICIAN
INTENDED USE
TENS/EMS/MIC/IF Model Ultima NEO combines the
systems of a TENS (Transcutaneous Electrical Nerve
Stimulator) device, an EMS or NMES (Neuro-Muscular
Stimulator), a MIC (Micro current) stimulator and an IF
(Interferential) stimulator.
How does TENS/EMS/MIC/IF work?
For the TENS system:
TENS is believed to work by stimulating your body's own
natural defenses against pain. The unit produces a gentle
stimulus that is communicated through pads normally
placed over the area of pain. This stimulus helps the body
to produce natural pain relievers called endorphins.
The correct positioning of the pads is important and we
recommend correct placement through experimentation.
Some people feel immediate benefit from EMS/TENS
However some may only achieve benefit after repeated
treatment sessions and over an extended period of time.
For EMS system:
EMS is believed to work by applying stimulation pulses to
stimulate the muscle. When the muscle receives the
signal it contracts as if the brain has sent the signal itself.
As the signal strength increases, the muscle flexes as in
physical exercise. Then when the pulse ceases, the
muscle relaxes and the cycle is repeated.

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The goal of electrical muscle stimulation is to achieve
contractions or vibrations in the muscles. The impulses
stimulate the nerves to send signals to a specifically
targeted muscle, which reacts by contracting, just as it
does with normal muscular activity.
For MIC system:
Micro current (MIC) stimulation is a type of therapy in
which very low current is sent into the cells of the body.
Micro current is a very faint current that is so small it is
measured in millionths of an amp (Micro amps). Human
cells generate a current that is in the micro amp range
which is why you can’t feel it – the current is so low it
doesn’t stimulate the sensory nerves.
Micro current is a physiological electric modality that
increases ATP (energy) production in the cells of your
body. This dramatically increases the tissue’s healing rate.
The immediate response to the correct micro current
frequency suggests that other mechanisms are involved
as well. The exact effects or changes in the tissue can be
unmistakable; scars can suddenly soften; trigger points
often become less painful when the “correct” frequency is
applied. In many situations the changes can be long
lasting and in many cases permanent.
For IF system:
Interferential Stimulation IF is an anti-inflammatory based
treatment modality. Interferential stimulation is
characterized by two alternating-current sine waves or
square waves of differing frequencies that “work” together
to produce an interferential current that is also known as

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a beat pulse or alternating nodulation frequency. One of
the two currents is usually held at 4,000 Hz, and the other
can be held constant or varied over a range of 4,004 to
4,160 Hz. Because of the frequency, the interferential
wave meets low impedance when crossing the skin to
enter deep into soft tissues. The interferential currents
reportedly can stimulate sensory, motor, and pain fibers.
These large impulse fibers interfere with the transmission
of pain messages at the spinal cord level. This deep
tissue penetration stimulates parasympathetic nerve
fivers for increased blood flow and edema reduction. It
utilizes the low electric-current to stimulate muscle nerves
to achieve the symptomatic relief of chronic intractable
pain, post-traumatic pain, and post-surgical pain.
INSTRUCTIONS FOR USE
Your Ultima NEO has been designed to be simple and
easy to use.
CONTENT IN THE PACK
Your Ultima NEO pack should contain the following:
· 1 ¯Ultima NEO Unit
· 2 ¯Leads
· 4 ¯Self Adhesive Pads with Connectors
(Size:50mm¯50mm)
·1¯3.7V Rechargeable Lithium Battery (BL-6F)
·1¯Charger with an adaptor and a charging cradle
· 1 ¯Instruction Booklet (which you are reading)
Having checked all the contents are correct please
proceed to assemble the unit.

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HOW TOASSEMBLE YOUR UNIT
Assembly of the Ultima NEO Unit is very simple and
requires only five steps.
STEP 1BATTERY
Remove the battery cover and insert the battery, as
shown on the diagram inside the battery compartment.
Replace the battery cover.
Insert the battery
Replace the battery cover

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CAUTION
There is a risk of explosion if the battery is fitted
incorrectly. Replace with the 3.7 volt lithium battery. Do
not dispose of the battery in a fire and keep them out
of reach of children. The battery must be removed
from the unit if unit is not used for a long period of time.
STEP 2 LEADS
Decide whether you wish to use the unit with one lead or
two.
If using two leads, insert the plugs into both jacks on the
plugs of the unit. If only using one lead, insert into one
jack.
Insert the lead wires

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STEP3 PADS
Remove pads from the bag and connect to the leads.
5
6
7

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STEP 4 PLACEMENTS OF PADS
Ensure wherever you intend to place the pads where skin
is clean and thoroughly dry. Remove the pads from the
clean plastic shield and position on your body as required.
8
9
STEP 5 READING
Read section on “Operation of the Ultima NEO Unit”, and
decide how to use the unit for the treatment.

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NOTE: AFTER USE
Always ensure that the unit is switched OFF before
removing the pads. After use, return the pads to the clear
plastic shields. There is no need to separate the pads unit
from the leads and pads.
10
Life of the pads: When the pads initially lose their
adhesive quality, it is possible to reactivate their
adhesiveness by applying fine spray of water. Replace
the pads when they lose their adhesive quality in order
not to affect the efficiency of the unit.

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CHARGING THE BATTERY
The Ultima NEO is powered by a type BL-6F
rechargeable Lithium battery. A separate Charging Cradle
and Power Adaptor are included in the kit.
When the battery is running low, a low battery indicator
will show on the screen (battery symbol). Although the
display fades as the battery run down, the strength of the
output does not change until the warning is shown.
When the battery is fully charged, the indicator light on
the cradle will change from red to green.
NOTE
1. Remove the battery from the Ultima NEO if the unit is
unlikely to be used for a long period.
2. When the battery is running low, it has to be removed
from the unit and charged in the charging cradle.
3. Use only the power adaptor and charging cradle supplied.
USE OF OTHER CHAGERS COULDBE HAZARDOUS.

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OPERATION OF THEULTIMA NEO UNIT
Ultima NEO Unit is easy to operate by pressing the key
as following diagram.
WHAT DOES EACH KEY DO
This key switches the unit on or off. Press once
and the unit is on, the LCD display located at the front of
the unit will light up, there will be no feeling from either
lead at this point as the intensity always starts at zero.
Press this key again and the unit will switch off.
There are four stimulation types involve in Ultima
NEO (TENS, EMS, Micro current and Interferential
stimulation). Initially insert the battery and switch on the
unit, the default stimulation type is TENS. Press and hold
the “Prog” key at less 3 seconds, to switch to each other
(TENS –EMS– MICRO– IFT). The symbol “TENS”,“EMS”,
“MICRO” and “IFT” will display on the LCD accordingly.
Once select the stimulation type, simply press this key to
select related programs.
There are totally 41 programs available:

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For TENS system:
Program0-13 --- TENS Preset programs
Program14-21 --- TENS Manual programs
For EMS system:
Program 22-32 --- EMS Preset programs
Program 33,34 --- EMS Manual programs
For MIC system:
Program 35--- Micro Preset programs
Program 36 --- Micro Manual programs
For IF system:
Program 37-40 --- IFT Manual program
Press “Prog” key you can select programs. When “Prog”
key is pressed, the output level goes immediately down to
zero.
Press this key you can go through and select the
following parameters one by one (manually selectable
only):
FREQUENCY (Hz)
PULSE WIDTH (TENS and EMS- μs / Micro current-ms)
Waveform
Cycle time (Micro current mode and IF mode only)
SYNCHRONOUS/ALTERNATING (EMSP10 only)
RAMP UP TIME (EMSP10 only) (sec)
RAMP DOWN TIME (EMSP10 only) (sec)
CH1 ON TIME (EMSP10 only) (sec)
CH1 OFF TIME (EMSP10 only) (sec)

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CH2 DELAY TIME (EMSP10 only) (sec)
Treatment Timer (min)
Micro current Mode (P36):
FREQUENCY (Hz)
Treatment Timer (min)
IF Mode (P37-P40) :
FREQUENCY (Hz)
Treatment Timer (min)
Press these keys to increase or decrease the
value of the parameter, which has been selected
by MENU key.
Press these keys to adjust the intensity of channel
1 and channel 2. Left side is for channel 1; right
side is for channel 2.
Pause key: Press this key to make the unit pause;
to continue it, press and hold down this key again.
Press This key can LOCK or UNLOCK the parameters in
toggle. When the unit is locked, only intensity and
treatment timer can be adjusted, the symbol indicates
that the unit is locked is displayed in the LCD. By
pressing Lock key for 3 seconds, you can LOCK or
UNLOCK the parameters in Manual Mode. When the unit
is locked, only intensity treatment timer and the number of
the program can be adjusted.

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SPECIFICATION
Model: Ultima NEO
Channel Dual, isolated
TENS:
Intensity: 0-150mA zero to peak at 500ohm load
Frequency: 1-150 Hz
Pulse width: 50, 60, 70, 80, 90, 100
110,120,130,140, 150
160,170,180,190, 200
210,220,230,240, 250μs
Waveform Symmetrical bi-phase rectangular
Asymmetrical bi-phase rectangular
Mono-phase rectangular
Treatment timer: Continuous, 15, 30, 45, 60, 90min
EMS:
Intensity: 0-150mA zero to peak at 1000ohm load
each channel, in 20steps of 5mA/step.
Frequency: 1-110 Hz
Pulse width Positive phase: 50-400μs,
in steps of 50μs
Waveform Symmetrical bi-phase rectangular
Symmetrical bi-polar rectangular
Ramp up time: 0-5s, in steps of 0.25s
Ramp down time: 0-5s, in steps of 0.25s
On time: 1-60s, in steps of 1s
Off time: 0-60s, in steps of 1s
Treatment timer: Continuous, 10, 20, 30, 45, 60, 90min
Micro current:
Frequency 94Hz fixed (A)/ 0.5, 8, 80Hz(B)
Pulse width 250uS fixed (A), 2.1ms fixed (B)
Wave form Mono-phase rectangular