INSTRUCTION MANUAL
STIM-PRO X9a
axion GmbH
Mollenbachstr. 13
71229 Leonberg
GERMANY
2460
AXION
INTRODUCTION
INTRODUCTION
The primary functions of the STIM-PRO X9a are the
treatment /pain relief with the TENS mode and electrical
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muscle stimulation with the EMS mode.
Explanation of pain
Pain is a warning system and the body’s method of telling
us that something is wrong. Without it, abnormal conditions
and injuries to vital parts of the body may go undetected. A
persisting (long-term) pain is known as chronic pain. Pain
occurs when information signals travel to the brain via nerve fibres, where it gets decoded, analyzed, and then reacted
to. The pain information travels from the injured area along
the small nerves leading to the spinal cord. Here it travels
up the spinal cord to the brain. The information is then
interpreted, referred back and the pain is felt.
Explanation of TENS
TENS = Transcutaneous Electrical Nerve Stimulation, uses
tiny electrical impulses sent through the skin to the underlying nerves. TENS does not cure any physiological problem;
it only helps control the pain. TENS does not work to the
same extent for every one; however, most patients report
that it is eective in reducing or eliminating the pain.
It should only be used on medical advice or by prescription.
How TENS works
TENS can be applied in two operational modes:
The constant and weak activity with high frequency can block
the transmission of the pain signals from reaching the brain.
The brain cells process the pain signal. If the pain signal does
not reach the brain, no pain is felt. The second operational
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STIM-PRO X9a
mode of TENS is for the purpose of stimulating the body’s own
natural pain control.
The “Burst”-mode (B) in a lower frequency may stimulate the
organism, so that analgesic substances are set free which
are called endorphins. For further details please refer to your
doctor.
EMS
Electrical Muscle Stimulation is an accepted and proven
way of treating muscular injuries. This is being widely used
in hospitals and sports clinics for the treatment of muscular
injuries and for the re-education of paralyzed muscles, to
prevent atrophy in aected muscles and improving muscle
tone and blood circulation. EMS has also been used successfully for many years in the field of high- performance
sport for muscle regeneration and muscle development.
How EMS works
The brain sends impulses to a muscle which causes the
muscle to work. EMS generates artificial stimulation of the
muscle by the use of low frequency electrical pulses that
stimulate the nerves located beneath the skin. That leads to
a reaction of the targeted muscles.
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The muscle is unable to distinguish between an impulse
from the brain or one that comes from outside. The muscle
reacts with a contraction in both cases and uses up energy.
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GENERAL DESCRIPTION
The device is a battery-operated pulse generator that transmits electrical impulses via electrodes to the body. These
impulses reach the nerves and muscles through the skin. The
electronics of the STIM-PRO X9a creates electrical impulses
whose in intensity, pulse duration and frequency using the
manual modes. All functions are easy to handle and the big
LCD display shows all parameter values clearly readable.
SAFETY INFORMATION
Read the instructions carefully before using the device.
Keep this device out of the reach of children.
Do not place electrodes in the area of the carotid arteries!
Do not place electrodes on the front of the throat!
Be careful with stimulation over metal implants.
Do not place electrodes above your heart!
Use with caution during pregnancy. Consult a doctor first!
Do not use electrodes on open wounds / injuries.
Do not use if you have fever.
Do not use if you have arrhythmia.
Do not use if you have epilepsy.
Never use the device when you are operating machines.
Never use near explosive or flammable gases.
Always TURN OFF the device before placing / removing
electrodes.
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STIM-PRO X9a
Steps to select a program (P)
Select P mode with
In program mode you can choose between 37 dierent
programs for various areas of application. These are fully
pre-programmed - just set the intensity for the connected
channels and start the application!
The program starts immediately when you set the intensity!
Most programs run in continuous mode, recognizable by a
“C” shown in the lower right corner of the display. But some
programs also have a pre-defined duration. The device ends
the application automatically after the time expires. Please
use these programs for the pre-defined duration only and
do not extend or shorten the duration of the application.
To set a program, press the „MODE“
button until you reach P mode,
recognizable by a P shown in the
bottom-left corner of the display.
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Press or
desired programs (P1 – P37). You find
an overview over all available
programs on pages 32 to 36.
When you chose the right program, please set the intensity
for the connected channels (1-4).
Increase intensity
Decrease intensity
In P mode, the parameters are set by default and can not
be changed!
to select the
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Program mode (P)
All parameters are set by default.
TENS – STIMULATION
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The programs have proven to be helpful in most cases for
the suggested applications. However, they might be used for
the treatment of other injuries or discomforts as well. Every
patient responds individually to stimulation current.
TENS – Programs P1 - P16
P01 Classic TENS-mode
To be applied in most existing types of pain (as acute or
chronic). Gate-Control-Eect.
P02 Low frequent TENS (Burst)
Release of endorphins. Application for example in case of
radiating pain on arms/legs/feet, muscular deeper-lying
pain, lumbago-ischialgia syndrome, knee arthrosis
P03 Modulated TENS (massaging eect)
Against addiction when applied for longer periods. To be
applied in most existing types of pain (as acute or chronic).
P04 Alternating frequencies 15/2Hz
Application for example in case of sti joints, neck pains,
lumbago, menstrual problems.
P05 Alternating frequencies 80/2 Hz
Perfect for a variety of dierent pain conditions.
P06 The special program for nausea, feeling of sickness, travel
sickness, seasickness
The electrodes should be placed above the acupuncture
point C6.
P07 Migraine and sensible parts of the body
Due to the reduced duration of pulse these applications are to
be specifically used in cases of tension headache, face pain,
neck pain, herpes zoster, migraine.
STIM-PRO X9a
TENS – Programs P1 - P16
P08 Pains (as acute or chronic)
Application in case of pains in the neck, hip, shoulders,
elbows, rheumatic pains, back pain (lumbago), menstrual
problems and knee arthrosis.
P09 Rheumatic pains
Pains due to rheumatoid arthritis, radiating pain on arms/
legs/feet, through modulation suitable for long-term use.
P 10 Sweep-Mode 2 – 125 Hz
In cases of therapy-resistant complaints, stimulation both
on sensory and motor basis, against addiction.
P 11 Frequency change (2 – 100 Hz) and pulse duration
modulation
Perfect application for most types of acute and chronic pain.
P 12 Frequency modulation
Application in case of pains in the back, knee, shoulders,
legs, elbows and neck, rheumatic pains.
P 13 Prof. Han - stimulation
Muscular spasms, allodynia, duration: 30 minutes.
P 14 High-frequent TENS
Acute pains, tensions, Gate-Control-Eect.
P 15 Combi-TENS-Mode
4-Phases TENS. In cases of persisting pains. Consists of
high and low frequent TENS as well as frequency/pulse
duration/intensity modulation. Duration: 40 minutes.
P 16 Frequency-Wobbel-mode
Pains in the wrist and fingers, long-term application. Duration: 40 minutes.
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EMS – STIMULATION
Please note that the respective programs consist of several
phases. Programs 17 – 28 contain a warming-up phase of
approx. 60 seconds, followed by the stimulation itself which
may also consist of various phases.
EMS – Programs P17 - P30
P17 EMS – Strength (beginners)
for small muscle groups
P18 EMS – Strength (beginners)
for large muscle groups
P19 EMS – Strength (fully trained persons)
for small muscle groups
P20 EMS – Strength (fully trained persons)
for large muscle groups
P21 EMS – Muscle mass (beginners)
for small muscle groups
P22 EMS – Muscle mass (beginners)
for large muscle groups
P23 EMS – Muscle mass (fully trained persons)
for small muscle groups
P24 EMS – Muscle mass (fully trained persons)
for large muscle groups
P25 EMS – Endurance (beginners)
for small muscle groups
P26 EMS – Endurance (beginners)
for large muscle groups
P27 EMS – Endurance (fully trained persons)
for small muscle groups
P28 EMS – Endurance (fully trained persons)
for large muscle groups
P29 EMS – Relax I
muscle regeneration, muscle relaxation – moderate intensity
P30 EMS – Relax II
muscle regeneration, muscle relaxation – moderate intensity
STIM-PRO X9a
MASSAGE - Programs P31 - P32
P31 Massage I
consists of three dierent massaging phases
P32 Massage II
consists of three dierent massaging phases
What are small and large muscle groups?
The muscles can be devided into small and large muscle
groups. Here you will find some examples for a better
understanding:
Large muscle groups:
thigh musculature
buttock musculature
abdominal musculature
back musculature
chest musculature
Small muscle groups:
calf musculature
biceps and triceps
shoulder musculature
forearms
fingers and toes
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STIMULATION OF THE PELVIC
FLOOR MUSCLES
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Programs P33 - P37
Application only possible in conjunction with a vaginal or
rectal probe (not part of the scope of delivery).
Noticeable but pleasant contractions of the pelvic floor
musculature. Please alternate the programs in use to prevent habituation eects. Please use contact gel to ensure
optimal stimulation.
Session duration: 20 minutes
Application: several times a day as necessary
CONTRAINDICATIONS (pelvic floor training)
In case of cardiac pacemakers and during pregnancy the
device is only to be used under medical supervision (!).
In case of overflow bladder the device should not be used.
The device must not be used in the case of cervical cancer,
fistulas or prolapse of the vagina.
The device must not be used in the case of epilepsy.
The device must not be used if there are any infections in
the vaginal or rectal areas.
For reasons of hygiene, a probe must only be used by a
single person and must not be shared.
The device must not be used in case of a complete
denervation of the pelvic floor.
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STIM-PRO X9a
PERFORMING PELVIC FLOOR
EXERCISES
1. Connecting the wires
Unpack the vaginal / rectal probe and clean it under running
water and dry it. Connect the wires to the device and attach
it to the probe.
2. Inserting the probe
Begin by emptying your bladder. The exercises should be
carried out when lying down with your knees slightly bent.
Apply contact gel to the probe and insert it slowly and
carefully.
3. Program selection, performing the stimulation
Turn on the device. Select the desired program (P33 -P37)
and start the stimulation by increasing the intensity by
pressing the buttons of the respective channel.
The program starts immediately when you set the
intensity!
4. Finishing the stimulation
Turn o the device and slowly remove the probe. Attention:
To prevent broken cables please grab the probe by the
shaft and do not pull on the cables. Use mild soap and
water to clean the probe.
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OPERATING THE DEVICE
Power On/O button and intensity control
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The device can be switched on and o by pressing the On/
O button. The intensity can be reduced or increased by
pressing the intensity buttons. The intensity can be set per
channel from 0 to 100mA in steps of 1mA.
There are 4 LED lights at the top of the device. They shine
yellow to indicate activity of the corresponding channel.
Mode control
There are 5 TENS modes available (B,
N, M, SD1, SD2) and 3 EMS modes (C,
S, A) as well as the P mode (programs
1-37). The modes can be selected
by pressing the “MODE“ button. If a
TENS mode is selected, the LCD-display shows “TENS“. If an EMS mode is
selected, “EMS” is displayed.
Set control
By pressing the control, you may enter the setting
you intend to make adjustment. You may start to set the
value by pressing the or controls when the value is
flashing.
Increment control
When pressing this button, the parameter will increase. This
button controls the increase of settings.
Decrement control
When pressing this button, the parameter will decrease.
This button controls the decrease of parameter.
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STIM-PRO X9a
Dual timer
The unit has a timer of 1-60 minutes and Continuous mode.
It can be adjusted by pressing the and the or
controls. Its output will be shut o when time is up.
Displaying time (L) for channels 1+2 / (R) for channels 3+4
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Low battery indicator
If this symbol is shown, the battery is low and the device
needs to be recharged immediately.
How to set personal TENS parameters
The settings can be adjusted according to the following steps.
1. Turn on the device
After the electrodes are placed firmly on skin and the lead
wires are plugged in the socket of device, press the
button.
2. Select mode
Select a mode by pressing the “MODE”
control. The mode you select will be
shown on the display. There are 5
modes available:
(B) Burst, (N) Normal, (M) Modulation, SD1 and SD2.
When a TENS-mode is selected, the LCD-Display will show
“TENS“. After a mode is selected, press control to enter
next setting. Then press the or control to change
the settings. The settings are stored in the unit as soon as
selected.
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3. Set pulse width
The pulse width can be set from 30 µs to
400 µs. Press control to enter this
setting. Then press the or control
to change the settings. If no instructions
regarding the pulse width are given in
therapy, set the control to 70 – 120 µs.
4. Set pulse rate
The pulse rate is adjustable from 2Hz
to 150Hz. Press control to enter
this setting. Then press the “Increment”
or “Decrement” control to change the
settings. If no instructions regarding the
pulse width are given in therapy, set the
control to 70 – 120 µs.
5. Set timer
There are two adjustable timers available.
controls the application duration for the channels CH 1&2
controls the application duration for the channels CH 3&4
The settings are adjustable from 1 to 60 minutes. With the
setting (C) the machine runs in continuous mode. Press
control to enter the settings. Press or control to
adjust setting. Press the control when the Timer shows
60 minutes to set the timer to continuous stimulation. Both
Timers can be adjusted in the same way.
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STIM-PRO X9a
(L) Timer CH1 & CH2 (R) Timer CH3 & CH4 Continuous
6. Adjusting the intensity
The intensity can be adjusted from 0 – 100. Press or
control to adjust the setting on the respective channels 1-4.
How to set personal EMS parameters
The settings can be adjusted according to the following steps:
1. Turn on the device
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After the electrodes are placed firmly
on skin and the lead wires are plugged
in the socket of device, turn the on/o
control.
2. Select mode
Select a mode by pressing the “Mode” control.
The mode you selected will show up on the top of liquid
crystal display. There are 3 modes available: C (Constant), S
(Synchronous) and A (Asynchronous).
When an EMS mode is selected, the LCD display will show
“EMS“. After a mode is selected, press control to enter next
setting. Then press the
The settings are set as soon as they are selected.
or control to change the settings.
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3. Set ramp time
The ramp time controls the time of output
current that increase from 0 to the setting
level, and from the setting value back to
0. The ramp time is adjustable from 1 to 8
seconds.
4. Set contraction time (ON-Time)
The ON time controls the contraction time.
By pressing the control, the contraction
time is adjustable from 0 – 90 seconds. This
time includes the ramp time twice, once for
the ramp up and once for the ramp down.
Example: 10s ON time & 3s ramp time
= 3s ramp up, 4s full intensity, 3s ramp down
5. Set pause time (OFF-Time)
The O Time controls the time of relaxation
between two cycles. By pressing the
control, the relaxation time can be adjusted.
Both channels’ stimulation is cycled on
and o by the contraction and relaxation
settings. The range is adjustable from 0 to
90 seconds. In Alternate mode, the OFF
time should be equal or more than the ON
time.
(OFF TIME ≥ ON TIME)
6. Set pulse width
The pulse width is adjustable from 30 to
400 uS. Press control to enter this
setting. Then press the
to change the settings. If no instructions
regarding the pulse width are given in
therapy, set the control to 70 – 120 µs.
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or control
STIM-PRO X9a
7. Set Pulse Rate
The pulse rate is adjustable from 1Hz to
150Hz. Press control to enter this
setting. Then press the or
to change the settings. If no instructions
regarding the pulse rate are given in
therapy, set the control to 70 – 120 Hz.
control
8. Set timer
There are two adjustable timers available.
controls the application duration for the channels CH 1&2
controls the application duration for the channels CH 3&4
The settings are adjustable from 1 to 60 minutes. With the
setting (C) the machine runs in continuous mode. Press
control to enter the settings. Press or control to adjust setting. Press the control when the timer shows 60
minutes to set the timer to continuous stimulation. Both timers
can be adjusted in the same way.
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(L) Timer CH1 & CH2 (R) Timer CH3 & CH4 Continuous
9. Adjusting the intensity
The intensity can be adjusted from 0 – 100. Press or
control to adjust the setting on the respective channels 1-4.
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CONSTRUCTION OF THE DEVICE
Front
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Back
STIM-PRO X9a
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PATIENT COMPLIANCE METER
This unit can store 60 sets of operation records. Total
treatment time up to 999 hours can be stored.
Check & delete individual records
Press “Mode” control and turn on the power simultaneously.
The LCD will show the number of records and operation
time. Press the or
delete a record, press control for 3 seconds.
button to check each record. To
Check & delete accumulative record
At the individual records menu, press “Mode” control to
switch to accumulative record menu. Press the “SET”
control first, then press the “Mode” control simultaneously
for 3 seconds and all of the records will be deleted followed
by a beeper sound.
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STIM-PRO X9a
BATTERY RECHARGING
To ensure optimal performance, the device needs to be
recharged when the low battery indicator is shown.
Make sure the power is o.
Connect the recharging cable to the device.
Connect the recharger to the power supply.
Recharge the device until the LED signal turns green.
Remove the recharger from the power supply.
Unplug the recharging cable from the device.
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MAINTENANCE, TRANSPORTATION
AND STORAGE OF THE DEVICE
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Non-flammable cleaning solution (containing 70% of
alcohol) is suitable for cleaning the device.
Stains and spots can be removed with a cleaning agent.
Do not submerge the device in liquids or expose it to large
amounts of water.
Return the device to the carrying box with sponge foam to
ensure that the unit is well-protected before transportation.
If the device is not to be used for a long period of time, put
it back into the carrying box and keep it in a cool, dry place.
The packed TENS device should be stored and
transported under the temperature range of -20°C
~+60°C, relative humidity 20% ~ 95%, atmosphere
pressure 500 hPa ~ 1060 hPa.
SAFETY CHECKS
A For safety reasons, review the following checklist once a week.
Check the device for deformation of the housing or
damage to defective output sockets.
Make sure that the descriptions and labels are not distorted.
Check the LED when the device is turned on.
Check the cables and electrodes for damage.
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STIM-PRO X9a
The device must be subjected to safety checks and
maintenance by authorized technicians before use and
each re-use, but at least every 24 months.
Please consult your distributor if there are any problems
with device and accessories.
The manual must always be carried with the device.
MALFUNCTIONS
Should any malfunctions occur while using your device, check
the following points. If none of these can solve the problem,
please contact the customer service.
Whether the controls are correctly adjusted. Check whether
the values suggested by the physician have been adjusted.
Check whether the cables are correctly connected to the
device.
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The display does not turn on? Check if the device is charged.
Recharge if needed.
Check the cables for possible damage. The device may only
be used when subjected to a load.
There is no stimulation current? Check if the electrodes are
connected to the same channel correctly and if the intensity is
high enough.
CONFORMITY TO SAFETY STANDARDS
The STIM-PRO X9a device is in compliance with the
EN 60601-1-2:2007 and 60601-1:2006 safety standards.
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TECHNICAL DESCRIPTION
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01 Channel
02 Intensity
03 Pulse amplitude
04 Output voltage
05 Power source
06 Size
07 Weight
08 Pulse rate
09 Pulse width
10 ON time
11 OFF time
12 Ramp time
13 Mode
14 TENS Burst mode B
15 TENS Normal mode
N
16 TENS Modulation
mode M
4 channels – with adjustable intensity
Adjustable, 0 – 100 mA (in steps of 1 mA)
with 500 ohm load on each channel
Asymmetrical, Bi-phasic square pulse
0 – 50 V
integrated 3.7V recharchable battery
13.8cm (L) x 7.8cm (B) x 2.8cm (H)
242 grams
Adjustable, from 1 – 150 Hz, 1 Hz/step
Adjustable, from 30 – 400 microseconds,
10 µ/step
Adjustable, from 2 – 90 seconds, 1 Sec./step
Adjustable, from 0 – 90 seconds, 1 Sec./step
Adjustable, from 1 – 8 seconds, 1 Sec./step
5 TENS modes: B (Burst) N (Normal),
M (Modulation), SD1 (40% modulation),
SD2 (70% modulation) – 3 EMS modes: C
(Constant), 5 (Synchronous), A (Alternate),
P (Program-Mode) – 37 TENS programs
(set by default)
Burst rate: Adjustable, 0.5 – 5 Hz – Pulse
Width adjustable, 30 – 400 µs – Frequency fixed = 100 Hz
The pulse rate and pulse width are adjustable. It generates continuous stimulation
based on the setting value
Modulation mode is a combination of pulse rate and pulse width modulation. The
pulse rate and width are automatically
varied in a cycle pattern. The pulse width
is decreased by 50% from its original
setting in 0.5 second, then the pulse rate
is decreased by 50% from its original
setting in 0.5 second. Total cycle time is
1second. In this mode, pulse rate (1 – 150
Hz) and pulse width (30 – 400 µs) are
fully adjustable.
STIM-PRO X9a
17 TENS
SD 1 mode
18 TENS
SD 2 mode
19 EMS C
Constant mode
20 EMS S
Synchronous mode
21 EMS A
Asynchronous mode
The SD1 (Strength-Duration) mode
consists of automatic modulation intensity and pulse width in 40% range. The
intensity is always increasing while the
pulse width is decreasing and vice versa.
The intensity is decreased by 40% while
the pulse width is increased by 40% in
5 seconds. In the next 5 seconds, the
intensity is increased by 40% while the
pulse width is decreased by 40%. Total
cycle time is 10 seconds. Pulse rate (1 –
150 Hz) and pulse width (30 – 400 µs) are
fully adjustable.
The SD2 (Strength Duration) mode
consists of automatic modulation intensity and pulse width in 70% range. The
intensity is always increasing while the
pulse width is decreasing and vice versa.
The intensity is decreased by 70% while
the pulse width is increased by 70% in
4 seconds. In the next 4 seconds, the
intensity is increased by70% while the
pulse width is decreased by 70%. Total
cycle time is 10 seconds. Pulse rate (1 –
150 Hz) and pulse width (30 – 400 µs) are
fully adjustable.
Constant stimulation based on setting
value. Only pulse width and pulse rate are
adjustable in this mode.
Stimulation of all channels occurs
synchronously. The “ON” time including
“Ramp Up” and “Ramp Down” time.
Therefore, the setting of ON Time should
be no less than two times of the “Ramp”
time in this mode.
Alternating stimulation. Used for the
training of both agonist and antagonist.
First, channels 1&3 run simultaneously, then channels 2&4. The duration of
one cycle is the duration of the ON time,
including the ramp time. Please note that
the ON time can not be shorter than twice
the ramp time.
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21 TENS/EMS P
program mode
22 Patient compliance
meter
23 Low battery
indicator
24 Operating condition
25 Notice
See section Program mode (P) – pages
32 – 36
This unit can store 60 sets of operation
records. The maximum recordable time is
999 hours.
A low battery indicator will show up on
the LCD when the battery is low.
Temperature: 0°C - 40°C
Relative humidity: 30 % - 75 %
Air pressure: 700hPa - 1060hPa
All technical values include a tolerance
of +/- 5%
SCOPE OF DELIVERY
Each STIM-PRO X9a is fully equipped with the following
standard equipment.
1 piece TENS EMS combo device
8 pieces Self-adhesive electrodes
1 piece Recharger and charging cable
1 piece Storage case
4 pieces Electrode cables
1 piece Instructions manual
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STIM-PRO X9a
WARRANTY
All TENS models carry a warranty of 24 months from the
date of delivery. The warranty applies to the stimulator
only and covers both parts and labor relating thereto. The
warranty does not apply to damage resulting from improper
handling, the failure to follow the operating instructions,
loss or dropping.
Manufacturer:
axion GmbH
Mollenbachstr. 13
71229 Leonberg, Germany
www.tens-ems.com/en
1. Advice for operation
2. Degree of electrical protection
3. Do not insert the plug into the power supply socket of 230V
4. Timer
5. Low battery indicator
6. Increament
7. Decreament
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8. Read the instruction manual
9. Direct current (DC)
10. Manufacturer
11. Serial number
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