Ibp DIGITAL TENS User Manual
Digital TENS
Electrical nerve and muscle stimulator
Instructions for use
1. How will these instructions help you? ........................ 31
2. Background information .............................................31
2.1 What is pain? ............................................................. 31
2.2 What is TENS? .......................................................... 31
2.3 What is EMS? ............................................................ 31
3. The Digital TENS ....................................................... 32
4. Your safety is important to us .................................... 32
4.1 For what range of use is the Digital TENS
suitable? .....................................................................32
4.2 For what range of use is the Digital TENS
unsuitable? .................................................................33
4.3 For what areas of application is the
Digital TENS suitable? ................................................
4.4 For what areas of application is the
Digital TENS unsuitable? ............................................
4.5 Other points to consider ..............................................
5. How to protect the Digital TENS ................................. 35
6. Unpacking and checking the goods as supplied ......... 36
7. Inserting the battery .................................................... 37
8. The controls and displays on the
Digital TENS ..............................................................
8.1 Controls ......................................................................
8.2 Displays ......................................................................
9. Carrying out treatment ................................................
9.1 What you need to take into account when carrying out
treatment ..................................................................... 41
9.2 Where should you not attach the self-adhesive
electrodes? ................................................................. 41
9.3 Where can you attach the self-adhesive
electrodes? ................................................................. 41
9.4 How to carry out treatment .........................................
10. Setting up the Digital TENS .......................................
10.1 Setting the TENS parameters .....................................
10.2 Setting the EMS parameters .......................................
10.3 Selecting the operating mode ....................................
10.4 Pre-setting the duration of treatment ..........................
10.5 Switching the programme lock on and off ...................48
11. Calling up and re-setting the usage
monitoring facility ........................................................ 49
12. Cleaning and caring for your Digital TENS .................
12.1 Cleaning ......................................................................
12.2 Changing the self-adhesive electrodes .......................
12.3 Changing the battery ..................................................
12.4 Storing your Digital TENS ..........................................
13. What to do if there’s a problem ...................................
14. Re-ordering accessories .............................................
15. Service and Warranty .................................................
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15.1 Service address ..........................................................
15.2 Warranty and indemnity ..............................................
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16. Waste disposal and care of the environment ..............
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17. Technical data .............................................................
18. What do the labels on the Digital TENS mean? ........
19. Examples of treatment using TENS ............................
19.1 Neck, shoulder and arm pain, headaches
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caused by a problem in the cervical spine .................. 55
19.2 Neck and shoulder pain ..............................................
19.3 Pain in the elbow ........................................................
19.4 Pain in the region of the lumbar spine ........................
19.5 Pain in the knee ..........................................................
19.6 Pain in the hip .............................................................
19.7 Pain in the ankle .........................................................
20. Examples of treatment using EMS .............................
20.1 Biceps (upper arm) ....................................................
20.2 Triceps (upper arm) ....................................................
20.3 Firm abdominal muscles .............................................
20.4 Firm back muscles ......................................................
20.5 Quadriceps (upper thigh) ............................................
20.6 Calf muscles ...............................................................
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1. How will these instructions help you?
Warning!
This symbol warns you about possible damage
to your health.
NB!
This symbol draws your attention to possible
damage to your appliance.
Note
This symbol draws your attention to particularly
useful information about using your appliance.
The important parts of your appliance are marked with
numbers.
Using these part numbers, you can safely identify the
displays and controls whose significance and use we
explain in this manual. You will therefore find that we have
put the part numbers in brackets at the appropriate points
in these instructions.
2. Background information
2.1 What is pain?
Acute pain (protective pain) is a natural warning system which
draws our attention to the fact that something is wrong with our
bodies. Acute pain helps us to recognise the early onset of disease
and to treat it.
Chronic pain is not a natural condition. It occurs as the result of a
fault in the affected nerve cells and no longer functions as a warning.
Chronic pain is persistent, recurrent pain that lasts for longer than 3
– 6 months. Chronic pain occurs irrespective of its original cause: the original
cause either no longer exists or can no longer be remedied.
2.2 What is TENS?
TENS, Transcutaneous (delivered via the skin) Electrical Nerve Stimulation,
is a valuable method in the treatment of pain. TENS blocks the transmission of
pain signals to the brain. The patient is no longer aware of the pain or is less
aware of it.
2.3 What is EMS?
EMS, Electrical Muscle Stimulation, is a method of physiotherapy that has
been used for many years in preventive medicine and rehabilitation.
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Normally an electrical signal from the brain causes a muscle to contract.
EMS produces this electrical signal artificially: low frequency pulses stimulate
the nerves that lie beneath the skin, and these in turn stimulate the underlying
muscles.
EMS at a low frequency of 1 - 10 Hz results in an intense contraction of the
muscle and thus leads to the build-up of the muscle.
EMS at a medium frequency of 20 - 50 Hz improves the blood supply to the
muscle by producing quick, consecutive muscle contractions.
3. The Digital TENS
The Digital TENS produces electrical pulses: you can adjust the intensity, rate
(frequency) and amplitude of these pulses to suit your own particular treatment
requirements.
Self-adhesive electrodes are stuck onto the skin and conduct the electrical pulses
into the nervous system in the area being treated. These stimulations are not
painful. You will only feel a gentle prickling or vibration on the skin.
The Digital TENS has two independently controllable output channels and offers
you a choice of five modes of TENS operation and two modes of EMS operation.
Particular advantages of the Digital TENS:
■ Easy to use at home or away
■ Freedom to move whilst using the appliance
■ Always available
■ No known side effects when used as intended.
●
4. Your safety is important to us
Please read these instructions carefully before using your Digital TENS for the
first time. They cover all you need to know in order to operate your Digital TENS
safely and avoid damage.
This instruction manual is an important part of your purchase. Keep it safe –
until you either pass on your Digital TENS with these instructions to a new owner
or finally dispose of the appliance.
4.1 For what range of use is the Digital TENS suitable?
► We recommend that you consult your doctor or physiotherapist
before using the Digital TENS.
► Your doctor or therapist will help you decide on your course of
treatment and to monitor its progress.
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► The Digital TENS is only intended for external use on human
beings.
► The Digital TENS may only be used as described in this
instruction manual.
4.2 For what range of use is the Digital TENS unsuitable?
Danger of sparking and explosion!
The Digital TENS does not have AP/APG protection. Do not place
the Digital TENS near highly inflammable materials, highly
inflammable gases or explosives.
Electromagnetic radiation!
The Digital TENS can interfere with electronic monitoring
equipment such as ECG monitors and ECG alarms. Do not place
the Digital TENS near machines of this type.
4.3 For what areas of application is the Digital TENS suitable?
► In TENS operating mode:
● The TENS operating mode is only suitable for the treatment
of chronic pain which has been diagnosed as such without
doubt.
● Treatment with the Digital TENS has no effect on
non-specific pain such as non-specific headaches.
► In EMS operating mode:
The EMS operating mode is only suitable for the following areas
of application:
● The treatment of muscular atrophy (muscular dystrophy)
caused by inactiveness, enforced rest, illness or
degeneration
● Muscular re-education (building up the muscles)
● The prevention of post-operative venous thrombosis
● The treatment of muscular cramps
● Muscular training by sportsmen and –women.
4.4 For what areas of application is the Digital TENS unsuitable?
► Treatments with the Digital TENS are of a purely symptomatic
nature. They cannot bring about any healing.
► In TENS or EMS operating mode:
Do not use the Digital TENS
● if the patient suffers from allergic skin reactions.
Self-adhesive electrodes may lead to irritation of the skin.
● if the patient suffers from heart problems, in particular
cardiac dysrhythmia.
The stimulation current may lead to ventricular fibrillation
and in the worst case scenario to cardiac arrest.
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● if the patient has a heart pacemaker, other electronic
implants or metallic implants. The stimulation current may
interfere with the function of the implant.
● if the patient suffers from convulsive disorders.
In the worst case scenario the stimulation current may cause
convulsive seizures.
● if the patient is pregnant. In the worst case scenario the
stimulation current may cause premature contractions.
● during menstruation. In the worst case scenario the
stimulation current may increase the amount of bleeding and
cause or aggravate cramps.
● on areas of the skin in which the patient no longer has any
sensation of pain. Self-adhesive electrodes may lead to
irritation of the skin and burns.
● if the patient suffers from systemic diseases (i.e. those
affecting the whole body)
► In EMS operating mode:
Do not use the Digital TENS
● if the patient has a tendency to bleeding, e.g. after an
acute injury or an acute fracture.
The stimulation current may cause or increase bleeding.
● if the patient has recently undergone an operation and
strong muscular contractions could adversely affect the
healing process.
● on swollen or infl amed areas of the patient’s body, e.g. over
varicose veins or where there is phlebitis.
● over areas of the body which are affected by cancer.
4.5 Other points to consider
► Do not use the Digital TENS or its accessories if they are
damaged. The stimulation current can cause pain and burning.
► Do not leave the Digital TENS within reach of children.
Children may swallow small parts and choke on them.
► Do not use the Digital TENS when driving or operating machin-
ery. The operation of the Digital TENS could distract you from
your work and lead to an accident.
► Any inadvertent change in the set-up of the Digital TENS could
frighten you by causing unpleasant skin reactions or sudden
muscular contractions. Do not use the Digital TENS if a sudden
fright could cause you to injure yourself in any way.
► Only use the Digital TENS with accessories that are
recommended by ibp. See the section on Ordering accessories.
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Fire hazard!
Do not short-circuit the battery.
Explosion hazard, fi re hazard!
Do not attempt to recharge a non-rechargeable battery.
The battery may leak or explode and cause a fi re.
Danger of poisoning and choking!
Children can swallow batteries.
Keep the batteries away from children.
5. How to protect the Digital TENS
► The electronics of the Digital TENS are affected by humidity and
moisture.
Do not hold the Digital TENS under running water, do not dip it
into water or other liquids and do not carry it when swimming or
in a sauna.
► The Digital TENS is sensitive to heat.
Do not expose the Digital TENS to direct sunlight and do not
place the Digital TENS on a hot surface.
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Digital TENS
Reizstromgerät zur Nerven- und Muskelstimulierung
0434
Modell/Model/Modèle/Model/Modelo
: WL-2205B Combo
Gebrauchsanweisung
Instructions for Use
Mode d‘emploi
Gebruiksaanwijzing
Manual de instrucciones
innovative business promotion gmbh
6. Unpacking and checking the goods as supplied
Storage case
1
Digital TENS appliance
2
4 self-adhesive electrodes on protective fi lm
3
1 re-sealable bag for storing the self-adhesive electrodes
4
2 electrical cables
5
9 V battery
6
Instruction manual
7
1. Open the storage case.
Keep the storage case so that you can put the Digital TENS
away safely in it after each treatment.
2. Check that all the parts have been supplied.
3. Check the delivered goods for any possible damage during
shipment.
If any part of the delivered goods is damaged, please contact our
Service Department (see Service and Warranty).
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7. Inserting the battery
Faceplate
1
Battery compartment
2
Ribbon pull to aid
3
removal of battery
Positive pole
Negative pole
1. Unpack the battery.
2. Open the battery compartment:
Using your thumb, push the faceplate
down as far as it will go and remove it.
3. Insert the battery:
The ribbon pull must lie under the battery.
● Insert the face of the battery with the connections
into the left side of the battery compartment.
● Then carefully press the battery down on
the right side until it snaps into place.
Make sure that the positive and negative poles
are inserted the right way round.
4. Close the battery compartment:
Replace the faceplate and push it up with
your thumb until it snaps into place.
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8. The controls and displays on the Digital TENS
8.1 Controls
Item Control Function
1
2
3
4
5
On/off knob, impulse
strength control
Display The display shows all the current settings when the Digital TENS
MODE Use this button to select the mode for your treatment.
TIME Use this button to set the length of the treatment. You can
Width ▲ (Set)*
Width
▼ (ENT)
(Pulse width)
Use the left knob to switch Channel 1 of the Digital TENS on and
off.
Use the right knob to switch Channel 2 of the Digital TENS on
and off.
You can increase and decrease the strength of the pulses for
Channel 1 and Channel 2 independently of one another by
rotating the appropriate knob clockwise or anticlockwise.
is switched on.
You can choose between five TENS operating modes and two
EMS operating modes.
The operating mode which is currently selected will flash.
choose between a treatment lasting 15, 30 or 60 minutes.
The setting applies to both channels.
Use these buttons to increase (▲) or decrease (▼) the width
of the pulse.
Each time you press on the button you increase or decrease the
width of the pulse by 10 µs.
If you hold the button down, the increase or decrease in the
pulse width is accelerated.
The setting applies to both channels.
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*In EMS modes S (synchronous) and A (alternating) the WIDTH and RATE
buttons each have a dual function.
RATE ▲*
RATE
▼
(Pulse frequency)
Faceplate Covers all the buttons so that you do not inadvertently alter your
Belt clip You can use the belt clip to fix your Digital TENS
Use these buttons to raise (▲) or lower (▼) the frequency of
the pulse.
Each time you press on the button you raise or lower the
frequency of the pulse by 5 Hz.
If you hold the button down, the rise or fall in the pulse frequency
is accelerated.
The setting applies to both channels.
settings.
to your clothing.
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