IBP Digital TENS WL-2205B Instructions For Use Manual

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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 .......................................

33 34

38 38 40 41

42 45 45 45

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 .................................................

15.1 Service address ..........................................................

15.2 Warranty and indemnity ..............................................

16. Waste disposal and care of the environment ..............

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

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 ...............................................................

46 48

50 50 50 50 50 51 51 52 52 52 52 53 54 55

55 55 55 55 56 56 56 56 56 56 57 57 57

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.

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.

► 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.

● 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.

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.

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

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6. Unpacking and checking the goods as supplied

Storage case

Digital TENS appliance

4 self-adhesive electrodes on protective ﬁ lm

1 re-sealable bag for storing the self-adhesive electrodes

2 electrical cables

9 V battery

Instruction manual

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).

7. Inserting the battery

Faceplate

Battery compartment

Ribbon pull to aid

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.

8. The controls and displays on the Digital TENS

8.1 Controls

Item Control Function

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

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.

Width ▲ (Set)* Width

▼ (ENT)

(Pulse width)

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 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. 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.

*In EMS modes S (synchronous) and A (alternating) the WIDTH and RATE buttons each have a dual function.

On the reverse, not visible

8.2 Displays

Item Display Meaning

1 2 3

Display Displays all the current settings

CH1, CH2 Channel 1, Channel 2

C Continuous operation with constant pulse sequence

B Cyclical operation

M Modulating operation

SDR Strength/Duration/Rate modulation operation

SDW Strength/Duration/Width modulation operation

S Synchronous operation

A Alternating operation

WIDTH Displays the pulse width in µs

R AT E

2 2

8 9

4 5

6 7

(TENS operating mode)

(EMS mode)

(only in TENS operating modes) Displays the pulse frequency in Hz

Displays the setting for the duration of the treatment in minutes

ON Cycle switch-on time in seconds

RAMP Build-up period (ramp) in seconds

OFF Cycle switch-off time in seconds

Shows that the battery needs changing

Shows that the current settings are locked

(only in EMS operating modes)

9. Carrying out treatment

9.1 What you need to take into account when carrying out treatment

► Keep to the treatment plan as agreed with your doctor or

therapist.

► Stop the treatment immediately if it starts to become unpleasant

and consult your doctor or therapist.

► Stop the treatment immediately if it has had no effect following

a treatment session of the length agreed with your doctor or therapist, and consult your doctor or therapist.

► Stop the treatment if after long-term usage the skin becomes

irritated at the points where the self-adhesive electrodes are applied. Only continue with the treatment once you have checked the cause of the skin irritation with your doctor or therapist.

9.2 Where should you not attach the self-adhesive electrodes?

► Do not attach the self-adhesive electrodes to the eyelids.

The stimulation current may damage the eye.

► Do not attach the self-adhesive electrodes to the mouth, larynx

or throat area. The stimulation current can lead to muscle cramps and thus to suffocation.

► Do not attach the self-adhesive electrodes to the area of the

carotid sinus (the area at the front of the neck over the carotid sinus nerve). In patients with a sensitive carotid sinus reﬂ ex the stimulation current may result in cardiac arrest.

► Do not attach the self-adhesive electrodes to the inside of

the mouth or in the immediate vicinity of the heart. The stimulation current could ﬂ ow directly via the heart and result in ventricular ﬁ brillation or even cardiac arrest.

► Do not attach the self-adhesive electrodes in such a way that the

current passes directly through the brain, e.g. on both temples. The stimulation current may set off convulsive seizures.

9.3 Where can you attach the self-adhesive electrodes?

The correct positioning of the self-adhesive electrodes is an impor-

tant factor for successful treatment.

► Follow the instructions of your doctor or therapist precisely.

► As a rule, the self-adhesive electrodes are positioned directly

over the painful area or in its immediate vicinity. It is also possible to encircle the painful area with four self-adhesive electrodes.

► Self-adhesive electrodes for EMS treatment are positioned at

the origin and point of attachment of a muscle.

Please refer to the examples of use in sections 20 and 21 of this

instruction manual.

9.4 How to carry out treatment

During treatment you should keep a minimum of 1 m away from microwave

and short wave appliances. Electromagnetic interaction may affect the functioning of the Digital TENS.

1. Use scissors to cut off any lush growth of hair at the points where you want to apply the self-adhesive electrodes as recommended by your doctor or therapist.

Do not shave the areas concerned.

2. Use a mild soap solution to clean the skin at the points where you want to apply the self-adhesive electrodes. Rinse off the soap solution well and dab the skin with a towel until it is thoroughly dry.

3. Connect the two-way adaptor of the self-adhesive electrodes with the two-way adaptor at the end of the supply cable.

According to what your doctor or therapist recommends, you may also

carry out treatment using just one pair of electrodes. In this case make the connections for this one pair of electrodes only.

Do not touch the self-adhesive electrodes unless both channels of the

Digital TENS are switched off. The strong current may cause an unpleasant sensation on the small area of the ﬁ nger.

4. Remove the self-adhesive electrodes from the protective ﬁ lm.

Always pull the self-adhesive electrodes by the plaster and never

by the wires. The wires may break if subjected to too much mechanical stress.

5. Stick the self-adhesive electrodes onto the contact points recommended by your doctor or therapist.

Do not overstretch the skin when you stick on the electrodes. Lay the

self-adhesive electrode lightly onto the skin and then press the electrode gently from the centre to the outside.

The self-adhesive electrodes must adhere ﬁ rmly to the skin. Replace with

new self-adhesive electrodes when the adhesive has become weak.

6. Connect the supply cable to the output jack on the Digital TENS appliance.

Insert the plug into the output jack as far as it will go.

7. Switch on Channel 1 and Channel 2 of the Digital TENS by rotating the left and right knobs clockwise until you hear a click. The display will be activated and will show the current settings.

NB: Make sure that the current settings are as speciﬁ ed by your

doctor or therapist.

8. Set the pulse intensity for Channel 1 and Channel 2 by turning the left and right on/off knobs slowly clockwise until the stimulation reaches a pleasant level of intensity.

9. Reduce the pulse intensity or switch off the Digital TENS if you begin

to ﬁ nd the stimulation unpleasant.

10. Ending the treatment: When the treatment duration as set has expired, the stimulation will cease automatically and the display on the Digital TENS will go out. Switch off Channel 1 and Channel 2 of the Digital TENS by turning the left and right on/off knobs anticlockwise until you hear a click.

11. Remove the self-adhesive electrodes from the skin by pushing a ﬁ ngertip under each electrode and lifting it off in the direction of the hair growth.

Always pull the self-adhesive electrodes by the plaster and never by

the wires. The wires may break if subjected to too much mechanical stress.

12. Stick the self-adhesive electrodes back onto the protective ﬁ lm and store them in the re-sealable bag until the next treatment session.

13. Rub a little body lotion onto each point on the skin where the selfadhesive electrodes were ﬁ xed, if needed.

14. Put the Digital TENS and the accessories back into the storage case.

15. Store the Digital TENS in a safe place out of the reach of children and away from direct sunlight and damp until the next treatment session.

10. Setting up the Digital TENS

10.1 Setting the TENS parameters

1. Switch on the Digital TENS.

2. Open the faceplate.

3. Set the mode:

Press the MODE button until the symbol for one of the ﬁve TENS operating modes ﬂashes in the display. You can choose between B (cyclical), M (modulating), SDR (Strength/ Duration/Rate modulation) and SDW (Strength/ Duration/Width modulation) TENS operating modes. Each time the button is pressed, the display jumps to the next operating mode symbol.

All the following settings apply automatically to all

ﬁve TENS operating modes.

C (constant),

4. Setting the pulse width: Press the

WIDTH button ▲ or ▼ until the display

shows the required pulse width. Each time the button is pressed, the display jumps in 10 µs intervals to the next possible higher or lower adjustment.

5. Setting the pulse frequency: Press the RATE button ▲ or ▼ until the display shows the required pulse frequency. Each time the button is pressed, the display jumps in 5 Hz intervals to the next possible higher or lower adjustment.

6. Close the faceplate.

10.2 Setting the EMS parameters

1. Switch the Digital TENS on.

2. Press the modes ﬂashes in the display. You can choose between

MODE button until the symbol for one of the two EMS operating

S (synchronous) and A (alternating) EMS

operating modes. Each time the button is pressed, the display jumps to the next operating mode symbol.

All the following settings apply automatically to both EMS operating modes.

3. Setting the pulse frequency: Press the RATE button ▲ or ▼ until the display shows the required pulse frequency. Each time the button is pressed, the display jumps in 5 Hz intervals to the next possible higher or lower adjustment.

4. Setting the times:

• Setting the cycle switch-on time:

Press the SET button until the ON display for the cycle switch-on time lights up and ﬂashes.

• Press the RATE button ▲ or ▼ until the display shows the

required cycle switch-on time. You can set the cycle switch-on time for anything from 1 to 30 seconds. Each time the button is pressed, the display jumps in 1 sec intervals to the next possible higher or lower adjustment.

• Setting the build-up period (ramp):

Press the SET button until the RAMP display for the build-up period lights up and ﬂashes.

• Press the RATE button ▲ or ▼ until the display shows the

required build-up time You can set the build-up time for anything from 1 to 8 seconds. Each time the button is pressed, the display jumps in 1 sec intervals to the next possible higher or lower adjustment.

• Setting the cycle switch-off time:

Press the SET button until the OFF display for the cycle switch-on time lights up and ﬂashes.

• Press the RATE button ▲ or ▼ until the display shows the

required cycle switch-off time. You can set the cycle switch-off time for anything from 1 to 30 seconds. Each time the button is pressed, the display jumps in 1 sec intervals to the next possible higher or lower adjustment.

• Saving all the time settings:

Press the ENT button brieﬂy. This saves your settings.

10.3 Selecting the operating mode

We recommend that all your treatment parameters, including pulse frequency, pulse width and pulse strength, are individually checked and set by a doctor or therapist.

For the treatment to work successfully it is necessary for the patient to experience a noticeable tingling feeling or vibration on the skin. If the success of the treatment begins to wane after a time because the body accustoms itself to the current settings, a doctor or therapist can re-check and re-set the treatment parameters. In such a case it may be sensible also to change the operating mode, i.e. select a modulated operating mode.

If a doctor or therapist is giving the treatment, s/he can monitor the

treatment continually and if necessary reset the parameters.

1. Switch on the Digital TENS.

2. Press the ﬂashes on the display. You can select from ﬁve TENS and two EMS operating modes.

MODE button until the symbol for the required operating mode

Each time you press the button the display will jump to the symbol for the next operating mode.

Symbol in the

Description of the operating mode display TENS operating mode C Continuous operation with constant pulse sequence.

Pulse frequency, width and strength are adjustable. B Cyclical operation (Burst)

Cyclical pulse sequences with 2 bursts per second and 9 pulses per burst.

The pulse frequency is ﬁxed at 100 Hz.

The pulse width and strength are adjustable. M Modulation

The pulse width drops from the default setting to 35% of the default setting and

then returns to the default setting.

One cycle lasts 6 seconds.

The pulse frequency, width and strength are adjustable. SDR Strength/Duration/Rate modulation

Alternating modulated pulse strength and modulated pulse frequency.

When the modulated pulse strength increases, the modulated pulse frequency

reduces accordingly and vice versa.

The modulated pulse strength drops from the default setting to 20% of the default

setting and then returns to the default setting.

The modulated pulse frequency drops from the default setting to 45% of the

default setting and then returns to the default setting.

One complete cycle lasts 6 seconds.

The pulse frequency, width and strength are adjustable. SDW Strength/Duration/Width modulation

Alternating modulated pulse strength and modulated pulse width.

When the modulated pulse strength increases, the modulated pulse width

reduces accordingly and vice versa.

The modulated pulse strength drops from the default setting to 20% of the

default setting and then returns to the default setting.The modulated pulse width

drops from the default setting to 54% of the default setting and then returns to

the default setting.

One complete cycle lasts 6 seconds.

The pulse frequency, width and strength are adjustable.

EMS operating mode S Synchronous operation

Stimulation takes place simultaneously via Channel 1 and Channel 2.

During the build-up time (ramp) the pulse width increases to 250 µs.

A Alternating operation

Stimulation takes place alternately via Channel 1 and Channel 2.

During the input build-up time (ramp) the pulse width increases to 250 µs.

The following parameters are adjustable:

• Pulse frequency

• Build-up time (ramp, adjustable in one-second steps from 1 – 8 sec)

• Cycle switch-on time (adjustable in one-second steps from 1 – 30 sec)

• Cycle switch-off time (adjustable in one-second steps from 1 – 30 sec)

• Pulse strength

10.4 Pre-setting the duration of treatment

1. Switch on at least one channel of the Digital TENS.

2. Press the

TIME button until the symbol in the display shows the required

duration of treatment. You can choose between a treatment lasting 15, 30 or 60 minutes. Each time the button is pressed the display jumps to the next pre-set option.

When the pre-set duration of treatment has elapsed the stimulation stops

automatically and the display on the Digital TENS goes out.

10.5 Switching the programme lock on and off

The programme lock enables the doctor or therapist to protect a programme that s/he has set up for the patient from being changed intentionally or unintentionally.

When the programme lock is switched on, the patient can only control the pulse intensity. All the other TENS and EMS parameters are inaccessible to the patient.

1. Switch both channels of the Digital TENS off.

2. Press the channel of the Digital TENS.

TIME button and at the same time switch on at least one

You are now in set-up mode.

3. To switch on the programme lock: Press ﬁrst the The display shows the symbol for the programme lock.

MODE button and then the SET button brieﬂy.

4. To switch off the programme lock: Press ﬁrst the The display no longer shows the symbol for the programme lock.

5. Returning to operating mode: Switch off both channels of the Digital TENS and then switch at least one of the channels on again. You are now back in operating mode.

MODE button and then the SET button brieﬂy.

11. Calling up and re-setting the usage monitoring facility

The usage monitoring facility enables the doctor or therapist to check for how long the patient has used the Digital TENS.

1. Switch both channels of the Digital TENS off.

2. Press the channel of the Digital TENS. You are now in set-up mode. The display shows the total duration of usage of the Digital TENS in hours.

TIME button and at the same time switch on at least one

The duration of usage displayed includes the time from the last re-setting

of the usage monitoring facility until the present call-up of the usage monitoring facility.

3. Re-setting the usage monitoring facility: Press the MODE and RATE buttons at the same time. The display shows 0 hr.

4. Returning to operating mode: Switch off both channels of the Digital TENS and then switch at least one of the channels on again. You are now back in operating mode.

12. Cleaning and caring for your Digital TENS

12.1 Cleaning

1. Switch the Digital TENS off.

2. Clean the case carefully with a damp cloth and mild soap

► Do not clean the case with caustic or scouring cleaners.

► Do not sterilise the appliance in a steam steriliser or cold

steriliser bath.

3. Clean the cables with a damp cloth and mild soap.

The self-adhesive electrodes must not be cleaned or sterilised.

12.2 Changing the self-adhesive electrodes

Change the self-adhesive electrodes if they are dirty or if they are no

longer sticky.

1. Switch off the Digital TENS.

2. Unplug the used electrode from the supply cable.

3. Connect the new self-adhesive electrode to the supply cable.

12.3 Changing the battery

Change the battery if the Change battery warning appears in the display (see the section on Displays) or if no display appears after you have switched on the Digital TENS.

Change the battery as described in the section on Inserting the battery.

Only use a battery in the Digital TENS if it conforms to the

speciﬁ cation in the section on Technical data.

Explosion hazard! Do not throw the old battery into the ﬁ re!

12.4 Storing your Digital TENS

If you are not going to use your Digital TENS for more than four weeks:

1. Switch off the Digital TENS.

2. Remove the battery from the battery compartment (see the section on Changing the battery)

3. Place the Digital TENS and the accessories in the storage bag.

4. Store the Digital TENS in a cool, dry place.

13. What to do if there’s a problem

Problem Possible cause Remedy

The Digital TENS is switched on but no display is visible and no stimulation can be felt.

The battery has not been inserted.

The battery has been inserted incorrectly.

The battery is dead. Change the battery.

Insert the battery

Insert the battery correctly.

The Digital TENS is switched on and a display is visible but no stimulation can be felt.

The self-adhesive electrode does not stick.

The Digital TENS is faulty.

The pulse strength is set too low.

The cables are not properly connected.

A supply cable or an electrode is faulty.

The Digital TENS is faulty.

The adhesive on the electrode has dried up.

Send the Digital TENS to our Service Department – see Service

and Warranty.

Increase the pulse strength.

Check all the cable connections and insert the cables ﬁrmly.

Change the supply cable or electrode.

Send the Digital TENS to our Service Department – see Service

and Warranty.

Change the self-adhesive electrode.

14. Re-ordering accessories

Self-adhesive electrodes are available from specialist shops or can be ordered by post from ibp GmbH quoting the following code number: Elektropads, 40 x 40 mm, set of 4, ibp code 20301. (For the address see the section of this manual on Service and Warranty.)

15. Service and Warranty

15.1 Service address England :

International Business Products Limited 6 Newﬁ eld Court West Houghton Bolton BL5 3SA England Phone:+44(0)19 42 – 8196 95

India :

sano health care products pvt.Ltd.-Group Corporate Ofﬁ ce: 28 Landsdown Terrace 1st Floor Kolkata 700026 Phone: +91 (0)33 2465 0383 & 85

15.2 Warranty and compensation

We will carry out repairs free of charge for 24 months from the date of purchase (i.e. the date on the sales slip or receipt) if your appliance is defective because of faults in the manufacture or materials.

The warranty excludes damage resulting from the fact that these instructions have not been followed or have not been followed in full.

Any further claims or compensation are likewise excluded.

Send your rejected appliance together with the sales slip or receipt and a description of your complaint to our Service Department. Please also enclose the Warranty certiﬁ cate if you wish to make a claim under the Warranty.

Batteries and self-adhesive electrodes are excluded from the Warranty.

16. Waste disposal and care of the environment

■ Do not throw away the used battery with your household rubbish but put it with the hazardous waste or in a battery collection box at a specialist shop.

■ Do not throw the Digital TENS in the household rubbish but hand it in at a collection point for the recycling of electrical and electronic equipment.

If you have any questions on disposal, our Service Department or your

dealer will be pleased to help you.

17. Technical data

Manufactured by:

Well-Life Healthcare Limited 1FL, No. 16, Lane 454, Jungjeng Rd. Yunghe City, Taipei County, Taiwan, R.O.C.

Type of appliance:

Transcutaneous electrical nerve stimulator (TENS)

Classiﬁcation as per 93/42/EC:

Class IIa

Model number:

WL-2205B

Maximum permissible ambient air temperature:

10°C - 45°C

Maximum permissible relative humidity:

30% - 75%

Maximum permissible air pressure:

700 hPa - 1060 hPa

Power supply:

9V battery, alkaline, non-rechargeable

Channels:

2 channels, insulated between the channels

Supply voltage:

0 - 110 V (no-load operation)

Electrical ﬂuctuations:

± 10 % at a load of 500 Ω

Type of signal:

Asymmetric two-phase square pulse

Pulse rate (frequency):

1-160 Hz (adjustable) 1 Hz/interval (1-20 Hz) 5 Hz/interval (20-160 Hz)

Pulse width (duration)

TENS: 50-260 µs (adjustable), 10 µs/ interval EMS: 250 µs (ﬁxed)

Pulse strength (amplitude):

Adjustable from 0 – 80 mA per channel Maximum 500 Ω DC

Maximum charge per pulse:

21 µC

Maximum correlation:

5 %

Weight:

142 g (including battery)

Dimensions (mm)

W: 62 x D: 27 x H: 110

18. What do the labels on the Digital TENS mean?

innovative�business�promotion�GmbH,�Germany

Transkutane�elektrische�Nervenstimulation�/ Transcutaneous�Electrical Nerve�Stimulation�(TENS) elektrische�Muskelstimulation�/�Electrical�Muscle�Stimulation�(EMS)

Artikel-Nr./Article�no.: 10155

Modell/Model

: Digital TENS�WL-2205B�Combo

Batterie/Battery

: 9�V�Blockbatterie�/�9V�Battery

Hersteller/Manufacturer: S/N:

Well-Life�Healthcare�Limited, Taiwan

The rating plate can be found on the underside of the Digital TENS.

Serial number

S/N

At the end of its life cycle, this product must not be disposed of in

regular domestic waste, but must be taken to a collection site for recycling electrical and electronic devices (disposal of used appliances).

Type BF applied part

The product meets the safety requirements of

The applied part provides protection against electric shock by maintaining the leakage current at a level that conforms to standards (Type B). The applied part is insulated (Type F).

Follow the instructions

EU Directive 93/42/EC

19. Examples of treatment using TENS

The examples of treatment shown on the

following pages only represent a small selection of the treatment methods that are possible. Do not always use the treatment methods shown and do not use them on all patients.

19.1 Neck, shoulder and arm pain, headaches caused by a pain in the cervical spine

Indication: Pain in the neck, shoulders and arms, headaches caused by a problem in the cervical spine

19.2 Neck and shoulder pain

Indication: muscular tension, degenerative changes, whiplash injury, pain in the neck and head

NB: Do not apply the electrode plaster to the points where there is most pain.

19.3 Pain in the elbow

Use for “tennis elbow”!

NB: Apply the electrode plasters above

and below the point where there is pain.

19.4 Pain in the region of the lumbar spine

Indication: muscular tension, degenerative changes

19.5 Pain in the knee

Indication: arthritis of the knee, pain in the knee following an operation or accident, e.g. following a sports injury

19.6 Pain in the hip

Indication: arthritis of the hip

19.7 Pain in the ankle

Indication: pain following a sports injury of the ankle

20. Examples of treatment using EMS

Some of the examples shown here should be understood to be only suggestions and should not be used on all patients in every case.

20.1 Biceps (upper arm)