Malem Enuresis Alarms
Instruction Booklet
Best Results are obtained when:
1. Child is motivated and wants to be dry.
2. Child wakes up to the alarm when activated.
3. Parents/Guardians help to wake up the
child when the alarm sounds especially at
the early stages of treatment.
4. No lifting, no nappies and no withholding
fluids.
IMPORTANT
Please read instruction booklet
before use
Alarms cure by speeding up the natural process
Contents
Instructions for MO3, MO4, MO5 & MO6 ....................................2-4
Important/Hints ............................................................................5
Batteries ......................................................................................6
Choice Selection ..........................................................................7
Sensors ........................................................................................7
Fault Finding ................................................................................7
Guarantee ....................................................................................8
Repairs and Reconditioning ........................................................8
Cleaning ......................................................................................8
Electrical Safety and Disposal......................................................8
Bed-Mat Enuresis Alarm - MO3, MO4, MO5 & MO6 ..................9-11
Model MO3 - Enuresis Alarm ......................................................12
Model MO4 - Ultimate 1 Enuresis Alarm......................................13
Model MO4S - Ultimate 1S Enuresis Alarm ................................14
Model MO5 - Ultimate 1 + Record Enuresis Alarm ......................15
Model MO6V - Vibrating Unit for Bedside Alarm ..........................16
Model MO6 - Ultimate Bedside Alarm ..........................................17-18
Model MO8 - Sit Up Sensor ........................................................19
Model PC9 - Queenʼs Square Bladder Stimulator........................20
MM101109
Malem Enuresis Alarms
Instructions for the MO3, MO4, MO5 & MO6 alarms.
For Bed-Mat alarms see PAGES 9-11
1. Insert sensor plug into alarm socket making sure the
Easy-Clip© Sensor lever is lifted up (see diagram).
Do not unplug unless for cleaning or replacement.
(Remove battery isolation tag if present)
2. Carefully attach the alarm to pyjama jacket or night
dress close to the shoulder and thread cord inside
top as shown. For small children, loop and tie
cord to shorten length. Attach to material before wearing garment if preferable.
Optional shoulder clips are available for clinics on request if you do not wish to
use the safety pin. (These clips are universal to all the body alarms, see diagram
on page 12). Clip to clothing near shoulder. (Do not use safety pin if faulty)
3. For Vibrating alarms, attach on the inside of close fitting top or T-shirt close to
the collar bone.
4. For VCA (Light Emitting), attach in a position on clientʼs or childʼs clothing where
it can readily be seen by carer or nursing staff. Alternatively, attach alarm to the
end of the bed where it can be seen by nursing staff and secure sensor/mat
under bed sheet.
5. For Easy-Clip© Sensor: Lift sensor clip lever, attach to the outside of close
fitting underwear, at the location most likely to get wet first, by inserting material
inside sensor jaws at the front and closing lever. (Dispose of insulating tag if
present)
Lowering the lever without any dry material in the jaws will trigger the
alarm and prevent the alarm from resetting. Lift the lever and press the
reset button.
2
Lock the Easy-Clip
onto the material by
pressing down the lever.
IMPORTANT:
Regularly CLEAN Easy-Clip
Sensor in soapy water, rinse
and shake dry.
IMPORTANT: DO NOT PLACE
ANY MATERIAL UNDER THE
SECURING LEVER.
Place underwear material into mouth
(jaws) at the front of the Easy-Clip .
3
6. For Standard Sensor: Cut
off one end of the absorbent
pad and insert the sensor in
between the layers. Anchor
with the crocodile clip to
prevent sensor from being
pulled out. Uncover the
backing strip and stick the
pad inside a pair of close
fitting pants, insuring the
sensor is located where it will come in
contact with the flow of urine.
Boys who prefer not to use pads can
sandwich the sensor between TWO PAIRS of cotton briefs (not boxer
shorts) or place within fold of Y-Front, and anchor by locating the
crocodile clip on the outside below the waistband of the pants.
Adhesive tape may also be used to fasten the sensor plate correctly
in the area of urine flow. The sensor plate and crocodile clip must not
be in direct contact with the skin. Avoid nylon/polyester underwear.
7. For Bed-Mat Sensor: See instruction on page 9.
PLEASE NOTE THAT
SENSOR & CLIP ARE
GOLD PLATED.
Please make sure the sensor plate and
the crocodile clip are attached between
the two pairs of pants and do not come
in contact with the skin.
Outer Pants
Inner Pant
8. Upon waking up to the alarm, try to stop any more urine from
being released from the bladder. Remove the Standard sensor
and wipe dry with a cloth. Remove the Easy-Clip sensor and
keep the lever open. Do NOT unplug the cable from the body of
the alarm. Stop the sound or vibration by pressing the
small reset button, use the lavatory to completely empty the
bladder, replace the sensor into a fresh pad or clip to a dry pair of
pants as before. Always test alarm by wetting sensor or
closing the Easy-Clip lever before use.
Parental help in waking up children when the alarm sounds
is reassuring and helpful especially during the first few
nights.
Vibrating ʻPCTʼ- Personal Continence Trainer
a. The vibration signals the start of urination - retrain the bladder by
tensioning the pelvic floor muscles. With practice, it is possible to
stop urination until the toilet is reached.
b. Note down the times of urination as they occur. Gradually, over a
period of time, a pattern will be apparent and the bladder can be
emptied before wetting.
Light Emitting ʻVCAʼ - Visual Continence Alarm
a. Can be used to give visual indication of urination so that the
client is changed to prevent prolonged exposure of skin to urine
with associated risk and complications.
b. Can be used to develop a toileting regime by tabulating
the clientʼs urination times. A pattern can be established and the
need for a bedpan or use of toilet anticipated.
This can result in a significant reduction in management
cost as well as an improvement in clientʼs moral.
MO4 & MO4S Ultimate 1 Alarm
The choice of Sound/s Only, Sound/s and Vibration or Vibration Only is
selectable by sliding the lever inside the battery compartment to setting
1, 2, or 3 accordingly. See diagram on page 13 and 14.
MO5 Ultimate 1 + Record Alarm
For choice selection of sound, vibration or recording see diagram on
page 15.
4
Important
G
Rapid wakening on hearing or feeling the alarm is vital for
success. Most children, including non-bedwetters, tend to sleep
soundly and heavily at home. Better results are obtained if
Parents/Guardians help to wake the child up on hearing the
alarm. The child must wake up sufficently to be able to recall the
event in the morning.
G
Use the progress chart. Great encouragement is derived by
seeing steady improvement.
G
Always praise the user for a dry night; never scold or chastise for a
wet night. Encouragement is the key to success. You can not help a
child who does not want to help him or her self. Try and find out why
they do not want to be helped, it could be some other problem.
G
To avoid relapse use the alarm for a minimum of two weeks
after dryness has been achieved. At the same time, increase fluid
intake before sleep to achieve over learning and avoid possibility
of relapsing at a later stage. Avoid fizzy drinks, tea, coffee & milk.
Hints
G
The Reset Button will stop the alarm from sounding only if
the Standard Sensor plate is dry or the Easy-Clip© lever is
LIFTED OPEN and REMOVED from the underwear.
G
Do not unplug the sensor from the Alarm.
G
There is no on/off switch that could allow the alarm to be switched
off and ignored. Current drain on the batteries is minute except
when the alarm is sounding.
G
The sensor is positively locked to the alarm to prevent accidental
disconnection. However, the sensor can be unlocked and detached
for cleaning or replacement. Do not unplug the sensor from the
alarm during normal use.
G
It is intentional that one of the sounds of the Eight Tone Alarm
(8T) does not stop immediately upon pressing the reset button.
G
REGULARLY CLEAN the Easy-Clip© sensor in soapy water, rinse
and shake dry to prevent “fluff” and urine accumulation inside
the jaws.
5
6
Batteries (remove isolating tag if present)
Batteries are provided free of charge by ourselves during manufacture
and units are tested prior to packaging. Batteries are safely secured
within the alarm. They should not be accessed by children.
Batteries should be replaced only by adults.
For model MO3 button size Alkaline batteries AG13 or equivalent.
L1154, SP675H, V357, LR44, H1154, MR44, RW52, PX675, 675RP,
HG13, SR44 or SG13. See diagram on page 12.
PLEASE DO NOT USE ZINC AIR BATTERIES (also known as
hearing aid batteries) AS THEY CONTINUOUSLY DISCHARGE
REGARDLESS OF BUZZING AND ARE UNABLE TO SUSTAIN
POWER TO THE ALARM. (They have a sticker when new and tiny
holes on the +ve side).
Do not allow ribbon to slip between batteries.
For Ultimate 1 Alarm, Model M04 & MO4S, use 2 x AAA Alkaline
batteries (see diagram on page 13 & 14). For Ultimate 1 + Record
Alarm, Model M05, use 3 x AAA Alkaline batteries (see diagram on
page 15). For Model M06, use 4 x AA Alkaline batteries. To change the
batteries, remove the battery cover. Take special care to observe
correct polarity when replacing all the batteries (see diagram on
page 17). Make sure batteries are not loose within the compartment.
Do NOT mix old and new batteries.
Batteries do tend to deteriorate during use and storage and it is
advisable to test the unit before use; this can be simply done by
moistening the finger and touching the sensor or closing the EasyClip© lever. The alarm should always sound, vibrate or light up. If the
unit does not respond, replace the batteries. In use, the batteries
should not be expected to last more than 1-2 months, so it is advisable
to test the unit regularly. Maximum continuous operating time is about
60 minutes per set of button batteries and up to 10 hours for the AAA
Alkaline batteries.
Important - please remove batteries and clean sensor if the alarm
is not going to be used for some time.
Choice Selection
To change setting combination for MO4 & MO5 remove battery cover and
slide lever inside battery compartment (see diagram on page 13 and 15).
Position 1 = Sound/s Only. Position 2 = Sound/s + Vibration. Position 3 =
Vibration Only. For MO4S see page 14.
To select message or sound for MO5 & MO6 (see diagram on pages 15, 17 & 18).
To record a new message make sure the selection switch is in message position,
then press record button and speak into the speaker at the front of the alarm for
MO5. Maximum recording time is 10 seconds. Recording a message from Mum or
telephone tones is very effective.
Sensors
Sensors are an important component and must always be clean and dry. The
crocodile clip is gold plated and should be used to anchor the sensor in the correct
position. Wash clean with soapy water and rinse. Remove any material from
jaws of Easy-Clip© sensor. Dry before use
.
Sensor Wire
The wire that connects the sensor to the alarm unit is a vitally important link. The
wire is sufficiently flexible to be comfortable in use but sufficiently robust to ensure
long life. It will not however tolerate abuse, being bitten or chewed. Do not use the
wire to pull the sensor out of the pad or underwear - always undo the clip. Do
not clip the crocodile clip to the sensor wire. Do not unplug the sensor from the body
worn alarms.
Fault Finding
a) Unit fails to sound:- replace batteries, ensure correct polarity. Always use
“fresh batteries”. Do not use Zinc/Air batteries (the ones with the small holes
in the positive side and sticker when new). Make sure ejector ribbon has not
slipped between batteries. Make sure battery contacts are clean and free from
deposits. Make sure batteries are not loose and are making good contact.
b) Unit will not turn off:- sensor plate is wet (Dry sensor). Sensor is faulty or has
a damaged wire replace sensor. Easy-Clip© sensor lever is closed or material
is wet, lift lever, remove material & press the reset button.
Easy-Clip© is dirty and requires cleaning see page 2.
Batteries are nearly exhausted please replace batteries
.
Alarm is or has been flooded.
c) Intermittent buzzing:- faulty sensor. Loose or flat batteries in the battery
compartment. Damaged wire.
7
Guarantee
Under normal usage the Malem Alarm Unit is guaranteed for a period of
three months from purchase. This excludes batteries, sensors,
Bet-Mat, flooding, misuse or accidental damage. If the alarm should
malfunction during this period please contact us before sending. Please
remove the batteries and decontaminate the unit/sensor before returning.
(see below). Do not return flooded or contaminated alarms.
Repairs and Reconditioning
If your alarm requires repair, we will exchange it for a new one (repairs
are not undertaken for hygiene reasons). Please contact us by telephone,
e-mail or in writing, for the cost of this service. Please decontaminate the
unit before return.
Cleaning
Alarm Unit: Wipe clean alarm and safety pin using mild detergent or skin
disinfectant. Use a damp cloth and dry thoroughly. NEVER IMMERSE IN
WATER.
Standard sensor: Rinse with detergent and dry thoroughly.
Easy-Clip sensor: Lift lever and regularly clean in soapy water,
rinse and shake dry. If the alarm is to be reused by another
client/patient/child then use a new sensor or Bed-Mat. The National
Guidelines states one child, one sensor. To replace the sensor, unlock
the sensor by lifting the small tag and gently pulling the plug out of the
alarm.
Electrical Safety
Designed to meet all Department of Health and British Standard BS5724
Part 1, RE1004/03 and IEC performance, construction and safety
requirements. Maximum current across the sensor is less than 10µA.
BSI certificate No.: 115627. BSI EMC test certificate No.: EZ000505.
Electrical Safety Symbol Type BF. Marked.
Disposal
At the end of the alarm working life, please dispose of the product at a
special local Authority Differentiated Wast Collection Centre.
The manufacturer reserves the right to change specification without prior notice. ©2009 Malem Medical.
8
Malem Bed-Mat Enuresis Alarm
Instructions for MO3, MO4, MO5 and MO6
G
Under no circumstances should any of the alarms be
attached to the usersʼ clothing when using a Bed-Mat.
G
Place a clean and dry Bed-Mat correct side up over the mattress
in the area which is normally wetted and gently tie down.
G
Cover the Bed-Mat with a Clean Dry Cotton sheet and/or Bath
Towel and make the bed up as usual. Avoid nylon/polyester
sheets as they can cause ʻfalseʼ alarms due to increased
perspiration. Adjust cover thickness over the mat to suit.
G
Do not place plastic sheets directly under the Bed-Mat as
condensation will cause the alarm to trigger. (See diagram page 10)
G
Attach the Bed-Mat wire to the chosen Malem Alarm and place
the alarm beside the bed apart from the Vibrating alarm which
can be placed under the pillow.
G
Please tuck in the Bed-Mat wire so that it is not in the way for
getting in and out of bed.
G
Upon waking to the alarm, try to stop any more urine from
being released and use the lavatory to completely empty the
bladder.
G
The alarm sound can be stopped ONLY when the Bed-Mat wire
is unlocked from the alarm and the reset button is pressed.
G
The Bed-Mat must be wiped clean with detergent and dried then
replaced in a freshly made bed, as before, for reuse.
G
Adjust the loudness of the sound with the volume control.
(MO6 only)
G
To test the alarm, place a damp cloth across the foil tracks on the
Bed-Mat.
G
Bed-Mat sensitivity can be reduced by sliding switch on side of
MO6 Alarm. (See diagram on page 17)
9
If using a plastic
protective mattress
sheet place adhesive
tape over the Bed-Mat
lower contacts.
Use a BATH TOWEL to
cover the Bed-Mat and
cotton sheet. Adjust towel
thickness to suit.
Pillow
Bedside alarm or
other small Malem
Alarm.
Bedside
table
Tuck wire from Bed-Mat to
alarm away neatly to prevent
tripping or entanglement.
Tie Bed-Mat
around mattress.
Place cotton
sheet over
Bed-Mat.
10
Under NO
circumstances should
any of the alarms be
attached to the usersʼ
clothing when using a
Bed-Mat.
Holes for tying Bet-Mat to the mattres.
Mattress
Bet-Mat
Sheet
Bath Towel
Important
G
Rapid wakening on hearing the alarm is vital for success but
parents believe that bed-wetting children are very heavy sleepers
so better results are obtained if parents help to wake the child
when the alarm sounds especially during the first few nights.
G
To avoid relapse use the alarm for at least 2 weeks after dryness
has been achieved. At the same time, increase fluid intake
before sleep to achieve over learning and avoid possibility of
relapsing at a later stage. Avoid fizzy drinks, tea, coffee and milk.
G
Use the progress chart. Great encouragement is derived by
seeing steady improvement.
G
Always praise the user for a dry night; never scold or chastise for
a wet night. Encouragement is the key to success.
Hints
G
The reset button will stop the alarm from sounding only if the
Bed-Mat is dry or disconnected.
G
The Bed-Mat positively locks to the alarm to prevent accidental
disconnection. However, it must be unlocked before attempting
to reset the alarm.
G
Please use a thicker cotton sheet or place a bath towel above
the Bed-Mat if sweating is triggering the alarm prematurely. Avoid
plastic and man-made fibres as they may cause static discharge
and false alarm. Reduce alarm sensitivity. (See diagram)
G
Treat the Bed-Mat with care. Avoid folding it or jumping over it.
G
Please replace the Bed-Mat with a new one if it has deteriorated
and use a new one with each child. (National Guidelines)
G
Please note that sleeping directly on an uncovered Bed-Mat or
touching it by hand may trigger the alarm.
G
Do not place plastic sheets directly under the Bed-Mat as
condensation may trigger the alarm.
11
12
Use Alkaline batteries ONLY
No Zinc/Air please
Reset
button
Twist slotted
screwdriver to
slide battery
cover.
Make sure battery
ejection ribbon
does NOT slide
between batteries
Please observe
correct polarity
when replacing
batteries
Malem Enuresis Alarm
Sensor locking socket
Safety pin
white cover
slide sideways
to lock or
unlock
lock unlock
Batteries are AG13 or equivalent. L1154, SP675H, V357, LR44,
H1154, MR44, RW52, PX675, 675RP, HG13, SR44 or SG13.
MODEL MO3
Carefully attach to
garment near shoulder
If you DO NOT wish to use the
safety pin please ask for the
Malem Shoulder Clip
Loop the
cord from
the clip
around the
holder.
Then push
the holder
from the left
into the
alarm until
secure.
With optional clip for
clinic use
To remove or
replace the safety
pin. Turn the pin
ninety degrees
from the alarm &
slide the holder to
the left until it is
clear of the alarm.
13
OPEN
1
2
3
Sensor
locking
socket
Reset
button
Twist slotted
screwdriver
to slide
battery cover
Use 2 x AAA
Alkaline batteries
Please observe
correct
polarity when
replacing
batteries
Safety pin
slide
sideways
to lock or
unlock
lock unlock
Combination Selection Switch
Slide to: 1 For Sound/s only
2 For Sound/s and vibration
3 For Vibration only
Malem Ultimate 1 Enuresis Alarm
Use Alkaline batteries ONLY
MODEL MO4
Carefully attach to
garment near shoulder
14
OPEN
2xAAA
ALKALINE
8
7
6
5
4
3
2
1
On
Off
V
S
V&S
Vibration/Sound
Sensor
locking
socket
Reset
button
Twist slotted
screwdriver
to slide
battery cover
Use 2 x AAA
Alkaline batteries
Please observe
correct
polarity when
replacing
batteries
Safety pin
slide
sideways
to lock or
unlock
lock unlock
For 8 sound
choice
Only switch
position 1 must
be on (rest in
off position)
Malem Ultimate 1S Enuresis Alarm
Use Alkaline batteries ONLY
MODEL MO4S
Combination
Selection Switch
Slide to:
S For Sound/s only
V&S For Sound/s and
vibration
V For Vibration only
Sound
1
8
Selection Switch
Slide to:
1 = Single Sound*
8 = 8 Sounds**
*See sound selection
switch for choice.
**Sound selection
switch must be on in
position 1.
8
7
6
5
4
3
2
1
On
Off
Single sound
selection switch
use a very small
screwdriver or
paper clip to
activate switch (be careful)
Sound Selection Switch
Carefully attach to
garment near shoulder
15
OPEN
1
2
3
1
2
Sensor
locking
socket
Reset
button
Twist slotted
screwdriver to
slide battery cover
Use 3 x AAA
Alkaline batteries
Please observe
correct
polarity when
replacing batteries
Safety pin
slide
sideways
to lock or
unlock
lock unlock
Combination
Selection Switch
Slide to:
1 For Sound/s only
2 For Sound/s and vibration
3 For Vibration only
Malem Ultimate 1 + Record Enuresis Alarm
Use Alkaline batteries ONLY
Press to record
sound. Maximum 10
seconds recording
time.
Combination
Selection Switch
Slide to:
1 For Message
2 For Sound/s and
vibration
This switch must be in
position 1 to be able to
record a new message
MODEL MO5
The microphone is behind the speaker grid on the front
under ʻMalemʼ
Carefully attach to
garment near shoulder
Remove
battery isolator
if present
OPEN
OPEN
OPEN
Vibrating Unit for Malem Ultimate Bed-side Alarm
Use Alkaline batteries ONLY
Safety pin
slide
sideways
to lock or
unlock
lock unlock
Slide battery cover
Use 2 x AA
Alkaline batteries
Please observe correct
polarity when
replacing batteries
To stop vibration;
disconnect Bed-Mat
wire from Ultimate
Bed-side Alarm then
press the reset button
on the MO6
Locking socket for connecting wire to the
MO6 external vibrating socket
MODEL MO6V
16
Remove
battery isolator
if present
17
OPEN
OPEN
1
2
1
2
1
2
3
Malem Ultimate Bed-side Alarm
Use Alkaline batteries ONLY
Slide battery
cover
Reset button
Bed-Mat wire locking socket
LED
Mains
Adaptor
Socket
6vDC
External
Vibration
Extension
Socket
External
Sound
Extension
Socket
Volume
control
+
-
Slide control
cover off
Microphone
Combination
Selection
Switch
Slide to:
1 = LED +
Sound
2 = LED only
3 = No LED or
Sound
On Off
MODEL MO6
Speaker
Use 4 x AA Alkaline batteries
Please observe correct polarity
when replacing batteries
Low
Normal
Sensitivity
switch
18
1
2
1
2
1
2
3
Combination Selection Switch
Slide to: 1 = 8 Sounds*
2 = Single Sound
1 = Message
2 = Sounds
Test
Button
Press to record (Max 10 secs recording time).
To record a message the message/sound
Combination Selection Switch must be in
position 1 (message)
Combination Selection Switch
Slide to:
1 = LED + Sound
2 = LED only
3 = No LED or Sound
On Off
This LED is on
when recording a
new message as
long as the record
button is pressed
Single sound
selection switch
On Off
Select only one
1
2
Single sound selection switch
must be on sound 1 (Top
switch) for 8 sounds selection
to be active
1
2
Single sound 1
2
3
4
5
6
7
8
*
*
19
Malem Sit Up Sensor
Sit Up Sensor can be used with all Malem Alarms
MODEL MO8
SIT UP
SENSOR
MO8
OPEN
2xAAA
ALKALINE
SIT UP
SENSOR
MO8
Push arm
and pull to
release
from socket
Push Sensor
up into locking
socket to secure
The Alarm will activate if the
users movement make the
sensor stand upright.
For best results:
1. Attach alarm inside a
Pyjama Top pocket or
2. Attach on the inside of a
TʼShirt Collar or
3. Clip alarm to an
elasticated bandage
around the thigh.
To Stop Alarm:
1. Place Sit Up Sensor in
horizontal position and
press the reset button on
the side.
2. Remove Sit Up Sensor
from alarm and press the
Reset button.
Horizontal
Vertical
Activation
Angle
No A
larm
A
la
r
m
20
Malem Queenʼs Square Bladder Stimulator
Use Alkaline batteries ONLY
MODEL PC9
OPEN
2xAA
ALKALINE
OFF
ON
Model PC9
To activate
press pad against skin or
use switch
Pull Down
Use 2 x AA
Alkaline batteries
Please observe
correct polarity
when replacing
batteries
How to use
1. Place the
Stimulator on
the lower
abdomen
(above the
pubic bone)
before commencing
passing urine and
apply gentle pressure
to activate the vibration.
(If you are unable to
exert sufficient pressure to
activate, then use the on/off
button on the back)
2. Keep the stimulator vibrating while urine is being passed
and for about one to two minutes after you feel you have finished.
Push button down for ON
Push again for OFF
Adjust rope
length by tying
a knot
Alarms cure by speeding up the natural process
Malem Medical, 10 Willow Holt, Lowdham
Nottingham NG14 7EJ, England, UK
Tel: + 44 (0)115 966 4440 Fax: + 44 (0)115 966 4672
E-mail: malem@malem.co.uk
Web: www.malem.co.uk Web: www.malemmedical.co.uk
© Malem Medical 2009
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