Malem MO4S, MO3, MO4, MO5, MO6V Instruction Manual

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.