TensCare Elise Instructions For Use Manual

Instructions for use

2

CONTENTS

INTELLIGENT CONTINENCE STIMULATOR

Section: Page

Introduction: 3
Helpline: 3
Feedback: 3

1 Elise Features: 4
2 Types of Incontinence: 5
3 Advantages of the Elise: 5
4 How Continence Stimulation Works: 6
5 Continence Programmes: 7 - 12
6 Cautions and Warnings: 13
7 Controls: 14 - 17
8 Screen Information: 18
9 Usage Memory: 19
10 Leads Alarm: 20
11 Troubleshooting: 21
12 Contents: 21
13 Using the Elise: 22
14 Probe Hygiene: 23
15 Anal Probe: 23
16 Charging the battery: 24 - 25
17 Consumables and Servicing: 26
18 Guarantee: 27
19 WEEE: 27

20 Technical Specications: 28 - 31

3

INTRODUCTION

The Elise may help, if not cure, Stress,
Urge or Mixed Incontinence.

The Elise was developed in conjunction with professional
continence advisers, taking into account feedback from users
of our existing products. The Elise offers the best results,
is comfortable and easy to use.

HELPLINE

A helpline is available, Monday to Friday. Call:

[phone]

or email:

[e-mail]

FEEDBACK

TensCare aim to give you the best possible product and service.

We listen to your suggestions and are constantly trying to improve our
products. We also want to learn about the way our products are used,
and the benets they give. If you have anything you would like to
share with us, please contact:

[e-mail]

4

1. ELISE FEATURES

• Comfortable Stimulation

TM

The strength of the stimulation increases gradually, making the
feeling very comfortable and in your control.

• Easy Start - One Touch Memory

The Elise has intelligent memory that enables the unit to remember
the last programme and the strength setting used. At the press of
only one button the strength level returning to 50% of the last level
used.

• Clinically tested programmes

The programmes which have been preset into the unit have been
clinically tested and proven to be highly effective.

• Safety Duration Override

A safety duration override feature has been incorporated into the
Elise to ensure that the pelvic oor muscle is not overworked. This is
set at twenty minutes after which time the unit will switch off. It is
possible to alter the time in order to customise the unit to your
needs.

• Usage Memory

The Elise has a Usage Memory which shows the length of time that
the unit has been in use and the average level of strength utilised.

• Rechargeable Li-ion battery

The Elise is the rst electrotherapy unit to use a slimline Li-ion
battery. It gives a long and slender prole in a well tried format.

5

2. TYPES OF INCONTINENCE

There are three types of incontinence: Stress, Urge, and Mixed.

• Stress Incontinence

Describes the involuntary leakage of urine when a person coughs,
sneezes, strains or makes sudden movements. It is particularly
common in women and occurs when the bladder neck and the
other mechanisms that act to hold urine in the bladder are not
working properly.

• Urge Incontinence

Describes an overactive bladder. A person may experience a strong
and sudden urge to go to the toilet but are not always able to hold
on, or have to go so frequently that it becomes inconvenient.

• Mixed Incontinence

Is a combination of both Stress and Urge Incontinence.

3. ADVANTAGES OF THE ELISE

• It can reduce leakage – not simply contain it

• It is Drug Free with no side effects

• It is Safe and Easy to use

• It is Discreet

• It may help to avoid surgery
and

• It may improve sexual intimacy

6

4. HOW CONTINENCE

STIMULATION WORKS

The Elise, through a vaginal probe or pads, sends a gentle stimulation
to your pelvic oor muscles using clinically recognised programmes.
The Elise works the pelvic oor muscles for you and helps you to
develop your own muscle control. It perfectly compliments pelvic
oor exercises. The Elise is the result of considerable research and
consultation with continence advisors.

It is also possible to treat faecal incontinence in both males
and females using an anal probe.

Please note that we recommend the Liberty vaginal probe
(as supplied with the unit) and accessories listed on page 26
as the unit has been tested with these.

In some instances, where a probe is not appropriate ­particularly with Urge Incontinence - it is possible to treat
incontinence by using electrode pads placed on the body.

If in doubt contact your continence adviser before using the Elise.

7

5. CONTINENCE PROGRAMMES

The Elise has four preset programmes. One for each type of
incontinence and a fourth for toning of the pelvic oor muscles.

STRESS INCONTINENCE:

Shown on the screen as: “STRES”

The STRESS incontinence programme
strengthens the muscles of the pelvic oor
using gentle stimulation. Once muscular
strength has been improved these muscles
are better able to resist urinary leakage
caused by external pressure being applied
to the bladder such as with a cough, sneeze
or physical exertion.

The stimulation causes the muscles
to contract and work thereby building
their strength.

Successful treatment requires stimulation
once a day for one to three months.
Improvement starts becoming apparent
after about four weeks. It helps to keep a
record of leakage problems so that you
have an objective measure of your progress.
The sensation is like a strong drawing in of
the muscles of the vagina, pulling up of the
pelvic oor. Your natural reaction will be to
pull your muscles in and up, thereby
exercising and strengthening them.

8

URGE INCONTINENCE:

Shown on the screen as: “URGE”

The URGE incontinence programme
reduces the involuntary contractions
of the bladder (detrusor) muscle.
This prevents the unwanted and
unexpected emptying of the bladder.

Successful treatment will require
stimulation once a day and improvements
can be seen in as little as two weeks.

The sensation is of a longer and softer
pulling in of the pelvic oor than the
Stress programme.

When the programme nishes, and your
pelvic oor relaxes, it will become apparent
how much your situation has improved.

9

MIXED INCONTINENCE:

Shown on the screen as: “MIXED”

This programme is perfect if you are
suffering from both Stress and Urge
incontinence or are not sure which form
of incontinence is the problem.
The stimulation frequency is midway
between Stress and Urge.

The sensation, as you might expect, is like a
combination of both the Stress and Urge
programmes. The overall effect is not such a
strong feeling as the Stress programme plus
a slight pleasurable throbbing sensation.

10

TONE:

Shown on the screen as: “TONE”

Having restored your pelvic oor muscles
to an excellent condition you will want
to keep them toned and strong.
Regular use of this programme, about twice
a week, will ensure that your muscles
remain t and toned.

The TONE programme may also be used as
an alternative treatment for STRESS.

The sensation when using the Tone
programme is a mixture of a strong
drawing in of the muscles and then
releasing. The programme repeats the
sensation. A strong and t pelvic oor
muscle may increase sexual health
and enjoyment.

11

GENERAL POINTS

i) The Stress, Mixed and Tone programmes exercise the pelvic oor
muscles. The sensation is like a strong drawing in of the muscles of the
vagina, pulling up of the pelvic oor. The muscle MUST contract in
order to give a benet.

Increase the strength as high as is comfortable, and then take it back
down one step. The level required varies widely between users – some
will use the Elise at full power – 99.5

ii) It is advisable not to ‘overdo’ it early on. As long as you can feel the
contraction, it is working. You can build up slowly over a number of
days. With the rst few sessions the muscles may ache the next day–
the same reaction you would get with any unaccustomed exercise.
With the pelvic oor, this gives a ‘cramping’ feeling. If this happens,
stop using your Elise until the aching goes away, then start again
using a lower strength and a shorter treatment time. As the pelvic
oor begins to improve, it will be possible to maintain the stimulation
for longer.

iii) The Urge programme works differently. There is no need to have a
contraction. As long as you can feel the stimulation easily,
it is working. You may need to increase the strength during the
treatment session.

iv) For best results in the stress and mixed programmes try to contract
the pelvic oor muscles along with the Elise, and to sustain the
contraction into the rest interval. If possible, link the contraction to
your breathing in order to get into a gentle rhythm.

v) Once the pelvic oor has been strengthened using the Elise,
continue to exercise the pelvic oor muscles. The pelvic oor needs to
be worked and reacts very well to such exercises.

12

GENERAL POINTS (CONTINUED)

vi) The length of each session for muscle strengthening will also
depend on your ability to contract and your resistance to fatigue. Be
careful not to overuse early on, as the resulting aches may not be felt
until the next day.

vii) All programmes cycle between "work" and "rest" to allow your
muscles to recover in between contractions. During the "rest" period,
the strength display ashes "000".

viii) When you change the strength setting, this cycle stays on "work"
until you stop pressing the buttons for more than 5 seconds.

ix) The usages mentioned for each programme are guidelines only,
and may be altered depending on your personal needs.

x) You may feel the stimulation through the probe more strongly on
one side than the other.

A strong and t pelvic oor muscle may increase
sexual health and enjoyment.

13

6. CAUTIONS AND WARNINGS

Do NOT use the Elise under the following circumstances:

• If you have a heart pacemaker or a heart rhythm problem

• If you are pregnant

• If you have been diagnosed or treated for cervical,
or any pelvic, cancer

• If you have, or have had epilepsy

• Whilst driving, or during any activity in which involuntary muscle
contractions may put the user at undue risk of injury

• Within 12 weeks of surgery in the area. Scars should be fully healed
before use

IF IN DOUBT, CONSULT YOUR PHYSICIAN.

BEFORE USE, PLEASE READ THE FOLLOWING WARNINGS:

• Incontinence can have many causes. You should try to identify the
type of incontinence and the cause before using the Elise.

• If you have a urinary infection or any skin irritations within the vagina,
it is recommended not to use the Elise.

• Care must be taken if you are not experiencing normal sensation or
feeling in your vagina. Please see the section about inserting the probe.

• If you have a severe prolapse, or any discomfort occurs when
inserting the probe, consult your medical advisor before use.

• If you use a copper IUD, stop use immediately if you experience
discomfort. There is a very small risk of stimulation of the uterine wall
if the IUD is not correctly located.

NB: You may safely use the stimulator during menstruation,
although it may be a little less comfortable.

14

7. CONTROLS

ON / OFF Button

Strength DOWN

Programme

Timer

Strength UP

15

7. CONTROLS

ON / OFF Button

To switch unit ON:
Press and hold down for 3 seconds.

When the unit is switched ON an
audible “Beep” will be heard.

One Touch Memory Start
When switched on the unit will
automatically start in the programme
which was being used when it was
switched off. The strength returns to about
50% of the level that was being used when
the unit was switched off. This simplies
start up dramatically.

During start up to stop the increase in
strength at any time, press any key once.

To switch unit off: Press and hold down the
button for 3 seconds and the unit will
switch off. When the unit switches OFF
an audible double “Beep” will be heard.

NOTE: Always check unit is OFF
before removing probe or pads.

16

7. CONTROLS

Strength UP Button

To increase strength: Press and hold down
until required strength is achieved.
.
Press and release to increase in soft and
gentle 0.5 steps.

The unit will remain in the “Work” part of
the cycle for 5 seconds while the strength is
being adjusted

Strength DOWN Button

To decrease strength: Hold down button
and strength will decrease steadily in 0.5
steps.

Programme Button

The Elise has specically selected
programmes. When you FIRST switch
on the unit automatically goes to
programme STRES.

Next time it is switched on it will default to
the programme last used.

Each time the “P” button is pressed and
released the programme changes. The
screen will show the programme selected

17

7. CONTROLS

Time Selector button

Each time you switch on the Elise the
length of time of your programme will
automatically revert to 20 minutes.

During use the unit counts down the
minutes which are shown on the screen.
On reaching zero the unit will switch off.

By repeatedly pressing and releasing the
Timer button you can manually override
and select 10, 30, 45, 60, 90 minutes or
continuous time.

The length of time that you have selected
will be shown on the screen. The minutes
will start to count down once you start
the programme.

If you hold down this key for 3 seconds,
you can PAUSE the timer, allowing you to
interrupt the treatment session, and
resume it later. Return to main screen by
pressing any other key.

18

8. SCREEN INFORMATION

Time Remaining (mins)

Programme

Strength

19

9. USAGE MEMORY

The Elise has a usage memory which remembers the length of time
and average strength that has been used.

To activate hold down the Time Selector and strength UP buttons
together for 3 seconds. The screen will show the time in hours (to the
nearest hour) and strength in mA.

Hold down Time Selector and strength DOWN button together
for 3 seconds to reset the memory to zero.

Time in hours

Average strength

20

10. LEADS ALARM

The Elise monitors the connection and the contact
between you and probe, or pads.

If either of these goes outside of a standard range
while the strength is above 20.0 , the unit will ash “LEADS”,
bleep three times, and return strength to zero.

Check the lead and if necessary, lubricate the probe.

21

11. TROUBLESHOOTING

If the unit does not work:

No display - charge battery.

No sensation - LEADS alarm. Check lead and probe lubrication.

No LEADS alarm - Dampen your hand with water and a little table

salt. Hold on to the probe and carefully increase strength. If you
cannot feel anything, the unit may be faulty, therefore contact
Tenscare or your local distributor.

12. CONTENTS

• Elise continence stimulator

• Liberty vaginal probe X-VP (for single patient use)

• Connecting Lead wire

• Li-ion battery type BL-4B

• Charging cradle

• Power adaptor

• Instruction booklet

• Transit pouch

22

13. USING THE ELISE

Setting up and using the Elise is very simple.

Step 1: Inserting battery into unit:

To remove Battery Cover,
press down in the centre
of the battery cover
and slide downwards.
To insert battery, line up the
3 connectors on the battery
with the contacts in the unit,
slide in and press down.
Replace the battery cover.

Step 2: Plug the connecting lead wire

into the Elise as shown right.

Step 3: Connect the other end of

the connecting lead wire
to the probe.

Step 4: Insert the probe.

Please note:

• Before inserting the probe go to the toilet.

• Ensure the Elise is switched OFF before insertion.

• Lubricate the probe with a proprietary jelly, such as KY, or water.

• Insert the probe into the vagina, in the same way as a tampon, until only the
ange at the end is visible. The probe will naturally position itself with the
widest part of the ange vertically.

• Initially the sensation through the probe may be limited but will improve
during treatment. Take care not to use too high a strength setting and
thereby over stimulate the muscles. The sensation may not be even as it may
vary depending on the sensitivity of the nerves.

• If using optional pads instead of the Liberty probe for Urge, place the pads
either side of the spine, as low as possible.

23

14. PROBE HYGIENE

The Liberty vaginal probe that is supplied with the Elise is intended
strictly for single patient use. It is important that the probe is cleaned
after each use. Clean with either an antibacterial wipe or by washing in
warm soapy water, rinse and dry thoroughly.

The vaginal probe should be replaced every six months.
For best results, use only the Liberty replacement vaginal probe.

15. ANAL PROBE

An anal probe (X-VP or X-PR13A) can be
purchased as an accessory.

This probe can be used for faecal incontinence
in both males and females.

24

16. CHARGING THE BATTERY

The Elise is powered by a type BL4B rechargeable Li-ion battery.

A separate Charging Cradle and Power Adaptor are included in the kit.

The battery should need charging about once a month.

When the battery is running low, a low battery indicator will show on
the screen (battery symbol).

Although the display fades as the batteries run down, the strength of
the output does not change until the warning is shown.

25

NB: Remove the battery from your Elise if the unit is
unlikely to be used for a long period

When the battery is charged, the indicator light on the
cradle will change from red to green.

For a replacement battery, contact Tenscare or your local distributor.

Use only the power adaptor and charging cradle supplied.

USE OF OTHER CHARGERS COULD BE HAZARDOUS
AND WILL NEGATE THE GUARANTEE

Warning

There is a risk of smoke, re, or rupture if the battery is not used
according to the following guidelines:-

• Do not disassemble the battery

• Do not short-circuit the battery

• Do not incinerate or heat the battery

• Do not use or leave battery near a re, stove or

heated place (more than 80°C)

• Do not immerse the battery in water or sea water, or get it wet

• Do Not charge battery nearby the re or in strong sunlight

• Only use the charger provided and observe charging instructions

Disposal

Always dispose of batteries responsibly according
to local government guidelines.

26

17. CONSUMABLES AND SERVICING

PART NUMBER:

X-VP Liberty Vaginal probe
L-IT1 Replacement lead 1.25m
X-PR13 PR13A Anal Probe*
X-AP Anuform anal probe*
E-CM5050 Electrode pads 50x50mm for external use. Pack of 4*
B-BL4B Li-ion battery

*Supplied as an accessory

These consumables can be purchased either by contacting TensCare
on [phone], by going online to www.tenscare.co.uk,
or from your local supplier. Please ensure that you order the correct
part number.

For servicing please call Tenscare on [phone]
to discuss any problem.

If your unit needs to be returned please send it to:

Service Department,
TensCare Ltd,
9 Blenheim Road,
Epsom,
Surrey KT19 9BE
United Kingdom

Please ensure that you enclose your name, address and contact
telephone number so that you can be contacted and informed about
any problem and any costs involved.

27

18. GUARANTEE

Your Elise is guaranteed for two years from the date of purchase.
If a fault develops contact Tenscare or your local distributor.

The guarantee does not cover probe, pads (optional extra),
battery, or the mono lead wire.

Please note that the Guarantee is invalidated if:
i) incorrect battery has been tted
ii) the unit has been immersed in water, maltreated or tampered with.

19. DISPOSAL OF WASTE

ELECTRICAL AND ELECTRONIC
PRODUCTS (WEEE)

One of the provisions of the European Directive 2002/96/CE is that
anything electrical or electronic should not be treated as domestic
waste and simply thrown away. To remind you of this Directive, all
affected products are now being marked with a crossed-out wheelie
bin symbol, as depicted above .

To comply with the Directive you can return your old electrotherapy
unit to us for disposal. Simply print a postage-paid PACKETPOST
RETURNS label from our website www.tenscare.co.uk, attach this to an
envelope or padded bag with the unit enclosed, and post it back to us.
Upon receipt we will send your old device for components recovery
and recycling to help to conserve the world's resources and minimise
any adverse effects on the environment.

28

20. TECHNICAL SPECIFICATION

GENERAL SPECIFICATION

Max Intensity: 50V zero to peak. Setting 0-100 in steps of 0.5 OC cutout
below 160 Ohm. Constant current 160-470 Ohm 470-2000 Ohm
constant voltage

Channels: Single

Waveform: Asymmetrical rectangular

Max Pulse energy: Total output limited to 25uC per pulse

Power: BL-4B Li-ion battery 3.7V

Battery life: At least 15 hours at 50mA 300uS 50Hz

Adjustable Timer: 10, 20, 30 45, 60, 90 min Defaults to 20 min

Output plug: Fully shielded: touch proof mini USB

Weight: 90 gms without battery

Dimensions: 100 x 65 x 18 mm

Safety Classication Internal power source

Type BF Designed for continuous use.
No special moisture protection.

Environmental Operating Humidity: 20 to 65% RH
Specications: Temperature range: 0 to 35C
Storage Specications: Humidity: 10 to 90% RH

Temperature range: 0 to 55C

29

20. TECHNICAL SPECIFICATION

TYPE BF EQUIPMENT
Equipment providing a degree of protection against
electric shock, with isolated applied part.

This symbol on the unit means “Refer to Instruction
Manual”

NB: The electrical specications are nominal and
subject to variation from the listed values due to
normal production tolerances

PROGRAM SETTINGS
Prog Hz Pulse Ramp Plateau Off Default

Width Up & (Sec) (Sec) Program
(uS) Down Duration

(Sec) (Min)
STRES 50 300 1 5 10 20
URGE 10 200 1 5 10 20
MIXED 20 250 2 5 10 20
TONE 35 250 2 3 6 20

30

Use special precautions regarding EMC according to the information provided below.

• Other portable and mobile RF communications equipment can affect performance.

• Do not use when adjacent to or stacked with other electrical equipment.

• Use of leads or probes other than those listed in section

18 may affect EMC performance.

Guidance and manufacturer’s declaration - electromagnetic emissions

The Elise is intended for use in the electro magnetic environment specified below.
The custom er or the user of the Elise should assure that it is used in such an e nvironment.

Emissions test

Compliance

Electromagnatic environment - guidance

RF emissions
CISPR 11

Group 1

The model Elise uses RF energy only for its internal function. Therefore,
its RF emissions are very low and are not likely to cause any interference
in nearby electronic equipment.

RF emissions
CISPR 11

Class B

The model Elise is suitable for used in domestic establishment
and in establishment directly connected to a low voltage power
supply network which supplies buildings used for domestic
purposes.

Harmonic emissions
IEC61000-3-2

Not applicable

Voltage fluctuations/ flicker
emissions IEC 61000-3-3

Not applicable

The Elise is intende d for use in the electrom a gnetic environment s p ecified below. The customer
or the user of the Elise should assure that it is used in such an environment.

Immunity test

IEC 60601 test level

Compliance
level

Electromagnetic
environment guidance

Electrostatic
discharge (ESD)
IEC 61000-4-2

±6 kV contact
±8 kV air

±6 kV contact
±8 kV air

Floors should be wood,
concrete or ceramic tile
. If floors are covered with synthetic m aterial, the relative humidity should be at least 30 %.

Electrical fast transient/burst
IEC 61000-4-4

±2 kV for power supply lines
±1 kV for Input/output lines

Not applicable

Not applicable

Surge
IEC 61000-4-5

±1 kV differential mode
±2 kV common mode

Not applicable

Not applicable

Voltage dips, short
interruptions and voltage
variations on power supply
input lines
IEC 61000-4-11

<5 % UT (>95 % dip in UT) for 0,5 cycle
40 % UT(60 % dip in U

T

) for 5 cycles

70 % U

T

(30 % dip in UT )for 25 cycles

<5 % U

T

(>95 % dip in UT ) For 5s

Not applicable

Not applicable
Power frequency (50/60 Hz)

magnetic field
IEC 61000-4-8

3 A/m

Not applicable

Not applicable
NOTE UT is the a.c. mains voltage prior to application of the test level

20. TECHNICAL SPECIFICATION

31

Recommended separation distances between portable and mobile RF communications equipment and the Elise

The model Elise is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the
user of the model Elise can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the model Elise as recommended below, according to the maximum output power of the
communications equipment.

Rated maximum
output power of
transmitter W

Separation distance according to frequency of transmitter M

150kHz to 80MHz

d=1.2

P

80 MHz to 800 MHz

d=1.2

P

800MHz to 2.5GHz

d=2.3

P

0.01

0.12

0.12

0.23

0.1

0.38

.38

0.73

1

1.2

1.2

2.3

10

3.8

3.8

7.3

100

12

12

23

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meter s (m) can be estimated
using the equation applicable to the frequency of the transmitter, where P is the maximum output power r a ting of the transmitter in watts (W)
according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,

The Elise is intended for use in the electromagnetic environment specified below. The customer or the user of the
Elise should assure that it is used in such an environment.

Immunity test

IEC 60601 test level

Compliance Level

Electromagnetic environment – guidance

Conducted RF
IEC 61000-4-6

Radiated RF
IEC 61000-4-3

3 Vrms
150 kHz to 80 MHz

3 V/m
80 MHz to 2,5 GHz

3 Vrms

3 V/m

Portable and mobile RF communications equipment should be used no
closer to any part of the model Elise, including cables, than the
recommended separation distance calculated from the equation
applicable to the frequency of
the transmitter

Recommended separation d istance

3V
d = 1.2

P 80M Hz to 800MHz

d = 2.3

P 800MHz to 2.5GHz
where P is the maximum output power rating of the transmitter in watts
(W) according to the transmitter manufacturer and d is the
recommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as determined by an
electromagnetic site survey, should be less than the compliance level in
each frequency range.
Interference may occur in the vicin ity of equipment marked with the
symbol on the left of this box

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations.
Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

a. Field strengths from fixed transmitters , such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio,
AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment
due to fixed RF transmitters, an electro magnetic site survey should be considered. If the measured field strength in the location in which the
model Elise is used exceeds the applicable RF compliance level above, the model Elise should be observed to verify normal operation. If
abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the model Elise.
b.Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

20. TECHNICAL SPECIFICATION

DISTRIBUTED BY:

Manufactured by: Tenscare Ltd

9, Blenheim Road, Epsom,

Surrey KT19 9BE, United Kingdom

TEL: [phone]

FAX: [phone]

e-mail: [e-mail]

web: www.tenscare.co.uk

Pub Ref : I-EL-UK Rev 1.0 06/11