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CONTENTS
Area of use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Important safety instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
- contra-indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Foreword to TENS stimulation
- what you should know, questions / answers . . . . . . . . . . . . . . . . . . . . . . .5
How many times a day can I use the TENS? . . . . . . . . . . . . . . . . . . . . . . . . . .5
QUESTIONS / ANSWERS
Answers to the most frequently asked questions . . . . . . . . . . . . . . . . . .6-7
What programme for what user symptom? . . . . . . . . . . . . . . . . . . . . . . . .8-11
Programme 1: Gate Control 100 Hz
Symptom: acute nerve or joint pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Programme 2: Gate Control 80 Hz
Symptom: acute nerve or joint pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Programme 3: Endorphinic, known as acupuncture-type stimulation
Symptom: Diffuse nerve, joint or muscular pain
(sometimes not localisable) spasms, lower back pain, neck pain, fibromyalgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Programme 4: Gate Control 100 Hz channel1 + endorphinic channel2
Symptom: Joint pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Programme 5: Sequential TENS
Symptom: Particular lower back pain, lumbosciatalgia . . . . . . . . . . . . . . .9
Programme 6: Professor Han TENS stimulation
Symptom: Joint pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Programme 7: Burst-type endorphinic stimulation
Symptom: Diffuse nerve, joint or muscular pain
(sometimes not localisable) spasms, lower back pain, neck pain, fibromyalgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Programme 8: Stimulation by frequency modulation
Symptom: Acute nerve or joint pain (to be used
alternately with programme 1 or 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Programme 9: Muscle strengthening
Symptom: Prevention of muscular atrophy muscle strengthening . . .10
Programme 10: Slow analgesic massage by dynamic Gate Control
Symptom: Especially for acute back pain lower back pain and lumbosciatalgia - joint pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Programme 11: Fast analgesic massage by dynamic Gate Control
Symptom: Especially for heavy limbs: Calf venous return joint pain . .11
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AREAS OF USE
The TENStem eco basic was designed for the analgesic stimulation of nerves and muscles. This appliance should not be used in
any other case. It is used to treat the pain and for excitomotor
muscular re-education.
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QUESTIONS / ANSWERS
Answers to the most frequently asked questions
Q: What level should I set the intensities at to stimulate me?
A: Do not try to achieve an ever-increasing level (milli-amperes) of
intensity; only adjust the intensities so as to always feel comfortable stimulation (pins and needles or pulses depending on the programme or frequency used). Adjust to intensities to a painful threshold and then reduce them just below it to achieve a pleasant
level. You will note that this level of setting is often different, even
on identical areas that you stimulate at different times. This phenomenon is normal because a number of factors affect the tolerance to the current and the level thereof:
cutaneous resistance: Dry skin does not conduct the current as
well as damp skin (state of perspiration). Skin does not have a
uniform resistance to the current: for example, the difference
between hard skin and the skin of the popliteal space (the hollow behind the knee) is generally double. The innervation is also
different depending on the area, also explaining the difference
in sensitivity.
Volume of muscular or fatty mass: The greater the volume of a
muscle, the greater the intensity of equal parameters that can
be applied to it.
The state of muscular fatigue: The more fatigued the muscle,
the less it can support the intensity.
The state of used electrodes: The re-usable self-adhesive electrodes are not everlasting (between 30 and 60 uses, depending
on the quality). The ageing of the electrodes leads to an increase in their resistance and a reduction in their conductivity.
Remember to change them every 15 days.
The nervous system becomes accustomed to the current very
quickly: particularly during the first 5 minutes of a programme,
when you will find that your sensitivity to the stimulation reduces. This is normal: the current applied does not reduce, your
nervous system simply gets used to the stimulation very quickly. This effect is more limited for the dynamic stimulation programmes. Dont hesitate to re-adjust the intensity on one or
more channels to achieve a stronger, but always pleasant level
of stimulation.
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Switching on/off
Programme choice
Press here until the chosen
programme is displayed on the screen
Channel 1
intensity
Channel 2
intensity
to
increase
to
increase
to
reduce
to
reduce
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1
1
1
2
Deltoid
Shoulder
1
2
1
1
2
Knee
Elbow
Hip
1
1
1
2
2
Ankle
Wrist
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Channel 2
Channel 1
Channel 2
Channel 1
movement
of the dynamic
stimulation
Channel 2
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1
1
1
2
Dorsal pain
Neck pain
1
1
Para-vertebral
1
2
Lumbar muscles
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1
1
1
Carpal extensors
Carpal extensors
1 2
1
1
1
Biceps
Triceps
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17
1
2
1
Back
Quadriceps
1
1
1
Leg ischium
Fibular triceps
1
1
1
Anterior tibial
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EC classification
The TENStem eco basic is referenced in category IIa for medical
equipment.
Guarantee
The appliance is guaranteed for 2 years from the date of invoicing. The cables, electrodes and batteries are excluded from the
guarantee, together with any breakage or breakdown caused by
use not in compliance with the instruction manual.
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Technical check
The TENStem eco basic should be checked every 24 months.
The technical checks consist of:
1. Verification of all the appliance documents (product instruction
manual and technical sheet)
2. Verification of all the appliance equipment.
3. Verification as to any mechanical deterioration, verification of
cables and plugs/sockets.
4. Operating safety:
Verification of the output signal with a resistance of 1 kW (current and voltage)
Verification of the frequency
Verification of the impulse width.
Technical checks can only be performed by approved technicians.
These checks are set out in the product technical sheet and specify the date and name of the person who performed the checks.
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Reference
1
2
1
4
104051
104741
283400
450780-0011
Manufactured from multi-use gel, the Stimex self-adhesive electrodes have substantial longevity in terms of the number of reuses, are very comfortable to use in terms of conductivity, and
have flexibility and adhesiveness for perfect contact with the skin,
and all this at an unbeatable quality/price ratio.
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Use: Standard
Use: Especially
for the back
Use: Feet,
hands, face
Use: Especially
for the back
Use: Especially
for the back
Use: Especially
for the back
Use: Especially
for the back
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ON/OFF key.
Programme choice selection key
Channel 1 intensity increase key.
Channel 1 intensity reduction key.
Channel 2 intensity increase key.
Channel 2 intensity reduction key.
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Intensit
Intensity
Time
Temps
Voltage
Tension
Temps
Time
Intensity
Intensit
Intensity
Intensit1I
mA
mA
80
60
40
RL Resistance
Resistance
RL
20
500
1000
1500
2000
2500
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Description of symbols
Warning!
Consult the instruction manual before switching on.
Certification of conformity to Directive 93/42/EWG from the Com-
Reference number
Year of manufacture
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Manufacturer:
Pierenkemper GmbH
Hrnsheimer Eck 19
D-35578 Wetzlar
Internet: www.pieren-tech.de
0197
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Export Dept.
Gehrnstr. 4 35630 Ehringshausen
Phone: 0049 6443-8333717
Fax: 0049 6443-8333766
export-sm@schwa-medico.com
www.schwa-medico.com
0197