TensCare Perfect PFE Instructions For Use Manual
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TensCare Perfect PFE Instructions For Use Manual

Pelvic floor exerciser
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Perfect PFE
Pelvic Floor Exerciser
INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

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Summary of Contents for TensCare Perfect PFE

  • Page 1 Perfect PFE Pelvic Floor Exerciser INSTRUCTIONS FOR USE READ CAREFULLY BEFORE USE...

  • Page 2: Table Of Contents

    CONTENTS Section Page No. Introduction Is this product right for you? Contraindications, Warnings and Cautions 2 Controls and Display Leads Alarm Programmes Contents Setting up Preparing for your training session Training After your training session Cleaning 13 FAQs Anal Probe 15 Battery Removal and Replacement 16 Helpline Troubleshooting Consumables and Servicing Pelvic Floor Exercises Guarantee WEEE General Specifications Electromagnetic interference...

  • Page 3: Introduction

    Mixed Incontinence is a combination of both Stress and signals make your pelvic floor muscle contract. If you Urge Incontinence. have forgotten how to contract your pelvic floor, are having trouble getting muscle response, or simply want Chronic Pelvic Pain can be due to a number of causes to bring back the condition of your pelvic floor muscles, such as: Vulvodynia, Symphasis Pubis, or Interstitial the Perfect PFE can work them for you to build up their Cystitis. strength and help you to develop your own muscle Low frequency stimulation encourages the release of control. It perfectly complements pelvic floor exercises. Endorphins – your body’s natural pain relief mechanism – The Perfect PFE is very easy to use, with four clearly to reduce pain without side effects.
  • Page 4 • Do not use if you have symptoms of active urinary WARNINGS: tract infection, vaginal infections, or localized lesions. Warning: The device should not be used while Introducing the probe may irritate sensitive tissue. walking, driving, operating machinery, or any • Do not use if you have poor sensation in the pelvic other activity in which involuntary muscle region. You may not be able to control the intensity of contraction may put you at risk of injury. stimulation safely. Warning: If you have active cancer, consult with • Do not use if you have cognitive disabilities, i.e.; your clinician before use due to concerns for Alzheimer’s disease or dementia.
  • Page 5 Caution: Never insert or remove the vaginal probe Caution: Not suitable for children under 5 years of unless the control unit is powered OFF as insertion age. Long cord - risk of strangulation in infants. or removal when stimulation is active may cause discomfort or tissue irritation. Caution: Do not use a silicone based lubricant on TO KEEP YOUR DEVICE IN GOOD WORKING ORDER, the stimulation contacts of the probe as it may OBSERVE THE FOLLOWING ADDITIONAL CAUTIONS decrease the effectiveness of Perfect PFE’s muscle stimulation. Do not immerse your unit or vaginal probe in Caution: Strong electromagnetic fields water or place it close to excessive heat as this (electrosurgery/ microwave cookers/ mobile may cause it to cease to operate correctly. phones) may affect the correct operation of this Do not attempt to open up the unit. This may unit - see section 23. If it appears to behave affect the correct operation of the unit and will unusually, move it away from these devices. invalidate the guarantee. Caution: The stainless steel in the Probe electrodes contains some Nickel. This could cause a reaction if Do not mix old, new or different types of batteries you have a Nickel allergy.

  • Page 6: Controls And Display

    Keep the device away from sunlight, as long-term ON Button exposure to sunlight may affect the rubber causing To switch unit on: it to become less elastic and crack. Press and hold down for at least 3 seconds. Keep the device away from lint and dust, as One Touch Memory Start long-term exposure to lint or dust may affect the When switched on the unit will automatically sockets or cause the battery connector to develop start in the programme which was being used a bad contact. when it was switched off. The strength returns to 50% of the level that was being used when the unit was switched off. 4. CONTROLS AND DISPLAY To stop the increase in strength during start up, press any key once.
  • Page 7 Strength DOWN Button Pause To decrease strength: When the timer is running, pressing the ‘T’ and Hold down button and strength will decrease ‘▲’ buttons together will pause the timer. ‘P’ is shown in steadily. Press and hold to release Keypad the centre of the display, the clock symbol flashes and the Lock. intensity drops to ‘0’. If the timer is PAUSED for 5 minutes, the unit will switch off. Programme Button The Perfect PFE has five pre-selected Press the ‘T’ and ‘▲’ buttons together once more to programmes. When you FIRST switch on, the release the PAUSE and the intensity will return to the unit automatically goes to programme STRES. previous setting. Next time it is switched on it will default to the programme last used. In programme ‘M’ the intensity does NOT return to ‘0’ Each time the ‘P’ button is pressed and when you enter the manual setting by pressing the timer released the programme changes. The screen ‘T’ button, or when you adjust the intensity settings. will show the programme selected. This is to ensure that you can feel the effects of the adjustments you are making. Timer /Pause Button The programmes default to 20 minutes or LOW BATTERY C - Continuous.

  • Page 8: Leads Alarm

    The sensation is like a strong drawing in of the muscles Please see section 17 for more troubleshooting tips. of the vagina, pulling up the pelvic floor. Your natural Note: Do not use a silicone based lubricant on the reaction will be to pull your muscles in and up, and this stimulation contacts of the probe as it may decrease exercises and strengthens them. the effectiveness of the Perfect PFE’s stimulation. URGE INCONTINENCE: 6. PROGRAMMES Shown on the screen as: “URGE”. The Perfect PFE has five preset programmes. One for The URGE programme works in a different each type of incontinence (‘Stress’, ‘Mixed’ and ‘Urge’), way to the STRESS program. The gentle one for toning of the pelvic floor muscles (‘Tone’), and...

  • Page 9: Contents

    relaxes, it will become apparent how much your pelvic A strong and fit pelvic floor muscle may increase sexual floor has been exercised. health and enjoyment. MIXED INCONTINENCE: PAIN: Shown on the screen as: “MIXED”. Shown on the screen as: “PAIN”. This program is suitable if you are suffering from both The PAIN programme can be used to Stress and Urge incontinence. It is a combination of the alleviate chronic pelvic pain from many STRES and URGE programs. causes. As with all TENS, it does not treat The first 10 minutes uses the URGE the underlying condition and you should program to reduce sensitivity, then in the obtain a professional diagnosis of the cause before second 10 minutes, the STRES program starting use. It gives a constant soothing tingling exercises the pelvic floor muscles. You sensation. Use with the Liberty Loop vaginal electrode may need to increase the strength in order for at least 40 minutes two or three times a week. Set the to feel the muscle contraction when the strength as high as you can while remaining comfortable.

  • Page 10: Setting Up

    8. SETTING UP 3) Insert the lead wire plug into the base of the unit. Preparing your Perfect PFE for use is very simple. 1) Insert batteries i) Remove belt clip by sliding down 4) Connect the lead from the base of the unit to the lead in the Probe. ii) Remove battery cover by pulling on tag 5) Your Perfect PFE is now ready for use. Caution: Ensure the control unit is switched OFF by holding down the OFF button before use. iii) Insert batteries 6) You can switch the control unit off at any time by Ensure that the batteries are inserted the right way pressing and holding the “OFF” button. The “OFF” button as shown in battery compartment and that the is the bottom left button on the control unit keypad.

  • Page 11: Preparing For Your Training Session

    The pointer demonstrates the strength and duration Caution: Do not use a silicone based lubricant on of each contraction, whether caused by stimulation or the stimulation contacts as it may decresase the effectiveness of Perfect PFE’s muscle stimulation. performed manually. For example, weak contractions are defined by little or no movement in the pointer. 2) Choose a comfortable position, such as leaning back or lying down on your bed with Assemble the pointer and attach to the probe as follows: your knees raised.

  • Page 12: Training

    10. TRAINING SESSION 5) With the required programme selected you can now adjust the intensity of the muscle stimulation by pressing Caution: If tissue irritation occurs, discontinue treatment immediately. Ask your care provider for advice before the strength up ‘▲’ button, on the top right of the keypad continuing further treatment to prevent injury. or the strength down ‘▼’ button, on the bottom right of 1) Press and hold the “ON” button on the control unit for the keypad, until you reach a comfortable level. at least 3 seconds to switch the control unit on. 6) The strength required depends on the programmes you 2) When switched on, in ‘STRES’ and are using.

  • Page 13: After Your Training Session

    If you experience cramping, you can reduce the session The Perfect PFE causes a sensation which feels like a time to 10 minutes and also reduce the intensity. strong drawing in of the vagina and pulling up of the To set a different time, set the strength to zero. pelvic floor. Your natural reaction will be to pull in and up Press the timer button ‘T’ and the ‘min’ display will flash. with your muscles. This exercises and strengthens them. Adjust the time using the ‘▲’ or ‘▼’buttons. For best results in the STRESS and MIXED programmes try Press ‘T’ again to turn off Timer select. to contract the pelvic floor muscles along with the Perfect PFE, and to sustain the contraction into the rest interval. 11. AFTER YOUR TRAINING SESSION If possible, link the contraction to your breathing in order When the timer reaches zero, your session is complete to get into a gentle rhythm. and the unit turns off. 9) The LCD display shows the 1) Check that the control unit is OFF. If it is strength you are using. You not, hold down the OFF button to switch off then remove should aim to increase this over the probe from your vagina by holding the positioning a number of days. But remember end rim and gently pulling outwards. Be careful not to there is no hurry, so only increase the strength of the pull the wire as this may damage it. stimulation as and when you are comfortable and ready If you are using the pointer, detach this first before to progress. removing the probe. 10) The length of each session is automatically set to 20 2) Wash and thoroughly dry the probe and return it to the minutes.

  • Page 14: Cleaning

    As the pelvic floor begins to improve, it will be possible to maintain the stimulation for longer. Warning: The Perfect PFE probe is intended for single patient use only. Do not share your SHOULD I TRY TO EXERCISE ALONG WITH THE Perfect PFE probe with anyone else as cross-infection may occur. PERFECT PFE? For best results try to contract your pelvic floor muscles 13. FREQUENTLY ASKED QUESTIONS along with the Perfect PFE and to sustain the contraction into the rest interval. If possible, link the contraction to HOW HIGH SHOULD I SET THE STRENGTH? your breathing in order to get into a gentle rhythm. The Perfect PFE stimulates the pelvic floor muscles. The Once the pelvic floor has been strengthened using the sensation is like a strong drawing in of the muscles of the Perfect PFE, continue to exercise the pelvic floor muscles. vagina and a pulling up of the pelvic floor. The muscle The pelvic floor needs to be worked and reacts very well MUST contract in order to give a benefit. Increase the to such exercises. strength as high as is comfortable and then take it back down one step. The level required varies widely between...

  • Page 15: Anal Probe

    Post Prostatectomy Urinary Incontinence These anal probes may be used to treat Urinary and Electrical stimulation has been found to help urinary Faecal Incontinence in a similar way to the vaginal probe. incontinence in men after radical prostatectomy in some Because the stimulation cannot be restricted to one trials. muscle group, and the mucosal tissue has different electrical characteristics, anal stimulation is less Use the same programmes as for vaginal stimulation. comfortable than vaginal. Increase intensity in Stress, Mixed, or Tone programmes You should consult your physician before starting to the highest tolerable. treatment. Faecal Incontinence Faecal incontinence can be the result of weakened or poorly functioning anal sphincter muscles or damage to the nerves controlling them. The purpose is to re-educate the anal sphincter and other muscles of the pelvic floor to contract. The treatments aim to progress towards graduated active exercises, in order to improve pelvic floor muscle strength and endurance and to regain function. You may benefit from the Perfect PFE if you either have no active anal sphincter contraction, or a weak or poorly sustained contraction.

  • Page 16: Battery Removal And Replacement

    16. HELPLINE Open as shown in section 8. To remove batteries pull gently on the ribbon that goes around the back of the A helpline is available, batteries. Monday to Friday, 8:30am - 5.00pm. Call: 01372 72 34 34 / Overseas: +44 (0)1372 723 434 Battery type: Or Email: ask@tenscare.co.uk ONLY use either 1.5v AA alkaline batteries or NiMH AA rechargeable batteries. 17. TROUBLESHOOTING DO NOT mix batteries of different types. If the unit does not work: CAUTION: NEVER attempt to recharge an alkaline battery - there is a risk of explosion. • No display - change batteries and ensure that they are inserted correctly. Check battery springs.
  • Page 17 However, the strength of the sensation depends on how i) Using a water–based lubricant, which will improve close to the nerve the current flows, and also in which conduction direction it flows relative to the nerve. You can try slightly adjusting the position on the probe, or exchanging the Caution: Do not use a silicone based lubricant on the connection of the wires in the probe. stimulation contacts of the probe as it may descrease the effectiveness of the Perfect PFE’s muscle stimulation. ii) Crossing your legs and squeezing to increase pressure on the probe, which should improve the connection. If this enables you to use the unit, you should find that in a few weeks of stimulation the contact improves. If it does not, then we are sorry to say that the unit will not work for you.

  • Page 18: Consumables And Servicing

    18. CONSUMABLES AND SERVICING If your unit needs to be returned please send it to The Service Department, TensCare Ltd, 9, Blenheim PART NUMBER (REF): Road, Epsom, Surrey, KT19 9BE, UK. X-VPL Liberty Loop Vaginal Probe (32mm dia.) Please ensure that you enclose your name, address and X-VP Liberty Vaginal probe (28mm dia.) contact telephone number so that you can be contacted X-VPM Liberty Plus Vaginal Probe (32mm dia.)
  • Page 19 (removal of your womb), or bladder repair good idea to try and develop a routine which you can • by straining to open your bowels repeat each day. • by being overweight • having a chronic cough. 2) First of all, it is important to find your pelvic floor Pelvic floor exercises can help strengthen your muscles muscles and feel them working. So here are a couple of so that they can give your organs support again. This techniques which might help: will improve your bladder/ bowel control and can improve or stop any leakage. Try inserting one or two fingers into your vagina and then squeezing the surrounding muscles, lifting up and 19.2. HOW TO PERFORM PELVIC FLOOR towards your belly button – a squeezing and lifting sensation. EXERCISES Once your Perfect PFE has helped you to develop control Another way is to try and stop the flow of urine during of your Pelvic Floor muscles and built muscle strength, urination. If you are successful then you know you are you should make Pelvic Floor (sometimes called Kegel) exercising the correct muscles. These techniques are Exercises part of your daily life. just to help you confirm that you are using the correct muscles. It is important to have an empty bladder before Kegel exercises are intended to help strengthen the pelvic starting the exercises. floor muscles.
  • Page 20 3) Try to remember the lifting and squeezing sensation 8) You can also use your Perfect PFE pelvic floor and when you are ready try to recreate the exercises, just stimulator in conjunction with Kegel exercises, which will using the muscles you identified earlier; don't tense the give you a better understanding of how they work and muscles in your legs, stomach or buttocks and remember how to get the greatest benefit from them. to breathe normally. Use the pointer as an indication of how well you are 4) Aim to hold each squeeze or 'contraction' for between performing the Kegel exercises. three and five seconds, then release and relax. You should feel a ‘letting go’ of the muscles. • When performed correctly, the pointer will move Rest for five seconds and then repeat. downwards. • When performed incorrectly, the pointer will move 5) Try and do about ten squeezes in this way. upwards. 6) Repeat the whole process three or four times a day. How can I tell if it’s working? 7) Over a period of time try to increase the muscle contractions up to about ten seconds, but remember to Every two weeks, test the strength of your pelvic floor rest in between each squeeze for longer periods. by stopping the flow of urine mid-stream. This will It is important to aim for quality contractions, not feel similar to the exercises above and uses the same quantity, so a few good hard squeezes are better than a muscles. You may not be able to completely stop the series of weak ones. flow of urine to begin with, but you may notice that you Do not worry if you find holding for 3 seconds difficult are able to slow the flow down. This is your baseline...

  • Page 21: Guarantee

    CE is that anything electrical or electronic should not be for at least three months before the muscles regain their treated as domestic waste and simply thrown away. To strength. remind you of this Directive all affected products are now You need to do these exercises for the rest of your life. being marked with a crossed-out wheelie bin symbol, as If you stop exercising, your problems will return. depicted below. 20. GUARANTEE Your Perfect PFE is guaranteed for two years from the To comply with the Directive you can return your old date of purchase. If a fault develops contact your dealer electrotherapy unit to us for disposal. or TensCare. Simply print a postage-paid PACKETPOST RETURNS label The guarantee does not cover probe, pads (optional from our website www.tenscare.co.uk attach this to an extra), batteries, or the mono lead wire. envelope or padded bag with the unit enclosed, and post it back to us.

  • Page 22: General Specifications

    22. GENERAL SPECIFICATION Symbols Used Attention! Please follow the instructions in the User Max Intensity: 50V zero to peak Manual. Constant voltage over 470-1500 Ohm Constant current over 160-470 Ohm TYPE BF EQUIPMENT: Equipment providing a degree of Channels: Single protection against electric shock, with isolated applied Waveform: Asymmetrical rectangular part. Indicates that this device has conductive contact Max Pulse energy: Total output limited to 25uC per pulse with the end user. Power: 2 x AA Alkaline OR 2 x AA NiMH Battery life: At least 15 hours at 50mA 300uS 0Hz This symbol on the unit means “Refer to Instruction Adjustable Timer: 10, 20, 30 45, 60, 90 min Manual”. Defaults to 20 min Pause button “T” key when running Temperature Limitation: indicates the temperature Output plug: Fully shielded limits to which the medical device can be safety Weight: 75 gm without batteries exposed. Dimensions: 120 x 60 x 20mm Safety Classification: Internal power source.

  • Page 23: Electromagnetic Interference

    Storage life Atmospheric Pressure: indicates the atmospheric limits to which the medical device can be safely exposed. • Storage life of an unopened pack of self-adhesive electrodes is 2 years. This may be affected by very high temperatures or Date of Manufacture: indicates the date which the very low humidity. medical device was manufactured. This is included • Storage life of batteries is 3 years. within the serial number found on the device (usually in • The unit and probe have no fixed shelf life. the battery compartment), either as “E/Year/Number” (YY/123456) or “E/Month/Year/Number” (MM/YY/123456). PROGRAM SETTINGS Prog Pulse Ramp Plateau Default This medical device is indicated for home use. Width Up & (Sec) (Sec) Duration (µS) Down (Min) (Sec) The first number 2: Protected against access to hazardous IP22 STRES...
  • Page 24 NOTES:...
  • Page 25 Distributed by: Manufactured by: TensCare Ltd, 9 Blenheim Road, Longmead Business Park, Epsom, Surrey, KT19 9BE, UK Tel: +44 (0)1372 723 434 Fax: +44 (0)1372 745 434 Email: ask@tenscare.co.uk Web: www.tenscare.co.uk Pub Ref: I-PPFE-UK Rev 1.0 04/15...

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