Roscoe Medical Twin Stim Plus 3rd Edition Instruction Manual
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Roscoe Medical Twin Stim Plus 3rd Edition Instruction Manual

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rd
Twin Stim
Plus 3
Edition
Combo Stimulator
INSTRUCTION MANUAL

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Summary of Contents for Roscoe Medical Twin Stim Plus 3rd Edition

  • Page 1 ® Twin Stim Plus 3 Edition Combo Stimulator INSTRUCTION MANUAL...
  • Page 3 Edition Combo Stimulator This user manual is published by Roscoe Medical, Inc. Roscoe Medical, Inc. does not guarantee its contents and reserves the right to improve and amend it at any time without prior notice. Amendments may however be published in new editions of this manual.

  • Page 4: Table Of Contents

    TABLE OF CONTENTS Chapter 1: GENERAL DESCRIPTION........... Chapter 2: INTRODUCTION................ Chapter 3: IMPORTANT SAFETY INFORMATION......Chapter 4: CONSTRUCTION..............Chapter 5: TECHNICAL SPECIFICATIONS........Chapter 6: THERAPY PROGRAM AND WAVEFORMS..... Chapter 7: UNIT AND ACCESSORIES..........Chapter 8: OPERATING INSTRUCTIONS........Chapter 9: PARAMETER CONTROLS..........Chapter 10: PATIENT COMPLIANCE METER........

  • Page 5: Chapter 1: General Description

    Chapter 1: GENERAL DESCRIPTION ® The Twin Stim Plus 3 Edition Combo Stimulator is a battery operated pulse generator that sends electrical impulses electrodes to the body and reaches the nerves and underlying muscle group. This unit is a combination stimulator of TENS, EMS, IF (Interferential) and RUSSIAN which can be used for muscle stimulation and pain relief.

  • Page 6: Chapter 2: Introduction

    Chapter 2: INTRODUCTION EXPLANATION OF PAIN Pain is a warning system and the body’s method of telling us that something is wrong. Pain is important; without it abnormal conditions may go undetected, causing damage or injury to vital parts of our bodies. Even though pain is a necessary warning signal of trauma or malfunction in the body, nature may have gone too far in its design.
  • Page 7 EXPLANATION OF EMS Electrical Muscle Stimulation is an internationally accepted and proven way of treating muscular injuries. It works by sending electronic pulses to the muscle needing treatment; this causes the muscle to exercise passively. It is a product derived from the square waveform, originally invented by John Faraday in 1831.
  • Page 8 stimulate muscle nerves to achieve the symptomatic relief of chronic intractable pain, post-traumatic pain, and post-surgical pain. EXPLANATION OF RUSSIAN Russian stimulation uses medium frequencies to provide electrical stimulation to muscle groups and is used to reduce muscle spasms as well as for muscle strengthening.

  • Page 9: Chapter 3: Important Safety Information

    Chapter 3: IMPORTANT SAFETY INFORMATION Read instruction manual before operation. Be sure to comply with all “Contraindications”, “Warnings”, “Cautions” and “Adverse reactions” in the manual. Failure to follow instructions can cause harm to user or device. 3.1 Contraindications This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed.
  • Page 10 TENS is a symptomatic treatment and, as such, suppresses the sensation of pain, which would otherwise serve as a protective mechanism. Safety has not been established for the use of therapeutic electrical stimulation during pregnancy. Do not use during pregnancy unless directed by your physician.
  • Page 11 Cautions: 1) Federal law (USA) restricts this device to sale by or on the order of a physician. 2) For single patient use only. 3) Keep yourself informed of the contraindications. 4) This stimulator is not intended for unattended, personal use by patients who have noncompliant, emotionally disturbed, dementia, or low IQ.
  • Page 12 16) Isolated cases of skin irritation may occur at the site of the electrode placement following long-term application. If this occurs, discontinue use and consult your physician. 17) The electrodes are only to be placed on healthy skin. Avoid skin irritation by ensuring that good contact is achieved between electrodes and skin.

  • Page 13: Chapter 4: Construction

    Chapter 4: CONSTRUCTION PANEL ® Twin Stim Plus 3rd Edition...
  • Page 14 Supply Voltage: DC 9V/0.8A adaptor or 4XAA 1.5V batteries Caution: Federal law (USA) restricts this device to sale by or on the order of a physician Manufacturer for Roscoe Medical, Inc. 21973 Commerce Parkway, Strongsville, Ohio 44149 www.roscoemedical.com 1) Lead connector...
  • Page 15 1) Output intensity from channel 1 to channel 4 2) TENS, EMS, IF (Interferential) and RUSS (Russian) mode 3) Therapy program 4) Time symbol 5) Pulse rate and pulse width indicator 6) Lock symbol 7) Low battery symbol 8) Time indicator...

  • Page 16: Chapter 5: Technical Specifications

    Chapter 5: TECHNICAL SPECIFICATIONS ® The technical specification details of Twin Stim Plus 3 Edition Combo stimulator are as follows: MECHANISM TECHNICAL DESCRIPTION Channel Four, isolated between channels Type of protection against electric Class II Equipment shock Output intensity 0~40Vpp (at 500 ohm load) Waveform Bi-Phasic Square Pulse DC 6V, 4×AA 1.5V battery, or...
  • Page 17 Two adjustable timers, from 1 to 60 minutes or Continuous. Adjustable in 1 minute each step Treatment time from 1 to 15 minutes, and 5 minutes each step from 15 to 60 minutes. Treatment time countdown automatically. Patient Compliance This unit can store 60 sets of operation records. Meter Total recorded time is 999 hours.

  • Page 18: Chapter 6: Therapy Program And Waveforms

    Chapter 6: THERAPY PROGRAM AND WAVEFORMS TENS PROGRAM MECHANISM TECHNICAL DESCRIPTION Five TENS program: B(Burst), N(Normal), Program M(Modulation),SD1(Strength Duration 1), SD2 (Strength Duration 2) Burst rate: Adjustable, 0.5 ~ 5Hz Pulse width adjustable, 50~300μs Burst program (B) Frequency fixed = 100 Hz The pulse rate and pulse width are adjustable.
  • Page 19 seconds. Pulse rate (2~150Hz) and pulse width (50~300μs) are fully adjustable. The SD2(Strength-Duration) mode consists of automatic modulation intensity and pulse width in 70% range. The intensity is always increasing while the pulse width is decreasing and vice-versa. The intensity is decreased by Strength-Duration 70% while the pulse width is increased by program (SD2)
  • Page 20 3. Modulation Cycle time 4. Strength-Duration EMS PROGRAM MECHANISM TECHNICAL DESCRIPTION Three EMS Modes: Program C(Constant), S(Synchronous), A(Alternate) Constant stimulation based on setting value. Constant Only pulse width, pulse rate and timer are program (C) adjustable in this mode. “Constant” is equal to the “Normal”...
  • Page 21 The stimulation of the CH2 will occur after the contraction of CH1 is completed. In this mode, the setting of ON time should be no less Alternate than two times of the “Ramp” time. The OFF program (A) time should be equal or more than the ON time. ON time ≥Ramp up + Ramp down OFF time ≥ON time EMS WAVEFORMS...
  • Page 22 Alternate (A) IF (Interferential) PROGRAM MECHANISM TECHNICAL DESCRIPTION Three IF Modes: N (Normal), M (Modulation) Program and M1 (Modulation 1) The pulse rates of the CH1 and CH3 are fixed in 4000Hz; The interference frequencies of CH2 and CH4 are adjustable from 1Hz to 150Hz. Normal The pulse rates of CH2 and CH4 are based on program (N)
  • Page 23 The pulse rates of the CH1 and CH3 is fixed in 4000Hz; The pulse rates of CH2 and CH4 are based on the interference frequencies and fixed frequency (4000Hz), means that pulse Modulation rate = 4000Hz+Interference frequency. The program (M1) interference frequencies are adjustable from 80Hz to 150Hz.
  • Page 24 Burst frequency is decreased from the setting value to 20Hz in 10 seconds, and then Modulation increased from 20Hz to the setting value in program (M1) next 10 seconds. In this program, the burst frequency is adjustable from 20Hz to 80Hz. RUSSIAN WAVEFORM...

  • Page 25: Chapter 7: Unit And Accessories

    Chapter 7: ACCESSORIES ® Twin Stim Plus 3 Edition Combo Stimulator comes complete with standard accessories as below: DESCRIPTION QTY’ 50 X 50 mm Adhesive Electrodes 8PCS Lead wires 4PCS AA Battery 4PCS Instruction Manual Carrying Case AC Adapter...

  • Page 26: Chapter 8: Operating Instructions

    Chapter 8: OPERATING INSTRUCTIONS 8.1 Check/Replace the batteries Over time, in order to ensure the functional safety of device, changing the batteries is necessary. 1) Slide the battery cover and open. 2) Insert four AA batteries into the battery compartment. 3) Make sure you are installing the batteries properly.
  • Page 27 8.3 Connect lead wires to device 1) Before proceeding to this step, be sure the device is completely turned OFF. 2) Insert the lead wires into the lead connectors on top of the device. PLUG LEAD CONECTOR Caution: Do not insert the plug of the patient lead wire into any AC power supply socket.
  • Page 28 and degrease the skin, and then dry it. 2) Do not turns on the device when the self-adhesive electrodes are not positioned on the body. 3) Never remove the self-adhesive electrodes from the skin while the device is still turned on. 4) It is recommended that, at a minimum, 4cm x 4cm self-adhering based, square electrodes are used at the treatment area.
  • Page 29 8.7 Adjust output intensity There are 4 sets of intensity buttons, which correlate to each of the 4 channels. Slowly increase or decrease the intensity as directed by your physician by pressing the up or down intensity buttons under the respective channel.

  • Page 30: Chapter 9: Parameter Controls

    Chapter 9: PARAMETER CONTROLS There are 4 therapeutic modes available –TENS, EMS, IF and RUSS. Each mode’s parameters can be set by pressing [SET] button to enter setting mode, and then adjust the parameters by pressing [▲] or [▼] button. 9.1 Steps to set a new TENS program 9.1.1 Select TENS therapeutic mode and program Press [MODE] button until the LCD display “TENS”...
  • Page 31 [▲] or [▼] button to adjust the parameter from 1s to 8s. 9.2.3 Set ON time (A or S program) Press [SET] button again, The “On” indicator displays on LCD, press [▲] or [▼] button to adjust the parameter from 2s to 90s. 9.2.4 Set OFF time (A or S program) Press [SET] button again, The “Off”...
  • Page 32 or C (Continuous). Press [SET] button to enter this menu, then press [▲] or [▼] button to adjust the setting. Press [▲] button when the timer shows 60 minutes, it will be switched to continuous stimulation. Two timers can be set in the same way. 9.4 Steps to set a new RUSS program 9.4.1 Select RUSS therapeutic mode and program Press [MODE] button until the LCD display “RUSS”...

  • Page 33: Chapter 10: Patient Compliance Meter

    Chapter 10: PATIENT COMPLIANCE METER This unit can store 60 sets of operation records. Total treatment time up to 999 hours can be stored. Check & Delete Individual Record Press [MODE] button and turn on the power simultaneously. The LCD will show the number of records and operation time.

  • Page 34: Chapter 11: Maintenance And Storage

    Chapter 11: MAINTENANCE AND STORAGE 1) Non-flammable cleaning solution is suitable for cleaning the device. Note: Do not smoke or work with open lights (for example, candles, etc.) when working with flammable liquids. 2) Stains and spots can be removed with a cleaning agent. 3) Do not submerge the device in liquids or expose it to large amounts of water.

  • Page 35: Chapter 12: Troubleshooting

    Chapter 12: TROUBLESHOOTING Problem Possible Cause Make sure that the Try new batteries. batteries are full and Reinsert batteries, ensure were inserted with the Displays fail to batteries are inserted correctly. correct polarity light up Remove the batteries and There is an error in the reinsert them after approx.
  • Page 36 Electrode active area Replace electrodes with size is too small large more area Stimulation is May not be operating uncomfortable Please check the manual the device according before use. to the manual. Improper electrode and Reposition electrode and Stimulation is applicator placement applicator ineffective...

  • Page 37: Chapter 13: Normalized Symbols

    Chapter 13: NORMALIZED SYMBOLS Applied part of type BF Electrical devices are recyclable material and should not be disposed of with household waste after their useful life! Help us to protect the environment and save resources and take this device to the appropriate collection points. Please contact the organization which is responsible for waste disposal in your area if you have any questions.

  • Page 38: Chapter 14: Warranty

    Chapter 14: WARRANTY ® Twin Stim Plus 3 Edition Combo Stimulator carries a warranty of one year from the date of delivery. The warranty applies to the stimulator only and covers both parts and labor relating thereto. The warranty does not apply to damage resulting from failure to follow the operating instructions, accidents, abuse, alteration or disassembly by unauthorized personnel.
  • Page 40 Manufacturer for Roscoe Medical, Inc. 21973 Commerce Parkway, Strongsville, Ohio 44149 www.roscoemedical.com...

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