Neurotech AvivaTens XP Instructions For Use & Warranty page 7

• Stimulation should not be applied transcerebrally.
• Stimulation should not be applied over swollen, infected, or inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis,
varicose veins, etc.
• Stimulation should not be applied over, or in proximity to, cancerous lesions.
Precautions
• If in doubt, always seek medical advice.
• Safety of powered muscle stimulators for use during pregnancy has not been established.
• Caution should be used for patients with suspected or diagnosed heart problems.
• Caution should be used for patients with suspected or diagnosed epilepsy.
• Medical advice must be obtained before use on persons who are insulin-dependent diabetics or for persons who are under-
medical supervision for any cognitive dysfunction.
• Medical opinion must be obtained before persons with any serious illness or injury apply muscle stimulation.
• Caution should be used in the presence of the following:
a) When there is a tendency to haemorrhage following acute trauma or fracture;
b) Following recent surgical procedures when muscle contraction may disrupt the healing process;
c) Over the menstruating or pregnant uterus; and
d) Over areas of the skin which lack normal sensation.
• Avoid placing the electrodes directly over metal implants if there is not at least 1 cm of muscle fiber in between. However
placement on the nearest muscle is possible. If in doubt, seek medical advice.
• Precautions should also be taken if muscle stimulation occurs during heavy menstruation or in the same month as the
insertion of an IUP (inter-uterine pessary, e.g. coil). The same applies to the period (6 weeks) after giving birth. We recom-
mend that stimulation is only applied around the abdominal or lower abdominal region following medical approval.
• Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive
medium. The irritation can usually be reduced by using an alternate conductive medium, or alternate electrode placement.
• In all cases, ensure that stimulation does not exceed the patient's tolerance level.
• When repositioning electrodes during treatment, always turn the intensity to minimum or pause the unit.
• Powered muscle stimulators should be used only with the leads and electrodes recommended for use by the manufacturer.
• When the cables are attached to the electrodes, ensure that the plugs are fully inserted into the electrode sockets. Ensure
that no metal is visible.
• Powered muscle stimulators should be kept out of the reach of children.
• Simultaneous connection of a patient to high frequency surgical equipment may result in burns at the site of the
stimulator electrodes, and possible damage to the stimulator.
• Operation in close proximity to shortwave or microwave therapy equipment may produce instability in the stimulator
output.
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