Chattanooga Primera Operation Manual

Chattanooga Primera Operation Manual

Dual channel tens & nmes unit with han waveform

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Chattanooga
Primera Operation Manual
Chattanooga
Primera
DUAL CHANNEL TENS & NMES UNIT
Operators Manual
English
1

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Table of Contents
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Summary of Contents for Chattanooga Primera

  • Page 1 Chattanooga Primera Operation Manual ™ Chattanooga Primera DUAL CHANNEL TENS & NMES UNIT Operators Manual English...
  • Page 2: Symbols Of The Unit

    Symbols on the unit and case Chattanooga Primera Operation Manual ™ Caution! (electrical output). Follow operating instructions! Failure to do so could place the patient or operator at risk. Neuromuscular Stimulation (STIM) and EMG Triggered Stimulation (ETS) should not be used by Patients fitted with demand style cardiac pacemakers.
  • Page 3: Warnings

    Chattanooga Primera Operation Manual ™ Warnings This unit must be used with the guidance of a Physiotherapist or Doctor. Type BF equipment, Continuous Operation. Do not insert lead wires into a mains power supply. Do not immerse unit into water or any other substance.
  • Page 4: Table Of Contents

    What is TENS? What is STIM? Contraindications & Precautions Description of Unit & Functions Quick Start Instructions Programmes Using the Chattanooga Primera ™ Unit in TENS mode Treatment Modes Electrode Placement (TENS) Electrode Types & Tips Electrode Positioning (TENS) Electrode Positioning (NMES)
  • Page 5: Intended Purpose

    ™ Intended Use Chattanooga Primera ™ uses a small battery operated unit to provide a non- invasive, drug free method of controlling acute and principally long term intractable pain. It can also be used as adjunctive treatment in the management of post surgical traumatic pain problems.
  • Page 6: What Is Stim

    Over the last 30 years numerous clinical trials and papers have been written. Chattanooga Primera ™ is a dual channel device combining several treatment programmes into one unit. Neuromuscular Stimulation is increasingly understood by Therapists and Doctors.
  • Page 7: Contraindications & Precautions

    Chattanooga Primera Operation Manual ™ Contraindications & Precautions Before using this equipment you must first seek the advice of your Physiotherapist or Doctor. Read this operating manual before using the unit TENS and STIM should not be used: By patients fitted with a demand style cardiac pacemakers unless so...
  • Page 8: Description Of Unit & Functions

    Chattanooga Primera Operation Manual ™ Description of Unit & Functions Channel A Channel B LCD display Select Programme Back Front * PRG button Press the PRG [Programme] button to select: P01 - P07 or HAN for preset TENS programmes. P08 - P13 for preset STIM programmes.
  • Page 9: Quick Start Instructions

    Chattanooga Primera Operation Manual ™ Quick Start Instructions Insert a 9 volt PP3 Alkaline battery. Alternatively insert a rechargeable Nickel Hydride battery. Do not use Ni-Cad rechargeable batteries Insert lead wire/s to channel A and B if both channels are to be used.
  • Page 10: Programmes

    Chattanooga Primera Operation Manual ™ Programmes Programme Programme Rate Pulse Work Rest Programme Number Description (Hz) width time time time (µS) 1 hour 20 min 20 min 1 hour 1 hour 100/65 200/100 1 hour 65/100 200/100 1 hour 2/70...
  • Page 11: Using The Chattanooga Primera ™ Unit In Tens Mode

    Chattanooga Primera Operation Manual ™ Using the Chattanooga Primera ™ unit in TENS mode RATE [Hz or pulses per second] The RATE to be selected depends primarily on the electrode placement on the patient’s body. If one uses contiguous and dermatome (the electrodes alongside or over the area of pain) electrode placement, a higher rate of 80 Hz - 100 Hz is desirable.
  • Page 12: Treatment Modes

    Primera Operation Manual ™ Treatment Modes (TENS) There are four treatment modes available on the Chattanooga Primera ™ unit: 1. Conventional TENS or normal. Train of constant value pulses on both channels delivered with no interruption for entire treatment period.This is the most frequently used mode of the four TENS modes.
  • Page 13: Electrode Placement (Tens)

    Chattanooga Primera Operation Manual ™ Electrode Placement (TENS) The placement of electrodes is one of the most important parameters in achiev- ing effective pain relief using TENS. This is best left to your Physiotherapist or Doctor to advise as to which location is most appropriate.
  • Page 14: Electrode Types & Tips

    Chattanooga Primera Operation Manual ™ Electrodes Types and Tips Self-Adhesive reusable long-term electrodes (with proper care) have a typical life span of 4/6 weeks. We recommend cleaning the skin with an alcohol-based wipe before placing the electrodes. The wipe should not contain fat as any grease will degrade the electrode stickiness.
  • Page 15: Electrode Positioning (Tens)

    Chattanooga Primera Operation Manual ™ Electrode Positioning (TENS) = Red = Black Ch. A Ch. B or B Herpes Zoster Phantom Limb Pain Ch. A Ch. B Ch. A Ch. B Back Pain Shoulder Pain Ch. A Ch. B Ch. A Ch.
  • Page 16: Electrode Positioning (Nmes)

    Chattanooga Primera Operation Manual ™ Ch. A Ch. B Upper/Mid Back Pain Relief Red = (+) Positive Lead Black = (–) Negative Lead Electrode Positioning (NMES) Ch. B Ch. A Ch. B Ch. A Upper/Mid Back Muscle Improvement. Red = (+) Positive Lead...
  • Page 17 Chattanooga Primera Operation Manual ™ Ch. B Ch. A Ch. A Ch. B Deltoids Trapezius Red = (+) Positive Lead Black = (–) Negative Lead Ch. B Ch. A Ch. A Biceps Triceps Red = (+) Positive Lead Black = (–) Negative Lead...
  • Page 18 Chattanooga Primera Operation Manual ™ Ch. B Ch. A Wrist Forearm Red = (+) Positive Lead Black = (–) Negative Lead Ch. A Ch. A Ch. A Ch. B Ch. B Ch. B Abdominal (two methods). Red = (+) Positive Lead...
  • Page 19 Chattanooga Primera Operation Manual ™ Ch. A Ch. B Ch. A Ch. B Ch. B Ch. A Quadriceps Hamstring Red = (+) Positive Lead Black = (–) Negative Lead Ch. A Ch. A Ch. B Ch. B Calf Femoral Biceps Red = (+) Positive Lead Black = (–) Negative Lead...
  • Page 20: Care, Maintenance, Accessories And Disposal

    Chattanooga Primera Operation Manual ™ Care, Maintenance, Accessories and Disposal WARNING! Only accessories supplied by DJO should be used! CONTROL UNIT Wipe the surface after each use with a damp cloth or antiseptic wipe or baby wipe. Do not use cleaning sprays or alcohol based cleaning solutions.
  • Page 21 Chattanooga Primera Operation Manual ™ Self-Adhesive Electrodes: Check the short connectors have not become separated from the electrodes. Replace electrodes onto plastic film after use. If they drop onto the floor debris will adhere to conductive gel rendering the electrodes ineffective.
  • Page 22: Accessories And Re-Order Codes

    Chattanooga Primera ™ dealer: Description Item code 77622 Chattanooga Primera ™ User’s Manual (English) Plastic Carrying Case 77623 Chattanooga Primera ™ Unit Sliding Back Cover 77616 Leadwire Set - 2 each 77619 Electrode Positioner Belt for the Back 77620 Battery, Energizer 9-volt 200001-01 Dura-Stick Plus 5cm (2”) Round Electrodes...
  • Page 23: Conditions That Respond To Tens

    Chattanooga Primera Operation Manual ™ Conditions that respond to TENS Pain associated with major amputation. Post operative pain. Pain after cardiac surgery. Back pain. General pain. Conditions that respond to STIM (NMES) Upper limb rehabilitation in early stroke. Arm function recovery in hemiplegic stroke.
  • Page 24: Information Regarding Electromagnetic Compatibility And Interference (Emc)

    Chattanooga Primera Operation Manual ™ Information regarding electromagnetic compatibility and interference (EMC) Our products are designed to produce very low levels of radio frequency (RF) emissions (interference), to be immune from effects of interference produced by other equipment operating in their vicinity and damage due to electrostatic discharge all when operating in a typical domestic and or clinical environment.
  • Page 25 Chattanooga Primera Operation Manual ™ Table 202: Guidance and manufacturer’s declaration – electromagnetic immunity This product is intended for use in the electromagnetic environment speci- fied below. The customer or the user of this product should assure that it is used in such an environment, and that precautions regarding that environ- ment are heeded.
  • Page 26 Chattanooga Primera Operation Manual ™ Table 204: Guidance and manufacturer’s declaration – electromagnetic immunity This product is intended for use in the electromagnetic environment specified below. The customer or the user of this product should assure that it is used in such an environment.
  • Page 27 Chattanooga Primera Operation Manual ™ Table 206: Recommended separation distances between portable and mobile RF communications equipment and this product This product is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this prod-...
  • Page 28: Specifications

    Chattanooga Primera Operation Manual ™ Specifications TENS and STIM(NMES) Dual channel: individually isolated circuits. Amplitude: 0-80 mA into 500 Ohm load ; indication only. Actual mA will tend to be less than indicated due to electrode impedance: at 1000 Ohms load (Electrodes in poor condition) the maximum will be limited to 70 mA, at 1500 Ohms load the maximum will be limited to 65 mA.
  • Page 29: Issues And Solutions

    Chattanooga Primera Operation Manual ™ Issues and Solutions Issue Possible Cause Solution Battery symbol on Low voltage. Replace the battery. LED flashing. Battery discharged. Replace the battery. Remove battery and reposition Battery incorrectly the battery in the compartment Display does not positioned.
  • Page 30 Chattanooga Primera Operation Manual ™ Issue Possible Cause Solution Turn unit “OFF.” Remove the PC Stim Electrode, lubricate it generously, reinsert Dry spots or other and then turn unit “ON.” factors that could Increasing intensity increase resistance. causes unpleasant Use a different brand or style of sensation.
  • Page 31 Chattanooga Primera Operation Manual ™ Our unit is designed to detect any poor or intermittent connection across the electrodes and to cut off the stimulation output (mA) when it does so. This is a safety precaution. It is designed to prevent the user from inadvertently turn-...
  • Page 32: Warranty

    Chattanooga Primera Operation Manual ™ Warranty DJO Vista, provides a warranty to the original purchaser, that this product will be free from defects in the material, components and workmanship, for a period of 2 years from the date of purchase by the distributor [invoice date from DJO to the appointed distributor].
  • Page 33: Dermatomes & Myotomes

    Chattanooga Primera Operation Manual ™ Dermatome Charts Anterior View Migraine Headache Trigeminal Neuralgia Deep Eye Pain Tension Headache Nose Pain Temporal Mandibular Joint Pain Hand Pain Knee Pain Ankle and/or Foot Pain...
  • Page 34 Chattanooga Primera Operation Manual ™ Posterior View. Neck and Bilateral Shoulder Pain Shoulder and Upper Extremity Pain Phantom Limb Pain Tension Headaches Upper Extremity Cervical Osteoarthritis Herpes Zoster Mastectomy Pain (use appropriate segments) 1-10 Abdominal Pain on contralateral side Femoral Pain...
  • Page 35: Clinical References

    Chattanooga Primera Operation Manual ™ Clinical References Conventional TENS: 1. Bates J.A.V, Nathan P.W. Transcutaneous electrical nerve stimulation for chronic pain. Anaesthesia 1980 August, Volume 35, Issue 8, 817–822. Ellis B. Transcutaneous electrical nerve stimulators: outpatient response to a temporary home-loan programme. Br J Therapy & Rehabilitation 1995: 2(8): 419-422.
  • Page 36 Primera Operation Manual ™ Not for sale or use in the USA Special Notes! The Chattanooga Primera ™ is equipped with a mA LOCKOUT. Forty-five seconds after the unit is turned“ON”, the intensity setting will lock. To make any adjustment to the intensity setting, you must first press the negative button to increase the Chattanooga Primera™...

Table of Contents