Suggested Electrode
Placement Chart
The sticky electrode pads need
to be placed in the correct
position for maximum pain relief.
It is preferable to obtain
assistance from either your
birthing partner or medical
adviser when positioning the
pads. Please read the following
Bra line
instructions carefully:
1. Ensure unit remains switched
Navel line
off. Carefully peel the pads from
the plastic backing using your
2
forefinger and thumb. Do not pull
Panty line
on the lead wires.
2. Position the top two pads
(connected to the left socket
CH1) approximately 4cm either
side of the spine and 4-5cm
above the imaginary navel line as
seen in the diagram.
Reference: Cluett E. (1994) SRN
RM ADM PGCEA. Analgesia in
3. Position the bottom two pads
Labour: A review of the TENS
(connected to the right socket
method. Professional Care of
CH2) approximately 4cm either
Mother and Child. Mar;4 (2):
side of the spine and 4-5cm
50-2.
below the imaginary navel line as
seen in the diagram.
7
Frequently Asked Questions
Troubleshooting Questions
Q When shall I start using my
Q Why does the stimulation
Obi TENS +?
not appear to be as strong
after you have used the Obi
A Use as early as you can after
TENS + for a while?
the onset of labour to allow
time for your body's pain-
A Increase the intensity, you
killing chemicals to rise.
may have become used to a
lower setting.
Q Can I try the Obi TENS +
before going into labour?
Q Why does the stimulation
feel strong but ineffective?
A Yes, place 2 pads attached to
one leadwire on your forearm
A You may need to switch off
to feel the different pulse
the unit and reposition the
sensations following the
electrode pads.
instructions on page 6.
Q Why does the stimulation
Q Can I combine the Obi TENS
not feel sufficiently strong
+ with other medication?
even on a high setting?
A Yes, you can still use
A The batteries may need
analgesics such as gas and
replacing.
air (entinox) or pethidine.
Q What do I do if there is no
Q Can the Obi TENS + be used
stimulation, intermittent
in hospital?
stimulation, or weak
stimulation felt even with a
A Yes. However, a midwife may
new battery?
ask you to switch it off
temporarily.
A Check electrode contact.
Check leads.
Q Can I use the Obi TENS +
Check batteries.
if I am considering a water
Call our customer careline
birth?
on +44 (0)208 5329 5959.
A Yes, but not in the water
itself.
10
Using Your Obi TENS +
d) BURST 1 (use between
contractions): This is the first
a) You are now ready to start
mode that you will use. It feels
using your Obi TENS +. Switch
like a bursting, tingling sensation
the unit on by pressing the
i.e. the pulses are off and on
on/off button. The Obi TENS+ will
periodically. This mode will help
always start up in BURST 1 mode.
to promote those all-important
natural pain-killing chemicals
b) Begin by pressing the
known as 'endorphins' and
CH1+ key. Each time you press
'encephalins'.
this key, a small 'half-moon'
shape will appear on the screen
e) BOOST 1 (use during
increasing in number and size as
contractions): When
the intensity is increased. You
experiencing a contraction,
will begin to feel a pulsating
simply press the 'boost' button
sensation which will burst in time
located on the left side below the
with the small arrow flashing on
screen. The Obi TENS+ will then
the screen. Ensure that you
switch automatically into the
increase the intensity slowly.
BOOST 1 mode for that extra
surge of power required to
c) Repeat the previous step with
combat the pain during
the
CH2+ key. You will now
contractions. This will feel like a
feel a sensation in both sets of
continuous sensation.
pads.
f ) Once the contraction has
passed, simply press the
'BOOST' button. The Obi TENS+
will return to the original BURST
1 mode. Continue this cycle
during your early stages of
labour.
8
Useful Information
Post-Natal Pad Placement
Diagrams
1. Continue stimulation for as
long as necessary, unless you
KEY:
experience discomfort.
2. If you stimulate for a number
=first pair of electrodes
of hours ensure the pads do
not become dry.
=second pair of electrodes.
If this occurs, switch off the
N.B. Electrodes supplied with this unit
unit, disconnect the
are all the same colour - the black and
electrodes, and apply a small
white squares show suggested
drop of water to them.
electrode placement only.
3. The pads can be used several
times. Replace the pads
Lower Back Pain
when they stop sticking to
the skin. Replacement pads
are available from
www.babycaretens.com.
4. Always ensure that the unit is
switched off before you
remove all the leads and
pads. Do not pull the wires.
Period Pain
ALWAYS remove the jack plug
from its socket by holding
the plug between the
forefinger and thumb and
pulling gently.
5. The Obi TENS + can also be
used as a standard TENS unit
for relief of numerous
conditions, including after
Shoulder Pain and Frozen Shoulder
pains and post operative
pains. It is worth bearing this
in mind if you have
a caesarean section.
Please seek medical
advice first.
Outer and inner aspect of shoulder
11
Using the Between Contraction
CH2-
buttons simultaneously.
Timer (BCT) timer
N.B. To avoid losing contraction
When in BURST mode, the unit
history, do NOT switch unit off.
automatically measures your BCT.
Remove the battereis if you wish
This appears at the bottom of the
to reset the contraction history.
display. When you switch to
BOOST, the last BCT will remain at
The Mode Button
the bottom of the display. The
There are two modes available
BCT will always refresh when re-
on the Obi TENS+, each with a
entering the BURST mode from
BURST and BOOST function.
the BOOST mode and will record
the next BCT.
Mode 1 (Burst 1 and Boost 1),
which has been described
N.B. The Obi TENS+ starts up in
above, is primarily used for the
BURST Mode. The BCT only
earlier stages of labour.
appears after one cycle of
pressing the Boost Button on
Mode 2 (Burst 2 and Boost 2)
and off.
can be used when your labour
advances and your contractions
Recalling contraction history
become more frequent.
To recall a list of your last 5
'BCTs' press the CH1-
and
Press the Mode
button to
CH2-
buttons
switch between modes. You will
simultaneously. The 1st symbol
see from the User Display, that
you will see is a single moon
the number next to the BURST or
which is the last BCT.
BOOST will change from 1 to 2
and vice-versa.
Use CH2+
to reveal up to 5
BCTs
. Use CH2-
to
NB. Both modes are
review more recent BCTs.
interchangeable and can be
Recalling the contraction history
used according to your
will not disable functionality of
preference, not necessarily for
the unit. To return to the main
the stage of labour you are in.
Mode 2 can be operated in the
screen press the CH1-
and
same way as mode 1.
9
Obi TENS + Technical Data
Display
TN type LCD
Operation Mode
4 treatment modes:
Burst 1, Burst 2, Boost 1, Boost 2
Pulse (Hz)
Pulse Width
Description
Frequency
(µs)
Burst 1
16
150
1 Burst/sec and
8 pulses per burst
Burst 2
32
150
2 Burst/sec and
8 pulses per burst
Boost 1
80
150
Constant
Boost 2
100
150
Constant
- Output Voltage: 0 – 55V zero to peak at 500Ω load
- Output Waveform: Symmetrical biphasic rectangular
Automatic Power Off
5 Minutes
Output Channel
Two Channel
Output Voltage
0 – 55V (zero-to-peak) across a 500Ω load;
adjustable in 14 steps
Output Intensity
0 – 110 mA (max.) into a 500Ω load
Output Waveform
Symmetrical bi-phasic rectangle
Output Jacks
CE Touch-proof jacks
Load Detector
Contact detection between the device and human skin
(This feature is activated from Level 2 and up)
Battery
2 X 1.5V AAA Battery
Battery Low Detect
2.2V ±0.2V
Tolerances
All output parameters are subjected to a ±20% tolerance
unless other specified.
Weight
52g
Size
40 x 125 x 20mm
12
Guarantee
Your Obi TENS + machine is guaranteed for a period of 1 year against
manufacturer's defects. Please record purchase details in the space
provided below for your record purposes. The guarantee does not
include leads, electrodes or battery. Applies to purchases only.
Date of purchase:
Invoice number:
Babycare TENS
108 George Lane, South Woodford,
London E18 1AD
Tel (+44) (0)20 8532 9595
Fax (+44) (0)20 8532 9551
www.babycaretens.com
e-mail customercare@babycaretens.com
Fuji Dynamics Ltd, Unit C,3/F, Manley Tower,
No828 Cheung Sha Wan Rd, HK
Babycare TENS is part of the
Body Clock group of companies
12
July 2017 (1)
This manual is recyclable
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