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- Page 1 The Premier Professional Dual Controls 4 Channel TENS & Muscle Stimulator User Guide Model EM6300A-4 - Rechargeable Please read the User Manual before using your Stimulator Tel: 0800 121 4626 www.tensmachineuk.com email: sales@med-fit.co.uk...
- Page 2 When increasing the intensity control, please press the button in single “light touch” actions. Each press increases the intensity by 1mA (max 99mA). This is a safety feature which ensures that you stimulate at a pleasant comfortable rate. Med-Fit UK Ltd. Unit 8 Martel Court S. Park Business Park...
- Page 3 Contents CONTROLS AND FUNCTIONS STEP BY STEP GUIDE CHARGING INSTRUCTIONS WARNINGS AND CAUTIONS GENERAL DESCRIPTION INTRODUCTION TO TENS INTRODUCTION TO EMS WHICH PROGRAMME SHOULD I USE HOW HIGH SHOULD I TURN THE INTENSITY THE PREMIER PLUS TENS PROGRAMMES P1 - P12 MANUAL ADJUSTMENTS HELPFUL TIPS TENS ELECTRODE PLACEMENT...
- Page 4 CONTROLS AND FUNCTIONS Left channel socket 1A 2A Right channel socket 1B 2B Red key lock button Charging port Mode button to change from TENS, EMS and Manual Adjustments Intensity up channel Intensity up channel 1B and 2B 1A and 2A Intensity down Intensity down channel 1B and 2B...
- Page 5 CONTROLS AND FUNCTIONS Place 1, 2, 3 or 4 patient leads in to the sockets see pages 6, 7 and 8 for details. www.thetenscompany.co.uk Telephone: 0800 121 4626...
- Page 6 CONTROLS AND FUNCTIONS Single-channel use, for two-electrode application please connect to CH1-1A as shown. Please note you must always turn the intensity back to zero before removing the patient leads from the output sockets. Only increase the intensity when all electrodes are in position on the area to be treated.
- Page 7 CONTROLS AND FUNCTIONS Dual-channel use, for four-electrode application please connect to CH1-1A and CH2-1B as shown. Please note you must always turn the intensity back to zero before removing the patient leads from the output sockets. Only increase the intensity when all electrodes are in position on the area to be treated.
- Page 8 Heading style For four-channel use, for eight-electrode applications connect as shown. Please note you must always turn the intensity back to zero before removing the patient leads from the output sockets. Only increase the intensity when all electrodes are in position on the area to be treated.
- Page 9 STEP BY STEP GUIDE Before using your premier TENS for the first time, please fully charge the battery see page 7. Press the button to switch on the TENS. This is located at the bottom left hand corner of the TENS device. Please push and hold down the button for 2 seconds to turn the unit on.
- Page 10 STEP BY STEP GUIDE Connect one of the TENS lead cables supplied to the top of your TENS machine. As shown in pages 5-7. Now connect the other end of the TENS cable to the self-adhesive electrodes supplied. As shown in Fig1. Next place the self-adhesive electrodes on to the painful site or as recommended by your healthcare professional.
- Page 11 CHARGING INSTRUCTIONS Important information The USB charging cable connects to TENS charging port as shown in fig 1 (Please ensure you connect the cable the right way round) fig1 Charging Port LED indicator Before using your Premier TENS & Muscle Stimulator please charge the unit, as follows: Charging your TENS device.
- Page 12 WARNINGS & PRECAUTIONS PLEASE NOTE: It is imperative that patients read and understand the warnings and precautions before using this device. Do not allow your machine or electrodes to be used by anyone else, as they are designed for single patient use only. It is recommended that proper medical advice on the use of TENS is sought from a Qualified Practitioner (Physiotherapist, Doctor or Nurse) prior to use, in order to ensure safe and effective treatment.
- Page 13 WARNINGS 1. The long term effects of chronic electrical stimulation are unknown. 2. Stimulation should not be applied over the carotid sinus nerves, particularly in patients with a known sensitivity to the carotid sinus reflex. 3. Stimulation should not be applied over the neck or mouth. Severe spasm of the laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing.
- Page 14 GENERAL DESCRIPTION The EM6300A Digital TENS/EMS is a battery operated pulse generator that sends electrical impulses electrodes to the body and reach the nerves and underlying muscle group. This unit is a combination stimulator of TENS and EMS which can be used for muscle stimulation and pain relief.
- Page 15 INTRODUCTION TO EMS 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 16 WHICH PROGRAMME SHOULD I USE? We always recommend you start with programme 1, as already mentioned in your step- by-step guide. The premier TENS has 12 programmes P1 to P12, Each programme has been shown to reduce and block pain in a wide range of conditions. It is very difficult to know which programme is best for you.
- Page 17 MED-FIT PREMIER TENS PROGRAMMES P1-P12 - 12 Clinically validated TENS programmes for drug-free pain relief. (All programmes run on a continuous time indicated by the letter [C] on your display. Programme 1 Conventional TENS Ideal for your first TENS treatment, for both acute, chronic and long-term use.
- Page 18 MED-FIT PREMIER TENS PROGRAMMES Programme 4 Knee Pain This programme is ideal for treating knee injuries both acute and chronic including osteoarthritis rheumatoid arthritis and joint pain. for examples of electrode placement please refer to pages 20 & 21. Programme 5 Shoulder Pain Treating shoulder pain relief from heavy or repetitive lifting, arthritis, and tendinopathy.
- Page 19 MED-FIT PREMIER TENS PROGRAMMES Programme 8 Cervical (Neck) Pain Cervical pain relief due to poor ergonomic work positions. Please see the electrode placement page 21 for more details. Programme 9 Epicondylitis - (Elbow) Pain relief for epicondylitis resulting from repetitive gripping and objects. Please see the electrode placement page 20 for more details.
- Page 20 ADJUSTING THE CONTROLS USING THE MANUAL ADJUSTMENT 1. Power On/Off/Pause Button The power of unit can be turned on by pressing the On/Off/Pause button. You may start to adjust the settings when the liquid crystal display is on. Press and hold for 2 seconds to switch off.
- Page 21 ADJUSTING THE CONTROLS USING THE MANUAL ADJUSTMENT 3. Set Control S E T By pressing the "Set" control you select the setting you intend to adjust. The value is set by pressing the "Increment" or "Decrement" controls when the "Set" value is flashing.
- Page 22 ADJUSTING THE CONTROLS FOR TENS 9. Steps to Set a TENS Program µ µ The settings can be adjusted according to the following steps. a. Turn on the Power µ b. Select a Mode Select a mode by pressing the "Mode" control. The mode you selected will show up on the top of liquid crystal display.
- Page 23 ADJUSTING THE CONTROLS FOR TENS d. Set Pulse Rate Pulse rate is adjustable from 2Hz to 150 Hz . Press "SET" control to enter this menu, then press “ ” or “ ” to adjust the setting. Unless otherwise instructed, set the pulse rate l to the 70-120 Hz range. TENS Rate e.
- Page 24 ADJUSTING THE CONTROLS FOR EMS 10. Steps to Set a EMS Program The settings can be adjusted according to the following steps. a. Turn on the Power b. Select a Mode Select a mode by pressing the "Mode" control. The mode you selected will show up on the top of liquid crystal display.
- Page 25 ADJUSTING THE CONTROLS FOR EMS d. Set On Time The On Time controls the length of stimulation. By pressing the "Set" control, the contraction time can be adjusted. Both channels' stimulation is cycled on and off by the contraction and relaxation settings. The range is adjustable from 2 seconds to 90 seconds.The total "ON"...
- Page 26 Pulse Width is adjustable from 50 µs to 300 µs. Press "SET" control to enter this ADJUSTING THE CONTROLS FOR EMS f. Set Pulse Width menu, then press “ ” or “ ” to adjust the setting. If no instructions regarding the pulse width are given in therapy, set the control to the suggested 70- s setting Width...
- Page 27 ADJUSTING THE CONTROLS FOR EMS h. Set Timer The treatment time is adjustable between 5 - 60 minutes and Continue(C). Press "SET" control to enter this menu, then press "Increment" or "Decrement" to adjust the setting. The liquid crystal will show the balance treatment time after the stimulation is started.
- Page 28 HELPFUL TIPS FOR SUCCESSFUL TENS TREATMENT Once you have familiarised yourself with the controls and features of your TENS device, it is important to place the TENS electrodes in a position which gives the most pain relief. This may take 3 or 4 attempts to find the most suitable position, for maximum pain relief.
- Page 29 EXAMPLES OF ELECTRODE PLACEMENT Here are three examples of electrode placement for knee pain. For best results, we recommend you try all variations as shown. TENS using one channel vertical pad TENS using one channel horizontal pad placement placement Red squares represents placement of electrode Channel 1 Blue squares represents Placement of electrode Channel 2...
- Page 30 TENS ELECTRODE PLACEMENT Frozen Shoulder Shoulder Pain Suggested Programmes Suggested Programmes P1, P5, P12 P1, P5, P12 Primary Placement Primary Placement Alternative Placement Degenerative Arthritis: Chronic Hip Pain Cervical and Lumbar Suggested Programmes Suggested Programmes P1, P3, P8, P11 P1, P11, P12 Primary Placement Primary Placement Alternative Placement...
- Page 31 TENS ELECTRODE PLACEMENT Lower Back Pain Hip Neuralgia Suggested Programmes Suggested Programmes P1, P3 P12,P11 Primary Placement Primary Placement Phantom Limb, Lower Extremity Sciatica Suggested Programmes Suggested Programmes P1, P2, P3 Primary Placement Primary Placement Alternative Placement www.thetenscompany.co.uk Telephone: 0800 121 4626...
- Page 32 TENS ELECTRODE PLACEMENT Low Extremity Pain Wrist Pain Suggested Programmes Suggested Programmes P6, P12 P1, P12 Primary Placement Primary Placement Alternative Placement Primary Placement Alternative Placement Degenerative Arthritis - Carpal Tunnel Syndrome Knee Pain Suggested Programmes Suggested Programmes P4, P12 Primary Placement Alternative Placement Elbow &...
- Page 33 TENS ELECTRODE PLACEMENT Lower Leg Pain Knee Pain - Post-Op Suggested Programmes Suggested Programmes P4, P6, P12 P4, P6, P12 Primary Placement Primary Placement Alternative Placement Alternative Placement Cervical Placement Chronic Cervical Strain Suggested Programmes Suggested Programmes Primary Placement Primary Placement Alternative Placement Alternative Placement www.thetenscompany.co.uk...
- Page 34 MUSCLE STIMULATORS & MASSAGE PROGRAMMES These 12 individual electronic muscle stimulator (E.M.S) programmes P13 - P24 have been clinically proven for the treatment of: 1. Muscle Re-Education 2. Muscle Training 3. Muscle Strengthening 4. Muscle Toning & Massage Please refer to the electrode placement charts provided for electrode placement guidelines.
- Page 35 MUSCLE STIMULATOR & MASSAGE PROGRAMMES Programmes P13 - P16 Muscle Training & Muscle Re-Education Programmes Choose from one of the programmes 13, 14, 15 or 16 Suitable Conditions These programmes can be used for muscle training, prevention of muscle atrophy. Please follow the electrode placement chart for individual muscles shown on pages 24 to 27.
- Page 36 ELECTRODE PLACEMENT Arms Biceps This position is useful for muscle training and for gaining volume using the devices' muscle strengthening programmes. But it is equally very useful for diminishing the effects of lactic acid (substances manufactured by the muscles after sporting exertion and that result in pain during the following few hours).
- Page 37 ELECTRODE PLACEMENT Deltoid Posterior Fascia Latissimus Thigh Internal Thigh www.thetenscompany.co.uk Telephone: 0800 121 4626...
- Page 38 ELECTRODE PLACEMENT Gluteals The Trapezius Muscles and Dorsals This position is ideal for shaping the gluteal muscle. The Legs and Calves The Abdominals It is the abdominal muscle which, when electro-stimulated, will make a six-pack appear. Telephone: 0800 121 4626 www.thetenscompany.co.uk...
- Page 39 ELECTRODE PLACEMENT The Abdominals The Pectorals These muscles are very BE SURE to follow the difficult and painful to positioning. work on. So, go on, the DO NOT POSITION ON electrodes positioned THE HEART AREA ! like this will allow you to work on your muscles www.thetenscompany.co.uk Telephone: 0800 121 4626...
- Page 40 Limited of Liabilities and Disclaimer of Warranties Med-Fit UK Ltd sole obligation in the case of any breach of its warranties set forth in the paragraph above, shall be, at Med-Fit UK Ltd option, to repair or replace the Product without charge to Purchaser or to refund the purchase price of the Product.
- Page 41 ELECTRODE INSTRUCTIONS Turn Stimulator OFF before applying or removing electrodes Application 1. Skin site must be very clean and dry. Dirty, flaky or oily skin will prevent electrodes from adhering to the skin. If necessary, trim excess hair with scissors. If skin is oily wipe down with an alcohol or electrode skin prep prior to application.
- Page 42 SAFETY-TECHNICAL CONTROLS For safety reasons, review the following checklist before using your EM6300A Digital TENS/EMS 1. Check the device for external damage. - deformation of the housing. - damaged or defective output sockets. 3. Check the usability of accessories. - patient cable undamaged - electrodes undamaged.
- Page 43 GRAPHIC SYMBOLS Degree of Electrical Protection BF Timer Increment Decrement Consult instructions for use Manufacturer Serial number Lock Low battery Pause DC current (DC Power source) Comply with MDD 93/42/EEC requirement as amended by 2007/47/EC. Notify body det norske veritas (DNV) Power The label attached to the back of device contains important information about this device model, supply...
- Page 44 The Premier Plus TENS Programmes P1-P12 PROGRAMME FREQUENCY PULSE WIDTH Conventional TENS - Ideal for first applications of TENS 80Hz 180µs for both acute and long term pain CONDITIONS Neck, Shoulder, Elbow Pain, Rheumatic Pain, Lumbago, Hip Pain, Osteoarthritic Pain in the knee Burst TENS - Most effective for radiating pain if arms 180µs and legs and deep muscular pain...
- Page 45 The Premier Plus EMS Programmes P13-P24 PROGRAMME SYN/ALT Rate Width Ramp On Time Off Time Timer (Hz) ( s) (sec) (sec) (sec) (min) ACL repair/joint protection back muscle SYNCHRONOUS Spasm small muscle SYNCHRONOUS Spasm Postoperative SYNCHRONOUS Arthroscope SYNCHRONOUS Disuse atrophy SYNCHRONOUS Shoulder Subluxation SYNCHRONOUS...
- Page 46 ¤”› “⁄—Œ”flד The device complies with current EMC regulations. The radio frequency emissions of the device are extremely low and in all probability do not cause any interference with other devices in the proximity.It is recommended that you do not place the device on top of or close to other electronic devices.
- Page 47 ÔÏÊÔÓ –øª ÓÍ ¤”› “⁄—Œ”flד Recommended separation distances between portable and mobile RF communications equipment and the device The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the device as recommended below, according to the...
- Page 48 0161 429 7330 0161 427 0215 Tel: Fax: www.tensmachineuk.com...
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