Beurer EM59 Manual

IMPORTANT SAFETY INSTRUCTIONS

READ THIS MANUAL COMPLETELY AND CAREFULLY BEFORE USING
Keep this manual in a safe location for future reference THIS PRODUCT
SAVE THESE INSTRUCTIONS FOR FUTURE REFERENCE

Please read these instructions for use carefully and keep them for later use. Make them accessible to other users and observe the information they contain.

Signs and symbols

Whenever used, the following signs identify safety and property damage messages and designate a level of hazard or seriousness.

READ THIS ENTIRE MANUAL, THE SAFETY SECTION AND ALL INSTRUCTIONS AND WARNINGS COMPLETELY AND CAREFULLY BEFORE USING THIS PRODUCT. FOLLOW ALL SAFETY INSTRUCTIONS AND WARNINGS TO AVOID HAZARDOUS SITUATIONS AND TO MAKE CORRECT USE OF THIS PRODUCT.

	This is the safety alert symbol. It alerts you to potential personal injury hazards. Obey all safety messages that follow this symbol to avoid possible injury or death.
	indicates a hazardous situation which, if not avoided, could result in death or serious injury.
	indicates a hazardous situation which, if not avoided, may result in minor or moderate injury.
NOTICE	addresses practices not related to personal injury, such as product and/or property damage

To reduce the risk of fire, electric shock, or serious personal injury:

• Consult your doctor first if you are experiencing any pain or are suffering from an illness.
• The long-term effects of chronic electrical stimulation are unknown.
• Do not use this device if you have any of the following:
  • Implanted electrical devices (e.g. pacemakers)
  • Metal implants near the application site
  • 
    Cardiac arrhythmia
  • Acute illness
  • Epilepsy
  • Malignant diseases
  • Skin injuries or cuts
  • Pregnancy
  • An increased tendency to bleed, e.g. after an acute injury or a fracture. The stimulation current can trigger or exacerbate bleeding.
  • Recent operation when muscle contractions could impair the healing process.
  • A high frequency surgical device connected
  • Low or high blood pressure
  • High fever
  • Psychosis
  • Swollen or inflamed regions
  • Use of an insulin pump
• To avoid damage to health, we strongly advise NOT using this device in the following situations:
  • Serious illnesses, in particular if you suspect or have been diagnosed with high blood pressure, a blood coagulation disorder, propensity to thrombo-embolic conditions or recurrent malignant growths.
  • Any skin conditions.
  • Unexplained chronic pain in any part of the body.
  • Diabetes.
  • A ny sensory impairment that reduces the feeling of pain (e.g. metabolic disorders).
  • Receiving medical treatment.
  • In the event of complaints linked to stimulation treatment.
  • Suffering from persistently irritated skin due to long-term stimulation at the same site.
• Do not use this device:
  • On the head, as it could cause seizures.
  • On the neck/carotid artery, as it could cause cardiac arrest.
  • On the pharynx or larynx, as it could cause muscle spasms leading to suffocation.
  • In the genital area.
  • Over the carotid sinus nerves, particularly in patients with a known sensitivity to the carotid sinus reflex.
  • Over the neck, mouth or eyes. Severe spasm of muscles may occur and the contractions may be strong enough to close the airway or cause difficulty breathing.
  • Over the thoracic area (or through the chest) in that the introduction of electrical current into the heart may cause cardiac arrhythmias.
  • Over swollen, infected, or inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis, varicose veins.
  • Over or near cancerous lesions.
  • On acutely or chronically diseased (injured or irritated) skin (e.g. inflamed skin whether painful or not, reddened skin, rashes, e.g. allergies, burns, bruises, swellings, both open and healing wounds, and post-operative scars where the healing process could be affected).
• In rare instances, skin irritation in the region of the electrodes may occur.
• Never use the device while you bathe or shower. Do not store or keep the device where it can fall into a bathtub or sink.
• Do not use after consuming alcohol.
• Do not use in the case of acute or chronic diseases of the gastrointestinal tract.
• Do not use if you are connected to a high-frequency surgical device.
• 
  Do not use the device close to the heart. The stimulation electrodes must not be placed on any part of the front ribcage (where the ribs and breastbone are located), especially not on the two large pectorals. This can increase the risk of ventricular fibrillation and induce cardiac arrest.
• When TENS/EMS mode used with heat mode simultaneously, which may affect the sensation of pain, we advise to regularly inspect the skin during using.
• The device is only for private use and is not intended for medical or commercial purposes.
• If in doubt, consult your doctor.
• The manufacturer assumes no liability for damages caused through improper or wrong use.

• Always pull firmly on the buckle of the electrode to remove the gel pad from the skin to prevent injuries in the unusual case of highly sensitive skin.
• Use this product only with the genuine connection cable and self-adhesive electrode gel pads (45 mm x 45 mm, single size) which come with the product. However, these accessories can be purchased separately from the manufacturer afterward.
• Shut the device off after every use and before cleaning.
• Only use digital EMS/TENS units:
  • On people
  • For the purpose for which it was developed and in the manner specified. Any improper use can be hazardous.
  • With the original accessories supplied, which can be re-ordered. Failure to do so invalidates the warranty.
  • For external use
• Keep the device away from heat sources (heating devices such as driers or ovens).
• Never use the device near microwave ovens or microwave devices (e.g. cell phones) as they can affect operation.
• Do not expose the device to direct sunlight or high temperatures.
• Protect the device from dust, dirt and humidity.
• Never immerse the device in water or other liquids.
• For hygienic reasons, use the gel pads only on one person.
• The device is suitable for self-treatment.
• Switch off the device immediately if it malfunctions or if you feel unwell or experience pain.
• Switch off the unit or the respective channel first before removing or relocating electrodes to prevent unintentional stimulation.
• Do not modify electrodes (e.g. by cutting them), as this increases the current density, which is potentially hazardous (max. recommended output value for the electrodes is 9 mA/cm², an effective current density beyond 2 mA/cm² requires increased awareness).
• Never directly contact the electrode area or apply the electrode to any part of the body. This product must be used in conjunction with a set of self-adhesive electrode gel pad. Please follow the steps in "Initial Use" to install the self-adhesive electrode gel pads to the electrode areas before use.
• Do not use when asleep, when driving a vehicle or when operating machinery.
• Do not use whilst undertaking any activity where an unexpected reaction (e.g. strong muscle contractions even at low intensity) could be dangerous.
• Ensure that no metallic objects come into contact with the electrodes during stimulation. Remove all jewelry or body piercings before using the device. Failure to do so could result in spot burns.
• Make sure not to confuse the electrode cables including contacts with your headphones or other devices, and do not connect the electrodes to other devices.
• Do not use this device at the same time as other devices that emit electrical pulses.
• Do not use in the vicinity of highly flammable substances, gases or explosives.
• The actual temperature may vary depending on the condition of your skin, your age, the location of the pain, etc.
• If the heat function feels too hot, stop treatment immediately. You can continue the TENS or EMS treatment without the heat function.
• During the initial few minutes, use the device while sitting or lying down to minimise the risk of injury resulting from isolated cases of vagal responses (feeling of faintness). If you feel faint, immediately switch off the device, lie down and support your legs in an elevated position (approx. 5–10 min.).
• Treatment of the skin with moisturising lotions or ointments beforehand is not recommended as this considerably increases the gel pad wear and may cause unpleasant current peaks.
• This device is not intended for use by children or people with restricted physical, sensory (e.g. reduced sensitivity to pain) or mental skills or a lack of experience and/or lack of knowledge, unless they are supervised by a person who is responsible for their safety or who are instructed by such a person in how to use the device.
• If the adhesive capability of the gel pads decreases, please replace them immediately. Do not use the device until you have the new gel pads. Otherwise the unequal adhesion of the gel pads may lead to skin injuries. Replace the gel pads with new ones at the latest after having used them 20 times.

Notice

• Check the device regularly for wear and damage. If you find such signs or if the device was used improperly, discontinue use and contact customer service.
• To ensure that the device functions effectively, do not drop it or dismantle it.
• Do not attempt to repair the device yourself. Contact customer service for all repairs.

Notes on electromagnetic compatibility

• The device is suitable for use in all environments listed in these instructions for use, including domestic environments.
• The use of the device may be limited in the presence of electromagnetic disturbances. This could result in issues such as error messages or the failure of the display/device.
• Avoid using this device directly next to other devices or stacked on top of other devices, as this could lead to faulty operation. If, however, it is necessary to use the device in the manner stated, this device as well as the other devices must be monitored to ensure they are working properly.
• The use of accessories other than those specified or provided by the manufacturer of this device can lead to an increase in electromagnetic emissions or a decrease in the device's electromagnetic immunity; this can result in faulty operation.
• Keep portable RF communication devices (including peripheral equipment, such as antenna cables or external antennas) at least 12 inches (30 cm) away from all device parts, including all cables included in delivery. Failure to comply with the above can impair the performance of the device.

Battery Handling Safety Precautions

1. Only use chargers specified in the instructions for use.
2. Batteries must be charged correctly prior to use. The instructions from the manufacturer and the specifications in these instructions for use regarding correct charging must be observed at all times.
3. Do not disassemble, split, or crush the batteries.
4. If your skin or eyes are exposed to fluid from a rechargeable battery cell, flush the affected areas with water and seek medical assistance.
5. Protect batteries from excessive heat.
6. Do not dispose of batteries in fire, batteries may explode or leak.
7. Fully charge the battery prior to initial use (see "Initial Use" section).
8. For maximum battery life, fully charge the battery at least twice per year.
9. Choking hazard! Small children may swallow and choke on battery. Store battery out of reach of small children.
10. If a battery has leaked put on protective gloves to dispose of the device.
11. Only charge the device using the supplied charging cable.
12. Always switch the device off in advance of charging.

ADVERSE REACTIONS

• Patients may experience skin irritation and burns beneath the gel pads applied to the skin.
• Patients may experience headache and other painful sensations during or following use.
• Patients should stop using the device and should consult with their physicians if they experience adverse reactions from the device.

Important information

Signs and symbols

Whenever used, the following signs identify safety and property damage messages and designate a level of hazard or seriousness.

Observe the instructions for use

Application part, type BF

Permissible storage temperature and humidity

Permissible transport temperature and humidity

Permissible operating temperature and humidity.

Serial number

IP22, protection against harmful ingress of water and dust

The device can emit effective output values above 10 mA, averaged over every 5-second interval.

Do not use the device with a pacemaker.

Package Contents

• 1 Digital 3-in-1 TENS/EMS unit with heat function EM 59
• 1 Belt Clip
• 1 Connection Cable with 4 electrodes
• 4 Gel Pads (45 x 45 mm)
• 1 USB-C lead wire
• 1 Instruction Manual

Introduction

What is EM 59 and what can it do?

EM 59 is an electrostimulation device. It provides three basic functions suitable for combined operation:

1. Electrical stimulation of nerve tracts (TENS)
2. Electrical stimulation of muscle tissue (EMS)
3. Superficial Heat

The unit also features two independent stimulation channels and four self-adhesive electrodes. It offers a wide range of functions for increasing general well-being, pain relief, maintaining physical fitness, relaxation, muscle revitalization, and combating tiredness. For these purposes, you can either choose from preset programs or specify your own to suit your individual needs.

The principle of electrostimulation is based on the imitation of impulses in our bodies that are transferred to nerve and muscle fibers using electrodes. The electrodes can be applied to many parts of the body. In certain applications, you may notice a slight tingling or vibrating sensation. The electrical impulses that are sent into the tissue influence the transmission of stimulation into nerves, nerve centers, and muscle groups in the application area.

Electrostimulation usually only has an effect after regular application and does not replace regular training. However, it is a sensible, supplementary training element.

This device also features a soothing heat function that can be activated if desired to enable even more pain relief.

TENS, or transcutaneous electrical nerve stimulation, relates to the electrical stimulation of the nerves via the skin. TENS is an effective non-pharmacological method of treating different types of pain from a variety of causes and has no side effects if administered correctly. This method has been clinically tested and approved and can be used for simple self-treatment. The pain-relieving or pain-suppressing effect is achieved by inhibiting the transference of pain to nerve fibers (caused mainly by high-frequency impulses) and by increasing secretion of endorphins in the body, which reduces the sensation of pain. This method is scientifically substantiated and approved as a form of medical treatment. Any symptoms that can be relieved using TENS must be checked by your doctor, who will also instruct you on how to perform TENS self-treatment. TENS is designated to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, upper extremities (arm) and lower extremities (leg) due to strain from exercise or normal household work activities.

Electrical muscle stimulation (EMS) is a widespread and generally recognized method that has been used in sports medicine and rehabilitation for years. In sports and fitness, EMS is used to complement conventional muscle training, increase the performance of muscle groups, and adjust physical proportions to achieve desired aesthetic results. The EMS activating application is for targeted strengthening of the muscles.

EMS activating application involves:

• Muscle training to increase endurance
• Muscle training to support strengthening of specific muscles or muscle groups as well as achieve desired changes to physical proportions

To alleviate discomfort more effectively, this device features soothing heat in two stages, with a maximum heat generation of about 110°F (43°C). Heat promotes blood circulation and exerts a relaxing effect. The heat function can be used in conjunction with or separately from other functions.

The positioning suggestions and program tables in these instructions let you quickly and simply determine the corresponding application (depending on the affected area of the body) and set the unit to achieve the desired effects.

This digital EMS/ TENS unit features two separately adjustable channels to let you set the intensity of the impulses independently from each other for two treatment areas on the body. For example, you could treat both sides of your body or evenly stimulate larger areas. You can treat two separate areas of the body simultaneously instead of having to treat the individual areas in turn, which saves time.

Parts and Controls

1. ON/OFF Button
2. ENTER Button
3. Setting Buttons ( on left, on right)
4. MENU Button
5. Heat Button

LCD Display

1. Menu
2. Program Number
3. Channel 2 Impulse Intensity
4. Electrode Positioning Guide
5. Channel 1 Impulse Intensity
6. Batterly Level Indicator
7. Key Lock Indicator
8. Frequenzy (Hz) and Pulse Width (mus)
9. Timer Function (Remaining Time Display)
10. Low/High Heat Indicator

Initial Use

Before using this device for the first time, its internal battery pack will need to be charged for a minimum of 4 hours.

1. Connect the USB Charging Cable (included) to the USB C port on the bottom of the device and the other end to a power adapter (not included) or a computer. If using a power adapter, plug it into a standard 110 VAC (5V/2A) electrical outlet. Note that the device cannot be used while it is charging.
2. After the device is charged, disconnect the USB Cable and unplug the power adapter from the electrical outlet, if applicable.
3. Adjust the belt clip if needed.
4. Guide the connection cable plug into the socket on the bottom of the device (Fig. 3).
   
   Do not pull, twist, or make sharp bends in the cables (Fig. 4).
   
5. Now attach the supplied gel pads to the electrodes. Therefore remove the protective film from one of the gel pads (Fig. 5)
   
   and attach the pad carefully to an electrode (Fig. 6), then remove the protective film from the other side of the gel pad. Ensure that the edge of the gel pad does not protrude over the electrode. Applying gel pads slightly askew will not affect the function.
   

Make sure to remove protective films carefully.
A damaged or uneven gel pad can cause skin irritation.

To Use

NOTES:

• The device shuts off if not used for one minute (automatic shut-off). When the unit is switched on again, the LCD Display shows the menu selection with the most recently used menu flashing.
• The device will beep once when a valid button is pressed or twice when an invalid button is pressed.
• To pause treatment at any time, press the ON/OFF Button. To continue, press the ON/OFF Button again and reset the desired impulse intensity.
• Both pads of the channel used needs to be properly attached to your body, in order for the device to work.

Starting Application

Step 1: Find a suitable program in the program tables (see the "Program Overview" section).

Step 2: Place electrodes on the desired treatment area (for placement suggestions see the "Electrode Positioning" section).

Step 3: Press the ON/OFF Button to switch the device on.

Step 4: Press the MENU Button to navigate through the TENS/EMS menus and press the ENTER Button to confirm.

Step 5: Use the Setting Buttons to select a program number and press the ENTER Button to confirm. At the start of the stimulation treatment, the impulse intensity of CH1 and CH2 is set to 00 by default. No impulses are sent to the electrodes yet.

Step 6: Use the left and right Buttons for CH1 and CH2 to select an impulse intensity; the indicator for impulse intensity in the display changes accordingly. Keep increasing the intensity until you start feeling it. You can always increase the intensity during treatment. If a program is paused, the intensity cannot be increased.

Step 7: To activate the heat function, press the Heat Button. The heat emitted through the gel pads relaxes the muscles and improves circulation. Press once to set the heat level to low and press again to increase the heat level to high. Press again to shut the heat function off.

NOTE: To return to a previous selection menu, press the MENU Button. Press and hold the ENTER Button to skip individual setting steps and start directly with stimulation

Key Lock

Locks the buttons to avoid them being pressed accidentally.

1. To activate, press and hold the ENTER Button for about three seconds until the Key Lock indicator displays.
2. To deactivate, press and hold the ENTER Button again for about three seconds until the key icon disappears.

Pause

To pause the stimulation at any time, press the ON/OFF Button. To continue, press the ON/OFF Button again and reset the desired impulse intensity.

Heat Function

Note that you can also use the heat function separately from the TENS and EMS programs. To start, place the electrodes as desired and then press the ON/OFF Button. Press the Heat Button to access the heat settings. Press the Buttons to set a treatment time and press ENTER to confirm. Press the Heat Button again to select the low heat setting and once more to select the high heat setting.

Program Overview

The digital EMS/TENS unit features 50 programs:

• 15 TENS programs
• 35 EMS programs

In all programs, you can set the impulse intensity of both channels individually. You can also set various parameters in TENS programs 13-15 and EMS programs 33-35 to adjust the stimulation effect to the application area.

TENS Program Table

Progr. no.	Area of application, indications	Running time (min)	Possible electrode positions
1	Pain in upper limbs 1	30	12–17
2	Pain in upper limbs 2	30	12–17
3	Pain in lower limbs	30	23–27
4	Ankle pain	30	28
5	Shoulder pain	30	1–4
6	Back pain	30	4–11
7	Pain in back of thighs	30	23
8	Pain relief 1	30	1-17, 23-28
9	Pain relief 2	30	1-17, 23-28
10	Pain relief 3	30	1-17, 23-28
11	Pain relief 4	30	1-17, 23-28
12	Pain relief 5	30	1-17, 23-28

NOTES:

• TENS programs 13–15 can be set individually (see the "Customizable Programs" section)
• See the "Electrode Positioning" section for correct electrode placement

EMS program table

Progr. no.	Area of application, indications	Running time (min)	Possible electrode positions
1	Warmup 1	30	1–27
2	Warmup 2	30	1–27
3	Upper arm muscles 1	30	12–15
4	Upper arm muscles 2	30	12–15
5	Upper arm muscles 3	30	12–15
6	Upper arm muscles 4	30	12–15
7	Upper arm muscles 5	30	12–15
8	Lower arm muscles 1	30	16–17
9	Lower arm muscles 2	30	16–17
10	Lower arm muscles 3	30	16–17
11	Abdominal muscles 1	30	18–20
12	Abdominal muscles 2	30	18–20
13	Abdominal muscles 3	30	18–20
14	Abdominal muscles 4	30	18–20
15	Thigh muscles 1	30	23, 24
16	Thigh muscles 2	30	23, 24
17	Thigh muscles 3	30	23, 24
18	Thigh muscles 4	30	23, 24
19	Thigh muscles 5	30	23, 24
20	Lower leg muscles 1	30	26, 27
21	Lower leg muscles 2	30	26, 27
22	Lower leg muscles 3	30	26, 27
23	Lower leg muscles 4	30	26, 27
24	Lower leg muscles 5	30	26, 27
25	Shoulder muscles 1	30	1–4
26	Shoulder muscles 2	30	1–4
27	Shoulder muscles 3	30	1–4
28	Lower back muscles 1	30	4–11
29	Lower back muscles 2	30	4–11
30	Gluteal muscles 1	30	22
31	Gluteal muscles 2	30	22
32	Gluteal muscles 3	30	22

NOTES:

• EMS programs 33-35 can be set individually (see the "Customizable Programs" section)
• See the "Electrode Positioning" section for correct electrode placement

Do not apply the electrodes to the pectoral muscles (chest). The device must never be used close to the heart. The stimulation electrodes must not be placed on any part of the front ribcage (where the ribs and breastbone are located), especially not on the two large pectorals. This can increase the risk of ventricular fibrillation and induce cardiac arrest.

Electrode Positioning

It is critical to position the electrodes properly. Consult your doctor to establish the ideal electrode positions for your intended application area. The above chart is intended as an initial aid to help position the electrodes.

Electrode Distance

The larger the distance between electrodes, the larger the stimulated tissue volume. This applies to the area and the depth of the tissue volume. At the same time, however, the stimulation intensity of the tissue falls the further the electrodes are apart. As a result, greater distances between electrodes mean a larger tissue volume is stimulated, but less intensively. Consequently, you must increase the impulse intensity to boost stimulation.

• Proper distance between electrodes: 2-6 inches (5-15 cm)
• At distances less than two inches (5 cm), the unit primarily stimulates surface structures intensively.
• At distances more than 15 cm, large areas and deep structures are stimulated very weakly.

Relationship between electrodes and muscle fiber structures

Adapt the current flow direction to the fiber structure of the muscle according to the muscle layer you would like to treat. If you are targeting surface muscles, position the electrodes in parallel to the fiber structure (A – B / C – D) and if you are targeting deeper layers of tissue, position the electrodes across the fiber structure. You can do this by positioning electrodes as crosses (i.e. diagonally), such as A-D/B-C.

NOTE: As part of pain relief treatment (TENS) using separately adjustable channels and two adhesive electrodes each, either position both electrodes of a channel so the area affected by pain is between the electrodes or position one electrode directly on the area affected by pain and the other electrode at least 1-1½ inches (2-3 cm) away.

You may use the electrodes of the second channel to simultaneously treat additional areas affected by pain or use them in conjunction with the electrodes of the first channel to restrict the area affected by pain (position electrodes opposite). In this case, position electrodes as crosses.

Tips:

• Use the electrodes on skin that is clean and preferably free from hair and grease in order to prolong the life of the electrodes. For best results, clean the skin with water and remove hair prior to treatment.
• If an electrode comes loose during use, the impulse intensity of both channels drops to the lowest level. Apply the electrode again and reset the desired impulse intensity.

Customizable Programs

(TENS programs 13-15, EMS programs 33-35)

TENS programs 13-15 and EMS programs 33-35 can be customized according to your needs.

TENS 13

In this program, you can set the impulse frequency between 1 and 150 Hz and the impulse width between 80 and 250 μs.

1. Place the electrodes on the desired area for treatment (for placement suggestions see the "Electrode Positioning" section) and connect them to the device.
2. Select the TENS 13 program as described in the "Starting Application" section, steps 3-5.
3. Use the setting buttons to select an impulse frequency and use the ENTER Button to confirm.
4. Use the setting buttons to select an impulse width and use the ENTER Button to confirm.
5. Use the setting buttons to select a treatment time and use the ENTER Button to confirm.
6. Use the left and right setting buttons for CH1 and CH2 to select an impulse intensity.

TENS 14

Various impulse sequences run in this burst program. Burst programs are suitable for all areas of application to be treated with changing signal patterns (to minimize the level of accustoming to the treatment). In this program, you can set an impulse width between 80 and 250 μs.

1. Place the electrodes on the desired area for treatment (for placement suggestions see the "Electrode Positioning" section) and connect them to the device.
2. Select the TENS 14 program as described in the "Starting Application" section, steps 3-5.
3. Use the setting buttons to select an impulse width and use the ENTER Button to confirm.
4. Use the setting buttons to select a treatment time and use the ENTER Button to confirm.
5. Use the left and right setting buttons for CH1 and CH2 to select an impulse intensity.

TENS 15

In this program, you can set the impulse frequency between 1 and 150 Hz. The impulse width changes during the stimulation treatment.

1. Place the electrodes on the desired area for treatment (for placement suggestions see the "Electrode Positioning" section) and connect them to the device.
2. Select the TENS 15 program as described in section "Starting Application" section, steps 3-5.
3. Use the setting buttons to select an impulse frequency and use the ENTER Button to confirm.
4. Use the setting buttons to select a treatment time and use the ENTER Button to confirm.
5. Use the left and right setting buttons for CH1 and CH2 to select an impulse intensity.

EMS 33

In this program, you can set the impulse frequency between 1 and 150 Hz and the impulse width between 80 and 320 μs.

1. Place the electrodes on the desired area for treatment (for placement suggestions see the "Electrode Positioning" section) and connect them to the device.
2. Select the EMS 33 program as described in the "Starting Application" section, steps 3-5.
3. Use the setting buttons to select an impulse frequency and use the ENTER button to confirm.
4. Use the setting buttons to select an impulse width and use the ENTER button to confirm.
5. Use the setting buttons to select a treatment time and use the ENTER button to confirm.
6. Use the left and right setting buttons for CH1 and CH2 to select an impulse intensity.

EMS 34

In this program, you can set the impulse frequency between 1 and 150 Hz and the impulse width between 80 and 450 μs. You can also set the working time and pause time for this program between 1 and 30 seconds each.

1. Place the electrodes on the desired area for treatment (for placement suggestions see the "Electrode Positioning" section) and connect them to the device.
2. S elect the EMS 34 program as described in the "Starting Application" section, steps 3-5.
3. Use the setting buttons to select the working time ("on time") and use the ENTER Button to confirm.
4. Use the setting buttons to select the pause time ("off time") and use the ENTER Button to confirm.
5. Use the setting buttons to select an impulse frequency and use the ENTER Button to confirm.
6. Use the setting buttons to select an impulse width and use the ENTER Button to confirm.
7. Use the setting buttons to select the treatment time and use the ENTER Button to confirm.
8. Use the left and right setting buttons for CH1 and CH2 to select an impulse intensity.

EMS 35

Various impulse sequences run in this burst program. Burst programs are suitable for all areas of application to be treated with changing signal patterns (to minimize the level of accustoming to the treatment). In this program, you can set the impulse frequency between 1 and 150 Hz and the impulse width between 80 and 450 μs. You can also set the working time and pause time for this program between 1 and 30 seconds each.

1. Place the electrodes on the desired area for treatment (for placement suggestions see the "Electrode Positioning" section) and connect them to the device.
2. Select the EMS 35 program as described in the "Starting Application" section, steps 3-5.
3. Use the setting buttons to select the working time ("on time") and use the ENTER button to confirm.
4. Use the setting buttons to select the pause time ("off time") and use the ENTER button to confirm.
5. Use the setting buttons to select an impulse frequency and use the ENTER button to confirm.
6. Use the setting buttons to select an impulse width and use the ENTER button to confirm.
7. Use the setting buttons to select the treatment time and use the ENTER button to confirm.
8. Use the left and right setting buttons for CH1 and CH2 to select an impulse intensity.

Doctor's Function

The Doctor's Function is a special setting to allow you to access your personal program even more easily and directly. Your individual program settings are instantly recalled and activated when the device is switched on. You may wish to adjust this individual program following advice from your doctor.

Setting the Doctor's Function

1. Select your program and the corresponding settings as described in the "Starting Application" section.
2. At the start of the stimulation treatment, the impulse intensity of CH1 and CH2 is set to 00 by default. No impulses are sent to the electrodes yet. Before setting the desired impulse intensity using the intensity setting buttons, press and hold the CH2 Button for five seconds. Storage in the Doctor's function is confirmed with a long beep.
3. If you switch on the device again, the program you saved using the Doctor's function opens directly.

Deleting the Doctor's Function

To clear the device and allow access to other programs again, press and hold the CH2 Button again for about five seconds. To do this, the impulse intensity of CH1 and CH2 must be set to 00.
Deletion of the Doctor's function is confirmed with a long beep.

Therapy Memory

This device will record your treatment time. To access the therapy memory, power the device on and then press and hold the CH2 Button for five seconds. The elapsed treatment time appears in the display. The top two numbers are the minutes, with the hours shown underneath. To reset the treatment time, press and hold the CH2 Button for five seconds. Press the MENU Button to return to selecting a program or shut the device off.

NOTE: Therapy memory cannot be accessed if the Doctor's Function is activated.

Electrical Current Parameters

Electrostimulation units operate with the following current settings that may affect stimulation effects differently:

Impulse shape

Describes the time function of the electrical impulse. It distinguishes between monophasic and biphasic pulse currents. In monophasic pulse currents, the current flows in one direction and in biphasic pulse currents, the electrical impulse alternates direction. The digital EMS/TENS unit only provides biphasic pulse currents as these relieve muscles, cause little muscle fatigue, and provide safer application.

Impulse frequency

Indicates the number of impulses each second and is shown in Hz (Hertz). It can be calculated by determining the cyclic value for the time period. The relevant frequency determines which types of muscle fibers react favorably. Slow-reacting fibers react more easily to lower impulse frequencies up to 15 Hz, whereas fast-reacting fibers only respond from approximately 35 Hz and up. Impulses around the 45-70 Hz range are linked with constant muscle tension and quicker fatigue. Higher impulse frequencies are therefore favorable in strength and maximum power training.

Impulse width

Indicates the duration of an individual impulse in microseconds. The impulse width therefore determines, among other things, the penetration of the electricity; larger muscle masses usually require larger impulse widths.

Impulse intensity

Setting the intensity levels depends on the individual sensitivity of each user and is determined by a variety of variables, such as site of application, blood circulation to the skin, skin thickness, and the quality of the electrode contact. The setting used should be effective but should never cause pain at the site of application. While a gentle tingling indicates sufficient stimulation energy levels, any setting that causes pain should be avoided. Longer applications may require readjustments due to the adjustment processes over time at the application site.

Cycled impulse parameter variation

In many cases, it is necessary to cover the overall tissue structure at the site of application by applying several impulse parameters. In the digital EMS/TENS unit, this is achieved by the provided programs that automatically make a cyclical impulse parameter change. This also prevents individual muscle groups at the site of application being affected by fatigue.

This digital EMS/TENS unit provides sensible default current parameter settings. With this, you can change the impulse intensity at any time during use. For six programs, you can also set various parameters for stimulation yourself.

Care and Maintenance

Gel pads

1. To maximize the life of the gel pads, clean them carefully with a damp, lint-free cloth or clean the underside of the electrodes under warm running water and pat dry with a lint-free cloth.
2. Before cleaning with water, remove the connection cables from the device.
3. Reapply the electrodes to the carrier foil of the gel pads following treatment.

Cleaning the device

1. Shut the device off before cleaning. Clean the device after use with a soft, slightly damp cloth. If it is very dirty, you can also moisten the cloth with a mild soapy solution.
2. Do not use any chemical or abrasive cleaning agents. Ensure that no water enters the device.

Reusing the device

Once it has been properly prepared, the device can be used again. Preparation includes replacement of the treatment electrodes as well as cleaning the surface of the device using a cloth moistened with a mild soapy solution.

Storage

• Do not make sharp bends in the connection cables and electrodes.
• Disconnect the connection cables from the device.
• Reapply the electrodes to the carrier foil of the gel pads after use.
• Store the device and accessories in a cool, well-ventilated space.
• Never place any heavy objects on the device. In order to achieve as long a battery service life as possible, fully charge the battery at least every 6 months.

Troubleshooting Guide

The device does not switch on when the ON/OFF button is pressed.

1. Ensure battery pack is fully charged.
2. Charge battery pack, if applicable.
3. Contact Customer Service.

Electrodes do not adhere to the body.

1. Clean the adhesive surface of the gel pads using a damp, lint-free cloth. Replace the gel pads if they still do not adhere securely.
2. Clean the skin prior to any application; do not use skincare lotions or oils prior to treatment. Shaving may increase the life of gel pads.

There is no noticeable stimulation.

1. Press the ON/OFF Button to interrupt the program. Ensure the connection cables is correctly connected to the device. Ensure the electrodes are in firm contact with the treatment area.
2. Press the ON/OFF Button to restart the program.
3. Check electrode positions and ensure that adhesive electrodes do not overlap.
4. Gradually increase the impulse intensity.
5. The battery pack is almost discharged. Recharge the battery pack.

The low battery indicator displays.
Recharge battery pack.

You have an unpleasant sensation at the electrodes.

1. The electrodes are not positioned correctly. Check their positions and re-position, if necessary.
2. The gel pads are worn. This may cause irritated skin as even distribution of the current across the entire area is no longer guaranteed. For this reason, replace the gel pads.

Skin in the treatment area turns red.
Immediately stop treatment and wait until your skin has returned to its normal condition. If the redness is under the electrode and disappears quickly, there is no risk, as this is caused by the locally stimulated, increased blood flow.
Consult your doctor, however, before you continue treatment if the skin irritation persists and is accompanied by an itchy sensation or inflammation since this may be caused by an allergic reaction to the adhesive surface.

The device is getting too hot. How to proceed?
Switch to the lower heat level or switch the heat function off entirely.

Replacement and consumable part

You can obtain the following replacement parts directly from www.shop-beurer.com:

Description	Item number
8 Gel Pads (45 x 45 mm)	Item 646.11

Technical Specifications

Model	EM59
Type	EM59-2
Output waveform	Biphasic rectangular pulse
Pulse length	50 - 450 μs
Pulse frequency	1 - 150 Hz
Output voltage max.	100 Vpp (500 ohm)
Output current max.	200 mApp (500 ohm)
Voltage supply	Lithium-ion rechargeable battery, 2000 mAh/3.7V
Treatment time	Adjustable from 5 to 100 minutes
Intensity	Adjustable from 0 to 50
Operating conditions	41° - 104°F (5° - 40°C) at a relative humidity of 15 - 90%
Storage conditions	32° - 104°F (0° - 40°C) at a relative humidity of 0 - 90%
Dimensions	5.5 x 2.6 x 1 inches (139 x 66 x 26 mm) including belt clip
Weight	4.4 oz. (125 g) including belt clip

Questions or comments?

Call our US-based customer service toll free at 1-800-536-0366.

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Documents / Resources

References

• Beurer – Health, Wellness, Beauty and Kid Care

Download manual

Here you can download full pdf version of manual, it may contain additional safety instructions, warranty information, FCC rules, etc.

Download Beurer EM59 Manual