Programme Overview; Basic Information; Information On Placing The Electrodes - Sanitas SEM 43 Instructions For Use Manual

7. Guide the connection cable plugs into the socket on the top
of the device (Fig. 3).
8. Do not pull, twist or make any sharp kinks in the cables
(Fig. 4).
Please note that when the battery is replaced or removed,
all settings are restored to the factory default settings.

6. Programme overview

6.1 Basic information

The Digital EMS/TENS unit has a total 50 programmes:
• 10 TENS programmes
• 30 EMS programmes
• 10 MASSAGE programmes
In all programs you can set the impulse intensity of both channels individually.
You can also set various parameters in the TENS programs 8 –10 and the EMS
programs 28 – 30 to adjust the stimulating effect to the application area.

6.2 Information on placing the electrodes

For the desired success of any stimulation application, it is important that elec-
trodes are placed sensibly.
We advise you to coordinate with your doctor regarding the best electrode posi-
tions for your intended field of application.
The electrode positions suggested inside the cover (Figs. 1– 28) serve as a
guide. The following applies when choosing electrode positions:
Electrode distance
The greater the electrode distance which is selected, the greater will be the
volume of tissue that is stimulated. This applies to the area and the depth of
the tissue volume. At the same time, however, the strength of tissue stimulation
decreases as the electrode distance becomes greater, which means that, if a
greater electrode distance is chosen, a greater volume is stimulated, but stimu-
lation is weaker. To increase stimulation, pulse intensity must then be increased.
The following guideline holds when selecting electrode distances:
• most reasonable distance: approx. 5 –15 cm,
• below 5 cm, it is mainly surface structures which are strongly stimulated,
• over 15 cm, large-area and deep structures are stimulated very weakly.
Electrode relationship to muscle fibre orientation
Fig. 3
Choice of current flow direction must be adapted to the mus-
cle fibre orientation according to the desired muscle layer. If
surface muscles are to be reached, the electrodes must be
placed parallel to the fibre orientation (A – B / C – D). If deep tis-
sue layers are to be reached, the electrodes must be placed
crosswise to the fibre orientation. The latter arrangement can,
for example, be achieved via the cross electrode arrange-
Fig. 4
ment, e.g. A – D / B – C.
Note the colour-codes of the cables and the channels. The white cable belongs
to channel CH1 and the grey cable to channel CH2.
In the treatment of pain (TENS) using the Digital EMS/TENS machine with
its 2 separately controllable channels and in each case 2 adhesive elec-
trodes, it is advisable to either position the electrodes of one channel so that the
pain spot lies between the electrodes or else you position one electrode directly
on the pain spot and the other at least 2 – 3 cm away.
The electrodes of the second channel can be used to treat other pain spots si-
multaneously or else, however, together with the electrodes of the first channel, to
surround the pain area (opposite). A cross arrangement is again advisable here.
Massage function tip: always use all 4 electrodes to ensure optimal
treatment.
In order to extend the durability of the electrodes, use them on clean skin
which is as free as possible from hair and grease. If necessary, clean the
skin with water before application and remove the hair.
If an electrode becomes detached during the application, the pulse inten-
sity of both channels goes to the lowest setting. Apply the electrode again
and reset the desired impulse intensity.
21
C
A
D D
B B