Dongdixin Technology LT5018C-R Wireless 3-in-1 Pain Relief Device User Manual 4 Rev1

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Clinicall
Prove
User Manual
LT5018C
Wireless 3-in-1
Pain Relief Device
In the case of a new session, it is
essential to select a treatment
area and a program.
Step 6–Select the area to be treated
■ Press the on/off button on the
device so that the device is in
standby mode (Continuous
green light : Standby mode,
ready for the session). The App
detects the device which is
switched on. In case of inactivity
for more than 5 min, the device
switches off. Press the on/off
button again to begin a session.
■ Ensure that the Bluetooth (4.0)
connection is activated on your
smartphone or tablet. Turn on
the APP.
ACRL-9100
Step 5–Starting a session through the use
of the device application
ACRL-9100
■ Starting a session : Click“+” button to begin
treatment
■ After session is complete,
estimate your satisfaction
level, the session is then
recorded in the history
Step 8–Select and start a session
On a scale of 1 to 10, evaluate the intensity
of the pain. For no pain press 0, for
extremely intense pain press 10.
Step 7–Estimate the intensity of pain you are
currently experiencing in the area to be treated
(in TENS mode)
23
■ Please use 2×AAA batteries in this remote control.
24
Notes:
1. Remove the battery cover on the back of the device
2. Insert 2xAAA batteries. Make sure the positive +
and negative – signs correspond with the markings
in the device when inserting batteries. Reinstall the
battery cover .
Step1–inserting batteries
Using the Remote control to control
the main device:
■ To turn off the device, press the “On/Off” button.
■ Remove the electrodes from the skin. Detach
from the edges.
■ Remove the device from the electrodes. If you
forget the device for more than 5 minutes,
it turns off. If the device is frequently used during
the day, it is advisable to charge it before starting
a new session.
Step 9 - Following completion of session
Please refer to pg.19
Step 4–Placing the gel pads
Please refer to pg.19
Step 3– Preparation of the ACRL-9100 unit
Please refer to pg.19
Step 2– Cleaning of skin
■ Batteries must be handled by
an adult. Keep batteries out
of the reach of children.
CAUTION:
■ Remove the batteries if the device is not in use
for long periods of time.
■ Do not mix old and new batteries or different
types of batteries.
■ Remove exhausted batteries from the remote control.
■ Turn the remote controlled device off by pressing
the On/Off button on the remote control
Step 7 - Following completion of session
■ Using the remote control press the Mode button
to switch treatment mode in standby mode.
■ Using the remote control press the Program button
to select treatment part in standby mode.
NOTE: There are 60 levels of intensity.
25
■ To turn off the device, press the “On/Off” button.
■ Remove the electrodes from the skin. Detach
from the edges.
■ Remove the device from the electrodes. If you
forget the device for more than 5 minutes,
it turns off. If the device is frequently used during
the day, it is advisable to charge it before starting
a new session.
■ Press the power button continuously until the
LED light turns off.
■ A steady green light indicator light will turn on to let
you know the unit is on.
■ Using the remote control when the unit is press
the ▲ button to increase or the ▼ button to
decrease the intensity.
■ The device will turn off automatically after 30
minutes treatment time.
You can turn device off in the following ways:
STEP 6 - Turn off the device
pressing the remote control. You must do so by
pressing the on/off button on the device itself.
NOTE: You cannot turn the LT5018C unit on by
STEP 5-Operating the remote controlled device.
1) Turn the power off
2) Remove pads from device.
3) Wash the pads when the adhesive surface
becomes dirty and/or the pads are difficult to
attach.
■ Wash the pad softly with your fingertips under
slow running cold water for several seconds (do
not use a sponge/cloth/sharp object like a nail on
adhesive side, do not use detergents, chemicals
or soap).
26
Cleaning the electrode pads
■ This device and accessories does not require
sterilization.
Note:
1) Turn unit off. Remove USB if device has been
charging.
2) Clean the device after use with a soft, slightly
moistened cloth and wipe gently.
■ Do not use chemicals (like thinner, benzene).
■ Do not let water get into the internal area.
Cleaning the main device and the remote control
CLEANING AND STORAGE
the skin while the device is still turned on.
■ Never remove the self-adhesive electrodes from
are not positioned on the body.
■ DO NOT turn on the device when the electrodes
■ Before applying the self-adhesive electrodes,
it is recommended to wash and degrease the
skin, and then dry it.
■ The life of pads may vary by the frequency of
washing, skin condition, and storage state.
■ If the pad no longer sticks to your skin or the
pad is broken, immediately discontinue use and
obtain replacement pads as recommended by
the manufacturer.
CAUTION:
4) Dry the pads and let the adhesive surface air-dry
completely (do not wipe with a tissue paper or cloth).
the sealed package between uses.
Place clean, dry pads on the plastic film and then store in
Storing the electrode pads
■ Always clean the electrodes after your treatment
every time.
■ Always use electrodes that have been cleared for
marketing in the US by the FDA.
■ Use of electrodes that are larger may reduce the effect
of the stimulation. Use of electrodes that are much
smaller than the electrodes provided with the
LT5018C may increase the chance of skin irritation
or electrode burns occurring under the electrodes.
■ If replacement electrodes are necessary, use
only electrodes that are the same size (50*50mm) as
the electrodes provided with the LT5018C.
When not in use for a long period, remove
the batteries before storage, to avoid liquid
discharge from batteries.
CAUTION:
OUT OF REACH OF CHILDREN.
27
■ KEEP DEVICE AND ALL ACCESSORIES
■ Place the unit, electrodes and manual
back in package. Store the box in a dry
place, 14°F~131°F （-10°C~55°C);
10% ~90% relative humidity.
Storing the unit
28
■ Power Sources: 3.7V Li-ion (remote
control : DC 3.0V 2 x AAA Batteries )
■ Power Supply:5V DC, 300mA
■ Frequency: 2Hz~150Hz
■ Pulse Width: 50us~370us
■ Wave form: Biphasic square wave
■ Output Voltage: 0~60V (at 1000 ohm load)
■ Output Intensity Level: 0~60 levels
■ Operating Conditions: 5℃~40℃; 30%RH~75%RH;
700hPa ~1060hPa
■ Storage and transport conditions (main device):
14°F~131°F (-10°C~55°C);
10%RH~90%RH; 700hPa ~1060hPa
■ Size: 14.17’’(L)x2.32’’(W) x0.45’’(H) (main device)
4.53’’(L)x2.09’’(W) x0.98’’(H) (Remote control)
SPECIFICATIONS
■ Weight: 36g (main device)
65g (Remote control)
■ Service life of the device: 2 years
■ Service life of electrode pads: 30 times
■ Applied part: Electrode
■ Size of electrode: 2 in. x 2 in.
■ IP classification system: IP22
■ Maximum separation distance:
10m (In the opened environment)
■ The recommended separation
distance: 3m.
■ RF Frequency
2.4GHZ-2.48GHZ
■ Channel Bandwidth
2 M H z (-20db)
■ Operation Voltage
DC3.7V
■ Types of spread spectrum %444
GFSK

■ Modulation type
■ Number of channel
40
■ Chanel spacing
2 MHz
■ Channel frequency
0-39 Channel
2.402-2.480GHZ
400ms

■ Dwell time (if FHSS)
1600HZ

■ Hopping rate (if FHSS)
dBi

■ Antenna gain
V.0
■ Bluetooth version
■ Maximum Output Powers
0dBm
Description of the Wireless Functions
and Technology:
29
The LT5018C device uses the one-on-one
connection of BLE4.0, and our device as
a peripheral, responds to the APP’s connection
request passively, establishing a one-on-one
connection with the APP. After the LT5018C
device connects to the APP, the device will not be
connected to other wireless devices or controlled.
After the APP connects to the peripheral device,
the APP will send the command, and when the
LT5018C device ensures this command is right,
it will open the control command, then you can
control the LT5018C device. Otherwise, the APP
can’t control the LT5018C device.
30
Intensity is based upon your level of comfort. Begin
the first session with a low intensity and a short
duration while learning how to operate. You should
therefore take care to work with maximum intensities,
i.e., always at the limit of what you can support.
Do not exceed your comfort level.
Setting the intensity
Start with one 30 minute session. Always turn unit
off with pads still on. Rate your pain to check your
progress, 1 low to 60 high. Intensity is based upon
your level of comfort. Begin the first session with a
low intensity and a short duration while learning
how to operate.
Use as soon as your pain begins. Start with one
session (unit automatically turns off at 30 minutes).
If you get to your pain early, it may prevent the pain
from becoming worse, or even chronic. It’s better
for you to get it under control sooner so that it does
not reach a high pain threshold where it limits your
daily activities.
Stop therapy session if pain has reduced or stopped.
If your pain does not improve and you become sore
from over-use, refrain from treating those areas for
2 days. If this issue reoccurs, reduce the treatment
time and intensity settings for future treatment.
How long should you use the device?
When should the device be used?
HOW TO CONTROL AND REDUCE YOUR PAIN
Remember this device does not cure your pain or
the original cause of the pain. It provides temporary
relief or reduction of pain so that you can control
your life and activities better.
When to stop using the device?
If you feel pain, dizziness, discomfort or nausea,
discontinue use of device and call your physician
or medical practitioner.
NOTE:
■ If your pain does not improve, becomes
seriously chronic and severe, or continues for
more than five days.
■ If you experienced an adverse reaction (skin
irritation/redness/burns, headache or other
painful sensation, or if you feel any unusual
discomfort).
31
This therapy works best on acute pain because
it is localized. Acute pain is pain in one area for
less than 3 months. If you have chronic pain,
you may have pain in more than one area and for
longer than 6 months. Chronic pain may be
compounded by other issues that this device
cannot address.
You may use the device for 30 minutes a day.
You may need to use it for longer (maximum 3
times per day and maximum 90 minutes in total)
depending on the level of your pain.
CAUTION:
What type of pain is it best for?
Recommended treatment session as following:
32
Stimulation is
uncomfortable
Stimulation weak
or cannot feel any
stimulation
The unit will not
power on
PROBLEM
Insert the batteries observing polarity.
Replace with new electrodes.
Replace with new electrodes.
Decrease intensity.
Reposition electrodes to be at least 2 inches apart
Replace electrodes with ones that
no less than 2 in
Are the batteries installed correctly?
Electrodes are dried out or dirty.
Electrodes do not stick to skin well.
Intensity is too high
Electrodes are too close together.
Electrode active area size is too small.
Please check the manual before use.
Replace the batteries.
Are the batteries exhausted?
Is the device being operated according to
the manual?
POSSIBLE SOLUTION
POSSIBLE CAUSES
TROUBLESHOOTING
Output current stops
during therapy
The skin becomes
red and/or you feel
a stabbing pain
Stimulation is
ineffective.
PROBLEM
Ensure the electrodes are securely adhered to the skin.
Clean the electrodes according to description in this
manual or replace with new electrodes.
Replace with new electrodes.
Electrodes are not adhered to the skin properly.
The electrodes are dirty.
The surface of the electrode is scratched.
Replace with new batteries.
Reposition the electrodes. If at any time you feel pain or
discomfort, stop use immediately.
Using electrodes on the same site every time.
The batteries’ power has been exhausted.
Contact clinician.
Unknown
Turn off the device and place the electrodes on again,
or replace with new electrodes.
Reposition electrode.
Improper electrode placement.
The electrodes come off the skin.
POSSIBLE SOLUTION
POSSIBLE CAUSES
33
34
Electrical devices are recyclable material and
should not be disposed of with household
waste after their useful life! Help us to protect
the environment and save resources and take
this device to the appropriate collection points.
Please contact the organization which is
responsible for waste disposal in your area if
you have any questions.
GLOSSARY OF SYMBOLS
Used fully discharged batteries must be
disposed of in a specially labeled collection
container, at toxic waste collection points or
through an electrical retailer. You are under legal
obligation to dispose of batteries correctly.
Please dispose of the device in accordance
with the legal obligation.
PRODUCT/BATTERY DISPOSAL
SN
IP22
This symbol means that this device
emits non-ionizing radiation. All
devices with RF transmitters or that
use RF electromagnetic energy
must have a label with this symbol.
Represent manufacture date and
serial number.
The first number 2: Protected against
solid foreign objects of 12,5 mm Ф
and greater. The second number:
Protected against vertically falling
water drops when enclosure tilted up
to 15o. Vertically falling drops shall
have no harmful effects when the e
nclosure is tilted at any angle up to
15o on either side of the vertical.
Refer to instruction manual
Type BF Applied Part
Group 1
RF emissions
CISPR 11
Compliance
Emission test
The LT5018C use RF energy only for its internal
function. Therefore, its RF emissions are very low
and are not likely to cause any interference in
nearby electronic equipment.
Electromagnetic environment – guidance
The LT5018C is intended for use in the electromagnetic environment specified below. The
user of the LT5018C should assure that it is used in such an environment.
Guidance and manufacture’s declaration – electromagnetic emission
35
1) This product needs special precautions regarding EMC and needs to be installed and put into service
according to the EMC information provided, and this unit can be affected by portable and mobile RF
communications equipment.
2) Do not use a mobile phone or other devices that emit electromagnetic fields, near the unit. This may result
in incorrect operation of the unit.
3) This unit has been thoroughly tested and inspected to assure proper performance and operation.
4) Caution: this machine should not be used adjacent to or stacked with other equipment and that if adjacent
or stacked use is necessary, this machine should be observed to verify normal operation in the configuration
in which it will be used.
CAUTION:
IMPORTANT INFORMATION REGARDING ELECTROMAGNETIC COMPATIBILITY (EMC)
36
Complies
Class A
Class B
The LT5018C is suitable for use in all establishments,
including domestic establishments and those directly
connected to the public low-voltage power supply network
that supplies buildings used for domestic purposes.
IEC 60601 test level
±6 kV contact
±8 kV air
Immunity test
Electrostatic
discharge (ESD)
IEC 61000-4-2
±8 kV contact
±15 kV air
Compliance level
Floors should be wood, concrete
or ceramic tile. If floor are covered
with synthetic material, the
relative humidity should be
at least 30%.
Electromagnetic
environment - guidance
The ACRL-9100 is intended for use in the electromagnetic environment specified below.
The user of ACRL-9100 should assure that it is used in such an environment.
Guidance and manufacture’s declaration – electromagnetic immunity
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Harmonic emissions
IEC 61000-3-2
CISPR 11
RF emission
NOTE
3 A/m
<5% UT (>95% dip
in UT) for 0.5 cycle
40% UT (60% dip
in UT) for 5 cycles
70% UT (30% dip
in UT) for 25 cycles
<5% UT (>95% dip
in UT) for 5 sec
± 1 kV line(s) to line(s)
± 2 kV line(s) to earth
±2 kV for power
supply lines ±1 kV for
input/output lines
30 A/m
<5% UT (>95% dip
in UT) for 0.5 cycle
40% UT(60% dip in
UT) for 5 cycles
70% UT(30% dip in
UT) for 25 cycles
<5% UT (>95% dip
in UT) for 5 sec
±1 kV differential
mode
±2kV for power
supply lines
UT is the a.c. mains voltage prior to application of the test level.
Power frequency
(50Hz/60Hz)
magnetic field
IEC 61000-4-8
Voltage dips, short
interruptions and
voltage variations
on power supply
input lines
IEC 61000-4-11
Surge
IEC 61000-4-5
Electrical fast
transient/burst
IEC 61000-4-4
37
Power frequency magnetic fields
should be at levels characteristic
of a typical location in a typical
commercial or hospital environment.
Mains power quality should be that
of a typical commercial or hospital
environment. If the user of the
ACRL-9100 requires continued
operation during power mains
interruptions, it is recommended
that the ACRL-9100 be powered
from an uninterruptible power
supply or a battery.
Mains power quality should be
that of a typical commercial
or hospital environment.
Mains power quality should be
that of a typical commercial
or hospital environment.
38
Radiated RF
IEC 61000-4-3
Conducted RF
IEC 61000-4-6
3 V/m
80 MHz to
2.6 GHz
3 Vrms
150 kHz to
80 MHz
Immunity test IEC 60601 test level
10 V/m
3 V RMS outside the
ISM band, 6 V RMS
in the ISM and
amateur radio
bands
Compliance level
Portable and mobile RF communications
equipment should be used no closer to any
part of the LT5018C, including cables,
than the recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended separation distance
Electromagnetic environment - guidance
The LT5018C is intended for use in the electromagnetic environment specified below.
The user of the LT5018C should assure that it is used in such an environment.
Guidance and manufacture’s declaration – electromagnetic immunity
NOTE 1
NOTE 2
At 80 MHz and 800 MHz, the higher frequency range applies.
These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
Where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter
manufacturer and d is the recommended
separation distance in metres (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site
survey,a should be less than the
compliance level in each frequency
range.b Interference may occur in the
vicinity of equipment marked with the
following symbol:
39
40
The LT5018C is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The customer or the user of the LT5018C can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment (transmitters)
and the LT5018C as recommended below, according to the maximum output power of the communications
equipment.
Recommended separation distances between
portable and mobile RF communications equipment and the LT5018C
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field
strength in the location in which the device is used exceeds the applicable RF compliance level
above, the device should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the ACRL-9100
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
0.38
1.2
3.8
12
0.1
10
100
12
3.8
1.2
0.38
0.12
d = 1.2
80 MHz to 800 MHz
23
7.3
2.3
0.73
0.23
d = 2.3
800 MHz to 2.5 GHz
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
0.12
d= 1.2
150 KHz to 80 MHz
Separation distance according to frequency of transmitter (m)
0.01
Rated maximum output
power of transmitter
(W)
41
modifications not expressly approved by the party
responsible for compliance could void the user's
authority to operate the equipment.
This device complies with Part 15 of the FCC Rules.
Operation is subject to the following two conditions:
■ this device may not cause harmful interference,
and
■ this device must accept any interference received,
including interference that may cause undesired
operation.
NOTE: This equipment has been tested and found
to comply with the limits for a Class B digital device,
pursuant to Part 15 of the FCC Rules. These limits
are designed to provide reasonable protection
against harmful interference in a residential installation.
This equipment generates, uses and canradiate radio
frequency energy and, if not installed and used in
accordance with the instructions, may cause harmful
interference to radio communications. However, there
is no guarantee that interference will not occur in a
particular installation.
42
Caution: The user is cautioned that changes or
FCC Compliance information
This equipment complies with FCC radiation
exposure limits set forth for an uncontrolled
environment. This transmitter must not be
colocated or operating in conjunction with
any other antenna or transmitter.
FCC Radiation Exposure Statement:
If this equipment does cause harmful interference
to radio or television reception, which can be
determined by turning the equipment off and on,
the user is encouraged to try to correct the
interference by one or more of the following
measures:
■ Reorient or relocate the receiving antenna.
■ Increase the separation between the
equipment and receiver.
■ Connect the equipment into an outlet on a
circuit different from that to which the receiver
is connected
■ Consult the dealer or an experienced radio/TV
technician for help.
1) The warranty period for the device is one year
from date of purchase. In case of a warranty
claim, the date of purchase has to be proven by
means of the sales receipt or invoice.
2) Repairs under warranty do not extend the
warranty period for the device or for the
replacement parts.
3) The following is excluded under the warranty:
■ All damage due to improper treatment,
e.g. nonobservance of the user instruction.
■ All damage
due to repairs or tampering by the
customer or unauthorized third parties.
Please contact Carex Health Brands in case of a claim under
the warranty. If you have to send in the unit, enclose a copy
of your receipt and clearly state the defect. The following
warranty terms apply:
WARRANTY
43
■ Damage during transport from the
manufacturer to the consumer or during
transport to the retailer.
■ Accessories
which are subject to normal
wear and tear.
4) Liability for direct or indirect consequential
losses caused by the unit is excluded even if the
damage to the unit is accepted as a warranty
claim.
Copyright 2017 by Carex Health Brands
Manufactured for:
Carex Health Brands
Middleburg Heights, OH 44130
A division of Compass Health Brands
Tel: 800-328-2935
customerservice@carex.com
Conformity to safety standards
Shenzhen Dongdixin Technology Co., Ltd. declares that the device complies with following
normative documents:
IEC60601-1, IEC60601-1-2, I EC60601-2-10, IEC62366, IEC60601-1-11
ISO10993-5, ISO10993-10, ISO10993-1, ISO14971
The device complies with all the standards relating to Class ll electrical medical devices and
to devices which use electrical stimulation for use at home.
All Rights Reserved.Rev.V1.0 © 2017
This manual is valid for the Wireless 3-in-1 Pain Relief Device
Introduction ...............................................................................................................................4
Important safety precautions and warnings .................................................................................5
How TENS works for pain relief.................................................................................................12
How EMS works for muscle stimulation.....................................................................................13
Package contents.....................................................................................................................14
Know your device.....................................................................................................................15
Charging...................................................................................................................................18
Easy steps to get started with your therapy with electrode pads..................................................19
Cleaning and storage................................................................................................................26
Specifications...........................................................................................................................28
How to control and reduce your pain.........................................................................................30
Troubleshooting .......................................................................................................................32
Product/Battery disposal...........................................................................................................34
Glossary of symbols..................................................................................................................34
Important information regarding electromagnetic compatibility (EMC) .......................................35
FCC Compliance information....................................................................................................... 42
Warranty..................................................................................................................................43
TABLE OF CONTENS
4
■ TENS: The device is designed to be used for
temporary relief of pain associated with sore
and aching muscles in the shoulder, waist,
back, neck, upper extremities(arm) and lower
extremities (leg) due to strain from exercise or
normal household work activities.
Indications for use:
Keep this instruction manual in a convenient place
or store with the device for future reference.
In order to use the stimulator safely, read the
complete manual carefully before using the device
for the first time.
Thank you for purchasing the Wireless 3-in-1
Pain Relief Device for your pain relief solution.
INTRODUCTION
DESCRIPTION
LT5018C
Electrode pad (2 in. x 2 in)
Instruction manual
Micro-USB cable
Remote control
No.
Standard Parts:
The package contains the following components:
1PC
1PC
1PC
4PCS
1PC
QUANTITY
It should be applied to normal, healthy, dry and
clean skin of adult patients. It is design to be used
at home.
■ EMS: The device is designed to be used to
stimulate healthy muscles in order to improve
and facilitate muscle performance.
Indicates a potentially hazardous situation
which, if not avoided, may result in minor
or moderate injury to the user or patient or
damage to the device or other property.
CAUTION
Indicates a potentially hazardous situation
which, if not avoided, could result in serious
injury and equipment damage.
WARNING
Indicates a potentially hazardous situation
which, if not avoided, could result in death
or serious injury.
DANGER
SAFETY SYMBOLS USED IN THIS MANUAL
■ Electronic medical devices attached to the body,
such as electrocardiographs.
■ Internally transplanted electronic
medical devices, such as a pacemaker.
■ Electronic life support equipment, such
as respirators.
This stimulator must not be used in combination
with the following medical devices:
DANGER
It is important that you read all the warning and precautions included in this manual because they
are intended to keep you safe, prevent injury and avoid a situation that could result in damage to
the device.
IMPORTANT SAFETY PRECAUTIONS AND WARNINGS
6
■ Do not use the stimulator in the vicinity of shortwave
or microwave therapy equipment, since this may
affect the output power of the stimulator.
■ While sleeping;
■ While driving, operating machinery, or during
any activity in which electrical stimulation can
put you at risk for injury.
■ Stimulation should not take place while the user is
connected to high-frequency surgical equipment,
it may cause burn injuries on the skin under the
electrodes, as well as problems with the stimulator.
DO NOT USE THIS DEVICE DURING
THESE ACTIVITIES
■ When in the bath or shower;
■ Children or infants, because the device has not
been evaluated for pediatric use.
■ Persons incapable of expressing their thoughts
or intentions.
■ Pregnant women, because the safety of
electrical stimulation during pregnancy has not
been established.
DO NOT USE ON THESE INDIVIDUALS
■ On open wounds or rashes, or over swollen, red,
infected, or inflamed areas or skin eruptions (e.g.,
phlebitis, thrombophlebitis, varicose veins); or on
top of, or in proximity to, cancerous lesions.
■ Over areas of skin that lack normal sensation.
■ Consult with your physician before using this
device, because the device may cause lethal
rhythm disturbances in certain susceptible
individuals.
WARNING
DO NOT USE THIS DEVICE UNDER
THESE CONDITIONS:
■ If you experience any skin irritation or redness
after a session, do not continue stimulation in
that area of the skin.
■ Apply pads to normal, healthy, dry, clean skin
(of adult patients) because it may otherwise
disrupt the healing process.
WARNINGS AND PRECAUTIONS
REGARDING THE PADS
■ The mere existence of pain functions as a very
important warning telling us that something is
wrong. Therefore, if you suffer from any serious
illness, consult your physician in order to confirm
that it is advisable for you to use this TENS
Stimulator.
■ If you have had medical or physical treatment
for your pain, consult with your physician before
using this device.
■ If your pain does not improve, becomes
seriously chronic or severe, or continues for
more than five days, stop using the device and
consult with your physician.
WARNING
PAIN MANAGEMENT WARNINGS
■ Both sides of the thorax simultaneously
or across your chest because the
introduction of electrical current may
cause rhythm disturbances which could
be lethal.
■ Never apply the pads to the side
of the neck (on the carotid sinus)
or any area of the throat (front of
the neck) because this could cause
severe muscle spasms resulting in
closure of the airway, difficulty in
breathing, or adverse effects on
heart rhythm or blood pressure.
■ The head or any area of the face.
DANGER
NEVER APPLY THE PADS TO
■ Pads must be placed at least 2 in apart.
■ Pads should not touch each other when placed
onto your skin.
8
■ Do not apply ointment or any solvent to the
pads or to your skin because it will disrupt the
pads from functioning properly.
■ Do not bend or fold because the pad may
not function properly. Place the pads onto
the plastic film and then store into the sealed
package when not in use.
CAUTION
■ This stimulation should not be applied over
the menstruating or pregnant uterus.
■ If you have suspected or diagnosed epilepsy,
you should follow precautions recommended
by your physician.
■ Consult your physician if you have a tendency
to bleed internally, such as following an injury
or fracture.
■ If you have suspected or diagnosed heart disease,
you should follow precautions recommended by
your physician.
■ Do not place on your spine or backbone.
■ Pads should not touch each other when placed
onto your skin. Pads should be at least 2 in apart.
WARNING
DO NOT USE YOUR PADS THIS WAY
■ Make sure the components are connected well
and the pads are fixed on the part of the body you
wish to treat or the therapy may not be effective.
■ Always place the electrodes in accordance with
illustrations provided (Refer to the Pad Placement
illustrations).
■ To avoid damage to the adhesive surface of
the pads, put the pads only on the skin or on
the plastic film provided.
■ The pads are already pre-gelled and will
adhere to your skin.
■ Do not use the device while wearing electronic
devices such as watches as this may damage the
device.
■ Do not use for any other purpose except for what it
is intended for.
■ If the stimulator is not functioning properly or you
feel discomfort, immediately stop using the device.
CAUTION:
CAUTION WHILE USING THE STIMULATOR
■ Do not leave pads attached to the skin after
treatment.
■ Always turn the power off before removing or
changing the pad location.
■ Do not share pads with another person. This may
cause a skin irritation or infection. Pads are
intended for use by one person.
■ Pad should not touch any metal object, such as a
belt buckle or necklace.
■ The user is the intended operator.
■ The long-term effects of electrical stimulation
are unknown.
■ Apply stimulation to only normal, intact, clean,
dry, and healthy skin.
■ TENS is not effective in treating the original
source or cause of the pain, including headache.
CAUTION:
GENERAL PRECAUTIONS
■ Using pads that are too small or incorrectly applied,
could result in discomfort or skin burns.
■ The electrical performance characteristics of pads
may affect the safety and effectiveness of electrical
stimulation.
■ The size, shape and type of pads may affect the
safety and effectiveness of electrical stimulation.
■ Dispose of the device, batteries, and components
according to applicable legal regulations. Unlawful
disposal may cause environmental pollution.
10
■ This stimulation should not be applied over
areas of skin that lack normal sensation.
■ Consult with your physician prior to using the
device after a recent surgical procedure,
because stimulation may disrupt the healing
process.
■ You may experience skin irritation or
hypersensitivity due to the electrical stimulation
or electrical conductive medium (gel).
CAUTION:
■ TENS is a symptomatic treatment and, as such,
suppresses the sensation of pain that would
otherwise serve as a protective mechanism.
■ TENS is not a substitute for pain medications
and other pain management therapies.
■ TENS devices do not cure disease or injuries.
■ Keep unit away from young children. The
unit contains small pieces that may be
swallowed. Contact your physician
immediately if ingested.
■ Use this device only with the electrodes and
Micro-USB cable recommended by the
manufacturer.
■ Keep unit out of the reach of young
children. The cable can cause
strangulation.
■ Do not use the device if it is closer than 12
inches (30.5cm) to wireless communication
equipment, such as wireless home network
routers, cell phones, cordless phones and their
base stations, and walkie-talkies. The
electromagnetic interference of this wireless
communication equipment may prevent the
device from operating properly.
■ If you have any problems with this device, such
as setting up, maintaining or using, please
contact Carex Health Brands.
■ You should stop using the device and consult with
your physician if you experience adverse reactions
from the device.
■ Do not use to treat one region for extended
periods of time (more than 30 minutes a session,
up to 3 times/day) or muscles in that region may
become exhausted and sore.
■ You may experience skin irritation and burns
beneath the stimulation electrodes applied to your
skin.
CAUTION:
Possible Adverse Reactions
11
12
Transcutaneous Electrical Nerve Stimulation (TENS)
is a noninvasive, drug free method of controlling
pain. TENS uses tiny electrical impulses sent through
the skin to nerves to modify your pain perception.
TENS does not cure any physiological problem;
it only helps control the pain. TENS does not work
for everyone; however, in most patients it is effective
in temporarily reducing or eliminating the pain,
allowing for a return to normal activity.
■ The gentle electrical pulses increase the
production of the body’s natural pain killer, such
as endorphins.
■ The gentle electrical pulses move through the
skin to nearby nerves to block or shut out the
pain message from ever reaching the brain from
the source of the pain.
Scientific theory suggests that electrical stimulation
therapy may work in several ways:
The Wireless 3-in-1 Pain Relief Device is a single
output channel TENS machine and highly
effective in temporarily relieving pain. TENS therapy
is now regularly recommended by doctors,
physiotherapists and pharmacists throughout
the world.
How TENS works?
What is it?
HOW TENS WORKS FOR PAIN RELIEF
The EMS units send comfortable impulses through
the skin that stimulate the nerves in the treatment
area. When the muscle receives this signal it
contracts as if the brain has sent the signal itself.
As the signal strength increases, the muscle flexes
as in physical exercise. Then when the pulse ceases,
the muscle relaxes and the cycle is repeated.
How EMS works?
EMS 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 (ladder‐shaped). Through
the square wave pattern it is able to work directly
on muscle motor neurons. This device has low
frequency and this in conjunction with the square
wave pattern allows direct work on muscle groupings.
What is it?
13
The massage stimulation program is a type of low
level EMS used to loosen tight muscles. Its main
function is to mimic manual massage to promote
relaxation and reduce muscle tension.
How MASSAGE works?
The goal of electrical muscle stimulation is to
achieve contractions or vibrations in the muscles.
Normal muscular activity is controlled by the central
and peripheral nervous systems, which transmit
electrical signals to the muscles. EMS works similarly
but uses an external source (the stimulator) with
electrodes attached to the skin for transmitting
electrical impulses into the body. The impulses
stimulate the nerves to send signals to a specifically
targeted muscle, which reacts by contracting,
just as it does with normal muscular activity.
HOW EMS WORKS FOR MUSCLE STIMULATION
14
LT5018C Unit
Remote Controller
PACKAGE CONTENTS
Micro-USB cable
Electrode Pads (2 in. x 2 in.)
AAA batteries
Clinically
Proven
14
PROGRAMS
TURN ON THE BLUETOOTH
CONNECT THE GEL PADS
TO THE DEVICE
PLACE THE GEL PADS
ON THE SKIN
TURN ON THE ACRL-9100
UNIT AND START A SESSION
THROUGH THE USE OF THE
DEVICE APPLICATION
Clip excess hair
from the area to be
treated. Wash with
soap and water,
and dry completely.
Remove the
protective film
layer and apply
the gel pad to the
skin. Press firmly
to ensure adhesion.
See the Recommended Gel
Pad Positions on reverse page.
ACRL-9100---Disconnected
ESTIMATE THE INTENSITY
OF PAIN (IN TENS MODE)
SELECT AND START A
SESSION.
ACRL-9100
Starting a session : Click on “+” button
to begin increasing intensity. When your
session is complete, estimate your
satisfaction level. The session will be
recorded in the History folder of the app.
To turn off, press the power button on
the app or device. Remove the
electrodes from the skin. Remove the
device from the electrodes. If the device
is idle for more than 5 minutes, it will turn off.
Make sure the device is turned off before removing the electrodes.
On a scale of 1 to 10, evaluate the intensity of
the pain. For no pain press 0, for extremely
intense pain press 10.
To start a new session, select a program
(TENS, EMS or Massage) and using the
labels on the front and back of the body
image select the area you wish to treat.
SELECT THE AREA
TO BE TREATED
Press the on/off button so that the
appliance is put on standby mode
(Continuous green light : Standby
mode, ready for the session).
The App will detect the device
when it is switched on. In case
of inactivity for more than 5 min,
the device switches off. Simply
press the on/off button again to
reenter standby mode. Press the
name of the device on your app
screen to enter main menu.
Apply pads to normal, healthy, clean and dry skin of adult patients because it may
otherwise disrupt the healing process.
If you experience any skin irritation or redness after a session, do not continue
stimulation in that area of the skin.
Each gel pad is pre-fixed
with a stud to connect
to the back of the device,
and is protected by a
transparent film.
Attach the gel pads
to the back of the
device, pressing
them in place.
QUICK START GUIDE
Ensure that the Bluetooth (4.0) connection is activated on your
smartphone or tablet.
When you open the Wireless 3-in1 app in your
mobile phone, the app asks you to turn on
Bluetooth. Please accept.
- For iOS: Press settings to turn on Bluetooth.
- For Android: Press "allow" to turn on Bluetooth.
Clinically
Pr oven
Instruction Manual
Model ACRL-9100
Wireless 3-in-1
Pain Relief Device
Quick Start Guide
RECHARGEABLE
LITHIUM BATTARY
User Manual
3IN1
TENS
EMS
MASSAGE
Power on/off button
KNOW YOUR DEVICE
Model ACRL-9100
Wireless 3-in-1
Pain Relief Device
1
Front and Rear Panel
■ Channels: One channel
■ Treatment modes TENS: 6 programs
EMS: 5 programs
MASSAGE: 3 programs
■ Output Amplitude: 0-60mA (1000 Ω Load)
■ Waveform type: Symmetrical Biphasic square pulse
■ Control platform APP control (ios or Android) and
Remote control
Features
KNOW YOUR DEVICE
15
■ Connect the Micro-USB cable and the adaptor
to the device port to charge;
3. Device charging port:
■ Continuous orange: The battery is charging;
■ Continuous green: The battery is fully charged.
2. Indicator light when charging:
■ Green Flashing indicator light: The device hasn't
connected with APP or the Remote Controller;
■ Continuous green: The device is in standby
mode;
■ Continuous Orange: The device is in treatment
mode;
■ Orange flashing: The device is in paused mode;
1. On/off button [ ]: Press this button to turn on
the device or turn off the device.
16
Treatment proqram
select: Neck/
Shoulder/Arm/
LBack/Joint/Leg
Tap/Knead/Rub
Intensity increase
LCD DISPLAY
Power
ON/OFF
button
Mode select
(TENS/EMS/
MASSAGE)
Intensity
decrease
Treatment program
Treatment time display
Treatment time icon
Treatment mode
LCD Display
17
Treatment intensity display
Low battry icon
Intensity icon
Lock Icon
18
■ Only use the Micro-USB cable which is
provided by the manufacturer.
■ Device must be charged prior to first use.
Typically it takes 2 hours to charge the device.
A full charge allows a battery life of about 4
hours continuously when functioning in normal
(ambient temperature) conditions.
NOTES:
LT5018C
Insert the Micro-USB plug of the
Micro-USB cable into the Micro-USB
charging port of the LT5018C device,
and then connect to the Standard
USB plug of the Micro-USB cable
to the appropriate power supply
device which could output 5V d.c. ,
300mA.When the battery light goes from
continuous orange (which means that the
battery is being charged) to a continuous green
(the battery is full), remove the micro-USB plug
from the micro-USB socket of the device.
CHARGING
■ If batteries leak and come into contact
with the skin or eyes, wash immediately with
copious amounts of water.
■ Dispose of the used batteries safely according to
the local regulations.
■ The life of a rechargeable battery depends on
the number of recharging/rundown cycles it
undergoes and how these cycles are performed.
The service life of rechargeable battery is more
than 300 recharging/rundown cycles. We provide
the following suggestions to extend the life of the
battery:
■ Whenever the device is not used frequently, we
recommend recharging the battery once a month.
WARNING:
■ Please charge the device fully before beginning
each session. If the charge is not complete at the
beginning of a program, the battery may become
depleted before the end of the session. You
cannot use the device while it is charging.
Clip excess hair from the treatment area and
remove any jewelry that may come in contact
with the stimulation of the device. Wash area
with soap and water, and dry completely.
Step 2– Cleaning of skin
Download the application to your smart phone :
■ By the Appstore or Google Play
■ Then search ‘LT5018C’, and click the Smart
Pain Reliever LT5018C icon.
The app operates on ios and Android platforms
(At least ios 8.0, Android 5.0)
Using the APP to control main device:
Step 1 Downloading the APP
19
Place electrodes on clean, dry and healthy skin at
least 2 in. apart and do not let them touch. Make
sure there is a linear path between the two
electrodes. (See the pages 22-23).
Note: Replace the electrodes when they are
damaged or dirty, when they have lost their
adhesive power or when stimulation becomes
uncomfortable, i.e. when you experience an
unpleasant stinging or biting sensation.
Step 4–Placing the gel pads
Each gel pad is pre-fixed with a
male snap to connect to the back
of the device, and is protected
by a transparent film. Press the
male snap of the gel pad to the
female snap of the device as
shown in the picture on the right:
Step 3– Preparation of the ACRL-9100 unit
EASY
STEP
4 STEPS TO GET STARTED WITH YOUR THERAPY WITH ELECTRODE PADS
LT5018C
■ they are damaged or torn.
■ they are past the use-by date indicated on the
re-sealable bag.
■ they have lost their adhesive power. Never use
plaster or tape to attach them to your skin.
■ stimulation feels less strong.
■ when stimulation is uncomfortable, i.e. when you
experience an unpleasant stinging or biting
sensation.
Note: Always replace the electrodes with electrodes
recommended for this device by the manufacturer.
20
Replace the electrodes if:
the electrodes on the skin.
Note: DO NOT place the electrodes on top of each
other or so close to each other that they touch each
other.
Note: It is possible that you may need external
assistance for placing the electrodes in certain areas.
Note: Always connect the device before you place
WARNING:
according to the electrode Pad placement
illustrations, on pages 22-23.
WARNING: Place the electrode pads
off before applying electrodes.
WARNING: Make sure the device is turned
UPPER ARM PAIN
CARPAL TUNNEL /
HAND PAIN
21
Attach both pads on either side
of the joint with the pain.
Attach one pad in front and one
in back of the muscle.
Attach both pads on the hand
where you feel pain.
ELBOW PAIN
SHOULDER PAIN
Attach both pads on either
side of the region where you
feel pain.
backbone or spine.
Attach both pads on the lower
back with the backbone in the
center. DO NOT place on the
Attach both pads on the neck.
(DO NOT place on the back of
the carotid artery, throat or the
front of the neck.)
LOWER BACK
NECK / CERVICAL PAIN
Pad Placement illustrations
Position of the electrodes-TENS programs:
22
simultaneously to the soles of both feet. Treat one at a time.
Attach pads per the illustration on the left for pain on the outside of
your ankle/foot. Attach the pads per the illustration on the right for
pain on the inside of your ankle/foot. DO NOT place electrode pads
ANKLE / FOOT PAIN
simultaneously to the calves of both legs.
Attach both pads on the calf/leg where you
feel pain. DO NOT place electrode pads
CALF PAIN
Attach both pads above the knee or above and
below the joint with pain.
KNEE / JOINT PAIN

---

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