PainTechnology Ultima 5 User Manual
2012-05-10
User Manual: PainTechnology Ultima-5-User-Manual
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User Manual for
Ultima 5 T.E.N.S.
UNIT
PRESCRIBING INFORMATION
FOREWORD A
Read this
User
Manual
carefully before
you
starl
using
your
Ultima 5
T.E.N.S.
unit.
The manufacturer
strongly
recommends
carefully
reading of the "Wamings and Cautions"
and
Chaotens of this User Manual.
WARNINGS
AND CAUTIONS
Prescription
labeling:
Federal law restricts
this device to
sale or use
by or on the order of a
practitioner
so
licensed
by the state,
Contraindications:
1. Do not
place
the
pads
on lhe carotid
sinuses
located
al the two sides of the neck,
(where
a doclor feels for
a
pulse),
or over the eyes.
2, Do not
use
this TE.N.S.
unit
if
you
have
a
heart
pacemaker
or serious
heart rhythm
oroblem.
3. Any electrode
placement
that causes
arrrent
to flcrrry transcerhally
(through
the hed).

4. The
use of
T.E,N,S. whenever
pain
syndromes
are undiagnosed,
until etiology
is
established,
WARNINGS
t
Do
not
use
this
TE.N.S.
unit during the
pregnancy
or at
anytirne on the aMonen
dudng
p'rEnancy.
This T.E.N.S. unit
is nol
effective
for
pain
of
central origin.
(lnclude
headache)
TE N
S.
unit should
be used only under
the continued
supervision of
a
physician.
T.E.N.S. unit
has no curalive
value.
T,E.N.S. is a symptomatic
treatment
and
as such suppresses
the sensation
of
pain,
which would otherwise
serve as a
protective
mechanism.
The
user
must
keep
the
device out of the
reach of children.
Electronic
monitoring
equipment
may not
operate
properly
when
T.E.N,S.
slimulation
is in use.
Do
not
use
T,E.N S.
unit
if
you
are
driving
or
operating
machinery.
lf
you
have
epilepsy, consult
your
doctor
WARNINGS
Do not use
any
pad
which
size
is less
than
40mm X 40mm.
Allergic reactions
to
lhe self
-adhesive
pads
can occur, even
though they are hypallergenic:
r Do nol
apply to broken skin.
. Do not apply
pads
to skin that do not have
normal
sensation.
lf the
skin
is numb,
stimulation will not
be
felt
and too
great
an
intensity might
then be used
accidentally,
23

2. Where applicable
place
the
black
adapter
closer to
the spinal column; e.
g.
if
the arm
is
to be treated,
place
the black adaptor
higher
up the arm than the
red
adaptor,
GENERAL INFORMATION
Statement: This T.E.N.S. Unit has been
tested for EMC requirement
according to
EN
60601.1.2
PADS
The
pads
that are supplied
with
your
Ultima 5
T.E.N
S Pain Relief Unit are self-adhesive and
can be used several times. Skin
must
be
allowed
to
breathe, so the
pads
should be
removed
periodically.
When
not in use, the
pads
should be
placed
onto the clear
plastic
shield,
The condition of the oads does affect the
conductivity and,
therefore, the
performance
of
the unit. When the
pads
initially lose their
adhesive
quality,
it is possible
to reactivale
their
adhesiveness by applying
a fine spray of
waler.
Once the
pads
have finally lost
their
adhesive
quality,
new pads should be
purchased.
before using T.E,N,S
PRECAUTIONS
1. Isolaled
cases of skin initation
may
occur
at lhe
site of eledrode
placement
following
longlerm
application,
Effectiveness
is highly
dependent
upon
patient
selection
by a person
qualified
in
the management
of
pain
patients.
ADVERSE
REACTIONS
Skin
irritation
and electrode
burns are
ootential
adverse
reactions.
GENERAL
WARNINGS
1. Do not immerse
lE.N.S units in
water.
2. Do not
place
the T.E.N.S.
unil close
to
excessive heat.
3. Do not
use any
pad
which
size
is less
than 40mm X 40mm.
4. In
the Ultima 5 model T,E.N.S
unit, use
either:two 1.5 volt
AA Alkaline
disposable
(LR6)
batteries or two 1.5 volt AA
Nj-MH
rechargeable
batteries
only,
The
use of
any other battery could
damage the unit
and is not recommended.
22

7.
When using a battery charger and
rechargeable batteries
with
your
unit,
use only
N|-MH
rechargeable
batteries
in
your charger. Do not place
non-rechargeable
batteries (i.e.
disposable alkaline
batteries)
in
a battery
charger
- this
may
cause a battery
leak
or
possible
explosion.
Remove
batteries
if
the unit
is not
used
for
lhree
months.
Keep
the
unit away
from
sources
of high
magnetic fields such as TV ' S,
microwave ovens and
hiJi speakers, as
these
may affect the
LCD screen.
Temperature
& R.H. of storage:
-20C
--+80C,8%--80%
R.H.
Temperature &
R.H.
of
transportation:-20
"C--+80'C,
8%--80%
R H.
1,2,3,4,5,10,12,1
4,16,18,20,25,
30,35,40,45,50,60,70,80,90,
1
00,1
1
0,1 20,1 30,1
40,1
50.
D.
Output
voltage range
The
output
voltage
of two channels
can be
adjusted individually in 20
steps. For 500-ohm
load, the output voltage
can be change from 6V
to 73V in steps of 3.5V roughly.
E. Peak
pulse
output current
The
peak
pulse
output currenl
of two
channels can be adjusted individually in
20
steps.
For
500-ohm load, the output voltage
can be change
from 12mA
to 150mA in
steps
of
7mA roughly.
RED& BI.ACK FASTENERS
ON
TEATF
At the end of the
leads
supplied with
your
unit,
you
will find red
and black adapters. These are
Cathode and Anode respectively. The followrng
general
points
are made for
your
information:
More
sensation tends to come
from
the
black adapter
(Cathode)
21

Amplitude
t
lfr n
#rime
|!)
l"
(2).
Mono-Phasic waveform
Amplitude
t
tn n
4ri-.
I
I
B. Pulse
duration
Except Mode B, Mode D and Mode E, which
pulse
duration can not be adjusted, by
pressing
PW+ or PW- key, the
pulse
width can be adjusted
from
50 u S to 250 u S
in
steps of
10
u S.
C. Pulse frequency
Bcept lVode B and lMode E with a fixed
pulse
rate,
by
pressing
PR+
or FR- key, the
pulse
rate
can be djusted to
me d the
fdlodng
values
(Fh):
CONTENTS
Contents
Instruction
For
Use
- -.
.. .
-.
How
to Assemble Your
Unit
-...............-..
7
After
Use 1a
Operation of
the
T.E.N
S. Unit
-,-. . . .-.
.-.-.
13
Specification .....,.........
1T
Features...,....,.-..
General
Information
18
........22
20

OPERATING
INSTRUCTIONS
FOR PHYSICIAN
INTENDED
USE
T.E,
N.S.
Stands
for
(Transcutaneous
Electrical
Nerve Stimulation).
This
T.E.N.S.
system
is
used to provide
symptomatic
pain
relief for
chronic, acute
or
post-operative pain.
HOW DOES
T.E.N.S.
WORK
T.E.N.S. is
believed
to
work by stimulating
your
body's
wvn
natural defenses against
pain.
The
unit
produces
a gentle
stimulus
through
pads
normally
placed
over the area
of pain.
This
stimulus
helps the body
to produce
natural
pain
relievers called
endorphins.
The correct
positioning
of the
pads
is important
Some
people
feel immediate
benefit
from
T.E.N.S.
However some
may only
achieve
benefit
after
repeated treatment
sessions
and
over an extended
period
of time,
INSTRUCTIONS
FOR USE
Your Ultima
5 TE.NS.
Pain Relief unit
has
been
designed
to be simple
and easy
to use.
counter-clockwise.
6 By
pressing
"PR-" key
and "PW-"
key simultmeously,
the
waveform
can be
changed
in
two types.
7. By
pressing
"timer key"for 2
seconds the
unit
will
be
locked
or unlocked in toggle.
While
the unit
is locked,
all
parameters
can
not
be adjusted except timer and intensity.
By
pressing
ON/OFF key can not
change
the status of
locked/unlocked.
8. When the batteries are low, the symbol
ol
battery is flashing in 2Hz indicating
that
the batteries should be replaced.
9. Automatic
shut off: When
the unit
intensity
levels are 0 on both
channels,
and it has
not
been
in
use
for
5
minutes,
the unit
will
be shut off automatically.
Detail information rEarding to the Waveform,
Pulse
duration,
Pulse frequency, Output vollage
range,
and
Peak
pulse
output cunent:
A. Waveform
There are 2 types of waveforms:
('l
).
Symmetrical
Bi-Phasic rectangular waveform
19

and then back to
100u
S
in
the
next
6
seconds.
Pulse rate is selectable.
Mode E-- Modul ll, Pulse rale and Pulse
width Modulation
Frequency increase from 50Hz to 100H2
while
pulse
width decrease from 200 u S
to 60
p
S
within
5 seconds.
Treatment timer:Continuous,
1
5min,30min,
45min,
60min, 90min selectable.
FEATURES
1. When mode changes,
the intensity will
automatically
go
down to
zero;
When the unit
is turned on, it will
automatically enter
the mode that the unit
had worked in before the unit
was
tumed off;
When
the
treatment timer
is set,
it will
begin to count
down one minute by one
minute;
Once
it count down to zero,
the
unit will automatically shut off;
When the
pulse
rate or
pulse
width
is
being
adjusted,
the auterepeat
function is available,
when
"PR*" , "PR-"
, "PW+"
, or
"PW-"
key
is held
down over
1 second, il
will automatically
increased/ decreased
1
step
per
1/4 second.
Two knobs on top of the
unit adjust the
intensity
by turning
in clockwise or
18
CONTENT
IN THE PACK
Your
T,E.N,S.
pak
should contain
the
following:
o1xT.E,N,S.Unit
o
2 x Leads
. 4 x Self Adhesive Pads
with
Conneclors
(size:
40mm X 40mm)
o
2 x AlkalineMl,54V
(l-R6)
Battenes
r 1 x Instruction
Booklet
(which you
are reading)
Having
checked
all the contents are conect
please proceed
to assemble the unit.
HOW
TO ASSEMBLE
YOUR UNIT
Assembly
of the Ultima 5 T.E.N
S.
Pain
Relief
unit
is very
simple and requires
only five
steps.
STEP
1 BATTERIES
Remove he battery
cover and
insert
two battenes,
as shown on the diagram inside
the battery
compartment. Replace the battery
cover.
4.

SPECIFICATION
Model:
Channel:
Output:
Pulse Wdth:
Pulse
rate:
Waveform:
Mode:
Ultima 5
Dual
Maximum 150mA
(peak
value)
cross 500 Ohm
load
From
50
u S
to
250
u
S adjuslade
From 1Hz
to
150H2 Adjustable
Symmetrical
Bi-phasic
rectangular
Monophasic rectangular
5
Modes are available
Mode
A--Constant
Mode B--Burst I
Two
train
per
second,
250ms
on,
250ms off;
25
pulses
within
one
train,
pulse
width=200 u S
Mode C--Burst
ll
Two
train
per
second, 250ms on,
250ms off;
Pulse
width
and
Pulse rate are
selectable.
Mode D--Modul
l, Pulse
width
modulation
Pulse
width modulated from
'100
u S to
250
u S
within
6 seconds
Note: Your unit
will
not function
if the batteries
are
inserled
incorrectly.
To check,
press
the
@ button
once
and the
LCD display
will start
up.
Having
made this check
press
the
@button
again to
switch the
unit off.
CAUTION
There is a
risk of
explosion
if
the
batteries are
fitted incorreclly.
Replace
wilh
AA Alkaline
1.5
volt batteries
(LR6).
Do
not mix old
and
new
17

batteries, Do
not
disoose of the batteries in
a
fire and keeo
them out of
reach
of children.
The
batteries
must
be
removed
from
the unit
if
unit is not used for a long
period
of time.
STEP
2 LEADS
\o,
o
,6)
@
Decide whether
you
wish to use the unit with
one
lead
or two.
lf using two leads, insert the
plugs
into
both
jacks
on the
plugs
of the unit.
lf
only using one
lead,
insert
into
the chl iack
as marked on
the unit,
O LED
light
@
ch1
light
(t ch2 risht
@ Intensity Up ordown Chl
@ lntensity Upordown Ch2
@ Pulse
Rate Up
@ Mode Select Switch
. Conslant
. Eurst I
. Eurst
ll
' Modul I
' Modul | |
@ Pulse width up
@ Pulse Rate Down
@ TimerforTreatment
. Continuous
. 1
5/30/45/60/90
min
. Selectable
@ Pulse Width Down
@ onloft
,
lnlensityLock/unlock
@+@ Waveform
Please read
the following
detal specification
carefully before using
the
T.E.N.S.
Unit
to

STEP 3 PADS @
A
I
6
v
Turn in
counter-clockwise
decrease the
intensity,
Stands for Pulse Rate
Up,
press
this key
to
inoeasehefreqrary.
Stands for Pulse
Rate Down,
press
this
key
to decrease the frequency,
Stands for Pulse
Width
Up,
press
this
key
to
increase
the Pulse Width.
Stands for Pulse Width
Down,
press
this
key
to decrease the Pulse Width.
Remove
pads
from
the bag and connect to the
leads.
10 tc
@

9
v
trtr
n!
Press the key
tz &s2
simultaneously
to select the
waveform The following
waveform symbols
will
be displayed
for
3 seconds
when
you press
the
key.
. ---------.
Symmetrical
Biphasic rectangular
--..------
Monophasic
rectangular
STEP4 PLACEMENTOF
PADS
Ensure
wherever
you
intend
to
place
the
pads,
that the skin
is clean and
thoroughly dry,
Remove
the
pads
from
the clear
plastic
shield
and
position
on
your
body as required.
NOTE
In a very
small
percentage
of people,
using
T.E.N
S in
Monophasic
Rcetangular waveform
can exacerbate the symptoms of pain.
lf.this
ocarc, stop treatment
in this waveform immediately.
Press
this
key to select
mode,
total 5
modes are available. Constant,
Burst l.
Burst ll. Modul L Modul ll.
[6] etett
this
key to set the
treatment time
@
@
These
two
knobs adjust the
intensity
ol
channels,
left side
is for
the Ch1,
right
side is
for
Ch2.
Turn the knob and the
intensity
over
zero, the corresponding
LED light
located at the top of the knob
will lioht uo.
STEP 5 READING
G) trtn in
clockwise
increase
the
intensity. Read section on "Operation of the T.E.N
S
Unit"
,
and decide how to use
the
T.E.N.S,
unit
14 11

for
the treatment. adhesive
quality
in
order
not
to affect the
efficiency
of the unit.
NOTE:
AFTER USE
Always ensure
that the unit
is switched OFF
before removing
the
pads.
After
use,
return
the
pads
to the clear
plastic
shields.
There is no
need to separate the
pads
unit from the
leads
and oads,
OPERATION THE T.E.N.S.
UNIT
Ultima 5 T.E.N
S.Unit is easy
to operate by
pressing
the key as following
diagram.
WHAT DOES EACH KEY DO
Lrfe of the
@s: When the
pds initially lose
ther adhesive
quality,
it is
posside
to
reac'tivate
ther
dhesiveness
by apSying
fine
spay of
water, Replace
the
pads
when they lose their
This key not only switches the unit on and
f) off, but also has LocUUnlock intensity
: function. By pressing
this key for 3
seconds the unit
is on, the LED
lioht
(green
color) and the
LCD
display
locaied
al the front of the unit will light up, there
wrll
be
no feeling from
either
lead
al this
time as the
intensity
always starts al
zero.
When
the unit
is
on, and desirable intensity
level is obtained, then,
press
this key once
to lock
the intensity.
lf you
want
to unlock
the
intensity,
press
this
key
once again.
12 13
Intensitv
@a'71\
@9v
@
A
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