Instructions: 3-In-1 Physiotherapy Device
Instructions: 3-In-1 Physiotherapy Device
Questions? Comments?
Rev1 0812
1-800-363-2381 www.amgmedical.com
Instructions
AMG Medical Inc. Please read this manual thoroughly
Montréal, QC H4T 1V5 • 1-800-363-2381
Alpharetta, GA 30022 • 1-866-321-4846 before using this device for the first time.
2
INTRODUCTION SAFETY INFORMATION
This device can be used for pain relief, muscle stimulation and
1. This device is recommended for: • Symptomatic relief of chronic
massage. It provides two independent, controllable output channels.
intractable pain, acute post traumatic pain or acute post surgical
A pair of electrodes which can be connected to each output channel
pain • Improving local blood circulation • Relief from muscle
and the current's parameters and intensity level can be adjusted
spasms • Immediate post-surgical stimulation of muscles to
according to your needs.
prevent venous thrombosis • Prevention or retardation of disuse
1. What is pain? atrophy • Maintaining or increasing range of motion
Pain warns our body of injury to prevent additional damage. This 2. Do not use in the following situations: Undiagnosed pain
sensation is important because without it, vital parts of our bodies syndromes (until etiology is established). • Cancerous lesions that
might be injured without our knowledge. However, long-lasting, are present in the treatment area. • Swollen, infected, inflamed areas
persistent (chronic) pain, once diagnosed serves no apparent or skin eruptions (e.g. phlebitis, thrombophlebitis, varicose veins,
purpose and reduces quality of life. etc.). • Demand type implanted pacemaker or defibrillator.
2. How does TENS work? • Epilepsy • Serious arterial circulatory problems in the lower
TENS (Transcutaneous Electrical Nerve Stimulation) refers to limbs • Abdominal or inguinal hernia • Safety has not been
the transmission of small electrical pulses through the skin to the established for use during pregnancy.
underlying peripheral nerves. The theory of TENS suggests two
different modes of operation:
In conventional (high frequency) TENS, continuous mild electrical WARNING
activity may block the pain signal traveling to the brain. If the pain
signal does not get through to the brain, the pain is not “felt”. For external use only. The long-term effects of frequent electrical
In low frequency TENS, short bursts of electrical activity may stimulation are unknown. This device should be used only under
stimulate the release of endorphins, the body's own pain-control the continued supervision of a licensed medical practitioner.
substance. Ask your physician or therapist for more details. No Do not apply stimulation over the thyroid or carotid sinus regions,
matter what pain theory is used, TENS has been proven useful in pain as this could disrupt breathing, cardiac frequency or blood
management for many patients in helping to make their lives better. pressure. Do not use while connected to high-frequency surgical
equipment or near shortwave or microwave therapy equipment.
3. What is EMS and how does it work?
Never use in environments with high humidity (ex.: bathroom).
In normal muscular activity, the central and peripheral nervous Never place the electrodes anywhere on the front of the thorax or
systems transmit electrical signals to the muscles, making them transthoracically as it can increase the risk of ventricular fibrillation,
contract. EMS (Electrical muscle stimulation) uses an external cause cardiac arrhythmia and lead to cardiac arrest. Never use
source (the stimulator, via wires and electrodes) to achieve the near the eyes, the genitals, the heart or on areas which lack
same effect, creating involuntary muscle contractions. This can normal sensation. This stimulator should never be used by
help improve and maintain muscle tone without actual physical patients who are noncompliant or are emotionally, cognitively or
activity and therefore prevent atrophy. mentally impaired. Keep the stimulator out of reach of children.
3 4
4. Precautions Display icons
• Do not adjust controls while operating machinery or vehicles.
Therapy modes
• Turn the stimulator off before applying or removing electrodes.
• Only use with ProActiveTM lead wires and electrodes.
• Long-term stimulation at the same electrode site may cause
skin irritation. Use only as prescribed by a physician.
• Never use in rooms where aerosols (sprays) are used
or pure oxygen is being administered. Do not use it near
highly flammable substances, gases or explosives.
• Apply the electrodes to clean, dry, and unbroken skin only.
• Keep electrodes separate during treatment. Electrodes coming
in contact with each other could result in improper stimulation
or skin burns.
5. Possible adverse reactions Therapy
Skin irritation or electrode burn under the electrodes. Allergic skin sites
reaction to electrode gel may also occur.
DEVICE OVERVIEW
Front Back Top Pause Intensity
indicator lock
indicator
Setting
mode Low
indicator battery
LCD indicator
(see next page
for display Channel 1 Channel 2
icons) Treatment
lead wire lead wire time
socket socket Pulse width and Pulse rate and
channel 1 channel 2
Clip output intensity output intensity
Battery cover
Keys
(see page 7)
5 6
INSTRUCTIONS FOR USE
Keys
1. Insert batteries
Press and pull down on the battery
cover to open. Insert 4xAAA batteries
(included), matching the positive
and negative ends of the battery
to the markings, then close.
• Turns the device on or off • Press to confirm user 3. Connect lead wires to the device
• In treatment mode, press to selection
This device has 2 output channels,
stop treatment • In standby, press to select
• Use this key to exit memory a treatment site or press which can be used simultaneously
or setting mode and hold for 3 seconds to (with 2 electrode pairs) or individually
enter memory mode (1 channel with 1 electrode pair). After
• In user select mode, press • In memory mode, press making sure that the device is turned
to select a user (U1 or U2) and hold for 3 seconds to off, insert the wire plugs into the sockets
• In memory mode, press to clear memory data.
check data or confirm its at the top of the unit.
deletion • Increases / decreases the Caution: Always use the lead wires
• In treatment mode, use to output intensity of channel 1 supplied with this unit.
pause or resume • In setting mode, press Ch1-
to select the next parameter
• In standby, press to select a 4. Place electrodes on skin
therapy mode • Increases / decreases the Ensure that the skin surface where the electrodes will be placed is
output intensity of channel 2 clean and dry. Apply electrodes to the exact site indicated by your
• In standby, press P to select • In setting mode, press Ch2+
a therapy program and Ch2- to ajust user physician. The electrodes should be placed firmly and evenly on the
• Press and hold P to enter program parameters skin to ensure good contact.
setting mode See p.21 for our electrode placement guide, which also includes
recommendations for stimulation positions.
7 8
Caution: 8. Adjust the intensity to start the treatment
• Always wash and dry the treatment area before applying the Press CH1+ or CH2+ to increase the output
electrodes. intensity of the corresponding channel,
• Do not turn the device on when the electrodes are not applied which will begin treatment. Use CH1- and CH2-
to the treatment area. Never adjust, reposition or remove the to decrease the intensity. The LCD will display
electrodes while the device is still on. the current output intensity (see figure III)
•Always use this device with 4cm x 4cm self-adhesive square and remaining treatment time.
electrodes, or larger.
IMPORTANT
5. Turn the device on • The intensity of stimulation may be adjusted
Carefully read the contraindications and safety as required to a maximum of 90 (1 level/step).
information in this manual before using for the • Always turn the unit off before removing the electrodes.
first time. • The safety lock feature automatically activates after 20 seconds
Press . The device will first go into user of button inactivity. You cannot increase the output intensity
select mode (see figure I). Select U1 or U2 by while the indicator is displayed. Press CH1- or CH2- button
pressing and press S to continue. to unlock the device.
• The device stops automatically once treatment time reaches "0".
6. Select the therapy mode and site • Press to stop treatment at any time and put the device in
standby. Press the to simply pause treatment and
Press M to select “TENS”, “MASSAGE” or “EMS”.
press again to resume. If the device is locked, press CH1- or CH2-
The selected mode will flash (see figure II).
first to unlock the device.
Press S to select the therapy site (body part). • If an open circuit is detected on either channel and the amplitude
The therapy site will flash once selected level is 10mA or greater, the amplitude will be reset to 0mA.
(see figure II).
9. Consulting the memory
7. Select the therapy program
The device will record the treatment parameters (e.g. recording
Press P to select the therapy number, program, body part, the average intensity and treatment
program for the treatment site selected. time) after you finished your treatment. The maximum number of
The LCD will display program numbers (see figure II). records is 30, after which the oldest record will be deleted. To
See p.12 for details on preset and user-defined programs. check the memory data, press and hold S 3 seconds to enter into
memory mode. Press to read the memory parameter, and press
CH1 button to read the next record when the LCD display memory
number.
9 10
Notes: PRESET PROGRAMS IN TENS MODE
• The device will return to standby when you press Note: Treatment length for all options below is 30 minutes.
or after 30 seconds of inactivity.
180 Continuous
200 modulated
70 ~ Pulse width 2 ~ 100 ~ modulated
200 modulated
~ modulated
2 ~ 100 ~ modulated
~ modulated
2 ~ 100 ~ modulated
/ Amplitude
330 / Amplitude
Waveform
Alternate
• To clear the memory: Press and hold S for 3 seconds.
ramped
Simple
Simple
Simple
Simple
Simple
pulse
pulse
pulse
pulse
pulse
burst
The number of records in memory will flash on screen.
U1 (Default)
To delete, press . To cancel and return to standby, press .
Pulse Pulse
rate width
200
100 200
200
200
200
(µs)
100 330
100
~
70 ~ Pulse width 80
80
40
180 Continuous 80
2
shuts off automatically 3 minutes after the last button operation.
200 modulated
180 modulated
300 modulated
/ Amplitude
rate
Waveform
Hans
Hans
11. Low battery indicator
Pulse
When the indicator flashes, replace the batteries as soon as
possible. However, the stimulator will continue to operate for
P2
Pulse Pulse
rate width
70 ~
70 /
180
180
several hours.
(µs)
125 330
TO CREATE A CUSTOMIZED PROGRAM
(Hz)
2~
50
80
80
80
80
65
8
2
Turn on the device, select TENS or EMS and press P to select a user
350 Asynchronous
Synchronous
Pulse width
Continuous
Continuous
modulated
modulated
program. Once in U1, press and hold P to enter setting mode. In this
modulated
modulated
Amplitude
Waveform
Simple
Simple
pulse
pulse
Hans
mode, you can set the pulse width from 50 to 350µs, the pulse rate
from 1 to 150 Hz and treatment time from 5 to 90 min.
P1
100 ~
100 ~
/
Pulse Pulse
rate width
200
70 ~
200
200
200
180
180
180
180
(µs)
100 330
First press CH1- to switch between the parameters to set (pulse
80 /
(Hz)
2~
2~
rate, pulse width and treatment time).
80
60
80
50
50
2
SHOULDER
ELBOW
ANKLE
WRIST
site
into standby, the use CH1+ and CH2+ to adjust the amplitude of
NECK
BACK
KNEE
FOOT
HIP
each channel.
NOTE: to change the parameters, press and hold P again.
11 12
Program P1 P2 U1 (Default)
Pulse Pulse Pulse Pulse Pulse Pulse
Therapy rate width Waveform rate width Waveform rate width Waveform
site (Hz) (µs) (Hz) (µs) (Hz) (µs)
SHOULDER 80 150 Synchronous 50 200 Synchronous 40 200 Synchronous
Simple
NECK 1 50 Continuous 2~ 100 ~ modulated 2~ 300 Pulse rate
60 200 pulse 8 modulated
BACK 50 350 Synchronous65 350 Synchronous 80 150 Synchronous
ELBOW 50 150 Synchronous50 200 Synchronous 50 350 Asynchronous
HIP 65 350 Synchronous40 200 Synchronous 50 350 Synchronous
ANKLE 50 200 Synchronous65 200 Synchronous 50 200 Synchronous
13
PRESET PROGRAMS IN EMS MODE
FOOT 50 200 Synchronous50 200 Synchronous 65 200 Synchronous
WRIST 50 200 Asynchronous 50 / 200 Asynchronous 50 350 Synchronous
8
KNEE 50 350 Synchronous 50 350 Synchronous 40 350 Synchronous
Therapy site Program Program Phase Pulse rate Pulse width Work time Rest time
(Hz) (µs) (s) (s)
Shoulder P1, P2, P3, P4
P1 1 8 100 4 /
Neck P2, P3, P4
1 25 30 ~ 220 3.5 1.0
Back P1, P2, P3
2 25 30 ~ 220 2.5 0.9
Elbow P2, P3
3 33 30 ~ 220 1.9 0.9
Hip P1, P2, P3, P4
4 43 30 ~ 220 1.3 0.8
Ankle P3, P4
5 53 200 0.9 0.7
Foot P3, P4
6 69 200 0.7 0.6
Wrist P2, P3
P2 7 79 200 0.5 0.5
Knee P1, P2
14
8 69 200 0.7 0.6
MASSAGE PROGRAMS (PRESET ONLY)
0.6
0.7
0.8
0.9
0.6
0.6
0.4
0.5
0.5
0.6
0.7
0.8
0.9
1.0
(s)
10.8
2.6
2.8
3.3
8.5
6.8
5.7
6.3
8.5
5.1
9.1
(s)
• Use the device only with the leads and electrodes provided
with this device or sold under the ProActive brand, following
the placements and settings prescribed by your practitioner.
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
30 ~ 220 ~ 150
Pulse width
50 ~ 220
50 ~ 220
50 ~ 220
square electrodes.
• Inspect your electrodes before every use and replace as needed.
Reusing electrodes too many times may cause slight skin irritation,
low adhesion or ineffective stimulation.
rate
285
290
238
196
150
118
100
169
168
111
237
191
197
147
(Hz)
over-saturate) and then let them air-dry to help them last longer.
P3
P4
15 16
TROUBLESHOOTING
4. Maintenance If your device does not seem to be operating correctly, refer to the
• Do not attempt any repairs to the device or any of its accessories. chart below to determine what may be wrong. Should none of these
Contact us at 1-800-363-2381 for repair information. measures correct the problem, the device should be serviced.
• The manufacturer will not be held responsible for the results Problem Possible cause Solution
of maintenance or repairs by unauthorized persons. Displays fail Battery contact failure 1) Install new batteries
• Check the device before each use for signs of wear and/or to light up 2) Ensure batteries are inserted
damage. Replace worn items (electrodes, lead wires) as required. correctly, respecting the polarities,
and that battery contacts are in
place and in good condition
Weak or no Electrodes are dried Replace and re-connect the electrodes
stimulation out or dirty
Electrodes are Reposition and re-connect
improperly positioned the electrodes
Old / worn / damaged Replace the lead wires
lead wires
Stimulation is Intensity is too high Decrease intensity
uncomfortable Electrodes are too Reposition the electrodes
close together
Damaged or worn Replace the lead wires
electrodes or lead wires
Electrode active area Replace electrodes with ones that are
is too small 16 cm2 (4 cm x 4 cm or 1.5” x 1.5”)
or larger
Refer to the program Please check the manual before use
section on p.12 for
more details
Intermittent Program option in use Some programs will seem intermittent.
output This is expected. Refer to the program
section on page 12 for more details.
Lead wires 1) Verify connection is secure
and firmly in place
2) Turn down the intensity. Rotate lead
wires in socket 90°. If the problem
persists, replace lead wire.
3) If replacing the lead wire does not
solve this problem, contact us at:
1-800-363-2381
17 18
LIMITED WARRANTY
Problem Possible cause Solution AMG Medical Inc. warrants the stimulator to be free from defects in
Stimulation Improper electrode Reposition electrode material and workmanship for a period of one (1) year, to be proven by
is ineffective placement means of the sales receipt or invoice. This warranty is valid for the
Unknown Contact your doctor original purchaser only. Any alterations, abuse, misuse or accidental
The skin Repetitive use of Reposition the electrodes. If at any damage voids this warranty. Repairs under warranty do not extend the
becomes the electrodes on the time you feel pain or discomfort, stop
red and / or same site use immediately warranty period. For service under warranty, call us at:
you feel a The electrodes aren’t Ensure the electrodes are attached 1-800-363-2381, between 8 AM and 5 PM EST.
stabbing pain applied on the skin properly securely to the skin • The following is excluded under the warranty:
The electrodes are dirty Clean the electrode pads with a damp, A) All damage which has arisen due to improper treatment,
lint-free cloth or replace with new e.g. nonobservance of the user instructions.
electrodes. Clean the electrode cord
according to the description in the B) All damage which is due to repairs or tampering by the customer
user manual or unauthorized third parities.
The surface of the Replace with a new electrode C) Damage which has arisen during transport from the
electrode is scratched manufacturer to the consumer or during transport to
Output current The electrode pads Turn off the device and attach the the service centre.
stops during come off the skin electrode firmly to the skin
therapy D) Accessories which are subject to normal wear and tear.
A cable is disconnected Turn off the device and connect the cable • Liability for direct or indirect consequential losses caused by the
Batteries are low Replace with new batteries unit are excluded even if the damage to the unit is accepted as a
warranty claim.
STORAGE
TECHNICAL INFORMATION
• Remove the batteries if the device is not in use for long
periods of time. • Material: ABS • Channel: Two channel
• Store the device in a dry place and protect it against heat, • Power supply: 4x AAA batteries
sunshine and moisture. • Waveform: Biphase square-wave pulse
• Never place any heavy objects on the device. • Pulse duration: 30-350μs. • Pulse frequency: 1-290Hz
• Treatment time: 5 to 90min
DISPOSAL • Intensity: Adjustable from 0 to 90mA (at 1000 ohm )
Used fully discharged batteries must be disposed of in a specially • Operating conditions: 5°C to 40°C with a relative humidity
labeled collection container, at toxic waste collection points or through of 30% - 85%, Atmospheric pressure from 700 hpa to 1060 hpa
an electrical retailer. • Storage conditions: 10°C to 50°C with a relative humidity
Please dispose of the device in accordance with the directive of 10%~90%, atmospheric pressure from 700 hpa to 1060 hpa
2002/96/EC WEEE (Waste Electrical and Electronic Equipment). • Dimensions: 117 x 60 x 25 mm (without belt clip)
Contact your local distributor for information regarding disposal • Weight: 110 g (without batteries), 140 g (with batteries)
of the unit and accessories.
19 20
ELECTRODE PLACEMENT GUIDE ELECTRODE PLACEMENT GUIDE
Muscle Placement of Body positionning and voluntary start of Muscle Placement of Body positionning and voluntary start of
group electrodes the contraction phase group electrodes the contraction phase
Plantar arch Sit with your feet resting on the floor Adductors Sit and place a rigid (but comfortable) object
muscles between your knees
Vigorously contract the muscles of your plantar
arch, trying to dig your toes into the floor Strongly contract your adductors, while
1 2 vigorously trying to bring your knees together
Peroneal Sit with your feet resting on the floor Quadriceps Sit. The voluntary movement phase can be
muscles done in two ways:
Contract your muscles by exercising a strong • statically – immobilize your knees
pressure on the floor with your big toe, while
also trying to raise the other toes from the floor • dynamically – to emphasise the treatment
1 2
with movement, using an object to create
a resistance
Tibialis Sit with your feet placed under a piece of Strongly contract your quadriceps while trying
anterior furniture, to prevent your ankles from bending to extend your legs
Contract your tibialis anterior muscles while Buttocks Lie down on your stomach or stand up.
vigorously trying to raise the tip of your foot Important note: this treatment requires very
against an object that resists and prevents this 2
good muscular qualities and is not compatible
1
movement with certain morphologies. If you experience
repeated failures with this technique, we
recommend that the buttocks be treated in
Calf Sit with your back and feet firmly placed classic mode.
muscles against supports. This position is easy to adopt Vigorously contract your muscles to try to close
1 2 by sitting, for exemple, in a doorframe your buttocks while trying to bring your thighs
behind your back
Vigorously contract your calf muscles while
strongly trying to push the tip of your foot Abdominals Lie down on your back, which can be slightly
1
against an object that resists and prevents raised. The voluntary movement phase can be
this movement done in two ways:
2 • statically, to simply start the muscular
Hamstrings Lie flat on your stomach with your ankles held contraction phase
down in a convenient way
• dynamically, to associate the treatment with
1 2
Vigorously contract the muscles on the back sit-ups. In this case, always work with your
knees bent so as to not accentuate the
of your thighs (hamstrings) while trying to bend lumbar region arch (lordosis)
your knees
Strongly contract your abdominal muscles,
1 2 while vigorously trying to raise your head and
shoulders from their support
21 22
ELECTRODE PLACEMENT GUIDE ELECTRODE PLACEMENT GUIDE
Muscle Placement of Body positionning and voluntary start of Muscle Placement of Body positionning and voluntary start of
group electrodes the contraction phase group electrodes the contraction phase
Lower back Sit. Important note: it is necessary Deltoids Sit with your elbows placed inside armrests
muscles to have strong muscles to use this method. to create a resistance to their movement away
In case of repeated failure, we recommend use from the body
2
1 2 of “classic” mode or use of the recommended
placement for combined stimulation of the low
1 Vigorously contract your deltoids, while strongly
trying to move your elbows away from your body
back muscles and erector spinalis. In this case,
always take care to position the electrodes at
the level of the dorsal region muscles, as shown
in the picture. Latissimus Sit with your elbows placed outside of a chair’s
dorsi armrests, to create a resistance to their
Vigorously contract your lower back muscles, movement towards the body
while trying to sit as tall as possible
Vigorously contract your latissimus dorsi, while
strongly trying to move your elbows towards
Erector Sit your body
spinae
1 2 Vigorously contract your back muscles while
trying to sit as tall as possible Pectorals Sit with the palms of your hands in contact
with each other. WARNING: This electrode
positioning increases risks of cardiac fibrillation
Vigorously contract your pectoral muscles while
strongly trying to press the palms of your hands
Cervical Sit against each other
muscles
Vigorously contract your back muscles while
1 2 trying to sit as tall as possible Triceps Sit with your forearms and hands resting
on armrests
1 Vigorously contract your triceps, while strongly
2 trying to dig the palms of your hands into the
Trapezius Sit armrests
1
Strongly contract your trapezius muscles while
trying to shrug your shoulders vigorously Biceps Sit with your forearms resting on armrests
2
and the palms of your hands facing up.
Use a fixing system to avoid any movement or
flexion of your elbows during stimulation
Vigorously contract your biceps, while trying
strongly to move the palms of your hands
towards your shoulders
23 24
ELECTRODE PLACEMENT GUIDE
Muscle Placement of Body positionning and voluntary start of
group electrodes the contraction phase
25