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CONTENTS
o Function
o Main Performance Data
o Complete Set
o Component Parts and Operation
o Safety Measures
o General Recommendations
o Operating Procedure
o Technical Maintenance
o Certificate of Acceptance
o Guarantees
o Deficiency Reports
o Transportation and Storage
o Special Marks
o Therapeutic Action
o Indications
o Contraindications (general and relative)
o Methods of Application
o Instructions on Diagnostic and Therapeutic
o Modes Application
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This Operations Manual is intended for the DiaDENS transcutaneous analgetic portable
electrostimulator with built-in and external electrodes for BAP and BAZ stimulation, auricular and Voll's
diagnostics and includes a certificate and User's Instructions.
During the operation strictly follow all the rules provided for in the documents.
The apparatus and component parts can be repaired only by specially trained and certified personnel
in conformity with operations and safety rules at the manufacturer's plant.
1. FUNCTION
The DiaDENS electrotherapeutic apparatus, hereinafter called APPARATUS is used to treat pain and
injury areas, reflexogenic areas and acupuncture points of the body. It is recommended to use the apparatus
in a complex treatment of diseases causing pain and its equivalents (parestheasia, itching, spasms), to
remove postoperational and traumatic pains, muscle fatigue, to improve the microcirculation and trophism of
tissues, to treat functional disorders within a broad spectrum of pathologies.
Several modes of stimulation as well as special manipulation techniques provide for safe and
comfortable treatment. Dynamic electrostimulation provides for selective treatment of the functional states of
internal organs and regulation physiological functions and pain sensitivity.
The functional and compact form of the apparatus, internal power supply enable the apparatus to be
operated in the inpatient and outpatient settings, field environment, during sports events, at a production site
and at home, the instruction being observed.
The apparatuses are made in two versions — DiaDENS-T and DiaDENS-DT. The DiaDENS-T
version lacks auricular and Voll's diagnostics.
2. MAIN PERFORMANCE DATA
2.1. Minimal impulse parameters:
duration of the positive impulse, uS, not more than 5
amplitude of the positive impulse, V, not more than 10
amplitude of the negative impulse, V, not more than 10
2.2. Maximal impulse parameters:
duration of the positive impulse, uS 500±70
amplitude of the positive impulse, V 30+10
amplitude of the negative impulse, V:
without load 350±70
with load (20+5%) kOhm 300+70
2.3. Amplitude at minimal power is 5% from amplitude at maximum power.
2.4. The apparatus provides for the following frequencies of impulses,
Hz 10±2; 20+2; 60±2; 77±2; 140+5; 200±5
2.5. Power source: 6F22 type battery, voltage 9V
2.6. Weight, kg, not more than 0.35
2.7. Including an external therapeutic electrode, kg, not more than 0-5
2.8. Dimensions of the apparatus, mm, not more than 210x55x45
2.9. Dimensions of the therapeutic electrode, mm, not more than 125x10
2.10. Dimensions of the passive diagnostic electrode, mm, not more than 100x20
Dimensions of the active diagnostic electrode, mm, not more than 130x10
2.11. The form of impulses is in Fig.
2.12. The apparatus generates bipolar electric impulses
which dynamically adapts to changes of the skin impedance
providing for comfortable and efficient electric treatment.
The apparatus automatically switches off not later than in 10
min after the last touch of any of the buttons (except the
button OFF) or after the last contact of the electrodes to the
patient's skin. Operation conditions:
— ambient air temperature °C 10-35
— relative air humidity at 25°C, not more than 93
If the apparatus is stored at the temperature below 10°C,
keep it under normal conditions at least for two hours before
use.
Depending on the potential risk of application, the apparatus
relates to Class 2a under 93/42/EEC.
The apparatus is equipped with a liquid crystal display (LCD)
showing the modes of operation.
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3. COMPLETE SET
3.1 The complete set of delivery of the DiaDENS-DT apparatus should correspond to Table 1.
Table 1
Denomination Quantity
DiaDENS-DT electro-stimulator
Operating manual including certificate
External therapeutic electrode
Diagnostic electrode
Container
Electric power source: Battery type 6F22
1
1
1
1
1
1
3.2 The complete set of delivery of the DiaDENS-T apparatus should correspond to Table 2.
Table 2
Denomination Quantity
DiaDENS-T electrostimulator
Operating manual including certificate
External therapeutic electrode
Container
Electric power source: Battery type 6F22
1
1
1
1
1
4. COMPONENT PARTS AND OPERATION
4.1 The apparatus consists of body 1 (Fig.1, Fig.2} with built-in electrodes 13 (Fig3), cover 14 (Fig.3) for the
power source replacement. Apparatus is equipped with an external therapeutic electrode (Fig.4.1).
ATTENTION! The external therapeutic electrode can be applied only in the THERAPY mode
(constant mode). Before applying the external electrode, the treated part of skin should be wiped with a
tampon moistened in a physiological solution (for example, 0.9% NaCLsolution)ortreated with MALAVTILIN
cream until its complete absorption. The complete set of the DiaDENS-DT apparatus includes a diagnostic
electrode (Fig.4.2).
4.2. The apparatus is equipped with liquid crystal display (LCD) (Fig.1, Fig.2).
4.3. The apparatus possesses the following operating controls:
button 3 ( B ) — to switch on the BIOREPER mode;
button 4 ( F ) — to switch on the VOLL mode;
button 5 ( + ) — to increase frequency in the THERAPY mode;
button 6 ( + ) — to increase power in the THERAPY mode;
button 7 ( - ) — to decrease frequency in the THERAPY mode;
button 8 ( - ) — to decrease power in the THERAPY mode;
button 9 ( ON ) — to switch on the apparatus;
button 10 ( OFF ) — to switch off the apparatus.
4.4 The apparatus also has the following connectors:
connector 11 — to connect the external therapeutic electrode;
connector 12 — to connect diagnostic electrodes.
ATTENTION! The apparatus contains fragile elements. Keep it safe from blows and drops.
5. SAFETY MEASURES
5.1. The apparatus is not electrically dangerous for the patient due to its built-in low voltage electric power
source.
5.2. The apparatus must not be used to treat patients with implanted electronic devices (for example,
cardiostimulator).
5.3. During stimulation the patient should not be connected to some high-frequency electric surgical device.
5.4. Warning on potential dangerous factors:
— simultaneous application of the apparatus and another electric device can result in burns and
damage of the apparatus;
— close operation (at about 1 meter) of a shortwave or microwave therapeutic device can cause
instability of the output parameters of the apparatus.
5.5. Don't use the device near the heart.
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6. GENERAL RECOMMENDATIONS
Treatment is fulfilled on the skin surface. Take a comfortable (lying or sitting) position and remove
clothes from the parts of the body for electrostimulation. With the doctor's diagnosis treatment should be
applied to areas indicated in he Operations Manual (see Supplement). Without the doctor's diagnosis
treatment should be applied to painful areas. Find the required area and evenly press the electrodes to the
skin. Manipulate with one hand.
7. ORDER OF OPERATION
7.1 Check for serviceability
Make sure that the battery is in the power compartment and correctly installed. Switch on the apparatus
pressing button 9 ( ON ) (Fig. 1, Fig.2) located on the front body panel, and smoothly and repeatedly pressing
button 6 ( + ) (Fig. 1, Fig.2) to increase power, and then pressing button 8 ( - ) (Fig. 1, Fig.2) to decrease
power, make sure that the apparatus is in good order following the decreasing and increasing numerals on
the LCD . After checking, switch off the apparatus pressing button 10 ( OFF ) (Fig.1, Fig.2)
7.2 General order of operation
SWITCHING ON THE APPARATUS
Press button 9 ( ON ) (Fig.1, Fig.2). A melody is heard, and the LCD shows
commercial information (20 sec). After the commercial insert is over, the apparatus
in the STAND-BY position. To cut the commercial you can press and hold any of the
following buttons: 3 ( B ), 4 ( F ), 5 ( + ), 6 ( + ), 7 ( - ), 8 ( - ), (fig.1, Fig.2) until the
display shows the STAND-BY mode.
THERAPY mode
Choose the required frequency of treatment before switching on the THERAPY
mode.
Press and release button 5 ( + ) (Fig.1, Fig.2) to increase the frequency of effect.
The LCD shows a
frequency change in the direction of 20, 60,77, 140, 200 Hz.
Press and release FREQUENCY 7 ( - ) (Fig.1, Fig.2) to decrease the frequency of
effect The LCD shows a frequency change in the direction of 200, 140, 77, 60, 20 Hz.
Put the electrodes on the recommended skin area to switch on the THERAPY mode.
Then, holding the electrodes on the skin, increase the power from P00 to the required
value (max P99) pressing button POWER 6 ( + ) (Fig. 1, Fig.2). The apparatus will
smoothly increase the impulse powerto the specified parameter. Upon release of the
button the value of power is fixed, and the apparatus starts the reading of the time of
the procedure.
Press button POWER 8 ( - ) (Fig. 1, Fig.2) to decrease the power of effect. (Fig. 1,
Fig.2) holding the electrodes on the patient's skin. The LCD shows a change in the
power value from the current value to POO. Upon release of the button the power
value is fixed, and the apparatus starts the reading of the time of the procedure.
ATTENTION! The power increase is controlled subjectively following the patient's
sensations upon contact of the electrodes with the skin surface. Do not surpass the
pain threshold.
ATTENTION! If contact with the skin ceases to exist, the apparatus turns into the
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STAND-BY mode in 2-5 sec.
If a button is not pressed or there is no contact with the skin within 10 minutes, the apparatus announces
"GOOD HEALTH", "GOOD BYE", and automatically switches off after a melody.
MINIMAL EFFICIENT THERAPEUTIC DOSAGE PROGRAMME (MED)
To enter MED press and release button FREQUENCY 5 ( + ) or 7 ( - ) (Fig.1, Fig.2)
until the LCD shows the frequency value equal to 10 Hz (F10). Then assign the
individual power with buttons 6 ( + ) or 8 ( - ) (Fig.1, Fig.2).
ATTENTION! Power increase is controlled subjectively following the patient's
sensations upon contact of the electrodes with the skin surface. Do not surpass the
pain threshold.
ATTENTION! During operation in the MED programme the electrodes on the patient's
skin should be set in the "stable" position, i.e. they should not move.
The electrodes being in constant contact with the skin surface, the STAND-BY
message is replaced by the announcement on the first phase of the MED-TEST, and
the testing procedure starts accompanied by a check of the state of the skin surface
and time indication.
Upon achieving a definite state of change in the skin surface, continuous stimulation
of the skin area takes place during 5 minutes. For several seconds the first line of the
LCD fixes the time of testing, then the THERAPY message appears on the display,
and the countdown of the duration of the minimal efficient dosage is initiated. A sound
signal is heard after 5 minutes of treatment.
SCREENING MODE
Press button FREQUENCY 7 ( - ) until the first line of the LCD announces SCR. The
apparatus operates at 10 Hz in the SCREENING mode.
Then choose the required power with buttons POWER 6 ( + ) or 8 ( - ) (Fig.1, Fig.2).
ATTENTION! Power change is controlled subjectively following the patient's
sensations upon contact of the electrodes with the skin surface. Do not surpass the
pain threshold.
The electrodes being set on the skin surface, instead of the STAND-BY message the
second line of the LCD indicates a 5-sec interval during which the reactivity of the
trigger zones is determined.
After a 5-sec exposition and a short musical signal, the apparatus produces the
measurement results in the form of index ALT (within the range of 0... 100 units).
To measure the reactivity of other trigger zones of the skin surface it is necessary:
— to remove the electrodes from the examined skin surface, the LCD showing
the message "STAND BY";
— to set the electrodes on a new examined skin area, the apparatus starting
new measurements.
Press button FREQUENCY 5 (Fig. 1, Fig.2) to quit the SCREENING mode.
BIOREPER MODE (only for DiaDENS-DT)
Press button ( B ) (Fig.1) to switch on the BIOREPER mode. Pass the passive
electrode into the
patient's free hand and set the active electrode on the IN-TAN point. Press button
POWER 6 ( + ) (Fig.1).
The voltage of testing is being selected, and its values appear in the right low angle of
the LCD. The left low angle of the LCD shows the value of the current passing across
the IN-TAN point.
Upon reaching the current value of 10 uA the selection of the testing voltage is
completed. The upper line of the LCD shows Ut testing voltage, and the lower line
shows the uA value of the passing current.
The apparatus is ready for diagnostics. If the 10 uA current is not reached, the LCD
shows the message "LOW CURRENT". Upon contact with the active points of the
auricular the current values change appear on the LCD in the range of 0 to 15 uA.
The upper line still shows the Ut testing voltage.
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Press button 3 ( B ) (Fig.1) to switch off the BIOREPER mode and switch over to the STAND-BY mode.
VOLL mode (only for DiaDENS-DT)
Press button 4( F ) to switch on the VOLL's diagnostics. (Fig.1).
The passive electrode is taken into the free hand. Upon contact of the active
electrode with the biologically active points (BAP) on the skin surface the LCD shows
current values in conventional units.
Upon reaching the maximal current value press button POWER 6 ( + ) (Fig.1) holding
the active electrode on the BAP. The LCD shows:
— MAX — maximal current value;
— Two measurements with a 1 sec interval showing the difference between the
present and maximal values of the current.
This measurement algorithm is called the effect of the "arrow fall".
The data are retained on the LCD for 3-4 sec. Then the measurement procedure
under VOLL's method is repeated.
Upon completion of measurements the message VOLL comes back to the main
display.
Press button 4 ( F ) (Fig. 1) to complete the VOLL's diagnostics and switch over to
the STAND-by mode.
SWITCHING OFF THE APPARATUS
Press button 10 ( OFF ) (Fig.1, Fig.2) to switch off the apparatus. The apparatus
sends messages "GOOD HEALTH", "GOOD BYE", and after a melody switches off.
The apparatus switches off by itself if the voltage of the power source falls to 7.9V.
Prior to this, the LCD shows the flickering message "CHANGE BATTERY". The
same message is sent if the voltage is lower than 7.9V, followed by the messages
"GOOD HEALTH", "GOOD BYE". After a melody the apparatus switches off.
8. TECHNICAL MAINTENANCE
8.1. Daily technical maintenance carried out by the personnel every morning should include the following:
external examination of the apparatus;
disinfection (use standard disinfection means and soft hair-free cloths to clean the electrodes).
8.2. If the apparatus is not to be used for a prolonged period of time, remove the power source from the
compartment (Fig.3, item 14).
9. CERTIFICATE OF ACCEPTANCE
Transcutaneous analgetic portable electrostimulator with built-in and external electrodes for BAP and
BAZ stimulation, auricular and Voll's diagnostics complies with the standards TU 9444-001 -41006303-2003
and is acknowledged to be ready for operation.
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10. GUARANTEES
The manufacturer guarantees the compliance of the apparatus to the standards TU 9444-001-
41006303-2003 on condition the conditions of operation, transportation and storage are observed.
The operation life-time is no less than 5 years.
The guarantee period of operation is 12 months from the date of sale. The guarantee period of the
power source is determined by its manufacturer.
The seller (manufacturer) or organization carrying out the functions of the seller (manufacturer) on a
contractual basis is not responsible for the defaults should they occur after the disposal of the apparatus as a
result of:
— a failure on the part of the consumer to comply with the rules of transportation, storage, care and
operation provided for by the manual;
— acts of God and third parties.
11. DEFICIENCY REPORTS
In case of failure or defects or shortage found during the guarantee period, the owner of the
apparatus should send the manufacturer the following documents:
— an application for repairs (replacement) indicating the address and telephone number;
— a list of deficiencies with a summary of defects, date and conditions of their manifestation.
12. TRANSPORTATION AND STORAGE
Conditions of transportation: temperature from - 50 to + 50°C, relative air humidity - up to 93% at
+25°C. The apparatus should be stored in closed premises in the in the manufacturer's package at - 50 to
+40°C and relative air humidity up to 98% at +25°C.
13. THERAPEUTIC ACTION
Use of reflex zones and points for prophylaxis, treatment and functional recovery is one of the most
ancient and efficient means of physio- and reflexotherapy.
Examinations show that the therapeutic action of the transcutaneous electroneurostimulation is based
on multilevel reflex and neurochemical reactions triggering a cascade of regulatory and adaptive mechanisms
of the body. This results in elimination of pain syndromes, improvement of blood circulation, anti-inflammatory
actions, activation of biologically active substances and metabolic processes in tissues that stimulate removal
of metabolism products from pathological areas, normalization of the muscle and vascular tones. Electric
treatment promotes better mood, improvement of general condition and capacity for work.
14. INDICATIONS
ATTENTION! The application of the electrostimulator should be agreed upon with the attending
doctor who possesses the required knowledge and is familiar with indications and contraindications for its
usage. The use of the electrostimulator is indicated in the following cases:
— diseases of the nervous system ( neuritis, polyneuritis, plexitis, neuralgia, tunnel syndrome, phantom
pains,
aftereffects of the cerebral stroke, infantile cerebral paralysis);
— diseases of the blood circulation system (neurocirculatory distonia, arterial hypotension, obliterating
diseases of peripheral vessels);
— lung diseases ( acute respiratory diseases, rhinitis, tracheitis, bronchitis);
— ENT diseases ( laryngitis, highmoritis, frontitis);
— diseases of the digestive apparatus (gastritis, stomach ulcer, duodenal ulcer);
— diseases of the musculoskeletal system (osteochondrosis of the spinal column neurological and pain
syndromes,myositis, arthritis and joint arthrosis);
— diseases of the urogenital system (cystalgia, prostatitis, painful menstruations);
— surgical practice and sports medicine (joint traumas, injuries, sprains, postoperative pain syndrome);
— cosmetology for improvement of elastonic properties of the skin;
— fatigue relief;
— various age-related indispositions.
15. CONTRAINDICATIONS (GENERAL AND RELATIVE)
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— individual intolerance to the electric current;
— implanted cardiostimulator;
— pregnancy (first trimester);
— neoplasms of any etiology and localization*;
— convulsive syndrome**;
— acute febrility of unclear etiology (after emergency a special examination is needed including
antiepidemic measures)**;
— vein thrombosis and embolism (treatment is not to be applied in the direct projection);
— acute disturbances of cerebral and coronary blood circulation**;
— painful manifestations demanding urgent surgical intervention or intensive therapy**.
-------
* - Under any stage of the objectively verified oncological process the apparatus treatment does not replace the tactics and protocol of
treatment, but provides for rapid relief of the pain syndrome, elimination of any toxic and functional disturbances, improvement of the
quality of life.
** - Does not exclude first pre-doctor aid followed by compulsory examination by a medical specialist.
16. METHODS OF APPLICATION
ATTENTION! The built-in electrodes should be applied only to the skin surface. Electrostimulation is
used to produce a local and general effect on the organism. The reflex zones are selected in accordance with
the segmental and peripheral innervation and a definite algorithm of effect. Under dynamic
electroreflexotherapy of the motor and sensory functions the selection of reflex zones is made in the place of
affection of the segment or peripheral nerve as well as on the symmetrical areas of the other part of the body.
One of the simplest and rather efficient ways of choosing treatment areas is to affect directly on thre
areas of the direct projection of the complaint or organ "responsible for the complaint". For example, in case
of lumbodynia treatment is made in the areas of the direct projection of pain; in case of pathology of the
bronchus-lung system treatment is also made in the areas of the direct projection of lungs and bronchi; in
case of diseases of the hepatobiliary system treatment is made in the areas of the direct projection of liver
and gallbladder;
In case of changes in knee joints treatment is made in the areas of the direct projection of the knee
joints. In case of a chronic pathological process, apart from direct affection in the area of the direct projection
of the "complaint", it is desirable to have an extra apparatus treatment in the relative segmental and
corresponding points for greater efficiency.
DENS-treatment can be combined with pharmacotherapy, other methods of reflexotherapy,
homeopathy and phytotherapy.
After the diagnosis has been established by a competent DENS- physician, the programme of
treatment is made up, the list of treatment zones is determined including reflexogenic and acupuncture points,
time and modes of stimulation. This manual lists the zones of treatment which can be used for dynamic
electrostimulation in case of several widely-spread disease states (see Supplement No.1).
ATTENTION! The first and often only sign of a serious disease can be a sharp pain of any
localization. It is not for nothing that the ancient Greeks said," Pain is the watchdog of health." If the pain
symptoms are unfamiliar and repeat, and the intensity of pain increases, one should immediately consult a
doctor.
At the start of acute and chronic diseases, if necessary, two or more DENS-therapy procedures a day
are permissible with 1.5-hour intervals between them until a stable positive clinical effect is achieved. After
the patient's state has been achieved, DENS-therapy is ceased.
It is recommended to have a course treatment in case of chronic prolonged diseases. One course of
treatment normally takes from 10-15 to 21 -30 days. The duration of the course is determined individually and
depends upon the gravity of homeostasis and duration of the disease. If required, it is recommended to
conduct several courses of DENS-therapy with 7-14 day intervals between them.
DENS-treatment is taken in a comfortable sitting or lying position. The electrodes are in close contact
with the skin surface (stable), they being either fixed or being moved with light massaging efforts (labile). The
average speed of displacement of the built-in electrodes over the skin surface is preferably 1 -2cm/s.
The energy level of treatment is determined individually, because every person has his own pain
threshold. The most efficient therapeutic power of electrostimulation is the one which causes intensive rather
than pain sensations.
ATTENTION! Treatment should not be combined with analgetic block. DENS-treatment should be
carried out in the following manner:
— switch on DiaDENS;
— press the electrodes to the skin area chosen for DENS-treatment;
— set the frequency and energy power of treatment following the values and subjective sensations of
the patient;
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— apply sequential treatment to the required skin areas either in the "stable" mode or "labile" mode.
The duration of the therapeutic action in one area makes on average 5 minutes. If during one
treatment it is necessary to affect several areas (their number should not exceed 3-4 per treatment), it is
permissible to increase the overall time of the treatment procedure. The average optimal duration of the
DENS-therapy procedure is 20-30 minutes. It is recommended to reduce the overall time of the dynamic
electroneurostimulation for children under 12 and elderly people. After the treatment procedure the patient
should relax for 10-15 minutes.
It is allowed to hold several procedures a day in treating chronic diseases. In this case after rapid
relief of symptoms of exacerbation it is recommended to hold one procedure a day. During the course of
electrotherapy it is allowed to take a pause in treatment, but for not more than two days because otherwise it
can result in poor efficiency of the medical effect.
ATTENTION! During treatment, 2-3 procedures after, exacer bation of the disease can take place. As
a rule, it is a typical reaction to most methods of convexial therapy. In this case it is recommended to carefully
analyze the symptoms, and if they are not due to contraindications, continue the treatment. You can also
consult the doctor.
The design of the apparatus makes it possible to use the external electrodes in special diagnostic
and therapeutic electropuncture.
The simplest method of reflexotherapy is to treat the painful areas and points of the body, auricles,
hand and foot which can be done at home. However, medical specialists have broader opportunities to use
acupuncture points following the algorithms proved by many generations.
The electropuncture diagnostics before, after and in the process of treatment to a great extent
corresponds to these goals.
ATTENTION!
The external therapeutic electrode can be used only in the THERAPY mode (constant mode).
Before applying the external electrode the treated skin area should be wiped with a tampon moistened in a
physiological solution (for example, 0.9% NaCI solution) or treated with Malavtilin cream until its complete
absorption.
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USER'S MANUAL FOR DIAGNOSTIC AND THERAPEUTIC MODES
DiaDENS-DT diagnostic modes
I. TEST mode
TEST as the first phase of the MED therapeutic programme (see Section "Therapy") corresponds to
the former notion of "dosed mode" and is used separately from the second phase to reveal latent trigger
zones (LTZ). In this case, after the first MED musical signal, the final result of testing should be remembered
or registered in the form of Т - 12 sec (for example), which is fixed in the first line of the LCD, and then
compared to other values received during the similar testing of other zones. Apart from registering, other LTZ
should be searched for too. After the first phase of the MED programme there is no need to pass over to the
second MED phase of therapeutic treatment (THERAPY mode is in the second line of the LCD). After
receiving the TEST results in the form of a digital expression (for example, Т - 12 sec), the electrodes should
be moved to the next treated zone.
ATTENTION! During testing the electrodes should be fixed on the patient's skin or be stable until the
results of testina are received.
II. SCREENING MODE
The Diagnostic SCREENING mode is based upon clinical and experimental data which enabled to
improve the system of the biological feedback.
The SCREENING mode allows to objectively reveal within a short standard time (5 sec) the reactivity
of LTZ in the values of ALT index (latent trigger delta) and is an accelerated version of the dosed mode.
The SCREENING mode is used for swift search and examination of latent trigger zones rather than
for diagnostics of a disease.
Switching on the SCREENING mode is made as follows. When the LCD shows the STAND-BY
message, press button FREQUENCY 7 ( - ) (Fig.1, Fig.2) until the LCD shows the SCR/STAND-BY message.
Press button POWER 6 ( + ) (Fig.1, Fig.2) to reach the minimal or comfortable subjective sensation of the
patient (see the energy level of the apparatus treatment). Then within 5 sec the apparatus registers the
changing parameters of the skin state in the area of subelectrode diagnostic zones and replies in the form of
a latent trigger index - the LCD shows ALT = 8 (for example). The index values which differ greatly from the
main number of received ALT numbers, determine the latent triggers.
III. BIOREPER MODE
Order and steps of the auricular diagnostics in the BIOREPER mode:
a) Prior operations:
— for positive results it is recommended that before the examination the patient abstain from food for 2
hours, empty the urinary bladder, a day before abstain from tonic and sedative preparations. His
clothes should be made of natural fibre to avoid static electricity, the devices generating high-
frequency electromagnetic fields should be switched off and removed ( pager, mobile phone, MW
oven, TV set, iron, etc.);
— before the examination the patient should take of jewelry, glasses, watches and stay in a state of
quiet vigilance for 15 minutes;
— when examined, the patient should be in a sitting or lying position;
— the physician conducting the testing should not the patient simultaneously with both hands;
— insert the plug of the diagnostic electrodes into socket 12 located on the left side surface of the
DiaDENS apparatus (Fig.1);
— before measurements the diagnostic passive and active electrodes are treated with a cotton-gauze
tampon moistened in a 70% alcoholic solution.
b) Methods of diagnostics:
First step — determination of the individual testing voltage:
— the patient holds the passive metal cylinder-like electrode in a fist, the patient's hands neither
crossing not touching each other;
— the active "point" electrode is in the doctor's hand;
— the apparatus is switched on with button 9 (ON) (Fig.1), then press button 3 (bioreper mode) ( B )
(Fig.1);
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— the active "point" electrode is set on the IN-TAN point which is located along the middle line of the
head between eyebrows on the patient's nose bridge;
— press button POWER 6 ( + ) (Fig.1) and hold it until the apparatus selects the individual testing
voltage (the left lower part of the LCD shows 10 uA). The apparatus is ready for diagnostics.
Second step - diagnostics proper:
— The patient keeps holding the passive cylinder-like electrode in the hand homolateral to the tested
auricle;
— The doctor sets the active electrode into the required points of the auricle (see Supplement 2) for 2-3
sec per each point. It is required that the pressure should be equal, uniform and the electrode should
not slide from the point. It is not recommended to to take measurements in one and the same point
more than two times at a run as well as take measurements in one point for more than 5 sec
(otherwise, the hemodynamics is disturbed which results in deviations of the diagnostic values). The
patient is asked to inform of expressed pain sensations in any tested points;
— The current values are shown in uA in the lower part of the LCD and disappear after the electrode is
removed from the skin. The doctor should remember these values or write them down in a special
form (diagnostic chart);
— After registration of measurements the registered values of diagnostic currents are analyzed in
conformity with the data specified in Table 1. The synthesis of the obtained information enables to
form a diagnostic decision which reflects the peculiarities of the pathological process and the phase
of the disease. It also serves as important information for making up formulae for the apparatus
treatment and therapeutic algorithm.
Table 1
Current intensity, in AP, uA <1 1-2 2-3 4-7 8-11 12-15
Degree of expressed pathology Moderate and
expressed
Slightly
expressed norm Slightly
expressed moderate Expressed
Directivity of functional changes hypofunction norm hyperfunction
IV. VOLL mode
Operation in the VOLL mode consists of several steps.
1. The preparatory step corresponds to that of the BIOREPER mode.
2. Voll's electropuncture diagnostics providing preliminary information on localization of pathological disorders
and their character is carried out in the following way:
— the patient takes the passive tubular electrode into his left hand;
— the operating part of the active point electrode is moistened with cotton impregnated in water or
physiological solution;
— press button 9 ( ON ) to switch on the apparatus (Fig.1), then press button 4 (Voll mode) ( F ) (Fig.1);
— the doctor takes the patient's right hand with his left hand and determines the projection of
measurement points by anatomic landmarks (MP);
— the doctor sets the active point electrode in the MP projection gradually increasing pressure with the
electrode and following the apparatus scale until stable figures are reached which do not change with
pressure increase. The duration of measurement of one MP should not be less than 5-10 sec at a
stable figure;
— in most MP located on the phalanxes of fingers and toes the active electrode is placed at 45* to the
skin surface, in other cases the active electrode is placed perpendicular to the skin surface;
— the measurements are written down in a special form;
— after measurements on the right hand the patient takes the passive electrode into his right hand, and
measurements are taken in the same succession on the left hand;
— the passive electrode is in the ipsilateral hand when measurements are taken on legs;
— interpretation of the values and formation of a diagnostic decision.
Voll's medical testing is carried out to determine individual tolerance (compatibility), allergens or
substances causing undesirable effect, homeopathic and pharmacological preparations, nutrients,
substances and liquids. The medical test serves to register MP electropuncture values, interpret the results
and form a diagnostic decision.
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DiaDENS-T diagnostic modes
I. TEST mode (see DiaDENS-DT diagnostic modes)
II. SCREENING mode (see DiaDENS-DT diagnostic modes)
DiaDENS-T and DiaDENS-DT Therapeutic Modes
I.THERAPY mode
The THERAPY mode (in the manual for DENAS apparatuses it is named "constant mode") is
switched directly at frequencies between 20-200Hz after the STAND-BY mode by pressing button «POWER»
6 ( + ) (Fig.1, Fig.2) of the required subjective level of energy, (see below). At 10Hz the THERAPY mode
switches on automatically after the first MED phase (see below).
The THERAPY mode can accomplish both zonal ( using built-in electrodes and special zonal
external electrodes) and point ( using the external therapeutic electrode) apparatus action. The algorithm and
zones of the apparatus treatment in the THERAPY mode are shown in "Manual on Dynamic
Electroneurostimulating Therapy for DENAS apparatuses".
ATTENTION! The external therapeutic electrode can be used only in the THERAPY mode (constant
mode).
Before applying the external electrode the treated skin area should be wiped with a tampon
moistened in a physiological solution (for example, 0.9% NaCI solution) or treated with Malavtilin cream until
its complete absorption.
1. THERAPEUTIC FREQUENCIES (F)
The DiaDENS apparatus generates electric bipolar impulses of a complex neurolike form with a
fading oscillating character and provides for an opportunity to set the next succession of impulse frequencies
(10,20,60,77,140,200 Hz).
For convenience and in accordance with general practice in electroreflexotherapy the given
frequencies are conventionally divided into the following functional frequency ranges:
— A — low-frequency range — 10 and 20 Hz. Low-frequency stimulation like classical acupuncture is
realized in the opioidergic system of the organism. In the low-frequency range anesthesia develops
slowly 20-60 min after, but remains persistent during the next 3-5 hours. It is used in the area of
direct projection of the complaint or organ "responsible" for the complaint (ORC).
— В — high-frequency range — 60, 77, 140 Hz. The results of high-frequency stimulation are not
connected with an increase of opioids in the plasma or liquor, its analgetic effect is of local
segmental character. The analgetic effect within the high-frequency range is achieved very quickly in
5-10 min, but it is relatively nonpersistent and regresses completely 30-60 min after the stimulation. It
is used both for treating ORC area and any other segmental zones.
— С — superhigh frequency — 200Hz. It causes local anesthesia which is retained during the
apparatus treatment due to the fact that the nerve tissues in the zone of treatment develop
phenomena of parabiosis, and the esodic pain impulse is blocked. It is applied in the area of direct
projection of pain.
2. ENERGY LEVEL OF THE APPARATUS TREATMENT (LEVEL OF POWER - P)
Unlike other apparatuses DiaDENs provides for a special scheme controlling a low-load mode which
gives the patient comfortable sensations. In other words, unlike other stimulators, these apparatuses do not
cause pain sensations.
The level of energy treatment is determined subjectively. The required level of energy is achieved
after setting the electrodes on the patient's skin and pressing button «POWER» 6 ( + ) (Fig.1. Fig.2). It is not
recommended to increase the individual pain threshold.
The following energy levels are distinguished:
— minimal energy level. After setting the electrodes on the skin the patient does not have any
subjective sensations (pains, prickings). This level is used mostly in the dosed mode rendering aid to
children;
— comfortable energy level. After setting the electrodes on the skin the patient feels light or moderate
non-irritating pricking. This level can be used in treating adolescents and adults in the dosed mode,
in emergency cases and in treating trigger zones;
— Maximal energy level. After setting the electrodes on the skin the patient feels expressed pricking or
acute pain which can be accompanied by involuntary contraction of muscles close to the electrodes.
This level is used treating a pain syndrome of great intensity, in emergency cases and
unconsciousness.
DIADENS (Operation manual) www.jpastar.com
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II. MINIMALLY EFFICIENT THERAPEUTIC DOSAGE OF THE APPARATUS
TREATMENT PROGRAMME (MED)
The MED programme includes two phases. And operates only at 10 Hz. Automatic dosage is used. It
is applied once during the course treatment in the required zones, with electrodes being fixed on the
patient's skin for achieving a new level of adaptation, general resistance of the organism, prophylaxis of
various pathological states (syndrome of chronic fatigue, seasonal indisposition, computer syndrome,
epidemic period, hypopolivitaminosis). To switch on the MED programme , when the LCD shows a STAND-
BY message (F -77Hz), press button «FREQUENCY» 7 ( - ) (Fig.1, Fig.2) until the display shows "F-10Hz".
Pressing button «POWER» 6 ( + ) (Fig. 1, Fig.2) estimate the required subjective sensation of the patient
(see Section " Energy Level of Power"). The apparatus switches on the first phase - TEST mode
(similar to the dosed mode of the DENAS apparatus for registration of the functional state of trigger zones).
1. The first phase of the MED programme starts which corresponds to the TEST mode on the LCD.
The countdown of the duration of changes in the impedance is initiated to receive one-place values. After the
values have been received, a musical signal is heard, the result of testing is fixed on the LCD within several
seconds, and the second phase of the MED programme - THERAPY mode - automatically switches on.
2. The second phase of the MED programme is used for therapeutic treatment (constant mode) at 10
Hz (this function was not available is DENAS apparatuses) with an individually chosen stimulus. After the
universal exposition (5min) necessary for anew situationally adequate level of adaptation of the organism
and formation of protective functional system a second musical signal is heard indicating that the minimally
efficient dosage of the apparatus treatment has been achieved.
If there is no need to continue treatment for a long-term analgetic effect, the MED programme should
be switched off.
The first phase of the MED programme in the form of TEST can be used separately to reveal latent
trigger zones (see Section 'Diagnostics").
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