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Myomed 134
Operating Instructions
Copyright:
Enraf-Nonius B.V.
P.O. Box 12080
3004 GB Rotterdam
The Netherlands
Tel : +31-(0)10 - 203 06 00
Fax : +31-(0)10 - 203 06 99
www.enraf-nonius.com
Part number: 1437741_41
September 12, 2013
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Table of Contents
1 Product description.....................................................................................................................4
2 Foreword.......................................................................................................................................4
2.1 About this manual ................................................................................................................4
2.2 Product liability.....................................................................................................................4
3 Precautionary measures.............................................................................................................5
4 Purpose.........................................................................................................................................6
4.1 EMG and pressure feedback...............................................................................................6
4.1.1 What is biofeedback?............................................................................................................6
4.2 Muscle stimulation ...............................................................................................................6
4.2.1 Indications/contra-indications and harmful effects of muscle stimulation..............................6
4.2.2 Form of current .....................................................................................................................7
5 Contents of the packaging..........................................................................................................7
5.1 Standard accessories ..........................................................................................................7
5.2 Optional accessories ...........................................................................................................7
6 Installation....................................................................................................................................8
7 Use of the electrodes...................................................................................................................8
7.1 Before the treatment ............................................................................................................8
7.2 Self-adhesive electrodes .....................................................................................................8
7.3 Current density ....................................................................................................................9
7.4 Opening and closing reactions ............................................................................................9
8 Operating instructions ................................................................................................................9
8.1 Controls ...............................................................................................................................9
8.2 Basic operation ..................................................................................................................10
8.2.1 Navigation...........................................................................................................................10
8.2.2 Main menu ..........................................................................................................................10
8.2.3 Basic screen .......................................................................................................................11
8.2.4 Parameters .........................................................................................................................11
8.3 Step-by-step operation ......................................................................................................12
8.3.1 Switching-on .......................................................................................................................12
8.3.2 Continuous EMG settings ...................................................................................................12
8.3.3 EMG work / rest..................................................................................................................13
8.3.4 EMG template curve ...........................................................................................................14
8.3.5 Alternating EMG + stimulation.............................................................................................15
8.3.6 Stimulation above threshold................................................................................................16
8.3.7 Stimulation below threshold................................................................................................17
8.3.8 Pressure settings ................................................................................................................19
8.3.9 PRESSURE work / rest.......................................................................................................20
8.3.10 PRESSURE template curve..............................................................................................21
8.3.11 EMG + Pressure ...............................................................................................................22
8.3.12 EMG + Pressure + Stimulation..........................................................................................22
8.4 Programming, retrieving and deleting protocols................................................................22
8.4.1 Programming a protocol (step-by-step)...............................................................................22
8.4.2 Retrieving protocols ............................................................................................................22
8.4.3 Deleting protocols from the memory ...................................................................................22
8.5 Preferences .......................................................................................................................22
8.5.1 Language............................................................................................................................22
8.5.2 Pressure read-out ...............................................................................................................22
8.5.3 Selecting from the main menu ............................................................................................23
8.5.4 LCD contrast.......................................................................................................................23
8.6 Switching off ......................................................................................................................23
9 Maintenance and trouble-shooting..........................................................................................23
9.1 User maintenance..............................................................................................................23
9.1.1 Cleaning the apparatus.......................................................................................................23
9.1.2 Patient cable .......................................................................................................................23
9.2 Trouble-shooting................................................................................................................23
9.2.1 Insufficient or absent output current....................................................................................23
9.3 Technical maintenance......................................................................................................23
9.4 Disposal .............................................................................................................................24
10 Parameters..................................................................................................................................24
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10.1 Current parameter.......................................................................................................... 24
10.2 EMG parameters............................................................................................................ 24
10.3 Pressure parameters ..................................................................................................... 24
11 Illustrations................................................................................................................................25
11.1 Symmetric biphasic........................................................................................................ 25
11.2 Parameters for contraction program.............................................................................. 25
12 Technical specifications...........................................................................................................25
13 Pictures ......................................................................................................................................26
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1 Product description
The Myomed 134 is an ‘all-in-one device’ for EMG feedback, pressure feedback and electrotherapy.
It offers you a source of biphasic pulsating current plus extensive feedback facilities. The graphical LCD
screen displays all parameter settings clearly while also providing your patient with easy-to-grasp
feedback.
A high degree of user friendliness is ensured by the menu-driven operation and the single central control
button.
WARNING (for the USA only): the Myomed 134 may only be used under the supervision of or on the
instructions of a physician or other authorized medical professional.
2 Foreword
2.1 About this manual
This manual, which is intended for the owner and user of the Myomed 134, contains general operating
instructions, precautionary measures, maintenance instructions and information about components. To
maximize the service life and efficiency of the apparatus, it is important that you read this manual through
carefully and familiarize yourself with the various controls and accessories before starting to use the
apparatus.
The specifications in this manual were effective at the time of publication. Due however to Enraf-Nonius
B.V.’s policy of continuous improvement these specifications may be changed at any time without Enraf-
Nonius B.V. being under any obligation.
2.2 Product liability
A law on Product Liability has become effective in many countries. This Product Liability law implies,
amongst other things, that once a period of 10 years has elapsed after a product has been brought into
circulation, the manufacturer can no longer be held responsible for possible shortcomings of the product.
To the maximum extent permitted by applicable law, in no event will Enraf-Nonius or its suppliers or
resellers be liable for any indirect, special, incidental or consequential damages arising from the use of or
inability to use the product, including, without limitation, damages for loss of goodwill, work and
productivity, computer failure or malfunction, or any and all other commercial damages or losses, even if
advised of the possibility thereof, and regardless of the legal or equitable theory (contract, tort or
otherwise) upon which the claim is based. In any case, Enraf-Nonius’s entire liability under any provision
of this agreement shall not exceed in the aggregate the sum of the fees paid for this product and fees for
support of the product received by Enraf-Nonius under a separate support agreement (if any), with the
exception of death or personal injury caused by the negligence of Enraf-Nonius to the extent applicable
law prohibits the limitation of damages in such cases.
The opposing party (product’s user or its representative) shall disclaim Enraf-Nonius from all claims
arising from third parties, whatever nature or whatever relationship to the opposing party.
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3 Precautionary measures
This section contains general warnings and precautionary measures that are important for the safe use of
the apparatus. See also Chapter 4 for the warnings and precautionary measures that apply especially to
pain control and muscle stimulation.
WARNING:
Under federal law (only applicable to the USA) this apparatus may only be sold by or on the
prescription of a physician or an authorized medical professional.
The apparatus may only be used under the constant supervision of or on the instructions of a
physician or other authorized medical professional.
The apparatus should only be connected to an earthed (grounded) wall socket that satisfies the
applicable national and local electricity regulations for medical environments.
Do not use the apparatus in the vicinity of a diathermy device, as this may cause burning under
the electrodes.
Take care when using the apparatus in the vicinity of other equipment, due to possible
electromagnetic or other interference. Interference can be minimized by not using the apparatus
with other equipment.
Use of electrical stimulation may affect the functioning of electronic monitoring equipment, such
as ECG monitors and ECG alarm systems.
This apparatus is not suitable for use in an inflammable mixture of anesthetics and air, oxygen or
nitrous oxide.
Keep the apparatus out of reach of children.
CAUTION:
Read through the precautionary measures and operating instructions carefully and always follow
them to the letter. Always bear in mind the limitations and dangers of using an electrical
stimulator, and always observe the warning and operating labels on the equipment.
The Myomed 134 should only be combined with other equipment by Enraf-Nonius B.V.
Use the device at a temperature of 10 °C to 40 °C and at a relative humidity between 10% and
90%.
Do not expose the apparatus to direct sunlight, heat from a source of thermal radiation, excessive
amounts of dust, moisture, vibrations, or mechanical shocks.
If any liquids or moisture penetrate the apparatus, remove the plug from the wall socket and have
the apparatus checked by an approved technician (see the section on Technical Maintenance).
Do not use sharp objects such as pencil-points or pen-tips to manipulate the buttons on the
control panel, as this can cause damage.
Before you start treating a patient you must be familiar with the operating procedures for each treatment
mode and with the indications, contra-indications, warnings and precautionary measures. For additional
information about the use of electrotherapy, consult other sources.
6
4 Purpose
4.1 EMG and pressure feedback
4.1.1 What is biofeedback?
Feedback is a way of managing a system by communicating back to it the results of its (previous)
performance. Biofeedback is a way of managing certain physical functions by means of a feedback
mechanism. A feedback training enables patients to adjust their actions to suit their physical capabilities
and to bring these under control through continuous feedback.
Indications:
Biofeedback is being used successfully in many areas. It offers a wide range of treatment options for
many applications, including incontinence, muscle training, post-surgical rehabilitation, RSI and lower
back complaints.
4.2 Muscle stimulation
4.2.1 Indications/contra-indications and harmful effects of muscle stimulation
Indications:
Relaxation of muscular spasms.
Prevention or treatment of degenerated muscles.
Stimulation of local circulation.
Rehabilitation.
Stimulation of the calf muscle immediately after an operation, to prevent thrombosis.
Strengthening or enlargement of the movement range.
Contra-indications:
The apparatus should not be used on patients with a pacemaker.
The apparatus should not be used on carcinomas.
Do not attach electrodes at places where current is released in the area of the carotid sinus
(ventral side of the neck).
Do not attach electrodes at places where current is released transcerebrally (i.e. through the
head).
Do not attach electrodes at places where current is released transthoracically (releasing current
to the heart can lead to cardiac arrhythmia).
Warnings:
The long-term effects of chronic electrical stimulation are unknown.
The safety of therapeutic electrical stimulation during pregnancy has not been established.
Electrical stimulation should not be applied to swollen, infected or inflamed areas of skin
(phlebitis, thrombophlebitis, caput medusae, etc.).
See also Chapter 3, Precautionary measures, for general warnings and precautionary measures.
Precautionary measures:
Suitable precautionary measures must be observed when treating patients in whom heart
problems are suspected or have been diagnosed, or who suffer from epilepsy.
Caution must be exercised if bleeding occurs rapidly after acute injury or a fracture.
Caution must be exercised after a recent operation, as the healing process can be disrupted by
muscle contraction.
Caution must be exercised in the menstruating uterus.
Caution must be exercised with sensitive areas of skin.
In some patients, skin irritation or hypersensitivity can arise due to electrical stimulation or an
electrically conductive medium. The irritation can usually be reduced by using a different
conductive medium or by attaching the electrodes elsewhere.
See also Chapter 3, Precautionary measures, for general warnings and precautionary measures.
7
Harmful effects:
Cases of skin irritation and burns under the electrodes have been reported as a result of
therapeutic electrical stimulation.
4.2.2 Form of current
Muscle stimulation (to improve the muscle function):
Neuromuscular Electrical Stimulation (NMES) is the use of electrical stimulation to activate
muscle tissue by stimulating the intact peripheral nerve.
Functional Electrical Stimulation (FES) is the use of NMES to replace orthoses.
Electrical Muscle Stimulation (EMS) is the use of electrical stimulation to directly activate
denervated muscle tissue.
Muscle stimulation is often used with the symmetrical biphasic pulsed form of current. This form of current
is also fully compensated (i.e. it has no residual DC components). See Fig. 11.1 for an illustration. The
specified phase length applies to both pulse phases, as a result of which the quantity of energy available
is twice that of the asymmetric pulsed form of current. See section 10 for the available parameters.
Muscle stimulation is often used in combination with an expansion/contraction program, in which periods
of effort and rest are alternated. See Fig. 11.2 and section 10 for the available parameters.
5 Contents of the packaging
1437910 MYOMED 134
5.1 Standard accessories
The following accessories are included with the Myomed 134:
User guide
3444222 Pre-gelled disposable electrodes 20 mm, for EMG and stimulation, set of 8
3444102 Electrode cable 2 mm black
3444119 Electrode cable 2 mm purple
3444131 Mains adapter ENA-1524
3444172 Battery pack
3444290 Mains lead
3444647 Reference cable
3444667 Snap connector 2 mm, quantity: 5
5.2 Optional accessories
3444117 Anal sensor
3444118 Vaginal sensor
3444222 Pre-gelled disposable electrodes 20 mm, for EMG and stimulation, set of 80
3444056 EN-Trode, self-adhesive electrodes, dimensions 32 mm Ø, 1 pack = 10 sheets of 4
3444135 EN-Trode, self-adhesive electrodes, dimensions 50 mm Ø, 1 pack = 10 sheets of 4
3444057 EN-Trode, self-adhesive electrodes, dimensions 50x50 mm, 1 pack = 10 sheets of 4
3444058 EN-Trode, self-adhesive electrodes, dimensions 50x90 mm, 1 pack = 10 sheets of 4
8
6 Installation
Initial procedures
Take the Myomed 134 and any extra parts out of the cardboard packaging and check everything
for possible transport damage
Check that the voltage on the serial plate of the ENA-1524 mains voltage adapter (100 V – 240
V) corresponds to the available mains supply
Connect the ENA-1524 mains voltage adapter to the connector [10]
Insert the mains voltage adapter into a wall socket
CAUTION:
Only connect the Myomed 134 to an adapter of type ENA-1524, as this adapter forms an integral
part of the power supply circuit that guarantees safe operation
Do not use direct current (DC)
Place the apparatus so that no one can trip over the power cable and so that the power cable
cannot be accidentally pulled out during treatment
Make sure that the adapter is well earthed
The adapter should only be connected to an earthed wall socket that satisfies the applicable national and
local electricity regulations for medical environments.
7 Use of the electrodes
CAUTION:
The connection of accessories that are not specified by the manufacturer can adversely affect the
safety of the patient and the proper working of the apparatus and is therefore not permitted
NB:
The following description is applicable to electrotherapy in general. The electrolytic side-effects
mentioned below do not apply to the Myomed 134, because this apparatus only generates fully
compensated TENS currents that do not contain any DC component
7.1 Before the treatment
Check whether the contra-indications and warnings described in sections 4.1 and 4.2 apply to the
patient
Test the heat sensitivity of the area to be treated
Rinse clean the area to be treated. Hairy skin surfaces should be shaved
7.2 Self-adhesive electrodes
Self-adhesive electrodes have a higher serial impedance than rubber carbon electrodes. As a result the
stimulator can terminate the treatment at higher current amplitudes. If this happens, it is advisable to
continue the treatment with rubber carbon electrodes and well-moistened sponges.
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7.3 Current density
In conformity with IEC 60601-2-10, the maximum permissible ‘current density’ is 2 mA RMS per cm². With
smaller electrodes, such as the 3.2 mm self-adhesive electrodes, this is not the case. To check whether
the maximum permissible current density of 2 mA RMS per cm² is being exceeded, divide the RMS
output current in mA by the effective electrode surface in cm². The result should be less than 2. With
asymmetric TENS currents the RMS value of the output current can be calculated as follows:
IRMS = Ipeak √ ( Phase length [µs] * pulse frequency [Hz] * 10-6 )
With symmetric TENS currents the phase length must be multiplied by 2. The value of the peak
current Ipeak can be read off on the current display.
The electrodes must be attached carefully but firmly. The use of small electrodes can cause skin irritation
and burns at high current amplitudes.
7.4 Opening and closing reactions
This apparatus releases constant current (CC), which can cause unpleasant opening and closing
reactions if the electrodes are not properly attached or come loose from the skin. When attaching and
removing electrodes, make sure that the output current has been set to 0 mA.
8 Operating instructions
8.1 Controls
See page 2 for more information.
[1] Connector for patient cable for channel 1
Connection for the patient cable for channel 1
[2] Connector for reference electrode
Connection for the reference electrodes
[3] Storing settings
With this button you can store manual control settings and program your own treatment protocols.
[4] Selection button for treatment channel 1
This button is used to select channel 1. This gives you direct access to the stimulation current parameters
of channel 1
[5] Central control button
This button has various functions.
Switching on: switch on the Myomed 134 by pressing the central control button 3 times.
Settings: turn the button to scroll through the menu. Confirm a selection by pressing the central part of the
button. You will then be taken to the following menu or will be able to set the relevant parameter. Confirm
the setting of the parameter on each occasion in order to continue scrolling through the settings.
[6] Display with backlighting
Displays signals, operating modes and parameter settings.
[7] Selection button for treatment channel 2
This button is used to select channel 2. This gives you direct access to the stimulation current parameters
for channel 2
[8] Connector for the pressure sensor
For the connection of pressure accessories
[9] Connector for patient cable for channel 2
Connection for the patient cable for channel 2
10
[10] Power supply connector
Connection for the external mains voltage adapter.
CAUTION:
Only connect the Myomed 134 to an adapter of type ENA-1524, as this adapter forms an integral part of
the power supply circuit that guarantees safe operation
[11] Battery flap
For storing the battery pack
The battery contains material that is harmful to the environment. When removing the battery you must
follow the local regulations
[12] Battery Pack
For operation without an external adapter. The battery pack is installed by default and should be charged
before use with the AC adapter type ENA 1524.
The battery contains harmful materials to the environment. When removing the battery, please do in
accordance with your local regulations.
8.2 Basic operation
8.2.1 Navigation
The Myomed 134 is equipped with a simple and logical operating interface that enables you to navigate
through all the operating modes and parameter settings using just one central button. You select a
function with the central control button [5]. The selected item will be indicated by a cursor in the form of a
horizontal bar. You then confirm the selection by pressing the central control button again [5].
If the selected item is an operating mode, then pressing the central control button will take you to
the next screen. If you move the cursor to < at the top of the screen and press the central control
button you will be returned to the previous screen.
If the selected item is a parameter then pressing the central control button will open the
parameter, after which the value can be changed using the central control button. If you press the
central control button again the parameter will be closed and the changes made will be saved.
8.2.2 Main menu
When the apparatus is switched on it first performs a self-test, after which the main menu will appear. The
main menu offers access to all the principal functions.
11
8.2.3 Basic screen
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
With the central control button you select a function and then confirm it by pressing the central control
button again. This takes you to the next screen. There, make a selection by turning the central control
button and then confirm the choice by pressing the central control button again. All selections can be
made and parameters set in this way.
8.2.4 Parameters
Depending on the menu, various parameters can be chosen and set.
Treatment time: with this option the total treatment time per minute can be set
Threshold: with this option a threshold value can be set on the graph or bar. The threshold value
is shown by a line. This level can also be the signal for starting the stimulation current and
animation.
Graph: with this option you can change the display on the LCD screen. There are 2 options:
Curve or Bar.
Sound: with this option an acoustic signal can be set: proportional, below the threshold or above
the threshold. When making the transition from work phase to rest phase a sound will always be
made. To switch this sound off the volume should be set to 0.
Volume: with this option the sound intensity is set in steps of 25% of the maximum volume.
Start: the Start option must be used to commence the therapy.
Rest time: with this option the rest time before an active phase can be set.
Working time: with this option the length of the active signal can be set. This is shown on the
screen by a weightlifter
Stimulation rest time: with this option a rest time can be set after an active phase
Stimulation time: with this option the length of the stimulation can be set
Cycles: with this option the number of repetitions between working time and rest time can be set
Type template curve: with this option 1 of the 7 template curves can be selected
Pause template curve: here the rest time between two successive template curves is set
Height template curve: with this option the height of the curve can be set
Phase length, expressed in µs: this is the time from the beginning of a pulse phase to the end of
it. In the symmetrical biphasic pulse the phase length applies to both pulse phases. See Figs.
11.1 and 11.3.
Frequency, expressed in Hz or pps (pulses per second): with this option you define the repetition
rate of the TENS pulses
Surge pattern: with this option you can program a sequential increase or decrease in the current
amplitude
Ramp up, expressed in s: with this option you can define, in an expansion/contraction program,
the time that the current takes to be increased from 0 to the pre-set level. See Fig. 11.7. The
contraction time can be adjusted in increments of 0.1 s
Hold time, expressed in s: with this option you can define, in a expansion/contraction program,
the length of time for which the current is held at the pre-set level. See Fig. 11.7. The hold time
can be adjusted in increments of 1 s
Ramp down time, expressed in s: with this option you can define, in a expansion/contraction
program, the time that the current takes to be reduced from the pre-set level to 0. See Fig. 11.7.
The expansion time can be adjusted in increments of 0.1 s
Current: here the intensity of current of the stimulator is set, in increments of 0.1 mA. During the
setting the stimulator becomes active.
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8.3 Step-by-step operation
8.3.1 Switching-on
Connect the supplied ENA-1524 mains voltage
adapter to the connector [11]
Insert the plug of the mains voltage adapter into the
wall socket
Switch on the apparatus by pressing 3 times on
the central button [1]
During the start-up a self-test will be performed
The main menu will be displayed
Connect the reference cable to the plug [2]
Connect the patient cables to the connector [1] +
[9]
Attach the electrodes to the patient
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
8.3.2 Continuous EMG settings
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
< Main menu
Continuous
Work / Rest
Template curve
Continuous 1+2
Work / Rest 1+2
Template curve 1+2
Select the desired parameter by turning the central
control button, then confirm the choice by pressing
the central control button again
Change the parameter by setting the value with the
central control button. Confirm the parameter by
pressing the central control button again
Use the central control button to select the next
parameter
< EMG menu
Treatment time 00:00 min
Threshold for EMG 1 0 µV
Graph Curve
Sound off
Volume 25
> Start
13
To start the therapy:
With the central control button select Start
Start the program by pressing the central control
button
The treatment time will start automatically and the
measurements will be displayed on the curve or
bar.
< EMG menu
Treatment time 00:00 min
Threshold for EMG 1 0 µV
Graph Curve
Sound off
Volume 25
> Start
8.3.3 EMG work / rest
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
< Main menu
Continuous
Work / Rest
Template curve
Continuous 1+2
Work – Rest 1+2
Template curve 1+2
Select the desired parameter by turning the central
control button, then confirm the choice by pressing
the central control button again
Change the parameter by setting the value with the
central control button. Confirm the parameter by
pressing the central control button again
Use the central control button to select the next
parameter
< EMG menu
Rest time 5 s
Working time 5 s
Cycles 10
Threshold for EMG 1 0 µV
Graph Curve
Sound off
Volume 25
> Start
14
To start the therapy:
With the central control button select >Start
Start the program by pressing the central control
button
The treatment time will start automatically and the
measurements will be displayed on the curve or
bar.
< EMG menu
Rest time 5 s
Working time 5 s
Cycles 10
Threshold for EMG 1 0 µV
Graph Curve
Sound off
Volume 25
> Start
8.3.4 EMG template curve
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
< Main menu
Continuous
Work / Rest
Template curve
Continuous 1+2
Work / Rest 1+2
Template curve 1+2
Select the desired parameter by turning the central
control button, then confirm the choice by pressing
the central control button again
Change the parameter by setting the value with the
central control button. Confirm the parameter by
pressing the central control button
Use the central control button to select the next
parameter
< EMG menu
Type of template curve rectangular
Total time of template curve 5 s
Pause of template curve 5 s
Height of template curve 60 µV
Cycles 10
Sound off
Volume 25
> Start
15
To start the therapy:
With the central control button select Start
Start the program by pressing the central control
button
The treatment time will start automatically and the
measurements will be displayed on the curve or
bar.
< EMG menu
Type of template curve rectangular
Total time of template curve 5 s
Pause of template curve 5 s
Curve height 60 µV
Cycles 10
Sound off
Volume 25
> Start
8.3.5 Alternating EMG + stimulation
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
< Main menu
Alternating EMG - Stimulation
Stimulation above threshold
Stimulation below threshold
Alternating EMG – Stimulation 1+2
Stimulation above threshold 1+2
Stimulation below threshold 1 +2
Select the desired parameter by turning the central
control button, then confirm the choice by pressing
the central control button again
Change the parameter by setting the value with the
central control button [5]. Confirm the parameter by
pressing the central control button
Use the central control button to select the next
parameter [5]
< EMG – Stimulation menu
EMG rest time 5 s
EMG work time 5 s
Stimulation rest time 5 s
Stimulation time 5 s
Cycles 10
Threshold for EMG 1 0 µV
Graph Curve
Sound off
Volume 25
> Stimulation parameters
16
Select stimulation parameters to set the current
parameters
Change the parameter by setting the value with the
central control button [5]. Confirm the parameter by
pressing the central control button again [5]
Use the central control button to select the next
parameter [5]
< EMG settings
Phase duration 100 µs
Frequency 80 Hz
Surge pattern yes
Ramp-up time 0.2 s
Hold time 4 s
Ramp down time 2.0 s
Interval time 8 s
Intensity 0 mA
> Start
Select Intensity and set the desired intensity with
the central control button
With the central control button select Start
Start the program by pressing the central control
button
The treatment time will start automatically and the
measurements will be displayed on the curve or
bar.
< EMG settings
Phase duration 100 µs
Frequency 80 Hz
Surge pattern yes
Ramp-up time 0.2 s
Hold time 4 s
Ramp down time 2.0 s
Interval time 8 s
Intensity 0.0 mA
> Start
8.3.6 Stimulation above threshold
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
< Main menu
Alternating EMG - Stimulation
Stimulation above threshold
Stimulation below threshold
Alternating EMG - Stimulation 1+2
Stimulation above threshold 1 + 2
Stimulation below threshold 1+2
17
Select the desired parameter by turning the central
control button, then confirm the choice by pressing
the central control button again
Change the parameter by setting the value with the
central control button [5]. Confirm the parameter
by pressing the central control button again [5]
Use the central control button to select the next
parameter [5]
< EMG + Stimulation menu
Rest time 5 s
Stimulation time 5 s
Cycles 10
Threshold for EMG 1 0 µV
Graph Curve
Sound off
Volume 25
> Stimulation parameters
Select stimulation parameters to set the current
parameters
Change the parameter by setting the value with the
central control button [5]. Confirm the parameter by
pressing the central control button again [5]
Use the central control button to select the next
parameter [5]
< EMG settings menu
Phase duration 100 µs
Frequency 80 Hz
Surge pattern yes
Ramp-up time 0.2 s
Hold time 4 s
Ramp down time 2.0 s
Interval time 8 s
Intensity 0.0 mA
> Start
Select Intensity and then set the desired intensity
with the central control button
To start the therapy:
With the central control button select Start
Start the program by pressing the central control
button
The treatment time will start automatically and the
measurements will be displayed on the curve or
bar.
< EMG settings menu
Phase duration 100 µs
Frequency 80 Hz
Surge pattern yes
Ramp-up time 0.2 s
Hold time 4 s
Ramp down time 2.0 s
Interval time 8 s
Intensity 0 mA
> Start
Procedure:
The patient must try to exceed the threshold. When the threshold is exceeded the apparatus will switch
over to muscle stimulation. After the stimulation the apparatus automatically reverts to EMG mode.
8.3.7 Stimulation below threshold
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
EMG
EMG + Stimulation
Pressure
EMG + Pressure
EMG + Pressure + Stimulation
Protocols
System settings
Shut down
18
Select the desired function by turning the central
control button, then confirm the choice by pressing
the central control button again
You will automatically be taken to the next menu:
< Main menu
Alternating EMG - Stimulation
Stimulation above threshold
Stimulation below threshold
Alternating EMG – Stimulation 1+2
Stimulation above threshold 1 + 2
Stimulation below threshold 1+2
·Select the desired parameter by turning the central
control button, then confirm the choice by pressing
the central control button again
Change the parameter by setting the value with the
central control button [5]. Confirm the parameter by
pressing the central control button again [5]
Use the central control button to select the next
parameter [5]
< EMG + Stimulation menu
EMG rest time 5 s
EMG working time 5 s
Stimulation time 5 s
Cycles 10
Threshold for EMG 0 µV
Graph Curve
Sound off
Volume 25
> Stimulation parameters
Select stimulation parameters to set the current
parameters
Change the parameter by setting the value with the
central control button [5]. Confirm the parameter by
pressing the central control button again [5]
Use the central control button to select the next
parameter. [5]
< EMG settings menu
Phase duration 100 µs
Frequency 80 Hz
Surge pattern yes
Ramp-up time 0.2 s
Hold time 4 s
Ramp down time 2.0 s
Interval time 8 s
Intensity 0 mA
> Start
Select Intensity and then set the desired intensity
with the central control button
To start the therapy:
With the central control button select Start
Start the program by pressing the central control
button
The treatment time will start automatically and the
measurements will be displayed on the curve or
bar.
< EMG settings menu
Phase duration 100 µs
Frequency 80 Hz
Surge pattern yes
Ramp-up time 0.2 s
Hold time 4 s
Ramp down time 2.0 s
Interval time 8 s
Intensity 0 mA
> Start
Procedure:
If the patient does not remain above the pre-set threshold during the EMG working time then the
apparatus will automatically be switched to Stimulation and the current will drop to the pre-set intensity
of current. When the whole of the stimulation program has been completed the apparatus will
automatically switch to the EMG program. The number of repetitions is set under the ‘cycle settings’
parameter
The current can be adjusted during the contraction. Select current channel (button 4 for channel 1) and
adjust the intensity with the central control button [6]
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