KYARA LTK545 User manual

3 IN 1 COMBO STIMULATOR

INSTRUCTION MANUAL

MA LT3011A REF.LTK545 EN 01 B_02-2015

Manufacturer:

Name: Shenzhen Dongdixin Technology Co., LTD.

Add: No.3 Building XiliBaimang Xusheng Industrial

Estate, Nanshan Shenzhen, China 518108

Tel: 0086-755-27652316

Authorized EC-representative:

Shanghai International Holding Corp. GmbH (Europe)

Eiffestraße 80, 20537 Hamburg Germany

Tel: 0049-40-2513175 Fax: 0049-40-255726

Technology Co., LTD.

Edition: V1.2

Distributed by:

Via Bruxelles, 3 - Meleto

52022 Cavriglia (Arezzo)

Tel. +39 055 96 21 11

Fax. +39 055 96 21 200

www.morettispa.com

info@morettispa.com

This manual is valid for the LT3011A REF.LTK545

This user manual is published by Shenzhen Dongdixin

Technology Co., LTD.

Shenzhen Dongdixin Technology Co., LTD. does not

guarantee its contents and reserves the right to improve and

amend it at any time without prior notice. Amendments will

however be published in a new edition of this manual.

LT3011A REF. LTK545 Stimulator Rev.V1.2 2013

Dongdixin

Declaration of conformity:

Shenzhen Dongdixin Technology Co., LTD. declares that

the LT3011A REF.LTK545 complies with following

normative documents:

Table of Contents

1. Foreword.......................................................................... 4

1.1 Introduction

1.2 Medical background

2. Safety information.............................................................7

2.1 Indication for use

2.2 Contraindication

2.3 Warning

2.4 Precautions

2.5 Adverse reactions

3. Presentation....................................................................12

3.1 Accessories

3.2 Presentation of the device

3.3 LCD display

3.4 Technical information

4. Operation instrucions......................................................16

4.1 Check batteries

4.2 Connect electrodes to lead wires

4.3 Connect lead wires to device

4.4 Place electrodes on skin

4.5 Turn on

4.6 Select the therapy mode and treatment part

4.7 Select the therapy program

4.8 Adjust the intensity and start to treatment

4.9 User program setting

4.10 Checking the memory

4.11 Turn the device off

4.12 Replace batteries

4.13 Low battery indicator

-1-

-2-

EN/IEC60601-1, EN/IEC60601-1-2, EN/IEC60601-2-10,

EN/IEC60601-1-11, ISO10993-5, ISO10993-10, ISO 10993-1

Complies with MDD 93/42/EEC and

amended by directive 2007/47/EC requirements

5. Therapy program............................................................24

6. Cleaning and maintenance.............................................29

6.1 Cleaning the device

6.2 Cleaning the electrodes

6.3 Cleaning the Electrodes cords

6.4 Maintenance

7. Troubleshooting..............................................................32

8. Storage...........................................................................34

9. Disposal..........................................................................34

10. Normalized symbols.....................................................35

11. Warranty.......................................................................36

Appendix:Stimulation position.............................................37

1.1 Introduction

The LT3011A Ref.LTK545 is a battery operated pulse

generator that sends electrical impulses to the body and

reach the nerves and underlying muscle group,this is a unit

to be used for pain relief,muscle stimulation and

massage.The device provides two controllable output

channels,each independent of each other,a pair of

electrodes can be connected to each output channel.The

parameters of units are controlled by button.Its intensity

level is adjustable according to the needs of patients.

1.2 Medical background

What is TENS?

TENS (Transcutaneous Electrical Nerve Stimulation) gives

good results in acute and chronic pain conditions of many

kinds. It is clinically proven and used daily by

physiotherapists, other caregivers and top athletes around

the world.

High-frequency TENS activates the pain-inhibiting

mechanisms of the nervous system. Electrical impulses

from electrodes, placed on the skin over or near the painful

area, stimulate the nerves to block the pain signals to the

brain, and the pain is not perceived. Low-frequency TENS

stimulates the release of endorphins, the body's natural

painkillers. TENS is a safe treatment method and has, in

contrast to drugs and other pain relief methods, no side

effects. It may be sufficient as the only treatment form, but it

is also a valuable complement to other pharmacological

-3- -4-

1. Foreword

and/or physical treatments. TENS does not always treat the

cause of pain. Consult your doctor if pain persists.

How Does TENS Control Pain?

The device provides pain relief in two ways. The first is the

gate control method. When the body is injured, both pain

and non-pain impulses are sent to the brain from the ervous

system. These pulses travel through the cutaneous nerves

to the deeper, afferent nerves, and then to the spinal cord

and brain. Along the path are many areas referred to as

“gates,” which determine which impulses are allowed to

continue on to the brain. The gates prevent the brain from

receiving too much information too quickly. Since the same

nerve cannot carry a pain and a non-pain impulse at the

same time, the stronger, non-pain impulse from the device

“controls the gate.” The second method of pain control is the

endorphin release method. The device can be set to trigger

the body's natural pain killers, called endorphins. These

chemicals interact with receptors, blocking the perception of

pain. This is similar to the way the pharmaceutical drug

morphine works, but without the side effect associated with

morphine. No matter which pain control method is

employed, the Device has been proven useful in pain

management. By reading this manual and carefully following

the treatment instructions provided by your clinician, you

can attain maximum benefit from your device.

What is EMS?

EMS (Electrical muscle stimulation) is achieved by sending

small electrical impulses through the skin to the underlying

motor units (nerves and muscles) to create an involuntary

muscle contraction. Neuromuscular stimulation has many

uses beyond its traditional application to prevent disuse

atrophy.

How does EMS work?

Because the transdermal stimulation of nerves and muscles

may be accomplished by electrical pulses, this modality can

help prevent disuse atrophy. Accordingly, incapacitated

patients can receive therapeutic treatment to create

involuntary muscle contractions thereby improving and

maintaining muscle tone without actual physical activity.

The goal of electrical muscle stimulation is to achieve

contractions or vibrations in the muscles. Normal muscular

activity is controlled by the central and peripheral nervous

systems, which transmit electrical signals to the muscles.

EMS works similarly but uses an external source (the

stimulator) with electrodes attached to the skin for

transmitting electrical impulses into the body. The impulses

stimulate the nerves to send signals to a specifically

targeted muscle, which reacts by contracting, just as it does

with normal muscular activity.

-5- -6-

2.1 Indications for use

This device is used in following instance:

1) Symptomatic relief of chronic intractable pain, acute

post traumatic pain or acute post surgical pain.

2) Increase of blood flow in the treatment area.

3) Relaxation of muscle spasm.

4) Immediate post-surgical stimulation of muscles to

prevent venous thrombosis.

5) Prevention or retardation of disuse atrophy.

6) Muscle re-education

7) Maintaining or increasing range of motion.

2.2 Contraindications

1) This device should not be used when cancerous

lesions are present in the treatment area.

2) Stimulation should not be applied over swollen, infected,

inflamed areas or skin eruptions

(e.g. phlebitis, thrombophlebitis, varicose veins, etc.).

3) Safety has not been established for the use of

therapeutic electrical stimulation during pregnancy.

4) Demand type implanted pacemaker or defibrillator.

5) Epilepsy

6) Serious arterial circulatory problems in the lower limbs

7) Abdominal or inguinal hernia

8) No suitable for use during pregnancy or labor women

9) Do not use this device when pain syndromes are

undiagnosed. Use only after origin of pain has been

diagnosed.

-7-

2.3 Warning

1)

2)

3)

4)

5)

6)

7)

8)

9)

10)

The long-term effects of chronic electrical stimulation

are unknown.

For external use only.

This device should be used only under the continued

supervision of a licensed medical practitioner.

Stimulation should not be applied over the carotid sinus

nerves, particularly in patients witha known sensitivity

to the carotid sinus reflex.

Do not apply stimulation over thyroid or carotid sinus

region of the neck or mouth, or from electrodes placed

on the chest and the upper back, because this could

severe muscle spasms resulting in closure of the

airway, difficulty in breathing, or adverse effects on

heart rhythm or blood pressure.

Stimulation should not be applied transthoracically in

that the introduction of electrical current into the heart

may cause cardiac arrhythmias.

Stimulation should not take place while the user is

connected to high-frequency surgical equipment, it may

cause burn injuries on the skin under the electrodes, as

well as problems with the stimulator.

Do not use the stimulator in the vicinity of shortwave or

microwave therapy equipment, since this may affect the

output power of the stimulator.

Never use in environments with high humidity such as

in the bathroom or when having a bath or shower.

Never use near the heat. Stimulation electrodes should

never be placed anywhere on the front of the thorax

(marked by ribs and breastbone),but above all not on

the two large pectoral muscles. Here it can increase the

-8-

2. Safety information

-9- -10-

2.4 Precautions

1)

2)

3)

4)

5)

6)

7)

8)

9)

10)

11)

12)

13)

14)

The stimulator is suitable for private use.

Caution should be used for patients with suspected or

diagnosed heart problems.

Some patients may experience skin irritation or

hypersensitivity due to the electrical stimulation or gel. If

rash develops or pain persists, discontinue use and

consult a doctor.

Electrode placement and stimulation settings should be

based on the guidance of prescribing practitioner.

Effectiveness is highly dependent upon patient selection

by a person qualified in the management of pain

afflicted patients.

Isolated cases of skin irritation may occur at the site of

the electrode placement following long-term application.

The electrodes are only to be placed on healthy skin.

Avoid skin irritation by ensuring that good contact is

achieved between electrodes and skin.

If the stimulation levels are uncomfortable or become

uncomfortable, reduce the stimulation amplitude to a

comfortable level and contact your physician if problems

persist.

The device may not be used whilst driving a car or whilst

operating and controlling machinery.

Never use the device in rooms where aerosols(sprays)

are used or pure oxygen is being administered.

Do not use it near any highly flammable substances,

gases or explosives.

Do not use this device at the same time as other

equipment which sends electrical pulses to your body.

Do not confuse the electrode cables and contacts with

your headphones or other devices, and do not connect

the electrodes to other devices.

Do not use sharp objects such as pencil point or

ballpoint pen to operate the buttons on the control panel.

risk of ventricular fibrillation and lead to cardiac arrest.

Never use on the eye area, or applied across or through

the head.

Never use near the genitals.

Never use on the areas of the skin which lack normal

sensation

This stimulator is never use by patients who have

noncompliant, emotionally disturbed, dementia, or low

IQ.

Apply the electrodes to clean, dry, and unbroken skin

only.

Keep electrodes separate during treatment, electrodes

in contact with other could result in improper stimulation

or skin burns.

Keep the stimulator out of reach of children.

Consult your doctor if you are in any doubt whatsoever.

11)

12)

13)

14)

15)

16)

17)

18)

3.1 Reception of equipment and accessories

Your stimulator is supplied with case containing:

A. 1pc the stimulator

B. 2pcs electrode cable

C. 4pcs Electrode pad (40x40mm)

D. 1pc user manual

E. 4pcs AAA battery

3.2 Presentation of the device

Inspect Applicator cables and associated connectors

before each use.

Electrical stimulators should be used only with the leads

and electrodes recommended for use by the

manufacturer.

Possible skin irritation or electrode burn under the

electrodes may occur.

Possible allergic skin reaction to tape or gel may occur.

-11-

15)

16)

2.5 Adverse Reactions

1)

2)

-12-

1

3

4

5

6

7

11

12

10

9

8

2

15 16

14

3. Presentation

(1) LED for channel 1

(2) LED for channel 2

(3) LCD

(4)[ ] key:

Turn on or turn off the device;

In working mode:Stop the treatment;

In memory mode:Exit from the memory state.

In setting mode: Exit from the setting state

-13-

(5) [CH1+] key:

Increasing the output intensity of channel 1.

(6) [ ] key:

In user select mode: To select the user (U1 or U2);

In memory mode: To check the memory data and

confirm whether remove the memory data;

In working mode: Pause treatment and resume

treatment

(7) [ ] key:

Decreasing the output intensity of channel 1.

In setting mode: To select the next parameter .

(8) [ ] key:

In waiting mode: To select the therapy program.

Press and hold to enter setting mode.

(9) [ ] key:

Decreasing the output intensity of channel 1.

In setting mode: Adjust the user program parameter.

(10) [ ] key:

In user select mode: Confirm to select U1 or U2;

In waiting mode: To select the treatment part circularly;

In waiting mode: Press and hold on 3 seconds to enter

memory mode;

In memory mode: Press and hold on 3 seconds to ask

whether remove the memory data.

(11) [ ] key:

Increasing the output intensity of channel 1.

In setting mode: Adjust the user program parameter.

(12) [ ] key:

In waiting mode: To select the therapy mode: “TENS”,

“MASS”, “EMS”.

-14-

3.3 LCD display

1) Therapy mode: TENS, MASS, EMS

2) Therapy part: SHOULDER, NECK, BACK,

ELBOW, HIP, ANKLE, FOOT, WRIST, KNEE

3) Pause indicator

4) Setting mode indicator

5) Pulse width and Output intensity of channel 1

6) Treatment time

7) Pulse rate and Output intensity of channel 2

8) Low battery indicator

9) Intensity lock indicator

8

9

7

6

5

4

3

2

1

(14) Battery cover

(15) Socket for channel 1

(16) Socket for channel 2

4 .1 Check Battery

Insert a fresh 4xAAA batteries into the battery compartment.

Make sure you are installing the battery properly.The battery

is inserted in the casing on the back of the stimulator.

Be sure to match the positive and negative ends of the

battery to the markings in the battery compartment of

unit.

To remove the battery cover, press and pull down following

the direction of on the battery cover.

Remove the batteries if the device is not in use for long

periods of time.

Do not mix old and new batteries or difference type of

batteries.

Warning: If batteries leak and come into contact with the

skin or eyes, wash immediately with copious amounts of

water.

Batteries must be handled by an adult. Keep batteries

out of the reach of children.

Only batteries of the same or equivalent type are

recommended.

Remove exhausted batteries from the unit.

Dispose of batteries safety according to local regulation.

1.

2.

3.

4.

5.

6.

7.

-16-

-15-

3.4 Technical information

Material:-------------------------------ABS

Channel:-------------------------------Two channel

Power supply:----------------------- 4x AAA batteries

Waveform:----------------------------Biphase square-wave pulse

Pulse duration:---------------------- 30-350μs

Pulse frequency:--------------------1-290Hz

Treatment time:--------------------- 5 to 90min

Intensity:------------------------------ Adjustable from 0 to 90mA

(at 1000 ohm )

Operating conditions:--------------5°C to 40°C with a relative

humidity of 30%-85%,

Atmospheric pressure from

700 hpa to 1060 hpa

Storage conditions:---------------- -10°C to 50°C with a relative

humidity of 10%~90%,

atmospheric pressure from

700 hpa to 1060 hpa

Dimensions:--------------------------117x60x25mm

Weight:--------------------------------110g (without batteries)

140g (with batteries)

Service life of the device:---------3 years

Service life of the battery:---------With new super heavy duty

batteries, approx. 20 days

when used for 30 minutes a

day in TENS NECK P01

program at 40mA intensity.

4. Instructions for use

Caution:

4.2 Connect electrodes to lead wires

Insert the lead wire connector into

electrodes connector. Make sure no

bare metal of the pins is exposed.

Caution:

Always use the electrodes with

CE mark, or which are legally

marketed in the US under 510(K) procedure.

4.3 Connect lead wires to the device

LT3011A Ref.LTK545 has two output channels,

the user can use one channel with

a pairs of electrode pads or use

both channels with two pairs of

electrode pads. Before Connect

lead wires to the device, please

make sure the device is completely

turned off. Hold the cable plug and insert into the socket on

the top of the device.

Caution

For the safety, please always use lead wires which supplied

by manufacturer or distributor.

4.4 Place electrodes on skin

Apply electrodes to the exact site indicated by your

physician (Recommend stimulation position please refers to

Appendix: Stimulation position). Before applying electrodes,

be sure the skin surface over which electrodes are placed is

thoroughly cleaned and dried. Make sure the electrodes are

Before applying the self-adhesive electrodes, it is

recommended to wash and degrease the skin, and then

dry it.

Do not switch the device on when the self-adhesive

electrodes is not positioned on the body.

Never remove the self - adhesive electrodes from the

skin while the device is still switched on.

It is recommended that, at minimum,4cm x 4cm self -

adhering based, square electrodes are used at the

treatment area

1.

2.

3.

4.

-17-

placed firmly to the skin and make good contact between

the skin and the electrodes. Place the electrodes over the

skin; attach them properly, firmly, and evenly.

Caution

4.5 Turn on

Before using the device for the first time, you are strongly

advised to take careful note of the contraindications and

safety information of this manual. As this powerful

equipment is neither a toy nor a gadget!

In order to turn on the device, press [ ] button and the

device will enter into user select mode, LCD displays like

figure I:

Figure I

-18-

You can select U1 or U2 by press [ ] button, the device will

enter into waiting mode after press [ S ] button.

Caution

1The device will enter into user select mode too, after you

insert batteries.

2) The device will enter into waiting mode too if no any

button to press in 5 seconds.

4.6 Select the therapy mode and treatment part

There are three therapy modes in this device, Press [ M ]

button to select therapy mode: “TENS”, “MASSAGE” or

“EMS”. The therapy mode which you selected will flash like

figure II.

There are 9 treatment parts display on LCD, press [ S ]

button to select therapy part circularly. The therapy part will

flash like figure II when you selected it.

Figure II

-19-

4.7 Select the therapy program

There are 3 therapy modes and 9 treatment parts in this

device, each treatment part has 3 or 4 programs in one

therapy mode. So, the total therapy program is 78, among

them, TENS program and EMS program each is 27 and

MASSAGE program is 24. The details please refer to

“Therapy program” in page 24.

Press [P] button to select the therapy program for the

treatment part which you selected. The LCD will display

program number like figure II.

4.8 Adjust the intensity and start to treatment

Press [CH1+] or [CH2+] button to increase the output

intensity of channel 1 or channel 2, and the device start to

work. Press [CH1-] or [CH2-] button to decrease the output

intensity of channel 1 or channel 2. The LCD will display the

current output intensity like Figure III, the remaining working

time also display on LCD.

Figure III

-20-

Caution:

4.9 User program setting

Each treatment body part has one user program-U1 in

TENS and EMS mode. Turn on the device and select the

user program by press [P] button, and then press and hold

[P] button to enter into the setting mode. In this mode, you

can set the pulse width from 50 to 350µs, pulse rate from 1

to 150Hz and treatment time from 5 to 90min.

-21-

1) Select the parameter

Press [CH1-] button to switch the parameters- pulse rate,

pulse width, and treatment time.

2) Adjust the parameter

Press [CH2+] or [CH2-] button to adjust the parameter.

Press [ ] button to confirm the parameters and the device

enter into the waiting mode.

Note:

Press and hold [CH2-] button until you install all batteries,

the parameter will come back to factory default.

4.10 Checking the memory

The device will record the treatment parameter (e.g.

recording number, program, treatment part, the average

intensity and treatment time) after you finished treatment.

The maximum memory number is 30, the front of record will

be deleted when the memory number over 30.

If you want to check the memory data, please press and

hold [S] button for 3 seconds, the device will enter into

memory mode. Press [ ] button to read the memory

parameter, and press [CH1] button to read the next record

when the LCD display memory number.

The strength/intensity of stimulation may be adjusted

depending upon the individual requirement of the user.

The maximum intensity level is 90, 1level/step.

Before removing the electrode pads please make sure

the device turned off first.

The safety lock feature automatically activates after there

is no press any button in 20 seconds. You cannot

increase the output intensity when the indicator " "

display on LCD. You can press [CH1-] or [CH2-] button

to unlock the device.

When the remaining working time returns to zero, the

output intensity will stop automatically.

If there is any emergency happen, Please press [ ]

button to stop treatment, the device will enter into waiting

mode, or press [ ] button to pause treatment and press

again to continue the treatment. If the device is locked,

please press [CH1-] or [CH2-] button to unlock the

device first.

The amplitude level will be reset to 0mA when the

amplitude level is 10mA or greater and an open circuit at

either channel is detected.

1.

2.

3.

4.

5.

6.

7.

-22-

Caution:

4.11 Turn the device off

You can Press and hold [ ] button to turn the device off

Note:

Except for working mode, the device will automatically turn

off after there is no press any button in 3min.

4.12 Replace batteries

To replace the batteries, open the lid cover and extract the

battery. Replace it with new AAA batteries. Make sure you

insert the battery correctly.

4.13 Low battery indicator

When the low power indicator flashes, the batteries should

be replaced with new batteries as soon as possible.

However, the stimulator will continue to operate for several

more hours.

-24--23-

(5) [CH1+] key:

Increasing the output intensity of channel 1.

(6) [ ] key:

In user select mode: To select the user (U1 or U2);

In memory mode: To check the memory data and

confirm whether remove the memory data;

In working mode: Pause treatment and resume

treatment

(7) [ ] key:

Decreasing the output intensity of channel 1.

In setting mode: To select the next parameter .

(8) [ ] key:

In waiting mode: To select the therapy program.

Press and hold to enter setting mode.

(9) [ ] key:

Decreasing the output intensity of channel 1.

In setting mode: Adjust the user program parameter.

(10) [ ] key:

In user select mode: Confirm to select U1 or U2;

In waiting mode: To select the treatment part circularly;

In waiting mode: Press and hold on 3 seconds to enter

memory mode;

In memory mode: Press and hold on 3 seconds to ask

whether remove the memory data.

(11) [ ] key:

Increasing the output intensity of channel 1.

In setting mode: Adjust the user program parameter.

(12) [ ] key:

In waiting mode: To select the therapy mode: “TENS”,

“MASS”, “EMS”.

3.3 LCD display

1) Therapy mode: TENS, MASS, EMS

2) Therapy part: SHOULDER, NECK, BACK,

ELBOW, HIP, ANKLE, FOOT, WRIST, KNEE

3) Pause indicator

4) Setting mode indicator

5) Pulse width and Output intensity of channel 1

6) Treatment time

7) Pulse rate and Output intensity of channel 2

8) Low battery indicator

9) Intensity lock indicator

The device will return to waiting mode when you

press [ ] button or 30 seconds later.

Press and hold [S] button for 3 seconds, the total

recording number will flash on LCD when the device in

memory mode. If you want to delete the memory, please

press [ ] button to delete them; if you want to keep

them, you should press [ ] button and the device return

to waiting mode.

1.

2.

There are 3 therapy modes (TENS, EMS and MASSAGE)

and 9 treatment parts (SHOULDER, NECK, BACK, ELBOW,

HIP, ANKLE, FOOT, WRIST and KNEE) in this device, each

treatment part has 3 or 4 programs in one therapy mode. So,

the total therapy program is 78, among them, TENS program

and EMS program each is 27 and MASSAGE program is 24.

The factory default details please refer to following:

5.1 TENS program:

5. Therapy program

Therapy

part

program

P1

Treat-

ment

time

(min)

P2 U1Default

SHOULDER

NECK

BACK

ELBOW

HIP

ANKLE

FOOT

WRIST

KNEE

Waveform Waveform Waveform

Hans Hans

Hans

Pulse

rate

(Hz)

2~

125

80

100

2~

125

80

2~40

2~

100

2~80

80

Pulse

width

(μs)

100~

200

180

330/

200

100~

200

330/

200

100~

200

100~

200

100~

200

30

Pulse

rate

(Hz)

50

80

125

2~8

80

65

2

Pulse

width

(μs)

200

70~

180

70/

180

70~

180

330/

200

300

70/

180

200

180

Pulse

rate

(Hz)

2~80

2

80/2

2

100

2~60

80

50

Pulse

width

(μs)

100~

200

180

330/

200

100~

200

70~

180

200

350

Continuous Continuous

Continuous

Amplitude

modulated

Amplitude

modulated

Amplitude

modulated

Amplitude

modulated

Asynchron-

ous

Synchronous

Pulse width

modulated

Pulse width

modulated

Pulse width

modulated

Pulse rate

modulated

Simple

modulated

pulse

Simple

modulated

pulse

Simple

modulated

pulse

Simple

modulated

pulse

Simple

modulated

pulse

Simple

modulated

pulse

Simple

modulated

pulse

Alternate

Ramped

Burst

Therapy

part

program

P1

Treat-

ment

time

(min)

P2 U1Default

SHOULDER

NECK

BACK

ELBOW

HIP

ANKLE

FOOT

WRIST

KNEE

Waveform Waveform Waveform

Pulse

rate

(Hz)

40

2~8

80

50

65

50

40

Pulse

width

(μs)

200

300

150

350

200

350

30

Pulse

rate

(Hz)

50

2~60

65

50

40

65

50

50/8

50

Pulse

width

(μs)

200

100~

200

350

200

350

Pulse

rate

(Hz)

80

1

50

65

50

Pulse

width

(μs)

150

50

350

150

350

200

350

Continuous

Pulse rate

modulated

Asynchronous

Simple

modulated

pulse

5.2 EMS program:

-25- -26-

-27- -28-

5.3 MASSAGE program:

P1

P2

P3

SHOULDER

NECK

BACK

ELBOW

HIP

ANKLE

FOOT

WRIST

KNEE

P1P2 P3P4

P2P3P4

P1P2P3

P2P3

P1P2P3P4

P3P4

P2P3

P1P2

Therapy part program

Work

time

(s)

Rest

time

(s)

Treatment

Time(min)

PhaseProgram

1

2

3

4

5

6

7

8

9

10

11

12

13

1

2

3

4

5

Pulse width

(µs)

100

30~220

200

30~220

50~220

Pulse

rate

(Hz)

8

25

33

43

53

69

79

69

53

43

33

25

83

100

111

118

132

4

3.5

2.5

1.9

1.3

0.9

0.7

0.5

0.7

1.3

1.9

2.5

3.5

4

3.8

3.1

2.6

2.3

/

1.0

0.9

0.8

0.7

0.6

0.5

0.6

0.8

0.9

1

0.8

0.72

0.6

30

P3

P4

Work

time

(s)

Rest

time

(s)

Treatment

Time(min)

PhaseProgram

6

7

8

1

2

3

4

5

6

7

8

9

10

11

Pulse width

(µs)

50~220

30~220~150

Pulse

rate

(Hz)

118

111

100

147

169

196

237

285

290

238

197

191

168

150

2.6

2.8

3.3

12.0

10.3

8.5

6.8

5.1

5.7

6.3

8

8.5

9.1

10.8

0.6

0.7

0.8

1.0

0.9

0.6

0.4

0.5

0.6

0.7

0.8

0.9

30

-29- -30-

Remove the batteries from the device every time

before cleaning.

Clean the device with a soft,slight moistened cloth. In

case of more extreme soiling you can also moisten the

cloth with mild soapy water.

Do not use any chemical cleaners or abrasive agents for

cleaning.

1.

2.

3.

Use the device only with the leads and electrodes

provided by the manufacturer. Use only the electrode

placements and stimulation settings prescribed by your

practitioner.

It is recommended that, at minimum 4cm * 4cm self-

adhering based, square electrodes are used at the

treatment area.

Inspect your electrodes before every use. Replace

electrodes as needed.Reusable electrodes may cause

slight skin irritation, lose adhesion and deliver less

stimulation if over used.

1.

2.

3.

Attach the electrode to the lead wire.

Remove the protective backing from the electrode

surface. Do not throw away the protective backing

because it is reused after the treatment session has

been completed.

Place the tacky surface to the prescribed skin area by

pressing the electrode firmly against the skin.

1.

2.

3.

Lift the corner of the electrode and gently remove it from

the skin.

Apply the protective backing to the tacky side of the

electrode.Place the electrode on the side of the

protective backing that is labeled with the word, on.

Store the electrodes in the resalable pouch or a plastic

bag.

1.

2.

3.

Do not pull on the electrode wire. Doing so may damage

the and electrode.

Always use the electrodes with CE mark, or are legally

marketed in the US under 510(K) procedure.

1.

2.

To use these electrodes:

To remove your electrodes:

Caution:

6.3 Cleaning the Electrodes cords

Clean the electrode cords by wiping them with damp cloth.

Coating them lightly with talcum powder will reduce tangles

and prolong the life.

6. Cleaning and maintenance

6.1 Cleaning the device

6.2 Electrodes

-31- -32-

Maintenance and all repairs should only be carried out

by an authorized agency. The manufacturer will not be

held responsible for the results of maintenance or repairs

by unauthorized persons.

The user may not attempt any repairs to the device or any

of its accessories. Please contact the retailer for repair.

Opening of the equipment by unauthorized agencies is

not allowed and will terminate any claim to warranty.

Check the device before each use for signs of wear

and/or damage. Replace wear items as required.

1.

2.

3.

4.

7.Trouble-shooting

6.4 Maintenance

If your device does not seem to be operating correctly, refer

to the chart below to determine what may be wrong. Should

none of these measures correct the problem, the device

should be serviced.

-33- -34-

For a prolonged pause in treatment, store the device in a

dry room and protect it against heat, sunshine and

moisture.

Store the device in a cool, well-ventilated place

Never place any heavy objects on the device.

1.

2.

3.

8. STORAGE

9. DISPOSAL

Used fully discharged batteries must be disposed of in a

specially labeled collection container, at toxic waste collection

points or through an electrical retailer. You are under legal

obligation to dispose of batteries correctly.

Please dispose of the device in accordance with

the directive 2002/96/EC WEEE (Waste Electrical

and Electronic Equipment). Contact your local

distributor for information regarding disposal of

the unit and accessories.

The following is excluded under the warranty:

Liability for direct or indirect consequential losses caused

by the unit are excluded even if the damage to the unit

is accepted as a warranty claim.

All damage which has arisen due to improper

treatment, e.g. nonobservance of the user instruction.

All damage which is due to repairs or tampering by

the customer or unauthorized third parities.

Damage which has arisen during transport from the

manufacturer to the consumer or during transport to

the service centre.

Accessories which are subject to normal wear and

tear.

a.

b.

c.

d.

4.

5.

-35-

LOT

SN

-36-

The warranty period for LT3011A Ref.LTK545 products

is one year from date of purchase. In case of a warranty

claim, the date of purchase has to be proven by means

of the sales receipt or invoice.

Defects in material or workmanship will be removed free

of change within the warranty period.

Repairs under warranty do not extend the warranty

period either for the unit or for the replacement parts.

1.

2.

3.

Please contact your dealer or the device centre in case of a

claim under the warranty. If you have to send in the unit,

enclose a copy of your receipt and state what the defect

is.The following warranty terms apply:

10. Normalized symbols

11. Warranty

Applied part of type BF

Disposal in accordance with Directive

2002/96/EC (WEEE)

Batch code

Serial number

Refer to instruction manual because of the

higher levels of output

Keep dry

Complies with the European Medical Device

Directive (93/42/EEC) and amended by

directive 2007/47/EC requirements. Notified

body TÜV Rheinland (CE0197)

The name and the address of the manufacturer

-37- -38-

Appendix: Stimulation position

Muscular

groups

Plantar

arch

muscles

Calf

muscles

Tibialis

position with your

feet placed under

a piece of

furniture, to avoid

any ankle

bending

Contract your

tibialis anterior

muscles while

vigorously trying to

raise the tip of your

foot against an

object that resists

and prevents this

movement

Vigorously contract

your calf muscles

while strongly trying

to push the tip of

your foot against an

object that r

esistsand prevents

this movement

Take up a seated

position with your

back and feet firmly

placed against

supports This

position is easy to

adopt by sitting,

for example,in a

doorframe

Peroneous

muscles

Placement of

electrodes

Stimulation

positions

Take up a seated

position with your

feet resting on

the floor

Take up a seated

position with your

feet resting on

the floor

Contract your

peroneous muscles

by exercising a

vigorous pressure

on the floor with

your big toe, while

also trying to raise

the outer toes from

the floor

Vigorously contract

the muscles of your

plantar arch,trying

to dig your toes into

the floor

Voluntary start of the

contraction phase

1

2

3

4

1

2

Contract vigorously

the muscles on the

back of the thigh

(hamstrings) while

trying to bend your

knees

Lie flat on your

stomach with

your ankles fixed

in a convenient

way

Take up a seated

position and

place a rigid(but

comfortable)

object between

your knees

Take up a seated

position The work

can be done in two

ways:statically, if you

have taken the

necessary measures

to block the

movement of your

knees dynamically,

if you want to

emphasise work with

movement, against

an object offering

resistance created by

using heavy weights

Lie down on your

stomach or stand up

Special

recommendations:

For the buttocks, the

mode requires very

good muscular

qualities and is not

compatible with

certain morphological

configurations In the

event of repeated

failures with the mode,

we recommend work

on the buttocks in the

“classic” mode

Strongly contract

your quadriceps,

while trying to

extend your legs

Vigorously contract

your buttock

muscles, while

strongly trying to

close your buttocks

and trying to bring

your thighs behind

your trunk

Buttocks

Strongly contract

your adductors,

while vigorously

trying to bring your

knees together

Hams-

trings

Adductors

Quadriceps

Muscular

groups

Placement of

electrodes

Stimulation

positions

Voluntary start of the

contraction phase

5

1

2

6

1 2

7

1

2

8

1

2

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