Tensmed S82 TENS Instructions for Use Sept 2020

DEAR CUSTOMER THANK YOU FOR CHOOSING THIS PRODUCT. WE REMAIN AT YOUR ENTIRE DISPOSAL FOR ANY ASSISTANCE OR ADVICE YOU MAY NEED The device has been manufactured in compliance with applicable technical standards and has been certified, in compliance with Directive 93/42/EEC as amended by directive 2007/47 on medical devices, by the Notified Body Kiwa Cermet Italia, Via Cadriano 23, 40057 Granarolo Dell’Emilia (BO) Italy (n. 0476), in order to ensure product safety.

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Table of contents TECHNICAL FEATURES ... 5 Device ... 5 Use conditions ... 5 Technical features of the currents NMES and TENS: ... 5 EQUIPMENT ... 6 INTENDED USE ... 6 CONNECTIONS ... 7 Accessories ... 7 LABELLING AND SYMBOLS ... 7 WARNINGS AND CONTRAINDICATIONS... 10 Mandatory behavior ... 10 Warnings before use ... 11 Warnings during the use ... 11 SIDE EFFECTS AND CONTRAINDICATIONS ... 12 Contraindications ... 12 MAINTENANCE AND CLEANING... 13 Maintenance and cleaning of the device ... 13 Accessories Use and storage of the electrodes and the cables. ... 13 INSTRUCTIONS FOR USE ... 15 ELECTROSTIMULATION ... 18 Electrostimulation advantages... 18 Mechanism of the muscular contraction ... 18 TENS ... 20 Incontinence programs ... 21 Warnings ... 21 Maintenance... 21 PROGRAM LIST ... 22 TREATMENT DESCRIPTIONS ... 25 WARRANTY ... 27 FREQUENTLY ASKED QUESTIONS ... 28

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TECHNICAL FEATURES Device Size: 130 X 80 X 20 mm Weight: 220 g. Case: in ABS Protection level: IP 22 Storage and transportation temperature: from -10°C to 45°C Max. relative humidity: 30% - 75% Medical device classification class: IIa The values indicate the limits allowed if the product or its accessories are not in the original package. Made in PRC.

Charger Tipo: Model: Input: Output: Polarity: Batteriy pack: Made in PRC.

Switching Power Adaptor DK7-065-0200-EU 100-240Vac - 50-60Hz - 0,06 A 5,8 Vdc - 200 mA Ni-MH AAA 4,8V 800 mAh

Use conditions Temperature: Max. relative humidity: Atmospheric pressure:

from 0°C to 35°C from 15% to 93% from 700 hPa to 1060 hPa

Technical features of the currents NMES and TENS: Channels available: Constant current: Intensity: Wave form: Working frequency: Recovery frequency: Pulse width (single phase): Working time: Recovery time: Frequency modulation range: Min. modulation time: Pulse width modulation range: Min. Time: Max. Time: 1727751-51

channel 1-2 Yes 0-100 mA p.p. per channel Rectangular, biphasic, symmetric, compensated 1-150 Hz 1-150 Hz 50-400 µs (total pulse time: 100-800 µs) from 1 to 30 seconds from 0 to 1 minute continuous variation from 1 to 150 Hz 3 seconds continuous variation from 50 to 400 µs 1 minute 100 minutes

5

EQUIPMENT

A

B

C

D

E

F

G

H

The electrostimulator is supplied complete of cables and electrodes to use: therefore, opening the package, it is necessary to check that the basic equipment is complete. If some elements should be missing, contact immediately the authorized retailer where you purchased the product. Control carefully the integrity of the device and its electrodes. A. Device B. 2 colored electrode connection cables (for NMES and TENS treatments) C. 1 bag containing 4 reusable self-adhesive electrodes (50 x 50 mm) (It is suggested to use these electrodes for small areas such as upper limbs, calves, cervical areas…) D. 1 bag containing 4 reusable self-adhesive electrodes (50 x 90 mm). (It is suggested to use these electrodes for big areas such as thighs, abdomen and glutei...). E. Charger (see technical features) F. Carrying bag G. User manual in English (printed) H. CD with user manual in English, German, French, Spanish, Italian The device can be used with some optional accessories. For purchase information, contact your Enraf-Nonius dealer or visit www.enraf-nonius.com.

INTENDED USE The after sales service is guaranteed for 5 years. We suggest having a check of the device every 2 years for the maintenance and to ensure the safety. The numbers of treatments depends on the battery charge. The electrostimulators are designed to be used in the following operating environments: - domestic environment; - general pain treatments; - beauty and sport purposes. The Tensmed S82 is intended to be used, and shall only be used, by or under the supervision of professional users in physiotherapy, rehabilitation and adjacent areas.

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It is important to read the following instructions carefully before using your Tensmed S82. The manufacturer cannot be held responsible for the results of using this device for any purposes other than described in these operating instructions. Should the use of this device lead to an undesirable event such as death or serious injury to the user, the manufacturer and the competent authority of the Member State MUST be informed without delay!

CONNECTIONS Accessories Cable connections One or two cables may be used depending on whether you have chosen to use one or two channels of the unit. To connect the cable connector to the device, plug it into the appropriate inlet in the upper part of the unit. The inlets are situated exactly under the correspondent channel (left or right). Insert the cable at the channel you want to use. Electrode application Take the electrodes from the original package; all new electrodes have a seal on the package. Be sure that the device is off. To start, connect the two cable plugs to the electrodes, then disconnect the electrodes from their position and apply them on the skin. To place the electrodes correctly, see the pictures included in this manual. After the use, place the electrodes in their original position again. ATTENTION: do not unplug the electrodes if the unit is working.

LABELLING AND SYMBOLS It refers to the manufacturer name and address Warning This symbol on your device indicates that it complies with the directives on medical devices (93/42/CEE 47/2007CEE). The number of the notified unit is 0476. It indicates that this is a II class device.

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It indicates that this device has type BF parts. WEEE symbol (Waste of Electrical and Electronic Equipment). Recycling symbol. The WEEE symbol used for this product indicates that the device may not be disposed of as a household product. Properly dispose of the product to help protect the environment. For more information on recycling this product, contact the local competent department, the household waste management company or the store in which the product was purchased. It indicates the optimal temperatures for the storage and transportation of the product. It indicates that the product has been produced respecting the directive 2011/65/EEC. It informs the operator that before using the device he must read the manual. IP22

It indicates the water protection degree It informs the operator of a compulsory conduct It refers to the pressure of the environment where the device is stored It refers to the humidity of the environment where the device and its accessories are stored.

It refers to the manufacturing date Use indoor

Device

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Charger

Electrodes

It refers to the production lot It indicates the product code It refers to product certification and indicates that complies with directive 93/42/CEE + 47/2007CEE. It indicates the storage temperature of the electrodes It refers to the expiry date

       

Clean and degrease the skin. Do not apply the electrode on wounds or injured skin. Connect the cable connector to the electrode connector. Remove the electrode. Apply on the skin. Start the program. At the end, put the electrode back in the package. Electrodes are for personal use.

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   

Do not remove the electrode by grabbing the connector. Electrodes should not touch each other. Do not apply the electrodes on the temples, the neck and in a transthoracic way. Do not leave the electrodes in the car.

Display

Working phase Battery Time

Program no.

Working and resting phase time Channel intensity PANEL/KEYBOARD Increase/decrease intensity button and change parameters during the setup

P+ / P- / OK button to move inside the menu and increase/decrease the intensity

LEFT button to move to the previous phase

RIGHT button to move to the next phase

Fn button to modify the treatment time and to access the programming function

Pause time Switching ON/OFF and Confirm button

WARNINGS AND CONTRAINDICATIONS Mandatory behavior For safety reasons, the device must be used in the prescribed manner and within the limits of use explained in this manual. The manufacturer declines any responsibility due to a different use from what it is indicated in this manual. No part of this manual (texts and photos) may be reproduced by electronic or mechanical manner without the prior written authorization of the manufacturer. It is suggested not to carry out treatments in presence of skin wounds. If the package, the cable or the connector of the power supply unit show signs of wear or damage, replace it instantly. 1727751-51

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The unit should be connected to the mains by its power supply unit. Before starting the treatment, make sure that the power system specifications comply with the directives in force within your country. Make sure that the power supply unit will be in a comfortable position and that it will be easy to be removed.

Warnings before use We suggest avoiding the use of the device together with other electronic devices, especially with those used to maintain vital functions. For a correct use of the Electromedical device, make reference to the tables attached. If it is necessary to use the device near or together with other devices, pay attention to its working.  It is recommended to read carefully the entire operating manual before using the device; keep carefully this operating manual;  The device can emit current value above 10mArms;  Before each use always check the integrity of the unit. This is a fundamental requirement for carrying out therapies, do not use the unit if either the buttons or cables are defective or malfunctioning;  It must be used only by people over 18 who are able to understand and take action;  It should not be used for purposes other than neuromuscular stimulation as described in this manual;  It must be used following the indications and under the physician or physiotherapist’s control;  It must be used with the supplied electrodes intended for transcutaneous neuromuscular stimulation;  It must be kept out of the reach of children;  ECG monitoring devices may not operate properly when electrostimulation is working;  Do not use the device in trans-thoracic modality because it may cause cardiac arrhythmia, imposing its frequency over the heart one. Do not stimulate the pectoral and dorsal muscles simultaneously;  If there is any health problem, it must be used only after seeing a doctor;  A simultaneous connection of the patient to a high frequency electrosurgery device can cause burns where the electrodes are placed and the electrostimulator can result damaged;  After turning on the device, make sure that in the display the software version and the model of the device appear, it means that the device is working and it is ready to be used. If not, or in the display all the segments do not appear, turn it off and on again. If the problem persists, contact the service center and do not use the device;  An unexpected switching-off of the device means that the battery has run-down. Charge it according to the instructions in the paragraph: how to charge the batteries.

Warnings during the use While using the electrostimulator some warnings should be followed:  In case of damaged cables, they must be replaced with original parts and no longer used;  Use only the electrodes supplied by the company;  The device must be kept out of the reach of any pet that could damage it and contaminate it with parasites;  Pay particular attention when the current density for every electrode is above 2mA/cm2 (effective value); 1727751-51

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 

       

The cables of the electrostimulation should not be wrapped around people's neck to avoid any risk of strangulation and suffocation; The mobile and fixed radio communications devices could influence the functioning of the electromedical device: see the tables attached to this manual. Preventative measures to take using the device for incontinence treatments. Patients with extra-urethral incontinence should not be treated with the electrostimulator; Patients suffering excessive incontinence due to evacuation problems should not be treated with the electrostimulator; Patients with severe urinary retention to the upper urinary passages should not be treated with the stimulator; Patients with total peripheral denervation of the pelvic floor should not be treated with the stimulator; Patients suffering of a total/subtotal prolapse of the uterus/vagina should be stimulated with extreme care; Patients with infections to the urinary passages should be treated for these symptoms before starting the stimulation treatment; Before removing or touching the probe it is necessary to turn off the stimulator or to regulate the intensity of both the channels on 0,0 mA; The treatment is a personalized medical prescription: do not borrow the stimulator to other persons.

SIDE EFFECTS AND CONTRAINDICATIONS Isolated incidents of skin irritation may occur in subjects with high epidermal sensitiveness. In case of an allergic reaction to the electrode gel, suspend the treatment and contact a specialist. If during the treatment signs of tachycardia and extrasystole appear, suspend the treatment and contact your physician.

Contraindications Do not use the device in the following cases: - Stimulation of the front part of the neck (carotid sinus); - Pacemaker weavers; - Patients with tumor diseases (see your oncologist); - Stimulation of the brain region; - Pains whose etiology is unknown; - Sores and dermatological diseases; - Severe traumas; - Stimulation on recent scars; - Pregnancy; - It is strictly forbidden to use the electrostimulator in the ocular area; - Near body areas with metallic implants or infratissue metals (prostheses, osteosynthetic devices, coils, screws, orthopedic plates), when using monophasic current, interferential, or continuous current, ionophoresis.

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It is recommended to use the device with caution in people with capillary fragility, as an excessive stimulation could cause capillary ruptures.

MAINTENANCE AND CLEANING Maintenance and cleaning of the device 

       

In case of real or alleged malfunction, do not tamper with the device or try to repair it yourself. Do not intervene on the device and do not open it. Only specialized and authorized centers can repair it; Avoid violent impacts that may cause damage and malfunctions to the device even if undetectable immediately; Use this device in a dry environment and in an open space (not wrapped in any materials); Clean the device and accessories only with disinfectant with sodium hypochlorite or quaternary ammonium salt diluted with distilled water equal to 0,2-0,3%. After cleaning/disinfecting it, dry the device and its accessories with a clean cloth; Always use the device and its accessories with clean hands; It is recommended to use the device in a clean room, to avoid the contamination of the device with dust and dirt; It is recommended to use the device in a ventilated space, with regular air change; It is recommended to clean/disinfect the parts after every use.

Accessories Use and storage of the electrodes and the cables. After using the multi-purpose single patient and/or single-use electrodes, they must be stored using their plastic film and placed in the plastic bag. Avoid that the electrodes touch each other or that they overlie one over the other. Once the package has been opened, the electrodes can be used for 25-30 applications. The electrode must be always used with clean hands and they must be replaced if they are not perfectly in contact with the skin. If using non self-adhesive electrodes it is suggested to clean the surface with proper cleansers that respect the requirements described in the manual. The electrodes must be stored in their bag and in an environment that respects the requirements described in the manual. After the end of a treatment, unplug the cables from the connectors and clean them carefully with proper cleansers that respect the requirements described in the manual. After cleaning and drying them, they must be folded up and placed in the plastic bags supplied with the cables. Battery: how to charge the batteries The device is supplied with a set of rechargeable nickel-metal hydrate batteries (4,8V 800mAh). When in the display the battery to be charged icon appears, we suggest recharging the device, as after the appearance of this symbol the electroestimulator autonomy is limited and could not allow the execution of a complete program. To charge the batteries, turn off the electrostimulator and disconnect the electrodes, then connect the elctrostimulator to the charger provided by inserting the plug in the appropriate inlet. 1727751-51

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We suggest charging the device for 8-12 hours to obtain the greater duration of the battery pack. A possible increase in the temperature in the battery area during the charge is normal. Do not use a different charger from the one provided with the device. To replace the electrostimulator batteries, contact an authorized service center. Disposal of the device Do not throw the device or part of it in the fire, but dispose of the product in the specialized centers and respecting the directives in force within your country. When the product has to be disposed of, the user can give it back to the retailer when purchasing a new unit. A correct separate waste collection or following what above mentioned contribute to avoid possible negative effects on environment and health and promote the reuse and/or recycle of materials of which the device is composed. The illegal disposal of the product by the user involves the application of the administrative fines according to the current regulations.

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INSTRUCTIONS FOR USE

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Programming

By pressing the Fn button for 2 seconds in the starting screen, you will have the possibility to program the device through 6 ways ( PED1 – PED6 ). To move from a parameter to the next one press OK. PED1: It is possible to set the values of frequency and pulse width. Frequency: from 1 to 150 Hz in steps of 1 Hz. Pulse width: from 50 to 250 µs in steps of 10 µs. Default values: 100 Hz / 200 µs. Treatment time can be set from 5 to 100 min. in steps of 5 min. (default value: 20 min.) PED2: It is possible to regulate the pulse width with a frequency set at 100 Hz (fixed). Pulse width: from 50 to 250 µs in steps of 10 µs. Default value: 200 µs. Treatment time can be set from 5 to 100 min. in steps of 5 min. (default value: 20 min.) PED3: It is possible to set the frequency values. Frequency: from 1 to 150 Hz in steps of 1 Hz. Default value: 100 Hz The pulse width is automatically modulated from 100 µs to 250 µs and can not be set. Treatment time can be set from 5 to 100 min. in steps of 5 min. (default value: 20 min.) PED4: It is possible to set the values of frequency and pulse width. Frequency: from 1 to 150 Hz in steps of 1 Hz. Pulse width: from 50 to 320 μs in steps of 10 μs. Default values: 30 Hz / 250 µs. Treatment time can be set from 5 to 100 min. in steps of 5 min. (default value: 20 min.) Work-rest program: tup = 1 s; thold = 5 s; tdown = 1 s; toff = 5 s. The work-rest program is fixed and can not be modified. 5s 5s

tUP

tHOLD

tDOWN

tOFF

PED5: It is possible to set the frequency values. Frequency: from 1 to 150 Hz in steps of 1 Hz. Default value: 30 Hz The pulse width is automatically modulated from 100 µs to 320 µs and can not be set. Treatment time can be set from 5 to 100 min. in steps of 5 min. (default value: 20 min.) 1727751-51

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PED6: It is possible to set the values of tHOLD e tOFF. From 1 to 30 s in steps of 1 s. Time values for tUP and tDOWN are fixed (at 1 s) and can not be modified). It is possible to set the frequency values from 1 to 150 Hz in steps of 1 Hz. Value of the pulse width set on 300 µs (fixed). Default values: tHOLD = 2 s; tOFF = 10s; 30 Hz. Treatment time can be set from 5 to 100 min. in steps of 5 min. (default value: 20 min.) 1…. 30 s 1…. 30 s

tUP

tHOLD

tDOWN

tOFF

ELECTROSTIMULATION Electrostimulation advantages The electro stimulation does not want to replace physical activity but it must be considered as an integrating treatment. According to the aims it will be useful: - To the sportsmen/sportswomen, in order to integrate the normal training and to increase performances - To who wants to intervene on some imperfections - To who suffers from some pathologies - To who has suffered from a trauma or in the rehabilitation. The electro stimulation is a technique that provokes a muscular contraction completely similar to the volunteer one, using electrical TENS impulse. There are two different ways of use: 1. Muscular stimulation (ideal for the development of the force and for aesthetic treatments) 2. The stimulation to nervous ends (ideal for the treatments against the pain). Types of muscle The muscle can be subdivided in three different types: streaked or voluntary muscle; cardiac muscle and smooth or involuntary muscle. The voluntary muscle includes the skeletal muscle that gives movement to the skeleton and the cutaneous muscle that acts on facial expressions. The cardiac muscle and the smooth muscle are not voluntarily controlled. The most part of the muscles of the human body belongs to the category of streaked or voluntary muscles, with approximately 200 muscles for every side of the body (approximately 400 in total). Skeletal muscles are the target of the NMES.

Mechanism of the muscular contraction The skeletal muscle exercises its functions through the mechanism of the contraction. When the muscular contraction happens, the movement of the articulations is produced and consequently the movement of the skeleton, too. 1727751-51

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The muscle contracted in the following way: when a person decides to make a movement, an alteration of the electric potential in the motor center of the brain and an electric impulse is transmitted to the muscle that has to move. The electrical impulse is transmitted as a change of potential (voltage); an electrical impulse crosses the motor nerve to the muscle that must be stimulated. After the reception of the impulse, Ca ions are freed by the reservoirs causing the approach of actin and myosin. The result is that the distance between the bands Z diminishes causing therefore the muscular contraction. The energy demanded for the contraction is supplied by the supply of sugars and fats stored in the human body. In other words, the electrical stimulation is not a directed energy resource but it works as an instrument that triggers the muscular contraction. The same type of mechanism is activated when the muscular contraction is produced by the NMES. They assume in other words the same role of a natural impulse transmitted by the motor nervous system. Normally the muscle relaxes and returns to its original state them at the end of the contraction. Isotonic and isometric contractions The isotonic contraction reveals when, in a movement of our body, the interested muscles produce a state of constant tension. The isotonic contraction reveals when, in a movement of our body, the interested muscles produce a state of constant tension. Instead, when the joint heads of a physical segment are blocked and the musculature produces a tension, we talk about an isometric contraction. In the event of the electro stimulation an isometric contraction is preferred because it fosters to obtain a more effective control. The distribution of the different types of fibers in the muscle The relationship between the two main categories (type I and the type II) can vary in sensitive way. There are muscular groups that are typically constituted by fibers of type I, like the soleus, and there are muscles that have only fibers of type II like the orbicular muscle. But in the most part of the cases we have a simultaneous presence of various types of fibers. The studies lead on the distribution of fibers in the muscle have put in evidence the strait relationship that exists between the motoneuron (tonic or phasic) and the functional features of fibers from it innervate and have demonstrated as to a specific motor activity (and sports in particular) can determine a functional adaptation of the fibers and a modification of the metabolic features of the same ones.

Motor unit

Contraction type

Fiber type

Stimulation frequencies

Tonic

ST slow contraction

Ia

10 - 50 Hz

Phasic

FTa fast contraction

II a

50 - 70 Hz

Phasic

FTb fast contraction

II b

80 - 120 Hz

In order to make a tissue pass from the phase of rest to the one of excitation, by means of an induced electrical stimulus (impulse of the electrostimulation), some conditions are necessary: 1727751-51

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- the current amount - the duration of the stimulus that must be adapted to the corporeal district that is wanted to be stimulated. From this consideration, for the excitation of a tissue, the relationship between the duration and the intensity of the stimulus is particularly important and not only the value of the peak of the intensity. This relationship varies according to the muscular district. Stimulation intensity The current intensity necessary to obtain muscular contraction is personal and depends on the position of the electrodes, the underlying adipose tissue layer, sweating, the presence of hair on the area to be treated, etc.. For these reasons, the same current intensity can generate different feelings from person to person, from day to day, and from the right side to the left side of the body. During different sessions, it will be necessary to regulate the intensity in order to obtain the same level of contraction because of the accommodation phenomena. The current intensities recommended in the different phases are proposed as indicative values, and each person should modify these levels according to his/her personal needs.  Moderate intensity: the muscle does not tire, not even during prolonged treatments. The contraction induced is tolerable and pleasant. This is the first level on the graphic representation of intensity.  Intermediate intensity: the muscle is visibly contracted but the stimulation does not cause the joints to move. This is the second level on the graphic representation of intensity.  Elevated intensity: the muscle is contracted substantially. The muscular contraction will cause the extension or bending of the limb if this is not blocked. This is the third level on the graphic representation of intensity.  Maximum intensity: the muscle is contracted maximally. This is an intense treatment that should be performed only after having executing different applications at lower Moderate

from 10 mA to 20 mA

Intermediate

from 20 mA to 30 mA

High

above 30 mA

Maximal

on the verge of the tolerance limit, always under the threshold of pain.

In the descriptions of the treatments, the best levels of intensities are recommended. NOTE: The recommended levels of current are only indicative.

TENS Transcutaneous Electrical Nerve Stimulation (TENS) is a selective stimulation of the large fibers of the peripheral nerves favoring the closing of the gate entrance for the pain pulses and increasing the release of endorphin substances, reducing in this way the pain intensity. Therefore with TENS we want to treat the severe and chronic pain due to the main musculoskeletal pains. 1727751-51

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The pain decrease following to the TENS currents application is due to these factors: a. Gate control theory b. Endorphin secretion c. Different sedative effects in relation with the frequency Gate theory If the electric signals that lead to the brain information about pain are stopped, also the pain perception is eliminated. If, for instance, we hit our head into an object the first thing we do is massaging the area affected by the trauma. In this way we stimulate the receptors related to touch and pressure. TENS in continuous mode and in frequency modulation can be used to generate signals similar to the ones of touch and pressure. If their intensity is enough, their priority is so high that it prevails on the pain signals. Once the priority is gained, the gate related to the sensory signals is opened and the pain one is closed, impeding in this way the passage of these signals to the brain. Endorphin secretion When a nervous signal proceeds from the pain area to the brain, it spreads through a chain of connections joined together called synapse. The synapse can be seen as the space between the end of a nerve and the start of another. When an electric signal reaches the end of a nerve, it produces some substances called neurotransmitters that pass through the synapse and activate the start of the next nerve. This process repeats for all the length needed to the signal to reach the brain. The opioids involved in the pain reduction have the task to insinuate in the synapse space and impede the neurotransmitter propagation. In this way a chemical block of the pain signals occurs. The endorphins are opioids naturally produced by the body to tackle the pain and they can act both on the marrow and on the brain, in this way they are effective analgesics. Tens can increase the natural production of endorphins and, thereby, they act decreasing the pain perception.

Incontinence programs The urology programs require the use of specific endovaginal and endorectal electrode probes, certified according to the Directive for Medical Devices 93/42/EEC. These are bipolar probes with a 2-mm female adapter which attaches to 2-mm male cables.

Warnings Urological electrostimulation is a medical application, which must be carried out under medical supervision. Use To correctly use the probe electrode, follow the instructions provided by the manufacturer and given by the physician.

Maintenance For cleaning, sterilization and disinfection, refer to the manufacturer's instructions. Suggestions In case of deterioration of the probe electrode, replace it immediately.

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PROGRAM LIST * Because of the presence of clinical programs, this product is a medical device. Therefore it is certified by the Kiwa Cermet Italia Body n. 0476 according to the 93/42/EEC EU directive for medical devices. The certification covers clinical applications. CE0476 does not refer to non-medical treatments.

Name

Type

Tensmed S82

DEMO

SPORT

P1

Motor point pen

SPORT

P2

Warm-up lower limbs

SPORT

P3

Pre-competition warm-up lower limbs

SPORT

P4

Maximum strength lower limbs

SPORT

P5

Endurance strength lower limbs

SPORT

P6

Explosive strength lower limbs

SPORT

P7

Reactivity lower limbs

SPORT

P8

Capillarization lower limbs

SPORT

P9

Active recovery lower limbs

SPORT

P 10

Muscle cool down lower limbs

SPORT

P 11

Decontracting lower limbs

SPORT

P 12

Leg anti-cellulite lipolysis

BEAUTY

P 13

Leg drainage

BEAUTY

P 14

Leg firming

BEAUTY

P 15

Leg toning

BEAUTY

P 16

Leg sculpting

BEAUTY

P 17

Abdom. area post-pregnancy drainage

BEAUTY

P 18

Abdom. area post-pregnancy lipolysis

BEAUTY

P 19

Abdominal area post-pregnancy toning

BEAUTY

P 20

Conventional antalgic Tens

TENS*

P 21

Endorphinic Tens

TENS*

P 22

Rotator cuff tendinitis

TENS*

P 23

Muscle pain

TENS*

P 24

Knee osteoarthritis

TENS*

P 25

Post-surgery pain

TENS*

P 26

Muscle injury

TENS*

P 27

Cervical pain

TENS*

P 28

Trapezius pain

TENS*

P 29

Sciatica

TENS*

P 30

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