perfect EMS TENS Instructions for Use Rev 4.0 May 2022

Dear Customer, Thank you for choosing perfect EMS. TensCare stands for high-quality, thoroughly tested products for the applications in the areas of gentle electrotherapy, muscle toning, continence management and pain relief during labour. Please read these instructions for use carefully and keep them for later use, be sure to make them accessible to other users and observe the information they contain. Best regards, Your TensCare Team

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CONTENTS 1.

INTRODUCTION ... 5

2.

INTENDED USE ... 5

3.

PERFECT EMS FEATURES ... 5

4.

HOW ‘EMS’ WORKS ... 6

5.

HOW ‘TENS’ WORKS ... 7

6.

CONTRAINDICATIONS, WARNINGS & CAUTIONS ... 8

7.

INFORMATION ABOUT THE PROGRAMME SETTINGS ... 11

8.

PROGRAMMES ... 12 8.1. PROGRAMME SETTINGS ... 12 8.2. PRESET PROGRAMMES ... 13 8.3. MANUAL PROGRAMMES ... 14 8.4. USING THE PROGRAMMES ... 14

9.

ELECTRODE PADS ... 16 9.1. PAD POSITIONING ... 16 9.2. PAD ADVICE ... 17 9.3. EMS ELECTRODE PLACEMENT... 18

10.

CONTENT ... 20

11.

UNIT INFORMATION ... 21

11.1.

CONTROLS & DISPLAY ... 21

11.2.

OPERATING INSTRUCTIONS ... 22

12.

SETTING UP AND USING THE PERFECT EMS ... 24

12.1.

INSTALLATION OF BATTERIES... 24

12.2.

CONNECTING LEAD WIRES ... 25

12.3.

PREPARING FOR SESSION ... 25

12.4.

TRAINING SESSION ... 25

12.5.

AFTER YOUR TRAINING SESSION ... 26

13.

CLEANING & STORAGE ... 26

14.

EMC ... 26

15. DISPOSAL OF WASTE ELECTRICAL AND ELECTRONIC PRODUCTS (WEEE) ... 27 16.

ACCESSORIES ... 27

17.

WARRANTY ... 27

18.

TROUBLESHOOTING ... 29

19.

GENERAL SPECIFICATION ... 30

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SYMBOLS USED TYPE BF APPLIED PART: Equipment providing a degree of protection against electric shock, with isolated applied part. Indicates that this device has conductive contact with the end user. This symbol on the unit means “Refer to instructions for use”. Temperature Limitation: indicates the temperature limits to which the medical device can be safely exposed. Lot Number: indicates the manufacturer’s batch code so that the batch or lot can be identified. Humidity Limitation: indicates the humidity limits to which the medical device can be safely exposed. Serial Number: indicates the manufacturer’s serial number so that a specific medical device can be identified. Do not dispose in household waste. Catalogue Number: indicates the manufacturer’s catalogue number so that the device can be identified. Atmospheric Pressure: indicates the atmospheric limits to which the medical device can be safely exposed. Manufacturer Symbol Date of Manufacture: indicates the date which the medical device was manufactured. This is included within the serial number found on the device (usually on the back of the device), either as “E/Year/Number” (YY/123456) or “E/Month/Year/Number” (MM/YY/123456). CE Mark Medical Device This medical device is indicated for home use. Importer Symbol This medical device is not water resistant and should be protected from liquids. The first number 2: Protected against access to hazardous parts with a finger, and the jointed test finger of 12 mm ø, 80 mm length, shall have adequate clearance from hazardous parts, and protected against solid foreign objects of 12.5 mm ø and greater. The second number 2: Protected against vertically falling water drops when enclosure is tilted up to 15˚. Vertically falling drops shall have no harmful effects when the enclosure is tilted at any angle up to 15˚ on either side of the vertical.

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Warning: Not suitable for use in children without medical supervision.

1. INTRODUCTION Device Description & Principles of Design

3. PERFECT EMS FEATURES

The perfect EMS unit provides muscle toning, shaping and rehabilitation through EMS, with additional pain relief programmes using TENS to relieve pain from injuries and muscle strain.

• Dual Channel Two independent channels with four electrode pads to treat two areas at the same time.

It sends a small and gentle stimulation (similar to your natural nerve impulses) to the muscles being treated via two or four auto-adhesive electrode pads, in order to help you to firm and tone your body.

• Comfortable Stimulation Gentle stimulation with 90 small steps of intensity provides fine yet powerful performance.

Muscle wastage: neuromuscular facilitation, muscle re-education, muscle training, prevention/slowing of atrophy/hypotrophy and reduction of spasticity.

• 6 Preset Programmes Including Warm Up, Endurance, Power and Bulk. • Manual TENS Programmes

Sports training: warm up, strength, speed, power, resistance, endurance and recovery.

and

EMS

Enables the user to easily adjust and save settings to suit personal needs. • Treatment Timer

2. INTENDED USE

Enables the user to set the session duration (between 10-90 mins) and select manual parameters.

Perfect EMS is a medical device designed to be used in the home healthcare environment to improve muscle tone and bulk, as well as provide symptomatic relief and management of acute or chronic localised pain and muscle pain. It is suitable for use by all who can control the device and understand the instructions.

• Memory Features 3 functions: programme retention (automatically starts in the last programme used), number of uses and time of usage. • Open Circuit Detection Automatically resets the strength to zero if the electrode pads are not correctly applied.

Do not use the device for any purpose other than this intended use.

• Automatic Keypad Lock Automatic keypad locking prevents any accidental changes in settings.

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• Detachable Belt Clip

Advantages of EMS

Enables the user to clip the unit onto a belt.

Use of EMS will help to tone and shape the body by contracting the selected muscle group. It is particularly convenient for areas that are famous for losing their shape and hard to exercise such as the upper arms and the face.

• Large LCD Screen Clearly shows the operation of the unit and the parameters being used.

Note: The electrode pads need to be applied directly to the skin before the intensity increase buttons will operate. If the perfect EMS detects the unit is not properly connected to you (for example if the electrode pads or leads come loose) then the unit switches the intensity to zero. This safety feature prevents any unpleasant changes in output.

Successful athletes all over the world have discovered the advantages of electrical muscle stimulation, such as an increase of the local circulation and the size of the muscle fibres.

How EMS Works Muscular activity is produced by the central and peripheral nervous systems transmitting electrical stimuli to the muscles of our body. EMS uses external electrical impulses that work through the skin to stimulate the nerves supplying a specific muscle group.

4. HOW ‘EMS’ WORKS E.M.S. stands for Electrical Muscle Stimulation and has successfully been used in medical rehabilitation and training in competitive sports. EMS produces intensive and effective muscular contraction.

This current then passes into the nerve fibres controlling that part of the muscle stimulating it to contract. So, electrical stimulation (EMS) artificially activates a muscle for you enabling to exercise the muscles and, as with any kind of exercise if performed regularly, build strength and tone.

EMS is a complement to other physical therapy and should always be combined with active mobility, strength, coordination and functional training.

Different frequencies have different effects; low frequencies (1-10 Hz) coupled with long impulse times, for example, have a purifying and relaxing effect through individual contractions, whereby the circulation in the treated muscle is simultaneously improved and removal of metabolic end products is supported (lymphatic drainage).

In training, the technology for electrotherapy is used for all kinds of muscular exercise - warm-up, strength, speed, power, resistance, endurance, recovery and also for rehabilitation. EMS is well known and works as an excellent complement to regular training.

In contrast, by means of a rapid succession of contractions (fibrillation), 6

mechanoreceptors through ‘rubbing the skin’.

medium frequencies (20-50 Hz) can put a high level of strain on the muscle, thus promoting the muscular structure.

Scientifically, the pain gate works by the release of a chemical in the synapse at spinal level that inhibits transmission of pain signal.

5. HOW ‘TENS’ WORKS T.E.N.S. stands for Transcutaneous Electrical Nerve Stimulation. T.E.N.S. stimulates your body’s own natural defences against pain, namely the release of endorphins. TENS is totally safe and has been used successfully by thousands of pain sufferers.

Endorphin Release At low frequency settings, and slightly stronger outputs, TENS drives the motor nerves to produce a small repetitive muscle contraction. This is seen by the brain as exercise, and this promotes the release of endorphins - your body’s own natural pain killer. The relief builds up and normally takes about 40 minutes to reach a maximum level which can last for hours after the machine is switched off.

TENS sends a gentle stimulation through the skin which works in TWO ways:

Pain Gate It stimulates the sensory nerves, which carry touch and temperature signals. These nerves go to the same connections in the spine as the nerves carrying pain. A strong sensory signal will block the pain signal travelling up the spine to the brain. This is known as closing the “Pain Gate” and takes effect quite quickly after the unit is switched on. When the gate is open, pain messages get through to the brain and we feel pain. When the gate is closed, these pain messages are blocked and we do not feel pain.

By using TENS, you can expect to achieve a significant reduction in pain if not complete relief from pain. • TENS is effective for pain from a very wide range of causes. • TENS machines can be used to help reduce pain from problems in muscles, joints and nerves. • It can be also used for people with musculoskeletal pain such as longterm (chronic) back pain or knee joint arthritis. They are also often used for pain relief in the early stages of labour (see perfect mamaTENS), particularly whilst a pregnant woman remains at home.

Evidence suggests that TENS produce pain relief in a similar way to ‘rubbing the pain better’. The pain gate can be closed by activation of

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• TENS may also be used to treat many types of pain, such as period pain and endometriosis (see Ova+), cystitis, sports injuries, fibromyalgia and neuralgia, plantar fasciitis, postoperative pain, TMJ disorder, diabetic neuropathy, osteo-arthritis and sometimes non-painful conditions such as travel sickness.

Warning is used when failure to follow the instructions may result in serious injury or death. A Caution is used when failure to follow the instructions may result in a minor or moderate injury, or damage to the device or other property. Notes are used to provide clarification or recommendation.

• You can use low frequency (<10 Hz) programmes on acupuncture points, to achieve similar effects to acupuncture.

CONTRAINDICATIONS:

• With neurogenic pain (caused by inflamed nerves) such as neuralgia, TENS may start by increasing the pain. We recommend that you only use TENS for these conditions under medical supervision.

Do NOT use if you have a pacemaker (or if you have a heart rhythm problem) or with any electronic medical devices. Using this unit with electronic medical devices may cause erroneous operation of the device. Stimulation in the direct vicinity of an implanted device may affect some models.

You can safely use TENS as long as it gives you pain relief. The effect may wear off after a few hours (this is called “accommodation”). If this happens, take a break of an hour or so before trying again. If you use settings that cause muscle movement for more than 40 minutes, you may experience aching muscles a few hours later.

Do NOT use during the first three months of pregnancy. It is not known whether TENS and EMS may affect foetal development. Do NOT use on the abdomen in the later stages of pregnancy. Stop using immediately if you experience unexpected contractions.

6. CONTRAINDICATIONS, WARNINGS & CAUTIONS

WARNINGS: In this manual: Do NOT use when driving, operating machinery, or similar actions needing muscular control. Loose electrode pads, damaged leads, or sudden changes in contact may cause brief involuntary muscle movements.

A Contraindication is used when a device should not be used because the risk of use clearly outweighs any foreseeable benefits and may result in serious injury or death.

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Do NOT use to mask or relieve undiagnosed pain. This may delay diagnosis of a progressive condition.

Caution should be used if you have a bleeding disorder as stimulation may increase blood flow to the stimulated region.

Do NOT use if you have, in the area being treated: active or suspected cancer or undiagnosed pain with a history of cancer. Stimulation directly through a confirmed or suspected malignancy should be avoided as it may stimulate growth and promote spread of cancer cells.

Caution should be used if you have suspected or diagnosed epilepsy as electrical stimulation may affect seizure threshold. Caution should be observed when using the device at the same time as being connected to monitoring equipment with body worn electrode pads. It may interfere with the signals being monitored.

Do NOT use simultaneously with high frequency hospital diagnostic/therapeutic equipment. Doing so may result in burns at the site of the electrodes and possible damage to device.

Caution should be used following recent surgical procedures. Stimulation may disrupt the healing process.

Do NOT use electrodes on the front of the neck. Stimulation on the front of the neck can affect your heart rate or cause contraction of the throat.

Caution Do not permit use by children unable to understand the instructions or persons with cognitive disabilities, i.e.; Alzheimer’s disease or dementia.

Do NOT use electrodes across the chest. Very strong stimulation across the chest may cause an extra heartbeat and/or rhythm disturbances to your heart, which could be lethal.

Caution Keep away from children under 5 years of age, pets and pests. Long lead wires - risk of strangulation in infants.

Do NOT use in close proximity (e.g. 1 m) to a shortwave or microwave as this may produce instability in the stimulator output.

Caution: should be observed when using the Perfect EMS at high strength settings. Perfect EMS has a Yellow LED light on output socket which means the output will exceed 10 mA (R.M.S) or 10 V (R.M.S) averaged over any period of 1 sec. Prolonged use at high settings may cause muscle injury or tissue inflammation.

Do NOT apply near the thorax because the introduction of electrical current may increase the risk of cardiac fibrillation. Stimulation should not be applied across or through the head, directly on the eyes, covering the mouth, on the front of the neck (especially the carotid sinus), or from electrodes placed on the upper back or crossing over the heart.

Caution Not intended for use in an oxygen rich environment. Caution Not intended for use in conjunction with flammable anaesthetics or flammable agents. Caution The patient is an intended operator.

CAUTIONS:

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Caution Do not service and maintain the device while in use with a patient

device, as this type of electrodes may not be suitable for you. Alternative electrode pads specially made for sensitive skin are available (see E-696SS).

Caution 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. If necessary, we will provide circuit diagrams, component part lists or other information that will assist authorized service personnel to repair the device.

Caution: Do not use this device with leads or electrode pads other than those recommended by the manufacturer. Performance may vary from specification. Electrodes with smaller surface area may cause tissue irritation.

Caution The operator should not touch the patient at the same time when touching the battery output.

Caution: Do not use high intensity settings if electrodes are smaller than 50x50mm.

Caution There are no user serviceable parts. No modification of this equipment is allowed.

Note: Electrode pads supplied have no measurable latex content.

DO NOT PLACE ELECTRODE PADS: TO KEEP YOUR DEVICE IN GOOD WORKING ORDER, OBSERVE THE FOLLOWING ADDITIONAL CAUTIONS:

• On skin, which does not have normal sensation. If the skin is numb too great a strength may be used, which could result in skin inflammation. • On broken skin. The electrode pads could encourage infection. • On the front of the neck. This could cause the airway to close, giving breathing problems. May cause sudden drop in blood pressure (vasovagal response). • Over the eyes. May affect eyesight or cause headaches. • Across the front of the head. Effect on patients who have had strokes or seizures is not known. May affect your sense of balance. The effects of stimulation on the brain are unknown.

Caution: Do not immerse your device in water or place it close to excessive heat such as a fireplace or radiant heater or sources of high humidity such as a nebulizer or kettle as this may cause it to cease to operate correctly. Caution: Keep the device away from sunlight, as long-term exposure to sunlight may affect the rubber causing it to become less elastic and crack. Caution: Keep the device away from lint and dust, as long-term exposure to lint or dust may affect the sockets or cause the battery connector to develop a bad contact. Caution: Temperature & Relative Humidity of storage: -25°C to +70°C, up to 93% R.H. Temperature & Relative Humidity of

ELECTRODE PADS CAUTION: Caution: Do not ignore any allergic reaction to the electrode pads: If a skin irritation develops, stop using the 10

transportation: -25°C to +70°C, up to 93% R.H.

• Pulse Width (measured in μs millionths of a second)

Caution: Do not attempt to open or modify the unit. This may affect the safe operation of the unit and will invalidate the warranty.

The perfect EMS unit has pulse widths of 50 to 350 μs. Generally speaking, the higher the pulse width, the more "aggressive" the stimulation feels, if the pulse width is set high enough, it will usually elicit a muscle contraction, which is required for an effective toning of the muscle group selected.

Note: There are no known side effects to use and long-term use is not harmful. However, the device works your muscles and unaccustomed amounts of exercise may produce muscle ache. If this happens, simply reduce the strength of the machine or allow your muscles to rest until the aching disappears.

For the TENS programmes (pain relief), it is not desired to elicit a muscle contraction, however Pulse Rate is important because different frequency settings target different nerve groups and the setting will determine if the "Gate Theory" or "Endorphin Theory" of TENS will be used.

7. INFORMATION ABOUT THE PROGRAMME SETTINGS

• Work/Rest Each programme has its own combination of Frequency and Pulse Width settings which allow for different muscle groups to be exercised and toned through the electrode pads.

All the EMS programmes (see A to H) are intermittent. Once you have reached a comfortable level, 5 seconds after you stop pressing the button, the intermittent Work/Rest phase will start.

• Frequency (measured in Hz pulses per second)

For each programme, the unit will go through a stimulation phase (Work) for 1-40 seconds, followed by a phase without stimulation (Rest) for a similar time.

For EMS programmes: Low frequencies (1-10 Hz) have a purifying and relaxing effect through individual contractions. Medium frequencies (20-50 Hz) can put a high level of strain on the muscle, thus promoting the muscular structure.

This is to allow your muscles to recover from exercise and avoid fatigue. During the Work period (W), the unit will generate contractions, try to contract the muscle voluntarily at the time to get the best possible results.

For TENS programmes: Pain gate: A high frequency of 110 Hz is good at blocking pain signals.

This cycle Work/Rest will continue for the duration of the programme selected.

Endorphin release: A low frequency of 4 or 10 Hz allows for the release of endorphins, the body’s natural morphine-like substances. 11

W and R are displayed on the screen.

the sensation, as its name implies, is one of on and off. Constant mode is often used for acute pain via Pain Gate effect whereas Burst mode is useful in chronic pain relief. Burst gives a combination of Pain Gate and Endorphin Release, but the squeezing feeling may not be as comfortable. The stimulation intensity will need to be relatively high. In Constant mode, the sensation is continuous and is more of a tingling pins and needles type. See programmes S and T.

• Ramp RAMP is the time in seconds taken to move up and down between zero and the set stimulation strength (i.e. the time taken to move between the Work stimulation and the Rest period). The perfect EMS offers Ramp periods from 0 to 5 seconds. • Constant and Burst Modes Constant mode is when the sensation is continuous versus Burst mode when

8. PROGRAMMES 8.1. PROGRAMME SETTINGS Prog

Muscle group

Description

A

Preset EMS All

Warm up: Helps preparing For all users the muscles before an active training by stimulating the surface muscle fibres.

B

Preset EMS Large (e.g.: Abdominal, Buttocks & Hips, Thighs, Bust/Pectorals*)

Endurance: Firming up For all users muscles working mainly on slow-twitch fibres.

C

Preset EMS Large (e.g.: Abdominal, Buttocks & Hips, Thighs, Bust/Pectorals*)

Power: Toning up working For all users mainly on fast-twitch fibres.

D

Preset EMS Large (e.g.: Abdominal, Buttocks & Hips, Thighs, Bust/Pectorals*)

Definition and Bulk: Defining For advanced users muscles in the selected area wanting to improve results working mainly on explosive fibres. Grows muscles size.

E

Preset EMS Small (e.g.: Arms, Calves)

Endurance: Firming up For all users exercising muscles working mainly on small muscles. slow-twitch fibres. To start exercise of weak or atrophied large muscles.

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Special Feature

F

Preset EMS Small (e.g.: Arms, Calves)

Power: Toning up working For all users exercising mainly on fast-twitch fibres. small muscles. To start exercise of weak or atrophied large muscles.

G

Manual EMS

Manual programme Muscle Toning

for

H

Manual EMS

Manual programme Muscle Toning

for

S

Manual TENS

Manual programme for Pain Constant mode – Relief Recommended for acute pain

T

Manual TENS

Manual programme for Pain Burst mode – Relief Recommended for chronic pain

* Specifically designed breast electrode pads (see E-CMR60130) are available.

Note: These programmes must be used in combination with a healthy diet and regular active exercises. Prog

Frequency (Hz)

Pulse Width (μs)

Work (s)

Rest (s)

Ramp (s)

A

10

300

Constant

B

20

250

5

10

1

C

50

250

3

6

2

D

75

250

5

10

1

E

20

100

5

15

1

F

50

100

3

6

1

G

Select 1-80

Select 50-350

Select 1-40

Select 0-40

Select 0-5

H

Select 1-80

Select 50-350

Select 1-40

Select 0-40

Select 0-5

S

Select 1-120

Select 50-250

Constant

T

Select 1-120

Select 50-250

2 Hz Burst

8.2. PRESET PROGRAMMES

the electrode pads positioning, please see section 9.3.

Perfect EMS has six different, specially developed EMS programmes (A to F), two manual EMS programmes (G and H) and two manual TENS programmes (S and T).

This will depend greatly on what you are looking to achieve and on the selected muscle group.

To choose the programme that suits your needs, please see section 8.1., for

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You can select a frequency from 1 to 80 Hz in programmes G and H, and 1 to 120 Hz in programmes S and T. 4. Press the T key again to save your change and advance to the next setting µs. You can select a pulse width from 50 to 350 µs in programmes G and H, and 50 to 250 µs in programmes S and T. 5. Press the T key to select Ramp. You can select a ramp from 0 to 5 s in programmes G and H only. 6. Press the T key to select Work Time. You can select a work time from 1 to 40 s in programmes G and H only. 7. Press the T key to select Rest Time. You can select a rest time from 0 to 40 s in programmes G and H only. 8. Press the T key to select C or B. C = Constant B = Burst in programmes S and T only. 9. Finally, you can select the Treatment Timer. Continuous, 10, 20, 30, 45, 60 or 90 minutes. 10. Press T once more to return to start using.

8.3. MANUAL PROGRAMMES In the EMS manual programmes (G and H) you can select and change the following parameters using the T timer button: Parameter to Change

Display Symbol Flashes

Frequency

Hz

Pulse Width

μs

Ramp Time (seconds) Work Time (seconds)

W

Rest Time (seconds)

R

Treatment Timer (minutes)

min

In the TENS manual programmes (S and T) you can select and change the following parameters using the T timer button: Parameter to Change

Display Symbol Flashes

Frequency

Hz

Pulse Width

μs

Constant / Burst

C/B

Treatment Timer (minutes)

min

See section 7 for more information on the choice of settings.

1. Press the P key until you reach programme G, H, S or T. 2. Press the T key. The Hz symbol will flash next to the number at the bottom centre of the screen. CH1

8.4. USING THE PROGRAMMES • TENS PROGRAMMES

CH2

There is not one programme for a particular condition, and the best choice varies from one person to another, even if they have the same type of pain.

Hz

Each user needs to select both the programme and the positioning of the electrode pads that is best for them. You may need to try a few

3. Press CH1▲ or CH1▼ to adjust the setting. 14

positions/programmes before finding the one that suits you.

Arm: The upper arms often get saggy and flabby especially in women with the triceps (back of the upper arm). It is commonly referred to as “Bingo Wings” or “Bat Wings”. It is tricky to tone this muscle group and some women find this area ungraceful or even embarrassing.

TENS can be used for as long as it is necessary. Continuous treatment is fine, but the electrode pads should be repositioned regularly (at least every 12 hours) to allow the skin to be exposed to the air.

Perfect EMS helps to tone, firm and lift the triceps and the biceps as it allows you to generate contractions in this specific muscle group.

The Endorphin Release works better when the strength is high enough to cause small muscle contractions. Best results are achieved with a session duration between 20 and 40 minutes. Longer use may cause muscle ache.

Calf: Most people are aiming for thin but muscly legs with a harmonious balance between the size of the thighs and the size of the calves. Often, the calves are either too skinny with only little muscle mass or too big with a long muscle mass especially around the ankle.

• EMS PROGRAMMES Abs, hip, thigh: EMS can help improving body toning and body shaping by generating passive muscle contractions in the selected area. It may improve your general fitness levels as well as achieving a thinner silhouette by building up the muscles.

The aim is to tone, shape and lift the calves’ muscles to achieve slender legs with improved definition of the muscles as well as a slimming effect on the ankles

Bust:

Recommended use:

Electrical Stimulation can build, strengthen, and firm the pectoral muscles giving bulk and lift.

Generally, 3 sessions per week, over a period of 4 to 6 weeks, gives good initial results depending on the body shaping, toning, sports training or rehabilitation and recovery needs.

• Exercise and massage therapy to enhance the size and shape of your breasts • Natural method to enhance your allnatural body

GENERAL ADVICE: Ideally, use perfect EMS once every two days for each muscle with a day of rest in between. It is possible to work on pairs of muscles, for example thighs and abdominal muscles, treating one set one day and the other the next day.

Note: For improved comfort, use this programme with the breast electrode pads* (see ECMR60130). *Sold separately. 15

Warning: Working on too many muscles at the same time is not recommended.

•

Increase the intensity until you feel a very smooth tensing under the pads, there should be little visible movement.

•

Use a low intensity for the first session to help you to understand how the machine works.

•

During the programme and over the next few days the intensity should be increased gradually to produce marked, but not painful muscle contractions.

•

Once good results have been obtained the sessions may be reduced to once or twice a week until the user feels that optimum body shaping has been achieved.

pads around/near the source of the pain. TENS activates the nerves best if it travels along the nerve rather than across it. So place one pad further from the spine than the source of the pain, and one closer. The nerves wrap around the limbs and torso, so you may have to try a few positions before you get the best effect. If the pain is in, or close to, your spine you can place one pad either side of the spine. You may feel more sensation in one pad than the other. This is normal – it depends on where the electrode pads are in relation to your nerves.

Note: See examples of positioning in the instructions enclosed with your electrode

Note: The stimulation should remain comfortable and relaxing at all times.

pads.

Electrode placement for EMS is very important for obtaining the best results:

9. ELECTRODE PADS 9.1. PAD POSITIONING

Place two electrode pads over the bulk of the muscle, with one electrode over the muscle’s motor point. The motor point is the area on the skin that is located closest to the motor nerve’s entry into the muscle – about 1/3 of the way down the muscle from the spine. Here, it is easiest to trigger a contraction by electrical stimulation.

The electrode pads must always be used in pairs (two electrode pads on each channel), so that the signal can flow in a circuit.

Electrode placement for TENS: • TENS works one vertebra at a time. You need to stimulate the sensory nerves that enter the spine at the same level as the nerve carrying your pain. Since you don’t know exactly where your nerves are, the easiest way is to apply the electrode

Experiment by moving the electrode pads across the skin until you locate the point over the muscle that gives the cleanest contraction. In the examples in section 9.3., the electrode pads are marked +ve (red) and -ve (black) to 16

match the red and black leads. One of the electrode pads should be positioned over the motor point.

• •

Large muscle groups may require stimulation with two channels, that is, four electrodes simultaneously. When exercising smaller muscles, take care to adjust the intensity level slowly as the motor nerves may be more sensitive and using smaller electrode pads increases the current density.

•

•

You may feel more sensation in one pad than the other. This is normal – it depends on where the electrode pads are in relation to your nerves.

Use the square electrode pads (see ECM5050) for all areas. For the bust area, it is recommended to use the optional breast electrode pads for improved comfort (see E-CMR60130*). *Sold separately. •

Always check that the unit is OFF before attaching or removing electrode pads. Perfect EMS resets strength to zero if the pad or lead is disconnected from your body. This is to prevent sudden changes in sensation when the pad is re-connected.

• •

9.2. PAD ADVICE •

• The electrode pads supplied are reusable but for single patient use. The adhesive is a peelable hydrogel (water based). • In order to obtain the best conductivity through the electrode

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pads always ensure that they are in good condition and tacky. Before use make sure your skin is clean and dry. Peel the electrode pads from their protective plastic shield by holding and lifting one corner of the pad and pulling. Do not pull on the pigtail wire of the pad. After use always replace the electrode pads on the plastic liner and replace them in the re-sealable plastic bag. If the electrode pads dry out, then it is best to buy a replacement pack. In an emergency, it may be possible to restore some of the tackiness of the pad by adding a tiny drop of water on each pad and spreading around. If too much water is added, the electrode pad will become too soft. If that happens then it is suggested in order to try and re-establish some adhesiveness, to place them sticky side up in a refrigerator for a few hours. In very hot weather the gel on the electrode pads may become soft. In such cases place them, still on their plastic liners and in their pouch into a fridge until they return to their normal condition. The electrode pads provided are latex-free. Replace the electrode pads when they lose their stickiness. Poor connection may cause discomfort and skin irritation. Storage life of an unopened pack of electrode pads is 2 years. This may be affected by very high temperatures or very low humidity.

9.3. EMS ELECTRODE PLACEMENT The electrode pads placement is specific to the area being treated. Please refer to the placement guidelines below.

Note: The + electrode pad needs to be plugged in to the red lead wire connector, the – refers to the one for the black lead wire connector.

ABS – Pad placement 1

OR

HIP – Pads placement

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ABS – Pad placement 2

THIGH – Pad placement 1

OR

THIGH – Pad placement 2

ARM – Pad placement 1

OR

ARM – Pad placement 2

CALF – Pad placement

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BUST – Pad placement 1

BUST – Pad placement 2 with the optional breast electrode pads (E-CMR60130)

10. CONTENT The pack contains: • • • • • • •

1 x Perfect EMS pain relief and body toner 2 x Lead wires (L-CPT) 4 x 50x50 mm electrode pads (E-CM5050) 2 x AA 1.5V alkaline batteries 1 x Detachable belt clip 1 x Storage pouch 1 x Instructions for use

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