Neurotrac Tens: Operators Manual

NeuroTrac™
DUAL CHANNEL TENS Operation

TENS UNITManual
NeuroTrac™
TENS
Operators Manual
Visit our website: www.VerityMedical.co.uk for
detailed application protocols
1
NeuroTrac™ TENS Operation Manual
Warnings
* This unit must be used with the guidance of a Physiotherapist or
Doctor
* Type BF equipment
* Do not insert lead wires into a mains power supply
* Do not immerse unit into water or any other substance
* Do not use the NeuroTrac™ TENS unit in the presence of a

flammable anaesthetic gas mixture and air or with Oxygen or Nitrous
Oxide
* If using rechargeable 9 volt PP3 Nickel Metal Hydride or Ni-Cad

batteries be sure to use a CE approved battery charger
* Never connect the NeuroTrac™ TENS unit directly to a battery

charger or any other mains powered equipment
* Patient Electrodes are for single patient use only
* Keep out of reach of children
* Do not use this stimulator on your facial area unless you are under
strict guidance from a qualified Clinician
Revised Issue Date: 25/03/2006 Document Number: VM-ECS300-OM002-10
2
Contents
Contents Page
Warnings 2
What is Pain? 4
What is TENS? 4
Contra Indications & Precautions 5
Description of TENS Unit & Functions 6
Quick Start Instructions 7
Programmes 8
Lock Mode Function 9
Using the NeuroTrac™TENS Unit 10
Treatment Modes 11
How Long do I Use TENS For? 11
Electrode Placement 12
Dermatomes & Myotomes 12
Contiguous Placement 12
Acupuncture Points 12
Electrode Types & Tips 13
Suggested Electrode Placement 14
Care & Maintenance 18
Conditions Respond to TENS 19
Commonly Asked Questions 20
Specifications 21
Warranty 22
Dermatome Charts 23
Clinical References 25
3
What is Pain?
When we feel pain it is the body’s process of informing us that something is
wrong. To feel pain is important, without this feeling abnormal conditions may
go undetected, creating damage or injury to critical parts of the body.
Although pain is essential in warning our body of trauma or malfunction,

nature may have gone too far in its design. Continued long-term chronic pain
has no useful value apart from its importance in diagnosis. Pain begins when a
coded signal travels to the brain where it is decoded, and analysed. The pain
message travels from the injured area of the body along small
diameter nerves leading to the spinal cord. At this point the message is
switched to a different kind of nerve that travels up the spinal cord to the brain
area. The brain then analyses the pain message, refers it back and the pain is
felt.
What is TENS?
Transcutaneous Electrical Nerve Stimulation (TENS) uses a small battery
operated unit to provide a non-invasive, drug free method of controlling acute
and principally long term intractable pain. It can also be used as an
adjunctive treatment in the management of post surgical traumatic pain
problems. In TENS mild electrical impulses are transmuted through the skin
via surface electrodes to modify the body’s pain perception. TENS does not
cure problematic physiological conditions; it only helps to control the pain
perception. TENS will not work for every user. However Physiotherapists and
Doctors throughout the world prescribe TENS extensively and it is
generally seen to work for the majority of users. There are millions of small
nerve fibres throughout the body and it only requires a few impulses to
produce chronic pain. In addition to small fibres, which allow the sensation of
pain to be felt, the body is also made up of larger diameter nerve fibres. These
larger nerve fibres transmit less unpleasant sensations such as touch or warmth,
assisting us to form an impression of our environment. Stimulating the larger
nerve fibres using TENS may have the effect of inhibiting the transmission of
pain along the smaller nerve fibres to the spinal cord [known as the ‘Pain Gate
Theory’].
4
Contra Indications & Precautions

Before using this equipment you must first seek the advice of your
Physiotherapist or Doctor.
Read this operating manual before using the TENS unit
TENS should not be used:
* By patients fitted with a demand style cardiac pacemakers unless so

advised by their Doctor
* During pregnancy [unless medically advised]
* By patients with undiagnosed pain conditions
* By patients with undiagnosed skin conditions
* With patients who have diminished mental capacity or physical
competence who cannot handle the device properly
* On anaesthetised or desensitised skin
* When driving a vehicle or operating potentially dangerous
equipment
* Do not place electrodes:
* Over cartoid sinus nerves
* Over larynx or trachea
* Inside mouth
* Over the area of the heart unless so advised by your Doctor
* On your facial area unless under strict guidance from a
qualified Clinician
* The patient should use the unit only as prescribed
* Do not immerse the unit in water or any other liquid
* If you experience skin irritation this may be due to over-stimulation.
In this case leave the skin to heal and use TENS only for the periods
prescribed. Turning the current up too high can cause skin irritation.
In this case allow the skin to heal and use TENS at a lower intensity.
Some people experience an allergic reaction to the adhesive coating
on the surface of the electrode. If this happens use a different make
of electrode or change the electrode. If it continues try reducing the
pulse width. If the problem still persists try moving the electrode
position each day by just the width of the electrode, making sure the
electrode positioning is still over the dermatome
* Keep unit out of reach of children
* Only use CE approved skin electrodes
* If in doubt about the use of the NeuroTrac™ TENS unit, call your
Doctor, Therapist, Clinician or you distributor for advice
5
Description of TENS Unit & Functions.
Channel A Channel B
CH.B CH.A
LCD
Display
Lead
Wire
and Pin
Select
Programme
NeuroTrac™
TENS SET
ESC
Front Rear
* PRG button Selects the desired set programme from P01 - P11 or
customised programme PC1 - PC3.
* SET button Displays the menu and changes the parameters for
Pulse Rate, Pulse Width and Time for custom
programmes.
* ESC button Stores customised programme and returns to the

home position.
6
Quick Start Instructions

1. Insert a 9 volt PP3 Alkaline battery. Alternatively insert a rechargeable
Nickel Hydride battery [Which has a much longer life than the Ni-Cad
rechargeable batteries] into the battery compartment.
2. Insert lead wire/s to channel A and B if both channels are to be used.
3. Switch on the unit by pressing the ON/OFF button
4. Press the PRG [Programme] button to select one of the programmes as
detailed in table 1 and table 2 on page 8.
5. To start press channel A + and B + button if you are using both
channels.
6. To stop the programme, press the ON/OFF button which will turn the
unit off.
Setting up your own continuous mode parameters for PC 1 or PC 2..

1. Select PC1 or PC2 by pressing the PRG button on the front panel.
Remove the battery lid where you will see two buttons SET and ESC.
Press the SET button and the Hz symbol will flash, then press the +
or – button on the front panel to adjust the Pulse Rate (frequency)
from 2 - 200 Hz
2. Press the SET button again and the µS symbol will flash, then press
the + or – button to adjust the Pulse Duration from 50 - 300 µS
Setting up your own Modulated mode paramters for PC3.

3. Select PC3 by pressing the PRG button on the front panel.
Press the + or - button on the front panel to adjust the high pulse rate
(frequency) from 2 - 200 Hz.
4. Press the SET button and F LO will display.
Press the + or - button on the front panel to adjust the low pulse rate
(frequency) from 2 - 200 Hz.
5. Press the SET button and µS symbol will flash and W LO will display.
Press the + or - button on the front panel to adjust the high pulse
width from 50 - 300 µS.
6. Press the SET button and W LO will display.
Press the + or - button on the front panel to adjust the low pulse
width from 50 - 300 µS.
7. Press the SET button again and the Clock symbol will flash ON/OFF,
then press the + or – button to adjust the time. Channel A + or –
button to hours and Channel B + or – button to change minutes.
8. After setting up the customised programme parameters, press the ESC

button to store the information. Simply repeating the above procedure
can reprogramme customised programmes.
Note: You must press the ESC button before locking the unit.
7
Programmes
Table 1
Table 2
Programme P9 P10 P11 PC1 PC2 PC3
M ode Bst A=Con MF Con Con MF / MP
B=Bst
Pulese Rate See See 2& 2 to 2 to Low: 2 to 200
Hz Below Below 100 200 200 High: 2 to 200
Pulse Width 200 200 200 50 to 50 to Low: 50 to 300
µS 300 300 High: 50 to 300
Time 2 hr 2 hr 2 hr Cust Cust Cust
Notes:
Programme 7: Pulse width modulating from 200 µS to 100 µS to 200 µS,
Pulse rate modulating from 100 Hz to 65 Hz to 100 Hz over 3
seconds.
Programme 9: Burst of 9 pulses of 200 µS at 150 Hz repeated 2 times per

second.
Programme 10: Channel A Constant 80 Hz and 200 µS.

Channel B Burst of 9 pulses of 200 µS at 150 Hz repeated 2
times per second.
Programme 11: 2 Hz for 3 seconds, 100 Hz for 3 seconds, repeating.
Programme PC3: Pulse width modulating from high value to low value to high
value, Pulse rate modulating from high value to low value to
high value over 3 seconds.
8
Lock Mode Function
Lock Mode Function
A "concealed" Lock button is included in the NeuroTrac™ TENS unit, which

allows the clinician to accurately monitor the "Home Compliance" of the
patient between appointments. The lock function allows the device to be
locked in two ways:- One {L:T} to measure the time in use over one hour, and
the average mA current used, leaving the parameters i.e. Constant, Burst,
Modulation and the Rate and Pulse Width to be freely altered by the user or
alternatively {L:PT} Locking the device to measure, time, mA current used
and locking the parameters in place, which then cannot be changed or altered
by the patient during use.
Locking the Unit
Remove the battery cover and, using the end of the lead wire, gently press on
the concealed lock button as shown in the diagram on page 6 until you hear a
double bleep. {L:T} Lock time and Current will appear on the LCD screen. If
you want to lock the parameters as well press the +/- button until {L:PT}
appears. Press the ESC button to lock parameters in place.
L:T L:PT
0mA 0mA 0mA 0mA
Ch.A Ch.B Ch.A Ch.B
To Unlock the Unit
To unlock the unit and display the lock information, remove the battery cover,
using the end of the 2mm dia pin press the concealed switch once and you will
here a single bleep, this indicates the unit is now unlocked. The information for
time in use and the average m A current used can be read on the front of the
LCD display as seen on the diagram below. When you have noted the
information press the ESC button to bring the unit back to the Home position.
Hours 45
20 mA 20 mA
Ch.A Ch.B
9
Using the Neurotrac™ TENS Unit
RATE [Hz or pulses per second]
The RATE to be selected depends primarily on the electrode placement on the

patient’s body. If one uses contiguous and dermatome (the electrodes alongside
or over the area of pain) electrode placement, a higher rate of 80 Hz –100Hz is
desirable. The patient should experience steady continuous stimulation. It has
been found that an optimal setting of 80 or 90 Hz with a pulse width of 200mS
has good effect for most patients and is a good first choice for pain-gating.
Patients using Trigger, motor or acupuncture points tend to respond to low rate
stimulation 2 Hz-10 Hz and pulse width of 200mS. The desired effect is for the
patient to feel individual pulses.
PULSE WIDTH [Duration]
The wider pulse widths will deliver stronger stimulation for any given
intensity [mA] setting. By using a combination of intensity and pulse
duration, it is felt that various pulse widths are capable of stimulating
different groups of nerve fibres. The wider pulse duration is needed to recruit
motor fibres, where as the narrow pulse duration is used more on the sensory
fibres.
The selection of which pulse duration to use is dependent upon the intended
treatment protocol.
Stimulating the larger nerve fibres is thought to reduce the speed and the
amount at which information is transmitted along the smaller nerve fibres. Also
under certain circumstances the brain is thought to produce its own
analgesic pain-killing substances, known as endorphins or endogenous opiates.
Intensity [mA]
Patients respond differently to the level of intensity, this is due to differences

in individual patient’s skin resistance, enervation and the type and condition of
electrode being used.
A good formula for setting the intensity is to increase the current so that the
patient feels slight muscle contraction, but not strong enough to move a joint,
and then slightly reduce the intensity so that it feels comfortable. When using
low rate TENS settings, individual twitches will occur. The higher rate TENS
settings will increase muscle tension. It is not advised to increase the intensity
to experience strong muscle contraction.
10
Treatment Modes
There are three treatment modes available on the NeuroTrac™ TENS unit:
1. Conventional TENS or normal. This mode enables the user to select any
rate between 2 Hz – 200 Hz, and a pulse width between 50mS-300mS. This is
the most frequently used of the three modes. The most common selection is 80
Hz with a 200mS pulse width.
2. Burst Mode. This mode is comparable to the low rate TENS technique
except that each low rate pulse is substituted for by a short BURST of 9 pulses
[200mS] at 150 Hz. It is a combination of conventional and low rate TENS.
The burst mode is often referred to as acupuncture - like TENS.
3. Modulation TENS this mode was designed to help prevent nerve

accommodation that some patient’s experience. It is achieved by
continuously cycling the pulse width and rate.
How Long Do I Use TENS For?
This depends on the individual patient’s condition, accuracy of electrode

placement, stimulation and the characteristics selected, but typically the onset
of pain relief starts after 20-30 minutes. Generally TENS is used for longer
periods of normally 1 hour 30 minutes per session. With some patients it can
be much longer.
11
Electrode Placement
The placement of electrodes is one of the most important parameters in
achieving effective pain relief using TENS. This is best left to your
Physiotherapist or Doctor to advise as to which location is most appropriate. It
may transpire that various positions need to be experimented with before the
user finds the most effective positioning. The positioning may be via the
contiguous, dermatome, myotome, motor, trigger or acupuncture points.
Dermatomes & Myotomes
These are areas of the body enervated by a single nerve root via the spinal cord.
Each nerve root serves a known area of the skin. The dermatomes are named
after the nerve root which serves it. For details of dermatome sites refer to
diagrams on pages 23 & 24.
Contiguous Placement
This form of electrode placement is the most common method used. It

involves placing the red lead [proximal] alongside the spine where the
dermatome [on which your pain lies] enters and exists. The black lead [distal]
is normally placed over or near to the pain site. Your Physiotherapist or
Doctor may direct the current to cross through the pain area or using the
‘bracket’ system allow the current to flow on either side of the pain site
through the nerve branches that supply the pain location.
Acupuncture Points
The placement of the red and black electrodes on the skin forms the electrical
circuit for TENS. It is the skin itself that creates the highest electrical
resistance to stimulation. The Physiotherapist or Doctor may consider using
acupuncture loci, which offer much lower resistance properties, as a more
effective site for placing the electrodes.
Accurately locating an acupuncture point can be difficult, please seek advice
from your Doctor or Physiotherapist.
12
Electrode Types & Tips

Types Available:
* Self-Adhesive Hypoallergenic electrodes have a typical life span

(if looked after) of 4/6 weeks. We recommend cleaning the skin before
use. After use place the electrodes back onto the plastic film then
enclose them back into the ziptag plastic pouch and store in a cool
environment.
Types available:
VS.4040 40 x 40 mm (square),
VS.5050 50 x 50 mm (square) (recommended for general use),
VS.9050 90 x 50 mm (rectangular)
VS.10050 100 x 50 mm (rectangular) (recommended for large muscles),
VS.13050 130 x 50 mm (rectangular),
VS.20450 204 x 50 mm (rectangular),
VS.30 30 mm Diameter (round),

VS.75 75mm Diameter (round).
A Few Good Tips [Self- Adhesive Electrodes]
* If you find the electrodes will not stick due to oily skin, cleanse the
skin with soap and water, then rinse and dry the area around the
electrode site. If this does not work, try cleansing the skin with a swab
impregnated with alcohol.
* Clip away hairy skin using a scissors; don’t use a razor to remove the
hairs!
* The electrodes conductive material is water- based. If it becomes

saturated (e.g. from perspiration), it will lose its adhesive qualities.
After use leave the electrodes face up overnight to dry out (replace on
plastic film in the morning).
At some point the electrodes will become dry. Moisten the adhesive
surface with a few drops of water, and apply onto the plastic film
overnight. This procedure will give you a few more days of electrode
life.
13
Suggested Electrode Placement
+ = Red
- = Black
Finger Arthritis Knee Arthritis
Neuralgia of Trigeninus
1 2
Cervical (2 Positions)
14
If you are using electrodes on your face, we recommend

you contact your physiotherapist or clinician for guidance
+ = Red
- = Black
Cephalalgia Overorbital
Mandibular Syndrome
Herpes Zoster Phantom Limb
15
+ = Red
- = Black
Back Pain Menstrual Pain
1 2
Lumbar Pain (2 Positions)
Tooth Ache
16
+ = Red
- = Black
Sciatic Pain (2 Positions)
Epicondylitis Shoulder Pain
Feet Pain Ankle Pain
17
Care & Maintenance

Control Unit:
* Wipe the surface once a week with a damp cloth or antiseptic wipe
* Do not use cleaning sprays or alcohol based cleaning solutions
Battery:
* Check periodically for any discharge from the battery

* Remove battery completely from unit if not in use for any
extended period of time (typically one week)
* Low battery indicator of 6.9 volts shown on LCD display, when
flashing change battery for a new one
* Preferably use a PP3 alkaline battery
Lead Wires:
* The lead wires should be handled carefully and never stretched, as this
can cause the stimulation to function below normal standards or not at
all
* Examine lead wires before each treatment for loose connections or
damage
* Avoid stretching and twisting the lead wires
* Store the lead wires carefully after each use
Self-Adhesive Electrodes:
* Check the short connectors have not become separated from the
electrodes
* Replace electrodes onto plastic film after use. If they drop onto the
floor debris will adhere to conductive gel rendering the electrodes
ineffective
Electrode life can be considerably reduced by:
* The type and condition of the skin
* Deep seated moisturisers or make-up
For the Best Results:
* Before each use cleanse the skin

* After each use stick the pads on the shiny insert card and store in a
cool and dry place, such as the fridge. (not freezer).
Caution: Static electricity may damage this product
NOTE: Only Verity Medical Ltd or appointed distributors /importers

are approved to undertake servicing.
18
Conditions that respond to TENS
* Arthritis * Period Pain

* Post Operative Pain * Cancer Pain
* Lumbago * Back Pain
* Sports injury * General Pain
* Phantom Limb Pain * Sciatica
following * Muscular Shoulder
Amputation Aches
* Skeletal Pains * Travel Sickness
* Neuralgia * Tension
* Whiplash * Nausea
* Rheumatoid and
* Osteo Arthritis
19
Commonly Asked Questions

Q- Does TENS work for all pain conditions and on all patients?
A- There is significant variation between patients with similar pain
conditions. However, it is known that TENS does work in up to 70%
of cases.
Q- How can I have a better chance of success?

A- Seeking professional advice from your Physiotherapist or Doctor on
how to best apply TENS is the best answer we can give to this
question.
Q- Are there circumstances in which TENS should not be used?

A- Yes. For undiagnosed pain; When using a cardiac pace maker;
During pregnancy and other instances as fully detailed in this manual
on page 5.
Q- Can there be any permanent side effects?

A- There are no known permanent side effects caused by using a TENS
stimulator.
Q- How long will I have to use the TENS stimulator?

A- Some long term chronic pain sufferers may have to use a stimulator
for extended periods of time, even years. Other conditions may only
need a short period of treatment lasting weeks.
Q- If I have any medical or product queries how can I get help?

A- Any clinical advice on the TENS stimulator should be provided by
your Physiotherapist or Doctor.
20
Specifications
TENS
1. Dual channel: individually isolated circuits.

2. Amplitude: 0 - 80 mA; indication only; actual mA will tend to be less
than indicated due to electrode impedance.
3. Type: Constant Current.
4. Waveform: Asymmetrical, rectangular bi-phasic with zero DC
current.
5. Selectable pulse width: 50mS -300mS [2% accuracy].
6. Pulse Rate selection: in the continuous mode 2 Hz - 200 Hz
[2% accuracy].
7. Mode: Continuous, Burst or Modulated.
8. Burst mode: Bursts of 9 pulses [200 mS] at 150 Hz, repeating twice
every second.
9. Modulation mode: 6-second cycle of concurrent width
modulation and pulse repetition rate modulation. Width starting at
200 mS and decreasing exponentially to 100 mS in three seconds and
then returning back to 200 mS in the next three seconds. Rate starting
at 100 Hz, decreasing exponentially to 65 Hz and then returning to
100 Hz.
10. Time duration of the treatment selectable: 1 minute to 12 hours.
11. Low Battery Indicator: If the battery goes below 6.9 volts +/- 0.2
volts the battery symbol will flash on/off once every second.
12. If the battery voltage is below 6.6 (+/- 0.2) volts the unit will not turn
on.
13. Open Electrode Detect: If an open circuit is detected at the
output of channel A or B the output current will be reset at zero.
14. Physical dimensions: 108 x 62 x 23 mm.
15. Weight: 0.07KG without battery, 0.1KG with battery.
16. Environmental conditions for storage & transport:
-10 to +50 degrees Centigrade
0-90% Humidity.
21
Warranty
Verity Medical Ltd provides a warranty to the original purchaser that this
product will be free from defects in the material, components and
workmanship for a period of 2 years from the date of purchase [invoice date].
If Verity Medical Ltd are satisfied that the product/s is defective the
purchaser may return this unit/s to Verity Medical Ltd or the appointed
distributor for repair or replacement with a new unit. All returns must first be
authorised by Verity Medical Ltd in advance. The liability of Verity Medical
Ltd under this limited product warranty does not extend to any misuse or
abuse such as dropping or immersing the unit in water or other liquid
substance or tampering with the unit or normal wear and tear. Any evidence of
tampering will nullify this warranty.
Customer Service
Any queries should be addressed to:
Verity Medical Ltd :- Uplands Place
Drove Road
Chilbolton
Nr Stockbridge
Hampshire SO20 6AD
England
Tele: +44 (0)1264 860354

Fax: +44 (0)1264 860825
Email: [email protected]
Web: www.VerityMedical.co.uk
ISO9001:2000
ISO13485:2003
This product is manufactured in compliance with the Medical Device Directive

MDD93/42/EEC under the supervision of SGS, Notified Body number 0120.
Design Registration Numbers: 2095095, 2095096, 2098278

22
Dermatome Charts
Anterior View
23
Posterior View.
24
Clinical References
Conventional TENS:
Bates JAV, Nathan PW [1980] Transcutaneous electrical nerve

stimulation for chronic pain. Anaesthesia 35: 817-22
Ellis B [1995] Transcutaneous electrical nerve stimulators: outpatient

response to a temporary home loan programme Br J The Rehabil 2 [8]:
419-23
Frampton V, Bowesher D, eds. Pain Management by Physiotherapy.

Butterworth Heinemann, London: 115 –39
Hosobuchi Y, Adams J E, Linchitz R [1977] Pain relief by electrical stimula-

tion of the central gray matter in humans and its reversal by naloxone. Science
197: 183 –186
Lundberg TMD. Et, al [1984] Physiotherapy Vol. 70 No. 3 98-100
Melzack R, Wall P D [1965] Pain mechanisms: a new theory. Science 150:

971 –979
Tulgar M, McGlone F, Bowsher D, Miles J B [1991b]Comparitive effective-

ness of different stimulation modes in relieving pain: part II. A double blind
controlled long-term clinical trial Pain 4: 156-62
Walker J [1992] When self-help begins at home Prof Nurse 7 [10]: 662-4
25
26
Revised Issue Date: 25/03/2006 Document Number: VM-ECS300-OM002-10

27
Not for sale or use in the USA
Uplands Place
Drove Road
Chilbolton
Nr Stockbridge
Hampshire SO20 6AD
England
Tele: +44 (0)1264 860354

Fax: +44 (0)1264 860825
Email: [email protected]
Web: www.VerityMedical.co.uk
28

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NeuroTrac™

DUAL CHANNEL TENS Operation

* Do not insert lead wires into a mains power supply

* Do not immerse unit into water or any other substance

* Do not use the NeuroTrac™ TENS unit in the presence of a

* If using rechargeable 9 volt PP3 Nickel Metal Hydride or Ni-Cad

* Never connect the NeuroTrac™ TENS unit directly to a battery

* Patient Electrodes are for single patient use only

* Keep out of reach of children

Revised Issue Date: 25/03/2006 Document Number: VM-ECS300-OM002-10

Although pain is essential in warning our body of trauma or malfunction,

Contra Indications & Precautions

Read this operating manual before using the TENS unit

TENS should not be used:

* By patients fitted with a demand style cardiac pacemakers unless so

Description of TENS Unit & Functions.

* ESC button Stores customised programme and returns to the

Quick Start Instructions

Setting up your own continuous mode parameters for PC 1 or PC 2..

Setting up your own Modulated mode paramters for PC3.

8. After setting up the customised programme parameters, press the ESC

Programme 9: Burst of 9 pulses of 200 µS at 150 Hz repeated 2 times per

Programme 10: Channel A Constant 80 Hz and 200 µS.

Programme 11: 2 Hz for 3 seconds, 100 Hz for 3 seconds, repeating.

Lock Mode Function

Lock Mode Function

A "concealed" Lock button is included in the NeuroTrac™ TENS unit, which

Locking the Unit

Ch.A Ch.B Ch.A Ch.B

To Unlock the Unit

Using the Neurotrac™ TENS Unit

RATE [Hz or pulses per second]

The RATE to be selected depends primarily on the electrode placement on the

PULSE WIDTH [Duration]

Patients respond differently to the level of intensity, this is due to differences

3. Modulation TENS this mode was designed to help prevent nerve

How Long Do I Use TENS For?

This depends on the individual patient’s condition, accuracy of electrode

Dermatomes & Myotomes

This form of electrode placement is the most common method used. It

Electrode Types & Tips

* Self-Adhesive Hypoallergenic electrodes have a typical life span

VS.30 30 mm Diameter (round),

A Few Good Tips [Self- Adhesive Electrodes]

* The electrodes conductive material is water- based. If it becomes

Suggested Electrode Placement

Finger Arthritis Knee Arthritis

If you are using electrodes on your face, we recommend

Herpes Zoster Phantom Limb

Back Pain Menstrual Pain

Lumbar Pain (2 Positions)

Sciatic Pain (2 Positions)

Epicondylitis Shoulder Pain

Feet Pain Ankle Pain

Care & Maintenance

* Check periodically for any discharge from the battery

For the Best Results:

* Before each use cleanse the skin

Caution: Static electricity may damage this product