TensCare Tens Machines

Veinoplus Powerful Relief From Varicose Veins

Powerful relief from varicose veins and painful, swollen legs.

* Combines the advantages of NMES and TENS
* Clinically proven

Veinoplus delivers clinically proven and safe, low frequency, low voltage electrostimulation to the calf muscle to cause contractions, which stimulates the blood return from superficial and deep veins.
Who should use Veinoplus?
It is recommended for use in the following circumstances:
- to improve the quality of life for sufferers of Venous Insufficiency
- to reduce swelling and pain in legs (due to prolonged sitting or standing, lack of physical activity, pregnancy or hormone replacement therapy, genetic factors)
- to reduce the risk of DVT (Deep Vein Thrombosis)
- to heal Venous Ulcers
- to reduce Pregnancy Venous disorders
- to reduce the pain of Varicose Veins

Key Features
- Combines the advantages of NMES and TENS modalities
- Clinically designed electrodes, specifically for use with the Veinoplus
- An internal timer switches the device off after 20 minutes

When not to use Veinoplus?
If you are suffering from the following conditions consult a doctor before using Veinoplus:
- Acute Venous Thrombosis
- Tendency to bleed induced by anti-clotting treatment
- Inflammation, infection, skin lesions or severe varicose veins of the calves.
- Stimulation should not be applied over or in proximity to cancerous lesions

Tenscare StimSonic Combined Ultrasound and TENS Machine

Innovative high-performance device for home and ambulatory treatment. Ultrasound therapy unit and TENS machine combined into a single, ergonomic device. Can be used separately for pain therapy, for the typical applications of 1 MHz ultrasound (deep tissue treatment of muscle pain), and in combined mode - dramatically amplifying the effects of both

3 PRODUCTS IN ONE:

• Ultrasound only • TENS only • Combined Ultrasound and TENS

KEY FEATURES:

o 15 preset programmes:-
Ultrasound therapy only programme at 1 MHz
7 combined ultrasound + TENS programmes (Ultrasound head is used as one of the TENS electrodes.
7 TENS only programmes(Two TENS electrode pads)

o 1MHz ultrasound with maximum power of 4W, maximum surface intensity 1W/cm². Ultrasound frequency designed for optimal penetration into the tissues (Intensity reduced by half at approx 4 cm)

o Pulsed ultrasound with 5 levels of intensity: 5% -20% -50% -80% -100% (Duty cycle)
o TENS unit with preset programmes, ouput range from 2 to 150Hz and pulse width of 60 to 250 microseconds. Maximum output 80mA zero to peak into 500 Ohm.
o Mains powered - 15V safety medical power supply adaptor

o Medical Device certificate CE0123
The Product Includes
- Combined portable Ultrasound and TENS unit CT2011
- Power supply
- Ultrasound gel. 50gm tube
- Electrode connection cable
- TENS electrodes (2off 50x100mm)
- Illustrated instruction manual

PRESET PROGRAMMES

PROGRAMME

FREQUENCY

PULSE WIDTH (DURATION)

MODE
Combined 1

35 Hz

200 ?s

Burst
Combined 2

70 Hz

50÷200 ?s

Pulse width modulated
Combined 3

80 Hz

200 ?s

Constant
Combined 4

100 Hz

175 ?s

Burst
Combined 5

2÷100 Hz

250 ?s

Frequency modulated
Combined 6

2÷110 Hz

175 ?s

Frequency modulated
Combined 7

150 Hz

50÷200 ?s

Pulse width modulated
Ultrasound

1 MHz

Continuous


TENS 1

35 Hz

200 ?s

Burst
TENS 2

70 Hz

50÷200 ?s

Pulse width modulated
TENS 3

80 Hz

200 ?s

Constant
TENS 4

100 Hz

175 ?s

Burst
TENS 5

2÷100 Hz

250 ?s

Frequency modulated
TENS 6

2÷110 Hz

175 ?s

Frequency modulated
TENS 7

150 Hz

50÷200 ?s

Pulse width modulated



DIMENSIONS: 358 x 64 x 97 mm
PACK SIZE 38 x 12 x 12 cm

Tenscare iSure Pelvic Floor Exerciser

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Cures Incontinence Stress, Urge, and Mixed
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Be free to live an active life
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Improves sexual intimacy
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Clinically approved



Features

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Comfortable Stimulation The strength of the stimulation increases gradually, making the feeling verycomfortable and in your control.
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Easy Start - One Touch Memory The itouch SURE has intelligent memory that enables the unit to remember the last programme and the strength setting used. At the press of only one button the strength level returns to 75% of the last level used.
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Clinically tested programmes The programmes which have been preset into the unit have been clinically tested andproven to be highly effective.
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Safety Duration Override A safety override feature has been incorporated into the itouch SURE to ensure that the pelvic floor muscle is not overworked. This is set at twenty minutes, after which time the unit will switch off. It is possible to alter the time in order tocustomise the unit to your needs.
*
Usage Memory The itouch SURE has a Usage Memorywhich shows the length of time that the unit has been in use and the average level of strength utilised.



How continence stimulation works

The itouch SURE, through a vaginal probe or pads, sends a gentle stimulation to your pelvic floor muscle using clinically recognised programmes.

Although pelvic floor exercises produce the best results, once your muscle has lost its tone it can be very difficult to do voluntary exercise properly. SURE works your muscle for you and helps to develop your own muscle control. It is also possible to treat faecal incontinence in both males and females using an anal probe. If in doubt contact your continence adviser before using the itouch SURE.

Just use Sure for 20 minutes every day. Like all forms of exercise, it may take some weeks for you to feel a benefit.

Complete with Liberty internal contact electrode for single patient use

General Specification

Max Intensity 100mA zero to peak +ve in steps of 0.5mA* Constant current over 500-1500 Ohm, Channels single, Waveform Asymmetrical rectangular, Max Pulse energy * Total output limited to 25uC per pulse, Power 2xAA Alkaline OR 2 x AA NiMH, Battery life At least 15 hours at 50mA 300uS 50Hz,Adjustable Timer- 10, 20, 30 45, 60, 90 min Defaults to 20 min,Pause button “Clock” key when running,Output plug Fully shielded: touch proof mini USB,Weight 90 gms without batteries,Dimensions 110 x 53 x 30mm

Programme Settings

*
STRES: 50Hz ,300 uS, 5/10 sec, 20 mins
*
URGE:10Hz, 200 uS, 5/10 sec, 20 mins.
*
MIXED: 20Hz, 250 uS, 5/10 sec, 20 mins
*
TONE: 35Hz, 250 uS, 3/6 sec, 20 mins

Tenscare Mama Tens Machine



TENS has a reputation as one of the safest, most effective forms of modern pain control available to women during childbirth.

*
Natural
*
Completely safe
*
Easy to use
*
Non-invasive, non-addictive & without side-effects
*
Small & portable

The treatment is widely approved and recommended by medical professionals, and allows you to experience a mobile, drug-free labour, with personal control over your pain relief.

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3 preset programmes
*
Easy to use button control
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Integral booster button
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Unique "Ramp" facility

Simply the best maternity TENS unit available. Easy to use and perfectly safe for you and your baby.

Eight out of ten women find TENS helpful in labour. Remain in control of labour pains with maximum mobility

Do not use TENS units in the following circumstances:

*
During the first 12 weeks of pregnancy
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On the abdomen at any time during pregnancy or labour.
*
If you have a heart pacemaker.
*
If you have, or have ever had, a heart rhythm problem.
*
If you are suffering acute feverish conditions or infectious diseases.
*
If you have, or have had, epilepsy you must obtain the full approval of your doctor prior to using TENS .

Tenscare Itouch Tone Ems Muscle Stimulator And Tens

PURE, POWERFUL MUSCLE TONING AND PAIN RELIEF

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Firm and Tighten
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Increase Strength
*
Improve Muscle definition
*
Reduce Stiffness
*
Stabilise weakened joints

itouch Tone offers a combination of preset programmes and manual selection with a wide range of settings for both professional and home use. It features 0.5 mA intensity steps for fine control of strength allowing you to use the maximum comfortable stimulation
Q: How Does EMS Work?

EMS stands for Electrical Muscle Stimulation.

It has successfully been used in medical rehabilitation and to support training in competitive sports for a long time. EMS produces intensive and effective muscular contraction, generating extraordinary training effects and rapidly enhancing performance.

In rehabilitation EMS is a well-established method for treatment of a broad field of musculoskeletal diagnoses. Electrical stimulation of an intact peripheral nervous system may create motor responses in patients with impaired or lost ability for voluntary muscle activity.


It is commonly used for:

Neuromuscular facilitation - Muscle reeducation - Muscle training - Prevention/slowing of atrophy/hypotrophy - Preventing postoperative muscle weakness - Reduction of spasticity Maintaining or increasing range of motion - Training of partial peripheral nerve damage with signs of reinnervation - Treatment of scoliosis - Incontinence treatment

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

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

Advantages of EMS

Use of EMS may lead to faster progress in the patient's treatment program. The method is simple and appropriate for treatment in the clinical setting as well as for self-treatment at home.

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. EMS also helps raising the intake of oxygen as well as improves the metabolic exchange and the consumption of energy of the user.
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 act through the skin to stimulate the nerves supplying a specific muscle group.

The muscle reacts in different ways depending on the strength of current and duration and frequency of the electrical impulse. Muscles are made up of two different type of fibre: Red fibre is slower contracting and aerobic working.

White fibre is faster acting and capable of anaerobic working.

The proportions of red and white fibres depend on the way the muscle is used. Fibre can be converted from one type to the other, depending on the signals it receives. This is known as the Trophic effect.

Different frequencies have different effects: Low (1-10 Hz) frequencies 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). The oxygen supply to the muscle is improved.

In contrast, by means of a rapid succession of contractions (fibrillation), medium (20-50 Hz) frequencies can put a high level of strain on the muscle, thus promoting the muscular structure.

The pads are normally placed near the muscle motor nerve and the unit transmits a stimulus through the skin, with a choice of specific therapeutic patterns. The correct positioning of the pads is important. The body maps at the back of this guide show pad positioning in order to stimulate specific muscle groups.

Treatment time and treatment interval

All programmes have adjustable duration with default of 20 mins. Depending upon the muscle group and the patient's status, treatment by EMS can vary between 15–60 minutes stimulation twice a week to treatment several times per day.
Q: Where should I put the electrodes for EMS?

Electrode placement for electrical muscle stimulation is very important for obtaining the best results. It is often easiest to activate muscles by stimulating the motor nerve.

Usually the bipolar technique is used, in which two electrodes are placed over the bulk of the muscle, with one electrode over the muscle s motor point. With stimulation with asymmetrical biphasic pulse the active electrode (black pin) is placed over the motor point. The motor point is the area on the skin that is located closest to the motor nerve s entry into the muscle. Here it is easiest to trigger a contraction by electrical stimulation.

The cleanest and, for the patient, the most comfortable contractions are obtained most easily if the motor point is localized. Work with movable electrodes to find motor points. A motor point map can be helpful in localizing motor points.

Move the electrode across the skin and locate the point over the muscle that gives the cleanest contraction

Large muscle groups may require stimulation with two channels, that is, four electrodes simultaneously.

See the diagram at the bottom of this page.

Care of Pads

The pads which are supplied with Tenscare “Ultima” E.M.S. units are self-adhesive and can be used several times. Skin must be allowed to breathe therefore the pads should be removed periodically. When not in use the pads should be placed on the pad holder or back onto the clear plastic shield.

The condition of the pads does effect the conductivity and, therefore, the performance of the unit. When the pads initially lose their adhesive quality, it is possible to reactivate their adhesiveness by applying a fine spray of water.

Electrode


Q: Are there any special precautions to take when using EMS?

Muscular Atrophy may have many causes. Muscle problems must be diagnosed by a medical practitioner before EMS treatment begins.

If using EMS to strengthen healthy muscle, take care not to use at too high an intensity and duration until your muscles become accustomed to the work level.

Precautions and Contra-Indications

Do NOT use Tenscare “Ultima” EMS unit under the following circumstances:

• You have a heart pacemaker or a serious heart rhythm problem.
• On the heads of children under 12.
• During the first twelve weeks of pregnancy or at any time on the abdomen during pregnancy.
• When driving or operating machinery.
• If you have epilepsy, consult your medical advisor prior to using EMS .

Pads should NOT be placed:

• On the carotid sinuses located on the front of the neck, or over the eyes.
• Across both temples at the same time.
• On broken skin or on areas where normal sensation is absent.
• On the abdomen during pregnancy

Use of excessive intensity or usage time can cause muscle injury. Always increase intensity gradually. If stimulation causes pain reduce intensity or stop treatment.

General Precautions

• Do not immerse EMS units in water.
• Do not place EMS unit close to excessive heat.
• Do not attempt to open EMS unit.
• Use only the specified batteries: Tenscare “Ultima” E.M.S. unit = 2 x 1.5 volt AA Alkaline (LR6). The use of any other type of battery could damage the units.
• Remove batteries if unit is not to be used for a long period

Complications

These can arise but are very rare. Please note the following:

• Allergic reactions to the self-adhesive pads can occur, even though they are hypo-allergenic
• Do not apply to broken skin
• Do not apply pads to skin that does not have normal sensation. If the skin is numb, stimulation will not be felt and too great an intensity might then be used accidentally

Setting Treatment Time

Depending upon the muscle group and the patient's status, treatment by EMS can vary between 15–60 minutes stimulation twice a week to treatment several times per day.

Choosing the right intensity

The object of EMS treatment is to produce powerful tetanic muscle contractions. The strength of the current should be increased above the sensory threshold, to the tolerance level. The patient often experiences the electrical contraction as being more powerful than a voluntary contraction, because of the sensory effect of the current. The signals have a pain-relieving effect. Patients usually find the sensation uncomfortable to start with, so that one often does not get up to therapeutic intensities at the start of treatment. The current intensity can be increased during the course of the treatment, as the patient becomes accustomed to the current.

Electrical muscle contractions can advantageously be combined with simultaneous voluntary muscular activity.
The powerful muscle contractions caused by electrical stimulation give rise to training a che s, which usually disappear within a week.
After treatment tingling sensations may continue or your skin may feel numb, this is normal.

Tenscare Itouch Plus Tens Machine For Pain Relief Muscle Stimulation And Injury Relief
All the features of the “easy”… PLUS



Customised Settings Choice of a wide range of settings with the ability to store and remember the selection.

Usage Diary Facility that remembers how long, and at what strength, the unit has been used in each setting. Only records when pads are connected to patient.

24 Hour Clock

3 Daily Alarm Settings Which can be used as medication reminders.
Specifications:

*
Waveform Asymmetric Biphasic, net zero DC.
*
Intensity 0-70mA zero to peak +ve in steps of 0.5mA Constant current over 500-1500 Ohm
*
Frequency Hz 1, 2, 3, 4, 5, 10, 12, 14, 16, 18, 20, 25, 30, 35, 40, 45,50, 60, 70, 80, 90, 100, 110, 120, 130, 140, 150.
*
Pulse width uS 50-250 in steps of 50uS
*
Preset Programs 10 presets, two manual set
*
Memory Returns to last program used.Returns to 75% of last intensity used – ramp over 4s
*
Doctor locking Lock/Unlock program M/N
*
Compliance Meter See below
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Real time Clock+alarm Can be disabled in software through Clock Setup Menu
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LCD backlight, Software enabled.

Programmes:-

A

Constant

110Hz

50uS
B

Constant

4Hz

200uS
C

Burst

100Hz 2 bursts per sec.


D

Constant

10Hz

200uS
E

Constant

10Hz

200uS
F

Modulated SD

110Hz

50-250uS Pulse width modulates from 50 up to 250 and back in 12 s, whilst intensity modulates from set down 70% and back
G

Modulated Frequency

20-110Hz Frequency modulates from 20 -100 and back in 12s

200uS
H

Mixed

2Hz/110Hz Alternate 3sec at 2 Hz, 3sec at 110Hz *

200uS
M

Manual

All parameters adjustable


N

Manual

All parameters adjustable.

Mama Tens Replacement Electrode Pads

50x100mm electrodes with built in leads for MamTENS only
Q: How should I remove and store electrodes?


Caution

Turn off the TENS unit before removing the electrodes
Do not peel off by pulling on the electrode wire as this can break the wire.

Storage

Electrodes are water-based and may dry out. Between uses they should be stored on the plastic shield in their resealable bag and kept in a cool place out of direct sunlight.


Dried-out electrodes

If the electrode gel becomes dry, either spray the gel with a fine mist of water, or apply a drop of water to the gel and spread around with fingertip. Leave the electrode for about 10 minutes until it recovers its tackiness.


Over-wet electrodes

If the electrode gel becomes too soft and sticky, place the electrode in a refrigerator for a few hours, sticky side up.

Electrode life

The life of an electrode varies depending on skin conditions and skin preparation. Electrodes should last about 30 applications.


Problems?

If your TENS machine is not working properly the problem is often due to the battery or the leads.

Check:

Are the batteries new?
Are they installed correctly?
Are all contacts touching?
Are the contacts clean of corrosion?
Are the lead wires properly connected at both ends?
Have you applied both electrodes (per lead wire) to ensure a complete circuit?