TensCare ALIVIA Manuel utilisateur

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Mesure, test
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Manuel utilisateur
0
1
QUICKSTART GUIDE
Clean the probe with an alcohol-free anti-bacterial
wipe or with warm soapy water
Limpie la sonda con una toallita antibacteriana sin
alcohol o con agua jabonosa tibia
Nettoyez la sonde avec une lingette antibactérienne
sans alcool ou de l'eau savonneuse tiède
Reinigen Sie die Sonde mit einem alkoholfreien
antibakteriellen Tuch oder lauwarmem Seifenwasser
Connect the unit with the vaginal probe and insert the
probe
Conecte la sonda vaginal a la unidad y introduzca la
sonda
Connectez l’appareil à la sonde vaginale et insérez la
sonde
Verbinden Sie das Gerät mit der Vaginalsonde. Führen
Sie die Vaginalsonde ein
Press and hold the ON button to switch the device on
Presionar el botón de ON para encender el dispositivo
Appuyez sur le bouton ON pour allumer l’appareil
Halten Sie die ON-Taste gedrückt, um einzuschalten
Regulate the output intensity with and
Regule la intensidad con los botones ▲ y ▼
Choisissez l’intensité avec ▲ et
Regulieren Sie die Intensität mit ▲ und ▼
Press and hold the OFF button to switch the device off
Presionar el botón de OFF para apagar el dispositivo
Appuyez sur le bouton OFF pour éteindre l’appareil
Halten Sie die OFF-Taste gedrückt, um auszuschalten
Select the programme by pressing the button P
Seleccione el programa presionando el botón P
Choisissez le programme avec le bouton P
Wählen Sie ein Programm mit der P-Taste
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Dear Customer,
Thank you for choosing Alivia. 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 and observe the information they contain.
Best regards,
Your TensCare Team
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CONTENTS
1. INTRODUCTION ........................................................................................................... 5
2. INTENDED USE ............................................................................................................ 5
3. ALIVIA FEATURES ........................................................................................................ 6
4. PELVIC FLOOR EXERCISES ........................................................................................ 6
4.1. PELVIC FLOOR MUSCLES .................................................................................... 6
4.2. PERFORMING PELVIC FLOOR EXERCISES ........................................................ 7
5. TYPES OF INCONTINENCE ......................................................................................... 8
6. PERIOD PAIN ................................................................................................................ 9
7. HOW ‘EMS’ WORKS ................................................................................................... 10
8. HOW ‘TENS’ WORKS.................................................................................................. 11
9. CONTRAINDICATIONS, WARNINGS & CAUTIONS ................................................... 12
10. INFORMATION ABOUT THE PROGRAMME SETTINGS ........................................ 15
11. PROGRAMMES ....................................................................................................... 16
11.1. PROGRAMME SETTINGS ................................................................................ 16
11.2. PRESET PROGRAMMES ................................................................................. 16
11.3. PAIN PROGRAMME ......................................................................................... 17
12. CONTENT ................................................................................................................ 18
13. UNIT INFORMATION ............................................................................................... 19
13.1. CONTROLS & DISPLAY ................................................................................... 19
13.2. OPERATING INSTRUCTIONS .......................................................................... 20
14. SETTING UP AND USING THE ALIVIA ................................................................... 22
14.1. INSTALLATION OF BATTERIES ...................................................................... 22
14.2. CONNECTING LEAD WIRE .............................................................................. 23
14.3. PREPARING FOR SESSION ............................................................................ 23
14.4. TRAINING SESSION ........................................................................................ 24
14.5. AFTER YOUR TRAINING SESSION ................................................................. 26
15. ANAL PROBE .......................................................................................................... 26
15.1. CONDITIONS THAT MAY BE TREATED .......................................................... 26
15.2. HOW TO INSERT THE ANAL PROBE .............................................................. 27
16. CLEANING ............................................................................................................... 28
17. EMC ......................................................................................................................... 28
18. DISPOSAL OF WASTE ELECTRICAL AND ELECTRONIC PRODUCTS (WEEE) ... 28
19. ACCESSORIES ....................................................................................................... 29
20. WARRANTY ............................................................................................................. 29
21. TROUBLESHOOTING ............................................................................................. 31
22. GENERAL SPECIFICATION .................................................................................... 33
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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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1. INTRODUCTION
Device Description & Principles of
Design
Bladder leakage and incontinence are
common problems for both women and
men, affecting their long-term health.
Exercising the pelvic floor muscles is
recognised as the way of preventing
and treating symptoms of incontinence
and pelvic floor weakness.
The Alivia is a powered muscle
stimulator used for strengthening the
pelvic floor muscles.
It sends a gentle stimulation (similar to
your natural nerve impulses) direct to
your pelvic floor muscles through a
vaginal probe with stainless steel
electrodes. These signals make your
pelvic floor muscles contract. If you
have forgotten how to contract them,
are having trouble getting muscle
response, or simply want to bring back
the condition of your pelvic floor
muscles, the Alivia can work them for
you to build up their strength and help
you to develop your own muscle
control. It perfectly complements pelvic
floor exercises. The Alivia is very easy
to use, with four clearly labelled preset
training programmes, a fifth programme
for period pain and a simple push
button control.
The Alivia provides relief from
conditions such as:
Urinary and faecal incontinence:
including stress, urge and mixed
types as well as post prostatectomy
urinary incontinence in men.
Additionally, it may help improve
sexual intimacy by toning the pelvic
floor muscles.
Anal stimulation may also help men
who are otherwise unable to execute
Kegel exercises to strengthen their
pelvic floor. Pelvic floor muscle
training is recommended for
recovery from some causes of
Erectile Dysfunction. However it is
not intended to treat any medical
issues and your first step in deciding
appropriate therapy should be to
consult your professional medical
advisor.
Period pain: primary menstrual pain
(dysmenorrhoea) and secondary
menstrual pain due to conditions
such as endometriosis, fibroids or
pelvic inflammatory disease.
2. INTENDED USE
Alivia is a medical device
designed to be used in the
home healthcare environment
to treat symptoms of urinary and/or
faecal incontinence and is suitable for
use by all who can control the device
and understand the instructions.
Alivia may also help to relieve the pain
of secondary menstrual pain due to
conditions such as endometriosis,
fibroids or pelvic inflammatory disease.
Do not use the device for any purpose
other than this intended use.
Warning: Not suitable for use
in children without medical
supervision.
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3. ALIVIA FEATURES
Single Channel
Single channel unit to treat symptoms
of urinary incontinence via a probe with
biofeedback pointer.
Comfortable Stimulation
Gentle stimulation with fine tune
adjustment settings for different levels
of intensity, 1 mA per step.
5 Preset Programmes
EMS programmes including STRES,
URGE, MIXED and TONE aftercare;
and additional TENS programme
providing relief from period pain.
Memory
Features 3 functions: programme
retention (automatically starts in the last
programme used), number of uses and
time of usage.
Treatment Timer
Unit defaults to 20 minutes’ treatment to
ensure the pelvic floor muscles are not
over-worked. The user can manually
reset this (Continuous, 10, 20, 30, 45,
60 or 90 mins).
Open Circuit Detection
Automatically resets the strength to
zero and flashes ‘LEADS’ if the
connection comes loose.
Automatic Keypad Lock
Automatic keypad lock prevents any
accidental changes in settings.
Large LCD Screen
Clearly shows the operation of the unit
and the programme and intensity being
used.
4. PELVIC FLOOR
EXERCISES
4.1. PELVIC FLOOR
MUSCLES
The “FLOOR” of your pelvis is made up
of layers of muscles that support the
bowel, bladder, urethra and uterus.
These muscles are like a hammock, or
the bottom and sides of a bowl, in
shape. They run from the pubic bone in
the front to the end of the spinal column
(or tail bone) in the back.
The pelvic floor muscles:
Assist in supporting the abdominal
and pelvic organs.
Work with the abdominal and back
muscles to stabilise and support the
spine.
In women, also
o provide support for the baby
during pregnancy and
o assist in the birthing process
Pelvic floor muscles are also important
for sexual function.
In women, voluntary contractions
(squeezing) of the pelvic floor
contribute to sexual sensation and
arousal.
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However pelvic floor muscles may
become weak. If your pelvic floor
muscles become stretched or
weakened, your pelvic organs may no
longer be fully supported and you may
lose control of your bladder or bowel
movements.
For some women, the pelvic floor
muscles can also become too tight.
This condition is less common, but it
can lead to pelvic pain and make it
difficult for you to empty your bladder or
bowel completely.
Common signs that can indicate a
pelvic floor problem include:
Accidentally leaking urine when you
exercise, laugh, cough or sneeze
Needing to get to the toilet in a hurry
or not making it there in time
Constantly needing to go to the toilet
Finding it difficult to empty the
bladder or bowel
Accidentally losing control of the
bladder or bowel
Accidentally passing wind
Pain in your pelvic area
Painful sex, or
A prolapse
In women, this may be felt as a bulge in
the vagina or a feeling of heaviness,
discomfort, pulling, dragging or
dropping. This occurs when one or
more of the pelvic organs (bladder,
bowel or uterus) become displaced and
sag down into the vagina. It is very
common in the United Kingdom and
occurs in about 40% of women.
Symptoms tend to become
exacerbated towards the end of each
day and if left untreated, they will
generally worsen over time.
In men, this may be felt as a bulge in
the rectum or a feeling of needing to
use the bowel but not actually needing
to go.
Like other muscles in your body, the
pelvic floor can be strengthened with
regular exercise. Building pelvic floor
strength enables the muscles to better
support your pelvic organs, improves
your bladder and bowel control and can
stop accidental urine, faeces or wind
leakage.
It can also reduce your risk of prolapse,
improve your recovery from childbirth
and gynaecological surgery, and
increase your sexual pleasure. A
continence therapist can help you learn
how to exercise your pelvic floor.
Doing just a few pelvic floor exercises
every day will help to treat bladder
weakness or prolapse symptoms, and
will help to prevent problems later on.
4.2. PERFORMING PELVIC
FLOOR EXERCISES
It is recommended to make Pelvic Floor
Exercises (sometimes called Kegel
Exercises) part of your daily life.
1) Kegel exercises can be done at any
time and are very discreet so you can
do them almost anywhere; lying in
bed, sitting at the computer or
waiting for a bus. It is a good idea to
try and develop a routine which you
can repeat each day.
2) First, it is important to find your pelvic
floor muscles and feel them working.
So here are a couple of techniques
which might help:
Try inserting one or two clean fingers
into your vagina and then squeezing
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the surrounding muscles, lifting up
and towards your belly button a
squeezing and lifting sensation.
Another way is to try and stop the
flow of urine during urination. If you
are successful, then you know you
are exercising the correct muscles.
Note: These techniques are
just to help you confirm that you
are using the correct muscles.
It is important to have an empty bladder
before starting the exercises.
3) Try to remember the lifting and
squeezing sensation and when you
are ready try to recreate it just using
the muscles you identified earlier;
don't tense the muscles in your legs,
stomach or buttocks and remember
to breathe normally.
4) Aim to hold each squeeze or
'contraction' for three to five
seconds, then release and relax.
You should feel a ‘letting go’ of the
muscles. Rest for five seconds and
then repeat.
5) Try and do about ten squeezes in
this way.
6) Repeat the whole process three or
four times a day.
7) Over a period of time try to increase
the muscle contractions up to about
ten seconds, but remember to rest in
between each squeeze for longer
periods.
Note: It is important to aim for
quality contractions, not
quantity, so a few good hard
squeezes are better than a series of
weak ones.
Do not worry if you find holding for 3
seconds difficult at first. Just
squeeze for as long as you feel
comfortable to do so. The more
exercise you do, the stronger the
muscles will become and the longer
you will be able to squeeze.
8) Using your Alivia pelvic floor
stimulator in conjunction with Kegel
exercises will give you a better
understanding of how they work and
how to get the greatest benefit from
them.
Use the pointer as an indication of how
well you are performing the Kegel
exercises.
When performed
correctly, the pointer
will move
downwards.
When performed
incorrectly, the
pointer will move
upwards.
5. TYPES OF
INCONTINENCE
There are three types of incontinence:
Stress, Urge, and Mixed.
Stress Incontinence
If you leak urine when you cough,
sneeze, laugh, strain or make sudden
movements, this is called Stress
Incontinence.
It is particularly common in women who
have had a natural childbirth and occurs
when the bladder neck and the other
mechanisms that act to hold urine in the
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bladder are not working properly. The
most common cause is a weak pelvic
floor.
Urge Incontinence
Describes an overactive bladder. A
person may experience a strong and
sudden urge to go to the toilet but are
not always able to hold on, or must go
so frequently that it becomes
inconvenient.
Mixed Incontinence
Is a combination of both Stress and
Urge Incontinence.
6. PERIOD PAIN
Painful periods are common in
teenagers and young adults.
Most women have some pain during
periods. The pain is often mild but, in
about 5 in 10 women, the pain is severe
enough to affect day-to-day activities.
The pain can be so severe that they are
unable to go to school or work.
Period pain generally falls into two
categories: primary dysmenorrhea
and secondary dysmenorrhea.
Primary dysmenorrhoea has no
specific cause yet is the most common
type of painful periods affecting 9 out of
10 women. It occurs where there is no
underlying problem of the womb
(uterus) or pelvis. The main symptom is
a cramping type of pain in the lower
tummy (abdomen); it may in some
cases spread to the lower back, or to
the top of the legs. Pains are generally
worst in the first few years after starting
your period, with symptoms tending to
improve with age or after childbirth.
Secondary dysmenorrhoea is less
common and is more likely to occur in
women in their 30s and 40s. It is caused
by a specific underlying condition such
as endometriosis (when cells that
normally line the uterus are found at
other sites in the body usually the
ovaries and fallopian tubes). Again, the
main symptom is cramping pain in the
lower tummy during your periods. In
some women with secondary
dysmenorrhoea the pain starts several
days before the period begins and lasts
all the way through the period. (This is
uncommon with primary
dysmenorrhoea).
With secondary dysmenorrhoea it is
likely to have other symptoms - for
example:
Irregular periods.
Bleeding between periods.
Pains between periods.
The bleeding becomes heavier than
previously.
Vaginal discharge.
Pain during sex.
Pain in your back passage (rectum).
Secondary dysmenorrhoea may occur
as a result of:
Endometriosis/adenomyosis.
Pelvic inflammatory disease.
Fibroids when it is often associated
with heavy menstrual bleeding.
Adhesions.
Developmental abnormalities.
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Consult your healthcare professional if
you are experiencing any of the above
symptoms.
7. 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.
In rehabilitation, EMS is a well-
established method for treatment of a
broad field of musculoskeletal
diagnoses as well as pelvic floor
weakness. Electrical stimulation of an
intact peripheral nervous system may
create motor responses in patients with
impaired or lost ability for voluntary
muscle activity.
EMS is a complement to other physical
therapy and should always be
combined with active training such as
Kegel exercises (see section 4.2.).
Advantages of EMS
Use of EMS may lead to faster progress
in the patient’s treatment programme.
The method is simple and appropriate
for treatment in the clinical setting as
well as for self-treatment at home.
How EMS Works
Electrical Muscle Stimulators can play a
vital role in educating women and men
about their pelvic floor and the
sensation they should feel when doing
pelvic floor exercises. Electrical Pelvic
Floor Exercisers (PFE) offer a non-
invasive method of producing
contraction of muscles via a gentle
stimulation to the pelvic floor through a
discreet probe or electrode pads when
they are placed close to the nerve that
controls the pelvic floor muscles. 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 you to develop
your own muscle control. These
contractions exercise the muscles and,
as with any kind of exercise if
performed regularly, build strength and
tone.
In urge incontinence, pelvic floor
exercisers work in a slightly different
way. The electrical stimulation is
designed to soothe your bladder
muscles rather than exercise your
pelvic floor. Alivia uses a gentler, low
frequency setting which promotes
release of endorphins and reduces
involuntary contractions of the bladder
(detrusor) muscle.
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 contrast, by means of a rapid
succession of contractions (fibrillation),
medium frequencies (20-50 Hz) can put
a high level of strain on the muscle, thus
promoting the muscular structure.
Each preset programme has a specific
frequency and pulse width that will offer
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the best results for the type of
incontinence treated.
8. 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.
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.
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
mechanoreceptors through ‘rubbing the
skin’.
Scientifically, the pain gate works by
release of chemical in the synapse at
spinal level that inhibits transmission of
pain signal.
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.
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 long-
term (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.
TENS may also be used to treat
many types of pain, such as period
pain and endometriosis (see Ova+),
cystitis, sports injuries, fibromyalgia
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and neuralgia, plantar fasciitis, post-
operative pain, TMJ disorder,
diabetic neuropathy, osteo-arthritis
and sometimes non-painful
conditions such as travel sickness.
You can use low frequency (<10 Hz)
programmes on acupuncture points,
to achieve similar effects to
acupuncture.
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.
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.
9. CONTRAINDICATIONS,
WARNINGS &
CAUTIONS
In this manual:
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.
A 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.
CONTRAINDICATIONS:
Do NOT use if you are or may be
pregnant. It is not known whether TENS
may affect foetal development.
Do NOT use with optional electrode
pads 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.
Do NOT use in the first 6 weeks
following a pelvic surgery or vaginal
childbirth. Stimulation may disrupt the
healing process.
Do NOT use if you have symptoms of
active urinary tract infection, vaginal
infections, or localized lesions.
Introducing the probe may irritate
sensitive tissue.
Do NOT use if you have poor sensation
in the pelvic region. You may not be
able to control the intensity of
stimulation safely.
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WARNINGS:
Do NOT use if you are unable to
properly insert the vaginal or anal
probe. If you have a severe prolapse, or
if any discomfort occurs when inserting
the probe, consult your healthcare
professional before use.
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.
Do NOT use to mask or relieve
undiagnosed pain. This may delay
diagnosis of a progressive condition.
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.
Do NOT use optional 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.
Do NOT use optional 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.
Do NOT use Alivia while
simultaneously connected to high
frequency surgical equipment as it may
result in burns at the site of stimulator
electrodes and possible damage to the
stimulator.
Do NOT use Alivia in close proximity
(e.g. 1 m) to a shortwave or microwave
as this may produce instability in the
stimulator output.
Do NOT use electrodes near the thorax
as this may increase the risk of cardiac
fibrillation.
CAUTIONS:
Caution should be used if you have a
bleeding disorder as stimulation may
increase blood flow to the stimulated
region.
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.
Caution Do not permit use by persons
unable to understand the instructions or
persons with cognitive disabilities, i.e.;
Alzheimer’s disease or dementia.
Caution: Insertion of the vaginal or anal
electrode makes it unsuitable for use in
children without clinical supervision
Caution: Keep away from children
under 5 years of age. Long cables - risk
of strangulation in infants.
Caution: Strong electromagnetic fields
(electro-surgery/ microwave cookers/
mobile phones) may affect the correct
operation of this unit. If it appears to
behave unusually, move it away from
these devices.
Caution should be observed when
using the Alivia at high strength
settings. Prolonged use at high settings
14
may cause muscle injury or tissue
inflammation.
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.
Caution Do not service and maintain
the device while in use.
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 The operator should not touch
the patient at the same time when
touching the battery output.
Caution Keep away from pets and
pests
Caution: should be observed when
using the Alivia at high strength
settings. Alivia 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.
Note: No serious or long-term
adverse effects have been
reported. Mild adverse
reactions are very rarely reported, but
these have included muscular pain and
cramps, vaginal tenderness, irritation
and bleeding, mild or short-term urge or
faecal incontinence, and tingling
sensation in legs. If you experience any
of these, stop use. When symptoms
have gone, try resuming at a lower
intensity setting.
PROBE CAUTIONS:
Caution: The Alivia vaginal probe is
intended for single patient use only. Do
not share your Alivia probe with
anyone else. Improper treatment or
cross-infection may occur.
Caution: It is important that the vaginal
probe is cleaned after each use.
Ineffective cleaning may lead to
irritation or infection.
Caution: Never insert or remove
vaginal probe unless the control unit is
powered OFF as insertion or removal
when stimulation is active may cause
discomfort or tissue irritation.
Caution: If tissue irritation occurs,
discontinue treatment immediately. Ask
your healthcare professional for advice
before continuing further treatment to
prevent injury.
Caution: Do not use a silicone based
lubricant on the metal plates of the
probe as it may decrease the
effectiveness of Alivia’s muscle
stimulation.
Caution: Do not use this device with
vaginal probe or anal probe other than
those recommended by the
manufacturer in section 18. Electrodes
with smaller surface area may cause
tissue irritation.
DO NOT PLACE OPTIONAL
ELECTRODE PADS:
On skin, which does not have normal
sensation. If the skin is numb too
15
great a strength may be used, which
could result in skin inflammation.
On broken skin. The electrode pads
could encourage infection.
ELECTRODE PADS CAUTION:
Caution: Do not ignore any allergic
reaction to the electrode pads: If a skin
irritation develops, stop using TENS, as
this type of electrodes may not
be suitable for you. Alternative
electrode pads specially made for
sensitive skin are available (see E-696-
SS).
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: Do not use high intensity
settings if electrodes are smaller than
50x50mm.
The electrode pads supplied are
reusable but for single patient use. The
adhesive is a peelable hydrogel (water
based).
TO KEEP YOUR DEVICE IN GOOD
WORKING ORDER, OBSERVE THE
FOLLOWING ADDITIONAL
CAUTIONS:
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+70°C, 0%-
-93% R.H. Temperature & Relative
Humidity of transportation: -25°C
+70°C, 0%--93% R.H.
Caution: There are no user serviceable
parts. Do not attempt to open or modify
the unit. This may affect the safe
operation of the unit and will invalidate
the warranty.
10. INFORMATION ABOUT
THE PROGRAMME
SETTINGS
Each programme has its own
combination of Frequency and Pulse
Width settings which allow for different
sensations through the probe or
optional electrode pads and help
treating the different types of
incontinence.
Frequency (measured in Hz -
pulses per second)
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
Endorphin release (programme PAIN
only): A low frequency of 4 or 10 Hz
allows for the release of endorphins, the
16
body’s natural morphine-like
substances.
Pulse Width (measured in μs -
millionths of a second)
The Alivia unit has pulse widths of 200
to 300 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 pelvic floor muscles.
11. PROGRAMMES
11.1. PROGRAMME SETTINGS
11.2. PRESET PROGRAMMES
The Alivia has five preset programmes.
One for each type of incontinence
(stress, urge and mixed), one for toning
the pelvic floor muscles (TONE), and
one for period pain (PAIN).
STRESS INCONTINENCE:
Shown on the screen as: STRES
The STRES incontinence programme
strengthens the muscles of the pelvic
floor using gentle stimulation. Once
these muscles are stronger they are
better able to resist urinary leakage
caused by external pressure being
applied to the bladder such as with a
cough, sneeze or physical exertion.
The stimulation causes the muscles to
contract and work. This builds their
strength. Like other fitness training,
successful treatment requires
stimulation once a day for one to three
months. Improvement starts becoming
apparent after about four weeks.
The sensation is like a strong drawing
in of the muscles of the vagina, pulling
up the pelvic floor. Your natural reaction
will be to pull your muscles in and up,
and this exercises and strengthens
them.
URGE INCONTINENCE:
Shown on the screen as: URGE
The URGE programme works in a
different way to the STRES
programme. The gentle continuous
stimulation soothes the bladder
(detrusor) muscle, reducing its
involuntary contractions. This prevents
the unwanted and unexpected
emptying of the bladder.
Successful treatment requires
stimulation once a day and
improvements can sometimes be seen
in as little as two weeks.
Prog
STRES
URGE
MIXED
TONE
PAIN
Freq.
(Hz)
50
10
10/50
35
110
Pulse
width
(μs)
300
200
200/30
0
250
100
Ramp Up
& Down
(s)
1
Constant
Con/1
2
Constant
Plateau
(s)
5
Con/5
3
Rest (s)
10
Con/
10
6
Default
duration
(min)
20
Conti-
nuous
20
20
Conti-
nuous
m
m
m
i
n
17
The sensation is a softer, vibrating,
stimulation. Nevertheless, when the
programme finishes, and your pelvic
floor relaxes, it will become apparent
how much your pelvic floor has been
exercised.
MIXED INCONTINENCE:
Shown on the screen as: MIXED
This programme is perfect if you are
suffering from both Stress and Urge
incontinence. It is a combination of the
STRES and URGE programmes.
The first 10 minutes uses the URGE
programme to reduce sensitivity, then
in the second 10 minutes, the STRES
programme exercises the pelvic floor
muscles. You may need to increase the
strength to feel the muscle contraction
when the STRES programme starts.
TONE:
Shown on the screen as: TONE
Once the pelvic floor muscles have
been strengthened with Alivia,
continue to exercise them.
Regular use of this programme, about
twice a week, will ensure that your
muscles remain fit and toned.
The TONE programme may also be
used as an alternative treatment for
stress incontinence.
The sensation when using the TONE
programme is a mixture of a strong
drawing in of the muscles and then
releasing.
A strong and fit pelvic floor may
increase sexual health and enjoyment.
PAIN:
Shown on the screen as: PAIN
The PAIN programme can be used to
alleviate period pain. It has a constant
output that produces a tingling
sensation, activating the Pain Gate. It is
the programme that is likely to result in
the greatest pain relief.
11.3. PAIN PROGRAMME
In order to obtain the best relief, the
pads need to be placed over the
dermatomes T10, T11 and T12, which
are the nerve roots that supply the
sensory fibres to the uterus. These
dermatomes wrap around the body, but
do not quite meet up at the front. They
run from around waist height at the
back down to the groin area at the front.
As each person’s body is different, the
Aliviais supplied with pads which are
large enough to be effective even if not
located exactly over all three
dermatomes. When the pads are
placed correctly the Alivia will work
very well.
Therefore, if after thirty minutes
considerable relief has not been
achieved, either move the pads slightly
or try one of the other pad positioning
areas.
There are THREE positions where the
pads can be placed for maximum
benefit. It is recommended that the
positions are tried in the following order
until maximum relief is obtained:
On the lower back
On the front, in a vertical format
On the front, in a diagonal format
Please refer to the diagrams below:
On the lower back:
m
A
18
Place the pads
vertically either
side of the spine,
approximately
10cms (4 inches)
apart, with the
bottom of the
electrodes no
higher than the
top of your
buttocks. The
“pigtails” should hang down from the
pads.
On the front, in a vertical format:
In the vicinity of
your groin, place
the pads
vertically, about
10cms (4 inches)
apart. The
“pigtails” should
be uppermost.
On the front, in a diagonal format:
In the vicinity of
your groin, place
the pads in a V-
shape, narrowing
to about 10cms (4
inches) apart at the
lower end of the
pads. The “pigtails”
should be
uppermost.
The strength should be comfortable,
but always remain noticeable. You may
need to increase it over the course of
the treatment. There is no need to have
a contraction.
Caution: The self-adhesive
pads supplied are intended for
multi-use by one person only.
Do not lend used pads to others, nor
use someone else’s used pads
yourself.
12. CONTENT
The pack contains:
1 x Alivia continence stimulator unit
1 x Lead wire (L-CPT)
1 x Liberty Loop vaginal probe with
detachable pointer (X-VPL)
2 x 50x90mm electrode pads (E-
CM5090)
2 x AA 1.5V alkaline batteries
1 x Detachable belt clip
1 x Storage pouch
1 x Manual instruction
19
13. UNIT INFORMATION
13.1. CONTROLS & DISPLAY
1
Low Battery
7
Programme Control
2
Programme Duration
8
Strength Increase
3
Programme Selected
9
Power Button
4
Keypad Lock Indicator
10
Treatment Timer
5
Strength Selected (mA)
11
Strength Decrease
6
Memory Button
12
Keypad Lock Button
3
4
7
9
1
2
6
5
8
10
11
12
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TensCare ALIVIA Manuel utilisateur

Catégorie
Mesure, test
Taper
Manuel utilisateur