For very severe back pain, the DENAS PCM should be set to 77 Hz or 140 Hz for 5–30 minutes, 1–2 times per session, depending on the intensity of the pain. The course duration should continue until recovery.

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Summary of Contents for DENAS PCM

Page 1 TRONITEK LLC, Ekaterinburg, Russia Multipurpose Transcutaneous Electrical Stimulator DENAS ® Operating Manual Russia EU, all 04.4 03.71 T 9444 009 44148620 2009 Registration Certi cate for medical device of the Federal Agency for Supervision of Health Care Service Canada 2009/06316.
Page 2: Table Of Contents
CONTENTS Part I. Technical Passport Part II. Application instructions 1 Safety Rules 1 Conducting treatment procedures ........................2 Purpose ....................Annex . Accessories ..............3 Technical Parameters .............. Annex B. 4 Package Contents ............... Zone Atlas for Using Programs Menu 5 Elements of the device ......
Page 3 PART I Technical passport...
Page 4 Thank you for buying DENAS-PCM device! For e cient and safe use of the device, it is necessary to read all the chapters of this Operating Manual.
Page 5: Safety Rules
1 SAFETY RULES The information contained in this Operating Manual is important for your safety and correct use and maintenance of the device. The device is safe in service as it uses low voltage current source isolated from the applied part (B type item with F type applied part). It is not allowed to use the device for treatment of patients with implanted electronic devices (such as a heart pacemaker) or patients with idiosyncrasy of electric current.
Page 6 It is not advisable to connect the patient to any other high frequency electrical devices during the stimulation. Simultaneous application of the device with another electrical equipment may lead to burns or possible damage of the device. If the device is used near short wave or microwave equipment, it may result in instability of the device output parameters.
Page 7 The device contains fragile elements. Keep it from blows. Keep the device away from continuous direct sunlight at high ambient temperature (above 25 °C). Keep the device away from heating appliances. The device is not waterproof. Keep it away from humidity. Specialists quali ed by the manufacturer only should perform any repair works of the devices.
Page 8 Transport Conditions: temperature of 50° below zero to 50° above zero, 50 ° and atmospheric pressure of 70 to 106 kPa (525-to795 mm Hg). -50 ° Storage Conditions: temperature of 50° below zero to 40° above zero, and 40 ° atmospheric pressure of 70 to 106 kPa (525-to795 mm Hg).
Page 9 Relative air humidity of 30 to 93 %. 93 % 30 % Waste Disposal: packaging materials do not have adverse impact on the environment; they could be recycled. The device and batteries should be disposed of according to the established disposal rules for electronic devices.
Page 10: Purpose
The device has in-built electrode and a connector for external therapeutic electrodes*. DENAS-PCM device can be used at healthcare centers and at home according to doctor’s instructions. The device should only be connected to external electrodes produced by the manufacturer (see Annex ).
Page 11: Technical Parameters
3 TECHNICAL PARAMETERS 3.1 Electrical impulses of the device have the following output parameters: 3.1.1 When load = 20 kOhm Minimum* Maximum** Capacity (in standard units) Amplitude of phase 1, B ≤ 40 ≤ 40 Duration of phase 1, ms 6,0 ±...
Page 12 3.1.2 Relation of the impulse shape to load resistance with medium and maximal capacity level. 10 units 99 units 2 kOhm...
Page 13 20 kOhm R1 82±5% kOhm R2 2±5% kOhm 1 3300±20% pF...
Page 14 R1 56±5% kOhm R2 470±5% kOhm 1 6200±20% pF 3.2 The device allows setting the following impulse frequencies, Hz: 3.2.1 Range 1: 1.0 to 9.9 with pitch of 0.1±0.05. 3.2.2 Range 2: — 10±1, including MED (preventive treatment) and Screening modes and Programs Menu;...
Page 15 — 20±2; — 60±2; — 77±3; — 77±3 and 10±2 modulated with frequency of 2±0.1 (frequency «7710»); — 77±3 with amplitude modulation (frequency «77 »); — 77±3 (2,0±1,0 s) 20±2 (3,0±1,5 s) (frequency «7720»); — 125±4; — 140±5; — 200±5. 3.3 Special stimulation programs.
Page 16 Zone 1: Impuls packets with repetition frequency of 77 Hz and variable duration and carrier frequency: from 2.5 msec INTENSE PAIN over 7 years and 27 Hz at minimum power level up to 1.0 msec and 2.8 Hz at maximum power level (15 min) BLOATING Zone 1: «7710»...
Page 17 Zone 1: 60 Hz (10 min) THROAT over 4 years Zone 2: 77 Hz (10 min) Zone 1: 125 Hz (10 min) DIARRHEA any age Zone 2: 20 Hz (5 min) ABDOMINAL PAIN Zone 1: «7710» (5 min) + 3,8 Hz (5 min) + 5,9 Hz (5 min) over 4 years Zone 1: 125 Hz (10 min) CONSTIPATION...
Page 18 Zone 1: 2,6 Hz (5 min) + 4,0 Hz (5 min) + 9,4 Hz (5 min) over 13 POTENCY Zone 2: «7710» (15 min) years Zone 3: 10 Hz (5 min) + 20 Hz (5 min) Zone 1: 77 Hz (10 min) + 20 Hz (10 min) KIDNEYS over 7 years Zone 2: 2,8 Hz (5 min) + 8,1 Hz (5 min) + «7710»...
Page 19 3.4 Maximum consumption current (with supply voltage of 3 V) is not more than 300 mA. 3.5 Power supply source: batteries of LR6/ type, 2 pieces with voltage of 1.5 V. It is allowed to use the relevant storage batteries with voltage of 1.2 V*. 3.6 The device weighs not more than 0.35 kg.
Page 20 3.9 Electromagnetic Radiation Test Conformity to IEC 60601-1-2 Conditions of Use DENAS-PCM Electrical Stimulator can be used in all Class B Radio- types of institutions and at home as well frequency DENAS-PCM emits very little radio-frequency radiation Group 1 radiation that cannot lead to failure of electronic...
Page 21 3.11 Resistance to electromagnetic elds. Magnetic Conformity Test level Conditions of Use elds level Electrostatic The oor should be made of wood, concrete or discharge ±6 kV contact; ±4 kV contact; ceramic tiles. If the oor is covered with synthetic (ESD) IEC ±8 kV air ±8 kV air...
Page 22 3.12 Recommendations for determining the necessary distance between DENAS-PCM Electrical Stimulator and radio equipment. Radiation frequency and formula to determine the distance d (m) Label maximum output capacity of the transmitter P (W) 150 kHz – 80 Hz 150 kHz – 800 Hz 800 Hz –...
Page 23 3.13.2 DENAS-PCM device uses electromagnetic power for its internal functions only; therefore, the device emits minimum radiation and does not a ect the electronic equipment located nearby.
Page 24: Package Contents
4 PACKAGE CONTENTS Description Quantity DENAS-PCM Electrical Stimulator Operating Manual (RU) Operating Manual (EN)* Consumer packaging Battery of LR6/AA type Promo CD* Supplied under a separate request...
Page 25: Elements Of The Device
5 ELEMENTS OF THE DEVICE 1. Body. 2. Display — LCD indicator. 3. Keyboard. 4. Select Menu Key 5. Previous Menu Key 6. Reset Key 7. Navigation keys 8. On/O Key Figure 1 — DENAS-PCM device (top view)
Page 26 1. Connector for external electrodes (closed with protective cap). 2. Battery case lid. 3. In-built electrode. Figure 2 — DENAS-PCM device (bottom view)
Page 27 The device can be connected to external therapeutic electrodes of manufacturer’s model range (see Annex ). Attention! External therapeutic electrodes can only be used for Frequency and Programs modes. In order to improve the contact you can moisture skin with water or with Malavtilin cream or with Baby-DENS cream for children before applying the electrodes.
Page 28 5.1 Indicator view in di erent modes. 5.1.1 Symbols and Main Menu items. Sound On icon Programs Menu Children’s Doctor Function icon Frequency Menu Alarm icon MED Mode Screening Mode Battery charge state indicator Children’s Doctor Function Settings Menu...
Page 29 5.1.2 Timer setting. Timer icon Menu name Duration of the timer...
Page 30 5.1.3 Clock and Alarm Clock Settings. Manu name Current time or Alarm time Cursor...
Page 31 5.1.4 Stimulation Mode Program or Mode name Duration of stimulation Stimulation zone Stimulation intensity level Intensity level icon Number of zone (if available)
Page 32 5.1.5 Intensity level settings Contact Availability indicator Program or Mode name Stimulation intensity level Graphic indicator of Stimulation intensity level...
Page 33 5.1.6 MED and Screening Modes Program or Mode name Duration of stimulation Intensity level icon Intensity level icon Duration of the 1st stage of Screening Mode...
Page 34: Sequences Using The Device
6 SEQUENCES USING THE DEVICE 6.1 Switching on. Press key . After playing the sound signal and startup screen the device shows: —Main Menu if Last Settings Recording Function is disabled; — the last mode that was active when the device has been switched o if Last Settings Recording Function is enabled.
Page 35 6.4 Switching o . Press key holding it down for 3 seconds. «Good Health» message will appear on the display and the device will switch o after the sound signal.
Page 36: Using Menu
7 USING MENU 7.1 Menu Structure. Allergy Dystonia Hypotonia Abd. pain Cold Joints Pain Gyn. pain Head Constipation Potency Nausea Programs Int. pain Gynecology Throat Cough Kidneys Trauma Bloating Hypertension Diarrhea Muscles Back Asphyxia Frequency 1,0–9,9 Hz 10 Hz 20 Hz 60 Hz 77 Hz 125 Hz...
Page 37 7.2 Selecting Menu items. Programs Menu Use navigation keys to select Programs in the Menu and con rm your choice by pressing Choose the necessary program by using keys in the opened section.
Page 38 The device will show the chosen mode. On the display will appear 1.1.1 recommended zone for application. The device will show the chosen mode, for safety reasons electric stimulation will be at the minimum intensity level. Set the necessary intensity with 1.1.2 keys.
Page 39 Frequency Menu Select Frequency in Main Menu by using navigation keys and con rm your choice by pressing Choose the necessary frequency by using keys in the opened section. Make your choice and press...
Page 40 If you choose infralow frequencies (1.0 – 9.9 Hz) the device will show the settings menu of infralow frequencies. Set the necessary frequency with 2.1.1 navigation keys (set the integral value rst, then the decimal value) and press in order to con rm the selected frequency (see item 1.1.1). The device will show the chosen mode.
Page 41 Minimum E ective Dose (MED) Select MED mode in Main Menu by using navigation keys con rm your choice by pressing The device will show MED mode. Set the necessary intensity with keys. Detailed description of the device operation in MED mode is given in the Operating Manual, Part II.
Page 42 Screening Diagnostic Mode Select Screening mode in the Main Menu by using navigation keys and con rm your choice by pressing The device will show Screening mode, electric stimulation will be at xed intensity level. It is not possible to change the intensity in Screening mode.
Page 43 If you make measuring for the second time, the previous value will appear in the lower right corner. Detailed description of the device operation in Screening mode is given in the Operating Manual, Part II. Application Instructions.
Page 44 Children’s Doctor Function Select Children’s Doctor section in Main Menu by using navigation keys and con rm your choice by pressing The device has a function of limiting the intensity for sessions with the children. Set the child’s age by using keys and con rm your choice by pressing .
Page 45 Sound Menu (Sound settings) Select Settings section in Main Menu or Stimulation Window by using navigation keys and con rm your choice by pressing The number of items in SETTINGS menu depends on the current status of the device. Select Sound in Settings Menu by using keys and con rm your choice by pressing...
Page 46 The device will show Sound Settings Menu: general device sound, skin contact sound, key pressing sound. Select one of the changeable parameters 6.1.1 by using keys and con rm your choice by pressing The device has three volume levels for adjusting the general device sound: mute, minimal and maximal levels indicated as 0, 1 and 2 correspondently.
Page 47 The contact of electrodes with the skin can be con rmed with a sound signal under the relevant settings. Enable or disable this function by using 6.1.2.1 keys and con rm your choice by pressing . If you press instead of key or if you power o the device, Sound settings will return to earlier saved settings.
Page 48 Brightness Menu (Display Brightness adjustment) Select Settings section in Main Menu by using navigation keys and con rm your choice by pressing Select Brightness in Settings Menu by using keys and con rm your choice by pressing...
Page 49 The device has brightness adjustment option within the range of 5 to 100 with a pitch of 5. Select the comfortable brightness level using keys. And con rm your choice by pressing . If you press instead of key or if you power o the device, Brightness settings will 6.2.1 return to earlier saved settings.
Page 50 Economy Menu (Economical use of batteries) Select Settings section in Main Menu by using navigation keys and con rm your choice by pressing Select Economy in Settings Menu by using keys and con rm your choice by pressing...
Page 51 The device will show Economy mode, which allows selecting Economical Use of Batteries function: activating lower energy consumption mode by reducing backlit duration (notwithstanding the set brightness level). Enable 6.3.1 or disable this function by using keys and con rm your choice by pressing .
Page 52 Select Last Settings Recording in Settings Menu by using keys and con rm your choice by pressing The device will show Last Settings Back-up Menu. In this section, you can change status of the Last Settings Recording Function. If this function is enabled the device will switch on in the same treatment mode that was active when the device has last been switched o .
Page 53 Clock Menu (time adjustment) Select Settings section in Main Menu by using navigation keys and con rm your choice by pressing Select Clock in Settings Menu by using keys and con rm your choice by pressing...
Page 54 When setting the time you can set the current time, in order to do that set the cursor on the changed area by using keys, change the 6.5.1 values in correspondence with their true values by using keys and con rm your choice by pressing .
Page 55 Select Alarm Clock in Settings Menu by using keys and con rm your choice by pressing The device will show Alarm Clock Menu where you can set the periodicity of alarm clock signal and alarm clock time. Select one of the changeable 6.6.1 items in the Menu by using keys and con rm your choice by...
Page 56 In order to set the periodicity of the alarm clock, use keys to select one of operation modes: disabled, one time or every day. Press to save the selected mode. If you press key instead of key or if you power 6.6.1.1 o the device the current alarm clock settings will not change.
Page 57 Language Menu Select Settings section in Main Menu by using navigation keys and con rm your choice by pressing keys to select Language item in Settings Menu and con rm your choice by pressing key.
Page 58 The user interface of the device is available in ve languages: Russian, English, German, Italian, and French. Use keys to select the 6.7.1 necessary language in Language Menu and con rm your choice by pressing key or instead of key. If you press key or you turn o the power, the language setting will return to the previously saved one.
Page 59 keys to select the Colour item in Settings Menu and con rm your choice by pressing The user interface of the device is available in four colour themes: Turquoise, Winter, Bronze, and Night. Use keys to select the necessary colour 6.8.1 theme in Colour Menu and con rm your choice by pressing key.
Page 60 Contact Menu (Therapy without Contact Control Function is available for Programs and Fre- quency modes only except for Muscles Program) Contact Menu allows operating Therapy without Contact Control Function, which makes it possible to generate electrical impulses notwithstanding the quality of contact or whether the electrodes contact the skin. When Therapy without Contact Control Function is enabled, the device does not produce any signal if electrodes stop contacting the skin.
Page 61 The device will show Contact Menu . Enable or disable this function by using keys and con rm your choice by pressing key. If you press key instead of key in order to close Therapy without Contact Control Function its settings will not change. Contact status indication: indication is on without interruption –...
Page 62 Timer Menu Timer Function is necessary when it is not possible to control the time of stimulation (in case of electrical stimulation of hard-to-reach zones) or when the time of stimulation is strictly speci ed. When this function is enabled the stimulation time will be counted in the form of a countdown timer.
Page 63 The device will show Timer Menu. Use keys to set the desired timer value from 1 to 30 minutes (with pith of 1 minute) and con rm your choice by pressing . If you press key instead of key in order to close the timer its settings will not change.
Page 64: Maintenance
8 MAINTENANCE 8.1 Daily maintenance includes the following operations: — visual inspection of the device; — disinfection of electrodes. Use standard disinfection means (such as 3% penozone) and soft napless diapers for cleansing of electrodes. 8.2 Operability of the device is checked according to recommendations stipulated in Section 6. 8.3 If you are supposedly not going to use the device for a long time, remove the set of batteries from the battery case (see Section 9).
Page 65 Attention! If the batteries are removed from the device for more than 5 minutes, User’s individual settings and any set reminders will clear o and information about current time will be lost as well.
Page 66: Battery Replacement Procedure
9 BATTERY REPLACEMENT PROCEDURE Replacement of the set* of batteries: — open the battery case (1) and remove the batteries; — place new batteries** respecting the polarities (2); — close the battery case (3). The set consists of two batteries. Place only those batteries, which are designed for this type of the device: LR6/AA type with nominal voltage of 1.5 V or relevant storage batteries with nominal voltage of 1.2 V.
Page 67: Troubleshooting
10 TROUBLESHOOTING Defect Probable reason Remedy Place a new set of batteries (see Section 9, Batteries are missing 1) The device does not Battery Replacement Procedure) switch on after pressing the key Voltage of the set of batteries Replace the set of batteries (see Section 9, is less than 2.1 V Battery Replacement Procedure) Voltage of the set of batteries...
Page 68 Open Programs or Frequency Menu and No electric stimulation mode select the necessary electrical stimulation has been selected. mode. 3) The device does not provide electrical stimulation when in- The contact area of the in- Press the electrode tightly to the skin. build electrode contact build electrode with the skin Slightly moisten the skin if necessary.
Page 69 Open Programs or Frequency Menu No electrical stimulation and select the necessary electrical mode has been selected. stimulation mode. 5) The device does not provide The contact area of the Press the external electrode tightly electrical stimulation when external electrode with the to the skin.
Page 70 8) The device switches o or battery symbol ashes and the device Voltage of the set of batteries Replace the set of batteries (see Section 9, produces intermittent is less than 2.1 V. Battery Replacement Procedure). alarm sound during the operation.
Page 71 Use high-quality batteries (it is recommended to use alkaline batteries) Low-quality batteries. or storage batteries of relevant typical size with voltage not less than 1.5 V. 11) Fast consumption of batteries. Maximal backlit brightness Reduce backlit brightness. Go to Settings →...
Page 72: Manufacturer Warranty
11 MANUFACTURER WARRANTY 11.1 The manufacturer guarantees that the device complies with Technical Regulation T 9444-009-44148620-2009 on condition that it is used subject to operation, transportation and storage requirements. 11.2 Product service life is 5 years. The product service life for the designated purpose can exceed the period stipulated by the manufacturer considerably if consumer follows all the stipulated operation, transportation and storage requirements.
Page 73 emerge after the product has been delivered to consumer and relate to: 1) violation of operation, transportation and storage requirements stipulated hereto by consumer; 2) mechanical damages; 3) actions of third parties; 4) force-majeure circumstances. 11.5 Product warranty is not valid for the products which sealing marks have been broken.
Page 74 Manufacturer: TRONITEK LLC Academika Postovskogo Str. 15, Ekaterinburg, Russia, 620146...
Page 75 PART II Application Instructions...
Page 76: Conducting Treatment Procedures
1 CONDUCTING TREATMENT PROCEDURES 1.1 General Information. Stimulation of re exogenic zones and points with impulse current for prevention, treatment and recovery of body functions is an e cient method of health improvement. Transcutaneous dynamic electrical nerve stimulation, which can be applied both together with other treatment methods and as a separate health improvement method, promotes positive dynamics of treating many acute and chronic diseases.
Page 77 advisability of dynamic electrical nerve stimulation as an e ective component of combination treatment and rehabilitation programs in pediatrics. 1.2 Indications and contraindications for application. The device can be used by patients of any age starting the newly born children. Subject to treatment purposes, the device can be used for analgesic, spasmolytic, vascular, anti- in ammatory, trophic, and general tonic e ects.
Page 78 pathogen factors, intensive physical and mental stress, physical and mental exhaustion, and chronic fatigue syndrome; when it is hard for the patient to wake up in the morning and he / she feels drowsiness during the day, or he / she has disorder of falling asleep at night or insomnia;...
Page 79 oncological disease, electrical stimulation can be used as palliative (supporting) method for lessening pain syndrome, should be used on doctor’s orders; — acute fever of unknown etiology; — venous thrombosis; — acute psychological stress or alcoholic or drug intoxication. Attention! It is prohibited to apply the device in direct projection of the heart in the front.
Page 80 Attention! Disinfect electrode of the device with standard disinfection solution (such as 3 % penozone) after session. Make sure that the electrode of the device is dry when storing. 1.4 Treatment with the Device. 1.4.1 Treatment Methods. Treatment is performed with stimulation of re exogenic zones of di erent areas and biologically active points with the in-built electrode of the device or the relevant external therapeutic electrodes There are three methods of stimulation: stable, instable and stable / instable.
Page 81 1.4.1.2 Instable Method. With this method, electrodes are moved around the zone selected for stimulation. Make smooth movements sliding the body surface with speed of 0.5 to 2–3 cm per second. Make straight, round or other movements applying slight compression depending on the size and relief of the stimulated zone.
Page 82 Average duration of one session according to patient’s age: — for children under 1 year old — 5–10 minutes (1–3 minutes per one zone); — for 1–3 years old children — 10–15 minutes (3–5 minutes per one zone); — for 3–5 years old children — 15–20 minutes (5–7 minutes per one zone); —...
Page 83 giddiness should also start treatment setting the minimal intensity level. The device has special Children’s Doctor Function for the above-mentioned categories of patients which provides minimal intensity level: 1 to 5 units. 1.4.3.2 Comfort level — sensations are above the sensitivity threshold. There is painless vibration, prickly sensation or light burning sensation under the electrodes.
Page 84 Attention! Patients su ering from arterial hypertension, arterial hypotension, vegetal dystonia syndrome, frequent headaches or giddiness should have treatment at minimal intensity level. 1.4.4 Stimulation Modes. The device menu contains the following programs designed for treatment: Programs, Frequency, MED, and Screening.
Page 85 1.4.4.1 Programs. Sequences Using the Menu keys to select Programs in Main Menu and press Select the necessary program by using keys and press...
Page 86 Apply the electrodes on the necessary zone. Set the necessary stimulation intensity by using keys and start treatment. Detailed description of using Programs is given in Annex A. Attention! Timer Function is not available in Programs.
Page 87 Programs Menu. + — The programme is available in the menu for this age. — The programme is absent in the menu for this age. < 1 7-12 Program Name Stimulation Zone adult years years years years Upper abdomen ALLERGY 7th cervical vertebra area PAIN Painful area...
Page 88 HYPOTONIA Neck and collar area 2nd cervical vertebra area HEAD Neck and collar area Hands, head area according to Su Jok Hands, head area according to Su Jok THROAT Submaxillary area GYNECOLOGICAL Painful abdominal area PAIN Soles GYNECOLOGY Neck and collar area Lumbosacral area Anterior abdominal wall DIARRHEA...
Page 89 Anterior abdominal wall CONSTIPATION Lumbosacral area Submaxillary area COUGH Suprasternal notch MUSCLES Injured or painful area Hands, nose area according to Su Jok COLD Nose alae and sinuses projections Lumbosacral area POTENCY Neck and collar area Soles area Lumbosacral area KIDNEYS Soles area...
Page 90 BACK Spine projection, painful area Painful joint JOINTS Segmental area Upper abdomen, right and left NAUSEA hypochondriums TRAUMA Injured part of the body Suprasternal notch ASPHYXIA 7th cervical vertebra area...
Page 91 1.4.4.2 Frequency Sequences Using the Menu keys to select Frequency in Main Menu and press Select the necessary program by using keys and press...
Page 92 The device is ready for treatment session. Apply the electrodes on the stimulation zone. Select the necessary stimulation intensity level by using keys and start treatment. Detailed information relating to selection of zones, intensity and time of stimulation is given in Annex B of this Instructions.
Page 93 Administration of Treatment Modes Mode, Intended Use Frequency, Hz. Frequency range of 1.0–4.0 Hz is used for direct stimulation of lymphoid, bone and connective tissues. Frequency range of 4.0 up to 7.0 Hz is used for direct stimulation of autonomic 1,0…9,9 nervous system.
Page 94 Frequencies of 60 Hz and 77 Hz are universal and can be widely used for correction of internal organs disorders when there are expressed local complaints. They can 60 and 77 be recommended for pain relief, improvement of local and regional blood ow, treatment of in ammations, etc.
Page 95 1.4.4.3 MED Minimal E ective Dose (MED) is an automatic program which can be used for rehabilitation and prevention when there is physical stress, psychic and emotional overstrain, chronic fatigue syndrome or internal organs diseases, or for prevention of cold-related diseases in epidemic season. It is used minimum once a day for a course of 8–12 days.
Page 96 Place the electrodes on Qigong area and set the stimulation intensity by using keys. It is recommended to set minimal or comfort intensity level. Attention! Stimulation when using MED Program should be performed with in-build electrode only. Attention! When the device is operated in MED mode, electrode should be kept stable on the patient’s skin i.e.
Page 97 1.4.4.4 Screening Screening Mode allows choosing optimal stimulation zones in order to enhance systemic impact of DENS and to de ne latent trigger zones (obscure problem zones) by comparing how electrical parameters of skin change subject to stimulation of di erent parts of the selected zone.
Page 98 The device is ready for operation. For getting started, apply the electrodes on the skin. The device will start operating when the electrodes contact the skin. The device automatically sets frequency (10 Hz) and stimulation intensity. At the end of screening (after 5 seconds) the device will show the measured value on the display ( LT).
Page 99 Attention! When the device is operated in Screening mode, electrode should be kept stable on the patient’s skin i.e. it is not allowed to move the electrode of the device during its operation. When the device detects that electrodes contact the skin, 5 seconds indication will appear during which the device measures variation of skin electrical impedance to impulses of the device.
Page 101 ANNEX А Accessories...
Page 102 External zonal therapeutic electrodes. Designed for therapeutic non-invasive treatment of pains, lesion focuses, and stimulation of re exogenic zones (where skin is not damaged).
Page 103 DENAS-Re exo, external therapeutic electrode for feet. Designed for stimulation of re exogenic zones of plantar surface of the foot.
Page 104 External therapeutic massage electrodes. Designed for treatment of pains, lesion focuses, and stimulation of re exogenic zones and acupuncture points of the body.
Page 105 DENAS-Glasses, external therapeutic paraorbital electrode. Designed for preventive and therapeutic non-invasive stimulation of biologically active points located around eyes in paraorbital area.
Page 106 External therapeutic point electrode. Designed for stimulation of biologically active points.
Page 107: Annex B Zone Atlas For Using Programs Menu
ANNEX B Zone Atlas for Using Programs Menu...
Page 108 Rules of using the Atlas Attention! This Manual contains zones and modes of the common illnesses and diseases. You can nd additional information about treatment and prevention capacities of dynamic electrical nerve stimulation devices in Practical Guidance for Electrical Nerve Stimulation. Select a disease or a symptom from the alphabetical list.
Page 109 For treatment by using Programs mode, apply the device on one of the zones indicated in the Atlas (there can be several stimulation zones depending on disease). Set the stimulation intensity, treatment session will start. If the program includes stimulation of the second zone, the device will produce a sound signal after the necessary time and show the corresponding message on the display.
Page 110 Conventional Symbols 1. Zone of stimulation with the in-built electrode 2. Area for applying external zonal electrode 3. Zone of stimulation 4. Treatment method (see item 4.1 on page 13) Instable Stable/Instable Stable Stable with applicator electrode 5. Stimulation intensity level / Patient’s sensations (see item 4.3 on page 16) Minimal / No sensations Comfort / Pleasant prickly sensation...
Page 111: Alphabetical Index Of Programs
Alphabetical Index of Programs Abdominal pain Diarrhea Joints ....................................Allergy Dystonia Kidneys ..........................................Asphyxia Gynecological pain Muscles ................................Back Gynecology Nausea ..........................................Bloating Head Pain ..............................................Cold Hypertension Potency ..........................
Page 112: Alphabetical List Of Diseases
Alphabetical List of Diseases Abdominal pain 125, 153 Bloating 119, 152 Diarrhea ..........................Acute respiratory Bone fructure (pain) Diskogenic ....diseases 125, 143 Bronchial asthma radiculopathy 117, 134 ..................... Algodismenorrhea (Gyne- Bronchitis 129, 145 Dystonia ......................
Page 113 Alphabetical List of Diseases Giddiness Lactation insu ciency Menstrual disorder ..................Glaucoma (hypogalactia) Myocardiodystrophy ....................... Headache 124, 193 Lactational mastitis Nasal stu ness 131, 143 ................Headache, Logoneurosis, Nausea ................vasoneurosis 118, 187 stammering Neck pain ......
Page 114 Alphabetical List of Diseases Plugged duct Short sight Trauma ..................................Prostatitis 132, 179 Sore throat Trifacial neuralgia ..........................Pyelonephritis Stammering Varicose veins, chronic ....................Refringence disorder Stress 118, 193 venous insu ciency ................Rhinitis, cold Tension of ligaments syndrome ...........
Page 115 ALLERGY Program Zone 1. Upper abdomen, right and left Zone 2. 7th cervical vertebra area hypochondricums...
Page 116 PAIN Program Zone: Painful area. The most painful area should be stimulated with in-built or external electrodes...
Page 117 INTENSE PAIN Program Zone: Painful area. The most painful area should be stimulated with in-built or external electrodes – intense pain – dull nagging ache...
Page 118 DYSTONIA Program (vegetative dystonia) Zone: neck and collar area...
Page 119 BLOATING Program Zone: Anterior abdominal wall. Apply clockwise...
Page 120 GYNECOLOGICAL PAIN Program Zone: Lower abdomen Attention! Gynec. Pain Program is not available if Children’s Doctor Function is enabled.
Page 121 GYNECOLOGY Program Zone 1. Feet Zone 2. Neck and collar area Zone 3. Lumbosacral area Attention! The program is not available if Children’s Doctor Function is enabled.
Page 122 HYPERTENSION Program Zone 1. 2nd cervical vertebra area Zone 2. 7th cervical vertebra area...
Page 123 HYPOTONIA Program Zone: neck and collar area...
Page 124 HEAD Program Zone 1. 2nd cervical Zone 2. Neck and collar Zone 3. Head project according vertebra area area to Su Jok...
Page 125 THROAT Program Zone 1. Hands, neck area according to Su Jok Zone 2. Submaxillary area...
Page 126 DIARRHEA Program Zone 1. Anterior abdominal wall. Zone 2. Lumbosacral area Apply counter-clockwise...
Page 127 ABDOMINAL PAIN Program (stomachache) Zone: Painful area. Apply clockwise.
Page 128 CONSTIPATION Program Zone 1. Anterior abdominal wall. Zone 2. Lumbosacral area Apply clockwise...
Page 129 COUGH Program Zone 1. Submaxillary area Zone 2. Suprasternal notch...
Page 130 MUSCLES Program Zone: Painful and injured areas. The most painful area should be stimulated with in- built or external electrodes...
Page 131 COLD Program Zone 1. Hands, face and nose areas Zone 2. Nose alae and sinuses according to Su Jok projection...
Page 132 POTENCY Program Zone 1. Lumbosacral area Zone 2. Neck and collar area Zone 3. Feet Attention! The program is not available if Children’s Doctor Function is enabled.
Page 133 KIDNEYS Program Zone 1. Lumbosacral area Zone 2. Feet...
Page 134 BACK Program Neck pain — cervical spine: in case Backache — thoracic spine, lumbar of intense pain, dull nagging pain spine, sacral spine — intense pain — intense pain — dull nagging ache — dull nagging ache...
Page 135 JOINTS Program Zone 1. Painful joint Zone 2. Lower back – if leg and feet joints are painful; neck and collar area – if arm and hand joints are painful...
Page 136 NAUSEA Program Zone: Upper abdomen, right and left hypochondriums...
Page 137 TRAUMA Program Zone: Apply around the injured part...
Page 138 ASPHYXIA Program Zone 1. Suprasternal notch Zone 2. 7th cervical vertebra area...
Page 139: Zone Atlas For Using Frequency Menu
ANNEX С Zone Atlas for Using Frequency Menu...
Page 140 Attention! The treatment methods described in the Atlas are given for reference only and they cannot substitute a consultation with a medical specialist. Attention! Due to prede ned parameters the Programs can be used for adults and children above 12 years old.
Page 141 1. Main zones are designated for obligatory stimulation. Additional zones are stimulated in order to enhance the impact of treatment. 2. Consequence of zones stimulation 3. Mode selection in the device menu 77 Hz or other modes 4. Treatment method (see item 1.4.1, pages 82-83) Stable/Instable Instable...
Page 142 Acute respiratory diseases, ENT diseases, maxillary sinusitis 1. Nose and maxillary 2. Submaxillary area 3. Neck and collar area sinuses area 77 Hz 77 Hz 77 Hz 5–15 4–5 5–15 4–5 10–15 1–2 min. min. min.
Page 143 Acute respiratory diseases, ENT diseases, maxillary sinusitis 1. Area according to Su Jok 2. Qigong area 3,6 Hz 77 Hz 1–2 5–10 1–2 min. min. Note. Course duration — until full recovery...
Page 144 Tracheitis, bronchitis, pneumonia 1. Suprasternal notch 2. Lungs front projection 3. Lungs back projection 77 Hz 77 Hz 77 Hz 5–10 4–5 5–15 4–5 5–15 1–2 min. min. min.
Page 145 Tracheitis, bronchitis, pneumonia 1. Area according to Su Jok 2. Area between the shoulder blades 77 Hz 10 Hz 1–2 5–10 1–2 min. min. Note. Course duration — until full recovery...
Page 146 ronchial asthma 1. Suprasternal notch 2. Lungs front projection 3. Lungs back projection 77 Hz 77 Hz 77 Hz 5–10 5–10 5–10 min. min. min. In case of asthma attack In case of asthma attack In case of asthma attack...
Page 147 ronchial asthma 1. Area according to Su Jok 2. Area between the shoulder blades 10 Hz 77 Hz 5–10 min. min. In case of asthma attack In case of asthma attack Note. If one session is not enough repeat the session. Continue stimulation until the attack stops.
Page 148 Laryngitis, pharyngitis, tonsillitis, angina (sore throat, hoarse voice) 1. Suprasternal notch 2. Tongue 3. Submaxillary area 77 Hz 77 Hz 77 Hz 5–10 3–4 3–4 5–10 3–4 min. min. min.
Page 149 Laryngitis, pharyngitis, tonsillitis, angina (sore throat, hoarse voice) 1. Area according to Su Jok 2. Neck and collar area 77 Hz, 3-6 Hz 10 Hz 2–3 5–10 1–2 min. min. Note. Course duration — until full recovery.
Page 150 Earache (otitis), loss of hearing (sensorineural hearing loss) 1. Ears and area around ears 2. Neck and collar area 77 Hz 10 Hz 10–15 10–15 min. min. In case of otitis, conduct stimulation 3-4 times a day, in case of sensorineural hearing loss – once a day...
Page 151 Earache (otitis), loss of hearing (sensorineural hearing loss) 1. Area according to Su Jok 77 Hz 5–10 min. In case of otitis, conduct stimulation 1-2 times a day, in case of sensorineural hearing loss — once in 2-3 days. Note. Course duration in case of otitis — until full recovery. Course duration in case of sensorineural hearing loss —...
Page 152 Nausea, vomiting, bloating, stomachache 1. Stomach and pancreas gland projection 2. Thoracic section (at stomach level) 77 Hz 10 Hz 5–10 10–15 min. min. Stimulation 3–4 times a day until symptoms abate. Stimulation 3–4 times a day until symptoms abate.
Page 153 Nausea, vomiting, bloating, stomachache 1. Area according to Su Jok 77 Hz, 9,4 Hz 1–2 min. Note. Course duration — until full recovery.
Page 154 Constipation 1. Anterior abdominal wall 2. Lumbosacral area 77 Hz 10 Hz, «7710» 10–15 10–15 in the morning in the morning min. min.
Page 155 Constipation 1. Liver front and side projections. 77 Hz, 9,4 Hz 5–10 min. Note. Course duration — 7–10 days.
Page 156 Diarrhea 1. Anterior abdominal wall 2. Lumbosacral area 77 Hz 10 Hz 10–15 3–4 10–15 3–4 min. min.
Page 157 Diarrhea 1. Liver front and side projections. 77 Hz 1–2 min. Note. Course duration — 10–14 days.
Page 158 Hemorrhoids 1. Periproctic area 2. Lumbosacral area 77 Hz 10 Hz 5–10 10–15 min. min. Several times a day as the patient’s complaints increase. Several times a day as the patient’s complaints increase.
Page 159 Hemorrhoids 1. Area according to Su Jok 77 Hz, 9,4 Hz 1–2 min. Note. Course duration — until recovery, but for a minimum of 7 days.
Page 160 Pain in the joints (arthritis, arthrosis) 1. Painful joint area 2. Neck and collar area if arm and hand joints are painful. 77 Hz, 140 Hz Lumbosacral area if leg and feet joints 5–10 2–3 min. are painful. 10 Hz —...
Page 161 Pain in the joints (arthritis, arthrosis) Painful area Una ected side 1. Symmetrical una ected joint 2. Area according to Su Jok 10 Hz 77 Hz 1–2 5–10 1–2 min. min. Note. Course duration — until recovery but for a minimum of 7 days.
Page 162 Neck pain and backache (vertebral osteochondrosis, diskogenic radiculopathy, lumbodynia, ischias) 2. Thoracic, lumbar, and sacral spine 1. Cervical spine if there is neck pain areas if there is backache 77 Hz, 140 Hz 77 Hz, 140 Hz 5–30 1–2 5–30 1–2 min.
Page 163 Neck pain and backache (vertebral osteochondrosis, diskogenic radiculopathy, lumbodynia, ischias) 1. Neck and collar area 2. Pain center projection 9,6 Hz 9,6 Hz 5–15 1–2 5–15 1–2 min. min. Note. Course duration — until recovery.
Page 164 Micro-ruptures (tension) of ligaments, tendons, and muscles, joint dislocations, meniscus injuries 1. Direct projection of injured area (painful area, nascent edema) 77 Hz 5–30 min. — intense pain — dull nagging ache Several times a day as the patient’s complaints increase.
Page 165 Micro-ruptures (tension) of ligaments, tendons, and muscles, joint dislocations, meniscus injuries 1. Neck and collar area if upper limbs 2. Lumbosacral area if lower limbs are injured are injured 10 Hz 10 Hz, «7710» 10–15 1–2 10–15 1–2 min. min. Note.
Page 166 Wounds, cuts, grazes, burns 1. Area around the wound 2. Burnt wound 77 Hz 77 Hz 5–30 3–4 5–30 3–4 min. min. — intense pain — intense pain — dull nagging ache, painless — dull nagging ache, painless Note. Stimulate area around the burnt wound...
Page 167 Wounds, cuts, grazes, burns 1. Neck and collar area 2. Lumbosacral area 10 Hz 10 Hz, «7710» 10–15 1–2 10–15 1–2 min. min. Note. Course duration — until full recovery.
Page 168 Nephrocolica, frequent and painful urination (pyelonephritis, cystitis, urethritis) 1. Direct projection of kidneys and 2. Direct projection of kidneys and ureters (body back surface) ureters (body front surface) 77 Hz 77 Hz 5–30 5–30 min. min. — intense pain — intense pain —...
Page 169 Nephrocolica, frequent and painful urination (pyelonephritis, cystitis, urethritis) 1. Neck and collar area 2. Area according to Su Jok 10 Hz 77 Hz 10–15 1–2 1–2 min. min. Note. Course duration — for a minimum of 10–12 days.
Page 170 Menstrual disorder, infertility 1. Pubic area (lower abdomen) 2. Lumbosacral area 77 Hz 10 Hz 5–10 10–15 min. min.
Page 171 Menstrual disorder, infertility 1. Area according to Su Jok 77 Hz min. Note. Course duration – 14 days. Repeat the course in a month.
Page 172 Lower abdominal pain (algodismenorrhea, in ammatory diseases of female reproductive organs) 1. Pubic area (lower abdomen) 2. Lumbosacral area 10 Hz 77 Hz 5–10 2–3 10–15 2–3 min. min. 2–3 times a day when there is pain 2–3 times a day when there is pain...
Page 173 Lower abdominal pain (algodismenorrhea, in ammatory diseases of female reproductive organs) 1. Area according to Su Jok 77 Hz 1–2 min. Note. Course duration – 10-14 days.
Page 174 Plugged duct, lactational mastitis 1. Direct projection of mammary glands 77 Hz 20–30 min. Several times a day before breast-feeding.
Page 175 Plugged duct, lactational mastitis 1. Thoracic section (at mammary glands level) 77 Hz, 10 Hz 10–15 min. Several times a day before breast-feeding. Note. Course duration — until full recovery.
Page 176 Lower abdominal pain and genitals pain (prostatitis, urethritis, orchitis, algodismenorrhea) 1. Perineum area 2. Lumbosacral area 77 Hz 10 Hz 5–10 3–4 10–15 3–4 min. min. 3–4 times a day when there is pain. 3–4 times a day when there is pain.
Page 177 Lower abdominal pain and genitals pain (prostatitis, urethritis, orchitis, algodismenorrhea) 1. Area according to Su Jok 77 Hz 1–2 min. Note. Course duration — until full recovery.
Page 178 Male sex function disorder, prostatitis 1. Perineum area 2. Pubic and groin areas 3. Lumbosacral area 77 Hz 9,4 Hz 10 Hz 5–10 10–15 min. min. min.
Page 179 Male sex function disorder, prostatitis 1. Area according to Su Jok 77 Hz min. Note: Course duration — for a minimum of 10–14 days. Repeat the course in a month.
Page 180 Skin diseases (psoriasis, eczema, neurodermatitis, dermatitis, allergy) 1. A ected skin parts 2. Liver and intestines area 77 Hz 77 Hz 5–10 5–10 min. min. 3–4 times a day in case of intense itching. 3–4 times a day in case of intense itching.
Page 181 Skin diseases (psoriasis, eczema, neurodermatitis, dermatitis, allergy) 1. 7th vertical vertebra area 2. Adrenal glands area 1,7 Hz 1,7 Hz min. min. Note: Course duration — for a minimum of 10–14 days. Repeat the course in 1-1.5 months.
Page 182 Esthetics. Facial care 1. Facial skin according to cosmetic lines 2. Submaxillary area 77 Hz 77 Hz 5–10 5–10 min. min.
Page 183 Esthetics. Facial care 1. Liver and intestines area according 2. Neck and collar area to Su Jok 77 Hz 10 Hz 10–15 min. min. Note: Conduct sessions 3 times a week. Course duration — 12–15 treatments.
Page 184 Cellulite, obesity 1. Abdominal area (“cross”) 2. Buttock area 3. Thighs 77 Hz 77 Hz 77 Hz 30–60 5–10 5–10 min. min. Note: 30–60 sec. per each application of electrodes.
Page 185 Cellulite, obesity 1. Appetite suppressing point 2. Neck and collar area 10 Hz 10 Hz 3–5 5–10 min. min. Note: Course duration — 10–14 days. Repeat the course in 1–2 months.
Page 186 Headache, giddiness 1. Neck and collar area 2. 2nd cervical vertebra 3. Direct projection of painful area and occipital area in case of headache protuberance area 10 Hz 10 Hz 9,0 Hz 5–10 5–10 min. min. min. Until the pain is relieved or once a day during course treatment.
Page 187 Headache, giddiness 1. Area according to Su Jok 2. Lumbosacral area 9,0 Hz 10 Hz 10–15 min. min. Note: Course duration — 10 days.
Page 188 Face pain (trifacial neuralgia, Bell’s palsy) Trigeminus branches output Area under earlobe Neck and collar area points 77 Hz 77 Hz 10 Hz 2–3 2–3 min. min. min. Until the pain is relieved or once a day during course treatment.
Page 189 Face pain (trifacial neuralgia, Bell’s palsy) 1. Area according to Su Jok 9,0 Hz min. Note: Course duration — 10 days.
Page 190 Logoneurosis, stammering 1. Submaxillary and speech areas 2. Neck and collar area 77 Hz 10 Hz 5–10 5–10 min. min.
Page 191 Logoneurosis, stammering 1. Area according to Su Jok 2. Tongue 10 Hz 77 Hz 5–10 30–60 min. Note: Course duration — 10 days. Repeat the course in a month. For children below 5 year of age: intensity — , stimulation time of each zone (except for tongue) — 2–3 min.
Page 192 Neurosis, neurosis-like conditions, anxiety, stress 1. Neck and collar area 77 Hz, «7710» 5–10 1–2 min. Conduct treatment in the morning and/or in the evening.
Page 193 Neurosis, neurosis-like conditions, anxiety, stress 2. Lumbosacral area 10 Hz 10–15 1–2 min. Conduct treatment in the morning and/or in the evening. Note: Course duration — 5–10 days.
Page 194 Heartache (cardialgia, myocardiodystrophy, coronary heart disease) 1. Back projection of heart 2. Area between the shoulder blades 77 Hz 10 Hz 5–10 min. min. Until complaints decrease / stop. Until complaints decrease / stop.
Page 195 Heartache (cardialgia, myocardiodystrophy, coronary heart disease) 1. Area according to Su Jok 10 Hz 5–10 min. Until complaints decrease / stop.
Page 196 Arterial hypertension (hypertensive disease) 1. Neck and collar area 2. 2nd cervical vertebra area and occipital protuberance area 10 Hz «7710» 5–10 min. min.
Page 197 Arterial hypertension (hypertensive disease) 1. Area according to Su Jok 2. Lumbosacral area 9,2 Hz 10 Hz 10–15 min. min. Note: Course duration — 10 days.
Page 198 Arterial hypotension 1. 2nd cervical vertebra area and occipital 2. Neck and collar area protuberance area «77 » 10 Hz 5–10 min. min.
Page 199 Arterial hypotension 1. Area according to Su Jok 2. Lumbosacral area 9,2 Hz 10 Hz 10–15 min. min. Note: Course duration — 10 days.
Page 200 Heavy legs, edema, varicose veins (chronic venous insu ciency syndrome, varicose lower limbs disease) 1. Shins and feet area (from toes to knees) 2. Lumbosacral area 77 Hz 10 Hz 10–15 10–15 min. min. Attention! It is prohibited to apply the electrodes of the device on shins in direct projection of the modi ed veins (varicose, tortuous veins).
Page 201 Heavy legs, edema, varicose veins (chronic venous insu ciency syndrome, varicose lower limbs disease) 1. Area of liver projection 77 Hz 5–10 min. Once a day or once in two days Note: Course duration — 2–3 weeks. Repeat the course in 1–2 months.
Page 202 Leg pain, intermittent lameness (lower limbs atherosclerotic vascular disease), diabetic angiopathy, vibration syndrome (Peripheral arterial diseases) 1. Shins and feet area (from toes to knees) 2. Lumbosacral area 77 Hz 10 Hz 10–15 10–15 min. min. Attention! It is prohibited to apply the electrodes of the device on shins in direct projection of the modi ed veins (varicose, tortuous veins).
Page 203 Leg pain, intermittent lameness (lower limbs atherosclerotic vascular disease), diabetic angiopathy, vibration syndrome (Peripheral arterial diseases) 1. Area of liver projection 77 Hz 5–10 min. Once a day or once in two days Note: Course duration — 2–3 weeks. Repeat the course in 1–2 months.
Page 204 Eye overstrain, refringence disorder (astigmatism, spasm of accommodation, glaucoma, cataract, in ammatory eye conditions short sight, long sight), 2. Neck and collar area 1. Paraorbital area 77 Hz 10 Hz, «7710» 1–2 10–15 1–2 min. min.
Page 205 Eye overstrain, refringence disorder (astigmatism, spasm of accommodation, glaucoma, cataract, in ammatory eye conditions short sight, long sight), 1. Area according to Su Jok 2. Temporal region 77 Hz 77 Hz 5–10 min. min. Note: Course duration — 10–14 days. Repeat the course in 1–2 months.
Page 206 Toothache, stomatitis, periodontitis 1. Skin projection of painful tooth or 2. Tongue in amed mucous membrane of mouth 77 Hz cavity in case of stomatitis 1–2 2–3 77 Hz min. 10–20 2–3 Until the pain is relieved. min. Until the pain is relieved.
Page 207 Toothache, stomatitis, periodontitis 1. Area according to Su Jok 77 Hz 5–10 2–3 min.
Page 208 Thyroid gland diseases 1. Neck and collar area 10 Hz min.
Page 209 Thyroid gland diseases 1. Area according to Su Jok 77 Hz 5–10 min. Note: Course duration — 10–14 days. In case of chronic disease repeat the course in 1–2 months.
Page 210 Loss of consciousness (faint, shock, uncertain situation) 1. Facial Reanimation points 2. 2nd cervical vertebra area 77 Hz 77 Hz 2–3 min. 30 sec. per each point One time. One time.
Page 211 Loss of consciousness (faint, shock, uncertain situation) 1. Area according to Su Jok 2. Neck and collar area 77 Hz 10 Hz 1–2 5–10 min. min. One time. One time after a faint.
Page 212 Fever (body fever heat) 1. Projection of carotid, brachial, ulnar 2. Forehead area and temporal regions and femoral arteries 77 Hz 77 Hz 2–3 30 sec. per each point min. One time. One time.
Page 213 Fever (body fever heat) 2. Neck and collar area 1. Forearms area (bracelet) 10 Hz 77 Hz 5–10 min. min. One time. One time.

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