Babycare TENS ELLETENS Instructions For Use

Suggested Electrode
Placement Chart
The sticky electrode pads need to
be placed in the correct position
for maximum pain relief. It is pref-
erable to obtain assistance from
either your birthing partner or
medical adviser when positioning
the pads. Please read the following
Bra line
instructions carefully:
1. Ensure unit remains switched
off. Carefully peel the pads from Navel line
the plastic backing using your
forefinger and thumb. Do not pull
Panty line
on the lead wires.
2. Position the top two pads
(connected to the left socket CH1)
approximately 4cm either side of
the spine and 4-5cm above the
imaginary navel line as seen in the
diagram.
Reference: Cluett E. (1994) SRN
RM ADM PGCEA. Analgesia in
3. Position the bottom two pads
Labour: A review of the TENS
(connected to the right socket
method. Professional Care of
CH2) approximately 4cm either
Mother and Child. Mar;4 (2): 50-2.
side of the spine and 4-5cm below
the imaginary navel line as seen in
the diagram.
7
Frequently Asked Questions Troubleshooting Questions
Q When shall I start using my Q Why does the stimulation
Elle TENS? not appear to be as strong
A Use as early as you can after after you have used the Elle
the onset of labour to allow TENS for a while?
time for your body's pain- A Increase the intensity, you may
killing chemicals to rise. have become used to a lower
setting.
Q Can I try the Elle TENS before
going into labour? Q Why does the stimulation
A Yes, place 2 pads attached feel strong but ineffective?
to one leadwire on your A You may need to reposition the
forearm to feel the different electrode pads. Switch the unit
pulse sensations following the off, and then try the unit again.
instructions on page 6.
Q Why does the stimulation
Q Can I combine the Elle TENS not feel sufficiently strong
with other medication? even on a high setting?
A Yes, you can still use analgesics A The batteries may need
such as gas and air (entinox) or replacing.
pethidine.
Q What do I do if there is no
Q Can the Elle TENS be used stimulation, intermittent
in hospital? stimulation, or weak
A Yes. However, a midwife stimulation felt even with
may ask you to switch it off a new battery?
temporarily. A Check electrode contact. Check
leads. Check batteries. Phone
Q Can I use the Elle TENS if I am Babycare TENS on
considering a water birth? 0333 121 9737.
A Yes, but not in the water itself.
10
Using Your Elle TENS d) BURST 1 (use between
contractions): This is the
first mode that you will use.
a) You are now ready to start
It feels like a bursting, tingling
using your Elle TENS. Switch
sensation i.e. the pulses are
the unit on by pressing the
off and on periodically. This
on/off button. Ensure that the
mode will help to promote
'boost' button located at the
those all-important natural
top right of the unit is NOT
pain-killing chemicals known as
pressed in. The Elle TENS
'endorphins' and 'encephalins'.
will always start up in
BURST 1 mode.
e) BOOST 1 (use during
contractions): When
b) Begin by pressing the
experiencing a contraction,
CH1+ key. Each time you press
simply press the 'boost' button
this key, a small 'half-moon'
located at the top right of the
shape will appear on the
unit. The Elle TENS will then
screen increasing in number
switch automatically into
and size as the intensity is
the BOOST 1 mode for that
increased. You will begin to feel
extra surge of power required
a pulsating sensation which will
to combat the pain during
burst in time with the small
contractions. This will feel like
arrow flashing on the screen.
a continuous sensation.
Ensure that you increase
the intensity slowly.
f) Once the contraction has
passed, simply release the
c) Repeat the previous step with
'boost' button. The Elle TENS
the CH2+ key. You will now
will return to the original
feel a sensation in both sets
BURST 1 mode. Continue this
of pads.
cycle during your early stages
of labour.
8
Useful Information Post-Natal Pad Placement
Diagrams
1. Continue stimulation for as
long as necessary, unless you
KEY:
experience discomfort.
= first pair of electrodes
2. If you stimulate for a number
= second pair of electrodes
of hours ensure the pads do
N.B. Electrodes supplied with this
not become dry. If this occurs,
unit are all the same colour - the
switch off the unit, disconnect
black and white squares show
the electrodes, and apply a
suggested electrode placement only.
small drop of water to them.
3. The pads can be used several
Lower Back Pain
times. Replace the pads when
they stop sticking to the skin.
Replacement pads are available
from www.babycaretens.com
4. Always ensure that the unit is
switched off before you remove
all the leads and pads. Do not
Period Pain
pull the wires. ALWAYS remove
the jack plug from its socket
by holding the plug between
the forefinger and thumb and
pulling gently.
5. The Elle TENS can also be used
as a standard TENS unit for
Shoulder Pain and Frozen Shoulder
relief of numerous conditions,
including after pains and post
operative pains. It is worth
bearing this in mind if you have
a caesarean section.
Outer and inner aspect of shoulder
Please seek medical advice first.
11
The Mode Button The Opti-max Key
There are two modes available on This provides extra versatility
the Elle TENS, each with a Burst to your Elle TENS. Increasing or
and Boost function. decreasing the Opti-max key will
allow you to either heighten or
lessen the level of pulse power
Mode 1 (Burst 1 and Boost 1),
transmitted to the electrode pads.
which has been described above, is
primarily used for the earlier stages
of labour. Pressing the OM key either
+ or - will increase or decrease
Opti-max sensation, this is
Mode 2 (Burst 2 and Boost 2)
extremely useful for the final
can be used when your labour
stages of labour when you need
advances and your contractions
an extra surge of power.
become more frequent.
Press the Mode button to There are 5 Opti-max levels
switch between modes. You will indicated by 5 dots, enlarging in
size as the Opti-max power is
see from the User Display, that the
increased. The unit will always start
number in the small circle next to
up at Opti-max 3, which is exactly
the BURST or BOOST will change
half way between the highest and
from 1 to 2 and vice-versa.
lowest setting.
NB. Both modes are
interchangeable and can be used NB. The Opti-max key can
according to your preference, be used according to your
not necessarily for the stage of preference and not necessarily
labour you are in. Mode 2 can for the stage of labour you
be operated in the same way as are in.
mode 1.
9
Elle TENS Technical Data
Display TN type LCD
Operation Mode 4 treatment modes:
Burst 1, Burst 2, Boost 1, Boost 2
Pulse (Hz) Pulse Width (µs) Description
Frequency
Burst 1 16 150* 1 Burst/sec and 8
pulses per burst
Burst 2 32 150* 2 Burst/sec and 8
pulses per burst
Boost 1 80 150* Constant
Boost 2 100 150* Constant
- Output Voltage: 0 – 55V zero to peak at 500Ω load
- Output Waveform: Symmetrical biphasic rectangular
Automatic Power Off 5 Minutes
Output Channel Two Channel
Output Voltage 0 – 55V (zero-to-peak) across a 500Ω load;
adjustable in 14 steps
Output Intensity 0 – 110 mA (max.) into a 500Ω load
Output Waveform Symmetrical bi-phasic rectangle
Output Jacks CE Touch-proof jacks
Load Detector Contact detection between the device and human skin
(This feature is activated from Level 2 and up)
Battery 2 x 1.5V AAA Battery
Battery Low Detect 2.2V ±0.2V
Tolerances All output parameters are subjected to a ±20% tolerance
unless other specified.
Weight 75g
Size 55 x 115 x 30mm
* Default pulse width after mode changed Classification This unit is fully compliant
(pulse width is NOT changed when with EEC Directive 93/42/EEC, classified
switched between BURST and BOOST as internally powered equipment type BF.
mode) 5 selectable pulse widths in all It is intended for continuous operation.
modes: 50, 100, 150, 200, 250.
12
Guarantee
Your ElleTENS machine is guaranteed for a period of 2 years against
manufacturer's defects. Please record purchase details in the space
provided below for your record purposes. The guarantee does not
include leads, electrodes or battery. Applies to purchases only.
Date of purchase:
Invoice number:
204 2597 Cool grey 3
Body Clock Health Care Ltd
108 George Lane, South Woodford,
London E18 1AD
Tel (+44) (0)20 8532 9595
Fax (+44) (0)20 8532 9551
www.babycaretens.com
e-mail customercare@babycaretens.com
Babycare TENS is part of the
Body Clock group of companies
0120
May 2018 (6)
This manual is recyclable