Kegel8 Ultra 20 Operator's Manual
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Kegel8 Ultra 20 Operator's Manual

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  • Page 1 Ultra 20 Operator’s manual...

  • Page 2: Symbols On The Unit

    Symbols on the unit and case Caution! (electrical output). Follow operating instructions! Failure to do so could place the patient or operator at risk. Neuromuscular Stimulation (STIM) and EMG Triggered Stimulation (ETS) should not be used by Patients fitted with demand style cardiac pacemakers.

  • Page 3: Welcome To Kegel8 ® Ultra

    If you follow the instructions in this User Guide, Kegel8 Ultra 20 is a safe and effective way of exercising your ® pelvic floor. Customer Care We aim to provide our customers with outstanding products and customer service.

  • Page 4: Warnings

    If using rechargeable 9 Volt PP3 Nickel Metal Hydride batteries, be sure to use a CE approved battery charger. Never connect the Kegel8 Ultra 20 directly to a battery charger or to any ® other mains powered equipment. We advise not to use Ni-Cad rechargeable batteries.

  • Page 5: Contra Indications & Precautions

    Do not immerse the unit in water or any other liquid ● Keep unit out of reach of children. ● Seek professional advice if you are unsure about using Kegel8 ® Ultra 20. Contact your distributor or healthcare professional. ●...

  • Page 6: Table Of Contents

    Ultra 20 Check List ® Getting to Know Your Kegel8 Ultra 20 ® How Your Kegel8 Ultra 20 Works ® What to Expect from Your Kegel8 Ultra20 ® Starting Your Kegel8 Ultra 20 Exercises ® Inserting a Kegel8 Probe ®...

  • Page 7: Kegel8 ® Ultra 20 User Instructions

    Kegel8 Ultra 20 ® User Instructions...

  • Page 8: Important Safety Information

    Please note that Kegel8 Ultra 20 can be used safely by women ® fitted with IUD or Mirena coils. Kegel8 Ultra 20 does not affect these devices. IMPORTANT Only Use Your Kegel8 Ultra 20 as Described ®...
  • Page 9 Where Can You Use your Kegel8 Ultra 20? ® Kegel8 Ultra 20 is designed for home use, but can be used in ® medical centres and hospitals too. Before you use your Kegel8 Ultra 20, please make sure: ® ●...

  • Page 10: Kegel8 ® Ultra 20 Check List

    Kegel8 Ultra 20 Check List ® When you open the Kegel8 Ultra 20 packaging, you should find: ® ● 1 × Kegel8 Ultra 20 unit. ® ● 1 × 9 Volt Battery. ● 1 or 2 × Kegel8 Probe(s). ®...

  • Page 11: Getting To Know Your Kegel8 ® Ultra

    SET button on the front is only used when Creating a Custom Programme (see page 43). The front of the Kegel8 Ultra 20 also has two sets of + and - buttons. You can use these buttons to increase (+) or decrease (-) the strength of the electrical pulse being sent via Channel A and Channel B respectively.
  • Page 12 ● Rest µ ● Alt ● Cont ● Mod Ultra 20, the LCD will display When you first power up your Kegel8 ® the following information: Hz amount is the number of electrical pulses per second (Hertz). When you start using your Kegel8 Ultra 20, this value will vary, ®...
  • Page 13 A right-facing arrow, shown on the LCD, indicates which of the modes are currently active. The phase modes that become active when you use your Kegel8 Ultra 20 will vary depending on the programme you choose (see Choosing a Kegel8 Ultra 20 ®...
  • Page 14 The Example (see page 15) shows how the electric current for the channels is indicated on the LCD. Battery Power Level If your Kegel8 Ultra 20 battery is running low on power, a low battery indicator appears on the LCD (above the Channel Outputs). Lock You can create a custom programme on your Kegel8 Ultra 20 and lock it in place.
  • Page 15 Your Kegel8 Probe(s) Kegel8 Ultra 20 comes with 1 or 2 probes, depending on the version of Ultra 20 you have bought. The vaginal probe is the primary probe and you should connect it to Channel A. If you have a second probe for anal use, you should connect it to Channel B.

  • Page 16: How Your Kegel8 ® Ultra 20 Works

    Kegel8 Ultra 20 works in a very similar way - it sends electric pulses to precise areas of the weakened muscles in your pelvic area, causing them to contract and relax.

  • Page 17: What To Expect From Your Kegel8

    If you use Kegel8 Ultra 20 as described, 1 or 2 times per day for at ® least 3 months, your pelvic muscles will get stronger. This will give you greater control and you will be able to gradually increase the amount of current.

  • Page 18: Starting Your Kegel8 ® Ultra 20 Exercises

    Channel A slot on your Kegel8 Ultra 20 unit. If you are ® looking at the front of the Kegel8 unit, the Channel A socket is on the top-left of the unit. Push the lead in firmly so that it is fully connected.
  • Page 19 For more information on inserting Kegel8 probes, see Inserting ® a Kegel8 Probe on page 23. For details on applying the Kegel8 pads correctly, see Applying ® Kegel8 Electrode Pads on page 24. Press the ON button on the Kegel8 control unit.
  • Page 20 P20 (RELX) - Pelvic Pain & Relaxation ● PC1, PC2, PC3 - (see Creating a Custom Programme on page 43). NOTE: If you have never used your Kegel8 Ultra 20 before, ® you should begin with Programme P01, which is a sensitivity test.
  • Page 21 For extra peace of mind, you can wash your probe(s) with sterilising fluid. We also recommend that you wipe your Kegel8 Ultra 20 unit clean with a damp cloth or antiseptic ® wipe. Alternatively, you can spray your Kegel8 and probe...
  • Page 22 Like all muscles, your pelvic floor muscles need time to rest and recover between exercises. Aim to do 1-2 Kegel8 programmes a day, 1 in the morning and 1 in the afternoon or evening. The only exception is if you are using P20 with electrode pads for pain relief - in this case, you can use P20 as often as you feel necessary.

  • Page 23: Inserting A Kegel8 ® Probe

    If you are experiencing difficulties with your probe(s): Get into a comfortable position. Many women choose to use Kegel8 Ultra 20 in a sitting position or standing up. Inserting ® a probe is similar to inserting a tampon, so you may already know what position suits you best.

  • Page 24: Applying Kegel8 ® Ultra 20 Electrode Pads

    Applying Kegel8 Electrode Pads ® Some Kegel8 Ultra 20 programmes are designed to be used with ® electrode pads instead of, or as well as, the probe. The following diagrams show you how to position the electrodes. 2 Front Electrodes...
  • Page 25 Ankle Electrodes Some of the Kegel8 Ultra 20 programmes allow you to use ® electrode pads on your ankle. These electrodes stimulate the tibial nerve which runs up the inside of your lower leg. This stimulation is known to help with certain pelvic floor-related conditions, such as incontinence.
  • Page 26 What Programmes Allow You to Use Electrode pads? You can use electrode pads with the following programmes. For some programmes, you should only use the electrodes, but others allow you to use a combination of probe and electrodes. ● P08 - Increase Sensitivity. For Programme P08, you can use 4 Back Electrodes (see page 25) or the probe.
  • Page 27 P18 - Electrode pads Back Pain Relief (see Pain, ● Cramps, and Tightness on page 39). When using electrode pads with Programme P18, you should attach them as shown in 4 Back Electrodes (see page 25). Applying Power to the Electrode pads Take special care when increasing the power to your electrode pads, as your skin is sensitive.

  • Page 28: Kegel8 ® Ultra 20 Exercise Tips

    This is because your pelvic floor muscles need time to recover between sessions. We suggest that you use Kegel8 once in the morning and once at night. Be Patient. Kegel8® Ultra 20 WILL Improve Your ●...

  • Page 29: Choosing A Kegel8 ® Ultra 20 Programme

    (see Creating a Custom Programme on page 43). If you are using Kegel8 Ultra 20 for the first time, you will need to ® test your sensitivity before you progress to a more specific exercise programme (see Sensitivity Tests (Probe Only) on page 30).

  • Page 30: Sensitivity Tests (Probe Only)

    ‘denervation’ test is designed to test your response to your Kegel8 ® Ultra 20 - it sends an electrical current to your probe(s) that should cause you to feel a tickling sensation in your pelvic area. NOTE: You only need to use the sensitivity tests if you are using a Kegel8 Ultra 20 vaginal probe.
  • Page 31 40mA is reached. If you do not feel a tickling sensation at 40mA, try setting your Kegel8 to 50mA. Run the programme twice a day. When you feel a sensation at 50mA, reduce the power to 40mA and continue to exercise twice a day.

  • Page 32: Incontinence, Nocturia, And Overactive Bladder

    Incontinence, Nocturia, and Overactive Bladder Kegel8® Ultra 20 can help treat overactive bladder (OAB), urinary incontinence, nocturia (urge to urinate at night) and bowel incontinence. If you suffer from any of these conditions, don’t worry - Kegel8 will help you to regain control.
  • Page 33 ● Intermediate stress incontinence - choose P10 and use a Kegel8® probe. Programme P10 has two phases, the first of which stimulates your muscles continuously for 10 minutes. The second phase lasts 30 minutes and is a Work/Rest exercise, where your muscles are stimulated for 8 seconds and rest for 14 seconds.
  • Page 34 If you suffer from incontinence, but do not wish to use ● the probe, use P13. Programme P13 is a functional training exercise based on techniques used in Finland. Unlike most of the other programmes, P13 requires you to exercise manually too, so you will need a chair! You should apply the electrode pads as shown in 4 Back Electrode Pads (see page 25).
  • Page 35 Bowel (Faecal) Incontinence For bowel incontinence, choose one of the following programmes: ● P17 if you suffer from moderate bowel incontience. Programme P17 has one phase that lasts 40 minutes. This is Work/Rest exercise where your muscles are stimulated for 5 seconds then rest for 5 seconds for a total of 40 minutes.

  • Page 36: Voluntary Exercises

    Voluntary Exercises Kegel8® Ultra 20 exercises are a very effective way of tackling urinary incontinence. But we have found that combining Kegel8® Ultra 20 exercises with ‘voluntary’ exercises will help you to treat incontinence more quickly. ‘Voluntary’ exercises are muscle contractions that you perform yourself, without any stimulation from the Kegel8®...

  • Page 37: Improve Sensation

    Improve Sensation Your Kegel8® Ultra 20 has 3 specially designed programmes to enhance your sensation. You should choose the programme that best suits your needs: To tone your vaginal walls and increase sensitivity, use ● P06. Programme P06 uses a single phase to strengthen your vaginal walls.
  • Page 38 Programme 8 can help treat this problem. It works by using 2 phases - 1 modulating and 1 Work/Rest. In phase 1, Kegel8 ® Ultra 20 uses modulation to make your muscles relax and contract for a total of 45 minutes.

  • Page 39: Pain, Cramps, And Tightness

    Pain, Cramps, and Tightness Kegel8 Ultra 20 can help relieve vaginal pain by increasing the ® blood flow in your tissues and helping your muscles to relax. If you suffer from cramps or have pain following surgery, the pain relief and relaxation programmes are for you.
  • Page 40 For Pelvic Floor Tightness, Vaginal Tightness and ● Anal Tightness choose P20. Programme P20 can help to relieve pain caused by tightness in the pelvic floor muscles. This type of pain often feels like a burning or sharp sensation and can make it difficult to enjoy sex, insert tampons, etc.

  • Page 41: Pelvic Floor Health

    Pelvic Floor Health If your pelvic floor muscles are strong and healthy, you’ll want to keep them that way. So you’ll be glad to know that Kegel8 Ultra 20 includes a series of ‘maintenance’ exercises that will keep your pelvic floor muscles, fibres, and ligaments in fantastic condition.
  • Page 42 ● You already have a strong pelvic floor ● Have used other Kegel8 programmes successfully, and just want to maintain your current level of pelvic floor health. You may find that P05 once a week is sufficient exercise for your pelvic floor.

  • Page 43: Creating A Custom Programme

    Ultra 20 are ideal for treating their pelvic floor problems. ® But in certain situations, a medical professional may advise a different type of programme. That is why Kegel8 Ultra 20 has a custom programme feature that allows doctors to create up to 3 programmes designed specifically for you.
  • Page 44 14. Press the + button for Channel A. SYN appears and flashes. This means the phase is set to use a synchronous current (the Kegel8 Ultra 20 will send a charge out of both channels at the ® same time).
  • Page 45 20. When you have added all of the phases you need for your custom programme, press the PRG button. Your custom programme is now stored in the memory of your Kegel8 Ultra ® 20. To use it, you just need to select the PC channel you used to configure the programme (see step 2).
  • Page 46 Locking and Unlocking your Kegel8 Ultra 20 ® If you want to lock your Kegel8 so that only one specific programme is available for selection: Select the programme you want to lock and then remove the battery cover on the back of the Kegel8.

  • Page 47: Taking Care Of Your

    Kegel8 Screen (LCD) Care The Kegel8 Ultra 20 LCD is covered with a thin protective layer. ® This layer helps to protect your LCD from scratches. If your LCD appears to be scratched, gently peel off the protective layer.
  • Page 48 ● Take care when connecting the wires. The connections on the Kegel8 Ultra 20 and its probes are designed so that they ® connect to the wires with ease. Do not force the wires. ●...

  • Page 49: Frequently Asked Questions

    Ultra 20 is unaffected by a Mirena coil or other ® IUD. Q: Can I use Kegel8® Ultra 20 while I am pregnant? No. Clinical guidelines advise against using any vaginal STIM devices during pregnancy. Q: I have had pelvic surgery. How soon can I start using my...
  • Page 50 It can be treated quite easily, so don’t worry, you will soon be able to use your Kegel8 Ultra 20. ®...
  • Page 51 This is an issue that is usually caused by the probe not making effective contact with your muscles. We recommend that you try using your Kegel8 Ultra 20 while lying down or sitting with ® your legs elevated. This will help to prevent the probe from falling out of position.
  • Page 52 Simply rinse the insertable part under the tap, keeping the wires dry at all times. Do not boil the probe. It can be sterilised using a mild sterilizing solution or you can spray it with Kegel8 Klean, an anti-bacterial cleanser. For more information, see Taking Care of your Kegel8 Ultra 20 on page 47.

  • Page 53: Technical Specifications

    Technical Specifications...

  • Page 54: Stim Specifications

    STIM Specifications Dual channel: individually isolated circuits. Amplitude: 0 - 90 mA into 500 Ohm load; indication only. Actual mA will tend to be less than indicated due to electrode impedance: ● At 1000 Ohms load (Electrodes in poor condition), the maximum will be limited to 86 mA ●...

  • Page 55: Electromagnetic Compatibility And Interference (Emc)

    EN60601-1-2. Table 201: Guidance and manufacturer’s declaration - electromagnetic emissions The Kegel8 Ultra 20 intended for use in the electromagnetic environment ® specified below. The customer or the user of the Kegel8 Ultra 20 should ensure that it is ®...
  • Page 56 Table 202: Guidance and manufacturer declaration - electromagnetic immunity The Kegel8 Ultra 20 is intended for use in the electromagnetic environment ® specified below. The customer or the user of the Kegel8 Ultra 20 should ensure that it is ®...
  • Page 57 TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which Kegel8 Ultra ®...
  • Page 58 Table 206: Recommended separation distances between portable and mobile RF communications equipment and Kegel8® Ultra 20 The Kegel8 Ultra 20 is intended for use in an electromagnetic environment in which ® radiated RF disturbances are controlled. The customer or the user of the Kegel8 Ultra 20 ®...

  • Page 59: Warranty

    For assistance, if needed, in setting up, using or maintaining the unit, or report unexpected operation or events, please visit the dis- tributor’s website for further details: www.kegel8.co.uk Distributed by: Savantini Ltd. Savantini House...

  • Page 60: Clinical References

    Clinical References Please contact us for any clinical referencies of Kegel8 ® enquiries@kegel8.com...
  • Page 61 Notes...
  • Page 64 Document revision info.: OPH202-OM-EN08-17-06-2019 Kegel8 Ultra20 manual (English)

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