ZMPCZM016000.10.02 Nexwave Training for Hyderabad, India.

The NexWave

The NexWave’s unique user friendly interface was

strategically designed to allow patients to control theirelectrotherapy treatment options and manage symptoms onelectrotherapy treatment options and manage symptoms on

their own.

Patients can easily switch between IFC, TENS, and NMES

modalities and the 9 preprogrammed modes

NexWave Confidential

Overview of the NexWave

User Friendly Design and Operation

The Nine Preprogrammed Modes of Stimulation

Device Operating InstructionsDevice Operating Instructions

Troubleshooting the NexWave

Conditions Treated by the NexWave

2222NexWave Confidential

NexWave User Friendly Design and Operation

Large LCD Display Allows Users to view:

Intensity level (mA)

Available modality preprogrammed modes

Treatment Timer Status

IFC electrode arrangement reminder

Compliance Meter Information

Device Locked Status

Battery Status

Device Alerts



Back Lit Display

Makes reading display easy

No challenges in dimly lit or dark room settings

Vivid and clearly defined options



Unlock ButtonNexWave will lock automatically afterseconds of inactivity

20

Prevents accidental or unintentional changesto treatment parametersto treatment parameters

Lock icon appears on display

Press Unlock button to switch or modify settings or intensity

NOTE…The power button has the abilityshut the unit off even if the unit is locked

to



LED Lights

Visual

Lights

indicator that stimulation is ON

flash in sync with stimulation rate



Three Independent Modality ButtonsPatient can easily switch between IFC, TENS, NMES modes with the push of a button

and

Pressing a specific modality button repeatedly willchange the 3 preprogrammed modes within the modality



Treatment Timer Button

Press the timer button repeatedly to modifytreatment time in 10 minute increments

Adjust Treatment Time Anytime

Ranges from 10 mins to 90 mins



Compliance Data Retrieval OptionRecords total number of treatments and usedOnly records when mA is greater than 4

total minutes

mA

View Compliance Data by holding down the TimerButton for 5 seconds (20 seconds will reset data)Button for 5 seconds (20 seconds will reset data)

Exit Compliance Meter by pressing Timer Button once



Operating ModeUser can switch from one mode to the next within a specific modality during a treatment without the stimulation resetting to zero

Changing Modalities during a treatment will automatically reset mA’s to ZERO “0 mA”—safety automatically reset mA’s to ZERO “0 mA”—safety feature

An Open Circuit Alert displays “Check Connections!”Ch1 or Ch2 will flash

The Battery Icon will display when battery is low.Stimulation will turn off and “Check Connections!” will appearwhen battery is depleted


Nine Preprogrammed Modes

IFC

Interferential Current

Pads must be crossed, as shown below

LoHi – 4001– 4128hz Sweep over 15 seconds

Produces beat frequency of 1-128 bpsProduces beat frequency of 1-128 bps

Low – 4001 – 4010hz Sweep over 15 seconds

Produces beat frequency of 1-10 bps

Cmb – Low mode (2 min.), High Mode128 bps), and Muscle Mode (2 min.)

(2 min., 64-


Preprogrammed Modes

TENS

Transcutaneous Electrical Nerve Stimulation

Pads usually parallel along muscle

Swp – sweeps from 1-125 Hz over 12 sec

Lmd – decreases from 100 Hz -- 66 Hz while P-W Lmd – decreases from 100 Hz -- 66 Hz while P-W

increases from 150us -- 300us over 12 seconds and vice versa

Hmd - decreases from 100 Hz -- 66 Hz while P-W

increase from 150us to 300us over 2 seconds and

vice versa


Preprogrammed Modes

NMES

Neuromuscular Electrical Stimulation

Pads parallel along muscle

30:10 – 30 seconds of OFF time and 10 Seconds

of ON timeof ON time

20:10 - 20 seconds of OFF timeON time

10:10 - 10 seconds of OFF timeON time

and 10 Seconds of

and 10 Seconds of

35 Hz, 480us, Channels Simultaneous


NexWave

Indications for Use:Transcutaneous Electrical Nerve Stimulation (TENS)

Management and symptomatic relief of chronic intractable pain, post-traumatic and post-surgical pain

Interferential Current (IFC)

Management and symptomatic relief of chronic intractable pain, post-traumatic and post-surgical pain

Neuromuscular Electrical Stimulation (NMES)Relaxation of muscle spasmsRelaxation of muscle spasms

Prevention and retardation of disuse atrophy

Increase of local blood circulation Muscle

rehabilitation and re-education Maintaining

and increasing range of motion

ContraindicationsThis stimulator should not be used on patients with a cardiac demand pacemaker.

Electrodes should not be placed so that current will be applied to the carotid sinus (neck)region or transcerebrally (through the head).

This stimulator should not be used whenever pain syndromes are undiagnosed, until etiology is established.


NexWave Operating Instructions

Device Operating Instructions

1. Connect Leadwires to Electrodes

While Electrodes are Still on Plastic

Liner


Tip: It is easier to connect leadwires to the

electrodes before you remove them from the

plastic silicon sheet



2. Connect Leadwires to Device

Important: Make Sure Leadwires are

inserted flush into Channel 1 & 2 Ports




3. Place the Electrodes Over the Treatment Site.

IFC or TENS

Placement

TENS or NMES

Placement

Important: When Using IFC, Electrodes Must be Crisscrossed.



Device Programming Instructions

4. Power up NexWave with Large

on/off button




5. Select one of the 3 BLUE modality

options


options

(IFC, TENS, NMES)



6. Adjust the intensity to the appropriate

level based on Acute, Sub-Acute,

Chronic pain or Muscle stim needs


7. As a reminder for IFC, either Ch1 or

Ch2 will increase/decrease the

intensity of both channels

simultaneously

8. In TENS & NMES, the Ch1 and Ch2

intensity buttons are independent of

each other

Customer Service- Frequently Asked Questions

Issues with the NexWave are rare. But when they occur, here are the FAQs:

Issue- Cannot increase current level of stimulation

Solution- Press and release the Unlock button, then press the positive button to increase the stimulation.

Problem- Displays shows “Check Connections”

Solution- Turn device off. Check electrode skin contact, make sure all Solution- Turn device off. Check electrode skin contact, make sure all electrodes are laying firm on the skin, and verify that all electrodes are connected to lead wires. If all is in place, remove battery from device, extend the prongs out to get a better connection to the battery, and replace with a new battery. If using an AC Adaptor, plug into a known good electrical outlet.

Problem- Unit is not turning on

Solution- Remove battery from device. Extend the prongs out to get a better connection to the battery, then replace with a new battery. If using an AC Adaptor, plug into a known good electrical outlet.



Problem Solution

Unit stays on even after Hold Off button down for 2 seconds to shut

treatment ends. unit off. Otherwise unit will shut off automatically after 5 minutes of

no stimulation. Alternatively you can start a new treatment session

after the last one ends.

Cannot increase level Press and release Unlock button or turn

from its current setting. level down 1 mA to unlock this safety feature. Then increase

stimulation to the desired level/intensity. Intensity level is always

locked after 20 seconds of key press inactivity.


Do not feel the IFC beating frequency in Check that the lead wires are connected correctly to the electrodes

the center of the four electrodes. (red opposite to each other, black opposite to each other)

Display shows “Check Check electrode skin contact. Electrodes

Connections” should be fresh and stick well. Use water

(electrode alarm). if necessary to soften the gel for better contact. Verify that all four

electrodes are connected to lead wires and that both lead wires are

connected to the unit. Connect the bare metal pins together to

short-circuit the outputs. If the electrode alarm ceases the problem

is with the electrode connection integrity.

Conditions Treated by NexWave

Shoulder PainCervicalPain

Low Back Pain

Wrist/Hand PainKnee Pain



Urinary Incontinence 788.30 PFESJoint Pain/Shoulder 719.41 TENS, IFC

Shoulder Region DIS NEC 726.2 TENS, IFC

Lateral Epicondylitis 726.32 IFC, HVPDC

Pain in Limb 729.5 TENS

Sprain/ Rotator Cuff 840.4 TENS, IFC, NMES

Sprain/Supraspinatus 840.6 TENS, IFC, NMES

Local Osteoarthrosis/Leg 715.16 NMES, TENS

Osteoarthrosis/Leg 715.96 NMES, TENS

Cervical Spondylosis 721.0 TENS

Lumbosacral Spondylosis 721.3 TENS, IFC

Cervical Disc Displacement 722.0 TENS,

IFC

Cervical Disc Degeneration 722.4 TENS, IFC

Disc Degeneration 722.6 TENS

Lumbar Disc Displacement 722.10 TENS, IFC

Lumbar/Lumbosacral Disc Degeneration722.52 TENS, IFC

Post Laminectomy Syndrome 722.83 TENS

Urge Incontinence 788.31 PFES

Stress Incontinence 788.32 PFES

Mixed Incontinence 788.33 PFES

Cerebral Palsy 343.9 NMES

Paraplegia NOS 344.1 NMES

Bell’s Palsy 351.0 NMES

Stroke CVA 436.0 NMES

Chondromalacia Patella 717.7 NMES,

TENS

Internal Derangement Knee 717.9 NMES

Old Disrupted Anterior Cruciate Ligament

717.83 NMES

Joint Pain/Pelvis 719.45 TENS, IFC

Joint Pain/Leg 719.46 TEN, IFC

Pain in Limb 729.5 TENS

AQC Ankle/Foot Defect 736.79 NMES

Tear Lateral Meniscus 836.1 NMES

Dislocated Patella 836.3 NMES

Sprain/Cruciate Ligament (Knee) 844.2TENS, IFC, NMES

Sprain/Knee and Leg 844.9 NMES

Cervicalgia 723.1 TENS, IFC

Brachial Neuritis 723.4 TENS

Spinal Stenosis/Lumbar 724.02 TENS

Pain in Thoracic Spine 724.1 TENS

Lumbago 724.2 TENS, IFC

Sciatic 724.3 TENS

Muscle Disuse Atrophy 728.2 NMES, PFES

Muscle Weakness 728.87 NMES, PFES

Muscle Spasm 728.85 NMES, IFC

Muscle/Ligament DIS NEC 728.9 TENS, IFC,NMES

Myalgia/Myositis 729.1 TENS

Lumbosacral Neuritis 724.4 TENS

Backache 724.5 TENS, IFC

Other Back Symptoms 724.8 TENS

Myalgia/Myositis 729.1 TENS

Neuralgia/Neuritis 729.2 TENS

Sprain/Thoracic Region 847.1 TENS, IFC

Sprain/Lumbar Region 847.2 TENS, IFC

Neuralgia/Neuritis NOS 729.2 TENS, IFC

Pain in Limb 729.5 TENS, IFC

Spinal Cord Injury 952.9 NMES

Serum Reaction 999.5 TENS

Joint Replacement Knee V43.65 NMES

Post Surgical State V45.89 TENS, IFC, NMES24242424NexWave Confidential


Recommended Treatment ProtocolsPad Locations

and

Refer to the NexWave Users Manual


Summary of the NexWave

User Friendly Design and Operation

The Nine Preprogrammed Modes of Stimulation

Device Operating InstructionsDevice Operating Instructions


Conditions Treated by the NexWave


NexWave

Questions?


NexWave Training for Hyderabad, India ppt 091313

127p


ZMPCZM016000.10.02 Nexwave Training for Hyderabad, India.

Health & Medicine

Transcript of ZMPCZM016000.10.02 Nexwave Training for Hyderabad, India.