FAQ

Q 1: What are the advantages and disadvantages of TENS?
Q 2: Can TENS be safely used to a pregnant patient?
Q 3: Is TENS contraindicated for patients who suffering pacemaker or defibrillator?
Q 4: What is the safety of using TENS?
Q 5: Please suggest the treating points for using TENS device?
Q 6: Please suggest the treating points for the EMS device?
Q 7: What is the safety of using EMS device?
Q 8: Please illustrate how to use the Pelvic MS device?
Q 9: What is different between a TENS and Electrical Muscle Stimulator?
Q 10: What is the safety of using HVG device?
Q 11: Please suggest the treating points for using the High Voltage?
Q 12: What is safety of using Micro Current?
Q 13: Please suggest the treating points for using the Micro Current device?
Q 14: What is safety of using COMB STIM device?
Q 15: Can I place both electrodes over various muscle groups at the same time?
Q 16: How to use electrode?
Q 17: Is photon therapy as same as using lasers from treatment?
Q 18: What is the effect of infrared ray on human body?
Q 19: How does light actually effect and help on human's health problems?
Q 20: What is the Ultrasound Therapy?
Q 21: Why should use gel for ultrasound treatment?
Q 22: How soon can I feel relief after treating by these devices?
Q 23: Are there any adverse reactions will occur when I use these medical devices?

Q 1: What are the advantages and disadvantages of TENS?

Advantages:
TENS device can relief and management of pain. TENS unit are in control and can adjust the length and intensity of treatment.TENS does not involve the use of drugs. For patients who find it helpful. TNES is an easy operated device, simple, easy carry.

Disadvantages:
TENS might have adverse reaction. Possible allergic skin reaction to tape or gel. This often can be avoided by changing the type of gel or electrode used.
It is not clear whether TENS is safe for pregnant women. People who wear pacemakers should ask their doctors about whether TENS is safe for them.

Q 2: Can TENS be safely used to a pregnant patient?

TENS units is not recommended used for the pregnancy unless under medical supervision.

Q 3: Is TENS contraindicated for patients who suffering pacemaker or defibrillator?

TENS is not recommended for patients (with know heart disease without physical evaluation of possible risk). TENS devices can affect the operation of demand type cardiac pacemakers. So it not suitable for those using a demand type pacemaker. And do not stimulate over the eyes or carotid sinus nerves. If you have epilepsy or heart disease please seeks for medical advice before use.

Q 4: What is the safety of using TENS?

Caution: Federal law (USA) restricts to sale by or on the order of a physician.

Indications: Transcutaneous Electrical Nerve Stimulation (TENS) is used for the symptomatic relief and management of chronic (long-term) intractable pain and as an adjunctive treatment in the management of post surgical and post traumatic acute pain problems.

Contraindications: TENS devices can affect the operation of demand type cardiac pacemakers. TENS is not recommended for patients with known heart disease. Do not stimulate over the eyes or carotid sinus nerves. Do not apply TENS either transcerebrally or transthoracically. Do not apply TENS for undiagnosed pain syndromes until etiology is established.

Warnings: This device should be used only under the continued supervision of a physician. TENS is ineffective for pain of central origin. TENS has no curative value. It is a symptomatic treatment which suppresses pain sensation which would otherwise serve as a protective mechanism. Safety of TENS devices for use during pregnancy or delivery had not been established. For external use only. Electronic equipment such as ECG Monitors and EKG alarms may not operate properly when TENS is in use. Keep out of reach of children.

Precautions: Avoid using TENS while operating machinery or vehicles. Turn the stimulator off before applying or removing electrodes. Long-term stimulation at the same electrode site may cause skin irritation. Use only for the specific pain problem prescribed by physician. Effectiveness is dependent upon patient selection.
Adverse Reactions: Possible allergic reaction, Skin irritation or electro-burn under self-adhesive electrode.

Q 5: Please suggest the treating points for using TENS device?

The following picture shows how to use in a properly points. And place the electrodes on the dark point.

Q 6: Please suggest the treating points for the EMS device?

The following picture shows how to use in a properly points. And place the electrodes on the dark point.

Shoulder Dislocation	Back Re-Education
Hip Muscle	Quadriceps Strengthening

Q 7: What is the safety of using EMS device?

• Caution: Federal law USA restricts this device to sale by or on the order of a physician. Keep out of the reach of children.
  
• Indications: Electrical muscular stimulator take the advantage of electricity to stimulate the hypodemic motor system (the nerves and muscles) transcutaneously to increase the spontaneous muscle contraction. Relaxation of muscle spasm. Prevention or retardation of disuse atrophy. Increase local blood circulation. Muscle re-education. Immediate post surgical stimulation of calf muscles to prevent venous thrombosis. Maintaining or increasing range of motion.
  
• Contraindications: Electric Muscular stimulation devices should be keep out of the reach of children.
  
• Do not stimulates over the carotid sinus nerves.
  
• Severe spasm of the laryngeal and pharyngeal muscles may occur when the electrodes are placed across the neck or the mouth. This may be strong enough to close off the airway.

Warning:
Patient should never operate potentially dangerous machinery such as power saws, automobiles, etc. during stimulation. The safety of stimulation for use during pregnancy or delivery has not been established.

Precautions/Side Effects: Long-term stimulation at the same electrode site may cause skin irritation. Should this occur, remove the electrodes and discontinue stimulation, consult your clinician to determine cause of irritation.

Q 8: Please illustrate how to use the Pelvic MS device?

• Treatment: Incontinence problem, prevention or retardation of muscle atrophy.
  
• The following picture shows how to use in a properly points.
  
• Treatment intensity: Different intensity for different people or follow the doctor's indication.
  
• Treatment time: 1~2 times each day, 20 minutes every time.

Optional Probe to use:
Apply suitable gel on the conductive rings of the probe. Set up the treatment program following doctor's instructions. Then, place the probe into the vagina (for woman) or anus (for man) about 5~7 cm deep. Please see the following pictures. Treatment time: 1~2 times each day, 15~30 minutes every time.

Q 9: What is different between a TENS and EMS?

TENS is designed to help relieve certain types of chronic and acute pain. It is used to simulate the nerve, muscle and cells via surface skin by low electricity to make the brain produce endorphin naturally and then to reach the goal of relieving syndromes and stopping pain.
EMS works by sending electronic stimulation to the muscle; thus allowing the muscle to contract hundreds of times per minute. This contracting of the muscles increases blood flow to the muscles which benefits tired aching muscles; and expedites the healing. The muscle stimulation can assist in re-educating and rebuilding injured muscles when you are unable to physically exercise.

Q 10: What is the safety of using HVG device?

Caution: Federal law restricts this device for sale by or on the order of a licensed physician or any other practitioner licensed by the law of the state in which he/she practices to use or order the use of this device.

Indications: High voltage pulsed galvanic stimulation may be used, with a physician's prescription for a variety of reasons. They include maintaining or increasing range of motion, re-educating muscles, reducing motor spasticity, increasing local blood circulation, preventing or retarding disuse atrophy and managing post-traumatic or post-surgical pain conditions.

Contraindications: Cancer patients or anyone with a demand type pacemaker should not use high volt pulsed galvanic stimulation.

Warnings: Adequate precautions should be taken in the cases of diagnosed or suspected epilepsy.

• Do not apply High Voltabe system device transcerebrally.Long term effects of chronic uses of High Voltage system device is unknown.
  
• Safety during pregnancy, labor or delivery has not been established.
  
• Adequate precautions should be taken in the cases of patients with heart problems.
  
• Placing the electrical stimulator across the heart or transthoracically may cause arrhythmia.
  
• Do not use High Voltage system device over the carotid sinus nerves, especially if there is sensitivity at the carotid sinus reflex.
  
• Do not place electrodes over the neck or mouth, or severe spasms of the laryngeal or pharyngeal muscles may occur.The contractions may be strong enough to cause a closing in the airway or difficulty in breathing.
• High Voltage system device should not be used over skin eruptions or swollen, infected and inflamed areas, e.g., phlebitis, thrombi phlebitis, varicose veins, etc.
  
• Keep out of reach of children.

Precautions: Precautions should be observed

• Where sensory nerve damage is present, loss of normal skin sensations may result.
  
• When stimulating over the menstruating uterus.
  
• Following recent surgical procedures when muscle contractions may disrupt the healing process.
  
• When there is a tendency to hemorrhage following acute trauma or fracture.
  

Additional Precautions:

• Do not immerse in water or other liquids.
  
• Turn the unit off when applying or removing electrodes.
  
• Do not use over the eyelids.
  
• Do not use High Voltage system device for any other purpose than that for which it is prescribed.
  
• If treatment is unpleasant or ineffective, consult your physician or therapist.
  
• This is for external use only.

Adverse Effects: Burns beneath the electrodes and skin irritation have been reported with the use of electrical muscle stimulators.

Q 11: Please suggest the treating points for using the High Voltage?

(1) Electrode placement:

• The Electrodes:
  
  • Electrode A-Ground
    
  • Electrode B-Positive wave
    
  • Electrode C-Negative wave
    
    
• Ground point: (A)
  • Place electrode between B & C
    
  • Two active points: (B/C)
    
  • Place electrodes around the treatment area.

  
  

(2) The following picture shows how to use in a properly points. And place the electrodes on the black point.

Heel Pain
Tennis Elbow	Neuroma Pain

Q 12: What is safety of using Micro Current?

Caution: Federal Law (USA) restricts this devices to sale by or on the order a licensed physician.
Indications: Mico current devices are used for the symptomatic relief and management of chronic (long term) intractable pain and as an adjunctive treatment in the management of postsurgical traumatic acute pain problems.

Contraindications:

• Do not place any electrodes to apply current to the carotid sinus (neck) region.
  
• Do not use of Micro current on patients who have demand type cardiac pace-makers.
  
• Do not place electrode placement that causes the current to flow trans-cerebrally (through the head).
  
• Do not use Micro current for undiagnosed pain syndromes until the etiology has been established.
  

Warnings:

• The safety of Micro current during pregnancy or delivery has not been established.
  
• is not effective for pain of central origin. (This includes headache).
  
• devices should be used only under the continued supervision of a physician.
  
• devices have no curative value.
  
• is a symptomatic treatment and as such suppresses the sensation of pain which would otherwise serve as a protective mechanism.
  
• The user must keep the device out of the reach of children.
  
• Electronic monitoring equipment such as ECG monitors and ECG alarms may not operate properly when stimulation is in use.
  

Precautions:
Isolated cases of skin irritation may occur at the site of electrode placement following long term application. Effectiveness is dependent upon patient selection.
Minor skin irritation at the electrode site has been documented, on occasion, with certain hypersensitive individuals.

Adverse Reactions: Possible allergic reaction, skin irritation or electro-burn under self-adhesive electrode.

Q 13: Please suggest the treating points for using the Micro Current device?

The following picture shows how to use in a properly points, and place the electrodes as indicated .

Q 14: What is safety of using COMB STIM device?

Caution: Federal law USA restricts this device to sale by or on the order of a physician. Keep out of the reach of children.

Indications:

• Relaxation of muscle spasm.
  
• Prevention or retardation of disuse atrophy.
  
• Increase local blood circulation.
  
• Muscle re-education.
  
• Immediate post surgical stimulation of calf muscles to prevent venous thrombosis.
• Maintaining or increasing range of motion.
  

Contraindications:

• Children - Electric neuromuscular stimulation devices should be keep out of the reach of children.
  
• Carotid Sinus- Do not stimulates over the carotid sinus nerves.
  
• Neck Stimulation - Severe spasm of the laryngeal and pharyngeal muscles may occur when the electrodes are placed across the neck or the mouth. This may be strong enough to close off the airway.
  
• Machinery Operation - Patient should never operate potentially dangerous machinery such as power saws, automobiles, etc. during stimulation.
  
  • Precautions/ Side Effects:
    
  • Long-term stimulation at the same electrode site may cause skin irritation. Should this occur, remove the electrodes and discontinue stimulation, consult your clinician to determine cause of irritation.
• Pregnancy - The safety of stimulation for use during pregnancy or delivery has not been established.

Q 15: Can I place both electrodes over various muscle groups at the same time?

Yes, the EMS unit has two single outlet leads and four electrode pads to stimulate more than one muscle at one treatment.

Q 16: How to use electrode?

Place the electrodes on the point around the pain / surgical site or follow the doctor's indication. Please see the following pictures.

Treatment 1:

Treatment 2:

Q 17: Is photon therapy as same as using lasers from treatment?

Though the therapy is similar. Therapeutic laser light is generally either visible (red) or invisible (infrared).
Photon therapy operates in both the visible and infrared spectrum of light.

Q 18: What is the effect of infrared ray on human body?

For example:

• Relieving of pain.
  
• Improve strength and health
  
• Speed up repair of body cells
  
• Improve oxygen level in our body
  
• Promoting the elimination of nasty toxins
  
• Beauty care treatment: such as anti-wrinkle, prevent the formation of melain pigment.
  

Q 19: How does light actually effect and help on human's health problems?

One of the pathway prompts the brain to release of cortisol and other healing hormones. This is important because the brain has the ability to switch off and ignore pain signals. Another pathway is the improvements made to the way the cells work and produce energy. A wide range of conditions from sports injuries to non-healing ulcers and form rheumatism to chronic fatigue.

Q 20: What is the Therapyl Ultrasound?

Ultrasound permeates into deep skin texture with transformed hear and micro vibration to reach revival effect. (It penetrates heat to massage the cells and cause a movement and vibration of the cell nucleus, which is turn cause a regeneration of the cells.
Vibration and the cavitations would remove old cuticle and oiled waste out of the pores. It will reduce acne that orange peel look, wrinkles and puffiness, remove the dead skin cell layer, abolish pigment disorders, promote total skin clarity and drive products deep into the skin. The deep heat helps to relieve pain, inflammation, reduces muscle spasms, and accelerates healing. Depending on the treatment area, range of motion may be increased.

Q 21: Why should I use gel for ultrasound treatment?

Ultrasound cannot transmit in the air. If the treatment head does not completely contact with the skin, the result would not meet your expectation. Research shows, the transmission proportion of ultrasound in the air is 0, about 50% in general water, 60% in distilled water, near 70% in glue matter, and above 70% in special gel. Besides, another efficacy of ultrasound is to promote the skin absorbing outside matters, no matter nutrition or dirt. Hence, the transmission is worthy to be noticed, except cleaning your skin before using ultrasound device; we also suggested you use special gels or creams (they must be certified by hygiene organization) in case side effects.

Q 22: How soon can I feel relief after treating by these devices?

The answer for this is depends on the person who use and the commitment from the therapy. These units are designed to be used several times a day. Patients who treat as recommended often feel results within the first week or two, but relief can take 30-60 days in some cases. Each case is different, and some conditions are much more difficult to successfully treat than others. The majority of patients who follow the recommended treatment guidelines do achieve significant results.

Q 23: Are there any adverse reactions will occur when I use these medical devices?

Possible allergic reaction to tape or gel. Possible skin irritation or electrode burn under electrode. If skin irritation persists, discontinue use and consult a physician.