EN Digital TENS/EMS device with heat function
Instructions for use .................................................................................. 4
EM 89 Heat
2
B
C
1 2
3 4
A
B
B
B
C
D
D
D
3
1
2
5
6 78
4
13
14
15
11
10
12
9
18
19
20
21
16
17
A
A B
C
D
3
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
Ch1
Ch3
Ch2
Ch4
4
ENGLISH
Table of contents
1. Included in delivery ........................................................................................... 4
2. Getting to know your device .............................................................................4
3. Signs and symbols ............................................................................................ 5
4. Intended use ......................................................................................................6
5. General warnings ...............................................................................................7
6. Device description ............................................................................................. 9
7. Initial use .......................................................................................................... 9
8. How to use ......................................................................................................10
9. Heat ................................................................................................................. 10
10. Program overview ..........................................................................................11
11. Customisable programs ................................................................................13
12. Favourites program .......................................................................................14
13. Therapy memory ...........................................................................................14
14. Electric current parameters ...........................................................................14
15. Cleaning and storage .................................................................................... 15
16. Disposal ......................................................................................................... 16
17. Problems and solutions ................................................................................. 16
18. Replacement parts and wearing parts .......................................................... 16
19. Technical specifications ................................................................................ 17
20. Guarantee/service ......................................................................................... 18
Read these instructions for use carefully and keep them for later use. Make them accessible to other users and note the information they contain.
1. INCLUDED IN DELIVERY
Check that the exterior of the cardboard delivery packaging is intact and make sure that
all contents are included in the delivery. Before use, ensure that there is no visible dam-
age to the device or its components, and that all packaging material has been removed.
If you have any doubts, do not use the device and contact your retailer or the specified
Customer Services address.
A
A 8 x electrodes including gel pads
B 1 x EM 89 Heat device
C 1 x USB charging cable
D 1 x storage bag
2. GETTING TO KNOW YOUR DEVICE
What is the Digital TENS/EMS device and what can it do?
The Digital TENS/EMS device belongs to the group of electrostimulation devices. It in-
cludes three basic functions:
1. Electrical stimulation of nerve tracts (TENS)
2. Electrical stimulation of muscle tissue (EMS)
3. A massage eect triggered by electrical signals.
The device features two independent stimulation channels and eight electrodes with
self-adhesive gel pads. It oers a wide range of functions for increasing general well-be-
ing, pain relief, maintaining physical fitness, relaxation, muscle revitalisation and combat-
ing tiredness. For these purposes, you can either choose from preset programs or specify
your own to suit your individual needs. Electrostimulation devices utilise the operating
principle of imitating pulses in our bodies – these simulated pulses are transferred to
nerve and muscle fibres using electrodes, via our skin. The electrodes can be applied to
many parts of the body, as the electrical pulses produced are completely harmless and, if
set up correctly, painless. In certain applications you may perceive just a slight tingling or
vibrating sensation. The electrical pulses that are sent into the tissue influence the trans-
mission of stimulation into nerves, nerve centres and muscle groups in the application
area. Electrical muscle stimulation (EMS) is a widely used and recognised method which
has been used in sports and rehabilitation medicine for years.
Electrostimulation is generally only noticeably eective with regular use. Electrostimula-
tion of muscles is not a substitute for regular training. However, it is a useful, supplemen-
tary training element.
Getting to know the TENS device
TENS (transcutaneous electrical nerve stimulation) is the electrical stimulation of nerves
through the skin. TENS is an eective non-pharmacological method for treating dierent
types of pain from a variety of causes. It has no side eects if administered correctly. The
method has been clinically tested and approved and can be used for simple self-treat-
ment.
5
The pain-relieving or pain-suppressing eect is achieved by inhibiting the transfer of pain
to nerve fibres (mainly by means of high-frequency pulses) as well as by increasing the
secretion of endorphins in the body, because they have an eect on the central nervous
system which reduces the sensation of pain.
The method has been scientifically substantiated and approved as a form of medical
treatment. Any symptoms that could be relieved using TENS must be checked by your
GP. Your doctor will also give you instructions on how to carry out a TENS self-treatment
regime.
Getting to know the EMS device
In sports and fitness, electrical muscle stimulation (EMS) is used to complement con-
ventional muscle training, to increase the performance of muscle groups and to adjust
physical proportions to achieve the desired aesthetic results, amongst other things. There
are two dierent types of EMS application. One is for targeted strengthening of muscles
(activating application), and the other is to achieve a relaxing, restful eect (relaxing ap-
plication).
Getting to know MASSAGE
Thanks to integrated massage technology, the device is also able to relieve muscle ten-
sion and combat fatigue with a program based on the sensation and eects of a real
massage.
The positioning suggestions and program tables in these instructions for use enable you
to quickly and easily determine the appropriate application (depending on the aected
area of the body) and set the device to achieve the desired eects. Thanks to the four
separately adjustable channels, the Digital TENS/EMS device oers you the advantage
of being able to set the intensity of the pulses independently from each other for four
treatment areas on the body, for example to cover both sides of your body or to evenly
stimulate larger areas of tissue.
The option to individually set the intensity of each channel also enables you to treat two
separate areas of the body simultaneously instead of having to treat the individual areas
in turn. This saves you time.
To enable pain to be alleviated even more pleasantly, with the EM 89 Heat you can also
switch on a soothing heat function, with two levels available and a maximum heat of
43°C.
Heat has been shown to promote circulation and relaxation. The heat function of the EM
89 Heat can be used with stimulation or on its own.
3. SIGNS AND SYMBOLS
The following symbols are used on the device, in these instructions for use, on the pack-
aging and on the type plate for the device:
WARNING
Indicates a potentially impending danger. If it is not avoided, death or serious injury
will occur.
CAUTION
Indicates a potentially impending danger. If it is not avoided, slight or minor injuries
may occur.
NOTICE
Indicates a potentially harmful situation. If it is not avoided, the system or something
in its vicinity may be damaged.
Product information
Note on important information
Observe the instructions
Read the instructions before starting work and/or operating devices or
machines
IP22
Protected against ingress of solid foreign objects greater than 12.5mm in
diameter. Protected against drops of water falling at up to 15° from vertical.
S
N
Serial number
Application part, type BF
The electronic device must not be disposed of with household waste
Do not dispose of batteries containing harmful substances with household
waste
CE labelling
This product satisfies the requirements of the applicable European and
national directives.
Manufacturer
6
The device can emit eective output values above 10mA, averaged over every
5-second interval
B
A
Marking to identify the packaging material. A = material abbreviation,
B = material number: 1–7 = plastics, 20–22 = paper and cardboard
Separate the product and packaging elements and dispose of them in
accordance with local regulations.
The device may not be used by people with medical implants (e.g.
pacemakers), as this may aect their functionality.
Importer symbol
Date of manufacture
Temperature limit
Humidity limitation
Atmospheric pressure limitation
Medical device (MDR symbol)
Article number
UDI
Unique device identifier (UDI)
Identifier for unique product identification
Type number
Use by date
Swiss authorised representative
4. INTENDED USE
TENS/EMS/massage purpose
The device is intended to treat pain using TENS technology (transcutaneous electrical
nerve stimulation). This pain relief can be applied to dierent areas of the human body as
identified in the following eight indication areas.
As a non-medical purpose, the device can also be used with EMS technology (electrical
muscle stimulation) to strengthen the muscles, and for regeneration and relaxing mas-
sages.
TENS/EMS/massage target group
This device is intended for self-treatment in the home, and not in professional healthcare
facilities. Suitable for use by all adults suering from pain as indicated in the indications
below.
Clinical benefits
Treatment of pain due to various causes.
Non-clinical benefits
• Muscle training to increase endurance and/or
• training to support the strengthening of specific muscles or muscle groups, and to
achieve the desired changes to physical proportions.
• Acceleration of muscle regeneration after intense muscular output (e.g. after a mar-
athon).
• Improving symptoms of muscular fatigue.
• Muscle relaxation for easing muscle tension.
Indications
Use of the device is advised for:
• Back pain– pain at rest and on exertion
• Joint pain– pain at rest and on exertion
• Neuralgia, including phantom pain
• Menstrual cramps
• Pain due to circulatory disorders– pain at rest and on exertion
• Headaches
• Pain after musculoskeletal injuries– pain at rest and on exertion
• Chronic pain due to various causes– pain at rest and on exertion
Contraindications
• The device must never be used near to the heart. The stimulation electrodes must not
be placed on any part of the front ribcage (where the ribs and breastbone are located),
7
and especially not on the two large pectorals. This can increase the risk of ventricular
fibrillation and induce cardiac arrest (see “General warnings” section).
• Do NOT use the device
- On the skeletal skull structure, or around the mouth, throat or larynx.
- In the neck/carotid artery area.
- In the genital area.
- If you have implanted electrical devices
(e.g. a pacemaker).
- If you have metal or electrical implants.
- If you use an insulin pump.
- If you have a high temperature (e.g. > 39°C).
- If you have a known or acute cardiac arrhythmia or disorders of the heart’s con-
duction system.
- On acutely or chronically diseased (injured or irritated) skin (e.g. inflamed skin –
whether painful or not, reddened skin, rashes (e.g. allergies), burns, bruises, swell-
ings, both open and healing wounds, or post-operative scars that are healing).
- If you suer from a seizure disorder (e.g. epilepsy).
- If you are pregnant.
- If you have cancer.
- After an operation, if strong muscle contractions could aect the healing process.
- If you are connected to a high-frequency surgical device.
- If you have an acute or chronic disease of the gastrointestinal tract.
- In the case of a known allergy to the electrode material
- On acutely or chronically aected (by injury or irritation) skin (e.g. inflamed skin°–
whether painful or not; reddened skin; rashes, e.g. due to allergies; burns; bruising;
swelling; open and healing wounds and post-operative scars where the healing
process could be impaired)
WARNING
Undesirable side eects
• Skin irritation
• Feeling of pressure at the electrode location
• Slight redness, burning and pain of the skin after treatment
• Paraesthesia
• Discomfort
• Sleepiness
• Vibration of muscles
• Tension
• Headaches
• Increased menstrual bleeding
• Allergic reactions to components
5. GENERAL WARNINGS
WARNING
The device is not a substitute for medical consultation and treatment. Always
consult your doctor first in the event of pain or illness. Before using the device,
consult your doctor if any of the following apply to you:
• If you suer from an acute medical condition, in particular if you suspect or have
been diagnosed with high blood pressure, a blood coagulation disorder, propensity to
thrombo-embolic conditions or recurrent malignant growths.
• If you have any skin conditions.
• If you have unexplained chronic pain in any part of the body.
• If you suer from diabetes.
• If you have any sensory impairment that reduces the feeling of pain (e.g. metabolic
disorders).
• If you are receiving medical treatment.
• In the event of complaints linked to the stimulation treatment.
• If you suer from persistently irritated skin due to long-term stimulation at the same
electrode site.
• Stimulation should not be carried out
- on or through the head,
- directly on the eyes,
- over the mouth,
- on the front of the neck (particularly not the carotid sinus), or
- with the electrode surfaces placed on the chest, upper back or
- across the heart.
ONLY USE DIGITAL TENS/EMS DEVICE:
• On people.
• For the intended purpose and as specified in these instructions for use. Any form of
improper use can be dangerous.
• For external use only.
8
• With the supplied and reorderable genuine replacement parts to ensure safe use.
Failure to do so voids the warranty and may result in risks for the user. Only use the
replacement parts specified in the accompanying documents.
• This device is NOT intended for use by people with restricted physical, sensory or
mental skills or a lack of experience and/or a lack of knowledge, unless they are
supervised by a person who has responsibility for their safety or they receive instruc-
tions from this person on how to use the device.
• Children must not play with the device.
• The device is only intended for domestic/private use, not for commercial use.
CAUTION
• Do not use in humid environments (e.g. in the bathroom) or when bathing or show-
ering.
• Do not use after consuming alcohol.
• Always pull gently on electrodes to remove them from the skin to prevent injuries in
the unusual case of highly sensitive skin.
• Hold the device away from sources of heat and do not use it in close proximity (ap-
prox. 1 m) to shortwave or microwave devices (e.g. mobile phones), as doing so can
result in unpleasant current peaks.
• Do not expose the device to direct sunlight or high temperatures.
• Protect the device from impact, dust, dirt and moisture.
• Never immerse the device in water or other liquids.
• The device is suitable for self-treatment.
• For hygiene reasons, the electrodes may only be used on one person.
• If the device does not work properly, or if you feel unwell or experience pain, stop
using it immediately.
• Switch o the device or the respective channel first before removing or moving the
electrodes to prevent unintentional stimulation.
• Do not modify electrodes (e.g. by cutting them). Doing so increases the current den-
sity, which is potentially hazardous (max. recommended output value for the elec-
trodes is 9 mA/cm², an eective current density beyond 2mA/cm² requires increased
caution).
• Make sure that the electrodes are in full contact with the skin.
• Using worn-out electrodes can cause skin irritation to occur, because an even distri-
bution of current over the entire surface is no longer guaranteed. For this reason, the
electrodes should be replaced if any discolouration occurs.
• Do not use whilst asleep, driving a vehicle or operating machinery.
• Do not use whilst undertaking any activity where an unexpected reaction (e.g. strong
muscle contractions even at low intensity) could be dangerous.
• Ensure that no metallic objects (e.g. belt buckles or necklaces) come into contact
with the electrodes during stimulation. If you are wearing jewellery or have piercings
in the area to be treated (e.g. a navel piercing), these must be removed before using
the device; failure to do this could result in spot burns.
• Keep the device away from children to prevent potential hazards.
• Make sure not to confuse the electrode cables and their contacts with your head-
phones or other devices, and do not connect the electrodes to other devices.
• Do not use this device whilst using other devices that transmit electrical pulses to
your body.
• Do not use in the vicinity of highly flammable substances, gases or explosives.
• During the initial few minutes, use the device while sitting or lying down to minimise
the risk of accidental injuries as a consequence of isolated cases of vagal responses
(feeling of faintness). If you feel faint, switch o the device immediately, lie down and
support the legs in an elevated position (approx. 5–10 minutes).
• Treatment of the skin with moisturising lotions or ointments beforehand is not recom-
mended as this considerably increases electrode wear and may cause uncomfortable
current peaks.
• Keep packaging material away from children (risk of suocation!).
• Store the device in a dry place (use indoors only). To avoid the risk of fire and/or elec-
tric shock, protect the device from high humidity and water.
Damage
• If the device is damaged, do not use it and contact your retailer or the specified Cus-
tomer Services address.
• To ensure that the device functions eectively, do not drop it or dismantle it.
• Check the device for signs of wear and tear or damage. If there are such signs of wear
and tear or damage or if the device was used improperly, it must be returned to the
manufacturer or retailer before further use.
• Switch the device o immediately if it is faulty or not working properly.
• Never attempt to open and/or repair the device yourself. Repairs may only be carried
out by Customer Services or authorised retailers. Failure to observe this will void the
guarantee.
• The manufacturer is not liable for damage resulting from improper or incorrect use.
9
Notes on handling batteries
WARNING
• Risk of explosion! Risk of fire! Failure to comply with the points mentioned can result
in personal injury, overheating, leakage, venting, breakage, explosion, or fire.
• Always use the correct or supplied charging cable/charger/mains adapter for charging.
• Avoid continuous charging or overcharging. Unplug the charger when charging is
complete.
• Charge the device under supervision, paying attention to any heat generated,
deformation, or release of gases. If in doubt, stop charging.
• If batteries/charging cables/chargers are defective, stop using them and dispose of
them properly as soon as possible (see chapter on disposal).
• Do not throw the device or batteries into a fire.
• Never forcibly discharge, heat, disassemble, open, crush, deform, encapsulate,
modify, or knock the device or batteries.
• Never short-circuit batteries or the connections of the battery-powered device.
• Protect the device or batteries from direct sunlight, rain, heat, and water.
• Exposure of batteries to an environment with extremely high temperatures or an
extremely low air pressure may result in explosion or leakage of flammable liquids
and gases.
• If fluid from a battery comes into contact with your skin or eyes, wash the aected
areas with water and seek medical assistance.
NOTICE
• This device contains a battery that is not replaceable. Once a battery has reached
the end of its service life, the device must be disposed of properly (see chapter on
disposal).
6. DEVICE DESCRIPTION
Buttons:
The associated drawings are shown on page 4.
1
ON/OFF button
2
ENTER button
3
MENU button
4
Adjustment buttons (
/ /
Ch3
/
Ch4
)
5
Heat button
6
Electrode connection,
channels 1 and 2
7
Electrode connection,
channels 3 and 4
8
Charging socket
Display (full screen):
9
Menu
/ /
10
Favourite program set
11
Button lock
12
Battery level
13
Program number
14
Timer function (display of remaining
time) and on/o time
15
Display for frequency (Hz) and pulse
width (µs)
16
Low/high heat function
/
17
Electrode positioning indicator
18
Pulse intensity, channel 1
19
Pulse intensity, channel 2
20
Pulse intensity, channel 3
Ch3
21
Pulse intensity, channel 4
Ch4
7. INITIAL USE
You must fully charge the EM 89 Heat before you use it for the first time. To do so, pro-
ceed as follows:
1.
Connect the USB charging cable to a suitable mains adapter (output voltage max.
5V/2A), see “Replacement parts and wearing parts” section and the EM89 Heat (mains
adapter not included, available as a servicing item).
2. Then insert the mains adapter into a suitable socket. You cannot use the device while
it is being charged.
3. Do not pull, twist or sharply bend the cables
B 2
.
4. After the charging process is complete, apply the provided gel pads to the electrodes.
To do this, carefully remove one of the protective films
B 3
.
5.
Carefully attach the gel pad to the electrode and gently peel o the protective film
B 4
. Ensure that the edge of the gel pad does not protrude over the electrode. Applying
gel pads slightly askew will not aect their function.
10
WARNING
Peel o the protective film slowly and carefully. Make sure that the self-adhesive gel pad
is not damaged, as damage or unevenness on the gel pad may cause skin irritation.
8. HOW TO USE
8.1 Starting use
Step 1: Find a suitable program in the program tables (see “Program overview” section).
Step 2: Place the electrodes on your target area (for positioning suggestions, see page 5
“Information on electrode positioning”) and connect them to the device.
Step 3: Hold the ON/OFF button
pressed for at least one second to switch on the
device.
Step 4: Press the MENU button to navigate through the / /
menus and confirm your choice by pressing the ENTER button.
Step 5: Use the / adjustment buttons to select the program number you want and
press the ENTER button to confirm your selection. At the start of the stimulation treat-
ment, the pulse intensity of / /
Ch3
and
Ch4
is set to “00” by default. No
pulses are sent to the electrodes yet.
Step 6: Use the
/ intensity adjustment buttons on the right-hand side as relevant for
/ /
Ch3
and
Ch4
to select your preferred pulse intensity. The indicator for
pulse intensity in the display changes accordingly. The grey electrodes belong to chan-
nels 1 and 3, the red electrodes to channels 2 and 4.
Step 7: You can activate the heat function using the Heat button. The first press of the
button activates the low heat level, the second button press activates the high heat level,
and the third button press deactivates the heat function.
8.2 Notes on use
• After 30 seconds of inactivity, the device’s illuminated display switches o automat-
ically. You can reactivate it by pressing any button (except the ON/OFF button
).
• The device switches itself o automatically if you do not use it for one minute (au-
tomatic switch-o). When switched on again, the LCD screen of the menu selection
appears with the most recently used menu flashing.
• A brief acoustic signal is output when a valid button is pressed. Two brief acoustic
signals are output when an invalid button is pressed.
• You can pause the stimulation at any time by briefly pressing the ON/OFF button
.
To continue the stimulation, set your preferred pulse intensity again.
GENERAL INFORMATION
If you wish to return to the previous selection menu, press the MENU button. By press-
ing and holding the ENTER button, you can skip individual setting steps and start
stimulation treatment straight away.
Button lock
Locks the buttons to avoid them being pressed unintentionally.
1.
To activate the button lock, hold down the ENTER button for approx. 3seconds,
until the symbol is visible in the display.
2.
To deactivate the button lock, hold down the ENTER button again for approx. 3 sec-
onds, until the symbol disappears from the display.
Pausing use
You can pause the stimulation at any time by briefly pressing the ON/OFF button
.
To continue the stimulation, set your preferred pulse intensity again.
9. HEAT
In addition to the TENS/EMS/Massage programs, the EM89 Heat also oers two heat
levels which can be activated as required for all programs, see “Starting use” section. The
heat supplied via the gel pads relaxes the muscle and improves circulation. You can acti-
vate the first level of the heat function by pressing the Heat button. Then wait a moment
until the temperature stops increasing. If the temperature is too low for you, you can acti-
vate the second level of the heat function by pressing the Heat button again. If you would
like to deactivate the heat function, you can do so by pressing the Heat button again.
If you want to use the heat function separately, without additional stimulation, proceed
as follows:
Step 1: Position the electrodes in your preferred target area. (See “Information on elec-
trode positioning” section for positioning suggestions) and connect them to the device.
To use the heat function, always apply both electrodes of the channel being used. The
channels used are shown on the display.
Step 2: Press and hold the ON/OFF button for at least one second to switch on the
device.
Step 3: Press the Heat button to access heat function adjustment.
11
Step 4: Use the / adjustment buttons to select your preferred treatment time and
press the ENTER button to confirm your selection.
Step 5: The first level of the heat function is set, and the
symbol lights up. Then
wait a moment until the temperature stops increasing. If the temperature is too low for
you, you can activate the second level of the heat function by pressing the Heat button
again. The symbol appears. Pressing the Heat button again switches the device
back to the lower heat level ( ).
If the heat function is not working properly, make sure that both electrodes of the
channel being used are connected to the body. To do this, pause usage, apply
the electrodes correctly and continue usage. If both electrodes are applied cor-
rectly, the corresponding channel is shown on the device display.
10. PROGRAM OVERVIEW
The Digital TENS/EMS device features a total of over 70 programs:
• 15 TENS programs
• 35 EMS programs
• 20 MASSAGE programs
In all of the programs you can set the pulse intensity of the four channels individually.
You can also set various parameters in TENS programs 13-15 and EMS programs 33-35
to adjust the stimulating eect to the application area.
10.1 TENS program table
Prog.
no.
Eective application areas, indications Running
time (min)
Possible elec-
trode positioning
1 Pain in upper limbs 1 30 12–17
2 Pain in upper limbs 2 30 12–17
3 Pain in lower limbs 30 23–27
4 Ankle pain 30 28
5 Shoulder pain 30 1–4
6 Pain in the back 30 4–11
7 Pain in buttocks and back of thighs 30 22, 23
8 Pain relief 1 30 1–28
9 Pain relief 2 30 1–28
Prog.
no.
Eective application areas, indications Running
time (min)
Possible elec-
trode positioning
10 Endorphin eect (burst) 30 1–28
11 Pain relief 3 30 1–28
12 Pain relief – chronic pain 30 1–28
TENS programs 13-15 can be set individually (see “Customisable programs”
section).
10.2 EMS program table
Prog.
no.
Eective application areas, indications Running
time (min)
Possible elec-
trode positioning
1 Warming up 30 1–27
2 Capillarisation 30 1–27
3 Strengthening the upper arm muscles 30 12–15
4 Maximising the strength of the upper arm
muscles
30 12–15
5 Explosive force of the upper arm muscles 30 12–15
6 Tightening the upper arm muscles 30 12–15
7 Shaping the upper arm muscles 30 12–15
8 Tightening the forearm muscles 30 16–17
9 Maximising the strength of the forearm
muscles
30 16–17
10 Shaping the forearm muscles 30 16–17
11 Tightening the abdominal muscles 30 18–20
12 Maximising the strength of the abdominal
muscles
30 18–20
13 Shaping the abdominal muscles 30 18–20
14 Toning the abdominal muscles 30 18–20
15 Strengthening the thigh muscles 30 23, 24
16 Maximising the strength of the thigh
muscles
30 23, 24
12
Prog.
no.
Eective application areas, indications Running
time (min)
Possible elec-
trode positioning
17 Explosive force of the thigh muscles 30 23, 24
18 Shaping the thigh muscles 30 23, 24
19 Toning the thigh muscles 30 23, 24
20 Strengthening the lower leg muscles 30 26, 27
21 Maximising the strength of the lower leg
muscles
30 26, 27
22 Explosive force of the lower leg muscles 30 26, 27
23 Shaping the lower leg muscles 30 26, 27
24 Toning the lower leg muscles 30 26, 27
25 Strengthening the shoulder muscles 30 1–4
26 Maximising the strength of the shoulder
muscles
30 1–4
27 Tightening the shoulder muscles 30 1–4
28 Strengthening the lower back muscles 30 4–11
29 Maximising the strength of the lower back
muscles
30 4–11
30 Tightening the gluteal muscles 30 22
31 Strengthening the gluteal muscles 30 22
32 Maximising the strength of the gluteal
muscles
30 22
EMS programs 33-35 can be set individually (see “Customisable programs”
section).
10.3 MASSAGE program table
Prog.
no.
Eective application areas, indications Running
time (min)
Possible elec-
trode positioning
1 Tapping massage 1
20 1–28
2 Tapping massage 2
3 Tapping massage 3
4 Kneading massage 1
5 Kneading massage 2
6 Pressure massage
7 Relaxing massage 1
8 Relaxing massage 2
9 Relaxing massage 3
10 Relaxing massage 4
11 Spa massage 1
12 Spa massage 2
13 Spa massage 3
14 Spa massage 4
15 Spa massage 5
16 Spa massage 6
17 Spa massage 7
18 Relaxing massage 1
19 Relaxing massage 2
20 Relaxing massage 3
WARNING
Do not apply the electrodes to the front wall of the chest, i.e. do not massage the large
left and right pectoral muscles.
10.4 Information on electrode positioning
The associated drawings are shown on page 5.
13
The useful positioning of electrodes is fundamental to the intended success of elec-
trostimulation applications.
We recommend that you consult your doctor to establish the ideal electrode positions for
your intended application area.
The figure on the display is intended as an initial aid to help you position the elec-
trodes.
The following applies to the selection of electrode positions:
Electrode spacing
The greater the distance between electrodes, the larger the stimulated tissue volume.
This applies to the area and depth of the tissue volume. At the same time, however, the
stimulation intensity applied to the tissue decreases with more distance between elec-
trodes. As a result, greater distances between electrodes mean a larger tissue volume is
stimulated, but less intensively. As such, you must increase the pulse intensity to boost
stimulation in this case.
The following guidelines apply when choosing the electrode distances:
• eective spacing: approx. 5-15 cm
• with spacing of less than 5 cm, the device will primarily apply strong stimulation to
surface structures.
• with spacing in excess of 15 cm, large areas and deep structures will be very weakly
stimulated.
Relationship between electrodes and muscle fibre structures
C
Adapt the current flow direction to the fibre structure of the muscle, according to the
muscle layer you would like to treat. If you are targeting superficial muscles, position
the electrodes parallel to the fibre structure (A – B / C – D) and if you are targeting deeper
layers of tissue, position the electrodes across the fibre structure. You can do this by
positioning electrodes as crosses (i.e. diagonally), such as A – D / B – C.
For pain relief treatment (TENS) using the Digital TENS/EMS device and its 4 sep-
arately adjustable channels and 2 electrodes each, it is advisable either to posi-
tion the electrodes of a channel so that the area aected by pain is between the
electrodes or to position one electrode directly on the area aected by the pain
and the other electrode at a minimum distance of 2 – 3 cm. You may use the elec-
trodes of the second channel to simultaneously treat additional areas aected by
pain or use them in conjunction with the electrodes of the first channel to restrict
the area aected by pain (position electrodes opposite). In this case, we again
recommend positioning electrodes in a cross arrangement.
Tip for the Massage function: always use at least 4 electrodes for optimum treat-
ment.
Use the electrodes on skin that is clean and preferably free from hair and grease
in order to prolong the life of the electrodes. If required, clean the skin with water
and remove hair prior to treatment.
If an electrode comes loose during use, the pulse intensity of the corresponding
channel is reduced to the lowest level. Apply the electrode again and reset your
preferred pulse intensity.
11. CUSTOMISABLE PROGRAMS
(Applies to TENS 13-15, EMS 33-35)
The TENS 13-15 and EMS 33-35 programs can be set individually according to your
needs.
• TENS 13 is a program that you can also customise. In this program, you can set the
pulse frequency to between 1 and 150 Hz and the pulse width to between 80 and
250 µs..
• The TENS 14 program is a burst program that you can also customise. Various pulse
sequences run in this program. Burst programs are suitable for all areas of applica-
tion to be treated with changing signal patterns (to minimise the level of becoming
accustomed to the treatment). In this program you can set a pulse width between
80 and 250 µs.
• TENS 15 is a program that you can also customise. In this program, you can set the
pulse frequency to between 1 and 150 Hz. The pulse width changes automatically
during the stimulation treatment.
• EMS 33 is a program that you can also customise. In this program, you can set the
pulse frequency to between 1 and 150 Hz and the pulse width to between 80 and
320 µs..
• EMS 34 is a program that you can also customise. In this program, you can set the
pulse frequency to between 1 and 150 Hz and the pulse width to between 80 and
450 μs. You can also set the working time and resting pause for this program to be-
tween 1 and 30 seconds each.
The EMS 35 program is a burst program that you can also customise. In this program,
the intensity varies over time. Burst programs are suitable for all areas of application to be
treated with changing signal patterns (to minimise the level of becoming accustomed to
the treatment). In this program, you can set the pulse frequency to between 1 and 150 Hz
and the pulse width to between 80 and 450 µs. You can also set the working time and
pause time for this program to between 1 and 30 seconds each.
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1. Position the electrodes on your preferred treatment area (for positioning suggestions,
see “Electrode positioning”) and connect them to the device.
2.
Select the EMS 34 program as described in the “Starting use” section (step 3 to step 5).
3. Use the / adjustment buttons to select your preferred working duration (“on time”)
and press the ENTER button to confirm (This step is omitted for the TENS 13, TENS
14, TENS 15 and EMS 33 programs).
4. Use the / adjustment buttons to select your preferred resting duration (“o time”)
and press the ENTER button to confirm (This step is omitted for the TENS 13, TENS
14, TENS 15 and EMS 33 programs).
5. Use the
/ adjustment buttons to select your preferred pulse frequency and press
the ENTER button to confirm (This step is omitted for the TENS 14 program).
6. Use the / adjustment buttons to select your preferred pulse width and press the
ENTER button to confirm (This step is omitted for the TENS 15 program).
7.
Use the
/
adjustment buttons to select your preferred treatment time and press
the ENTER button to confirm.
8. Use the
/ adjustment buttons as relevant in each case for / /
Ch3
and
Ch4
to select your preferred pulse intensity.
12. FAVOURITES PROGRAM
With the favourites program, you can define a favourite from the 70 TENS/EMS/MAS-
SAGE programs.
This makes it easier and quicker for you to access your favourite program.
If you have set a favourite program, when you switch on the device the favourite pro-
gram will be automatically accessed and started. You can then start stimulation directly
in your favourite program. A heart
on the display indicates that you are in the favourite
program.
The choice of favourite program may be based on your personal preference or, for exam-
ple, the advice of your doctor.
Setting the favourite program
1. Select your preferred program from the 70 programs and the corresponding settings
as described in the “Starting use” section.
2. To set the selected program as a favourite, press and hold the
button for 5 seconds.
3.
The saving of the favourite program is confirmed by a long acoustic signal. The sym-
bol also appears on the display. This shows you that you are in the favourite program.
When the device is switched on again, your favourite program is accessed directly.
Now you can no longer change to a dierent program. To access the other pro-
grams again, you must delete your favourite program (see the following section).
Deleting favourite program
To delete the favourite program and access the other programs again, press and hold
the
button for approx. 5 seconds. The pulse intensity of / /
Ch3
and
Ch4
must be set to in this process. Deletion of the favourite program is confirmed by a long
acoustic signal. The previously displayed favourites program symbol goes out.
13. THERAPY MEMORY
Your device records the treatment time in the therapy memory. This allows you to record
how long you have been using the device in total or for a specific period of time for your
treatments. This may be helpful when consulting your doctor.
Accessing the therapy memory
To access the therapy memory, switch the device on using the ON/OFF button and press
and hold the
button for 3 seconds.
The elapsed treatment time appears in the display. The top two numbers stand for hours;
the minutes are shown below.
Resetting the therapy memory
To reset the treatment time memory (therapy memory) to
press and hold the button
for 3 seconds.
Press the Menu button to return to selecting a program, or switch the device o using
the ON/OFF button.
The treatment time memory cannot be accessed if a favourite program is ac-
tivated.
14. ELECTRIC CURRENT PARAMETERS
Electrostimulation devices operate with the following electrical current parameters, which
may aect the stimulation results dierently depending on the setting:
15
14.1 Pulse shape
This describes the time function of the stimulating current.
A distinction is made between monophasic and biphasic pulse
currents. In monophasic pulse currents the current flows in one
direction, and in biphasic pulse currents the electrical pulse alter-
nates its direction.
The Digital TENS/EMS device only provides biphasic pulse cur-
rents as these relieve muscles, cause little muscle fatigue and oer
safer use.
14.2 Pulse frequency
The frequency indicates the number of individual pulses per second
and is displayed in Hz (Hertz). It can be calculated by determining
the cyclic value for the time period. The relevant frequency deter-
mines which types of muscle fibres react most favourably. Slow-reaction fibres react
more easily to lower pulse frequencies of up to 15 Hz, whereas rapid-reaction fibres only
respond from approximately 35 Hz up.
Pulses of approx. 45–70 Hz are linked with constant tension in the muscles and quicker
fatigue. Higher pulse frequencies are therefore better to use for speed strength and max-
imum power training.
14.3 Pulse width
This indicates the duration of an individual pulse in microseconds.
Among other aspects, the pulse width therefore determines the
penetration depth of the electricity, where usually larger muscle
mass requires a larger pulse width.
14.4 Pulse intensity
Adjusting the intensity level depends on the individual sensitivity
of each user and is determined by a variety of variables, such as
site of application, blood supply to the skin, skin thickness and the
quality of the electrode contact. The setting should be eective but
must never cause any unpleasant sensation, such as pain at the site of application. While
a gentle tingling indicates sucient stimulation energy levels, any setting that causes
pain should be avoided.
If using the device over an extended period, you may need to adjust the intensity level as
your muscles start to adapt to the pulse intensity.
14.5 Cycled pulse parameter variation
In many cases it is necessary to cover the overall tissue structure at the site of application
by applying several pulse parameters. In the Digital TENS/EMS device, this is achieved
by the provided programs, which automatically make a cyclical pulse parameter change.
This also prevents individual muscle groups at the site of application being aected by
fatigue.
The Digital TENS/EMS device provides useful preset current parameters. You can change
the pulse intensity at any time during use. In 6 programs you can also set various param-
eters for stimulation yourself.
15. CLEANING AND STORAGE
Gel pads
• To ensure that the gel pads remain adhesive for as long as possible, clean them
carefully with a damp, lint-free cloth under lukewarm running water and pat dry with
a lint-free cloth.
Before cleaning with water, remove the connection cable from the device.
• Following treatment, stick the electrodes back onto the carrier foil on the gel pad.
Cleaning the device
• Clean the device after use with a soft, slightly damp cloth. If it is very dirty, you can
also moisten the cloth with a mild soapy solution.
• Do not use any chemical or abrasive cleaning agents for cleaning.
Ensure that no water enters the device.
Reuse of the device
Once it has been properly prepared, the device can be used again. Preparation includes
cleaning of the surface of the device using a cloth moistened with a mild soapy solution.
Storage
• Do not make sharp bends in the connection cables or the electrodes.
• After use, stick the electrodes back onto the carrier foil for the gel pads.
• Store the device in a cool, well-ventilated location.
• Never place any heavy objects on the device.
• In order to achieve as long a battery service life as possible, fully charge the battery
at least every 6 months.
Pulse in-
tensity
Time
Monophasic pulses
Biphasic pulses
Period
duration
Pulse width
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16. DISPOSAL
For environmental reasons, do not dispose of the device in household waste at the end of
its service life. Dispose of the device at a suitable local collection or recycling
point in your country. Observe the local regulations for material disposal. Dis-
pose of the device in accordance with EC Directive Waste Electrical and Elec-
tronic Equipment (WEEE). If you have any questions, please contact the local
authorities responsible for waste disposal. You can obtain the location of col-
lection points for old devices from the local or municipal authorities, local
waste disposal companies or your retailer, for example.
Used, completely flat batteries must be disposed of via specially designated collection
boxes, recycling points or electronics retailers. You are legally required to appropriately
dispose of the batteries.
The codes below are printed on batteries containing
harmful substances:
Pb = battery contains lead
Cd = battery contains cadmium
Hg = battery contains mercury.
17. PROBLEMS AND SOLUTIONS
The device does not switch on when the ON/OFF button
is pressed. Solution
(1) Make sure that the ON/OFF button has been pressed and held for at least one
second.
(2) Make sure that the battery is fully charged.
(3) Charge the battery if necessary.
(4) Contact Customer Services.
The electrodes do not stick to the body. Solution
(1) Clean the gel pads using a damp, lint-free cloth. If they still do not stick securely, the
electrodes must be replaced.
(2) Clean the skin prior to any application; do not use skincare lotions or oils prior to
treatment. Shaving may increase the life of gel pads.
There is no noticeable stimulation. Solution
(1) Press the ON/OFF button
to interrupt the program. Ensure that the electrodes are
in firm contact with the treatment area.
(2) Ensure the connection plug is firmly connected to the device.
(3) Increase the channel intensity again.
(4) Gradually increase the pulse intensity.
(5) The battery is flat; please charge it.
The battery symbol is displayed. Solution
Charge the device, following the instructions from the “Initial use” section.
You are experiencing an uncomfortable sensation at the site of the electrodes. Solu-
tion
(1) Reduce the intensity of the aected channel.
(2) The electrodes are not positioned correctly. Check their positions, and re-position
them if necessary.
(3) The gel pads are worn. This may cause skin irritation, as even distribution of the
current across the entire area is no longer guaranteed. They should therefore be re-
placed.
Skin in the treatment area turns red. Solution
Immediately stop treatment and wait until your skin has returned to its normal condition. If
the redness is under the electrode and disappears quickly, there is no risk – this is caused
by the locally stimulated, increased blood flow.
However, consult your doctor before you continue treatment if the skin irritation persists
and if it is accompanied by an itchy sensation or inflammation. This may be caused by an
allergic reaction to the adhesive surface.
The electrodes become too hot. Solution
Switch to the lower heat level or switch the heat function o entirely.
The program can no longer be changed. Solution
It may be that the favourite program is set. This is indicated by the
symbol on the
display. To access the other programs again, you must delete your favourite program. To
do this, follow the instructions in the “Favourites program” section.
A recurring acoustic signal sounds on the device and I can no longer increase the
electrode intensity. Solution
(1) The gel pads are not correctly applied to the skin. Please check the adhesion of the
pads, and re-attach them if necessary.
(2) The gel pads may be worn out and are no longer able to conduct the current. Please
replace the gel pads.
18. REPLACEMENT PARTS AND WEARING PARTS
To purchase replacement parts, please visit www.beurer.com or contact the correspond-
ing service address (according to the service address list) in your country. Replacement
parts are also available from retailers.
Designation Item number and/or order number
8 x gel pads (45 x 45 mm) Article 646.55
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USB charging cable Article 110.096
Electrodes including cable Article 164.210
EU mains adapter Article 110.094
UK mains adapter Article 110.095
19. TECHNICAL SPECIFICATIONS
Type EM 89
Output waveform Biphasic rectangular pulses
Pulse duration 50–450 µs
Pulse frequency 1–150 Hz
Output voltage max. 100 Vpp (at 500 Ohm)
Output current max. 200 mApp (at 500 Ohm)
Voltage supply Lithium-ion battery, 4000mAh, 3.7V
Treatment time adjustable from 5 to 100 minutes
Intensity Adjustable from 0 to 50
Maximum temperature of
the heat settings
low
(41°C at an ambient temperature of 25°C.,
46°C at an ambient temperature of 40°C);
high (43°C at an ambient temperature of 25°C.,
48°C at an ambient temperature of 40°C)
Electrodes used Silver electrodes with carbon coating
40 x 40mm
Mains adapter to be used Output: 5V, 2A
Material number: See “Replacement parts and wearing
parts” section
Operating conditions 5°C to 40°C (41°F to 104°F), with a relative air humidity
of 15-90% and air pressure of 70-106 kPa
Storage conditions 0 to 40°C (32°F to 104°F), with a relative air humidity
of ≤90%
Transport conditions: -25°C to 70 °C (-13°F to 158°F), with a relative air
humidity of ≤90%
Dimensions Approx. 142 x 159 x 53 mm
Weight Approx. 341 g
Altitude limit for use 3,000 m
Maximum tolerated
atmospheric pressure
700 hPa to 1060 hPa
Expected service life of the
device
Information on the service life of the product can be
found on the homepage
The serial number is located on the device.
The device is maintenance-free. Inspections and calibration are not necessary.
If the device is not used according to the specifications, it may not work correctly!
We reserve the right to make technical changes to improve and develop the product.
This device complies with the European standard EN60601-1-2 (Group 1, Class B, in
compliance with IEC 61000-4-2, IEC 61000-4-3, IEC 61000-4-8 and IEC 61000-4-39) and
is subject to special precautionary measures with regard to the electromagnetic compat-
ibility. Please note that portable and mobile HF communication systems may interfere
with this device.
More details can be requested from the stated Customer Service address or found at the
end of the instructions for use.
For this device, a functional test and instruction in accordance with the German Medical
Devices Operator Ordinance (MPBetreibV) is not required. It is also not necessary to carry
out safety checks in accordance with the German Medical Devices Operator Ordinance
(MPBetreibV).
Notes on electromagnetic compatibility
WARNING
• The device is suitable for use in all environments listed in these instructions for use,
including domestic environments.
• The device may not be fully usable in the presence of electromagnetic disturbances.
This could result in issues such as error messages or the failure of the display/device.
• Avoid using this device directly next to other devices or stacked on top of other de-
vices, as this could lead to faulty operation. If, however, it is necessary to use the
device in the manner outlined above, this device as well as the other devices must be
monitored to ensure they are working properly.
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• The use of components other than those specified or provided by the manufacturer of
this device can lead to an increase in electromagnetic emissions or a decrease in the
device’s resistance to electromagnetic interference; this can result in faulty operation.
• Keep portable RF communication devices (including peripheral equipment such as
antenna cables or external antennas) at least 30 cm away from all device parts, in-
cluding all cables included in delivery. Failure to comply with the above could impair
the performance of the device.
20. GUARANTEE/SERVICE
More information on the guarantee and guarantee conditions can be found in the guar-
antee leaflet supplied.
Notification of incidents
For users/patients in the European Union and identical regulatory systems, the following
applies: If a major incident occurs during or through use of the product, notify the man-
ufacturer and/or their representative of this as well as the respective national authority of
the member state in which the user/patient is located.
Subject to errors and changes
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Pidätämme oikeuden muutoksiin emmekä vastaa mahdollisista virheistä102.77_EM89_2025-04-23_04_IM2_BEU_MDR_EN
UK Importer: Beurer UK Ltd., Suite 16, Stonecross Place, Stonecross Lane North, WA3 2SH
Lowton, United Kingdom
Beurer GmbH • Söflinger Str. 218 • 89077 Ulm, Germany • www.beurer.com
www.beurer-healthguide.com • www.beurer-gesundheitsratgeber.com
