Buttons:
1 ON/OFF button
2 ENTER button
3 Intensity setting buttons (Ch1 +/- left, Ch2 +/- right)
4 Keylock
5 Selection button UP and DOWN
6 MENU button
7 Sockets for electrodes

Display (full screen):
1 Menu TENS
2 Program number
3 Impulse intensity channel 2
4 Impulse intensity channel 1
5 Low battery
6 Keylock
7 Frequency display (Hz), pulse width (μs) or pause time
8 Timer function (remaining time display) or working time

Each time you press a button, the unit beeps to notify you. This beeping cannot be switched off.
ON/OFF
(1) Press briefly to switch the device on.
(2) Press once to interrupt stimulation treatment.
(3) Press and hold to switch off the device (approx. 2 seconds).
UP and DOWN
Choice of treatment program, treatment time, frequency, pulse width, operating time, and pause time.
MENU
Return to program selection screen.
ENTER
(1) Menu selection.
(2) Confirmation of a selection made using UP/DOWN, except channel intensity.
Intensity setting buttons (Ch1 +/- left, Ch2 +/- right)
Adjusts impulse intensity.
Keylock
Locks the buttons to avoid them being pressed accidentally.
(1) To activate, press and hold the button until the symbol
is visible in the display (approx. 3 seconds).
(2) To deactivate, press and hold the button until the symbol
disappears from the display (approx. 3 seconds).
1. Remove the belt clip from the unit (if attached).
2. Remove the battery compartment cover on the rear of the device by sliding it in the direction of the arrow.
3. Insert three „AAA“ alkaline batteries in accordance with the polarity markings inside the compartment.
4. Reattach the battery compartment cover. (Fig.1)
5. Attach the belt clip, if desired.
6. Attach the electrodes to the cables. (Fig.2)
7. Insert the plugs of the cables into the sockets on the top of the device. (Fig.3)
Do not pull, twist or make sharp bends in the cables. (Fig.4)
NOTE: When the batteries are replaced or removed, all settings are restored to the factory defaults.

It is important to position the electrodes properly. 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 electrodes. Refer to the inside of the cover for more detailed information on how to position the electrodes.


Distance Between Electrodes:
The larger 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 of the tissue falls the farther the electrodes are apart. As a result, greater distances between electrodes mean a larger tissue volume is stimulated, but less intensely. Consequently, you must increase the impulse intensity to boost stimulation. Use the following guidelines to select an appropriate electrode distance:
NOTES:
As part of pain relief treatment, position the electrodes of a channel so that the area affected by the pain is between the electrodes or position one electrode directly on the area affected by the pain and the other electrode at least one inch (2–3 cm) away.
You may use the electrodes of the second channel to simultaneously treat additional areas affected by pain or use them in conjunction with the electrodes of the first channel to restrict the area affected by pain (position electrodes opposite). In this case, position electrodes as crosses.
Always use all four electrodes for optimum treatment.
Use the electrodes on skin that is clean and has as little hair and oil as possible, in order to extend the life of the electrodes. If required, clean skin with water and remove hair prior to treatment.
If an electrode should come loose during use, the impulse intensity of both channels is reduced to the lowest level. Apply the electrode again and reset the desired intensity level.
TENS Program Table
NOTES:
TENS programs 1-12 can’t be customized- see below.
Electrode positions should surround the area affected by pain. In the event that groups of muscles cause pain, group the electrodes around the affected muscles.
To relieve joint pain, surround the joint with electrodes at the front and back as well as on the left and right of the joint, if possible. The distance between electrodes must be 2–6 inches (5 –15 cm).
Figures 25 and 28 apply to knee and ankle joints.
Burst programs are suitable for all areas of application to be treated with changing signal patterns (to minimize having the area become accustomed to the treatment).
NOTES:
1. Select a suitable program from the program tables.
2. Place the electrodes on the desired area for treatment. For positioning suggestions, see the „Positioning the Electrodes“ section. Connect the cables to the main unit. The figure on the display is to help you position the electrodes.
3. Select a program.
a. Press the ON/OFF button to switch on the device.
b. Using the UP/DOWN buttons, select the desired program and confirm your selection with the ENTER button.
4. To return to the previous selection menu, press the MENU button. By holding down the ENTER button, you can skip individual setting steps and start directly with the stimulation treatment.
5. At the start of a session, the impulse intensity of Ch1 and Ch2 is set to 00 by default. No impulses are sent to the electrodes yet. Using the +/- buttons, select the desired impulse intensity (Fig. 3). The impulse intensity of each channel can be set individually.
NOTE: If the program is in a pause phase, the intensity cannot be increased.
6. To end a session early, press the ON/OFF button.

Program 13:
Program 13 is a preset program that you can also personalize. In this program, you can set the impulse frequency between 1 and 120 Hz and the impulse width between 50 and 250 μs.
Program 14:
Program 14 is a preset burst program that you can also personalize. In this program you can set an impulse width between 50 and 250 μs.
Program 15:
Program 15 is a preset program that you can also personalize. In this program, you can set the impulse frequency between 1 and 120 Hz. The impulse width changes automatically during the stimulation treatment.
Custom Function
The Custom Function is a special setting to allow you to access your personal program directly.
Your individual program settings are recalled and activated when the device is switched on.
Setting the Custom Function
If you switch on the device again, the program you saved using the Custom Function is recalled.
Deleting the Custom Function
To clear the device and gain access to other programs again, press and hold the`CH2-´ button again for approx. 5 seconds. To do this, the impulse intensity must be set to 00. Deletion of the Custom Function is confirmed with a long beep.
Adhesive Electrodes:
Main Unit:
Storage:
Problem: The device does not switch on.
Solutions:
Problem: Electrodes do not adhere to the body.
Solutions:
Problem: There is no noticeable stimulation.
Solutions:
Problem: Unpleasant sensation near the electrodes.
Solution:
Problem: Skin in the treatment area turns red.
Solution:
Type: EM44
Model: SEM 44
Output wave form: Biphasic rectangular pulse
Pulse length: 50–360 µs
Pulse frequency: 1–150 Hz
Max Output Voltage: 100 Vpp (500 ohm)
Max Output Current: 200 mApp (500 ohm)
Power Supply: 3 x 1.5 V AAA batteries
Treatment Time: 5–100 minutes
Intensity Levels: 0–50
Operating Conditions: 50 °F–104 °F (10 °C – 40 °C), relative humidity 30–85%
Storage Conditions: 14 °F–122 °F (-10 °C – 50 °C), relative humidity 10–95%
Dimensions: 5.2 x 2.5 x 1.2 in (132 x 63 x 29.5 mm) including belt clip
Weight: 3.5 oz (101 g) including belt clip
Electrode Pad Size: 1.8 x 1.8 in (45 x 45 mm)
Battery Life: About 15 hour
Limited Lifetime Warranty For Original Purchaser
The Your Beurer Digital Tens Device Model EM 44, is warranted to be free from defects in materials and workmanship for the life of the product under normal conditions of intended use and service. This warranty extends only to the original retail purchaser and does not extend to retailers or subsequent owners.
We will, at our option, repair or replace the Beurer Digital Tens Device, Model EM 44, without additional charge, for any part or parts covered by these written warranties. No refunds will be given. Repair or replacement is our only responsibility and your only remedy under this written warranty. If replacement parts for defective materials are not available, Beurer reserves the right to make product substitutions in lieu of repair or replacement.
For warranty service contact our customer service department at 1-800-536-0366 or at [email protected] to provide a description of the problem. If the problem is deemed to be within the scope of the limited lifetime warranty, you will be asked to mail the product at your costs in its original package with proof of purchase, your name, address and phone number. If the problem is not deemed to be within the scope of the limited lifetime warranty, we will provide a quotation for repair respectively replacement and return shipping fee.
This warranty does not cover damage caused by misuse or abuse; accident; the attachment of unauthorized accessory; alteration to the product; improper installation; misapplication; lack of reasonable care with respect to the product; unauthorized repairs or modifications; improper use of electrical/power supply; old worn batteries; normal wear; loss of power; dropped product; malfunction or damage of an operating part as a result of failure to comply with instructions for use or to provide manufacturer’s recommended maintenance; transit damage; theft; neglect; vandalism; or environmental conditions; loss of use during the period the product is at a repair facility or otherwise awaiting parts or repair; or any other conditions whatsoever that are beyond the control of Beurer. This warranty is void if the product is ever used in a commercial or business environment. The maximum liability of Beurer under this warranty is limited to the purchase price actually paid by the customer for the product covered by the warranty, as confirmed by proof of purchase, regardless of the amount of any other direct or indirect damage suffered by the customer.
This warranty is effective only if the product is purchased and operated in the country in which the product is purchased. A product that requires modifications or adaptation to enable it to operate in any other country than the country for which it was designed, manufactured, approved and/or authorized, or repair of products damaged by these modifications is not covered under this warranty.
THE WARRANTY PROVIDED HEREIN SHALL BE THE SOLE AND EXCLUSIVE WARRANTY. ANY IMPLIED WARRANTIES, OBLIGATIONS, OR LIABILITES, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTY OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, ARE LIMITED IN DURATION TO THE DURATION OF THIS APPLICABLE WRITTEN WARRANTY. Some states do not allow limitations on how long an implied warranty lasts, so the above limitations may not apply to you.
IN NO EVENT SHALL BEURER BE LIABLE FOR ANY SPECIAL, INCIDENTAL, INDIRECT OR CONSEQUENTIAL DAMAGES FOR BREACH OF THIS OR ANY OTHER WARRANTY, EXPRESS, IMPLIED OR ANY OTHER THEORY OF LIABILITY, WHATSOEVER. Some states do not allow the exclusion or limitation of special, incidental, or consequential damages, so the above limitation may not apply to you.
Beurer does not authorize anyone, including, but not limited to, retailers, the subsequent consumer purchaser of the product from a retailer or remote purchaser, to obligate Beurer in any way beyond the terms set forth herein.
This warranty does not extend to the purchase of opened, used, repaired, repackaged and/or resealed products, including but not limited to sale of such products on Internet auction sites and/or products by surplus or bulk resellers. Any and all warranties or guarantees shall immediately cease and terminate in connection with any products or parts thereof which are repaired, replaced, altered, or modified, without the prior explicitly written consent of Beurer.