HiDow XPDS 4 24 TENS EMS Unit Optimal Pain Relief User Manual

XPDS 4 | 24
User manual

Foreword

Before operation, please read this user’s manual carefully and be clear about the instructions.
Do you suffer from PAIN, MUSCLE TENSION or STRESS?
The HiDow XPDS 4/24 can quickly relax tense muscles and relieve pain. It is modem day home therapy device using the latest bio-electrical technology.
The HiDow XPDS 4/24 is designed to provide endless amounts of relaxing, deep, soothing sensations in the areas you need relief. Relax, feel good and rejuvenate your body and mind. Don’t live with unhealthy physical and mental tension anymore.
Enjoy the XPDS 4|24 and live life to the fullest, whether you’re at home, at work of on vacation. You ’ll love how good it feels!

Please read the instructions carefully before using this instrument.
The XPDS 4/24 is a four-channel! battery operated muscle simulation module that helps to relieve minor muscular aches and pains. It comprises of two main components: an electronic stimulatory module which generates the required stimulation signals and 4 sets of pro-neo neonatal ECG electrode pads with lead wires.
To be used for temporary pain relief associated with sore and aching muscles in the lower back, upper extremities (arms), lower extremities (legs) and joints due to strain from exercise or normal! household work activities.
It is intended to be used to stimulate healthy muscles in order to improve and facilitate muscle performance.

General information

included in this package:
XPDS 4/24 unit
2 sets of LARGE single sided adhesive electrode pads(2.4 inches – round shape)
2 sets of EXTRA-LARGE single sided adhesive electrode pads (3 % inches – rectangular shape)
4 Electrode Wires
1 set of Ear clips
USB Cable
AC Adapter
User Manual
Pad Holder

Structure:

1. Control unit
2. LCD screen
3. USB port
4, Power switch
5. Outputs
6. AC adapter| 7. USB cable
8. Electrode wires
9. Pad Holder
10. Electrode pads
11. Ear clips
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“in case of any discrepancy between the physical and picture, refer to the actual product.

Overview: control unit and accessories

| USB cable: use to charge the XPDS 4]24 battery
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| AC adapter: use with USB cable to charge battery
| Electrodes: use to attach to your bare skin to perform
stimulation
| Ear clips: use to stimulate ears
| Electrode wires: use to make the connection between the
device and the electrodes
| Pad holder : use to store electrode pads and wires
after use

Charging the XPDS 4|24 battery

* Via a standard wall outlet

1. Connect the AC adapter to any standard wall outlet.
2. Connect the small end of the USB cable to the unit and the bigger end to the AC adapter.
3. The unit is finished charging when the battery icon indicates full.

* Notes:

1. The lithium battery can be recharged through both AC adapter and USB cable.
2. While charging, the screen in ON position indicates the charge, while in OFF position the screen is blank.
   However the battery will charge in either one of the power positions (ON or OFF).

Features

FDA approved Class II Medical Device
An extra large, easy to read LCO display
Backlight for increased readability
Adjustable timer (10-60 minutes)
2 year warranty
24 modes
4 output channels
Rechargeable internal lithium battery 20 intensity level settings per channel

Mode description

We suggest that you initially experiment using each of the 24 modes. The mode or combination of modes that gives you the most desirable sensations and comfort is the most appropriate one to use for your current condition.
→ Intensity should be set at a level where you will experience some muscular vibration and involuntary muscle movements. It should be set to give a “comfortable” intensity and should not be painful.
→ Timing of application should be at feast 10 to 20 minutes.
→ Frequency of application should be at one to three times per day.

Directions for use

Three key points for operation:

1. Find the exact pain point: The points which the electrode pads are attached to should be the most painful in normal time.
2. intensity: The intensity must be gradually increased, and it’s better to reach the highest intensity you can stand.
3. Application duration: 2-3 times/day, 40-60 minutes/time, over 10 days for one course.
   → Connect the electrode wires to the output ports at the top of the unit labelled as “A” “B” “C” and “D. You can connect wires to all of the 4 outputs and attach up to 8 pads at once.
   → Connect the pads to the wires by snapping them on.
   → Remove the protective film and place the pads on the pain points, making sure that both the pads are on the skin and not overlapping.
   → Turn on the unit via the on/off switch at the bottom of the unit.
   → When you have turned on the unit, the default channel is “A+8″, the default mode is “1”, the initial intensity level is “O° and the default time is 30 minutes. Note: The backlight will be off after 10 seconds, press any key to turn on the backlight.
   → To select channels “A+B” and “C+D by pressing “C” button , pads connected to ports “A+8″ and ports “C+D” can be controlled independently. Note: For two channels’ stimulation, it is suggested to select one of the ports “A+B” and one of ports “C+D”.
   → To change the modes by pressing “M+” and “M-” buttons. Once you have selected the modes, gradually increase the intensity by pressing the “+” button; to decrease the intensity by pressing the *-” button.
   Notes: 1. The XPDS 4|24 unit has the MC mode (mode 13), displayed on the screen as “MC”. Please note that there is no feeling when using MC stimulation, but it does work. 2. When the intensity level is increased to! or more, there will be the MC output, but the intensity can not be adjusted by pressing “+/- “button.
   → To set the time of use, press the “T” button.
   → Sit back and enjoy the deep soothing sensations!

* Notes:
The XPDS 4]24 unit is very safe, the output intensity increases only by the “+” key . Even if the intensity is increased to the maximum level, it is within the safe range. When user switches the mode, the intensity will automatically go down to the minimum level.

Electrode guidelines

1. Use only the electrodes supplied by the manufacturer, other electrodes may present a risk of unsuitable electrical characteristics with your stimulator.
2. Do not use the electrodes on different people. Each user must have their own set, otherwise, skin reaction or cross contamination may occur.
3. Always turn power off before removing or repositioning the electrode.
4. Wash skin thoroughly, and then dry it before applying the electrodes.
5. Apply the whole surface of the electrodes firmly to the skin. Do not use electrodes that do not stick property to the skin or only partially stick to the skin.
6. Incase of skin redness under the electrodes after a stimulation session, do not start a new session in the same place if skin redness is still evident.
7. Using electrode pads that are too small or incorrectly applied could result in discomfort or skin burns.

Electrode recommendations

→ The adhesive electrodes that are supplied as a standard accessory with your XPDS 4[24 unit. These are long lasting and reusable electrodes.
→ The recommended electrode pads sizes are bigger rectangular pads for large areas, e.g shoulder, waist, abdomen and leg muscles; large round shape pads for smaller areas, such as forearm muscles, joints etc.

Ear clip guidelines

→ Only use the ear clips supplied by the manufacturer, others may present a risk of unsuitable electrical characteristics with your stimulator.
→ The ear clips are only applied for the stimulation of ears.

Usage of ear clips

→ With our special designed ear clips, you can stimulate the 360 pressure points in the ears.
→ Insert the lead plug of the ear clips in the output port of the XPDS 4|24 unit. Turn on the XPDS 4(24 unit.
→ Clip the ear clips to your ear lobes and select the mode and intensity level which fits your preference. (mode 10 is recommended)

Maintenance and care

1. Make sure your skin is free from any dirt, oil, or lotions.
2. Before applying the electrodes, put a few drops of water (HiDow conductor is recommended) on your fingers and rub them on both pads. This will help the electrodes maintain their adhesiveness.
3. When you finish using the device, tum it off.
4. Take off the electrodes.
5. Place the protective films back on the electrodes or place the electrodes on the pad holder.
6. Take the wire out from the device and place back in the box until next use.
7. Store the XPDS 4/24 unit in a cool, dry place until next use.

Environmental specifications

Operating conditions:
Temperature: 5°C to 40°C (41 F to104F)
Humidity (non-condensing) : 30% to 75%
Atmospheric pressure: 700 to 1,060 HP a

Storage and transportation conditions:
Temperature: -10°C to55C (14F to131F)
Humidity (non-condensing) : 10% to 90%
Atmospheric pressure: 700 to 1,060 HPa

Technical specifications

Dimensions: 147mm x 69mm x 12mm
Net weight: 123g
Power supply: DC 3.7V

Pulse parameters

zerount1G5)
100| 5-1-62| 55-80| —| Mode 14.1;14.2;14.3;14.4;
200| 100| 25.| —| Mode 15
100| 7.8-60.7| 45-75| —| Mode 16.1;16.2;16.3;
100| 34-115| 36.| —| Mode 17
100| 52.| 45-75| —| Mode 18
100| 3.4-23.9| 45-75| —| Mode 19
100| 4.| 40-65| —| Mode 20
100| 4| 60-85| —| Mode 21
100| 1.67-17.9| 60-85| —| Mode 22
300| 51.| 30-45| —| Mode 23
200|  3.5-23.9| 36.| —| Mode 24

Indications for use

TENS:
To be used for temporary relief of pain associated with sore and aching muscles in the shoulders, waist, back, neck, upper extremities (arms) and lower extremities (legs) due to strain from exercise or normal household work activities.

Powered Muscle Stimulator (EMS):
It is intended to stimulate healthy muscles including abdomen muscles to improve or facilitate muscle performance.

Great for:

-Stiff neck
– Muscular performance| – Sore and tight muscles
– Aching joints| – Back pain
– Pain relief
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Recommended usage points:
Shoulders, neck, shoulder blades, along spine, middle back, lower back, abdomen, Arms: biceps, triceps, forearms, Legs: calves, thighs, Feet: toes, heel, midfoot, Joints: shoulder, elbow, wrist, hip, knee, ankle etc.

Unique benefits

Quick acting- Although the rate and degree of response varies for individuals, many users report experiencing positive results after 10 (ten) to 20 (twenty) minutes of use.
No side effects- Since there are no drugs or chemicals involved, HiDow muscle stimulators are safe for long-term use.
It is also safe to use while on medications.
Portable – Its pocket travel size enables you to receive treatment anywhere at your convenience.
Cost effective – The device will save you time and money as well as improve your function and enjoyment of life.
Simple to use- High-tech components automate and program most functions. Highly simplified in its functional application.
Be responsible – With the HiDow muscle stimulators, you can take control of your health and well being.
Help others – Everyone suffers from muscle tension in some form. Now you can help others help themselves. Muscle aches and pains may result from working or playing. The problem may be chronic or acute. Everyone, whether they are young or old needs relief from muscle tension and will surely appreciate your gift of health.
Always available – it’s always there when you need it; 24 hours a day, every day. You can use it as often as needed.
Extremely effective- The advanced microchip sends out multiple preset electrical, therapeutic, electronic waves through the electrodes. These therapeutic, electronic waves use deep tissue pain relief techniques and various muscle movements. The result is less muscle tension.
Amazingly effective!

Regular application principles

→ Find the exact pain point. The points which the electrode pads are attached to should be the most painful In normal time.
→ Intensity – the intensity must be gradually increased and it’s better to reach the highest intensity you can stand.
→ Application duration: 2-3 times/day, 40-60 minutes/time, over 10 days for one course.
→ There are two ways to place the pads, in twin and opposed modes.

Figuse 1: Twin mode
Fix the two pads at the top and bottom or both ends on the same side of the human body

Figure 2: Opposed mode
Fix the two pads respectively on the opposite sides of the application position, as shown below

Regular application methods

→ Pain In the trunk

1. Probably pain points in the trunk
   According to traditional chinese medicine (TCM), the most sensible pressure pain point is the key point, the most proper position to be apptied. Find the pressure pain point with reference to Fig.). Apply one pad onto it. Apply the other pad onto a proper point symmetrical to the chosen pressure pain point or near to it, but the two pads should not
   be overlapping. If there are several separated pressure pain points, apply them one by one.

2. Recommended positions of pads for application on the neck, shoulder and back (See Fig.3) igure
   Mode 1 for 30 minutes, mode 2 or Mode 3 for 30 minutes by turns for A, B and C.
   Longer time is needed for those parts of great pain. It is advisable to use fairly large intensity.

3. Recommended positions of pads for application of the waist (See Fig. 4) Figure 4
   Mode 1 for 30 minutes, Mode 3 for 20 minutes or mode 6 for 30 minutes.
   It is advisable to do some waist exercise after the application.

→ Pain in the joints and limbs
Pain in the joints, sport injuries, soft tissue injuries, may cause joint aches, which often occur in the Joints of shoulder, elbow, knee, wrist, ankle, etc.

1. Position of electrode pads
For joint pain, two electrode pads should be applied to the two symmetrical sides of the painful point, see Fig. 2 (opposed mode).
2. Mode and length of operation time Mode 1 for 30 minutes, then Mode 2 for 30 minutes, 2-3 times a day.
Pain in the muscles and tendons of the limbs, it is often caused by sport injury, overstrain or some other factors.
The common signs are muscular pain, swelling and spasm.

1. Position of electrode pads
   Apply the pads to each end of the painful muscle or apply one pad to the muscle and the other to the tendon. The position can be slightly regulated according to sensation.

2. Mode and length of time
   Mode 2 for 20 minutes, then Mode 3 for 20 minutes. Consult the doctor if the injury has laceration of muscle or tendon.

Electrode placement variations

Troubleshooting

The unit does not seem to be
charging.| Charging cable not plugged In fully.| Ensure the USB cable is firmly in the unit on one side and plugged into the AC adapter into the electrical socket on the other side.
Unit does not turn on or the screen Is dim.| Battery Is low.| Recharge the battery.
Unit is ON, but no sensation is felt from the pads.| Both pads are not firmly on the skin/ There ls a loose connection/ The intensity level needs to be increased.| Ensure you are using 2 pads per lead and they are in close proximity to each other, Le. not on different limbs or too far apart – Make sure both pads are firmly pressed to the skin — Make sure all connections are secure from the unit to the wires and the wires to the pads. Increase the intensity level.
One pad feels stronger than the other.| This Is normal Different areas will react differently.| Nothing needs to be done. Make sure the pads are moist and are making good contact.
Adhesive electrode pads do not stick to skin even after cleaning and moistening their surface.| Adhesive gel pads need to be replaced.| Replace the set of adhesive gel pads. Pads can be purchased from your local distributor or from www.hidow.com
Independent intensity control does not work well.| This is normal.There will be a circuit to make mutual interference when the two channels’ outputs perform on one person.| Apply water or HIDOW ‘Perfect Conductor” on the pads before use: Turn the intensity level to zero (0) or turn the unit off and back on to reset the channels.
During use the skin feels a painful burning sensation or the stimulation becomes weakened.| Adhesive gel pads are not adhering firmly to the skin. Or the gel pads are too dry.| Put a few drops of water on your fingers and rub them on both pads, which will help the electrodes maintain their adhesiveness. And make sure the pads are pressed firmly to the skin during application.
Did not provide adequate relief.| Not using it long enough or frequently enough.| Use your XPDS 4124 20-60 minutes at a time, 3-6 times per day. Recommended: lying down.
Only 1 port on the unit works.| Damaged port or poorly conducting pads or lead wire.| Isolate the problem by trying another lead and set of pads that you know that work in the troublesome port.
The screen doesn’t work or there is no reaction by pressing any button.| The problem seldom occurs and the reason is not determined.| Turn off the device and then restart it.

Contraindications

→ DO NOT use this device if you have any of the following medical conditions:

1. An implanted cardiac pacemaker, defibrillator or other implanted metallic or electronic device
2. Undiagnosed pain syndromes
3. Have been diagnosed with cancer
4. Are pregnant
5. Have suffered acute trauma or surgical procedure in the past six months
6. Have cardiac problems or cardiac disease
7. Have epilepsy
8. Have painful and /or atrophied muscles
9. Have abdominal or inguinal hernia
10. Have limited range of motion in skeletal joints
11. Have blood circulatory problems
12. The XPDS 4|24 unit is intended for use by ADULT and ONLY on healthy muscles. NEVER use this device on muscles that are: atrophied, painful, suffer spasms, on a limb with painful or otherwise afflicted joints.

→ The XPDS 4|24 unit is not intended for the application of any medical condition or disease nor is it intended for physiotherapy or muscle rehabilitation. it is contraindicated for use on any muscle that is injured or diseased.
→ Do not attempt to use XPDS 4]24 unit for muscle reeducation, to prevent muscle atrophy or spasms, improving range of motion, blood flow deficiencies/venous thrombosis.

Warnings

1. Stimulation should not be applied over the carotid sinus nerves, particularly in patients with a known sensitivity to the cartid sinus reflex.

2. Stimulation should not be applied transthoracically in that the introduction of electrical current into the heart may cause cardiac arrhythmias.

3. Stimulation should not be applied transcerebrally.

4. Apply electrode ONLY to normal, intact, clean skin. Do not apply electrodes over open wounds or over swollen, infected or inflamed areas or skin eruptions, e.g. phlebitis, thromphlebitis, varicose veins, etc.

5. DO NOT APPLY STIMULATION:
   → Over frontal area of the neck (near site of carotid sinus nerves)
   → Over the neck or mouth. Severe spasms of the laryngeal and pharyngeal muscles may occur with contractions strong enough to and /or cause difficulty in breathing. Stimulation over the neck could also have adverse effects on the heart rhythm or blood pressure.
   →  Transcerebrally.
   → Over the swollen, infected or inflamed areas of skin eruptions (e.g.phlebitis, thromphlebitis, varicose veins, etc.).
   → Across the chest. Consult your physician before using this device because it may be possible to cause lethal rhythm disturbances to the heart in susceptible individuals.
   → Over, or in proximity to cancerous lesion.
   → If you are epileptic
   → After experiencing acute trauma or fracture
   → Following recent surgery
   → If you have a hernia (abdominal or lingual)
   → To the frontal, laryngeal and temporal region of the neck.

6. Never use the XPDS 4|24 unit while driving, operating machinery or during activities in which involuntary muscle contractions may endanger the user or others.

7. The effects of stimulation of the brain are unknown. Therefore, do not apply stimulation across the head and do not place electrodes opposite sides of the head.

8. Do not use the XPDS 4|24 unit in the bath or shower.

9. Persons with suspected heart problems or epilepsy should obtain apposite medical advice.

10. Never use the XPDS 4|24 unit while sleeping.

11. Never immerse the XPDS 4|24 unit in any liquid.

Precautions

→ This XPDS 4|24 unit should be used only with the leads, electrodes and accessories provided by the manufacturer.
→ This XPDS 4[24 unit should not be used while driving, operating machinery, of during any activity in which involuntary muscle contractions may put the user at undue risk of injury.

Adverse reactions

→ You may experience skin irritation and burns beneath the stimulation electrodes applied to your skin;
→ You may experience headache and other painful sensations during or following the application of electrical stimulation near your eyes and to your head and face; and
→ You should stop using the XPDS 4|24 unit and should consult with your physician if you experience adverse reactions from the unit.

Location of stimulation

Stimulation near metal: Do not use the stimulator when close to metal. This Increases the potential for discomfort and bums. Remove jewelry, piercings, belt clips or any other removable metal objects in the area of stimulation.
Stimulation of eyes: Do not use the stimulator directly to the eyes.
Stimulation of the neck or mouth: Do not use the stimulator on the neck (particularly the carotid sinus or mouth).
This could cause severe muscular spasms causing airways to close, breathing difficulties, or side effects to heart rhythm or blood pressure.
Stimulation of healthy skin: Only use the stimulator on healthy skin. Stimulation can worsen disorders caused by lesions or skin diseases.
Stimulation across the torso: Do not use the stimulator across the torso (one electrode placed on the torso and one electrode placed on the back). The electrical current passing through the torso can cause potentially fatal heart rhythm disruptions.
Cranial stimulation: The effects of stimulation on the brain are not known. For this reason stimulation should not occur to the head, and electrodes must not be placed either side of the head.

Conformity to safety standards

Statement of EMC
IEC 60601-1-2:2014
Conformity to MDD Requirements
IEC 60601 -1:2005+AMD1:2012/ANSI/AAMI ES60601 -1:2005+A1:2012, IEC 60601-1-11:2015, IEC 60601-2-10:2012

Warranty information

→ Warranty covers defects in materials and workmanship under normal use for a period of 2 years from the date of retail purchase by the original end- user purchaser (“Warranty Period”). If a defect arises and a valid claim is received within the Warranty Period Hi-Dow will either repair the defective unit or exchange the product with a product that is new or which has been manufactured from new or serviceable used parts.
→ To register your product warranty please visit www.hidow.com, click on the warranties menu and select the warranty that refers to your product: standard 2-year or lifetime VIP.

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