This TENS device is a lightweight and portable medical device which can help to reduce pain and discomfort. It utilizes low electric-current to stimulate muscle nerves to achieve the symptomatic relief of chronic intractable pain, posttraumatic and post-surgical pain.

Cautions: Federal law (USA) restricts this device to sale by or on the order of practitioners licensed by the State in which they practice to use or order the use of the device.

• The long-term effects of chronic electrical stimulation are unknown.
• Stimulation should not be applied over the carotid sinus nerves, particularly in patients with a known sensitivity to the carotid sinus reflex.
• Stimulation should not be applied over the neck or mouth. Severe spasm of the laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing.
• Stimulation should not be applied transthoracically in that the introduction of electrical current into the heart may cause cardiac arrhythmias.
• Stimulation should not be applied over swollen, infected, or inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis, varicose veins, etc.
• Stimulation should not be applied over, or in proximity to, cancerous lesions.
• For external use only.
• Do not use TENS on the eye area.
• This device should be used only under the continued supervision of a licensed medical practitioner.
• Safety of TENS devices for use during pregnancy or delivery has not been established.
• Electronic equipment such as ECG monitors and ECG alarms may not operate properly when TENS is in use.
• Apply the electrodes to clean, dry, and unbroken skin only.
• This device should not be used while driving, operating machinery, or during any activity in which involuntary muscle contractions may put the user at undue risk of injury.
• This device should be kept out of the reach of children.
• Keep electrodes separate during treatment. Electrodes in contact with each other could result in improper stimulation or skin burns.

• Caution should be used for patients with suspected or diagnosed heart problems.
• Caution should be used for patients with suspected or diagnosed epilepsy.
• Caution should be used in the presence of the following:
• (a)When there is a tendency to hemorrhage following acute trauma or fracture
• (b)Following recent surgical procedures when muscle contraction may disrupt the healing process.
• (c)Over the menstruating or pregnant uterus
• (d)Over areas of the skin which lack normal sensation.
• Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium. The irritation can usually be reduced by using an alternate conductive medium, or alternate electrode placement.
• Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner.
• This device should be used only with the leads and electrodes recommended for use by the manufacturer.
• Isolated cases of skin irritation may occur at the site of the electrode placement following long-term application.
• Effectiveness is highly dependent upon patient selection by a person qualified in the management of pain afflicted patients.
• If the stimulation levels are uncomfortable or become uncomfortable, reduce the stimulation amplitude to a comfortable level and contact your physician if problems persist.

• Possible skin irritation or electrode burn under the electrodes may occur.
• Possible allergic skin reaction to tape or gel may occur.