EN

Instructions for Use Art.-No. 10001774

TENS eco 2
TRANSCUTANEOUS
NERVE AND MUSCLE STIMULATOR

HOLISTIC HEALTH
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schwa-medico Instructions for Use - TENS eco 2

Content

General Information 3 Creating a user program

Intended use 3 (P13 – P24 only) 17
Safety Instruction / Warnings Switching ON/OFF the buzzer 17
for the TENS eco 2 device 4 Factory settings 17
Notes on physical overload reactions Switching OFF the TENS unit 17
when using muscle stimulation Charging the battery 17
program (Progr. 9) 6 Setting date and time
Measures to avoid physical overload (for memory query mode) 18
reactions when using muscle Memory Query Mode 18
stimulation program (Progr. 9) 6 Resetting the memory 19
Contraindications 8 Electrode placement for dynamic
Contraindications TENS/EMS stimulation (P10, P11, P22, P23) 19
in pregnancy 8 Technical information 20
Contraindications in the use of muscle Description of the symbols 20
stimulation program (Progr. 9) 8 Technical specification 20
Side Effects 8 Pulse form 21
Side effects when using the muscle Maintenance and cleaning 21
stimulation program (Progr. 9) 9 Warranty 21
Electrode placement 9 Guarantee 21
Examples of electrode placement 10 Combination 21
Cathode blue 10 Classification 21
Overview pre-set programs 13 Battery return and disposal 22
Overview free programs 14 Delivery content 22
Operating the TENS eco 2 15 Accessories 23
Operating elements 15 Stimex self-adhesive electrodes 23
Connecting cables and electrodes 16 Silicone Electrode 23
Switching ON the TENS eco 2 16 Stimex garment electrodes:
Selecting a program 16 gloves and socks 24
Setting the intensity 16 Other Accessories 24
Terminating the stimulation 16 Troubleshooting 25
Interlocking the keypad 17
Timer 17
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General Information
Intended use
TENS eco 2 is used for transcutaneous electrical nerve and muscle stimulation in
humans to relieve acute and chronic pain, improve blood circulation and strengthen
muscles. Pain treatment with TENS eco 2 is performed by stimulating sensory and
motor peripheral nerves using skin electrodes. This stimulation activates the body‘s
own painrelieving processes. Indications for treatment with TENS eco 2 are pain of all
kinds. Muscle stimulation with TENS eco 2 is used to maintain and build up skeletal
muscles and their attached organs such as tendons, ligaments and joints. It is performed
by stimulating peripheral motor nerves reached via skin electrodes. Indications for
treatment with TENS eco 2 include situations in which muscle inactivity, such as illness,
pain or immobilization, threatens or has caused the wasting of muscles and their
attached organs. Muscle stimulation also enhances blood circulation and metabolism
in the stimulated areas. Treatment with TENS eco 2 can be carried out several times a
day. Treatment with TENS eco 2 can be carried out by all persons who are mentally and
physically capable of placing the electrodes and adjusting the intensity, or who are
capable of expressing pain or wishes regarding treatment modifications or treatment
termination and persons capable of taking into account the contraindications.
The product can also be used by non-experts. However, they must have read and
understood the instructions for use, especially the chapters „Contraindications“,
„Contraindication TENS (low-frequency electrostimulation) for pregnant women“
and „Safety Instructions / Warnings“ before the first use. If anything is unclear, it is
imperative that you contact a healthcare professional (or the manufacturer). If the
product is prescribed by a physician, instruction of the user/patient is absolutely
necessary before the first application.

Pain can indicate serious disorders in the body and must be examined by a physician.
Even if the application of TENStem eco basic is successful and leads to a significant pain
relief, this is not to be equated with a cure of the cause of pain.
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schwa-medico Instructions for Use - TENS eco 2

Safety Instruction / Warnings

for the TENS eco 2 device
Please read the instructions for use carefully prior to using the pro-
duct! KEEP FOR FUTURE REFERENCE!
1. Never use the product if it functions incorrectly or has been da-
maged.
If, contrary to expectations, malfunctions occur, please contact our service team or
your dealer. Technical checks and repairs may only be performed by qualified and
authorised persons in order to keep the safety and warranty (addresses can be found
in the appendix). Warning: If the product is modified, appropriate examinations and
tests must be carried out to ensure continued safe use. Otherwise, it leads to the loss
of any guaranty and warranty.
2. Caution: Consult a physician before applying electrodes over or through
the head, directly on the eyes, covering the mouth, on the front of the neck, (espe-
cially the carotid sinus), or from electrodes placed on the chest and the upper back
or crossing over the heart. Warning: Application of electrodes near the thorax may
increase the risk of cardiac arrhythmias. In case of electrode placement in the thorax
area, intensive high frequency stimulation (above approx. 15 Hz) may lead to respi-
ratory disorders during stimulation.
3. Keep the product away from water and other liquids as this
may cause unpredictable current flows and damage the product.
4. The product may only be used with original accessories.
Warning: The use of other accessories may lead to a deficient operation.
5. Warning: It is not allowed to use the product during operating machines or du-
ring operations which needs elevated concentration. Pay attention particularly at
road traffic.
6. Warning: Keep a distance of min. 30 cm (12 inches) between the parts
and the wires of this product and a high frequency communication device (mobile
phone or a radio device including their accessories such as antenna cable or exter-
nal antenna). Non-observance may result in a reduction of the device’s performance
characteristics and a deficient operation.
7. Warning: Do not use this device next to or stacked with
other devices, as this may result in deficient operation. If, however, use in the
manner described above is still necessary, this device and the other devices should be
observed to ensure that they are working properly.
8. Device mains plugs and/or socket outlet must be easily ac-
cessible during operation of the device, so that disconnection from the mains
supply is possible quickly if necessary.
9. Caution: The used electrodes should not be smaller than
2 cm² as it may lead to high current densities. Any electrodes with current densities
exceeding 2 mA/cm² may require the special attention of the operator as it may lead
to high current densities.
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10. Caution: Operation in the vicinity (e.g. 1m) of a short wave or microwave ME
(medical electrical) device for shortwave or microwave therapy may cause fluctua-
tions in the output value of the product which may turn into painful reactions.
11. Caution: Simultaneous connection of a patient to a high frequency surgical ME
(medical electrical) equipment may lead to burns beneath the electrodes and it may
damage to the product.
12. Caution: Attach the electrodes to the skin so that the electrode surface has even
and complete skin contact. Additionally make sure that the electrodes are placed
at least 2 cm apart from each other. Otherwise, high current densities may occur at
certain points on the skin, resulting in painful skin lesions.
13. Before applying the electrodes, clean the skin surface on which the electrodes are to
be attached. Otherwise incorrect operation cannot be excluded.
14. Do not allow the product to be dropped and handled in-
correctly. Only use at temperatures between 10 °C and 40 °C, at a rela-
tive humidity between 30 % and 75 % and a pressure between 70 kPA and 106
kPA.. So do not use the product in bathroom or similar humid environments.
Warning: Do not operate the device in the vicinity of explosive and/or flamma-
ble substances or steam!
Caution: If you expose this device to sudden temperature changes from cold to
warm, do not turn on the device until it reaches the same temperature as the envi-
ronment in which it will be used; wait at least 30 minutes. Not doing so may cause
condensation inside the unit which may result in electric shocks, fire, damage to the
device and/or personal injuries.
15. The product is intended for use by one patient only.
16. Care must be taken when the product is used on or in the proximity of children. Dan-
ger of strangulation with the cables and wires of the device and/or its accessories!
17. Store the product in the original packaging after use to protect it against damage
and soiling.
18. In the case of commercial use in Germany, the operator is obligated to carry out
safety technical checks for the product in regular and appropriate periods of time
according to § 11 MPBetreibV. The manufacturer recommends to carry out safety
checks for the product at intervals of 24 months. Please observe the applicable legal
regulations of your country.
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schwa-medico Instructions for Use - TENS eco 2

Notes on physical overload reactions when using muscle stimulation

program (Progr. 9)
Enzymes (e.g. creatine kinase) and proteins (e.g. myoglobulin) are released during
every muscle strain.
In the case of severe muscle strain, but also due to one’s constitutional predisposition
or in conjunction with certain medications or drugs, certain individuals may experi-
ence more severe muscle breakdown (rhabdomyolysis). The amount of enzymes and
proteins released as well as electrolyte imbalances can also damage internal organs
such as the kidneys, liver and heart.
This danger also exists in the case of electrical muscle stimulation, as it may be intensive
muscle training. The muscles can quickly reach their stress limit, especially during the
first treatment sessions. This is associated with the risk of muscular overload, which
can also occur in healthy and trained patients.
Muscular overload may already manifest itself during treatment through discomfort,
circulatory reactions, muscle pain and other complaints.
The most frequent consequence of overload is pain in the muscles after the treatment.
Pain and irritation of tissues connected to the muscles - such as ligaments, tendons,
joints and bones - are also possible.
In extreme cases, severe muscle strain or muscle breakdown can also damage inter-
nal organs such as the kidneys, liver and heart.
Muscle overload due to electrical muscle stimulation occurs particularly during the first
treatment sessions. Over the course of regular therapy, the muscles usually adjust to
the demand placed on them and there is a significant decrease in the release of muscle
enzymes and muscle proteins.

Measures to avoid physical overload reactions when using muscle stimula-

tion program (Progr. 9)
Before treatment
» The patient and the user must be informed of the dangers and potential conse-
quences of overtraining and overload.
» The patient and the user must have read and understood the contraindications,
safety instructions, side effects and the instructions for avoiding physical overload
reactions.
» Treatment should be carried out under the guidance of a doctor experienced in mus-
cle stimulation.
» Only undergo therapy if you are feeling calm and fit.
» Do not undergo therapy if you have a fever or any other symptoms that impair your
physical performance capacity. If you have chronic, long-term pre-existing condi-
tions, seek doctor’s advice and approval before starting treatment.
» The patient adjusts the stimulation intensity to a comfortable level and readjusts it
themself if necessary. The aim is to trigger non-painful muscle tension in the area of
the current flow. The intensity of the current is perceived differently by individuals
and depending on the situation and may vary from treatment to treatment.
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» The stimulation and treatment must never be painful.

» Only medically necessary medications should be taken prior to treatment.
» Before/during treatment drink 2 glasses, e.g. of water to support kidney function.
» Do not undergo therapy on an empty stomach. Instead, have a small meal 1-2
hours before treatment to avoid any drop in blood sugar.

After each treatment

» Severe muscle pain after treatment is a sign of overload and should result in a reduc-
tion in the intensity and frequency of treatment. If in doubt, medical advice should
be sought, as well as for any other symptoms that may arise.
» To support kidney function, after treatment 1-2 glasses, e.g. of water should be
drunk.

Treatment in the acclimatisation period (first to seventh treatment)

» As the therapy begins, the muscles must be given sufficient time to get used to
the strain. This also applies to trained muscles. Particularly during the first two ses-
sions, only light stimulation with short periods of muscle tension may be carried
out, without full muscular strain. In addition, during the first two sessions the stimu-
lation must not be applied for more than 10 minutes at a time. The device’s longer
programmes should be stopped after this time programmes with lower frequencies
and longer pause times are preferable.
» There should be a break of at least 4 days between the first 2 sessions.
» In the next 5 courses of treatment, the intensity can be slowly increased until
the desired level of strain is reached and a treatment duration of 20 minutes is
achievedThe time between sessions can be reduced slowly.
» If the user develops any symptoms, feels unwell or experiences muscle pain, the
treatment must be interrupted and medical advice sought.

Treatment after the acclimatisation period

» The duration of treatment should not be longer than 20 minutes per therapy ses-
sion.
» Muscle pain should not occur during the treatment session and constant muscle ten-
sion must be avoided
» If the user develops any symptoms, feels unwell or experiences muscle pain, the
treatment must be interrupted and medical advice sought.

Contraindications
In which cases shall a patient not use the device – or if – only with consultation of
a medical practitioner
» Users with electronic implants such as pacemakers or pumps
» Users with heart rhythm disturbances
» Users with susceptibility to fits (epilepsy)
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schwa-medico Instructions for Use - TENS eco 2

» Users with skin conditions (such as wounds, eczema, radiation damage) in the area of the
electrodes
» Users with malignant conditions in the stimulation area
» Users with pathogenic infections (e.g. tuberculosis, osteomyelitis) in the stimulation area
» Users with phlebitis and blood clots (thrombophlebitis and thrombosis) in the stimulation
area
» Users at increased risk of bleeding as a result of illness or medications, or with fresh
bleeding in the stimulation area

Contraindications TENS/EMS in pregnancy

In addition to the general contraindications of TENS/EMS applies:
» The use of TENS during pregnancy should always be coordinated with the attending
physician and the midwife, taking into account the benefits and the risks.
» Patients who have experienced miscarriage or preterm delivery, should not use TENS
during pregnancy.
» Patients with preterm labour should not use TENS during pregnancy.
» TENS should not be used during the first three months of pregnancy or only after a careful
risk assessment. In particular, stimulation in the area of the uterus should be avoided.
» From the 4th month of pregnancy onwards TENS should not be applied near the uterus.
This applies to all electrode placements in the area of the abdomen, pelvis and lower
back.
» The use of TENS is permissible during childbirth.
Contraindications in the use of muscle stimulation program (Progr. 9)
» Persons in whom muscle stimulation leads to a high release of muscle enzymes and
proteins (e.g. creatine kinase, myoglobulin). This release can also be caused by the
simultaneous taking of medications, e.g. cholesterol-lowering drugs (e.g. statins),
and requires medical supervision.
» Muscle disease (myopathies)
» Drug use (e.g. alcohol) or those taking medications (e.g. lipid-lowering agents, muscle
relaxants, cortisone) that lead to the increased release of muscle enzymes and muscle
proteins in the blood serum
» Diseases, such as of the kidneys or the liver as well as heart diseases, which are asso-
ciated with a reduced compensation of increased values of muscle enzymes, muscle
proteins and electrolyte imbalances

Side Effects
» Pain aggravation: After extensive and intense session, pain aggravation can occur.
Shorten the treatment time (not more than 30 minutes) and choose a low intensity
of stimulation during the first treatment sessions to avoid pain aggravation.
» Skin intolerance: Skin intolerance can result from the electrodes, the electrode gel
or the electric current impulses. A physician should be consulted in cases of longer
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lasting reddening, burning, itching or blistering under the electrodes or in the vicinity
of the electrodes following the stimulation. Slight skin reddening of short duration
in the area of the electrodes following stimulation is quite normal because blood
circulation has been improved by the effects of the stimulation.
» Muscular pain: After extensive and intense muscle stimulation session muscular
aches in terms of sore muscle can occur. Shorten the treatment time and choose a low
intensity of stimulation during the first treatment sessions to avoid pain aggravation.
» Muscle contraction: During high frequency stimulation (above approx. 15 Hz)
persistent muscle contractions can occur. Electrode placement in the thorax area may
lead to respiratory troubles during the stimulation. If the applied area is near or on
the chest, sometimes breathing irritations might appear.

Side effects when using the muscle stimulation program (Progr. 9)

» Muscle cramps with possible damage to the muscle and neighbouring muscle struc-
tures such as connective tissue, ligaments, tendons and bones
» Muscular overload reactions with
- Muscle pain that may last for several day
- Muscle weakness that may last for several day
» The release of muscle enzymes and muscle proteins as well as electrolyte imbalances
due to muscle strain and muscle breakdown (rhabdomyolysis) can in very rare cases
result in strain and damage to internal organs such as the kidneys, liver and heart.
» The consequences of continuous long-term (more than 1,5 months) electrical muscle
stimulation are not known, so negative long-term effects cannot be ruled out.

Electrode placement
Now place the electrodes. The self-adhesive electrodes are placed on parts of the skin
(theparts shown below are just examples). The current flowing out of one channel
consists of a positive pole (anode) and a negative pole (cathode). The red cable
connector indicates the anode, the blue cable connector the cathode. Consider that
the poles are switching in case of biphasic impulses.

Attention: We recommend (for both the monophasic and the biphasic programs)
putting the anode to this part of the skin on which the biggest pain is.

(Exception: At program 16 (Jenkner) the anode is not to be placed on the part with the
biggest pain).

anode= red cable connector

cathode = blue cable connector

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schwa-medico Instructions for Use - TENS eco 2

Examples of electrode placement

Back pain Shoulder pain Epicondylitis radialis)
one channel

Epicondylitis ulnaris

two channels

Arthrosis (hip)

1 1

2
Kaada stimulation
(one channel only)
Shoulder / neck pain

right handed left handed

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Sciatic pain Trigeminus neuralgia Carpal tunnel syndrome

Polyarthritis

Gonarthrosis/knee pain

Pain of achilles tendon/

heel pain

Migraine

Ankle joint pain

Polyneuropathy

Tension headache
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schwa-medico Instructions for Use - TENS eco 2

Polyneuropathy Amputation pain, Postzoster-neuralgia,

with stimulation socks, stomp pain (contralateral)
two channels

Channel
1 Channel
2

with stimulation gloves,

two channels

Channel Channel
1 2

Amputation pain,
phantom pain

Attention!
Stimulation socks and gloves
have to be moistured well.
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Overview pre-set programs

Progr.- Program Indication Description Fre- Pulse Timer/
no. name quency/ width/ min.
Hz µs
P1 Gate Nociceptive pain, acute Both channels with the 100 200 30
control 1 pain, neuropatic pain same parameters
P2 Gate Alternative to program 1 Both channels with the 80 150 30
control 2 same parameters
P3 Low fre- Chronic nociceptive pain, Both channels with the 2 250 30
quency improvement of same parameters
blood circulation, Kaada
stimulation
P4 Gate con- Combination of high and Channel 1: 100 Hz Channel 200 30
trol + low frequency stimulation Channel 2: 2 Hz 1: 100
low fre- Channel
quency 2: 2
P5 Adapta- Muscular pain First 10 min 100 Hz, 100/2 150/200 10/20
tion then 20 min with 2 Hz
P6 HAN Suitable for almost all kinds 3 s 100 Hz, then 3 s 2 100/2 150/200 30
of pain program Hz etc.
P7 Burst Alternative to program 3 100 Hz for 0.25 s 100 150 30
(more comfortable)
P8 Modula- Alternative to the other Automatic frequency 2 - 80 200 - 30
tion programs in case run from 100
of therapy resistance 2 Hz to 80 Hz within
7.5 s
P9 Muscle Atrophy prophylaxis, muscle Increase 2 s, working 50 250 30
stimula- strengthening time 5 s, decrease 1 s,
tion pause 12 s, automatic
intensity adaption
P 10 Gate Muscle relaxation Intensity within 1 s to 80 150 30
control maximum,
dynamic 1 then within 1 s reduced
to 50%.
Both channels in alter-
nating operation
P 11 Gate Muscle relaxation, venous Intensity within 0.25 s 80 150 30
control return to maximum,
dynamic 2 then within 0.25 s
reduced to 50%.
Both channels in alter-
nating operation
P 12 Deep Muscular pain, deep seatted Impulse packages of 4 100 75 30
TENS pain impulses with a carrier
frequency of 100 Hz.
200 µs pause between
each impulse
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schwa-medico Instructions for Use - TENS eco 2

Overview free programs

Progr.- Program Indication Description Fre-quency/ Pulse Timer/
no. name Hz width/ min.
µs
U1 Gate Acute nociceptive Both channels with the same 1-120 50-400 1-99
Control 1 pain, acute pain, parameters
chronic neuropathic
pain
U2 Gate Alternative to Both channels with the same 1-120 50-400 1-99
Control 2 program 1 parameters
U3 Low Chronic nociceptive Both channels with the same 1-120 50-400 1-99
frequency pain, improvement parameters
of
blood circulation,
Kaada stimulation
U4 Gate Combination of Channel 1 and channel 2 Channel 1: 50-400 1-99
Control + high and low fre- work with different para- 4-120
Low quency meters Channel 2:
Frequency 2 Hz fixed
U5 Adjust- Muscular pain First 10 min.: 100 Hz First fre- 50-400 1-99
ment Then 20 min.: 2 Hz quency
1-120
U6 HAN For nearly all pain alternating First fre- 50-400 1-99
indications 3 s 100 Hz quency
3 s 2 Hz 1-120
U7 Burst Alternative to pro- 0.25 s long impulse with a 50-120 50-400 1-99
gram no. 3 (more frequency to be set
comfortable)
U8 Modula- Alternative to other Automatic frequency run First fre- First 1-99
tion programs if resis- from one frequency to ano- quency: pulse
tant to therapy ther within 7.5 s 1-50 width:
Last fre- 100-400
quency:
80
U9 Muscle Prophylaxis treat- Increase 2 s, working time 5 1-120 50-400 1-99
Stimula- ment of muscle s, decrease 1 s, pause 12 s,
tion atrophy frequency to be set, automa-
tic intensity adaption
U 10 Gate Muscle relaxation Intensity within 1 s to maxi- 10-120 50-400 1-99
Control mum, then within 1 s redu-
Dynamic ced to 50%. Both channels
slow in alternating operation
U 11 Gate Muscle relaxation Intensity within 0.25 s to 50-120 50-400 1-99
Control maximum, then within 0.25 s
Dynamic reduced to 50%. Both chan-
fast nels in alternating operation
U 12 Deep Muscle pain, pain Impulse packages of 4 impul- 1-120 50-400 1-99
TENS in deep areas ses with a pulse width to be
set working with a frequency
carrier to be set.
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Operating the TENS eco 2

Operating elements

1 Display

2 Menu key
(Program choice)

3 Key to enter the

programming
mode
1

4 Modification keys
to adjust parameters
and to modify the
intensity
2
5 ON/OFF key
3
6 Output sockets
for the cables
4
7 Output socket
for the battery
charger 5

8 ON/OFF
commutator

8
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schwa-medico Instructions for Use - TENS eco 2

Connecting cables and electrodes

» Connect the electrodes with the cable(s) (always 2 electrodes per cable).
» Connect the cable(s) to the TENS eco 2 (no. 6).
» Place the electrodes on the desired area (see examples on chapter electrode placement).
Switching ON the TENS eco 2
The battery of new TENS eco 2 units need to be charged before first use. Please
read the chapter “charging the battery” on page 10.
» Switch the commutator (no. 8) to the ON position.
» Switch on the TENS unit by pressing the key (no. 5)
The program shown on the display is the last which was used during the previous
session. If the display shows a key symbol on the upper left side, the TENS eco 2 has
previously interlocked a specific program (see chapter interlocking the key pad).

Selecting a program
Select a program by pressing the key. To scroll through the
programs, press the P key as often as necessary until you have
selected the program of your choice. To return to the previous
program, press one of the keys.
Selecting a program is only possible if the keypad has not been
interlocked on one specific program (see chapter interlocking the keypad).

Setting the intensity

Start the stimulation by increasing the intensity with the key
of the channel(s) connected to the electrodes.
key to increase the intensity
key to decrease the intensity

The intensity of each channel is displayed on the screen.

The intensity can be set between 0 and 100 mA.
By keeping the intensity keys pressed, the intensity will increase/decrease more rapidly.

Attention: In order to prevent an involuntary adjustment of the intensity, the device is

self-locking the intensity automatically after 5 seconds of no use. To unlock the intensity,
first press the key and all other settings can be modified again. If the electrodes are
not correctly connected to the device or not correctly attached to the skin the intensity
can not be set to a value above 10 mA and will return to zero automatically.

Terminating the stimulation

You can terminate the stimulation at any time by pressing the key. When the
therapy time is completed the stimulation terminates automatically. If you press the
key the stimulation stops and the TENS eco 2 switches OFF.
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Interlocking the keypad

Choose the desired program by pressing the key (see chapter choosing a program).
Press and hold for 3 seconds the key and the right keys to interlock the TENS
unit on the chosen program. The TENS eco 2 can now only be used with the chosen
program. A key symbol appears on the display adjacent to the program number. All
keys except the intensity and the ON/OFF keys are interlocked into this mode. Use the
same key combination ( and ) to unlock the TENS unit.

Timer
You can use the TENS eco 2 with or without timer. All programs run for 30 minutes. Press
and hold for 3 seconds the key and the left key. The total therapy time appears
on the display. Press the key to switch off the timer. The symbol “---“ appears on the
display. Press the key to save the changes.

Creating a user program (P13 – P24 only)

Choose one program between P13 and P24. Press the
key to access the programming mode. The parameters to be
changed flash. You can modify them by pressing the and
keys. Switch to the next parameter by pressing the key.
The frequency, the pulse width and the time can be modified
in the user programs.

Switching ON/OFF the buzzer

Pressing the left key for three seconds, with keyswitching ON/OFF.

Factory settings
The parameters from P1 and P13 are identical in new devices, respectively  for P2 and
P14, P3 and P15, … P12 and P24.

Switching OFF the TENS unit

Press the key to switch OFF the TENS eco 2. If the battery level is too low or if the
TENS unit has not been used for the previous 2 minutes, it turns off automatically.

Charging the battery

The battery level is shown on the display with a battery symbol with 4 lines. If the
battery level is too low the TENS unit switches OFF automatically and cannot be turned
on again. The battery needs to be re-charged.
» Switch the commutator to the OFF position (no. 8).
» Connect the charger with the TENS eco 2 (socket no. 7).
» Connect the charger to the mains circuit. The diode on the charger illuminates in red.
» Charge the TENS unit until the diode on the charger illuminates in green.
» The battery is fully charged if the light on the charger appears in green. Plug OFF the
charging cable from the mains circuit.
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schwa-medico Instructions for Use - TENS eco 2

Caution! Do not charge the battery for more than 3 hours.

Important! Do not forget to switch the commutator ON again after charging.

Socket

Commutator

Setting date and time (for memory query mode)

Before you can use the memory query mode you need to set the date and time.
Pressing and holding the key for about 3 seconds leads you to the date/time mode.
In date/time mode the LCD shows two figures: The left figure indicates the date, the
right figure indicates the time.
» Pressing the left key increases the date by one day (max. 30).
» Pressing the left key decreases the date by one day (min. 1).
» Pressing the right key increases the time by one hour (max. 23).
» Pressing the right key decreases the time by one hour (min. 0).
» Press the key to save all parameters and to leave the date/time mode again. Date and
time are continuously updated.
The TENS eco 2 switches OFF automatically after two minutes if no key is pressed. In
this case none of the adjusted parameters are saved.

Memory Query Mode

First set the date and time (see chapter setting date and time).
The memory query mode is used to read out saved therapy data
from patients. By pressing and holding the right key and
key for about 3 seconds you enter the memory query mode. If
no values are saved, the display shows “null” for about 2 seconds
and the device returns to standby mode automatically. If you
have saved therapy data, the display shows the parameters of
the last therapy session as shown below:
• Used program = P01 • Therapy duration = 0 min 44 s
• Frequency = 100 Hz • Day of therapy = 5 (fifth day)
• Pulse width = 200 μs • Therapy session no. = 3

You can save up to 90 therapy sessions respectively the last 3 of each day.
» With the left key you can return to the values of the previous day (until you reach the
first recorded day).
» The left key lets you proceed to the next day (until you reach the current or last day).
» The right key brings you to the parameters of the previous therapy session of the
respective day (until you reach the first session of the respective day).
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» The right key shows you the parameters of the next therapy session (until you reach
the last session of the respective day).

Resetting the memory

Enter the memory query mode (see above). Pressing and holding the E key for about 5
seconds will delete all saved data. The display shows “Clr” for about 2 seconds and the
device can be used for stimulation again. The TENS eco 2 switches OFF automatically
after two minutes if no key is pressed.

Electrode placement for dynamic stimulation (P10, P11, P22, P23)

The stimulation is not administered simultaneously on both channels. The current
flowes from one electrode to the other just like a wave undulating on the body. This kind
of stimulation is far more comfortable than traditional neuro-muscular stimulation.
Dynamic stimulation can be used with high frequency parameters for a improved
pain control or with low frequency parameters for optimized muscle stimulation. This
treatment method also has an enhanced effect on lymphatic drainage stimulation.

The placement of electrodes for dynamic stimulation depends on the direction of

stimulation (rising/falling stimulation or sideways stimulation).

Rising or falling Sideways Rising Falling

stimulation stimulation wave wave
for back or legs for gluteus or
stomach muscle

Channel 1 2 2
Kanal 1 Kanal 1

Kanal 2 Kanal 2
1 1
1 1
2 2
Channel
Kanal11 Channel
2 2 Kanal 2
Kanal 1
Channel 2

For stimulation of the lower extremities we recommend the use of 5x9 cm electrodes.
Attach one electrode of each channel to each leg.
For stimulation of the back, attach one electrode of each channel to the right and to
the left side of the spine.
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schwa-medico Instructions for Use - TENS eco 2

Technical information
Description of the symbols
By labelling with CE mark, the manu- Serial number

facturer asserts that the product
Environment
fulfills all relevant requirements
Do not dispose of the appliance
of the respective EC Directives. A
with the normal household waste
conformation assessment process
at the end of its life, but hand it in
has been successfully completed.
at an official collection point for
The identification number in respect
recycling. By doing this you will
of the conformation assess-ment
help to protect the environment.
process is given in accordance with
the CE labelling of the relevant
Manufacturer
notified body.
Attention! Date of manufacture
The product presents non-obvious
Attention! The safe use of the
risks. Observe the safety precautions
product requires following the
contained in the instruction for use!
instructions for use.
Application component of type BF:
Galvanically isolated application Keep dry
component with higher level of
protection against an electric shock IP22 Che device offers protection against
penetration of solid objects with a
to the body, but not directly to the
diameter of ≥ 12.5 mm and protec-
heart!
tion against vertically dripping
Catalogue number water (with device tilted up to 15°)

Technical specification
Two-channel nerve and muscle stimulator with electrically insulated channels, constant
current characteristic, output short circuit control element (AKS), 12 integrated pre-set
programs and 12 user programs.
Output current 100 mA (with an actual resistor of 1kΩ), approx. 3 hours
runtime depending on the intensitiy used
Frequency range 1-120 Hz
Impulse width 50-400 μs
Impulse form positive rectangle with neg. part
Nominal current 15 mA
Power supply integrated rechargeable battery NiMH 4.8 V
Dimensions 11.4 x 5.9 x 2.7 cm
Weight approx. 300 g
Operating conditions Temperature range: 10 °C to 40 °C
Relative humidity: 30 % to 75 %
Air pressure: 70-106 kPa
Storage conditions Temperature range: -10 °C to 55 °C
Relative humidity: 10 % to 90 %
Air pressure: 50-106 kPa
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Pulse form
With 1kΩ real With ANSI/AAMI standard load
Output Power, Voltage
Voltage

Time Time
Output
Power
Change in output current
depending on load
Intensity
mA 100 Time
80
60
40
20 Resistance
500 1000 1500 2000 2500 Ω

Maintenance and cleaning

No special cleaning or care agents are required for the TENStem eco basic. If the device
and/or the cables are soiled, they must be cleaned with a soft, fluff-free cloth. For care
of the electrodes, see “Accessories”.

Warranty
Legal right of warranty is applied according to German Civil Code.

Guarantee
The manufacturer issues a guarantee of 12 months from the date of purchase.
The guarantee does not apply in the following cases:
» damage due to improper handling
» defects the customer is aware of on the date of purchase
» damage caused by the customer
» for wearing parts and consumable supplies like, for instance, electrodes,
» batteries and cables
Combination
The TENS eco 2 may only be used with the products listed in the delivery content and
the accessories.

Classification
In accordance with the Law on Medical Devices, the TENS eco 2 is classified as being a
Class IIa medical device.
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schwa-medico Instructions for Use - TENS eco 2

Battery return and disposal

Caution: If the batteries are disposed of along with residual waste and later inciner-
ated in a waste incineration plant, toxic pollutants (including mercury, cadmium and
lead) can be released into the air. If the pollutants from the batteries find their way into
the food chain, they can have serious health-endangering effects on humans!
Therefore, please note the following information: In connection with the sale of
products containing batteries, which also include rechargeable batteries, we are
legally obliged in accordance with § 18 para. 1 of the German Battery Act (BattG), to
inform you of the following: The dustbin symbol ( ) indicates batteries containing
harmful substances and the fact that batteries must not be disposed of with house-
hold waste, but must be disposed of properly.
The chemical name of the pollutant is indicated under the dustbin symbol. You are
legally obliged to return used batteries. You can return used batteries to a munici-
pal collection point or to your local retailer. As a distributor of batteries, we are also
obliged to take back used batteries, although our take-back obligation is limited to
used batteries of the type that we carry or have carried in our range as new batteries.
Used batteries of the aforementioned type can therefore either be returned to us with
sufficient postage or handed in directly to our dispatch warehouse free of charge at
the following address: schwa-medico GmbH, Dreieiche 7, 35630 Ehringshausen.
Please refer to the following illustration for the symbols used to identify batteries con-
taining harmful substances:

Battery contains more than 0.002 percent by weight of cadmium

Battery contains more than 0.0005 percent by weight of mercury

Battery contains more than 0.004 percent lead by weight of lead

Delivery content
Art.-No. Article Quantity
10005474 TENS eco 2 1
10002245 Cable Type 5.15 2
10005273 Self-adhesive electrodes 50x50 mm (4 pieces) 1
10005057 Charger 3PN0508S EU 1
Transportation bag 1
10001774 Instructions for Use 1

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Accessories
The following accessories can be combined with the TENS eco 2. The manufacturer
cannot guarantee the security of the TENS eco 2 if it is not used with original accessories.

Stimex self-adhesive electrodes

Please place the self-adhesive electrodes only on clean and grease-free skin. Do not
use on injured or infected skin surfaces. In the interests of hygiene, the self-adhesive
electrodes should only ever be used by one patient. For further safety information and
cleaning measures please read the Instructions for use of the self-adhesive electrodes
(Art. no. 451600-0422).

Art. No. Article Quantity

10005269 Stimex 32 mm round 4
10005272 Stimex 50 mm round 4
10005273 Stimex 50 x 50 mm 4
10005275 Stimex 50 x 90 mm 2
10006160 Stimex 50 x 130 mm 2
10005277 Stimex 80 x 130 mm 2
10005274 Stimex sensitive 50 x 50 mm 4

Silicone Electrode
Apply electrode gel to the flat side of the electrodes and attach them to the skin with
a strip of Silk-Tape. Do not stick to open wounds! The conductivity of the electrodes
slowly decreases after 6 months. Replace after approx. 12 months of intensive use.
Please clean the electrodes after each use with soap and water or a disinfectant (e.g.
70 % alcohol).

Item no. Article Quantity

10004081 Silicone electrode, round 20 mm Ø 2
10004085 Silicone electrode, 48 x 48 mm 2
10004086 Silicone electrode, 48 x 68 mm 2
10004084 Silicone electrode, 48 x 100 mm 2
10006155 Silicone electrode, 48 x 1000 mm 1
10004087 Silicone electrode, 65 x 70 mm 2
10004077 Silicone electrode, 100 x 100 mm 2
10004079 Silicone electrode, 100 x 200 mm 2
10001135 Electrode gel, tube 60 g
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schwa-medico Instructions for Use - TENS eco 2

Stimex garment electrodes: gloves and socks

The gloves and socks used in combination with the TENS eco 2 provide stimulation of
the entire hand and/or foot and ankle and avoid the sometimes tiresome attachment
of self-adhesive electrodes on the hand or the foot. Do not use on injured or diseased
areas of skin! Do not touch any metallic object or any electronic devices (e.g. mobile)
during the therapy! Do not wear any metallic jewellery or watches during therapy!
For further safety information and for detailled cleaning measures please read the
instructions for use of the Stimex garment electrodes.

Gloves
Art. No. Article Size Pair
10005382 Stimulation gloves S 1
10005381 Stimulation gloves M 1
10005380 Stimulation gloves L 1

Socks
Art. No. Article Size Pair
10005360 Stimulation socks M 1
10005359 Stimulation socks L 1

Other Accessories
Art.-No. Artile Quantity
10002245 Cables type 5.15 1
10005057 Charger 3PN0508S EU 1
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Troubleshooting

Problem Possible cause Proposed solution

The unit cannot be » The rechargeable battery is low or » Recharge the integrated rechargeable
switched on. empty. battery
The intensity cannot » One or both electrodes do not stick » a) Check that the electrodes are
be increased beyond properly to the skin. properly attached and reattache them
low intensity values. if necessary.
» b) If necessary, replace the electrodes.
» The cable is not properly con- » Plug the cable firmly into the output
nected to the unit. socket of the device.
» The cable is not properly con- » Check that all used electrodes are
nected to the electrodes. firmly connected to the cable.
» The cable is defective. » Replace the cable.
The unit switches off The rechargeable battery is low or » Charge the rechargeable battery.
suddenly. empty. » If charging is not successful, replace
the rechargeable battery.
» If a new rechargeable battery does not
work either, use a new charging unit.
The unit suddenly » One or both electrodes have » a) Check that the electrodes are
switches the intensity slipped or do not stick properly to properly attached and reattache them
back to 0. the skin. if necessary.
» b) If necessary, replace the electrodes.
The stimulation is » The electrodes do not stick pro- » a) Check that the electrodes are
hardly noticeable. perly to the skin. properly attached and reattache them
if necessary.
» b) If necessary, the electrodes should
be replaced.
» The electrodes are placed too clo- » Place the electrodes so that there is at
sely to each other or are in contact. least 2 cm space between them.
» The set intensity is not high » Increase the intensity with the [up
enough. arrow] keys until you feel the stimula-
tion clearly but not painfully.
» The rechargeable battery is too » Charge the rechargeable battery.
weak.
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schwa-medico Instructions for Use - TENS eco 2

Notes
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 Stand: 2022-01-14

HOLISTIC HEALTH
EXPORT DEPARTMENT
Wetzlarer Strasse 41-43 I 35630 Ehringshausen I Germany
Tel. +49 6443 8333-113 I Fax +49 6443 8333-119
10001774 Version 06

Email export@schwa-medico.de I www.schwa-medico.com

Pierenkemper GmbH
Am Geiersberg 6 I 35630 Ehringshausen I Deutschland
www.pierenkemper.eu