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The NexWave
The NexWave’s unique user friendly interface was
strategically designed to allow patients to control their
electrotherapy treatment options and manage symptoms on
their own.
Patients can easily switch between IFC, TENS, and NMES
modalities and the 9 preprogrammed modes

NexWave

Confidential
Overview of the NexWave
User Friendly Design and Operation
The Nine Preprogrammed Modes of Stimulation
Device Operating Instructions
Troubleshooting the NexWave
Conditions Treated by the NexWave

NexWave

Confidential

2
NexWave User Friendly Design and Operation

Large LCD Display Allows Users to view:
Intensity level (mA)
Available modality preprogrammed modes
Treatment Timer Status
IFC electrode arrangement reminder
Compliance Meter Information
Device Locked Status
Battery Status
Device Alerts
NexWave

Confidential

3
NexWave User Friendly Design and Operation

Back Lit Display
Makes reading display easy
No challenges in dimly lit or dark room settings
Vivid and clearly defined options

NexWave

Confidential

4
NexWave User Friendly Design and Operation

Unlock Button
NexWave will lock automatically after 20
seconds of inactivity
Prevents accidental or unintentional changes
to treatment parameters
Lock icon appears on display
Press Unlock button to switch or modify
settings or intensity
NOTE…The power button has the ability to
shut the unit off even if the unit is locked
NexWave

Confidential

5
NexWave User Friendly Design and Operation

LED Lights
Visual indicator that stimulation is ON
Lights flash in sync with stimulation rate

NexWave

Confidential

6
NexWave User Friendly Design and Operation

Three Independent Modality Buttons
Patient can easily switch between IFC, TENS, and
NMES modes with the push of a button
Pressing a specific modality button repeatedly will
change the 3 preprogrammed modes within the
modality

NexWave

Confidential

7
NexWave User Friendly Design and Operation

Treatment Timer Button
Press the timer button repeatedly to modify
treatment time in 10 minute increments
Adjust Treatment Time Anytime
Ranges from 10 mins to 90 mins

NexWave

Confidential

8
NexWave User Friendly Design and Operation

Compliance Data Retrieval Option
Records total number of treatments and total minutes
used
Only records when mA is greater than 4 mA
View Compliance Data by holding down the Timer
Button for 5 seconds (20 seconds will reset data)
Exit Compliance Meter by pressing Timer Button once

NexWave

Confidential

9
NexWave User Friendly Design and Operation

Operating Mode
User can switch from one mode to the next within a
specific modality during a treatment without the
stimulation resetting to zero
Changing Modalities during a treatment will
automatically reset mA’s to ZERO “0 mA”—safety
feature
An Open Circuit Alert displays “Check Connections!”
Ch1 or Ch2 will flash

The Battery Icon will display when battery is low.
Stimulation will turn off and “Check Connections!” will appear
when battery is depleted

NexWave

Confidential

10
Nine Preprogrammed Modes
IFC
Interferential Current
Pads must be crossed, as shown below
LoHi – 4001– 4128hz Sweep over 15 seconds
Produces beat frequency of 1-128 bps

Low – 4001 – 4010hz Sweep over 15 seconds
Produces beat frequency of 1-10 bps

Cmb – Low mode (2 min.), High Mode (2 min., 64128 bps), and Muscle Mode (2 min.)

NexWave

Confidential

11
Preprogrammed Modes
TENS
Transcutaneous Electrical Nerve Stimulation
Pads usually parallel along muscle
Swp – sweeps from 1-125 Hz over 12 sec
Lmd – decreases from 100 Hz -- 66 Hz while P-W
increases from 150us -- 300us over 12 seconds
and vice versa
Hmd - decreases from 100 Hz -- 66 Hz while P-W
increase from 150us to 300us over 2 seconds and
vice versa

NexWave

Confidential

12
Preprogrammed Modes
NMES
Neuromuscular Electrical Stimulation
Pads parallel along muscle
30:10 – 30 seconds of OFF time and 10 Seconds
of ON time
20:10 - 20 seconds of OFF time and 10 Seconds of
ON time
10:10 - 10 seconds of OFF time and 10 Seconds of
ON time
35 Hz, 480us, Channels Simultaneous
NexWave

Confidential

13
NexWave
Indications for Use:
Transcutaneous Electrical Nerve Stimulation (TENS)
Management and symptomatic relief of chronic intractable pain, post-traumatic and postsurgical pain

Interferential Current (IFC)
Management and symptomatic relief of chronic intractable pain, post-traumatic and postsurgical pain

Neuromuscular Electrical Stimulation (NMES)
Relaxation of muscle spasms
Prevention and retardation of disuse atrophy
Increase of local blood circulation Muscle
rehabilitation and re-education Maintaining
and increasing range of motion

Contraindications
This stimulator should not be used on patients with a cardiac demand pacemaker.
Electrodes should not be placed so that current will be applied to the carotid sinus (neck)
region or transcerebrally (through the head).
This stimulator should not be used whenever pain syndromes are undiagnosed, until etiology
is established.
NexWave

Confidential

14
NexWave Operating Instructions
Device Operating Instructions
1. Connect Leadwires to Electrodes
While Electrodes are Still on Plastic
Liner

Tip: It is easier to connect leadwires to the
electrodes before you remove them from the
plastic silicon sheet
NexWave

Confidential

15
NexWave Operating Instructions
Device Operating Instructions

2. Connect Leadwires to Device

Important: Make Sure Leadwires are
inserted flush into Channel 1 & 2 Ports

NexWave

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16
NexWave Operating Instructions
Device Operating Instructions
3. Place the Electrodes Over the Treatment Site.

IFC or TENS
Placement

TENS or NMES
Placement

Important: When Using IFC, Electrodes Must be Crisscrossed.
NexWave

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17
NexWave Operating Instructions
Device Programming Instructions
4.

Power up NexWave with Large
on/off button

NexWave

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18
NexWave Operating Instructions
Device Programming Instructions
5. Select one of the 3 BLUE modality
options
(IFC, TENS, NMES)

NexWave

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NexWave Operating Instructions
Device Programming Instructions
6. Adjust the intensity to the appropriate
level based on Acute, Sub-Acute,
Chronic pain or Muscle stim needs
7. As a reminder for IFC, either Ch1 or
Ch2 will increase/decrease the
intensity of both channels
simultaneously
8. In TENS & NMES, the Ch1 and Ch2
intensity buttons are independent of
each other
NexWave

Confidential

20
Customer Service- Frequently Asked Questions
Issues with the NexWave are rare. But when they occur, here are the FAQs:
Issue- Cannot increase current level of stimulation
Solution- Press and release the Unlock button, then press the positive button
to increase the stimulation.
Problem- Displays shows “Check Connections”
Solution- Turn device off. Check electrode skin contact, make sure all
electrodes are laying firm on the skin, and verify that all electrodes are
connected to lead wires. If all is in place, remove battery from device, extend
the prongs out to get a better connection to the battery, and replace with a new
battery. If using an AC Adaptor, plug into a known good electrical outlet.
Problem- Unit is not turning on
Solution- Remove battery from device. Extend the prongs out to get a better
connection to the battery, then replace with a new battery. If using an AC
Adaptor, plug into a known good electrical outlet.
NexWave

Confidential

21
Troubleshooting the NexWave
Problem

Solution

Unit stays on even after
treatment ends.

Hold Off button down for 2 seconds to shut
unit off. Otherwise unit will shut off automatically after 5 minutes of
no stimulation. Alternatively you can start a new treatment session
after the last one ends.

Cannot increase level
from its current setting.

Press and release Unlock button or turn
level down 1 mA to unlock this safety feature. Then increase
stimulation to the desired level/intensity. Intensity level is always
locked after 20 seconds of key press inactivity.

Do not feel the IFC beating frequency in
the center of the four electrodes.

Check that the lead wires are connected correctly to the electrodes
(red opposite to each other, black opposite to each other)

Display shows “Check
Connections”
(electrode alarm).

Check electrode skin contact. Electrodes
should be fresh and stick well. Use water
if necessary to soften the gel for better contact. Verify that all four
electrodes are connected to lead wires and that both lead wires are
connected to the unit. Connect the bare metal pins together to
short-circuit the outputs. If the electrode alarm ceases the problem
is with the electrode connection integrity.

NexWave

Confidential

22
Conditions Treated by NexWave
Cervical
Pain

Low Back Pain

Shoulder Pain

Wrist/Hand Pain

Knee Pain

NexWave

Confidential

23
Conditions Treated by NexWave
Urinary Incontinence 788.30 PFES

Cervical Spondylosis 721.0 TENS

Joint Pain/Shoulder 719.41 TENS, IFC

Lumbosacral Spondylosis 721.3 TENS, IFC

Shoulder Region DIS NEC 726.2 TENS,
IFC

Urge Incontinence 788.31 PFES

Lateral Epicondylitis 726.32 IFC, HVPDC

Stress Incontinence 788.32 PFES

Pain in Limb 729.5 TENS

Mixed Incontinence 788.33 PFES

Cervical Disc Displacement 722.0 TENS,
IFC
Cervical Disc Degeneration 722.4 TENS,
IFC
Disc Degeneration 722.6 TENS

Sprain/ Rotator Cuff 840.4 TENS, IFC,
NMES

Lumbar Disc Displacement 722.10 TENS,
IFC

Sprain/Supraspinatus 840.6 TENS, IFC,
NMES

Paraplegia NOS 344.1 NMES

Lumbar/Lumbosacral Disc Degeneration
722.52 TENS, IFC

Local Osteoarthrosis/Leg 715.16 NMES,
TENS

Bell’s Palsy 351.0 NMES

Post Laminectomy Syndrome 722.83 TENS

Osteoarthrosis/Leg 715.96 NMES, TENS

Cervicalgia 723.1 TENS, IFC

Chondromalacia Patella 717.7 NMES,
TENS

Brachial Neuritis 723.4 TENS
Spinal Stenosis/Lumbar 724.02 TENS

Cerebral Palsy 343.9 NMES

Stroke CVA 436.0 NMES
Muscle Disuse Atrophy 728.2 NMES, PFES
Muscle Weakness 728.87 NMES, PFES

Internal Derangement Knee 717.9 NMES
Muscle Spasm 728.85 NMES, IFC

Pain in Thoracic Spine 724.1 TENS

Old Disrupted Anterior Cruciate Ligament
717.83 NMES

Lumbago 724.2 TENS, IFC

Joint Pain/Pelvis 719.45 TENS, IFC

Sciatic 724.3 TENS

Joint Pain/Leg 719.46 TEN, IFC

Lumbosacral Neuritis 724.4 TENS

Pain in Limb 729.5 TENS

Backache 724.5 TENS, IFC

AQC Ankle/Foot Defect 736.79 NMES

Other Back Symptoms 724.8 TENS

Tear Lateral Meniscus 836.1 NMES

Pain in Limb 729.5 TENS, IFC

Myalgia/Myositis 729.1 TENS

Dislocated Patella 836.3 NMES

Spinal Cord Injury 952.9 NMES

Neuralgia/Neuritis 729.2 TENS

Sprain/Cruciate Ligament (Knee) 844.2
TENS, IFC, NMES

Sprain/Thoracic Region 847.1 TENS, IFC
Sprain/Lumbar Region 847.2 TENS, IFC

Sprain/Knee and Leg 844.9 NMES

Muscle/Ligament DIS NEC 728.9 TENS, IFC,
NMES
Myalgia/Myositis 729.1 TENS
Neuralgia/Neuritis NOS 729.2 TENS, IFC

Serum Reaction 999.5 TENS
Joint Replacement Knee V43.65 NMES
Post Surgical State V45.89 TENS, IFC, NMES

NexWave

Confidential

24
Conditions Treated by NexWave
Recommended Treatment Protocols and
Pad Locations
Refer to the NexWave Users Manual

NexWave

Confidential

25
Summary of the NexWave
User Friendly Design and Operation
The Nine Preprogrammed Modes of Stimulation
Device Operating Instructions
Troubleshooting the NexWave
Conditions Treated by the NexWave

NexWave

Confidential

26
NexWave
Questions?

NexWave

Confidential

27
NexWave Training for Hyderabad, India ppt 091313
127p

NexWave

Confidential

28

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ZMPCZM016000.10.02 Nexwave Training for Hyderabad, India.

  • 1. The NexWave The NexWave’s unique user friendly interface was strategically designed to allow patients to control their electrotherapy treatment options and manage symptoms on their own. Patients can easily switch between IFC, TENS, and NMES modalities and the 9 preprogrammed modes NexWave Confidential
  • 2. Overview of the NexWave User Friendly Design and Operation The Nine Preprogrammed Modes of Stimulation Device Operating Instructions Troubleshooting the NexWave Conditions Treated by the NexWave NexWave Confidential 2
  • 3. NexWave User Friendly Design and Operation Large LCD Display Allows Users to view: Intensity level (mA) Available modality preprogrammed modes Treatment Timer Status IFC electrode arrangement reminder Compliance Meter Information Device Locked Status Battery Status Device Alerts NexWave Confidential 3
  • 4. NexWave User Friendly Design and Operation Back Lit Display Makes reading display easy No challenges in dimly lit or dark room settings Vivid and clearly defined options NexWave Confidential 4
  • 5. NexWave User Friendly Design and Operation Unlock Button NexWave will lock automatically after 20 seconds of inactivity Prevents accidental or unintentional changes to treatment parameters Lock icon appears on display Press Unlock button to switch or modify settings or intensity NOTE…The power button has the ability to shut the unit off even if the unit is locked NexWave Confidential 5
  • 6. NexWave User Friendly Design and Operation LED Lights Visual indicator that stimulation is ON Lights flash in sync with stimulation rate NexWave Confidential 6
  • 7. NexWave User Friendly Design and Operation Three Independent Modality Buttons Patient can easily switch between IFC, TENS, and NMES modes with the push of a button Pressing a specific modality button repeatedly will change the 3 preprogrammed modes within the modality NexWave Confidential 7
  • 8. NexWave User Friendly Design and Operation Treatment Timer Button Press the timer button repeatedly to modify treatment time in 10 minute increments Adjust Treatment Time Anytime Ranges from 10 mins to 90 mins NexWave Confidential 8
  • 9. NexWave User Friendly Design and Operation Compliance Data Retrieval Option Records total number of treatments and total minutes used Only records when mA is greater than 4 mA View Compliance Data by holding down the Timer Button for 5 seconds (20 seconds will reset data) Exit Compliance Meter by pressing Timer Button once NexWave Confidential 9
  • 10. NexWave User Friendly Design and Operation Operating Mode User can switch from one mode to the next within a specific modality during a treatment without the stimulation resetting to zero Changing Modalities during a treatment will automatically reset mA’s to ZERO “0 mA”—safety feature An Open Circuit Alert displays “Check Connections!” Ch1 or Ch2 will flash The Battery Icon will display when battery is low. Stimulation will turn off and “Check Connections!” will appear when battery is depleted NexWave Confidential 10
  • 11. Nine Preprogrammed Modes IFC Interferential Current Pads must be crossed, as shown below LoHi – 4001– 4128hz Sweep over 15 seconds Produces beat frequency of 1-128 bps Low – 4001 – 4010hz Sweep over 15 seconds Produces beat frequency of 1-10 bps Cmb – Low mode (2 min.), High Mode (2 min., 64128 bps), and Muscle Mode (2 min.) NexWave Confidential 11
  • 12. Preprogrammed Modes TENS Transcutaneous Electrical Nerve Stimulation Pads usually parallel along muscle Swp – sweeps from 1-125 Hz over 12 sec Lmd – decreases from 100 Hz -- 66 Hz while P-W increases from 150us -- 300us over 12 seconds and vice versa Hmd - decreases from 100 Hz -- 66 Hz while P-W increase from 150us to 300us over 2 seconds and vice versa NexWave Confidential 12
  • 13. Preprogrammed Modes NMES Neuromuscular Electrical Stimulation Pads parallel along muscle 30:10 – 30 seconds of OFF time and 10 Seconds of ON time 20:10 - 20 seconds of OFF time and 10 Seconds of ON time 10:10 - 10 seconds of OFF time and 10 Seconds of ON time 35 Hz, 480us, Channels Simultaneous NexWave Confidential 13
  • 14. NexWave Indications for Use: Transcutaneous Electrical Nerve Stimulation (TENS) Management and symptomatic relief of chronic intractable pain, post-traumatic and postsurgical pain Interferential Current (IFC) Management and symptomatic relief of chronic intractable pain, post-traumatic and postsurgical pain Neuromuscular Electrical Stimulation (NMES) Relaxation of muscle spasms Prevention and retardation of disuse atrophy Increase of local blood circulation Muscle rehabilitation and re-education Maintaining and increasing range of motion Contraindications This stimulator should not be used on patients with a cardiac demand pacemaker. Electrodes should not be placed so that current will be applied to the carotid sinus (neck) region or transcerebrally (through the head). This stimulator should not be used whenever pain syndromes are undiagnosed, until etiology is established. NexWave Confidential 14
  • 15. NexWave Operating Instructions Device Operating Instructions 1. Connect Leadwires to Electrodes While Electrodes are Still on Plastic Liner Tip: It is easier to connect leadwires to the electrodes before you remove them from the plastic silicon sheet NexWave Confidential 15
  • 16. NexWave Operating Instructions Device Operating Instructions 2. Connect Leadwires to Device Important: Make Sure Leadwires are inserted flush into Channel 1 & 2 Ports NexWave Confidential 16
  • 17. NexWave Operating Instructions Device Operating Instructions 3. Place the Electrodes Over the Treatment Site. IFC or TENS Placement TENS or NMES Placement Important: When Using IFC, Electrodes Must be Crisscrossed. NexWave Confidential 17
  • 18. NexWave Operating Instructions Device Programming Instructions 4. Power up NexWave with Large on/off button NexWave Confidential 18
  • 19. NexWave Operating Instructions Device Programming Instructions 5. Select one of the 3 BLUE modality options (IFC, TENS, NMES) NexWave Confidential 19
  • 20. NexWave Operating Instructions Device Programming Instructions 6. Adjust the intensity to the appropriate level based on Acute, Sub-Acute, Chronic pain or Muscle stim needs 7. As a reminder for IFC, either Ch1 or Ch2 will increase/decrease the intensity of both channels simultaneously 8. In TENS & NMES, the Ch1 and Ch2 intensity buttons are independent of each other NexWave Confidential 20
  • 21. Customer Service- Frequently Asked Questions Issues with the NexWave are rare. But when they occur, here are the FAQs: Issue- Cannot increase current level of stimulation Solution- Press and release the Unlock button, then press the positive button to increase the stimulation. Problem- Displays shows “Check Connections” Solution- Turn device off. Check electrode skin contact, make sure all electrodes are laying firm on the skin, and verify that all electrodes are connected to lead wires. If all is in place, remove battery from device, extend the prongs out to get a better connection to the battery, and replace with a new battery. If using an AC Adaptor, plug into a known good electrical outlet. Problem- Unit is not turning on Solution- Remove battery from device. Extend the prongs out to get a better connection to the battery, then replace with a new battery. If using an AC Adaptor, plug into a known good electrical outlet. NexWave Confidential 21
  • 22. Troubleshooting the NexWave Problem Solution Unit stays on even after treatment ends. Hold Off button down for 2 seconds to shut unit off. Otherwise unit will shut off automatically after 5 minutes of no stimulation. Alternatively you can start a new treatment session after the last one ends. Cannot increase level from its current setting. Press and release Unlock button or turn level down 1 mA to unlock this safety feature. Then increase stimulation to the desired level/intensity. Intensity level is always locked after 20 seconds of key press inactivity. Do not feel the IFC beating frequency in the center of the four electrodes. Check that the lead wires are connected correctly to the electrodes (red opposite to each other, black opposite to each other) Display shows “Check Connections” (electrode alarm). Check electrode skin contact. Electrodes should be fresh and stick well. Use water if necessary to soften the gel for better contact. Verify that all four electrodes are connected to lead wires and that both lead wires are connected to the unit. Connect the bare metal pins together to short-circuit the outputs. If the electrode alarm ceases the problem is with the electrode connection integrity. NexWave Confidential 22
  • 23. Conditions Treated by NexWave Cervical Pain Low Back Pain Shoulder Pain Wrist/Hand Pain Knee Pain NexWave Confidential 23
  • 24. Conditions Treated by NexWave Urinary Incontinence 788.30 PFES Cervical Spondylosis 721.0 TENS Joint Pain/Shoulder 719.41 TENS, IFC Lumbosacral Spondylosis 721.3 TENS, IFC Shoulder Region DIS NEC 726.2 TENS, IFC Urge Incontinence 788.31 PFES Lateral Epicondylitis 726.32 IFC, HVPDC Stress Incontinence 788.32 PFES Pain in Limb 729.5 TENS Mixed Incontinence 788.33 PFES Cervical Disc Displacement 722.0 TENS, IFC Cervical Disc Degeneration 722.4 TENS, IFC Disc Degeneration 722.6 TENS Sprain/ Rotator Cuff 840.4 TENS, IFC, NMES Lumbar Disc Displacement 722.10 TENS, IFC Sprain/Supraspinatus 840.6 TENS, IFC, NMES Paraplegia NOS 344.1 NMES Lumbar/Lumbosacral Disc Degeneration 722.52 TENS, IFC Local Osteoarthrosis/Leg 715.16 NMES, TENS Bell’s Palsy 351.0 NMES Post Laminectomy Syndrome 722.83 TENS Osteoarthrosis/Leg 715.96 NMES, TENS Cervicalgia 723.1 TENS, IFC Chondromalacia Patella 717.7 NMES, TENS Brachial Neuritis 723.4 TENS Spinal Stenosis/Lumbar 724.02 TENS Cerebral Palsy 343.9 NMES Stroke CVA 436.0 NMES Muscle Disuse Atrophy 728.2 NMES, PFES Muscle Weakness 728.87 NMES, PFES Internal Derangement Knee 717.9 NMES Muscle Spasm 728.85 NMES, IFC Pain in Thoracic Spine 724.1 TENS Old Disrupted Anterior Cruciate Ligament 717.83 NMES Lumbago 724.2 TENS, IFC Joint Pain/Pelvis 719.45 TENS, IFC Sciatic 724.3 TENS Joint Pain/Leg 719.46 TEN, IFC Lumbosacral Neuritis 724.4 TENS Pain in Limb 729.5 TENS Backache 724.5 TENS, IFC AQC Ankle/Foot Defect 736.79 NMES Other Back Symptoms 724.8 TENS Tear Lateral Meniscus 836.1 NMES Pain in Limb 729.5 TENS, IFC Myalgia/Myositis 729.1 TENS Dislocated Patella 836.3 NMES Spinal Cord Injury 952.9 NMES Neuralgia/Neuritis 729.2 TENS Sprain/Cruciate Ligament (Knee) 844.2 TENS, IFC, NMES Sprain/Thoracic Region 847.1 TENS, IFC Sprain/Lumbar Region 847.2 TENS, IFC Sprain/Knee and Leg 844.9 NMES Muscle/Ligament DIS NEC 728.9 TENS, IFC, NMES Myalgia/Myositis 729.1 TENS Neuralgia/Neuritis NOS 729.2 TENS, IFC Serum Reaction 999.5 TENS Joint Replacement Knee V43.65 NMES Post Surgical State V45.89 TENS, IFC, NMES NexWave Confidential 24
  • 25. Conditions Treated by NexWave Recommended Treatment Protocols and Pad Locations Refer to the NexWave Users Manual NexWave Confidential 25
  • 26. Summary of the NexWave User Friendly Design and Operation The Nine Preprogrammed Modes of Stimulation Device Operating Instructions Troubleshooting the NexWave Conditions Treated by the NexWave NexWave Confidential 26
  • 28. NexWave Training for Hyderabad, India ppt 091313 127p NexWave Confidential 28