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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
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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
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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
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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
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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
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6. NexWave User Friendly Design and Operation
LED Lights
Visual indicator that stimulation is ON
Lights flash in sync with stimulation rate
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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
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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
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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
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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
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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.)
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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
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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
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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.
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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
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16. NexWave Operating Instructions
Device Operating Instructions
2. Connect Leadwires to Device
Important: Make Sure Leadwires are
inserted flush into Channel 1 & 2 Ports
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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.
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19. NexWave Operating Instructions
Device Programming Instructions
5. Select one of the 3 BLUE modality
options
(IFC, TENS, NMES)
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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
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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.
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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.
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23. Conditions Treated by NexWave
Cervical
Pain
Low Back Pain
Shoulder Pain
Wrist/Hand Pain
Knee Pain
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25. Conditions Treated by NexWave
Recommended Treatment Protocols and
Pad Locations
Refer to the NexWave Users Manual
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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
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