3. Connect Lead Wire to the Stimulator
» Plug the one-way fit connector of the
4. Attach the Surface Electrode
» Remove the adhesive backing from the Surface Electrode.
» Place the Surface Electrode near the medial aspect of the
calcaneus on the same leg as the Needle Electrode insertion.
5. Attach Needle Electrode Clip
» Depress the plunger on the Needle
6. Determine Current Setting for Therapy
» Turn on the Stimulator by pressing and holding the Power button
for approximately 2 seconds. An audible tone will sound and
symbols will appear on the screen.
Note: If the Lead Wire Status icon is blinking, ensure that the
Lead Wire connector is secure in the Stimulator's connection site.
» Enter Test mode by pressing and holding the Test button for
approximately 2 seconds. The default setting for Test mode is
level 0 (0mA current).
Note: If the Inactive Current icon appears, current is not flowing
through the Lead Set. Check the security of the Lead Wire
connector, the adherence of the Surface Electrode, and the
placement of the Needle Electrode Clip.
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Lead Wire into the Stimulator's
connection site. Verify that the one-way
fit connector is inserted correctly.
Electrode Clip to expose the connection
hook at the tip. Loop the connection
hook around the Needle Electrode and
release.
» Using the Current Adjustment button, slowly increase the current
while monitoring the patient for a response. Patient response
may be either motor or sensory. For some patients it is both.
Motor response is typically a toe flex or fan, or an extension of
the entire foot. Sensory response is generally described as a
tingling sensation that travels away from the insertion site,
towards the heel, arch or toes.
» Once a patient response is confirmed, reduce current setting by
one level and begin Therapy mode.
» If the incremental adjustment of amplitude fails to elicit either
a motor or a sensory response, press the Stop button and
reposition the Needle Electrode slightly. Re-enter Test mode
using the preceding instructions.
» If repositioning the Needle Electrode and repeating the current
step-up procedure fails to elicit patient response, discard the
Needle Electrode. Open the second Needle Electrode included
in the Lead Set and repeat the procedure on the other leg.
7. Conduct Therapy
» After completing Test mode, Therapy mode can be entered by
either:
1)
Pressing the Stop button to end Test mode and then
pressing the Therapy button to start Therapy mode.
or
2) Pressing the Therapy button while the Test mode is still
active.
Note: Test mode is a prerequisite to Therapy mode.
» To ensure optimal treatment, the default current setting for
Therapy mode will be the final current setting in Test mode.
However, the Current Adjustment button can be used to
increase or decrease the current level at any time during
Therapy mode.
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