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Instruction manual
3-in-1 Electro Therapy Device TT 200
Device and controls
IMPORTANT
Non-observance of these instructions
can result in serious injury or damage
to the device.
WARNING
These warning notes must be observed
to prevent any injury to the user.
CAUTION
These notes must be observed to pre-
vent any damage to the device.
NOTE
These notes give you useful additional
information on the installation or opera-
tion.
Device classication: Type BF
LOT number
Protection rating against foreign objects
and water
Authorized representative in the EC
Manufacturer
Date of manufacture
Explanation of symbols
IP22
Therapeutic sessions with the medisana TT 200 do not replace medical diagnosis or treatment. Ask your doc-
tor about each kind of pain or disease, before using the device.
If your pain does not diminish, does not become signicantly milder or last longer than 5 days, discontinue use
and contact your doctor.
Do not apply stimulation over your front and lateral neck because this could cause severe muscle spasms
resulting in closure of your airway, diculty in breathing or adverse eects on heart rhythm or blood pressure.
Do not apply stimulation across your chest because the application of electrical current to the chest may cause
rhythm disturbances to your heart, which could be lethal.
Do not apply stimulation over - or in proximity to - cancerous lesions.
Do not apply stimulation in the presence of electronic monitoring equipment (e.g., cardiac monitors, ECG
alarms), which may not operate properly when electrical stimulation device is in use.
Do not apply stimulation when in bath or shower.
Do not apply stimulation while sleeping.
Do not apply stimulation while driving, operating machinery or during any activity when electrical stimulation
can put you at risk of injury.
Apply stimulation only to normal, intact, clean, healthy skin.
The long-term eects of electrical stimulation are unknown. Electrical stimulation device cannot replace drugs.
Stimulation should not take place while the user is connected to high-frequency surgical equipment, which may
cause burn injuries on the skin under the electrodes, as well as problems with the stimulator.
Do not use the device in the vicinity of short or microwave therapeutic devices as they may aect the output
power of the device.
Never use it near the cardiac area. Stimulation electrodes should never be placed
anywhere on the front of the thorax (marked by ribs and breastbone), but above all not
on the two large pectoral muscles. There it can increase the risk of ventricular brillation
and lead to cardiac arrest.
Never use it on the eye, head and face area.
Never use it near the genitals.
Never use it on the areas of the skin which lack normal sensation.
Keep electrodes separated during treatment. It could result in improper stimulation or skin burns if electrodes
are in contact with each other.
Keep the stimulator out of reach of children.
The therapy should be pleasant. If you feel pain or feel the application is unpleasant, do not increase the inten-
sity but stop the usage and consult your doctor.
TENS is not eective for pain of central origin including headache. It is not a substitute for pain medications
and other pain management therapies.
TENS is a symptomatic treatment and, as such, suppresses the sensation of pain that would otherwise serve
as a protective mechanism.
Eectiveness is highly dependent upon the patient selection for a practicioner qualied in the management of
pain patients.
Since the eects of stimulation of the brain are unknown, stimulation should not be applied across your head,
and electrodes should not be placed on opposite sides of your head.
The safety of electrical stimulation during pregnancy has not been established.
You may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive
medium (silica gel).
If you have suspected or diagnosed heart disease or epilepsy, you should follow precautions recommended
by your physician.
Use with caution if you have a tendency to bleed internally, e.g. following an injury of fracture or during your
menstrual period.
Consult with your physician prior to use the device after a recent surgical procedure, because stimulation may
disrupt the healing process.
For single patient use only.
This stimulator should not be used by patients who is noncompliant and emotionally disturbed including de-
mentia.
Only use the device as described in this instruction manual. Any other use will be deemed as not in accordance
with the instructions and may lead to damage to property or even injury to persons. medisana assumes no
liability for damages incurred as the result of improper use. The device is designed for private use.
Rare cases of skin irritation may occur at the site of the electrode placement following long-term application.
Do not use this device in the presence of other equipment which sends electrical pulses to your body.
Do not use sharp objects such as a pencil or ballpoint tip to operate the buttons on the control panel.
Check the electrode connections before each use.
Electrical stimulators should be used only with the electrodes recommended for use by the manufacturer.
2460
EC REP
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2
3
4
5
6
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8
9
Intended use
The medisana 3-in-1-Electro Therapy Device TT 200 is intended to be used for the following
applications:
TENS Mode: It is used for temporary relief of pain associated with sore and aching muscles
in the neck, shoulder, back, joint, hip, hand, abdomen, foot, upper extremities (arm) and
lower extremities (leg) due to strain from exercise or normal household work activities.
EMS Mode: The EMS stimulation program stimulates healthy muscles in order to improve
and facilitate muscle performance.
Massage mode: The Massage stimulation program provides relaxing muscle vibration to
loosen tight muscles.
Contraindications
Do not use this device if you are using a cardiac pacemaker, implanted debrillator
or other implanted metallic or electronic devices. Such use could cause electric
shock, burns, electrical interference, or death.
The device should not be used when cancerous lesions or other lesions are present in the
treatment area.
Stimulation should not be applied over swollen, infected, inamed areas or skin eruptions
(e.g. phlebitis, thrombophlebitis, varicose veins, etc.).
Electrode placements must be avoided in the carotid sinus area
(anterior neck) or transcerebrally (through the head).
This device should not be used in overly enervated areas.
In the case of an existing inguinal hernia, the device must not be used.
Do not use on scarred areas following a surgery for at least 10 months after the operation.
Do not use with serious arterial circulatory problems in the lower limbs.
Adverse Reactions
Possible skin irritation or electrode burn under the electrodes may occur.
On very rare occasions, rst-time users of EMS report feeling light-headed or faint. We recommend that you
use the product while seated until you become accustomed to the sensation.
If the stimulation makes you uncomfortable, reduce the stimulation intensity to a comfortable level and contact
your physician if problems persist.
Scope of supply
Please check rst of all that the device is complete and is not damaged in any way. In case of doubt, do not use
the it and contact your dealer or your service centre.
The following parts are included:
• 1 medisana 3-in-1 Electro Therapy Device TT 200
• 4 Electrodes 50x50 mm • 2 Connection cables • 3 Batteries AAA 1,5V • 1 Instruction manual
If you notice any transport damage during unpacking, please contact your dealer without delay.
WARNING
Please ensure that polythene packing is kept away from the reach of children!
Risk of suocation!
Device and controls
1
Output socket
2
Display
3
On-/O-/M-Button
4
T-Button
5
+ Button
6
B-Button
7
CH-Button
8
- Button
9
Battery compartment cover
0
Therapy mode
q
Device locked
w
Body region
e
Recommended treatment points
r
Intensity channel A
t
Battery low
z
Timer symbol
u
Program symbol
i
Program no. / Therapy time
o
Massage mode
p
Intensity channel B
a
Symbol channel A
s
Channel indicator
d
Symbol channel B
Insert / replace batteries
Open the cover of the battery compartment on the back of the device and insert the enclosed 3 batteries AAA
1.5V according to the symbols (+/-). Close the battery compartment again. When changing the batteries later on,
only use 1.5V batteries of type AAA (Micro/LR6).
SAFETY NOTES FOR BATTERIES
Do not disassemble batteries!
Never leave any low battery in the battery compartment since it may leak and cause damage to the unit.
Increased risk of leakage! Avoid contact with skin, eyes and mucous membranes!
If battery acid comes in contact with the skin, rinse the aected area with copious amounts of fresh water
and seek medical attention immediately!
If a battery has been swallowed, seek medical attention immediately!
Replace all of the batteries simultaneously!
Only replace with batteries of the same type, never use dierent types of batteries together or used batte-
ries with new ones!
Insert the batteries correctly, observing the polarity!
Keep batteries out of children‘s reach!
Do not attempt to recharge batteries! There is a danger of explosion!
Do not short circuit! There is a danger of explosion!
Do not throw into a re! There is a danger of explosion!
Do not throw used batteries into the household refuse; put them in a hazardous waste container or take
them to a battery collection point, at the shop where they were purchased!
Cable connection
Ensure that the device is completely switched OFF before connecting the cables. First connect the electrodes
with the two connecting cables and then the cables with the device. On the upper side of the device there are
two output sockets
1
for the connection of the electrode lines. The device has two connections for two channels
(A and B). You may decide according to your personal needs, if you want to use only one channel with one pair
of electrodes or both channels with two pairs of electrodes. With two pairs of electrodes you can simultaneously
stimulate two dierent body regions.
Applying the electrodes
The re-usable protection foil may be pulled o directly before usage - keep it for later use.
Now place the electrodes according to your pain area (following the instructions of your doctor).
Below are placement suggestions for the electrodes depending on the therapy mode. Keep in mind, however,
that each patient responds dierently to stimulation therapies - so positioning the electrodes and choosing a
program that meets your needs may dier from the therapies presented here. The optimal parameters for you
(electrode position, program and intensity) should be used for the following treatments again, so write them down
to remember.
For each program, the recommended treatment points
e
are displayed below. The following gures show an
example of attaching the electrodes at these treatment points.
Examples of electrode positioning in TENS therapy mode:
Neck Shoulder (SHLDR) Hand
Arm Back
Abdomen (ABD.) Hip Foot
WARNING
Do not insert the plug of the electrode wires into any AC power supply socket!
WARNING
The device must be deactivated before applying the electrodes!
Before applying the electrodes, remove residual skin cream or ointment. The skin has to be
dry and free of fat.
Do not place the electrodes on injured or inamed skin areas (wounds, pimples, skin rash,
reddening etc.).
Always place the electrodes according to the doctors instructions before you switch on
the device.
Make sure that the electrodes cannot fall o during therapy. This can cause an unintentio-
nal electric shock!
Switch o the device immediately, if an electrode comes o the skin during treatment.
Legs
Knee joint Elbow joint
Ankle joint Wrist joint
Examples of electrode positioning in the EMS therapy mode:
Neck Shoulder (SHLDR) Hand Back
Arm
Abdomen (ABD.) Legs Hip Foot
Switch on the device
To switch on the device, shortly press the On-/O-/M-Button
3
. The display will be activated and the device will
switch into standby mode. Now choose the therapy mode with the On-/O-/M-Button
3
:
TENS : to ght pain
(TENS = Transcutaneous Electrical Nerve
Stimulation)
MASS : Massage to relax tense muscles
EMS : to build up the muscles (EMS = Electrical
Muscle Stimulation)
Then use the B-button
6
to select the body area to be stimulated:
Now choose the channel (A, B or both channels) with the CH-button
7
:
Adjust the treatment time with the T-button
4
:
Now press the + button
5
to increase the intensity of the selected channel. The display will show the corres-
ponding intensity level. You may increase the intensity up to the maximum level of 40 by repeatedly pressing the
+ button
5
:
You can decrease the intensity by pressing the - button
8
. Decrease the intensity to level 0 and the device will
switch to standby mode.
During the treatment, press and hold B-button
6
to turn on the lock function.
The symbol
q
will appear on the display. When the lock function is active, you cannot adjust the intensity inad-
vertently. To switch o the lock function, press and hold the B-button
6
, until the symbol
q
disappears.
Read the instruction manual carefully before using this device, es-
pecially the safety instructions, and keep the instruction manual for
future use. Should you give this device to another person, it is vital
that you also pass on these instructions for use.
GB Safety instructions
0
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t
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88347 TT200 West 12/2019 Ver. 1.6
3


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