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FESMED II 4052

FESMED IV 4054

FESMED
4052
4054
USER MANUAL

English
Version: 2

Table of Contents 

02 .............Presentation 

02 .............Accessories supplied with the device 

03 .............General Information 

04 .............Symbols 

05 ............Attention 

09 .............Display Language 

10 .............Controls 

11 .............Control Functions 

12 .............Operation Modes 

12 .............TENS Operation Mode 

14 .............FES Operation Mode 

16 .............FESMED IV 4054 Device Operation 

24 .............FESMED II 4052 Device Operation 

32 .............Protocols 

34 .............Indications 

35 .............Contraindications 

36 .............Electrode Application 

38 .............Preventive Maintenance, Conservation and Cleaning 

38 .............Corrective maintenance 

39 .............Technical Data 

42 .............Declarations 

46 .............Final Considerations 

47..............European Representative 

47 .............References

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FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054

Presentation

General Information

Carci is proud to congratulate you for the acquisition of a high technology
and security equipment. Where we are sure this equipment will satisfy the
highest quality standards.

FESMED is a microprocessor-controlled neuromuscular electrostimulator,
with TENS and FES functions.

FESMED II - 4052 and FESMED IV – 4054 devices were designed
according to NBR IEC 60601.1:1994 + amend 1:1997, NBR IEC 60601-12:2006 and NBR IEC 60601-2-10:2002 safety rules, which makes them a
safe and reliable product.

Accessories supplied with the device
FESMED IV 4054

08 Silicone electrodes and 1 gel tube or 08 Self-adhesive electrodes –
3x5cm

04 Electrode cables

01 Three-pole power cable

01 User’s Manual
FESMED II 4052

04 Silicone electrodes and 1 gel tube or 04 Self-adhesive electrodes –
3x5cm

02 Electrode cables

01 Three-pole power cable

01 User’s Manual
To buy optional accessories, please verify the codes at page 41, ‘Additional
Accessories ’.

FES
The functional electrical stimulation is a form of electrotherapy that can
produce muscle contractions with functional objectives. The movements
produced by FES technique are fully controllable and provide the patient a
positive psychological attitude , as he/she uses his/her own muscles, which
contributes to his/her physical and emotional rehabilitation.
The regular application of the neuromuscular electrostimulation (NMES)
with FES has proved to be efficient in the treatment of patients with motor
deficiencies caused by different neurological pathologies. Some results
that may be obtained with the utilization of this technique are: reduced
muscle spasticity, muscle strengthening and improved gait pattern.
The equipment allows, for instance, quadriceps stimulation,
dorsiflexion movement and gait monitoring, among other resources.

TENS
Chronic pain - continued and debilitating pain, as those associated with
rheumatism, arthritis, sciatic nerve, among others, do not have the purpose
of indicating any eminent damage, but that we have a damage resulting
from the pathology itself. The treatment of chronic pains using narcotics and
other drugs always brings inconvenient side effects, almost always causing
as many problems as the pain itself.
TENS (Trancutaneous Electric Nerve Stimulation) promotes a simple, safe
and effective solution to chronic pain problems.

If you have any doubt, please contact:
Technical Assistance Department
Rua Álvares Fagundes, 359 – São Paulo – SP – Brasil -CEP 04338-000
Tel.: (0XX11) 5621 7024 / 5622 8205
e-mail : sat@carci.com.br

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foot

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FESMED II 4052
FESMED IV 4054
Symbols
Device symbols

FESMED II 4052
FESMED IV 4054
Packaging symbols
Caution fragile. Handle with care

Device is off
Keep in a dry place

Device is on
This symbol indicates the device causes
physiological effects and that the user should
check the user’s manual before using it.

BF type applied part

IPX0

Not protected from harmful water penetration

Class II equipment

Manufacturer Identification

Product Manufacture Date

Product Serial Number

European Representative
CE marking and identification of the notified
agency

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This side up. This symbol indicates the right
transport position
Maximum piling. Indicates the maximum number
of boxes that can be piled. The quantity is
indicated in the middle square.
Minimum and maximum temperature limits for
transportation and storage.

ATTENTION
1. Read, understand and practice the operation and precaution
instructions. Know the limitations and dangers associated with use
of any electrical stimulation device.
2. Do not expose the device to direct sunlight radiated from
a heat
radiator, excessive quantities of dust,
humidity, vibrations and
mechanical shocks.
3. In the case of liquid infiltration, disconnect the device from the
power network and contact the Authorized Technical Assistance.
4. Before administering any treatment on a patient, you must become
acquainted with the operational procedures for each treatment
modality available, as well as the indications, contraindications,
warnings and precautions. Consult other resources to obtain further
information on the application of electrotherapy.

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FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054

5. Operating sequence

WARNINGS:
Connect
equipment to the
power network

Turn on
equipment
through the
ON/OFF switch

Set the therapy
parameters

Connect the
electrode cables
to the patient

Set the current
intensity desired

After the end of
the time selected,
remove the
electrodes from
the patient

MU_4052_4054_ENG_Rev:02_092009

Turn on the
equipment
through the
ON/OFF switch

6

1. Never turn on the ON/OFF key of FESMED while one or more
cables of the electrodes are connected to the patient and to
FESMED.
2. This equipment is intended for use by health professionals only.
3. This equipment can cause radiofrequency or interrupt operation of
nearby equipment.
4. The use of accessories not specified by the manufacturer can
result in increase in EMISSIONS or decrease in IMMUNITY of the
equipment.
5. The use of replacement parts not specified by the manufacturer, in
technical assistance, can result in increase in EMISSIONS or
decrease in IMMUNITY of the equipment.
6. We recommend not using this equipment piled or very close to
other equipment.
7. Short-distance operation (e.g. 1 m) from a shortwave or microwave
therapy EQUIPMENT can produce instability in the STIMULATOR
output;
8. Application of electrodes near the thorax can increase the risk of
cardiac fibrillation;
9. Simultaneous connections of a PATIENT to a high-frequency
surgical EQUIPMENT can result in burning where the
STIMULATOR electrodes are applied and possible damage to the
stimulator;
10. We recommend that the current densities for any electrode
2
exceeding 2 effective mA/cm may require special attention from
the user;
11. Do not place the equipment on soft base that can cover the lower
vents.
12. Keep this device out of reach of children.
13. This equipment is not suitable for use in the presence of mixture of
anesthetics inflammable with air, oxygen or nitrous oxide.

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FESMED II 4052
FESMED IV 4054
Electrical Installation/Connection
For a perfect device operation, we suggest electrical installations according
to the following rules: 
Brazil:
• NBR 5410/1990 – Low-voltage electrical installations;
• NBR13534/1995 – Electrical installations at medical locations Safety requirements. 
Other Countries:
• IEC 60364-7-7 (10/2002) – Electrical Installations – medical
locations;
• Or another related norm applicable in the utilization country.

FESMED II 4052
FESMED IV 4054
Remove the fuse compartment cover with the help of a screwdriver (insert
the tip into the fuse compartment groove, press down slightly and rotate
counterclockwise).

Display Language
FESMED offers display configuration in three possible idioms: 
Portuguese 
English 
Spanish
If you want to change the current language, follow the steps below:
1.
2.

Connect one end of the power cable to the three-pole socket on the
rear panel and the other end to the wall outlet.

Connect FESMED power cable to the utility power supply.
Turn on the device – the unit will perform a display test and the
screen below will appear:

SN.: 00001

Figure 01

Your equipment uses switched power supply and operates at any volt
supply between 100 and 240VCA, 50 or 60Hz.

In case the protection fuse is blown, replace only with another one of
the indicated rating:

FESMED
405X
Rev.: X.Y

3.

After that, press and hold the following key:

4.
5.

6.

After a double beep is heard, release Menu key.
The display will show the language options:
ENGLISH
PORTUGUESE
ESPANOL
Select the idiom using the arrow keys:

7.

Press the following key:

Fuses should be 1.0A 250V 20AG

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FESMED II 4052
FESMED IV 4054
8.

The unit will exit the language selection mode, and the Main Menu will
be displayed.

FESMED II 4052
FESMED IV 4054
Control Functions
NEXT FIELD

Controls
Fesmed II 4052

INCREASES SETTING

DECREASES SETTING

PREVIOUS
FIELD

Fesmed IV 4054

Intensity control for channels 1 and 2 of Fesmed II 4052

Intensity control for channels 1, 2, 3 and 4 of Fesmed IV 4054

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FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054
- 60 to 200 Hz, in steps of 10 Hz

Activates the selected function

Pulse Width settings are:
50 uS to 400 uS, in steps of 10 uS.

Displays the m ain m enu 

In TENS mode, the application method can be selected:

Enables Fesmed outputs     

Disables Fesmed outputs

Operation Modes
FESMED 4052 and Fesmed 4054 can operate as stimulators with both
FES and TENS Techniques. 

TENS
The wave form of TENS mode is the Balanced Symmetrical Two-Phase
Wave, as illustrated below:
T

The configurable parameters are: Frequency and Pulse Width.
Frequency settings are:
- 1 to 10 Hz, in steps of 1 Hz
- 10 to 50 Hz, in steps of 5 Hz
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CONTÍNUO
BURST
VIF
VLP
VLF

CONTÍNUO (Continuous)
In the operation mode, the device presents output continuous frequency
signal and variable pulse duration.
• The Frequency value may be set between 1Hz and 200Hz, being: from
1Hz to 10Hz in steps of 1Hz; from 10Hz to 50 Hz in steps of 5 Hz and
from 50 Hz to 200 Hz in steps of 10 Hz).
• The pulse duration may be set between 50 µs and 400 µs, in steps of 10
µs.
BURST
In this operation mode, the device presents output continuous signal,
modulated by 2Hz frequency.
• The output frequency is fixed at 100Hz, being modulated (interrupted)
by 2 Hz frequency.
• The pulse duration may be set between 50 µs and 400 µs, in steps of 10 µs.
VIF
In this operation mode, the device presents output signal with automatic
variation of Frequency and Pulse Width, i.e., the selected settings for
frequency and pulse width present variation of +25% within a period of 3
sec., then returning to the original setting, and variation of – 25%, within a
period of 3 sec., then returning to the original setting. This cycle is repeated
indefinitely.
• The frequency value may be set between 5Hz and 170Hz, being: from
5Hz to 10Hz in steps of 1Hz; from 10Hz to 50 Hz in steps of 5 Hz and
from 50 Hz to 170 Hz in steps of 10 Hz).
• The pulse width value may be set between 70 µs and 370 µs, in steps of
10 µs.
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FESMED II 4052
FESMED IV 4054
VLP
In this operation mode, the device presents output signal with automatic
variation of pulse width, i.e., the selected setting for pulse width presents
variation of +25% within a period of 3 sec., then returning to the original
setting, and variation of – 25%, within a period of 3 sec., then returning to
the original setting. This cycle is repeated indefinitely.
• The frequency is fixed according to the selected setting (adjustable
between 1Hz and 200Hz).
• The pulse duration varies +/- 25% of the selected setting (adjustable
between 70 µs and 370 µs).

FESMED II 4052
FESMED IV 4054
- 1 to 10 Hz, in steps of 1 Hz
- 10 to 50 Hz, in steps of 5 Hz
- 60 to 200 Hz, in steps of 10 Hz
Pulse Width settings are:
50 uS to 600 uS, in steps of 10 uS.
In FES mode the slope-up, holding, slope-down and stimulation slope rest
times can be selected as illustrated in the figures below:

VLF
In this operation mode, the device presents output signal with automatic
variation of frequency, i.e., the selected setting for frequency presents
variation of +25% within a period of 3 sec., then returning to the original
setting, and variation of – 25%, within a period of 3 sec., then returning to
the original setting. This cycle is repeated indefinitely.

I(mA)

1

Freqüência =
Frequency
T

(Hz)

T = PeríodoPeriod

t

• The frequency varies +/- 25% of the selected value (adjustable between
5 and 170Hz).
• The pulse duration is fixed according to the selected setting (adjustable
between 50 µs and 400 µs). 

FES

Slope-up
Time

Holding
Time

Slopedown Time

Rest Time

The wave form of FES mode is the Balanced Symmetrical Two-Phase
Wave, as illustrated below:
T

The selected settings are:
The configurable parameters are: Frequency and Pulse Width.
Frequency settings are:
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Slope-up Time: 0 to 9 seconds
Holding: 1 to 30 seconds
Slope-down: 0 to 9 seconds
Rest: 1 to 30 seconds
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FESMED II 4052
FESMED IV 4054  

FESMED II 4052
FESMED IV 4054

In FES mode, the application form can be selected:
SINCRONO. (synchronous)
TENS

All channels are enabled at the same time. 

Synchron
Sequential
Alternate
Reciprocal

FES

SEQUENCIAL (sequential)

PROTOCOlS

Channel 1 is enabled first, followed by channel 2, and then
successively.

Use the arrow keys
to select FES mode.
TENS 

ALTERNADO (alternate)
The channels are enabled independently. Channels 1, 2, 3 and 4
are enabled and disabled sequentially. 

RECIPROCO (reciprocal) (Fesmed IV 4054 only)
In Fesmed II 4052, channels 1 and 2 are enabled alternately.
In Fesmed IV 4054, channel pairs 1 & 2 and 3 & 4 are enabled
alternately.

Or PROTOCOLS mode.

PROTOCOLS

TENS

On the initial screen:

A) FESMED IV - Model 4054

Use the arrow keys

Turn on the unit using the ON / OFF switch on the rear panel.

PROTOCOLS

FES
PROTOCOLS

TENS

SN.: 00XXX

FESMED 4054
Rev.: X.Y

TENS

Normal
Burst
VIF
VLP
VP

FES
PROTOCOLOS

PROTOCOLOS

Normal
Burst
VIF
VLP
VP

TENS
Timer

Normal
10 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

FES

Use the arrow keys
to select TENS modes:
Normal, Burst, VIF, VLP or VP

0
MU_4052_4054_ENG_Rev:02_092009

Normal
Burst
VIF
VLP
VP

TENS

to select the menu of TENS modes:

The display will show the information:

Then, the unit enters the
OPERATION MODE:

Normal
Burst
VIF
VLP
VP

FES 

Operation Mode: TENS

Device Operation:

FES

16

MU_4052_4054_ENG_Rev:02_092009

0

0
17

0

FESMED II 4052
FESMED IV 4054

Press
to
enable the selected mode.

TENS
Timer

Normal
10 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0

Use the arrow keys
to select Timer:

0

Normal
15 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0

0

Normal
15 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0

0

Normal
15 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0

0

0

MU_4052_4054_ENG_Rev:02_092009

TENS
Timer

Normal
15 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0

0

0

18

Normal
15 m 00 s

Frequency
Pulse Widt

100 Hz
200 uS

0

0

0

TENS
Timer
Out put
ON
Frequency
Pulse Widt

Use the arrow keys
to set the desired Pulse Width.

0

0
Normal
15 m 00 s
150 Hz
200 uS

0

0

0

Press
to enable the output channels.
“Saída Acionada” (Output Enabled) will be displayed and the selected time
will be decreased every second.
.
To disable the outputs, press
Use the intensity control keys to increase or decrease the intensity:
TENS
Timer
Output
ON
Frequency
Pulse Widt

0

Use the arrow keys
to set the desired time.

TENS
Timer

0

TENS
Timer

0

Use the arrow keys
to select Pulse Width:

0

TENS
Timer

0

Use the arrow keys
to select Frequency:

0

TENS
Timer

0

Use the arrow keys
to set the desired time.

0

FESMED II 4052
FESMED IV 4054

0

0

Normal
15 m 00 s
100 Hz
200 uS

0

0

The intensity controls are independent.
After increasing or decreasing the intensity of any channel, the intensities of
the other channels will be reset to zero. If there is no intensity alteration
within 6 seconds, the intensities from reset channels will return to the
intensity setting.
After the set time is expired, a sound warning will be heard, and the
intensities will be reset to zero.

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FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054

To start a new therapy, select the desired time, check whether the
Frequency and Pulse Width parameters are correct; otherwise, change the
TENS

settings and press

.

Normal
Burst
VIF
VLP
VP

FES
PROTOCOLS 

Operation Mode: FES

TENS

Synchron
Sequential
Alternate
Reciprocal

FES

On the initial screen:

Press
to
enable the selected mode.

Use the arrow keys
to select Timer:

FES

Use the arrow keys
to set the time.

Use the arrow keys
to select FES modes:
Sincrono, Sequencial, Alternado or
Reciproco.

Frequency
Pulse Widt
Slope / ¯ \ __

Use the arrow keys
to select Frequency:
FES
Timer

0

Synchron
10 m 00 s

0

0

100 Hz
100 uS
0: 1:0 : 1s

0

0

0
Use the arrow keys
to set the Frequency value:

20

MU_4052_4054_ENG_Rev:02_092009

0

Synchron
15 m 00 s
180 Hz
100 uS
0: 1:0 : 1s

0

0

0
Synchron

15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

180 Hz
100 uS
0: 1:0 : 1s

0

0

FES
Timer

0

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

0

MU_4052_4054_ENG_Rev:02_092009

0

FES
Timer

PROTOCOLS

0

100 Hz
100 uS
0: 1:0 : 1s

FES
Timer

0

Frequency
Pulse Widt
Slope / ¯ \ __

0

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

PROTOCOLS

TENS

Use the arrow keys
to select the menu for FES modes:

0

100 Hz
100 uS
0: 1:0 : 1s

FES
Timer

0

Synchron
Sequential
Alternate
Reciprocal

Synchron
10 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

0

PROTOCOLS

TENS

Use the arrow keys
to select FES operation mode

FES
Timer

180 Hz
100 uS
0: 1:0 : 1s

0

0

21

0

FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054
FES
Timer

Use the arrow keys
to select Pulse Width:

Use the arrow keys
to set the Pulse Width value.

FES
Timer

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

0

180 Hz
400 uS
0: 1:0 : 1s

0

0

FES
Timer

Use the arrow keys
to select SLOPE parameters and
the arrow keys
to set the slope-up time,
from 0 (zero) to 9 seconds.

Use the arrow keys
to select the holding time setting, and

180 Hz
400 uS
9: 1:0 : 1s

0

0

FES
Timer

180 Hz
400 uS
9 : 30 : 0 : 1 s

0

0

FES
Timer

the arrow keys
to set the slope holding time, from 1 to
30 seconds.

0

Use the arrow keys
to select the slope rest parameter, and

0

0

0

0

0

the arrow keys
to set the slope rest time, from 1 to
30 seconds.

0

0

180 Hz
400 uS
9 : 30 : 9 : 30 s

0

22

0

Press
to enable the output channels.
“Saída Acionada” (Output Enabled) will be displayed and the selected time
will be decreased every second.
FES
Timer
Output
ON
Frequency
Pulse Widt
Slope / ¯ \ __

0

To disable the outputs, press

0

Synchron
14 m 59 s
180 Hz
400 uS
9 : 30 : 9 : 30 s

0

.

Use the arrow keys
to select the slope-down parameter, and

MU_4052_4054_ENG_Rev:02_092009

0

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

180 Hz
400 uS
9 : 30 : 0 : 1 s

0

180 Hz
400 uS
9 : 30 : 0 : 1 s

FES
Timer

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

0

0
Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

0

Frequency
Pulse Widt
Slope / ¯ \ __

the arrow keys
to set the slope-down time, from 0 (zero)
to 9 seconds.

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

0

0

Synchron
15 m 00 s

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0

FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054

Use the intensity control keys to increase or decrease the intensity:
TENS
FES
Timer
Output
ON
Frequency
Pulse Widt
Slope / ¯ \ __

0

0

Synchron
14 m 59 s

FES

180 Hz
400 uS
9 : 30 : 9 : 30 s

0

Use the arrow keys
to select FES mode.

0

After the set time is expired, a sound warning will be heard, and the
intensities will be reset to zero.
To start a new therapy, select the desired time, check whether the
Frequency and Pulse Width parameters are correct; otherwise, change the

Or the PROTOCOLS mode. 

Operation Mode: TENS

Normal
Burst
VIF
VLP
VP

On the initial screen:

PROTOCOLS

Normal
Burst
VIF
VLP
VP

TENS
FES

Turn on the unit using the ON / OFF switch on the rear panel.

Use the arrow keys
to select the menu of TENS modes:

PROTOCOLS

TENS

The display will show the information:
FESMED
4052
Rev.: X.Y

SN.: 00XXX

TENS

MU_4052_4054_ENG_Rev:02_092009

TENS
FES

.

Then, the unit enters the
OPERATION MODE:

FES
PROTOCOLS

B ) FESMED II - Model 4052

PROTOCOLS

TENS

The intensity controls are independent.
After increasing or decreasing the intensity of any channel, the intensities of
the other channels will be reset to zero. If there is no intensity alteration
within 6 seconds, the intensities from reset channels will return to the
intensity setting.

settings and press

Synchron
Sequential
Alternate

Normal
Burst
VIF
VLP
VP

FES
PROTOCOLS

Normal
Burst
VIF
VLP
VP

FES
PROTOCOLS

24

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25

FESMED II 4052
FESMED IV 4054

Use the arrow keys
to select TENS modes:
Normal, Burst, VIF, VLP or VP.

Press
to
enable the selected mode.

TENS
Timer

Normal
10 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0

0

TENS
Timer

Normal
10 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0
Use the arrow keys
to select Timer:

0

TENS
Timer

Normal
15 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0
Use the arrow keys
to set the time.

Use the arrow keys
to select Frequency:
Use the arrow keys
to set the time.

Use the arrow keys
to select Pulse Width:

0

TENS
Timer

Normal
15 m 00 s

Frequency
Pulse Widt

100 Hz
100 uS

0

0

Use the arrow keys
to set the Pulse Width value:

Normal
15 m 00 s

Frequency
Pulse Widt

150 Hz
100 uS

0

0

TENS
Timer

Normal
15 m 00 s

Frequency
Pulse Widt

150 Hz
100 uS

TENS
Timer

Normal
15 m 00 s

Frequency
Pulse Widt

150 Hz
200 uS

0

Press
to enable the output channels.

TENS
Timer
Output
Frequency
Pulse Widt

0

Normal
15 m 00 s
ON

0

0

To disable the outputs, press
.
Use the intensity control keys to increase or decrease the intensity:
TENS
Timer
Output
ON
Frequency
Pulse Widt

0

Normal
15 m 00 s
mA
150 Hz
200 uS

The intensity controls are independent.
After increasing or decreasing the intensity of any channel, the intensities of
the other channels will be reset to zero. If there is no intensity alteration
within 6 seconds, the intensities from reset channels will return to the
intensity setting.
After the set time is expired, a sound warning will be heard, and the
intensities will be reset to zero.

0
26

150 Hz
200 uS

“Saída Acionada” (Output Enabled) will be displayed and the selected time
will be decreased every second.

0

TENS
Timer

0
MU_4052_4054_ENG_Rev:02_092009

FESMED II 4052
FESMED IV 4054

MU_4052_4054_ENG_Rev:02_092009

27

FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054
FES
Timer

To start a new therapy, select the desired time, check whether the
Frequency and Pulse Width parameters are correct; otherwise, change the
settings and press

Use the arrow keys
to select Timer:

. 

Operation Mode: FES

TENS

Normal
Burst
VIF
VLP
VP

FES
PROTOCOLS

On the initial screen:

100 Hz
100 uS
0: 1:0 : 1s

0

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

100 Hz
100 uS
0: 1:0 : 1s

0

0

FES
Timer

PROTOCOLS

Use the arrow keys
to select FES operation mode.
TENS

Synchron
Sequential
Alternate

FES

Use the arrow keys
to select Frequency:

PROTOCOLS

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

100 Hz
100 uS
0: 1:0 : 1s

0

0

FES
Timer

TENS

Use the arrow keys
to select FES modes:
Sincrono, Seqüencial or Alternado.

0

Synchron
Sequential
Alternate

FES

Use the arrow keys
to select the menu of FES modes:

Frequency
Pulse Widt
Slope / ¯ \ __

FES
Timer

Use the arrow keys
to set the time.
TENS

Synchron
10 m 00 s

Synchron
Sequential
Alternate

FES

Use the arrow keys
to set Frequency.

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

180 Hz
100 uS
0: 1:0 : 1s

0

0

PROTOCOLS
FES
Timer
FES
Timer

Press
to
enable the selected mode.

Synchron
10 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

100 Hz
100 uS
0: 1:0 : 1s

0
MU_4052_4054_ENG_Rev:02_092009

Use the arrow keys
to select Pulse Width:

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

180 Hz
100 uS
0: 1:0 : 1s

0

0

0

28

MU_4052_4054_ENG_Rev:02_092009

29

FESMED II 4052
FESMED IV 4054
FES
Timer

Use the arrow keys
to set the Pulse Width value.

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

0

180 Hz
400 uS
0: 1:0 : 1s

0

FES
Timer

Use the arrow keys
to select SLOPE parameters, and
the arrow keys
to set the slope-up time,
0 (zero) to 9 seconds.

Use the arrow keys
to select the holding parameter, and
the arrow keys
to set the slope holding time,
1 to 30 seconds.

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

180 Hz
400 uS
9: 1:0 : 1s

0

0

FES
Timer

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

180 Hz
400 uS
9 : 30 : 9 : 1 s

0

FES
Timer

Synchron
15 m 00 s

0

180 Hz
400 uS
9 : 30 : 9 : 30 s

0

and the arrow keys
to set the slope-down time, 0 (zero) to 9 seconds.
MU_4052_4054_ENG_Rev:02_092009

30

FES
Timer

Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

180 Hz
400 uS
9 : 30 : 9 : 30 s

0

0

Press
to enable the output channels.
“ Output ON ” (Output Enabled) will be displayed and the selected time will
be decreased every second.
FES
Timer
Output
ON
Frequency
Pulse Widt
Slope / ¯ \ __

Synchron
14 m 59 s
180 Hz
400 uS
9 : 30 : 9 : 30 s

0
Synchron
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

the arrow keys
to set the slope rest time, 1 to 30 seconds.

0

FES
Timer

0

Use the arrow keys
to select the rest parameter, and

180 Hz
400 uS
9 : 30 : 0 : 1 s

0

Frequency
Pulse Widt
Slope / ¯ \ __

Use the arrow keys
to select the slope-down parameter,

FESMED II 4052
FESMED IV 4054

0

To disable the outputs, press
.
Use the intensity control keys to increase or decrease the intensity:
FES
Timer
Output
ON
Frequency
Pulse Widt
Slope / ¯ \ __

0

Synchron
14 m 59 s
180 Hz
400 uS
9 : 30 : 9 : 30 s

0

The intensity controls are independent.
After increasing or decreasing the intensity of any channel, the intensities of
the other channels will be reset to zero. If there is no intensity alteration
within 6 seconds, the intensities from reset channels will return to the
intensity setting.
MU_4052_4054_ENG_Rev:02_092009

31

FESMED II 4052
FESMED IV 4054
After the set time is expired, a sound warning will be heard, and the
intensities will be reset to zero.
To start a new therapy, select the desired time, check whether the
Frequency and Pulse Width parameters are correct; otherwise, change the
settings and press 

FESMED II 4052
FESMED IV 4054
B) Store Protocol
To store a protocol, select the desired parameters in FES or TENS mode.
Ex.: FES Protocol, Alternate mode, FESMED IV.
FES
Timer

.

Protocols

Alternate
15 m 00 s

Frequency
Pulse Widt
Slope / ¯ \ __

A) Protocol Selection

0

On the main screen,

0

180 Hz
400 uS
9 : 30 : 9 : 30 s

0

0

TENS
FES

Press

Press
.
The storing screen will be displayed:

PROTOCOLS

use the arrow keys
to select PROTOCOLOS.

PROTOCOLS
XXXXX
YYYYY
ZZZZZ

.

STP TO DEL
FES

1 2 3 4 5
a b c d e
k l mn o
u v wx y
Stp to DEL

6
f
p
z

7
g
q
ç

8
h
r
,

9 0
i j
s t
.

teste gravar-----Use the arrow keys

Press

to select the desired PROTOCOL.
Use the arrow keys

to enable the selected protocol.
TENS

Or press
to
Return to the main menu.

Normal
Burst
VIF
VLP
VP

FES
PROTOCOLS

Press

and

to confirm or

To record the protocol entered, press

to select a letter.

to delete.

.

Note : The Fesmed allow you to record more than 30 Protocols in your
memory.

MU_4052_4054_ENG_Rev:02_092009

32

MU_4052_4054_ENG_Rev:02_092009

33

FESMED II 4052
FESMED IV 4054
C) Delete Protocol

On the initial screen, use the arrow keys
to select PROTOCOLOS.

Press

PROTOCOLS
XXXXX
YYYYY
ZZZZZ

.

STP TO DEL
FES    

PROTOCOLS
XXXXX
YYYYY
ZZZZZ

Press

to confirm, or

Press

to return to the main menu.

Muscle strengthening through strength and force programs;
Maintenance or increase of movement amplitude (stretching and
contracting), including contracting correction;
Facilitation and reeducation of voluntary motor functions;
Orthostatic training, including replacements of traditional orthesis;
Control of chronic and acute edemas;
Control of temporary inhibition of muscle spasms.

TENS

to delete the selected protocol.

The following screen will be displayed:

excitation may therapeutically induce the individual to a functional reaction,
if the patients present difficult voluntary movements. The more common
candidates to neuromuscular electrical stimulation (NMES) are: patients
recovering from central nervous system lesions, with difficult gait and
cranial traumas; patients after orthopedic surgeries, such as those with
arthritis who have received prosthesis or athletes who have had tendon
problems. The electrical stimulation may also be used in denervated
muscles, in the following programs:  

to
Use the arrow keys
select the desired PROTOCOL.

Press a

FESMED II 4052
FESMED IV 4054

STP TO DEL
FES
Delet. ?
Enter= YES
Menu = NO

to keep the previous protocol.

Indications

Acute or chronic painful processes (overcoming the pain until its cause is
securely identified):
• cervical-dorsal-lumbar pains
• lumbar sciatic pains, trigeminal neuralgias
• brachialgias
• surgical wound pains
• headache and articulation pains
• patients submitted to surgery and required to mobilize corporal
segments traumatized during surgical operation
• pulmonary re-expansion after thorax or abdomen surgery
• limb mobilization
• in cases of segment amputations
• bursitis
• traumatized limbs, plus hundreds of acute or chronic painful conditions.

Contraindications

FES
The functional electrical stimulation may be widely used as an aid in clinical
treatments of neuromuscular system and skeletal muscle problems. In the
presence of inactivity in peripheral nerve excitability, an external source of

FES
There are few specific contraindications for the therapeutic utilization of
electrical stimulation. One of them is the presence of heart pacemaker. The

MU_4052_4054_ENG_Rev:02_092009

MU_4052_4054_ENG_Rev:02_092009

34

35

FESMED II 4052
FESMED IV 4054

FESMED II 4052
FESMED IV 4054

presence of superficial electrical stimulation in any part of the body may
cause interference in the pacemaker demand control circuit.
• Patients with heart problems;
• Pregnancy, mainly in the first three months.

For securing electrodes with gel, or moist sponges, to the patient’s skin, a
medical adhesive tape or elastic band may be used.

TENS
No contraindications for TENS utilization are known so far. However, the
following applications should be avoided:
• patients with Heart or Brain Pacemaker;
• patients with heart problems;
• patients with epilepsy;
• lumbar and abdominal regions - in the first three months of pregnant
patients;
• carotid arteries in the breast region.

The utilization of self-adherent electrodes is characterized by the easy
contact with the skin, due to its malleability. The thin adherent gel layer
enables low impedance between the skin and Fesmed stimulator.
If, during the application, the patient informs the stimulation is very weak, it
is an indication that the electrodes should be replaced. They should also be
replaced if the display shows “M” on the right side of the intensity indicator
and if intensity reading is zero.

Note: TENS should be applied only in case of diagnosed pains; otherwise,
we could be hiding a pathological symptom of the body.

Electrolysis occurs under the electrodes, when types of currents with CC
component are applied.
FESMED is equipped with null CC component.
In the electrolytic effect, due to the high concentration of electrolytes
caused by ion migration under the electrodes, we recommend the silicone
electrode utilization with sufficient gel, and properly moistened sponges, or
new self-adherent electrodes, in order to keep the lowest electrolytic effect.

Electrode Application
Attention:

Self-Adherent Electrode

Electrolytic Effect

The utilization of non-specified accessories by the manufacturer, which is
not allowed, may affect the patient and the correct device operation.

Current Density

Before the Treatment:
• Check for contraindications with the patient.
• Test the heat sensitivity of the area to be treated.
• Clean the area to be treated with a solution of neutral soup and
water.

According to NBR IEC 60601-2-10, the maximum admissible current
2
density is 2 mA RMS / cm .
FESMED output is limited to 50 mA RMS, with load of 500 Ohms.
In order to check whether the current density has exceeded the maximum
admissible value or not, divide the output current (in mA) by the effective
2
electrode area (in cm ).

Conductive Rubber (Silicone) Electrode

Electrode connection and disconnection reactions

We recommend the utilization of conductive rubber (silicone) electrodes,
combined with conductive gel or moist sponge. The utilization of gel or
properly moistened sponges ensures low impedance between the skin and
Fesmed stimulator. After the treatment, electrodes and sponges can be
easily cleaned.

FESMED presents constant current at the current output, which may cause
unpleasant reactions if the electrodes are not correctly attached to the skin
or if skin contact has been lost.
Be sure the output is reading 0 (zero) mA when attaching or removing
electrodes.

MU_4052_4054_ENG_Rev:02_092009

MU_4052_4054_ENG_Rev:02_092009

36

37

FESMED II 4052
FESMED IV 4054
Preventive maintenance, conservation and cleaning






We recommend FESMED inspection and calibration once a year.
Be sure to always turn off the device from the outlet before cleaning it.
Avoid wetting the electrical contacts of wires and connectors.
Use moistened cloth with water and soap to clean the device housing.
Keep a regular control over the power source and the power cable,
ensuring they present no defects.
When disconnecting the electrode cable from the device, always pull it
by the plug, avoiding cable rupture.
Always remove carefully the electrodes from the patient in order to
avoid damages.
Inspect electrode cables regularly, checking for cable rupture to plugs.

FESMED II 4052
FESMED IV 4054
sensation is higher with an electrode
than with another.
• Check the patient’s sensitiveness.
The intensity is at maximum setting
• Change the silicone or adherent
and the patient feels little stimulation.
electrodes.
When increasing the intensity (above
10 mA), the Beep start, and the
lettler “M” is displayed on the right
side of the intensity.
CAUSE: Low level current detected
when applied in the patient.

Special care to adherent or silicone electrodes
For a longer electrode durability:
• When using silicone electrodes, always clean the plug contacts,
avoiding residues that make electrical contact more difficult.
• After using silicone electrodes, wash them with running water and dry
them. Keep electrodes in a fresh and dry place.
• After using adherent electrodes, remove them carefully from the
electrode cable, moisten them with water and keep them in their
envelope, in a fresh and dry place.

Corrective maintenance
Important Notes:
The corrective maintenance of this device, besides those prescribed above, should
be performed only by CARCI authorized professionals.
Electrical connections, circuits and part list are not supplied to end consumers. If
required, contact CARCI Authorized Technical Service.
Problems
Solutions
The device does not turn on.

• See if the power cable is connected to the
wall outlet.
• Check for blown fuse.

• Change the silicone or adherent
The patient says the stimulation electrodes, for they are worn out.

MU_4052_4054_ENG_Rev:02_092009

38

• Check the electrode connection into the
device
• Check the electrode cable continuity.
• Check the conductivity of the electrodes.
• Press the key Start and begin a new
treatment
• Increase the intensity, above 10mA, and
according with patient sensibility, until the
patient describe the stimulation. The Beep
should stop and the letter m will not be
displayed

When increasing the intensity, it is
• Press the key Start and begin a new
reset to zero, the message ERROR
treatment
OUT is indicated on display, and the
• Check the conductivity of the electrodes.
letter “M” is displayed on the right
• Check for short circuit in the electrode
side of the intensity.
cable plug.

Contact the technical support.
CAUSE: It means current excess.
• Check the electrode connection into the
device
The device is on as usual, but the
• Check the attachment and continuity of the
patient says there is no stimulation.
electrode cables to the patient.
• Check the conductivity of the electrodes.

Technical Data



Made by
Models
Function and Application
Power supply


Maximum Consumption
ANVISA registration

: CARCI – Brazil
: FESMED II 4052 and FESMED IV 4054
: Electrotherapy device
: 100–230 V~ automatic (± 10%)
: 50 / 60 Hz
: 25 VA
: AM-10314290017

MU_4052_4054_ENG_Rev:02_092009

39

FESMED II 4052
FESMED IV 4054
---------------------------------------------------------------------------------------------------•
Classification according to NBR IEC 60601.1 and NBR IEC 60601.2.10
rules:
- Type of protection against electrical shocks:.....................
class II
- Protection level against electrical shocks of the applied part: BF type
- Protection level against harmful water penetration:
IPX0
- Disinfection methods:
see preventive maintenance
- Safety degree of application in the presence of anesthetic mixture inflammable
with air, oxygen or nitrous oxide:
not applicable
- Operation mode:
continuous
---------------------------------------------------------------------------------------------------•
Fuse
: 1.0 A – 250 V 20 AG

Dimensions
: 31 x 6 x 18 (WxHxD) (cm)

Weight
: 2.6 kg

Overcurrent protection

Direct current component = Zero
FES Mode Programming
Common parameters to both channels:

Slope-up/slope-down time
: 0 to 9 s

Slope retaining time
: 1 to 30 s

Slope rest time
: 1 to 30 s
Parameters of channels:

Pulse duration
: 50 to 600 us

Pulse frequency
: 1 to 200 Hz
TENS Mode Programming
Parameters of channels:

Pulse frequency
: 1 to 200Hz

Pulse duration
: 50 to 400 us

Operation modes: 
Contínuo
: adjustable frequency and duration 
Burst
: Ton : 1s - Toff : 1s with adjustable frequency and
duration 
VIF
: adjustable and variable frequency and duration 
VF
: adjustable and variable frequency, adjustable
duration 
VLP
: adjustable and variable duration, adjustable
frequency

Synchronous output in both channels.

MU_4052_4054_ENG_Rev:02_092009

40

FESMED II 4052
FESMED IV 4054
Operating conditions of the device:

Ambient temperature
: +10ºC to +40ºC

Relative humidity
: 0% to 80%

Air pressure
: 700 hPa to 1060hPa
Environmental conditions for transport and storage:
o

Room temperature
: -10ºC to 60 C

Relative humidity
: 20% to 90%

Air pressure
: 500hPa to 1060hPa
Accessories
FESMED IV 4054

Silicone electrodes – 3 x 5 cm

Electrode cables
Yellow
Green
Blue
purple

Three-pole power cable

User’s Manual

Contact gel
FESMED II 4052

Silicone electrodes – 3 x 5 cm

Electrode cables
Green
Blue

Three-pole power cable

User’s Manual

Contact gel

Code 04033
Code 21305G
Code 21306G
Code 20307G
Code 21308G
Code 14747G
Code 10395G
Code 7000/200
Code 04033
Code 21306G
Code 20307G
Code 14747G
Code 10395G
Code 7000/200

Note: In case of accessory replacement, only those recommended by CARCI should
be used. The use of accessories not specified by CARCI may affect the equipment
safety. CARCI shall not be responsible if that occurs.

Terminologies and Definitions:
For purposes of the standard NBR IEC 60601-1:1994 + amendment 1997,
the following conditions apply, used in the Manufacturer Declarations &
Orientations :
- Meaning given to the verbal forms “should“ and “may“
MU_4052_4054_ENG_Rev:02_092009

41

FESMED II 4052
FESMED IV 4054

“should“ means that compliance with the requirement or test in
question is mandatory in order to comply with the Standard.
“would“ means that compliance with the requirement or test in
question is strongly recommended, but not mandatory in order to
comply with the Standard.
“may“ means that compliance with the requirement or test in
question is only a particular way of obtaining compliance with the
Standard

FESMED II 4052
FESMED IV 4054
Immunity tests

FESMED should be used in the electromagnetic environment described as follows.
FESMED purchaser or operator should be aware that the device operation is being
done in such environment.
Electromagnetic environment
Emission tests
Compliance
- instructions
FESMED uses RF energy only
for its internal functioning. This
way, its RF emission is very low
RF Emission
Group 1
and it is not probable that it
CISPR 11
causes any interference in
another
electronic
device
nearby.
RF Emission
FESMED
is
intended
for
Class B
CISPR 11
utilization in all establishments,
Harmonic Emission
including household applications
Class A
IEC 61000-3-2
and those directly connected to
Voltage Floating / Flicker
Emission
IEC 61000-3-3

According to

the utility power supply that
provides for constructions of
household purposes.

MANUFACTURER’S DECLARATION AND INSTRUCTION –
ELECTROMAGNETIC IMMUNITY
FESMED should be used in the electromagnetic environment described as follows.
FESMED purchaser or operator should be aware that is operating the device in
such environment.

MU_4052_4054_ENG_Rev:02_092009

42

Compliance
level

Electrostatic
discharge
IEC 61000-4-2

± 6 kV contact
± 8 kV air

Fast transients /
Blasts
IEC 61000-4-4

± 2 kV power
supply line
± 1 kV signal
input and output
line

Surge
IEC 61000-4-5

±
1
kV
differential mode
± 2 kV common
mode

±
1
kV
differential
mode
± 2 kV common
mode

<5% Ut
(>95%
Ut
reduction)
For 0.5 cycle

<5% Ut
(>95%
Ut
reduction)
For 0.5 cycle

40% Ut
(60%
reduction)
For 5 cycles

40% Ut
(60%
Ut
reduction)
For 5 cycles

Declarations
MANUFACTURER’S DECLARATION AND INSTRUCTION –
ELECTROMAGNETIC EMISSIONS

Test level of
IEC 60601

Voltage failures,
short
interruptions
and voltage
variations in
power supply.
IEC 61000-4-11

± 6 kV contact
± 8 kV air

Ut

± 2 kV power
supply
Not applicable

70% Ut
(30%
Ut
reduction)
For 25 cycles

70% Ut
(30%
Ut
reduction)
For 25 cycles

<5% Ut
(>95%
reduction)
For 5 s

<5% Ut
(>95%
reduction)
For 5 s

Ut

Electromagnetic
environment instructions
The floor should be made
of wood, concrete or
ceramic. If covered with
synthetic
material,
the
relative air humidity should
be min. 30%.

MU_4052_4054_ENG_Rev:02_092009

The electrical system
quality should be that of a
typical
hospital
or
commercial environment.

Ut

43

FESMED II 4052
FESMED IV 4054
Magnetic fields
of utility
frequencies
(50/60 Hz)
IEC 61000-4-8

3 A/m

The magnetic fields of
utility frequencies should
be levels of typical
hospital or commercial
environment.

3 A/m

Note: Ut is the utility voltage C.A before the test level application.
Portable and mobile devices of RF
communications should not be
used closer to any FESMED part including cables - than the distance
recommended
as
calculated
through the equation applicable to
the transmitter frequency.
Recommended distance:

d = 1,17. P

Conducted
RF
IEC 61000-46

d = 1,17. P
3 Vrms
150 kHz to
80 MHz

80 MHz to 800

MHz

800 MHz to 2.5

GHz
Irradiated RF
IEC 61000-43

3 V/m
80 MHz to
2.5 GHz

3 V/m

MU_4052_4054_ENG_Rev:02_092009

NOTE 1: within the of 80 MHz and 800 MHz, the highest range frequency should be
applied.
NOTE 2: This procedure may not be applicable to all situations. The electromagnet
propagation is affected by absorption and reflection of structures, objects and
people.
a. The intensity of fields generated by fixed transmitters, such as telephone radiobase (mobile/wireless) and land mobile radio stations, amateur radio stations
and AM, FM and TV radiobroadcast stations cannot be theoretically identified
with precision. In order to evaluate the electromagnetic environment caused by
fixed RF transmitters, a study on the site electromagnetic field should be taken
into account. If the field intensity measured at the site where FESMED is used
exceeds the compliance level above, FESMED should be checked for normal
operation. If abnormal performance is observed, additional measures should be
taken, such as FESMED reorientation or reallocation;
b. For any value above the frequency scale of 150 kHz to 80 MHz, the field
intensity should be less than 3 V/m.
Distances recommended between portable and mobile RF communications
devices and FESMED

3V

d = 2,3. P

FESMED II 4052
FESMED IV 4054

Where P is the max. output power
of the transmitter in watts (W),
according to the transmitter
manufacturer, and d is the
recommended distance in meters
(m).
The field generated by fixed RF
transmitters,
as
determined
through an on-site electromagnetic
a
field study , should be lower than
the compliance level in each
b
frequency range .
Interferences may occur in the
neighboring area of the equipment
with the following symbol:

44

FESMED should be used in electromagnetic environment where RF disturbances
are controlled. FESMED purchaser or operator can help prevent electromagnetic
interferences by keeping the minimum distance between portable and mobile
(transmitter) RF communications devices and FESMED, as recommended below,
according to the maximum output power of the communications equipment.
Declared value of
max. output power of
the transmitter (W)

Distance according to the transmitter frequency
150 kHz to 80
MHz

80 MHz to 800
MHz

800 MHz to 2.5
GHz

d = 1,17 P

d = 1,17 P

d = 2,3 P

0.01
11.70 cm
11.70 cm
23.00 cm
0.1
37.00 cm
37.00 cm
72.70 cm
1
1.17 m
1.17 m
2.30 m
10
3.70 m
3.70 m
7.27 m
100
11.70 m
11.70 m
23.00 m
For transmitters with declared value of max. output power not listed above, the
recommended distance (d in meters) may be determined through the equation
applicable to the transmitter frequency, where P is the max. output power of the
transmitter in watts (W), according to the transmitter manufacturer.

MU_4052_4054_ENG_Rev:02_092009

45

FESMED II 4052
FESMED IV 4054
NOTE 1: between 80 MHz and 800 MHz: the highest frequency distance should be
applied.
NOTE 2: this procedure may be applied to all situations. The electromagnet
propagation is affected by absorption and reflection of structures, objects and
people.

FESMED II 4052
FESMED IV 4054
European Representative

OBELIS SA
34, Av. de Tervuren, bte 44
B – 1040 Brussels , BELGIUM
Tel: (32) 2.732.59.54
Fax: (32) 2.732.60.03

Final Considerations
Carci’s policy is to continuously improve the quality of its products. Carci
reserves the right to make changes in the product project and
specifications, as well as add and improve its products, which should not
incur any obligation to install such changes in products already
manufactured.
The text, illustrations and specifications contained in this manual are based
on information available at the printing moment.
All rights reserved.
This manual should not be reproduced wholly or partly, without Carci’s
authorization in writing.
Manufacturer’s Information
CARCI Indústria e Comércio de Aparelhos Cirúrgicos e Ortopédicos Ltda.
CGC: 61.461.034/0001-78
I.E. : 110.182.450.113
Rua Álvares Fagundes, 359 – São Paulo – SP – Brazil – 04338-000
Tel.: (0XX11) 3346 2100
web site : www.carci.com.br
E-mail: carci@carci.com.br

E-mail: mail@obelis.net

W AR R A N T Y C E R T I F I C AT E I N AN N E X
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Carci registration at the Health Department: MS-1.03.142-9
For Technical Support:
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Rua Álvares Fagundes, 359 – São Paulo – SP – Brazil – 04338-000
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Technical Professional in Charge:
Orlando Orlandi Melo de Carvalho - CREA 5061377287/D

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