TRONITEK LLC, Yekaterinburg, Russia

ТРТК 09.4-03.70 РЭ1ТУ 9444-009-44148620-2009

3rd generation of device

Operating ManualPart II. Usage Instruction

The company quality management systemis in compliance with ISO 9001 and ISO 13485

DENAS® 2014English

Russian

French

German

TABLE OF CONTENTPurpose. ..............................................................................3Safety Regulations. ..........................................................4Carrying out treatment procedure ............................8

1. General information. ..............................................82. Indications and contraindications for use...........................................................................93. Conditions for treatment....................................124. Treatment by device. ...........................................12

Appendix 1. Atlas of zones for stimulation.. ...................................22

3

PURPOSE

Transcutaneous electrostimulator DENAS is designated for general regulatory impact on the whole body as well as the treatment of different functional disorders and diseases. The method of dynamic electro neuro stimulation influences biologically active points and zones with electric impulses. There is an opportunity to choose an individual treatment program as well as ready inbuilt programs. The device has inbuilt electrodes and a jack for external applicators.

The DENAS unit can be used at home for treatment and for prevention cause according to doctor’s recommendations.

8 CARRYING OUT TR EATMENT PROCEDURES

1. General informationApplication of specific electric impulse on refex zones and points for prevention, treatmentand functional recovery is an effective method of therapy. Application of transcutaneous dynamic electroneurostimulation promotes positive dynamic of many acute and chronicdiseases in a complex treatment and as a mono therapy. It allows to accelerate the healingprocess, reduces the requirement in pharmacological medicine and help to restore healthquickly. The clinic effectiveness of transcultaneous dynamic electroneurostimulation is proven for treatment of diaseses of cardiovascular and musculoskeletal systems, injuries, gynecological and urological diseases. Also it is effective in treatment of patients withsurgical, ophthalmological, bronchopulmonary and digestive system diseases . There is accumulated experience in effective application of Denas method in treat-

9ment of many neurological diseases. A number of scientific researches have proven anabsolute efficency of Denas method as effective component of complex therapeutical andrehabilitation programs in pediatry.

2. Indications and contraindications for useThe device can be applied to patients of any age from newborns to people of advanced age. Depending on tasks of treatment the device can be applied for treatment of different diseases and syndromes to achieve anesthetic, spasmolytic, antiphlogostic, trophic, and general effect.

2.1. Indications for use:— acute and chronic pain syndromes;— traumas;— respiratory diseases, diseases of the digestive device, diseases of ENT,cardiovascular system, musculoskeletal system, nervous system, endocrineand urogenital systems, eyes, skin;

10 — rehabilitation after diseases, surgical operations and traumas;

— increasing body adaptive capacities under impact of negative pathogens factors, intensive physical and mental work, physical and mental overexertion,syndrome of chronic fatigue di culties with waking up in the morning andsleepiness during daytime, disorders of falling asleep in the evening andinsomnia, increased petulance, under depressive states, sexual dysfunction,as well as for prophylaxis of colds.

2.2. Contraindications for use:Absolute:

— individual intolerance to the electric current;— implanted cardiostimulator;

11Relative*:— epileptic seizures;— neoplasms of any etiology and localization (in the terminal stage of anoncological process, electrostimulation may be carried out as palliativemethod (supportive therapy), including rapid relief of the pain syndrome,after consultation with a doctor;— acute febrility of unclear etiology;— vein thrombosis;— condition of acute psychical excitement, alcoholic or drug intoxication.

Attention! Do not apply the device in the zone of direct heart projection at the front!

In these cases it is recommended to use the electrostimulator only after consulting your attending doctor.

22

Appendix 1Atlas of zones for stimulation

23

Acute respiratory diseases. .....27Algomenorrhea................................... 57Allergy...............................................................65Arterial hypertension. ...................81Arterial hypotonia..............................83Arthritis, arthrosis ............................... 45Asthma. ............................................................31 Astigmatism..............................................89Bloating. ..........................................................37Bronchial asthma . .............................31Bronchitis. .....................................................29Burn......................................................................51Cataract. ..........................................................89

Cold, rhinitis. .............................................27Cellulitis, obesity. .................................69Constipation. ............................................39Coronary heart disease. ..............79Cosmetology. ...........................................67Cough. ..............................................................29Cystitis. .............................................................57Deafness, tinnitus. ..............................35Dermatitis. ....................................................65Diabetic angiopathy. .....................88Diarrhea. .........................................................42Diskogenic radiculopathy. ................................................. 47,99

Dislocations of joints. ....................49Eczema. ............................................................65Edema in legs. .........................................85Essential hypertension. ...............81Eyestrain.........................................................89Face care. .......................................................67Fever. ..................................................................97Fractures. .......................................................49Frontitis. ..........................................................27Glaucome......................................................89Headache. .................................................101Hemorrhoids.............................................43Hyperopia. ...................................................89

Alphabetical list of diseases

24

Hypogalactia.............................................59Insomnia. .......................................................77Lactostasis. ..................................................59Laryngitis. .....................................................33Logoneurosis. ..........................................75Lumbodynia............................................. 47Mastitis. ...........................................................59Menstrual disorders. .......................55Myocardiodystrophy.....................79Myopia. ...................................................89Nausea. .............................................................37Neuralgia-trigeminal . ...................73Neurodermatosis................................65

Neurosis, stress. .....................................77Osteoarthritis. .........................................45Painful urination. .................................61Pain in back. ...............................................47Pain in ear. ....................................................35Pain in face..................................................73Pain in joints..............................................45Pain in legs. .................................................87Pain in neck. ...............................................47Pain in throat............................................33Pain in the zone of heart. ....... 79 Pharyngitis. .................................................34Potency disorders. .............................63

Prostatitis. .....................................................61Refractive disorders.........................89Sciatica.........................................47Sensorineural deafness...............35Soft tissue bruise. ................................51Sprain. ................................................................49Stammering. .............................................74Sterility. ............................................................55Stomach-ache. ........................................37Syncope. .........................................................95Tonsillitis. .......................................................33Toothache....................................................91Tracheitis. .......................................................29

Alphabetical list of diseases

25

Trauma of joints....................................99Trauma of soft tissues ..................51Urethritis. .......................................................61

Urination disorders. .........................61Urolithiasis. .................................................99Varix. ....................................................................85

Vertigo..............................................................71Wound. .............................................................51

Alphabetical list of diseases

26Notation Conventions

2. Sequence of zones’ stimulation

1. Main zones – for obligatory stimulation. Additional zones are stimulated to boost the therapy effect.

5. Device power level / Sensations of a patientMinimal / Lack of sensationsComfortable / Pleasant prickingMaximal / on the pain threshold

6. Duration of procedure4-510-15 min. Stimulate zone for 10–15 minutes, 4–5 times a day.

4. Method of applicationLabile Stabile

Labile-stabileStabile, with the help of applicator

3. Selection of mode in menu Menu

77 Hzor other modes

1. Wings of nose andzone around nose77 Hz

123

456

Mai

n zo

nes

timesa day

10-15 min. timesa day4-5

45 Pain in the jjjoints (arthritis, arthrosis)Ba

siс

zone

s

2. Neck and collar zone — in case of injured upper extremitiesLumbosacral zone — in case of lower extremities

77 Hz

1. Zone of injjjured jjjoint

77 Hz, 140 Hz

— severe pain

— aching dull pain

5-10 min. timesa day2-3

10-15 min. timesa day2-3

46Pain in the jjjoints (arthritis, arthrosis)

1. The same zone on a healthy jjjoint ofthe symmetrical extremity

2. Hand: the zone according to Su-Jok

77 Hz77 Hz

Note. Duration of course — until recovery, but not less than 7 days.

Affected side

Healthy side

Supp

lem

enta

ry z

ones

5 min. timesa day1-2 5-10 min. times

a day1-2