MU 4080 English Version 1.0.0

NEUROMED 4080
NEUROMED 4080
Table of Contents

2
2
3
4
7
8
8
11
12
12
13
15
17
18
19
20
21
28
34
43
48
54
59
61
63
67
68
69
70
75
79
80
81
Presentation
Presentation
Accessories that come with the product
Symbols
Warnings / Attention
Installation / Connection to the power network
General information
Interferential Current
Russian Current
FES
TENS
Bernard's Diadynamic Currents
Monophase Currents
Microcurrents
Display Language
Controls & Control Functions
Operation
Operation Mode : Interferential
Operation Mode : Russian Current
Operation Mode : TENS
Operation Mode : FES
Operation Mode : Diadynamic Current
Operation Mode : Monophase Current
Operation Mode : Microcurrent
Protocols
Indications & Contraindications
Electrode Application
Preventive maintenance, preservation and cleaning
Corrective maintenance
Technical Characteristics
Manufacturer declaration and orientation
Considerations
European Representative
Bibliographical reference
MU_4080_English_Version: 1.0.0
(032012)
Carci has the honor of congratulating you in your purchase of a high-tech

equipment of intrinsic safety, which we are certain will meet the most
demanding quality standards.
NEUROMED 4080 is an equipment for functional muscular stimulation of
medium and low frequency, intended for all areas of electrotherapy, which
was developed observing the safety standards NBR IEC 60601-1:1994 +
amendment 1:1997, NBR IEC 60601-1-2:2006, and NBR IEC 60601-210:2002, which make it a safe and highly reliable equipment.
Accessories that come with the device
2 polarized cables
4 Conductive rubber (Silicone) electrodes
4 Sponges pad
1 Gel Tube 200 ml
4 Cables for electrode
1 Three-pole cable
1 User manual
To purchase optional accessories, consult the codes on page 74,

'Accessories' item.
In case of doubts, please contact:
Technical Assistance Department
Rua lvares Fagundes, 359 So Paulo SP Brazil -CEP [zip code]
04338-000
Phone: (0XX11) 5621 7024 / 5622 8205
email: sat@carci.com.br
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NEUROMED 4080
NEUROMED 4080
Symbols on the packaging
Symbols
Symbols on the equipment
Fragile. Handle with care

Means equipment off
Keep in a dry place
Means equipment on
This symbol shows that the equipment
causes physiological effects and that the
user must check the instruction manual
before using it.
Applied part type BF
This side up. This symbol shows the correct

transport position
Maximum piling. Shows the maximum
number of boxes that can be piled. The
quantity is marked in the intermediary
square.
Minimum and maximum temperature limits
for transport and storage.
Class II Equipment
Manufacturer Identification
ATTENTION / WARNINGS
Product Manufacturing Date
Product Serial Number

CE Mark and identification of the notifying
body
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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
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NEUROMED 4080
treatment modality available, as well as the indications,
contraindications, warnings and precautions. Consult other
resources to obtain further information on the application of
electrotherapy.
5. Operating sequence
Connect
equipment to the
power network
WARNINGS:
1. Never turn on the ON/OFF key of Neuromed while one or more
cables of the electrodes are connected to the patient and to
Neuromed.
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.
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
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NEUROMED 4080
Turn on the
equipment
through the
ON/OFF switch
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NEUROMED 4080
Installation/Connection to the power network

For a perfect functioning of your equipment, we suggest that the electrical
installations be according to the following standards:
Brazil :
NBR 5410/1990 Low-voltage electrical installations;
NBR13534/1995 Electrical installations in health establishments
- Safety requirements.
Other Countries :
IEC 60364-7-7 (10/2002) Electrical Installations medical
locations;
Or another related standard applied in the country of use.
Connect the power cable to the three-pole connector located in the

posterior panel and connect it to the power socket.
Fuse box
On/Off Switch
NEUROMED 4080
General Information
The NEUROMED 4080 is a functional neuromuscular electrostimulator,
Microcontrolled with the functions :
o
o
Russian Current
TENS
o
o
FES
Diadynamic Currents
Normal, VIF, VLP, VF, Burst and Modulated Burst
DF, MF, LP, SP, iD SP
Monophase
Two-pole, Manual Vector, Automatic and Isoplanar.
Square, Exponential, Ultra Exciting, Direct and

Interrupted
Microcurrents
Power cable
connector
Your equipment uses switched power sully and operates in any

voltage between 100V~ and 240V~ 50 or 60Hz.
In case the protective fuse burns, replace it only be the value

indicated: the fuses must be of 1.0A 250V~ 20AG
Interferential Current is a form of medium-frequency wave, distributed

through two channels (four electrodes), where the currents cross
themselves in the body, in the area that needs treatment. The two
currents have interference between them at the crossing point, causing
intensity modulation
(the current intensity increases and reduces at a regular frequency).
In the interferential current, a carrier frequency of the medium
frequency is used to pass the low frequency stimulation (beat) through the
skin. The relatively low resistance of the skin to the carrier frequency
contributes toward the patient's comfort and is oftentimes associated with
this type of stimulation. Interferential Currents are all AC currents without
any DC residual component.
Remove the cover of the fuse box using a screw driver (insert the screw
driver in the groove of the fuse box, apply a little pressure and turn it
counterclockwise).
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NEUROMED 4080
NEUROMED 4080
1 beat frequency cycle
Figure 1
Vector Interferential
Isoplanar
In this method of therapy, four electrodes are used, and two modulated
currents are generated for each electrode pair (two channels). The
frequency of a channel is set in the carrier frequency, while the other
channel has a variable frequency, based on the beat frequency and
frequency modulation configurations. The Interference occurs when the
two currents cross in the tissue. The depth of modulation (which
determines the amplitude of the stimulation current) depends on the
direction of the currents, and can vary from 0 to 100%. The 100%
modulation occurs only in the diagonal (and therefore, in the intersection)
of both currents. It is obviously a theoretical situation, based on the
presupposition that the tissue is homogeneous. In reality, the tissue is
heterogeneous, such that the balance between both channels must be
used to obtain the 100-% modulation depth (Fig. 1).
The isoplanar vector technique is intended to increase the area where

effective stimulation occurs. Amplitude modulation occurs in the
equipment and a special phase relation between both channels
guarantees a 100% modulation depth between the four electrodes in all
the positions. Modulation depth is 100% over the complete treatment
area.
The advantage of this method is that positioning of the four electrodes
to effectively treat the affected tissue is less critical. The sensation of
the isoplanar vector mode is mild and equally divided over the
treatment area.
Isoplanar Vector Model
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NEUROMED 4080
Two-pole Interferential.
With the dipole vector technique, the currents of the two electrode pairs
are summed vectorially in the tissue. The effect is that stimulation
occurs only in direction of the resulting vector, which can be adjusted at
an interval of 360. Amplitude modulation occurs in the equipment and
the modulation depth is 100%.
Stimulation with 100% modulation occurs only in direction of the vector.
The advantage of this method is that the direction of stimulation can be
adjusted electronically after positioning the electrodes.
Automatic vector dipole
With the automatic vector dipole technique described above, it is turned
at an adjustable speed. If the increase in the current amplitude is
greater than the motor threshold, the tissue will contract and relax
rhythmically. The current automatic dipole vector is ideal for areas
where the mechanical pressure of massage is not desirable.
NEUROMED 4080
ratio of 1:1. Kots uses a Burst frequency of 50 Hz, approximately in the
middle of the frequency spectrum used to produce tetanic contraction (4080 Hz). In addition to the ratio of 1:1, Kots also describes a phase
duration / interval phase ratio of 1:5.
The amplitude must be increased until a strong concentration is produced
(from the level of motor stimulation up to the tolerance limit). Such as
occurs with all muscular stimulation applications, a program may be used,
allowing the muscles to rest between exercise cycles.
FES
Functional electrical stimulation is a form of electrotherapy able to

produce muscular contractions with functional objectives. The
movements produced by the FES technique are fully controllable and
allow the patient to have a positive psychological attitude due to the use
of his own muscles, which contributes toward his physical and emotional
rehabilitation.
Regular application of neuromuscular electrostimulation (NMES) using
FES proved to be efficient in the treatment of patients with motor
deficiencies caused by different neurological pathologies. Some results
that can be obtained with use of this technique are: reduction of muscular
spasticity, strengthening of the muscles and improvement in the gait
standard.
Russian Current
Alternating current with a carrier frequency of about 2500 Hz. Russian
stimulation was used by the first time by Kots, professor of sports
medicine in the Moscow State Academy. Kots used it for muscular
strengthening in the training of Russian cosmonauts. With this technique,
electrostimulation is applied in the individual muscles as well as in muscle
groups (whether directly or through the nerve). In direct stimulation, it was
found that the frequency of 2500 Hz produced the highest contraction,
while the ideal frequency of indirect stimulation was 1000 Hz.)
A specific characteristic of this type of muscular stimulation is that the
alternating current is interrupted 50 times per second. This results in a
train of pulses, comparable to the TENS explosion. The total duration
of the train of pulses is 20 ms, giving a phase duration / interval phase
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The equipment allows, for example, stimulation of the quadriceps,

dorsiflexion movement of the foot, gait monitoring, among other facilities.
TENS
Chronic pain - continuous, debilitating pain like pains associated with

rheumatism, arthritis, sciatic nerve, among others, does not have the
purpose of indicating any eminent damage but rather that we have a
damage resulting from the pathology itself. Treatment of chronic pains by
narcotics and other drugs always brings the inconveniencies of side
effects, almost always causing as many problems as the pain itself.
Transcutaneous Electric Nerve Stimulation (TENS) promotes a simple,
safe and effective solution for chronic pain problems.
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NEUROMED 4080
NEUROMED 4080
DF is usually experienced with a fast vibration. It is a pleasant waveform
that is often used as an introduction to SP or LP.
Diadynamic Currents
Diadynamic currents were introduced by Bernard (1) and won an
important position in the history of physiotherapy. They are currently
unfairly deemed as outdated compared to TENS or Interferential currents.
Diadynamic Currents are used mainly to reduce pain and improve
blood circulation.
Bernard uses the term Diadynamic currents, which refer to a monophase
(MF - Monophas fixe) or double phase (DF - Diphas fixe) rectified
alternating current. The frequency was derived directly from the power
source, resulting in sinusoidal pulses with a duration of 10 ms. This time,
10-ms phase will mainly depolarize thick fibers. Stimulation of the thin
fibers can only be obtained with greater current amplitude.
LP (Long Periods)
It is a slow alternance between six seconds of MF and six seconds of DF.
In the DF phase, the intervals between the MF pulses are filled with
additional pulses gradually with the increase and decrease in amplitude.
LP is suaver than SP.
(1) Bernard, Pierre D.

La diadynamique thrapie,
Paris, Editions Physio ', dated 1962.
SP (Short Periods)
ATTENTION:
Diadynamic Currents are monophase currents that produce electrolysis
subproducts. These subproducts can result in burning beneath the
electrodes. Always use a correctly wet sponge / electrode combinations to
absorb these products during the treatment.
It is a fast alternance between a second MF course and a second of the

current DF. CP has as strong re-absorption effect.
The available variations are as follows:

MF (Monophas fixe)
It is a single sinusoidal phase rectified current with a frequency of 50 Hz.
MF is a vibration waveform that easily induces the contractions.
iD SP ( Isodynamic Short Periods )

Is identical to SP, except that the amplitude of the current in the MF
phase is 12.5% smaller than during the DF phase.
Usually, a lower frequency is experienced to be more aggressive than a
higher frequency. IDSP prevents this difference in the sensation.
DF (Diphas Fixe)
It is a dual sinusoidal phase rectified current with a frequency of 100 Hz.
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NEUROMED 4080
NEUROMED 4080
Monophase ( Faradic )
Galvanic current
Mo n op h as e / F aradic currents are often used for muscular stimulation

applications that are based on previous diagnosis. The diagnostic
objective is the obtainment of information on the sensitivity of the
neuromuscular device for electrical stimulation. This g i v es a n
i nd ic at i on of t he le v e l of m us c u lar t is s u e enervation. With this
technique, the ratio between amplitude and the duration of the current
phase of a rectangular and triangular pulse is plotted in a power / duration
curve. The power / duration curve is recorded by observing the amplitude
of the current required in phase of various values of duration (varying
from 0.01 to 1000ms) that produce contraction of a muscle or muscular
group that is just perceptible (that is only visible or palpable). In case of
reduced sensitivity or absence in electrical stimulation, the power /
duration curve gives an indication of the current waveform, phase
duration and amplitude of the electrical stimulation current to be used in
any therapy that can be applied.
Direct Galvanic Current

Direct galvanic current, applied constantly without rest interval.
Interrupted Galvanic Current

Interrupted galvanic current, and modulation of direct galvanic current, at
the frequency of 8 KHz, with working cycle of 90%.
Square Monophase Current.
Trabert Ultra-Exciting.
The 2-5 or "Ultra-exciting current was introduced by Trbert.(2) . The 2-5
faradic current is a rectangular pulsated current with a phase duration of 2
ms and a phase interval of 5 ms. These configurations are the standard
configurations for the faradic current rectangular waveform and result in a
pulse frequency of approximately 143 Hz. Trabert did not provide any
explanation for the choice of these parameters. However, many workers
have adopted the treatment and it is still applied with success. A notable
effect is the absence of pain that can arise from just the first treatment
and that can last for several hours.
Exponential Monophase Current.
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NEUROMED 4080
NEUROMED 4080
Display language
NEUROMED 4080 allows accessing three display languages:
Portuguese
English
Spanish
Tp = 2 mS / Tr = 5 mS
If you wish to change the current language, follow the steps below:
(2) Trabert, H.
Ultra-Reizstrom, neues ein therapeutisches Phnomen,
Elektromedizin 2, 1957 (7).
1.
2.
ATTENTION:
Connect the power cable of the NEUROMED 4080 to the

power network.
Turn on the device - the equipment will conduct a test of the
display, presenting the Main screen.
Monophase currents are currents that produce electrolysis subproducts.

These subproducts can result in burning beneath the electrodes. Always
use a correctly wet sponge / electrode combinations to absorb these
products during the treatment.
3.
Next, press the key and keep it pressed
Microcurrents
4.
6.
After the equipment issues a double beep, release the Menu

key
The display will show the accessible languages:
ENGLISH
PORTUGUESE
SPANISH
Select the language desired through the keys
7.
Press the key
8.
The equipment will exit the language selection mode,

displaying the Main menu.
Microcurrent is a rectangular monophase waveform selected manually or

with alternate polarity.
Many therapists prefer Microcurrent therapy because of the low current

amplitudes used. Alternate polarity can be used for the average of the DC
component, reducing electrolysis formation.
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5.
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NEUROMED 4080
NEUROMED 4080
Controls
Figure : 1
Figure : 2
E na b les t h e f u nc t io n c hos e n
E na b les t h e m a in m enu s c r ee n
Control functions
Moves to
next field
E na b les t h e N EU RO M ED o u tp uts
D is ab l es t he N E UR O M ED ou tp u ts
Decrease
Increase
Operation
Operation of the device:
Moves to
previous
field
Press the ON/OFF at the back of the device. (Figure 1 page 7).
ATTENTION: Never turn on the ON/OFF key of Neuromed
while one or more cables of the electrodes are connected to
the patient and to Neuromed.
Control of intensity of channels 1, 2, 3 and 4.
The display will show the Initial Screen:

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20
NEUROMED 4080
NEUROMED 4080
Press the
key to enable the Two-pole Interferential
mode. The Two-pole mode set screen will be displayed.
Interferential
Two-pole
THERAPY
Interferential
Russian Current
TENS
FES
Diadynamic
Monophase
Microcurrent
Protocols
Use the
Timer
Two-pole
Manual Vector
Autom. Vector
Isoplanar
05:00 s
Carrier Frequency
Frequency Modulation
Frequency Variation
Slope
:
:
:
2 KHz
100 Hz
100 Hz
0 s: 1 s : 0 s : 2 s
Channel 1 Channel 2
keys to select the current types.

o
1. Interferential :
Use the
a nd
keys to enable selection of the
interferential modes : Two-pole, Manual Vector, Automatic Vector or
Isoplanar Vector
Interferential
Russian Current
TENS
FES
Diadynamic
Monophase
Microcurrent
Protocols
Through the
and
keys, set the parameters:
Set : 1 minute to 60 minutes, in steps of 1 minute.

Carrier Frequency
Settings : 2 KHz, 4 KHz, 6 KHz, 8 KHz & 10 KHz.

Two-pole
Manual Vector
Autom. Vector
Isoplanar
Settings : 10 Hz to 150 Hz ( steps of 10 Hz )

Frequency Variation
o
Settings : Rise/fall : 0 s to 9 s (steps of 1 s)

Sustaining/Rest : 1 s to 30 s (steps of 1 s)
1.1. Two-pole Interferential
o Select the Two-pole Interferential mode.
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After setting the parameters, connect the electrode cables in

channels 1 and 2 to the electrodes in the patient. Press the
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NEUROMED 4080
NEUROMED 4080
Carrier Frequency
key
be enabled.
, the output settings of channels 1 and 2 will
o Use the keys of the channels to set the intensity.

Channel 1
Channel 2
Frequency Variation
1.2. Manual Vector Interferential

o

Select the Manual Vector Interferential mode
o Press the
key to enable the Manual Vector
Interferential mode. The Manual Vector mode set screen will
be displayed.
Interferential
Timer
Carrier Frequency
Frequency Variation
Two-pole

key
be enabled.
05:00 s
:
:
:
2 KHz
100 Hz
100 Hz
Slope
0 s: 1 s : 0 s : 2 s
Channel 1 Channel 2
o Use the
keys to move the
to the desired position.
o
Through the
parameters:
and
keys, set the
1.3. Automatic Vector Interferential

o
Select the Automatic Vector Interferential mode

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NEUROMED 4080
NEUROMED 4080
o Press the
key to enable the Automatic Vector
Interferential mode. The Automatic Vector mode set screen
will be displayed.
Interferential
Timer
Carrier Frequency
Frequency Variation
Two-pole
05:00 s
:
:
:
2 KHz
100 Hz
100 Hz

key
be enabled.
The time selected will decrease.
Use the keys of the channels to set the intensity.
Slope
0 s: 1 s : 0 s : 2 s
Channel 1 Channel 2
o
o
Through the
parameters:
and
keys, set the
The
selected.
will move according to the speed
1.4. Isoplanar Interferential
o
o
Select the Isoplanar Interferential mode
Press the
key to enable the Isoplanar Interferential
mode. The Isoplanar mode set screen will be displayed.
Carrier Frequency
Interferential
Timer
Carrier Frequency
Frequency Variation
Frequency Variation
Two-pole
05:00 s
:
:
:
2 KHz
100 Hz
100 Hz
Slope
0 s: 1 s : 0 s : 2 s
Channel 1 Channel 2
Speed
Set : 1 s to 15 s (steps of 1 s)

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NEUROMED 4080
NEUROMED 4080
2. Russian Current:
Through the
and

o
o
o
o
o
o
o
Carrier Frequency

THERAPY
Interferential
Russian Current
TENS
FES
Diadynamic
Monophase
Microcurrent
Protocols

Frequency Variation
Synchronous
Sequential
Alternate
Reciprocal
Set : 1 s to 15 s (steps of 1 s)
channels 1 and 2 to the electrodes in the patient. Press the key
enabled.
, the output settings of channels 1 and 2 will be
The
Use the
a nd
Russian Current modes (Synchronous, Sequential, Alternate and
Reciprocal )
2.1. Synchronous Russian Current:
keys to select Russian
Speed
In the initial screen, select the

Current.
Select the Synchronous Russian Current mode

Press the
key to enable the Synchronous Russian
mode. The Synchronous Russian parameter set screen will be
displayed.
will move according to the speed selected.
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NEUROMED 4080
Interferential
Timer
NEUROMED 4080
( Figure : 1 page 20 )
Two-pole
2 KHz
100 Hz
100 Hz
2.2. Sequential Russian Current:
05:00 s
Carrier Frequency
Frequency Variation
Slope
:
:
:
Select the Sequential Russian Current mode.
Press the
key to enable the Sequential Russian mode.
The Sequential Russian parameter set screen will be displayed.
0 s: 1 s : 0 s : 2 s
Channel 1 Channel 2 Channel 3 Channel 4
Russian Current
o
o
Through the
and
Timer
Settings : 1 minute to 60 minutes, in steps of 1 minute.
Sequential
05:00 s
Carrier Frequency
Frequency Variation
:
:
:
Slope
0 s: 1 s : 0 s : 2 s
Carrier Frequency
2500 Hz
100 Hz
10%
Frequency is fixed.
Work Cycle
Settings : 10 % to 50 % ( steps of 10 % )

After setting the parameters, connect the electrode cables in the

outputs of 1 to 4 to the electrodes in the patient. Press the key
, the output settings of channels 1 to 4 will be enabled.
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Through the
and

Carrier Frequency
Settings : Frequency is fixed.

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NEUROMED 4080
NEUROMED 4080
Work Cycle
o


Through the
and

Carrier Frequency

o

2.3. Alternate Russian Current:

o

Work Cycle
Select the Alternate Russian Current mode.
o
o
Press the
key to enable the Alternate Russian mode.
The Alternate Russian parameter set screen will be displayed.
o
Russian Current
Timer
Alternate

05:00 s
Carrier Frequency
Frequency Variation
Slope

:
:
:
2500 Hz
100 Hz
10%
0 s: 1 s : 0 s : 2 s
2.4. Reciprocal Russian Current:
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31
Select the Reciprocal Russian Current mode.
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32
NEUROMED 4080
NEUROMED 4080
Press the
key to enable the Reciprocal Russian
mode. The Reciprocal Russian parameter set screen will be
displayed.
Russian Current
Reciprocal
Timer
05:00 s
Carrier Frequency
Frequency Variation
:
:
:
Slope

2500 Hz
100 Hz
10%
0 s: 1 s : 0 s : 2 s

3.
TENS
o
Through the
and
Use the
a nd
TENS modes ( Normal, Burst, VIF, VLP, VF or Modulated Burst).
THERAPY
Interferential
Russian Current
TENS
FES
Diadynamic
Monophase
Microcurrent
Protocols
Carrier Frequency

Normal
Burst
VIF
VLP
VF
Modulated Burst
3.1
Work Cycle
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Normal TENS
Select the Normal TENS mode.
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34
NEUROMED 4080
Press the
key to enable the Normal TENS mode. The
Synchronous Russian parameter set screen will be displayed.
TENS
NEUROMED 4080
3.2
Burst TENS
Select the Burst TENS mode.
Press the
key to enable the Burst TENS mode. The
Burst TENS parameter set screen will be displayed.
Normal
Timer
Frequency
Pulse Width
05:00 s
:
:
Slope
0 s: 1 s : 0 s : 2 s
100 Hz
100 S
TENS
Through the
a nd
05:00 s
:
:
Slope
0 s: 1 s : 0 s : 2 s
100 Hz
100 S
Frequency
Pulse Width
Settings : 50 uS to 400 uS ( steps of 10 uS )
Timer
Frequency
Pulse Width
Settings : 1 minute to 60 minutes, with steps of 1 minute.
Burst

Through the
a nd
Settings : 1 minute to 60 minutes, with steps of 1 minute.

Frequency
Set at 100 Hz.

Pulse Width

o

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NEUROMED 4080
o

NEUROMED 4080

o
3.3
o

Pulse Width
VIF TENS
Select the VIF TENS mode.
Pulse Modulation
o
o Press the
key to enable the VIF TENS mode. The VIF
TENS parameter set screen will be displayed.
o
TENS
VIF
Timer
Frequency
Pulse Width
Pulse Modulation
Speed
:
05:00 s
:
:
:
:
1s
Settings : 1 s to 15 s (steps of 1 s)
100 Hz
100 S
10%
10%
3.4
Through the
a nd

Speed

VLP TENS
Select the VLP TENS mode.
Press the
key to enable the VLP TENS mode. The VLP
Frequency
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NEUROMED 4080
TENS
VLP
Timer
Frequency
Pulse Width
05:00 s
:
:
Pulse Modulation
Speed
:
:
1s
NEUROMED 4080
100 Hz
100 S
3.5
10%
VF TENS
Select the VF TENS mode.
Press the
key to enable the VF TENS mode. The VF
Through the
a nd
TENS
VF
Timer
Frequency
Pulse Width

Frequency
Speed
05:00 s
:
:
:
100 Hz
100 S
10%
1s
Pulse Width

Pulse Modulation
Speed
o
o

o
Through the
a nd

Frequency

Pulse Width

o
(032012)
39
(032012)
40
NEUROMED 4080
NEUROMED 4080
Speed
Through the
a nd


o ( Figure : 1 page 20 )
Modulated Burst TENS
Select the Modulated Burst TENS mode.
Press the
key to enable the Modulated Burst TENS
mode. The Modulated Burst TENS parameter set screen will be
displayed.
o
o
Burst Modulada
Timer
Frequency
Pulse Width
Speed
Set at 100 Hz.

TENS
Frequency
Pulse Width
o
3.6
05:00 s
:
:
:
Speed
The time selected will start the count (decreasing).
100 Hz
100 S
10%
1s

(032012)
41
(032012)
42
NEUROMED 4080
4.
NEUROMED 4080
FES
o
o
Use the
a nd
FES modes (Synchronous, Sequential, Alternate or Reciprocal ).
Through the
and

Frequency
Set at 100 Hz.
THERAPY
Interferential
Russian Current
TENS
FES
Diadynamic
Monophase
Microcurrent
Protocols
4.1
o
Synchronous
Sequential
Alternate
Reciprocal
Synchronous FES
Select the Synchronous FES mode.
Pulse Width

Press the
key to enable the Synchronous FES mode.
The Synchronous FES parameter set screen will be displayed.
FES
Timer
Frequency
Pulse Width
Slope

Synchronous
05:00 s
:
:
4.2
100 Hz
100 S
Sequential FES
Select the Sequential FES mode.
Press the
key to enable the Sequential FES mode.
The Sequential FES parameter set screen will be displayed.
0 s: 1 s : 0 s : 2 s
(032012)
43
(032012)
44
NEUROMED 4080
FES
4.3
Synchronous
Timer
Frequency
Pulse Width
05:00 s
:
:
Slope
NEUROMED 4080
100 Hz
100 S
Alternate FES
Select the Alternate FES mode.
Press the
key to enable the Alternate FES mode. The
Alternate FES parameter set screen will be displayed.
0 s: 1 s : 0 s : 2 s
FES
Through the
and
Alternate
Timer
Frequency
Pulse Width
05:00 s
:
:
Slope
100 Hz
100 S
0 s: 1 s : 0 s : 2 s

Frequency
Set at 100 Hz.

o
o
o
o

Through the
and
Pulse Width

(032012)
45

Frequency
Set at 100 Hz.

Pulse Width

(032012)
46
NEUROMED 4080
NEUROMED 4080

o
o

o
4.4

Select the Reciprocal FES mode.
Press the
key to enable the Synchronous Russian
mode. The Synchronous Russian parameter set screen will be
displayed.
FES
Reciprocal
05:00 s
:
:
Slope

, for output settings of channels 1 to 4.
Reciprocal FES
Timer
Frequency
Pulse Width
Pulse Width
5.

Diadynamic
o
Use the
a nd
DIADYNAMIC modes (DF, MF, LP, SP or CP Id ).
100 Hz
100 S
0 s: 1 s : 0 s : 2 s
THERAPY
o
o
Through the
and
Interferential
Russian Current
TENS
FES
Diadynamic
Monophase
Microcurrent
Protocols
DF
MF
LP
SP
CP Id

Frequency
Set at 100 Hz.
(032012)
47
(032012)
48
NEUROMED 4080
5.1
NEUROMED 4080
DF
5.2
Select the Diadynamic DF mode.
Press the
key to enable the Diadynamic DF mode.
The Diadynamic DF parameter set screen will be displayed.
Interferential
Timer
Polarity
Select the Diadynamic MF mode.
Press the
key to enable the Diadynamic MF mode.
The parameter set screen will be displayed.
DF
05:00 s
:
Diadinamicas
Timer
MF
+V
Channel 4
Polarity
MF
05:00 s
:
:
+V
Channel 4
Through the
and

o
o
o
Through the
and

Polarity
Settings : + V , + P or Automatic ( AUTO )
After setting the parameters, connect the electrode cable in output
4 to the electrodes in the patient. Press the key

output settings of channel 4 will be enabled.
, the
(032012)

Use the key of the channel to set the intensity.
Polarity
49
, the
(032012)
50
NEUROMED 4080
NEUROMED 4080
5.4
5.3
CP
Select the Diadynamic SP mode.
Press the
key to enable the Diadynamic SP mode. The
parameter set screen will be displayed.
LP
Select the Diadynamic LP mode.
Press the
key to enable the Diadynamic LP mode. The
Diadinamicas
Timer
Polarity
Diadinamicas
Timer
LP
Polarity
05:00 s
:
CPID
05:00 s
:
:
+V
Channel 4
+V
Channel 4
o
o
o
o
o
Through the
and
and

Polarity

Through the
(032012)
51

, the
Polarity
, the
(032012)
52
NEUROMED 4080
5.5
CP iD
6.
Select the Diadynamic CP iD mode.
Press the
key to enable the Diadynamic CP iD mode.
Diadinamicas
Timer
Polarity
NEUROMED 4080
Monophase
o
Use the
a nd
MONOPHASE modes (Square, Exponential, UE, Direct and
Interrupted ).
CPID
05:00 s
:
:
+V
Channel 4
6.1.
o
o
o
Through the
and
Square
Select the Square Monophase mode.
Press the
key to enable the Square Monophase mode.
Monofasica
Timer
Polarity
Pulse Widht
Rest
Polarity

Square
05:00 s
:
:
:
200S
5 mS
+V
Channel 4

o
, the

o
Through the
and
o
(032012)
53
(032012)
54
NEUROMED 4080
NEUROMED 4080

Pulse Width
o
o
o
o
and

Rest
Settings : 1 mS to 100 mS (in steps of 1 mS)

Polarity


, the

Pulse Width

Rest
Settings : 1 mS to 100 mS (in steps of 1 mS)
o
o
6.2.
Through the

Exponential
o
Select the Exponential Monophase mode.
Press the
key to enable the Exponential Monophase
mode. The parameter set screen will be displayed.
Monofasica
Timer
Polarity
Exponential
6.3.
05:00 s
Pulse Widht
Rest
Polarity
:
:
:
2000
Ultra Exciting (UE)
Select the Ultra Exciting Monophase mode
Press the
key to enable the Ultra Exciting Monophase
+V
Channel 4
, the
(032012)
55
(032012)
56
NEUROMED 4080
Monofasica
Timer
Polarity
NEUROMED 4080
Monofasica
UE
05:00 s
:
:
Timer
Polarity
+V
Direct
05:00 s
:
:
Channel 4
o
o
Through the
and
6.4.
Channel 4

Polarity

o
o
, the
Through the
and

Polarity

, the
Direct
6.5.
+V
Interrupted
Select the Direct Monophase mode.

Press the
key to enable the Direct Monophase mode.
Select the Interrupted Monophase mode.
Press the
key to enable the Interrupted Monophase
Monofasica
Timer
(032012)
57
MU_4080_English_Version:
Polarity
Interrupted
05:00 s
:
1.0.0:
:
(032012)
+V
58
NEUROMED 4080
o
o
Through the
and
o

, the
o
o
Microcurrents
Settings : 1 Hz to 200 Hz ( in steps of 1 Hz )

Polarity

, the

Channel
Select the Microcurrents mode.
Press the
key to enable the Microcurrents mode. The
and

o
7.
Through the
Frequency
Polarity

o
NEUROMED 4080
(032012)
59
(032012)
60
NEUROMED 4080
8.
Protocols
NEUROMED 4080
,
o select the option PROTOCOLS, through the keys
Attention
position the cursor in the option SELECT, press the key

The display will show the screen:
Before applying the treatment protocols, the operator must be informed of

the content of this manual as well as operation of this equipment and all
aspects related to the patient's treatment.
Select
Delete
Delete All
Liability Limitations
Under no circumstance will Carci Ind. e Com., or its suppliers and/or
dealers, be held liable for any indirect, special, incidental damage caused
by use or inability to use the product, including, without being limited to
damages due to loss, or every and any other damage or commercial loss,
and regardless of the legal or equal theory (contract, complaint or other
mode) on which the claim is based.
Carci shall not be held liable for any consequence resulting from
inaccurate information provided by its personnel, or errors included in this
manual and/or other adjunct documentation (including commercial
documentation).
o
Use the
Use the
keys to select the desired protocol.
keys to change the cursor to the right; and
to select or delete the protocol.
In the main screen,
o Press the key
(032012)
61
to confirm.
(032012)
62
NEUROMED 4080
Indications & Contraindications
To date, there are no known express contraindications in the use of

TENS. However, applications in the following must be avoided:
Indications
traumatized limbs and hundreds of other acute or chronic painful

states
Contraindications
FES
NEUROMED 4080
Muscular strengthening through resistance and force programs;

Maintenance or increase in the range of movements (extension and
contraction), including correction of contracture;
Facilitation and reeducation of voluntary motor functions;
Orthostatic training, including replacement of traditional orthesis;
Control of chronic or acute edemas;
Control of temporary inhibition of muscular spasms.
patients with Cardiac or Cerebral pacemaker;

cardiac patients;
epileptic patients
lumbar and abdominal regions in patients during the first three
months of pregnancy;
region on the carotid sinuses.
Note: The TENS must be applied only in diagnosed pains otherwise we

may be masking a pathological symptom of the organism.
Contraindications
Patients with heart problems;

Pregnancy, especially in the first three months;
Indications :
TENS
Acute or chronic painful processes (suppressing the picture of pain until
its cause is safely identified) :
Cervical dorsal lumbar pains

Lumbar sciatic pains, neuralgias of the trigeminal
brachialgias
pains from the surgical wound
headaches and joint pains
Patients subjected to surgery and who need to mobilize body
segments traumatized during the surgical act.
Pulmonary re-expansion after chest or abdominal surgery
limb mobilization
in cases of segment amputations
bursitis
(032012)
63
Joint Sprain
Ligament lesion
Muscular contusion
Muscular distension
Traumatic Synovitis
Tendinitis
Myalgias
Radiculopathies ( lumbosciatalgias and cervicobrachialgias )
Post-operatory of Meniscectomy.
Contraindications:
Muscular injuries, tendinitis;

Dysfunctions in acute joints (arthritis, bursitis combined with heat)
and functional lesion;
(032012)
64
NEUROMED 4080
Unconsolidated fibers;
Forms of spasticity;
NEUROMED 4080
Electroporation.
Micro Currents
Russian Current Stimulation
Indications:
Indications
Increase the muscular force for improvement of stability (active)

and joint;
Recover muscular force;
Contraindications
Muscular injuries, tendinitis;

Dysfunctions of acute joints (arthritis, bursitis combined with heat)
and functional lesion;
Unconsolidated fibers;
Forms of spasticity;
Acute and chronic pain

Inflammation edema
Synovitis
Musculoskeletal dysfunctions
Premenstrual syndrome
Sports lesions luxations, stretches and contusions
Arthritic conditions - Osteoarthritis (OA)
Lumbosciatalgia
Temporo-mandibular dysfunctions (TMDs)
Fibromyalgia (FMS)
Plantar fascitis
Tennis elbow
Carpal tunnel syndrome (CTS)
Fractures Bone calcification
Cicatrization of wounds ischemic ulcers
Contraindications:
Polarized currents
Indications:
Traumatisms, arthropathies, myalgias

Muscular Paresis
Edemas (due to vasomotor effect)
Arthritis
Hydrate and soften sites with progression of fibrosis.
Cutaneous diseases
Neuralgias
In painful syndromes where the etiology is not established:

Pregnancy
Pacemaker users
Directly on infected wounds
On malignant or benign tumors
On the ocular globe
On the carotid
Osteomyelitis
On the laryngeal musculature
In the presence of topical substances containing metallic ions
Contraindications:
Absence of sensitivity;
Presence of metal plates in the patient;
Pacemaker;
Spastic excitation in cerebral spastic paresis;
(032012)
65
(032012)
66
NEUROMED 4080
Electrode Application
Attention:
The connection of accessories not specified by the manufacturer can
affect the patient and correct operation of the equipment, which is not
allowed.
Before the Treatment:
Check if the patient fits any other contraindication.

Heat sensitivity test of the area to be treated.
Clean the area to be treated with aqueous solution with neutral
soap.
Conductive Rubber (Silicone) Electrode

The use of conductive rubber (silicone) electrode is recommended, in
combination with conductor gel or wet sponge. The use of gel or duly wet
sponges assures low impedance between the skin and the NEUROMED
stimulator. The electrodes and sponges can easily be cleaned after
treatment.
To fix the electrodes with gel, or wet sponges, with the patient's skin,
sticky tape of medical use or rubber band can be used.
NEUROMED 4080
NEUROMED has null DC component for alternating currents.
In the electrolytic effect, due to the high concentration of electrolytes
caused by the migration of ions occurring under the electrodes, we
recommend that the silicone electrodes have sufficient gel, the sponges
be duly wet or that the self-adherent electrodes be new in order to have
minimal electrolytic effect.
Current Density
According to Brazilian Standard NBR IEC 60601-2-10, the maximum
2
current density allowed is 2 mA RMS per cm .
The NEUROMED output is limited to 50 mA RMS, with charge of 500
Ohms.
To check if the current density did not exceed the maximum allowed,
divide the output current in mA by the effective area of the electrode in
2
cm
Electrode connection and disconnection reactions

NEUROMED has Constant Current in the current output, which can cause
unpleasant reactions if the electrodes are not correctly coupled to the
skin, or if there is loss of contact with the skin.
Ensure that the output is marking 0 (zero) mA when placing or removing
the electrodes.
Self-Adhesive Electrode
The use of self-adhesive electrodes is characterized by the ease of
contact with the skin, due to their malleability. The thin layer of adherent
gel allows low impedance between the skin and the Fesmed stimulator.
If peradventure during the application the patient informs that the stimulus
is too weak, it is a sign that the electrodes must be changed. They must
be changed if the display shows the letter M on the right side of the
intensity indicator, and the intensity marks zero.
Preventive
cleaning
maintenance,
preservation
and
Electrolysis occurs under the electrodes, when the types of currents with
DC component are applied.
We recommend that the NEUROMED be inspected and

calibrated once a year
Always ensure that the device is disconnected from the power

supply before cleaning. Avoid wetting the electric contacts of the wires
and connectors
Use a cloth wet with water and soap to clean the cabinet of your
device
Regularly control the power supply and power cable, assuring

that there are no defects.
Electrolytic Effect
(032012)
67
(032012)
68
NEUROMED 4080
On disconnecting the power cable from the device, always

remove it from the plug, thus preventing the wire from breaking
Always remove the electrodes from the patient with care so as

not to damage them.
Regularly inspect the cables of the electrodes, checking if there is

no breakage of the cable with the plugs.
Cares for longer lasting electrodes:

When using silicone electrodes, always clean the contacts
of the plugs, preventing residues that render electric contact difficult.
After using the silicone electrodes, wash them with running water and
dry them, keeping in a fresh and dry place.
After using the adherent electrodes, carefully remove them from the
electrode cable, wet them with water and keep in their envelope, in a
fresh and dry place.
Corrective maintenance
Equipment does not come on
Solutions
Check if the power cable is
connected to the power network
Check if the fuse(s) is(are) not
burnt
Patient reports that the sensation Change the electrodes

of the stimulus is greater in one (silicone or adherent) because
electrode than in the other
they have become worn out
Check the patient's sensitivity
The intensity is increased to the Change the electrodes (silicone
maximum and the patient reports or adherent)
little stimulation
(032012)
On increasing the intensity, after

10 mA, the intensity is zeroed,
and the letter m is displayed on
the right side of the intensity
On increasing the intensity, it is

zeroed, and the letter
M is
displayed on the right side of the
intensity. This means that there
was excess current
Special cares for adherent or silicone electrodes
Problems
NEUROMED 4080
69
Device comes on normally but

the
patient
reports
nonstimulation
Press the Start key and start the

treatment again.
Check continuity of the electrode
cable
Check
conductivity
of
the
electrodes
Press the Start key and start the
treatment again.
Check
conductivity
of
the
electrodes.
Check if there is short circuit in
the electrode cable plug
Contact technical assistance,
Check
the
coupling
and
continuity of the electrode cables with
the patient
Check
conductivity
of
the
electrodes
Important notes:
Corrective maintenance of this equipment, in addition to the prescriptions
above, must be conducted by the CARCI authorized technical assistance
only.
Electric diagrams, circuits and parts lists are not supplied to end
consumers. If needed, contact the Carci Authorized Technical Assistance.
Technical characteristics
Origin
Models
Function and Application
Power supply
: CARCI Brazil
: NEUROMED 4080
: Equipment for Electrotherapy
: 100230 V~ automatic ( 10%)
: 50 / 60 Hz
Maximum Consumption
: 100 VA
ANVISA [National Health Surveillance Agency]
Registration
: 10314290035
(032012)
70
NEUROMED 4080
NEUROMED 4080
------------------------------------------------------------------------------------------------ Classification according to the standards NBR IEC 60601.1 and

NBR IEC 60601.2.10:
- Type of protection against electric shock:...............................
class II
- Level of protection against electric shock of the part applied:
type BF
- Level of protection against harmful water penetration:
IPX0
- Disinfection methods :
see preventive maintenance
- Level of application safety in the presence of an anesthetic mixture
inflammable with air, oxygen or nitrous oxide: not suitable
- Mode of operation:
continuous
------------------------------------------------------------------------------------------------- Fuse
: 1,0 A 250 V 20 AG
Dimensions
: 31 x 6 x 18 (LxHxD) (cm)
Weight
: 2.6 kg
Excess current protection
Continuous component of current equal to Zero
Frequency Spectrum :
Ramp rise/descent time :
Ramp sustaining time :
Ramp rest time :
Vector Speed :
Amplitude :
10 to 100 Hz (steps of 10 Hz)

0 to 9 (steps of 1s)
1 to 30 s (steps of 1s)
1 to 9 S
0 - 140 mA
Two-pole Interferential
Frequency :
Frequency Modulation (AMF) :
Ramp rest time :
Amplitude :
2, 4, 6, 8 and 10 kHz
0 - 140 mA
Neuromed Output Parameters:

Ramp rest time :
Pulse frequency :
Frequency Modulation :
Work Cycle :
Amplitude :
Output channels :
Output characteristics :
Current Amplitude Range :
Current Amplitude Resolution :
Maximum Amplitude ( Ipp) :
Timer :
4 channels
Constant Current
Depends on the waveform
1 mA
140 mA (charge of 500 Ohms)
0 - 60 minutes
2500 Hz
10 Hz to 150 Hz ( steps of 10 Hz )
10% to 50% ( steps of 10% )
140 mA
FES
Interferential
Automatic Vector Interferential
Frequency :
Ramp rise/descent time:
Ramp sustaining time:
Ramp rest time :
Vector Speed :
Amplitude:
2, 4, 6, 8 and 10 kHz
1 to 9 S
0 - 140 mA
Isoplanar Interferential
Frequency :
2, 4, 6, 8 and 10 kHz
Russian Stimulation
(032012)
71

Ramp rest time :
Pulse duration :
Pulse frequency :
Amplitude :
50 to 600 uS (steps of 10 uS)
140 mA
TENS
Pulse duration:
Pulse frequency:
Amplitude :
Modes of operation :
Continuous
Burst
50 to 600 uS (steps of 10 uS)

100 mA
: adjustable frequency and duration
: Ton : 1s - Toff : 1s with adjustable pulse duration
(032012)
72
NEUROMED 4080
VIF
VF
VLP
.
: adjustable and variable frequency and duration

: adjustable and variable frequency, adjustable
duration
: adjustable and variable duration, adjustable
frequency
Diadynamic Currents
Modes
Amplitude
Polarity
NEUROMED 4080
Amplitude
: 0 to 40 mA
Microcurrents
Frequency
Polarity
Amplitude
: 1 Hz to 200 Hz ( steps of 1 Hz )
: Positive, Negative or Automatic.
: 0 to 40 mA
Equipment working conditions:

: DF, MF, SP, LP and iDSP
: 0 to 70 mA
Monophase
: +10C to +40C
: 0% to 80%
: 700 hPa to 1060hPa
Environmental conditions for transport and storage:
Interrupted Galvanic :
Frequency
Work Cycle
Polarity
Amplitude
: 8000 Hz
: 95%
: 0 to 40 mA
Direct Galvanic
Polarity
Amplitude

: 0 to 40 mA
Square Monophase
Phase Duration
Phase Interval
Polarity
Amplitude
: 0.05 to 2000 uS ( steps of 10 uS )

: 1 100 ms ( steps of 1 mS )
: 0 to 40 mA
Exponential Monophase
Phase Duration
Phase Interval
Polarity
Amplitude
: 0.05 to 2000 uS ( steps of 10 uS )

: 1 100 ms ( steps of 1 mS )
: 0 to 40 mA
Trbert Ultra Exciting

Phase Duration
Phase Interval
Polarity
: 2 mS
: 5 mS
Room temperature
Relative humidity
Atmospheric pressure
(032012)
73
Room temperature
Relative humidity
Atmospheric pressure
: -10C to 60 C
: 20% to 90%
: 500hPa to 1060hPa
Optional Accessories:
Conductive rubber (Silicone) electrodes

Self adhesive electrode
Sponges pad
Electrode cables
Yellow
Green
Blue
Purple
Three-pole cable
User manual
Code 04033
Code 21305G
Code 21306G
Code 20307G
Code 21308G
Code 14747G
Code 10395G
Note: In case of accessory replacement, only use those indicated by

CARCI. The use of accessories not specified by CARCI can compromise
equipment safety. CARCI will not be held liable for such procedure.
(032012)
74
NEUROMED 4080
NEUROMED 4080
MANUFACTURER DECLARATION AND ORIENTATION ELECTROMAGNETIC IMMUNITY
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 :
NEUROMED is intended to be used in the electromagnetic environment specified below.

The buyer and operator of NEUROMED would assure that it is being used in such
environment.
- Meaning given to the verbal forms should and may
Immunity tests
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.
MANUFACTURER DECLARATION AND ORIENTATION ELECTROMAGNETIC EMISSIONS

NEUROMED is intended to be used in the electromagnetic environment described below.
environment.
Emission tests
Compliance
RF Emission
CISPR 11
Group 1
RF Emission
CISPR 11
Class B
Harmonics emission
IEC 61000-3-2
Class A
Voltage fluctuation /
Flicker emission
IEC 61000-3-3
Compliant
Electromagnetic environment - orientation

NEUROMED uses RF energy for its internal
operation only. Thus, its RF emission is very
low and not likely to cause any interference in
another nearby electronic equipment.
Electrostatic
discharge
IEC 61000-4-2
Immunity tests
Test level of IEC

60601
6 kV contact
8 kV air
Test level of IEC

60601
Fast transients /
Bursts
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 ordinary
mode
Level of
compliance
Electromagnetic
environment - orientation
6 kV contact
8 kV air
The floor must be made of

wood, concrete or ceramic. If
the floor is covered with
synthetic
material,
the
relative humidity of the air
must be at least 30%.
Level of
compliance
Electromagnetic
environment - orientation
2 kV power
supply line
Not applicable
1 kV
differential
mode
2 kV ordinary
mode
The quality of the power

network would be that of a
typical
hospital
or
commercial environment.
NEUROMED is intended to be used in all

establishments, including homes and those
connected directly to the public power network
that supplies power to constructions with
domestic purposes.
(032012)
75
(032012)
76
NEUROMED 4080
Voltage dips,
short
interruptions and
voltage
variations in the
power supply.
IEC 61000-4-11
Magnetic fields
of the network
frequencies
(50/60 Hz)
IEC 61000-4-8
<5% Ut
(>95% dip in Ut)
For 0.5 cycle
<5% Ut
(>95% dip in
Ut)
For 0.5 cycle
40% Ut
(60% dip in Ut)
For 5 cycles
40% Ut
(60% dip in Ut)
For 5 cycles
70% Ut
(30% dip in Ut)
For 25 cycles
70% Ut
(30% dip in Ut)
For 25 cycles
<5% Ut
(>95% dip in Ut)
For 5 s
<5% Ut
(>95% dip in
Ut)
For 5 s
3 A/m
d = 2. 3. P
Note: Ut is the voltage of the AC network before applying the test level.
MANUFACTURER DECLARATION AND ORIENTATION ELECTROMAGNETIC IMMUNITY
NEUROMED is intended to be used in the electromagnetic environment specified below.
environment.
Immunity
Test level of
Level of
Electromagnetic environment tests
IEC 60601
compliance
orientation
Conducted
RF
IEC 610004-6
3 Vrms
150 kHz to 80
MHz
Radiated RF
IEC 610004-3
3 V/m
80 MHz to 2.5
GHz
3V
800 MHz to 2.5 GHz
Where P is the maximum output power of

the transmitter in watts (W), according to
the transmitter manufacturer, and d is the
recommended separation distance in meters
(m).
The field generated by fixed RF
transmitters, as determined by an
electromagnetic field study in the sitea,
would be lower than the level of
compliance in each frequency range. b
There may be interference in the equipment
surroundings with the following symbol:
The magnetic fields of the

network frequencies would
be characteristic levels of a
typical
commercial
or
hospital environment.
3 A/m
NEUROMED 4080
NOTE 1: in the range of 80 MHz and 800 MHz, the highest frequency of the range is
applied.
NOTE 2: this procedure cannot be applied in all situations. The electromagnetic
propagation is affected by absorption and reflection of structures, objects and people.
a. The intensity of the fields generated by fixed transmitters, such as cell sites for
telephones (mobile/wireless) and land mobile radios, amateur radios, AM, FM and
TV radio broadcasting stations cannot be theoretically prognosed with precision. To
evaluate the electromagnetic environment due to the fixed RF transmitters, a study of
the electromagnetic field in the site would be considered. If the field intensity
measured in the site where NEUROMED is used exceeds the level of compliance
above, the NEUROMED would be observed to verify if it is operating normally. If
abnormal performance is observed, additional measures may be required,, such as
reorientation or reallocation of the NEUROMED;
b. Above the frequency scale of 150 kHz to 80 MHz, the field intensity should be less
than 3 V/m.
Portable and mobile RF communication

equipment would not be used closer to any
part of the NEUROMED, including
cables, other than the separation distance
recommended, calculated from the equation
applicable for the transmitter frequency.
Recommended separation distance
d = 1.17. P
3 V/m
d = 1.17. P
(032012)
80 MHz to 800 MHz
77
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78
NEUROMED 4080
NEUROMED 4080
Manufacturer Data
Separation distances recommended between portable and mobile RF communication

equipment and NEUROMED
NEUROMED is intended for use in an electromagnetic environment in which RF
disorders are controlled. The buyer or operator of the NEUROMED may help prevent
electromagnetic interference by keeping a minimum distance between portable and mobile
RF communication equipment (transmitters) and NEUROMED as recommended below,
according to the maximum output power of the communication equipment.
Separation distance according to the transmitter frequency
Declared maximum
150 kHz to 80
80 MHz to 800
800 MHz to 2.5
output power of the
MHz
MHz
GHz
transmitter (W)
d = 1.17 P
d = 1.17 P
d = 2.3 P
0,01
11.70 cm
11.7 0cm
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 maximum output power not listed above, the recommended
separation distance (d in meters) may be determined using the equation applicable to the
transmitter frequency; where P is the maximum output power of the transmitter in watts
(W) according to its manufacturer.
NOTE 1: at 80 MHz and 800 MHz, the separation distance for the highest frequency is
applied.
NOTE 2: this procedure may be applied in all situations. The electromagnetic propagation
is affected by absorption and reflection of structures, objects and people.
CARCI Indstria e Comrcio de Aparelhos Cirrgicos e Ortopdicos Ltda.

CGC [Corporate Taxpayer's Roll]: 61.461.034/0001-78
I.E. [State Tax ID] : 110.182.450.113
Rua lvares Fagundes, 359 So Paulo SP Brazil CEP [zip code]
04338-000
Phone: (11) 3346 2100
Fax.: (11) 3270 8027
email: carci@carci.com.br
website : www.carci.com.br
Carci Registration at the Ministry of Health : MS-1.03.142-9
For Technical Assistance :
Technical Assistance Department
Rua lvares Fagundes, 359 So Paulo SP Brazil CEP [zip code]
04338-000
Phone: (0XX11) 5621 7024
email: sat@carci.com.br
Technical Responsible:
Orlando Orlandi Melo de Carvalho - CREA 5061377287/D
OBELIS SA
34, Av. de Tervuren, bte 44
B 1040 Brussels , BELGIUM
Phone: (32) 2.732.59.54
Fax: (32) 2.732.60.03
Final considerations
It has been Carci's policy to continuously improve the quality of its
products. Carci reserves the right to make changes in the design and
specifications, as well as to add and improve its products, without being
obliged to install them in already manufactured products.
The text, illustrations and specifications contained in this manual are
based on information available during the printing.
All rights reserved.
Email: mail@obelis.net
WARRANTY CERTIFICATE IN ANNEX
This manual cannot be reproduced in whole or in part without the written

consent of Carci.
(032012)
79
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80
NEUROMED 4080
Bibliographical references
Low, Medium and Polarized Currents
1. Frampton, VM (1994) Transcutaneous electrical nerve stimulation
and Chronic Pain, in Wells, PE, Frampton, VM, Bowsher, D (eds)
Pain Management by Physiotherapy. Butterworth Heinemann,
London.
2. Johnson, MI, Ashton, CH, Thompson, JW (1991a) An indepth
study of long term users of transcutaneous electrical nerve
stimulation (TENS). Implications for clinical use of TENS Pain
44: 221- 229.
3. Johnson, MI, Ashton, CH, Thompson, JW (1991b) The
consistency of pulse frequencies and pulse patterns of
transcutaneous electrical nerve stimulation (TENS) used by
chronic pain patients. Pain 44: 231- 234.
4. Tulgar, M, McGlone, F, Bowsher, D, Miles, JB (1991)
Comparative effectiveness of different stimulation modes in
relieving pain. Part I A Pilot Study. Pain 47: 151 155.
5. Alberts, P.D., Bakker, M., Spierversterking door Middel van
Middenfrequente Wisselstromen. Nederlands Tijdschrift foor
Fysiotherapie 10:318 et seq. 1977.
6. Bernards, J.A., Bouman, L.N., Fysiologie van de Mens. Bohn,
Scheltema en Holkema, Utrecht, 5e herziene druk, 1988.
7. Bernard, Pierre D., La therapie Diadynamique Paris, Editions
"PHYSIO", 1962.
8. Besson, J.M., Chaouch, A., Peripheral and Spinal Mechanisms of
Nociception. Physiological Reviews 67, 1. January 1987.
9. Carley, P., Wainapel, S., Electrotherapy for Acceleration of
Wound Healing; Low Intensity Direct Current. Arch. Phys. Med.
Rehab., 66, pp 443-446. 1985.
10. Hogenkamp, M., Mittelmeijer, E., Smits, I., Stralen, C. Van,
Interferential Therapy. B.V. Enraf-Nonius Delft, Holland, May
1990.
11. Hoogland, R., Strengthening and Stretching of Muscles using
Electrical Current. B.V. Enraf-Nonius Delft, Holland, December
1988.
12. Howson, D.C., Peripheral Nerve Excitability, Implications for
Transcutaneous Electrical Nerve Stimulation. Physical Therapy,
Vol. 58, 12, December 1978.
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81
NEUROMED 4080
13. Janda, V., Muskelfunktionsdiagnostik, Muskeltest Untersuchung
Verkrzter Muskeln, Untersuchung der Hypermobilitt. Verlag
Acco, Leuven, Belgi, 1979.
14. Johnson, M.A., a.o., Data on Distribution of Fibre Types in thirtysix Human Muscles. An Autopsy Study. Journal of Neurological
Science, 18, pp. 111-129.
15. Kaada, B., Vasodilation induced by Transcutaneous Nerve
Stimulation in Peripheral Ischemia. European Heart Journal, 3, pp
303-314, 1982.
16. Khan, J., Use of Iontophoresis in Peyronies Disease. Physical
Therapy, 7, July 1982.
17. Kloth, L.C., Feedar, J.A., Acceleration of Wound Healing with
High Voltage, Monophasic, Pulsed Current. Physical Therapy, 68,
pp 503-508, 1988.
18. Kots, Y.M., Lectures and Laboratory Periods. Symposium on
Electrostimulation of Skeletal Muscles. Concordia University,
Montreal/Quebec, Canada, December 6th-15th, 1977.
19. Kovanen, V., Suominen, H., Heillinen, E., Collagen of Slow Twitch
and Fast Twitch Muscle Fibres in Different Types of Rat Skeletal
Muscle. Eur. J. Appl. Physiol., 52, pp 235-242, 1984.
20. Kuo, K.H.M., Clamann, H., Coactivation of Synergistic Muscles of
Different Fibre types in Fast and Slow Contractions. American
Journal of Physical Medicine, vol.60, 5, pp 219-238, 1981.
21. Kousemaeker, E.A.M., Aarts, N.J.M., Duy, A. Van der, De
Behandeling van Slecht Genezende Wonden met Behulp
Xanthinolnicotinaat. Nederlands Tijdschrift voor Fysiotherapie, 6,
pp 174-178, 1974.
22. Levine, J.D., Codere, T.J., Basbaum, A.I., Proceedings of the Vth
World Congress on Pain. Elsevier Science Publishers B.V.
(Biomedical Division), 1988.
23. Lullies, H., Trincker, D., Taschenbuch der Physiologie II, Gustv
Fischer Verlag, Stuttgart, 2e druk, 1973.
24. Lullies, H., Elektrophysiologische voraussetzungen der
Elektrodiagnostik and Elektrotherapie. Elektromedizin. Band 6, 2,
1961.
25. Lundeberg, T., Kjartansson, J., Samuelsson, J., Effect of
Electrical Nerve Stimulation on Healing of Ischaemic Skin Flaps.
The lancet, pp 712-714, September 1988.
26. Melzack, R., Wall, P.D., Pain Mechanisms: A New Theory.
Science 150, pp 971-979, November 1965.
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82
NEUROMED 4080
27. Niele, R., Treatment Protocol for the Endomed CV 405. B.V.
Enraf-Nonius Delft, Holland, November 1988.
28. Ottoson, D., Lundeberg, T., Pain Treatment: A Practical Manual
by Transcutaneous Electrical Nerve Stimulation. Springer Verlag.
Berlin, 1988.
29. Pouliart, C., De Elektrische Weerstand van de Huid. Belgisch
Tijdschrift voor Reumatologie en Fysische Geneeskunde, Vol 29,
Fasc. 2, pp 64-79, 1974.
30. Pronk, N., Het Twee (Vier) Cellenbad by de Behandeling van
Hyperhydrosis Palmoplantaris. Nederlands Tijdschrift voor
Fysiotherapie, Vol 96, 6, pp 120-121, 1986.
31. Sato, A., Schmidt, R.F., Somatosympathetic Reflexes: Afferent
Fibres, Central Pathways, Discharge Characteristics.
Physiological Reviews, Vol, 53, 4, pp 916-947, October 1973.
32. Sjlund, B.H., Eriksson, M.B.E., Endorphins and Analgesia
Produced by Peripheral Conditioning Stimulation. Advances in
Pain Research and Therapy, vol 3, 1979.
33. Steuernagel, O., Skripten zur Elektrotherapie, Band II.
Heidelberger Reprographie A. Grosch KG, Eppelheim b.
Heidelberg, 1978.
34. Stralen, C.J.C. van, Transcutane elektrische prikkeling bij
Claudicatio Intermittens. Nederlands Tijdschrift voor
Fysiotherapie, Vol. 94, nr. 11, blz. 226, 1984.
35. Wheeler, P.C., Wolcott, L.E., Morris, J.L, Spangler, M.R., Neural
Considerations in the Healing of Ulcerated Tissue by Clinical
Electrotherapeutic Application of Weak Direct Current. Findings
and Theory. Neuro-Electric Reasearch, 1970.
36. Wolcot, L.E., Gault, W.R., Gatens, P., Acceleration of Healing
Rate in Ischaemic Skin Ulcers with Low Intensity Direct Current
(LIDC). Lecture on June 14th, Las Vegas, 1972.
37. Wolf, S.L., Perspectives on Central Nervous System
Responsiveness to Transcutaneous Electrical Nerve Stimulation.
Physical Therapy, Vol, 58, 12, December 1978.
38. Yaksh, T.L. Substance-P Release from Knee Joint Afferent
Terminals: Modulation by Opiods. Brain Research, 458, 319-324,
1988.
39. Zimmermann, M., Pain Mechanisms and Mediators in
Osteoarthritis. Seminars in Arthritis and Rheumatism, vol 18m 4,
suppl. 2, pp 22-29, 1989.
40. Zutphen, H.C.F. van, Stralen, C.J.C. van, Pls, P., Bernards, J.A.,
Kolle, L.F.J.Th.M., Rens, P.P.Th.G. van, Nederlands Leerboek
(032012)
83
NEUROMED 4080
der Fysische Therape in Engere Zin, Wetenschappelijke
Uitgeverij bunge, 3e druk, 1986.
Microcurrents
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Micro-Current Therapy Ushers In A New Era. PA: ICN.Publications,

1989.
Kirsch, D., and Lerner, F. Electromedicine: the other side of
physiology. FA: St. Lucie Press, 1998.
Mylon-Tech Research Results. http://www.mylontech.ca
Wing, T. 1989. Modern low voltage microcurrent stimulation: A
comprehensive overview. Chiropractic Economics. 37: 265-271.
Cheng, N., Van Hoff, H., and Bockx, E. 1982. The effect of electric
currents on ATP generation protein synthesis, and membrane
transport in rat skin. Clin. Orthop. 171: 264-272.
Becker, R. The Body Electric. NY: William Morrow and Co, Inc.,
1985.
Delitto, A., Strube, M., and Shulman, A. 1992. A study of discomfort
with electrical stimulation. Physical Therapy. 72: 410-424.
Bauer, W. 1983. Electrical treatment of severe head and neck
cancer pain. Arch Otolaryngol. 109: 382- 383.
Kirsch, D., and Lerner, F. Electromedicine: the other side of
physiology. FA: St. Lucie Press, 1998.
Becker, R. 1995. The basis for microcurrent electrical therapy in
conventional medical practice. Journal of Advancement in
Medicine. 8 (2).
FES
1. Bowman, BR, Barker, (1985) Effects of waveform parameters on
comfort during transcutaneous neuromuscular electrical
stimulation. Annais of Biomedical Engineering, 13: 59 74.
2. Davies, HL (1983) Is electrostimulation beneficial to denervated
nerve? A review of results from basic research. Physiotherapy
(Canada), 35: 306-310.
3. Delitto, A, Robinson, AJ (1989) Comparative comfort of three
wave forms used in electrically elicited quadriceps fermorls
contractions. Physical Therapy, 66: 1704-1707.
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NEUROMED 4080
NEUROMED 4080
4. Delitto, A, Snyder-Mackler, L (1991) Two theories of muscle

strenght [sic] augmentation using percutaneous electrical
stimulation. Physical Therapy, 70: 158 164.
5. Neuromuscular Electrical Stimulation A practical Guide 3rd
Edition 1993.
6. Electrical Muscle Stimulation (EMS) Clinical Manual Toshihiro
Morinaga M.S., R.P.T. Kyoto University College of Allied
Medical Sciences First Edition 1998.
7. Eletroterapia de Clayton 10a edio Editora Manole Ltda. 1998.
8. Estimulao Eltrica Funcional FES e REABILITAO Sergio
Lianza Editora Atheneu - 1993.
9. Introduction to Surface Electromyography Jeffrey R.
Cram/Glenn S. Kasman Aspen - 1998.
10. Clinical Electro physiology 2nd - Andrew J. Robinson/Lynn
Snyder-Mackler- Williams & Wilkins 1995.
9. Pike PHM: Transcutaneous electrical stimulation: Its use in

management of postoperative pain. Anesthesia 33: 165-171,
1978.
10. Satisteban AJ: The role of Physical agents in the treatment of
spine pain. Clin Orthorp 179:24-30,1983.
11. Melzak R, Vetere P, Finch L: Transcutaneous electrical nerve
stimulation for low back pain: A comparison of TENS and
Massage for pain and range motion. Physiotherapy 63:489-493,
1983.
12. Taylor P, Hallett M, Flaherty L: Treatment of osteoarthitis of the
knee with transcutaneous never stimulation. Pain 11:233-240,
1981.
13. Winnem MF, Amundsen T: Treatment of phantom limb pain with
transcutaneous electrical nerve stimulation. Pain 12:299300,1982.
14. Kahn J: Transcutaneous electrical nerve stimulation for no united
fractures: A clinical report. Physiotherapy 62:950-844, 1982.
15. Gersh MR, Wolf SL, Rao VR: Evaluation of transcutaneous
electrical
nerve stimulation for pain relief in peripheral
neuropathy: A clinical documentation. Physiotherapy 60:48-52,
1980.
TENS
1. Bertrand Sr. Method of determining optimal stimulation sites for
transcutaneous electrical nerve stimulation. Physical Therapy
64:924-928, 1984.
2. Bohm E. Transcutaneous electrical nerve stimulation in chronic
pain after peripheral nerve injury. Acta Neurochir (Wien) 40:277283, 1978.
3. Fried T, Johnson R, McCracken W: Transcutaneous electrical
nerve stimulation: Its role in the control of Chronic pain. Arch
Phys Med Rehab 65:228-231, 1984.
4. Goldner Jl, Nashold Bs Jr, Hendrix PC: Peripheral nerve electrical
stimulation. Clin Orthopedic 163:33-41,1982.
5. Hanson P, Ekblon A: Transcutaneous electrical nerve stimulation
(TENS) as compared to placebo TENS for the Relief of acute orofacial pain. Pain 15:157-165, 1983.
6. Harvie KW: A major Advantage in the control postoperative Knee
pain. Orthopedics 2:1-2, 1979.
7. Mannheimer C, Lun S, Carisson C-A The effect of transcutaneous
electrical nerve stimulation (TENS) on joint pain in patients with
rheumatoid arthritis, Scand J Rheumatol 7:13-16, 1978.
8. Miler Jones CHM: Forum: Transcutaneous nerve stimulation in
labor. Anesthesia 35:372-375, 1980.
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NEUROMED 4080

Carci has the honor of congratulating you in your purchase of a high-tech

Accessories that come with the device

To purchase optional accessories, consult the codes on page 74,

Fragile. Handle with care

This side up. This symbol shows the correct

Product Manufacturing Date

Product Serial Number

1. Read, understand and practice the operation and precaution

Set the therapy

Set the current

After the end of

Installation/Connection to the power network

Connect the power cable to the three-pole connector located in the

Normal, VIF, VLP, VF, Burst and Modulated Burst

DF, MF, LP, SP, iD SP

Two-pole, Manual Vector, Automatic and Isoplanar.

Square, Exponential, Ultra Exciting, Direct and

Your equipment uses switched power sully and operates in any

In case the protective fuse burns, replace it only be the value

Interferential Current is a form of medium-frequency wave, distributed

1 beat frequency cycle

The isoplanar vector technique is intended to increase the area where

Isoplanar Vector Model

Functional electrical stimulation is a form of electrotherapy able to

The equipment allows, for example, stimulation of the quadriceps,

Chronic pain - continuous, debilitating pain like pains associated with

(1) Bernard, Pierre D.

It is a fast alternance between a second MF course and a second of the

The available variations are as follows:

iD SP ( Isodynamic Short Periods )

Mo n op h as e / F aradic currents are often used for muscular stimulation

Direct Galvanic Current

Interrupted Galvanic Current

Square Monophase Current.

Exponential Monophase Current.

Connect the power cable of the NEUROMED 4080 to the

Monophase currents are currents that produce electrolysis subproducts.

Next, press the key and keep it pressed

After the equipment issues a double beep, release the Menu

Press the key

The equipment will exit the language selection mode,

Microcurrent is a rectangular monophase waveform selected manually or

Many therapists prefer Microcurrent therapy because of the low current

Control of intensity of channels 1, 2, 3 and 4.

The display will show the Initial Screen:

keys to select the current types.

keys, set the parameters:

Set : 1 minute to 60 minutes, in steps of 1 minute.

Settings : 2 KHz, 4 KHz, 6 KHz, 8 KHz & 10 KHz.

Settings : 10 Hz to 150 Hz ( steps of 10 Hz )

Settings : Rise/fall : 0 s to 9 s (steps of 1 s)

1.1. Two-pole Interferential

o Select the Two-pole Interferential mode.

After setting the parameters, connect the electrode cables in

, the output settings of channels 1 and 2 will

o Use the keys of the channels to set the intensity.

Settings : 2 KHz, 4 KHz, 6 KHz, 8 KHz & 10 KHz.