Step 1: Positioning the electrodes.

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i English You should charge your NEUROTECH VITAL c ontroller for at least 5 hours before using it for the first time. Always read the full instructions before use. Contents Electrodes Right Stress Garment Stress Lead Left Stress Garment Quick Start Guide 2

Step 1: Positioning the electrodes. English Deutsch Français Remove the liners from the patterned side of the first 4 electrodes. Lay the right stress garment on a flat surface with the inner surface facing upwards. Place the 4 electrodes, patterned side down within either the A or B outlines, as prescribed by your clinician. i Repeat step 1 with the left stress garment. 3

English Step 2: Applying the right Stress Garment. Remove the liners from the black side of the 4 electrodes. i Locator 1 Keep liners for later use. Locator 2 Pick up the garment and place your left index finger into Locator 1. Then place the fingers on your right hand into Locator 2. Ensure the electrodes are facing your body and the arrows are are pointing up... POSITIONING GUIDE Upper inner thigh... Next, guide your left index finger towards the upper inner part of your thigh, just below the groin, as shown here. 4

English FINAL POSITION GUIDE Next, guide your right-hand fingers towards the crease of your buttocks......then wrap the garment around your leg and fasten securely. Ensure Locator 2 is lined-up with the crease of your buttocks. REAR VIEW 5

English Step 3: Applying the left Stress Garment. Remove the liners from the black side of the 4 electrodes. Locator 1 Locator 2 i Keep liners for later use. Pick up the garment and place your right index finger into Locator 1. Then place the fingers on your left hand into Locator 2. Ensure the electrodes are facing your body and the arrows are pointing up... POSITIONING GUIDE 6 Upper inner thigh... Next, guide your right index finger towards the upper inner part of your thigh, just below the groin, as shown here.

English FINAL POSITION GUIDE Next, guide your left-hand fingers towards the crease of your buttocks......then wrap the garment around your leg and fasten securely. Ensure Locator 2 is lined-up with the crease of your buttocks. REAR VIEW 7

Correct Electrode Positioning English We strongly recommend that the patient wears high-thigh underwear (e.g. a thong), which leaves the buttocks exposed (Fig. a). If they are wearing full brief underwear, they must adjust the back of the briefs to expose the buttocks. This is because the electrodes need to make full contact with the skin on the buttocks and the hips. When positioned correctly, the 8 electrodes should be positioned as shown in Fig. b. Fig. a Fig. b 8

IMPORTANT INFORMATION Before connecting the garments to the stress lead, check that the buttock electrodes are correctly positioned. English Check the following to ensure the garment is applied correctly For each garment: Ensure Locator 1 is positioned at the upper inner thigh, just below the groin. For each garment: Ensure Locator 2 is lined-up with the crease of your buttocks. CORRECT POSITIONING INCORRECT POSITIONING For each garment: Ensure Side Panel is aligned with the leg. Note to the Clinician: Once the patient has applied their right and left stress garments, check that all of the electrodes have been positioned exactly as shown on page 8. 9

Step 4: Connecting the unit English Connect the main lead connector to the socket on the NEUROTECH VITAL controller and switch on the controller. Connect the blue end of the controller lead to the blue pin on the left stress garment. Then connect the red end of the controller lead to the red pin on the right stress garment and begin your treatment session. Please read the stress instruction manual for treatment session advice. 10 i Ensure: Blue Connector = Left Stress Garment Red Connector = Right Stress Garment

Step 5: During the Treatment English During the treatment, it is recommended that you stand slightly bent over, with your feet flat on the ground and your hands resting on a stationary object, such as a table. However, if the table is not suitable, you may sit or lie down. A chair should be nearby in case you need to sit. On very rare occasions, first-time users of NMES have reported feeling light-headed or faint. We recommend that you sit down if you experience this feeling. 11

English Step 6: Removing the Left Garment After the treatment session, switch off the NEUROTECH VITAL controller and disconnect the leads from the garments. Unfasten the strap and slowly remove the garment from the left leg: Peel the garment from the front of the leg first, until it is half detached......then start to peel the other end from the rear...... and finally unfasten and slowly remove the stress garment from the right leg in the same way. Lay the garments on a flat surface and replace the covers on the black side of the 4 electrodes. 12

Step 7: Removing the Right Garment Once the left garment has been removed and the electrodes covered, repeat the process with the right leg garment, then pack everything away until the next session. English Fig. c Step 8: Switching the controller off Important: You should only fold the garments once in half, which allows the electrodes to remain flat between sessions. At the end of a session, switch off the controller using the On/Off Button (to 0 ). If you don t do this, after 2 minutes, the controller will display the Power Off Unit screen (Fig. c) and will emit three beeps every 30 seconds to remind you to switch it off. Should you simply press a screen button to clear this from the screen, it will appear again after 2 minutes and the controller will continue to beep every 30 seconds until the controller is switched off. 13

English Caring for your NEUROTECH VITAL garments Washing Instructions Important: Detach the Controller and Stress Lead from the Garments before cleaning. Before washing, remove all eight electrodes. We recommend that it be washed when you are replacing the electrodes. You should wash the Garments in a receptacle which allows you to lay them flat (e.g. a bath or tub). NEVER wring the Garments during or after washing. This protects the internal composition of the Garment from damage. Always follow the instructions on the label when washing the Garments. Never machine wash the Garments. Always handwash them in lukewarm water. Do not use any bleach when washing your Garments. Do not dry clean your Garments. Do not tumble dry your Garments. The Garments should be hung up to dry. Do not dry over anything hot (e.g. a radiator or any other direct heat source). Ensure the Garment is completely dry before use. Do not fold while drying. The Garments should not be ironed. Note: Replace the Garment if the material is damaged and exposes the wiring within. Garment materials Outer material: 100% Nylon; Inner Material: 100% Polyurethane; Fastening: 100% Nylon 14

English 15