Scenar Personal-Au 19-1-2019
Scenar Personal-Au 19-1-2019
Scenar Personal-Au 19-1-2019
SCENAR Sport
SCENAR Spot D
Before operating the device, please read this User Handbook thoroughly,
and retain it for further reference.
Manufacturer:
Asia-Pacific Office:
RITM Australia Pty Ltd
PO Box 615
St Ives Chase NSW 2075
tel +612 80114217
www.scenar.com.au
email: info@scenar.com.au
2265
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TABLE OF CONTENTS
Introduction ........................................................................................................................ 4
Training ............................................................................................................................... 4
Contraindications ................................................................................................................ 5
Cautions .............................................................................................................................. 5
DEFINITIONS ........................................................................................................................ 8
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Therapy guidelines ............................................................................................................ 25
Warranty ........................................................................................................................... 51
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INTRODUCTION
The RITM SCENAR® personal devices are designed to deliver general therapeutic non-
invasive therapy to the body’s physiological systems via skin areas, in order to effect
pain management and pain relief.
The RITM SCENAR® devices provide interactive neurostimulation. When the devices
are applied to the skin, electrical impulses adjust and change, the devices read
changes in the electrical properties of the skin.
This interactive neurostimulation not only provides sustained pain relief, but does not
allow the body to accommodate the signal and develop a tolerance to the signal.
This user handbook describes the main features of the RITM SCENAR® device , their
purpose and operation, as well as how to effectively treat painful common
complaints.
TRAINING
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CONTRAINDICATIONS
There are specific contraindications and this includes persons who have any type of
cardiac pacemaker, persons who have acute infectious diseases, pregnant women
and alcohol intoxicated individuals.
It is important to note however that RITM SCENAR® is not contraindicated and can be
used on persons who have metallic implants such as pins, plates, and screws nor is it
contraindicated for persons who have had joint or hip replacements.
CAUTIONS
RITM SCENAR electrodes should not come in contact with wet skin. Natural body
secretions such as sweat are acceptable. It is also recommended that jewellery be
removed prior to therapy with the RITM SCENAR®.
Particular caution should be taken when RITM SCENAR® electrodes are placed over
areas associated with phlebitis and thrombophlebitis as these conditions have
increased chance of blood clot formation which could become dislodged during RITM
SCENAR® therapy.
It is important to note that therapy sessions with RITM SCENAR® should not exceed 45
minutes to any specific area of the body and that there should be a minimum of two
hours between therapy sessions to avoid skin irritation.
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!
Important safety requirements and precautions
WARNING! This device should NOT be used on an individual who has a heart pacemaker
or other electrically powered implant fitted.
WARNING! Application of electrodes near the thorax may increase the risk of cardiac
fibrillation.
WARNING! Aged people, children, and people with disabilities may not use the
stimulator.
WARNING! The device needs special precautions regarding EMC and needs to be
installed and put into service according to the EMC information provided in Annex 1.
WARNING! As the current densities for electrodes exceed 2 mA r.m.s./cm2, the device
requires the special attention of the user.
WARNING! The device should not be used adjacent to or stacked with other equipment.
The symbol on the documents accompanying the product indicates that this
appliance may not be treated as household waste. Instead it shall be handed over to the
applicable collection point for the recycling of electrical and electronic equipment.
Disposal must be carried out in accordance with local environmental regulations for
waste disposal.
For more detailed information about treatment, recovery and recycling of this product,
please contact your local city office, your household waste disposal service or the shop
where you purchased the product.
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Origin: RITM OKB ZAO, 99, Petrovskaya, Taganrog, 347900, Russia.
Cleaning & Disinfecting: Wipe electrode area with a cotton swab dampened with 3%
hydrogen peroxide solution with the addition of 0.5 % solution of an approved
cleaning liquid. Allow to dry up thoroughly before use.
Clinical environment: NOT suitable for use in the presence of flammable anaesthetic
mixtures with air, oxygen or nitrous oxides.
DO NOT REMOVE the upper casing – this access is for the use of service personnel
only.
Batteries: Remove battery from device if not in use for an extended period. Connect
correctly.
Note: Remove battery during storage and transportation to avoid battery drain. Do
not operate the device with the battery cover removed, as this exposes the operator to
live battery circuits in contravention of the Safety Regulations.
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DEFINITIONS
Amplitude modulation (AM) is a periodic variation of stimuli amplitude (as well as
stimuli Energy). AM is defined as the ratio of the time the device is sending pulses with
preset Energy to that with minimal
Energy. For example, the “3:1” AM setting indicates that the device is transmitting
stimuli with preset Energy for 3 seconds and then with Energy = 1 for 1 second.
Amplitude modulation manifests itself as strengthening and weakening the specific
sensations with a set period.
Dose (*) is a signal to the operator that the rate of skin impedance change has
sufficiently reduced (Dose 1) or changed (Dose 2).
Dosed Stimulation determines the type of dosing provided by the device. When the
Dosed Stimulation is switched ON, the stimulation time for a zone is determined
automatically (Dose 1). When the Dosed Stimulation is switched OFF, the zones to be
treated, stimulation time for each zone and time of the whole session are determined
by the user.
Electrodes – сutaneous electrodes (built-in electrode and add-on electrodes) that are
applied directly to patient’s skin for electrical stimulation.
Frequency (F) is a number of stimuli (or stimuli bursts) per second, measured in Hertz
(Hz). When Frequency changes the strength and 'volume' of sensations also change.
Timer indicates how long the device is in contact with the patient’s skin.
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INSTALLING AND CHANGING THE BATTERY
1. To open the battery section cover, hold the device in one hand and slide the
battery section cover off.
2. Once the battery cover has been removed, on the bottom of the bottom of
battery compartment you will see the signs (+) and (-) etched into the device
moulding. Line up the 9-volt battery so that the sign (+) on the battery aligns with the
(+) sign on the bottom of battery compartment, and the (-) sign on the battery aligns
with the (-) sign on the bottom of battery compartment. Insert the battery rear end
first and press down the top end to engage the battery studs with the spring contacts
on the device.
The light will illuminate, and the device will emit a beep.
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QUICK START GUIDE - ALL DEVICES
Remove the protective film (pink or green colour)
from the built in electrodes. Install a 9V battery
into the battery section of the device. Be sure to
insert the battery correctly by lining up the ‘+’ and ‘-
’ symbols on the battery with the diagram on the
inside of the battery compartment!
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RITM SCENAR® HOME CONTROLS AND FUNCTIONS
1. Built in electrodes – these must be in contact with the skin during SCENAR therapy
(unless external electrodes such as pads and leads are in use - see point 12 below).
2. Indicator lamp - indicates the level of energy and when the Dose setting is selected,
the progress of the Dose.
3. Fm (Frequency Modulation) setting indicator lamp – whilst lamp is glowing you can
switch the frequency modulation setting ON or OFF.
4. ON indicator lamp – glows to indicate the device is ON, and brightness changes
according to strength of stimulus output.
5. Am (Amplitude Modulation) setting indicator lamp – whilst lamp is glowing you
can switch the Am setting ON or OFF.
6. Dose setting indicator lamp – whilst lamp is glowing you can switch the Dose 1
or Dose 2 settings ON or OFF.
7. Increase ENERGY output button (and when used with the button, activates
the selected setting).
8. Setting selection button.
9. Decrease ENERGY output button (and when used with the button, deactivates
the selected setting).
10. ON/OFF Button.
11. Battery cover.
12. Input jack for external electrode accessories such as pads and leads.
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RITM SCENAR® SPORT CONTROLS AND FUNCTIONS
1. Built in electrodes – these must be in contact with the skin during SCENAR therapy
(unless external electrodes such as pads and leads are in use - see point 12 below).
2. Frequency mode indicator lamp - whilst lamp is glowing you can select the stimulus
frequency of 14, 60, 90 or 340Hz (pulses per second).
3. Fm (Frequency Modulation) setting indicator lamp – whilst lamp is glowing you can
switch the frequency modulation setting ON or OFF.
4. ON indicator lamp – glows to indicate the device is ON, and brightness changes
according to strength of stimulus output.
5. Am (Amplitude Modulation) setting indicator lamp – whilst lamp is glowing you
can switch the Am setting ON or OFF.
6. Dose setting indicator lamp – whilst lamp is glowing you can switch the Dose 1 or
2 settings ON or OFF.
7. Increase ENERGY output button (and when used with the button, activates
the selected setting).
8. Setting selection button.
9. Decrease ENERGY output button (and when used with the button, deactivates
the selected setting).
10. ON/OFF Button.
11. Battery cover.
12. Input jack for external electrode accessories such as pads and leads.
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RITM SCENAR® SPORT D CONTROLS & FUNCTIONS
1. Built in electrodes – these must be in contact with the skin during SCENAR therapy.
2. Liquid Crystal Display (LCD) - used to indicate the set energy strength and the
selected modes:
• D - Dosed stimulation (Dose 1 and Dose 2 modes);
• AM - Amplitude Modulation (3:1);
• FM - Frequency Modulation;
• F - Stimulus frequency; and their status:
• - Skin contact indicator
3. Increase ENERGY output button (and when used with the button, activates the
selected program mode).
4. Mode selection button.
5. Decrease ENERGY output button (and when used with the button, deactivates
the selected program mode.
6. ON/OFF Button.
7. Battery cover.
8. Input jack for external electrode such as conductive gloves.
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ON/OFF AND RESET
Four buttons are used to operate the RITM SCENAR® device. Each of the four buttons
can perform a number of functions.
NOTE – the device will automatically turn itself off after approximately 60 seconds if
no buttons are pushed or if there is no skin contact. If the device is turned OFF using
the above ON/ OFF method the device will RETAIN its settings unless a RESET is
effected. This can also happen with very dry skin -to remedy this rub a small amount of
water on the area and continue therapy. Do not use moisturizers.
• To return to device to it’s default frequency setting - the FM, AM, P and Dose
settings will be OFF.
• To rapidly turn OFF the FM, AM, P and Dose settings.
• To quickly RESET the energy to a minimum level.
• After replacing the battery you a reset is necessary.
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ENERGY (STIMULUS INTENSITY)
By pressing the or buttons you can raise or lower the output stimulus
intensity strength. Note that the energy can either be raised or lowered by single
depressions of each button, or increased or decreased rapidly by holding the
respective buttons down.
The perception of the energy (stimulus intensity) level from the device will vary greatly
from person to person. This means that energy levels should be selected individually
for each therapy session. DO NOT allow the energy level of the device to be
uncomfortable or painful.
When decreasing energy level the lamps go out one by one after another and the device emits a
long beep once minimum energy is reached.
Sport D energy display
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DOSE (DOSED STIMULATION) MODE.
SCENAR Sport D, Sport and Home devices have two dosing Modes – Dose 1 (STABLE)
and Dose 2 (LABILE).
Once the Dose mode is selected the device will beep once.
To switch OFF the Dose Mode, Reset the device or press the and within 2 seconds
press the key.
In Dose 1 (Stable) Mode the device delivers individually dosed stimulation as well as
automatically evaluates the skin for optimal treatment positions.
The Dose 1 Mode requires the device to be placed on the skin in a stationary position
until the reading is shown on the screen or until the Dose is delivered.
In Dose 1 Mode the device measures the skin reaction to the SCENAR signal every
time it is placed on the skin. The reaction is measured in units but it is represented on
the screen as I symbols for Sport D model and as number of lit LEDs for Sport and
Home models.
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The table below shows the corresponding initial reaction ranges to the text/LEDs:
Initial Reaction (IR) Screen Text (Sport D) LED Indications (Sport, Home)
IR< 18 - -
A low IR value means that the body is reacting slowly, and it is not efficient to proceed
with further treatment at this time. High IR value indicates an active point
(asymmetry) – an area where SCENAR application will have the strongest effect.
Therefore, when scanning the treatment zone in Dose 1 Mode, Dose must be
delivered at areas with maximum number of bars.
Once the skin area is evaluated for the best treatment point, the device is placed in a
stationary position until Dose is delivered.
The time for each Dose is individual – it may take from few seconds to 40 seconds.
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will emit series of beeps.
The progress of delivering the Dose in Sport and Home will be shown by successively
lighting up the LEDs from right to left.
Sport and Home - Press the button once. The D lamp will
start flashing. Within 2 seconds press the button twice to
activate the LABILE Dose mode.
Once the Dose 2 mode is selected the device will beep twice.
When skin contact is detected the device will beep twice with a low and a high tone.
In Dose 2 LABILE Mode the device is slowly moved over the skin while applying firm
and even pressure.
In this mode the SCENAR continually measures and compares the reaction of the skin
while the operator is moving the device. Areas with different reactions will be
indicated as a ratio between the initial reaction (when the device was first placed on
the skin) and the current reaction (the reaction of the current position of the device).
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The table below shows the ratio between the initial reaction and the current reaction
and their audio and visual representations:
Less ½ - - -
From 2 times and more IIII 4 LEDs (D, Am, Fm and F) Dual short beep
Areas with considerable difference between IR and CR are active points (asymmetries)
and have to be treated additionally. Treat additionally on zones indicated with
maximum number of bars/lit LEDs. The treatment of these zones may be performed in
Dose 1 Mode or other settings can be selected based on the stage of pain (see page
24).
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SPORT AND HOME
Reset the device by pressing and holding the and buttons
until you hear series of beeps and then release both buttons
together.
Press the button to select the FM mode (the corresponding
lamp will be lit) and then whilst the corresponding FM lamp is
lit press the once.
The device will ‘beep’ once.
To switch OFF FM Mode press the button until FM appears on the screen/ FM
lamp lights up and within 2 seconds press the button once or reset the device.
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FREQUENCY SELECTION - THE F MODE
The Sport D and Sport devices have four frequency settings, the default frequency of
60Hz (accessed simply by resetting the device), and three other frequencies: 14, 90,
and 340Hz (pulses per second).
The default frequency setting of 60Hz and the 90Hz frequencies are used for most
situations. These frequencies are sufficient for therapy of most complaints, with the
energy at a comfortable level.
SPORT D
To select a specific frequency among 14, 60, 90, and 340Hz press the button to
select the F mode and press the or the button to activate the
required frequency (see directions below). Once a new frequency is set, the device
will ‘beep’ once if 14Hz is selected, twice if 60Hz if selected, three times if 90Hz is
selected and four times if 340Hz is selected.
SPORT
To select a specific frequency among 14, 60, 90, and 340Hz press the button to
select the F mode (the corresponding F lamp will be lit) and press the or
button to activate the required frequency (see directions below). Once a new
frequency is set, the device will beep’ and the frequency and intensity of the middle
lamp on the device will change.
To select a frequency of 14Hz, reset the device to the default frequency of 60Hz and
then press the button to select the F mode (the corresponding lamp will be lit)
and then whilst the corresponding F lamp is lit press the button once. The
device will ‘beep’ once.
To select a frequency of 60Hz, the default frequency, reset the device. Press and hold
the and buttons for a count of 3 seconds, then release together.
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90Hz Frequency Selection
To select a frequency of 90Hz, reset the device to the default frequency of 60Hz and
then press the button to select the F mode (the corresponding F lamp will be lit)
and then whilst the corresponding F lamp is lit press the button once. The
device will ‘beep’ once.
To select a frequency of 340Hz, reset the device to the default frequency of 60Hz and
then press the button to select the F mode (the corresponding F lamp will be lit)
and then whilst the corresponding F lamp is lit press the button twice. The
device will ‘beep’ twice.
NOTE - make sure the FM mode is OFF before selecting different frequencies. While
the FM mode is activated, frequency cannot be changed.
HOME
SCENAR Home comes with one fixed Frequency – 90Hz.
PRESET SELECTION
SPORT D
Press the button until P appears on the LCD display.
SPORT
Reset the device by pressing and holding the and buttons until you hear series of
beeps and then release both buttons together.
Press the button five times (all the lamps – D, Am, Fm and F will start flashing
back and forwards for 2 seconds) then whilst the lamps flashing press the once
for Preset 1 and twice for Preset 2.
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The device will ‘beep’ twice for Preset 1 and three times for Preset 2.
To switch OFF Presets press the button until the lamps start flashing and within 2
seconds press the button once or reset the device.
HOME
Reset the device by pressing and holding the and buttons until you hear series of
beeps and then release both buttons together.
Press the button four times (all the lamps – D, Am, Fm and F will start flashing
back and forwards for 2 seconds) then whilst the lamps flashing press the once
for Preset 1 and twice for Preset 2.
The device will ‘beep’ twice for Preset 1 and three times for Preset 2.
To switch OFF Presets press the button until all the lamps light up and within 2
seconds press the button once or reset the device.
Preset 1
Preset 1 is a Frequency Modulation setting combined with Amplitude Modulation.
Preset 1 is suitable for treating Asymmetries, pain without change, chronic pain.
Preset 2
Preset 2 is the latest development in SCENAR technology by RITM OKB. This mode
automatically changes the signal intensity and the gap between the impulses
according to the skin reaction. It is called bioGap.
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SETTINGS COMBINATIONS
Combination Dose 1 Dose 2 AM FM F P1 P2
Dose 1
✓ ✓ ✓
Dose 2
✓ ✓ ✓
AM
✓ ✓ ✓ ✓
FM
✓ ✓ ✓
F
✓ ✓ ✓
P1
P2
LOCKING THE DEVICE KEYPAD
The SCENAR Personal devices have the option for locking the keypad. This function is
useful when using the device with pads and lead electrodes to avoid accidently
increasing the Energy level or changing the device settings.
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SWITCHING THE SOUND OFF
To switch the sound OFF press the and the buttons simultaneously for 1
second. All sounds of the device will be switched OFF.
To switch the sound ON press the and the buttons simultaneously for 1
second. A long beep is emitted.
THERAPY GUIDELINES
Mode Setting Guideline for use
Energy Level Low When treating children, elderly and sensitive to
electricity patients.
Energy level Comfortable Used for most patients.
Energy level High For acute pain.
Dose 1 When the painful area is similar in size to the
device built-in electrode and to treat asymmetries.
Dose 2 For larger painful areas to quickly determine the
location of asymmetries. Asymmetries should be
additionally treated with Dose 1 or with brushing
over the area.
Frequency 14Hz Chronic pain, can also be used to sedate nervous
pain – finish the treatment with higher
frequencies.
Frequency 60Hz Treating small muscles, Useful in cramping pain
combined with AM. Useful in difficult pain
complaints with no changes.
Frequency 90Hz Ideal frequencies for general pain therapy.
Frequency 340Hz Acute pain.
AM ON Acute or chronic pain with cramping.
FM ON Treat Asymmetries, pain without change, chronic
pain.
Combination 14Hz + AM Chronic pain with cramping.
Combination 60Hz + AM Acute or chronic pain with cramping.
Combination 90Hz + AM Acute or chronic pain with cramping.
Combination 340Hz + AM Acute pain with cramping.
Preset 1 AM+FM Treat Asymmetries, pain without change, chronic
pain.
Preset 2 BioGap Treat acute pain, pain without change.
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DEFINITIONS AND TREATMENT METHODS
Pain therapy with the SCENAR device is carried out by stimulating skin areas
(treatment areas) with electrical impulses.
The primary signs and complaints of a patient include pain, itching, sensitivity loss and
other unpleasant sensations, as well as small wounds, cicatrices, skin discoloration,
trophic disturbances which have been detected before the treatment session and
cause discomfort in a patient. The areas of primary signs and complaint projections
should be treated. If it is not possible to treat such areas (due to a wound, plaster
bandages and etc.), treat symmetrical areas located at equal distance from the
backbone horizontally to increase the treatment effectiveness.
If a complaint does not enable to determine its projection area or its area is very large,
and if a patient can not specify a main complaint among his/her complaints, treat the
General Treatment Zones.
The secondary signs are called asymmetries. This a term unique to SCENAR therapy.
It is any difference within the area being treated, or as a result of treatment.
The skin is the largest organ in the human body that protects our organs from the
environment, regulates body temperature, changes peripheral circulation and fluid
balance, and gives us the sensations of heat, cold, touch and pain. Through its
extensive network of nerve cells, blood vessels and receptors that is a constant
informational and energetic exchange with muscles, organs, bones, brain etc.
When treating with SCENAR device, the electrical properties of the skin, such as skin
resistance and capacitance change due to the influence of the SCENAR signal. These
changes are communicated to the nervous system and back to the skin resulting in
subsequent changes on the skin as well as inducing changes to the SCENAR signal
itself.
The changes in the skin are called Asymmetries. The alternation to the SCENAR signal
induced by the treated body is also unique and that is where the name SCENAR comes
from – Self-Controlled-Energo-Neuro-Adaptive-Regulator. SCENAR provides an
interactive neuro stimulation.
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The changes in the skin during SCENAR treatment (asymmetries) are the most
important signs and the treatment must be focused on those areas as that is where
the body response is.
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• Change of patient sensation – numbness or hypersensitivity. Another
asymmetry is the change in the sensation of the patient to the SCENAR signal.
When treating with a constant energy level and on the same skin area, the
patient may start felling the signal more or less on different spots in the
treatment area. The operator must additionally treat these spots.
• Change in the sound of the SCENAR as it is moved over the skin –
louder/quieter. SCENAR impulse has a high stimulation amplitude (up to
200Volts when touching the skin) that causes vibrations of the corneal layer
of the skin. The corner layer then starts acting as the flexible film in an
electrostatic loudspeaker which is the reason why the device is producing a
specific sound moving it on the skin. According to the skin physical and
electrical characteristics, this sound may vary from louder to quitter on
treatment area. This sound variation is also an asymmetry and additional
treatment on these areas will in most cases equalise the sound.
• Change of pain location (pain migration). Sometimes the pain may move to
another location during treatment. And so, the SCENAR operator must follow
the pain and treat the new painful area.
1. Subjectively – In Manual Mode when the Dose function is switched OFF (also
called Subjective Dosed Mode). When brushing the device over the skin, the
operator will notice the asymmetries (stickiness, change of colour, redness,
change of sound, etc). This is a subjective observation, but in most cases,
asymmetries are obvious and easy to find and feel.
2. Objectively – In Dose 1 and Dose 2 Modes (also called Individual Dosed
Mode), the device measures the change of the skin reaction automatically
and objectively represents these measurements on the LCD/LED. Thus, giving
the operator an information where exactly the asymmetries are located.
Subjective and Objective methods can be combined into one treatment session,
staring with subjective and finishing with objective or visa-versa.
Asymmetries once found have to be treated additionally either with more brushing or
by delivering a Dose with Dose 1 Mode.
Dose 1 is usually helpful for small painful areas, while Dose 2 is used to search for
asymmetries on larger areas such as the back or the abdomen.
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HOW TO USE DOSE 0 (MANUAL MODE)
Dose 0 is the default mode of the SCENAR device. It is called Manual because the
operator is defining the time and the area of the therapy as well as observing and
identifying the asymmetries.
STABLE APPLICATION
Stable application is when the device is hold steady on the painful area (primary
complaint or asymmetry). This application in mainly used with additional SCENAR
electrodes listed in the table below. The electrode is connected to the device and
stuck/typed on the complaint area. The electrical signal is emitted from both the
device built-in electrode and the additional electrode.
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PR-HAIR Hair Comb Electrode - Very useful electrode
for treating the scalp and hairy parts of the
body as man’s chest and breast. It can also be
used for treating animals - dogs, cats, horses without the need of
shaving their fur.
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PR-SPLIT Splitter for simultaneous use of two add-on
probes - The splitter is used to connect a
SCENAR devices and two other electrodes for simultaneous use.
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two (leads not included).
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LABILE APPLICATION
In labile application, which is also called brushing, the SCENAR device is slowly moved
across the skin with a firm and even pressure.
The treatment area should be bigger than the complaint representation as shown on
the illustration below.
The therapy starts from the top left corner of the treatment area and the device is
slowly moved with even and firm pressure to assure both passive and active
electrodes are touching the skin.
The device electrode is vertical, moved from top to bottom, in a direction from left to
right. This rule is always applied from the operator’s perspective.
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The aim of these movements is to elicit responses (asymmetries) form the body and
the focus of the treatment then becomes these asymmetries.
Once presented, the asymmetries are treated additionally by applying the device in 4
directions (4 vector technique) – from top to bottom, from bottom to top, from right
to left and from left to right (as shown on the illustration below).
Asymmetry
The treatment is focused in the direction that intensifies the characteristic of the
asymmetry the most (colour, stickiness, sound etc.,) until it either disappears or
changes to the opposite characteristic.
Dose 1 is used in stabile application only, by placing the device firmly on skin and
waiting for the display/LED to show the reading. The number of bars/lit LEDs provide
information about how the skin is responding to the SCENAR signal. Skin areas with
quick reaction will show higher numbers of bars/lit LEDs. These areas are
asymmetries, identified by the SCENAR device automatically and must be additionally
treated by delivering a Dose.
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Dose 1 Mode is commonly used for smaller treatment areas to screen the body for
asymmetries and deliver an individual Dose on the locations with highest number of
bars/LEDs.
The above example shows a treatment area that comprises of 15 electrode positions.
The treatment starts from position 1 – top left corner and progresses to position 15.
The device is placed firmly on each position and each reading is recorded. In the
example, electrode positions 5 and 6 have the highest readings of 4 bars/lit LEDs and
therefore they have to be Dosed three times each.
Dose 1 can be combined with Dose 0 by delivering one of more doses on the
asymmetries found through the brushing technique.
The device’s settings used with Dose 1 are 60Hz or 90Hz fixed Frequencies.
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The illustration above shows that after moving the device in Dose 2 mode across the
treatment zone, three areas with four bars/lit LEDs are identified by the device. These
areas can be additionally treated with the 4 vector technique for a couple of minutes
or Dosed three times in Dose 1 mode.
Dose 2 is suitable for treating larger areas or when the time is limited.
The device’s settings used with Dose 2 are 60Hz or 90Hz fixed Frequencies.
Note: If the patient skin is very sensitive and the brushing causes pain or discomfort,
use Dose 1 Mode.
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PONT OF PAIN THERAPY
Point of pain therapy is when the pain can be pointed with a finger, meaning that
the pain is concentrated in a smaller area similar in size to the SCENAR device built
in electrode.
1. Liable in Dose 0 (brushing). Start brushing over the point of pain with the
default settings. Look for asymmetries and focus your treatment at the
direction where the asymmetry is most prominent. Treat several minutes
and change the device settings according to the stage of the pain –
chronic, acute, sub-acute, etc. (page 23). Check the pain level every 2-3
minutes and alternate again with different device settings. If the pain has
changed, stop the treatment. If the pain has no or little change, move to
the opposite, symmetrical or reciprocal point. Treatment time – 10-15min
for acute problems, up to 40-50 min for chronic.
2. Stabile in Dose 0 (Dose mode is Off). Place the device on the point of pain
and hold for several minutes. Check the pain level and change the settings
if there is not change in the pain. Hold for another several minutes. Switch
the FM on and hold for 2-3 minutes on the point of pain. If the pain has no
or little change, move to the opposite, symmetrical or reciprocal point.
3. Stabile in Dose 1. Define the treatment area and mark the electrode
positions. Please the device on each electrode position and record the
reading. Do three Doses on the highest readings. If the pain has no or little
change, move to the opposite, symmetrical or reciprocal point.
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Examples
1. Choose setting based on the stage of pain (see page 23).
5. Change to the default setting, and move the device over and around the painful
area using massage movements. If you find an asymmetry, treat additionally using
Fm mode.
6. Check for change in pain. If there is not change, use Dose 1 mode and dose the
point of pain if the pain hasn’t reduced. If the pain has changed, stop the treatment.
© RITM Australia 39
AREAS OF PAIN THERAPY
Therapy is carried out by placing the electrodes of the device on the skin on the
area of pain. Therapy can be applied every two hours. Dose 2 mode can be used to
quickly identify asymmetries.
1. Choose setting based on stage of pain (see page 23). Switch the Dose 2 mode ON.
2. Place the device on the skin - onto the area of pain (neck, shoulder, knee, lower
back).
3. Set the energy level to a comfortable ‘tingling’ sensation by pressing the pressing
the or buttons.
4. Smoothly and firmly move the device over the area from top to bottom and take
notice of the LCD/LED indications. Mark the areas indicated with 3 or more
symbols/LEDs.
5. Switch the device in Dose 1 mode and deliver Doses to all marked areas, previously
identified with Dose 2.
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PAIN CAUSED BY DENTAL PROBLEMS
This therapy applies to a specific point of pain caused by dental problems. Therapy
can be applied every two hours.
4. Hold the device on the skin in a stationary position for 2-3 minutes.
5. Change to the default setting, and move the device over and around the painful
area using massage movements. If you find an area of resistance, stickiness or
redness, move the device over this area until it changes to an area of no resistance
or the redness normalizes.
6. Hold the device on any area of resistance for 1 minute using the FM mode then
begin to massage the area again for 2-3 minutes.
© RITM Australia 41
NECK PAIN THERAPY
Therapy is carried out by treating the neck area for pain related to the neck, head,
shoulders and arms.
4. Slide the device electrode slowly and firmly on the area of therapy as outlined
in the image for 2-5 minutes. If you find an asymmetry, switch to Dose 1 and deliver a
dose on the area.
6. Change the device to the Fm mode then massage the area again for 5
minutes as outlined in step 4.
© RITM Australia 42
LOWER BACK PAIN THERAPY
Therapy is carried out by treating the lower back area for pain related to the lower
back.
2. Place the device on the skin - near the lower back area.
4. Slide the device electrode slowly and firmly on the area of therapy as outlined
in the image for 8-10 minutes. If you find an area of resistance, move the device
against this area of resistance until it changes to an area of no resistance.
6. Change the device to the Fm mode then massage the area again for 5
minutes as outlined in step 4.
© RITM Australia 43
USING PADS AND LEADS ELECTRODES
1. Select the area for therapy.
2. Make sure skin surface to be treated is clean and dry. If using alcohol wipes to
clean skin surface, make sure this has completely evaporated or dried before applying
pad electrodes.
3. Connect the pads to the 2-way lead.
4. Remove the pads from the liner and apply to the skin surface as set out in the
following therapy recommendations.
5. Connect the lead to the device electrode port.
6. Turn the device on and choose setting according to the pain (see pages 23),
and gradually increase the energy until a comfortable tingling is felt.
7. Carry out therapy according to guidelines set out in the following
therapy recommendations.
8. After the therapy session, turn device off, disconnect the cable from the
electrode and gently remove the electrode from the skin by lifting one of the corners.
N.B. rapid removal of the electrode can cause skin irritation. Do not remove by pulling
the connection part of the cable
© RITM Australia 44
SHOULDER PAIN THERAPY WITH PADS AND LEADS
1. Apply electrode pads to point of pain and corresponding horizontal point on the
spine.
© RITM Australia 45
GENERAL THERAPY - THREE PATHWAYS & SIX POINTS
Therapy to the three pathways and six points on the face affects all organs and body
systems. This therapy zone is good for body maintenance. Use this therapy for general
back pain and in combination (following) point of pain therapy.
1. Reset the device to default
settings.
2. Place the device on the skin -
near the shoulder area.
3. Set the energy level to a
comfortable ‘tingling’ sensation by
pressing the pressing or
buttons.
4. Slide the device electrode
slowly and firmly down the pathways,
as outlined in the image in the order
numbered ➀ - ➅ . If you find an area
of resistance, move the device against
this area of resistance until it changes
to an area of no resistance.
5. Move to the face to apply the
device the six points of the trigeminal
nerve outlets on the face. This
requires you reset the energy level (as
the skin on the face is sensitive).
Apply the device to each nerve exit point
© RITM Australia 46
SCENAR EXPLANATION AND HISTORY
SCENAR - explanation
SC - Self-Controlled. The device establishes a biofeedback link with the body when in
use, constantly changing the properties of the applied electric impulses, depending on
the measured reaction from the body.
AR - Adaptive Regulator. The device not only provides direct therapeutic effect, but
also activates the natural defences of the body 12. The effect is achieved through the
stimulation of reflective zones and acupuncture points on the skin surface.
1 Gorodetskyi I G, Gorodnichenko A I, Tursin P S, Reshetnyak V K, Uskov, O N: Non-invasive interactive Neurostimulation in the post-
operative recovery of clients with a trochanteric fracture of the femur. J Bone Joint Surg [Br]2007;89-B:1488-94.
2 Lee KH, Chung JM, Willis WD. Inhibition of primate spinothalamic tract cells by TENS. J Neurosurg. 1985; 62: 276-28
3 Linda S. Chesterton, Nadine E. Foster, Christine C. Wright, G. David Baxter and Panos Barlas Effects of TENS frequency,
intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects Pain, Volume 106,
Issues 1-2, November 2003, Pages 73-80
4 Garrison DW, Foreman RD: Effects of prolonged transcutaneous electrical nerve stimulation (TENS) and variation of
stimulation variables on dorsal horn cell activity, Eur J Phys Med Rehabil 6:87-94, 1997
6 Christie Q. Huang, Robert K. Shepherd Reduction in excitability of the auditory nerve following electrical stimulation at
high stimulus rates: Varying Effects of electrode surface area Hearing Research 146 (2000) 57-71
© RITM Australia 47
SCENAR- brief history
An early form of electro analgesia (or reduction of pain by electrical stimulation) dates as far back
as Ancient Rome 46AD where Scribonius Largus used the shock of a torpedo ray to manage
headache and gout. Over the centuries, and with the advent of electricity, electro analgesia in
many forms has been proposed. The transcutaneous electrical nerve stimulator (TENS),
introduced as an alternative therapy to pharmacological therapy s to chronic pain, was
acknowledged as a viable method of pain management by America's Food and Drug
Administration, and several companies began the development of TENS devices. Although TENS
provided electrical stimulation through a harmless electrical impulse via electrodes placed over
the intact skin surface, the pain suppression was short-lived.
One of their projects was to develop a device that was small, portable and economical (as in the
TENS device) but to still be effective at maintaining the overall health of astronauts. A team of
researchers from RITM OKB ZAO set out to design one universal non-invasive device that would
not only provide long-lasting pain relief but could also correct the adaptive mechanisms of the
body, thereby restoring homeostasis and health. The leading engineer Alexander Karasev
started out by modifying the electrical impulse (as used in TENS) so that this new device could
correct the body's adaptive mechanisms resulting in homeostasis and health. However, two
criteria had to be met: the device had to have biofeedback and the signal had to be identical to
the body's neural impulses (i.e. compact with high amplitude and with no habituation).
The first SCENAR prototype was manufactured in 1976 by RITM OKB ZAO. which could be
manipulated over the body enabling the device operator to compare the body's responses in
order to choose the best zones for therapy .
A team of doctors and scientists including Alexander Revenko and Yuri Gorfinkel were involved in
formulating the therapy methodology of RITM SCENAR®. They discovered that all local reactions
in the therapy zones in RITM SCENAR® therapy were indicative of the general dynamics of the
whole body. The therapy method involved the operator choosing the optimal therapy zone
according to the body's reactions to RITM SCENAR® therapy.
In 1990 the USSR Health Care Ministry permitted serial production of RITM SCENAR® devices
and officially accepted the technology to be used in the national health care system.
Following ISO 9001, ISO 13485 and the CE Mark in 2006, RITM SCENAR® devices become available
worldwide including Australia.
RITM Australia was established in 2006 as a branch office of RITM OB ZAO with the aim of
enabling affordable and easy access to RITM SCENAR® therapy in the Asia-Pacific region.
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SCENAR technology
SCENAR technology relies on the body's mechanism of adaptation ensuring dynamic equilibrium,
or homeostasis. Regulation of the body's vital functions is achieved through a close connection
and interaction of the nervous and endocrine systems. The effects of these systems results in the
release of biologically active chemical modulators called neuromediators. Examples of these are
acetylcholine, adrenaline and nor-adrenaline. Amino acids are another type of chemical
modulators. These are important in activation of the thickly myelinated A- and B-neural fibres.
Examples of this modulator include glutamine and asparagine. The largest group of chemical
modulators are the neuromediators and includes endorphins (the 'feel good' chemical
modulator), encephalins and bradykinine.
In RITM SCENAR® therapy the most important chemical modulators are neuropeptides. These
are the main modulator of neural activity of the thin non-myelinated, 'difficult-to-excite' C-
fibres. These neuropeptide-producing
nerve fibres make up more than 70% of the body's neural properties. C-fibre's specific
properties enable the production of a powerful analgesic effect, which is brought about by the
release of neuropeptides, once the C-fibre is activated.
The main goal of RITM SCENAR® therapy is that a maximum number of C- fibres are activated
to induce the secretion of a sufficient amount of neuropeptides. This is achieved by active
feedback, bipolar electric impulse and individually dosed influence.
The most unique characteristic of RITM SCENAR® is that it can induce changes in the parameters
of its impulse automatically and in accordance with the body’s response to the device. While
conventional therapeutic devices are passive, RITM SCENAR® involves active reflex biofeedback,
which means that the device communicates actively with the processes that are happening in the
body. The RITM SCENAR® device does this by monitoring the skin’s impedance and then changes
the electric impulse it is sending out in accordance with the changes in the skin’s impedance.
Therefore active reflex biofeedback means that maximal therapeutic effectiveness can be
achieved.
This active interaction is set up to prompt the body to identify and harmonise areas called
‘active points’.
These active points can include stickiness (the device will have the feeling of being magnetically
dragged on the skin), reddening of the skin, area numbness or hypersensitivity, or and/or an
increase/decrease in the electronic clattering sound of the device as it is slid across the skin.
Active points are areas where the body’s cells and tissue responses are more active, and thus
more optimal therapy areas. By influencing the nervous system, the RITM SCENAR® seems is be
able to assist the body to heal itself.
© RITM Australia 49
MAINTENANCE AND TROUBLESHOOTING
The device can be repaired only by the manufacturer.
Clean the device thoroughly with alcohol wipes (or similar) BEFORE and AFTER each
use.
When the battery is low and needs to be replaced, the device will emit a periodic
beeping sound indicating that the battery has to be replaced. Remove the old battery
and insert a new one.
The treatment area is Apply the device to the same area on the
covered or too painful to opposite side of the body.
treat.
The device makes repeating Replace the battery.
beep signal.
The Dose setting does not You may be treating an area of your skin which is
work. very dry. Test the Dose setting on another area.
If the problem persists, contact the distributor.
The device does not have You may have switched the sound off.
any sound.
To switch it back on press and
buttons simultaneously
Blank Screen, device Reset the device by pressing the and
freezes or can not be buttons simultaneously or
switched ON (Sport D hard reset the device by placing the battery with
model) opposite polarity for 2-3 seconds.
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WARRANTY
Warranty period is 24 months from the date of purchase. In case of device malfunction
during the warranty period the device shall be returned to the manufacturer. The warranty
repair will not be performed in case of broken warranty seals (found inside battery
compartment).
The device will be repaired at the expense of the owner in the following cases:
44 Gould Avenue
Email: service@scenar.com.au
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