Users guide.....................................................3 Instrukcja obsługi......................................

99
Gebrauchsanweisung..................................15 Οδηγίες χρήσης............................................111
Mode d’emploi..............................................27 Használati útmutató..................................123
Manual de instrucciones...........................39 bruksanvisning..........................................135
Istruzioni per l’uso.....................................51 istimal sureti..............................................147
Manual de instruções.................................63 bruksanvisning..........................................159
Gebruikershandleiding...............................75 Brugsanvisning..........................................171
ИНСТРУКЦИЯ ПО ЭКСПЛУАТАЦИИ И УХОДУ......87 käyttöohjeet...............................................183

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 TABLE OF CONTENS – USERS GUIDE FOR CEFAR MYO X2 AND CEFAR ACTIV X2

Precautionary Measures.............................................................................................................. 4
Overview – Get to Know Your Stimulator...................................................................................... 5 
Buttons.................................................................................................................................. 5
Display Symbols..................................................................................................................... 6
Read this before Use................................................................................................................... 7
Operation................................................................................................................................... 7
Step-by-Step Use................................................................................................................... 7
CEFAR EASY TOUCH™ - AUTOMATIC AMPLITUDE SETTING (AUTO).............................................. 7
Manual Amplitude Setting...................................................................................................... 8
Program Guide............................................................................................................................ 9
CEFAR EASY TRAINING™ - Sets and Repetitions (Reps)............................................................ 9
Active Rest............................................................................................................................. 9
Levels.................................................................................................................................... 9
Program Description.............................................................................................................. 9
CEFAR MYO X2.................................................................................................................... 9
CEFAR ACTIV X2................................................................................................................. 11
Key Lock................................................................................................................................... 12
Pausing the Program................................................................................................................. 12
Maintenance............................................................................................................................ 12
Batteries.............................................................................................................................. 12
Care Instructions.................................................................................................................. 12
Trouble Shooting....................................................................................................................... 12
Technical Data.......................................................................................................................... 13
Information Related to Electromagnetic Compatibility (EMC)................................................ 13
Key to the Stimulator Symbols.................................................................................................. 14
Electrode Placement Guide.....................................................................................................195

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 PRECAUTIONARY MEASURES
• Inspect the equipment prior to use. • Do not use electrodes with a surface < 12 cm2, as there will be a risk of suffering a
• Use the stimulator only as stated in the operating instructions. burn injury. Caution should always be exercised with current densities > 2 mA/cm2.

• Only Cefar accessories should be used with the stimulator • Observe caution when using electrotherapy at the same time as the patient is con-
nected to monitoring equipment with body worn electrodes. The stimulation might
WARNING! interfere with the signals to the monitoring equipment.
• People with implanted electronic equipment, such as pacemakers and intracardiac • Never open the battery cover during stimulation in order to avoid electrical shock.
defibrillators, must not be treated with TENS. • Turn off the stimulation before removing the electrodes from the skin. If an electrode
• Pregnant women should not be treated with TENS during the first trimester (12 comes off, turn off the stimulation before picking it up. Getting electrical stimulation
weeks). through the fingers is unpleasant but not harmful.
• Due to the location of the carotid arteries and the carotid bodies, do not stimulate the • Observe caution when stimulating in the immediate vicinity of cellular phones that are
front or sides of the neck, since a drop in blood pressure can occur. switched on, since this may affect the output power of the stimulator.
• Stimulation should not take place while the user is connected to high-frequency surgi- • Observe caution if you use the stimulator while driving, unintentional stimulation
cal equipment. It may cause burn injuries on the skin under the electrodes, as well as changes might extract focus from the driving and create a hazardous situation.
problems with the stimulator.
• Do not use the stimulator in the vicinity of shortwave or microwave therapy equip-
ment, since this may affect the output power of the stimulator.
• Keep the stimulator out of reach of children.
CAUTION
• Stimulate with precaution while treating angina pectoris.
• The electrodes are only to be placed on healthy skin. Avoid skin irritation by ensuring
that good contact is achieved between electrodes and skin.
• Do not place electrodes directly over the uterus or connect pairs of electrodes across
the abdomen if you are pregnant. The reason is that, theoretically, the current could
affect the foetus’s heart (although there are no reports of it being harmful).
• If skin irritation should occur, treatment should be temporarily discontinued. If prob-
lems continue, contact your health care provider. Hypersensitivity to tape and gel
can occur in isolated cases. The problem usually disappears when the tape or gel is
changed to another type.

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 Overview – Get to Know Your Stimulator
Buttons

1.
Turns the stimulator on and off.
Note! Can be used for terminating the stimulation at all times.
AUTO AUTO

2. P AUTOS AUTO
P StartsS the AUTO test mode.
Confirms the selected amplitude level in AUTO test mode.

3.
Decreases or increases the stimulation amplitude (intensity of the stimulation) for each channel.
1 Note! Always increase the amplitude cautiously.
also deactivates
AUTO AUTOthe key lock.

AUTO AUTO
P S
3 3 4. P S

Selects the training program.

AUTO AUTO

Also usedPfor pausing

S the program in progress.
3 3
5.
2 2 Selects stimulation for lower or upper body.

4 5

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 Overview – Get to Know Your Stimulator
1. 3. 4. 5. 3. 2.
Display Symbols

6. 7.

9.

10.
8.
11.
12. 12.

13. 13.

1. SETS 6. Program Number 11. WORK/REST

Total or remaining number of sets in selected Selected program number. See Program Description for Upper part flashes during work, lower part during rest
program. If SET is not displayed the bargraf illustrates further information. periods.
stimulation amplitude for left channel.
7. Level Number 12. AUTO STIMULATION MODE
2. REPS Intensity level. See Program Description for further Activated automatic amplitude setting. “AUTO” is flash-
Total or remaining number of repetitions in each set. information. ing during test mode and steady during stimulation.
If REP is not displayed, the bargraph illustrates 8. remaining Time 13. Amplitude Level
stimulation amplitude for right channel.
Remaining program time in minutes and seconds. Selected amplitude in mA (not shown in Auto stimula-
3. BROKEN CIRCUIT Time is flashing during timer setting, also counts down tion mode).
Indicates if the circuit (connection between the time for break between sets.
stimulator and electrode) is broken. For information about the symbols on the stimulator’s back,
9. BODY PART
For further information, see Trouble Shooting. Selected body part for stimulating, indicated by the see section Key to the Stimulator Symbols.
4. PAUSE filled body part.
The stimulation program is paused.
10. KEY LOCK
5. BATTERY STATUS Key lock is activated.
Empty batteries. This symbol is shown when the batter-
ies are almost empty.

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 Read this before Use Operationw
To reach your goal and get the most effective training the stimulation should Step-by-Step Use
feel strong but without pain. Since the body initially adapts to the selected 1. Connect the electrodes to a cable. 
intensity of the stimulation, it is necessary to adjust the amplitude gradually to
reach the optimal level of stimulation. 2. Attach the electrodes to your body.
Follow the recommendation in Electrode Placement Guide, at the end
CEFAR EASY TOUCH™ - AUTOMATIC AMPLITUDE SETTING (AUTO)
of this user manual.
By using CEFAR EASY TOUCH™ the amplitude is automatically set and adjusted
during the program, related to the result of the analyse in the TEST that is 3. Connect the cable to one of the stimulator’s two channels.
automatically done when you use the auto mode. 4. Press to turn the stimulator on.
To get the most effective training the amplitude increases gradually during the 5. Press to select the stimulation for muscles on upper or lower
program. You can leave auto mode any time by pressing the arrow buttons; body. AUTO AUTO

or . P S
AUTO AUTO

6. Press P until
S desired program number is shown.

AUTO AUTO AUTO AUTO More information about each program and its level is found in the section
P S P S Program Description.
Note! The program can only be changed or selected when the amplitude is
0.0 mA.
To start the training see ‘CEFAR EASY TOUCH™ – Automatic Amplitude Setting
(AUTO)’ (recommended) or ‘Manual Mode’.

CEFAR EASY TOUCH™ – Automatic Amplitude Setting (AUTO)

Prepare the equipment as described in Step-by-Step Use, step 1-6
7. Press AUTO AUTO to start the auto test.
P S
AUTO starts flashing and the amplitude increases gradually.
8. Press AUTO AUTO once again when you see the first visual muscle response.
P S

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 If you press AUTO too late, or want to start again for any reason, press and
hold the AUTO button for 2 seconds to start over.
9. The AUTO on the other channel starts flashing.
 · If you only use one channel: Wait a few seconds and the AUTO stops flas-
hing.
· If you use both channels: Press the other channel’s , to confirm
AUTO AUTO

the two channel use. The other channel’s auto testP starts.
S Repeat step 8 to

set the amplitude.

The amplitude is now optimized for you and the training program will start
after a few seconds. When the program is finished the timer flashes ”00:00”.
or can be used to increase or decrease stimulation amplitude at
any time until the stimulation feels pleasant, presumed that the key lock is
inactivated. If doing so, the Automatic Amplitude Setting is lost and the stimu-
AUTO AUTO AUTO AUTO
lator goes to Manual Amplitude Setting.
P S P S

Manual Amplitude Setting

Prepare the equipment as described in Step-by-Step Use, step 1-6
7. Press to set the amplitude and start the stimulation.
8. Increase or decrease the amplitude using and until you reach a
comfortable level. Always increase the amplitude cautiously.
AUTO AUTO

P S
When the program is finished the amplitude automatically returns to 0, and
AUTO AUTO AUTO AUTO

the timer flashes ”00:00”. P S P S

Note: Do not forget to set the amplitude for the Active Rest (in manual mode
only), see section Active Rest.

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 Program Guide Program Description
How to read the schedule:
CEFAR EASY TRAINING™ – Sets and Repetitions (Reps)
Programs that are physically straining consist of sets and repetitions (reps), 
just like the regular muscle training principle. Between each set there is a Program Name
break, and the timer counts down the remaining time until the next set starts. (P) Program number : (lvl) Training level
indicates if the training is in a work or rest phase, upper part flashes Program objective.
during work, lower part during rest.

Active Rest
In the training programs where the intensity is high enough for muscle contrac-
tions, there is stimulation between the contractions, so-called Active Rest. The
CEFAR MYO x2
stimulation should cause muscle vibrations. The aim is to keep the muscle
prepared for the next contraction and to decrease muscle soreness afterwards.
Warm Up
Note: Do not forget to set the amplitude for the Active Rest in manual mode.
P1 : lvl 1 P2 : lvl 2
In auto mode the amplitude adjusts automatically in Active Rest.
Prepares the muscle for exercise.
Levels
Some of the programs have 3 different levels: 1, 2 and 3. Use these levels
to gradually increase your training load. If you are not physically active, we Progressive Force
advice you to start with level 1 and gradually increase the level as you want to P3 : lvl 1 P4 : lvl 2 P5 : lvl 3
increase the workload.
Series of contractions that increase, then decrease, for strength
development.

Maximum Force
P6 : lvl 1 P7 : lvl 2 P8 : lvl 3
Strength training and developing muscle mass.

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 Explosive Force Active Recovery
P9 : lvl 1 P10 : lvl 2 P11 : lvl 3 P21
Increases the capacity for instantaneous maximum force. Increases the ability to regain muscular capacity after a workout.
10

Endurance Massage
P12 : lvl 1 P13 : lvl 2 P14 : lvl 3 P22
Improves the capacity for enduring a high workload over a pro- The comfortable vibrations increase circulation and help the mus-
longed period of time. cles to relax.

Resistance Force Drainage

P15 : lvl 1 P16 : lvl 2 P17 : lv 3 P23
Improves the capacity to develop a high level of force over a pro- The comfortable vibrations increase circulation and promote
longed period of time. elimination of toxins.

Capillarisation TENS Conventional

P18 : lvl 1 P19 : lvl 2 P24
Increases blood flow to the muscle. Offer effective pain relief. It can be used at anytime to soothe
pain.

Recovery TENS Endorphin

P20 P25
Improves circulation and elimination of lactic acid after a work- Offer effective pain relief.
out.

Note: The TENS program does not always treat the cause of the pain.
If the pain persists, seek medical advice.

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 CEFAR ACTIV x2 Recovery
P14
Warm Up Improves circulation and elimination of lactic acid after a work-
P1 out. 11
Prepares the muscle for exercise.
Drainage
P15
Toning The comfortable vibrations increase circulation and promote
P2 : lvl 1 P3 : lvl 2 P4 : lvl 3 elimination of toxins.
Maintaining muscle tone, ideal for people of all physical condi-
tions. Relaxing Massage
P16
Sculpting Causes a very effective de-contraction of the muscles.
P5 : lvl 1 P6 : lvl 2 P7 : lvl 3
Produces an intense workout comparable with regular strength
training sessions. TENS Conventional
P17
Stomach/Buttocks Offer effective pain relief. It can be used at anytime to soothe
P8 : lvl 1 P9 : lvl 2 P10 : lvl 3 pain.
A muscle-building program designed specifically for the abdomi-
nals and buttocks. TENS Endorphin
P18
Aerobic Offer effective pain relief.
P11 : lvl 1 P12 : lvl 2 P13 : lvl 3
Increases the aerobic capacity by long sub-maximal training ses- Note: The TENS program does not always treat the cause of the pain.
sions. If the pain persists, seek medical advice.

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 Key Lock 4. Replace the battery cover.
5. Dispose of the exhausted batteries according to local regulations.
The key lock activates, indicated by , if a stimulation program is active and
12 no buttons are pressed for 10 seconds. Care Instructions
Taking care of and cleaning CEFAR ACTIV X2 and CEFAR MYO X2 equipment is
1. To deactivate the keylock, press . simple, provided the following instructions are observed.
· Keep the stimulator and accessories in the original case when not in use.
Pausing the Program P
AUTO

S
AUTO

· Never expose the stimulator to water. Wipe with a damp cloth if necessary.
If key lock is on, press any of the DECREASE buttons
AUTO AUTO
to deactivate it. · The cables are best preserved if left attached to the stimulator between
1. Press P to pause
S the program. sessions.
AUTO AUTO

2. To resume the stimulation, press P once

S again.
AUTO AUTO
· Do not jerk cabels or connections.
P S

indicates that the program is paused and no amplitude is generated. If · The electrodes are re-moistened if necessary with a few drops of water and
the stimulator is paused more than 5 minutes it turns off automatically to save kept air-tight (in a plastic bag) on protective paper when they are not in
batteries. use.

Maintenance Trouble Shooting

Batteries The stimulation does not feel the same as usual
The in the display shows when it is recommended to replace the bat- · Check that all settings are correct and make sure that the electrodes are
teries. The batteries can still be used until the stimulation feels weaker or the correctly placed.
stimulator stops working.
· Slightly change the position of the electrodes.
1. Make sure the stimulator is switched off.
The stimulation feels unpleasant
2. Remove the battery cover, by sliding it downwards and then lifting it
· The skin is irritated. For advice on skin care, see section Precautionary
upwards.
Measures.
3. Change the batteries to new ones (type AA 1,5V). Make sure the
polarisation placement (+ and -) is correct.

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 · The electrodes begin to lose their stickiness and do not stick properly to the
skin. Moisten the adhesive surface with a few drops of water before placing Technical Data
on the skin.
CEFAR MYO X2 and CEFAR ACTIV X2 are electrical stimulators with two chan-
· The electrodes are worn out and need to be replaced. nels intended for muscle training and pain relief. They can deliver 100 mA of 13
· Slightly change the position of the electrodes. constant current through a resistance load of 1000 ohms. With a change in
load from 100 to 1000 ohms, the stimulation current changes less than 10 %
The stimulation feels weak or not at all from the set value. The stimulator operates on either two non-rechargeable 1.5
· Check if the batteries need to be replaced, see section Batteries. V AA batteries or two rechargeable 1.2 V AA batteries, recharged in a separate
charger.
· Electrodes are too old and need replacement.
Information Related to Electromagnetic Compatibility (EMC)
The broken circuit symbol is shown on the display CEFAR MYO X2 and CEFAR ACTIV X2 are designed to be used in typical
The broken circuit symbol indicates that the resistance is too high, or that a domestic or commercial environments and are approved according to the EMC
cable is broken. safety standard of EN 60601-1-2.
· A too high resistance can be caused by a bad connection between the elec- CEFAR MYO X2 and CEFAR ACTIV X2 emit very low levels in the radio fre-
trodes and your skin, or that the electrodes need to be replaced. quency (RF) interval. Therefore they are not likely to cause any interference in
nearby electronic equipment (radios, computers, telephones etc.).
· A cable breakage can be checked by pressing the cable’s pins against one
another while increasing the amplitude for the corresponding channel to CEFAR MYO X2 and CEFAR ACTIV X2 are designed to withstand foreseeable
11 mA. If the amplitude now drops to 0.0 mA and starts flashing, the cable disturbances originating from electrostatic discharges, mains supply magnetic
needs to be replaced. fields and radio frequency transmitters (such as mobile telephones).
Note! Never increase the amplitude above 20 mA when you check for cable
breaks, since this can damage the stimulator.

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 CEFAR MYO X2 & CEFAR ACTIV X2 Key to the Stimulator Symbols
Number of channels . . . . . . . . . . . . . . . . . . . . . . . . . 2
Constant current . . . . . . . . . . . . . . . . . . . . . . . . . . . . Up to a resistance of 1000 ohms
14 Stimulation current/channel . . . . . . . . . . . . . . . . . . . 0–100 mA Read the operating instructions before to use.
Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Symmetrical biphasic pulse,
100 % compensated
Number of preset programs
CEFAR MYO X2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Patient part type – Body Floating.
CEFAR ACTIV X2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Stimulation forms . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous stimulation:
Conventional
Modulated pulse duration Dispose of the worn-out stimulator in accordance with local and national
Modulated frequency regulations.
Intermittent stimulation:
Max pulse duration . . . . . . . . . . . . . . . . . . . . . . . . . . 350 μs One ore more of the following markings may appear on your device:
Max frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Hz
Environment for storage, use and shipping . . . . . . . . . Temperature 10 º C–40 ºC 0413
Air humidity 30 %–75 %
Air pressure 700 hPa–1060 hPa
Complies with the European Medical Device Directive (93/42/EEC).
Power source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 x 1.5 V AA non-rechargeable Notified body Intertek ETL Semko (0413).
or 2 x 1.2 V AA rechargeable
batteries
Current consumption for one
channel, 80 Hz, 30 mA . . . . . . . . . . . . . . . . . . . . . . . 150 mA Complies with UL 69050-1, SCA C22.2 No. 69050-1.
I r.m.s. max/channel . . . . . . . . . . . . . . . . . . . . . . . . . 11 mA Certification mark issued by SGS.
Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 x 50 x 30 mm
Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ca. 180 g
The stimulator has a two-year warranty against defects,
on condition that it is used correctly.

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