HomehealthCefarMed - Peristim Pro (Incontinence)

RSP: £269.99
Ex VAT: £229.78
(Price includes FREE UK Delivery)

Peristim Pro is an incontinence Stimulator with 7 Incontinence Programs for internal use with a vaginal and/or anal probe and 2 TeNS Programs for external treatment with surface electrodes

Vaginal Probe (Included in Pack)	Anal Probe RSP: £39.99 (Optional Extra)	Electrode (Included in Pack)

Incontinence Treatment with Peristim Pro
Electrical Stimulation via the pelvic nerves is a recognised treatment for Urinary Incontinence. It is also proposed as a treatment for Faecal Incontinence due to pelvic floor dysfunction or a poorly functioning anal sphincter.

When treating Stress Incontinence the aim of the electrical stimulator is to mirror a voluntary muscle contraction and improve the function of the pelvic floor muscles.

Urge Incontinence: The aim is to inhibit involuntary bladder contractions by stimulating the nerves in the pelvic floor.

Mixed Incontinence: Requires a stimulation appropriate for both Urge and Stress Incontinence

Faecal Incontinence: The aim is to improve bowel control by strengthening and toning pelvic floor muscles

Peristim Pro Incontinence Programs

Programs 1-3 Stress Incontinence
Program	Frequency	Pulse Width	Stim. Time	Rest Time	Treat. Time
P1	50 Hz	200 µs	3 sec	6 sec	30 min 3-5 times a week
P2	50 Hz	200 µs	5 sec	10 sec
P3	50 Hz	200 µs	10 sec	20 sec

One cause of stress incontinence can be poorly functioning perineal muscles. Electrical stimulation of the perineal muscles with a vaginal and/or anal probe makes the muscles contract. The contractions help to identify and strengthen the weakened muscles. The stimulation must be as strong as possible without being painful and it is helpful if the patient participates actively in the muscle contractions. The intensity should be sufficient enough to create a reflexive contraction of the anus. It is suggested that this training be combined with the patient's own exercises for pelvic floor muscles.

Programs 4-6 Mixed Incontinence
Program	Frequency	Pulse Width	Stim. Time	Rest Time	Treat. Time
P4	20 Hz	200 µs	3 sec	6 sec	30 min 3-5 times a week
P5	20 Hz	200 µs	5 sec	10 sec
P6	20 Hz	200 µs	10 sec	20 sec

These programs require a vaginal and/or anal probe for treating mixed incontinence. The stimulation should be as strong as possible without being painful. It is helpful if the patient participates actively in the muscle contractions.

Program 7 Urge Incontinence
Program	Frequency	Pulse Width	Stim. Time	Rest Time	Treat. Time
P7	10 Hz	180 µs	Continuous	-	30 min 2-5 times a week

Normally the bladder muscle is relaxed between evacuations. In certain kinds of urge incontinence, however, the bladder is unstable and sudden uncontrolled bladder contractions occur during the 'resting phase'. Urge incontinence can be treated with low-frequency constant stimulation, which has a relaxing effect on the overactive bladder. Program 8 is intended fror urge incontinence treatment and should be used with a vaginal and/or anal probe. The stimulation should be as strong as possible without being painful.

Programs 1-6 Faecal Incontinence
Program	Frequency	Pulse Width	Stim. Time	Rest Time	Treat. Time
P1	50 Hz	200 µs	3 sec	6 sec	30 mins 3-5 times a week
P2	50 Hz	200 µs	5 sec	10 sec
P3	50 Hz	200 µs	10 sec	20 sec
P4	20 Hz	200 µs	3 sec	6 sec
P5	20 Hz	200 µs	5 sec	10 sec
P6	20 Hz	200 µs	10 sec	20 sec

Faecal incontinence can be as a result of weakened pelvic floor muscles, weakened or poorly functioning anal sphincter muscles, or damage to the nerves controlling the anal sphincter muscles. In these cases electrical stimulation can be used, with an anal probe, to increase the tonus of the pelvic floor and the anal sphincter. The stimulation should be as strong as possible without being painful. The intensity should be sufficient enough to create a reflexive contraction of the anus. It is helpful if the patient participates actively in the muscle contractions.

Program 8 TeNS (High Frequency) Pain Relief
Program	Frequency	Pulse Width	Stim. Time	Rest Time	Treat. Time
P8	80 Hz	180 µs	Continuous	-	At least 30 min daily

High frequency TeNS stimulation is an effective treatment for relief of both acute and chronic pain. External stimulation, with surface electrodes, can be used for diagnosed pain conditions in the lower part of the abdomen, as in cystitis. The electrodes should be placed in the painful area over the pubic region.

Program 9 TeNS (Burst) Urinary Incontinence

Program

Frequency

Pulse Width

Stim. Time

Treat. Time

P9
Sacral Nerves Stimulation

2 Hz

180 µs

Cont.

At least 30 min. daily

P9
Acupuncture Point Stimulation

2 Hz

180 µs

Cont.

30 mins per session for at least 1 month. Start with 2-3 times a week and then reduce the treatment time.

Electrical stimulation for urinary incontinence is usually applied by a probe inserted in the vagina and/or anus. An alternative method is to use TeNS to stimulate areas of the skin that are innervated by the same spinal cord segment (S2-S3) as the bladder and urethra. The stimulation is applied through surface electrodes placed on the skin between the anus and the genitals, or alternatively in the lumbar region.

In treatment of incontinence where the sacral nerves are stimulated, the electrodes should be placed in the region of S2-S3 (see diagram). The stimulation should be strong enough to create a reflexive contraction of the anus.

Electrical stimulation of the posterior tibial nerve, via acupuncture points, has also proven to have a positive effect.

In treatment of incontinence where stimulation is applied over acupuncture points, the electrodes should be placed over SP6 and behind/beneath the medial malleolus (see diagram).

Programming Function: There are 3 Open Slots where you can create your own parameters for individual patients. You can also program either Continuous Stimulation or Intermittent Stimulation, and work and rest time.

Program Lock: To prevent changing the programs. Useful for Health Care Provider.

Key Lock: Activated if no key is pressed for 10 seconds. Deactivate by pressing left or right decrease button.

Program Pause: You can press P symbol during stimulation and pause the program. If channels are paused for more than 5 mintues the stimulator automatically turns off.

Compliance to Help you Monitor Unsupervised Use): There are two levels of compliance (1) usage time shown in hours and minutes (can be reset between patients) and (2) total usage time shown in week and hours (cannot be reset).

Large Back Lit Display: Ensures easy viewing.

Program Guide: Extensive easy to understand information covering different stimulation methods, example indications and electrode placement.

Timer: Option to change program time - up to 60 minutes.

Power Source: Comes with two 1.5 AA batteries. Can also run on rechargeable batteries. Replace battery icon will appear when batteries are almost empty. The stimulator turns off after 5 minutes of inactivity to spare batteries.

Cefar Warranty: 2 years.

Peristim Pro Contents:
1 x Stimulator
1 x Vaginal Probe
1 x 40 x 60 mm Originale Electrodes
2 x 1.5 v AA Batteries
1 x Neck Strap
1 x Belt Clip
1 x User Manual/Clinical Guide
1 x Storage Case

Program 9 TeNS (Burst) Urinary Incontinence
Program	Frequency	Pulse Width	Stim. Time	Treat. Time
P9 Sacral Nerves Stimulation	2 Hz	180 µs	Cont.	At least 30 min. daily
P9 Acupuncture Point Stimulation	2 Hz	180 µs	Cont.	30 mins per session for at least 1 month. Start with 2-3 times a week and then reduce the treatment time.