BEMER-SET CLASSICA and PRO User Manual Oct 2017

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Contents Congratulations on the purchase of your new BEMER set. These high quality products are manufactured with the greatest care and meet our high quality standards, as well as the international production standards for medical products. Not only is this product of the highest quality, it is also user friendly with optimal functionality determined by our satisfied customers over the past 10 years.

manufacturer: bemer int. ag Austrasse 15 // 9495 Triesen Liechtenstein www.bemergroup.com

Delivery contents

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Default settings – B.BOX Classic

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Foreword

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Display – B.BOX Professional

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Safety instructions

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Applications – B.BOX Professional

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Intended use

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Default settings – using the B.BOX Professional

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Contraindications

9

Updates

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Precautions

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B.SCAN

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User information

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Rechargeable battery – B.BOX

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Basic plan

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Wall mount assembly

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General information

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Cleaning

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Examples of application

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Maintenance

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Connections – B.BOX

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Proper disposal

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Start-up procedure – B.BOX

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Troubleshooting

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Connection – applicator module

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Technical data

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Display – B.BOX Classic

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Manufacturer‘s declaration of conformity

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Applications – B.BOX Classic

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Warranty

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Delivery contents – Classic Set* [Art. No. 410100]

Delivery contents – Pro-Set* [Art. No. 410200]

applicators

B.BOX Classic (control unit with multifunctional display)

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applicators

B.BODY Classic (applicator module for full body application)

[Art. No. 430100]

B.BODY Professional (applicator module for full body application)

[Art. No. 430200]

B.GRIP (holder module for B.SPOT/B.LIGHT)

[Art. No. 431000]

B.GRIP (holder module for B.SPOT and B.LIGHT)

[Art. No. 431000]

B.SPOT (applicator module for targeted application)

[Art. No. 431100]

B.SPOT (applicator module for targeted application)

[Art. No. 431100]

B.SCAN (scanning module for functional checks)

[Art. No. 450100]

B.LIGHT (applicator module for light application)

[Art. No. 431200]

B.PAD (flexible applicator module for small surface application)

[Art. No. 430300]

B.SCAN (scanning module for functional checks)

[Art. No. 450100]

ACCESSORIES INCLUDED

Art. No. 420100

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Power pack B.BOX

[Art. No. 440100]

Attachment belt (B.GRIP)

[Art. No. 450700]

Attachment belt (B.BODY)

[Art. No. 450800]

* Please check the delivery contents for completeness. Please note which set you have purchased.

ACCESSORIES INCLUDED

Art. No. 420200

B.BOX Professional (control unit with multitouch display)

Wall mount

[Art. No. 450200]

Foot protection

[Art. No. 450500]

Protective goggles

[Art. No. 450600]

[Art. No. Power pack B.BOX 440100]

Attachment belt (B.GRIP)

[Art. No. 450700]

Vehicle connection cable

Attachment belt (B.BODY)

[Art. No. 450800]

[Art. No. 440300]

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Foreword Symbols found in the operating instructions Warning/Caution – Failure to observe may result in injuries or property damage. Eye protection – Failure to observe may result in eye injuries. Proper disposal Tip Manufacturer CE conformity according to applicable standards Identification number of notified body

This instruction manual applies to this general wellness product (“BEMER”). It contains important information for usage and operation. Read these instructions completely. Non-observance of these instructions may lead to injury of the user or damage to the unit. You also will be given a brief introduction to BEMER by one of our representatives. BEMER is intended for general enhancement of blood flow, enhancement of cardiac functions, and better nutrient/oxygen supply and waste disposal, thereby promoting the improvement of users’ quality of life. The application of BEMER technology therefore offers a wide range of application possibilities with very good supportive effects to enhance quality of life and physical fitness.

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Safety instructions Product symbols CE conformity according to applicable standards Identification number of notified body Proper disposal Manufacturer Please refer to the user manual Protection class Product is protection class II Application part type Application part is type BF Serial number

BEMER products are manufactured according to the latest technology and are safe to operate. Nevertheless, hazards may result from the use of this product. This is particularly the case when insufficiently trained personnel are operating the product, or should the product be used inappropriately and not according to manufacturer's instructions. Make sure that you have completely read and understood the instruction manual. If you have any questions, do not hesitate to contact us. Consult with your physician before using BEMER products if you are under medical care, especially if you are suffering from cardiac diseases. If you experience adverse reactions, stop using BEMER products and consult your physician.

• Direct contact of the product and its applicator modules is only permissible on undamaged, healthy skin.

Eye protection – Failure to observe may result in eye injuries.

• Before you connect the BEMER product to the power supply, please make sure

Refer to instruction manual/booklet

• The power cable and power plug must be in their original, undamaged condition.

that the power supply is identical to that of the B.BOX power pack supply. Immediately replace any damaged parts!

• Make sure to unplug the power plug when cleaning! 6

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• Do not misuse BEMER products! The products may not be used for any purposes other than those mentioned here.

• Always keep BEMER products in proper working order! • Only use approved BEMER accessories. • Please check BEMER products on a regular basis for damage. Immediately replace any damaged parts!

• Please read the user information. • BEMER products may only be used on a stable, non-yielding surface (e.g., floor, sofa, bed, table).

• BEMER products are not toys.

Keep products out of reach of children and pets.

• When using, please make sure that the applicators' connection cables are arranged in such a way that there can be no strangulation or restriction of breathing.

• Prior to somebody else using the product, the unit and

• Local laws and regulations must be observed by professional users. • Particularly in patients with a known sensitivity to the carotid sinus reflex, stimulation should not be applied over the carotid sinus nerves.

• Stimulation should not be applied over infected, or inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis, varicose veins, etc.

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Intended use

Contraindications

BEMER is intended to maintain or encourage a general state of health by:

The following absolute contraindications must be observed:

• Enhancing general blood flow, thus providing

nutrient distribution and enhanced elimination of metabolic products

• Immunosuppressive therapy as a consequence of organ transplantation

• Immunosuppressive therapy as a consequence of allogeneic cellular transplantations or bone marrow stem cell transplantation

• Enhancing cardiac function • Enhancing physical fitness and endurance • Enhancing body strength and energy level • Stimulating healthy muscles in order to improve

• Other conditions often requiring immunosuppressive therapy;

• Reducing stress and achieving relaxation • Enhancing quality of life

• For safety reasons, BEMER application may not be applied in

and facilitate muscle performance

however, autoimmune diseases or dermatological diseases, are not contraindications to BEMER application

• During pregnancy, BEMER application must be discussed with the treating physician before use

combination with anticoagulant therapy with Rivaroxaban (Xarelto®)

• Do not use this product if you have a diagnosed Deep Vein Thrombosis (DVT)

its components must be cleaned.

• Be careful when opening or closing the tilt mechanism of the instrument (see chapter Connections – B.BOX).

• Do not modify this equipment without authorization from the manufacturer.

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BEMER products may not be used for any purpose other than that described in this chapter. Use of the product beyond that which has been specified is considered contrary to the intended purpose. The manufacturer is not responsible for any damage resulting from improper use. The user is solely responsible for any risks. The BEMER can only be used by adult users. This system is not intended to be used by users with restricted physical, sensory or mental capabilities or lack of experience and/or knowledge, unless they are supervised by a person responsible for their safety, or receive instructions from someone on how to use the product.

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Warnings In case of the following conditions, it is strongly recommended that you consult a physician prior to using BEMER application:

• Fever of unknown origin • Infectious diseases • Severe cardiac rhythm disorders and active implants such as

• Particularly with individuals with a known sensitivity to the carotid sinus reflex, stimulation should not be applied over the carotid sinus nerves (both sides of the neck)

• Caution should be used for patients with insulin pumps, implant-

ed defibrillators, or other implanted metallic or electronic devices.

cardiac pacemakers

• Severe psychoses • Non-controlled seizure disorders (e.g. epilepsy)

• Long-term use of -receptor antagonists (BETA blockers) • Long-term use of corticoid agents (corticosteroid drugs) • Long-term use of cumarin derivatives (Warfarin/Coumadin) • Other pharmacological agents such as non-steroidal drugs (diclofenac) or anti-hypertensive drugs (calcium antagonists and angiotensin-receptor-antagonists) are not known to interact with BEMER application.

• Tumor diseases or other serious diseases that require ongoing medical treatment and/or medication.

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Precautions

• Complaints, symptoms or diseases must be clarified by a physician prior to the use of BEMER application.

• Prescribed medications may only be altered after consulting the treating physician.

• In users who regularly take blood thinning or clotting inhibitor medications, close monitoring of the clotting factors by the treating physician is strongly recommended before starting BEMER application. BEMER application may intensify or weaken the effect of such drugs. As an exception to this general recommendation, anticoagulant therapy with Rivaroxaban (Xarelto) is a contraindication. Please refer to the contraindications (see Page 9).

• In case of questions regarding BEMER application, the treating

• In general, the use of BEMER application on users with active implants must be discussed with the treating physician. The electromagnetic fields used in BEMER products cannot cause faults in pacemakers or defibrillators, provided that such products comply with applicable standards and are used in accordance with the respective instructions for use. For safety reasons, users with active implants should consult their treating physician before using BEMER technology.

• BEMER application is an important complementary option

• Caution should be used in the presence of the following: a. When there is a tendency to hemorrhage following acute trauma or fracture b. Following recent surgical procedures where muscle contraction may disrupt the healing process c. Over the menstruating or pregnant uterus d. Over areas of the skin lacking normal sensatio e. Cardiac rhythm disorders such as atrial fibrillation

and is not intended to replace other medical treatments.

• Some patients may experience skin irritation or hypersensitivity due to the electromagnetic stimulation.

• BEMER devices should be kept out of the reach of children.

physician is advised to contact BEMER medical support.

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User information These operating instructions contain important information. Keep them close to your product in order to inform yourself about safety instructions as well as proper handling. Please read the operating instructions very care­fully before using the product. This way, you can be assured that you benefit from all advantages that this system has to offer and protect yourself and others from harm. The BEMER products are designated only for the described, intended use according to the operating instructions.

Application principles 1. general full body application The standard general full body application is carried out with the applicator module B.BODY* using a maximum average intensity of 35 μT, which corresponds to the basic plan (BP) and is used for the general improvement of the overall physical well­being of the body. B.BODY is the standard applicator module used for the basic plan, and has the same positive effect regardless which side of the mat you choose to use. The body position on the B.BODY * should be in the middle of the mat. It does not matter if the head, legs, or both, of taller users extend beyond the edges of the mat. You will recognize the head area of the B.BODY from the connection cable. For use with the Sleep Program, the B.BODY can be installed in the bed with the help of the attachment belt (on page 27).

2. targeted application The additional applicator modules B.SPOT and B.PAD are intended for targeted and intensive application of individual body parts, working with a maximum flux density of 100 μT. The targeted application should follow the application of the basic plan and should be applied to shoulder, waist, back and lower extremities.

 .PAD is an intensively active applicator module for targeted, B small surface application on individual body parts. The B.PAD is especially attractive because of its flexibility, and can be attached with the help of a Velcro fastener strap to nearly every conceivable part of the body. The B.PAD can provide a particularly valuable services when used on disabled or mobility-impaired individuals.

B.SPOT is an intensively active applicator module for use in localized and targeted application. B.SPOT is attached to the universal B.GRIP holder and held on the body area to be treated. Alternatively, the holder and applicator module can also be attached to the part of the body in need of application using the attachment strap provided.

The B.LIGHT module can be used for superficial cosmetic application. The light-emitting diodes create a monochromatic and highly effective photobiological red light. This stimulates the skin and connective tissue cells to produce additional energyrich compounds. The effect of the B.LIGHT is comparable to the effect of cold laser applications.

People with limited physical movements may be “covered” by the B.BODY *, which they can use in either a sitting or lying position.

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* Applies to the B.BODY Classic and B.BODY Professional.

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Special safety instructions for the B.LIGHT

• It is recommended that all skin diseases caused by bacteria or fungi, as well as light allergies and phototoxic reactions, be treated by a physician.

• Light emitted by the LEDs may not be pointed directly into the eyes. Use protective goggles provided!

• Anybody in the vicinity of the B.Light should not look directly at the flashing LEDs.

• Do not use any sharp-edged or pointed objects to clean the B.LIGHT.

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Frequency of application 3. programs and intensity levels The B.BOX Classic and B.BOX Professional offer 10 different intensity levels and three predefined programs. The intensity levels are applied during the generalized full body application according to the basic plan, while the programs P1-P3 are carried out in a step-by-step manner (increasing in intensity over time) within the scope of the targeted application. The existing, predefined programs cover the wide range of application requirements needed for daily use.

 Whenever possible, the BEMER application should be carried out on a daily basis. Intermittent applications will result in a lessened effect and longer application durations.  There is no hard and fast rule for the distribution of applications throughout the day. It depends on the goal and the situation of the individual user.

• We recommend one to two applications during the day, as well as the application of the Sleep Program for prevention, maintaining overall health, and supporting the body's performance.

• For application of BEMER in acute cases, we recommend delivering applications more frequently.

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• Overdosing or habituation effects of the BEMER system are not known.

• At home, applications can be customized according to the individual’s situation and needs. If possible, an application should be performed both in the morning and in the evening. Applications would be similar to those at a physician's office or therapeutic practice, where double applications are recommended.

• At the physician's office, it is possible to have only one applica-

tion per day. Usually this consists of an application with the B.BODY, and when necessary, this is immediately followed by application with a special applicator module for localized application (double application).

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Basic plan Practical tips for application The effects of the specific signal configuration are scientifically proven and essentially independent of external influences. Nevertheless, the effects of the application can be optimized by these few suggestions into consideration:

• Make sure you find a comfortable position. • Avoid wearing tight or constrictive clothing. • Choose a room with a comfortable temperature for your application.

• Avoid stress or distraction. • Abstain from coffee or tea before application. • Refrain from smoking cigars, pipes or cigarettes before application.

• Drink a glass of still (non-sparkling) mineral water before and after application.

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The basic plan is aimed at the optimal support of regulatory mechanisms with the corresponding positive physiological effects. This is the basis of the application with the BEMER products and defines the application standard. The basic plan application (BP application) with the B.BODY should generally be carried out 2x daily. Each session has a duration of 8 minutes (see “Short applications” for B.BOX Classic described on page 33, for B.BOX Pro described on page 43).

cycle 1 week 1

week 2

week 3

week 4

week 5

week 6

morning

Level 1 plus

Level 2 plus

Level 3 plus

Level 4 plus

Level 5 plus

Level 6 plus

evening

Level 1

Level 2

Level 3

Level 4

Level 5

Level 6

-

-

-

-

-

-

night

The first cycle lasts 6 weeks, and the following ones only 4 weeks. Begin with level 1 and increase by one level each week until level 6 is reached. From the 7th week onward, begin the new cycle starting with level 3.

cycle 2 (and each following cycle) week 7

week 8

week 9

week 10

morning

Level 3 plus

Level 4 plus

Level 5 plus

Level 6 plus

evening

Level 3

Level 4

Level 5

Level 6

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-

-

-

night

Basic plan (application using the B.BODY*)

* Applies to the B.BODY Classic and B.BODY Professional.

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Programs on the control unit The predefined program settings were specially developed for the use of local applicators (B.SPOT, B.PAD, B.SIT) so that an additional impulse can be delivered locally. Local application is not a sufficient replacement for the Basic Plan. Use the local application two or three times per day, beginning with P1, and change after two or three days to P2. The aim is not to get to P2; if you feel uncomfortable with P2, dial back to P1.

program

duration

penetration depth into the body

Sleep Program

Individual BEMER consultation

The Sleep Program supports of the regeneration process during sleep. This is of major importance, especially for individuals who are undergoing rehabilitation and those persons who are elderly.

8 min.

Low intensity for superficial applications

Before going to bed, the sleep program is activated on the control unit. It will automatically send a predefined signal during the first 2 and last 2 hours of sleep.

If you still have questions or are uncertain, please contact your treating physician. For general BEMER product support, visit: www.support.bemergroup.com

P1

Recommended for home use

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For general BEMER product support, contact: [email protected] The BEMER user hotline is available at: [email protected]

P2

Recommended for health care facilities

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16 min.

Medium intensity for moderate to deeper applications

20 min.

Strong intensity for the deepest penetration

P1-P2 for daily users

The more chronic (the less recent) the occurrence, the lower the program level at which you should begin application. The more acute (the more recent) the occurrence, the higher you can begin.

P3 P3 for active athletes

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General information Both the basic plan and all other application suggestions are based on many years of experience. This experience has also proven that regular applications are more important than the optimal choice of intensity. Successful results are achieved most quickly through regular application. However, the duration of the applications depends on the difficulty of the case and how long the body's own regulatory systems have been impaired.

By means of a weak, pulsating and special multidimensional signal configuration of generated electromagnetic fields, BEMER products are suitable to enhance cardiac function and blood flow in living organisms. The result is an enhanced blood flow providing an improved distribution of nutrients to the body and enhanced elimination of metabolic products. The BEMER technology can be used to support prevention and to enhance physical fitness.

The older/more ill the user, the lower the intensity levels that should be used. See programs on the control unit.

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Examples of application

B.SCAN The B.BOX has an integrated test unit for checking the performance of your applicator module.

B.BODY Classic/B.BODY Professional Applicator module for full body application.

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B.GRIP Multi-functional grip for B.SPOT and B.LIGHT.

B.SPOT

B.LIGHT

B.SPOT Flexible, portable applicator module for targeted application.

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Examples of application

NAL ESSIO Y PROF B.BOD

B.SPOT

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B.LIGHT

B.LIGHT The BEMER Signal is an innovative, supportive applicator module with complex effects for application using photobiologically effective light.

Attachment belt (B.BODY) For attaching the B.BODY onto all standard mattresses and ensuring additional hygiene. Made from extremely stretchable and heavy-duty material.

B.PAD Handy, flexible and universally mobile. This applicator module is made for small surface application on specifically targeted areas of the body.

Wall mount A wall mount for easy fixation of the B.BOX – for example, on the wall next to a double bed.

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Connections – B.BOX

1 2

3

1

Memory card slot

2

Communication interface1 2

3

Connections for the applicator modules (A1 and A2)

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Position 1 and position 2, recommended for table application at different angles.

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The plug on the power cord is the AC mains connection cable and must remain readily operable. To completely disconnect this apparatus from the AC mains, disconnect the power supply cord plug from the AC receptacle. Turn the B.BOX over and connect it to the adapter. Place the product on a stable surface and plug the adapter into the power supply.

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Start-up procedure – B.BOX

Maintenance interface1

Basic position, recommended when using the wall mount.

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Use only approved BEMER accessories. Suitable for software updates and approved BEMER accessories.

2

Applies for B.BOX Professional only.

A short press on the power button switches the product on, and a longer press will switch it off. After 2 minutes of inactivity, the control unit will automatically switch off.

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Connection – Applicator modules Connection of applicator modules The two ports, A1 and A2, are available for connecting the applicator modules. These are not specifically assigned, which means that they can connect any applicator module with any port.

The magnetic plug prevents incorrect connection of the applicator modules.

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Display – B.BOX Classic

2

3

4

5

1

plus Signal (if active)

Troubleshooting (if available)

2

Signal intensity (if active HIGH/LOW, only with B.PAD)

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Volume (in current setting)

3

Info line

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Rechargeable battery (state of charge)

4

10

Power supply operation (when plugged in)

Applicator (lit when connected, blinks when selected)

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Menu navigation “Settings”

Signal (with ongoing application)

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Memory card (if inserted)

6

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A1-A2

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7

A1

8

A2 11

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Applications – B.BOX Classic Short application (intensity levels 1-10)

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• Choose the desired intensity by pressing the numbers 1-10.

• Designate the desired applicator module [A1/A2] by repeatedly pressing [SET].

• Activate/deactivate the plus Signal by pressing the left arrow key.

• Start the short application with

After selecting the desired application, press the left arrow key to switch the plus Signal on/off.

[START/STOP]. Simultaneous operation is only possible with 2 B.BODY applicator modules connected (both using the same duration and intensity).

Example – Short application at intensity 6 (2 B.BODY applicator modules connected, port A1 selected) The selected applicator module will blink both during selection and during application use.

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Program selection

• Select the desired program by using the keys [P1], [P2] or [P3].

• Designate the desired applicator module [A1/A2] by repeatedly pressing the key [SET].

Application using the memory card

• Activate/deactivate the plus Signal by pressing the left arrow key.

• Start the application with the key [START/STOP].

The memory card is not standard equipment. Please refer to your local BEMER partner or BEMER support for more information.

• Slide the memory card into the card slot. • Designate the desired applicator module

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The card must be removed again for short or program applications.

[A1/A2] by repeatedly pressing the key [SET].

• Activate/deactivate the plus Signal by pressing the left arrow key.

• Start the program with [START/STOP].

Example – Program P2 (2 B.PAD applicator modules connected, port A1 selected)

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Example – Application using memory card (2 B.BODY applicator modules connected, port A1 selected)

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Special application – Sleep Program

• Activate the Sleep Program by pressing

• Designate the desired application

the [S] key. 7:00 appears on the display (= 7 hours).

module [A1/A2] by repeatedly pressing [SET].

• Select the desired duration (6, 7 or 8 hours).

• Start the program with

The display screen will fade after 90 seconds, so as not to disrupt your sleep. It can be reactivated at any time by pressing any key once.

[START/STOP].

Light application

• Designate the applicator module [A1/A2], by repeatedly pressing the [SET] key.

• Select the desired light intensity by selecting a number from [1] through [10].

• Start the program with [START/STOP].

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Begin the light application at intensity 6 (for 2 mins) and increase by one intensity level every 2-3 days, and increase the length of use by 2 minutes. The duration of the application at level 10 is usually over 8 minutes. However, for those with very sensitive skin, lower intensity levels can also be selected.

Always use the safety glasses supplied!

Example – Sleep Program (2 B.BODY applicator modules connected, both simultaneously in operation)

Example – using light application (B.LIGHT connected on port A2) Please note that the set intensity level (only for B.BOX Classic) will not switch off automatically after 2, 4 or 6 minutes. You must stop application manually at the proper time according to the recommended application times listed above.

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Default settings – application parameters/basic settings – B.BOX Classic The parameters [PLUS] and [INTENSITY] can be adjusted to become the default setting in the settings menu. To access this menu, press and hold down the [SET] key. You can select the parameters [PLUS] or [INTENSITY] by using the arrow keys. To exit the menu, select [EXIT] with the arrow keys and confirm with the [SET] key. Setting the plus Signal as default

• In the settings menu, select the menu item [PLUS] with the arrow keys and confirm with [SET].

• By using the arrow keys, the plus Signal can be switched on/off.

• Once the selection has been made,

Default setting signal intensity (only with the B.PAD)

Setting the signal volume

• Press and hold down the [SET] key to activate the settings menu.

While traveling, the B.PAD can be used as a substitute for the B.BODY by reducing the intensity to [LOW].

• With the arrow keys, select [VOLUME]

• Select the menu item [INT] in the settings

• Then choose the desired signal volume

menu using the arrow keys and confirm with [SET].

• Using the arrow keys, you can choose between [HIGH] (high intensity) and [LOW] (low intensity).

and confirm with [SET].

Setting the display brightness

• Press and hold down the [SET] key to

To access the system information

• Set the desired brightness by using

activate the settings menu.

the arrow keys.

and confirm with [SET].

The display brightness corresponds to the current selection.

• Using the arrow keys, select [Display]

• Confirm selection with [SET].

by using the arrow keys.

• Press and hold down the [SET] key to activate the settings menu.

• Select the menu item [INFO] by using the arrow keys and confirm with [SET].

• Now continue to your selection by using the arrow keys.

The selection will always be acknowledged with a signal at the chosen volume.

• Confirm selection with [SET].

• Once the selection has been made, confirm with [SET].

Example – settings VOLUME

confirm with [SET]. Now the plus Signal has been switched on or off.

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