1. NuTek® Devices

2. New EMG\STIM Devices Maxi Plus 1 Levator Elite
1 Channel EMG
Levator Elite
1 Channel EMG \ 1 Channel STIM \ 1 Channel ETS
Maxi Plus 2
1 Channel EMG \ 2 Channel STIM \ 1 Channel ETS
Levator Mini
2 Channel STIM

3. New EMG\STIM Devices Colour dot matrix display and menu interface
Accurate ＆ sensitive
Auditory and visual EMG biofeedback signal
Portable and
user friendly
Convenient stand
Optional multilingual PC software with USB cable link to computer

4. Clinical Conditions FOR Clinical ＆ Home Use REHABILITATION CONTINENCE
SPORTS
CONTINENCE
REHABILITATION
PAIN RELIEF
FITNESS

5. What is EMG? EMG: Electromyograph
The measurement of electrical activity
that brings about muscle contractions.
Evaluating and training the muscles.

6. How To Measure EMG Clean the site of application of electrode ;
Place NuTek ® surface skin electrodes , vaginal or rectal probe at muscle belly;
NuTek ® device record muscle activity at rest;
NuTek ® device record muscle activity upon voluntary contraction of the muscle.
EMG Range: 0.2 to 2000 μV
Sensitivity: 0.1 μV

7. Display Type From NuTek ® EMG
STRONG MUSCLE CONTRACTION
threshold
threshold
WEAK MUSCLE CONTRACTION
Line graph
Bar graph

8. EMG Statistics From NuTek ® EMG
Work Average: the average value in microvolt of all the Work segments excluding the first second of each segment.
 Rest Average: as low as you can manage, below 6µV is acceptable while below 4µV is ideal.
Onset Time: most muscles contract within 1 second.
Relax Time: readings below 1 second are considered normal for most muscles.
Peak Value: working at peak value during the whole cycle of all the trials .
Muscle Deviation: the stability of the muscle.

9. 5/5/5 EMG Assessment 5/5/5 = 5 sec Work /5 sec Rest/ 5 Trials
Target: assess muscle condition and quantify the need for
further treatment

10. Fast Contraction/Relax
5 fast contractions ( 10 sec Rest at least before contraction)
Target: Evaluate or Training fast twitch fibre function

11. 10/10/5 Muscle Endurance 10/10/5 = 10 sec Work /10 sec Rest/ 5 Trials
Target: Evaluate or Training slow twitch fibre function

12. STIM: Electrical Stimulation
Waveform: Symmetrical
Stimulation cycle: required to prevent fatigue
Parameters Range
Programme time
1- 99mins
Phase type
W/R, CON
Phase time(m)
1- 99min
Frequency (Hz)
2-100 Hz
Pulse Width(μS) μS
Ramp down /up time (s)
sec
Work/Rest time (s)
1- 99 sec

13. STIM: Effects Produce substantial muscular tension.
Capable of increasing strength.
Used when limb is immobilized.
Also slows the onset of atrophy.

14. STIM: Clinical Conditions
Clinical mode
Frequency
[Hz]
Pulse Width
[µS]
Amplitude
[mA]
Continence
3-35
0-90
Sports
4-100
Rehabilitation
80-350
Fitness
4-60
Pain relief
2-100
Frequency: cycles per second
(1Hz= 1 cycle per second
50Hz=50 cycles per second)

15. What Is ETS ?
ETS (EMG + STIM)== Electromyography Triggered Stimulation
Actively participating in the training!

16. ETS Training Closed loop training system
Patient attempts a movement, at the same time, and
generates a EMG signal.
When reaching a preset threshold of EMG, it triggers
the stimulation and helps the patient complete the
movement.
Patient receives feedback about the movement and
learns how to produce a normal movement.
Goal
Helps the patient gain strength and awareness of
muscles affected by neurological injury.
Conditions known to respond to ETS
Stroke.
Pelvic floor conditions.

17. NuTek ® Software
Connect the device to the PC or Smartphone via the USB cable. This function is an optional extra and the user will need to purchase the NuTek® PC software, the USB connection cable to the PC or the Bluetooth module . The Smartphone function is realized by communicating with Bluetooth module.

18. Patients Data : Choose Patient Firstly, Select Patient
The list of finished sessions of the selected patient

19. Available Protocol Session: One
Open Display
it is for EMG only and advised to be used as a diagnosis tool.
1. Select Open Display
2. Complete Open Display sessions
3. View statistic
4. View graph

20. Available Protocol Session: Two
Work/Rest Assessment And Training
Those are for EMG only
Assessment is advised to be used by therapist evaluating muscle condition.
Training is advised to be used for patient daily exercise

21. Available Protocol Session: Three
Nu-Tek Control
It is used for ETS or STIM controlled by the device.
When the patient observes their EMG reaching the threshold, it triggers stimulation and encourage the patient to contract longer and reach higher threshold level faster.

22. Available Protocol Session: Four
1. Draw the line, it can be repeated
Available Protocol Session : Three
2. Save the template
3. Template training:
Patient should follow the line by his/her EMG

23. Home Reports
Using the PC Software, The recorded data can be uploaded to PC, create the home report. On the Report, the data of first and last day are display, the EMG, ETS ,STIM data can be compared day by day. This functionality is especially useful if the Patient exercises day by day at home and comes periodically to the Doctor/Clinician.

24. NuTek Control Reports
Note Icons
The recorded data is generated by NuTek Control, it stores daily EMG/STIM/ETS statistics, the statistics are organized in Monthly and Daily Report in the PC Software.

25. Clinical Progress Reports
Clinical progress reports are composed of Work/Rest assessment on PC and in device Using the PC Software, The Doctor/Clinician can select the recorded sessions for the selected Patient and create the Clinical Progress Reports. On the Report the EMG data can be compared day by day. This functionality is especially useful if the Patient exercises day by day at home and comes periodically to the Doctor/Clinician for evaluating patient conditions.

26. Other Function: Precription
Periodically the doctor or therapist will be able to download newly developed programmes for Muscle Stimulation, EMG Biofeedback and EMG- TRIGGERED STIMULATION. This helps this unique product to keep abreast of any clinical trials where the conclusion is that a specific programme or programme set may assist in enhancing the treatment .

27. Other Function: Forgotten Password
If you forget your password, you have to answer your secret questions to retrieve it