NESA® Non-Invasive Neuromodulation Medical Technology
do you consider important fundamental primordial the nervious system of your patients?
Would you like to optimize your vegetative nervous system?
Find out below the technical characteristics and the possibility of treatments with non-invasive NESA® neuromodulation
NESA XSIGNAL® Neuromodulator
The NESA XSIGNAL® neuromodulator is a microcurrent emitter that runs it through 25 superficial electrodes that connect to different peripheral nerves with low impedance.
Physical characteristics:
- class II equipment
CE0051 - frequencies: 1hz to 15hz
- Intensity: 3V – 6V
- Amperage: 0.1 to 0.9 ma
- Case: Steel
- Dimensions in mm: 157.5 (L) x 110 (w) x 45.5 (h)
- equipment weight: 1.2kg Approx.
- Number of emitting electrodes: 24
- Number of aiming electrodes: 1
- autonomous battery: 6000 mA battery is about 8 hours.
- Power supply: 5V 1A
- Impulse: Biphasic and monophasic alternating.
Accessories included with the NESA XSIGNAL neuromodulator:
4 Types:
- Ref: C0005 Long CEXT-N Extender Cable (Left foot, yellow color)
- Ref: C0006 Long CEXT-N Extender Cable (Right foot, green color)
- Ref: C0007 Long CEXT-N Extender Cable (Left hand, blue color)
- Ref: C0008 Long CEXT-N Extender Cable (Left hand, red color)
Characteristic:
Length: 2 meters long
Connectors: Disconnection security system. Each button connection (snap button) is numerically color coded.
Frequent questions
Can they be disconnected during the session?
Yes, they can be disconnected, for example to change the position of the patient without turning off the device. It is perfectly viable, as long as you are only disconnected for a short period of time,
What happens if I make the wrong colors in the connectors?
In this case it cannot happen, the connectors are color coded, that is to say that they can only fit in their respective colors.
4 Types:
- Ref: C0009 Long CEXT-N Extender Cable (Left foot, yellow color)
- Ref: C0010 Long CEXT-N Extender Cable (Right foot, green color)
- Ref: C0011 Long CEXT-N Extender Cable (Left hand, blue color)
- Ref: C0012 Long CEXT-N Extender Cable (Left hand, red color)
Characteristic:
Length: 30 centimeters long
connectors: Disconnection security system. Each button connection (snap button) is numerically color coded.
emitters: 6 emitters of microcurrent electrical impulses.
FAQ
Can they be disconnected during the session?
Yes, they can be disconnected, for example to change the patient's position without turning off the device or to go to the service for a moment. It is perfectly viable, as long as you are only disconnected for a short period of time.
What happens if I make the wrong colors in the connectors?
We recommend checking the connectors before starting the session with the patient, the cables go with their respective colors, and the indications are also indicated in three more places, the chassis of the XSIGNAL® device, the instruction manual and the training manual. Aside from the pre-install instructional videos on the included tablet.
If still, the patient would get no clinical benefit or may have an adverse effect such as headache or tiredness for a short period of time. The best thing is not to make mistakes with the colors.
What happens if I make the wrong color on the glove and anklet connection buttons?
We recommend checking the connectors placed on the hands and feet before starting the session with the patient, the extension connectors hook/fit into the caps with their respective colors, and the indications are also indicated in three more places, in the instructional videos prior to the installation that is in the tablet included, in the instruction manual and in the training manual. Aside from the pre-install instructional videos on the included tablet.
If still, the patient would get no clinical benefit or may have an adverse effect such as headache or tiredness for a short period of time. The best thing is not to make mistakes with the colors.
*If you have made a mistake, we recommend using the pick to unhook the gloves and anklets.
- Ref: C0013 GDCN addressing cable
- Length: 2 meters
Frequent questions
What if you didn't connect the routing cable?
The treatment simply wouldn't work. It would be a failed treatment, nothing would happen.
Where do I place the lead wire to the patient?
there is a NESA® non-invasive neuromodulation training and a clinical guidelines campus which is included when acquiring NESA XSIGNAL®, where the variety of treatment possibilities is taught, based on clinical reasoning and neuroanatomy.
There are three main types of treatment that you can see in the following link:
- Ref: ACC0001 Adult dermal disposable guiding electrodes (ECG) 50 units (HenrySchein) Cl/Ag
- Ref: ACC0002 Pediatric dermal disposable guiding electrodes (ECG) 50 units (HenrySchein) Cl/Ag
32mm Adult
26mm Pediatric
Frequent questions
Can you use the disposable electrode more than once?
It is not recommended to use the disposable electrode more than once, it is essential that they have a good adherence and that they have all the gel for correct transmission.
What should I do if the disposable electrode has caused me allergy or pruritus?
Look closely if you are previously allergic to AgCl (Silver Chloride). If it has generated some type of reaction, buy different ECG (Electrocardiogram) electrodes from several commercial brands for those patients who suffer a reaction to AgCl, because not all brands are made of the same compounds.
Compressive models
- Ref: GT0002 Size S
- Ref: GT0003 Size M
- Ref: GT0004 Size S
Elastene models
- Ref: GT0005 Size XS1
- Ref: GT0006 Size XS2
- Ref: GT0007 Size S
- Ref: GT0008 Size M
- Ref: GT0009 Size L
- Ref: GT0010 Size XL
Frequent questions
How do you wash gloves and anklets?
They can be washed at 30 Cº (warm water) in a bag in the washing machine. Also soak in neutral soap in lukewarm water.
How long do the gloves and anklets last?
Compressives last an average of 12 to 18 months with a daily use of 6 to 8 hours. The elastene ones last an average of 6 to 8 months with a daily use of 6 to 8 hours.
Can compression and elastane be used on different extremities?
Yes, in fact, it is best to use compressive pads on your hands and elastane pads on your feet, since they are more comfortable to apply on a daily basis.
- Ref: ACC0009
Power supply: 5V 1A
CE Sanitary
Input: 100 -240V
50-60Hz
0.3A
Output: +5V
2A
International Adapters
Frequent questions
Can the power supply be used abroad?
Yes, no problem. There are a few adapters included.
Can I use another power supply other than the one that is included?
No, only the included power supply can be used. Because it is approved as a "Medical device". Failure to do so may break the technology and the consequent repair would not be included in the warranty.
- Ref: XS0003
Polypropylene
Made of Polystyrene | Anthracite
Laser Die Cutting Laser Marking JK HD | Front + Base
Black PVC Cover | 5mm. | Machining | UV printing
White MKT Timer + Personalization. Plexiglas identifier
Frequent questions
Is it recommended to transport the NESA XSIGNAL®?
Yes, but for long trips. For short trips, we recommend taking the XSIGNAL® transport backpack
- Ref: ACC0007
- Made of 600D Polyester 330g./m2
- Dimensions: 360*460*180mm
- Anti-humidity treatment.
- Polystyrene Black D40 | 40+10mm | laser cutting
- Thermo Printing WH | Exterior
- Thermo Printing WH | Inside
- Handle seam reinforcement
Frequent questions
Is it recommended to transport the NESA XSIGNAL®?
Yes, but for short trips. For long trips where you are going to check luggage, we recommend taking the XSIGNAL® transport case.
Is it completely adapted to transport the NESA XSIGNAL®?
Yes, highly recommended to use personally as a healthcare professional at the end of the work day or on weekends to recover. Also used in home treatment or rentals to patients who require it.
Ref: ACC0004
Made of Black Leatherette
Interior: Black Velvet | AK2 Laser Cutting
UV marking | 2 zones | White (WH2)
Frequent questions
Is it advisable to use the protective cover of the NESA XSIGNAL®?
Yes, although the technology is designed to be used actively and is resistant, it is advisable to use it with protection for possible falls from furniture, stretcher, etc.
Ref: ACC0011
855mm x 355mm x 355mm
lacquered
white melamine
cart wheels
heavy duty hangers
Frequent questions
Can the adapted furniture be moved?
Yes, it has furniture to adapt it and move it to any area of the clinic.
Ref: ACC0013
Laptop
CE, FDA validated
Frequent questions
What is the purpose of the electrocardiogram that is included when purchasing the NESA XSIGNAL®?
One of the most objective assessments currently on the recording of the state of the autonomic nervous system of a person is through the recording of cardiac variability (HRV).
For this reason, a medically validated electrocardiogram with all the certificates is included to record the patient's cardiac variability, and thus provide one of the most objective data on the evolution of the patient's ANS.
We recommend making a baseline record, one at the "equator" of treatment and another at the end of the treatment itself. And accompany it with other validated tests, to always quantify its evolution.
Can the EKG reports be extracted?
Yes, they can be sent by email, WhatsApp, printed, etc. In addition, they are stored in the application, through the account that has been created in the clinic for the storage of patient reports.
Ref: ACC0010
Android tablet programmed with electrocardiogram software and NESA useful videos
Tablet holder adapted to be placed on the furniture
Frequent questions
What's inside the Android tablet?
Inside the tablet that comes included with the NESA XSIGNAL® is installed all kinds of information of maximum interest to the clinic's human team and especially for the exhibition of audiovisual material of interest to the patient:
⦁ Installation videos
⦁ Reviews from patients and healthcare professionals
⦁ Reviews of elite athletes
⦁ 3D explanatory videos of non-invasive neuromodulation and a long Etc.
The information is in Spanish subtitled in English. The main videos are translated into Portuguese, Italian, French and Russian.
What main utility does the Android tablet have?
It is included with a tablet holder, to install it in the furniture that is included, thus being able to expose the patient who is lying down or sitting while benefiting from the treatment.
Personalized diptychs with your logo and your data
- Diptychs open size 300×150 mm.
- Printed in 4/4 inks
- Coated 250 grs. matte laminated 2/c.
- Folded with creased at 150×150 mm.
Frequent questions
How are NESA® diptychs personalized with my logo and data?
Once the technology is acquired, the sending of the vectorized logo of the clinic and the data that one wants to appear in the diptychs are coordinated. Once it is verified that everything is correct, it is sent to the editing, layout and printing team.
What happens when they run out, could they be bought?
They can be purchased without problem through the central office.
Roll Up of NESA neuromodulation personalized with your Logo
850mm x 2200mm
Frequent questions
How are NESA® Roll Ups personalized?
Once the technology is acquired, the sending of the vectorized logo of the clinic is coordinated. Once it is verified that everything is correct, it is sent to the editing, layout and printing team.
Dimensions: 380mm ø
Black PVC 19mm. machining
3 Layers | Basis | Reflector | Perforated Personalization
Frequent questions
How are NESA® Authorized Center Circles personalized?
Once the technology is acquired, the sending of the vectorized logo of the clinic is coordinated. Once it is verified that everything is correct, it is sent to the editing, layout and printing team.
Do the NESA® Authorized Center Circles adhere well?
Yes, it is recommended that it be installed inside the clinic. If it is installed outside, it is recommended to strongly reinforce the glue, double-sided tape, etc. so that it lasts over time.
Vinyl Wall Series
Dimensions: 1200×1865mm.
Impression: UV | personalized.
Kit: Vinyl | single tube | Felt ruler | Instructions
Frequent questions
How are NESA® Vinyls personalized with my logo and data?
Once the technology is acquired, the sending of the vectorized logo of the clinic is coordinated. Once it is verified that everything is correct, it is sent to the editing, layout and printing team.
Can you paste the vinyls by myself?
Yes, they are BubbleFree technology and it comes so that you can install it yourself. They are easy to install on any wall, but if you have any questions you can hire a specialized company.
NESA® technology advertising videos and images are pre-installed via a pre-installed memory card.
Frequent questions
What is inside the digital frame?
Within the digital frame that comes included with the NESA XSIGNAL®, all kinds of advertising explaining the NESA® technology and success stories from the sports, clinical, etc. world are installed.
Frequent questions
FAQS Product Techniques
NESA XSIGNAL® non-invasive neuromodulation medical technology has health certification, certification in accordance with the CE marking directive, 93/42/CEE, by a notified body before using the CE marking that can be verified at the following website of the notified body:
https://www.imq.it/en/certified-products-database
In addition, the company has manufacturing of sanitary products (ISO 13485). This quality management standard that has been specially designed for manufacturers of medical devices and products. This is a series of essential requirements for manufacturers in this sector, it is a way of demonstrating a commitment to the quality of the manufactured sanitary products.
This Standard is internationally recognized.
Contraindications for this type of treatment are:
- Implanted electronic devices.
- Pregnant.
- Cancerous or neoplastic processes.
- Epilepsy.
- Internal bleeding.
- Do not apply electrodes to skin in poor condition, with ulcerations or wounds.
- Acute febrile processes.
- Acute thrombophlebitis.
- Significant change in sensitivity.
There are a number of precautions to be taken into account by the professional, which are:
- Avoid contact with electronic devices by the patient.
- Do not place electrodes on endocrine glands without the supervision of a doctor.
- Cardiac arrhythmias.
- Caution with exaggerated neurovegetative responses.
- Patients with hysteria or phobia of electricity.
- Reduction of application times in endoprosthesis and osteosynthesis material.
- Possible side effects derived from the application:
- It can rarely cause a feeling of light dizziness.
- It can rarely cause restlessness at bedtime.
- Rarely, it can cause a slight increase in momentary pain.
- Rarely it can produce edema or erythema.
- It can rarely cause microburns.
- It can rarely cause heartburn for a short time.
- It can rarely cause skin itching.
*Safety and Use Measures
What you should never do with the NESA XSIGNAL®:
Do not use the NESA XSIGNAL® in water or in a humid place (sauna, hydrotherapy, etc.).
It is recommended that the first five minutes of stimulation should always be performed on a person in a sitting or lying position, legs raised, until any possible sensation of weakness or vagal reaction disappears.
- Do not use the NESA XSIGNAL® within 1.5 meters of a short wave device, a microwave or high frequency (AF) surgical equipment, as there is a risk of causing skin irritation or burns under the electrodes. If you have any questions about how to use the NESA XSIGNAL® series in close proximity to other medical devices or medical treatment, please consult the manufacturer or your physician.
- Do not disconnect the stimulator cables during a session while the device is still connected. You must first stop the stimulator.
- Never connect the stimulator cables to an external electrical source, because there is a risk of electric shock.
- Never use the NESA XSIGNAL® if it is damaged or if the body of the equipment is open. There is a risk of electric shock.
- Keep the NESA XSIGNAL® and its accessories out of the reach of children.
- Do not allow any foreign body (earth, water, metal, etc.) to enter the NESA XSIGNAL®.
- A sudden change in temperature can affect the performance of the appliance due to condensation. Use the appliance without sudden changes in temperature.
- Do not place the NESA XSIGNAL® equipment in a position that makes it difficult to disconnect it from the power supply.
- Do not use the NESA XSIGNAL® while driving or working with machinery.
Where Electrodes (of any type) should never be applied
- Do not use the equipment on unhealthy or infectious skin.
- Do not use Electro-Supports on wounds or exposed tissue.
- Do not use on the head.
- Do not use on animals.
- Arbitrarily, consult the manual for the correct placement of the electrodes, consult NESA WORLD® in case of doubt.
- Use exclusively the electrodes and accessories provided by NESA XSIGNAL® series. Other electrodes may have inadequate electrical characteristics for the NESA XSIGNAL® series stimulator.
- Disconnect the device before removing or moving the electrodes during the session.
- Do not immerse electrodes in water.
- Do not pour any type of liquid.
- Do not apply any type of corrosive solvent to the NS4 Series electrodes and/or accessories, whatever the type.
- Pay attention not to “pinch” any cable and/or accessory when closing the equipment case. Breakages of accessories or cables of this type are not covered by the guarantee.
- The application of the electrodes above the heart can increase the risk of cardiac fibrillation.
- Before applying the electrodes, it is advisable to wash the skin and electrodes, removing traces of grease and sweat, then dry them.
- It is necessary to make sure that the entire contact surface of the electrodes is attached to the skin, avoid contact of the electrodes with the hair.
- For very important hygiene reasons, each user must have their own set of electrodes. Do not use the same electrodes with different people.
- Do not use the same or compatible set of dermal electrodes for more than 1 sessions, as the quality of contact between the electrodes and the skin – an important factor for comfort and stimulation efficacy – progressively deteriorates. It also loses adherence and if it comes off the skin, the system has no effect. Consult according to electrode models with NESA WORLD® in case of doubt.
- In some people with very sensitive skin, the appearance of red spots under the electrodes can be observed after a stimulation session. In general, these rednesses are completely benign and disappear in a short period of time. In any case, as long as they have not disappeared, another stimulation session will not be restarted.
*For private use of treatment, prior training is not necessary for the use of the NESA XSIGNAL® equipment, while the monthly clinical follow-up is carried out by a health professional who is an expert in the NESA non-invasive neuromodulation technique, read the manual carefully and consult your health professional.
Use and security measures
Consult according to electrode models with NESA WORLD® in case of doubt. In some people with very sensitive skin, after a neuromodulation session, the appearance of red spots under the electrodes can be observed. In general, these rednesses are completely benign and disappear in a short period of time. In any case, as long as they have not disappeared, another neuromodulation session will not be restarted.
Relative contraindication in cancer patients: what relativity does it refer to? when yes? when not?
If there is medical authorization for the use of low frequency and intensity currents, it is not a contraindication.
Gloves and anklets must always be connected to the extension cables and the steering electrode connected to the steering cable that is also connected to the NESA XSIGNAL® technology.
Check if the gloves and anklets are correctly positioned with the references for right hand, left hand, right foot and left foot, and in the correct position.
RECOMMENDATIONS FOR TREATMENT
The NESA XSIGNAL® neuromodulation medical device is a non-invasive electrotherapy technique that is painless, imperceptible and comfortable to use.
Due to the use of electrical stimuli of low intensity and frequency, it is recommended, to maximize its efficiency, to follow the instructions below:
- Consider the treatment time as a time to relax and enjoy yourself.
- Do not use your mobile phone or any portable electronic device that could distract you or receive information from outside that could affect your state of relaxation.
- Use a book or any other non-electronic resource that allows you to relax.
- Listen to relaxing music with which you can enjoy this time dedicated to your recovery.
- Try to avoid wearing watches, pendants, or any item of jewelry as little as possible.
NESA XSIGNAL® technology is used as a neuromodulator of the autonomic nervous system.
It is applied in two modalities, in active therapy (combining manual therapy, invasive neuromodulation, other techniques/technologies, etc.) and in passive therapy. (Only with the technology or combined with other techniques/technologies that work autonomously)
Passive Therapy:
The patient is placed on the stretcher with the device in place or in a comfortable place such as a chair.
It is recommended for treatment:
- Take an anamnesis that involves processes of the autonomic nervous system.
- Objective assessments of your autonomic nervous system that are useful for clinical follow-up. (Cortisol/amylase measurements, scientifically validated assessment tests, ANS electrocardiogram, use autonomous assessment devices at home as a baseline prior to starting treatment, etc.)
- Remove as far as possible metals in the hands and neck. (Jewelry, necklaces, bracelets, watches, etc.)
- Clean the placement area with alcohol and cotton (Feet, hands and placement area of the guiding electrode)
- Let him be supine or sitting in a comfortable place.
- Relax the popliteal area with a semi-curl or roller if it is on a stretcher.
- We recommend covering the patient and dimming the light if possible.
Active Therapy:
It is recommended for treatment:
- Take an anamnesis that involves processes of the autonomic nervous system.
- Objective assessments of your autonomic nervous system that are useful for clinical follow-up. (Cortisol/amylase measurements, scientifically validated assessment tests, ANS electrocardiogram, use autonomous assessment devices at home as a baseline prior to starting treatment, etc.)
- Remove as far as possible metals in the hands and neck. (Jewelry, necklaces, bracelets, watches, etc.)
- Clean the placement area and placement of the targeting electrodes with alcohol and cotton. (Feet, hands, and placement area of the targeting electrode or targeting electrode prior to the use of creams or anything that generates higher impedance)
- Whether it is in the supine ulna, prone ulna or in active exercise with minimal load.
- Apply focal, metameric, or central NESA® therapy during the combined approach process.
- We recommend covering the patient and dimming the light if possible if he is going to be left in any active therapy process in passive therapy.
NESA XSIGNAL® healthcare technology cannot be combined with TENS electrotherapy techniques, nor with radiofrequency of any kind while using NESA® non-invasive neuromodulation.
Yes, PRE or POST NESA® treatment can be applied.If you have any questions about technologies with which to combine NESA technology, please contact us at contact zone with the corresponding doubts if you are already a client through the NESA® team.
The shape of the impulse is a symmetrical biphasic current, where the positive and negative part have the same route on the abscissa axis, in this way, we would be talking about a current with addressability "0", and the shape of its impulse is rectangular. It also has a single phase component. The modulation is preset in the device. It is not modulated manually. The only thing that can be modulated is the voltage at 3V or 6V. It also allows the selection of different programs and application times, and all the impulses are coordinated with the directing electrode.
The application frequency is minimal, being considered a microcurrent. The determined frequency may be 1.12 or 14.28 Hertz.
The potential difference is so low that the application is located in areas of low impedance and at currents ranging between 0.1 and 0.9 ɱA, which is not developed in Ohm's law.
For more information visit: NESA microcurrents
Yes, an informed consent signature is mandatory.
Yes, it is included in the NESA XSIGNAL® instruction manual and it is also delivered in digital format for personal use in the clinic once the technology is acquired.
Keep equipment and accessories clean where possible, use a damp cloth and/or alcohol on a cloth.
Clean the skin with alcohol where the skin caps of the NESA XSIGNAL® accessories make contact.
When the gloves and/or anklets have a rusty black color or appearance, they must be removed and replaced with new sets of gloves and anklets. Supplied by NESA WORLD®
The areas chosen as the electrode point are due to the fact that the pioneering Japanese team of technology carried out trial-error studies to determine the areas of lower impedance where the nerves with sensitive branches would have greater exposure and thus ensure the entry of current with the lowest possible impedance through the skin.
Like any electrical current, NESA® neuromodulation generates an electrical circuit through the nerve pathways of the body, as if they were a highway, the directing electrode closes the circuit and at the same time helps to redirect the electrical flow transmitted by the other electrodes. For this reason, its position differs depending on whether the treatment is central (C5-C7), metameric (spinal nerves from T1-S2) or focal (peripheral nerves).
Commercial FAQs
The entire purchasing process is carried out in person through the account executive manager. The price, implementation strategies, advertising, financing, amortization systems and other aspects of the purchasing process and integration into the clinic, hospital model are explained. or Club. At the end of the demonstration, all the documentation for the execution of the purchase is provided.
If it is outside of Spain, it is done through an online presentation, where the account manager for the country advises you how to acquire it or through official distributors.
The following components and services are included in the NESA XSIGNAL® medical device:
TRAINING INCLUDED
NESA Online Campus of Clinical Reasoning
- It includes 30 audiovisual hours of didactic material for clinical cases. (Formats from 3 minutes to 13 minutes) The content is clinical cases, neuroanatomy, manual therapy, physiology, cardiology related to ANS, etc.)
- Technical data sheets of clinical application protocols
- Internal forum for each type of clinical case
- Research and clinical development platform. (Research carried out, area of research proposals and logistical support from the company granting the project, analysis of publications related to non-invasive neuromodulation, etc.)
- Bibliography of everything described on campus
- PDF's with all the clinical and physiological agenda of NESA
- Available languages of the NESA CAMPUS: Spanish and Russian, English, Portuguese and Italian by the end of spring 2022.
University expert in non-invasive neuromodulation from the Pontifical University of Salamanca, is carried out in Madrid at the UPSA of Nursing and Physiotherapy. (Suitable for all healthcare the expert)
- 150 hours online
- 3 mandatory practical days
NESA Implementations (4 hours) all the formations that you want to attend.
If you are a healthcare professional, you can purchase NESA XSIGNAL® through the company, by contacting the customer service department at the following telephone number: +34 943 44 35 45 or through the Contact Form, where they will answer you as soon as possible.
If you are a healthcare professional, you can purchase NESA XSIGNAL® through the company, by contacting the customer service department at the following telephone number: +34 943 44 35 45 or through the Contact Form, where they will answer you as soon as possible to refer you to an official distributor in Europe. If there is no distributor in your contact country, it could be purchased directly from the company.
You will be offered a visit by our commercial department online or in person depending on the European country, delivery of documentation and thus proceed with the acquisition of the device.
If you are a healthcare professional, you can purchase NESA XSIGNAL® through the company, by contacting the customer service department at the following telephone number: +34 943 44 35 45 or through the Contact Form, where they will answer you as soon as possible to refer you to an official distributor in the country. If there is no distributor and the laws of the country allow it, it could be purchased directly from the company.
You will be offered a visit by our commercial department online or in person depending on the country, delivery of documentation and thus proceed with the acquisition of the device.
To undergo a treatment with NESA XSIGNAL® healthcare technology, go to this link health professionals, where it directs you to all trained health professionals who have the technology.
NESA XSIGNAL® can be purchased as an individual in exceptional cases and always through the clinic trained in NESA® non-invasive neuromodulation that is treating you.
The clinic that usually treats you with NESA® is responsible for coordinating the purchase with the company, since it is responsible for clinical advice with the device.
The executive account manager will be present at the time of acquisition and will be in charge of monitoring outside the clinical setting.
A purchase-sale contract is signed prior to the acquisition where the main and explicitly defined premise is that it is for personal clinical use and that at no time will it be used for profit.
The first step is to treat yourself in the nearest clinic, you can find them in the following link.
Only health professionals are financed. The NESA XSIGNAL® can be financed in multiple ways, from a loan with an option of up to 12 months without payment of installments.
There is also the possibility of renting or leasing with the option of a grace period of up to 4 months.
For more information request a demo through the contact page
To buy spare parts such as:
- NESA XSIGNAL® Compressive Gloves and Anklets. Average durability: 12 – 18 months duration.
- NESA XSIGNAL® Elastic Gloves and Anklets. Average durability: 8 – 12 months duration.
- Extension Cables, Long Cables and Directional Cables. Average durability: 2 to 5 years.
- ECG skin electrodes. Duration: One use per session.
- Power supply. Average durability: 2 to 5 years.
- Other components. (Stationery, furniture, tablets, digital frames, etc.)
To purchase them, you can do so through your responsible account executive, through the central office at +34 943 44 35 45 or through the NESA WORLD customer area
NESA XSIGNAL® sanitary technology is guaranteed for 2 years. During the next two years after the purchase you have a full product warranty.
There are two versions of the NESA XSIGNAL® medical device.
NESA XSIGNAL® CLINIC Neuromodulator
* Clinical applications.
- Neuromodulation of the autonomic nervous system.
- Chronic/neuropathic pain.
- Acceleration in musculoskeletal recovery processes.
- fatigue recovery
- neuroefficiency
Designed for use by healthcare professionals.
NESA XSIGNAL® MIND Neuromodulator
* Clinical applications
- Neuromodulation of the autonomic nervous system.
- fatigue recovery
- neuroefficiency
Designed for use by healthcare professionals who do not address pain.
FAQS Clinical Implementation
NESA® non-invasive neuromodulation technology is cost-effective in two ways:
- In the field of patient improvement both in active therapy and in passive therapy.
- And the profitability that it has in the application of passive therapy in the clinic.
But the best way to answer this question is to call several clinics located in the Spanish geography or the country that you feel reflected and ask various colleagues about the economic field.
You can locate all the clinics in the following link
You can also see some examples of economic profitability here:
Physicians and Physiotherapists
Sports physiotherapists and traumatology
Manual therapy physiotherapists
Urogynecology Health Professionals
Varied national physiotherapists
Traumatology, physiotherapy and psychology clinic.
There are multiple factors for the implementation of technology in the clinic, but the most basic are:
- Good communication with the patient, good diagnosis, good clinical reasoning and talking with the patient about his expectations with the therapy.
- A good programming of technology to have the correct treatment.
- Reevaluate the results constantly the evolution of the patient.
The essential thing is to charge all the sessions from the beginning and not give away the therapy. Have a methodology for charging NESA® treatment vouchers for 10 sessions and the promotion of the services offered by NESA® technology. It is important to remember that all digital content is also available for the promotion of services both at the clinic and digital level.
You must have basic knowledge of the nervous system for correct clinical reasoning. All of this is taught in NESA trainings. Learn more in the following link
The main applications that you can start applying in the clinic related to the autonomic nervous system are the following:
- Improved sleep quality
- Improved mood such as stress and anxiety
- Improvement of chronic pain and neuropathic pain
- Improvement of chronic and localized fatigue
- Overactive Bladder Improvement
- Improvement in sports performance
-Yes. But remember to reconnect later. Do not spend more than 2-3 minutes with some cables disconnected and others connected.
Normally the cables are disconnected to change the position of the patient, from supine to prone for example.
Nothing is wrong with the patient and he does not benefit from NESA therapy.
No, currently you have to check it visually.
If the placement is wrong as indicated in the instruction manual, the patient will not obtain the desired effects, and their symptoms may even worsen. If it stays that way throughout the session, you may not notice restlessness at bedtime for a day or two.
It is very difficult to make a mistake, because it is indicated on the gloves and anklets themselves, the body of the XSIGNAL, clinical manuals and instruction manual.
As long as the patient does not benefit from the physiological effects of neuromodulation, the current is not transmitted.
Based mainly on clinical reasoning, although in some clinical cases there are established protocols.
It is reassessed every time you come for a consultation, always before starting a new treatment.
Cardiac variability is a parameter that is altered when the quality of sleep is not adequate or due to dysfunctions of the autonomic nervous system, for which reason it is evaluated as a control test, through WeCardio, a medically validated electrocardiogram. There are also other medically validated devices such as the OURA ring for more home recording or other recording marks of cardiac variability as an indicator of the state of the autonomic nervous system.
The effects generated by the device in the patient will be evaluated depending on the objectives of the therapist in each clinical case and with the objective tools available to them (EEG, ECG, cortisol meters, actigraphy, tests validated by scientific evidence, etc. ). Only those changes that can be objectively evaluated can be assigned to the device. However, many of the changes that have been observed are being verified with various clinical trials, in which it is compared with the placebo effect.
The 1955 paper, Henry K. Beecher published a paper11 in which he shows that the placebo effect only takes place in the 35% of people. But really the range can vary from 0% to 100%. It depends on the type of placebo administered and the medical condition it is intended to treat. The study concludes that not everyone responds to the placebo effect, just as not everyone responds in the same way to drugs.
The wecardio is used for the objective assessment of cardiac variability or electrical activity of the organism.
Visually we can use the wecardio to show a patient that a current is entering his body, having the wecardio active and turning the NESA XSIGNAL® on and off.
The trusted patient, explaining how NESA XSIGNAL® is used and the effects it produces is enough.
The patient who is not trustworthy, its operation and properties are explained to him, and after 2-3 days of use, he fully trusts the device as it has clinical improvement effects.
Other options may be: Electroencephalogram, medically validated recording watch devices, hyperhidrosis meter, pupil dilation meter, etc.
Each session lasts from 30 minutes to 90 minutes, most commonly 50-55 minutes. The maximum continuous use time is 8 hours.
The most common is 2 days between sessions, for example Monday - Wednesday and Friday or Tuesday and Thursday. It can be used every day resting one day a week. It all depends on the casuistry of the clinic.
If it is a chronic dysfunction, it is recommended to do 4 sessions in a row.
In children (under 14 years of age) sessions of 30 to 45 minutes maximum are recommended.
A margin of a minimum of 10 sessions is always indicated for each case, especially in chronic dysfunctions. In the most chronic cases, treatments of up to 1 year are recommended. Although you usually start to see results sooner. As it is a chronic dysfunction, it is recommended to do 4 sessions in a row, and continue with the treatment 2 or 3 times a week.
It depends on each case, but usually there are 10 one-hour sessions and then alternate maintenance sessions once every two weeks or once a month.
Being a chronic dysfunction, it is recommended to do 4 sessions in a row.
Yes, it can be used in amputees, but it requires adapters for the upper or lower extremity electrodes to replace the glove or anklet.
The electrodes are adapted to match the corresponding peripheral nerves.
It rarely has a rebound effect in the first sessions, especially when the autonomic nervous system modulation protocol is not applied, with sessions with the introductory programs to the treatment in the initial sessions. The rebound effect is that you sleep restlessly for a day or two.
There is no limit of sessions throughout the treatment, once the symptoms improve, a preventive objective can be sought. Daily a maximum of 8.
There is no way to not put on gloves/anklets directly.
They are disinfected with neutral soap for one minute, do not use in a washing machine, just soak in cold water.
Ideally, for hygiene reasons, each patient should have their own gloves/anklets, if this is not possible, change sets each time and at the end of the day disinfect for 1 minute and dry in the open air. Do not tumble dry.
If it can be used at the same time, as long as it does not disturb the wiring. Normally when retrofitting is carried out, they place the technology inside the NESA® backpack, leaving the wiring inside.
We have been able to confirm clinically with the application of NESA XSIGNAL® in patients with algodystrophy, it reflects a significant improvement in pain at first, improvement of tissue trophism at a local level in a longer period of time. Its non-invasive effect is especially indicated in patients who have undergone immobilization and present complex chronic pain with hyperalgesia, thanks to its non-invasive and painless nature.
A clinical trial has been initiated through the Spanish Agency for Medicines and Health Technology for complex regional syndrome type I at the Mutual Accident Hospital in Zaragoza.
In herniated discs, you can work with NESA® XSIGNAL® technology. Yes, it can be applied at the same time as a push-up – distraction.
At the muscular level, the decision of the structure to work, resides according to the objective that we pursue: recover from an injury, reduce fatigue, improve proprioception, etc.
For the purposes of reducing fatigue, improving proprioception or modulating the autonomic nervous system, it would be interesting to implement Nesa in preseason phases to minimize the risk of injury.
NESA® non-invasive neuromodulation technology is not a substitute for medication.
Patients should stop taking any medication only under the express prescription of the doctor. Initially, when starting treatment with the NESA XSIGNAL® technology, they will follow their normal medication routine, and as the treatment progresses and the patient will be able to decrease the dose in line with sleep recovery, always under consultation with the physician. All this will depend on the type of medication, the frequency and the duration of the pharmacological treatment.
Monitoring its use is currently impossible objectively, but for the person to get used to its use at home, the ideal is to introduce it into a routine, and follow-up with Validated Tests, follow-up with scientifically validated actigraphy, and objective assessments for its doctor to make a correct follow-up of his clinical evolution.
FAQS Physical techniques
All. It is the essence of the treatment, that thousands of microcurrents are coordinated every minute with the directing electrode, it is the basis to be able to generate endogenous responses in the autonomic nervous system.
It is the essence of the treatment, if that essence is broken. It would no longer be NESA® non-invasive neuromodulation.
Percutaneous neuromodulation acts on a specific nerve branch. The treatment of MPN is focused on a certain area or on a broader space of action, distancing the needles with which we approach the nerve. Superficial applied neuromodulation (NESA) acts on several nerve branches at the same time, causing a general effect on the body through parameters lower than NMP, with physiological frequencies. The evident effect on the autonomic nervous system, currently in the research phases, has not been observed in any other electrotherapy to date.
To learn more about NESA® physiology
At the physiological level:
Both techniques act in completely different ways. In non-invasive neuromodulation NESA® acts by pumping cathodic and/or anode ions through the sensitive pathways in a topological way, with physical properties (Frequencies, voltage, amperage) that allow activating endogenous responses. of the organism modulating the central and autonomic nervous system.
For this reason, they are different and totally complementary techniques. As an integrative treatment.
At the clinical level:
NESA® neuromodulation acts on the parasympathetic autonomic nervous system.
Another difference is the zero risk of infection or vascular injury, since there is no puncture, therefore there is no tissue invasion. Avoiding a post-treatment complication or sequel is also a positive result. We avoid a post-secondary infection to a puncture and small edemas or bruises.
Indicated for those who have a phobia of needles.
To learn more about NESA® physiology
All in-depth physiology part is taught at the non-invasive neuromodulation university expert at the Pontifical University of Salamanca in Madrid.
To know more information about the formation of NESA®
Boost your treatments and add new ones
services to your patients.
NESA® TREATMENTS
OUR BASIS OF SUCCESS
clinical reasoning,
knowledge of the nervous system
and its neuroanatomy
The routing cable allows you to coordinate and locate where you decide the thousands of NESA® microcurrent impulses.
ELECTRODE
DIRECTOR
You decide where to act
The targeting electrode is the key to providing versatility to NESA® non-invasive neuromodulation for an integrative approach to the patient.
You will place it based on your clinical reasoning, it will make you decide to approach with the
non-invasive neuromodulation to the patient with:
- Central Treatments
- Metameric Treatments
- Focal Treatments
The key is in your clinical reasoning, clinical planning, scheduling, and targeting electrode placement.
CORE TREATMENT
Optimizes the nervous system
long-term core
It is the main treatment for the neuromodulation of the autonomic nervous system, it is applied in the brachial plexus in the spinous process of the cervicals.
Applied to improve sleep quality, relieve chronic cortical pain, reduce stress and anxiety (Cortisol and Cardiac Variability), and increase slow brain waves linked to the parasympathetic autonomic nervous system and neuroefficiency.
Core Treatment
It is an approach from the seventh cervical to the fifth cervical (C7-C5), that is, we would place the guider on the spinous region of the vertebra.
In this way, what we are looking for is a global neuromodulation treatment, of the whole body in general. From this point we optimize the resources used with the patient and it serves for a comprehensive approach. There are application programs within the technology that can only be used for this type of central application, with the aim of regulating the central nervous system and enhancing the increase in slow brain waves.
The applications of the central treatment will depend on the clinical reasoning and the objectives of the treatment.
The most common applications are:
- During the clinical approach of other therapies and/or technologies as reinforcement for a global parasympathetic modulation of the nervous system.
- As single therapy (passive therapy) in an environment adapted to the clinical objective, such as stress reduction, sleep quality improvement, etc. (At least 10 sessions, if the dysfunction is chronic it can take several months of treatment)
Example of a central treatment approach:
Approach to anxiety with non-invasive neuromodulation NESA®
METAMER TREATMENT
It maximizes the resources of the structures through input and output of the main nerves of the spinal cord.
It is the main treatment to work on structures directly innervated by the metamera to be incised, it is applied to the spinous or transverse process of the vertebrae.
Mainly applied for the relief of neuropathic radiated pain, improvement of overactive bladder, potentiation of tissue thixotropy, among other applications.
metameric treatment
The metameric treatment is about addressing the pathology from the metamer, that is, from the vertebral segment from where the innervation leaves towards the structure or anatomical plane to be treated. We would place the guiding electrode on the spinous or transverse if we wanted to act on a specific nerve root.
The applications of metameric treatment will depend on clinical reasoning and treatment objectives based on the neuroanatomy and functionality of the 31 spinal cord nerves. The most common applications are:
- During the clinical approach of other therapies and/or technologies as reinforcement (increase resources) for a specific modulation of structures/viscera involved in the autonomic nervous system.
- As single therapy (passive therapy) in an environment adapted to the clinical objective, such as the reduction of irradiated neuropathic pain, overactive bladder, etc. (At least 10 sessions, if the dysfunction is chronic it can take several months of treatment)
Example of a metameric treatment approach:
Approach to sacroiliac neuropathic pain.
FOCAL TREATMENT
It intensifies neuromodulation directly to the structures through the peripheral nerves that innervate them.
It causes a bioelectric reorganization locally.
It optimizes the mechanotransduction of the system and increases the tensegrity of the tissue.
It is the treatment used to work structures locally innervated by the nerve. It is placed on the peripheral nerve, trigger point or pain point.
Mainly applied for the relief of neuropathic radiated pain, improvement of overactive bladder, potentiation of tissue thixotropy, among other applications.
Focal Treatment
In this treatment, it is applied to the pain point, trigger point or nearby peripheral nerve. Normally for pain relief, improvement of tissue tensegrity, optimization of mechanotransduction and thixotropy of the area.
The applications of focal treatment will depend on clinical reasoning and treatment objectives based on neuroanatomy. The most common applications are:
- During the clinical approach of other therapies and/or technologies as reinforcement (increase/enhance resources) for a specific modulation of the peripheral nerves.
- As single therapy (passive therapy) in pre-treatment or post-treatment as a reinforcement depending on the objectives and the therapy that is going to be applied later or has been applied
previously applied.
Example of a focal treatment approach:
Approach to compression neuropathy of the sural nerve
TREATMENT VERSATILITY
MOVE IT
Always keep neuroanatomy and your clinical goals in mind.
The key is to neuromodulate in the areas that you want and when you want in the clinical setting. From placing the targeting electrode locally for greater inhibition of muscle tone, applying it later at the metameric level with the aim of relieving neuropathic pain and being able to finish the treatment by modulating the parasympathetic nervous system to lower the patient's sympathetic tone (stress and anxiety).
It is essential to understand that you can change the treatment based on your clinical reasoning and objectives, when you want and how you want, giving infinite added value to your treatments.
Main known clinical functions
of Non-Invasive Neuromodulation
NEUROPATHIC AND CHRONIC PAIN RELIEF
Address neuropathic pain; now we can help you
The main quality of NESA® technology is the reduction of neuropathic pain in patients through modulation of the parasympathetic autonomic nervous system and bioelectrical reorganization of nervous tissue.
It also has a long-term application against corticalized chronic pain (complex regional syndrome, central sensitivity syndrome, trigeminal neuralgia) due to its influence on the central nervous system.
Most of the patients who report neuropathic pain of more than 3 months of evolution report a gradual improvement in pain symptoms through the first sessions with NESA® microcurrents. Our main objective is to get them a restful rest, increasing the deep phases of sleep and helping to reorganize the neural cascades of pain, gradually neuromodulating the somatosensory cortex and the posterior insula of the central nervous system directly linked to chronic pain.
IMPROVEMENT OF SLEEP QUALITY
Is sleep important in my patient's recovery? It has, and lots of it.
Currently, according to the WHO, more than 66% refer to some sleep dysfunction, about their reconciliation, about the interruption or how they wake up in the morning, and of which the 40% is a serious dysfunction, that is, it affects their quality of life.
The scientific evidence of recent years shows us the importance of the quality of sleep in the recovery of our body. From the glymphatic system of the brain in charge of discarding the Beta-amyloid directly related to Alzheimer's, the increase in the perception of pain related to the lack of quality sleep, the emission of key neurotransmitters in our daily life, to demonstrating that the lack of sleep it is a direct indicator of heart attacks, among dozens of other scientific articles that are published every quarter on sleep and its implication in our well-being.
NESA® technology is specialized in modulating the autonomic nervous system, neuromodulating the retino-hypothalamic pathways involved in regenerative sleep processes, gradually improving the quality of your patients' sleep.
REDUCTION OF STRESS AND ANXIETY
cortisol reduction,
How many patients suffer from stress and anxiety?
Stress and anxiety is currently considered a pandemic in developed countries and is one of the quintessential clinical improvements with NESA® technology, one of the intrinsic qualities when applying NESA® neuromodulation treatment.
Stress and anxiety develop due to social, nutritional factors, lack of sleep hygiene, etc. causing a constant deterioration of our nervous system. The levels of cortisol (stress hormone) and Beta brain waves (Responsible for stress wakefulness) of the 70% of the population are at too high levels.
Objectifying the results of stress and anxiety with validated tests, salivary cortisol tests, biochemical or bioelectrical analysis (EEG) is essential to show the patient objective changes in their psychosomatic state.
Measurement of cortisol levels and cardiac variability of the patient is recommended.
REDUCTION OF MUSCLE FATIGUE AND CHRONIC FATIGUE
Optimize the neural bioelectric recovery of your athletes and patients
Scientific evidence in the field of cardiac variability levels and biochemical values in reference to recovery are essential to understand what thousands of athletes and patients report when applying NESA® microcurrents: an increase in their ability to recover from fatigue and stable energy.
The algorithms of the NESA® technology on the emission of intelligent currents that influence the cellular refractory period is the key for the tissue to optimize its bioelectrical reorganization.
The application of NESA® non-invasive neuromodulation is essential for post-training or post-competition, enhancing recovery from nervous system fatigue. And for patients with central sensitivity syndrome or chronic fatigue in order to significantly improve well-being and quality of life.
IMPROVEMENT OF THE SYMPTOMS OF
THE OVERACTIVE BLADDER
Urinary incontinence, now you can help them in the long term
This dysfunction suffered by 60% of women and men over 60 years of age, affecting 11.8% of the world population. Non-invasive NESA neuromodulation through the nerve pathways involved in the urinary system, we managed to significantly reduce the nighttime voiding diary, improving the quality of life of these patients.
The effectiveness in overactive bladder where the autonomic nervous system is involved has been discovered and is still being investigated thanks to dozens of top-level professionals in urology, gynecology and pelvic floor.
Treatment with NESA® neuromodulation is a relief for all these patients, improving their sleep quality by reducing their nocturnal urinary diary and their daily quality of life.
IMPROVEMENT OF NEUROEFFICIENCY
Is brain bioelectric activity important? It is decisive for our efficiency.
Current science supports and demonstrates a direct correlation of the state of the central nervous system with the efficiency of our body, which is why the discipline of neuroscience is a fundamental pillar for improving our performance.
Brain waves directly determine the biochemical physiology of our body and these neural cascades are in charge of our psychosomatic state. Now with NESA® neuromodulation you can efficiently care for your patients' brain waves.
With the application of non-invasive neuromodulation technology, it is observed that slow brain waves (Alpha) linked to the "Peak performance" (High efficiency), gradually increase, maintaining it over time, enhancing sports and academic performance, with a clear improvement. in decision making, memory and prolonged focus state.
