Instructions for use

The device is intended for use by doctors, dentists, nurses, podiatrists, physiotherapists and medical imaging technicians to provide injection pain relief for patients undergoing injections or skin penetration procedures.

Please be aware that this device will be used as shared clinical equipment and appropriate precautions should be followed to minimise contamination risk between patients.

• Use one AA battery.

• Place vibrating device within a finger of a single-use glove (check for patient latex allergy first). Taping the excess glove material with micropore tape is suggested to ensure the glove covering remains taut on the device. 

• Discuss use with patient and trial on a section of their inner forearm so they know what the vibration will feel like. The power button is located to the side of the device.

• Then place the tip of the device close to the point of injection (ideally within 3-5cm) before injection.

• The neural distraction works best if the device is placed proximal to the injection site (between the point of injection and the spine). The injector will need to consider the nerve pathway back to the spine from the injection site.                 

• Turn the device on and use it for a few seconds before injecting or skin penetration commences.

• When injection ceases and pain from injection subsides, remove from skin and turn off.

• For aesthetic injections, the device can be held by the patient and moved as required with instructions from the injector. Some injectors prefer to use it in one hand to help stretch or tension the skin near to their injection site.

• Wipe down as part of shared clinical equipment between uses.

The concept of stimulation-induced analgesia was proposed many years ago “Gate Control Theory of Pain” that was first reported by Melzack and Wall in 1965

REFERENCES

Fayers, T., Morris, D. S., & Dolman, P. J. (2010). Vibration-assisted anesthesia in eyelid surgery. Ophthalmology, 117(7),

Govas, P., Kazi, R., Slaugenhaupt, R. M., & Carroll, B. T. (2019). Effect of a Vibratory Anesthetic Device on Pain Anticipation and Subsequent Pain Perception Among Patients Undergoing Cutaneous Cancer Removal Surgery: A Randomized Clinical Trial. JAMA Facial Plastic Surgery, 21(6),

Guney, K., Sezgin, B., & Yavuzer, R. (2017). The efficacy of vibration anesthesia on reducing pain levels during lip augmentation: worth the buzz?. Aesthetic Surgery Journal, 37(9)

Li, Y., Dong, W., Wang, M., & Xu, N. (2017). Investigation of the Efficacy and Safety of Topical Vibration Anesthesia to Reduce Pain From Cosmetic Botulinum Toxin A Injections in Chinese Patients: A Multicenter, Randomized, Self-Controlled Study. Dermatologic Surgery, 43

Kuwahara, H., & Ogawa, R. (2016). Using a Vibration Device to Ease Pain During Facial Needling and Injection. Eplasty,

Mally, P., Czyz, C. N., Chan, N. J., & Wulc, A. E. (2014). Vibration anesthesia for the reduction of pain with facial dermal filler injections. Aesthetic Plastic Surgery, 38(2),

Nanitsos, E., Vartuli, R., Forte, A., Dennison, P. J., & Peck, C. C. (2009). The effect of vibration on pain during local anaesthesia injections. Australian Dental Journal.

Özucer, B., & Çam, O. H. (2020, June). A clinical comparison of Emla cream and vibratory anesthetic device application for alleviation of pain associated with botulinum toxin injection for the masseter muscle hypertrophy. Elektronik Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi (Vol. 19, No. 2).

Park, K. Y., Lee, Y., Hong, J. Y., Chung, W. S., Kim, M. N., & Kim, B. J. (2017). Vibration anesthesia for pain reduction during intralesional steroid injection for keloid treatment. Dermatologic Surgery, 43(5)

Pedersen, C., Miller, M., Xu, K. T., Carrasco, L., Smith, C., & Richman, P. B. (2017). Use of a dental vibration tool to reduce pain from digital blocks: a randomized controlled trial. Regional Anesthesia & Pain Medicine, 42(4)

Ramezani, G. H., Tajjedin, M., Valaee, N., & Ebrahimi, H. (2017). Effect of vibration on pain during Injection of local anesthesia: A split-mouth randomized clinical trial. Bioscience Biotechnology Research Communications, 10(4)

Sharma, P., Czyz, C. N., & Wulc, A. E. (2011). Investigating the efficacy of vibration anaesthesia to reduce pain from cosmetic botulinum toxin injections. Aesthetic surgery journal, 31(8)

Smith, K. C., Comite, S. L., Balasubramanian, S., Carver, A., & Liu, J. F. (2004). Vibration anaesthesia: a noninvasive method of reducing discomfort prior to dermatologic procedures. Dermatology Online Journal

Ueki, S., Yamagami, Y., & Makimoto, K. (2019). Effectiveness of vibratory stimulation on needle-related procedural pain in children: a systematic review. JBI database of systematic reviews and implementation reports, 17(7)

Ungor, C., Tosun, E., Dayisoylu, E. H., Taskesen, F., & Senel, F. C. (2014). The effects of vibration on pain and anxiety during local anesthesia administration. JSM Dent, 2(1), 1022.

Wexler, S. J., & Wulc, A. E. (2015). Pain reduction using vibration in aesthetic injections and in eye and facial plastic surgery. In Pearls and Pitfalls in Cosmetic Oculoplastic Surgery (pp. 43-45). Springer, New York, NY.