physical therapy
Transcription
physical therapy
PHYSICAL THERAPY LINE OF PRODUCTS Expert TECHNOLOGY FOR THERAPY THERAPY UNITS IONOSON-Expert IONOSON-IF-Expert PHYSIOMED-Expert PHYSIOMED-Expert PhysioView PHYSIOMED-IF-Expert PHYSIOSON-Expert PHYSIOVAC-Expert LAS-Expert PHYSIOTHERM-M PHYSIOTHERM-S FRIGOSTREAM PORTRAIT PHYSIOMED ELEKTROMEDIZIN AG TECHNOLOGY FOR THERAPY PHYSIOMED ELEKTROMEDIZIN AG is a leading producer of highquality equipment for traditional and innovative physical therapy. The PHYSIOMED name stands for outstanding product quality, cutting-edge technological solutions, and an outstanding priceperformance ratio. The German company focuses on offering equipment for treatment in the fields of rehabilitation, sports, aesthetic medicine and veterinary medicine. Its products range from equipment for electrotherapy, ultrasound therapy, vacuum application therapy, laser therapy, microwave therapy and shortwave therapy to cryotherapy and a range of completely new, clinically tested treatments such as DEEP OSCILLATION®, MAGCELL®, PSORIAMED® and vocaSTIM®. Official partner of the German Ice Hockey Federation and German National Ice Hockey Team PHYSIOMED ELEKTROMEDIZIN AG presently exports its products to more than 70 countries worldwide. At the same time, the company, which is engaged in international research, maintains numerous cooperative efforts with universities and the continuous exchange of information with renowned scientists and leading physicians. Our products‘ outstanding performance and suitability for daily use are based on over 35 years of experience and continuous communication with working therapists. We make every effort to keep our products safe for the patient and the therapist, and to do this we make sure our safety functions go way beyond the official legal requirements. Our safety features serve as benchmarks, such as our emergency stop pushbutton, the automatic current switch-off if an electrode fails or the fixation of other parameters that change the current strengths during intensity output. Partner of the German Handball Association ISO 9001 Made in Germany PHYSIOMED equipment corresponds to the latest safety standards and regulations of the Medical Device Ordinance, is manufactured in accordance with the current quality assurance standards, is type-examination tested, and bears the CE Marking in accordance with Directive 93/42/EEC. PAGE 3 SPECIFICATION Expert-Line Expert-Line the exclusive line of products for classic physical therapy The Expert-LINE units feature an appealing design, outstanding quality and excellent user-friendliness. You can quickly and safely navigate within the illuminated and large LCD display using PHYSIOMED‘s unique one-button operation, which has proven itself for the last 15 years. To begin therapy, simply select the desired application directly from the top menu level or simply select one of the numerous treatment suggestions from the extensive and alphabetised treatment index. After you have selected the indication and confirmed your selection, you are then directed to the desired therapy including the recommended dosage and graphic of the region to be treated. You also have easy access to individually adjustable programs or even pre-programmed program sequences. Electrotherapy allows the use of “potpourris”, which sequence up to three different currents per memory location and thus ensure a varied and time-saving treatment. The quality and safety of our accessories are also a top priority. For example, the contact surfaces of our ultrasonic transducers are made of biocompatible titanium (and not aluminium, which is cheaper and more common) to prevent allergic reactions. Another example is our long-lasting plate or adhesive electrodes with excellent conductivity. Our large selection of special accessories for all professional physical therapy needs have proven themselves in practice for many years, and people enjoy using them. Another advantage is that the Expert-Line electrotherapy, ultrasound and vacuum units are all compatible with one another. Missing therapy forms can be easily added at any time to a representative mobile therapy station. Our customised Expert-Line trolleys allow you to combine any therapy devices into complete therapy units. IONOSON-Expert combination therapy unit and PHYSIOVAC-Expert vacuum application unit on an Expert trolley PAGE 4 CONTENTS Table of contents Technology for Therapy PHYSIOMED ELEKTROMEDIZIN AG Specification Expert-Line Index 3 4 5 Combination therapy IONOSON-Expert IONOSON-IF-Expert 6-7 8-9 Electrotherapy PHYSIOMED-Expert PHYSIOMED-Expert PhysioView PHYSIOMED-IF-Expert 10-11 12-13 13 14-15 Ultrasound therapy PHYSIOSON-Expert 16-17 18-19 Vacuum application PHYSIOVAC-Expert 20-21 22-23 Laser therapy LAS-Expert 24-25 26-27 Microwave therapy PHYSIOTHERM-M 28-29 30-31 Shortwave therapy PHYSIOTHERM-S 32-33 34-35 Cryotherapy FRIGOSTREAM 36-37 38-39 Additional accessories for electrotherapy Further information Currents of electrotherapy 40 41 42 PAGE 5 THERAPY ICON THERAPY FORM Combination therapy IONOSON-Expert Fast therapy start: direct, through program memory or indication index · Simultaneous therapy · Watertight and biocompatible titanium transducers · TPS · 1 and 3 MHz in one ultrasound transducer · Two-channel electro therapy unit with all modern low-frequency and medium-frequency currents · Alternating and simultaneous stimulation · Diagnostics DEVICE DESCRIPTION The versatile IONOSON-Expert combination unit combines all the advantages of modern electrotherapy (two-channel) and diagnostics as well as ultrasound therapy in one unit, which ensures that the patient will receive the best and most efficient treatment. sive overview of the therapy parameters that are currently in use including both therapy timers. The manual release key functions on the one hand as a therapy cut-off key (emergency shut-off switch) for the patient and also enables the use of intentional exercises. The IONOSON-Expert features all of the relevant low-frequency and medium-frequency currents, which can be precisely adapted to your treatment by individually selecting additional parameters (impulse length and shape, frequency, bursts, biphasic application, and much more). Two independent channels with individual intensity settings allow you to be completely flexible. You can treat two different sensitive areas simultaneously, two patients with different currents or even one current and at the same time ultrasound or simultaneous therapy. The divided display offers a comprehen- For ultrasound therapy, you have your choice of two ergonomic transducers (2.5 cm2 und 5 cm2), which are designed for the application of 1 and 3 MHz. The biocompatible and extremely durable titanium surface offers the highest possible safety and reliability as far as energy output is concerned. The transducers are watertight and therefore also suitable for subaqueous treatment. You can choose between continuous or pulsed energy output (4 duty cycles [1:10, 1:5, 1:3, 2:5]). The visual and optional acoustic coupling controls ensure efficient treatment. If desired the therapy time can run independent from the coupling controls. PAGE 6 CURRENTS » YOU WILL FIND MORE INFORMATION ABOUT THE CURRENT MODES ON PAGE 42 Medium-frequency Low-frequency Diagnostics Diadynamic currents optional with galvanic base of 5%. All low-frequency currents except for G, GMC, DF, MF, CP and LP can also be used in biphasic application. Faradic excitability test Medium-frequency test (Lange) Accommodation quotient Rheobase/chronaxy I/T diagnostics I/T curve (graphic representation, can be saved) ALTERNATING AND SIMULTANEOUS STIMULATION By coupling both channels, doctors can treat muscle spasticity (Hufschmidt or Jantsch) as well as alternating and simultaneous muscle training. CAN BE COMBINED WITH PHYSIOVAC-Expert for combined vacuum application with vacuum electrodes or simultaneous therapy with ultrasound and vacuum electrodes TPS Our innovative and user-friendly ultrasound dose program » YOU WILL FIND MORE INFORMATION ON PAGE 41 Simultaneous therapy STANDARD ACCESSORIES 1 Accessory tray 2 Elastic velcro straps 10 x 125 cm 2 Elastic velcro straps 6 x 80 cm 1 Mains cable 1 Manual release key 1 Operating instruction 1 Patient lead (4 connectors) 4 Plate electrodes EF 50 1 Short introduction to electrotherapy 1 Short introduction to ultrasound therapy 1 Ultrasound gel 1 l 1Ultrasound transducer 1/3 MHz 5 cm2 or 2.5 cm2 4 Viscose covers EF 50 » FOR ADDITIONAL ACCESSORIES SEE PAGE 40 OR VISIT WWW.PHYSIOMED.DE TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption 1, Typ BF 230 V ±10 % or 115 V ±10 % 50–60 Hz 0.4 A (at 230 V) or 0.8 A (at 115 V) 86 VA Power output, stimulation current, max. Power output, ultrasound, max. Effective surface Ultrasound frequency Mean power density 75 mA at 500 Ohm, G = 25 mA at 500 Ohm 2.5 cm² transducer 1 MHz 3 MHz 3 W/cm² 1 W/cm² 5 cm² transducer 1 MHz 3 MHz 3 W/cm² 1 W/cm² Dimensions (W x H x D) 394 x 133 x 348 mm Weight 5.5 kg PAGE 7 THERAPY ICON THERAPY FORM Combination therapy IONOSON-IF-Expert Fast therapy start: direct, through program memory or indication index · Simultaneous therapy · Watertight and biocompatible titanium transducers · TPS · 1 and 3 MHz in one ultrasound transducer · Two-channel electrotherapy unit with G, HV and TENS currents as well as all modern medium-frequency currents · Alternating and simultaneous stimulation DEVICE DESCRIPTION The IONOSON-IF-Expert combination therapy unit is modelled after the IONOSON-Expert. The IONOSON-IF-Expert is considered the “light version” and, in addition to ultrasound, also offers two-channel electrotherapy in all the medium-frequency currents as well as for the low-frequency G, HV and TENS currents in one unit. The configuration of various currents can be precisely adapted to your treatment by individually selecting additional parameters (impulse length and shape, frequency, bursts, biphasic application, and much more). Two independent channels with individual intensity settings allows you to be completely flexible. You can treat two different sensitive areas simultaneously, two patients with different currents or even one current and at the same time ultrasound or simultaneous therapy. The divided display offers a comprehen- PAGE 8 sive overview of the therapy parameters that are currently in use including both therapy timers. The manual release key functions on the one hand as a therapy cut-off key (emergency shut-off switch) for the patient and also enables the use of intentional exercises. For ultrasound therapy, you have your choice of two ergonomic transducers (2.5 cm2 und 5 cm2), which are designed for the application of 1 and 3 MHz. The biocompatible and extremely durable titanium surface offers the highest possible safety and reliability as far as energy output is concerned. The transducers are watertight and therefore also suitable for subaqueous treatment. You can choose between continuous or pulsed energy output (4 duty cycles [1:10, 1:5, 1:3, 2:5]). The visual and optional acoustic coupling controls ensure efficient treatment. If desired the therapy time can run independent from the coupling controls. CURRENTS » YOU WILL FIND MORE INFORMATION ABOUT THE CURRENT MODES ON PAGE 42 Medium-frequency Low-frequency HV and TENS can also be used in biphasic application. CAN BE COMBINED WITH PHYSIOVAC-Expert for combined vacuum application with vacuum electrodes or simultaneous therapy with ultrasound and vacuum electrodes TPS Our innovative and user-friendly ultrasound dose program » YOU WILL FIND MORE INFORMATION ON PAGE 41 STANDARD ACCESSORIES 1 Accessory tray 2 Elastic velcro straps 10 x 125 cm 2 Elastic velcro straps 6 x 80 cm 1 Mains cable 1 Manual release key 1 Operating instruction 1 Patient lead (4 connectors) 4 Plate electrodes EF 50 1 Short introduction to electrotherapy 1 Short introduction to ultrasound therapy 1 Ultrasound gel 1 l 1 Ultrasound transducer 1/3 MHz 5 cm2 or 2.5 cm2 4 Viscose covers EF 50 » FOR ADDITIONAL ACCESSORIES SEE PAGE 40 OR VISIT WWW.PHYSIOMED.DE IONOSON-IF-Expert combination therapy unit and PHYSIOVAC-Expert vacuum application unit on an Expert trolley TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption 1, Typ BF 230 V ±10 % or 115 V ±10 % 50–60 Hz 0.4 A (at 230 V) or 0.8 A (at 115 V) 86 VA Power output, stimulation current, max. Power output, ultrasound, max. Effective surface Ultrasound frequency Mean power density 75 mA at 500 Ohm, G = 25 mA at 500 Ohm 2.5 cm² transducer 1 MHz 3 MHz 3 W/cm² 1 W/cm² 5 cm² transducer 1 MHz 3 MHz 3 W/cm² 1 W/cm² Dimensions (W x H x D) 394 x 133 x 348 mm Weight 5.5 kg PAGE 9 THERAPY ICON Electrotherapy Electrotherapy is an important element of physical therapy. Current stimulation will treat the tissue via electrodes (plate electrodes, adhesive electrodes, vacuum electrodes, or special electrodes such as punctiform or pad electrodes) on the selected areas. Depending on the current mode and the selection of parameters (i. e. impulse form, impulse duration, pause time, frequency, intensity) the stimulation current can have significant effects in the following areas of treatment: » Pain reduction » Stimulation of blood circulation and trophic enhancement » Nerve stimulation, for example the training of innervations and treatment of paralysis » Muscle stimulation to build up/maintain muscles » Muscular relaxation » Iontophoresis The following classifications of the different currents of electrotherapy can be made according to their generation and specific method of treating the tissue: » Medium-frequency current This is an alternating current, which comes from a superposition of a basic frequency (2–9.5 KHz) and a modulation frequency (0-250 Hz). This superposition already takes place within the equipment with the AMF current (amplitude modulated medium frequency current) as well as with the medium-frequency currents for muscle stimulation (MT and KOTS). The previously modulated current can therefore be applied via only two electrodes on the patient. With classic interference current IF, however, the superposition delivers both frequencies when it reaches the tissue of the patient. For this reason, in this case it is essential to always apply four electrodes for treatment. The high therapeutic effectiveness of the medium-frequency current is gained through minimal skin irritation with broad penetration and has better acceptance for the patients. » An impulse current with frequencies under 1000 Hz is classified as a low-frequency current. The total range of application is covered by the different low-frequency currents DF, MF, CP, LP (diadynamic currents) UR (ultrastimulation current), HV (high voltage current), FaS (faradic current), TENS (mono- or biphasic rectangular impulse), MENS (variable microcurrent), IG 30 and IG 50 (impulse galvanisation), FM (frequency-modulated current), STOCH (stochastic current), HVS (high voltage stimulation) and T/R (exponential current). In contrast to the medium-frequency current, the lowfrequency current can also be used for the treatment of peripheral paralysis. » The galvanic current (G) is a direct current that ensures that a constant energy current flows through the tissue. The galvanic current is primarily used for the stimulation of blood flow and pain reduction as well as iontophoresis (diffusion of medicaments into the tissue with the help of the current). For more detailed information, please read our comprehensive brochure “Short introduction to electrotherapy”, which contains lots of practical examples. PAGE 10 THERAPY ICON THERAPY FORM Electrotherapy PHYSIOMED-Expert Fast therapy start: direct, through program memory or indication index · Optional simultaneous therapy Two-channel electrotherapy unit with all modern low-frequency and medium-frequency currents · Alternating and simultaneous stimulation · Diagnostics DEVICE DESCRIPTION The PHYSIOMED-Expert two-channel electrotherapy unit offers all the advantages of modern electrotherapy and diagnostics in one unit. The PHYSIOMED-Expert features all of the relevant low-frequency and medium-frequency currents, which can be precisely adapted to your treatment by individually selecting additional parameters (impulse length and shape, frequency, bursts, biphasic application, and much more). Two independent channels with individual intensity settings allow you to be completely flexible. You can treat two different sensitive areas simultaneously, two patients with different currents or even do a simultaneous treatment (optional). The divided display offers a comprehensive overview of the therapy parameters that are currently in use including both therapy timers. The manual release key functions on the one hand as a therapy cut-off key (emergency shut-off switch) for the patient and also enables the use of intentional exercises. TECHNICAL DATA (PHYSIOMED-Expert and PHYSIOMED-Expert PhysioView) Protection class Power connection Mains frequency Current consumption Power consumption PAGE 12 1, Typ BF 230 V ±10 % or 115 V ±10 % 50–60 Hz 0.3 A (at 230 V) or 0.6 A (at 115 V) 68 VA Power output, stimulation current, max. Dimensions (W x H x D) Weight 75 mA at 500 Ohm, G = 25 mA at 500 Ohm 345 x 133 x 348 mm 5.1 kg CURRENTS » YOU WILL FIND MORE INFORMATION ABOUT THE CURRENT MODES ON PAGE 42 Medium-frequency Low-frequency Diagnostics Diadynamic currents optional with galvanic base of 5%. All low-frequency currents except for G, GMC, DF, MF, CP and LP can also be used in biphasic application. Faradic excitability test Medium-frequency test (Lange) Accommodation quotient Rheobase/chronaxy I/T diagnostics I/T curve (graphic representation, can be saved) STANDARD ACCESSORIES CAN BE COMBINED WITH 1 Accessory tray 2 Elastic velcro straps 10 x 125 cm 2 Elastic velcro straps 6 x 80 cm 1 Mains cable 1 Manual release key 1 Operating instruction 1 Patient lead (4 connectors) 4 Plate electrodes EF 50 1 Short introduction to electrotherapy 4 Viscose covers EF 50 · PHYSIOSON-Expert for simultaneous therapy · P HYSIOVAC-Expert for combined vacuum application with vacuum electrodes » FOR ADDITIONAL ACCESSORIES SEE PAGE 40 OR VISIT WWW.PHYSIOMED.DE Facial nerve paresis treatment with punctiform electrode PHYSIOMED-Expert PhysioView DEVICE DESCRIPTION The PHYSIOMED-Expert PhysioView two-channel electrotherapy unit offers all the advantages of modern electrotherapy and diagnostics in one unit. The unit is identical to the PHYSIOMEDExpert, but it includes a module for display, graphic evaluation, management and printing of diagnostic parameters (I/T curves) on the PC. This makes it possible to efficiently document the therapy progress on the patient‘s medical record. Additionally included in delivery volume PhysioView software on CD-ROM ChipDrive card reader 5x PhysioCard Screenshot PhysioView PAGE 13 THERAPY ICON THERAPY FORM Electrotherapy PHYSIOMED-IF-Expert Fast therapy start: direct, through program memory or indication index · Optional simultaneous therapy · Twochannel electrotherapy unit with G, HV and TENS currents as well as all modern medium-frequency currents Alternating and simultaneous stimulation DEVICE DESCRIPTION The PHYSIOMED-IF-Expert electrotherapy unit is modelled after the PHYSIOMED-Expert. The PHYSIOMED-IF-Expert is considered the “light version” and offers two-channel electrotherapy in all the medium-frequency currents as well as for the low-frequency G, HV and TENS currents in one unit. The configuration of various currents can be precisely adapted to your treatment by individually selecting additional parameters (impulse length and shape, frequency, bursts, biphasic application, and much more). PAGE 14 Two independent channels with individual intensity settings allows you to be completely flexible. You can treat two different sensitive areas simultaneously, two patients with different currents or even do a simultaneous treatment (optional). The divided display offers a comprehensive overview of the therapy parameters that are currently in use including both therapy timers. The manual release key functions on the one hand as a therapy cutoff key (emergency shut-off switch) for the patient and also enables the use of intentional exercises. CURRENTS » YOU WILL FIND MORE INFORMATION ABOUT THE CURRENT MODES ON PAGE 42 Medium-frequency Low-frequency HV and TENS can also be used in biphasic application. CAN BE COMBINED WITH · PHYSIOSON-Expert for simultaneous therapy · P HYSIOVAC-Expert for combined vacuum application with vacuum electrodes PHYSIOSON-Expert ultrasound therapy unit, PHYSIOMED-IF-Expert electrotherapy unit and PHYSIOVAC-Expert vacuum application unit on an Expert trolley STANDARD ACCESSORIES 1 Accessory tray 2 Elastic velcro straps 10 x 125 cm 2 Elastic velcro straps 6 x 80 cm 1 Mains cable 1 Manual release key 1 Operating instruction 1 Patient lead (4 connectors) 4 Plate electrodes EF 50 1 Short introduction to electrotherapy 4 Viscose covers EF 50 » FOR ADDITIONAL ACCESSORIES SEE PAGE 40 OR VISIT WWW.PHYSIOMED.DE TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption 1, Typ BF 230 V ±10 % or 115 V ±10 % 50–60 Hz 0.3 A (at 230 V) or 0.6 A (at 115 V) 68 VA Power output, stimulation current, max. 75 mA at 500 Ohm, G = 25 mA at 500 Ohm Dimensions (W x H x D) 345 x 133 x 348 mm Weight 5.1 kg PAGE 15 THERAPY ICON Ultrasound therapy Ultrasound therapy, along with electrotherapy, is one of the popular treatment forms of physical therapy. Therapeutic ultrasound is used, with the frequency 1 MHz or 3 MHz, as continuous output or pulsed output in different duty cycles. Ultrasound therapy is classified as mechanical thermal therapy due to its complex effects. Depending on therapy parameters (therapy frequency, output type, dose, therapy duration and mode), the emphasis is on a thermal effect that results from ultrasound therapy (thermal growth and reflecting from barriers to the tissue, for example, bones or joints) or a micromassage in the treated tissue segments. The effects of the ultrasound therapy can be summarised as follows: » Hyperemisation » Acceleration of metabolic function (microcirculation, diffusion processes) » Increasing the tensibility of connective tissue structures (collagen fibres) » Alleviation of pain » Muscular deionisation and spasm resolution » Acceleration of the healing process » Stimulation of fracture healing Since ultrasound is reflected by air, you should use a coupling agent (ultrasound gel) or connect under water (subaqueous) for the optimum conduction of the ultrasonic waves from the transducer to the tissue. For more detailed information, please read our comprehensive brochure “Short introduction to ultrasound therapy”, which contains lots of practical examples. PAGE 16 THERAPY ICON THERAPY FORM Ultrasound therapy PHYSIOSON-Expert Fast therapy start: direct, through program memory or indication index · Watertight and biocompatible titanium transducers · TPS · 1 and 3 MHz in one ultrasound transducer · Continuous or pulsed energy output (4 duty cycles) DEVICE DESCRIPTION The exclusive ultrasound therapy unit with 1 and 3 MHz in one transducer. Both transducers (2.5 cm2 and 5 cm2) are designed for the application of 1 as well as 3 MHz of ultrasound. The ergonomic transducers with a biocompatible and extremely durable titanium surface offer the highest possible safety and reliability as far as energy output is concerned. They are watertight and therefore also suitable for subaqueous treatment. PAGE 18 You can choose between continuous or pulsed energy output (4 duty cycles [1:10, 1:5, 1:3, 2:5]). The visual and optional acoustic coupling controls ensure efficient treatment. If desired the therapy time also can run independent from the coupling controls. STANDARD ACCESSORIES 1 Accessory tray 4 Fixing rings 1 Mains cable 1 Operating instruction 1 Short introduction to ultrasound therapy 1 Ultrasound gel 1l 1 Ultrasound transducer 1/3 MHz 5 cm2 or 2.5 cm2 » YOU WILL FIND A COMPLETE OVERVIEW OF OUR ENTIRE RANGE OF ACCESSORIES AT WWW.PHYSIOMED.DE Transducer 2.5 cm2 Transducer 5 cm2 High-quality ultrasound gel (250 ml, 1 or 5 l) CAN BE COMBINED WITH PHYSIOMED-Expert for simultaneous therapy TPS Our innovative and user-friendly ultrasound dose program » YOU WILL FIND MORE INFORMATION ON PAGE 41 Paravertebral treatment with ultrasound PHYSIOSON-Expert ultrasound therapy unit on an Expert trolley TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption 1, Typ BF 230 V ±10 % or 115 V ±10 % 50–60 Hz 0.3 A (at 230 V) or 0.6 A (at 115 V) 66 VA Power output, ultrasound, max. Effective surface Ultrasound frequency Mean power density 2.5 cm² transducer 1 MHz 3 MHz 3 W/cm² 1 W/cm² 5 cm² transducer 1 MHz 3 MHz 3 W/cm² 1 W/cm² Dimensions (W x H x D) 394 x 133 x 271 mm Weight 3.9 kg PAGE 19 THERAPY ICON Vacuum application Vacuum application devices make it possible for you to apply stimulation currents via vacuum electrodes. The vacuum electrodes are gently affixed to the patient‘s skin with the help of adjustable underpressure. This method is especially suited for affixing electrodes to the buttocks, since there is no need for expensive fixation aids. The suction action and the associated blood flow stimulation result in improved conduction qualities for the currents. With smooth adjustments, pulsing waves of suction allow the therapy to stimulate even more. Thanks to special plungers (Luran suctionwave cups), vacuum application units are also suited for manual suction wave massage, which can also be performed on its own without being combined with a electrotherapy unit unit. PAGE 20 THERAPY ICON THERAPY FORM Vacuum application PHYSIOVAC-Expert Fast therapy start · Infinitely variable pulsation · Continuously adjustable vacuum output · Self-adjusting vacuum pump ensures constant vacuum · Low-noise mode of operation · Automatic pump switch-off (with acoustic and visual alarm) DEVICE DESCRIPTION The PHYSIOVAC-Expert microprocessor-controlled vacuum application unit enables easy and comfortable application of vacuum electrodes, especially on areas of the body that are difficult to reach. The systematically arranged operating elements and the LED display of the vacuum output ensure easy operation. The pulsation to stimulate the therapy is infinitely variable. The self-adjusting vacuum pump features low-noise operation and ensures delivery of constant underpressure. The PAGE 22 water separator has a level indicator and, if needed, automatically shuts off the PHYSIOVAC-Expert. When combined with an electrotherapy unit, they automatically provide an application of electrotherapy through suction electrodes. In conjunction with special suctionwave cups, the PHYSIOVACExpert is also suitable for suctionwave massage. STANDARD ACCESSORIES 1 Bypath hose double 1 Connection cable (electrotherapy/vacuum) 1 Operating instruction 1 Power connection lead 4 Vacustop vacuum electrodes 6 cm 4 Vacuum hoses 8 Viscose sponges 6 cm The standard accessories include four self-closing Vacustop electrodes. Thanks to their soft shape, these high-quality vacuum electrodes adapt well to the curves of the body and are available in three sizes (3, 6 and 9 cm in diameter). PRACTICAL EXAMPLES FROM OUR WIDE RANGE OF ADDITIONAL ACCESSORIES Luran suctionwave cups (set) in four different sizes (2, 3, 4 und 6 cm in diameter) for suctionwave therapy Tetravac electrode for application of classic interferential current in small areas » YOU WILL FIND A COMPLETE OVERVIEW OF OUR ENTIRE RANGE OF ACCESSORIES AT WWW.PHYSIOMED.DE CAN BE COMBINED WITH · IONOSON-Expert, IONOSON-IF-Expert · P HYSIOMED-Expert, PHYSIOMED-IF-Expert, PHYSIOMED-Expert PhysioView TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption 1, Typ BF 230 V ±10 % or 115 V ±10 % 50–60 Hz 0.1A (at 230 V) or 0.2A (at 115 V) 23 VA Vacuum Pulsation Dimensions (W x H x D) Weight 0–0,6 bar 0–30 pulsations/min, infinitely variable 345 x 130 x 420 mm 4.4 kg PAGE 23 THERAPY ICON Laser therapy Laser therapy is used in various therapy fields. In contrast to hard lasers used in surgery (30 W and higher), laser therapists work with the athermal, therapeutic, low level laser (less than 500 mW). As for physical therapy, the infrared diode laser is now the common means of treatment. This laser excels over other types of lasers in penetration depth, bio-stimulative effect and ease of handling. The assignment of laser therapy to light therapy is based on its various complex photobiological effects. These effects can be summarised as follows: » Enhanced cellular energy balance » Antiphlogistic effect » Antiedematous effect » Microcirculatory effect » Tissue reparative effect » Analgetic effect You can choose between two forms of application according to the indication. An ultra-precise laser pen is used to treat tender points, trigger points, paraspinal points, etc. if laser application on a very small area (less than 1 cm²) is required. The laser pen has also become the treatment method of choice for soft application, i.e. laser puncture, which, like needle acupuncture, makes use of the interrelation between skin and inner organs. For the treatment of larger areas of skin in cases like traumas, joint inflammations or dermatologic indications, we recommend using the laser shower, which can be moved over/along the treatment area, if necessary. The laser comb is especially wellsuited to treat regions with body hair, such as the scalp. For more detailed information please read our comprehensive brochure “Short introduction to laser therapy”, which contains lots of practical examples. PAGE 24 THERAPY ICON THERAPY FORM Laser therapy LAS-Expert Fast therapy start: direct, through program memory or indication index · Wavelength of 785 nm – best value for penetration depth and biostimulation · Automatic calculation of treatment parameters DEVICE DESCRIPTION The LAS-Expert laser unit ensures effective laser therapy with a laser shower, laser pen and comb. The LAS-Expert laser features an infrared diode laser with a wavelength of 785 nm, which is scientifically proven to offer the best values in penetration depth and biostimulation efficiency. PAGE 26 In order to ensure a safe and effective treatment, the LAS-Expert has a software that automatically calculates and displays the treatment parameters after the desired energy density and treatment surface have been entered. STANDARD ACCESSORIES 1 Accessory tray 2 Laser protection glasses 1 Mains cable 1 Operating instruction 1 Short introduction to laser therapy APPLICATORS (ALL OF THE APPLICATORS FEATURE ADDITIONAL KEYS FOR SETTING PARAMETERS) Laser shower with 14 laser diodes for application on larger surfaces with continuous output, multi-frequency and alpha frequency (e. g., in trauma, arthropathy, large muscular hypertony and dermatology). Easily adjustable supporting arm for treatment with the laser shower or laser comb, can be attached to all PHYSIOMED trolleys Laser comb with 14 laser diodes for application on larger surfaces with continuous output, multi-frequency and alpha frequency (e.g., for trichologic applications such as hair and scalp disorders). Scalp treatment with the laser comb Laser pen for key point treatment and laser puncture (including acupuncture search function with automatic start/stop function) with continuous output, multi-frequency and NOGIER frequencies. An optional optical waveguide is available as an autoclavable attachment for the laser pen for treatments in the fields of dentistry and ENT. YOU WILL FIND A COMPLETE OVERVIEW OF OUR ENTIRE RANGE OF ACCESSORIES AT WWW.PHYSIOMED.DE TECHNICAL DATA Protection class Laser class Laser type Wavelength Power connection Mains frequency 1, Typ BF 3B Infrared semiconductor laser 785 nm 230 V ± 10% or 115 V ± 10% 50–60 Hz Current consumption Power consumption 0.15 A (at 230 V) or 0.3 A (at 115 V) 35 VA Power output Laser shower/comb, max. 700 mW (14 x 50 mW) Laser pen, max. 60 mW Dimensions (W x H x D) 345 x 133 x 271 mm Weight 4.1 kg PAGE 27 THERAPY ICON Microwave therapy Therapy with microwaves is classified as high frequency therapy. The one thing the varying frequencies used in high frequency therapy have in common is the fact that warmth is created in the tissue under their influence. Microwaves are applied using the radiation field method, which applies beams of electromagnetic waves to the tissue depending on the usage of emitters of varying shapes and sizes. The energy from these waves is directly absorbed in the tissue and makes it warm. The penetration of the microwaves is inferior compared to shortwaves. Microwave therapy is the preferred application if you want local heating of the muscles or connective tissue structures, such as ligaments, sinews, capsules, etc. PAGE 28 THERAPY ICON THERAPY FORM Microwave therapy PHYSIOTHERM-M Fast therapy start: direct, through program memory or indication index · Continuous or pulsed energy output Automatic output limitation · Versatile use thanks to different applicators (optional) DEVICE DESCRIPTION The modern PHYSIOTHERM-M microwave therapy unit enables continuous and pulsed energy output for thermal and athermal applications and features automatic output limitation. The extremely well-shielded, high-frequency connection cable provides troublefree operation. The smooth running castors with latches ensure good mobility and secure positioning of the PHYSIOTHERM-M. The easily adjustable supporting arms ensure quick and exact emitter placement. The high-quality and precisely manufactured connectors make it easy to change the emitter. PAGE 30 STANDARD ACCESSORIES 1 HF connection cable (microwave) 1 Mains cable 1 Operating instruction 1 Safety eyewear (microwave) 1 Synclinal emitter » YOU WILL FIND A COMPLETE OVERVIEW OF OUR ENTIRE RANGE OF ACCESSORIES AT WWW.PHYSIOMED.DE APPLICATORS You have your choice of three easily interchangeable emitter sizes: Omnidirectional emitter (diameter: 16 cm) for local disease processes Small emitter (diameter: 6.5 cm) for small areas and ENT applications Synclinal emitter for medium and large treatment areas Omnidirectional emitter Small emitter Synclinal emitter Knee treatment with an omnidirectional emitter ENT application with a small emitter TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption Operating frequency 1, Typ B 230 V ± 10% or 115 V ± 10% 50 or 60 Hz 4 A (at 230 V) or 7 A (at 115 V) 700 VA 2450 MHz Power output, max. Continuous operation 25 W with small emitter (automatic changeover) Continuous operation 200 W Impulse mode 1250 W Impulse frequency Dimensions (W x H x D) 400 x 790 x 300 mm Weight 42 kg 1–50 Hz PAGE 31 THERAPY ICON Shortwave therapy The application of shortwave therapy generates warmth in tissue for which electric and magnetic fields are used. Shortwaves are applied either using the condensor field method or the coil field method. With the condenser field method the treated body part is placed between two condenser plates (shell electrodes or soft rubber electrodes). A periodic charge exchange process occurs in the treated tissue under the influence of high frequency electrical alternating fields, which results in uniform heating through of all levels of the treated tissue segments. The coil field method uses a coil in the form of a vortex current electrode (monode) or diplode. The high frequency current flows through the coil, which creates a variable magnetic field in its environment. The magnetic field causes a predominant warming in tissue with good conductive structure, such as connective tissue and muscles. In the impulse mode during the shortwave therapy, the focus is on the athermal effect with trophic enhancement and reflective influences on the vascular system. The local thermal effect dominates in continuous operation, causing improved cell metabolism, reduced viscosity of bodily fluids, higher tensibility of collagen fibres, circulation stimulation and manipulation of the nervous system. Shortwave therapy is therefore used predominantly in the fields of orthopaedics, traumatology, rheumatology as well as in ENT, urology, gynaecology and internal medicine for: » Treatment of chronic inflammations » Pain reduction » Spasm reduction and muscular relaxation PAGE 32 THERAPY ICON THERAPY FORM Shortwave therapy PHYSIOTHERM-S Fast therapy start: direct, through program memory or indication index · Matching function · Capacitor field and coil field method (optional through additional accessories) · Continuous or pulsed power output DEVICE DESCRIPTION The PHYSIOTHERM-S high-end shortwave therapy unit enables continuous and pulsed energy output for thermal and athermal applications. You can choose between the capacitor field method for uniform heating of all the tissue layers as well as the coil field method (optional) for selective treatment of tissue with good conductive structures, such as connective tissue and muscles. In addition to the graphic display of the effective power output, the ingenious automatic matching (dynamic matching) feature ensures the steady development of heat and prevents overdosage by reducing the power if there is a problem. The extremely well-shielded, high-frequency connection cables provide trouble-free operation. The easily adjustable supporting arms ensure quick and exact electrode placement. The smooth running castors with latches ensure good mobility and secure positioning of the PHYSIOTHERM-S. PAGE 34 STANDARD ACCESSORIES 2 Cable holder 2 Electrode supporting arms 2 HF connection cables (shortwave) 1 Mains cable 1 Operating instruction 2 Plate electrodes 16.5 cm PRACTICAL EXAMPLES FROM OUR WIDE RANGE OF ADDITIONAL ACCESSORIES The plate electrodes are available in three sizes (8, 12 and 16.5 cm in diameter) Shoulder treatment with a diplode Rubber capacitor electrodes for treatment using capacitor technology (18 x 12 cm or 25 x 14.5 cm) Diplode for shortwave therapy with coil field method Direct-axis component of magnetomotive force with plate and rubber capacitor electrodes Monode (special eddy current electrode) for shortwave therapy with coil field method » YOU WILL FIND A COMPLETE OVERVIEW OF OUR ENTIRE RANGE OF ACCESSORIES AT WWW.PHYSIOMED.DE Ankle joint treatment with a monode TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption Operating frequency 1, Typ BF 230 V ± 10% or 115 V ± 10% 50–60 Hz 6 A (at 230 V) or 12 A (at 115 V) 1400 VA 27,12 MHz Power output, max. Continuous operation 400 W Impulse mode 1000 W Impulse frequency Impulse duration 10–300 Hz 200–600 μs Dimensions (W x H x D) 420 x 970 x 410 mm Weight 60 kg PAGE 35 THERAPY ICON Cryotherapy Cryotherapy is based on surface cooling and uses low temperatures to reduce tissue temperature. Cryotherapy incorporates the use of a continuously cooled stream of air with a constant temperature range, which results in a range of thermoregulatory effects that are desirable for various indications, including acute and chronic pain as well as rheumatism. Here are some of the physiological effects of cryotherapy: » Influence on sensory nerves » Reduction in nerve conduction » Immediate vasoconstrictive effect PAGE 36 THERAPY ICON THERAPY FORM Cryotherapy FRIGOSTREAM Very short cooling phase · Adjustable air current · Cold air up to –32 °C · Flexible, double-walled tube (1.70 m long) DEVICE DESCRIPTION The compact FRIGOSTREAM cryotherapy unit offers optimised performance in a very small space. It generates cold air with an adjustable current of air and thus enables the targeted cooling of areas of the body and offers known advantages over CO2 and ice packs. If used correctly there is no danger of damaging the skin. FRIGOSTREAM works with an energy source that costs nothing – air – and is therefore always ready for immediate use and has no resource supply problems. Like an air conditioning system, the indoor air is cooled down and blown through a treatment tube, without direct contact to the skin, at temperatures of up to –32 °C. A number of optional attachments and a supporting arm are available to ensure an application that is optimally adapted to the indication. PAGE 38 STANDARD ACCESSORIES 1 Tube 1 Slotted nozzle A number of optional attachments and a supporting arm are available to ensure an application that is optimally adapted to the indication. Bracket Adapter for nozzle attachments Nozzle attachment 5 mm Nozzle attachment 10 mm Nozzle attachment 15 mm Pain therapy with cooled air THERMAL LASER APPLICATION The FRIGOSTREAM is also available with a thinner tube in connection with thermal laser treatments. This version has more air capacity in order to be able to keep the cooling capacity of –32°C constant. Tube laser version » YOU WILL FIND A COMPLETE OVERVIEW OF OUR ENTIRE RANGE OF ACCESSORIES AT WWW.PHYSIOMED.DE TECHNICAL DATA Protection class Power connection Mains frequency Current consumption Power consumption 1, Typ B 230 V ± 10% or 110 V ± 10% 50–60 Hz 6.5 A (at 230 V ) or 13 A (at 110 V ) 1800 VA Cooling capacity Air capacity Air capacity laser version Dimensions (W x H x D) Weight up to –32 °C 350–1500 l/min. 420–1800 l/min. 300 x 930 x 400 mm 53 kg PAGE 39 ACCESSORIES Electrotherapy Additional accessories for electrotherapy ADHESIVE ELECTRODES PHYSIOPADS PLATE ELECTRODES Reusable, extremely conductive adhesive electrodes in four different sizes Plate electrodes in 5 sizes (EF 10, 4 x 3 cm; EF 50, 8 x 6 cm; EF 100, 12 x 8 cm; EF 200, 17 x 11 cm; EF 400, 24 x 15 cm) CONNECTING CABLE VISCOSE COVERS Connecting cable for adhesive electrodes PHYSIOPADS Viscose covers in 5 sizes (EF 10, 5 x 5.5 cm; EF 50, 11 x 9 cm; EF 100, 14 x 12 cm; EF 200, 20 x 15 cm; EF 400, 28 x 19 cm) ELECTRODE TEST PEN DOUBLE-/SINGLE PAD FOUR-FIELD AND DOUBLE-PAD TWO-FIELD ELECTRODE Electrode test pen to easily test the conductivity of plate electrodes Small double pad four-field electrode, small single pad four-field electrode, and double-pad two-field electrode (special electrodes for the application of a classic interferential current) PUNCTIFORM ELECTRODES TRANSPORTATION BAG Punctiform electrodes (four attachments) for differentiated nerve and muscle stimulation and electrodiagnostics Practical transportation bag offers optimum protection for the unit during mobile use and transportation (Suitable for all devices except PHYSIOTHERM-M, -S AND FRIGOSTREAM) GLOVE ELECTRODES ELASTIC VELCRO STRAPS Glove electrodes for electrokinesis Elastic velcro straps in 2 sizes (10 x 125 cm and 6 x 80 cm) BOW ELECTRODE IONTOPHORESIS FOIL Bow electrode (special bipolar electrode, handheld) Iontophoresis foil (special foil) BERGONY MASK RECTAL / VAGINAL PROBES Bergony mask for electrotherapy on the face Rectal and vaginal probes for nerve and muscle stimulation » YOU WILL FIND A COMPLETE OVERVIEW OF OUR ENTIRE RANGE OF ACCESSORIES AT WWW.PHYSIOMED.DE Ask us about our attractive graduated pricing of adhesive electrodes and viscose covers! PAGE 40 INFORMATION TPS / Simultaneous therapy Additional information TPS SIMULTANEOUS THERAPY The acronym TPS is a compilation of the Spanish words “Tiempo” (time), “Potencia” (output) and “Superficie” (surface). According to Spanish electrotherapy expert Prof. J. M. Rodríguez Martin, it stands for a more exact dosage strategy in ultrasound therapy. In addition to the delivered dose in W/cm2, the treatment surface and time are also considered in order to deliver a precisely defined amount of energy to the tissue in J/cm2. All of our ExpertLine ultrasound therapy units now feature the innovative and user-friendly ultrasound dose program TPS. The transducer acts as the electrical stimulation cathode and a plate or vacuum electrode acts as the anode in simultaneous therapy using electrotherapy and ultrasound (with a cumulative therapy effect). Simultaneous therapy is available using the combination units as well as by combining any electrotherapy unit with the PHYSIOSON-Expert ultrasound therapy unit. Simultaneous therapy is used in particular in combination therapy units. The current selections in connection with the ultrasound parameters ensure in singular a wide variety of treatment combinations. TPS Screenshot Simultaneous therapy Trolleys The special Expert-design trolleys are extremely stable, and the smooth running castors with latches ensure good mobility. The Expert trolleys are also available with a spacious drawer and/or customised rack for the PHYSIOVAC-Expert vacuum application unit. The Universal trolley with its three shelves and a spacious drawer provides lots of room for your equipment and all the additional accessories. PAGE 41 INFORMATION Electrotherapy: Medium-frequency / Low-frequency Currents of electrotherapy Medium-frequency currents Classic interferential current Basic frequency: 2–9.5 kHz; Modulation frequency: 0–250 Hz 4 pre-programmed frequency bands and adjustable Vector function Medium-frequency muscle stimulation Basic frequency: 2–9.5 kHz Modulation frequency: 0–125 Hz; Contraction 1–60 s, pause 1–60 s Two-channel MT for alternating or simultaneous stimulation Bipolar interferential current Basic frequency: 2–9.5 kHz Modulation frequency: 0–250 Hz 5 pre-programmed frequency bands and adjustable Two-channel AMF for alternating or simultaneous stimulation Russian stimulation Basic frequency: 2–9.5 kHz; T = 2, 4, 6, 8, 10 ms, and automatic Modulations: Sinus, triangular, rectangular Modulation frequency: 0-125 Hz; Contraction 1–60 s, pause 1–60 s Two-channel KOTS for alternating or simultaneous stimulation Low-frequency currents All low-frequency currents (except for G, GMC, DF, MF, CP and LP) can also be used in biphasic application. Diadynamic currents optional with galvanic base of 5 %. Galvanisation (iontophoresis) and mediumfrequency, open-circuited direct current Galvanic microcurrent Ultrastimulation current 143 Hz Frequency-modulated current 7–14 Hz High voltage current 1–200 Hz T = 80–400 µs 2 frequency bands; Bursts 1–10 Hz Stochastic current 10–100 Hz Diadynamic current 100 Hz Transcutaneous electr. nerve stimulation 1–200 Hz T = 80–400 µs 2 frequency bands; Bursts 1–10 Hz High voltage stimulation 1–200 Hz Contraction 1– 60 s, pause 1–60 s 4 ramps; Two-channel HVS for alternating or simultaneous stimulation Manual impulse triggering Diadynamic current 50 Hz Variable microcurrent Diadynamic current 100 Hz/50Hz Faradic current Contraction 1–60 s, pause 1–60 s; 4 ramps Manual impulse triggering Impulse galvanisation 12 Hz Diadynamic current 100 Hz/50 Hz Impulse galvanisation 8 Hz PAGE 42 Exponential current T = 0.1 ms – 1 s; R = 1 ms – 7 s Manual single impulse triggering; Triangular impulse, rectangular impulse and 6 other impulse shapes 11/2007. Not responsible for errors. Subject to change without notice. ADDRESS PHONE EMAIL PHYSIOMED ELEKTROMEDIZIN AG Hutweide 10 91220 Schnaittach/Laipersdorf Germany +49(0)9126/2587-0 info@physiomed.de FAX WEB +49(0)9126/2587-25 www.physiomed.de GB DEALER MARK / STAMP TECHNOLOGY FOR THERAPY