Modes Of Operaton: Protocol Reference Sheets; Pain Control - Accelerated Care Plus OMNISTIM FX2 PRO User Manual

Electrotherapy system
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PROTOCOL / CLINICAL
STIMULATION PARAMETERS
INDICATION
IFC SENSORY
 5000Hz – 80/120 BPS Continuous
Symptomatic relief of superficial
 Vector Fast 90
o
and deep pain from localized
 Treatment time of 15 minutes
dermatome or segmental origin.
TENS-LVPC SENSORY
 100Hz - 80uSec PD Continuous
Symptomatic relief of superficial
pain from localized dermatome or
 Treatment time of 15 minutes
segmental origin.
IFC MOTOR
 2500Hz – 2/6 BPS Continuous
Symptomatic relief of superficial
 Vector Fast 90
and deep pain with inflammation,
o
and pain of generalized or multi-
 Treatment time of 15 minutes
segmental nature.
TENS-LVPC MOTOR
Symptomatic relief of superficial
 4Hz - 200uSec PD Continuous
pain with inflammation, or pain of
 Treatment time of 15 minutes
a generalized or multi-segmental
nature.
IFC MOTOR SENSORY
 5000Hz - 15/2/100 BPS
Symptomatic relief of superficial
 Vector OFF
and deep pain with inflammation,
 Treatment time of 30 minutes
and pain of local, generalized
single or multi-segmental nature.
SENSORY NERVE BLOCK
 10,000Hz Continuous
Symptomatic relief of superficial
 Vector OFF
and deep pain from localized
 Treatment time of 15 minutes
dermal or segmental origin.

MODES OF OPERATON: Protocol Reference Sheets

Pain Control

MECHANISM OF ACTION
Sensory stimulation activates A-beta fibers
causing the release of spinal Enkephalin and
Dynorphin to block pain at the segmental
level (Gate Control). Duration of relief is
typically from 30 min to 2 hrs. Fast onset of
relief usually within 15-20 minutes.
Sensory stimulation activates A-beta fibers
causing the release of spinal Enkephalin and
Dynorphin to block pain at the segmental
level (Gate Control) Duration of relief is
typically from 30 min to 2 hrs Fast onset of
relief usually within 15-20 minutes.
Motor level stimulation activates motor and
A-delta fibers causing the release of
Bendorphin systemically. Duration of relief is
typically from 2-6 hours. Slow Onset of relief
usually within 15 minutes to 1 hour
Motor level stimulation activates motor and
A-delta fibers causing the release of
Bendorphin systemically Duration of relief is
typically from 2-6 hours Slow Onset of relief
usually within 15 minutes to 1 hour.
Combines motor and sensory stimulation.
Starts with motor and ends with sensory.
More aggressive protocol. Duration of relief
is typically from 2-6 hours. Slower onset of
relief usually within 15-30 minutes.
Blocks pain by causing a temporary nerve
block through reactive depolarization
(Conduction block) of the pain signal on its
way to the spinal input. Also known as
Wedensky inhibition. Duration of relief is
typically from 1-2 hours Faster onset of relief
usually within 5-10 minutes.
APPLICATION TECHNIQUE
 Press PAIN button until screen reads "IFC SENSORY".
Target tissue - superficial and deep. Bilateral,
 Set Outputs A and B until the patient feels the desired sensation.
bipolar or quadripolar through the painful area or
 Press START / STOP and T15 will display in upper right corner.
over the involved spinal segments. Apply parallel
 Adjust treatment time if necessary using the TIME/PARAMETER
to incision line for post op pain management. Set
intensity to elicit a pleasant tingling sensation, just
 The treatment will end at the end of the preset time or if the patient
below muscle contraction.
 Press PAIN button until screen reads "TENS - LVPC SENSORY".
Target tissue-superficial. Bilateral bipolar through
 Set Outputs A and B until the patient feels the desired sensation.
the painful area or over the involved spinal
 Press START / STOP and T15 will display in upper right corner.
segments. Apply parallel to incision line for post-
 Adjust treatment time if necessary using the TIME/PARAMETER
op pain management. Set intensity to elicit a
pleasant tingling sensation, just below muscle
 The treatment will end at the end of the preset time or if the patient
contraction.
 Press PAIN button until screen reads "IFC MOTOR".
 Set Outputs A and B until the patient feels the desired sensation.
Target tissue - superficial and deep. Bipolar
 Press START / STOP and T15 will display in upper right corner.
placement over local and distal acu / trigger
points; quadripolar placement over area of local
 Adjust treatment time if necessary using the TIME/PARAMETER
pain; or quadripolar placement at spinal segment.
Set intensity to elicit a moderate muscle twitch.
 The treatment will end at the end of the preset time or if the patient
 Press PAIN button until screen reads "TENS - LVPC MOTOR".
 Set Outputs A and B until the patient feels the desired sensation.
Target tissue-superficial. Bipolar placement over
 Press START / STOP and T15 will display in upper right corner.
local and distal acu / trigger point or at spinal
 Adjust treatment time if necessary using the TIME/PARAMETER
segmental level. Set intensity to elicit a moderate
muscle twitch.
 The treatment will end at the end of the preset time or if the patient
 Press PAIN button until screen reads "IFC MOTOR SENSORY".
 Set Outputs A and B until the patient feels the desired sensation.
Target tissue - superficial and deep. Bipolar
placement over local and distal acu / trigger
 Press START / STOP and T30 will display in upper right corner.
points; quadripolar placement over area of local
 Adjust treatment time if necessary using the TIME/PARAMETER
pain; or quadripolar placement at spinal segment.
Set intensity to elicit a moderate muscle twitch.
 The treatment will end at the end of the preset time or if the patient
 Press PAIN button until screen reads "SENSORY NERVE BLOCK ".
 Set Outputs A and B until the patient feels the desired sensation.
Target tissue - superficial and deep. Bipolar
placement over local nerve; quadripolar placement
 Press START / STOP and T15 will display in upper right corner.
over area of local pain; quadripolar placement at
 Adjust treatment time if necessary using the TIME/PARAMETER
spinal segment. Set intensity to a numb-gripping
sensation just under muscle contraction.
 The treatment will end at the end of the preset time or if the patient
OPERATIONAL SEQUENCE
button.
safety switch is pressed.
button.
safety switch is pressed.
button.
safety switch is pressed.
button.
safety switch is pressed.
button.
safety switch is pressed.
button.
safety switch is pressed.

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