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Table of Contents
Related Manuals for Physiomed IONOSON-IF-Expert
Summary of Contents for Physiomed IONOSON-IF-Expert
- Page 1 O P E R A T I N G I N S T R U C T I O N S IONOSON-IF-Expert 00906 GB...
- Page 2 The technical data in this manual is as at the time of printing and subject to alteration. Copyright © 2001 - 2010 by PHYSIOMED ELEKTROMEDIZIN AG All rights, including rights of translation, reproduction by printing, copying or similar methods, even of parts are reserved.
- Page 3 Instrument Overview Front Panel Rear Face Legend Mains Module Intensity Control Circuit I Output Indicator Upper Status Bar Pulse Indicator Circuit I Patient Lead Connector Display Intensity Control Circuit II / Dose Ultrasonic Transducer Connector Lower Status Bar Pulse Indicator Circuit II Manual Release Key or Therapy Pause Button Socket Data Selector...
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Page 5: Table Of Contents
Contents Introduction........................1 Instrument Description ........................1 Application ...........................1 Contraindications .........................2 Controls and Indicators....................3 Function of Controls and Indicators ...................3 2.1.1 Mains Module <1> ........................3 2.1.2 Upper Status Bar<2> ........................4 2.1.3 Display <3> ..........................4 2.1.4 Lower Status Bar<4> ........................4 2.1.5 Data Selector <5>........................4 2.1.6 Intensity Control Circuit I <6>......................5... - Page 6 4.6.3 Muscle Stimulation using Medium-frequency Surge Currents ........... 29 Ultrasound Therapy ....................... 32 General Information ......................... 32 Therapy ............................32 TPS .............................. 33 Simultaneous Therapy ....................35 General Information and Preparations ................... 35 Therapy ............................35 Indications Menu......................37 Treatment Procedures with Stimulation Current ..............37 Treatment Procedures using Ultrasound ................
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Page 7: Introduction
Introduction 1 Introduction With your , you have acquired a high-quality and extremely ver- IONOSON-IF-Expert satile unit for stimulation current and ultrasound therapy. The instrument will only show its true potential, however, if you are well informed Operating Instructions about its functions. For this reason, carefully read the familiarise yourself with the use of the instrument. -
Page 8: Contraindications
Conditions following radiothorium treatments, X-ray therapy • Conditions following laminectomy • Skin lesions (infections, inflammatory processes, naevi) • Tumescences at all stages (pre-/postoperative) • Blood coagulation diseases. Do not apply ultrasound or simultaneous therapy close to the brain, spinal cord and eyes! IONOSON-IF-Expert... -
Page 9: Controls And Indicators
Controls and Indicators 2 Controls and Indicators As its LCD is divided in different function fields, allows for clear IONOSON-IF-Expert and easy operation. The plastic housing and the front panel protect the electronic components and sim- plify cleaning. Safety-related components are continuously monitored by the microprocessor, erro- neously initiated operating steps are suppressed, a self-test routine is performed af- ter switching on and possible malfunctions are displayed. -
Page 10: Upper Status Bar<2
(cursor stops flashing). The modified values are displayed in the upper status bar <2> or at the respective position of the display <3>. IONOSON-IF-Expert... -
Page 11: Intensity Control Circuit I <6
<4>: Automatic output current switch-off disposes of an automatic output current switch-off activated IONOSON-IF-Expert in case the current flow of the electrodes is interrupted (electrode falls off, plug is disconnected from patient lead etc.). The message... -
Page 12: Pulse Indicator Circuit Ii <9
Controls and Indicators Automatic output current switch-off disposes of an automatic output current switch-off activated IONOSON-IF-Expert in case the current flow of the electrodes is interrupted (electrode falls off, plug is disconnected from patient lead etc.). The message will appear CHECK ELECTRODES II on the lower status bar<4>... -
Page 13: Patient Lead Connector <12
The dose, however, will automatically be turned down to 0 and has to be increased again when continuing the treatment. If no transducer has been plugged in, the message will appear in the Plug in head lower status bar<4>. IONOSON-IF-Expert... -
Page 14: Manual Release Key Socket <14
II/dose <8> to zero. The therapy time is inter- rupted as long as the unit is standing by. 2.1.15 VAC Socket <15> The VAC socket <15> serves to connect to a vacuum applica- Connecting a Vacuum tion unit (also see PHYSIOVAC Expert Unit on page 47). IONOSON-IF-Expert... -
Page 15: Overview Of Parameters
Current mode current mode parameter therapy timers (circuits I + II) circuit I constant voltage operation selection circuit II parameters circuit I back to previous menu electrodes display individual programs setup menu (plate electrodes/ (memory menu) vacuum electrodes) IONOSON-IF-Expert... -
Page 16: Operation
Intensity display circuit I (mA), to be set with intensity control I <6>. The sign (plus/minus) signifies the polar- ity of the red plug of circuit I. Exchange of polarity of the two electrodes; the sign (plus/minus) of the intensity display will be changed re- spectively. IONOSON-IF-Expert... - Page 17 Basic frequency (range: 2.0 to 9.5 kHz) Frequency bands: 4 fixed, one free programmable, fixed frequency (Select 1 – 250 Hz) Interference vector display The current mode IF requires both circuit I and II simultaneously. You Note cannot select any additional therapy for circuit II. IONOSON-IF-Expert...
- Page 18 95 Hz for KOTS Pulse shape (sine, triangle, rectangle) Pulse length T (possible values: 2 ms, 4 ms, 6 ms, 8 ms, 10 ms, auto) Basic frequency (possible values: 2.0 – 9.5 kHz) Acoustic signal, makes every current pulse audible IONOSON-IF-Expert...
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Page 19: Dual Channel Operation
(5) In the same window, click on the , turn the selector to selection field the right and select the duration of the surge time. (6) Leave the window via the button. IONOSON-IF-Expert... - Page 20 The surge times and surge pauses are adjusted in circuit I. To do this, carry out steps 1-6, described above. Alternating stimulation can also be controlled with the manual release key. To do this, carry out steps 1-2 and 3a-7a, described above. IONOSON-IF-Expert...
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Page 21: Parameters For Circuit Ii (Ultrasound)
II / dose <8> Mode of treatment adjustable parameters are 1/10 cont. Simultaneous therapy with circuit I ON/OFF Ultrasound frequency (1 or 3 MHz), selected dose is dis- played in the upper status bar <2> Acoustic coupling confirmation ON/OFF IONOSON-IF-Expert... -
Page 22: Characterisation Of The Individual Current Modes
Mono-/biphase pulse T = pulse time: 0.1 ms or adjustable 40 – 400 μs Stimulation frequency: 2 Hz - 200 Hz (classic: 197 Hz) monophase biphase Application: Pain treatment of various kinds for sensitive patients suffering from minimal hyperaemia. IONOSON-IF-Expert... -
Page 23: Medium-Frequency Currents
1 - 25 Hz, 1 - 50 Hz, 1 - 250 Hz, 100 - 250 Hz or any other Select: fixed frequency: 0 - 250 Hz Application: According to choice of parameters: pain therapy, circulatory stimulation, detonisation a. o. IONOSON-IF-Expert... - Page 24 T = Contraction 1 – 60 s; manual triggering (manual release key) R = release time between contractions 0 – 60 Ramp (surge time): 4 modes Modulation frequencies: 0 - 125 Hz = Basic frequency: 2.0 - 9.5 kHz Application: Muscle training IONOSON-IF-Expert...
- Page 25 2 ms, 4 ms, 6 ms, 8 ms, 10 ms; auto Pulse shape: sine, triangle, rectangle R = release time: 10 ms Ramp (surge time): 4 modes Modulation frequencies: 0 – 125 Hz = Basic frequency: 2.0 - 9.5 kHz Sine Triangle Rectangle Application: Muscle training IONOSON-IF-Expert...
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Page 26: Notes On Operation
(2) Switch the device off and on with the mains switch (mains module <1>). The instrument will carry out an automatic self-test routine during which all functions and output values are checked. An audible signal is issued. (3) The instrument is ready now. You are in the start menu. IONOSON-IF-Expert... -
Page 27: Instrument Errors
Switch off the instrument and switch it on again. If the error code is still displayed after several runs through the self-test routine, contact your service partner. Note Random instrument errors may conceivably occur as the result of harm- less spikes in the power line. IONOSON-IF-Expert... -
Page 28: Stimulation Current Therapy
Moreover, both peculiarities and operating steps are described for different modes of treatment with using IONOSON-IF-Expert low-frequency currents (page 25) and medium-frequency currents (page 28). Warning Always switch on the equipment BEFORE you attach the electrodes to... -
Page 29: Safety Precautions For Stimulation Current Intensity
EF 100 12.0 x 9.0 10 mA EF 200 17.5 x 11.0 20 mA 4.3.1.2 Vacuum Electrodes Type Diameter of electrode Area (cm Maximum intensity for (cm) currents with high gal- vanic component 0.7 mA 2 mA 4 mA IONOSON-IF-Expert... -
Page 30: Preparations And Attaching The Electrodes
Therefore, you should always use electrodes of sufficient size and attach them most carefully. When using galvanic current G, its maximum value should not exceed 0.1 mAs/cm²! For additional information on type, size and application of the electrodes, see the Short Introduction to Electrotherapy supplied therapy booklet IONOSON-IF-Expert... -
Page 31: Modes Of Attaching The Electrodes
Biphase currents have a better tolerance, which has special significance for the treatment of sensitive patients. 4.5.2 Iontophoresis The iontophoresis features the percutaneous diffusion of medicaments or therapeu- galvanic current tic ointments into the body when using IONOSON-IF-Expert... - Page 32 During galvani- sation the maximum current intensity is 0.1 mA on 1 cm² of active electrode area. The time of each treatment must always be chosen according to medicament and size of electrodes; one treatment typically lasts 10-30 minutes. IONOSON-IF-Expert...
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Page 33: Pain Therapy, Hyperaemisation, Detonisation
The therapy time elapses. Warning Take care that the electrodes are by no means touched after the cur- rent is turned up! (7) After treatment, an acoustic signal will be issued. Turn the intensity down to 0. (8) Remove the electrodes. IONOSON-IF-Expert... -
Page 34: Therapy Using Medium-Frequency Current Modes
(10) After treatment, an acoustic signal will be issued. Turn the intensities of both circuits down to 0. (11) Remove the electrodes. Note The current mode IF requires both circuits I and II simultaneously. You can not carry out an additional therapy with circuit II. IONOSON-IF-Expert... -
Page 35: Pain Therapy, Hyperaemisation, Detonisation Using Amf Current
Turn the intensity down to 0. (9) Remove the electrodes. 4.6.3 Muscle Stimulation using Medium-frequency Surge Currents The medium-frequency surge currents intended for the surge current therapy are . Both current modes are usually applied to faradic excitable nerve-muscle KOTS units. IONOSON-IF-Expert... - Page 36 (4) Set the release time R to 1s and the tension time T to the left to the manual re- lease key position. (5) Select the ramp of the current rise. (6) Select the frequency of modulation. (7) If necessary, alter the basic frequency. (8) Activate the acoustic signal, if desired. IONOSON-IF-Expert...
- Page 37 II / dose <8>) is turned up during the time of release, the following message will appear in the lower status bar <4>: Slowly turn down the intensity of the respective circuit then. The mes- sage will disappear as soon as the previously set value is reached again. IONOSON-IF-Expert...
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Page 38: Ultrasound Therapy
(8) Turn up the dose with the intensity control circuit II/ dose <8>. Due to safety reasons increasing the ultrasound dose after the ultra- Note sound has coupled (marker appears in the upper status bar <2>) is only possible after prior turning down the dose with control circuit II/dose <8>. IONOSON-IF-Expert... -
Page 39: Tps
, the area of treatment and the therapy time are taken into account to apply a precisely specified amount of energy in J/cm to the tissue. Therapy Recommendations Acute indications J/cm 15...25 Chronic indications J/cm 30...40 Chronic and fibrotic scars J/cm 40...50 IONOSON-IF-Expert... - Page 40 From experience, the tolerance value real output power between the nominal (desired) and the real ultrasound emission might differ between 10-20%, due to different rea- sons. We recommend to keep a value of 10 to compensate this effect as good as possible. IONOSON-IF-Expert...
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Page 41: Simultaneous Therapy
(6) Select the treatment frequency. (7) If necessary, activate the acoustic coupling confirmation. (8) Select the desired current mode in the left half of the display <3>. Stimulation Current Therapy (9) Set the parameters of the current mode ( from page 22). IONOSON-IF-Expert... - Page 42 As soon as the transducer is put on again the stimulation cur- rent will also rise again automatically. For additional information on the ultrasound dose and other treatment parameters Instructions for ultrasound therapy see the supplied therapy booklet IONOSON-IF-Expert...
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Page 43: Indications Menu
(3) Select the button Graphics An illustration will be displayed which shows you the parts of the body where you can attach the electrodes. This illustration, however, is only a suggestion. IONOSON-IF-Expert... -
Page 44: Treatment Procedures Using Ultrasound
<3>. IND. (2) Select the desired indication from the indications menu. All forms of ultrasound therapy generally contain the abbreviation (US), e.g. Lumbar spine syndrome (US) The parameters proposed for the selected indication will appear in the display. IONOSON-IF-Expert... - Page 45 Warning Make sure you constantly keep moving the transducer on the skin of the patient (dynamic treatment)! Avoid using the transducer at one spot for a longer time (static treatment); this form of treatment might lead to damages on the patient’s tissue! IONOSON-IF-Expert...
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Page 46: Individual Programs
(4) Select one of the programs to save your settings. (5) Press the data selector. The cursor moves to the line below. (6) Select the symbol Save therapy form and confirm. (7) The cursor moves to the vacant position 1. Confirm again. IONOSON-IF-Expert... -
Page 47: Save Potpourri
The current settings are saved. (13) Exit the menu. The selected settings are saved in the respective program and can now be accessed. To keep track of things you may enter the program settings in the Note supplied sheet. IONOSON-IF-Expert... -
Page 48: Call Program
<5> and confirm. (4) Select the symbol delete programs. The bin symbol starts flashing. (5) Select the program to be deleted and confirm. (6) Exit the menu. Now the program is deleted and can be newly assigned. IONOSON-IF-Expert... -
Page 49: Basic Settings
Biphase current (only HV and TENS): Either a break between two half waves or two half waves immediately one after the other Proceed to basic settings for ultrasound Quit basic settings IONOSON-IF-Expert... -
Page 50: Ultrasound
(2) Select the desired parameter with the data selector <5> and confirm. (3) Set the desired value of the parameter. The modification will be confirmed visually and by an acoustic signal. (4) Quit the basic setup. The selected settings are immediately valid. IONOSON-IF-Expert... -
Page 51: Setup Menu
Warning Automatic output current switch-off is disabled when the in- strument is in CV operation! Note When the instrument is switched off, it will be reset to CC op- eration. It is always possible to save current modes in CV operation as individual programs. IONOSON-IF-Expert... -
Page 52: General Notes
Repairs to the instrument may only be performed by parties duly authorised by . Any repairs performed by an authorised agent PHYSIOMED ELEKTROMEDIZIN AG must be accompanied by written certification, describing the nature and extent of the repairs undertaken, as applicable with details regarding changes to nominal op- erating values or the operational range. -
Page 53: Cleaning And Disinfection
If the vacuum application unit is connected and switched on, the cur- rent is released automatically via the vacuum electrodes. By any means, always refer to the operating instructions of the vacuum unit! The following vacuum units can be used in combination with IONOSON-IF-Expert • PHYSIOVAC Expert... -
Page 54: Technical Data
- 1 / 5 100 Hz - 1 / 3 100 Hz - 2 / 5 100 Hz Ambient temperature + 10°C ... + 40°C Dimensions 34.5 x 13.3 x 34.8 cm (W x H x D) Weight 5.5 kg IONOSON-IF-Expert... -
Page 55: Accessories
Warning For safety reasons, has to be used exclusively with original ac- IONOSON-IF-Expert cessories. The use of other manufacturers' accessories is at the user's risk. Warning Plate electrodes are subject to wear and tear. The degree of wearout depends on the current mode, the frequency of use, and the intensity. -
Page 56: Additional Accessories
Plate electrode EF 10 (red/red) 00474 Plate electrode EF 10 (set of 2) 00652 Plate electrode EF 10 (set of 4) 00483 Plate electrode EF 100 (1x red/1x blue) length of cable 1,5 m 00534 Plate electrode EF 100 (blue/blue) IONOSON-IF-Expert... - Page 57 Sponge layer for glove electrode 00570 Transportation bag 00095 Trolley Expert 00097 Trolley Expert 00096 Trolley Expert 01001 Trolley Universal 01003 Trolley Universal II 01005 Trolley Universal III 00183 Ultrasound gel 00182 Ultrasound gel 00038 Ultrasound transducer 1/3MHz 2,5cm IONOSON-IF-Expert...
- Page 58 Viscose cloth 00160 Viscose cover 00158 Viscose cover 00428 Viscose cover 00424 Viscose cover 00433 Viscose cover EF 10 00437 Viscose cover EF 100 00439 Viscose cover EF 200 00464 Viscose sponge 2 cm 00463 Viscose sponge 4,5 cm IONOSON-IF-Expert...
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Page 59: Manufacturer's Recommendations
Medical Devices Directive UNIT: IONOSON-IF-Expert MANUFACTURER: PHYSIOMED ELEKTROMEDIZIN AG Instrument has to undergo a safety regulation control every 18 months. E X T E N T : Visual inspection of the instrument, extras and accompanying papers Function of controls and indicators... -
Page 60: Index
16, 26 spastic paralysis, 2 ground wire, 20 sponge, 47 high-voltage current, 16 standard accessories, 49 hyperaemia, 16, 17 start menu, 9, 10 hyperaemisation, 27, 29 start-up, 20 impulse indicator circuit, 5 stimulation current, 2, 22, 35, 36, 37 IONOSON-IF-Expert... - Page 61 4 timer, 5, 33, 36, 39 VAC socket, 8 TPS, 33 vacuum application unit, 8 transcutaneous electric nerve stimulation, 17 vector display, 11 transducer, 32, 33, 34, 36, 39, 49 viscose covers, 24, 26, 49 treatment mode, 32 IONOSON-IF-Expert...