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MNPG178-01 - I-Tech Medical Division

1. MEDICAL DIVISION Programs and muscle groups of interest with photographs showing the position of the electrodes E04 Fast Strength Total program duration 26 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hand Extensors photograph 04 Hand Flexors photograph 05 Deltoid photograph 06 photograph 08 Large dorsal photograph 09 Gluteus photograph 19 Li Li Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius Quadriceps thighs photograph 11 18 Biceps femoris photograph 12 Calves photograph 13 Anterior tibial photograph 14 Phase 1 Phase 2 Phase 3 Phase 4 10 min Training 8 min Training 3 min Warm up 14 sec recovery 10 sec recovery 5 min Recovery 6 sec work 5 sec work E05 Explosive Strength Explosive strength programs increase the explosive power and speed of the muscle mass with extremely short strengthening contractions and very long active recovery times to allow the muscle to regain strength It is usually best to complete a three week basic strength cycle of increasing intensity before using this program Then continue with three weeks of explosive strength twice a week During the contraction the intensity must be the highest that can be endured in order to obtain maximum muscle exertion whilst involving the greatest number of fibres over 35 WARNING the program involves an automatic increase in intensity between the second and the third ph
2. Medical program It is a sinusoidal single phase current with pulse trains of 10ms and a Oms pause at 100 Hz Current sensibility is of course lower than MF Diadynamic thanks to its higher frequency So its passage is more pleasant and less perceived Physiological effects The main action of the DF current is reduced sensibility that provokes an analgesic effect However the inhibitory action is hindered by rapid inurement Moreover it causes vasodilatation has a sedative effect on the sympathetic nervous system and a great effect of functional and motor recovery of the muscle Indications It is indicated as therapy for painful non spastic conditions and to improve the tonicity of the connective tissue of muscles Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W17 DFSR Diadynamic Medical program It s a diadynamic biphasic current with 2 seconds of action and a 1 second pause at 100 Hz The main effect of this kind of current is an excitomotor action on striated muscle and on motor nerves but it also has an analgesic tonic and vasodilatory effect The analgesic effect is delayed and continuous Indications It 1s indicated as therapy for painful non spastic conditions and to improve the tonicity of the connective tissue of muscles Total program dur
3. small diameter nerve fibres at the spine It therefore acts mainly on the symptom to simplify it further the wire transmitting pain information is obstructed Treatment duration should be no less than 30 40 minutes Conventional tens is a current that can be used to treat general everyday pain The first benefits can be seen after an average of 12 to 15 treatments carried out on a daily basis there are no contraindications for up to double this amount The program has a duration of 30 minutes in a single phase The program can be repeated at the end of the session for particularly persistent pain Position of electrodes form a square above the painful area as shown in figure 1 Intensity adjusted to a level between the thresholds of perception and pain the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract over this limit stimulation does not become mote effective just more irritating so it is best to stop before that point W02 e Endorphinic TENS 0 5 Hz Frequency Medical program This type of stimulation produces two effects in relation to the position of the electrodes positioning the electrodes in the dorsal region see photograph 08 in the positions manual promotes the endogenous production of morphine like substances capable of raising the pain perception threshold positioning the electrodes to form a square above the painful area as shown in figure 1 produces a vascularising
4. action and a 1 second pause at 50 Hz The main effect of this kind of current is an excitomotor action on striated muscle and on motor nerves but it also has an analgesic tonic and vasodilatory effect The analgesic effect is delayed and continuous Indications It is indicated as therapy for painful non IACER Srl 15 MNPG178 01 MEDICAL DIVISION spastic conditions and to improve the tonicity of the connective tissue of muscles Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W15 e MFSL Diadynamic Medical program It is a sinusoidal single phase current with pulse trains of 10ms and a 10ms pause with 5 seconds of action and a 2 second pause at 50 Hz The main effect of this kind of current is an excitomotor action on striated muscle and on motor nerves but it also has an analgesic tonic and vasodilatory effect The analgesic effect is delayed and continuous Indications It is indicated as therapy for painful non spastic conditions and to improve the tonicity of the connective tissue of muscles Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W16 DF Diadynamic
5. to stimulate the muscle fibres directly Impulses have a longer duration calculated in milliseconds and not in microseconds as in the case of normal innervated muscle and a much lower frequency The recommended intensity should be adjusted to stimulate the muscle with a short contraction every 2 seconds Program duration 20 minutes in a single phase Position of electrodes use 2 big electrodes better if wet and in a sponge placed at the two ends of the muscle to be treated IACER Srl 18 MNPG178 01 _ MEDIGAL DIVISION R02 Partially denervated Medical program This program is specifically indicated for the treatment of partially denervated muscles i e with partial rupturing of the peripheral nerve The purpose of the program is to stimulate the healthy innervated part of the muscle The intensity should be adjusted in order to produce a good contraction of the treated muscle Program duration 20 minutes in a single phase Position of electrodes see photographs 01 to 22 WARNING In the case of the programs RO1 and RO2 we recommend rectangular electrodes measuring 50x90 mm for medium high intensities With smaller electrodes the device could generate an alarm and therefore not perform the treatment correctly R03 Stress Incontinence Medical program Program duration 13 minutes intensity set above the threshold of perception to produce light internal stimulation This program for which no photographs
6. agonist muscles and Channel 3 and 4 antagonist muscles The program is designed to restore muscle tone to the quadriceps and its antagonist the leg biceps or the biceps brachii and the triceps The work aims at developing strength In the second work phase it is necessary to select the intensity 3 times recovery intensity of four channels work intensity of Channels 1 and 2 agonist muscles and work intensity of Channels 3 and 4 antagonist muscles Intensity of stimulation during work follow the indications mentioned at the beginning of the EMS Program chapter Intensity must be increased gradually treatment by treatment without overstraining the muscles Suspend training for a few days in the event of fatigue and proceed with the E09 Muscle Recovery program IACER Srl 28 MNPG178 01 MEDICAL DIVISION E10 Agonist Antagonist Total program duration 33 minutes Biceps CH1 CH2 photograph 02 Triceps CH3 CH4 photograph 03 Hand Extensors CH1 CH2 photograph 04 Hand Flexors CH3 CH4 photograph 05 Quadriceps CH1 CH2 photograph 11 Femoral biceps CH3 CH4 photograph 12 Phase 1 Phase 2 Phase 3 20 min work alternated over channel pairs 3 min Warm up 6 sec recovery 10 min Recovery 7sec work on CH1 CH2 7sec work on CH3 CH4 E11 Lipolysis This program is widely used in the field of beauty treatments to increase micro circulation and promote lymphatic activity in areas where there a
7. effect Vascularisation increases arterial flow and consequently aids the removal of algogenic substances and helps to restore normal physiological conditions Treatment duration 20 minutes in a single phase daily frequency Do not position the electrodes close to inflamed areas Intensity adjusted for good solicitation of the part stimulated 15 30 the sensation must be similar to that of a massage W03 e Endorphinic TENS 1 Hz Frequency Medical program See previous program description but with 1 Hz frequency W04 e Endorphinic TENS 2 Hz Frequency Medical program See previous program description but with 2Hz frequency W05 e TENS sequential Medical program The action of this program is very similar to that of the W01 program During stimulation this program modifies the frequency and impulse width in order to prevent inurement to the stimulation no need to continuously adjust the intensity value Select the intensity at the beginning of the program and maintain it until the end of the program set it in order to produce a slight tingling effect in the treated area If the perception of current decreases a lot during the program do not increase the intensity value and wait until the end of therapy The TENS program is working properly Program duration 20 minutes for each phase Intensity set above the threshold of perception Position of electrodes form a square on the painful area as shown in figure 1 or see photogra
8. heavy suitcase It causes pain in the flexor and pronator tendons inserted in the epitroclea Pain is felt when bending or straightening the wrist against resistance or when clenching a hard rubber ball in the hand 15 applications once a day even twice until the symptoms pass We recommend that you consult your doctor to identify the precise cause of the pain in order to prevent the condition from reoccurring Program duration 40 minutes intensity adjusted above the threshold of perception R13 Epitroclea Total program duration 40 minutes Position of electrodes photograph 29 with electrodes moved towards the inside of the arm rotated by 909 Phase 1 Phase 2 Tens 90Hz 20 min Tens 70Hz 20 min R14 Periarthritis Medical program Scapulo humeral periarthritis is an inflammatory condition affecting the fibrous tissues surrounding joints tendons serous sacs and connective tissue These appear altered and can break into fragments and calcify If neglected this condition can become heavily crippling For this reason after carrying out a cycle of 15 20 applications once a day we recommend that you consult your doctor for a cycle of specific rehabilitation exercises to reduce the pain The R14 program consists of various phases including Tens and muscle stimulation aimed at improving the tone of the muscles surrounding the joint Program duration 41 minutes intensity set above the threshold of perception with small muscle contr
9. mainly used for analgesic purposes to counter the effects usually pain of a wide variety of medical conditions cervical pans arthritis myalgia neuritis back pains periarthritis heaviness in the legs and muscular weakness to mention but a few On an academic level TENS can be divided into various categories according to the mechanism used to reduce the pain The main types are conventional TENS or fast analgesic electro acupuncture training TENS or delayed analgesic TENS sequential where stimulation parameters are modified automatically by the program itself during the treatment TENS at maximum values with antidromic action and consequently an immediate local anaesthetic effect TENS burst that combines conventional and electro acupuncture training TENS The rehabilitattve action of TENS is represented by its power to reduce pain thereby restoring physiological conditions more often than not this allows the patient to regain normal motor function Consider a patient suffering from irritating periarthritis they either resort to using analgesics or learn to live with the pain that often makes even the simplest movements impossible Immobility reduces metabolic activity making it impossible to eliminate algogenic substances So a vicious circle begins In addition to relieving pain TENS causes induced muscle stimulation increasing metabolic activity and blood flow and improving tissue oxygenation with an intake of nutritional substances So
10. of the supply of impulses and not during the OFF phase Active channels Chl and Ch2 Position of electrodes see photographs 01 to 22 NEOFARADIC CURRENT The neofaradic current is used for the stimulation of normal muscle It is suitable for treating muscular hypotrophy and the contraction of muscles also has a positive effect on bones and articular circulation The programs W23 W24 and W25 are composed of 2 phases The first phase lasts 33 seconds and is for selecting the intensity of contraction When the desired level is reached press the RIGHT ARROW key to confirm Next press the intensity increase key of any channel phase 2 will begin automatically at the selected intensity 90 first turn 95 second turn 100 third turn The second phase lasts 15 minutes and it alternates 10 seconds of recovery with 5 seconds of contraction W23 W24 W25 Neofaradic 20 50 100 Hz Total program duration 15 min 33 sec Position of electrodes photographs 01 to 22 Phase 1 Phase 2 Test phase duration 33 seconds Work duration 15 minutes IACER Srl 17 MNPG178 01 MEDICAL DIVISION W23 e Neofaradic 20 Hz Medical program It is a low frequency 20 Hz current that is used to produce individual muscular contractions It consists of 5 seconds of stimulation and a 10 second pause Intensity adjusted for good contraction of the muscles stimulated W24 e Neofaradic 50 Hz Medical program It is a middle frequency current 50 Hz used t
11. programs divided as follows 26 TENS ANALGESIC IONOPHORESIS diadynamic faradic Kotz and interferential currents 25 REHAB denervated muscles incontinence pains 17 EMS strengthening heating muscular cool down and for beauty treatments 18 Customisable IACER Srl 4 MNPG178 01 I TECH MEDIGAL DIVISION The device comes with a 10 year warranty Desctiption of the controls Channel intensity increase decrease buttons Program and parameter selection confirmation buttons Patient 2 selection button Patient 1 selection button Channel 1 2 Channel 3 4 4 EMG input Battery charger ON OFF button IACER Srl 5 MNPG178 01 MEDICAL DIVISION Labels Label on the back of the device Model I TECH PHYSIO 4 EMG Model I TECH PHYSIO 4 MODEL I TECH PHYSIO EMG MODEL I TECH PHYSIO 4 SN 000001 SN 000001 EXT POWER SUPPLY EA1018G 1E EXT POWER SUPPLY EA1018G 1E in 100 240VAC 1A 50 60Hz out 12VDC 2A in 100 240VAC 1A 50 60Hz out 12VDC 2A QONE ced ONE C En TF I TECH LA C E R Sri via S Pertini 24 A I TEC ER Srivia S Pertini 24 A 30030 Martellago VE ITALY 30 Martellago VE ITALY AEDICAL DIVISION sf MEDICAL DIV s Z Fr Follow the instructions on use WEEE directive Class II device In compliance with MDD 93 42 EEC and subsequent amendments to Dit 2007 47 EC concerning medical devices CE marking Production data month year Permitted temperatures temperatu
12. tears Medical program Program duration 20 minutes in a single phase Position of electrodes 2 electrodes of channel 1 on treated area Intensity adjusted between 6 and 12 The maximum adjustable intensity is 12 R21 Herpes Zoster Medical program Program duration 30 minutes in a single phase Position of electrodes use channels 1 and 2 and form a square as shown in figure 1 page 12 Intensity adjusted in order to produce a light tingling not painful R22 Wounds healing Medical program Position of electrodes use the 2 electrodes of channel 1 Use rubber and buckskin electrodes or conductive rubber sponge covered electrodes For repairing tissue place sterile gauze dampened with a saline solution on the wound the positive electrode is placed on the wound and the negative electrode is placed distally or if the treated zone is too thick at 10 cm of distance This causes migration of the vascular cells and the synthesis of collagen increasing the speed of recovery Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain R23 e Wounds bactericide Medical program Position of electrodes use the 2 electrodes of channel 1 Use rubber and buckskin electrodes or conductive rubber sponge covered electrodes Place a sterile gauze dampened with a saline solution on the wound to kill any bacteria Cathode positive electrode red plug is
13. the positive effect can be amplified by combining TENS with muscle stimulation of the area concerned Position of electrodes and intensity levels The electrodes should be positioned to form a square surrounding the painful area using Channel 1 and Channel 2 as shown in figure 1 positioning of the red electrode at the top black one at the bottom is irrespective of the type of therapy refer to the manual of electrode positions Intensity adjusted to a level between the thresholds of perception and pain the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract over this limit stimulation does not become more effective just more irritating so it is best to stop before that point Gli ali IMPORTANT Create a square area with the electrodes over the painful zone Keep the electrodes a minimum of 4cm apart W01 Rapid TENS Medical program Program also called conventional tens used for analgesic purposes its purpose is to induce the organism into blocking pain at the spine in accordance with the Gate Control Theory by Melzack and Wall Pain impulses leave part of the body for example the hand and run along the nerve tracts through small diameter nerve fibres until they reach the central nervous system where the impulses are interpreted as pain Conventional tens activates large diameter nerve fibres blocking the path of IACER Srl 12 MNPG178 01 MEDICAL DIVISION
14. 1 MEDICAL DIVISION Description Records the level of reference contraction for Reference Contraction calibrating the measurements in the relative mode Enables audible and visual feedback The level Relative Feedback of muscle activation is recorded in relation to the reference contraction This mode prevents exceeding a set threshold for each muscle Working Mode This mode is for maintaining a level of Keep Level contraction expressed as a percentage of the reference contraction Permits setting the level of contraction to be Edit Target nae maintained for Keep Level mode Under Threshold Permits enabling or disabling the channels and Channel Settings setting the visualisation scale and the alarm threshold Saves or loads the settings for the device in one of the 4 available locations in the memory Epoch Size Sets the epoch for calculating the width of the P received signal 0 25 0 5 1 s Settings Permits editing of the identification code to Filename ID SE create the names of files containing the data Taroet Error Permits editing of the tolerance to attain the 8 level of contraction set in Keep Level mode Resets the counters used to number the files containing the data Save Load Settings Reset Counters IACER Srl 37 MNPG178 01 MEDICAL DIVISION To the right in the figure below is the screen that appears when the user selects the mode for recording the maximum voluntary contraction MVC MAIN M
15. 93 42 CEE concernente i dispositivi medici Annex Il as amended by Directive 2007 47 EC dated 5 September 2007 Italian Legislative Decree 37 2010 dated 25 January 2010 Notified body Cermet Via di Cadriano 23 40057 Cadriano di Granarolo BO ITALY I TECH PHYSIO 4 4 EMG is Class Ila equipment with reference to Directive 93 42 EEC MDD annex IX rules 9 and 10 and subsequent amendments Certification channel Annex II excluding paragraph 4 Martellago 01 09 2014 The legal representative Mario Caprara Ta The I TECH PHYSIO 4 EMG device has the following classification Classifications e Class IIa equipment Directive 93 42 EEC annex IX rules 9 and 10 and subsequent amendments Class II with BF type applied part Classif IEC EN 60601 1 Equipment unsuitable for use in the presence of a flammable anaesthetic mixture containing air oxygen or nitrous oxide e Equipment suitable for continuous operation Equipment unsuitable for use outdoors Purpose and scope Clinical scope Therapeutic Purpose Outpatient care Hospital care IACER Sri 3 MNPG178 01 O MEDIGAL DIVISION The medical device is intended for use by a therapist a fitness coach at a public private centre or clinic or professional operators in general The I TECH PHYSIO 4 and I TECH PHYSIO EMG are intended in particular for muscular rehabilitation in general muscular cool down muscle strengthening beauty treatments firming an
16. ENU REF CONTRACTION Contraction tive Feedback R i z ui To the right in the figure below are the two screens that appear when the user selects the Under Threshold feedback mode A instead of Keep Level mode B m TETTI un RELATIVE MAIN MENU si dd HI Go DT Ho Ee Fh an m m To the right in the figure below is the screen that appears when the user wishes to select the working mode MAIN MENU m D Ref Contraction Relative Feedback Working Mode Edit Target Settings IACER Sri 38 MNPG178 01 MEDICAL DIVISION To the right in the figure below is the screen that appears when the user wishes to select the Target The 4 figures below show all the screens that appear in the Setting mode MAIN MENU H MAIN MENU co ii ta i Fl fil AT a tall ill ef Contraction Relative Feedback Working Mode Edit Target Settings 9 PHYSIO 3 il HH nr tn il ei ie ei Channel Settings Save Load Settings Epoch Size 0 5 4 Filename ID PHYSIO Error 3 Counters SETTINGS m j CHANNELS MENU Reference Contraction Mode This functions permits recording of the reference contraction for each channel each channel is associated with one pair of electrodes IACER Sri 39 MNPG178 01 MEDICAL DIVISION fo RT A e TS a a sl cla Fis dL ei In this mode the instrument provides visual biofeedback in the form of the width of the electromyographical sign
17. K key to confirm 3 Next select the program required for patient 1 following the instructions above 4 Press key 2 to set the program and make the relative adjustments for patient 2 IACER Srl 10 MNPG178 01 MEDIGAL DIVISION During therapy it is possible to switch between patient 1 and patient 2 at any time by pressing key 1 or 2 on the keyboard Electrostimulation and stimulation intensities Electrostimulation consists of the transmission of electric micro impulses from the I TECH PHYSIO 4 EMG to the human body The fields of application of electrostimulation are pain therapy recovery of muscle trophism after injury or a surgical operation athletic preparation and beauty treatments Specific electric impulses are used for every one of these applications The stimulation intensity is shown for each channel on a scale of 0 to 120mA on the screen of the I TECH PHYSIO 4 EMG For Sport and Beauty programs the intensity differs according to the type of muscle or the program in use The following description helps the user to choose the correct intensity according to impulse Impulse categories are Tens impulse for tens programs the intensity should be set at a level between the thresholds of perception and pain The maximum limit is reached when the muscles surrounding the area treated begin to contract It is best to stay below that limit Micro current impulse the maximum adjustable intensity is 12 so very low It can be se
18. MEDICAL DIVISION OPERATING MANUAL MNPG178 Rev 1 of 25 03 15 I TECH PHYSIO 4 EMG em O MEDIGAL DIVISION Contents Contents 2 Technical information Manufacturer Declaration of conformity Classifications Purpose and scope Technical specifications Description of the controls Labels Contents of the pack SJ OB L WH WH LI QU Purpose Warnings Side effects Contraindications Electromagnetic interference O00 o CO N N Instructions on use for electrotherapy treatments Instructions on use for electromyography EMG treatments36 Handling and care 43 Charging the battery 43 Cleaning the equipment 43 Operation transport and storage 44 Information on disposal 44 Maintenance and troubleshooting 44 Assistance 44 Spare parts 44 Warranty 45 EMC tables 46 IACER Sri 2 MNPG178 01 JS MEDIGAL DIVISION Technical information Manufacturer I A C E R S r l Via S Pertini 24 a 30030 Martellago VE Tel 39 041 5401356 Fax 39 041 5402684 IACER S r l is an Italian manufacturer of medical devices CE certificate n MED24021 released by the Notified Body n 0476 Cermet Declaration of conformity IACER S r l headquartered in Italy via S Pertini 24 A 30030 Martellago VE declares that the I TECH PHYSIO 4 4 EMG device is manufactured in conformity with Council Directive 93 42 EEC MDD dated 14 June 1993 Italian Legislative Decree 46 97 dated 24 February 1997 Attuazione della Direttiva
19. Recovery Programmable memories b 30 00 E Denervato memoria 1 Denervato memoria 2 TENS memoria 1 TENS memoria 2 TENS memoria 3 M01 M02 Denervated 1 2 Medical program Stimulation programs for denervated muscle Active channels CH1 Position of electrodes use 2 big electrodes better if wet and in a sponge placed at the two ends of the muscle to be treated Use the left and right arrow keys to scroll through the menu and select the stimulation parameter and use the up and down keys to modify the values After setting all the stimulation parameters click on OK to save the program To start the saved program press the OK key Three sound signals alert to the end of the program In the case of impulses longer than 100ms set the maximum intensity at 1 Hz Programma Numero fase selezionato Tempo totale Descrizione countdown fase programma in funzione Larghezza Frequenza impulso Descrizione parametro Conferma parametri selezionato e avvio programma IACER Srl 32 MNPG178 01 MEDICAL DIVISION Table of settable values PARAMETER DESCRIPTION MIN MAX Frequency 0 25 Hertz Impulse width 40 milliseconds 400 milliseconds Total time ARNING In the case of programs M01 and M02 we recommend the use of rectangular electrodes measuring 50x90 mm for stimulation at medium high intensity With smaller electrodes the device could generate an alarm and therefore not perform the treatmen
20. acial muscles The position of the electrodes is shown in the photographs of electrode positions photograph 24 N B a minimum distance of 3cm must be kept between the electrode and the eyeball IMPORTANT take care when adjusting the intensity as facial muscles are particularly sensitive intensity should be increased gradually starting with a very low level of stimulation for example 3 10 and increasing it with extreme care until you reach a good level of stimulation represented by good muscle activation IMPORTANT it is not necessary to reach levels of intensity capable of causing discomfort The equation more pain more gain is completely misleading and counterproductive Great and significant results are obtained through consistency and patience E14 e Atrophy prevention Medical program Program created to maintain muscle trophism This treatment focuses on the toning of muscles and of slow twitch fibres in particular Particularly indicated for patients recovering from an accident or an operation Prevents the reduction of muscle trophism caused by physical inactivity The muscle area concerned can be stimulated with daily applications of low intensity if you increase the intensity leave a day of rest between applications to allow the muscles to recover WARNING the program involves an automatic increase in intensity between the second and the third phase Consequently it will not be necessary to adjust stimulation inte
21. actions alternate with periods of active recovery during the work phase allowing the muscle to be trained without subjecting it to stress and improving oxygenation of the same muscle The basic rule for obtaining initial results is as follows two sessions per week for each muscle region for the first three weeks at increasing intensity 20 30 three sessions per week for the next three weeks at high intensity 30 50 IACER Srl 24 MNPG178 01 MEDICAL DIVISION Intensity must be increased gradually treatment by treatment without overstraining the muscles In the event of fatigue suspend training for a few days and revert to the E09 Muscle Recovery program instead WARNING the program involves an automatic increase in intensity between the second and the third phase Consequently it will not be necessary to adjust stimulation intensity between phases but only press the Up arrow key for any one of the 4 channels The first work recovery cycle of phase 3 will start at an intensity of 90 of that set for phase 2 the second work recovery cycle will go up to 95 of intensity and finally the third work recovery cycle will go up to 100 of the intensity set for phase 2 Programs and muscle groups of interest with electrodes position photographs as reference E03 Basic strength Total program duration 30 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hand Extensors photograph 04 Hand Flexors photograph 05 Del
22. actions at the end of the program 10 minutes before the end R14 Periarthritis Total program duration 41 minutes Position of electrodes periarthritis see photograph 26 Phase 1 Phase 2 Phase 3 Tens 150Hz 1 min Tens 90Hz 30 min EMS 10 min R15 Neuralgias Medical program Neuralgia Program single phase 30 minutes of duration Intensity adjusted just above the threshold of perception Two treatments daily for 10 12 days R16 Menstrual pains Medical program IACER Srl 21 MNPG178 01 MEDIGAL DIVISION R16 Menstrual pains Total program duration 35 minutes Position of electrodes 2 electrodes of the channel 1 on lower abdomen Phase 1 Phase 2 Tens 90Hz 30 min Tens Burst 5 min Intensity adjusted in order to produce a light tingling not painful R17 Carpal tunnel Medical program Program duration 30 minutes in a single phase Position of electrodes see photograph 33 Intensity adjusted in order to produce a light tingling not painful R18 Tendinitis Medical program Program duration 20 minutes in a single phase Position of electrodes 2 electrodes of channel 1 on painful area Intensity adjusted in order to produce a light tingling not painful R19 Strain Medical program Program duration 20 minutes in a single phase Position of electrodes 2 electrodes of channel 1 on treated area Intensity adjusted between 6 and 12 The maximum adjustable intensity is 12 R20 e Muscular
23. al standardised at the maximum acceptable value The PHYSIO 4 EMG system automatically records the maximum signal for each of the active channels Press ESC to exit Reference Contraction mode and return to the main menu the Up and Down arrows keys are not used in this mode Re entering Reference contraction mode resets the data ready for reassessment In this mode press OK once to record the course of the signal when applicable i e the average rectified values ARVs of the current contraction To close the file press the OK key again Relative Feedback Mode This functions permits recording of the reference contraction for each channel each channel is associated with one pair of electrodes In this mode visual and audible feedback is provided for the patient as a percentage of the reference contraction for the various channels which must have been previously recorded for each channel The screens differ according to the selected type of mode Working Mode selected Keep Level or Under Threshold RELATIVE RELATIVE The Under Threshold mode is shown in the figure to the left The system shows 2 dotted vertical bars that indicate the threshold set for each channel A horizontal bar increases or decreases its width in IACER Srl 40 MNPG178 01 MEDICAL DIVISION proportion to the level of contraction and keeps within a maximum range relating to the intensity of the reference contraction The Keep Level mode is shown to t
24. aline solution on the wound if the anode positive electrode is placed over the wound the migration of vascular cells and the synthesis of collagen occur increasing the speed of recovery If the cathode negative electrode is placed over the wound a bactericide effect occurs and the growth of pathogenic microorganisms is delayed Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W22 e Kotz Current Medical program The Kotz current was discovered by Y M Kotz in the 1970s It is a middle frequency current and is used for the strengthening of normally innervated muscle A 2 5 kHz interrupted carrier current is used It is characterised by 10ms packages with 10ms pauses in between therefore 50 packages of impulses are supplied per second The program consists of 10 seconds of stimulation with the aforementioned parameters and 20 seconds of rest Total program duration 10 minutes The Kotz excitomotor effect occurs in deep muscles because of their lower resistance In fact it has been demonstrated that the electrical impedance skin decreases with an increase in frequency Intensity adjusted in order to produce good contractions of muscles stimulated at the pain threshold Maximum adjustable intensity 50 The intensity is adjustable only during the 10 seconds
25. any additions modifications and or repairs are carried out by authorised personnel e the equipment is used observing the instructions on use in this manual WARNING it is forbidden to tamper with this equipment in any way Side effects No significant side effects are known Some particularly sensitive people have reported skin redness in the area where the electrodes were positioned redness normally vanishes a few minutes after treatment Should the redness persist please consult a doctor In rare cases stimulation carried out in the evening can cause some people to experience difficulty in falling asleep Suspend treatment and consult a doctor if this occurs Contraindications Do not use the device when there are cancerous lesions in the area of treatment Stimulation must not be carried out in areas that are infected swollen or inflamed or when there are skin eruptions phlebitis thrombophlebitis etc This device must not be used by people with a pace maker epileptics pregnant women anxious people or people suffering from serious illnesses or inguinal or abdominal hernias Do not use the device if the cause of pain is not known or not diagnosed Use the device only after diagnosing the cause In the event of injury muscle stress or any other health problem use the device only under medical supervision IACER Srl 8 MNPG178 01 MEDICAL DIVISION Electromagnetic interference The device doesn t produce or receive electromag
26. are provided regarding the position of the electrodes requires the use of appropriate internal stimulation probes supplied separately together with the relative instructions We recommend that you consult your doctor before using this program and during the treatment R04 e Urgency Incontinence Medical program Program duration 13 minutes intensity set above the threshold of perception to produce light internal stimulation This program for which no photographs are provided regarding the position of the electrodes requires the use of appropriate internal stimulation probes supplied separately together with the relative instructions We recommend that you consult your doctor before using this program and during the treatment R05 e Mixed Incontinence Medical program Program duration 13 minutes intensity set above the threshold of perception to produce light internal stimulation This program for which no photographs are provided regarding the position of the electrodes requires the use of appropriate internal stimulation probes supplied separately together with the relative instructions We recommend that you consult your doctor before using this program and during the treatment WARNING in the case of the programs R03 R04 and R05 we recommend certified probes class Ha medical devices The datasheet of the probes must contain information on use storage and cleaning precautions and any other useful information R06 A
27. argeable internal batteries and with the battery charger included in supply The long term effects of stimulation are not known e For external use only It is forbidden to position the electrodes on the carotid sinuses especially those of patients known to have hypersensitive carotid sinuses Do not carry out stimulation on the thyroid neck or mouth because this could trigger muscle spasms that can obstruct the airways and cause breathing difficulties and heart rhythm disorders and excessive arterial pressure e It is forbidden to position the electrodes in such a way that the current crosses the heart area e g a black electrode on the chest and a red electrode on the shoulder blade however electrodes can be positioned along the muscular fascia of the heart area as for pectoral strengthening Danger of cardiac arrhythmia Do not carry out stimulation with the patient connected to high frequency surgical devices as this could cause scalding and skin injuries under the electrodes and problems with the stimulator Do not use the device with short wave or micro wave electrosurgical or therapy equipment that sends electrical impulses to the body as this could cause problems with the stimulator It is forbidden to use the device near flammable substances or in environments where there is a high concentration of oxygen in the presence of aerosol devices or in very damp environments do not use it in the bathroom or when having a shower b
28. arget can be set at a value between 0 and 98 in steps of 2 Use the Up and Down arrow keys to edit the target deviation value Press OK to save the new value and automatically return to the previous screen and use the Left arrow key to return to the previous screen without saving the changes IACER Sri 41 MNPG178 01 MEDICAL DIVISION Settings This menu enables the user to edit the instrument s settings Channel SettingsThis function permits modification of the settings of each channel Use the arrow keys to select a parameter and press OK to then scroll through the possible values and edit the parameter It is possible to change the status of each channel ON or OFF change the gain x1 x2 x4 and x8 and change the threshold for Under Threshold mode in steps of 2 CHANNELS MENU amp LOAD ss j Curr Settings Settings IACER Srl 42 MNPG178 01 MEDICAL DIVISION Dr TT pam men pee e ceg p ng me ma SAVE SETTINGS ca OAD Position Position Position Position Position Position Position Position EpochSize This parameter is used to calculate ARVs The basic EMG signal is rectified and average over time intervals called epochs The values can be 0 25 s 0 5 s and 1 s Increasing the duration of the epoch increases the stability of the ARVs and also of the feedback signal but decreases the speed of response Filename ID the string represents a part of the name of the saved file to which is added a progressiv
29. ase Consequently it will not be necessary to adjust stimulation intensity between phases but only press the Up arrow key for any one of the 4 channels The first work recovery cycle of phase 3 will start at an intensity of 90 of that set for phase 2 the second work recovery cycle will go up to 95 of intensity and finally the third work recovery cycle will go up to 100 of the intensity set for phase 2 Programs and muscle groups of interest with electrodes position photographs as reference E05 Explosive Strength Total program duration 28 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hand Extensors photograph 04 Hand Flexors photograph 05 Deltoid photograph 06 Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius photograph 08 Large dorsal photograph 09 Gluteus photograph 19 Quadriceps thighs photograph 11 18 Biceps femoris photograph 12 Calves photograph 13 Anterior tibial photograph 14 Phase 1 Phase 2 Phase 3 Phase 4 10 min Training 3 min Warm up 24 sec recovery 6 sec work 10 min Training 24 sec recovery 5 min Recovery 6 sec work utomatic Increase IACER Srl 26 MNPG178 01 MEDICAL DIVISION E06 Resistant Strength This program is designed to help increase resistance to physical stress or rather withstand intense exertion for a longer amount of time in muscle regions subjected to stimulation Indicated for sporting disciplines involving lo
30. ath It is forbidden to position the electrodes near the eyes make sure that the current delivered does not cross the eyeball one electrode diametrically opposite to the other in relation to the eye keep a distance of at least 3cm from the eyeball Do not use it in the area of the genitals Do not use it in areas of the body of little sensitivity Do not allow the equipment to be used by people with emotional disorders or who are even only temporarily incapacitated or have insufficient mental ability Apply the electrodes only on clean unblemished skin Keep the electrodes separate during operation electrodes in contact can cause inappropriate stimulation or skin injuries Keep out of the reach of children IACER Srl 7 MNPG178 01 MEDIGAL DIVISION Consult your doctor if you have any doubts about using the device Use of the device is prohibited in the presence of signs of deterioration of the device itself and of the electrodes and cables Always check the condition of the device before use e In the case of metal osteosynthesis implants consult a doctor before using the device Make sure that the plug and battery charger are intact Should one of these parts show any sign of damage suspend use of the battery charger immediately and contact the retailer or manufacturer Only use battery chargers supplied by the manufacturer the use of battery chargers not supplied by the manufacturer will free the same fr
31. ation 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W18 DFSL Diadynamic Medical program It is a diadynamic biphasic current with 5 seconds of action and a 2 second pause at 100 Hz The main effect of this kind of current is an excitomotor action on striated muscle and on motor nerves but it also has an analgesic tonic and vasodilatory effect The analgesic effect is delayed and continuous Indications It 1s indicated as therapy for painful non spastic conditions and to improve the tonicity of the connective tissue of muscles Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W19 CP Current Medical program It is composed of alternated single phase 3 seconds and biphasic 3 seconds waveforms The short term current has an essentially dynamogenic effect This action promotes contraction of the striated muscles improves the nutritional status of the tissue and facilitates the re absorption of post traumatic oedemas Frequency alternating current is clearly perceptible the DF current produces a light tremble while the MF current produces a strong pulsation Physiological effects Th
32. c work 8 sec work E08 Capillarisation This program significantly increases arterial flow in the area treated Prolonged use of this program develops the intramuscular capillary network of fast twitch fibres The effect obtained is an increase in the capacity of fast twitch fibres to withstand strain over extended periods of time For an athlete with good endurance the capillarisation program is very useful for recovery after intense aerobic work before anaerobic work and when training is not possible due to bad weather or an injury Program duration 30 minutes one phase Recommended intensity of stimulation medium 20 30 Position of electrodes see photographs 01 to 20 E09 e Muscle Recovery Can be used for all sports after competitions or the most demanding training sessions in particular after long and intense exertion To be used immediately after exertion Helps drainage and winding down improving muscle oxygenation and helping to discharge synthetic substances produced during exertion Program duration 15 minutes one phase Intensity of stimulation medium low 15 25 increased during the last 5 minutes Position of electrodes see photographs 01 to 20 E10 Agonist Antagonist The electric stimulator produces alternating contractions on the 4 channels during the first phase of warm up the 4 channels work simultaneously during the second work phase muscle contractions are alternated between Channel 1 and 2
33. ction intensity shown by a full bar on the display should be set at 20 30 for not very trained people 30 50mA for trained people over 50mA for well trained people We suggest that you set the recovery intensity value between one contraction and another at about 10 15 less than the contraction intensity value During the last recovery phase the intensity value has to be set for good massaging of the stimulated part without producing pain 18 30 E01 Firming up Indicated for firming up muscles in the arms and bust or the legs working mainly on slow twitch fibres Treatment frequency 3 4 times in a week The intensity must be sufficient to produce good but not painful muscle contractions 15 as an initial value increasing it gradually week by week IACER Srl 23 MNPG178 01 MEDICAL DIVISION Programs and muscle groups of interest with electrodes position photograph as reference E01 Firming up Total program duration 30 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hand Extensors photograph 04 Hand Flexors photograph 05 Deltoid photograph 06 photograph 08 Large dorsal photograph 09 Gluteus photograph 19 Li Li Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius Quadriceps thighs photograph 11 18 Biceps femoris photograph 12 Calves photograph 13 Anterior tibial photograph 14 Phase 1 Phase 2 Phase 3 20 min Training 5 min Warm up 13 sec rec
34. ctrodes The intensity of stimulation must be such to assure good muscular contractions during treatment but not so strong as to generate soreness 20 25 It mainly works on slow twitch fibres E16 Sequential tonic contractions 1 Total program duration 25 minutes Lower Muscles all you want to stimulate in a sequence Phase 1 Phase 2 Phase 4 20 min sequential contractions on 4 channels 6 sec duration each 3 min Warm up 2 min Recovery E17 Sequential tonic contractions 2 This program produces rhythmic contractions with a stimulation frequency typical of fast twitch fibres Thanks to the high stimulation frequency it is suitable for increasing muscle strength sequentially The programs produce sequential phasic contractions on four channels in phase 2 and 3 These programs can be carried out using self adhesive electrodes The intensity of stimulation must be such to assure good muscular contractions during treatment but not so strong as to generate soreness 20 40 IACER Srl 31 MNPG178 01 O MEDIGAL DIVISION Unlike the previous program this one uses a higher stimulation frequency during the contraction phase and therefore works mainly on fast twitch fibres E17 Sequential tonic contractions 2 Total program duration 25 minutes Lower Muscles all you want to stimulate in a sequence Phase 1 Phase 2 Phase 3 20 min sequential contractions on 4 3 min Warm u l sa P channels 6 sec duration each 2 min
35. d drainage pain therapy analgesic and muscular atrophy programs and functional recovery of muscles after trauma or an accident specific programs for ionophoresis incontinence and the treatment of denervated muscles It is possible therefore to treat a wide range of both chronic and acute pathologies The LTECH PHYSIO 4 EMG model permits the non invasive registration of surface electromyographic sSEMG signals taken in single differential mode and detected with electrodes placed on the skin The user must be familiar with sEMG techniques in order to put the I TECH PHYSIO 4 EMG to correct use The CE0476 marking on the device applies exclusively to medical programs and does not cover therefore any programs relating to beauty treatments Refer to the details of the various programs for further information Technical specifications Characteristic Specification Power supply NiMH 7 2V 2000mAh 6xAA Size pack of rechargeable batteries EA1018G 12V battery charger 100 240VAC 1 0A 50 60Hz input 12VDC 2 0A output Non replaceable 2A 250VAC fuse Max absorbed current Insulation class IEC EN 60601 1 Applied part IEC EN 60601 1 Dimensions length x width x 180x110x50 height mm IP protection IP20 Device protected against the infiltration of solid bodies measuring more than 12 5mm in diameter Device not protected against the infiltration of liquids Electrotherapy models 4 and 4 EMG Number of programs A total of 86
36. d barely perceivable current The main features of MENS are correct body bioelectric currents when they have been altered by diseases analgesic action ATP production ATP production promotes proteins synthesis and faster healing of wounds reduction of oedema MENS is able to reduce vascular permeability with an improvement of lymphatic activity It is a program suitable for more delicate parts of the body face close to genitals inflamed areas or for people that don t tolerate conventional TENS very well Program duration 30 minutes Maximum intensity limited to 12 We recommend to set the intensity level between 6 and 12 Table of correspondences adjusted effective current W09 W10 Ionophoresis 1 Ionophoresis 2 Medical program Ionophotresis is an electrotherapeutic technique that uses continuous current to carry drugs into a painful area or contracture area lonophoresis means transfer of ions a continuous current transfers active pharmacologic ions through the skin The electric current favours the penetration of the drug into the cells and at the same time it stimulates the elimination of metabolic slag The drug can have negative polarity positive polarity or double polarity The current induces the drug to run from one pole to the other crossing the painful area and releasing the specific active ingredient WARNING before starting the therapy wet the sponge electrodes and wring them to avoid dripping then put the
37. dicazione programma E gt A onista Anta on 1 contrazioni e in funzione g F gon LE recupero attivo Tempo di 300uS 4 Frequenzadi recupero f TLL IES ee et OL E contrazione Frequenza di recupero Descrizione m parametro f Conferma parametri selezionato e avvio programma Table of settable values PARAMETER DESCRIPTION BYIN MAX Contraction frequency 120 Hertz Instructions on use for electromyography EMG treatments The I TECH PHYSIO EMG has a biofeedback module based on the analysis of surface electromyographic EMG signals It was designed to evaluate and record the electrical activity produced by the human body and provide feedback via two channels Bipolar electrodes process the bioelectrical signals These signals are amplified filtered converted into digital format and displayed on the screen and saved in the memory when applicable The biofeedback is both visual on the screen and audible with an internal buzzer The I TECH PHYSIO EMG allows the user to record different levels of maximum voluntary contraction of the two muscles and to set different feedback thresholds for each muscle To access the functions of the EMG module simply click on the EMG icon in the main menu of the I TECH PHYSIO EMG the main menu then appears as shown in the figure MAIN MENU Ref Contraction Relative Feedback Working Mode Edit Target The work menu of the 4 EMG module is as follows IACER Sri 36 MNPG178 0
38. drug on the electrode as follows Drugs with positive polarity dissolve this type of drug on the electrode connected to the positive pole red connector Aa Drugs with negative polarity dissolve this type of drug on the electrode connected to the negative pole black connector Two pole drugs these can be dissolved on either the positive pole or farmaco the negative pole CATODO ANODO Position the electrode with the drug on the painful area and the other electrode on the other side Program duration 20 minutes Select channel 1 or channel 2 select both channels only if you need to stimulate two different areas Position the electrodes positive and negative horizontally to the treatment area Channels 3 and 4 are disconnected Set an intensity IACER Srl 14 MNPG178 01 MEDICAL DIVISION value to create the tingling effect in the treatment area At the end of the program the skin could turn slightly red any reddening usually vanishes a few minutes after the end of the program Program 1 works at 1000 Hz frequency program 2 at 1500 Hz Program 2 has a higher transfer capacity than program 1 but also involves a higher probability of reddening of the skin Do not use the ionophoresis program near metallic prostheses W09 and W10 programs differ only in terms of the level of frequency The second program works at a frequency higher than the first so it is better at transferring active principles On the other hand thi
39. e etc This technique is not suitable if the bone is in a deep position femur humerus radius etc 2 electrodes of channel 1 have to be positioned 10 cm apart near the bone to be treated The program lasts 60 minutes and it can be repeated several times a day up to 4 5 times The maximum adjustable intensity is 30 For the treatment of the vertebral column use 2 rectangular electrodes measuring 50x90mm To treat smaller zones for example the wrist use electrodes measuring 48x48mm Table of current density with electrodes measuring 48x48mm Value displayed on screen Current density mA cm Current density pA cm p5 0 034 ir di i 0 068 68 0 137 0 205 Table of current density with electrodes measuring 50x90mm Value displayed on screen Current density mA cm Current density pA cm pS 00175 0 035 0 105 The recommended intensity ranges are in bold EMS programs IMPORTANT Intensity of stimulation EMS programs Firming up and Toning up Strength Endurance Agonist Antagonist are divided in 3 phases warm up phase work phase recovery phase During the warm up phase phase 1 the intensity of stimulation has to be set in order to produce reasonable solicitation of the muscle and warm it up without causing fatigue 18 30mA During the work phases the middle phases of each program T ONE alternates contraction impulses with active recovery impulses The two intensities must be selected separately the contra
40. e number incremented for each file Target Error This value determines the precision as a percentage for maintaining the set level of contraction The value can be set at between 1 and 9 Reset Counters Press OK when this item is selected in the menu to reset the counters for the progressive numbering of the data files saved on the LTECH PHYSIO EMG and cate Charging the battery The display shows when the battery is low nnn h Batteries fully h Batteries partially C P Batteries fully charged discharged discharged BATTERIA SCARICA battery low appears on the display when the batteries run low In this case connect the battery charger to the relative connector on the small rear panel of the device To replace the battery please contact the manufacturer or a specialist technical centre Replace the battery only with one of the same model provided by the manufacturer Cleaning the equipment Use a soft dry cloth to remove dust Use a small sponge dampened with a water and alcohol solution to remove any stubborn stains WARNING never clean the device when it is in operation Disconnect the device from the battery charger and disconnect all the connection cables before cleaning the device IACER Sri 43 MNPG178 01 MEDICAL DIVISION Always observe the recommendations above and contact the manufacturer for information on any other cleaning maintenance operations Operation transport and storage The device is designed t
41. e problem persists please contact the manufacturer e The I TECH PHYSIO 4 EMG does not transmit electrical impulses Check all the connections cables and applicators as indicated in this manual If the problem persists please contact the manufacturer e The I TECH PHYSIO 4 EMG turns itself off during operation Check the battery to see if it is low contact the manufacturer Assistance Please contact the manufacturer for all technical assistance regarding the equipment To request technical assistance contact I A C E R S r l Via S Pertini 24 a 30030 Martellago VE Tel 39 041 5401356 Fax 39 041 5402684 Technical documents concerning repairable parts can be provided only with the consent of the company and only when the personnel entrusted with maintenance have received appropriate training Spare parts The manufacturer can provide original spare parts for the equipment at any time To request spare parts IACER Srl 44 MNPG178 01 MEDICAL DIVISION I A C E R S r l Via S Pertini 24 a 30030 Martellago VE Tel 39 041 5401356 Fax 39 041 5402684 Under the terms of the warranty and in order to ensure the safety and efficiency of the product it is recommended to use only original spare parts provided by the manufacturer refer also to the section Warnings Warranty The I TECH PHYSIO 4 EMG comes with a 2 year warranty valid from the date of purchase that covers the electronic parts The warranty cover
42. e sotto raccomandato in relazione alla potenza di uscita massima degli apparecchi di radiccomunicazione Potenza di uscita Distanza di separazione alla frequenza del trasmettitore m nominale massima del trasmettitore Wh es Fer i trasmettitori con potenza nominale massima di uscita sopra non riportata la distanza di separazione raccomandata d in metri im pu essere calcolata usando l equazione applicabile alla frequenza del trasmettitore ove F la potenza massima nominale d uscita del trasmettitore in Watt 4 secondo il costruttore del trasmettitore Nota 1 A 80 MHz e 800 MHz si applica l intervallo della frequenza pi alta 2 Queste linee guida potrebbero non applicarsi in tutte le situazioni La propagazione salettromagnetica influenzata dal aseorbimento e dala riflessione di strutture oggetti persone I TECH PHYSIO 4 EMG All rights reserved I TECH PHYSIO 4 EMG and the logo menicai pivision are the sole property of I A C E R Srl and are registered IACER Srl 47 MNPG178 01 1 A C E R S r l Sede operativa 30030 Martellago VE Via S Pertini 24 A Tel 39 041 5401356 Fax 39 041 5402684 Sede legale S Marco 2757 30124 Venezia Cod Fisc P IVA IT 00185480274 R EA VEN 120250 M VE001767 Cap Soc 110 000 00 i v www iacer it iacer iacer it
43. enough to produce light muscle contractions in the first 2 3 weeks Increase intensity progressively over the next 3 4 weeks Application on alternate days Programs and muscle groups of interest with photographs showing the position of the electrodes E15 Atrophy Total program duration 30 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hands Extensors photograph 04 Hands Flexors photograph 05 Deltoid photograph 06 Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius photograph 08 Large dorsal photograph 09 Gluteus photograph 19 Abdomen Obliques photograph 22 Hip photograph 23 Quadriceps thighs photograph 11 18 Femoral biceps photograph 12 Calves photograph 13 Anterior tibial muscles photograph 14 Phase 1 Phase 2 Phase 3 3 min Warm up 25 min 6 sec recovery 6 sec work 2 min Recovery E16 Sequential tonic contractions 1 This program increases microcirculation within and around the muscle fibres treated creating rhythmic contractions promoting better drainage and toning It can also be applied to older people to improve blood and lymphatic circulation in the lower limbs e g applying CH1 to the right calf CH2 to the left calf CH3 to the right thigh CH4 to the left thigh The programs produce sequential tonic contractions on 4 channels to produce the typical effect of electronic lymphatic drainage These programs can be carried out using self adhesive ele
44. ent to obtain a comfortable massage Bear in mind that there is no need to endure high levels of intensity in this case as it is meant to be a massage meaning that intensity can be increased gradually and not to an excessive degree Capillarisation impulse increase the intensity gradually to produce constant visible stimulation of the treated area a medium stimulation threshold is recommended always below the pain threshold Lipolysis drainage impulse the pump effect is produced by sequential tonic contractions The intensity must be sufficient to produce these contractions the greater the contraction the greater the induced pump effect There is no benefit to be gained from enduring intensity high enough to cause pain The first electrostimulation sessions should be carried out at a low intensity to allow the organism to get used to new sensations In this way intensity can be increased gradually without causing any trauma Other impulses see program details IACER Srl 11 MNPG178 01 MEDICAL DIVISION WAVE programs AN WARNING It must be remembered that an electronic stimulator is a very effective analgesic instrument and that pain can indicate various types of medical condition Most of the programs described in this section are analgesic You are advised to read the manual carefully before using the I TECH PHYSIO 4 EMG TENS an acronym standing for transcutaneous electrical nerve stimulation is a therapeutic technique
45. he right The two dotted vertical lines indicate the maximum and minimum strength values within which the user must remain to maintain the level The distance between the dotted vertical lines corresponds to the degree of precision required to maintain the required level This precision can be modified in the Advanced Settings menu following the instructions provided further on The Target value set in the Keep Level section is calculated as the average of the width of the active channels The contraction level i e the ARVs can be recorded when applicable Use the Up and Down arrow keys to edit the value of the target and therefore the position of the dotted vertical bars In both Relative Feedback modes press OK to start recording the signals of each active channel and then press it again to stop recording The format of the recorded files is described in the next section of this manual Working Mode Function Use the Up and Down arrow keys in the main window to enter the sub menu for selecting the relative working mode of the instrument and setting the required function Press OK to save the selected function and use the Left arrow key to return to the previous screen WORKING MODE MENU ts eUnder threshold oKeep level am e F e Working Mode Function This parameter is for adjusting the level of deviation from the set maximum and minimum thresholds of the PHYSIO EMG for the Relative Feedback gt Keep Level mode The t
46. is kind of current has a strong dynamogenic effect or trophic effect and a ereat analgesic effect especially in the case of chronic pain Moreover the CP current is particularly effective with regard to the re absorption of haematomas and oedemas Indications It is used in the short term to treat pain resulting from the inflammation of tendons articular capsule and soft tissues IACER Srl 16 MNPG178 01 MEDICAL DIVISION tendinitis bursitis rheumatoid arthritis and trauma in general Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W20 e LP Current Medical program It is composed of alternated single phase 10 seconds and biphasic 5 seconds waveforms The long term current has essentially an inhibiting action on muscle and sensibility as a consequence it produces analgesia and relaxation of the striated muscles Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W21 HVPC Medical program HVPC can be used for the reconstruction of tissue the re absorption of oedemas and the reduction of pain For repairing tissue place a sterile gauze dampened with a s
47. male arms female trunk legs female male female 7 Press the OK key to start stimulation and the relative text appears on the screen place the electrodes on the skin connect the cables and increase the intensity the type of cable required for the selected type of treatment also appears on the screen To start the work session press the Up arrow key of at least one of the channels used for electrostimulation and increase the intensity of the output current the I TECH PHYSIO 4 EMG opens the work screen automatically displaying the name of the selected program 8 Press the up arrow button for each channel in use to increase current intensity until the personal tolerance level is reached IACER Srl 9 MNPG178 01 MEDICAL DIVISION Programma Numero di fasi Tempo totale programma Indicatore stato di selezionato fase in corso countdown fase in corso carica della batteria Barra indicazione contrazioni e Descrizione Hho programma in funzione F a e Resistenza recupero attivo Indicazione LIL ILLINKKKKILKKCK KKKKKLCKKKLKKKKK _Canale in allarme canale i in 7 a a ae errore elettrodi funzione Ea oH ak non collegati Valore in mA Y intensit in f gt i206 1 195 HH A 96 5 Indicazione canale uscita non attivo A bar indicating the start and end of a contraction will appear on the display while the electronic stimulator is working The periods of muscular contraction bold bar and the periods of recovery dotted or s
48. ne che alimenta gli edifici per uso domestico E possibile utilizzare l apparecchio in tutti gli edifici compresi gi edifici domestici e quelli direttamente collegati alla rete di alimentazione pubblica in bassa tensione che alimenta edifici per usi domestici Aspetti di immunit ll prodotto I TECH PHSYIO EMG previsto per funzionare nell ambiente alettromagnetico sotto specificato cliente o l utilizzatore dovrebbe assicurarsi che esso venga usato in tale ambiente Prova di immunit Livello di prova Livello di Ambiente elettromagnetico EN 60601 1 2 conformit guika Scariche elettrostatiche 6kY a contatto GKV a contatto pavimenti devono essere in legno ESD 8k in aria SkV in aria i n se sir a SH Meno Some ricoperti materiale ARMOR na l umicit relativa dovrabbe essere almeno del 30 campi magnetici a frequenza di rete dovrebbero avere livelli caratteristici of una localit tipica in ambiente commerciale o ospedaliera Campo magnetico ala j3 A m frequenza di rete EN 61000 4 8 IACER Srl 46 MNPG178 01 MEDICAL DIVISION petti di immunit a r t ll prodotto I TECH PHSYIO EMG previsto per funzionare nell ambiente alettromagnetico sotto pecificato Il cliente o l utilizzatore dovrebbe assicurarsi che esso venga usato in tale ambiente Prova di immunit Livello di prova Livello di Ambiente elettromagnetico guida EN 60601 1 2 conformit RF Condotta 2 Vaff da 150kHz a Veff da 150kH Gli ap
49. netic interference from other devices However it is recommended to keep a distance of at least 3 metres from televisions monitors mobile phones or other electronic devices The equipment must not be used near or on top of other equipment If this is not avoidable the operator must monitor normal operation of the equipment in its current configuration Please refer to the EMC tables annexed to this manual for further details Instructions on use for electrotherapy treatments Before using I TECH PHYSIO 4 EMG clean the skin of the area to be treated with the cable disconnected from I TECH PHYSIO 4 EMG connect the electrostimulation cable jacks to the self adhesive electrodes position the self adhesive electrodes on the skin see photographs of electrode positions connect the impulse transmission cables to the relative jacks Channel 1 and or Channel 2 then turn on the device Instructions on use for a single patient 1 Turn on the I TECH PHYSIO 4 EMG by pressing the ON OFF switch on the small rear panel of the device 2 Select single mode and press the OK key to confirm 3 Select the program group Wave Rehab EMS or Mem using the left and or right arrow keys 4 Select the program using the up down arrow buttons e g E03 basic strength 5 Select male or female with the left right arrow buttons when applicable Select Select male female 6 Select the muscle group with the up down arrow buttons arms male trunk legs
50. ng intense periods of exertion Intensity of stimulation during work follow the indications mentioned at the beginning of the EMS Program chapter WARNING the program involves an automatic increase in intensity between the second and the third phase Consequently it will not be necessary to adjust stimulation intensity between phases but only press the Up arrow key for any one of the 4 channels The first work recovery cycle of phase 3 will start at an intensity of 90 of that set for phase 2 the second work recovery cycle will go up to 95 of intensity and finally the third work recovery cycle will go up to 100 of the intensity set for phase 2 Programs and muscle groups of interest with electrodes position photographs as reference E06 Resistant Strength Total program duration 30 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hand Extensors photograph 04 Hand Flexors photograph 05 Deltoid photograph 06 Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius photograph 08 Large dorsal photograph 09 Gluteus photograph 19 z SEE Quadriceps thighs photograph 11 18 Biceps femoris photograph 12 Calves photograph 13 Anterior tibial photograph 14 Phase 1 Phase 2 Phase 3 Phase 4 10 min Training i 10 min Training 5 min Warm up 20 sec recovery i 20 sec recovery 5 min Recovery 10 sec work 10 sec work E07 Endurance The Endurance program is used in sports
51. nsity between phases but only press the Up arrow key for any one of the 4 channels The first work recovery cycle of phase 3 will start at an intensity of 90 of that set for phase 2 the second work recovery cycle will go up to 95 of intensity and finally the third work recovery cycle will go up to 100 of the intensity set for phase 2 Programs and muscle groups of interest with photographs showing the position of the electrodes E14 Prevention of atrophy Total program duration 30 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hands Extensors photograph 04 Hands Flexors photograph 05 Deltoid photograph 06 Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius photograph 08 Large dorsal photograph 09 Gluteus photograph 19 Abdomen Obliques photograph 22 Hip photograph 23 Quadriceps thighs photograph 11 18 Femoral biceps photograph 12 Calves photograph 13 Anterior tibial muscles photograph 14 Phase 1 Phase 2 Phase 3 Phase 4 10 min amp S 2 10 min 5 min Warm up 9 sec recovery 9 sec recovery 5 min Recovery 6 sec work 6 sec work IACER Srl 30 MNPG178 01 MEDICAL DIVISION E15 e Atrophy Medical program This program acts selectively on slow twitch fibres Ideal for recovering muscle trophism after a long period of inactivity or an accident Program to be carried out when loss of muscle tone has already occurred Apply with caution at low intensity
52. nti inflammatory Medical program Program recommended for inflammatory conditions Apply until the inflammatory state is reduced Up to 2 treatments daily if required Intensity adjusted just above the threshold of perception Identify the area to be treated and position the electrodes as shown in figure 1 page 12 Program duration 30 minutes in a single phase R07 Neck pain Headache Medical program Specific program for the treatment of pain in the neck area Intensity adjusted to a level between the thresholds of perception and pain the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract The first benefits can be seen after 10 to 12 treatments carried out on a daily basis proceed with the treatment until the symptoms pass IACER Srl 19 MNPG178 01 MEDICAL DIVISION R07 Neck pain Headache Total program duration 33 minutes Position of electrodes cervical see photograph 25 Phase 1 Phase 2 Short width Tens impulse 30 min De contracting 3 min R08 Backache Sciatic pain Medical program Specific program for the treatment of pain in the lumbar area or along the sciatic nerve or both Intensity adjusted to a level between the thresholds of perception and pain the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract over this limit stimulation does not become more effective just more irritating so it is best
53. o obtain muscular tetanus it consists of 5 seconds of stimulation and a 10 second pause Intensity adjusted in order to produce good contractions of muscles stimulated almost at the pain threshold W25 e Neofaradic 100 Hz Medical program It is a high frequency current 100 Hz used to obtain muscular tetanus it consists of 5 seconds of stimulation and a 10 second pause Intensity adjusted in order to produce good contractions of muscles stimulated at the pain threshold W26 Interferential Medical program Interferential therapy is based on the interference of two sinusoidal currents at different frequencies applied to the patient the resultant current endogenously generated is a new kind of current Its frequencies are respectively the difference and the sum of the two initial frequencies and their multiples There are several advantages to this current easy transfer through the skin no sensation of pain for the patient an excellent therapeutic effect in depth no electrolytic effects Position of electrodes see following figure Intensity adjusted in order to produce a good tingling not painful CH2 CH1 Zona Dolore REHAB programs R01 Denervated Medical program This program is specifically indicated for the treatment of denervated muscles i e with complete rupturing of the peripheral nerve In this case it is not possible to stimulate the muscle through its nerve fibres it is necessary instead
54. o operate in the following ambient conditions ambient temperature 0 to 40 C relative humidity 10 to 93 pressure 700 to 1060 hPa Precautions for transport No special precautions need to be taken for transport because the I TECH PHYSIO 4 EMG is a portable device It is advisable to always put the I TECH PHYSIO 4 EMG and its accessories back in the carrying case provided after use Precautions for storage The equipment is designed to withstand the following ambient conditions with or without the case provided ambient temperature 25 to 70 C relative humidity up to 93 pressure 700 to 1060 hPa Information on disposal The product is subject to the WEEE regulations as indicated by the symbol on the label concerning differentiated waste collection take the product to an electronic waste recycling centre or contact the manufacturer Maintenance and troubleshooting The equipment does not require any particular routine maintenance when used in the manner indicated in this manual It is advisable to have the device inspected by the manufacturer once every 24 months in order to guarantee correct operation and compliance with the requirements concerning safety and efficiency If any faults or problems occur during use of the I TECH PHYSIO 4 EMG please refer to the troubleshooting guide below e The I TECH PHYSIO 4 does not turn on Check that the battery is not dead refer to the section Charging the battery If th
55. ogram has a relaxing and draining effect on the limb stimulated It is ideal for people suffering from a sense of heaviness in the legs Duration 40 minutes Intensity set above the threshold of perception Position of electrodes 2 electrodes one positive the other negative on the sole of the foot one close to the toes the other under the heel R11 Plantar stimulation Total program duration 40 minutes Phase 1 Phase 2 Phase 3 Tens 70Hz 15 min Tens 2Hz 15 min Tens 90Hz 10 min IACER Srl 20 MNPG178 01 MEDICAL DIVISION R12 Epicondylitis Medical Program Also known as tennis elbow it is an insertional tendinopathy concerning insertion of the elbow bone into the epicondylar muscles those enabling finger and wrist extension bending backwards 15 applications once a day even twice until the symptoms pass We recommend that you consult your doctor to identify the precise cause of the pain in order to prevent the condition from reoccurring Program duration 40 minutes intensity adjusted above the threshold of perception R12 Epicondylitis Total program duration 40 minutes Position of electrodes see photograph 29 Phase 1 Phase 2 Phase 3 Tens 90Hz 20 min Tens 70Hz 10 min Tens 50Hz 10 min R13 Epitroclea Medical program Also known as golfing elbow it affects golfers but also those who carry out repetitive tasks or tasks involving frequent intense strain for example carrying a particularly
56. ogramma in funzione Larghezza Frequenza impulso Descrizione parametro Conferma parametri selezionato e avvio programma Table of settable values PARAMETER DESCRIPTION BYIN MAX Frequency 0 25 Hertz 120 Hertz Impulse width 500 microseconds Total time M08 M09 EMS 1 second slope EMS 1 sec slope to set the EMS program with a 1 second impulse slope IMPORTANT 1 second slopes make for a faster contraction while 2 3 second slopes make for a more progressive contraction In the case of memories 12 and 13 in particular a 3 second slope can be used to obtain a triangular impulse where the impulse parameters are continuously adjusted This program is specifically indicated for the treatment of partially denervated muscles After setting all the stimulation parameters click on OK to save the program To start the saved program press the OK key Three sound signals alert to the end of the program Programma Numero di fase Larghezza impulso Tempo totale selezionato i F m countdown fase aE HH i 35 00 E Barra indicazione IMA i contrazioni e in funzione FEMS ramp 1 secondo recupero attivo Tempo di 300uS A j Frequenza di FECUPETO WN a contrazione Frequenza gt 185 HZ 105 mmz di MECUPETO mcrrrrefisccrrrereeserzesne renne Arari Descrizione Jeen parametro Conferma parametri selezionato e avvio programma Table of settable values PARAMETER DESCRIPTION MAX Contracti
57. om any responsibility related to damage to the equipment or user and expose the user to potential risks like short circuits and fire The device must be used with care for patients with suspected heart problems Some patients may suffer skin irritation or hypersensitivity due to treatment or the gel Suspend treatment and consult a doctor if the problem persists The intensity of stimulation and the position of the electrodes should be based on the indications of the prescribing doctor The effectiveness of treatment depends largely on the selection of patients suited to treatment by qualified personnel Ensure good contact between the skin and the electrode Prolonged use can cause irritation of the skin in the area where the electrodes are applied If the intensity of stimulation is uncomfortable or becomes inadequate reduce the intensity to an adequate level Consult your doctor if the problem persists Do not use the device when driving a vehicle or when handling and controlling equipment machinery e Do not confuse the connection cables with the cables of headsets or other devices and do not connect the cables electrodes to other equipment Do not use sharp or pointed objects on the device s keyboard Use only accessories provided by the manufacturer Warning the equipment delivers current in excess of 10mA The manufacturer assumes responsibility for the quality efficiency and safety of the equipment only when
58. on frequency 120 Hertz IACER Srl 34 MNPG178 01 MEDIGAL DIVISION M10 M11 EMS 2 second slope EMS 2 sec slope to set the EMS program with a 2 second impulse slope Table of settable values PARAMETER DESCRIPTION MIN MAX Contraction frequency 120 Hertz M12 M13 EMS 3 second slope EMS 3 sec slope to set the EMS program with a 3 second impulse slope Table of settable values PARAMETER DESCRIPTION MIN MAX Total time M14 M15 FES Available programs to set treatments for incontinence prevention and cure Table of settable values PARAMETER DESCRIPTION MIN MAX Contraction frequency 120 Hertz E E Impulse width 500 microseconds Total time M16 M17 M18 Agonist antagonist 16 17 18 Available programs to set treatments with alternated contractions on a pair of channels Position of electrodes see the photographs in the position manual Use the left and right arrow keys to scroll through the menu and select the stimulation parameter and use the up and down keys to modify the values After setting all the stimulation parameters click on OK to save the program To start the saved program press the OK key Three sound signals alert to the end of the program IACER Sri 35 MNPG178 01 MEDICAL DIVISION Larghezza impulso Tempo totale Programma Numero di fase se f Di E countdown fase selezionato ad ase Descrizione Nile HH 30 00 Barra in
59. overy 5 min Recovery 7 sec Work 30Hz E02 Toning up The toning up program is suitable for improving trophsim and for the recovery of normal strength in the treated muscle This program is indicated after a complete cycle of a minimum of 10 treatments with the E01 Firming up program Treatment frequency 2 3 weekly sessions Stimulation intensity has to be middle high with a contraction between the thresholds of perception and pain 20 30 Benefits can be seen after just 10 15 treatments and these become more definite after two months of regular treatment Programs and muscle groups of interest with photographs showing the position of the electrodes E02 Toning up Total program duration 30 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hand Extensors photograph 04 Hand Flexors photograph 05 Deltoid photograph 06 Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius photograph 08 Large dorsal photograph 09 Gluteus photograph 19 Quadriceps thighs photograph 11 18 Biceps femoris photograph 12 Calves photograph 13 Anterior tibial photograph Phase 1 Phase 2 Phase 3 20 min Training 5 min Warm up 13 sec recovery 5 min Recovery 7 sec Work 45Hz E03 Basic strength The basic strength program is used in sport to develop basic strength which by definition is the maximum tension that a muscle can exert against constant resistance The contr
60. parecchi di comunicazione a RF portatili EN 61000 4 6 a Soh a SohlH mobili non covrebbero essere usati vicino a RF Radiata 3 Veff da soMHz 3 Veff da SOMHz sssuna parte dell apparecchio compresi cavi EN 61000 4 3 eccetto quando rispettano le distanze di separazione raccomandate cakbolate dall equazione applicabile alla frequenze a del trasmettitore Distanze di separazione raccomandate d 1 2 P da 150kHz a S0MHz d 1 2 F da 0 MHz a 800 MHz d 2 3 P da S00 MHz a 2 5 GHz ove F la potenza massima nominale d uscita del trasmettitore in Watt N secondo il costruttore del trasmettitore dl la distanza di separazione raccomandata in metri imi L intensit del campo dei trasmettitori a RF fissi come determinato in un indagine elettromagnetica del site potrebbe essere minore del livello di conformit in ciascun intervallo di frequenza Si pu verificare interferenza in prossimit di apperecchi contrassegnati dal seguente simbolo i Distanza di separazione raccomandata tra gli apparecchi di radiocomunicazione portatili e mobili e l apparecchio DISPOSITIVO Il prodotto FTEGH PHSYIO EMG previsto per funzionare in un ambiente elettromagnetico in cu sono sotto controllo i disturbi irradiati RF Il cliente o l operatore dell apparecchio possono contribuire a prevenire interferenza slettromagnetiche assicurando una distanza minima fra gli apparecchi di comunicazione mobili e portatili a RF trasmettitori e l apparecchio com
61. phs 25 to 33 W06 e TENS at maximum values Medical program Very short duration 3 minutes Blocks pain impulses peripherally creating a proper anaesthetising effect in the area treated This type of stimulation is suitable for injuries or bruises when rapid action is required The intensity selected is the maximum tolerable value well in excess of conventional tens and therefore with considerable contraction of the muscles surrounding the area treated That is the reason why such stimulation is undoubtedly the least tolerated but is extremely effective This type of stimulation is not recommended for particularly sensitive people and in any case the electrodes should not be positioned in sensitive ateas such as the face and genitals or close to wounds Position of electrodes form a square on the painful area as shown in figure 1 or see photographs 25 to 33 IACER Srl 13 MNPG178 01 MEDICAL DIVISION W07 e TENS Burst impulse Medical program This program produces a training effect using the frequencies of conventional TENS Useful for pain therapy The action is similar to the one of endorphinic TENS with a treatment time of 15 minutes for a phase Position of electrodes form a square on the painful area as shown in figure 1 Intensity adjusted for good solicitation of the part stimulated 15 30mA the sensation must be similar to that of a massage W08 e Microcurrent MENS Medical program MENS releases a very low an
62. placed on the wound and negative electrode is placed distally or if the treated zone is too thick at a distance of 10 cm This provokes a bactericide effect and consequently the growth of pathogenic microorganisms is delayed Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain R24 Venous insufficiency Medical program The program is indicated for the treatment of venous insufficiency Position the 2 electrodes of channel 1 on the left calf and the 2 electrodes of channel 2 on the right calf It is possible to use square or rectangular electrodes according to the size of the calf and the comfort of the patient Start the program by selecting an intensity able to produce a good not painful muscular contraction IACER Srl 22 MNPG178 01 MEDICAL DIVISION Program duration 60 minutes in a single phase R25 Superficial osteogenesis Medical program A study of the healing of fractures was carried out in 1968 in Japan and the United States This study consists of two main techniques 1 The implanting of sharp needle electrodes near the bone to be calcified invasive technique 2 The positioning of self adhesive electrodes on the external surface near the bone We consider the second technique for the treatment of fractures in particular when the bone to be stimulated is in a superficial position vertebral column wrist kneecap ankl
63. re fatty deposits This program greatly increases the local metabolism thanks to its trophic action it helps to reduce the orange peel effect when combined with a low calorie diet Treatment sessions can have a daily frequency The program produces sequential tonic contractions first CH1 CH2 then CH3 CHA4 reproducing the typical effect of electronic lymphatic drainage The logic for application of the electrodes is the following CH1 CH2 at the extremities of the limbs for example the calf or forearm and CH3 CH4 at the top for example the thigh or biceps brachii Intensity of stimulation to produce good not painful effects in the stimulated areas 20 30 E11 Lipolysis Total program duration 30 minutes Hands Extensors CH1 photograph 04 with 2 electrodes Hands Flexors CH2 Lower photograph 05 with 2 electrodes Muscles Biceps brachii CH3 photograph 02 with 2 electrodes Triceps CH4 photograph 03 with 2 electrodes Calves CH1 photograph 13 with 2 electrodes Anterior tibial muscles CH2 photograph 14 with 2 electrodes Quadriceps CH3 photograph 11 with 2 electrodes Femoral biceps CH4 photograph 12 with 2 electrodes Phase 1 Phase 2 Phase 3 Lower Muscles 20 min work alternated over channel pairs 6 sec recovery 7sec work on CH1 CH2 7sec work on CH3 CH4 5 min Warm up 5 min Recovery E12 Drainage The purpose of these programs is to promote drainage increasing microcirculation inside and around
64. re range for storage on the pack Relative humidity relative humidity for storage on the pack Manufacturer data Device not protected against the infiltration of liquids keep it dry ei Da ESE Device able to supply current at above 10mA with a load of 1KOhm gt EXT POWER SUPPLY External power supply unit EA1018G 12V battery charger 100 240VAC 50 60Hz input 12VDC 2 A output IACER Srl 6 MNPG178 01 MEDICAL DIVISION Contents of the pack The I TECH PHYSIO 4 EMG pack contains e 1 x I TECH PHYSIO 4 EMG device 1 x EA1018G 1E battery charger e 2 x electrotherapy connection cables yellow blue and white red with 2 mm female connector about 2 5m in length e 2 x ionophoresis connection cables red and blue with 2mm female connector about 2 5m in length 1 x EMS connection cable blue for tip with 2mm female connector about 2 5m in length e 1 x connection cable with EMG amplifier about 2m in length only for the I TECH PHYSIO EMG version 2 x packs of rectangular single patient electrotherapy electrodes 2 x packs of square single patient electrotherapy electrodes jack connection 1 x pack of square single patient electrotherapy electrodes clip snap connection 1 x pack of round single patient EMG electrodes only for the I TECH PHYSIO EMG version 1 x tip for EMS stimulation cable about 2m in length Purpose Warnings The device was designed and created for use with rech
65. s aspect can cause greater irritability of the skin In the case of the W10 program it is advisable to check for reddening of the skin 5 minutes into treatment stop the program and remove the electrodes to check the skin in the case of excessive reddening use program WO9 instead Ionophotesis is also used for the treatment of diseases affecting the urogenital male apparatus like IPP Induratio Penis Plastica or La Peyronie disease Consult a specialist before starting the therapy Contact the manufacturer for other information W11 Haematomas Medical program Consult a doctor before using this program to treat haematomas Total program duration 20 minutes in a single phase Few applications carried out within a few hours of the bruise A combination of various types of square wave impulses has a graduated draining effect on the area to be treated impulses at different frequencies drain the area at different depths Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W12 Oedema Medical program Consult a doctor before using this program to treat oedemas Total program duration 15 minutes in a single phase A combination of various types of square wave impulses has a graduated draining effect on the area to be treated impulses at different frequencies drain the area at different depths Intensit
66. s the parts prone to wear like the battery only in terms of manufacturing defects The warranty is rendered null and void if the equipment is tampered with ot serviced by personnel not authorised by the manufacturer or retailer In the case of repairs under the terms of the warranty the equipment must be packed to protect it against damage during transport and shipped to the manufacturer together with all the accessories Under the terms of the warranty the purchaser must return the equipment to be repaired together with the receipt or invoice as proof of the provenance and date of purchase of the product The manufacturer is obliged in accordance with the Medical Device Directive 93 42 EEC to ensure the traceability of all the equipment supplied in order to promptly fix manufacturing defects when necessaty Terms of the warranty 1 The warranty covers the repair of defective goods only when these are returned together with the tax receipt or purchase invoice 2 The warranty covers the electronic parts for a period of 2 two years The warranty is provided by the retailer distributor or can be requested directly from the manufacturer 3 The warranty covers only damage to the product that affects operation The warranty is valid only if the product concerned bears the same serial number as that indicated on the tax receipt or purchase invoice 4 The warranty covers only the repair or replacement free of charge and including labour of an
67. t between 6 and 12 and may be barely percetvable this is not a fault but quite normal for the program Ionophoresis impulse the intensity must be strong enough to produce a relevant perception near pain till the muscles surrounding the area treated begin to contract Maximum adjustable intensity 50 EMS impulse in this case the intensity is raised a little at a time to stimulate and gradually increase the metabolism of the treated muscle A comparison could be drawn with a car the engine needs to warm up before it can be run at maximum speed Toning training and atrophying contraction impulse the muscle treated must visibly contract during a training impulse The fact that the muscle tends to stiffen and increase in volume will be visible to the naked eye Intensity should be increased gradually in the first contraction to enable you to identify the right level of stimulation comfort Intensity can be increased up to the personal tolerance threshold during the second training contraction this operation is then repeated during each contraction until the workload reaches the level of intensity recommended in the description of the single programs We recommend that you record the level of intensity reached in order to try to improve the level of stimulation and consequently your performance Massage winding down active recovery impulse the intensity must be adjusted gradually to massage the treated muscle The level of intensity should be suffici
68. t correctly M03 M04 M05 M06 TENS memory 3 4 5 6 Medical program Available programs to set rapid tens endorphinic tens maximum values Position of electrodes form a square above the area to be treated as shown in figure 1 Use the left and right arrow keys to scroll through the menu and select the stimulation parameter and use the up and down keys to modify the values After setting all the stimulation parameters click on OK to save the program To start the saved program press the OK key Programma Numero fase selezionato Tempo totale Descrizione y ENS memoria countdown fase programma in funzione Larghezza Frequenza impulso Descrizione parametro Conferma parametri selezionato e avvio programma Table of settable values PARAMETER DESCRIPTION MIN MAX Frequency 0 25 Hertz 120 Hertz Impulse width 500 microseconds Total ime M07 TENS Spyke Medical program Available programs to set Tens Spyke Position of electrodes form a square above the area to be treated as shown in figure 1 Use the left and right arrow keys to scroll through the menu and select the stimulation parameter and use the up and down keys to modify the values After setting all the stimulation parameters click on OK to save the program To start the saved program press the OK key IACER Srl 33 MNPG178 01 MEDICAL DIVISION Programma Numero fase selezionato Tempo totale Descrizione countdown fase pr
69. to increase muscle endurance capacity acting mainly on slow twitch fibres Program indicated for endurance sports marathon runners cross country runners ironman etc Intensity of stimulation during work follow the indications mentioned at the beginning of the EMS Program chapter WARNING the program involves an automatic increase in intensity between the second and the third phase Consequently it will not be necessary to adjust stimulation intensity between phases but only press the Up arrow key for any one of the 4 channels The first work recovery cycle of phase 3 will start at an intensity of 90 of that set for phase 2 the second work recovery cycle will go up to 95 of intensity and finally the third work recovery cycle will go up to 100 of the intensity set for phase 2 IACER Srl 27 MNPG178 01 MEDICAL DIVISION E07 Endurance Total program duration 50 minutes Biceps photograph 02 15 Triceps photograph 03 16 Hand Extensors photograph 04 Hand Flexors photograph 05 Deltoid photograph 06 Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius photograph 08 Large dorsal photograph 09 Gluteus photograph 19 z SE ae Quadriceps thighs photograph 11 18 Biceps femoris photograph 12 Calves photograph 13 Anterior tibial photograph 14 Phase 1 Phase 2 Phase 3 Phase 4 20 min Training l 10 min Training 5 min Warm up 20 sec recovery l 22 sec recovery 5 min Recovery 10 se
70. to stop before that point The first benefits can be seen after 12 to 15 treatments carried out on a daily basis proceed with the treatment until the symptoms pass R08 Backache Sciatic pain Total program duration 35 minutes photograph 28 Phase 1 Phase 2 R09 Sprains Bruises Medical program The program effectively inhibits localised pain caused by this type of injury Intensity should be adjusted to a level between the thresholds of perception and pain Number of treatments until pain is lessened on a daily basis even 2 3 times a day RO9 Sprains Bruises Total program duration 30 minutes Position of electrodes ankle see photograph 32 Phase 1 Phase 2 Tens rapid 15 min Emathoma impulse 15 min R10 Hand and wrist pain Medical program This program is suitable for all types of hand and wrist pain for example Carpal Tunnel Syndrome Intensity adjusted to a level between the thresholds of perception and pain the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract Intensity has to be adjusted 3 times for each starting phase Impulses at different frequencies stimulate different sized nerve fibres promoting an inhibitory action at spinal level R10 Hand and wrist pain Total program duration 40 minutes Phase 1 Phase 2 Phase 3 Tens 70Hz 15 min Tens 90Hz 15 min Tens 110Hz 10 min R11 Plantar stimulation Not medical program This pr
71. toid photograph 06 Abdominals photograph 01 20 Pectoral Breast photograph 07 17 Trapezius photograph 08 Large dorsal photograph 09 Gluteus photograph 19 z SEE J f Quadriceps thighs photograph 11 18 Biceps femoris photograph 12 Calves photograph 13 Anterior tibial photograph 14 Phase 1 Phase 2 Phase 3 Phase 4 10 min Training 5 min Warm up 13 sec recovery 7 sec Work 50Hz 10 min Training 14 sec recovery 5 min Recovery 6 sec Work 70Hz utomatic Increase E04 Fast Strength This program is designed to increase speed in fast athletes and develop it in athletes lacking the quality The exercise assumes a fast pace and the contraction is short as is the recovery It is usually best to complete a three week basic strength cycle of increasing intensity before using this program Then continue with three weeks of fast strength three times a week at high intensity 30 50 WARNING the program involves an automatic increase in intensity between the second and the third phase Consequently it will not be necessary to adjust stimulation intensity between phases but only press the Up arrow key for any one of the 4 channels The first work recovery cycle of phase 3 will start at an intensity of 90 of that set for phase 2 the second work recovery cycle will go up to 95 of intensity and finally the third work recovery cycle will go up to 100 of the intensity set for phase 2 IACER Srl 25 MNPG178 01
72. treated muscular fibres also creating rhythmic contractions to facilitate the flow of algogenic substances and lymphatic activity This program can be useful for elderly people to aid blood circulation and lymphatic circulation Sequential tonic contractions are carried out during phases 2 and 3 to produce the typical effect of electronic lymphatic drainage However unlike the lipolysis program the contractions are sequential first CH1 then CH2 CH3 and CH4 There are no real limits to the use of these programs so they can continue to be used until the desired result is achieved The intensity of stimulation must be such to assure good muscular contractions during treatment but not so strong as to generate soreness 20 30 Normally benefits are discernible after 3 4 weeks with 4 5 treatments a week Program and muscle groups of interest with photographs showing the position of the electrodes IACER Srl 29 MNPG178 01 MEDICAL DIVISION E12 Drainage Total program duration 25 minutes Lower Muscles all the muscles you want to stimulate in sequence Connect one channel per muscle bearing in mind that the contractions are sequential on 4 channels Phase 1 Phase 2 Phase 3 3 min Warm up 20 min sequential contractions on 4 channels 2 min Recovery E13 Microlifting The following program with a duration of 15 minutes is used to tone facial muscles using a special impulse to improve both the appearance and the dynamism of f
73. triped bar are graphically visualised under the bar with a cursor This enables the user to know exactly when a contraction starts Hn cr 9 At the end of the first phase the I TECH PHYSIO 4 EMG cancels the previously selected intensity and warns the user with an intermittent signal to continue with the program increase the intensity again Three sound signals will advise of the end of the program At the end of the program switch off the I TECH PHYSIO 4 EMG and remove the cables Attach the electrodes to the transparent films and put them in their original packaging Option to simultaneously increase the intensity on all 4 channels Select the desired program as instructed above Increase the intensity of all the channels up to at least 1 by pressing the relative keys and then press the Up arrow keys to increase the intensity for all 4 channels To decrease the intensity press the Down arrow keys Skip phase control Press the right arrow button during normal program operation to skip to the next phase Pause stop program control During normal program operation press the OK button once to momentarily pause the normal work cycle Press the OK button again to restart the program Press the OK button twice consecutively to stop the program Instructions on use for two patients 1 Turn on the I TECH PHYSIO 4 EMG by pressing the ON OFF switch on the small rear panel of the device 2 Select two patient mode and press the O
74. y components found to have manufacturing or material defects 5 The warranty does not cover damage caused by carelessness or failure to observe the instructions provided damage attributable to repairs by unauthorised personnel damage due to accidental causes or the negligence of the purchaser with regard to the external parts in particular 6 The warranty also does not cover damage to the equipment caused by an inappropriate power supply 7 Parts prone to wear due to use are not covered by the warranty 8 The warranty does not include the cost of transport which can vary according to the mode and time of transportation and is to be borne by the purchaser 9 The warranty is valid for 2 years The purchaser is then billed for the cost of replaced parts labour and transport according to the rates in force 10 All disputes shall fall under the jurisdiction of the Court of Venice IACER Srl 45 MNPG178 01 MEDICAL DIVISION EMC tables Prova di emissione Emissioni RF Gispr11 Emissioni RF Classe E Gispr11 Ambiente elettromagnetico quida Il prodotto TECH PHSYIO EMG utilizza energia RF solo per il suo funzionamento FESTE Perci le sue emissioni RF sono molto basse e verosimilmente non causano interferenze negli apparecchi elettronici vicini ll proto I TECH PHSYIO EMG adatto per l uso in tutti gli edifici diversi da quelli domestici da quelli collegati direttamente ad una rete di alimentazione a bassa tensio
75. y should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 DIADYNAMIC CURRENTS Diadynamic currents are composed of waves with unidirectional and always positive impulses These kind of waves derive from electrical sine waves low frequency that have been previously combined and modulated Diadynamic currents are indicated for the treatment of tendinitis of the elbow wrist shoulders knee and ankle articular traumas acute and chronic articular diseases and muscular pains W13 MF Diadynamic Medical program It is a sinusoidal single phase current with pulse trains of 10ms and a 10ms pause at 50 Hz The main effect of this kind of current is an excitomotor action on striated muscle and on motor nerves but it also has an analgesic tonic and vasodilatory effect The analgesic effect is delayed and continuous Indications It is indicated as therapy for painful non spastic conditions and to improve the tonicity of the connective tissue of muscles Total program duration 15 minutes in a single phase Intensity should be adjusted to a level between the thresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in figure 1 page 12 W14 MFSR Diadynamic Medical program It is a sinusoidal single phase current with pulse trains of 10ms and a 10ms pause with 2 seconds of

MNPG178-01 - I-Tech Medical Division

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