Electrical and ultrasonic device Ionoson-Expert (3rd edition)

CHF 4,400.—

For instalment payments up to 36 months, please contact us by e-mail.

Product number: PH-02035

Manufaturer: PHYSIOMED

Product information "Electrical and ultrasonic device Ionoson-Expert (3rd edition)"

Stimulation current therapy, ultrasound therapy and simultaneous therapy

The Ionoson-Expert (3rd edition) is the all-rounder for your practice.

Professional electrical, ultrasound and simultaneous therapy for clinics, rehabilitation centres and physiotherapy practices in one device

With combination therapy devices from Physiomed, you are completely flexible and can start treatment as quickly and easily as possible: direct selection of current form or therapy form, via the indication index or the programme memory. You have a constant overview of all parameters and timers during treatment.

The Ionoson-Expert (3rd edition) consists of three forms of treatment

Stimulation current therapy (electrotherapy)
Ultrasound therapy
Simultaneous therapy

Areas of application Electrotherapy

Osteoarthritis (knee joint)
Acceleration trauma
CRPS stage I and II
Chondropathia patellae
Epicondylitis
joint effusion
Radicular syndrome
Pain syndrome, postoperative
Spasticity treatment according to Hufschmidt/Jantsch
Ankylosing spondylitis

Applications of ultrasound therapy

AC dislocation
Achillodynia
Herniated disc with radiculopathy
Epicondylitis
Fibromyalgia syndrome
fracture
Insertional tendopathy
Torn muscle fibre
neuralgia
Patellar tendinopathy
periostitis
Ankylosing spondylitis
tendopathy
Ulcus cruris

Highlights Ionoson-Expert (3rd edition) (Figures 4-11)

Perfected user guidance through a combination of 7" touchscreen and PHYSIOMED single-button operation
Comprehensive overview of the therapy parameters currently in use at all times, including all therapy timers
Comprehensive indication list with notes on therapy, dosage suggestions, treatment images and intelligent filter functions according to body region, therapy form, desired therapy effect or alphabet for a quick search for the desired treatment suggestion
Easy-to-use and comprehensive memory menu with potpourri and history function
Multifunctional intensity control with intensity/comfort threshold
Logical colour coding of the stimulation current and vacuum application accessories for quick and reliable assignment of the channels and the respective polarity
SD card slot for product updates

How does the Ionoson-Expert (3rd edition) work?

Electrotherapy

Stimulation currents are transmitted to the tissue to be treated via electrodes (plate, adhesive, vacuum or special electrodes such as point or cushion electrodes). Depending on the form of current and the selection of parameters (i.e. pulse form, pulse duration, pause time, frequency, intensity), stimulation currents can have the following effects in the treatment area:

Pain reduction
stimulation of blood circulation and trophic improvement
Nerve stimulation, especially for innervation training and
paralysis treatment
Muscle stimulation for muscle building/maintenance
Muscular detonation
Iontophoresis

Ultrasound therapy

Therapeutic ultrasound is applied at frequencies of 1 MHz or 3 MHz as continuous sound or pulsed sound in different pulse ratios. Ultrasound therapy is categorised as mechanotherapy due to its multi-layered effects. Depending on the therapy parameters (treatment frequency, type of sound, dose, treatment duration and cycle), ultrasound treatment focusses on a thermal effect (heat development at reflective boundary layers of the tissue, e.g. bones, joints) or a micro-massage in the treated tissue segment. The effects of ultrasound therapy can be summarised as follows:

Hyperaemia
Acceleration of metabolic functions
(microcirculation, diffusion processes)
Increasing the elasticity of connective tissue structures (collagen fibres)
Pain relief
Muscular detonation and spasm relief
Acceleration of healing processes
Stimulation of fracture healing

How to use

Further highlights

6 diagnostic menus (incl. abbreviated I/T curve display):
User-guided navigation makes diagnostic evaluation self-explanatory and effective
Alternating and simultaneous stimulation Spasticity treatment according to Hufschmidt and Jantsch
Hand switch for interrupting therapy or for intention exercises (optional accessory)

Operator guidance

Perfected user guidance through a combination of 7" touchscreen and Physiomed single-button operation
Comprehensive overview of the therapy parameters currently in use at all times, including all therapy timers
Comprehensive indication list with notes on therapy, dosage suggestions, treatment images and intelligent filter functions by body region, therapy form, desired therapy effect or alphabet for a quick search for the desired treatment suggestion
Easy-to-use and comprehensive memory menu with potpourri and history function
Multifunctional intensity control with intensity/comfort threshold
Logical colour coding of the stimulation current and vacuum application accessories for quick and reliable assignment of the channels and the respective polarity
SD card slot for product updates

Detailed report on electrotherapy

Stimulation current therapy is an important component of electrotherapy. Stimulation currents are transmitted to the tissue to be treated via electrodes (plate electrodes, vacuum electrodes, adhesive electrodes). Depending on the form of current and the choice of parameters (i.e. pulse form, pulse duration, pause time, frequency, intensity), stimulation currents can have the following main effects in the treatment area:

Pain reduction

stimulation of blood circulation and trophic improvement
Nerve stimulation, especially for innervation training and paralysis treatment
Muscle stimulation for muscle building and maintenance
Muscular detonation
Iontophoresis

The following classification of the various stimulation currents can be made according to their origin and specific mode of action in the tissue:

Medium-frequency currents: these are alternating currents that are generated by superimposing a base frequency (2-9.5 KHz) with a modulation frequency (0-250 Hz). In the case of AMF current (amplitude-modulated medium-frequency current) and medium-frequency currents for muscle stimulation (MT and KOTS), this superimposition already takes place in the device. The pre-modulated current can therefore be delivered to the patient via only two electrodes. In contrast, with the classic IF interference current, the two frequencies are only superimposed in the patient's tissue, which is why four electrodes are always required for treatment. The high therapeutic effectiveness of medium-frequency currents is due to their minimal skin irritation with a pronounced depth effect and therefore good acceptance by the patient.
Pulse currents with frequencies below 1000 Hz are considered to be low frequency. The various low-frequency currents DF, MF, CP, LP (diadynamic currents), UR (ultra stimulation current), HV (high-voltage current), FaS (faradic threshold current), TENS (mono- or bidirectional rectangular pulses) and T/R (exponential current) can be used to cover the entire range of applications mentioned above. In contrast to medium-frequency currents, certain low-frequency currents can also be used to treat peripheral paralyses.
Galvanic current (G) is a direct current that flows through the tissue with constant energy. Galvanic current is mainly used to stimulate blood circulation and reduce pain as well as for iontophoresis (application of a preparation with the help of the current).

Detailed report on ultrasound therapy

Together with stimulation current, ultrasound therapy is one of the most common forms of treatment in physical therapy. Therapeutic ultrasound is applied at frequencies of 1 MHz or 3 MHz as continuous sound or pulsed sound in different pulse ratios. Ultrasound therapy is categorised as mechanothermotherapy due to its multi-layered effects.

Depending on the therapy parameters (treatment frequency, type of sound, dose, treatment duration and cycle), ultrasound treatment focusses on a thermal effect (heat development at reflective boundary layers of the tissue, e.g. bones, joints) or a micro-massage in the treated tissue segment.

The effects of ultrasound therapy can be summarised as follows:

Hyperaemia
Acceleration of metabolic functions (microcirculation, diffusion processes)
Increasing the elasticity of connective tissue structures (collagen fibres).
Pain relief
Muscular detonation and spasm relief
Acceleration of healing processes
Stimulation of fracture healing

As ultrasound is reflected by air, a coupling agent (ultrasound gel) or ultrasound under water (subaqual) is used to optimise the transmission of sound waves from the ultrasound head to the tissue.

Mode of action

Clean currents (Fig. 13)

Quite a few electrotherapy devices today no longer emit stimulation currents in the form found in textbooks and proven to be the basis of efficient electrotherapy. Instead - mainly for reasons of cost savings - similar but not identical waveforms are used, of which nobody knows exactly whether they produce the desired effects in the tissue in the same way as the original currents. For example, low-frequency currents are generated from medium-frequency currents and vice versa. The difference between “real” and “similar” currents can often be felt in direct comparison, but it only becomes visible when looking at the current curves on the oscilloscope. There you will find galvanic currents with spikes, angular instead of harmonic sinusoidal curves or equally unclean envelope curves of diadynamic currents.

Merkamle electrotherapy

Two-channel electrotherapy with 21 current forms
Alternating and simultaneous stimulation
Spasticity treatment
Manual button as emergency stop switch or for intention exercises (optional)
Warnings when intensity is exceeded
Simultaneous therapy
Vacuum application with PHYSIOVAC-Expert (optional)

Medium-frequency current forms:

IF (classical interference current)
AMF (amplitude-modulated medium-frequency current)
MT (medium-frequency muscle stimulation)
KOTS (Russian stimulation)

Low-frequency forms of current:

G (galvanisation)
GMC (galvanisation with microcurrent)
DF (diadynamic current diphasé fixe)
MF (diadynamic current monophasé fixe)
CP (diadynamic current modulé en courtes périodes)
LP (diadynamic current modulé en longues périodes)
UR (Ultra stimulation current according to Träbert)
HV (high voltage current)
TENS (Transcutaneous Electrical Nerve Stimulation)
MENS (electrical nerve stimulation with microcurrent)
IG 30 (impulse galvanisation 30)
IG 50 (pulse galvanisation 50)
FM (frequency modulated current)
STOCH (stochastic current)
FaS (Faradic threshold current)
HVS (high voltage stimulation)
T/R (exponential current)

Diagnostics

Faradic excitability test
Lange mean frequency test
Accommodation quotient
Rheobase/chronaxy
I/T curve (with graphical representation of the curve progression)
I/T curve - rapid test

Ultrasound therapy

1 and 3 MHz ultrasound
Ergonomic ultrasound probes made of biocompatible titanium
Continuous or pulsed power output
Subaqueous treatment

Accessories (Fig. 14)