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)  

Mobile therapy system for 2-channel electrotherapy, ultrasound therapy and combination therapy The Chattanooga combination device Intelect Mobile 2 Combo is a 2-channel electrotherapy, ultrasound therapy and combination system - the absolute all-rounder. Combination therapy with 5 current forms: Interference VMS high voltage asymmetrical biphasic and symmetrical biphasic TENS current Ultrasound therapy: Available frequencies of 1 and 3 MHz for therapeutic ultrasound Electrotherapy: 2-channel system for electrostimulation Information Electro-ultrasound combination therapy: Ultrasound frequency: 1 and 3 MHz Ultrasound therapy in continuous and pulse mode (10 %, 20 %, 50 % and 100 %) Variable duty cycle for ultrasound: 16 Hz, 48 Hz or 100 Hz Multiple pre-installed current modes: 2-pole IFC, 4-pole IFC, galvanic, High Voltage Pulsed Current (HVPC), microcurrent, Russian, Träbert, monophasic triangular, monophasic rectangular, diadynamic, VMS and TENS Pre-installed treatment suggestions User-defined memory locations State-of-the-art colour touchscreen technology Anatomical images can be called up Scope of delivery Intelect Mobile 2 Combo Rubber-carbon electrodes 6 x 8 cm, 4 pieces Dura-Stick Plus adhesive electrodes, fabric 5 x 5 cm, 4 pieces Electrode cable set STIM CH1/2 Wireless Professional harness set US head, size 5 cm2 Power cable EU version USB stick Quick Start The Chattanooga ultrasound device Intelect Mobile 2 Combo is used for the treatment of osteoarthritis in joints and the spine, rheumatic pain, various sports injuries and more. Indications Electrotherapy TENS: Relief of the symptoms of chronic pain Management of post-operative pain Indications for NMES electrotherapy: Muscle building Increasing local blood circulation Relaxation of muscle cramps Maintaining and extending the range of motion Indications Ultrasound treatment: Relief of pain caused by muscle spasms Relief of pain caused by joint contractures Relief of pain caused by overstretched ligaments, tendinitis and overstretched muscles Technical specifications Mains voltage: 120 - 240 V AC Mains frequency: 50 / 60 Hz Weight: 3.1 kg Dimensions: 33.5 x 34 x 15 cm Medical device class: IIa Safety tests: IEC 60601-1, IEC 60601-1-2, IEC 60601-2-5 Optional accessories: Intelect Mobile 2 trolley with drawers Intelect Mobile 2 trolley with drawers and vacuum set (incl. connection cable blue and green, vacuum hose blue and green, 4 round suction electrodes and associated sponges) Intelect Mobile 2 lithium-ion rechargeable battery Intelect Mobile 2 US head 1 cm2 Intelect Mobile 2 US head 2 cm2 Intelect Mobile 2 US head 5 cm2 Intelect Mobile 2 US head 10 cm2 Carrying case

PHYSIOMED PHYSIOSON-Expert – Professional ultrasound therapy PHYSIOSON-Expert is a modern, portable ultrasound therapy device for clinics, rehabilitation centres and physiotherapy practices. The device is ideal for professional use in physical therapy – both in a clinical setting and on the move. With its large colour touchscreen, haptic intensity control and pre-set treatment protocols, PHYSIOSON-Expert enables a quick and intuitive introduction to ultrasound treatment. Features: Professional ultrasound therapy at 1 MHz and 3 MHz Treatment modes: CW and pulsed 1:1, 1:2, 1:3, 1:4 and 1:9 Maximum power output: 2.0 W/cm² in CW, 3.0 W/cm² pulsed Portable device with mains operation, can also optionally be used with a power bank Large colour touchscreen for simple and clear operation Easy-to-wipe screen to reduce the risk of cross-infection 16 pre-set treatment programmes and programmable memory Stainless steel ultrasound heads available in two sizes Contact monitoring via a light on the ultrasound head or an acoustic signal Technical data: Protection class: Class 1, Type BF Frequencies: 1 MHz and 3 MHz Treatment duration: 0–30 minutes Dimensions: 29 × 23 × 9 cm Weight: approx. 1.3 kg Power supply: 100–240 V AC, 1.5 A, 50–60 Hz External power source: 18 V, 3.33 A Fuse: Internal T3.15A Standard accessories: Large treatment head, dual-frequency 1 MHz and 3 MHz Power supply unit, 18 V / 60 W Ultrasound gel, 250 ml Optional accessories: Small treatment head, 1 MHz and 3 MHz Carry bag Ultrasound therapy is one of the established forms of treatment in physical therapy and is frequently used in physiotherapy, rehabilitation and pain treatment. Therapeutic ultrasound works with sound waves of different frequencies and can be applied as continuous or pulsed ultrasound. Depending on the selected therapy parameters, different effects are emphasised – for example thermal effects (heat generation in the tissue) or mechanical micro-massage effects. Ultrasound treatment can support the following therapeutic benefits, amongst others: Promotion of local blood circulation (hyperaemia) Support of microcirculation and metabolic processes Increase in the elasticity of connective tissue and collagen structures Pain relief Relaxation of the muscles and release of muscle tension Support of natural healing processes

Mobile ultrasound therapy system The Chattanooga ultrasound device Intelect Mobile 2 is an ultrasound therapy system that offers dual frequency ultrasound at 1 or 3 MHz, pulsed or continuous operating cycles (10, 20, 50 and 100 %). The ultrasound therapy device is supplied with a 5 cm2 ultrasound applicator. Information Intelect Mobile 2 Ultrasound frequency: 1 and 3 MHz Ultrasound therapy in continuous and pulse mode (10, 20, 50 and 100 %) Variable ultrasound duty cycle: 16, 48 or 100 Hz Pre-installed treatment suggestions User-defined memory locations State-of-the-art colour touchscreen technology Anatomical images can be called up A US head 5 cm² is included in the scope of delivery. The Chattanooga ultrasound device Intelect Mobile 2 is used for the treatment of osteoarthritis in joints and the spine, rheumatic pain, various sports injuries and more. Indications: Osteoarthritis in the joints and spine Tennis elbow and golfer's elbow Pain of various kinds, e.g. rheumatoid arthritis Sprains, bruises, strains, haematomas, swelling, tension, muscle hardening (myogelosis), muscle shortening tendon irritation Tissue adhesion Technical specifications Mains current: 120-240 V AC, 50/60 Hz Weight: 2.8 kg Dimensions: 35.5 x 34 x 15 cm Classification according to MDD/MPG: Class IIa Safety tests: IEC 60601-1, IEC 60601-1-2, IEC 60601-2-5 The coupling detection can be monitored either acoustically (switched on as standard) or visually via the LED on the back of the applicator. When the head is uncoupled, the treatment time display stops so that the ultrasonic treatment delivered during the period is accurately measured and reproducible.