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T-ONE PHYSIO User manual (MNPG51-02) - I

1. MEDICAL DIVISION User manual va i i PHYSIO I TEGR IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 2 WARNING T ONE IS A MEDICAL DEVICE Consult your doctor before using T ONE if you suffer from health problems Read the contraindications and warnings carefully before using the medical programs C 0476 Product in compliance with the MDD 93 42 CEE as amended by 2007 47 EC concerning medical devices IACER S r l SU Sede legale S Marco 2757 30124 Venezia Italia Sede operativa via Pertini 24 A 30030 Martellago Venezia Italia Tel 041 5401356 Fax 041 5402684 e mail iacer iacer it www iacer ve it IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 3 USER MANUAL INDEX 1 T ONE kit contents Page 5 2 Purpose Page 5 Contraindications and side effects 3 Warnings Page 6 4 Legend of symbols marked on T ONE and found in the manual Page 7 5 Howto use T ONE Page 7 Description of controls Preliminary instructions Operating instructions 6 Battery charging Page 9 7 Declaration of conformity Page 10 8 T ONE maintenance and storage Page 10 9 Resolution of problems and questions Page 11 10 Electrostimulation and T ONE stimulation intensities Page 12 11 WAVE programs Page 13 12 REHAB programs Page 21 13 EMS programs Page 27 14 Programmable memories Page 36 15 SET UP Page 41 16 Self adhesive electrodes Page 41 17 Technical specifications Page 41 18 Assistance Pag
2. 60 minutes in a single phase R25 Superficial Osteogenesis Medical Program Fracture healing study started in 1968 in Japan and United States This study consists of two main techniques 1 Sharp needle electrodes implant near the bone to be calcified invasive technique 2 Superficial self adhesive electrodes near the bone We consider the second technique in fracture treatment in particular when the bone to be stimulated is in a superficial position vertebral column wrist kneecap ankle 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 at 10 cm of distance from one to the other near the bone to be treated The program lasts 90 minutes and it can be repeated more time in a day till 4 5 times Maximum adjustable intensity is 30 In vertebral column treatment use 2 rectangular electrodes 50x90mm If need to treat smaller zones for example the wrist use electrodes 48x48mm Table of current density with electrodes 48x48mm Value displayed on screen Current density mA cm Current density uA cm 5 0 034 34 10 0 068 68 20 0 137 137 30 0 205 205 Table of current density with electrodes 50x90mm Value displayed on screen Current density mA cm Current density uA cm 5 0 0175 17 5 10 0 035 35 20 0 07 70 30 0 105 105 In bold font are recommended intensity ranges IACER
3. Hz Program 2 has a stronger action in carry drugs trough skin than program 1 but also has a higher probability of skin reddening Do not use ionophoresis program near metallic prosthesis WO09 and W10 programs differ only in frequency level The second program works at a frequency bigger than the first so it has a stronger action in carry active principles On the other hand this aspect can provoke a drug greater skin spleen In the first W10 application we recommend to control skin reddening after 5 minutes from the start of treatment stop the program and put up the electrodes to control skin if reddening is too high select W09 program lonophoresis is also used for the treatment of diseases affecting urogenital male apparatus like IPP Induratio Penis Plastic or La Peyronie disease Consult a specialist before start the therapy Contact the manufacturer for other information CATHODE ANODE ACER Sri SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 16 IS MEDICAL DIVISION 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 t
4. Program It s composed of alternated monophasic 3 seconds and biphasic 3 seconds waveforms Short term current has essentially a dynamogen action This action promotes striped muscle contraction moreover it improves tissues nutritional status and it makes post traumatic oedemas re absorption easier IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 18 IS C MEDICAL DIVISION Frequency alternating current is clearly perceptible DF current produces a light tremble instead MF current a strong pulsation Physiological effects this kind of current has a strong dynamogen effect or trophic effect and a great analgesic effect especially in presence of painful chronic conditions Moreover CP current is particularly effective in haematomas and oedemas reabsorbing Indications short term is used to treat pain resulting from tendons articular capsule and soft tissues inflammations tendinitis bursitis rheumatoid arthritis and generally traumatisms Total program duration 20 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 illustration 1 page 12 W20 LP Current Medical Program It s composed of alternated monophasic 10 seconds and biphasic 5 seconds waveforms Long term current has essentially an inhibitor action on muscle and sensibility as a consequence it produces analgesia a
5. REMEMBER THAT PAIN IS A SIGN consult a doctor to identify the medical condition before using T ONE TENS an acronym standing for transcutaneous electrical nerve stimulation is a therapeutic technique mainly used for analgesic purposes to counter the effects usually pain of a wide variety of medical conditions For this purpose it finds application in treating everyday ailments troubling mankind neck pain arthrosis myalgia neuritis back pain periarthritis heaviness in legs muscle weakness just to mention 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 program itself during the treatment TENS at maximum values with antidromic action and consequently an immediate local anaesthetic effect TENS burst that is a mix between conventional and electro acupuncture training TENS The rehabilitative 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 Immobilit
6. Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 26 13 EMS Programs A 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 warm up phase phase1 the intensity of stimulation has to be setted so to produce a reasonable solicitation of the muscle so to warm it up without getting tired 18 30mA During work phases the middle phases of each program T ONE alternates contraction impulses with active recovery impulses The intensities of the two impulses have to be setted separately contraction intensity shown by a full bar on the display should be setted at 20 30mA for out of train people 30 50mA for trained people over 50mA for well trained people We suggest to set recovery intensity value between one contraction and another around 10 15 lower than contraction intensity value During the last recovery phase the intensity value has to be setted to produce a good massage on the stimulated part without produce pain 18 30mA E01 Firming up Indicated for firming up muscles in the arms and bust or the legs working mainly on slow twitch fibres Suitable for those who have never done any physical activity or have been inactive for a long period of time Treatment frequency 3 4 times in a week Intensity must be sufficient to produce good but not painful muscle contractions 15 as ini
7. and consequently a faster 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 Wounds bactericide Medical Program Position of electrodes use 2 electrodes of channel 1 Use rubber and buckskin electrodes or conductive rubber electrodes sponge covered Position a wet sterile gauze with saline solution on the wound for bactericide function IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 25 IS MEDICAL DIVISION Cathode positive electrode red plug is placed on the wound and negative electrode is placed distally or if the treated zone is too thick at 10 cm of distance Intensity should be adjusted to a level between the thresholds of perception and pain This provokes a bactericide effect and consequently the pathogen microorganisms growth 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 in venous insufficiency treatment Position the 2 electrodes of channel 1 on left calf and the 2 electrodes of channel 2 on right calf It s possible to use square or rectangular electrodes according to calf dimensions and patient comfort Start the program by selecting an intensity able to produce a good not painful muscular contraction Program duration
8. contraction follow indications mentioned at the begin of EMS Program chapter Intensity must be increased gradually treatment by treatment without overstraining the muscles In the event of muscle ache after stimulation use the E09 Muscle Recovery program Programs and muscle groups of interest with electrodes position photos as reference E10 Agonist Antagonist Total program duration 33 minutes Biceps cH1 cH2 photo 02 Triceps cH3 CH4 photo 03 Hand Extensors cH1 CH2 photo 04 Fless Hand Flexors CH3 CH4 photo 05 We a oe ae ff fi Quadriceps cH1 CH2 photo 11 Biceps femoris cH3 cH4 photo 12 Phase 1 Phase 2 Phase 3 20 min contraction alternated between 4 channels 3 min Warm up 6 sec recovery 10 min Recovery 7sec work on CH1 CH2 7sec work on CH3 CH4 E11 Lipolysis These specific drainage program increase microcirculation within and around the muscle fibres treated and create rhythmic contractions facilitating the discharge of algogenic substances and promoting lymphatic activity This program produces a local metabolism increase thanks to its trophic action it promotes orange peel effect reduction together with a low calorie diet Treatment sessions can have a daily frequency The program produces sequential tonic contractions before CH1 CH2 after CH3 CH4 reproducing the typical effect of electronic lymphatic drainage Electrodes position logic is th
9. electrode T ONE switches off during operation e Recharge or replace the batteries and start the treatment again Disposal To protect the environment the device its accessories and above all the batteries must be disposed of in areas equipped for that purpose or as special waste K Product subject to WEEE regulations concerning separate waste collection IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 11 MEDICAL DIVISION 10 Electrostimulation and intensity stimulation Electrostimulation consists of the transmission of electric micro impulses to the human body Fields of application of electro stimulation 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 displayed on the T ONE screen for each channel in a scale progressing from 0 to 120 In Sport and Beauty programs intensity differs according to specific muscle o selected program The following description helps the user to choose correct intensity in according to used impulse Imp 1 ulse categories are Tens impulse for tens programs the intensity should be adjust to 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 maximu
10. intensity on all channels Select the desired program Start program Increase each channel to at least intensity 1 iA ci Ace A cs A cus Blue Yellow Red White To simultaneously increase the intensity of all channels use the following buttons Increase D gt Decrease Skip phase press 3 button during the working program to skip to the next phase Pause stop program during the working program press the button once to momentarily pause the normal working cycling Press the button again to restart the program Press the button twice consecutively to stop the program 6 Battery charging The display shows when the battery is low of energy Batteries Batteries partially Batteries fully charged discharged _ fully discharged BATTERY CHARGER SPECIFICATIONS see battery charger datasheet Use only battery charger supplied by the manufacturer or by authorized dealers Using other battery chargers can seriously compromise equipment and user safety Use only batteries AA size like the ones supplied with the equipment rechargeable Ni Mh AA 1 2V or Alkaline AA 1 5V The manufacturer is not responsible for damages due to the use of different batteries WARNING do not recharge other batteries than the ones supplied with Ni Mh battery charger Do not mix new or recharged batteries with discharged batteries IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 9 IS C MEDICAL DIVISIO
11. muscle activation N 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 Atrophy prevention Medical Program Program created to maintain muscle trophism This treatment concentrates on muscle toning paying particular attention to slow twitch fibres Particularly indicated for patients recovering from an accident or an operation IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 33 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 ATTENTION the program includes an intensity automatic increase between the second and the third phase Consequently it will not be necessary to readjust stimulation intensity between phases but only press key A for whatever channel First work recovery cycle of phase 3 will start with a set intensity at 90 of adjusted intensity in 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 adjusted intensity in phase 2 Programs and muscle groups of interest with electrodes position photos as reference E14
12. 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 Maximum adjustable intensity is 12 R20 Muscular 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 Maximum adjustable intensity is 12 R21 Herpes Zoster Medical Program Program duration 30 minutes in a single phase Position of electrodes use the channel 1 and 2 and form a square above the area to be treated as shown in illustration 1 page 12 Intensity adjusted in order to produce a light tingling not painful R22 Wounds healing Medical Program Position of electrodes use 2 electrodes of channel 1 Use rubber and buckskin electrodes or conductive rubber electrodes sponge covered Position a wet sterile gauze with saline solution on the wound for tissue repair positive electrode red plug is placed on the wound negative electrode is placed distally or if the treated zone is too thick at 10 cm of distance This provokes vascular cells migration and collagen synthesis
13. of T ONE family T ONE PHYSIO model is manufactured in conformity with Council Directive 93 42 EEC MDD dated 14 June 1993 D Lgs 46 97 dated 24 February 1997 Attuazione della Direttiva 93 42 CEE concernente i dispositivi medici T ONE PHYSIO is a Class Ila equipment with reference to Directive 93 42 EEC MDD annexed IX rule 9 and following modifications as amended by MDD 2007 47 EC Notified body Cermet Scarl Via di Cadriano 23 40057 Cadriano di Granarolo BO Martellago 05 04 2010 Legal representative Mate oes 8 T ONE maintenance and storage We recommend that T ONE is switched off and the cables are removed from the connectors at the end of every session T ONE should be kept in the carry bag supplied together with the rest of the equipment supplied with it and carefully stored on a secure surface and protected from situations listed in the Warnings paragraph T ONE should be stored in the following conditions Temperature from 20 to 40 Maximum relative humidity 75 Atmospheric pressure from 700 hPa to 1060 hPa Cleaning only clean the device using a dry cloth IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 10 IS C MEDICAL DIVISION We recommend that the device be subjected to a functional test carried out by the manufacturer every 18 months The manufacturer retains that the T ONE device cannot be repaired by personnel external to its own company Any work of this nature carried out by per
14. readjust stimulation intensity between phases but only press key A for whatever channel First work recovery cycle of phase 3 will start with a set intensity at 90 of adjusted intensity in 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 adjusted intensity in phase 2 Programs and muscle groups of interest with electrodes position photos as reference E03 Basic strength Total program duration 30 minutes A LI Biceps photo 02 15 Triceps photo 03 16 Hand Extensors photo 04 Hand Flexors photo 05 Deltoid photo 06 n hd Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus photo 19 We a oe ae ff ti Quadriceps thighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial photo14 Phase 1 Phase 2 Ss g Phase 3 Phase 4 23 2 10 min Training 5 5 10 min Training 5 min Warm up 13 sec Recovery g S 14sec Recovery 5 min Recovery 7 sec Work 50Hz 6 sec Work 70Hz IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 28 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 inten
15. suffering from heart disease phlebitis thrombophlebitis or serious illnesses Microcurrent W08 lonophoresis W09 and W10 Diadynamic from W13 to W18 CP and LP current W19 and W20 HVPC W21 programs use monophasic impulses so they are polarizing do not use near metallic prosthesis under skin minimum 10cm from metallic prosthesis In the event of injury muscle stress or any other health problem use the device only under medical supervision Side effects No significant side effects are known Some particularly sensitive people have reported skin redness in the area where the electrodes were positioned the redness usually disappears a few minutes after the end of the 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 If this occurs suspend the treatment and consult a doctor IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 5 IS MEDICAL DIVISION 3 Warnings T ONE has been designed and manufactured to be operated with 4 rechargeable batteries AA size 1 2 V or 1 5 V with power higher than 1500mA e The device doesn t produce or receive electromagnetic interferences from other devices However it s recommended to keep a distance of at least 3 meters from televisions monitor mobile phones or other electronic devices e Use of battery is prohibited in the presence of acid loss in orde
16. using this program and during the treatment WARNING on program R03 R04 and R05 we suggest to use certified probes class lla medical devices Datasheet of the probes must contains how to use information storage and cleaning precautions and any other useful information R06 Anti inflammatory Medical Program Program recommended for inflammatory conditions Apply until the inflammatory state is reduced Up to 2 daily treatment if required Adjust the intensity until a tingling feeling is produced in the area treated Identify the area to be treated and position the electrodes as shown in illustration 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 The intensity should be 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 Electrodes positioning cervical zone photo 25 Phase 1 Phase 2 Short width Tens impulse 30 min De contracting 3 min IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 22 IR Q MEDICAL DIVISION R08 Backache Sciatic pain Medical Program Specific program for the treatment of pain in the lu
17. with a high concentration of oxygen and or flammable liquids and or flammable gas do not use with equipment for electrosurgery or short wave or microwave therapy Operation Equipment suitable for continuous operation Protections Internal against batteries polarity inversion and surges Output channel 4 channels independent and galvanically isolated Output current peak to peak 218mA maximum power 31mA max effective per single channel with load from 200 ohm to 1000 ohm Type of impulse rectangular compensated biphasic rectangular monophasic ionophoresis triangular sinusoidal rectangular with Spyke Frequency operates with a range of impulses from 0 25 Hz to 16 KHz Impulse width from 20us to 400 000us Display reflective LCD display 128x64 pixel Control keypad 10 key soft touch keypad Dimensions 125 x 76 x 34 mm IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 41 IS eo MEDICAL DIVISION Weight 280gr Including batteries Battery charger see charger instruction Maintenance and storage refer to the instructions in Chapter 8 Maintenance and storage of T ONE conservazione di T ONE Warning the equipment delivers current in excess of 10mA v 0476 Manufactured in compliance with the 93 42 EEC directive concerning medical devices as amended by MDD 2007 47 EC 18 Assistance Every intervention on device must be performed by manufacturer For any assistance intervention cont
18. Atrophy prevention Total programme duration 30 minutes Biceps photo 02 15 Triceps photo 03 16 Hands Extensors photo 04 Hands Flexors photo 05 Deltoid photo 06 Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus photo 19 Abdomen Obliques photo 22 Hip photo 23 Be ae eae HH ti Quadriceps photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial photo14 Phase 1 Phase 2 gt o Phase 3 Phase 4 Deg 10 min RER 10 min 5 min Warm up 9 sec recovery 3 S sec recovery 5 min Recovery 6 sec work 6 sec work E15 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 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 electrodes position photos as reference E15 Atrophy Total program duration 30 minutes Biceps photo 02 15 Triceps photo 03 16 Hands Extensors photo 04 Hands Flexors photo 05 Deltoid photo 06 Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus phot
19. N Do not dispose of discharged or defective batteries with domestic waste dispose of in an authorised waste collection bin IMPORTANT do not leave discharged batteries into the device when it s not in use for long time Before storing T ONE for long periods of time we recommend that it is fully charged and stored in a dry place checking that it is switched off Recharging instructions Insert the rechargeable batteries into the charger respecting the indicated polarity e Connect the charger to the domestic plug 220 230 VAC e The batteries need 8 12 hours for a complete charge e During charging both batteries and charger get warm this is a normal condition and do not imply any danger A WARNING disconnect the battery charger from domestic plug when not in use A WARNING disconnect electrodes during battery recharging We recommend to recharge battery always for 8 12 hours regardless of light red or green on the battery charger Do not use battery charger if it has been exposed to rain or any other type of liquid plug is damaged or parts of it are broken the components have been damaged by a fall Do not immerge the battery charger in water Use a dry cloth to clean the battery charger Do not open the battery charger it does not contain repairable parts 7 Declaration of conformity IACER S r l headquartered in Italy via S Pertini 24 A 30030 Martellago VE declares on its own responsibility that the device
20. act the National Distributor or the manufacturer at the following address 1 A C E R S r l Via S Pertini 24 a 30030 Martellago VE Italy Tel 39 0415401356 Fax 39 0415402684 www iacer it e iacer iacer it You can get any technical documentation on spare parts but only prior business authorization T ONE All rights reserved T ONE and mmea omision ogo are owned by I A C E R Srl SU and are registered IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 42 I TEGR IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 43 ILA C E R S r l SU 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 VA IT 00185480274 R EA VEN 120250 M VE001767 Cap Soc 110 000 00 i v www iacer ve it iacer iacer it
21. ams for denervated muscle Active channels CH1 Position of electrodes use 2 big electrodes better if wet and in sponge placed at the two ends of muscle to be treated Use keys g 9 to move through the menu and select the stimulation parameter use keys GL GD to modify the values Set all stimulation parameters position the cursor over OK to store the program To start the stored program press key D A three sound signal will advise of the end of the program With impulses longer than 100ms maximum intensity has to be adjusted at 1 Hz Selected Phase number program HH 10 00 9 _ Denervated Mem 1 rll Countdown Name of the program Frequency Selected parameter description start program Settable values chart PARAMETER DESCRIPTION MIN MAX Frequency 0 25 Hertz 2 Hertz Impulse width 40 milliseconds 400 milliseconds Total time 1 minute 60 minutes IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 36 WARNING On programs M01 and M02 we suggest to use rectangular electrodes 50x90 mm size with medium high intensities With smaller electrodes treatment cannot be done 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 on the painful area as shown in illustration 1 a Use keys amp 9 to move through the menu and select the stimulatio
22. e 42 IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 4 IS C MEDICAL DIVISION 1 T ONE PHYSIO kit contents n 1 T ONE PHYSIO electronic stimulator n 4 connection cables 2mm connection plug n 2 packages containing 4 pre gelled self adhesiv e 48x48mm electrodes n 2 packages containing 4 pre gelled self adhesiv e 50x90mm electrodes n 1 package containing 8 pre gelled self adhesive round 32 mm electrodes n 1 battery charger n 2 packages containing 4 rechargeable NI Mh batt eries AA size n 1 T ONE user manual n 1 electrode position manual n 1 lonophoresis kit sponges elastic bend Accessories and spare parts e Pre gelled self adhesive electrodes 48X48mm 50x90mm round 32mm e lonophoresis pads 60x80mm 80x120mm e Elastic band for lonophoresis treatment e Set 8 elastic bands for legs drainage 2 Purpose The T ONE electronic stimulator is a medical device specifically intended for therapists and athletic trainers in public or private medical centres It can be used in beauty shops by professional users except for medical programs T ONE electronic stimulator is intended also for adults with adequate knowledge of the device acquired from reading the manual for domestic use We recommend to consult your doctor before using WAVE REHAB and MEM programs Contraindications This device must not be used by people with a pace maker epileptics pregnant women anxious people or people
23. e following CH1 CH2 in the limbs ends for example calf or forearm and CH3 CH4 in upper part for example thigh or biceps brachialis Stimulation intensity must be sufficient to produce good muscle contractions during the treatment but not enough to cause any soreness in the treated areas 20 30 IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 32 Programs and muscle groups of interest with electrodes position photos as reference Hands Extensors CH1 photo 04 with 2 electrodes Hands Flexors CH2 photo 05 with 2 Upper electrodes Muscle Biceps Brachialis CH3 photo 02 with 2 electrodes Triceps CH4 photo 03 with 2 electrodes Lower Calves CH1 photo 13 with 2 electrodes Anterior tibial CH2 photo 14 with 2 electrodes Muscles Quadriceps CH3 photo 11 with 2 electrodes Biceps Femoris CH4 photo 12 with 2 electrodes Phase 1 Phase 2 Phase 3 20 min contraction alternated on channels couple 6 sec recovery 7sec work on CH1 CH2 Tsec work on CH3 CH4 5 min Warm up 5 min Recovery E12 Drain up These programs have specific draining purpose increasing the microcirculation inside and around treated muscular fibers 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 On phase 2 and 3 the programs produce sequential tonic contractions able to p
24. ecome 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 contractions at the end of the program 10 minutes before the end R14 Periarthritis Total program duration 41 minutes Electrodes positioning periarthritis photo 26 Phase 1 Phase 2 Phase 3 Tens 150Hz 1 min Tens 90Hz 30 min EMS 10 min R15 Neuralgias Medical Program Neuralgia Program monophasic 30 minutes of duration Intensity adjusted just above the threshold of perception Two daily treatments for 10 12 days IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 24 R16 Menstrual pains Medical Program R16 Menstrual pains Total program duration 35 minutes Electrodes positioning 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 photo 33 Intensity adjusted in order to produce a light tingling
25. ed gradually to massage the muscle treated The level of intensity should be sufficient to obtain a comfortable massage Bear in mind that there is no need to endure high intensity levels in this case as it is meant to be a massage meaning that intensity can be increased gradually without excesses Capillarization impulse increase the intensity gradually to produce constant visible stimulation of the area treated a medium stimulation threshold is recommended always below the pain threshold Lypolisis drainage impulse the pump effect is produced by sequential tonic contractions The intensity must be enough to produce these contractions the greater the contraction is the greater the pump effect will be But beware 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 That way intensity can be increased gradually and will not be traumatic Other impulses see program details IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 12 IS MEDICAL DIVISION 11 WAVE Programs N WARNING It must be remembered that an electronic stimulator is a very effective analgesic instrument and that pain can indicate various types of medical conditions Most of programs described in this paragraph are analgesic You are advised to read the manual carefully before using T ONE
26. ent active pharmacologic ions are driven through the skin Electric current favours drugs penetration 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 induce 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 so to avoid dripping then put the drug on the electrode as follow e Active polarity drug dissolve this drug on the electrode connected to positive pole red connector e Negative polarity drug dissolve this drug on the electrode connected to negative pole black connector e Double polarity drug can be dissolved on positive pole or negative pole without distinction Position the electrode with the drug on 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 up an intensity value so to have pins and needles on treatment area At the end of the program the skin could lightly turn bright red the reddening usually vanishing few minutes after the end of program Program 1 works at 1000 Hz frequency program 2 at 1500
27. es positioning photo from 01 to 22 Phase 1 Phase 2 Test phase duration 33 seconds Work duration 15 minutes W23 Neofaradic 20 Hz It s a low frequency 20 Hz current that is used to produce individual muscular contractions It consists in 5 seconds of stimulation and 10 seconds of pause Intensity adjusted for good contraction of the muscles stimulated W24 Neofaradic 50 Hz Its a middle frequency current 50 Hz used to obtain muscular tetanus it consists in 5 seconds of stimulation and 10 seconds of pause Intensity adjusted for good contractions of the muscles stimulated till the pain threshold W25 Neofaradic 100 Hz It s a high frequency current 100 Hz used to obtain muscular tetanus it consists in 5 seconds of stimulation and 10 seconds of pause Intensity adjusted for good contractions of the muscles stimulated till the pain threshold W26 Interferential Medical Program Interferential therapy is based on two sinusoidal currents interference with different frequency applied to 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 Interferential current has a lot of good aspects easy cross through the skin absence of pain sensations in patient an excellent therapeutic effect in depth absence of electrolytic effects Position of electrodes see following ill
28. 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 35mA ATTENTION the program includes an intensity automatic increase between the second and the third phase Consequently it will not be necessary to readjust stimulation intensity between phases but only press key A for whatever channel First work recovery cycle of phase 3 will start with a set intensity at 90 of adjusted intensity in 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 adjusted intensity in phase 2 IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 29 Programs and muscle groups of interest with electrodes position photos as reference E05 Explosive Strength Total program duration 28 minutes EA LI Biceps photo 02 15 Triceps photo 03 16 Hand Extensors photo 04 Hand Flexors photo 05 Deltoid photo 06 Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus photo 19 Quadriceps th
29. he thresholds of perception and pain maximum limit is reached when 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 program 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 just 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 SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 23 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 pai
30. hotos as reference E07 Endurance Total programme duration 50 minutes EA LI Biceps photo 02 15 Triceps photo 03 16 Hand Extensors photo 04 Hand Flexors photo 05 Deltoid photo 06 Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus photo 19 Quadriceps thighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial vi photo14 Phase 1 Phase 2 gt Le Phase 3 Phase 4 BES 20 min Training 5 5 10 min Training 5 min Warm up 20 sec Recovery Z 22sec Recovery 5 min Recovery 10 sec Work 8 sec Work E08 Capillarization 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 resistance the capillarization 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 stimulation intensity medium 20 30 Position of electrodes see photos 01 to 20 in the manual of positions in relation to the area that you wish to stimulate E09 Muscle Recovery Can be used for all sports after competitio
31. hresholds of perception and pain Position of electrodes form a square above the area to be treated as shown in illustration 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 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 illustration 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 modulated between them 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 s a sinusoidal monophasic current with impulses train of 10ms duration and 10ms pause at 50 Hz The main effect of this kind of current is an excitomotor action on striped muscle and on motor nerves but also an analgesic tonic and vasodilatation effect Analgesic effect is late and continuous Indications it s indicated as therapy f
32. ighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial vt photo14 Phase 1 Phase 2 po Phase 3 Phase 4 n 10 min Training S 5 5 10 min Training 3 min Warm up 24 sec Recovery Z 24sec Recovery 5 min Recovery 6 sec Work 6 sec Work 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 long intense periods of exertion Stimulation intensity during the contraction follow indications mentioned at the begin of EMS Program chapter ATTENTION the program includes an intensity automatic increase between the second and the third phase Consequently it will not be necessary to readjust stimulation intensity between phases but only press key A for whatever channel First work recovery cycle of phase 3 will start with a set intensity at 90 of adjusted intensity in 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 adjusted intensity in phase 2 Programs and muscle groups of interest with electrodes position photos as reference E06 Resistant Strength Total program duration 30 minutes EA LI Biceps photo 02 15 Triceps photo 03 16 Hand Extensors photo 04 Hand Flexors photo Abdominal
33. imulation with parameters above mentioned and 20 seconds of rest Total program duration 10 minutes Kotz excitomotor effect happens in deep tissues because of their less resistance In fact it has been demonstrated that skin electrical impedance decreases with frequency increase Intensity adjusted in order to produce good contractions of treated muscles till the pain threshold Maximum adjustable intensity 50 Intensity is adjustable only during 10 seconds of impulses supply and not in OFF phase Active channels Chi and Ch2 Position of electrodes see pictures from 01 to 22 IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 19 IS MEDICAL DIVISION NEOFARADIC CURRENT Neofaradic current is used in normal innervated muscle stimulation It s suitable for muscular low atrophy and moreover muscular contraction and has a positive effect on bones and articular circulation The programs W23 W24 and W25 are composed of 2 phases e First phase lasts 33 seconds and it serves to contraction intensity When the gt desired level has been reached press key amp to confirm Then press increase intensity key of any channel phase 2 will begin automatically with the selected intensity 90 first turn 95 second turn 100 third turn e 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 Electrod
34. iped muscle and on motor nerves but also an analgesic tonic and vasodilatation effect Analgesic effect is late and continuous Indications it s indicated as therapy for painful and not spastic conditions and to improve the tonicity of muscles connective tissue 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 illustration 1 page 12 W16 DF Diadynamic Medical Program It s a sinusoidal monophasic current with impulses train of 10ms duration and 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 main action of DF current is sensibility reduction that provokes an analgesic effect However inhibitory action is hindered by addiction on set Moreover it causes vasodilatation a sedative effect on sympathetic nervous system and a great effect of functional and motor recovery on muscle Indications it s indicated as therapy for painful and not spastic conditions and to improve the tonicity of muscles connective tissue 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 ill
35. ition of electrodes form a square on the painful area as shown in illustration 1 Intensity adjusted for good solicitation of the part stimulated 15 30mA the sensation must be similar to that of a massage W08 Microcurrent MENS Medical Program MENS releases a very low and not much perceptible current Main features of MENS are e correct body bioelectric currents when they have been altered by diseases e analgesic action e ATP production ATP production promotes proteins synthesis and a faster wound healing e Oedema reduction MENS is able to reduce vascular permeability with an improvement of lymphatic activity It s 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 intensity level between 6 and 12 IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 15 MEDICAL DIVISION Table of correspondences adjusted effective current Adjusted intensity displayed on screen Effective current 0 5 0 15 mA 1 0 30 mA 3 0 90 mA 5 1 5 mA 9 2 7 MA 12 3 6 MA W09 W10 lonophoresis 1 lonophoresis 2 Medical Program lonophoresis is an electrotherapeutic technique that uses continuous current to carry drugs into painful area or contracture area lonophoresis means ions transport through continuous curr
36. lectrodes in the dorsal region see photo 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 illustration 1 produces a vascularizing effect Vascularization 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 Endorphinic TENS 1 Hz Frequency Medical Program See previous program description but with 1 Hz frequency W04 Endorphinic TENS 2 Hz Frequency Medical Program See previous program description but with 2Hz frequency IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 14 IS MEDICAL DIVISION WO5 TENS sequential Medical Program The action of this program is very similar to the one of W01 program During stimulation this program modifies by itself the frequency and impulse width so to contrast the habit at the stimulation no need to continuously adjust the intensity value Select the intensity at the beginning of the program and maintain it till the end of the program In the event during the program current percepti
37. m adjustable intensity is 12 so very low Intensity can be adjusted between 6 and 12 and it might almost undetectable it s not a malfunctioning but it s the normal functioning of device lonophoresis 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 it will be produced a stimulation with a gradual increasing intensity in order to increase gradually the metabolism of treated muscle As that happens with own car engine has to be warmed up before it arrives to maximum speed Toning training atrophy 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 intensity must be adjust
38. m ae Graphic LCD confirm selection f Select programs Switch ON OFF and muscles Select program Select ati n en C OY Jeee mo 7 menu male and menu male ani female female Increase i intensity Decrease intensity Output Ch1 bi e CAT ch2 ch3 ch4 Output Ch4 A 4 Output Ch2 immense i cerca Output Cha IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 7 I TECH MEDICAL DIVISION Preliminary instructions Before using T ONE clean the skin of the area to be treated with the cable disconnected from T ONE connect the electrostimulation cable jacks to the self adhesive electrodes position the self adhesive electrodes on the skin see photos of electrode positions connect the impulse transmission cables to the relative jacks Channel 1 and or Channel 2 then turn T ONE on Operating instructions N B read the whole manual before using the equipment 1 Turn T ONE on using the button keeping it pressed at least 1second 2 Select the program group Wave Rehab EMS Mem using the button g 9 3 Select the program using the G amp D GOW buttons 4 Select male or female with g 9 buttons if expected Male Female Selection Selection 5 Select the muscle group with E LW buttons oR y arms male trunk legs male arms female trunk legs female male female 6 Press to start program the display shows connect cables and electrodes and increase intensity of the used channels to start intensity pre
39. mbar area or along the sciatic nerve or both The intensity should be 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 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 Electrodes positioning dorsal paravertebral photo 10 lumbar area photo 27 sciatic area photo 28 Phase 1 Phase 2 Short width Tens impulse 30 min Tens Burst impulse 5 min RO9 Sprains Bruises Medical Program The program develops its effectiveness after this type of injury by inhibiting pain locally The 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 R09 Sprains Bruises Total program duration 30 minutes Electrodes positioning ankle photo 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 The intensity should be adjusted to a level between t
40. mic 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 Stimulation intensity must be sufficient to produce good muscle contractions during the treatment but not enough to cause any soreness 20 40 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 Muscles groups all you want to stimulate in a sequence Phase 1 Phase 2 Phase 3 20 min sequential contractions on 4 channels i 6 sec duration each 2 min Recovery 3 min Warm up IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 35 14 Programmable memories Operative instructions reserved to medical personnel or therapists 1 Switch on T ONE keeping pressed key for at least 1 second Select MEM on menu pressing 3 times key d I Proceed on choosing the desire memory using keys 2D GD x oO Dp Press key to enter selected memory and change the stimulation parameters 30 00 E Denervated Mem 1 Denervated Mem 2 TENS Mem 2 TENS Mem 3 M01 M02 Denervated 1 2 Medical Program Stimulation progr
41. mpulses 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 small diameter nerve fibres at the spine So action is mainly taken against 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 average number required to benefit from the treatment is 10 12 per day 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 illustration 1 Intensity should be 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 W02 Endorphinic TENS 0 5 Hz Frequency Medical Program This type of stimulation produces two types of effects according to how the electrodes are positioned positioning the e
42. n 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 Electrodes positioning photo 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 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 Electrodes positioning photo 29 with electrodes rotated 90 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 b
43. n parameter use keys GW G amp D to modify the values Set all stimulation parameters position the cursor over OK to store the program To start the stored program press key D Selected Phase number Saan miii E i HH 10 00 E y ENS Mem 1 nd ne Countdown Name of the program 85pS Fe a Frequency i gt eeHz a Impulse width py Frequency Selected Confirm settings parameter and start program description Settable values chart PARAMETER DESCRIPTION MIN MAX Frequency 0 25 Hertz 120 Hertz Impulse width 20 microseconds 500 microseconds Total time 1 minute 60 minute M07 TENS Spyke Medical Program Available programs to set Tens Spyke Position of electrodes form a square on the painful area as shown in illustration 1 Use keys g 9 9 to move through the menu and select the stimulation parameter use keys TP GD to modify the values Set all stimulation parameters position the cursor over OK to store the program To start the stored program press key 2D IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 37 IS MEDICAL DIVISION Selected Phase number program J Countdown Name of the E program Frequency Impulse width Selected parameter Confirm settings description and start program Settable values chart PARAMETER DESCRIPTION MIN MAX Frequency 0 25 Hertz 120 Hertz Impulse width 20 microseconds 500 microseconds Total time 1 minute 60 mi
44. nd striped muscle relaxation Total program duration 20 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 illustration 1 page 12 W21 HVPC Medical Program HVPC can be used in tissues reconstruction oedemas re absorption and pain reduction In regards to tissues reconstruction you have to position a wet sterile gauze with saline solution over the wound if anode positive electrode is placed over the wound vascular cells migration and collagen synthesis happen and as a consequence a faster recovery If cathode negative electrode is placed over the wound a bactericide effect happens and the growth of pathogen 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 illustration 1 page 12 W22 Kotz Current Kotz current has been presented by Y M Kotz who gave it his name in seventy years It s a middle frequency current and it s used in normally innervated muscle strengthening A 2 5 kHz interrupted carrier current is used It s characterized by impulses train of 10ms duration and 10ms pause therefore 50 impulses packages are supplied for each second The program consists in 10 seconds of st
45. ns 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 Stimulation intensity medium low 15 25mA increased during the last 5 minutes Position of electrodes see photos 01 to 20 in the manual of positions in relation to the area that you wish to stimulate IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 31 IS MEDICAL DIVISION E10 Agonist Antagonist The electronic stimulator produces contractions alternated between 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 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 With this program muscle relaxation is obtained by simultaneous stimulation from 4 channels during the last 10 minutes In the second work phase it s necessary to select intensity three time recovery intensity of four channels work intensity of Channel 1 and 2 agonist muscles and work intensity of Channel 3 and 4 antagonist muscles Stimulation intensity during the
46. nutes M08 M09 EMS 1 second slope EMS 1 second slope to set EMS program with 1 second impulse slope IMPORTANT using 1 second slope the contraction will be faster while with 2 3 seconds slope we obtain more progressive contraction Particularly for memories 12 and 13 with 3 seconds slope we obtain a triangular impulse where the impulse parameters are continuously varied 6 Use keys g 9 to move through the menu and select the stimulation parameter use keys GD GD to modify the values Setallstimulation parameters position the cursor over OK to store the program To start the stored program press key Td Athree sound signals will advise of the end of the program Phase number Impulse width Countdown x A time 35 00 conimcione an active 1 second slope Pr 300 S Contraction CO ll m frequency 185 Hz 105 mHz Contraction time Parameters confirmation and stat program Settable values chart PARAMTER DESCRIPTION l MIN I MAX Contraction frequency 20 Hertz 120 Hertz IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 38 Contraction time 2 seconds 10 seconds Recovery frequency 0 Hertz 12 Hertz Recovery time 2 seconds 28 seconds Impulse width 60 microseconds 500 microseconds Total time 1 minute 60 minute M10 M11 EMS 2 seconds slope EMS 2 seconds sl
47. o 19 Abdomen Obliques photo 22 Hip photo 23 photo14 Phase 1 Phase 2 Phase 3 3 min Warm up 25 min 6 sec recovery 6 sec work 2 min Recovery Be a ee ae ff ti Quadriceps photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial E16 Sequential tonic contractions 1 IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 34 This program increases microcirculation within and around the muscle fibres treated creating rhythmic contractions fostering 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 Programs produce sequential tonic contractions on 4 channels able to produce the typical effect of electronic lymphatic massage These programs can be carried out using self adhesive electrodes Stimulation intensity must be sufficient to produce good muscle contractions during the treatment but not enough to cause any soreness It mainly works on slow twitch fibres E16 Sequential tonic contractions 1 Total programme duration 25 minutes Muscles groups all you want to stimulate in a sequence Phase 1 Phase 2 Phase 4 20 min sequential contractions on 4 channels 3 min Warm up 6 sec duration each 2 min Recovery E17 Sequential tonic contractions 2 This program produces rhyth
48. on decreases a lot do not increase intensity value and wait till the end of therapy 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 illustration 1 or see pictures from 25 to 33 WO6 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 areas such as the face and genitals or close to wounds Position of electrodes form a square on the painful area as shown in illustration 1 or see pictures from 25 to 33 W07 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 Pos
49. ope to set EMS program with 2 seconds impulse slope Settable values chart PARAMETER DESCRIPTION MIN MAX Contraction frequency 20 Hertz 120 Hertz Contraction time 4 seconds 10 seconds Recovery frequency 0 Hertz 12 Hertz Recovery time 2 seconds 26seconds Impulse width 60 microseconds 500 microseconds Total time 1 minute 60 minute M12 M13 EMS 3 seconds slope EMS 3 seconds slope to set EMS program with 3 seconds impulse slope Settable values chart PARAMETER DESCRIPTION MIN MAX Contraction frequency 20 Hertz 120 Hertz Contraction time 6 seconds 10 seconds Recovery frequency 0 Hertz 12 Hertz Recovery time 2 seconds 24 seconds Impulse width 60 microseconds 500 microseconds Total time 1 minute 60 minutes M14 M15 FES Available programs to set treatments of incontinence prevention and cure Settable values slope PARAMETER DESCRIPTION MIN MAX Contraction frequency 20 Hertz 120 Hertz Contraction time 6 seconds 10 seconds Recovery frequency 0 Hertz 12 Hertz Recovery time 2 seconds 24 seconds Impulse width 60 microseconds 500 microseconds Total time 1 minute 60 minutes IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 39 IS MEDICAL DIVISION M16 M17 M18 Agonist antagonist 16 17 18 Available programs to set treatments with alternated contractions on channels couple Position of electrodes see position manual photos Use keys amp 9 to move through the menu and select the stimulation parameter use key
50. or painful and not spastic conditions and to improve the tonicity of muscles connective tissue 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 illustration 1 page 12 W14 MFSR Diadynamic Medical Program It s a sinusoidal monophasic current with impulses train of 10ms duration and 10ms pause with 2 seconds of action and 1 second of pause at 50 Hz The main effect of this kind of current is an excitomotor action on striped muscle and on motor nerves but also an analgesic tonic and vasodilatation effect Analgesic effect is late and continuous Indications it s indicated as therapy for painful and not spastic conditions and to improve the tonicity of muscles connective tissue 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 illustration 1 page 12 W15 MFSL Diadynamic Medical Program IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 17 IS C MEDICAL DIVISION It s a sinusoidal monophasic current with impulses train of 10ms duration and 10ms pause with 5 seconds of action and 2 seconds of pause at 50 Hz The main effect of this kind of current is an excitomotor action on str
51. photo 03 16 Hand Extensors photo 04 Hand Flexors photo 05 Deltoid photo 06 Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus photo 19 Be ae oe ae ff ti Quadriceps thighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial photo14 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 for definition is the maximum tension that a muscle can exert against constant resistance The contractions 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 following basic procedure will enable you to obtain the first results two sessions per week for each muscle region for the first three weeks at increasing intensity 20 30mA three sessions per week for the next three weeks at high intensity 30 50mA 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 ATTENTION the program includes an intensity automatic increase between the second and the third phase Consequently it will not be necessary to
52. r electrodes treatment cannot be done correctly IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 21 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 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 to consult your doctor before using this program and during the treatment R04 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 to consult your doctor before using this program and during the treatment R05 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 to consult your doctor before
53. r to avoid short circuit e The device must not be used in the presence of patient monitoring equipment e Do not use T ONE with electrosurgical or shortwave or microwave therapy equipment e Use of the device is prohibited to persons known to be of unsound mind to persons suffering from sensibility disorders to permanently or temporarily disabled persons unless assisted by qualified personnel e g a doctor or therapist e Use of the device is prohibited in the presence of signs of deterioration of the device itself e Use of the device is prohibited in the open air or next to liquid substances to avoid liquid penetration into the device Should any foreign matters penetrate the device contact the retailer or manufacturer immediately If dropped check that the housing is not cracked or damaged in any way if so contact the retailer or manufacturer Should you notice any changes in the device s performance during treatment interrupt the treatment immediately and consult the retailer or manufacturer patients being treated in a centre must also be informed of the event e Use of the device is prohibited close to flammable substances or in environments with high concentrations of oxygen Muscle heaviness and cramps may be experienced in the event of prolonged muscle stimulation Should this occur we recommend suspending treatment with T ONE for a few days and then continuing with muscle recovery and capillarization programs Make s
54. roduce the typical effect of electronic lymphatic massage However unlike of lipolysis program in drain up program the contraction are sequential start on CH1 then CH2 CH3 CH4 There are no real applicative limits for the use of these programs so they can be used till the achievement of desired result The intensity of stimulation has to be strong enough to assure good muscular contractions during treatment but not so strong to generate stiffness 20 30mA Normally the results appear after 3 4 weeks with 4 5 treatment a week E12 Drain up Total program duration 25 minutes Muscles groups all the muscles you want to stimulate in a sequence of 4 channel 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 facial muscles The position of the electrodes is shown in the manual of electrode positions photo 24 N B a minimum distance of 3cm must be kept between the electrode and the eyeball N 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 with extreme care until you reach a good level of stimulation represented by good
55. rovoke skin reactions or burns Round electrodes must be used only for face treatment e Do not use electrodes when damaged even if they stick to the skin well e Electrodes must not be used when they no longer stick to the skin Repeated use of the same electrodes can compromise the safety of the stimulation in fact it can cause skin redness that can last for many hours after stimulation Warning During treatment with round electrodes current density may be in excess of 2 mA cm for each electrode In these cases take special care regarding any skin redness IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 6 I TEGR e Do not use anal or vaginal probes in event of skin or muscle injuries Do not use without a medical prescription Useful life of product 5 years 4 Legend of symbols marked on T ONE and found in the manual C 0476 Manufactured in compliance with MDD 93 42 EEC and 2007 47 CE concerning medical devices Internally powered device with type BF applied parts Product subject to WEEE regulations concerning separate waste collection Read the instructions for use carefully before using the device gd ON OFF button gt li Select program and muscles to stimulate Multifunction buttons select WAVE REHAB EMS and MEMS programs male female and skip phase Start Stop program confirm selection and pause Increase intensity Decrease intensity 5 How to use T ONE Start stop progra
56. s photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal 05 Deltoid photo 06 photo 09 Gluteus photo 19 a Quadriceps thighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial photo14 Phase 1 Phase 2 gt Le Phase 3 Phase 4 GSB 10 min Training 5 5 10 min Training 5 min Warm up 20 sec Recovery 2 E 20sec Recovery 5 min Recovery 10 sec Work 10 sec Work IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 30 IR MEDICAL DIVISION E07 Endurance The Resistance program is used in sports to increase muscle resistance acting mainly on slow twitch fibres Program indicated for endurance sports marathon runners cross country skiers ironman etc Stimulation intensity during the contraction follow indications mentioned at the begin of EMS Program chapter ATTENTION the program includes an intensity automatic increase between the second and the third phase Consequently it will not be necessary to readjust stimulation f intensity between phases but only press key 4 for whatever channel First work recovery cycle of phase 3 will start with a set intensity at 90 of adjusted intensity in 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 adjusted intensity in phase 2 Programs and muscle groups of interest with electrodes position p
57. s GW G amp D to modify the values Set all stimulation parameters position the cursor over OK to store the program To start the stored program press key D A three sound signal will advise of the end of the program Selected Phase number Impulse width sie ai program sad Name of the i ir program MAG HH Oy oo 00 E ercecton ane madd fe Agana An tag ometi Leann Recovery u f i Contract time sf N sha h pe Recovery 8S _4Hz 4S Wels Hz frequency 2 di Contraction time Frequency 0II Frequenc dna a Selected fl a onfirm settings an parameter O K ie start program description Settable values chart PARAMETER DESCRIPTION MIN MAX Contraction frequency 20 Hertz 120 Hertz Contraction time 2 seconds 10 seconds Recovery frequency 0 Hertz 12 Hertz Recovery time 2 seconds 26 seconds Impulse width 60 microseconds 500 microseconds Total time 1 minute 60 minutes IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 40 IS MEDICAL DIVISION 15 SET UP Selecting the language and contrast level on the display Turn T ONE on using the button and immediately after keeping pressed the button until the language list appears on the display Release the button now use the mouse to move the cursors and choose the desired language or the level of contrast on the display Select the chosen language by using the LW buttons Adjust the level of contrast on the displa
58. sity before using this program Then continue with three weeks of fast strength three times a week at high intensity 30 50mA ATTENTION the program includes an intensity automatic increase between the second and the third phase Consequently it will not be necessary to readjust stimulation intensity between phases but only press key A for whatever channel First work recovery cycle of phase 3 will start with a set intensity at 90 of adjusted intensity in 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 adjusted intensity in phase 2 Programs and muscle groups of interest with electrodes position photos as reference E04 Fast Strength Total program duration 26 minutes Biceps photo 02 15 Triceps photo 03 16 Hand Extensors photo 04 Hand Flexors photo 05 Deltoid photo 06 Y H uu fi Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus photo 19 Quadriceps thighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial photo14 Phase 1 Phase 2 gt o Phase 3 Phase 4 aeg 10 min Training S 5 8 min Training 3 min Warm up 14 sec Recovery 2 amp 10sec 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
59. sonnel not authorised by the manufacturer will be classed as tampering with the device freeing the manufacturer from responsibility for the warranty and hazards that the operator or user may be exposed to N B disconnect the cables before placing the electronic stimulator in the bag If not the cables will bend excessively close to the connectors This may damage the cables 9 Resolution of problems and questions Any type of work on T ONE must be carried out exclusively by the manufacturer or by an authorised dealer In any event any presumed malfunction of T ONE must be verified before sending the device to the manufacturer Here below are some typical situations T ONE cannot be turned on e Ensure of presence of batteries in the unit e Recharge the batteries and try to switch it on again e Ensure of absence of oxide on batteries contact clean with a dry towel and try to turn it again e Check that the ON OFF button has been pressed correctly keeping it pressed at least 1second e Check that batteries have been inserted according to correct polarity T ONE does not transmit electric impulses e Check that the cable jacks have been inserted in the electrodes and that the plastic protection has been removed from the electrode e Check that the cables have been connected correctly connector well inserted in the device e In the event that impulse is present only keeping down electrode on skin replace it with a new
60. ss A for each used channel T ONE will begin the session 7 Press the A button for each use channel to increase current intensity until the personal tolerance level is reached Selected Total Phases Battery charge program working phase Phase countdown indicator Working i Hep Ro Recovery work program E07 15 00 fs indicator bar Endurance Output nn gn connection error working Tg on ON ore ntensi nn VE A Xor opin 1200 1105 Bge 605 Cramdof mA IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 8 IS MEDICAL DIVISION 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 striped bar are graphically visualised under the bar with a cursor This enables the user to know exactly when a contractions starts Hi gn 8 At the end of the first phase the T ONE cancels the previously selected intensity and warns the user with an intermittent signal to continue with the program press the A button for the relevant channels again until you reach the desired level of stimulation An audio signal will sound three times when the program has finished 9 At the end of the program switch off the T ONE and remove the cables Attach the electrodes to the transparent films and replace them in their original packaging Option to simultaneously increase the
61. tial value increasing it gradually week by week Programs and muscle groups of interest with electrodes position photos as reference E01 Firming up Total program duration 30 minutes Biceps photo 02 15 Triceps photo 03 16 Hand Extensors photo 04 Hand Flexors photo 05 Deltoid photo 06 Abdominals photo 01 20 Pectoral Breast photo 07 17 Trapezius photo 08 Large dorsal photo 09 Gluteus photo 19 We ae ee ae ff ti Quadriceps thighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial photo14 Phase 1 Phase 2 Phase 3 20 min Training 5 min Warm up 13 sec Recovery 5 min Recovery 7 sec Work 30Hz E02 Toning up Toning up program is suitable for improving trophsim and recuperating strength normal levels in treated muscle This program is indicated after a complete cycle of 10 treatment with 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 First results appears already after 10 15 treatments and they re becoming more incisive after two months of regular treatment IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 27 Q MEDICAL DIVISION Programs and muscle groups of interest with electrodes position photos as reference E02 Toning up Total program duration 30 minutes Biceps photo 02 15 Triceps
62. ure 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 from any responsibility related to damage to the equipment or user 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 used for pectoral strengthening The electrodes must not be positioned on the carotid sinuses carotid or genitals close to the eyes on or close to injuries or cuts 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 e When using the electrodes follow the instructions given in this manual and on the package of the electrodes themselves Use single patient electrodes supplied exclusively by the manufacturer or retailer and take great care to avoid the exchange of electrodes between different users Use electrodes supplied exclusively by the manufacturer T ONE has been tested and guaranteed for use with the electrodes supplied Different electrodes can p
63. ustration Intensity adjusted in order to produce a good tingling not painful IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 20 IS MEDICAL DIVISION CH2 PAINFUL AREA 12 REHAB Programs R01 Denervated Medical Program This program is specifically indicated for denervated muscles treatment in presence of a complete rupture of peripheral nerve In this situation it s not possible to stimulate muscle through its nerve fibres it s necessary to stimulate directly the muscle fibres Impulses have a longer duration up to of milliseconds and not microseconds as happens in normal innervated muscle and a lower frequency Recommended intensity should be adjusted to stimulate 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 sponge placed at the two ends of muscle to be treated R02 Partially denervated Medical Program This program is specifically indicated for partially denervated muscles treatment in presence of a partial rupture of peripheral nerve Program purpose is to stimulate the healthy innervated part of muscle Intensity should be adjusted in order to produce a good contraction of muscle treated Position of electrodes see picture from 01 to 22 WARNING On programs R01 and R02 we suggest to use rectangular electrodes 50x90 mm size with medium high intensities With smalle
64. ustration 1 page 12 W17 DFSR Diadynamic Medical Program It s a diadynamic biphasic current with 2 seconds action and 1 second STOP The main effect of this kind of current is an excitomotor action on striped muscle and on motor nerves but also an analgesic tonic and vasodilatation effect Analgesic effect is late and continuous Indications it s indicated as therapy for painful and not spastic conditions and to improve the tonicity of muscles connective tissue 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 illustration 1 page 12 W18 DFSL Diadynamic Medical Program It s a diadynamic biphasic current with 5 seconds action and 2 seconds STOP at 100 Hz The main effect of this kind of current is an excitomotor action on striped muscle and on motor nerves but also an analgesic tonic and vasodilatation effect Analgesic effect is late and continuous Indications it s indicated as therapy for painful and not spastic conditions and to improve the tonicity of muscles connective tissue 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 illustration 1 page 12 W19 CP Current Medical
65. y by using the g Press to confirm your selections buttons 16 Self adhesive electrodes The position of the electrodes is shown in the manual of electrode positions The electrodes supplied are top quality pre gelled and ready for use they are particularly suitable for electrostimulation treatments They are very flexible making it easy to treat all areas Remove the protective plastic from the electrode before use position it on the skin as shown in the manual and replace the plastic after use Electrode duration is determined by the skin s pH value we recommend no more than 10 15 applications using the same electrode Repeated use of the same electrodes can compromise stimulation safety which is why electrodes must not be used when they no longer stick to the skin in fact it can cause skin redness that can last for many hours after stimulation Consult a doctor if this occurs 17 Technical Specifications Risk class Insulation class Classification Class Il in accordance with the 93 42 EEC directive as amended by 2007 47 EC Internally powered device with type BF applied parts in accordance with the CEI EN 60601 1 standard IP30 based on the penetration of liquids and powder equipment not protected Housing ABS Power supply 4 Alkaline batteries 1 5V AA size or 4 Ni Mh batteries 1 2V AA size min 1500 mA Average consumption 1W Limitation Equipment not suitable for use in environments
66. y 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 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 illustration 1 The intensity should be 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 IACER Srl SU T ONE PHYSIO MNPG51 02 Ed 19 12 11 Page 13 IS C MEDICAL DIVISION Illustration 1 Red Red Painful Channel 1 Channel 2 area Z WARNING Create a square area with the electrodes over the painful zone Black Keep 4cm minimum distance between electrodes 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 i

T-ONE PHYSIO User manual (MNPG51-02) - I

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