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MODES OF OPERATON: Protocol Reference Sheets
Pain Control
PROTOCOL / CLINICAL
INDICATION
STIMULATION PARAMETERS
MECHANISM OF ACTION
APPLICATION TECHNIQUE
OPERATIONAL SEQUENCE
IFC SENSORY
Symptomatic relief of superficial
and deep pain from localized
dermatome or segmental origin.
5000Hz – 80/120 BPS Continuous
Vector Fast 90
o
Treatment time of 15 minutes
Sensory stimulation activates A-beta fibers
causing the release of spinal Enkephalin and
Dynorphin to block pain at the segmental
level (Gate Control). Duration of relief is
typically from 30 min to 2 hrs. Fast onset of
relief usually within 15-20 minutes.
Target tissue - superficial and deep. Bilateral,
bipolar or quadripolar through the painful area or
over the involved spinal segments. Apply parallel
to incision line for post op pain management. Set
intensity to elicit a pleasant tingling sensation, just
below muscle contraction.
Press PAIN button until screen reads "IFC SENSORY".
Set Outputs A and B until the patient feels the desired sensation.
Press START / STOP and T15 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER
button.
The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
TENS-LVPC SENSORY
Symptomatic relief of superficial
pain from localized dermatome or
segmental origin.
100Hz - 80uSec PD Continuous
Treatment time of 15 minutes
Sensory stimulation activates A-beta fibers
causing the release of spinal Enkephalin and
Dynorphin to block pain at the segmental
level (Gate Control) Duration of relief is
typically from 30 min to 2 hrs Fast onset of
relief usually within 15-20 minutes.
Target tissue-superficial. Bilateral bipolar through
the painful area or over the involved spinal
segments. Apply parallel to incision line for post-
op pain management. Set intensity to elicit a
pleasant tingling sensation, just below muscle
contraction.
Press PAIN button until screen reads "TENS - LVPC SENSORY".
Set Outputs A and B until the patient feels the desired sensation.
Press START / STOP and T15 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER
button.
The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
IFC MOTOR
Symptomatic relief of superficial
and deep pain with inflammation,
and pain of generalized or multi-
segmental nature.
2500Hz – 2/6 BPS Continuous
Vector Fast 90
o
Treatment time of 15 minutes
Motor level stimulation activates motor and
A-delta fibers causing the release of
Bendorphin systemically. Duration of relief is
typically from 2-6 hours. Slow Onset of relief
usually within 15 minutes to 1 hour
Target tissue - superficial and deep. Bipolar
placement over local and distal acu / trigger
points; quadripolar placement over area of local
pain; or quadripolar placement at spinal segment.
Set intensity to elicit a moderate muscle twitch.
Press PAIN button until screen reads "IFC MOTOR".
Set Outputs A and B until the patient feels the desired sensation.
Press START / STOP and T15 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER
button.
The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
TENS-LVPC MOTOR
Symptomatic relief of superficial
pain with inflammation, or pain of
a generalized or multi-segmental
nature.
4Hz - 200uSec PD Continuous
Treatment time of 15 minutes
Motor level stimulation activates motor and
A-delta fibers causing the release of
Bendorphin systemically Duration of relief is
typically from 2-6 hours Slow Onset of relief
usually within 15 minutes to 1 hour.
Target tissue-superficial. Bipolar placement over
local and distal acu / trigger point or at spinal
segmental level. Set intensity to elicit a moderate
muscle twitch.
Press PAIN button until screen reads "TENS - LVPC MOTOR".
Set Outputs A and B until the patient feels the desired sensation.
Press START / STOP and T15 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER
button.
The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
IFC MOTOR SENSORY
Symptomatic relief of superficial
and deep pain with inflammation,
and pain of local, generalized
single or multi-segmental nature.
5000Hz - 15/2/100 BPS
Vector OFF
Treatment time of 30 minutes
Combines motor and sensory stimulation.
Starts with motor and ends with sensory.
More aggressive protocol. Duration of relief
is typically from 2-6 hours. Slower onset of
relief usually within 15-30 minutes.
Target tissue - superficial and deep. Bipolar
placement over local and distal acu / trigger
points; quadripolar placement over area of local
pain; or quadripolar placement at spinal segment.
Set intensity to elicit a moderate muscle twitch.
Press PAIN button until screen reads "IFC MOTOR SENSORY".
Set Outputs A and B until the patient feels the desired sensation.
Press START / STOP and T30 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER
button.
The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
SENSORY NERVE BLOCK
Symptomatic relief of superficial
and deep pain from localized
dermal or segmental origin.
10,000Hz Continuous
Vector OFF
Treatment time of 15 minutes
Blocks pain by causing a temporary nerve
block through reactive depolarization
(Conduction block) of the pain signal on its
way to the spinal input. Also known as
Wedensky inhibition. Duration of relief is
typically from 1-2 hours Faster onset of relief
usually within 5-10 minutes.
Target tissue - superficial and deep. Bipolar
placement over local nerve; quadripolar placement
over area of local pain; quadripolar placement at
spinal segment. Set intensity to a numb-gripping
sensation just under muscle contraction.
Press PAIN button until screen reads "SENSORY NERVE BLOCK ".
Set Outputs A and B until the patient feels the desired sensation.
Press START / STOP and T15 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER
button.
The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
