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MNPG178

Surface electromyography instructions for use (sEMG)

In the I-TECH PHYSIO EMG version, the device is equipped with a

biofeedback module that is based on receiving of surface

electromyographic signals (sEMG). It’s designed to detect signals

generated by the human body and gives feedback from two channels. The

bioelectrics signals are detected in single differential modality with bipolar

electrodes.

These signals are amplified, filtered, and converted to digital. The device

doesn’t show an electromyographic signal, but a contraction (bar) signal

also indicated in µV, like differential value between refer electrode and

bipolar electrode: in this respect, the indicated value is simply a reference

that must not be considered like a value with diagnostic purpose (doesn’t

provide information nearly the muscle condition or the presence of

pathologies ) but only serves to physiotherapist/doctors to set up an active

muscle session/training for the patient. The EMG module should not be

intended as a medical device with diagnostic purpose.

The biofeedback is both visible (display) and both acoustic (internal

buzzer).

With I-TECH PHYSIO EMG is possible recorder different levels of maximum

voluntary contraction of two muscles and so set up different thresholds of

feedback for each muscle and execute a controlled work calibrating the

training degree.

ATTENTION! It’s recommended not to use the electromyography

(EMG) mode with the power supply connected to the domestic

electricity network (device charging) since it’s not possible to

filter out the impurities of the external network.

To access to the functionality of the EMG module, simply click on the EMG

icon in the I-TECH PHYSIO EMG main menu: the

channel setup

menu will be

displayed with a screen similar to the one in the figure below.

The operating menù of the 4/EMG module is as follow:

Содержание PHYSIO 4

Страница 1: ...USER MANUAL I TECH PHYSIO 4 I TECH PHYSIO EMG...

Страница 2: ......

Страница 3: ...E TECHNOLOGY 8 CONTRAINDICATIONS 9 Side effects 10 WARNINGS 10 PATIENT PREPARATION 13 DEVICE USE 14 Instructions on use for a single patient 14 Instructions on use for two patients 16 INDICATIONS FOR...

Страница 4: ...IACER Srl II MNPG178 Support 77 Spare part 77 ELECTROMAGNETIC INTERFERENCES AND ELECTROMAGNETIC COMPATIBILITY TABLES 78...

Страница 5: ...an Medical Device Directive 93 4 EEC transposed in Italy by the D Lgs 46 97 as modified by the Directive 2007 47 EC D Lgs 37 2010 and further modifications integrations The product has been assigned t...

Страница 6: ...re during and post therapy of muscular activity The EMG module should not be intended as a medical device with diagnostic evaluations Both devices are equipped with medical programs suitable for muscl...

Страница 7: ...er 120mA with 1000 Ohm rated load Isolation class EN 60601 1 II Applied part EN 60601 1 BF Dimensions mm length x width x height 180x110x50 Protection level IP IP20 Conditions of use Environmental tem...

Страница 8: ...tween 20 microseconds and 400 milliseconds Duration of therapy Preset programs free memories of up to 60 minutes Electromyography only EMG model Dynamic input 0 4 16mVpp Bandwidth 16 402Hz Input level...

Страница 9: ...command description Channel intensity increase decrease buttons Program and parameter selection confirmation Patient 1 selection button Patient 2 selection button 4 EMG input Channel 1 2 USB input Cha...

Страница 10: ...fied Body N 0068 Manufacturer Manufacturing date YYYY MM Read instructions for use RAEE directive for the disposal of electronic waste Classe II device according to IEC 60601 1 Applied part type BF ac...

Страница 11: ...apy connection cable with 2mm female connector length about 2 5m for the prg Co1 continuous current N 2 set of rectangular single patient electrotherapy electrodes N 2 set of square single patient ele...

Страница 12: ...ption and pain The maximum limit is reached when the muscles surrounding the treating area begin to contract It is best to stay below that limit 2 Microcurrent pulse the maximum adjustable intensity i...

Страница 13: ...polysis drainage impulse the pump effect is produced by sequential tonic contractions The intensity must be sufficient to produce these contractions the greater the contraction the greater the induced...

Страница 14: ...ger present in the kit It is recommended to control position and meaning of all the labels on the equipment not to damage the connection cables to the electrodes and to avoid winding the cables around...

Страница 15: ...prohibited in bathroom or shower areas or while showering bathing to use the device in presence of signs of deterioration of the device itself cables and or electrodes please contact the dealer or th...

Страница 16: ...tact the retailer or manufacturer care should be taken for use in patients with suspected heart problems stimulation intensity and electrodes position should be suggested by the prescriber doctor be s...

Страница 17: ...paration Before using I TECH PHYSIO 4 EMG clean the skin of the area to be treated with the cable disconnected from I TECH PHYSIO 4 EMG connect the electrostimulation cable jacks to the self adhesive...

Страница 18: ...female 6 Select the muscle group with the up down buttons arms male trunk male Legs male arms female trunk female legs female 7 Press the OK key to start stimulation and the relative text appears on t...

Страница 19: ...ls will advise of the end of the program At the end of the program switch off the I TECH PHYSIO 4 EMG and remove the cables Attach the electrodes to the transparent films and put them in their origina...

Страница 20: ...effective analgesic instrument and that pain can indicate various types of medical condition Most of the programs described in this section are analgesic You are advised to read the ENTIRE manual care...

Страница 21: ...activity and blood flow and improving tissue oxygenation with an intake of nutritional substances Therefore the positive effect can be amplified by combining TENS with muscle stimulation of the area c...

Страница 22: ...me 20min Frequency 1Hz Impulse width 200 S W04 Yes Endorphinic TENS 2Hz Total time 20min Frequency 2Hz Impulse width 200 S W05 Yes TENS Scan Total time 20min Frequency 90 70 90 110Hz To scan of 1min W...

Страница 23: ...15min Frequency 5s ON 2s OFF W19 Yes CP current Total time 20min A 3s waveform and another 3s in a continuous sequence W20 Yes LP current Total time 20min A 10s waveform and another 5s in a continuou...

Страница 24: ...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...

Страница 25: ...the end of therapy The TENS program is working properly Session duration 20 minutes Electrodes positioning form a square above the painful area as shown in Figure 2 or refer to photos 25 to 33 of the...

Страница 26: ...mpere Electrical Nerve Stimulation medical program Cable type TYPE 1 see Figure 1 Cable type active channels CH1 The MENS releases a very low and barely perceivable current The main properties of the...

Страница 27: ...of the therapy to be conducted When this drug is applied to the electrodes and the treatment starts the issued current by the electrodes acts in such a way as to convey the drug s ions from one electr...

Страница 28: ...eumatoid arthritis Diclofenac sodium Pos Neg Analgesic hematoma Orudis Voltaren Lometacen Arfen Tilcotil Axera Naprosyn Negative Anti inflammatory Degenerative and extra articular rheumatism gout Piro...

Страница 29: ...drug and the other without Position the electrode with the drug on the painful area and the other electrode on the other side Figure 3 with the help of the elastic band supplied with the kit Connect...

Страница 30: ...treatment stop the program and remove the electrodes to check the skin in the case of excessive reddening use program W09 instead Session duration 20 minutes Electrodes positioning transversally to t...

Страница 31: ...previously combined and modulated Diadynamic currents are indicated for the treatment of tendinitis of the elbow wrist shoulders knee and ankle articular traumas acute and chronic articular diseases a...

Страница 32: ...nt with pulse trains of 10ms and a 10ms pause with 5 seconds of action and a 2 second pause at 50 Hz The main effect of this kind of current is an excitomotor action on striated muscle and on motor ne...

Страница 33: ...yed and continuous Indication It is indicated as therapy for painful non spastic conditions and to improve the tonicity of the connective tissue of muscles Session duration 15 minutes Electrodes posit...

Страница 34: ...capsule and soft tissues tendinitis bursitis rheumatoid arthritis and trauma in general Session duration 15 minutes Electrodes positioning form a square above the area to be treated as shown in Figure...

Страница 35: ...s and 20 seconds of rest Total program duration 10 minutes The Kotz excitomotor effect occurs in deep muscles because of their lower resistance In fact it has been demonstrated that the electrical imp...

Страница 36: ...al program Cable type TYPE 1 see Figure 1 Cable type It is a middle frequency current 50 Hz used to obtain muscular tetanus it consists of 5 seconds of stimulation and a 10 second pause Session durati...

Страница 37: ...tingling not painful W27 Ione generator CC medical program Cable type TYPE 2 see Figure 1 Cable type active channels CH1 CH3 The program generates a continuous current which is the classic waveform u...

Страница 38: ...8Hz Pulse width 150 s Total time 10min Frequency 12Hz Pulse width 150 s continuous R05 Yes Mixed incontinence Total time 3min Frequency 8Hz Pulse width150 s Tempo tot 10min 3Hz 150 s x 9s 20Hz 150 s...

Страница 39: ...n Frequency 90Hz Pulse width 50 s Total time 10min Frequency 110Hz Pulse width 40 s R11 No Plantar stimulation Total time 15min Frequency 70Hz Pulse width 60 s Total time 15min Frequency 2Hz Pulse wid...

Страница 40: ...00 s x 7s 1Hz 200 s x 3s 30Hz 200 s x 5s x 40 cycles R15 Yes Neuralgias Total time 30min Frequency 90Hz Pulse width 30 s R16 Yes Mestrual pain Total time 30min Frequency 90Hz Pulse width 60 s Total ti...

Страница 41: ...min 0 5Hz x 1min 1Hz x 1min 2Hz x 30s x 24 cycles R25 Yes Superficial osteogenesis Total time 90min The indications of the electrodes positioning are available in the Positions manual R01 Denervated m...

Страница 42: ...hould be adjusted in order to produce a good contraction of the treated muscle ATTENTION In the case of the programs R01 and R02 we recommend rectangular electrodes measuring 50x90 mm for medium high...

Страница 43: ...ulation ATTENTION when using programs R03 R04 and R05 we recommend using probes that have been certified by a notified body as a class IIa medical device The probes should be provided with instruction...

Страница 44: ...es Electrodes positioning dorsal paravertebral photo 10 lumbar photo 27 sciatic nerve photo 28 of the Position manual Intensity adjusted to a level between the thresholds of perception and pain the ma...

Страница 45: ...Cable type TYPE 1 see Figure 1 Cable type 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 Session duration...

Страница 46: ...sitioned on the inside of the arm with a rotation of about 90 Intensity to be adjusted above the perception threshold R14 Periarthritis medical program Cable type TYPE 1 see Figure 1 Cable type Scapul...

Страница 47: ...on the lower abdomen Intensity adjusted so as to perceive a slight tingling not annoying R17 Carpal tunnel medical program Cable type TYPE 1 see Figure 1 Cable type Session duration 30 minutes in one...

Страница 48: ...laced on the wound and the negative electrode is placed distally or if the treated zone is too thick at 10 cm of distance This causes migration of the vascular cells and the synthesis of collagen incr...

Страница 49: ...ure 1 Cable type active channel CH1 and CH3 A study of the healing of fractures was carried out in 1968 in Japan and the United States This study consists of two main techniques 1 The implanting of sh...

Страница 50: ...sity A cm 5 0 0175 17 5 10 0 035 35 20 0 07 70 30 0 105 105 The recommended intensity ranges are in bold EMS Programs Prg Medical Progr Yes No Description PHASE 1 PHASE 2 PHASE 3 PHASE 4 E01 No Firmin...

Страница 51: ...No Explosive Strength Total time 3min Frequency 6Hz Total time 10min 20rip 24s a 2Hz 1r 4 1r sec at 90Hz Total time 10min 20rip 24s a 2Hz 1r 4 1r sec at 110Hz Total time 5min Frequenc y 3Hz E06 No Res...

Страница 52: ...H1 2 1r 5 1r sec 50Hz CH3 4 Total time 10min Frequenc y 3Hz E11 No Lipolysis Total time 5min Frequency 6Hz Total time 20min 60rip Altern Contr CH 1 2 3 4 6s at 8Hz 7s at 40Hz CH1 2 7s at 40Hz CH3 4 To...

Страница 53: ...min Frequency 6Hz Total time 25min 6s pause 3r 3r sec at 40Hz Pulse width 400 S Total time 2min Frequency 3Hz E16 No Sequential Tonic contraction 1 Total time 3min Frequency 6Hz Pulse width 300 s Tota...

Страница 54: ...must be selected separately the contraction intensity shown by a full bar on the display should be set at 20 30 for not very trained people 30 50mA for trained people over 50mA for well trained peopl...

Страница 55: ...indicated after a complete cycle of a minimum of 10 treatments with the E01 Firming up program Benefits can be seen after just 10 15 treatments and these become more definite after two months of regul...

Страница 56: ...ecovery program instead ATTENTION the program involves an automatic increase in intensity between the second and the third phase Consequently it will not be necessary to adjust stimulation intensity b...

Страница 57: ...f 90 of that set for phase 2 the second work recovery cycle will go up to 95 of intensity and finally the third work recovery cycle will go up to 100 of the intensity set for phase 2 Session duration...

Страница 58: ...will go up to 100 of the intensity set for phase 2 Session duration 28 minutes Electrodes positioning from Position manual Biceps photo 02 15 Triceps photo 03 16 Hand Extensors photo 04 Hand Flexors...

Страница 59: ...Quadriceps thighs photo 11 18 Biceps femoris photo12 Calves photo13 Anterior tibial photo14 Phase 1 Phase 2 Intensity Automatic Increase Phase 3 Phase 4 5min Warm up 10min Training 20s Recovery 10s Wo...

Страница 60: ...antly 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...

Страница 61: ...times recovery intensity of four channels work intensity of Channels 1 and 2 agonist muscles and work intensity of Channels 3 and 4 antagonist muscles Intensity of stimulation during work follow the i...

Страница 62: ...reproducing the typical effect of electronic lymphatic drainage The logic for application of the electrodes is the following CH1 CH2 at the extremities of the limbs for example the calf or forearm an...

Страница 63: ...must be such to assure good muscular contractions during treatment but not so strong as to generate soreness 20 30mA Session duration 25 minutes Electrodes positioning from the Position manual Muscle...

Страница 64: ...f low intensity if you increase the intensity leave a day of rest between applications to allow the muscles to recover ATTENTION the program involves an automatic increase in intensity between the sec...

Страница 65: ...4 Hand flexors photo 05 Deltoid photo 06 Abdominals photo 01 20 Pectoral breast photo 07 17 Trapezius photo 08 Dorsal photo 09 Gluteus photo 19 Quadriceps thighs photo 11 18 Femoral biceps foto12 Calv...

Страница 66: ...oduce sequential phasic contractions on four channels in phase 2 and 3 These programs can be carried out using self adhesive electrodes Unlike the previous program this one uses a higher stimulation f...

Страница 67: ...frequency 0 12Hz Contraction frequency 20 120Hz Recovery period 2 28s Contraction period 2 10s Pulse width 60 500 s M12 M13 No EMS 3s slope Total time from 1 to 60min Recovery frequency 0 12Hz Contra...

Страница 68: ...the program is signaled with a triple acoustic signal With pulses greater than 100ms set maximum frequency to 1 Hz Table of settable values Parameter Description Minimum Maximum Frequency 0 25 Hertz...

Страница 69: ...25 Hertz 120 Hertz Impulse width 20 microseconds 500 microseconds Program total time 1 minute 60 minutes M07 TENS Spyke medical program Cable type TYPE 1 see Figure 1 Cable type Available programs to...

Страница 70: ...are continuously adjusted This program is specifically indicated for the treatment of partially denervated muscles To move the cursor and select the stimulation parameter use the right and left arrow...

Страница 71: ...ure 1 Cable type Table of settable values Parameter description Minimum Maximum Contraction frequency 20 Hertz 120 Hertz Contraction period 6 seconds 10 seconds Recovery frequency 0 Hertz 12 Hertz Rec...

Страница 72: ...Table of settable values Parameter description Minimum Maximum Contraction frequency 20 Hertz 120 Hertz Contraction period 2 seconds 10 seconds Recovery frequency 0 Hertz 12 Hertz Recovery period 2 s...

Страница 73: ...ndition or the presence of pathologies but only serves to physiotherapist doctors to set up an active muscle session training for the patient The EMG module should not be intended as a medical device...

Страница 74: ...y for the TAR Target Keep Level mode Period dimension 0 1s 0 2s 0 5s 1s It s possible set the period on which amplitude calculations of the signal taken are performed ds 0 1s 0 2s 0 5s a 1s CH1 Buzzer...

Страница 75: ...n value for each channel which was previously recorded The screens are different depending on the type mode previously selected UTH Under Threshold or TAR Target Keep Level Example the figure below sh...

Страница 76: ...to the precision required to maintain the desired level This precision can be changed by accessing the channel setup menu Work margin described above The Target value set in the TAR Target Keep Level...

Страница 77: ...ater and alcohol do not use detergents or other aggressive agents ATTENTION the device must not be cleaned while the device is in operation Disconnect the device from the charger disconnect all connec...

Страница 78: ...ronmental conditions with and without the packaging supplied Temperature from 5 to 40 C Relative humidity from 15 to 93 Pressure from 500 to 1060hPa N B Disconnect the cables before storing the device...

Страница 79: ...h the model provided by the manufacturer Do not use the battery charger if the plug is damaged or parts of it are broken it has been exposed to rain or any other type of liquid the components have bee...

Страница 80: ...e by personnel not authorized by the manufacturer or by the authorized dealer As established by the Medical Device Directive 93 42 EEC the manufacturer is obliged to trace at any time the equipment su...

Страница 81: ...ranty does not include transportation costs which have to be covered by the purchaser 9 After the warranty period the warranty is no more applicable In this case all the assistance interventions will...

Страница 82: ...hen installed in homes and health establishments According to operating principles the device does not generate significant radio frequency energy and is adequately immune to radiated electromagnetic...

Страница 83: ...tly connected to the public low voltage power supply network that supplis buildings used for domestic purposes Harmonics emissions IEC 61000 3 2 Class A Voltage fluctuation flicker emissions IEC 61000...

Страница 84: ...n power suppl input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycles 5 UT 95 dip in UT for 1 cycle 70 UT 30 dip in UT for 25 cycle 5 UT 95 dip in UT for 5s 5 UT 95 dip in UT for 0 5 cycles 5 UT 9...

Страница 85: ...M band 3Veff V1 V 6Veff V1 V P V d 1 5 3 P V d 1 12 for ISM band Radiated RF IEC 61000 4 3 3 V m from 80MHz to 2 7GHz 3V m E1 V m P E d 1 12 from 80 MHz to 800 MHz P E d 1 7 from 800 MHz to 2 7 GHz Ra...

Страница 86: ...nment in which radiated RF disturbances are controlled The customer or the user of I TECH PHYSIO 4 EMG can help prevent electromagnetic interference by maintaining a minimum distance between portable...

Страница 87: ...IACER Srl 83 MNPG178 I TECH PHSYIO 4 EMG All rights reserved I TECH PHYSIO 4 EMG and the logo are property exclusively of I A C E R Srl and registered Edition MNPG178 05 of the August 10th 2020...

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