Iontophoresis - Iontophor PM/DX & Meditrodes

Iontophor^® II
Model 6111PM/DX

SPECIFICATIONS

Size: 3.75" x 1.75" x 7" (9.5cm x 4.5cm c 17.8cm)
Weight: 1.2 lbs. (545 gm)
Power Source: Four, AA size Alkaline batteries
Display: Liquid Crystal Display (LCD), utilizes supertwist technology for high contrast and a wide viewing angle.
Current Range: 0-4.0mA in 0.02mA increments.
Accuracy: 3% of setting, worst case.
Treatment Dose Range: 0-150 mA-minutes in 1 mA-minute increments.
Open Circuit Driving Voltage: greater than 100 VDC.
Drug Polarity: Drug delivery electrode can assume "+" or "-" for either phase.
Cable Length: 3 feet (76cm), ultra flexible, touch-proof leads.

FEATURES

Fully Programmable
Iontophor-PM/DX allows you to enter and store commonly-used protocols for later recall.

Select Single or Dual Phase Treatments
With Iontophor-PM/DX, you can perform both single and dual phase treatments. The unit automatically reverses drug polarity and transfers the current to Phase II when the dual phasemode is selected.

Dual Treatment Capability
Iontophor-PM/DX's dual site treatment function enables you to treat two sites simultaneously, saving time and increasing cost effectiveness.

Accurately Maintains Current for Precise Dose Delivery
Iontophor-PM/DX maintains current against impedances as high as 40,000 ohms, permitting treatment of all areas, including scar tissue.

Identifies and Displays Open Circuit
When inadequate patient contact occurs, Iontophor-PM/DX indicates "OPEN". When patient contact is re-established, the current automatically returns to the preset level, and delivery continues until the required dose is achieved.

#6111PM/DX

Iontophor PM/DX Data Sheet

Life-Tech®, Iontophor PM Deluxe (4.0 max milliampere output). Includes Model (6513TP) IOP dual applicator cable, batteries, (61196TP) dual treatment lead wire, (H1556) red meditrode® lead wire, (H1557) black meditrode lead wire®, (SA1192) test lead wire and operator's manual. 1 year manufacturer warranty.

Retail $

523.95

HPMS $

$493.95

Microphor^®
Model 6121

SPECIFICATIONS

Size: 2.4" x 0.8" x 4.2" (6.1cm x 2cm c 10.7cm)
Weight: 5 oz (142 gm) including battery
Power Source: 9V Alkaline battery
Battery Indicator: Illuminates when time to replace battery.
Current Range: Ten (10) fixed settings from 0.5 to 4.0mA.
Time Range: Ten (10) fixed settings from 3 to 20 minutes.
Treatment Dose Range: One hundred (100) fixed dose values from 1.5 to 80 mA-minutes.
Open Circuit Driving Voltage: approximately 100 VDC.
Impedance Range: 0-15 Kohms with application current of 4.0mA; 0-20 Kohms with application current of 3.5mA or less.
Drug Polarity: Drug delivery electrode can assume "+" or "-" for either phase.

FEATURES

Minimal Setup Required
You only set current, time, and polarity.

Dual Treatment Capability
The dual site treatment function enables you to treat two sites simultaneously, saving time and money.

Identifies and Displays Open Circuit
When inadequate patient contact occurs, Microphor^® indicates "OPEN". When patient contact is re-established, the current automatically returns to the preset level, and delivery continues until the required dose is achieved.

Drives Positive and Negative Ions
Microphor^® requires only a touch of the switch to move from positive to negative ions, eliminating the need to switch leads.

Automatically Prevent Application of Current Transients
Microphor^® automatically ramps up and ramps down for both "ON" and "OFF" to prevent application of current transients.

Microphor Data Sheet

#6121

Life-Tech®, MicroPhor® (4.0 max milliampere output). Includes (1) nine volt battery, (61196) dual treatment lead wire, (H1196) red meditrode® lead wire, (H1197) black meditrode® lead wire, (C400) IOP applicator cable, dose chart and operator's manual. One Year manufacturer warranty.

Retail $

$420.00

HPMS $

$410.00

Meditrode^© CliniPak
Model 6580

The Meditrode CliniPak is designed to reduce the overall time of administering an iontophoretic treatment regiment. Five sets of six patient treatments are contained in individual resealable packs, labeled with the patient's information and filed in the multi-patient file box for easy access.Washing sponges and wrapping or taping bulky carbon

reusable electrodes is eliminated. The large self-adhering, reusable dispersive provides maximum comfort and is easily returned to its storage liner and pack for the next treatment. You will enjoy the convenience of having everything you need in one package with up to a 60% cost savings!

Advantages

1	Provides exact number of Meditrodes for treatment regiment.
2	Large, self-adhering, reusable dispersive for maximum comfort.
3	File box design provides easy access to five individual patient paks.
4	One box replaces 3 standard boxes.
5	Up to 60% cost reduction!
6	Available in 5 shapes and 7 sizes.

Each CliniPak contains (6) active Meditrodes, (1) self adhering, reusable hydrogel return electrode, (6) alcohol pads, (1) bottle (100 ml) premixed buffer solution and (1) application instruction card. Each box contains 5 paks.

Part #

Description

Price

Cost

Per

Treatment

Add to

Cart

#6580L

Life-Tech®, Large

Square Meditrode

Clinipak Individual

Patient Kit - Each

List Price

$168.30

HPMS Price

$158.30

$5.28

#6580M

Life-Tech®, Medium

Square Meditrode

Clinipak Individual

Patient Kit - Each

List Price

$118.35

HPMS Price

$108.35

$3.62

#6580R

Life-Tech®, Large

Round Meditrode

Clinipak Individual

Patient Kit - Each

List Price

$130.00

HPMS Price

$120.00

$4.00

#6580S

Life-Tech®, Small

Rectangular Meditrode

Clinipak Individual

Patient Kit - Each

List Price

$107.00

HPMS Price

$97.00

$3.24

Small Contour

6550S

Size: 4.25"x2.75"
Delivery Area: 3.5 sq. inches
Fluid Capacity: 6-8cc

HPMS $114.00

Large Contour

6550L

Size: 5.25"x3.5"
Delivery Area: 5.23 sq. inches
Fluid Capacity: 8-10cc

HPMS $124.00

Small

6560S

Size: 1.5"x3.5"
Delivery Area: 1 sq. inch
Fluid Capacity: 1-2cc

HPMS $54.00

Medium

6560M

Size: 2.25"x2.25"
Delivery Area: 2 sq. inches
Fluid Capacity: 2-3cc

HPMS $57.00

Large

6560L

Size: 4"x4"
Delivery Area: 6 sq. inches
Fluid Capacity: 7-9cc

HPMS $60.90

Small

6570S

Size: 1.5"x3.5"
Delivery Area: 1 sq. inch
Fluid Capacity: 1-2cc

HPMS $56.90

Medium

6570M

Size: 2.25"x2.25"
Delivery Area: 2 sq. inches
Fluid Capacity: 2-3cc

HPMS $59.55

Large

6570L

Size: 4"x4"
Delivery Area: 6 sq. inches
Fluid Capacity: 7-9cc

HPMS $63.85

On-Line Special

$49.95*

*while supplies last

Image Coming Soon

Round

6570R

Size: 3.5" dia.
Delivery Area: 4.9 sq. inches
Fluid Capacity: 6-8cc

HPMS $61.20

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Gel-Trode

Small Return

6585SR

Size: 2" x 2"

Self-Adhering, Buffered, Dispersive Electrode

Box of 20

HPMS $56.10

NOTE: Use with Small Meditrode Systems.

Image Coming Soon

Gel-Trode

Large Return

6585LR

Size: 4" x 4"

Self-Adhering, Buffered, Dispersive Electrode Box of 20

HPMS $91.00

NOTE: Use with Medium, Large and Round Meditrode Systems.

Image Coming Soon

6575

Pre-mixed Meditrode Buffer Solution

Box of 6, 100ml Bottle

HPMS $27.00

IOP Applicator Cable

6513TP

Life-Tech® IOP applicator cable for the Iontophor® PM, Touch-proof. Connects the Iontophor PM to the H1556, H1557 for single site treatment and the 61196TP and H1557 for dual site treatment. Price $57.25

IOP Applicator Cable

C400

Life-Tech® IOP applicator Cable for the MicroPhor, model 6121. Touch-proof. Connects the MicroPhor to the H1556 and H1557. Price $70.75

Red Delivery Wire

H1560

Life-Tech® Red Meditrode delivery lead wire (single treatment) touch proof, 60 inches long $16.00 each

Black Delivery Wire

H1561

Life-Tech® Black Meditrode return lead wire (single treatment) touch proof, 60 inches long $16.00 each

Red Delivery Wire

H1556

Life-Tech® Red Meditrode delivery lead wire (single treatment) touch proof, 24 inches long $16.00 each

Black Delivery Wire

H1557

Life-Tech® Black Meditrode return lead wire (single treatment) touch proof, 24 inches long $16.00 each

Dual Treatment Lead

61196TP

Life-Tech® Dual treatment lead wire. For use with the 6513TP and H1557 for dual site treatment Dual Treatment Lead Wire has resistor to assure equal medication delivery to both sites. $36.25 each

Snap-to-Electrode Connector

6590S

Life-Tech® snap-to-electrode connector. Package of 1 pair. Adapts the Meditrodes® to the Iomed Phoresor (Touch-proof connectors) $27.75 each

Small

2.75"x 2.75"

Square,

fill 1.5cc, 3.0mA -

#201-395

Medium

3.25"x 3.25"

Square,

fill 2.5cc, 4.0 mA -

#201-396

Large

3.5"x 3.5"

Square,

fill 4.0cc, 4.0 mA -

#201-397

Butterfly

3.375"x 3.75",

fill 2.0cc, 3.0mA -

#201-398

Id³

Dual Channel

Iontophoresis

Drug Delivery

Device

#202-351

Each

$48.00

Each

$48.00

Each

$48.00

Each

$48.00

Each

$299.00

Dual Channel
Detects skin impedance changes and compensates
Single or dual phase polarity(no lead wire change)
Ramp-up adjustable to patient tolerance
Memory save last parameters
Low power consumption
Compact 4.5" x 2.7", 3.6oz.

Active pad
Drug reservoir electrode
(placed over treatment area)

Dispersive pad
Return electrode
(completes circuit)

Greater adhesive area eliminates pad movement

Unique Silver-Silver Chloride conductor (superior to carbon)
   Higher Conduction=More Drug Delivery

No buffering or gelling agents that can impede drug transfer

Synthetic Gel offers better adhesion than Karaya
   Provides maximum current dispersion
    Increases patient comfort level
Synthetic Buffering provides consistent pH balancing
   Helps prevent the effects of hydrolysis
No water needed to activate the adhesive
   No chance of contamination by water

BUTTERFLY
(2.0cc/3.0mA
3.375"x3.75"
P/N 201-398

SMALL
(1.5cc/3.0mA
2.75"x2.75"
P/N 201-395

MEDIUM
(2.5cc/4.0mA
3.25"x3.25"
P/N 201-396

LARGE
(4.0cc/4.0mA
3.5"x3.5"
P/N 201-397

Active pad
Drug reservoir electrode
(placed over treatment area)

Dispersive pad
Return electrode
(completes circuit)

Greater adhesive area eliminates pad movement

Unique Silver-Silver Chloride conductor (superior to carbon)
   Higher Conduction=More Drug Delivery

Buffering agents for additional pH stabilization

Synthetic Gel offers better adhesion than Karaya.
    Provides maximum current dispersion
      Increases patient comfort level
Synthetic Buffering provides consistent pH balancing
    Helps prevent the effects of hydrolysis
No water needed to activate the adhesive
    No chance of contamination by water

BUTTERFLY
(2.0cc/3.0mA
3.375"x3.75"
P/N 201-452

SMALL
(1.5cc/3.0mA
2.75"x2.75"
P/N 201-455

MEDIUM
(2.5cc/4.0mA
3.25"x3.25"
P/N 201-449

LARGE
(4.0cc/4.0mA
3.5"x3.5"
P/N 201-453

Iontophoresis—an overview

Definition

Iontophoresis is the process by which drugs, usually dexamethasone and lidocaine, are introduced into a joint or small body part via electrical current. It is non-invasive, painless and it eliminates potential side effects and adverse reactions which can occur with medications delivered orally or by injection.

Clinical trivia: ionto provides more local concentrations than medications taken by mouth, but less than injected medications.

Basic process

·Like electrical charges repel each other; current is used to repel like electrically charged ions (medication) to penetrate skin and underlying soft tissues.

· Dc generator provides electrically charged field for medication movement into tissues.

· Dexamethasone carries a negative charge when dissolved in a solution so it will always be applied to the cathode (negative/delivery) electrode for delivery.

· Medication is delivered to local area via cathode or active (delivery) electrode and current returns to unit via anode or dispersive (return) electrode.

3 basic components

1. Dc generator: provides direct (galvanic) current

Typically treatment time: 4ma over 10 minutes or 40ma
Cathode and anode are determined by which lead is connected with each electrode

2. Active (delivery electrode)

3 layers

Foam reservoir pad: holds ionic solution to be delivered
Polyester fild coated w/ silver/silver chloride: conduct the current evenly across the reservoir
Soft, flexible foam coated with a medical grade adhesive

3. Dispersive (return electrode)

3 layers

Self-adhering buffered conductive polymer: provides stabile environment to prevent skin irritation/burns
Conductive (carbon) film: evenly distributes current across the electrode
White non-conductive vinyl-like material

Facts about iontophoresis

Adhesion is the most important factor; better contact equals better conduction/maximum drug delivery with least chance for burns/hot spots.

· All manufacturers use buffering gels on the return electrodes.

· Some Manufacturers use buffering agents on delivery electrodes when carbon film is used in place of silver/silver chloride (carbon film does not provide a stabile conductive environment).

· In orthopedic rehab, 99.9% therapy is to deliver dexamethasone (anti-inflammatory drug).

· Current used: direct (galvanic) current only; provides uni-directional electrostatically charged field from active to return electrode.

· Since dexamethasone is typically used in orthopedic rehab we will assume all statements regarding ionto relate to this medication.

Important note regarding electrophysiology at both electrode sites

Even in the absence of medication, an alkaline reaction occurs at the cathode due to the formation of sodium hydroxide while an acidic reaction occurs at the anode due to formation of hydrochloric acid.

Important for pad properties to have a stabilizing mechanism in place to prevent this shift (acidic and basic ph shifts can cause burns). Silver/silver chloride provides this stabilization; some manufacturers use carbon film for conduction which requres the addition of a buffering pad, gel, powder to provide stabilization. (please see competitive product sheet for pad properties).

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