I-Tech MIO-IONOTENS User manual

USER MANUAL
MNPG151 Rev. 5del 11/11/15
Electrotherapy model
MIO-IONOTENS

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Summary
Summary 3
Technical Specifications 4
Manufacturer 4
Declaration of Conformity 4
Purpose 4
Specifications 5
Labelling 6
Labelling details 7
Symbol description 8
Contents of the package 8
How to use 8
Warning 8
Electromagnetic Interference 9
Contraindications 9
How to use 9
TENS and ionophoresis 10
Programs list 12
Maintenance 20
Battery charging 20
Battery replacement 21
Cleaning 21
Carriage and storage 21
Disposal 21
Troubleshooting 22
Assistance 22
Spare parts 22
Warranty 22
EMC Tabels 23

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TechnicalSpecifications
Manufacturer
I.A.C.E.R. S.r.l.
Via S. Pertini, 24/a • 30030 Martellago (VE)
Tel. [phone] • Fax [phone]
IACER S.r.l. is an Italian medical devices manufacturer (CE medical certificate n° MED 24021).
Declaration of Conformity
IACER S.r.l., headquartered in Italy, via S. Pertini 24/A 30030 Martellago (VE), declares on its own
responsibility that MIO-IONOTENS 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), Annex II as modified by Directive
2007/47/CE dated 5 September 2007 (D. Lgs 37/2010 dated 25 January 2010).
Notified Body: Cermet, Via di Cadriano 23 –40057 Cadriano di Granarolo (BO) Italy.
MIO-IONOTENS is a Class IIa equipment, with reference to Directive 93/42/EEC (MDD),
annexed IX rule 9 (and following modifications).
Certification Path: Annex II
Martellago, 01/07/2014 Legal representative
Mario Caprara
Specifications
MIO-IONOTENS has the following specifications:
Class IIa equipment (Directive 93/42/EEC, annexed IX rule 9 and following modifications);
Class II, applied part type BF (Classif. EN 60601-1);
Equipment not protected against liquids penetration;
Equipment and accessories not subjected to sterilization;
Use of the equipment is prohibited close to flammable substances or in environments with high
concentrations of oxygen;
Continuous operating mode equipment;
Equipment not suited to be used in external.
Purpose
Clinical purpose : Therapeutic
Use: Clinic/Hospital and domestic use
MIO-IONOTENS is indicated for the treatment and the functional rehabilitation of the following
pathologies and anatomical zones:

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wrist articulation
hand articulation
shoulder articulation
foot articulation
ankle articulation
knee articulation
skeletal motor apparatus
arthrosis
atrophies and muscular dystrophy
bruises
sprains
neuralgias
benign lesions and muscular tears
tendinitis
MIO-IONOTENS, thanks to its protocols TENS, is particularly suitable for the treatment of pain.
TENS pulses are able to significantly reduce, and in some cases eliminate, the sensation of pain caused
by diseases and / or problems indicated above.
MIO-IONOTENS has also specific ionophoresis protocols. Ionophoresis is an electrotherapeutic
technique that uses continuous current to introduce drugs on pain or contracture area. The current
promotes the migration of the drug ions: the drug passes through the pain area releasing its specific
action. Ionophoresis has two great advantages: it avoids the administration of drugs by mouth and its
treats directly the pain areas.
Ionophoresis 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.
Specifications
Power supply
Rechargeable battery pack 4,8V 800mAh
Charger
Input 100/240VAC 50/60Hz 0.2A, output 6.8VDC 0.3A
Insulation class (CEI EN 60601-1)
II
Applied part (CEI EN 60601-1)
BF
Dimensions (mm)
140x70x30
Max output current
40mA su 1KΩ for each channel on REHA programs
99mA su 1KΩ for each programs on the other programs
Waveform
Quadra compensated biphasic and monophasic square
Waveform frequency (Hz)
From 0.25 to 200
Impulse width (μs)
From 20 to 450
Timer
From 1 to 90 minutes
WARNING. The equipment delivers current in excess of 10mA.

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Labelling
(1) CH1 output
(2) CH2 output
(3) Battery charger connector
(4) Display
(5) Increase intensity CH1
(6) Decrease intensity CH1
(7) Mode operation button
(8) Increase intensity CH2
(9) Decrease intensity CH2
(10) Increase program
(11) Decrease program
(12) ON/OFF and OK button
(13) Set programs and therapy pause button
(14) Belt clip
(15) Battery compartment

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(1) Mode operation (REHA, TENS, MEM)
(2) Wave frequency
(3) Wave impulse width
(4) Program number
(5) CH1 intensity
(6) CH2 intensity
(7) Battery status
(8) Therapy time
(9) Contraction time
(10) Recovery time
(11) Up/down slope
Labelling details

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Symbol description
Keep dry. Avoid contact with liquids.
Product subject to WEEE regulations concerning separate waste collection of electronic
equipment.
Refers to operating instructions
Internally powered device with type BF applied parts
This product complies with the European Community Directive 93/42/EEC (and
subsequent mod.)
Manufacturing date (month/year)
Contents of the package
MIO-IONOTENS contains:
n° 1 device;
n° 1 Rechargeable battery pack 4,8V 800mAh;
n° 2 cables for electrical stimulation;
n° 4 cable splitters;
n° 1 set of 4 pre-gelled electrodes 41x41mm (alternatively 48x48mm)
n° 1 set of 4 pre-gelled electrodes 40x80mm (alternatively 50x90mm);
n° 1 Iontophoresis kit (elastic band, 2 rubber electrodes, 2 sponges)
n° 1 belt clip;
n° 1 carriage bag;
n° 1 User manual.
n° 1 electrodes position manual
Howtouse
Warning
Take care of position and meaning of the labels on MIO-IONOTENS;
Do not damage the connection cables and avoid to roll up the cables around the device;
Check the device and its accessories before use. Avoid the use in case of damage to the case or to the
accessories (damaged cables): contact the manufacturer as mentioned in “Assistance” paragraph;
Avoid the use of MIO-IONOTENS to people not educated through the reading of the manual;
Avoid the use of MIO-IONOTENS in damp environments;
Do not wear metallic objects during therapy;
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);
Use of the device is prohibited with electrodes positioned on or close to injuries or cuts;
The electrodes must not be positioned on the carotid sinuses (carotid) or genitals;
The electrodes must not be positioned close to the eyes; 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 3 cm. from the eyeball;
Insufficiently sized electrode sections can cause skin reactions or burns;
Do not use electrodes when damaged, even if they stick to the skin well;

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Use only cables and electrodes supplied by device manufacturer;
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.
The manufacturer is responsible of the performances, safety and integrity of the device only if:
Eventual additions, modifications and/or reparations are performed by authorized personnel;
The electrical system is in compliance with the national laws;
The device is used in compliance with the instructions of the user manual.
Electromagnetic Interference
The device does not generate and does not receive interference from other equipment. It 'should still use
the device while holding the applicator at a distance of at least 3 meters away from televisions, monitors,
cell phones or any other electronic equipment.
Contraindications
Patients in a state of pregnancy, tuberculosis, juvenile diabetes, viral diseases (acute), fungal dermatitis,
patients with heart disease, arrhythmia or severe with pace-makers, children, denture wearers magnetisable,
acute infections, open wounds, epileptics (unless otherwise prescriptions). There are no known significant
side effects. In some cases of particularly sensitive people, after the treatment of skin rashes occur at the
electrodes: the redness usually disappears a few minutes after treatment. If the redness persists, consult a
physician. In rare cases, the stimulation evening causes a delay in falling on some subjects. In this case,
avoid treatment in the evening.
How to use
MIO-IONOTENS is a portable and battery-powered device that generates TENS and IONOPHORESIS
currents. It is particularly indicated for daily treatments of the most commons muscle diseases. I-TECH
PHYSIO is provided with two independent and adjustable intensity channels.
MIO-IONOTENS has 14 preadjusted tens programs, 10 preadjusted programs REHA (including 3
programs iontophoresis) and 12 free memories adjustable by the user to create programs according to his
needs. The program MEM 13 is a battery test.
PRELIMINARY INSTRUCTIONS
1. CABLES AND ELECTRODES CONNECTION
Position the electrodes on the skin (see the following paragraph), connect the electrostimulation cable
jacks to the self-adhesive electrodes and then connects the cables to the outputs on the upper side of
MIO-IONOTENS;
2. SWITCHING ON OF THE DEVICE
Turn MIO-IONOTENS on using the button;
PREADJUSTED PROGRAMS
Read the follow instructions to use the preadjusted programs of MIO-IONOTENS.
1. MENU AND PROGRAM SELECTION
Select the menu by pressing MODE button (TENS, REHA, MEM).
Select the program using PRG+ and PRG+ buttons (please make reference to “Programs list” to get
all technical specifications);
2. INTENSITY SELECTION
You can increase current intensity using CH1 and CH2 buttons (up-arrow). The value can be adjusted
with stepping of 1 mA. Press CH1 and CH2 buttons (down-arrow) to decrease the intensity.
MIO-CARE PRO recognize the electrodes connection: in case of faulty connection, when the
intensity reaches 10 mA the value is resetted to zero.
The remaining time is showed on the display of MIO-IONOTENS. An acoustic signal advises the
user when the treatment is completed.

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Press the button to pause the treatment. To restart the program press button.
Turn off the device keeping pressed the button for at least two seconds.
The device automatically switches off when no button is pressed for 2 minutes.
FREE MEMORIES (ADJUSTABLE PROGRAMS)
With I-TECH PHYSIO you can set the parameters according to your needs using the MEM programs.
Read the following instructions to adjust the parameters.
1. PROGRAM SELECTION
Select MEM by pressing MODE/ESC button. Scroll the programs using PRG+ and PRG- buttons.
Read the following instructions to adjust the program parameters (time, frequency and width impulse);
2. PARAMETERS ADJUSTEMENT
Adjust therapy time TIME-min pressing ▲(increase) and ▼(decrease) CH1 or CH2
buttons;
Press SET to confirm;
Adjust frequency Hz pressing ▲(increase) and ▼(decrease) CH1 or CH2 buttons;
Press SET to confirm;
Adjust width impulse us pressing ▲(increase) and ▼(decrease) CH1 or CH2 buttons;
Press OK to confirm;
3. INTENSITY ADJUSTEMENT
Increase intensity current of two channels using CH1 and CH2 ▲buttons. The value can be adjusted
with 1mA stepping. Decrease the intensity pressing ▼buttons.
TENS and ionophoresis
In TENS programs 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. It is suggested to stop before that point.
The electrodes should be positioned to form a square surrounding the painful area using Channel 1
and Channel 2 as shown in illustration 1.
.
For ionophoresis programs set up an intensity value so to have “pins and needles” on treatment area.
The used 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:
Active polarity drug: dissolve this drug on the electrode connected to positive pole (red
connector)
Negative polarity drug: dissolve this drug on the electrode connected to negative pole
(black connector)
Double polarity drug: can be dissolved on positive pole or negative pole without
distinction.
WARNING
Apply the electrodes forming a square
over the painful area while maintaining
a minimum distance of 4cm between
an electrode and the other.

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Position the electrode with the drug on painful area, and the other electrode on the other side.
At the end of the program, the skin could lightly turn bright red; the reddening usually vanishing few
minutes after the end of program.
WARNING. Do not use ionophoresis program near metallic prosthesis.
LIST of the main drugs used in ionophoresis
Drug
Polarity
Pharmaceutical
action
Indications
Calcium chloride
(Sol, 1% 2%)
Positive
Sedative and
recalcifying
Osteoporosis,
Spasmophilia,
algodystrophic
syndrome
DO not use in cases
of arteriosclerosis
Magnesium chloride
(Sol. 10%)
Positive
Analgesic, sedative,
Fibrolytic
Substitute for calcium
chloride cases with
arteriosclerosis
Potassium iodide
Negative
Sclerolytic, emollient
Scars, adhesions,
Dupuytren’s disease,
cheloidis
Lysine acetylsalicylate
Negative
Analgesic
Arthrosis
Flectadol, Aspegic
Negative
Analgesic
Arthrosis extra/intra-
articular rheumatisms
Local anaesthetics
(Novocaine,lidocaine)
Negative
Local anaesthesia,
trigeminal neuralgia
Benzydamine
Positive
Analgesic
Rheumatoid arthritis
Diclofenac sodium
Positive/Negative
Analgesic
Hematomas
Orudis, voltaren,
Lometacen, Arfen,
Tilcotil, Axera,
Naprosyn
Negative
Anti-inflammatory
Degenerative and
extra-articular
rheumatisms, gout
Piroxicam, Feldene
Positive
Analgesic
Fractures
Sodium salicylate
(1%-3%)
Negative
Analgesic
Articular rheumatism,
myalgia
Ketoprofene
Positive/Negative
Anti-inflammatory
Arthrosis, arthritis

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Lysine salt
Thiomucase
Negative
Antiedemic
Post-trauma and post-
surgical oedema due
to venous
insufficiency
If the drug used is not included in the above list, determine the polarity from the package or consult
the prescribing doctor or dispensing pharmacist.
Programs list
TENS
REHA
MEM
1
Conventional Tens
(rapid)
1
Ionophoresis L (low)
1
Free TENS 1
2
Endorphinic Tens
(delayed)
2
Ionophoresis M
(medium)
2
Free TENS 2
3
Tens at maximum
values
3
Ionophoresis H (high)
3
Free TENS 3
4
Anti-inflammatory
4
Microcurrent
4
Free TENS 4
5
Neck pain / headache
5
Hematoma
5
Free TENS 5
6
Backache/sciatic pain
6
Oedema
6
Free NEMS 1
7
Sprains / Bruises
7
TENS sequential
7
Free NEMS 2
8
Vascularization
8
TENS Burst
8
Free NEMS 3
9
Muscle relaxant
9
Atrophy prevention
9
Free NEMS 4
10
Hand and wrist pain
10
Atrophy
10
Free NEMS 5
11
Plantar stimulation
11
Alternated NEMS 1
12
Epicondylitis
12
Alternated NEMS 12
13
Epitroclea
13
Battery test
14
Periarthritis

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Programs Technical Specifications
TENS Programs
Prg.
PHASE 1
PHASE 2
PHASE 3
T1
Total time 40 min
frequency 90 Hz
impulse width 50s
T2
Time tot 30 min
frequency 1 Hz
impulse width 200s
T3
Time tot 3 min
frequency 150 Hz
impulse width 200s
T4
Total time 30 min
frequency 120 Hz
impulse width 40s
T5
Total time 20 min
frequency 90 Hz
impulse width 60s
Total time 5 min
frequency 2 Hz
impulse width 150s
Total time 10 min
frequency 90 Hz
impulse width 60s
T6
Total time 20 min
frequency 90 Hz
impulse width 50s
Total time 20 min
frequency 60 Hz
impulse width 60s
T7
Total time 10 min
frequency 110 Hz
impulse width 50s
Total time 10 min
frequency 90 Hz
impulse width 50s
Total time 10 min
frequency 70 Hz
impulse width 60s
T8
Total time 20 min
frequency 2 Hz
impulse width 200s
T9
Total time 10 min
frequency 4 Hz
impulse width 250s
Total time 10 min
frequency 6 Hz
impulse width 200s
Total time 10 min
frequency 2 Hz
impulse width 300s
T10
Total time 15 min
frequency 70 Hz
impulse width 60s
Total time 15 min
frequency 90 Hz
impulse width 50s
Total time 10 min
frequency 110 Hz
impulse width 50s
T11
Total time 15 min
frequency 70 Hz
impulse width 60s
Total time 15 min
frequency 2 Hz
impulse width 150s
Total time 10 min
frequency 90 Hz
impulse width 50s
T12
Total time 20 min
frequency 90 Hz
impulse width 50s
Total time 10 min
frequency 70 Hz
impulse width 60s
Total time 10 min
frequency 50 Hz
impulse width 90s
T13
Total time 20 min
frequency 90 Hz
impulse width 50s
Total time 20 min
frequency 70 Hz
impulse width 60s
T14
Total time 1 min
frequency 150 Hz
impulse width 200s
Total time 30 min
frequency 90 Hz
impulse width 60s
Total time 10 min:
(3Hz-200s x 7sec
50%+ 1Hz 200s x 3
sec 60% + 30Hz-200s
x 5 sec 50%) x 40 cycles

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TENS 1 • Conventional TENS
Program 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 impulses leave part
of the body (for example the hand) and run along the nerve tracts (through small-diameter nerve
fibers) until they reach the central nervous system where the impulses are interpreted as pain.
Conventional tens activates large-diameter nerve fibers, 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 40 minutes in a single phase. The program can be repeated at the end
of the session for particularly persistent pain. The nature of the impulse means that the patient may
experience an “addictive” effect due to which the impulse will be felt less and less: if necessary the
intensity can be increased by one level to counter this effect.
Position of electrodes: form a square above the painful area as shown in illustration 1.
TENS 2 • Endorphinic TENS
This type of stimulation produces two types of effects according to how the electrodes are positioned:
positioning the electrodes 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
allogenic substances and helps to restore normal physiological conditions.
Treatment duration 30 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, the sensation must be similar to that of
a massage.
TENS 3 • TENS at maximum values
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 above the painful area as shown in illustration 1.
TENS 4 • Anti-inflammatory
Program recommended for inflammatory conditions. To be applied until the inflammatory state is
lessened (10-15 applications, once a day; the daily treatments can be doubled if required). Identify the
area to be treated and position the electrodes as shown in illustration 1. Adjust the intensity until a
tingling feeling is produced in the area treated; avoid contracting the surrounding muscles.
Program duration: 30 minutes.

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TENS 5 • Neck pain / Headache
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; 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 10 to 12 treatments carried out on a daily
basis; proceed with the treatment until the symptoms pass. Position of electrodes: photo 25.
Warning: the device varies stimulation parameters during the program. The current may feel different:
this is perfectly normal and is envisaged by the software: raise or lower the intensity according to your
own sensitivity to reach a level of stimulation that is comfortable for you.
TENS 6 • Backache/Sciatic pain
Specific program for the treatment of pain in the lumbar 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 15 to 20 treatments carried out on a daily basis; proceed
with the treatment until the symptoms pass. Program duration: 40 minutes.
Position of electrodes: see photo 27 and 28 in the manual of positions.
TENS 7 • Sprains / Bruises
The program develops its effectiveness after this type of injury by inhibiting pain locally, producing
three selectively acting, differentiated impulses. 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).
TENS 8 • Vascularization
Has a vascularizing effect on the area treated. Vascularization increases arterial flow and consequently
aids the removal of algogenic substances and helps to restore normal physiological conditions. Do not
position the electrodes close to inflamed areas.
Daily application is recommended, the number of applications is not defined; the program can be
used to reduce pain.
Stimulation intensity should be between the thresholds of perception and slight discomfort.
Program duration: 20 minutes.
Position of electrodes: see photo 25 and 33 in the manual of positions.
TENS 9 • Muscle relaxant
Program used to speed up the recovery of muscle function after intense training or strain from work;
the effect is immediate. Adjust the intensity for moderate muscle solicitation. Two treatments per day
for three or four days. Program duration: 30 minutes. Position of electrodes: from photo 1 to 28.
TENS 10 • Hand and wrist pain
This program is suitable for all types of hand and wrist pain: aching caused by strains, arthritis in the
hand, carpal tunnel syndrome, etc. Total program duration: 40 minutes. A combination of various

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types of square-wave impulses has a general analgesic effect on the area to be treated (impulses at
different frequencies stimulate different sized nerve fibres promoting an inhibitory action at spinal
level). The intensity should be adjusted to a level between the thresholds of perception and pain,
without causing muscle contraction:
Position of electrodes: form a square above the area to be treated as shown in illustration 1.
TENS 11 • Plantar stimulation
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.
TENS 12 • Epicondylitis
Also known as “tennis elbow”, it is an insertional tendinopathy concerning insertion of the elbow
bone into the epicondylite 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 pain in order to prevent the condition from
reoccurring.
Program duration 40 minutes, intensity adjusted above the threshold of perception.
Position of electrodes: photo 29.
TENS 13 • Epitroclea
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 set above the threshold of perception.
Position of electrodes: photo 29 but with all of the electrodes positioned on the inside of the arm
(with a rotation of about 90°).
TENS 14 • Periarthritis
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 become 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 Tens17 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).
ARTHROSIS
Arthrosis is a chronic-degenerative medical condition, appearing insidiously, developing over time and
causing progressive degeneration of the joints (a joint is formed of two or more joint "heads",
cartilage, ligaments, a synovial membrane, a joint capsule, tendons and muscles), limiting joint motility

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increasingly over time. Arthrosis mainly causes progressive deterioration of cartilage (which is not
capable of re-forming) and bone, with secondary deformation of the same, and production of
excrescences, called "osteophytes", which mechanically obstruct joint movement; it also causes the
joint capsule to thicken and stiffen, which together with contraction of the muscles surrounding the
joint limits the "joint excursion" even further.
Tens therapy can lessen the pain caused by this condition, but cannot cure it!
Tens (Tens 1) can be combined with stimulation of the area to be treated using a low-frequency
current (Tens 2) to relax the surrounding muscles.
Pathology
Program
No. of treatments
Treatment
frequency
Position of
electrodes
Arthrosis
TENS 1+
TENS 2
Until pain is
lessened
Daily (TENS1 up to
2/3 times a day,
TENS 2 once a day)
On the painful area
Neck pain
TENS 5
10/12
Daily, even twice a
day
Photo 25
Cervicogenic headache
TENS 5
10/12
Daily, even twice a
day
Photo 25
Back pain
TENS 6
10/12
Daily
Photo 25 but with
all electrodes placed
10 cm lower
Backache
TENS 6
12/15
Daily
Photo 27
Sciatic pain
TENS 6
15/20
Daily, even twice a
day
Photo 28
Cruralgia
TENS 6
15/20
Daily, even twice a
day
Photo 18 with all
electrodes placed on
the inside of the
thigh
Epicondylitis
TENS 12
15/20
Daily, even twice a
day
Photo 29
Hip pain
TENS 1
10/20
Daily, even twice a
day
Photo 30
Knee pain
TENS 1
10/20
Daily, even twice a
day
Photo 31
Ankle sprain
TENS 3
5/7
Daily, up to 2/3
times a day
Photo 32
Carpal tunnel syndrome
TENS 1
10/12
Daily, even twice a
day
Photo 33
Trigeminal neuralgia
TENS 1
10/12
Daily
Photo 24
Wryneck
TENS 1 +
TENS 9
8/10
Daily, even twice a
day
Photo 25
Periarthritis
TENS 14
15/20
Daily
Photo 26
Important: for all of these programs, stimulation intensity must be set between the threshold of
impulse perception and the moment in which the impulse starts to cause discomfort. With the

IACER S.r.l. 18 di 28 MNPG151 Rev. 05 11/11/15
exception of the “periarthritis” program, the muscles surrounding the area to be treated must not
contract, they should only produce slight “vibrations”.
REHA Programs
Prg.
PHASE 1
PHASE 2
PHASE 3
R1
Total time 30 min
frequency 800 Hz
impulse width 100s
R2
Total time 30 min
frequency 1000 Hz
impulse width 100s
R3
Total time 30 min
frequency 1200 Hz
impulse width 100s
R4
Total time 30 min
frequency 90 Hz
impulse width 20s
R5
Total time 30 min (5 sec 30
Hz –200 us + 5 sec 50 Hz –
150 us + 5 sec 100 Hz –120
us) x 120 cycles
R6
Total time 30 min (6 sec
100Hz –175 us + 6 sec 2-
100Hz modulated –250 us +
6 sec 150Hz –60-200 us)
R7
Total time 30 min (6 sec
100Hz –175 us + 6 sec 2-
100Hz mod modulated –250
us + 6 sec 150Hz –60-200 us
modulated)
R8
Total time 30 min
frequency 2 Hz
impulse width 80 us
Burst impulses
R9
Total time 4 min
frequency 6 Hz
impulse width 250us
Total time 10 min
(10 sec 3Hz –250us 80% + 5
sec 20Hz –250us 80%) x 40
cycles
Total time 10 min
(10 sec 3Hz –250us
80% + 5 sec 30Hz –
250us 80%) x 40 cycles
R10
Total time 4 min
frequency 6 Hz
impulse width 250us
Total time 15 min
(10 sec 3Hz –250us 80% + 5
sec 40Hz –250us 80%) x 40
cycles
Total time 10 min
(10 sec 3Hz –250us
80% + 5 sec 50Hz –
250us 80%) x 40 cycles
REHA 1-2-3 • Ionophoresis 1-2-3
The intensity must be strong enough to produce a relevant perception, near pain, till the muscles
surrounding the area treated begin to contract.
Electrodes position: place the electrode with the drug on painful area and the other electrode on the
opposite side.
Channel 2 is disconnected.

IACER S.r.l. 19 di 28 MNPG151 Rev. 05 11/11/15
REHA 4 • Microcurrent
The use of microcurrent is very similar to conventional Tens, the only difference being the very fine
electric impulse used that is sometimes more suitable for the sensibility of slightly anxious people or
the more delicate parts of the body.
It can generally be applied for everyday pains, bearing in mind that you should always consult your
doctor to identify the cause of the pain.
It is considered a good all-purpose analgesic current, as it does not have any side effects (except slight
skin redness after long applications), and has very few contraindications (those specified in the
paragraph at the beginning).
Program duration: 30 minutes. Intensity set above the threshold of perception.
Position of electrodes: above the painful area as shown in illustration 1.
REHA 5 • Hematomas
Consult a doctor before using this program to treat hematomas. Total program duration: 30 minutes.
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). The intensity should be adjusted to a level between the
thresholds of perception and pain, without causing muscle contraction:
Position of electrodes: form a square above the area to be treated as shown in illustration 1.
REHA 6 • Oedema
Program similar to REHA 5. Intensity should be adjusted to a level between the thresholds of
perception and pain without muscle contractions.
Position of electrodes: form a square above the area to be treated as shown in illustration 1.
REHA 7 • TENS sequential
During stimulation, this program modifies by itself the frequency and impulse width. This results in a
more comfortable stimulation compared to the one with constant frequency and width impulse.
Program indicated for pain treatment and massage effect on muscles as trapezium.
Position of electrodes: form a square above the area to be treated as shown in illustration 1.
REHA 8 • TENS Burst
This program produces a TENS training effect using the frequencies of conventional TENS. Useful
for pain therapy. The action is similar to the one of endorphinic TENS.
Position of electrodes: form a square on the painful area as shown in illustration 1.
REHA 9 • Atrophy prevention
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. Prevents the reduction
of muscle trophism caused by physical inactivity. The muscle area concerned can be stimulated with
daily applications of medium intensity; if you increase the intensity, leave a day of rest between
applications to allow the muscles to recover. The intensity of this program must be adjusted to
produce good muscle contraction in the area treated. Position of electrodes from photo 1 to photo 20.
Program duration: 24 minutes.
REHA 10 • Atrophy
This program acts selectively on slow-twitch fibers. Ideal for recovering muscle trophism after a long
period of inactivity or an accident.

IACER S.r.l. 20 di 28 MNPG151 Rev. 05 11/11/15
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. Position of electrodes from
photo 1 to photo 20.
Program duration: 29 minutes.
MEM Programs
Prg.
PHASE 1
M1-M5
TENS Free memories
Total time 1-90 min
frequency 1-200 Hz
impulse width 20-250 s
M6-M10
NEMS Free memories
Total time 1-90 min
frequency 1-200 Hz
contraction time 1-10 sec
slope 0-5 sec
Recovery time 0-30 sec
impulse width 50-450s
M11-M12
NEMS Free memories alternate channel 1 and 2
Total time 1-90 min
frequency 1-200 Hz
contraction time 1-10 sec
slope 0-5 sec
Recovery time 0-30 sec
impulse width 50-450s
M13
Battery Test
M1-M5 • TENS Free memories
Free memories for antalgic TENS treatment.
M6-M10 • NEMS Free memories
Free memories for muscle recovery and training.
M11-M12 • NEMS Alternated free memories
Free memories for muscle recovery and/or training with alternated impulses on channel 1 and 2.
M13 • Battery test program (only for I.A.C.E.R. assistance centre)
Program for battery test.
Maintenance
Battery charging
Display will show low battery indicator only when battery is low. In this case it may not be
possible to undertake the therapy session, or not being able to complete it.
To proceed with the charging follow the steps below: