New Age iONECARE User manual

iONECARE
Portable iontophoresis device
User’s Manual
New Age Italia srl
Production Site: Via De Brozzi, 3 –48022 Lugo (RA)
Phone [phone] –Fax [phone]
VAT No. 02299101200
www.newageitalia.it –[e-mail]

Rev. No.2, 07/06/16
2/12
INDEX
Chap. 1 - INTRODUCTION..............................................................3
1.1 –What is Ionecare?.....................................................................3
1.2 –Who can use Ionecare? .............................................................3
1.3 –Applications of Ionecare ...........................................................3
1.4 - Iontophoresis.............................................................................3
Chap. 2 - SAFETY GUIDELINES.....................................................4
2.1 –General guidelines .................................................................5
2.2 –Counter-indications ...............................................................5
2.3 - Precautions for use.....................................................................5
2.4 - Special Precautions ....................................................................6
Chap. 3 - FUNCTIONS......................................................................7
Chap. 4 - PROGRAMMES................................................................9
4.1 - Programming treatment sessions ...............................................9
Chap. 5 - APPLICATIONS..............................................................10
5.1 - Positioning the electrodes.........................................................10
Chap.6 - TECHNICAL SPECIFICATIONS....................................11
6.1 - Characteristics .........................................................................11
6.2 - Standard equipment.................................................................11
6.3 - Replacement parts and accessories ..........................................11
Chap. 7 - SYMBOLS .......................................................................11
Chap. 8 - MAINTENANCE.............................................................12
IMPORTANT: READ THIS USER’S MANUAL
THOROUGHLY BEFORE USING

Rev. No.2, 07/06/16
3/12
Chap. 1 - INTRODUCTION
1.1 –What is Ionecare?
Ionecare is a new portable iontophoresis system for everyday wellbeing that is
particularly suitable for treating the commonest forms of pain. The memory contains
20 preset iontophoresis and microcurrent treatment programmes.
Ionecare has two independent channels for connecting up to four electrodes to
stimulate two different parts of the body simultaneously. The unit can also be used
on two different persons at the same time, adjusting the treatment intensity
independently in accordance to each subject’s sensations.
1.2 –Who can use Ionecare?
Ionecare may be used by anyone who wishes to carry out specific pain relief
treatments themselves at home or while travelling. It is so easy to use that treatments
may be performed anywhere and at any time, to take full advantage of its beneficial
effects and to achieve extraordinary results.
1.3 –Applications of Ionecare
Ionecare may be used for a wide variety of applications, ranging from the analgesic
treatment of joint and muscle pains to cervical and lumbar pains, tendonitis, etc. In
addition to pain relief, Ionecare may also be used to obtain a relaxing effect.
1.4 - Iontophoresis
Iontophoresis is used to promote the migration of medicinally active compounds
into tissues in the form of ions, which cross the cutaneous barrier when a direct
current is applied.
The medications used, which are responsible for the actual effects of the treatment,
ionise in an aqueous solution and are applied either directly on the sponge, if already
in liquid form, or dissolved in distilled water first and then applied on the sponge if
in powdered form.
It is extremely important that you know the correct concentration and, unless you are
using an amphoteric compound (one with no polarity), the polarity of the medication
before starting, so that it may be applied to the sponge on the electrode of the same
polarity. Additionally, an excessively strong concentration may cause skin irritation,
whereas an excessively weak concentration may allow a predominance of parasite
ions, deposited on the skin or on poorly cleaned sponges. The effect of the
iontophoresis therapy is strictly dependent on the type of drug used and the effective
quantity that crosses the cutaneous barrier. The latter factor is determined by the
intensity of the current used, the duration of the therapy, the concentration of the
solution and the surface area of the electrode. This form of therapy, which is used in
a wide variety of medical areas, is indicated for the treatment of pathologies of
structures located close to the skin and not surrounded by substantial layers of

Rev. No.2, 07/06/16
4/12
muscular or fatty tissue, such as the elbow, hand, wrist, knee, shoulder, cervical
area and the tibia-tarsus area. Depending on the drug used, iontophoresis may be
used to achieve analgesic, anti-inflammatory, antiedemic or muscle relaxant effects
(see drugs listed in the following table).
Table of drugs used in iontophoresis
Drug
Polarit
y
Pharmaceutical action
Indications
Calcium chloride
(Sol. 1% 2%)
+
Sedative and recalcifying
Osteoporosis, Spasmophilia,
algodystrophic syndrome
DO NOT USE in cases of
arteriosclerosis
Magnesium chloride
(sol. 10%)
+
Analgesic, sedative,
fibrolytic
Substitute for calcium chloride in cases
with arteriosclerosis
Potassium iodide
-
Sclerolytic, emollient
Scars, adhesions,
Dupuytren’s disease, cheloidis
Lysine
acetylsalicylate
-
Antiphlogistic and
analgesic
Artrosis
Flectadol, Aspegic
-
Analgesic
Artrosis,
extra/intra-articular rheumatism
Local anaesthetics
(Novocaine,
Lidocaine)
-
Local anaesthesia, trigeminal neuralgia
Benzydamine
+
Antiphlogistic and
analgesic
Rheumatoid arthritis
Diclofenac sodium
+/-
Antiphlogistic and
analgesic
Bruising
Orudis, Voltaren,
Feldene, Lometacen,
Arfen, Tilcotil,
Axer∂, Naprosyn
-
Anti-inflammatory
Degenerative and extra-articular
rheumatism,
gout
Piroxicam
+
Antiphlogistic and
analgesic
Sprains
Sodium salicylate
(1%-3%)
-
Analgesic
Articular rheumatism,
acute decongestant, myalgia
Ketoprofene -
Lysine salt
+/-
Anti-inflammatory
Arthrosis, arthritis
Thiomucase
-
Antiedemic
Post-trauma and post surgical edema
and edema due to venous insufficiency
NOTE: 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.
Chap. 2 - SAFETY GUIDELINES

Rev. No.2, 07/06/16
5/12
2.1 –General guidelines
Before using the device for the first time, read this user’s manual thoroughly.
Furthermore, before switching the device on or connecting to a patient, always
perform the following checks:
(1) check the unit visually for signs of damage;
(2) read and make note of all warnings printed on the unit;
(3) keep unit away from any spillage hazards, as the unit is not impermeable (IP
20);
(4) check that you have the right accessories necessary for the intended
stimulation treatment (see Chap. Standard Equipment).
2.2 –Counter-indications
Iontophoresis may not be used in the following cases:
(1) on persons wearing pacemakers or suffering from heart disease or arrhythmia;
(2) on the front of the throat, as this may provoke laryngeal spasm;
(3) on the sides of the neck, as the carotid body is particularly sensitive;
(4) on the abdomen or in the lumbar sacral area of pregnant women;
(5) in areas with skin lesions, mucosa, altered localised sensitivity, infection,
inflammation, phlebitis or thrombophlebitis;
(6) in the case of implanted electronic devices (e.g. pacemakers) located
immediately beneath the treated area;
(7) when using near areas with metallic implants (prostheses, osteosynthesis
materials, screws, plates, etc.);
(8) in the proximity of tumours and in abdominal and lumbar areas in the event of
liver or kidney stones;
(9) in areas afflicted with dermatitis or with cutaneous hypoestesia, allergies to the
substances used or in conjunction with thermal anaesthesia
(10) Keep away from children.
2.3 - Precautions for use
Consult a doctor and use the electro-stimulator only under medical supervision in
the following instances:
1. should the symptoms not subside after a few days of treatment with
iontophoresis;
2. when applying electrodes to the face;
3. when using near areas with metallic implants (prostheses, osteosynthesis
materials, screws, plates, coils, etc.);
4. in patients suffering from epilepsy or Parkinson’s disease, as their sensitivity
threshold may be altered;
5. in the case of suspected or confirmed pregnancy and applying only to the
extremities;

Rev. No.2, 07/06/16
6/12
6. when applying electrodes to areas near tendon or muscle injuries;
7. with patients suffering from spastic paralysis.
Do not apply electrodes in the following areas:
1. above the eyeball;
2. directly onto sensitive areas, such as the centre of the breast, the groin or the
armpit.
3. The heart must never be situated between the positive and negative electrodes.
Never apply an electrode on the front of the chest and one on the back near the
heart.
2.4 - Special Precautions
1. Do not use the iontophoresis after a large meal.
2. If symptoms of tachycardia, extrasystole or intolerance to stimulation arise,
suspend treatment to restore normality.
3. After treatment, a slight reddening of the skin where the sponge was applied is
possible. If, however, a burning sensation is noted during the treatment, interrupt
the therapy, check that the sponges are still wet and reposition correctly in full
contact with the skin.
NOTE: Apply the sponges carefully so that they adhere completely with the skin as
poor contact may lead to reddening and, eventually, burns.

Rev. No.2, 07/06/16
7/12
Chap. 3 - FUNCTIONS
Use Ionecare as follows:
1. fit batteries in the battery compartment at the back of the unit: ensure that the
polarity is as indicated in the compartment,
2. put in charge the battery charger and connect it to the device for 12 hours;
3. disconnect the battery charger
NOTE: instructions 2 and 3 must be followed only before first use or every
time the display shows low battery indication.
4. wash the application area and remove any creams or lotions;
5. attach leads as required (from 1 to 2), with the respective connectors inserted in
the sockets in the upper part of the unit;
6. connect electrodes;
Out A
Out B
LCD Display
Programme No.
up
Programme No. down
ON/OFF
Increase/decrease
channel A intensity
A
Increase/decrease
channel B intensity
B

Rev. No.2, 07/06/16
8/12
7. Wet the sponges thoroughly with water and squeeze so that they do not drip.
8. Prepare the medicinal compound (dilute to the correct concentration if
necessary) and apply to one of the two sides of the sponge containing the
electrode of the polarity indicated on the package of the drug or specified by the
prescribing doctor or physiotherapist; positive poles are the red plugs,
whereas negative poles are the black plugs;
9. Apply the sponge with the drug to the area you intend to treat and apply the
other sponge on the opposite side of the relative body part or at a distance of
approximately 10 cm (see Figure ‘APPLICATION’);
10. Secure the electrodes with the elasticised strap supplied so that their surfaces are
completely in contact with the skin;
11. switch on the unit by pressing ON/OFF;
12. choose a programme with the increase/decrease programme number buttons
(see Table 1 );
13. set the intensity of stimulation with the + and –buttons for the channels used
(A or B); The treatment will now start;
NOTES: the stimulation intensity may fluctuate as the treatment is in progress;
should this occur, adjust the intensity to maintain a constant level of stimulation;
On the display the output current is indicated from 0 to 60. Each step is
0,33mA. When the display shows 60, the output current is 20mA.
WARNING: if the stimulation becomes uncomfortable or painful, reduce the
intensity or interrupt the treatment by pressing the ON/OFF button.
14. Press P- or P+ to temporarily pause the programme. Press ON/OFF to stop the
programme.
15. once a programme has completed, you may select another programme with the
programme number up/down buttons (see Table 1);
16. the unit switches off automatically after 2 minutes of inactivity;
17. return electrodes and sponges to their respective bags.

Rev. No.2, 07/06/16
9/12
Chap. 4 - PROGRAMMES
Ionecare comes with 20 preset iontophoresis and microcurrent therapy programmes,
with adjustable stimulation levels. Each program produces different effects and can
be used for specific objectives. Table 1 lists all programs with relative use.
Table 1: Programmes
1
IONO.ARM. LEV.2
2
IONO.ARM. LEV.3
3
IONO.ABDOMEN-HIPS LEV.1
4
IONO.ABDOMEN-HIPS LEV.2
5
IONO.ABDOMEN-HIPS LEV.3
6
IONO.BUTTOCKS LEV.1
7
IONO.BUTTOCKS LEV.2
8
IONO.BUTTOCKS LEV.3
9
IONO.THIGHS LEV.1
10
IONO.THIGHS LEV.2
11
IONO.THIGHS LEV.3
12
MICROCURRENT LEV.1
13
MICROCURRENT LEV.2
14
MICROCURRENT LEV.3
15
IONTOPHORESIS LEV.1
16
IONTOPHORESIS LEV.2
17
IONTOPHORESIS LEV.3
18
MICROCURRENT LEV.1
19
MICROCURRENT LEV.2
20
MICROCURRENT LEV.3
* Medical programmes with CE0476 certification.
4.1 - Programming treatment sessions
For effective therapy with Ionecare, apply the most appropriate programme for the
pathology in question to the relative area of the body daily, following the
instructions of the prescribing doctor. In general, a cycle of 10 sessions is
performed, which may be repeated two or three times if the desired results are not
achieved. Seek medical advice if the problem persists.

Rev. No.2, 07/06/16
10/12
Chap. 5 - APPLICATIONS
As a guideline, apply two electrodes with sponges to the area you intend to treat.
Avoid areas specified in the counter-indications and follow the instructions
given by your doctor.
With iontophoresis, if the pain is widespread or deep, the position in which the drug
is applied is indifferent: apply the electrodes at a distance of approximately 10 cm
from each other to demarcate the treated area. If the pathology or pain is felt in a
well defined and superficial part of the body, apply the electrode with the drug
directly onto the pain and place the other electrode in the immediate vicinity
(approximately 4 –5 cm away).
IMPORTANT: read the counter-indications before using
5.1 - Positioning the electrodes
Examples of applications with iontophoresis
NOTE: for any applications not specified here, follow the indications of the
prescribing doctor attentively.

Rev. No.2, 07/06/16
11/12
Chap.6 - TECHNICAL SPECIFICATIONS
6.1 - Characteristics
Power supply: 4 x 1,2V Ni-Mh AAA batteries
Waveform: microcurrents and iontophoresis
Channels: 2 independent
Intensity: 0-20 mA
Frequency: 100-120 Hz
Pulse amplitude: 100-350 µs
6.2 - Standard equipment
Unit
2 dual core leads
4 silicone electrodes
4 sponge pockets
2 elasticised securing straps
4 x 1.5 V AAA batteries
User’s Manual
Carrier case
6.3 - Replacement parts and accessories
Silicone electrodes
Sponge pockets
Elasticated securing straps
Chap. 7 - SYMBOLS
CLASS II DEVICE
TYPE BF DEVICE
READ THE DOCUMENTATION INCLUDED
IN ACCORDANCE WITH DIRECTIVE 93/42EEC CONCERNING MEDICAL
EQUIPMENT, THIS DEVICE BEARS THE CE MARK, REGISTERED AS N°
MED9904, ISSUED BY THE AUTHORISED CERTIFYING ORGANISATION
N°0476.

Rev. No.2, 07/06/16
12/12
Chap. 8 - MAINTENANCE
Unit: clean with a moist cloth. To ensure that the unit performs as specified, use
only at environmental temperatures between 5 and 40° C and with humidity levels
less than 80%. The same conditions are required for transporting and storing the
unit.
Batteries: remove the batteries from the unit for prolonged periods out of use.
Replace dead batteries with batteries of the same type or rechargeable batteries; do
not use different types of battery together.
Electrodes: always return to their respective bags after use.
Sponge pockets: always rinse and return to their respective bags after use.
Technical service centre:
New Age Italia srl
Production Site: Via De Brozzi, 3 –48022 Lugo (RA)
Phone [phone] –Fax [phone]
VAT No.02299101200
www.newageitalia.it –[e-mail]