Intelect Advanced EPR

2776 Intelect Mobile Ultra sound

2778 Intelect Mobile Stim
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2762CC Intelect Advanced Color Combo + EMG

2752CC Intelect advanced color Combo

2772MC Intelect Advanced Monochromatic Combo

2778 Intelect Mobile Combo 2778 Intelect Mobile Laser (without probe )
 Objectives
 Chattanooga PMM Overview
 Business objectives.
 Markets
 Product positioning.
 Value proposition.
 Chattanooga EPR review
 Features & Benefits.
 Clinical Indications / Contraindications
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 Chattanooga PMM Overview Level 1 Level 2

TENS Combo*

Hot & Cold Clinical * Ultrasound *

Shockwave Laser*

Diathermy Biofeedback
Physical medicine
modalities Iontophoresis/DD

NMES

Vital stimulation

Electrodes
Recovery
sciences Tables

Tables and traction Traction

Acute care therapy

Continuous passive motion

PT equipment
Mobility and active
training PT consumables
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OT consumables
 Chattanooga PMM Overview cont-

 Clinical electrotherapy is a medium sized market with a total size of

$200M globally.
 Estimated growth at 3-5% annually. DJO participates in several
markets within this including clinical devices, iontophoresis,
diathermy, shockwave, and electrodes.

 Chattanooga has a strong 40% share of the $50M market,

primarily from the legacy and intelect advanced Chattanooga
brands.
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 Chattanooga EPR positioning
Hospitals,Out-patient Clinics, Institutions
Functionality

Private practices ,on-field sport mobile usages

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Convenience
 EPR Review Intelect advanced platform

•25 + waveforms!
•2 independent electrotherapy channels.
•Over 200 clinical protocols.
•Ability to program over 100 user defined
protocols.
•Over 10 quick link indications for quicker
access.
•Clinical & Pathological library designed by
Physiotherapists for every clinician.
•Patient data storage cards.
•1 & 3 MHz ultrasound frequencies.
•Continuous & Pulsed 10,20,50 delivery modes.
•Ergonomically designed U.S. applicators- 1,2,5
& 10cm .
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•Audio & visual coupling systems.

•Head-warming option for patient comfort.
2762CC Intelect Advanced Color Combo + EMG

2752CC Intelect advanced color Combo

2772MC Intelect Advanced Monochromatic Combo

 Intelect advanced Standard accessories

Standard accessories included:

•Patient data card (1)

•5 cm applicator
•Nylatex wrap,
•Flexible electrodes and sponges 6x8cm (4)
•Ultrasound gel,
•CD user manual,
•EMG and sEMG+Stim module (2762CC only),
•Intravaginal probe (2762CC only)
• 3 cm electrodes (2762CC only)

Only with combo +EMG

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 Intelect Advanced Optional Accessories
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 Overview of Clinical Modules
 EMG
 Three broad purposes :
• To increase muscle activity.

• To decrease muscle activity.

• To re-educate muscle activities.

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 EMG indications-
 INCONTINENCE :Retraining of pelvic floor muscles using intra vaginal or anal probes
but also surface electrodes

 SOFT TISSUES INJURIES : Mostly due to hyper tonus Biofeedback goal is to modify
postural behavior decreasing and/or balancing muscle activity. the information is
more qualitative as long as Signal variability is a major issue with Surface EMG.

 GENERAL REHAB: Improving the outcomes of problems affecting voluntary muscle

contraction ( post surgery, Nerve transplant, Muscle and Tendon trauma

 PAIN : Chronic pain produce reductions in joint movements and associated muscle
tightness. EMG Biofeedback is used to promote relaxation

 SPASTICITY: Use to reduce and control spasticity

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 STROKE retraining the voluntary activation of the wrist extensors, Shoulder

abductors, and ankle dorsiflexors
 EMG contraindications-

•There are no contraindications to EMG Biofeedback but limits to the actual

method.

•Applicable to superficial muscles only.

•Practitioner expertise important.

•Patient must actively be able to participate.

.
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 Stimulation module

Galvanic current-
Direct current that flows 1 second or
more continuously.
Allows adding another 2 channels

Clinical usage-
Iontophoresis use of current flow between two electrodes
to push ions through the skin barrier.
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 Waveforms continued-

Russian current (KOTZ current)

Russian Current name derives from muscle
stimulation works conducted by Russian scientist
KOTZ in the late 1970’s
It is a 2,5kHz sinusoidal wave form deliver in
bursts ( series of pulse) with a 50% duty cycle.

Clinical usage-
• Innervated muscle stimulation
•Strengthening
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 Waveforms continued-
 TENS
 Trancutaneous nerve stimulation.
 TENS is the popularized name for electrical stimulations to treat pain. It is rectangular biphasic ( symmetrical or
asymmetrical wave form at frequencies in a range 1 to 120Hz and pulse duration from 50 to 200µs
 Physiological effects-
• Nerve excitability: Selective excitability of A Beta and
 A Delta fibers (sensory nerves) for Gate control and Alpha Moto neurons ( producing muscles twitches at low
frequency) for Endorphin release. Short duration and rectangular pulse shape provide very comfortable
stimulation.

• Clinical usages-
• Acute and Chronic Pain
• Nocioceptive or neurogenic pain
• Dysmenorhea
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• Angina pectoris
• Labor pain but not during actual partum.
 Waveforms continued-
 NMES
 Description
 The current use for Neuro Muscular Electrical stimulation is basically a TENS current as rectangular biphasic
(symmetrical wave form at frequencies in a range of 1 to 120Hz and pulse duration from 150 to 500µs
 Physiological effects
• Nerve excitability: Excitability of Alpha motor neurons producing normally innervated muscles contractions.
Short duration and rectangular pulse shape can provide very strong contractions but very comfortable stimulation.

• Clinical usages-
• Normally innervated muscle stimulation
• Prevention of Atrophy
• Mobilization
• Muscle reinforcement
• Functional Electrical Stimulation
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 Waveforms continued-
 INTERFERENTIAL (IFC)
time

 Description
 Interferential currents IFC are two Alternating currents applied in a continuous mode
 Frequencies are in the range of 1-10kHz. The currents have a slightly different frequency. The total current
amplitude is the sum of the two currents at any point in the tissue where they interfere.

 Physiological effects
• Deep efficiency of stimulation ( maximum stimulus is produced at depth )
• High frequency currents are more comfortable in case of High impedance ( resistive skin and fat tissues)
• Nerve excitability
• Gate control
• Endorphins & encephalin release.

• Clinical usages-
• Pain ( same as TENS )
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 Waveforms continued-
INTERFERENTIAL 4 pole Vector
Vector rotation
•This is achieved by rhythmically increase or
decrease the amount of current applied on each pair I1
I2
of electrode over a period of several seconds ( when
one current goes up the other goes down and vice
versa). Vector rotation will change the pattern of
stimulation in the tissue volume. Increasing the
current in one direction between one pair of electrode
will stimulate more fibers lying parallel to the current
path. I1
I2

Clinical usage-
Itotal
Greater stimulation is produced at deeper depth.
Mainly use for pain ( gate control) . Whirlpool effect.
I1 I2
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 Waveforms continued-
PREMODULATED INTERFERENTIAL 2 poles
I1
Description
The 2 frequencies are combined within the stimulator producing
one current claimed as having similar parameters to the expected
outcome of current mixing in tissues producing better comfort.

Clinical usage- I1

Easier to apply
Maybe be more effective and comfortable in muscle stimulation
Greater stimulation remains superficially to treatment.
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 Waveforms continued-
High Voltage pulsed currents-

Description
The High Voltage Pulsed Current (HVPC) has a very brief
pulse duration ( 7µs) characterized by two distinct peaks Volt

delivered at high (100-500V) voltage. The waveform is

monophasic (current flows in
one direction only). time
7µs

Clinical use
Pain
Wound healing
Better tissue penetration in impedance issue patients.
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 Waveforms continued-
BIPHASICS PULSED
CURRENTS
BIphasic pulsed currents
-Balanced Asymmetrical : can result in can’t be be apply on:
Electrically sensitive
different sensations under each electrode ex. support systems
Pacemakers
Slow twitch or fast twitch muscle re-innervation or
re-education.

-Balanced Symmetrical : current flow

equally in both directions during alternate phase
of the pulse. Generates same feeling under each
electrode.
-Can be applied for hours without risk of burn
or skin irritations.
-Can be apply over metallic implants
-Can be apply over fragile skins
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 Waveforms continued-

Microcurrents
Volt or 1 to 1000 µA
Amp
Description
Microcurrent is a current delivered at very low intensity ( less time
than 1mA . Can be monophasic or biphasic.

Physiological effects
Microcurrent is delivered well below the threshold for nerve Microcurrent is the only current that
stimulation. At similar magnitude to the endogenous currents patients does not feel due to its
very low intensity
identified as being part of normal tissue healing.
It can supplement or enhance the naturally direct current
potentials associated with repair, and thereby stimulate the
healing process.

Clinical use
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Wound healing
Facial paralysis
 Vacuum Module
2774 Vacuum Electrode Module with Cart
2785 Vacuum Electrode Module without Cart
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 Ultrasound Module
Standard accessories-
•27335 5cm applicator
•4248 Ultrasound gel
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 2767 Battery Module
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 Therapy cart / remote options
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Chattanooga Intelect Mobile Ultrasound 2776
•1 & 3 MHZ frequencies
•Pulsed & Continuous delivery modes- 10,20,
50 & 100%.
• Clinical indication screen provides most complete
patient application parameters.
•Ergonomically designed heads of 1,2,5, & 10cm
•Head-warming option
•Lightweight design along with battery option .
•Mobile tote bag to allow safe transferring.
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 Chattanooga Intelect Mobile Combo 2778
•1 & 3 MHZ frequencies
•Pulsed & Continuous delivery modes- 10,20,
50 & 100%.
•Multiple waveforms (2 & 4 pole IFC,Galv,HV pulsed
current, Russian, Mono & Biphasic and TENS.
• Clinical indication screen provides most complete
patient application parameters.
15 user designed protocols.
•Ergonomically designed heads of 1,2,5, & 10cm
•Head-warming option
•Lightweight design along with battery option .
•Mobile tote bag to allow safe transporting.
©DJO Incorporated
 Chattanooga Intelect Mobile Stim 2778
•Multiple waveforms (2 & 4 pole IFC,Galv,HV pulsed
current, Russian, Mono & Biphasic and TENS.
• Clinical indication screen provides most complete
patient application parameters.
•2 channels of stimulation output independently
controlling intensity parameters.
•Lightweight design along with battery option .
•Mobile tote bag to allow safe transporting.
©DJO Incorporated
 Chattanooga Intelect Mobile Laser 2779

•Class 3 B LLLT
•Independent control over all parameters.
•Continuous & Pulsed operation available.
•Various pulsed frequencies.
•Energy display in Joules/ Joules cm².
•Clinical indications specific to applicator.
•15 user protocols.
•17 different laser applicators to choose from.
©DJO Incorporated
 Clinical Indications for Electrotherapy
•Acute conditions-
•Sprains / Strains
•Tendonitis
•Bursitis
•Wound healing
•Muscle re-education
•Nerve re-innervations
•Inflammatory conditions
•Chronic pain
•Drug delivery
©DJO Incorporated
 Electrotherapy Contraindications

 Low back during pregnancy.

 Eyes, carotid sinus or nerve plexus.
 Potential cancer or malignancy.
 Dementia or lack of cognitive skills.
 Diabetes
 Suspect DVT in lower extremities.
 Over any space occupying lesion.
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 Please address questions to :

Farley Brown PM
760-734-3508
Farley.Brown@djoglobal.com
©DJO Incorporated