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DJO GLOBAL
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Ontario
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UNITED STATES:
Compex Médical SA
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DJO Global, Inc
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EUROPE, MIDDLE EAST & AFRICA:
LATIN AMERICA:
DJO Asia-Pacific Limited
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DJO Global, Inc
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Grand Central Plaza
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Vista
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HONG KONG
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T: +852 3105 2237
E: [email protected]
F: 1 800 936 6569
F: +852 3105 1444
E: [email protected]
E: [email protected]
© 2012 DJO - 00-0975-EN - Rev C
DJO GLOBAL, EXPORT CENTERS
Iontophoresis
2013
a
brand
1
Iontophoresis
introduction
Chattanooga is the world’s largest manufacturer of rehabilitation equipment for treating musculoskeletal, neurological and soft tissue disorders. For over
six decades, Chattanooga has set a benchmark for leadership, reliability and excellence. Our products contribute to better treatment outcomes in hospitals,
clinics and home settings worldwide. We lead the physiotherapy industry by example and, through continuous innovation, provide real world solutions for
clinicians and their patients.
As the world’s leading brand in rehabilitation, Chattanooga is sold in over 80 countries worldwide. Chattanooga is directly represented in our key markets but
also has long lasting relationships with dedicated distributors in the USA, Canada, Latin America, EMEA and Asia Pacific. Our Chattanooga distributors and
customers are supported for order placement, training, product delivery and after sales service by a dedicated team of highly skilled DJO employees based all
over the world.
Tissue Concentrations
10-2
Chattanooga is a brand of DJO Global Inc. DJO Global provides solutions for musculoskeletal health, vascular health and
pain management. Our2-4mg
products help
10
prevent injuries or rehabilitate after surgery, injury or from degenerative disease, enabling patients to regain or maintain their natural motion.
10
Visit www.DJOglobal.eu
-4
10-5
Theraputic Range
Log Concentration / Gram of Tissue
-3
56µg
10-6
10-7
10
10-200ng
-8
Oral1
Phoresor®2
Injection3
TM
Route of Administration
References:
1. Glass, J.M., et al. 1980 Int. J dermatol 19:519-525.
2. Petelenz, T.J. 1992. Controlled Release. 20:55-66.
3. Dosis recomendadas
(PDR).
Iontophoresis
Iontophoresis is an active transdermal drug delivery system that delivers drug ions through the skin
using a low level electric current.
Active electrode
Skin surface
Direct Current is used to move a drug or therapeutically active ion through the skin. When direct
current (DC) is applied to an ionized drug solution, the ions that have the same charge as the current
are repelled by the current and are delivered through the skin. The aim is to drive active ions locally
rather than having to inject them or have them taken systemically.
Epidermis
Dermis
Blood vessel
Iontophoresis Drug Delivery
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Indications:
Iontophoresis is used to administer water-soluble ionic medications to:
• Treat Acute Tendonitis
• Treat Pain Associated with Calcific Deposits
• Provide Dermal Anesthesia
Alternatives to iontophoresis are injections, oral medications and passive
transdermal medications.
Benefits of iontophoresis over the alternatives:
Compared to injections:
• Virtually painless
• Non-invasive minimizing:
- Risk of infection
- Risk of tissue necrosis, tendon rupture, etc.
Compared to oral medications:
• Localized drug delivery, non-systemic
• Avoid risk of systemic side effects
Contraindications:
• Damaged or denuded skin
- Recent scar tissue
• Drug allergies
• Trans-cranial
• Orbital region
• Electrically sensitive support systems
- Pacemaker
Considerations:
• Diabetes
• Pregnancy
• Over external metal fixation devices
• “Elderly” skin
Tissue Concentrations
10-3
2-4mg
10-4
10-5
Theraputic Range
Log Concentration / Gram of Tissue
10-2
56µg
10-6
10-7
10-200ng
10-8
Oral1
Phoresor®2
Injection3
Route of Administration
References:
1. Glass, J.M., et al. 1980 Int. J dermatol 19:519-525.
2. Petelenz, T.J. 1992. Controlled Release. 20:55-66.
3. Dosis recomendadas
(PDR).
2
3
Iontophoresis
ORDERING INFORMATION
Part Number
Chattanooga Ionto™
Description
Chattanooga Ionto
1335
Chattanooga Ionto Dose Controller (Includes
lead wire, batteries, case, instruction guide
and warranty card)
13214
Replacement Leadwire (Use Chattanooga
Ionto Dose Controller)
1336
Black Snap Adapters, (Pack of 2)
5020014
Twin Lead for the Chattanooga Ionto Dose
Controller
TECHNICAL SPECIFICATIONS
Output Specs:
±15% unless noted
Current Range:
0.5 - 4mA ±10% at 100 to 12k ohm
load
Dose Range:
0 to 160mA/minute
Dose Accuracy:
±2mA minute
Ramp Up/Ramp Down:
30 seconds
Battery:
9V Alkaline
Dimensions:
2 x 6 x 9 cm (L x W x H)
Weight:
77g
Safety Tests:
EN60601-1-2
FEATURES
The dual channel Chattanooga Ionto device delivers a constant direct current no matter the resistance level. By
varying the voltage output as resistance changes, the device consistently delivers the programmed dose.
The device’s pause feature lets you check the treatment area without restarting the session. Chattanooga Ionto
gives you the user-friendly features and reliability you expect.
• 2-channels to treat 2 sites or deliver 2 medications simultaneously
• Previous dosage can be set as default to maintain frequently used treatment parameters
• Beeping alerts if electrode fault for open current or high impedance, low battery, treatment completion or
power left on
• Automatic 30 second current ramp up and down during power on/off keeps patient comfortable
• Constant current provides precise, accurate delivery regardless of skin impedance
• Current can be set in 0.1 mA increments between 0.5 mA and 4 mA
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Companion 80™
ORDERING INFORMATION
Part Number
Description
Companion 80
5000044
REF 5000044 - Companion 80
FEATURES
Designed to deliver an 80 mA-minute dose over 24 hours, allowing the patient to tend to normal daily
activities while receiving treatment.
Battery-Powered
• Internal 1 volt battery - no wires to connect
• Reserve battery capacity compensates for patients
with higher skin resistance
Silver-Silver Chloride pH Stabilizing
• Conducts more efficiently than Carbon
• Stabilizes pH without using chemical buffers
Hypoallergenic Adhesive
• Adheres well, even in the shower
• Conforms well to treatment areas
• Fits comfortably beneath clothing
* In vitro test data on file at IOMED, Inc.
** 5000 Ohm load simulates skin resistance
References
1. Banta CA. A prospective, nonrandomized study of iontophoresis, wrist splinting, and anti-inflammatory medication in the treatment of early-mild
carpal tunnel syndrome. J Occup Med 36: 166-168, 1994.
2. Bertolucci LE. Introduction of anti-inflammatory drugs by iontophoresis: Double blind placebo controlled study. J Orphop Sports Phys Ther 4:
103-108, 1982.
3. Glass JM, et al. The quality and distribution of radiolabeled dexamethasone delivered to tissue by iontophoresis. Int J Dermatol 19: 519-525, 1980.
4. Gudeman SD, et al. Treatment of plantar fasciitis by iontophoresis of 0.4% dexamethasone: A randomized, double-blind placebo-controlled study.
Am J Sports Med 25: 312-316, 1997.
5. Nirschl, RP, et al. Iontophoretic administration of dexamethasone sodium phosphate for acute epicondylitis: A randomized, double-blind, placebo
controlled study. Am J Sports Med 31: 189-195, 2003.
6. Pellecchia, GL, et al. Treatment of infrapatellar tendonitis: A combination of modalities and transverse friction massage versus iontophoresis.
J Sports Rehabil 3: 135-145, 1994.
7. Petelenz TJ, et al. Ionotophoresis of dexamethasone: Laboratory studies. J Controlled Release 20: 55-66, 1992.
These products are protected by one or more of the following U.S. Patents: 4,744,787; 4,752,285; 5,135,477; 5,374,241; 5,415,628; 5,558,632;
5,846,217; 6,731,977. Other Patents Pending.
Companion 80 Iontophoresis System = 1.1
cc fill, (6 treatment kits per box)
4
5
Iontophoresis
ORDERING INFORMATION
Part Number
TransQ®
Description
TransQ
5000008
TransQ E, Medium (Disposable electrodes,
2.5 cc - 3.0 cc fill, 12 kits* per box)
5000009
TransQ E, Small (Disposable electrodes, 1.5
cc - 2.0 cc fill, 12 kits* per box)
5000033
TransQ Flex (Disposable electrodes, 2.5 cc fill,
12 kits* per box)
* Kits above include one each: drug delivery electrode, disposable
dispersive pad, and alcohol wipe
REF 5000009 - TransQE Small
REF 5000008 - TransQE Medium
FEATURES
Silver-Silver Chloride pH Stabilizing Electrodes
IOMED’s proprietary Silver-Silver Chloride conductive element prevents water hydrolysis, thereby eliminating
the need to add a chemical buffer and minimizing skin irritation.
Designed in a variety of Shapes for Treating many different areas of the body.
TransQ E
• Rectangular and circular shapes for various
treatment sites
• Adhesive Foam
• Stretches and adheres well under stress
ORDERING INFORMATION
Part Number
REF 5000033 - TransQ Flex
TransQ Flex
• Clover Shape
• Surrounds highly contoured treatment area
• Perfect for fingers, hands, feet and ankles
• Superior Adhesion
• Adds more surface area to increase adhesion when
under stress
• Patented Hydrogel
- Provides uniform current distribution
- Consistent drug delivery
Optima™
Description
Optima
5000050
Optima, Small (Disposable electrodes, 1.5 cc
fill, 12 kits* per box)
5000051
Optima, Medium (Disposable electrodes, 2.0
cc fill, 12 kits* per box)
5000052
Optima, Large (Disposable electrodes, 3.0 cc
fill, 12 kits* per box)
* Kits above include one each: drug delivery electrode, disposable
dispersive pad, and alcohol wipe
REF 5000050 - Optima Small
REF 5000051 - Optima Medium
REF 5000052 - Optima Large
FEATURES
pH Buffered Iontophoresis Electrodes
Adjusts the pH to the ideal target of 4.5 to optimize transport when using a carbon conductive element and
maintains that ideal pH for better drug delivery.
pH Defining Agent
• Adjusts pH to ideal target to optimize transport
when using a carbon conductive element
pH Buffering Agent
• Maintains ideal pH
Viscosity Enhancing Element
• Creates uniform current distribution for greater
patient comfort
• Conforms to a wide variety of treatment sites
• Stretches and adheres well when under stress
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Iogel®
ORDERING INFORMATION
Part Number
Description
Iogel
REF 5000021 - Iogel Small
REF 5000022 - Iogel Medium
REF 5000023 - Iogel Large
FEATURES
Silver-Silver Chloride pH Stabilizing Electrodes
Iogel, a market-leading electrode with features that allow for precise placement, pH stabilization, superior
patient comfort and ease of filling.
Elliptical Shape
• Follows the line of the tendon
Clear Adhesive
• Allows precise placement on target site
5000021
Iogel, Small (Disposable electrodes, 1.5 cc
fill, 12 kits* per box)
5000022
Iogel, Medium (Disposable electrodes, 2.5 cc
fill, 12 kits* per box)
5000023
Iogel, Large (Disposable electrodes, 3.55 cc
fill, 12 kits* per box)
* Kits above include one each: drug delivery electrode, disposable
dispersive pad, and alcohol wipe
GelSponge®
• Ensures complete contact between the electrode
and the skin surface with low impedance
• Provides a conductive medium similar to ultrasound gel
EZ Fill Window™
• Protects adhesive during hydration and handling
• Provides no-stick handling
Dupel B.L.U.E.
ORDERING INFORMATION
Part Number
Description
Dupel B.L.U.E.
REF 199332 - Small
REF 199334 - Butterfly
REF 199335 - Standard
199332-001
Dupel B.L.U.E., Small (Disposable electrodes,
1.5 cc fill, 12 kits* per box)
199334-001
Dupel B.L.U.E., Butterfly (Disposable
electrodes, 2.0 cc fill, 12 kits* per box)
199335-001
Dupel B.L.U.E., Standard (Disposable
electrodes, 2.5 cc fill, 12 kits* per box)
199336-001
Dupel B.L.U.E., Large (Disposable
electrodes, 4.0 cc fill, 12 kits* per box)
REF 199336 - Large
FEATURES
pH Balancing Electrode
Patented buffer adjusts medication pH to a safe level (4-8 pH) without introducing competing ions that
decrease medication delivery. This allows maximum flexibility and safety when selecting a medication.
• High efficiency, bi-layer design for optimal drug delivery
• Patented ion-exchange buffering system ensures that pH shifts occurring during iontophoresis are controlled
• Four shapes/sizes for best adhesion, conformability and coverage
• Latex Free
Dupel White
ORDERING INFORMATION
Part Number
Description
Dupel White
REF 198808 - Small
REF 198572 - Butterfly
REF 198809 - Standard
Dupel White, Small (Disposable electrodes,
2.0 cc fill, 12 kits* per box)
198572-001
Dupel White, Butterfly (Disposable
electrodes, 2.5 cc fill, 12 kits* per box)
198809-001
Dupel White, Standard (Disposable
electrodes, 2.5 cc fill, 12 kits* per box)
198810-001
Dupel White, Large (Disposable
electrodes, 4.0 cc fill, 12 kits* per box)
REF 198810 - Large
FEATURES
The Dupel White Electrodes are a cost effective option in iontophoretic drug delivery. Using a patented design,
the active electrode employs a unique buffering system that enhancing efficiency and comfort.
• Capable of delivering 80 mAmin
• Cost-Effective
• Available in various sizes
• Latex Free
198808-001
6