Professional Documents
Culture Documents
This Product Comparison covers tabletop, port- The exact physiologic mechanisms of pain relief and
able, and cart- or wall-mounted therapeutic ul- accelerated tissue healing through local heating are
trasound systems and combination ultrasound/ unknown. Possibilities include increased local blood
neuromuscular stimulator systems. Several low- flow, increased local metabolic rate, muscle relaxation,
frequency ultrasound physical therapy systems and heightened pain threshold of nerves. Conditions
are also included in the chart. involving scar-tissue tensions; ulcerations; bursitis; or
muscle, tendon, ligament, or joint pain can be treated
UMDNS information with ultrasonic energy.
This Product Comparison covers the following Similarly, the physiologic mechanisms of pain relief
device terms and product codes as listed in ECRI’s and enhanced tissue healing through nonthermal ef-
Universal Medical Device Nomenclature System™ fects of ultrasound are still under debate. Some theories
(UMDNS™):
• Ultrasound Therapy Systems, Physical
Therapy [11-248]
• Ultrasound Therapy/Neuromuscular Stimula-
tion Systems, Physical Therapy [17-908]
Purpose
Therapeutic ultrasound units convert electromag-
netic energy to high-frequency (i.e., 1 or 3 megahertz
[MHz]) sound waves that penetrate tissues to produce
pain relief and facilitate tissue healing through ther-
mal and nonthermal physiologic reactions. This con-
version of energy occurs in the transducer, or sound or
treatment head, of the machine. Ultrasound as a mo-
dality can be used independently or in conjunction with Portable ultrasound unit
propose that the increased release of analgesic chemi- A special coupling gel or water is used to facilitate
cals or increased cell permeability to certain ions is transmission of the ultrasound beam from the
responsible. However, the most widely accepted expla- transducer to the patient’s skin. Some units are water-
nation is acoustic streaming, which occurs in response tight, allowing for underwater therapy. Not using gel
to mechanical pressure, in this case produced by the or water, or using an inadequate amount, will cause
flow of ultrasonic energy. According to this theory, the heat at the transducer-skin interface instead of in the
energy waves produced by the ultrasound transducer underlying tissues, possibly burning the patient.
cause extracellular fluids to move rapidly around the
Most units allow selection of a continuous mode, in
cell membrane, causing the cell to vibrate. The cellular
which the output power is constant, or a pulsed mode,
vibrations produce gas-filled bubbles, a process known
in which the output is switched on and off; the pulse
as cavitation. For therapeutic purposes, the cavitation
rate is typically 60 to 120 pulses per second (pps),
should be stable: the bubbles should pulse but not
although some units operate at a higher or lower rate.
expand or burst. Stable cavitation leads to increased
Pulsed waves are further characterized by the duty
cell permeability, which is believed to induce pain-re-
cycle, the percentage of time that ultrasound waves are
lief mechanisms such as altered pain perceptions. Sta-
present during a pulsed period. Typical duty cycles
ble cavitation is also believed to stimulate the release
range from 5% to 50%. Because the output power of a
of collagen and increase platelet activity, which in turn
pulsed waveform averaged over the on-and-off phase
speeds the rate of healing. Transient cavitation is
of the cycle is lower, it causes less heating than a
unstable and destructive to the cell and may result in
continuous output on the same setting. This means
tissue damage. More research is needed to completely
that the pulsed setting has fewer thermal effects. Some
understand the extent of nonthermal therapeutic ef-
studies have associated a reduced healing time with
fects (Dyson 1987; Michlovitz 1996).
pulsed ultrasound (Dyson 1987).
Principles of operation An important characteristic of the transducer is its
beam nonuniformity ratio (BNR), which approximates
When tissues absorb energy, most of that energy is
the intensity across the transducer’s effective radiat-
converted into heat. Therapeutic ultrasound, a modal-
ing area (ERA) — the actual area of the transducer
ity used in the treatment of soft-tissue injuries, relies
that radiates ultrasound. The BNR is the ratio of the
on a transducer to apply energy to the patient’s skin
maximum point intensity on the transducer to the
in the form of sound waves at frequencies well above
average intensity value across the transducer surface.
those audible to the human ear. A frequency of 1 MHz
Areas of high spatial intensities are known as “hot
is used for deep (3 to 5 cm) tissue, while a frequency of
spots” and may cause excessive heating to the under-
3 MHz is used for more superficial (1 to 2 cm) tissue.
lying tissue. A lower BNR indicates a more even dis-
Ultrasonic energy is gradually absorbed and converted
tribution of energy from the transducer (see Fig. 1).
to heat as it travels through the tissue; therefore, it is
possible to heat the underlying tissue without over- For correct application of ultrasound, the
heating the skin itself. Muscle absorbs about twice as transducer must be kept in constant motion, using
much ultrasonic energy as fat does; bone absorbs about
10 times more than soft tissue does. In traveling
through the first 3 cm of muscle, the ultrasonic beam 100
retains about 50% of its surface intensity value, a
satisfactory amount for deep heating. The rate at 80
Output Intensity, %
2 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 3
Healthcare Product Comparison System
Therapeutic ultrasound is contraindicated for use in Studies are being done to evaluate ultrasound use
various areas: the eye; the uterus during pregnancy; in phonophoresis — a method of delivering medica-
the testes; malignant tumors; the spinal cord; and tion through the skin to the site where the effect is
areas over the heart, a pacemaker, joint replacements desired. Although the technique is commonly used,
with polyethylene or methyl methacrylate (a common Byl (1995) concluded that more carefully designed
glue type), prostheses, or epiphyseal (growth) plates in research is needed to improve the ability to provide
patients under the age of 20. In addition, ultrasound effective treatment.
application may damage tissue that has been subjected
to deep radiation treatments. Bibliography
Therapists administering ultrasound treatment are Byl NN. The use of ultrasound as an enhancer for
also exposed to vibrations passed through the housing transcutaneous drug delivery: phonophoresis. Phys
of the transducer as they hold the applicator. These Ther 1995 Jun;75(6):539-53.
vibrations, known as parasitic radiation, may cause
acute pain in the hand and finger joints of some thera- Fletcher D. The fundamentals of ultrasound equip-
pists (Michlovitz 1996). ment. Biomed Inst and Tech 2002 Mar-Apr;
36(2):129-32.
4 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Sussman C. Physical therapy modalities and the TNO Prevention and Health. Development of standard
wound recovery cycle. Ostomy Wound Manage 1992 measurement methods for essential properties of
Mar;38(2):43-51. ultrasound therapy equipment. Ultrasound Med
Biol 1994 Jan;20(1):83-98.
Zeqiri B, Hodnett M. A new method for measuring the
effective radiating area of physiotherapy treatment U.S. Department of Health and Human Services. Food
heads. Ultrasound Med Biol 1998 Jun;24(5):761-70. and Drug Administration. Performance standards for
sonic, infrasonic, and ultrasonic radiation-emitting
Standards and guidelines products. 21 CFR 1050. 2000.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 5
Healthcare Product Comparison System
Chattanooga Electromedicarin
Chattanooga Group Electromedicarin SA [230811]
Div Encore Medical Corp [101154] Poligono Industrial Can Volart
4717 Adams Rd Calle Torre de Cellers 6 Nave 2
PO Box 489 E-08150 Parets del Valles (Barcelona)
Hixson TN 37343-4001 Spain
Phone: (423) 870-2281, (800) 592-7329 Phone: 34 (93) 5730724
Fax: (423) 875-5497 Fax: 34 (93) 5730331
E-mail: customerservice@chattgroup.com E-mail: carin@electromedicarin.com
Internet: http://www.chattgroup.com Internet: http://www.electromedicarin.com
6 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Hero Medical
Enraf-Nonius Hero Medical Pty Ltd [177031]
PO Box 441
Enraf-Nonius bv [295028] Elwood
Roentgenweg 1 Melbourne, VIC 3184
Postbus 810 Australia
NL-2600 AV Delft Phone: 61 (3) 95318788
The Netherlands Fax: 61 (3) 95318788
Phone: 31 (15) 2698400 E-mail: sales@hero.com.au
Fax: 31 (15) 2561686 Internet: http://www.hero.com.au
E-mail: info@enraf-nonius.nl
Internet: http://www.enraf-nonius.com
Innokas Medical
Enraf-Nonius Medical Equipment Co Ltd
[303456] Innokas Medical Oy [330829]
984/22-27 TSST Building Tarjusojantie 10
Sukhumvit 71 Road Klongton Nua Wattana FIN-90440 Kempele
Bangkok 10110 Finland
Thailand Phone: 358 (8) 5623100
Phone: 66 (2) 7133366 Fax: 358 (8) 5623111
Fax: 66 (2) 7132145 E-mail: innokas@innokasmedical.fi
E-mail: prasrai@mozart.inet.co.th Internet: http://www.innokasmedical.fi
Internet: http://www.enraf-nonius.com
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 7
Healthcare Product Comparison System
Rich-Mar
Metrax
Metrax GmbH [172393] Rich-Mar Corp [101645]
Reinwaldstrasse 22 PO Box 879
D-78682 Rottweil Inola OK 74036-0879
Germany Phone: (918) 543-2222, (800) 762-4665
Phone: 49 (741) 2570 Fax: (918) 543-3334
Fax: 49 (741) 257235 E-mail: info@richmarweb.com
E-mail: metrax.vertrieb@metrax.de Internet: http://www.richmarweb.com
Internet: http://www.metrax.de
Metron Skylark
Metron Medical Australia Pty Ltd [184653] Skylark Device & Systems Co Ltd [152424]
57 Aster Avenue 12/Fl No 34 Chung Shan North Road Section 3
PO Box 2164 Taipei
Carrum Downs, VIC 3201 Taiwan
Australia Phone: 886 (2) 25979005
Phone: 61 (3) 97751234 Fax: 886 (2) 25912344
Fax: 61 (3) 97751990 E-mail: skylark@ms1.hinet.net
E-mail: mmasales@zip.com.au Internet: http://www.skylarkdevice.com
8 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
TRUMPF Zimmer
Zimmer Electromedical Corp [243015]
TRUMPF Medizin Systeme & Co KG [407177]
25 Mauchly Suite 300
Am Gansacker 1b
Irvine CA 92618-2331
D-79224 Umkirch
Phone: (949) 727-3356, (800) 327-3576
Germany
Fax: (949) 727-2154
Phone: 49 (7665) 98020
E-mail: info@zimmerusa.com
Fax: 49 (7665) 980237
Internet: http://www.zimmerusa.com
E-mail: info.em@de.trumpf-med.com
Internet: http://www.trumpf-med.com Zimmer Elektromedizin GmbH [232380]
Junkersstrasse 9
D-89231 Neu-Ulm
TUR Germany
Phone: 49 (731) 9761291
TUR Elektromedizin GmbH [283034] Fax: 49 (731) 9761299
Berliner Strasse 60 E-mail: info@zimmer.de
D-16540 Hohen Neuendorf Internet: http://www.zimmer.de
Germany
Note: The following companies did not provide us
Phone: 49 (3303) 5260
with any product information in time for publication.
Fax: 49 (3303) 52612
Their addresses are listed as a service to our readers.
E-mail: tur@elektromedizin.com
Internet: http://www.elektromedizin.com Cosmogamma srl [152467]
via Govoni 8/A
I-40066 Pieve di Cento BO
Uniphy Italy
Phone: 39 (051) 975054
GymnaUniphy NV [394679] Internet: http://www.cosmogamma.com
Pasweg 6a R J Lindquist Co [102114]
B-3740 Bilzen 2419 W 9th St
Belgium Los Angeles CA 90006-2004
Phone: 32 (89) 510510 Phone: (213) 382-1268
Fax: 32 (89) 510511 Fax: (213) 382-0958
E-mail: info@gymna-uniphy.com
Internet: http://www.gymna-uniphy.com
About the chart specifications
The following terms are used in the chart:
XLTEK Maximum output, W: The maximum ultrasonic energy
radiated by the transducer, expressed in watts.
XLTEK [375502]
2568 Bristol Circle Maximum intensity, W/cm2: The maximum energy ra-
Oakville ON L6H 5S1 diated per unit area, expressed in watts per square
Canada centimeter.
Phone: (905) 829-5300, (800) 387-7516
Duty cycle, %: The pulse duration (time on) divided by
Fax: (905) 829-5304
the entire pulse period (time on + time off).
E-mail: diagnostic_sales@xltek.com
Internet: http://www.xltek.com Pulse rate, pps: The repetition frequency of waves,
expressed in pulses per second.
XLTEK Korea Co Ltd [266253]
BNR: The beam nonuniformity ratio, or ratio of the
Kangnam-gu Do-Kok Gong 951-33
maximum to average intensity across the
So-Hun Building No 202
transducer surface; a lower number indicates more
Seoul 101-752
uniform output from the transducer.
Republic of Korea
Phone: 82 (2) 5382443 Transducer, number: The number of transducers avail-
E-mail: diagnostic_sales@xltek.com able; one transducer is included in the price, and the
Internet: http://www.xltek.com others are optional.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 9
Healthcare Product Comparison System
ERA, cm2: The effective radiating area of the MDD — Medical Devices Directive
transducer, expressed in square centimeters.
Ni-Cd — Nickel-cadmium
Multifrequency capability: The ability of a dual-
frequency unit’s transducer to emit both frequen- SEV — Schweizerischer Electrotechnischer Verein
cies through the same treatment head. TENS — Transcutaneous electrical nerve stimulation
Plug-in/hardwired: The transducer is either perma-
nently wired or simply plugged into the unit. TUV — Technischer Ueberwachungs Verein
CETL — Canadian ETL Testing Laboratories Note: The data in the charts derive from suppli-
ers’ specifications and have not been verified through
CISPR — Comite International Special des Pertur- independent testing by ECRI or any other agency.
bations Radioelectriques Because test methods vary, different products’ specifi-
cations are not always comparable. Moreover, prod-
CSA — Canadian Standards Association
ucts and specifications are subject to frequent changes.
CUL — Canadian Underwriters Laboratories ECRI is not responsible for the quality or validity of
the information presented or for any adverse conse-
EEC — European Economic Community quences of acting on such information.
EN — European Norm When reading the charts, keep in mind that, unless
ETL — ETL Testing Laboratories otherwise noted, the list price does not reflect supplier
discounts. And although we try to indicate which
EU — European Union features and characteristics are standard and which
are not, some may be optional, at additional cost.
FCC — U.S. Federal Communications Commission
For those models whose prices were supplied to us
FDA — U.S. Food and Drug Administration in currencies other than U.S. dollars, we have also
GS — Gepruefte Sicherheit listed the conversion to U.S. dollars to facilitate com-
parison among models. However, keep in mind that
IEC — International Electrotechnical Commission exchange rates change often.
ISO — International Organization for Standardi- Need to know more?
zation For further information about the contents of this
LCD — Liquid crystal display Product Comparison, contact the HPCS Hotline at +1
(610) 825-6000, ext. 5265; +1 (610) 834-1275 (fax); or
LED — Light-emitting diode hpcs@ecri.org (e-mail).
10 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 1 1 1 0.043
Maximum output, W 12 : 20 (optional 12 20 (optional 12 for 20 (optional 12 for 16
for export) export) export)
Maximum intensity,
W/cm2 5 (opt 3 for export) 5 (opt 3 for export) 5 (opt 3 for export) 0.15
Continuous beam Yes (100% amplitude) * Yes (100% amplitude) * Yes (100% amplitude) * Yes
Pulsed beam Yes Yes Yes Yes
Duty cycle, % 100 : 50 50 50 75
TRANSDUCER
Number 1 1 1 1
ERA, cm2 4 4 4 20
Multifrequency
capability No No No No
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR No : Optional, with Yes Yes No
external stimulator
POWER SOURCE, VAC 120/220 120/220 120/220 240
Hz 50/60 50/60 50/60 50
H x W x D, cm (in) 17.8 x 30.5 x 27.9 17.8 x 50.8 x 27.9 17.8 x 38.1 x 27.9 12.5 x 24 x 18.5
(7 x 12 x 11) (7 x 20 x 11) (7 x 15 x 11) (4.9 x 9.4 x 7.3)
WEIGHT, kg (lb) 5.4 (12) 8.2 (18) : 9.1 (20) 6.4 (14) 2.3 (5.1)
LIST PRICE $1,095 : $1,535 $3,625 : $2,965 $2,035 : $2,310 Not specified
DELIVERY TIME, ARO Not specified Not specified Not specified Not specified
YEAR FIRST SOLD Not specified Not specified Not specified 2000
FISCAL YEAR March to February March to February March to February January to December
OTHER SPECIFICATIONS Watertight sound Watertight sound Watertight sound Application for
head; wall bracket, head; wall bracket, head; wall bracket, wound cleaning and
utility cart, quick- utility cart, quick- utility cart, quick- healing stimulation;
connect transducer connect transducer connect transducer transducer designed
cable optional; cable optional; cable optional; to be waterproof
standard and small standard and small standard and small (IP 67).
transducer face- transducer face- transducer face-
plates available. plates available. plates available.
CSA approved and CSA approved. CSA approved.
UL listed.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 11
Healthcare Product Comparison System
FDA CLEARANCE No No No No
CE MARK (MDD) Yes Yes Yes No
CONFIGURATION Tabletop Tabletop, portable, Tabletop, portable, Tabletop
cart cart
OUTPUT
Frequency, MHz 0.068 1, 3 1, 3 1
Maximum output, W 6 10 cont, 15 pulsed 10 cont, 15 pulsed 5
Maximum intensity,
W/cm2 0.5 2 cont, 3 pulsed 2 cont, 3 pulsed Not specified
TRANSDUCER
Number 1 1 3 Not specified
ERA, cm2 3 5 5, 50 Not specified
Multifrequency
capability No Yes Yes Not specified
Plug-in/hardwired Plug-in Plug-in Plug-in Not specified
NEUROMUSCULAR
STIMULATOR No Optional Optional Yes
12 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Forte CPS 200 Combo Forte CPS Ultrasound Intelect 200 Intelect 300
: CPS 400 Combo Ultrasound Ultrasound
WHERE MARKETED Worldwide Worldwide Worldwide Worldwide
Maximum intensity,
W/cm2 2.5 2.5 2.5 2.5
TRANSDUCER
Number 3 3 3 3
ERA, cm2 2, 5, 10 2, 5, 10 2, 5, 10 2, 5, 10
Multifrequency
capability Yes Yes Yes Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Yes Output jack Output jack Output jack
DELIVERY TIME, ARO <30 days <30 days <30 days <30 days
YEAR FIRST SOLD 1997 1997 1998 1998
FISCAL YEAR June to May June to May June to May June to May
OTHER SPECIFICATIONS BNR certificate; Optional recharge- Self-calibrating Self-calibrating
self-calibrating able Ni-Cd ultrasound; head ultrasound; head
ultrasound; built-in batteries; self- contact control. contact control;
clinical protocols calibrating built-in clinical
and remote control. ultrasound; built-in protocols.
clinical protocols.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 13
Healthcare Product Comparison System
OUTPUT
Frequency, MHz 1, 3.3 1, 3.3 1, 3.3 1, 3.3
Maximum output, W 20 20 20 20
Maximum intensity,
W/cm2 2.5 2.5 2.5 2.5
TRANSDUCER
Number 3 3 3 3
ERA, cm2 2, 5, 10 2, 5, 10 2, 5, 10 2, 5, 10
Multifrequency
capability Yes Yes Yes Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Yes Yes Output jack Yes
DELIVERY TIME, ARO <30 days <30 days <30 days <30 days
YEAR FIRST SOLD 1998 1999 1997 1999
FISCAL YEAR June to May June to May June to May June to May
OTHER SPECIFICATIONS Self-calibrating Self-calibrating Self-calibrating Self-calibrating
ultrasound; head ultrasound. ultrasound. ultrasound; gel
contact control; warmer; built-in
built-in clinical clinical protocols.
protocols; remote
control included.
14 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Vectra Pro 2 : D1 ULTRA : D1b UL- Dynatron 150 Plus Dynatron 850 Plus :
Vectra Pro 4 : TRA : D4 COMBI 950 Plus
WHERE MARKETED Worldwide Europe, Far East, Worldwide Worldwide
Middle East
OUTPUT
Frequency, MHz 1, 3.3 0.9, 2, 3 1, 2, 3 1, 2, 3
Maximum output, W 20 9 continuous, 12 20 20
pulsed
Maximum intensity,
W/cm2 2.5 2 20 20
DELIVERY TIME, ARO <30 days Not specified Not specified Not specified
YEAR FIRST SOLD 1999 1999 Not specified Not specified
FISCAL YEAR June to May Not specified July to June July to June
OTHER SPECIFICATIONS Self-calibrating Multifrequency; Parameters can be Parameters can be
ultrasound; gel microprocessor; modified during modified during
warmer; built-in sealed for treatment; water- treatment; water-
clinical protocols; underwater therapy. tight sound heads; tight sound heads;
multimedia; includes sound-head sound-head protec-
2 soundheads and all protection system; tion system; option-
probes. optional carrying al carrying case;
case. Complies with stimulator includes
CSA and FCC Part 18 interferential and
verification. combination therapy.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 15
Healthcare Product Comparison System
OUTPUT
Frequency, MHz 1 1 1 1
Maximum output, W 20 20 20 16 cont, 20 pulsed
Maximum intensity,
W/cm2 2 2 2 2 cont, 2.5 pulsed
TRANSDUCER
Number 1 1 1 1
ERA, cm2 10 * 10 * 10 * 8
Multifrequency
capability No No No No
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Yes No No Yes
16 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Combination 850 EMS 350 : EMS 450 MEDI-LINK Ultrasound Megasonic 212-K
OUTPUT
Frequency, MHz 1, 3 1 or 3 : 1, 3 1, 3 1
Maximum output, W 10 10 10 15
Maximum intensity,
W/cm2 2 2 2 2.5 cont/pulsed
Pulse rate, pps Not specified Not specified Not specified 100%
BNR 6 6 6 <6
TRANSDUCER
Number 2 1:2 2 1
ERA, cm2 0.5, 5 5 : 0.5, 5 0.5, 5 6
Multifrequency
capability Yes No : Yes Yes No
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in (3)
NEUROMUSCULAR
STIMULATOR 2/4 pole No Optional No
interferential
POWER SOURCE, VAC 100/240 100/240 100/240 110/220
Hz 50/60 50/60 50/60 50/60
H x W x D, cm (in) Not specified Not specified Not specified 9 x 25 x 28
(3.5 x 9.8 x 10.9)
WEIGHT, kg (lb) 2.2 (4.9) 1.5 (3.3) 1 (2.2) 7 (15.4)
LIST PRICE £1,595 (US$2,360) £575 (US$903) : £485 (US$761) $1,500
£895 (US$1,324)
WARRANTY 2 years 2 years 2 years Not specified
DELIVERY TIME, ARO 7-10 days 7-10 days 7-10 days 1 month
YEAR FIRST SOLD 1999 1994 1994 1996
FISCAL YEAR April to March April to March April to March Not specified
OTHER SPECIFICATIONS Line power and None specified. Requires control Microprocessor self-
battery. module (ML9000, calibration test;
£699 [US$1,034]) watertight sound
plus a treatment head; ultrasound
head (ML9120 or feedback contact
ML9130, control; micro-
£475 [US$703] processor self-
each). calibration head.
ISO 9001 and 46001.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 17
Healthcare Product Comparison System
FDA CLEARANCE No No No No
CE MARK (MDD) Yes Yes Yes Yes
CONFIGURATION Portable Tabletop Tabletop Tabletop
OUTPUT
Frequency, MHz 1 1 1, 3 1, 3
Maximum output, W 15 15 15 15
Maximum intensity,
W/cm2 2.5 cont/pulsed 2.5 cont/pulsed 2.5 cont/pulsed 2.5 cont/pulsed
TRANSDUCER
Number Up to 2 Up to 2 (1) Up to 2 Up to 2
ERA, cm2 1.6, 6 1.6, 6 1.6, 6 1.6, 6
Multifrequency
capability No No No No
Plug-in/hardwired Plug-in (3) Plug-in (3) Plug-in (3) Plug-in (3)
NEUROMUSCULAR
STIMULATOR Yes Yes No Yes
18 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 1 1 1 1
Maximum output, W 18 18 18 18
Maximum intensity,
W/cm2 3 3 3 3
TRANSDUCER
Number 1 1 1 1
ERA, cm2 6 6 6 6
Multifrequency
capability Not specified Not specified Not specified Not specified
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Yes Yes Yes Yes
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 19
Healthcare Product Comparison System
Maximum intensity,
W/cm2 2.5 3 2 cont, 3 pulsed 1.5 cont, 3 pulsed
TRANSDUCER
Number 1 1 1 2
ERA, cm2 4 1, 4 5 0.8, 5
Multifrequency
capability Not specified Not specified No Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Yes No Fixed No : Yes
20 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Pulse rate, pps 16, 48, 100 16, 48, 100 100 100
BNR 6, max 6 max Not specified Not specified
TRANSDUCER
Number 4 2 2 2
ERA, cm2 0.5, 0.8, 5 0.8, 5 2.5, 5 2.5, 5
Multifrequency
capability No Yes Not specified Not specified
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR No : Yes Yes Yes In combination with
Erbogalvan Comfort
POWER SOURCE, VAC 110-120/220-240 110-120/220-240 120-240 ±10% 120/240 ±10%
Hz 50/60 50/60 50/60 50/60
H x W x D, cm (in) 12 x 36 x 33.5 13.5 x 36 x 38 9.2 x 31.5 x 33.2 10 x 40 x 37
(4.7 x 14.2 x 13.2) (5.3 x 14.2 x 15) (3.6 x 12.3 x 13) (3.9 x 15.7 x 14.6)
WEIGHT, kg (lb) 6.1 (13.4) 8.5 (18.7) 3.9 (8.6) 6.7 (14.8)
LIST PRICE Not specified Not specified €3,818 (US$3,729) €2,648 (US$2,607)
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 21
Healthcare Product Comparison System
OUTPUT
Frequency, MHz 1 1 and 3 1 1, 3
Maximum output, W 15 15 2.5 15
Maximum intensity,
W/cm2 3 3 1 2 cont, 3 pulsed
TRANSDUCER
Number 1 2 1 2
ERA, cm2 5 5 2.5 2.1, 4.7
Multifrequency
capability No Yes No No
Plug-in/hardwired Hardwired Plug-in Hardwired Plug-in
NEUROMUSCULAR
STIMULATOR No No No Combination
available
POWER SOURCE, VAC 110/240 110/240 110/240 110/240
Hz 50/60 50/60 50/60 50/60
H x W x D, cm (in) 45 x 32 x 11 45 x 32 x 11 8x4x3 8.5 x 33 x 33
(17.8 x 12.6 x 4.3) (17.8 x 12.6 x 4.3) (3.2 x 1.6 x 1.2) (3.3 x 13 x 13)
WEIGHT, kg (lb) 2.2 (4.8) 2.5 (5.5) 0.2 (0.44) 6.5 (14.3)
LIST PRICE AU$850 (US$474) : AU$1,100 (US$615) AU$195 (US$109) Not specified
AU$760 (US$525)
WARRANTY 1 year 1 year 1 year 2 years
22 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 0.8 1, 3 1 2.5
Maximum output, W 12 16.2 15 15
Maximum intensity,
W/cm2 2 cont, 3 pulsed 2 cont, 3 pulsed 3 3
TRANSDUCER
Number 2 2 1 1
ERA, cm2 0.8, 4 0.9, 5.5 3 3
Multifrequency
capability No Yes No No
Plug-in/hardwired AC adapter Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR No Optional No No
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 23
Healthcare Product Comparison System
FDA CLEARANCE No No No No
CE MARK (MDD) No No No No
CONFIGURATION Portable, tabletop Portable, tabletop Tabletop Tabletop/cart
OUTPUT
Frequency, MHz 1 2.5 1, 2.5 1, 3
Maximum output, W 15 15 15 15
Maximum intensity,
W/cm2 3 3 3 3
TRANSDUCER
Number 1 1 2 6
ERA, cm2 3 3 3 1, 3, 5
Multifrequency
capability No No No No
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR No No Connector for Connector for
external stimulator external stimulator
POWER SOURCE, VAC 120/220 120/220 120-220 120-220
Hz 50/60 50/60 50/60 50/60
H x W x D, cm (in) 12 x 29 x 32 12 x 29 x 32 12 x 29 x 32 12 x 40 x 32
(4.8 x 11.5 x 12.6) (4.8 x 11.5 x 12.6) (4.8 x 11.5 x 12.6) (4.8 x 15.6 x 12.6)
WEIGHT, kg (lb) 3 (6.6) 3 (6.6) 3.4 (7.5) 4.7 (10.36)
LIST PRICE $550 $560 $730 $1,470
24 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 1 1, 3 3 1, 3
Maximum output, W 12 12 8 10
Maximum intensity,
W/cm2 2 cont, 3 pulsed 2 cont, 3 pulsed 2 cont 2.5
TRANSDUCER
Number 1 2 2 2
ERA, cm2 4 4 4 4
Multifrequency
capability Not specified Not specified No Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR No Optional No No
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 25
Healthcare Product Comparison System
OUTPUT
Frequency, MHz 1, 3 1 1:3 1, 3
Maximum output, W 10 12 10 : 12 15
Maximum intensity,
W/cm2 2.5 3 cont 3 2 cont, 3 pulsed
TRANSDUCER
Number 1 1 1 2
ERA, cm2 4 4 4 5, 10
Multifrequency
capability Yes No No Not specified
Plug-in/hardwired Plug-in Plug-in Plug-in Not specified
NEUROMUSCULAR
STIMULATOR No No No Yes
26 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 1 1 1, 3 1
Maximum output, W 15 15 15 15
Maximum intensity,
W/cm2 1, 3 3 3 3
TRANSDUCER
Number 2 1 2 1
ERA, cm2 2, 5 5 0.75, 5 5
Multifrequency
capability No No Yes No
Plug-in/hardwired Plug-in Hardwired Plug-in Hardwired
NEUROMUSCULAR
STIMULATOR No Optional Optional Optional
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 27
Healthcare Product Comparison System
Sonicator 715 : 716 Sonicator 730 Sonicator Plus 930 Sonicator Plus 992 :
Sonicator Plus 994
WHERE MARKETED Worldwide Worldwide Not specified Worldwide
OUTPUT
Frequency, MHz 1 1, 3.3 1, 3.2, 3.3 1, 3.2, 3.3
Maximum output, W 11 : 22 2.2, 11, 22 2.2, 11, 22 2.2, 11, 22
Maximum intensity,
W/cm2 2.2 2.2 2.2 2.2
TRANSDUCER
Number 1 4 3 3
ERA, cm2 5 : 10 1, 5, 10 * 1, 5, 10 * 1, 5, 10 *
Multifrequency
capability No Yes Yes Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Optional Optional Yes Yes
28 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Maximum intensity,
W/cm2 3 3 1.5, 3 2
TRANSDUCER
Number 2 2 4 2
ERA, cm2 3.6, 4 3.6, 4 3.6, 4 2.5, 5
Multifrequency
capability Yes Yes Yes No
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Optional Optional Optional Yes
DELIVERY TIME, ARO Not specified 4-6 weeks 4-6 weeks Stock
YEAR FIRST SOLD Not specified Not specified Not specified 1995
FISCAL YEAR January to December January to December January to December Not specified
OTHER SPECIFICATIONS Timer/output stops Timer/output stopped Timer/output stopped Combination unit:
when contact w/skin when contact w/skin when contact w/skin electrotherapy and
lost for >1 sec, lost for >1 sec, lost for >1 sec, ultrasound.
reactivated with reactivated with reactivated with
resumed contact; resumed contact; resumed contact;
self-calibration and self-calibration and self-calibration and
contact display. contact display. contact display.
Approved in accor- Approved in accor- Approved in accor-
dance wth IEC 601-1. dance wth IEC 601-1. dance wth IEC 601-1.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 29
Healthcare Product Comparison System
Maximum intensity,
W/cm2 3 3 1 2
TRANSDUCER
Number 2 2 1 4
ERA, cm2 2.5, 5 2.5, 5 2.5 4
Multifrequency
capability Yes Yes No Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Hardwired
NEUROMUSCULAR
STIMULATOR Yes No No No
POWER SOURCE, VAC 115/230 ±10% 115/230 ±10% 115/230 ±10% 115/230
Hz 50/60 50/60 50 50/60
H x W x D, cm (in) 34.5 x 13.3 x 34.8 12 x 37 x 27 8.5 x 27 x 25 12 x 9 x 7
(13.6 x 5.2 x 13.7) (4.7 x 14.6 x 10.6) (3.3 x 10.6 x 9.8) (4.7 x 3.5 x 2.8)
WEIGHT, kg (lb) 5.5 (12.1) 3.9 (8.6) 2.5 (5.5) 8 (17.6)
LIST PRICE Not specified Not specified Not specified $3,399
30 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
Maximum intensity,
W/cm2 2 2l 2 2
TRANSDUCER
Number 4* 4 2 1
ERA, cm2 3.5 4 2, 5 5 : 10
Multifrequency
capability Yes Yes Yes No
Plug-in/hardwired Hardwired Hardwired Hardwired Hardwired
NEUROMUSCULAR
STIMULATOR No No No No
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 31
Healthcare Product Comparison System
Maximum intensity,
W/cm2 2 2 2 2
Pulse rate, pps 40, 80, 200 40, 80, 200 40, 80, 200 100
BNR 5.5:1 5.5:1 5.5:1 5.5
TRANSDUCER
Number 1 1 1 with 2 sound heads 2
ERA, cm2 5, 10 5 2, 5 1, 4.4
Multifrequency
capability No Yes Yes No
Plug-in/hardwired Hardwired Hardwired Hardwired Plug-in
NEUROMUSCULAR
STIMULATOR No No No No
32 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 1 3 1 1
Maximum output, W 1.8 1.2 15 15
Maximum intensity,
W/cm2 0.45 0.3 3 3
TRANSDUCER
Number 1 1 2 2
ERA, cm2 4 4 2.5, 5 2.5, 5
Multifrequency
capability No No No No
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR No No Connector for Connector for
external stimulator external stimulator
POWER SOURCE, VAC 110, 220 110, 220 115/230 115/230
Hz 60, 50 60, 50 50/60 50/60
H x W x D, cm (in) 5 x 4.5 x 19 5 x 4.5 x 19 7 x 36.5 x 27 10.5 x 27 x 22
(2 x 1.8 x 7.5) (2 x 1.8 x 7.5) (2.8 x 14.4 x 10.6) (4.1 x 10.6 x 8.7)
WEIGHT, kg (lb) 0.2 (0.44) 0.2 (0.44) 4 (8.8) 4 (8.8)
LIST PRICE Not specified Not specified See footnote ** See footnote ***
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 33
Healthcare Product Comparison System
FDA CLEARANCE Not specified Not specified Not specified Not specified
CE MARK (MDD) Yes Yes Yes Yes
CONFIGURATION Portable Tabletop, cart Handheld Tabletop, cart
OUTPUT
Frequency, MHz 1, 3 1 0.8 1
Maximum output, W 13.5 @ 1 MHz, 6 cont 1.4 8 cont
6 @ 3 MHz
Maximum intensity,
W/cm2 2.7 @ 1 MHz, 1.5 cont, 3 pulsed 1 cont 2 cont, 3 pulsed
1.2 @ 3 MHz
Continuous beam Yes Yes Yes Yes
Pulsed beam Yes Yes No Yes
Duty cycle, % 5, 10, 20, 100 10, 30 NA 10, 20, 30, 50
TRANSDUCER
Number 2 2 1 2
ERA, cm2 2.5, 5 4; 1 optional 1 4; 1 optional
Multifrequency
capability Yes No No No
Plug-in/hardwired Plug-in Plug-in Hardwired Plug-in
NEUROMUSCULAR
STIMULATOR Connector for Built-in, low- No Optional with inter-
external stimulator frequency connection
POWER SOURCE, VAC 115/230 230; 115 on request 230; 115 on request 230; 115 on request
Hz 50/60 50/60 50/60 50/60
H x W x D, cm (in) 11.7 x 27 x 22 13 x 33 x 31 4 x 25 x 2 13 x 33 x 31
(4.6 x 10.6 x 8.7) (5.1 x 13 x 12) (1.5 x 9.8 x 1) *** (5.1 x 13 x 12)
WEIGHT, kg (lb) 4.1 (9) 4.5 (9.9) 0.17 (0.37) 3 (7)
†
LIST PRICE See footnote €2,550 (US$2,510) €1,050 (US$1,034) €1,750 (US$738)
DELIVERY TIME, ARO Stock 3-4 weeks 3-4 weeks 3-4 weeks
YEAR FIRST SOLD 1999 1997 1992 1995
FISCAL YEAR July to June October to September October to September October to September
OTHER SPECIFICATIONS Certificate of Watertight sound Automatic shutoff Watertight sound
quality assurance. heads; automatic after treatment; heads; automatic
shutoff (if poor automatic ultrasonic shutoff if poor
coupling detected); energy reduction if coupling detected;
coupling indications poor coupling detec- coupling indications
at sound head & LED ted; all functions at sound head and
luminous band; self- combined in banana- LED luminous band;
calibration by test shaped handle; 4 self-calibration by
modes. †† levels of intensity; test modes. †††
carrying case.
34 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 1 1, 3 1, 3 1, 3
Maximum output, W 8 cont 12 12 12
Maximum intensity,
W/cm2 2 cont, 3 pulsed 2 cont, 3 pulsed 2 cont, 3 pulsed 2 cont, 3 pulsed
TRANSDUCER
Number 2 2 2 2
ERA, cm2 4; 1 optional 4; 1 optional 4; 1 optional 4; 1 optional
Multifrequency
capability No Yes Yes Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Optional with inter- Biphasic TENS, Biphasic TENS, No
connection interferential interferential
POWER SOURCE, VAC 230, 115 100/110/220/230/240 100/110/220/230/240 100/110/220/230/240
Hz 50/60 50/60 50/60 50/60
H x W x D, cm (in) 9 x 23 x 21 43 x 31 x 16 45 x 12.5 x 32 15 x 38 x 22
(3.5 x 9.1 x 8.3) (16.9 x 12.2 x 6.3) (17.7 x 5 x 12.6) (5.9 x 15 x 8.7)
WEIGHT, kg (lb) 2.7 (6) 9 (19.8) 8 (17.6) 5 (11)
LIST PRICE €1,425 (US$1,403) €5,100 (US$5,021) €4,300 (US$4,234) SFr 3,000 (US$1,837)
DELIVERY TIME, ARO 3-4 weeks Not specified Not specified Not specified
YEAR FIRST SOLD 1999 Not specified Not specified Not specified
FISCAL YEAR October to September Not specified Not specified Not specified
OTHER SPECIFICATIONS Watertight sound 2 total independent 2 total independent Visual and acoustic
heads; automatic channels; coupling channels; coupling coupling control;
shutoff if poor control on display control on display memory of 20
coupling detected; and treatment heads; and treatment heads; treatments; can be
coupling indications memory of 500 memory of 500 combined with
at sound head; treatments; calcu- treatments; calcu- electrostimulation
self-calibration by lation of effective lation of effective unit; calculation of
test modes. output; indication output; indication effective output;
menu; GTS concept menu; GTS concept indication menu.
with help. with help. CE 0344 certified.
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 35
Healthcare Product Comparison System
OUTPUT
Frequency, MHz 1, 3 1, 3 1, 3 1, 3
Maximum output, W 12 8 15 15
Maximum intensity,
W/cm2 2 cont, 3 pulsed 2 cont, 3 pulsed 2 2
TRANSDUCER
Number 2 2 3 3
ERA, cm2 4; 1 optional 4; 1 optional 2, 5, 10 2, 5, 10
Multifrequency
capability Yes No Yes Yes
Plug-in/hardwired Plug-in Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR Biphasic TENS, Biphasic TENS, 2-channel 4-channel
interferential, NMES * interferential
POWER SOURCE, VAC 100/110/220/230/240 110-240; 12 V Ni-Cd 120/240 120/240
Hz 50/60 50/60 50/60 50/60
H x W x D, cm (in) 13 x 41 x 28 36 x 20 x 8 19 x 43 x 35.6 20 x 52 x 31.5
(5.1 x 16.1 x 11) (14.2 x 8 x 3.1) (7.5 x 17 x 14) (8 x 20.5 x 12.5)
WEIGHT, kg (lb) 6 (13.2) 2.5 (5.5) 11.3 (25) 9.5 (21)
LIST PRICE SFr 5,500 (US$3,368) SFr 3,100 (US$2,000) $3,495 $3,995
36 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Ultrasound Therapy Systems/Neuromuscular Stimulators
OUTPUT
Frequency, MHz 1, 3 0.8, 3 0.8, 3
Maximum output, W 15 1, 10 1, 10
Maximum intensity,
W/cm2 2 1, 3 1, 3
TRANSDUCER
Number 3 2 2
ERA, cm2 2, 5, 10 1, 3.3 1, 3.3
Multifrequency
capability Yes No No
Plug-in/hardwired Plug-in Plug-in Plug-in
NEUROMUSCULAR
STIMULATOR No, I/P jack Combination possible Yes
installed
POWER SOURCE, VAC 120/240 120/230 120/230
Hz 50/60 50/60 50/60
H x W x D, cm (in) 14 x 29 x 31.5 14 x 45 x 32.5 14 x 21.5 x 36
(5.5 x 11.5 x 12.5) (5.5 x 17.7 x 12.8) (5.5 x 8.5 x 14.2)
WEIGHT, kg (lb) 8 (18) 6.8 (15) 4.8 (11)
LIST PRICE $1,495 €2,390 (US$2,342) €2,890 (US$2,831)
©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 37