ALWAYS WELL UP TO YOUR BEST EXPECTATIONS. DX506R - Rev. C 09/11

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3 ALWAYS WELL UP TO YOUR BEST EXPECTATIONS DX506R - Rev. C 09/11

4 T HE BEST CHOICE STARTS FROM THE TRADE- MARK Elettronica Pagani, established on 1947, it is the oldest Italian manufacturer into the filed of Physiotherapy. Every unit is strictly equipped with all the useful accessories. Also, when you choose Pagani s devices, you also choose an accurate after sales service. Every Authorised Dealer has been properly trained and gets the competence, the know-how, the original spare parts, the instruments needed for granting you a careful and professional service. There are a lot of attractive words for describing the ROLAND 2 series of products but the most useful one is NEW. In fact, ROLAND 2 offers new and advanced technological solutions allowing the operator to get a wide range of information and also allows the operator to enter a lot of information for improving effectiveness of each application. 4

5 IMPROVING QUALITY FOR GETTING THE BEST ROLAND 2 range of products is coming from the success we got with the previous ROLAND range of units even if ROLAND 2 is more than an improvement of the ROLAND series. In fact, ROLAND 2 is representing the modern design, includes the most advanced technology and particularly it contains the highest solutions for making each application more effective. LARGE LCD The LCD clearly shows all the parameters and functions of the unit. SIMPLE UP-GRADING It s possible to make the up-grading simply by changing the flash-card placed on the back of the unit with the new flash-card. WINDOWS CE Windows CE allows real-time performances and a simple interface. TRACK-BALL Track-ball device is granting very simple operations. 5

6 I T IS SO BEAUTIFUL THAT YOU MAY PLACE IT EVERYWHERE! The attractive design is maybe the best expression of the attention and passion dedicated to the development of each feature. Further to the design, the unit is a versatile item which could be placed over a trolley and also over the wall. 6

7 S PECIAL FEATURES FOR SPECIAL UNITS NO LIMITS INTO THE QUANTITY OF CUSTOMISED MEMORIES The operator may enter all the memories he needs, without any limit and he can store each of them by using the name of the pathology, or of the patient or any further name. WIDE RANGE OF PRE-SET PROGRAMS A wide range of pre-set pathologies is available and the operators may set each pathology very simple. Choose the desired pathology and ROLAND 2 will show the areas of the body where performing treatment, it shall suggest the useful parameters and you may accept or change them with reference to your requirements. 7

8 EXPERT: FOCUSED, UNFOCUSED AND LINEAR SHOCK-WAVES THERAPY A SUCCESSFULLY TECHNIQUE The recent introduction of extra-corporeal shock-waves therapy changed the general approach to several important pathologies of bone but also particularly of tendons and muscles. CONTROLLED FOCUSED MODE UNFOCUSED MODE LINEAR MODE ø 36 mm ø 18 mm ø 6 mm, ø 8 mm, ø 10 mm ø 40 mm A quite large focus, such as the emission mode delivered thanks to the patented applicators, allows the operator to cover a quite large area from the surface to the deepest tissues without provoking bad feeling to the patient. Furthermore, thanks to the quite large focuse, any sonography or rx system is needed. Unfocused (or radial) shock-waves therapy are useful for treating superficial parts such as muscles or for performing treatment over the trigger and/or tender points. Often, during each application, it is useful to combine controlled focused mode for deepest tissues to unfocused (radial) mode for stimulating local vasodilation and reducing pain. Shock-waves emission is keeping homogeneous for few centimetres and those linear shock-.waves are useful for performing treatment over cellulite. Blood flow is improving, local vascolarization, molecular destabilization of trigliceridis are made thanks to the cavitation action of shock-waves. 8 MORE THAN 70% POSITIVE RESULTS The feedback coming from the clinical experiences are referring about more than 70% positive results. Dimensions of focus and features of the emission modes allow to treat without hard pain every patient and every pathology. Epicondilytis and epitrocleitis Shoulder pathologies, insertional tendonitis, impingement, frozen shoulder Fascicitis and calcanear spur Rotuleos tendonitis Pubalgia Achille s tendonitis Bursitis, contractures, and elongations Pseudoarthrosis and consolidation delay of small articulations IPP

9 PATENTED SHOCK-WAVES TRANSMISSION: DEEP IN ACTION AND PATIENT S COMFORT Patented device for comfortable applications The innovative shock-waves transmission device designed by the R&S laboratories of Elettronica Pagani, is made by a special chamber where shock-wave is generated, controlled and delivered outside from the applicator to the patient thanks to a special membrane which gets in touch with patient s skin where energy density is transmitted over a quite large area and is keeping around the same area for 4-4,5 cm inside the different soft tissues. The main advantage of a quite large focus is that on this way it is possible to use therapeutic area able to involve not only the source of pathology, but also the surrounding area, in order to provoke biological process, such as neocapillarogenis and antalgic effects, which are able to make positive actions: DECREASES INFLAMMATION PROCESS ACCELERATES LOCAL BLOOD CIRCULATION AND REDUCES PAIN STIMULATES HEALING PROCESS GRANTS FAST RECOVERY Controlled focused shock-waves are provided with intensity, depth and distribution able to grant: effectiveness by respecting patient comfort keeping homogeneous focus emission mode avoiding uncomfortable feeling treating all the suitable pathologies with any special collateral effects avoiding sonography and/or rx visualization during treatment. Treatments of cellulite and localised fat A special linear applicator along with unfocused applicator are available for performing treatments over cellulite and localised fat. Shock-waves produce a pressure wave that passes through the skin and fat to impact the fibrous septae. Pressure breaks up the collagen of the septae and releases the skin, allowing a smoother surface. Shock-waves provoke vibration of connective tissue, improves appearance of the skin, increases elasticity. SHOCK-WAVES THERAPY Technical features Emission modes: controlled focused, unfocused (radial), lienar Max. Frequency: 5 Hz for focused; 12,5 Hz for unfocused and linear Applicators: Ø 18 e 36 mm focused, 40 mm linear, set of unfocused with 6, 10 and 12 mm Max energy density.: 0,60mJ/mm 2 Deepness: up to around 45 mm 9

10 3-BAND: MHZ MULTIFREQUENCY ULTRASOUND 3-BAND is provided with three different ultrasound frequencies: 1, 2 and 3 Mhz. Each frequency is usable independently and also combined with the other ones. Each ultrasound frequency is absorbed in a different way from each cellular layer. 1 MHz ultrasound is deeper than the other ones and generally gets in touch with deepest tissues such as tendons and bone or big muscles; 2 MHz ultrasound is a middle frequency and it is useful for treating muscles or small articulations; 3 MHz ultrasound is suitable for treating the most superficial tissues and small joints. TREATMENT OF IATROGENOUS CHRONIC OEDEMA Oedema of upper limbs is one of the possible collateral effects of surgical intervention over cancer of breast. Mechanical effect of ultrasounds in comparison with pressure of pressotherapy device which also used for the same application, it is certainly more comfortable and accepted from the patient. Ultrasound waves make a micromassage over the cellular layers of the interested arm, by provoking drainage and warm effects, which also create the conditions for changing metabolism and microcircular flow, by acting positively over fibrotic tissues. Ultrasound applicators are placed all over the arm for making a sequential treatment. 10 IUT: INTERACTIVE ULTRASOUND TRANSMISSION Interactive Ultrasound Transmission device allows the operator to check, know and keeping constant ultrasound energy over each invested tissue. After having set the relevant tissue where transferring ultrasound waves, IUT device is automatically setting, with reference to Pohlman regulations, optimal ultrasound frequency/ies. Furthermore, it is possible to change parameters and keeping them monitored. IUT is now suitable for improving effectiveness of each application. It's possible to connect up to 10 1&3MHz heads over two outputs, with sequential application

11 MADE FOR GETTING THE BEST 1 MHz Ultrasound cavitation: effectives over fat tissues up to around 4 cm Cavitation property is the capability of ultrasound to generate, inside the fluids, small gas bubbles. Explosion of gas bubbles makes destroying of liquid cells. Thanks to cavitation process, adipose cells are destabilised, by favouring elimination. 1 MHz ultrasound frequency, with reference with to Pohlman, is useful for transferring ultrasound energy inside the body up to around 4 cm where adipose cells are concentrated. PHONOPHORESIS: TRANSMISSION OF MEDICAL SUB- STANCES IN GEL Due to the effect of ultrasounds, the skin may absorb medical substances, and membrane permeability is granting a better penetration of ions and active principles. Local transmission is generally made for transferring antalgic substances over pathologies where inflammation and pain are present. Mainly thanks to cavitations properties of shockwaves, ultrasound waves being active over the first cellular layers up to around 4 cm for getting benefits in treating adispose fat and localised cellulite. EPIDERMIDE STRATO CORNEO DERMA Principio attivo Technical features Microlesioni Working frequencies: 1MHz, 2 MHz, 3 MHz multifrequency: MHz; 1+2 MHz, 2+3 MHz Emission: continuous and pulsed (25%, 50%, 75%) Power: adjustable from 0,1 to 3 W/cm 2 both in continuous and pulsed modes Modulation: from 10 to 200 Hz Timer: from 1 to 30 min Real-time device with acoustic and visual indications of contact Multilevel module with n. 5 1&3 MHz heads UTRASOUND 11

12 INFINITY: UNIVERSAL ELECTROTHERAPY DEVICE FROM 2 TO 8 OUTPUTS INTERFERENTIAL CURRENTS FROM 2 TO 20 KHZ Interefrential currents of Infinity are adjustable in intensity and they are also horizontally adjustable in frequency. In fact, INFIN- ITY allows the operator to modify the carrier frequency from 2 KHz to 20 KHz, keeping constant the intensity. Without varying the intensity, it is possible to set frequencies more able to make stimulation, or more able to reduce pain or with biological effects; it shall be also possible to set a range of frequencies whit the combination of those mentioned effects. INFINITY may deliver all the low and medium frequency currents for doing iontophoresis, stimulation, pain therapy by using TENS and diadynamics currents, Trabert, Kotz and interferential bipolar and quadripolar, veno-lymphatic stimulation. On request, it is also possible to provide the unit with the High Voltage generator at 500 V. The most effective rehabilitative strategies could be performed only from the most clever operators; and the most clever operators only need the best devices, able to satisfy all their requirements. This is why, INFINITY, without any compromise, is provided with several special features able to satisfy all the most sophisticated requirements. From the full range of available currents to the possibility to mix galvanic current to every rectified current; from the manual and automatic polarity changes to the possibility to store a wide range of customised protocols where several currents could be automatically entered and delivered. An we may go on with several further special features; INFINITY is probably the most powerful electrotherapy device and, like all the other ROLAND 2 units, it also includes a wide range of pre-set protocols and memories for customised protocols. The operator may combine INFINITY to any further ROLAND 2 generator, but it is also possible to enter from 1 to 4 different universal electrotherapy generators. That means, the operator may get from 2 up to 8 output channels. Each generator may deliver all the low and medium frequency currents and it is provided with its own parameters and its own time-length for treating from one to four different parts or patients. 12

13 INFINITY: IT S EASY TO USE THE BEST CORRIENTES IF Bipolare e Quadripolare Kötz Galvanica Galvanica interrotta VENO-LYMPHATIC STIMULATION A special monophasic and sinusoidal waveform is used for improving, accelerating blood circulation, reducing pathologies and pain coming from oedema and bad circulation. Veno-lymphatic stimulation is applied for treating several traumatic, vascular and aesthetic pathologies. VACUUM DEVICE Tens Bifasica Corrente drenante Träbert Rettangolare Triangolare Diadinamica 50Hz Diadinamica 100Hz Corto periodo Lungo periodo Media frequenza IF isoplanare A continuous and pulsed vacuum device is also making more versatile the INFINITY device. Vacuum device allows the operator to place the electrodes easier over the patient s skin without using straps. Also, vacuum therapy is granting local hyperemia and is accelerating metabolic exchanges and blood circulation. Technical features Low frequency currents: galvanic, interrupted galvanic, rectangular, triangular, triangoloesponential, Trabert, Diadynamics (MF; DF; CP; LP; CP-id, combined), TENS, Biphasic ELECTROTHERAPY Medium frequency currents from 2KHz to 20KHz: IF bipolar, IF quadripolar, IF vectorial, IF Isoplanar, MF stimu- Triangoloesponenziale IF vettoriale lation, Kotz, stimulation of veno-lymphatic system. Output channels: 2, enlargeable to 4, 6 or 8 Faradica Alto voltaggio On request: High Voltage current up to 500 V Continuous and pulsed vacuum device 13

14 TRC: THERAPY FOR RESISTIVE AND CAPACITIVE DIATHERMY 14 PHYSIOTHERAPY, REHABILITATION, SPORTS and BEAUTY MEDICINE Therapy of Resistive and Capacitive diathermy is suitable for a wide range of pathologies where it is capable to provoke cellular biostimulation. We may think about traumas of muscles, bone and tendons, both acute and chronic pain, pathologies over the back side, fractures where recovery time becomes shorter, but also vascular and dermatological diseases (such as oedema, ulcers, cheloidis, etc.) and, last but not least, it is also effetive for draining cellulite and localised fat. Give me the fever and I'll take care of all diseases (Ippocrate. 400 a.c.) One of the oldest medical citations is today representing one of the most clever intuitions. Should we use the most traditional diathermy approaches, like microwaves, short-waves, we may provoke heating of the most superficial tissues only, and the deepest tissues are invested from a few heating which is not enough for provoking the therapeutic answer, The new Capacitive and Resistive Diathermy is capable to invest also the deepest tissue with the useful energy density. TRC diathermy is capable to make warm into the tissues since electromagnetic field is generated from inside (from the body itself); electromagnetic field inside the body is making warm, saving superficial tissues. Hyperemia coming from TRC diathermy is making several effects: 1 Increasing tissue extensibility 2 Reduction of pain and muscle contracture 3 Increasing of blood flow 4 Fast absorption of hematomas 5 Reducing of articulation stiffness % %* 50%** % 10% Capacitive and particularly Resistive Therapy are deeper than the most traditional diathermy techniques, such as ultrasounds, microwaves and shortwaves. In fact, electromagnetic field is provoking warm from inside the patient s body.

15 A GAINST PAIN AND INFLAMMATION, MAKES SHORTER RECOVERY TIME NON-THERMAL AND THERMAL APPLICATIONS Wide versatility of TRC diathermy into the electromagnetic transferring and particularly in provoking warm effects, varying from non-thermal to strong thermal effects, is a special feature and it comes from the availability of both continuous and pulsed modes. IMPEDANCE AND THERMAL SENSOR Electric impedance is the capability of a certain tissue to be passed by using an electric current; a low impedance means a good conductivity and the capability to be passed by using the electric current; otherwise, an high impedance makes difficult to pass the tissue by using an electric current. This is why it is useful to be sure about impedance for transferring the proper energy to the difference cellular tissues.furthermore, taking into consideration that warm is the main effect for all the physiological effects, a special sensor, even if it not like a thermometer, it s certainly useful for monitoring temperature modifications during energy transferring. SAFETY, TECHNOLOGY AND EFFECTIVENESS ALL TOGETHER The majority part of the similar devices available over the market are using very simple insulation technique (nylon, Teflon, ceramic-glasses, etc.); otherwise PAGANI TRC diathermy is using a sophisticated printed circuit over each capacitive electrode for granting the best features in terms homogeneity energy transferring, proper insulation, safety both for patient and operator. Last but not least, also the high frequency cable is properly insulated for reducing at the best electromagnetic dispersion. Technical features Modes: Resistive and Capacitive Emission: continuous and pulsed Impedance: in real time Temperature sensor Max. power: mod. TRC150: 150W mod. TRC300: 300W mod. TRC500: 500W RESISTIVE AND CAPAITIVE THERAPY 15

16 ENDOASAN: CONTINUOUS AND PULSED MICROWAVE THERAPY ENDOSAN is a modern device for microwave therapy. ENDOSAN could deliver both continuous microwaves for creating hyperemia effects over the area of the treatment and also pulsed microwaves for transmitting electromagnetic waves without making warm over the superficial tissues. This innovative device is capable to deliver electromagnetic field only, without provoking warm while acute diseases are present and/or while warm is not indicated for the general situation of th pathology. 16

17 L ARGE RANGE OF APPLICATORS A large range of applicators is available for performing every kind of treatment. Also, the wheeled frame device is attractive but also very comfortable to move, without any special effort. Technical features Frequency: 2450 MHz Emission modes: continuous and pulsed Intensity: 250 (continuous); 1600 W (pulsed) C B D A. Conical radiator (standard) B. Small size rectangular radiator (on request) C. Medium size rectangular radiator (on request) D. Large size rectangular radiator (on request) E. Extra-large rectangular radiator (on request) F. Tridimensional radiator (on request) E F A DIATERMIE AND MICRO-WAVE 17

18 SYNERGY: LOW AND HIGH FREQUENCIES MAGNETIC FIELDS SYNERGY IS THE ONLY DEVICE DELIVERING BOTH LOW AND HIGH FREQUENCY MAGNETIC FIELDS. Further to the most traditional frequencies from 1 to 200 Hz, it is also possible to set 2 GHz high frequency magnetic field. It is possible to set only low frequency or only high frequency, but it is also possible to combine the two frequencies for getting the benefits of both the magnetic fields. Usually, low frequency magnetic field is applied for performing treatment in case of fractures, pseudarthrosis, osteoporosis, etc.. The aim of the treatment is to improve quality and quantity of callus and collagene. Otherwise, high frequency magnetic field is generally used for treating vascular, dermatology diseases and also for treating all the pathologies where warm is absolutely contra-indicated. 18

19 A LARGE PROGRAM ALSO INTO THE CHOICE OF APPLICATORS SYNERGY is provided with two outputs both for low and high frequency magnetic fields. Ergonomic couch with diam 80 cm applicator 1 1 Pair of applicators for low frequency magnetic field 2 Applicator diam 30 cm for upper and lower limbs 3 High frequency applicator Ergonomic couch with two applicators for partial and total-body treatments 2 3 MAGNETIC FIELDS Ergonomic couch with keyboard and two solenoids for both partial and total-body treatments Technical features Low frequency Hz max. intensity: 100 Gauss effective intensity: 50 gauss High frequency Hz 19

20 LASER HIGH ENERGY LASER: THE MOST POWERFUL LASER DEVICES 20 HIGH TECHNOLOGY BECOMES SUITABLE FOR GETTING THE BEST PERFORMANCES High Energy Laser Therapy is for operators who are like to get quick recoveries and discernible effects for each treatment and, therefore, want something more than the traditional laser devices. High Energy Laser Therapy represents a revolutionary technological and therapeutic advancement over traditional laser sources. It guarantees deeper penetration, deep diathermy, greater therapeutic versatility and therapeutic performances that are unthinkable with other laser devices. AGAINST PAIN, REDUCES INFLAMMATION, ACCELERATES LOCAL METABOLISM. The interactions of the High Energy Laser Therapy with the tissue can be divided into four main categories, depending on the type of process, that follow the absorption and essentially depend on the wavelength, power density and timing of the emission modes (e.g. continuous, pulsed and super-pulsed) of the radiation used: I) Photophysical interactions: the laser's monochromaticity is used to excite the target chromophor (haemoglobin, myoglobin, water, etc.); II) Photochemical interactions: the absorption process is followed by a series of chemical reactions that alter the biological sub-layer; III) Photothermal interactions: due to the conversion of the energy using in heat; IV) Photomechanical interactions: focusing high power impulses on very small volumes allows obtaining real mechanical vibrations. COEFFICIENTE ASSORBIMENTO 50% FINESTRA TERAPEUTICA Nd:Yag LUNGHEZZA D ONDA (nm) H 2O Melanina 808, 980 and 1064 nm laser sources are absorbed in a different way from each cellular layer. All of them are the most effective wavelenghts for getting therapeutical results into the treatment of human pathologies in terms of pain, inflammation of muscles, tendons and bone. The latest source is the visible one which is working at 650 nm, like HeNe, and allows the operator to get in touch with cutis, but it is also and mainly used for making visible the laser beam. H 2O

21 C ONTINUOUS, PULSED AND SUPER PULSED EMISSION MODES Continuous Emission For using the max output power, reducing applications times, getting warm effects over the affected area. Also, it is useful to use continuous emission mode while automatic scanning or static emission modes are performed over a large part of the body. Operator may adjust intensity from the lowest level to the highest level, both before starting treatment that during treatment, just in order to adapt intensity to the real feedback of the patient. Pulsed emission Pulsed emission or interrupted emission mode is performed for reducing thermal effects over the different cellular layers and delivering high energy power. Super Pulsed emission The Super Pulsed method produces a high level of light impulse for a very brief duration for each pulse width, which for the most part is athermic or almost athermic. The highest incidence of super pulsed emission mode allows to avoid thermal effect over the most superficial tissues, avoiding energy saturation and granting into the same time the deepest penetration for getting in touch with tendons, bone and bigger muscles. The high power emitted during each pulse (super pulsed) prevents, or however, reduces heat transfer to the surface tissues, thus preventing saturation and providing deep tissue penetration. Conditions being equal, the increase in intensity compared to continuous emission allows: deeper action more even distribution safer application HIGH ENERGY LASER Trigger Points Treatment of the trigger points is useful while a painful area is advisable, Generally over small areas of the body. Trigger points are available over the muscles, mainly over the body of the muscle. Usually, it is used super pulsed emission mode for treating trigger points, by trasnferring laser energy over each point for a short application time, in order to avoid dangerous energy density. Application is manually made over each point. The best optical way of each articulation is the part of the body where it is possible to find the lowest density, where the laser beam could penetrate at the best way. 21

22 FIBER LASER: MANUAL AND STATIC APPLICATIONS FIBER is available with four different laser sources: infra-red at 808 nm and 5 W, infra-red at 808 nm and 10 W; solid state 1064 nm (Nd:YAG type) at 15 W and last but not least, combined at 808 nm nm at 12 W for granting transmission all over the different cellular layers. 808 nm wavelength is getting in touch with the deepest tissues; otherwise, 1064 nm is absorbed a little less than 808 nm but it is diffused in a larger area due to the better absorption from liquids (such as water and blood). Every model is a very special laser device, which is capable to deliver high energy laser beam. Usually, FIBER is provided with a small cabinet that the operator could place over a table or the special ROLAND 2 trolley. Operator may use FI- BER laser manually for getting the best from each application and treating carefully each patient and/or he may decide to provide the unit with a special arm for doing static application over quite large areas (from 6 to 12 cm large). Ø 2 cm Ø 6 cm Ø 12 cm Manual application Manual application is usually performed over a small part of the body where it is possible to find the proper optical ways for transmitting laser beam. Usually, the operator moves a little bit the probe over the part of the body, avoiding to be fixed over a certain point just in order to avoid energy saturation and bad feeling from the patient. Also, it is suitable to use manual application while the operator would like to treat trigger or tender points. Application time over each point is very short due to the high laser energy. Static application On this opportunity, two special applicators (6 and 12 cm large) are available for performing application by using a special arm over a quite large area. Laser beam, with a proper diffusion coming form the divergence of each source, is transferred for covering all the area of the applicator, by granting a very wide treatment all over the interested area. Several times, each pathology is made by both the applications, manual and static. Manual for being sure to get in touch with the deepest tissues and automatic for covering a quite large area able to provoke warm and increasing of metabolism over the interested are and all around the area. Technical features FIBER 5 FIBER 10 FIBER NDYAG FIBER 3 Waves Dimensions cm 40x40x25 h cm 40x40x25 h cm 40x40x25 h cm 40x40x25 h Laser sources nm nm nm nm Emission mode continuous, pulsed (interrupted), super pulsed Frequency Hz Hz Hz Hz Duty-cycle 20 80% % % % Power at 1 5 Watts 2 10 Watts 3 15 Watts 1 12 Watts the source Trolley on inquiry on inquiry on inquiry on inquiry 22

23 MLT: MANUAL AND AUTOMATIC APPLICATIONS MLT device is the most advanced and sophisticated version of all the High Energy Laser series. Further to the functions of FIBER laser devices, MLT offers the opportunity to perform treatments automatically, by using scanning emission mode over quite large areas of the body, without the operator. MLT is available into three different versions: infra-red at 808 nm and 15 W for the deepest tissues; solid state 1064 nm at 15 W, for combining penetration to wide absorption; combined infra-red 808 nm and 1064 nm 27 W for getting the highest energy density all over the different cellular layers. The above mentioned features are technical peculiarities which are granting effectiveness and versatility that no other laser devices may offer over the market. Manual applications, automatic scanning applications with all the available laser sources of MLT series, with all the rest of the available features (such as continuous, pulsed and super pulsed modes, pre-set programs, memories, automatic calculations of application time or energy density, etc.), make MLT device the best choice into the laser field. Manual applications Also MLT offers to the operator manual applications. Of course, due to the high power of each available source, during manual applications it is advisable to use only pulsed and super pulsed modes, avoiding continuous mode which is suggested while automatic scanning applications are performed. HIGH ENERGY LASER Technical features MLT 3 MLT 1064 MLT 808 Laser sources nm nm nm Emission continuous, pulsed continuous, pulsed continuous, pulsed and superpulsed and superpulsed and superpulsed Frequency 1 240Hz 1 240Hz 1 240Hz Modes manual and scanning manual and scanning manual and scanning Power at the source 0,27 27 W efficaci 0,15 15 W efficaci 0,15 15 W efficaci Wheeled frame cm40x40x150h cm40x40x150h cm40x40x150h 23

24 EXPANDER X 5: MORE THAN ONE SPECIAL CHOICE. UP TO 5! Up to 5 different generators that the operator may combine with reference to his requirements. Each operator may build his own device. Combination of the various available generators during the same treatment permits to get more therapeutic benefits. Parameters and functions of every generator are shown over the same LCD. Only 50 cm 2 are enough for containing up to 5 different generators and it is not necessary to move the patient who can do every treatment into the same room. x5 is representing the new and attractive concept of a the new ROLAND 2 range of physiotherapy units allowing to improve versatility, cheapness, effectiveness. The same system is managing more than one generator for making cheaper both the purchasing and the maintenance costs. 24

25 A ND NOW, BUILD YOUR DEVICE Every day is a special day, every patient is a special patient and every Expander x5 device is a special device. Here below, you ll find some labels where you can see the available generators. Cut each desired generator and put it over the liquid crystal display of Expander x5 and make your device. You may place up to 5 different labels (generators), by respecting the space over the LCD and the quantity of labels you got. Over each label, you ll find the available applicators. ELECTRO ELECTRO ELECTRO ELECTRO M A G N E T O M A G N E T O M A G N E T O M A G N E T O ULTRASOUND ULTRASOUND LASER VACUUM CARREL L ATO Low & Mid Frequency currents Low & Mid Frequency currents Low & Mid Frequency currents Low & Mid Frequency currents LF applicator HF applioator Ø 30 cm Couch T-body couch LF applicator HF applioator Ø 30 cm Couch T-body couch LF applicator HF applioator Ø 30 cm Couch T-body couch LF applicator HF applioator Ø 30 cm Couch T-body couch Heads Ø 5 cm 2 Ø 1 cm 2 Static Multilevel Heads Ø 5 cm 2 Ø 1 cm 2 Static Multilevel Probe 5 Watts 10 Watts from 4 to 8 electrodes Shock-waves Mod. EXPERT or Laser Mod. MLT MICRO-WAVES Continuous and pulsed emission modes

26 C OMBINED 1&3 MHZ ULTRASOUND AND UNIVERSAL ELECTROTHERAPY VACUUM DEVICE A continuous and pulsed vacuum device is also making more versatile the combined device. Vacuum device allows the operator to place the electrodes easier over the patient s skin without using straps. Also, vacuum therapy is granting local hyperemia and is accelerating metabolic exchanges and blood circulation. Technical features Working frequencies: 1MHz, 2 MHz, 3 MHz multifrequency: MHz; 1+2 MHz, 2+3 MHz Emission: continuous and pulsed (25%, 50%, 75%) Power: adjustable from 0,1 to 3 W/cm 2 both in continuous and pulsed modes Modulation: from 10 to 200 Hz Timer: from 1 to 30 min Real-time device with acoustic and visual indications of contact 26 The unit is provided with three different ultrasound frequencies: 1, 2 and 3 Mhz. Each frequency is usable independently and also combined with the other ones. Each ultrasound frequency is absorbed in a different way from each cellular layer. 1 MHz ultrasound is deeper than the other ones and generally gets in touch with deepest tissues such as tendons and bone or big muscles; 2 MHz ultrasound is a middle frequency and it is useful for treating muscles or small articulations; 3 MHz ultrasound is suitable for treating the most superficial tissues and small joints. All the low and medium frequency currents are available for doing iontophoresis, stimulation, pain therapy by using TENS and diadynamics currents, Trabert, Kotz and interferential bipolar and quadripolar, veno-lymphatic stimulation. On request, it is also possible to provide the unit with the High Voltage generator at 500 V. Multilevel module with n. 5 1&3 MHz heads Low frequency currents: galvanic, interrupted galvanic, rectangular, triangular, triangoloesponential, Trabert, Diadynamics (MF; DF; CP; LP; CP-id, combined), TENS, Biphasic Medium frequency currents: from 2KHz to 20KHz: IF bipolar, IF quadripolar, IF vectorial, IF Isoplanar, MF stimulation, Kotz, stimulation of veno-lymphatic system. Output channels: 2, enlargeable to 4, 6 or 8 On request: High Voltage current up to 500 V Continuous and pulsed vacuum device

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