Transcript *** 1 - GM Medical Solutions

NuTek® Devices
New EMG\STIM Devices
Maxi Plus 1
1 Channel EMG
Levator Elite
1 Channel EMG \ 1 Channel STIM \ 1 Channel ETS
Maxi Plus 2
1 Channel EMG \ 2 Channel STIM \ 1 Channel ETS
Levator Mini
2 Channel STIM
New EMG\STIM Devices
Colour dot matrix display
and menu interface
Accurate ＆ sensitive
Auditory and visual
EMG biofeedback signal
Portable and
user friendly
Optional multilingual PC software
with USB cable link to computer
Convenient stand
Clinical Conditions
REHABILITATION
CONTINENCE
PAIN RELIEF
FOR
SPORTS
Clinical ＆
Home
Use
FITNESS
What is EMG?
EMG: Electromyograph
The measurement of electrical activity
that brings about muscle contractions.
Evaluating and training the muscles.
How To Measure EMG
• Clean the site of application
of electrode ;
• Place NuTek ® surface skin
electrodes , vaginal or rectal
probe at muscle belly;
• NuTek ® device record muscle
activity at rest;
• NuTek ® device record muscle
activity upon voluntary
contraction of the muscle.
EMG Range: 0.2 to 2000 μV
Sensitivity: 0.1 μV
Display Type From NuTek ® EMG
STRONG MUSCLE CONTRACTION
threshold
threshold
WEAK MUSCLE CONTRACTION
Bar graph
Line graph
EMG Statistics From NuTek ® EMG
• Work Average: the average value in microvolt of all the Work
segments excluding the first second of each segment.
•
Rest Average: as low as you can manage, below 6µV is acceptable
while below 4µV is ideal.
• Onset Time: most muscles contract within 1 second.
• Relax Time: readings below 1 second are considered normal for
most muscles.
• Peak Value: working at peak value during the whole cycle of all the
trials .
• Muscle Deviation: the stability of the muscle.
5/5/5 EMG Assessment
• 5/5/5 = 5 sec Work /5 sec Rest/ 5 Trials
• Target: assess muscle condition and quantify the need for
further treatment
Fast Contraction/Relax
5 fast contractions ( 10 sec Rest at least before contraction)
Target: Evaluate or Training fast twitch fibre function
10/10/5 Muscle Endurance
• 10/10/5 = 10 sec Work /10 sec Rest/ 5 Trials
• Target: Evaluate or Training slow twitch fibre function
STIM: Electrical Stimulation
Waveform: Symmetrical
Stimulation cycle: required to prevent fatigue
Parameters Range
Programme time
Phase type
Phase time(m)
Frequency (Hz)
Pulse Width(μS)
Ramp down /up time (s)
Work/Rest time (s)
1- 99mins
W/R, CON
1- 99min
2-100 Hz
50- 450 μS
0.1- 9.9sec
1- 99 sec
STIM: Effects
• Produce substantial muscular tension.
• Capable of increasing strength.
Used when limb is immobilized.
Also slows the onset of atrophy.
STIM: Clinical Conditions
Clinical mode
Frequency
[Hz]
Pulse Width
[µS]
Continence
3-35
200-300
Sports
4-100
220-350
Rehabilitation
3-35
80-350
Fitness
4-60
175-320
Pain relief
2-100
100-200
Frequency: cycles per second
(1Hz= 1 cycle per second
50Hz=50 cycles per second)
Amplitude
[mA]
0-90
What Is ETS ?
ETS (EMG + STIM)== Electromyography Triggered Stimulation
Actively participating in the training!
ETS Training
 Closed loop training system
• Patient attempts a movement, at the same time, and
generates a EMG signal.
• When reaching a preset threshold of EMG, it triggers
the stimulation and helps the patient complete the
movement.
• Patient receives feedback about the movement and
learns how to produce a normal movement.
 Goal
• Helps the patient gain strength and awareness of
muscles affected by neurological injury.
 Conditions known to respond to ETS
• Stroke.
• Pelvic floor conditions.
NuTek ® Software
Connect the device to the PC or
Smartphone via the USB cable. This
function is an optional extra and the
user will need to purchase the NuTek®
PC software, the USB connection cable
to the PC or the Bluetooth module . The
Smartphone function is realized by
communicating with Bluetooth module.
Patients Data
• : Choose Patient
The list of finished sessions of
the selected patient
Firstly, Select Patient
Available Protocol Session: One
1. Select Open
Display
3. View statistic
Open Display
it is for EMG only
and advised to be
used as a diagnosis
tool.
2. Complete Open
Display sessions
4. View graph
Available Protocol Session: Two
Work/Rest Assessment And Training
Those are for EMG only
Assessment is advised to be used by therapist evaluating
muscle condition.
Training is advised to be used for patient daily exercise
Available Protocol Session: Three
Nu-Tek Control
It is used for ETS or STIM
controlled by the device.
When the patient observes
their EMG reaching the
threshold, it triggers
stimulation and encourage
the patient to contract
longer and reach higher
threshold level faster.
Available Protocol Session: Four
1. Draw the line, it can
be repeated
Available Protocol Session : Three
2. Save the template
3.
Template
training:
Patient should follow
the line by his/her EMG
Home Reports
Using the PC Software, The recorded data can be uploaded to PC, create the home
report. On the Report, the data of first and last day are display, the EMG, ETS ,STIM
data can be compared day by day. This functionality is especially useful if the Patient
exercises day by day at home and comes periodically to the Doctor/Clinician.
NuTek Control Reports
Note Icons
The recorded data is generated by NuTek Control, it stores daily EMG/STIM/ETS
statistics, the statistics are organized in Monthly and Daily Report in the PC Software.
Clinical Progress Reports
Clinical progress reports are composed of Work/Rest assessment on PC and in device .
Using the PC Software, The Doctor/Clinician can select the recorded sessions for the
selected Patient and create the Clinical Progress Reports. On the Report the EMG data
can be compared day by day. This functionality is especially useful if the Patient
exercises day by day at home and comes periodically to the Doctor/Clinician for
evaluating patient conditions.
Other Function: Precription
Periodically the doctor or therapist will be able to download newly
developed programmes for Muscle Stimulation, EMG Biofeedback and
EMG- TRIGGERED STIMULATION. This helps this unique product to
keep abreast of any clinical trials where the conclusion is that a specific
programme or programme set may assist in enhancing the treatment .
Other Function: Forgotten Password
If you forget your
password, you have to
answer your secret
questions to retrieve it