You Deserve a Zimmer

Electrotherapy and Ultrasound

Clinical Cryotherapy

Radial Shockwave Therapeutic Laser

Quality • Innovation • Simplicity

Understanding Shockwave Therapy

enPuls PRO and 2.0 Shockwave units

Understanding Laser Therapy

OptonPro 7 Watt Therapeutic Laser

SoleoLine Ultrasound & Electrotherapy

Zimmer Electrodes & Sponges

Cryotherapy - Cryo6

4

7

10

14

16

22

23

Table of Contents

In Business Over 40 YearsOperating in 100 CountriesZimmer MedizinSysteme is a leading supplier of systems solutions in the cardiovascular diagnostics and physical therapy disciplines globally. Thou-sands of Zimmer units are being successfully used in over one hundred countries worldwide. Clinics and hospitals all over the globe choose Zim-mer as their premiere source for therapeutic equipment.

Team of Engineers & DevelopersAt Zimmer we employ roughly 20 full time engineers and product devel-opers. By maintaining this level of dedication, Zimmer will continue to be a global leader in innovation, design and new medical technologies.

Our products are characterized by elegant designs, user-friendly systems, medical innovation and reliable German manufacturing.

The company’s core strengths and competencies are focused on a singular drive to improve health. To maintain this course and direction Zimmer draws inspiration equally from medical science, modern technology, and of course the end-user’s needs.

Products are developed in strict accordance with scientific principles, and then subjected to rigourous clinical trials. Our close collaboration with universities and technology institutions distinguishes us from our competi-tors. We hold numerous patents as a result of these efforts.

Vigorous TestingEven with quality German manufacturing, we want to assure every unit meets our demanding specifications, therefore, every Zimmer device is subjected to hours of continuous testing before being released for ship-ment. This means you can be confident your Zimmer unit will perform to the specifications intended.

International CertificationsZimmer MedizinSysteme GmbH is CE, Health Canada and ISO 13485 certified. We consider certification of our company simply as an out-ward expression of our already embedded quality-conscious philosophy.

With exceptional engineering comes the ability to offer an exceptional warranty as well. This means that if you should ever encounter a problem with your Zimmer product, while under warranty, we will ensure that your “down-time” will be minimal. In partnership with Vitality Depot, we will act with urgency to correct the issue to your satisfaction and get your clinic efficiently operating again at lightning speed.

• Incoming Warranty Service calls will be handled immediately by our qualified service technicians. If a technician is not available to take your call, we guarantee to call you back within two business hours.

• Any problem will be diagnosed within one business day.

Loaner Unit• If we require the return of your product for repair, we will send you a Loaner Unit which will be shipped within 24 hours of the completion of the diagnostic evaluation. Replacement units on loan in your office can be used until we can return your re paired product to you.

Pre-paid Shipping• We know you’re busy which is why we will also Pre-Arrange and Pre-Pay on your behalf: - All shipping charges for you to return the unit to be repaired - All shipping charges for you to return the Loaner Unit

• Friendly, courteous Customer Technical Support will assist and guide you through to a satisfactory resolution and get your clinic operational again as quickly as possible.

• Upon completion of all service repairs we will follow up with you to complete our Customer Technical Support Satisfaction Review. We need your feedback in order to document your degree of satisfaction, and ensure that you have received the highest level service.

All Zimmer units include:Large, colour touch screens

Intuitive programming that is simple to navigate

Press-and-start protocols to easily train new staff members

The Zimmer family of products

On board instructions with visual and written instructions

SD Card to:• Store up to 240 favourite programs• Upgrade your software free• Share favourite programs to seamlessly move protocols and therapists between units and locations

Simple on-screen adjustments to customize your settings during therapy

Platinum Service Warranty

Made in Germany with precision crafting and

engineering to ensure your unit always performsLicensed by Health Canada

License numbers are listed with each unit.

4

What is Radial Shockwave Therapy?

Yes. Clinical research has been ongoing for decades and the published data clearly shows that Radial shockwave Therapy is a highly effective treatment option for many musculoskeletal conditions and injuries. (see research on page 9)

Radial shockwave Therapy works without the need for drugs, stimulates the body’s natural ability to heal itself, and in some cases can even help eliminate the need for invasive surgery.4

Is Radial shockwave Therapy effective?

Focused shock waves target a specific point

Radial shockwaves flow through a region

extracorporeal shock Wave Therapy (esWT) is a term most commonly associated with Focused shockwave therapy, although some distributors and re-searchers also use this terminology to refer to Radial shockwave Therapy.

The first medical treatment developed using shockwaves was lithotripsy. This allowed focused shockwaves to specifically target and essentially dissolve kidney stones without surgical intervention.

More recently, focused shockwave therapy is being offered for orthopedic treat-ments. However, these systems have inherent drawbacks. To create effective thera-pies, you need to be able to precisely target both the exact areas that require treatment and the depth of the treatment being applied. This is extremely difficult even with the use of visual references like ultrasounds. Therefore, many focused shockwave treatments become “hit and miss”.

Research shows that for many conditions, Radial extracorporeal shockwave deliv-ers results as good or better than low-energy focused therapy, with the added benefits of being more consistent in application and not requiring local anesthesia 1-3. Therefore, for the balance of this document we will focus on Radial shockwave Therapy only.

Radial versus Focused shockwave and esWT

Therapeutic Radial shockwaves are simply controlled pressure waves that are created when a ballistic projectile is accelerated and then impacts against a stop-plate inside a specially-designed hand-piece.

The primary effect of these shockwaves is a direct mechanical force that occurs at a cellular level as the wave’s energy passes through tissue. These waves cause a controlled impact on the tissue being treated.1 The result is a biological reaction within the cells

Research indicates that the mechanical stimulation produced by shockwaves is capable of inducing positive reactive processes in the cellular structure of injured tissue. The most commonly observed reactions in tissue treated with shockwave Therapy are;

• Increased Metabolism

• Expression of Substance P (a growth & pain mediator hormone)

• Improvement of cellular tensile stability

• Altered cell membrane permeability

• Increased cell activity by Gene Expression

• Overall improvement of cellular structure

• Re-absorption of calcium deposits in tendonsAction Equals Reaction

of that tissue which causes an increase in blood circulation through the injured site and accelerates the body’s natural healing processes. Radial shockwave treatments increase the metabolic activity around the site of pain or discom-fort. This therapy also stimulates the re-absorption of irritative calcium deposits in tendons, accelerates healing and reduces pain.

5

A small metal projectile is accelerated at very high speed inside the handpiece until it impacts against a stop-plate. The collision caused by this action generates a mechanical pressure wave. This pressure wave of energy is transferred through an applicator head at the end of the handpiece which directs and sends the energy into the selected treatment area.1

By adjusting specific control parameters, shockwave Therapy can be modified to treat a number of different musculoskeletal conditions and individual treatments can be customized to “fit” any patient type. Treatments can be modified and customized by adjusting;

• the amount of energy used,

• the frequency of the Shockwaves,

• the number of “shots” (or pulses) per treatment,

• and the size of the applicator head

Chamber where metal projectile is accelerated

Applicator head (pictured with silicon cover)

stop plate where projectile impacts applicator head

Treatments take as little as 5 minutes with immediate results

Unlike many other forms of therapy, shockwave Therapy generates virtually immediate positive results. even after just one treatment, patients usually report;

• A significant reduction in pain.

• Improved Mobility (range of motion).

• More normalized muscle tone.

• Muscle “knots” or tightness are usually gone or noticeably reduced & relaxed.

Individual shockwave Therapy treatments usually involve delivering about 2,000 shockwave pulses or “shots” per treatment area. This takes about 5 minutes. Most conditions require between 3 and 6 treatments in total. Normally the treatment protocol recommends between 1 and 3 treatments per week. The patient’s body requires “rest & repair” time between treatments in order to allow for natural, accelerated healing.

How Long Does a Radial shockwave Therapy Treatment Take?

How Long Before the Patient Reports any Improvement?

How Does a Radial shockwave Therapy system work?

Treat Difficult Conditions More effectively

Radial Shockwave Therapy can be used to effectively treat;

• Insertion Tendonopathy • Heel Spurs / Fasciitis Plantaris

• Epicondylopathy radialis /Ulnaris • Patellofemoral Syndrome /Achillodynia

• Myofascial Pain Syndromes • Tibialis anterior Syndrome

• Impingement Syndrome • Trigger Point Therapy

• Bursitis • Osteoarthritis

• Shoulder Tendinitis • Tendon calcifications

Radial shockwave Therapy has proven to be an effective treatment option for these conditions. It is unique in it’s ability to treat conditions which have become chronic, where other more traditional therapies or modalities have not proven effective.5-17

Patients treated with Radial Shockwave Therapy frequently report immediate response to their treatment. Most report a significant reduction in pain and a noticeable improvement in mobility after their very first treatment.

Treatment using radial shockwave therapy of the right shoulder of a 44-year-old man with a type II subacromial calcification.6

Original Calcification After 4 Weeks

6 Electromagnetic vs Air Compressor Systems - What should I be looking for?

Independent research shows that both forms of generating shock-waves are efficacious.3 Typically electromagnetic systems are found in the more expensive Focused shockwave units. The use of one system over the other has to do with the manufacturer’s preferred construction and not the efficacy of the therapy.

Generally, radial air compressor systems (pneumatic) generate peak pulse rises at 3.5 µs (billionth of a second), while electromagnetic peak pulses are at 13.5 µs. Both of these measures are well within the time restraints needed to a generate sufficient shockwave for treatment efficacy. The later, however has the added benefit of cre-ating less of a “stinging” sensation for the patient.

The more important factors in your equipment decision making pro-cess should be the maximum energy (Bars/mJ) and Frequency (Hz) the unit can generate, ease of use, reproducibility between profes-sionals within your clinic and requirements like portability, warran-ties, running costs and your overall budget.

Unlike many other therapies, shockwave Therapy creates virtually no stress or strain on your body. This means you are free to actively treat patients more often and over many more years. (…if you want to!)

How Can Shockwave Therapy Help Me & My Clinic?

Improve Patient Retention

Grow Your Clinic by Acquiring More Referrals

shockwave Therapy is exceptionally effective and patients respond very quickly to the treatment. Patients often report improvements of up to 90% in just 2-3 sessions. This means the average patient is more likely to stay on their scheduled Treatment Plan, and even look forward to their next appointment.

Add Years to Your Professional Career (...if you want to)

Treat More Patientsshockwave treatments take about 5 - 10 minutes. This provides you the opportunity to treat more patients per day and offer real solutions for conditions that may not have responded well to other forms of therapy.

For chronic musculoskeletal and calcification indications, no treatment is more effective than Radial shockwave therapy.

Patients Happy patients refer! Providing fast, long-term solutions to chronic conditions, gives patients the confi-dence to refer you to their friends and family.

Professional Colleagues Informing your neighbouring colleagues about the conditions that respond to shock-wave Therapy can open the opportunity for you to es-tablish your Clinic as the local Referral “Hub” for this treatment option.

I have been working as a physical therapist for 10 years doing the same standard treatments including Ultrasound, Exercise and Electrical Stimulation for different or-thopedic problems like Plantar Fasciitis, Tennis Elbow, etc. Using these therapies, I have patients see me 2-3 times per week for 6 weeks. But with enPuls Shockwave Therapy, patients are usually treated once a week for 4-6 weeks. Patients often report improvements of up to 90% in just 2-3 treatments. The effectiveness of the enPuls is astounding, and it has been extremely helpful for most soft tissue and inflammatory conditions. Patients are amazed with the results.

The enPuls is light weight and can easily be transported from one room to another. As a clinician the touch screen mode makes it easier to determine the pressure point landmarks, treatments are pre-set so set-up time takes no time, and the enPuls gives me complete control to adjust for my patient’s feedback with its manual adjustment capability. The Zimmer enPuls has delivered as promised.

Sukhbir Singh, BScPTHealth Medica Ottawa

“Patients often report improvements of up to 90% in just 2 - 3 treatments.”

“The Zimmer enPuls has delivered as promised.”

I had the opportunity to use the Zimmer enPuls shock wave unit to treat members of the Canadian olympic track and field team. The enPuls had several features (in addi-tion to the clinical benefits of shock wave therapy) which made it a very practical and efficient modality for our clinic. Such features were; its portability - the equipment was easy to transport (with sturdy protective case) and this feature made it very versatile for use on the road (i.e at training camp and Olympic games); Its pre-set clinical indi-cation menu; I found the menu very easy to navigate and the protocols were precise and easy to follow because of the clear anatomic diagrams. Overall our therapist found the enPuls was a very effective and practical clinical modality.

Dr. Wilbur Kelsick, Chief Sports Chiropractor, Canadian Olympic Track & Field Team

2012 Olympic Choice

A total of 55 patients were enrolled for treatment. Twenty-six patients were treated with the pneumatic shockwave therapy system and 29 with the electro-magnetically driven system. The diagnoses were similarly distributed in both groups. Both groups started with VAS scales averaging 6.5.

At the end of the study, an average pain intensity of 2.7 was recorded in the group treated with the pneumatic system compared to an average value of just 2.4 in the group treated with the electromagnetic system.

Dr. Johann ZengerConsultant for Orthopaedics RheumatologyChirotherapy and Rehabilitation Services March 2011 Nuremburg, Germany

Pneumatic vs Electromagnetic

Therefore, both pneumatic and electromagentic shockwaves create results

7What makes the ZIMMER enPuls superior?

Multi-lingual interface allows you to pick the language you want to work in.

Full On-screen Protocols Protocols are represented both visually and with text instructions on screen.

High Definition, Colour Touch Screen Onboard Direct access to all necessary parameters of treatment, including a list of indications with guidelines and extensive programs.

• Preset therapy protocols including pictures of the treatment area.

• Visual and written instructions on screen and fully integrated with treatment screens

• Touch screen operated , with large easy-to-read screen

• Shock counter

• Body Map indications menu with preset treatment protocols

• Fully customizable treatment parameters are simple to adjust on screen

Total Control Modify any existing protocol or design your own

No Messy Air CompressorThere are no heavy, messy air compressors to drag around, listen to, maintain or drain which also makes the Zimmer enPuls light weight and portable.

Zimmer’s High mass hand piece creates less strain on the therapist and allows for one-handed use

Unique enPuls “Soft” ShockwaveenPuls creates unique shockwave pulses by using a projectile 5 times heavier than standard air compressor systems and a reduced final velocity upon contact with the applicator.

Through the force of the accelerator and mass of the projectile, the pulses carry the same amount of mechanical energy, but are more comfortable for the patient than other shockwave systems.

Increased patient complianceThe longer pulse rise time maintains the energy without the need for unpleasant high peak pressure amplitudes. The lower peak and longer rise time minimizes the stinging and painful sensation normally associated with this type of therapy.

Less pain, same efficiency = enPuls softshot technology.

Omni-directional foot switch for optimum control

Upgrades are Simple The standard sD card can be easily exchanged or updated with the latest preset programs, illustrated preset treatment rec-ommendations and software upgrades.

Store your favourites store up to 120 programs to the favourites folder and another 120 customized programs in your memory folder on the sD card

Multiple applicator head sizes included and simple to change

8

The original enPuls 2.0 is still the best choice for clinicians that need to transport their shockwave between clinics or travel to patients. Its aluminum transport case with convenient storage and lack of compressor make it more portable than any other shockwave unit on the market.

The enPuls PRO is a better choice for clinicians that intend to do most of their therapy within a single clinic. In addition to all the specifications and features of the enPuls 2.0, the new PRO includes:

• a larger, 12” capacitive screen

• dual hand pieces (optional aesthetic hand piece)

• integrated cart with storage

• patient VAS scale

Which Zimmer enPuls should I choose?

Integrated patient VAS scale

Larger interface capacitive

touch screen

Optional larger, aesthetic

hand piece

Country of Origin

Hand Piece Warranty

Germany

2 Million

Portable

Weight (unit only)

Patient Treatment Storage

Max Energy

Reaches Industry MaxFrequency (Hz)

Reaches Industry Max Pressure (Bars)

Compressor

Model enPuls 2.0

NONE

YES1/2/3/5 bar

YES1 to 22 Hz

0.28mJ/mm2

User InterfaceFull Colour

Touch Screen

On Screen Treatment Instructions

YESFully Integrated

YES

5 kg

YESIncludes Aluminum

transport case

Germany

2 Millioneach hand piece

enPuls PRO

NONE

YES1/2/3/5 bar

YES1 to 22 Hz

Handpiece(s) Included 1 2

12” Full ColourCapacitive,

Touch Screen

YESFully Integrated

YES

Integrated VAS Scale NO YES

3.8 kg

YESIncludes

ergonomic cart with storage

0.28mJ/mm2

enPuls 2.0

enPuls PRO

Health Canada Lic.# 85559 93215

Watch videos online at www.zimmer-enpuls.com - 24 application videos available

9

Research References1. L. Gerdesmeyer, H. Gollwitzer, P. Diehl, K. Radial Extracorporeal Shockwave Therapy (rESWT) in Orthopaedics Journal fur Mineralstoffwechsel, Zeitschrift fur Knochen- und Gelenkerkrankungen 11/2004

2. Haake M, Deike B, Thon A, Schmitt J. Importance of Accurately Focussing Extracorporeal Shock Waves in the Treatment of Calcifying Tendinitis. Fachverlag Schiele Und Schon , Berlin. 2001;46:69-74.

3. BÖddeker IR, schäfer H, Haake M. Extracorporeal Shockwave Therapy (ESWT) in the Treatment of Plantar Fasciitis – A Biometrical Review. Clinical Rheumatology. Acta Medica Belgica, Brussels. 2001;20:324-330.

4. A. Cacchio, L. Giordano, O. Colafarina, et al Extracorporeal Shock-Wave Therapy Compared with Surgery for Hypertrophic Long-Bone Nonunions J Bone Joint Surg Am, 2009 Nov 01;91(11):2589-2597. doi: 10.2106/JBJS.H.00841

5. A. Cacchio, M. Paoloni, A. Barile, et al Effectiveness of Radial Shock-Wave Therapy for Calcific Tendinitis of the Shoulder: Single-Blind, Randomized Clinical Study Physical Therapy May 2006 vol. 86 no. 5 672-682

6. J Furia, J Rompe, A Cacchio, N Maffulli Shock wave therapy as a treatment of nonunions, avascular ne-crosis, and delayed healing of stress fractures Foot and ankle clinics, 2010 - elsevier

7. Jan D. Rompe, Carsten Schoellner and Bernhard Nafe Evaluation of Low-Energy Extracorporeal Shock-Wave Application for Treatment of Chrinic Plantar Fasciitis J Bone Joint Surg Am. 2002;84:335-341.

8. G. Spcca, S. Necozione, A. Cacchio Radial shock wave therapy for lateral epicondylitis: a prospective ran-domised controlled single-blind study Eur. Med Phy 2005, 41:17-25

9. Ludger Gerdesmeyer, Carol Frey et al Recalcitrant Plantar Fasciitis Radial Extracorporeal Shock Wave Therapy Is Safe and Effective in the Treatment of Chronic Am J Sports Med 2008 36: 2100

10. Jan D. Rompe, John Furia and Nicola Maffulli Eccentric Loading Compared with Shock Wave Treat-ment for Chronic Insertional Achilles Tendinopathy. A Randomized, Controlled Trial J Bone Joint Surg Am. 2008;90:52-61.

11. Charrin Jeanne Elisabeth, Noěl eric Robert. Shockwave Therapy Under Ultrasonographic Guidance in Rotator Cuff Calcific Tendinitis. Joint Bone Spine 2001 May;68:241-4.

12. Chen Han-shiang, Chen Liang-Mei, Huang Ting-Wen. Treatment of Painful Heel Syndrome With Shock Waves. Clinical Orthopaedics and Related Research. 2001 June;387:41-46.

13. Crowther MA, Banniester GC, Huma H et al. A prospective randomized study to compare extracorporeal shock wave therapy and injection of steroid for the treatment of tennis elbow. Journal of Bone and Joint Surgery. Jul 2002; 84(5): 678-679.

14. Daecke W, Kusniercsak D, Loew M. Long-term effect of extracorporeal shock wave therapy in chronic calcific tendinitis of the shoulder. Journal of Shoulder and Elbow Surgery. Sept-Oct 2002; 11(5): 476-480.

15. Decker T, Kuhne B, Gobel F. Extracorporeal shock wave therapy (ESWT) in epicondylitis humeri radialis. Short term and intermediate results. Orthopade. Jul 2002; 31(7): 633-636.

16. Gross MW, Sattler A, Haake M et al. The effectiveness of radiation treatment in comparison with ex-tracorporeal shock wave therapy (ESWT) in supraspinatus tendon syndrome. Strahlenther Onkol. Jun 2002; 178(6): 314-320.

17. Haake M, Sattler A, Gross M, Schmitt J, Hildebrandt R. Comparison of extracorporeal shockwave therapy with Radiotherapy for supraspinatus tendinitis. Randomised Prospective Single Blind Trial with Two Sample Parallel Group Design. Ferdinand Enke Verlag, Stuttgart. 2001;139:397-402. .

I wanted to write and tell you my success with the Zimmer enPuls 2.0. I find it fits very well into my style of treatment. I use it on specific conditions it is “recommended” for such as plantar fasciitis, calcific tendinitis, etc, but have also got very good responses when used in areas of trigger points, generic muscle tightness, stiff joints, arthritic joints with very good results with hallux rigidus, which is a noteworthy one.

Overall I use it routinely and have good success with it. | even cured a stubborn trigger finger in about 8 sessions - the trigger finger had been persistent for over 1.5 yrs and is completely gone.

Jason Flaman BScPT, Cert Sport P.T., Dip. Manip. P.T., FCAMTFlaman Physiotherapy, Saskatoon,SK

“the trigger finger had been persistent for over 1.5 yrs and is completely gone”

• Main Unit / Touch Screen Display Controller / SD card

• Ergonomic Hand piece Treatment Applicator(s)

• Hand piece Holder Stand (2.0) or Integrated Cart (PRO)

• Omni Directional Foot Switch

• 2 x 15mm Applicator “Heads”

• 1 x 25mm Applicator “Head”

• 1 x 6mm Applicator “Head”

• 10 x Silicone Cap Covers

• 1 x bottle of EnPuls Lotion

• Aircraft Grade Aluminum Case with 2.0

• Convenient ergonomic storage cart with PRO

• Connection cables and user manual

• Platinum Service Warranty

• Health Canada Lic. #85559 for 2.0, #93215 for PRO

Zimmer enPuls includes everything you need to get started

enPuls 2.0

enPuls PRO

Free Marketing support

Patient Education 8 Page BookletsIncluded FRee with your purchase

See page 3 for details

More Power than a Class 4!

25,000mW!

Covers the complete light spectrum

Patients FEEL their treatment

The Most Powerful Laser

The Most Advanced Pain Relieving Laser

Confused About Lasers?

Hands Free!50 Watts of Super Pulsed Power!

2 minute treatment times

A lot of healthcare professionals find it difficult to understand all the claims made by laser manufacturers. Confusion is often com-pounded by statements that seem to be intended to misdirect your attention away from asking the right questions to make a truly informed decision. The following information is intended to shed some light on what you need to know and what questions you need to ask.

How do Lasers work?

The effects of Laser therapy are photochemical, not thermal. Photons enter the tissue and are absorbed in the mitochondria and at the cell membrane. The photonic energy is converted to chemical energy within the cell, in the form of ATP. Cell membreane perme-ablity alters, then physiological changes occur. These affect macrophages, fibroblasts, endothelial cells, mast cells, bradykinin and nerve conduction rates.

Common applications for Laser therapy are:

• Wound Management

• Soft Tissue Injuries

• Inflammation

• Joint Conditions

• Arthritis

• Chronic Pain

• Dermatological Conditions

• Myofascial Trigger Point Therapy

• Acupuncture

Where do I start?When considering a Laser system for your clinic you should first decide what kind of conditions you plan to treat. Different Laser systems have different specifications which determine how they will perform and therefore how they will impact a patient.

In general, all Laser systems should be evaluated on the basis of how they balance Output Power and Wavelength. There are other important factors that will help you narrow your choices even farther, but the balance between a Laser’s Output Power and the Wavelength produced by the Laser’s diodes is the most important funda-mental parameter that you need to know.

Cellular reaction to photons is very similar to photosynthesis in plants.

Reported benefits include:

• Rapid cell growth. Laser accelerates cellular reproduction and growth.

• Faster wound healing. Laser stimulates fibroblast development in damaged tissue, reducing recovery time.

• Increases metabolic activity through higher outputs of specific enzymes, greater oxygen and food particle loads on blood cells. Improves immune responses.

• Reduces fibrous tissue, reducing the formation of scar tissue following injury or surgery.

• Anti-inflammatory action for improved joint mobility.

• Increases vascular activity. Laser stimulates lymph and blood circulation.

• Lasers stimulate the process of nerve cell reconnection to bring numb areas back to life.

• Laser increases the amplitude of action potentials to optimize muscle action.

10

Why is Wavelength Important?When it comes to wavelengths, the optimum “therapeutic window” for Laser therapy is from about 650nm to 1000nm. shorter wave-lengths are extremely powerful (X-Rays, Ultraviolet, etc.) and can break the bonds of atoms and produce ions. Wavelengths that are longer than 1500nm are ineffective because water has a very high absorption rate at these wavelengths and since water is a major component of muscle tissue - this radiation doesn’t penetrate much below the skin. Therefore, we are left with a range of wavelengths that are effective for treatment between 650nm and 1500nm where the radiation doesn’t cause any damaging ionization (vs. <650nm) and which are able to penetrate beneath the skin and into the deeper tissues (vs. >1500nm).

Within this range between 650nm and 1500nm, it is the 650nm to 900nm range of Wavelengths that is most effective for therapeutic treatment4 5. Wavelengths in the 650nm to 900nm range can penetrate deeper into tissues because the light beam’s photons are not heavily absorbed by the hemoglobin and water in the treatment area tissue, and yet will not produce a lot of unwanted heat like Lasers which produce wavelengths over 900nm.

It is widely accepted that longer wavelengths (800nm-900nm) are the optimal treatment range and can penetrate deeper than those at the shorter end of this spectrum (650nm-800nm)4 5. However, it is very important to always remember that output power has a major impact on a Laser’s potential depth of penetration. For example, a 2,000mW (2Watt) Laser which produces a 700nm Wavelength will actually deliver a faster and deeper treatment than a 200mW (0.2Watt) Laser producing a 900nm Wavelength. This is why it is most important when evaluating a Laser or LED device to consider the balance between its Wavelength and actual Output Power.

Cosmic, Gamma & X-Ray

Visible Light Infrared Microwave

400 nm700 nm

1000 nm

Therapeutic Light Spectrum

Total Power is NOT Output PowerTotal power (or peak power) is irrelevant. It is a Laser’s OUTPUT power which you need to know in order to assess a Laser’s true capabilities and determine if those capabilities are consistent with the kind of conditions that you plan to treat. simply put, treatment times are inversely related to the average output power of any Laser. All other things being equal, the more average output power a Laser produces – the faster it can deliver the appropriate dose of energy required to complete a treatment. Output power (in conjunction with Wave-length) is also a major factor when evaluating a system’s potential depth of penetration into tissue. Don’t confuse a laser’s TOTAL power with its true OUTPUT power.

For example, be careful when considering Laser systems that make statements about extremely high power like 25Watts - 50Watts (25,000mW - 50,000mW). These kinds of statements are usually referring to the system’s total power, NOT output power, and in reality they are commonly Super Pulsed systems with very low output power.

Understanding a Laser’s output power is vital. If a supplier can’t or won’t tell you their Laser’s actual output power (preferably broken down by individual laser diode output) – ask them – “Why not?”

What’s the difference between Laser Diodes and LeDs or sLDs?

For therapeutic treatments there are two types of light sources or Diodes which are most commonly used. They are Laser Diodes (LD) and Light emitting Diodes (LeD). some devices that call themselves Laser systems use an-other light source called an Super Luminous Diode) SLD. All of these sources usually produce Visible Red (VR) or Infra-Red (IR) light. Most of these Diodes emit light in the 600nm - 900nm Wavelength range.

There are significant differences in how these different light sources function • Laser Diodes are Monochromatic and therefore emit only a single color of light and one Wavelength within a very narrow bandwidth range of .1nm to 1 nm.

• LEDs also appear to the naked eye to emit a single light color, however they actually produce light Wavelengths in a narrow bandwidth range of about 30nm to 60nm.

• SLDs emit in an even wider range and are therefore not often used, or are used only as a “supplementary” light source to Laser or LeDs and are therefore not critical to this discussion.

Laser Diodes emit light waves that are highly organized, directional and “in-phase” which are called “coherent” light. LeDs emit light waves that are not as organized or directional, and which are “out-of-phase” called “non-coherent” light. Assuming the same Output Power, we can expect the light emitted by a Laser Diode to penetrate deeper than the light emitted by an LeD Diode, because the light from a Laser Diode is coherent, brighter and more directional than LeDs. Laser diodes are much more expensive to manufacturer and therefore, cost more than LeDs or sLDs.

CLUSTER PROBES

Research has indicated that while multi-diode “cluster” probes may be effective in reducing overall

treatment times for large areas, these device’s different diodes usually produce different

wavelengths which can lead to a degradation of the effectiveness of laser therapy.2

11

Energy Density = (Joules/cm2)

Laser Output Power (Watts) x Time (seconds)

Beam Area (cm2)

Beam AreaAverage Output Power (Not Total Power) & Wavelengths are necessary information, but is not enough information to accurately define the parameters of the laser system. To do this, one must also know the area of the laser beam (cm2) at the treatment surface to calculate energy density.

Research indicates that Energy Densities in the range 0.5 to 4 Joules/cm2 are most effective in triggering a photobiological response in tissue. 3

Continuous, Pulsed & Super PulsedAgain, don’t be confused by these terminologies. As the words suggest; “Continuous” simply refers to a Laser capable of delivering a continuous beam of light energy, while the terms “Pulsed” simply mean the Laser beam is repeatedly turned on and off. During the

WHY IS ENERgY DENSITYIMPORTANT?

“For a given wavelength of light, energy density is the most important factor in determining the tissue reaction”1.

Research indicates that Energy Densities in the range 0.5 to 4 Joules/cm2 are most effective in triggering a

photobiological response in tissue. 3

How do I choose the right laser for my practice?If a supplier is not being forthcoming with their laser’s true specifications, you can turn to their international safety rating to get a basic understanding. Every laser on the market is tested for its hazard and risk level. In general, Class I Laser systems use VERY LOW Output Power and are therefore very safe, even for direct exposure to eyes and are sometimes marketed for patients to use at home. At the other end of the scale are Class IV Laser devices that use very HIGH Output Power (more than 500mW or 0.5 Watts) and re-quire the use of strict Safety Protocols.

General Treatment Guidelines• If your focus is deep tissue and musculoskeletal conditions and occasionally treat superficial conditions (wounds, etc.) – It makes sense to choose a device with true In-fraRed (IR) Laser diodes in a cluster probe with at least 500 mW of Output power or more.

• If you prefer short treatment times of 1 - 2 minutes and still want to be able to treat deep tissue conditions – You should choose a device with true Laser diodes and with output power of over 1,000 mW (1 Watt).

• If you do NOT want to treat deep tissue conditions and your focus is primarily treat-ing peripheral neuropathy and/or superficial wounds and skin conditions – You might consider an inexpensive LeD device since deep penetration is not needed and true Laser Diodes are very expensive. Keep in mind though that true InfraRed (IR) Lasers also work very well for superficial conditions, they are just more expensive and difficult to cost-justify unless you also do deep tissue treatments.

• For analgesic treatments you will require a true Laser probe with 5,000 mW – 10,000 mW of output power, or a 2,000 mW – 4,000 mW probe with slightly longer treatment times.

moments when it is on it has typically the same output power as in continuous mode, but as it is not on all the time, the average out-put power is less than when it is continuous. The average power is a function of the continuous wave power and the duty cycle (the ratio of the “on” time of the beam to the total emission (“on” + “off”) time, usually expressed as a percentage). Typical pulsed laser types are most of the gas lasers (such as the HeNe laser) and all semiconductor (diode) lasers (except the GaAs laser).

In general, pulsing is done to reduce thermal responses in surface tissue for lasers with high average output power. With these la-sers, pulsing the beam can also help to better control dosage, since they may also have extremely quick treatment times.

Super-PulsedThe original GaAs lasers were the first semiconductor lasers and required “Super Pulsing”. In order to generate laser light, the cur-rent density in the GaAs semiconductor crystal had to be extremely high. As a consequence of the high electric current the output power of this semiconductor laser is very high. Typical peak power is in the order of many watts. However, when an electric current is conducted through a material heat is generated, and with the necessary high current in this laser the crystal will burn up immediately unless the time of current conduction is extremely short, therefore super-pulsed GaAs lasers cannot work continuously. The maximal pulse time for this laser is in the order of 100 to 200 nanoseconds and, after each such pulse, a long cooling time is needed, usually about a thousand times longer than said pulse time. This form of pulsing is called super pulsing.

Even though the peak power of the super-pulsed GaAs laser may be very high, it lasts for an extremely short time compared to the pulse cycle, resulting in an average output power that is usually a thousand times lower than the peak power. For example, if the laser has 25,000 mW of Peak Power the average output power would end up being 25 mW. For clinical use, it is the output power that counts. The energy (dose) delivered from pulsed lasers is always the average output power multiplied by the exposure time.

12

We have created this comparison based on the available information for each of these lasers. We have consistently used the highest power version (probe) of the unit for each brand. We welcome the feedback and updated technical specifications from any manufacturer that believes their true output power varies significantly from the chart below.

Treatment Time Comparison for Different Output PowersUsing Internationally Recognized standard FormulaUsing a common dosage of 400 Joules to treat a 100 cm2 area for deep lying lumbar pain as an example, below are some examples of treatment time calculations for different output powers. Please note, these examples assume the wavelengths are in the therapeutic window and that all other parameters are sufficient for therapy.

Treatment Time is 100 seconds

(1.66 minutes)

400 Joules

4 Watts

Treatment Time is 2, 000 seconds

(33.33 minutes)

400 Joules

0.2 Watts

Treatment Time is 20, 000 seconds

(333.33 minutes)

400 Joules

0.02 Watts

Example 1Laser with diodes totaling 4 Watts

Example 2Laser with diodes totaling 200 mW

Example 3Laser with diodes totaling 20 mW

=

=

=

Joules (dosage)

Output Power in Watts

Treatment Time =

1. Baxter, G.D. (1994) Therapeutic Lasers: Theraory and Practice. Churchill Livingston: Edinburgh2. Kuru, T. (1198) The Science of Low-Power Laser Therapy. Gordon & Breach Science Publishers, p.xv3. Mester & Mester, (1989) Wound Healing. Laser Therapy 1: 7-154. Anderson, RR, Parrish JA (1981): “The Optics of Human Skin”; The Journal of Investigative Dermatology5. Zhao ZQ, Fairchild PW (1998): “Dependence of light transmission through human skin on incident beam diameter at different wavelengths”

We used the FDA Laser Safety Classification because they offer more classification levels than Health Canada. We believe this makes understanding the output power of the various brands available in the Canadian market easier.

APOLLO CLASS 4

High Power LaserOver 500 mW

Protective Eyewear & Full Safety Requirements must be followed.

Therapeutic Laser withLow Treatment Times

LiteCure® CLASS 4

Theralase® Class 3B

Vectra genisys® Class 3B

Rich-Mar®LaserPrism Class 3B

MedX® Class 3B

Medium Power Laser5 mW - 500 mW

Protective Eyewear & Full Safety Requirements must be followed

Name / ModelFDA Safety

ClassificationClassification Description Details Comments

Therapeutic Laser.Longer treatment times required

due to lower output power.

In units closer to the 5mW total output power range, treatment times

will be dramatically increased.

Multi RadianceMedical®

Class 1M(provided by the manufacturer)

5 Watts

K-LASER™ CLASS 4 15 Watts

15 Watts

600 mW

1040 mw

200 mW

200 mW

BioFlex® Class 3B 200 mW

OutputWatts

Not provided on website

Erchonia® Class 3B 20 mW

Low Power Laser Total output power is

below Class 3B

Class 1M are exempt from all beam-hazard control

measures like protective eyewear

For precise specifications on this laser safety class refer to

International Electrotechnical Commission IEC 60825-1 and ANSI Z136.1 available for purchase online

from their websites

ZIMMER CLASS 4 7 Watts

13

14OptonPro - 7 Watts of Laser PowerOptonPro - Theapeutic Laser Made simple

User Friendly DesignThe OptonPro has touch screen interface,

recommended treatments, intuitive programming and simple

on-screen adjustments during therapy.

Ease of UseClinical indications can be called up through the touch screen interface.

Custom adjustments to the standard protocols can be made at any time and saved for easy access.

A favourites menu collects the most common settings and displays them when the OptonPro is started if selected.

• 7 Watts of power, energy density 9 W/cm2

• 12“ colour touch screen display with intuitive menu• direct parameter adjustment at any time• indication menu with recommended treatments• update access and logbook via SD card• extensive memory options (2 x 120 entries)• integrated calibration sensor• comprehensive setup options• multi-language platform

The OptonPro is a Class IV laser (Class IIIb in Canada) system with touch screen and intuitive menu-guided operation. The large colour display clearly shows all required information and parameters can be easily adjusted.

Ideal for the treatment of:• myofascial trigger points• arthropathies/arthroses• lumbalgia/ischialgia• muscle injuries• pain syndromes• myopathy/tendinopathy• Sciatica• neuralgias• sprains, muscle tear• rheumatoid arthritis• cervical spondylarthrosis• carpal tunnel syndrome• Morton’s neuroma• plantar fasciitis

Efficient and Time Savingskin type, indication and required depth of penetration automatically deter-mines the operating mode (continuous wave, serial pulse, burst mode or single pulse) and the required energy.

A thermal threshold test assists with calculation of the required dosage in combination with skin type and required penetration depth.

Patient feedback and direct access to the treatment parameters enable the application to be adjusted for individual requirements and generally means treatment times of less than five minutes per session.

Visual and written instructions with simple on-screen adjustments

12 inch capacitive touch screen with intuitive programming, allows you to start treatments quickly and easily

15

Comes Complete The OptonPro comes with everything you need. You do not need to purchase multiple probes to get all your therapy options. 1 Probe Does It All!

• maximal 7 Watt (7000mW) continuous laser power

• power density maximum of 9 W/cm²

• 4 infrared laser diodes (2x 980nm + 2x 810nm) performing synchronized parallel emission

• static treatment area from 10 to 34 mm diameter by specific distance pieces

• continuous, Pulsed, Single Pulse or Burst modes

• preset thermal threshold test function

• SD Card for Memory / Update / Service

• full security package with code key activation, switch off, foot switch operation and protective eye wear

7000 mW means you have sufficient power to reach deeper lying tissues and reduce treatment times.

BONUS Get 500 Patient Booklets Free with any unit

SPECIFICATIONS• Laser diodes near infrared range, 4 units in parallel operation,wavelengths: 2 x 810 nm / 2 x 980 nm

• Emitted power max. 7000 mW (7 W) continuous, unpulsed

Treatment field min. 0.8 cm²with small spacer: min. 3.1 cm²with large spacer: min. 9.0 cm²

Power density without spacer - max. 9 W/cm²Power density with spacer small (1.2 cm) - max. 3.5 W/cm²Power density with spacer large (4.5 cm) - max. 1.1 W/cm²

• Operating modes: continuous wave, serial pulse, burst, single pulse

• Fixed programs, individually adaptable plus - 120 memory slots for custom programmes - 120 memory slots for favourites

• Beam divergence 35°

• Repetition rate 0.1 to 1Hz, 2 Hz, 4 Hz, 5 Hz, 10 Hz, 25 Hz, 50 Hz (CW operating mode)

• Pulse duration 0.1 to 5 s (pulse operating mode)

• Security key lock and interlock

• Energy meter with preset and reminder function

• Thermal threshold test

• Calibration sensor and software calibration function

• SD card 1 GB standard for memory, indication menu, error logbook, backups and updates

• Health Canada Lic. #95242

Watch application videos atwww.zimmer-opton.de/en/

I am really enjoying working with the Opton Pro. My patients like the fact that they can feel a warming sensation at times, during therapy.

I find that by conducting the thermal threshold test before treatment, my patients can feel how hot the laser can get and then instantly understand that this is a real laser and that I am not just shining a light on them.

With shorter treatment times, I am able to treat the primary condition and all associated regions in one treatment. I am getting far superior results than with the previous class 3b lasers I have used.

Josh ShawEnergize Health and Wellness IncCalgary, Alberta

“(patients) instantly understand that this is a real laser”

See page 3 for details

16

galvanic Continuous, Iontophoresis

Diadynamic DF, MF, CP, LP, DF+CP, DF+LP

Träbert/Ultra Stim

Muscle Stimulation CurrentsSymmetrical and Asymmetrical rectangular

Interferential CurrentsWith/without Interference

TENS Currents Monophasic, Bi-phasic, Alternate and Stochastic

Surge - Monophasic, Bi-phasic and Alternated

The above are just a sampling of the waveforms your will have available to you. The Soleo line also includes specialty programs such as:

• Iontophoresis • Diagnostic• Sports Training • Trigger Point• Psoriasis • Lymph Edema

Contact us for a complete program listing and for more information on how these extra waveforms are used.

Medium Frequency 2500 Hz, 4000 Hz or 8000 Hz Russian, Premodulated, unmodulated

The Power to Do the Therapies & Diagnostics You Really Want to Do

Why Settle for Just 4 - 6 Waveforms?

High Volt

Microcurrent

soleolineElectrotherapy and Ultrasound

simple, Convenient Interface Speed: Direct access via simple intuitive menus

Simplicity: A large, easy-to-read touch screen

Safety: All the treatment parameters are visible and adjustable

Because of its intuitive software, the soleoline is frustration free and a true pleasure to work with. Its elegance and user-friendly design are but a few of the features of its success.

Store your favouritesstore up to 120 of your favourites + 120 customized programs on the sD card

Upgrades are SimpleThe standard sD card can be easily exchanged or updated with the latest preset programs, illustrated treatment recommendations and software.

Multi-lingual interface allows you to pick the language you want to work in.

Share your favourites in the clinic or between clincs for consistent therapy between practioners

sol

eo G

alva

soleo GalvaModern Multi-Channel electrotherapy

“Channel” MenuA simple touch gives the user access to any type of stimulation • 1 or 2 channel • synchronized • alternate • separateFast and simple multi-channel stimulation, an idea from Zimmer!

Removable “Gator” connectors allow for “pin-style” electrodes to be used

Specific ProgramsAll current waveforms including: • Galvanic • Diadynamic • Monophasic • Biphasic • TENS • Medium Frequency • Interferential

Intuitive programming makes starting treatment quick and easy.

Individualized Treatmenteach patient’s treatment can be unique.

Using active windows, it is now possible to modify or adapt the parameters in a

matter of seconds - then store them on the sD memory card if desired.

Health Canada Lic.# 84557

17

sol

eoSon

o

Treat at 0.8 MHz & 2.4 MHz at the same time

with patented SonoSwing

Zimmer’s patented SonoSwing allows clinician to deliver both 0.8 MHz AND 2.4 MHz frequencies together simultaneously from a single sound head, and select the ratio’s of each (ex: 60% 0.8MHz + 40% 2.4MHZ)

This ratio can also be adjusted during treatment for even greater con-trol, precision and improved therapeutic outcomes.

soleoSonoInnovative Ultrasound Therapy

Health Canada Lic.# 84559

Adjustments are simple with the large touch screen and easy to use dials.

SD Card to:• Store up to 240 favourite programs• Upgrade your software free• Share your favourite programs between units and clinics to assure consistent therapies amoung practioners

18

Coupling LightThe soleosono is equiped with a coupling light and optional audible signal to assure optimum contact for treatment. A green light indicates correct con-tact. When coupling is not 100%, the screen will also indicate the percentage of transfer.

sol

eoSon

oIn Office CalibrationsThe Zimmer soleosono allows you to do very simple, in-clinic calibrations, thus avoiding:

• the down time of sending equipment out

• the costs associated with maintenance

• the interruptions to patient care

Over 50 Treatment Recommendations plus 9 modifiable programsThe Zimmer soleosono comes with a very high quality, multi-frequency ergonomic head.

The preset but modifiable programs guarantee fast and easy access to treatments.

Detailed treatment recommendations are available for the main conditions effecting the locomotor system and are individually stored on the sD memory card.

5 cm2 head is included

1 cm2 head is optional

19

sol

eoSon

oSti

m

soleoSonoStim Combination UnitThe perfect blend of the Galva and Sono

More than 110 programs (including 5 for combined therapy), plus over 300 therapeutic indications!

The combination of the Sono and Galva guarantees unparalleled flexibility and ariety of treatment programs.

In addition to ultrasound therapy and electrostimulation, sonostim offers outstanding specific combined treatments. An undeniable therapeutic bonus.

Quick selection by anatomical region gives access to more than 300 treatment recommendations affecting the locomotor system.

Myofacial pain protocols are also included in specific combined treatmentprograms.

Removable “Gator” connectors allow for “pin-style” electrodes to be used

Health Canada Lic.# 84556

20

Ultrasound therapy version sonoFrequencies 0.8 MHz: deep effect/ 2.4 MHz: superficial effectUltrasound head 1 socket for one 5 cm2 multi-frequency watertight head, (1 cm2 as an optional extra)Maximum power emission 3 W/cm2 for the 5 cm2 headModes Continuous and pulsed 20 Hz, 50 Hz, 100 Hz Pulse: 1/2, 1/3, 1/5, 1/10Sono Swing patent Percentage selection of depth of effectCoupling Visual (2-colour) and audioPrograms 9 specific programsSettings All modifiable parameters are accessible via the touch screenUser guide More than 50 therapeutic indications

Electrostimulation version GalvaChannels 2 independent channels (programmes, parameters)Electrostimulation Synchronized, Alternate, Separate, SequentialCurrent types Galv., LF, biphasic, MF, MF/LF, InterferentialPrograms More than 100 specific programsSpecific modules Muscle rehabilitation / Sports rehabilitationSettings All modifiable parameters are accessible via the touch screenUser guide More than 120 therapeutic indications

Combined version SonoStim = Sono + GalvaGeneral features Same features as Sono and GalvaPrograms More than 110 programs, including 5 for combined therapyUser guide More than 300 therapeutic indications

soleoline For all versionsSD memory card 1 GB SD card/120 memory entries + 120 favouritesAccessory support 2 supports supplied with all versionsDimensions Width 33cm/ Height 13cm/ Depth 22cm/ Weight 2kg

Vaco equipment VacoS for Galva or SonoStim versionOperating modes Continuous and pulsed of 1 to 8 secondsChannels 2 independent channelsApplication vacuum Adjustable from 1 to 60 kPaUse Simplified by an application vacuum preset to 16 kPaControl On Galva or SonoStim screenDimensions Width 33cm/ Height 13cm/ Depth 22cm/ Weight 3kg

Options/ AccessoriesCart 1 drawer with glass tray + 1 low glass shelfRemote control Wireless; with 2 channels, Intensity and Start/ Stop1 cm2 Ultrasound Head 5 cm2 Ultrasound head is included with Sono & SonoStim

soleoline Specifications

5 cm2 head

1 cm2 head

21

See page 3 for details

Rubber Electrodes & sponges

Rubber ElectrodesZM-5050 50 mm x 50 mm

ZM-1050 100 mm x 50 mm

ZM-1015 105 mm x 155 mm

Sponge PocketsZM-7070 70 mm x 70 mm

ZM-1180 110 mm x 80 mm

ZM-1317 130 mm x 170 mm

All Aluminum Construction • maximizes flexibility • creates consistent current dispersion • can be cut for exact fit

Patented glycerol Coating for maximum patient comfort and reduced skin irritation during pulsed current treatments.

Zimmer single Use electrodes

U Can be cut for an exact fit

U All aluminum construction means no lack of dispersion or “bald spots”

U Patented Glycerol coating for maximum comfort

U Reduced skin irritation during pulsed current

U Quality German engineering and manufacturing

U NEW! Improve coating for better adherence

ZM-0120ZM-0140

ZM-0120 Small 32 mm x 40 mm 400 / box

ZM-0130 Medium 56 mm Square 200 / box

ZM-0140 Large 56 mm x 128 mm 100 / box

ZM-0130

ZM-ALCLIP Gator Clips(one black, one red)

Our clip converters turn any standard “pin style” lead wire into a gator clip style. They simply slide over the existing pin and can be added or removed in seconds.

• Self-Adhesive, single use electrotherapy electrodes • Clinical equipment grade• Patented Glycerol Coating reduces skin irritation for maximum patient comfort. • Improve hygiene and simplify billing • Reduce filing space & time• All aluminum construction for flexibility and even dispersion • Can be cut to any size for optimum fit • Top quality, German engineering and manufacturing

• Cost Less than Re-Usable Electrodes

22

Cry

o6Easy MaintenanceA constant monitoring system for the de-frosted water level and a defrosting feature provide a smooth-running daily operation. The air filter is easy to access; just vacuum when dusty.

Precision and EfficacyThe standard nozzle is used for semi-stationary and dynamic treatmentfrom 2 to 5 cm skin distance. The 5 and 10 mm nozzles permit precise treatment for small narrow areasand trigger-points.

The variable air flow is also used to dose the treatment efficiently.

Quick CoolingTo ensure a rapid reduction in the skin temperature, the cooled air is appliedto the skin with -30° C. This provides a drop of the skin temperature to 5° C within 10 seconds, offering a strong analgesic effect without risks.

Clinical cryotherapy for:

• Acute/chronic diseases of the skeletal and muscular apparatus

• Inflammations

• Muscular contractures

• Sports injuries

• Postoperative conditions

• Neurological disorders

Easy to OperateA large display, with automatic stand-by and ad-justable contrast, clearly indicates all treatment parameters.Cryo 6 features a glass touch-pad key-board, which permits the selection from 6 preset programs. select a program, press Start – that’s it!

Cryo6Modern Cryotherapy

23

-30˚C Cryotherapy, Practical and EconomicRoom temperature air is filtered and cooled down to -30° C by a closedcooling circuit

Economic: No consumables needed

Powerful: Up to a 100 treatments per day

Hygienic: Glass touch-pad keyboard with large display

Practical: Top glass shelf where it is needed

SPECIFICATIONS• Therapy air flow - 9 levels, max. 1000 l/min

• 6 programs combining air flow and treatment time

• 3 user defined programs

• 1 favorite user defined program

• Health Canada Lic. #69818

See page 3 for details

Ph. 905.761.3278Toll Free 800.461.0100

Fax 905.761.8424Toll Free 888.729.7266

Info@VitalityDepot.ca

40 Viceroy Road, Unit 1-4, Concord, ON L4K 2L8

You Deserve a ZimmerGlobal Leader for:

• Shockwave

• Therapeutic Laser

• Ultrasound

• Electrotherapy

• Cryotherapy

To order a Zimmer in Canada contact

Learn more about the Opton laser at www.zimmer-opton.de/en/

Learn more about the enPuls shockwave at www.zimmer-enpuls.com

Learn more about all Zimmer products at www.zimmer.de/en/products/