Finnish DITER D4s COMBI is versatile combination treatment device that comes with three-frequency ultrasoud and dual channel electrotherapy qualities. The different features of the device can be used separately
(also simultaneously) or as a combination treatment.
With low 0,9 MHz ultrasonic frequency it is possible to treat injuries deep in the tissue. At higher 2 MHz and 3 MHz frequences tissue damage closer to the surface of the skin can be treated.
As an electrotherapy device there is possibility to choose different interference,
TENS and diadynamic treatment currents and muscle stimulation programmes.
In combination therapy the treatment head acts as the other electrode of the cirquit. All ultrasoind features can be combined with bipolaric
interference or TNS.
Indications:
Acute injuries and post-injury conditions
Various pain states
Gynecological indications
Chronical orthopedic issues caused by improperly performed physical strain and overstraining.
Muscle tension
Non traumatic bone, joint and bursa symptoms
Neurological diseases
Soft tissue injuries and diseases
Functional diseases, circulatory system diseases and post-conditions of them
Tecnical information
Operating voltage: 115/230 V~, internally selectable,
frequency 50 / 60 Hz
Input power 50 VA
Patient protection category: IEC601-1: Class1 and BF
Two channels that can be adjusted separately
LCD display
Technical care properties
Ultrasound
• Ultrasonic frequencys 0,9 MHz, 2 MHz, 3 MHz
• Maximum intensity: direct 1,5 W/cm²
Pulsating 2 W/cm²
THN max. output: ongoing 9 W
THO max. output: ongoing 2 W
Intensity areas 0,2 – 0,5 – 0,8 – 1,0 – 1,5 -2,0 W/cm²
Duty cycle 1:2 , 1:5 , 1:10 or 1:20
• Duty cycle modulation frequency 16 Hz, 48 Hz, or 100 Hz
• Pulse modulation is 100 % modulated with rectangular pulse.
Maximum operating time 30 min
Interference currents
• Output current: 0 –100 mA / 500 ohm
Carrier frequency: 2 kHz, 4 kHz, tai 10 kHz
Treatment current frequency: 1 – 200 Hz
TENS treatment currents
Output current: 0 – 80 mA / 500 ohm
Treatment current frequency: 1 – 200 Hz
Burstitaajuus 2 – 5 – 10 Hz
Pulssin pituus 50 – 200 µs
Intermittent TENS current 2/1 s
Pulssin pituus modul.
TENS current 100 – 150 µs
Diadynamic treatment currents
Output current: 0 –100 mA / 500 ohm
Treatment current frequency: 50 / 100 Hz, tai 16 / 32 Hz
Treatment current forms: MF, DF, CP, CPid, LP, RS, MM,
Ga, URS, pulse currents, Träbert
Carrier frequency 670 Hz
(for combination therapy)
Pulse modulation: rectangle / triangle
Pulse width: 500 µs – 500 msP
Pulse interval: 2 ms – 5000 ms
2-5 Träbert: Pulse length 2 ms,
Pulse interval 5 ms
Treatment time: 0 – 60 min.
Muscle training
Treatment form MF (medium frequency currents)
TENS / HV/
Kotz (Russian stimulation)
• Output current: 0 –100 mA / 500 ohm
Carrier frequency: 2 kHz, 4 kHz, tai 10 kHz
Treatment current frequency: 1 – 200 Hz
Stimulation hold time: 1 – 200 s
Stimulation rest time: 2 – 190 s
Stimulation ramp up and
ramp down time 0,5 - 5 s
Treatment time: 0 - 60 min
Treatment features
Ultrasound
• Three ultrasonic frequencys from the same treatment head
• Optional accessory: Treatment head 1,3 cm²
• jatkuva / pulsoiva ultraääni
• pulssisuhde ja pulssitaajuus valittavissa
• kokonaishoitoenergian näyttö
Interferenssivirrat
• four electrode interference
• vector automation
• bipolaric interference
• three carrier frequencies
TNS-virrat
• Symmetrical biphasic/monophasic
• ongoing, episodic, bust and modulated
• constant current / constant voltage therapy
DIDY-virrat
• Pulse mode - triangular
• diadynaamiset virrat (MF, DF, CP, CP-id, LP, RS, MM)
• carrier wave joint with didy current
• galvanic direct current
• kantoaaltoon yhdistetty galvaaninen virta
• Träbertin 2-5 -virta
• 9 valmista diadynaamista hoito-ohjelmaa
• I/T diagnostiikka
Muscle stimulation programs (STIM)
• MF (medium frequency current)
• symmetrinen bifaasinen TENS
• Kotz (Russian stimulation, katkottu vaihtovirta)
• HV (high voltage kaksoispulssi)
• Adjustable work and rest times
*Ready-set treatment programmes with ajustable settings
Standard equipment
1 pc – THN Treatment head 6 cm²
1 pc – PCDL2 Treatment cable
1 pc – PE1 Pen electrode
1 pc – A24M Sovitin 2/4mm yhdistelmähoidon liittimeen
4 pcs – RE68-2 Kumielektrodi 60×80 mm, 2mm liitännällä
4 pcs – S5 Sieni 70×90 mm
2 pcs – TE2 • Metal electrode 50 x 80mm
2 pcs – TE3 Metal electrode 70 x 120 mm
1 pc – TE4 Metallielektrodi 125×175 mm
2 pcs – S2 Sponge 58×88 mm
2 pcs – S3 Sponge 90×140 mm
1 pc – S4 Sponge 90×140 mm
2 pcs – HL2M Crocodile clip 2 mm, black
2 pcs – HL2P Crocodile clip 2 mm, red
4 pcs – RE5050 Rubber electrode with 2 mm connector
2 pcs – FS3 Elastic belt 3 x 80 cm
2 pcs – FS8 Elastic belt 8 x 80 cm
2 pcs – Fuse T 500 mA (220-240V Voltage)
1 pc– Power cord IEC
1 pc – ko Manual
1 pc – I/T table
1 pc – THA Treatment head holder (fixed)
1 pc – GUS Ultrasound gel
Optional accessories
THO Treatment head 1,3 cm²