{"product_id":"primo-combination-860-ems-ultraschallkombi","title":"Primo Combination 860 EMS\/ultrasound combination","description":"\u003cp\u003e The Primo Combination 860 is an ultrasound\/EMS combination device with a multi-frequency ultrasound head (1 and 3 MHz) and a wide range of currents. The two therapy modalities can be used separately or in combination. The large touchscreen display allows for convenient selection of the various programs using a body atlas.\u003cbr\u003e\u003cbr\u003e The combination of 2- and 4-pole interference therapy with ultrasound is particularly effective, but various other waveforms are also available, including diadynamic currents, TENS, sinusoidal, galvanic and interrupted galvanic, faradic, Trabert, Medi-Wave, Russian and microcurrents.\u003cbr\u003e \u003cbr\u003eThis wide range of therapeutic currents makes the device highly versatile. These include acute and subacute, traumatic and inflammatory conditions, chronic arthritic and rheumatic conditions, and general applications for pain therapy.\u003c\/p\u003e\n\n\u003ch4\u003e Ultrasound dose calculation \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 660px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/ultraschall-dosis-einstellung.jpg?v=1733540962\" alt=\"Ultrasound dose setting\"\u003e\u003c\/p\u003e\n\n\u003cp\u003e A truly interesting feature is the calculation of the ultrasound dose to be delivered in a single treatment session. After entering parameters such as lesion depth, tissue status, and the size of the treatment area, the maximum dose to be delivered is calculated.\u003cbr\u003e\u003cbr\u003e When this maximum value is reached, the ultrasound treatment is automatically stopped.\u003cbr\u003e\u003cbr\u003e The following is a description of the available waveforms and the respective display views (the display language can also be set to German):\u003c\/p\u003e\n\n\u003ch4\u003e Interference 4-pole \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 633px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/interferenz-stroeme5QW0Id0DllroB.jpg?v=1733540966\" alt=\"Interference currents\"\u003e \u003cbr\u003e\u003cem\u003eTreatment time:\u003c\/em\u003e Selected by touching the digits on the time display or by tapping the clock icon and entering the desired treatment time. The time can be set in 30-second intervals.\u003cbr\u003e\u003cbr\u003e \u003cem\u003eCarrier Frequency:\u003c\/em\u003e Touch this button to select the carrier frequency: 4, 8, or 2 kHz. \u003cem\u003eAMF (Amplitude Modulation Frequency):\u003c\/em\u003e The fundamental and peak frequencies can be adjusted from 0 to 250 Hz in 1 Hz increments.\u003cbr\u003e \u003cem\u003eConstant Current \/ Constant Voltage:\u003c\/em\u003e The device's output can be set to constant current or constant voltage. In constant current mode, the electrode impedance is monitored. If the impedance is too high for any channel, stimulation on that channel is terminated, a \"Lead Error\" message is displayed, and an alarm sounds.\u003cbr\u003e \u003cbr\u003eIf the electrode impedance increases in constant voltage mode, the current is automatically reduced. A constant voltage is recommended when the device is used in combination therapy or with vaginal or anal electrodes.\u003c\/p\u003e\n\n\u003ch4\u003e Interference 2-pole \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 644px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/interferenz-strom-2polig.jpg?v=1733540969\" alt=\"Interference 2-pole\"\u003e\u003cbr\u003e The interferential 2-pole waveform is similar to the 4-pole variant, except that the two center frequencies are added within the stimulator itself and applied to the treatment site via a single pair of electrodes. Two separate outputs, ChA and ChB, are available with independent intensity controls.\u003cbr\u003e\u003cbr\u003e Otherwise, the settings for treatment time, carrier frequency, base and peak frequency and operation with constant current\/voltage are identical.\u003c\/p\u003e\n\n\u003ch4\u003e Russian Currents (VOMIT) \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 661px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/russische-stroeme.jpg?v=1733540972\" alt=\"Russian currents\"\u003e \u003cbr\u003eRussian currents, or KOTZ currents, use a 2.5 kHz center frequency that is switched on and off in bursts between 1 and 100 Hz. It is also possible to create an overall envelope with variable on and off times.\u003cbr\u003e\u003cbr\u003e The burst frequency can be adjusted from 1 Hz to 100 Hz by touching the \"Burst\" button. 0-10 Hz is adjustable in 1 Hz increments, 10-50 Hz in 5 Hz increments, and 50-100 Hz in 10 Hz increments.\u003cbr\u003e\u003cbr\u003e The medium-frequency bursts used for Russian stimulation create work and rest periods. The stimulation duration (work) is set to 10 seconds. The ratio allows you to adjust the rest period relative to the work period. For example, if the ratio is set to 1:4, the work period is 10 seconds and the rest period is 40 seconds.\u003c\/p\u003e\n\n\u003ch4\u003e TENS pain therapy \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 657px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/tens-stroeme.jpg?v=1733540976\" alt=\"TENS pain therapy\"\u003e \u003cbr\u003eThree waveform types (asymmetric, symmetric, and sequential) are available for TENS therapy. Each type is represented graphically on the display.\u003cbr\u003e \u003cem\u003eFrequency:\u003c\/em\u003e The frequency can be adjusted in steps of 1 Hz from 40 to 250 Hz.\u003cbr\u003e \u003cem\u003ePulse width:\u003c\/em\u003e The pulse width can be set from 40 to 400 µs in steps of 5 µs.\u003cbr\u003e \u003cem\u003eMode selection:\u003c\/em\u003e TENS treatments can be performed in 3 modes: continuous, burst or swelling.\u003c\/p\u003e\n\n\u003ch4\u003e Diadynamic currents \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 640px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/diadynamische-stroeme.jpg?v=1733540981\" alt=\"Diadynamic currents\"\u003e\u003cbr\u003e \u003cem\u003eType:\u003c\/em\u003e The desired diadynamic waveform can be selected by touching the Type button. The full range of diadynamic waveforms is available: DF - Diaphase, MF - Monophase, CP - Modulus and Periodic Courts, Cpiso - Modulus and Isodynamic Courts, RS - Syncopated Rhythm, and LP - Modulus and Long Periods.  \u003cbr\u003e\u003cem\u003ePolarity\u003c\/em\u003e : This button allows you to reverse the polarity of the waveforms. This is especially useful in combination therapy, where the ultrasound transducer becomes an electrode, and this button allows you to change the polarity of the waveform relative to the ultrasound transducer. If the Auto-reverse option is selected, the output polarity will automatically reverse halfway through the selected treatment time.\u003c\/p\u003e\n\n\u003ch4\u003e Sinusoidal currents \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 663px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/sinus-wellenform.jpg?v=1733540984\" alt=\"Sinusoidal currents\"\u003e\u003cbr\u003e \u003cem\u003eWaveforms:\u003c\/em\u003e Three waveforms (envelopes) are available: trapezoidal, rectangular, and triangular. \u003cem\u003eSlew rate:\u003c\/em\u003e Slew rates of 2, 5, 10, 20, and 30 per minute are available.\u003c\/p\u003e\n\n\u003ch4\u003e Faradic currents \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 645px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/faradayische-stroeme.jpg?v=1733540987\" alt=\"Faradic currents\"\u003e\u003cbr\u003e \u003cem\u003eWaveforms:\u003c\/em\u003e Three waveforms are available: rectangular, triangular and trapezoidal - a graphic showing the waveform is displayed on the button.\u003cbr\u003e \u003cem\u003eSlew rate:\u003c\/em\u003e Slew rates of 2, 5, 10, 20, and 30 per minute are available.\u003c\/p\u003e\n\n\u003ch4\u003e Galvanic currents \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 636px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/galvanische-stroeme.jpg?v=1733540991\" alt=\"Galvanic currents direct current\"\u003e \u003cbr\u003e\u003cem\u003ePolarity:\u003c\/em\u003e Touching this button sets the electrical polarity of the galvanic current to Pos (+), Neg (-) or Autorev (the polarity is reversed halfway through the selected treatment time).\u003c\/p\u003e\n\n\u003ch4\u003e Ultra-stimulation current according to Trabert \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 678px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/traebert-stromform.jpg?v=1733540994\" alt=\"Trabert\"\u003e\u003cbr\u003e The available options are treatment time, polarity, and constant current\/constant voltage. These options are set in the same way as for the other current types.\u003c\/p\u003e\n\n\u003ch4\u003e Microcurrents \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 681px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/mikrostroeme.jpg?v=1733540997\" alt=\"Microcurrents\"\u003e\u003cbr\u003e \u003cem\u003eFrequency\u003c\/em\u003e : The frequency can be adjusted from 1 Hz to 1000 Hz in a pop-up window. \u003cem\u003ePolarity:\u003c\/em\u003e This can be Pos (+), Neg (-), or Autorev (the polarity is reversed halfway through the selected treatment time).\u003c\/p\u003e\n\n\u003ch4\u003e S\/D curves \u003c\/h4\u003e\n\n\u003cp\u003e\u003cimg style=\"float: center; max-width: 774px; width: 100%; height: auto;\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/s-d-kurve.jpg?v=1733541000\" alt=\"S\/D curve\"\u003e\u003cbr\u003e This mode generates rectangular, intermittent galvanic pulses for plotting strength\/duration curves. The output from Channel A is only available at constant voltage.\u003cbr\u003e \u003cbr\u003eThe start pulse width can be set from 100 ms to 1 s, and the end pulse width from 10 µs to 1 ms. This defines the measurement range and thus the start and end points of the S\/D graph.\u003cbr\u003e\u003cbr\u003e The graph at the bottom of the screen shows the pulse width and the progress indicator, indicating when the pulse occurs. The pulse repetition rate is fixed at 20\/min.\u003cbr\u003e\u003cbr\u003e The device is of high quality and can be paired with the \u003ca style=\"text-decoration: underline;\" href=\"vakuum-therapie-geraet\/\"\u003eVacuum 660 vacuum therapy device\u003c\/a\u003e . Due to its innovative features and wide range of current types, the Primo Combination 860 is our best-seller among EMS\/ultrasound combination devices.\u003cbr\u003e\u003cbr\u003e If you have any further questions about the device, please feel free to contact us.\u003c\/p\u003e","brand":"EMS Physio","offers":[{"title":"Default Title","offer_id":57540004151627,"sku":"EMS860","price":2899.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0890\/0372\/1035\/files\/primo-combination-860-ems-ultraschallkombi-ems860-0-631K.jpg?v=1733540959","url":"https:\/\/cardiovibe.de\/en\/products\/primo-combination-860-ems-ultraschallkombi","provider":"CardioVibe","version":"1.0","type":"link"}