Calibration of Therapeutic Ultrasound Equipment

Evaluation of therapeutic ultrasound equipment performance

The therapeutic ultrasound (US) is one of the resources mostly used by physiotherapists; however the use of uncalibrated equipment results in inefficient or even harmful therapies to the patient. In this direction, the objective of this study was to evaluate the performance and the procedures of utilization and maintenance of US in use in clinics and Physical-therapy offices. A questionnaire with questions related to the procedures applied in service during the use of therapeutic ultrasound was applied to physiotherapists. The performance of 31 equipment of 6 different brands and 13 different models was evaluated according to the IEC 61689 norm. The parameters measured were: acoustic power; effective radiating area (AER); non-uniformity ratio of the beam (RBN); maximum effective intensity; acoustic frequency of operation, modulation factor and wave form on pulsate mode. As for the questionnaires, it was evident that the professionals are not concerned about the calibration of the equipment. The results demonstrated that only 32.3% of the equipment were in accordance with the norms for the variables power and effective radiation area. The frequency analysis indicated that 20% of the 3MHz transducers and 12.5% of the 1MHz contemplated the norms. In the pulsate mode, 12.7% presented relation rest/duration inside allowed limits. A great variation of the ultrasonic field was observed on the obtained images, which presented beams not centered, sometimes with bifurcation of its apex. The results allow concluding that, although used in therapeutic sessions with the population, none of the equipment presents all the analyzed variables inside technical norms.

Radiant power determination of low-level laser therapy equipment and characterization of its clinical use procedures

OBJECTIVE

The main objectives of this study were to characterize low-level laser therapy (LLLT) and the physical therapy clinical procedures for its use.

BACKGROUND DATA

There are few scientific studies that characterize the calibration of LLLT equipment.

MATERIALS AND METHODS

Forty lasers at 36 physical therapy clinics were selected. The equipment was characterized through data collected from the owner manuals, direct consultation with the manufacturers, and a questionnaire answered by the users. A digital potency analyzer was used to calibrate released mean potency. Qualitative data were presented throughout the descriptive statistics and quantitative data were analyzed by the Wilcoxon/Kruskal-Wallis and Fisher tests (significance, p < 0.05).

RESULTS

The laser equipment was either AsGa (70.5%) or HeNe (23.5%), and 60% was analog and acquired over 5 years ago. The majority of the equipment was used 10-15 times per week and the most frequent density level used was 2 to 4 J/cm(2). Protective goggles were available in only 19.4% of the clinics evaluated. The association between the analyzed categories demonstrated that a lower mean potency was correlated both with equipment acquired over 5 years ago and analog technology. The determined mean potency was lower than the one claimed by the manufacturer (p < 0.05). In 30 cases, the analyzed equipment presented a potency between 3 microW and 5.6 mW; in three cases, the potency was >25 mW; and in seven cases, potency was nonexistent.

CONCLUSION

The analyzed equipment was out-dated and periodical maintenance was not conducted, which was reflected in the low irradiated potency.

Evaluation of the acoustic intensity of new ultrasound therapy equipment

International safety standards recommend a limit below 30% variation in acoustic intensity for ultrasound therapy (UST) equipment. In view of this question, the purpose of this work was to evaluate the intensity of new UST equipment in the Brazilian market. An evaluation was performed of eight models manufactured by six different national manufacturers; under continuous and pulsed conditions, at frequencies of 1.0-3.0 MHz, for a total of 48 items of equipment. The intensities were analysed according to the technical standards IEC 601-2-5, in the range 0.01-3.0 Wcm(-2), using a radiation pressure scale UPM-DT-10 (Ohmic Instruments), previously calibrated. The results demonstrated that the models Sonacel, Sonacel plus, Sonacel III, Avatar I, and Sonamed I, although they were new (unused) presented calibration errors of over 30% in more than one intensity checked, and the models SONOPULSE, PRO-SEVEN and SONOMASTER ST. are within the standards proposed. The results show that industry must improve quality control on their production lines, as well as that there is a need for a supervising body at national level. Published by Elsevier Science B.V.