TRAINING
FCare Systems
Kontichsesteenweg 54
2630 – Aartselaar, Belgium
Septembre 2002 - R.Garcin Nederlandse bewerking: M. Mets
LIPOLYSING
ULTRASOUNDS
Lipolyserende Ultrasonen
Drainage
Defibrosering
LIPOLYSING ULTRASOUND
Vascularisation
Septembre 2002 - R.Garcin
Microwave effect

Low Frequency Ultrasound
Ultrasounds are vibrations of the same nature as sound,
but at a frequency that cannot be heard by the human ear.
The low freqeuncy ultrasounds (30 KHz) provokes positive
physical effects on the adipocytes and the micro-circulation.
Septembre 2002 - R.Garcin

Ultrasounds in a medical environment .
The Ultrasound vibrations are
generated by the « US
transducer ».
1 cm
A physics definition is :
Frequency X Wavelenght =
Constant
This means that a high
frequency has a short
wavelenght and a low
frequency has a long wave
lenght
US Transducter
3 MHz
30 KHz
1m
Septembre 2002 - R.Garcin

Ultrasounds in a medical environment
Another physics effect is the convergance of the waves into a focal point.
A shorter wavelength (higher frequency) will have a focal point closer to the US head.
3MHz
1,5 cm
1MHz
4,5 cm
30 KHz
1,5 m
With high frequencies (3 MHz of 1 MHz: therapeutical U.S.), the focal point will be just
under the skin. This can cause a burning in the flesh and therefor a constant moving of
the US head is required.
The focal point with low frequencies 30 kHz is much further away. THere is no risk of
burning, the heads do not need to be moved and can therefor be fixed during treatment.
Septembre 2002 - R.Garcin

Low frequency U.S.-heads
A U.S.-head is made from a ceramic plate on which a
piezo-electric cristal is attached. When a current is
applied to this piezo element it will move.
Vibrations are generated by feeding a electrical
current with a defined frequency to this piezo
element.
The element is mounted in an aluminium part which
is very thin on the top. This membrane is tuned to
resonate at 30kHz.
It are these mechanical vibrations that are transduced into the body.
It is important to apply a Ultrasound Gel between the head and the skin:
• The gel will better conduct the vibrations into the body.
• Due to the movements the head will warm up. The gel functions as a thermic
isolator.
Septembre 2002 - R.Garcin

Cellulitis
Normal
Stage 4 : waffled
Septembre 2002 - R.Garcin
Stage 1
Stage 3 :encapsulated
Stage 2 : orange skin

Localisation of cellulitis
Inside arm
Abdomen
Hips
Buttocks
Riding hoses
Thigh
Above and inside
knee
Inside ankles.
+ Neck
These zones have many - energetic receptors. This is the reason
why a simple hypocaloric diet is not sufficient for treating these
zones.
Septembre 2002 - R.Garcin

Main effects of Ultrasound.
Microwave-effect
The frequency of 30 kHz has a mechanical effect on the triglycerides. A
prolonged continues vibration of the triglycerides in this frequency will
breakdown this molecule.
30 kHz vibrations will provoke a hyperpermeabilisation of the adipocyte
membranes. This will transport, via inverse osmosis, the broken down
molecules out of the adipocyte into the interstitium fluids.
The micronised fat will be evacuated through the veno-lymphatic system.
Please note that the fat is made free and available for the body to burn.
If not consumed by means of training or physiostimulation, the fat will
eventually be diposited in the body again.
Septembre 2002 - R.Garcin

Other effects of Lipolysing Ultrasound
Effect on the circulation
One of the effects of low frequency ultrasound is that the pressure pulses causes a compression and depression
of the extracellular space, resulting in a better dilation of the lymphatic and venous micro channels. It
accelerates the return flow by a « massage » of the vessels
Effects on the fibrosis
The ULTRASOUND has also an interesting effect on the fibrosis. Clinical observations show a good result
on breaking fibrosis tissues, however, the exact explanation of the phenomena has not been found yet. The
data are largely empirical .
Well being
One can observe a feeling of well being, expressed by the patient. This feeling of well being is confirmed
during the months following the treatment.
Septembre 2002 - R.Garcin

Programs
The device has 4 programs, based on working and pause times: TI & TO:
• Program 1 : continue – this program switches the vibrations on for 10
seconds (TI) after which a 1 second pause is introduced. (TO). This pause
is to prevent the US head element from breaking due to resonance.
• Program 2 : Puls 1 - TI = 5 s. TO = 1 s.
• Program 3 : Puls 2 - TI = 3 s. TO = 3 s.
• Program 4 : Puls 3 - TI = 2 s. TO = 1 s.
For an optimal result, the first 1 treatments should be PULS 2 or PULS 1.
This to has a larger effect on circulation and fibrosis. After that, the
CONTINUE program for a good micronisation of the fat molucules.
Septembre 2002 - R.Garcin

The Treatment protocol
• Put gel on the zone to be treated.
• Put enough gel on the heads to cover
them completely.
• Fixate the heads on the treatment zone.
• Connect the heads to the device
(depending the treatment, 1 or 2 generators).
• select a program.
• Start generator 1 and set intensity to 30%. – if so required for generator 2 as well.
• Increase intensity in 5% steps to 60%
• Check on a regular basis of there is still gel (to prevent heating).
• After the treatment, first disconnect the heads from the device, then from the patient.
• Remove the gel
Septembre 2002 - R.Garcin

Secondary Effects
Ringing in ears
• Although the 30 kHz frequency cannot be heared, a high pitched noise
might experienced. This is caused by the drumming of cells which
generates a 15 kHz frequency. Is the patient is complaining, a reduction
of the intensity will solve this problem.
Other effects
• Warming of tissue, caused by the vibration of the tisssues. Some friction
will result in generating warmth.
• The skin can display a light redness after a treatment due to this
warmth.
• A tinging sensation is normal. It is the effect of the emission of
ultrasound waves.
Septembre 2002 - R.Garcin

Contra - indications
• PACE MAKER.
• Lesions of the skin
• Phlebitis and thrombosis.
• Malignant tumors.
• Tuberculous injuries.
• Osteoporosis.
• Ischemie.
• Recent scars.
• Bone protheses and implanted hearing aids.
• Metal screws and plates in the treated zone
• Pregnancy.
Septembre 2002 - R.Garcin
F