Unit 4 notes-ME
Unit 4 notes-ME
Diathermies- Shortwave, ultrasonic and microwave type and their applications, Surgical Diathermy,
Biotelemetry.
DIATHERMIES
➢ Definition: Diathermy is the treatment process by which cutting, coagulation of tissues are obtained.
i. Application of high-frequency electromagnetic energy
ii. Used to generate heat in body tissues.
iii. Heat produced by resistance of tissues.
iv. Also used for non-thermal effects
➢ Advantages:
i. Treatment can be controlled easily.
ii. Use of appropriate electrodes permit the heat to be localized only in the region to be treated.
iii. Amount of heat that is to be delivered can be adjusted accurately.
iv. Inter lying tissues, muscles, bones, internal organs, etc, can be provided with heat by using high
frequency
➢ Physiologic Responses to Diathermy
• Not capable of producing depolarization and contraction of muscles
• Wavelengths too short
➢ Physiologic Effects Are Those of Heat in General
• Tissue temperature increase
• Increased blood flow (vasodilatation)
• Increased venous and lymphatic flow
• Changes in physical properties of tissues
• Muscle relaxation
• Analgesia
➢ Types of diathermy
• Shortwave diathermy
• Ultrasonic diathermy
• Microwave diathermy
• Surgical diathermy
Inductive Method(Inductothermy)
• In the inductive method a flexible cable is coiled around the arm or knee or any other
portion of the body which is to be treated.
• This is used where the plate electrodes are inconvenient to use. When the electrostatic
➢ When R.F current applied to the pads, the dielectric loss of the capacitor produces heat in the
intervening tissues. This technique is called condenser or capacitor method.
➢ In inductive method, a flexible cable is coiled around the arm. When R.F current is passed through
the cable.
➢ Deep heating in the tissue results from electrostatic field set up between its ends and heating in the
superficial tissues is obtained by eddy currents set up by magnetic field around the cable.
➢ Instead of continuous R.F waves, R.F pulses of 65 µs with on interval between pulses of 1600 µs are
also used. This is called Dia-pulse shortwave diathermy.
➢ The rate of pulsation is from 80 to 600 pulses/ sec with peak power of 293 to 975 w. By this methods
the excess tissue fluid associated with Cellular damage is reduced, Heating rate is enhanced, No
danger of burns, the depth of penetration is correctly adjusted.
MICROWAVE DIATHERMY
➢ In this method the tissues are heated by the absorption of microwave energy. The frequency
used is about 2450 MHz.
➢ Better results are obtained by the microwave method and it is more advantageous than the short
wave method.
➢ There is no pad electrodes and flexible cable.
➢ Microwave is transmitted into body and treat directly from the direction of unit.
➢ Microwaves are produced with the help of magnetron
➢ Proper cooling arrangements are made for the purpose of cooling the magnetron.
Precautions
• Necessary precautions should be taken during this method of treatment
• Excessive dosage causes skin burns and the skin should be dry as the waves are rapidly absorbed
by water.
Disadvantages
• Patients with implanted pacemaker should not undergo this treatment
• There are possibilities of over heating
• Care should be taken while the treatment is made near the eyes.
ULTRASONIC DIATHERMY
CIT 3 DEPT OF ECE
OEC 754 MEDICAL ELECTRONICS
➢ Ultrasonic therapy is used where short wave treatment is failed and where localization of heat effect
is desired. It is very helpful to cure the diseases of peripheral nervous system.
➢ The heating effect is produced due to the absorption of ultrasonic energy by the tissues. The effect of
ultrasonic on the tissues is a high speed vibration of micro massage.
➢ Micro massage is used in the treatment of soft tissue lesions.
➢ Ultrasonic massage is better because of greater depth of massage can be obtained without any pain
to the patient.
➢ R.F oscillator produces a high frequency alternating current which excites the piezo electric
transducer. The ultrasonic waves can be applied in contained or pulsed mode.
➢ In case of pulsed mode, micro massage is obtained effectively without any thermal effect. In front of
crystal, there is a metal face plate which is made to vibrate by the oscillations of crystal. Ultrasonic
wave are emitted from this plate.
SURGICAL DIATHERMY
➢ It is found that when high frequency current in the range 1 -3 MHz is applied, heating of the tissue
takes place.
➢ The evolving steam bubbles in the tissues at the surgical tip continuously rupture the tissue and by
that way the cutting action is obtained.
➢ Similarly, during the passage of the high frequency current through the tissue, the tissue is heated
locally. So that the tissue is melted instantaneously and sealing of the capillary and other blood
vessels is taking place.
➢ Thus, the coagulation of the tissues takes place. The use of high frequency current is to avoid the
intense muscle activity and the electrocution hazard which occurs if low frequencies are used.
Apart from the thermal and therapeutical applications, the high frequency currents are also used for
surgical purposes like cutting and coagulation.
Cutting:
When a high frequency current flows through sharp edge of a wire or the point of a needle
into the tissue, there is a high concentration of current at this point. The tissues get heated and as a
result the cells immediately under the electrode are torn apart by the boiling of cell fluid. The other
electrode called indifferent electrode has large area of contact with the patient and the RF current is
passed through it induces only a very little heat at the electrode. This type of tissue separation is
called as electrosurgical cutting.
Coagulation:
The coagulation process is achieved by the high frequency current flowing through the tissue
and results in heating and coagulation. The process of coagulation is accompanied by a greyish-white
discoloration of the tissue at the edge of electrode. Better coagulation is achieved by high frequency
currents as this does not cause burning. The continuous radio-frequency current is used for cutting
and burst wave radio-frequency is used for coagulation. The electrode melts through the tissues and
seals capillaries and other vessels. Even if the high-frequency surgery is not used, the method of
electrocoagulation can be used.
➢ The amplitude of the input signal may vary from 10uV to several milli volt and the transmission
range is usually from few meters to 30 meters at a power consumption level of milli watts
➢ Bandwidth of the signals is from few 100 Hz to 1000Hz.
Advantages:
• The circuit is simple.
• It consumes low power.
Disadvantages:
• Error can be produced by the power supply voltage variations.
• Interference can be generated over wide frequency band.
(a) Frequency division multiplex system: Each signal is frequency modulated on a subcarrier
frequency. Then these modulated subcarrier frequencies are combined to modulate the main R.F
carrier.
At the receiver side the modulated subcarriers will be separated by the proper band pass filters
after the first discrimination.
The individual signals are recovered from these modulated subcarriers by the second set of
discriminators.
The frequency of the subcarriers has to be carefully selected to avoid interference. The low pass
filters are used to extract the signals without any noise.
Conditions:
➢ The scanning frequency fn should be at least greater than twice the maximum signal frequency fs.
(ie) fn>2fsmax
➢ If Tn=1/fn=scanning period and tn is the sampling time of each channel than the maximum no. of
channels n=Tn/Tn. Practically the no. of channels is smaller than the calculated value of ‘n’ to avoid
interference between channels.
Advantages of biotelemetry:
1. Used to record the bio signals over long periods.
2. Patient is not disturbed during recording
3. For future reference or to study the treatment effect
4. Monitor the athletes running a race.
5. For monitoring the persons who are in action the biotelemetry is an ideal one.
6. For recording on animals, particularly for research, the biotelemetry is greatly used.
Uses of bio-telemetry:
1. Biotelemetry helps us to record the bio signals over long periods and while the patient is engaged
in his normal activities.
2. The medical attendants can easily diagnose the nature of disease by seeing the telemetered signals
without attending the patient’s room.
3. Patient is in his room without any mechanical disturbance during recording by means of
biotelemetry.
4. To study the treatment effect biotelemetry is the essential one.
5. For recording on animals, particularly for research the biotelemetry is greatly used.
6. For monitoring the persons who are in action the biotelemetry is an ideal one.
PART A
a. What are the advantages of biotelemetry system?
The advantages of biotelemetry systems are
(i). It is used to record the biosignals over long periods and while the Patient is engaged in his
normal activities.
(ii). The medical attendant or computer can easily dragonize the nature of Disease by seeing the
telemeter biosignals without attending patient Room
(iii). Patient is not disturbed during recording.
(iv). For recording on animals, particularly for research, the biotelemetry is greatly used
e. What are the choices of radio carrier frequency for medical telemetry purpose? (Nov/Dec-
2016)
The biosignals are amplified to radio frequency range of few hundred KHz to about 300 KHz and then
they are transmitted by transmitter antenna's.
l. List the two types of multiplexing involved in multi-channel wireless telemetry? (Nov/Dec
2013)
The two types of multiplexing involved in multi-channel wireless telemetry are
1. Time division Multiplexing
2. Frequency division Multiplexing
n. Give the types and frequencies of operation of diathermy units. (Nov/Dec 2012)
The types and frequencies of operation of diathermy units are 1. Fulguration -100Hz 2. Deciccation-
100Hz 3. Electrotomy-500Hz 4. Coagulation-250Hz 5. Blending-500Hz
t. What are the choices of radio carrier frequency for medical telemetry purposes? (dec 2016)
Use and Outcomes of Telemetry Monitoring on a Medicine Service. Telemetry is a powerful tool for
real time monitoring of a patient's heart rhythm and QRS pattern. Beds with telemetry monitoring
are limited and expensive in most institutions; therefore, the use of this resource would ideally be
evidence based.