Ionto4 vs. Trivarion: Shapes, Fill Volumes & Ordering

by Service, Training and Support·September 26, 2026

The most important ordering difference is that Ionto4 Medium holds 2.5 mL, while Trivarion Medium holds 2.0 mL. Their large options also differ: 4.0 mL for Ionto4 and 3.5 mL for Trivarion. Matching the size name alone can therefore produce the wrong replacement order.

Our Ionto4 electrode kits and Trivarion delivery kits are both disposable supplies for wired iontophoresis. Choosing between them requires the clinician to check the exact reservoir, electrode shape, and controller setup. Neither is a self-powered patch, and medication is supplied separately.

Which Ionto4 and Trivarion sizes actually match?

The table below compares catalog configurations. It is an ordering reference, not an approved-substitution list. One milliliter, or mL, equals one cubic centimeter, or cc.

Size labelIonto4 configurationTrivarion configurationWhat changes when comparing them?
SmallSmall Square, 1.5 mL; NC89375Small, 1.5 mL; NC89180BFill volumes match; the electrode designs still need a fit and compatibility check.
MediumMedium Square, 2.5 mL; NC89376Medium, 2.0 mL; NC89181BBoth the configuration and required fill volume must be reviewed.
LargeLarge Square, 4.0 mL; NC89377Large, 3.5 mL; NC89182BIonto4’s listed reservoir volume is 0.5 mL greater.
ButterflyButterfly, 2.0 mL; NC89378Medium Butterfly, 2.0 mL; NC89183BThe shared name and volume do not establish identical dimensions or an interchangeable setup.

Is Trivarion Medium the same as Medium Butterfly?

No. Both have a 2.0 mL fill volume, but they are separate configurations: NC89181B is Medium, and NC89183B is Medium Butterfly. Our product selector identifies the latter as Butterfly.

An order that says only “Trivarion 2 cc” leaves the intended shape unclear. Include the full configuration and item number on the purchase order.

How should a clinic compare electrode shapes?

Ionto4 offers three square options and a butterfly option. Trivarion’s product information emphasizes shapes intended to accommodate uneven treatment sites. Because both families include Butterfly configurations, “square versus butterfly” does not describe the entire comparison.

For a curved or narrow site, have the clinician assess whether the selected electrode can maintain the contact required by its instructions. Consider the space needed by the adhesive border and the return electrode as well as the drug reservoir. A shared fill volume does not establish a shared footprint.

For example, Trivarion Medium and Ionto4 Butterfly both list 2.0 mL. That makes them a volume match on paper, but it does not make them equivalent replacements. Shape, connection, and clinical requirements still need review.

Product photographs can help identify the configuration, but separately photographed items may be displayed at different scales. Use documented dimensions and the actual product when assessing fit. A larger-looking image does not establish a larger active treatment area or better drug delivery.

Can both electrode families be used with ActivaDose II?

Trivarion is specifically listed as compatible with the ActivaDose II iontophoresis controller. Ionto4 instructions specify use with an FDA-cleared, constant-current iontophoresis device.

When changing electrode families, confirm the exact controller, lead set, and electrode requirements together. A connector that appears to fit does not by itself establish an approved combination. If the clinic’s equipment or cable identifiers are unclear, contact our team with those details before ordering.

Our ActivaDose II operating guide covers the device’s controls and alerts. Follow the instructions supplied with the selected electrode and controller for treatment settings and operation.

What comes in a box, and what is separate?

Our Ionto4 and Trivarion listings each supply 12 single-use treatment kits per box. Each kit pairs an active drug-delivery electrode with a return electrode and includes alcohol skin-prep supplies. This means 12 paired setups, rather than 12 individual electrodes divided into six pairs.

The electrode box does not supply the medication, reusable controller, controller leads, or a separate filling syringe. Confirm those supplies before introducing either product into the clinic.

Keep the active and return electrodes together as the specified kit. Do not assume that a spare return electrode from another brand forms an approved combination. These kits are single-use, including when the same patient returns for another appointment.

If the clinic instead needs a treatment format without an external controller, use our IontoPatch versus wired iontophoresis comparison to evaluate that different purchasing decision.

How do you compare Ionto4 and Trivarion cost fairly?

Start with configurations the clinician has approved for the intended use. A less expensive box is not a suitable substitute if its reservoir or shape does not meet the treatment requirements.

For either 12-kit box, divide the selected box price by 12 to calculate the electrode-kit cost per setup. Include shipping, applicable taxes, and any confirmed quantity discount when comparing delivered totals. Medication, professional services, and reusable equipment remain separate expenses.

We offer free U.S. shipping. Check the selected configuration on our Ionto4 product page or Trivarion product page for current pricing and availability. For a larger clinic order, ask us to quote the exact item numbers and quantities you need.

What should you record before switching electrode brands?

A precise supply record helps purchasing staff repeat the approved choice without interpreting a clinical order from a size label.

Record on the clinic’s supply listWhy it matters
Product family, full configuration, and item numberSeparates medium from medium butterfly and distinguishes seller stock codes from catalog identifiers
Required fill volumePrevents carrying a 2.0 mL Trivarion Medium order over to a 2.5 mL Ionto4 Medium reservoir
Controller model and approved lead setPreserves the verified equipment combination
Clinician-approved treatment-site fitRecords why the chosen shape is appropriate for the intended use
Kits per box and number of boxesDistinguishes treatment-kit counts from individual electrode counts
Whether substitution is permittedGives purchasing staff a clear route back to the clinician if the requested item is unavailable

For instance, “Trivarion Medium Butterfly, NC89183B, 2.0 mL, 12 kits per box” identifies a much clearer purchasing requirement than “medium ionto pads.” Record the controller and clinical approval alongside that description.

Questions to resolve before making a substitution

Can I put 2.0 mL into Ionto4 Medium to match Trivarion Medium?

Do not change the filling procedure to make two different reservoirs appear equivalent. Ionto4 Medium lists 2.5 mL. Have the clinician reconcile the prescribed solution and electrode requirements before selecting a replacement; follow the instructions supplied with that exact kit. Our iontophoresis electrode setup guide explains the broader preparation workflow.

Does Ionto4 Large provide a stronger treatment than Trivarion Large?

A 4.0 mL reservoir is larger in listed fill volume than a 3.5 mL reservoir. That difference alone does not establish a higher electrical dose, more medication delivered into tissue, or a better clinical result. The prescribed solution, electrical settings, and electrode requirements must be assessed separately.

Does “no additional hydrogel” mean Trivarion arrives filled with medication?

No. The description refers to its electrode design; it does not mean that medication is included. The drug matrix still requires the prescribed solution and the filling procedure specified in the product instructions.

Order the configuration your clinic has approved.

Choose Ionto4 when the approved supply specification calls for its selected square or butterfly configuration. Choose Trivarion when its selected shape, reservoir, and controller pairing meet the clinic’s requirements.

If you are replacing an existing order, send us the current package label, required configuration, and controller model. We can help identify the purchasing details while the treating professional confirms clinical suitability.