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EN109-1498740-40 IFU
1
Introduction
It is important to read the following instructions carefully before using your device properly
and safely. The manufacturer cannot be held responsible for the results of using this device
for any purposes other than described in these operating instructions.
If the use of this device may have caused or contributed to an undesirable event such as
death or serious injury to the user, the manufacturer AND the competent authority of the
Member State MUST be notified immediately!
Foreword
Thank you for purchasing the Endomed 484.
The Endomed 484 designed and manufactured by Enraf-Nonius B.V., offers a new dimension in
electrotherapy, made possible by advanced software design. The result is a device with extraordinary
versatility based on simplicity of operation.
This manual has been written for the owners and operators of the Endomed 484. In order to maximize
the use, efficiency and lifespan of your unit, please read this manual thoroughly and become familiar
with the controls as well as the accessories before operating the device.
Device Description
The Endomed 484 is a 4 channel electrostimulator for Pain Management (TENS and PENS) and Muscle
Stimulation (NMES). The device is intended for use by professional users only.
The device is part of the 4-series. The 4-series is a family of products for physical therapy. The devices
share an identical control panel equipped with a touch screen in a PC-ABS plastic housing. The
Endomed 484 is mains powered and can optionally be equipped with a battery for mains independent
operation for use in an ambulatory setting (e.g. home treatment). It has a modified front panel for
electrode connections (4 pairs of electrodes in total).
The Endomed 484 is equipped with a full color touch screen and a turning knob for easy operation
of the device. The graphic user interface allows for maximum operator comfort. The device includes
preset clinical guidelines (‘protocols’)
. Individual treatment parameters can also be set manually and
adjusted by the operator. All treatment parameters can be set and saved as favorites (personalized
settings) as a reference for future therapy sessions.
The 4 stimulation channels are fully independent channels that can be used in combination (linked)
or totally independent. The intensity can be regulated separately for each channel. Protocols can run
on linked or independent channels. When working with independent channels, up to four different
protocols can be performed simultaneously.
The following current wave forms can be selected:
•
Asymmetrical Biphasic Pulsed Current
•
Symmetrical Biphasic Pulsed Current
•
Symmetrical Biphasic Pulsed Current with Interphase Interval
The electrical stimulation is applied to the skin via surface electrodes (TENS and NMES) or
percutaneous electrodes (PENS) with the objective to stimulate specific types of nerve fibers or
acupoints. Various sizes of electrodes (from point electrode with a surface of 0.3 cm
2
to electrodes
with a surface of 96 cm
2
) are available to accommodate the size of the treatment area or anticipated
