Summary of Contents for Enraf Nonius ENDOPRESS 442
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ENDOPRESS 442 It is important to read the following instructions carefully before using this 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.
We are pleased that you have purchased a ENDOPRESS 442. This ENDOPRESS 442 is specially designed for the demands of the physical and manual therapist. During development and production of this ENDOPRESS 442 a great deal of care was put into the reliability, safety, ease of use and durability.
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The surface lymph vessels converge in the inguinal lymph nodes that are at the surface in the fold of the groin area. Points of highest concentration of lymph nodes (Elbows, knees and along the collar are slightly less). The arrows show the direction of lymph flow. The deep lymphatics meet the anterior tibial lymph nodes along their path, situated in the higher, anterior part of the leg, and the lymph nodes of the popliteal cavity (4-5 in number), situated on the posterior face of the knee.
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General Concepts of lymphatic circulation Casley-Smith Pump Lymphatic circulation is not just a system that intervenes in cases of “over fullness” but also permits the rapid absorption of proteins and colloids. Thanks to the lymphatic system, large or insoluble plasmatic protein molecules that cannot normally be reabsorbed by the venous system are reintroduced into the blood circulation.
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products of cellular metabolism increase blood flow and the capillary permeability, so liquid contained in the interstitial tissue increases further, and its pressure keeps the input routes accessible to the lymphatic capillaries. An increase in local tissue pressure follows this initial stage, caused by muscular contraction that compresses the initial lymphatics, and therefore pushing the lymph to close the intercellular junctions.
Safety Features The ENDOPRESS 442 unit has a simple and intuitive software design. All working parameters are handled and controlled in real time by a sophisticated microprocessor electronic circuit which clearly displays its functions accompanied by acoustic signaling. The beginning and the end of the therapy are signaled by a start/end sound of the treatment.
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Indicates the electrical and electronic components of the device can be recycled and has to be disposed separately. Manufacturer name, address and date of manufacture. Model of device Endopress 442 Commercial code EME / ENRAF Serial Number Indicates the serial number so that a specific medical device can be identified.
3 Device components Part Description Function Wheels with Lower and raise the lever to lock and unlock the wheels. brakes Once the device is positioned, lock all four wheels to prevent unintentional movement Do not put the device in a place where someone could trip over the Foot foot.
4 Package contents Below mentioned Standard accessories will be contained in the main device packaging. Standard accessories 1x MAC9160 / 1442921 ENDOPRESS 442 230 Vac or 1x MAC9161 / 1442922 ENDOPRESS 442 115 Vac 1x Power Cord 2x Spare fuses...
5 Installation Unpacking the device The device weighs approximately 22 kg without the sleeves. The weight of the three sleeves is 9Kg. It must be unpacked by at least 2 persons. Inspection Immediately upon unpacking the device, perform the following steps: ...
6 Intended use and intended user The ENDOPRESS 442 may only be used to support patients during physical and manual therapy. The use of ENDOPRESS 442 is strictly limited to operators, such as physiatrists, physiotherapists and pain therapists, who, by virtue of their professional education, would offer a guarantee of an appropriate use and the complete safety of the patient.
9 Precautionary instructions This device should be used only under the continued supervision of a physician or licensed practitioner. This device should be kept out of the reach of children. The patient and the device must be in sight of the therapist at all times. Should the use of this device lead 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 informed without delay!
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In the case of ingress of liquids, unplug the device from the mains supply and have it checked by an authorized person (see the paragraph on technical maintenance). For safety purposes the cord set is provided with an earthed plug. Make sure that power supply socket has been earthed.
10 Operation Operation keys Symbols used in the display panel: Home - return to the Home screen Back - return to the previous screen/option Next - allows you to select the next option Accept - Accept the selected option Play - Start / Continue treatment Pause - Treatment break Stop - stops the treatment...
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The following paragraphs illustrate the procedures to be carried out and the technical specifications of the Endopress 442. They also deal with the different options available from the selection of pre-programmed protocols for use in specific treatments as well as how to determine the correct working parameters for “personalized”...
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Parameters of the device The displayed and modifiable parameters are the same for Manual Operation, Favorites and Clinical Protocols and they are: TREATMENT TIME (min), PAUSE (sec), PRESSURE (mmHg), KIT POINT and PRESSURE IN EACH SEGMENT (%). Use the to start the therapy.
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PAUSE: The pause time can be changed: using the up and down arrows. selecting a preset duration. The button confirms the set value while the button returns to the previous screen. PRESSURE: The pressure can be changed: using the up and down arrows.
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The Endopress 442 can supply a maximum pressure of 150 mmHg per segment. Treatments are normally carried out between pressures of 40 and 80 mmHg. Higher pressures can only be used in special cases under strict medical supervision.
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Manual operation. The following table shows the preset treatments present in the ENDOPRESS 442 device. These treatments cannot be deleted or overwritten by the user. Active sectors...
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Basic Suggested Description programs pression 60 mmHg Successive inflation, starting from the thighs 55 mmHg Remove stasis and favor re-education of the vascular system Similar to classic lymphatic drainage, recommended for decisive action 60 mmHg on thighs and upwards. Not including feet The sectors are inflated in succession and remain inflated.The program 50 mmHg is suitable for marked lymphostasis and retention.
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System settings The Home menu provides access to all functions of the unit. Select the System Settings in the Home menu by tapping the "System Settings" button. On this screen you can customize the unit. You can change or adjust various settings. Tap the Back arrow on the navigation bar to return to the Home menu.
The unit must under no circumstances be opened or dismantled in order to clean or check inner parts. The Endopress 442 does not require cleaning of inner parts, and in all cases, only specialized technicians of Enraf-Nonius BV. are allowed to carry out such operations.
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The service engineer will decide whether the device is suitable for use according to the specifications. End of life Your ENDOPRESS 442 contains materials which can be recycled and/or are noxious for the environment. Please ensure that you are well informed of the local rules and regulations regarding the removal of equipment and accessories.
Directive (93/42/EEC). EMC details Medical electrical devices such as the ENDOPRESS 442 are subject to special precautions with regard to electromagnetic compatibility (EMC) and must be installed and commissioned in accordance with the EMC advice given in the instructions for use.
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The ENDOPRESS 442 should only be operated with the original power cable specified in the list of contents delivered. Operating the device with any other power cable can lead to increased emissions or reduced interference immunity of the device.
This document contains information on the correct use and operation of the ENDOPRESS 442 pressotherapy device. It is a fundamental reference for the user: read the contents of the manual carefully before installing the equipment and keep it on hand at all times for future reference.
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WARRANTY Enraf-Nonius BV guarantees the quality of its products for a period of 24 months from the date of purchase, when information contained in this manual regarding installation, use and maintenance is strictly adhered to. During the warranty period the company can provide for the replacement or substitution of faulty parts.
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Copyright: Enraf-Nonius B.V. Vareseweg 127 | 3047 AT | Rotterdam | The Netherlands Tel: +31 (0)10-20 30 600 | info@enraf-nonius.nl EME srl – via degli Abeti 88/1 – 61122 Pesaro (PU) – Italy EN109- ENDOPRESS 442-40...
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