Practical Guidelines Electrotherapy Application
Contents
1. Assist button F S o 12 45 15 00 m 14 30 ma Once you pressed the Assist button you will come in the assist menu Select Start with the central controller Confirm with the confirmation button The actual treatment will start now You can see the treatment time counting down in the left tab and a small green triangle that indicates that the treatment is running After 4 minutes the treatment will be finished and you can carefully remove the electrodes In case you want to stop the treatment earlier you can always press the Assist button again select Stop and the treatment ends ENRAF NONIUS2. connector channels channel 1 For electrotherapy we connect the electrodes to one of the 2 channels Channel 1 is the connection on the left hand side frontal view 3 The first Electrotherapy demonstration 3 1 Set up the machine and your patient Turn on the unit After approximately 30 seconds the unit is ready for use Explain to the customer that we will demonstrate the Russian Stimulation This is not painful and shows very well how the reaction of the patient is to the intensity of the used current Connect the Electrodes 1 Connect the 2 electrodes to the cable For this demonstration any size of electrodes can be used 2 Connect the cable in the left part of the unit This is Channel 1 Make sure that the red plug will be put into the red channel and the black plug into the black channel 3 Now it is time to place the electrodes on the skin of the patient First locate the muscle belly on the patients arm Ask him to extend his hand and it is obvious where it is located ENRAF NONIUS Sonopuls 692 Therapy Wizard Ultrasound Therapy Combination Therapy System Settings Home Electrotherapy Pain Management Muscle Stimulation All Current Waveforms Diagnostics Then you can place the electrodes on both ends of the muscle belly The placing of the electrodes also depends on the size of the electrodes The patient is ready for the treatment Now it is time to properly set
3. menu Select Surge Program with the central controller Confirm with the confirmation button EOR i NONIUS 5 Select Ramp up Time with the central Electro Therapy controller Muscle Stimulation Surge Program Confirm with the confirmation button Ramp up Time 0 05 Hold Time Use the central controller to set the Ramp up time to 2 seconds make sure that you turn it up to 2 seconds and not just 0 2 Ramp down Time u seconds and confirm with the confirmation Interval Time 505 button E 0 00 0 0mA 0 0mA 0 00Wem Pain Manaqdement Ramp up Time In the Surge program the same sequence has to be used to set the Hold Time the Pain Mg 1 2 Ramp Down Time and the Interval Time time Ramp down Bl Interval time time time e Select Hold Time with the central controller Confirm with the confirmation button Use the central controller to set the Hold Time to 6 seconds and confirm with the confirmation button Select Ramp down Time with the central controller Confirm with the confirmation button Use the central controller to set the Ramp down time to 2 seconds again make sure that you turn it up to 2 seconds and not just 0 2 seconds and confirm with the confirmation button Select Interval Time with the central controller Confirm with the confirmation button Use the central controller to set the Interval Time
4. Practical Guidelines For the Enraf Nonius Commercia ial Training Electrotherapy Application EOR E NONIUS 5 Copyright amp Exclusive Sales and Service FENRAR I BNONIUS g Enraf Nonius B V P O Box 12080 3004 GB ROTTERDAM The Netherlands Tel 31 0 10 20 30 600 Fax 31 0 10 20 30 699 info enraf nonius nl www enraf nonius com E N NRAF ONIUS Content 1 iiie qm S 1 2 NAMIN eeced gh o1 1 00 Mee LET 1 A NES iuc keesito EE ooo 1 2 2 COMMMMMATON DUNO siesiisiciceh cet Caaboe dto ioa eo bn Coi ted d abet t bobo dubbi ione teilte 1 PES MEM t olio d E 1 24 BUltOIZoloD oos e aaa o DM op rides Matra cease Ete A E Et esp CUM Arcu 1 2 9 Electrotherapy connector Channels ccccccscccssseeceesceceesceceseeeneseeeseseessaeeeseeeesueesneeens 2 3 The first Electrotherapy demonstration e lesse cesses eeeeeee eene n nennen nnn nnns 2 3 1 Setup the machine and your patient seessseessesssssseeeeeeee nennen nnns 2 3 2 Search for the proper intensity c cc ccccccesceccsececeeeeecseeeseeeeeseaeesseeeesseeeessaeeesegeeseneessenees 6 9 9 Je actual ICAMMOIIG succes he er anl duct uses ee het sse tap se to secu am ve eau T 34 JEndobteallehlb eceuxddistemtidetotodeesu Gp uh ed a a e a T EAE a NONIUS 1 Preamble In the following pages we will present a step by step practical guidelines for demonstration of an electro
5. the Endomed Sonopuls Myomed for the treatment In the main menu of the unit select Electrotherapy with the central controller Confirm with the confirmation button Select Muscle Stimulation with the central controller Confirm with the confirmation button EOR l NONIUS 5 Feedback Therapy Myofeedback Stimulation Premodulated Russian Stimulation Biphasic Pulsed Currer Faradic Current Diadynamic Current High Voltage l rd a T n d eoO0O0 EE BOO ES n aT Electrotherapy Muscle Stimulation J Russian Stimulation Treatment Time Carrier Frequency Burst Frequency Pulse Pause Ratio surge Program Output Mode m Electrotherapy Muscle Stimulation Russian Stimulation Treatment Time Carrier Frequency Burst Frequency Pulse Pause Ratio surge Program Output Mode Select Russian Stimulation with the central controller Confirm with the confirmation button The following screen is the Channel Selection Select Channel 1 with the central controller remember we attached our electrodes to channel 1 in the first steps of this demonstration Confirm with the confirmation button and you will return to the previous menu Select Treatment Time with the central controller Confirm with the confirmation button Use the central controller to set the time on 4 minutes Confirm with the confirmation button and you will return to the previous
6. therapy application This electrotherapy application can be done on an Enraf Nonius Endomed Myomed Sonopuls or Sonopuls StatUS All steps are documented and displayed but don t hesitate to ask in case of any queries This guideline is not an instruction or user manual In case you need to know in depth the possibilities of the unit you need to consult the User s manual of the unit you are using User manuals can be downloaded from the Enraf Nonius partnersite http www partnersite enraf nonius org 2 Naming convention In this manual we will use the following names Ultrasound therapy StatUS Stationary Ultrasound Electrotherapy Therapeutical use of currents Russian stim A current form that is excellent for demonstration purposes Russian stim is soft and it creates a clear perception at the side of the patient your customer 2 1 Central controller The big round button that scrolls trough the menus 2 2 Confirmation button The long mouse button for confirmation of the selected item with the central controller in L 2 3 Assist button Assist button The small orange button just above the confirmation button that allows for a quick Confirmation y 4 jump to Home Stop etc button 2 4 Button A toD The 4 small buttons just below the screen Functionality of these buttons is defined by the current tabs in the menu screen KO NONIUS 2 9 Electrotherapy Electrotherapy connector
7. to 10 seconds and confirm with the confirmation button Now you have programmed all you need for this demonstration of Russian stimulation We now will look for the intensity level of f AES this treatment I NONUSS 3 2 Search for the proper intensity With the above setting we are now going to search for the proper intensity level This Left Tab means we are slowly going to increase the r current and look for that specific value where a visible contraction is generated In order to accomplish this press button A 2 times On the left Tab of the screen you will see that a part of the screen will turn red with white letters that indicate the current intensity in mA At the start it shows you the value of 0 0 mA In order to find the intensity of the current that fits the condition of your patient you slowly intensify the current by using the central controller As you do this keep looking at the patient s arm and hand The patient will experience an itchy feeling which intensifies as you Electrotherapy increase the current At a certain point a Muscle Stimulation contraction of the muscle becomes visible Russian Stimulation F The hand will also slightly extend This is Treatment Time the intensity we want for our treatment Carrier Frequency Now let go of the central controller and Burst Frequency f press the Assist button Pulse Pause Rati y EOR i NONIUS 5 i
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