Contraindications; Precautions And Warnings - Enraf Nonius Endopuls 811 Manual Del Usuario


Jumper's knee

Achillodynia

Plantar fasciitis

Heel spurs

Myofascial trigger point treatment e.g. neck

Myofascial trigger point treatment e.g. back, muscular back pain

Bursitis Trochanterica

Periostitis / shin splints (status post strain)
6.2

Contraindications:


vascular diseases present in or near the treatment area

local infections in the treatment area

around malignant or benign tumours

directly on cartilage surfaces or near the small facet joints of the spinal column

directly over implanted electronic devices such as pacemakers, analgesic pumps, etc.

in areas, in which mechanical energy in the form of vibrations may lead to tissue damage such as
metal implants after a fracture
In general we advise against treatment

if blood clotting disorders are present or the patient is receiving treatment that results in a change
in the blood clotting behaviour

during pregnancy

on patients with neurological diseases resulting in impairment of the vasomotor function in the
treatment area

over air-filled cavities such as treatment on the thoracic spine, etc.

on children, particularly around the epiphyseal plates
Care is required for patients

with impaired sensibility

with severe autonomic disorders

under the influence of drugs and/or alcohol as circulatory stresses and inadequate treatment
responses cannot be excluded.
6.3

Precautions and Warnings:


Users of the Endopuls 811 shockwave treatment device must be trained in how to use the system
properly and have the appropriate skills.

Any treatment instructions regarding treatment location, duration and strength require medical
knowledge and should only be given by authorised doctors, therapists and health
paraprofessionals. It is imperative that these instructions are followed.

Treatment must always be carried out under medical supervision.

The Endopuls 811 hand-piece is not designed for permanent use. After a treatment with max.
6000 shocks, a break of 15 min. becomes necessary.
Caution:
Patients who are concurrently receiving treatment involving a reduction and/or modification of blood
clotting or prolongation of the blood clotting time (e.g. with acetylsalicylic acid) should consult their
therapist about possibly stopping this treatment as these patients may be more prone to greater
haemorrhaging and bruising when radial shockwaves are applied.
Shockwaves are strongly scattered in air pockets and create reflections that may have negative effects.
You must therefore never perform any direct treatments over the lungs (intercostal spaces) or the
gastrointestinal area.
It must not be used in wet areas. If it is used in wet areas, significant damage may occur, and patients and
users may be endangered.
The instruments must only be operated with the mains cable provided. Protect the mains cable from any
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mechanical stress.