Measures With Regard To Treatments; Electrotherapy; Ultrasound; Combination Therapy - Enraf Nonius Sonopuls 492 Instrucciones De Manejo

5.3. Measures with regard to treatments

5.3.1. Electrotherapy

Before treatment
• Check the patient for absolute and relative
contraindications.
• Test the heat sensibility of the treatment area.
• If the skin is hairy shaving is the best.

5.3.2. Ultrasound

Before the treatment
• Check the patient for absolute and relative
contraindications.
• Test the warmth sensibility of the treatment area.
• Clean the skin of the treatment area with soap or
a 70% alcohol solution, to optimise the ultrasound
transmission.
• Strong hair grow has to be shaved.
During the treatment
• The treatment head has to be moved, also with
the semi-static method, constantly.
• Ask the patient regularly for his/her findings. If
necessary the treatment will be adjusted. The in-
tensity can be reduced or the continuous mode
can be changed to pulsed mode or vice versa.
• When there are signs that the ultrasound trans-
mission is bad, add more contactgel or move
this with the treatment head.
After the treatment
• Clean the skin of the patient and the treatment
head with a towel or tissue. Furthermore clean
the treatment head with a 70% alcohol solution.
• Check the effects that can be expected (for ex-
ample pain, circulation and mobility).
• Ask the patient to inform any reactions to the
therapist.

5.3.3. Combination therapy

See both chapters 5.3.1. Electrotherapy and 5.3.2.
Ultrasound.

5.4. Memory functions

The Sonopuls 492 is equipped with a memory to
store equipment settings and protocols.

5.4.1. Equipment settings

Equipment settings store all parameters of the ap-
paratus, except the current intensity. Contrary to
protocols, equipment settings operate on all chan-
nels together, including the ultrasound channel.
Equipment settings are stored at locations 0 - 9.
The location number will appear on the display when
button [15] is pushed. Equipment setting 0 is auto-
matically loaded when the apparatus is turned on.
42
Equipment settings can only be loaded and stored
when all channels are inactive.

5.4.1.1. Loading equipment settings

• Push button [15],
• Select a memory location in the range of 0 - 9
with the central controller [16]. The display shows
the equipment settings that are stored at the se-
lected location;
• Push button [14] to load the selected equipment
settings;
• Adjust the current intensity with controller [17];
• Push button [14] to start the therapy in case a
surge program was selected.
Loading the selected equipment settings has to oc-
cur within a certain time delay as long as
ing. Waiting too long, or pushing any other button
than [14] or [15] will cancel the load operation.
.

5.4.1.2. Storing equipment settings

• Select a therapy and set all parameters on all
desired channels;
• Push button [15],
• Select a memory location in the range of 0 - 9
with the central controller [16]. The display shows
the equipment settings that are stored at the se-
lected location, allowing you to check what will
be overwritten;
• Push button [15] a second time,
The display now shows the current equipment
settings that are to be stored at the selected lo-
cation;
• Push button [14] to execute the store operation.
Execution of the store operation has to occur within
a certain time delay as long as
ing too long, or pushing any other button than [14]
or [15] will cancel the store operation.

5.4.2. Protocols

A protocol consists of one or more treatment steps
that are sequentially executed. Each treatment step
has its own current waveform, parameter settings and
treatment time. The protocols are categorised in clus-
ters according to their application. Protocols are
identified as follows:
1:1the first number is the cluster number
1:1the second number is the protocol number
The Sonopuls 492 provides a number of pre-pro-
grammed protocols, that are available at cluster 2
and higher. Each cluster is intended for a specific
indication. In the therapy guide that is supplied with
the apparatus you will find a survey of all clusters
and the corresponding protocols. Additionally the
Sonopuls 492 supports user defined protocols, for
which cluster 1 has been reserved.
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