Enraf Nonius 4 Series User Manual

Page 17 of 72 EN109-1498751-47 IFU
8 Contraindications
The 4-series MUST NOT be used for the below mentioned symptoms or medical conditions.
Electrotherapy
Pain management
• This device should not be used for symptomatic pain relief unless etiology is established or unless
a pain syndrome has been diagnosed.
• This device should not be used on patients with demand-type cardiac pacemakers.
• This device should not be used over cancerous lesions.
• Electrode placements that apply current to the carotid sinus region (anterior neck) must be
avoided.
• Electrode placements that apply current trans cerebrally (through the head) must be avoided.
• Electrode placements that apply current trans thoracically (the introduction of electrical current
into the heart may cause cardiac arrhythmias) must be avoided.
Muscle stimulation
• This device should not be used on patients with demand-type cardiac pacemakers
• This device should not be used over cancerous lesions
• Electrode placements that apply current to the sinus carotid region (anterior neck) must be
avoided (*)
• Electrode placements that apply current trans cerebrally (through the head) must be avoided.
• Electrode placements that apply current trans thoracically (the introduction of electrical current
into the heart may cause cardiac arrhythmias) must be avoided.
Note
(*)
However, the application area for the treatment of Dysphagia is distant enough from the sinus carotis
area, when the therapist follows the guidelines as described in the therapy book "Dysphagia (by H.C.A.
Bogaardt SLP, PhD)"
Ultrasound therapy
• The established contra-indications to heat therapy itself
• In an area of the body where a malignancy is known to be present
• Over or near bone growth centers until bone growth is complete
• Over the thoracic area if the patient is using a cardiac pacemaker
• Over a healing fracture*
• Over ischemic tissues in individuals with vascular disease where the blood supply would be unable
to follow the increase in metabolic demand and tissue necrosis might result
• In the presence of metal implants of any type*
• Patients with sensory loss on the area to be treated
• The gonads or to the developing foetus
• The heart
• The brains
• The testicles
• The eyes
• Ultrasound should not be used on unconscious patients
*= Does not apply to LIPUS (Low Intensity Pulsed Ultrasound)

Enraf Nonius 4 Series Specifications

General

Brand	Enraf Nonius
Model	4 Series
Category	Medical Equipment
Language	English