5
an applicator with a large contact area, an applicator with a small contact area or with both applicators.
The applicators can operate in continuous or pulsed mode at an ultrasound frequency of 1 MHz or 3 MHz.
Contact control suspends the application of ultrasonic energy when acoustical contact with the treatment
area becomes insufficient. The applicators are suitable for subaqual treatments.
Sonopuls 492:
The Sonopuls 492 is a combination device, combining the functions of the Endomed 482 and the
Sonopuls 490 in a single device. With the Sonopuls 492 the simultaneous application of ultrasound and
electrotherapy (combination therapy) is also possible. The remaining electrotherapy channel can then be
used independently.
Vacotron 460:
Electrotherapy can be applied through standard or vacuum electrodes. With vacuum electrodes the
Vacotron 460 generates the vacuum through which the vacuum electrodes are attached to the patient.
The device is placed beneath the Endomed 482 or Sonopuls 492, from which its power is derived and
through which it is also operated.
3 Precautionary Instructions
In this section general Warnings and Precautions are listed, that you should be aware of when using the
4-series. See also chapter 4.1 for Warnings and Precautions that are application specific.
WARNING:
• Federal law (USA only) restricts this device to sale by, or on the order of, a physician or licensed
practitioner. This device should be used only under the continued supervision of a physician or
licensed practitioner.
• Make certain that the unit is electrically grounded by connecting only to a grounded electrical
service receptacle conforming to the applicable national and local electrical codes.
• Do not operate the unit in an environment of short-wave or micro-wave diathermy.
• This 4-series is not suitable for use in the presence of flammable anesthetics mixture with air,
oxygen, or nitrous oxide.
• This device should be kept out of the reach of children.
CAUTION:
• Read, understand and practice the precautionary and operating instructions. Know the limitations
and hazards associated with using any electrical stimulation device. Observe the precautionary
and operational stickers placed on the unit.
• Use of controls or adjustments or performance of procedures other than those specified herein
may result in hazardous exposure to ultrasonic energy.
• Handle the ultrasound applicator with care. Inappropriate handling of the ultrasound applicator
may adversely affect its characteristics.
• Inspect the ultrasound applicator for cracks which may allow the ingress of conductive fluid
before each use.
• Inspect ultrasound applicator cables and associated connectors before each use.
• Do not operate the 4-series when connected to any unit other than Enraf-Nonius BV devices.
• This unit should be operated in temperatures between 10 °C and 40 °C (50 °F and 104 °F), with
a Relative Humidity ranging from 20%-90% non condensing.
• Do not expose the unit to direct sunlight, heat radiated from a heat radiator, excessive amounts of
dust, moisture, vibrations and mechanical shocks.
• In the case of ingress of liquids, unplug the unit from the mains supply and have it checked by an
authorized person (see the paragraph on maintenance).
• Before administering any treatment to a patient you should become acquainted with the operating
procedures for each mode of treatment available, as well as the indications, contra-indications,
warnings and precautions. Consult other resources for additional information regarding the
application of electrotherapy and ultrasound therapy.