Enraf-Nonius Endopress 442 User manual

Type
User manual
Endopress 442
User Manual
Copyright: Enraf-Nonius BV
Vareseweg 127
3047 AT Rotterdam
The Netherlands
Tel: +31 (0)10 – 20 30 600
Fax: +31 (0)10 – 20 30 699
www.enraf-nonius.com
Part number: 1442751-45
March 29, 2018
1
Endopress 442
User Manual
2
Table of Content
1 FOREWORD ........................................................................................................................ 5
1.1 This manual ..................................................................................................................... 5
1.2 Product liability ............................................................................................................... 5
2 INTENDED USE ................................................................................................................... 6
2.1 The Lymphatic System ................................................................................................... 6
2.1.1 Main groups of lymph nodes of the lower limbs .................................................................... 7
2.1.2 General Concepts of lymphatic circulation Casley-Smith Pump ......................................... 7
2.1.3 Importance of pressure between Lymphatic and Interstitial space ..................................... 9
2.2 Contra-Indications .......................................................................................................... 9
3 IN GENERAL ....................................................................................................................... 9
4 INSTALLATION ................................................................................................................. 11
4.1 Unpacking ...................................................................................................................... 11
Standard accessories: ............................................................................................................................ 11
4.1.1 Optional accessories: ............................................................................................................... 11
4.1.2 Environmental conditions for normal use ............................................................................ 11
4.2 Electrical Connection .................................................................................................... 12
5 OPERATING INSTRUCTIONS .......................................................................................... 12
5.1 Operation Information ................................................................................................... 12
5.2 Operation controls front panel ..................................................................................... 13
5.3 Operation controls rear panel ...................................................................................... 14
5.4 Turn on the apparatus .................................................................................................. 14
5.5 Main Menu ..................................................................................................................... 14
5.6 Installation and default setting ..................................................................................... 14
5.6.1 Default settings ........................................................................................................................ 14
5.7 Get Started ..................................................................................................................... 17
5.7.1 Select a Program ..................................................................................................................... 17
5.8 Pressure Settings .......................................................................................................... 18
5.8.1 For an equal pressure in all segments ................................................................................... 18
5.8.2 Individual adjustment per segment ....................................................................................... 19
5.8.3 Create personal program Step by Step ................................................................................. 21
6 MAINTENANCE AND TROUBLESHOOTING ................................................................... 24
6.1 User maintenance ......................................................................................................... 24
6.1.1 Cleaning the garments ............................................................................................................ 24
6.1.2 Cleaning the apparatus ........................................................................................................... 24
6.1.3 Fuse replacement procedure .................................................................................................. 25
3
6.2 End of life ...................................................................................................................... 25
7 TROUBLESHOOTING ....................................................................................................... 26
7.1.1 Checklist .................................................................................................................................. 26
8 ELECTROMAGNETIC INTERFERENCE .......................................................................... 27
9 TECHNICAL SPECIFICATIONS........................................................................................ 27
10 APPENDIX 1 .................................................................................................................. 29
10.1 Basic protocols ............................................................................................................. 29
11 DESCRIPTION-SYMBOLS USED AND DEVICE MARKINGS ....................................... 31
12 ELECTROMAGNETIC COMPATIBILITY TABLES ........................................................ 33
13 FOREWORD .................................................................................................................. 36
13.1 This manual ................................................................................................................... 36
13.2 Product Liability ............................................................................................................ 36
14 INTENDED USE AND INTENDED USER ....................................................................... 37
14.1 The Lymphatic System ................................................................................................. 38
14.1.1 Main Groups of lymph nodes of the lower limbs ..................................................................... 39
14.1.2 General Concepts of lymphatic circulation Casley-Smith Pump ............................................. 39
14.1.3 Importance of pressure between Lymphatic and Interstitial space ........................................... 40
14.2 Indications ..................................................................................................................... 41
14.3 Contra-Indications ........................................................................................................ 41
15 IN GENERAL.................................................................................................................. 41
16 INSTALLATION ............................................................................................................. 42
16.1 Unpacking ..................................................................................................................... 42
16.1.1 Standard accessories: ................................................................................................................ 42
16.1.2 Optional accessories ................................................................................................................. 42
16.1.3 Environmental conditions for normal use ................................................................................ 42
16.2 Electrical Connection ................................................................................................... 42
17 OPERATING INSTRUCTIONS ....................................................................................... 44
17.1 Operation Information .................................................................................................. 44
17.2 Operation controls front panel..................................................................................... 44
17.3 Operation controls rear panel ...................................................................................... 45
17.4 Turn on the apparatus .................................................................................................. 45
4
17.5 Main Menu ..................................................................................................................... 45
17.6 Installation and default setting ..................................................................................... 45
17.6.1 Default settings ......................................................................................................................... 45
17.7 Get Started ..................................................................................................................... 48
17.7.1 Select a Program ....................................................................................................................... 48
17.8 Pressure Settings .......................................................................................................... 49
17.8.1 For an equal pressure in all segments ....................................................................................... 49
17.8.2 Individual adjustment per segment ........................................................................................... 50
17.8.3 Create personal program Step by Step ...................................................................................... 52
18 MAINTENANCE AND TROUBLESHOOTING ................................................................ 55
18.1 User maintenance ......................................................................................................... 55
18.1.1 Cleaning the garments ............................................................................................................... 55
18.1.2 Cleaning the apparatus .............................................................................................................. 55
18.2 End of life ....................................................................................................................... 55
19 TROUBLESHOOTING .................................................................................................... 56
19.1.1 Checklist.................................................................................................................................... 56
20 ELECTROMAGNETIC INTERFERENCE ........................................................................ 57
20.1 Electromagnetic Interference ....................................................................................... 57
21 TECHNICAL SPECIFICATIONS ..................................................................................... 57
22 APPENDIX 1 ................................................................................................................... 58
22.1 Basic protocols ............................................................................................................. 58
23 DESCRIPTION-SYMBOLS USED AND DEVICE MARKINGS ....................................... 60
24 EMC TABLE ................................................................................................................... 61
5
1 Foreword
1.1 This manual
This manual has been written for the owners and operators of the Endopress 442. It contains
general instructions on operation, precautionary practices, maintenance and parts information.
In order to maximize the use, efficiency and lifespan of your unit, please read this manual
thoroughly and become familiar with the controls as well as the accessories before operating
the unit.
Specifications put forth in this manual were in effect at the time of publication. However, owing
to Enraf-Nonius BV’s policy of continual improvement, changes to these specifications may be
made at any time without obligation on the part of Enraf-Nonius BV.
1.2 Product liability
A law on Product Liability has become effective in many countries. This Product Liability law
implies, amongst other things, that once a period of 10 years has elapsed after a product has
been brought into circulation, the manufacturer can no longer be held responsible for possible
shortcomings of the product.
To the maximum extent permitted by applicable law, in no event will Enraf-Nonius or its
suppliers or resellers be liable for any indirect, special, incidental or consequential damages
arising from the use of or inability to use the product, including, without limitation, damages for
loss of goodwill, work and productivity, computer failure or malfunction, or any and all other
commercial damages or losses, even if advised of the possibility thereof, and regardless of the
legal or equitable theory (contract, tort or otherwise) upon which the claim is based. In any case,
Enraf-Nonius’s entire liability under any provision of this agreement shall not exceed in the
aggregate the sum of the fees paid for this product and fees for support of the product received
by Enraf-Nonius under a separate support agreement (if any), with the exception of death or
personal injury caused by the negligence of Enraf-Nonius to the extent applicable law prohibits
the limitation of damages in such cases.
Enraf-Nonius cannot be held liable for any consequence resulting from incorrect information
provided by its personnel, or errors incorporated in this manual and / or other accompanying
documentation (including commercial documentation)
The opposing party (product’s user or its representative) shall disclaim Enraf-Nonius from all
claims arising from third parties, whatever nature or whatever relationship to the opposing party.
6
CAUTION:
No modification of this device is allowed.
2 Intended Use
The Endopress 442 is a unit for compression therapy. The Endopress 442 system works with
pneumatic leg and arm garments for a non-invasion treatment of lymph edema, insufficiencies
of the veins, and some chronic not-healing wounds and ulcers.
The segments of the garments fill up with air whereby the compression rises in the arm or leg to
the adjusted pressure.
The use of ENDOPRESS 442 is reserved for operators such as physiatrists, physiotherapists
and pain therapists, that, by their training, provide assurance of proper use and safe for the
patient.
In fact, the operator must be appropriately qualified and he carefully studied the contents of the
user manual in order to use the device; or, he must operate under the supervision of a health
professional adequately qualified to use the machine, able to understand the benefits and the
limits of therapy and to work in conditions of safety for the person undergoing treatment.
This machine can be used in a hospital or outpatient setting, provided it is used by qualified
personnel and in compliance with what is stated in the user manual.
WARNINGS:
It’s a class B machine in terms of emission. The EM device is suitable to be used in
every environment, including domestic ones and those directly connected to a public
network power of low voltage which supplies buildings used for domestic purposes.
The device or system must not be used near other equipment and, if it is necessary to
use it near other equipment, the medical electrical equipment must be observed to check
normal operation in the configuration in which it is used.
If the electro-medical device, interacting with another device, causes or receives
detectable interferences, the user is invited to limit the interference by adopting one or
more of the following measures:
o Change the position and the orientation of the receiving device;
o Increase the distance between the devices;
o Connect the equipment to a socket of a circuit different from or to devices that
cause interference;
o Contact the manufacturer or local technician for assistance.
Portable and mobile radio communication devices can affect the operation of the device.
2.1 The Lymphatic System
A basic function of the lymphatic system is to supervise the maintenance of correct water tissue
balance: this action is conducted on the lymph in order to purify it from the substances
“collected” by it on the outside, and then send it back into circulation ready to perform its
functions.
This action tends to develop in places where excessive “liquid stagnation” in tissues is signalled
for various reasons.
The lymphatic system is structurally similar to the more well-known venous system. It actually
follows it branching out into peripheral channels and collection “centres” distributed at various
levels.
The surface lymph vessels differ from the deeper ones in the lower limbs.
The surface vessels run along the surface and give origin to a rich lymphatic network distributed
on the plantar and dorsal surfaces of the feet. The deeper vessels accompany the deep blood
vessels and collect the lymph that comes from the muscles and the bones of the lower limbs.
The surface lymph vessels converge in the inguinal lymph nodes that are at the surface in the
fold of the groin area.
7
Points of highest concentration of lymph nodes
(Elbows, knees and along the collar are slightly less).
The arrows show the direction of lymph flow.
The deep lymphatics meet the anterior tibial lymph nodes along their path, situated in the higher,
anterior part of the leg, and the lymph nodes of the popliteal cavity (4-5 in number), situated on the
posterior face of the knee. They then reach the deep inguinal lymph nodes that are located deep in
the inguinal area.
In addition to the superficial lymph vessels of the lower limb, the surface inguinal lymph nodes (18-
20 in number) collect the lymphatics of the buttocks, perineum, the anus, the external genital organs,
and lower part of the abdomen. In addition to the deep popliteal lymphatic vessels, the deep inguinal
lymph nodes (2-3 in number) mostly collect what comes from the surface inguinal lymph nodes.
The largest of these lymph nodes is called the Cloquet lymph node and is located higher up and
deeper down than the others, extruding therefore into the abdominal cavity.
Main Groups of lymph
nodes of the lower limbs
2.1.1 Main groups of lymph nodes of the lower limbs
These lymph node centres of the lower limbs are very important in the functioning of the whole
system, as they act as collection tanks, and also purify the lymph coming from the lower limbs. The
lymph stays in these centres as long as necessary to be filtered, i.e. purified, and is then poured
back into the renal system with increase of diuresis. This increase of the diuresis is often
encountered after therapy with pressure systems (massage pressure therapy) and confirms
activation of the lymphatic system mechanisms in the lower limb tissues.
2.1.2 General Concepts of lymphatic circulation Casley-Smith Pump
Lymphatic circulation is not just a system that intervenes in cases of “over fullness” but also permits
the rapid absorption of proteins and colloids.
Thanks to the lymphatic system, large or insoluble plasmatic protein molecules that cannot normally
be reabsorbed by the venous system are reintroduced into the blood circulation.
The molecules pass the capillary membrane in a manner that is inversely proportional to their
weight: the amount of albumin is higher in lymph, which has a lower molecular weight than globulin.
Of course variations of the capillary permeability caused by increase in intercapillary hydrostatic
8
pressure or toxic-anoxic factors for example, mean that there is an increase in that transfer, in a
modification of the lymph flow or its composition.
For further clarification, we provide Rossing’s findings on the matter:
1. the intravascular masses of albumin and immunoglobulin depend on the amount of synthesis
and the amount of fractionated catabolism;
2. The ratios of intravascular masses to the total masses depend on the amount of
transcapillary escape and on the amount of extravascular return;
3. the amount of transcapillary escapes are inversely related to the molecular weights of the
proteins; the amount of transcapillary escape increases with the filtration pressure in the
vessels, i.e. with the loss at microvessel level, as seen in diabetes mellitus;
4. the amount of extravascular return reflects the lymphatic protein transport and is inverse to
the extravascular transit time. It is of the same magnitude for albumin and lg.G and perhaps
a bit less for lg.M;
5. the extravascular transit time includes a wide series of transit times: short (liver, kidneys,
lungs), long (skin, muscles, with maximum deposit of extravascular proteins);
6. in most cases of hypoproteinemia, the amount of intravascular/extravascular plasmatic
protein distribution changes in favour of the intravascular space;
7. the extravascular pathological build-up of plasmatic protein occurs in a few diseases, and
when the transcapillary escape increases without a corresponding increase in the amount of
lymphatic return. This can be seen in cirrhosis with ascites, in untreated myxoedema and in
some types of cancer, particularly those with hepatopathy and ascites. If anything, the
extravascular build-up of plasmatic protein will occur in the tumoral and post-operative tissue
in the wounds.
The main function of the lymphatic system is therefore to allow its penetration by the previously
mentioned molecules, prevent escape, and encourage progression.
By way of the capillary filtration, protein molecules and water are plentiful in blood circulation,
thus causing a build-up of liquids osmotically linked to the protein in the interstitial tissue.
The liquid leads to an imbibition of the tissue, stretching the endothelial cells of the initial
lymphatics and further opening the lymphatic interendothelial junctions.
Other movements intervene in keeping the junctions “open”:
muscular movement;
rhythmic contractions of the arterial vessels
the negative interthoracic pressure;
the cells and any other elementary corpuscles that are pushed through the open
junctions in the initial lymphatics. During their transit, these corpuscles act like dilators,
keeping the passage free through the junction of the initial capillary lumen. In the most
active areas of the body, the products of cellular metabolism increase blood flow and the
capillary permeability, so liquid contained in the interstitial tissue increases further, and
its pressure keeps the input routes accessible to the lymphatic capillaries.
An increase in local tissue pressure follows this initial stage, caused by muscular contraction
that compresses the initial lymphatics, and therefore pushing the lymph to close the intercellular
junctions. In this phase, a certain quantity of water spreads out from the lymphatics and the
lymph itself becomes more concentrated than the interstitial liquid.
The higher compression releases the system from fibrils attached to the lymphatic endothelium.
The lymphatics that have been compressed like this will obviously be smaller with lower
diameters, being adhesive endothelial cells and therefore overlapping with the junctions
hermetically closed.
At this point, the third phase begins: a further compression on the initial lymphatics pushes the
lymph through the first valve, the sudden lowering of pressure means that the lymphatics
expand again, and the intercellular junctions open up again.
9
This mechanism is called the “CASLEY-SMITH lymphatic pushing pump”. Intercellular lymphatic
junctions have been defined as “aspiration valves” while the first lymphatic valve is known as
the “escape valve”.
The initial lymphatics comprise several aspirations and pushing pumps whose function is not
strictly mechanical but can be adapted to different needs.
2.1.3 Importance of pressure between Lymphatic and Interstitial space
Mc Master measured the pressure values both of lymphatic capillaries, and of the interstitial
space, finding:
Lymphatic capillary pressure = 0.7 +/- 0.3 cm. H
2
O.
Interstitial space pressure = 1.9 +/- 0.5 cm. H
2
O.
This pressure difference explains the direction of liquid flow and of the protein molecules of the
blood capillaries to the interstitial tissue, and of the interstitial tissue to the lymphatic capillaries.
The difference found (0.3 +/- 0.5 cm. H
2
O), clearly shows how much pressure variation is
needed to start up the lymph. In pathological conditions, if there is an increase in interstitial
pressure, the difference will be higher. This explains the increase in production of lymph in the
presence of oedema. The variation in absorption potential also holds importance at the frontier-
zone between the basic substance and the lymphatic capillary.
The propulsion of lymph is therefore mainly due to the gradient generated between a zone of
higher pressure and a zone of lower pressure. For the entire lymphatic cycle, many other
mechanisms contribute to the progression of lymph, that carry greater or lesser importance (as
previously mentioned). Among these are the structures of the lymphatic vessel walls and the
unidirectional valves which are also antigravitational mechanisms (with the lymph nodes).
The speed of progression of the lymph varies widely according to the various zones, the
functional situation, and according to whether there are any obstacles to normal flow.
Indications
Hromboembolic prophylaxis
Post-thrombothic syndrome
Ulcus cruris
Venous oedema
Post-traumatic oedema
minor lymphatic oedema
Lipoedema
Mixed forms of oedema
Peripheral arterial occlusive disease under strict observation
Sensory disturbance caused by hemiplegia
2.2 Contra-Indications
Decompensated cardiac insufficiency
Extensive thrombophlebitis, thrombosis or suspected thrombosis erysipelas
severe unstabilised hypertension
Acute soft-part-trauma of extremities
Neuropathy occlusive processes in the sector of lymphatic drainage
3 In General
Enraf-Nonius BV. develops and manufactures equipment and accessories according to the
highest standards of quality making use of the latest technology and fully adhering to current
directives and norms.
10
Particular attention has been paid to the design, easy operation, function and safety of the
equipment and the final result is this modern, compact unit, which offers an extremely logical
operative sequence supported by a clearly legible display. A wide range of therapeutic
applications guaranteed patient and therapist safety make, the Endopress 442 of the highest
quality.
11
4 Installation
4.1 Unpacking
Endopress 442 is specially packaged for transport in a single pack complete with filling which
has been specifically studied for safe transportation and storage.
To remove the unit from the packaging, place the box on a smooth, flat surface. Open the top
of the box and remove the polystyrene filling.
Be very careful when removing the contents of the pack.
Check the contents of the package and should any of the items be missing then contact your
local authorized Enraf-Nonius BV. dealer.
WARNING
The manufacturer is held responsible for the fundamental safety, reliability and performance of
the device only if:
The electrical system of the locals complies with the appropriate regulations;
The device is used in accordance with the instructions for use.
CAUTION
The correct transport position of the machine requires that the appliance is moved only
by pushing with both hands, gripping the curved profiles of the cover.
The perfect functionality of the appliance is guaranteed in compliance with the
installation and use regulations indicated, only with original accessories and spare parts.
Standard accessories:
1442.911 Endopress 442 – 230VAC,
without garments
1442.912 Endopress 442 – 115VAC
without garments
1442.810 Dummy block 1442.810 Dummy block
1442.751
User Manual English
1442.751
User Manual English
3444.298 EUR - Power cord 3444.611 UL-CSA - Power cord
4.1.1 Optional accessories:
Model
1442.800 Nine-segment lower limb garment
1442.801 Seven-segment arm garment
Save the original box and all the packing materials in case of return to manufacturer or your
dealer.
WARNING
Do not use accessories other than the original ones supplied: these could damage the
machine and void the warranty claim. Should problems or installation problems arise,
contact the Enraf-Nonius BV technical assistance service.
Use of accessories other than those specified or supplied by Enraf-Nonius BV could
result in increased electromagnetic emissions or decreased electromagnetic immunity
level of the device, resulting in improper operation.
4.1.2 Environmental conditions for normal use
Installation of the equipment is fast and simple and does not require any particular attention.
The following environmental conditions are ideal when installing the unit:
Once positioned the device lock the wheels with the appropriate brake to prevent involuntary
movements.
12
Room temperature : 10°C to 40°C
Humidity level : 10% to 80% non condensing
Atmospheric pressure : 500 to 1060 hPa
Avoid direct exposure to sunlight, chemical products and vibrations.
CAUTION:
Do not use the Endopress 442 wherever there is a risk of either the external or internal
parts of the unit becoming wet.
It is absolutely forbidden to use the device in the presence of flammable anesthetic
mixtures and oxygen-rich environments. In case of non-compliance with the information
provided, Enraf-Nonius BV will not be held responsible for any accidents.
4.2 Electrical Connection
The power entry module can be found on the back of the unit and consists of a three-pole
socket for the cord set, an extractible fuse box with two fuses (see Technical specifications) and
the main switch.
Insert correctly the three-pole plug of the cord set into the power entry module.
WARNINGS:
Before plugging the cord set into the mains, check to make sure the equipment has not
undergone any damage during transport and make sure the voltage corresponds to that of
the unit (see the rating plate on bottom of the unit).
For safety purposes the cord set is provided with an earthed plug.
Make sure that power supply socket has been earthed.
The equipment must only be connected to the mains which are in conformity with EEC
standard directives. To avoid the risk of electric shock, in fact, this appliance must always
be connected to power supply networks with protective earth.
When using an extension lead, make sure that this has been earthed
Failure to comply with the above instructions may lead to dangerous electrical discharge
causing hazard to persons and the machine function.
5 Operating Instructions
The Endopress 442 unit has a well-engineered control panel.
All working parameters are handled and controlled in real time by a sophisticated
microprocessor electronic circuit which clearly displays its functions accompanied by acoustic
signalling.
5.1 Operation Information
This chapter provides important information and instructions on how to make correct use of the
Endopress 442.
All the control functions and the machine itself are handled and coordinated by a
microprocessor: apart from making available pre-memorized programmes for application the
microprocessor ensures that the machine can be personalized and operate in a highly safe and
efficient manner. Interfacing allows for the operator to dialogue with the apparatus by means of
large, clear graphic backlit liquid crystal display screen (LCD): all the information for operation
required by the operator, work status during operation and any eventual errors are visualized.
The following paragraphs illustrate the procedures to be carried out and the technical
specifications of the Endopress 442. They also deal with the different options available from the
selection of pre-programmed protocols for use in specific treatments as well as how to
determine the correct working parameters for “personalized” application.
13
5.2 Operation controls front panel
The front panel of the unit, which comprises the controls and signals, can be seen in fig. 1 with
corresponding key.
[1] Selection button 1
[2] Selection button 2
[3] Selection button 3
[4] Selection button 4
[5] Display
[6] Start button
[7] Stop button
[8] Confirmation button
[9] Central controller
1
23
4
6
8
7
9
5
To navigate the software you need to use:
the central knob, which can rotate both clockwise and anticlockwise, and allows you to
move the selection to the desired option;
buttons near the display that allow you to confirm an option, start or stop a treatment.
14
5.3 Operation controls rear panel
The rear panel contains the power entry module which consists of the main switch, the fuse box
and the socket for the cord set.
[10] On/Off switch
[11] Garment connector 1
[12] Garment connector 2
[13] Connection power cord
10
11 12
13
5.4 Turn on the apparatus
Plug the power cord on socket [13]
Use switch [10] to turn the apparatus on.
The unit starts-up with the logo on the display.
Push any button to activate the main menu.
5.5 Main Menu
ENDOPRESS 442
1
3
2
Load Program Settings
4
5.6 Installation and default setting
5.6.1 Default settings
This enables the basic settings to be memorized and stored within the machine memory and will
automatically be displayed each time the machine is turned on.
5.6.1.1 Select Language
ENDOPRESS 442
1
3
2
Load Program Settings
4
Select “Settings” with the push button [4]
15
Display
Various
Language
Version: 1.00.00
1
3
2
Exit
4
Choose Language function with the central controller [9]
Press the confirmation button [8] to confirm choice.
Italiano
English
Français
Español
Nederlands
Deutsch
1
3
2
Cancel
4
Select the desired language with the central controller [9]
Press the confirmation button [8] to activate the language
5.6.1.2 Display settings
Display
Various
Language
Version: 1.00.00
1
3
2
Exit
4
Select Display with the central controller [9] and confirm with button [8]
Contrast : 30
Brightness : 30
Inverted : OFF
1
3
2

SaveExit
4
16
Choose one item from the list with the central controller [9]
Change the setting with central controller [9]
Press the confirmation button [8] to activate choice
Press save button [1] to save the setting
Push the Exit button [4] to return to the main menu
5.6.1.3 Various settings
ENDOPRESS 442
1
3
2
Load Program Settings
4
Select “Settings” with the push button [4]
Display
Various
Language
Version: 1.00.00
1
3
2
Exit
4
Choose Various with the central controller [9]
Press the confirmation button [8] to confirm choice.
Beep : ON
Pitch Beep : 1
Free Memory space : 98%
Delete memory
1
3
2

SaveExit
4
Select one item with the central controller [9] and follow the instructions on the screen.
o Beep: to add a beep on every push at a button.
o Pitch Beep: Select here the tone frequency of the beep
o Free memory space: Gives information about the free memory space
o Delete memory: Here you can clear the whole memory.
CAUTION:
o It’s not possible to delete only one single program position by formatting the
system, you delete all programmed programs at ones.
o The pre-programmed protocols cannot be deleted.
Push the Save button [2] to store the settings and to return to the previous menu.
To cancel push the button [4]
17
5.7 Get Started
5.7.1 Select a Program
There are several programs for leg -and arm garments. See appendix 1
ENDOPRESS 442
1
3
2
Load Program Settings
4
Push the button [2] to Load Program. In this menu you can select:
o Pre-programmed protocols. See appendix 1 for detailed information.
o The personal programs via User memory
01 THROMBOEMBOLIC PROPHYLAXIS
02 POST-THROMBOTIC SYNDROME
03 ULCUS CRURIS
04 VENOUS OEDEMA
1
Protocols
3
2
User Memory Exit
4
Select a protocol with the central controller [9]
Push the confirmation button [8] to select the protocol
Adjust the pressure in the garment (see paragraph 5.8)
01 THROMBOEMBOLIC PROPHYLAXIS
Time: 25 min Preview
1
Modify Save
3
2
Pressure Exit
4
Push the green start button [6] to start the treatment or use the modify button [1] to
change the treatment time.
18
01 THROMBOEMBOLIC PROPHYLAXIS
Time: 25 min
1
3
2
Pressure
4
5.8 Pressure Settings
The Endopress 442 guarantees the full control of the pressure applied. It allows the operator to set
different maximum pressure values for each cell, or the “Overall” setting can be used to set the same
value for all segments.
These values will be defined by the operator by examining the patient’s medical history and making
an objective analysis.
There are two different pressures settings for the protocols;
The gradient method whereby the garment is divided in 3 zones.
o Zone 1 - 100% , Zone 2 - 80%, Zone 3 - 60%
The linear method whereby the pressure equal is in all cells. (100%)
Gradient method
Linear method
5.8.1 For an equal pressure in all segments
Push the selection button [2]
Push the confirmation button [8] to change the Overall pressure
Change the value with the central controller [9]
Push the confirmation button [2] again
Push the Save button [2] to store the setting
  • Page 1 1
  • Page 2 2
  • Page 3 3
  • Page 4 4
  • Page 5 5
  • Page 6 6
  • Page 7 7
  • Page 8 8
  • Page 9 9
  • Page 10 10
  • Page 11 11
  • Page 12 12
  • Page 13 13
  • Page 14 14
  • Page 15 15
  • Page 16 16
  • Page 17 17
  • Page 18 18
  • Page 19 19
  • Page 20 20
  • Page 21 21
  • Page 22 22
  • Page 23 23
  • Page 24 24
  • Page 25 25
  • Page 26 26
  • Page 27 27
  • Page 28 28
  • Page 29 29
  • Page 30 30
  • Page 31 31
  • Page 32 32
  • Page 33 33
  • Page 34 34
  • Page 35 35
  • Page 36 36
  • Page 37 37
  • Page 38 38
  • Page 39 39
  • Page 40 40
  • Page 41 41
  • Page 42 42
  • Page 43 43
  • Page 44 44
  • Page 45 45
  • Page 46 46
  • Page 47 47
  • Page 48 48
  • Page 49 49
  • Page 50 50
  • Page 51 51
  • Page 52 52
  • Page 53 53
  • Page 54 54
  • Page 55 55
  • Page 56 56
  • Page 57 57
  • Page 58 58
  • Page 59 59
  • Page 60 60
  • Page 61 61
  • Page 62 62
  • Page 63 63
  • Page 64 64
  • Page 65 65

Enraf-Nonius Endopress 442 User manual

Type
User manual

Ask a question and I''ll find the answer in the document

Finding information in a document is now easier with AI