Zimmer Enplus User Manual

User Manual

enPuls

Version 2.0

USA

Figures

Control unit / Handpiece / Footswitch

Selection and control

Control unit

Handpiece

Handpiece with

applicator head 25 mm

Footswitch

Front view of device

elements

2 Pulse energy controller 3 Touch pen in holder 4 Display 5 Frequency controller 6 SD card slot

8 Air vents, front 9 Air vents with fan, rear

Figures

Display

Screen readouts

Status bar

Front view of device

12 Screen controls 13 Title bar 14 Navigation bar

Figures

Switch and connector sockets

Switch /

15 Main switch

Rear view of device

15 16 17 18 19

Connector sockets

16 Mains fuse 17 Port for mains cable 18 Port for handpiece 19 Port for footswitch 20 Serial number / manufacturer's plate

Figures

21 Silicone cap

Accessories

21 22 23 24

22 25 mm applicator head 23 15 mm applicator head 24 6 mm applicator head

Contents

Puls

Front view of device

Rear view of device

Accessories

Figures

Figures - Control unit / Handpiece / Footswitch Figures - Display

Figures – Switch and connector sockets

enPuls briefly

1.1. Summary

1.2. Quick operation instruction

1.3. How to use enPuls

1.4. Handpiece

1.5. Applicator heads

1.6. Footswitch

8 10 11 12 13

Installation

2.1. Fitting the cables, starting the system

2.2. Settings

SD-Card 17

Treatment screen 18

Favorites and Memory list

5.1. Saving modified programmes

5.2. Retrieving and editing Favorites list and the

Memory list

Description of the selection keys 24

Medical information

7.1. Indications

7.2. Contraindications

14 15

21 22

26 27

Contents

Valid for the en

Puls V.2.0 devices

General Information

8.1. Explanation of symbols

8.2. Warnings

8.3. Technical data

8.4. Technical information

8.5. CE Marking / Legal information

28 29 30 31 32

Maintenance 33

Troubleshooting 35

Function test 37

Error messages 38

Scope of delivery - Accessories 39

Manufacturer’s declaration of Electromagnetic Compatibility

These operating instructions are an integral part of the device. They must be stored with the device and kept accessible at all times for anyone authorized to operate this device. These Instructions form is a part of the appartures and must be kept with it at all times. Full observation of these instructions is a requirement for the correct application and operation of the equipment and for consequent saftey for patient and operator.

These operating instructions are valid from 01 June 2011.

Puls

briefly

What is en

Puls

? A state of the art therapeutic massager

Radial Pulse Therapy

Radial

Pulse Therapy

is a procedure for relief of minor muscl

e aches and

What does

Creation of

radial pulses

using an ergonomic handpiece and the

How are radial

An electromagnetic field is generated via a coil in the back of the

What are the

The innovative technology allows a compact design with no need for a

The unit must only be operated by medical practitionars.

enPuls do?

pulses generated with enPuls?

1.1. Summary

pains and for temporary increase in local blood circulation

transmittal of the radial pulses via special applicators. enPuls has a maximum penetration depth of about 35 mm in human tissue.

handpiece. A projectile is accelerated as a result of the field; this strikes against the applicator head at the front of the handpiece and generates pulses, which spread out radially in the tissue.

advantages of enPuls?

Note:

Caution

compressor. The clear and modern colour display shows all relevant parameters for treatment and the modern touch operation ensures pleasure and motivation when providing treatment. Individual program start configuration and clear, simple menu navigation make operation of the device easy and comfortable for users.

Infinitely variable frequencies and various applicators allow treatment to be adapted to the particular condition of the patient.

The compact design saves room in the practice and is highly suited for use in home visits.

enPuls has been constructed and designed solely for the treatment of superficial orthopaedic problems in humans and animals.

Federal law restricts this device to sale by or on the order of a physician.

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briefly

Note:

The following d

escriptions are all based on

factory settings.

Note:

All buttons, menus and submenus are activated direct

ly on the screen by

Starting the program

Treatment screen

1.2. Quick operation instruction

touching or using the touch pen.

Applicator

Positioning handpiece / applicator

Press the “Start” button to open the treatment screen for program P 02.

Select the appropriate applicator head for the treatment you wish to carry out and screw this correctly onto the handpiece.

Position the handpiece on the selected treatment point / field. To avoid any friction on the skin, enPuls lotion may first be applied onto the treatment area.

Puls

briefly

When using lubricants,

the applicator head must be covered with a

Setting the frequency

Adjust the frequency using the right controller, if necessary.

Setting

Adjust the pulse

energy using the left controller.

Start

ing treatment

Depress the footswitch to start the treatment.

Note:

Only activate the

unit via the footswitch once the handpiece has been

Ending treatme

nt Deactivating the footswitch interrupts or ends the treatment. The display

Note:

During tr

eatment, the patient must be observed closely and the treatment

Caution

the pulse energy

1.2. Quick operation instruction

silicone cap to protect it.

The display in the bottom status bar changes from ‘Ready’ to ‘Active’.

positioned on the patient.

in the bottom status bar changes from ‘Active’ to ‘Ready’. The device ends the treatment automatically once the preselected number of pulses has been reached.

must be adjusted, if necessary, or discontinued, should any problems arise.

Puls

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Start treatment

enPuls operates with mechanical energy.

When using en

Puls lotion or other lubrica

nts, the applicator head must

Note:

Despite high internal damping as a result of the weight and design of the

Note:

The patient should be carefully monitored throughout the treatment.

1.3. How to use enPuls

The energy is transmitted to the patient via a handpiece, which is usually held in one hand.

To do this, the handpiece is placed on the area or point of treatment with the applicator head held vertically.

When the unit is activated, it is possible to work either steadily on a single site or dynamically over an area. It is advisable to use enPuls lotion (included in the accessories) in order to reduce friction on the skin.

The weight of the handpiece means that it is normally not necessary to apply pressure to the treatment area / point. The handpiece is placed on the treatment area / point and held loosely in position with one hand. If required, additional pressure may be applied in the direction of the tissue, and the working angle can be varied.

Caution

be covered with a silicone cap to protect it.

handpiece, vibrations may cause strain to the user's hand.

Recommended protective measure:

- Limit the duration of exposure

Puls

briefly

The handpiece (7) contains the

pulse

generator, a fan to dissipate heat

Note:

The

pulse

generator in the handpiece is an expendable part and has to be

Zimmer MedizinSystems

guarantees unrestricted use of at lea

st 2 million

To work with the handpiece on a patient, it is essential that one of the

The cable should not be stretched beyond its maximum length and must

Standby m

ode on device

The fan in the handpiece is started by depressing the footswitch and stops

1.4. Handpiece

and the slot for the different applicator heads. It is connected to the control unit (1).

replaced after a specific period of use, as its functionality decreases over time.

pulses per pulse generator.

Wear on the pulse generator varies. Depending on performance and frequency, sometimes far more than 2 million pulses can be delivered.

For more information on the need to replace the pulse generator, see chapter 10.

and handpiece

applicator heads is screwed tightly onto the handpiece as far as it will go.

be protected against pinching or any other mechanical damage.

To avoid heat accumulating in the handpiece, it is essential to ensure that the hand holding it or anything else does not block the air vents at the top, and particularly, on the base of the handpiece.

automatically after reaching a certain temperature.

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There are 3 different applicator heads available for treatment.

Changing

To change the various applicator heads, hold the handpiece in one hand

Note:

Applicator heads are expendable parts and must be replaced after a

Minor / slight deformation or shortening of the rear impact dom

e does not

Air gap



applicator OK

Test template

applicator heads

1.5. Applicator heads

and unscrew the applicator head from the handpiece with the other hand (anticlockwise). Screw the required head tightly onto the handpiece (clockwise), until the black outside ring of the applicator head rests on the handpiece (there should no longer be any thread visible).

certain period of use.

affect functionality.

In cases of greater deformation or stronger shortening of the rear impact dome the applicator head must be replaced.

A test template is supplied with the device that enables the user to test if the wear limit has been reached (see diagram).

Template makes contact or air gap at the tip  Wear limit has been reached

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Place the footswitch so that it can be reached easily during treatment.

1.6. Footswitch

The footswitch control unit is multi-directional so it is not necessary to align the footswitch exactly.

To avoid damage, please note that only slight pressure needs to be exerted on the switch. Use the front part of your foot, not the heel to operate the footswitch.

The switch does not have a locking device, which means that it only remains actuated as long as pressure is applied to it.

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