ENDOMED 484

Allround 4-channel
electrostimulator

Suitable for electro acupuncture

The ENDOMED 484 is a new generation high-performance

electrostimulator for the health professional who wants it all:

• TENS (Transcutaneous Electrical Nerve Stimulation)

for pain management

• NMES (Neuromuscular Electrical Stimulation)

for muscular stimulation and re-education

• PENS (Percutaneous Electrical Nerve Stimulation)

for electro-acupuncture and acupoint stimulation

The 4 channels can be used separately, in pairs or at the same time

with different programs.
ENDO M ED 484

The ENDOMED 484 is therefore the ultimate solution for the

treatment of painful conditions and muscle impairment in stroke
rehab (incl. dysphagia), orthopaedics, sport rehab and pelvic floor
re-education (incontinence).

ELECTROTHERAPY
Equipment for pain management and muscle stimulation. Electrotherapy
applications for fast pain relief without side effects. Muscles can be
stimulated to improve the function of soft tissue. Electrotherapy can be
0498734_40

used to measure differentiated tissue response to stimulation.

ENRAF-NONIUS
 ENDOMED 484
1498981 ENDOMED 484 TECHNICAL SPECIFICATIONS
Power supply 100–240V, 50/60 Hz, max. 100 VA
Dimensions of device (WxDxH) 24 x 28.6 x 9.3 cm
Dimensions of device with base 24 x 30.5 x 18.2 cm
Weight 2.5 kg
Weight, including optional
battery 3.5 kg

Number of channels 4 (100% independent)

Intensity 0–140 mA (in steps of 0.1 mA)
Output: Constant current
Timer 0-90 min (in steps of 1 min)

Current wave forms (TENS/NMES/PENS):

• Asymmetrical biphasic pulsed current (net zero)
• Symmetrical biphasic pulsed current (net zero)
• Symmetrical biphasic pulsed current with interphase interval (net zero)

Pulse duration 10-1000 μs (for symmetrical biphasic

pulsed current) and 5–450 μs
(for asymmetrical biphasic pulsed current)
Range of interphase interval 0-250 μs
Frequency 0.5 – 200 Hz
Modulation frequency 0 – 180 Hz
Modulation programs 1/1, 3/3, 6/6, 12/12, 30/30 and 60/60s

TENS stimulation modes:

• High Frequency TENS
• Low Frequency TENS (acupuncture-like)
• Burst Frequency TENS
• Modulated TENS: Frequency Modulation (FM), Pulse Width Modulation
(PWM) and Amplitude Modulation (AM)

NMES stimulation modes:

• Single channel stim
• Dual channel stim: synchronous, asynchronous and alternating (reciprocal)
• Multi channel stim: synchronous, asynchronous, alternating and PEMS
STANDARD ACCESSORIES ENDOMED 484
(Progressive Electrical Muscle Stimulation)
1498740 CD-ROM with Instructions For Use (PDF on CD-ROM)
1498742 Information Booklet
Active rest stimulation (fixed frequency of 8 Hz
3444290 Mains cable 230V-EUR
during resting period): yes
1498010 Device base (inclination support)
ON/OFF time: 0 -120 s
8x xxxxxxx self-adhesive electrode (EN-Trode) 5x5 cm, 2 mm female
Ramp UP/DOWN time: 0 – 10 s
8x xxxxxxx self-adhesive electrode (EN-Trode) 5x9 cm, 2 mm female
Delay time: 0.1 – 120 s
4x 3444211 Patient cable 2-core & 2 mm male plugs - black,
with colour clips
PENS stimulation modes:
3444180 Point Electrode, 2mm female connector,
• High-Frequency Electro-acupuncture
incl. 10 silicone conductive caps
• Low-Frequency Electro-acupuncture
2x 3444182 Crocodile clamp with 2 mm female connector (set of 2)
• Burst Frequency Electro-acupuncture
• Modulated Electro-acupuncture: Pulse Width Modulation (PWM),
Amplitude Modulation (AM), HAN Stimulation

Programmable positions 1000+

OTHER PRODUCTS THAT MIGHT INTEREST YOU Sequential programs Max. 15 phases

EN-CAR U
The EN-Car U is your companion for any piece of Enraf-Nonius equipment.
For laser, ultrasound, biofeedback, shockwave or electrotherapy, with the
EN-Car U you have it all close at hand.

ORDERING DATA
1468960 EN-Car U
ENDO M ED 484

Please also see the separate product leaflets at

WWW.ENRAF-NONIUS.COM

ENRAF-NONIUS B.V.
Vareseweg 127
3047 AT Rotterdam
The Netherlands
T.: +31-(0)10 - 203 06 00
E: info@enraf-nonius.nl
0498734_40

www.enraf-nonius.com

ENRAF-NONIUS
 ENDOMED 484
TENS
(Transcutaneous Electrical Nerve Stimulation) is a method of electrical stimulation for pain relief in acute and chronic conditions. The
ENDOMED 484 includes multiple forms of TENS as options: Conventional (high frequency) TENS, Acupuncture-like (low frequency) TENS,
Burst TENS and Modulated TENS. The different methods of applying TENS relate to the different physiological mechanisms for pain
modulation. TENS is non-invasive and has few side effects when compared with drug therapy.

NMES
(Neuromuscular Electrical Stimulation) is used to promote muscle strengthening and functional recovery of extremities (upper and lower
limbs). The ENDOMED 484 allows the user to work with single, dual or multiple channels and offers synchronous, asynchronous and
alternating (reciprocal) stimulation for muscles or muscle groups. In addition to these stimulation modes, the ENDOMED also features
PEMS (Progressive Electrical Muscle Stimulation). This unique function is extremely beneficial in Functional Electrical Stimulation (FES) since
it ensures that all four channels stop simultaneously, regardless of the contraction patterns of each channel. PEMS is highly desirable for
muscle stimulation in a kinetic chain (e.g. in stroke rehab).

PENS
(Percutaneous Electrical Nerve Stimulation) is a proven and effective analgesic therapy which combines the advantages of both TENS and
electro-acupuncture. In PENS the current is delivered to the body using small acupuncture-like needles positioned in soft tissues and/
or muscles for the relief of pain and functional improvement in patients with migraine, neuropathic pain, sciatica and chronic knee pain,
for example. Electro-acupuncture and related techniques are effective for acute and chronic pain and reduces some side effects. This
minimally invasive procedure is rapidly growing in popularity as the results are excellent. Some even consider it the ultimate combination
of Dry Needling and TENS.

Endomed 484 … 4 Pain Management and 4 Muscle Stimulation

Endomed 484 … 4 Performance and 4 Versatility

Endomed 484 … 4 you!

ENDO M ED 484

PENS: 'Electrical Dry Needling'

0498734_40

ENRAF-NONIUS
 FEATURES OF THE ENDOMED 484
12 evidence-based protocols

(6 TENS, 4 NMES and 2 PENS) 4 Fully independent channels for

including the display of the simultaneous stimulation of
the anatomic localizations and up to 8 needles/electrodes
treatment instructions

Current wave forms:

● asymmetrical biphasic

● symmetrical biphasic Intensity can be regulated

● symmetrical biphasic separately for each channel
with interphase interval

(square pulses; net zero DC)

10 0 0
Pulse durations up to 1000 μs
Quick Access to

evidence based parameters,

even in manual mode

Modulation modes:
Powerful
ENDO M ED 484

●● Frequency (FM)
current output up to 140 mA
●● Pulse Width (PWM)
(peak per channel)
●● Amplitude (AM)

FM PWM AM
0498734_40

ENRAF-NONIUS
FEATURES OF THE ENDOMED 484

Smart buttons for selection of Smart buttons for the selection of

● frequency ● single channel

● pulse width ● dual (linked) channels

● modulation mode ● multi-channels

PEMS AUTO
Progressive Electrical Muscle AUTO-mode for

Stimulation Frequency and Pulse Duration

an unique function for (available in certain programs)

Functional Electrical Stimulation

Clinical guidelines & evidence-based protocols have been incorporated,

providing the user with recommendations for the effective treatment

of pain and various musculoskeletal disorders.

Active Rest button:

starts electrical stimulation

during the rest phase

for the prevention of muscle atrophy 10 0 0

Stores up to 1000 favorites
0498734_40

ENRAF-NONIUS
FEATURES OF THE ENDOMED 484

Programming function: Sequential programming:

enables the user to define combine up to 15 program steps and
personalised programs run them automatically
and store them as favourites one after the other

Safe and comfortable:

the biphasic nature of the waveforms

minimize any skin reaction Easy-to-use

due to the build-up

of electrolytes under the electrodes

Compact & stylish

Light-weight device High resolution

can be used on a full-colour touchscreen
mobile basis (portable)

Mains-powered

or

battery-powered

(optional)
0498734_40

ENRAF-NONIUS
 ACCESSORIES ENDOMED 484
ELECTRODES AND MOIST PADS
ADHESIVE ELECTRODES

Adhesive electrodes Ø 2,2 cm, 2 mm female, 10 sheets of 8

3444222
(also for EMG)
3444222 3444056 3444135 3444057
3444056 EN-Trode Ø 3,2 cm, 2 mm female,10 sheets of 4
3444135 EN-Trode Ø 5,0 cm, 2 mm female, 10 sheets of 4
3444057 EN-Trode 5x5 cm, 2 mm female, 10 sheets of 4
3444058 EN-Trode 5x9 cm, 2 mm female, 10 sheets of 4
RUBBER ELECTRODES 3444058
3444128 Rubber electrodes 4x6 cm, 2 mm female, set of 2.
3444129 Rubber electrodes 6x8 cm, 2 mm female, set of 2
3444130 Rubber electrodes 8x12 cm, 2 mm female, set of 2
MOIST PADS FOR RUBBER ELECTRODES
1460273 Moist pads for rubber electrodes 4x6 cm, set of 4 3444128 3444129 3444130
1460266 Moist pads for rubber electrodes 6x8 cm, set of 4
1460275 Moist pads for rubber electrodes 8x12 cm, set of 4
FIXATION STRAPS
3444020 Strap 100x3 cm
3444021 Strap 250x3 cm 1460273 1460266 1460275

3444022 Strap 100x5 cm

3444023 Strap 250x5 cm
POINT ELECTRODES

Point electrode (pen model), 5 mm Ø, 2 mm female, incl 10

3444180 3444020 3444021 3444022 3444023
conductive rubber caps

3441181 Silicon conductive caps (set of 10 pcs) for 3444.180

3444180 3444181

ADAPTERS
2523524 Adapter plug, 2 mm female, 4 mm male, red
2523523 Adapter plug, 2 mm female, 4 mm male, black
3444182 Crocodile clamp with 2 mm female connector (set of 2)
2523524 2523523 3444182

PATIENT CABLES

Patient cable 2-core & 2 mm male plug - black, with coloured

3444211
clips

3444211

CASES AND BAGS

3444675 Carrierbag 4-series
ENDO M ED 484

3444675

BATTERY
2501016 Battery 12.0V 1.8AH

2501016
0498734_40

ENRAF-NONIUS