The short answer
Safe use requires individual assessment, correct device application and a managed workflow. Current instructions for use and instruction by a competent, authorised user are central.
Start with an individual assessment
The user must know the person and body area under consideration. Report implants, pregnancy, medication, relevant conditions and problems with skin, sensation or circulation.
This is not a complete contraindication list. Precautions may depend on the area, device and applicator. A general website’s yes-or-no question cannot replace that assessment.
Each technology has specific precautions
Laser requires suitable protection and room arrangements. Cold requires assessment of cold tolerance. Electronic implants require particular attention for electrical and magnetic applications. Shockwave technology and treatment area must be clear.
For TECAR, ultrasound and combined systems, contact, applicator and dose are assessed against device instructions. Know the model and keep its documentation available.
Instruction is more than selecting a programme
Users should explain preparation, application, stopping and completion, and recognise and report unwanted reactions. A stored programme does not take over this responsibility.
Before purchase, clarify who provides instruction, who attends and how to retrieve it later. Home use requires instructions specific to the person, device and application.
Check equipment and accessories
- Check the device and visible accessory condition according to manufacturer instructions.
- Use compatible cables, electrodes, handpieces and coupling media.
- Integrate cleaning and maintenance into the workflow.
- Make current instructions available to users.
- Assign responsibility for assessing and following up faults or incidents.
Agree arrangements with the patient
Discuss expected sensations and reactions that need reporting. Record loading and follow-up arrangements. Patients should know whom to contact.
Suppliers can help locate documentation; the responsible healthcare professional assesses treatment. Read the patient guide and practice checklist.
Protect the set between uses
Follow device instructions during storage and transport too. A suitable case keeps equipment and accessories together. See the models and checklist in Sixtus Flightcases.
Frequently asked questions
Is this a complete contraindication list?
No. Consult current instructions and have the individual situation assessed.
Does a preset make use automatically safe?
No. Screening, correct accessories, competent operation and checks remain necessary.
What should I do with a damaged cable or applicator?
Have the responsible user determine the required action according to device instructions before continuing application.
Why discuss implants beforehand?
Their relevance differs by technology, area and implant. Specific assessment prevents reliance on a general assumption.
Who assesses a treatment reaction?
The responsible healthcare professional. The supplier can also provide device and documentation information.
Sources for this page
Technical sources consulted on 2 October 2026; contacts checked on 3 October 2026. Manufacturer data describes technology and equipment; clinical sources address defined questions.
- Professional association · consensusISMST — indications, contraindications and definitions ↗
- Regulator · laser safetyFDA — laser products, classification and safety ↗