Flowmaster is a computer based wireless flowmeter designed for practical, everyday flow studies, when ease of use, simplicity and cost effectiveness are top priorities.

Using Bluetooth technology, Flowmaster has a wireless connection between the battery operated flow transducer and PC/laptop, eliminating all cables and power plugs. The flow transducer can be placed in another room or bathroom for optimal patient privacy.

Using the Flowmaster, recording begins automatically when the patient starts voiding. A special software algorithm reduces artifacts and selects the optimal flow/volume scales. Pre-flow and post-flow times are user-selected.

• Bluetooth wireless technology facilitates increased patient privacy while voiding.


• Battery-powered operation eliminates messy power plugs and enables easy portability.


• Print full- color reports with patient data, study results, graphs, nomograms and comments with custom clinic logo. Portable, compact design ideal for a clinic environment.

• Extended patient database for secure storage of a large number of uroflow studies.


• Up to 7 Flowmasters (used simultaneously) can be operated from a single computer, providing an optimal solution for a busy clinic environment.


• Flow nomograms according to Liverpool, Miskolc and Siroky.


• Automatic flow and volume scale selection.


• Network capability.


• Integrate clinical data with a Hospital Information System (HIS) or Electronic Medical Record (EMR).


• Automatic artifact detection.


• Multi-language support.

• Scanmaster, USB ultrasound bladder scanner.

• Available with a height-adjustable uroflow stand and/or choice of micturition chair.

• 
  Dimensions:
  


• Sensor5.3 cm x 15 cm x 17 cm (2 in x 5.9 in x 6.6 in)


• Stand54.5 (71) cm x 36.5 cm x 36 cm (21.4 27.9 in x 14.3 in x 14.1 in)


• 
  Weight:
  


• Sensor incl battery- 0.6 kg (1.3 lb.)


• Stand2.5 kg (5.5 lb.)


• ConnectivityBluetooth


• Optional AccessoriesMicturition Chair, Height Adjustable Flow Stand

Uroflowmetry is a diagnostic screening procedure that measures the volume of urine released from the body, the speed with which it is released, and how long the release takes.

Uroflowmetry is performed by urinating into a special urinal, toilet, or disposable device that has a measuring device built in. When you finish, the machine will make a report for your healthcare provider.

The test involves normal urination, so you should not experience any discomfort. This test is useful in evaluating the function of the urinary tract.

The Urostym is a state-of-the-art, full clinic-based non-invasive pelvic floor rehabilitation system that provides effective treatment for different lower urinary tract dysfunctions such as urinary incontinence (stress, urge, mixed), fecal incontinence, constipation, urinary retention and voiding dysfunctions.

With leading-edge pre-defined protocols, user-friendly protocol customization and easy reporting function, Urostym offers the most reliable and effective pelvic floor therapy program in the world for adult and pediatric patients.

Rely on Urostym to also provide the tools to help streamline your workflow, increase productivity and maximize your return on investment.

• Default PFR protocols automatically calculate the muscles fatigue point, which is essential to assess the pelvic floors strength and determine the most effective rehab program for the patient.


• EMG-Uroflow protocols to perform uroflowmetry and EMG studies simultaneously (When the LABORIEUroflowmeter Urocap III is linked to Urostym).


• Custom protocols can be designed by the user to suit the needs of your practice.


• Reduced keystrokes, procedure consistency and automated archiving and reporting help improve productivity.


• Urostym is available as standalone or integrated with any of LABORIEs industry-leading incontinence diagnostic systems.

• Auto-Calculated Fatigue Point
  
  
  
  • Defines, tailors and optimizes patients Pelvic Muscle Exercise (PME) program based on their demonstrated abilities.
  
  
  
  


• Alternating Stimulation
  
  
  
  • Reduces muscle accommodation resulting in improved results and more rapid positive outcomes.
  
  
  
  


• Pediatric Games
  
  
  
  • All the biofeedback protocols can be switched into the game mode to turn the therapy session into a fun and engaging experience for children.
  
  
  
  


• EMR Connectivity




• Integrate clinical data with your EMR for a paperless environment.




• 
  Biofeedback
  
  

  Pelvic muscle rehabilitation (PMR) is a technique that uses EMG-biofeedback to improve pelvic floor strength by helping patients learn to control/contract the proper muscle groups through increased awareness. The application gives a visual representation of a change in a measured channel. Biofeedback can react on a pressure channel, an EMG channel or a combination of two channels.

  
  
  The goal of biofeedback is to:
  
  
  
  
  • Enhance pelvic muscles awareness
  
  
  • Promote pelvic muscles function and coordination
  
  
  • Minimize using of accessory muscles
  
  
  
  
  Electrical Stimulation
  
  

  Electric Muscle Stimulation (EMS) involves delivering a small electrical current to the pelvic floor muscles to:

  
  
  
  
  
  • Produce a reflex muscle contraction
  
  
  • Contract pelvic floor muscles
  
  
  • Relax and inhibit pelvic floor muscles (as seen in urinary retention or pelvic pain therapy)
  
  
  
  
  

  With Urostym, Stimulation is used as an adjunct to pelvic muscle exercises. Mixed biofeedback and stimulation protocols are highly effective to:

  
  
  
  
  
  • Provide a passive contraction that increases awareness of pelvic floor muscle contractions in general
  
  
  • Assist with identification and isolation of pelvic muscle
  
  
  • Increase pelvic muscle contraction strength
  
  
  • Decrease unwanted or uninhibited detrusor (bladder) muscle contraction
  
  
  • Assist with normalizing pelvic muscle relaxation
  
  
  
  

Nexam Pro is an easy-to-use, comprehensive system that offers unique flexibility and modularity, ideal for both routine clinical urodynamics and research.

Nexam Pro meets the latest ICS guidelines for Good Urodynamic Practice (GUP). Its unique Virtual Instructor Program (VIP) assists during the investigation by delivering high quality results, quickly and easily. Bluetoothtechnology provides a variety of functionalities such as multiple wireless uroflow, wireless pressure/EMG recording and a wireless speed controlled catheter puller system.

Developed in close collaboration with leading hospitals worldwide, Nexam Pro has become the most user-friendly, professional urodynamic system currently available.

• Uroflowmetry


• Cystometry (CMG)


• Pressure-Flow study


• Urethra Pressure Profiles (UPP)


• Gynecology study (Pressure-Flow and UPP in one test)


• Natural Filling Urodynamics

• EMG


• Video-urodynamics


• Neuro-urodynamics


• Anorectal Manometry


• High Resolution Anorectal Manometry


• Biofeedback


• 
  Built-in Virtual Instructor Program (VIP):
  
  
  
  • Comprehensive and user-friendly, guides you step-by-step through every urodynamic examination.
  
  
  • Requires minimal training, saving time and money while allowing more focus on the patient.
  
  
  
  Wireless and Ergonomic Design:
  
  
  
  • Bluetoothtechnology reduces cables and allows easy portability and setup flexibility.
  
  
  • Height adjustable monitor, allowing a sitting or standing position during the investigation.
  
  
  • Dual screen functionality
  
  
  
  Extended Functionality:
  
  
  
  • Video UDS: Enhances the diagnosis of lower urinary tract dysfunctions.
  
  
  • Neuro-UDS: Neuro Module for free running EMG, High speed/ frequency EMG (up to 10 kHz), Pudendal Nerve Stimulation (PNS), Motor Nerve Conduction, Sacral Re ex and Sensory Treshold.
  
  
  • Natural Filling UDS: Immediate prolongation of conventional urodynamic study with real ambulatory monitoring.
  
  
  
  Optimize Workflow :
  
  
  
  • Complete HL7 and EMR/HIS connectivity.
  
  
  
  Multiple Upgrade Options Include :
  




• Luna Wireless Pressure Recording allows freedom of movement for patient and possibility to extend a conventional urodynamic study with ambulatory urodynamics (natural filling) within seconds. No need to make a new appointment or replace catheters.


• Scanmaster Ultrasound Bladder Scanner an integrated solution to measure and store Initial Bladder Filling and PVR results and images in the Nexam Pro database.


• Video Urodynamics multi-monitor display to simultaneously monitor bladder and X-Ray images.


• Wireless Catheter Puller for speed controlled UPP measurement.




• 
  Procedure Type: Urodynamics, High Resolution Anorectal Manometry, Anorectal Manometry, Biofeedback
  
  
  
  
  • CompatibilityAir-Charged, Water-filled and Electronic catheters
  
  
  • Computer TypeWindows 8 PC
  
  
  • Power110 220V
  
  
  • Pressure TransducersT-DOC, Argon, Memscap or Unisensor
  
  
  • Optional AccessoriesEMG package, (Wireless) Catheter Puller package, Neuro module , 2nd Wireless Uroflowmeter and Flowstand, Commode, Urodynamic Procedure Chair
  
  
  • 
    Procedure Type: Urodynamics, High Resolution Anorectal Manometry, Anorectal Manometry, Biofeedback
    
    
    
    
    • CompatibilityAir-Charged, Water-filled and Electronic catheters
    
    
    • Computer TypeWindows 8 PC
    
    
    • Power110 220V
    
    
    • Pressure TransducersT-DOC, Argon, Memscap or Unisensor
    
    
    • Optional AccessoriesEMG package, (Wireless) Catheter Puller package, Neuro module , 2nd Wireless Uroflowmeter and Flowstand, Commode, Urodynamic Procedure Chair
    
    
    
    
  
  
  
  

The Next Generation Sonesta Chair

The Sonesta 3S is a premium 3-motor procedure chair designed to be the ultimate in positioning and comfort for you and your patient during urology and gynecology procedures.

The 3S chair includes a set of accessories to cover standard procedures and has a range of additional options.

Procedures Commonly Performed in the Sonesta Chair:

• Urodynamic


• Pelvic Muscle Rehabilitation


• Anorectal Manometry


• Pelvic Exams


• Cystoscopy


• Ultrasound


• Vasectomy


• Colposcopy


• Biopsies


• Colonoscopy


• Gynecolog


• 
  Top Quality, Versatile, User-friendly, Infinite Positioning
  Minimum Seat Height of 40 cm (16 in):
  
  
  
  • Suitable for easy access for disabled patients.
  
  
  
  High Quality, Engineered Ergonomics:
  
  
  
  • Supports 465 weight capacity.
  
  
  • Lightweight and easy to move.
  
  
  
  Large Locking Wheels:
  
  
  
  • Compact and can easily be moved around the office.
  
  
  
  Three Height, Back and Seat Angle Motors:
  
  
  
  • Easily maneuver patients in comfort without straining your staff.
  
  
  
  Seat Cutout for Voiding:
  
  
  
  • Perform complete procedure while in chair.
  
  
  
  Lift Patient into Standing Position:
  
  
  
  • Complete range of motion.
  
  
  
  

Luna Natural Filling adds sensation markers and bladder volume estimation to classic ambulatory recordings. Bladder volume is measured by using a wireless uroflowmeter and/or ultrasound bladder scanner.

Using Luna Natural Filling system, the following studies can be carried out in a natural and physiological way:

• Uroflow


• Cystometry


• Pressure- flow

Natural filling urodynamics is the new standard in urodynamics, offering the following advantages:

• Better clinical data, based on physiological bladder filling


• Lower costs per urodynamic procedure, saving labor and office space Increased patient comfort and more privacy

Discover a new way of urodynamic testing, providing better clinical data while spending less time!

According to the International Continence Society (ICS), ambulatory urodynamics (AU) is, Any functional test of the lower urinary tract predominantly utilizing natural filling of the urinary tract and reproducing subjects normal activity.

ICS indications for AU:

• When Conventional Urodynamics (CU) fails to reproduce or explain detrusor instability.


• When CU may be unsuitable (children).


• Neurogenic lower urinary tract dysfunctions.


• Evaluation of therapies for lower urinary tract dysfunction.

The Solar Neuro Module conducts neurophysiological assessments of pelvic floor dysfunction on the same systems used for anorectal manometry and urodynamic testing. With a set of predefined neuro-physiological tests for assessing pelvic floor disorders, the Solar Neuro Module will be familiar to those already acquainted with the state-of-the-art Solar diagnostic testing system. As a result, you can use the same patient database.

The Solar Neuro Module studies the motor innervations of the sphincters and the pelvic floor, as well as the sensory innervation of the pelvic structure. Additional measurement programs available:

• Free Run EMG


• Pudendal Nerve Stimulation


• Motor Nerve Conduction


• Sacral Reflex

The complete range of neuro-diagnostic solutions. Modules complementary to the Solar GI family (Solar GI, Solar GI Compact, Solar GI HRAM) and the Solar and Nexam Pro Urodynamic Systems are:

• 1 channel High speed EMG


• 2 channels High-speed EMG


• 1 channel High-speed EMG, Stimulation programs


• 2 channels High-speed EMG, Stimulation programs

• Free Run EMG recording of electrical potentials generated by depolarization of the striated muscles involved in the active continence mechanism


• Pudendal Nerve Stimulation common and simple study that measures the latency through a direct reflex between stimulator site and recording site


• Motor Nerve Conduction measures the nerve conduction velocity of the dorsal nerve of the penis


• Sacral Reflex- offers stimulation of the dorsal nerve of the penis or clitoris and records reflexes via the brain taken from pelvic floor muscle structures.

The Solar Neuro system can be used as dedicated system (with U2M module) or in combination with the LABORIE Solar, Solar GI and Nexus Pro measurement systems.

• Procedure Type: Neurophysiological Assessments


• Computer Type: Windows 7 or Windows 8


• Power: Digital Cable connected to U2M Module

In the diagnosis of micturition and pelvic floor disorders, common anorectal, pelvic floor and urodynamic investigations are combined with studies to investigate neurological abnormalities. Neurological studies can greatly improve the quality of the diagnosis.

Pudendal Nerve Stimulation (PNS) or Pudendal Nerve Terminal Motor Latency (PNTML) has diagnostic and prognostic value in the care of patients suffering from fecal incontinence or pelvic floor dysfunction, especially when it is important to identify and quantify the nature of the neuromuscular injury.

PNS is a common and simple study that measures the latency through a direct reflex between stimulator site and recording site. The St. Marks probe is used for latency measurement between stimulator site and recording site (anal sphincter). Pudendal nerve conduction measures the reflex via the brain. PNS can also be used for urinary incontinence studies when the sphincter is stretched after childbirth.

OVERVIEW High Resolution Manometry

The Solar GI HRM is the most advanced HRM system on the market. Latest developments such as the Chicago Classification criteria, QuickView analysis program, 3D Esophageal Pressure Topography (EPT) and new catheter technology make Solar GI HRM:

• Extremely easy to use


• Procedures more accurate and reliable


• Data analysis better, simpler and quicker


• Procedure costs lower

High Resolution Manometry (HRM) is the latest approach of measuring pressures in the esophagus. The Solar GI HRM system simplifies clinical procedures and offers fast and accurate diagnostic reports. Up to 36 closely spaced pressures, capture the entire esophageal motor function from the pharynx to the stomach. Visual sphincter recognition makes accurate sphincter location so easy that specialized technical training is no longer required.

With Solar GI HRM, studies can be performed with either reusable solid state or single-use/reusable water-perfused catheters. This offers maximum flexibility in system configuration set-up, clinical solution, investment and procedure costs.

Unique QuickView Software program to make HRM analysis more accurate, fast and easy.

• All events will be displayed automatically on the screen, providing a quick overview of the study.


• For each event, HRM results will be automatically calculated.


• Automatic classification of each swallow, and overall study classification Chicago Classification 3.0.


• 360 degrees tube view and 3D esophageal pressure topography (EPT) plots for a new perspective on events.

HRM Studies in Less Than 10 Minutes:

• Easy positioning HRM catheter makes the esophageal manometry examination so simple that consistent high-quality measurements will always be achieved.

Flexible Clinical Solutions:

• Variety of catheter diameters, to ensure accurate HRM measurement for different patient groups.


• Single use and reusable catheter solutions (solid-state and water-perfused, both up to 36 pressure channels).


• Flexible HRM system solutions for every budget.

Extended Functionalities (optional):

• Synchronized video manometry optional (X-ray, C-Arm, ultrasound).


• LABORIE offers HRM/HRIM applications covering the whole tract, such as Small Bowel / Antroduodenum (HRSM), Colon (HRCM), and Anal sphincter (HRAM).


• HRM / HRIM can also be combined with synchronized video recording capabilities

Optimize Workflow (optional):

• EMR/HIS connectivity.


• Network Capabilities -multiple systems in one network.


• DICOM PACS- offers time saving routines and paperless procedures.

Multiple Upgrade Options Include :

• Increase in pressure channels from 24 to 36.


• Change from water-perfused HRM (24-36) to 36 pressure solid-state HRM.


• 16 Impedance channels (water perfused and solid state).


• HRAM water-perfused or-solid state.

Procedure Type: High Resolution Manometry (HRM) / Clouse Contour Plot, Esophageal body manometry, LES manometry

• ChannelsUp to 36 pressure channels, up to 16 impedance channels (optional), swallow & respiration channel (optional), multiple EMG channels (optional), high frequency EMG channels (optional), neuro stimulation (optional), EGG (optional), 1-4 pH channels (optional)


• SoftwareExtensive patient database, up to 9 investigation protocols, user-configurable reports, multiple languages


• Power110 or 220V


• CompatibilityFluid-Filled and Solid State Catheters


• Recommended Operating SystemWindows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)


• Recommended Monitor17in Colour Monitor


• OptionsHigh Resolution Impedance Manometry (HRIM), Anorectal Manometry, High Resolution Anorectal Manometry (HRAM), 360 degrees tube view for LES and HRAM, UES manometry, Sphincter of Oddi, AD/small bowel manometry, Colon manometry, Neuro, EMG, High speed EMG, EGG (not in USA), Biofeedback, Network, HIS, Video GI, EMR/HIS connectivity and Network capabilities.

High Resolution Manometry

High Resolution Manometry (HRM) is a new approach of measuring pressures in the esophageal body and presentation of the results. This method consists of measuring multiple pressures simultaneously, allowing detailed assessment of all relevant data for the whole esophagus. HRM solutions for antroduodenum, small bowel and colon are available as well.

Besides the conventional displays, rapid data interpretation via Clouse contour plots can be established. The Clouse contour plot display offers more information than the traditional pressure curves and is still easier to analyze due to the recognition of typical patterns. LABORIE offers 36 pressures solid state and 22 pressure channels water-perfused HRM solutions.

HRM Advantages:

• Improved understanding of the motility peristaltic pressure waves.


• Prevent misdiagnosis of achalasia (pseudo relaxation of the LES).


• Perform UES/LES investigations (also with water-perfused catheters).

Clinical Applications of HRM:

• High Resolution Esophagus Manometry (HRM)


• High Resolution Impedance Manometry (HRIM)


• High Resolution Anorectal Manometry (HRAM)


• High Resolution Manometry combined with Video

High Resolution Manometry can be used to measure peristalsis in the esophagus (HR(E)M) and to assess the apparatus and defecation provided by the anal sphincter (HRAM). HRM can also be combined with impedance measurement (HRIM) and/or video images and cineloops to view the swallows and bolus movement in the esophagus.

The Solar GI HRM is the most advanced HRM system on the market. Latest developments such as the Chicago Classification criteria, QuickView analysis program, 3D Esophageal Pressure Topography (EPT) and new catheter technology make Solar GI HRM:

• Extremely easy to use


• Procedures more accurate and reliable


• Data analysis better, simpler and quicker


• Procedure costs lower

High Resolution Manometry (HRM) is the latest approach of measuring pressures in the esophagus. The Solar GI HRM system simplifies clinical procedures and offers fast and accurate diagnostic reports. Up to 36 closely spaced pressures, capture the entire esophageal motor function from the pharynx to the stomach. Visual sphincter recognition makes accurate sphincter location so easy that specialized technical training is no longer required.

With Solar GI HRM, studies can be performed with either reusable solid state or single-use/reusable water-perfused catheters. This offers maximum flexibility in system configuration set-up, clinical solution, investment and procedure costs.

• All events will be displayed automatically on the screen, providing a quick overview of the study.


• For each event, HRM results will be automatically calculated.


• Automatic classification of each swallow, and overall study classification Chicago Classification 3.0.


• 360 degrees tube view and 3D esophageal pressure topography (EPT) plots for a new perspective on events.

• Easy positioning HRM catheter makes the esophageal manometry examination so simple that consistent high-quality measurements will always be achieved.

• Variety of catheter diameters, to ensure accurate HRM measurement for different patient groups.


• Single use and reusable catheter solutions (solid-state and water-perfused, both up to 36 pressure channels).


• Flexible HRM system solutions for every budget.

• Synchronized video manometry optional (X-ray, C-Arm, ultrasound).


• LABORIE offers HRM/HRIM applications covering the whole tract, such as Small Bowel / Antroduodenum (HRSM), Colon (HRCM), and Anal sphincter (HRAM).


• HRM / HRIM can also be combined with synchronized video recording capabilities

• EMR/HIS connectivity.


• Network Capabilities -multiple systems in one network.


• DICOM PACS- offers time saving routines and paperless procedures.

• Increase in pressure channels from 24 to 36.


• Change from water-perfused HRM (24-36) to 36 pressure solid-state HRM.


• 16 Impedance channels (water perfused and solid state).


• HRAM water-perfused or-solid state.

• ChannelsUp to 36 pressure channels, up to 16 impedance channels (optional), swallow & respiration channel (optional), multiple EMG channels (optional), high frequency EMG channels (optional), neuro stimulation (optional), EGG (optional), 1-4 pH channels (optional)


• SoftwareExtensive patient database, up to 9 investigation protocols, user-configurable reports, multiple languages


• Power110 or 220V


• CompatibilityFluid-Filled and Solid State Catheters


• Recommended Operating SystemWindows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)


• Recommended Monitor17in Colour Monitor


• OptionsHigh Resolution Impedance Manometry (HRIM), Anorectal Manometry, High Resolution Anorectal Manometry (HRAM), 360 degrees tube view for LES and HRAM, UES manometry, Sphincter of Oddi, AD/small bowel manometry, Colon manometry, Neuro, EMG, High speed EMG, EGG (not in USA), Biofeedback, Network, HIS, Video GI, EMR/HIS connectivity and Network capabilities.

High Resolution Manometry (HRM) is a new approach of measuring pressures in the esophageal body and presentation of the results. This method consists of measuring multiple pressures simultaneously, allowing detailed assessment of all relevant data for the whole esophagus. HRM solutions for antroduodenum, small bowel and colon are available as well.

Besides the conventional displays, rapid data interpretation via Clouse contour plots can be established. The Clouse contour plot display offers more information than the traditional pressure curves and is still easier to analyze due to the recognition of typical patterns. LABORIE offers 36 pressures solid state and 22 pressure channels water-perfused HRM solutions.

• Improved understanding of the motility peristaltic pressure waves.


• Prevent misdiagnosis of achalasia (pseudo relaxation of the LES).


• Perform UES/LES investigations (also with water-perfused catheters).

• High Resolution Esophagus Manometry (HRM)


• High Resolution Impedance Manometry (HRIM)


• High Resolution Anorectal Manometry (HRAM)


• High Resolution Manometry combined with Video

High Resolution Manometry can be used to measure peristalsis in the esophagus (HR(E)M) and to assess the apparatus and defecation provided by the anal sphincter (HRAM). HRM can also be combined with impedance measurement (HRIM) and/or video images and cineloops to view the swallows and bolus movement in the esophagus.

SOLAR GI HRAM OVERVIEW High Resolution Anorectal Manometry

The Solar GI HRAM uses advanced diagnostic technology to accurately measure anorectal pressures, providing more information than conventional manometry.

Latest developments such as the QuickView analysis program, 360 degrees HRAM, 3D Anorectal Pressure Topography and new catheter technology make Solar GI HRAM:

• Extremely easy to use


• Procedures more accurate and reliable


• Data analysis better, simpler and quicker


• Procedure costs lower

360 Degrees HRAM

sing a dedicated 3D catheter, HRAM data can be displayed in a 3D plot, providing even more information. As a result, sphincter damage or defects can easily be recognized in the tube view mode.

Investigations to be performed with HRAM:

• Resting pressure


• Squeeze pressure


• Endurance squeeze


• Push-defecation test


• RAIR


• Sensation-compliance


• Cough


• External stimulus using tooth-pick


• Balloon expulsion


• Defecography (anorectal manometry with X-ray)

Accurate HRAM Procedures with Powerful Built-in Software:

• Unique QuickView Software program developed to make HRAM analysis more accurate, fast and easy.


• Event-based analysis software, where events can be Squeeze, RAIR, etc.

Advanced Features and Functionality:

• Measuring simultaneously up to 24 pressure channels.


• Full coverage of anal sphincter.


• Easy placement of catheter and simple correction of catheter movement.

State-of-the-Art 360 Degrees HRAM

• 3D Anorectal Pressure Topography plots for a new perspective on the events.


• Sphincter damage or defects can easily be recognized in tube view mode.

Flexible Clinical Solutions:

• Variety of catheter diameters to ensure accurate HRAM measurement for different patient groups.


• Single-use and reusable catheter solutions (solid state and water perfused).


• Flexible HRAM system solutions for every budget.


• Expandable with HRM, HRIM, HRSM and HRCM.

Extended Functionality:

• Synchronized video manometry optional (C-Arm, ultrasound).

Optimize Workflow :

• EMR/HIS connectivity


• DICOM PACS- offers time-saving routines and paperless procedures.


• Network capabilities (multiple systems in one network)

Procedure Type: Anorectal Manometry, High Resolution Anorectal Manometry (HRAM)

• ChannelsUp to 36 Pressure Channels (up to 24 Pressure Channels for Anorectal Manometry), Swallow and Respiration channel (optional for Esophageal Manometry), Multiple EMG channels (optional), High Frequency EMG channels (optional), Neuro Stimulation (optional), EGG (optional for Esophageal Manometry)


• SoftwareExtensive Patient Database, Up to 9 Investigation Protocols, User-configurable Reports (MMS Reporter), Multiple Languages


• Power110 or 220 V


• CompatibilityFluid-Filled and Solid State Catheters


• Recommended Operating SystemWindows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)


• Recommended Monitor17 in Color Monitor


• Options360 Degrees Tube View for HRAM, Colon Manometry, Neuro, EMG, High Speed EMG, EGG (not in USA), Biofeedback, Network, HIS, Video GI, Blood Pressure and SpO2 Interface


• High Resolution Anorectal Manometry
  

  High Resolution Anorectal Manometry (HRAM) is a new approach of measuring anorectal pressures, which offers more information than conventional manometry.

  
  

  In combination with contour plots, rapid data interpretation can be established due to the recognition of typical anal sphincter patterns.

  
  

OHMEGA OVERVIEW Ambulatory Impedance-pH Recorder

Ohmega is a small, lightweight ambulatory system that combines Impedance recording and pH recording. As a result, the Ohmega detects reflux activity using Impedance and categorizes these reflux episodes as acidic or non-acidic (weakly acidic), using traditional pH measurement. Gas and mixed liquid/gas reflux episodes are analyzed as well.

The built-in Virtual Instructor Program helps you successfully complete the procedure with minimal training. Bluetooth capabilities make it possible to view and check data on a computer monitor while recording. The intelligent symptom analysis software quantifies reflux episodes quickly and simply.

Seamless Built-In Virtual Instructor Program (VIP):

• Comprehensive and user-friendly, it guides you through each reflux measurement procedure.


• Requires minimal training, saving time and money while allowing more focus on the patient.


• Successfully complete esophageal reflux measurement in 6 steps.

Highly-Intuitive Built-in Software:

• Intelligent symptom analysis software quantifies reflux episodes quickly and provides information about the correlation between symptoms and events.


• Impedance Contour Plot for fast and easy analysis.

State-of-the-Art Features and Functionality:

• Online view of data recording with Bluetooth technology.


• High-quality signal recording can be verified before the patient leaves the clinic.

Diagnose Patients on PPI Therapy:

• Impedance-pH detects both acidic and non-acidic reflux episodes.


• Combined Impedance-pH recording is clinically useful in the evaluation of symptoms under PPI therapy, as well as hoarseness, unexplained cough and applications of particular interest.

Normal / Reference Values:

• Normal values according to Zerbib 1., 2. et al.


• Child results for children under 18 years old according to reference values Misra3.

Optimize Workflow :

• HL7 and EMR/HIS connectivity.


• Network capability.

Upgrade Options include:

• Sleeplab Interface Unit- for a maximum of 16 analogue channels.

Procedure Type: Impedance-pH Recording

• CompatibilitypH only or Impedance-pH (combined). ISFET, Antimony pH and Impedance-pH catheters


• Power1x AA battery


• Dimensions2.7 cm x 8.8 cm x 12.9 cm (1.1 in x 3.5 in x 5.1 in)


• Weight0.2 kg (0.4 lbs.) incl. battery


• Impedance ChannelsUp to 12


• pH Channels4 Antimony, 2 ISFET


• LES LocatorYes


• PressuresUp to 4


• Data TransmissionUSB/Bluetooth


• Impedance Sample Rate50 Hz


• Optional AccessoriesSleeplab Output (16 channels)

Impedance-pH Reflux Measurement to Diagnose GERD What is Impedance?

Impedance measurement can be used to detect GERD (Gastroesophageal Reflux Disease) and distinguish acid and weakly acidic refluxes causing symptoms.

Gastroesophageal Reflux Disease (GERD) is caused by the reflux of gastric contents into the esophagus. Typical patient symptoms are heartburn, regurgitation, and chest pain. These patient groups are often on PPI medication, but non-acidic reflux can still cause symptoms.

Traditional pH recording only records acidic pH reflux episodes. Impedance-pH detects both acidic and non-acidic reflux episodes.

Combined Impedance-pH recording is clinically useful in the evaluation of symptoms under PPI therapy, as well as for hoarseness, unexplained cough, and applications of particular interest.

void scanner intuitive design is ideal for a multitude of clinical environments, from hospital floors to physician offices. Different scanning modes are designed to match different user preferences along with advanced targeting features that make finding the bladder simple. Portascan 3D provides reliable information, thus reducing the frequency of catheterization and risk of UTIs (CAUTI). It is also a valuable tool for providing post-void residual volume (PVR) to assess possible urinary retention

emg monitor With leading-edge pre-defined protocols, user-friendly protocol customization and easy reporting function, Urostym offers the most reliable and effective pelvic floor therapy program in the world for adult and pediatric patients.

urology table unique procedure table designed for full fluoroscopic imaging of the urinary tract during video Urodynamics procedures, with a carbon-fiber support for use with a C-arm. Full range of additional options available.

medical chair Large display for easy viewing. Measuring pressure to 0.1cm water. Both audio and visual feedback. Each probe is precision molded medical-grade silicone rubber sheath.

morcellator the surgical technique progress together with the presence of the integrated mechanical morcellator (optional), makes it possible to reduce operating time and treat prostates of any size. With this technique, the enucleated tissue can also be evaluated histopathologically in all cases.

Flowmaster is a computer based wireless flowmeter designed for practical, everyday flow studies, when ease of use, simplicity and cost effectiveness are top priorities.

Using Bluetooth technology, Flowmaster has a wireless connection between the battery operated flow transducer and PC/laptop, eliminating all cables and power plugs. The flow transducer can be placed in another room or bathroom for optimal patient privacy.

Using the Flowmaster, recording begins automatically when the patient starts voiding. A special software algorithm reduces artifacts and selects the optimal flow/volume scales. Pre-flow and post-flow times are user-selected.

• Bluetooth wireless technology facilitates increased patient privacy while voiding.


• Battery-powered operation eliminates messy power plugs and enables easy portability.


• Print full- color reports with patient data, study results, graphs, nomograms and comments with custom clinic logo. Portable, compact design ideal for a clinic environment.

• Extended patient database for secure storage of a large number of uroflow studies.


• Up to 7 Flowmasters (used simultaneously) can be operated from a single computer, providing an optimal solution for a busy clinic environment.


• Flow nomograms according to Liverpool, Miskolc and Siroky.


• Automatic flow and volume scale selection.


• Network capability.


• Integrate clinical data with a Hospital Information System (HIS) or Electronic Medical Record (EMR).


• Automatic artifact detection.


• Multi-language support.

• Scanmaster, USB ultrasound bladder scanner.

• Available with a height-adjustable uroflow stand and/or choice of micturition chair.

• 
  Dimensions:
  


• Sensor5.3 cm x 15 cm x 17 cm (2 in x 5.9 in x 6.6 in)


• Stand54.5 (71) cm x 36.5 cm x 36 cm (21.4 27.9 in x 14.3 in x 14.1 in)


• 
  Weight:
  


• Sensor incl battery- 0.6 kg (1.3 lb.)


• Stand2.5 kg (5.5 lb.)


• ConnectivityBluetooth


• Optional AccessoriesMicturition Chair, Height Adjustable Flow Stand

Uroflowmetry is a diagnostic screening procedure that measures the volume of urine released from the body, the speed with which it is released, and how long the release takes.

Uroflowmetry is performed by urinating into a special urinal, toilet, or disposable device that has a measuring device built in. When you finish, the machine will make a report for your healthcare provider.

The test involves normal urination, so you should not experience any discomfort. This test is useful in evaluating the function of the urinary tract.

The Urostym is a state-of-the-art, full clinic-based non-invasive pelvic floor rehabilitation system that provides effective treatment for different lower urinary tract dysfunctions such as urinary incontinence (stress, urge, mixed), fecal incontinence, constipation, urinary retention and voiding dysfunctions.

With leading-edge pre-defined protocols, user-friendly protocol customization and easy reporting function, Urostym offers the most reliable and effective pelvic floor therapy program in the world for adult and pediatric patients.

Rely on Urostym to also provide the tools to help streamline your workflow, increase productivity and maximize your return on investment.

• Default PFR protocols automatically calculate the muscles fatigue point, which is essential to assess the pelvic floors strength and determine the most effective rehab program for the patient.


• EMG-Uroflow protocols to perform uroflowmetry and EMG studies simultaneously (When the LABORIEUroflowmeter Urocap III is linked to Urostym).


• Custom protocols can be designed by the user to suit the needs of your practice.


• Reduced keystrokes, procedure consistency and automated archiving and reporting help improve productivity.


• Urostym is available as standalone or integrated with any of LABORIEs industry-leading incontinence diagnostic systems.

• Auto-Calculated Fatigue Point
  
  
  
  • Defines, tailors and optimizes patients Pelvic Muscle Exercise (PME) program based on their demonstrated abilities.
  
  
  
  


• Alternating Stimulation
  
  
  
  • Reduces muscle accommodation resulting in improved results and more rapid positive outcomes.
  
  
  
  


• Pediatric Games
  
  
  
  • All the biofeedback protocols can be switched into the game mode to turn the therapy session into a fun and engaging experience for children.
  
  
  
  


• EMR Connectivity




• Integrate clinical data with your EMR for a paperless environment.




• 
  Biofeedback
  
  

  Pelvic muscle rehabilitation (PMR) is a technique that uses EMG-biofeedback to improve pelvic floor strength by helping patients learn to control/contract the proper muscle groups through increased awareness. The application gives a visual representation of a change in a measured channel. Biofeedback can react on a pressure channel, an EMG channel or a combination of two channels.

  
  
  The goal of biofeedback is to:
  
  
  
  
  • Enhance pelvic muscles awareness
  
  
  • Promote pelvic muscles function and coordination
  
  
  • Minimize using of accessory muscles
  
  
  
  
  Electrical Stimulation
  
  

  Electric Muscle Stimulation (EMS) involves delivering a small electrical current to the pelvic floor muscles to:

  
  
  
  
  
  • Produce a reflex muscle contraction
  
  
  • Contract pelvic floor muscles
  
  
  • Relax and inhibit pelvic floor muscles (as seen in urinary retention or pelvic pain therapy)
  
  
  
  
  

  With Urostym, Stimulation is used as an adjunct to pelvic muscle exercises. Mixed biofeedback and stimulation protocols are highly effective to:

  
  
  
  
  
  • Provide a passive contraction that increases awareness of pelvic floor muscle contractions in general
  
  
  • Assist with identification and isolation of pelvic muscle
  
  
  • Increase pelvic muscle contraction strength
  
  
  • Decrease unwanted or uninhibited detrusor (bladder) muscle contraction
  
  
  • Assist with normalizing pelvic muscle relaxation
  
  
  
  

Nexam Pro is an easy-to-use, comprehensive system that offers unique flexibility and modularity, ideal for both routine clinical urodynamics and research.

Nexam Pro meets the latest ICS guidelines for Good Urodynamic Practice (GUP). Its unique Virtual Instructor Program (VIP) assists during the investigation by delivering high quality results, quickly and easily. Bluetoothtechnology provides a variety of functionalities such as multiple wireless uroflow, wireless pressure/EMG recording and a wireless speed controlled catheter puller system.

Developed in close collaboration with leading hospitals worldwide, Nexam Pro has become the most user-friendly, professional urodynamic system currently available.

• Uroflowmetry


• Cystometry (CMG)


• Pressure-Flow study


• Urethra Pressure Profiles (UPP)


• Gynecology study (Pressure-Flow and UPP in one test)


• Natural Filling Urodynamics

• EMG


• Video-urodynamics


• Neuro-urodynamics


• Anorectal Manometry


• High Resolution Anorectal Manometry


• Biofeedback


• 
  Built-in Virtual Instructor Program (VIP):
  
  
  
  • Comprehensive and user-friendly, guides you step-by-step through every urodynamic examination.
  
  
  • Requires minimal training, saving time and money while allowing more focus on the patient.
  
  
  
  Wireless and Ergonomic Design:
  
  
  
  • Bluetoothtechnology reduces cables and allows easy portability and setup flexibility.
  
  
  • Height adjustable monitor, allowing a sitting or standing position during the investigation.
  
  
  • Dual screen functionality
  
  
  
  Extended Functionality:
  
  
  
  • Video UDS: Enhances the diagnosis of lower urinary tract dysfunctions.
  
  
  • Neuro-UDS: Neuro Module for free running EMG, High speed/ frequency EMG (up to 10 kHz), Pudendal Nerve Stimulation (PNS), Motor Nerve Conduction, Sacral Re ex and Sensory Treshold.
  
  
  • Natural Filling UDS: Immediate prolongation of conventional urodynamic study with real ambulatory monitoring.
  
  
  
  Optimize Workflow :
  
  
  
  • Complete HL7 and EMR/HIS connectivity.
  
  
  
  Multiple Upgrade Options Include :
  




• Luna Wireless Pressure Recording allows freedom of movement for patient and possibility to extend a conventional urodynamic study with ambulatory urodynamics (natural filling) within seconds. No need to make a new appointment or replace catheters.


• Scanmaster Ultrasound Bladder Scanner an integrated solution to measure and store Initial Bladder Filling and PVR results and images in the Nexam Pro database.


• Video Urodynamics multi-monitor display to simultaneously monitor bladder and X-Ray images.


• Wireless Catheter Puller for speed controlled UPP measurement.




• 
  Procedure Type: Urodynamics, High Resolution Anorectal Manometry, Anorectal Manometry, Biofeedback
  
  
  
  
  • CompatibilityAir-Charged, Water-filled and Electronic catheters
  
  
  • Computer TypeWindows 8 PC
  
  
  • Power110 220V
  
  
  • Pressure TransducersT-DOC, Argon, Memscap or Unisensor
  
  
  • Optional AccessoriesEMG package, (Wireless) Catheter Puller package, Neuro module , 2nd Wireless Uroflowmeter and Flowstand, Commode, Urodynamic Procedure Chair
  
  
  • 
    Procedure Type: Urodynamics, High Resolution Anorectal Manometry, Anorectal Manometry, Biofeedback
    
    
    
    
    • CompatibilityAir-Charged, Water-filled and Electronic catheters
    
    
    • Computer TypeWindows 8 PC
    
    
    • Power110 220V
    
    
    • Pressure TransducersT-DOC, Argon, Memscap or Unisensor
    
    
    • Optional AccessoriesEMG package, (Wireless) Catheter Puller package, Neuro module , 2nd Wireless Uroflowmeter and Flowstand, Commode, Urodynamic Procedure Chair
    
    
    
    
  
  
  
  

The Next Generation Sonesta Chair

The Sonesta 3S is a premium 3-motor procedure chair designed to be the ultimate in positioning and comfort for you and your patient during urology and gynecology procedures.

The 3S chair includes a set of accessories to cover standard procedures and has a range of additional options.

Procedures Commonly Performed in the Sonesta Chair:

• Urodynamic


• Pelvic Muscle Rehabilitation


• Anorectal Manometry


• Pelvic Exams


• Cystoscopy


• Ultrasound


• Vasectomy


• Colposcopy


• Biopsies


• Colonoscopy


• Gynecolog


• 
  Top Quality, Versatile, User-friendly, Infinite Positioning
  Minimum Seat Height of 40 cm (16 in):
  
  
  
  • Suitable for easy access for disabled patients.
  
  
  
  High Quality, Engineered Ergonomics:
  
  
  
  • Supports 465 weight capacity.
  
  
  • Lightweight and easy to move.
  
  
  
  Large Locking Wheels:
  
  
  
  • Compact and can easily be moved around the office.
  
  
  
  Three Height, Back and Seat Angle Motors:
  
  
  
  • Easily maneuver patients in comfort without straining your staff.
  
  
  
  Seat Cutout for Voiding:
  
  
  
  • Perform complete procedure while in chair.
  
  
  
  Lift Patient into Standing Position:
  
  
  
  • Complete range of motion.
  
  
  
  

Luna Natural Filling adds sensation markers and bladder volume estimation to classic ambulatory recordings. Bladder volume is measured by using a wireless uroflowmeter and/or ultrasound bladder scanner.

Using Luna Natural Filling system, the following studies can be carried out in a natural and physiological way:

• Uroflow


• Cystometry


• Pressure- flow

Natural filling urodynamics is the new standard in urodynamics, offering the following advantages:

• Better clinical data, based on physiological bladder filling


• Lower costs per urodynamic procedure, saving labor and office space Increased patient comfort and more privacy

Discover a new way of urodynamic testing, providing better clinical data while spending less time!

According to the International Continence Society (ICS), ambulatory urodynamics (AU) is, Any functional test of the lower urinary tract predominantly utilizing natural filling of the urinary tract and reproducing subjects normal activity.

ICS indications for AU:

• When Conventional Urodynamics (CU) fails to reproduce or explain detrusor instability.


• When CU may be unsuitable (children).


• Neurogenic lower urinary tract dysfunctions.


• Evaluation of therapies for lower urinary tract dysfunction.

The Solar Neuro Module conducts neurophysiological assessments of pelvic floor dysfunction on the same systems used for anorectal manometry and urodynamic testing. With a set of predefined neuro-physiological tests for assessing pelvic floor disorders, the Solar Neuro Module will be familiar to those already acquainted with the state-of-the-art Solar diagnostic testing system. As a result, you can use the same patient database.

The Solar Neuro Module studies the motor innervations of the sphincters and the pelvic floor, as well as the sensory innervation of the pelvic structure. Additional measurement programs available:

• Free Run EMG


• Pudendal Nerve Stimulation


• Motor Nerve Conduction


• Sacral Reflex

The complete range of neuro-diagnostic solutions. Modules complementary to the Solar GI family (Solar GI, Solar GI Compact, Solar GI HRAM) and the Solar and Nexam Pro Urodynamic Systems are:

• 1 channel High speed EMG


• 2 channels High-speed EMG


• 1 channel High-speed EMG, Stimulation programs


• 2 channels High-speed EMG, Stimulation programs

• Free Run EMG recording of electrical potentials generated by depolarization of the striated muscles involved in the active continence mechanism


• Pudendal Nerve Stimulation common and simple study that measures the latency through a direct reflex between stimulator site and recording site


• Motor Nerve Conduction measures the nerve conduction velocity of the dorsal nerve of the penis


• Sacral Reflex- offers stimulation of the dorsal nerve of the penis or clitoris and records reflexes via the brain taken from pelvic floor muscle structures.

The Solar Neuro system can be used as dedicated system (with U2M module) or in combination with the LABORIE Solar, Solar GI and Nexus Pro measurement systems.

• Procedure Type: Neurophysiological Assessments


• Computer Type: Windows 7 or Windows 8


• Power: Digital Cable connected to U2M Module

In the diagnosis of micturition and pelvic floor disorders, common anorectal, pelvic floor and urodynamic investigations are combined with studies to investigate neurological abnormalities. Neurological studies can greatly improve the quality of the diagnosis.

Pudendal Nerve Stimulation (PNS) or Pudendal Nerve Terminal Motor Latency (PNTML) has diagnostic and prognostic value in the care of patients suffering from fecal incontinence or pelvic floor dysfunction, especially when it is important to identify and quantify the nature of the neuromuscular injury.

PNS is a common and simple study that measures the latency through a direct reflex between stimulator site and recording site. The St. Marks probe is used for latency measurement between stimulator site and recording site (anal sphincter). Pudendal nerve conduction measures the reflex via the brain. PNS can also be used for urinary incontinence studies when the sphincter is stretched after childbirth.

OVERVIEW High Resolution Manometry

The Solar GI HRM is the most advanced HRM system on the market. Latest developments such as the Chicago Classification criteria, QuickView analysis program, 3D Esophageal Pressure Topography (EPT) and new catheter technology make Solar GI HRM:

• Extremely easy to use


• Procedures more accurate and reliable


• Data analysis better, simpler and quicker


• Procedure costs lower

High Resolution Manometry (HRM) is the latest approach of measuring pressures in the esophagus. The Solar GI HRM system simplifies clinical procedures and offers fast and accurate diagnostic reports. Up to 36 closely spaced pressures, capture the entire esophageal motor function from the pharynx to the stomach. Visual sphincter recognition makes accurate sphincter location so easy that specialized technical training is no longer required.

With Solar GI HRM, studies can be performed with either reusable solid state or single-use/reusable water-perfused catheters. This offers maximum flexibility in system configuration set-up, clinical solution, investment and procedure costs.

Unique QuickView Software program to make HRM analysis more accurate, fast and easy.

• All events will be displayed automatically on the screen, providing a quick overview of the study.


• For each event, HRM results will be automatically calculated.


• Automatic classification of each swallow, and overall study classification Chicago Classification 3.0.


• 360 degrees tube view and 3D esophageal pressure topography (EPT) plots for a new perspective on events.

HRM Studies in Less Than 10 Minutes:

• Easy positioning HRM catheter makes the esophageal manometry examination so simple that consistent high-quality measurements will always be achieved.

Flexible Clinical Solutions:

• Variety of catheter diameters, to ensure accurate HRM measurement for different patient groups.


• Single use and reusable catheter solutions (solid-state and water-perfused, both up to 36 pressure channels).


• Flexible HRM system solutions for every budget.

Extended Functionalities (optional):

• Synchronized video manometry optional (X-ray, C-Arm, ultrasound).


• LABORIE offers HRM/HRIM applications covering the whole tract, such as Small Bowel / Antroduodenum (HRSM), Colon (HRCM), and Anal sphincter (HRAM).


• HRM / HRIM can also be combined with synchronized video recording capabilities

Optimize Workflow (optional):

• EMR/HIS connectivity.


• Network Capabilities -multiple systems in one network.


• DICOM PACS- offers time saving routines and paperless procedures.

Multiple Upgrade Options Include :

• Increase in pressure channels from 24 to 36.


• Change from water-perfused HRM (24-36) to 36 pressure solid-state HRM.


• 16 Impedance channels (water perfused and solid state).


• HRAM water-perfused or-solid state.

Procedure Type: High Resolution Manometry (HRM) / Clouse Contour Plot, Esophageal body manometry, LES manometry

• ChannelsUp to 36 pressure channels, up to 16 impedance channels (optional), swallow & respiration channel (optional), multiple EMG channels (optional), high frequency EMG channels (optional), neuro stimulation (optional), EGG (optional), 1-4 pH channels (optional)


• SoftwareExtensive patient database, up to 9 investigation protocols, user-configurable reports, multiple languages


• Power110 or 220V


• CompatibilityFluid-Filled and Solid State Catheters


• Recommended Operating SystemWindows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)


• Recommended Monitor17in Colour Monitor


• OptionsHigh Resolution Impedance Manometry (HRIM), Anorectal Manometry, High Resolution Anorectal Manometry (HRAM), 360 degrees tube view for LES and HRAM, UES manometry, Sphincter of Oddi, AD/small bowel manometry, Colon manometry, Neuro, EMG, High speed EMG, EGG (not in USA), Biofeedback, Network, HIS, Video GI, EMR/HIS connectivity and Network capabilities.

High Resolution Manometry

High Resolution Manometry (HRM) is a new approach of measuring pressures in the esophageal body and presentation of the results. This method consists of measuring multiple pressures simultaneously, allowing detailed assessment of all relevant data for the whole esophagus. HRM solutions for antroduodenum, small bowel and colon are available as well.

Besides the conventional displays, rapid data interpretation via Clouse contour plots can be established. The Clouse contour plot display offers more information than the traditional pressure curves and is still easier to analyze due to the recognition of typical patterns. LABORIE offers 36 pressures solid state and 22 pressure channels water-perfused HRM solutions.

HRM Advantages:

• Improved understanding of the motility peristaltic pressure waves.


• Prevent misdiagnosis of achalasia (pseudo relaxation of the LES).


• Perform UES/LES investigations (also with water-perfused catheters).

Clinical Applications of HRM:

• High Resolution Esophagus Manometry (HRM)


• High Resolution Impedance Manometry (HRIM)


• High Resolution Anorectal Manometry (HRAM)


• High Resolution Manometry combined with Video

High Resolution Manometry can be used to measure peristalsis in the esophagus (HR(E)M) and to assess the apparatus and defecation provided by the anal sphincter (HRAM). HRM can also be combined with impedance measurement (HRIM) and/or video images and cineloops to view the swallows and bolus movement in the esophagus.

The Solar GI HRM is the most advanced HRM system on the market. Latest developments such as the Chicago Classification criteria, QuickView analysis program, 3D Esophageal Pressure Topography (EPT) and new catheter technology make Solar GI HRM:

• Extremely easy to use


• Procedures more accurate and reliable


• Data analysis better, simpler and quicker


• Procedure costs lower

High Resolution Manometry (HRM) is the latest approach of measuring pressures in the esophagus. The Solar GI HRM system simplifies clinical procedures and offers fast and accurate diagnostic reports. Up to 36 closely spaced pressures, capture the entire esophageal motor function from the pharynx to the stomach. Visual sphincter recognition makes accurate sphincter location so easy that specialized technical training is no longer required.

With Solar GI HRM, studies can be performed with either reusable solid state or single-use/reusable water-perfused catheters. This offers maximum flexibility in system configuration set-up, clinical solution, investment and procedure costs.

• All events will be displayed automatically on the screen, providing a quick overview of the study.


• For each event, HRM results will be automatically calculated.


• Automatic classification of each swallow, and overall study classification Chicago Classification 3.0.


• 360 degrees tube view and 3D esophageal pressure topography (EPT) plots for a new perspective on events.

• Easy positioning HRM catheter makes the esophageal manometry examination so simple that consistent high-quality measurements will always be achieved.

• Variety of catheter diameters, to ensure accurate HRM measurement for different patient groups.


• Single use and reusable catheter solutions (solid-state and water-perfused, both up to 36 pressure channels).


• Flexible HRM system solutions for every budget.

• Synchronized video manometry optional (X-ray, C-Arm, ultrasound).


• LABORIE offers HRM/HRIM applications covering the whole tract, such as Small Bowel / Antroduodenum (HRSM), Colon (HRCM), and Anal sphincter (HRAM).


• HRM / HRIM can also be combined with synchronized video recording capabilities

• EMR/HIS connectivity.


• Network Capabilities -multiple systems in one network.


• DICOM PACS- offers time saving routines and paperless procedures.

• Increase in pressure channels from 24 to 36.


• Change from water-perfused HRM (24-36) to 36 pressure solid-state HRM.


• 16 Impedance channels (water perfused and solid state).


• HRAM water-perfused or-solid state.

• ChannelsUp to 36 pressure channels, up to 16 impedance channels (optional), swallow & respiration channel (optional), multiple EMG channels (optional), high frequency EMG channels (optional), neuro stimulation (optional), EGG (optional), 1-4 pH channels (optional)


• SoftwareExtensive patient database, up to 9 investigation protocols, user-configurable reports, multiple languages


• Power110 or 220V


• CompatibilityFluid-Filled and Solid State Catheters


• Recommended Operating SystemWindows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)


• Recommended Monitor17in Colour Monitor


• OptionsHigh Resolution Impedance Manometry (HRIM), Anorectal Manometry, High Resolution Anorectal Manometry (HRAM), 360 degrees tube view for LES and HRAM, UES manometry, Sphincter of Oddi, AD/small bowel manometry, Colon manometry, Neuro, EMG, High speed EMG, EGG (not in USA), Biofeedback, Network, HIS, Video GI, EMR/HIS connectivity and Network capabilities.

High Resolution Manometry (HRM) is a new approach of measuring pressures in the esophageal body and presentation of the results. This method consists of measuring multiple pressures simultaneously, allowing detailed assessment of all relevant data for the whole esophagus. HRM solutions for antroduodenum, small bowel and colon are available as well.

Besides the conventional displays, rapid data interpretation via Clouse contour plots can be established. The Clouse contour plot display offers more information than the traditional pressure curves and is still easier to analyze due to the recognition of typical patterns. LABORIE offers 36 pressures solid state and 22 pressure channels water-perfused HRM solutions.

• Improved understanding of the motility peristaltic pressure waves.


• Prevent misdiagnosis of achalasia (pseudo relaxation of the LES).


• Perform UES/LES investigations (also with water-perfused catheters).

• High Resolution Esophagus Manometry (HRM)


• High Resolution Impedance Manometry (HRIM)


• High Resolution Anorectal Manometry (HRAM)


• High Resolution Manometry combined with Video

High Resolution Manometry can be used to measure peristalsis in the esophagus (HR(E)M) and to assess the apparatus and defecation provided by the anal sphincter (HRAM). HRM can also be combined with impedance measurement (HRIM) and/or video images and cineloops to view the swallows and bolus movement in the esophagus.

SOLAR GI HRAM OVERVIEW High Resolution Anorectal Manometry

The Solar GI HRAM uses advanced diagnostic technology to accurately measure anorectal pressures, providing more information than conventional manometry.

Latest developments such as the QuickView analysis program, 360 degrees HRAM, 3D Anorectal Pressure Topography and new catheter technology make Solar GI HRAM:

• Extremely easy to use


• Procedures more accurate and reliable


• Data analysis better, simpler and quicker


• Procedure costs lower

360 Degrees HRAM

sing a dedicated 3D catheter, HRAM data can be displayed in a 3D plot, providing even more information. As a result, sphincter damage or defects can easily be recognized in the tube view mode.

Investigations to be performed with HRAM:

• Resting pressure


• Squeeze pressure


• Endurance squeeze


• Push-defecation test


• RAIR


• Sensation-compliance


• Cough


• External stimulus using tooth-pick


• Balloon expulsion


• Defecography (anorectal manometry with X-ray)

Accurate HRAM Procedures with Powerful Built-in Software:

• Unique QuickView Software program developed to make HRAM analysis more accurate, fast and easy.


• Event-based analysis software, where events can be Squeeze, RAIR, etc.

Advanced Features and Functionality:

• Measuring simultaneously up to 24 pressure channels.


• Full coverage of anal sphincter.


• Easy placement of catheter and simple correction of catheter movement.

State-of-the-Art 360 Degrees HRAM

• 3D Anorectal Pressure Topography plots for a new perspective on the events.


• Sphincter damage or defects can easily be recognized in tube view mode.

Flexible Clinical Solutions:

• Variety of catheter diameters to ensure accurate HRAM measurement for different patient groups.


• Single-use and reusable catheter solutions (solid state and water perfused).


• Flexible HRAM system solutions for every budget.


• Expandable with HRM, HRIM, HRSM and HRCM.

Extended Functionality:

• Synchronized video manometry optional (C-Arm, ultrasound).

Optimize Workflow :

• EMR/HIS connectivity


• DICOM PACS- offers time-saving routines and paperless procedures.


• Network capabilities (multiple systems in one network)

Procedure Type: Anorectal Manometry, High Resolution Anorectal Manometry (HRAM)

• ChannelsUp to 36 Pressure Channels (up to 24 Pressure Channels for Anorectal Manometry), Swallow and Respiration channel (optional for Esophageal Manometry), Multiple EMG channels (optional), High Frequency EMG channels (optional), Neuro Stimulation (optional), EGG (optional for Esophageal Manometry)


• SoftwareExtensive Patient Database, Up to 9 Investigation Protocols, User-configurable Reports (MMS Reporter), Multiple Languages


• Power110 or 220 V


• CompatibilityFluid-Filled and Solid State Catheters


• Recommended Operating SystemWindows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)


• Recommended Monitor17 in Color Monitor


• Options360 Degrees Tube View for HRAM, Colon Manometry, Neuro, EMG, High Speed EMG, EGG (not in USA), Biofeedback, Network, HIS, Video GI, Blood Pressure and SpO2 Interface


• High Resolution Anorectal Manometry
  

  High Resolution Anorectal Manometry (HRAM) is a new approach of measuring anorectal pressures, which offers more information than conventional manometry.

  
  

  In combination with contour plots, rapid data interpretation can be established due to the recognition of typical anal sphincter patterns.

  
  

OHMEGA OVERVIEW Ambulatory Impedance-pH Recorder

Ohmega is a small, lightweight ambulatory system that combines Impedance recording and pH recording. As a result, the Ohmega detects reflux activity using Impedance and categorizes these reflux episodes as acidic or non-acidic (weakly acidic), using traditional pH measurement. Gas and mixed liquid/gas reflux episodes are analyzed as well.

The built-in Virtual Instructor Program helps you successfully complete the procedure with minimal training. Bluetooth capabilities make it possible to view and check data on a computer monitor while recording. The intelligent symptom analysis software quantifies reflux episodes quickly and simply.

Seamless Built-In Virtual Instructor Program (VIP):

• Comprehensive and user-friendly, it guides you through each reflux measurement procedure.


• Requires minimal training, saving time and money while allowing more focus on the patient.


• Successfully complete esophageal reflux measurement in 6 steps.

Highly-Intuitive Built-in Software:

• Intelligent symptom analysis software quantifies reflux episodes quickly and provides information about the correlation between symptoms and events.


• Impedance Contour Plot for fast and easy analysis.

State-of-the-Art Features and Functionality:

• Online view of data recording with Bluetooth technology.


• High-quality signal recording can be verified before the patient leaves the clinic.

Diagnose Patients on PPI Therapy:

• Impedance-pH detects both acidic and non-acidic reflux episodes.


• Combined Impedance-pH recording is clinically useful in the evaluation of symptoms under PPI therapy, as well as hoarseness, unexplained cough and applications of particular interest.

Normal / Reference Values:

• Normal values according to Zerbib 1., 2. et al.


• Child results for children under 18 years old according to reference values Misra3.

Optimize Workflow :

• HL7 and EMR/HIS connectivity.


• Network capability.

Upgrade Options include:

• Sleeplab Interface Unit- for a maximum of 16 analogue channels.

Procedure Type: Impedance-pH Recording

• CompatibilitypH only or Impedance-pH (combined). ISFET, Antimony pH and Impedance-pH catheters


• Power1x AA battery


• Dimensions2.7 cm x 8.8 cm x 12.9 cm (1.1 in x 3.5 in x 5.1 in)


• Weight0.2 kg (0.4 lbs.) incl. battery


• Impedance ChannelsUp to 12


• pH Channels4 Antimony, 2 ISFET


• LES LocatorYes


• PressuresUp to 4


• Data TransmissionUSB/Bluetooth


• Impedance Sample Rate50 Hz


• Optional AccessoriesSleeplab Output (16 channels)

Impedance-pH Reflux Measurement to Diagnose GERD What is Impedance?

Impedance measurement can be used to detect GERD (Gastroesophageal Reflux Disease) and distinguish acid and weakly acidic refluxes causing symptoms.

Gastroesophageal Reflux Disease (GERD) is caused by the reflux of gastric contents into the esophagus. Typical patient symptoms are heartburn, regurgitation, and chest pain. These patient groups are often on PPI medication, but non-acidic reflux can still cause symptoms.

Traditional pH recording only records acidic pH reflux episodes. Impedance-pH detects both acidic and non-acidic reflux episodes.

Combined Impedance-pH recording is clinically useful in the evaluation of symptoms under PPI therapy, as well as for hoarseness, unexplained cough, and applications of particular interest.

void scanner intuitive design is ideal for a multitude of clinical environments, from hospital floors to physician offices. Different scanning modes are designed to match different user preferences along with advanced targeting features that make finding the bladder simple. Portascan 3D provides reliable information, thus reducing the frequency of catheterization and risk of UTIs (CAUTI). It is also a valuable tool for providing post-void residual volume (PVR) to assess possible urinary retention

emg monitor With leading-edge pre-defined protocols, user-friendly protocol customization and easy reporting function, Urostym offers the most reliable and effective pelvic floor therapy program in the world for adult and pediatric patients.

urology table unique procedure table designed for full fluoroscopic imaging of the urinary tract during video Urodynamics procedures, with a carbon-fiber support for use with a C-arm. Full range of additional options available.

medical chair Large display for easy viewing. Measuring pressure to 0.1cm water. Both audio and visual feedback. Each probe is precision molded medical-grade silicone rubber sheath.

morcellator the surgical technique progress together with the presence of the integrated mechanical morcellator (optional), makes it possible to reduce operating time and treat prostates of any size. With this technique, the enucleated tissue can also be evaluated histopathologically in all cases.