ManoScan® ESO Study Acquisition Instructions
Contents
1. the UES pressure band e LES marker should be positioned in the center of the LES pressure band Begin recording by pressing Start in the upper right corner In vivo compensation is automatically applied when recording is started e Instruct the patient to take a deep breath to confirm catheter placement for physician review Follow commands in the Guided Protocol Window top right corner e This feature guides you through performing the study step by step including removing the catheter and saving analysis Points to remember Do not jump ahead of the Guided Protocol Instructions Follow the instructions step by step During the 30 second Landmark ID frame instruct the patient to breathe normally and to try not to swallow If the patient swallows talks moves or coughs during this time keep recording to capture 30 seconds of resting pressure The Landmark ID frame can be repositioned in the analysis to capture the appropriate segment of resting pressure During the Swallow frames allow the frames to close automatically after 30 seconds This allows the UES amp LES to return to normal resting pressure prior to the next swallow e Obtain at least 10 swallow events You may record extra swallows at the end of the study in case you need to delete inappropriate swallows during the analysis e g double swallows coughing gagging etc e When removing the catheter from the patient do not touch the catheter inadvertently applying2. 4x4s absorbent pads towels Denture cup for loose dentures 6 inch cotton tip swabs Tongue depressor Penlight Non sterile gloves Protective gown mask and eyewear Sandwich bags to protect mouse during procedure Lidocaine product viscous or gel to anesthetize nasal passage Afrin Nasal Spray or other decongestant to reduce swollen nasal passage if needed Must have physician order for these supplies right corner to enter the patient information and calibrate the probe Procedure 1 Explain the procedure to the patient including the purpose and the sensations felt and maneuvers performed during the procedure Note physician orders informed consent and allergies Perform time out with team members Assist patient to a sitting position on the side of the bed OR WN Assess nasal passages and anesthetize followed by insertion of catheter e Instruct the patient to take deep breaths to confirm catheter has traversed the diaphragm e After verifying UES and LES landmarks on the main display maintain catheter position while assisting patient to supine position 15 30 angle G ly EN Reassess catheter depth and secure in place with medical grade tape Gane GIyEN TT the scope of GI IMAGING givenimaging com The risks of catheter insertion into the nasal passage associated with ManoScan ESO high resolution manometry include discomfort nasal pain minor bleeding runny nose thr
3. EW GASTROTRAC GEROFLEX VERSAFLEX ACCUTRAC ACCUVIEW POLYGRAF ID SMARTPILL MOTILIGI SMARTBAR and THE MEASURE OF GI HEALTH are Trademarks and or Registered Trademarks of Given Imaging Ltd its subsidiaries and or affiliates in the United States and or other countries All other company or product names are the trademarks or registered trademarks of their respective holders All rights not expressly granted are reserved 5 001 872
4. Quick Reference Guide ManoScan ESO Study Acquisition Instructions Pre procedure Perform prior to bringing patient into exam room 1 Gather supplies 2 Turn on all equipment Modules should be turned on before the computer 3 Connect the red and blue catheter connectors to the A100 A120 pressure module and the larger white connector to the A200 impedance module Cif using impedance catheter 4 Double click on the appropriate ManoScan acquisition desktop icon 5 Select the catheter serial number connected to the system If you select an impedance catheter the software will ask you if you want to use the catheter with impedance Select Yes to perform a pressure impedance study 6 Perform in vivo calibration if past due In vivo calibration should be performed at least once per week Catheter must be pressure calibrated prior to attempting in vivo calibration Refer to the Quick Reference Guide on In Vivo Calibration 7 Place catheter in calibration chamber to a depth of 42 cm cal marking on catheter and tighten the seal knob finger tight 8 Press Start and follow the Guided Protocol Instructions top ManoScan high resolution manometry SUPPLIES 60 cc syringe to administer wet swallows Normal saline for impedance study Medical grade tape as stabilization device 5 ml syringe to administer Lidocaine jelly Water soluble lubricant Emesis basin Drinking cup and straw Tissues
5. oat discomfort irregular heartbeat with dizziness and perforation In rare instances the catheter may be misdirected into the trachea causing coughing or choking or the catheter may shift up or down causing false results Medical endoscopic or surgical intervention may be necessary to address any of these complications should they occur The system is not compatible for use in an MRI magnetic field Please refer to the product user manual or givenimaging com for detailed information Copyright 2001 2013 Given Imaging Ltd GIVEN GIVEN amp Design PILLCAM PILLCAM amp Logo RAPID RAPID ACCESS BRAVO BRAVO PH SYSTEM DIGITRAPPER MANOSCAN MANOSHIELD MANOVIEW GASTROTRAC GEROFLEX VERSAFLEX ACCUTRAC ACCUVIEW POLYGRAF ID SMARTPILL MOTILIGI SMARTBAR and THE MEASURE OF GI HEALTH are Trademarks and or Registered Trademarks of Given Imaging Ltd its subsidiaries and or affiliates in the United States and or other countries All other company or product names are the trademarks or registered trademarks of their respective holders All rights not expressly granted are reserved 5 001 872 Quick Reference Guide _____ ManoScan 8 high resolution manometry G e Allow 3 4 minutes for the patient to adjust to the catheter before proceeding with the study Adjust yellow spatial markers UES amp LES located on the right side of the screen in the Pressure Profile Area e UES marker should be positioned in the center of
6. pressure to the sensors Post procedure Patient 1 2 Provide the patient with tissues Discharge patient with instructions to resume normal daily activities Tell the patient to contact the physician s office for a follow up appointment to discuss the results of the study Post procedure Equipment Perform high level disinfection on the catheter per the disinfectant manufacturer s recommended instructions Rinse allow to air dry and i carefully place in the proper storage case G ly JEN IMAGING GIyEN TT the scope of GI IMAGING givenimaging com The risks of catheter insertion into the nasal passage associated with ManoScan ESO high resolution manometry include discomfort nasal pain minor bleeding runny nose throat discomfort irregular heartbeat with dizziness and perforation In rare instances the catheter may be misdirected into the trachea causing coughing or choking or the catheter may shift up or down causing false results Medical endoscopic or surgical intervention may be necessary to address any of these complications should they occur The system is not compatible for use in an MRI magnetic field Please refer to the product user manual or givenimaging com for detailed information Copyright 2001 2013 Given Imaging Ltd GIVEN GIVEN amp Design PILLCAM PILLCAM amp Logo RAPID RAPID ACCESS BRAVO BRAVO PH SYSTEM DIGITRAPPER MANOSCAN MANOSHIELD MANOVI
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