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Nexam Pro WPU-L4
LABORIE Nexam Pro WPU-L4 User Manual
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Nexam Pro
User Manual
2
Table of Contents
Default Chapter
3
Table of Contents
3
1 Introduction
9
Nexam Pro Measurement System
9
Intended Use
13
Safety Information
13
Accessories
14
Troubleshooting
14
LABORIE Software Program
14
Computer Requirements
15
LABORIE Assistant
16
About the Manuals
16
Manual Conventions
17
2 Investigation Procedure
20
Introduction
20
Start the LABORIE Database Program
21
Administrator Authentication
21
LABORIE Patient Database
24
Enter and Select the Patient
24
Start the Measurement Program
25
Prepare the Investigation (Pre-Test)
26
Start the Pre-Test
26
Consumables Traceability
26
Pre-Test
30
Install the Pump Tube
30
Prepare the Combination Interface Module
37
Prepare the Luna Wireless Module
38
Prepare the Wireless Patient Module
39
Prepare the WPU
40
Prepare the Catheters and Transducers
45
Prepare EMG Cables and Electrodes
45
Prepare the Flowmeter
48
Prepare the Catheter Puller
50
Run Quality Check
53
Perform the Investigation
54
Print the Investigation Report
55
Cleaning Instructions
56
Exit the LABORIE Database Program
58
3 Urodynamic Catheters & Transducers
59
Introduction
59
Prepare the Catheters and Transducers
60
Reusable Solid-State Catheters
60
Single-Use E•Sense Solid-State Catheters
61
Air-Charged Catheters
62
Water Catheters
65
Introduction
65
Measuring Pves and Pabd
66
Measuring Pves, Pura and Pabd
67
Measuring Pves and Pura
69
Flushing and Zeroing Water Catheters
71
4 Uroflowmetry
73
Introduction
73
Channels
73
Investigation
73
Results
74
5 Cystometry
77
Introduction
77
Channels
77
Investigation
77
Results
79
6 Pressure-Flow Study
84
Introduction
84
Channels
84
Investigation
85
Results
86
Filling Phase Results
87
Voiding Phase Results
89
7 Urethral Pressure Profile (UPP)
94
Introduction
94
Channels
94
Investigation
95
Results
98
Rest Profile
98
Stress Profile
99
Transmission
103
8 Gynecology Study
105
Introduction
105
Channels
105
Investigation
106
Results
110
9 Anorectal Manometry
111
Introduction
111
Investigation Protocol
112
Edit the Anorectal Manometry Protocol
112
Select the Catheter
113
Select the Anorectal Manometry Tests
114
Filling
115
Timers
116
Squeeze
117
Push
118
Rair
119
Sensation
121
Compliance
122
Balloon Expulsion
124
Profiles
125
Prepare the Investigation
126
Water Catheters
126
Air-Charged Catheters
127
Solid-State Catheters
129
Positioning of the Catheter
129
Investigation
130
Introduction
130
Resting Pressure Test
131
Squeeze Test
131
Endurance Squeeze Test
131
Cough Test
132
Push Test
132
Rectal Anal Inhibitory Reflex (RAIR) Test
133
Sensation Test
134
Rest and Squeeze Profiles Using a Puller
137
Rest and Squeeze Profile with Manual Pull
138
Balloon Expulsion Test
140
Rectal Compliance
142
Remote Control Buttons
145
Stop the Investigation
145
Analysis
145
Insert Channel Markers
146
Channel Definition
146
Anorectal Manometry Settings
148
Results
149
Resting Pressure Test
150
Squeeze Test
151
Endurance Squeeze Test
152
Cough Test
154
Push Test
154
Rectal Anal Inhibitory Reflex (RAIR) Test
155
Sensation Test
157
Anal Rest and Squeeze Profiles
157
Balloon Expulsion Test
158
Rectal Compliance
159
Vector Volume Plot
160
Rectal Volume Plot
161
10 Biofeedback
163
Introduction
163
Prepare the Investigation
163
Investigation
167
Analysis
168
Investigation Protocol
168
Channel Settings
169
Biofeedback Settings
170
Challenge Editor
173
11 Investigation with Luna Wireless Module
177
Introduction
177
Stationary Measurement
178
From Stationary to Ambulatory Measurement
179
Analysis
182
12 Measurement Program
183
Introduction
183
Main Menu
184
Investigation
184
Pre-Test
185
Start Measurement
185
Button Toolbar
186
Remote Control
188
Virtual Remote Control
193
Markers
194
Pause Mode
195
Change Filling Liquid
196
Stop Measurement
196
Settings Menu
196
Investigation Protocol
197
Edit the Protocol
197
Include/Exclude Investigations for Protocol
198
General Protocol Settings
199
LABORIE Assistant
201
Compliance
201
Sensation Markers
202
Investigation Specific Settings
203
Channel Settings
205
Connections Nexam Pro
206
System Settings
207
Filling Liquid Settings
209
13 Analysis Program
210
Introduction
210
Results
212
Menu Overview
212
Display Results
213
Edit Investigation Parameters
214
Graph
215
Menu Overview
215
Zoom Function
215
Marker
216
Menu Overview
216
Insert Markers
216
Reference Cursor
220
Options
220
Menu Overview
220
Siroky Flow Rate Nomogram
223
Liverpool Flow Rate Nomogram
224
Miskolc Flow Rate Nomogram
225
Detrusor Volume Plot
226
ICS Detrusor/Flow Plot
226
Griffiths Detrusor/Flow Plot
227
Schäfer Detrusor/Flow Plot
228
CHESS Detrusor/Flow Plot
230
Wf/Volume Plot
231
Blaivas Detrusor/Flow Plot
232
Composite Nomogram
233
Settings
234
Menu Overview
234
Channel Settings
235
System Settings
236
Export
237
Report
238
Configure Button Toolbar
238
Appendix A Safety Information
240
Appendix B Explanation of Symbols
255
Appendix C Software Messages
262
Index
271
4
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LABORIE Nexam Pro WPU-L4 Specifications
General
Brand
LABORIE
Model
Nexam Pro WPU-L4
Category
Medical Equipment
Language
English
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