LABORIE NXT Series - User Manual

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Laborie NXT Pro Owner’s Manual LBL-00146 [C], MAN2010

NXT Pro

Owner’s Manual

Version C

Main Page

Table of Contents3
Introduction12
Intended Use12
Indications of Use12
Figure 1: NXT Pro System Cart12
Equipment Intended Use13
Contraindications13
About this Manual14
Manual Symbols14
Software and Equipment14
Software Install14
Standard Equipment and Optional Accessories15
Warnings and Precautions15
Table 1: NXT System Configuration-Standard Equipment15
Quick Start19
Setting up the Equipment19
Figure 2: Lockable Wheels19
Figure 3: Roam NXT and Urocap NXT Inserted in NXT Docking Station20
Figure 4: Connecting the NXT Pro Cart to Supply Mains20
Gathering Supplies and Equipment21
Preparing the Urocap NXT23
Preparing the Roam NXT23
Preparing the UPP Puller NXT23
Figure 5: Urocap NXT Setup23
Assembling the UPP Puller NXT24
Figure 6: UPP Nose Locking Mechanism24
Figure 7: Connect the UPP Motor and Nose24
Figure 8: Left Profile-Removable Parts24
Figure 9: Connecting UPP Puller NXT Arm Clamp and the Pole Clamp24
Assembling the UPP Puller NXT Stand25
Setting up Consumables and Preparing the Patient25
Infusion Pump Tubing Setup25
Figure 10: Mounting the UPP Puller NXT25
Figure 11: Assembling the UPP Stand25
Replacing the Pump Tubing26
Setting up Catheters and Transducers27
T-DOC Air-Charged Catheters27
Figure 12: Catheters Connected to PIM NXT27
Roam NXT, PIM NXT for Fluid, and Transducer Setup28
Figure 13: Roam NXT, PIM NXT for Fluid, and Pressure Transducer Connected28
Bladder Fluid NXT Catheters29
Abdominal Fluid NXT Catheters29
Figure 14: Transducer Setup29
Figure 15: Stopcock Lever Positions29
Confirming Catheter Placement30
Placing the EMG Patch Electrodes31
Figure 16: Preview Phase-T-Doc Catheter Cough Deflection31
Performing Roam NXT Patient Setup32
Figure 17: EMG Patch Electrode Placements32
Figure 18: EMG Cable Connected to PIM NXT32
Figure 19: Roam Mounted on IV Pole32
How to Perform a Study33
Starting a Study33
Figure 20: Device Manager Window33
Freeflow Study34
Figure 21: Find Devices Window34
Starting the Freeflow Study35
Performing a Freeflow Study35
Preview Phase35
Figure 22: Freeflow Preview Phase35
Flow Phase36
Figure 23: Freeflow Record Phase36
Freeflow Report37
Figure 24: Post Voided Residual Window37
Figure 25: Freeflow Preview Report37
Urology Urodynamic Study38
Starting a Urology Urodynamic Study38
Performing a Urology Urodynamic Study38
Preview and Flow Phase38
Preview 2 Phase38
Filling Phase39
Figure 26: Pressure Flow Filling Phase39
Voiding Phase40
Urology Urodynamics Report40
Figure 27: Pressure Flow Voiding Phase40
Cystometry Study41
Starting the Cystometry Study41
Performing the Cystometry Study41
Preview Phase41
Cystometry Phase41
Review and Report Phases42
Tests42
Stress Test42
Figure 28: Stress Test Designation Window42
Urethral Pressure Profile43
Manual Urethral Pressure Profile43
Mechanical Urethral Pressure Profile43
Finishing the Studies44
Printing the Study Result (Optional)44
Troubleshooting44
Synergy Software45
User Access Control45
Login45
Figure 29: Synergy Login Window45
Creating User Accounts46
User Account Setup and Password Reset46
Figure 30: Accessing User Setup Application46
Figure 31: User Setup Dialog Box46
Managing User Role47
Figure 32: Resetting a Password47
Figure 33: Accessing the Manage User Role Application47
Figure 34: Manage User Role Dialog Box48
Figure 35: Adding a New User Role48
Sections and Icons in the Main Window49
Overview of Sections49
Figure 36: Synergy Main Window Reading Guide49
Table 2: Synergy Main Window Section Overview49
Overview of Icons on the Title Bar50
Settings50
Table 3: Title Bar Icon Overview50
Table 4: Settings Options Overview50
Admin51
Patient Management51
Patients51
Figure 37: Patients Section51
Table 5: Admin Options Overview51
Adding a New Patient52
Deleting Patient Data52
Searching for a Required Patient52
Figure 38: Default Patient Details52
Exporting Patient Data53
Reassigning Study53
Figure 39: Export Document Window53
View Patients Entered through EMR54
Patient Details54
Figure 40: Patient List-EMR54
Figure 41 Patient Settings-EMR54
Symptoms55
Database Management55
Figure 42: Patient Details-Symptoms Tab55
Archiving Patients56
Importing Archived Patient Data56
Figure 43: Database Management-Archive Patients Tab56
Restore or Permanently Delete Patient Data57
Figure 44: Database Management-Import Patients Tab57
Figure 45: Database Management-Restore/Delete Patients Tab57
Study Management58
Workflows58
Customizing Workflows59
Figure 46: Workflow Configuration Window-Global Tab59
Figure 47: Adding a Phase to a Custom Workflow60
Workflow Step Settings Tabs61
Customizing the Control Panel61
Figure 48: Workflow Configuration Window-Control Panel62
Figure 49: Action Window-Adding, Changing, or Emptying Button Label62
Accessing Hardware Channels63
Figure 50: Edit Control Panel Button63
Figure 51: Workflow Configuration with Hardware Channel Error63
Start Study Button64
Workflow Steps64
Figure 52: Start Study Button64
Figure 53: Start Study Button Tooltip64
Procedure-Preview Phase65
Slide Sidebar65
Table 6: Synergy Navigation Icons65
Table 7: Slide Sidebar Icon Overview65
Consumable Traceability66
Figure 54: Consumable Traceability-Air-Charged and Fluid Catheters66
Procedure-Recording Phases67
Figure 55: Manual Consumable Traceability67
Questionnaire68
Figure 56: Change Channel Color68
Reports69
Editing69
Figure 57: Default Report Template69
Adding Comments70
Figure 58: Configuration Settings-Editing the Report70
Figure 59: Comments Window70
Quick Results and Nomograms71
Normal Values71
Figure 60: Comments and Header Options71
Video Images72
Figure 61: Normal Values72
Figure 62: Select Images/Burst for Report Window73
Figure 63: Video Panel-Image Selection73
Sending Reports to EMR74
Review74
Figure 64: EMR Sending Status74
Figure 65: Review-Freeflow Study74
UDS Intelligence75
Quality Control (QC)75
Pre-Test Quality Control76
Protocol Guidance76
Figure 66: Pre-Test QC76
UDS Intelligence in the Review Workflow Step77
QC Score and QC Score Summary77
Figure 67: Protocol Guidance-Total Score and Phase Score77
Figure 68: Protocol Guidance and QC Score in the Review Phase77
Figure 69: QC Score Summary78
Table 8: QC Score Allotment Process79
Maintenance and Service80
Cleaning and Disinfection80
General Cleaning and Disinfection80
Cleaning and Disinfection Reagents80
Cleaning and Disinfection Frequency81
Methods and Tools81
Cleaning and Disinfection Preparation81
Containment and Transportation81
Urocap NXT Preparation82
Roam NXT and PIM NXT Preparation82
Cleaning82
Cleaning the PC82
Cleaning the Urocap NXT83
Cleaning the Roam NXT and PIM NXT83
Cleaning the Infusion Pump NXT84
Cleaning the UPP Puller NXT84
Figure 70: Pump Rollers and Drip Tray84
Figure 71: Cleaning the Area between Motor and Nose84
Performing Manual Cleaning85
Disinfection85
Performing Manual Disinfection85
Disinfecting the Urocap NXT86
Disinfecting the Roam NXT and PIM NXT86
Disinfecting the UPP Puller NXT86
Completing Cleaning and Disinfection87
Reconnect and Reassemble87
Packaging and Storage87
Preventive Maintenance87
General Maintenance87
Caring for the Interlocked Roam NXT & PIM NXT88
Caring for the Urocap NXT88
Caring for the Cart and Its Components88
Safely Moving the Cart88
Figure 72: Adjusting the Worksurface89
Figure 73: Moving the NXT Pro in Transport Position89
Verifying Calibration90
Urocap NXT-Verifying Calibration90
Checking the Absolute and Relative Weight90
Figure 74: Urocap NXT-Device Diagnostics90
Checking the Absolute and Relative Weight with Water91
Roam NXT-Verifying Calibration91
Figure 75: Urocap NXT-Device Diagnostics with Water91
Verifying EMG Capability92
Figure 76: Wiring Diagram-EMG Calibration Verification with a Waveform Generator92
Verifying Pressure Measurement Capability93
Infusion Pump NXT and Volume Transducer-Verifying Calibration93
Figure 77: Roam NXT-Device Diagnostics Window93
Checking the Total Weight Without a Saline Bag94
Checking the Total Weight with a Saline Bag94
Figure 78: Infusion Pump NXT-Device Diagnostics Window94
Configuration95
NXT PRO Electrical Isolation Diagram95
Roam NXT and Wall Charger Isolation Diagram95
Figure 79: NXT Pro Isolation Diagram95
Figure 80: Roam NXT and Wall Charger Isolation Diagram95
Urocap NXT and Wall Charger Isolation Diagram96
UPP Puller NXT and Wall Charger Isolation Diagram96
Computer Virus Protection96
Figure 81: Urocap NXT and Wall Charger Isolation Diagram96
Figure 82: UPP Puller NXT Wall Charger Isolation Diagram96
Disposing of Product after Use97
Environmental Consideration of Waste Disposal97
Backups97
Troubleshooting Guide97
Software Error Messages101
Hardware102
AIO Computer102
Bluetooth Dongle NXT102
Remote Control NXT102
Figure 83: Bluetooth Dongle NXT102
Figure 84: Remote Control NXT Membrane Icons102
Remote Control NXT LED Signals103
Table 9: Remote Control NXT Icons103
Table 10: Remote Control NXT LED Signals103
Remote Control NXT Battery Replacement104
NXT Docking Station104
Infusion Pump NXT104
Figure 85: NXT Docking Station104
Figure 86: Status of the Pump104
Infusion Volume Transducer105
Figure 87: Infusion Volume Transducer Setup105
Roam NXT106
Pim Nxt106
PIM NXT for T-DOC106
Figure 88: Roam NXT and PIM NXT Controls-Front and Back106
PIM NXT for Fluid107
Replacing the PIM NXT107
Removing the PIM NXT107
Figure 89: Roam NXT and PIM NXT for Fluid Controls107
Figure 90: Roam NXT with a Detached PIM NXT107
Attaching New PIM NXT108
Removing and Attaching the Clip108
Figure 91: PIM NXT (with Screw and Belt Clip)108
Figure 92: PIM NXT and Roam NXT with the Connector Cable108
Figure 93: Removing the Roam NXT and PIM NXT Clips108
Roam NXT-Charging the Battery109
Table 11: Roam NXT LED Signals109
Urocap NXT110
Figure 94: Urocap NXT110
Figure 95: Urocap NXT Controls110
Urocap NXT-Charging the Battery111
Urocap NXT Charging Hub111
Table 12: Urocap NXT LED Signals111
Urocap NXT Configuration with Wall Charger112
NXT Pro Cart112
Figure 96: Attaching the NXT Magnetic Pogo Pin Cable to the Urocap NXT Charging Hub112
Figure 97: Cable Clasps and Urocap NXT Charging Hub Binder Attachment112
UPP Puller NXT113
Figure 98: NXT Pro Cart113
Figure 99: NXT Pro Cart Power Switch and Equalization/Grounding Connector Accessories113
UPP Puller NXT-Pairing114
UPP Puller NXT-Charging the Battery114
Figure 100: UPP Puller NXT Key Parts and Controls114
T-DOC Air-Charged Catheters115
Figure 101: T-DOC NXT Air-Charged Catheter115
Table 13: UPP Puller NXT LED Signals115
EMG Electrodes116
Commode116
Figure 102: T-DOC NXT Catheters-Color Coding116
Figure 103: PIM NXT Color-Coded Transducer Channels116
Appendix117
Appendix A: System Specifications117
Equipment Specifications117
Classification and Applicable Directives121
Table 14: Equipment Specifications121
Table 15: Classifications and Directives121
Appendix B: Symbols Glossary122
Medical Device Label Placement123
Figure 104: NXT Pro Cart Label Placement123
Table 16: Symbols Glossary123
Appendix C: Electronic Compatibility (EMC)124
Table 17: Guidance and Manufacture's Declaration - Electromagnetic Emissions124
Table 18: Guidance and Manufacturer's Declaration-Electromagnetic Immunity127
Transmitter and Wireless Compliance Statements128
Table 19: Separation Distances between Portable and Mobile RF128

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LABORIE NXT Series Specifications

General

Category	Medical Equipment
Manufacturer	LABORIE
Model	NXT Series
Type	Urodynamics System
Connectivity	USB, Ethernet
Software	Aquarius
Display	Touchscreen
Power Supply	100-240V AC
Dimensions	Varies depending on configuration
Weight	Varies depending on configuration

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