Bravo Ph Receiver Manual

Bravo Ph Receiver Manual

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Bravo Ph Receiver ManualTo maximize the benefit of your onsite visit from a CPS please review and complete all of the resources on this site prior to scheduling your on-site product training. Additional brochures are available by contacting Medtronic Customer Service department at 800-448-3644, ext. 2. Retain a copy of the assessment in order to review the information with your Clinical Product Specialist during your onsite training session. Coronavirus (COVID-19) Information This system is used for monitoring and assessment of gastroesophageal acid reflux disease, or GERD. The lower esophageal sphincter, or LES, acts as a barrier preventing the stomach acid from entering the esophagus. While some reflux is normal, too much can lead to damage of the esophagus. This can manifest in several ways, but most patients experience heartburn or even sore throat and cough. Your doctor will be able to use this information to decide if your symptoms are related to GERD. If you have a nickel allergy, you will not be able to have this test. Please call your doctor to discuss other options. The device is approximately the size of a pencil eraser. You will wear a pager-sized receiver around your waist for 48 hours. The capsule transmits information to that receiver about the acid exposure it is sensing. During the study, you will be given a diary to write down the times that you experience symptoms as well as when you eat or lie down. The pH capsule naturally falls off the wall of the esophagus, usually within several days, and passes through the digestive tract. Very rarely a patient may experience vague chest discomfort, which usually subsides when the capsule falls off the esophageal wall. Please discuss other options with your health care provider. If you have an internal device such as a pain control device, insulin pump, or continuous glucose monitoring system (CGMS), these may interfere with your test.http://www.ilaszczuk.pl/quick cms/userfiles/brizo-pascal-manual.xml

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You will be given a diary to write down the times when you have reflux symptoms (for example, coughing, heartburn, regurgitation), when eating or when lying down. After several days, the capsule naturally falls off the wall of the esophagus and passes through your digestive tract and is eliminated from the body. Do not wear jewelry. Legal Disclaimer. Checking your browser before accessing This process is automatic. Your browser will redirect to your requested content shortly. A pH test measures acidity by determining: A capsule with a miniature pH sensor transmits data via radio telemetry signals to a receiver that is worn on your waist. The capsule is inserted into your esophagus, which is then monitored for 24 to 48 hours. You can do all your normal activities like eating, sleeping, showering and exercising. The device includes two components: There are different techniques of placing the capsule in the esophagus, but often endoscopy is performed. After your doctor has placed the capsule, suction is applied to draw some tissue into the capsule. Your doctor will lock the capsule into place, and you should not feel discomfort or pain. You will wear the small receiver (about the size of a pager) on your belt or waistband, which has three symptom buttons: heartburn, regurgitation and chest pain. The measurements are transmitted to the receiver at your waist. When you feel any heartburn regurgitation or chest pain, you will push the corresponding button. Your doctor will upload the information from the receiver and analyze the results. The information from the receiver will help your doctor diagnose GERD and the appropriate treatment, if necessary. There is no need to remove the capsule from your esophagus. It will automatically detach and move through your digestive system a few days after the test. You should avoid this test if you have. The catheter-free test measures pH levels in your esophagus.http://www.domarcas.com/img/userfiles/brivis-repair-manual.xml These measurements allow your doctor to evaluate your heartburn and acid reflux symptoms and plan the best treatment for your diagnosis. After the study, information from the receiver is uploaded to a computer for analysis. The disposable pH capsule will spontaneously detach and pass through your digestive system after several days. Many people go to work or school during the test period. Instructions vary among doctors. Your doctor will give you full instructions before the test. After the capsule is in place, suction is applied, drawing a small amount of tissue into the capsule. The capsule is locked in place with typically little or no discomfort. The capsule transmits these measurements wirelessly to a small receiver you wear on your waistband or belt. Simply press the appropriate button during the study when you experience heartburn, regurgitation, or chest pain. Your doctor will give you complete instructions at the time of your test. The information stored in the receiver will be uploaded to a computer. Your doctor will analyze your results to determine if you have GERD and plan the best treatment for your heartburn symptoms. Only a small area of esophageal tissue is affected by the capsule. With a comfortable, home-like setting, and minimal wait times, our Endoscopy Center is popular among our patients. It is the single best test for detection of tumors or cancer, but it is not perfect. It is also used to diagnose the causes of unexplained changes in bowel habits or other intestinal symptoms. Colonoscopy enables the physician to see inflamed tissue, abnormal growths, ulcers, and bleeding. The procedure might be used to determine the reason for swallowing difficulties, nausea, vomiting, reflux, bleeding, indigestion, abdominal pain, or chest pain. Upper endoscopy is also called EGD, which stands for esophagogastro-duodenoscopy.http://eco-region31.ru/3g-wifi-router-manual It is especially helpful for diagnosing obscure bleeding, Crohn’s Disease, malabsorption, unexplained abdominal pain, and cases of small bowel cancer. The Bravo pH Capsule measures pH levels in the esophagus and transmits readings via radio telemetry to the Bravo Receiver worn on the patient's belt or waistband. During the procedure, the doctor uses a device that creates an intense beam of infrared light. The heat created by the infrared light causes scar tissue, which cuts off the blood supply to the hemorrhoid. The hemorrhoid dies, and a scar forms on the wall of the anal canal. The scar tissue holds nearby veins in place so they don't bulge into the anal canal. The sensors placed in the esophagus measure acid concentration, which corresponds to acidic reflux, and impedance, which corresponds to nonacid reflux. You will wear a data recorder during the test and record symptomatic episodes. Symptoms will be analyzed for any correlation to episodes of reflux. Esophageal manometry is used to diagnose the conditions that can cause these symptoms. This is performed using a balloon-based bipolar electrode to remove Barrett’s mucosa. The upper tract consists of the esophagus, stomach and duodenum; the lower tract includes your colon and rectum. EUS is also used to study other organs in close proximity to the gastrointestinal tract, such as the lungs, liver, gall bladder and pancreas. Ducts are drainage routes. The drainage channels from the liver are called bile or biliary ducts. The pancreatic duct is the drainage channel from the pancreas. Utilizing hi-definition gastro- and endoscopes and high resolution monitors, we’re able to detect polyps, and manage benign and cancerous tumors at the earliest stages. The infection is of. On a daily basis, we continue to tweak our workflows and safety procedures to ensure that all of.https://findatree.com/images/bravo-3-outdrive-manual.pdf This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Other Sections Abstract Abstract Gastroesophageal reflux disease (GERD) is a disease predominantly seen in the West but there is a rising trend in Asia. Ambulatory 24-hour catheter-based pH monitoring has been the de facto gold standard test for GERD that correlates symptoms with acid reflux episodes. However, drawbacks such as patients’ discomfort, and catheter displacement render the test as cumbersome and error-prone. The Bravo pH wireless system is designed to be user-friendly and has an added advantage of prolonged pH monitoring. The system is comparable to the catheter-based pH monitoring system in terms of diagnostic yield and symptom-reflux association. Indications include evaluation of patients with refractory GERD symptoms and prior to anti-reflux surgery. Bravo utilizes a wireless pH-sensing capsule with a complete prepackaged system, and a data processing software. The capsule may be positioned indirectly using endoscopic or manometric landmarks or under direct endoscopic guidance. Optimal threshold cut-off values are yet to be standardized but based on available studies, for the Asian population, it may be recommended for total time pH Keywords: Asia, Esophageal pH monitoring, Gastroesophageal reflux disease. You should not consume any food for 8 hrs before the procedure. Stop drinking all fluids (including clear liquids and water) 4 hrs before the exam (minimal sips are allowed only to take your usual medications). Avoid gum and hard candy. Bring your insulin with you so that you can take it after the procedure if necessary. If you are on blood thinners such as Coumadin or Plavix, let us know at the time of scheduling because they may need to be held.http://www.eflox.net/wp-content/plugins/formcraft/file-upload/server/content/files/162854d30d69d2---Bushnell-1500-manual.pdf All other meds should be taken at their usual time with a few sips of water. While you undergo your usual daily activities for the next 2 days, the device measures the frequency and duration of acid refluxing up into your esophagus. You will record sleep, eating and symptoms in a diary. Most patients with acid reflux don’t need this test. But sometimes, ongoing symptoms despite treatment or atypical symptoms that may be caused by acid reflux will be best evaluated by this test. Be sure you discuss with your ordering physician whether acid suppression medications should be stopped or not. If you have concerns, contact us. Your procedure usually takes 15-20 minutes and you will be sedated for it. Once you are asleep, a standard upper endoscopy ( EGD ) is performed. The small pH monitoring device (size of a thin capsule) will be attached to the esophagus lining. You and your driver will remain there until your sedation has worn off to a satisfactory level. After discharge, you may resume your usual activities and diet and return to work the following day. However, you may not drive, make important decisions or operate machinery the rest of the day. You must have someone at least 18 yrs old with you during the entire time from check-in through recovery and to drive you home after the exam (a taxi or bus is not an option). You will be sent home with your diary and the recording device. Keep the recorder near your body. The diary page should be filled out as per instructions. Both the diary and the recorder should be returned to the Huron Gastro office in 2 days. The attached capsule will slough off the esophagus lining usually in 1-2 weeks and should pass harmlessly into your stool, although you may not be aware of this. It need not be retrieved. You will be notified with results within 2 weeks and should follow up with your physician All Rights Reserved. Type JSPH-3. User ManualRevision Date: 12 July 2018About this manual. 4. Clinical Procedures. 4. Pre-use Inspection.AYBAR-GALLERY.COM/userfiles/files/black20u002620decker20fc150r20infrawave20speed20oven20manual.pdf 5. Maintenance. 5. Safety Classification. 6Conveyor. 8. Data Recoder. 9. Data Analysis Workstation. 11. Other Accessories. 12Contraindications. 14Recorder preparation. 23Data Management. 45. Settings. 46. Help. 48View the reflux table and channels data information. 50. Help. 51. Graphic management. 51. Study Analysis. 55. Aux Tool. 57. Settings. 58Trouble shooting of Data recorder. 61. Trouble shooting of Computer Interface. 62Data Recorder. 63. Data Analysis Workstation. 63Main Technical Parameters ( Conveyor ). 70. Main Technical Parameters (Data Recorder ). 70Copyright. Trademark. Ltd. It belongs to the company exclusively. AuthorizationCertification. CE0197 Registration NO.: HD 60109014 0001.This device complies with Part 15 of the FCC Rules. Operation is subject to the following twoThis device has been tested and found to comply with the limits for a Class B digital device,These limits are designed to provide reasonable protectionThis device generates, uses and canHowever, there is no guarantee thatIf this device does cause harmful interference to radio or television reception, which can beEnvironmental ProtectionWe reserve the right to change this Manual of wireless monitoring system of OMOM pH capsule at anyWarning: Potentially hazardous to human if unattended. Caution: Potentially cause failure or damage the device if unattended. Attention: Special notice.Purpose. This manual is applicable to OMOM pH Capsule Monitoring System (model JSPH-3) and is notAbout this manual. This manual contains all the information to safely and effectively use this product. Please readPay attention to the safety signs illustrated prior to this section. AWarning. Caution. Attention ). Clinical Procedures. Allow only personnel received adequate training about operation of pH Capsule Monitoring System toRisk. Risk of OMOM pH capsule monitoring system is very low. As a medical apparatus, however, it cannotPlease take relevant measures.http://imagespa.mx/wp-content/plugins/formcraft/file-upload/server/content/files/162854d3fc3552---bushnell-26-0100-manual.pdf Possible side effects of endoscopic gastrointestinal tract examination, including. Perforation, hemorrhage, aspiration, fever, infection, high blood pressure, breath arrest, arrhythmiaPossible side effects of OMOM pH examination, including:IF the conveyor cannot be taken out after the capsule is fixed in esophagus, please handle asPre-use Inspection. In order to avoid undesirable accident during use, please read this Manual carefully and makeAttention. This device has been tested and found to comply with the limits for a Class B digital device,These limits are designed to provide reasonable protectionThis device generates, uses and canHowever, there is no guarantee thatIf this device does cause harmful interference to radio or television reception, which can beChanges or modifications not expressly approved by the party responsible for compliance couldMaintenance. Maintenance of the pH Capsule Monitoring System shall be conducted in strict accordance with PartPlease watch any anomaly, even slight, and inspect the productPH CapsuleData recorderThis device has a limited operation lifespan.General Information. Introduction. OMOM pH Capsule Monitoring System(hereinafter referred as pH Capsule System) is for examiningIt may continuously monitor pH variation within esophagusAfter the examination, doctors upload the data to the workstation andComponents. PH Capsule System is comprised of pH capsule, conveyor, data recorder, data analysis workstation andAll components are described in the next sections.PH capsule is comprised of sensor, gripper and signal acquisition module sealed in polymerPH sensor. Gripper. The capsule is powered of by breaker during storage and transportation, starts working once theThe conveyor is comprised of handle, duct, releasing device and other parts, illustrated asOperation handle. Duct. Releasing device(hard connection)Releasing device(soft connection). Capsule breaker. Vacuum air outlet. Buckle1.https://www.geosuiteonline.de/wp-content/plugins/formcraft/file-upload/server/content/files/162854d4152bc6---Bushnell-20-0001-manual.pdf Buckle2The pH capsule is placed onThe data recorder, illustrated as follows, is to be carried by the patient. It is fed by 3 triple-AMarking. Description. A multi-functional keyServes as the BACK key during calibration with recorderIf the patient eat or drink during monitoring, press this key to start MealMarking. A multi-functional keyUser-defined Event keys serve as extra event record such as cough orFor example, theServes as the ADD key during calibration with recorder.A multi-functional keyUser-defined Event keys serve as extra event record such as cough orFor example, theServes as the SUBTRACT key during calibration with recorder.USB Port. Communicate with Computer. Indicator lightAfter calibration (waiting for the record), the signal indicator light isAt the end of the study, the signal indicator light is green. A multi-functional keyServes as the ENTER key during calibration with recorder.If the patient is supine during monitoring, press this key to start SupineHeart burn. If the patient suffers from heart burn during monitoring, press this keyIt will return to the normal event automaticallyDescription. Battery Packs. Three AAA batteries. CautionPress key when it happensIt will return to the upright event automatically in 10 seconds while the event indicatorData analysis workstation consists of computer, printer and data analysis software. HardwareUSB 2.0 port or aboveColor printer. CautionSoftware features and functions. Features. Name: pH Capsule Data Analysis Software. Version: V2.3 or above. FunctionsDisplay real time value. Display pH curves at all stages, phased stages and for a period of time. Zoom in and out curves. Save curves. DeMeester score and reflux exponential statistic. SI and SAP statistic. Edit status of records. Define the patient’s statues’ color. Import and export patient database. Save all data of a patient in a folder under specified path. Generate report supporting user-defined and print modes, as well as WORD and PDFCalibration stand.avtomix.com/upload/files/black20u002620decker20f21020manual.pdf It consists of base, a tube rack and 3 tubes of 20ml. Place the conveyor and buffer solution duringBuffer solutions of pH 4.00(or pH1.07) and pH7.01 respectively for calibrating pH capsule sensor. Buffer solution must be medical calibration solution which is suitable for antimony electrode. Users can choose pH4.00 buffer solution instead of pH1.07. Make the selection according to theOtherwise, The system defaults for pH4.00. Battery. Three dry triple-A batteries are required for the power source of the data recorder. USB cable. It is used to connect the data recorder and the data analysis workstation for data transmission. Vacuum Extractor. With the suction pipe connecting the vacuum air outlet at the front end of the conveyor handle,Its appearance and structure are as shown in follow. The limit ofAttention. Accessories are not components of the pH Capsule System but are necessary for systemThe capsule is disposable, free from cross-infection. The pH capsule is best to be fixed 5cm above the LES to provide more ac-curate monitoringIt requires no indwelling catheter during the monitoring period, so it doesn’t affect theIt allows the patient to maintain regular diet during the monitoring period. The result canIndications and ContraindicationsPatients have classic symptoms of acid reflux or heartburn and are considered as GERDPatients suffer from unexplained chronic pharyngitis, hoarseness, trachitis or asthma andContraindications. Patients who are confirmed (or suspected) to suffer from upper esophageal orPatients who are confirmed (or suspected) to suffer from esophageal varices according toPatients who are confirmed to suffer from esophageal mucosa erosion according toPatients who are confirmed (or suspected) to suffer from congenital digestive tractPatients who had bleeding tendency or gastrointestinal bleeding in the recent 6 months orPatients who suffer from heart disease and are not stable. Patients implanted with pacemaker or other medical device. Patients who had history of allergy to polymer material.Software Installation. The computer must run Windows7 operating system or higher. The installation of the data recorderInstallation in other operating systems may be completed according to the practical situation. Data Analysis Software. Run the installation CD of the data analysis software. Install the software as following: Prepare toClick “Next” to continue.Enter information and click “Next” to continue. Choose “Complete” and click “Next” to continue.Click “Next” to install, repair or remove Microsoft SQL Server Compact 4.0x64 ENUClick “Finish”Choose “Date path”, and click “Confirm” to enter the OMOM IpHDS interface. Data Recorder Driver. Connect the data recorder to the computer and power it on, install the driver as following:The default driver is installed in. Program Files\jinshan\OMOM IPHDS\drivers\JSPH3\win7 ( for win 7operation system)Click “Close” to close the window. Attention. Driver installation is available to the current USB port only and installations with other USBThis chapter describes step-by-step how to perform pH monitoring with the pH Capsule Monitoring. System. The procedure can be as follows. AttentionOtherwise, interfere of radio communication between the dataPatient Screening. Doctors screen patients to make sure if the patients are suitable to undergo pH Capsule Monitoring. System or not. Doctors should introduce the checking instructions to patients. Start fasting before 12Please see the indications and the contraindications in Chapter 1. Device PreparationDouble click the software iconCautionPlease check the batteryReplace batteries beforeWarning. PH capsule shall be used immediately after unpacking and pH capsule which is not usedCautionAttention. Align the breaker with the vacuum absorption hole to lock the capsule. It indicates that theSystem PreparationClickFill in patient’s basic information, items. The patient ID cannot be replicate with the existingStudy Infor Interface and fill in study information, then ClickIllustrated as follows:If recorder did not connect with computer, you can seeCautionThe study data in the recorder will bePlease wear sterile gloves to avoid contamination during calibration. To avoid contamination,AttentionStep 1: Information settingsThere are four detection durations, such as 24h, 48h, 72h and 96h. The user selects the detectionClick “Next” to enter the next operation.Step 2: Information prompt and search capsulePlease confirm thatCheck)Put the pH capsule into the tube with pH4.0 solution and click “Next”, then start presoaking it atFigure 3. 1. If the pH capsule has been presoaked for 4 min before starting the procedure, the “Step3:Click “Skip”, the Notification will display, click “Confirm” toAfter finishing presoaking, click “Next” to start the pH 4.00 calibration. Calibrating in pH 4.0, please wait.Put the pH capsule into the distilled water and wash it, then click “Next”. Step 6: pH 7.01 calibration. Take out the pH capsule and wipe it with a sterile gauze, then put the pH capsule into the tubeCalibrating in pH 7.01, please wait.Gripping and fixing ph capsule. Make sure the gripper in the pressure suction hole is open; otherwise the capsule cannot beMeasure the length between 5cm above the dentate line to incisor of the patient withFind the corresponding scale at the conveyor tubeApply some lubricant at the front end of the guiding head and put the conveyor slowly fromConnect the air inlet tube of the vacuum extractor to the vacuum air outlet at the front endSwitch on the vacuum extractor, adjust the Pressure Regulator knob, reach the pressure ofRemove the retainer beside the buckle 1 of operation handle, and move buckle 1, buckle 2Caution. Those buckles must be moved to the end in strict accordance with the order of a, b and cSwitch off the vacuum extractor and remove the air inlet tube from the handle.Pull out the conveyor slowly. At this point, the pH capsule is fixed to the esophageal wall.CautionBefore capsuleIf the calibration needs to use solutions withSuch pressure shall be maintained at least for 5-10s. Otherwise, pHCaution. The built in battery of the pH capsule will be left in the capsule after use;, it may causeClick “Confirm” on work station, then start record data. If the recorder is disconnected from the PC,ClickCalibrated. Press Enter to start. RecordingNotice in the Process of Monitoring. The monitoring lasts 24 hours or 48 hours or 72 hours or 96 hours, provide the doctor’s emergencyDo not take vigorous exercise or eat hard dry food. Stay away from MRI equipment and other environments with high magnetic field. Keep the data recorder away from water; avoid taking shower which may cause waterPay attention to low battery alarm of the recorder (the recorder beeps and displays “lowTimely press button for recording events during the monitoring as following:Call your physician if any unknown event occurs.The patient should use the Event Form to register events during the examination. Ask the patient to check whether the LED of the Data Recorder is blinking green one time. Patient should turn off the data recorder after 96 hours. Data Downloading. After finishing monitoring, the data recorder should be switched on and connected with computer forUser also can download data by follows:If calibrating the capsule through date recorder, new patient information should be added. Data Analysis. Method 1: After finishing downloading, click Start Analysis to enter the data analysis interfaceAttentionPrint report. On the OMOM Data View Interface, click Report to enter the Print report interface.Software. This chapter mainly introduced the operation of the data analysis software and it will be presentedIt’s not suitable for operations procedure instructions. About the clinicalPatient Administration interface. Double click the software iconThe main functions on the Patient Administration interface described as below. Items. Menu. It shows these function buttons: Add Patient, New Study, Data Management, Settings, and. Help. Patient list. The patient list is presented according to patient ID, name, gender and study date. Tool. It shows these function buttons: Download, Analysts, Edit, Delete. Search. Search according to keyword or category. Monitoring. It shows the corresponding monitoring items which one patient can have multipleDescriptionAdd PatientID cannot be replicate with the existing patient ID. Patient’s age cannot be above 201 yearsAttention. There are three confirmation methods here, please choose carefully:Basic informationStudy InformationDelete patient information. Delete patient’s basic informationDelete patient’s study informationNew study. Do a second monitoring for the existing patient.Patients Infor will display.By click Data Management to Import and Export data. Option. Function. Click Data Management \ Import, to choose import type. The importingImport. Select patient, and click Data Management \ Export, and choose Export. Type and Path. ExportClick Settings to enter Setting Interface, change Common Settings, Hospital Settings and. Doctors Management Settings. Common Settings. Click Settings \ Common to enter interface of Common Settings. Language. Set the software language(Chinese or English). Set the Harddisk memory space. Harddisk. When the memory space is small than the alerting space, the notification. AlertChooseSearch. Searching Items. Set the data saving path, the default saving path is C:\Program Files. Saving pathClick. Date DisplaySet date display on report and the data analysis workstation.Click Settings \ Hospital Settings to enter interface of Hospital Settings.The format of image should be JPG, and the pixel should beDoctor management. Click Settings \ Doctor Management to enter interface of Doctor Management. FunctionFunction. Click Add to enter interface of doctors name, fill in doctors name and thenAdd new doctor. Add new doctor. Select doctor item to modify information. Fill in doctor information (name, contact No.Add or saveNo. Delete doctorSelect Doctor and click deleteName. The Help menu gives help information of the program. About. The About gives Program version, copyright and company information.Select the targeting patient, double click to enter OMOM Data View Interface (or select patient, toThe main functions on the OMOM Data View Interface described as below. Name. It displays the file, view and help. DiaryIt shows study status, such as belch, heartburn, drug, meal, supine,It shows pH curve. Page total time. It shows total time of default interface. Time bar. Pull, move Time bar to show different page. Quickly adjust the pH curve page display time, there are the following. Screen display timeOpen File on OMOM Data View Interface, its functions described as below. Functions. Select Patient. Choose.PHD file to open a patient data. Save Patient. Save the edition of the patient’s data. Save Patient As. Fill in document name, and set the saving path to save patient data. Revert to Origin. The edition will be deleted and the original data base status would be kept. Exit. Exit OMOM Data View InterfaceOpen the View bar on the OMOM Data View Interface, its functions described as below. Options. Reflux tableChoose Start Time, End Time, only pH, to have impedance value and pH value. Duration should less than 12 hour and then click Get data. Click Save data to save channel data. Channel dataClick Help on OMOM Data View Interface, its functions described as below. The About gives Program version, copyright and company informationThe detailed functions of Graphic management on the OMOM Data View Interface showsOption. Save. Click save to save edited curve. Revert. Click Revert to revert last action of data edit. Redo. Click Redo to cancel last reverted action.