SOLAR GI COMPACT

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High Resolution Manometry

The Solar GI Compact 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 Compact system simplifies clinical procedures and offers fast and accurate diagnostic reports. Up to 22 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 Compact, studies can be performed with either reusable Water-Perfused or single-use water-perfused catheters. This offers maximum flexibility in system configuration set-up, clinical solution, investment and procedure costs.

Benifits

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.
• or each event, HRM results will be automatically calculated.
• utomatic classification of each swallow, and overall study classification Chicago Classification 3.0.

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.

Extended Functionalities (optional):

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

Specification

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

• Channels Up to 22 pressure channels, up to 12 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)
• Software Extensive patient database, up to 9 investigation protocols, user-configurable reports, multiple languages
• Power 110 or 220V
• Compatibility Fluid-Filled and Solid State Catheters
• Recommended Operating System Windows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)
• Options High 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 , Biofeedback, Network, HIS, Video GI, EMR/HIS connectivity and Network capabilities.

Clinical Information

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 Solar GI HRM Compact with 22 pressure channels water-perfused HRM solution.

HRM Advantages:

• mproved understanding of the motility peristaltic pressure waves.
• revent 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.

SOLID STATE MANOMETRY

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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.

Bennifits

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.

Specification

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

• Channels Up 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)
• Software Extensive patient database, up to 9 investigation protocols, user-configurable reports, multiple languages
• Power 110 or 220V
• Compatibility Fluid-Filled and Solid State Catheters
• Recommended Operating System Windows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)
• Recommended Monitor 17in Colour Monitor
• Options High 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.

Clinical Information

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.

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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)

Benifits

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)

Specification

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

• Channels Up 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)
• Software Extensive Patient Database, Up to 9 Investigation Protocols, User-configurable Reports (MMS Reporter), Multiple Languages
• Power 110 or 220 V
• Compatibility Fluid-Filled and Solid State Catheters
• Recommended Operating System Windows 7 (Professional edition 32 or 64 bit) or Windows 8 (Pro 64 bit)
• Recommended Monitor 17 in Color Monitor
• Options 360 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

Clinical Information

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.

IMPEDANCE-PH MEASUREMENT

OHMEGA

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.

Benifits

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.

Specification

Procedure Type: Impedance-pH Recording

• Compatibility pH only or Impedance-pH (combined). ISFET, Antimony pH and Impedance-pH catheters
• Power 1x AA battery
• Dimensions 2.7 cm x 8.8 cm x 12.9 cm (1.1 in x 3.5 in x 5.1 in)
• Weight 0.2 kg (0.4 lbs.) incl. battery
• Impedance Channels Up to 12
• pH Channels 4 Antimony, 2 ISFET
• LES Locator Yes
• Pressures Up to 4
• Data Transmission USB/Bluetooth®
• Impedance Sample Rate 50 Hz
• Optional Accessories Sleeplab Output (16 channels)

Clinical Information

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.

BIOFEEDBACK

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UROSTYM®

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.

Some LABORIE products may not be available in certain regions.

Please contact your local LABORIE Sales Representative to learn more about the products available to you.

Benifits

Comprehensive Capability:

• Default PFR protocols automatically calculate the muscle’s fatigue point, which is essential to assess the pelvic floor’s 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 LABORIE’s industry-leading incontinence diagnostic systems.

Urostym Exclusives:

• 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.

Industry-Leading Clinical Support:

• LABORIE nursing specialists and CME training courses available.
• Comprehensive reports that support medical necessity documentation
• Reimbursement specialists available to provide counseling tailored to your practice (applies to USA market only).

Specification

Procedure Type: Pelvic Muscle Rehabilitation

• Computer Type: Laptop
• Monitor Size: 15.4 in
• Printer: Color Inkjet
• Built-in Channels: 1 Dual EMG/ Stimulation channel, 1 EMG Channel, 1 Manometry Channel
• Dimensions: 44 cm x 25 cm x 9.3 cm (17 in x 9.8 in x 3.6 in)
• Weight: 1.7 kg (3.8 lbs.)
• Optional Accessories: Uroflowmetry

Clinical Information

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)

Biofeedback + Stimulation

With LABORIE 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

LABORIE is passionate about bringing freedom and dignity to patients suffering from pelvic floor disorders through innovation in diagnostic and treatment options. We work with leading clinician-researchers and local universities to incorporate the most recent advancements and technical knowledge into our products while reflecting practical realities of the typical pelvic floor clinic.

Litho-DK-30 Holmium Laser

MultiPulse HoPLUS is a high power holmium laser device characterized by great flexibility and efficiency, which is a must in centers of excellence in Endourology.

Fast, reliable and effective, MultiPulse HoPLUS provides unmatched precision and safety during all phases of surgery. Ideal for both surgical treatment of benign prostatic hypertrophy (BPH) and endoscopic treatments of lithotripsy, it is hardly recommended for long-duration procedures requiring high power thanks to its laser source reaching 140 W.

MultiPulse HoPLUS ensures high surgical performance thanks to the high levels of energy and pulse repetition rate, guaranteeing reduced operating time and cutting procedures that are effective and delicate at the same time, with an excellent hemostatic effect.

It does not produce carbonization or necrosis, leaving the surgical field free and clearly visible to the surgeon. The micro-pulsed emission together with the wavelength of 2100 nm which is well absorbed by water, produces a dual photo-thermal and photo-mechanical effect, which translates to effective vaporization, good hemostasis andreduction in thermal effects and damage to surrounding tissue.

MultiPulse HoPLUS is optimized for applications in Urological Surgery requiring high power emission, with a particular focus on BPH treatment. This laser system enables performance of both HoLAP (Holmium Laser Ablation of the Prostate) ablation and the more advanced HoLEP (Holmium Laser Enucleation of the Prostate) enucleation procedure, as a minimally invasive alternative to the traditional techniques of prostatectomy such as transurethral resection (TURP) and open surgery. HoLEP, thanks to 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.

Benifits

Advantages for the surgeon:

• High power laser
• High peak power (with a wide range of power to get maximum operating efficiency)
• High pulse repetition rate
• Fast vaporization and cutting with excellent hemostasis
• Ability to always perform the histopathological exam of enucleated tissue samples (for the MultiPulse HoPLUS is an integrated morcellator available as an optional accessory)
• High versatility in endourology
• Easy to install and operate

Advantages for the patient:

• Minimally invasive surgery
• Low probability of bleeding: recommended also for patients treated with anticoagulants
• Low rate of side effects
• Shorter catheter application time in the post-operative phase
• Shorter hospital stay and recovery time
• Low rate of recurrences
• Immediate relief of symptoms

Multipulse HoPLUS is undoubtedly the most versatile laser system for Urology. It offers a wide set of applications ranging from the strictures treatment (urethrotomy), to surgical excision of tumors in the urethra, bladder, ureter and kidney as well as being universally recognized as the gold standard in endoscopic lithotripsy for the stones fragmen­tation and pulverization, regardless of their composition and anatomical location (also for common bile duct stones and sialolithiasis).

Clinical Information

The continuous progress in surgical lasers with fiber optics, combined with the widespread use of miniaturized endoscopic instruments able to go where a hand or scalpel could never reach, makes laser surgery the best support for the urologist and for the development of endourology.