Chapters Transcript Video Anorectal Manometry Analysis using GIM-6000A This tutorial will describe how to open an acquired study in the BioVIEW® Software, open a measurement and analyze the data, and generate the report. Anal rectal Manama Tree Analysis for the Clinical Innovations 6000 catheter. Upon completion of this tutorial, the participant will be able to describe how to open an acquired study in analysis. View. Describe how to open a measurement and analyze the data. Generate a report after reviewing the findings. Bio view icons. The icons are grouped according to their purpose. Application. Icons include the ability to open additional studies from the folder icon. Save editing changes, undo a change or redo a change or to print the navigation icons will make it easy to move forward or back on the tracing, either one page at a time or from event to event or measurement to measurement. The study. Viewing icons allow you to magnify an area of study on either the X or Y axis or both, or to quickly return to uran magnified view. The time range box will be used to open the study in smaller segments. The study editing icons provide you with tools such as the analysis tool, which, when activated, will display the measurement points and results. With these tools, you can create additional events or measurements in your study. The display icons provide different ways to view the study, such as utilizing sink view, which provides a graphic display of the pressure activity over a selected area. In addition to the toolbar icons, the View menu offers different methods to view the screen. Analyze allows the user to turn on the Elektronik ruler to measure way forms and data points manually. Half the computer. Analyze either all measurements or any measurement selected by the user. Note that any user directed editing will be lost in the measurements will be re analyzed by the computer. If you select one of either analyze all measurements or reanalyze a selected measurement set, the default marks allows the user to set an analysis marks if needed. The onset and end marks the vertical lines and the amplitude or relaxation marks. The X will need to be manually edited by the user. View Data Table opens a data spreadsheet of all calculated values for each study section. The report allows the user to create a report. If no previous report has been created, this will be the only option available. A new report should also be created if there have been any changes in the editing of the study. The View Edit report will display if a report has already been created. Use this option if you need to edit any of the patient information on the report. The View Edit report function will not re calculate any values based on editing changes and delete Report will allow you to delete the current report to open the study in the analysis software. Double click on the sandhill Application's icon on the desktop than double click on bio view analysis or the analysis word. Click on the file in the top left of the screen. The patient filed is found in the following pathway. See Dr Backslash sandhill backslash, Patience, backslash, anal, rectal. When the study opens, the entire study will be displayed on the screen. A general impression can often be made from this display. The study can be magnified in its individual parts for editing and printing, or the time range can be set to a smaller window. For easy viewing. The access magnifier is useful to zoom in on a specific area of this study can release on the axis magnifier in the toolbar. This activate the magnifier, move the cursor onto away form and the cursor will become a magnifying glass with two vertical lines. Click and drag left to right across the area. To be viewed. Open the study to the rectal baseline. Adjust the baseline so that all channels around the zero access before evaluating the measurements. If a channel is off the zero axis, click and drag zero access to the way form. When the cursor is placed on the zero access, the cursor will change to a black double arrow. Adjust the range for the way forms if necessary. Toe optimally visualize each way form within its graph. Yeah, review the resting pull through to check accuracy of the catheter depth annotations and measurement areas. Correct the catheter depths by double clicking on depth event and changing depth appropriately within the editing window. The measurement area should reflect a stable resting pressure free of any motion artifact of the measurement box. Place the cursor on the edge of the box. The cursor will change to a dashed box with a double arrow click and drag each side of the box to the desired area. On the study. Evaluate the data in the analysis box. Activate the analysis ICOM by clicking on it clicked. Check each breast ing measurement for cursor accuracy. The horizontal line should be at the resting pressure. You may save the changes in print. The resting studies strip chart if desired. Or you may choose to print the entire study at the end of your editing. To print this page, click on screen in the select print selection, then click on 50 page and click OK. Next, magnify or moved to the squeeze. Study. Review the Squeeze study for catheter depth accuracy and ensure the measurement encompasses the squeeze effort. Click on the analysis icon. Check each squeeze measurement for cursor accuracy. The uppermost horizontal line in each channel reflects the resting pressure before the increased squeeze pressure. This horizontal cursor requires placement on the resting pressure wave form. Moving this resting pressure bar will change the squeeze value. The bottom horizontal line in each channel reflects the rectal baseline. Review. Each squeeze measurement, making adjustments of the horizontal resting baseline cursor if necessary. The squeeze pressure after editing reflects the to change in pressure over resting pressure. Edit. The cursors is necessary. The left vertical cursor is placed at the onset of the squeeze, contraction and the right vertical cursor is placed where the squeeze fatigues at 50% indicated by the dashed line of the initial squeeze pressure save and print The duration. Strip chart, if desired, can also save changes in print. The squeeze measurements, including the duration squeeze strip chart if desired, magnify the rare study. This is the area of increasing volumes of rectal balloon inflations, starting with 10 cc's of air in the balloon. Ensure each measurement encompasses the internal anal sphincter relaxation and at the balloon volume and sensation responses annotated correctly and large, or move the measurement if necessary. Check annotation of sensory response, adding a positive or negative sensation annotation if needed by cooking. Once on the study, ah flattering reference line will appear. Click on the create event button in the toolbar. Click on the down arrow next name and name. The event. Positive sensation. Click OK Yeah measurement Curse was replaced with the horizontal bar, the resting pressure and an ex at the nod ear. A low point. Sometimes the horizontal resting pressure measurement cursor requires slight adjustment to accurately reflect the resting pressure before the internal anal sphincter relaxation, click and drag the horizontal line appropriately editing this cursor will ensure present correct percentage of relaxation. Ah, positive. Rare is relaxation greater than 15%. You may now save and print the rare strip chart if desired. The push response is normally a qualitative measurement. It can be recorded simply as increased, decreased or no change in pressure. A normal response is decreased. Pressure principles. Push strip chart. If desired. Magnify the slow inflation sensation. Study. This area includes the beginning of the inflation and includes the first sensation, urge and maximum tolerated volume annotations. Check the accuracy of the balloon and the volume annotations for first sensation, urge and maximum tolerated volume toe. Edit an event mark. Place the cursor on the event line. On the study, the cursor will change to a double black arrow and double click. A change event dialog box will open. Change the name of the event or the volume is needed. Click OK to complete the change. Magnify the rectal compliance study area to include all the rectal inflation's from 50 to 200 CCS. Assess measurement areas at each inflation. The measurement should be in the stimulation Balloon channel on Lee Measurement should start 30 seconds after the inflation to measure interrupted pressure after giving the rectum time to accommodate the volume. Assess that balloon volume annotations are correct. Save the changes in Princess Strip chart. If desired. Click on the word report on the toolbar. If no previous report has been created, create a report will be your only option available. A new report should also be created if there have been any changes in the editing of this study. The Anal Rectal Man OMETER Report offers several data display options. You may select the desired data in your report by clicking on the options button in the lower right hand corner. The following are common data selections for the pressure profile to include in the report Checked the desired options. The report will default these selections on subsequent reports. These are common selections for the rare and sensation reporting, and these are common selections for the compliance reporting. The report is a word document she may add or delete text is as desired. Print the report Created by
