Litho (Holmium Yag Laser 30W/35W):

Litho DK30 (Holmium Yag Laser 30W/35W):

APPLICATIONS

• Lithotripsy
• Excision of bladder tumors
• Ureterotomy, Urethrotomy
• Transurethral incision of prostate (TUIP)
• General Surgery

DUSTING EFFECT, AN ADDED VALUE

Quanta System introduces a new application setting: the Lithotripsy DUSTING EFFECT. This preset Application is inside the main application menu, beside Lithotripsy HARD STONE, Ablation and Coagulation.

The setting is intended for calculi, especially the renal ones, where the dusting effect lithotripsy technique could eliminate the need for basket extraction and that way reducing the total time of the procedure.

Due to the extended pulse properties, the specific settings of repetition rate and pulse energies, characteristic for dusting lithotripsy, assure more stable position of stone.

Cyber Tm series , Thulium Surgical Laser (Cyber tm 150 & Cuber tm 200):

        

Cyber Tm series , Thulium Surgical Laser (Cyber tm 150 & Cuber tm 200):

        

Salsa URO 980 nm

SWING 1,5 µm

SALSA 940 nm

SALSA 940 nm

Biophysical characteristics

        

        

OVERVIEW

 

Different Urodynamic models are :

 

Nexam Pro is an easy-to-use, comprehensive system that offers unique flexibility and modularity, ideal for both routine clinical urodynamics and research.

Nexam Pro meets the latest ICS guidelines for Good Urodynamic Practice (GUP). Its unique Virtual Instructor Program (VIP) assists during the investigation by delivering high quality results, quickly and easily. Bluetooth technology provides a variety of functionalities such as multiple wireless uroflow, wireless pressure/EMG recording and a wireless speed controlled catheter puller system.

Developed in close collaboration with leading hospitals worldwide, Nexam Pro has become the most user-friendly, professional urodynamic system currently available.

Urodynamic Examinations:

• Uroflowmetry
• Cystometry (CMG)
• Pressure-Flow study
• Urethra Pressure Profiles (UPP)
• Gynecology study (Pressure-Flow and UPP in one test)
• Natural Filling Urodynamics

Pelvic Floor Functionalities:

• EMG
• Video-urodynamics
• Neuro-urodynamics
• Anorectal Manometry
• High Resolution Anorectal Manometry
• Biofeedback

Clinical Information

Urodynamics is the investigation of the function of the lower urinary tract – the bladder and urethra – using physical measurements such as bladder pressure and flow rate as well as clinical assessment.

Urodynamic studies provide extremely valuable diagnostic data for any of the following bladder dysfunctions: Urge Incontinence, Stress Incontinence,Urinary Retention, Urinary Frequency, Nocturia, Hesitancy, and all other storage and micturition issues.

Typical Urodynamic testing consists of Uroflowmetry, Filling Cystometry, Pressure-Flow study, Urethral Pressure Profiles (UPP), VLPP (Valsalva Leak Point Pressure) and EMG (Electromyography).

Solar Silver is a state-of-the-art system offering complete urodynamic and anorectal diagnostic solutions, flexibility and ease-of-use for every user.

The flexible system configurations make Solar Silver well-suited for multi-channel urodynamic examinations. Solar Silver has a modular set-up, allowing you to obtain the functionality that is required for a particular case. Extra functionality peripherals can be added later, without the need to modify the existing system.

Solar Silver is an intelligent system that can be used for advanced urodynamic and pelvic floor studies in almost every hospital environment.

Measurement and Analysis:

• Urodynamics:
• Uroflowmetry
• Cystometry (water and/or air-charged)
• Pressure-flow study
• Urethral pressure profile (UPP)
• Ambulatory urodynamics (Solar-Luna)
• Gynecology study (pressure-flow and UPP in one procedure)
• Anorectal manometry
• Biofeedback
• Video urodynamics
• Neuro-urodynamics

Benifits

Seamless Built-in Virtual Instructor Program™ (VIP):

• Comprehensive and user-friendly. Guides you step-by-step through every urodynamic examination.
• Requires minimal training, saving time and money while allowing more focus on the patient.

Highly-Intuitive Built-in Software:

• Predefined investigation protocols.
• Flexible report generator
• Real-time remote viewer to watch the investigation in another room.

State-of-the-Art Features and Functionality:

• Digital technology solutions.
• ‘Plug-and-Play’ at every investigation.
• Fully upgradeable from an office-based to a high-end video-urodynamic system.
• Position Solar Silver system parts on trolley or examination table.
• Conductance measurement to automatically record leak point pressures.
• Predefined investigation protocols.

Extended Functionality:

• Video UDS – Solar Silver offers an unsurpassed range of video applications for analog and digital images. Single and cine loop images are captured in real time and synchronized with pressure measurements.

Optimize Workflow :

• EMR/HIS connectivity- mechanisms and secure file exchange over the internet.
• DICOM- use the full extent of your hospital’s ultra high-resolution video network infrastructure.

Multiple Upgrade Options Include :

• Scanmaster Ultrasound Bladder Scanner – an integrated solution to measure and store Initial Bladder Filling and PVR results and images in the Nexam Pro database.
• Video Urodynamics – unsurpassed range of video applications for analog and digital images.

Specification

Procedure Type: Urodynamics, Anorectal Manometry, Biofeedback

• Compatibility Air-Charged, Water-filled and Electronic catheters
• Computer Type Windows 8 PC
• Power 110 or 220V
• Pressure Transducers T-DOC, Argon, Memscap or Unisensor
• Optional Accessories EMG package, (Wireless) Catheter Puller package, Neuro Module , 2nd Wireless Uroflowmeter and Flow Stand, Commode, Urodynamic Procedure Chair

Clinical Information

Urodynamics is the investigation of the function of the lower urinary tract – the bladder and urethra – using physical measurements such as bladder pressure and flow rate as well as clinical assessment.

Urodynamic studies provide extremely valuable diagnostic data for any of the following bladder dysfunctions: Urge Incontinence, Stress Incontinence, Urinary Retention, Urinary Frequency, Nocturia, Hesitancy, and all other storage and micturition issues.

Typical Urodynamic testing consists of Uroflowmetry, Filling Cystometry, Pressure-Flow study, urethral pressure profiles (UPP), valsalva leak point pressure (VLPP) and electromyography (EMG).

Benifits

Powerful Built-in UDS Software:

• Enjoy uniquely advanced LABORIE features and analysis.
• Meets the most demanding protocols for all ICS standardized tests.

Record up to 16 Data Channels:

• Wireless uroflowmetry.
• Customize procedures to meet your needs.

Seamless i-LIST Integration:

• Complete HL7 and EMR connectivity.
• Perform advanced information analytics.

Workstation with Adjustable Shelves and Locking Wheels:

• Practical for use in any office or clinic.
• Industrial PC.

Specification

Procedure Type: Urodynamics and Anorectal Manometry

• Compatibility Air-Charged, Water-filled and Electronic catheters
• Computer Type Desktop PC
• Monitor Type 1 – 2 LCD
• Monitor Size 20 in
• Printer Color Inkjet
• Power 110 – 220V
• Pressure Transducers 4 T-DOC, MEDEX or Unisensor
• Dimensions 74 cm x 80 cm x 152 cm (29 in x 31.5 in x 60 in)
• Weight 63 kg (140 lbs.)
• Optional Accessories UPX Puller, Puller Stand, Infusion Transducer, PVC Commode, Folding Commode, Flowmeter Stand

Clinical Information

Urodynamics is the investigation of the function of the lower urinary tract – the bladder and urethra – using physical measurements such as bladder pressure and flow rate as well as clinical assessment.

Urodynamic studies provide extremely valuable diagnostic data for any of the following bladder dysfunctions: Urge Incontinence, Stress Incontinence, Urinary Retention, Urinary Frequency, Nocturia, Hesitancy, and all other storage and micturition issues.

Typical urodynamic testing consists of uroflowmetry, filling cystometry, pressure-flow study, urethral pressure profiles (UPP), valsalva leak point pressure (VLPP), and electromyography (EMG).

Benifits

Powerful Built-in UDS Software:

• Meets the most demanding protocols for all ICS standardized tests.

Record up to 16 Data Channels:

• Fully wireless communication.

Advanced i-LIST Integration:

• Seamless HL7 and EMR connectivity.

Multiple Upgrade Options Include:

• Anorectal Manometry with a 360° ultrasound probe.
• Ambulatory configuration for realistic physiological filling.

Easily Portable between Clinics:

• Complete system can be transported in a carry bag.

Specification

Procedure Type: Urodynamics and Anorectal Manometry

• Compatibility Air-charged, water-filled and electronic catheters
• Computer Type Laptop
• Monitor Type 1 LCD
• Monitor Size 15.4 in
• Power 110 – 220V
• Pressure Transducers 4 T-DOC, MEDEX or Unisensor
• Optional Accessories Printer, Puller, Puller Stand, Infusion Transducer, PVC Commode, Folding Commode, Flowmeter Stand

Clinical Information

Urodynamics is the investigation of the function of the lower urinary tract – the bladder and urethra – using physical measurements such as bladder pressure and flow rate as well as clinical assessment.

Urodynamic studies provide extremely valuable diagnostic data for any of the following bladder dysfunctions: Urge Incontinence, Stress Incontinence, Urinary Retention, Urinary Frequency, Nocturia, Hesitancy, and all other storage and micturition issues.

Typical urodynamic testing consists of uroflowmetry, filling cystometry, pressure-flow study, urethral pressure profiles (UPP), valsalva leak point pressure (VLPP), and electromyography (EMG).

Benifits

3D Bladder Scanning is Ideal for a Multitude of Clinical Environments:

• Reduces unnecessary catheterizations and associated Urinary Tract Infections. CDC: Catheter-associated Urinary Tract Infections (CAUTI)
• Automatic 3D scanning for fast and accurate bladder volumes.
• Easy-to-use targeting and real-time scanning modes, ideal for non-specialists or experienced users.
• Universal gender patient setting, gives an accurate reading whether the patient has had a hysterectomy or not.
• Calibration not required, reducing time and cost of annual maintenance.
• Touchscreen interface enhances procedure simplicity.
• Lightweight ultra-portable design.
• Easy point-and-freeze operation provides results within 5 seconds.
• High-capacity internal memory for saving patient data.
• PC upload application software for massed data storage and EMR integration via DICOM/PACS.
• Simple-to-use, ergonomically designed probe.
• 5-second scan time.

Specification

Procedure Type: Automatic 3D Bladder Scan

• Monitor Type: LCD Color Touchscreen
• Monitor Size: 6.4 in
• Printer: Thermal
• Battery Capacity: Up to 4 Hours Continuous Operation
• PC Connectivity: USB
• Dimensions: 14 cm x 32.5 cm x 15.5 cm (5.5 in x 13 in x 6 in)
• Weight: 2 kg (4 lbs.)

Clinical Information

Ultrasound is a proven technology based on reflections of ultrasonic waves. Ultrasound is used to noninvasively visualize, monitor and perform measurements in the human body.

For bladder volume measurements, the bladder is differentiated from surrounding tissues by ultrasonic reflections. Its volume is then is calculated based on bladder wall detection and a clinically tested algorithm.

Ultrasound bladder scanners are commonly used in acute care, rehabilitation, long-term care environments, urology and gynecology. It is a non-invasive alternative to bladder palpation and intermittent catheterization used to assess (initial) bladder volume, urinary retention, and post-void residual volume (PVR).

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.

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.

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)

With 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

PERITRON™

The Peritron™ is a hand-held clinical biofeedback perineometer used for assessing the strength of the pelvic floor muscles. The device helps teach patients how to effectively perform pelvic floor exercises (kegels). Pelvic floor contraction causes air pressure in the sensor to be transferred through the connecting tube and displayed on the readout unit.

Benifits

• Safely and accurately assess the strength of each pelvic contraction (kegel).
• Large display for easy viewing.
• Measuring pressure to 0.1cm water.
• Both audio and visual feedback.
• Each probe is precision molded medical-grade silicone rubber sheath.
• Auto-zero function provides zero-based readings.
• Easily recalls the most recent, peak and average readings, duration, gradient and area under curve.
• Auto-off feature
• Linear and logarithmic biofeedback.

Specification

Procedure Type: Pelvic Muscle Rehabilitation

• Operating Range: 0-300 cm water
• Display Resolution: 0.1 cm water pressure
• Battery Capacity: No Audio – Up to 40 hours/ Audio – Up to 10 hours

Clinical Information

Biofeedback

The pelvic floor muscles play an important role in maintaining continence. In the management of urinary incontinence, Biofeedback can be used for training the patient’s pelvic floor muscles. It has been approved and widely accepted that kegel exercises at home help patients strengthen levator muscles and improve the control over urination.

The Next Generation Sonesta Chair

The Sonesta 3S is a premium 3-motor procedure chair designed to be the ultimate in positioning and comfort for you and your patient during urology and gynecology procedures.

The 3S chair includes a set of accessories to cover standard procedures and has a range of additional options.

Procedures Commonly Performed in the Sonesta Chair:

• Urodynamic
• Pelvic Muscle Rehabilitation
• Anorectal Manometry
• Pelvic Exams
• Cystoscopy
• Ultrasound
• Vasectomy
• Colposcopy
• Biopsies
• Colonoscopy
• Gynecolog

Benifits

Top Quality, Versatile, User-friendly, Infinite Positioning

Minimum Seat Height of 40 cm (16 in):

• Suitable for easy access for disabled patients.

High Quality, Engineered Ergonomics:

• Supports 465 weight capacity.
• Lightweight and easy to move.

Large Locking Wheels:

• Compact and can easily be moved around the office.

Three Height, Back and Seat Angle Motors:

• Easily maneuver patients in comfort without straining your staff.

Seat Cutout for Voiding:

• Perform complete procedure while in chair.

Lift Patient into Standing Position:

• Complete range of motion.

Specification

• Weight Capacity 210 kg (465 lbs.)
• Motors 3 (Height, Back Angle, Seat Angle)
• Seat Height Range 40 cm – 100 cm (16 in – 39 in)
• Chair Length 143 cm – 193 cm (56 in – 76 in)
• Chair Width 77 cm (30 in)
• Chair Weight 125 kg (276 lbs.)
• Wheels 10 cm (4 in) Locking
• Power 110 – 220V

The 6210 is a unique procedure table designed for full fluoroscopic imaging of the urinary tract during video Urodynamics procedures, with a carbon-fiber support for use with a C-arm. Full range of additional options available.

Benifits

Positioned to be the Best

250 kg (551 lbs.) Capacity:

• Suitable for easy access for disabled patients.

Large Locking Wheels:

• Compact and easily moved around office.

Height, Back Angle and Seat Angle Motors:

• Easily maneuver patients in comfort without straining your staff.

Side-Supported with Video-Translucent Back and Seat:

• Record X-Rays and perform procedures while patient is in chair.

Lift Patient into Standing Position:

• Complete range of motion.

Specification

• Weight Capacity 250 kg (551 lbs.)
• Motors 3 (Height, Back Angle, Seat Angle)
• Seat Height Range 50 cm – 130 cm (20 in – 51 in)
• Imaging Length 156 cm – 196 cm (63 in – 78 in)
• Chair Width 99 cm (39 in)
• Power 110 – 220V

The Solar Neuro Module conducts neurophysiological assessments of pelvic floor dysfunction on the same systems used for anorectal manometry and urodynamic testing. With a set of predefined neuro-physiological tests for assessing pelvic floor disorders, the Solar Neuro Module will be familiar to those already acquainted with the state-of-the-art Solar diagnostic testing system. As a result, you can use the same patient database.

The Solar Neuro Module studies the motor innervations of the sphincters and the pelvic floor, as well as the sensory innervation of the pelvic structure. Additional measurement programs available:

• Free Run EMG
• Pudendal Nerve Stimulation
• Motor Nerve Conduction
• Sacral Reflex

Configurations:

The complete range of neuro-diagnostic solutions. Modules complementary to the Solar GI family (Solar GI, Solar GI Compact, Solar GI HRAM) and the Solar and Nexam Pro Urodynamic Systems are:

• 1 channel High speed EMG
• 2 channels High-speed EMG
• 1 channel High-speed EMG, Stimulation programs
• 2 channels High-speed EMG, Stimulation programs

Benifits

Advanced Functionality:

• Free Run EMG– recording of electrical potentials generated by depolarization of the striated muscles involved in the active continence mechanism
• Pudendal Nerve Stimulation– common and simple study that measures the latency through a direct reflex between stimulator site and recording site
• Motor Nerve Conduction– measures the nerve conduction velocity of the dorsal nerve of the penis
• Sacral Reflex- offers stimulation of the dorsal nerve of the penis or clitoris and records reflexes via the brain taken from pelvic floor muscle structures.

Specification

The Solar Neuro system can be used as dedicated system (with U2M module) or in combination with the LABORIE Solar, Solar GI and Nexus Pro measurement systems.

• Procedure Type:Neurophysiological Assessments
• Computer Type: Windows 7 or Windows 8
• Power: Digital Cable connected to U2M Module

Clinical Information

Pudendal Nerve Stimulation

In the diagnosis of micturition and pelvic floor disorders, common anorectal, pelvic floor and urodynamic investigations are combined with studies to investigate neurological abnormalities. Neurological studies can greatly improve the quality of the diagnosis.

Pudendal Nerve Stimulation (PNS) or Pudendal Nerve Terminal Motor Latency (PNTML) has diagnostic and prognostic value in the care of patients suffering from fecal incontinence or pelvic floor dysfunction, especially when it is important to identify and quantify the nature of the neuromuscular injury.

PNS is a common and simple study that measures the latency through a direct reflex between stimulator site and recording site. The St. Marks probe is used for latency measurement between stimulator site and recording site (anal sphincter). Pudendal nerve conduction measures the reflex via the brain. PNS can also be used for urinary incontinence studies when the sphincter is stretched after childbirth.

OVERVIEW