Dorado KT Owners Manual Ver 9.0 Dec 2010

TABLE OF CONTENTS Introduction... 1 Caution and Warnings – Please Read Carefully! ... 2 CAUTION... 2 WARNINGS ... 2 INTENDED USE ... 4 TARGET POPULATION ... 4 CONTRAINDICATIONS ... 4

Equipment Connections and Setup ... 5 WORKSTATION CHECKLIST... 5 COMPUTER CONNECTIONS ... 5 CABLE CONNECTIONS ... 5 FRONT UNIT LED LIGHTS ... 6 IMPORTANT NOTES REGARDING DORADO KT EQUIPMENT SETUP ... 7 BUILT-IN LOCKABLE CASTOR WHEELS ... 8

Transducer Setup and Connection ... 9 UROFLOW TRANSDUCER SETUP ... 9 FLUID-FILLED PRESSURE TRANSDUCER SETUP ... 10 Fluid-Filled Pressure Transducer Connections ... 11

INFUSION VOLUME TRANSDUCER ... 12 UPP PULLER SETUP (OPTIONAL) ... 13 EMG SETUP ... 14 T-DOC PLACEMENT ... 14

Catheter Setup ... 15 RECORD BLADDER PRESSURES ... 15 TWO CATHETER TECHNIQUE ... 15 RECTAL BALLOON CATHETERS ... 16 T-DOC CATHETER ... 17 ELECTRONIC CATHETER ... 18

Software Installation and General Instructions for Use ... 19 WINDOWS START MENU/TASK BAR ... 19 DORADO KT / WINDOWS TERMINOLOGY ... 20 THE MOUSE ... 20

Startup Sequence ... 21 UDS120 Software Window ... 22 TITLE BAR... 22 MINIMIZE, MAXIMIZE, AND CLOSE BUTTONS ... 23 HORIZONTAL SCROLL BAR ... 23 ZOOM PERCENT ... 23 EMG SLIDER ... 23 MENU ... 23 CONTROL PANEL BUTTONS ... 24 EDIT ... 24

Logon Screen ... 25 File Menu ... 26

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OPEN ... 27 OPEN SCHEDULED TESTS (OPTIONAL) ... 29 SAVE AS... 29 PRINT STUDY ... 30 BATCH PRINT ... 33 PRINT SETUP ... 34 ABOUT UDS CLIENT ... 35 IMPORT ASC ... 36 IMPORT ICS ... 36 EXIT... 36

Edit Menu ... 37 UNDO ... 38 COPY ... 38 MARK BLOCK ... 38 UNDO SET ZEROES ... 38

Config Menu ... 39 OPEN ... 40 SAVE AS (OPTIONAL) ... 40 SET UP/MODIFY ... 41 CHANNEL SETTINGS TAB ... 42 Curve Index ... 42 Channel Title ... 43 Channels and Curves ... 44 Scale - Min/Max ... 45 Units ... 45 Math Channels – Math1 to Math4 ... 45 Display Attribute ... 46 Curve Appearance ... 48 Display Line Width ... 48 Print Line Width ... 49 Symmetry ... 49 Interior... 50 Use Filter ... 50 Display Original ... 51 Printable ... 52 Curve Overlay ... 52 Test Name and Graph Scrolling Speed ... 53

UPP TAB ... 54 PUMP TAB ... 56 Volume Warning Limit ... 56

FILTER TAB... 57 UROFLOW TAB ... 57 TRIGGERED EVENT TAB (FOR USE WITH LEAK POINT DETECTORS)... 57 AUTOMATIC TIME MEASUREMENT TAB ... 58 ARM TAB ... 60 SECURITY TAB... 60 ILIST EVENTS LINKING TAB ... 61 UNLOCK CFG ... 62

Info Menu... 63

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PATIENT INFORMATION ... 64 Pediatric Section ... 65

HISTORY ... 66 DIAGNOSIS ... 66 X-Y PLOT ... 66 ICS Nomogram (URA) ... 66 LinPURR ... 68 Bladder Work Function (WF) ... 71 CHESS ... 73 Siroky Nomogram ... 74 Liverpool Nomogram ... 74

EVENT SUMMARY ... 75 Changing the Font ... 76 Add or Change Event Annotation ... 76 Deleting Events from the Event Summary ... 77 Deleting or renaming events – Quick Method... 77 Customized Event List... 77 Permission to Void Event ... 78 Move to Event ... 78 Stress Events ... 78 TRSS Events ... 79

VOIDING SUMMARY ... 80 Voiding Summary Analysis ... 82 Uroflow Options ... 82 Artifact Recognition ... 84 Uroflow Auto Recording ... 85 Pediatric Nomogram (Optional)... 86

UPP SUMMARY ... 87 Elements in the UPP Summary ... 89 Obstruction Zone Peak ... 89

BLADDER COMPLIANCE ... 90 Auto Compliance... 92

UPP ... 92 Eberhard Curves (Optional) ... 93 Pressure Transmission Ratio (PTR) ... 94 STEPP UPP ... 97 Curve Colors ... 101 7 Channel UPP Plot... 101

ARM 2 (OPTIONAL) ... 103 ARM 4&8 (OPTIONAL) ... 103

View Hor. Menu ... 104 Options Menu ... 105 TEST RESTART... 106 TEST PLAYBACK ... 106 UROFLOW AUTO START... 106 CURSOR VALUE INDICATOR... 107 DIGITAL VALUE INDICATOR ... 107 DISPLAY CONTROL PANEL ... 108 CONTROL PANEL SETTINGS ... 108 Multiple Control Panel Sets and Hot Key Configuration ... 110

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Add an Image to a Control Panel Button ... 112 Customize Colors and Fonts ... 112 Area Under Curve ... 113 Glossary of Control Panel Commands ... 115

FILE SAVING DIRECTORY ... 119 EXPORT DATA... 120 EVENT DISPLAY OPTIONS ... 120 Selecting Background Colors for Events ... 121

AUTO MARK PEAKS... 122 AUTO INFUSION EVENT ... 123 GRAPH CLIPPING ... 123 SMART TRACING ... 123 RESIZE OVERFLOW SCREEN ... 124 IMAGE OVERLAY (OPTIONAL) ... 124 CHANGE INFUSION BAG... 124 AUDIO... 125 Audio Settings (Optional Sound Feature Only) ... 125 Event Playback (Optional Sound Feature Only) ... 125

VBN ... 125 VBN Settings ... 125 VBN – Normal Curve Overlay ... 125 ILIST (OPTIONAL) ... 126 RESTORE FACTORY CALIBRATION ... 126

Connection Manager (Optional) ... 127 ServerX Menu (Optional) ... 131 DAUGHTER DOWNLOAD ... 132 PUMP/TRANSDUCER CALIBRATION ... 132 RESET CONNECTION ... 132 SHOW SERVERX WINDOW ... 132 CHOOSE BLUETOOTH UDS-94 ... 132

Set Zeroes Menu ... 133 Calibration Sets ... 134 Expanding Your system ... 135 CLICK CHANNEL TITLE AND UNITS TO MODIFY ... 135 CLICK CHANNEL SCALES TO MODIFY ... 136 CHANNEL VALUE MARKER... 136 CHANGE CHANNEL ORDER BY DRAG/DROP ... 137 MOVE EVENTS BY DRAG/DROP ... 138 CHANNEL FONTS ... 138 GRAPH ANNOTATIONS ... 140 LAG-TIME MEASUREMENT ... 141 VBN ... 142 Normal Curve Overlay ... 142 VBN Full and VBN Animation... 144

AUDIO/AUDIO PLAYBACK ... 150 Set the Sound Recording Button ... 150 Record Sound Annotation ... 151 Play Sounds ... 152 Select the Quality of the Sound Recording (Audio Settings) ... 153

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Turning On/Turning Off the Sound Playback ... 153

VIDEO ... 154 ULTRASOUND CONTROL PANEL SETUP AND BASIC IMAGE CAPTURE... 154

Commonly Used Test Configurations ... 155 RUNNING TESTS-QUICK REFERENCE ... 156 Uroflow Test ... 156 CMG Test or Micturition (P/Q) (when using fluid-filled transducers/catheters) ... 157 UPP Test (when using fluid-filled transducers/catheters)... 158 ARM Tests ... 158

Pelvic Muscle Rehabilitation (PMR) Testing with UDS ... 159 REQUIRED EQUIPMENT FOR PMR TESTING WITH UDS ... 159 EQUIPMENT SETUP ... 160 Pressure Probe Connections - for Adult Patients Only ... 160 Surface Electrode Placement - for Adult or Pediatric Patients ... 161

STARTING A PMR TEST ... 163 EMG AND UROFLOW SESSIONS ... 166 STARTING A UROFLOWMETRY SESSION ... 167 CHANGE THE VOLUME SCALE DURING A SESSION ... 168 CHANGE THE VOLUME AND FLOW SCALE IN A SAVED SESSION ... 168 COMPLETING SESSION AND PRINTING REPORTS ... 168

Transducer Calibration ... 169 CALIBRATE VOLUME ... 169 CALIBRATE FLOW... 170 CALIBRATE THE EMG UNIT (OPTIONAL) ... 171 CALIBRATE THE UPP PULLER (OPTIONAL) ... 171 CALIBRATE THE PUMP ... 173 CALIBRATE PRESSURE TRANSDUCERS (P1, P2, P3, ETC…) ... 174 For water-based disposable catheter systems ... 174 For air-charged catheter systems ... 174 For Electronic Catheter Systems ... 176

CALIBRATE THE INFUSION TRANSDUCER (P8) ... 177

Cleaning and Preventive Maintenance ... 178 EQUIPMENT AND ACCESSORIES ... 178 PREVENTIVE MAINTENANCE ... 178 VIRUS PROTECTION ... 179 AIR-CHARGED (T-DOC) TRANSDUCER/CABLE CLEANING INSTRUCTIONS ... 179 ELECTRONIC (UNISENSOR™) SOLID-STATE CATHETERS ... 180 Catheter Cleaning ... 180 Disinfection ... 180 Sterilization ... 180

TREATING AND DISPOSING OF PRODUCT AFTER USE ... 181

Troubleshooting ... 182 SYMPTOMS/CAUSES/CORRECTIVE ACTIONS ... 182 EMG VERIFICATION ... 185 Corrective Actions ... 185

Technical Description ... 187 SYSTEM SPECIFICATIONS ... 187 CLASSIFICATIONS ... 187

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OPERATING RANGES AND ACCURACY ... 187 APPLICABLE DIRECTIVES AND STANDARDS ... 188 REPLACEMENT ACCESSORIES ... 188 PERIPHERAL SPECIFICATIONS ... 189

Electromagnetic Compatibility (EMC) ... 194 EMISSIONS ... 194 IMMUNITY ... 194

Symbols ... 196 End-User Software License Agreement ... 197 A. IMPORTANT NOTES REGARDING EMG PERFORMANCE ... I B. Nomogram Tables for Uroflowmetry ... IV C. Glossary of Terms used in Urodynamic testing... VI COMMON URODYNAMIC TERMS ... X

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LABORIE

Dorado KT™ Owner’s Manual

INTRODUCTION The Dorado KT™ is a sturdy, customizable, and upgradeable Urodynamics analyzer with intuitive software that provides complete analysis and reporting capabilities for your clinical setting. With its custom-built cart the Dorado KT is ideal for in-office portability, yet robust enough for hospital use as well. Components are height-adjustable and easily accessible - making the Dorado KT a truly flexible system that suits the needs of any type of clinic. Compatible with water-filled, air-charged, or electronic catheters the Dorado KT features an integrated miniaturized pump, an integrated Electromyography (EMG) unit, and a lightweight load cell Uroflowmeter. Add-on accessories such as a commode chair, UPP puller, a fourth pressure transducer, anal rectal Manometry software, and video capturing capabilities are also available. Perform all of the following standard Urodynamics studies with ease: • Uroflow • CMG • UPP and • Pressure Flow (Micturition) with EMG Add configurations and customize studies as you please. The Dorado KT software offers ICS Nomograms, artifact recognition tools, an integrated customizable iLIST™ patient management software program, exclusive VBN standardized flow curve analysis, networking options, and additional time-saving features. Urodynamics is used to verify or disprove patient symptoms via scientific methodology. It is a prerequisite for the user of this equipment to understand the basic measuring principles and techniques of Urodynamic analysis. The simplest form of Urodynamic testing is Uroflowmetry, which measures urine volume and flow rate. A more comprehensive form of testing can include the measurement of bladder, rectal and urethral pressures, electromyography (EMG) of the sphincter muscles, and capacity volume measurements. For more information, please contact your LABORIE dealer.

For warranty information and terms and conditions, visit the following website: http://www.laborie.com/about/terms-and-conditions.php

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LABORIE

Dorado KT™ Owner’s Manual

CAUTION AND WARNINGS – PLEASE READ CAREFULLY! Caution UNITED STATES FEDERAL LAW RESTRICTS THIS DEVICE TO SALE OR USE BY OR ON THE ORDER OF A LICENSED PHYSICIAN.

Warnings 1. Only trained technicians should operate this device. The operator must read the Owner’s Manual entirely and refer to any additional training materials before using the device. An optional in-service is available from LABORIE. For more information, please contact your Laborie dealer. 2. Before using, verify that the Dorado KT system and software are functioning properly. 3. DO NOT USE in the presence of a flammable anesthetic mixture with air or oxygen or nitrous oxide. 4. DO NOT USE electromyograph (EMG) simultaneously with high frequency surgical equipment. 5. Where applicable, utilize single-use disposable tubing and catheters designed for Urodynamics measurements. Do not reuse disposable devices. After use, dispose in accordance with local regulations. NOTE: Pump accuracy is not guaranteed if the pump head tubing is used more than once. DO NOT run pump at a speed exceeding the limitation of the catheter or run pump at a high speed with a contrast medium. 6. DO NOT USE your Urodynamics system in the same room as an operating magnetic resonance imaging device (MRI). The strong magnetic field produced during MRI may cause disruption of the system. 7. All transducers should be calibrated prior to use. Calibration should be checked at least every six (6) months or whenever there is a suspicion that the calibration is incorrect. ONLY calibrate the transducers if necessary. 8. Use the Dorado KT™ with LABORIE equipment and accessories ONLY. 9. DO NOT ATTEMPT TO OPEN OR REPAIR the system by yourself or by an unauthorized party. ONLY Laborie trained technicians may service the unit. 10. LABORIE equipment is licensed by Governments and approved by Safety Agencies to work with LABORIE accessories ONLY. 11. LABORIE accessories are licensed by Governments and approved by Safety Agencies to work with LABORIE equipment ONLY. 12. Laborie equipment is warranted to work with LABORIE accessories ONLY.

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LABORIE

Dorado KT™ Owner’s Manual

13. Laborie accessories are warranted to work with LABORIE equipment ONLY. 14. DO NOT LEAN anywhere on the unit. The unit is not designed to support the weight of a person. 15. Exercise caution when repositioning the Dorado KT™ Urodynamic analyzer while patient is connected. 16. If using a water pressure transducer cartridge (UDS-D-M-Px), make sure the pressure transducer cartridge is latched securely into the pressure transducer plate before use. 17. DO NOT STERILIZE the Dorado KT™ Urodynamic analyzer. 18. Use Input and Output Cables and Cords provided by LABORIE ONLY. 19. The Dorado KT™ Urodynamic processor does not need to be powered off at the end of each day. To TURN OFF the Dorado KT™ Urodynamic analyzer, unplug the power cord from the power source. 20. Exposure to ESD may cause the Urodynamics System to RESET. 21. Do not plug in or unplug any transducers when a procedure is running. Always stop the procedure before plugging in or unplugging transducers. 22. LABORIE IS NOT RESPONSIBLE FOR LOSS OF PATIENT FILES OR TEST DATA. WE RECOMMEND THAT YOU BACK UP PATIENT DATA ON A REGULAR BASIS. 23. ANY ADDITIONAL EQUIPMENT CONNECTED TO MEDICAL ELECTRICAL EQUIPMENT MUST COMPLY WITH THE RESPECTIVE IEC OR ISO STANDARDS (E.G. IEC 60950 FOR DATA PROCESSING EQUIPMENT). ANY AND ALL CONFIGURATIONS SHALL COMPLY WITH THE REQUIREMENTS FOR MEDICAL ELECTRICAL SYSTEMS. ANYONE CONNECTING SUPPLEMENTARY EQUIPMENT TO MEDICAL ELECTRICAL EQUIPMENT CONFIGURES A MEDICAL SYSTEM AND IS THEREFORE RESPONSIBLE THAT THE SYSTEM COMPLIES WITH THE REQUIREMENTS FOR MEDICAL ELECTRICAL SYSTEMS. ATTENTION IS DRAWN TO THE FACT THAT LOCAL LAWS TAKE PRORITY OVER THE AFOREMENTIONED REQUIREMENTS. IF IN DOUBT, CONSULT YOUR LOCAL LABORIE REPRESENTATIVE OR THE TECHNICAL SERVICE DEPARTMENT. 24. Transthoracic stimulation, such as maintaining anode and cathode stimulation sites in close proximity, must be avoided. 25. Connection of a patient to high frequency surgical equipment and an electromyograph or evoked response equipment may result in burns at the site of the electrical stimulator of biopotential input part electrodes and possible damage to the electrical stimulator or biological amplifiers. 26. Operation in close proximity (1 meter) to shortwave or microwave therapy equipment may produce instability in the Stimulator output. 27. Avoid accidental contact between connected but unused applied parts and other conductive parts including those connected to protective earth to prevent damage or injury.

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LABORIE

Dorado KT™ Owner’s Manual

28. Customers providing their own computer, monitor, or printer for use with the Laborie system may require the use of a Line Isolation Transformer (LIT) to maintain system compliance. In all cases it is advised to check with your local regulations before proceeding.

Intended Use The Dorado KT™ Urodynamic analyzer is intended to quantify the pressure, flow, and EMG characteristics of the lower urinary tract. Using the available transducers, the system can be used for performing standard Urodynamic tests such as Uroflowmetry, Cystometry (CMG), and Micturition studies.

Target Population The major application of Urodynamics is the diagnosis of uncontrolled loss of urine (incontinence), abnormal urinary retention, or neurological causes of Micturition disorders.

Contraindications The Dorado KT™ is contraindicated for any patient who is not a candidate for Urodynamic testing. Catheters should not be used on patients who suffer from: • •

Bladder infections Strictures in the urethra

Single use, disposable catheters provided by Laborie Medical Technologies are “sterile”, unless stated otherwise on the packaging label and instructions. Reusable catheters are cleaned but not sterilized before shipping.

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LABORIE

Dorado KT™ Owner’s Manual

EQUIPMENT CONNECTIONS AND SETUP If you need specific item numbers, please refer to the Dorado KT™ Service Manual.

Workstation Checklist • • • • • • • •

KT workstation cart Printer Shelf/Small Work Surface shelf Keyboard/Large Work Surface shelf CPU Mount LIT enclosure UDS94 Module Mount IV Hook Cable clips

Computer Connections Connect the following components to their corresponding ports at the back of the Dorado KT PC unit according to the table below: Component

Dorado KT PC Port

Monitor Keyboard Mouse RS232 Printer

VGA Keyboard Mouse COM1 LPT 1

Security Key

USB

Cable Connections To ensure proper functioning, it is important that all transducers and cables are connected properly and carefully. 1. Begin by connecting the RS-232 connection cable between the UDS94 unit and the COM1 port of the computer. Run the cables through the slots of the printer shelf. 2. If the Line Isolation Transformer (LIT) has a power switch, make sure it is in the OFF position. 3. Connect the LIT output power cord to the UDS94 unit and the LIT. NOTE: The KT cart’s frame grooves allow you to place the connection cables inside the grooves and secure them into place with the provided Cable Clips.

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LABORIE

Dorado KT™ Owner’s Manual

4. Plug the computer and monitor’s power cords into the LIT. 5. Plug the printer power cable into the LIT using the printer power cord. 6. Connect the medical grade power cable between the (LIT) and an electrical outlet. If the LIT has a power switch, make sure it is now in the ON position.

The cables fit inside the grooves of the KT frame to help eliminate clutter. It is best to leave some “slack” with the cables to allow for easier cable movement. This will be especially helpful with the mouse since you need the ability to move it around the work surface shelf.

Front Unit LED Lights

Dorado KT Front Unit LED Lights

1 P1/P2 (Pressure channels): ON, when a proper UDS Pressure transducer is connected to the port 2 P3/P4 (Pressure channels): ON, when a proper UDS Pressure transducer is connected to the port 3 UROFLOW: ON, when a proper UDS Uroflow transducer is connected to the port 4 EMG: ON, when a proper UDS EMG processor is connected to the port 5 PUMP: When the pump is active (in motion) this LED light will be ON 6 UPP: When the UPP is active (in motion) this LED light will be ON 7 PRINTER: LED ON when connection established 8 COMM: LED ON when the data acquisition unit is communicating with the computer 9 CPU: LED ON when the digital board has power and is functioning 10 SAMPLING: LED ON when the unit is transferring real time patient data to the computer 11 CONNECTED: LED ON when connection is established successfully to the unit 12 FAULT: LED ON when an internal diagnostic test has failed POWER LEDS: ON when power outputs are available to the system BT LEDS: Bluetooth LEDs indicate the status of the Bluetooth connection

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LABORIE

Dorado KT™ Owner’s Manual

Once you have set up the Dorado KT Cart and properly placed the accessories on it, it will look similar to this setup:

IV Hook Keyboard/Large Work Surface Shelf

UDS94 Module and Module Mount

Printer Shelf

CPU Mount Transducer Clamp (Optional)

LIT Enclosure

Important Notes Regarding Dorado KT equipment Setup • •

THE MAXIMUM ALLOWABLE WEIGHT FOR EACH SHELF IS 15 KG (33 LBS). TO AVOID DAMAGE OR INJURY DO NOT EXCEED THIS WEIGHT! TO PREVENT ACCIDENTAL TIPPING OF THE DORADO KT CART, PLEASE CONFIGURE THE SHELVES AS ILLUSTRATED IN THE FOLLOWING DIAGRAM AND AS INDICATED IN THE INSTALLATION INSTRUCTIONS. LABORIE RECOMMENDS THESE

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LABORIE

Dorado KT™ Owner’s Manual

CONFIGURATIONS TO AVOID ANY INJURY OR DAMAGE.

Recommended Sitting Configuration

Recommended Standing Configuration

• Always place the CPU unit above the LIT enclosure

Built-in Lockable Castor Wheels The Dorado KT comes equipped with built-in locking castor wheels, making it a mobile Urodynamic processor that can be moved from room to room. This is also a safety feature to ensure that the Urodynamic processor (UDS94 Module) will remain securely in place and will not move during patient testing. To lock the wheels, press down on the lever with the bottom of your foot. To unlock, push the lever up from underneath with the top of your foot.

IMPORTANT! Ensure all wheels are locked during testing procedures to prevent injury to the patient.

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LABORIE

Dorado KT™ Owner’s Manual

TRANSDUCER SETUP AND CONNECTION Uroflow Transducer Setup The first step towards performing Uroflowmetry using the Dorado KT is to set up the Uroflow transducer. To set up the Uroflow transducer: 1. Place the funnel on the plastic frame of the commode chair. 2. Carefully place the Uroflow transducer on the floor. 3. Gently place the Uroflow dish on top of the Uroflow transducer. 4. Place a graduated beaker on top of the dish. 5. Ensure that the beaker and the funnel are aligned so that the beaker is well centered. 6. Connect the Uroflow transducer cable to the Uroflow port at the back of the UDS94 module. Important! It is critical that… •

The Uroflow dish is properly seated on the base.

•

The beaker is well centered and does not touch the funnel during the test.

a.

b.

Uroflow Transducer (a) placed under commode chair (b)

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LABO ORIE

D Dorado KT™ ™ Owner’s Manual M

Fluid d-Filled Pre essure Transducer Se etup Take each pressu ure cartridgee out of its package, and remove pro otective coveers from thee back f the con nnector endss. and from 1. Slid de a cartridgge over each h transducer until it clickks in place. 2. Atttach pressurre measurem ment tubing,, with attach hed three waay stopcock to lower (male) end d the pressure cartridge. 3. Atttach 10 ml stterile-fluid filled syringee to side portt of stopcockk. pcock in app propriate dirrections, flussh fluid from m syringe thro ough both th he 4. By turning stop preessure cartrid dge and the pressure meeasurementt tubing. UTION! Therre should be e NO AIR BUBBLES prese ent in the syystem duringg testing. ! CAU NO OTE: Be sure th hat the stopper cap is alwayss securely in plaace whenever the stopcock po osition is being changed.

Fluid-Filled Pressure Transsducer Setup

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LABORIE

Dorado KT™ Owner’s Manual

Fluid-Filled Pressure Transducer Connections 1. Attach a 3-way stopcock with pressure measurement tubing to the bottom (male) connector of the pressure cartridge. 2. Attach the opposite end if the pressure measurement tubing to the catheter. 3. Attach a syringe filled with water or saline to the stopcock. 4. Turn the “OFF” position of the stopcock down towards the catheter. (see B below) 5. Remove the Luer lock plug from the top (female) connector of the pressure cartridge. 6. Fill the pressure cartridge with water. Reattach the Luer lock plug. 7. Turn the “OFF” position of the stopcock up towards the Luer lock plug (see D below). 8. Prime the pressure measurement tubing and the catheter. 9. Turn the “OFF” position of the stopcock towards the syringe (see A below). The 3-way stopcock should be turned “OFF” towards the syringe to allow pressure recording (A). Off to Syringe

To Transducer Cartridge

To Catheter

Stopcock Positions

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LABORIE

Dorado KT™ Owner’s Manual

Infusion Volume Transducer 1. Place the infusion volume transducer on the IV hook. (see diagram on page 13) 2. Connect the infusion transducer cable to the P8 port of the UDS94 module. 3. Place a 1000 ml bag of sterile saline inside a pressure cuff. Hang the pressure cuff on the hook of the infusion transducer. The IV pole is recommended to be at least 30 cm above the patient table TIP: Use an infusion pressure cuff for faster flow rate.

4. Inflate the pressure cuff to 300 mm Hg (when the red line appears on the pressure cuff gage). 5. Connect an infusion line to the saline bag. Use a basic solution set with a drip chamber. 6. Tape the infusion line to the cart between the drip chamber and the flow control valve (roller clamp). Ensure there is excess tubing between the tape and the drip chamber. 7. Connect the other end of the infusion line to the filling port on the catheter. Important! • Ensure that the infusion line is not pulled or the transducer reading will not be accurate. • The infusion transducer is calibrated for up to 1000 ml of sterile saline or water. If you are using a different medium, such as hypaque, re-calibration is required. •The infusion transducer for the Dorado KT is compatible with the Aquarius TT™, Triton™, and Delphis™ systems. However, it cannot be used on the Bonito™ system.

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LABORIE

Dorado KT™ Owner’s Manual

Infusion Transducer Connections

UPP Puller Setup (optional) Please refer to the UPP Silent Drive Puller Owner’s Manual for instructions on how to set up the puller.

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