Aquarius XT CT LT Cts-Owner's-Manual v05 Aqsum01

USA
400 Avenue D, Suite 10

Williston, Vermont, USA 05495
Sales/Marketing: 802.857.1300
Customer Service: 800.522.6743
Technical Support: 800.333.1039
Fax: 802.878.1122
service@laborie.com
CANADA
2101 Boul. Lapinire
Brossard, Qubec, Canada J4W 1L7
Montreal: 450.671.5901
Technical Support: 800.333.1039
Fax: 450.671.7182
service@laborie.com
INTERNATIONAL
6415 Northwest Dr., Unit 10
Mississauga, Ontario, Canada
L4V 1X1
Fax: 905.612.9731
internationalsupport@laborie.com
LATIN AMERICA
Al. Madeira, 258 salas 801, 805, 806
Alphaville - Barueri - So Paulo
06454-010 BRAZIL
+55.11.4208.3652
Fax +55.11.4134.8480
LABORIE MEDICAL TECHNOLOGIES EUROPE

LIMITED
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Rugby, Warwickshire CV21 1TQ UK
Tel.: +44.01788.547888
Fax: +44.01788.536434
internationalsupport@laborie.com
CHINA
31B Building 3, Century Classic
No. 45, Xiao Guan Bei Li,
Chao Yang District, Beijing 100029
+86.10.8489.8891
Fax +86.10.8489.8511
Chinaservice@laborie.com
Trademarks
AQUARIUS, RoamDX, Urocap, and i-LIST Office Reporter are trademarks of Laborie Medical
Technologies Canada ULC. T-DOC is a trademark of T-DOC Company, LLC. Unisensor is a
trademark of Unisensor AG. Windows is a registered trademark of Microsoft Corp. NitroPDF is
a registered trademark of Nitro PDF, Inc. Bluetooth is a registered trademark of Bluetooth SIG
Inc.
www.laborie.com
Copyright
All rights reserved. No part of this publication may be reproduced in any form whatsoever
without the prior written permission of LABORIE.
Copyright 2014 LABORIE
Document Number: AQS-UM01
Version Number: 5.0
Release Date: September 15, 2014
Issued By: R.A.
Laborie Medical Technologies Canada ULC

6415 Northwest Drive, Unit 10
Mississauga ON Canada
L4V 1X1
TABLE OF CONTENTS
Introduction and Guidelines for Use ....................................................................................................................................... 1
Caution and Warnings.......................................................................................................................................................................... 2
Caution ............................................................................................................................................................................................. 2
Warnings .......................................................................................................................................................................................... 2
Intended Use ........................................................................................................................................................................................ 7
Target Population................................................................................................................................................................................. 7
Contraindications ................................................................................................................................................................................. 7
Software and Equipment........................................................................................................................................................ 8
Standard Equipment and Optional Accessories................................................................................................................................... 8
Additional Configuration Option........................................................................................................................................................ 10
AQUARIUS CTS ............................................................................................................................................................................... 10
Lockable Wheels ................................................................................................................................................................................ 11
Flowstand ........................................................................................................................................................................................... 11
Bubble Detector (Optional)................................................................................................................................................................ 11
UPX UPP Puller (optional) .................................................................................................................................................................. 12
Equipment Status and Light Signals ...................................................................................................................................... 13
Pump Hub .......................................................................................................................................................................................... 13
ROAM DX............................................................................................................................................................................................ 15
Urocap V............................................................................................................................................................................................. 20
UPX ..................................................................................................................................................................................................... 21
Transducer Setup and Connection ........................................................................................................................................ 22
Uroflow Transducer ........................................................................................................................................................................... 22
Pump Setup ........................................................................................................................................................................................ 22
RoamDX Setup for Pressure and EMG ............................................................................................................................................... 23
Pressure Transducer Setup for Fluid-based Disposables ................................................................................................................... 24
Water Pressure Transducer Setup ..................................................................................................................................................... 25
Infusion Volume Transducer (optional) ............................................................................................................................................. 26
Catheter Setup ..................................................................................................................................................................... 27
Record Bladder Pressures .................................................................................................................................................................. 27
Two Catheter Technique .................................................................................................................................................................... 27
Abdominal (rectal) Balloon Catheters................................................................................................................................................ 27
T-Doc Catheter Setup ......................................................................................................................................................................... 30
Electronic Catheter ............................................................................................................................................................................ 30
Set up Remote Control (optional) ......................................................................................................................................... 31
LABORIE
AQUARIUS XT/CT/LT/CTS Owners Manual
Part 1: Prepare the Remote Control .................................................................................................................................................. 31

Part 2: Prepare the PC ........................................................................................................................................................................ 32
Part 3: Remote Control Setup ............................................................................................................................................................ 34
Part 4: Final PC Setup ......................................................................................................................................................................... 39
Care and Maintenance ......................................................................................................................................................... 42
General Care and Preventive Maintenance ....................................................................................................................................... 42
Caring for the RoamDx ....................................................................................................................................................................... 42
Caring for the Urocap V Uroflowmeter.............................................................................................................................................. 43
Caring for the Cart and its components ............................................................................................................................................. 43
Caring for the Air-Charged Transducer/Cable ................................................................................................................................... 43
Battery - Charging and Preventive Maintenance ............................................................................................................................... 43
Charging the Battery ...................................................................................................................................................................... 44
Preventive Maintenance ................................................................................................................................................................ 45
Computer Virus Protection ................................................................................................................................................................ 45
Treating and Disposing of Product After Use..................................................................................................................................... 45
Environmental Consideration of Waste Disposal .............................................................................................................................. 45
Preventive Maintenance Checking Calibration ............................................................................................................................... 45
Check the Flow and Volume of the Uroflowmeter ........................................................................................................................ 45
Check the Pump ............................................................................................................................................................................. 46
Check the EMG ............................................................................................................................................................................... 46
Check the UPX Puller ...................................................................................................................................................................... 48
Check Pressure Transducer ............................................................................................................................................................ 49
Check the Infusion Transducer....................................................................................................................................................... 49
Using the Module TouchScreen ............................................................................................................................................ 50
Using the Touchscreen Functions ...................................................................................................................................................... 51
How to Add a Device to the System............................................................................................................................................... 51
How to Remove a Device ............................................................................................................................................................... 52
How to Connect Devices ................................................................................................................................................................ 53
How to Set Up Pump Controls ....................................................................................................................................................... 54
Calibration ........................................................................................................................................................................... 55
How to Calibrate Flow and Volume ................................................................................................................................................... 55
How to Calibrate the Pressure and EMG ........................................................................................................................................... 56
Calibrate Pressure .......................................................................................................................................................................... 56
Calibrate EMG ................................................................................................................................................................................ 57
How to calibrate the Pump ................................................................................................................................................................ 59
How to calibrate the Infusion Transducer ......................................................................................................................................... 62
How to calibrate the UPX ................................................................................................................................................................... 63
Connect the PC to the System ........................................................................................................................................................... 64
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System Status Messages ...................................................................................................................................................... 70

Software Feature and Functions ........................................................................................................................................... 73
Dynamic Control Panels ..................................................................................................................................................................... 74
Zoom Button on Control Panel .......................................................................................................................................................... 76
File Menu ........................................................................................................................................................................................... 77
Open ............................................................................................................................................................................................... 77
Open Scheduled Tests (optional for i-LIST software users) ........................................................................................................ 78
Save As ........................................................................................................................................................................................... 79
Print Study ...................................................................................................................................................................................... 80
Batch Print ...................................................................................................................................................................................... 84
Print Setup...................................................................................................................................................................................... 85
About UDS Client............................................................................................................................................................................ 85
Import ASC ..................................................................................................................................................................................... 86
Import ICS....................................................................................................................................................................................... 87
Exit.................................................................................................................................................................................................. 87
Edit Menu ........................................................................................................................................................................................... 87
Undo ............................................................................................................................................................................................... 87
Copy ............................................................................................................................................................................................... 87
Mark Block ..................................................................................................................................................................................... 87
Undo Set Zeroes ............................................................................................................................................................................. 88
Zoom Selected Area and Back ..................................................................................................................................................... 89
Config Menu ....................................................................................................................................................................................... 91
Open ............................................................................................................................................................................................... 91
Save As ........................................................................................................................................................................................... 91
Set up/Modify ................................................................................................................................................................................ 92
Setting up CH5 and EMG1 Channel ................................................................................................................................................ 98
UPP Tab .......................................................................................................................................................................................... 98
Pump Tab ..................................................................................................................................................................................... 101
Filter Tab ...................................................................................................................................................................................... 105
Uroflow Tab.................................................................................................................................................................................. 105
ARM Tab ....................................................................................................................................................................................... 105
Security Tab .................................................................................................................................................................................. 105
i-LIST Events Linking Tab .............................................................................................................................................................. 107
Compliance Tab ............................................................................................................................................................................ 109
Info Menu......................................................................................................................................................................................... 111
Patient Information ...................................................................................................................................................................... 111
History .......................................................................................................................................................................................... 112
Diagnosis ...................................................................................................................................................................................... 112
X-Y Plot ......................................................................................................................................................................................... 112
Event Summary ............................................................................................................................................................................ 122
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iii
Voiding Summary ......................................................................................................................................................................... 132

UPP Summary............................................................................................................................................................................... 139
Bladder Compliance (Optional) .................................................................................................................................................... 148
UPP ............................................................................................................................................................................................... 149
ARM 4&8 (optional) ..................................................................................................................................................................... 157
View Hor. Menu ............................................................................................................................................................................... 157
Options Menu .................................................................................................................................................................................. 158
Test Restart .................................................................................................................................................................................. 158
Test Playback................................................................................................................................................................................ 159
Uroflow Auto Start ....................................................................................................................................................................... 159
Cursor Value Indicator ................................................................................................................................................................. 159
Digital Value Indicator .................................................................................................................................................................. 160
Display Control Panel ................................................................................................................................................................... 161
Control Panel Settings .................................................................................................................................................................. 161
Enable Button Sounds .................................................................................................................................................................. 174
Remote Control Designer ............................................................................................................................................................. 174
File Saving Directory..................................................................................................................................................................... 185
Export Data .................................................................................................................................................................................. 185
Event Display Options .................................................................................................................................................................. 186
Auto Mark Peaks .......................................................................................................................................................................... 188
Auto Infusion Event ...................................................................................................................................................................... 188
Graph Clipping .............................................................................................................................................................................. 188
Smart Tracing ............................................................................................................................................................................... 189
Resize Overflow Screen ................................................................................................................................................................ 189
Image Overlay (optional) ............................................................................................................................................................. 189
Change Infusion Bag..................................................................................................................................................................... 189
Audio ............................................................................................................................................................................................ 189
VBN............................................................................................................................................................................................... 190
i-LIST (optional for i-LIST software users only).......................................................................................................................... 191
Pump Menu...................................................................................................................................................................................... 191
Configure Pump ........................................................................................................................................................................... 191
Prime Pump .................................................................................................................................................................................. 192
Slow Fill ........................................................................................................................................................................................ 192
Medium Fill .................................................................................................................................................................................. 192
Fast Fill ......................................................................................................................................................................................... 192
Stop Pump .................................................................................................................................................................................... 193
ServerX Menu (OPTIONAL) .............................................................................................................................................................. 193
Reset Connection ......................................................................................................................................................................... 193
Show ServerX Window ................................................................................................................................................................. 193
Choose Bluetooth UDS-94............................................................................................................................................................ 193
Connection Type .......................................................................................................................................................................... 194
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Video ................................................................................................................................................................................................ 194

Set Zeroes! Menu ............................................................................................................................................................................. 194
Transducer Type............................................................................................................................................................................... 195
Expanding your System ...................................................................................................................................................... 196
VBN .................................................................................................................................................................................................. 196
Normal Curve Overlay .................................................................................................................................................................. 196
VBN Full and VBN Animation ....................................................................................................................................................... 197
Anorectal Manometry (ARM) .......................................................................................................................................................... 203
System Startup Sequence ............................................................................................................................................................ 203
Setting Up the ARM Software ...................................................................................................................................................... 203
Using ARM with Air-Charged Catheters ....................................................................................................................................... 211
Using ARM with Fluid-Filled Systems ........................................................................................................................................... 213
Performing Tests with the ARM System ...................................................................................................................................... 219
ARM 4 and ARM 8 Test Results .................................................................................................................................................... 235
Printing ARM Test Results ............................................................................................................................................................ 243
Software Setup for Pediatric Patients ................................................................................................................................. 247
PEDIATRIC PATIENT Information...................................................................................................................................................... 247
Volume Warning Limit ..................................................................................................................................................................... 247
Run UDS Tests with AQUARIUS ........................................................................................................................................ 248
Uroflow Tests ................................................................................................................................................................................... 248
Run a Uroflow Test: Auto Method ............................................................................................................................................... 248
Run a Uroflow Test: Manual Method .......................................................................................................................................... 249
CMG Test or Micturition (Pressure/Flow) ........................................................................................................................................ 250
UPP Test Using Water-filled Catheters ............................................................................................................................................ 253
Troubleshoot and Service ................................................................................................................................................... 254
ALL DEVICES ................................................................................................................................................................................. 254
EMG .............................................................................................................................................................................................. 255
PRESSURES ................................................................................................................................................................................... 256
PUMP ........................................................................................................................................................................................... 256
UROCAP V..................................................................................................................................................................................... 257
BLUETOOTH CONNECTION........................................................................................................................................................... 258
EVENTS ......................................................................................................................................................................................... 258
SOFTWARE ERROR MESSAGES ..................................................................................................................................................... 259
PC ................................................................................................................................................................................................. 260
PRINTER ........................................................................................................................................................................................ 260
BUBBLE DETECTOR ....................................................................................................................................................................... 260
CONTROL PANEL .......................................................................................................................................................................... 261
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TOUCHSCREEN ............................................................................................................................................................................. 263

End-User Software License Agreement ............................................................................................................................... 264
APPENDIX ...............................................................................................................................................................................I
Appendix A. System Specifications ....................................................................................................................................................... I
Equipment Specifications .................................................................................................................................................................. I
Classifications and Applicable Directives ......................................................................................................................................... II
Type BF Applied Parts ...................................................................................................................................................................... II
System Equipment Parts List ........................................................................................................................................................... III
Appendix B. Symbols and Labeling ..................................................................................................................................................... VI
Product Labels ................................................................................................................................................................................ VII
Appendix C. Electromagnetic Compatibility (EMC)............................................................................................................................. IX
Appendix D. Commonly Used Test Configurations ........................................................................................................................... XIV
Appendix E. Glossary of Terms and acronyms ................................................................................................................................... XV
Terms Used in Urodynamics Testing .............................................................................................................................................. XV
Calculations ................................................................................................................................................................................... XIX
Common Urodynamics Acronyms................................................................................................................................................. XIX
Appendix F: ARM Values .................................................................................................................................................................... XX
Mean Values Range........................................................................................................................................................................ XX
Reusable catheters ......................................................................................................................................................................... XX
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INTRODUCTION AND GUIDELINES FOR USE

LABORIEs Next Generation Modular AQUARIUS system is a fully wireless system providing mobility and ease-of-use.
Procedures can be performed with the mountable modules and controlled by the AQUARIUS software.
Connect to all devices from one central control hub. The wireless and battery-powered features of each device allow for
improved system setup and use.
LABORIE
CAUTION AND WARNINGS

READ CAREFULLY BEFORE USE!
CAUTION
UNITED STATES FEDERAL LAW RESTRICTS THIS DEVICE TO SALE OR USE BY OR ON THE ORDER OF A LICENSED PHYSICIAN.
WARNINGS
1. Only technicians and physicians trained in Urodynamics should operate this device. The operator must read the Owners manual
entirely and refer to any additional training materials before using the device. Optional In-Service is available from LABORIE.
2. The UDS system and associated devices are intended for indoor use only and under the following standard operating conditions:
Temperature: 15C to 35C (59F to 95F)
Humidity: 30% to 75% relative humidity (non-condensing)
Pressure: 700hPa to 1014hPa
And under the following transport and storage conditions:
Temperature: -10C to 50C (14F to 122F)
3. Before connecting the patient, verify that the UDS system and software are functioning properly.
4. DO NOT USE in the presence of a flammable anesthetic mixture with air or oxygen or nitrous oxide.
5. DO NOT USE electromyography (EMG) simultaneously with high frequency surgical equipment.
6. 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.
7. Re-use, reprocessing or resterilization of disposables could lead to device failure and create a risk of cross-infection and/or cross
transmission of infectious disease(s) from one patient to another. Result of sterilization failure could lead to cross infection and/or
cross-transmission of infectious disease from one patient to another.
8. DO NOT USE the AQUARIUS 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.
9. 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.
10. Use the AQUARIUS with LABORIE equipment and accessories ONLY.
11. DO NOT ATTEMPT TO OPEN OR REPAIR the system by yourself or by an unauthorized party. ONLY LABORIE trained technicians may
service the unit.
LABORIE
12. LABORIE equipment is licensed by Governments and approved by Safety Agencies to work with LABORIE accessories ONLY.
13. LABORIE accessories are licensed by Governments and approved by Safety Agencies to work with LABORIE equipment ONLY.
14. LABORIE equipment is warranted to work with LABORIE accessories ONLY.
15. LABORIE accessories are warranted to work with LABORIE equipment ONLY.
16. DO NOT LEAN anywhere on the unit. The unit is not designed to support the weight of a person.
17. DO NOT HANG any additional items on the mobile platform other than standard LABORIE accessories. Excess weight may cause the
unit to become unstable and tip over.
18. Exercise caution when raising or lowering platform while patient is connected to the AQUARIUS.
19. Do not place or insert fingers in the slot when the platform is raised or lowered.
20. Exercise caution when repositioning the AQUARIUS Urodynamic processor while patient is connected.
21. 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.
22. If using a Unisensor electronic catheter, do not immerse electrical connector in water. Refer to Operating Manual of Unisensor
catheter for additional information.
23. DO NOT STERILIZE the AQUARIUS Urodynamic processor.

24. Use Input and Output Cables and Cords provided by LABORIE ONLY.
25. The AQUARIUS Urodynamic processor does not need to be powered off at the end of each day. To TURN OFF the AQUARIUS
Urodynamic processor, unplug the power cord from the power source.
26. Exposure to ESD may cause the Urodynamics System to RESET.

27. To minimize potential Bluetooth or USB communication interference, the modules are designed with proper shielding and grounding
techniques.
28. Do not plug in or unplug any transducers when a procedure is running. Always stop the procedure before plugging in or unplugging
transducers.
29. Do not place your fingers inside the pump head when the pump rollers are moving.
30. Ensure all wheels are locked during testing procedures to prevent injury to the patient.
31. Make sure to lock the height adjustment lever firmly after every adjustment.
32. LABORIE is not responsible for loss of patient files or test data. We recommend that you back up patient data on a regular basis.
33. 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 priority over the above-mentioned requirements. If in doubt, consult your local LABORIE representative
or the technical service department.
34. Transthoracic stimulation, such as maintaining anode and cathode stimulation sites in close proximity, must be avoided.
LABORIE
35. 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.
36. Operation in close proximity (1 meter) to shortwave or microwave therapy equipment may produce instability in the Stimulator
output.
37. Avoid accidental contact between connected but unused applied parts and other conductive parts including those connected to
protective earth to prevent damage or injury.
38. 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.
39. The use of cellular phones, smartphones, mobile internet devices, and other portable wireless devices within close proximity of the
system is not recommended and may cause artifacts to appear on the channels.
40. To reduce the risk of tipping, the equipment does not overbalance when tilted at an angle of 10.
41. To prevent patient injury, the device complies with EN 60601-1: Instability in transport position safety test for medical electrical
equipment.
42. To prevent possible injury to the patient, ensure all castor wheels are locked during testing procedures.
43. Do not lean on the equipment nor hang excessive weighted objects other than LABORIE standard accessories on the platform.
44. The maximum load for the printer shelf and for the workstation shelf is 9kg (20lbs.)
45. To prevent possible injury to the patient, always use the UPP puller with the UPP puller adaptor.
46. To ensure patient safety, do not exceed a pressure of 150cmH2O or a volume of 750mL in the pump settings.
47. Pump can be manually stopped if volume warning limit appears in Pediatric Mode.
48. The red reset stop button is used as a panic stop. It will stop all moving components such as the pump and UPP as well as provide a
reset to the digital portion of the Urodynamic processor. System is designed to automatically stop or reset when the firmware is
unresponsive after 5 seconds.
49. To maintain patient safety during normal use, the pressure limit for the pump is preset to 150cmH 2Oand the volume limit is preset
to 750mL.
50. The software will send a periodic command to the hardware to keep the pump running. Once the feedback from the PC stops, the
pump will stop within 5 seconds.
51. To avoid the risk of device connection interruption, reduce the distance between the device and the computer. The maximum
distance between the processor and the computer can be up to 10 meters (33 feet). Remove any physical barriers like walls, posts,
doors, or people.
52. To ensure proper interpretation of results during normal mode, the device is EN 60601-1-2 EMC as well as EN 62304:2006 compliant.
53. To ensure proper and safe use of the UDS equipment and accessories, follow the instructions outlined in this owners manual.
54. To reduce the risk of EMG reading misinterpretation, the EMG channel scales are modifiable.
55. Procedures can be repeated as necessary.
LABORIE
56. To ensure proper data transfer between the software and computer, an error-checking mechanism is implemented for verifying the
integrity of sent and received data.
57. To prevent electric shock, patients and equipment operators are protected in single fault conditions since resultant leakage currents
fall well below acceptable standards for open ground conditions.
58. The device requires mains power (110VAC or 240VAC) to operate properly.
59. To prevent unexpected power failures, the device is compliant to safety standards: EN 60601, UL60601, CSA 22.2 No. 601.
60. To reduce the risk of patient injury, AC-DC power supplies are spaced so that they have short circuit protection and can withstand
the DC outputs being short circuited.
61. Insulation is maintained by a combination of dielectric insulators and minimum physical separation (creep distances).
62. Device uses approved wire for connection, and adheres to EN 60601-1 air clearance and creepage distance requirements.
63. To prevent exposure to potential electric shock, the device meets and exceeds the insulation breakdown specifications for EN
60601-1, EN 60601-1-2 EMC standards & CSA 22.2 medical standards.
64. To prevent insulation failure, the insulation requirements are of higher quality and resist cuts and breakage above and beyond
consumer grade cable insulation.
65. To prevent exposure to potential electric shock, the power entry module (connector for mains input) is rated as medical grade. It
meets IEC standards for insulation.
66. To prevent exposure to potential electric shock, the power entry module is also situated in the back (or recessed) so that access to
the connection point is reduced.
67. To reduce any EMI artifacts, the system already incorporates the use of a 2-stage pre-amplifier circuit with shielding cable, and is
further improved by shield cabling and inductor/choke placement to achieve the EMC conformance.
68. To prevent unexpected exposure to radiation, the device has been tested against EN 60601-1-2 EMC standards.
69. User manual states in Caution and Warnings section: IMPORTANT! The UPP puller is intended for catheter withdrawal only.
70. The risk of a potential shock hazard is reduced as the LIT circuit breaker ensures no power is supplied to connected UDS systems if
there is an excessive current surge.
71. To prevent patient injury, warning symbols on all labels comply with EN ISO 15223-1 and EN 1041.
72. Do not use if device packaging has been opened, or damaged, or if it presents any fault due to improper transport, storage, or
handling that could in any way hamper its use.
73. To reduce the risk of cross-contamination or infection, physicians should be knowledgeable and qualified in applying the appropriate
aseptic technique during the intended use of the device. The use of prophylactic antibiotics are at the discretion of the physician
and the policies of the institution.
74. Do not immerse the UDS equipment or any components in water or any other liquids.
75. To reduce the risk of serious patient injury, it is vital that physicians and clinicians performing Urodynamics studies on patients with
a Spinal Cord Injury be prepared to recognize and treat Autonomic Dysreflexia. Proper patient screening before Urodynamics testing
and continued monitoring for spikes in blood pressure and pulse during test procedures is also required. If a rise in blood pressure or
LABORIE
other symptoms are detected, bladder must be emptied immediately. Raise the patients head if not already in a sitting position.
Physicians must monitor patients with Autonomic Dysreflexia at least 2 hours after resolution of the episode.
76. To prevent cross-contamination, waist belts and lanyards are made of machine washable materials and should be washed with hot
water and dried between uses.
77. To reduce the risk of serious patient injury, it is vital that physicians and clinicians performing Urodynamics studies be prepared to
recognize and treat symptoms associated with vasovagal syncope (fainting) during Urodynamics procedures.
78. To reduce the risk of urinary tract infection, the physician should be knowledgeable and qualified in applying the appropriate aseptic
technique during the intended use of the device. The use of prophylactic antibiotics are at the discretion of the physician and the
policies of the institution.
79. To reduce the risk of invalid test results, catheters should not be used on patients who suffer from bladder infections or strictures in
the urethra.
80. Prior to testing, a urinalysis and urine culture should be considered to rule out the presence of infection.
81. To reduce the potential for discomfort during the procedure and/or transient discomfort, dysuria and hematuria, technicians and
physicians should explain any additional risks of the procedure to the patient.
82. To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective earth.
83. No modification of this equipment allowed.
84. Connecting electrical equipment to a multiple socket outlet effectively leads to creating a medical electrical system and can result in
a reduced level of safety.
85. The UDS system must be positioned in such a way so as to provide unobstructed access to the power cord connector in the event of
a required emergency stop.
86. To ensure misinterpretation of results / incorrect flow readings during normal mode is significantly reduced the device complies with
the EN 60601-1-2 EMC test standards and EN 60601-1-4 PEMS.
87. To reduce the risk of software communication interruptions during a procedure, a pressure feedback feature is implemented in the
software to command the pump to keep running until feedback is no longer received after 10 seconds.
88. To further reduce the risk of software communication interruption, a IsAlive command between the PC and SBC is implemented to
reset communication.
89. Ensure the weight/IV bag for the infusion transducer is not touching any parts and is free-standing.
90. In case of power failure the computer software will display a lost connection dialog message that requires operator
acknowledgement before proceeding to any other function in the system.
91. Device uses internal Watchdog peripheral to monitor firmware and external independent watchdog. In case of firmware failure,
watchdog will reset the unit and the device will stop running.
92. System incorporates the use of shielding and RF filters and pre amplifier circuit with shielding cable to reduce any EMI artifacts. It is
further improved at the design stage by shield cabling and inductor/choke placement to achieve the EMC conformance.
93. The UDS system must be positioned in such a way so as to provide unobstructed access to the power cord connector when an
appliance coupler or separable plug is used as isolation means.
LABORIE
INTENDED USE
The AQUARIUS LT, AQUARIUS CT, and AQUARIUS XT are diagnostic analyzer systems. The product is a data acquisition
system for Urodynamics and peripheral diagnostics that records and displays physiological data from the patient. It is to be
used as medical diagnostic equipment. Details are described as follows:
Central Hub Computer: has a touch LCD as a new HMI and collects/synchronizes data from all procedure modules and
sends data to PC. It also displays the device status and provides interface for calibration and pump setup.
Pump Module: The pump on the Central Hub is used to infuse a patients bladder with saline from an IV bag.
Pressure transducers: These are the sensors for pressure measurement.
EMG: Electromyography (EMG) transducer for measuring the raw and enveloped muscle activity.
Urocap/Uroflow: Load cell transducer to detect volume and flow of liquid into a beaker.
UPP Puller: Retracts a catheter at a constant speed from the patient.
Roam DX: Wireless Battery Powered EMG Measurement Device.
PC: Computer which controls the system activity, displays, and stores data.
ARM: LABORIEs ARM system is intended to measure physical parameters such as pressures and EMG of the terminal end
of the digestive tract as it relates to Urodynamics, Incontinence, and the Pelvic Floor.
TARGET POPULATION
The major application of Urodynamics is the diagnosis of uncontrolled loss of urine (incontinence), abnormal urinary retention,
neurological causes of Micturition disorders, or anorectal manometry.
The major application of anorectal manometry (ARM) is to aid in the diagnosis of anorectal disorders and incontinence. ARM has
shown applicability in men, women, and children in the diagnosis of these conditions.
CONTRAINDICATIONS
The AQUARIUS system is contraindicated for any patient who is not a candidate for Urodynamic testing.
Catheters should not be used on patients who suffers 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.
LABORIE
SOFTWARE AND EQUIPMENT

The AQUARIUS software is installed prior to shipping. Only install the software if it has been accidentally uninstalled or if you
are upgrading to a more recent version. Installation instructions are available in the Software Installation Guide located in the
LABORIE software disc.
Please note that some of the software features may be optional. Please check with your LABORIE representative for details.
STANDARD EQUIPMENT AND OPTIONAL ACCESSORIES

Verify that all ordered equipment and accessories have been received. Please contact LABORIE if there are any discrepancies
between ordered and received equipment. Inspect the equipment for any visible signs of damage or mishandling. Notify the
carrier immediately if damage has been found.
NOTE: Carrying cases and cartons should be saved to provide a convenient and safe way to return the equipment should service be required.
A detailed list of system parts and accessories can be found on page II under the APPENDIX section at the back of the manual.
LABORIE LT
The AQUARIUS is available in three models each with a central hub that houses the pump, Bluetooth connections, and
connection ports for cables:
LABORIE
Laptop
Keyboard/workspace shelf
1 Roam DX maximum
AQUARIUS Central Hub
1 Charging Bay for Roam DX
Bubble detector (optional)
Infusion transducer holder with drip cup (optional)
Pump - 4 roller
LIT
Urocap V (separate charging plug supplied)
UPX puller stand (optional)
AquaVU 360 (optional)
LABORIE CT
Laptop or Industrial PC ( 1 or 2 Monitor)

2 RoamDX
2 Charging Bays for Roam DX
Bubble detector
Infusion transducer holder with drip cup(optional)
Pump 4 roller
LIT
Urocap V (up to 2; separate charging plug supplied)
Remote (optional with Industrial mini-PC version only)
Video (For Industrial PC only Optional)
LABORIE XT
LABORIE
Industrial mini-PC
AQUARIUS
Tower
and
AQUARIUS
Computer
Workstation
2 RoamDX
Bubble detector (Optional)
Infusion transducer holder with drip cup (Optional)
Pump 4 Roller
2 LIT one for workstation and one for tower
Video (For Industrial PC only - Optional)
ADDITIONAL CONFIGURATION OPTION

AQUARIUS CTS
LABORIE
Industrial PC
LCD Monitor display
2 RoamDX
Pump 4 roller
LIT
Color Printer
Bubble detector (optional)
Infusion transducer holder with drip cup(optional)
Remote (optional with Industrial mini-PC version only)
Video (For Industrial PC only Optional)
10
LOCKABLE WHEELS
The AQUARIUS system comes equipped with built-in locking castor
wheels, making it a mobile unit that can be moved from room to
room. This is also a safety feature to ensure that the unit will remain
securely in place and will not move during tests.
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 IMPORTANT! Ensure all wheels are locked during
foot.
testing procedures to prevent injury to the patient
FLOWSTAND
For assembly instructions see the AQUARIUS Flowstand User Assembly Instruction booklet on the LABORIE Software Disc.
BUBBLE DETECTOR (OPTIONAL)

A bubble detector is connected the central hub to help detect air bubbles in the pump tubing. To set up the detection feature in
the software, see page 103.
Tubing from
pump placed in
groove
LED light:
Green = no air bubbles
Red=air bubbles detected
NOTE: To avoid errors, make sure the pump tubing is pushed securely and completely into the groove.
LABORIE
11
UPX UPP PULLER (OPTIONAL)

The battery-powered UPX Puller mounted on the cart (UPP1001) or on the puller stand (UPP1002) can be used when performing
urethral pressure profile tests.
Figure 1:UPP1001
Figure 2:UPP1002
Remember to connect the UPX to the system. For more information on connection see How to Add a Device to the System on
page 51.
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12
EQUIPMENT STATUS AND LIGHT SIGNALS

PUMP HUB
1 = Bluetooth Status indicator:

blue= connected
green= system at work but not connected
orange = System fault
light off = not connected
2 = Equipment Status Indicator:
green = connected
blinking green = connected and sampling
blinking orange = not connected
light off = system off
3 = Stop button:
Press to stop pump
Press and hold for 5 seconds to reset
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13
3
2
1
1.Infusion Transducer Connection: plug the infusion transducer cable into the
port(s)
2. USB port: connect the USB cable from the UPX or the Urocap V into the
port
3. BDT: plug the cable from the bubble detector into this port
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14
ROAM DX
3
2
1
1= toggle buttons to move from screen to screen

2= start and stop buttons/ on-off power button
3= battery and Bluetooth status
4= message screen
Battery LED:
1) Solid green external power connected; battery fully charged.
2) Solid green and orange - external power connected; battery is charging.
3) Solid orange (no display, no response to keyboard) - external power connected; battery is charging but battery level
is still below critical. Just wait till battery is pre-charged.
4) Blinking green no external power. Battery is OK.
5) Blinking orange - no external power. Battery is low. Connect external power immediately.
Bluetooth LED:
OFF - Bluetooth channel is disconnected.
ON - Bluetooth channel is connected. Every transmitted block forces this LED to blink.
Up and Down keys:
Normal mode - moving from one screen to another.
Changing Settings mode (see screen descriptions) - moving from one line to another.
Right and Left keys:
Changing Settings mode (see screen descriptions in following pages) increase/decrease selected value or scroll through
options.
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15
OK key:
Manual wake-up from hibernation.
Press for 5 seconds to enter Changing Settings mode (see screen descriptions).
Single push exit from Changing Settings mode.
STOP key:
Press for 5 seconds to force device to hibernation mode.
Single push exit from Changing Settings mode.
P1, P2. P3, etc...= sensor port status.

If a field is empty: no function has been selected for this port (see Set up/Modify on page 92).
E means EMG is selected for this port.
Scroll bar displays current level of pressure signal.
Stars display the last calibration levels of this port: bottom - for low level and top for high level. If both Stars are
at the right border the port has not yet been calibrated.
o Stars are blinking when device is sending EMG and pressure samples to UDS.
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16
Port = connection type - USB or BT (Bluetooth)

PC Bond = check mark indicates that device is currently bonded to UDS. This icon is blinking when device is sending EMG and
pressure samples to UDS
BT = Bluetooth Address
Battery = displays current battery voltage (4.2 full; 3.6 empty) and charger status: Battery Full, Charging or Battery
Powered (no external power)
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17
Buzzer = buzzer enabled or disabled

EMG = EMG1 (P5) or EMG2 (P6) connected to the sound output. No EMG selected sound amplifier is unpowered (saving
energy)
Volume = sound level
To change the settings press OK button for 2 seconds. When a line border starts blinking use Up and Down keys to select a
line and Right/Left keys to select level or choice
When adjustment is finished quickly push the OK or STOP key to exit the Changing Settings mode
Warning! OK and STOP key can influence the UDS systems behavior. Pressing and holding the buttons can start or stop the
entire system
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18
Unit = Roam serial number

Ver = Firmware version
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19
UROCAP V
BT (Bluetooth)
blue = connected
green = system at work but not connected
orange = system fault
Equipment status
green = connected
Front of Urocap V
Power
green = battery full and plugged into charger
blinking green= battery good
orange = charger plugged and battery charging;
battery not fully charged
blinking orange = low battery; time to re-charge
light off = battery empty; re-charge
ON button
use to wake up uroflowmeter
Reset button
Press and hold for 5 seconds or longer to
bring to sleep
Bottom of Urocap V
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20
UPX
The control pad on the UPX arm provides the following controls and signals during tests.
NOTE: Closely monitor the battery level of the UPX when in use.
1 Arrows (up and down):
Press UP to pull the arm
Press DOWN return the arm
1.
2.
5.
3.
4.
2 Equipment Status Indicator:

green = connected
3 Bluetooth Status Indicator:
blue = connected
green = system at work but not connected
4 Battery Status Indicator:
green = battery full and plugged into charger
blinking green = battery good
orange = charger plugged and battery charging; battery not fully charged
blinking orange = low battery; time to charge
light off = battery empty; re-charge
5 Stop button:
Press to stop UPX
Press and hold for 5 seconds or longer to bring to sleep
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21
TRANSDUCER SETUP AND CONNECTION

UROFLOW TRANSDUCER
Once the Urocap V and accessories are removed from their packaging assemble the Urocap V, the chair, and the beaker for
testing.
The Bluetooth technology built into the Urocap V provides the patient with a higher degree of privacy during voiding. The
Urocap V, the beaker, the commode chair and funnel can be set up in one room while the laptop and printer can be in another
room collecting and printing data.
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. Place a graduated beaker on top of the dish.
IMPORTANT! It is critical the beaker is well centered and does
not touch the funnel during the test.
4. Place the commode chair and funnel over top of the

Uroflow transducer and beaker. Ensure that the
beaker and the funnel are aligned.
5. Once the UDS software is open, it will automatically
connect to the Urocap V.
Figure 3: Uroflow Transducer placed under commode chair
PUMP SETUP
1.
2.
3.
4.
Insert pump tubing spike into a 1000ml bag of saline solution.

Flush the line completely.
Clamp the line shut and hang the bag on the IV pole hook.
Open pump head. Position compressible portion of pump tubing across rollers from left to right.
NOTE: the soft portion of the pump tubing should be placed at the left edge of the pump head; be careful not to pinch
tubing between V-shaped clamps on either side of the rollers.
5. Close pump head.
6. Open the roller clamp on the pump tubing.
LABORIE
22
ROAMDX SETUP FOR PRESSURE AND EMG

Insert the EMG cables to the RoamDX cartridge ports labeled E1 or E2 (E1 may also be used as a pressure port however it must
be calibrated to the pressure transducer being used). Insert the ground cable into the center opening with the ground symbol.
Attach the P1 cable into the port labeled 1 on the cartridge; P2 cable into the port labeled 2 on the cartridge and so on.
Before beginning an electromyography:

The electrodes should be snapped onto the 3 EMG leads.
The patients anal area should be clean, dry, and free of hair.
Once the patients skin is properly prepared, the electrodes may be applied.
1. Two electrodes are placed peri-anally at the 10 oclock and 2 or 3 oclock positions. Place as close as possible to the
anus for pelvic floor muscle readings.
2. The third electrode is placed on a bony prominence such as the patients hip bone or knee.
Figure 4: EMG Patch Placement.

LABORIE
23
Make sure the electrodes are placed as close to the anal sphincter as possible or the EMG activity will be weak.
NOTE: It is recommended that each electrode be secured in place with an additional piece of surgical tape. If the electrodes
detach, dry the skin and apply new surgical tape.
PRESSURE TRANSDUCER SETUP FOR FLUID-BASED DISPOSABLES

Take each cartridge out of its package, and remove protective covers from the back and from the connector ends.
NOTE: Make sure that the stopper cap is always securely in place whenever the stopcock position is changed.
1. Slide a cartridge over each transducer until it clicks into place.

2. Attach a pressure measurement tubing, with an attached stopcock, to the lower (male) end of cartridge.
3. Attach a 10 ml sterile-fluid filled syringe to the side port of the stopcock.
4. By turning the stopcock in the appropriate directions, flush fluid from the syringe through the cartridge and the pressure
measurement tubing and catheter.
CAUTION: Ensure that AIR BUBBLES ARE NOT present in the system during testing
Figure 5: Pressure Transducer Setup
LABORIE
24
WATER PRESSURE TRANSDUCER SETUP

off to syringe
to transducer
cartridge
to catheter
Figure 6: Stopcock Positions
To connect the pressure transducer and prepare it for a test:

NOTE: If you are using more than one pressure transducer, repeat the following procedure for each transducer
1. Attach a pressure transducer cartridge to the pressure transducer plate. Connect the 3-way stopcock side of the TUB101
interface tubing to the bottom male Luer connector of the pressure transducer cartridge.
2. Attach the catheter port to the other end of the TUB101 interface tubing.
3. Attach a syringe filled with water or saline to the 3-way stopcock.
4. Turn the "OFF" position of the stopcock to the catheter (see Figure 6 B).
5. Make sure the line between the syringe and the pressure transducer cartridge is open. (Example: Remove the Luer plug
and/or open the stopcock through the pressure transducer cartridge).
6. Prime the pressure transducer cartridge by using the syringe to fill it with water until there are no air bubbles.
7. Close the pressure transducer cartridge (example: put a Luer plug on the pressure transducer cartridge).
8. Turn the "OFF" position of the stopcock to the pressure transducer cartridge (see Figure 6D).
9. Prime the catheter by using the syringe to fill the catheter with water (see Figure 6D).
10. Turn the OFF position of the stopcock to the syringe (see Figure 6 A).
LABORIE
25
NOTE: 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.
Remember! Keep transducers level with the patients symphysis pubis at all times.
INFUSION VOLUME TRANSDUCER (OPTIONAL)

1. Ensure that the infusion transducer cable is connected to the Pump module.
2. Place a 1000 ml bag of sterile saline inside a pressure cuff. Hang the pressure cuff on the hook of the infusion
transducer.
3. Inflate the pressure cuff to 300 mm Hg (when the red line appears on the pressure cuff gage).
4. Connect an infusion line to the saline bag. Use a basic solution set with a drip chamber.
5. Tape the infusion line to the IV pole between the drip chamber and the flow control valve (roller clamp). Ensure there is
excess tubing between the tape and the drip chamber.
6. 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 else 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 saline bag must not touch any other mechanical component of the system (such as transducers, etc).
Hint: Use an infusion pressure cuff for faster flow rate.
Figure 7: Infusion Transducer Connections
LABORIE
26
CATHETER SETUP
The following section is a reference guide to catheter setup and connection.
It is recommended that the single-, twin-, and triple-lumen catheters supplied by Laborie Medical Technologies be used for
Urodynamic tests involving the UDS System.
IMPORTANT! Do NOT use Foley catheters, as these catheters are not designed for pressure
measurement, bladder infusion, or pressure recording. Do NOT use catheters on patients that suffer from
bladder infections or strictures in the urethra.
RECORD BLADDER PRESSURES

Use a twin-lumen catheter to record bladder pressures:
1. Connect the infusion line to the bladder filling port of the catheter.
2. Connect the measurement tubing to the vesical port of the catheter.
Use a triple-lumen catheter to simultaneously record urethral pressure and bladder pressures.
1. Connect the infusion line to the bladder filling port of the catheter.
2. Connect the measurement tubing to the vesical port of the catheter.
3. Connect the measurement tubing to the urethral port of the catheter.
TWO CATHETER TECHNIQUE

To perform a Micturition test during which the patient will void with a vesical catheter in place, you may use two separate
catheters: one catheter for bladder infusion, and one small catheter (4 French) for pressure measurement.
At the end of the filling portion of the study, the catheter used for infusion should be taken out and the catheter used for
pressure measurement left in so that bladder pressure can be measured during voiding.
ABDOMINAL (RECTAL) BALLOON CATHETERS

Rectal balloon catheters are used to measure abdominal (rectal) pressure.
Prior to connecting the balloon catheter to the measurement tubing, the balloon should be primed and be free of any air
bubbles.
LABORIE
27
To prime a single-lumen catheter so it is free from air bubbles:

1. Fill a 20 cc syringe with 10 cc of sterile
fluid.
2. Connect the syringe to the balloon
catheter.
3. Hold the catheter vertically, in a U
shape, with both ends facing up.
4. Draw back on the syringe to remove air
from the rectal balloon.
5. Push on the syringe until the balloon
fills with water.
6. Repeat Steps 4 and 5 until all air
bubbles are removed from the balloon
and the balloon is full of water.
Rectal Balloon Catheter Priming

NOTE: A properly primed balloon will have only a few c.c.s of water inside. It
will appear wrinkled in that the outer surface will not be fully expanded.
7. Once the balloon catheter is free of air

bubbles, it can be connected to the
measurement tubing.
To attach the rectal balloon catheter to the pressure cartridge, perform one of the following procedures:
For a Double-Lumen Balloon Catheter:
1. Connect the syringe to the longer port.
2. Open the exhaust port (the shorter port.)
3. Flush the catheter until there are no air bubbles in the balloon.
4. Cap the exhaust port.
5. Draw back on the syringe to deflate the balloon.
6. Clamp the end of the catheter that is to be connected to the measurement tubing.
7. Remove the syringe.
8. Connect the primed measurement tubing to the balloon catheter.
9. Remove the clamp.
10. Attach a syringe to the stopcock.
11. Insert rectal balloon into the patient.
12. Turn the OFF position of the stopcock to the transducer.
13. Fill the balloon with 1.5-3 cc's of water.
14. Turn the OFF position of the stopcock towards the syringe.
LABORIE
28
For a Single-Lumen Balloon Catheter:

1. Clamp the end of the catheter that is to be connected to the measurement tubing.
2. Remove the syringe.
3. Connect the primed measurement tubing to the balloon catheter.
4. Remove the clamp.
5. Attach a syringe to the stopcock.
6. Insert rectal balloon into the patient.
7. Turn the OFF position of the stopcock to the transducer (A).
8. Fill the balloon with 1.5-3 ccs of water.
9. Turn the OFF position of the stopcock towards the syringe (B).
LABORIE
29
T-DOC CATHETER SETUP

If you are recording pressures at the same time, repeat the following steps for each catheter.
1.
Place the catheter into the patient.
NOTE: Bladder catheter placement is 6-8 cm (no more than 10cm) for women, and 5 cm plus the length of the penis for men. Place the
abdominal catheter rectally to the 15 cm mark.
2.
3.
4.
5.
6.
7.
8.
9.
Secure the catheter.

Connect the catheter to the cable.
Connect the cables to the pressure ports on the Roam.
Connect the infusion line from the pump to the filling lumen on the vesical catheter.
Check that the charger is in the OPEN position.
Click the Set Zeroes button on screen.
Switch the transducer to the CHARGE position.
Result: You will now record true internal pressures. If you are recording two pressures during a CMG or Pressure/Flow test, Pves and
Pabd should be fairly equal and Pdet should be at or near zero.
Ask the patient to cough to confirm catheter positioning. When recording two pressures at the same time, the cough will show equal
deflection on both channels.
NOTE: If Pabd is higher than Pves, try repositioning the Pabd catheter. If repositioning does not work, ask the patient to cough to confirm that
both pressures are reacting appropriately, and click the Equalize button on the UDS120 control panel.
10. Continue with the testing procedure.
ELECTRONIC CATHETER
Connect the cables to the Electronic catheters as follows:
P1 Pves Blue -> S1 distal of dual catheter
P2 Pabd Red -> Single catheter
P3 Pura Black -> S2 proximal of dual catheter
Refer to the following diagram for more information.
Figure 8: Electronic Catheter Connections

LABORIE
30
SET UP REMOTE CONTROL (OPTIONAL)

PART 1: PREPARE THE REMOTE CONTROL
1. Turn on the remote control device.
2. Tap Settings.
3. Turn ON Bluetooth (if not already enabled).
4. Continue with Part 2: Prepare the PC.

LABORIE
31
PART 2: PREPARE THE PC

By default you have 2 minutes to complete the following steps to prepare the PC. If time runs out, you must repeat the steps in
Part 1: Prepare the Remote Control before continuing.
1. Right-click the Bluetooth icon (usually
beside the system clock on the desktop)
and select Open Settings from the resulting
context menu.
LABORIE
32
2. Select the Allow Bluetooth devices to find

this computer option in the Bluetooth
Settings window.
3. Click OK to close the window.

4. Click Start > Control Panel > System to
open the system window.
LABORIE
33
5. Make a note of the Computer name. It will

be needed for connecting the remote to
the PC.
1. Continue with Part 3: Remote Control

Setup.
PART 3: REMOTE CONTROL SETUP

1. Tap the Remote Control icon on
the remote control device.
NOTE: if the device was never paired with

the UDS system, a warning message will be
displayed.
If the message is displayed, click OK to
close it.
2. Tap the application settings menu

icon in the upper-right of the
screen.
3. Tap the Remote Control Settings

menu item
LABORIE
34
4. Tap the Find BT Device button

under Remote Control Settings.
1.
2. Wait for the computer name (as

noted in step 5 on page 34) to
appear on the list.
LABORIE
35
3. Tap the Computer Name from the

list of devices (LABDD0001 in our
example).
4. Type in the desired PIN for the
device In the Type the devices
required PIN field. (for example:
1234). Make a note of the PIN
number too.
5. Tap Done to close the software

keyboard.
LABORIE
36
6. Tap OK.
The Remote Control Settings screen will

display the selected Computer Name.
LABORIE
37
7. Wait a short time and then click the

A Bluetooth device is trying to
connect balloon when it appears on
the desktop computer in the lowerright corner.
8. On the remote control device, tap
Save Settings in the Remote
Control Settings screen.
9. Tap OK.
LABORIE
38
10. Tap the back button on the bottom

of the remote control device to
return the Home screen
11. Continue with Part 4: Final PC

Setup.
PART 4: FINAL PC SETUP

1. Click the A Bluetooth device is
trying to connect balloon on the
desktop.
LABORIE
39
2. Type in the PIN from step 4 on page

36 into the Add a device screen.
3. Click Next.
4. Wait for the Bluetooth pairing to

occur.
LABORIE
40
5. When the This device has been

successfully
added
to
this
computer message appears click
Close.
Remote control setup is complete. To learn how to change button names and set the display on the remote, see page 174.
LABORIE
41
CARE AND MAINTENANCE

IMPORTANT! DO NOT IMMERSE THE UNITS IN WATER OR ANY OTHER LIQUIDS!
GENERAL CARE AND PREVENTIVE MAINTENANCE
The AQUARIUS system is non-immersible. It should be wiped down with a clean cloth dampened with a cleaning
solution such as soap and water or as per hospital cleaning instructions.
The Uroflow beaker should be rinsed and dried after use. Soap and water, or a mild detergent solution, can be used for
cleaning. NOTE: Although the beaker is reusable, it will discolor over time and may need to be replaced.
The EMG electrodes, tubing, disposable catheters, optional strap, and cartridges are intended for SINGLE PATIENT USE
only. Do NOT re-use disposables.
The chair, Flowstand, funnel, and EMG headstage/processor can be wiped clean with a cloth dampened with soap or
mild detergent and wiped dry immediately.
o NOTE 1: The insertion points of the EMG headstage/processor must be kept dry; never immerse the EMG into
water or any liquids.
o NOTE 2: When cleaning the funnel, the maximum cleaning temperature should not exceed 80C (176F).
For the pressure transducer cartridges, clean any fluids or other foreign matter from the external surfaces of the
transducer and cable using a slightly damp cloth and a mild detergent solution. Do not immerse. Do not use chlorinebased cleaning solutions/agents. Do not autoclave or EtO sterilize the transducer.
Performing regular maintenance will reduce the need for costly repairs. As a necessary step in maintaining optimal
system performance check the calibration every 6 months or whenever you suspect the transducers are off
calibration.
Always wear protective gloves when cleaning the equipment to prevent biological contamination.
Pay close attention to the LED lights on each device. If they indicate a broken connection and/or low battery, then make
sure that the connection is re-established or the battery is fully charged. For information on LED lights see page 11.
For best performance it is recommended to always charge the devices when alerted to do so by the system.
CARING FOR THE ROAMDX
The RoamDX is not immersible. Wipe the outside only with soap and water or with a hospital-grade disinfectant. DO
NOT SPRAY CLEANING SOLUTION DIRECTLY ON OR IN THE ROAMDX.
The optional strap is disposable, non-sterile, and recommended for single-use only.
The holster can be cleaned with standard hospital wipes.
NOTE: It is recommended to charge and use the RoamDX at least once or twice a year to maintain optimal performance. If it will
be placed in storage, make sure it is stored with the battery fully charged.
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42
CARING FOR THE UROCAP V UROFLOWMETER

At times, the Urocap V will become dirty due to urine contamination and cleaning is required. Always wear protective gloves
when cleaning the equipment to prevent biological contamination.
IMPORTANT! Do not soak the Urocap V in water or any other fluids!

The lid of the Urocap V is not removable and attention must be paid to prevent damage to the lid. The Urocap V should be
cleaned using a damp cloth with alcohol, soap, or disinfectant detergent. The unit should be stored in a cool and dry area at
room temperature.
To check if the Urocap V is functioning, see page 45.
CARING FOR THE CART AND ITS COMPONENTS

The Cart and its components should be wiped down with a clean cloth dampened with a cleaning solution such as soap and
water or as per hospital cleaning instructions.
CARING FOR THE AIR-CHARGED TRANSDUCER/CABLE

The risk of patient to patient cross-contamination with sterile, single-use air-charged catheters using sterile technique is
negligible. However, any procedure in high-risk settings with body fluids and skin-to-skin contact increases the risk of
contamination of non-disposable components.
The following is recommended after each patient use:
Air-charged catheters are single patient use only. Discard after use.
Replace the tethered protective cap to the transducer housing via Luer Lock to protect the transducer.
Spray or wet-wipe the transducer/cable with a hospital-grade, broad-spectrum disinfectant that covers standard
potential pathogens as well as HIV, HBV, HCV, VRE, MRSA, MRSE, Pseudomonas and Mycobacterium.
Wipe the transducer/cable until dry.
BATTERY - CHARGING AND PREVENTIVE MAINTENANCE

IMPORTANT! For proper and safe charging, use only USB cables provided by LABORIE.
LABORIE
43
CHARGING THE BATTERY

Urocap V: Place the Urocap V on the charging bay/docking station on the cart or
plug one end of the USB cable into the device and the other end into the powered
USB hub on the pump hub. It will take approximately 7.5 hours to fully charge the
device (when not in use).
When the Urocap V is sampling, it will take 9 hours for the device to be fully
charged.
When the LED light on the device is green it is fully charged.
NOTE: it is recommended to have the device plugged in or have at least 40% battery
charge before the start of a test.
RoamDX: Place the RoamDX on the charging bay/docking station on the cart. Make
sure it clicks into place to ensure a proper connection (a beeping sound signifies it is
fully connected). It will take approximately 7.5 hours to fully charge the device
(when not in use).
When the RoamDX is sampling, it will take 10.5 hours for the device to be fully
charged.
When the LED light on the device is green it is fully charged.
UPX: Plug the USB cable from the UPX stand into the front USB port under the
central pump hub to charge the UPX. It will take approximately 7.5 hours to charge
(about 9 hours if sampling).
It is recommended to plug the UPX in at the end of every day to ensure a full charge
for testing.
NOTE: The equipment can still be used during battery charge time.
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44
PREVENTIVE MAINTENANCE
Do not step on, drop, drop in water, or puncture the battery. If misuse, abuse, or damage is suspected, or any form of
mechanical damage to the casing is visible, then discontinue use and return the battery to LABORIE.
If a sudden change in the batterys ability to hold a charge or a sudden change in battery life time is noticed, discontinue
use and return the battery to LABORIE.
It is recommended to charge all device batteries overnight to ensure proper function. Once the battery level drops to
40% charge, it is best to start recharging.
COMPUTER VIRUS PROTECTION

All computers purchased from LABORIE are virus-free before shipment and are installed with an antivirus program. It is the
customers responsibility to correctly use and maintain the anti-virus program to prevent virus problems. LABORIE is not
responsible for any virus related computer problems after point of delivery to the customer.
TREATING AND DISPOSING OF PRODUCT AFTER USE
After use, discard the contaminated, plastic, single-use disposables and any packaging according to your institutions
standard operating procedures on medical waste handling.
For end of life product, waste electrical and electronic equipment should be collected separately and returned to the
designated local recycling service.
For end of battery life, disposal must be handled according to local regulations.
Packaging waste should be collected separately for available national packaging collection and recycling services.
ENVIRONMENTAL CONSIDERATION OF WASTE DISPOSAL

Due to the fact that the Urocap V is designed to perform Uroflow studies, it is important to dispose of waste (such as urine)
properly to prevent environmental pollution. The waste should be disposed of in such a way that will not pollute the fresh water
supply system especially the drinking water system. Normally, this is not an issue in areas that have proper sewage systems
with water treatment procedures. In this case, the most convenient way is to use these sewage systems.
PREVENTIVE MAINTENANCE CHECKING CALIBRATION

Performing regular maintenance will reduce the need for costly repairs. As a necessary step in maintaining optimal system
performance check the calibration every 6 months or whenever you suspect the transducers are off calibration.
If the Uroflowmeter, the pump, the EMG, the UPX puller, the pressure transducers, and/or the infusion transducer are giving
incorrect readings, try the following checkups before attempting to calibrate the system.
CHECK THE FLOW AND VOLUME OF THE UROFLOWMETER

Check Volume
1.
2.
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Open the AQUARIUS software and start a sample Uroflow test.

Put an empty beaker on the Uroflow transducer.
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3. Select Set Zeroes!

4. Remove the empty beaker.
5. Fill a beaker with 500cc of water and place it on the Uroflowmeter.
The volume channel should display a volume of 500ml (+/- 5 ml). If the reading is above or below the 5ml threshold, then calibration is
required. Once calibration is complete perform a re-check by following steps 1 to 5 listed here. Contact LABORIE service for assistance if
problems continue after the calibration and re-check.
Check Flow
1.
2.
3.
4.
5.
Open the AQUARIUS software and start a sample Uroflow test.

Put an empty beaker on the Uroflow transducer.
Select Set Zeroes!
Fill another beaker with 500cc of water.
Slowly and steadily pour the water from the filled beaker into the empty beaker. Try to keep the rate between 25 to 50
ml/second.
The volume channel should display a volume of 500ml (+/- 5 ml). If the reading is above or below the 5ml threshold, then calibration is
CHECK THE PUMP

Some reminders before pump check-up:
The contrast used for testing procedures should also be used for check-up and calibration procedures.
Use only LABORIE recommended and approved tubing for accurate readings and measurements.
1. Prime the pump tubing.
2. Set up the pump tubing with catheter to pump into an empty beaker.
3. Open the AQUARIUS software and start a sample test.
4. Fill to a volume of 150 cc and stop the test.
5. Measure the volume.
The volume channel should match the pump fill volume (+/- 10 ml). If the reading is above or below the 10ml threshold, then calibration is
CHECK THE EMG

A reminder before EMG check-up:
EMG leads tend to expire after six months of use; it is recommended that they be replaced every six months.
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1. Open the AQUARIUS software and start a

sample test with an EMG channel.
2. Place two EMG electrodes, 1 inch apart, on
your forearm (where the muscle flexes the
most) and the third EMG patch on your elbow.
3. Keep your arm relaxed, palm open, and down
to your side. You will notice minimal EMG
activity.
4. Keep your palm open and lift your arm slightly

(at a 45 degree angle) and hold the position to
keep it at a constant rate. You will notice an
increase in activity on the EMG channel.
at 50% strain
5. Keep palm open and lift your arm further up
until it is parallel to the floor. You will notice
more activity on the EMG channel.
at 100% strain
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6. Keeping your arm in the parallel position,

clench your fist. You will see an increase in
EMG activity on the EMG channel.
7. Unclench your fist and return to the relaxed
position.
8. Check the EMG channel for activity.
at 100% strain with full contraction

A sample reading can be seen here:
relaxed
50% strain
100%
strain
contraction
relaxed
If the EMG channel does not display any activity, then calibration is required. Once calibration is complete perform a re-check
by following steps 1 to 8 listed here. Contact LABORIE service for assistance if problems continue after the calibration and recheck.
CHECK THE UPX PULLER

1.
2.
3.
4.
With a pencil, mark two points 50mm apart along the UPX puller shaft.
Open the AQUARIUS software and start a sample UPX test.
Move the UPX to the distal (furthest) marker on the puller shaft.
Start a timer and then run the puller and measure the time it takes for the UPX puller to move to the proximal (closer)
mark on the puller shaft.
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The puller should stop at the proximal mark after 50 seconds (+/- 3 seconds). If the UPX puller does not move to the proximal
mark in the required range of time, then calibration is required. Once calibration is complete perform a re-check by following
steps 1 to 4 listed here. Contact LABORIE service for assistance if problems continue after the calibration and re-check.
CHECK PRESSURE TRANSDUCER

1.
2.
3.
4.
5.
6.
7.
Switch the charger on the T-DOC to the OPEN position.

Connect the catheter to the charger and gently squeeze the balloon on the catheter to expel any air in the balloon.
Switch the charger to the CHARGE position.
Fill a standard graduated beaker with 1000ml of water.
Open the AQUARIUS software and start a sample test with pressure channels.
Click Set Zeroes.
Dip the catheter into the beaker until the balloon on the catheter sits just below the water line.
Result: The pressure channel should read between 0 and 1 cmH2O.
8. Carefully lower the catheter into the beaker until the tip gently touches the bottom of the beaker. Do not touch the
sides of the beaker.
9. Hold the catheter in a steady position and wait for a reading on the pressure channel.
The pressure channel should display a reading of 15 cmH2O (+/- 2 cmH2O). If the reading is above or below the 2 cmH2O
threshold, then calibration is required. Once calibration is complete perform a re-check by following steps 1 to 9 listed here.
Contact LABORIE service for assistance if problems continue after the calibration and re-check.
CHECK THE INFUSION TRANSDUCER

NOTE: Make sure the Uroflowmeter is checked and calibrated before checking the infusion transducer. To check the
Uroflowmeter, see page 45.
NOTE: The saline bag must not touch any other mechanical component of the system (such as transducers, etc).
1. Place a full infusion bag on the infusion transducer.
2. Place an empty beaker on the Uroflowmeter.
3. Open the AQUARIUS software and start a sample test with a VH2O channel.
4. Click Set Zeroes.
5. Start the infusion and let it run until the infusion bag is emptied into the beaker on the Uroflowmeter.
6. Read the volume channel.
The volume on the channel should match the volume emptied into the beaker. If there is a strong difference (+/- 10 ml) between
the volume from the infusion bag and that of the volume displayed on screen, then a calibration is required. Once calibrated,
perform a re-check with steps 1 to 6 listed here. Contact LABORIE service for assistance if problems continue after the
calibration and re-check.
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USING THE MODULE TOUCHSCREEN

Use the AQUARIUS tower touchscreen for setting up device connections, performing calibration, and adjusting pump controls.
1
5
1
2
3
4
5
6
7
8
9
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Device Identification displays device type and status

Device name and Serial Number
Power displays power on or off to device
Battery displays battery charge level
PC connection wired
or wireless
Calibration tap to open calibration procedure for each device
Pump Controls tap to open pump settings menu
Settings tap to add devices, remove devices, and configure
connections
(optional) Remote Control connected
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USING THE TOUCHSCREEN FUNCTIONS

HOW TO ADD A DEVICE TO THE SYSTEM
Follow these steps to connect any additional Urocap V uroflowmeters, UPX UPP pullers, or UDX Roam catheter interface devices.
NOTE: Make sure the UDS software is closed when connecting devices.
1. Tap the Settings Icon.
2. Tap the Add Device option.
3. Wait for the device search to complete.
4. Tap to select the device to add to the system.
5. The selected device is highlighted in orange and tap Yes to add

the device.
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6. Repeat for any additional devices.
HOW TO REMOVE A DEVICE

2. Tap the Remove Device option.
3. Tap to select the devices to remove and then tap Remove.
4. Repeat for any additional devices.
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HOW TO CONNECT DEVICES

NOTE: Before connecting devices make sure:
The UDS software is closed and not running.
The device is not connected via Bluetooth.
2. Tap the Configure Connections option.
3. Slide to select the type of connection for the devices listed.
Or
4. Tap the Home icon at top left of the screen to go back to the
home screen.
The devices and their type of connections will be displayed.
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HOW TO SET UP PUMP CONTROLS

Control the pump speed during a UDS procedure or prime the pump to remove any bubbles from the Central Hub.
Before starting, make sure:
Pump is calibrated.
UDS software running and a test procedure is selected containing pressures.
Bubble Detector for Auto Pump Stop during Priming (Optional).
1. Tap the Pump Icon.
2. Tap the Play button to start the pump.
3. Tap the PLUS and MINUS buttons to increase or decrease the

speed as necessary.
Prepare Pump Settings
1. Tap the Settings button on the lower-right of the Pump screen
to open the Pump Settings screen.
2.
3.
4.
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In the Pump Settings screen adjust the Bubble Detection

threshold or the Volume Warning Limit for the pump.
Tap the edit box to type in the values.
In the Seconds edit box, enter the time (in seconds) to alert
the pump to stop when it no longer detects bubbles.
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CALIBRATION
IMPORTANT NOTES!
Do not plug in or unplug any USB device to or from the Central Hub during the calibration procedure.
Run the calibration procedure in one continuous process to ensure proper function and battery status of the devices.
HOW TO CALIBRATE FLOW AND VOLUME

Calibrate Flow and Volume with the Urocap uroflowmeter.
1. Tap the Calibration icon on the home screen.
2. Tap the UC5 device.
3. Listen for a `beep` from the Urocap to signal it is ready for

calibration.
4. Follow the on-screen instructions to complete the

calibration.
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HOW TO CALIBRATE THE PRESSURE AND EMG

Calibrate the pressure and EMG channels through the RoamDX. Make sure the transducer is connected to the device and
plugged in securely.
CALIBRATE PRESSURE
NOTE: Calibration points are displayed only for air-charged catheters.
2. Tap to select the RDX device.
3. Tap to select the transducer type used with the system.
4. Tap the boxes for the transducers to calibrate and tap Next to
continue.
Note: Scroll the screen to see the other checkboxes (P4, P5)
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5. Type 0 (zero) in the low load box and tap Next.
6. Continue calibration by following the on-screen instructions until

the calibration complete appears.
7. Tap the Return button to go back to the Calibrate Pressure

Transducers screen.
8. Repeat steps 2 to 7 for the other Transducer Types.
CALIBRATE EMG
2. Select the RDX device.
3. Tap to select Electromyography Calibration.
4. Tap to select EMGR1 transducer and tap Next to continue.
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5. Short the EMG leads. The green progress bar moves when
moving the leads.
6. Tap Next.
7. Wait for calibration to complete.
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HOW TO CALIBRATE THE PUMP

Calibrate the pump by assigning different Pump sets. A maximum of 10 sets are allowed.
2. Tap to select the HUB device.
3. Tap to select the Pump Calibration option.
4. Tap the empty box and type a calibration name. For example,
Saline8f. This name is required for proper pump setup as outlined
on page 101.
5. Tap Next to continue.
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6. Select the pump roller from the combo box.

7. Tap Next.
8. Select a Urocap device from the listing and then tap Next to
continue.
9. Select the correct catheter size from the listing.

10. Tap Next.
11. Select the fluid density from the combo box and then tap Next to
continue.
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12. Tap Next to start priming.

Note: Tap Skip to go directly into calibration if desired.
13. Tap OK to stop the pump and tap Next to continue.
14. Follow the on-screen instructions to complete calibration.
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HOW TO CALIBRATE THE INFUSION TRANSDUCER

2. Tap to select the HUB device.
3. Tap to select the Infusion Transducer Calibration option.
4. Select a transducer and tap Next.
5. Type in the Low Load value and then tap Next.
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6. Continue by following the on-screen instructions until

calibration is complete.
HOW TO CALIBRATE THE UPX

Before starting UPX calibration, have a ruler and pencil ready.
2. Tap to select the UPX device.
3. Follow the on-screen instructions to complete the calibration.
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CONNECT THE PC TO THE SYSTEM

An important final step when setting up device connections is the linking of the PC to the AQUARIUS system.
1. On the Central Hub touchscreen, tap the Settings Icon.
2. Scroll down to the Device Serial Number section, tap the blank
field and type the System serial number as it appears on the
NGM cart device label (the label can be found on the bottom leg
of the sytem).
3. Once the Device Serial Number has been entered press Done.
Note: the number should be in the format: NAXX-1YYYYYYYY where: XX = the system model type of LT
or CT or XT; and YYYYYYYY = all numerical digits. In
the example above, the serial number entered is
NALT-1-12345678.
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4. Tap Set.
5. Tap Yes to confirm the Device Serial Number is

correct.
6. When ready to start pairing with the computer, tap

Bluetooth Discoverable and then tap Yes in the
resulting permission request screen.
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7. Double-click the Bluetooth icon in the notification

area of the PC to pair to the system.
8. In the Add a device window, click Add device to begin searching for the NGM system. The NGM system name will
appear as XX-NAXX-YYYYYYYY where: XX = the system model type LT, CT, or XT; and YYYYYYYY = all numerical digits.
In the following example, the system chosen is LT-NALT-1-12345678.
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9. Depending on the model type one of two options will appear:

a. If it is the LT system then a passkey will be automatically generated as shown here. Tap Pair to continue.
b. If it is the CT or XT system then a passkey will need to be manually generated. Click Create a pairing code for
me to continue.
Once the passkey is generated, enter that pass key in the field on the central hub screen.
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NOTE: For LT systems, ensure the code on the central hub and the computer are the same; only then continue by selecting Yes.
Then click Next to continue.
After clicking Next, the following window may appear. Close the window by clicking the X in the top-right corner. Do not make
any setting changes under this window.
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10. When the following window appears to confirm that the Bluetooth pairing between the NGM system and the PC
(Desktop/Laptop) is complete, click Close.
Central Hub setup is complete.
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SYSTEM STATUS MESSAGES

Displays the current status of the device modules configured with the system.
System and software connected and functioning
Bluetooth Error:
This occurs when the Central Hub attempts to
connect to the device module via Bluetooth but
fails. The device may be out of range or the
battery has been depleted.
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USB Error:
This occurs when the Central Hub attempts to
connect to the device module via USB but fails.
The device`s USB cable may not be plugged-in.
Communication Error:
This occurs when the Central Hub successfully
connects via Bluetooth or USB but fails to
communicate (Bond) with the firmware on the
device module. Try resetting the power on the
device module.
Device Hibernation:
This occurs when the Central hub puts the device
module into Sleep mode. This is usually after 2
hours of inactivity. After 5 minutes, the LCD turns
off.
If the UDS software is running, it will put the
device to sleep.
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Battery LOW Disconnect:

This occurs when the device battery is very low
and the firmware forces a disconnection. This will
not occur if the USB charger is plugged-in. The
text will scroll across the screen.
Battery LOW:
This occurs when the device battery is very low.
Recharge the battery.
Battery SUSP:
This occurs when the battery reaches a
temperature above 45C (113F) or the power
supply is not properly connected to the central
hub.
Disconnect the RoamDx from the power supply
and then connect it back again. If the message
still appears, contact LABORIE technical support.
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SOFTWARE FEATURE AND FUNCTIONS

Double-click the UDS V14 icon on the desktop to start the UDS software. Patient information must always be added
before the start of a test.
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DYNAMIC CONTROL PANELS

The UDS tests can be set to open to a default control panel set each time the software starts. See page 165 for more information
about adding a control panel.
Once the patient information is entered, click the desired test button to open the Pretest screen.
The Pretest screen allows for a check of proper catheter placement and to verify pressure response before the start of a test.
Data is not recorded while this screen is running.
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Click the Summ. Review button at any time to view the summary results of the test at that stage.
Click Return to Test to go back to the test screen.
Click the Main Menu button to return to the main welcome screen.
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ZOOM BUTTON ON CONTROL PANEL

Create and use a zoom button on the control panel for a more detailed look at a particular section of the graph.
NOTE: a test must be at least 3 minutes long for the zoom feature to work properly.
1. Begin by creating a Zoom button on the control panel (if not already created).
2. Click Options > Control Panel Definition and find an empty spot on the control panel to add the button.
3. Type the name under the Label column, the zoom value under the Definition column, and select the Zoom description
under the listing in the third column.
NOTE: zoom values are always set as 2X, 3X, 4X, etc which corresponds to 2X=200%, 3X=300%, 4X=400% etc
4. Click OK.
5. Press and hold the left mouse button and drag the cursor to highlight the particular area on the UDS graph to zoom.
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6. Click the Zoom button on the control panel.

Result: The selected area is zoomed into and the Zoom button is switched to Zoom Back.
7. Click the Zoom Back button to return to regular view.
FILE MENU
FILE is the first menu located on the menu bar at the top of the screen.
OPEN
The Open feature on the File menu opens patient tests that have already been created.
Before opening a saved data file, be sure that any currently running patient tests are saved. Once the file is saved, opening a
saved file automatically closes the old one.
To open a saved file:
1. Click File from the menu bar.
2. Select Open.
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Result: The Open Test window opens.
3. Select the patient and then the file to be opened.

4. Click Open Test.
Result: The file opens.
NOTE: Numbers always appear before letters when sorted in ascending order.
OPEN SCHEDULED TESTS (OPTIONAL FOR I-LIST SOFTWARE USERS)

Retrieve the scheduled test information assigned to the local computer and/or for all computers for the day.
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Click the Show Scheduled Tests for this Computer option to see the tests entered in the i-LIST database for the local
computer.
Click the Show Scheduled Tests for all Computers option to see ALL tests entered in the i-LIST database for the assigned
computers.
Select any test from the list and select OK to continue.
You will see the patient information screen as well as any other pertinent information.
NOTE: Patient Name and Doctor information cannot be changed.
SAVE AS
The Save As feature is used to:
Save a test for the first time.

Resave a test using a different filename.
Setup Patient File Security features (more information on this can be found on page 105.
When choosing a new file name, keep the following points in mind:
The filename should not have been previously used.
The filename should not contain punctuation marks.
It is important that a system for filing be established so that test data may be recognized and retrieved
easily.
To assign a name to a file:

2. Select Save As.
Result: The Save Test File dialog box appears.
NOTE: All patient files are
automatically stored in the c:\data
directory. To change the directory,
refer to the Directories section on
page 185.
3. Click inside the text box.

Result: The mouse cursor changes to an edit cursor.
4. Enter the desired filename using the keyboard.
Result: The file extension .DTA stands for data and is automatically added to the filename.
5. If required, make sure that the Encrypt Patient Information box is selected.
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6. Select the type of file you would like to save from the Save As Type list.
7. Click Save.
Result: The file is saved with the new name.

PRINT STUDY
You can make a selection on the information that you would like to include in a printed report through this window.
The first time you print a report for a specific test configuration, select your preferred print options in the print menu and click
the Apply button. Each time you perform this test configuration, your report will automatically print when you click the PRINT
button on the Control Panel. The print menu will no longer appear and it will print with your preferred settings each time. The
Font button can change the look of some of the items on the printed report. Once the Font button is clicked, double-click the
name of the feature that will have a font change. Select the size and style and click OK to confirm the changes.
2. Select Print Study.
Result: The Print Options dialog box appears.
3. Refer to the following figure and its accompanying legend to select printing options.
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Figure 9: Print Study Dialog Box
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Number
Description
Print Output
(1) Preferences
Uroflow Report
1 page voiding study report.
PNTML Summary
Tetra NIRS Summary
Printout of PNTML (EVOX) tests. See the PNTML (EVOX) operating manual for
more information.
Not available with AQUARIUS UDS software.
UDS Report
Multi page complex study report.
Graph Pages
Graph pages of UDS report.
Report Pages
Report pages.
Address-o-graph
1-2 page report style.
Physical Exam.
Physical exam. section in address-o-graph report.
Standard Report
Prints all information pertaining to study.
Voiding Summary
Uroflow Summary information.
UPP Summary
UPP Summary information.
Event Summary
Event Summary information.
CHESS
CHESS Nomogram information.
(2)
(3)
ARM
URA
ICS Nomogram information.
WF
Bladder Work Function information.
LinPURR
Shafers Nomogram information.
Diagnosis
Patient Diagnosis information.
Compliance
Prints compliance report information.
History
Patient History information.
ARM Profile Summary
ARM Summary table as part of the report pages (ARM option).
Pressure
Profile ARM Pressure Summary as part of the report pages (ARM option).
Summary
Stationary Summary
ARM Stationary Summary as part of the report pages (ARM option).
Pressure
Variation ARM Pressure Variation Summary tables as part of the report pages (ARM
Summary
option).
Squeezing Summary
ARM Squeezing Summary table as part of the report pages (ARM option).
Rectal Volume Summary ARM Rectal Volume Summary as part of the report pages (ARM option).
(4)
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RAIR Summary
ARM RAIR Summary as part of the report pages (ARM option).
Expulsion Summary
ARM Expulsion Summary as part of the report pages (ARM option).
STEPP
Include STEPP UPP information in report.
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Number
Description
Print Output
Eberhard
UPP Static and Stress curves and summary information as part of report
pages.
Pediatric Nomograms This option is only available if the patient is between 3 16 years of age.
(optional)
Both the Voiding Summary screen and the Pediatric Nomogram option must
also have been opened to enable this feature.
Liverpool Nomogram
Optional feature for Uroflow procedures.
(optional)
Siroky
(optional)
Nomogram Optional feature for Uroflow procedures.
(5)
Print Border
This feature will frame the graph with a simple line border.
(6)
Number of Copies
The default number of copies to print is one.

Click on the combo box arrows to change the number of copies to be printed.
(7) Grids
Fine
Small grid squares on graph.
Coarse
Large grid squares on graph.
None
No grid squares.
Default
Test from beginning to end.
UPP Sections
UPP segments only.
Default and UPP
Prints both options.
(9) Apply button
Apply
Click this button to set up a default configuration when printing each test.
(10) Graph Scaling
1-Page Graph
Graph page is condensed into one page.
Standard
Standard Graph pages printed out with no compression or expansion applied.
Min/page
Selectable number of minutes per graph page. Use the scroll bar to adjust the
desired number of minutes per page view.
Manually select up to 8 segments or sections of the graph to be printed as
opposed to printing out the entire graph.
Graph Displays a sample of the graph printout.
(8) Print Range
(11)
Segments
(12)
Preview
Segments
Font
The Font button can change the look of some of the items on the printed
report. Once the Font button is clicked, double-click the name of the feature
that will have a font change. Select the size and style and click OK to confirm
the changes.
Griffiths et al. (1989) Neurourology and Urodynamics 8:17-27.
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*The URA may be difficult for first time AQUARIUS users to interpret. The URA must be viewed on the screen before printing.
Once the curve is viewed, the options in the dialog box become available.
BATCH PRINT
Batch Printing allows you to print multiple procedures together (for example, during a particular day or at different time
periods).
To access Batch Print for tests performed on the same day:
1. Click File from the menu bar and select Batch Print.
Result: The Batch Print window appears.
Figure 10:Batch Print Dialog Box

1. Click Select Todays.
Result: A dialog box appears indicating the number of data files that have been selected.
2. Click OK.
Result: The selected file(s) appear in the Print Files box at the bottom of the screen.
3. Click Print.
To access Batch Print for files which have been run on previous days:
2. Select Batch Print.
Result: The Batch Print dialog box appears.
3. Select the files to be printed by double-clicking on each file or clicking on a file and pressing the Select button.
Result: The selected file appears in the Print Files box at the bottom of the screen.
4. Click Print.
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To cancel printing a file after it has been selected in the Print Files box:
1. Click on the file from the Print Files box.
2. Click Remove.
Result: The file name disappears from the Print Files box and reappears in the File List box.
NOTE: The Re-Index option is only needed when an Index file is corrupt (A corrupt file means that the file is
damaged. If the file is corrupt, a message box will tell you to use the Re-Index option). This option generates the
index file that contains the patients name, comments, file date, and the procedure date for quick look up. The Index file
can be re-generated by re-indexing.
To access the Re-Index option:

1. Click Re-Index.
Result: The Re-indexing dialog box appears.
2. Click OK.
Result: The file is automatically re-indexed.
PRINT SETUP
1. Click on File from the menu bar.
2. Select Print Setup.
Result: The Print Setup dialog box appears.
To change the.... Then...
Printer: Select the appropriate printer in the printer name
combo box.
Paper size: Click in the Paper size field.
Select the appropriate paper size.
Paper source: Click in the source field.
Select the appropriate paper source.
Orientation of the printout so Click Portrait.
that it is viewed vertically:
3. Click OK.
The changes to the Printer setup will be applied to the printing process of the test.
Properties: To change the options, please refer to the printer users manual.
ABOUT UDS CLIENT

The About UDS Client dialog box displays the contact information for LABORIE Technical Support and formulas used in
Urodynamics. It also includes the software version number, the ServerX version number, the Firmware version number, and the
VBN version numbers (if applicable).
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You can also create a fax cover sheet that can be sent to the Support department for inquiries into any problems you may be
experiencing with the equipment or software.
To access About UDS Client information:
2. Select About UDS Client.
This window provides the phone number and e-mail address to LABORIE Technical Support.
Update
The Update button is to be used by the LABORIE Technical Support team.
Fax Cover
Click the Fax Cover button to open the Fax Cover sheet window.
In this window you can fill in the areas with all the information that will help LABORIEs Support team identify the problem and
provide a solution. Once you have filled in the information, click the Print button to print the cover sheet. Once it is printed, fax
the sheet(s) to LABORIE Support with the fax number provided.
IMPORT ASC
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This allows for the importing and opening of test data saved in ASCII format.
IMPORT ICS
This allows for the importing and opening of test data saved in ICS format.
EXIT
The Exit feature closes the UDS software.
EDIT MENU
The EDIT menu is used to mark and copy an image of the screen that will be pasted into another Windows application for
reports or presentations.
UNDO
The undo feature clears the selected (marked) image block. This menu item is only enabled if an image block has been selected.
To unmark a marked portion of a test:
After selecting an image block, click Undo from the Edit menu.
Result: The marked selection is unmarked.
COPY
Once an image block has been marked, it may be copied onto the clipboard for pasting into another Windows application.
The clipboard is a temporary storage area that holds all marked items for the purpose of transferring data from one application
to another in Windows. These marked items are not displayed on the screen.
To copy a test:
1. Mark the image block to be copied.
2. Click Edit from the menu bar.
3. Select Copy.
Result: The marked image block is copied into the clipboard until it is pasted into another application or deselected
by using the Undo command.
4. Paste the marked image block into a document in Word, PowerPoint, and Notepad and so on.
MARK BLOCK
The Mark Block feature marks an image block (for example, a graph or graph segment) so that it can be copied and pasted into
another application which supports Windows image pasting (for example: Microsoft Word, PowerPoint). This feature can also be
used in the workstation mode.
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NOTE: The Mark Block feature is not available when a test is running. Stop the test to enable this feature.
To mark an image block:
1. Open a saved test or stop the procedure if it is running.
2. Click Edit from the menu bar and select Mark Block.
Result: The cursor changes to a "+" symbol.
3. Drag the + cursor from the top left corner of the area to be marked to the bottom right corner.
Result: This area is highlighted and is ready to be copied.
Refer to the Copy section for instructions on how to copy the marked area.
To unmark a copy, refer to Undo.
UNDO SET ZEROES

The undo set zeroes feature clears the settings of a previous set zeroes operation.
To Undo the Set Zeroes of a Test:
1. Click Undo Set Zeroes from the File menu.
2. Select Undo.
Result: The previous Set Zeroes operation is reversed.
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ZOOM SELECTED AREA AND BACK

Use the zoom function for a more detailed look at a particular section of the graph.
NOTE: a test must be at least 3 minutes long for the zoom feature to work properly.
1. Press and hold the left mouse button and drag the cursor to highlight the particular area on the UDS graph to zoom.
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2. Click Edit > Zoom Selected Area.

The selected area is zoomed in and now visible in the entire graph window.
3. Highlight an area of the zoomed graph again and select Zoom Selected Area to continue zooming in if necessary,
or
click Edit > Zoom Back to return to the original graph.
NOTE: A Zoom button can be created for one-click zoom-in to a preferred magnification level. See page 76 for more information.
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CONFIG MENU
Clicking the CONFIG menu title lists the following menu items:
OPEN
The Open feature in the Config menu is similar to the task of pressing a Control Panel procedure button to load a test
configuration file and start a procedure.
To open a configuration using the open feature:
1. Click Config from the menu bar.

2. Select Open.
Result: The Open Test File window appears.
3. Select the test configuration file (example, CMG.cfg) and click Open.
Result: The test configuration is loaded and ready to start the procedure.
SAVE AS
The Save As feature under the Config menu is used to save or redefine a configuration.
Remember, a new file name should not include any punctuation marks.
It is important that a system for filing be established so that test data may be recognized and retrieved easily. For example: A file
may be named Uroflow.CFG for Uroflow studies or CMG.CFG for Cystometry.
To save a configuration with a different file name:
NOTE: All of the test configuration files are automatically stored in the C:\CFG folder.
1. Click Config on the menu bar and select Save As.

Result: The Save Test File dialog box appears.
2.
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Enter the file name using the keyboard.

2a. Select the Encrypt Patient Information checkbox if you wish to encrypt patient information.
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Result: The file extension ".CFG" stands for "configuration" and is automatically added to the configuration filename.
3. Click Save.
Result: The file is saved with the new name.
SET UP/MODIFY
The Set up/Modify menu items allow you to:
Connect devices to a test configuration file
Change data rate
Change channel order
Change channel title, scale, and units
Change test name
Add channels
And more.
NOTE: Depending on the software configuration for the system, some or all of the tabs will be visible.
For access to Configuration:
1. Click Config from the menu bar and select Set up/Modify.
Figure 11: Configuration Window
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The configuration parameters are divided into two major categories:

Channel parameters which configure individual channels
Global parameters which customize the entire test format
Before you save a new test configuration, the Clear Config button gives you the chance to erase any changes you made in this
window and start again.
The following section explains the parameters that can be changed and the procedures for performing these changes. After each
change, you can press the Apply button to apply any changes made. Press OK to apply the most recent changes and to close the
window.
NOTE: If you would like to resize the columns or rows in the Configuration window so that you can easily read any information
in the boxes, place the pointer on the shaded areas along the top or left side of the window. Move the pointer over the lines
between the columns or rows until it changes to a double-ended arrow. Once it is a double-ended arrow, drag the arrow across
to resize the columns, or up and down to resize the rows, until you get the right size for the particular column or row. You will
need to perform this function each time you open the Configuration window, as this setting is not saved.
Devices
Depending on the system, when a new test file is configured the devices
belonging to the system will need to be linked with the new test file to
ensure proper data recording.
Select the device from the listings for the RoamDX and the Urocap devices.
NOTE 1: this must be set up first before any other settings are configured in
this screen.
NOTE 2: If at any time devices are removed or added to the system, the
configuration tab needs to be updated with the newly added or removed
device.
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Curve Index and Channels

The default transducer configuration displays: Uroflow, Pves, Pabd,
Pdet, EMG, IH2O, and VH2O. Channels can be added or removed
according to your requirements.
To add a channel:
1. Click in the Channel Title box and select the desired
transducer/channel to be used.
2. Repeat step 1 until all the required transducers are
selected.
3. Click OK.
To remove a channel:
1. Click in the box corresponding to the desired transducer
2. Select none from the list under the Channel Name
column corresponding to the test channel you want to
remove.
3. Click OK. Result: The specified transducers are removed
from the graph.
NOTE: For curves, verify that the Display Curve in the

Display Attributes section has been selected. A maximum
of 8 curves can be displayed on the screen or on a
printout.
Channel Title
The channel title may be changed for easy identification purposes by
entering a new name in the Channel Title field of the Configuration
dialog box.
For example, if the default name "flow" is too vague, it may be
replaced with "Uroflow."
To change the channel title:
1. Click in the Channel Title field box. Result: The channel
title is highlighted.
2. Type a new channel title using the keyboard.
3. Click OK. Result: The new channel title is saved and
displayed on the graph.
Scale-Min/Max
The Scale range of a test curve can be specified.
To change the Maximum and Minimum scale:
1. Click on the Scale (Min) or Scale (Max) box of a channel.
2. Type the desired value for the Min and the Max using the keyboard. Result: The change in scale range is displayed
on the graph.
NOTE: If the full-scale value entered is a lower number than the recorded peak value, the peak of the curve is clipped off or
extended into the curve above it, depending on the graph clipping setting. For additional information on graph clipping, refer
to page 188.
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Units
The default units for each channel can be changed.
To change the scale units:
1. Click the Units box of a channel.
2. Click the down arrow beside the Units combo box.
3. Select the desired unit. Result: The unit change is displayed on
the graph channel.
Math Def.
Math Channels can be used to perform arithmetic operations between
one or more channels. The math channels support basic arithmetic
operations (for example addition, subtraction, multiplication, and
division) and the parenthesis operator ().
For instance:
If you have the pressure channel labeled Pves calibrated in cmH2O and you
wish to display the pressure in mmHg. Knowing 1mmHg = 1.36cmH2O, you
can type the following in the Math Definition for the Math1 channel and
change the units of Math1 channel to mmHg.
Pves / 1.36
Note that the channel label used in the math definition must match exactly
with the title of the channel you want to use. In addition, you can combine
the operators to make complex expressions like:
((Pves+100) - Pabd) / 1.36
To create a math channel:
1. Select Config and then select Set up/Modify.
2. Select a new channel.
3. Select the Curve Index number.
4. Select Math 1 under the Channel Name column.
5. Type the name of the math channel under the Channel Title column.
6. Select the Units.
7. Type the Math Def.
8. Verify the Data Rate as desired.
9. Select Display Curve under the Display Attributes column to show
the curve on the screen.
10. Click Apply.
11. Click OK to close the window.
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Data Rate
The Data Rate is the number of data points collected and stored per second during the recording process.
Variable High-Rate Sampling mode II: date rate 10 to 3000 Limitation: Multiple of 10
Variable High-Rate Sampling mode III: data rate 10 to 5000 Limitation: Multiple of 10
A higher data rate means the recorded curve has more data points, and therefore is more precise. However, higher data rate
uses more memory storage. As a result, the maximum duration for the test is reduced.
To edit the text box containing the data rate:
1. Click in the Data Rate box corresponding to the specific channel. Result: A Data Rate box will appear with a listing
of data rates.
2. Select the desired value from the list. Result: The new data rate is displayed on the graph.
3. Repeat for other channels (High Rate Sampling mode only).
Display Options
Display Attribute: Select to display the channel data as a curve on the
graph or in the digital window.
Curve Appearance: This feature allows you to customize the channel
color. Both the channel curve color and the channel information will
be displayed (and printed on a color printer) in the new color.
Display Line Width: This feature allows you to make the channel
curve thicker (in pixels) on the display. Click the box under the Display
Line Width column of the test channel and type the desired display
line width in pixels.
Print Line Width: This feature allows you to make the channel curve
thicker (in pixels) on the print out only. Click the box under the Print
Line Width column of the test channel and Type the desired print line
width in pixels.
Symmetry: This feature allows you to mirror a channels curve to
make a negative mirrored curve. Click the box under the Symmetry
column for the test channel and select Mirrored or Simple.
Interior: This feature allows you to fill the area under the curve with
the channel color.
Use Filter
This feature allows you to select curve filter options. You can select to not use a Filter, use a Standard Filter, use a 2 Second
Filter, or use a RealTime 2 Second Filter. The 2 Second Filter and the RealTime 2 Second Filter options can be applied to any
pressure channel and removes any positive and negative spikes on the test curve.
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Display Original
This option allows you to display the original graph also if you have selected to apply a filter to the graph.
Printable
This option allows you to see the graph on the printout of test results.
i-LIST Channel
(for i-LIST Office Reporter users only)
Select the channels that will have its data appear on the i-LIST reports.
EMG Slider
If you have selected a test that contains EMG, the resulting EMG
channel on screen will have a slider next to it.
Instead of manually adjusting the values, this allows you to adjust the Max
and Min scale values of the EMG channel using the slider. The slider control
range is from (-10V+10 V) to (-1000 V...+1000 V).
Test Name and Graph Scrolling Speed

The name of a test can be created or changed so that it can be easily
searched and retrieved.
The scrolling speed can be set for all curves. The scrolling speed
controls the resolution of the curves. You can only set a value
between 2 and 10 pixels per second; therefore the higher the
number, the higher the resolution.
To change a test name*:
1. Click in the Test Name box and select the current test
name.
2.
* NOTE for i-LIST Users: The test name is vital

to properly link to the patient database
system. Please consult with LABORIE before
changing the test name.
Type the new test name and click OK.

-orType the new test name and set the Graph Scrolling
Speed.
To set the Graph Scrolling Speed:

Click in the Graph Scrolling Speed box and type the number of pixels per
second for the curve.
Click OK to set the values.
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SETTING UP CH5 AND EMG1 CHANNEL

IMPORTANT: The CH5 and EMG1 channel cannot be connected to the same RoamDX device. If using one RoamDX then only one
of CH5 or EMG1 an used for the test.
UPP TAB
Under this tab you can set the UPP Puller speed or you can calculate the UPP Distance Summary based on the distance a
catheter is pulled with an attached sensor.
NOTE: Make sure to first select the UPP test button on the Control Panel before setting up this feature.
1. Connect the Distance Sensor/Catheter to Ch1.
NOTE: Make sure the Sensor has been calibrated first.
2. Select the Distance Sensor Channel option.
3. Select Ch1 from the listing.
4. Click OK.
5. Run a UPP test and press the Stop button to stop the test.
6. Click Info > UPP Summary to open the UPP Summary screen.
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7.
Click the Preview button to display the UPP Plots.
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NOTE: The preview button is only available when you are using the UPP Distance Summary option.
8. Click OK to close the screen.
9. You can print the results by clicking File > Print Study and selecting the UPP Summary option. (example printout shown
here)
If you would like to go back to using the UPP Puller speed, click the Configure button and select the UPP Puller Speed option.
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PUMP TAB
Under this tab, you can set the parameters for the pump such as fluid density and auto pump actions. Select the pump to use
during a test and configure its settings.
Feature
Function
Calculate VH2O from IH2O
When selected, the VH2O values are automatically calculated by the software based on the IH2O.
Empty Infusion Bag Warning
(valid only if Calculate VH2O from IH2O is not selected)

When selected, the UDS software will automatically stop the pump and display the following warning
message: Infusion bag is empty! when the Infusion transducer registers 5 ml or less of liquid
in the infusion bag.
Volume Channel
Specifies the infusion volume channel
Pressure Channel
Specifies the channel used for pressure feedback. NOTE: this channel must not contain a math
channel.
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Slow (rate speed)
Determines the slow speed of the flow rate
Medium (rate speed)
Determines the medium speed of the flow rate
Fast (rate speed)
Determines the fast speed of the flow rate
Prime (rate speed)
Determines the prime speed of the flow rate

NOTE: The Prime rate feature runs the pump at the speed set in the prime box in the Configure Pump
screen. The default speed is 150 ml/min.
Pressure Limit
Stops the pump if the pressure channel exceeds this limit. CAUTION: Do not exceed 150 cm H20
Volume Limit
Stops the pump if the volume channel exceeds this limit.

CAUTION: Do not exceed 750 ml
Volume Warning Limit
Displays a warning message when the infused volume reaches the specified limit.
Infusion Bag Warning Limit
When the value entered is greater than zero the UDS software will display the following warning
message without stopping the pump: Infusion bag is nearing empty! when the infusion
transducer registers the value equal or less than the value entered inside the Infusion Bag Warning
Limit box but greater than the threshold value for the Infusion Bag is empty. By default the threshold
value is 5 ml.
Auto Pump Option

Stop
Slow
Med
Fast
Auto Pump Event
Pump Calibration Name:
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This option starts the pump at the selected pump speed when the test starts. Choose Stop if you do
not want to use this option.
This option records events automatically when the pump runs or stops. This option is enabled by
default. Deselect the box to disable the feature.
Select the appropriate calibration line from the dropdown list. The name contains all the information
given during pump calibration on the central hub.
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Bubble Detector
The bubble detector helps monitor the presence of any air
bubbles in the pump tubing. If a bubble is detected in the tubing
(when the selected Bubble Channels value is detected by the
sensor to be lower than the Bubble Channel Limit specified in this
section) the software will display a warning message asking if the
pump should be stopped.
If a bubble is detected during infusion, prime the tubing, reset,
and try again.
To set the bubble detector:
1. Click Config > Set up/Modify and then click the Pump
tab in the Configuration window.
2. In the Bubble Detector section, select the Always on
option to enable the bubble detector, set the channel that will be
sensing the change in pressure, and set the value for the Bubble
Channel Limit.
3. Click Apply and then click OK.
When a bubble is detected, the resulting screens will appear depending upon the settings configured in this tab.
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Set Up the Pump

Ensure that the RoamDX, Urocap, and Pump combo
boxes are selected for the corresponding channels in
the UDS Configuration screen.
Select a Pump Calibration Name.

Enter values in the Slow, Medium and Fast fields.
Click OK to close the Pump Configuration dialog.
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FILTER TAB
Under this tab, you can set the filter frequency. Lowest value available is 0.5 Hz. (anything lower will not yield significant results).
UROFLOW TAB
Under this tab, you can set the parameters for Uroflow such as auto Voiding Summary and auto printing. See page 135 for
more information.
ARM TAB
Under this tab you can set the channels that correspond to the ARM measurements. You can have either a four-channel ARM
test or an eight-channel ARM test. For more information on setting up and performing ARM tests, please refer to the ARM
Owners Manual. NOTE: select the Enable Reverse Pump option to activate the reverse pump button on the control panel.
SECURITY TAB
Under this tab you can set the security features to protect, or encrypt, a patients name and information such as Medical Record
Number, History, Diagnosis, Doctors name, Clinic name, and Comments. Once encryption is set, only the software key that is
associated to the patient file can see the decrypted information.
NOTE: This security feature needs to be set before you start running a test, and make sure that a software key is installed in
your PC.
To encrypt patient information:
1. Click Config > Setup/Modify.
2. Click the Security tab.
3. Make sure that the Enable Encryption of Patient Information box is selected.
4. Click the Add button to add your software keys serial number to the secure list.
5. Click Apply to save your selections.
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6. Run your UDS test and save the test data.

7. In the File > Save As box, make sure that the Encrypt Patient Information box is selected.
Once you save the patient information with the encryption selected, only the software key installed on the PC associated with
the test file will be able to see all the information. If someone uses a software key that is not associated to the file they will see
the word ENCRYPTED in all the fields in the Patient Information window.
You can select to have all data files (even those already saved) encrypted with a newly added serial key. Select the Update all the
data files. option to establish encryption for all files.
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I-LIST EVENTS LINKING TAB
Events that are not in the I-LIST Events Linking may not appear in some of the printed reports.
Try the following to check if an event is available in the Event Summary:
1. In the software click Config > Set up/Modify.
2. Click the I-LIST Events Linking tab.
i-LIST Office Reporter will display only the events that appear in the list under this tab. Also, the Annotation Alias needs to
exactly match what you mark on the UDS test in order to appear in the Event Summary.
If you need to add an event, or if you are using the software with a language other than English, then you will need to add or
translate the Event name in the Annotation Alias listing on the left-hand side. Click on the event name once, then click on the
name again, and then type in the word as needed. For example, the event Strong Cough is added to the list. If we then click the
Event button on the control panel, the newly added event will appear in the Event Annotation box.
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Click Graph Segments to customize the width, height and minutes per page for reports. Select Channels to specify the channels
to appear on the graph segment.
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COMPLIANCE TAB
The Bladder Compliance feature can be configured by manually selecting the segment(s) or automatically calculate compliance.
To open the compliance calculation window, select the Compliance tab under Setup/Modify OR click the Configure button in the
Compliance Measurement Range window (see page 148).
1. Specify the Channels.
NOTE: By default the change in volume is calculated from the VH20 channel and the change in pressure from the Pdet
channel.
2. Select the Compliance Method.
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Manual manually select the segments. Close the Compliance tab window. Click Info in the top menu bar and select
Bladder Compliance to manually select the segments. Auto compliance features are not available when Manual is
selected.
Auto: Events select the events for the auto compliance calculation.
Auto: Infusion/100mL Infusion volumes of 100mL are used as the auto compliance calculation reference points.
3. Select the Auto Compliance Calculation Method.
Incremental compliance is calculated between events

selected from the Selected Compliance Events listing on the
right-hand side of the screen.
Average from 0 compliance is calculated from time zero
of the test to the events selected from the Selected
Compliance Events listing on the right-hand side of the
screen.
Average from PVR compliance is calculated from the
point where VH20 = PVR entered at the end of the
pressure flow test (mL).
Average from Event select the test event from the
dropdown list as the reference point for the auto
compliance calculation.
4. Select the Compliance Events.
For use with Auto compliance methods only. Select the
relevant test events for calculating the bladder compliance.
NOTE: Remember to save the configuration by clicking Save As then

Save.
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INFO MENU
INFO is the next menu located on the menu bar at the top of the screen.
PATIENT INFORMATION
The details of a patients file are easily added to and accessed through the Patient Information dialog box.
To access the Patient Information box:

1. Click Info from the menu bar.
2. Select Patient Info.
Result: The Patient Information dialog box appears.
3. Click in the Patient field.

4. Type the patients name using the keyboard.
5. Repeat steps 3 and 4 entering the relevant
information in the correct fields.
6. Click OK.
Result: The data entered in the Patient
Information dialog box is saved and the
Patient Information dialog box closes.
IMPORTANT! When entering information into the Patient Information dialog box, remember that:
The patients date of birth must be entered as month/day/year/, with one or two digits for the month or day and four
digits for the year. For example: A patient born on September 8, 1972 would be entered as 09/08/1972 or 9/8/1972.
Once the date of birth field is filled, the Age field is automatically calculated. Pediatric patients (patients 16 years of age
and younger) require additional setup. See page 247 for more information.
NOTE: The age is calculated from the date of birth to the date of the procedure.
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The patients gender must be correctly selected to have the appropriate statistical deviation appear in the Voiding
Summary.
The Patient Name field must be complete for the appropriate statistical deviation to print. Enter blank spaces into
the Patient Name field if you do not want to enter a name.
The MR# (medical record number) box keeps track of the patients medical records, especially when names appear
more than once.
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You can add more than one doctors name to the Doctor listing. Type in a name and click the Add Doctor button. To
remove names, click the Clear List button.
If there is a change in any patient information in this window, you will need to save the CFG and/or DTA file again to
confirm any changes.
Patient names (first and last) can only be up to 44 characters in length.
Medical record numbers cannot contain a back slash (\) or a forward slash (/).
HISTORY
A brief patient history can be saved with the study. The information in the History box is easily retrievable for future reference.
1. Click Info from the menu bar and select History.
Result: The History window appears.
2. Enter helpful information about the patient.
3. Click OK.
Result: The information is saved.
TIP:
The History feature can
also be accessed from
the Patient Information
dialog box.
DIAGNOSIS
The diagnosis feature consists of notes made about a patient's condition after the test has been performed. It can be saved with
the test, and the information in the Diagnosis box is easily retrievable for future reference.
1. Click Info from the menu bar and select Diagnosis.
Result: The Diagnosis box appears.
1. Enter information about the patient using the keyboard.
2. Click OK to exit.
Result: The information is saved when the file is saved.
TIP:
The Diagnosis feature can

also be accessed from the
Patient Information dialog
box.
X-Y PLOT
The X-Y Plot can be used to calculate the urethral resistance factor (URA), the bladder work function (WF), the Linear Passive
Urethral Resistance (LinPURR) graph, and CHESS functionality.
The formulas used to determine ICS Nomogram (URA) and WF are authorized for use by Dr. Derek Griffithsi and are located in
the appendix of the article.
ICS Nomogram (URA)

The ICS Nomogram or URA (Urethral Resistance Factor) plot determines if a patients urethra is obstructed or unobstructed by
graphing the flow and Detrusor pressure (Pdet) curves of a pressure-flow test on the x- and y-axis respectively.
NOTE: A default delay factor of 0.8 seconds is used to account for any lag time before the Uroflow transducer in a pressure-flow
test detects flow. It takes about 0.5 to 1.0 seconds for urine to travel through the urethra and into the Uroflow beaker. (Refer to
Dr. Griffiths article for more information).
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The URA Curve is a curve calculation based on the mathematical model of the equation. Please refer to the article by Dr. Derek
Griffiths for more information.
Mathematical equations used for calculating the URA are listed here:
URA index:
URA=
The URA
index is the y-intercept (Pdet intercept) of the following equation:
Pdet* =
at Maximum flow
Where:
d = 3.8 x 10
Q = maximum flow
Pdet = Detrusor pressure
Pdet* = Detrusor pressure at maximum flow
To display the URA window:

1. Click Info > X-Y plot.
2. Select ICS Nomogram (URA).
Result: The URA Plot window appears.
In the URA plot figure, the solid curve is Flow vs. Pdet and the dotted curve is URA.
To cancel the URA option select Exit! in the URA Plot window.
To display the URA Curve select URA.
URA Curve
Pressure/Flow Curve
To specify the analyzing range:

1. Click Options! from the URA plot window to open the X-Y Plot Options window.
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2. Click the Change button.

3. Select the segment analyzing range by dragging the mouse pointer across the graph from left to right.
4. Click Confirm.
5. Click OK.
By default, the complete test is plotted on the graph and the scale is determined by the scale of the channels. This information is
configured in the X-Y Plot options window.
To change a channel name, threshold, or scale:
1. Click Options! from the URA plot window.
2. Double-click in the text box of the name, threshold, or scale to be changed.
3. Type the appropriate modification.
4. Repeat steps 2 and 3 until all parameter changes are complete.
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5. Click OK to exit.
LinPURR
The LinPURR graphii is based on the work by Dr. Werner Schfer. The LinPURR (Linear Passive Urethral Resistance) feature is
available after a Micturition (pressure-flow) test has been run. A LinPURR graph determines urethral resistance by comparing
flow and pressure.
To access the LinPURR Graph:
1. Select the Info menu and select X-Y Plot.
2. Select LinPURR.
Result: The LinPURR graph is displayed.
To cancel the LinPURR Option:
1. Select Exit! in the LinPURR window.
A complementary analysis of pressure/flow data can be made using Dr. Schfers techniques combined with Abrams/Griffiths.
This representation is also in an X-Y format; however, the Flow and Pdet channels are plotted on the Y-axis and X-axis
respectively.
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To change the Parameters set for the LinPURR graph:

1. Click Options from the LinPURR window.
2. Refer to the following table to change the Channel parameters or the Graph Range:
To...
Then...
Change the channel:
1. Click the drop down button of the combo box

beside the channel name to be changed.
2. Select the appropriate channel.
Change the Scale or Threshold:
1. Double click inside the appropriate text box.

2. Type a new value using the keyboard.
Change the Graph Range:
1. Click the Change button.

2. Select the new range.
Activate/Deactivate the Display Click the check box beside the appropriate option.
Options*:
Color of Display:
Select the Channel button

Press Color button.
* These Options are regions of discrimination to assist the clinician in categorizing the pressure/flow event.
The following list explains these regions:
Pressure Flow Curve: This curve plots Uroflow and Pdet. It is similar to a URA curve, but LinPURR plots the pressure
channel on a horizontal axis and the flow channel on a vertical axis.
URA Curve: Please refer to page 112.
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URA Region Border: These lines on the graph divide the obstructed, unobstructed, and equivocal regions.
Detrusor Contractility: Detrusor Contractility is displayed as six regions marked in a left-diagonal fashion by the
following labels: VW, W-, W+, N-, N+, and S. The software looks at the dataset to determine the relative strength of the
bladder using Pdet and Flow as factors.
Normalized Detrusor Contractility: Normalized Detrusor Contractility represents the pressure at which the minimum
"normal" bladder performance has been achieved on the Detrusor Contractility Scale. If this value is 0, then a minimum
pressure has not been achieved.
OBI Pressure: This pressure represents the point at (50% of Qmax+2.4ml/s.)
LinPURR Grade: To perform a LinPURR Grade, use the following 2 above data points:
o Pdet at max. Flow
o Pdet at min. flow
The LinPURR plot can show a rough estimate of the relative grade (0 to VI.)
The digital parameters for LinPURR can be viewed from the LinPURR Summary box.
To access the LinPURR Summary Box:
1. Click Summary from the LinPURR window.
2. Refer to the following table to change the information in the LinPURR Summary Box:
To...
Then...
Change any channel or pressure Double-click the text box to be changed and type the new
values in the boxes:
information using the keyboard.
Change the LinPURR Grade or Select the appropriate option.
Detrusor Contractility:
Save the information for Click Save Diagnosis.
printing:
Result: The numerical results of the LinPURR calculation appear in
the Info-Diagnosis section of the software.
Click the Exit! button to close the LinPURR Summary.
Select the Exit! button in the LinPURR plot window to close the LinPURR Plot Window.
Bladder Work Function (WF)

The Bladder Work functioniii is based on the work of Dr. Derek Griffiths. The Bladder Work Function feature is available after a
Micturition (pressure-flow) test has been run. This feature calculates the bladder work function (also called bladder power) by
using Pdet, Flow, and Bladder Volume.
To access the WF Plot:
1. Click Info.
2. Select X-Y plot.
3. Select WF.
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Result: The WF plot is displayed and the complete test is plotted on the screen. The parameters can be changed in
the WF Configuration window.
Select Exit! in the WF Plot window to close the WF Plot window.
To change the Default Settings of the WF Plot using the WF Configuration Window:
1. Click Options from the WF window.
2. Change the range by using the Change button, if applicable.
3. Type any other changes using the keyboard.
4. Click OK.
NOTE:
By default, the Inflow Channel is
the infused volume (VH2O) and
the Outflow Channel is the
voided volume (Volume).
Usually the volumes are equal in value; however, if a patient has a residual volume of urine in the bladder, the volumes will not
be the same.
Residual volume: The difference between the inflow and the outflow. It is automatically calculated and is displayed in the
Residual Volume text box.
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Mathematical formulas used in this feature are listed here:

Bladder Power:
WF=
(units: W/mm2)
Q Vol Vt
3
vdet =
2 4.188790205
Where:
2
Variables and constants used in these equations are listed here:

Q = maximum flow
Pdet = Detrusor pressure
Vol = bladder volume = infused volume-voided volume
a = 25 cm H20
b = 6 mm/s or 0.6 cm/s
V = 10 ml
CHESS
The CHESS classificationiv is based on the work by Dr. K. Hofner. This feature will display a two-dimensional feature based on the
independent values of footpoint (pvoid min) and curvature from the passive urethral resistance relation (PURR). The CHESS
menu item is enabled only when there is a FLOW and PDET pressure.
To use the CHESS feature:
1. Run a test with Flow, Volume, and Pressure channels.
2. Stop the test.
3. Click Info > Event Summary.
Result: The Event Summary dialog box is displayed
4. Click Info > X-Y Plot > ICS Nomogram (URA).
5. Select Info > X-Y Plot > CHESS.
Result: The CHESS Classification Scheme dialog box will display.
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6. Click File > Print Study. NOTE: Ensure that the URA and CHESS items are checked.
7. Click OK to print test.
Siroky Nomogram
The Siroky Nomogram was developed to provide an accurate and reliable indication of outflow obstruction.v The UDS software
provided by LABORIE will help you compare the results of a patients pre-therapy and post-therapy Uroflow test.
To view the Siroky Nomogram:
1. Start the UDS software and click File > Open to open a saved Uroflow test.
2. Click Info > X-Y Plot > Siroky Nomogram.
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Once you select the Siroky Nomogram option, a window opens that contains the graphical representation of the Average and
Maximum flow rates as developed by Siroky et al.
NOTE: The Siroky Nomogram is valid for male adult patients only.
From here you can compare the average and maximum flow rates for the specific test. The plotted circles on the graph
represent where the patient lies on the curve.
Once you have viewed the graph, click the X in the upper-right corner to exit and return to the UDS graph window.
Liverpool Nomogram
The Liverpool Nomogram was developed to provide an accurate and reliable indication of normal Uroflow rates.vi You can
compare a patients pre-therapy and post-therapy urinary flow rate with LABORIEs software and the built-in Liverpool
Nomograms.
To view the Liverpool Nomogram:
1. Start the UDS software and click File > Open to open a saved Uroflow test.
2. Click Info > X-Y Plot > Liverpool Nomogram.
Once you select the Liverpool Nomogram option, a window opens that contains the graphical representation of the Average and
Maximum flow rates as developed by Siroky et al.
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NOTE: The Liverpool Nomogram is valid for male and female adult patients only. Depending on the sex of the patient, the
resulting Nomogram window will appear for either the male or female averages.
From here you can compare the average and
maximum flow rates for the specific test. The plotted
circles on the graph represent where the patient lies
on the curve.
Once you have viewed the graph, click the X in the
upper-right corner to exit and return to the UDS
graph window.
EVENT SUMMARY
You can add events throughout the test to record what occurs during the procedure. Events are automatically stored and displayed when you
register the markings. The summary of these events is available for reviewing at a later time. You can add events by using the Control Panel
event buttons or right-mouse click on the graph window when you want to add the event. An event marker will be shown on the Graph
window. Refer to the following table for different event markers:
To see
Events
Set Zeroes
Peaks
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About the Event Annotation Window

The event annotation window contains a list of events that can be added to the
graph.
Access to the Event Annotation window is possible in two ways:
o Click the Event button on the control panel.
OR
o Right-click anywhere on the graph and select the Insert Event option.
If an event is already listed, then double-click the name to add it to the graph.
To customize the event list:
1. Click Event on the Control Panel.
2. To delete an event from the list, select it and click the Remove button.
3. To add a new event to the list, type it in the edit box and click the Add
button.
4. After all the events are done, click the Save button.
5. Make sure the file name is correct and click Save.
6. Click Close to close the list.
Click the Sort button to sort the list alphabetically.
Click the up and down arrows on the right-hand side to move an event up or
down the list.
To view Event Summary:
1. Click Info > Event Summary.

Result: The events are listed in chronological order.
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Changing the Font

If you would like to change the appearance of the Event Summary window contents you can select the font type and size by
clicking the Font menu. This opens a Font selection window where you can set the font to your preference.
NOTE: This only applies to the on-screen display and not to what is printed on the hardcopy report.
Add or Change Event Annotation
1. Click on an event and click Annotate!
Result: The Event Annotation box appears.
2. Enter the text in the text box using the keyboard or pick from the list.
3. Click OK.
Result: The Event Annotation box closes.
TIP: Remember to always save the CFG file in order to keep the event annotation changes with the files.
Deleting Events from the Event Summary
1. Highlight the event. (To highlight multiple events, hold down the Ctrl key while clicking on the events.)
2. Click Delete!
Result: The Confirm Event Delete message box is displayed.
3. Click OK.
Result: The event(s) is deleted from the Event Summary.
Deleting or renaming events Quick Method
To delete or rename an event on a graph, right-click on an event located on the graph and select an option from the resulting
menu.
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Customized Event List

This feature allows you to customize the event list using the Add, Remove and Save buttons of the Event Annotation dialog box.
To customize the Event List:

1. Choose the test procedure to make the change.
2. Press the button labeled Event on the Control Panel.
Result: The Event Annotation dialog box opens with the event list.
3. To delete an event from the list, select it and click the Remove button.
4. To add a new event to the list, type it in the edit box and click the Add button.
5. After all the events are done, click the Save button.
Result: The Save Test File dialog box opens.
6. Make sure the file name is correct and click Save.
7. Click Cancel to close the Event Annotation dialog box.
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Permission to Void Event
If you would like to know the Maximum Filling Detrusor Pressure (Max Pdet) between the
start of a test and the moment the patient voids, you can mark this specific event on the
graph. Add the Permission to Void item to the event list and mark the event while testing.
With the Permission to Void event marker, the filling phase and the voiding phase segments
will be printed out on the report when you select to print the study.
NOTE: If a Permission to Void event is added after the end of a Uroflow segment (each stop is
automatically marked as Ur on the graph to signal the end of a segment), a message will
appear asking for confirmation to remove the previous Uroflow segment.
Click Yes to remove the marker or click No to keep the marker in the same spot.
Move to Event
Once you are in the Event Summary window double-click on an event to move to the point on
the graph that corresponds to that particular event.
TIP: Remember to always save the DTA file in order to keep the event annotation changes
with the files.
Stress Events
The Stress Test and Stress Leak event buttons provide precise LPP (Leak Point Pressure) calculations.
Remember to attach the leak point detector to the catheter that will be measuring the pressure before starting the
test.
Click the Start Stress Test button to start or stop the stress test calculation segment.
Click the Stress Leak button to manually add a stress leak during the stress test detection phase.
A Calculated LPP event is added to the graph when the stress test is stopped. This calculation is the change in Pves
pressure from baseline (as found at Start Stress Test) to the point of leakage.
When a test is stopped a message box appears with options to select and help differentiate between a cough leak
and a valsalva leak.
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If No is selected then a peak with No Leak event is added at the peak pressure value within the Stress Test
segment.
If Yes is selected then a Calculated LPP event is also automatically added at the peak pressure value within the Stress
Test segment along with the Stress Leak event.
To view the calculations click Info > Event Summary.
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NOTE: Stress events can also be recorded without a Stress Test event. Just program the buttons on the control panel as
follows and click the buttons during a test when the event needs to be recorded.
TRSS Events
TRSS (Tone, Reflex, Sensation, and Structure) events can be added to tests that are stopped or saved.
1. Right-click the graph on the spot where you would like to add a TRSS event and select Insert TRSS Event.
2. Select the TRSS #.
3. Select the region to add the TRSS event by left-clicking the mouse button and dragging the cursor across to select the
segment for TRSS calculation. Release the mouse button when area is selected.
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The TRSS Start and TRSS Stop events are added to the graph and the TRSS Event values are visible in the Event
Summary window.
Opening Time Event
Opening Time refers to the time between the initial rise in bladder pressure (Rise Pdet) and Uroflow start.
The mathematical definition for this is:
Opening Time = Time at Flow Start Time at Pdet rise
o The Rise Pdet event is automatically placed between the Permission To Void and Uroflow Start events.
o The event is placed on the Pdet channel. Remember to verify the position of the event on the graph. It can be
moved to another area of the graph if necessary.
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Once the event is added to the graph, it automatically activates the calculations associated with the event and the results are
visible in the reports.
In the report, the Fillingphase Results section will display the following information:
Maximal Cystometric capacity (in ml): the value from VH2O at Permission to Void
Incontinence during filling (in ml): the value of the Volume Channel at Permission to Void
Bladder filling (Maximal cystometric capacity Incontinence during filling) (in ml): value from Bladder Volume math
channel or equivalent calculation in report.
Note that the physiological opening time may be approximately one second shorter than what is displayed.
Event Line Coloring
To highlight an event placed on the graph, add a colored line to make it easily visible.
1. Open a test file if not already open.
2. Click Options > Event Summary to open the Event Summary window.
3. Click to select an event from the list, for example select the First Sensation event.
The selected event is automatically highlighted on the graph.
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4. Close the Event Summary window.

5. Right-click on the selected event on the graph to open the context menu.
6. Select Change Event Color to open the color selection window.

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7. Click the color box of the new color, for example change from blue to orange, and click OK.
Result: the events line marking will change to the newly selected color.
Continue to change colors as preferred.

Note that if there is more than one of the same event on the graph, the color change applies to all of the same events.
For example, if there are three Cough events on the graph and one is selected for color change, then the other two will
also change color.
VOIDING SUMMARY
The Voiding Summary menu item applies only to tests involving Uroflow information like the Uroflowmetry and pressure-flow procedures.
The Summary compares a patients test results with normal values. Statistical deviations are calculated using these standards and are
intended strictly for comparison purposes and should not be used solely for diagnostic purposes.
IMPORTANT! Since this comparison is based on patient gender, the gender must be correctly entered in the Patient
Information dialog box.
1. Click Info from the menu bar and select Voiding Summary.
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If flow and volume channels
Then see the
Exist and the current flow data is valid:

* BOOI, BCI, and BE references index values(see page XIX for
definitions)
Do not exist or current flow data is invalid:
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2. Perform one of the following procedures:

To
Then click
Exit the Voiding Summary window:
OK.
Change the channel and configuration

parameters:
Options.
Result: The Uroflow Options box appears.
IMPORTANT! The software calculates the summary results only if the minimum voided volume is 55 ml.
Voiding Summary Analysis

The Voiding Summary printout supplies a comparison to the Nomogram tables. They are provided for both male and female
patients on the same printout. The comparison is provided in a percent difference from the table value. Following is the
mathematical formula used in the calculations:
Peak Flow:
Mean Flow:
Flow Time:
PeakFlow PeakFlowMi nVolume, Sex

100%
PeakFlowMi nVolume, Sex
MeanFlow MeanFlowMi nVolume, Sex

100%
MeanFlowMi nVolume, Sex
TimeOfMict uritionMax Volume, Sex FlowTime
100%
TimeOfMict uritionMax Volume, Sex
Time To Peak Flow:
TimeOfToMaxFlowMax Volume, Sex TimeToPeakFlow

100%
TimeOfToMaxFlowMax Volume, Sex
These percent values are found in the patient statistics of the Voiding Summary printout. The M% represents the male values
and the F% represents the female values.
WARNING: The comparison with normal parameters should not be used

for diagnostic purposes. It is recommended to repeat the study if the
total voided volume is inferior to 55 ml; normal parameters are not
available below this volume.
Statistic values cannot be given if the voided volume is less than 55 cc
and more than 555 cc.
NOTE: Parameters of urinary flow were analyzed from 150 curves from subjects between 20 and 40 years old. The minimum
normal for a given volume appears to be the most practical value with which to compare patient flow rate.
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Uroflow Options
From the Uroflow Options box you can:
Customize how the summary is calculated.
Make changes to the channels and configuration parameters.
To change Parameters:
1. Click Options located in the Voiding Summary box.
Result: The Uroflow Options dialog box appears.
2. Refer to the following diagram and its legend to change any parameters in the Uroflow Options dialog box.
(1)
(3)
(2)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
Number
(1)
(2)
(3)
(4)
(5)
(6)
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Description
Default channels: Flow, Volume, and Pressure.
Range: Default range is from start to end of test.
Threshold: The minimum flow rate value used in calculating the Voiding Summary. Anything below this
threshold is considered noise or insignificant flow.
Enable Artifact Recognition: Select check box to enable.
Artifact Recognition Threshold: Indicates the maximum acceptable change in Flow (acceleration) that is
physiologically possible.
OEM Uroflow Transducer: Original Equipment Manufacturer (for optional non-LABORIE Uroflow
transducers).
135
Number
(7)
(8)
(9)
(10)
(11)
(12)
(13)
Description
Auto Event Marking: Automatically adds events to graph.
Auto Recording: With Auto Recording on, tests are automatically started and stopped once the
transducer senses fluid in the beaker.
Auto Voiding Summary: A Uroflow auto recording option to display Voiding Summary after a test is
finished. Auto recording must be enabled for this to work.
Auto Patient Info Prompting: A Uroflow auto recording option to display the Patient Info window when a
test is stopped.
Auto Filing: An auto recording option to save a file when a test is stopped.
Auto Printing: An auto recording option to print a file when a test is stopped.
Auto Display Print Option: An auto printing option to display print option before auto printing
To change a Channel:
1. Click the Channel box beside the channel to be changed.
Result: A channel list appears.
2. Select the appropriate channel name.
Result: The selected channel name appears in the channel field.
NOTE: Normally the default settings for threshold are not changed for performing Uroflowmetry on patients. Consult with your
LABORIE representative for modifications to default settings.
The calculating channels may be replaced with other channels as long as the units are consistent in definition.
Example: Flow may be replaced with another math channel depicting corrected flow rate.
To change the Time Range:
1. Click Change.
Result: The Uroflow Options segment selection window appears.
2. Click and drag mouse pointer across the graph window from the start to the end of the Uroflow segment.
Result: A bold black line runs across the top of the box indicating the selection.
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3. Release the mouse button.

Result: The start and end lines of the segment are updated.
4. Perform one of the following procedures:

To
Click
Confirm the selected segment:
Confirm
Cancel the selected segment:
Cancel
Result: Go back to the Uroflow Options window.

Artifact Recognition
This refers to the detection of non-physiological transducer readings.
Example: If a patient kicks the transducer, the curve indicates a very high spike. The height of the spike is unnaturally high and therefore
the UDS software recognizes the event as a deviation from what it considers a normal reading.
To enable the software to recognize Artifacts:

Select the Enable Artifact Recognition box. Result: A checkmark appears in the box indicating that the software
will detect artifacts.
The Threshold check box in the Artifact recognition box indicates the speed of flow.
The defaulted rate of flow is 45.0 ml/s/s. That rate means that if the speed of flow accelerates more than 45.0 ml/s/s, it is
considered an artifact. When an artifact is detected, the Voiding Summary calculation will ignore the next set of data.
To change the Acceleration Rate Threshold:

1. Double-click the Artifact Recognition Threshold box.
Result: The value in the text box is highlighted.
2. Enter a new value using the keyboard.
Result: The software recognizes the new value in the Threshold text box as the maximum rate of flow over which it
considers an artifact.
To exit the Uroflow Options window perform one of the following procedures:
To
Then click
Save any changes:
OK
Cancel any changes:
Cancel
Result: The Uroflow Options window closes and returns to the Voiding Summary window.
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Uroflow Auto Recording

The Uroflow Auto Recording feature is used for Uroflow or Pressure-Flow studies. It will automatically start a procedure without
the need to click buttons.
This feature provides Auto Start, Auto Stop, and Auto Set Up of the next procedure. Selecting the Auto Recording option allows
this feature. Once this feature is made available, you can select other customizable options. The options are performed in the
following order:
Options
Auto Beaker
Detection
Auto Set Zeroes
Always
On/Selectable
Always On
Description
Auto Start
Always On
Auto Stop
Auto Patient Info
Prompting
Auto Calculation
Auto
Voiding
Summary
Auto Filing
Auto Printing
Auto Display Print
Option
Auto Set up next test
Always On
Selectable
After selecting this procedure, it detects if a beaker is on the Uroflow transducer.

If no beaker is put on, it will display the message Beaker lifted up in the title bar.
Once a beaker is detected for eight consecutive seconds, zeroes are
automatically set. If the beaker is lifted up after zeroes are set, detection will
restart.
The test is automatically started if an increase in volume is detected after the
beaker is settled.
The test is automatically stopped 50 seconds after flow stops.
Automatically displays the Patient Info dialog box.
Always On
Selectable
Automatically calculates the Voiding Summary.

Automatically displays the Voiding Summary window if Voiding Summary is valid.
Always On
Selectable
Automatically saves the test in the form YYMMDDxx.QTA
Selectable
Automatically selects the test for printing.
Selectable if Auto Automatically
displays
the
Print
Option
dialog
Printing on
confirmation/customization.
Always On
Automatically sets up the next test.
box
for
Pediatric Nomogram (Optional)

The Pediatric Nomogramvii feature can be accessed from the Voiding Summary window. This is based on the work of Dr.Churchill
at the Hospital for Sick Children in Toronto. The Nomogram is a plot of Peak Flow vs. Voided Volume and the center curve
represents the Mean. The patients flow data is represented by a circled dot on the graph. As a result, a normal flow curve is age
and gender related.
NOTE: This feature is available only if the patient is between 3 to 16 years of age.
To access the Pediatric Nomogram Feature:

1. Click Pediatric Nomogram in the Voiding Summary window
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Result: The Pediatric Nomogram window appears
You can change the font by using the Font menu items.
You can change the scales by using the Options menu items.
You can close the Pediatric Nomogram window by clicking Exit!
UPP SUMMARY
The UPP (Urethral Pressure Profile) test is one of the most effective methods for analyzing and determining a patients urethral
length and resistance. Once the urethral pressure and the vesicle pressure data are obtained, the software can provide a UPP
summary.
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UPP start and stops are marked as events on the UDS screen. If you pass the pointer over a UPP start or stop event, a ToolTip
will display the events. You can reposition the event by clicking the line and moving it along the graph to a new location.
To open a UPP summary:
1. Click Info from the menu bar and select UPP Summary.
Result: The UPP Summary window appears. Each UPP pull represents a segment.
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The UPP Summary window contains the following information:
Length: Length of the urethra (functional length)

Start: Starting time of the pull
End: Terminating time of the pull
Peak Pclo: Maximum urethral closure pressure
Obstruction Zone Peak: Maximum pressure at observed obstruction (see page 142 for more information)
Length of the Continence Zone: Distance between the bladder neck and the highest pressure point in profile
Area of the Continence Zone: Area under the Length of Continence Zone
For more information on the preview button and its function, please see page 99.
To select and modify a segment to analyze:
1. Click the column heading (Pull 1, Pull 2, etc...) of a UPP pull.
Result: The start and stop times will be highlighted in green, and the graph on screen will scroll to TIP: You can
the end position of the selected UPP pull.
select up to
eight
2. Click the Auto Detect button to automatically adjust the start and end range.
segments
-orfor
UPP
calculation.
Manually move one of the UPP start or stop events on the UDS screen.
Result: The events are updated on the screen and in the UPP Summary window.
To change the Puller Speed, Measuring Channel, and/or Threshold:

1. Click the Configure button.
Result: The UPP Config box appears.
2. Click the cursor in the text box of the field to be changed.
3. Type the new data.
4. Click OK.
Result: The UPP Config dialog box closes.
To set the Distance Sensor Channel:
1.
2.
3.
4.
If a puller has a sensor attached, the distance a catheter is pulled will

be automatically calculated and then viewable in a printout.
In the UPP Summary window, use the drop down list to select the channel to which the catheter is linked. (example:
Ch3 would be the Pura channel).
Run the UPP test.
Stop the test.
Open the UPP Summary window.
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5. Select the Preview button to display the UPP Plots. This will give you a preview of what will be printed out in the report.
To print the UPP Summary:
1. Click File > Print Study.
2. Select UPP Summary from the Preferences
section on the left side of the window.
3. Select UPP Sections from the Print Range
section.
4. Select the desired segments.
5. Click OK to print.
Elements in the UPP Summary
The length of the urethra (functional length) is included in the UPP summary. The UDS software calculates the urethral length by
multiplying the withdrawal rate by the period of the functional segment of the graph.
NOTE: The recommended withdrawal speed is approximately one millimeter per second.
Obstruction Zone Peak
You can set the maximum pressure at an observed obstruction point. This setting will recalculate the peak pressure point.
To set the UPP obstruction zone:
1. Right-click inside a UPP range to set the Obstruction Zone.
Result: the context menu appears.
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2. Select the UPP End Obstruction Zone item.

Result: The UPP obstruction zone is marked on the graph as an event annotation in the format UPPXeObstruction
(where X represents the UPP segment number). The original peak pressure event is recalculated between this event and
the UPP stop event, which becomes the UPP peak pressure for Functional Zone. A new peak event is also added called
Obstruction Zone Peak 1.
Both peak events are movable. Obstruction Zone Peak parameters are shown in the UPP Summary as well as printed on the
UPP Summary report.
Re-marking UPP Segments
The UPP segments should mark automatically when using the Start Pull and Stop Pull Control Panel buttons to perform the UPP
test. It creates three unique events named UPP Start X, UPP Peak X, and UPP Stop X (where X is the Pull #) for each UPP pull
performed. For the first UPP pull, it will mark events called UPP Start 1, UPP Peak 1, and UPP Stop 1 automatically.
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In some circumstances you may need to re-mark the UPP Segments. To do this you will need to:
1. Remove the UPP Segments that you want to change:
a. Right-click on the UDS graph to open a context menu.
b. Near the bottom of the menu, click the UPP Segments option to open a smaller menu that lists all the UPP Pulls
that are marked on the graph. Uncheck the UPP pull you want to re-mark and the events corresponding to that
UPP pull will disappear from the graph. (i.e. UPP 1) as illustrated in the following images.
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2. Re-mark the UPP Segment: Highlight the UPP pull by left-clicking on the UDS Graph before the UPP pull you want to
mark, and continue to hold down the left mouse button as you drag the mouse cursor to the end of the UPP pull and
then let go of the mouse button. It will highlight the UPP pull in black.
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newly selected segment
3. Right-click on the highlighted section of the graph to open the context menu.
4. Click the UPP Segments option near the bottom of the menu, and now check on an unused UPP Segment (our example
will re-mark UPP 1 as it was removed in step 1). It will now add the UPP Start, UPP Peak, and UPP Stop events to the
graph for that pull.
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5. Verify the UPP Summary (found under the Info menu) is updated with the newly marked UPP pull information.
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Re-marking complete.
BLADDER COMPLIANCE (OPTIONAL)

Bladder compliance is calculated from the filling stage of a study. The Compliance feature is available once a CMG or Micturition
test has been performed. The Compliance option enables the start and end filling times of the study to be selected and analyzed
for accurate results. It also allows selection of up to three segments for each study.
Note that compliance can also be configured for automatic calculations. See page 109 for more information on setup.
NOTE: Bladder Compliance calculation/configuration can only be performed with English language software. The calculation
results are expressed in ml/cm H2O.
Bladder compliance is calculated as:
VH20
change in bladder volume
Pdet
change in Detrusor pressure
To access the Bladder Compliance function:

1. Click Info from the menu bar and select Bladder Compliance.
Result: The Compliance Measurement Range window appears.
Each compliance measurement is defined by a start and end segment. The segments are differentiated by color.
To select a segment to analyze:
1. Click to select the check box of the segment for analysis.
2. Click and drag the pointer across the graph window from start to end of a segment.
Result: A bold black line runs across the top of the box, indicating the selection.
Result: The "end" of the segment is selected. The time of the selection appears.
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To modify the selected segment...
Then...
Manually:
Repeat steps 2 and 3.
To exit the Compliance Measurement Range

window:
Then click...
Deselect any segments and return to the graph:
Cancel
Keep the selection and return to the test

Result: the Compliance Calculation is displayed as an Confirm
event in the Event Summary
To change the Volume or Pressure Channel:
1. Click Configure.
Result: The Compliance window appears.
2. Click the cursor in the text box of the field to be changed.
3. Type the new data.
Result: The event is automatically marked with the calculated compliance.
The compliance value appears in the annotation column of the Event Summary.
Auto Compliance (optional)
See page 109.
UPP
This option contains optional software features such as Eberhard Curves and Pressure Transmission Ratio.
Eberhard Curves (Optional)
The Eberhard feature measures the static and stress UPP profile for female patients.
This feature in the UDS software is based on the work of J. Eberhard and P. Lienhard.viii A complete copy of this article is available
upon request.
IMPORTANT! The following criteria must be established first for to properly calculate values.
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Verify that the Pves, Pura, and Pclo reference the correct channels.
Verify that the position of the patient is selected.
Verify that the UPP Puller speed is correct.
149
To access the Eberhard Curves Feature:

1. Click Info > UPP.
2. Select Eberhard Curves.
Result: The Eberhard Curve Options window appears.
3. Select the Static and the Stress UPP portions of the graph.
Static UPP:
a) Click the Configure button in the Static section to open the Range Selection window.
b) Select the range for calculating the static UPP Segment by clicking on the graph at the starting point of the range,
holding the left mouse button down, and then dragging the mouse across the graph until you reach the end of the
segment. Once the end of the segment is reached release the mouse button.
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The segment will be marked by red lines to the left- and right-side along with a black line across the top to highlight the
selected portion of the graph.
NOTE: if the selected segment is incorrect, click Cancel and select a new segment.
c) Click Confirm.
Stress UPP:
a) Click the Configure button in the Stress section to open the Range Selection window.
b) Select the range representing the dynamic UPP Segment by clicking on the graph at the starting point of the range,
holding the left mouse button down, and then dragging the mouse across the graph until you reach the end of the
segment. Once the end of the segment is reached release the mouse button.
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The segment will be marked by red lines to the left- and right-side along with a black line across the top to highlight the
selected portion of the graph.
NOTE: if the selected segment is incorrect, click Cancel and select a new segment.
c) Click Confirm.
4. Click OK.
Result: The Eberhard window opens to display the curves along with Total Urethral Length, Pressures, Functional
Urethral Length, and change information.
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5. Click Print! in the upper-left of the window to print a copy of the curve results.
6. Click Exit! to close the window.
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Pressure Transmission Ratio

The Pressure Transmission Ratio (PTR) feature is available after a test with Pves and Pura is completed. (For example, a UPP test)
Pressure Transmission is a ratio of pressure that is transmitted from the bladder to the urethra during a cough. Pressure
Transmission is calculated from the Pves and Pura channels.
The PTR formula is:
Pura
% PTR =
X 100%
Pves
Where:
Pura refers to the change from baseline in urethral pressure during a cough
Pves refers to the change from baseline in vesicle pressure during a cough
Methods for Calculating PTR

There are three methods for calculating PTR:
Basic PTR
The Basic PTR feature is the simplest method to identify coughs because this feature allows you to perform calculations for all
coughs during the test.
To access Basic PTR:
1. Click Info > UPP from the menu bar and select Pressure Transmission.
Result: The Pressure Transmission window appears
2. Click Basic PTR and click OK.

Result: The PTR Segment Selection box appears.
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3. Verify that the entire test is selected as a segment.

4. Click Confirm.
To modify the selected segment, perform one of the following options:
To...
Then...
Have the software modify the segment:
Click Auto Segment Detection.
Modify the segment manually:
Click and drag the pointer across the graph

window from the start to the end of the desired
segment.
The system automatically examines the Pves channel for any cough with increase in pressure greater than 20cm H2O (Cough
threshold.) At these points, an event is automatically marked and the pressure transmission ratio is calculated. The pressure
transmission ratio is displayed in the Event Summary.
If more than one cough point exists in a study, it is recommended that the segment selection feature be used. This allows
selection of up to three segments of the study to be calculated for PTR.
PTR on UPP Segments
The PTR on UPP Segment feature is only available when UPP segments exist. Coughs will be calculated only for the UPP
segments of the test.
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To access UPP Segments:

1. Click Info > UPP and select Pressure Transmission.
Result: The Pressure Transmission window appears.
2. Click UPP Segments and then click OK.
Result: The PTR Segment Selection window appears with any selected UPP
segment(s).
3. Select the segment check box.
4. Modify any segments by clicking and dragging the pointer across the graph
window.
Result: The segment times are updated.
To modify the selected segment, perform ONE of the following options:
To...
Then...
Have the software modify the segment:
Click Auto Segment Detection.
Modify the segment manually:
Repeat steps 3, 4, and 5.
Result: The "end" of the segment is selected.

To exit the PTR Segments Selection window, perform one of the following procedures:
To...
Then click...
Deselect any segments and return to the Pressure Cancel
Transmission window:
Confirm
Keep the selection and return to the test:
Result: The pressure transmission ratio is calculated and
displayed as an event in the Event Summary.
Manual PTR
Manual PTR allows you to customize the cough point selection. It also allows each Pura and Pves peak to be zoomed in and
modified accordingly. This is the most accurate method of calculating PTR.
To access Manual PTR:

1. Click Info > UPP and select Pressure Transmission.
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Result: The Pressure Transmission window appears.

2. Select Manual PTR from the Pressure Transmission window.
3. Click OK.
Result: The Pressure Transmission window closes.
4. Click on a peak in the Pves or Pura channel.
Result: A window appears with a close up view of the peak and the value of its Peak, Base, and Height.
To adjust the Position of the Peak, Base, Height, and PTR:
1. Click the circular handle to the left of the cough indicating the starting point of the peak.
2. Drag the handle to where you want the start point.
Result: The start point of the cough is modified. Repeat steps 1 and 2 to change the end point of the cough. The
Peak, Base, and Height automatically recalculate.
3. Click Next.
Result: A similar window appears for the other channel (Pves or Pura).
4. Repeat step 2 if necessary to adjust the start/end points.
5. Click OK.
Result: The window closes and the pressure transmission ratio is displayed as an event in the Event Summary.
6. Click OK to manually select another cough point or click Cancel to return to the test.
ARM 4&8 (OPTIONAL)

Refer to page 203 for more information.
VIEW HOR. MENU

The VIEW HOR. menu allows the test to be horizontally zoomed in or out while it appears on the screen in the form of a curve.
The default zoom size is 1X or 100%.
TIP: You can also set the zoom level by clicking the pop-up list located on the lower-right side of the UDS screen.
To modify zoom:
1. Click View Hor. from the menu bar.
Result: The Zoom drop list appears.
2. Click one of the settings. (Refer to the following table to determine the appropriate zoom size.)
Result: The test automatically changes to the size of the setting. The selected setting is saved when the test is saved.
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Setting
Display
25%
1/4 of the default zoom size
33%
50%
1X
Default zoom size
2X
Double the default zoom size
3X
Triple the default zoom size
4X
Quadruple the default zoom size
Full Screen
Full Screen On Stop
Custom
Whole test compressed on single screen

Whole test compressed on single screen once Stop button is clicked.
Zoom Custom box for whole test on single screen OR customized zoom
preference between 1 500 %.
OPTIONS MENU
The OPTIONS menu activates and accesses miscellaneous functions of the software.
TEST RESTART
Sometimes when the patient coughs, sneezes, or kicks the transducer during a test, a re-evaluation is required. The Restart feature restarts a
procedure from the beginning of the test.
To restart a test procedure:

1. Click Options on the menu bar.
2. Select Test Restart.
Result: The test is reset and ready to be run again.
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TEST PLAYBACK
The playback feature enables a pre-saved test to be played back as if it is being recorded. After the test is complete, it may be viewed by
using the playback feature. However, the playback speed may be different from that when it was recorded.
To view the test as it is running:
o
Click Options and select Test Playback. Result: The test plays from the beginning of the test and runs until the
procedure is over.
To
Then
Pause the test:
Click Stop.
Resume playback:
Click Test Playback.
Exit the playback mode:
1. Click Options.
2. Select Test Playback.
UROFLOW AUTO START

Another method of starting a test using the AQUARIUS is selecting the Uroflow Auto Start option. It enables the recording process as soon
as the AQUARIUS detects the first flow of data. This selection is appropriate for Uroflowmetry studies in instances where the patient
requires privacy before and during Micturition.
To set up Auto Start for a Uroflow test:

1. Click Options from the menu bar.
2. Select Uroflow Auto Start.
Result: As soon as fluid is detected in the beaker the test starts.
CURSOR VALUE INDICATOR

The Cursor window displays the exact location of the mouse cursor and the values of each channel at that location. This feature
is particularly useful for marking events and reviewing test data.
To access the Cursor:
1. Click Options from the menu bar and select Cursor Value Indicator.
-orPress the F9 key on the keyboard.
Result: The Cursor window, similar to the example provided here, appears.
To move the Cursor Window:
1. Click the title bar on the Cursor window.
2. Drag the window to the desired location on the screen.
Result: The cursor window moves to a new location.
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To cancel the Cursor Option:

Click Options and select Cursor Value Indicator.
-orPress the F9 key on the keyboard.
Result: The Cursor window disappears.
DIGITAL VALUE INDICATOR

The Digital Value window displays the data of channels with digital attributes. While all channels will print as curves, the screen can display
only a maximum of eight channels at one time. If more than eight channels are used, additional channels may be displayed as digital or
overlay. Digital channels are displayed in the Digital window, while curves of overlay channels are displayed on the channels in which they
overlay.
To set the Digital Attributes of Channels:

1. Click Config > Set up/Modify.
Result: The Configure Test window appears.
2. Select the Display Digital attribute in the Display Attribute column.
3. If necessary, repeat for other channels.
4. Click OK.
To switch the Digital Window On/Off:
Click Options on the menu bar and select Digital Value Indicator.
- or Press F8 on the keyboard.
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DISPLAY CONTROL PANEL

This menu item allows you to choose whether you would like to have the control panel buttons appear on screen or not. The
default mode is to have the control panel buttons appear.
To remove the control panel function buttons Click
Options > Display Control Panel.
Result: The buttons disappear.

To restore the function buttons Click Options >
Display Control Panel.
Result: The function buttons on the control panel.
CONTROL PANEL SETTINGS

The easy accessibility of the Control Panel buttons is a convenient feature of the UDS software. The Control Panel Settings dialog box allows
the Control Panel to be configured with various function buttons, and modifies the definitions that are assigned to event-type buttons.
There are seven Control Panel buttons on each row. The number of rows can be modified if desired. For a list of button labels and definitions,
please refer to the last section in this chapter Glossary of Control Panel Commands on page 169.
NOTE: There are seven buttons on each row; the last two buttons of the first and second rows are reserved for system use. You
can program the rest of the buttons.
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To configure the Control Panel:

2. Select Control Panel Settings.
Result: The Command window appears displaying the first row of Control Panel buttons.
To change the
Then
Name of the
function button:
Double-click the Label text box of the button. (The entered text will be displayed on the Control
Panel button in the UDS Client screen.
Enter the name of the function button using the keyboard.
Repeat steps 1 and 2 until all the function buttons are labeled appropriately.
Definition of the
name on the
function button:
Click in the appropriate text box under the Definition column.

Enter
the
new
definition
using
the
keyboard.
IMPORTANT! The meaning of the definition depends on the type of Control Panel
button. Please refer to the section, Glossary of Control Panel Commands on page 169.
Repeat steps 1 and 2 until the definitions for all items on the Control Panel are complete.
Type of function
button:
Click on the down arrow of the appropriate combo box to the right of each buttons function.
Select the appropriate function command type.
Repeat steps 1 and 2 until the type of all function buttons in the row are set.
3. Click the down arrow of the Current Row to move to the second row of function buttons.
4. Click OK when all buttons are configured completely.
IMPORTANT! The Control
Panel Set used when the
UDS software closes is
saved as the Default
Control Panel set and is
automatically loaded when
the UDS Client is restarted.
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The Button Height slider can be used to adjust the size of the buttons in the Control Panel. Slide it to the right to increase the
size of the button.
Multiple Control Panel Sets and Hot Key Configuration
Multiple Control Panel Sets can be set up in the UDS software, which will allow two or more users to use the same equipment
but each having a customized Control Panel. Up to 16 Control Panel Sets can be set up in addition to the Default Control Panel
Set.
The Hot Key configuration feature allows you to create a shortcut key combination for a particular control panel button.
To Configure Multiple Control Panel Sets:
1.
Click Options > Control Panel Settings.
NOTE:
Result: The Control Panel Command box appears.
A maximum of
15 characters
2.
Type in a new name in the Control Panel Set Name box.
(including
3.
Customize the Control Panel buttons to your liking.
spaces) can be
used for the
4.
Click OK to save the Control Panel Set.
name.
Result: The new settings are saved and ready to be used.
To use another configured Control Panel Set:
1.
2.
Click the drop down button of the Control Panel Set Name box and select the appropriate name.
3.
Click OK.
Result: The selected Control Panel appears.
To add a new Control Panel set by duplicating the settings of an existing Control Panel set:
1.
2.
Click the drop-down button of the Control Panel Set Name box and select the name of the Control Panel set
to be copied.
Result: The settings for the selected Control Panel set are displayed.
3.
Type over the displayed Control Panel Set Name with a new name.
4.
Make any additional changes to the Control Panel Set.
5.
Click OK.
Result: The new name and settings are saved and ready to use.
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To configure the Hot Keys

1.
2.
Click the P button next to the particular control panel

button.
Result: The Properties window appears.
3.
Under the Accelerators section, select a key combination

that will correspond to a particular function of the control
panel button. In our example, we will apply a shortcut key
combination of CTRL+R to the First Sensation button.
4.
Click OK.
NOTE: the PLUS (+), MINUS (-), and EQUAL (=) keys can also be used for the
Hot Key configurations.
With this configuration, you can choose to either press CTRL+R or click
the control panel button labeled First Sensation whenever a first sensation
needs to be recorded.
To Configure Sound
Each button can be configured to play a unique sound when clicked.
NOTE: To properly use the Sound feature, you must have a sound card installed on
your PC.
1.
2.
3.
4.
5.
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Open the Properties window by clicking the P button next to a particular Control Panel button. In our example
the First Sensation button will have a sound file attached to it.
Select the Play sound when button clicked option.
Click Browse to locate the sound file that will be used for the button click.
Select the file and click Open to attach the file to the button.
Click OK to exit the screen.
164
Control Panel
Select an option from the listing to launch a default control panel that appears each time the button is clicked.
Add an Image to a Control Panel Button

An image can be added to a control panel button to make it easily distinguishable from other buttons.
To add an image to a button:
1. Click Options > Control Panel Settings.
2. Click the P button on the line of the control panel button to which an image will be added. In our example we will
add an image to the Uroflow button:
Click this button
3. In the Properties window, click the Browse button in the Image section to locate the image. Our picture in this
example will be a picture of the Uroflowmeter.
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Click this button
4. Once the image is found, click Open to add the image name to the blank line in the Properties window.
5. Click OK, and then click OK again to close the window.
The image will now appear in the button on the control panel.
Before
After
Customize Colors and Fonts

Click the Button Color button in the Command window to open the Select Color window. You can choose the background color
and font for individual Control Panel buttons as well as the color of the button names.
Once you have made your selections click OK to set them. The chosen colors and fonts will display once you exit the
Command window and return to the main UDS screen.
To select the button color and/or the text font:
1.
Click inside the colored box under the Text or Button column for the particular button type.
Result: The Color window appears.
2.
Select the colors you want for the button and/or text.
3.
Click the F button next to the button type under the Font column and select the font you would like for the button from
the resulting font selection window.
4.
Click OK.
You can also select to have all Control Panel buttons with the same color and font. In the All Buttons section at the bottom
of the window, select the button property to change and then click the rectangle next to the property to select the color or
font.
The chosen colors will display once you click OK and exit the Command window and return to the main UDS screen.
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Area Under Curve

The Area Under Curve feature calculates the area under the curve above a certain threshold for specified graph segments.
Before using this feature, the Area Start and Area End buttons and events need to be configured for calculation start and end
points. The control panel buttons can only be used while a test is running, while the events added to the Event Annotation box
can be used while a test is running or after a test is stopped or saved.
To configure Area Start and Area End buttons for the UDS control panel:
2. In the Command box, configure the Area Start*

and Area End buttons with the following
information.
3. Click OK to add the buttons to the UDS control
panel.
* The Area Start button is set with the format AS:(pressure

channel):(threshold value). In this example: AS:Pves:0 means that the
area under the Pves curve above a threshold of 0 will be calculated.
To configure Area Start and Area End events for the Event Annotation box:
1. Select a test to run.
2. Click the Event button on the control panel to
open the Event Annotation box.
3. Type the area start event with the format
AS:(pressure channel):(threshold value).
In this example AS:Pves:0 means that the area
under the Pves curve above a threshold of 0 will
be calculated.
4. Click Add.
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5. Type AE: (make sure that a colon symbol [:]is

typed after the AE).
6. Click Add.
7. Click Cancel to return to the test start window.
To calculate the Area under the Curve during a test:

1. Select Set Zeroes.
2. Click Run to start the test.
When applicable, click the Area Start button on the control panel to establish the starting point of area calculation.
When applicable, click the Area End button to establish the end point of area calculation.
Complete the test and click Info > Event Summary to review the Area Start and Area End values.
To calculate the Area under Curve for a saved test or after a test is stopped:
1. When a test is stopped or a saved test is open, right click on the graph at the starting point of area calculation and select
Insert Event.
2. Select the area start event AS: .
3. Click Annotate Event.
4. Move the cursor pointer to the end point of the area calculation and right-click on the graph.
5. Select Insert Event.
6. Select the area end event AE: .
7. Click Annotate Event.
Result: The area calculated will be appended to Area End Event Annotation in the format AE: Pves: xxxx where xxxx is the
calculated area.
8. Click Info and select Event Summary to review the Area Start and Area End values.
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Glossary of Control Panel Commands

Suggested Button Label
Definition
Type
Comments
First Sensation
First Urge
Capacity
Valsalva
Cough
Area Start
Area End
Uroflow
CMG
UPP
Micturition
Slow Fill
Medium Fill
Fast Fill
First Sensation
First Urge
Capacity
Valsalva
Cough
AS:Pves:0
AE:
Full path of CFG file
Example: c:\cfg\
Event
Config
Opens a .cfg file.
SF
MF
FF
Pump
Command
Controls the pump fill rate.
XXX ml/min
+YY ml/min
SP=XXX (where XXX is in ml/min)

SP+YY (where YY is the incremental rate)
SP-ZZ (where ZZ is the decremental rate)
Event - Unique
Marks an event with the definition

text as Event Annotation.
An event that occurs only once
and will replace any existing
recorded event.
-ZZ ml/min
Controls the reverse pump fill
rate
Reverse Slow Fill

Reverse Medium Fill
Reverse Fast Fill
RSF
RMF
RFF
Start Pump
Pumprunstop
Dynamic button to start/stop

pump at medium fill speed.
PumpRunStopResume
Used with speed control buttons.

After the Stop Pump button is
clicked the Resume Pump button
is enabled.
Sets up Uroflow Auto Start
Sets all channels to zero. For
setting EMG channel to zero see
page 194.
Sets the left channel value to the
right.
Resume Pump
Auto Start
Set Zeroes
N/A
N/A
Auto Start
Set Zeroes
Pura = Pves or
Pabd = Pves
Channel X = Channel Y
Example: Pura = Pves
Equalize
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UPP Return
UPP Pull
UPP Stop
Definition
IN (returns the puller as fast as possible;
for positioning the puller)
UPP
Command*
PU (pulls at default UPP speed; stops

when it reaches the tip)
Refer to the
UPP
Puller
manual
for
more
information.
IC02 Command
ST (stops the pull)

Start IC02
ICO2=40 (start CO2 infusion at 40

ml/min)
Stop IC02
Patient Info
Rest
Slow Waves
MSP
Compliance
Expulsion
XXcc
Resting Profile
Squeezing Profile
Squeeze 5 cm
Squeeze 4 cm
Squeeze 3 cm
Squeeze 2 cm
Squeeze 1 cm
Rest 5 cm
Rest 4 cm
Rest 3 cm
Rest 2 cm
Rest 1 cm
10 cc
20 cc
30 cc
40 cc
50 cc
60 cc
70 cc
80 cc
90 cc
100 cc
110 cc
ICO2=0 (stop CO2 infusion)

N/A
(rest)
(waves)
(max)
(comp)
(exp)
(XXcc)
RE
SQP
ST5
ST4
ST3
ST2
ST1
RT5
RT4
RT3
RT2
RT1
10cc
20cc
30cc
40cc
50cc
60cc
70cc
80cc
90cc
100cc
110cc
NOTE: type as is; do not add a space
between the number and cc.
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Type
Comments
Controls the UPP puller speed.
Pumps gas to fill bladder with CO2.
Patient Info
ARM
Opens Patient Info window.

Controls Anorectal Manometry
procedures .
Please refer to the ARM Owners
Manual for more information.
ARM 4&8
Controls Anorectal Manometry

procedures performed with 4 or 8
pressure circumferential catheters.
Please refer to the ARM Owners
Manual for more information
170
Definition
Single
Burst
Manual
Single Capture
Burst Capture
Manual Burst
Peak Image
Peak Burst
Initialize Default Values

Load File
Save File
Draw/Remove Calc Curves
Interpretational Help
Patient Info
Global Values
Bladder Settings
Sphincter Settings
Urethra Settings
Select View
Animation Control Box
Change Aspect Ratio
Curve Adjustments
Other Options
Transfer to VBN
Close VBN Windows
Please refer to the i-LIST Manuals
(vbninitialize)
(vbnloadfile)
(vbnsavefile)
(vbndrawremovecurves)
(vbninterpretationalhelp)
(VBNPatientFile)
(VBNGlobalValues)
(VBNBladder)
(VBNSphincter)
(VBNUrethra)
(vbnchangeview)
(vbncontrolanimation)
(vbnaspectratio)
(vbncurveadjustments)
(vbnotheroptions)
(vbnimportfile)
(vbnclose)
Pre-set definitions
Type
Image Event
Image EventUnique
Peak
Event
VBN
Image
Please refer to
the VBN section
in this manual
for
more
information.
i-LIST Config
i-LIST Event
(optional)
Comments
Defines buttons for use with UDS
Video Software.
Please refer to your video systems
Owners Manual for more
information.
Optional feature for bladder
modeling. Controls the functions
of the VBN feature.
Configures to the i-LIST software.

Save the event into the i-LIST
software.
Send Command to i-LIST
i-LIST
Command
i-LIST
Event
Please refer to the Evox Owners

Manual
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Pre-set definitions
Image
i-LIST
Event
Unique
Evoked
Potential

software.
software.
N/A
171
Definition
Type
Plot
Pre-set with the selections made when

button is configured
Plot
Stress Test
Stress Test
Main Menu
Main
Stress
Test
Command
Load CP
Summ. Review
PFReview
Load CP
Zoom
2x
3x
4x
Zoom
None
Comments
Click the plot button to open the
Nomograms that are applicable to
the test being performed.
For stress leak tests. See page 128
for more information.
Sets the default control panel for
each time the UDS software starts.
View the summary results control
panel to review the current test.
Zooms in on the highlighted area
of the graph when clicked.
Cancel the control panel button
NOTE 1: *Additional UPP commands include:
PU XX (pulls the UPP puller XX millimeters at the default UPP speed; for example PU 15 will pull the UPP for 15 mm at the
default speed)
PUH XX (pulls the UPP puller XX millimeters as fast as possible; used for positioning the UPP puller)
IN XX (returns the UPP puller XX millimeters as fast as possible; used for positioning the UPP puller)
You can set the puller to automatically stop or pull at preset intervals with the click of a button. When a UPP Command is
selected in the drop list and the definition is either PU or IN, a pop-up box appears and you can select the interval at which the
puller will stop.
Click OK to set the interval.

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NOTE 2: The Reverse Fill pump feature runs the pump in reverse and is used during ARM testing when you want to quickly fill
and then drain the large balloon that is used to provoke sensation. (If you program your pump commands as ff, mf, and sf, then
you can add the rff, rmf, and rsf. If you program the commands as fast fill, medium fill and slow fill, then you can program the
reverse as reverse fast fill, reverse medium fill, and reverse slow fill. IMPORTANT! Reverse Fill is not a feature meant to drain
the bladder! It is to be used only for the draining of the large balloon during ARM testing!
NOTE 3: To define the plots that will be displayed:
1. Select Plot from the drop list in the command window.

2. Click the plus (+) button to open the selection box.
3. Select All and click OK.

4. Type the word Plot under the Label column to name the button.
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5. Click OK to set the button on the control panel.
NOTE 4: When the Resume Pump button is clicked it will restart the fill at the last used rate.
ENABLE BUTTON SOUNDS

By default, button sounds and commands are audible in the software. To mute the sounds, click Options > Enable Button
Sounds to deselect the option.
Click Options > Enable Button Sounds to turn the sound on again if desired.
REMOTE CONTROL DESIGNER

Use this tab to configure or change the buttons for the remote control provided by LABORIE. See page 31 for setup information.
NOTE: Make sure the remote is powered on and connected to the PC and Hub.
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To change a button name:

1. Click Config > Set up/Modify and
select a Test Type.
2. Click OK.
3. Click Options > Control Panel

Settings
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4. From the Control Panel Set Name

listing select a control panel to
configure with the remote (for
example UDS Panel 1) and click OK
to load the control panel to the
main screen.
5. Click Options > Remote Control

Designer to open the Remote
Control Designer screen.
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6. Click the button on the Remote

Control screen that will be modified
(for example to change the Event
button click Event).
7. From the Name Chooser screen

select the new button that will
replace the previous button (in this
example click the Stress Test
button to be the replacement) and
then click OK.
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The changes are visible in the Remote

Control screen as shown here:
8. On the remote control device, open

the LABORIE Remote Control app
to view the button changes.
NOTE: if a button name is too long it will be

shortened.
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To remove a button:
1. Click Options > Remote Control
Designer to open the Remote
Control Designer screen.
2. From the Name Chooser screen

click the button to be removed (for
example, the Reporter button).
3. Click OK.
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The button is now removed from the

screen.
4. Click OK to close the designer
screen.
5. On the remote control device, open

the LABORIE Remote Control app
to view the button changes.
The remote screen will display with
the button removed.
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To configure the remote control display:

o For setting up the screen orientation and display on the remote control, follow these steps.
1. On the remote control device,
open the LABORIE Remote
Control app.
2. Tap the Remote Control Settings
button at the bottom of the
screen.
3. At the Remote Control Settings

screen make sure the Auto option
is selected under the Screen
Orientation section.
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4. Tap Save Settings and tap OK to

set.
5. Tap the Back button to return to

the home screen.
To use the remote control during a test:

1. Start the UDS software.
2. Tap the Remote Control icon on
the central hub screen.
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3. Tap Run on the central hub

screen.
The UDS software graph starts to scroll.

The buttons are automatically updated on
both the central hub screen and on the
Remote Control device.
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4. Click an event button (for

example, First Sensation) from the
central hub screen to insert the
event in the test.
5. Tap Stop on the remote control.
The procedure stops and the buttons are automatically refreshed on both the
central hub screen and on the remote control device screen.
6. Continue to use the remote to

control buttons on the screen as
needed during the test.
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FILE SAVING DIRECTORY

The File Saving Directory option allows you to select the storage directory/folder for saving the UDS data files.
To change the Storage Directory:

1. Click Options on the menu bar and select File Saving Directory.
Result: The Change Data Directory window appears
2. Click Browse and select a new directory.
3. Click OK to close the Browse for Folder window.
4. Click the Create Dir. button to set the new directory.
5. Click OK to close the Change Data Directory window.
EXPORT DATA
The Export Data option enables curve data to be exported in a text file format and used in another software program.
To export data:
2. Select Export Data.
Result: The Export window appears with the default export
file name (xxxx.out) and the whole test selected.
3. To change the file name, type a name for the text file with
the appropriate directory using the keyboard.
4. To change the range, click in the Export Data field and enter
the appropriate values of the time the data should be
exported.
5. Click Export.
Result: The text file is created and is ready to be imported
into another software program
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EVENT DISPLAY OPTIONS

The event display options allow you to customize how events and peaks are marked on the curve.
To change how events and peaks are marked on a curve:

2. Select Event Display Options.
Result: The Event Display Options box appears.
3. Refer to the following chart:

To change how
Events are marked:
Peaks are marked:
Click this checkbox
And see
1. Guideline
A dotted line
2. Annotation Abbreviation
The first two letters of the Event

Annotation
3. Channel Values
The value of that event on each channel
1. Guideline
A dotted line
2. Annotation Abbreviation
The first two letters of the Event

Annotation
3. Channel Values
The value of that event on each channel
4. Click OK.
Result: The Event Display Options box disappears and the curve shows the changes made to events and peaks.
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Selecting Background Colors for Events

To highlight a region of the graph for Uroflow or UPP events during a test, you can select to color in Auto Start/Stop events for
Uroflow tests and UPP Start/Stop events for UPP tests.
1. Click the Select Background Color of Paired Events button to open the Event Properties color selection screen.
2.
3.
4.
5.
In the Select Paired Event listing choose UPP or Uroflow and select the Show region for this event option.
Click the Select Color button to open the color selection screen.
Select the color that will highlight the region containing the events.
Once color is selected, click Close and then click OK to close the Event Display Options window.
Once you run the test the graph will display the highlighted areas where the events occur.
The resulting graph will appear similar to this example.

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AUTO MARK PEAKS

The Mark Peaks feature automatically marks peak events for all channels when the test is stopped.
1.
Click Options > Auto Mark Peaks to enable Mark Peaks.
Result: After running and stopping a test, a peak event for each channel is added.
2. Click Options > Auto Mark Peaks to disable Mark Peaks.
AUTO INFUSION EVENT

Auto Infusion Event Option may be used in the filling phase of CMG or pressure-flow tests. It marks an event after every 100 ml
of liquid is infused into the patients body.
To activate the Auto Infusion Event feature:
2. Select Auto Infusion Event.
3. Start the test and run the pump.
Result: An event is marked every 100 ml of fluid infused.
If events are displayed on the curve, the auto infusion event appears as a VH at the top of the curve. The Event Annotation in
the Event Summary will read VH2O = XXX ml.
To cancel the Auto Infusion Event option:
Click Options > Auto Infusion Event.
For more information on displaying events, refer to the Event Summary section on page 122.
GRAPH CLIPPING
The Graph Clipping option clips the top and bottom of a curve if it exceeds the display scales of a channels display area. By default this
option is disabled and the curves can exceed the display area of a channel.
NOTE: The channel scale range determines the height of the curve.
To enable the Graph Clipping Option:

2.
Select Graph Clipping.

Result: The curves appear flat if it exceeds the channel scale range.
Click Options > Graph Clipping to cancel the Graph Clipping option.
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SMART TRACING
This feature allows the curves to be displayed similar to inked display. Lines that have repeated data will be displayed in a darker
color. This feature is useful when a long test is compressed into a smaller display area.
RESIZE OVERFLOW SCREEN

Maintains the graph lines in the graph channels.
IMAGE OVERLAY (OPTIONAL)

This is an optional feature in the UDS software. With Overlay, also called Image Overlay, you can run a live video image that will
display under the graph on the UDS screen. This is available with the Video option of the software.
CHANGE INFUSION BAG

This item allows you to replace an infusion bag during a CMG or Micturition test. The system will automatically detect when the
infusion bag is empty or occluded and will display a message, such as the one seen here, asking for directions to continue.
However, if you decide to change the bag before the system alerts you, you will need to select the Change Infusion Bag item
under the Options menu.
To manually change the infusion bag during a test:
1. Click Options > Change Infusion Bag.
Result: The pump stops and the graph will continue to scroll. A message box appears asking you to change the infusion bag.
2. Click OK.
3. Replace the bag and reconnect the IV tubing.
4. Click OK to resume testing.
Result: The pump continues with its normal activity.
AUDIO
This option contains the Audio Settings and Event Playback features.
Audio Settings (Optional Sound Feature Only)
This menu item is present only when the sound feature is enabled. It allows you to change sound recording parameters.
To change the Sound Recording Parameters:
1. Click Options > Audio > Audio Settings.
2. Make the appropriate changes.
3. Click OK.
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Event Playback (Optional Sound Feature Only)

This menu item is used to turn on/off audio playback for sound events.
VBN
This option contains the VBN Settings and VBN Overlay features.
VBN Settings
If you have VBN enabled with our software you can set the catheter size that is used so that the renderings in VBN are correct.
1. Click Options > VBN > VBN Settings to open the VBN settings window.
2. Type the size of the catheter (between 0 and 15) and click OK.
VBN Normal Curve Overlay
This is a normalized Flow curve that is overlaid on the
patients Flow curve after a Uroflow or Pressure/Flow
test. It provides a basis of comparison between the
normal flow curve (for the patients gender and
voided volume) and the patients actual flow curve.
The match to the normal curve is visible in the shaded
area under the curve.
The normal flow curve is recalculated if there is a
gender change in the patient info screen.
By default, the curve is visible once you select this
option under the options menu.
To hide the curve, click Options > VBN >VBN Normal
Curve Overlay.
When VBN Normal Curve Overlay is selected in
the menu, it will have a checkmark next to it.
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I-LIST (OPTIONAL FOR I-LIST SOFTWARE USERS ONLY)
The UDS Software will transfer the data to the i-LIST Message Queue.
Right-click on the graph and select the Export to i-LIST menu item.
Click on the name of the event to export.
Save the test file. The UDS software will automatically transfer files to the i-LIST Server.
To see if file transfer was successful:

Click Options > i-List > MSMQ Monitor.
Once the i-List MSMQ Monitor window is displayed, click Options > Enable MSMQ Logging.
A message of successful transfer and receipt is visible in the i-List MSMQ Monitor window.
PUMP MENU
The PUMP menu is the next menu located on the menu bar at the top of the screen.
CONFIGURE PUMP
The Configure Pump option allows you to customize the pump options to your preference.
NOTE: The Prime rate feature runs the pump at the speed set in the prime box in the Configure Pump screen. The default
speed is 150 ml/min.
To configure the Pump:
1. Select Configure Pump from the Pump menu.
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Result: The Configure Pump screen appears.

Feature
Function
Volume Channel
Specifies the infusion volume channel
Pressure Channel
Specifies the channel used for pressure feedback
Slow (rate speed)
Determines the slow speed of the flow rate
Medium (rate speed)
Determines the medium speed of the flow rate
Fast (rate speed)
Determines the fast speed of the flow rate
Prime (rate speed)
Determines the prime speed of the flow rate
Pressure Limit
Stops the pump if the pressure channel exceeds this limit. CAUTION: Do not exceed
150 cm H20.
Volume Limit
Stops the pump if the volume channel exceeds this limit.

CAUTION: Do not exceed 750 ml.
Displays a warning message when the infused volume reaches the specified limit.
Auto Pump Option

Stop
Slow
Med
Fast
This option starts the pump at the selected pump speed when the test starts. Choose
Stop if you do not want to use this option.
Auto Pump Event
This option records events automatically when the pump runs or stops. This option is
enabled by default. Deselect the box to disable the feature.
2. Select OK to accept -OR- Cancel to exit without saving changes.
PRIME PUMP
Priming the pump removes all the air bubbles from the tubing, which may cause incorrect pressure readings.
SLOW FILL
Select this menu item to run the pump at the slow rate set in the Configure Pump window.
MEDIUM FILL
Select this menu item to run the pump at the medium rate set in the Configure Pump window.
FAST FILL
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Select this menu item to run the pump at the fast rate set in the Configure Pump window.
STOP PUMP
Select this menu item to stop the pump.
The Volume Warning Limit is used in the pediatric Uro Mode which applies to patients under 16 years of age. This limit is the
maximum amount of fluid that can be infused into the patient according to bladder capacity at a given age.
The Volume Warning Limit is determined by Minimal Acceptable Total Bladder Capacity (MATBC.)
MATBC = 16 x (Age of child in years) + 70 ml.
The pump receives the information to calculate the MATBC from the data entered in the Patient Information dialog box.
If the infused volume exceeds the limit specified in the Volume Warning Limit box, a message appears.
Important! After the warning appears, the pump does not automatically stop. It must be manually stopped.
NOTE: The MATBC is calculated automatically and cannot be changed.
SERVERX MENU (OPTIONAL)

The SERVERX menu is the next menu located on the menu bar at the top of the screen.
RESET CONNECTION
The Reset Connection feature resets the connection to the hardware. It should not be used during the test. It is intended for use
only by qualified technical service personnel.
SHOW SERVERX WINDOW

The Show ServerX Window feature is to be used only by qualified technical service personnel.
CHOOSE BLUETOOTH UDS-94

This menu item is used to select which AQUARIUS system is to be connected to the software. The software will automatically
connect to the same AQUARIUS system when it is run the next time.
To select the system for connection:
1. Select Server X > Choose Bluetooth Server UDS-94.
Result: The Select a Bluetooth Server window opens and searches for all Bluetooth devices within range.
2. Select the name of the AQUARIUS system from the list.
3. Enter the PIN number LMTUDS94BT (all capital letters) if prompted.
4. Click OK.
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CONNECTION TYPE
Select the option that matches the connection set up in the touchscreen settings. IF the connection type is changed, then it must
be changed in the touchscreen module software too.
NOTE: when a connection is changed (such as switching from USB to Bluetooth and vice versa, exit then restart the software to
enable the change.
VIDEO
Starts the video functions of the UDS software. Refer to the Saturn Owners Manual for more information.
SET ZEROES! MENU

Set Zeroes is a menu located on the menu bar at the top of the screen. It is recommended that all transducers be zeroed before performing a
test.
Zero pressure is the value recorded when a transducer is open to the environment when disconnected from any tubes or catheters, or when
the open end of a connected, fluid-filled tube is at the same vertical level as the transducer. Only then can a set zero or balance be
performed.ix
NOTE: The EMG channel must always be set to zero through this menu.
To zero the transducers, perform one of the following procedures:
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To set
Then click.
All transducers to zero:
Set Zeroes from the menu bar and then click All.
Individual transducers to zero:
1. Set Zeroes from the menu bar.

2. Click the button(s) labeled with the appropriate
transducer.
3. Click Exit.
Transducer(s) to a specific value:
1. Click Set Zeroes from the menu bar.

2. Click Advanced.
Result: The Set Zeroes window displays a numeric
pad and a list of channels.
NOTE: The Advanced button can only be selected
when the graph is stopped.
3. Click the button beside the channel you want to
change.
4. The number(s) on the numeric pad of the value
you want to set the channel to.
5. Apply.
Result: The channel changes to the specified value
or the closest value possible.
Result: The transducer(s) are set to zero and the studies are ready to start.
TRANSDUCER TYPE
Select the type of transducer used with the system before a test starts to ensure proper data recording. Ensure the system has been
calibrated to the transducer type selected.
Remember to only use one type of transducer with the Roam; select either air-charged, or water, or electronic for all tests.
NOTE: a transducer type event will be added to the start of the graph when Run is clicked.
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EXPANDING YOUR SYSTEM

This version of the UDS software contains special features that may be available to you depending upon the particular setup for
your operations. To request an optional feature for your software, contact your LABORIE representative or call customer service.
VBN
VBN is a mathematical model of the lower urinary tract and is based on the research and standards set by the members of the
International Continence Society. VBN is a powerful and non-invasive tool to predict the after effects of surgery and/or
prescribed treatment.
The features available to you are dependent upon the VBN options installed on your system.
NORMAL CURVE OVERLAY

You can calculate the normal flow (Q) curve and be able to compare it to the patients actual flow (Q) Pves curve by overlaying
the normal curve over the patients curve.
1. Click File > Open to open any Pressure/Flow .dta file or any file that has a Flow/Q channel.
2. Click Options >VBN Normal Curve Overlay.
When VBN Normal Curve Overlay is selected in the menu, it will have a checkmark next to it.
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NOTE: Once Normal Curve Overlay has been selected, a blue curve representing the normal flow for the sex of
the patient will be overlaid on top of the patients actual flow curve.
3. Press F9 to enable the Cursor box. Move the mouse over the blue calculated curve and the patients actual
measured curve.
You should be able to see the difference at that point between the patients flow and the normal flow as the pointer
is moved across the graph.
4. Left-click the bottom of the Flow Channel box (below the ml/s text) to change the channel label to the normal flow
channel (CALQ).
o
The label should become blue and say CALQ with a peak flow measurement in ml/s. This peak flow should
be the value of the highest point on the normal flow curve.
5. Left click the box again to change the flow channel box from CALQ back to Flow.
o
You can also playback the test with the Normal Curve Overlay enabled, and watch the test with playback as
the overlay is drawn.
6. Click Options >VBN Normal Curve Overlay while it is selected to disable the overlaid curve.
VBN FULL AND VBN ANIMATION

You can display a simulated model of the human bladder, and display an animation of what the bladder might do with normal
pressure and flow based on such factors as sex, catheter size (if any), and other forces. The control panel buttons associated
with VBN are already loaded into the system.
To access the Control Panel:

1. Click Options > Control Panel Definition.
2. Select VBN from the Control Panel Set Name drop list.
3. Click OK.
VBN Full and VBN Animation Only versions have similar functionality except the VBN Animation version does not include the
graph windows. Any functionality requiring a graph window is therefore not used in the VBN Animation version of the software.
VBN Control Panel
When the VBN control panel is loaded, you should see three rows of buttons.
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Initialize Default Values

Click this button to initialize VBN related variables to predefined default values, and open up some VBN windows and controls.
What controls open up depend on which window layout you have saved in your version. If you have not yet saved your own
custom window layout, a default one will open up.
Load File
Click this button to load a previous saved file in CAS format, which is the file format VBN uses to store tests.
Save File
Click this button to save the current VBN test in CAS format, which can later be retrieved using the Load File button.
Transfer to VBN
When you have opened a pressure-flow DTA file from within the UDS software (File >Open) you can import this test data to the
VBN component of the program by selecting this button.
Draw/Remove Calculated Curves
Click this button to switch the display of the calculated pressure and flow curves on any open curve
windows.
Interpretational Help
The Interpretational Help window is an important window in VBN.
It is responsible for controlling VBNs automatic interpretation features. With this feature, the
software will automatically try and fit the calculated pressure and flow curves over the measured
calculated pressure and flow curves by adjusting different VBN variables. It will then generate one or
more solutions where the curves fit.
Select the Together button and the software will begin the process of trying to fit the curves. You can
observe the calculations on any open graph or animation windows while the computer is trying out
different combinations of variables. Once the process is complete, a results window will appear
showing any solutions.
If any solutions were discovered then the Solution value will change to 1. If there was more than one
solution discovered, you can use the -1 and +1 buttons to navigate between the different solutions.
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Patient Info
Click the Patient Info button to input or review patient information for the current test.
You can adjust the sex of the patient by clicking the Mr. or Mrs. button. The equations used by
VBN during its many calculations are dependent on the gender of the patient, so make sure that
this selection is accurate.
Global Values
The Global Values window can be left open while you are performing other VBN features.
Use this window to observe some measured values (for example, Volume Voided) to the values
computed by the VBN software. This is especially useful when used in combination with the
Interpretational Help feature, as you can compare how close the calculated values are to the original
values for each solution.
Bladder
Click this button to open the Bladder dialog box.
Use this to adjust variables that affect the bladder, such as Initial Volume, Detrusor Force, and so on.
Some of these values are automatically adjusted when you use the Interpretational Help to discover
solutions. From this window you can also input the initial volume inside the bladder, which has a
significant effect on the calculations.
Detrusor Force: A higher detrusor force will decrease the time it takes the patient to
void, providing they are able to void at all.
Initial Volume: The size of the bladder in the animation window should change depending
on the Initial Volume. A Greater initial volume also means it will take longer for the
patient to void.
Time Of Break and Quality: The patient should not be able to continue voiding much
longer the value (in seconds) of the Time of Break setting. How much the patient can
continue voiding past this point depends on the Quality setting.
Neck/Detrusor Coupling: No observable effect for animation.
Sphincter
Click this button to open the Sphincter dialog window.
Use this to adjust variables that affect the Sphincter. Some of these values are automatically adjusted when
you use the Interpretational Help to discover solutions.
Pre excitation: For strong enough values, the voiding does not depend on it. For insufficient value the
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function of the sphincter is impaired, so continence is not achieved.
Opening Time: The area of the urethra that the sphincter force effects will not open until this amount of time has
passed. You will notice that Subsonic and Sonic forces will be in this area until the sphincter has opened.
Excitation: Can have an effect on how long it takes the patient to void, but it also depends on other settings.
Urethra
Click this button to open the Urethra window.
Use this to adjust variables that affect the Urethra. Some of these values are automatically adjusted
when you use the Interpretational Help to discover solutions. From this window you can also select
the size (in French units) of the catheter that is inserted into the urethra. This has a great impact on
the calculations.
Neck Disease: A very low setting (for example: 0.1) will increase the time it takes the
patient to void. You can observe the sonic/subsonic forces being located near the neck. No
effect if greater than 0.2.
Neck Pressure (Male Only): Increasing this value increases the pressure on the neck, which
will increase the time it takes the patient to void.
Prostrate Pressure (Male Only): Increasing this value increases the pressure from the prostate, which will increase the
time it takes the patient to void.
Ura Comp. (Female Only): Increasing this value will increase the time it takes the patient to void.
Urethra Area (Female Only): Has an effect on the size of the Urethra. Will also affect the time it takes the patient to
void.
Probe: Sets the size of the probe (if any) inserted into the patients urethra. A red bar will be visible in the animation
window. A probe will greatly increase the amount of time it takes the patient to void.
Select View
Click this button to open up the Select a View window.
Select Normal to open up the normal graph window, or select Separate P and Q to open up a graph
window that separates the pressure curves and the flow curves onto two different graphs.
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Normal
Separate P and Q
Select Animation to open up the animation window.
NOTE: If you are just using the Animation only version of VBN, the first two
buttons will not be available.
These two graphing windows display several measured and calculated curves. The curves each have a corresponding label that
matches their color. In both graphs, the top-most graph always displays curves relating to the Detrusor and Sphincter forces. In
the Separate P and Q window, the pressure and flow curves are separated into two different graphs. Use the scrollbar to view
the different graphs.
Animation Window
The Animation Window displays a simulated model of the bladder for the
current patient.
Adjustments to variables such as prostate pressure, size of catheter, initial
volume, and the sex of the patient can be directly observed in this
window.
When you are playing back an animation, this window displays the
current flow rate, and the time that has elapsed at that stage of the
animation. During an animation playback, the size of the bladder should
gradually decrease provided the patient would be able to void during this
simulation. The Sonic and Supersonic forces inside the urethra are also
highlighted during the animation playback.
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Animation Control Box

Click this button to open up the Animation Control window.
Use the buttons on this window to control animation playback. Select the Stop button to reset the
animation to the beginning stage, then select the Play button to begin playback. During the animation,
the Pause button can be used to pause the playback at any desired moment.
Aspect Ratio
Click this button to open the Aspect Ratio control window.
These controls allow you to adjust the aspect ratio of the X- and Y-axis on the graph windows. Use these controls if the curves
are out of range and going outside the bounds of the graph. Also, these controls will let you set the excitation to either begin at
0 seconds or 40 seconds.
Curve Adjustments
Click this button to open the Curve Adjustments window.
Use this window, in combination with the normal graph window, to make adjustments to curves.
To draw a curve directly on the graph, select the desired curve from this
window, then left-click the normal graph window to draw a line from the
beginning of the graph to that point. You can also use the right-mouse
button to erase curves from the end of the graph until the point where
you clicked.
Use the Move Curve arrows to move the selected curve in the direction
that the arrow is facing. This will show the effect that the abdominal
pressure has on them.
The Affinity option allows you to multiply all the y-values of a selected
curve by the desired amount. Click the Delete button to delete an entire
curve from the graph, and select the Undo Delete button to undo a
previous deletion.
The Measured global values should be different based on initial volume of
bladder. The other parameters take their standard value. While you are
changing values in the windows you should notice the values in the Global values window changing as well to reflect the other
changes you are making.
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Other Options
Click this button to open the Other Options window.
You can enable or disable different laws that are used during VBNs calculations. Some of
these laws affect which calculations are used during Interpretational help.
From this window you can also adjust the thickness of curves being displayed on the graph
windows. The Save and Restore buttons can be used to save your current window layout or
to restore a previously saved window layout.
Close VBN Windows
Select this button to close all VBN related windows that have been opened at once. This is
useful when you are done using VBN but which to continue using another part of the UDS
software.
ANORECTAL MANOMETRY (ARM)

LABORIEs Anorectal Manometry (ARM) system is used to quantify the performance of the Anorectal mechanism. Anorectal
function testing can provide useful information regarding the pathophysiology of disorders that affect continence and
defecation or those that cause anorectal pain.x
SYSTEM STARTUP SEQUENCE

Power up the ARM system in this sequence:
UDS device
Printer and Monitor
PC
UDS/ARM software
Failure to power up in this sequence could result in devices not being properly recognized.
If you skip a step, then simply repeat the steps in reverse order to power off and start again.
SETTING UP THE ARM SOFTWARE

Before using the ARM software, all appropriate channels must be set up. Click Config > Setup/Modify to open the Configuration
window.
Part 1: Set Channels for ARM studies
NOTE: Remember to set up the correct channels in the ARM tab, as outlined on page 205, to obtain complete data summaries.
i.
Configure four or eight pressure channels.
ii.
Configure one Math Channel as the average of all pressure channels.
iii.
Pressure units are cmH2O, mmHg, or mmHg. By default Pressure Channels are displayed in mmHg. See
following page for details of how to calibrate and use each unit.
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iv.
v.
vi.
vii.
Configure EMG Channel(s) (optional).

Configure IH2O and VH2O (optional).
All other settings can remain as the default settings.
Click Apply and continue with setting up the ARM tab.
Figure 12: Example: ARM channel setting configuration for four pressures, EMG, and integrated LABORIE pump.
ARM Study Units
The following units of calibration may be used:
ARM Study Units
Description
Calibrate pressure transducers in cmH2O and display data in cmH2O.
cmH2O
mmHg
LABORIE
Calibrate pressure transducers in mmHg using a cmH2O to mmHg conversion. Data is

displayed in mmHg.
NOTE: 100mmHg = 136cmH2O
204
ARM Study Units

mmHg
Description
Calibrate pressure transducers in cmH2O and display data in mmHg using the software
conversion unit mmHg.
Part 2: Set up ARM Tab

Select the channels that correspond to the ARM measurements recorded through testing. This tab is used to generate test result
summaries, so the selections made here are important for accurate reporting.
Figure 13: Example ARM configuration for four pressures

Enable Reverse Pump for Balloon Filling
Select the Enable Reverse Pump option in the ARM tab to activate the reverse pump button on the control panel. The reverse
pump button can be configured in the Control Panel Settings dialog box. See Glossary of ARM 4&8 Control Panel Commands on
page 209 for button configuration options. Once the reverse pump button on the control panel is clicked, a warning message will
appear to confirm continuation of the procedure.
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Warning message displayed when the Enable Reverse Pump

check box is not selected and a reverse pump button on the
control panel is clicked.
Warning message displayed when the Enable Reverse Pump check

box is selected and a reverse pump button on the control panel is
clicked.
Click Yes or No to either start or stop the reverse pump action. NOTE: The reverse pump action is intended only for deflating
the rectal balloon before catheter removal. Do not run the reverse pump feature for any other actions.
A Start Infusion and Stop Infusion event will also be added to the graph when reverse pump is started and stopped.
Part 3: Configure the Control Panel for ARM Studies
2. Select Control Panel Settings.
Result: The Command box appears displaying the first row of Control Panel buttons.
3. Click the arrow next to the Control Panel Set Name and select ARM 4&8.
Figure 14: Control Panel selection for ARM

NOTE: The last two buttons of the first and second rows are reserved for system use. You can program the rest as needed.
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ARM Properties
Each ARM button has a start and a stop event. Some of the ARM buttons can be configured to stop automatically after a
specified time and to shade regions between start and stop events.
1. Open the Properties window by clicking the PLUS (+) button next to an ARM Control Panel button.
2. Select Automatically insert STOP event after and enter a value in seconds. The default value is 10 seconds.
3. To add shading between start and stop events, select show region for the ARM event, and click the Select Color box to
choose the color.
Figure 15: ARM properties setup

4. Click OK to set your choices.
Once set, continue with the setup of the puller buttons (if you are using the Puller) or continue with the start of the ARM test.
Create Control Buttons for the Silent Drive Mechanical UPP Puller (optional)
If you are using LABORIEs Silent Drive Mechanical UPP Puller (UPP715), control buttons must be programmed in order to use
the puller with the ARM software.
1. If there are no free button spaces add a row of buttons by changing the number in the Number of Rows box.
Therefore, if you already have three rows, then change the number to four; if you have four rows, change the
number to five and so on.
2. Click OK then re-open the software and click Options > Control Panel Settings.
3. Select the Label box and type Pull. This is the action that will pull the catheter out of the patient at a specified rate.
4. On the same row, in the Definition box, type PU.
5. On the same row, in the third box, select UPP Command by selecting the down arrow to the right of the cell.
6. Click the PLUS button
to set a fixed distance for stopping the puller.
7. Move to the next line and type Pull 1 cm in the Label box, type PU 10 in the Definition box, and then select UPP
Command in the listing. This button will command the puller to withdraw the catheter 1 centimeter (10mm) when
clicked.
8. Move to the next line and type Stop Pull for the label, ST for the definition and then select UPP Command in the
listing. This button will stop catheter withdrawal.
9. Move to the next line and type Return for the label, IN for the definition, and then select UPP Command. This
button will move the puller guide forward.
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The setup will look similar to this when complete.
10. Click OK.

11. Continue with the setup of the sensation events.
Create First Sensation, Urge, and Max Tolerance Events
If filling the rectal balloon manually with a syringe, the software can ask you to enter volumes at first sensation, urge, and max
tolerance.
1. Select the ARM test configuration on the Control Panel.

2. Click Run and let the test run for a few moments
3. Click the buttons labelled First Sensation, Urge, and Max Tolerance.
4. Click Stop.
NOTE: If the VH2O channel is not specified in the tests Configuration file, the resulting message box may appear asking for
input volume.
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Select the Input volume immediately after inserting events option (as shown below) and click OK. Subsequently, when First
Sensation, Urge, or Max Tolerance events are selected, a Volume box will appear asking you to enter the infused volume. If
the VH2O channel is added and specified in the tests Configuration file, the volume will be automatically read from the
specified VH2O channel and the resulting message box will not appear.
5. Click OK.
6. Click Config > Save As to name the file and to make this a default setting.
Glossary of ARM 4&8 Control Panel Commands
Definition
Type
First Sensation
First Urge
Max Tolerance
ARM 4 Radial
ARM 8 Radial
Set Zeroes
First Sensation
Urge
Maximum Tolerance
Full path of CFG file
Example: c:\cfg\
N/A
Event
Marks an event with the definition text as Event
Annotation.
Config
Opens a .cfg file.
Set Zeroes
Sets all channels to zero.
UPP Command (Controls the puller speed)
Return
IN (returns the puller as fast as

possible; for positioning the
puller)
IN XX (returns the puller XX millimeters as fast as

possible; used for positioning the puller)
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Definition
Type
Pull
PU (pulls at default Puller speed;

stops when it reaches the tip)
PU (pulls the puller as fast as possible; used for

positioning the puller)
Pull X cm
PU XX
PU XX (pulls the puller XX millimeters at the default

speed; for example PU 15 will pull the Puller for 15
mm at the default speed)
Stop Pull
Patient Info
ST (stops the pull)

N/A
Resting
Squeezing
6 cm Squeeze
5 cm Squeeze
4 cm Squeeze
3 cm Squeeze
2 cm Squeeze
1 cm Squeeze
6 cm Rest
5 cm Rest
4 cm Rest
3 cm Rest
2 cm Rest
1 cm Rest
10 cc
20 cc
30 cc
40 cc
50 cc
60 cc
70 cc
80 cc
90 cc
100 cc
110 cc
RAIR
Expulsion
RE (event for Resting Profile)

SQP (event for Squeezing Profile)
ST6
ST5 (events for Stationary Study)
ST4
ST3
ST2
ST1
SR6
SR5 (events for Stationary Study)
SR4
SR3
SR2
SR1
10cc (events for RAIR studies)
20cc
30cc
40cc
50cc
60cc
70cc
80cc
90 cc
100cc
110cc
RAIR
E
Slow Fill
Medium Fill
Fast Fill
XXX ml/min
+YY ml/min
-ZZ ml/min
SF
MF
FF
SP=XXX (where XXX is in ml/min)
SP+YY (where YY is the
incremental rate)
SP-ZZ (where ZZ is the
LABORIE
Patient Info
Opens Patient Info window.
ARM
Controls Anorectal Manometry procedures
performed with 4 or 8 pressure circumferential
catheters.
Pump Command
Controls the pump fill rate.
210
Definition
Type
decremental rate)
Reverse Slow Fill
Reverse Medium Fill
Reverse Fast Fill
RSF
RMF
RFF
Controls the reverse pump fill rate
The Reverse Fill pump feature runs the LABORIE pump in reverse direction and can be used during ARM tests to quickly fill and
then drain the large balloon used for evoking responses based on the sensation of rectum filling. Depending on the software
version you are running, if you program your pump commands as ff, mf, and sf, then you can add the rff, rmf, and rsf. If you
program the commands as fast fill, medium fill and slow fill, then you can program the reverse as reverse fast fill, reverse
medium fill, and reverse slow fill.
IMPORTANT! Reverse Fill is not a feature meant to drain the bladder during Urodynamics testing! It is to be used only to
drain the large balloon during ARM testing!
USING ARM WITH AIR-CHARGED CATHETERS

Equipment for ARM Testing
Standard Equipment
ARM 4 channel air- charged radial catheter with rectal balloon
(CAT003 (4-Pressure))
Syringe, provided by site
Four or eight pressure transducers/cables
Optional Accessories
EMG unit and surface electrodes [CAB155, CAB154 or
CAB153 (EMG cable) with ELE200 or ELE428 or
ELE370&ELE365 (EMG electrodes)]
UPP Puller
Desktop PC or laptop
LABORIE-issued desktop or laptop computer
Starter kit, pump tubing, catheters, beaker etc. (Will vary

according to system setup)
Desktop printer with USB printer cable

USB Serial Converter (Direct cable option only)
Software CD containing ARM software (ARM100) and the

Anorectal Manometry Owners Manual
RS-232 null modem cable (Direct cable option only)
Software HASP Key

Quick Start Guide (MAN054)
Contact your LABORIE representative to order replacement accessories.
Catheter and Transducer Setup and Connection

1. Attach the P1 cable into the port labeled 1 on the cartridge; P2 cable into the port labeled 2 on the cartridge and so
on. Insert the EMG cables to the Roam cartridge. Insert the ground cable into the center opening with the ground
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symbol. Place the Roam cartridge into the Hub and make sure the connector at the bottom of the Roam cartridge clicks
securely into place into the Hub.
1. Connect the color-coded transducer cables to the air-charged catheter with the following configuration: Each directional
sensor is identified by color, and this color corresponds to the transducer/cable connection for ease of identification
Yellow P1 cable to POSTERIOR (yellow) catheter port

Blue P2 cable to the RIGHT (blue) catheter port
Green P3 cable to ANTERIOR (green) catheter port, and
Orange P4 cable to LEFT or (orange) catheter port
The black line on the catheter indicates the posterior orientation. This line should be directly in line with
the patients spine. If the patient is on their left side, the line will be facing their back.
2. Make sure all transducers are in the OPEN position.
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P1
P2
P4
P3
Figure 16: View from distal end. The Posterior channel (P1) is in line with the black line on the catheter.
3. Gently squeeze then release each balloon/sensors to remove air. NOTE: This is not the large rectal balloon, but rather the
four small sensors located directly beneath the rectal balloon.
4. Click Set Zeros on the software control panel.
5. Switch the transducer to the CHARGE position.
Pump Tubing Setup for Integrated LABORIE Pump (optional)

1. Insert pump tubing spike into a 1000ml bag of saline solution.
2. Flush the line completely.
3. Clamp the line shut and hang the bag on the IV pole hook.
4. Open pump head. Position compressible portion of pump tubing across rollers from left to right.
NOTE: the soft portion of the pump tubing should be placed at the left edge of the pump head; be careful not to pinch
tubing between V-shaped clamps on either side of the rollers.
5. Close pump head.
6. Open the roller clamp on the pump tubing.
USING ARM WITH FLUID-FILLED SYSTEMS

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Standard Equipment
For a Fluid-filled Gravity Feed System
ARM 4 or 8 channel water-perfused catheter with balloon [CAT006 (4-Pressure) CAT008 (8-Pressure)]
Pressure cartridge* (DIS125)
Measurement tubing (TUB101 or TUB102)
Pressure cuff (DIS302)
Syringe, supplied by the site
IV BAG 1000 ml
IV line
Desktop or laptop computer
Equipment with built-in pump
Starter kit (nova domes, stopcocks, tubing, pump tubing, catheters, beaker etc. Will vary according to system setup)
Software CD containing ARM software (ARM100) and the Anorectal Manometry Owners Manual
Software HASP Key

*Depending on the system, use a Nova dome (DIS103) instead of a pressure cartridge (DIS125).
For a Fluid-filled with constant pressure Pump System
Syringe, supplied by site

1 L Distilled water, supplied by site
3-way stopcock (DIS431)
Pressure cartridge (DIS125 or DIS103)
Luer Lock Plug (DIS104)
Measurement tubing (TUB101 or TUB102)
ARM 4 or 8 channel water-perfused catheter with balloon CAT006 (4-Pressure) CAT008 (8-pressure)
Pump, 8-channel capacity (PUM010)
Desktop or laptop computer
Equipment with built-in pump
Starter kit (nova domes, stopcocks, tubing, pump tubing, catheters, beaker etc. Will vary according to system setup)
Software CD containing ARM software (ARM100) and the Anorectal Manometry Owners Manual
Software HASP Key
Optional Accessories
LABORIE
EMG unit and surface electrodes [CAB155, CAB154 or CAB153 (EMG cable) with ELE200 or ELE428 or
ELE370&ELE365 (EMG electrodes)]
UPP Silent Drive Mechanical Puller (UPP715)
Desktop printer with USB printer cable
214
USB Serial Converter (Direct cable option only)

RS-232 null modem cable (Direct cable option only)
Contact your LABORIE representative for ordering replacement accessories.

Transducer Setup and Connection
Fluid-filled Transducer Setup using Gravity System
The Gravity Feed System is comprised of three subsets of equipment setups. You will need to set up the IV bags, the pressure
transducers, and the catheter to obtain a complete gravity feed system.
The IV Bags
1. Place 4 cuffed (if measuring 4 pressures) or 8 cuffed (if measuring 8 pressures*) saline or sterile water IV bags at the top
of the IV pole.
2. Connect an IV line to each saline bag.
IMPORTANT! Keep the roller clamps closed when you puncture the bags
3. Pump each pressure cuff to a minimum of 300 mmHg.
4. Prime each IV line.
Figure 17: IV Bag Setup for 4 Pressures
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It is recommended that you use the PUM010 pump if you are using an eight-pressure system.
Pressure Transducer Setup Using Transducer Cartridges

NOTE: Refer to Figure 20: Stopcock Positions
Take each pressure cartridge out of its package, and remove protective covers from the back and from the connector ends.
1. Position the pressure transducer plate level with the patients hipbone.
2. Slide a cartridge over each transducer until it clicks in place.
3. Attach pressure measurement tubing, with attached three-way stopcock, to the lower end of each pressure cartridge.
4. Attach a 20 ml sterile-fluid filled syringe to the side port of each stopcock.
5. By turning the stopcock in the appropriate directions, flush fluid from the syringe through the pressure cartridge and the
pressure measurement tubing. Repeat for all 4 or 8 pressure transducers. See page 218 for details.
6. Connect the primed IV lines:
a. Remove the Luer lock and connect an IV line to the top port on each pressure cartridge.
- OR b. Turn the OFF stopcock toward the syringe port. Remove the syringe and attach an IV line to the side port of
each pressure cartridge.
7. Open the roller clamps and prime each system ensuring that no air bubbles remain.
8. Close the roller clamps.
LINE FROM IV
OR
Figure 18: Fluid-Filled Pressure Transducer Setup with transducer cartridge DIS125
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IMPORTANT! AIR BUBBLES MUST NOT BE PRESENT IN THE SYSTEM DURING TESTING.
NOTE: Ensure that the Luer lock plug is always securely in place whenever the stopcock position is changed.
Pressure Transducer Setup Using Nova Domes
NOTE: Refer
to Figure 20: Stopcock Positions on page 218.
1. Verify that the pressure transducer plate is level with the patients hipbone.
2. Remove the protective covering and connect a nova dome to each pressure transducer. Begin with the novadome turned
turn to the left, place it over the transducer and turn clockwise to lock in place. The female end of the nova dome
should be at the top and the male end of the nova dome should be at the bottom.
3. Connect a 3-way stopcock with pressure measurement tubing attached to the bottom/male end of each nova dome.
4. Attach a 20 ml sterile-fluid filled syringe to the side port of the stopcock on each pressure transducer.
5. By turning the stopcock in the appropriate directions, flush fluid from the syringe through the nova dome and the
pressure measurement tubing. Repeat for each pressure transducer.
6. Connect the primed IV lines to:

a. The top/female port on each nova dome.
- OR b. Turn the OFF stopcock toward the syringe port. Remove the syringe and attach the IV line to the side port of
each stop cock.
7. Open the roller clamps and prime each system ensuring that no air bubbles remain.
8. Close the roller clamps.
LINE FROM IV
OR
FEMALE END
MALE END
Figure 19: Pressure Transducer Setup with Nova Dome (DIS103)
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IMPORTANT! AIR BUBBLES MUST NOT BE PRESENT IN THE SYSTEM DURING TESTING.
NOTE: Ensure that the Luer lock plug is always securely in place whenever the stopcock position is changed.
Figure 20: Stopcock Positions

Fluid-filled Transducer Setup using Pump System
To connect the pump (PUM010), please refer to the pumps user manual included with your system.
Fluid-filled Catheter Setup with Gravity System
1. Connect each catheter port to its corresponding pressure measurement tubing. For example, connect P1 on the
catheter to the measurement tubing coming from the P1 transducer.
2. Open the drip on each IV line to 1 drop every 2-3 seconds to keep line flushed, and hold the tip of the catheter level with
the pressure transducer plate.
3. Click Set Zeroes.
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Figure 21: Fluid-filled catheter diagram. View from distal end; P1 is in line with the blue line.
EMG Setup
See page 23.
Pump Tubing Setup for Integrated LABORIE Pump (optional)
See page 213.
PERFORMING TESTS WITH THE ARM SYSTEM

Important Notes Regarding Testing Procedures
Prior to catheter insertion, the rectal ampulla must be empty of all fecal debris. Some doctors recommend that patients
with constipation use an enema before coming in for the test.
Place the patient in a left-lateral position with knees and hips flexed in or as close to a 90-degree position as possible.
Above all, the patient must be resting comfortably and be willing and able to cooperate.
Only 4-channel and 8-channel radial catheters are acceptable for use with the ARM software. If you are using linear
catheters then adjustments must be made to the software. Contact your LABORIE representative for further
information.
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Common Test Configurations

Test Name
Channel Title
Scale
Math Definition
ARM4
P1 (or Posterior)
P2 (or Right)
P3 (or Anterior)
P4 (or Left)
Math1 (Average)
150mmHg
150mmHg
150mmHg
150mmHg
150mmHg
ARM8
P1 (or Posterior)
P2 (or Right Posterior)
P3 (or Right)
P4 (or Right Anterior)
P5 (or Anterior)
P6 (or Left Anterior)
P7 (or Left)
P8 (or Left Posterior)
Math1
150mmHg
150mmHg
150mmHg
150mmHg
150mmHg
150mmHg
150mmHg
150mmHg
150mmHg
ARM4 with EMG
ARM4 configuration
plus:
EMG
ARM8 with EMG
ARM8 configuration
plus:
EMG
ARM4 using
ARM4 configuration
Integrated LABORIE plus:
pump
IH2O
VH2O
ARM8 using
ARM8 configuration
Integrated pump
plus:
IH2O
VH2O
-300uV
+300uV
Null
Null
Null
Null
(P1+P2+P3+P4)/4 or
(Posterior+Right+Anterior+ Left)/4
Null
Null
Null
Null
Null
Null
Null
Null
(P1+P2+P3+P4+P5+P6+P7+P8)/8 etc
Data Rate
10points/s
10points/s
10points/s
10points/s
10points/s
Display
Attribute
Curve
Curve
Curve
Curve
Curve
10points/s
10points/s
10points/s
10points/s
10points/s
10points/s
10points/s
10points/s
10points/s
Curve
Curve
Curve
Curve
Curve
Curve
Curve
Curve
Curve
to Null
100points/s Curve,
mirrored, and
filled
-300uV to Null
+300uV
100points/s Curve,
mirrored, and
filled
150mL/min Null
600mL
Null
10points/s
10points/s
Digital
Digital
150mL/min Null
600mL
Null
10points/s
10points/s
Digital
Digital
Performing ARM Tests with a Radial Catheter

Six different tests can be performed with LABORIEs ARM software:
i)
Resting Profile
ii) Squeezing Profile

iii) Stationary Rest and Stationary Squeeze
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iv) RAIR (Rectoanal Inhibitory Reflex)

v) Rectal Volume/Rectal Sensation
vi) Expulsion
Starting the ARM Software
The buttons and commands to run the ARM software are preloaded into the UDS software.
To access the ARM commands in the UDS software:
Result: The Command window is displayed
2. Click the Control Panel Set Name list and select ARM 4&8.
3. Click OK.
Result: The Control Panel will display the buttons associated with ARM testing.
NOTE: The control panel for your software may have a different look than the examples shown here (such as colors, button size,
etc) To change the appearance of the control panel buttons, click the Button Color button in the Command window and make
selections for appearance.
4. Click the ARM button to display the testing configuration.

Resting Profile
1. Gently insert the well-lubricated catheter 6cm beyond the anal verge with Channel 1 (S1) in the appropriate and
preferred dorsal position. Use the markings on the catheter as a guide.
2. If using a mechanical puller, attach the distal end of the catheter to the puller using the puller guides.
NOTE: The resting profile can be performed without the use of a puller. In this case, you must manually withdraw the
catheter at an approximate speed of 1mm/s to ensure pressures are properly correlated to catheter position.
3. Allow the patient to relax for several minutes with the catheters inserted and positioned for the test. The resting
pressure will be the baseline with which all pressures will be compared during ARM testing. It is imperative that the
patient be able to relax during testing in order to allow you to record the true resting pressures. Allow as much time as
necessary.
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NOTE: The patient must remain as relaxed as possible throughout the procedure and should not move, talk, or cough during
the withdrawal of the catheter.
4. Click Resting on the Control Panel to mark the start of the resting profile.
5. Click Pull on the Control Panel; the puller will slowly begin to remove the catheter at a set rate of 1mm/s.
Clinical note: You do not need to use the puller controls if you are manually withdrawing the catheter If you are manually
withdrawing the catheter, withdraw very slowly; it should take about 60seconds to go from 6cm to 0cm (or to when you can
just visualize the sensors). Do not completely remove the catheter from the body.
6. Click the Stop Pull button to stop the puller when the sensors have passed the anal verge.
7. Click Resting again on the control panel to mark the end of the resting profile.
NOTE: The Resting Profile test should be performed at least twice to confirm a pressure pattern.
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8. To perform a second resting profile, remove the catheter from the puller guides and manually re-insert the catheter to
the initial starting position 6cm beyond the anal verge. Click Return on the control panel to setup the puller for the next
profile.
IMPORTANT! The Puller must NOT be used for catheter reinsertion; doing so may result in injuries to the patient. Use the
RETURN button on the control panel only to reposition the puller guide close to the tip of the puller.
9. Attach the distal end of the catheter to the puller using the puller guides and
above steps to perform a second resting profile.
repeat the
10. Leave the catheter in if you are proceeding to the Squeezing Profile.
-ORPull the catheter out carefully if you have finished testing.
Figure 22: Sample data of a Resting Profile
Squeezing Profile
1. Gently insert the well-lubricated catheter 6cm beyond the anal verge with Channel 1 (S1) in the appropriate and
preferred dorsal position. Use the markings on the catheter as a guide.
2. Attach the distal end of the catheter to the puller using the puller guides.
Clinical note: If you are manually withdrawing the catheter, withdraw very slowly; it should take about 60seconds to go from
6cm to 0cm (1mm/sec) (or to when you can just visualize the sensors). Do not completely remove the catheter from the body.
3. Ask the patient to squeeze during the entire length of the catheter withdrawal.
4. Click Squeezing on the Control Panel to mark the start of the squeezing profile.
5. Click Pull on the Control Panel to start the pulling of the catheter.
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NOTE: You do not need to use the puller controls if you are manually withdrawing the catheter.
6. Click Stop Pull to stop the puller when the sensors have passed the anal verge.
7. Click Squeezing on the Control Panel to mark the end of the test.
NOTE: The Squeezing Profile test should be performed at least twice to confirm a pressure pattern.
8. To perform a second squeezing profile, remove the catheter from the puller guides and manually re-insert the catheter
to the initial starting position, 6cm beyond the anal verge.
IMPORTANT! The Puller should NOT be used for catheter reinsertion; doing so may result in injuries to the patient.
Use the RETURN button on the control panel only to reposition the puller guide close to the tip of the puller.
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9. Attach the distal end of the catheter to the puller using the puller guides and repeat the above steps to perform a
second profile.
10. Leave the catheter in if you are proceeding to the Stationary Rest and Squeeze Study.
- OR -
Pull the catheter out carefully if testing is finished.
Figure 23: Sample data of a Squeezing

Profile
Stationary Rest and Squeeze Study

The Stationary Rest and Squeeze Study is typically performed together, however, they can be performed as separate studies.
Gently insert the well-lubricated catheter or 6 *cm beyond the anal verge with Channel 1 (S1) in the appropriate and preferred
dorsal position. Use the markings on the catheter as a guide. Please refer to catheter setup for detailed diagrams.
*NOTE: If you wish to start the Stationary Rest and Squeeze study at 6cm beyond the anal verge follow these steps before
starting the test:
i.
Click Options from the menu bar and select Control Panel Definition.
Result: The Command box appears displaying the first row of Control Panel buttons.
ii. Click the down arrow next to Current Row and scroll down to a row that has blank button spaces. If needed you can add
an entirely new row of buttons by changing the number in the box next to Number of Rows.
iii. Under the Label column, type 6 cm Rest.
iv. Under the Definition column type SR6.
v. Click the pull down arrow on the third column and select ARM.
vi. If necessary find another free button space.
vii. Under the Label column type 6 cm Squeeze.
viii. Under the Definition column, type ST6.
ix. Click the pull down arrow on the third column and select ARM.
x. Open the Properties window by clicking the PLUS (+) button next to an ARM Control Panel button.
xi. Select Automatically insert STOP event after and enter a value in seconds. The default value is 10 seconds.
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xii. To add shading between start and stop events, select show region for the ARM event, and click the Select Color box to
choose the color.
xiii. Click OK to set your choices.
xiv. Click OK.

Result: The two new control panel buttons you have just programmed will appear on the control panel.
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1. Allow the patient to relax for several minutes, with the catheter inserted, in order to record true resting pressures.
2. Ask the patient to relax and click the 5 cm Rest button to mark the start of the 5 cm resting period. (If you are starting
the test at 6 cm beyond the anal verge then start with the 6 cm Rest button instead.)
Result: The control panel button will start flashing and a shaded area will scroll across the graph. After 10 seconds, the
software will automatically mark the end of the resting period. The control panel button will no longer flash and the
shading will stop.
3. Ask the patient to squeeze as hard as they can for 10 seconds. At the start of the squeeze click the 5 cm Squeeze (or 6
cm Squeeze if starting at 6 cm beyond anal verge) button and ask the patient to hold the squeeze for as long as the
shading appears on the graph.
Result: After 10 seconds, the software will automatically mark the end of the squeeze period. The control panel button
will no longer flash and the shading will stop. The patient should stop squeezing at this time.
4. Click the Pull 1 cm button on the control panel to withdraw the catheter 1 cm.
-ORManually pull the catheter out 1 cm.
Result: The catheter tip should now be 4 cm (or 5cm) from the anal verge.
Continue the testing by going through the steps in the 1 cm increments as programmed on the control panel. Therefore,
if you start at 6 cm beyond anal verge then continue by moving the catheter to the 5cm, 4cm, 3 cm, 2cm, and 1 cm
positions. The remaining steps in this section will describe the process if testing starts at 5cm beyond the anal verge.
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5. Allow the patient to rest for at least 30 seconds.

6. Ask the patient to relax and click 4cm Rest to mark the start of the 4 cm resting period. The button will start flashing and
a shaded area will scroll across the graph.
Result: After 10 seconds, the software will automatically mark the end of the resting period. The button will no longer
flash and the shading will stop.
7. Ask the patient to squeeze as hard as they can for 10 seconds. At the start of the squeeze, click the 4 cm Squeeze
button. Ask the patient to hold the squeeze as long as the shading appears on the graph.
Result: After 10 seconds, the software will automatically mark the end of the squeeze period. The control panel button
will no longer flash and the shading will stop. The patient should stop squeezing at this time.
8. Click the Pull 1 cm button on the control panel to withdraw the catheter 1 cm.
- OR Manually pull the catheter out 1 cm.
Result: The catheter tip should now be 3 cm from the anal verge.
9. Ask the patient to relax and click 3cm Rest to mark the start of the 3 cm resting period. Result: The button will start
flashing and a shaded area will scroll across the graph. After 10 seconds the software will automatically mark the end of
the resting period. The control panel button will no longer flash and the shading will stop.
button. Ask the patient to hold the squeeze for as long as the shading appears on the graph.
Result: After 10 seconds, the software will automatically mark the end of the resting period. The control panel button
will no longer flash and the shading will stop.
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11. Click Pull 1 cm button to withdraw the catheter 1 cm.

- OR Manually pull the catheter out 1 cm.
Result: The catheter tip should now be 2cm from the anal verge.
12. Ask the patient to relax and click 2cm Rest to mark the start of the 2 cm resting period. Result: The button will start
flashing and a shaded area will scroll across the graph. After 10 seconds, the software will automatically mark the end of
the resting period. The control panel button will no longer flash and the shading will stop.
button. Ask the patient to hold the squeeze for as long as the shading appears on the graph. After 10 seconds, the
software will automatically mark the end of the resting period. The control panel button will no longer flash and the
shading will stop.
14. Click Pull 1 cm on the control panel and the puller will withdraw the catheter 1 cm.
OR
Manually pull the catheter out 1 cm.
Result: The catheter tip should now be in 1 cm from the anal verge.
15. Ask the patient to relax and click 1cm Rest to mark the start of the 1 cm resting period. The button will start flashing and
a shaded area will scroll across the graph. After 10 seconds, the software will automatically mark the end of the resting
period. The control panel button will no longer flash and the shading will stop.
button. Ask the patient to hold the squeeze as long as the shading appears on the graph. After 10 seconds, the software
will automatically mark the end of the resting period. The control panel button will no longer flash and the shading will
stop. The patient should stop squeezing at this time.
17. Leave the catheter in if you are proceeding to another study (such as RAIR or Rectal Volume). Catheter position will
depend upon the test you choose to perform next
- OR Pull the catheter out carefully if you have finished testing.
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Figure 24: Sample data of a Stationary Rest and Squeeze Study. This example only measures pressure beginning at 4cm from the anal
verge instead of 5cm. The alternating color patterns highlight the areas of Rest and Squeeze.
RAIR (Rectoanal Inhibitory Reflex)

There are two different techniques to performing RAIR using the softwares control panel functions.
TECHNIQUE #1:
1. Have a 60 cc air-filled syringe ready and connected to the catheters filling port.
2. Gently insert a well-lubricated catheter into the patient. The catheter should be inserted well beyond the anal verge
(approximately 6 cm beyond the anus) to the point where the area of highest resting pressure was previously recorded.
The balloon will be positioned inside the rectum.
NOTE: The catheter should have a balloon fastened at the tip; the balloon must be completely empty upon insertion.
3. Click 10 cc on the control panel to mark the start of the event.
4. Inject 10 cc of air into the balloon and withdraw the 10 cc of air immediately. NOTE: The air should be withdrawn within
5 seconds of being introduced.
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5. Click 10 cc again to mark the stop.

Result: You will be prompted with a pop up window to state whether or not RAIR is present or absent as shown below.
Enter the appropriate result.
If RAIR is not present, repeat these steps using greater increments of air such as 20cc, 30cc, and so on.
Figure 25: Sample results for a RAIR Study

6. Leave the catheter in if you are proceeding to Rectal Volume testing.
- OR Remove the catheter carefully if you have finished testing.
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TECHNIQUE #2:
1. Click RAIR on the control panel.
2. Select the volume at which the test is performed.
3. Inject 10 cc of air into the balloon and withdraw the 10 cc of air immediately.
NOTE: The air should be withdrawn within 5 seconds of being introduced.
4. Click RAIR again to mark the stop.
Result: You will be prompted with a pop up window to state whether or not RAIR is present or absent as shown below.
Enter the appropriate result.
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If RAIR is not present, repeat steps 3-6 using greater increments of air such as 20cc, 30cc, and so on.
232
Figure 26: Sample results for a RAIR Study

5. Leave the catheter in if you are proceeding to Rectal Volume testing.
- OR Remove the catheter carefully if you have finished testing.
Rectal Volume using Fluid and a Syringe
If filling the rectal balloon manually with a syringe, the software can prompt you to enter first sensation, urge, and max
tolerance volumes as they are observed.
Anorectal Summary - Volumes
1. Fill a 60cc Luer lock syringe with lukewarm water and attach it to the catheters filling port.
2. Gently insert a well-lubricated catheter into the patient. The catheter should be inserted well beyond the anal verge
(approximately 6 cm beyond the anus) where the area of highest pressure was previously recorded. The balloon will be
positioned inside the rectum.
NOTE: The catheter should have a balloon fastened at the tip; the balloon must be completely empty upon insertion.
3. Gradually fill rectal balloon with fluid.

CLINICAL NOTE: if you release your grip on the syringe plunger, some of the infused fluid will go back into the syringe. Please keep a careful
note of the volume within the syringe.
4. When the patient feels the first sensation of fullness, click First Sensation on the control panel and then enter the
infused volume when prompted.
5. Continue gradually filling the rectal balloon.

6. When the patient feels an urge, click Urge on the control panel and then enter the infused volume when prompted.
7. Continue gradually filling the rectal balloon
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8. When the patient states they cannot hold any more, stop the pump and click Max Tolerance on the Control Panel and
then enter the infused volume when prompted.
9. Leave the catheter in if you are proceeding to the Expulsion study. If proceeding to the Expulsion Testing, do not deflate
the balloon, and turn the stopcock to the OFF position.
- ORDraw back on syringe to empty balloon and remove the catheter carefully if you have finished testing.
Rectal Volume using Fluid and the Integrated LABORIE Pump
1. Setup IV bag of room temperature water and pump tubing. Connect the pump tubing to the catheters filling port.
2. Gently insert a well-lubricated catheter into the patient.
NOTE 1: The catheter should have a balloon fastened at the tip; the balloon must be completely empty upon insertion.
NOTE 2: The catheter should be inserted so the rectal balloon is in the rectum. The catheter should be inserted well beyond the
anal verge (approximately 6 cm beyond the anus) where the area of highest pressure was previously recorded. The balloon will
be positioned inside the rectum.
3. Use the software controls to run the pump.

4. Gradually fill rectal balloon with fluid.
5. When the patient feels the first sensation of fullness, click First Sensation on the control panel.
6. Continue gradually filling the rectal balloon.
7. When the patient feels an urge, click Urge on the control panel.
8. Continue gradually filling the rectal balloon
9. When the patient states they cannot hold any more, stop the pump and click Max Tolerance on the Control Panel.
10. Leave the catheter in if you are proceeding to the Expulsion study. If proceeding to the Expulsion Testing, do not deflate
the balloon, and turn the stopcock to the OFF position.
11. Use the reversible pump feature to remove fluid in the rectal balloon before removing catheter.
Expulsion Test
Clinical note: Patient may be allowed to expel balloon in the left lateral decubitus position or move to a seated position over a
commode chair.
1. If balloon has not already been filled from the Rectal Sensation testing, and the stopcock is closed on the catheter, then
fill the rectal balloon using a syringe to a standardized volume for the expulsion test (50mL recommended).
2. Click Expulsion to start the test.
3. Ensure that the patient is comfortable and then ask the patient to expel the balloon.
4. After approximately 1 minute, click on Expulsion again to end the test.
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NOTE: If the VH2O channel is not specified in the test's Configuration file, the volume and response will need to be entered in
the resulting message box. If the VH2O channel is added and specified in the test's Configuration file, the volume will be
automatically read from the specified VH2O channel and the response will be displayed in the resulting message box.
5. Enter the result (whether the patient was capable of expelling the balloon or not) and what fluid volume was used.
6. If patient did not expel the balloon, it is recommended that some volume be removed and have patient try again to
expel the balloon
7. Testing will end when catheter is expelled. If the patient is unable to expel the balloon even when all the volume is
removed, move the catheter carefully.
TESTING IS COMPLETE.
ARM 4 AND ARM 8 TEST RESULTS

Once a test is performed, you can view the results for interpretation, analysis, and printing.
The following summaries are available for ARM4 and ARM8:
Anorectal Summary
(see page 236)
ARM Resting Profile

(see page 241)
ARM Squeezing Profile
(see page 241)
ARM Stationary Rest (1)
(see page 242)
ARM Stationary Rest (2)

(see page 242)
LABORIE
This summary provides a summary of all Anorectal Manometry tests

performed
This summary can be utilized to preview and select data prior to report
generation
Summary of pressure data for one resting profile.
3D profile generation.
Summary of pressure data for one squeezing profile.
3D profile generation.
Summary of pressure data for each stationary rest position (6 cm, 5 cm, 4
cm, 3cm, 2 cm, and 1 cm).
Refers to the first set of stationary rest pressure data.
Summary of pressure data for each stationary rest position (6 cm, 5 cm, 4
cm, 3cm, 2 cm, and 1 cm).
Refers to the first set of rest pressure data and allows user to view two
positions simultaneously.
235
ARM Stationary Squeeze (1)

(see page 242)
ARM Stationary Squeeze (2)
(see page 242)
Summary of pressure data for each stationary squeeze position (6 cm, 5 cm,
4 cm, 3cm, 2 cm, and 1 cm).
Refers to the first set of stationary squeeze pressure data.
Summary of pressure data for each stationary squeeze position (6 cm, 5 cm,
4 cm, 3cm, 2 cm, and 1 cm).
Refers to the first set of squeeze pressure data and allows user to view two
positions simultaneously.
Anorectal Summary
1. Click Info > ARM 4 & 8.
2. Select Anorectal Summary.
Result: The Anorectal Summary window appears.
Profile
Select the Add to Report
box to add that sections
data to the final report
(and
will
also
be
transferred to i-LIST
Office Reporter.
Enter
the
Threshold
value.
Default
value is 0
(zero).
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Rest / Squeeze Length to Max Pressure (cm): Distance in centimeters from position of start of test until max
pressure is reached.
Rest / Squeeze Anal Canal Length (cm): Total length in centimeters of anal canal (the total distance between start
and stop of test).
Rest / Squeeze Max Pressure (mmHg): Maximum rest and squeeze pressures (mean, min, max, etc) in mmHg.
Rest / Squeeze HPZ (High Pressure Zone): Sphincter length in centimeters where the pressure is greater than the
(Max Pressure*2/3) of the segment.
Rest / Squeeze HPZ (High Pressure Zone) Area: The sum of the area underneath the pressure curve where the
pressure is greater than the (Max Pressure*2/3) of the segment (the Area of the HPZ is calculated in cm*mmHg).
NOTE REGARDING CALCULATIONS:
The Mean value is the total sum of the calculated values of each channel divided by the number of channels used in the
test.
o
Where:
( )
Formula:
is the calculated value of the channel; n represents the channel number (which can be from 1 to 8).
The SD (standard deviation) is the square root of the sum of the calculated value of each channel minus the mean value,
squared, and then divided by the total number of channels minus 1.
o
Formula :
)
)
Where: is the calculated value of the channel; n represents the channel number (which can be from 1 to 8); and Mean is
the value from the Mean column.
Stationary
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Stationary Summary Circle Diagram:

o
Outside of Circle Values: Maximum Squeeze values at that position (mmHg).
Inside of Circle Values: Maximum Rest values at that position (mmHg).
Average Resting Pressure in mmHg.
Average Squeezing Pressure (mmHg).
Anal Canal Length (cm): Displays the length of the anal canal. Calculated by measuring stationary resting
pressure for each channel at each resting position (1cm, 2cm. etc). If the value at the start of measurement is
greater than the Threshold then 1 cm is added to the anal canal length.
Pressure Variations: utilized to detect the presence or calculate the values associated with slow and ultra-slow waves.
o
Click the Select Region button and select the region on the graph where slow waves exist.
Average Amplitude: The average pressure value in mmHg of the selected region.
Average Frequency: The frequency in cycles/min of the pressure waves.
Stationary Squeezing Summary: Displays all values relevant to Squeeze data dependent on position and specific
sensor/lumen.
o
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Area: Total area underneath the curve in min*mmHg.

238
Peak: Maximum squeeze pressure in mmHg.
FRI (Fatigue Rate Index): Value in minutes used to correlate to the fatigue rate of the sphincter. Calculated as the
difference between max squeeze and max resting pressure (mmHg) divided by the slope of a line of best fit of
the squeeze curve (mmHg / min).
Rectal Volume
Select the Add to Report box to add that sections data to the final report (and will also be transferred to i-LIST Office Reporter.
First Sensation: The value in ml where the patient first felt rectal distention.
Urge: The value in ml where the patient first felt the urge to defecate.
Max Tolerance: The value in ml where the patient felt they could not tolerate further rectal distention.
Compliance: (ONLY possible when Rectum Pressure is measured and is only available on select systems; to activate
this, first map the rectal pressure row in the channel mapping section). Compliance, in mmHg, is the average change
in pressure (mmHg)) as a result of a change in volume (ml) from first sensation to max tolerance. NOTE: compliance
measurements are not possible with T-DOC air-charged catheters.
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RAIR
RAIR: allows user to select whether RAIR is
present or absent at given volume.
Volume: Allows user to select which RAIR
test to view and print with report.
Simple vs. Detailed RAIR:
o Simple RAIR: RAIR test used to only
detect whether RAIR is present or
absent.
o Detailed RAIR: Includes simple RAIR with
the detailed data below.
Reference Resting Pressure: Pressure in
mmHg at which the RAIR test starts.
Excitation:
o Linear Change: Increase in Pressure in %
(based on using the Reference Resting
Pressure as 100%) during the initial rise
in pressure associated with RAIR test.
o Latency: Time taken for the excitation
response to occur post event initiation.
Inhibition:
o Linear Change: Decrease in Pressure in % (based on using the Reference Resting Pressure as 100%) during the
main drop or pressure inhibition associated with RAIR test.
o Latency: Time taken for the inhibition response to occur post event initiation.
Pop-up window to input RAIR Present/Absent after test: Select whether the RAIR Present/Absent pop-up window
is displayed after a test.
Select the Add to Report box to add that sections data to the final report (and will also be transferred to i-LIST
Office Reporter.
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Expulsion
Volume: Select the volume in ml at which the test was performed
Result: Select whether the balloon was expelled or not expelled by the patient.
Select the Add to Report box to add that sections data to the final report (and will also be transferred to i-LIST Office
Reporter.
ARM Resting or Squeezing Profile
1. Click Info > ARM 4&8.

2. Select ARM Resting Profile or ARM Squeezing Profile.
Result: The ARM Resting Profile window displays the pressure summary only.
Figure 27: ARM Resting Profile example for 4 channel ARM

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The ARM Resting Profile example displays a pressure summary and 3D profile representation for the first resting profile. To view
results for a second profile, open the Events Summary (Info > Events Summary) and delete the events marking the first profile.
3D Profile Control Buttons
Rotation controls
Position controls
Zoom in and Zoom out controls
Increase and decrease rotational speed
Show 3D figure as a polygon mesh. Click again to return to solid 3D
figure.
ARM Stationary Rest and Squeeze
Figure 28: ARM Squeezing Study example

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PRINTING ARM TEST RESULTS

Printing Test Results Through the UDS Software
Select the ARM items to include in the hardcopy report by opening a test file in the UDS software. By default, if you have
performed a specific test, such as RAIR, the software will suggest to print the associated RAIR Summary. If you have not
performed a certain test, the associated print option will be inaccessible.
1. Click File > Print.
Result: The Print Options dialog box appears.
2. Refer to the following figure and its accompanying legend to select printing options.
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ARM
Profile
Summary
Pressure Profile
Summary
Stationary
Summary
Pressure
Variation
Summary
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Squeezing
Summary
Rectal Volume
Summary
RAIR Summary
Expulsion
Summary
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3. Select the summaries you want to include in the printout.

4. Click OK.
For more information on the meanings of the normal values that are included in the printout, refer to the Appendix at
the back of the manual.
Printing Test Results Through i-LIST Office Reporter
Once a test is run and complete, click the Reporter button on the UDS software control panel to open and print reports
generated with the test data.
To print the report, click the Print icon
on the toolbar in the i-LIST Office Reporter software.
NOTE: To print a saved test file, open the test file in the File > Open window of the UDS software and then click the Reporter
button on the control panel to open the i-LIST Office Reporter software.
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SOFTWARE SETUP FOR PEDIATRIC PATIENTS

PEDIATRIC PATIENT INFORMATION
If you enter information for a patient who is16 years of age or younger, the patient information window will automatically adjust
itself to allow for the addition of necessary information.
TBC: Total Bladder Capacity shown in milliliters - automatically calculated based on patients age.
MATBC: Minimal Acceptable Total Bladder Capacity. This limit is the maximum amount of fluid that can be infused into
the patient according to bladder capacity at a given age.
o MATBC = 16 x (Age of child in years) + 70 mlxi.
Height: add height in centimeters
Weight: add weight in kilograms
Surface Area: of the bladder - shown in square meters automatically calculated based on height and weight.
MPUR: Maximum Physiological Urinary Rate - shown in milliliters per minute automatically calculated based on
patients height and weight.
Fill Rate: fill rate of the pump. For more information on pump fill rates for pediatric patients, see page 247.
o Current Pump Speed: allows for selection of slow, medium, or fast fill rate
o Use MPUR for pump speeds: automatically sets the ideal pump filling rate based on MPUR value.
o Sq.Root Bladder Volume: automatically sets the ideal pump filling rate based on TBC value.
NOTE: To enable pediatric pump settings, select the test configuration (.cfg) file first then enter patient information. MPUR and
Sq Root Bladder Volume fill rates can then be selected for the test.
VOLUME WARNING LIMIT

The Volume Warning Limit is used in the pediatric Uro Mode which applies to patients under 16 years of age. This limit is the
maximum amount of fluid that can be infused into the patient according to bladder capacity at a given age.
The Volume Warning Limit is determined by Minimal Acceptable Total Bladder Capacity (MATBC.)
MATBC = 16 x (Age of child in years) + 70 ml.xii
The pump receives the information to calculate the MATBC from the data entered in the Patient Information dialog box.
If the infused volume exceeds the limit specified in the Volume Warning Limit box, a message appears.
Important! After the warning appears, the pump does not automatically stop. It must be manually stopped.
NOTE: The MATBC is automatically calculated and cannot be changed.
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RUN UDS TESTS WITH AQUARIUS

UROFLOW TESTS
A Uroflow test is a measurement of the rate at which urine flows out of the body. It can be performed with the UDS softwares
automatic method or it can be performed with manual control of the software.
NOTE: Make sure the battery is fully charged before the start of the test.
RUN A UROFLOW TEST: AUTO METHOD

1. Gather the supplies needed for a Uroflow test. (Beaker, commode chair, funnel, etc).
2. Place the funnel on the plastic frame of the commode chair.
3. Carefully place the Urocap V on the floor or on an approved Uroflow transducer stand.
4. Gently place a graduated beaker on top of the Urocap V.
5. Place the commode chair and funnel over the Urocap V and beaker. Ensure that the beaker and the funnel are aligned
but not touching.
6. Turn on the computer, start the devices, and then turn on the printer.
7. Invite the patient to get ready to take the test.
8. Start the UDS software and enter Patient Information.
9. Click the Uroflow button on the control panel.
10. Confirm that Auto Recording Mode is displayed in the blue title bar above the graph.
11. Tap on the Urocap V to make sure it is responding.
12. Explain to the patient that the test is set to proceed when they are ready. The program will automatically begin to
process the data when the transducer detects the first drops of urine. You can also click the Run button to start the test.
CAUTION! DO NOT TOUCH the beaker during voiding.
13. Wait for the patient to finish voiding. The graph will stop automatically 50 seconds after voiding has ended.
14. Straight catheterize patient to obtain post-void residual measurement.
15. When the Uroflow Summary screen appears enter the PVR value and click OK.
16. Click Save to save the file or click Reporter to view and print a test report.
17. Empty the beaker. It can be thoroughly washed and reused.
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RUN A UROFLOW TEST: MANUAL METHOD

1. Gather the supplies needed for a Uroflow test. (Beaker, commode chair, funnel, etc).
2. Place the funnel on the plastic frame of the commode chair.
3. Carefully place the Urocap V on the floor or on an approved Uroflow transducer stand.
4. Gently place a graduated beaker on top of the Urocap V.
5. Place the commode chair and funnel over the Urocap V and beaker. Ensure that the beaker and the funnel are aligned but
not touching.
6. Turn on the computer, start the devices, and then turn on the printer.
7. Invite the patient to get ready to take the test.
9. Click the Uroflow button on the control panel.
10. Click Set Zeroes on the control panel and click Run to start the test.
11. Instruct the patient to void. If possible, leave the room to allow patient privacy.
CAUTION! DO NOT TOUCH the beaker during voiding.
12. When voiding is complete, click the Stop button.

13. Straight catheterize patient to obtain post-void residual measurement.
14. Remove the catheter.
15. Click Summ. Review button on the control panel to view the Uroflow summary results. Then click Return to Test to
continue.
16. Type the post-void residual volume in the PVR box and click OK.
17. Click the Save button or click Reporter to view and print a test report.
18. When the Save Test File box appears click the Save button in the box.
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CMG TEST OR MICTURITION (PRESSURE/FLOW)

The purpose of running a CMG test is to determine whether the bladder and its surrounding tissues are functioning correctly.
The CMG test involves filling the bladder and determining the Detrusor pressure Pdet = Pves Pabd (the difference between the
pressure inside the bladder (Pves) and the pressure inside the abdomen (Pabd)).
To perform a CMG/Micturition test with air-charged catheters:
1. Gather supplies needed for testing (catheters, beaker, commode chair, funnel, transducers, etc).
2. Make sure the RoamDX and Urocap V are at full battery and are connected.
3. Plug the HASP key into a USB port on the computer and turn on the computer.
4. Turn on the printer.
5. Invite the patient to take the test and ask the patient to lie down and relax.
6. Place the catheters into the patient.
Tip: Bladder catheter placement is 6-8 cm for women, and 5 cm plus the length of the penis for men. Place the
abdominal catheter rectally to the 15 cm mark. IMPORTANT NOTE! Note that these are approximate guidelines. You
must ensure that the catheter sensor is fully inserted into the bladder without over insertion.
7. Once the patients skin is properly prepared, the EMG patches may be applied. The electrodes should be snapped onto the 3
EMG leads.
Two electrodes are placed peri-anally at the 10 oclock and 2 or 3
oclock positions. Place as close as possible to the anus for pelvic floor
muscle readings.
The third electrode is placed on a bony prominence such as the
patients hip bone or knee.
NOTE: The patients anal area should be clean, dry and free of hair. It is
recommended that each electrode be secured in place with an additional piece
of surgical tape. If the electrodes detach, dry the skin and apply new surgical
tape.
8. Secure the catheters.
9. Connect the catheters to the cables and connect the catheters to the ports on the RoamDX.
11. Connect the infusion line from the pump to the filling lumen on the vesical catheter.
12. Click the CMG/PF button on the control panel.
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13. Type the patients information if necessary.

14. Check that the chargers are in the OPEN position.
15. Click the Zero All button on the control panel. Then click Set Zeroes on the main menu bar and click the EMG channel to
zero the EMG.
16. Switch the transducers to the CHARGE position. You will now record true internal pressures. If you are recording two
pressures during a CMG or Pressure/Flow test, Pves and Pabd should be fairly equal and Pdet should be at or near zero.
17. Ask the patient to cough to confirm catheter positioning. When recording two pressures at the same time, the cough will
show equal deflection on both channels.
NOTE: If Pabd is higher than Pves, try repositioning the Pabd catheter. If repositioning does not work, ask the patient to
cough to confirm that both pressures are reacting appropriately.
18. Click the Run button on the control panel.
19. Click the Pump Start button to start the pump and begin filling the bladder.
20. Mark relevant events (for example: First Sensation, First Desire and so on by clicking the buttons on the control panel labeled
with the event name). Encourage the patient to give feedback on sensation or urge.
21. Click the SUMM. Review button at any time to view the summary results at that stage of the test. Then click Return to Test
to continue.
22. Stop infusing when the patient is full and click Capacity on the control panel.
23. Click Pump Stop.
24. Click the Permit to Void button and ask the patient to void in the commode chair (with catheters in place).
25. Click the Stop button when finished and then click the Save button to save the test file.
26. Print the results of the test if desired.
27. Remove the catheters and EMG patches and dispose in accordance to hospital/clinic procedures.
29. Remove the pump tubing and dispose in accordance to hospital/clinic procedures.
To perform a CMG / Micturition test using water-filled catheters
1. Gather supplies needed for testing (catheters, beaker, commode chair, funnel, transducers, etc).
2. Ensure that the pressure cartridges and pressure transducer tubing are primed. Ensure that the infusion line is primed (free
of air bubbles).
3. Make sure the RoamDX and Urocap V are at full battery and are connected.
4. Plug the HASP key into a USB port on the computer and turn on the computer.
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5. Turn on the printer.

6. Invite the patient to take the test and ask the patient to lie down and relax.
7. Insert the catheters: one for the bladder and one for the rectum (abdominal
pressure). Secure the catheters.
8. Once the patients skin is properly prepared, the EMG patches may be
applied. The electrodes should be snapped onto the 3 EMG leads.
Two electrodes are placed peri-anally at the 10 oclock and 2 or 3 oclock
positions. Place as close as possible to the anus for pelvic floor muscle
readings.
The third electrode is placed on a bony prominence such as the patients
hip bone or knee.
NOTE: The patients anal area should be clean, dry and free of hair. It is recommended that each electrode be secured in place
with an additional piece of surgical tape. If the electrodes detach, dry the skin and apply new surgical tape.
9. Start the UDS software and add Patient Information.
10. Select the CMG or Micturition test on the Control Panel.
11. Make sure the pressure transducers and/or Uroflow transducers are responding by pressing the 100 mm Hg button on the
pressure transducer cartridge (NOTE: 100 mm Hg = 136 cm H20).
12. With the pressure transducer cartridges at bladder level and open to the atmosphere, select Set Zeroes!
13. Select the Calibration Set and then click the Run button on the Control Panel.
14. Ask the patient to cough in order to verify that the channels are responding.
15. Begin filling the bladder.
16. Mark relevant events (for example: sensation, desire and so on).
17. Click the SUMM. Review button at any time to view the summary results at that stage of the test. Then click Return to Test
to continue.
18. Encourage the patient to give feedback on sensation or urge.
19. Stop infusing when the patient is full.
20. Ask the patient to void in the commode chair (if required).
21. Save the test.
22. Print the results of the test if required.
LABORIE
252
UPP TEST USING WATER-FILLED CATHETERS

A UPP test is used to measure the length of the urethra and to measure the pressure within the urethra. An optional UPX Puller
may be used in conjunction with the UDS Software to run a UPP test.
NOTE: Regular water pressure transducers may be used to run a UPP test; however, for best results, electronic catheters are
recommended.
1. If using the UPX puller, ensure it is set up correctly, is fully charged, and is connected to the system. To see if it is
connected, the central hub will display the power ON symbol.
2. Make sure the pressure transducer cartridges and the pressure measurement tubing are primed.
3. Invite the patient to take the test. Ask the patient to void or perform a Uroflow test if required.
4. Open the UDS software and select the UPP test from the Control Panel. (if the UPP button is not visible click Options >
Control Panel Settings and select the PressureFlowUPP control panel set.)
5. Add the patients information, if not already added.
6. Insert a triple-lumen catheter into the patients bladder. At the other end of the catheter, make the appropriate
connections (such as: Pves, Pura, and Pump if applicable).
7. Make sure the pressure transducers are responding by pressing the 100 mm Hg button on the pressure transducer
cartridge.
8. Set the zeroes with the perfusion line dripping at 1 drop every 2 to 3 seconds.
9. Click Run on the Control Panel.
10. Infuse a minimum of 50 cc into the bladder using either the pump or the Infusion Transducer.
11. Once the bladder is filled, stop the pump or close the roller valve on the infusion line. i.e. stop the pump line and not the
UPP drip line.
12. Click Start Pull (or press F6 on the keyboard) and begin to remove the catheter from the patients bladder. If using the
UPX puller, it will begin to remove the catheter from the patients bladder at the preset speed.
13. When the Pura sensor on the catheter is completely out, select Stop Pull (or press F6).
14. Select Return to set up for the next catheter pull.
15. Click the SUMM. Review button at any time to view the UPP summary results at that stage of the test. Then click Return
to Test to continue.
16. When finished click Save to save the test.
LABORIE
253
TROUBLESHOOT AND SERVICE

If problems continue, contact LABORIEs Service team at 1-800-333-1039 or email service@laborie.com.
Symptom(s)
Possible Cause(s)
Check/Corrective Action(s)
No power on electrical
outlet?
Plug system into a known working electrical outlet.
Damaged power cord?
Unplug system and contact LABORIE for replacement power cord.
Power
cord
not
connected properly?
Ensure power cord is secure at the base of system and at the electrical
outlet.
Devices not connected in

software?
Connect the devices to the system.
Wrong connection type?
Make sure the correct connection type (either Bluetooth or USB) is

selected under the Connection Type sub-menu. See page 194.
Computer or Printer
cannot power on?
No power on electrical
outlet?
Damaged power cord?
Power
cord
not
connected properly?
Ensure electrical outlet is working, power cords are not damaged, and
all power cords are secure at both ends.
Software HASP
not working?
Key
Plugged in to
port?
Software HASP key must not be plugged in to the USB 3.0 ports.
USB
power
connected but
is
only
battery is empty
ALL DEVICES
No response from the
devices?
LABORIE
wrong
Wait (up to 30 minutes) until battery is charged enough for wake-up.
254
Symptom(s)
Possible Cause(s)
No external power is
connected and cannot
wake-up ROAM using
OK
button
or
Bluetooth connection?
Battery voltage is below

wake-up level?
Wait (up to 30 minutes) until battery is charged enough for wake-up.
Device displays partial

charge even of battery
is fully charged (i.e.
was left in charger for
more than 5 hours)?
Need to restart
Restart entire system.
EMG channel scale not

optimized?
Adjust scale on the fly by clicking on the scale values and typing in new
values.
Electrodes are wet or

generally not sticking?
Shave area if necessary and wipe dry. Apply a good amount of tape to
keep moisture out.
Detached electrode?
Re-attach electrode.
Water/urine leaked all

over the electrodes?
Dry the area with a towel and replace the electrodes.
No spike response in
EMG and baseline is
flat?
Electrodes not picking

up the proper muscle
group?
Move either one or both measuring electrodes (the ones attached to

the red leads) closer together.
EMG response is too

high and channel
saturated?
Electrodes not picking

up the proper muscle
group?
Move either one or both measuring electrodes (the ones attached to

the red leads) a little farther apart.
orange Battery LED is

on and there is no
image on the screen
and no response from
keyboard?
EMG
EMG
reading
high/low?
LABORIE
too
255
Symptom(s)
Possible Cause(s)
Position of catheters?
Check position and adjust as necessary.
Catheters not securely

connected to cable?
Check connections and adjust as necessary.
Zeroes not set properly?
Reset zeroes.
Catheter kinked?
Replace catheter if necessary.
Using
water-based
disposables?
Flush lines and reset zeroes. Make sure all stopcocks are in the correct
position.
Pump not Calibrated?
Calibrate Pump.
Pump pressure
reached?
Reset P1 (Pves) to zero. Check for kinked bladder catheter.
PRESSURES
Pressure not
responding?
PUMP
Pump not running?
Volume limit exceeded?
Reset VH2O Channel to Zero and try again.
Pump
incorrect?
Try to calibrate pump again.
Pump rate
1ml/min?
Pediatric pump
settings incorrect?
limit
calibration
set
at
Pediatric pump settings

switch to adult pump
settings?
Close UDS software and wait a minute. Then restart the software.
In order for pump speeds to be set up correctly for pediatric patients,
follow these steps.
Open a Cystometry test (or any test file using a pump).
Enter patient information for pediatric patient.
Enter Height and Weight to view the calculated MPUR.
Select the Use MPUR for pump speeds option under the Fill
Rate section.
Click Save.
Click Yes.
Click Run and then click Start Pump on the control panel.
Continued on next page..
LABORIE
256
Symptom(s)
Possible Cause(s)
Click Info then click Patient information.

Click OK.
Re-select Use MPUR for pump speeds.
Click OK to load the correct MPUR speeds for the test.
To set up the pump when software starts:

Open UDS software.
Click CFG button.
Enter patient information to load the correct pump speeds.
UROCAP V
Uroflowmeter signal
shows
vibration
and/or spike patterns?
Incorrect
flow
volume readings?
or
Plastic
touching
funnel?
beaker
is
the
flow
Patient has touched the

Uroflowmeter with their
feet?
Ask patient to remain calm during procedure.
Floor is unsteady?
Move to a more solid foundation.
Beaker not properly

seated on Uroflowmeter
dish?
Adjust beaker position.
Funnel
beaker?
Adjust commode chair or Uroflowmeter.
is
touching
Incorrect beaker in use?

LABORIE
Reposition the Uroflowmeter and re-check.
Use beakers supplied by Laborie ONLY.
257
Symptom(s)
Possible Cause(s)
Error message on
screen
reads:
Calibration
Failure(Flow out of
range.)
Water poured quickly

into beaker?
Pour water slowly and at a steady rate.
More
than
500mL
poured into beaker?
500mL of water must be poured into beaker.
Error message on
screen
reads:
Calibration
Failure(Volume delta
out of range.)
Less than 500mL of

water
poured
into
beaker?
500mL of water must be poured into beaker.
BLUETOOTH CONNECTION
Unable to connect via
Bluetooth?
Connection broken?
Reduce the distance between the device and the computer. The
maximum distance between the processor and the computer can be up
to 10 meters (33 feet).
Remove any physical barriers like walls, posts, doors, or people.
Unable to connect
devices to Bluetooth
at first setup?
Click the Bluetooth button on the device to wake up the device

and re-establish a connection.
Wait 5 minutes.
If the button press does not re-establish a connection, then press
the system reset button on the tower to restart the entire system.
Once restarted wait for all connections to automatically reset.
EVENTS
A transducer change
event is marked on the
graph?
LABORIE
Cable
connected/disconnected
from device?
This action is marked on the graph to help distinguish it from an

actual signal received during testing. Is also marked when the ROAM
Dx device goes through an auto-recovery process.
258
Symptom(s)
Possible Cause(s)
SOFTWARE ERROR MESSAGES

I-LIST Reporter
Error message: Error
Code: 66a (Can't install
KB2160841) appears?
.NET Framework
needs repair
file
UDS
report
not
transferring to i-LIST
Office Reporter?
Make
sure
i-LIST
MsgQListener is running.
Install Windows Updates
Repair .NET Framework

File
LABORIE
Click Start > Control Panel > and double-click Add or Remove
Programs. OR- Click Start > Control Panel > Programs > Programs
and Features.
In the resulting list, right-click the Microsoft .NET Framework 4
Client Profile file and select Change OR select Uninstall/Change
Select to Repair the file and wait for the repair to complete before
continuing.
Restart the computer.
Close all open programs.

Make sure i-LIST Message Queue Listener is running by clicking
Start > Programs > Laborie > i-LIST MsgQListener.
Restart the computer and attempt to send a report to i-LIST Office
Reporter. If unsuccessful try the solution below.
Close all open programs.
Click Start > Control Panel and double-click Windows Updates -ORClick Start > All Programs > Windows Updates. If there are updates
waiting for installation, install them and then restart the computer.
Once restarted, attempt to send a report to i-LIST Office Reporter. If
unsuccessful try the following solution to repair the .NET file.
Click Start > Control Panel > and double-click Add or Remove
Programs. OR- Click Start > Control Panel > Programs > Programs
and Features.
In the resulting list, right-click the Microsoft .NET Framework 4
Client Profile file and select Change OR select Uninstall/Change
Select to Repair the file and wait for the repair to complete.
Restart the computer and continue with sending a UDS report to iLIST Office Reporter.
259
Symptom(s)
Possible Cause(s)
Do not click anywhere on the screen. Wait for message to

disappear. Once message is gone continue with regular use.
Power interruption due

to power outage?
Unplug the power cable from the power brick.

Press and hold the power button on the computer for 5 seconds.
Wait for the lights over the power brick to switch-off.
Plug the power cable back in to the power brick.
Press the power button over the computer to switch the PC back on
again.
Printer power
unplugged?
Plug in printer power cable and try again.
Error message appears

after system restart:
PC
PC does not power on?
PRINTER
Printer LED does not
light up?
Printer Error LED on

steady or flashing?
cable
Printer not turned on?
Turn on printer by pressing printer power button.
Printer paper out?
Load printer paper.
Printer cover open?
Close cover of printer.
Printer out of ink?
Replace printer cartridges.
Printer paper jam or misfeed?
Correct paper problem then press paper feed button.
Pump
tubing
inserted securely?
Make sure the pump tubing is placed securely into the groove on the
sensor.
BUBBLE DETECTOR
Red light on sensor lit
even though bubbles
are not visible
LABORIE
not
260
Symptom(s)
Possible Cause(s)
Program
file
for
formatting buttons not
set properly?
The program used for formatting script buttons must use the
AutoHotKey.ahk format. To verify the program is correct follow these
steps:
Go to C:\UDS120 and open the HK folder.
Make sure the file format icons are set to the AutoHotKey
application as follows:
CONTROL PANEL
Script
(Uroflow
Summary
etc)
working?
buttons
Summary,
Review,
stopped
If the icons are not as shown above, for example they are in the
Notepad format (as seen here) then you must change it to the
AutoHotKey application.
Continued on next page.
LABORIE
261
Symptom(s)
Possible Cause(s)
Right-click on any line and select Properties.

In the Opens with section click the Change button and select
the AutoHotKey Unicode application in the resulting window
and then click OK.
The Opens with section will display the AutoHotKey application.
LABORIE
Click OK.
262
Symptom(s)
Possible Cause(s)
TOUCHSCREEN
Touchscreen on tower
frozen?
LABORIE
Press the reset button on the central hub for 5 seconds to reset the
system.
263
END-USER SOFTWARE LICENSE AGREEMENT

IMPORTANT! PLEASE READ CAREFULLY:
This LABORIE MEDICAL TECHNOLOGIES End-User License Agreement ("License Agreement ") is a legal agreement between you (either an individual or a single entity) and LABORIE MEDICAL TECHNOLOGIES for the LABORIE MEDICAL
TECHNOLOGIES software product identified above, which includes computer software and may include printed materials, and/or electronic documentation ("SOFTWARE PRODUCT"). The LABORIE MEDICAL TECHNOLOGIES SOFTWARE
PRODUCT also includes any updates and supplements to the original SOFTWARE PRODUCT provided to you by LABORIE MEDICAL TECHNOLOGIES. Any software provided along with the LABORIE MEDICAL TECHNOLOGIES SOFTWARE
PRODUCT that is associated with a separate end-user license agreement is licensed to you under the terms of that license agreement. By installing, copying, or otherwise using the LABORIE MEDICAL TECHNOLOGIES SOFTWARE
PRODUCT, you agree to be bound by the terms of this LICENSE AGREEMENT. If you do not agree to the terms of this LICENSE AGREEMENT, do not install or use the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT.
LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT LICENSE
United States copyright laws and international copyright treaties, as well as other intellectual property laws and treaties protect the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT. The LABORIE MEDICAL TECHNOLOGIES
SOFTWARE PRODUCT is licensed, not sold.
GRANT OF LICENSE
This LICENSE AGREEMENT grants you the following rights:
Installation and Use: Except as otherwise provided herein, you, as an individual may install and use copies of the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT on an unlimited number of computers, including workstations,
terminals or other electronic devices ("Computer(s)") provided that you are the only individual using the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT. If you are an entity, you may designate one individual within your
organization to have the right to use the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT in the manner provided above. The LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT is in "use" on a Computer when it is loaded
into temporary memory (i.e., RAM) or installed into permanent memory (e.g., hard disk, CDR/W-ROM, or other storage device) of that Computer.
Client/Server Software: The LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT may contain one or more components that consist of both the following types of software: "Server Software" that is installed and provides services on
a computer acting as a server ("Server"); and "Client Software" that allows a Computer to access or utilize the services provided by the Server Software. If the component of the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT
consists of both Server Software and Client Software that are used together, you may also install and use copies of such Client Software on Computers within your organization and which are connected to your internal network. Such
Computers running this Client Software may be used by more than one individual.
DESCRIPTION OF OTHER RIGHTS AND LIMITATIONS
Limitations on Reverse Engineering and related activities. You may not reverse engineer, decompile, or disassemble the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT, except and only to the extent that such activity is
expressly permitted by applicable law notwithstanding this limitation and LABORIE MEDICAL TECHNOLOGIES expressed written permission.
You may not re-sale, rent, lease or lend the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT without expressed permission from LABORIE MEDICAL TECHNOLOGIES.
Support Services. LABORIE MEDICAL TECHNOLOGIES may provide you with support services related to the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT ("Support Services"). Use of Support Services is governed by the
LABORIE MEDICAL TECHNOLOGIES policies and programs described in the user manual and/or other LABORIE MEDICAL TECHNOLOGIES-provided materials. Any supplemental software code provided to you as part of the Support
Services shall be considered part of the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT and subject to the terms and conditions of this LICENSE AGREEMENT. With respect to technical information you provide to LABORIE
MEDICAL TECHNOLOGIES as part of the Support Services, LABORIE MEDICAL TECHNOLOGIES may use such information for its business purposes, including for product support and development.
LABORIE MEDICAL TECHNOLOGIES will not utilize such technical information in a form that personally identifies you without your consent.
Termination. Without prejudice to any other rights, LABORIE MEDICAL TECHNOLOGIES may terminate this LICENSE AGREEMENT if you fail to comply with the terms and conditions of this LICENSE AGREEMENT. In such event, you must
destroy all copies of the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT and all of its component parts.
COPYRIGHT. All title and copyrights in and to the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT (including but not limited to any images, photographs, animations, video, audio, text, and "applets" incorporated into the
LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT), the accompanying printed materials, and any copies of the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT are owned by LABORIE MEDICAL TECHNOLOGIES or its
suppliers. The LABORIE MEDICAL TECHNOLOGIES
SOFTWARE PRODUCT is protected by United States copyright laws and international treaty provisions. Therefore, you must treat the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT like any other copyrighted material except
that you may either (a) make one copy of the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT solely for backup or archival purposes or (b) install the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT on a single
Computer provided you keep the original solely for backup or archival purposes. You may not copy the printed materials accompanying the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT.
EXPORT RESTRICTIONS: You agree that you will not export or re-export the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT, any part thereof, or any process or service that is the direct product of the LABORIE MEDICAL
TECHNOLOGIES SOFTWARE PRODUCT (the foregoing collectively referred to as the "Restricted Components"), to any country, person, entity or end user subject to U.S. or Canada export restrictions. You specifically agree not to export or
re-export any of the Restricted Components (i) to any country to which the U.S. or Canada embargoed or restricted the export of goods or services.
You warrant and represent that neither Canadian nor U.S. has suspended, revoked or denied your export privileges.
LIMITED WARRANTY: LABORIE MEDICAL TECHNOLOGIES warrants that (a) the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT will perform substantially in accordance with the accompanying written materials for a period of one
(1) year from the date of receipt, and (b) any Support Services provided by LABORIE MEDICAL TECHNOLOGIES shall be substantially as described in applicable written materials provided to you by LABORIE MEDICAL TECHNOLOGIES, and
LABORIE MEDICAL TECHNOLOGIES Customer Service Representatives will make commercially reasonable efforts to solve any problem issues. Some states and jurisdictions do not allow limitations on duration of an implied warranty, so
the above limitation may not apply to you. To the extent allowed by applicable law, implied warranties on the LABORIE MEDICAL TECHNOLOGIES SOFTWARE PRODUCT, if any, are limited to (1) year from the date of receipt.
NO LIABILITY FOR DAMAGES. In no event shall LABORIE MEDICAL TECHNOLOGIES or its suppliers and or Distributors be liable for any damages whatsoever (including, without limitation, damages for loss of business profits, business
interruption, loss of business information, or any other pecuniary loss) arising out of the use of or inability to use this LABORIE MEDICAL TECHNOLOGIES product, even if LABORIE MEDICAL TECHNOLOGIES has been advised of the
possibility of such damages. In any case, LABORIE MEDICAL TECHNOLOGIES entire liability under any provision of this LICENSE AGREEMENT shall be limited to the greater of the one-half of the amount actually paid by you for the
LABORIE MEDICAL TECHNOLOGIES Software Product or CA$3.00. Because some jurisdictions do not allow the exclusion or limitation of liability for consequential or incidental damages, the above limitation may not apply to you.
LABORIE
264
APPENDIX
APPENDIX A. SYSTEM SPECIFICATIONS
EQUIPMENT SPECIFICATIONS
AQUARIUS Carts
Operating Conditions
Transport
Conditions
and
Storage
Pump Hub
P/N: PMP1000
RoamDX
P/N: RMX1000
Urocap V
P/N: TRA1002
UPX
(arm and stand)
P/N: UPP1001
AQUARIUS CT CART
SINGLE DISPLAY
L = 36 (90.0cm)
W = 26 (66.0cm)
H = 48 (120.0cm)
DUAL DISPLAY
L = 36 (90.0cm)
W = 34.5 (88.0cm)*
H = 48 (120.0cm)
*operational width described can pivot to pass through doors.
L = 29.8 (75.7cm)
W = 25.2 (64.0cm)
H = 49.2 (125.0cm)
Temperatures: 15C to 35C (59F to 95F)
Pressure: 700 hPa to 1014hPa
Temperature: -10C to 50C (14F to 122F)
Output Channels: 2 Infusion / 1 Bubble/1 USB type A/ 1 USB type B
Dimensions: 5.5(14cm) L X 3.6(9.3cm) W X 1.6(3.9) H
Weight: 0.60 lbs (0.27kg)
Pressure Range: -50 to +350 cmH20; EMG Range: 0 to 1000uV
Output Channels: 4 Pressure / 1 EMG / 1 Pressure/EMG
Sampling Rate (each channel): Pressure= 50Hz max.; EMG=5000Hz max. / 10 100 Hz (increments of 10Hz)
Dimensions: 6.3(16.0cm) L X 6.3(16.0cm) W X 2.6(6.6cm) H
Weight: 0.95lbs (0.43kg)
Flow Range: 0 to 50mL/s; Volume Range: 0 to 1000mL
Output Channels: Flow; Volume
Sampling Rate: Flow=100Hz max.; Volume=100Hz max.
Dimensions: 23.5(59.7cm) L X 23.5(59.7cm) W X 35.6(90.4cm) H / arm extension : 30 (76cm)
Luxo: Extension 36.0 (91.5cm) / Weight: 3.3 lbs. (1.5kg)
Speed: 0 to 3 mm/s
AQUARIUS XT
TOWER
L = 24 (60.0cm)
W = 26 (66.0cm)
H = 48 (120.0cm)
AQUARIUS XT PC CART
SINGLE DISPLAY
L = 36 (90.0cm)
W = 26 (66.0cm)
H = 48 (120.0cm)
DUAL DISPLAY
L = 36 (90.0cm)
W = 34.5 (88.0cm)*
H = 48 (120.0cm)
*operational width described - can
pivot to pass through doors.
AQUARIUS LT
L = 32 (81.0cm)
W = 26 (66.0cm)
H = 48 (120.0cm)
AQUARIUS CTS
L = 36 (90.0cm)
W = 26 (66.0cm)
H = 48 (120.0cm)
T-DOC Air-Charged Catheters

Operating conditions: 15C (59F) to 40 C (104F)
Storage Temperature: -25C (-13F) to +50C (122F)
LABORIE
CLASSIFICATIONS AND APPLICABLE DIRECTIVES

Classifications
Class I Type BF Applied Part

Mode of Operation
Continuous
Equipment not suitable for use in the presence of a Flammable Anesthetic Mixture with Air or
Oxygen or Nitrous Oxide.
Directives:
Food and Drug Administration Code of Federal Regulations 21 CFR 820 Quality System
Regulation.
European Medical Devices Directive 93/42/EEC
SOR/98-282 Health Canada Medical Device Regulations
Standards:
EN ISO 13485:2012 (EU)
ISO 13485:2003
CAN/CSA ISO 13485:2003 (Canada)
EN ISO 14971:2012
EN 60601-1:2006
EN 60601-1-2:2007
EN 60601-1-6:2010
EN 62304:2006
EN 62366:2008
EN ISO 15223-1:2012
EN ISO 7010:2012
EN 1041:2008
UL 60601-1:2003, excluding electromagnetic compatibility (Clauses 6.8.2 and 36),
and Biocompatibility (Clause 48) and Programmable Electronic Systems (Clause 52.1)
CAN/CSA C22.2 No. 601.1-M90, excluding electromagnetic compatibility (Clauses
6.8.2 and 36), and Biocompatibility (Clause 48) and Programmable Electronic
Systems (Clause 52.1)
CAN/CSA C22.2 No. 60601-1:2008, excluding Usability (clauses 7.1.1 and 12.2),
Electromagnetic Compatibility (clauses 7.9.2.2 and 17) Programmable Electrical
Medical Systems (clause 14), and Biocompatibility (clause 11.7)
ANSI/AAMI ES 60601-1:2005/A2:2010, excluding Usability (clauses 7.1.1 and 12.2),
Electromagnetic Compatibility (clauses 7.9.2.2 and 17) Programmable Electrical
Medical Systems (clause 14), and Biocompatibility (clause 11.7)
Applicable Directives and

Standards
TYPE BF APPLIED PARTS
EMG/CMG
Pressure transducers
LABORIE
II
SYSTEM EQUIPMENT PARTS LIST

AQUARIUS LT
AQS1000
AQUARIUS Urodynamic Analyzer System, 110V
AQS1001
COM532
Computer, Laptop, Windows 7 Professional, 64-bit, English, Bilingual keyboard
AQUARIUS CT
AQS2000
AQS2001
COM532

Computer, Laptop, Windows 7 Professional, 64-bit, English, Bilingual keyboard
Optional: COM905/COM451
AQUARIUS XT
AQS3000
AQS3001
Computer, Custom PC, Windows 7 Professional, 64-bit, English / Computer, Custom

PC, Windows 7 Ultimate, 64-bit
Aquarius XT Urodynamic Analyzer Tower, 120V
Aquarius XT Urodynamic Analyzer Workstation, with Single LCD, 120V (double LCD
optional)
Aquarius XT Urodynamic Analyzer Tower, 220V
Aquarius XT Urodynamic Analyzer Workstation, with Single LCD, 220V(double LCD
optional)
Computer, Custom PC, High-End, Windows 7 Professional, 64-bit, English / Computer,
Custom PC, High-End, Windows 7 Ultimate, 64-bit
AQS3002
AQS3003
COM447 / COM450
AQUARIUS CTS
AQS2002
AQS2004
MON185
COM905 / COM451
Aquarius CTS Urodynamic Analyzer Workstation, with Single LCD, 120V

Aquarius CTS Urodynamic Analyzer Workstation, with Single LCD, 220V
Monitor, Flat Panel, 19" LCD, Wide
Computer, Custom PC, Windows 7 Professional, 64-bit, English / Computer, Custom
PC, Windows 7 Ultimate, 64-bit
SOFTWARE COMPONENTS
LAB1000
Laborie Software, NGM Urodynamics Software Package, LT Software
LAB1001
Laborie Software, NGM Urodynamics Software Package, CT Software
LAB1002
Laborie Software, NGM Urodynamics Software Package, XT Software
LIS224
i-LIST, Office Reporter, English, Windows Xp/Windows 7, v13.1.17
COM397
Computer, Hasp Key, Purple
CDR120
MAN048
CD/DVD, Laborie Software System, Customized, with Manuals

Aquarius XT/CT/LT/CTS Quick Start Guide
LABORIE
III
TRANSDUCERS and ACCESSORIES

RMX1000
Roam DX
TRA615/TRA616/ TRA617/TRA618/
TRA619/TRA620/ TRA621
MSM1068
T-DOC Air Charged transducers
FEA262
High Fidelity EMG
CAB1032
CAB1034
NGM_EMG Non Shielded w/5 pin Lemo, 9 inch

NGM_EMG Non Shielded w/5 pin Lemo, 6ft
ELE350
Electrode, Lead, EMG, Set of 2-Red, 1-Green
CAB151
EMG, Touch proof Shorting Leads - Non Shielded
CAB1033
CAB1035
NGM_EMG Shielded w/5 pin Lemo, 9 inch

NGM_EMG Shielded w/5 pin Lemo, 6ft
ELE200
Electrode, FSR Shielded, 18", 3 Lead Cables
CAB150
EMG, Shorting Leads - Shielded
TRA100
UROCAP V Uroflowmeter
CHA171
Deluxe Commode Chair
CHA181
Foldable Commode Chair
CHA102
Accessories, Funnel, UROCAP IV
PRI087
HP High Resolution Desk Jet Color Printer
MSM1045
SHELF HEIGHT ADJUSTABLE
POW1016
Power Cord, 1ft. C7 Power Cable, 2 Prong Plug
CAB465
Cable, Power Supply Connector Converter to Plug into LIT, North American
LIT1000
LIT, 110V TRANSFORMER, SMALL SIZE
LIT1001
LIT, 220V TRANSFORMER, SMALL SIZE
T-DOC Holder Assembly
DISPOSABLES
Patient Mounting Accessories for T-DOC Short Cables
HAR144
Accessory, Belt, 2"x45
HAR575
Accessory, Lanyard, 2cmx110cm, adjustable loop
CMG for T-Doc

CAT875
T-DOC Air Charged Catheters, Abdominal, 7 fr
CAT895
T-DOC Air Charged Catheters, Single Sensor, 7 fr
LABORIE
IV
CAT880
T-DOC Air Charged Catheters, Dual Sensor, 7 fr
TUB101
Measurement Tubing
TUB500
Pump Tubing with Infusion line
DIS950
Velcro Leg Strap
DIS900
Graduated beaker
ELE428
EMG Gel Patch Electrodes pre-wired (pkg/3)
ELE425
Patch Electrodes, 3 pk
OPTIONAL ITEMs and PERIPHERALS

TRA1000
Infusion Sensor
TRA1001
Bubble Sensor
CAB1032
CAB1034
NGM_EMG Non Shielded w/5 pin Lemo, 9 inch

NGM_EMG Non Shielded w/5 pin Lemo, 6ft
ELE350
Electrode, Lead, EMG, Set of 2-Red, 1-Green
CAB151
EMG, Touch proof Shorting Leads - Non Shielded
CAB1033
CAB1035
NGM_EMG Shielded w/5 pin Lemo, 9 inch

NGM_EMG Shielded w/5 pin Lemo, 6ft
ELE200
Electrode, FSR Shielded, 18", 3 Lead Cables
CAB150
EMG, Shorting Leads - Shielded
MSM1064
Flow stand- urocap 5 w. wheels
MSM1078
Flow stand - urocap 5 - w.o. wheels
CHA1000
NGM uroflow stand funnel - short
ARM100
Ano-Rectal Manometry Software
TRA618
Transducer, T-DOC Cable- P4 UDS Roam, 8" / 20cm
TRA622
Transducer, T-DOC Cable with Mini Lemo - P4, 6'
CAT003
Catheter, Anorectal, Manometric, T-DOC, 4 Channel (ARM)
UPP1001
UPP PULLER RETRACTABLE ARM (Cart Mounted)
UPP1002
MINI BASE UPP ARM (UPP STAND with PULLER)
CAB1000
Cable, Custom USB Type A - to - Custom Type Mini B
PRI090
Printer, HP Officejet 100 Mobile Printer, Wireless
LABORIE
APPENDIX B. SYMBOLS AND LABELING
LABORIE company logo
CE Mark - European Compliance Symbol
TUV certification - This product is certified to

U.S. and Canadian safety standards by TV SD.
Date Of Manufacture
Manufacturer
ATTENTION, See Accompanying Documents
Class II Electrical Equipment
Type BF Applied Part
Alternating Current
Direct Current
Single Use Only - Do Not Reuse
Direction Of Pump Flow
Keep Dry
Sterile
Sterilized Using Ethylene Oxide
Not for general waste. Dispose of in accordance

to local regulations.
Authorized Representative in the European

Community
Catalogue Number
Serial Number
Lot - Batch Code
LABORIE
Use By
Radio Equipment Alert
Read Operators Manual
Stop/Reset button: Press and hold for 3 seconds

to reset. Press and hold for 5 seconds or longer
to bring to sleep.
VI
PRODUCT LABELS
Device labels can be found on either the cart leg or the side of the LIT enclosure:
Each label contains some or all of the following information:

device name
device model
company logo
device part number
device serial number:
XXXX-X = product ID code
YY= final 2 digits of year of
manufacture
MM= month of manufacture
ZZZZ=label sequence
radio equipment
certification
codes
LABORIE
safety certification mark

notified body CE mark
EN ISO 15223-1 symbols
power supply input
product barcode
manufacturer name and

address
VII
Aquarius XT Device Labels
Aquarius CT Device Labels
Aquarius LT Device Labels
Aquarius CTS Device Labels
LABORIE
VIII
APPENDIX C. ELECTROMAGNETIC COMPATIBILITY (EMC)

This equipment has been tested and found to comply with the limits for:
EN 61000-3-2:2000
EN 61000-3-3:1995,
+A1: 2001
EN 60601-1-2:2001
CISPR 11:2003,
Group 1, Class B
EN 61000-4-2:1995,
+A1: 1998
EN 61000-4-3:1996
Electromagnetic Compatibility (EMC); Part 3-2 - Limits for harmonic current emissions (equipment input
current up to and including 16A per phase)
Electromagnetic Compatibility (EMC); Part 3 Limits
Section 3: Limits of voltage fluctuations and flicker in low-voltage supply systems for equipment with
rated current 16A
Medical Electrical Equipment -- Part 1-2: General Requirements for Safety -- 2. Collateral Standard:
Electromagnetic Compatibility -- Requirements and Tests
Industrial, Scientific and Medical (ISM) Radio-Frequency Equipment - Electromagnetic
Disturbance Characteristics - Limits and Methods of Measurement
Electrostatic Discharge, 8kV air, 6kV contact
Radiated RF, 3V/m, 80-2500MHz, 80% AM Modulation with a 1.0 KHz sine wave
+A1: 1998
EN 61000-4-4:1995
Electrical Fast Transients, 1kV (5kHz) input/output lines 2kV (5kHz) power supply lines
+A1: 2001
EN 61000-4-5:1995
Fast Surge, 1kV - AC input power port (differential mode)2kV - AC input power port (common mode)
+A1: 2001
EN 61000-4-6:1996
+A1: 2001
EN 61000-4-8: 1993
+A1: 2001
EN 61000-4-11:1994
Conducted RF Immunity, 3V/m, 0.15-80 MHz, 80% AM modulation with a 1kHz sine wave
Power Frequency Magnetic Field, 3A/m
Voltage Dips and Short Interruptions Dips: 95% reduction for 0.5 cycle, 60% for 5 cycles, 30% reduction for
25cycles; interruption > 95% for 5 sec
+ A1: 2001
1. These limits are designed to provide reasonable protection against harmful electromagnetic or other interference in most installations.
However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful
electromagnetic or other interference, which can be determined by turning the equipment off and on, the user is encouraged to try to
correct the interference by one or more of the following measures:
Reorient or relocate AQUARIUS unit.
Increase the separation between AQUARIUS unit and the affected equipment.
Connect the non-medical system equipment into an outlet on a circuit different from that to which the AQUARIUS unit is connected.
Consult the dealer or experienced technical personnel for help.
WARNING! Changes or modifications not expressly approved by LABORIE could void the users authority to operate the
equipment.
2.
This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause
harmful interference and (2) this device must accept any interference received, including interference that may cause undesired
operation. This device contains:
FCC ID: PVH0925 IC: 5325-0925A
LABORIE
IX
LABORIE
LABORIE
XI
LABORIE
XII
LABORIE
XIII
APPENDIX D. COMMONLY USED TEST CONFIGURATIONS

Test
Name
Uroflowmetry
Cystometry
with
EMG
Advanced
CMG
Simple
Pressure/Flow
Advanced
Pressure/Flow
CO2 Gas
Cystometry
(optional)
UPP
LABORIE
Channel
Titles
Flow
Volume
Pves
EMG
IH2O
VH2O
Pves
Pabd
Pdet
EMG
IH2O
VH2O
Pves
Flow
Volume
Pves
Pabd
Pdet
Flow
Volume
IH2O
VH2O
EMG
Pves
ICO2
VCO2
Pura
Pves
Pclo
Scale
Math Definition
Data
Rate
Display
Attribute
40ml/s
Null
Null
Null
Null
Null
Null
Null
Null
Pves-Pabd
Null
Null
Null
Null
Null
Null
Null
Null
Pves-Pabd
Null
Null
Null
Null
Null
Null
Null
Null
Null
Null
Pura-Pves
5points/s
5points/s
5points/s
5points/s
5points/s
5points/s
4point/s
4point/s
4point/s
4point/s
4point/s
4point/s
3points/s
3points/s
3points/s
3points/s
3points/s
3points/s
3points/s
3points/s
3points/s
3points/s
3points/s
5points/s
5points/s
5points/s
5points/s
5points/s
5points/s
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Digital
Digital
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Digital
Digital
Digital
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
Graphical
600ml
100cmH2O
400(none)
200ml/min
1000ml
100cmH2O
100cmH2O
100cmH2O
400(none)
200ml/min
1000ml
100cmH2O
40ml/s
1000ml
100cmH2O
100cmH2O
100cmH2O
40ml/s
1000ml
200ml/min
1000ml
400(none)
100cmH2O
200cmH2O
1000ml
150cmH2O
150cmH2O
150cmH2O
XIV
APPENDIX E. GLOSSARY OF TERMS AND ACRONYMS

TERMSxiii USED IN URODYNAMICS TESTING
NOTE: Notations in italics indicate usage specific to LABORIEs Urodynamic testing protocols.
abdominal pressure: (Pabd) the pressure surrounding the bladder, usually measured via rectum or vagina.
o Standard channel on CMG or pressure/flow studies, measured in cmH2O.
abdominal leak point pressure: (ALPP) the intravesical pressure at which there is leakage of fluid from the bladder
caused by increasing abdominal pressure by straining or coughing. ALPP less than 60cmH2O pressure is considered
intrinsic sphincter dysfunction. ALPP greater than 90cmH2O pressure can indicate urethral hypermobility, and shows a
low risk of intrinsic sphincter dysfunction.
o Standard annotation in Event Menu, often on Control Panel.
acontractile detrusor: (formerly arreflexic bladder) absence of detrusor contraction under Urodynamic evaluation.
area under the curve: a calculation of the area contained by the curve of a urethral pressure profile.
bladder pressure: (Pves, intravesical pressure) pressure within the bladder.

o standard channel on CMG, pressure/flow, or UPP tests, measured in cmH2O.
calibration: checking calibrations -verifying the accuracy of measurements.

recalibrate a procedure to correct or improve the accuracy of measurements.
capacity: notation of the sensation at which the patient feels he/she can no longer delay voiding. This is the point at
which permission to void is given.
o Standard annotation in Event Menu, often placed on the Control Panel.
closure pressure: (Pclo) the calculated value that reflects the difference between urethral pressure and bladder
pressure. PuraPves=Pclo. Pclo less than 20cmH2O pressure can indicate intrinsic sphincter dysfunction.
o Standard channel in a UPP test, measured in cmH2O.
cystometrogram: (CMG) the graphical recording of bladder pressures. Most commonly used to refer to general
Urodynamic studies.
o Standard will include Pves, Pabd, Pdet, EMG and display volume infused and infusion rate.
detrusor: muscle layer surrounding bladder.

detrusor leak point pressure: detrusor pressure at which urine leakage occurs.
o in the absence of either a detrusor contraction OR increased abdominal pressure.
o Most often seen in neurologically impaired patients such as spinal cord injury. DLPP greater than 40cmH2O
pressure can lead to upper urinary tract damage.
detrusor overactivity: characterized by involuntary detrusor contractions during the filling phase of Urodynamics
either spontaneous or provoked.
detrusor overactivity incontinence: incontinence as a result of involuntary detrusor contraction .
LABORIE
XV
detrusor pressure: (Pdet) the calculated pressure measurement reflecting that component of total intravesical pressure
that is generated by the detrusor muscle. Pves-Pabd=Pdet.
o Standard on CMG or pressure/flow tests, measured in cmH2O.
electromyogram: the measurement of nerve activity in Urodynamics to monitor sphincter muscle activity.
enuresis: involuntary loss of urine, usually subcategorized as nocturnal enuresis meaning involuntary loss of urine during
sleep.
filling phase: (storage phase) often used to describe the CMG portion of a Urodynamic examination, this phase ends
prior to voiding.
filling rate: the recommendation by ICS is greater than the predicted maximum filling rate (calculated at body weight in
kg divided by 4). Defined as between 10100ml/min, the typical filling rate during Urodynamics with adults is 5060ml/min.
o Usually displayed as a digital channel during CMG or pressure/flow tests, measured in ml per minute.
first desire to void: during Urodynamics, the feeling that would lead the patient to pass urine at the next convenient
moment, but voiding can be delayed.
first sensation of filling: during Urodynamics, the feeling when he/she is first aware of bladder filling. The reported
sensation of coldness (secondary to room temperature infused fluid) is not usually considered the first sensation.
frequency: the complaint of voiding too often by day.
functional profile length: the length of the urethra along which the urethral pressure exceeds bladder pressure
o calculated within a UPP segment, displayed in mm, as length of continence zone.
hesitancy: difficulty initiating voiding.
idiopathic detrusor overactivity: (formerly detrusor instability) incontinence due to an involuntary detrusor
contraction with no defined cause.
incompetent urethral closure mechanism: when the urethra allows leakage of urine in the absence of a detrusor
contraction.
incontinence: the involuntary loss of urine. May be further defined as: stress incontinence, urge incontinence, mixed
(both stress and urge) incontinence, nocturnal enuresis, and situational incontinence.
International Continence Society: (ICS) The primary interest of the International Continence Society is to study storage
and voiding function of the lower urinary tract, its diagnosis and the management of lower urinary tract dysfunction, and
to encourage research into pathophysiology, diagnostic techniques and treatment. This group sets standards for
Urodynamic testing followed by Laborie Medical Technologies ULCs training programs.
intravesical pressure: (Pves) pressure measured within the bladder. Note that pressure within the bladder can come
from two sources pressure from the body (Pabd) and pressure from the muscle surrounding the bladder (Pdet).
Formerly known as total intravesical pressure.
o Standard channel on CMG, pressure/flow, and UPP tests, measured in cmH2O.
LABORIE
XVI
intrinsic sphincter dysfunction: (ISD) is usually indicated by maximum urethral closure pressure less than 20cmH2O
pressure, or ALPP less than 60cm H2O pressure.
leak point pressure: (LPP, ALPP, VLPP, CLPP) the intravesical pressure at which involuntary urine leakage in noted during
increased abdominal pressure, in the absence of a detrusor contraction. Ex: leakage noted during Urodynamics when
patient is asked to cough or bear down. This can be notated with the modifier of A for abdominal, V for Valsalva, or C for
cough, but all are technically leak point pressures.
o Referred to in cmH2O pressure.
lower urinary tract symptoms: (LUTS) these may include frequency, urgency, incontinence, nocturia, recurrent urinary
tract infections, and many others.
maximum cystometric capacity: (capacity) the volume at which the patient can no longer delay voiding. During
Urodynamics, this is usually the point at which permission to void is given.
o Measured in ml, this is a standard annotation in Event Menu, often on Control Panel.
maximum urethral closure pressure: (MUCP) the maximum difference between urethral pressure and intravesical
pressure. During Urodynamics, this is measured on the Pclo channel, and can be recorded independently or during a
urethral pressure profile.
o Measured in cmH2O.
maximum urethral pressure: (MUP) maximum pressure of the measured profile.
micturition study: a pressure/flow study. This study includes pressure measurements such as Pves and Pabd as well as
Uroflow measurements. This allows documentation of the relationship between the pressure generated during the
voiding event and the resultant flow rate and pattern.
neuropathic detrusor overactivity: (formerly hyperreflexia) detrusor overactivity where there is a relevant neurological
condition.
nocturia: complaint that patient has to wake one or more times to void.
nocturnal enuresis: the complaint of loss of urine during sleep.
normal detrusor function: allows bladder to fill with little or no change in pressure, with no involuntary contractions
despite provocation.
permission to void: annotation placed at time of reported sensation of bladder capacity, recommended by ICS to
document when patient was told to allow voiding. This helps differentiate between contractions that are involuntary,
and contractions that are voluntarily generated to initiate voiding.
phasic detrusor overactivity: a characteristic wave form, which may or may not lead to incontinence post-void residual:
(PVR) the volume of urine left in the bladder after voiding.
pressure/flow study: (Micturition study) a Urodynamic study that includes pressure measurements such as Pves and
Pabd as well as Uroflow measurements. This allows documentation of the relationship between the pressure generated
during the voiding event and the resultant flow rate and pattern.
LABORIE
XVII
Standard will include: Pves, Pabd, Pdet, EMG, Flow, Volume voided, and digital display of volume infused and
infusion rate.
pump rates: using the pump, the rate at which fluid is infused into bladder during Urodynamic testing.
o See filling rate for recommendations.
sensation: in Urodynamics, the reported sensations during testing such as first sensation, first desire, strong desire, and
sense of reaching bladder capacity.
o These are recorded as annotations, in the Event Menu and usually on the Control panel.
stress urinary incontinence: (SUI) the symptom of a loss of urine associated with exertion, often with cough or sneeze.
This is considered a complaint unless proven urodynamically, when it then is known as Urodynamic stress incontinence
(formerly genuine stress incontinence).
strong desire to void: described as the persistent desire to void without fear of leakage.
subtracted pressure: usually referring to the difference between total intravesical pressure and abdominal pressure
Pdet.
o Pves-Pabd=Pdet.
terminal detrusor overactivity: a single involuntary detrusor contraction occurring at capacity, which cannot be
suppressed and results in incontinence, usually resulting in emptying of bladder.
total profile length: not generally accepted as a useful parameter. This is the length of the urethra measured from
where the sensor enters the urethra to where the sensor exits the body.
uninhibited: acting without conscious inhibition often used to describe a bladder contraction which the patient is
unable to suppress.
urethra: the tube leading from the bladder to the outside of the body.
urethral pressure: (Pura) the pressure needed to just open a closed urethra.
urethral pressure profile: (UPP) the pressures recorded throughout the length of the urethra, measured by withdrawing
the catheter at a slow known rate (recommended: 1mm/sec). Most accurately done using a mechanical puller.
o Standard will include: Pves, Pura, and Pclo .
urethral relaxation incontinence: leakage due to urethral relaxation in the absence of raised abdominal pressure or a
detrusor contraction.
urgency: a sudden, compelling desire to void.
o If reported during Urodynamic testing, this can be annotated.
urge incontinence: symptom of incontinence associated with a strong compelling desire to void.
Urodynamic stress incontinence: (formerly genuine stress incontinence, SUI, or stress incontinence) the involuntary
leakage of urine during increased abdominal pressure, in the absence of a detrusor contraction.
valsalva: the attempt to forcibly exhale with a closed glottis often used to increase intra-abdominal pressure.
o Used to provoke stress incontinence, can be annotated as VLPP.
LABORIE
XVIII
voiding phase: (emptying phase) often used to describe the portion of a Urodynamic evaluation that records both
pressures and flow parameters during a voiding event, this would immediately follow the filling phase.
CALCULATIONS
BOOI = pdetQmax 2Qmaxxiv

BCI = pdetQmax + 5Qmaxxv
BVE = (VV/BC) x 100xvi
COMMON URODYNAMICS ACRONYMS
ALPP: Abdominal leak point pressure

BOOI: Bladder outlet obstruction indexxvii
BCI: Bladder contractility index
BVE: bladder voiding efficiency
CLP: Cough leak point pressure
CMG: Cystometrogram
DLPP: Detrusor leak point pressure
DSD: Detrusor sphincter dyssynergia
EMG: Electromyogram
FUL: Functional urethral profile length
ICS: International Continence Society
IH2O: Rate of fluid infusion during
ISD: Intrinsic sphincter dysfunction (or deficiency)
LinPURR: linear passive urethral resistance
(Nomogram available in UDS software)
LPP: Leak point pressure
LUTS: Lower urinary tract symptoms
MCC: Maximum cystometric capacity
MUCP: Maximum urethral closure pressure
MUP: Maximum urethral pressure
NGB:
Neurogenic bladder Pabd Abdominal
pressure
Pabd: Abdominal pressure
LABORIE
Pclo: Closure pressure

Pdet: Detrusor (or subtracted) pressure
Pura: Urethral pressure
Pves: Intravesical pressure
PVR: Post-void residual
SUI: Stress urinary incontinence
UDC: Uninhibited detrusor contraction
UPP: Urethral pressure profile
URA: Urethral resistance factor - Nomogram
VH2O: Volume infused during CMG
VLPP: Valsalva leak point pressure
VS: Valsalva
VUR: Vesico-ureteral reflux
XIX
APPENDIX F: ARM VALUES

MEAN VALUES RANGExviii
Degree of Continence
Complete incontinence
Partial incontinence
Seepage and soilage
Normal (controls)
Chronic constipation
Number of
Patients (F:M)
39 (35/4)
89 (72/17)
42 (24/18)
35 (19/16)
41 (30/11)
Resting Pressure
(mmHg)
51 (20-100)
62 (18-144)
62 (18-169)
88 (43-164)
88 (30-139)
Squeeze Pressure
(mmHg)
88 (36-200)
123 (0-420)
178 (0-395)
204 (62-380)
173 (60-390)
Rectal Sensory
Volume (mL)
31 (5-120)
27 (5-23)
40 (10-100)
19 (5-60)
43 (10-120)
Volume for Reflex

Relaxation
18 (10-50)
20 (5-50)
21 (0-60)
19 (10-40)
25 (10-50)
REUSABLE CATHETERSxix
LABORIE
XX
References
i
Griffiths, Derek Ph.D et al. Quantification of Urethral resistance and Bladder Function During Voiding, With Special Reference to
the Effects of Prostate Size Reduction on Urethral Obstruction Due to Benign Prostatic Hyperplasia. (1989). Neurourology and
Urodynamics. 8:17-27, p. 17.
ii
W. Schfer. Bladder Outflow Obstruction: Urodynamic Measurement and Data Analysis. World J Urol (1995) 13; 47-58.
iii
Griffiths et al. Quantification of Urethral Resistance and Bladder Function During Voiding, With Special Reference to the Effects
of Prostrate size Reduction on Urethral Obstruction Due to Benign Prostatic Hyperplasia. Neurourology and Urodynamics (1989)
8; 17-27.
iv
CHESS Classification of Bladder Outflow Obstruction. World J Urol. 1995; 13(1): 59-64.
v
Siroky MB, Olsson CA, and Krane RJ. The Flow Rate Nomogram: II.Clinical Correlation. J Urol 1980;123:208-10.
vi
Haylen BT, Ashby D, Sutherst JR, Frazer MI and West CR. Maximum and Average Urine Flow Rates in Normal Male and Female
Populations the Liverpool Nomograms. British Journal of Urology. (1989). 64:30-38.
vii
Churchill BM, Gilmour RF, Williot P. Urodynamics. Pediatr Clin North Am. 1987;34:11331157.
viii
Stress Incontinence in Women Evaluation and Interpretation of Urethra Pressure Profiles: Tests with Microtransducers in
Obstetrics and Gynecology 39 (1979) 195-208, Womens Clinic of the Munsterlingen Canton Hospital (Chief Physician: PD E.
Hochuli, M.D.)
viii
THE STANDARDISATION OF TERMINOLOGY IN LOWER URINARY TRACT FUNCTION: Report from the Standardisation Subcommittee of the International Continence Society. Neurourol.Urodyn (2002) 21: 167-178
x
Rao, S.S.C., Azpiroz, F., Diamant, N., Enck, P., Tougas, G., Wald, A.: Minimum Standards of Anorectal Manometry,
Neurogastroenterology and Motility; October 2002, Volume 14, Number 5; pp. 553-559.
xii
Fung, Leo C.T. et al. Evaluation of Pediatric Hydronephrosis Using Individualized Pressure Flow Criteria. (1995). Journal of
Urology 154:671-678.
xiii
Abrams, Cardozo, Fall, Griffiths et al. The Standardisation of Terminology of Lower Urinary Tract Function: Report from the
Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21: 167-78, 2002.
xiv
A Cannon. AW Thomas, E Bartlett, J Ellis-Jones, L Chambers and P Abrams. BLADDER CONTRACTILICITY AND VOIDING EFFICIENCY IN MEN
WITH BLADDER OUTLET OBSTRUCTION TREATED CONSERVATIVELY AND BY TURP. Bristol Urological Institute, Bristol, United Kingdom.
Informally discussed posters, ICS 2000 Tampere.
xv
IBID
IBID.
xvii
IBID.
Informally discussed posters, ICS 2000 Tampere.
xvi
xviii
Source: Smith, Lee E. Practical Guide to Anorectal Testing, 2 Edition. Lippincott Williams & Wilkins, May 1995.
xix
nd
Diagram courtesy of Mui Scientific Inc.

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AQUARIUS XT/CT/LT/CTS Owners Manual

Part 1: Prepare the Remote Control .................................................................................................................................................. 31

AQUARIUS XT/CT/LT/CTS Owners Manual

System Status Messages ...................................................................................................................................................... 70

AQUARIUS XT/CT/LT/CTS Owners Manual

Voiding Summary ......................................................................................................................................................................... 132

AQUARIUS XT/CT/LT/CTS Owners Manual

Video ................................................................................................................................................................................................ 194

AQUARIUS XT/CT/LT/CTS Owners Manual

TOUCHSCREEN ............................................................................................................................................................................. 263

AQUARIUS XT/CT/LT/CTS Owners Manual

INTRODUCTION AND GUIDELINES FOR USE

AQUARIUS XT/CT/LT/CTS Owners Manual

CAUTION AND WARNINGS

Temperature: 15C to 35C (59F to 95F)

Humidity: 30% to 75% relative humidity (non-condensing)

Pressure: 700hPa to 1014hPa

And under the following transport and storage conditions:

Temperature: -10C to 50C (14F to 122F)

Humidity: 20% to 80% relative humidity (non-condensing)

Pressure: 700hPa to 1014hPa

AQUARIUS XT/CT/LT/CTS Owners Manual

23. DO NOT STERILIZE the AQUARIUS Urodynamic processor.

26. Exposure to ESD may cause the Urodynamics System to RESET.

AQUARIUS XT/CT/LT/CTS Owners Manual

AQUARIUS XT/CT/LT/CTS Owners Manual

AQUARIUS XT/CT/LT/CTS Owners Manual

AQUARIUS XT/CT/LT/CTS Owners Manual

AQUARIUS XT/CT/LT/CTS Owners Manual

SOFTWARE AND EQUIPMENT

STANDARD EQUIPMENT AND OPTIONAL ACCESSORIES

AQUARIUS XT/CT/LT/CTS Owners Manual

Laptop or Industrial PC ( 1 or 2 Monitor)

AQUARIUS XT/CT/LT/CTS Owners Manual

ADDITIONAL CONFIGURATION OPTION

AQUARIUS XT/CT/LT/CTS Owners Manual

BUBBLE DETECTOR (OPTIONAL)

AQUARIUS XT/CT/LT/CTS Owners Manual

UPX UPP PULLER (OPTIONAL)

AQUARIUS XT/CT/LT/CTS Owners Manual

EQUIPMENT STATUS AND LIGHT SIGNALS

1 = Bluetooth Status indicator:

AQUARIUS XT/CT/LT/CTS Owners Manual

AQUARIUS XT/CT/LT/CTS Owners Manual

1= toggle buttons to move from screen to screen

AQUARIUS XT/CT/LT/CTS Owners Manual

P1, P2. P3, etc...= sensor port status.

AQUARIUS XT/CT/LT/CTS Owners Manual

Port = connection type - USB or BT (Bluetooth)

AQUARIUS XT/CT/LT/CTS Owners Manual

Buzzer = buzzer enabled or disabled

AQUARIUS XT/CT/LT/CTS Owners Manual

Unit = Roam serial number

AQUARIUS XT/CT/LT/CTS Owners Manual

AQUARIUS XT/CT/LT/CTS Owners Manual

2 Equipment Status Indicator:

AQUARIUS XT/CT/LT/CTS Owners Manual

TRANSDUCER SETUP AND CONNECTION

To set up the Uroflow transducer: