ManoScan360在24小時(shí)PH監(jiān)測中的應(yīng)用

1、Sierra Scientific Instruments, Inc.Proprietary & Confidential Information1ManoScanManoScan 360 360高分辨率胃腸動力學(xué)檢測系統(tǒng)高分辨率胃腸動力學(xué)檢測系統(tǒng)Sierra Scientific Instruments Inc. 北京康聯(lián)醫(yī)用設(shè)備有限公司北京康聯(lián)醫(yī)用設(shè)備有限公司(中國總代理中國總代理)田輝田輝Sierra Scientific Instruments, Inc.Proprietary & Confidential Information2胃食管反流病的診斷胃食管反流病的診斷 24小時(shí)動態(tài)pH

2、監(jiān)測為金標(biāo)準(zhǔn)； 如何準(zhǔn)確定位LES則是監(jiān)測結(jié)果是否真正為“金標(biāo)準(zhǔn)”的重要保障； pH電極的位置對反流的定量關(guān)系很大； 有研究指出：pH電極置于LES上緣2cm與5cm，其陽性率相差45%以上！Sierra Scientific Instruments, Inc.Proprietary & Confidential Information3pH電極定位方法電極定位方法 國際公認(rèn)測壓法+pH梯度法最為準(zhǔn)確； 測壓設(shè)備中最精準(zhǔn)且最先進(jìn)36通道固態(tài)高分辨率測壓ManoScan 360Sierra Scientific Instruments, Inc.Proprietary & Confidentia

3、l Information4ManoScanManoScan 360 360高分辨率測壓系統(tǒng)高分辨率測壓系統(tǒng)完整的紀(jì)錄從咽到胃全部壓力數(shù)據(jù)獲得連續(xù)高保真的壓力數(shù)據(jù)，每個(gè)通道每秒可采集100個(gè)數(shù)據(jù)記錄實(shí)時(shí)動態(tài)的吞咽全過程操作過程簡單，檢測過程8-10分鐘患者痛苦小，易接受，依從性高多功能的分析軟件，科學(xué)的診斷報(bào)告Sierra Scientific Instruments, Inc.Proprietary & Confidential Information5ManoScanManoScan 360 360高分辨率測壓電極高分辨率測壓電極運(yùn)用SSI獨(dú)有的持續(xù)環(huán)繞觸知微壓力測量技術(shù)固態(tài)環(huán)繞電極導(dǎo)管直

4、徑為4.2mm采用36通道間距1厘米每個(gè)通道環(huán)繞12個(gè)測壓點(diǎn)(共432個(gè)測壓點(diǎn))方便的保護(hù)膜Sierra Scientific Instruments, Inc.Proprietary & Confidential Information6Sierra Scientific Instruments, Inc.Proprietary & Confidential Information7100100壓力壓力 (mmHg)100100100100100501001922252832364044513 sec從鼻孔距離從鼻孔距離 (cm)咽咽UESLES胃胃視圖的轉(zhuǎn)換視圖的轉(zhuǎn)換Sierra Scie

5、ntific Instruments, Inc.Proprietary & Confidential Information8Sierra Scientific Instruments, Inc.Proprietary & Confidential Information9Sierra Scientific Instruments, Inc.Proprietary & Confidential Information10Sierra Scientific Instruments, Inc.Proprietary & Confidential Information11Sierra Scient

6、ific Instruments, Inc.Proprietary & Confidential Information12Sierra Scientific Instruments, Inc.Proprietary & Confidential Information13Sierra Scientific Instruments, Inc.Proprietary & Confidential Information14Striated Muscle 條紋肌條紋肌Transition Zone 過渡段過渡段Smooth Muscle 平滑肌平滑肌蠕動正常， 動力正常， 傳送波無間斷， 食團(tuán)清空

7、良好， LES壓力正常Sierra Scientific Instruments, Inc.Proprietary & Confidential Information15正常人吞咽正常人吞咽Sierra Scientific Instruments, Inc.Proprietary & Confidential Information16LES壓力低壓力低Sierra Scientific Instruments, Inc.Proprietary & Confidential Information17食管裂孔疝食管裂孔疝Sierra Scientific Instruments, Inc.

8、Proprietary & Confidential Information18AccuTrac24小時(shí)動態(tài)小時(shí)動態(tài)pH值記錄分析系統(tǒng)值記錄分析系統(tǒng)Sierra Scientific Instruments Inc. 北京康聯(lián)醫(yī)用設(shè)備有限公司北京康聯(lián)醫(yī)用設(shè)備有限公司(中國總代理中國總代理)田輝田輝Sierra Scientific Instruments, Inc.Proprietary & Confidential Information19AccuTrac pH系統(tǒng)組成系統(tǒng)組成 AccuTrac pH值 記錄/分析系統(tǒng) AccuTrac 多通道pH（酸堿度）值記錄儀 pH（酸堿度）分析軟件

9、聯(lián)接電纜及校正配件 pH（酸堿度）電極 Sierra Scientific Instruments, Inc.Proprietary & Confidential Information20正正 面面Sierra Scientific Instruments, Inc.Proprietary & Confidential Information21背背 面面每次檢查需換新電池Sierra Scientific Instruments, Inc.Proprietary & Confidential Information22電源開關(guān)電源開關(guān)Sierra Scientific Instrument

10、s, Inc.Proprietary & Confidential Information23進(jìn)入菜單進(jìn)入菜單Sierra Scientific Instruments, Inc.Proprietary & Confidential Information24菜菜 單單Sierra Scientific Instruments, Inc.Proprietary & Confidential Information25設(shè)設(shè) 置置Sierra Scientific Instruments, Inc.Proprietary & Confidential Information26時(shí)間和電極設(shè)置時(shí)間和

11、電極設(shè)置Sierra Scientific Instruments, Inc.Proprietary & Confidential Information27進(jìn)入向?qū)нM(jìn)入向?qū)ierra Scientific Instruments, Inc.Proprietary & Confidential Information28選擇選擇Yes開始開始Sierra Scientific Instruments, Inc.Proprietary & Confidential Information29確認(rèn)日期時(shí)間確認(rèn)日期時(shí)間Sierra Scientific Instruments, Inc.Propr

12、ietary & Confidential Information30輸入病歷號輸入病歷號Sierra Scientific Instruments, Inc.Proprietary & Confidential Information31校準(zhǔn)電極校準(zhǔn)電極Sierra Scientific Instruments, Inc.Proprietary & Confidential Information32提示上一例病人數(shù)據(jù)是否覆蓋提示上一例病人數(shù)據(jù)是否覆蓋Sierra Scientific Instruments, Inc.Proprietary & Confidential Informati

13、on33在緩沖液在緩沖液7.0中校準(zhǔn)中校準(zhǔn)Sierra Scientific Instruments, Inc.Proprietary & Confidential Information34在緩沖液在緩沖液4.0中校準(zhǔn)中校準(zhǔn)Sierra Scientific Instruments, Inc.Proprietary & Confidential Information35pH 監(jiān)視狀態(tài)監(jiān)視狀態(tài)Sierra Scientific Instruments, Inc.Proprietary & Confidential Information36校準(zhǔn)完畢校準(zhǔn)完畢插管插管Sierra Scientific Instruments, Inc.Proprietary & Confidential Information37開始記錄開始記錄Sierra Scientific Instruments, Inc.Proprietary & Confidential Information38記錄狀態(tài)記錄狀態(tài)Sierra Scientific Instruments, Inc.Proprietary & Confidential Information39安裝保護(hù)盒安裝保護(hù)盒Sierra Scientific Instruments, Inc.Propr