Earlens Sitting Hybrid Impression Procedure System
|
|
- Esther Francis
- 5 years ago
- Views:
Transcription
1 Earlens Sitting Hybrid Impressin Prcedure System 1. Intrductin Earlens Hybrid Impressin Prcedure and System Descriptin Precautins Indicatin fr Use Cntraindicatins Clinical Study Results Operating Instructins Graphic Symbls Cntained in Device Labeling
2 1. Intrductin CAREFULLY READ ALL INSTRUCTIONS PRIOR TO USE. Rx ONLY 2. Earlens Hybrid Impressin Prcedure and System Descriptin Instruments and materials: Impressin Return Bx w/ Label Tpical Light Mineral Oil (OIL02) Impressin Dispensers (IDG01 nly) Medial Impressin Material Cartridge (blue, lw viscsity material) Medial Impressin Mixing Tip Lateral Impressin Material Cartridge (pink, high viscsity material) Lateral Impressin Mixing Tip Tray (small dispsable dish fr hlding mineral il) Additinal standard tlgic ffice supplies are required, which may include: Ear Specula: multiple sizes Wax curette Triangular tipped metal cttn applicatr Small suctin tips (recmmend 5 Gauge, 3 Gauge, and 20 Gauge) Thin curved elevatr Spatula Gauze pads: 4x4 Sft Cttn EPA registered hspital disinfectant wipes 3. Precautins Befre using the Earlens Sitting Hybrid Impressin Prcedure and System, read and make sure yu understand each f the fllwing safety precautins. 2
3 It is imprtant fr the physician t use the specified impressin materials in the prper sequence when perfrming this deep impressin, and the instructins are fllwed. N substitutins fr materials in the impressin system are allwed. The impressin prcedure shuld be perfrmed by a physician with relevant experience, such as an ENT r Otlgist. When using any instruments in the ear canal and particularly when the mixing tip is submerged, be careful t avid damaging the ear canal r tympanic membrane. D nt perfrm the impressin prcedure if the Impressin Dispenser r any ther cmpnent appears t be damaged r expired. D nt use the lateral impressin material in the medial sectin f the ear canal. This material is nt indicated fr use in deep canal impressins and shuld be used exclusively in the lateral sectin f the ear. 4. Indicatin fr Use The Earlens Sitting Hybrid Impressin Prcedure is intended fr use in individuals 18 years and lder t generate an ear canal impressin. 5. Cntraindicatins Perfrated tympanic membrane Otitis externa Visible hematma, bleeding, r effusin Hypersensitivity t cntact resulting in bleeding r hematma is at the discretin f the physician Bny exstsis, atresia, r excessively restrictive anatmy that wuld cause difficulty remving the impressin material r inability t view the tympanic membrane is at the discretin f the physician 6. Clinical Study Results 6.1. Study Overview Earlens cnducted an impressin study t cllect ear impressins frm many different ear canal anatmies and t gain experience with the deep canal impressin prcedure itself. 6.2 Study Demgraphics A ttal f 78 subjects had bilateral ear canal impressins taken (37 female, 41 male). The ttal number f ears that had impressins taken was 154 (2 subjects had unilateral impressins). Subject age ranged frm 32 t 82 years with an average f 66.1 years. The subjects were seen acrss three clinical sites. 6.3 Outcmes Number f Impressins A ttal f 200 ear impressins were taken n 154 ears (78 subjects). Furteen subjects (18%) required mre than ne clinic visit t btain adequate ear impressins. Multiple impressins were required n sme subject ears due t the presence f vids in the impressin f anatmical areas that are critical t the custm-build f the Tympanic Lens. The average number f impressins per subject was 2.6, r 1.3 per ear. Thirty-eight percent f subjects required three r mre impressins; 17% required fur r mre impressins. Cmfrt During Prcedure Based n a subject survey, a ttal f 84% f impressins were rated as either n discmfrt r mild discmfrt. 3
4 Ear Canal Status While 80% f the study ears were bserved t be nrmal (unremarkable tscpic inspectin) after the impressin prcedure, the remaining ears were reprted with minr skin cntact findings. The mst cmmn bservatin was a micr-hematma (16%) while petechia (1%), ecchymsis (2%) and abrasin (1%) was reprted less frequently. All tlgic findings reslved withut treatment and withut sequelae. Micr-hematmae and ecchymses can take 2-4 weeks t reslve. Abrasin and petechia, depending n extent and lcatin, can be a mre minr finding and may r may nt require delay f subsequent tlgic prcedures, including Tympanic Lens placement. 7. Operating Instructins 1. Prvide an verview t the patient abut the impressin prcess and what t expect, including: The ear will be inspected fr any cntraindicatins. The ear will be cleaned, any wax r skin debris present will be remved, and the ear canal will be lubricated with mineral il. Frm the cleaning prcedure there may be sensatins such as a cugh reflex, tickle, r general discmfrt. The ear canal and cnchal bwl will be filled with impressin material. The patient shuld remain still and try and hld their muth clsed in a resting psitin withut clenching teeth. The patient shuld avid talking while the impressin material is curing in the ear. The patient may feel a sensatin f fullness when the impressin material is being applied t the ear canal. The patient will be in bth the supine and seated psitin during the prcedure. In a supine psitin the medial blue material is inserted int the medial ear canal. After eight minutes, the medial impressin material will set-up and cure. During this time, the sensatin f hearing may be diminished due t the presence f the impressin material in the ear canal. After the medial impressin, the patient will be asked t mve t a seated psitin and lateral (pink) impressin material will be inserted int the ear canal. This material will cure ver three minutes. It is imprtant that the patient desn t talk r therwise mve their jaw during this curing time. The impressin is then remved. This may cause a sensatin f pressure r discmfrt. There is a pssibility f discmfrt, bruising, abrasin and/r minr bleeding f the ear canal during this prcedure. 2. Perfrm an tlgic exam and inspect the external auditry canal and the tympanic membrane fr the presence f any cntraindicatins. D nt prceed with the impressin prcedure if any f the cntraindicatins are present. 3. Clean cerumen and epithelial debris frm the ear canal, anterir sulcus, and tympanic membrane. Use a cttn wisp and the prvided mineral il. D nt use any water based cleaning fluids. D nt prceed with the impressin if bleeding r if a hematma ccurs as a result f the cleaning prcess. 4. Wipe ut the ear canal, TM and anterir sulcus with a clean cttn wisp t remve any excess il. Repeat with a new cttn wisp until it cmes ut dry. Avid any pling f mineral il, which may cause defects in the quality f the impressin. 5. Prepare the Impressin Dispensers, Impressin Material Cartridges, and Mixing Tips fr dispensing: Test the actuatin f bth Impressin Dispensers, ensuring that the handles smthly ratchet the pistn frward. D nt use an Impressin Dispenser if it appears t be damaged. Lad the Medial Impressin Material Cartridge int ne Impressin Dispenser. The lwer viscsity, blue, medial impressin material is intended t be put deep in the ear canal and in cntact with the tympanic membrane. Lad the Lateral Impressin Material Cartridge int the ther Impressin Dispenser. The higher viscsity pink, lateral impressin material is intended t be depsited lateral t the medial impressin 4
5 in the uter ear canal. IMPORTANT: D nt use the lateral impressin material in the medial sectin f the ear canal. This material is nt indicated fr use in deep canal impressins and shuld be used exclusively in the lateral sectin f the ear and is NOT intended t be in direct cntact with the tympanic membrane. Remve the caps frm the impressin cartridges. Prir t attaching the Mixing Tip, prime the Medial Impressin Cartridge by dispensing a small amunt f medial impressin material nt a piece f gauze r an equivalent, then wiping any excess material ff f the end f the cartridge. Cnfirm that bth materials (blue and white) are advancing equally frm the tip. IMPORTANT: Ensure there is nt mixing f the tw materials (blue and white) between the utlets f the cartridge after wiping. Prir t attaching the Mixing Tip, prime the Lateral Impressin Cartridge by dispensing a small amunt f medial impressin material nt a piece f gauze r an equivalent, then wiping any excess material ff f the end f the cartridge. IMPORTANT: Ensure there is nt mixing f the tw materials (pink and white) between the utlets f the cartridge after wiping. Attach the single use Mixing Tips t the respective impressin material cartridges. Orient the curved tip n the Medial Impressin Mixing Tip fr the right r left ear. 6. First psitin the patient in the supine psitin. Then psitin the patient s head fr making the impressin, being sure that there is an adequate view f the tympanic membrane, and dispense the medial (blue) impressin material int the ear: With the speculum in place, place the distal end f the mixing tip between the umb and the inferir anterir annular area. Start a timer. Slwly dispense the impressin material int the anterir sulcus and nt the tympanic membrane. Nte: It is imprtant nt t mve the tip f the dispenser until the tympanic membrane is fully cvered keeping the Mixing Tip submerged. T rapid f a flw may trap air in the anterir inferir sulcus and in the pars flaccida area, which will yield an incmplete impressin. As a guide, allw apprximately secnds t fully cver the tympanic membrane, dispensing material at a slw and steady pace. Once the tympanic membrane and pars flaccida are cvered with the impressin material, slwly withdraw the tip laterally, keeping the tip slightly submerged and prceed t mre rapidly fill the external auditry canal up t a level slightly medial f smth skin/glandular skin transitin n the anterir / superir aspect f the canal. The medial impressin material shuld nt be filled beynd the smth skin/glandular transitin. Stp dispensing the medial impressin material. Allw the medial impressin material t cure fr a minimum f eight minutes after the cmpletin f the medial impressin. The patient shuld remain still and hld the muth clsed in a resting psitin withut clenching teeth. The patient shuld avid talking while the impressin material is curing in the ear. 7. Repsitin the subject t a sitting psitin with head and back as vertical as pssible and begin the lateral impressin. The patient shuld remain still, with head facing frward, and hld the muth clsed in a resting psitin withut clenching teeth. Purge the air frm the Lateral Impressin Material Cartridge by squeezing the handle until a small amunt f the impressin material exits the end f the cartridge. Wipe the tip clean. Attach the Mixing Tip. Psitin the Lateral Mixing Tip int the canal against the existing medial impressin material. The 5
6 distal end f the Lateral Mixing Tip shuld be directed twards the superir aspect f the existing medial impressin material (blue) that was previusly dispensed int the ear canal. Start a timer fr the 3 minute duratin While dispensing the lateral impressin material, ensure the distal end f the Mixing Tip remains submerged in the lateral impressin material as the remaining aspects f the canal are filled. Slwly withdraw the tip laterally as the canal is filled, keeping the tip submerged, while maintaining a cnsistent dispensing speed. Once yu have cmpletely filled the canal, advance the material in a clckwise directin fr the right ear and cunterclckwise directin fr the left, filling the cncha bwl first. Fill the canal and cncha bwl with the Lateral Impressin Material (pink) t the level f the scapha, cvering the tragus and filling the cncha cymba. Optinally, create a pile f the impressin material that prtrudes laterally frm the cncha bwl fr ease f impressin remval. Allw the lateral impressin material t cure fr a minimum f three minutes in the sitting psitin. The patient shuld remain still, with head facing frward, and try and hld the muth clsed in a resting psitin withut clenching teeth. The patient shuld avid talking while the impressin material is curing in the ear. 8. Reset the Impressin Dispensers by depressing the lever n the back f the pistn and pulling prximally, detach the Impressin Material Cartridge and Mixing Tip frm each Impressin Dispenser. Discard the single-use Mixing Tips, and discard the Impressin Material Cartridges, if desired. It is acceptable t save the impressin material cartridges fr use in anther impressin if there is adequate unused material left. Nte: The Impressin Dispenser has a useful life f 300 patients. 9. With the subject in an upright sitting psitin remve the fully cured impressin. Lsen the impressin frm the cnchal skin and external auditry canal and break the seal between the impressin material and the ear canal wall. Carefully remve the cured impressin material frm the ear. Ask the patient t pen and clse their jaw as if they are trying t pp their ears While grasping the impressin and pulling the pinna psterirly t straighten the canal, slwly rtate the impressin tward the patient s nse (anterir directin) while gently increasing the amunt f pull frce applied. Gentle twisting frces may be applied as the impressin is slwly remved frm the ear canal. Ask the patient t indicate whether they experience a feeling f a pressure drp r an increase in hearing. This is a sign that an air leak path dwn t the tympanic membrane has been frmed. 10. Inspect the ear canal and tympanic membrane. 11. Inspect the impressin t see if it is cmplete and acceptable r requires a repeat attempt. Flaws that may require a repeat attempt include the fllwing (see Figures 1, 2, 3): Inclusin f cerumen r epithelial plaques in the umb and anterir sulcus areas. Vids, flaws and bubbles in the area f the umb r anterir sulcus areas indicating an incmplete impressin in the tympanic membrane regin. Vids, flaws, and bubbles at the transitin r junctin between the medial and lateral impressin material culd indicate an incmplete impressin. Ensure the transitin pint is nt past the smth skin/glandular skin transitin. Vids, flaws, and bubbles indicating an incmplete impressin in the ear canal and cnchal bwl regin. Small bubbles and vids are acceptable in the ear canal and cnchal bwl regins. 12. If the impressin is unacceptable, repeat the prcedure a secnd time, beginning with Step 4. D nt repeat the prcedure if any f the cntraindicatins have develped. D nt exceed tw attempts per ear per day. 13. Repeat all steps fr the ppsite ear (if necessary). 14. Once all impressins fr a single patient are cmpleted, and if impressin material is ging t be used 6
7 n a subsequent patient, replace the clean cap n the cartridge. Wipe dwn the dispenser and impressin material cartridge (if re-use is planned) with an EPA registered hspital disinfecting wipe t prevent any pssible crss cntaminatin. Dispse f all single-use items. 15. Prepare and send the impressin(s) t Earlens by placing all impressins taken in the supplied Impressin Return Bx and labeling the cntainer with patient identificatin. Figure 1: Medial Sulcus Impressin Examples an ideal medial impressin features a cmplete sulcus which is needed t prepare an adequate cntact platfrm fr the Lens. Figure 2: Medial & Lateral Junctin Impressin Examples an ideal junctin features a smth transitin between the medial and lateral materials with n vids. Figure 3: Lateral Impressin Examples Figure 3: Lateral Impressin Examples an ideal lateral impressin has n flds r vids and is smth. 7
8 8. Graphic Symbls Cntained in Device Labeling Symbl Descriptin Reference Symbl Descriptin Reference Cnsult instructins fr use Temperature limit Use-by date Cautin Batch cde Catalg number CE cnfrmity marking MDD 93/42/EEC, Annex XII Cautin: Federal law restricts this device t sale by r n the rder f a (licensed healthcare practitiner) FDA Final Rule 81 FR Humidity limitatin Manufactured by (Ref ): Earlens Crpratin. 4045A Campbell Ave. Menl Park, CA Eurpean Authrized Representative (Ref ): Medimark Eurpe SARL 11, Rue Emile Zla, B.P F Grenble Cedex 2 France 2019 Earlens Crp. All rights reserved. 8
Earlens Sitting Hybrid Impression Procedure and System
Earlens Sitting Hybrid Impressin Prcedure and System 1. Intrductin... 2 2. Earlens Hybrid Impressin Prcedure and System Descriptin... 2 3. Precautins... 2 4. Indicatin fr Use... 2 5. Cntraindicatins...
More informationEarlens Sitting Hybrid Impression Procedure System
Earlens Sitting Hybrid Impression Procedure System 1. Introduction... 2 2. Earlens Hybrid Impression Procedure and System Description... 2 3. Precautions... 2 4. Indication for Use... 2 5. Contraindications...
More informationUniversal IC Attachment
Universal IC Attachment www.preat.cm 800-232-7732 IC Universal Attachment Universal Male: 5.2mm length, 2mm Ø, 1mm nse Packaged Individually Indicatins: Esthetic partial dentures (n buccal clasp required)
More informationBROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised:
Page 1 f 6 Subject: Range f Mtin Exercises Date Develped: 4/2010 PROTOCOL FOR: All trained staff PURPOSE: Range f Mtin (ROM) exercises are very imprtant if an individual has t stay in bed r in a wheelchair.
More informationInstructions for Use INTRON A (In-tron-aye) (Interferon alfa-2b, recombinant) Powder for Solution
Instructins fr Use INTRON A (In-trn-aye) (Interfern alfa-2b, recmbinant) Pwder fr Slutin Be sure that yu read, understand, and fllw these instructins befre injecting INTRON A. Yur healthcare prvider shuld
More informationActive elbow motion is when your own muscles move the elbow back and forth.
Initial Pstperative Shulder Care and Exercise: **Can be dne if a biceps tendesis has been perfrmed. If a biceps tendesis prcedure has been perfrmed, active elbw mtin is delayed up t 6 weeks. Please clarify
More informationInitial Postoperative Knee Care Patella or Quadriceps Tendon Repairs: - Videos are available on Dr. Witty s website: drjeffreywitty.
Initial Pstperative Knee Care Patella r Quadriceps Tendn Repairs: - Vides are available n Dr. Witty s website: drjeffreywitty.cm Imprtant Phne Numbers: - Please see the cntact infrmatin abve fr imprtant
More informationIntended Use KontrolFlex Endodontic Rotary Files fit into a dental handpiece allowing the user to perform root canal debridement.
KntrlFlex Enddntic Rtary Files KntrlFlex Enddntic Rtary Files are available Nn-Sterile with varius ISO tip sizes and wrking lengths. The devices are intended t be cleaned and sterilized using steam sterilizatin
More informationDRAFT Policy for the Management of Ear Wax
Clinical Cmmissining Grup (CCG) Treatment Plicy NHS Birmingham and Slihull Clinical Cmmissining Grup NHS Sandwell and West Birmingham Clinical Cmmissining Grup DRAFT Plicy fr the Management f Ear Wax 1
More informationPostoperative Anterior Cruciate Ligament Reconstruction Care WITH meniscus repair:
Pstperative Anterir Cruciate Ligament Recnstructin Care WITH meniscus repair: Imprtant Phne Numbers: - Please see the cntact infrmatin abve fr imprtant phne numbers t call. - If yu have cncerns after hurs,
More informationGetting Around Safely With Your Crutches (Toe-Touch Weight Bearing)
OrthBethesda Therapy Services Getting Arund Safely With Yur Crutches (Te-Tuch Weight Bearing) Yur physician will decide whether yu are t be nn weight bearing, te-tuch weight bearing, partial weight bearing,
More informationGetting Around Safely With Your Crutches (Partial Weight Bearing)
OrthBethesda Therapy Services Getting Arund Safely With Yur Crutches (Partial Weight Bearing) Yur physician will decide whether yu are t be nn weight bearing, te-tuch weight bearing, partial weight bearing,
More informationGetting Around Safely With Your Crutches (Non Weight Bearing)
OrthBethesda Therapy Services Getting Arund Safely With Yur Crutches (Nn Weight Bearing) Yur physician will decide whether yu are t be nn weight bearing, te-tuch weight bearing, partial weight bearing,
More informationA foot x-ray series is required only if there is pain in the midfoot zone and any one of the following:
RADIOGRAPHY OF THE ANKLE AND FOOT (OTTAWA ANKLE RULES) Clinical Practice Guideline January 2007 This guideline has been adapted frm the Ottawa Ankle Rules develped by Dr. Ian Stiell et al. Dr. Stiell received
More informationKnee Class Fremont Physical Therapy
Fremnt Knee Facts The knee lses strength and stability after an injury. Stretching, strengthening and stability exercises are recmmended nt nly fr peple wh have injured their knees, but als t prevent injury.
More informationMaterials Dissecting pan, dissecting kit, safety glasses, lab apron, pig heart, & gloves
Heart Dissectin Intrductin Mammals have fur-chambered hearts and duble circulatin. The heart f a bird r mammal has tw atria and tw cmpletely separated ventricles. The dublelp circulatin is similar t amphibians
More informationProtocol. Preparation Protocol for the Non-Targeted Vevo MicroMarker Contrast Agent
Prtcl Preparatin Prtcl fr the Nn-Targeted Vev MicrMarker Cntrast Agent System Cmpatibility: This guide cntains instructins and suggestins fr wrk n the Vev2100, VevLAZR, Vev 3100 systems and transducers
More informationINSTRUCTIONS FOR USE ZINBRYTA (zin-bry-tuh) (daclizumab) Injection, for Subcutaneous Use Single-Dose Prefilled Syringe 150 mg
INSTRUCTIONS FOR USE ZINBRYTA (zin-bry-tuh) (daclizumab) Injectin, fr Subcutaneus Use Single-Dse Prefilled Syringe 150 mg Read this Instructins fr Use befre yu start using ZINBRYTA and each time yu get
More informationCoaguChek Outpatient Clinic: Quality Control Test Procedure. Action
PHSA Labratries CW Site - Pint f Care Title: CWPC_INR_0130 CaguChek Outpatient Clinic Quality Cntrl Test Prcedure CaguChek Outpatient Clinic: Quality Cntrl Test Prcedure PURPOSE: This prcedure prvides
More informationHearing Service Fees and Fee Codes Effective: January 01, 2019
Hearing Fees and Fee Cdes Effective: January 01, 2019 The WCB will fund the fllwing hearing services fr claims accepted fr traumatic and ccupatinal nise induced hearing: Fee cde 200 - Full audilgical assessment.
More informationAssessment Field Activity Collaborative Assessment, Planning, and Support: Safety and Risk in Teams
Assessment Field Activity Cllabrative Assessment, Planning, and Supprt: Safety and Risk in Teams OBSERVATION Identify a case fr which a team meeting t discuss safety and/r safety planning is needed r scheduled.
More informationPATIENT INFORMATION. (methotrexate) injection, for subcutaneous use
What is Rasuv? PATIENT INFORMATION RASUVO (ruh-soo-vh) (methtrexate) injectin, fr subcutaneus use Rasuv is a single-dse manually-triggered aut-injectr cntaining a prescriptin medicine, methtrexate. Methtrexate
More informationLower Extremity Amputation (LEA) Considerations / Issues
Lwer Extremity Amputatin (LEA) Cnsideratins / Issues Prviding Te Fillers can be an advantageus resurce fr yur patient and business but it als cmes with certain cnsideratins. Please review this list belw
More informationIAEM Clinical Guideline 12 Foreign Bodies: The Emergency Department Management of Inhaled and Inserted Objects in Children
IAEM Clinical Guideline 12 Freign Bdies: The Emergency Department Management f Inhaled and Inserted Objects in Children Versin 1 August 2018 Authr: Dr Susan Uí Bhrin Adapted with Permissin frm the Jint
More informationYear 2 MBChB Clinical Skills Session Examination of the Sensory System
Year 2 MBChB Clinical Skills Sessin Examinatin f the Sensry System Reviewed & ratified by: Dr D Smith Cnsultant Neurlgist Dr R Davies Cnsultant Neurlgist Dr B Michael Neurlgy Clinical Lecturer Dr J Williamsn
More informationPatrick J McGahan, MD Orthopaedic Surgeon Specializing in Sports Medicine/Shoulder Reconstruction Surgery Instructions Hip
Patrick J McGahan, MD Orthpaedic Surgen Specializing in Sprts Medicine/Shulder Recnstructin 2801 K St, Ste 330, Sacrament, CA, 95816 (p) 916-733-5049 (f) 916-733-8914 www.patrickmcgahanmd.cm Befre Surgery
More informationTABLE OF CONTENTS Glossary of terms Code Pad Diagram 3. Understanding the Code Pad lights.4.
TABLE OF CONTENTS... Glssary f terms 2... Cde Pad Diagram 3 Understanding the Cde Pad lights.4 Cde Pad tnes 5 Fully arming the system - ON MODE 6 Fully arming the system - Quick Arm MODE 6 Partially arming
More informationPodcast Transcript Title: Common Miscoding of LARC Services Impacting Revenue Speaker Name: Ann Finn Duration: 00:16:10
Pdcast Transcript Title: Cmmn Miscding f LARC Services Impacting Revenue Speaker Name: Ann Finn Duratin: 00:16:10 NCTCFP: Welcme t this pdcast spnsred by the Natinal Clinical Training Center fr Family
More informationPercutaneous Nephrolithotomy (PCNL)
Percutaneus Nephrlithtmy (PCNL) What is a percutaneus nephrlithtmy? is the mst effective f the cmmnly perfrmed prcedures fr kidney stnes. It is the best prcedure fr large and cmplex stnes. T perfrm this
More informationMedication Guide SIGNIFOR [sig-na-for] (pasireotide) Injection
Medicatin Guide SIGNIFOR [sig-na-fr] (pasiretide) Injectin Read this Medicatin Guide befre yu start using SIGNIFOR and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take
More informationCompleting the NPA online Patient Safety Incident Report form: 2016
Cmpleting the NPA nline Patient Safety Incident Reprt frm: 2016 The infrmatin cntained within this dcument is in line with the current Data Prtectin Act (DPA) requirements. This infrmatin may be subject
More information2017 CMS Web Interface
CMS Web Interface PREV-5 (NQF 2372): Breast Cancer Screening Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION... 4 BENEFICIARY
More informationThis standard operating procedure applies to stop smoking services provided by North 51.
Authr Name/Title Melanie McIlvar, Bid Develpment Manager Authr Signature Date: 4 th September 2017 Apprver Name/Title Jasn Shelley, Grup Directr f QA/RA Apprver Signature Date: 4 th September 2017 Issue
More informationTreatment Guidelines June 2013, D0028 Rev. F
Treatment Guidelines June 2013, D0028 Rev. F Cutera Inc. Wrld Headquarters 3240 Bayshre Bulevard, Brisbane, CA 94005 USA Tel: +1 415 657 5500 Fax: +1 415 330 2444 www.cutera.cm June 2010, D0028 Rev. F
More informationo hold ankle (first uninvolved, then involved) o hold 4 seconds
Prtcl fr Cx Technique Hands-On Prtins f Curses step by step instructins fr treating patients with Cx Distractin Decmpressin Adjustment & Manipulatin Prtcl I and II Instructins Lumbar Spine prepared by
More informationInfection Control Guidelines for Cabin Crew Members on Commercial Aircraft
Infectin Cntrl Guidelines fr Cabin Crew Members n Cmmercial Aircraft PURPOSE These guidelines prvide cabin crew members (flight attendants) with practical measures t prtect themselves, passengers, and
More informationNational Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers
Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQ s) Fr PA Health & Wellness Prviders Questin GENERAL Why is PA Health & Wellness implementing a Medical Specialty Slutins Prgram? Answer
More informationP02-03 CALA Program Description Proficiency Testing Policy for Accreditation Revision 1.9 July 26, 2017
P02-03 CALA Prgram Descriptin Prficiency Testing Plicy fr Accreditatin Revisin 1.9 July 26, 2017 P02-03 CALA Prgram Descriptin Prficiency Testing Plicy fr Accreditatin TABLE OF CONTENTS TABLE OF CONTENTS...
More informationDr. Tozzi s and Dr. Roehrig s Patient Guide to Total Hip Replacement
Dr. Tzzi s and Dr. Rehrig s Patient Guide t Ttal Hip Replacement This guide is meant t help yu better understand yur upcming hip surgery. It is generalized infrmatin, and individual patients have unique,
More informationAnterior Total Hip Arthroplasty Patient Guide & Common Questions
Intrductin: Anterir Ttal Hip Arthrplasty Patient Guide & Cmmn Questins This handut is a general guide t cmmn indicatins fr anterir ttal hip arthrplasty, what t expect when underging the prcedure, risks,
More informationINSTALLATION AND OPERATING INSTRUCTIONS YD30 COBALT
INSTALLATION AND OPERATING INSTRUCTIONS YD30 COBALT CONTENTS 1. DESCRIPTION Pg. 2 2. PRODUCT UNBOXED Pg. 2 3. DIMENSIONS 3.1. Lck 3.2. Strike Plate 3.3. Fitting Tab 3.4. Husing 3.5. Dress Plate Pg. 3 3
More informationPROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS
PROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS INTRODUCTION This ntice prvides an verview f the parental special educatin rights, smetimes called prcedural safeguards
More informationAction plan: serialisation of Nordic packages focus on Product Codes
19.6.2017, versin 5 Actin plan: serialisatin f Nrdic packages fcus n Prduct Cdes The aim f this dcument is t help pharma cmpanies t prepare fr prduct cde changes and t be able t maintain prduct cdes in
More informationI am having a Rotator Cuff Repair
I am having a Rtatr Cuff Repair A rtatr cuff repair is surgery t repair a trn tendn in the shulder. The rtatr cuff is a grup f muscles and tendns that frm a cuff ver the shulder jint. The muscles and tendns
More informationBuilding Code 101 OWMC November 20, Ministry of Municipal Affairs and Housing
Building Cde 101 OWMC Nvember 20, 2015 Ministry f Municipal Affairs and Husing Disclaimer These slides are prvided by the Ministry f Municipal Affairs and Husing fr cnvenience nly The slides shuld nt be
More informationExtended G/L Segment Codes
Extended G/L Segment Cdes Cpy Segment Cdes t ther Sage 300 cmpanies Extended G/L Segment Cdes Extended G/L Segment Cdes is an enhanced replacement fr the Sage G/L Segment Cdes screen. It lets yu cpy segment
More informationBefore Your Visit: Mohs Skin Cancer Surgery
Befre Yur Visit: Mhs Skin Cancer Surgery Yur Kaiser Permanente Care Instructins Skin Cancer Infrmatin What is skin cancer? Skin cancers are tumrs, r malignancies, f the skin. Skin cancer is assciated with
More informationScreening Questions to Ask Patients
Screening Questins t Ask Patients 1. Have yu ever had TB (Tuberculsis)? Yes N 2. Have yu been living with anyne in the past tw years that has been diagnsed with TB? Yes N 3. Have yu ever had a Persistent
More informationHuon Logistics Isolation & Lockout Work Instruction 1. LOCKOUT DEVICES 2. LIGHT VEHICLE POSITIVE ISOLATION POINTS - 1 -
Hun Lgistics Islatin & Lckut Wrk Instructin Prcedure 1. LOCKOUT DEVICES Explanatin When an islatin f any mbile plant r equipment is required befre safe access t a machine can be prvided the fllwing must
More informationRecord of Revisions to Patient Tracking Spreadsheet Template
Recrd f Revisins t Patient Tracking Spreadsheet Template Belw is a recrd f revisins made by the AIMS Center t the Patient Tracking Spreadsheet Template. The purpse f this dcument is t infrm spreadsheet
More informationrequisitions and computerized or addressograph labels for patient 2% Chlorexidine with 70% alcohol wipes (CHG/alcohol)
PURPOSE Prcedure fr btaining a peripheral bld sample via venipuncture. POLICY STATEMENTS Bld sampling requires a prescriber s rder indicating bld samples t be drawn. The chice f site and prcedure (venepuncture,
More informationNational Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Louisiana Healthcare Connections Providers
Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQs) Fr Luisiana Healthcare Cnnectins Prviders Questin GENERAL Why did Luisiana Healthcare Cnnectins implement a Medical Prgram? Answer
More informationContinuous Nerve Blocks at Home
What is a peripheral nerve blck? Making a difference in the lives f children, yuth and families Cntinuus Nerve Blcks at Hme This nerve blck is a way t treat and prevent pain after surgery. Yur child s
More informationCONSENT FOR KYBELLA INJECTABLE FAT REDUCTION
CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION INSTRUCTIONS This is an infrmed cnsent dcument which has been prepared t help yur Dctr infrm yu cncerning fat reductin with an injectable medicatin, its risks,
More informationRecommendations for Risk Management at Swine Exhibitions and for Show Pigs August 2012
Recmmendatins fr Risk Management at Swine Exhibitins and fr Shw Pigs August 2012 Backgrund: The Natinal Prk Bard facilitated in develping this dcument. These recmmendatins were develped by a wrking grup
More informationAnnual Principal Investigator Worksheet About Local Context
Cmpleting the NCI CIRB Annual Principal Investigatr Wrksheet Abut Lcal Cntext and the Study-Specific Wrksheet Abut Lcal Cntext at the University f Iwa All investigatrs cnducting research with the Natinal
More informationPost-Operative Instructions Shoulder Arthroscopy and SLAP Repair
Laith M Jazrawi, MD Prfessr f Orthpedic Surgery Chief, Divisin f Sprts Medicine T 646-501-7223 Pst-Operative Instructins Shulder Arthrscpy and SLAP Repair Day f Surgery A. Relax. Diet as tlerated. B. Icing
More informationFrequently Asked Questions: IS RT-Q-PCR Testing
Questins 1. What is chrnic myelid leukemia (CML)? 2. Hw des smene knw if they have CML? 3. Hw is smene diagnsed with CML? Frequently Asked Questins: IS RT-Q-PCR Testing Answers CML is a cancer f the bld
More informationDHMO Provider Choice Product Exit, 2-50 and 51+
Date: April 27, 2018 Market: Dental, 2-50 and 51+ DHMO Prvider Chice Prduct Exit, 2-50 and 51+ Maryland and Virginia Only Beginning with July 2018 renewals, DHMO Prvider Chice (PC) plans will be discntinued
More informationPatrick J McGahan, MD Orthopaedic Surgeon Specializing in Sports Medicine/Shoulder Reconstruction
Patrick J McGahan, MD Orthpaedic Surgen Specializing in Sprts Medicine/Shulder Recnstructin 2801 K St, Ste 330, Sacrament, CA, 95816 (p) 916-733-5049 (f) 916-733-8914 www.patrickmcgahanmd.cm Befre Surgery
More informationDATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 2016 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS
DATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 216 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS This briefing has been specifically prepared fr the Ministry f Health t prvide infrmatin frm this
More informationBLOOD BORNE PATHOGENS
BLOOD BORNE PATHOGENS GALVESTON ISD ANNUAL TRAINING 2018-2019 Galvestn Independent Schl District Special Prgrams/ECH Health Services Required Training Ò Training is required by the Texas Department f Health
More informationINTRODUCTION TO THE CIRCULATORY SYSTEM
INTRODUCTION TO THE CIRCULATORY SYSTEM What des bld d? 5. What makes this pssible? : In rder fr there t be an efficient exchange f xygen, waste and nutrients there must be a high surface area between the
More informationI. LUMBAR SPINE Protocol I and II Instructions
Prtcl fr Cx Technic Hands On Prtins f Cx Curses (7/21/14) step by step guide instructins fr treating patients with Cx Technic Flexin Distractin & Decmpressin Spinal Manipulatin prepared by James M. Cx,
More informationINCLUDED. Oral Care Control Device Interchangeable Mouth Tray Power Supply Power Cable Storage Case Silicone Cleaning Cover (Do Not Discard)
INCLUDED Oral Care Cntrl Device Interchangeable Muth Tray Pwer Supply Pwer Cable Strage Case Silicne Cleaning Cver (D Nt Discard) Interchangeable Muth Tray Pwer Supply Pwer Cable Oral Care Cntrl Device
More information1. Obtain the Catheter (choose one of 3 types below):
Checklist fr Insertin and Setup f an ICP Mnitring Device Befre prceeding, cntact neursurgery t identify the type f catheter t be inserted. The catheter type will define the equipment requirements and preparatin
More informationYou may have a higher risk of bleeding if you take warfarin sodium tablets and:
MEDICATION GUIDE Warfarin (WAR-far-in) Sdium (SO-dee-um) Tablets USP The 7.5 mg tablets cntain FD&C Yellw N. 5 (tartrazine), which may cause allergic-type reactins (including brnchial asthma) in certain
More informationGUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH
GUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH Aurra Health Care s Research Subject Prtectin Prgram (RSPP) This guidance dcument will utline the prper prcedures fr btaining and dcumenting
More informationRequirement for all Industrial Stairs
Requirement fr all Industrial Stairs (This is the same as Table D-1 in OSHA Standard 29 CFR 1910.24(e)) Angle t Hrizn Rise Height (in inches) Tread Width (in inches) 30 6 ½ 11 32 6 ¾ 10 ¾ 33 7 10 ½ 35
More informationACRIN 6666 Screening Breast US Follow-up Assessment Form
Screening Breast US Fllw-up Assessment Frm N. Instructins: The frm is cmpleted at 12, 24 and 36 mnths pst initial n study mammgraphy and ultrasund by the Radilgist r RA. Reprt all interim infrmatin related
More informationCardiac Rehabilitation Services
Dcumentatin Guidance N. DG1011 Cardiac Rehabilitatin Services Revisin Letter A 1.0 Purpse The Centers fr Medicare and Medicaid Services (CMS) has detailed specific dcumentatin requirements fr Cardiac Rehabilitatin
More informationFDA Dietary Supplement cgmp
FDA Dietary Supplement cgmp FEBRUARY 2009 OVERVIEW Summary The Fd and Drug Administratin (FDA) has issued a final rule regarding current gd manufacturing practices (cgmp) fr dietary supplements that establishes
More information(Please text me on once you have submitted your request online and the cell number you used)
Dear Thank yu fr yur email, nted. Belw steps n hw t register as a service prvider. Please nte that nce yu have requested t becme a service prvider, yu need t sms/what s up me n 0826392585, in rder t activate
More informationHealth Screening Record: Entry Level Due: August 1st MWF 150 Entry Year
Health Screening Recrd: Entry Level MIDWIFERY EDUCATION PROGRAM HEALTH SCREENING REQUIREMENTS (Rev. June 2017) 1. Hepatitis B: Primary vaccinatin series (3 vaccines 0, 1 and 6 mnths apart), plus serlgic
More informationSafety Rules. Danger Failure to obey the instructions and safety rules in this manual will result in death or serious injury. Do Not Operate Unless:
First Editin Sixth Printing Operatr's Manual Safety Rules Danger Failure t bey the instructins and safety rules in this manual will result in death r serius injury. D Nt Operate Unless: Yu learn and practice
More informationDental Benefits. Under the TeamstersCare Plan, you and your eligible dependents have three basic options when you need dental care.
Dental Benefits Under the TeamstersCare Plan, yu and yur eligible dependents have three basic ptins when yu need dental care. Optin #1: TeamstersCare Dentists. Yu can use ur in-huse Charlestwn, Chelmsfrd,
More informationThis clinical study synopsis is provided in line with Boehringer Ingelheim s Policy on Transparency and Publication of Clinical Study Data.
abcd Clinical Study Synpsis fr Public Disclsure This clinical study synpsis is prvided in line with Behringer Ingelheim s Plicy n Transparency and Publicatin f Clinical Study Data. The synpsis which is
More informationABIOpure TM Total RNA (version 2.0)
ABIOpure TM Ttal RNA (versin 2.0) Bld Extractin Handbk Cat N: M541RP50-B FOR RESEARCH USE ONLY Table f Cntents Cntents Page Kit Cmpnents 3 Precautins 3 Stability & Strage 4 General Descriptin 4 Limitatins
More information2017 CMS Web Interface
CMS Web Interface PREV-6 (NQF 0034): Clrectal Cancer Screening Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION... 4 BENEFICIARY
More informationRate Lock Policy. Contents
Rate Lck Plicy Cntents Rate Lcks... 2 Rate Lck Cnfirmatin... 2 Lck Term... 2 Pre-Lck... 2 Maximum Qualified Rate... 3 Extensins... 3 Cst t Extend... 3 Relcks... 4 Re-Negtiatin r Flat Dwn Plicy... 4 Prgram
More informationA pre-conference should include the following: an introduction, a discussion based on the review of lesson materials, and a summary of next steps.
NAU Mdel Observatin Prtcl The mdel prtcl was develped with supprt and expertise frm the Natinal Institute fr Excellence in Teaching (NIET) and is based in great part n NIET s extensive experience cnducting
More informationAnnex III. Amendments to relevant sections of the Product Information
Changes t the Prduct infrmatin as apprved by the CHMP n 13 Octber 2016, pending endrsement by the Eurpean Cmmissin Annex III Amendments t relevant sectins f the Prduct Infrmatin Nte: These amendments t
More informationCoding. Training Guide
Cding (Specialty Hspital) Visin 4.3 (January 2013) Training Guide SurceMedical VisinSH Cding Learning Center f Excellence Last change made: January 2013 2013 Surce Medical Slutins, Inc. All Rights Reserved.
More informationASFYT Part I: The Skeletal System S1: Intro to Kinesiology
S1: Intr t Kinesilgy (1) Intr t Kinesilgy Majr Divisins f the Human Bdy Jints Between Majr Bdy Parts Describing Mvement in the Bdy True Mvement vs. Ging Alng fr the Ride Anatmic Psitin Directinal Terms
More informationUniversity College Hospital. Pump school Starting on an insulin pump. Children and Young People s Diabetes Service
University Cllege Hspital Pump schl Starting n an insulin pump Children and Yung Peple s Diabetes Service 2 If yu wuld like this dcument in anther language r frmat, r require the services f an interpreter,
More informationANXIETY SYMPTOMS INTERVENTION SESSION HANDOUTS. Introduction to Fighting Fear by Facing Fear. Making a Fears and Worries List
SESSION ANXIETY SYMPTOMS INTERVENTION 5 SESSION HANDOUTS Handut 5.1: Handut 5.2: Handut 5.3: Handut 5.4: Handut 5.5: Handut 5.6: When Yu Face Yur Fears STOP! Intrductin t Fighting Fear by Facing Fear The
More informationNational Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Managed Health Services (MHS)
Questin GENERAL Why did MHS implement a Medical Specialty Slutins Prgram? Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQs) Fr Managed Health Services (MHS) Answer Effective Nvember
More information2019 Canada Winter Games Team NT Female Hockey Selection Camp August 16-19, 2018
2019 Canada Winter Games Team NT Female Hckey Selectin Camp August 16-19, 2018 Strength and Cnditining Recmmendatins As discussed in the Call Fr Players letter, it is critical fr players t get their bdies
More informationTo learn the importance of cardiovascular exercise, to study the hamstring muscle and to practice basic martial arts kicks.
Gal f 3 T learn the imprtance f cardivascular exercise, t study the hamstring muscle and t practice basic martial arts kicks. 3 3 Learning Objectives After participating in 3, students will: Understand
More informationLESSON 10: NEITHER PLANT NOR ANIMAL
LIFE IN GENERAL LESSON 10: NEITHER PLANT NOR ANIMAL READING & RESEARCH Read KSE Fungi and Lichens, p. 55. Read USE Fungi, pp. 284-285. Read DSE Fungi, p. 315. DEFINITIONS Define the fllwing terms, nting
More informationNIA Magellan 1 Spine Care Program Interventional Pain Management Frequently Asked Questions (FAQs) For Medicare Advantage HMO and PPO
NIA Magellan 1 Spine Care Prgram Interventinal Pain Management Frequently Asked Questins (FAQs) Fr Medicare Advantage HMO and PPO Questin GENERAL Why is Flrida Blue implementing a Spine Management prgram
More informationHead and neck cancers are often treated with radiotherapy. Radiotherapy can lead to faster rates of tooth decay and poor healing in the mouth.
DENTAL EXTRACTION This infrmatin aims t help yu understand the peratin, what is invlved and sme cmmn cmplicatins that may ccur. It may help answer sme f yur questins and help yu think f ther questins that
More informationStructured Assessment using Multiple Patient. Scenarios (StAMPS) Exam Information
Structured Assessment using Multiple Patient Scenaris (StAMPS) Exam Infrmatin 1. Preparing fr the StAMPS assessment prcess StAMPS is an assessment mdality that is designed t test higher rder functins in
More informationLee County Florida Income Guideline Chart
NEIGHBORHOOD STABILIZATION PROGRAM OF LEE COUNTY BUYER-RELATED QUESTIONS 1. Why is NSP beneficial t yur buyers? Three key advantages make the NSP Prgram especially attractive t eligible buyers: 1) Investrs
More informationIntroduction. Lesson developed by: Heather Medema-Johnson, M.S, ATC, CSCS
Updated DATE BSL PRO Lessn H35: Range f Mtin/Sit and Reach Lessn develped by: Heather Medema-Jhnsn, M.S, ATC, CSCS Intrductin A well-runded physical activity prgram is an integral part f a strng, verall
More informationField Epidemiology Training Program
Field Epidemilgy Training Prgram Cancer Curriculum: Principles f Cancer Registries Case Study: Hspital-Based Cancer Registries FACILITATOR GUIDE FETP Cancer Curriculum: Principles f Cancer Registries Case
More informationColonoscopy MoviPrep Split-dose Prep Guide
Yu have been scheduled fr a Clnscpy MviPrep Split-dse Prep. Plan ahead t help reduce yur stress. Use these step-by-step instructins fr a successful prep s that yur dctr can clearly view yur cln. If yu
More informationGroup Members: Date Period
Dissectin Kit Number: Grup Members: Date Perid Dissectins Objective: In this tw-week investigatin, we will be lking at an invetebrate (grasshpper) and a vertebrate (frg). Yu will be fcusing n the external
More informationCreating and Linking Charge Objects
Overview Charge bject screens are used t maintain cst accunting cdes that agencies use t break ut emplyee time based n wrk perfrmed and leave time while assigned t a specific prject(s). The charge bject
More information