Given Imaging GIVENIMAGING User Manual Patient Instructions

Given Imaging Limited Patient Instructions

Patient Instructions

Patient Instructions  Jan 2001Patient Instructions for Undergoing Capsule EndoscopyYour doctor has determined that as part of your medical evaluation you should undergo a testknown as Capsule Endoscopy. This procedure involves ingesting a small (the size of a largevitamin pill) Given® Imaging M2A™ Capsule which will pass naturally through your digestivesystem while taking pictures of the intestine.  The images are transmitted to a sensor array whichis placed on your abdomen.  These sensors are attached to the walkman-like Given® DataRecorder that is worn around your waist, which will will save all the images.  After 8 hours theGiven® Data Recorder will be taken off and returned to your physician for processing.  In orderfor your physician to get the most accurate information from this test, you will need to follow thedirections listed below:1.  Do not eat or drink for 8 hours prior to undergoing your Capsule Endoscopy.2.  For males: On the day prior to the Capsule Endoscopy, shave your abdomen 6 inches above and belowthe navel.  If it is difficult for you to shave your abdomen, please contact your physician’s office toarrange to come in earlier to have this done.3.  Please arrive at your physician’s office at the prescribed time for your Capsule Endoscopy.4.  At your physician’s office, the Sensor Array will be applied to your abdomen with adhesive pads and willbe connected to the Given® Data Recorder which is worn on a belt around your waist.  You will then beinstructed to ingest the M2A™ Capsule.5.  After ingesting the M2A™ Capsule, do not eat or drink for 2 hours.  After 2 hours you may drink water.After four hours you may have a light snack.  After completion of the study, you may return to yournormal diet.  Contact your physician immediately if you have any abdominal pain, nausea orvomiting anytime after ingesting the M2A™ Capsule.6.  After ingesting the M2A™ Capsule and until it is excreted, you should not be near any source ofpowerful electromagnetic fields such as one created near an MRI device.7.  The Capsule Endoscopy will last 8 hours.  During the Capsule Endoscopy try to avoid any strenuousphysical activity.  Do not bend or stoop during the Capsule Endoscopy.  You must also not remove thebelt at any time during this period.8.  Every 15 minutes during the Capsule Endoscopy you will need to verify that the small green/blue lighton top of the recorder is blinking.  If for some reason it stops, please record the time and contact yourphysician.  Also record the time and the nature of any event such as eating, drinking and unusualsensations.  Return these notes to your physician at the time you return the equipment.9.  At the end of 8 hours, the Given® Data Recorder, Belt, and Sensor Array can be removed and returnedas instructed by your physician.  To remove the Sensor Array and Given® Data Recorder Belt, firstdisconnect the Sensor Array from the Given® Data Recorder, then remove the Belt with the Given®Data Recorder and Given® Recorder Battery Pack in it.  Disconnect the Given® Recorder Battery Packfrom the Given® Data Recorder and then put them in a safe place.  After removing the Belt, peel theAdhesive Sleeves off your abdomen without removing them from the sensors and place the SensorArray with the rest of the equipment.  Do not pull the wires of the Sensors to assist in removing theSensors from your abdomen!  After removal, leave the sensors in the Adhesive Sleeves.  They will beremoved at your physician’s office.10.  The Given® Data Recorder holds the images of your examination.  Handle the Given® Data Recorder,Belt, Sensor Array and Given® Recorder Battery Pack carefully.  Do not expose them to shock,vibration or direct sunlight, which may result in loss of information.  Return all of the equipment to yourphysician’s office as soon as possible.11.  The M2A™ Capsule is disposable and it will be excreted naturally in your bowel movement.
Patient Instructions  Jan 2001Capsule Endoscopy Event FormPatient Name ID no:Time Event  (eating, drinking and unusual sensations)__ : ___ Ingestion__ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : _____ : ___ Excretion

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