Step by Step 06

8/9/2019 Step by Step 06

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HemoronHemoron

Device forDevice for nonnon--surgical treatmentsurgical treatment

of hemorrhoid illnessof hemorrhoid illnessKluchoKlucho J., M.D.J., M.D.

UseUse withwith HemoronHemoron manual onlymanual only !!

ProducerProducer: nhn electronics v.o.s., Pelou,: nhn electronics v.o.s., Pelou, Czech RepublicCzech Republic

2006 2006


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HemoronHemoron

-- setset


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ContentContent

PreparationPreparation Device

Accesories

Workplace

Patient

TreatmentTreatment and control after treatmentand control after treatment

AnnexAnnex Sterilisation

Disinfektion

Data graphs


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PreparationPreparation

HemoronHemoron and accessoriesand accessories Working place

Patient


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PreparationPreparation -- HemoronHemoron andandaccessoriesaccessories

Hemoron charging (after 15 20 treatm.) Needles type 2000 - steam sterilization

Anoscope -sterilisation by Lysoformin3000

Aux. Electrode - cleaning

Cloth socks - washing and ironing

Fixing belt - washing

(Annex more Information)


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Hemoron and accessories Working placeWorking place

Patient


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PreparationPreparation -- Working placeWorking place

Table with positioner Table for Hemoron etc.

Table for HemorScope


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Hemoron and accessories Working place

PatientPatient


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PreparationPreparation -- patientpatient

20min. before treatment Yall solution applyinto rectum of patient

Recommend

position of patientand Hemoron

plug-in


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Other positions and Hemoron plug-in


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20min. before treatment Yall solution applyinto rectum of patient

Recommend position of patient and Hemoron

plug-in Patient examination before nonPatient examination before non--surgicalsurgical

method of treatmentmethod of treatment


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PreparationPreparationpatientpatient


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PreparationPreparationpatient examinationpatient examination

Hand examination


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Anoscope examination


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Anoscope examination


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Course of treatmentCourse of treatment

Device controlTreatment:Treatment:

Plug-in control

Anoscope insert Ctrl Switch on Light

Put in needles

Treatment organisation Choice of current

Choice of conditions

TreatmentTreatment

visualisationvisualisation


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DeviceDevice controlcontrol


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DeviceDevice controlcontrol


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TreatmentTreatment

Patient plug-in control


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TreatmentTreatment

Auxiliary electrode plug-in control

5mm thick wall


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TreatmentTreatment

Anoscope insert control


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TreatmentTreatment

Switching Light on Hemoron probe


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TreatmentTreatment

Put in sterille needles to Hemoron needleholder

Approx.3mm


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TreatmentTreatment

Treatmentorganisation


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TreatmentTreatment

Choice ofprepre--selectedselected

current


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TreatmentTreatment

1.Choice of applications condition

10 710 182 4x.IV.stage

9 510 171 2xIII.stage

7 510 141x (2x)II.stage

6101xI.stage

Application

Time

/min./

Current

Intensity

/mA/

TreatmentHemorrhoid


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TreatmentTreatment

2.Simplification of choice:(preselected current = optimal /painless/ current intensity)

I. II. III. IV.st

60 75 90 120

Application time =

pre-selected current


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TreatmentTreatment

Treshold - 2mAdown


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TreatmentTreatment


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TreatmentTreatment


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0

20

40

60

80

100

120

140

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Interventions-sessions

patients,

intervention

s

all

Number of patients

Number of interventions

altogether

The overview of the patients according to number of

sessions performed Rusek M.D.

TreatmentTreatment


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TreatmentTreatment

Applied currentApplied current intensity /mA/intensity /mA/ Rusek M.D.

16

39

71

47

24

3

0

20

40

60

80patients

8mA 11mA 13mA 15mA 17mA 19mA current


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TreatmentTreatment

Average treatment time requiredAverage treatment time required forfor one nodone nod/min.//min./

Rusek M.D.

47

111

40

2

0

20

40

60

80

100

120patients

5,5min 7,5min 9,5min 11min time


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TreatmentTreatmentresult visualizationresult visualization


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before treatment after treatment


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TreatmentTreatmentresult visualizationresult visualizationBlood vessels 3D sono

before treatments after treatments

Results from University Olomouc, II.surgery clinic


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Control after treatmentControl after treatment

If the non-surgical treatment is successful ornot we can find out after period of 2-3 weeks

Treatment session with significant relief Rusek M.D.

109

60

22

3 1 1 4

0

20

40

60

80

100

120

patients

after the 1s t

after the 2nd

after the 3rd

after the 4thafter the 5th

after the 6th

no improvement so far


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AnnexAnnex

SterilisationSterilisation Sterilisation needless type 2000

DisinfektionDisinfektion Disinfektion Anoscope

DataData graphsgraphs Rusek M.D.


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NeedlesNeedles -- sterilisationsterilisation

1.Non-sterile needles type 2000


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2.Non-sterile needles type 2000 cut off, extraction of needless


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3. Needles type 2000 - steam sterilisation

ConditionsConditions::20 - 30min.

100 kPasc

121C/134C


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AnoscopeAnoscope -- disinfectiondisinfection

AnoscopeAnoscope and Krizand Krizss three stages dilatatorthree stages dilatator


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AnoscopeAnoscope and Krizand Krizss three stages dilatatorthree stages dilatatorcleaningcleaning andand disinfectiondisinfection

Conditions:byby LysoforminLysoformin 3000 3000 instructions of Producerinstructions of Producer::

Dr.Hans Rosemann


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Cleaning and washingCleaning and washing


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Disinfection with disinfectant Lysoformin 3000


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Cloth socksCloth socks -- disinfectiondisinfection

Disinfection by washing and ironing

about 5mm


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127

67

4

15

5

48

0

50

100

150

patients

oinment

suppositories

tablets

s urgery intervention, onc e

s urgery inte rvention, twice

no previous treatment

DataData graphsgraphs

Types of treatment prior to Hemorontreatment Rusek M.D.


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13

151

35

1

0

50

100

150

200

patients

quite pleasant

bearable

paiful but bearableexremely unpleasant


Hemorontreatment evaluated as: Rusek M.D.


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85

68

33

14

0

20

40

60

80

100

patients

no bleeding

several hours

2 days3 days and more


Duration of small bleeding after treatmentDuration of small bleeding after treatment Rusek M.D.


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0

5

10

15

20

25

1day

2days

3days

4day

s

5day

s

6days

7days

8days

9days

10days

14days

patients P ainfull pres s

in anu

Burning

sensations in

anu

Itchingsensation in

anu

Pressure

sensation

Headache

No s ens ation

present

DataData graphsgraphsSubjective unpleasant afterSubjective unpleasant after--treatment sensations andtreatment sensations and

their durationtheir duration Rusek M.D.

10% of patients


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179

201

0

50

100

150

200

patients

satisfied and willing

satisfied but no willing to

curry on with the treatment

unsatisfied and found

another surgical doctor


Satisfaction with the treatment methodSatisfaction with the treatment method

Rusek M.D.


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ReliabilityReliability

Gold MEFA


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Documents

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