Resources

Your go-to resource to get everything you need related to mcompass. Make sure to bookmark this page to make it easy whenever you need support. And you can always contact us to get personalized support right when you need it.

Anorectal Training & Support

FOR TEST OPERATOR:

mcompass Quick Reference Guide

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Troubleshooting Issues with the FOB (Windows 7)

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Troubleshooting Issues with the FOB (Windows 10)

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FOR PHYSICIAN:

Anorectal Manometry Overview

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mcompass Interpretation Quick Reference Guide

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Anorectal Manometry Report Template

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Hirschprungs Disease Case w Notes

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Constipation Case w Notes

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Fecal Incontinence Case w Notes

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FOR PATIENTS:

A Patient's Guide to Anorectal Manometry

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Bowel Symptom Questionnaire

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Prep Sheet for Patients Before the Procedure

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General Consent Form

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Manometric Biofeedback Training & Support

FOR TEST OPERATOR:

mcompass Manometric Biofeedback Quick Reference Guide

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Troubleshooting Issues with the FOB

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FOR PATIENTS:

Bowel Symptom Questionnaire

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Prep Sheet for Patients Before the Procedure

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General Consent Form

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Abdominal Breathing Exercises

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Studies

Anorectal Manometry Studies:

A Novel Technique for Bedside Anorectal Manometry in Humans

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Anorectal Manometry Testing Effectively Trained in Less than Three Hours – A Pilot Study

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Anorectal Disorders

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Best Practice & Research Clinical Gastroenterology: Constipation

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Diagnosis and Management of Fecal Incontinence

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Diagnosis and Treatment of Pelvic Floor Disorders

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Behavioral and New Pharmacological Treatments for Constipation: Getting the Balance Right

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Fecal Incontinence in Primary Care: Prevalence, Diagnosis, and Health Care Utilization

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Fecal Incontinence: Prevalence, Severity, and Quality of Life Data from an Outpatient Gastroenterology Practice

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Minimum Standards of Anorectal Manometry

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Manometric Biofeedback Studies:

CAPABLe Methods Cont Clin Trials 2015

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Controlling Anal Incontinence by Performing Anal Exercises with Biofeedback or Loperamide

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UNC Study – Fecal Incontinence in Primary Care

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Caring for Patients with Fecal Incontinence Costs More Than $4,000 per Patient

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Improving biofeedback for the treatment of fecal incontinence in women: implementation of a standardized multi-site manometric biofeedback protocol

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Videos

Manometric Biofeedback Therapy for Pelvic Floor and Anorectal Disorders

Anorectal Manometry Test, Live Patient Demo & Training Edited

Qualifying Patients for Anorectal Manometry

Anatomy, Physiology and Evaluation of Anorectal Disorders

Anorectal Patterns, Norms and Case Studies

Treatment Options for Anorectal Disorders

Basic Management of Anorectal Disorders Edited (Full Video)

Medspira Catheter Training Video

Anorectal Manometry Patient Information

Anorectal Manometry FAQs

How long does the procedure take?

Anorectal manometry performed on the mcompass usually takes about 15 minutes to complete.

How long does the battery last?

On a full charge the battery in the tablet will last about 8 hours.

Where can I order catheters?

Is the catheter made of latex?

The catheters for the mcompass are made of all non-latex materials.

What CPT codes are associated with anorectal manometry?

Testing Device Reimbursements are covered under codes: 91122 Anorectal manometry. 91120 Rectal sensation, tone, and compliance test

What do the patients need to do to prepare for the procedure?

Let your patient know the following:

  • Give yourself one or two Fleet® enemas 2 hours prior to your study. You can purchase the Fleet enema from a pharmacy or supermarket.

  • You should not eat anything during the two hours prior to the procedure. If you are diabetic, this may involve adjusting your diabetic medications.

  • You may take regular medications with small sips of water at least 2 hours prior to the study.

Does the mcompass have WiFi capabilities?

The mcompass has easy built-in WiFi for emailing of full digital encrypted results to appropriate specialists as needed.

Do we need a cart or dedicated room?

The mcompass is a portable wireless system that only weighs 3 lbs, eliminating the need for a cart or dedicated room.

What sort of maintenance is required for the catheters?

The high-performance, disposable catheters just need to be thrown out after they have been used. No cleaning or maintenance is required.

Manometric Biofeedback FAQs

What is the recommended number of iterations to do during one session?

No specific amount – gauge on the patients fatigue rate. Minimum of 5-10.

Is there a recommended method for establishing what the target pressure for squeeze should be?

Yes, the target pressures for the squeeze training is based on the squeeze trials for the manometry.

How large of volume increases decreases are recommended?

Small amounts 10 ml.

What sort of squeeze does the patient do and at what point are they squeezing?

They squeeze when the fell the balloon inflations – same type of squeeze as practiced in the strength training.

Since you do not want the patient to see the screen or when you are inflating the balloon how do you coach them to tell you they feel it as you go through multiple iterations of the test?

Same type of squeeze as the strength training.

Can we clarify the portion of instructions referencing 15cc of air? Is the system warning us not to deflate the balloon below 10cc as we move around the sensation threshold? Wouldn’t a situation like this be extremely rare if normal sensation volumes are between 30-50cc?

No system warning, just a recommendation to deflate the balloon to help decrease urge sensation. We really are trying to work with the “strong urge” sensation here and not the initial sensation.

Is the step sequence as follows: Fill to normal urge- record. Fill to Strong Urge- Record. Remove 30cc air- Record. Pause and have patient to breathing exercises. Start test and fill balloon to strong urge. Remove 30 cc air- Record. Pause and do breathing exercises.

Yes, but we also recommend removing 15 cc (see previous FAQ).

Is the goal to increase the threshold at which strong Urge is experienced?

YES

Why are the breathing exercises done after the air is removed rather than during the strong urge experience?

To help practice the behavioral aspects of trying to relax – one can do these with both.

Marketing Materials

Patient Brochures:

Fecal Incontinence Trifold (Example):

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Constipation Trifold (Example):

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Waiting Room Posters:

Incontinence Poster

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Constipation Poster

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