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 Manometry Training & Support

FOR TEST OPERATOR:

mcompass® ARM Instructions for Use

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mcompass® Quick Reference Guide

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mcompass® Quick Reference Guide (Pediatric Guidelines using Petite Catheter)

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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:

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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ICD 10 Codes for the mcompass® Anorectal Manometry System

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Normal Values

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FOR PATIENTS:

A Patient's Guide to Anorectal Manometry (English)

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A Patient's Guide to Anorectal Manometry (Spanish)

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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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Patient Gastrointestinal Health Survey

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Manometric Biofeedback Training & Support

FOR TEST OPERATOR:

mcompass® Biofeedback Instructions for Use

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mcompass Manometric Biofeedback Quick Reference Guide

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Troubleshooting Issues with the FOB

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FOR PATIENTS:

A Patient's Guide to Biofeedback Therapy (English)

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A Patient's Guide to Biofeedback Therapy (Spanish)

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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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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

Marketing Materials

Patient Brochures:

Fecal Incontinence Trifold (Example):

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Constipation Trifold (Example):

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Waiting Room Posters:

Version 1

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Version 2

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Anorectal Manometry FAQs

How long does this diagnostic procedure take?

Anorectal Manometry performed using mcompass usually takes less than 15 minutes to complete.

How long does the battery last?

When fully charged, the battery in the Tablet will last about 2 hours, and the battery in the Fob will last about 4 hours. Turning off the Fob between procedures will extend battery life.

Where can I order more catheters and other mcompass supplies?

Visit our online store at: https://medspira.com/shop/

Do mcompass products contain Latex?

No. All mcompass disposable products are Latex Free.

What CPT Codes may be billed for Anorectal Manometry?

Using mcompass allows you to bill for CPT codes: 91122 – Anorectal Manometry and 91120 – Rectal Sensation Tone and Compliance

How should patients prepare for the procedure?

While not required, it is recommended that:

  • The patient gives themself one or two Fleet® enemas 2 hours before their study. Fleet enemas can be purchased from a pharmacy or supermarket.

  • For two hours before their procedure, please limit their food intake to light meals or snacks, if necessary. If they are diabetic, this may involve adjusting their diabetic medications.

  • They may still take their regular medications with water prior to the study.

Does mcompass have WiFi capabilities?

Yes, built-in WiFi allows emailing full digital encrypted results to appropriate specialists as desired.

Do we need a cart or dedicated room?

No, the mcompass system is a portable wireless system, only weighing about 3 pounds, eliminating the need for a cart or dedicated room.

Is any maintenance required?

No. The disposable, high-performance mcompass catheters require no maintenance – just throw them away after use.

The mcompass Tablet and Fob also do not require maintenance. Just a sanitary wipe after each use.

Is Technical Product Support available?

Yes. Real live technicians (no chat-bots) are available on business days from 7:30am to 5:00pm Central Time. Phone 612.789.0013 & press 1 or Email support@medspira.com

What is the Pediatric age range for the mcompass Petite catheter?

While this is at the discretion of the clinician, based on the patient’s physical size, Medspira recommends the mcompass Petite catheter be used for children 0 to 6 years of age.

What is the Shelf Life of mcompass products?

Disposable mcompass catheters and associated supplies carry a 2-year shelf life.

Do I need to attach a rectal balloon to mcompass catheters?

mcompass catheters are ready-to-use right out of the box. No tying or clipping on rectal balloons!

Blue Flow Switch or Stopcock – Which should I use?

Either one will work just as well to close the catheter airflow when needed, such as between sensory levels during the mcompass Sensation Test. It is important to maintain rectal balloon pressure. Some find using just their thumb to open/close the blue airflow switch easy enough, while others prefer turning the stopcock.

What is the Lite Version of mcompass?

The Lite version is a fully functional and editable report viewer for use by physicians/specialists for interpretation of mcompass procedure results. This software may reside on computers outside of the procedure area and multiple copies are provided at no additional cost.

Manometric Biofeedback FAQs

How many therapy sessions is common?

Many patients experience notable results after 5-6 mcompass biofeedback sessions spaced a week or two apart.

What is the recommended number of times a patient should try an exercise?

This may depend on each patient’s fatigue rate.

For the Strength Exercises, we recommend a minimum of 5-10 trials.

Sensory and Urge Resistance Training may be done until the patient is fatigued, or their results show the desired progress.

Can mcompass Biofeedback therapy be performed on pediatrics?

Yes. For children generally below age 6 years, we recommend using the mcompass 5-channel Petite catheter. During procedure start-up, indicate you are using a 5-channel catheter.

What rectal balloon volume increases/decreases are recommended?

Small amounts such as 10 ml / 10 cc. For pediatrics, we recommend 5 ml / 5 cc.

How are patient progress targets determined?

Use the manometry test data for baselines. Medspira provides “Normal Values” and biofeedback therapy guidance information to help set goals for the patient. See available information on the “Resources” page of this website.

Why is it recommended that the patient NOT see the monitor for certain exercises?

To prevent patients from faking results, such as in the Sensory and Urge Resistance Exercises. In some exercises, the patient may provide false information based on what they think you want from them by seeing the data on the screen.


What CPT Codes may be billed for Manometric Biofeedback?

Using mcompass allows you to bill for CPT codes: 90912 – Biofeedback Training (initial 15 minutes) and 90913 – Biofeedback Training (subsequent 15 minutes)