User's Manual

PillCam Capsule Endoscopy
86 Real-Time Viewing with PillCam Recorder DR3 Only—Internal Mode
In procedures with AFR mode capsules (PillCam SB 3 and PillCam COLON 2), the AFR icon appears
above the right navigation button while the capsule is not in AFR mode to allow the user to manually
activate the AFR mode of the capsule even before automatic activation. After activation of the AFR mode
in the capsule (either manually or automatically), the recorder status icon in the top status line changes from
paired to AFR . The icon displayed above the right navigation button is the mark icon that
allows the marking of the displayed image for automatic creation of a thumbnail and to facilitate further
scrutiny of the image off-line in the created video.
In procedures with non-AFR capsules (PillCam SB 2 and PillCam ESO/UGI) the icon that appears above
the right navigation button in real-time viewing is the mark icon .
For colon visualization procedures: instruction #1 on the PillCam recorder screen appears after the capsule
enters the small bowel, usually within two hours of ingestion. The AFR icon simultaneously appears in
the status line at the top of the PillCam recorder screen, designating the fact that the PillCam COLON 2
capsule passed into the AFR mode operation.
If the system does not show instruction #1 or the AFR icon two hours after ingestion, you can monitor the
capsule location in the GI tract using the real-time viewing. The system will activate by default the AFR
mode and instruction #1 at 4 hours post-ingestion at the latest.
If you need to verify (after instruction #1 on the PillCam recorder screen) that the capsule has left the
stomach, use the real-time viewer:
• If capsule is still in the stomach, repeat real-time viewing to check capsule location every 30 minutes
until you can confirm that it has left the stomach.
• If you visually confirm that the capsule has left the stomach while the AFR indication in the top right
corner of the status line still hasn't changed to , press the right navigation button under the AFR
icon at the right bottom of the screen for 5 seconds. This triggers instruction #1 and activates
recording mode AFR frame rate. The AFR icon appears at the top right corner in the status line of
the screen. The video created from this procedure will start at this point. The mark icon will
appear above the right navigation button instead of the icon.
• Once instruction #1 occurs, the PillCam recorder automatically continues to provide instructions
according to the post-ingestion regimen selected during check-in.
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Note
For colon visualization procedures:
• If the PillCam recorder does not detect that the capsule has entered the small
bowel (either automatically or by the manual procedure described in step 2,
above), the following message appears when opening the video: Gastric-to-SB
passage not detected. In this case, the video is very short (the first 3 minutes
only).
• Some patients may require close supervision to ensure they comply with post-
ingestion instructions. Other patients may be able to function independently as
long as they have access to all needed doses of laxatives and/or prokinetics and
are capable of following instructions during the procedure.