 Esophageal Motility Analyzers

Scope of this Product Comparison

This Product Comparison covers esophageal peristaltic motility analyzers with multichannel recorders,
infusion and noninfusion pressure catheters, and pH probes. Some models also include integral pH meters.
Transducers that are compatible with esophageal motility analyzers are also available from various
manufacturers.

Purpose
By manometrically measuring and recording the coordinated peristaltic action of
the esophagus, commonly known as the swallowing reflex, an esophageal motility
analyzer helps diagnose esophageal abnormalities such as achalasia, scleroderma,
hypertensive esophageal bodies, and dysphagia. The device generates a chart that
shows a timed sequence of peristaltic esophageal contractions in conjunction with
the patient’s swallowing and respiration. It also records pressures from the upper
and lower esophageal sphincters and from along the midpoint of the esophagus
and assesses the coordination of pharyngeal and esophageal contractions. In
addition, motility analyzers record pH in the lower esophagus and are useful in
investigating gastroesophageal reflux disease (GERD), a condition that causes a
return flow of acidic stomach contents into the esophagus and is a common cause of nonspecific chest pain.
Recording esophageal pH allows a precise measurement of the frequency and duration of reflux.
Esophageal motility studies provide information necessary for prescribing treatment, such as surgery, drug
therapy, and/or biofeedback therapy, for the above disorders.
Not designed exclusively for esophageal use, motility analyzers can also be used to take anorectal or duodenal
pressure measurements, and many manufacturers offer accessories for these purposes.

Principles of operation
An esophageal motility study requires the patient to swallow either a
multilumen water-perfused catheter with intermittent recording ports
UMDNS Information
(openings) or a catheter with built-in pressure transducers. The catheter
openings or transducers are then positioned in the upper esophageal This Product Comparison covers the
sphincter, at one or two midpoints in the body of the esophagus, and in following device terms and product codes as
listed in ECRI Institute’s Universal Medical
the lower esophageal sphincter. The distal tip of the catheter typically Device Nomenclature System™ (UMDNS™):
contains a pH probe. The catheter, which is ruled, is usually inserted to Analyzers, Physiologic, Peristaltic Motility,
Esophageal [11-600]
about 40 cm, the approximate distance from the mouth to the stomach Analyzers, Physiologic, Peristaltic Motility,
in an average-size adult. Once the catheter is positioned properly (using Gastrointestinal [15-036]
Analyzers, Physiologic, Peristaltic Motility,
either manometry or estimations based on the patient’s height), Colon/Rectum [18-780]
recording begins and continues as the catheter is either withdrawn at

5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA  Tel +1 (610) 825-6000  Fax +1 (610) 834-1275  Web www.ecri.org  E-mail hpcs@ecri.org
Esophageal Motility Analyzers

regular intervals or left in a stationary position. Recording can also

occur while a patient swallows to evaluate peristalsis and to measure
sphincter relaxation.
Water-perfused catheters require that water be infused at a constant
rate through the catheter lumen. The flow rate is approximately 0.6
mL/min at the catheter opening. Esophageal contraction causes the
flow rate to decrease, resulting in increased catheter pressure. With
the patient in the supine position, external pressure transducers
leveled with the esophagus convert changes in catheter pressure into
electric signals. The signals are sent to a computer or multichannel
recorder. The recorded pressures indicate the force and sequence of
muscular events, including peristalsis and pharyngeal coordination,
and also define the resting pressure of the lower esophageal sphincter
and its degree of relaxation during a swallow. Catheters with built-in
transducers directly translate pressures into electric signals and do not
require that the patient be in the supine position.
Esophageal recorders usually have multiple (up to 32) channels to
measure pressures at points in the esophagus corresponding to the
placement of the transducers, as well as channels for measuring
respiration, swallowing, and gastric pH. Some models also have
separate channels for electromyography, electrocardiography, and
electrogastrography during the motility study.
Gastric pH, an indicator of gastric reflux symptoms, is recorded using a glass or antimony pH electrode placed
at the distal tip of a motility catheter or using a glass or antimony pH probe catheter. A second pH catheter is
usually connected to the pressure catheter, and the two are inserted and positioned together. Another method of
diagnosing gastroesophageal reflux, known as the Bernstein test, reproduces esophageal pain by perfusing the
esophagus with hydrochloric acid. Either test can be performed alone or combined with manometry.
Respiration is measured by either a bellows pneumograph placed around the patient’s chest or a thermistor
that clips onto the nostril. A microphone or piezoelectric transducer placed over the larynx indicates the initiation
of the peristaltic reflex.
Some manufacturers have introduced ambulatory esophageal motility analyzers that allow continuous 24-hour
recording. Miniature electronic pressure transducers are placed near the upper border of the lower esophageal
sphincter, and the patient is sent home with a portable digital data recorder that continuously records motility,
pH, and other parameters during normal activities. Ambulatory models are used primarily for evaluating GERD;
they provide more representative monitoring and assessment because patients can keep a diary of activities that
produce symptoms of GERD. The recorded data can then be downloaded to a personal computer (PC) for
analysis of motility waveforms and pH changes. Ambulatory esophageal motility monitoring is also used to
evaluate abnormal esophageal motor patterns associated with dysphagia or noncardiac chest pain and to assess
esophageal motor disorders.
A water-perfused catheter passed through an endoscope provides pressure measurements and direct
observation of the esophagus. This procedure saves time by reducing the need for two separate tests, but it may
not be appropriate for all esophageal evaluations.

Reported problems
ECRI Institute has not received any problem reports pertaining to esophageal motility analyzers. However,
because esophageal motility testing requires inserting a catheter into the esophagus, the types of problems
associated with oral intubation can also occur in this procedure (e.g., irritation of the pharyngeal and esophageal

2 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

mucosal lining, rupture/piercing of the esophagus, infections from nonsterile equipment). Proper intubation
technique is essential throughout this procedure.
Because probes are inserted into the esophagus, readings may be affected by material (e.g., food, mucus)
sticking to the probe tip or by the probe tip becoming lodged against the esophageal wall. Probes can also be
damaged if the patient vomits during probe insertion or during the study.
Automatic calibration does not test the accuracy of the transducers on most motility analyzers; rather, it detects
disconnections in the transducer circuitry and adjusts the sensitivity of the amplifier to produce a given signal
level. To calibrate the transducer, readings should be taken of several known pressures and compared and
adjusted to the measurements taken by a certified mechanical gauge.
The effectiveness of ambulatory models may be limited by insufficient memory for recording data or by
restrictions in the placement of probes. Also, esophageal pH monitoring cannot attain 100% sensitivity due to its
inability to identify patients with alkaline reflux.

Purchase considerations
ECRI Institute recommendations
Included in the accompanying comparison chart are ECRI Institute’s recommendations for minimum
performance requirements for esophageal motility analyzers. The specifications have been divided into two
categories: modular, or software-only, systems and stand-alone systems. The requirements for each of these
categories are similar, with a few extra considerations for stand-alone systems.
In order to permit archiving and transfer of test results, systems should include adequate storage space on both
permanent drives and writable media and should allow networking with other computers and information
systems. Multiple pressure channels permit more complete analysis of the swallowing reflex without requiring
repositioning of the catheter. The ability to monitor other variables, such as pH, increases the flexibility of the
systems and better aids in the diagnosis of conditions such as GERD. In general, however, ambulatory devices
will require fewer monitoring channels than systems intended for hospital use.

Other considerations
A wide range of esophageal motility analyzers is available, and each design is unique in its level of
sophistication. Some manufacturers offer ambulatory units for 24-hour studies. Some units link directly to
computers to calculate and graphically display peak and average pressures, wave velocities, sphincter volumes,
and other information. Software programs that can perform these functions in real time are also available.

Environmental considerations
Some analyzers may offer energy-saving features, such as automatic shut off when not in use, and using
rechargeable batteries. Analyzers made from recyclable materials and those that are manufactured in green plants
are desirable.
End-of-life disposal needs to be considered as well. Facilities should look for manufacturers who offer take-
back or recycling programs.

Cost containment
Before purchasing an esophageal motility analyzer, buyers should consider the features and configuration (i.e.,
stationary or ambulatory) necessary for the types of procedures most frequently performed in the facility. The
number and types of probes and catheters, software analysis features, and peripheral equipment needed should
also be considered.

©2010 ECRI Institute. All Rights Reserved 3

Esophageal Motility Analyzers

Suppliers do not typically discount esophageal motility equipment; however, the hospital may want to try to
negotiate for a 3% to 15% discount, particularly if multiple units will be purchased. Buyers should obtain service
pricing from suppliers before making a purchase decision and should require guarantees for a 24- to 48-hour
maximum delivery time for a loaner model when a repair is needed, a maximum repair time, and a clarification
of who will pay shipping costs for purchased equipment.

Stage of development
The applications of esophageal motility analysis have increased as a result of the introduction of ambulatory
models with miniaturized electronic transducers, large data storage capacities, and PC-interface capabilities.
Recent advancements in esophageal motility equipment include the development of high-resolution manometry
(HRM). A catheter with twelve microtransducers at one –centimeter intervals is inserted into the patient’s
esophagus. The microtransducers then collect gastroesophageal junction pressure measurements. Using these
measurements HRM software runs algorithms to plot a three-dimensional topography of the esophagus. HRM
calculates the dimensions of the lower esophageal sphincter—an area of the esophagus that plays a crucial role in
preventing reflux. Whether or not HRM has advantages over standard manometry is an on-going debate among
clinicians. Some believe it is faster and less painful for patients than standard esophageal motility analysis; so far
there has been no conclusive evidence to support this. HRM is more expensive and requires trained staff to
interpret the analytical software, but more detailed measurements and previously unmeasurable areas of the
esophagus can now be evaluated. How to classify normal motor function and disorders based on HRM
measurements is an ongoing discussion.

Bibliography
Ayazi S, Crookes PF. High-resolution esophageal manometry: using technical advances for clinical advantages. J
Gastrointest Surg 2009 Sep; 14 (1):24-32.
Barham CP, Gotley DC, Miller R, et al. Ambulatory measurement of oesophageal function: clinical use of a new
pH and motility recording system. Br J Surg 1992 Oct;79(10):1056-60.
Bozymski EM. Pathophysiology and diagnosis of gastroesophageal reflux disease. Am J Hosp Pharm 1993 Apr;50(4
Suppl 1):S4-6.
Bredenoord AJ, Tutian R, Smout AJ, et al. Technology review: Esophageal impedance monitoring. Am J
Gastroenterol 2007 Jan;102(1):187-94.
Bremner RM, Constantini M, DeMeester TR, et al. Normal esophageal body function: a study using ambulatory
esophageal manometry. Am J Gastroenterol 1998 Feb;93(2):183-7.
Castell, D. Letter to the Editor: High resolution manometry: a word of caution. Am J Gastroenterol 2008
Oct;103(10):2657-8.
Clouse RE. Motor disorders. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal disease. 5th ed. Philadelphia: WB
Saunders; 1993:341-5.
Evans JM, Davies WL, Wise CC. Intrinsic lower esophageal activity may interfere with esophageal pressure
measurements [letter]. Anesthe 1984 Jun;60(6):615.
Fink SM, McCallum RW. The role of prolonged esophageal pH monitoring in the diagnosis of gastroesophageal
reflux. JAMA 1984 Sep 7;252(9):1160-4.
Grande L, Culell P, Ros E, et al. Comparison of stationary vs ambulatory 24-hour pH monitoring systems in
diagnosis of gastroesophageal reflux disease. Dig Dis Sci 1993 Feb;38(2):213-9.

4 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

Hampton FJ, MacFadyen UM, Mayberry JF. Variations in results of simultaneous ambulatory esophageal pH
monitoring. Dig Dis Sci 1992 Apr;37(4):506-12.
Hick DG, Weerasena NA, Casey JF, et al. A system for ambulatory monitoring and computerised analysis of
oesophageal motility and luminal pH. Int J Clin Monit Comput 1990;7(4):223-31.
Iftikhar SY, Ledingham S, Evans DF, et al. Alkaline gastro-oesophageal reflux: dual probe pH monitoring. Gut
1995 Oct;37(4):465-70.
Kwo PY, Cameron AJ, Phillips SF. Endoscopic esophageal manometry. Am J Gastroenterol 1995 Nov;90(11):1985-8.
McCallum RW. Diagnosing motility disorders of the upper gastrointestinal tract. South Med J 1984 Aug;77(8):947-
55.
Pandolfino JE, Fox MR, Bredenoord AJ, et al. High-resolution manometry in clinical practice: utilizing pressure
topography to classify oesophageal motility abnormalities Neurogastroenterol Motil 2009 Aug;21(8):796-806.
Rex DK, Hast JL, Lehman GA, et al. Comparison of radially sensitive and circumferentially sensitive
microtransducer esophageal manometry probes in normal subjects. Am J Gastroenterol 1988 Feb;83(2):151-4.
Rokkas T, Sladen GE. Ambulatory esophageal pH recording in gastroesophageal reflux: relevance to the
development of esophagitis. Am J Gastroenterol 1988 Jun;83(6):629-32.
Sinclair ME, Suter PM. Detection of overdosage of sedation in a patient with renal failure by the absence of lower
oesophageal motility. Intensive Care Med 1988;14(1):69-71.
Stein HJ. Clinical use of ambulatory 24-hour esophageal motility monitoring in patients with primary esophageal
motor disorders. Dysphagia 1993;8(2):105-11.
Voyles CR, Stevens GL, Polk HC Jr, et al. Manometric evaluation of esophageal disease. South Med J 1981
Jun;74(6):673-5.

Supplier information
ALBYN MEDICAL
Albyn Medical Ltd A Smart Medical Group Co [171323]
Bridgend Road Industrial Estate
Dingwall IV15 9QF
Scotland
Phone: 44 (1349) 862388 Fax: 44 (1349) 864146
Internet: http://www.albynmedical.com
E-mail: sales@albynmedical.com

Albyn Medical SL A Smart Medical Group Co [453633]

Poligono Industrial Cordovilla Calle D No 1
Cordovilla (Navarra) E-31191
Spain
Phone: 34 (948) 293324 Fax: 34 (948) 293418
Internet: http://www.albynmedical.com
E-mail: sales@albynmedical.com

MEDICAL MEASUREMENTS
Medical Measurements Inc [103829]
56 Linden St
Hackensack, NJ 07601-3554
Phone: (201) 489-9400, (800) 833-8031 Fax: (201) 489-5723

©2010 ECRI Institute. All Rights Reserved 5

Esophageal Motility Analyzers

MMS
MMS Deutschland GmbH [283888]
Postfach 101027
Bottrop D-46210
Germany
Phone: 49 (2041) 558010 Fax: 49 (2041) 558011
Internet: http://www.mms-deutschland.de
E-mail: vertrieb@mmsinternational.com

Medical Measurement Systems bv [453005]

Colosseum 25
Enschede NL-7521 PV
The Netherlands
Phone: 31 (53) 4803700 Fax: 31 (53) 4803701
Internet: http://www.mmsinternational.com
E-mail: info@mmsinternational.com

Medical Measurement Systems USA Inc [453004]

383 Central Ave Suite LL40
Dover, NH 03820
Phone: (603) 750-0037, (800) 236-9310 Fax: (603) 750-3155
Internet: http://www.mmsusa.net
E-mail: sales@mmsusa.net

NEOMEDIX SYSTEMS
Neomedix Systems Pty Ltd [184140]
7/5 Narabang Way
Belrose 2085
Australia
Phone: 61 (2) 94502400 Fax: 61 (2) 99872411
Internet: http://www.neomedix.com
E-mail: insight@neomedix.com

SANDHILL SCIENTIFIC
Sandhill Scientific Inc [104327]
9150 Commerce Center Circle Suite 500
Highlands Ranch, CO 80129
Phone: (303) 470-7020, (800) 468-4556 Fax: (303) 470-2975
Internet: http://www.sandhillsci.com
E-mail: sales@sandhillsci.com

Sandhill Scientific - UK Ltd [454173]

Oakfield Industrial Estate Stanton Harcourt Road Eynsham
Whitney OX29 4AN
England
Phone: 44 (1865) 882532 Fax: 44 (1865) 883970
Internet: http://www.sandhillsci.com
E-mail: sales@sandhillsci.com

SIERRA SCIENTIFIC INSTRUMENTS

Sierra Scientific Instruments Inc [452590]
5757 W Century Blvd Suite 660
Los Angeles, CA 90045

6 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

Phone: (310) 641-8492, (866) 641-8492 Fax: (310) 872-5558

Internet: http://www.sierrainst.com
E-mail: info@sierrainst.com

Note: The data in the charts derive from suppliers’ specifications and have not been verified through
independent testing by ECRI Institute or any other agency. Because test methods vary, different products’
specifications are not always comparable. Moreover, products and specifications are subject to frequent changes.
ECRI Institute is not responsible for the quality or validity of the information presented or for any adverse
consequences of acting on such information.
When reading the charts, keep in mind that, unless otherwise noted, the list price does not reflect supplier
discounts. And although we try to indicate which features and characteristics are standard and which are not,
some may be optional, at additional cost.
For those models whose prices were supplied to us in currencies other than U.S. dollars, we have also listed the
conversion to U.S. dollars to facilitate comparison among models. However, keep in mind that exchange rates change
often.

Need to know more?

For further information about the contents of this Product Comparison, contact the HPCS Hotline at +1 (610)
825-6000, ext. 5265; +1 (610) 834-1275 (fax); or hpcs@ecri.org(e-mail).

Last updated March 2010

©2010 ECRI Institute. All Rights Reserved 7

Esophageal Motility Analyzers

Policy Statement
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HPCS provides comprehensive information to help healthcare professionals select and purchase diagnostic and
therapeutic capital equipment more effectively in support of improved patient care.
The information in Product Comparisons comes from a number of sources: medical and biomedical
engineering literature, correspondence and discussion with manufacturers and distributors, specifications from
product literature, and ECRI Institute’s Problem Reporting System. While these data are reviewed by qualified
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About ECRI Institute

ECRI Institute, a nonprofit organization, dedicates itself to bringing the discipline of applied scientific research
in healthcare to uncover the best approaches to improving patient care. As pioneers in this science for more than
40 years, ECRI Institute marries experience and independence with the objectivity of evidence-based research.
More than 5,000 healthcare organizations worldwide rely on ECRI Institute’s expertise in patient safety
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Quality. For more information, visit http://www.ecri.org.

8 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

Product Comparison Chart

©2010 ECRI Institute. All Rights Reserved 9

Esophageal Motility Analyzers

Product Comparison Chart

MODEL ECRI INSTITUTE'S ECRI INSTITUTE'S ALBYN MEDICAL MEDICAL

RECOMMENDED RECOMMENDED MEASUREMENTS
SPECIFICATIONS1 SPECIFICATIONS1
Modular or Software-Only Stand-Alone Esophageal Phoenix Plus Esophageal Gaeltec MPR
Esophageal Motility Motility Analyzers
Analyzers
WHERE MARKETED Worldwide Worldwide
FDA CLEARANCE No Not specified
CE MARK (MDD) Yes Not specified
CONFIGURATION Cart-based Not specified
MICROPROCESSOR- Integral PC IBM 486 or equal for data
BASED analysis, embedded PC
Operating system Compatible with Windows Compatible with Windows Windows 2000, XP, Vista Windows 3.1, 95
XP or later XP or later
Storage media and ≥30 GB ≥30 GB (required), CD- 1.5 GB RAM minimum, PC hard disk or floppy, 24-
capacity R/DVD (recommended) variable hard disk, DVD-RW hr record on 1 floppy with
data compression
Display monitor, type ≥17" LCD, 17-22" VGA; up to 21"
and size
User interaction Keyboard, mouse Keyboard, mouse
Recorder/printer Print function required Integral device or interface Color inkjet Dot matrix, HP LaserJet,
required inkjet1
Available peripherals Network capability Network, modem Not specified
SOFTWARE ANALYSIS 1- to 9-channel pressure Waveform analysis of
FEATURES analysis, up to 10 different esophageal, biliary,
user-configurable studies, anorectal, small bowel
event editing, automated (MMCs); automatic
analysis for LES profile, waveform pattern
LES relaxation, body recognition and wave
motility, and vector volume marking; DeMeester pH
scoring and statistics;
display marks detected
waves, baselines, swallows

This is the first of three

pages covering the above
model(s). These
specifications continue onto
the next two pages.

10 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

Product Comparison Chart

MODEL ECRI INSTITUTE'S ECRI INSTITUTE'S ALBYN MEDICAL MEDICAL

RECOMMENDED RECOMMENDED MEASUREMENTS
SPECIFICATIONS1 SPECIFICATIONS1
Modular or Software-Only Stand-Alone Esophageal Phoenix Plus Esophageal Gaeltec MPR
Esophageal Motility Motility Analyzers
Analyzers
CHANNELS
Pressure ≥8 ≥8 ≤9 Yes
Range, mm Hg -50 to +300 -50 to +300 -50 to +350 -100 to +400
Respiration ≥1 ≥1 No Yes
Method NA Not specified
Swallowing ≥1 ≥1 No Yes
pH ≥1 ≥1 No Yes
Electromyograph Optional Optional 1 Yes
Electrogastrograph Optional Optional No Yes
Electrocardiograph Optional Optional No Not specified
TIME/EVENT MARKERS Required, annotation ability Required, annotation ability Yes, including free-text 40 event names, 10 period
preferred preferred event entry names
HARD COPY RESULTS
Chart Recorder, mm/sec Not specified 30 sec/page
Printer Ink-jet Not specified
CATHETERS/PROBES
Infusion Compatibility with multiple Compatibility with multiple Single- or multiuse 7 using Arndorfer perfusion
models preferred models preferred
Noninfusion Microtip Yes
pH Single- or multiuse Yes
pH METER Preferred Preferred No Optional, integral
REMOTE CONTROL Footpedal On ambulatory recorder
CART Yes Optional, with storage
OPTIONS AVAILABLE Video interface, catheter- Custom solid-state pressure
withdrawal unit, microtip probes to 7 sensors,
catheters, rectal anorectal and esophageal,
manometry, urodynamics probes for small-bowel
manometry
H x W x D, cm (in) 159 x 57 x 57 (62.6 x 22.4 x 18.8 x 13.7 x 4.5 (7.4 x 5.4
22.4) x 1.8)
WEIGHT, kg (lb) 60 (132.3) 0.64 (1.4)
INPUT VOLTAGE, VAC 110/230 Not specified
BATTERY
Type (number) Not specified AA (4), VDC (6)
Operating time, hr Not specified Not specified
Rechargeable Not specified Not specified
Recharging time, hr Not specified Not specified
Low-battery notice Not specified Not specified

This is the second of three

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model(s). These
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Esophageal Motility Analyzers

Product Comparison Chart

MODEL ECRI INSTITUTE'S ECRI INSTITUTE'S ALBYN MEDICAL MEDICAL

RECOMMENDED RECOMMENDED MEASUREMENTS
SPECIFICATIONS1 SPECIFICATIONS1
Modular or Software-Only Stand-Alone Esophageal Phoenix Plus Esophageal Gaeltec MPR
Esophageal Motility Motility Analyzers
Analyzers
PURCHASE
INFORMATION
List price €15,000 (US$22,266) $19,000
Warranty 1 year 1 year 2 years 1 year
GREEN FEATURES None specified None specified
OTHER SPECIFICATIONS 24-hr recording feature 24-hr recording feature User configurable reports Dual use (same instrument
preferred. preferred. generated in MS Word. performs ambulatory and
stationary recording); built-in
solid-state manometer for
autocalibration against
known standard; optically
isolated from PC; password
protection of analysis
parameters; 2 days of on-
site in-service training;
optional printing of 24-hr
records as strip charts;
printing of individual pages,
landscape or portrait format.
UMDNS CODE(S) 11600, 15036, 18780 11600, 15036, 18780 11600, 15036, 18780 11600, 15036, 18780
LAST UPDATED March 2010 March 2006
Supplier Footnotes 1These recommendations 1These recommendations
are the opinions of ECRI are the opinions of ECRI
Institute's technology Institute's technology
experts. ECRI Institute experts. ECRI Institute
assumes no liability for assumes no liability for
decisions made based on decisions made based on
this data. this data.
Model Footnotes
Data Footnotes

12 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

Product Comparison Chart

MODEL MMS NEOMEDIX SYSTEMS SANDHILL SCIENTIFIC SANDHILL SCIENTIFIC

Solar GI Acquidata Gastro (Mac) : InSIGHT EFT InSIGHT HRiM
Gastrotrak (Win)
WHERE MARKETED Worldwide Worldwide Worldwide Worldwide
FDA CLEARANCE Yes 510k Exempt Yes Yes
CE MARK (MDD) Yes Yes Yes Yes
CONFIGURATION Not specified TUV Not specified Not specified
MICROPROCESSOR- Intel Pentium PC for Macintosh, Windows Yes, external computer Yes, external computer
BASED analysis
Operating system Windows XP, Vista Windows XP, Vista, Windows Vista Business Windows Vista Business
Windows 7 Professional, Service Pack 1 with media Service Pack 1 with media
MAC OSX 32 ENG Windows XP 32 ENG Windows XP
Professional Service Pack Professional Service Pack
2, factory install with media 2, factory install with media
Storage media and PC hard drive, Zip, MO, CD- ≥512 MB RAM, 10-100 GB Hard drive 160 GB SATA Hard drive 160 GB SATA
capacity RW hard drive, 3.0 Gb/s and 8 MB 3.0Gb/s and 8 MB
USB/FireWire/CD-RW DVD DataBurst Cache DataBurst Cache
Display monitor, type SVGA or higher, 17" or LCD, 17", 20", 30" 19" medical grade touch 19" medical grade touch
and size larger screen monitor screen monitor
User interaction IR remote control, mouse, Extended keyboard, IR Touchscreen, keyboard, or Touchscreen, keyboard, or
keyboard remote control, mouse (T mouse mouse
ball)
Recorder/printer DeskJet, laser Most major printers, laser HP DeskJet available HP DeskJet available
jet, ink jet
Available peripherals Not specified 56 Kbps modem, Internet Not specified Not specified
connection, biofeedback
options; FireWire video
fluoroscopy frame capture
and video movie capture
(Mac only)
SOFTWARE ANALYSIS pH, UES, esophageal body, Dedicated multifunction Application-specific Application-specific
FEATURES LES, HRM, HRIM, spreadsheet for data procedure modules procedure modules
impedance, HRAM, antrum, selection and storage; available for high-resolution available for high-resolution
duodenal (MMC), colon, spreadsheet has channel- impedance manometry, impedance manometry,
sphincter of Oddi, anorectal, specific user-selectable esophageal impedance esophageal impedance
neurology, values such as time, mean manometry, esophageal manometry, esophageal
electromyography (EMG), value, minimum/maximum, manometry, anorectal manometry, anorectal
video studies others; semiauto pattern manometry, and biliary manometry, and biliary
recognition/class with manometry to manometry to
event/wave marking; accommodate user-friendly accommodate user-friendly
waveform data exported as data acquisition and data acquisition and
ASCII text file for separate analysis functions analysis functions
reconstruction processing

This is the first of three

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model(s). These
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Esophageal Motility Analyzers

Product Comparison Chart

MODEL MMS NEOMEDIX SYSTEMS SANDHILL SCIENTIFIC SANDHILL SCIENTIFIC

Solar GI Acquidata Gastro (Mac) : InSIGHT EFT InSIGHT HRiM
Gastrotrak (Win)
CHANNELS
Pressure Yes 4, 8, or 16 5 32
Range, mm Hg -50 to +600 -100 to +500, conversion to 0-500 0-500
cm H2O
Respiration Yes 1 NA NA
Method Temperature or movement Variable reactance NA NA
sensor
Swallowing Yes 1 NA NA
pH Yes 1-2 No No
Electromyograph Yes 1-2 No No
Electrogastrograph Yes 1-2 No No
Electrocardiograph No 1-2 No No
TIME/EVENT MARKERS 99 event markers Infinite number of manual Programmable Programmable
events
HARD COPY RESULTS
Chart Recorder, mm/sec Printer speed 5 sec/page to 1 hr/page Printer speed Printer speed
Printer Not specified Most major printers, laser Not specified Not specified
jet, ink jet
CATHETERS/PROBES
Infusion 1-32 using perfusion (MMS 4-16 microperfusion NA NA
perfusion pump) channels, silicone
autoclavable catheters,
optional Dentsleeve, balloon
Noninfusion Yes 1-6 channel sensors, T- NA NA
DOC, MTC
pH Yes Optional catheter No No
pH METER Optional Optional stationary stand- NA NA
alone unit, 2-channel
ambulatory recorder
REMOTE CONTROL Yes Yes No No
CART Optional Steerable, lockable wheels, Yes Yes
optional compact unit
available
OPTIONS AVAILABLE TMPD interface, barostat Up to 18-lumen EFT; anorectal manometry; EFT; anorectal manometry;
interface, neurology, MMS microperfusion pressure biliary manometry; small biliary manometry; small
perfusion pump catheters, 2-channel bowel manometry bowel manometry
ambulatory recorder for pH
or pressure, full anorectal
manometry accessories
H x W x D, cm (in) 17.2 x 10.5 x 5 (6.9 x 4.1 x 90 x 43 x 56 (35 x 17 x 22) Depends on configuration Depends on configuration
2) cart, compact unit available
WEIGHT, kg (lb) 0.6 (1.3) 6 (13), excluding cart Depends on configuration Depends on configuration
INPUT VOLTAGE, VAC 110, 220 110/240, 50/60 Hz 100/220 100/220
BATTERY
Type (number) NA NA NA NA
Operating time, hr NA NA NA NA
Rechargeable NA NA NA NA
Recharging time, hr NA NA NA NA
Low-battery notice NA NA NA NA

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model(s). These
specifications continue onto
the next page.

14 ©2010 ECRI Institute. All Rights Reserved.


Product Comparison Chart
MODEL MMS NEOMEDIX SYSTEMS
Solar GI Acquidata Gastro (Mac) :
Gastrotrak (Win)
PURCHASE
INFORMATION
List price Not specified $20,000-38,000
Warranty 1 year 18 months
GREEN FEATURES None specified None specified
OTHER SPECIFICATIONS Stationary use; up to 32 Single-fiber-triggered EMG
channels; software in more and pudendal NCV
than 12 languages. neurophysiology option;
digital technology
pharyngeal high-sensitivity
swallow transducer;
multipurpose precision
perfusion/infusion pump
with low-flow air or water
perfusate; single-operation,
all-channel input zero
balance at front end; any
channel can be chosen as
autoreference for remaining
channels; real-time FireWire
video fluoroscopy or video
ultrasound with digital
storage within motility data
file.
UMDNS CODE(S) 11600, 15036, 18780 11600, 15036, 18780
LAST UPDATED March 2010 March 2010
Supplier Footnotes
Model Footnotes
Data Footnotes
©2010 ECRI Institute. All Rights Reserved
SANDHILL SCIENTIFIC
InSIGHT EFT
$49,900
2 years
None specified
Solid state catheter; 4
impedance channels;
comprehensive basis
course at dedicated training
center included with system
price for up to 3 clinicians;
includes hands-on training
and lectures; on-site training
available; Internet-based
online training courses;
Web-based one-on-one
cybercoaching; webinars;
webcasts.
11600, 15036, 18780
March 2010
Esophageal Motility Analyzers
SANDHILL SCIENTIFIC
InSIGHT HRiM
$54,900
2 years
None specified
Solid state catheter; 4
impedance channels;
comprehensive basis
course at dedicated training
center included with system
price for up to 3 clinicians;
includes hands-on training
and lectures; on-site training
available; Internet-based
online training courses;
Web-based one-on-one
cybercoaching; webinars;
webcasts.
11600, 15036, 18780
March 2010
15
Esophageal Motility Analyzers
MODEL SANDHILL SCIENTIFIC
InSIGHT Manometry
WHERE MARKETED Worldwide
FDA CLEARANCE Yes
CE MARK (MDD) Yes
CONFIGURATION Not specified
MICROPROCESSOR- Yes, external computer
BASED
Operating system Windows Vista Business
Service Pack 1 with media,
32 ENG, Windows XP
Professional Service Pack 2
Storage media and Hard drive 160 GB SATA
capacity 3.0 Gb/s and 8 MB
DataBurst Cache
Display monitor, type 19" medical-grade
and size touchscreen monitor
User interaction Touchscreen, keyboard, or
mouse
Recorder/printer HP DeskJet available
Available peripherals Not specificed
SOFTWARE ANALYSIS Application-specific
FEATURES procedure modules
available for high-resolution
impedance manometry,
esophageal impedance
manometry, esophageal
manometry, anorectal
manometry, and biliary
manometry
16
Product Comparison Chart
SANDHILL SCIENTIFIC
ZepHr Impedance/pH
System Plus BioVIEW
Analysis Software
Worldwide
Yes
Yes
Not specified
Yes, external computer
Windows Vista Business
Service Pack 1 with media,
32 ENG, Windows XP
Professional Service Pack 2
Hard drive 160 GB SATA
3.0 Gb/s and 8 MB
DataBurst Cache,
ambulatory recorder, 256
MB
17" LCD
Windows XP computer
HP DeskJet available
Not specified
BioVIEW Impedance-pH
monitoring analysis software
©2010 ECRI Institute. All Rights Reserved.
SANDHILL SCIENTIFIC
ZepHr pH System BioVIEW
Analysis Software
Worldwide
Yes
Yes
Not specified
Yes, external computer
Windows Vista Business
Service Pack 1 with media,
32 ENG, Windows XP
Professional Service Pack 2
Hard drive 160 GB SATA
3.0 Gb/s and 8 MB
DataBurst Cache,
ambulatory recorder, 256
MB
17" LCD
Windows XP computer
HP DeskJet available
Not specified
BioVIEW pH monitoring
analysis software
SIERRA SCIENTIFIC
INSTRUMENTS
Manoscan 360
Worldwide
Yes
Yes
Not specified
Yes
Windows 2000 or XP
512 MB Ram, 40 GB hard
drive, CD-RW
LCD touchscreen monitor
Keyboard, mouse
Color printer
Network, modem
High-resolution esophageal
and anorectal manometry,
high-resolution and
conventional displays give
motility visualization,
graphical pointers locate
UES, LES, and PIP,
automatic assistance for
analysis
This is the first of three
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model(s). These
specifications continue onto
the next two pages.
 Esophageal Motility Analyzers

Product Comparison Chart

MODEL SANDHILL SCIENTIFIC SANDHILL SCIENTIFIC SANDHILL SCIENTIFIC SIERRA SCIENTIFIC

INSTRUMENTS
InSIGHT Manometry ZepHr Impedance/pH ZepHr pH System BioVIEW Manoscan 360
System Plus BioVIEW Analysis Software
Analysis Software
CHANNELS
Pressure 3, 4, 5, or 6 ≤2 NA 36 circumferential sensors
Range, mm Hg 0-500 Not specified NA 0-300
Respiration NA Not specified No Yes
Method NA Not specified Not specified Swallow depicted by actual
UES HR pressure images
and respiration complete
thoracic cavity-HR pressure
Swallowing NA Not specified Not specified Yes
pH No Yes, up to 3 Yes, up to 3 No
Electromyograph No Not specified Not specified No
Electrogastrograph No Not specified Not specified No
Electrocardiograph No Not specified Not specified No
TIME/EVENT MARKERS Programmable Programmable Programmable Unlimited
HARD COPY RESULTS
Chart Recorder, mm/sec Printer speed Printer speed Printer speed Printer speed
Printer Not specified Not specified Not specified Not specified
CATHETERS/PROBES
Infusion NA Yes Yes NA
Noninfusion NA Yes Yes Re-usable solid state tactile
pressure sensing
technology
pH No Yes, up to 3 channels Yes ISFET disposable pH
catheter
pH METER NA Not specified Not specified AccuTrac
REMOTE CONTROL No No No No
CART Yes Optional Optional Yes
OPTIONS AVAILABLE EFT; anorectal manometry; AirFLOW Sphincter Locator AirFLOW Sphincter Locator Esophageal, impedance,
biliary manometry; small and anorectal manometry,
bowel manometry Accutrac pH+Z reflux
monitoring, SOM
manometry
H x W x D, cm (in) Depends on configuration 11.5 x 10 x 3.5 (4.5 x 3.9 x 11.5 x 10 x 3.5 (4.5 x 3.9 x 96 x 63 x 58 (38 x 25 x 23)
1.3) 1.3)
WEIGHT, kg (lb) Depends on configuration 0.28 (0.67) with batteries 0.28 (0.67) with batteries 90.7 (200)
INPUT VOLTAGE, VAC 100/220 NA NA 110/220
BATTERY
Type (number) NA AA (2) AA (2) Not specified
Operating time, hr NA 24 24 Not specified
Rechargeable NA No No Not specified
Recharging time, hr NA NA NA Not specified
Low-battery notice NA Yes Yes Not specified

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model(s). These
specifications continue onto
the next page.

©2010 ECRI Institute. All Rights Reserved 17

Esophageal Motility Analyzers

Product Comparison Chart

MODEL SANDHILL SCIENTIFIC SANDHILL SCIENTIFIC SANDHILL SCIENTIFIC SIERRA SCIENTIFIC

INSTRUMENTS
InSIGHT Manometry ZepHr Impedance/pH ZepHr pH System BioVIEW Manoscan 360
System Plus BioVIEW Analysis Software
Analysis Software
PURCHASE
INFORMATION
List price $49,900 $16,790 (includes computer, $8,495 (includes calibration $49,900
printer, calibration kit, kit, BioVIEW Analysis
BioVIEW Analysis Software, Software, CompactFlash
CompactFlash Reader); Reader); $4,995 (recorder
$9,900 (recorder only) only)
Warranty 2 years 2 years 2 years 1 year for equipment; 2
years or 200 uses for
catheter.
GREEN FEATURES None specified None specified None specified None specified
OTHER SPECIFICATIONS Solid state, water perfused Dedicated meal key and Dedicated meal key and IEC 60606-1, UL 2601.
and air charged position key; 3 dedicated position key; 3 dedicated
catheters/probes; programmable symptom programmable symptom
comprehensive basis keys; up to 2 uncalibrated keys; LES locator channel;
course at dedicated training pressure channels for Compactflash transfer and
center for up to 3 clinicians; recording; 6 channels of storage; online training
hands-on training, lectures; impedance; LES locator programs; 24-hr technical
on-site training available; channel; monthly accredited support.
Internet-based online clinical training programs;
training courses; Web online training courses; 24-
based one-on-one hr technical support.
cybercoaching; webinars;
webcasts.
UMDNS CODE(S) 11600, 15036, 18780 11600, 15036, 18780 11600, 15036, 18780 11600, 15035, 18780
LAST UPDATED March 2010 March 2010 March 2010 March 2010
Supplier Footnotes
Model Footnotes
Data Footnotes

18 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

Product Comparison Chart

MODEL SIERRA SCIENTIFIC SIERRA SCIENTIFIC

INSTRUMENTS INSTRUMENTS
Polygraf ID with Polygraf ID with
POLYGRAM NET POLYGRAM NET with cart
WHERE MARKETED Worldwide Worldwide
FDA CLEARANCE Yes Yes
CE MARK (MDD) Yes Yes
CONFIGURATION Not specified Not specified
MICROPROCESSOR- Yes Yes
BASED
Operating system Windows XP Professional Windows XP Professional
Storage media and 2 GB RAM, DVD-RW 1 GB RAM, DVD-RW
capacity
Display monitor, type TFT 14.2" TFT 17"
and size
User interaction Keyboard, mouse Keyboard, mouse
Recorder/printer Color printer optional Color printer optional
Available peripherals Network, modem Network, modem
SOFTWARE ANALYSIS GastroTrac 4.3 GastroTrac 4.3
FEATURES

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model(s). These
specifications continue onto
the next two pages.

©2010 ECRI Institute. All Rights Reserved 19

Esophageal Motility Analyzers

Product Comparison Chart

MODEL SIERRA SCIENTIFIC SIERRA SCIENTIFIC

INSTRUMENTS INSTRUMENTS
Polygraf ID with Polygraf ID with
POLYGRAM NET POLYGRAM NET with cart
CHANNELS
Pressure ≤16 ≤16
Range, mm Hg -300 to +300 -300 to +300
Respiration ≤16 ≤16
Method Air-filled pad Air-filled pad
Swallowing ≤16 ≤16
pH ≤16 ≤16
Electromyograph ≤16 ≤16
Electrogastrograph ≤4 ≤4
Electrocardiograph No No
TIME/EVENT MARKERS Unlimited Unlimited
HARD COPY RESULTS
Chart Recorder, mm/sec 5 sec/page 5 sec/page
Printer Optional Optional
CATHETERS/PROBES
Infusion Multiple water perfused Multiple water perfused
models models
Noninfusion Microtip or air-charged Microtip or air-charged
pH Single- or multi-use Single- or multi-use
pH METER No No
REMOTE CONTROL No No
CART No Yes
OPTIONS AVAILABLE Pump, puller Pump, puller, stand
H x W x D, cm (in) 24 x 70 x 24 (9.4 x 27 x 9.4) 125 x 55 x 55 (49.2 x 21.6 x
21.6)
WEIGHT, kg (lb) 5 (11) 45 (99)
INPUT VOLTAGE, VAC 110-240 100-240
BATTERY
Type (number) Not specified Not specified
Operating time, hr Not specified Not specified
Rechargeable Not specified Not specified
Recharging time, hr Not specified Not specified
Low-battery notice Not specified Not specified

This is the second of three

pages covering the above
model(s). These
specifications continue onto
the next page.

20 ©2010 ECRI Institute. All Rights Reserved.

 Esophageal Motility Analyzers

Product Comparison Chart

MODEL SIERRA SCIENTIFIC SIERRA SCIENTIFIC

INSTRUMENTS INSTRUMENTS
Polygraf ID with Polygraf ID with
POLYGRAM NET POLYGRAM NET with cart
PURCHASE
INFORMATION
List price $23,000-36,000 $33,000-36,000
Warranty 1 year 1 year
GREEN FEATURES None specified None specified
OTHER SPECIFICATIONS None specified. None specified.
UMDNS CODE(S) 11600,15036, 18780 11600,15036, 18780
LAST UPDATED July 2007 July 2007
Supplier Footnotes
Model Footnotes
Data Footnotes

©2010 ECRI Institute. All Rights Reserved 21