CLINICAL USE GUIDE - Euro-Loop€¦ · or back half of the abdomen. If the area to be treated is...

Introduction to The Assisi Loop®Clinical Use GuideWith Selected Protocols

CLINICALUSE GUIDE

Assisi Animal Health LLC www.assisianimalhealth.com © 2018 AAH Holdings LLC

THE COMPLETE GUIDE HAS OVER 40 TREATMENT PROTOCOLS FOR ALMOST 300 CANINE AND FELINE DIAGNOSES AND CLINICAL APPLICATIONS.Compiled by Laurie McCauley, DVM, DACVSMR, CCRT, CVA, CVC, Deirdre Chiaramonte, DVM, ACVIM, CCRT, CVA, CERP, and Judy Korman, VMD, MBA.

We are proud to have earned your con�dence in our company and your adoption of the Assisi Loop® as part of your therapeutic regimen for pain and in�ammation for your patients. The Loop is a non-invasive Non-Pharmaceutical Anti-In�ammatory Device (NPAID®) that accelerates your patient’s healing and is compatible with other interventions employed in multi-agent and multi-modal treatment strategies. Depending on the condition being treated, the Loop can be applied in-clinic and/or prescribed for your client’s use at home.

The Assisi Loop Clinical Use Guide was developed by a team of experienced veterinary clinicians to assist you in making treat-ment recommendations to your clients for best results.

This Introduction is an overview of the complete Guide. The complete Guide is designed to answer questions you may have regarding the technology, the therapeutic bene�ts, and the therapeutic applications of the Assisi Loop and our companion products. It o�ers 40 step-by-step, illustrated protocols for applying the Loop to almost 300 in�ammatory conditions a�ecting di�erent parts of your patient’s anatomy.

The complete guide is available exclusively to veterinary profes-sionals on Assisi’s website or may be downloaded as an app on Apple and Android devices. Each has a search feature that will assist you in selecting the protocol that applies to your patient’s condition, its severity (e.g. acute, chronic), and the part of your patient’s anatomy that needs treatment. Once found, the appli-cable protocol can be downloaded as needed.

www.assisianimalhealth.com

866-830-7342 [email protected]

Contact Assisi’s Customer Service team for access to the full Guide,available only for licensed veterinary professionals.

ABOUT THIS INTRODUCTION

PROTOCOLS LISTED IN THE COMPLETE CLINICAL USE GUIDE

Achilles/Calcaneal Tendon Injury or Rupture- with or without SurgeryBrain LesionCarpus/Wrist Pain or Injury - AcuteCarpus/Wrist Pain or Injury - ChronicChiari-Like Malformation (CM or CLM) - Occipital Hypoplasia (OH) - Caudal Occipital Malformation Syndrome (COMS)Cognitive DysfunctionCystitisDilated CardiomyopathyEar Infection/In�ammationElbow Pain or Injury - AcuteElbow Pain or Injury - ChronicEye Infection/In�ammationFractures - Acute or Non-HealingGastrointestinal and Organ Issues- Caudal/Lower Abdomen**Gastrointestinal and Organ Issues- Cranial/Upper AbdomenHip Pain or Injury - AcuteHip Pain or Injury - ChronicHock/Tarsal Pain or Injury - AcuteHock/Tarsal Pain or Injury - ChronicKidney Disease - Acute and ChronicKnee Pain or Injury - AcuteKnee Pain or Injury - Chronic

Lameness/Pain - JointLameness/Pain - Non-Joint RelatedLick GranulomaLumbosacral Pain or Injury - AcuteLumbosacral Pain or Injury - ChronicNeck Pain or Injury - Lower Cervical - AcuteNeck Pain or Injury - Lower Cervical - ChronicNeck Pain or Injury - Upper Cervical - AcuteNeck Pain or Injury - Upper Cervical - ChronicPost Cruciate SurgeryPost-Operative Surgery Incisions**Pulmonary FibrosisSacroiliac (SI) Pain or Injury - AcuteSacroiliac (SI) Pain or Injury - ChronicSevere Pain Related to ArthritisShoulder Pain - AcuteShoulder Pain - ChronicTeeth, Jaw, Nose**Thoracolumbar Disease, Pain or Injury - AcuteThoracolumbar Disease, Pain or Injury - Chronic**Tracheal BronchitisWhite Shaker Dog SyndromeWounds

**identi�es the selected protocols in this introduction

www.assisianimalhealth.com

For additional questions, please call or email customer support: [email protected] 866-830-7342

www.assisianimalhealth.com © 2018 AAH Holdings LLC

Gastrointestinal and Organ Issues − Caudal/Lower Abdomen Inflammatory bowel disease, colitis, chronic diarrhea, cystitis, urinary tract obstruction, fecal or

urinary incontinence, hemorrhagic enteritis, uterine inflammation.

1. A large Assisi Loop should be used to treat the abdomen of the pet. 2. The area to be treated will either be the cranial or front half of the abdomen or the caudal

or back half of the abdomen. If the area to be treated is the stomach, pancreas, liver, spleen, or gall bladder, the cranial or front half of the abdomen is to be treated. If the area to be treated is the small intestine, large intestine, colon, or uterus, the caudal or back half of the abdomen is to be treated. In a cat or small dog, the whole abdomen can be treated with a large Assisi Loop.

3. Position the pet lying down either flat on the ground, up on their elbows, sitting, or standing. Place the Assisi Loop on the pet’s back, side, or around the abdomen. Center the Loop just in front of the pelvis. See Pictures and Diagrams

4. If the pet is small enough, the Assisi Loop can be placed around the abdomen of the pet. a. If the pet is small enough, place the pet’s rear limbs through the Assisi Loop and slide

the Loop over the rear limbs and tail onto the trunk. Place the Assisi Loop just in front of the pelvis. See Pictures and Diagrams

b. CAUTION: Do not force the pet’s shoulders, haunches, or torso through the coil. If they do not slip easily through the coil, place the coil flat against, over, or under animal’s torso, as shown in the related images. Forcing the animal through the coil can be traumatic to the pet and may overly stress the connection of the coil to the circuit board inside the Loop case.

5. Medium- to large-sized pets – If the pet is too large for the above placement, the Assisi Loop can be placed: a. On the side of the abdomen over the area that is to be treated. See Pictures b. With the pet on their back with the Assisi Loop on their abdomen. See Pictures

6. Giant- or wide-breed dogs (Rottweilers, Mastiffs, Newfoundlands, . . . ) – Two Assisi Loops can be used simultaneously to treat both sides if indicated. One Assisi Loop can be used on the two sides consecutively, but there should be 2 hours in between sessions for optimum battery efficiency.

7. If the pet will not lie down, or will lie down but not stay still, an Assisi LOOP-AID can be used. Attach the Assisi Loop with two Velcro straps to maintain the Loop position with the center of the Assisi Loop over the lower abdomen. See Pictures

8. The signal generator should be located in view of the person treating the pet.

®

Proven Science.



9. Do not leave the pet unattended when using this placement as small movements can change the positioning of the Loop and the area being treated.

10. Turn the unit on by depressing the button on the front of the white rubberized signal generator; green lights will illuminate about once per second. If the light is blinking 2-3 times per second, the battery is running low and a new Assisi Loop should be purchased.

11. Keep the unit in place for the full 15 minutes until the unit shuts off. 12. In cases of severe disease (hemorrhagic gastroenteritis, acute kidney failure, urinary

obstruction, acute episode of IBD, . . . ), use the unit 4 times daily, if possible, until clinical signs have resolved. Then treat twice daily for an additional 3-5 days.

13. In mild or early cases, the Loop can be used 2 times daily for 48 hours or until clinical signs have resolved.

14. There should be a minimum of 2 hours between treatments for optimum battery efficiency.

Pet Owner Responsibility. A panel of licensed, experienced veterinarians has developed this Guide. Pet owners should use this protocol only to treat a condition listed above and as directed by a qualified veterinary clinician. Other protocols in this Guide should be used only as directed by a qualified veterinary clinician.

Important: Before starting treatment, please consult product label for optimal product use and safety guidelines. To learn more about the technology, visit our website.

®

Proven Science.



Post-Operative Surgery Incisions Seromas, incisions.

1. A small or large Assisi Loop can be used to treat the surgical area of the pet depending on the positioning of the Loop and size of the incision. Small Assisi Loops can be used for up to four inch sized incisions when treating the pet. Larger incisions need the larger Loop for adequate coverage. Positioning is important for optimum effect.

2. If the goal is to treat an incision over a joint on the lower limb, and it would benefit the pet to have a joint treated on the opposite limb as well, this can be done at the same time. For example, if one knee had cruciate surgery and it makes sense to treat both knees to decrease the chance of injuring the other knee, then both knees could be treated at the same time by having the Assisi Loop placed between the knees for each 15-minute treatment. This could also be done to treat both hocks, elbows, and wrist/carpal joints. The best way to position the Loop would be to have the pet lie on their side and place the Loop between the knees, or other joints, so as to treat them simultaneously.

3. If the incision is along the spine, abdomen, or chest, the Assisi Loop can be placed above or on top of the incision or seroma with the device centered over the affected area. If the incision is on the neck or trunk and size-appropriate, the neck or body can go through the Loop.

4. If the pet will not lie down, an Assisi LOOP-AID can be used to treat an incision on one side of the pet. Attach the Assisi Loop with two Velcro straps to maintain the Loop position with the center of the Assisi Loop over the surgical site. A LOOP-AID should only be used to treat the knee and elbow joints and above as the Loop could trip the pet if it hangs too low. The LOOP-AID can also be used to treat incisions over the abdomen, chest, and along the spine.

5. Please supervise your pet when using the Assisi Loop and LOOP-AID and remove the Loop immediately after the therapy session has ended.

6. In case the incision is bandaged or wrapped, you can still use the Loop over the bandage or cast.

7. The signal generator can be positioned to balance and stabilize the unit during treatment. 8. The signal generator should be located in view of the person treating the pet. 9. Do not leave the pet unattended when using this placement as small movements can

change the positioning of the Loop and the area being treated. 10. Turn the unit on by depressing the button on the front of the white rubberized signal

generator; green lights will illuminate about once per second. If the light is blinking 2-3 times per second, the battery is running low and a new Assisi Loop should be purchased.

11. Keep the unit in place for the full 15 minutes until the unit shuts off. 12. Use the unit 3-4 times daily, if possible, for 5-10 days or until pain is completely resolved.

®

Proven Science.

Therapeutic Field

Therapy Applicator (coil)

Signal Generator

Treatment depth is about 2/3 the diameter of the applicator, extending out on either side.



13. There should be a minimum of 2 hours between treatments for optimum battery efficiency.



®

Proven Science.



Teeth, Jaw, Nose Oral ulcers, tongue sores, tongue injuries, stomatitis, craniomandibular osteopathy, post dental

extraction, TMJ issues, tempo-mandibular joint pain, sinusitis, nasal inflammation, upper respiratory tract infections (URTI).

1. Choose an Assisi Loop that is larger than the area of the face to be treated if possible. Positioning is extremely important for optimum effect.

2. Position the pet lying down either flat on the ground or up on their elbows with their rear limbs out to one side.

3. Identify the extraction area or injured area and place the Assisi Loop with the center of the Loop over the center of the injured area, completely surrounding the area if possible. The Assisi Loop can also be placed around the dog’s head with the Loop held just behind the eyes or attached to an Elizabethan collar.

4. When attaching the Assisi Loop to the Elizabethan collar, position the Loop so the center of the head is in the center of the Loop. Tape the Loop in several places to keep it secure and in place for the whole treatment.

5. In this position, a large Loop will treat 4.5 inches in front of the Loop. If the injury or sore is farther away than this, then it is better to place the Assisi Loop on the side of the face. See Diagrams and Pictures

6. The signal generator can be positioned to help balance and stabilize the unit during treatment.

7. The signal generator should be located in view of the person treating the pet. 8. Do not leave the pet unattended when using this placement as small movements can

change the positioning of the Loop and the area being treated. 9. Turn the unit on by depressing the button on the front of the white rubberized signal

generator; green lights will illuminate about once per second. If the light is blinking 2-3 times per second, the battery is running low and a new Assisi Loop should be purchased.

10. Keep the unit in place for the full 15 minutes until the unit shuts off. 11. Treat the area 4 times daily, if possible, for dental extractions and twice daily for other

mouth indications. Treat for a minimum of 2 days until inflammation and pain has resolved. 12. There should be a minimum of 2 hours between treatments for optimum battery efficiency.

®

Proven Science.





®

Proven Science.


®

Proven Science.


Thoracolumbar Disease, Pain or Injury – Chronic Intervertebral disc disease (IVDD), back pain, blown disc, hemilaminectomy, pain from

spondylosis, pain from kyphosis, pain from scoliosis, neuropathy, diffuse idiopathic skeletal hyperostosis, degenerative spinal changes, osteoarthritis, fibrocartilaginous embolism (FCE).

1. A small or large Assisi Loop can be used to treat the thoracolumbar (middle of the back)

area in the pet depending on the size of the pet. Dachshund- and Chihuahua-sized pets can use a small Assisi Loops. Large-breed dogs need the larger Loop. Positioning is extremely important for optimum effect.

2. Position the pet lying down either flat on the ground or up on their elbows. 3. The thoracolumbar area can be felt by feeling the end of the ribs, following them up to the

thoracolumbar junction (arrow) and placing the center of the large Assisi Loop at that point. See Pictures and Diagrams

4. The Loop can also be placed around the patient if the size of the patient and the size of the Assisi Loop are appropriate for this positioning to be utilized. This type of positioning allows the largest area of the spine to be treated and should be utilized if possible. To place the Loop around the thoracolumbar area of the pet, it is usually easier to place the Assisi Loop around the rear feet and slide it up over the hips, making sure the tail goes through the Loop as it is being slid up the rear limbs. The Assisi Loop is slid to the area where the end of the ribs is felt along the back. See Pictures and Diagrams

5. CAUTION: Do not force the pet’s shoulders, haunches, or torso through the coil. If they do not slip easily through the coil, place the coil flat against, over, or under animal’s torso, as shown in the related images. Forcing the animal through the coil can be traumatic to the pet and may overly stress the connection of the coil to the circuit board inside the Loop case.

6. If the pet will not lie down, an Assisi LOOP-AID can be used. Attach the Assisi Loop with two Velcro straps to maintain the Loop position with the center of the Assisi Loop over the thoracolumbar joint. See Pictures

7. The signal generator can be positioned to help balance and stabilize the unit during treatment.

8. The signal generator should be located in view of the person treating the pet. 9. Do not leave the pet unattended when using this placement as small movements can

change the positioning of the Loop and the area being treated.


®

Proven Science.


10. Turn the unit on by depressing the button on the front of the white rubberized signal generator; green lights will illuminate about once per second. If the light is blinking 2-3 times per second, the battery is running low and a new Assisi Loop should be purchased.

11. Keep the unit in place for the full 15 minutes until the unit shuts off. 12. Use the Assisi Loop 4 times daily, if possible, for 10 days or until there is improved mobility

and pain is greatly decreased or eliminated. Use of the Loop can be tapered down to 1-2 times daily as the condition improves. Long-term chronic conditions may require as much as 3-6 weeks before tapering would be appropriate. If symptoms resolve and regular use of the Assisi Loop ceases, use the Assisi Loop as needed if pain starts to recur. If there is an acute thoracolumbar injury where chronic disease is present, follow the steps in “Thoracolumbar Pain or Injury – Acute” until all pain is resolved.

13. There should be a minimum of 2 hours between treatments for optimum battery efficiency. 14. If Prednisone is administered and tapered, the Assisi Loop can be tapered after the

Prednisone is discontinued. 15. Thoracolumbar disease can be a lifelong condition where significant activity creates

inflammation. Many patients benefit significantly from having once-daily treatments after the clinical signs have resolved to prevent recurrences.



For additional questions, please call or email customer support:

866-830-7342info@assisianimalhealth.comwww.assisianimalhealth.com

CLINICAL USE GUIDE - Euro-Loop€¦ · or back half of the abdomen. If the area to be treated is...

Documents

Transcript of CLINICAL USE GUIDE - Euro-Loop€¦ · or back half of the abdomen. If the area to be treated is...