8930EN_7.fm 12/17/10 2:44 pm
UCxxxxxx EN
7 x 9 inches (178 mm x 229 mm)
Chapter 7
104
Prostiva RF Therapy Worksheet
Prostiva RF Therapy Worksheet
English 8930 System User Guide 2010-12
MA07445A008
Rev X
Patient Name: _________________ Date: ______
Patient ID #:______________________________
Age: ___________________________________
Doctor:__________________________________
Facility: _________________________________
Patient Temperature: _______________________
TRUS: yes no
Prostate Volume: ________________cm
Prostate Transverse Diameter (A):_____________ mm
Prostatic Urethra Length (B): _____ __________ cm
Needle Length: ________________ __________ mm
Anesthesia: ______________________________
Number of treatment planes:_________________
Middle Lobe Treated: yes
A
Figure 7-1. Prostate Measurement Example
Medtronic Confidential
3
or gm
no
B
CRMRef_R06