Blog Archives » The Prometheus Group® - Manufacture of Urodynamic, Manometry, Uroflowmetry, EMG, and Ultrasound

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In today’s fast-paced healthcare environment, time is one of the most valuable resources. Physicians, assistants, and clinic managers are constantly balancing patient care, administrative responsibilities, and practice growth. That’s why when it comes to evaluating new medical technology, convenience, and flexibility matter just as much as clinical performance. With MORPHEUS® Urodynamics, we make the process simple by offering demonstrations scheduled at your convenience—whether that means during a break at your office or from the comfort of your home office. Here’s why this approach is so beneficial:

See the Technology in Action—Without Leaving Your Office.
A demo gives you more than a brochure or spec sheet ever could. You’ll see the MORPHEUS® system in real time, exploring its intuitive interface, workflow efficiency, and advanced features that make testing easier for both clinicians and patients. All this happens on your schedule, without the disruption of travel or in-person sales meetings.

Learn How It Fits Your Practice
Every practice is unique. During the demo, our team will walk you through how MORPHEUS® adapts to your patient population, clinic flow, and documentation needs. This isn’t a one-size-fits-all presentation—it’s a tailored experience focused on what matters to you.

Ask Questions in Real Time
When you’re evaluating new technology, questions are inevitable. A live demo gives you direct access to experts who can explain functions, compare features, and address clinical or administrative concerns on the spot.

Experience Convenience Without Compromise
Whether you’re working from your office, home, or even between patient consults, you can participate in a demo from wherever you are. All you need is an internet connection. No travel. No scheduling headaches. Just a straightforward, valuable look at how MORPHEUS® can elevate your urodynamics program.

Make Confident, Informed Decisions
The best way to determine if MORPHEUS® is right for your practice is to experience it firsthand. A demo helps you clearly see the benefits, giving you the confidence to invest in a system that supports accurate diagnostics, patient comfort, and long-term efficiency.

Ready to See MORPHEUS® in Action?
Discover how MORPHEUS® Urodynamics can enhance your practice—click here to schedule a virtual demonstration at your convenience.

Published 08/28/2025

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1. Is training and installation included with the purchase?
Yes, your regional sales manager will provide comprehensive training and system setup/installation to ensure a smooth onboarding experience.

2. Where is the MORPHEUS® system manufactured?
Our systems are proudly manufactured in the United States.

3. How soon can we expect to receive our system after purchase?
Delivery timelines are typically fast and depend on configuration—please contact us for current lead times.

4. Can I upgrade from the Advanced system to the Video UDS?
Absolutely. Our platform is modular and upgradeable to meet your evolving clinical needs.

5. Does the system support additional testing modalities?
Yes, MORPHEUS® supports a range of modalities to include Uroflowmetry, Ultrasound Imaging, Anorectal Manometry, and Pelvic Floor Rehabilitation and can be expanded as needed.

6. What type of support is included with the system?
We offer lifetime telephone technical support (including after hours), along with remote assistance to ensure ongoing success.

7. Is data integration with EMRs or other systems available?
Yes, MORPHEUS® is designed for seamless data integration with most electronic medical record (EMR/PACS) systems.

8. Do you offer extended warranty options?
Yes, extended warranty plans are available to provide added peace of mind and system protection.

9. Is the system compatible with both air-charged and water-perfused catheters?
Yes, MORPHEUS® supports both air-charged and water-perfused catheter configurations for clinical flexibility.

10. Is barcode scanning required for consumables?
No. MORPHEUS® does not require barcode scanning for consumables, allowing for a more streamlined workflow and easier setup.

11. Is the MORPHEUS® system competitively priced?
Yes. MORPHEUS® is competitively priced to provide exceptional value. With its reliable performance, low maintenance requirements, and included lifetime support, the system delivers a strong return on investment over time.

12. Do you offer product demonstrations?
Yes. We offer personalized product demonstrations—via Zoom from the convenience of your own office—so you can explore the features and benefits of the MORPHEUS® system before making a purchase decision.

Final Thoughts
At The Prometheus Group®, MORPHEUS® Urodynamics is built to be intuitive, expandable, and cost-effective, delivering high performance without compromise. Whether you’re looking to upgrade your existing equipment or replace an outdated system, our team is here to guide you through the decision-making process with expert support.

Ready to Learn More?
Contact us today to connect with your regional sales manager, request a personalized quote, or schedule a virtual demonstration tailored to your practice’s needs.

Published 06/30/2025

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More Than a System — A Partnership That Lasts.
Whether you’re using MORPHEUS^® Office for streamlined, in-office testing, MORPHEUS^® Advanced for high-volume workflows, or MORPHEUS^® Video for complex diagnostic cases, you can count on more than just excellent technology. With every MORPHEUS^® system, you receive:

✅ Unlimited phone support for the life of your device
✅ Direct access to our in-house technical specialists
✅ U.S.-based support team that understands your practice needs

This lifetime support model ensures you always have a trusted expert just a phone call away—whether you need help with setup, workflow optimization, troubleshooting, or just a refresher on functionality.

Designed for Ease, Built for Performance.
MORPHEUS^® Urodynamics was created with the clinician in mind. Each system features:

User-friendly software interface for fast learning and smooth navigation
Customizable protocols to match your workflow
Compact, portable design for flexible use across locations

But even with the best tools, questions sometimes arise. That’s where our support truly makes the difference.
Our dedicated team is here to make sure your system runs smoothly—not just today, but every day you own it.

Why MORPHEUS^®?

Industry-leading technology
Intuitive design tailored for urology and urogynecology practices
Ongoing software updates and clinical training
Lifetime technical support via phone—standard, not optional

Ready to experience the difference?
Explore the MORPHEUS® Urodynamics Suite and discover how confidence, clarity, and lifetime support can elevate your patient care.

📞 Have questions now? We’re happy to help. Just call us at (800) 272-8492.

Published 5/21/2025

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(800) 442-2325
(603) 749-0733 (Local)
(603) 749-0511 (Fax)
Mon – Fri: 9 AM – 5 PM (EST)

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Medical devices require technical support for several reasons:

Assistance with setting up a new system
Regular maintenance
IT related questions
Quick resolution of issues, ensuring uninterrupted patient care
New user education for improved productivity and maximum efficiency
Assistance with necessary software and firmware updates

The Prometheus Group® prides itself on delivering unparalleled technical support. Our team is here to make sure you get the most from your investment. From ongoing assistance for the life of the system with no hidden fees, speaking with live representatives and limited on hold times, to remote capabilities, as well as a dedicated after- hours support line allowing you to focus on what matters most….your patients!

Contact Us Today for More Information.

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(800) 442-2325
(603) 749-0733 (Local)
(603) 749-0511 (Fax)
Mon – Fri: 9 AM – 5 PM (EST)

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The Advanced Technology of Data Integration Offers Several Benefits, Including:

Enhanced data quality.
Cost-Effective: Automation reduces labor expenses.
Better decision-making and collaboration.
Improved efficiency. Significantly minimizes data entry, reduces errors, and saves time.
Higher quality customer experiences.
Increased revenue streams.
Greater data accessibility. Use any workstation in the client network to access information.
Stronger data security.

The Prometheus Group® offers Data Integration Software options to include both Uni and Bi-Directional Connectivity.
This solution provides the ability to interface directly to your EMR/PACS system (HL-7, FHIR, & DICOM Compatible).

Contact us today to learn more about Data Integration options offered by The Prometheus Group®.

Published 5/9/2024

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Whatever Urodynamics manufacturer you choose, consider the barriers to purchasing a system which requires inventory scanning.

Benefits of selecting a system without consumable barcodes:

Save time and frustration not having to scan barcoded supplies
Alleviate stress over a programmed time limit set to perform a study once a consumable is scanned
Avoid study interruptions due to limited allowance of scanned inventory bypasses
Provides consumers with the opportunity to shop around rather than being forced to pay higher prices for consumables

Morpheus^® Urodynamics Systems, proudly manufactured in the U.S.A. by The Prometheus Group®, provide the flexibility and peace of mind to utilize consumables of your choice.

The choice is yours, Experience the Difference, and become part of The Prometheus Group^® family.

Published 05/09/2024

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It’s important to find out if you are dealing with a distributor. If so, ask where their system is manufactured
Are you provided with on-site installation and training at no additional cost?
How experienced is the sales team? Are they familiar with Urodynamics? A knowledgeable sales team can provide valuable insight and guidance tailored to your practice’s needs
Inquire about the level of technical support included with the system. Are they difficult to reach?
Do you have to log in to a portal for assistance? Accessibility to support staff is a crucial factor to consider
Ask if you must scan consumables before using the system. This may limit your options and increase operational costs
And finally, does the source provide data integration capabilities? This technology minimizes data entry,
reduces errors, and saves time, enhancing efficiency and productivity within your practice

Competitive Pricing
Equipment Built to Last
Technical Support for the Life of the System
Data Integration Options
Extended Warranties
On-Site Training
Expandable Architecture
Industry Trusted Leader
Flexible Use of Water-Filled or Air-Charged Catheters
No Need to Scan Consumables
Made in the U.S.A.

By considering these factors, you can ensure that you select a Urodynamics System that meets
your practice’s requirements and deliver optimal performance and value.

Published 05/09/2024

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Pelvic Health Rehabilitation for many can be life-changing. Our Morpheus® system can help to diagnose an incontinence issue and then provide the necessary Pelvic Health Therapy to help control that issue. Many physicians are turning to Pelvic Health Rehabilitation pre and post-surgical procedures to inspire a more desired outcome from surgery and strengthen and maintain healthy pelvic floor musculature. It is more than just exercises. It becomes a way of life. Pelvic Floor Muscle Rehab can treat various issues for, but not limited to, urinary and fecal incontinence, pelvic pain, urinary and fecal urgency/frequency, and stress incontinence.

Pelvic Health Rehabilitation Courses are offered through The Prometheus® Group for Physicians, Physician Assistants, Nurse Practitioners, and Registered Nurses who specialize in areas related to Pelvic Floor Function/Dysfunction and are interested in furthering their knowledge of biofeedback and pelvic health. Click the image below to learn more or to sign up for the Pelvic Health Rehabilitation Course. Or visit: https://theprogrp.com/physicians-nurses/professional-development-courses-for-nurses-physicians/

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Did you know that kids can benefit from biofeedback? A major cause of urinary incontinence and/or frequent Urinary Tract Infections (UTI) in children is dyssynergia or “strain” dyssynergia resulting in dysfunctional voiding issues. These learned or acquired mechanisms are characterized by increased striated muscle tone. Placing surface electrodes on the perianal area and abdomen (accessory muscles) while voiding can help to detect dyssynergia. While keeping those same surface electrodes in place, we can tailor a biofeedback technique for the child to follow.

An animated protocol can be set up specifically for the child to help the child understand the voiding problem and comprehend a technique to be used during these dysfunctions. Over time the child can learn to recognize improvement by observing and synchronizing the straining and relaxing of these muscles during voiding. Over time a willingness to participate and motivation to learn these techniques can help the child to overcome or master the dysfunction.

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A Urethral Pressure Profile indicates the intraluminal pressure along the length of the urethra with the bladder at rest. This is a Static UPP. The Maximum Urethral Pressure is the maximum pressure of the measured profile. The Maximum Urethral closure Pressure is the difference between the maximum urethral pressure and the intravesical pressure. Otherwise known as PURA-PVES=Urethral Closure Pressure. Urinary continence depends on the pressure in the urethra exceeding the pressure in the bladder at all times, even with increased abdominal pressure. With the catheter placed in the bladder, it is withdrawn through the urethra with a slow and steady movement creating a pressure tracing marking the Closure Pressure.

Functional Urethral Length is the length of the urethra along which the urethral pressure exceeds the intravesical pressure. Normal length is generally 1.0 – 4.0 cm.

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Office-based surgical procedures have been on the increase in recent years. Many new techniques are introduced to physicians in the surgery center or operating room setting but are later driven to the office setting based on many factors. One of the most significant incentives to do procedures in-office is that the physician can continue to see patients. At the same time, he or she performs these surgeries during their normal workflow. This correlates to more office revenue and less downtime in the OR for the physician waiting on surgical suite availability.

In most markets across the country, the financial challenges faced by hospital systems have forced the closings and consolidation of many facilities resulting in fewer available operating rooms and surgery centers in many communities. As a result, it has become harder for physicians performing nonemergency procedures to schedule OR time.

Today’s sedation techniques have made in-office surgery more viable. However, some physicians still prefer to set aside one day per month designated as a “Surgery Day” with an Anesthesiologist on-site to administer sedation as needed. Most procedures are completed with just oral medications and an appropriate local anesthetic. Today’s anesthetics are faster acting, wear off just minutes after surgery, and are much less likely to trigger any nausea or disorientation. Combine this with a favorable reimbursement picture where both patient and physician can benefit from OBP, and it’s easy to see why the office continues to be a viable venue for minimally invasive modalities.

Some compelling benefits to any patient considering an in-office procedure.

1) Cost Saving – The additional costs to hospital surgery (OR fee, Anesthesiology fee, Medication fees) can add up quickly, up to 70% higher than OBP.

2) Time Savings – Hospital surgery schedule can be a problem; surgical delays are a fact of life. The physician OBP is in control, with limited downtime and delays.

3) Less Exposure to Germs – One in 25 patients have hospital-acquired infections yearly. In-office procedures avoid exposure to unnecessary risk.

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Bladder capacity is studied to determine the amount of fluid the bladder holds. Compliance is the ability of the bladder wall to distend. The relationship between change in the bladder volume and change in the detrusor pressure is measured.

The EFP or (End Filling Pressure) should be below 15cmH20. The EFP (End Filling Pressure) of 40cmH20 or greater may lead to high risk to the upper tract. The competence of the sphincter is the ability of the external striated muscle to hold urine and to relax and release urine. This can be evaluated by using VLPP (Valsalva Leak Point Pressure). The VLPP is automatically marked and calculated with a simple keystroke.

Patient sentiments are recorded during the filling phase. Volume, pressures, and psychosocial environment affect a patient’s feelings. According to ICS, Morpheus® has conveniently placed study markers to indicate these sensations.

Stability refers to the detrusor function during filling. Normal detrusor function allows bladder filling with little or no change in pressure. Detrusor overactivity is a urodynamic observation characterized by involuntary detrusor contractions during the filling phase, which may be spontaneous or provoked. During the study, convenient study markers can be placed with a click of a button or tap of the touch screen.

Urodynamics Systems Options

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Endorectal ultrasound is an additional diagnostic tool used in the evaluation and management of patients with fecal incontinence. It can identify defects of the internal and external anal sphincters, helping to confirm findings that may be suggested by anorectal manometry. The examination also allows clinicians to assess the structure and integrity of the sphincter muscles and surrounding tissues.

Endorectal ultrasound requires little to no patient preparation. During the procedure, the patient is positioned in the left lateral decubitus position. A condom filled with ultrasound-conductive gel is placed over the ultrasound transducer, lubricated, and gently inserted into the anal canal. The 360-degree endorectal ultrasound examination is generally well tolerated by most patients.

The procedure produces detailed images of the anal sphincter complex and other pelvic floor structures, including the puborectalis muscle and the internal and external anal sphincters. These images can help identify sphincter defects, pelvic floor injuries, and other structural abnormalities. Images may be stored electronically, with relevant measurements and defects labeled, and incorporated into the patient’s electronic medical record for documentation and future clinical reference.

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Surface electromyography (sEMG) is one of the principal techniques used to evaluate the internal and external anal sphincters and pelvic floor muscles. Paradoxical sEMG testing is used to assess paradoxical contraction of the puborectalis muscle during defecation. The patient is generally placed in the left lateral position. This noninvasive study is performed using surface electrodes. Active electrodes are placed perianally, and a ground electrode is placed on the patient. Sphincter muscle activity is evaluated at rest and during push (strain) and squeeze maneuvers.

Anorectal manometry is a fundamental test of anorectal function used to evaluate patients with constipation, fecal incontinence, or both. It can provide useful information about the pathophysiology of these disorders and other conditions that may cause anorectal pain. The study measures anorectal pressures, muscle tone at rest and during voluntary squeezing, and coordination between the rectum and anal sphincters.

The most important parameters evaluated during testing include maximal voluntary squeeze pressure, resting and relaxation pressures, the rectoanal inhibitory reflex (RAIR) in response to rectal distention, rectal sensory volume thresholds, sphincter length including the high-pressure zone (HPZ), and defecation dynamics assessed through a balloon expulsion study.

The study is performed with the patient in the left lateral position. Bowel preparation is recommended. A four-channel catheter with a compliant balloon at its distal end is inserted approximately 6 cm into the rectum for pressure monitoring. Measurements are obtained at 1 cm intervals.

Maximal voluntary squeeze pressure is measured by asking the patient to squeeze as forcefully as possible for 10–20 seconds. The maneuver is repeated one or two times, with 10–20 seconds of rest or muscle relaxation between attempts. The RAIR is the relaxation of the proximal internal anal sphincter in response to rectal distention. This reflex is evaluated by inflating a balloon within the rectal lumen and observing for a decrease in resting anal pressure. A decrease of at least 50% from the resting pressure following rectal distention in at least one channel is considered a positive reflex.

Rectal sensation testing, also referred to as measurement of rectal sensory volume thresholds, consists of intermittent balloon distention of the rectum. This testing provides information about the rectal volumes that produce sensation and elicit the urge to defecate. Sensory information generated by rectal distention is transmitted to the brain. Fecal continence is maintained through the resting tone and coordinated reflex activity of the internal and external anal sphincters, together with the pelvic floor muscles. Rectal compliance is calculated using data obtained during rectal balloon sensation testing. It reflects the rectum’s capacity and ability to distend.

Balloon expulsion testing may be performed to simulate defecation. The patient’s ability or inability to expel the balloon, as well as the time required for expulsion, is recorded.

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Bladder ultrasound imaging is a non-invasive medical procedure that uses high-frequency sound waves to create images of the bladder. During the process, a small handheld device called a transducer is placed against the skin of the lower abdomen or perineum to emit sound waves that bounce off the bladder and surrounding tissues. The reflected sound waves are then converted into images that can be viewed on a computer screen in real-time.

Bladder ultrasound imaging is used to diagnose and monitor various bladder conditions, such as bladder stones, bladder tumors, urinary tract infections, and urinary incontinence. It can also evaluate the bladder’s size, shape, and capacity.

The procedure is relatively quick and painless and requires no radiation or invasive procedures. Bladder ultrasound imaging is safe for people of all ages, including pregnant women, and can be performed in a doctor’s office or clinic.

Overall, bladder ultrasound imaging is an essential diagnostic tool for evaluating bladder health and function and is a safe and non-invasive option for patients who require bladder imaging.

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Transperineal ultrasound imaging is a non-invasive medical procedure used to visualize and assess the health of the pelvic region. During the process, a small handheld device called a transducer is placed against the skin of the perineum, which is the area between the anus and the scrotum in men or between the anus and the vulva in women. The transducer emits high-frequency sound waves that bounce off the internal organs and tissues, creating images that can be viewed in real-time on a computer screen.

Transperineal ultrasound imaging is commonly used to diagnose and monitor various conditions affecting the pelvic region, including prostate cancer, bladder disorders, and pelvic floor dysfunction. It is also used during pregnancy to monitor the health and development of the fetus.

The procedure is relatively quick and painless and involves no radiation or invasive procedures. In addition, transperineal ultrasound imaging is a safe and effective alternative to traditional imaging techniques that may require contrast agents or involve radiation exposure.

Overall, transperineal ultrasound imaging is an essential tool in diagnosing and treating various conditions affecting the pelvic region and is a safe and non-invasive option for patients who require imaging of this area.

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A video urodynamic test is a diagnostic procedure that combines cystometry and fluoroscopy to evaluate the bladder and urinary tract function during urination. It is typically performed to diagnose urinary incontinence, urinary retention, and other disorders.

During a video urodynamic test, a catheter is inserted into the bladder through the urethra to measure bladder pressure and urine flow rate. Another catheter is placed in the rectum to measure intra-abdominal pressure. The patient is then positioned under a fluoroscopy machine, which uses X-rays to produce real-time images of the urinary tract as the patient urinates. The procedure may also include a pelvic ultrasound to evaluate the structures of the pelvic area.

The video urodynamic test provides detailed information about bladder and urethral function, including bladder capacity, sensation, and obstructions or abnormalities. It can also identify the type of urinary incontinence and help determine the most appropriate treatment.

The test is usually performed in a hospital or clinic setting and can take approximately 30 to 60 minutes to complete. It is generally considered a safe and minimally invasive procedure, although some patients may experience mild discomfort during catheter insertion or urination.

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Electromyography (EMG) is a diagnostic technique used to evaluate the electrical activity of muscles and nerves. It is often used to diagnose neuromuscular disorders, such as muscular dystrophy, myasthenia gravis, and peripheral neuropathy.

During an EMG test, a small, thin needle electrode is inserted through the skin into the muscle being studied. The electrode detects the electrical activity of the muscle while it is at rest and during contraction. The electrical signals are amplified and displayed on a monitor, allowing the technician or doctor to analyze the muscle activity.

In addition to detecting muscle and nerve disorders, EMG can also be used to determine the severity of a disorder and monitor treatment progress. The test is usually performed in a hospital or clinic setting and takes approximately 30 to 60 minutes. It is generally considered a safe and painless procedure, although some patients may experience mild discomfort while inserting the needle electrode.

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A pressure flow study is a diagnostic test used to evaluate the bladder and urinary tract function during urination. It is typically performed when there is suspicion of bladder outlet obstruction, which can occur due to conditions such as benign prostatic hyperplasia (enlarged prostate), urethral stricture, or pelvic organ prolapse.

During a pressure flow study, a catheter is inserted into the bladder through the urethra, and another catheter is inserted into the rectum to measure intra-abdominal pressure. The bladder is then filled with sterile water or saline at a controlled rate while the pressure inside the bladder and urine volume is measured. The patient is asked to void while the pressure and urine flow are measured and recorded.

The results of the pressure flow study can help diagnose bladder outlet obstruction and determine its severity. The test provides information about the pressure and flow of urine during voiding, which can indicate the presence of an obstruction in the bladder outlet or urethra. Treatment for bladder outlet obstruction may include medication, surgery, or other interventions, depending on the underlying cause and the severity of the condition.

A pressure flow study is a specialized test typically performed in a hospital or clinic setting and may take 30 to 60 minutes to complete. A urologist or a trained healthcare professional usually performs it.

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Cystometry is a diagnostic test used to measure the pressure and volume of urine inside the bladder during bladder filling and emptying. This test is often performed to evaluate the bladder’s function and diagnose urinary disorders such as urinary incontinence, urinary retention, and overactive bladder.

During cystometry, a catheter is inserted into the bladder through the urethra, and another catheter is inserted into the rectum to measure intra-abdominal pressure. The bladder is then filled with sterile water or saline at a controlled rate while the pressure inside the bladder and urine volume is measured. The patient is also asked to report any sensations of fullness or discomfort during bladder filling and to urinate when instructed to do so to measure the pressure and volume of urine during bladder emptying.

The results of cystometry can help diagnose conditions such as detrusor overactivity (involuntary contractions of the bladder muscle), stress urinary incontinence (leakage of urine during physical activity or coughing), and bladder outlet obstruction (blockage of urine flow from the bladder). The test is usually performed in a hospital or clinic setting and may take about 30 to 60 minutes to complete.

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Uroflowmetry is a non-invasive diagnostic test that measures the rate and volume of urine flow during voiding (urination). This test is often performed to evaluate urinary symptoms such as a weak stream, frequent urination, incomplete bladder emptying, or difficulty initiating urination.

During the test, the patient urinates into a special toilet or urinal equipped with a device to measure the rate of urine flow. The test records the speed of the urine flow, the volume of urine voided, and the time to empty the bladder. The test results can provide important information about the functioning of the bladder and the urinary tract, including any blockages or abnormalities that may be present.

Uroflowmetry is a simple and painless procedure that typically takes only a few minutes to complete. It is often used with other diagnostic tests, such as a bladder scan or cystoscopy, to help diagnose and manage urinary conditions.

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CONTACT US

The Prometheus Group®
1 Washingon St. Ste 3171
Dover NH 03820
(800) 442-2325

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