The Gold Standard for accurate Pulmonary Gas Exchange analysis
Contents
1. COSMED S r l COSMED USA Inc PO Box 3 2758 N Paulina Street Pavona di Albano Rome Chicago IL 60614 Printed July 2003 Part n C09030 02 93f GAIA Design gaiadesign email com2. Key Features QO Breath by Breath Gas Exchange data analysis VO2 VCO2 A Integrated 12 lead ECG for Stress Testing A Indirect Cardiac Output A Resting Metabolic Rate A Fastest analyzers in the market A Integrated Oxygen Saturation SpO2 Cardio Pulmonary Exercise Testing The Gold Standard for accurate Pulmonary Gas Exchange analysis and integrated 12 lead Stress Testing ECG at bar A Spirometry A Windows XP Compatible Overview Reliable data every time The Quark b Pulmonary Gas Exchange system is an accurate easy to use and dependable tool used to assess cardiorespiratory function with breath by breath resolution The Quark b can inte grate state of the art metabolic data together with diagnos tic quality 12 lead ECG output Spirometry oximetry cardiac output and a PC based ergom eter controller are optional fea tures that can be utilized with the Quark b2 Unsurpassed Accuracy Quark b is equipped with the fastest O sensor available in the market No shortcuts were taken Superior specifications and quality design assure many years of accurate data Quark b exceeds the accuracy stan dards of the American Thoracic Society and the European Respiratory Society Preeminent researchers were consulted to assure that the Quark b gives precise data in a flexible cus tomized format Ultimate Software Quark b is provided with the well proven COSMED software family for CPET manage
3. tional test results for an easy clinical interpretation Anaerobic Threshold print out with graphs and data reached at the AT point Max values and on the Max val ues Printed reports can be customized according to the user s requirements Test Summary Results pro vides data for a simple and easy interpretation RMR Report provides com prehensive interpretation for users interested in Nutritional studies ECG Reports can be printed either on standard paper or by means of a preprinted grid paper Software provides 12 lead Summary and ST average reports Optional Software Features Spirometry Spirometry software allows users to perform screening spirometry in a simple and accurate way Complete database manage ment for patients diagnosis clinical report broncho chal lenge protocols Easy management of bron cho challenge test by means of user defined protocols Quality Control messages according to the latest ATS and ERS recommendation Best Test selection and results reproducibility according to ATS 1994 standards Detailed printing of F V V t broncho challenge response graphics PD 10 15 and PD 20 calculation Auto calculation of key inter pretive indices ERS 93 for bronchodilator and broncho constrictor tests SSS i Bey PEETA O a l e Pre Post test with either bron chodilator or metacholine Trend analysis on multiple parameters So
4. ftware encouragement tool for pediatric or non coopera tive patients More than six selectable sets of predicted values and unlimited number of user defined sets New NHANES III predicted equations included FEV6 parameter and related calculations now measured Printout report according to the ERS ATS requirements Automatic Test Interpretation based upon ERS 93 and ATS 94 criteria Physiotrainer is an optional software mod ule that can be integrated with Quark b to dynamically control the work load of any ergome ter in order to reach and main tain a desired value for most of the physiological effort depen dent parameters such as VO VO Kg HR and VE the work load according to a feedback algorithm based on the target value of the param eter the actual value and the dynamics of its change The plot shows an example of how the work load of the ergometer is automatically set by PhysioTrainer in order to reach and maintain the Heart Rate to 100 beats min New Features Hardware Features Gas Analyzers Quark b uses the most accurate stable and fastest Zirconium Oxygen and NDIR Carbon Dioxide analyzers avail able Both sensors are ther mostated while pressure and sampling rate are maintained constant by a feedback con trol system A Nafion sampling tube minimizes maintenance and assures optimum humidity removal Ti an tHE Calibration procedure is fu
5. lly software assisted Diagrams and numbers are prompted to verify calibrations Flow Volume Sensor The COSMED digital turbine flowmeter ensures accuracy within a wide flow range 0 300 L minute Resistance to flow is less than 0 7 cmH O L s 12 L s The Turbine design is not affected by changes in test conditions The flow meter is connected to our innova tive mouth nose breathing face masks To assure a good fit Small Medium and Large sizes are provided The low dead space volume reduces rebreath ing while two one way valves reduce inspira tory resistance and allow mois ture removal Mouthpiece with saliva trap can also be used and z it s available as an option Comprehensive Calibration Analyzer and flowmeter calibra tion is easy quick and fully soft ware assisted Comprehensive plots and numbers are also pro vided in order to understand system behavior and to avoid fastidious black numbers for the user Warning messages are prompted to eliminate errors Full calibration procedures can be carried out in less than a minute Raw Data Analysis Quark b measures data at a sampling frequency of 100 Hz Raw data can be exported in ASCII format for advanced elab oration Example of exported O CO and volume waveforms in an ASCII file The new flowmeter ensures maximum precision over a wide range of ventilation 0 300 L min Low Maintenance and Easy Servicing Quark b ha
6. ment User friendly interfaces intui tive commands and icons make Quark b the perfect tool for fast and reliable data collection in any research or clinical envi ronment The 24 month war ranty on software includes free upgrades to new releases sat E EN m A g El i Applications Quark b has been designed with the clear aim to meet Sport Science requirements However we have included fea tures which will benefit any dis cipline that requires metabolic assessment Exercise Physiology Sports Science Phneumology Cardiac Rehabilitation Occupational Medicine and Nutrition assessment are fields which will appreciate the func tionality of the Quark b2 EASY Technical Support This is an important point for any application that can t afford significant downtime Quark b has been designed to be reli able and very easy to service The quality of the components and the plug and play archi tecture make servicing simple Each electronic board sensors valves etc is factory calibrated and incorporates all compo nents No technical expertise is neces sary to service Quark b COSMED Pulmensry Fungica En ament Software Features Cardio Pulmonary Exercise Testing COSMED software is a true Windows program offering familiarity simplicity and ver satility In addition to the ease of transferring data into other Windows programs this pow erful software offers the follow ing feature
7. nd or Bike product brochures Blood Pressure Measurement Quark b can be supplied with integrated equipment to pro x d i W gram BP readings to automati cally occur at specified times within a test protocol 12 lead ECG technology is built in a PCMCIA card preventing product obsolescence Indirect Cardiac Output An alternative to the standard Wasserman CO users can also choose the well known CO2 rebreathing method The kit is provided as an option and requires the use of different CO2 mixtures COSMED V500 Medical Bike Test Reference Table Pulmonary Gas Exchange Standard Option Breath by Breath Pulmonary Gas Exchange Anaerobic Threshold Oxygen Kinetics Exercise Flow Volume Loops Kit for Hi Low FiO2 tests Metabolism Resting Metabolic Rate Substrate Metabolism Cardiovascular Integrated 12 lead Stress Testing ECG Resting ECG Interpretation Arrhythmia Analysis Integrated Pulse Oxymeter Indirect Cardiac Output Wasserman Indirect Cardiac Output CO Rebreathing Spirometry Forced Vital Capacity Pre Post Slow Vital Capacity Respiratory Pattern Maximum Voluntary Ventilation Broncho Challenge Test More Information PC Configuration Required e Pentium or faster Windows 95 98 NT 2000 XP 32 Mb RAM or more e RS 232 port available two if used with an ergometer Floppy disk 3 5 20 Mb on HD space available Mouse and printer compat ible with MS Windo
8. s e Formula Editor tool kit to add user defined parameters and predicted nee ae eee oly equations to the existing ae A i parameters and norms sabap e mane Stress Testing ECG pat nie Only COSMED gives i l you the power to fully bal integrate 12 lead ECG Se with breath by breath metabolic data from portable or lab based systems Developed in conjunction with a world leader in ECG technology the PC card based Quark T12 and C12 ECGs offer the fol lowing features True diagnostic quality wave forms Continuous 12 lead viewing Single or multiple leads views including zoom and freeze features Current and reference ST analysis profiled for 12 leads ST depression and slope trends displayed during test Averaged QRS complexes overlapped on a reference ECG complex e Real time laser printout Resting Metabolic Rate RMR Resting Metabolic Rate is an important parameter to calculate the balance between intake and consumed calories within a day The software auto matically provides protocol simple view and data analysis for RMR studies Powerful Reporting The software is provided with a powerful tool to generate vari ous printout reports Standard reports follow ing international guidelines are available and in addition users can modify or save differ ent reports according to their needs 9 plot Wasserman report can provide single page report with the 9 graphs and addi
9. s Quark b software allows users to have full access to the gas exchange data Tests are stored in both Raw and pro cessed format thus enabling researchers to have full flex ibility in the way they manage data Real Time View Data viewing in both tables and graphs format Real time O and CO wave form display Flow Volume loops during exercise and overlapped on resting FVC to assess ventila tory limitation Ergometer control via RS 232 interface allows user easy protocol setup and dynamic changes Powerful Data Analysis e Automatic and manual detec tion of anaerobic threshold according to the Modified V Slope method Wasserman Access data in a spreadsheet format for advanced data elaboration filtering smooth ing etc PE o ie e ee epep apg Tail e Software shows Gas Exchange data and continuous 12 lead ECG simultaneously Standard and custom Exercise protocols design O Kinetics feature automati cally provides O debt O defi cit and tau values during any constant stage The Fitting feature both linear and exponential increases data elaboration to levels obtained only with expensive statistical software packages Example of Linear Custom Fitting VO Work Load Each test can be exported in a single file available in differ ent file formats ASCII Excel lotus etc Built in email test feature for easy transfer of tests to differ ent location
10. s been designed to be very reliable and easy to main tain The quality of componen try and the Plug and Play architec ture make servicing simple No technical expertise is necessary Disinfect the masks and tur bine and change the sample line periodically That s it Analog Digital Interfaces With eight analog inputs an RS 232 port and a digital input the Quark b is capable of inte grating data from numerous sources In alternative to masks a mouth piece w saliva trap can be used connected with the flowmeter Quark C12 12 lead ECG For more information concerning the COSMED ECGs please refer to Quark T12 and C12 product brochure Optional Hardware Features Pulse Oximeter Oxygen saturation may be mon itored during exercise using a pulse oximeter SpO provided with either finger or ear probes Quark b is available in differ ent configurations furthermore several options and accessories are available to complete your Quark b upon request COSMED 12 lead ECGs is available in both telemetry and direct connect configura tions Quark T12 Telemetry Quark C12 patient cable Options Arrhythmia analysis e Resting ECG interpretation High Low FiO Kit Kit of accessories for Gas Exchange measurements using hypoxic and hyperoxic gas mix tures Ergometers COSMED provides a wide selec tion of treadmills and bikes For more information please refer to the Treadmill a
11. ted parameters and predicted sets Data Elaboration Tools e Anaerobic Threshold e Oxygen Kinetics O def O debt Tau Exercise Flow Volume loops Linear and exponential fit tings arpe The Quark b unit is light and compact it can be easily transported for mobile solutions Technical Specifications Flowmeter Bidirectional Digital Turbine 28 mm Range 0 03 20 L sec Accuracy 2 Resistance lt 0 7 cmH O s L 12 L s Gas Analyzers Gas O co Type Zirconia NDIR Range 0 1 100 0 15 t90 lt 50 ms lt 90 ms Accuracy 0 01 0 01 Life span 3 5 years Power Supply Voltage 100 240V 10 50 60Hz Environmental Sensors Temperature range 0 50 C Barometer range 400 800 mmHg Humidity range 0 100 Dimensions amp Weight 17 x 30 x 45 cm 8 Kg Safety Device Class type B Quality Standards Equipment complies with MDD 93 42 EEC and FDA 510 k Scientific References ERS task force Clinical exercise testing with reference to lung diseases indi cations standardization and interpretation strategies European Respiratory Journal 1997 10 2662 2689 ATS ACCP Statement of Cardio Pulmonary Exercise Testing fave 0476 AJRC CM167 pp211 277 2003 1 00040 ITALY UNITED STATES Phone 39 06 931 5492 Phone 1 773 528 8113 i Fax 39 06 931 4580 Fax 1 773 528 8116 email info cosmed it email usa sales cosmed it COSME D o DETRUAN GA http www cosmed it
12. ws e RS 232 gt USB Interface adapter option Standard Equipment Gas Exchange Unit e HR Polar belt e 2 turbine flowmeters e PC software 3 Adult face masks S M L 2 Adult Head caps e Calibration syringe 3 liters Cables and probes e User manual Measured Parameters The system allows breath by breath measurements for the calculation of the following main parameters Breath by Breath Data Time Ti Te Ttot Vt Rf End Tidal O and CO VO VCO R VE HR FeO FeCO VD Vt PaCO P a et CO PAO VE VO VE VCO Cardiorespiratory HR HR reserve O pulse Plus the following options 12 lead Stress Testing ECG Pulse Oximeter Cardiac Output Automated Blood pressure Nutritional Assessment RMR EE Kcal day EE Kcal min EE Kcal h EE BSA EE Kg FAT CHO PRO npRQ BMI Steady State VO VE and R sta bility thresholds Predicted Values VO max VEmax VO AT VEmax Rfmax HRmax BR HRR VO HRmax Vtmax Jones equations REE Harris Benedict equation Available Options Integrated 12 lead ECG Spirometry kit Indirect Cardiac output Integrated Pulse Oxymeter Blood pressure monitor e Medical cart Bike and treadmill Kit for High Low FiO2 test e Calibration Gas cylinders e Mask for equine exercise tests The software also provides the powerful Equation Editor tool You can create user defined equations for calculating unlim i
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