The new standard for Resting Energy Expenditure
Contents
1. magnetic stable and durable for the O rapid infrared for the CO Both analyzers are reliable and do not need maintenance for long periods Flowmeters disposable pneumotach and multi use turbine guarantee great accuracy on the different measurement modes canopy mask and through mechanical ventila tion Quick and user friendly calibration procedures guar antee accurate measurements either on flow volume using the 3 liter calibra tion syringe and gas concentration _ Ideal for bed side applications Quark RMR compact dimensions and the optional medical graded cart configuration make it the ideal choice for bed side applications Powered by OMNIA software innovative user interface touch screen ready easy to use and self explanatory REE on spontaneously breathing subjects REE by dilution with Canopy Hood The Quark RMR is supplied with a dilution helmet for the measurement of the expiratory flow of patients with spontaneous breathing This method does not require a mouthpiece or facemask and is more comfortable for obese patients Gas is sampled at the expi ratory port through a sampling line while the ventilation is measured by a turbine The ventilation output of the helmet is easily regulated in order to maintain the CO expired fraction FeCO within a prefixed range of values Bidirectional digital turbine flowmeter reusable a Bubble canopy hood 18 7 L with removabl2. is a compact bed side indirect calorimetry solution designed to allow accu rate and instantaneous estimation of Resting Energy Expenditure REE and respiratory ratio R in a non invasive way through the measurement of oxygen consumption VO carbon dioxide production VCO together with other ventilatory parameters and meta bolism substrate utilization FAT PRO CHO Quark RMR allows thus improved nutrition support and accurate planning of nutritional therapies Quark RMR is a modern device suitable both for research and clinical applications By measuring REE and providing the correct energy balance in critically ill patients hospital may improve patient outcome and decrease the length of hospitalization which will have a significant and immediate impact on hospital bottom line Scientific evidence highlights that negative energy balances are correlated with increasing number of compli cations particularly infections Quark RMR accuracy and reliability have been validated against Gold Standard methods either with spontaneously breathing subjects and with mechanically assisted patients Ashcraft C M et al A Test of Validity of a New Open Circuit Indirect Calorimeter J Parenter Enteral Nutr 2014 Mar 10 2 Villet S et al Negative impact of hypocaloric feeding and energy balance on clinical outcome in ICU patients Clin Nutr 2005 Aug 24 4 502 9 Design Latest technology in gas analyzers para
3. Validation articles e Ashcraft C M et al A Test of Validity of a New Open Circuit Indirect Calorimeter J Parenter Enteral Nutr 2014 Mar 10 e Sundstr m M et al Indirect calorimetry in mechanically ventilated patients A systematic comparison of three instruments J Clin Nutr 2013 Feb 32 1 118 21 e Blond E et al A new indirect calorimeter is accurate and reliable for measuring basal energy expenditure thermic effect of food and substrate oxidation in obese and health e SPEN e Journal of Clinical Nutrition and Metabolism 6 2011 e7ee15 e More scientific studies on www cosmed com bibliography COSMED Srl Via dei Piani di Monte Savello 37 Albano Laziale Rome 00041 Italy 39 06 931 5492 Phone 39 06 931 4580 Fax info cosmed com cosmed com Technical Specifications Quark AMA The new standard for Resting Energy Expenditure Product Description REF MeS katre measurement in research and clinical practice Quark RMR Indirect Calorimetry Laboratory C09074 01 99 Standard packaging Quark RMR unit Canopy hood with veil Turbine Flowmeter 2 pcs w sampling line antibacterial filters OMNIA PC software calibration syringe HR monitor receiver and transmitter power supply cable USB cable user manual Standard Tests Indirect Calorimetry Resting Energy Expenditure REE RMR w canopy hhood face mask or mouthpieces E aS antibacterial filter Respiratory Quotient RQ Substrates Ana
4. e blanket a Integrated canopy blower pump inside the main unit selectable flow rate a Internal emergency battery with acustic alarms a Optional canopy hood kit for pediatric use 15 30 kg REE breath by breath by Face Mask In addition to canopy Quark RMR allows breath by breath gas exchange analysis by using multi use silicone face masks available in 5 sizes 3 adult 2 pediatric or alterna tively with mouthpiece and AB filter REE on mechanically ventilated patients The optional ICU module for Quark RMR allows the integration with the ventilator for the measurement of REE in patients under going mechanically assisted ventilation in intensive care units The module is extremely versatile allowing two different set ups according to specific testing requirements In line Measurement within Patient s Circuit Disposable low flow range PNT flowmeter Flow REE inserted at the patient s circuit m Breath by breath gas sampling through a line connected proximally to the Y piece of the ventilator tubing Inspiratory and expiratory phases directly measured by the flowmeter All parts are single patient no need for cleaning and disinfecting FiO lt 70 m Independent from type of ventilator in use External Flow Measurement by Ventilator s outlet a Patient minute ventilation measured by a turbine flowmeter connected to the expiratory port of the ventilator a Breath by br
5. e turbine directly with a mouthpiece and an antibacterial filter
6. eath gas sampling through a line connected proximally to the Y piece of the ventilator tubing Software allows users to detect the Bias Flow and identifies the inspiratory and expiratory phases with the use of an algorithm based on flow and expiratory CO analysis m Easy and less invasive set up Lower costs with less consumables Compatible with most of ventilators in the market ICU MEASURE SUBJECT DEMO PRO Phase FAT PRO EEh EEkg EEm RMR R CHO CHO UN FAT9 EEkc hh mm ss kcal day _ kcal day _ kcal h_ kcal Kg day_kcal min kcal day _ kcal day g day ___kcal day O Rest 968 00 553 135 092 078 27 1 360 729 1327 9 0 Rest 1033 00 527 0877 076 183 232 86 1265 076 183 254 816 1387 078 280 364 719 1298 Data Management amp Software Quark RMR comes with the OMNIA Meta bolic Module the new software designed by COSMED Compatible with the entire COSMED product range OMNIA allows the user to operate complex equipment without requiring long learning paths Easy to use beautifully designed touch screen native graphic user interface with intuitive workflow and hierarchy a Manage display data and plots via Dashboards default and user defined Select and define charts data and widgets Powerful chart creation up to 4 Y axis and one X axe with full control on settings a Change blower settings directly from dedicated widge
7. ilation Mixing Chamber 7 liters Mixing Chamber physical C03261 01 11 Accessories amp Options Description REF Gas Calibration Kit Gas cylinder required for 0 CO calibration 16 0 5 CO A 860 000 004 Gas a _ N bal and a pressure regulator A 870 150 005 Regul i e Sx Pulse Oximetry Oximeter Xpod requires probe 02600 01 05 E g Oximeter ipod w finger probe C02390 01 05 Q Ethanol Burning Kit Kit consists of a glass ampoule for the verification of C03471 01 11 69 respiratory quotient S Medical Cart Medical graded with isolation transformer according to C03550 01 04 230VAQ MDD directive Designed to hold the whole equipment C03550 02 04 120VAQ Hy during bedside applications Safety amp Quality Standards MDD 93 42 EEC FDA 510 k EN 60601 1 safety EN 60601 1 2 EMC To know more tx COSMED The Metabolic Company 2015 08 COSMED E amp OE Subject to alterations without prior notice 66 Quark RMR was demonstrated to be unbiased precise reproducible and accurate device for measuring energy expenditure 9 1 Measurement of Resting Energy Expenditure REE amp substrates u REE by dilution with canopy E REE breath by breath by face mask i Optional kit for measuring REE in mechanically assisted patients E Suitable for patients above 15kg of weight E Independent validated on spontaneously breathing subjects and on mechanically ventilated patients The Quark RMR
8. lysis 0FAT PRO CHO 0 eee eee 1 T sh a S Aan Gee Wea A NON 7 vat Flowmeter Turbine 18mm Canopy Mask Flow REE ICU Optional q TONEN fer Ry Type Bidirectional Digital Turbine Disposable PNT Lilly gaia Flow Range 0 8 I s 0 1 7 I s Accuracy 2 or 20 ml s flow 2 or 100 ml 2 min ventil Resistance lt 0 27 cmH 0 I s 1I s lt 2 35 cmH 0 I s 1 l s Visualization resolution 4ml s 1 ml s Gas Analyzers 0 C0 Type Paramagnetic NDIR Range 0 100 Standard 0 30 ICU 0 70 or 0 10 user defined Accuracy 0 02 0 02 Response time 100 ms 100 ms Dimensions amp weight Unit 17 x 30x45 cm 8 Kg Canopy 32 x 50 x 30 cm 0 6 Kg Interface ports USB A B RS 232 HR TTL Sp02 Electrical requirements 100 240V 10 50 60 Hz Internal emergency battery 12V 1 2 Ah Environmental conditions Temperature 0 50 C 32 122 F Barometer 400 800 mmHg Humidity 0 100 Software OMNIA Available languages Italian English Spanish French German Portuguese Greek Dutch Turkish Russian Chinese Traditional Chinese Simplified Korean Romanian Polish Czech Norwegian PC Configuration 13 or higher processor speed Compatible with Windows 7 8 8 1 10 32 or 64 bit RAM 4GB 8GB recommended HD with 4GB of free space plus tools Modules Description REF ICU kit for vent Patients Allowing Quark RMR measurement of REE in patients C03610 01 11 undergoing mechanically assisted vent
9. t a Select time interval to display averaged parameters REE RQ variability etc both in real time and in post analysis Designed to work with both standard PC and tablets a SQL Database allowing virtually unlim ited records and data safety a Full Network Database Management optional OMNIA allows installations in complex Server Client environments Multi users access rights manage ment Principal Investigator Physician Technician Administrator with event logging Compatible with Win 7 8 8 1 10 32 64 Mac OS compatibility when installed in Virtual PC OS Parallel VMware subject genda weight height v02 vo2 Fi02 Vac anana Fe02 Options Exercise Testing Kit With the optional CPET Cardio Pulmonary Exercise Testing module users can perfom full exercise protocols to measure VO and VCO up to maximal effort Ethanol burning kit It consists of a lamp parts and connectors to be connected to the Quark RMR Burning ethanol generates a predictable ratio of VO and VCO and it can be used to verify the Quark RMR accuracy of Respiratory Quotient measurement Disposable flowmeter Flow REE inserted at patient s circuit during testing in ICU settings Alternatively to the canopy hood REE can also be measured on spontaneously breathing subjects using a multi use silicone face mask 5 sizes avail able An alternative test method connects th
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