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Innocor Software User Manual

1. 09 09 2004 LD 091063 Edit field pedersen knud 8 59 47 Step Action Load watt ime min Bag litre Bolus RB freq Protocol vi o MO 5 00 2 4 10 0 20 0 bagauto1 Performed Bag 2 Ae 25 0 5 00 2 4 10 0 22 0 Active step steps 3 dek 50 0 4 00 10 0 24 0 Test time e 75 0 4 00 10 0 26 0 EE 5 A 100 0 3 00 10 0 28 0 Y Time to 4 Rebreathing NIBP on Auto g 2 20 min RB on calculation Actual Increment load 25 0 decrement speed buttons d Show vs results e e RB NIBP Go to on off onjoff step Hold protocol Emptying C O Jox Stop Filling A protocol Sp02 Cuff O mmHg Bag closed Inspiration Cylinder har HR 2 3 2 1 1 Changing protocol parameters on line The user can change the individual parameters of the protocol prior to the bag preparation 1 minute after the last rebreathing procedure When the bag preparation starts the parameters of the active step are locked while the step is performed To change a parameter the user presses first the field then the or buttons to increment or decrement the value Note the value in the actual step and all subsequent steps are increased or decreased by the same amount The following increments are used Bag volume _ 0 1 litre Bolus fraction RB frequency Normally the protocol automatically progresses through all steps however pressing the Go to step button can change the acti
2. Help Exit Setup The rebreathing bag is filled prior to a test with an oxygen O2 enriched mixture containing two foreign gases typically 0 5 nitrous oxide N2O and 0 1 sulphur hexafluoride SFe The filling is done in two steps e A bolus part is filled from the gas bottle containing 94 O 5 N2O and 1 SFe e The rest is coming from air via an air pump Under normal resting conditions it is recommended to use 10 bolus and 90 air which gives a mixture of o O 28 3 e N20 0 5 e SF 0 1 The Bolus fraction is the amount of gas coming from the gas bottle and the following points must be taken into consideration e The bolus fraction must be between 7 5 and 20 of the total bag volume can be increased to 50 see GasSystem ini in section 3 5 10 e The bag must contain enough oxygen for the exercise level O gt 13 at the end of the test Higher bolus more oxygen March 2007 COR SUM 0000 001 IN UK A 7 43 Innovision Innocor Software User Manual It is recommended to set the bolus to 10 of the total bag volume during rest and higher at higher exercise level gt 150 watt When the bag volume bolus fraction and patient data is known the software estimates the maximal Voz and maximal work load which is possible with the given settings See section 2 3 2 1 2 for details on recommended bag volumes at different exercise level The Rebreathing frequency is the frequency
3. Reset PGA Oxigraf Status ECCERE Exit Service In this menu the user specifies the channels to measure by pressing the channel name When the background becomes coloured it is enabled when the background is white the channel is disabled The selected signal is displayed numerically in the upper left corner and the graphical display can be adjusted using the Offset and Scale parameters The Find Signal can be used to automatically adjust the Offset to display the signal in the middle of the screen The Log File can be used to record the signals in a file If a channel shall be used for SNR measurements in the Signal Stat the text shall be written in italics Select mode by pressing the channel name and the Select Stat March 2007 COR SUM 0000 001 IN UK A 7 63 Innovision Innocor Software User Manual 2 5 10 2 Signal Stat Selected Signal 0 056 PGA Reg No 164 Dig Oxygen 21 13 Flow Pump OFF Find Signal Clear Graph Stop Graph Number of samples 1000 Mean SD Mean SD e s E Dig 02 21 124 00266 795 Select the number of samples to use in the measurement of mean SD and Signal to Noise Ratio Press Start to make a measurement 2 5 10 3 PGA Zero PGA Zero is used to adjust the offset calibration of the PGA It should only be done by qualified personnel 2 5 10 4 PGA Mix PGA Mix is used to adjust the gain calibration of the PGA using a single mixt
4. 0 20 40 60 80 100 Age Figure 2 5 1 1 Predicted bag volume for males When entering the setup menu before a patient is selected the Bag volume is dimmed because the patient data needed for the prediction of VC bag volume is not known March 2007 COR SUM 0000 001 IN UK A 7 42 Innovision Innocor Software User Manual When setting the bag volume the following points shall be taken into consideration The patient shall be able to inspire the complete volume during the first inspiration The patient must not make a too big effort to empty the bag The bag shall contain enough gas to give good quality of the signals after mixing The bag must contain enough oxygen for the exercise level The volume must not exceed the maximum capacity of the bag default 3 litre Normally a volume between 1 5 and 2 litre is suitable during rest The Initial NIBP pressure defines the pressure from where the NIBP module starts measuring The Initial NIBP pressure must be set higher than the expected systolic pressure of the subject Default value is 160 mmHg Pressing the Y button will show more setup parameters 29 08 2003 Setup 13 48 03 Estimated Maximal YVO2 l min f Ambient Bag volume SS Graphics Initial NIBP pressure f Date Bolus Fraction Rebreathing freq Language Gas Cylinder Max CO2 limit Default Min 02 limit Insp JExp Beep Undo C 02Adjust Service
5. 2 2 18 05 2005 15 47 35 Test Param 2 3 18 05 2005 15 50 44 2 4 18 05 2005 15 53 47 Ex 3 20 05 2005 16 07 37 3 1 20 05 2005 16 11 00 02 03 2007 07 16 58 02 03 2007 07 20 13 Test 19411 Demo Insoluble Gas Ai es wn mm dw e wm e vr e e e wel PA Graph Setup Test 10 out of 10 l Delete aliada Results Details Graphs Data Table Dataview 1 4 Dataview 5 8 Print Prey Help Time s Time s Exit Meas dd Cylinder S mm 57 ER 96 Cuff mmHg If the test contains a warning an exclamation mark will be shown at the top of the graphic display If the user presses the exclamation mark a message box with the warning message will appear If no warning is present a V is shown instead March 2007 COR SUM 0000 001 IN UK A 7 29 Innovision Innocor Software User Manual PBF 3 7 min wi 2 6 J YOo 0 292 pen D lt PBF 145 Imin WYL 29 J VOo 2 259 min YM Normalised Oxygen 2 4 6 1 Normal plot The upper left plot displays the signals without any normalisations 23 09 2004 LD 290353 Inno Vision 11 45 19 3 good breaths Patient Pt Data Time zero Test Param Test Demo Ju Graph Setup d _ Print Prev Time s a0 EIS pe Results Details Graphs DataTable DataView 1 4 Dataview 5 8 _ Exit M
6. Ambient Max rebreathing time 25 sec Date Mixing threshold 15 00 User Params Breath holding Time 200 msec z Language Pre rebreathing breaths E _tanguage A Protocol Breaths after mixing 3 Default setup in Undo Singer O2Adjust Service 21 Help Manoeuyre Exit Setup i The Max Rebreathing time is the maximal total time breathing in out of the rebreathing bag Normally the test is stopped before the Max Rebreathing Time but if the patient cannot achieve good mixing the test will stop when the time expires The rebreathing time must not be too long to avoid re circulation The time for re circulation is not an exact time but in the order of 20 25 seconds at rest and lower at increasing blood flow The Mixing threshold is used on the insoluble gas to determine when the gas mixing is sufficient to start calculation The default recommended value is 15 See the description of Insoluble gas SFe in section 2 4 6 4 Breath holding time defines the delay between activating the valves balloons in the RVU First the port to ambient air is closed and then a small waiting period before the port to the rebreathing bag is opened The small delay is necessary because the ports are not responding immediately In order to avoid open circuit from the bag to ambient air the delay is needed Default value is O ms for an Innovision valve and 500 ms for a Hans Rudolph valve
7. The Pre rebreathing breaths sets the number of breaths the Innocor shall detect before the start of the rebreathing is enabled The value is used to ensure some stability of the patient before starting The Breaths after mixing defines the number of breaths after good mixing is achieved before the rebreathing is stopped The default recommended value is 3 and defines also the number of breaths that shall be used for the calculation of rebreathing parameters March 2007 COR SUM 0000 001 IN UK A 7 46 Innovision Innocor Software User Manual 2 5 2 2 Calculation parameters 22 03 2007 Setup 15 35 27 Estimated Maximal YO2 I min Ambient All or Expiration Exp points y Date Expiration based on O bai f User Calculation on insoluble Reg line y Params Vti in CO calculation Fixed y 7 Language Fixed Vti value ia Bag dead space Default setup Gas Cylinder Valve dead space t Calibrate Skip at end of exp Undo Skip at start of exp Zero Position in first insp Service Solubility coef for tissue Solubility coef for blood Calculation gt l Help Exit Setup i All or Expiration defines if the calculation shall use all samples or only the expiration parts Default recommended setting is Expiration Expiration based on is used to determine which gas signal the software shall base the detection of the inspiration expi
8. oooccccococnncccocnnnoconconocnarncnnanons 90 DATABASE 00000 iS a eee or 90 Be we 91 IV la e lada tna 91 Ve Ee EE 92 SET nn salgnacete het escead ond arson vanentanaase Se ddaccvasenan 93 OVETICe With ae Ee ss as ocios 93 Database Merge EE 94 LANGUAGE SUPPOR Tarei asilo 95 SGRIPTSURPOR Ti serge an pas aN e a N e a 98 GCI EE a A a a N seddabeeasto ees 98 SCHPEMES GIN H WEE 99 PRINTER E 100 Installation of MEW PINTER EE 100 A A ei cutest en ta de Gu a elie etl 100 Print layout header amp Tooter 107 Preparing an image for the header footer ccccccseeeeeeeeeeeeeeeeeeeeaeeeeeeseeeeeeens 108 HELP E E 108 MPSS TRIAS o ls bed 108 MOUSSE e ee eer 108 CUOTAS O o e da code 108 Setting speed to km h or mpb 109 How to recalculate rebreathing data 109 Running in parallel with an exercise device oooooccccoccccccncncccncncononononcncnnncncnnnnnnnos 109 Corrupt gas bottle database ec cccceeceeeeeeeceeeeeeeseeeeeseaeeeeeeaeeeessaeeeesneeseeesaees 110 Generating images Of Oraphce 110 WINDOWS XP EMBEDDED crierai oionn a a A a a iria 111 Control EE 113 Backup boot up of windows XP embedded occcocccccoccccccccccccccnccccoconcnoconononononononos 114 How to boot from the alternative drive 114 How to run Innocor software from the alternative drive ccccceeceeeseeeeeeeeeeeeens 115 How to use Microsoft Windows Recovery Console c ccecceeeseeeeeeeeeeeesaeeeeeens 115 How to change the default b
9. Either the Innocor can be changed to match the remote computer or the remote computer can be changed to match the Innocor Change Innocor to match the remote computer Change the Innocor settings to match the network it is attached to You will need a USB keyboard mouse connected to the Innocor or the On Screen Keyboard program osk exe to change the settings Press the right top corner followed by left top corner to exit to Windows without shutting down section 3 1 Enter Control Panel and select the network icon Find the TCP IP protocol and change the settings using the properties see section 3 13 2 for how to change IP address on a Windows XPe system It is not necessary to change the domain workgroup of the Innocor to match the external network If a DHCP server is connected to the network the Innocor can be configured to get an IP from the DHCP server Getting an IP address from a DHCP server will however increase the boot up time in case of using the Innocor not connected to the network Change the remote computer to match Innocor Enter Control Panel and select the network icon Find the TCP IP protocol and change the settings using the properties Set the IP address of the remote computer to e g 10 0 0 49 Hardware connection Connect the Innocor and the remote computer to the network via a hub switch or use a crossed RJ45 cable to make a direct connection Make the connection before you power on unless both of them are running W
10. 2 Confirmation There might be a gas leakage OK If the Innocor sees a gas cylinder with a higher pressure than expected it is assumed that a new gas cylinder is connected and the user is prompted 2 Confirmation Enter New Gas Cylinder number Further measurement not possible OK After pressing OK the gas cylinder menu is shown and the user can enter the gas cylinder number The bottle pressure reading at the bottom of the screen changes colour to yellow when entering the The Gas Cylinder is nearly Empty mode below 10 bars When the bottle pressure gets below 2 bars the colour changes to red mm 2 5 8 4 Standby of gas supply When entering the main screen of the Innocor S W all pneumatic valves are closed This allows the user to disconnect the RVU when the main screen is shown The user can replace the insert of the RVU without loosing gas March 2007 COR SUM 0000 001 IN UK A 7 59 Innovision Innocor Software User Manual 2 5 9 Calibration Enter Setup and select Calibration O2Adjust Adjust flowmeter Calculate gas delay 2 5 9 1 O adjust The O adjust is used to make a single adjustment of the oxygen signal The calibration requires ambient oxygen at standard 20 93 The user must temporarily disconnect the inlet from the RVU or ensure that ambient conditions are present in the RVU The calibration is a built in 1 step calibration of the oxygen sensor module Make
11. March 2007 COR SUM 0000 001 IN UK A 7 88 Innovision Innocor Software User Manual breathing If the flow gas delay calibration is not performed with the standard RVU the volume of the dead space between the inlet and ambient air must be changed in the BBBctrl ini file The Valve volume is important for the flow gas delay calculation a wrong volume value will result in incorrect delay values If the volume is changed during on line measurement the new volume should be entered or the on line delay calibration must be disabled Deadspace Valve 0 045 Similarly the flowmeter dead space the volume from the mouth to the inlet must be changed in the BBBectrl ini file or via the Breath by Breath Setup menu see section 2 5 2 3 if the standard RVU is not used The flowmeter dead space has only influence on the calculated subject dead space Va and on the V Vo Velos Deadspace Flowmeter 0 12 Flowmeter Valve March 2007 COR SUM 0000 001 IN UK A 7 89 Innovision Innocor Software User Manual 3 5 10 7 Controlling the Voz calculation during a rebreathing test The setting for the Vo calculation during a rebreathing test is controlled by the following entries of the Hardware ini YOZ Code n If n 0 the Vo calculation during a rebreathing test is disabled If n 1 the Vo calculation during a rebreathing test is enabled default If n 2 the Vo calculation during a rebreathing test is equal to the
12. The SETUP directory contains configuration files for the Innocor software Gassystem ini Calibration coefficient for bolus and air filling flow amp gas bottle pressure Graphsetup ini Configuration file for rebreathing graphical setup Hardware ini Configuration file for the hardware Setup of com ports and installation of optional sensors Rb sys Rb sy Configuration file for the rebreathing calculation should only be changed by qualified personnel otherwise erroneous results will be calculated by the Innocor software Search sys Configuration file for where the software shall look for Innocor script files idm Configuration file for the service part of the Innocor software SymbolSetup ini Configuration file for graphical symbols TableSetup bin Binary setup file for rebreathing table setup March 2007 COR SUM 0000 001 IN UK A 7 84 Innovision Innocor Software User Manual Example of GasSystem Ini GasFilling Bolus_ml1 320 Bolusflow 35 32464 Airflow 51 94 InitialVolpct 10 Bolus_ 20 MaxBolus_ 20 GasPressure Gain 43 75 Offset 21 8 unit bar Insoluble Normconc 1 0 CO2_Corr OnOff 0 N20_CO2_Corr N0 9 8591E 1 N1 8 2864E 3 N2 5 2389E 3 N3 1 4278E 3 N4 1 9475E 4 N5 1 3417E 5 N6 3 6776E 7 SF6_CO2 Corr NO 9 8363E 1 N1 3 3148E 3 N2 3 5815E 4 N3 1 8592E 5 N4 5 3471E 8 N5 0 N6 0 VO2Corr GainInv 1144 OffsetInv 167 NOTE values entered
13. Gas cylinder button The Gas cylinder window displays a list of known Gas Cylinders upper table and the Gas Cylinder in use The following data is present for each Gas Cylinder Gas Cylinder No The gas cylinder number Rem Volume ml The remaining volume in the gas cylinder estimated from the initial gas cylinder pressure and used gas during rebreathing tests When a new gas cylinder is entered the remaining volume will be set to 18600 ml 150 ml x 124 bar In case of leakage the remaining volume will be higher than what is actually present in the gas cylinder Performed Test The number of tests performed using the gas cylinder Depending on the bolus and bag setting it is possible to perform approx 75 tests The System Pressure shows the actual gas cylinder pressure in bar for the gas cylinder mounted Select an action Other known Gas Cylinders Gas Cylinder No Rem Volume ml Performed Test Enter New Cylinder No 040304 4168396 4425 040611 9332217 12300 0 Delete Bottle No hd Change Data for Gas Cylinder in use Gas Cylinder 031118 2166012 7206 System pressure 82 March 2007 COR SUM 0000 001 IN UK A 7 57 Innovision Innocor Software User Manual A new gas cylinder can be entered using the Enter New Cylinder No and the screen below will appear The gas cylinder shall be screwed completely down and if it is a new gas cylinder the system pressure shall be gt 124 bar The gas cylin
14. March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual 2 9 1 POOL e ad 52 ZO Fly Treadmill e ere e EE 54 ZO ll Bruce ele tee EE 54 2012 ENCStACIDIOLOCO EE 54 Za falo Na ugnton eier tia 55 ZO A ASTana protocol a id 59 ZO eelerer 56 2 0 8 Gas Inderal a 57 2 0 0 1 Gas Cylinder identifican iaa eeh 57 2 00 Enteri g a gas cylinder NUMDE scada 57 298 3 Gas cylinder informatiON ici 59 2060A Standby Ol Gas Tee EE 59 2 5 9 CAIDA a a A eneece te ean seouen sta seasaueedama ens 60 PAHS ES e EE 60 20992 Flowmeter CalilbrAlO Nte Sonate a e e a becca a dees Mle eka tad ane 60 2 5 9 2 1 Flowmeter Calibration porocecdure 61 259 3 Gas delay cala aio 61 2 5 9 3 1 Gas delay calibration procedure nneneanenseneuoeaneosnreerrnrersnrrrrnrrrsnrerrnrrrrsnreeseneenne 62 ZEA Ee 63 E h Ee e EE 63 E EE 64 e e A A ae age eee ee eae 64 ZU E dd a 64 PE A A EE 65 2 9 10 0 Blood PE SU dd dl o 65 Zed UMS Ces 8as citar co iat tas State O ete abet 66 2 6 A O A teehee 68 2 1 HELP SS TEMA e bl si 69 2 8 DATA TE E NEE 69 2 9 1 EXPORO OIA DEE 70 2 8 2 ele E OP o yq A E T 70 2 9 INNOCOR CONEIGURATION cesses seeseeeeseseesseeeesaeeeeeeeeeesneees 71 2 9 1 Calbration dale tt lin so 72 2 9 2 DOM Wal COG tt diet 72 2 10 EXIT SHUT DOWN OEINNOCOR 73 2 11 BEEN Eeer ta a ao 74 3 DETAILED SOFTWARE DESCRIPTION cccccsssseeecessseeccenseeeceneeseeeseessoees 75 3 1 RHOW TO EXITO WINDOWS unas EE 75 3 2 BASIC
15. QuickStop 1 Hr Protocol imin 60 Auto Treadmill Resp Freq o S aie it Test time imin 10 7 i l GE 1 02 min We DE limin 96 YCO Pe Imin 0 197 Time to Rebreathing YO mg rnin 0 276 f 1 33 min Stat Rebreathing VO2 kg E eosin mismingkg 3 7 Show Table BE Hold Setup i protocol Graph Stop Setup i gen slope g T G GC ei Wl 98 ETS speed z 3 5 10 6 Controlling the automatic flow gas delay adjustment The flow gas delay is by default automatically adjusted during an exercise test but it requires a certain exercise level in order to start typically at 40 50 of the max exercise load The automatic adjustment can be turned off if desired The following entries must be added to the BBBctrl ini to control the delay calibration flowGasDelay OnlineCalc 1 CO2Calc 0 The setting above is the default setup where the Onl ineCalc 1 enables the online delay calibration and the c02Ca1c 0 fixes the CO delay to the O2 delay Co2Ca1c 0 means that the automatic adjustment only calculates the O delay and then corrects the CO delay with the same amount lf OonlineCalc 0 the automatic adjustment is turned off and the delay found under calibration is used during the complete exercise test If CO2Calc 1 and OnlineCalc 1 both the CO and O delays will be calculated online which is not recommended because the O delay calculation is more accurate during exercise
16. Table Level Code Page Block Size The number of data fields in one record e g fields related to one patient Number of bytes used for each record e g bytes related to one patient Version number of the database engine e g Paradox version 7 0 Code for language driver used by the database Database is arranged in areas of this size Kbytes During verification and rebuilding of a database the actual status is shown in the status area and the final result is listed in the Message area The action keys are placed in the right panel and include Verify Rebuild March 2007 Database is verified Database Is rebuilt COR SUM 0000 001 IN UK A 7 91 Innovision Innocor Software User Manual Override with backup Database is exchanged with Innocor backup copies 3 6 1 2 Verify database The selected database and related files are verified by pressing Verify The actual status of the verification is shown in the status area as progress bars progressing when either the database headers database indexes or the database data are verified The database is not changed by verification The verification result is listed either as a Verification Successful or as a list of found errors Patient Experiments User BBB Other Rebuild Database f f Verify cAinnocoridatabasesiPatients db Table Information Override Fields 9 CodePage 1252 with backup Record Size 117 Block Size 2 Table Lev
17. The original database will be copied to both databasenameBackup and to the Recycle bin before rebuilding The backup copies can be used to undo a rebuild procedure if it results in some kind of data loss During the rebuild process a running progress bar is shown in the status area The result of the rebuild is automatically saved Database f Verify c innocor databases Experiments db C Patient Experiments C User Other Rebuild Table Information y Override Fields 27 Code Page 1252 with backup Record Size 303 Block Size 2 Table Level d Status Header TTT Indexes WEXERWW TTT Rebuild Message Rebuild was successful Exit Version 1 4 3 6 1 4 Override with backup The Innocor always generates a backup of a database before a test or patient is added or deleted In case of a corrupted database a functional backup copy is most likely found However the backup copy may not contain the last changes Pressing Override with backup will exchange the current database with the backup copy the files databasename are copied to databasename The original database files are found in the recycle bin afterwards March 2007 COR SUM 0000 001 IN UK A 7 93 Innovision Innocor Software User Manual 3 6 2 Database merge It is possible to merge 2 databases using a special program syncronize exe from Innovision available on request It is highly recommended to backup the databases before doing the
18. merging and to perform the merging on a remote PC Innocor Merge databases Master C Innocor 0644146 databases Patients DB Slave C Innocori0506115idatabases Patients D Procedure e Run the syncronize exe file e Click on the Master entry and locate the databases folder of the first database and select patients db e Click on the Slave entry and locate the databases folder of the second database and select patients db e Press Merge e The merged database will be copied to a sub folder of the master databases including rawfiles Example Master in C Innocor 0644146 containing databases rawdata and rawdataBBB Slave in C Innocor 0506115 containing databases rawdata and rawdataBBB The merged database will then be saved in C lInnocor 0644146 databases merged containing databases rawdata and rawdataBBB The merged database can be copied to the Innocor by copying the databases rawdata and rawdataBBB from remote PC C Innocor 0644146 databases merged to Innocor C Innocor March 2007 COR SUM 0000 001 IN UK A 7 94 Innovision Innocor Software User Manual 3 7 LANGUAGE SUPPORT In the setup of the Innocor S W different languages can be selected by pressing the corresponding flag The Innocor S W looks in the LANGUAGE directory for lan and bmp files Each set represents one language E g the English version consists of the files GB LAN and GB BMP When a flag is pressed the language window will change language imm
19. 0000 001 IN UK A 7 49 Innovision Innocor Software User Manual Ergoline_BIKE Z Ergoline_BIKE 2 5 3 Ambient The ambient menu is used to set the actual ambient conditions with respect to temperature humidity and pressure po eye he 3 ye je JE JEJEJE Limits Temperature 0 50 C 32 122 F Pressure 525 800 mmHg 700 1066 mbar Humidity 0 100 2 5 4 Date In the Date menu the actual time and date can be adjusted Different date formats are supported Set System Time and Format a E i Anth i 5 je 29 200 CAS US E ce ce Ce tJz Je Se oy ee et March 2007 COR SUM 0000 001 IN UK A 7 50 Innovision Innocor Software User Manual 2 5 5 User defined parameters The Innocor software supports up to 5 user defined parameters numbers The parameters are defined in the User Params The name of the user defined parameters are limited to standard characters a z A Z 0 9 A user defined parameter is deleted by deleting the name of the parameter A user defined parameter can be renamed without loosing the data corresponding to the field User defined parameters are manually entered before or after a test see section 2 4 9 Press New to create a new parameter or Press a field to edit Cancel 2 5 6 Language From the Language menu the user can select which language to use Pressing OK will immediately change the language of all text without the need for
20. 05 0 14 0 95 0 90 March 2007 COR SUM 0000 001 IN UK A 7 106 Innovision Innocor Software User Manual 3 9 3 Print layout header amp footer The header of the prints can relatively easy be changed by modifying a few lines in the PrintSetup Ini without changing the data and graph layout Only the following 2 lines for each tab have to be modified here the English version GB tab name Bitmap C innocor print GB top bmp 0 05 0 015 0 20 0 10 Text Heart Clini c 0 20 0 04 50 Times New Roman BI Default header layout Bitmap C innocor print GB top bmp 0 220 O04 sH ea rt Clinic We ZO 0 10 Size 50 Font Times New Roman BI Bold amp Italic Alternative configuration of the header Bitmap C innocor print GB inno bmp 0 75 0 016 0 92 0 11 Text Innovision A S 0 15 0 02 16 Areal B Text Lindvedvej 75 0 15 0 04 16 Areal B Text DK 5260 Odense S 0 15 0 065 12 Areal B Text Prof Dr H C Andersen 0 15 0 082 12 Areal Text Tel 45 65 95 91 00 0 15 0 097 12 Areal Line 1 0 05 0 12 0 95 0 12 Innovision A S Lindvedvej 75 DK 5260 Odense S Prof Dr H C Andersen Tel 45 65 95 91 00 Configuration of footer Text Innovision A S testlab Lindvedvej 75 DK 5260 Odense S 0 05 0 965 8 arial Text Tel 45 65 95 91 00 0 7 0 96 6 arial Text Fax 43 65 95 78 00 0 7 0 967 6 arial Text WEB www innovision dk 0 85 0 96 6 arial Text E MAIL info innovision dk 0 85 0 967 6 arial C
21. 10 maximum CO The subject can reach 250 watt 39 ml min kg using the last setup If the subject can perform more one of the following parameters must be increased The bolus fraction the bag volume or the breathing frequency March 2007 COR SUM 0000 001 IN UK A 7 16 Innovision Innocor Software User Manual 2 3 2 1 3 Bag preparation During a protocol execution the rebreathing bag is prepared in advance in order to be ready for the timed rebreathings A rebreathing test can also be started manually at any time during an exercise test by pressing the Start Rebreathing button The following rules apply to preparation of the rebreathing bag The bag preparation is initiated 1 minute after the last rebreathing test This gives the user the possibility to change settings during the first minute Thereafter the user can only make minor changes to the bolus and bag volume The bag volume is filled up to the target volume except 200 ml where the target volume is the highest of the following volumes o 44 of the Vital Capacity o Vtduring the last 5 breaths measured during Breath by Breath o Volume required to fulfil the max CO limit and min O limit The bag volume is however limited by the max volume predicted as 75 of the Vital Capacity The bag volume is pre filled to the target volume except 200 ml in order to be able to increase the bolus concentration a little The Vt and bag requirements are checked continuously
22. 4 73 SE 40 1 1 010 1 128 0 89 9 00 min 101 4 ar 21 0 393 9 1163 1 455 0 80 10 00 min 100 7 56 21 8 470 1206 1 445 083 11 00 min 146 4 92 ai 57 9 1 556 1 566 0 99 12 00 min 148 7 98 25 3 Di 1 536 1 749 0 58 13 00 min 150 4 99 26 2 E33 1 751 1 672 0 94 14 00 min 199 6 105 30 5 78 1 2126 2131 1 00 15 00 min 197 1 110 8 6 bi 2115 2216 0 95 16 00 min 198 3 112 29 2 r26 2214 2324 0 95 March 2007 COR SUM 0000 001 IN UK A 7 23 Innovision Innocor Software User Manual 2 4 3 Exercise test graphs When the Graph tab is selected all graphs are displayed see below 03 02 2006 11 45 19 I D 301259 Rathgen Christian Patient Pt Data A Test Param II Graph Setup d Test 1 out of 1 Delete Print Prey Help 0 5 Tim Minutes Exit Meas dl Bag closed Cylinder SS A graph can be zoomed by pressing the actual graph to zoom The Rest AT RC and Max indications are shown on all graphs Ann PA Rest Defined as the last 1 minute before exercise e when load At the end of the period or speed gt 0 Anaerobic Threshold A 30 seconds interval around the AT point either found by the V slope method or set manually in the Vo versus Vco In the middle of the period graph Respiratory compensation point A 30 seconds interval around the RC point either found by the V slope method or set manually in the Vco versus Ve graph A 30 sec
23. Frontpage or Microsoft Word 3 11 TIPS 8 TRICKS 3 11 1 Mouse support The Innocor software is designed to use the touch screen to navigate through the program However a mouse can be used in case of a damaged touch screen The mouse support is turned on by starting the Innocor software with a M on the command line This can be done in a short cut or directly in the Windows Registry if the support shall be permanent The registry key is HKEY LOCAL MACHINE SOFTWARE MICROSOFT WINDOWS NT CURRENT VERSION WINLOGON SHELL C innocor program innocor exe M Note Be careful when editing the Registry one mistake and the Innocor may not start again 3 11 2 Keyboard support The Innocor is not delivered with a keyboard But in some cases in the Windows environment it is necessary to enter change a value using a keyboard Connect a USB keyboard or use the built in OSK On screen keyboard which can be used by the touch screen and stays on top of all applications see 3 12 SS On Screen Keyboard E Fie Keyboard Settings Help Clilafal sfof7fofofof beep fine moun 7 gt eb afufelrfifofufifofrfefol fuerfenafran 7 e 9 ck BRAD afse e 2 xic vi bj nlm TIR DP crt ot a 2 wl y gt RS March 2007 COR SUM 0000 001 IN UK A 7 108 Innovision Innocor Software User Manual 3 11 3 Setting speed to km h or mph The treadmill protocol is by default using the unit km h for the speed but can be ch
24. INSTALLATION EE 75 dize Native COUN Ta A 15 3 9 BACKUR cae DATA dadas eee eee 75 3 4 RE RA Ee en KEE 76 3 5 PEE STRUCTURE EE 76 3 5 1 Database Sii o ai aio 17 3 9 2 E ele EE 17 3 5 2 1 Import of Innocor data into EXCEL ooncccconcncccccncccccnccoccnococnnonncnnnnnnononnnononenonononos 80 39 3 EE 80 3 0 4 o A ogee temas 80 3 5 5 A O EEA 80 3 5 6 Seelen EE 81 3 5 6 1 Drivers for evercsedevices 81 3 5 Sieger EEN 82 3 5 8 A ee eRe oe me rr ee ee ee ere 83 3 5 9 E r RRE EEN 83 SOMO SE UP ld les es a dl ds e eee al 84 3 5 10 1 Increase max bolus concentration oocccoccccocnccocnoconnoconcononcconnnnnnonannnnanncnannonanonos 86 3 5 10 2 Variable flow Zero mmtena 86 3 5 10 3 Printout to Microsoft EMF files Enhanced Metafile ooooccccoooccnnocoooo 87 March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual 3 5 10 4 3 5 10 5 3 5 10 6 3 5 10 7 3 5 10 8 3 5 10 9 3 6 3 6 1 3 6 1 1 3 6 1 2 3 6 1 3 3 6 1 4 3 6 2 3 3 8 3 8 1 3 8 2 3 9 3 9 1 3 9 2 3 9 3 March 2007 Beep SUI e de do 87 Quick stop toria treadmill ia A teres 88 Controlling the automatic flow gas delay adjustment nnnn0nnnnennnnnennnnennnnnennnnn 88 Controlling the Vo calculation during a rebreathing Test 90 Setting the sampling rate to 100 Hz during rebreathing cccccccseeeeeeeeeeeeeeeees 90 Setting the drive letter for the first USB drive
25. Internet display and connection settings Customize your keyboard settings such as the cursor blink rate and the character repeat rate Customize your mouse settings such as the button configuration double click speed mouse pointers and motion speed Connects to other computers networks and the Internet Configure your telephone dialing rules and modem settings Configure energy saving settings For your computer Shows installed printers and Fax printers and helps you add new ones Configures QuickTime software and hardware components Customize settings For the display of languages numbers times and dates Add remove and configure scanners and cameras Schedule computer tasks to run automatically Change the sound scheme For your computer or configure the settings for your speakers and recording devices Change settings For text to speech and For speech recognition OF installed See information about your computer system and change settings for hardware performance and automatic updates Customize the Start Menu and the taskbar such as the types of items to be displayed and how they should appear Change user account settings and passwords for people who share this computer 3 12 2 Backup boot up of windows XP embedded If the windows XP embedded fails to boot up due to e g corrupted files it is possible to boot up on a secondary drive d This alternative boot up is not starting the Innocor software only the Windows o
26. Middle The first RB is following the protocol The second RB is defined to be later but the bag is already prepared 1 minute after the first RB Due to increased exercise level it is found that the bag volume is insufficient and 0 25 litres is added to the bag The user decides to make a test at step 5 Bottom The same as above but note that the manually inserted RB is not affecting the length of the step March 2007 COR SUM 0000 001 IN UK A 7 18 Innovision Innocor Software User Manual 2 3 2 2 Result screen The result screen is similar to the normal result screen except that the button panel is replaced by buttons amp information needed for the protocol execution The user can evaluate the last tests of the subject while the protocol is running The tabs Results Details Graphs Data Table DataView 1 4 8 DataView 5 8 are all active during protocol execution which means that the user can toggle between the different displays on line The user can however not change the setup of the displays on line The panel to the right contains the following information buttons Protocol Name of the protocol Test time Total elapsed time since the protocol was started Time to Time until the next rebreathing rebreathing Button to go to the protocol BBB results or raw data screen Hold Resume Button to make a temporary pause in a protocol protocol Stop protocol Button to stop the protocol Actual load Actual exerci
27. Rest fel ax J A Tae ee ee Ee Low slope i High slope ie EE d Load gt 1 i 1 1 1 Hr EEN AE GE Resp Fred SES i Ve o 1754 EE EE SE eee a KW CO 2 eg i YO gt oO 4 504 E R Co o E Ke YoO sHr a gt EE SG oe see FOZet ae EE E WR S ea At VefvyCD2 SE epee AER ER e al e N ee eee A fie e E Very OZ i A Spoz az GER E GC Dm SE EE 3 YO2 kg E ee GR OS OE AS ARE A no Pan A T auto Mai nm e D i g Ott t he 0 2579 4 A A lolo qe do E Edit a y y Toggle to enter ad 03 2 0 4 0 6 0 8 0 edit mode Time Minutes H 7 7 Delete button FU A D 7 Exit Use the touch screen to make a rectangle around the data to remove press the upper left corner of the rectangle and keep it down while moving the finger to the lower right corner Press the X button to delete the data within the rectangle An alternative way of deleting is to first press the X button a default rectangle will then appear on the screen The rectangle can then be moved press inside the rectangle and drag it to the data to remove It is possible to undo the last deletion by pressing the undo button and all by the undo all button Delete Undo last delete Undo all deletes 3 March 2007 COR SUM 0000 001 IN UK A 7 27 Innovision Innocor Software User Manual 2 4 3 3 Breath by Breath graph setup Enter Symbols under Graph setup or Dataview Setup to conf
28. Slope The formulae for the Voz estimation on the treadmill is from Predicting metabolic energy cost by Baruch Givoni and Ralph F GoldMan Journal of applied Physiology vol 30 No 3 March 1971 The prediction formulae of the Vo on a bicycle is relatively independent of the subject whereas the prediction on the treadmill is more subject dependent due to different walking amp running efficiency The estimation of Vo is automatically adapted during a protocol using the actual measurement on the previous step and the prediction formulae thereby become less sensitive to subject variations VO estimation VO2 previous AN Oz estimation change in exercise level The Vo estimation is used to calculate the needed oxygen contents of the rebreathing bag During the estimation of the bag volume bolus fraction the Innocor S W first tries to increase the bolus fraction in order to get enough oxygen the bolus gas contains 94 Oz If this is not enough the bag volume is increased too The Innocor S W contains an estimation of the maximal CO concentration in the bag at the end of a test This is also taken into account when the bag volume is estimated A third factor affecting the bag volume is the length of the time breathing in and out of the bag The time is determined by the breathing frequency and the number of breaths to achieve 3 good breaths The estimation starts up assuming 5 breaths to achieve 3 good breaths but uses therea
29. Text mmHg Text Vascular Res Index Decimal SVRI Text Dia BP Decimal DIA Text mmHg Text Height Decimal Height Text cm Text Hb Decimal HB Text g dl Text Weight Decimal weight Text kg Text Load Decimal Load Text watt Text Body Surface Area Decimal BSA Text m2 March 2007 Innocor Software User Manual 262 0 14 arial B 262 14 arial B 290 13 arial 306 0 90 0 306 300048707505 15 ISyarral 3197 0y L3 arial cats LS er vel 315 13 arial LS 0y TS arial StL Sgn ope bel S50 LS err eee 330 2 13 arial 3307 135 28 Lal 3307 bo eae Lek 33071 ES arta S505 LS abia 345 13 arial 345 0 13 arial 945 13 erie ia by L3 Pee E ll 2345 1 Sy arial 345 13 arial 3607 13 01 al 360 0 13 arial 360 13 arial 360 13 arial 360 0 13 arial 360 13 arial 3 Oy 3 Kea 31507 T3 arral LSI Dp LS arial O Lo attal i155 OL abia 51S Los ae tad 400 13 arial 400 0 13 arial 400 13 arial 400 13 arial 400 113 arial 400 13 arial 415 13 arial 415505 13 arab 415 13 arial 415 13 arial Airis LS EE 430 13 arial 430 0 13 arial 430 13 aria 455 13 arial 455 07137 arial 455 13 arial 460 13 arial 4609 Lio afila dL 1460 13 arial 470 13 arial 470 0 13 arial 470 13 arial 485 13 arial 748970 13 arial 485 13 arial 475 13 arial AS LS arab s4157 Las arial COR SUM 0000 001 IN UK A 7 104 Innovision Text T
30. detailed description of the Innocor software In the following all functions and options of Innocor are described Some of the functions described or shown may not be available on the device you are using 1 2 INTRODUCTION TO INNOCOR 1 2 1 Intended use Innocor is a compact point of care device intended to be used for non invasive measurement of cardiac output and related cardiopulmonary parameters Cardiac output CO is defined as the volume of blood pumped by the heart per unit of time blood flow in litre per minute The measurement is non invasive i e does not necessitate catheterisation or any other penetration through a body orifice or the body surface in that it is based on a pulmonary gas exchange method called inert gas rebreathing IGR The operating principle of Innocor is to let the patient breathe minute quantities of a blood soluble and an insoluble gas in a closed breathing assembly for a short period The blood flowing through the lungs effective pulmonary blood flow PBF absorbs the blood soluble gas and therefore the disappearance rate is proportional to the blood flow Other factors affecting the distribution of the blood soluble gas are accounted for by also measuring the blood insoluble gas The spontaneously breathing patient puts on a nose clip and breathes into a respiratory valve via a mouthpiece and bacterial filter At the end of expiration the valve is activated so that the patient will breathe in and out rebr
31. during an exercise test and if the target bag volume is increased more than 0 25 litre compared to the bag volume already filled the extra bag volume is added Arebreathing test can be added to a step in the protocol independently of the present of a RB in the protocol setup However only one RB can be performed on each step If a rebreathing test is added manually the protocol will remain on the same step after the test until the time of the step is exceeded If the protocol contains a RB in one of the future steps the pre fill of the bag will be initiated If the protocol does not contain a RB the bag preparation will not be initiated but it will still be possible to insert a RB test It will however take some extra time before the test can be started since the complete bag must be filled If the rebreathing test is ready to be performed and it is cancelled the volume will remain in the bag and can be used later in the exercise protocol March 2007 COR SUM 0000 001 IN UK A 7 17 Innovision Innocor Software User Manual Protocol Sto al 1 min oo P Prepare bag A Auto RB start M Manuel RB start P PA P M an P 1 min e o P P PA 1 min P M ee P P M P 1 min ee P P PA Examples of the rebreathing bag preparation Top The rebreathing tests are following a pre programmed protocol and the Innocor S W version prepares the bag in advance i e 1 minute after the last RB
32. last 1 minute value from the BbB calculation If the native country is United States the setting will be overruled to Code 0 see section 3 2 1 3 5 10 8 Setting the sampling rate to 100 Hz during rebreathing The default sampling rate during rebreathing is 33 3 Hz It can be increased to 100 Hz by the following entries in the Hardware ini RB Periode 10 3 5 10 9 Setting the drive letter for the first USB drive When the Innocor software looks for a USB drive it starts searching from d or e depending of the hardware ini The setting is controlled by the following entries in the Hardware ini USBDrives Pres tUsBUrive st Eo On older Innocor s the FirstUSBDrive is set to D Newer Innocors contain a second partition for a backup XP version and the FirstUSBDrive is set to E 3 6 DATABASE The patient database contains data of all the patients with respect to ID Last name First name Birthday Weight Height Hb Comments Reference into experiment database The experiment and BBB database contains the primary results of all the measurements derived parameters are calculated on line The raw data file contains the signals CO O2 N20 SFs 4 mouth piece pressure raw at 30 ms time interval default Typical size of the file is 10 KB In order to make a backup of the data on the Innocor the complete directory of DATABASES RAWDATA and RAWDATABBB must be copied If the files in RAWDATA and RAWDATA
33. settings 1D Original name Example2 Type 0 Protocol Step1 0 0 5 5 E O 20 On Off Step2 25 0 5 5 K2 10 20 On Off Step3 50 0 5 4 E 10 20 On Off Step4 75 0 5 4 EZ LO 20 On OET Step5 100 0 5 3 eZ 10 20 On Off The indicates that the field is set to Auto March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual 3 5 8 RAWDATA The RAWDATA contains the raw data files one file for each measurement The format is a binary format RBx ddmmyyyy Raw rebreathing data file containing CO O2 N20 SFe amp hhmm rwd flow mouth piece pressure x patient ID dd day when test performed mm month when test performed yyyy year when test performed hh hour when test performed mm minutes when test performed 3 5 9 RAWDATABBB The RAWDATABBB contains the raw data files one file for each measurement The format is a binary format but can be converted to a text format or Excel using the program InnofileConverter exe available on request BBBx ddmmyyyy Breath by Breath data file containing raw signals CO O2 N2O hhmm rwd SF flow and results Vo Vco Ve R etc x patient ID dd day when test performed mm month when test performed yyyy year when test performed hh hour when test performed mm minutes when test performed March 2007 COR SUM 0000 001 IN UK A 7 83 Innovision Innocor Software User Manual 3 5 10 SETUP
34. slope will increase the exercise level Speed is the running speed of the subject The unit can be km h or mph and is set in the measurement menu See section 3 11 3 A higher speed will increase the exercise level Time is the duration of the step in minutes If the exercise is relatively low it is recommended to have at least 5 minutes between each rebreathing step in order to avoid recirculation but if the exercise level is higher the time can be decreased to 3 minutes An incremental exercise test with a ramp increasing load can be programmed by changing the load in small steps every 0 5 minutes The field for the bag contains the volume of the rebreathing bag in litre A higher exercise level requires a higher bag volume in order to have enough oxygen and to reduce the carbon dioxide March 2007 COR SUM 0000 001 IN UK A 7 52 Innovision Innocor Software User Manual concentration at the end of the test The bag can be set to a fixed volume or set to auto In the auto mode the Innocor S W estimates the volume based on the current exercise level and previous tests See section 2 3 2 1 2 amp 2 3 2 1 3 The bolus is the fraction of bolus gas in the rebreathing bag A higher bolus fraction will increase the amount of oxygen in the bag which can be useful during high exercise level where the bag volume cannot be increased anymore If set to auto the Innocor S W estimates the bolus fraction based on the current exercise level and previous
35. the prefix dia appears in a dialog box in the Innocor program e Text with the prefix btn appears on the buttons in the Innocor program e Text with dia or btn prefix can be written on 2 lines by inserting a in the text Keyboard Alt Gr Example btnSel UnSel Select UnSelect diaNibpNF The blood pressure unit was not found e Buttons show text strings of maximum 12 characters long text March 2007 COR SUM 0000 001 IN UK A 7 95 Innovision Innocor Software User Manual Examples btnSetup Table Table Setup Table Setup diaConfDelete Are you sure you want to delete the field 2 Confirmation Are you sure you want to delete the field Yes No How to make a new BMP file Find a digital image of the flag Search e g on the Internet or on the Microsoft Office CD Load the image into e g Microsoft Paint Set the size to 80 x 54 pixels cm 2 22 x 1 5 or Inch 0 83 x 0 56 Save the xxx BMP as a 256 colour bitmap file Copy the file to the directory c innocor language The size of the xxx BMP file is 6kB Innovision can make the xxx BMP flag file on request Help pages The html help pages corresponding to the language must be placed in the directory c innocor help xxx E g the English version of the help files is placed in c innocor help GB If the help directory is not found the HELP buttons will be dimmed disabled Print setup The language specific layout of the prin
36. to define a new parameter based on existing parameters The calculated parameters can be used to e g calculate new derived parameters like O pulse as Vo HR or predicted values for CO based on Vo Example Predicted CO VO2 5 6 3 7 Press New to create a new formulae or Press a field to edit Formulae name Unit Formulae New 02_pulse mi YO2 WHRI 1000 vote gea Cancel OK Press New to make a new formula or press the actual field to edit it The following standard operators can be used addition subtraction S multiplication division Sqrt square root Exp exponential function exp x e Ln natural logarithm A power function x a x X A parameter can be used in the formulae by finding it in the list and then pressing the enter key March 2007 COR SUM 0000 001 IN UK A 7 35 Innovision Innocor Software User Manual Enter formulae fe VO2 HR 1000 Ser 2 4 8 Data View List of available parameters for the formulae Press here to select a parameter Pressing the Data View Tabs will display the results in XY plots for the selected tests 08 03 2007 I D 091063 Pedersen Knud 14 03 28 Ex 13 07 2006 15 41 28 Ex 16 11 2006 15 09 52 Ex 21 12 2006 16 18 43 Ex 2 04 01 2007 15 23 52 21 04 01 2007 15 29 59 2 2 04 01 2007 15 35 10 23 04 01 2007 15 4017 Pt Data Test Param 1 0 20 D 2 41 04 01 20
37. 07 S 02 Imin 2 5 04 01 2007 15 50 33 26 04 01 2007 15 55 39 Ex 3 15 02 2007 14 22 01 Dataview Selected 14 142 BEER Results Details Graphs Data Table soo DataYiew 5 8 linder Cylinder GE Pressing on one of the XY plots will zoom in on the selected plot 2 0 3 0 1 0 1 2 0 3 0 402 Imin 1 0 A Y 02 Imin 191491 08 03 2007 WO 091063 Pedersen Knud 14 05 13 Patient Ex 13 07 2006 15 41 28 Ex 16 11 2006 15 09 52 Ex 21 12 2006 16 18 43 Ex 2 04 01 2007 15 23 52 2 1 04 01 2007 15 29 59 2 2 04 01 2007 15 35 10 2 3 04 01 2007 15 40 17 Pt Data Test Param 2 4 04 01 2007 2 5 04 01 2007 15 50 33 2 6 04 01 2007 15 55 39 Ex 3 15 02 2007 14 22 01 Dataview Selected 14 142 1 00 1 50 Select Y YOZ l min JMDeCICCL co nmmn ma E Cold 191401 Results Details Graphs Data Table Basi DataView 5 8 March 2007 COR SUM 0000 001 IN UK A 7 36 Innovision Innocor Software User Manual The vertical dashed line in the plot indicates the data corresponding to the highlighted test at the time date list Pressing a data point on the plot will move the focus to the actual test at the time date list The data view can be configured via the Dataview Setup Both the X axis and the Y axis can be defined with respect to what to display grid and min max on axes Up to 5 parameters can be selected on the y axes Each pa
38. 191833219968 48 24 0 59 9 375 0535974450219 0 285931911164538 54 298 0 60 6666666666667 9 9009900990099 10 8796016369568 0 269731980768335 73 366 0 64 3333333333333 9 34579439252336 9 73480004526223 0 260773371371102 78 794 0 61 3333333333333 11 0497237569061 13 9269544445527 0 289239734088262 84 702 0 62 10 1522842639594 14 1997740119259 0 270401641911748 VO2 1 min O OOO CC CH 0 413256691694657 390267053658837 325622723153324 3393629068928 323256581 341622 319863887509834 364742001514969 344239098150569 Example of exported raw Breath by Breath data file from BBB detail export to file 091063 Pedersen Knud Samples 479 Signals 10 Time Ve VCO2 VO2 R 0 29 min 14 1 0332 0 413 0 0 36 min 12 2 0 324 0 390 0 0 42 min 11 5 SEA 0 326 0 0 48 min sg 0 286 0 339 0 0 54 min 10 9 0 270 0 323 0 Veda o min 9 7 0 261 0 320 0 19 min 13 9 0 289 0 365 0 25 min 14 2 0 270 0 344 0 1 30 min 15 5 0 443 0 541 0 Vt Load 80 1 23 0 0 83 Sl 0 0 83 15 0 0 84 18 0 0 83 10 0 0 82 1 04 0 0 Par ey 1 26 0 0 o ZE 40 0 0 82 ee 0 0 Hr Resp Freq Ve VCO2 57 11 5 3 6109 58 EG 329 59 10 0 36 4 59 9 4 BZ 61 919 34 3 64 903 31 4 61 11 0 41 8 62 10 2 46 3 61 LTL EE Example of exported raw rebreathing data file from Data Management Innoco
39. 2 5 7 1 3 Naughton protocol Naughton protocol every second step is at rest 2 5 7 1 4 Astrand protocol Astrand protocol March 2007 COR SUM 0000 001 IN UK A 7 99 Innovision Innocor Software User Manual 2 5 7 1 5 Balke protocol Balke protocol kmh mh mn 21 503 33 ofl 1 3 503 33 3 1 5 503 33 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 h bla al O1 OO 9 03 LA LA 10 11 12 13 14 9 03 9 03 9 03 9 03 16 17 18 19 20 9 03 22 23 24 9 03 9 03 9 03 9 03 26 27 28 29 30 5 03 5 03 5 03 5 03 5 03 5 03 5 03 5 03 5 03 Get OO NO NO A On On N On ee DES 28 20 March 2007 COR SUM 0000 001 IN UK A 7 56 Innovision Innocor Software User Manual 2 5 8 Gas cylinder 2 5 8 1 Gas Cylinder identification Innocor Gas Cylinders are given a cylinder number The number is placed at the bottom of the cylinder with the following format 030206 9152235 The first number is year month date The second number is a control number Note a gas bottle expires 2 years after the date on the gas bottle l e the Innocor S W will return an invalid number if an expired gas bottle is used 2 5 8 2 Entering a gas cylinder number The gas cylinder numbers in use can always be seen from the SETUP menu by pressing the
40. 20 must be below 0 002 and SF below 0 001 in order to be able to ignore the effect of recirculation from the previous test In other words allow sufficient time for washout of inert gases between repeated tests on the same patient At rest 5 minutes is generally adequate During exercise 2 minutes is recommended Abort il March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual Option The BP measurement can be stopped aborted the Stop NIBP button and restarted again under the test Only the last measured values are saved in the database Option When the BP measurement is finished the resulting Systolic Diastolic pressures are shown for 20 s in the status bar 142 110 Blood pressure ready Put on the pulse oximeter finger clip sensor Don t use the arm where the BP cuff is positioned if the measurements are done simultaneously Connect to the mouthpiece and use a nose Clip Warning Always remember to use a new disposable single patient use bacterial viral filter with the mouthpiece When the patient starts breathing into the mouthpiece the Innocor starts calculating the breathing frequency When a certain number of breaths have been detected defined by Pre rebreathing breaths in the setup see section 2 5 2 1 the start button is enabled Without the Breath by Breath option If the mouthpiece pressure is very low the Innocor can not detect the breathing pattern and the Start butt
41. 290353 Inno Vision 14 10 31 Protocol 7 Example2 Test ti be est time imin 58 E E 1 12 min Resp Freq es min 13 Ye Imin 9 3 Time to Rebreathing YCO2 o min 0 182 gr 3 17 min 0 E vo2 an Start min 0 250 Rebreathing 0 0 20 0 40 0 60 0 80 1 00 1 20 1 40 1 60 1 80 2 00 BE YO2 lfmin VO2 kg Show Hold protocol Stop protocol E 0 0 ml min kg 3 7 Table Setup Graph Setup PN Ti ml Simin 96 The content of the table can be modified using the Table Setup Up to 8 parameters are supported Setup of Breath by Breath online table Set order Hr Resp Freq Ve on E CO2 VO f R Default FO2et FCO2et Vef CO2 Yef O2 Sp02 YO2 kg Time Ya vt Vd Speed Slope Height f Weight Cancel pe o March 2007 COR SUM 0000 001 IN UK A 7 20 Innovision Innocor Software User Manual The content of the graphics can be configured in 1 2 or 3 plots using the Graph Setup Setup of BBB online gfaphic Select X Axis parameter on Interval 25 00 jso ooo X axis Minutes 0 00 000 GER REES Time SC WS Y Y Set view to 1 2 or 3 plots Default di El Weight vo2 Se y Y HR Be CO2 Select o UnSelect Y VL fl Heigth Y SpO2 El Weight f f v wO Y HR t t PBF VL Y Hb Y Sp02 aie pias Set p
42. 3 07 2006 15 41 28 knudsen michael ge 16 11 2006 15 09 52 110396 pedersen astrid ee 21 12 2006 16 18 43 121056 bach bjarne Y ITA 1234322 prokopchuk dmytro we 04 01 2007 15 29 58 El 130653 henriksen elin v 04 01 2007 15 35 10 H 151173 joergensen klas v 04 01 2007 15 40 17 160170 frederiksen peter sw 04 01 2007 15 45 25 17071994 nielsen katrine we 04 01 2007 15 50 32 2378321 jakeman phil we 04 01 2007 15 55 38 _ 29031983 nielsen jorgen es 15 02 2007 14 22 01 RS GE Help Parr did Legend On the left side select the subject s from which the data shall be exported On the right side select the measurement s to export Two types of data export are supported results or raw data Symbol Exports all data for each Exports all data for the results BBB exercise test d Breath in an exercise test i e of an exercise test i e rest Vo Vco Ve etc AT and max values Exports the raw data related Exports the results of a Rebreathing test to a rebreathing test i e O rebreathing test e CO SV CO SFe N20 and flow mpp VL Vo etc If the flow and gas signals of the exercise test are going to be exported a special software tool can be used to export data from an ino file Innofileconverter exe available on request The exported files are by default stored in the EXPORT directory See section 3 5 10 on how to change the default export directory The data is not removed from the intern
43. 4 arial B FF0000 48 0 230 1 14 arial B SFF0000 55 0 230 13 arial B S FF0000 10 0 246 14 arial B 48 0 246 0 14 arial B 55 0 246 14 arial B elle Hee 14 arial B 48 0 262 0 14 arial B Ob UA E lA aria E 61 61 95 95 Bitmap C innocor print GB top bmp 0 05 0 015 0 20 0 10 Text Heart Clini c 0 20 0 04 50 Times New Roman BI Text Name 0 Subject First name s 0 Subject Last name 0 o Text ID Subject ID number O BBBMainData BBB Data 0 BBBGRAPHS BBBGRAPHS O Dataview 1 4 10 0 ee cp a 45 0 10 16 arial 10 16 arial B 10 16 arial B iZpiZ2y arial oe NOD ave 44 9 arial AS Oe OD Bitmap C innocor print GB top bmp 0 05 0 015 0 20 0 10 Text Heart Clini c 0 20 0 04 50 Times New Roman BI Text Name 0 Subject First name s 0 Subject Last name 0 o Text ID Subject ID number O 10 0 ad a 45 0 10 16 arial 10 16 arial B 10 16 arial B 1257 des acbial 125 12 aflal B DATAVIEW DATAVIEW1 0 05 0 14 0 95 0 90 Dataview 5 8 Bitmap C innocor print GB top bmp 0 05 0 015 0 20 0 10 Text Heart Clinic 0 20 0 04 50 Times New Roman BI March 2007 COR SUM 0000 001 IN UK A 7 105 Innovision Innocor Software User Manual Text Name Subject First name s Subject Last name Text ID Subject ID number 0 0 0 o 10 16 arial 10 16 arial B 10 16 arial B L255 12 arial 125 12 ar1a1L B DATAVIEW DATAVIEW2 0
44. 5 14 09 Norm NIBP Exercise 2 4 10 Prints Printing out a report of the data is supported via the Print Prev First a preview of the data is shown on the screen and the user can as default select between different layouts via the tabs The Print will print out the actual page The print layout is defined in the file PrintSetup Ini see sections 3 5 5 amp 3 9 2 3 9 3 amp 3 9 4 Printers can be used to delete print jobs or select another printer Below is shown an example of each of the default print previews March 2007 COR SUM 0000 001 IN UK A 7 39 Innovision Innocor Software User Manual i Heart Clinic Name sion 1D 290363 Tes Dok 02 03 2007 Tre OF 20 13 Thin card IA Ki gen ei i Saa volume 0 36 mi A 02 ditt 15 Delikad re imh Sne A Zo D en Led 2 Mimik 77 bpm Po veame mg 13 1 d 2 ES SEI is 2 SC cunt 5 115 mmHg araia Reds 183 mmHgilmiro 8 mmHg waalia Res rien 333 69 mmHg Helghi 176 an Hb 150 gil K a iy Body egen Area 18 m2 Printers Loa wall WEE H eart Clinic 20353 Tes Dale 0203 2007 Tire OF 20 13 ad P H Mim Orygen ke k 20 miming rie Vi une 9 6 A 00 ditt 5 S hp deskjet 5100 series Ready Vision 2033 WES Heart Clinic Results hp deskjet 5100 series Ready Print March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor
45. A E Tel 45 65 95 91 00 WEB www innovision dk Innovision A S testlab Lindvedvej 75 DK 5260 Odense S Fax 43 65 95 78 00 E MAIL info innovision dk Innocor March 2007 COR SUM 0000 001 IN UK A 7 107 Innovision Innocor Software User Manual 3 9 4 Preparing an image for the header amp footer The image amp logo used in the header or footer must be in a bmp or wmf format The image is located by the Bitmap C innocor print GB top bmp Use e g Microsoft Paint to convert an existing image to the bmp format The size of the image is not important since the scaling is done when the image is loaded by the Innocor software to fit the defined print area If the image is available in Microsoft Word then try to copy amp paste the image to Microsoft Paint where the image can be saved as bmp 3 10 HELP SYSTEM The help system consist of html pages stored in the HELP directory under the specific language directory The help system contains 4 main entries DataExport htm Help on how to export data to txt files Measurement htm Help on how to perform a measurement Patient htm Help on how to enter patient data Setup htm Help on how to setup the Innocor These files are directly addressed via the Innocor S W An extra main page Index htm is also present in order to group these 4 help pages together The html pages must be compatible with the Internet Explorer 5 and can be generated using different tools e g Microsoft
46. BBB are deleted it is still possible to see the results within the Innocor software but it will not be possible to display the curves March 2007 COR SUM 0000 001 IN UK A 7 90 Innovision 3 6 1 Innocor Software User Manual Database recovery InnodatabaseRecovery exe is a small application program developed for Innocor database maintenance and repair The database files are essential for the Innocor operation and will cause the system to halt if they get corrupted The InnodatabaseRecovery exe is located in the folder C innocor program 3 6 1 1 The screen layout The recovery program is built to handle patient experiment and BBB databases The type of database to use is selected by pressing the related name in the Database panel Patient standard location C lnnocor databases patients db Experiments standard location C lnnocor databases experiments db User standard location C Innocor databases user db BBB standard location C Innocor databases BBB db Other location defined by the user Database c innocordatabases Patients db Very Patient Experiments User BBB Other Rebuild Table Information an Fields 9 CodePage 1252 with gl Record Size 117 Block Size 2 Table Level d Status Header Indexes Data Rebuild Message Version 1 5 Exit Table information summarizes the characteristic parameters for the database Fields Record Size
47. Brazilian 00000406 Denmark 00000413 Dutch 0000040b Finland 0000040c France 00000407 Germany 00000410 Italy 0000040f Icelandic 0000080a Latin America 00000414 Norway 00000816 Portugal 0000040a Spain 437 but 850 works also 00000415 852 00000405 Czechoslovakia MENA E Have been tested with Innocor NOTE The list above is NOT complete March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual Before the LanguagelD can be used it must have been preloaded from Windows by the use of the Control panel Keyboard Example of language file Ver 2 01 13 marts 2003 Common Al11 A11 Abort Abort Average Average AmbPress Amb pressure BP Unit Blod pressure unit Cancel Cancel Change Change Comport NoResp No response UnkResp Unknown response InUse Already in use NotOpend Could not be opened WrErr Write error ReErr Read error Language DecimalSep CodePage 850 Languageld 00000809 diakeyBoardIdNot The Keyboard code was not found Default keyboard is used diaInvalidKeyBoardId The Keyboard code was invalid Default keyboard is used diaLangIdNotFound The Language ID was not found diaBoot To set this language use Windows Control Panel Regional Settings Set System default locale to English Exit power down and restart Innocor RBBagVolume low Predicted rebreathing bag volume was too low and forced to high Predicted rebreathing bag volume was too big and
48. COR SUM 0000 001 IN UK A 7 110 Innovision Innocor Software User Manual 3 12 WINDOWS XP EMBEDDED When using the secret key Right Left Upper Screen Corner see section 3 1 the Innocor program will terminate and exit to a Windows screen like ll x S shortcut File Edit wiew Favorites Tools Help Back Y gt K a Search ES Folders m Address C linnocorishortcut Name Size Type Date Modified E control exe 1KB Shortcut 29 08 2003 15 24 E My Documents Wie Touchscreen 1KB Shortcut 29 08 2003 15 18 E E My Computer AY FlowmeterCalibration 1KB Shortcut 30 05 2006 09 38 E E INNOCOR CH EY Innocor Rebreathing Animation 1 KE Shortcut 01 09 2003 09 15 8 emdcons Hef Inmocor Setup ZER Shortcut 29 08 2003 15 23 gia AY InnodatabaseRecover 1KB Shortcut 19 09 2003 13 55 PE Innovision_presentation_May2006 Ink 1KB Shortcut 02 06 2006 11 40 backup Eposk exe ZER Shortcut 02 04 2004 15 25 E EEEE Sap PGAMON 1 EB Shortcut 29 08 2003 15 36 Ki export ai Restart InnoCor LER Shortcut 02 09 2003 12 53 shutdown 2EB Shortcut 02103 2007 10 18 Help language PANOR Print program Protocal ki Rawdata ba RawdataBBB Setup A shortcut Programm Files Ki Recycled TD WINDOWS E XPE BACKUP D Control Panel 2 Shared Documents I ml From this screen the common used shortcuts are available More shortcuts can be found under Desktop March 2007 COR SUM 0000 001 IN UK A 7 111 Innovision Innocor Softw
49. Digital Signer Not digitally signed To view details about the driver files Update Driver To update the driver for this device If the device fails after updating the driver roll HABS back to the previously installed driver Uninstall To uninstall the driver Advanced OK Cancel Driver File Details 2 x DTD Prolific USB to Serial Comm Port COM Driver files C WINDOWS System32 DRIVERS serzpl sys Provider Prolific Technology Inc File version 2 0 0 18 Copyright Copyright C 2000 Prolific Technology Inc Digital Signer Not available March 2007 COR SUM 0000 001 IN UK A 7 121 Innovision 3 15 EVENT LOG Innocor Software User Manual Some errors warnings in the event viewer of the Windows system are normal These normal events just after a Power Up are displayed below Windows NT Log View Options Help Date Time 50Uurce Category Event 9 03 07 2003 09 45 25 EIER lu Mone db 03 07 2003 09 45 25 EIER al Mone b 03 07 2003 09 45 25 nid pr None b 03 07 2003 09 45 25 1004 2 prt None ch 03 07 2003 09 45 25 0042prt Mone 15 9 03 07 2003 09 45 25 0042prt Mone d en 03 07 2003 09 45 25 EIER lu Mone 19 03 07 2003 09 45 04 Event og Mone BOOS 03 07 2003 09 45 04 Event og Mone BOOS 2503 07 2003 09 45 25 10042prt Mone 1 0 03 07 2003 09 43 33 Eent o Mone DUU The errors i8042prt are caused by the fact that there is no keyboard connected to the Keyboard P
50. Exercise test results Set the focus on an exercise test and press the Results tab This will display selected BBB parameters at Rest at AT Anaerobic Threshold and at Max exercise level The list can be Innocor Software User Manual configured by pressing the Setup button Protocol Auto Bicycle YO2 kg ml minfkg YO l min Hr min Ye l min Load watts R FOZet FCO Zet Vef O 2 Vef CO 2 2 4 2 Exercise test details RE pon Jona Rest AT Max 44 14 8 233 0 444 1493 2 332 65 00 111 18 6 40 9 PR 00 1015 199 4 0 64 0 60 0 97 1556 14 36 15 25 4 47 5 31 522 44 2 Zi d 33 2 CEA 34 5 34 1 Pressing the Details tab will display selected BBB parameters in a table In Setup the time step can be configured to 15 30 60 90 120 seconds every breath or default the average filter used when displaying the graphs The content of the table can be configured in the Setup menu The table can be printed directly using File Print or exported to a file using File Export to file Note that only the selected parameters will be printed exported Time Load Hr Resp Freg Ye CO O 2 R KE Wwatts B B minjeE Aminye B O Lmmipt TO 2 00 min 0 0 D 14 2 17 3 0377 O44 084 3 00 min 0 0 25 13 8 We 0359 0432 083 4 00 min 0 0 65 16 4 Wd 0392 0457 086 5 00 min 51 2 ro 15 6 31 6 0810 0 849 097 6 00 min 51 3 r9 18 0 24 6 0687 0891 O72 7 00 min 51 4 te 17 0 239 0792 1 076 074 38 00 min 100
51. File Description PD_x_y_hh mm ss txt Text file of exported rebreathing and or Breath by Breath results x patient ID y number of patients in the file hh hour when export file created mm minutes when export file created ss seconds when export file created BBBx ddmmyyyy hhmm txt Text file of a raw Breath by Breath data file containing Voz Vcoz Ve etc for each breath x patient ID dd day when test performed mm month when test performed yyyy year when test performed hh hour when test performed mm minutes when test performed BBBtable_x dd mm yyyy Export to file from BBB detail Text file of a raw Breath by Breath hh mm ss txt data file containing user defined parameters for each average interval defined in Setup x patient ID dd day when test performed mm month when test performed yyyy year when test performed hh hour when test performed mm minutes when test performed Ss seconds when test performed RBx ddmmyyyy hhmm txt Text file of a raw rebreathing data file containing CO2 O2 N2O SF amp flow mouth piece pressure raw at 10 30 ms time interval x patient ID dd day when test performed mm month when test performed yyyy year when test performed hh hour when test performed mm minutes when test performed RBtable_x txt Export to file from Data Table Text file of rebreathing results containing user defin
52. Measurement 2 Select a patient 3 Press Test 4 Enter patient data if any The user will then be prompted to select a protocol see section 2 5 7 for details on how to define a protocol In the same menu the user can also change select the exercise device if controlled by the Innocor At the moment the following exercise devices are supported but more will come e Elmed EGT 1000 ergometer Ergoline VarioBike 550 ergometer Ergoline 800 amp 900 ergometers Ergoline ergoselect ergometers Lode Examiner ergometer Lode Excalibur ergometer Monark 839 ergometer e HP Cosmos Series treadmill The exercise devices are controlled via a USB serial line The USB to serial converter must be March 2007 COR SUM 0000 001 IN UK A 7 10 Innovision Innocor Software User Manual connected to the Innocor when powered on otherwise the connection will fail See section 3 14 CAUTION The USB shall not be used under normal clinical conditions within the patient zone but only during service and occasionally for data exchange Peripheral equipment connected to these interfaces must be certified according to the respective European standards e g EN 60950 for data processing equipment and EN 60601 1 for medical equipment Furthermore all configurations shall comply with the system standard EN 60601 1 1 Everybody who connects additional equipment to the signal input part configures a medical system and is therefore responsible that the system complies wit
53. New Pt to enter data for a new patient The following screen appears March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual Patient Comments LD 4565959100 This subject has been tested in Clear All INNOVISION s Lab Last Name Vision First Name s inno Date of Birth 01 06 1995 Sex Female y Height om Ian Weight kg 82 Cancel PEL eJ Je ys Js es le le le de ee E cs je je je Je Js Ye Ji Je je Je fe Sch Ys J Jr Ys Y ee ee JA JO ee fe JE TAE TE TE TEE Me O A EPIC Enter relevant data for the patient or test subject by pointing at the appropriate entry field using the alphanumeric keyboard Press Select Male or Female from the selection list or type M or F on the keyboard to select the patient s sex Instead of entering new data it is also possible to search a patient already appearing in the database Use the Search button for this feature The following screen appears Enter search specifications and press search D Sex Po y Last Name Height cm gt First Name s Weight kg gt Date of Birth LD LastName First Namefs Sex Date of Birth Height em Weight kal Andersen Hans Christian Male 02 04 1605 160 76 Hansen Jens Female 12 12 1980 150 50 565959100 Vision Jinno Female 01 06 1985 52 EN Hansen Soren Male 28 11 1957 181 76 OK DEE ES E DE DE 1 ee ES E SE em Je Je Je ye Je 708 ee e e S Fs es ae ce ES ISS SSES RA
54. Reb Bag Evacuation EVAC Bag Pump Spare Signals Signal Stat PGA Zero PGA Mix Oxygen Cal Blood Press In Air Fill a calibration of the air filling flow can be performed This should only be done by qualified personnel Selected Signal 0 049 PGA Reg No 164 Dig Oxygen 21 29 ENERET Air Yol ml 2163 1000 mi 5000 mi Close to Reb Bag Pneul ir Vol ml ml ml Close to open Air Pneu2 Set Air Vol Air String for Bag fill AIR Bolus bag fill Rebreathing Test Air Yol Airway Zerocal PAW Reb Bag Evacuation EVAC Bag Pump Spare Flow Speed 47 80 ml sec Signals Signal Stat Oxygen Cal E March 2007 COR SUM 0000 001 IN UK A 7 66 Innovision Innocor Software User Manual In Press Sensor a calibration of the pressure sensor can be performed Selected Signal S000 PGA Reg No 0 Dig Oxygen 21 25 Elapsed time SMe alias Press Sensor Valve Beep Unscrew and remove the Bottle Press Gain Signal Offset Gass Bottle slowly from 120 24 43 8 3 25 y 21 8 Innocor Afterwards when signal is Press Unit bar stable select Gain Offset or just Offset Signals Signal Stat In Valve the user can open the valves individually one at a time which can be useful in troubleshooting Selected Signal 0 049 PGA Reg No 164 Dig Oxygen 21 27 Elapsed time Bolus Fil
55. Rebreathing details Pressing the Details tab will display all the parameters on the screen S 14 03 2007 I D 290353 Inno Vision 14 18 40 CO 43 mm Cl 2 4 1 min m2 Patient 1 3 08 04 2005 153925 Le 56 mi SI O o ci dal Kee 0 137 Imin VOoikg 2 0 mi min kg Pt Data 21 18 05 2005 15 44 23 HR 77 bpm Y 1 8 22 18 05 2005 15 47 35 L 23 18 05 2005 1550 44 PPO 97 x A V Oodiff EE Test Param 24 19 05 2005 15 53 47 S O9 82 x Shunt 6 z Ex 3 20 05 2005 16 07 37 Test 21 20 06 2005 1611 00 OVS 115 mmHg SYR 18 3 sat 02 03 2007 07 16 58 MAP 84 mmHg SVRI 33 3 D emo aE 33 Height 176 cm Hb 15 0 g dl Test 10 out of 10 Weight 67 kg BSA 1 82 m2 emm Print Prey Load Watt Slope E i o m Speed ipm Help y PELE Results Details Graphs DataTable DataView1 4 DataView5 8 hit Meas 39 Si HR 58 ER 96 Cylinder Cuff mmHg If a parameter is not measured it is dimmed 2 4 6 Rebreathing graphics The graphics page gives a graphic view of the gas signals The main page displays 4 small plots that can be expanded by pointing inside the plot 14 03 2007 14 18 56 VL 18 1 VOo 0 137 Imin Y Patient I D 290353 Inno Vision PBF 4 1 l min 1 3 08 04 2005 a Ex 2 18 05 2005 15 40 27 9 45 21 18 05 2005 15 44 23 Normalised Oxygen 1 H Pt Data
56. S2 mouse connector on PCM 3350 This error is of no importance Windows XP embedded E Event Viewer ES E lol x File Action View Help The Monmouse error is caused by the touch screen and is of no importance March 2007 COR SUM 0000 001 IN UK A 7 122 Innovision Innocor Software User Manual Under Computer management Device manager GN a d 2 Disk drives ER 3 Display adapters El ai Beene oi National Semiconductor Corporation WinZK Graphics Driver E Floppy disk controllers Dez Human Interface Devices 6 2 IDE ATAJATAPI controllers G Keyboards a Microsoft USB Internet Keyboard Pro E gt Mice and other pointing devices Ena a Elo Serial Touchmonitor Interface pu UN Logitech USB FirstiPilot Mouse a x Microsoft Serial BallPoint i Ba Network adapters D 4 Other devices po pe Multimedia Audio Controller z Other PCI Bridge Device E d Ports COM amp LPT ee EI Communications Pork COML vee ay Communications Pork COME ow Ma ECP Printer Port LPT1 S ve ay Multiport Communications Port COM ve ay Multiport Communications Port COM4 ve JN Multiport Communications Port COMS EI Multiport Communications Port COME eh Sound video and game controllers System devices Universal Serial Bus controllers March 2007 COR SUM 0000 001 IN UK A 7 123
57. Software User Manual Ee Heart Clinic Hama vision 1 hro Results Graph BBBYView Dataview 5 8 Results Graph BBBYiew Dataview 1 4 March 2007 COR SUM 0000 001 IN UK A 7 41 Innovision Innocor Software User Manual 2 5 SETUP 2 5 1 Test Parameters The setup is entered from the main menu or directly from the measurement menu Estimated Maximal VO2 1 6 l min Maximal Load 124 Watt Estimation of maximal Vo and Bag volume 12 40 litre 7 je js J E maximal load with the current setup Initial NIBP pressure The Bag volume is the total amount to fill into the rebreathing bag The Bag volume is calculated automatically based on 44 of the predicted value for the vital capacity VC of the patient E Berglund et al Acta Medica Scandinavica Vol 173 fasc 2 1963 Note the bag volume is only calculated when a patient is selected If the user changes the bag volume the bag volume is not changed automatically not until the patient is selected again The prediction of the VC is based on the following formulae Male VC Exp 2 512 0 4395 In Age 0 01525 Age 340 80 Height Female VC Exp 3 077 0 2667 In Age 0 01472 Age 366 40 Height The figure below shows the predicted bag volume for males at different age and height 2 5 100 cm 3 120 cm 135cm 2 E 1 5 150 cm 3 165 cm 180 cm 0 5 Yao 195 cm
58. a Single point Adjustment of the Oxygen Signal i Apply atm air Approx 20 93 Oxygen to the inlet pa Wait for the signal to be steady Variations less than 0 2 Press Start to begin the adjustment The process takes from 30 to 60 sec To saye the calibration press Save Current signal Atm Oxygen value 2 5 9 2 Flowmeter Calibration The Adjust Flowmeter is used to adjust the flowmeter calibration offset 4 gain by applying a know volume to the flowmeter It is recommended to make a daily calibration check of the flowmeter gain The flow is calculated as Flow Gain Table raw signal offset Where Raw signal The output of the differential pressure sensor in volt Offset The offset of the differential pressure sensor found by auto zeroing Gain The day to day gain factor which should be in the range 0 9 1 1 Two gain factors are used one for inspiration and one for expiration Table The Innocor has a built in standard factory flowmeter calibration table based on a multi stroke calibration Yeh et al 1982 March 2007 COR SUM 0000 001 IN UK A 7 60 Innovision Innocor Software User Manual 2 5 9 2 1 Flowmeter Calibration procedure Enter Setup and select Calibration Adjust Flowmeter Calibration performed Syringe a 3 04714 3 litra V 3 05415 3 08143 3 05946 Calibrate 3 03956 3 03842 3 04203 3 03790 Fill Empty 1 00000 0 96444 e Connect a 1 litr
59. a Table DataView 1 4 DataView 5 8 Exit Meas dd Bag closed Cuff O mmHg 19 Cylinder ter HR Sp02 The oxygen plot displays the reduction in oxygen due to oxygen uptake by the patient A steep curve indicates a high Vo Example Vo 0 3 1 min 50 ml 10 sec AO 50 ml 1500 ml 2000 ml 100 1 4 l e the O drops 1 4 within a 10 seconds period Note The above calculations are not altered for STPD 8 ATP The oxygen display is normalised using the insoluble gas in order to correct for incomplete mixing Using a 10 bolus will result in approx 28 O in the bag The bolus gas contains 94 O2 When the O signal is normalised the first inspiration will be reduced to a value corresponding to an immediate mixing between the bag and the lungs Example Vbag 1 5 litre Vu 2 0 litre O2 bag 28 O2 ET 15 Oomix 1 5 28 2 0 15 1 5 2 0 20 6 Note The above calculations are not altered for BTPS amp ATP March 2007 COR SUM 0000 001 IN UK A 7 32 Innovision Innocor Software User Manual 2 4 6 3 Normalised soluble gas N20 23 09 2004 LD 290353 Inno Vision 11 46 46 Normalised Soluble Gas Patient Freq 24 min Vbag 3 00 Temp 25 00 dec Pres 760 00 mmHg Hum Pt Data El Test Param Test Demo qaii Graph Setup Print Prey 443 Help Results PT Graphs DataTable DetaView1 4 Da
60. ad will start Notepad Mspaint will start Paint Cmd will start the Command Prompt Osk will start an On Screen Keyboard WordPad will start Microsoft WordPad Ed Windows Task Manager File Options View Windows Help Applications Processes Performance Networking Task Status d A Switch To Mew Task Processes 17 CPU Usage 12 Commit Charge 43146 182980 a March 2007 COR SUM 0000 001 IN UK A 7 112 Innovision Innocor Software User Manual Create New Task j Type the name of a program Folder document or Internet resource and Windows will open it For you Cancel Browse 3 12 1 Control Panel The Control Panel of the XPe on Innocor consists of the following elements amp Control Panel File Edit View Favorites Tools Help Back Y gt zs pi a Search 1 Folders an Kr x Ki m S Ho we pa Accessibility Add Hardware Add or Administrative CSM Data Sources Date and Time Options Remove Tools ODE TERETERE Display Elo Folder Options Fonts Game Internet Keyboard Touchscreen Controllers Options Mouse Network Phone and Power Options Printers and QuickTime Regional and Connections Modem Language Scanners and Scheduled Sounds and Speech System Taskbar and User Accounts Cameras Tasks Audio Devices Start Menu March 2007 COR SUM 0000 001 IN UK A 7 113 Innovision amp Control Panel File Edit view Favorites E Back gt Be Tool
61. ain page in the lower right corner The native country is used to distinguish between the US and non US markets If the country is set to United States the Voz calculation during rebreathing is inhibited as well as the BBB option 3 3 BACKUP OF DATA Below is an easy procedure on how to make a backup of the Innocor data and database onto a USB key a standard USB key will do Enter Data Management Select Script Found Locate the script called Backup Data or Copy data to USB Press Perform The backup will be placed on the USB key If the same USB key is used again for backup the backup procedure will automatically overwrite the existing backup and save the latest version March 2007 COR SUM 0000 001 IN UK A 7 75 Innovision Innocor Software User Manual If a stronger backup procedure is wanted the data on the USB key can be transferred to a standard PC for storing 3 4 UPGRADING SOFTWARE Updating the Innocor software is possible by downloading a compressed file ZIP from www innovision dk The installation procedure can vary check the readme txt but will be something like 3 5 Request a licence number from Innovision the serial number must be provided Unzip Update to xxx zip to the root of a USB Flash drive Insert the flash drive in the Innocor USB socket At Innocor select Data management and Script Found Select External device Update to xxx idm and press Perform Exit Script execution and return to the da
62. al database of the Innocor by an export For details on the format of the exported files see section 3 5 2 The exported data contains all data available If only a subset of the data is wanted or if the data shall be averaged the export to file can be used from BBB details 2 4 2 or Data Table 2 4 7 2 8 2 Script A script is a simple code like a macro or batch file that can be used to pre programme some sequences that often are used e g to copy some data from A to B Several scripts are supported and can be placed on the Innocor or on USB media The script can be defined by the user March 2007 COR SUM 0000 001 IN UK A 7 70 Innovision Innocor Software User Manual Script file execution Script files USB unit copy 3 02 to hdr idm USB unit Copy protocols to Innocor idm USB unit Copy protocols to key idm USB unit Backup idm USB unit copy 3 02 from viewer idm USB unit Export idm The commands to be executed Export Data from Export folder to USB unit All TXT files are copied Copy c innocornExport TXT Data TXT Perform H a Close The script page lists the available scripts that can be performed The scripts can be located internally on the hard disk and will always be present or located externally on a remote media e g a USB memory key When a script is selected the script information is displayed on the screen and if the user wants detailed information the Y button can be pressed and the s
63. anged to mph in the Patient Data menu e Selecta patient Select Pt Data Toggle to get Patient data to use in new test displayed Select the Exercise tab Set speed to km h or mph Patient data to use in a new test E E eme a Slope of J as Cancel OK 3 11 4 How to recalculate rebreathing data The rebreathing results are calculated directly after a rebreathing test and saved in the database Changing calculation parameters will not change the results in the database but by pressing the ID field a recalculation can be displayed The recalculation can not be saved Recalculate Recalculation results a 20 03 2007 I D 091063b Inno Vision 1 14 39 17 CO 1 8 5 min Patient 14 00 01 il 1 1 16 06 2006 14 06 51 Pt Dat Data 1 2 16 06 2006 14 11 54 1 3 16 06 2006 14 16 03 innoCor 8 2 lminim2 Test Param 1 4 16 06 2006 14 20 10 Used frequency 30 CO2 Correction OFF 1 5 16 06 2006 14 23 23 EdgeTrig Expiration Oxygen signal ml min ikg 4 VO2 Meas gt Corr Gain 1 14 6 16 06 2006 14 26 39 YO2 Meas gt Corr Offset 0 167 ml Test 7 out of 7 o 3 248 Co 0 025 Delete illa Laia wiel Cylinder Print Prey Help HU bar 3 11 5 Running in parallel with an exercise device When an exercise device is not controlled by the Innocor the manual control can be selected in which case the user is prompted to change exercise levels If the exercise device is control
64. arameter DIA Y PBF Y MAP Y Hb on left or right Y Bag Vol v SYS ae Y Load el von Y axis Cancel 2or3 on Y axes aa Es 2 3 4 On line raw data screen The on line raw data screen displays the gas curves and the flow or volume curve The gas curves are displayed on the left y axis and the flow or volume is displayed on the right y axis The volume curve is an integration of the flow without correction for ATP and BTPS and will therefore typically drift upwards The numerical values of the gases and flow or volume are a 1 second average The y axis of the gas display can be changed by pressing the or button When the flow signal is zero adjusted the flow value is set to 100 l s which is used to identify the offset periods where the flow signal can not be used for the Breath by Breath calculations Online signals Flow Volume toggle gt 25 0 50 l 20 0 Zoom in Ss 15 0 7 10 0 50 Exit rnanan Lem y O 10 0 20 0 30 0 40 0 50 0 Time sec March 2007 COR SUM 0000 001 IN UK A 7 21 Innovision Innocor Software User Manual 2 3 5 Cool down period The system switches to a cool down period when the protocol finishes or when the protocol is manually terminated The exercise level of the cool down period is set to the value of the first step with an exercise level gt 0 l e a protocol with 0 25 50 75 100 watts will have a cool down load of 25 watts The duration of the cool down pe
65. are will automatically filter these results The delays should not vary more than 20 40 ms from day to day if the same gas sample inlet is used Note e Agas cylinder must be connected in order to close the RB valve during the delay calibration e The BBB port on the RVU must not be connected to other devices during the delay calibration See section 3 5 10 6 for advanced setup of the gas delay calibration March 2007 COR SUM 0000 001 IN UK A 7 62 Innovision Innocor Software User Manual 2 5 10 Service The service is only intended for technical personnel The service menu contains functions for troubleshooting and calibrations Pressing the corners in the message box in a specific order gives access to the service menu Access only for technical personnel l OK weg A short description of the service functionality is given here a more detailed description can be found in the Innocor Service Manual COR MAN 0000 002 IN 2 5 10 1 Signals Selected Signal 0 058 PGA Reg No 0 Dig Oxygen 21 05 Flow Pump OFF l Find Signal Clear Graph Stop Graph Print Log File 19 00 5 00 A ig 1 00 RR WW pen 7 Gei RES Dao CO2 NoLead PKm kPa Flow DiffP Bottle Press P O2 Sat N20 NoLead TKm K FLow Ref MPP P Heart Rate Sensor 02 Delay 02 ms Pump Vol Config Cuff Press Select Color Select Stat Signals Signal Stat PGA Zero PGA Mix Oxygen Cal Blood Press Misc Start
66. are User Manual Be Desktop File Edit View Favorites Tools Help ae Y sack gt T pO search ES Folders eh x Ki Bae Address a mi Desktop SH GA Go Folders Ka io My Documents mm Folder Y My Documents E My Computer System Folder E Y my Computer MA My Network Places System Folder E E INNOCOR Ci Pe lRecycle Bin System Folder Documents and Settings internet Explorer System Folder E 38 Dee Ef Acrobat Reader 5 0 1KB Shortcut 01 09 2003 9 34 E BackUp a InnoCor 1KB Shortcut 19 05 2003 8 54 23 Copy of databases ll computer Management 1 KE Shortcut 11 05 2003 6 40 Copy of Rawdata control ZKE Shortcut 26 06 2003 1 03 ba databases Ei Event viewer IKB Shortcut 11 05 2003 6 40 _ Databases org A mspaint ZKE Shortcut 26 06 2003 12 13 2 QuickTime Player 1 KE Shortcut 01 09 2003 8 55 help Efi shortcut to Elo Touchscreen LKB Shortcut 29 08 2003 3 18 language E wordpad 1 KB Shortcut 26 06 2003 1 27 A Sie ss NOTE It is recommended to have a USB keyboard and mouse connected to Innocor in order to navigate Under Windows XP embedded XPe the normal Windows start button and many other normal Windows facilities are disabled Using the CTRL ALT DELETE the Windows logon screen will appear Select the Task Manager and with New Task or File New Task a new task program can be started i e Explorer will start Explorer Control will start Control Panel Notep
67. arting from 1 Unselecting a test will however not reallocate the numbers Selecting a test will only reallocate the numbers if needed The table can be printed directly using File Print or exported to a file using File Export to file I D 091063 Pedersen Knud Se AAA 130720 vo mny min X milz min Patient Ex 16 11 2006 15 09 52 0 269 45 69 65 15 0 f Ex 21 12 2006 16 18 43 1 001 9 4 78 120 29 4 Pi Data Ex 2 04 01 2007 15 23 52 2 084 13 6 100 136 50 2 If 21 04 01 2007 15 29 59 2766 167 121 138 812 Test Param 2 2 04 01 2007 15 35 10 3 735 19 0 150 aa 2 3 04 01 2007 15 40 17 0 191 2 9 63 45 135 1308 104 83 125 416 2 5 04 01 2007 15 50 33 2 281 149 106 141 714 2 6 04 01 2007 15 55 39 Ex 3 15 02 2007 14 22 01 3 118 179 130 137 913 3 621 19 1 145 132 1109 Table Setup Selected 14 142 Select UnSelect al A EN Data Table Cylinder File v In rk Exit Meas bar March 2007 COR SUM 0000 001 IN UK A 7 34 Innovision Innocor Software User Manual The Table Setup is used to configure the number of parameters to display and in which order Table Setup Set order Ra EN Ye vi Default SvO2 Spo2 AND Shunt Speed Hb Weight YO2 Kg Height Calculated PBF Param MAP Cancel ma f 1 lt i A KC AN 2 2 lt 2 4 7 1 Calculated parameters In the Table Setup menu the Calculated Parm can be used
68. as a higher systolic value than the initial pressure the initial pressure should be increased ge a stand alone blood pressure measurement Initial Cuff pressure pressure fi 60 0 mmHg Change Start Exit BP March 2007 COR SUM 0000 001 IN UK A 7 68 Innovision Innocor Software User Manual 2 7 HELP SYSTEM The on line Innocor help is entered via the Help button The entry in the help menu depends on where the Help button is pressed The help system is web html pages running in a reduced Internet Explorer Home Refresh Print Exit Help MEASUREMENT Evaluating result Index go to Patient data Prepal 1 test 1 parameter Prints PREPARING A TEST Check that the bottle pressure is adequate i e gt 10 bar and check that the lower balloon in the rebreathing valve is inflated Press Testto start a new measurement The first time the patient data is displayed Enter or verify the patient data height weight haemoglobin Hb etc Normal values for Hb Male 8 11 mmol l Female 7 10 mmol l When the patient data is entered the Innocor automatically prepares the rebreathing bag by emptying and filling it with the desired volume of gas A mixture of air and gas from the cylinder is filled into the bag NIBP option Itis a good idea to start a blood pressure BP measurement during the bag filling the Start NIBP button because it can be difficultto keep the arm quiet duri
69. ation in order to remove the transition phase from inspiration to expiration Default recommended skip value is 30 Zero position in first insp defines where time zero is positioned in the first inspiration Time zero is used in the determination of the mix value when interpolating back on the regression line on the insoluble curve Further the time zero is used in the calculation of the Vti Valid range is 0 to 100 A value of 0 means at the start of the first inspiration and 100 means at the end of the first March 2007 COR SUM 0000 001 IN UK A 7 47 Innovision Innocor Software User Manual inspiration Default recommended value is 50 Solubility coef for tissue should for N20 be set to 0 412 Solubility coef for blood should for N20 be set to 0 407 Valve dead space Bag dead space J 2 5 2 3 Breath by Breath setup 01 06 2005 Setup 14 08 12 Estimated Maximal YVO2 l min Maximal Load Watt Ambient BBB Filter Time 0 sec 13 JJ Date 02 flow to gas delay 1394 msec HHH C02 flow to gas delay 11422 msec r El O gg Valve to Mouth deadspace 120 mi l User Params Language Default Gas Cylinder Undo Calibrate Service DIE Ip Help Exit Setup i The Breath by Breath data can be averaged during on line and off line display by the BBB Filter Time The filter is a moving average filter O2 flow to gas del
70. ay is the delay time of the O2 gas signal compared to the flow found during the flow gas delay calibration see section 2 5 9 3 Similar with CO2 flow to gas delay which is the delay time of the CO gas signal compared to the flow Both delays are typically in the range 1400 to 1700 ms The values should not be entered manually but measured by the flow gas delay calibration Valve to Mouth dead space is the volume of the respiratory valve unit from the inlet to the mouth The default value is 120 ml for a valve connected with mouthpiece and bacterial filter PALL If a flexible tube is used the value 172 ml shall be used instead The Valve to Mouth dead space is March 2007 COR SUM 0000 001 IN UK A 7 48 Innovision Innocor Software User Manual subtracted from the calculated fowler dead space in order to get the real Vd anatomical dead space of the subject Valve to mouth dead space 2 5 2 4 Hardware setup Press the Hardware tab The default setup is shown below where all data are collected from the internal units of Innocor Nonin Hr amp SpO2 and SunTech Blood pressure But the Innocor S W can also get heart rate and blood pressure data from external exercise devices Hr driver Nonin SPO driver Nonin BP driver SunTech Hardware Manoeuvre Calculation BBB Example If the HR amp Blood pressure shall be collected from the Ergoline ergometer the setup shall be March 2007 COR SUM
71. cl DE Enter one or more search criteria and press Filter to start the search process Press Show All to disable all search criteria and display all patients The wildcard is supported After having entered or chosen the patient data press the OK button March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual 2 2 MAKING A SINGLE MEASUREMENT After a patient is selected the following screen appears Results from the latest previous test are shown if available 14 03 2007 I D 290353 Inno Vision 14 18 91 CO 4 3 min Patient Pt Data 1 3 08 04 2005 Ex A 18 05 2005 15 40 27 2 1 18 05 2005 15 44 23 15 39 26 2 2 18 05 2005 15 47 35 Cl 2 4 minima 23 18 05 2005 15 50 44 pest Boron 2 4 18 05 2005 15 53 47 VO gt kg 2 0 mlminikg Ex 3 20 05 2005 16 07 37 Test 31 20 05 2005 16 11 00 4 0270372007 07 16 58 SY 56 m f Demo A V O diff 15 x Test 10 out of 10 Delete Rest Print Prey Help Exit Meas IP Ee RER Details Graphs Data Table DataView 1 4 Dataview 5 8 Cylinder dE HR 55 E 94 Cuff mmHg Check that the bottle pressure is adequate i e gt 10 bar and check that the rebreathing port is closed inflated Various data can be entered manually via the Pt Data menu before or after the rebreathing test See section 2 4 9 for further details Press Test to prepare a ne
72. conditions the data points after the AT shall be above the 45 assistance line Beaver WL Wassermann k Whipp BJ 1986 A new method for detecting anaerobic threshold by gas exchange J Appl Physiol 60 2020 2027 1 50 ak 03 02 2006 lO 301259 Min and max of Christian 12 30 46 En calculation area z AT Rest AT Max cht Weidddddd cc Ween Low slope 0 823 i l i High slope 1 639 4 00 4 1 EE EE EE A Load 154 3 3 Hr 113 i s Resp Freq 16 7 o ia a ES e peo Se Sees i eo Sogo eos a e SS Ve 408 d CO 2 1 655 3 00 4 a cite ea ide pe da O 2 014 e R 0 82 E A 2 E EE SE eg EE A d vO2 Hr 18 79 ae i FO2et 12 61 are 3 7 FCOZet 6 99 scht a A wo SEKR Ye CO2 23 2 Ye O 19 1 1504 SES EE opO 46 YO2 kg 26 3 e GE E _ 3 g AT auto Y 0 50 4 1gp tbe EE WEE ELLE EELER i i i i i i de SE A ajaja EE Oz Imin d J E B so Exit Le March 2007 COR SUM 0000 001 IN UK A 7 26 Innovision Innocor Software User Manual 2 4 3 2 Deleting Breath by Breath results The user can delete one or more results from the Breath by Breath results The function is available when a graph is zoomed Press the button to enter Edit mode where data can be deleted In Edit mode the results are shown without the average filter When toggling back to View mode the average filter is applied again AT
73. cript commands will be shown Pressing the Perform button will execute the script The script file supports simple commands like Copy Move and Delete A script file can be used for several operations e g Make a backup of the Innocor data to a remote hard disk Restore a backup of the Innocor data Move exported files to a USB memory key Update help pages from e g a USB CD ROM Update Innocor software Install a new language file Change the software configuration See section 3 8 2 for a detailed description of the format of a script file 2 9 INNOCOR CONFIGURATION Pressing the i on the Innovision logo on the main screen will bring up an about screen with some information on hardware software versions gt C be Mnovision Wersion 5 07 BBB March 2007 COR SUM 0000 001 IN UK A 7 71 Innovision Innocor Software User Manual Innocor Serial No 708153 Calibrated 02 03 2007 Oxigraf Y Protocol Y BbB Y Main program 5 07 BbB BP device Ergoline_BIKE 5 0 0 1 HR device Nonin 5 0 0 1 SPO2 device Nonin 5 0 0 1 PC System SBC Type Geode TM Integrated Processor by National Semi Platform Microsoft Windows XP 5 1 Disk C 97 free of 35996 MB Disk D 70 free of 2137 MB e INNOVISION A S Tel 45 65 95 91 00 Lindvedvej 75 Fax 45 65 95 78 00 1 5260 Odense SV Email info imnovision dk Denmark Home P www imnovision dk oO Tate Exit About 2 9 1 Calibration date The tim
74. defined parameters Support for calculated parameters based on database values Support for rebreathing bag volume down to 0 5 litre March 2007 COR SUM 0000 001 IN UK A 7 3 Innovision Innocor Software User Manual Improved on line detection to avoid bag opening in the shift from inspiration to expiration A test is always saved also in case of errors in order to display the data to determine the reason for the error Support for deleting a gas cylinder from the Gas Cylinder list New exit close down of Innocor New database format 3 02 will automatically convert existing format Innocor software can run as an Offline viewer on a memory key New help pages 3 01 28 10 03 Support for setting of default printers 3 00 19 09 03 Innocor software running under Windows XP embedded 2 02 12 09 03 Estimation of bag volume to 40 of VC Automatic stop after 3 breaths after good mixing Support for beep during rebreathing Support for manual entering of blood pressure New parameters Vo2 kg amp A V O2 diff Support for script execution Copy Move Delete etc 2 01 13 03 03 Gas bottle identification implemented 2 00 26 11 02 Support for different languages implemented 1 6 INNOCOR SYMBOLS The Innocor software contains different groups of parameters and in order to distinguish between the parameters the following set of symbols is used Parameters related to the subject weight height etc Rebreathing pa
75. der no on the bottle shall be entered and when verified the gas cylinder is added to the list New Cylinder 1 Wait for the pressure to be stable 2 Select a Gas Cylinder no from the upper table or enter a new number Other known Gas Cylinders Gas Cylinder No Rem Volume ml Performed Test Enter New _ Cylinder No 040304 4168396 4425 y 040611 9332217 12300 Delete Bottle No Change Data for Gas Cylinder in use Gas Site 031118 2166012 7206 25 2 je je E 4 ps ps poe cJ ee JEJ EVE System pressure 80 If a gas cylinder shall be removed before connecting a new the Change Gas Cylinder button shall be used where the user first turns the gas cylinder 1 turns counter clockwise in order to close the main valve on the gas cylinder The user then presses the Pressure Release button in order to release the internal pressure of Innocor a small click can be heard from the gas supply when the pressure is released and the gas cylinder can be removed completely If the internal pressure is not released before the gas cylinder is removed the o ring on the gas cylinder connection can come out of position When a new gas cylinder is screwed down the o ring will be damaged and the system will not be gas tight Change Gas Cylinder 1 Turn the Gas Cylinder 1 turns counter clockwise 2 Press Press Release 3 Wait for the system pressure to drop below 10 bar Other known Gas Cy
76. during the first and the subsequent inspirations The program shifts the valve on an end inspiration before the last expiration The test is completed some seconds later when the curves are not updated anymore Option If the BP measurement has not finished when the rebreathing test is finished a message is shown to wait for the BP measurement If the BP measurement is aborted by the Stop NIBP the RB test result will still be saved in the patient database Rebreathing frequency min W Detecting breaths e Sto NIB Wait for the Rebreathing test completed but waiting on the NIBP NIBP measurement measurement to SE A es finish Press Start to begin Waiting for next inspiration Rebreathing freq 22 min 02 N20 SF6 The results are calculated and saved automatically in the experiment database A raw data file containing the gas and mouthpiece signal is saved too one file for each measurement The results are shown immediately on the following screen Results tab see section 2 4 4 2 3 PROTOCOL EXERCISE EXECUTION Option If the Innocor software is an exercise or Breath by Breath version the user can select an exercise protocol which controls the progress of the exercise level and controls a series of predefined rebreathing tests with respect to bag volume and bolus concentration 2 3 1 Starting a protocol Starting a protocol is similar to starting a single rebreathing test 1 Select
77. dware Add Hardware Wizard M Device Manager The Device Manager lists all the hardware devices installed on your computer Use the Device Manager to change the properties of any device Device Manager Hardware Profiles E Hardware profiles provide a way for you to set up and store ED different hardware configurations Hardware Profiles March 2007 COR SUM 0000 001 IN UK A 7 120 Innovision Innocor Software User Manual BER File Action Yiew Help gt DI g GG maa By IDE ATA ATAPI controllers lt a Keyboards el Mice and other pointing devices Elo Serial Touchmonitor InterFace S Microsoft Serial BallPoint BB Network adapters 4 Other devices Multimedia Audio Controller Other PCI Bridge Device 4H Ports COM 8 LPT EI Communications Port COM1 E y Communications Port COM2 M4 ECP Printer Port LPT1 y Multiport Communications Port COM3 EI Multiport Communications Port COM4 EI Multiport Communications Port COMS y Multiport Communications Port COM6 Be E Prolific USB to Serial Comm Port COM Sound video and game controllers System devices Universal Serial Bus controllers 0 4 E m o Prolific USB to Serial Comm Port COM7 Properties General Port Settings Driver EI Prolific USB to Serial Comm Port COM i Driver Provider Prolific Driver Date 29 03 2001 Driver Version 1 3 0 0
78. e USB memory key if present otherwise a normal printout will be activated Path C INNOCOR EXPORT The EMF files will be saved in the export folder If the path cannot be found the standard printout to a printer will be performed The support for EMF files is only available when a printer is installed but not necessarily connected When the support for EMF files is enabled the printouts will be saved when the PRINT or PRINT TABLE button is activated 3 5 10 4 Beep support The Innocor has a beep support during the rebreathing test where the beep helps the instructor to guide the subject to inspire and expire at the right speed See section 2 5 1 The beep is however only supported for Innocor s with serial number higher than xxxx051 The following entry in Hardware ini controls the beep function BEEP Beep n n 0 disables the beep function applicable for Innocor s with serial number lower than xxxx050 n 1 beep function enabled but turned off n 2 beep function enabled short beep n 3 beep function enabled long beep March 2007 COR SUM 0000 001 IN UK A 7 87 Innovision Innocor Software User Manual 3 5 10 5 Quick stop for a treadmill A quick stop can be available when running a treadmill protocol The Quick stop will immediately stop both the treadmill and the protocol without any prompts The following entries must be added to the Hardware ini to enable this function it is disabled by default Ergometer
79. e arterial oxygen saturation SpO indicates whether the oxygenation is normal and thus if there is a significant intrapulmonary shunt SpO lt 95 An oscillometric non invasive blood pressure BP measuring system is also included as an option It is designed to take blood pressure measurements including systolic SYS diastolic DIA and mean arterial pressures MAP By combining CO and MAP the systemic vascular resistance SVR can be determined The BBB Breath by Breath option provides measurements of gas exchange parameters including oxygen uptake carbon dioxide excretion ventilation and end tidal concentrations plus a number of derived parameters These parameters are determined by simultaneous measurements of the respiratory flow and gas concentrations when breathing ambient air The respiratory flow is measured by means of a differential pressure type flowmeter pneumotachometer placed between the respiratory valve unit and the patient The gas exchange calculations are carried out on line for each breath between the rebreathing tests This gives the opportunity to perform an incremental exercise test on a bicycle ergometer or treadmill and measure the progress of cardiac function pulmonary function and gas exchange at the same time Innocor runs under the Windows XP Embedded operating system on an integrated single board computer However knowledge of Windows is not required to operate the device The device is operated via a simp
80. e at a time The only requirement is that the folders DATABASES and RAWDATA is at the same level l e if two sets of databases should be stored on the USB memory key the following file structure could be used E INNOCOR DATA 1 DATABASES RAWDATA RAWDATABBB INNOCOR DATA 2 DATABASES RAWDATA RAWDATABBB March 2007 COR SUM 0000 001 IN UK A 7 74 Innovision Innocor Software User Manual 3 DETAILED SOFTWARE DESCRIPTION 3 1 HOW TO EXIT TO WINDOWS Normally it is not necessary for a user to enter the Windows environment but the system administrator may need to change some setups in order to e g connect the Innocor to a network or install a new printer From the Innocor main screen exit to Windows by pressing the top right corner followed by the top left corner tnnocor H Non invasive measurement of Measurement Cardiac output Setup Data Management Blood Pressure Exit y Annovision um 5 07 BbB United Kingdom 3 2 BASIC INSTALLATION It is not possible to make a basic installation of the Innocor S W on a new hard disk In case of hard disk crash a new hard disk can be ordered from Innovision The hard disk will be prepared with software and if backups of the patient and experiment database exist this will be installed too 3 2 1 Native country During factory manufacturing the destination country for Innocor is assigned and can only be changed by Innovision The country name is displayed on the m
81. e default is every 1 minute and after each rebreathing test This can however be controlled differently by the following entries in Hardware ini under BBB BBB FlowzeroAfterRB 1 FlowZerolnterval 60 FlowzeroAfterRB 1 the zero calibration is done immediately after the rebreathing end O the zero calibration is done FlowZerolnterval seconds after the rebreathing end FlowZerolnterval 0 no zero calibration except at the beginning of a test gt 0 the period in seconds between zero calibration during breath by breath March 2007 COR SUM 0000 001 IN UK A 7 86 Innovision Innocor Software User Manual 3 5 10 3 Printout to Microsoft EMF files Enhanced Metafile The Innocor software support printouts to Microsoft EMF files Enhanced Metafiles These files can be displayed on any Windows system from Windows 95 and the files can be transferred and saved electronically The EMF format is device independent This means that the dimensions of graphics are maintained on the printed copy regardless of the resolution in dots per inch of the printer The EMF files can at least be opened by e Windows Picture and Fax Viewer e Microsoft Office Picture Manager and e Paint EMF files can also be imported into a Word document using insert picture To enable this feature the following entries must be added to the Hardware ini under FilePrint FilePrint Path path Examples Path USB The EMF files will be saved on th
82. e of the last Innocor calibration is displayed in the upper right corner The Innocor S W checks this time for the last calibration service performed on the Innocor on every boot up and if the date is more than one year old a warning message is displayed during boot up and on the main menu Sixty days before the end of the year the user is prompted that it is time to arrange for a service check of the Innocor Service interval exceeded by 15 days AN Time for service The calibration date is reset after a zero and mix gas calibration See section 2 5 10 2 9 2 Software code The Software Code is used to enter a new software code when updating the software or upgrading from basic to exercise version The software version is shown in the lower right corner on the main page A basic version displays only the version number e g 5 07 A Breath by Breath version displays the version number followed by BBB e g 5 07 BBB A version without Breath by Breath but with protocol support displays the version number followed by protocol e g 5 07 protocol March 2007 COR SUM 0000 001 IN UK A 7 72 Innovision Innocor Software User Manual Serial No 326061 Enter new software code fron Fer bs Fei J OK Return 2 10 EXIT SHUT DOWN OF INNOCOR Always use Exit to shut down the Innocor in order to make a safe shut down of the Innocor S W as well as the Windows system A power down of the Innocor using the power swi
83. e or 3 litre calibration syringe to the RVU and set the S W switch accordingly Syringe 1 litre or Syringe 3 litre e Empty the syringe e Press Calibrate to start the calibration e Fill the syringe at a relatively low rate without bumping at the end e When the S W is ready empty the syringe again at a low rate e Repeat the filling and emptying until 2x5 strokes have been applied and the OK button is highlighted e Increase the flow rate at each of the 2x5 strokes in order to try to cover the physiological test range e Press OK if the new gain values are in the range 0 9 to 1 1 otherwise replace the flowmeter screen and repeat the calibration Note The flowmeter is automatically offset adjusted prior to each stroke 2 5 9 3 Gas delay calibration The Breath by Breath calculation contains an integration of the product of flow and gas and because the gas measurement is delayed through the sample line it is necessary to correct for this delay The delay is typically in the range 1400 to 1700 ms but can vary from instrument to instrument A change of the inlet sample line can also change the delay A longer delay is normally caused by a reduced inlet sample flow probably caused by a dirty particle filter on the inlet sample line Make a visual inspection of the particle filter if the inner material is grey or black it is time to replace it The flow gas delay is calibrated by looking at the gas and flow change during
84. e version 4 A 5 20 10 04 Updated t ft ion 4 00 31 03 05 Updated version 16 03 07 Updated with Breath by Breath for software version 5 07 1 5 SOFTWARE CHANGES Script Support for updating system files ini Bug in controlling a manual treadmill protocol corrected 5 05 22 05 06 Faster preparation of rebreathing bag Service interval reminder Native country 5 04 02 05 06 Updates for the US market Breath by Breath updates New Export facilities Support for HR amp BP from exercise devices Faster preparation of rebreathing bag 02 5 03 01 12 05 Support for variable flow zero calibration interval 12 08 05 Support for bolus concentration up to 50 5 00 02 06 05 Breath by Breath gas exchange calculation Improved regression lines in Data View New symbols Improved exercise protocol Scandisk in case of unauthorized power down 01 09 05 Printout to Microsoft EMF files Enhanced Metafile Bug in O2 adjust corrected 4 00 23 09 04 Exercise protocol Calculation of SVRI changed Calculation of SVO2 changed New handling of calculation warnings Standby of gas supply mproved bottle pressure handling mproved script handling mproved service menu Improved handling of databases in case of off nominal shut down 3 19 04 04 New trend function with support for display of parameters in tables and XY plots Support for manual entering of HR SpO Load Speed Slope Support for User
85. eas dl Cuff O mmHg Bag closed Cylinder Ze HR Sp02 March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual 23 09 2004 LD 290353 Inno Vision 11 45 36 Patient Expirations A di Pt Data Test Param Test qaii Demo Graph Setup d Print Prey Help Qu E Results Data Table DataWiew 1 4 Dataview 5 8 dd Exit Meas Cylinder E ER Sp02 Cuff O mmHg Bag closed Sp The red vertical line indicates the time zero in the first inspiration It is defined by the Zero position in first inspiration in the hidden parameter setup see section 2 5 2 The parameter is as default set to 50 which means that the line is in the middle of the first inspiration The dashed vertical green line indicates the time of maximum concentration of N20 in the first inspiration The software uses an average of 5 samples of N2O to determine this point The vertical blue rectangles indicate the data area used for the calculations The default setup is defined to use expiration which means that the rectangles must be positioned in the expiration periods of the signal i e in the tops on the CO curve and in the bottoms on the O curve At least 2 expirations must be used for the calculation but it is highly recommended to have 3 or more expirations If too few expirations are present the patient must breathe faster or the max
86. eathe from a rubber bag for a period of 10 20 seconds The patient is asked to empty the bag during each inspiration and breathe with a slightly increased respiration rate After this period the patient is switched back to ambient air and the test is terminated The bag is prefilled with an oxygen O2 enriched mixture containing two foreign gases typically 0 5 nitrous oxide N20 and 0 1 sulphur hexafluoride SFe These gases and CO are measured continuously and simultaneously at the mouthpiece by a photoacoustic gas analyser inside Innocor N20 is soluble in blood and is therefore absorbed during the blood s passage of the lungs at a rate which is proportional to the blood flow So the higher the cardiac output the higher the disappearance rate slope of measured gas curve SFg is insoluble in blood and therefore stays in the gas phase and is used to determine the lung volume from which the soluble gas is removed March 2007 COR SUM 0000 001 IN UK A 7 1 Innovision Innocor Software User Manual The rebreathing test can be performed as a single test at rest or at a given exercise level using e g a bicycle ergometer or a treadmill in a stand alone configuration Alternatively it can be performed as a part of an exercise protocol where the rebreathing manoeuvres are done at pre programmed intervals workloads By using a pulse oximeter the heart rate HR can be measured during the test and used to derive the stroke volume SV etc Th
87. ed parameters defined in Table Setup x patient ID Example of exported result file with 1 BBB test and 3 rebreathing tests Number of Subjects 1 ID number 091063 Last name Pedersen First name s Knud Sex Male Date of birth 09 10 1963 Height 186 Weight 100 Memo test KKEKKKKKKKKKKKKK kk kA zk BBB Results LZ kk kk kk kA kk kA kA kk Date Time Comments Load MIN Load AT Load MAX Load RC watts watts watts watts 1 04 01 2007 15 23 52 0 000 260 000 290 000 1 000 ZE kA kk kA kk kk kA zk RB Results Lk kk kk kA kk kA kA kk Date Time Protocol Comments HR VL ES bem 1 il 04 01 2007 15 29 58 exercise 2 63 000 DO le 04 01 2007 15 35 10exercise 83 000 2 686 bes 04 01 2007 15 40 17 exercise x 106 000 2 894 March 2007 COR SUM 0000 001 IN UK A 7 78 Innovision Innocor Software User Manual Example of exported raw Breath by Breath data file from Data Management Innocor by Innovision Denmark Breath by Breath data TDs 091063 Last Name Pedersen First Name s Knud Height cm 186 Weight kg 100 Date of birth 09 10 1963 test performed 04 01 2007 1523 52 Time Load Hr Resp Freq Ve VCO2 Sec watts min min 1 min 1 min 29 393 0 57 4 11 4503816793893 14 1410159810536 0 332220785827269 35 852 0 58 9 28792569659443 12 2040981235339 0 323891496414183 41 84 0 58 5 10 016694490818 11 5320086923182 0 271
88. ed to NIBP Installed 0 FilePrint Path C innocor export Example 3 Redirect print outs to printer 26 10 2006 Innovision SC_Remove C Innocor setup hardware ini FilePrint Update of hardware ini completed The SC_Remove will delete the entire FilePrint group in the hardware ini file l e the following lines in hardware ini will be deleted FilePrint Path C innocor emf 3 9 PRINTER SETUP 3 9 1 Installation of new printer If a new printer is connected to the Innocor the corresponding driver must be installed according to the user manual of the printer The driver software can be installed from a remote CD drive USB CD drive or from a USB memory key See section 3 13 4 for information about using a remote CD drive for installation If a new printer driver is installed and the Innocor software shall use it the new printer must be set to the default printer e Enter from Innocor software Print Prev select Printers select new printer or e Enter in Windows control panel printers right click the new printer set the use as default 3 9 2 Print layout The layout of the printing is defined in the file PrintSetup Ini located in the Print directory under the specific language directory Each section defined by corresponds to one page print out and are displayed as separate TAB s in the preview As default the Results and Graphs pages are defined The PrintSetup Ini can be a combinati
89. ediately NOTE No end user may change write the Language files Only representatives of Innovision are allowed together with Innovision to write or change the language files NOTE When a new language file has been written Innovision must approve it before it legally can be used with Innocor Note the country name displayed on the main page in the lower right corner is NOT the selected language see section 3 2 1 How to make a new LAN file 1 Make a copy of an existing LAN file e g copy GB LAN to xxx LAN where xxx is the new language 2 Use a simple text editor like Microsoft Notepad to edit the file Word and other advanced programs cannot be used 3 The LAN file is divided into sections where each section corresponds to a sub menu of the Innocor program However more commonly used words are placed in the Common section Each section is identified in e g Patient The section names must not be changed 4 Each section contains a number of sentences or words that must be translated to the new language Each line contains a keyname on the left of the sign and the translated part on the right side The keyname may not be changed only the right part of the sign Example Sure ToDelete Are you sure you want to delete Where Sure ToDelete Keyname Are you sure you want to delete Text to be translated Notes e The lines with the keynames must be written in one line e Text with
90. el z Status Header MI 0 0 0 0 0 0 RRR 0 RRR RRR Indexes MERA Data MENA AAA Rebuild Message Verification Successful Table has no errors Exit Version 1 5 If errors are found they are listed one by one with the file extension error code error level and a short description of the error Database Verify ciinnocoridatabasesiExperiments db C Patient Experiments User Other Rebuild Table Information gt Override Fields 27 Code Page 1252 with backup Record Size 303 Block Size 2 Table Level d Status _ Extension Error Code Error Level_ Error Message PX 41 1 Empty block 1 reports records Data can be repaired Press Rebuild button to repair data Exit Wersion 1 4 March 2007 COR SUM 0000 001 IN UK A 7 92 Innovision Innocor Software User Manual File extensions MB File with comment fields longer than 255 characters DB File with the data PX File with the links between patient and experiment database Error code Type of error Currently not used Error level O Database has no error 1 An error is found that can be corrected by the rebuild function 2 An error is found that can be corrected with some data loss 3 An unrecoverable error is found 4 An unrecoverable error is found Based on the error level and the file type the best solution for resolving the error is suggested 3 6 1 3 Rebuild Press Rebuild to correct errors in the database
91. er share the CD ROM disc with permissions that gives Innocor access to the shared CD ROM disc Locate the CD ROM disc with the explorer right click and select sharing On the Innocor use the Network Neighbourhood to browse to the remote computer Select the shared CD ROM and open it Double click the installation program e g Setup Install and follow the instruction given on the screen 3 13 5 How to perform a check of the hard disk Start the Command Prompt by entering Cmd when starting a new task see section 3 9 or start the program c windows system32 cmd exe using the explorer Then enter chkdsk exe F at the command prompt and the hard disk will be checked amp corrected for errors at the next boot up The Innocor is automatically scheduled to run a scandisk at the next boot up if the power is turned off unauthorized 3 14 USB TO SERIAL CONVERTER When controlling an exercise device from the Innocor a USB to serial converter must be used The Innocor is installed with a USB to serial driver compatible with the USB to serial converters delivered from Innovision If another type of the USB to serial converter is used the corresponding driver must be installed The USB to serial connecter must be listed on the Ports COM amp LPT in Device manager when connected and installed successfully System Properties 2 xi goegeesesesesessesesececsesa Add Hardware Wizard The Add Hardware Wizard helps you install har
92. ersion and saves a backup of the original n PrevVersion exe Note The Innocor software searches always the c innocor export directory for a new Innocor exe file in order to be backward compatible 3 8 2 Script files idm A script file contains 3 sections 1 Brief description 2 Commands to execute 3 Free text to display after all commands are executed optional The brief description is displayed on the screen when a script is selected and is used to identify the script before executing it The following commands are supported COPY destination Copy file s from a source to a destination XCOPY source on Copy file s from a source to a destination ZE EE ER e els foma source to a destination __ po Delete file s froma source systems SC_INSERT aa ic ORIO ion Ge or change a parameter in a system file ini file GC REMOVE Filename D optinal Delete a parameter or a group of parameters in a system file ini file Wildcards are supported If a file is deleted or overwritten by a COPY or MOVE command the original file is placed in the recycle bin Note This is not the case for XCOPY After the script commands are executed the free text is used to inform the user of the progress e g to say that the update of help files are completed or to ask the user to disconnect the external hard disk The free text must start with an empty line The description text and free text must not co
93. est Comments line Data Comments Chart Chart1 0 06 0 560 Chart Chart4 0 52 0 560 Chart Chart3 0 06 0 762 Chart Chart2 0 52 0 762 Graph 0 IOS SR Oyo 0 98 OL 0 98 y Innocor Software User Manual 10 0 510 13 arial VO A IA Us 0330710 er tad 0 760 0 760 0 962 0 962 Bitmap C innocor print GB top bmp 0 05 0 015 0 20 0 10 Text Heart C 1 ini c 0 20 0 04 50 Times New Roman BI Text Name 0 Subject First name s 0 Subject Last name 0 Text ID 0 Subject ID number 0 Subject Memo O Text Test Date 0 Data Date 0 Text Time 0 Data Time 0 line 10 Text Cardiac Output Decimal C0 Text 1 min Text Cardiac Index Decimal CI Text 1 min m2 Text 0xygen Uptake kg Decimal VO2prkg Text m1 min kg Text Stroke Volume Decimal SV Text ml Text A V 02 diff Decimal AVO2diff Text Chart Chart1 0 06 0 28 0 51 0 Chart Chart4 0 52 0 28 0 98 0 Chart Chart3 0 06 0 62 0 51 0 Chart Chart2 0 52 0 62 0 98 0 BBBView 1070 SN 3 4570 10 0 Set 10 0 IOO s307 0 3070 60 0 EAR o o 10 16 arial 10 16 arial B 10 16 arial B LAS l2 zatiak 125 12 arial B 14 10 arial LOS fla arial 185 125 arial B 135 12 arial TL Eer arta B 200 0 9 0 200 10 0 200 14 arial B S0000FF 48 0 200 1 14 arial B 0000FF 55 0 200 13 arial B S0000FF 10 0 215 14 arial B 005000 48 0 215 1 14 arial B 005000 55 0 215 13 arial B 005000 10 0 230 1
94. f E EA graphs d sin Toggle to enter edit AT auto Ey 2 4 mode D I I d l Li I D o 504 4 ee agt kg a E osscuemane e neon ge dese 1 Maf View Buttons to move Toggle to change Shortcut to line l active line l graphic setup DU Ar ES me E E co Exit 3 KM 0 Below the graph are located up to 9 tabs which are shortcuts to the other zoomed graphs The last tab 1 9 is a shortcut to a full screen display of all graphs see below ues 03 02 2006 I D 301259 Rathgen Christian g 12 44 42 A sm 2 AR AL MAL o 5 5 o 5 Time Minutes Time Minutes 5905 841 A L A AA 4 Eh 5 5 15 o 5 10 1 o 5 10 1 ve Imin Tim Minutes Tim Minutes March 2007 COR SUM 0000 001 IN UK A 7 25 Innovision Innocor Software User Manual 2 4 3 1 AT and RC detection When the AT graph Vco versus Voz or RC graph Ve versus Vcoz is displayed the calculation area is shown The minimum and maximum of the calculation area can be moved manually As default the minimum of the area is found as 1 minute after the rest The default maximum of the calculation area is as default set to the max point However if a RC point is detected this will be the upper limit for the calculation area in the AT graph The AT and RC points are found by the V slope method in auto mode The AT graph contains a 45 assistance line which is an alternative way to check the AT point Under normal
95. forced to GasStatus btnBottle Gas Cylinder btnPressRelease PressurelRelease 3 8 SCRIPT SUPPORT A script is a simple code like a macro or batch file that can be used to pre programme some sequences that often are used e g to copy some data from A to B Several scripts are supported and can be placed on the Innocor or on a USB media The script can be user defined The scripts can be executed from Data Management Script Found see section 2 8 2 3 8 1 Search sys The Search sys file defines where the Innocor software shall look for Innocor script files idm and new executable versions of the Innocor software Innocor exe The file can contain several paths and shall be located in the Setup directory C Innocor Setup The format of the Search sys is path lt TAB gt alias Example d DVD e Hard disk c innocor backu p Backup c innocor export Export USB USB unit March 2007 COR SUM 0000 001 IN UK A 7 98 Innovision Innocor Software User Manual This means that the Innocor software looks on the d drive at the root and if it finds something the source is indicated as DVD Similar with the e drive where the alias is hard disk In the example the backup and export directories are also searched The last line searches all devices on the USB port If the Innocor software finds an Innocor exe in a search location and the Perform button is pressed the software automatically updates the running v
96. fter the actual breathing frequency and number of breaths found in the previous test March 2007 COR SUM 0000 001 IN UK A 7 14 Innovision Innocor Software User Manual 2 sets of typical estimations of the bag volume based on the O and CO requirements are shown below The recommended minimum bag volume 44 of Vital Capacity and maximum bag volume 75 of Vital Capacity are shown as 2 horizontal lines Weight 70kg BolusFraction 20 30 Vbag CO2 Vbag 0O2 lt 4 75 Of VC lt Q 44 of VC Vbag CO2 Vbag 0O2 bn 75 of VC Gu 44 of VC 0 0 5 1 1 5 2 2 5 3 VO2 l min The relatively slow increase in Vbag due to the O requirement in the mid range is caused by the increased breathing frequency and a reduced number of breaths from 5 to 4 typical in this range March 2007 COR SUM 0000 001 IN UK A 7 15 Innovision Innocor Software User Manual Weight 70kg Bolus Fraction 20 30 Vbag CO2 Vbag O2 en 75 Of VC lt G 44 of VC Vbag L 0 50 100 150 200 250 Load W Vbag CO2 Vbag 02 lt Q 75 of VC lt Q 44 of VC 0 0 5 1 1 5 2 25 3 VO2 l min It is seen that the CO requirement is dominating with 8 maximum COs and the O requirement is dominating with
97. ftware Innocor log Innocor map Files for debugging InnoSys dll Innocor system file Innoupdate exe Program used to upgrade Innocor software Program to generate a flow table Program used to repair Innocor databases TUTIL32 DLL Files for displaying curves on line and offline 3 5 6 1 Drivers for exercise devices The Innocor software supports different exercise devices The drivers for these exercise devices are located in dll files in the program folder The drivers are specially made by Innovision based on the information given by the manufacturer on the software protocol interface See section 2 3 1 for the list of supported exercise devices March 2007 COR SUM 0000 001 IN UK A 7 81 Innovision Innocor Software User Manual 3 5 7 Protocol The PROTOCOL directory contains the setup of the exercise protocols pro Configuration file for an exercise protocol The format of the file is 1D Original name Protocol name Type 0 or 1 O bicycle 1 treadmill Protocol Stepl Load Slope Speed Time Bag Bolus Freq RB NIBP Examples Example is a treadmill protocol running with fixed settings ID Original name Examplel Type 1 Protocol Step1 0 0 5 5 2 10 20 On OTF Step2 0 1 5 5 2 10 22 On Off Step3 0 1 6 4 2 10 24 On Off Step4 0 2 6 4 20 10 26 On Off Step5 0 2 7 3 SE 10 28 On Off Step6 0 3 7 3 3 15 30 On Off Step7 0 3 8 3 FJD 20 32 On Off Example2 is a bicycle protocol running with auto
98. h the requirements of the system standard EN 60601 1 1 The following 3 protocols are standard built in protocols which can not be changed by the user Auto Bicycle A bicycle ergometer protocol where all settings are set to automatic and only a minimum is defined by the user just prior to the test Auto Treadmill A treadmill protocol where all settings are set to automatic and only a minimum is defined by the user just prior to the test Single RB A single rebreathing test without a protocol Exercise profile Select load profile OS List of exercise Auto Treadmill Single RB protocols Example2 Example treadmill bagauto1 10 5 bagauto2 Minutes bagauto3 D Type Auto Bicycle ld weil Device ErgoLine550Bike g Name of exercise Toggle to change device to be controlled exercise device When the protocol is selected an additional setup menu appears if any of the protocol fields are set to auto The user checks changes these auto fields and presses OK to start the protocol Edit and set limits for Treadmill protocol Inc slope np Inc Speed py km h Default Min slope 0 0 Min speed kb kmh Time in step g min Steps between RB H E Min bag vol 1 8 Steps between NIBP o 2 Max bag vol bi 7 je js Je Initial RB freq 25 min L wm CJE JE Cancel March 2007 COR SUM 0000 001 IN UK A 7 11 Innovision Innocor Software User Manual Edit and set limits for Bicycle pr
99. ient database is generated Similar with the experiment and user databases Every time a new test is performed or a test is deleted a backup of the experiment and user databases is generated In case of a corrupt database the Innocor S W will automatically restore the backup copy The corrupted database will be copied oa Err db or a _Err mb file If the backup copy is also corrupt a new empty database will be generated If a database is corrupt and the Innocor S W is not able to detect the error in order to restore the backup copy a software databases repair tool can be used see 3 6 1 The database file db can be opened and read by Microsoft Access but it is not recommended to edit or change the database using Microsoft Access 3 5 2 Export The EXPORT directory contains exported files of results or raw data TAB separated The export of data can be performed from Data Management see section 2 8 1 BBB detail see section 2 4 2 or Data Table see section 2 4 7 The export from Data Management exports all data in a fixed format whereas the export from BBB detail and Data Table are user configurable The directory is also used to temporarily hold a new Innocor exe file in case of upgrading the Innocor software The default EXPORT directory is C Innocor Export but can be redirected see section 3 5 10 March 2007 COR SUM 0000 001 IN UK A 7 77 Innovision Innocor Software User Manual The file naming of the exported files is
100. ight 0 0103 Insp Exp Beep defines the mode of the sound guiding during rebreathing The following 3 modes are supported e Off No sound e Short A short beep is given at the beginning of each expiration and inspiration e Long A high continuous tone is present at each expiration and a lower continuous tone is present under each inspiration March 2007 COR SUM 0000 001 IN UK A 7 44 Innovision Innocor Software User Manual 2 5 2 Hidden Manoeuvre Calculation Parameters Additional manoeuvre and calculation parameters are hidden from the normal user and the parameters are normally not necessary to change The menu of the manoeuvre calculation parameters is entered by pressing the lower left corner and the lower right corner of the bottom menu see below 29 08 2003 Setup 13 48 03 Estimated Maximal YO2 I min Maximal Load Watt f Ambient 7 8 po j j r bag volume litre HH Graphics 4 5 6 Del Initial NIBP pressure 160 mmHg a f gagga Bolus Fraction 10 00 i l Ge JEJ EE Rebreathing freq 20 pr min KE Language Max CO2 limit 8 00 Default Min 02 limit 13 00 L as linder Insp Exp Beep Short Undo EY a O2Adjust March 2007 COR SUM 0000 001 IN UK A 7 Service dl Help Exit Setup 45 Innovision Innocor Software User Manual 2 5 2 1 Manoeuvre parameters 22 03 2007 15 00 27 KA D r E o Maximal VO2 l min
101. igure the format of a signal A signal can be displayed using one of the following three formats Symbols Lines Symbols and lines Select color and shape _ EE _ IS Colour of symbol line Line type Default Symbols Cancel No symbol 2 4 4 Rebreathing results The Results screen displays the main parameters of the test 2 14 03 2007 ID 290353 Inno Vision 14 18 91 CO 4 l 3 min Patient Pt Data 1 3 08 04 2005 15 39 26 Ex 2 18 05 2005 15 40 27 2 1 18 05 2005 15 44 23 2 2 18 05 2005 15 47 35 Cl 2 4 liminim2 2 3 18 05 2005 15 50 44 2 4 18 05 2005 15 53 47 VO ikg 2 0 mlmin kg Ex 3 20 05 2005 16 07 37 Test Param Test 3 1 20 05 2005 16 11 00 02 03 2007 07 16 58 SV 56 ml D emo A V O diff 15 x Test 10 out of 10 b Rest Delete Print Prey Help EE Results Details Graphs Data Table Dataview 1 4 Dataview 5 8 Exit Meas HPL EE EEE 39 Cylinder ma HR 55 SpO gt 94 Cuff mmHg The user can enter specific comments to the measurement in the comments field On the left side the user can select previous tests and have the results displayed The Delete button will erase a test from the database as well as erasing the corresponding raw data file from the hard disk March 2007 COR SUM 0000 001 IN UK A 7 28 Innovision Innocor Software User Manual 2 4 5
102. indows XP March 2007 COR SUM 0000 001 IN UK A 7 116 Innovision Innocor Software User Manual The connection can be checked using the PING command If the PING command does not work the Innocor and the remote computer cannot communicate Enter the command prompt cmd and type PING 10 0 Ox Where x is the IP address of the other computer Command Prompt C gt PING 16 6 6 56 Pinging 10 0 0 560 with 32 bytes of data Reply from 18 8 86 50 bytes 32 time 1ms TTL 128 Reply from 10 0 0 560 bytes 32 timetims TTL 128 Reply from 10 0 0 560 bytes 32 timetims TTL 128 Reply from 10 0 0 506 bytes 32 timet lt ims TTL 128 Ping statistics for 10 0 0 560 Packets Sent 4 Received 4 Lost A HY loss gt Approximate round trip times in milli seconds Minimum ms Maximum ims Average Ams gt Logon from remote computer For transferring data files The remote computer can logon as innouser with password innopass or innosuper with password superpass Innouser has restricted access whereas innosuper has access to the entire Innocor folder On the remote computer use the Network Neighbourhood to browse to the Innocor computer named as the serial no e g 0125002 sn0326061 or newinnocor See section 3 13 1 on how to find an Innocor on a network If the remote computer is running Windows 9x the following procedure can be used to connect to the Innocor Select Other computer properties Selec
103. ing is achieved A slow mixing can be due to slow mixing of the lungs or that the bag is March 2007 COR SUM 0000 001 IN UK A 7 33 Innovision Innocor Software User Manual not emptied properly during the rebreathing The software is looking at the SF in order to determine when a good mixing is achieved and thereby when the blue rectangles shall start The software compares the maximum and minimum values within a breath and calculates a mixing value as the difference divided by the average max min max min 2 The mixing threshold is defined by the value Mixing Threshold in the setup default 15 see section 2 5 2 1 The ratio between the bag concentration found as the max during the first inspiration and the mixed concentration back extrapolation of the line to time zero is used to determinate the lung volume V_ Example Vbag 1 5 litre FRC 2 0 litre SF 6 bag 0 1 SF 6 mix 1 5 0 1 1 5 2 0 0 043 Note The above calculations are not altered for BTPS amp ATP At rest the slope of the insoluble curve is nearly zero but during higher exercise the insoluble curve increases during the manoeuvre This is due to a relatively high oxygen uptake at the same time as the carbon dioxide output is limited due to the increasing CO in the bag 2 4 7 Data Table Pressing the Data Table Tab will display the results in a tabular form for the selected tests The selected tests will be allocated a number st
104. ing on the Innocor directly The Innocor Viewer is tested under Windows XP but can also run under Win 98 Win Me and Win 2000 Not under Windows NT The Innocor Viewer requires a USB memory key with a valid code Viewercode bin in order to operate However the Viewer can also run as a demo if the database only contains 1 or 2 subjects An easy way to view the Innocor data offline is to go through the following steps 1 Insert the USB memory in the USB port of Innocor 2 Copy the databases and raw data from the Innocor to the USB memory key a Enter Data Management b Enter Script found c Select Backup Data or Copy data to USB and press Perform 3 Insert the USB memory in the USB port of the remote computer 4 Run the Start bat on the USB memory key from the remote computer 5 Select the database directory a Press Setup b Press Viewer dir c Find the root of the USB memory key 6 Enter Measurement or Data Management and look at the Innocor data offline Select database folder Drive S O databases innocor Protocol Folder Ph Patients db 09 09 2004 14 52 14 09 09 2004 09 07 22 09 09 2004 Cancel Experiments db 09 09 2004 14 52 10 09 09 2004 09 01 52 09 09 2004 User db 09 09 2004 14 52 14 09 09 2004 08 57 32 09 09 2004 OK Note that the offline Viewer is capable of handling several sets of databases using the Viewer dir where the location of the actual database is defined Only one databas
105. innocor SOFTWARE USER MANUAL COR SUM 0000 001 IN UK Issue A Rev 7 C E 0543 2007 03 S W version 5 07 INNOVISION A S Tel 45 65 95 91 00 Lindvedvej 75 Fax 45 65 95 78 00 DK 5260 Odense S info innovision dk Denmark www innovision dk Innovision Innocor Software User Manual TABLE OF CONTENTS 1 INTRODUCTION AND APPLICABILITY OF THIS MANUAL ceesseeseeeeees 1 1 1 APPHICABILITY OF THIS MANUAL ositos 1 1 2 INTRODUCTION TO UINNOGOR vsto einsi nanea aaa as 1 1 2 1 ende dust iodo 1 1 2 2 Intended applications and patient population cee ccceececeeeeseeeeaeeeseeeeseeeeseees 2 1 2 3 Intended operators ANd emvironment 2 1 3 ININOG OR MODELS cities aaa rset ed e tenets 3 1 4 SUMMARY OF REVISION CHANGES oocccocccccnccncnnccnononononncononncnnnnnnnonnnnnononenonononnnos 3 1 5 SOFTWARE CHANGES ere ein e Del 3 1 6 INNOCOR hg ON 4 2 SOFTWARE DESCRIPTION iii cdi 5 2 1 ENTERING PATIENT DATA vpo a o 5 2 2 MAKING A SINGLE MEASUREMENT ooccccnccncnnccncnoccnonoccncnncnnnoncnononnnonononononenenononos 7 2 3 PROTOCOL EXERCISE EXECUTION sist is 10 2 3 1 Starting a protocolo ia 10 2 3 2 RUNNING Avi Protocol e ea A T 12 Zaa e tee e Ee WEE 12 2 3 2 1 1 Changing protocol parameters on Jme 13 2o le I FOLOCOME SUMAN OM a a o aa 14 e A A Gteett a Stans aceite samen Sone eee ees Rise t a as 17 DOL le EE 19 2 3 3 Breath by Breath on line Screen cccooccccoonnccconocononncnnnnconanonon
106. l Air Fill Valve All valves off Single Valve Control Close to Reb Bag Pneul Close to open Air Pneu2 Air String for Bag fill AIR Pneu 2 D2 C PAW D6 REB D5 Bag Pump D4 Bolus bag fill Rebreathing AIR D3 Airway Zerocal PAW Reb Bag Evacuation EVAC Bag Pump Spare Signals Signal Stat PGA Mix Oxygen Cal E March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual In Beep the user can test the beep sound support in the different modes Selected Signal 0 049 PGA Reg No 164 Dig Oxygen 21 24 Elapsed time Bolus Fill Air Fill Beep All valves off Close to Reb Bag Pneul Sound Off Close to open Air Pneu2 Air String for Bag fill AIR Change Bolus bag fill Rebreathing Airway Zerocal PAW Reb Bag Evacuation EVAC Bag Pump Spare Signals Signal Stat PGA Zero PGA Mix Oxygen Cal Blood Press 2 6 NIBP From the main menu the NIBP can be accessed in which a stand alone blood pressure measurement can be performed Mount the cuff as described in the Service Manual and keep the arm relaxed without moving it Press the Start button to start the automatical blood pressure reading The NIBP inflates the cuff to the initial pressure default 160 mmHg and thereafter slowly releases the pressure If the measurement fails and if it is suspected that the subject h
107. le touch screen interface Simply touch press the buttons on the screen to invoke the desired functions There is no significant warm up time required for use of Innocor 1 2 2 Intended applications and patient population Innocor can be used in a variety of medical fields where knowledge of cardiac output and gas exchange is important e g cardiac exercise stress testing heart failure cardiac surgery hypertension pulmonary hypertension haemodialysis and pacemaker programming It can be used both in rest and exercise e g with patients who have no symptoms in rest or light exercise The method involves no risk or pain to the patient The only requirement is that the patient is capable of understanding the instructions from the operator and performing the manoeuvre well 1 2 3 Intended operators and environment Unspecialised nurses and paramedics in all parts of the health care system can use Innocor However qualified medical personnel should always supervise the user March 2007 COR SUM 0000 001 IN UK A 7 2 Innovision Innocor Software User Manual 1 3 INNOCOR MODELS Innocor is produced in different models An overview of the models is given in the table below Model Oxygen sensor Blood pressure sensor Breath by Breath INNOO5O INNO100 d INNO200 d INNO300 y d INNO400 Ni y 1 4 SUMMARY OF REVISION CHANGES 18 05 04 First issue for software version 3 02 pdated to softwar
108. led by an internal program or by another external unit the Dummy_Bike_Mill can be selected and the user will not be prompted when changing exercise levels Note there is no synchronization between the Innocor and the exercise device and the load values on the Innocor may therefore be wrong shifted If the synchronization is important the following procedure can help March 2007 COR SUM 0000 001 IN UK A 7 109 Innovision Innocor Software User Manual Make the time intervals on the Innocor a little longer than on the external device Every time the exercise level is changed go to View show protocol Select next test and Press Go to step 3 11 6 Corrupt gas bottle database If the Innocor software gives the message The Gas Cylinder data was not found Further measurement not possible when trying to make a new test the gas bottle database is invalid or damaged This is a serious message that normally only can be resolved by sending the Innocor to Innovision for repair However the following procedure can maybe rescue the database Exit to Windows see section 3 1 Navigate to C innocor program Rename the file Innosys dll to Innosys bak Restart Innocor 3 11 7 Generating images of graphics When using a mouse together with the Innocor or Innocor viewer it is possible to generate an emt image of most of the graphics by right clicking on the plot See section 3 5 10 3 for more information on the EMF format March 2007
109. linders Gas Cylinder No Rem Yolume ml Performed Test 040304 4168396 4425 040611 9332217 12300 hd poean Data for Gas Cylinder in use 031118 2166012 7206 Pressure Release System pressure 80 A gas bottle is automatically removed from the list when the remaining volume drops to 0 or if the gas expires 2 years after the date on the bottle A gas cylinder can be deleted from the list using the Delete Bottle No This is helpful if a gas cylinder is e g empty and returned to Innovision or used on another Innocor but the status of the gas cylinder in the gas cylinder list is not recognised March 2007 COR SUM 0000 001 IN UK A 7 58 Innovision Innocor Software User Manual as empty Note when a gas cylinder is deleted from the list it can not be entered again the software sets the status to empty when a gas cylinder is deleted 2 5 8 3 Gas cylinder information When the gas cylinder pressure drops below 10 bar the following message pops up to warn the user about a nearly empty gas cylinder 2 Confirmation Gas Cylinder No 031118 2166012 The Gas Cylinder is nearly Empty OK If the Innocor sees a gas cylinder with a lower pressure than expected the user is first prompted 2 Confirmation Gas Cylinder No 040611 9332217 Is the Gas Cylinder screwed down firmly If the user presses yes to confirm that the gas cylinder is screwed down the following message appears
110. min m2 Text 0xygen Uptake kg Decimal VO2prkg Text m1 min kg Text Stroke Volume Decimal SV Text ml Text A V 02 diff March 2007 LO Ds Ds AS Py O yom Oe Ley 124 abial B e 0u 60 0 10 0 10 16 arial 10 16 arial B 10 16 arial B 125 125 ar ve lL i Zoy Le parley B 14 10 arial ESAS ar tek Le5 12 artal Les loo ar La dB 2007 097 0200 10 0 200 14 arial B S0000FF 48 0 200 1 14 arial B 0000FF 55 0 200 13 arial B S0000FF 10 0 215 14 arial B 005000 48 0 215 1 14 arial B 005000 55 0 215 13 arial B 005000 10 0 230 14 arial B FF0000 48 0 230 1 14 arial B SFF0000 55 0 230 13 arial B S FF0000 10 0 246 14 arial B 48 0 246 0 14 arial B s5570 246 1A aries 7B vl O AO 20214 ariadsB COR SUM 0000 001 IN UK A 7 103 Innovision Decimal AVO2diff Text Text Detailed line line Text Stroke Volume Decimal SV Text ml Text Stroke Index Decimal SI Text m1 m2 Text Oxygen Uptake Decimal VO2 Text 1 min Text 0xygen Uptake kg Decimal VO2prkg Text m1 min kg Text Heart Rate Decimal HR Text bpm Text Lung Volume Decimal FRC Text 1l Text 5p02 Decimal 5Sp02 Text Text A V 02 diff Decimal AVO2diff Text Text 5Sv02 Decimal Sv0O2 Text Text Shunt Decimal Shunt Text Text Sys BP Decimal SYS Text mmHg Text Vascular Resistance Decimal SVR Text mmHg l min Text Map BP Decimal MAP
111. mputer in Explorer or via Files Select Properties Select Tab Computer Name Press Change Enter computer name as snyywwnnn where yy year ww week nnn running number e g sn0326061 System Properties 23 Computer Name Changes We al General Computer Mame EE Hardware Advanced ou can change the name and the membership of this computer Changes may affect access to network resources e Windows uses the following information to identity your computer ba on the network Computer description 0326061 For example Kitchen Computer or Mans Computer name Full computer name Computer n0326067 Full computer name n0326061 Workgroup INN WEI Mere To use the Network Identification Wizard to join a Network ID Member of domain and create a local user account click Network C Domain EEN GE REES To rename this computer or om a domain click Change Change e Workgroup INNO_WRKGRP DK Cancel Carcel zm March 2007 COR SUM 0000 001 IN UK A 7 119 Innovision Innocor Software User Manual 3 13 4 How to install software from a CD ROM on an Innocor This can be useful for installing e g a new printer If the Innocor is running Windows XP an external USB CD ROM can be used Otherwise a CD ROM on a remote computer can be shared First of all establish a network connection between the Innocor and the remote computer On the remote comput
112. ng the rebreathing manoeuvre When the BP measurement is started the current cuff pressure is shown in the status bar in the lower right corner of the main test window The BP measurement can be stopped aborted the Stop NIBP button and restarted again under the test Only the last measured values are saved in the database When the BP measurement is finished the resulting Systolic Diastolic pressures are shown for 20 s in the status bar WA Me se A Je ss ses Ze A sl Als sm sm se Les me me me me zm AA ss sl Ai A ee me em vm em zm des e Ai wn vm zm mes em me A Als me em Ze mee zm egen mm ete See section 3 10 for details on the help system 2 8 DATA MANAGEMENT 09 03 2007 Data Management 12 54 37 Export Data Script found Exit Data The data management contains 2 sub menus e Export Data where data is converted to text into the export folder e Script found where programmable scripts can be executed in order to e g make a backup update software or copy files March 2007 COR SUM 0000 001 IN UK A 7 69 Innovision Innocor Software User Manual 2 8 1 Export of data The export of data transfers results or data from the Innocor into tab separated ASCIl text files Select Data Management from the main menu then Export Subjects 091063 Pedersen Knud E xport Selected 1727 No of tests selected on subject 1 124 Results Pedersen v 12 06 2006 13 48 49 Raw Dala 091063b Inno Vision 1 ee 1
113. nncnnannnonannnnannnenannnss 20 2 3 4 On line raw data Screen la ee EE 21 2 3 5 CONAN o e da o 22 2 4 EVALUATING RESULTS abii a a a 22 2 4 1 xer ise test BOS UINS a aS 23 2 4 2 Exercise testdetal S ls aras 23 2 4 3 Exercise test graphs cara Aita 24 2431 AT and RC detetom ananira iii 26 2 4 3 2 Deleting Breath by Breath results 27 2 4 3 3 Breath by Breath graph setup occcooccccoccccconcncconcnonnncnonnnnnnnnnnnnnnnnnnnrnnnnnrnonnnrnnnnnnnnnns 28 2 4 4 Rebreathing resultS occcocnnncoconcconcnccconnncnonnnnnonononnnononnconannnnnannnnnnnnnnnnnnenannninaness 28 2 4 5 Rebreathing details oocccocnncconcnccoonnccconncononcconnnonannconanonnnanoncnannnnnnncnnannnnnnnnss 29 2 4 6 Keele Belge le EE 29 ZA A Normal ele EE 30 246 2 Normalised OXyJ N a dol 32 2 4 6 3 Normalised soluble gas N O 33 ZA ADA Insoluble gas SFe aaa td dica dida 33 2 4 7 DataTable un o to dt a a lo 34 2 4 7 1 Calculated Parameters ocio a dEREEENNEEN 35 2 4 8 RW 36 2 4 9 See 38 ZA VO TE paa 39 2 5 SETUP REA ene eer ete eee One Pe ee ee er eee re eee eee E ere eee en ne eee eines ete eee nee 42 2 5 1 al A 42 2 9 2 Hidden Manoeuvre Calculation Harameters 45 2 9 2 1 Manoeuvre parameters iia 46 25 22 Caleulation parameters as 47 20 20 Breat Dy Brealh Selina iia aa cia oo 48 20 24 Hardware UU o dl ease 49 2 5 3 EECHER 50 2 9 4 A a eases ea ee eeen E A A sceee ee EA 50 2 5 5 User defined parameters seana a a a 51 2 5 6 Language O 51
114. ntain a TAB otherwise the software interprets the line as a command line The script language can accept the USB instead of a drive letter e g d This is an advantage because the drive letter of e g a memory key is not always the same If an USB memory device is connected to the Innocor it will typically get the first free drive letter e g e If another device maybe of same type is connected instead of the first device the second device will get the next free drive letter e g f and etc Using the USB in the script the Innocor will look for the first active removable drive on the USB Example 1 Backup data to USB unit Both databases and raw data are copied Copy c innocor databases USB databases March 2007 COR SUM 0000 001 IN UK A 7 99 Innovision Innocor Software User Manual Copy c innocor rawdata USB rawdata Copy c innocor rawdataBBB USB rawdataBBB Backup performed Example 2 Disable NIBP support Redirect print outs to emf files in the export folder 26 10 2006 Innovision SC_Insert C Innocor setup hardware ini NIBP Installed 0 SC_Insert C Innocor setup hardware ini FilePrint Path C innocor export Update of hardware ini completed The first SC_Insert sets the Installed parameter to 0 in the NIBP group The second SC_Insert inserts the parameter Path C innocor export in the FilePrint group l e the hardware ini will be chang
115. ol name P89 Auto po Q nons C Treadmill 5 gt ma OK foams CS CS FC Ca CS 70 CS Cs CO aS ES COS pS Cr a a S e e E New line A new line can be added to a protocol by first pressing a step in the Step Action field The complete line will then be highlighted Then press the ENTER key and an extra line will be added after the current step The contents of the new line will be a copy of the current step Move line A line can be moved up or down by first pressing the step to move in the Step Action field The complete line will then be highlighted Then press the up or down arrow to move the line March 2007 COR SUM 0000 001 IN UK A 7 53 Innovision Innocor Software User Manual Delete line A line can be deleted by first pressing the step to delete in the Step Action field The complete line will then be highlighted Then press the Del key and the line will be removed 2 5 7 1 Treadmill protocols Different incremental treadmill protocols are used when testing patients Some of them are given below 2 5 7 1 1 Bruce protocol Standard Bruce protocol ae ee A E Pet OS 25 12 3 4 2 16 5 0 18 2 5 7 1 2 Ellestad protocol Ellestad protocol a a mn 274 17 10 3 B 30 to 3 644 40 10 2 24 805 50 10 3 281 2 965 60 6 inze 7 0 18 DI 15 March 2007 COR SUM 0000 001 IN UK A 7 54 Innovision Innocor Software User Manual
116. olor FillColor Chart DataView BBBGraphs BBB Data Left Top Right Bottom March 2007 Horizontal position on the page 0 1 O is left side 1 is right side Vertical position on the page 0 1 O is top 1 is bottom Size of font 10 100 Times New Roman Arial B Bold Italic Bl Bold and italic Colour see colour coding table below default black Chart1 current normal screen Chart2 normalised oxygen screen Chart3 semi logarithmic plot of N20 Chart4 SF screen DataView1 DataView 1 to 4 DataView2 DataView 5 to 8 BBBGraphs current BBB display up to 3x3 plots BBB Data current BBB results table Left position on the page 0 1 O is left side 1 is right side Top position on the screen 0 1 O is top 1 is bottom Left position on the page 0 1 O is left side 1 is right side Bottom position on the screen 0 1 O is top 1 is bottom COR SUM 0000 001 IN UK A 7 101 Innovision Filename Linewidth Start x Start y Stop x Stop y Colour coding Innocor Software User Manual Filename of image complete path Thickness of line 1 2 3 Start vertical position on the page 0 1 O is top 1 is bottom Start horizontal position on the page 0 1 O is left side 1 is right side Stop vertical position on the page 0 1 O is top 1 is bottom Stop horizontal position on the page 0 1 O is left side 1 is right side Colou
117. on Innocor Software User Manual 3 5 2 1 Import of Innocor data into EXCEL The exported tab separated files can be imported to EXCEL via the following procedure e Start EXCEL e Select open Files open e Change file type to text files e Locate the file to open e Select open e Press finish The file is now imported into EXCEL 3 5 3 Help The HELP directory contains html pages for the on line help of Innocor a subdirectory for each supported language See also 3 10 DataExport htm Main page of data export help Index htm Main page of help with reference to the other help pages Measurement htm Main page of measurement help Patient htm Main page of patient help Setup htm Main page of setup gif jpg 3 5 4 Language The LANGUAGE directory contains the setup files for the supported languages Description Translation file mages of the flag for identification of the language See section 3 7 for details 3 5 5 Print The PRINT directory contains the setup of the printing layout a subdirectory for each supported language File Description PrintSetup ini Configuration file for the print layout Images used in the print layout See section 3 9 for details March 2007 COR SUM 0000 001 IN UK A 7 80 Innovision Innocor Software User Manual 3 5 6 Program The PROGRAM directory contains the executable Innocor software File Description Innocor exe Main Innocor so
118. on of graphs data fixed text and images The following types are supported March 2007 COR SUM 0000 001 IN UK A 7 100 Innovision Innocor Software User Manual Subject Data from patient database Format Subject value x y fontsize fontname fontattribute fontcolor Data Data from experiment database Format Data value x y fontsize fontname fontattribute fontcolor Decimal Decimal Data from experiment database Decimal value x y decimals fontsize Fontname fontattribute fontcolor BBBMainData Data from BBB results Format BBBMainData BBB Data type x y fontsize fontname fontattribute fontcolor Chart Graph from display Chart1 Chart2 Chart3 Chart4 or Trend Format Chart chart type left top right bottom DataView Graph from dataview display DataView1 4 or DataView5 8 Format DataView DataView type left top right bottom BBBGraphs Graph from BBB display 3x3 plots Format BBBGraphs BBBgraphs type left top right bottom Meta Meta file from disk wmf file Format Meta filename left top right bottom Bitmap Bitmap Format Bitmap filename left top right bottom Text Fix text Format Text value x y fontsize fontname fontattribute fontcolor Line Draw a Line linewidth start x start y stop x stop y color from disk bmp file line filled frame Frame Draw a Format Frame linewidth left top right bottom framecolor fillcolor Where Fontsize Fontname FontAttribute FontColor Color FrameC
119. on will not be enabled If this is the case mount the flexible flow restrictor on the RVU see section 8 RVU description in the Instructions for Use The status of the breathing can be checked in the lower left corner of the screen It shall show inspiration during inspiration expiration during expiration and at no flow Press Start to start the rebreathing test Start can be pressed during any phase of the breathing cycle The device will open to the rebreathing bag at the end of the actual or subsequent expiration When the valve shifts the patient should hold the breath for approximately 1 second to allow the valve to switch completely The following screen appears Rebreathing frequency min Detecting breaths Press Start to begin Waiting for next inspiration Rebreathing freq 20 min e Finished ee H ae 9 e When breathing try to follow the speed indicator Breathe faster if the indicator is to the right of OK Breathe slower if the indicator is to the left of OK However an accurate breathing frequency is not critical for the calculations but a too slow breathing can result in a too low O concentration or too high CO concentration in which case the test will be aborted before the planned stop see section 2 5 1 for further details March 2007 COR SUM 0000 001 IN UK A 7 9 Innovision Innocor Software User Manual It is essential that the rebreathing bag is being emptied completely
120. onds interval where the Vo is maximal At the end of the period In the middle of the period March 2007 COR SUM 0000 001 IN UK A 7 24 Innovision Innocor Software User Manual If e g graph 3 Vo Vco versus time is pressed the screen below will be displayed The Rest AT and Max points are indicated by vertical lines In this case the RC point is not found and therefore not displayed The Rest AT and Max points can be moved manually one at a time using the and buttons below the graph The active line is indicated with a yellow rectangle use the button below the graph to change the active line A line can also be moved by pressing the yellow rectangle at the top of the line and then dragging it to the new position Note that the AT point can only be moved if the AT is set to manual 05 02 2006 ID 301259 Se Rathgen Active line 3 Toggle to change 11 40 48 parameter list Su Sa AT Max AT E o a e a EE EE Low slope 0 823 i l i l i i i i High slope 1 639 Hr 113 Resp Freq 16 7 Set VE SE IAS o GER EE SS SE d Pa i Ve 40 8 e CO 1 655 e 2 22 52 Lescht Lee EE EE AE VO 2 014 ee a E R 0 82 o E 02 Hr 18 79 ja AA E EE EE EE EE AER es E Toggle to setATto Fozet 12 61 e auto or manual cO2et 6 99 A E EE Eege efXCO 23 2 Di l p off 0 e V g 19 1 0 1 a E Toggle to enable E KE EE EES A pee all deel disable AT 32 kg Dees Shortcut to other f Ee Lue
121. oot partition cc eeecccccseeeeeeeeeeeesseeeeeeseeeeesaeeeeeens 115 NETWORK CONNEC TION usura ao 116 How to find Innocor on a network using Windows Ab 117 How to set IP address on lnpnocor REENEN 118 How to set Computer Name on NNOCOF ccccoccccccccnccccnnccncnnconnnccnnnnononcnnnnnnononnnonos 119 How to install software from a CD ROM on an Innocor 120 How to perform a check of the hard dek ccccecccceeececeeeeeceeeeceeeeeeeeeseeeesaees 120 USB TO SERIAL CONVERTER outra 120 EVENTFLOG oil 122 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual 1 INTRODUCTION AND APPLICABILITY OF THIS MANUAL 1 1 APPLICABILITY OF THIS MANUAL This Software User Manual provides information about how to use the software on the Innocor The information is more detailed than the one given in the Instruction for Use COR MAN 0000 001 IN in various languages Information on the Innocor hardware and service amp calibration can be found in the Innocor Service Manual COR MAN 0000 002 IN This manual is applicable for the software version 5 07 Section 1 Section 1 2 gives a short introduction to the Innocor Differences between models are summarised in section 1 3 Section 1 4 lists the history of this document and section 1 5 lists the software changes Section 1 6 defines the different symbols used in the Innocor software Section 2 gives a general description of the Innocor software Section 3 gives a more
122. or after a rebreathing test Use the key to select between entering of data for the next test or a test already performed Patient data to use in a new test pra i SES as as DS ES oe J fe EI Se Toggle between new test and existing test NIBP Exercise User Patient data related to test Date 12 12 2003 Time 15 14 09 NIBP Exercise User The haemoglobin Hb can be entered in g dl or mmol l The HR and SpO can only be entered after the test Weight and Height can be adjusted If a parameter is changed after a test the Update button must be pressed in order to update the values and possible derived parameters stored in the data base March 2007 COR SUM 0000 001 IN UK A 7 38 Innovision Innocor Software User Manual The following 3 displays show the other tabs for manual entering after a test Patient data related to test Date 12 12 2003 Time 15 14 09 o wmd Exercise User The systolic and diastolic blood pressure can be entered manually before or after the test if the internal or connected blood pressure device is not used The MAP is calculated as 1 3 SYS 2 3 DIA Patient data related to test Date 14 09 2003 Time 17 21 50 The Load field is designed for entering the workload on a bicycle ergometer and the Speed and Slope for the setting on a treadmill They are automatically updated running an exercise protocol Patient data related to test Date 12 12 2003 Time 1
123. otocol Inc load 25 0 Watt Steps between RB Default Min load 0 0 Watt Steps between NIBP 0 E Time in ste E min ME e Le Le E min DEE a Max bag yol 3 1 1 2 3 4 i Initial RB freq 25 min SEI AE Cancel Inc load Incremental exercise level for each step in a protocol The resulting exercise Inc slope level is incremented by the value for each step starting with the minimum Inc speed exercise level Min load The exercise level used for the first step in a protocol Min speed can be changed during the protocol execution Min bag vol The minimum maximum bag volume allowed The bag volume to be used Max bag vol during the protocol is automatically adapted according to the specified exercise level but the Min and Max bag vol sets the limits of the volume The default Min Max bag vol is 44 75 of the predicted vital capacity of the subject If the actual breathing frequency exceeds 30 min the actual max bag volume will be reduced to Max bag vol 30 Freq Steps between The number indicates how often a rebreathing shall be performed RB 0 never 1 every step 2 on every second step etc Steps between The number indicates how often a NIBP measurement shall be performed NIBP Since the NIBP measurement must be done together with a rebreathing measurement the number must be a multiple of steps between RB 2 3 2 Running a protocol When a protocol is started
124. partition 1 WINDOWS operating systems multi 0 disk 0 rdisk 0 partition 1 WINDOWS Innocor C fastdetect multi 0 disk 0 rdisk 0 partition 2 WINDOWS XPE Backup D fastdetect March 2007 COR SUM 0000 001 IN UK A 7 115 Innovision Innocor Software User Manual C CMDCONS BOOTSECT DAT Microsoft Windows Recovery Console cmdcons To change the boot partition to the secondary drive the number 1 in line 3 default must be changed to 2 default multi 0 disk 0 rdisk 0 partition 2 WINDOWS Note Be very careful when changing the BOOT INI file a single mistake and the system will be locked Changing BOOT INI with Recovery Console can be done by copying BOOT INI to a USB memory key Edit the file on another PC and then copy the file back to the Innocor 3 13 NETWORK CONNECTION This section contains a short instruction on how to connect a computer to the Innocor in order to transfer files from the Innocor to a remote computer or vice versa The instructions are written for a computer super user Basic Setup IP addresses setup The Innocor and the remote computer must use the same IP address range in order to be able to move files between them The Innocor uses as default the following IP 10 0 0 x Mask 299 255 255 0 Domain workgroup Inno_wrkgrp where x is in the range 50 99 X is found as the serial number modulus 50 50 l e sn0303034 10 0 0 84 sn0416088 10 0 0 88
125. perating system With the alternative boot up it is possible to make a check disk of the primary drive or simply copy the corrupted file s from the secondary drive to the primary drive It is also possible to run the Innocor software from the secondary drive and then later repair the primary drive 3 12 2 1 How to boot from the alternative drive Connect a keyboard to the USB connection on Innocor 2 Press and hold down F8 while switching ON the power A Wait for the BIOS to finish After this a black screen with selection possibilities is shown Now F8 can be released 4 With the arrow keys select the last row Return to OS Choices Menu and press Enter 5 Anew screen is shown with Innocor C XPE Backup D Microsoft Windows Recovery Console Innocor C is the normal boot up on the primary drive XPE Backup D is the alternative boot up on the secondary drive Microsoft Windows Recovery Console is a boot up in a command prompt display with a limited set of DOS like commands 6 Use the arrow key to select a line and press Enter March 2007 COR SUM 0000 001 IN UK A 7 114 Innovision Innocor Software User Manual 3 12 2 2 How to run Innocor software from the alternative drive Press the Start button and select the Innocor program This will start up the Innocor software located on the primary drive and the standard database on the primary drive will be used 3 12 2 3 How to use Microsoft Windo
126. r Code Black 000000 Maroon 000080 Green 008000 Olive 008080 Navy 800000 Purple 800080 Teal 808000 Grey 808080 Silver COCOCO Red 0000FF Lime 00FFOO Yellow 00FFFF Blue FFOOOO Fuchsia FFOOFF Aqua FFFFOO SFFFFFF The following value s are supported Subject First name s Last name ID number Height Weight March 2007 COR SUM 0000 001 IN UK A 7 102 Innovision Data amp Decimal Date Time CO FRC VO2 VO2prKg HR Cl SV SI SpO2 SVO2 AVO2diff PBF Qs Qt SYS DIA MAP SVR SVRI BSA HB Vrb Comments Innocor Software User Manual only supported by Data HU Note the decimal separator must be An example with 5 print screens is shown below The first TAB is named Results the second is named Graph the third BBBView and the last 2 DataView 1 4 and DataView 5 8 If the headings are going to be changed the lines with Text Heart Clinic must be changed One for each TAB see 3 9 3 Results Bitmap C innocor print GB top bmp 0 05 0 015 0 20 0 10 Text Heart C 1 ini c 0 20 0 04 50 Times New Roman BI Text Name Oh Subject First name s 0 Subject Last name 0 Text ID 0 Subject ID number 0 Subject Memo Os Text Test Date 0 Data Date 0 Text Time 0 Data Time 0 line EA Text Cardiac Output Decimal C0 Text 1 min Text Cardiac Index Decimal CI Text 1
127. r by Innovision Denmark Experiment performed 04 01 2007 15 29 ED 091063 Last Name pedersen First Name s knud Rel humidity 38 0 Temperature 22 0 Amb pressure 746 0 Time CO2 Oxygen Solub InSolub sec 0 3 70800781 16 75000000 0 00168610 0 00015259 0 03 3 79785156 16 68750000 0 00149536 0 00010681 0 06 3 86914063 16 61718750 0 00122833 0 00012970 0 09 351383309319 16 53125000 0 00131989 0 00012207 0 12 3 98828125 16 46093750 0 00136566 0 00014496 0 15 4 02929688 16 38281250 0 00120544 0 00015259 0 18 4 06250000 16 32031250 0 00102997 0 00012207 lt O th Press lt O CO OO OO OO OO OO OH ka OO 0 0 0 0 O EH 766754 431061 254059 164795 123596 126648 162506 Oo OO CO CH CO CO Ve VO2 29 SE 30 28 28 LD 33 36 25 6 Nas N DDO GO GA Example of exported raw rebreathing data file from Data Table export to file 091063 Pedersen Knud Samples 11 Signals 6 Load VO CO Li 0 0 0 269 4 5 1 2 43 3 1 001 9 4 ers 129 4 2 084 13 6 1 4 213 0 2 756 16 7 ID 305 4 3 735 19 0 2 1 0 0 0 191 2 9 22 2 100 0 1 308 10 4 223 200 0 2 287 14 9 2 4 230 0 2 612 16 2 225 260 0 3 118 e 2 6 290 0 3 621 k March 2007 HR SV 69 65 78 120 100 136 121 138 150 127 63 45 83 125 106 141 118 137 130 137 145 132 COR SUM 0000 001 IN UK A 7 Innovisi
128. rameter can be assigned to the left or right y axis and a 1st or 2nd order regression line can be fitted to the data The Set Views button is used to select the number of XY plots 1 2 or 4 Setup of XY data view X Axis Y Axis Left Axis Right Axis Max Auto Auto Min Auto Auto k E Grid Y 3 4 Default Y Ax side Regression Line Left C Right Select UnSelect i E The regression lines can be based on all selected data or only on the data belonging to each exercise test 1 ord grp or 2 ord grp This facility determinates a separate regression line for each exercise test If 2 exercise tests are selected the regression lines for the 2 tests can be compared When pressing the field with the result of the slope and intercept the results will toggle between the selected exercise tests Press to toggle between different regression lines 4 00 1 50 vO Imin i F CO E Slope Print Intercept Zero Corr r 0 3909 March 2007 COR SUM 0000 001 IN UK A 7 37 Innovision Innocor Software User Manual The Symbols contains a menu for the setup of symbols A signal can be displayed using one of the following three formats Symbols Lines Symbols and lines Select color and shape Mo LM Lk J XIA V Es X 0 a E 2 4 9 Patient data The patient data Pt Data gives access to a reduced menu for editing the patient data before
129. rameters CO VL SvO Vo etc ep Breath by Breath parameters Ve Vo Vco etc 1 minutes averaged Breath by Breath parameters prior to a rebreathing Calculated parameters al User defined parameters ajaj E ej March 2007 COR SUM 0000 001 IN UK A 7 4 Innovision Innocor Software User Manual 2 SOFTWARE DESCRIPTION The main menu of the Innocor is displayed at power on Innocor Non invasive measurement of Cardiac output Measurement F Setup E Data Management Blood Pressure Exit ycinnoevision ion 5 07 BbB United Kingdom Press Measurement to make a test on a patient Press Setup to prepare general setup of the Innocor Parameters that require alterations from test to test can be accessed directly from Measurement Other setups like ambient conditions and language must be accessed through Setup Data Management is used to export data from the Innocor into text files and to execute script files in order to move copy files from one media to another Blood Pressure is a stand alone measurement of the blood pressure Press Exit to shut Innocor down 2 1 ENTERING PATIENT DATA When entering the measurement a patient must be selected before a test can be performed The first time the patient is on the Innocor the patient data must be entered Next time the patient can be selected from the database Choose New Pt Pt Patient or Edit to enter the patient database section of the program Press
130. ration periods on Both the O and the CO can be used The O is set as default if the oxygen module is implemented Calculation on insoluble can be set to regression line or average lf set to regression line the insoluble curve is fitted with a regression line within the calculation period and the mix value is found by extrapolation back to time zero If set to average the mix value is found as a simple mean The default recommended setting is regression line Vti in CO calculation defines whether the actual calculated Vti or a fixed Vti shall be used in the calculation formulae for determination of the Cardiac Output The calculation of the Vti is not as accurate as the other parameters and the default recommended setting is therefore to use a fixed value of Vti Fixed Vti value is the value used in case of using a fixed Vti in the calculation of the CO see above The default value is 600 ml Bag dead space defines the small volume present in the bag after evacuation The value for the standard Innocor RVU is 13 ml See picture below Valve dead space is the volume of the RVU from the mouthpiece connection to the bag port The value for the standard Innocor RVU is 102 ml See picture below Skip at end of exp is used to skip the last part of the expiration in order to remove the transition phase from expiration to inspiration Default recommended skip value is 15 Skip at start of exp is used to skip the first part of the expir
131. rebreathing time must be increased see section 2 5 2 The content of the normal plot is defined in the Graphics menu The colour of the curves can also be changed in the menu Oxygen Soluble gas Insoluble gas Airway pressure Calculation area The normal plot can be zoomed by pointing out a rectangle on the screen e Point the upper left corner of the rectangle e While keeping pressure on the screen move the finger to the right bottom corner of the rectangle to zoom in on March 2007 COR SUM 0000 001 IN UK A 7 31 Innovision Innocor Software User Manual e Release finger from screen and the plot will be zoomed Note that it is only possible to Zoom on the normal screen Zooming out to the previous display is possible by the reverse operation e Point anywhere on the plot e While keeping pressure on the screen move the finger up and to the left e Release the finger from the screen and the plot will Zoom out The normal plot is useful in troubleshooting since all signals can be displayed and zoomed 2 4 6 2 Normalised Oxygen 23 09 2004 I D 290353 Inno Vision 11 46 17 Normalised Oxygen Patient Freq 24 min Vbag Temp 25 00 dec Pres 760 00 mmHg Hum Pt Data di Test Param Test Demo ddi tcalculate Voz Graph Setup d Print Prey Help E Results Details Graphs Dat
132. restarting the Innocor The number of supported languages can vary Press the flag for the Language a Pp E ELO O ER Sala R alma AN OK March 2007 COR SUM 0000 001 IN UK A 7 51 Innovision Innocor Software User Manual 2 5 7 Protocol setup The protocol setup is used to make user defined protocols If the protocol setup is not present in the setup menu the software is running in a basic version without the support for exercise protocols A treadmill protocol is defined through the following table Edit protocol Protocol name itreadmill Type Bicycle Treadmill RB NIBP 0 0 i 5 0 2 0 10 0 Cancel tk H The protocol name is the name of the protocol and is user defined The protocol name is also used as the filename when saved in the folder C INNOCOR PROTOCOL The extension of the file is PRO The type can be either Bicycle or Treadmill The bicycle type uses the load whereas the treadmill uses the slope and speed for the exercise level The Step Action field indicates the number of steps in the protocol and what to do at each step Each step can be one of the following modes i rebreathing test at the end of the step A rebreathing test and blood pressure measurement at the end of the step continue with next step without doing anything The RB NIBP button is used to toggle between the modes Slope is the elevation of the treadmill in A higher
133. riod is 5 minutes or until the user terminates the state The cool down period is skipped if the last activated exercise level is equal to the cool down exercise level 2 4 EVALUATING RESULTS The exercise results are displayed in different ways depending on where the focus is set in the Date Time list a complete exercise test or a single rebreathing test The focus is set on an exercise test by selecting a line in bold with name Ex n see below Selecting a line named n 1 n 2 etc will set the focus on a single rebreathing test A complete exercise test 1 1 07 03 2005 12 07 42 1 2 07 03 2005 12 10 51 EE Ma Single rebreathing tests 1 4 07 03 2005 12100 1 5 07 03 2005 12 20 02 The display of results are organised in the following views Tab Focus Single rebreathing test Results Main results of the rebreathing Main results of a rebreathing CO Cl Selected parameters at rest AT and Vo kg SV A V O diff max exercise Details Table display of BBB parameters Detailed results of a rebreathing versus time Graphic display of BBB parameters in Rebreathing curves for evaluation of up to 3x3 plots the quality of the test Data Table Table display of rebreathing and BBB results for one or more rebreathings exercise tests Data View 1 4 Graphic display of rebreathing and BBB results for one or more rebreathings Data View 5 8 exercise tests March 2007 COR SUM 0000 001 IN UK A 7 22 Innovision 2 4 1
134. s Eegen Ki Folders Innocor Software User Manual Help Address LS Control Panel ES amp Accessibility Options 8 Add Hardware Add or Remove Programs 3 Administrative Tools D I CSI SH Data Sources ODBC Ae Date and Time E Display Melo Touchscreen Ef Folder Options A Fonts EE Game Controllers if Internet Options Es Kevboard La Mouse El Network Connections E Phone and Modem Options W Power Options 2 Printers and Faxes QuickTime regional and Language Options Scanners and Cameras La Scheduled Tasks P Sounds and Audio Devices Gi Speech Lal system E Taskbar and Start Menu E User Accounts Mame Comments Adjust your computer settings for vision hearing and mobility Installs and troubleshoots hardware Install or remove programs and Windows components Configure administrative settings For your computer Client Service For MetwWare Maintains ODBC data sources and drivers Set the date time and time zone For our computer Change the appearance of your desktop such as the background screen saver colors font sizes and screen resolution Customizes touch settings and aligns your Elo touchmonitor Customize the display of Files and Folders change File associations and make network Files available offline Add change and manage fonts on your computer Add remove and configure game controller hardware such as joysticks and gamepads Configure your
135. se level returned from a bicycle ergometer or a treadmill If no slope amp speed read back is available the commanded value is displayed 14 03 2007 14 13 38 Protocol Example2 I D 290353 Inne Vision PBF A1 Vmin V 18 1 VO2 0 137 imin v 1 3 08 04 2005 o Ex 3 18 05 2005 15 40 27 9 45 2 1 18 05 2005 15 44 23 15 39 26 b Normalised Oxygen ms Ge Test time 1 15 min 2 2 18 05 2005 15 47 35 2 3 18 05 2005 15 50 44 2 4 18 05 2005 15 53 47 Time to Rebreathing WW Ex 3 20 05 2005 16 07 37 3 1 20 05 2005 16 11 00 02 03 2007 07 16 58 3 14 min Insoluble Gas SCH DS a j ieee A 3 Rebreathing Test 10 out of 10 Delete Show Hold A a z z Time s protocol Stop Results Details Graphs Data Table DataView 1 4 Dataview 5 6 protocol 39 load 0 0 SE speed 0 0 HR ae SpO gt eem wm Cuff mmHg March 2007 COR SUM 0000 001 IN UK A 7 19 Innovision Innocor Software User Manual 2 3 3 Breath by Breath on line screen The BBB calculation of gas exchange parameters starts after a 1 minute warm up period when the exercise protocol is selected and continues until the protocol is finished only interrupted by the rebreathings The results of the BBB calculation are displayed in the table to the left and as graphics to the right e 14 03 2007 I D
136. t Client program to Microsoft Network properties Remove logon Windows NT domain Restart Logon with username innouser or innosuper Password lt blank gt The password innopass or superpass must be entered at the time when the remote computer is logging on to the Innocor 3 13 1 How to find Innocor on a network using Windows XP Method 1 if you do not know the name of the Innocor Press START Press My Network Places Press Entire Network View workgroup computers Press Microsoft Windows Network Select Inno_wrkgrp Select innocor by serial number March 2007 COR SUM 0000 001 IN UK A 7 117 Innovision Innocor Software User Manual Note It can take some minutes before an Innocor can be seen found on the network Method 2 if you know the name of the Innocor Press START Press Search Select Computers or people Select A computer on the network Enter computer name of the Innocor Normally serial number to which the sn can be added Example 0235024 n0315051 3 13 2 How to set IP address on Innocor Select Control Panel Shortcut Control on Desktop in Explorer Select Network Connection Right click on Local Area Connection Select Properties Select Internet Protocol TCP IP Select Properties E Network Connections File Edit View Favorites Tools Advanced Help S back ki gt z pi A Search gt Folders eh x Ki Address VO Network Connections LAN or High Speed In
137. t setup PRINTSETUP INI must be placed in the directory C innocor print xxx E g the English version of the PRINTSETUP INI is placed in c innocor print GB March 2007 COR SUM 0000 001 IN UK A 7 96 Innovision Innocor Software User Manual Keyboard When the language is changed the keyboard is also changed in order to be able to enter special language characters The keyboard to use is defined in the LanguagelD in the LAN file and defined by Innovision If the LanguagelD is invalid the default keyboard is used If the following message appears To set this language use windows Control Panel Regional Settings the new language must be set manually the first time via the Control Panel Enter Regional and Language options then the tab Languages then Details and finally select the language in Default input language If the language is not present in the list use the Add button to load it The new language must be marked as Set as system default locale If a prompt for files on the Windows CD ROM appears the directory C windows I386 is entered The Innocor must be restarted before the changes take effect The decimal separator can be freely choose between and The default is Here is an incomplete list of commonly used codepages eke Used to set the Keyboard layout 00000813 Belgian Dutch 850 0000080c Belgian French 00000c0c Canadian French 00001009 Canadian English 00000416
138. ta management menu Press Script Found again Select Export Innocor exe and press Perform When prompted enter the licence number of the new software Note that the licence number is unique for each Innocor The new software is ready for use check the version number on the main screen of the Innocor FILE STRUCTURE The file structure of the Innocor software is as illustrated below CA INNOCOR DATABASES EXPORT HELP GB DK LANGUAGE PRINT GB DK PROGRAM PROTOCOL RAWDATA RAWDATABBB SETUP March 2007 COR SUM 0000 001 IN UK A 7 76 Innovision Innocor Software User Manual 3 5 1 Databases The DATABASES directory contains the databases for the patient data as well as the experiment data results experiments db Experiment result database experiments px patientsmb _ px SS experiments px patients px user px User defined parameter database user uni Backup of user defined parameter database user px The db files are the main databases which contain all the data except long comments fields above 256 characters which are stored in the mb files The px files are index files and help the software to navigate faster through the databases If an index file is damaged or lost the Innocor S W will generate a new index file automatically The user uni contains the units of the user defined parameters Every time a new patient is entered or a patient is deleted a backup of the pat
139. taView5 8 Exit Meas Bag closed Cylinder Se HR SpO2 Cuff O mmHg The soluble gas N2O display is normalised using the insoluble gas in order to correct for incomplete mixing and displayed in a semi logarithmic plot The soluble gas is absorbed during the blood s passage of the lungs at a rate which is proportional to the blood flow The disappearance curve of the soluble gas is expected to be exponentially decreasing and by displaying the soluble gas in the semi logarithmic plot the disappearance will be linear The slope of the measured curve is directly proportional to the pulmonary blood flow 2 4 6 4 Insoluble gas SFe 23 09 2004 11 47 09 LD 290353 Inno Vision Patient i Freq 24 min i Vbag 3 00 i Temp 25 00 dec Pres 760 00 mmHg i Hum 50 00 0 094 Pt Data cr A E 777 Max Insol Test Param Test Demo ieie Graph Setup d Print Prey Time s Help IA Results Details Graphs E DataTable DataView1 4 Dataview 5 8 Exit Meas Cuff O mmHg Bag closed Cylinder Sie HR SpO2 SFs is insoluble in blood and therefore stays in the gas phase The display of the insoluble gas is starting with the bag concentration during the first inspiration After some breaths the insoluble gas is mixed in the lungs and stabilises The number of breaths until stabilisation is an indication of how fast the mix
140. tch can in rare cases damage the Innocor databases or other system files including windows system files The menu when shutting down the Innocor has the purpose of making it clear when it is necessary to release the Innocor internal pressure system It is always recommended to turn the gas cylinder 1 turns counter clockwise to avoid that the complete content of the gas cylinder is wasted in case of a leak this corresponds to closing the main valve on a standard gas cylinder When the Innocor is powered on again the gas cylinder is turned back again 1 turns clockwise which corresponds to opening the main valve on a standard gas cylinder A release of the Innocor internal pressure system is only necessary if the gas cylinder has to be removed in order not to have a sudden pressure release in which case the o ring can get out of position The internal pressure system of the Innocor has a volume of a few ml but at high pressure this corresponds to bolus gas for 2 or 3 tests Shut down of Innocor Close Innocor Close Innocor and remove the Gas Cylinder Cancel March 2007 COR SUM 0000 001 IN UK A 7 73 Innovision Innocor Software User Manual 2 11 OFFLINE VIEWER The Innocor software is available as a Viewer where the offline parts of the Innocor software can be executed on a standard Windows based computer This means that results and raw data can be displayed and exported using the offline Viewer similar to work
141. ternet Local 4rea Connection LAN or High Speed Inter Enabled Intel R 8255xER PCI Ad Wizard Ei Network Setup Wizard Wizard al Mew Connection Wizard Wizard March 2007 COR SUM 0000 001 IN UK A 7 118 Innovision Innocor Software User Manual l Local Area Connection Properties Al internet Protocol TCP IP Properties SS zi xi General Authentication Advanced General Connect using ou can get F settings assigned automatically if your network supports this capability Othenvice pou need to ask your network administrator for E Intel R 8255xER PCI Adapter the appropriate IP settings Obtain an IF address automatically This connection uses the following items Use the following IP address ES Client for Microsoft Networks El QoS Packet Scheduler JS File and Printer Sharing Tor Microsoft Networks otocal TCP IP 3 IP address Subnet mask 255 255 255 0 Install Uninstall Properties f Obtain DNS semer address automatically Description Default gateway Ce Use the following DNS server addresses Prefered ONS server Transmission Control Protocolnternet Protocol The default wide area network protocol that provides communication across diverse interconnected networks Alternate ONS server Show icon in notification area when connected Advanced 3 13 3 How to set Computer Name on Innocor Right click on My Co
142. tests in order to have enough oxygen in the bag See section 2 3 2 1 2 4 2 3 2 1 3 The target of the rebreathing frequency is entered in the RB freq in breaths per minute The field can be fixed or auto In auto mode the frequency is estimated to be equal to the actual breathing frequency in the previous test A slow breathing frequency will increase the requirements to the bag volume due to a longer rebreathing time Recommendation It is recommended to use the auto mode for both the Bag and Bolus in order to have an optimal bag filling The RB freq can also be set to auto but if the patient does not breathe regularly the bag filling will be over or under estimated in which case a fixed RB freq is preferred Use e g 20 min at low exercise increasing to 25 min at middle range and 30 min at high exercise level An irregular breathing can result in the following case e During atest the patient breathes faster than normal e This higher breathing frequency will then be used for the estimation of the next bag volume bolus e But during the next test the patient is breathing normally again i e the test is longer than expected and there may be a risk of having a too high CO or too low O concentration Below is shown a protocol of the bicycle ergometer type In the bicycle ergometer type the exercise level is defined by the Load field entered in watt A higher load will increase the exercise level Edit protocol Protoc
143. that the patient is guided to follow during the test The rebreathing frequency should be set in the range 20 to 30 breaths per min It is recommended to use a higher breathing frequency than the natural respiration rate under rest but at exercise the natural respiration rate can be used If the breathing frequency is low it will take relatively long time to get enough respiration cycles and the risk of re circulation increases The Max CO2 limit is the threshold where the rebreathing automatically stops if it sees a CO concentration exceeding the limit The default value is 8 but if the patient can tolerate a higher concentration for a short period the limit can be increased 10 is normally an acceptable value Similarly with the Min O2 limit which is the threshold where the rebreathing stops if it sees an O concentration below the limit The minimum value for Min O2 limit is 13 having values lower than that can result in wrong calculation of Voz because it can not be assumed that the oxygen is fully saturated in blood below 100 Torr The Min O2 limit is used in the estimation of the maximum Vo The estimation of the maximal Vo and maximal exercise load is based on the current setup of bag volume bolus fraction min O limit and patient weight 20 95 MinO 100 Bolus Fraction 94 MinO Bolus Fraction Re breathing Freq Max Vo e Muar 100 100 100 100 Good Breaths 1 5 Max Load Max Vo 0 0035 We
144. the shift from expiration to inspiration The calculation is taking into account the dead space volume from the inlet out to ambient air which is 45 ml for a standard configuration In order to have an accurate flow gas delay calibration the inspiration must be fast forced and an average of up to 10 breaths is used to improve the determination The calibration of the flow gas delay is critical an error of 25 ms can give a 5 error on the Vo and Vco gt results March 2007 COR SUM 0000 001 IN UK A 7 61 Innovision Innocor Software User Manual It is recommended to perform the flow gas delay calibration every day When performing a Breath by Breath exercise test the flow gas delay is as default automatically adjusted when the exercise level exceeds a certain level typically above 1 3 of the subjects maximum exercise level 2 5 9 3 1 Gas delay calibration procedure Enter Setup and select Calibration Calculate gas delay Wait 1 minute for warm up System ready Press Calibrate to start Calibrate 1481 1493 Mean 1493 When warmed up the operator not the subject starts breathing in and out of the RVU When ready the Calibration button is pressed The operator must then make at least 11 slow expirations each followed by a very fast inspiration until the OK button is highlighted The inspirations have to be fast in order to get a precise determination of the flow gas delay If one or two breaths fail the softw
145. the user can select between 2 or 4 screens using the Show button Show protocol Protocol screen Show results Result screen Breath by Breath screen only available with BbB Show online data On line raw data screen only available with BbB 2 3 2 1 Protocol screen The protocol screen lists the protocol in table form with only the active step highlighted the other steps are dimmed When a step is performed it is marked with Y in the step column In user defined protocols the complete number of fields is shown whereas the automatic protocols only show the next step to be performed The content of an auto field is first defined when it is the next step to be performed because the prediction of the values are based on the results from the previous step The Innocor S W makes a pre estimation of the maximum CO and the minimum O level for all the March 2007 COR SUM 0000 001 IN UK A 7 12 Innovision Innocor Software User Manual steps in a user defined protocol and if a value is outside the specified limits a red exclamation mark is shown in the step action column As the protocol progresses the estimations become better but if a limit violation still exists on the next step to be performed the user is prompted with the warning Normally the user does not need to enter the protocol setup However the protocol setup can be used to view the progress of the protocol or to change the protocol on line
146. times 1000 i e Example of Hardware lni Screen BtnSound 0 PGA Installed 1 Port 1 Oxygen Installed 1 Port 4 BEEP Beep 0 BPHardware Driver SunTech Installed 0 Port 5 Start Press 160 HRHardware Driver Nonin Installed 0 Port 6 SPO2Hardware Driver Nonin Installed 0 Port 6 BBB Installed 0 FlowzeroAfterRB 1 Flowzerolnterval 60 Ergometer Installed 1 Port 7 Driver Manual control March 2007 1 144 as 1144 COR SUM 0000 001 IN UK A 7 85 Innovision Innocor Software User Manual QuickStop 0 MPP sign 1 VALVE Delay 500 RB Periode 30 VO2 Code 1 Fileprint Path Export Path USBDrives FirstUSBDrive E These values are update when the Innocor program runs AutoAbout PgaSoftware 01 01 003 OxigrafSerNo 7711V442 OxigrafSoftware X2K V1 16A 0 Example of BBBctrl Ini flowGasDelay 02 1550 COz 1550 OnlineCalc 1 Co2Calc 0 BBBFilter Time 10 Deadspace Flowmeter 0 12 Valve 0 045 3 5 10 1 Increase max bolus concentration The supported range in bolus is by default set to 7 5 to 20 In case of rebreathing under hypoxic conditions the max bolus concentration can be increased up to 50 The MaxBolus_ in GasSystem ini under GasFilling must be changed manually using Notepad GasFilling MaxBolus_ 50 3 5 10 2 Variable flow zero interval The flow signal is automatically zero adjusted when using the Innocor Th
147. ure gas It should only be done by qualified personnel March 2007 COR SUM 0000 001 IN UK A 7 64 Innovision Innocor Software User Manual 2 5 10 5 Oxygen Cal Selected Signal 20 930 Dig Oxygen 20 99 PGA Reg No 0 Find Signal Clear Graph AA Ee Stop Graph Log File So Nominel Reference Gas Conc Oxygen Calibration Press Set High Conc to start a 2 point calibration of the oxygen signal and follow the instructions on the screen First the Oxigraf oxygen module will be calibrated followed by the analogue signal to the PGA gas analyser What to do Select High or Low Oxygen Conc High Conc will start a 2 point calibration Oxigraf Status a see 2 5 10 6 Blood Pressure Blood Pressure is used to calibrate the blood pressure module This should only be done by qualified personnel March 2007 COR SUM 0000 001 IN UK A 7 65 Innovision Innocor Software User Manual 2 5 10 7 Misc In Bolus Fill a calibration of the bolus filling flow can be performed This should only be done by qualified personnel Selected Signal 0 049 PGA Reg No 164 Dig Oxygen 21 23 All valves off Close to Reb Bag Pneul Bolus vol ml 237 219 mi STPD Close to open Air Pneu2 Air String for Bag fill AIR Bolus bag fill Rebreathing Set Bolus Yol Flow Speed 44 68 ml sec Airway Zerocal PAW
148. ve step both forward and backwards By using this feature steps can be both skipped and repeated When a new step is selected the protocol progress starts from this position and the time to rebreathing is reset If the parameter editor blue field is positioned on the active step the Go to step button changes to a Start rebreathing button Pressing this button immediately starts completes a bag preparation followed by a rebreathing test This can be useful if the subject is close to the maximum exercise level and is not able to complete the step within the planned duration The RB on off button is used to turn on off the rebreathing related to the step Similarly with the NIBP on off button However the NIBP can only be on if the RB is on March 2007 COR SUM 0000 001 IN UK A 7 13 Innovision Innocor Software User Manual 2 3 2 1 2 Protocol estimation The Innocor S W uses different formulae in order to estimate the correct bag volume and bolus fraction The prediction of oxygen uptake Voz uses the following formulae Vo rest 0 0035 Weight Vo bicycle 0 0035 Weight 0 01 Load Vo treadmill walk 0 00332 Weight 2 3 0 32 Speed 2 5 Slope 0 2 0 07 Speed 2 5 Speed lt 7 km h Vo treadmill run 0 00332 E 0 47 900 E 1 Slope 100 Speed gt 7 km h E Weight 2 3 0 32 Speed 2 5 Slope 0 2 0 07 Speed 2 5 where VO min Weight kg Load wait Speed km h
149. w measurement Enter or verify the patient data Normal values for haemoglobin Hb concentration Male 8 11 mmol l Female 7 10 mmol l When the patient data is entered the user can select between a Single RB test and different protocols option After selecting the Single RB test the next screen appears March 2007 COR SUM 0000 001 IN UK A 7 Innovision Innocor Software User Manual Preparing rebreathing 2 1 l l Bag volume Emptying bag Start e Filling bag Bolus Fraction 10 NBP Rebreathing freq 20 jmin Please wait Emptying A Filling The device automatically prepares the rebreathing bag by emptying using automatic detection of when the bag is empty and filling it with the desired volume of gas A mixture of air and gas from the cylinder is filled into the bag Option It is a good idea to start a blood pressure BP measurement during the bag filling the Start NIBP button because it can be difficult to keep the arm quiet during the rebreathing manoeuvre When the BP measurement is started the current cuff pressure is shown in the status bar in the lower right corner of the main test window Cuff mmHg J When the bag is filled the following screen appears showing gas concentrations gas curves and the flow or airway pressure curve Rebreathing frequency ae Start Press Start to begin oe Start 9 MO CO2 End tidal Note the end tidal value of N20 and Ge The N
150. ws Recovery Console Recovery Console is for the more advanced user It is only possible to enter the Windows folder on the C or D drive in the Recovery Console mode in order to repair the Windows system Files can be copied but not edited The boot in Recovery Console mode starts with 1 Black screen then Please wait which takes 30 60 sec 2 Choose the Windows system to use 1 CAWindows 2 DAWWindows 3 Press 1 to select the primary c windows which properly is the partition with the error to be corrected Administrator password is superpass 2 commands are available form Recovery Console Some of them are listed below Help Show all the commands Chkdsk p Make at check and repair files on the partition ChDir Select a new directory Copy Copy files from c or c windows to and from a USB memory key E Bootcfg Can be used to change the default boot partition E g change the default boot partition from c to d type Bootcfg default a list with the two windows partitions will be shown as 1 Innocor CY 2 XPE Backup D select installation to add lt type here the 2 to select the secondary partition 3 12 2 4 How to change the default boot partition The file called BOOT INI located on the C partition determines the default boot partition The file is a read only text file The normal content of this file is boot loader timeout 0 default multi 0 disk 0 rdisk 0

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