quark_rmr_user_manual__6th_edition_june_2013.pdf
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Quark RMR
Nutritional Assessment
Manuale Utente
User Manual
Manuel d’utilisation
Benutzerhandbuch
Manual del Usuario
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COSMED does not assume any liability for end user interpretation of this user manual or for casual or consequential
damages in connection with the provision, representation or use of this documentation.
No parts of this manual may be reproduced or transmitted in any form without the expressed written permission of
COSMED Srl.
Each copy of the COSMED Software can only be installed on one computer.
Excel is a registered trademark of Microsoft Corporation.
DBIII is a registered trademark of Bordland International Inc.
Lotus 123 is a registered trademark of Lotus Development Corporation.
Quark RMR User manual, VI Edition
06/2013
Copyright © 2011 COSMED
COSMED Srl - Italy
http://www.cosmed.com
Part N. C03575-02-91
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Table of contents
Table of contents ........................................................................................................... 3
Getting started .............................................................................................................. 7
Important notices ..................................................................................................................................................... 8
Intended use .......................................................................................................................................................... 8
Specific Indications for use ................................................................................................................................ 8
Description of the acronyms used in measured parameters ............................................................................... 8
Warnings ............................................................................................................................................................... 9
Environmental condition of use.............................................................................................................................. 11
EMC ........................................................................................................................................................................ 12
Overview of the manual ......................................................................................................................................... 16
System overview .................................................................................................................................................... 17
Quark unit............................................................................................................................................................ 17
Powering on the device ................................................................................................................................... 17
Powering off the device................................................................................................................................... 17
The flowmeter ..................................................................................................................................................... 17
The canopy hood ................................................................................................................................................. 18
Antibacterial filters .............................................................................................................................................. 18
The HR probe ....................................................................................................................................................... 18
System warm-up .................................................................................................................................................... 19
Installation................................................................................................................... 21
Before starting........................................................................................................................................................ 22
Checking the packing contents............................................................................................................................. 22
Device packaging ................................................................................................................................................. 22
Quark RMR standard packaging....................................................................................................................... 22
Packaging of optional products ............................................................................................................................ 23
CPET Module standard packaging .................................................................................................................... 23
Mixing chamber module standard packaging ................................................................................................... 23
ICU module standard packaging ...................................................................................................................... 23
Options/Accessories ............................................................................................................................................... 24
Quark installation ................................................................................................................................................... 25
Quark RMR front panel ........................................................................................................................................ 25
Quark RMR rear panel ......................................................................................................................................... 25
Calibration cylinders ............................................................................................................................................ 26
Assembling the gas regulators on the cylinder ................................................................................................. 26
Connecting the hoses to the cylinders ............................................................................................................. 27
Connecting the cylinders to the Quark............................................................................................................. 27
Connecting the Quark to the PC ........................................................................................................................... 28
Connecting the Quark to the power supply through the trolley ........................................................................... 28
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How to contact COSMED......................................................................................................................................... 29
Complaints, feedback and suggestions............................................................................................................. 29
System maintenance ................................................................................................... 31
System maintenance............................................................................................................................................... 32
Cleaning and disinfecting ........................................................................................................................................ 33
Prevention of infection transmission.................................................................................................................... 33
Transmission to technicians ............................................................................................................................. 33
Cross-contamination ....................................................................................................................................... 33
Tuberculosis .................................................................................................................................................... 33
Haemoptysis and oral lesions........................................................................................................................... 33
Other known transmissible infectious diseases ................................................................................................ 33
Disposable in-line filters .................................................................................................................................. 33
Other precautions and warnings .......................................................................................................................... 33
Introduction ......................................................................................................................................................... 34
Cleaning ............................................................................................................................................................... 34
Cleaning Agents/supplies................................................................................................................................. 34
Standard cleaning procedure ........................................................................................................................... 35
Disinfection .......................................................................................................................................................... 35
Preparing the disinfecting solution................................................................................................................... 35
The turbine flowmeter ......................................................................................................................................... 36
Cleaning the turbine ........................................................................................................................................ 36
Disinfecting the turbine ................................................................................................................................... 36
Precautions to take when cleaning, disinfecting and drying the turbine............................................................ 36
Cleaning and disinfecting the RMR canopy hood and veil (option) ....................................................................... 36
Cleaning hood and veil .................................................................................................................................... 36
Disinfecting hood and veil................................................................................................................................ 36
The mixing chamber (option): cleaning and disinfection ...................................................................................... 36
Disassembling the mixing chamber .................................................................................................................. 36
Cleaning the mixing chamber........................................................................................................................... 37
Disinfecting the mixing chamber ...................................................................................................................... 37
Reassembling the mixing chamber. .................................................................................................................. 37
Two-way non rebreathing valve (mixing chamber option) cleaning and disinfection ........................................... 37
Adapter and ICU wrinkled tube cleaning .............................................................................................................. 38
Sampling line maintenance (Permapure) ................................................................................................................ 39
Inspections ............................................................................................................................................................. 40
Replace the fuses .................................................................................................................................................... 41
Appendix ..................................................................................................................... 43
Dichiarazione di conformità .................................................................................................................................... 44
Service - Warranty .................................................................................................................................................. 45
Warranty and limitation of liability ...................................................................................................................... 45
Return goods policy for warranty or non warranty repair .................................................................................... 45
Repair Service Policy ............................................................................................................................................ 45
Privacy Information ................................................................................................................................................ 47
Personal data treatment and purposes ................................................................................................................ 47
How your personal data is treated ....................................................................................................................... 47
Consent ................................................................................................................................................................ 47
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Holder of the personal data ................................................................................................................................. 47
Customer rights ................................................................................................................................................... 47
Disposing of electrical equipment .......................................................................................................................... 48
Safety and conformity ............................................................................................................................................ 49
Safety ............................................................................................................................................................. 49
EMC ................................................................................................................................................................ 49
Paramagnetic O2 analyzer ............................................................................................................................... 49
Quality Assurance ........................................................................................................................................... 49
Medical Device Directive (CE mark) ................................................................................................................. 49
Technical features .................................................................................................................................................. 50
Flowmeter ...................................................................................................................................................... 50
O2 analyzer ..................................................................................................................................................... 50
CO2 analyzer ................................................................................................................................................... 50
Humidity absorber .......................................................................................................................................... 50
Power Supply .................................................................................................................................................. 50
Environmental Sensors.................................................................................................................................... 50
Dimension and Weight .................................................................................................................................... 50
Accuracy specifications ................................................................................................................................... 50
References.............................................................................................................................................................. 51
Indirect Calorimetry ........................................................................................................................................ 51
Canopy ........................................................................................................................................................... 51
ICU.................................................................................................................................................................. 51
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Getting started
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Important notices
Intended use
The COSMED Quark Series system is a modular system with multiple configurations, allowing the following
measurements: Spirometry, Lung Function Testing, Cardiopulmonary Exercise Testing, Resting Metabolism.
The system and its accessories are indicated for the acquisition, analysis, formatting, display, printing and storage of
certain physiologic signals. It is intended to assist a clinician in the diagnosis of cardio-pulmonary disease conditions.
Caution: Federal law restricts this device to be sold by the order of a physician.
The device must not be intended as a monitoring device, nor as a sole means for determining a patients diagnosis but for
the purpose of assisting the clinician in the diagnosis of cardio-pulmonary diseases.
This equipment is intended to be used for the following applications:
Formulating of a lung pathology diagnosis.
Assisting with human physiology studies.
Contributing to sports medicine applications.
COSMED Srl is not responsible for incidents which occur due to improper use of this device. Examples include:
Operation of the device by unqualified individuals.
Use of the device not indicated by this manual.
Not complying with the precautions and instructions described in this manual.
Specific Indications for use
Device
model
Indication for use
Major clinical conditions
Measured
parameters
Quark
RMR
Measurement of Resting Metabolism – age 6 to
adults;
Spontaneously breathing
patients;
VO2, VCO2, Ve, RF,
HR, SpO2
Measurement of Resting Metabolism (canopy
dilution) –15Kg/30Lb to adults;
Measurement of Resting Metabolism (Ventilated
patients) – age 10 to adults
Ventilated patients with some
limitations as in accordance
with labeling
To assure for quality and accurate measurements during ventilator testing the following is mandatory:
1. The exhaled gases being measured at ventilators exhalation port should only include the patients exhaled gas and bias
flow generated by the ventilator.
2. Avoid any leak of gas from the patient/ventilator system, including leaks in the ventilator circuit, leaks around tracheal
tube cuffs or uncuffed tubes, leaks through chest tubes or bronchopleural fistula
3. Ventilator bias flow must be properly calibrated and detected prior to testing.
4. Delivered oxygen concentration (FiO2) must be stable and lower than 50%. Instability can be due to changes in source
gas pressure and ventilator blender/mixing characteristics
5. Avoid presence of anesthetic gases or gases other than O 2, CO2, and N2 in the ventilation system
6. Inaccurate measurement of REE and RQ occurs during peritoneal and hemodialysis due to removal across the
membrane of CO2 that is not measured by the Quark RMR.
Description of the acronyms used in measured parameters
Parameter
Description
VO2
Oxygen uptake
VCO2
Carbon Dioxide production
Ve
Ventilation
RF
Respiratory frequency
HR
Heart Rate
8 - Getting started - Important notices
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SpO2
Hemoglobin saturation
Warnings
The device, program algorithms and presentation of the measured data has been developed in accordance with the
specifications outlined by the ATS (American Thoracic Society) and ERS (European Respiratory Society). Additional
international references have also been applied where applicable. All bibliography references are reported in the
Appendix.
This User Manual has been developed in accordance with the Class IIa European Medical Device Directive requirements.
Warning: To avoid risk of electric shocks, this device must be connected to sockets with
protective earth.
The precautions listed below should be noted before operating the device to ensure the safety of the user.
1. This User Manual should always be available as a reference when testing.
2. The following standards should be applied to ensure the accuracy of individual test results:
Accessories should only be used as described in this manual. The manufacturer does not warranty any nonauthorized accessories used by the end user. The manufacturer may offer suggestions while using such
accessories and the complications they could cause;
Repairs or modifications of the device should ONLY be carried out by qualified and trained personnel;
Environmental and electrical conditions in which the device operates should be in compliance with the
specifications of this manual. In particular grounding reliability and leakage current suppression can only be
assured when the device three-wire receptacle is connected to a yellow-green return connected to earth ground.
Attempting to defeat the proper connection of the ground wire is dangerous for users and equipment.
Equipment maintenance, inspections, disinfection and cleaning should be as described in this manual.
3. Before powering on the system, the power cords and plugs should be inspected. Damaged electrical parts must be
replaced immediately by authorized personnel.
4. Large gas cylinders provided by the manufacturer or purchased by the customer must be secured with cylinder safety
chains or safety stands as required by local law.
5. After removing the protective cap of the cylinder you should inspect the cylinder valve for damaged threads, dirt, oil
and/or grease. Any dust or dirt should be removed and the cylinder should not be used if oil or grease is present.
6. You should ensure that the pressure regulator is chemically and physically compatible with the intended gas cylinder
before installation. The regulator must be properly connected. Note the pressure gauge for the regulator. The
physical condition of the regulator, threads and fittings should also be examined prior to installation. Any dust or dirt
on the regulator or cylinder valve should be removed with a clean cloth. The regulator should not be installed on a
cylinder valve if grease or oil is present.
7. After connecting the regulator to the cylinder you should increase the regulator output pressure to the recommended
value (5-6 bars/70-90 psi).
8. The cylinder and pressure regulator must be closed before disconnecting the cylinder from the device.
9. Residue and other contaminants in the breathing circuit pose a safety risk to the patient during testing procedures.
Aspiration of contaminants can be potentially life-threatening. If the recommended disposable anti-bacterial filters
are not used, you must disinfect each part coming into contact with the patient and patient’s breath prior to each test.
10. The cleaning procedures and inspections in the System Maintenance section should be performed prior to each test.
11. This device should not be used in the presence of flammable anaesthetics. This is not an AP or APG device (according
to the EN 60 601-1 definitions).
12. The device should not come near any heat or flame sources, flammable or inflammable liquids or gases and explosive
properties.
13. The device should not be used in conjunction with any other medical device unless that device is recommended by the
manufacturer.
14. The device should be used with a computer with electromagnetic compatibility, CE marking and low radiation
emission displays.
15. The PC connected to the device must be compliant with EN 60601-1 by means of an isolation transformer.
16. Precautions regarding EMC should be taken prior to installation and can be noted in the section EMC.
17. Portable and mobile RF communication equipment may interfere with the performance of the device.
Getting started - Important notices - 9
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18. Only the cable and accessories supplied with the equipment should be used with the device. The use of accessories
and/or cables other than those supplied may result in increased emissions or decreased immunity of the equipment.
19. The device should not be used adjacent to or stacked with other equipment. If this is necessary, you must verify that
the device continues to operate normally in the configuration in which it will be used.
20. The graphical symbols used with the device are described below:
Applied part type B (EN60601-1)
Applied part type BF (EN60601-1)
OFF
ON
Protective earth ground
Alternating current
Potential equalization node
PC connection
Connector for the RH/TA sensor
TTL auxiliary input/output
USB connector
HR probe connector
Refer to the instructions for use
10 - Getting started - Important notices
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Environmental condition of use
COSMED units should not be operated near explosive substances.
Equipment should not be installed near electrical or magnetic devices such as x-ray equipment, transformers or power
lines. These devices could create electrical interferences when performing testing procedures. COSMED devices are not
AP or APG units (according to EN 60601-1) and should never be operated in the presence of flammable anaesthetic
mixtures.
COSMED equipment should be operated under normal environmental temperatures and conditions which are defined as
follows [IEC 60601-1/EN 60601-1]:
Temperatures range: 10°C (50°F) and 40°C (104°F).
Relative humidity range: 30% to 90% (not condensing).
Atmospheric Pressure range: 600 mBar to 1060 mBar.
Avoid operating equipment in the presence of noxious fumes or in dusty environments.
Do not place units near heat sources.
Cardiopulmonary resuscitation equipment should be accessible in the case of an emergency.
Adequate floor space and easy access to the patient during exercise testing is necessary.
Adequate ventilation should be maintained in the room the testing is performed.
Getting started - Environmental condition of use - 11
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EMC
Guidance and manufacturer’s declaration - electromagnetic emissions
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the
device should assure that it is used in such an environment.
Emissions test
Compliance
Electromagnetic environment – guidance
RF emissions
CISPR 11
Group 1
The device uses RF energy only for its internal function. Therefore, its RF
emissions are very low and are not likely to cause any interference in nearby
electronic equipment.
RF emissions
CISPR 11
Class B
Harmonic Emission
IEC 61000-3-2
Voltage Fluctuations /
Flicker Emission
IEC 61000-3-3
Class A
The device is suitable for use in all establishments, including domestic
establishments and those directly connected to the public low-voltage
power supply network that supplies buildings used for domestic purposes.
12 - Getting started - EMC
Complies
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Guidance and manufacturer’s declaration - electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the
device should assure that it is used in such an environment.
Immunity test
Test level
IEC 60601-1
Electrostatic
discharge (ESD)
IEC 61000-4-2
Compliance level
Electromagnetic environment – guidance
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Floors should be wood, concrete or ceramic tile. If
floors are covered with synthetic material, the
relative humidity should be at least 30%.
±2 kV for power
supply lines
±1 kV for
input/output
lines
±2 kV for power
supply lines
±1 kV for
input/output lines
Mains power quality should be that of a typical
commercial or hospital environment.
±1 kV differential
mode
±1 kV differential
mode
Mains power quality should be that of a typical
commercial or hospital environment.
±2 kV common
mode
±2 kV common
mode
Voltage dips, short
interruptions
and
voltage variations on
power supply input
lines
IEC 61000-4-11
<5% UT
(>95% dip in UT)
for 0.5 cycles
40% UT
(60% dip in UT)
for 5 cycles
70% UT
(30% dip in UT)
for 25 cycles
<5% UT
(>95% dip in UT)
for 5 sec
<5% UT
(>95% dip in UT)
for 0.5 cycles
40% UT
(60% dip in UT) for
5 cycles
70% UT
(30% dip in UT) for
25 cycles
<5% UT
(>95% dip in UT)
for 5 sec
Mains power quality should be that of a typical
commercial or hospital environment. If the user of
the device requires continued operation during
power mains interruptions, it is recommended that
the device be powered from an uninterruptible
power supply or a battery.
Power
frequency
(50/60 Hz) magnetic
field
3 A/m
3 A/m
Power frequency magnetic fields should be at levels
characteristic of a typical location in a typical
commercial or hospital environment.
Electrical
transient/burst
IEC 61000-4-4
fast
Surge
IEC 61000-4-5
IEC 61000-4-8
Nota: UT is the a.c. mains voltage prior to application of the test level.
Getting started - EMC - 13
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Guidance and manufacturer’s declaration - electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the
device should assure that it is used in such an environment.
Immunity test
Test level
IEC 60601-1
Compliance level
Electromagnetic environment – guidance
Portable and mobile RF communications equipment
should be used no closer to any part of the device,
including cables, than the recommended separation
distance calculated from the equation applicable to
the frequency of the transmitter
Recommended separation distance
d=1.17 P
d=1.17 P 80 MHz to 800 MHz
Conducted RF
IEC 61000-4-6
3 Veff
150 kHz to
3V
80 MHz
Radiated RF
3 V/m
IEC 61000-4-3
80 MHz to
2.5 GHz
3 V/m
d=2.33 P 800 MHz to 2.5 GHz
where P is the maximum output power rating of the
transmitter in watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in metres (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site surveya,
should be less than the compliance level in each
frequency rangeb.
Interference may occur in the vicinity of equipment
marked with the following symbol:
Notes:
(1) At 80 MHz, the higher frequency range applies.
(2) These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the device is used exceeds the
applicable RF compliance level above, the device should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as reorienting or relocating the device.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m
14 - Getting started - EMC
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Recommended separation distances between portable and mobile RF communications equipment and the device
The device is intended for use in an environment in which radiated RF disturbances are controlled. The customer or the
user of the device can help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the device as recommended below, according
to the maximum output power of the communications equipment.
Rated maximum
output power of
transmitter (W)
Separation distance according to frequency of transmitter
(m)
150 kHz to 80 MHz
d=1.17
80 MHz to 800 MHz
P
d=1.17
800 MHz to 2.5 GHz
P
d=2.33
0.01
0.12
0.12
0.23
0.1
0.37
0.37
0.74
1
1.17
1.17
2.33
10
3.70
3.70
7.38
100
11.70
11.70
23.33
P
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Notes:
(1) At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
(2) These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
Getting started - EMC - 15
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Overview of the manual
This manual is organized in the following chapters:
Getting started. Describes the intended use of the device, how to properly use it and features of the unit and accessories.
Installation. Lists the steps required to properly install the device.
System maintenance. Describes system maintenance procedures.
Appendix. Contains information regarding the warranty, treatment of personal data, reference standards, technical
features, predicted values and bibliographic references.
Software and test execution are described in the Software Manual. We recommend to read both manuals before using
this device.
16 - Getting started - Overview of the manual
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System overview
The Quark RMR consists of the following parts:
Quark RMR unit
Flowmeter
Additional external sensors and devices (temperature-humidity, HR,…).
Quark unit
The Quark unit contains the following elements:
The power switch (located on the front panel)
The Canopy pump switch (located on the rear panel)
Connectors (located on the rear panel)
Powering on the device
When the unit is plugged in, press the power switch on the front panel. The green led above the switch will turn on,
indicating that the Quark is on.
To turn on the Canopy pump, use the switch on the rear panel. After an initial test, the green led turns on to indicate that
the pump works properly.
Powering off the device
Press the power switch on the front panel. The green led above the switch will turn off, indicating that the Quark is no
longer running.
To turn off the Canopy pump, use the switch on the rear panel.
Note: Always remember to turn off the Quark RMR and the Canopy pump (if on) at the end of
the working session.
The flowmeter
Getting started - System overview - 17
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The turbine flowmeter assembly consists of a bidirectional turbine and an optoelectronic reader. The reader measures
infrared light interruptions caused by the spinning blade inside the turbine. The device may be used to measure a wide
flow range and is not affected by ambient conditions (pressure, humidity, room temperature, exhaled gas composition).
Daily calibration of the turbine is not necessary, but calibrations should be performed regularly to assure accurate
measurements.
The canopy hood
The canopy hood allows the patient’s exhaled air to blend with ambient air. This mixture is then inspired by a pump with
a known flow and the patient’s Oxygen Consumption, CO2 production and Energy Expenditure can be calculated.
The Quark RMR incorporates the canopy hood with the unit, and has a backup battery to ensure continuous working even
if the mains is not powering the system.
Antibacterial filters
The use of antibacterial filters is recommended for infection control. However, regular cleaning and decontamination of
lung function equipment should always be performed.
Note: The use of antibacterial filters is recommended even when using disposable
mouthpieces to prevent cross-contamination.
The HR probe
The HR probe consists of three parts: the elastic belt containing the transmitter and the USB receiver. The parts should be
assembled as close as possible to one another to acquire the most effective communication signal.
18 - Getting started - System overview
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System warm-up
Before using the Quark RMR the system must be warmed up for at least 10 minutes:
During the warm-up period the device must be powered on, but the software does not need to be open.
Calibration and/or testing procedures should never be performed until the warm-up period has been completed.
Getting started - System warm-up - 19
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Installation
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Before starting
Before operating the Quark RMR you should inspect the equipment and complete the product registration.
Checking the packing contents
When opening your product you should assure that the package contains all items listed below. If there are any missing or
damaged parts you should contact Cosmed’s technical assistance.
Note: Actual packaging of device and modules could differ from the one specified below
depending on the actual device’s configuration.
Device packaging
Quark RMR standard packaging
Code
Quantity
Description
C00974-01-04
1
Quark RMR Unit
C02500-02-04
1
ID18 turbine
C03047-01-20
1
ID18 turbine adapter
C02656-01-06
1
T/RH probe
C03880-01-10
1
Canopy hood
C02678-01-07
1
Canopy wrinkled tube
C03886-01-10
1
Canopy vail
A-182-300-004
5
Antibacterial filters
C00269-01-20
5
Soft mouthpiece (PTE ID25mm)
A-662-100-001
2
Nose clip
C02210-02-08
1
Permapure sample line 2m
A-182-310-001
5
Anti moisture filters
C03561-01-10
1
RMR hose
A-661-200-071
1
Elastic belt
A-661-200-070
1
HR monitor
A-661-200-039
1
HR receiver
A-362-315-010
1
USB extension cable
C00600-01-11
1
3 litres calibration syringe
A-362-050-001
1
Power cable
A-362-300-001
1
RS232 cable
A-362-315-001
1
USB cable
A-680-024-125
2
Time lag fuse 5x20 250V T1,25A
C01790-01-36
1
PC software CPET
C03262-02-91
1
User Manual
C03939-02-91
1
Software manual
22 - Installation - Before starting
Page 25
Packaging of optional products
CPET Module standard packaging
Code
Quantity
Description
C03400-01-04
1
ID28 turbine
C03611-01-10
1
Mask VO2max Small
C03612-01-10
1
Mask VO2max Medium
C03613-01-10
1
Mask VO2max Large
A-800-900-022
1
Head cap for the adult masks (L)
A-800-900-023
1
Head cap for the adult masks (S, M)
C02210-02-08
1
Permapure sample line 2m
C03564-01-10
1
Ergo hose
C02500-02-04
1
ID18 turbine
C02580-01-05
5
RMR masks
A-661-200-071
1
Elastic belt
A-661-200-070
1
HR monitor
A-661-200-039
1
HR receiver
A-362-315-010
1
USB extension cable
C03309-01-12
1
PFT input/output HR TTL cable
C01790-01-36
1
PC software CPET
Mixing chamber module standard packaging
Code
Quantity
Description
C03348-01-04
1
Mixing chamber
C03189-01-05
1
Two-way non rebreathing valve
A-800-900-025
1
Head support for 2-ways valve
C02106-01-08
1
Head cap Large
A-108-300-008
1
Wrinkled tube
C02181-01-08
1
Adapter for reader
C02753-01-10
1
Mixing chamber mask Medium
C01788-01-36
1
PC Software PFT
C01790-01-36
1
PC software CPET
ICU module standard packaging
Code
Quantity
Description
A-180-100-001
20
Sampling line extension
A-820-173-001
20
ICU connector with luer lock
C03116-01-20
2
ICU adapter
A-108-300-009
1
ICU wrinkled tube
C01050-01-09
2
Adapter for ICU calibration
A-180-015-004
5
Permapure
A-108-130-002
1
Silicone tube
C03395-01-20
2
Silicone tube - ID18 turbine adapter
Installation - Before starting - 23
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Options/Accessories
The following options are available with the Quark RMR system:
Code
Quantity
Description
A 860 000 004
1
Calibration cylinder (5% CO2, 16% O2, balance N2)
A 870 150 005
1
Pressure regulator for cal./DLCO cylinder
C03101-01-10
1
Paediatric mask Small for RMR
C03102-01-10
1
Paediatric mask Large for RMR
24 - Installation - Options/Accessories
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Quark installation
Before operating the system you should make sure that environmental and operational conditions have been met (see
Chapter 1).
Quark RMR front panel
1. Power switch
2. Led on/off
3. Gas calibration connection
Quark RMR rear panel
1. O2/CO2 cylinder (calibration) connector
2. Hose (turbine) connector
3. Wrinkled tube (Canopy hood) connector
4. Canopy blower switch
5. “Canopy alarm” led
6. “Canopy ready” led
7. Canopy flow adjustment connector
8. Supplementary earthing terminal
9. Sampling line connector
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10. RS232 connector for PC
11. Temp/RH probe connector
12. USB connector for PC
13. Auxiliary USB connector (for HR probe)
14. Turbine connector
15. Reset button
16. Auxiliary RS232 connector (for ergometer control)
17. Oximeter connector
18. Auxiliary TTL input/output
19. Connector for the soda lime CO2 absorber output (already connected)
20. Power cable plug
21. Soda lime CO2 absorber slot (already connected)
Calibration cylinders
In order to calibrate the sensors, the following calibration cylinder is required:
Cylinder
Recommended Gas Mixture
Test
Calibration
O2 16%, CO2 5%, N2 Bal
RMR
Cylinder can be placed into the trolley housings (option).
Note: The cylinders must contain a calibration certificate which indicates the gas
concentrations.
Assembling the gas regulators on the cylinder
Attach the gas regulator on the cylinder as shown in the following picture. The white washer should be inserted between
the cylinder and the gas regulator.
26 - Installation - Quark installation