Quark PFT User manual VII Edition Sept 2003

Table of contents Getting started

11

Important notices... 12

Intended use ... 12 Warnings ... 12 Contraindication ... 14

Contraindications for the Spirometer tests ... 14 Absolute contraindications... 14 Relative contraindications... 14 Contraindications for Bronchial provocation tests... 14 Absolute contraindications... 14 Relative contraindications... 14 Contraindications for Exercise testing ... 14 Environmental condition of use ... 15 Safety and conformity ... 16

Safety ... 16 EMC... 16 Quality Assurance... 16 Medical Device Directive (CE mark) ... 16 Keynotes ... 17

Typographic keynotes ... 17 Graphic keynotes... 17 Systems Overview ... 18

Tests/Products table ... 18 Before starting ... 19

Checking the packing contents... 19 Quark PFT1 standard packaging... 19 Quark PFT2 standard packaging... 19 Quark PFT3 standard packaging... 20 Quark PFT4 standard packaging... 20 Quark PFT Ergo standard packaging... 21 Quark PFT2 ergo Standard packaging... 21 Quark PFT4 ergo Standard packaging... 22 Warranty registration ... 23

Register the product via software ... 23 How to contact COSMED ... 23 Complain, feedback and suggestions... 23 Options/Accessories... 24 PC configuration required ... 25 Technical features ... 26

Flowmeter ... 26 Oxygen Sensor (O2) ... 26 Carbon Dioxide Sensor (CO2)... 26 2 - Quark PFT User Manual

Carbon Monoxide sensor (CO)... 26 Methane sensor (CH4) ... 26 Humidity absorber ... 26 Power Supply... 26 Environmental Sensors ... 26 Dimension and Weight ... 26 Aux inputs... 26

Measurements

27

Pulmonary function tests and measured parameters ...28

Spirometry Tests ... 28 FVC - Forced Vital Capacity... 28 VC/IVC - Slow Vital Capacity and Ventilatory pattern 28 MVV - Maximum Voluntary Ventilation... 29 Bronchoprovocation Response ... 29 Multi-breath Nitrogen wash-out ... 29 Closing Volume test ... 29 CO diffusion Test ... 29 Respiratory Drive - P0.1 Test ... 30 MIP/MEP... 30 Cardio pulmonary Exercise Testing (CPET) ... 30 Breath by Breath exercise testing ... 30 Indirect Calorimetry... 31 Lactate Threshold (V-Slope) ... 31 O2 Kinetics ... 31

Installation

33 Unpacking the system ...34 Setting up the system ...35

Installing the Calibration Gas Cylinders... 35 Gas pressure adjustment procedure... 35 Connecting cables and tubing...36

Cables and Tubing’s installation sequence ... 37 Assemble the breathing valve ... 37 Assemble the turbine ...38

Assemble the mask and the flowmeter ... 38 Using the "Ultimate Seal" ... 38 Apply the seal to the mask... 39 To remove seal on mask ... 39 Connecting PC ... 39 Software installation ...40

Installing the software... 40 Run the software ... 40 PC port configuration... 40 Software main features...41

Display ... 41 Index - 3

Tool bar ... 41 Show/hide the toolbar ... 41 Dialog windows ... 41 Use of the keyboard ... 41 Use of the mouse... 41 Scroll bars ... 41 On-line help... 41 Software version... 41

Calibration

43 Calibrating Sensors... 44

Running the Calibration program... 44 Log file... 44 Setting reference values ... 44 To set the reference values... 44 Calibrating analysers... 45 ERGO Calibration... 45 FRC Calibration... 45 DLCO Calibration... 45 Print the calibration report ... 46 Edit the calibration factors ... 46 O2 delay check... 46 Turbine calibration ... 47

The calibration syringe ... 47 Assembling the flowmeter for calibration ... 47 Calibrating the turbine... 48 Checking the system signals... 49

The control panel... 49 Using the control panel ... 49

Database Management

51

Spirometry patient's database... 52

Patient Card... 52 Visit Card... 52 Test Card... 53 Import/export a Tests card ... 53 Diagnosis Database ... 53 Exercise testing patient's database ... 54

Enter a new patient... 54 Find a patient... 54 Edit patient data... 54 Delete a patient... 54 Archive maintenance ... 55

Reorganise the archive ... 55 Delete the archive... 55 Delete a test ... 55 4 - Quark PFT User Manual

Backup and restore... 55 Backup ... 55 Restore ... 55 Spirometry Settings ...56

Graphs... 56 Serial port ... 56 Units of measurements ... 56 Using extra fields... 56 Customise the fields... 56

Spirometry

57 Setting spirometry options ...58

Spirometry... 58 Automatic Interpretation... 58 Quality control... 58 Parameters manager ... 59 Predicted values manager... 59 Predicteds set ... 59 Set the current predicted ... 60 Formula definition ... 60 Page set-up ... 61 Spirometry tests...62 Forced Vital Capacity (pre)...63

Recommendations... 63 Perform a FVC (pre) test... 63 Test encouragement ... 63 Perform the FVC test with the encouragement... 64 Slow Vital Capacity ...65

Perform a SVC test ... 65 Maximum Voluntary Ventilation ...66

Perform a MVV test... 66 Bronchial Provocation Test...67

Bronchodilator test... 67 Methacholine and Histamine Bronchial provocation Tests ... 67 Perform the test ... 68 Bronchial Provocation protocols Database ... 68 Enter a new Bronchial provocation protocol in the archive ... 68 Viewing results ...69

Tests of the current patient ... 69 Delete a test ... 69 Printing results ...70

Printing Reports ... 70 Printing the active window ... 71 To print the active window ... 71 Printing a series of reports ... 71 Electronic reports (*.pdf) ... 71 Index - 5

Export data ... 71 Export a test ... 71

Lung Volumes

73

Lung volumes tests (N2 washout) ... 74

Recommendations... 74 Setting N2 wash-out options ... 74 Perform the test ... 75 Closing Volume Test (CV) ... 76

Recommendations... 76 Perform the test ... 76

P0.1 Respiratory drive

79

P0,1 (Respiratory drive) ... 80

Aim of the test... 80 Setting respiratory drive options ... 80 Recommendations... 80 Perform the test ... 80

Lung diffusing capacity

83

CO Diffusing Capacity (DLCO) Test... 84

Setting DLCO options... 84 Recommendations... 85 DLCO with breath-hold (standard technique)... 85 DLCO with apnoea (standard method) ... 85 DLCO without apnoea (“intrabreath” method)... 87 Multiple breath DLCO test (“Steady-State” method) ... 87

MIP/MEP (option)

89

MIP/MEP test ... 90

How to perform the test... 90

Pulse oximetry (option)

91

The oximetry test... 92

How to perform the test... 92

Exercise testing

93

Recommendations for the exercise testing... 94

The evaluation of the cardiorespiratory function ... 94 Precautions ... 94 Laboratory... 94 Ending the test ... 94 Preparing the patient ... 94 Before testing... 94 Patient assent... 95 Ending the test ... 95 6 - Quark PFT User Manual

Start Testing ...96

Start a test ... 96 Abort the test without saving data ... 96 End the test saving data ... 96 View data in real-time... 96 View graphs in real-time ... 97 Parameters to view... 97 Manual protocol ... 97 Enter Load and Phase ... 97 Set the markers ... 97 Automatic protocol ... 97 Modify the load during the test... 97 Set the BPM alarm ... 97 Enter the BPM ... 97 Data management ...98

Viewing data ... 98 View data in table form ... 98 Creating graphs ... 98 View data in graph form ... 98 Customise the graphs... 99 Switch from graph to data and vice versa... 99 Viewing predicted values... 100 View predicted values... 100 Anaerobic (Lactate) Threshold detection... 100 View the Lactate Threshold... 100 Detect the Lactate Threshold ... 100 Customise graphs for the LT viewing... 100 Fittings ... 101 Fit a graph with a linear regression... 101 Fit a graph with a Mono-exponential regression ... 101 Calculate the "Mean Value" ... 102 Oxygen Kinetic ... 102 Run the O2 Kinetic function... 102 Information about the Test... 103 View the Information... 103 Modify the information... 103 Summary ... 103 View the summary... 103 Print the data ... 103 Print the current window ... 104 Print the report ... 104 View the report ... 104 Data Editing ...105

Editing values and input numerical values ... 105 Data filtering... 105 Using the User fields ... 106 Index - 7

Deleting steps... 106 Advanced Editing ... 106 Restore the original test ... 107 Overwrite the original test ... 107 Customise the desktop... 107 Customise the display colours ... 107 Smart edit ... 107 Apply the graphical noise suppression ... 107 Apply the threshold noise suppression ... 107 Customise the parameters ... 108 Create a new parameter... 108 Create a new predicted parameter... 108 Exporting data ... 109 Export a test ... 109 DDE with Excel ... 109 Creating Test Protocols ... 110

Create a new protocol ... 110 Software configuration ... 111

Data viewing ... 111 Select the parameters to view ... 111 Select the parameters to view during the test... 111 Sort the parameters ... 111 Steady State... 111 Customise the Steady State detection criteria... 111 Printout reports... 112

Set up the printout... 112 Select parameters to be printed ... 112 Customise the printout header ... 112 Electronic reports (*.pdf) ... 113 Print the current window... 113 Print the customised report... 113 Events management during exercise testing ... 114

Flow Volume loops ... 114 Flow Volume loop during the test ... 114 O2, CO2 vs Time ... 114 O2, CO2 vs Time during the test ... 114 O2 Saturation (optional)... 114 O2 Saturation during the test ... 115 Spirogram... 115 Spirogram during the test... 115 View the events after the test ... 115 Raw data... 115 Save Raw data... 115

Resting Metabolic Rate Test

117

Metabolism ... 118 8 - Quark PFT User Manual

Total Metabolic Rate... 118 Resting Metabolic Rate (RMR) ... 118 Importance to measure RMR ... 118 Measurement of the rest metabolic rate with indirect calorimetry ... 118 How to perform a RMR test... 118 Recommendations ...119 Performing a test ...120

Calibrations ... 120 How to prepare a patient ... 120 Start the test... 120 Viewing the test ... 121 How to modify the average interval... 122 Print... 122

Sub-maximal Exercise Testing

125

Introduction ...126

Pre-test screening ... 126 Sub-maximal exercise testing ...127

Considerations with sub-maximal exercise testing ... 127 Staffing... 128 Test termination ... 128 Considerations for accuracy ...129 Performing the test ...130

An example of testing protocol... 130

System maintenance

131

System maintenance ...132

Cleaning and disinfection... 132 Cleaning the turbine flowmeter ... 133 Precautions during the cleaning of the turbine ... 133 Suggested disinfection solutions... 133 Cleaning the Breathing valve... 133 Masks cleaning and disinfection ... 135 Disassembling the different parts of the mask... 135 Cleaning the mask... 135 Disinfecting the mask ... 135 Permapure maintenance ... 135 Inspections ... 135 Replace the fuses... 135 Select the proper power supply voltage ... 136

Appendix

137 Service - Warranty ...138

Warranty and limitation of liability ... 138 Return goods policy for warranty or non warranty repair... 138 Repair Service Policy... 139 Index - 9

Privacy Information ... 140

Personal data treatment and purposes ... 140 How your personal data are treated... 140 The consent is optional, but… ... 140 Holder of the treatment ... 140 Customer rights ... 140 Heart Rate – TTL input ... 141 Converting factors configuration ... 142 Calculations references... 143

VO2 and VCO2 ... 143 Anaerobic threshold (modified V-Slope)... 143 References... 143 O2 kinetics ... 143 ATS 94 recommendations ... 144

ATS recommendations... 144 Predicted values ... 145

ERS93 ... 145 Reference Adult: ... 145 Reference Paediatric: ... 145 KNUDSON 83 ... 145 Reference Adult/ Paediatric: ... 145 ITS (White race)... 145 Reference Adult/ Paediatric: ... 145 ITS (Black race) ... 145 Reference Adult/ Paediatric: ... 145 LAM... 145 Reference Adult/ Paediatric: ... 145 Multicéntrico de Barcelona ... 145 Reference Adult/ Paediatric: ... 145 NHANES III... 145 Reference Adult/ Paediatric: ... 145 Automatic diagnosis (algorithm)... 146 Quality Control Messages ... 146 References... 147

Spirometry ... 147 Lung Volumes... 147 Single-Breath with Apnea... 147 Single-Breath without Apnea... 147 Gas Exchange References... 147 Indirect calorimetry... 147 Sub-maximal testing ... 147

10 - Quark PFT User Manual

Important notices Intended use Quark PFT is an electrical medical device designed to perform pulmonary function tests. It is to be used by physicians or by trained personnel on a physician responsibility. Caution: Federal law restricts this device to sale by or on the order of a physician. This equipment has been conceived with the aim of providing an auxiliary instrument allowing: •

the formulation of lung pathology diagnosis;

•

important studies concerning human physiology;

• the collection of important information in sport medicine. No responsibility attaches COSMED Srl for any accident happened after a wrong use of the device, such as: •

use by non qualified people;

•

non respect of the device intended use;

•

non respect of the hereunder reported precautions and instructions.

Warnings The device, the program algorithms and the presentation of measured data have been developed according to the specifications of ATS (American Thoracic Society) and ERS (European Respiratory Society). Other international references have been followed when these were not available. All bibliography references are reported in Appendix. The present handbook has been developed with respect of the European Medical Device Directive requirements which sort Quark PFT within Class II a. It is recommended to read carefully the following precautions before putting the device into operation. The precautions reported below are of fundamental importance to assure the safety of all COSMED equipment users. 1. This user manual is to be considered as a part of the medical device and should always be kept on hand. 2. Safety, measure accuracy and precision can be assured only: • using the accessories described in the manual or given with the device. Actually non recommended accessories can affect safety unfavourable. Before using non recommended accessories it is necessary to get in touch with the manufacturer; • ordinary equipment maintenance, inspections, disinfection and cleaning are performed in the way and with the frequency described; • any modification or fixing is carried out by qualified personnel;

3. 4. 5.

6. 12 - Quark PFT User Manual

• the environmental conditions and the electrical plants where the device operates are in compliance with the specifications of the manual and the present regulations concerning electrical plants. 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. Before powering the system, check the power cables and the plugs. Damaged electrical parts must be replaced immediately by authorised personnel. Large gas cylinders, which may be given by the manufacturer or purchased by the customer, should be secured with cylinder safety chains or safety stands. When removing the protective cap, inspect the cylinder valve for damaged threads, dirt, oil or grease. Remove any dust or dirt with a clean cloth. If oil or grease is present on the valve of a cylinder which contains oxygen, do not attempt to use. Such combustible substances in contact with oxygen are explosive. Be certain that the materials of the pressure regulators are chemically compatible with the intended gas service before installation. Inspect the regulator for the proper

connection and note the ranges of the pressure gauges. Also examine the physical condition of the regulator including threads and fittings. Remove any dust or dirt from the regulator or cylinder valve with a clean cloth. Do not install a regulator on a cylinder valve containing oxygen if grease or oil is present on either. Such substances in contact with oxygen are explosive. 7. Cleaning residue, particulates, and other contaminates (including pieces of torn or broken components) in the breathing circuit pose a safety risk to the patient during testing procedures. Aspiration of contaminates can potentially be life-threatening. You must follow all the cleaning procedures in System Maintenance, and you must thoroughly inspect the components after cleaning and before each patient test. 8. This device is not suitable for use in presence of flammable anaesthetics. It is not an AP nor an APG device (according to the EN 60 601-1 definitions). 9. Keep the device away from heat and flame source, flammable or inflammable liquids or gases and explosive atmospheres. 10. In accordance with their intended use Quark PFT is not to be handled together with other medical devices unless it is clearly declared by the manufacturer itself. 11. It is recommended to use a computer with electromagnetic compatibility CE marking and with low radiation emission displays. 12. It is necessary to make the PC, connected to the Quark PFT, compliant with EN 60601-1 by means of an isolation transformer. 13. Graphical symbols used in accordance to present specifications are described here below: Equipment type B (EN60601-1) Danger: high temperature OFF ON Protective earth ground Alternating current

Chapter 1 - Getting started - 13

Contraindication The physical strain to execute the respiratory manoeuvre is contraindicated in case of some symptoms or pathology. The following list is not complete and must be considered as a piece of mere information.

Contraindications for the Spirometer tests Absolute contraindications

For FVC, VC and MVV tests: • Post-operating state from thoracic surgery For FVC tests: •

Severe instability of the airways (such as a destructive bronchial emphysema)

•

Bronchial non-specific marked hypersensitivity

•

Serious problems for the gas exchange (total or partial respiratory insufficiency)

Relative contraindications

For FVC tests: •

spontaneous post-pneumothorax state

•

arterial-venous aneurysm

•

strong arterial hypertension

• pregnancy with complications at the 3rd month. For MVV test: •

hyperventilation syndrome

Contraindications for Bronchial provocation tests The bronchial provocation tests must be executed according to the doctor’s discretion. There are not data that reveal specific contraindication for the bronchial provocation test through inhalation. The modern standard processes have been revealing secure in several clinical studies. However it is recommendable to respect the following contraindications: Absolute contraindications

•

Serious bronchial obstruction (FEV1 in adults)

•

Recent myocardium infarct

•

Recent vascular-cerebral accident

•

Known arterial aneurysm

•

Incapacity for understanding the provocation test procedures and its implications.

Relative contraindications

•

Bronchial obstruction caused by the respiratory manoeuvre.

•

Moderate or serious bronchial obstruction. For ex. Predicted value FEV1 less than 1.51 in men and predicted value FEV1 in women less than 1.21.

•

Recent infection in the superior air tracts

•

During the asthmatic re-acuting

•

Hypertension

•

Pregnancy

•

A pharmacology treatment epilepsy

Contraindications for Exercise testing Read carefully the exercise testing chapter.

14 - Quark PFT User Manual

Environmental condition of use COSMED units have been conceived for operating in medically utilised rooms without potential explosion hazards. The units should not be installed in vicinity of x-ray equipment, motors or transformers with high installed power rating since electric or magnetic interferences may falsify the result of measurements or make them impossible. Due to this the vicinity of power lines is to be avoided as well. Cosmed equipment are not AP not APG devices (according to EN 60601-1): they are not suitable for use in presence of flammable anaesthetic mixtures with air, oxygen or nitrogen protoxide. If not otherwise stated in the shipping documents, Cosmed equipment have been conceived for operating under normal environmental temperatures and conditions [IEC 601-1(1988)/EN 60 601-1 (1990)]. •

Temperature range 10°C (50°F) and 40°C (104°F).

•

Relative humidity range 20% to 80%

•

Atmospheric Pressure range 700 to 1060 mBar

•

Avoid to use it in presence of noxious fumes or dusty environment and near heat sources.

•

Do not place near heat sources.

•

Cardiopulmonary resuscitation emergency equipment accessible.

•

Adequate floor space to assure access to the patient during exercise testing.

•

Adequate ventilation in the room.

Chapter 1 - Getting started - 15

Safety and conformity Safety

IEC 601-1 (1988) /EN 60 601-1 (1990); Find reported below the complete classification of the device: •

Class I type B device

•

Protection against water penetration: IP00, ordinary equipment unprotected against water penetration

•

Non sterile device

•

Device not suitable in the presence of flammable anaesthetics;

•

Continuous functioning equipment;

EMC

The system meets the EMC Directive 89/336 EN 60601-1-2 EN 55011 Class B (emission), IEC 1000-4-2, IEC 1000-4-3, IEC 1000-4-4 Quality Assurance

UNI ISO 9001 (Registration n° 387 Cermet) Medical Device Directive (CE mark)

MDD 93/42/EEC (Notified Body 0476). Class IIa

16 - Quark PFT User Manual

Keynotes Here are the keynotes used to make the manual easier to read.

Typographic keynotes These are the typographic keynotes used in the manual. Style

Description

Bold “Italic”

indicates a control or a key to be pressed. indicates a messages shown by the firmware.

Graphic keynotes These are the graphic keynotes used in the manual. Illustration

Description

shows the button to click in the software to activate the related feature.

Chapter 1 - Getting started - 17

Systems Overview Quark PFT is a stationary and modular system designed for Pulmonary Function Testing. This system has been designed to meet the most accredited criteria and recommendations of the latest scientific publications. The system incorporates “plug and play” circuitry, allowing the customisation of features and instant upgrades. Quark PFT comes in the following configurations: •

PFT1; Spirometry, (FVC, SVC, MMV and bronchial-challenge tests).

•

PFT2; adds Functional Residual Capacity testing via Nitrogen Washout and Closing Volume techniques.

•

PFT3; combines Spirometry plus Lung Diffusing Capacity testing by adding CO and CH4 analysers.

•

PFT4; integrates PFT2 and PFT3 features to become the Complete Pulmonary Function Testing instrument.

•

ERGO Option: The PFT 2 and PFT 4 can be enhanced with the Pulmonary Gas Exchange module, allowing “breath by breath” analysis, indirect calorimetry and RS232 ergometer control, PFT3 can be upgraded to PFT4 or PFT4 ERGO.

Tests/Products table Test Forced Vital Capacity

PFT 1

PFT 2

PFT 3

•

•

•

PFT 4 PFTErgoPFT2ergoPFT4ergo •

option

•

•

Slow Vital Capacity

•

•

•

•

option

•

•

Respiratory Pattern

•

•

•

•

option

•

•

Maximum Voluntary Ventilation

•

•

•

•

option

•

•

Bronchial Challenge Tests

•

•

•

•

option

•

•

•

•

•

•

•

Nitrogen Wash-out

•

Closing Volume

•

Lung Diffusing Capacity

•

P0.1

option

• option

Exercise Testing

•

Indirect Calorimetry Oxymetry

option

MIP-MEP

18 - Quark PFT User Manual

option

option

option

•

•

•

•

•

option

option

option

option

option

option

•

•

•

option

option

option

option

option

option

option

option

option

option

option

Ergometer Control Integration with Quark C12/T12 ECG

• •

Before starting Before operating the Quark PFT system we strongly recommend to check the equipment and register you as a customer.

Checking the packing contents Make sure that the package contains the items listed below. In case of missing or damaged parts, please contact Cosmed technical assistance. Quark PFT1 standard packaging Code

Qty

Description

C00931-01-04 C02120-01-05 C02171-01-11 A 662 100 001 C01739-02-35 C00137-01-20 C00136-01-20 A 362 060 001 A 362 300 001 A 680 013 630 A 680 024 125 C00067-02-94 C01340-02-91 C01999-02-DC

1 1 1 2 1 50 50 1 1 2 2 1 1 1

Quark PFT 1 unit Turbine Ø 28mm Kit optoelectronic reader Quark PFT1 Nose clips PC Software Paediatric paper mouthpieces Adult paper mouthpieces Power cord Schuko L 2m Serial cable RS 232 DB9 M/F Time Lag Fuses 5x20 250V T630 mA Time Lag Fuses 5x20 250V T 1,25A Registration card User manual Quark PFT Conformity declaration

Quark PFT2 standard packaging Code

Qty

Description

C00932-01-04 C02120-01-05 C02171-02-11 A 182 310 001 C01590-01-05 C00243-01-06 C02210-02-08 C00269-01-20 A 830 300 001 A 182 300 004 A 108 106 002 A 662 100 001 C00137-01-20 C00136-01-20 C01739-02-35 A 362 060 001 A 362 300 001 A 680 013 630 A 680 024 125 C00067-02-94 C01340-02-91 C01999-02-DC

1 1 1 5 1 1 1 20 1 10 2 2 50 50 1 1 1 2 2 1 1 1

Quark PFT 2 unit Turbine Ø 28mm Kit optoelectronic reader Quark PFT2/3/4 Antimoisture filter Breathing valve PFT2 (1 way) Calibration syringe 3 litres Permapure L 2m PTE soft mouthpieces Air valve membrane Antibacterial filter Tank tubing 6x8 98 shore Nose clips Paediatric paper mouthpieces Adult paper mouthpieces PC software Power cord Schuko L 2 mt Serial cable RS 232 DB9 M/F Time Lag Fuses 5x20 250V T630 mA Time Lag Fuses 5x20 250V T1,25A Registration card User manual Quark PFT Conformity declaration Chapter 1 - Getting started - 19

Quark PFT3 standard packaging Code

Qty

Description

C00933-01-04 C02120-01-05 C02171-02-11 C01730-01-05 C00243-01-06 C02210-02-08 A 182 300 004 A 830 300 001 A 662 100 001 C00137-01-20 C00136-01-20 A 182 310 001 C00269-01-20 C01739-02-35 A 108 106 002 A 362 060 001 A 362 300 001 A 680 013 630 A 680 024 125 C00067-01-94 C01340-02-91 C01999-02-DC

1 1 1 1 1 2 10 1 2 50 50 5 20 1 1 1 1 2 2 1 1 1

Quark PFT 3 unit Turbine Ø 28mm Kit optoelectronic reader Quark PFT2/3/4 Breathing valve PFT3/4 (3 ways) Calibration syringe 3 litres Permapure L 2 m Antibacterial filter Air valve membrane Nose clips Paediatric paper mouthpieces Adult paper mouthpieces Antimoisture filter PTE soft mouthpieces PC software Tank tubing 6x8 98 shore Power cord Schuko L 2 mt Serial cable RS 232 DB9 M/F Time Lag Fuses 5x20 250V T630 mA Time Lag Fuses 5x20 250V T630 mA Registration card User manual Quark PFT Conformity declaration

Quark PFT4 standard packaging Code

Qty

Description

C00934-01-04 C02120-01-05 C02171-02-11 C01730-01-05 C00243-01-06 C02210-02-08 A 182 300 004 A 662 100 001 C00137-01-20 C00136-01-20 A 182 310 001 C01739-02-35 A 362 060 001 A 362 300 001 A 108 106 002 A 830 300 001 A 680 013 630 A 680 024 125 C00067-02-94 C00269-01-20 C01340-02-91 C01999-02-DC

1 1 1 1 1 2 10 2 50 50 5 1 1 1 3 1 2 2 1 20 1 1

Quark PFT4 unit Turbine Ø 28mm Kit optoelectronic reader Quark PFT 2/3/4 Breathing valve PFT3/4 (3 ways) Calibration syringe 3 litres Permapure L 2 m Antibacterial filter Nose clips Paediatric paper mouthpieces Adult paper mouthpieces Antimoisture filter PC software Power cord Schuko 2 mt Serial cable RS 232 DB9 M/F Tank Tubing 6x8 shore Air valve membrane Time Lag Fuses 5x20 250V T630 mA Time Lag Fuses 5x20 250V T1,25A Registration card PTE soft mouthpieces User manual Quark PFT Conformity declaration

20 - Quark PFT User Manual

Quark PFT Ergo standard packaging Code

Qty

Description

C00935-01-04 C02120-01-05 C02170-01-11 C00243-01-06 C02210-02-08 C01399-02-12 A 800 900 001 C02125-01-10 C02135-01-10 C02145-01-10 A 182 310 001 C01739-02-35 C01740-02-35 A 362 060 001 A 362 300 001 A 108 106 002 C00861-01-06 A 661 200 001 A 661 200 002 A 680 013 630 A 680 024 125 C00067-02-94 C01340-02-91 C01999-02-DC

1 1 1 1 2 1 2 1 1 1 5 1 1 1 1 1 1 1 1 2 2 1 1 1

Quark PFT Ergo unit Turbine Ø 28mm Kit optoelectronic reader Ergo Calibration syringe 3 litres Permapure L 2 m Cable in HR TTL Head cap for the adult masks Mask mouth/nose breath adult S Mask mouth/nose breath adult M Mask mouth/nose breath adult L Anti moisture filter PC software Spiro PC software Ergo Power cord Schuko L 2m Serial cable RS 232 DB9 M/F Tank tubing 6x8 98 Shore HR probe Polar belt HR transmitter watertight Time Lag Fuses 5x20 250V T630 mA Time Lag Fuses 5x20 250V T1,25A Registration card User manual Quark PFT Conformity declaration

Quark PFT2 ergo Standard packaging Code

Qty

Description

C00936-01-04 C02120-01-05 C02171-02-11 C01590-01-05 A 800 900 001 C00243-01-06 A 108 106 002 C02210-02-08 C01399-02-12 C02125-01-10 C02135-01-10 C02145-01-10 C00861-01-06 A 661 200 001 A 661 200 002 C00269-01-20 C00137-01-20 C00136-01-20 A 182 300 005 A 182 310 001 A 362 060 001

1 1 1 1 2 1 2 2 1 1 1 1 1 1 1 20 50 50 10 5 1

Quark PFT2 ergo unit Turbine Ø 28mm Kit optoelectronic reader Quark PFT 2/3/4 Breathing valve PFT2 Head cap for the adult masks Calibration Syringe 3L Tank tubing 6x8 98 shore Permapure L2m Cable in HR TTL Mask mouth/nose breath adult S Mask mouth/nose breath adult M Mask mouth/nose breath adult L HR probe HR elastic belt HR polar transmitter PTE soft mouthpiece Paediatric paper mouthpieces Adult paper mouthpieces Antibacterial filter Anti moisture filter Power cord Schuko 2m Chapter 1 - Getting started - 21