Gold Standard Plus Quick Start Guide Issue 2

Vitalograph Gold Standard Plus Quick Start Guide Part 1 Connecting the Vitalograph Gold Standard Plus To A Printer The Vitalograph Gold Standard Plus can be easily connected to a desktop printer for output of informative, well presented reports. First, the correct printer must be selected on the Gold Standard Plus by using the following procedure, • From the main menu, select Setup. • From the Setup menu, select Printer. • Using the c and " buttons, select the printer type that you will be printing to. Referring to the previous illustration, use the following procedure, • Ensure everything is powered off and unplugged before setting up. • Connect Printer Cable (2120505) to the Gold Standard Plus Serial Cable (2160100). • Connect the other end of the Printer Cable to the printer. • Connect the other end of the Serial Cable to the Gold Standard Plus. • Switch the printer on. • Switch the Vitalograph Gold Standard Plus on. Once you have set up as above, you can perform the following test. A quick test:After you have connected your Vitalograph Gold Standard Plus to the printer, using the above procedure, do the following to ensure every thing is in working order, • • • •

Switch the Vitalograph Gold Standard Plus on. From the main menu, select Patient. Select Manual patient ID. Do not enter a patient ID i.e. press ↵. This will ensure that nothing from this test is saved to the database. • Press ↵ on the Sex, Age, Height and Race fields - values entered are not important here.

Vitalograph Gold Standard Plus Quick Start Guide Part 1 • • • •

From the main menu, select Test. Press ↵ to enter temperature. Select VC - the results of this test are quicker to print out. Blow into the breathing tube for a couple of seconds - performance is not important here. • Press ESC twice. • From the main menu, select Print. • Select Current. A one page report with a VC result should now print out. If a printout is not obtained. Power off everything and reconnect as above.

Vitalograph Gold Standard Plus Quick Start Guide Part 2

Customer Service

Vitalograph Gold Standard Plus Quick Start Guide Part 2

How To Use Your Vitalograph Gold Standard Plus

For the names and addresses of approved Vitalograph Service Agents, please contact any of the following offices or your local Vitalograph distributor. Vitalograph Ltd., Maids Moreton House, Buckingham, MK18 1SW, England Phone: (01280) 822811 Fax: (01280) 823302 Vitalograph GmbH, Jacobsenweg 12, 22525 Hamburg, Germany Phone: (040) 547 391-0 Fax: (040) 547 391-40

Your new Vitalograph Gold Standard Plus is the most advanced desktop volumetric storage spirometer available today and may be used for performing the full range of FVC and VC tests. The Vitalograph Gold Standard Plus can store patient information and the results of over 100 tests, including graphical data. Results are time and date stamped, and may be printed in tabular or graphical form.

Entering Patient Data

Vitalograph Inc., 8347 Quivira Road, Lenexa, Kansas 66215, USA Phone: (913) 888-4421 Fax: (913) 888-4259

In order to save results to the database, an ID must be assigned to a patient prior to testing. If a patient is performing a test for the first time, use the following procedure,

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1. From the main menu, select Patient. 2. For a quick, automatically assigned ID, select Auto (this is based on today’s date). Go to step 8. 3. For a specific ID, select Manual (e.g. if the patient’s name is required as the ID). 4. Using the c and "buttons, select the first character of the ID. If you keep the button depressed, you will be able to speed scroll through the character range. 5. Press ↵ to select the character. 6. Follow steps 4 & 5 to select further characters in the ID, if required. At any stage, if a mistake is made, use the DEL button to correct. 7. Press ↵ to select the ID. 8. Using the c and "buttons, select Sex. Press ↵. 9. Using the c and "buttons, select Age. Press ↵. 10. Using the c and "buttons, select Height. Press ↵. 11. Using the c and "buttons, select Race. Press ↵. If a patient has previously performed a test and that patient's details are already stored in the database, use the following procedure,

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1. From the main menu, select Patient. 2. Select Recall. 3. Using the c and "buttons, select a patient ID that was entered previously.

Vitalograph Gold Standard Plus Quick Start Guide Part 2 Performing A Test When patient details have been entered, a test can be performed. Use the following procedure to perform a VC or FVC test, 1. From the main menu, select Test. 2. Using the c and "buttons, enter the ambient temperature (you will only have to do this the first time the unit is used for testing after it is switched on). 3. Select VC or FVC. If patient details have not been entered, you will be prompted to do so. Refer to Entering Patient Data. 4. The screen will prompt for a test . 5. When the test is complete, there is a prompt to perform another test (accompanied by a double beep if Sound is enabled) . 6. Using the c and "buttons, a quality summary and individual results can be accessed. The Indices displayed here are dependent on what was selected in the Setup menu. Results include results from the Last test, results from the Best test and predicted results (Pred). 7. When the Vitalograph Gold Standard Plus is happy that a good test session is achieved, there is a prompt that a successful test session has been achieved (accompanied by five beeps if Sound is enabled) - this is relevant to an FVC test only.

Printing Test Results When testing is complete, the results can be printed out. Ensure that your printer is set up correctly (refer to Connecting the Vitalograph Gold Standard Plus To A Printer in part 1). Use the following procedure, 1. From the main menu, select Print. 2. Select Current. The results of the test session that was just completed, will be printed out.

Checking Accuracy The Vitalograph Gold Standard Plus should be calibrated at room temperature prior to performing tests. In accordance with the international standards governing spirometry, it is recommended that you check calibration regularly. If the temperature of your testing environment remains stable (within ±4°C) it should not be necessary to adjust the calibration after the initial set-up. Use the following procedure,

Vitalograph Gold Standard Plus Quick Start Guide Part 2 1. Prior to checking accuracy, have your calibrating syringe ready (we recommend the Vitalograph 1 litre syringe - Cat. No. 20.408). 2. Insert a chart in the chart carrier. (See the Inserting the Vitalogram Chart section of Chapter 3 in the User Manual if you require assistance.) 3. Set the stylus on the Stylus Start line at the base of the centre scale. (See the Adjusting the Stylus section of Chapter 3 in the User Manual if you require assistance.) 4. Switch the chart carrier switch to the calibration position, i.e. the centre position. 5. Turn on the Vitalograph Gold Standard Plus and from the main menu, select Calib. 6. Using the c and "buttons, enter the ambient temperature (you will only have to do this the first time the unit is used for checking accuracy after it is switched on). 7. Ensure the syringe piston is fully withdrawn. At this point, connect the unit to the syringe and leave it in a stable position - do not move the unit during this procedure. 8. With an even stroke, pump the contents of the syringe into the unit. The stroke must be at least one second in duration. 9. Wait for a double beep, withdraw the syringe piston fully and repeat step 6 until for another 6 strokes (it is very important to wait for the double beep before withdrawing the piston each time). 10. The accuracy check is now complete. Press ↵ to continue. 11. The calibration is OK when the volume difference with the previously stored calibration value is less than 3%. There is no need to update calibration here. (if, for some reason, an update is still required then press the DEL button at this stage) If the volume difference with the previously stored calibration value is greater than 3%, then an update is recommended. 12. An accuracy check report can be printed when prompted to do so. Ensure your printer is set up correctly (refer to Connecting the Vitalograph Gold Standard Plus To A Printer in part 1), and press ↵, otherwise press ESC. Note: if you check accuracy during a test session and attempt to update the calibration, you will be informed that the current test session will be completed. If you press ↵, the calibration will be updated and the best test to date will be saved to the database. If you press ESC, the calibration will not be updated and testing can resume. Note 2: The calibration of the electronics can be altered independently of the bellows calibration. The converse is NOT true. To ensure that your chart results agree with the electronic results, it is strongly recommended that the bellows is calibrated (as outlined in the User Manual) prior to changing the calibration of the electronics.