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consequential damages in connection with the provision, representation or use of this documentation.

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K4 b

2

User manual, XII Edition

01/2005

Copyright © 1998 COSMED

Copyright © 2003 COSMED

COSMED Srl - Italy
http://www.cosmed.it
Part N. C01508-02-91

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Summary of Contents for K4B2

Page 1: ...transmitted in any form without the express permission of COSMED Srl COSMED Software can be installed only in one device Excel is a registered trademark of Microsoft Corporation DBIII is a registered...

Page 2: ...ormity 18 Safety 18 EMC 18 Telemetry 18 Quality Assurance 18 Medical Device Directive CE mark 18 FCC only USA version 18 Keynotes 19 Typographic keynotes 19 Graphic keynotes 19 System overview 20 Port...

Page 3: ...y and Ventilatory pattern 29 MVV Maximum Voluntary Ventilation 30 Bronchoprovocation Response 30 Installation 31 Installation sequence 32 Battery Charger Unit 32 Check voltage 32 Turn the Unit on 32 C...

Page 4: ...using the PC software 44 Set the reference values using the Portable Unit 45 Room air calibration 45 Room air calibration using the PC software 45 Room air calibration using the Portable Unit 45 Refe...

Page 5: ...nit to the PC 58 Enable transmission 58 Enter new patient 58 Enable reception on PC 59 Calibrate and start the test 59 Stop the test 60 Transferring test to PC 60 Serial Mode 61 Operating sequence 61...

Page 6: ...reparing the patient 72 Before testing 72 Patient assent 73 Ending the test 73 Real time test 74 Start a test 74 Abort the test without saving data 74 End the test saving data 74 View data in real tim...

Page 7: ...rt 82 Data Editing 83 Editing values and input numerical values 83 Data filtering 83 Using the User fields 84 Deleting steps 84 Advanced Editing 84 Restore the original test 85 Overwrite the original...

Page 8: ...aw data 94 Resting Metabolic Rate Test 95 Metabolism 96 Total Metabolic Rate 96 Resting Metabolic Rate RMR 96 Importance to measure RMR 96 Measure of the rest metabolic rate with indirect calorimetry...

Page 9: ...teds set 113 Set the current predicted 114 Formula definition 114 Page set up 115 Spirometry tests 116 Forced Vital Capacity pre 117 Recommendations 117 Perform a FVC pre test 117 Test encouragement 1...

Page 10: ...on 134 Cleaning the turbine flowmeter 135 Precautions during the cleaning of the turbine 135 Suggested disinfection solutions 135 Masks cleaning and disinfection 135 Disassembling the different parts...

Page 11: ...144 O2 kinetics 144 ATS 94 recommendations 145 ATS recommendations 145 Predicted values 146 Automatic diagnosis algorithm 147 Quality Control Messages 147 References 149 Gas Exchange References 149 I...

Page 12: ...12 K4 b 2 User Manual...

Page 13: ...Getting started...

Page 14: ...resentation 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...

Page 15: ...ue 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...

Page 16: ...ations 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...

Page 17: ...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...

Page 18: ...conformity Transmission frequency and output power can be changed upon request according to the destination country requirements Quality Assurance UNI EN ISO 9001 2000 Registration n 387 A Cermet Medi...

Page 19: ...e the typographic keynotes used in the manual Style Description Bold indicates a control or a key to be pressed Italic indicates a messages shown by the firmware Graphic keynotes These are the graphic...

Page 20: ...re USA and Japan versions have the antenna not detachable from the portable unit Besides data processing and presentation the Portable Unit has the following functions Patient data input Environment d...

Page 21: ...s and the accuracy of the baseline gain PC Software The PC software running on Windows allows the user to manage data stored in the Portable Unit or transmitted to PC Here following a list of the main...

Page 22: ...ask mouth nose breath adult M C02145 01 10 1 1 1 1 Mask mouth nose breath adult L A 661 200 001 1 1 1 1 HR elastic belt A 661 200 002 1 1 1 1 HR polar transmitter A 182 320 001 2 2 2 2 Anti moisture f...

Page 23: ...software it is possible to fill in an electronic form with the customer information 1 To run the software double click on the icon Registration or select Registration from menu 2 Type the requested in...

Page 24: ...nose breath ID28 paediatric S A 800 900 004 1 Paediatric Headcap Options Telemetry data transmission The optional Telemetry data transmission allows the researcher to transmit data on line to a PC up...

Page 25: ...VGA SVGA monitor Serial Port RS 232 available 2 serial ports in case of Ergometer control An USB port can replace one RS232 serial port if using the USB RS232 adaptor Cosmed code A 388 410 001 Any Mou...

Page 26: ...170 x 48 x 90 mm Weight 550 g PC interface RS 232 Battery charger Unit Power supply 120V 240 V Power consumption 25 W Flowmeter Type Bidirectional digital turbine 28 mm Flow Range 0 03 20 L sec Accur...

Page 27: ...Measurements...

Page 28: ...O2 ventilatory equivalent for CO2 VO2 HR ml beat Oxygen pulse VO2 Kg ml min Kg VO2 per Kg Ti Te Ti Ttot sec time breaths Vd Vt Vd Vt ratio PaCO2 mmHg arterial PCO2 estimated P a et CO2 mmHg Delta PaCO...

Page 29: ...f the FVC remains to be exhaled Vmax75 l sec Expiratory Flow when 25 of the FVC remains to be exhaled FEF25 75 l sec Mid exp flow between 25 75 FVC FET100 sec Forced expiratory time FEV2 l Forced Expi...

Page 30: ...n Symbol UM Parameter MVV l min Maximum Voluntary Ventilation MVt l Tidal Volume during MVV MRf 1 min Maximum Respiratory frequency MVVt sec MVV duration time Bronchoprovocation Response Symbol UM Par...

Page 31: ...Installation...

Page 32: ...50 60 Hz 100V 120V 220V 50 60 Hz 200V 240V To change setting move the switch on the new voltage by using a small screwdriver or a pen Turn the Unit on 1 Connect the Charger Unit to the main plug 2 Tu...

Page 33: ...e battery status in real time by selecting Information from View menu Portable Unit The PU can be supplied either by the Charger Unit or by rechargeable batteries It is recommended during Warm up to s...

Page 34: ...off key Connect the rechargeable battery Plug the power supply cable into the battery socket as shown in the following illustration International telemetric version USA and Japan Telemetric version S...

Page 35: ...lost Turning on off the receiver unit To turn the receiver unit on or off use the switch on the front side of the unit Receiver unit power supply The K4 b2 Receiver Unit is provided with four 1 5 V AA...

Page 36: ...on 1 Plug the turbine in the mask adapter by pushing and rotating it clock wise till you feel a stop 2 Insert the optoelectronic reader over the turbine and press it till the mask 3 Plug the wind cove...

Page 37: ...dy to be placed on the subject s face To remove seal on mask The Ultimate Seal have been conceived for a single patient use only it can not be cleaned or sterilised If mask requires cleaning for a new...

Page 38: ...iver and temperature probe cable in the HR Temp plug placed on the control panel 6 Insert the male connector of the turbine in the Turbine plug on the control panel 7 Fix the power supply cables anten...

Page 39: ...f activity Connect the Portable Unit to the PC Connect the K4 b2 Portable Unit to a serial port available in the PC Be sure to set the K4 b2 software to the proper serial port for the transmission Con...

Page 40: ...ll load up a dialog box and ask for a directory where to be installed 6 When the installation is over the program will advise you with a message indicating that the installation has been successfully...

Page 41: ...sired field Press the Enter key to confirm the information input on the dialog box or press the Esc key to cancel changes Use of the mouse To move the cursor among fields move the mouse on the desired...

Page 42: ...42 K4 b 2 User Manual...

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