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REF C04717-02-91 Q-NRG User Manual, Edition 4.2

Chapter 1 - Get Started

COSMED srl

Device Overview

Q-NRG is a portable Metabolic Monitor, designed for the measurement of resting energy expenditure (REE) in both 
spontaneously breathing and ventilated subjects; there are two versions of the device, described below:

 

 

  Q-NRG 

    Q-NRG+

Measurement Modes

Q-NRG

Q-NRG +

VENTILATOR

Not available

Standard

CANOPY

Standard

Option

MASK

Option

Option

Summary of Contents for Q-NRG

Page 1: ...Q NRG User Manual...

Page 2: ......

Page 3: ...product or its accessories COSMED assumes no liability for the end user interpretation of this user manual or for casual or consequential damages from the provision representation or use of this docu...

Page 4: ...andTransportation 15 Oxygen Sensor Safety Storage andTransportation 16 Glossary of symbols 17 Introduction to Indirect Calorimetry 21 Device Overview 22 Measurement Modes 23 VENTILATOR 23 CANOPY 23 MA...

Page 5: ...5 Utility 46 Export Import Erase 46 Control Panel 47 Calibration 49 DeviceWarm Up 49 Required Calibration Procedures 49 Calibration Menu 50 Pneumotach VENTILATOR Mode 50 Gas Analyzers Cylinder 51 Gas...

Page 6: ...rating Q NRG in CANOPY Mode 72 Post test Cleaning Disposal 73 Testing in MASK Mode 74 Check list 74 Selecting the Mask 74 MASK Mode set up 75 Operating Q NRG in MASK Mode 75 Post test Cleaning Disposa...

Page 7: ...internal Bluetooth module is disabled 115 Replace CSR Bluetooth Chip drivers with Generic Bluetooth drivers 115 Verify that Bluetooth Drivers are Properly Installed 116 Uninstall Q NRG Paired Device...

Page 8: ...ng of electrical equipment 128 Accessories Spare Parts 129 DeviceVersions 129 Accessories 129 IntelliBridge Interface 135 Connection diagrams 136 Operating Q NRG with Philips IntelliBridge 136 Compati...

Page 9: ...7 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Chapter 1 Get Started COSMED srl Chapter 1 Get Started...

Page 10: ...of the device considered serviceable by COSMED Whenever the Manual is updated edition changes Edition Changes from previous edition Edition 4 1 03 2020 Date 4 2 Updated the following sections Glossary...

Page 11: ...sonnel Technical background and awareness on hazards and risks associated with the performed procedures are required Service personnel must be authorized by COSMED or COSMED affiliates Repair Complex...

Page 12: ...The device is not intended as a continuous monitoring device for surveillance of vital physiological processes The device measures clinical parameters used to aid diagnosis and it is intended only as...

Page 13: ...missions or decreased immunity of this device 5 Gas cylinders Large gas cylinders provided by the manufacturer or purchased by the customer must be secured with cylinder safety chains or safety stands...

Page 14: ...or to device installation and can be found in the EMC section of this manual 15 Portable and mobile RF communication devices including antenna cables and external antennas should be either powered off...

Page 15: ...60 minutes three or four times in two weeks Note Thedevice programalgorithmsanddatapresentationhavebeendevelopedinaccordancewiththe recommendationsoutlinedincurrentscientificguidelinesandliterature t...

Page 16: ...persons with regard to the processing of personal data and on the free movement of such data and repealing Directive 95 46 EC General Data Protection Regulation COSMED Product Security Policy Stateme...

Page 17: ...here they may short circuit each other or be short circuited by other metal objects 6 Do not remove a battery from its original packaging until required for use 7 Do not subject batteries to mechanica...

Page 18: ...olvents or in flammable liquid stores Damage should any sensor be so severely damaged that leakage of the contents occurs then the following procedures should be adopted Avoid skin contact with any li...

Page 19: ...al law restricts this device to sale by or on the order of a licensed healthcare practitioner US market only 21 CFR 801 109 Indicates the manufacture s catalogue number so that the medical device can...

Page 20: ...dling the package ISO 7000 0622 Indicates the temperature limits to which the medical device can be safely exposed ISO 15223 1 Clause 5 3 7 Indicates a medical device that needs to be protected from m...

Page 21: ...mful Symbol GHS 07 Indicates the temperature limits to which the medical device can be safely exposed ISO 15223 1 Clause 5 3 7 Read the user manual IEC 60601 1 Table D 2 Symbol 10 Pneumatic Cartridge...

Page 22: ...EF C04717 02 91 Q NRG User Manual Edition 4 2 Chapter 1 Get Started COSMED srl EAC Gost Regulatory Compliance Mark of Australia and New Zealand UL Recognized for Canadian and US market China CQC KC In...

Page 23: ...results Resting energy expenditure REE or energy expenditure measured in resting conditions either on spontaneously breathing or ventilated subjects has a number of useful clinical applications refer...

Page 24: ...ortable Metabolic Monitor designed for the measurement of resting energy expenditure REE in both spontaneously breathing and ventilated subjects there are two versions of the device described below Q...

Page 25: ...s not available these sampling lines transport samples of gases exhaled and inhaled for the measurement of O2 oxygen and CO2 carbon dioxide concentrations Further calculations allow determination ofVO...

Page 26: ...ter 1 Get Started COSMED srl MASK A reusable face mask available in 5 different sizes attached to the external turbine flowmeter allows for the measurement ofVO2 andVCO2 in spontaneously breathing sub...

Page 27: ...ptacles D Technical failure LED Q Calibration gas port E External turbine flowmeter R Ethernet technical purposes only F Sampling line Patient S USB type B PC connection G Sampling line Ventilator T R...

Page 28: ...s requires a fresh set of the following single use items The test requires an antibacterial filter provided with a Luer lock that may be already available in the patient circuit In case the antibacter...

Page 29: ...asurements by means of a silicone face mask available in 5 different sizes The kit consists of two masks small and medium size one mask adapter one reusable turbine flowmeter and one head cap small me...

Page 30: ...4 and pressure regulator REF A 870 155 001 allows gas calibration of Q NRG analyzers See also Calibration Cylinder Set up A Cylinder B Pressure Regulator Pole Rail Clamp withVESA Mounting Plate This o...

Page 31: ...intenance Periodically inspect all hardware associated with the mounting system Tighten or adjust as necessary for optimal operation and safety To prevent possible device damage avoid tipping over the...

Page 32: ...30 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 COSMED srl...

Page 33: ...31 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Chapter 2 Installation COSMED srl Chapter 2 Installation...

Page 34: ...Refer to IEC 62353 safety test in the Appendix of this user manual Potential Equalization Node The purpose of additional potential equalization is to equalize potentials between different metal parts...

Page 35: ...ged Power ON and OFF Q NRG can operate either when powered by external AC power or by the internal battery which is recharged whenever the device is connected to power To Power ON the Device 1 Press a...

Page 36: ...ut Second Stage E Pressure Adjustment Knob C Calibration Hose WARNING BesurethattheGasCylinderisalwayssafelysecuredinthecylinderholderoftheoptionalcart referto cartinstructions orinanotherappropriatem...

Page 37: ...nob is closed turning it completely counter clockwise 3 Ensure that the ON OFFValve is closed Vertical Position the valve will be perpendicular to the output line 4 Connect the hose to the Q NRG calib...

Page 38: ...stem Windows 7 SP1 32 Bit Windows 10 64 Bit Screen Resolution 1366 x 768 1920 x 1080 USB Port Integrated Bluetooth USB Bluetooth to communicate with Q NRG 1 USB N A Note Thesoftwareiscopyrightprotecte...

Page 39: ...d on and radio communication enabled see Settings Power Saving mode disabled on computer Be sure that Bluetooth drivers are properly installed For further details refer to BluetoothTroubleshooting Not...

Page 40: ...38 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 COSMED srl...

Page 41: ...39 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Chapter 3 Q NRG Operation COSMED srl Chapter 3 Q NRG Operation...

Page 42: ...notexactlymatchwhatyouseeonyourowndevice Home Page and Main Functions Tile Functionality NewTest Execute a new test choose among the existing patients in the archive using the Search Patient function...

Page 43: ...t without saving Close Close the current page Save or Save OK Confirm and proceed Start Start test calibration Defaults Restore Default settings e g calibration results Factory Settings Reset the devi...

Page 44: ...button the display will be greyed and the Lock symbol flashes in background 2 To cancel the screen Lock press the Lock button again This functionality can be used when cleaning Function enabled press...

Page 45: ...Enable Disable audible feedback ScreenTimeout min Set time before screen sleeps Bluetooth Turn ON OFF Bluetooth radio Canopy Mode Enable Disable CANOPY Mode test and features Canopy Kit must be purch...

Page 46: ...tabolism UM Select the unit of measurement for substrate visualization kcal day g day Mask FlowmeterTemp C Temperature at flowmeter during mask test C Printout Printout menu allows configuration of fa...

Page 47: ...port Series vol 724 pp 1 206 1985 Maintenance Maintenance menu shows details about the maintenance performed on the device Further information about Preventive Maintenance and O2 Sensor Installation c...

Page 48: ...BMaxstoragesize To Export a Database to a USB flash drive 1 Insert the USB flash drive into an available USB Port on the left side of Q NRG 2 Select Utility Exporttest To Import Database from a USB fl...

Page 49: ...o air flow is moving through sensor Calibrate CO2 Zero Set the baseline for CO2 Blower KNOB Adjust Canopy blower flow rate 0 100 Blower ON OFF Turn blower pump On or Off Unit mV Toggle between calibra...

Page 50: ...leaks according to a specific procedure to be performed by authorized service centers only Acquire Data Set pneumatic circuit in acquisition mode and freeze measured signals O2 trimmer Set O2 hardwar...

Page 51: ...requires monthly gas analyzers calibration This section describes all calibration procedures Operators and Experts are recommended to read only paragraphs applicable to their role see table below Dev...

Page 52: ...entilated subjects The pressure drop across the transparent flexible plastic screen is directly proportional to the amount of air flow passing through the flowmeter To achieve the maximal possible acc...

Page 53: ...fied values from the actual gas cylinder must be specified in calibration Calibration Factors References This procedure consists of a two point calibration room air and a known reference calibration g...

Page 54: ...O2 range 22 or 75 and compensate for sensor aging Correction factors necessary to match actual reading of O2 and CO2 with expected values room air will be calculated Note Thiscalibrationprocedureisasu...

Page 55: ...ole motion range in 8 12 seconds Turbine External Flowmeter MASK Mode The turbine calibration is achieved by comparing a known volume calibration syringe against the volume measured by the system and...

Page 56: ...gs Tap Defaults and confirm The acceptable ranges and default values are summarized in the following tables Pneumotach VENTILATOR Mode Cal Factor Acceptable range Default Note Last mm dd yyyy hh mm Da...

Page 57: ...ime since power on Ambient Pressure mmHg Ambient Pressure during calibration Analyzer Pressure mmHg Analyzers Pressure during calibration O2Trimmer 10 1000 O2 hardware span O2 Gain 800 1200 O2 softwar...

Page 58: ...to store the test 7 Edit Results and Save Changes Select the averaging interval Review and edit the test results and patient s info if necessary 8 Export Results Export in CSV or PDF format USB port E...

Page 59: ...orytostartthe measurement Missingorincorrectvaluescanbeedited To Enter New Patient Data 1 Tap NewTest and then NEWPATIENT 2 Enter Last First Name DOB Date of Birth Gender Weight and Height This inform...

Page 60: ...rval advanced editing edit complete additional data USB or Bluetooth Paper PDF CSV COSMED proprietary XML For for further details refer to Edit Export Print Results Disposable and Reusable Items for e...

Page 61: ...C04690 0X 10 Via dei Pi a ni di Monte Savello 37 Albano Laziale 00041 Rome I T ALY Disposab l e Veil for Canopy Hood Large Reorde r C04690 01 10 106kPa 60kPa 95 50 C 122 F 10 C 14 F cosmed co m To be...

Page 62: ...min Dilution flow CANOPY RQ_avg mL min Averaged RQ All FAT or kcal day or g day Fat substrate metabolism All CHO or kcal day or g day Carbohydrate substrate metabolism All PRO or kcal day or g day Pr...

Page 63: ...4 2 Chapter 3 Q NRG Operation COSMED srl N Step has been identified as an artifact F FiO2 reading performed during current step Z Automatic zeroing of PNT pressure sensor performed during current ste...

Page 64: ...ircuit consider performing the measurement whenever the patient filter is changed according to your ICU policy Avoid changing FiO2 settings on ventilator during a measurement FiO2 during the selected...

Page 65: ...ccuracy CANOPY Mode The veil must be carefully wrapped around the patient to avoid air leaks which may causeVO2 andVCO2 underestimation Blower flow rate within the selected averaging interval shall be...

Page 66: ...use flowmeter REF A 662 250 003 HME Heat Moisture Exchanger with Antibacterial filter REF A 182 300 006 To be used when no active humidifi cation is present Antibacterial Filter REF A 182 300 007 To...

Page 67: ...racheal tube cuffs or uncuffed tubes are tolerated Maximum duration of a unique test is 30 minutes to avoid potential water condensation within sampling line Select Patient 1 Select or add a new patie...

Page 68: ...te Patient stolerancetotheadditionalfilterdeadspaceshouldbeaddressedbeforetestexecution Note Ventilatorandaccessoriesmaydifferfromtheexamplesshownintheimagesbelow presenceofthe antibacterialfilteratth...

Page 69: ...r is present at the inspiratory port ofVentilator recommended position of the FiO2 adapter is right after the filter 2 Connect single use sampling line between the Patient port of Q NRG and HME filter...

Page 70: ...the following commands Command Function Start Recording Begin storage of data test time will reset Stop Recording End test storing all data Info Review edit additional test info UN Fasting Period Res...

Page 71: ...nal filter HME or Standard has been added to the patient s circuit for the sole purpose of the test remove it at the end of test Post test Cleaning Disposal To ensure patient safety all the single use...

Page 72: ...eil is properly placed over the Canopy hood to avoid air leaks Via dei Pi a ni di Monte Savello 37 Albano Laziale 00041 Rome I T ALY Disposa ble Veil for Canopy Hood Large Reord er C0469 0 01 1 0 106k...

Page 73: ...be prompted during test execution Setting Up Canopy 1 Place the single use veil over the Canopy hood according to the instructions printed on the veil packaging connect the Canopy hose and the antibac...

Page 74: ...mfortablyrelaxed Measuredvaluesimmediatelyafterdilutionflowchangesarenot reliable Averageintervalshouldnotincludedilutionflowadjustments During test execution the user interacts with the device via th...

Page 75: ...st test Cleaning Disposal To ensure the patient safety all the single use parts must be disposed soon after the test and Q NRG surface must be cleaned according to cleaning and disinfecting instructio...

Page 76: ...e device Sampling line REF A 180 100 002 Single use Disposal after each test Reusable head cap REF A 800 900 02X Reusable face mask REF C0361X 01 10 Chose appropriate size before starting the measurem...

Page 77: ...or create a new patient and tap MASK 2 Connect the turbine flowmeter electrical cable to the Q NRG turbine flowmeter connector 3 Connect a sampling line between the Patient port of Q NRG and the port...

Page 78: ...real time values updated every 30 seconds AVG Shows results averaged within the specified interval manually adjustable using the touch display Data Data tab shows Realtime values in tabular format up...

Page 79: ...lect the Best 5 minutes CSV to USB Export test results to USB flash drive in numerical format PDF to USB Export test results to USB flash drive in PDF format Exit Exit theTest Results Make the followi...

Page 80: ...Q NRG SN 2018060015 Q NRG SN 2018060015 Canopy demo Canopy demo 02 26 1985 Female Canopy demo Canopy demo 02 26 1985 Female Canopy Test 10 12 2018 14 50 Canopy Test 10 12 2018 14 50 Time VP VO2 VCO2...

Page 81: ...79 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Chapter 4 OMNIA software COSMED srl Chapter 4 OMNIA software...

Page 82: ...r or standalone computer Remote test execution Advanced data analysis and data export Customizable reports Integration with Hospital Information Systems HL7 or GDT Refer to the OMNIA user manual for d...

Page 83: ...Tests on a PC 1 Ensure OMNIA software is installed and running on the PC 2 Click Download Tests in the HOME page of OMNIA software 3 Click VIEWDATA to show the list of tests stored on the Q NRG memory...

Page 84: ...NRG User Manual Edition 4 2 Chapter 4 OMNIA software COSMED srl ReviewingTest Results in OMNIA With OMNIA users can store an unlimited number of tests Tests stored in the Database can be reviewed for...

Page 85: ...r modify additional test info UN body temperature agitation AVG REE Adjust the averaging interval s for the calculation of REE Interpretation Insert test comments or interpretation Execute a test from...

Page 86: ...84 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 COSMED srl...

Page 87: ...85 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Chapter 5 Maintenance COSMED srl Chapter 5 Maintenance...

Page 88: ...after cleaning and disinfection parts remain dirty repeat cleaning and disinfection procedures Because some environments cause a quicker collection of lint and dust than others inspect the fan filter...

Page 89: ...n independent test laboratory Re processable parts when maintained properly and reprocessed per these instructions should function within specifications for a minimum of 50 cycles Verify proper functi...

Page 90: ...the device To minimize the potential for infection and ensure optimal performance make sure that Device and re processable parts are cleaned and disinfected prior the very first use Disposable items...

Page 91: ...CANOPY Antibacterial filter REF A 182 300 004 Canopy hood REF C03880 0X 10 Canopy veil REF C04690 0X 10 Via dei Pi a ni di Monte Savello 37 Albano Laziale 00041 Rome I T ALY Disposab l e Veil for Can...

Page 92: ...evel disinfection When Immediately after use Pre treatment Close all protection caps to correspondent receptacles Wipe off any visible soil with a moist sponge or towel Manual Cleaning When cleaning d...

Page 93: ...d outside wipe and rinse in water at 22 40 C 72 104 F Manual Cleaning Soak for 3 minutes in an enzymatic solution e g Cidezyme at room temperature 22 C 72 F During the 3 minutes using a soft bristle b...

Page 94: ...et air dry Inspect all surfaces and item features to ensure that they are visibly dry repeat Drying if not Note Disassemble all parts before cleaning Material Facts Silicone rubber blue Polycarbonate...

Page 95: ...hem off out or dab with a lint free cloth and let air dry Inspect all surfaces and item features to ensure that they are visibly dry repeat Drying if not Note Do not place the turbine under running wa...

Page 96: ...oft cloth moistened with water Dispose the soft cloth Drying Air dry Material Facts EVA copolymer Corrugated tube for adapter Level of Reprocessing Low level disinfection When Immediately after use Pr...

Page 97: ...access Q NRG replaceable parts the Q NRG back panel and battery must be removed WARNING Toavoidtheriskofelectricshock donotremovethebackpaneloftheQ NRGdevicewhileitisin operationorconnectedtothepower...

Page 98: ...Maintenance COSMED srl 3 Open the cover at the bottom left part of the back cover to unscrew the first screw 4 Unscrew the second screw located just below the potential equalization node 5 Lift the b...

Page 99: ...n 4 2 Chapter 5 Maintenance COSMED srl 7 Remove the battery as described below before proceeding any preventive maintenance which requires access to the internal components To Close the Back Panel 1 R...

Page 100: ...Some components of Q NRG need to be replaced periodically to guarantee optimal performance This procedure allows to replace the Pneumatic filters and Nafion dryer integrated in the pneumatic cartridg...

Page 101: ...te the maintenance schedule be sure to align the new pneumatic cartridge with the reference poles 5 Refer to To Close the Back Panel to re insert the battery and closing the device 6 Turn the device O...

Page 102: ...ntamination To Replace the Fan Filter 1 Pull out the fan filter A 750 900 008 from its socket in the back panel 2 Insert a new fan filter into the socket make sure it is free of folds Mains fuses repl...

Page 103: ...irst use Q NRG is supplied without the O2 sensor installed The message O2 sensor exhausted is prompted during analyzer calibration The O2 sensor has been installed more than 12 months ago there will b...

Page 104: ...5 Maintenance COSMED srl 3 Lift and gently remove the sensor 4 Disconnect the electrical connector 5 Unpack the new sensor and connect the electrical connector and repeat the procedure in the reverse...

Page 105: ...5 Maintenance COSMED srl 7 Close the back panel 8 Turn the device ON and select SETTINGs MAINTENANCE 9 Type in the Installation Date and Serial Number of the new sensor Note ExpectedSensorLifespanis1...

Page 106: ...s the firmware update file can be present in the file system The firmware update procedure does not write anything to the USB flash drive device therefore every file is left unchanged Install Firmware...

Page 107: ...rderareplacementwhennecessary Due to increasing safety concerns raised by the aviation industry the IATA regulations governing the shipping of Lithium Batteries have been tightened and airlines are en...

Page 108: ...ioncanbeonlyperformedbyconnectingQ NRGtoaPCwithOMNIALicenserviaaUSB cable Update Q NRG Licenses 1 Connect Q NRG to the PC via an USB cable 2 FromWindows Start menu launch COSMED OMNIALicensers and sel...

Page 109: ...107 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Chapter 6 Troubleshooting COSMED srl Chapter 6 Troubleshooting...

Page 110: ...device as described in Maintenance Upgrade Firmware Touchscreen not responding to commands Lock screen active Unlock the screen by holding the unlock icon OMNIA SW freezes during Bluetooth pairing Wit...

Page 111: ...ge filter and register the test Verify received breath values for further troubleshooting End test from device and download data again to PC O2 sensor exhausted message during gas calibration O2 senso...

Page 112: ...leandrefertothecorrectiveactionwhen available List of Error Messages Message Cause Corrective action Error 100 Detected flow too low Flow during Pneumotach calibration is lower than expected Check the...

Page 113: ...message Error 109 Calibration flow too low During pneumotach calibration internal turbine flow is too low Calibrate internal flowmeter according to instructions InternalTurbine Flowmeter Blower Calibr...

Page 114: ...months Refer to the related maintenance proce dure O2 sensor replacement Error 416 More than 350 tests performed since last Pneumatic Cartridge replacement Maintenance Required Pneumatic Cartridge wit...

Page 115: ...ed to mains Battery Notification Battery is critically low device is turning off connect the device to the mains Battery level has reached 5 device will be automatically turned off in few seconds Char...

Page 116: ...ent anyway Test execution requires 5 minutes warm up Wait for 5 minutes before performing test Test Notification Current test results appear technically questionable carefully evaluate if suitable for...

Page 117: ...rocess If the pairing process between Q NRG and BTA or wireless link fails please follow the actions summarized below Check for pendingWindows software updates 1 Check if there any pendingWindows soft...

Page 118: ...process Verify that Bluetooth Drivers are Properly Installed To Check Bluetooth drivers 1 Ensure that the BTA is connected to PC 2 Open ControlPanel Device Manager and access Bluetooth section 3 Veri...

Page 119: ...ng in background could interfere with BTA They should be stopped Here is a known list of them Process Description Bttray exe This process is known as BluetoothTray Application or Bluetooth Application...

Page 120: ...o turn off this device to save power 6 Repeat 4 5 for all Generic USB Hub and USB Root Hub 7 Run OMNIA and try the pairing process Wi Fi Network Interference Bluetooth andWi Fi networks share the same...

Page 121: ...119 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Appendix COSMED srl Appendix...

Page 122: ...120 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Appendix COSMED srl CE Declaration of Conformity...

Page 123: ...2 kV 4 kV 8 kV 15 kV air Radiated RF EM fields IEC 61000 4 3 3V m before modulation 80 MHz 2 7 GHz 80 AM at 1 kHz Proximity fields from RF wireless communications equipment IEC 61000 4 3 See following...

Page 124: ...m s in ISM bands 80 AM at 1 kHz Voltage dips IEC 61000 4 11 0 UT 0 5 cycle At 0 45 90 135 180 225 270 and 315 0 UT 1 cycle and 70 UT 25 30 cycles Single phase at 0 Voltage interruptions IEC 61000 4 11...

Page 125: ...electrical equipment Test equipment and conditions The test equipment required to perform electrical safety tests is listed below Safety Analyzer Leakage CurrentTester conforming to IEC 62353 Refer to...

Page 126: ...a patient or for compensation or alleviation of disease injury or disability Medical Electrical System Combination as specified by its manufacturer of items of equipment at least one of which is medic...

Page 127: ...require multiple earth bond tests to validate the connections of additional metal accessible parts on the enclosure The test current is applied between the earth pin of the mains supply plug and any...

Page 128: ...the enclosure or touch leakage Applied parts leakage shall be performed on both mains and battery power operating mode Enclosure leakage test mains power operating Applied Parts leakage test mains po...

Page 129: ...ritten authorization from COSMED prior to the repair or alteration of any COSMED products Failure to obtain a written authorization will result in a void of the warranty The limited warranty shall not...

Page 130: ...o not place Q NRG near heat sources Adequate ventilation should be maintained in the room the testing is performed Manufacturer s Information You may contact the manufacturer directly at the following...

Page 131: ...n unit If you wish to purchase an optional module separately from the unit please contact our sales department or our distributor REF Description Notes C09092 X1 99 Q NRG CANOPY and MASK modes C09092...

Page 132: ...l A 870 155 001 Regulator MET Mix w ISO5359 hose assembly C00600 02 11 Calibration Syringe 3 liters for Rest ing Low Flows C04833 01 20 Syringe Small adapter A 108 300 012 Corrugated tube for adapter...

Page 133: ...meter Xsmall C03615 01 10 V2 Mask for RMR flowmeter Petite C03617 01 10 V2 Mask for RMR flowmeter Small C03618 01 10 V2 Mask for RMR flowmeter Medium C03619 01 10 V2 Mask for RMR flowmeter Large C0425...

Page 134: ...OMNIA Metabolic Canopy module OMNIA Metabolic Mask module OMNIA Metabolic Vent module Disposables REF Description Image A 180 100 002 Q NRG Q NRG Sampling lines 100 pcs A 182 300 004 Antibacterial Fi...

Page 135: ...690 02 10 Veils Single use for SMALL Canopy Hood 50 pcs Not available in US Via dei Pi a ni di Monte Savello 37 Albano Laziale 00041 Rome I T ALY Disposa ble Veil for Canopy Hood Large Reord er C0469...

Page 136: ...NRG User Manual Edition 4 2 Appendix COSMED srl C04778 02 10 Q NRG Back Panel Assembly C04790 01 11 Q NRG Q NRG Pneumatic Replace ment Kit cartridge fan filter C04882 01 11 Q NRG Q NRG Cardboard Pack...

Page 137: ...conds WARNING AccessoryequipmentconnectedtotheQ NRG sdataportsmustbecertifiedaccordingtotheIEC60950 standard AllresultingcombinationsofequipmentmustbeincompliancewiththeIECstandard 60601 1systemsrequi...

Page 138: ...ating Q NRG with Philips IntelliBridge Configuration is required to establish the communication between Q NRG and the Philips multiparameter monitors that support IntelliBridge 1 Connect Q NRG as desc...

Page 139: ...P40 50 60 70 80 90 Software rev H 15 or higher discontinued Philips IntelliVue MX400 450 500 550 600 700 800 all software revisions Philips IntelliBridge System C 0 standalone discontinued Philips Int...

Page 140: ...2015 Registration n 387 A Kiwa ISO 13485 2016 Registration n 387 M Kiwa Medical Device Directive CE mark MDD 93 42 EEC Notified Body 0476 Class IIa Expected device s life 7 years Applied parts Single...

Page 141: ...hisequipmentgenerates usesandcanradiateradiofrequencyenergyand ifnotinstalledand usedinaccordancewiththeinstructions maycauseharmfulinterferencetoradiocommunications However thereisnoguaranteethatinte...

Page 142: ...z 100 130VA Fuses 100 240V T3 15 AH 250V 2x Power Supply rechargeable battery Model A Model B Type Li Ion smart battery Li Ion smart battery Autonomy up to 3 hours up to 3 hours Nominal Capacity 3200m...

Page 143: ...ISO 5356 1 Resistance 2 36 cmH2O s L 60 LPM Dead Space 21 mL TidalVolume Range 90 1500 mL FiO2 Adapter ConnectionType ISO 5356 1 Dead Space 12 mL InternalTurbine Flowmeter CANOPY Mode Flow REE Calibra...

Page 144: ...ity Ventilation Mode Any modality that guarantee that measured inspiratory and expiratory volumes match patient s inhaled and exhaled volumes e g face mask with controlled leaks are not compatible wit...

Page 145: ...nsed under the terms of the GPLv2 or LGPLv2 1 or BSD or MIT Cosmed relies on the GPLv2 license Cosmed did not modify the source code ti sgx graphics sdk 5 01 01 02 licensed under the terms of the GPLv...

Page 146: ...3 years of the date you received the GPL or LGPL covered code For your convenience some or all of the source code may also be found at https github com crosstool ng crosstool ng archive crosstool ng...

Page 147: ...review J Am Diet Assoc 2006 106 881 903 Singer P Berger MM Van den Berghe G Biolo G Calder P Forbes A Griffiths R Kreyman G Leverve X Pichard C et al ESPEN Guidelines on Parenteral Nutrition intensiv...

Page 148: ...146 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Appendix COSMED srl Notes...

Page 149: ...147 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Appendix COSMED srl...

Page 150: ...148 148 REF C04717 02 91 Q NRG User Manual Edition 4 2 Appendix COSMED srl...

Page 151: ......

Page 152: ...COSMED Srl Via dei Piani di Monte Savello 37 Albano Laziale Rome 00041 Italy 39 06 931 5492 Phone 39 06 931 4580 Fax info cosmed com cosmed com...

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