Cardio Pulmonary Exercise Testing

Compact Metabolic cart for Accurate Pulmonary Gas Exchange & 12-lead Stress Testing ECG

► Breath by Breath Gas Exchange data analysis (VO2, VCO2)

► Fully integrated 12-lead ECG for Stress Testing (option)

► Nutritional Assessment either with face mask or optional Canopy Hood

► Fast response paramagnetic O2 Sensor

► Optional full Spirometry, Exercise SpO2 monitor

► Mixing Chamber suitable for low and high ventilation ranges

Applications

Designed to be the perfect tool for any kind of Cardio Pulmonary Exercise Testing (CPET), Quark CPET includes features for any discipline requiring metabolic assessment:

► Exercise Physiology, Education

► Sports Science and Human Performance labs

► Clinical Exercise Testing (Respiratory PFT Labs, Cardiology, Cardiac Rehab)

► Nutrition assessment

Unsurpassed Accuracy

► Superior hardware specifications and quality design assure many years of accurate data

► Quark CPET exceeds the accuracy standards of both the American Thoracic Society and the European Respiratory Society

► Paramagnetic Oxygen and NDIR Carbon Dioxide analyzers

► Bi-directional digital Turbine for Flow and Volume measurement

► Accurate within a wide flow range (0-300 L/minute)

► Resistance to flow is less than 0.7 cmH2O/L/s@12 L/s

► Small, Medium and Large sizes face masks for adults

► Comprehensive calibration (easy, quick and fully software assisted)

► Low maintenance costs and easy servicing

Cardio Pulmonary Exercise Testing

► True Windows™ based program, offer-ing, simplicity, versatility and familiar user interface

► Display real-time data and graphs in either pre-defined or user formats

► Real time O2 and CO2 waveforms

► Exercise Flow-Volume loops

► Inspiratory Capacity during exercise for assessing dynamic hyperinflation

► Ergometer control, via RS-232 inter-face, allows user easy protocol setup and dynamic changes

► Advanced data elaboration

► Automatic and manual detection of anaerobic threshold according to the modified V-Slope method (Wasserman)

► Access data in a spreadsheet format for advanced data elaboration (filter-ing, smoothing, etc.)

► Standard and custom exercise proto-cols design

► O2 Kinetics feature automatically provides O2 debt, O2 deficit and tau values during any constant stage

► “Fitting” features on any plot (both linear and exponential)

► Indirect Cardiac Output by “Wassermann Algorithm”

► Export test in a single file (ASCII, Excel, file formats)

► Email test with MAPI compatible ap-plication (outlook, eudora etc.)

► Add user defined parameters and pre-dicted equations with custom based formulas

► Integrated 12-lead Stress Testing ECG

► True diagnostic quality waveforms

► Continuous 12 lead viewing

► Zoom and freeze features

► Current and reference ST analysis profiled for all 12 leads

► ST depression and slope trends dis-played during test

► Averaged QRS complexes over refe- rence ECG complex

► Real time laser printout

Nutritional Assessment

► REE, substrate of metabo-lism, NPRQ etc.

► User defined proto-cols consisting of two phases (1st phase discard-ed and 2nd phase data averaging)

Quark CPET adds the possibility to perform pulmonary gas exchange analysis during exercise.

PC software provide a user friendly, fully-customisable interface together with powerful data elaboration

Optional Hardware & Software

Mixing Chamber Kit for low and high ventilation ranges. 8.3 liters volume.

Spirometry Software and hardware to perform screening spirometry (FVC, MVV, bron-chial challenge etc.).

Pulse Oximetry Oxygen saturation during exercise using a pulse oximeter (SpO2) provided with either finger, ear or reflectance probes.

Canopy Kit Perform REE measurements by means of canopy hood. Provided with dedicated flowmeter to increase accuracy at very low ventilations.

High/Low FiO2 Kit Kit of accessories for gas exchange mea-surements using hypoxic and hyperoxic gas mixtures.

Ergometers COSMED provides a wide selection of treadmills and bikes for both clinical and performance applications. Refer to the Treadmill or Bike product brochures.

Physiotrainer Optional software to dynamically control the work load of any ergometer to target physiological “effort-dependent” param-eters such as VO2, VO2/Kg, HR and VE.

Easy Maintenance & Service

Quark CPET has been designed to mini-mize the need of ordinary and frequent service inspections. Built with the latest plug & play architecture service and sup-port inquiries can now be handled not ex-clusively by either factory or specialized service sites.

CPET 8.0

12-lead stress test ECG available in both wireless and Patient-cable configurations

Explicative colour printout reports in different formats deliver clear information to user including: graphical test display, numerical data compared to predicted values and automatic interpretation of test results.

► Post-analysis and custom selection of the “steady state” phase

► Available w/ face mask and optional canopy hood

Powerful Reporting

► Any plot or data selection can be printed according to user defined criteria

► Ready-to-print pre-defined reports

► 9-plot Wasserman report with a single page report containing the 9 graphs and additional test results for an easy clinical interpretation

► Summary Report provides data for a simple and easy interpretation

► ECG Report on standard or grid paper

MIxing Chamber

Nutritional Assessment with canopy hood (option)

Medico:

123LastFirst24/01/1963 48M 80.00

N.I.:

Cognome:

Nome:

Data di nascita: Eta':

Sesso: Peso (kg)

Stress Ecg Report, COSMED srl., rev. 5.0.522

March 18, 1999 12:41:53 Protocollo: BALKE 3 3 FC massimale: 172 Mass. FC: 175 (101%) Mass. PA Sis.: 200 Mass. PA Dias.: 100 HRR: 12

Total Exercise Time 06:59 Mass. METS: 9.0 Mass. VO2: 31.4

ST = J + 60

Rapporto Eventi 125 mm/sec 10 mm/mV

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 Riposo 1StandingPA: 150/100FC: 79Product: 11850

0.7mm 0.0mV/sec 1.1, 0.0 0.4, 0.0 -0.9, 0.0 0.2, 0.0 0.7, 0.0 -0.2, 0.0 0.9, 0.0 1.3, 0.0 1.1, 0.0 0.9, 0.0 0.6, 0.0

01:00Fine Stadio1FC: 106METS = 3.3VO2 = 11.5

0.4, 0.0 0.7, 0.0 0.3, 0.0 -0.5, 0.0 0.0, 0.0 0.5, 0.0 -0.1, 0.0 0.3, 0.0 0.8, 0.0 0.7, 0.0 0.5, 0.0 0.3, 0.0 02:00Fine Stadio2FC: 116METS = 4.4VO2 = 15.5

0.3, 0.0 0.6, 0.0 0.4, 0.0 -0.4, 0.0 -0.0, 0.0 0.4, 0.0 -0.0, 0.0 0.4, 0.0 1.0, 0.0 0.9, 0.0 0.6, 0.0 0.3, 0.0 03:00Fine Stadio3PA: 160/100FC: 121Product: 19360METS = 5.3VO2 = 18.7

0.3, 0.0 0.4, 0.0 0.1, 0.0 -0.4, 0.0 0.1, 0.0 0.3, 0.0 0.0, 0.0 0.4, 0.0 1.1, 0.0 1.0, 0.0 0.8, 0.0 0.4, 0.0 04:00Fine Stadio4FC: 129METS = 6.3VO2 = 21.9

0.2, 0.0 0.2, 0.0 0.0, 0.0 -0.2, 0.0 0.1, 0.0 0.1, 0.0 0.3, 0.0 0.5, 0.0 1.1, 0.0 1.0, 0.0 0.6, 0.0 0.2, 0.0

© 2013/02 COSMED E & OE. Subject to alterations without prior notice. P/N: C03313-02-93

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Phone +1 (925) 676-6002Fax +1 (925) 676-6005

info@cosmedusa.com

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Phone +86 (20) 8332-4521Fax +86 (20) 8332-0683

china@cosmed.com

Toll Free 800 426-3763 info@cosmed.com cosmed.com

COSMED srlHeadquarters

Via dei Piani di Monte Savello 37Albano Laziale - Rome00041 ITALYPhone +39 06 931-5492Fax +39 06 931-4580

info@cosmed.com

COSMED srlHeadquarters

Via dei Piani di Monte Savello 37Albano Laziale - Rome00041 ITALYPhone +39 06 931-5492Fax +39 06 931-4580

info@cosmed.com

Scientific References

1. ATS/ERS task force: Clinical exercise testing with reference to lung diseases: indications, standard-ization and interpretation strategies. (European Respiratory Journal 1997; 10: 2662-2689)

2. ATS/ERS task force: Standardisation of spirom-etry. (European Respiratory Journal 2005; 26: 319–338)

3. ATS/ACCP: Statement of Cardio Pulmonary Exercise Testing. (AJRC CM167, pp211-277,2003)

4. AHA: Clinician’s Guide to Cardiopulmonary Exercise Testing in Adults. (Circulation. 2010;122:191-225)

5. ESC: Standards for the use of cardiopulmonary exercise testing for the functional evaluation of cardiac patients. (European Journal of Cardiovascular Prev. and Rehab. 2009, Vol 16 No 3)

Technical Specification

Test Unit

Pulmonary Gas Exchange (VO2, VCO2)

Anaerobic Threshold (AT)

Indirect Cardiac Output (Wasserman)

Inspiratory Capacity during exercise

Integrated Pulse Oximeter (SpO2) m

Integrated 12-lead ECG (GAS/ECG) m

Physical Mixing Chamber m

Exercise Gas Exchange with Elevated FiO2 m

HR Interface w/ external ECG (TTL)

Resting Energy Expenditure (REE, RMR)

Indirect Calorimetry (VO2, VCO2, RQ)

Indirect Calorimetry w/ Canopy Hood m

Indirect Calorimetry w/ Ventilator m

Forced/Slow Vital Capacity (SVC-FVC)

Maximum Voluntary Ventilation (MVV)

Bronchial Dilator test

Bronchial Challenge Test

Analyzers Oxygen (O2) Carbon dioxide (CO2)

Type Paramagnetic NDIRRange 0-25% 0-10%Response time t90 120 ms 100 msAccuracy ±0.02% ±0.1%Warm-up time 5 min 10 min

Flowmeters VO2max RMR (optional)

Type Bidirectional Digital Turbine Bidirectional Digital TurbineDiameter Ø 28 mm Ø 18 mmFlow Range 0-16 l/s 0-8 l/sAccuracy (flow) ± 2% or 20 ml/s ± 2% or 20 ml/sAccuracy (ventil.) ± 2% or 200 ml/min ± 2% or 100 ml/minResistance <0.6 cmH2O /l/s @ 14l/s <0.7 cmH2Ol/s @ 3l/sVentilation range 0-300 l/min 0-50 l/min

Environmental sensors Temperature Barometer Humidity

Range 0-50°C (32 - 122 °F) 400-800 mmHg 0-100%

Hardware

Dimensions & weight 17 x 30 x 45 cm (6,2 x 12,9 x 16 in) / 6 Kg ( 13,2 lb)Interface ports USB A-B, RS-232, HR-TTL, SPO2

Standard Packaging Includes

Gas Exchange Unit, HR belt, turbine flowmeter, PC software, 3 Adult face masks (S, M, L),5 mask disposable, 2 Adult Head caps, Calibration syringe (3 liters), Cables and probes, User manual

Available languages

Italian, English, German, Spanish, French, Portuguese.

Electrical requirements

Voltage 100-240V ±10%; 50/60HzClass 1 Type BF (EN 60601-1)

PC configuration required

Pentium or faster, Windows XP, VISTA (32 bit), Windows 7 (32 bit), 128 Mb RAM or more, USB or RS 232, CD-Rom reader, 80 Mb on HD space available.

Safety & Quality Standards

Equipment complies with MDD (93/42 EEC) and FDA 510(k), EN 60601-1 (Safety) and EN 60601-1-2 (EMC)COSMED is an organisation whose quality management system is certified by CERMET according to UNI EN ISO 9001:2008 and UNI EN ISO 13484:2004

Medical graded cart with two monitors for a complete Cardio Pulmonary Exercise Testing