cardio pulmonary exercise testing - cosmed · fitmate med measures maximal oxygen uptake, the gold...
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© 2011/09 COSMED E & OE. Subject to alterations without prior notice. P/N.: C03226-02-93
Cardio Pulmonary Exercise Testing
A unique diagnostic solution for complete Cardio Pulmonary Assessment
► Maximal oxygen uptake (VO2max) and measured METs.
► Classification of Exercise Capacity & Anaerobic Threshold
► Nutritional Assessment and resting VO2 for Fick equation
► Full Spirometry (FVC, SVC, MVV, etc.)
► Multiple scores for Cardiovascular and Pulmonary Risk analysis
► Body composition & comprehensive Weight Management software
► Interfaces with conventional stress testing ECG
► Affordable, compact & easy to use
Fitmate MED measures maximal Oxygen Uptake, the gold standard for measuring exercise capacity and quantify aerobic fit-ness. Together with exercise electrocar-diography, Fitmate MED enables you to complete the cardio pulmonary stress test without the need of an expensive invest-ment, complicated procedures or special-ist expertise.
Patient rehabilitation is then managed with exercise prescription and weight management software according to es-tablished international guidelines.
Fitmate MED is the first diagnostic equip-ment designed to provide a complete pic-ture on cardio pulmonary function.
Clinical applications of VO2
► Actual measurement of Exercise Capacity and METs (not-estimated)
► Pre-operative evaluation for surgical risk
► Classification and prognosis of CHF (Congestive Heart Failure)
► Objective selection criteria and deci-sion tool for heart transplant
► Differentiation between cardiac and pulmonary limitation
► Determination of exercise train-ing intensity as part of cardiac rehabilitation
► Nutritional assessment during recov-ery from illness and chronic health management
► Obesity treatment and diabetes type II prevention
► Identification of energy requirements for respiratory disorders (COPD, sleep disorders, Cystic Fibrosis)
VO2max and real METs
► Choice between maximal and sub-maximal exercise protocols
► Real time display of pertinent respira-tory parameters
► Automatic and manual detection of anaerobic threshold
► Pre-defined (Bruce, cycle, ramp etc.) or user customizable exercise protocols
► Automatic exercise training heart rate zones based on oxygen uptake
► Warnings and quality control mes-sages (mask leaks, breathing pattern, etc.) are displayed during test
Resting Energy Expenditure
Fitmate MED measures oxygen consump-tion (VO2) at rest with high accuracy, comparable with conventional metabolic carts.
Spirometry
Complete spirometry testing (FVC, SVC, MVV, Pre/Post bronchial dilator response) is available with full compliance with ATS/ERS recommendations.
Comfortable silicone masks (5 sizes, both adult and paediatric) are available for exercise testing and one universal size disposable mask for resting measurements.
References
- 1) Validation of COSMED’s Fitmate™ in measuring exercise metabolism. [David C. Nieman, at al . Research in Sports Medicine, 15: 1–9, 2007.]
- 2) Validation of Fitmate in measuring REE [David C. Nieman, at al . Research in Sports Medicine, 14: 1–8, 2006.]
- 3) Validation of the Fitmate for predicting Maximal Oxygen Consumption [David Bassett, at al . JSCR, 25/9: 2573-2579, 2011.]
- 4) Comparison between Fitmate and Deltatrac in measuring REE in non-ventilated patients [Pierre Singer, at al . ESPEN 2010.]
Other Measurements
► Cardiovascular Risk Stratification (Duke Score, Framingham Index, European Heart Score, BODE Index)
► Individual weight management programs based on Energy Balance equation and diet plan based on daily caloric intake (USDA Database)
► Standard Measurements (BMI, WHR BP, etc.)
► Lifestyle monitoring (with optional physical activity monitor, Fitmate Lifecorder)
Exercise capacity and exercise Intensity for Cardiac Rehabilitation Training
Peak values
The graph shows VO2, HR, markers and typed BP measurements
Ventilatory limitation area for easy interpretation
Fitmate® Wellness Technology
Last Name: DEMO Age: 48 Membership #: 1First Name: PATIENT Height (cm): 175.00 Report Date: 15/05/2008Gender: Male Weight (Kg): 88.0 Personal Trainer:
FitMate version 1.5 (build 61) Page 1 of 1
Spirometry & SpO2
Volume/Time
PrePost
0 1 2 3 4 5 6 7 t012345678
V
Flow/Volume
0 2 4 6 V-8
-6
-4
-2
0
2
4
6
8
10
12
14F
DiagnosisModerately severe Obstruction
Quality CheckPEF reproducible,FVC reproducible,FEV1 reproducible
NameEVCIVCERVICIRVVERfVTBest FVCBest FEV1FVCFEV1FEV1/FVC%PEFFEV6FEV1/FEV6%MEF75%MEF50%MEF25%FEF25-75%Lung Age
DescriptionExpiratory Vital CapacityInspiratory Vital CapacityExpiratory Reserve VolumeInspiratory CapacityInspiratory Reserve VolumeVERfTidal VolumeBest Forced Vital CapacityBest Forced Exp Volume in 1 secForced Vital CapacityForced Exp Volume in 1 secFEV1 as % of FVCPeak Expiratory FlowForced Exp Volume in 6 secFEV1 as % of FEV6Max Exp Flow @ 25% FVCMax Exp Flow @ 50% FVCMax Exp Flow @ 75% FVCForced mid-expiratory flowLung Age
Units of meas.ll(btps)l(btps)lll/minb/minll(btps)l(btps)l(btps)l(btps)%l/secl(btps)%l/secl/secl/secl/secyears
Meas3.810.001.132.682.1812.826.100.4933.782.053.782.0554.35.283.7654.52.871.040.540.950
Post
3.662.053.662.0555.94.033.6556.12.671.220.481.010
% Pre
103100103100971311039710785112940
Pred.4.684.681.310.000.000.00.000.0004.493.644.493.6478.58.834.760.07.694.791.974.030
% Pred.8108600000845684566959790372127230
Fitmate® Wellness Technology
Last Name: DEMO Age: 47 Membership #: 1First Name: PATIENT Height (cm): 175,00 Report Date: 05/02/2008Gender: Male Weight (Kg): 88,0 Test Conducted by:
FitMate version 2.0 (build 20) Page 1 of 1
Cardio-respiratory Fitness
00.00 01.45 03.30 05.15 07.00 08.45 10.30 12.15 14.00 15.45 t0,0
5,0
10,0
15,0
20,0
25,0
30,0
35,0
40,0
45,0VO2/Kg (ml/Kg/min)
VO2max Pred
00.00 01.45 03.30 05.15 07.00 08.45 10.30 12.15 14.00 15.45 t0
20
40
60
80
100
120
140
160
180HR (bpm)
120/
80
140/
85
160/
87
140/
83
VO2/KgHR
00.00 01.45 03.30 05.15 07.00 08.45 10.30 12.15 14.00 15.45 t0,0
5,0
10,0
15,0
20,0
25,0
30,0
35,0VO2/HR (ml/bpm)
Rest
War
mup
Exer
c
Reco
very
00.00 01.45 03.30 05.15 07.00 08.45 10.30 12.15 14.00 15.45 t0,0
20,0
40,0
60,0
80,0
100,0
120,0
140,0VE (l/min)
MVV
Vent. limitation
VO2/HRVE
Gas ExchangeFunctional CapacityPeak VO2Measured Anaerobic ThresholdCardiovascularResting Heart RateMaximal Heart rateMaximal VO2/HREstimated peak Cardiac OutputEstimated peak Stroke VolumePulmonaryForced Exp Volume in 1 sMaximum Voluntary VentilationVEBreathing ReserveRfOtherLoadSpeedGrade
METSml/minml/Kg/min
bpmbpmml/bpml/minml
l(btps)l/minl/min%b/min
wattkmh%
Measured5,5
168011,5
68103
16,310,4101
2,0582,037,1
5533
1190,00,0
Normal> 6,9> 2112> 12,0
> 156> 13,6
> 2,94> 117,5
> 30< 50
Cardio-respiratory Fitness (ml/Kg/min)Impairment: None to mild
19,119,1D C B A
< 8,9 9,0 - 14,3 14,4 - 17,9 > 18,0
Anaerobic Threshold (ml/Kg/min)Impairment: Mild to moderate
11,511,5D C B A
< 7,9 8,0 - 10,9 11,0 - 13,9 > 14,0
Exercise Intensity for Cardiac Rehabilitation (HR)
HR (bpm)Load (watt)
Speed (kmh)%VO2R (---)
EE (Kcal/hour)
Very light75-800-00-1
10-24160
Light81-885-251-2
25-44230
Moderate88-9430-452-3
45-59---
Heavy94-10345-753-4
60-84---
Easy to replace, the O2 cell comes in a sealed bag. Lifespan is 12-18 months and it is indicated by the device.
Complete information and results of current open session or previously closed sessions. Ability to review serial test data. Full-color reports when printed from PC software.
Wide range of reports printable on PC (available in A4 or Letter size) Sample of a thermal printout (original size: 110mm wide)
© 2011/09 COSMED E & OE. Subject to alterations without prior notice. P/N.: C03226-02-93
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COSMED srlHeadquarters
Via dei Piani di Monte Savello 37Pavona di Albano - Rome00041 ITALYPhone +39 06 931-5492Fax +39 06 931-4580
Technical Specification
Tests w/Unit w/Software
Cardio Pulmonary Exercise TestingCardiorespiratory Fitness (VO2max, Anaerobic Threshold)
Automatic control of ergometers (bikes or treadmills)
HR interface w/ external ECG (TTL) m
Indirect Cardiac Output (Wassermann)
VO2/HR Training Zones (based on Anaerobic Threshold)
Exercise Intensity for Cardiac Rehabilitation
SpirometryForced and Slow Vital Capacity (FVC, SVC)
Maximal Voluntary Ventilation (MVV)
Bronchial Dilator test (Pre-Post)
Cardiovascular Risk AnalysisFramingham index
Duke score
Bode index
European Cardio Score
Nutritional AssessmentResting Energy Expenditure (REE, RMR)
Weight Management Program (Energy Balance)
Physical Activity Monitoring (integration with accelerometer) m
Diet Software w/ Weekly Meal Planner
Other measurementsBody Composition (skin-fold)
Standard Measurements (blood pressure, WHR, resting heart rate, BMI..)
Integrated Pulse Oximeter (SpO2) - Resting only m
Oxygen Consumption Measurements
Sensor Type GFC (Galvanic Fuel Cell)O2 Measurement range 0-25%Sampling Type Dynamic Mixing Chamber (international patent)Sampling Rate 30 sec / 60 secCalibration Automatic on room air (less than 20 seconds)Warm-up time 10 secondsAccuracy ± 2% (REE) ±0.02% (O2)O2 Sensor Lifespan 12-18 months
Flowmeter Ø 18mm Ø 28mm
Type Bidirectional digital turbine Bidirectional digital turbineVentilation range 0-50 l/min 0-300 l/minFlow resistance <0.7 cmH2O/l/s @ 3l/s <0.6 cmH2O/l/s @ 14l/sAccuracy Flow/Volume ±2% ±2%
Hardware
Dimensions & Weight 24 x 20 x 8 cm / 1.5kgDisplay (pixel) Color LCD 320 x 240Printer High speed thermal printer 12 cm (4,7 in)
Standard Packaging Includes
Fitmate MED unit, RMR flowmeter, VO2max flowmeter, RMR masks (10 pcs), silicone face mask, (M-size), head cap for silicone mask, AC/DC Adapter, USB cable, Fitmate PC Software (CD-Rom), antibacterial filters (5 pieces), mouthpieces (10 pieces) and paediatric mouthpiece adapter, body meter, oxygen sensor, HR belt and probe, carrying case.
Available languages
Firmware Italian, English, Spanish, German, French, Greek, Finnish, Dutch, Portuguese, Japanese, Chinese, Turkish, Russian, Polish, Slovenian
Software Italian, English, Spanish, German, French, Greek, Dutch, Portuguese, Chinese, Slovenian
Safety & Quality Standards
Equipment complies with MDD (93/42 EEC); EN 60601-1 (safety)/ EN 60601-1-2 (EMC) FDA 510(k) cleared.COSMED is an organisation whose quality management system is certified by CERMET according to UNI EN ISO 9001:2008 and UNI EN ISO 13485:2004.
*option WirelessRS-232 Port
USB Port TTL
HR COSMED belt and probe
COSMED ergometers
Fitmate Suite
Thermal printouts
Software printoutsUsers
COSMED Activity monitor
*
COSMED ECGs
*
*
Fitmate MED unit