Welch-allyn CP 200 Spirometry Option - User Manual User Manual

CP 200™ Spirometry OptionDirections for Use

6 Chapter 1 Introduction Welch Allyn CP 200 Spirometry OptionSymbolsThe symbols illustrated here may appear on the spirometer components, on the pac

Directions for Use Chapter 1 Introduction 7Using the Spirometer SafelyBefore using or servicing the spirometer, you must read and understand the fol

8 Chapter 1 Introduction Welch Allyn CP 200 Spirometry OptionGeneral CautionsThe following caution statements apply to spirometer use in general. Ca

Directions for Use Chapter 1 Introduction 9Ordering Information for Replacement PartsReplace the following parts as noted:• flow transducers & n

10 Chapter 1 Introduction Welch Allyn CP 200 Spirometry OptionGetting HelpYou can get help with the CP 200 spirometry option in a variety of ways be

112Reviewing the Spirometry Settings“Spirometry Settings” Menu Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Reviewing th

12 Chapter 2 Reviewing the Spirometry Settings Welch Allyn CP 200 Spirometry Option“Spirometry Settings” Menu TreeSpirometry SettingsOperation Setti

Directions for Use Chapter 2 Reviewing the Spirometry Settings 13Reviewing the Operation SettingsTo review or change the settings that affect the ov

14 Chapter 2 Reviewing the Spirometry Settings Welch Allyn CP 200 Spirometry OptionSelect FVC Reversibility FormulaReversibility is the percentage d

Directions for Use Chapter 2 Reviewing the Spirometry Settings 15Reviewing the Calibration Settings To review or change the settings that affect cal

ii Welch Allyn CP 200 Spirometry OptionCopyright 2008, Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any for

16 Chapter 2 Reviewing the Spirometry Settings Welch Allyn CP 200 Spirometry OptionReviewing the Spirometry Screen SettingsThe spirometry screen is

Directions for Use Chapter 2 Reviewing the Spirometry Settings 17Reviewing the Spirometry Print SettingsTo review or change the settings that affect

18 Chapter 2 Reviewing the Spirometry Settings Welch Allyn CP 200 Spirometry OptionSelect FVC Curves Choose which curve type to print for FVC effort

Directions for Use Chapter 2 Reviewing the Spirometry Settings 19Reviewing the Patient Data Fields AvailableTo review or change the fields that appe

20 Chapter 2 Reviewing the Spirometry Settings Welch Allyn CP 200 Spirometry OptionReviewing the Interpretation ListTo review or change the list of

213Calibrating the SpirometerAbout Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22Perform

22 Chapter 3 Calibrating the Spirometer Welch Allyn CP 200 Spirometry OptionAbout CalibrationThe American Thoracic Society recommends calibrating a

Directions for Use Chapter 3 Calibrating the Spirometer 23Figure 8. Calibration, Process DiagramGo toSpirometer Calibration initial screenContinue

24 Chapter 3 Calibrating the Spirometer Welch Allyn CP 200 Spirometry OptionPerforming a Calibration1. G o t o t h e Spirometer Calibration initi

Directions for Use Chapter 3 Calibrating the Spirometer 25Figure 10. Calibration Code on Flow Transducer Package Label3. Press the desired softkey,

iiiContents1 - Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1About This Manual . . . . . . .

26 Chapter 3 Calibrating the Spirometer Welch Allyn CP 200 Spirometry Option4. Connect a new flow transducer to the pressure tubing. See “Connecting

Directions for Use Chapter 3 Calibrating the Spirometer 27If desired, you can press Stop any time. Softkeys will change, as described in Step 11 on

28 Chapter 3 Calibrating the Spirometer Welch Allyn CP 200 Spirometry Option11. Press the appropriate softkey.• RetryDiscards the results; the calib

Directions for Use Chapter 3 Calibrating the Spirometer 29Printing Calibration ReportsYou can set up your system to print a calibration report autom

30 Chapter 3 Calibrating the Spirometer Welch Allyn CP 200 Spirometry Option

314Performing Spirometry TestsOverview of the Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Connecting the S

32 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry OptionOverview of the Testing ProcessThere are two types of spirometry effort

Directions for Use Chapter 4 Performing Spirometry Tests 33About FVC Efforts“FVC” stands for forced vital capacity. The goal of an FVC effort is to

34 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry OptionDuring FVC testing, an animated incentive screen provides an alternativ

Directions for Use Chapter 4 Performing Spirometry Tests 35About the Spirometry ParametersDuring FVC and SVC testing, many parameters are measured a

iv Contents Welch Allyn CP 200 Spirometry Option5 - Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

36 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry OptionAbout Pre- and Post-TestingIf desired, a spirometry test may include bo

Directions for Use Chapter 4 Performing Spirometry Tests 37Connecting the Spirometer Components1. Verify that the sensor and pressure tubing are cle

38 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry OptionPreparing the PatientTo prepare patients for any spirometry test, expla

Directions for Use Chapter 4 Performing Spirometry Tests 39Recording a TestTo record a spirometry test, follow these steps.1. Measure the patient’s

40 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry Option5. Enter patient data, or recall saved patient data. a. To recall saved

Directions for Use Chapter 4 Performing Spirometry Tests 416. Press Effort Type as needed to select the type of effort you want the patient to perfo

42 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry OptionFigure 29. “Effort Complete” ScreenFor FVC efforts, the “% predicted”

Directions for Use Chapter 4 Performing Spirometry Tests 43Working With a Completed TestIf you are looking at the Test Results main screen, shown he

44 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry OptionTo View a Test’s ResultsFrom the Test Results main screen (Figure 30 on

Directions for Use Chapter 4 Performing Spirometry Tests 45To Change a Test’s Interpretation StatementsFrom the Test Results main screen (Figure 30

11IntroductionAbout This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2Product Overview . . .

46 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry OptionTo Send a Test to a Memory Card or WorkstationFrom the Test Results mai

Directions for Use Chapter 4 Performing Spirometry Tests 47To P r i n t a Te s tFrom the Test Results main screen (Figure 30 on page 43), follow

48 Chapter 4 Performing Spirometry Tests Welch Allyn CP 200 Spirometry Option

495TroubleshootingProblem-Solving Suggestions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50Limited Warranty . . . . .

50 Chapter 5 Troubleshooting Welch Allyn CP 200 Spirometry OptionProblem-Solving SuggestionsIf you try these suggestions and still have problems, co

Directions for Use Chapter 5 Troubleshooting 51Limited WarrantyFor general information on the limited warranty, see electrocardiograph manual. The f

52 Chapter 5 Troubleshooting Welch Allyn CP 200 Spirometry Option

53ASpecificationsFeature SpecificationDimensions & weightsFlow transducer 2.4 x 2.4 x 2 in. (6 x 6 x 5 cm)0.4 oz (12 g)Pressure tubing 2.2 yd (2 m

54 Appendix A Specifications Welch Allyn CP 200 Spirometry OptionSpecifications are subject to change without notice.ParametersFVC testing FVC, FIVC

55BSpirometry ProtocolsAbout the PCP Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58About the NIOSH P

2 Chapter 1 Introduction Welch Allyn CP 200 Spirometry OptionAbout This ManualThis manual is written for clinical professionals performing pulmonary

56 Appendix B Spirometry Protocols Welch Allyn CP 200 Spirometry OptionAbout the PCP ProtocolThe PCP (primary care practitioner) protocol is for use

Directions for Use Appendix B Spirometry Protocols 57Post results are compared (%c column) to the pre results only if the test-quality grades for bo

58 Appendix B Spirometry Protocols Welch Allyn CP 200 Spirometry OptionAbout the NIOSH ProtocolThe NIOSH (National Institute for Occupational Safety

Directions for Use Appendix B Spirometry Protocols 59About the OSHA / Cotton Dust ProtocolThe OSHA (Occupational Safety & Health Administration,

60 Appendix B Spirometry Protocols Welch Allyn CP 200 Spirometry OptionAbout the SSD ProtocolThe SSD (Social Security Disability) protocol is for us

61CPatient Help SheetsAbout the Patient Help Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62Adult Smokers Help She

62 Appendix C Patient Help Sheets Welch Allyn CP 200 Spirometry OptionAbout the Patient Help SheetsTwo patient help sheets are available to print:1•

Directions for Use Appendix C Patient Help Sheets 63Adult Smokers Help SheetName _________________________What Your Lung Function Results Mean For A

64 Appendix C Patient Help Sheets Welch Allyn CP 200 Spirometry OptionAsthma Symptoms Help SheetName _________________________What Your Lung Functio

65DPredictive Norms, etc.Norm Profiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66List of

Directions for Use Chapter 1 Introduction 3Product OverviewThe CP 200 spirometry option performs FVC and SVC testing, including pre- and post-bronch

66 Appendix D Predictive Norms, etc. Welch Allyn CP 200 Spirometry OptionNorm ProfilesEach predictive norm supports a particular subset of parameter

Directions for Use Appendix D Predictive Norms, etc. 67List of Norm-Related Clinical StudiesEach of the following studies provides expected values f

68 Appendix D Predictive Norms, etc. Welch Allyn CP 200 Spirometry OptionRoca 1986 Spirometric Reference Values From a Mediterranean Population; J.

Directions for Use Appendix D Predictive Norms, etc. 69About Norm ExtrapolationExtrapolation is the practice of applying a norm’s formula to a patie

70 Appendix D Predictive Norms, etc. Welch Allyn CP 200 Spirometry OptionAbout Composite Norm ValuesWhen the primary (selected) norm does not suppor

Directions for Use Appendix D Predictive Norms, etc. 71About Lung AgeLung age is a calculated value based on a patient’s demographics and spirometri

72 Appendix D Predictive Norms, etc. Welch Allyn CP 200 Spirometry OptionAbout Quality FeedbackThe spirometer provides two kinds of quality feedback

Directions for Use Appendix D Predictive Norms, etc. 73About Test-Quality GradesAnother type of feedback is the test-quality grade, as described in

74 Appendix D Predictive Norms, etc. Welch Allyn CP 200 Spirometry OptionUnderstanding Your Interpretation ResultsThis diagram shows how the automat

Directions for Use Appendix D Predictive Norms, etc. 75References1. Checklist for Compliance with NLHEP Guidelines for Office Spirometers, National

4 Chapter 1 Introduction Welch Allyn CP 200 Spirometry OptionIntended UseThe CP 200 spirometry option allows the user to acquire, view, store, and p

76 Appendix D Predictive Norms, etc. Welch Allyn CP 200 Spirometry Option

77Glossaryadult. Generally, 18 or older. Age limits vary with each norm.ATS. American Thoracic Society. An organization that provides standards for s

78 Glossary Welch Allyn CP 200 Spirometry Optioneffort. A single spirometry maneuver, for example, one blow. A single test comprises multiple efforts.

Directions for Use Glossary 79FEV0.5%. FEV0.5 as % of FVC. FEV1%. FEV1 as % of FVC. Same as FEV1/FVC. A parameter for a single FVC effort. FEV1% formu

80 Glossary Welch Allyn CP 200 Spirometry Optionincentive screen. An animated screen that gives patients — usually children — a goal to achieve while

Directions for Use Glossary 81pre-test. A test that provides a baseline for comparison with a post-test taken by the same patient. Sometimes called pr

82 Glossary Welch Allyn CP 200 Spirometry OptionVT. Tidal volume (in liters). Also called TV, although VT is the preferred abbreviation. The volume of

83IndexAaccessories. See parts and accessories"Add/Edit Interpretations" screen, 45adult, 77Adult Smoker help sheet, 62, 63Asthma Symptoms h

84 Index Welch Allyn spirometer Electrocardiographflow units (L/sec or L/min), selecting, 12flow/volume curveas default, 16, 18definition, 79examples,

Directions for Use Index 85predictive norms. See normspredictive values, 42, 50preparation of patient, 38pressure tubingdescription, 3, 37, 53ordering

Directions for Use Chapter 1 Introduction 5Features• Automatic interpretation and comparison of best pre-bronchodilator effort to best post-bronchod

86 Index Welch Allyn spirometer ElectrocardiographVVC, 81VE, 81verifying calibration, 23, 25, 28"View Results" screen, 44Viljanen norm, 66,

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