Welch-allyn CP 150 spirometry option - User Manual User Manual

CP 150 spirometry optionDirections for use

Spirometry option back viewNo. Feature Description1 Bracket Spirometer sensor mounting bracket2 Thumb screws Thumb screws to attach bracket to device3

SymbolsDocumentation symbolsWARNING The warning statements inthis manual identify conditions orpractices that could lead to illness, injury,or death.C

Expiration date 20XX-XXIP20Protected against the ingress of solidforeign objects ≥ 12.5 mm diameter, notprotected against the ingress of water.Miscell

WARNING Read and observe all safety information provided in the flowtransducer instructions.General cautionsThe following caution statements apply to

10 Introduction CP 150 spirometry option

SetupConnecting the SpirometerWARNING To prevent the spread of infection, use a new flow transducerfor each patient. Use rubber gloves when replacing

4. Insert the mini USB cable connector into the spirometer sensor mini USB port.a. Insert the USB cable into the spirometer sensor mounting bracket gr

6. Push the flow transducer down onto the patient handle until it is secure.WARNING Keep the reusable patient handle clean. Patientcontact with conta

14 Setup CP 150 spirometry option

SettingsViewing or changing the spirometry settings• The spirometry settings control the predictive norms, parameters, formulas, andcontent of your re

© 2014 Welch Allyn, Inc. To support the intended use of the product described in this publication, the purchaser ofthe product is permitted to copy th

• Pressure unit• Flow unitTouch the FVC report tab.Modify the settings as desired:• Efforts• Lung age• Quality grades• Print “ATS Reproducibility Not

Spirometry home screenSpirometry home screenThe Spirometry home screen includes the following areas:Item Area1 Device status2 Content3 NavigationDevic

Content areaThe Content area includes 2 test selection buttons, a calibrate button, and a button tochange the test type:• Forced Vital Capacity test•

Navigation areaThe Navigation area includes the following tabs:• Spirometry home: Displays spirometry test types and provides shortcuts to severalcont

Example spirometry report20 Spirometry home screen CP 150 spirometry option

About calibrationThe American Thoracic Society recommends calibrating a spirometer every day beforetesting. In addition, each time you open a new pack

Note Obtain the transducer lot and calibration codes from thetransducer package label.Note For the syringe volume, see the sticker on the calibrations

The results display for a single-flow calibration after no air has moved for threeseconds.10. Review the results.Note Check the error percentages for

Calibrate multiple flows1. From the ECG Home screen touch the (Spirometry) button.2. Touch the (Calibrate) button. The Spirometry calibration scre

CAUTION Several things may affect calibration results:movement of the syringe, movement of the pressure tubing,or blockage of air. Place the syringe

ContentsIntroduction ... 1About this document ...

26 About calibration CP 150 spirometry option

Preparing the patientTo prepare patients for any spirometry test, explain the entire procedure for the type ofeffort you want them to perform. Remind

28 Preparing the patient CP 150 spirometry option

Spirometry testsOverview of the testing processA single test comprises a set of efforts — up to 6 FVC efforts. The 6 efforts of a giventype can be a m

• FEV1 — forced expiratory volume 1, the volume of air that is exhaled at one secondof a forced expirationAbout pre- and post-testingIf desired, a spi

• First name. Touch the OK button.• Middle Initial. Touch the OK button.4. Touch the (Next) button.5. Enter the following patient information:Note R

Note After each effort, a quality message appears on this screen,such as "Blast out harder", “Don’t hesitate,” “Blow outlonger,” or “Good ef

14. Touch Done when you have completed the pre-tests.If the Auto Save setting is turned off, touch the Yes button and touch Save to savethe test. Sele

4. When the patient is ready, touch the Start pre #1 button to perform the spirometrytest.Note See Performing a new Forced Vital Capacity spirometry t

2. Select a patient from the list of saved tests. Touch Patient ID, Patient name, Birthdate, or Efforts.3. Touch the Continue test button.4. Touch the

Specifications ... 43Spirometry protocols ...

• Local (internal memory)• USB mass storage device (Any tests that you save to a USB mass storagedevice can be retrieved only from a CardioPerfect wor

12. Touch the Yes button and touch Save to save the test. Select one of the followinglocations:• Local (internal memory)• USB mass storage device (Any

View and Print options include test efforts with color-coded legend, parameters withnorm profile, efforts summary, and ATS Interpretive results.38 Sp

TroubleshootingSymptoms and solutionsProblem-solving suggestions:If you try these suggestions and still have problems, contact Welch Allyn.Symptom Pos

Symptom Possible cause Suggested actionValues are too high (consistently) Pressure connection is partiallyobstructedRemove any foreign substance from

MaintenanceCleaning the spirometer, calibration syringe, and patienthandleWARNING Change the flow transducer for each patient.WARNING Satisfactory m

CAUTION When cleaning the patient handle, avoid using cloths orsolutions that include quaternary ammonium compounds (ammoniumchlorides) or glutaralde

SpecificationsItem SpecificationDimensions and weights Flow transducer 1.5 x 1.2 x 3.3 in. (37 mm x 30 mm x 85 mm)0.4 oz (12 g) Pressure tubing 2.2

Item SpecificationReports FVC testing Volume/time curveFlow/volume curveBoth volume/time and displayed curvesNo curvesNoneParameters FVC testingFVC,

Spirometry protocolsThis manual describes the protocols you can select to change the way the CP 150spirometer operates when testing a patient. Any fea

IntroductionAbout this documentThis manual is written for clinical professionals performing pulmonary function testing.Users must be familiar with mea

When this protocol is selected, testing and reports are affected as follows:Operation Settings• Norm: NHANES III 1999 (Adult)• Best Effort Formula: Be

About the patient help sheetsTwo patient help sheets are available to print:1• Adult smokersIf Smoke Years is enabled in the FVC report settings, the

Adult smokers help sheetNameWhat Your Lung Function Results Mean For Adult SmokersYou have just performed Spirometry, the basic test of how well your

Asthma symptoms help sheetNameWhat Your Lung Function Results Mean For Those With Symptoms SuggestingAsthmaYou have just performed Spirometry, the bas

50 About the patient help sheets CP 150 spirometry option

Predictive Norms, etc.About Norm extrapolationExtrapolation is the practice of applying a norm’s formula to a patient who doesn’t fit thatnorm’s demog

About composite Norm valuesWhen the primary (selected) norm does not support a given parameter — and whencomposite norm values are enabled in the oper

Gender Lung Age Formula2.870 (height) – 31.250 (FEV1) – 39.375 +2.319 (height) – 21.277 (FEF200-1200) + 42.766 +1.044 (height) – 22.222 (FEF25%-75%) +

List of Norm-related clinical studiesEach of the following studies provides expected values for various spirometricparameters by measuring significant

Norm Clinical StudyViljanen 1981Spirometric Studies in Non-smoking, Healthy Adults, Viljanen, et. al., Journal of Clinical LabInvestigation, 41 supple

Indications for useThe spirometer is a device that measures lung air volume and airflow rate for pulmonarydisease diagnosis and screening. These measu

About quality feedbackThe spirometer provides two kinds of quality feedback: effort-quality messages and testquality grades, as described in the follo

Understanding your interpretation resultsThis diagram shows how the automatic interpretation software uses a patient's FVC andFEV1 results, in co

References1. Checklist for Compliance with NLHEP Guidelines for Office Spirometers, NationalLung Health Education Program, www.nlhep.org/resources.htm

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

COPD.Chronic obstructive pulmonary disease. Characterized by airflow obstruction that is primarilycaused by smoking. Examples include emphysema, chron

FEV1%.FEV1 as % of FVC. Same as FEV1/FVC. A parameter for a single FVC effort.FEV1% formula.A user-selectable formula that determines the calculation

lung age.A calculated value based on a patient’s demographics and spirometric performance that gives arelative indication of the health of the subject

test.A set of efforts — up to 6 efforts of each type (FVC and SVC) for a maximum of 12 efforts (6 FVCand 6 SVC). The 6 efforts of a given type can be

Material No.720167

• Meets ATS/ERS 2005 spirometry standards• Single-flow and multiple-flow calibration protocols• NIOSH protocols to create reports that meet agency req

Controls, indicators, and connectorsNo. Feature Description1 LCD screen 800 x 480 pixels color touchscreen provides a graphical userinterface.2 Power

Back viewNo. Feature Description1 Ethernet connector Provides a hardwired connection to the computer network.The LEDs indicate active network status w