S1-EN Spirometry v2.1

USER MANUAL FOR SPIROMETRY TESTING
Slow and Forced Spirometry

Maximum voluntary ventilation - Minute tidal ventilation
Version 2.1
S1-EN 14/05/2019
Content
1 Foreword .................................................................................................................. 5
2 General information .................................................................................................. 6
2.1 Description of test and application range ................................................................... 6
2.2 Indications ................................................................................................................... 6
2.3 Contraindications......................................................................................................... 7
3 Preparation of the testing .......................................................................................... 9
3.1 Preparing the equipment ............................................................................................ 9
3.2 Preparing the patient................................................................................................. 10
3.3 Encoding the patient in the database ....................................................................... 11
3.3.1 If the patient already exists in the database ............................................................................... 11
3.3.2 If the patient does not exist yet in the database ........................................................................ 12
3.4 Initializing the spirometry testing mode ................................................................... 13
4 Slow spirometry testing ........................................................................................... 16
4.1 Performing the test ................................................................................................... 16
4.2 Quality control ........................................................................................................... 18
4.3 Reviewing the test ..................................................................................................... 19
4.4 Editing the test........................................................................................................... 20
5 Forced spirometry testing ........................................................................................ 21
5.2 Quality control ........................................................................................................... 24
5.4 Editing the test........................................................................................................... 26
5.4.1 Curves edition ............................................................................................................................. 26
5.4.2 Toolbox ....................................................................................................................................... 27
6 Maximum voluntary ventilation testing ................................................................... 28
6.2 Quality control ........................................................................................................... 29
7 Minute tidal ventilation testing ............................................................................... 31
7.2 Quality control ........................................................................................................... 32
S1-EN Spirometry PAGE 2/39

8 Studied parameters ................................................................................................. 34
8.1 Slow spirometry ......................................................................................................... 34
8.1.1 Measured parameters ................................................................................................................ 34
8.1.2 Calculated parameters ................................................................................................................ 34
8.2 Forced spirometry ..................................................................................................... 35
8.3 Maximum voluntary ventilation ................................................................................ 37
8.4 Minute tidal ventilation ............................................................................................. 37

Revision
Date Version Modifications
30/09/2014 1.0 Creation
30/11/2018 2.0 New design
14/05/2019 2.1 Modification of the CE marking

1 Foreword
1
This document provides instructions required to perform a spirometry test (slow and forced
expiratory capacity measurements) on Expair.
Spirometry option in Expair is a module to record and analyze the vital capacity and forced
expiratory flow rates. The interface is friendly to use. It provides a sensible spirogram
recorder and other functions for editing and printing the result. The spirometry is a basic
option for most the Medisoft instruments (Micro 5000, Micro 6000, HypAir, SpiroAir,
BodyBox), it allows to measure all the lung volumes that can be mobilized, including tidal
volume, functional reserve capacity, inspiratory capacity, vital capacity. In addition, the most
widely used pulmonary function test: the forced vital capacity maneuver is also ensured.
The purpose of this document is to help in using and putting your Medisoft equipment into
service. Please read this manual carefully before using the equipment for the first time. All
the necessary measurements must be taken in order to ensure safe use of the equipment.
This document is based on the last version (1.32) of our Expair software. Medisoft S.A.
reserves the right to modify the software or issue updates without prior notice. Therefore,
some differences could exist between these directions for use and the last version of the
software in use. Beware that some items may be modified slightly in last version of the
software.
S1-EN Foreword PAGE 5/39

2 General information
2
2.1 Description of test and application range
Spirometry is a physiological measure of breath. This test aims to evaluate inspiratory and
expiratory flowrates, as well as lung volume subcomponents. Through spirometry outcomes,
pulmonary function abnormalities could be classified into two mains categories: obstructive
and restrictive patterns. This clinical approach is based on the fact that the test measures
two basic components – air flow (FEV1, FEF25-75, FEV6, …) and lung volume (SVC, FVC, IC,
…). Intermediate flowrates such as FEF25% or FEF50% might also reflect the dysfunction in
small airways.
Spirometry also includes two supplementary methods in which the spirometry exam is
repeated on a subject following the administration of a bronchodilator medication
(reversibility testing) or stimulating agents (bronchial provocation testing), in order to
distinguish COPD from asthma. This technique is totally non-invasive, therefore would not
raise any question about patient safety.
According to official guidelines, spirometry is the fundamental test for making a confident
diagnosis of obstructive airways disorders (e.g. COPD, asthma) and the most effective way
for determining the severity of lung diseases and following up. Spirometry is also a powerful
tool for screening of lung diseases in epidemiological studies.
2.2 Indications
The spirometry testing (including FVC and VC maneuvers) can be indicated:
For diagnostic purposes

• To evaluate symptoms, signs or abnormal laboratory tests
• To measure the effect of disease on pulmonary function
• To screen individuals at risk of having pulmonary disease
• To assess pre-operative risk
• To assess prognosis
• To assess health status before beginning strenuous physical activity programs
For monitoring purposes
• To assess therapeutic intervention
• To describe the course of diseases that affect lung function
• To monitor people exposed to injurious agents
• To monitor for adverse reactions to drugs with known pulmonary toxicity
For disability/impairment evaluations
• To assess patients as part of a rehabilitation program
• To assess risks as part of an insurance evaluation
• To assess individuals for legal reasons
For public health studies
• Epidemiological surveys
• Derivation of reference equations
• Clinical research
S1-EN General information PAGE 6/39

2.3 Contraindications
Relative contraindications for spirometry include hemoptysis of unknown origin,
pneumothorax, unstable angina pectoris, recent myocardial infarction, thoracic aneurysms,
2
abdominal aneurysms, cerebral aneurysms, recent eye surgery (within 2 weeks due to
increased intraocular pressure during forced expiration), recent abdominal or thoracic
surgical procedures, and patients with a history of syncope associated with forced
exhalation.
Relative contraindications Mechanisms Comments

Cerebral aneurysm Increases in Increases in intraocular pressure during
Recent brain surgery intracranial/intraocular weightlifting suggest spirometry testing
Recent concussion pressure due to may lead to clinically significant changes in
Recent eye surgery decreased venous intraocular pressures in most patients.
Significant glaucoma return Most experts suggest a three- to six-week
recovery period following surgery before
spirometry testing.
Recent sinus surgery or Increases in sinus and There is a risk that forced maneuvers cause
middle ear surgery or middle ear pressures excessive pain or even ear drum rupture in
infection cases of middle ear infection.
Pneumothorax Increases in Increases in intrathoracic or intra-
Significant aortic aneurysm intrathoracic and intra- abdominal pressures may increase blood
Recent thoracic surgery abdominal pressure pressure but are not expected to increase
Recent abdominal surgery aortic transmural pressure.
Pregnancy Postoperative physiotherapy including
coughing is believed to be beneficial after
cardiothoracic and abdominal surgery.
Cough generally increases intrathoracic
pressures up to 400 cm H2O, compared
with 70 cm H2O – 200 cm H2O during
spirometry. The risk is likely low in most
patients.
Lung function tests may increase the risk of
early delivery in case of cervical
incompetence.
Systemic hypotension or Increases in Exercise testing one week after myocardial
severe hypertension (e.g., myocardial demand or infarction appears to be safe. A shorter
>200/120 mmHg) changes in blood period could be appropriate following
Significant atrial/ventricular pressure reperfusion therapy (e.g., angioplasty),
arrhythmia whereas caution is necessary in case of
No compensated heart persistent myocardial ischemia.
failure Prudence is also called in many of these
Recent myocardial infarction conditions with the use of ß2-
or pulmonary embolus sympathomimetics, although the risk of a
History of syncope related to single administration is likely to be

forced exhalation/cough minimal.
Active tuberculosis Infection control issues General infection control measures should
Hepatitis B be adopted in accordance to local
2
Hemoptysis or oral bleeding procedures.
Inability to follow directions In some cases, successful spirometry can
(eg, confusion, dementia, be obtained with increased coaching and
young age, language barrier) aid of an interpreter.

3 Preparation of the testing
3.1 Preparing the equipment
3
The module should be turned on at least 20 minutes before performing the
calibration and the first test.
This allows the warmup of the device.
1 Verify the connections of the tubing to the module.
2 Depending on the configuration of your device, verify the gas cylinders:
2A Open fully each gas cylinder by rotating counter clock wise the tap.
Check the fill in pressure of each gas cylinder.
2B It should be at least 20 bars (290 psi). If lower pressure, replace the
cylinder.
Check the output pressure of the reducer of each gas cylinder. It should
2C
be set to 3.5 bars (50 psi) or 4.5 bar (65 psi) depending on your device.
Check the validity date of each gas cylinder (indicated on the analyse
2D certificate of the cylinder). Replace the cylinders which are no longer
valid.
Verify the device has been calibrated before in the day.
3
Read the chapter about calibration in the Hardware User Manual.
S1-EN Preparation of the testing PAGE 9/39

3.2 Preparing the patient
1 Measure height and weight of the patient.
2 Install the patient seated upright with feet firmly on the floor in front of the
device. This is a safety precaution as the subject can become light headed during
3
the test and this can promote his falling from the chair, this posture minimises
any possible risk.
3 Adjust the arm and patient valve to the height of the subject’s mouth in the
normal seated position. The subject’s chest frame should be undistorted and the
diaphragm in a normal position.
4 Put a new single use barrier filter, and optionally a mouthpiece on the front of
the pneumotachograph. Instruct the patient in the correct use of the mouthpiece
and nose clip during the testing.
5 Instruct the patient in the performance of the test. Use simple words for him to
understand the required maneuver.

3.3 Encoding the patient in the database
3.3.1 If the patient already exists in the database
1 On the main screen of Expair, search the patient on the list.
3
2 If necessary, use the search tool in order to find the patient. Click on Search.
3 Encode the search criteria: last name, ID and or date of birth. Click on Find.
4 Check the patient details to confirm the right patient has been selected.

3.3.2 If the patient does not exist yet in the database
1 On the main screen of Expair, click on Add.
Encode the patient details: last Name, first name, ID (facultative), gender, date of
2
birth. Click on OK.
3
On the next screen, encode the additional patient details: physician name,
3
predicted set or ethnia. Click on OK.

3.4 Initializing the spirometry testing mode
1 On the main screen of Expair, verify the right patient is selected in the list.
Make sure the patient is not connected to the patient valve. This could lead to a
2
wrong zero measurement.
3
3 Activate the testing mode by following one of these 2 ways:
3A To create a new consultation, click on PFT button.
3B To complete an existing consultation, click on Continue button.
If the patient has already performed a test that day, a window appears to verify if
4
you want to complete the current test.
4A Click on No to create a new consultation.
4B Click on Yes to complete the existing consultation.

The test screen appears. The zero of the pressure and flow transducers is
5
measured. Make sure the patient is still not connected to the patient valve.
6 Complete the patient’s demographic data (at least height and weight).
7 Verify the ambient conditions. Correct if necessary.
3
Verify or encode the instrument dead space (volume of the filter in ml) and the
8
instrument resistance (resistance of the filter in cmH2O/L/s).
9 Verify all information and then click on Validate.
10 Select the test you want to perform.
A Slow Spirometry → Select VC tab;
B Forced Spirometry → Select FVC tab;
C Maximum Voluntary Ventilation → Select MVV tab;
D Minute tidal ventilation → Select VMIN tab.

Height, weight and age of the patient are used for predicting the normal
values. It is essential that height and weight are measured and encoded
correctly in order to have good predicting values.
Filter characteristics (resistance and volume) must be encoded carefully.

This information is available on the package or the datasheet of the filter. In
3
case of any doubt, please contact your filters supplier.
The resistance and the volume values of the filter have no impact on
spirometry calculation, but for other pulmonary function tests such as lung
volumes or diffusion measurements.
The ambient conditions are used to calculate BTPS correction factor. It is

essential that ambient conditions are measured or encoded correctly for
accurate volume measurement:
• Temperature: in degrees Celcius
• Relative humidity: in %
• Barometric pressure: in mmHg
Important information on barometric pressure
The barometric pressure used by the software is the actual barometric

pressure, not barometric pressure corrected at sea level. Be careful when
using an external weather station because it always indicates barometric
pressure corrected at sea level, depending on the altitude of the location.
In order to obtain the real barometric pressure, the formula below can be
used:
0.0065 × h 5.255
BPreal = BPcorr × (1 − )
288.15
Where:
- BPcorr is the barometric pressure (in mmHg) corrected at sea level, as
indicated on all external weather stations
- h is the altitude (in meters)
Example: a weather station indicates 760 mmHg at an altitude of 250 meters.

This will correspond to a real barometric pressure of 738 mmHg.

4 Slow spirometry testing
4.1 Performing the test
S1-EN Slow spirometry testing PAGE 16/39

1 Click on Start to begin the test.
2 Verify the volume signal is perfectly horizontal.
If the signal is horizontal, it means the zero of the flow transducer has
been measured correctly. Go to step 3.
If the signal is not horizontal, it means the zero of the flow transducer has
not been correctly measured.
4
2A Click on Stop button.
Verify the patient is not connected to the valve and then click on
2B
Zero in order to measure the zero of the flow transducer.
2C Verify the volume signal is now perfectly stable.
Ask to the patient to connect his mouth to the antibacterial filter. Verify there is
3
no leak between his mouth and the filter.
The patient breathes normally several times until the ventilatory resting level
4
(FRC) is established.
5 Ask to the patient to perform a vital capacity maneuver. Two ways are possible:
The patient exhales fully from FRC level to RV, then inhales fully from RV
5A
to TLC.
The patient inhales fully from FRC level to TLC, then exhales fully from TLC
5B
to RV.
6 Ask to the patient to breath normally.
Click on Stop to finish the test.

7
The values are displayed in the results table, under “Test 1” column.
Repeat the test at least two times in order to have at least two acceptable and
8
reproducible tests (see 4.2 Quality control).

4.2 Quality control
The quality control is based on the ATS-ERS criteria:
• End-tidal expiratory level must be perfectly stable for the reliable calculation of the
different pulmonary volumes;
• During deep maneuver, end inspiratory and expiratory phases must reach a plateau
4
on the volume/time curve to ensure a complete vital capacity;
• At least 3 maneuvers should be performed:

o The difference between the two best acceptable VCs is less than 150 mL;
o Make sure the patient did the greatest possible collaboration.
• If previous criteria are not fulfilled, let’s the patient try again with a maximum of 4
repetitions.

4.3 Reviewing the test
4
1 Select a test by clicking on the corresponding test label.
Select to show or hide the cursors (upper and lower limits on the spirogram).
2 You can optimize manually those cursors with the spirogram editor function (see
hereafter).
3 Use the zoom buttons to modify the size of the spirogram.
4 Verify the numerical values and select the best value to report.
Use these radio buttons to take a test into account for the final report. By
5 default, the software automatically chooses the best effort as the effort with the
largest VC.
6 Comment/interpretation editing mode.
7 Click on this button to see the report before printing.
NOTE:
The review mode is applied to current test as well as old tests. You can review, edit and print
an existing test by repeating exactly the steps on above.

4.4 Editing the test
For editing mode, click right on the number of the test and select Edit.
4
Toggle each of the buttons you would like to adjust (1-4) and place then your cursor on
the best upper or lower limit of volume (TV or VC) you wish to measure:
1 Tidal Volume upper limit (blue cursor).
2 Tidal Volume lower limit (red cursor).
3 Vital Capacity upper limit (green cursor).
4 Vital Capacity lower limit (black cursor).
The calculator button is an auto-selection of best value (set by default). After

5
manual changes of TV or VC, the calculator button restores default settings too.
The “staircase” button is an auto calibration for Tidal breath cycles. It will level
6 out a sloping trace, when the slope is known to be caused by an instrument drift
and not a true physiological shift.

5 Forced spirometry testing
S1-EN Forced spirometry testing PAGE 21/39

5
2B
3
The patient breathes normally several times until the ventilatory resting level
4
(FRC) is established.
5 Ask to the patient to inhale fully, then directly after his lungs are filled...
Ask to the patient to exhale as fast as possible during at least 6 minutes
6 (maximum 10 minutes), followed by a deep inhalation. Encourage him in order to
achieve the best effort as possible.
7 Ask to the patient to breath normally.

8
Repeat the test at least two times in order to have at least two acceptable and
9 reproducible tests (see 5.2 Quality control).
Note: The vertical red line indicates when the instantaneous expiratory flow is less than
0.025 L/s. This in an indication for the operator that the patient has nearly achieved a
plateau in volume-time curve.

5
1 During the test, the screen can be refreshed at any moment with the scissors button.
2 Stopwatch indicating the duration of expiratory time.
3 Incentive mode: Medisoft has three incentive graphical formats:
Flying above the trees indicates that the FEV1 and PEF is complete.
Landing the plane corresponds to 6 seconds of expiration.
The birthday cake is a direct measure of FEV1: when the child blows all the
candles in one second, FEV1 measurement is completed.
For adults, a timer for exhaled time and a bar graph of volume effort can
also be displayed.

5.2 Quality control
The system will check the quality of each maneuver in regard of the ATS-ERS criteria. For a
detailed quality check list, click on the ATS button.
5
1 The green check means that the test is acceptable.
The red cross indicates that the test doesn’t meet the ATS-ERS criteria and must
2
be rejected.
3 “OK” means that the criterion is fulfilled.
4 “OP” means that the criteria must be checked and validated by the operator.
5 “NO” means that the criterion is not fulfilled.

5
Select manually or automatically the best values. By default the software
1 automatically selects the best effort as a combination of the best FVC, FEV1, PEF
even from different efforts.
2 Expiratory volume/time curve, with ‘real zero’ and end-expiratory flow criteria.
3 Reviewing of the ATS-ERS criteria (see 5.2).
4 Access to the visual interpretation feature.

5.4 Editing the test
5.4.1 Curves edition
For editing mode, click right on the number of the test and select Edit.
5
Toggle each of the buttons you would like to adjust (1-4) and place then your cursor on
the best upper or lower limit of volume (VCE or VCI) you wish to measure:
1 Expiratory VC upper limit (blue cursor).
2 Expiratory VC lower limit (red cursor).
3 Inspiratory VC upper limit (green cursor).
4 Inspiratory VC lower limit (black cursor).
The calculator button is an auto-selection of best value (set by default). After

5
manual changes of VCE or VCI, the calculator button restores default settings too.

5.4.2 Toolbox
5
1 Toolbox button for setting of default selections.
Mid Expiratory Flow calculation formula. The most common method is (FVC/2)
2
divided by the time interval between F75 and F25. However, an alternative exists.
3 Adjustment of the flow/volume loop on the measured Residual Volume.
Display of the vertical red line when expiratory flow is lower than 25 ml/s.
4
Another end-expiratory threshold can be edited too.
5 Confirm the changes in the configuration.

6 Maximum voluntary ventilation testing
S1-EN Maximum voluntary ventilation testing PAGE 28/39

2B
6
3
The patient breathes with maximal breathing pattern. Highest tidal volume and
4
frequency.
5 After 20 to 30 seconds, ask to the patient to breath normally.

6
6.2 Quality control

The quality control is based on the ATS-ERS criteria:
• Acceptability criteria:
o Tidal Volume should be about 50% of VC.
o Respiratory rate (RR) should be close to 90 breaths per minute.
o Ratio MVV/(40 x FEV1) < 0,80 indicates a submaximal effort.
• Repeatability criteria:
o At least two acceptable maneuvers.
o Difference between two acceptable values lower than 20%.

6
Automatic selection for calculation of the MVV. Edit the analysis time interval
1
and then click on the calculator for the MVV calculation in 1 minute.
2 Manual selection of the analysis range.
2A Put the limits of the analysis area.
2B Slide left or right the selected area.

7 Minute tidal ventilation testing
S1-EN Minute tidal ventilation testing PAGE 31/39

2B
7
3
4 The patient breathes normally in a resting pattern.

After the time defined for this test, the test stops automatically. It is also possible
5 to finish manually the test by clicking on Stop.
7.2 Quality control

There is no ATS-ERS recommendations, but make sure the end-expiratory level is stable.

7
1 Define the duration of the test.
2 Review different displays of the flow/volume curve.

8 Studied parameters
8.1 Slow spirometry
8.1.1 Measured parameters
Parameter Default
Description
name unit
TV L Tidal Volume
VC L Vital Capacity
IRV L Inspiratory Reserve Volume
ERV L Expiratory Reserve Volume
Ti s Inspiratory cycle Time
Ttot s Total cycle Time
8.1.2 Calculated parameters 8
Parameter Default
Description Formula
name unit
IC L Inspiratory Capacity TV + IRV
EC L Expiratory Capacity TV + ERV
Ti
Ti/Ttot -- Ratio of the Inspiratory over Total cycle Time
Ttot
60
RF #/min Respiratory rate
Ttot
S1-EN Studied parameters PAGE 34/39

8.2 Forced spirometry
Parameter Default
Description
name unit
FEV1 L Forced Expiratory Volume after 1 second
FVC L Forced Vital Capacity
PEF L/s Peak Expiratory Flow
MEF25 L/s Flow at 75% of Expired Volume
FIV1 L Forced Inspiratory Volume after 1 second
PIF L/s Peak Inspiratory Flow
FI25 L/s Flow at 25% of Inspired Volume
TV L Tidal Volume
IRV L Inspiratory Reserve Volume
8
ERV L Expiratory Reserve Volume
Ti s Inspiratory cycle Time
Texp s Expiration Time
FVC ins L Inspiratory Forced Vital Capacity
FEV0.5 L Forced Expiratory Volume after 0.5 second
FEV3 L Forced Expiratory Volume after 3 seconds
FEV6 L Forced Expiratory Volume after 6 seconds
EV L Extrapolated Volume
T0 s T0 time (time to extrapolated volume)
BTPS Fact -- BTPS Factor

8
8.2.2 Calculated parameters
Parameter Default
Description Formula
name unit
FEV1/FVC % FEV1 / FVC ratio (Tiffeneau ratio) FEV1
100 ×
FVC
FEV1/VC % FEV1 / VC ratio FEV1
100 ×
VC
MEF L/s Mean Expiratory Flow 25-75% FVC
2 × Time(MEF75 → MEF25)
MIF L/s Mean Inspiratory Flow FVC ins
2 × Time(FI25 → FI75)
F50 Ex/In % % MEF50
100 ×
FI50
MEF/FVC Hz MEF/FVC ratio MEF
FVC
MEF/VC Hz MEF/VC ratio MEF
VC
IC L Inspiratory Capacity TV + IRV
EC L Expiratory Capacity TV + ERV
FEV1/Ti L/s FEV1/Ti ratio FEV1
Ti
FEV1/FEV6 % FEV1/FEV6 ratio FEV1
FEV6
EV/FVC % EV/FVC ratio EV
FVC
FEV1/VCmax % FEV1/VC ratio FEV1
max (VC, FVC)
F25-F75 L/s MEF25-MEF75 difference MEF75 − MEF25

8.3 Maximum voluntary ventilation
Parameter Default
Description
name unit
VE L/min Maximal ventilation in one minute
RF #/min Average respiratory rate
TV L Average tidal volume
8.4 Minute tidal ventilation

Parameter Default
Description
name unit
Vmin L/min Ventilation litres per minute
TV L Tidal volume
RF #/min Respiratory Frequency
8
Vol Pef L Volume at peak flow
Tex Pef s Time to reach peak flow
Mef 75% Vt L/s Expiratory flow at 75% of the Tidal volume
Tex s Time of expiration of tidal volume
ME L/s Mean expiratory flow
Pef L/s Peak tidal flow
Vol Pif L Volume to peak inspiratory flow
Tins Pif s Time to peak inspiratory flow
Tin s Time for inspiration cycle
MI L/s Mean inspiratory flow
Pif L/s Peak inspiratory flow
Ttot s Time of total cycle.

8.4.2 Calculated parameters
Parameter Default
Description Formula
name unit
RF/TV 1/min/ Ratio of Respiratory Frequency to tidal volume RF
L TV
MVV/Vmin -- Ratio of MVV to ventilation MVV
Vmin
Tin/Tt -- Time of inspiration /Time total ratio Tin
Ttot
Tex/Tt -- Time of expiration /Time total ratio Tex
Ttot
Tin/Tex -- Time inspiration /Time expiration ratio Tin
Tex
ME/MI -- Mean Expiratory Flow/Mean Inspiratory flow ratio ME
MI
F75%/Pef -- Flow at 75% of the Volume to Peak flow ratio Mef 75% Vt
Pef
Pef/TV 1/s Pef/TV ratio Pef
TV
VPef/VPif -- Vol Pef/Vol Pif ratio Vol Pef
8
Vol Pif
TPef/Ttot -- Tex Pef/Ttot Tex Pef
Ttot
Tex/Tin -- Time expiration /Time inspiration ratio Tex
Tin
VPef/TV -- Volume at Pef/Tidal Volume Vol Pef
TV
TV/kg Ml/kg Tidal volume to weight ratio MEF
VC

Medisoft S.A. www.medisoft.be
P.A.E. de Sorinnes info@medisoft.be
1, Route de la Voie Cuivrée T: +32 (0)82 22 30 20
5503 Dinant – Sorinnes (Belgium) F: +32 (0)82 22 33 34

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USER MANUAL FOR SPIROMETRY TESTING

Slow and Forced Spirometry

S1-EN Spirometry PAGE 2/39

S1-EN Spirometry PAGE 3/39

S1-EN Spirometry PAGE 4/39

S1-EN Foreword PAGE 5/39

For diagnostic purposes

S1-EN General information PAGE 6/39

Relative contraindications Mechanisms Comments

S1-EN General information PAGE 7/39

S1-EN General information PAGE 8/39

1 Verify the connections of the tubing to the module.

2 Depending on the configuration of your device, verify the gas cylinders:

S1-EN Preparation of the testing PAGE 9/39

1 Measure height and weight of the patient.

S1-EN Preparation of the testing PAGE 10/39

1 On the main screen of Expair, search the patient on the list.

S1-EN Preparation of the testing PAGE 11/39

1 On the main screen of Expair, click on Add.

S1-EN Preparation of the testing PAGE 12/39

3A To create a new consultation, click on PFT button.

3B To complete an existing consultation, click on Continue button.

4A Click on No to create a new consultation.

4B Click on Yes to complete the existing consultation.

S1-EN Preparation of the testing PAGE 13/39

7 Verify the ambient conditions. Correct if necessary.

9 Verify all information and then click on Validate.

10 Select the test you want to perform.

A Slow Spirometry → Select VC tab;

B Forced Spirometry → Select FVC tab;

C Maximum Voluntary Ventilation → Select MVV tab;

D Minute tidal ventilation → Select VMIN tab.

S1-EN Preparation of the testing PAGE 14/39

Filter characteristics (resistance and volume) must be encoded carefully.

The ambient conditions are used to calculate BTPS correction factor. It is

Important information on barometric pressure

The barometric pressure used by the software is the actual barometric

Example: a weather station indicates 760 mmHg at an altitude of 250 meters.

S1-EN Preparation of the testing PAGE 15/39

S1-EN Slow spirometry testing PAGE 16/39

2 Verify the volume signal is perfectly horizontal.

2C Verify the volume signal is now perfectly stable.

6 Ask to the patient to breath normally.

Click on Stop to finish the test.

S1-EN Slow spirometry testing PAGE 17/39

• At least 3 maneuvers should be performed:

S1-EN Slow spirometry testing PAGE 18/39

7 Click on this button to see the report before printing.

S1-EN Slow spirometry testing PAGE 19/39

1 Tidal Volume upper limit (blue cursor).

2 Tidal Volume lower limit (red cursor).

3 Vital Capacity upper limit (green cursor).

4 Vital Capacity lower limit (black cursor).

The calculator button is an auto-selection of best value (set by default). After

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2 Verify the volume signal is perfectly horizontal.

2A Click on Stop button.