CPET

QUICK START GUIDE

CONTENTS
1 Trolley assembly .............................................................................................................................. 3
2 Oxygen sensor installation .............................................................................................................. 3
3 Calibration gas installation .............................................................................................................. 5
4 Connections ..................................................................................................................................... 7
4.1 Permapure hose (gas sampling pipe) ...................................................................................... 7
4.2 Gas analyzer ............................................................................................................................ 7
4.3 Devices..................................................................................................................................... 8
5 PistonXP software installation....................................................................................................... 10
6 PistonXP software settings ............................................................................................................ 13

BEFORE YOU START

Please note this manual is meant to serve as a Quick Start Guide only. It will guide you
through the installation of the CPET system and its necessary settings. For system
operation, please refer to the official BTL CardioPoint-Ergo User’s Manual, PRE-201 Manual
or to the CPET Quick Guide.
1 TROLLEY ASSEMBLY

Please refer to the official BTL CardioPoint Trolley User manual, chapters 4.2 – 5.11.

2 OXYGEN SENSOR INSTALLATION

1) Unscrew the four screws on the back of

the gas analyzer ❶ using a Cross point 2
screwdriver PH2. Detach the hose that
goes from the CO2 absorber container to
the CO2 Absorber IN connector ❷.
Remove the protection plate ❸. 1 3

2) Unscrew the two screws ❶ in order to

loosen the metallic plate ❷, using a
Cross point screwdriver PH2. Remove
the plate.

3) Place the O2 sensor on the metallic

support ❶.

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4) Attach the transparent hose ❶ to the
tiny connector on the upper part of the
sensor. Attach the blue hose ❷ to the
other connector on the upper part. Attach
the gray communication cable ❸ to the 1 2

lower part of the sensor (just push it until

you hear a click).

5) Place again the metallic plate ❶ on the

metallic support and screw back the two
screws in order to fix the sensor.

6) Place again the protection plate ❶.

Screw back the four screws. And finally, 2
attach the hose from the CO2 absorber to
the respective connector ❷.

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3 CALIBRATION GAS INSTALLATION

1) Place the gas cylinder on the gas cylinder

holder and secure it with straps.

2) Connect the pressure regulator ❶ to the

gas cylinder. Use a spanner to make the
connection tight. Use an O-ring sealing to 1
prevent the connection from any gas
leakage.

3) If the pressure regulator has no output

that is compatible with the blue hose
supplied with the CPET system, connect
a hose adapter ❶ to the pressure
regulator. The hose adapter must allow a
4 mm hose to be connected to it. 1

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4) Now you can connect the blue hose ❶ to
the regulator (or hose adapter).

5) Finally, open the gas cylinder using its

valve and set the output pressure ❶ with 1
the pressure regulator ❷ to
approximately 1 bar (= 14.5 psi). Then,
close the gas cylinder.

Safety precautions!

 Never open the gas cylinder with its valve without a pressure regulator connected to
it.
 Close the gas cylinder with its valve after every calibration.

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4 CONNECTIONS

4.1 Permapure hose (gas sampling pipe)

Connect the Permapure to the dock
connector ❶ using the black connector.
Connect the other end of the Permapure to
the attachment on the hose with a yellow tip
❷. 2

4.2 Gas analyzer

 Ambient IN ❶: Forbidden to connect
anything.
 Calibration ❷: Connect the Permapure
(gas sampling pipe) only when asked by 1 2
the software.
 Flow (both) ❸: Connect the white and 3 4
blue hoses in each port (color
indication).
 Gas sample ❹: Connect the yellow tip
hose.

 Cal gas IN ❺: Connect the gas cylinder

hose.
 Cal gas OUT ❻ / Pump out: Forbidden
8
to connect anything.
 USB cable ❼: Connect directly to the
computer’s USB (SS) port.
5 6
 Power cable ❽: Connect to the power
outlet inside the Trolley.
7

CPET QUICK START GUIDE I PAGE 7 / 15

  Ambient sensor cable ⓫: Connect to
the computer by USB means.

Note: The Ambient sensor is recommended

11
1
to be positioned as close to the gas analyzer
as possible. The best way to achieve this is
to run its cable through the central pole and
the gas analyzer’s arm of the BTL
CardioPoint Trolley.

4.3 Devices
 Ergometer or Treadmill
 ECG
 Gas analyzer
 Ambient sensor
 Blood pressure monitor

All the devices should be connected to the

computer by USB means (Standard or SS).

You may need to use a USB HUB in order to

connect all the devices. We recommend a
powered USB HUB. Preferably the
PowerCube PowerUSB Hub.

Note: The gas analyzer is recommended to be

connected directly to the computer ports.

Note: Connect the devices to the USB SS ports (blue ones) which can transfer data ten
times faster than the normal ones. These are found on the back side of the computer (HP
Prodesk).

CPET QUICK START GUIDE I PAGE 8 / 15

In order to setup the devices through
CardioPoint software please refer to the BTL
CardioPoint-Ergo User’s Manual, Chapter 5:
Installation, Assembly and Setup (Pages 13
to 17).

In order to setup the devices through CPET

(PistonXP) software please refer to the PRE-
201 Piston XP Manual, Chapter: User
Interface (Pages 12 and 13).

Note: In order to use the devices only

1
through Piston, go to Setup, Devices and
CPET. Select None for ECG device ❶,
2
instead of BTL CardioPoint. Also select
Polar WearLink+ in Polar belt ❷ in order to
obtain HR values from it.

CPET QUICK START GUIDE I PAGE 9 / 15

5 PISTONXP SOFTWARE INSTALLATION

The CPET set uses two computer softwares – BTL CardioPoint and PistonXP. The
installation of the BTL CardioPoint software is described in its official manual. Installation of
the PistonXP is described below. It doesn’t matter in which order the softwares are installed.

1) Launch the software installation from the

DVD that is supplied together with the set.
On the installation screen, choose
Software ❶ to start the installation.

11

2) Click Install PistonXP and drivers ❶ to

install both the software and the drivers
for the Piston device (PRE-201 gas
analyzer and ambient sensor).

11

3) The installation starts with the language

selection.

CPET QUICK START GUIDE I PAGE 10 / 15

4) Click Next ❶ to continue.

1
1

5) Select I accept the agreement ❶ and

then click Next ❷.

11

22

6) Do not change the Components settings

and click Next ❶.

11

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7) You may optionally decide if you want to
create a desktop shortcut for the
PistonXP software (recommended). Then
click Next ❶.

11

8) Click Install ❶. The installation will start.

11

9) When the installation is done, click

Finish ❶.

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6 PISTONXP SOFTWARE SETTINGS

Before starting to do the tests, certain settings need to be applied to the PistonXP software.
Follow the instructions below to set your software properly and prepare it for the tests.

1) Make sure that the PRE-201 analyzer is connected directly to the computer by means of
USB cable (not via USB HUB).

2) Turn on the analyzer and wait approx. 30

minutes before you continue. This will
allow the analyzer to warm up. The switch
❶ is located on the back side of the
analyzer.

3) Launch the PistonXP software.

4) A message informing you about the

necessity to measure the O2 sensor
characteristics will appear. Click OK ❶.
If this message doesn’t appear, the PRE-
201 analyzer is not connected. To 1
continue, it must be connected.

5) Click the Setup button ❶ on the left side

of the screen.
1

6) A Setup window will open. On its first 11

screen (Institute setup ❶), you may
optionally fill the information about the
facility using the CPET system. This
information will appear on the final report.
You may also change the report logo ❷.

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7) Before performing the tests, it is
necessary to enter the information about 1
the physician(s) using the system. 2
Mandatory information is the physician’s
name and ID. Select Physicians ❶.
Click the New Physician button ❷. This 3
will allow you typing into the respective
fields. When the mandatory information is
filled, click the Save button ❸ to confirm
it.

8) Now it is necessary to configure the Gas

analyzer. Click Devices ❶ and select
CPET ❷. Firstly, it is necessary to enter
the exact O2 and CO2 concentrations of 1
your calibration gas into the Calibration
gas section ❸. This information is either 2
printed directly on the gas cylinder or in a
gas mixture certificate that must be
supplied together with the gas cylinder.
After that, you may start the O2 sensor 3
characteristics measurement by clicking
Measurement of O2 sensor
characteristics ❹ button. Follow the 4
instructions on the screen to finish this
process.

9) Connect the sampling line into the

Calibration port of the analyzer. Then
click Done ❶.

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10) Open the gas cylinder. Make sure that
the output pressure is set to
approximately 1 bar. Then click
Done❶.

11) The Measurement of O2 sensor

characteristics will now start. This may
take up to several minutes depending on
your computer’s performance.

12) If the measurement of O2 sensor

characteristics is successful, you will be
informed about it with an extra message.
Click OK to close it. If the measurement
is not successful, please contact BTL
service.

13) The software will now ask you to calibrate the gas analyzer. You may proceed
according to the CPET quick guide, chapter 1 COMPLETE CALIBRATION.

14) Please note that it is necessary to run the O2 sensor characteristics measurement
each time you change the O2 sensor (approx. every 1 – 2 years).

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