Care Fusion Smoke Check Meter User manual

1
Smoke Check Meter
Operating Manual – English
Operating Manual – CareFusion USA
Manuel d’utilisation -
Français
Bedienungsanleitung - eutsch

1
Contents
I. Overview.......................................................................... 3
Introduction – English........................................................ 4
Cigarette Consumption ...................................................... 4
Package Contents.............................................................. 5
Operation......................................................................... 7
Calibration ......................................................................10
Battery Life .....................................................................12
Sensor Expiry ..................................................................13
Cleaning .........................................................................13
Servicing.........................................................................13
Symbols..........................................................................14
Environment....................................................................14
Specifications ..................................................................14
II. Overview.........................................................................17
Introduction – CareFusion USA ..........................................17
Cigarette Consumption .....................................................18
Package Contents.............................................................19
Operation........................................................................21
Calibration ......................................................................24
Battery Life .....................................................................26
Sensor Expiry ..................................................................27
Cleaning .........................................................................27
Servicing.........................................................................27
Symbols..........................................................................28
Environment....................................................................28
Specifications ..................................................................28
III. Présentation ....................................................................30
Introduction – Français .....................................................31
Consommation de Cigarettes .............................................31

2
Contenu de l’emballage.....................................................32
Instructions.....................................................................34
Calibration ......................................................................36
urée de vie pile..............................................................40
Expiration de la Cellule .....................................................40
Nettoyage .......................................................................40
Informations techniques....................................................40
Symbols..........................................................................40
Environment....................................................................41
Spécifications ..................................................................41
IV. Őberblick.........................................................................42
Einführung – eutsch .......................................................43
Zigarettenkonsum ............................................................44
Packungsinhalte ...............................................................45
Bedienung.......................................................................47
Eichung...........................................................................50
Lebensdaduer der Batterie ................................................53
Verfall des Sensors...........................................................54
Reinigung........................................................................54
Wartung..........................................................................55
Symbole .........................................................................55
Umgebung ......................................................................55
Anforderungen.................................................................55
Customer contact information............................................57

3
Smoke Check Meter
Operating manual
Overview
The Smoke Check is a hand held battery operated device used to
measure the concentration of carbon monoxide, CO, on the breath.
It is used for instructional purposes in smoking cessation programs
and to check on the clients’ progress and compliance.
It is accurate, easy to use, and has many features designed to
simplify its operation.
These include: Auto zero function
Smoking level colour light indicators
High CO alarm
Simple calibration
Please note: It is recommended that this unit be calibrated
upon receipt

4
I. Introduction - English
The Smoke Check is based on an electrochemical fuel cell sensor,
which works through the reaction of carbon monoxide (CO) with an
electrolyte at one electrode, and oxygen (from ambient air) at the
other. This reaction generates an electrical current proportional to
CO concentration. Output from the sensor is monitored by a
microprocessor, which detects and displays peak expired
concentrations of alveolar gas. High levels of expired CO indicate
raised levels of carboxyhaemoglobin, most commonly caused by
cigarette smoking.
The results are displayed in four ranges on a clear LC display.
Warning lights are provided to give an instant indication of the
smoking level. A particular feature of the CareFusion Smoke Check
is its stability of calibration and low cross sensitivity to other exhaled
gases such as hydrogen.
References
Jarvis MJ, Belcher M, Vesey C, Hutchison CS
Low cost carbon mono ide monitors in smoking assessment
Thorax 1986; 41: 886-887
Cigarette Consumption
The Smoke Check meter provides a simple screening test for
cigarette consumption for use in anti-smoking clinics and all smoking
cessation programs.
Measurement of expired CO has been well validated as an indirect
measure of cigarette consumption and is widely used in smoking
cessation programs.
Typical values for expired CO in smokers, together with the alarm
light status, are given below:

5
CO(ppm) Cigarette consumption Indicator
0 - 6 Non smoker Green
7 -10 Light smoker Amber
11 – 20 Heavy smoker Red
20+ Very heavy smoker Flashing red + alarm
Please note that some urban areas may have high environmental
levels of CO. This can cause a rise in exhaled CO of a few ppm
above that which is normally present on the breath. In these cases
it is possible for a non-smoker to appear at the bottom of the ‘light
smoker’ range (7 – 10 ppm).
References
Jones RH, Ellicott MF, Cadigan JB, Gaensler EA
The relationship between alveolar and blood carbon
mono ide concentrations during breath holding
Journal of Laboratory and Clinical Medicine 1958; 51, 553 - 564
Wald NJ, Idle M, Boreham J, Baily A
Carbon mono ide in breath in relation to smoking and
carbo yhaemoglobin levels
Thorax 1981; 36, 366-369
Package Contents
The Smoke Check is supplied with a carrying case containing the
following items:
1. Smoke Check meter (Cat No. 36-SC01-STK)
2. 22 mm mouthpiece adapter (Box of 10 Cat No.36-PSA2000)
3. 22 mm reducing connector (Cat No.36-MEC1007)
4. PP3 Battery (Cat No.36-BAT1002)
5. isposable mouthpieces (Box 250 Cat No.36-PSA1200)
6. Calibration button tool (Cat No. 36-MEC1299)

6
6
5
4
ON
OFF
1
3
2

7
Operation
For accurate results the Smoke Check should be used at room
temperature. If the instrument has been stored in cool or hot
conditions then allow time to reach room temperature prior to use.
Install the PP3 battery by sliding open the battery cover, clipping the
battery in place and replacing the cover. Insert the mouthpiece
adapter into the Smoke Check meter and then insert a disposable
cardboard mouthpiece into the adapter. If possible, the subject
should rinse their mouth with clean water prior to performing a test.
o not use mouthwash, as the readings will be affected.
To obtain an accurate reading from a sample of alveolar gas the
patient should inspire and hold their breath for 20 seconds before
expiring slowly and fully through the mouthpiece. As an aid to
timing the breath holding period, a buzzer will sound 20 seconds
after the unit is turned on. However the instrument may be used
any time after the first 12 seconds when the auto-zero has been
performed.
Turn the unit on by pushing the central slide switch up and the three
coloured lights will illuminate momentarily together with all the
display legends:
7-10 ppm
0-6 ppm
Bat
Wait
Blow
Gas
20+ ppm
11-20 ppm
Ask the subject to inspire and hold their breath.
The unit will auto-zero for twelve seconds during which time the
following will be displayed:

8
Wait
Important note: the unit must not be used during this period.
After twelve seconds the display will change to:
0-6 ppm
Wait
The subject may now seal their lips around the mouthpiece and
exhale slowly and fully if they cannot hold their breath any longer.
However, more accurate results will be obtained if they hold their
breath until the buzzer sounds and the display changes to:
Blow 0-6 ppm
The CO reading will rise to a plateau over the course of several
seconds. The final value will be held until the unit is turned off and
will be displayed in one of the four ranges:
0–6 ppm with green indicator
7–10 ppm with amber indicator
11–20 ppm with red indicator
20+ ppm with flashing red indicator and alarm

9
Important note:
Before repeating a measurement the unit must be turned off,
and the mouthpiece and adapter removed for at least 1
minute. This is to allow re-equilibration with ambient air and
to dry the surface of the sensor. Visually inspect that all
moisture has evaporated from the surface of the sensor
before reuse.
If the unit is switched on again too quickly after use there
may be a response to residual e pired carbon mono ide from
the previous test.
In this case the display will show:
Gas
If this is displayed then turn the unit off, remove the mouthpiece
adapter, and expose to ambient air for 2 minutes before repeating
the test.
Note: If this warning appears again after following the above
procedure then turn off and leave the sensor exposed to ambient air
for a further 3 minutes. If the same message appears again then
this indicates possible contamination of the sensor with a solvent.
In this case remove all sources of solvent from the vicinity of the
sensor and expose to ambient air for 24 hours before switching on
again.

10
Calibration
Calibration will remain stable to within 2% over one month and
typically to within 10% over 6 months. CareFusion supplies
calibration gas (20ppm CO in air) complete with a control valve for
simple and economic user calibration.
The gas is supplied in convenient, disposable, aluminium aerosol
cans containing 18 litres of gas (Cat. No.36-MCGK020).
Each cylinder is capable of completing 10 calibration procedures.
Locate the calibration button positioned inside a hole on the right
hand side of the instrument as shown below.
Turn the unit on and wait for the unit to display ‘Blow’.
Screw the control valve firmly onto the cylinder and connect the gas
supply as shown below:
Calibrati
on
button

11
The plastic tubing supplied with the gas should be pushed firmly
over the reducing connector.
Slowly turn the control knob anti-clockwise until the ball in the flow
indicator is between the two marks. This will then supply a gas flow of
approximately 0.25 l/min. Apply this flow for 25 seconds and then use
the calibration button tool to depress the calibration button.
20 ppm
carbon monoxide
in ai
r
Flow
Indicator
Control
Valve
Reducing Connector
for Calibration
Plastic Tubing

12
The sounder will beep and the display will flash three times as the
calibration is recorded. The ‘GAS’ legend will then be displayed.
Turn off the gas supply and the unit. When the cell has expired it
will be impossible to obtain a correct calibration and all the legends
and the three lights will flash five times with no beeps after the
calibration button is depressed. The ‘GAS’ legend will be displayed
as before and the unit must be turned off before recalibration is
attempted.
Important Notes:
•Only certified calibration gas (20ppm) from a reputable source
should be used.
•Ensure that no CO is present on the sensor for 3 minutes before
starting the calibration procedure.
•Ensure that the instrument and gas cylinder have stabilised at
room temperature before calibrating.
•o not immerse the unit in the calibration gas.
•In order to stop any gas leak from the can after calibration,
ensure that the control knob is tightened firmly.
Battery Life
Battery life is sufficient for approximately 8000 tests.
When the battery has approximately 1 hour of useful life left the
following message will be displayed:
Bat

13
and the alarm will sound momentarily after the unit is first switched
on. When the battery has completely expired the above will be
displayed continuously and the battery must be replaced.
Note: Please remove the battery if the meter is likely to be unused
for some time.
Sensor E piry
Sensor life ranges from 2 to 5 years and depends upon both the
amount of exposure to CO and other gases, particularly solvents
such as alcohol and cleaning fluids.
When the sensor has expired it will become impossible to obtain a
correct calibration. When this occurs, the Smoke Check must be
returned to CareFusion or an authorised agent, for sensor
replacement.
Cleaning
The mouthpiece adapter may be cleaned using a mild detergent
solution or replaced if there is risk of contamination. Exposed
surfaces of the meter, other than the sensor surface, may be wiped
with a clean, damp cloth. It is recommended that this procedure is
performed after each use and all used cardboard mouthpieces
discarded.
Important note: The sensor surface must not be wiped with any
aqueous solutions and must not be exposed to solvents e.g. alcohol
or permanent damage may result.
Servicing
A full service manual including circuit diagram and parts list is
available upon request .

14
Symbols
Type B device
0086
In accordance with irective 93/42/EEC
isposal in compliance with WEEE
Environment
This instrument complies with directive EN60601-1-2
electromagnetic compatibility but can be affected by cellular phones
and by electromagnetic interference exceeding levels specified in EN
50082-1:1992
Specifications
Sensor type Electro-chemical fuel cell
Range 0 - 20 ppm
etected levels: isplay:
0 to 6ppm 0-6 ppm with green indicator
7 to 10ppm 7-10 ppm with amber indicator
11 to 20ppm 11-20 ppm with red indicator
>20 ppm 20+ ppm with red indicator + alarm
Accuracy +/-5% of reading or 1ppm whichever
is the greater
Sensitivity drift 0.5%/°C
Sensor life 2 to 5 years
Response time < 15 sec (to 90% of reading)
Hydrogen cross sensitivity <15%
Operating temperature 15 – 25 °C
Operating pressure Atmospheric +/- 10%

15
Pressure coefficient 0.02% signal per mBar
Relative humidity 15 - 90% continuous
(Non condensing) (0 - 99% intermittent)
Baseline drift 0ppm (auto-zero)
Long term drift < 2% signal loss per month
Power source Single Alkaline 9 volt PP3
Battery life > 8000 tests
Weight 130g without battery
imensions 170 x 60 x 26 mm
isplay Custom LC
Storage temperature -20 ° to +70 °C
Storage humidity 30% to 90%

16
Smoke Check Meter
Operating manual
Federal (USA) law restricts this device to sale by or on the order of a
physician or licensed practitioner.
CareFusion,
22745 Savi Ranch Parkway,
Yorba Linda
CA 92887-4668
USA

17
Overview
The Smoke Check is a hand held battery operated device used to
measure the concentration of carbon monoxide, CO, on the breath.
It is used for instructional purposes in smoking cessation programs
and to check on the clients’ progress and compliance.
It is accurate, easy to use, and has many features designed to simplify
its operation.
These include: Auto zero function
Smoking level colour light indicators
High CO alarm
Simple calibration
Please note: It is recommended that this unit be calibrated
upon receipt
II. Introduction – CareFusion USA
The Smoke Check is based on an electrochemical fuel cell sensor,
which works through the reaction of carbon monoxide (CO) with an
electrolyte at one electrode, and oxygen (from ambient air) at the
other. This reaction generates an electrical current proportional to CO
concentration. Output from the sensor is monitored by a
microprocessor, which detects and displays peak expired
concentrations of alveolar gas. High levels of expired CO indicate
raised levels of carboxyhaemoglobin, most commonly caused by
cigarette smoking.
The results are displayed in four ranges on a clear LC display.
Warning lights are provided to give an instant indication of the
smoking level. A particular feature of the Smoke Check is its stability