Care Fusion MicroRPM User manual

1
MicroRPM
(Respiratory Pressure Meter)
Operating Manual – English
Operating Manual – CareFusion USA
Manuel d’utilisation Français
Handleiding
Nederlands
Руководство пользователя Русский

1
Contents
I. Introduction – English........................................................ 4
Contents .......................................................................... 5
Puma PC Software............................................................. 6
Operation – Mouth Pressures .............................................. 7
PImax (MIP) Test .............................................................. 8
PEmax (MEP) Test ............................................................. 8
Operation – SNIP .............................................................10
SNIP Test........................................................................11
Battery ...........................................................................12
Cleaning .........................................................................12
Calibration ......................................................................12
Servicing.........................................................................14
Consumables and Acessories .............................................15
Symbols..........................................................................16
Environment....................................................................16
Specifications ..................................................................16
II. Introduction – CareFusion USA ..........................................18
Package Contents.............................................................19
Puma PC Software............................................................20
Operation – Mouth Pressures .............................................21
Operation – Sniff Nasal Inspiratory Pressure........................23
Battery Low Voltage Indication...........................................24
PC Connection .................................................................24
Cleaning .........................................................................25
Calibration ......................................................................25
Servicing.........................................................................27
Consumables/ Supporting Products ....................................27
Symbols..........................................................................28
Environment....................................................................28
Specifications ..................................................................28

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III. Introduction – Français .....................................................29
Contenu De L’emballage ...................................................30
Le logiciel PUMA...............................................................32
Mode D’emploi – Pressions Buccales ...................................33
Mode D’emploi – Pression Inspiratoire Sniff Nasale ...............35
Témoin Du Niveau De Charge De La Pile .............................37
Connexion Au PC..............................................................37
Nettoyage .......................................................................37
Etalonnage ......................................................................38
Entretien.........................................................................40
Piéces De Rechange / Accessoires ......................................40
Symboles ........................................................................41
Environnement ................................................................41
Spécifications ..................................................................42
IV. Introductie Nederlands ...................................................43
Inhound ..........................................................................44
PUMA PC Software............................................................45
Bediening – Mondruk ........................................................46
PImax (MIP) Test .............................................................46
PEmax (MEP) Test ............................................................47
Bedienung – SNIP (Sniff Nasal Inspiratory Pressure..............48
SNIP Test........................................................................49
Batterij ...........................................................................50
Reiniging.........................................................................51
Kalibratie ........................................................................51
Service ...........................................................................53
Verbruiksgoederen en accessoires ......................................53
Symbolen........................................................................54
Bedrijfsomgeving .............................................................54
Specificaties ....................................................................55

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V. Введение Русский .........................................................56
Стандартные принадлежности..........................................57
PUMA PC Software............................................................58
Работа прибора – давление в полости рта ........................59
Работа прибора – назальное инспираторное давление.......61
Индикация снижения заряда батареи ...............................62
Подключение к ПК ..........................................................62
Очистка..........................................................................63
Калибровка ....................................................................63
Cервис ...........................................................................65
Дополнительные принадлежности / Расходный материал...65
Символы.........................................................................66
Окружающая среда .........................................................66
Технические характеристики ...........................................67
VI. Customer Contact Information ...........................................68

4
MicroRPM
(Respiratory Pressure Meter)
Operating manual
I. Introduction - English
The respiratory pressure meter is a hand held instrument designed
for rapid assessment of inspiratory and expiratory muscle strength.
The unit can measure the maximum inspiratory and expiratory
mouth pressures, MIP and MEP, and the Sniff Nasal Inspiratory
Pressure, SNIP. The result of each measurement is presented in
units of cmH2O gauge pressure on the liquid crystal display screen.
The unit is easy to operate, battery powered, and is supplied with all
the necessary attachments required for immediate use.
The functionality of the unit may be greatly increased when
connected to a PC running PUMA software. This application has
many advanced features including:
• Real time display of pressure/time curves
• Overlay of successive curves
• Predicted values
• Patient database
• Incentive display
• Manoeuvre quality check
• Manoeuvre variability measurement

5
Contents
The MicroRPM is supplied as follows:
1. MicroRPM Microcomputer Unit
2. Rubber Flanged Mouthpiece Cat. No. 36 MTH6400
3. Alkaline PP3 battery Cat. No. 36 BAT1002
4. Expiratory Pressure Valve Assembly Cat. No. 36 ASS1221
5. Inspiratory Pressure Valve Assembly Cat. No. 36 ASS1222
6. Calibration Screwdriver Cat. No. 36 MEC1299
7. Nasal Probes Size 1 4
8. Nasal Probe Adapter Cat. No. 36 ASS1091
9. Mouth Pressure Bacterial Filters Cat. No. 36 FIL6050 (50)
3
2
4
6
8
2
9
1
SNIP
MIP / MEP
OFF
3
1
7
4
5

6
PUMA PC Software
The functionality of the portable MicroRPM is greatly increased when
connected to the PUMA PC Software, via an RS232 cable to the
Serial Port on the side of the unit.
PUMA PC Software is available as a free download from
www.carefusion.com/micromedical. Please contact Technical
Services for installation instructions and system requirements.
The PUMA PC Software is a unique, user friendly multi windows
platform for the performance, storage and analysis of the respiratory
muscle strength measurements of PImax or MIP (Maximum
Inspiratory Pressure), PEmax or MEP (Maximum Expiratory
Pressure) and SNIP (Sniff Nasal Inspiratory Pressure). In addition,
PUMA PC Software offers the user features such as live graphical
displays, predicted values, printing formats, incentives, trends, post
medication or exercise comparisons and additional fatigue indicators.

7
Operation – Mouth Pressures (PI ax/MIP +
PE ax/MEP)
Insert the battery into the compartment at the rear of the MicroRPM.
Fit the required Pressure Valve Assembly (‘Inspiratory’ for PImax
(MIP), ‘Expiratory’ for PEmax (MEP)) into the MicroRPM; insert a new
Bacterial Filter into the Pressure Valve Assembly and then the
Rubber Flanged Mouthpiece onto the Bacterial Filter, as shown
below.

8
PI ax (MIP) Test
Slide the MicroRPM switch from ‘Off’ to ‘MIP/MEP’, whilst applying no
pressure to the mouthpiece. Rotating segments will be displayed
whilst the unit performs an auto zero function.
When the MicroRPM is ready a ‘beep’ will be heard and ‘0’ displayed.
To perform the test instruct the subject to insert the mouthpiece into
the mouth, ensuring the flange is positioned over the gums and
inside the lips, whilst the ‘bite blocks’ are between the teeth.
The subject should then exhale to RV (Residual Volume), lungs
empty, then perform a ‘Mueller’ manoeuvre, a forced inhalation
against the MicroRPM with as much effort as possible for as long as
possible (minimum 2 seconds).
The display will report the result, the maximum average inspiratory
pressure sustained over a 1 second period of the test, in centimetres
of water (cmH2O). Ideally, the subject should repeat this test 3
times to ascertain a best value.
PE ax (MEP) Test
Slide the MicroRPM switch from ‘Off’ to ‘MIP/MEP’, whilst applying no
pressure to the mouthpiece. Rotating segments will be displayed
whilst the unit performs an auto zero function.
When the MicroRPM is ready a ‘beep’ will be heard and ‘0’ displayed.
To perform the test instruct the subject to insert the mouthpiece into
the mouth, ensuring the flange is positioned over the gums and
inside the lips, whilst the ‘bite blocks’ are between the teeth.

9
The subject should then inhale to TLC (Total Lung Capacity), lungs
full, then perform a ‘Valsalva’ manoeuvre, a forced exhalation
against the MicroRPM with as much effort as possible for as long as
possible (minimum 2 seconds).
The display will report the result, the maximum average expiratory
pressure sustained over a 1 second period of the test, in cmH2O.
Ideally, the subject should repeat this test 3 times to ascertain a
best value.
To repeat either the PImax or PEmax tests the MicroRPM must firstly
be returned to the ‘Off’ position.
_____
For more information on these procedures, and for interactive
presentations and video demonstrations, go to our dedicated
website:
WWW.RESPIRATORYMUSCLES.COM
____

10
Operation – SNIP (Sniff Nasal Inspiratory
Pressure)
Insert the battery into the rear of the MicroRPM.
Fit the Nasal Probe Adapter into the MicroRPM and then attach the
correct size Nasal Probe, as shown below.
The correct size (1 4) can be ascertained by fitting a Nasal Probe to
the unit, then firmly inserting the Nasal Probe into a nostril. Instruct
the subject to block the open nostril with a finger and then to
attempt a sniff. The correct Nasal Probe size has been selected once
there is no leakage around the Nasal Probe.
Nasal probe
2
Microcompu er uni
Nasal plug
adap er

11
SNIP Test
Slide the MicroRPM switch from ‘Off’ to ‘SNIP’, whilst applying no
pressure to the Nasal Probe. Rotating segments will be displayed
whilst the unit performs an auto zero function.
When the MicroRPM is ready a ‘beep’ will be heard and ‘0’ displayed.
To perform the test, instruct the subject to insert the chosen Nasal
Probe firmly into a nostril, whilst ensuring the other nostril remains
open throughout the test.
The subject should then breathe normally and at the end of a normal
tidal expiration, FRC (Functional Residual Capacity), be instructed to
perform a short, sharp voluntary sniffing manoeuvre with as much
effort as possible.
The display will report the result, the peak inspiratory nasal
pressure, in cmH2O.
On subsequent tests the MicroRPM will continue to display the
highest SNIP value, overwriting previous values. Ideally, the subject
should repeat this test 10 15 times to ascertain the highest value.
____
For more information on these procedures, and for interactive
presentations and video demonstrations, go to our dedicated
website:
WWW.RESPIRATORYMUSCLES.COM
____

12
Battery
The battery level is automatically checked when the unit is switched
on.
When the battery is low ‘bAt’ will be displayed before the auto zero
procedure. The MicroRPM may be used when this occurs, but the
battery should be replaced as soon as possible.
When the battery is completely exhausted the unit will beep twice
and turn itself off immediately.
Note: If the MicroRPM is not to be used for long periods the battery
should be removed to prevent damage by a possible leak.
Cleaning
The MicroRPM unit requires no routine maintenance and is protected
from contamination by the Bacterial Filter (36 FIL6050).
The Rubber Flanged Mouthpiece (36 MTH6400) and Nasal Probes,
however, may be immersed in a cold sterilising solution such as
PeraSafe (36 SSC5000A). Rinse thoroughly and leave to dry before
reassembly.
The Nasal Probes can additionally be dried with a flow of air provided
by the CareFusion Nasal Probe Pump (36 MEC1219).
Calibration
The calibration is factory set and should remain stable indefinitely.
The calibration may be checked and altered, however, by connecting
the device via the Pressure Calibration Kit (36 ASS1234) to a Water
Manometer, as shown below:

13
Manome er
cm H O
2
0
2
1
3
6
4
5
8
7
9
Syringe
10
Connec ing
line
Female
Luer
T Piece
Nasal plug
adap er
Slide the MicroRPM switch from ‘Off’ to ‘SNIP’ whilst applying no
pressure to the unit.
Gently fill the syringe until negative pressure of between 200 and
300cmH2O is read on the Water Manometer. Check that the reading
on the MicroRPM is within 3% of this reading.
Please Note: Calibration can only be adjusted in a positive
direction, as the MicroRPM measures the highest peak value.
Therefore, if the reading was greater than that on the Water
Manometer, the calibration screw must be turned anti clockwise
first, before calibration is attempted.

14
Serial
por
Calibra ion
screw
To calibrate the MicroRPM, connect to the Water Manometer as
before, filling the syringe to obtain the required negative pressure.
To change the calibration, slowly turn the calibration screw in a
clockwise direction until the same value is displayed on the
MicroRPM.
Servicing
If your unit requires service or repair please see page 68 for contact
details.
A full service manual including circuit diagrams and parts list is
available on request.

15
Consu ables and Accessories
Cat. No. Description
36 FIL6050 Bacterial Filters (50 per box)
36 MTH6400 Rubber Flanged Mouthpiece
36 ASS1221 Expiratory Pressure Valve Assembly
36 ASS1222 Inspiratory Pressure Valve Assembly
36 NPROBE01 Extra Small Nasal Probes (10 per box)
36 NPROBE02 Small Nasal Probes (10 per box)
36 NPROBE03 Medium Nasal Probes (10 per box)
36 NPROBE04 Large Nasal Probes (10 per box)
36 ASS1091 Nasal Probe Adapter
36 MEC1299 Calibration Screwdriver
36 BAT1002 Alkaline PP3 Battery
36 SSC5000A PeraSafe Sterilising Powder – 81g
(Makes 5 litres of solution)
36 ASS1234 Pressure Calibration Kit
Caution
• Pulmonary filters are single patient use. If used on more than one
patient there is a risk of cross infection. Repeat use may increase
air resistance and lead to an incorrect measurement.

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Sy bols
Type B device
0086
In accordance with Directive 93/42/EEC
Disposal in compliance with WEEE
Environ ent
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
Operating Pressure: +/ 300cmH2O
Burst Pressure: +/ 700cmH2O
Accuracy: +/ 3%
Resolution: 1cmH2O
Power Supply: Single 9v PP3
Dimensions: 170 x 60 x 26mm
Weight (unit with battery): 175g
Weight (in carry case) : 750g
Operating Temperature : 0 40 °C
Operating Humidity: 30% 90% RH
Storage Temperature: 20 +70 ° C
Storage Humidity: 10% 90% RH