Cosmed Q-NRG User manual

Q-NRG™+
User Manual

1/148REF C04717-02-91 Q-NRG User Manual, Edition 4.2
COSMED srl
This manual has been written to the best of COSMED knowledge and in accordance with the state of the art.
However, this does not exclude the possibility of there being errors or inaccuracies.
The images shown in this manual are for illustration purposes only and may not be an exact representation of the
product or its accessories.
COSMED assumes no liability for the end user interpretation of this user manual or for casual or consequential
damages from the provision, representation or use of this documentation.
No parts of this manual may be reproduced or transmitted in any form without the expressed written permission of
COSMED.
This manual has been written in accordance to IEC60601-1 and IEC82079-1.
Q-NRG User Manual, Edition 4.2 (04/2020)
REF C04717-02-91
Applicable to:
rmware release 1.2
software release OMNIA 1.6.9
Copyright © 2020 COSMED
COSMED
www.cosmed.com

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Q-NRG_Manual
Chapter 1 - Get Started 7
Manual Information.........................................................................................................................................8
User manual’s publishing details and revision history.............................................................................8
Intended audience ..................................................................................................................................8
Related documents .................................................................................................................................9
Important Notices..........................................................................................................................................10
Indications for use.................................................................................................................................10
Warnings...............................................................................................................................................10
Precautions...........................................................................................................................................11
Security Information.............................................................................................................................13
COSMED Product Security Policy Statement ..........................................................................................14
Cyber Security Requirements and Controls............................................................................................14
Software Updates Security....................................................................................................................15
Battery (Safety, Storage andTransportation)........................................................................................15
Oxygen Sensor (Safety, Storage andTransportation).............................................................................16
Glossary of symbols...............................................................................................................................17
Introduction to Indirect Calorimetry ..............................................................................................................21
Device Overview ............................................................................................................................................22
Measurement Modes.....................................................................................................................................23
VENTILATOR...........................................................................................................................................23
CANOPY.................................................................................................................................................23
MASK ....................................................................................................................................................24
Q-NRG Device Diagram ..................................................................................................................................25
Main Components..........................................................................................................................................26
VENTILATOR Mode Items.......................................................................................................................26
CANOPY Mode Kit..................................................................................................................................26
MASK Mode Kit .....................................................................................................................................27
3L Calibration Syringe ...........................................................................................................................28
Gas Cylinder and Pressure Regulator.....................................................................................................28
Pole/Rail Clamp withVESA Mounting Plate...........................................................................................28
Cart .......................................................................................................................................................29
OMNIA PC software...............................................................................................................................29
Chapter 2 - Installation 31
Preliminary Operations..................................................................................................................................32
Unpack the device and check content ...................................................................................................32
Electrical safety test according to IEC 62353..........................................................................................32
Potential Equalization Node..................................................................................................................32
Charge Q-NRG .......................................................................................................................................32
Power ON and OFF.................................................................................................................................33

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Calibration Cylinder Set-up ............................................................................................................................34
Software Installation .....................................................................................................................................36
OMNIA Computer Software ...................................................................................................................36
USB Driver.............................................................................................................................................37
Authorization........................................................................................................................................37
Bluetooth® Pairing................................................................................................................................37
Chapter 3 - Q-NRG Operation 39
User Interface ................................................................................................................................................40
Home Page and Main Functions............................................................................................................40
Keyboard...............................................................................................................................................42
Device Info ...........................................................................................................................................42
Settings .........................................................................................................................................................43
International.........................................................................................................................................43
System..................................................................................................................................................43
Advanced ..............................................................................................................................................43
Printout.................................................................................................................................................44
Predicteds.............................................................................................................................................44
Maintenance.........................................................................................................................................45
Utility.............................................................................................................................................................46
Export/Import/Erase ............................................................................................................................46
Control Panel.........................................................................................................................................47
Calibration .....................................................................................................................................................49
Device Warm-Up ...................................................................................................................................49
Required Calibration Procedures ...........................................................................................................49
Calibration Menu...................................................................................................................................50
Pneumotach (VENTILATOR Mode).........................................................................................................50
Gas Analyzers (Cylinder)........................................................................................................................51
Gas Analyzers (Room Air)......................................................................................................................52
Blower/Internal Flowmeter – (CANOPY Mode) .....................................................................................52
Turbine/External Flowmeter – (MASK Mode)........................................................................................53
Calibration Results and References values.............................................................................................54
Test Overview ................................................................................................................................................56
Operating by AC Power or Battery .........................................................................................................56
Warming-up Time.................................................................................................................................56
Selecting or Entering Patient Data ........................................................................................................57
Test Mode..............................................................................................................................................57
Test Results ...........................................................................................................................................58
Disposable and Reusable Items for each Test Mode...............................................................................58
Glossary of Parameters ..................................................................................................................................60
Recommendations During Testing .................................................................................................................62

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Q-NRG Placement .................................................................................................................................62
VENTILATOR Mode.................................................................................................................................62
CANOPY Mode.......................................................................................................................................63
MASK Mode...........................................................................................................................................63
Testing in VENTILATOR Mode..........................................................................................................................64
Check List..............................................................................................................................................64
Precautions/Contraindications..............................................................................................................65
Select Patient........................................................................................................................................65
Calibrate Pneumotach...........................................................................................................................65
Setting-Up VENTILATOR Mode...............................................................................................................66
Operating Q-NRG in VENTILATOR Mode.................................................................................................68
Post-test Cleaning & Disposal................................................................................................................69
Testing in CANOPY Mode................................................................................................................................70
Check list...............................................................................................................................................70
Precautions/Contraindications..............................................................................................................71
Setting-Up Canopy................................................................................................................................71
Operating Q-NRG in CANOPY Mode.......................................................................................................72
Post-test Cleaning & Disposal................................................................................................................73
Testing in MASK Mode ...................................................................................................................................74
Check list ..............................................................................................................................................74
Selecting the Mask................................................................................................................................74
MASK Mode set-up ...............................................................................................................................75
Operating Q-NRG in MASK Mode...........................................................................................................75
Post-test Cleaning & Disposal................................................................................................................76
Edit/Export/Print Results ...............................................................................................................................77
Editing Results ......................................................................................................................................77
Exporting Results..................................................................................................................................77
Chapter 4 - OMNIA software 79
Introduction...................................................................................................................................................80
Database Management.........................................................................................................................80
Download tests to OMNIA.....................................................................................................................81
Reviewing Test Results in OMNIA ..........................................................................................................82
Execute a test from OMNIA....................................................................................................................83
Chapter 5 - Maintenance 85
Overview .......................................................................................................................................................86
Recommended Maintenance Schedule .................................................................................................86
Cleaning and Disinfection ..............................................................................................................................87
Introduction..........................................................................................................................................87
Disposable and Reusable Items for each Test Mode...............................................................................88
Reprocessing Methods for Reusable Items ............................................................................................90

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Preventive Maintenance ................................................................................................................................95
Pneumatic Cartridge Replacement........................................................................................................98
Fan lter replacement.........................................................................................................................100
Mains fuses replacement.....................................................................................................................100
O2 sensor replacement ................................................................................................................................101
Firmware Update.........................................................................................................................................104
Prepare the USB ash drive device......................................................................................................104
Install Firmware..................................................................................................................................104
Battery installation and removal..................................................................................................................105
Procedure............................................................................................................................................105
Update Q-NRG licenses ................................................................................................................................106
Update Q-NRG Licenses.......................................................................................................................106
Chapter 6 - Troubleshooting 107
Miscellaneous Problems ..............................................................................................................................108
Error Messages and Notications.................................................................................................................110
Bluetooth Troubleshooting ..........................................................................................................................115
Check for pending Windows software updates....................................................................................115
If a BTA is used, be sure that internal Bluetooth module is disabled....................................................115
Replace“CSR Bluetooth Chip”drivers with“Generic Bluetooth”drivers ...............................................115
Verify that Bluetooth Drivers are Properly Installed.............................................................................116
Uninstall Q-NRG Paired Device ............................................................................................................116
Change the USB port...........................................................................................................................117
Check for incompatible or conicting processes..................................................................................117
Disable Power Management options...................................................................................................118
Wi-Fi Network Interference.................................................................................................................118
Appendix 119
CE Declaration of Conformity .......................................................................................................................120
EMC Conformity...........................................................................................................................................121
IEC 62353 safety test....................................................................................................................................123
References ..........................................................................................................................................123
Test equipment and conditions...........................................................................................................123
Commonly used denitions within IEC 62353 (and IEC 60601) ...........................................................123
Visual inspection.................................................................................................................................124
Protective Earth resistance..................................................................................................................125
Equipment leakage current.................................................................................................................126
Warranty and Service Policy.........................................................................................................................127
Warranty and limitation of liability ....................................................................................................127
Return goods policy for warranty or non-warranty repair...................................................................127
Other information........................................................................................................................................128

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Contraindications for Indirect Calorimetry testing...............................................................................128
Environmental condition of use ..........................................................................................................128
Manufacturer’s Information ................................................................................................................128
Privacy Information.............................................................................................................................128
Disposing of electrical equipment.......................................................................................................128
Accessories/Spare Parts................................................................................................................................129
Device Versions ...................................................................................................................................129
Accessories..........................................................................................................................................129
IntelliBridge Interface..................................................................................................................................135
Connection diagrams ..........................................................................................................................136
Operating Q-NRG with Philips IntelliBridge.........................................................................................136
Compatible Philips Monitors ...............................................................................................................137
Safety and conformity .................................................................................................................................138
Technical specications................................................................................................................................140
Hardware specications......................................................................................................................140
Embedded software specications......................................................................................................143
References ...................................................................................................................................................145
Bibliography .......................................................................................................................................145
Cleaning and disinfection....................................................................................................................145
Notes ...........................................................................................................................................................146

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Chapter 1 - Get StartedCOSMED srl
Chapter 1 - Get Started

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Chapter 1 - Get Started COSMED srl
Manual Information
User manual’s publishing details and revision history
The present Q-NRG user manual provides information to use the medical devices named Q-NRG (REF
C09092-X1-99) and Q-NRG+ (REF C09092-X2-99).“Q-NRG”or “device”refer to the product line and instructions
which relate to both the Q-NRG and Q-NRG+ models; Q-NRG+ hereinafter refers to instructions, options and
applications which only relate to the Q-NRG+ model.
This user manual is published by COSMED and may be revised or replaced by COSMED at any time without prior
notice. User should ensure to have the most current applicable version of this user manual; if in doubt, contact
COSMED support.
Nothing in this user manual shall limit or restrict in any way COSMED’s right to revise or otherwise change or
modify the device (including its software and accessories) described herein, without notice. In the absence of an
expressed, written agreement to the contrary, COSMED has no obligation to furnish any such revisions, changes, or
modications to the owner or user of the device (including software) described herein.
COSMED will make available on request the Service Manual or other documentation that will assist the authorized
trained personnel to repair parts of the device considered serviceable by COSMED.
Whenever the Manual is updated, edition changes.
Edition Changes from previous edition [Edition 4.1 (03/2020)] Date
4.2 Updated the following sections: Glossary of symbols (UL certication)
Cleaning and Disinfection, Accessories, Hardware Specications. General
review.
April 2020
Manual purpose
The Q-NRG user manual provides information that users need for the safe and eective use and care of the device
according to the indications for use. It is important that all users using this device read and understand all the
information contained within.
This user manual is an integral part of the device. It must be kept near by the device to allow a prompt
consultation. This user manual describes both Q-NRG and Q-NRG+ with the most complete conguration with the
highest number of options and accessories.
Intended audience
This user manual is intended for users who install, use, calibrate, clean, disinfect, and maintain the device.
A Service Manual (see“related documents”) is intended for users who repair the device.
Users shall be appropriately trained for the correct use of the device and shall have the necessary knowledge to
install, use, calibrate, clean, disinfect, maintain or repair the device; moreover, they shall be informed about all
hazards and risks associated with the device.
The dierent levels of users are based on the amount and type of training received, assuming they have gain proper
competence with the functions and risks associated with the device.