idiag P100 User manual

EN
IDIAG P100
User manual
Version 1.0

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Copyright© 2020, Idiag AG. All rights reserved. No part of this publication may be reproduced or stored in a data retrieval system or be disseminated in any other form or
using any other procedure without prior written permission from Idiag AG. Idiag and the Idiag logo are registered trademarks of Idiag AG.
Index to the Idiag P100 User Manual
1Notes on the Idiag P100 User Manual ............................................................................................................5
1.1 Storage ...............................................................................................................................................................5
1.2 Users ..................................................................................................................................................................5
1.3 Instructions for use .............................................................................................................................................5
1.4 Icons used ..........................................................................................................................................................5
2Important safety advice ...................................................................................................................................6
2.1 Intended usage...................................................................................................................................................6
3Description the Idiag P100 ..............................................................................................................................8
3.1 Component parts of the device ..........................................................................................................................8
3.2 Additional parts...................................................................................................................................................8
4Introduction.......................................................................................................................................................9
5Indications.........................................................................................................................................................9
6Contraindications .............................................................................................................................................9
7Adverse effects.................................................................................................................................................9
8Risk factors .......................................................................................................................................................9
9Before operating the Idiag P100 ...................................................................................................................10
9.1 Charging, installing and removing the battery ..................................................................................................10
9.2 Assembling the P100........................................................................................................................................11
9.3 General commands ..........................................................................................................................................12
9.4 Turning the device on and free training............................................................................................................12
9.5 Starting a strength training session ..................................................................................................................13
9.6 Starting endurance training ..............................................................................................................................16
10 Respiratory feedback .....................................................................................................................................21
10.1 Visual feedback during endurance training ......................................................................................................21
10.2 Acoustic feedback during endurance training ..................................................................................................22
10.3 Visual feedback during strength training ..........................................................................................................22
11 Maintenance....................................................................................................................................................23
11.1 Inspection by the user ......................................................................................................................................23
11.2 General information regarding hygiene ............................................................................................................23
11.3 Hygiene overview .............................................................................................................................................24
11.4 Cleaning ...........................................................................................................................................................24
11.5 Disinfection .......................................................................................................................................................25
12 Operating, storage and transport conditions..............................................................................................27
12.1 General recommendations ...............................................................................................................................27
12.2 Operating conditions.........................................................................................................................................27

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12.3 Transport conditions .........................................................................................................................................27
12.4 Storage conditions............................................................................................................................................27
13 Technical specifications ................................................................................................................................28
14 Troubleshooting (problem/possible cause/solution) .................................................................................29
15 Disposal...........................................................................................................................................................29
16 Warranty ..........................................................................................................................................................30
16.1 Warranty conditions..........................................................................................................................................30
16.2 Warranty coverage ...........................................................................................................................................30
16.3 Legal provisions................................................................................................................................................30
16.4 Limitation of liability ..........................................................................................................................................30

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1 Notes on the Idiag P100 User Manual
Read this manual before unpacking and using the Idiag P100. This user manual contains information on how to use
and maintain the Idiag P100 and also how to avoid potential risks.
1.1 Storage
This manual must be stored in printed or electronic form in an easily accessible location for all users. If the device is
re-sold, the manual must also be supplied in printed or electronic form.
1.2 Users
It is recommended that the Idiag P100 is only used by persons who have made themselves familiar with the Idiag
P100 hardware in advance by reading the user manual.
1.3 Instructions for use
This user manual is also available in PDF format. Hyperlinks and bookmarks allow links to be opened quickly.
Moreover, the search function facilitates efficient searching for keywords.
1.4 Icons used
Icons in the user manual
Danger!
Indicates an imminently hazardous situation which, if not avoided, will
result in death or serious injury.
Warning!
Indicates a potentially hazardous situation which, if not avoided, may
result in death or serious injury.
Caution!
Indicates a possibly hazardous situation which, if not avoided, may result
in minor or slight injuries or damage to property.
Tip
Highlights useful tips, recommendations and information for achieving
efficient, fault-free operation.
DANGER
CAUTION

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Icons on the device
IPX2 protection against dripping water
D.C. voltage power supply
Observe the operating instructions
The Idiag P100 may not be disposed of together with normal household waste.
Before disposing of this product please consult your local authority or your dealer
and enquire about the correct method of disposal.
Conforms to Directive 2014/35/EU of the European Parliament and of the Council
of 26 February 2014 on the harmonisation of the laws of the Member States
relating to the making available on the market of electrical equipment designed for
use within certain voltage limits.
2 Important safety advice
2.1 Intended usage
•The Idiag P100 is intended for performing respiratory muscle training with the purpose of
improving pulmonary function, respiratory muscle strength and physical condition.
•The use of the device is limited to the predefined purpose and application as described in this user
manual. See also Chapter 12.4 “Storage conditions”.
•The underlying principle of the Idiag P100 is forced respiration with controlled CO2-rebreathing, or
so-called isocapnic hyperpnoea.
•The Idiag P100 serves to improve lung function and respiratory muscle strength and also reduce
the feeling of breathlessness, which have positive effects on physical condition and quality of life.
•Idiag P100 training is performed approx. 4-5 times a week. Depending upon the desired
performance improvement, the training mode, together with the duration and frequency of training
sessions, can be varied.
•Using the device in combination with other devices is not permitted.
•The device may not be changed or modified.
Warning!
•Read the quick reference guide or this user manual before using the Idiag P100.
•Avoid hazardous situations that are marked “WARNING”.
•Any repair or servicing work may only be carried out by authorised personnel.

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Warning!
•The device may only be used for the intended purpose described in this user
manual and for its intended application.
•Only use the device after you have read this user manual and understood its
contents.
•Never use the device for training without turning it on. Otherwise the electronic
monitoring system will not work.
•Only use the device in accordance with the instructions in this user manual.
•Correctly setting-up the device is a pre-requisite for successful training.
•Only breathe through your mouth during training. Use a nose clip if necessary.
•The device may not be used in the vicinity of flammable gas mixtures or gas
mixtures of air, oxygen or nitrous oxide (e.g. anaesthetic gases).
•Training must be interrupted in the event of discomfort or illness.
•In rare instances training may cause dizziness, shortness of breath, headaches,
nausea or vestibular disorders. In such cases training must be stopped immediately.
•The user carries full responsibility for all types of training application. Idiag assumes
no responsibility for the training application.
•Idiag shall not be liable for any side effects whatsoever that occur following training
with the Idiag P100.
•Observe the hygiene requirements set out in Chapter 11 “Maintenance” (see page
24).
•The breathing bag is made of TPU and the mouthpiece of silicone. Both
components are supplied with the Idiag P100 and neither contain latex. Other OEM
breathing bags and/or mouthpieces may contain latex. Latex may trigger allergic
reactions. If you are allergic to latex only use breathing bags and mouthpieces
made of silicone.
•The device may not be used by persons with reduced physical, sensory or mental
capabilities or who have insufficient experience or knowledge, unless they are
supervised or under instruction.
•Children may not play with the device even if supervised.
•The maximum sea level at which the device may be used is 2,000 m ASL.

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3 Description the Idiag P100
3.1 Component parts of the device
You must first assemble the device according to the instructions in Chapter 9.2 “Assembling the Idiag
P100” (the actual parts may deviate slightly from those shown).
3.2 Additional parts
The Idiag P100sport App can be downloaded for iOS and Android from the respective App Stores. Links
to the current version of the App can be found on our website at https://www.idiag.ch/p100app/.
The app is needed to activate all available training modules.
Breathing bag
Battery
Charger
Hand loop
Air guide
Detachable module
with opening aid
Base module
Mouthpiece

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4 Introduction
The Idiag P100 is an ergonomic hand-held respiratory muscle training device. It was developed in
collaboration with the Swiss Federal Institute for Technology Zurich (ETH) the Berne University of Applied
Sciences (BFH) and the University of Zurich (UZH). The consistent usage of the Idiag P100 promises a
significant improvement in respiratory muscle strength and overall physical performance capacity in people
at various levels of performance.
The Idiag P100 provides the user with respiratory feedback, allowing him to complete controlled bouts of
exercise. The device measures airflow, pressure and end-tidal CO2 concentration. This allows ventilation
and CO2 concentrations to be regulated, thereby preventing the occurrence of hyper- and hypo-ventilation
and dizziness.
The Idiag P100 offers users a range of monitored training modules such as endurance training and strength
training of the respiratory muscles. The training protocol is automatically customised on the basis of the
respiratory muscle assessment test carried out by the user with the Idiag P100.
5 Indications
The Idiag P100 is fundamentally recommended for use by people who intend to train their respiratory
muscles. However, none of the contraindications listed below may be present.
6 Contraindications
•Age < 6 years
•Doctor’s recommendation to avoid physical stress
•Pregnancy
•Acute disease of the respiratory tract (e.g. common cold, inflammation of the respiratory tract,
pneumonia)
•Spontaneous or traumatic pneumothorax
•Pulmonary hypertension
•Artificial respiration
•Sinusitis (inflammation of the paranasal sinuses)
•Injury to the eardrum
•Chest trauma injuries
•Fractures to the chest (e.g. broken ribs)
•The acute phase following a heart attack
•Acute heart failure
7 Adverse effects
Idiag has selected all materials that come into contact with users with the greatest care. Only biocompatible
materials are used. Despite this precaution, it cannot be completely ruled out that reactions may occur in
the user under exceptional circumstances. Watch for the signs of an allergic reaction. If such reactions
occur, do not continue using the Idiag P100. Please have the situation clarified by a doctor first.
8 Risk factors
The decision regarding whether the user is compatible with training is always the responsibility of the user
himself. The relationship between the potential risks and side effects of training versus its benefits is
different in each individual case. Weighing up the risks and benefits is therefore the responsibility of the
user.

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CAUTION
9 Before operating the Idiag P100
9.1 Charging, installing and removing the battery
Incorrectly installing the battery or reversing polarity may damage the Idiag P100 or the
battery.
The following situations require the battery to be charged:
•Before first use
•The Idiag P100 will display the low-battery icon.
Procedure
Open the Idiag P100 by pulling the opening aid on the detachable module and install the battery as shown.
Before closing, carefully check that the battery is correctly positioned.
Installing the battery Removing the battery
Warnings
•The device may only be used with the supplied battery and associated charger.
•Remove the battery from the device before charging it.
•Remove the battery from the device if it is not to be used for a longer period
(several days or weeks).
•Do not dismantle the battery.
•Do not short-circuit the battery terminals.
•Do not subject the battery to shocks or jolts etc.
•Do not touch damaged or leaking batteries.
•Keep batteries away from small children.
•Protect the battery against moisture.
•Protect the environment by disposing of old or used batteries in the proper
manner.
•Batteries that can no longer be charged must be removed from the device and
disposed of safely.
•The service life of the battery depends upon the level of use of the Idiag P100
(Chapter 13 “Technical specifications”).
CAUTION

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9.2 Assembling the P100
Prepare your Idiag P100 before first use in accordance with Chapter 11
“Maintenance”.
Attaching the breathing components
1. Place all parts on a table as illustrated above.
2. Insert the battery 1into the detachable module 2as described in Chapter 9.1 “Charging, installing and
removing the battery’’.
3. Clean and disinfect the air-guiding parts (air guide, mouthpiece and breathing bag) in accordance with the
instructions in Chapter 11 “Maintenance”.
4. Insert the air guide 3into the base module 4. Ensure the air guide 3is properly inserted into the base module
4by pressing it into place.
5. Close the Idiag P100 by assembling the base module 4 with the inserted air guide 3and the detachable
module 2 with the inserted battery 1. To do this, place the detachable module 2at a 45-degree angle, flush
to the base module 4and bring the two halves of the grip together. Once it has been correctly assembled,
the unit will beep.
6. Screw the breathing bag 5 at the bottom of the grip to the air guide 3of the Idiag P100.
7. Adjust the breathing bag 5 to match your breathing capacity.
8. Push the mouthpiece 6over the open end of the air guide 3.
9. If required, clip the hand loops 7to the silver pins on the front and rear of the base module 4. To remove
the hand loop, pull the tab at the end of the hand loop transversely to the pin until the mount releases from
the pin.
To disassemble the Idiag P100 proceed in reverse order.
4 Base
3 Air guide
2 Detachable module
6 Mouthpiece
7 Hand loop
5 Breathing bag
1 Battery
CAUTION

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9.3 General commands
Press the On/Off button for at least one second to turn the Idiag P100 on and
off.
When turning the device on hold it as still as possible or place it on a firm
surface.
Back to previous screen
Navigate downwards on the current screen
Navigate upwards on the current screen
Open loudspeaker settings
Results
Training settings
9.4 Turning the device on and free training
When the device is turned on for the first time the available training modes appear for selection.
If all of the training modes do not appear when the device is switched on, follow the instructions on the
display to download the Idiag P100sport App and activate the other training modes.
Determining the bag size
Breathing bag size
Height – female [cm]
Height – male [cm]
XS
<135
<120
L
135-160
120-145
M
160-185
145-180
L
185-200
180-200
XL
>200
>200
On/Off button

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FREE TRAINING: This allows you to immediately commence free training. This mode offers free respiratory
training with CO2regulation, but without individual training settings.
STRENGTH TRAINING: In “Strength” mode you train your respiratory muscle strength with short, intensive
bouts of exercise. Before training for the first time, or as necessary, you can take the assessment test to
automatically determine your training settings. The parameters can also be manually adjusted at any time.
ENDURANCE TRAINING: In “Endurance” mode you train your respiratory muscle endurance according to
the “isocapnic hyperpnoea” principle. Regulating the CO2content of your breathing air allows you to train for
up to 30 minutes at a time. Before training for the first time, or as necessary, you can take the assessment
test to automatically determine your training settings. The parameters can also be manually adjusted at any
time.
9.5 Starting a strength training session
1. Select the Strength training mode by tapping STRENGTH.
2. On the next screen select INSPIRATION for inspiratory muscle strength
training, EXPIRATION for expiratory muscle strength training, or INSP. +
EXP. For combined muscle strength training. Select the arrow to return to
step 1.
3. If no strength test results are saved on the device or if the last test took place
more than two weeks ago, a test is recommended in the next step (e.g. the
inspiration strength test, as shown here). Tap START to begin the test or
SKIP to skip the test (go directly to step 5b).
(If a test is already saved or if the last test took place less than two weeks
ago this step is skipped automatically. Go directly to step 5b).

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4. On the next screen, follow the instructions on the device (e.g. the inspiration
strength test, as shown here).
Breathe calmly and slowly. If you become dizzy or unwell stop the test and only
continue once you are able to breathe calmly and slowly again.
5a. After you have successfully completed the respiratory muscle strength test,
the training settings are configured in accordance with the test results (30
breaths, pressure threshold at 50% of the maximum measured strength).
Training can be started by tapping START or you can return to the training
mode selection screen by tapping LATER.
5b. Tap START to begin training with the previous test results. If no test results
are available, training takes place with the default settings. Tapping NOT
NOW takes you back to the originally selected training mode.
6. Read the training guide on the device carefully and then tap START to
begin training (e.g. the inspiration strength test, as shown here). Go to step
9 for a description of the test procedure. To change the training settings,
tap TRAINING SETTINGS ( ) at the lower edge of the screen. Tap the
back arrow to return to step 1.
CAUTION

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Breathe calmly and slowly. If you become dizzy or unwell stop the test and continue only
once you are able to breathe calmly and slowly again.
7. To set the training duration, tap NUMBER OF BREATHS (step 8a). To set
the training intensity, tap THRESHOLD (step 8b). Tap the arrow to return
to step 6.
8a. Change the number of breaths by tapping +/-. Tap RESET to return to the
original values. Tap START to begin training (step 9). Tap the arrow to
return to step 7.
8b. Change the breathing resistance by tapping +/-. Tap RESET to return to the
original values. Tap START to begin training (step 9). Tap the arrow to
return to step 7.
9. Perform training as specified by the device (see Chapter 10, Respiratory
feedback). The intensity and duration can be changed during training using
the hard buttons.
Reduces breathing resistance by max. 5%.
Increases breathing resistance by max. 5%.
Pause training by pressing for > 1s (jumps to step 10a)
CAUTION

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10a. Tap CONTINUE to continue training without any changes. Tap STOP to
stop training and go to the currently selected training mode (step 6). Select
TRAINING SETTINGS ( ) to change the
current training settings (step 7).
10b. Training completed successfully. Tap RESTART to start training again with
the same settings (step 6). Tap FINISH to go to the training mode selection
screen. Tap TRAINING RESULTS ( ) to view the results of the concluded
training session.
11. Training results – strength training. Tap the arrow to return to the previous
screen (step 10b).
9.6 Starting endurance training
1. Select the endurance module by tapping ENDURANCE.

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2. If no endurance test results are saved on the device or if the last test took
place more than two weeks ago, a breathing depth test is recommended in
the next step. Tap START to begin the test or SKIP to skip the test (go
directly to step 6b).
3. Follow the instructions on the device.
4a. As soon as the respiratory muscle endurance test has been successfully
concluded, the training settings will be configured in accordance with the
test results. Training can be started by tapping START or you can return to
the training mode selection screen by tapping NOT NOW.
4b. Tap START to begin training using the settings determined during the
respiratory muscle endurance test. If no test results are available, training
takes place with the default settings. Tapping NOT NOW takes you back to
the originally selected training mode.

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5. Read the training guide on the device carefully and then tap START to
begin training. Go to step 8. To change the training settings, tap TRAINING
SETTINGS ( ) at the lower edge of the screen. Tap the arrow to return to
step 1.
6. To set the training duration, tap DURATION (step 7a). To set the breathing
frequency, tap FREQUENCY (step 7b). To set the depth of respiration, tap
DEPTH (step 7c). Tap the arrow at the bottom edge of the screen to return
to step 4.
7a. Change the duration of training by tapping +/-. Tap RESET to return to the
original values. Tap START to begin training (step 10). Select the arrow to
return to step 8.
7b. Change the breathing frequency by tapping +/-. Tap RESET to return to the
original values. Tap START to begin training (step 8). Tap the arrow to
return to step 6.

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7c. Change the breathing depth by tapping +/-. Tap RESET to return to the
original values. Tap START to begin training (step 8). Tap the arrow to
return to step 6.
8. Perform training as specified by the device (see Chapter 10, Respiratory
feedback). The intensity and duration can be changed during training using
the hard (haptic) buttons above the display.
9a. Tap CONTINUE to continue training without any changes. Tap STOP to
stop training and go to the currently selected training mode (step 5). Select
TRAINING SETTINGS ( ) to change the current training settings (step 6).
9b. Training completed successfully. Tap RESTART to start training again with
the same settings (step 6). Tap FINISH to go to the training mode selection
screen. Tap TRAINING RESULTS
( ) to view the results of the concluded training session.
Reduces the breathing frequency by 1 breath/min.
Increases the breathing frequency by 1 breath/min.
Pause training by pressing for > 1s (jumps to step 11a)

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10. Training results – endurance training.
Tap the arrow to return to the previous screen (step 9b).
The breathing depth shows you the volume that was set during training.
The breathing frequency shows you how many breaths you took per minute
during training.
The duration shows you for how long you trained in minutes and seconds.
The power of breathing shows you an average value of the energy
expended during the training session.
Note
For additional results, result history and calendar function, please download the Idiag P100sport
App and follow the instructions in the app.

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10 Respiratory feedback
10.1 Visual feedback during endurance training
Breathing depth
Breathing depth OK
Breathe shallower
Breathe deeper
Breathing frequency
End of expiration Middle of inspiration End of inspiration Middle of expiration End of expiration
Note
For additional respiratory feedback, please download the Idiag P100sport App and follow the
instructions in the app.