KORR CardioCoach PRO User manual

CardioCoach PRO
User Manual
9AT0079-ENG | CC2.0 PRO

CardioCoach PRO User Manual | Page 1

CardioCoach PRO User Manual | Page 2
CardioCoach PRO
User Manual
Table of Contents
Section 1 Product Overview ................................................................................... 6!
Introduction to the CardioCoach PRO Unit ....................................................... 6!
Accessories ....................................................................................................... 8!
Power Supplies .............................................................................................. 8!
Mask .............................................................................................................. 8!
Headstrap ...................................................................................................... 9!
Y-Valve .......................................................................................................... 9!
VO2 Hose ..................................................................................................... 10!
Heart Rate Monitor ...................................................................................... 10!
MetaBreather Valve and Tubing .................................................................. 11!
Feature Matrix ................................................................................................. 12!
Section 2 Installation and Settings ........................................................................ 13!
Requirements .................................................................................................. 13!
PC/Tablet Requirements ............................................................................. 13!
Software Requirements ............................................................................... 13!
Heart Rate Monitor Requirements ............................................................... 13!
Initial Setup ...................................................................................................... 13!
CardioCoach Mobile App Registration ............................................................ 13!
CardioCoach PRO Connections ...................................................................... 14!
Connect CardioCoach PRO to PC/Tablet via Bluetooth .............................. 14!
Connect CardioCoach PRO to PC via USB ................................................. 15!
Connect the BLE Heart Rate Monitor via Bluetooth .................................... 15!
Connecting Exercise Equipment .................................................................. 16
Connecting a Moxy Device ........................................................................ 166
Settings ......................................................................................................... 187!
General Settings ........................................................................................ 198!
Equipment Interface ................................................................................... 209!
Format Results .......................................................................................... 232!

CardioCoach PRO User Manual | Page 3
Anaerobic Threshold Detection ................................................................. 243!
Workout Zones .......................................................................................... 243!
Manage Groupings .................................................................................... 254!
Manage Locations ..................................................................................... 254!
Manage Trainers ........................................................................................ 265!
Setting Up Email ........................................................................................ 276!
Section 3 CardioCoach PRO Operation ................................................................ 298!
Powering On and Off ..................................................................................... 298!
VO2 Max Exercise Testing ............................................................................. 298!
Client Preparation Prior to Arrival .............................................................. 298!
Client Preparation upon Arrival .................................................................. 298!
Begin Testing ............................................................................................... 31!
Test Administration .................................................................................... 354!
Results ....................................................................................................... 409!
Test Results Options ................................................................................. 432!
Resting Metabolic Rate (RMR) Test .............................................................. 454!
Client Preparation Prior to Arrival .............................................................. 454!
Client Preparation upon Arrival .................................................................. 454!
Begin Testing ............................................................................................. 454!
Test Administration .................................................................................... 498!
Results ......................................................................................................... 51!
Browse Tests ................................................................................................. 553!
Compare Tests .......................................................................................... 565!
Accounts ........................................................................................................ 576!
Edit Protocols ................................................................................................ 587!
Utilize Published Protocols ........................................................................ 598!
Edit Existing Protocols ............................................................................... 598!
Create New Protocols ................................................................................ 609!
Import/Export Protocols ............................................................................... 61!
Help ................................................................................................................. 62!
Tutorials ....................................................................................................... 62!
User Manual ................................................................................................ 62!
Forms ........................................................................................................... 62!
App Registration .......................................................................................... 63!

CardioCoach PRO User Manual | Page 4
About ......................................................................................................... 643!
Tools .......................................................................................................... 643!
Section 4 Quality Test Procedures ...................................................................... 654!
Test Quality Score ......................................................................................... 654!
Graded Exercise Tests .................................................................................. 654!
Definition .................................................................................................... 654!
Maximum versus Sub-Maximum Tests ...................................................... 665!
Sample Testing Sequences ....................................................................... 675!
Cycle / Ergometer Test .............................................................................. 687!
Cycle Test, Manual Cycle .......................................................................... 698
VO2 Long ................................................................................................... 698!
Other Tests ................................................................................................ 698!
Consent ..................................................................................................... 709!
Troubleshooting ............................................................................................. 709!
Computer Crashes or Freezes Mid-Test ................................................... 709!
Green Status Light Continues Flashing—USB Connection ......................... 70!
Green Status Light Continues Flashing—Bluetooth Connection ................. 70!
Bluetooth Heart Rate Monitor Does Not Appear in Bluetooth Device List ... 71!
Bluetooth Heart Rate Monitor Does Not Connect with CardioCoach Software
..................................................................................................................... 72!
Heart Rate Monitor Pickup Issues ............................................................... 72!
CardioCoach Indicates "Waiting" After Clicking "Start Test" ........................ 73!
Error Messages ........................................................................................... 74!
Error Codes ................................................................................................. 75!
Section 5 Important Notes ................................................................................... 80!
Intended Use ................................................................................................... 80!
Theory of Operation ........................................................................................ 80!
Metabolic Testing ......................................................................................... 80!
Oxygen Consumption .................................................................................. 81!
Calorie Calculation ....................................................................................... 82!
Anaerobic Threshold Detection ................................................................... 82!
Zone Training ............................................................................................. 843!
Estimated Values ....................................................................................... 843!
References ................................................................................................ 865!

CardioCoach PRO User Manual | Page 5
Warnings ....................................................................................................... 876!
Section 6 Maintenance ...................................................................................... 887!
Maintaining Device Effectiveness .................................................................. 887!
O2 Sensor Replacement ................................................................................ 887!
Cleaning and Storage ...................................................................................... 91!
Recommendations for the Unit .................................................................... 91!
Recommendations for Cleaning Accessories .............................................. 91!
Warranty Policy ............................................................................................... 92!
Service Policy .................................................................................................. 93!
Appendix .............................................................................................................. 94!
CardioCoach Specifications ............................................................................ 94!
VCO2 Specifications .................................................................................... 95!
FeCO2 Specifications .................................................................................. 95!
Safety and Conformity Declaration .................................................................. 98!
Safety .............................................................................................................. 98!
EMC ................................................................................................................ 98!
Normative Data for VO2 Max ........................................................................... 99!
Female (values in ml/kg/min) ....................................................................... 99!
Male (values in ml/kg/min) ........................................................................... 99!
Glossary of Terms ......................................................................................... 100!
Forms ............................................................................................................ 102!

CardioCoach PRO User Manual | Page 6
Section 1
Product Overview
Introduction to the CardioCoach PRO Unit
The CardioCoach PRO™ performs two kinds of fitness tests, using
oxygen uptake measurements. One test is performed during exercise
to evaluate VO2 max (maximal) oxygen consumption; the other test is
performed during rest to evaluate the resting metabolic rate.
VO2 Max (maximal) oxygen consumption refers to the maximum
amount of oxygen that an individual can use during intense or
maximal exercise. This measurement is generally considered the best
indicator of cardiovascular fitness and aerobic endurance. The more
oxygen a person can use during high level exercise, the more energy
a person can produce. This test is the gold standard for determining
cardiorespiratory fitness because the muscles need oxygen for
prolonged aerobic exercise, and the heart must pump adequate
amounts of blood to meet the demands of aerobic exercise. The
device collects exhalations through the port labeled VO2 Port.
Resting Metabolic Rate (RMR) refers to the amount of oxygen that an
individual consumes during a period of strict rest and is the number
of calories your body burns to maintain vital body functions such as
heart rate, brain function and breathing. This measurement is
considered most important when determining the baseline of calories
required to lose or maintain weight. The CardioCoach PRO collects
expired gases through the port labeled RMR Port, which uses a
dedicated flow sensor sensitive to low flow rates. This gives the
CardioCoach PRO a high degree of accuracy for RMR testing.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 7
Front of Unit
Back of Unit

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 8
Accessories
Power Supplies
A power supply and power cord is included with each unit and provided
with the shipping quote.
Mask
The Hans Rudolph reusable mask is a single piece mask, made of soft
Silicone rubber. It has an anatomically contoured design for a leak free,
comfortable fit around the nose, and an integrated chin cup for stability.
The three most common sizes, Medium, Small, and Petite, are included in
the Quick start package. Large and Extra Large sizes may be purchased
separately.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 9
Headstrap
The four-strap CardioCoach PRO headgear features quick-release strap
clips.
Y-Valve
The Hans Rudolph Y valve is a two-way Non-Rebreathing Valve (NRBV)
designed to separate the patient's inspiratory and expiratory flows at the
high flow rates expected during an exercise test. The valve is reusable and
can be disassembled for cleaning.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 10
VO2 Hose
The CardioCoach PRO has a 6-foot hose for VO2 testing.
Heart Rate Monitor
A Polar heart rate monitor chest strap with Bluetooth capabilities in
included. The battery life is 400 hours of operation time. The battery is user-
replaceable. The heart rate monitor fits chests measuring 22 to 34 inches.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 11
MetaBreather Valve and Tubing
The CardioCoach PRO MetaBreather valve is a two-way Non-Rebreathing
Valve (NRBV) designed to separate the patient's inspiratory and expiratory
flows at the low flow rates expected during a resting test. The valve is
single-use only and must be discarded after testing.
A disposable nose clip is included to ensure all exhaled air is analyzed
during a resting test.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 12
Feature Matrix
CardioCoach is available in four different models. The table below lists the
various features of each model.
CardioCoach
CardioCoachPLUS
CardioCoachMAX
CardioCoachPRO
VO2 Max
X
X
X
X
RMR
X
X
X
RER (RQ) during
exercise
X
X
RER at Rest
X
Computer required,
wireless
X
X
X
X
Workout zones defined
X
X
X
X
Customizable caloric
intake
recommendations
X
X
X
Interfaces with CC
application
X
X
X
X
Email results may be
sent to client
X
X
X
X
Wireless heart rate pick-
up
X
X
X
X
Data storage for 50 tests
X
X
X
X
Dual differential
pressure sensors for
increased low flow
accuracy
X
X
X
Score to determine test
quality
X
X
X
X
SMART Trainer &
ergometer interface
X
X
X
X
Simplified printout
X
X
X
Detailed results with
multiple graphs
X
Extended testing
periods (1-2 hours)
X
Incorporates SMO2
X
Data Analysis Tools
X

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 13
Section 2
Installation and Settings
Requirements
PC/Tablet Requirements
• Windows 10 version 1709 or later
• USB or Bluetooth
Software Requirements
• Microsoft SQL Server Express (included)
Heart Rate Monitor Requirements
• Bluetooth v4.2 Compatibility or later
Initial Setup
To install the software, follow the steps below.
1. If needed, download the CardioCoach setup file from the KORR
website.
2. Double click the file name to run the setup.
3. If you have security software installed, it may ask if you want to
allow the file to run. Respond to the prompts to allow the file to
run.
4. In case of an “unknown app” warning, click “more info” and then
“run anyway.”
5. A popup window will ask if you want to allow the device to run as
an Administrator. Click Yes.
6. If Microsoft SQL Server Express has been installed on your device
previously, the installation will begin automatically. Otherwise, click
Yes to allow the installation of SQL Server Express.
7. Respond to any error messages as necessary.
8. The software will run automatically after successful installation.
Contact KORR if the installation is unsuccessful.
9. Enjoy your CardioCoach software!
CardioCoach Mobile App Registration
To register to use the CardioCoach App, follow the steps below.
1. If you don’t already have a CardioCoach mobile app subscription,
see the App Registration section of this manual.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 14
2. Run the CardioCoach software.
3. Navigate to Help from the top menu.
4. Click the App Registration button.
5. If you have not already entered a valid email and registration key
combination, you will be prompted to enter those. Otherwise, a
popup message will confirm that your registration is up to date.
6. If you have a paid subscription but unable to verify your
registration, contact KORR.
CardioCoach PRO Connections
Connect CardioCoach PRO to PC/Tablet via Bluetooth
1. Connect the power source to the CardioCoach PRO.
2. Power on the CardioCoach PRO.
3. Navigate to the Bluetooth and other devices page in the Windows
Settings menu. This can be done by clicking the gear icon from the
Windows Start menu, and then selecting Devices.
4. Click Add Bluetooth or Other Device.
5. From the options that pop up, select Bluetooth.
6. When the CardioCoach PRO appears on the list of devices, select it.
The device name will have the format KORR-[SERIAL NUMBER]-####.
The serial number is found on a label on the back of the CardioCoach
PRO and uses the format LL-NNNN (two letters, a dash, and four
numbers).
7. Follow the computer’s prompts to pair the device.
8. When prompted for a PIN, enter 0000 (four zeroes).
9. Run the CardioCoach software.
10. After a few seconds, the software should recognize and connect to
the CardioCoach PRO. If the software is already running but cannot
connect to the unit, restarting the software may help.
11. When connected, the connection indicator will stay lit and the word
“Connected” will appear in the lower left corner of the CardioCoach
software screen.
Example: Windows settings shows KORR-AA-1234-22A3, where
AA-1234 is the serial number that is shown on the back of the
device. (The last four characters on your screen after the serial
number may be disregarded.)
Note: The green status indicator will flash to indicate there is no
connection.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 15
12. If the status indicator continues flashing a couple minutes after the
software is fully loaded or the message “CardioCoach Not
Connected” in the lower left corner of the software continues to
display, see the Troubleshooting section of this manual.
Connect CardioCoach PRO to PC via USB
13. Connect the power source to the CardioCoach PRO. Power on the
CardioCoach PRO.
14. The status indicator (the green LED to the left of the two testing ports
as shown on the diagram in the Product Overview section of this
manual) flashes to indicate there is no connection.
15. Ensure that the CardioCoach software is running on the PC or tablet.
16. The message, “CardioCoach Not Connected” is displayed in the
lower left corner of the CardioCoach software.
17. Use a USB cable to connect CardioCoach PRO to the PC or tablet.
18. Wait for Windows to recognize and configure the CardioCoach PRO.
If a Windows message appears in the lower right corner of your
screen to “click here to finish setting up your device,” ignore it. The
status indicator light on the unit will continue flashing as before.
19. Run the CardioCoach software. The message, “CardioCoach Not
Connected” is displayed in the lower left corner of the CardioCoach
software.
20. After a few seconds, the software should recognize and connect to
the CardioCoach PRO. When connected, the status indicator will stay
lit and the message “CardioCoach Not Connected” will change to
“Connected.”
21. If the status indicator continues flashing for a few minutes after the
software is fully loaded, and if the message in the lower left corner of
the software continues to say “CardioCoach Not Connected,” check
the USB cable and replace if necessary. Also see the
Troubleshooting section of this manual.
Connect the BLE Heart Rate Monitor via Bluetooth
1. Run the CardioCoach software.
2. Follow the procedure shown in the section Position the Heart Rate
Strap.
Note: You may wish to connect your heart rate monitor during
setup, especially if using a heart rate monitor other than the one
originally provided with your CardioCoach. You may also
connect your heart rate monitor after starting the testing
process.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 16
3. Navigate to Help from the top menu, then About.
4. Make sure your BLE heart rate monitor is powered on.
5. Click the Heart Rate Device button.
6. Wait for your heart rate monitor to appear in the list of BLE devices,
and then select it.
7. If you get an error message or do not see your BLE heart rate monitor
on the list, you may click the Heart Rate Device button and try again.
8. If your BLE heart rate monitor still does not appear on the list, try the
following:
a. Review the steps outlined in the Position the Heart Rate Strap
section of the manual.
b. Check and/or replace the battery in the heart rate monitor.
c. Heart rate monitor straps wear out over time and a new one
may be needed.
d. Reduce or remove other BLE devices in the area that may be
causing interference.
9. If issues persist, see the Troubleshooting section of this manual.
Connecting Exercise Equipment
1. Follow the instructions in your exercise device’s (Treadmill
/Ergometer) user manual for physically connecting it to your
computer.
2. Run the CardioCoach software.
3. Navigate to the Settings page.
4. Select Equipment Interface from the list of settings options.
5. Select desired exercise equipment from the list.
6. Select the COM port that you connected the equipment to in step
7.
Connecting ANT+
1. ANT+ dongle needs to be plugged into USB port of computer. This will act
as an antenna/receiver for your piece of equipment.
8.
Note: Pairing the BLE heart rate monitor using the Windows
Add Bluetooth or other device setup process is unnecessary.
CardioCoach software automatically searches for and
connects to the heart rate monitor.
Note: It may take a while for the list of BLE devices to generate.
If you do not see your heart rate device listed, wait until you see
the message "Enumeration Complete" before clicking refresh.
Note: Most heart rate monitors must be properly fitted and
strapped to a client before they will connect to the CardioCoach.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 17
2. Install driver from https://korr.com/service/product-updates/ entitled
“Drivers for ANT USBm USB Dongle.”
a. The ANT USBm driver is a generic version, not compatible with all
ANT USB devices. Please check with the manufacturer of your
specific USB device for specific drivers first.
3. ANT+ dongle needs to be plugged in before software is turned on.
4. Check that device is connected by going to KORR Ant+ service (see
photo below)
5. In KORR CardioCoach software, go to equipment interface in SETTINGS,
and have ANT+ selected.
a. Select new device
ANT+ Trainer
b. Add new
Specify variables (watts/rpms) and choose ANT+ id
Click green SAVE button
6. When running your protocol, the intensity variables (watts, RPM’s, etc.)
need to match the ANT+ intensity variables.
7. Protocol needs to be selected prior to start of test for ANT+ device to
respond to commands during test.
Connecting a Moxy Device
To connect your Moxy MO2 device to your CardioCoach Pro:
1. Make sure you have an ANT+ dongle, and that it is connected to a
USB port in your laptop.
2. In the software, go to your SETTINGS.
3. Under the EQUIPMENT INTERFACE tab, click ADD MO2 DEVICE.
4. Type the muscle being measured by the MOXY and select the ANT+
ID number.
a. If you do not see an ANT+ ID, make sure your Dongle is
inserted.
5. Click SAVE
6. Make sure your results in the FORMAT RESULTS section are
selected to include the hemoglobin data.
9.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 18
Settings
To adjust the settings of your CardioCoach PRO, follow the steps below.
1. Navigate to the main menu of the home screen.
2. Locate and click the Settings button. A Settings page similar to the
one below, will display.
3. Enter the settings outlined in the next sections as desired.

Product Overview
Installation and Settings
CardioCoach Operation
Important Notes
Quality Test Procedures
Maintenance
CardioCoach PRO User Manual | Page 19
General Settings
1. Complete the General Settings described below. Refer to the
illustration in step 2, above.
a) Units of Measure. Units of measure can be adjusted between
Imperial and Metric.
b) Language. The default language is English (US). Additional
languages can be chosen from the drop-down. These languages
must also be supported by the computer.
c) Theme. The background theme of the KORR software is dark. If
desired, you can change the background to light.
d) RMR Method. Several methods are available:
• Best 5 (default method). KORR’s proprietary Quality Score
allows the unit to detect and report the best quality data
collected throughout the test. This method discards the first 5
minutes per scientific protocol.
• Only Last 5. Data from the first five minutes are discarded per
protocol. Reports only the last five minutes of data collected.
• Douglas Bag Method. The first five minutes of data are
discarded. Reports all subsequent data per the Douglas Bag
protocol.
e) RMR Test Length. Establish Minimum and Maximum test lengths:
• Minimum Test Length is set at 10 minutes to meet the
scientific standards required to acquire accurate data. In
certain cases, when clinical studies are being performed, it
may be required to set the minimum test length to a longer
time.
• If the client struggles to relax or reach stable breathing, a
maximum test length will prevent a “never-ending” test. In
the instance where the test ends due to the maximum test
length setting, the Test Quality Score can help determine the
issues and validity of the test results.
f) Auto End Test. The CardioCoach PRO is set to automatically
detect when a quality test result has been reached. This feature
may be disabled for clinical studies when a timed study is
required.
g) Disable Estimated Body Fat Calculation. CardioCoach PRO
implements a Resting Metabolic Rate measurement with the
Cunningham equation to estimate percent Body Fat. This
estimation will be displayed on the results screen. Check this box
to disable this calculation.
h) Test RER at Rest. To have respiratory exchange ratio as a data
point on resting tests. RER at rest is a highly sensitive number and
must be measured over extended test periods under strict
protocols. Consult the following links: ( Insert link for published
research on RER/RQ at rest .)