Welch Allyn SP-10 Service manual

SP-I0

Cardio Menu

Service Manual

S

pi

rom

ete

r

SP-10

ArtideNurnber2.510

User Guide

Schiller.

742Welch Allyn Inc.

7420 Carroll Road

San

Diego,

CA 92121

Phone: [phone]

Fax:

[phone]

277a

lpyright

0

’

97

& ’ 98

by

Welch

Allyn

United Kingdom:
Welch Allyn

Cubblington Road
Aston Abbotts
United Kingdom

Tel: [phone]

Fax:

01296-682-1 04

Miller

UK

HP22

www.welchallyn.com

Ltd

4ND

Canada:
Welch Allyn Canada Ltd

I60

Matheson
Mississauga, Ontario L4Z 1V4
Canada

Tcl:

(800)

Fax:

(905)

I

Blvd.

561-8797

890-0008

East, Unit #2

DECLARATION

OF

CONFORMITY

Spimmeter:

Serial numbers starting with: 531.

Year

of

manufacture: 1995 Onwards

We, the undersigned, hereby declare that the medical device (class IIa) specified above conforms with the
essential requirement listed in Annex

This declaration is supported by:

Certificate of approval

and

No:

-10

1

of

EC

Directive 93/42/EEC.

11425-01

45112-60-00

45112-16-00 Annex

IS0

9001 (Rev.1994) EN 46001 by

IS0

9001/08.94, EN 46001 / 12.93 by DEKRA

11,

Section 3 of the Directive 93/42/EEC

(30.04.1995)

SQS

Baar (Switzerland) 03.07.1996

Martin Spreng
Research

&

Development Manager

(<

0124

Markus Butler

Quality Assurance Manager

ii

...

111

This equipment has been tested and found to coinply with the limits for a class A digital device, pursuant to both Part

15

of the FCC (Federal Communications Commision) Rules and the radio interference regulations of the Canadian

Deparhnent of Communications. These limits are designed to provide reasonable protection against harmful interference

is

when the equipment

frequency energy and, if not installed and used in accordance with this instruction manual, may cause harmful

interference to radio communications. Operation of this equipment in a residential area

interference in which case the user will be required to correct the interference at his own expense.

1

Disposal Instructions
and Battery Care

operated in a commercial environment. This equipment generates, uses and can radiate radio

is

likely to cause harmful

O

DO NOT DISPOSE
DANGER

O

DO NOT ATTEMPT TO RECHARGE THE BATTERY - DANGER
EXPLOSION

O

DO

Only dispose of the battery in official recycling centres or municipally approved
areas. Alternatively used batteries can be returned to Schiller AG for disposal.

OF

NOT OPEN THE BATTERY CASING - DANGER

OF

THE BATTERY BY

EXPLOSION

FIRE

OR INCINERATOR

OF

ACID BURN

-

OF

.%c9

Power Supply

The mains connection is on the rear of the unit.

The power supply voltage is set by the factory for100-115V(nom. llOV) or 220-240V (nom. 230V) working.
The setting is indicated by the indented metal strip on the fuse panel. Contact your dealer if the voltage
needs to be changed.

The mains indicator lamp on the keyboard is always lit when the unit is connected to the mains supply. The unit can
either be operated from the mains supply or from the built-in rechargeable battery. The power source is indicted on
the top line of the LCD.

Changing a Mains Fuse
If it

is

necessary to change a fuse, always replace with the correct rating i.e 2x200mAT for 230V, or 2x400mAT

for llOV

To change a fuse press the
panel. Remove the fuse panel and replace the fuse(+ Click back the fuse panel.

.

two

Unit Disposal Instructions

Units no longer required can bereturned to Schiller AG for disposal. Alternatively
dispose of the unit in municipally approved recycling centres.

retaining lugs on side of the fuse panel (situated below the mains connector on the back

L

J

iv

PHYSICIAN’S RESPONSIBILITY

THE SP-10 SPIROMETER IS PROVIDED FOR THE EXCLUSIVE US€ OF

QUALIFIED PHYSICIANS OR PERSONNEL UNDER THEIR DIRECT
SUPERVISION. THE NUMERICAL AND GRAPHICAL RESULTS FROM A

RECORDING MUST BE EXAMINED WITH RESPECT TO THE PATIENTS
OVERALL CLINICAL CONDITION. THE.RECORDING PREPARATION QUALITY
AND THE GENERAL RECORDED DATA QUALITY, WHICH COULD EFFECT
THE REPORT DATA ACCURACY, MUST ALSO BE TAKEN INTO ACCOUNT.

IT IS THE PHYSICIANS RESPONSIBILITY TO MAKE THE DIAGNOSIS ORTO
OBTAIN EXPERT OPINION ON THE RESULTS, AND TO INSTITUTE CORRECT
TREATMENT IF INDICATED.

FEDERAL LAW IN THE USA RESTRICTS THIS DEVICE TO SALE BY OR ON
THE ORDER

OF

A PHYSICIAN

I

Safety

Notices

\vercqnuyrs*

Sc

hiller

F

THIS UNIT IS BF CLASSIFIED ACCORDING TO IEC 601
TO PREVENT ELECTRIC SHOCK DO NOT DISASSEMBLE THE UNIT. NO SERVICEABLE PARTS

INSIDE. REFER SERVICING TO QUALIFIED PERSONNEL ONLY.
DO NOT USE THIS UNIT IN AREAS WHERE THERE

PRESENCE OF FLAMMABLE GASES SUCH AS ANAESTHETIC AGENTS.

THIS PRODUCTIS NOT DESIGNED FOR STERILE USE.

THIS PRODUCT
SWITCH THE UNITOFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS.
DO NOT UNDER ANY CIRCUMSTANCES, IMMERSE THE UNITOR CABLE ASSEMBLIES IN LIOUID.

THE DEVICE MUST ONLY BE OPERATED USING BATTERY POWER IF THE EARTH CONNECTION
IS SUSPECTOR IF THE MAINS LEAD

I

DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES (SUCH AS AUTOCLAVING). DO
NOTUSE E-BEAM OR GAMMA RADIATION STERILISATION.

DO NOT USE SOLVENT CLEANERS

USE ONLYACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY WELCHALLYN
SCHILLER. USE OFOTHER THAN RECOMMENDED OR SUPPLIED PARTS MAY RESULTIN INJURY
INACCURATE INFORMATION AND/ OR DAMAGE TO THE UNIT.

THE SP-10 COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICHAFFORDS

PROTECTION AGAINST EMISSIONS AND ELECTRICAL INTERFERENCE. HOWEVER SPECIAL

CARE MUSTBE EXERCISED WHEN THE UNITIS USED WITH HIGH FREQUENCY EQUIPMENT.

IS

NOT DESIGNED FOR OUTDOOR USE.

IS

DAMAGED OR SUSPECTED

-1.

IS

ANY DANGER

OF

EXPLOSION OR THE

OF

BEING DAMAGED.

I

vi

SP-I0

This User’ s Guide gives instructions on how to opemte the unit and provides an overview of all
the basic functions in an easy and simple to use format. The procedures are presented in a

logical, step-by step way to enable the userto quickly and easily familiarise themselves with
unit opemtion. Detailed medical information is excluded from this guide except where necessary

to opemte the unit or understand the

User‘s

results.

Guide

Welc9AUyrr

Sc

hiller

9314UEEC Medical Devices:

0124 ‘Notified Body’ DEKRA AG

vii

viii

Chapter

Introduction and System Settings

1

Introduction

INTRODUCTION

Getting Started
Location
Potential Equalisation (Grounding)
Switch the Unit On/Off
Overview

DISPLAY

Liquid Crystal Display (LCD)
Adjusting the Contrast

KEYBOARD

Alpha Numeric Keyboard
General Purpose Keys
Control and Function Keys

Menu Control Keys

PANELS

Right-hand Side Panel
Rear Panel
Mains Module

SYSTEM SElTlNGS

General
Adjusting Date and 'Time
User Identification
Printout Settings
Device Settings
Device Setup Combinations

.............................................................................................

..........................................................................................

.....................................................................................................

of

the SCHILLER

..........................................................................................................

.....................................................................................................

..................................................................................

.........................................................................................................

..............................................................................................

..........................................................................................

.....................................................................................

....................................................................................................

....................................................................................

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and

...............................................................................

SP-10

.....................................................................

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..............................................................................

........................................................................

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.........................................................................

....................................................................

System

...........................................................

...........................................................

1.10

1.11
1-11

1.12

1.12

1.13

1.13

1.13

1.14

1.14

1.15

1

Settings

1.2

1.3

1.3

1.3

1.3

1.4

1.5

1.5

1.5

1.6

1.7

1.8

1.9

.

16

SCHILLER

SP-10

Spirometer . User Guide

1

.

I

Chapter

1

lntroduction and System Settings

INTRODUCTION

The SCHILLER SP-10 is a sophisticated, compact workstation for pulmonary diagnosis with

the following characteristics:

Multiple operation possibilities, thanks to low weight and battery power.

0

LCD display.
Menu guidance provided for ease
The SP-10 is capable of working in four measurement modes as follows:

of

operation.

Forced Vital Capacity (FVC-Test)
Vital Capacity (VC-Test)
Expired or Minute Ventilation (MV-Test)
Maximum Voluntary Ventilation (MVV-Test)

Additional options enable resistance testing and blood oximetry diagnosis to be
carried out.

The test results are displayed on the integral LCD and recorded on the built-in thermal
printer.

The open pneumotacho transducer SP-110, with disposable mouthpiece, is usedfor
respiratory measurement.

As options, WELCH ALLYN offers instead
disposable measurement unit integrated inside the mouthpiece

As further option in combination with resistance tests the SP-11

necessary. This sensor can also be used for normal pulmonary function tests.

of

the SP-110, either the SP-150 with

or

the

SP-20.

O/R

flow

sensor is

RS-232

connection to the SCHILLER PC-based data management program (SEMA) for

validation and archiving

The unit also has a facility for the connection

and

RS-422

interfaces are provided for data transmission and for the

of

recorded data.

of

an external video monitor.

1.2

Introduction and System Settings

INTRODUCTION

Getting Started

Location

Do

not keep or operate the apparatus in a wet, moist, or dusty environment. Also, avoid

exposure to direct sunlight or heat from other sources.

Do

not allowthe unit

cause irreparable damage.

The unit should not be placed near X-ray or diathermy units, large transformers or motors

of any kind.

to

come into contact with acidic vapours or liquids, as such contact may

WARNING:

Chapter

1

THIS APPARATUS SHOULD NOT BE OPERATED

DANGER

Potential Equalisation (Grounding)

Attach the yellow/green ground lead (supplied with the unit) between the potential equalisa­tion stud of the SP-10 (situated on the rear panel) and the hospital/building common ground.

The connection for the potential equalisation is marked with the+ symbol.

Switch the Unit OnlOff

The SCHILLER SP-10 can be operated either from the mains supply or from the built-in
batteries.

To operate the unit from the mains, connect the power cable

it into the connection on the rear

TheSCHILLERSP-1Oisswitchedonoroff

connection on the rear

and the ON key is not pressed, the battery is charged

The SP-10 can remain connected

OF

EXPLOSION.

of

the unit.

withtheVOpowerswitch locatedabovethe mains

of

the unit (green lamp is lighted when on). If the unit is switched on

to

the mains supply without damage.

IN

AREAS WHERE THERE

to

the mains supply and plug

if

necessary (yellow lamp is lighted).

IS

ANY

SCHILLER

To

start

the functions the

on with the

A

self-test of the unit is automatically initiated every time the unit is switched on.

I/O

switch, the SP-10 runs on battery power (yellow lamp is lighted).

ON

key has

to

be pressed. If that is done without switching the unit

BEFORE SWITCHING THE UNIT ON, ENSURE THAT THE FLOW SENSOR
PLUGGED IN.

IF

THE SENSOR

IS

NOT CONNECTED, A MESSAGE APPEARS TO
CONNECT THE SENSOR. THE UNIT MUST FIRST BE SWITCHED OF5 THE
SENSOR CONNECTED AND THE UNIT SWITCHED ON AGAIN.

THE FLOW SENSOR CAN ONLY BE CONNECTED WHEN THE UNIT

OFF. IF ANY KEY

IS

PRESSED WITH THE SENSOR NOT CONNECTED THE UNIT

IS

AUTOMATICALLY SWITCHES OFF.

SP-10

Spirometer - User Guide

IS

SWITCHED

1.3

Chapter
Introduction and System Settings

1

INTRODUCTION

Overview

The main operating and connection modules of the SCHILLER

Keyboard

of

the

SCHILLER

SP-10

The keyboard comprises the general function and control keys,
and the alphanumeric keys for data entry.

SP-10

are as follows:

LCD Screen

Thermal Printer

Right-hand Side Panel

Left-hand Side Panel

Back Panel The back panel contains the video monitor connector and the

The LCD screen displays the pulmonary traces and certain
operating and status information. Under operator control the
display also gives menu options and displays operator entered
data. The display is folded down when not in use.

The printer provides the hard copy of test results.
The side panel contains the Spirometry connector and the

serial connectors.
This panel contains the paper tray and (below the paper tray)

the program pack.

mains connector with on/off switch, voltage selector and mains

fuse.

RS

1.4

Introduction

and

System Settings

DISPLAY

Liquid Crystal Display (LCD)

The liquid crystal display (LCD) performs both as a real-time monitor and as an alphanumeric
display for menu selection, data input and the provision of important information.

Depending on the function, the displayed information will vary but the screen is normally

divided into three main parts:

Top

of

the screen

status and operating information are permanently displayed.

Chapter

1

Right side

Left side

Central Part

Lower Part of Display

of

Display

test results are displayed.

the display is divided into the following five fields from the top:

0

Date and Time

/

Function
Status of CAPS key
Alert field

In the central part
test is displayed.

The very bottom line gives the function key for the next step.

Battery capacity in

of

the display the test curve

%

of

the selected

Adjusting the Contrast

The contrast can be adjusted by means of the LCD knob located on the right-hand side of
the unit. Visibility is best when the display is fully illuminated.

SCHILLER

SP-10 Spirometer

-

User

Guide

1.5

Chapter
Introduction and System Settings

1

KEYBOARD

The keyboard is divided into the following functional sections:

alphanumeric keypad
menu control keys
control and function keys

test function keys

general purpose keys

1.6

KEYBOARD

Alpha Numeric Keyboard

Chapter

Introduction and System Settings

1

The alphanumeric keyboard serves as a normal keyboard for data input and
follows:

Special keys of the alphanumeric keyboard:

!QaL

I+-

(-I

ENTER

OEL

SPACE

Function

Delete character to the left of the cursor.

Confirm entry or selection.

Enter blank space into the text.

is

arranged as

It

Ir

When pressed simultaneously with a letter key it activates the
uppercase letter. When pressed simultaneously with a number

key it activates an alternative symbol set.

Toggle key to set lower case or upper case letters.
The Caps Lock key status is indicated on status information

field on the right-hand side of the screen.

SCHILLER

SP-10

Spirometer - User Guide

1.7

Chapter
Introduction and System Settings

1

KEYBOARD

General

The general purpose keys are:

pcTJ

.............

("p)

............

am

(a]-p-J

........................

......

Purpose

Keys

call up main menu I return to monitor mode

return to previous menu

change setting

change setting I enable command

move the cursor up

move cursor

I

disable command

I

down

to

left

I

right

1.8

KEYBOARD

Introduction and

System

Chapter

Settings

1

Control

The control and function keys are:

p-J

(STARTJ

...........

and

Function

Keys

switch unit on

switch unit

extend I retract paper tray

enter patient data

start selected test

stop test

off

/

move paper to start position

SEND

I.

DATA

..........

STORE

mi

...........

pF-J

..........

print best test result

print all test results

select test result for printout

i

i

:

initiate data transmission

initiate data storage

initiate reception mode

enter details of medical assistant

display general settings menu

delete stored measurement

SCHlLL

,

ER

SP-

10

Spirometer - User Guide

1.9

Chapter
Introduction and System Settings

7

KEYBOARD

Menu Control Keys
The menu control keys are:

display test results

IFm]

.............

FVC

E

1

I

FVC

E-l

1

(svc)

..........................

p,vv

[RESIS.)

..........................

,)

...........

inhalation

volume

Forced Vital Capacity test (Exhalation only)

Forced Vital Capacity test (Exhalation and Inhalation)

Slow

Minute Volume (volume in one minute)

Minute Volume (forced volume in one minute)

Resistance Test (Option)

/

exhalation

(I)

vs. Time

Vital Capacity test

(s)

flow

(Vs)

vs. Volume

(I)

1.10

(PRUPOST)

FALIBRATIO3

..........................

pre

/

post medication test

calibration of the unit

to

environmental conditions

PANELS

Chapter

Introduction and System Settings

1

The SCHILLER

on

the right-hand side of the unit.

Right-hand Side Panel

SP-10

has two connector panels. One is located on the back and the other

7

RS-232C interface

1

2

RS-232C interface

3

RS-232C

interface

(Port 1)
(Port 2)

(Port

3)

3

6

(not used)
(not used)
(for data transmission

15 2 4

(as.

to

SEMA)

4

RS-422

5

LCD

6

Connection for:

SP-110
SP-150

SP-20

SP-11

N0TE:The resistance sensor

VC, MV, MVV) tests.

7

Connection for optional

interface

contrast control

O/R

(Port 4)

for pulmonary function measurements with disposable mouthpiece

for

pulmonary function measurements for single use with disposable

f

low-sensor
for pulmonary function measurements with disposable filter
for resistance measurements (Option) with disposable mouthpiece

SP-lIO/R

Sp02

sensor

can also be used for pulmonary function (i.e. FVC,

SCHILLER SP-10 Spirometer - User Guide

1.11

Chapter

1

Introduction

and

System Settings

SYSTEM

User

Identification

This function enables entry of the name of the physician, clinic or department which will then
be given on each printout. The input is stored until overwritten by the user.
the unit is switched off. To reach that menu, proceed as follows:

my-<

.............

The maximum number of characters is

0

SE77INGS

Confirm with

Press

ESC

.........................

User

id.

(,ENTER.

f

user

>

23.

to return to the settings menu.

(memorized

I

(confirm id

identification:

when

with

power

'ENTER')

It

is not

off)

lost

when

Printout Settings

There are five settings which may need
axis for a printout of the
diagnosis on the printout, including of a flow graph on the printout and the sensor that is
connected and used for the tests. These settings stay stored until they are selected new.

To reach the menu proceed as follows:

Br-<

Selections in the menu:

By pressing key

10

mds

0

20

mds

By pressing key2 and setting
(for explanations, check in the chapter "Value Information" under paragraph

"Diagnosis").

By pressing key 3 and setting

Print

FVC

graph, the norm values that are to be used, including

settings

1,

the time axis for the printout

to

be made before starting the test, namely the time

FVC-Graph

flow

Diagnosis

Flow-Graph

PEF

[Vmin]

of

an

FVC

graph can be set

is

given as indication on the printout

graphics

is

printed.

>

to

ON

to

ON

the diagnosis

the

of

to:

1.14

By pressing key

4

and setting

to

ON

the

PEF

values are printed.

Chapter

1

Introduction and System Settings

I

I

SYSTEM

Device

There are seven settings which need

SETTINGS

Settings

to

be made before starting the test, namely:

the sensor that is connected and used for the tests
calculation basis for norm values

norm values that are to be used
race of the patient
calculation units for weight and size of the patient

order of date

measurement units for temperature.

All these settings stay stored until they are selected new.

To reach the menu proceed as follows:

.

-.

...

SrnlNGS

r-7

-<

Device

Settings

>

LJnits

in

-

. ..

.

Order

of

date

Temperature

(61;

F;&;yy

Selection possibilities:

By pressing key 1, the flow sensor that is to be used can be selected. The available

settings are:

SP-110

(also used for

SP-I

1

O/R

resistance sensor)

SP-150

SP-20

CAUTION:

ENSURE THAT THE CORRECT SENSOR
INACCURRATE WHEN THE INCORRECT SENSOR TYPE

By pressing key
(see Chapter

0

3).

International; for all countries outside the USA and Canada

2,

IS

SELECTED. MEASURED VALUES CAN BE

IS

SET.

the diagnosis standard can be selected

SCHILL

ER

By pressing key
be selected (see Chapter

SP-

10

Spirometer - User Guide

American; for USA and Canada

3,

the standards used for the various measurement calculations can

3).

1.15

Chapter

2

Taking Tests

Taking

CONNECTING THE FLOW

MTA Identification

CALIBRATION PROCEDURE
PATENT DATA
PULMONARY FUNCTION TESTS

Schematic Overview of the Test Procedure
General Test Procedure

Select Test
Display
Start Tests
Display Results
Print Tests

FORCED VITAL CAPACITY (FVC) TEST - EXHALATION ONLY

Interrupt

Delete Measureme
Screen Information
Toggle Screen Infomation

Display Results

Insert1

FORCED VITAL CAPACITY (FVC) TEST - EXHALATION AND INHALKTION2.14

Carry Out Test

Interrupt

Delete Measurements

Screen Information

Toggle Screen Information

Display Results

InSetl

SLOW VITAL CAPACITY (SVC) TEST

Carry

Interrupt I End Test
Delete Measurements
Screen Information
Display Results
InSelt

EXPIRED

Carry Out Test

..

............................................................

........................................................................

..

, , , ,

......................................

......................................

I

End Test

Edit Diagnosis

.........................................................................................

I

End Test

I

Edit Diagnosis

Out

Test

.........................................................................................

I

Edit Diagnosis

OR

MINUTE VENTILATION (MV) TEST

SENSOR

...............................................................................

I

ENTERING USER NAME

........

.........................................

.........................................................................

2.6

........................................................

.........................

....................................................

............................................................................

......................

....................................................................

.................

..........................................................

....................................

2.8

2.9

2.10

2.10

2.10

...................................................

..........................................................

............................................................................

...........................................................................

.............................

.....................

................................................................................

.....................................................................

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.................

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....................................

.....................

.........................................................

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.............................................................................

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........................................................................................

.............................................................................

.........................................................................................

......................................

2.13

2.14

2.14

2.15

2.15

2.17

2.17

2.18

2.18

2.18

2.19

2.19

2.20

2.20

2.21

2.21

Tests

SCHILLER

SP-I0

Spirometer - User Guide

Delete Measurements

.......

2.1

Chapter

Taking Tests

2

Screen Information
Display

Results

I

Edit Diagnosis

Insert

MAXIMUM VOLUNTARY VENTILATION (MVV) TEST

Carry Out Test
Interrupt
Delete Measurements
Screen Information

MAXIMUM VOLUNTARY VENTILATION (MVV) TEST

Display Results
Insert

POST-MEDICATION TESTS

Select Post-Medication

Print Post-Medication Tests
PRINTING TEST CURVES AND RESULTS
RESISTANCE TEST OPTION

Test Procedure

Print Resistance Tests

I

End Test

/

Edit Diagnosis

..................................................................................

.........................................................................................

.............................................................................

.........................................................................................

..................................................................................

.............................................................................

..................................................................................

........................................................................................

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.......................................................................

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................................

................................

2.22

2.23

2.23

2.24

2.24

2.24

2.25

2.25

2.26

2.26

2.26

2.27

2.27

2.27

2.28

2.29

2.29

2.30

2.2

Chapter

Taking Tests

2

CONNECTING THE

CONNECT

OR

DISCONNECTTHE

FLOW

SENSOR/ ENTERING USER NAME

IMPORTANT:

FLOW

SENSOR ONLY WHEN THE UNIT

IS

TURNED

OFF.

Each flow sensor is supplied completely with connection cable and plug.

Insert the plug into the socket marked

EACH FLOW SENSOR CONTAINS A SENSITIVE MEASURING DEVICE AND MUST
ALWAYS BE HANDLED WITH CARE. DO NOT ALLOW THE SENSOR TO BE DROPPED
OR

SUBJECTED TO ANY SUDDEN BLOWS

ENSURE THAT THE CONNECTION CABLE
MECHANICAL STRESS. WHENEVER DISCONNECTING THE SENSOR, HOLD THE

PLUG AND NOT THE CABLE..

"SPIRO

SENSOR' on the right-hand side of the unit.

CAUTION:

IS

NOT TO BE EXPOSED TO ANY

The Unit is turned on

If

no sensor

When this message appears, switch the unit

MTA

This function is
must be entered every time the unit is used. The MTA is identified on each printout. Enter

the menu as follows:

0

is

ldentif ication

Confirm with

by

pressing

connected, the following message appears:

to

register the name of the medical assistant carrying out the recording and

&,

a

off

and connect the sensor.

Identification
(stored

until

of

MTA

power

off)

I

SCHILLER

[

Press

SP-10

Spirometer - User Guide

ESC

]

to return to the main menu.

2.3

Chapter

2

Taking Tests

CA

LIB

RA

TlON

The unit must be calibrated:

before starting the first pulmonary function test of the day

after a significant temperature change

after changing the sensor.

Press the calibration key

to

disaply the calibartion menu:

CALIBRATION

Last

calib.

BTPSFactor
Calib. Factor

Temperature
Measured
Syringe

Vol.

Vol.

SP-110

:

:

:

:
:

:

The following positions are displayed:

Headline The headline displays the selected sensor.

the sensor that is connected. If not, select the correct sensor in
the Settings menu. Press the SETTINGS

'device settings' option. The sensor type is displayed. Toggle

Last Calibration
BTPS Factor

with key

date of last calibration
calculated BTPS

1

between SP-

(=>

1

10,

SP-

150

and SP-20.

Body Temperature, Ambient Pressure,

Saturated with water vapour) value

Calibration Factor

calculated value between measured and effective calibration

air volume

23.04.05

1.090

1.000

20.0

"C

0.00

I

3.00

I

Ensure that this is

KEY

and select the

2.4

Temperature

Measured Volume
Syringe Volume

ambient temperature in

OC

(or

OF)

dependent on device setting
air volume measured by the system from the calibration pump
Actual (entered) air volume depending on the

size

of the
calibration pump and times the air was pumped through the
sensor; e.g. pumping

(the recommended volume with a

3

litre pump, 9 litres)

2

litres 4 times amounts

2

litre pump is 8 litres; with

to

8

litres

Chapter

2

Taking Tests

CALIBRATION

1

Connect the calibration pump to the sensor. Ensure no air leaks.

Press the CALIBRATION key. The menu appears as shown opposite.

2

Enter the ambient temperature as prompted

3

4

Confirm with

5

6

7

NOTE: Make sure that the flow sensor is kept still during the pumping operation.
While pumping, the unit records the actual volume being pumped through the flow sensor

and indicates it on the display.

8

9

[START)

Press

Wait 1 second.

3

Pump

Press when finished pumping.

The cusor

(depending on the size

a litre pump emptyed once

PROCEDURE

(,ENTER

...........................

litres,

is

now positioned at syringe volume. Enter the total pumped air volume

.

to

start the calibration.

or

more, air through the sensor.

of

the calibration pump and number

=

3

litres, the same pump emtgyed twice

of

times of emptyed i.e.

=

6

litre).

.

Press&

10

11

The message "Calibration completed" appears on the display

If a printout

printed with the following information:

Measured Volume in litres
Effective Volume in litres
Deviation in litres

Deviation in percent
Temperature in Celsius

BTPS Factor

0

Calibration Factor
Flow Graph

Date, Time and Software version

12

Press

The unit then calculates the calibration factor.

of

the calibaration is required, press

or

Fahrenheit

or[

ESC

1

to return

to

the main menu.

.

A calibration report is

Note: If the message 'EXCESSIVE DEVIATION! 'appears on the screen aftera calibration,

it indicates that the difference between the measured volume and the enteredvolume
is

too

great

(~10%).

entered syringe volume. Reset the calibratioin to bease valuse by pressing

Check the temperature setting, the syringe volume and the

'I'

and

recalibrate.

SCHILLER

SP-10

Spirometer - User Guide

2.5

Chapter

2

Taking Tests

PATENT

DATA

Each printout is complete with the name and other information concerning the patient. Before
beginning a recording, the patient data should be entered. In order

to

call up the menu for

patient data input, proceed as follows:

The following parameters have

to

be entered:

Pat-Name
Pat-No

:

:

(dd.mm.yy)

(MIF)

Pat-Name: Patient name

Pat-No:

Born:

Patient number
The date of birth has to be entered in figures, separated by a

full stop as day.month.yearor month.day.year (order depending

on unit setup).

Age:

The age is calculated by the

SP-10

on the basis of the date of

birth:

-

up to 2 years: number

-

up

to

6

years: number

-

over 6 years:

Sex:

number
enter

of

months;

of

years and months;

of

years

"M"

(male) or

"F"

(female).

Height: in centimetres (or inches, depending on unit setup).
Weight:
Race:

WIB:

CIHIBIA:

Weight in kilogrammes (or pounds, depending on unit setup).

Enter patients race (depending on unit setup):

"W"

for White,

"CI

for Caucasian,

"B

for Black

"H"

for Hispanic,

"8"

for Black or

"A"

for

Asian

=>

If this position does not appear, "NONE" was selected in the

setup (see Chapter

1)

Wrongly typed characters can be deleted before pressing the ENTER key by pressing the
DELETE key. The old content

If an error is noticed after ENTER has been pressed, complete the entry

then press the

PATlENTDATAkeyandthecursor

of

the line is deleted as soon as the first character

of

all other data and

returnstothefirst linefordataentry. Press

is

entered.

ENTER until the cursor returns to the line in question and enter the data required. The
existing entry is deleted as soon as new data

is

entered.

2.6

PULMONARY FUNCTION TESTS

Chapter

Taking Tests

~

2

Schematic Overview

________--

IF---

I

of

the Test Procedure

Switch on SP-10

r

with mains switch

I

Connectsensor

I

I

........

--1

.:

L

r

Make measurements

Delete Measurement(s)

Repeat tests

with new patients

.....

,......

Clean sensor and

replace mouthpiece

Switch

with mains switch

off

Post-medication

tests

SP-10

SCHILLER

SP-10

Spirometer - User Guide

2.7

Chapter

Taking

2

Tests

PULMONARY FUNCTION TESTS

General Test Procedure
NOTE: Exact descriptions of each step is given in the appropriate section.

Select Test

The required test is selected directly with the appropriate key on the keyboard.

Display
The display indicates the measurements which will be made and gives the predicted results.

to

There are three positionsfor measurement results enabling several tests

if

all the necessary information is displayed in the top part

requested setup:

PRE

FVC
FEVl

I

PEF

MEAS3 MEAS2 MEASl PRED.

5.47

4.49

9.84

SPO2

-

-Yo

(

--

/mi n)

of

the screen according to the

We

be made. Check

26.APR.95 13:26:20

The following information is displayed from
installed):

Test information about:

Premeditation (PRE) or Post-medication (POST) test

3

Measured values for all
Predicted (calculated) values according

(PRED.)

0

Sp02 value

0

Data field containing:
Date and Time
Unit Information
Percentage value of battery capacity
Status of CAPS key (CAPS

Possible error message for Sp02 sensor

0

A

small field on the top right of the chart shows the selected sensor and the set norm

values.

The coordinates represent the graph on which the curve
volume in litres being represented on thevertical axes forthe FVC and VCtests (the relative
respiratory volume in litres for the
horizontal axis.

(“A)

and heart rate (/min) (if Sp02 option

tests (MEAS)

=

MV

left

Key locked)

and

MVV

to

right (depending on the option that is

to

patient data and norm value settings

is

installed)

will

be drawn with the respiratory

tests) and the time in seconds on the

2.8

In the

FVC

test a second presentation possibility
the vertical axis and the flow volume in litres on the horizontal axis. The top part of the screen
remains

the

same.

is

in form

of

the flow speed presented on

Chapter

Taking

2

Tests

PULMONARY

Start Tests

N0TE:The flow sensor must be held quite still and no air should be breathed into the device

for at least one second before and after the START key is pressed.

Press the green key to start the test

0

Patient carries out test

After patient has carried out the test press the

Repeat the above procedure for three or more times.

Display Results

With

............

FUNCTION

all the values can be displayed as a table.

TESTS

[

............................

STOP

1

key to register the result

Print

Tests

By pressing either

The printout contains the patient data, selected normvalues, main valuesfor that test, Sp02
percentage rate

(HR),

values for measurement (MEAS), predicted values (PRED.) and percentage rate

between measured and predicted values (%PRED.) (PRED.

@

if

option is installed (Sp02), heart rate in beats per minute

,

or

,

aprintout is made according to the selection.

=

100%).

if

option

is

installed

SCHILL

ER

SP-

10

Spirometer - User

Guide

2.9

Chapter

2

Taking Tests

FORCED VITAL CAPACITY (FVC) TEST- EXHALATION

ONLY

Forthis test the patient must exhale as quickly as possible from the time of starting the test.

so,

Inform the patient

Note: The FVC test employs the

too

large

is

a question mark

that it is sure that he understands what is required of him.

"Back

extrapolation" method. If the extrapolated volume

(>O.

1

litres or

(?)

70%

of FVC), then a warning appears on the display and

will appear in the FEV, position for that test.

To beabletocarry outthis kindof Forcedvital Capacity (FVC)test,first pressthe
key.

As

soon as the basic screen

is

displayed, check

if

all the necessary information is displayed

in the top part of the screen according to the requested setup.

Note: The flow sensor must be heldquite stillandno air shouldbe breathedinto the device

for at least one second before and after the START key is pressed.

Press the green key

to

start the test.

The message

"READY

FOR

MEASUREMENT"

appears on the display.

As

soon as the
patient starts to breathe into the flow sensor, the unit begins to record the flow and the
corresponding curve is represented on the display. An acoustic "beep" indicates when the
break-off point for the measurement has been reached.

Five seconds later, the measurement will be automatically interrupted unless the patient
carries on. Measurements will still take place should this break-off point not be reached.
Once the test is completed, the measurement results are calculated and given on the display.

Interrupt / End Test

The test can be interrupted at any time by pressing

L-zy?zJ.

Delete Measurements

If one of the result columns should be deleted, proceed as follows:

1

Delete

MEAS

DELETE

:

MEAS.

!!

I..

Press the number of that column (e.g. for column

the results should be deleted,

i.e.

all three columns, press key

1,

press key

2 Delete

3

Delete

-

4

Delete

1)

that is to be deleted.

4.

MEAS

MEAS

ALL

1

2

3

meas.

If

all

2.10

FORCED VITAL CAPACITY (FVC) TEST- EXHALATION ONLY

Screen information

Once the test iscompleted, the measurement results are calculated and given on the display.
When subsequent tests are made, the result with the highest FVC

be saved and given in the right-hand column (MEAS

The result with the lowest FVC + FEV, value of the tests already made and stored will be
overwritten. An asterisk

NOTE: The marked results correspond to the displayed test curve.

Toggle Screen information

("*")

indicates the measurement results of the last test made.

1).

+

FEV, value will always

Chapter

Taking Tests

2

Two different screen types can be displayed

to

achieve more information.

--

screen, press either

NOTE: The top part of the screen always remains the same.

0

With

w:

0

air volume (in litres).

The information
key as long as no further test was made.

NOTE: These keys only function with the FVC test.

pmJpoJ

.._..........

or

..............

.

the chart is given as volume (in litres) in relation of time (in seconds).

the chart is given as flow speed (in litres per seconds) in relation

of

the previous screen remains stored and can be displayed with the other

To

toggle the

to

the

SCHILL

ER

SP-

10

Spirometer - User Guide

2.

I I

bnaprer

Taking

z

Tests

FORCED VITAL CAPACITY (FVC) TEST- EXHALATION ONLY

We

PRE

I

FVC 3.06 4.04 4.70 5.47
FEVl 2.71 3.32 2.68 4.49

I

PEF 4.04 4.26 2.96 9.84

ME AS^

ME AS^

MEASI

PRED.

26.APR.95 13:26:20

SPlROVlTSP-10

I

I

95%

STOP=Stop

-10-

I I

2

measurement

12­1

0-

8-

6-

4-

-2-

4-

6-

0-

I I

t

&

....',"""

I

I

I

I

I I

4

:

6

8

10

I

I

I

12

[SI

2.12

FORCED VITAL CAPACITY (FVC) TEST - EXHALATION ONLY

Display Results

is

To

display results of the test, press

PRE

FVC 3.06 4.04 4.70
FEVl 2.71 3.32 2.68 4.49
PEF 4.04 4.26 2.96 9.84

ME AS^

ME AS^

MEASI

and the following information

PRED.

5.47

We

SPIROVIT SP-10

L

displayed:

26.APR.95 13:26:20

Taking Tests

I

95%

I

CAPS

Chapter

2

I

FVC
FEVl
FEVl IFVC
FEF.2-1.2
FE F25-75%
FEF7 5-85%
PEF
MEF75Yo
M EF50Yo
M EF2so/o
FMFT

FlVC
FlVl
FI V 1 /FIVC
FlVl /FVC
PIF
MIF50Yo

Press

lFNCTl

or

IESCI

PRED. MEASl MEAS2

1.10

to

exit.

MEAS3 YoPRED

I

Insert / Edit Diagnosis

Press the

Press

SCHILLER SP-

...._.._.._

orLJE,s,c,,J toexit.

10

Spirometer - User

key when in the results menu once more

Guide

to

insert

or

edit the diagnosis.

2.13

Chapter

2

Taking Tests

FORCED VITAL CAPACITY (FVC) TEST - EXHALATION AND
INHALA TlON

For this test the patient must exhale and inhale as quickly and strongly as possible from the

time of starting the test.

Inform the patient

so,

that it

is

sure that he understands what is required of him.

NOTE: The FVC test employs the "Back extrapolation" method. If the extrapolated volume

is too large

a

question mark

To

beabletocarry outthis kindof

key.

As soon as the basic screen is displayed, check

in the top part of the screen according

Carry

Out Test

NOTE:

(>O.

1

litres or

(?)

10%

of FVC), then a warning appears on the display and

will appear in the FEV, position for that test.

ForcedVitalCapacity(FVC)test,first

if

all the necessary information is displayed

to

the requested setup.

pressthe

The flow sensormust be heldquite stillandno airshouldbe breathedinto the

device for at least one second before and after the START key is pressed.

Press the green

The message "READY
patient starts
corresponding curve is represented on the display. An acoustic "beep" indicates when the
break-off point for the measurement has been reached.

to

[START

..........................

FOR

MEASUREMENT" appears on the display. As soon as the

breathe into the flow sensor, the unit begins

key

to

start the test.

to

record the flow and the

Five seconds later, the measurement will be automatically interrupted unless the patient
carries on. Measurements will still take place should this break-off point not be reached.
Once the

Interrupt I End Test

The test can be interrupted at any time by pressing

test

is completed, the measurement results are calculated and given on the display.

2.14

Chapter

2

Taking Tests

I

FORCED VITAL CAPACITY (FVC) TEST - EXHALATION AND

LA

TI0

INHA

Delete Measurements

If one of the result columns should be deleted, proceed as follows:

N

1

Delete MEAS

2

DeleteMEAS2

3

Delete MEAS

4

Delete

ALL

1

3

meas.

Press the number of that column (e.g. for column

the results should be deleted, i.e. all three columns, press key

Screen Information

Once the

test

iscompleted, the measurement results are calculated and given on the display.

1,

press key

1)

4.

When subsequent tests are made, the result with the highest FVC
be saved and given in the right-hand column (MEAS

The result with the lowest FVC + FEV, value

overwritten. An asterisk

NOTE: The marked results correspond

Toggle Screen Information

("*")

indicates the measurement results of the last test made.

to

the displayed test curve.

Two different screen types can be displayed

1).

of

the tests already made and stored will be

to

achieve more information. To toggle the

screen, press either WorW.

NOTE: The top part of the screen always remains the same.

that is to be deleted.

+

FEV,

value will always

If

all

SCHILLER

With

[vol

,.__....____

the chart is given as volume (in litres) in relation of time (in seconds).

0

With

the chart

is

given as flow speed (in litres per seconds) in relation

to

air volume (in litres).

The information of the previous screen remains stored and can be displayed with the other

key as long as no further test was made.

NOTE: These keys only function with the

SP-10

Spirometer - User Guide

FVC

test.

the

2.15

Chapter

Taking

2

Tests

FORCED VITAL CAPACITY (FVC) TEST - EXHALATION AND

INHALATION

We

PRE

FVC 4.22 4.26

FEVI

I

PEF

ME AS^

1.64 1.83

1.73 1.87 2.21 9.84

ME AS^

MEASI

4.64

1.90 4.49

PRED.

5.47

26.APR.95 13:26:20

SPlROVlTSP-10

I

I

95%

I

CAPS

I

STOP=Stop measurement

&-J

PRE

FVC 4.22
FEV1 1.64

1

PEF

*MEAS3 MEAS2

4.26

1.83

1.73 1.87 2.21 9.84

12-

12-

10-

10-

8-

8-

6-

6-

4-

4-

2-

2-

or,

or,

4-

4-

6-

6-

-

-

-8-

-8-

""'I"""

I

MEASl PRED.

4.64 5.47

1.90 4.49

ci,

.

.

F(v)

. . .

',

.. ..

.."

j

4

We

26.APR.95 13:26:20

SPlROVlTSP-10

I

95%

I

CAPS

2.16

-1

-1

0-

0-

FORCED VITAL CAPACITY (FVC) TEST - EXHALATION AND
INHALA TlON

Display Results

RESULTS

To

display results of the test, press

PRE

FVC
FEV1 1.64

PEF

ME AS^

4.22 4.26

1.73

ME AS^

1.83 1.90

1.87 2.21

MEASI

4.64 5.47

0

...........

PRED.

j
j

and the following information is displayed:

We

26.APR.95 13:26:20

SPlROVlT SP-10

4.49

9.84

I

Chapter

Taking Tests

I

95%

I

CAPS

2

FVC

FlVC
FlVl

FIVl/FIVC
FlVl/FVC

PIF

Press

I"J.

............

PRED. M EAS 1' MEAS2 MEAS3 YoPRED

4.64

1.90

.O

41

2.02

1.35

.oo

1

3.86 4.08 4.40

2.72 1.46 1.52

70.6 35.9 35.5

58.7 34.4 36.0

3.33 1.69 2.12

1.65

1.08

1.87

1.84

1.74

i

120

1.29

1.66

1.41

0.94

1.73

1.63

1.60

1.06

1.49

ESC

.........................

5.47

4.49

83.3

8.23

4.75

1.40

9.84

8.47

5.74

2.36

---

---

---

---

---

j

toexit.

I

85
42
49
24
28
72
22
22
22
50

__-

---

__-

---

---

---

SCHILL

Insert I Edit Diagnosis

RESULTS

0

...........

Spirometer - User Guide

ER

Press the

Press

SP-

10

key when in the results menu once more

or[

ESC

.........................

1'

i

to

exit.

to

insert

or

edit the diagnosis.

2.17

Chapter

Taking Tests

2

SLOW VITAL CAPACITY (SVC) TEST

For this test the patient should breathe normally 3 times and then inhale maximally to total
lung capacity and then expire maximally.

so,

Inform the patient

To be able to carry out a Slow Vital Capacity (SVC) test, first press the key.

As soon as the basic screen is displayed, check
in the top part of the screen according to the requested setup.

Carry

Out Test

NOTE:

T

device for at least

that it is sure that he understands what

if

all the necessary information is displayed

he flow sensor must be held quite still and no air should be breathed into the

one

second before and after the START key is pressed.

is

required of him.

Press the green

The message “READY FOR MEASUREMENT” appears on the display. As soon as the
patient starts to breathe into the flow sensor, the unit begins to record
corresponding curve is represented on the display. An acoustic “beep“ indicates when the
break-off point for the measurement has been reached.

Five seconds later, the measurement will be automatically interrupted unless the patient
carries on. Measurements will still take place should this break-off point not be reached.
Once the test iscompleted, the measurement results are calculated and given on the display.

Interrupt I End Test

The test can be interrupted at any time by pressing

c,R.T.j

key to start the test.

[

STOP

..........................

1

.

the

flow and the

2.18

Chapter

2

Taking Tests

SLOW VITAL CAPACITY (SVC)

Delete Measurements

If

one

of

the result columns should be deleted, proceed as follows:

MEAS.

I"'"")

Press the number of that column (e.g. for column 1, press key

the results should be deleted, i.e. all three columns, press key

Screen Information

When subsequent tests are made, the result with the highest SVC + ERVvalue will always
besavedandgiven inthe right-handcolumn (MEAS
value of the tests already made and stored will be overwritten. An asterisk

measurement results of the last test made.

TEST

1

Delete MEAS

2 Delete MEAS 2

3

Delete MEAS

4

Delete ALL meas.

1)

that is to be deleted.

4.

l).TheresultwiththelowestSVC+ERV

1

3

("*'I)

indicates the

NOTE: The marked results correspond to the displayed test curve.

We

PRE

svc

ERV 0.94

ME AS^

4.81

1.89 1.75 1.44

ME AS^

4.83 4.85

0.94 1.43

MEASI

PRED.

26.APR.95 13:26:20

SPlROVlTSP-10

If

all

I

95%

I

CAPS

12

10

-

-

8-

6-

SCHILLER

SP-10

Spirometer - User Guide

2.19

Chapter

Taking Tests

2

SLOW

Display Results

To

PRE

svc

E

RV

I

RV

FVC
FEV1
FEVlIFVC
FEF.2-1.2
FEF25-75%
FEF75-85%
PEF
MEF75Yo
MEF5OYo
MEF25%
FMFT

FlVC

FlVl

FIVlIFIVC
FIV11FVC
PIF
MIF5OYo

VITAL CAPACITY(SVC)

display results of the test, press

ME AS^

4.81 4.83

0.94 0.94
1 .a9 1.75

ME AS^

TEST

RESULTS!

0

..........

i

and the following information is displayed:

We

MEASI

4.85

1.43

1.44

PRED. MEAS1 MEASB MEASB %PRED

5.47

4.49

83.3

8.23

4.75

1.40

9.84

8.47

5.74

2.36

---

PRED.

4.26

1.83

43.1

1.67

1.65

1

.oo

2.21

1.86

1.29

1.19

1.73

4.85

1.43

1.44

1.98 2.15 1.97

1.08

1.87

1.84

1.74

1.20

1.29

4.08

1.46

35.9

34.4

1.69

1.68

4.83 4.81

0.94 0.94

1.75 1 .a9

26.APR.95 13:26:20

SPlROVlTSP-10

I

1.41

0.94

1.73

1.63

1.60

1.06

1.49

I

I

85
42
49
24
28
72

22

---

---

---

---

95%

CAPS

1

pNcl-J

Press

............

Insert / Edit Diagnosis

Press the

c"Jr

Press

. ._

...........

or(

ESC

...........................

.,.j

key when in the results menu once more

orpsc

.........................

f

toexit.

1'

j

to

exit.

to

insert or edit the diagnosis.

2.20

Chapter

2

Taking Tests

EXPIRED

For this test the patient should breathe as normally

for at least

Inform the patient

To be able to carry out atest for Expired or Minute Ventilation (MV), first press the

key.

As

soon as the basic screen is displayed, check

in the top part of the screen according to the requested setup.

Carry Out Test

OR

20

seconds.

MINUTE VENTILATION (MV) TEST

as

possiblefor up to

so,

that it is sure that he understands what is required of him.

if

all the necessary information

60

seconds, but

L3

. . .. ....

is

displayed

NOTE: The flow sensor must be heldquite stillandno air shouldbe breathedinto the device

for at least one second before and after the START key

Press the green key to start the test.

is

pressed.

The message "READY
patient starts to breath into the flow sensor, the unit begins
corresponding curve is represented on the display. An acoustic "beep" indicates when the
break-off point for the measurement has been reached.

Five seconds later, the measurement will be automatically interrupted unless the patient
carries on. Measurements
Oncethe test iscompleted, the measurement results arecalculated and given on the display.

I

End

Interrupt

The test can be interrupted at any time by pressing

Delete Measurements
If one of the result columns should be deleted, proceed as follows:

Press the number of that column (e.g. for column

the results should be deleted, i.e. all three columns, press key

Test

DELETE

MEAS.

0

FOR

MEASUREMENT" appears on the display. As soon as the

to

record the flow and the

will

still take place should this break-off point not be reached.

[sToP)

...........................

1,

press key

.

1

Delete MEAS

2

Delete MEAS

3

Delete MEAS

4 Delete ALL

1)

that is

4.

1
2

3

meas.

to

be deleted. If all

SCHILLER

SP-10

Spirometer - User Guide

2.2

I

Chapter

Taking Tests

2

EXPIRED OR MINUTE VENTILATION (MV) TEST

Screen Information

When subsequent tests are made, the result with the highest
besavedandgiveninthe right-handcolurnn (MEAS
value

of

the tests already made and stored will be overwritten. An asterisk

measurement results

NOTE: The marked results correspond

PRE

MV 43.46 43.80 48.27

MEAS3 MEAS 2 *MEAS 1 PRED.

19.05

2.28 2.19

10-

8-

of

the last test made.

19.97 17.99

2.60

to

the displayed test curve.

l).Theresultwiththelowest

-

6-

SVC

+

ERV

value will always

("*")

We

26.APR.95 13:26:20

SPIROVITSP-10

SVC+

ERV

indicates the

I

95%

I

f7AP.S

I

STOP=stop

measurement

2.22

EXPIRED OR MINUTE VENTILATION (MV) TEST

Chapter

Taking Tests

2

Display

To

PRE

MV 43.46

RR

Tv

FVC
FEVl
FEV1 IFVC
FEF.2-1.2
FEF25-75%
FEF75-85%
PEF

MEF75%

MEF5OYo
MEF25Yo
FM

FT

FlVC
FlVl
FIVl/FIVC
FIV1 IFVC
PIF

svc

E

RV

I

RV

Tv

Results

display results of the test, press

MEAS3

19.05

2.28

MEAS2 *MEAS1 PRED.

43.80 48.27

19.97 17.99

2.19 2.68

RESULTS

j

0

............:

and the following information is displayed:

We

26.APR.95 13:26:20

SPlROVlT SP-10

I

I

I

PRED. M EAS 1 MEAS2 MEAS3 YoPRED

5.47 4.64

4.49 1.90

83.3 41

~

~..

8.23

4.75 1.35

1.40 1

9.84 2.21

8.47 1.86

5.74 1.29

2.36 1.19

-__

---

---

---

---

---

---

---

---

---

.O

2.02

.oo

1.73 1.29 1.49

3.86

2.72

70.6 35.9 35.5

58.7 34.4 36.0

3.33 1.69 2.12

2.99

4.85 4.83 4.81

1.43 0.94 0.94

1.44 1.75 1.89

1.98 2.15 1.97

4.26 4.22 85

1.83 1.64 42

43.1

1.67 1.66 24

1.65 1.41 28

1.08 0.94 72

1.87 1.73 22

1.84 1.63 22

1.74 1.60 22

1.20 1.06 50

4.08 4.40

1.46 1.52

1.68 2.05

38.9 49

---

---

---

---

---

---

---

--_

---

_--

---

95%

CAPS

I

.-

SCHILLER

Press

Insert

I

Press the

Press

SP-10

Spirometer - User Guide

orl

...........

Edit

Diagnosis

RESULTS

0

or[-Tz----]

............

ESC

..........................

key when in the results menu once more to insert or edit the diagnosis.

.........................

1’

to

.:

to exit.

exit.

2.23

Chapter
Taking Tests

2

MAXIMUM VOLUNTARY VENTILATION (MVV) TEST

For this test the patient should breathe as deeply and as rapidly as possible over a period

of

6

to

12

seconds.

so,

Inform the patient

that it is sure that he understands what is required of him.

WARNING:

EXTREME CARE SHOULD BE EXERCISED WHEN

THERE

To be able

the

As soon as the basic screen is displayed, check
in the top part

Carry Out Test

NOTE: The flowsensormustbe heldquite stillandno airshouldbe breathedinto the device

The message "READY
patient starts
corresponding curve is represented on the display. An acoustic "beep" indicates when the
break-off point for the measurement has been reached.

IS

A DANGER OF HYPERVENTILATION.

to

carry out a test for Maximum Voluntary Ventilation (MVV), first press

MVV

...........................

for

Press the green

J'

key.

of

the screen according

at

least one second before and after the START key is pressed.

[

START

..........................

FOR

to

breathe into the flow sensor, the unit begins

1

MEASUREMENT" appears

if

all the necessary information is displayed

to

the requested setup.

:

key

to

start the test.

PERFORMING THIS TEST AS

on

the display. As soon as the

to

record the flow and the

Five seconds later, the measurement will be automatically interrupted unless the patient
carries on. Measurements will still take place should this break-off point not be reached.
Oncethe test is completed, the measurement results arecalculated and given on the display.

When subsequent tests are made, the result with the highest MVVvalue will always besaved

1).

and given in the right-hand column (MEAS

tests already made and stored will be overwritten. An asterisk

ment results of the last test made.

Interrupt / End Test

The test can be interrupted at any time by pressing

The result with the lowest MW value of the

r")

indicates the measure-

m.

2.24

MAXIMUM VOLUNTARY VENTILATION (MVV) TEST

Delete Measurements

If one

of

the result columns should be deleted, proceed as follows:

1

Delete MEAS

2

Delete MEAS

3

Delete MEAS

4

Delete

ALL

meas.

Chapter

2

Taking Tests

1

2

3

Press the number

the results should be deleted,

Screen Information

of

that column (e.g. for column 1, press key 1) that

i.e.

all three columns, press key

4.

is

to be deleted. If all

When subsequent tests are made, the result with the highest SVC + ERV value will always
besavedandgiveninthe right-handcolumn (MEASl).TheresuIt withthelowest SVC+ ERV
value

of

the tests already made and stored will be overwritten. An asterisk

("*")

indicates the

measurement results of the last test made.

NOTE:

PRE

MVV

RR

Tv

10-

8-

The marked results correspond to the displayed test curve.

MEAS

3

MEAS2 *MEAS 1 PRED.

69.5

21.8

3.19

69.6

21.1

3.30

81.7

24.0

3.41

150.8

We

26.APR.95

SPlROVlTSP-10

13:26:20

I

95%

1

CAPS

SCHILL

ER

6-

SP-

10

Spirometer - User Guide

2.25

Chapter

Taking

2

Tests

MAXIMUM VOLUNTARY VENTILATION (MVV)

Display

To

PRE

MVV 69.5 69.6 81.7 150.8

RR

FVC

FEVl

FEVlIFVC
FEF.2-1.2
FEF25-75Yo
FEF75-85%
PEF
MEF75Yo
MEF50Yo
MEF257o
FMFT

FlVC
FIV1 FIVlIFIVC

FIVlIFVC
PIF
MIF50%

Results

display results of the test, press

MEAS3 MEAS2 *MEAS1 PRED.

21

.8

21.1 24.0

1:
I

1%:

’

11s

,

’

11s

,

:I/S

,

11s

:

,

11s.

11s

,

:

I/s

,

1s.

I:

/J0:

YO.

1

k:

5.47 4.64

4.49 1.90 1.83

83.3 41

8.23 2.02 1.67 1.66 24

4.75 1.35 1.65

1.40 1

9.84 2.21

8.47 1.86 1.84 1.63 22

5.74 1.29 1.74 1.60 22

2.36 1.19 1.20 1.06

RESULTS

El

...........I

---

---

---

---

---

---

__-

I

and the following information is displayed:

4.26 4.22 85

.O

.oo

1.73 1.29 1.49

3.86 4.08 4.40

2.72 1.46 1.52

70.6 35.9 35.5

58.7 34.4 36.0

3.33 1.69 2.12

2.99 1.68 2.05

43.1 38.9 49

1.08 0.94 72

1

TEST

We

26.APR.95 13:26:20

SPIROVIT SP-10

1.64 42

1.41 28

.a7 1.73

I

95%

I

CAPS

22

50

---

---

---

---

---

---

---

pmJ

Press

..............

Insert

I

Press the

rl,

pcrJ

Press

...........

or[

ESC

.........................

Edit Diagnosis

RESULTS

01:

key when in the results menu once more to insert

or[

ESC

.........................

)

..

to exit.

,

i’

I

to exit.

or

edit the diagnosis.

2.26

POS

T-ME

DlCA

TlON TESTS

Chapter

2

Taking Tests

Each time the Pulmonary Function Testing program
premeditation tests are
top left-hand corner of the screen.

The post-medication function is selectable for the following tests:

FVC Test

SVC

Test

MV

Test

MW

Test

Select Post-Medication

In order to carry out post-medication tests for comparison, simply press

"POST" appears in the top left-hand corner as in the following example:

to

POST

FVC
FEVl
PEF

be carried out. This is confirmed by "PRE" which appears in the

MEAS 3 MEAS 2 MEAS 1 PRED.

is

called up, the unit assumes that

5.47

4.49

9.84

~REIPOST)

............................

and

NOTE

The post-medication tests are carried out in the same way as the premeditation tests.

Print Post-Medication Tests

The printout following post-medication tests will give the curves
medication tests (the premedication curve

The measurement results are shown as the actual results, actual results as a percentage
those predicted, and the percentage change (i.e. difference) from pre

results.

is

bold).

of

both pre and post-

to

post-medication

of

NOTE: The premedication results used forthe comparison printout are those with the highest

values, and not necessarily the last taken.

The diagnosis resulting from the premedication test

is

also given on this printout.

SCHILLER

SP-10

Spirometer - User Guide

2.27

Chapter

Taking

2

Tests

PRINTING TEST

By pressing either

0

With only selected results are printed.

The patient data, the time and date and the standard used for calculation are printed out for
every test but the type of curve and test results will depend on the type of test.

A

printout can be interrupted at any time by pressing

CURVES

the best result is printed.

all results are printed.

AND RESULTS

,a printout is made according to theselection:

m.

2.28

RESISTANCE TEST OPTION

.

Resistance measurement enables the early detection of an obstruction in the respiratory

tract through measurement of the lung pressure necessary for exhalation.

Test Procedure

We

26.APR.95 13:26:20

RESISTANCE

TEST

SPlROVlTSP-10

.........................................

Taking Tests

I

95%

I

CAPS

Chapter

2

10-

8-

6-

4-

‘1

..

.

rn

.

... . ....

.

..

.

.....

.

.

........

. .

.. . .........

.....

.........

.......

.

.

..

........

.

..

.

.. .. ..

.....

...

.. ..

.....

..

.....

. .

.......

.

...

...

...

.

......

. . . . . . . . . . . . . .

...

.

STOPstop measurement

The display indicates that an average resistancevalue will be measured between 0 and

of

the expired volume of air. To the right, the actual measured resistance will be given as a
pressure value in cm
curve will be drawn with the expiratory flow on the vertical axis and the time in seconds on

the horizontal axis.

H,O/

litrelsecond. The coordinates represent the graph on which the

85%

SCHILLER

The patient should inhale as deeply as possible before starting the test and then exhale
through the flow sensor in such a way that the curve on the display remains between the two

horizontal markers (i.e. between

the patient achieves the necessary flow of exhaled air

and that he understands what is required of him.

N0TE:At regular intervals during exhalation, the air flow will be interrupted for very short

periods. If the air flow is too strong

and the measurement will be invalid.

SP-10

Spirometer - User Guide

1

and

2.5

litres). This may require several trial runs before

so

make sure that he is aware

(>2.5

1s)

then the shutter could become blocked

of

this

2.29

Chapter

Taking Tests

2

RESISTANCE TEST OPTION

Print Resistance Tests

gives the following:

Patent data

Norm values

Diagnosis (as indication) (if selected under "Settings")

Resistance curve as shown on the display.

Measured pressure as cmH,O / litres / second.

Where a VC test has also been carried out, the ERV and EVvalues appear together with the

resistance value

of

the expired volume at ERV.

2.30

Chapter

Diagnosis and Norm Values

3

Diagnosis and

EXPLANATION
DIAGNOSIS

Diagnosis for Countries Outside the USA
Diagnosis for USA and Canada

NORM VALUES

Norm Values for Countries Outside the USA

ECCS Values
Quanjer & Tammeling Comparisons
Austrian Standard Values (C)sterreich)

Swedish Standards (Berglund)

Finnish Standards

Indian Equations

Norm Values for USA and Canada

Morris Norm Values

Crapo Norm Values

Knudson Norm Values

Knudson

Composite Norm Values

Polgar Norm Values

Race Influences on Norm Values

OF

MEASURED VALUES

.....................................................

.....................................................................................................

.................................................

................................................................

...............................................................................................

............................................

.............................................................................................

.........................................................

.....................................................

.....................................................................................

........................................................................................

...................................................................................

.................................................................................

.............................................................................

76

Norm Values

................................................................................

.................................................................

...........................................................

.......................................................................

.........................................................................

............................................................

Norm

3.3

3.5

3.5

3.5

3.6

3.6

3.6

3.7

3.7

3.8

3.8

3.9

3.9

3.9

3.10

3.11

3.12

3.12

3.13

3.14

Values

SCHILLER

SP-10

Spirometer . User Guide

3

.

I

Chapter
Diagnosis and Norm

3

Values

3.2

Chapter

Diagnosis and Norm Values

3

Explanation

FVC

~ ~

FEV*S,.OI3.0

FEF

FEF25-75%

of

Measured

Values

Forced vital capacity expiration

possible exhalation after a maximal inhalation.

Forced expiratory volume lung

1

.O

or 3 seconds forced expiration.

Forced Expiratory Flow respiratory

volumes measured in litres per second.
flow speed of the expired air by 25

(FW

flow speed

of

the expired air by

(FW

FEF25%

FEF,O%
FEF,,,

FEF.2-1

.z

flow speed of the expired air by 25% of the forced vital capacity
flow speed of the expired air by
flow speed of the expired air by 75% of the forced vital capacity

averaged flow between 0.2 and 1.2 litres of the forced expired vital

capacity

PEF Peak Expiratory Flow

volume achieved by the quickest

volume in litres, measured after

flow in terms of differing lung

to

75% of the forced vital capacity

75

to

85%

of the forced vital capacity

50%

of

the forced vital capacity

0.5,

(NC)

(FVC)

(FVC)

MEF Maximum Expiratory Flow

flow

speed

of

MEF,,,

MEF50,
MEF25,

MEF,,,
MEF,,,

ERV

IRV

TV

svc

MV

=
=

FEF,,,

FEF,,,

flow

speed of the expired air by 50%

flow speed of the expired air by 75%

Expiratory Reserve Volume possible

from the normal expiration level

lnspiratory Reserve Volume possible

from the normal inspiration level

Tidal Volume expirational

respiration

Slow

following a deep inspiration

Expired or Minute Ventilation volume

minute measured over a minimum of one minute

the expired air by 25% of the forced vital capacity

Vital Capacity lung

volume measured from a complete expiration

(NC)

of

the forced vital capacity

of

the forced vital capacity

further expiration starting

further inspiration starting

and inspirational volumes during normal

of

expired air in litres per

(FVC)
(FVC)

SCHlLLER

SP-10

Spirometer - User

Guide

3.3

Chapter

3

Diagnosis and Norm

Values

Explanation

MVV

RR

~

FMFT

FlVC

1.0

F'V
FIV

l,o

/

FIVC

l,o

I

FIV

PIF

MIF

FVC

of

Measured

Values

Maximum Voluntary Ventilation maximumvolume of air which can

be moved on expiration while breathing as deeply and as rapidly as

possible
Respiration Rate

-~

Forced Mid-expiratory Flow Time time difference between the

and

75%

points of the

FVC

Forced lnspiratory Vital Capacity inspiration volume achieved
between a maximal expiration and a maximal inspiration

forced inspiratory air volume in litres measured in the first second
forced inspiratory air volume measured in the first second as a

of

percentage

forced inspiratory vital capacity

forced inspiratory air volume measured in the first second as a
percentage of forced expiratory vital capacity

Peak lnspiratory Flow maximum inspiratory flow speed in litres

second

Maximum lnspiratory Flow maximum inspiratory flow in litres

25%

/

50%

flow speed by

50

%

of the forced inspiratory vital capacity

3.4

Diagnosis and Norm Values

Diagnosis

The diagnostic interpretation is dependent upon the country.

The factors used in the evaluation for diagnosis are automatically included in the respective
language software and described in the following chapters.

Chapter

3

Diagnosis for Countries Outside the

Possible respiratory problems are diagnosed

USA

on

evaluation of the following factors:

Normal Condition
Restrictive
Obstructive
Combined

Restrictive Ventilatory Defect is indicated

Obstructive Ventilatory Defect is indicated

If

both conditionsare satisfied, a Combined Obstructive/Restrictive Ventilatory Defect is

if

-C

predlde

if

x

100%

FEVI

SVC

x

100% is smaller than

is

smaller than

80%.

70%.

indicated.

Diagnosis for

For the

USA

and Canada

USA

and Canada, diagnosis of possible respiratory problems is based on the

ITS

interpretation standard which uses the LLN (Lower Limits of Normal) calculations. These
calculations apply

to

patients between the ages of 5 and

85.

The LLN FEV1% value is

calculated as follows:

Adolescent
Child

SCHILLER

19

to

25

Predicted FEV1%

yrs: Predicted FEVl

c18 vrs: Predicted FEV1%

x

0.848

x

0.826

19

to

20 yrs:

c18

yrs: Predicted FEV1% x 0.791

Using this LLN value, the diagnostic statements and their criteria are as follows:

SP-10

Spirometer - User Guide

Nonnal limits

Borderline

Obstluction
Mild Obstruction
Moderate Obstruction

Severe Obstruction
Mild Restriction

Moderate Restriction

Severe Restriction

%FEVpredicted is ~80%

FEVl

is

80

to

100%

of

LLN

FEVl

is

60

to

80%

of

LLN

is

40

to

60%

of

of

LLN

is

is

is

LLN

60

to

80%

50

to

60%

~50%

FEVl
FEVl

is

~40%

%FVCpredicted
%FVCpredicted
%FVCpredicted

%

x

0.805

3.5

Chapter

3

Diagnosis

and Norm Values

Norm

The norm values used for the calculation

Values

of

predicted values are dependent upon the

country.

For Great Britain, Italy, Spain and Switzerland, the ECCS and Quanjer standards are
used.

For Sweden, the Swedish (Berglund) and Quanjer standards are used.
In Finland the Finnish and Quanjer standards are used.
In Austria the Austrian standards are used.

0

In India the Indian norm values are used.

0

In America and Canada the norm values that are used are Knudson, Knudson76,
Crapo, Morris, Composite and Polgar. The American normvalues are extended with
values taken from the ITS (Intermountain Thoracic Society) recommendations.

The factors used in the evaluation for diagnosis and the specific norm values are included

in the software and are described in the following pages.

IMPORTANT:

DUE TO GREAT DIFFERENCES IN THE SIZE OF THE LUNGS OF CHILDREN, THERE
ARE NO STANDARD VALUES

Norm Values

ECCS

Values

for

Countries Outside the

FOR

CHILDREN UNDER 6 YEARS OF AGE.

USA

The safety standards of the European Coal and Steel Community Standards (ECCS) are
valid for adults of at least
calculated on the basis

svc

FVC

FEVl

FEVlISVC
MEF
PEF

MEFi’5
MEF5O

of

6.103

5.757

4.301

-0.179

1.944

6.146

5.459

3.794

25

years of age. Patients between the ages of

a

25

year old. The calculation equations are as follows:

x

H

-0.028 x A -4.654

x

H

-0.026

x

A

-4.345

x

H

-0.029

x

A

-2.492

x

A

+87.21 -0.192

x

H

-0.043

x

A

+2.699

x

H

-0.043

x

A

+0.154

x

H

-0.029

x

A

-0.470

x

H

-0.031

x

A

-0.352 2.450

4.664 X H -0.024 X A -3.284

4.426

x

H

-0.026 x A -2.887

3.953 x H -0.025 x A -2.604

x

A

49.10

1.252

x

H

-0.034 x A +2.924

5.50

x

H

-0.030

x

A

3.218

x

H

-0.025

x

A

x

H

-0.025 x A +1.156

-1.106
+1.596

18

and

25

are

3.6

H: Height in meters

A:

Age

Diagnosis

Chapter

3

and Norm Values

Norm

Values

Quanjer & Tammeling Comparisons

The Quanjer and Tammeling comparison is valid for children between the ages of 6 and

as follows:

H:

SVC = FVC
FEV1
FEVIISVC

lMEF= PEF 18.2x H

MEF50 5.6 x H -4.4

Height

in

meters

1

.OO

0.84

0.84

x

H(power 2.7)

x

H(power 2.7)

-6.8

0.95 x H(power 2.7)

0.81 x H(power 2.7)

0.84

6.6 x H -5.3

4.6 x H -3.3

Austrian Standard Values (Osterreich)

The Austrian standard values are
between the ages of

In(FVC) = -1.142 + 1.2591-1 + 0.004070A dW
In(FEV1) =-1.178

In(PEF)
ln(PEF75)
In(PEF50)

ln(PEF25)=-1.576+ 1.166H +0.0219A+O.O021W
FEVl %FVC

19

and

=

-0.214 + 0.921H + 0.0467A + 0.002OW

=

-0.077 + 0.770H + 0.0373A + 0.0025W

=

-0.522

=

101.99 - 1.191 H(power 2) - 3.9621n(A)

valid

for

children between

70

are

as

follows:

BOYS 5

+

+

-

17.99

years

(1.09

1.221H + 0.003841A.\IW

0.843H + 0.0300A + 0.0035W

-

1.96m)

the

ages of 7 and

1

8

and adults

17

H
W

=

Height

=

weight

..

In(FEV1) = -3.877 + 3.9809dH + 0.1485dA - 1.322Fi
In(PEF)

=

0.41

1

+

1.7931n(H) + 0.42511n(A) - 0.91OFi

=

ln(MEF75)

I

InlMEFSOI = 0.256 + 1.6431n(HI + 0.34811nlA) - 1.089Fi

FVC = -1 1.606 + 8.172H - 0.0339A x H + 1.2869In(A)
FVC1
dPEF
dPEF75
dPEF5O = 1.490 + 1.2901n(H) + 0.0125A - 0.000218A(power 2)
dPEF25

FEVl %FVC

0.455 + 1.6161n(H) + 0.37381n(A) - 0.861Fi

=

-8.125 + 6.212H - 0.0300A x H + 0.97701n(A)

=

1.798 + 2.31 1 In(H) + 0.0159A - 0.000248A(power 2)

=

1.581 + 1.8541n(H) + 0.0213A - 0.000283A(power2)

=

1.314 + 0.8981n(H) - 0.0083A - 0.000026A(power 2)

=

101.99 - l.lSlH(power2) - 3.9621n(A)

..

FVCl = -6.995 + 5.174H - 0.0314A x H + 1.02511n(A)

=

1.832 + 1.8381n(H) + 0.0078A - 0.000172A(power 2)

dPEF
dPEF75

dPEF50
dPEF25

FEV1 %FVC

in

meters

in

=

1.779 + 1.4211n(H) + 0.0096A - 0.000179A(power2)

=

1.561 + 1.1771n(H) + 0.0045A - 0.000140A(power2)

=

1.372 + 0.9381n(H) - 0.01 52A + 0.000036A(power 2)

=

118.993 - 3.0320H(power 2) - 6.90531n(A)

A

=

Age

in

years

Fi

=

kg

body fat index

=

H/qW

SCHILLER

SP-10

Spirometer - User Guide

3.7

Chapter

3

Diagnosis and

Norm

Values

Norm

Values

Swedish Standards (Berglund)

The Swedish (Berglund) standard is valid for adults between the ages of
follows:

FEV%

91.79 -(0.373

SVC

1.09 [ (4.81

FEV 1.01.09 [ (3.44

x

x

H)

A)

x

-(0.020

H)

-(0.033

92.1 1 -(0.261

x

A)

-2.811

x

A)

-1.001

1.09 [ (4.04

1.09 [ (2.67

x

x

H)

X

H)

A)

-(0.022

-(0.027

A: Age
H: Height in meters

Finnish Standards

The Finnish standard is valid for adults from the age of

18

years

as

follows:

18

x

A)

x A)

and

-2.351

-0.541

75

years as

svc

(I)

FEVl

(I)

FVC

(I)

FEVl ISVC(%)

FEVl

I

FVC

(“A)

PEF

(11s)

svc

(I)

FEVl

(I)

I

FVC

(1)

FEVl ISVC
FEVl I FVC

I

PEF

(%)

(“A)

(11s)

A: Age

H: Height in meters
log: Logarithm to base

exp
exp

exp
exp
exp
exp

I

exp

I

exp

I

exp

I

exp

I

exp

I

exp

10

[(-0.00833
[(-0.00587

[(-0,00827
[(0.00246
[(0.00240
[(-0.00211

[(-0.01016
[(-0.00920
[(-0.00982

[(0.00096
[(0.00062
[(-0,00677

x

A)

+

(0.6309

x

log

A)

+

(-1.4750

x

A)

+

(0.2756

x

log

A)

+

(-1.1655

x

A)

+

(0.5860

x

log

A)

+

(-1.4468

x

A)

+

(-0.3553

x

A)

+

(-0.3104

x

A)

+

x

A)

+

x

A)

+

x

A)

+

x

A)

+

(-0.2223

x

A)

+

(-0.1586

x

A)

+

(0.1049

(0.6995
(0.4772
(0.6358

(0.4017

x

log

A)

+

(0.3095

x

log

A)

+

(0.2813

x

log

A)

+

(-0.6774

x

log

A)

+

(-1.4518

x

log

A)

+

(-1.3284

x

log

A)

+

(-1.4137

x

log

A)

+

(0.1233

x

log

A)

+

(0.0853

x

log

A)

+

(-0.7422

I

H)

+

0.90471

I

H)

+

1.09801

I

H)

+

0.94611

I

H)

+

2.19331

I

H)

+

2.15191

I

H)

+

1.32551

I

H)

+

0.77631

I

H)

+

0.92961

I

H)

+

0.83201

I

H)

+

2.15331

I

H)

+

2.09751

I

H)

+

0.96611

1

I

Chapter

Diagnosis and Norm Values

3

Norm

Indian Equations

The Indian equations are valid for patients from the age

FVC
FEVl

FVC
FEV1

FEVl IFVC

svc

FEV3
FEF25-75%
PEF
FEF5O
FEF75

MW

Values

<30

years

old:

0.055 x H + 0.019 x A -6.058

0.039

x

H

-

0.010 x A -3.266

230

years

old:

0.054 x H - 0.01

0.037

x

-0.1756~ H -0.2457xA-119.346

0.0522

x

0.0485

x

0.0173

x

0.0850 x H - 0.0187 x A -6.2083

I

0.0195

x

I

0.0088

x

I I

I

1.3056

x

8 x A -4.832

H

-

0.022 x A -2.650

H

-

0.01 14 x A -4.859

H

-0.0183

H

-

0.0407 x A -1.6108

H

-

0.0365 x A -1.7383

H

-

0.0301 x A -1.0402

H

-

0.5228

x

A

x

A

-4.138

-93.2102

of

7 years as follows:

I

0.030 x H + 0.006 x A - 2.284

1

0.025

x

H

-

0.01 1 x

A

-

A

x

x

x

1.424

-

3.755

A
A

A

-

5.927

-

5.660

-

25.0208

I

10.043 x H - 0.010 x

10.032 x

10.0272

10.0113

10.7149 X H - 0.3624

H

-

0.012 x A - 2.580

-0.0334 x H - 0.2146 x A - 94.8867

0.0587

x

H

-

0.0296

0.0533 X H - 0.01 05
0,0245 X H - 0.0336 x A - 0.1399

0.0497XH-0.0018~ A-2.7154

x

H

-

0.0279 x A - 0.2704

x

H

-

0.0288 x A - 0.5012

A:

Age

H: Height in meters

Norm Values for

USA

and Canada

Morris Norm Values

The Morris equations are valid for women between

range

of

20 to

90

of 20 to

F

FEVlIFVC
FEF0.2 - 1.2

FEF75 - 85

years, and for men between

90

years as follows:

0.0920

-0.31 18

0.1090

0.0470

0.0130

x

H

-0.0320 x A -1.260

X

H

-0.2422

x

H

-0.0470

x

x

H

-0.0450 x A +2.513

x

H

-0.0230 x A +1.210

X

A

A

+107.120

+2.010

58

The Morris normals are extended with the following:

56

and 72 inches tall and within the age

and

80

inches tall and within the age range

0.0890

x

H

-0.0250 x A -1.932

-0.0679

x

H

-0.1815

XA

+88.700

0.1450 x H -0.0360 x A -2.532

0.0600 x H -0.0300 x A +0.551

0.0250 x H -0.0210 x A +0.321

SCHlLL

FEV3.0
FEV3.OIFVC
MVV

A: Age
H: Height in inches

ER

SP-

10

Spirometer - User Guide

I

-0.1359

-0.1593

3.4040

x

H

-0.0271

x

x

H

-0.1450

x

x

H

-1.2600 x A -21.400

A
A

-3.512
+I

12.090

1-0.1 123 x H -0.0257

-0.2380X H-0.1630xA+118.160

2.0500

x

H

-0.5700

x

x

A

A

-2.745

-5.500

3.9

Chapter

Diagnosis and

3

Norm Values

Norm

Crapo

Values

Norm

Values

The Crapo equations are valid for men between 61 and 77 inches tall and within the age

range

of

18

to

89 years, and for women between

range

of

18 to 89 years as follows:

FVC 10.1247 x H -0.0216 x A -3.590
FEV1

FEV3
FEVllFVC
FEF25

-

MVV Vol.

10.1524~ H -0.0214xA-4.650

10.1052xH-0.0244xA-2.190 10.0869

0.1359xH-0.0271 XA-3.512

x

H -0.1520 x A +110.490

x

H -0.0380 x A +2.133

x

H -1.2600 x A -21.400

75

-0.3302

0.0518

3.4040

The Crapo normals are extended with the following

57

and 71 inches tall and within the age

x

H -0.0255 x A -1.578

0.1 123 x H -0.0257 x A -2.745

x

H

-0.2520

xA

-0.5131

0.0391

2.0500

ITS

equations:

x

H -0.0460 x A +2.683

X

H

-0.5700

+126.580

X

A -5.500

IFEV3.0lFVC I -0.1593 x H -0.1450 x A +112.090 1-0.2380 x H -0.1630 x A +118.160

A: Age

H:

Height in inches

I

3.10

~ ~~ ~

Diagnosis

and

Norm Values

Chapter

3

Norm

Knudson

The Knudson equations are valid for both children and adults

Values

Norm

Values

in

specific groups according

to age and height as follows:

H=44

to

61

inches,

A

=6

to

11

yrs

\

FVC
FVC0.5
FEVl
FEVllFVC
FEF25 - 75

PEF

I

FEF5O

I

FEF75

I

MVV 14.6800

FVC
FVC0.5
FEV1
FEVlIFVC
FEF25 - 75
PEF

FEMO
FEF75
MW

0.1 039 X H

0.0760 X H +0.0430 x A -3.050

0.0884 x H + 0.0 x A - 2.814

-0.2065

0.0859

0.1980

1

0.0960

I

0.0434 X H + 0.0

I

H

=

10.1499

0.0760

0.1318 X H + 0.0636

-0.2065

0.1369 x H + 0.0749

0.1980 x H + 0.1660

0.1379 x H + 0.1 150

0.1008

4.6800

55

+

0.0

x

H

+

0.0

x

H

+

0.0

x

H

+

0.1660

x

H

+

0.0

x

H

+

1.8 x A - 192.320

to

76

inches,

x

H

+

0.0739

x

H

+

0.0430

x

H

+

0.0

X

H

-0.0057

x

H

+

1.8000

x

A -3.376

x

A

x

A - 2.320

x

x

A - 2.545

x

A

-

A

x

x
x

x

A

x
x

x

x

x

+

100.439

A

-

1.01 5

=

12

A

-

A

-

A

-

+

100.439

A

-

A

-

A

-

A

-

4.242

A

-

8.061

to

25

6.887

3.050

6.1 18

6.199

8.061

6.385

192.320

yrs

H = 42

to

58

inches,

A

=

6

to

10

yrs

0.1 092

x

H

+

0.0 X A -3.749

0.0480 x H + 0.0610 X A -1.740

0.0853

x

H

+

0.0 x A - 2.758

-0.4849

x

H

+

0.6655 x A + 109.974

0.0559

x

H

+

0.0

X

A

-

0.812

0.1240 x H + 0.1570 x A - 3.920

10.0

x

H + 0.1846 x A + 0.736

10.0277 x H + 0.0

12.7600 x H + 3.4000 x A - 108.120

1

H

=

52

to

10.1057 x H + 0.0699 x A - 4.447

0.0480

x

0.0892

x

-0.4849

x

0.0709 x H + 0.1275

0.1240 x H + 0.1570 x A - 3.920

0.0732 X H + 0.11 11 X A - 2.304

2.7600 X H + 3.4000 X A - 108.12

x

A

-

0.1 66

72

inches,

A

=

H

+

0.0610 x A - 1.740

H

+

0.0694 x A - 3.762

H

+

0.6655 x A + 109.974

x

A

1 1

-

2.801

to

20

I
I
I

yrs

FEV3.0
FEV3.0lFVC

FVC 10.1524xH -0.0214xA-4.650
FVCO.5
FEVl

FEV3.0
FEVlIFVC

FEF25 - 75 10.1471 x H - 0.0363 x A - 4.518

FEF75-85

PEF
FEF25

FEF50

FEF75
MVV

I

FEV3.0lFVC 1 -0.1 593

A:

H:

0.1359

X

H

-

-0,1593

x

H

-

I

H = 62

to

77

0.0831 xH-0.0152xA-1.914

0.1052

X

H

-

0.1359

x

H

-

0.0

x

H

-

0.1050 x A + 86.686 -0.4704 X H - 0.1896 X A + 121.678

I

0.0130~H-0.0230~A+ 1.210

0.2390 X H - 0.0350

0.0900

X

H

-

0.1 737 X H - 0.0366 x A - 5.409

0.0787

x

H

-

3.0300

X

H

-

x

H

-

Age

Height in inches

0.0271 x A - 3.512

0.1450

x

A

+

112.090

inches,

A

=

26

0.0244 x A - 2.190

0.0271 x A - 3.512

x

A

-

5.990

0.0200 x A + 2.726

0.0230 x A - 2.483

0.8160 x A - 37.900

0.1450 x A

+

1

0.1 123 x H - 0.0257 X A - 2.745

-0.2380~H-0.1630xA+118.160

I

H

=

58

to

71

inches,

A

=

21

to

-

0.809

-

1.578

+

0.321

-

4.870

120

to

120

yrs

10.1247

x

H

-

0.0216 x A - 3.590

0.0605

x

H

-

0.0185

x

A

0.0869

x

H

-

0.0255

x

A

0.1067

x

H

-

0.0257 x A - 2.745

I

(0.0531

x

H

-

0.0344 xA + 1.128

0.0250

x

H

-

0.0210

x

A

0.1240 x H - 0.0250 X A - 0.740

0.0690 x H - 0.0190 x A + 2.147

0.0681 x H - 0.0289 x A + 0.609

0.0244

x

H

-

0.0259 x A + 1.1 18

2.1400

x

H

-

0.6850

x

A

12.090 1-0.2380 x H - 0.1630 x A + 118.1 60

yrs

I

SCHILLER

SP-I0

Spirometer - User Guide

3.

I

I

Chapter

3

Diagnosis and Norm Values

~

Norm

Knudson

The Knudson

Values

76

Norm

76

equations are valid for both males and females in specific age groups as

Values

follows:

IFEF25-75 10.1499xH +0.0xA-5.443 10.0635~ H + 0.121 x A - 0.893

PEF
FEF25

FEF50
FEF75

FVC

I

FVCO.5

FEVl

.O

FEV3.0
FEVlIFVC

FEF25 - 75
PEF
FEF25
FEF50
FEF75

10.1981

x

H

+

0.166 x A - 8.060

10.1778 x H + 0.147 x A - 7.054

0.1295

x

H

+

0.081

x

A

-

4.975 0.0864

0.0813

x

H

+

0.0 x A - 2.455

Age

225

yrs

0.1651

x

H

-

0.029 x A - 5.459 0.0940

I

0.0940

x

H

-

0.017

x

A

-

2.746 10.0483

0.1321

x

H

-

0.027

x

A

-

4.203

0.1600

x

H

-

0.031 x A - 5.245

-0.2210 x H - 0.140 x A + 103.64

0.1 143 x H - 0.031 x A - 1.864

0.2388

x

H

-

0.035 x A - 5.993

0.2235

x

H

-

0.035 x A - 5.618

0.1753xH-0.015xA-5.400

0.1118xH -0.012xA-4.143

10.1245 x H + 0.157 x A - 3.916

10.1118~

0.0 x H + 0.139

Age

0.0686

0.0889

-0.281 9 x H - 0.109 x A + 107.38

0.0533XH -0.024xA+ 1.171

0.1245 X H - 0.025 x A - 0.735

0.1092 X H - 0.025 x A - 0.1 32

0.0889

0.0

H

+

0.144 x A-3.365

x

H

+

0.120

x

x

A

+

220

yrs

x

H

-

0.022

x

A

x

H

-

0.01 4

x

A

x

H

-

0.021 x A - 0.794

x

H

-

0.023 x A - 1.633

x

H

-

0.013 x A - 0.444

X

H - 0.014 X A + 3.042

A

-

2.531

0.692

-

1.774

-

0.406

I

I

A:

Age

H:

Height in inches

Composite Norm

Selection of the Composite normals provides selected equations taken from other tables as

follows:

Values

FEVl

FEV3

I

svc

Knudson

Crapo

I

Knudson

(same

as

FVC)

I

3.12

Chapter

Diagnosis and Norm Values

3

Norm

Polgar Norm Values

The Polgar equations are valid

Values

for

both children and adults in specific groups according

age as follows:

I

FVC
FVC0.5
FEVl

.O

FEF25 - 75%
PEF

MW

I

FVC

FEVl.0
FEF25 - 75

PEF

FEF50
FEF75

MW

I

FEF3.0
FEF0.2-1.2
FEF25 - 75%

IFEF75 - 85% I H"0.0130 -A*0.0230 +1.210

PEF
FEF25

FEF50
FEF75

MW

I

Age under

H(power 3)*0.0000071 +H(power 2)
'0.00057 -H*0.0123 +0.14

H*0.076 +A*0.043 -3.05
H(power 3)*0.00000087 +H*0.00035 H(power 3)*0.0000086 +H(power 2)

W0.0086
W0.1109 3.46 H*0.1109 -3.46
H*0.2219 -7.09 H*0.2219 -7.09
H"4.68 -A*l.8 -1 92.32

I

Age

H"0.1499 +A*0.0739 -6.887

H*0.1318 +A*0.0636 -6.118
H'0.1369 +A*0.0749 -6.199

H*0.1980 +A*0.1660 -8.061

H*O.

H"O.1008 -A*0.0057 -4.242
H*4.68 +A*1.8 -192.32

I

Age over26 years

H*0.1090 -A*0.0470 +2.010
H*0.1471 -A'0.0363 -4.518

H*0.2390 -A*0.0350 -5.990
Hn0.0900 -A*O.O220 +2.726

H"0.1737 -A"0.0366 -5.409
H*0.0787 -A*0.0230 -2.483
H"3.03 -A*0.816 -37.9

18

years

+0.1

18

to

25

years

1379 +A'O. 1 150 -6.385

I

Age under

H(power 3)'0.0000076 +H(power 2)
*0.00048 +H*0.0112 +0.13

*0.00035 -H*0.0086 +0.1

H"2.76 -A*3.4 -108.12

I

Age

H*0.1057 +A*0.0699 -4.447

H*0.0892 +A'0.0694 -3.762
H*0.0709 +&0.1275 -2.801

H'0.1240 +A*O.1570 -3.920

-

H*0.0732
H*0.0617 +A*0.2923 -4.401
H*2.76 +A*3.4 -108.12

1

Age over20years

W0.1067 -A*0.0257 -2.745

H*0.1450 -A*0.0360 -2.532
H*0.0531 -A*0.0344 +1.128

I

H*0.0250 -A*0.0210 +0.321
H*0.1240 -A*0.0250 -0.740
H*0.0690 -A*O.0190 +2.147

H*0.0681 -A*0.0289 +0.609
H*0.0244 -A'0.0259 +1.118
H2.14 -A*0.685 -4.87

18

to

20

+A*O.

18

years

years

1 1 1 1 -2.304

to

I

I

I

I

SCHILLER

A:

Age

H:

Height in inches

The remaining values are taken from the

SP-I0

Spirometer - User Guide

ITS

equations.

3.13

Chapter

Diagnosis

3

and

Norm Values

Norm

Race Influences

According to the setting
are (according

.

Values

on

Norm

Values

of

the patients race the predicted values will differ. The differences

to

ITS

recommendations) as follows:

When in the "Settings" menu
All values are calculated according
When in the "Settings" menu

W (White): values are calculated according to the given formulas

B (Black):

When in the "Settings" menu

C

(Caucasian):

H

(Hispanic):

B

(Black):

85%

values are calculated according to the given formulas

valuesarecalculatedaccordingtothe

85%

NONE

was set:

to

the given formulas.

(WB)

was set:

of the given formulas

(CRVBIA)

of the given formulas

was set:

(=

(=

given formulas (=

lOOo/)

100%)

100%)

A

(Asian):

85%

of the given formulas

3.14

Chapter

Data Storage and Transmission

4

Data Storage and Transmission

DATA STORAGE

Store Data in Memory
Recall
Delete Data from Memory
Maximum Memory Capacity

DATA TRANSMISSION

Setups before Sending Data
Line Transmission
Modem Transmission
Enter Phone Number for Modem Transmission
Send Data
Error Messages

.............................................................................................

...............................................................................

Data from Memory

.........................................................................

.........................................................................

......................................................................

...................................................................................

.....................................................................

.....................................................................................

................................................................................

...............................................................................................

.......................................................................................

........................................

4.3

4.3

4.3

4.3

4.4

4.5

4.6

4.7

4.8

4.9

4.10

4.10

SCHILLER SP-10

Spirometer . User

Guide

4

.

I

Chapter
Data Storage and Transmission

4

Data Storage

Chapter

Data Storage and Transmission

4

Store Data

To store spirometry data in the built-in memory (e.g. for tests with PRWPOST medication),

proceed as follows:

1.

2.

in

Memory

Enter patient data (important for later identification in the memory list).
Make tests.

(s,,,,1

3.

After completing the tests, press the

appears as confirmation of the saving.

NOTE: The values

4.

Return to the main menu with

Recall Data from Memory

To recall spirometry data from the memory, proceed as follows:

of

the

FVC,

SVC,

MV

and

w

DATA

'

key. The message "FILE

M

W

tests can be stored.

IS

STORED"

2.

Select file by moving the cursor with the arrow keys to the appropriate position.

3.

Confirm selection by pressing them key.

NOTE: Only the patient data and measurement values can be vie wed on the screen.

4.

The complete test can be printed as described in Chapter 3 under "Printing out Test
Curves and Measurement Results".

Delete Data from Memory

To delete spirometty data from the memory, proceed as follows:

2.

Select file by moving the cursor with the arrow keys to the appropriate position.

3.

Confirmselection by pressingthek key.The message"DELETE FILE?

appears.

4.

Confirm with

Y

(yes) or retract with N (no).

(Y/N)"

SCHILL

ER

5.

Return to the main menu with

SP-

10

Spirometer - User Guide

4.3

Chapter

4

Data Storage and Transmission

Data

Storage

Maximum

Memory

Capacity

The maximum memory capacity for the SP-10 is as

0

I

60

patients (one test only)

0

or

30

patients

0

or

30

patients

0

or

30

patients

(3
(3

(3

FVC
FVC

FVC

13

SVC

I

1

MV

I

3

SVC Pre & Post Test)

I 3 SVC

I 1 MV I 1 MVV Pre & Post Test)

follows:

I 1 MVV Test)

4.4

Data Storage and Transmission

Data Transmission

The SCHILLER SP-10 can only send spirometry data to a PC (SEMA). The units can be

connected directly or can communicate over a telephone line by modem. Data transmission
is facilitated via one of the standard serial interfaces on the back panel. For shorter distances
and with a modem use the
longer cables the RS-422 interface (ma. 1'200 metres) is recommended.

Only the spirometry data that is currently in the memory of the SP-10 can be sent.

Direct

data sending

sending over a

In

in line mode called BLOCK. With block transmission the transmitted data is checked

for errors and corrected accordingly.
Two types of transmission protocols can be selected in modem mode called CCITT

and BELL. These are standard modem protocols and are selected according

type modem connected.

telephone

spirometry mode only one type of line sending format

RS-232

to

a connected PC (SEMA) is called

line is called

Port 3 interface (ma.

MODEM.

15

metres with

LINE

(to

19'500

Baud). With

transmission and data

SEMA) is

to

be selected

to

the

Chapter

4

Other transmission settings that are applicable for both line and modemtransmission are
follows:

Channel

Baud

Parity
stop

ALLTHESE SETTINGS ARE LARGELY DEPENDENTON THE PCTHAT
THEY MUST BE THE SAME IN BOTH THE TRANSMITTING AND RECEIVING UNITS!

Here the connector is selected for transmission.
This sets the speed of transmission -the higher the Baud rate

the quicker the transmission. In good quality lines or short
distance lines a high Baud rate can be set. When a
transmission errors occura lower Baud rate should be selected.

This is a method of detecting errors in the transmission.
This is a method that the hardware uses

and end of sections of the message.

to

determine the start

IS

CONNECTED.

lot

as

of

SCHILLER

SP-10

Spirometer

-

User

Guide

4.5

Chapter

4

Data Storage and Transmission

Data

Line Transmission

SEMA is the SCHILLER data management system for diagnostics which allows storage,
processing and archiving of pulmonary function tests on

If your

LINE

Channel

Transmission

For the data transfer to

SP-10

is connected directly to a PC with SEMA, proceed as follows:

r

m-.'

Set the following parameters for line transmission:

(2)

RS-232

SEMA

only

'-1

Select line transmission and the format with key
Set to: LINE: format = BLOCKS

Use Key
Select between

2

a

PC.

use

BLOCKS.

1

---

MODE

SETIING

Parity

Channel Baud

stop

to select the required channel.

RS-232

or

RS-422

RS-232/422

4

:

(normally

- - -

RS-232

9600

NO

1

RS-232).

1.

Baud

(3)

Parity

(4)

N0TE:Checkthat these settings are the same as the PC to which the

Use Key
The following values are available:

2400,4800,9600, 19200,38400,76800, 153600.

Key 4 selects the parity. The available choice is either EVEN,

ODD

The length
The available choice is either

3

to select the required baud rate.

or NO (normal position NO).

of

the stop bit is determined by pressing key

1, 1.5

75, 150, 300,

or 2 (normal position

SP-10

600,

1200,

5.

1).

is connected.

4.6

Chapter

4

Data Storage and Transmission

Data

Transmission

Modem Transmission

If

your

SP-10

is connected over a modem to a PC, proceed as follows:

[srmFx;s)r<

RS-232

>

Set the following parameters for MODEM transmission:

MODEM

Select line transmission and the format with key

The following two formats are selectable:

MODEM: protocol
MODEM:

protocol
Select in accordance with the protocol of your telephone
exchange.

Channel

(2)

Use Key

2

Select between

to select the required channel.

RS-232

Kind

of

tranmission

I

(1):

MODEM:

MODE SETTING RS-232/422

or

RS-422

(normally

-

-

-

-

protocol=

RS-422

RS-232).

9600

NO

CCln

--

1

CCITT

-

1.

BELL

Baud

Parity

(3)

(4)

Use Key 3 to select the required baud rate. The following
values are available:

9600, 19200,38400,76800,153600.

75, 150, 300,

Key 4 selects the parity. The available choice is either EVEN,

ODD

or

NO

(normal position NO).

The length of the stop bit is determined by pressing key
available choice is either

1, 1.5

or 2 (normal position

Selections 2 to 5 are the same as with line transmission.

N0TE:Check that these settings are the same as the device

connected.

600,

1200, 2400, 4800,

to

which the

5.

The

1).

SP-10

is

SCHILLER

SP-10

Spirometer - User Guide

4.7

Chapter
Data Storage and Transmission

4

Data

Transmission

Enter

Phone

@-<

. . . . . . .

. . . .

A

typical example

Number for Modem Transmission

To enter the Phone number of the reception unit, proceed as follows:

MODEM Phone-No.:

Phone

of

No.

Modem

a telephone number can be as follows:

>

T'=Tone:

save

PO

with

'P'=Pulse;

ENTER

','=l

sec

00.41.42.3343

Pause

53

Select Pulse Dialling
Outside Line

1s

Pause

T-

International Code
National Code
Telephone Number

Before entering the telephone number the type of dialling must be entered. This is
determined by the type of telephone exchange.
dialling; older exchanges use pulse dialling.

If

it is necessary to enter a pause in the dialling sequence then enter a comma. The
comma gives a one second pause;
can be entered. This may be required for example,
line. To give the exchange time to set up the connection, it is also a good idea to insert
a pause after a national or international code.

Press

ENTER

to confirm the settings and return to the main menu.

if

a longer pause is required, two or more commas

All

modern exchanges now use tone

If

in doubt select pulse.

if

you have to wait for an outside

4.8

Chapter

Data Storage and Transmission

4

Data

Send Data

To

NOTE: If stored data in the memory is

then be sent pressing

A

Transmission

send the spirometry data that is currently stored in the memory proceed as follows:

Check that the cable is connected to the
Be sure that all the setups are done and correct.

Press the

Error

Messages

If the data can not be sent an error message will be displayed in the status field.

list of possible error messages and their possible causes together with solution possibilities

is given below:

I"'"")

,.

D.ATA

.....

key after the tests are completed.

to

w..

.

. . . . .

. . . . . .

SP-10

(RS-232

be sent, it must first recalled on the screen.

Port

3

or

RS-422).

It

can

SERIAL LINK TIME-OUT This indication appears

unit (after approximately
Checkthat the remote unit is switched on and set

parameters.

Check the correct setup in both connected units

(=>

SETTINGS key).
Check that the connecting cable is plugged in correctly.
Check the integrity of the cable assemblies (on both units).

If

using a modem ensure that it

remote modem.

if

nosignal is receivedfromthe remote

30

seconds).

to

the correct

is

communicating with the

SCHlLL

ER

SP-

10

Spirometer - User Guide

4.9

Chapter
Data Storage and Transmission

4

Data Transmission

TX-ERROR (PARITY)

TX-ERROR (OVERRUN)

TX-ERROR (FRAMING)

DATA SET NOT READY!

This indicates a parity error.

Check that the parity is set correctly in both receiving and

transmitting units

If there is a parity error it indicates that the data may be faulty.
Select other test data and re-transmit.

Carry out the RS
This indicates a system timing error.
Carry out the RS self test
This indicates a transmission error or that the baud rate is not

the same setting in both units.
Check that the baud rate is set correctly in both units

(=>

SETTINGS

Check that the connecting cable is plugged in correctly.
Check the integrity

If using a modem ensure that it

remote modem.
This

is

a general fault indication.

Checkthattheremote unit isswitchedon andsettothecorrect
parameters.

(=>

SElTINGS

self

test procedure.

(=>

key).

of

the cable assemblies (on both units).

key).

SETTINGS

is

/

5).

communicating with the

NO DATA IN MEMORY!

Check that the connecting cable is plugged in correctly.
Check the integrity of the cable assemblies (on both units).

If using a modem ensure that it is communicating with the
remote modem.

A spirometry data transmission has been attempted, but no
data

is

stored in the units memory.

Store a spirometry test in the memory and attempt the
transmission again.
your SCHILLER agent.

If

the same message appears, contact

4.10

Chapter

Maintenance. Testing. Troubleshooting

5

Maintenance. Testing.

Trouble Shooting

REPLACING THE RECORDING PAPER
CLEANING THE CASING

FLOW

SENSOR

Cleaning and Sterilising
FLOW SENSOR SP-150
FLOW SENSOR SP-20
FLOW SENSOR SP-11OIR WITH RESISTANCE

Cleaning the Resistance Sensor SP-11OIR
USER CHECKS

Self-Test

Technical Safety Check

USER CHECKS

Test

SP-110

.............................................................................................

of

the Unit

.............................................................................................

Output

Channels (RS-Test)

...............................................................................

.................................................................................

............................................................................

.................................................................................

...................................................................................

.................................................................................

...........................................................................

.......................................................

.............................................................

SENSOR

............................

..............................................

5.10

5.10

5.10

5.11

5.11

5.3

5.3

5.4

5.5

5.6

5.7

5.8

5.9

SCHILLER

SP-10

Spirometer . User

Guide

5

.

I

Chapter
Maintenance, Testing, Troubleshooting

5

5.2

Ma in t e n ance, Testing, Troubleshooting

Replacing the Recording Paper

A

red strip on the bottom edge
When this strip appears, there are about fifteen
be replaced as soon as this indication appears. Should the paper run out completely, then
an audible alarm is initiated and the message

To replace the paper, proceed as follows:

of

the recording paper indicates that it needs to be replaced.

A5

pages left. We recommendthatthe paper

"REFILL

PAPER!" appears on the display.

Chapter

5

By pressing the key

Remove any remaining paper from the paper compartment.
Take a new packof recording paper and place it into the paper compartment with the

grid side upper most and with the black markings at the top
back of the unit.

Pull

the first sheet out

0

Pressw again and the paper tray slides in automatically.

When printing is restarted, the warning message will be removed from the display.

NOTE:

WELCH ALLYN can onlyguarantee impeccableprinting qualityif the original

chart paper orpaper

the paper tray slides out automatically.

of

the paper tray

of

equal quality

so

that it is over the roller

is

used.

of

the paper towards the

Cleaning the Casing

The casing of the

Switch the unit off before cleaning.

SCHILLER

SP-10

should be cleaned with a soft cloth on the surface only.

Do

NOTE:

SCHILLER SP-10 Spirometer - User Guide

not, under any circumstance, immerse the apparatus into a cleaning liquid

or sterilize with hot water, steam, or air.

5.3

Chapter
Maintenance, Testing, Troubleshooting

5

Flow

Sensor

Inner

SP-110

/

1

Outer

Tube

SCHILLER

\

Rubber

Adapter

\

\

\

\

\

\

Handle

\

\

\

-\

/

/

I

rnax.

1.5

\

crn

1

5.4

Chapter

Ma in ten an c e, Testing, Troubleshooting

5

Flow

Cleaning and Sterilising

The utmost attention must be paid

must breathe through the nozzle (inhaling as well as exhaling), it is important that the
mouthpiece and filter be renewed and the measuring tube painstakingly cleaned and
sterilised before the next patient uses the device.

To

Sensor

clean the flow sensor, proceed as follows:

Remove and discard the mouthpiece.
Remove the rubber adapter by pulling it away from the inner tube.
Remove the inner tube of the flow sensor by pushing it out of the outer tube in the

direction of the red location marks. Once the tube has been pushed half way
be pulled out from the other side.

Unscrew the two halves of the inner tube and remove and discard the filter.
Clean and sterilize all parts of the inner tube, the rubber adapter and the inside of the

outer tube with one of the following products or a product of equal quality:

Kohrsolin

SP-

1

10

to

thecleanliness of the flow sensor. Because the patients

it

can

-

Lysoform

The cable and handle can be wiped with soapy water.

To reassemble the flow sensor, proceed as follows:

Insert a new filter into the inner tube
red location mark.

Carefully screw the two halves of the inner tube together making sure that the filter

is not displaced.
Locate the end of the inner tube into the end of the outer tube and push it gently but

firmly until the shoulder of the inner tube makes contact on the outside edge of the

The

two

outer tube.
Fit the rubber adapter by placing its wider end overthe end

red location mark.

Insert a new mouthpiece

The flow sensor is now ready for use.

red location marks must be together,

(ma.

so

that it sits on the inner lip of the half with the

of

the innertube with the

1.5

cm) into the end of the rubber adapter.

SCHILLER SP-10 Spirometer - User Guide

5.5

Chapter
Maintenance, Testing, Troubleshooting

5

Flow

2.

3.

Sensor

Remove disposable mouthpiece

1.

handle
Discard the complete assembly.

Position new disposable mouthpiece
it

in position.

NOTE:

SP-150

(2).

The disposable mouthpiece can

force is necessary to insert it

(1)

by gently but firmly pulling it away from the

(Part

No.

only

on

the handle.

2.100077)

be positioned in one direction and no

and gently but firmly click

5.6

Chapter

Maintenance, Testing, Troubleshooting

5

Flow

1.

NOTE: This is only possible in one direction.

2.

Sensor

Slide out the combined filter/mouthpiece assembly

Unscrew the assembly.

I

S

P-20

(1).

SCHILLER

3.

Remove and discard filter

4.

Clean and disinfect the assembly after every patient.

5.

Insert a new filter

6.

Carefully screw the two halves

Make sure that the filter is not displaced.

7.

Push the combined filter/mouthpiece assembly gently but firmly into the outer tube
until it makes contact on the outside edge

NOTE: The assembly can

SP-10

Spirometer - User Guide

(Part

only

(2).

No.

2.100123).

be fit

in

one direction.

of

the assembly together again.

of

the outer tube.

5.7

Chapter
Maintenance, Testing, Troubleshooting

5

Flow

I

SC

Sensor

H

I

L L

SP-IlO/R

ER

with Resistance Sensor

Resistance

\

\

\

Motor

Tube

Plug

Handle

5.8

Chapter

Main t en ance, Testing, Tro ubles

h

oo

5

ting

Flow

Cleaning the Resistance Sensor
With each resistance test, a buildup of condensation is created within the resistance sensor

of the flow sensor. This should be wiped dry after each patient.

To

-

Sensor

clean the resistance sensor, proceed as follows:

Remove and discard the mouthpiece.

Disconnect the pressure tube and motor plug from the handle.
Pull the resistance sensor out of the rubber adapter.
Separate the two halves of the resistance sensor, making sure that the shutter does

not fall out.
Clean and sterilize all parts of the inner tube, the rubber adapter and the inside of the

outer tube with one
Kohrsolin
Lysoform

SP-IIO/R

of

the following products or a product

with Resistance Sensor

SP-1

1OlR

of

equal quality:

NOTE:

To reassemble the resistance sensor, proceed as follows:

The resistance sensor is now ready for use.

Before startingtests witha newpatient, the main part of the flowsensorshould
also be thoroughly cleaned and sterilised as described before.

Checkthat the shutter is in place and reassemble the two halves of the sensor making
sure that the two air tube apertures are on the same side. Press lightly until the two
halves click together.

Insert the air tube into the rubber adapter ensuring that the pressure tube and motor
plug are on the under side and pointing in the direction of the flow sensor handle (red
location mark

Slide the pressure tube over the connection on the handle of the flow sensor.

Plug the motor plug into the socket on the handle of the flow sensor.
Insert a new mouthpiece.

to

the left).

SCHILLER

SP-10

Spirometer - User Guide

5.9

Chapter

Maintenance, Testing, Troubleshooting

5

User

Self-Test of the Unit

Each time the unit is switched on, a self-test is performed to check all the functions.

Technical Safety Check

At

check should include the following:

Checks

12

monthly intervals, the unit should undergo a technical safety check. The extent of this

Visual inspection of the unit and cables.

Electrical safety tests according to
Functional tests according to the Service Handbook.

IEC

601

-1.

5.10

Chapter

5

Main ten ance, Te s ting, Troubleshooting

1

User

Checks

Test Output Channels (RS-Test)

NOTE:

The tests in this menu, in particular the self test (key

T)

which has
out with a special test plug, are intended for use by authorised service
personnel only.

First connect the SCHILLER

To

test the transmission channels, proceed as follows:

<

RS-Test

First define the transmission channel

SP-10

a-

to an external unit that can send or receive data.

TEST

R

S

2321422

0

-Test output on channel n

I

-

Test input on channel n

of

test

Settings

with

= 3

Ek153600

OE

inputloutput

test

P:

PE

TxE

(B,

P

C!

=

End

N

P

Channel selection

+I-IPIS

T

-

Selftest

CHANNEL n

DSR

BD

000001

and

S)

before it is to be tested.

=

FE

Selectthetransmission channelthat isto betested by pressing the key N (setto either

3

or

4).

Change the baud rate with the keys

pF-JorpF-,

to

be carried

plug

0

S:

1

RxR

TxR

01

Change the parity and the stop bits with the keys P and

To

carry out an input test on the selected channel, press the key

on the selected channel, press the key

With the

With the

output

test

input test

the message

a special display appears. It shows the last three lines of the

0.

"TEXT OUTPUT"

previous display with the received text characters.

To

quit either

of

the above test sequences, press

Q.

S.

1.

To carry out an output test

appears as last line.

SCHILLER

SP-I0

Spirometer - User Guide

5.

I

I

Chapter
Maintenance, Testing, Troubleshooting

5

5’

12

Chapter

Technical Data

6

Dimensions

Weight:

Power supply requirements:

Power consumption:

Battery:
Printing process:

Paper speed:
Chart paper:
Liquid crystal display:

(llwlh):

Technical

320 x 264.x 74

Approx.

1 10 I 130 I 220 I 240
13

to

30

Lead-acid,2 x 12 V
High-resolution thermal printhead, 8 dots per

(amplitude

mds

2.5

I5

1101

Thermoreactive, Z-folded,perforation for A5 format
Backlighted liquid crystal display for monitoring and

alphanumeric information
Resolution:

adjustable

4.7

kg

VA

axis),40

mm

12.5

640

VAC,50

dots per

I25

I

501

100

x

480

dots;viewing angle

I

60

Hz

mm

(time axis) @25

mds

mm

~~

Data

~

Safety standards:

Protection class:

Environmental conditions:

Keyboard:

BF

according

RL

93142lEEC
EN 60601-1:1990
IEC 601-1

pr

EN 1441 :1994

IEC 51 3:1994

EN 5501 1 IIEC 801

I

according

power)

lla according

Temperature, operating:
Temperature, storage:

Relative humidity:

condensing)

Splashproof keys

to

to

to

IEC

and complying with the following:

IEC,

VDE, SEV (with internal battery

RL

93142lEEC

10"

-1
15

to

40" C

0'

to

50"

C

-

85%

(non-

SCHILLER

SP-10

Spirometer - User Guide

6.

I

Chapter

6

Technical Data

Technical

Pulmonary Functions
Method of Measurement:
Measurement Ranges:

Measurement Accuracy:

Flow

Impedance:

Prediction Equation:

Video Connector

Data

Pneumotachometer
Flow:

0

to

+14

Vs;Volume:

0

to

+11 litres

+2%

Less than

0.5

mbar

*

s/l

at 10

Vs

Adults:ECCS / Austria / Berglund / Finnish / Indian

Morris / Crapo / Knudson / Knudson76 / Polgar

Chi1dren:Quanjer

&

Tammeling / Austria / Indian

/

Knudson / Knudson74 / Polgar

/

Connector for external monitor.

sub,

15 pole, High-density, female:

D

Resolution:
Input signals:

Scanning frequency:

Pin Connections:

640 x 480 dots
Horizontal sync.: TTL (positive)

Vertical sync.:TTL (negative)
Video:

0

to

0.7

V

Horizontal: 31.3 kHz
Vertical: 60 Hz

Pin 2 Video
Pin

5

Test
Pin 7 Video GND
Pin

9

DCLK
Pin 10 Sync GND
Pin 11 DlSP
Pin 13 H-SYNC
Pin 14 V-SYNC

6.2

Technical Data

Serial Interfaces

Chapter

Technical Data

6

RS-232 0124)

Protocol:
Baud Rate:
Byte Format:

Transfer Control:
Connection Socket:

Pin Connections:

RS-422

Protocol:
Baud Rate:

Interfaces (Interfaces

Interface (Interface

No.

1,2

and

3)

Asynchronous
75 to 153600 Baud

1

start bit, 8 data bits

0

or 1 parity bit

1

/

1.5 / 2 stop bits, programmable

By means

3 x D subminiature
wired as DTE (Data Terminal Equipment).

Channel 1,2,3:
Pin 3 TXDl
Pin

2

RXDl
Pin 7 RTSl
Pin

8

CTSl
Pin 6 DSRl
Pin

4

DTRl

5

GND (ground)

Pin

No.

4)

Asynchronous

75 to 15600 Baud

(+

or

-),

programmable

of

DTR, DSR, CTS, RTS

(9

pole female),

0

(output data)

I

(input data)

0

(request for output)

I

(ready for output)

I

(transfer unit ready)

0

(SP-10 ready)

Byte Format:

Transfer Control:

Connection Socket:
Pin connections:

1 start bit, 8 data bits

0

or 1 parity bit

1

/

1.5 / 2

None

1

x

D-sub, 9 pole

Pin 1 GND

2

TXC+

Pin
Pin 3 TXC­Pin

4

RXC+
Pin 5 RXC
Pin 6 RXD
Pin 7 RXD
Pin 8 TXD+

9

TXD

Pin

(+

or

stop bits, programmable

-

+

-

-

-),

programmable

SCHILLER

SP-10

Spirometer - User Guide

6.3

Chapter

Technical Data

6

6.4