piCO+ Smokerlyzer®
Contents
1. Disposable cardboard mouthpiece piCO Operating Manual ico smokeryzer p LCD with 1ppm increments Electrochemical sensor 2 lt 10 2 x AA LR6 or equivalent alkaline batteries Typically lt 30 seconden to 90 FSD 0 40 C storage 0 50 C 10 90 storage 0 95 condensing Approximately 5 years 2 year warranty 1ppm Approximately 45 x 75 x 120 mm Approximately 200g including batteries Body Polycarbonate ABS blend with elastomeric overmould D piece Polypropylene piCO Operating Manual Instrument layout e o 6 O Display Coloured LEDs Button Aperture for D piece Breath sampling D piece Securing lug on D piece Q Exhaust port for breath sample Sounder USB connector Cardboard mouthpiece Battery compartment Reset button B Battery cover www covita net tel 800 707 5751 piCO Operating Manual Display symbols ico Breath CO Start up screens bedfent ow Monitor Battery condition ik C User profile Ri 2 LE Sounder PU 2A Q Pointe BW Start breath test e Enter calibration mode ri Enter set up mode Sue ie Q mhae amp P ber Breath hold and countdown amp m Exhale for breath test amp Peak CO reading ppm and COHb Set instrument zero in fresh air Eo Apply calibration gas at 20ppm a 20ppm D Calibration pass fail X QD Calibration reminder 4 P x2. a telephone and envelope symbol The unit can be turned off by pressing the button for three seconds It is possible to re start the unit and attempt the zeroing process again piCO Operating Manual If after an attempted calibration with 20ppm CO gas the display shows a X the gas value was not within the permitted limits The achieved reading is displayed underneath the x If the value is much lower than 20ppm there may have been a problem with the supply of gas from the cylinder during the calibration process If the displayed value is much higher than 20ppn it is possible that the wrong concentration of calibration gas is being used In either case check the cylinder connections and flow rate before double clicking the button to repeat the calibration process If after a third repeated attempt to calibrate the instrument the display shows a X again the unit will have to be reset or restored using the reset button located in the battery bay If the problem persists please return the unit to Bedfont or your local distributor for investigation and repair In this case the display shows a telephone and envelope symbol The unit can be turned off by pressing the button for three seconds It is possible to re start the unit and use it with the previous calibration settings or to attempt the complete calibration process again piCO Operating Manual COdata software Connecting to the PC e Place one end of the con
3. User profile selection ie B Select adult user profile m 1 D Select adolescent user profile 2 20 Select custom user profile if set via COdata software on PC 21 Contact Bedfont or distributor for help AN I D piece reminder ho Return LI RE X piCO Operating Manual Warnings and maintenance Warnings People with lung disease or chest ailments may not be able to achieve the 15 second breath hold In such cases the user should inhale and hold their breath when the breath test is started and exhale if necessary before the countdown has completed Mouthpieces should be replaced after every use Hands should be washed regularly in accordance with infection control practice Cleaning Wipe the instrument and D piece external surfaces with a product specifically developed for this purpose Bedfont provides instrument cleansing wipes NEVER use alcohol or cleaning agents containing alcohol or other organic solvents as long term exposure to these vapours will damage the CO sensor inside Under no circumstances should the instrument be immersed in liquid or splashed with liquid Routine maintenance Calibrate the monitor using Bedfont 20ppm CO in air calibration gas when prompted by the calibration reminder on the piCO see page 11 Once calibration has been carried out a reminder will reoccur in 6 months Replace batteries when indicated battery symbol either ll T
4. ch th file fi dult t sounder press the button once pp db adi dec d M sca d adolescent or a custom profile if one has The highest level detected during the been set using COdata software see exhalation will remain on the page 3 display The test is complete when the pointer and return symbols appear at the bottom of the display To permanently silence the sounder during the breath test follow the instructions on page 14 LED colour Description User profile 1 User profile 2 Adult ppm Adolescent ppm Non smoker Danger zone Frequent smoker 16 25 Addicted smoker 26 35 Heavily addicted smoker 36 50 4 Reds flashing Dangerously addicted smoker www covita net tel 800 707 5751 piCO Operating Manual Calibration 2 Bedfont calibration kit 1 Fine control valve 2 Flow indicator 3 Gas cylinder 20ppm CO in air 4 Calibration adapter and tube e Instruments are calibrated before leaving e Ensure that the instrument is surrounded Bedfont by fresh air With the pointer opposite e albratiomrenmindars 4 the zeroing symbol double click the button to set the instrument to zero If will prompt the user to I XI the zeroing has been successful a tick calibrate the unit every 4 ET d will be displayed If the zeroing fails six months a X will be displayed e The calibration gas see Troubleshooting required is Bedfont 20ppm carbon page 15 if this happens m
5. arboxyhaemoglobin COHb It also acts as an indicator of the possible level of around 4 000 toxic substances in cigarette smoke 60 of which can cause cancer A After a minimum of 10 minutes A The best time to take a CO reading is as late as possible in the day A Parts per million in this case one part of CO in one million parts of air breath This might not seem like very much but ppm has a direct correlation with COHb the percentage of CO combined with haemoglobin in the blood A Clinical research has shown that the popular guidelines are LED Colour User profile 1 Adult ppm 1 User profile 2 Adolescent ppm Description 4 Reds flashing Dangerously addicted smoker 5 piCO Operating Manual Returns procedure If your equipment requires servicing please contact Bedfont s Customer Repairs Depatment before returning any goods If you did not purchase your monitor directly from Bedfont please contact your local distributor or supplier e When you have supplied the Customer e lf the monitor is out of warranty and Repairs Department with the monitor you wish to proceed with the repair or serial number and description of the calibration complete the authorisation fault you will be issued with a returns form within the quotation and ensure number that you include the Official Purchase Order Number Return the unit to Bedfont Please contact the Customer Repairs Department if you are una
6. ble to supply an Official Purchase Order Number e Please state the returns number on a compliment slip or headed paper when returning the monitor and ensure that your full details including telephone and fax numbers are clearly stated e f you choose not to proceed with the repair a handling fee will be charged Ensure that you return the completed authorisation form with an Official Purchase Order Number e Bedfont advise that you use a courier service when returning monitors This enables you to insure goods for loss or damage in transit e When your goods are received you will be sent an order acknowledgement e The equipment will be returned to you as soon as Bedfont has received all e The monitor will then be examined and relevant paperwork A carriage fee will you will be sent an Engineer s Report be charged if the monitor is no longer in and a quotation for the repair which will warranty include an authorisation form e If your monitor is still in warranty Bedfont will repair it and return it to you with an Engineer s Report free of charge If the monitor is found to simply require calibrating you will be charged a fee for this service if you wish to proceed www covita net tel 800 707 5751 piCO Operating Manual Spares and warranty Spares D pieces Disposable cardboard mouthpieces Calibration gas and Rits Instrument cleansing wipes AA alkaline batt
7. co itas ols for treatment profes DA i S k D m r Issue 9 December 2010 Part No LAB220 Operating manual breath analysis is the new blood test NY www covita net tel 800 707 5751 ere Mire piCO Operating Manual Contents Introduction and intended use Quick start guide Pack contents and specification Instrument layout Display symbols Warnings and maintenance Operation Calibration Set up User profiles Set up Sounder operation Troubleshooting COdata software Frequently asked questions FAQ Returns procedure Spares and warranty 9 10 11 12 13 14 15 16 17 18 19 www covita net tel 800 707 5751 Introduction Carbon monoxide is a toxic odourless colourless tasteless gas It is formed by incomplete combustion of organic material at high temperatures with an insufficient oxygen supply When inhaled CO displaces oxygen in the bloodstream to form carboxyhaemoglobin COHb This starves the body tissues of the oxygen vital to repair regeneration and general living CO can remain in the bloodstream for up to 24 hours depending on factors such as physical activity sex and inhalation intensity The half life is about 5 hours Breath carbon monoxide is measured in parts per million ppm and blood carboxyhaemoglobin is measured in percentages 96COHb The two are compatible and convertible the CO reading relates to gas in the lun
8. eries Warranty Bedfont Scientific Limited warrants the These warranties are automatically piCO excluding batteries to be free of invalidated if the products are repaired defects in materials and workmanship altered or otherwise tampered with by for a period of two years from the date of unauthorised personnel or have been shipment Bedfont s sole obligation under subject to misuse neglect or accident this warranty is limited to repairing or replacing at its choice any item covered Never dispose of any electronic instrument under this warranty when such an item is in domestic waste At the end of the returned intact and prepaid to Bedfont product s life contact Bedfont or its Scientific Limited or the local representative distributor for disposal instructions coVita 30 Washington Ave Suite B Haddonfield NJ 08033 Tel 800 707 5751 Fax 800 721 2377 Email service covita net aM tools for treatment professionals bedfont coVita
9. ge e Scroll the pointer until it is opposite the sounder symbol A then double click to switch the sounder on P or off gh The large sounder symbol and the small symbol on the top line of the display will change to show whether the sounder is on or off o www covita net tel 800 707 5751 Troubleshooting If the unit fails to turn on properly or if either low battery symbols amp p or C are shown replace both AA batteries Ensure that the batteries are inserted the correct way around matching the symbols moulded into the plastic If a breath test on a non smoker gives an indication of CO being present it may indicate a high ambient level of CO possibly due to a faulty combustion appliance or exhaust fumes or the effects of passive smoking A false reading can under certain circumstances be caused by alcohol on a person s breath or the presence of hydrogen which can be generated in the human digestive system If the display shows a X after zeroing a second attempt can be made to zero the unit in fresh air Check that the unit is in fresh air and double click the button to restart the zeroing process If after a third zeroing attempt the display shows a X again the unit will have to be reset or restored using the reset button located in the battery bay If the problem persists return the monitor to Bedfont or your local distributor for investigation and repair In this case the display will show
10. gs and on the breath i e the amount of poisonous CO that has been inhaled and the COHb reading relates to the percentage of vital oxygen that has been replaced in the bloodstream The piCO Smokerlyzer displays both measurements Clinical research has demonstrated that a useful relationship between carbon monoxide and carboxyhaemoglobin is obtained after a short period of breath holding piCO Operating Manual The cut off point between smoker and non smoker has been found to be 6ppm CO The piCO Smokerlyzer defines a non smoker as 0 6ppm a low dependence smoker as 7 15ppm and strongly addicted smokers as over 15ppm The piCO Smokerlyzer has been designed so that it can be used with young smokers As their smoking habits and views are generally different from adult smokers the cut off points have changed 0 4ppm represents a non smoker 5 6ppm a light or casual smoker and over 7ppm a more frequent young smoker Other cut off points can be adopted as well as smoking classification at higher CO levels The piCO has a third profile which can be set by the user with COdata software to achieve complete flexibility in most circumstances Intended use The piCO Smokerlyzer is a breath carbon monoxide monitor intended for multi patient use by healthcare professionals in smoking cessation programmes and research It can also be used as an indicator of carbon monoxide poisoning in a healthcare environment piCO Ope
11. ibration fails and a will be displayed see Troubleshooting page 15 if this happens The pointer and return symbols re appear at the bottom of the display to indicate that the process is complete and to allow the user to double click the button to return to the previous menu Turn off the gas flow remove the D piece sampling system and disconnect the calibration adapter from the D piece sampling system Unscrew the fine control valve and flow indicator from the gas can and store safely If the valve is left attached to the can the gas could escape The piCO is now calibrated and ready for use The piCO will prompt the user to calibrate the unit again in six months www covita net tel 800 707 5751 piCO Operating Manual Set up User profiles In the set up mode the user can change the selected user profile from adult to adolescent or to a third custom profile if one has been set The user profiles determine which coloured LEDs are lit during a breath test The default values for adults and adolescents are shown in the table in Operation page 10 The selected user profile is indicated by the small symbol on the top line of the display BN Adult 1 ma Adolescent 2 Custom 3 To change the selected profile scroll the pointer to the set up symbol Te on the main display using single clicks of the button Double click to select the set up mode Scroll the pointer until
12. it is opposite the User Profile symbol W gt Double click to select this function Move the pointer until it is opposite the desired profile then double click to select The symbol on the top line of the display will change to show the selected profile The custom profile will only be available on the display if it has been previously set using the COdata software on a PC Exit this function by pointing at the return symbol and double clicking This returns you to the previous page of the menu piCO Operating Manual Set up Sounder operation The set up mode allows the sounder to be e Even if the sounder has been turned turned off during the breath test although off it will continue to operate during the it will still operate during the breath hold last three seconds of the breath hold countdown countdown e Exit this function by pointing at the return symbol lt 9 and double clicking This returns you to the previous page of the menu The operation of the sounder during the exhalation phase of a breath test is indicated by the small J symbol on the top line of the display e Single click the button to temporarily silence the sounder during or immediately after the breath test if required e To turn the sounder settings on or off scroll the pointer to the set up symbol on the main display using single clicks of the button Double click to select the set up mode see previous pa
13. nection lead into the mini USB socket on the top of the piCO Connect the other end to the USB port on the PC e Before starting the software ensure that the piCO is connected to the PC and switched on Once the sensor has stabilised double click the COdata icon on the PC to start the programme e Refer to the supplied documentation for how to operate COdata software e The custom user profile can only be accessed from COdata www covita net tel 800 707 5751 piCO Operating Manual Frequently asked questions FAQ Frequently asked questions about breath carbon monoxide CO monitoring in smoking cessation If a patient gives a reading of 20ppm that A Carbon monoxide CO is a poisonous of a frequent adult smoker it means that gas that you cannot smell or see When a smoker inhales smoke from a cigarette CO is absorbed into their blood through their oxygen carrying capacity is reduced by 5 It also indicates a high level of addiction to nicotine their lungs CO is dangerous because it binds to haemoglobin in red blood cells about 200 times more readily than oxygen depriving the body of vital oxygen A It takes about 5 6 hours to reduce the original level by half Usually after a maximum period of 48 hours an ex smoker will have the same level of CO as A It shows the amount of carbon monoxide a non smoker in the same environment in a person s breath ppm CO which is a measure of blood c
14. onoxide in air Double click the button to return to the calibration menu e Ensure that the fine control valve is in the off position e Screw the fine control valve and flow indicator assembly to the gas can This is best done by screwing the gas can into the valve e Turn the instrument on in the normal way When the main menu appears scroll down to the symbol of the gas cylinder by single clicking the button Double click to select that symbol BEEN Q piCO Operating Manual Calibration continued e Single click the button to scroll down to the 20ppm gas cylinder symbol Double click to select the symbol e Immediately open the fine control valve and allow the gas to flow at 1 litre per minute e Tomaintain this adjust the flow so the ball in the flow indicator remains at the middle line e Allow the gas to flow through the instrument for up to 1 5 minutes to ensure accurate calibration again monitoring the rate of flow e Asthe 20ppm CO calibration gas is applied the displayed ppm reading will climb After 1 5 minutes or until no further increase in the reading is obtained the final measured value will be shown and sampling will cease If the displayed reading is between 15 and 25ppm the calibration value will be automatically set in the instrument as 20ppm and a tick 4 will be displayed to show a successful calibration If the displayed reading is outside these limits the cal
15. or C gt J 7 Replace breath sampling D piece when prompted by the unit every 30 days or if visibly soiled or contaminated The D piece cannot be cleaned or sterilised Batteries Batteries should be removed if the instrument is not likely to be used for some time Additional technical information can be made available on request please contact Bedfont or its distributor www covita net tel 800 707 5751 Operation Ensure that two AA batteries are correctly located in battery compartment display becomes active Release the button After a 10 second warm up period during which a start up screen is displayed the main menu will appear If a X is shown rather than the main menu it means that the instrument has failed to set a fresh air zero during start up This may be because the ambient air was not clear of carbon monoxide Ensure that the instrument is in fresh air then double click the button to repeat the start up test If it fails again see Troubleshooting page 15 When the pointer is opposite the picture of an exhaling face the piCO is ready to start a breath test The green LEDs will double flash to indicate that the instrument is ready piCO Operating Manual Attach a breath sampling D piece and a new cardboard mouthpiece to the piCO Check that all connections are pushed firmly together To start a breath test the patient should inhale and hold their brea
16. rating Manual Quick start guide Turn on the monitor by holding down the button for three seconds Attach a breath sampling D piece and new mouthpiece Inhale and double click button to start a breath test Hold breath for the 15 second countdown If unable to hold breath for full 15 seconds see Operation page 9 A beep will sound during the last three seconds of the countdown Blow slowly into mouthpiece aiming to empty lungs completely The ppm and equivalent 96 carboxyhaemoglobin COHb levels will rise and hold The coloured LEDs will light accordingly See the table on page 10 for an interpretation of the reading Remove the D piece between tests to purge the sensor with fresh air To repeat the breath test double click the button to retum to main display and continue from step two above To switch off hold button for 3 seconds Unit will auto power off after 5 minutes of inactivity www covita net tel 800 707 5751 Pack contents Instrument Carry pouch User manual Breath sampling D piece GOGO OO 2 x AA batteries Infection control and maintenance guidelines Specification Concentration range Display Detection principle Accuracy repeatability of readings H cross interference Power Response time Operating temperature range Operating humidity Sensor operating life Sensor sensitivity Dimensio Weight Monitor construction
17. th then a quick double click of the button will initiate a 15 second countdown display 9 piCO Operating Manual Operation continued Ensure that the breath is held throughout the countdown An audio 3 beep will sound during the last three seconds of the countdown To start another breath test double click the Once the countdown reaches zero exhale button to return to the main display A new slowly but gently into the mouthpiece Aim mouthpiece should be used with every test to empty the lungs as much as possible At this point a single click of the button will temporarily silence the sounder if it is on Removing the D piece between tests will If the patient cannot hold their breath for allow fresh air to purge the sensor It is good the full 15 seconds they should commence Practice to wash your hands after removing exhalation at a comfortable point but the D piece exhale completely If no further tests are required the piCO The display will show a rising ppm value should be turned off by holding the button and an equivalent COHb reading The for three seconds If left on the piCO will coloured LEDs will illuminate according to automatically turn off after five minutes of the selected user profile inactivity The sounder will beep at an increasing To re calibrate the instrument follow the frequency according to the concentration instructions on page 11 of CO measured To temporarily mute the To
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