Function Filters. Pulmonary. Pulmonary Function Filters provide variety, ease-of-use and affordability

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1 Pulmonary Function Filters TM TM TM TM TM TM TM Pulmonary Function Filters provide variety, ease-of-use and affordability TM All FLOW filters meet or exceed the highest standards in PFT filtering with minimal resistance and low dead space. Our unique Port Color Variety (PCV) reduces fumbling and contamination risk with filter mounting, providing easy administration with equipment. The wide selection of ports enable the professional to accurately obtain quality spirometry and lung function tests. The All FLOW filter uses a medium with high quality electrostatic properties that trap bacteria and viruses, preventing contamination to both the patient and equipment. Low Resistance for accurate spirometry and Lung Function testing Minimal Dead Space as needed for Lung Volume and DLCO testing Unique filter design accommodates Small Mouth Adapter for adults and children without compromising filter function Excellent filtration of bacteria and viruses 7 standard port sizes tailored to fit a wide selection of equipment. Single Patient Use of filter and filter kit saves time and cost of sterilization All Filter Kits Contain All FLOW Filter, Nose Clip and Disposable Latex Free Mouthpiece TM Connect with us online Pulmonary Function testing Nose Clips and Latex Free Mouthpieces are available as individual units or in Filter Kits Filters exceed ATS guidelines for all criteria

2 Pulmonary Function Filters Ordering Information Port Side Color Manufacture Product Fits OD ID Quantity Order# NHRIC#/NDC Grey InCheck, InCheck DIAL, Multispiro, /box CreativeBiomedics, Vitalograph, Schiller, MicroDirect, SDI (Pulmogard II ), Most CosMed Models, MIR (All Models), P.K. Morgan 232, Future Med (Spirobank), PB-400, PB-600, CDX Spiro 850, Spirometrics (Flowmate, Flowmate+,SMI I, Vacumed (Micro, Micro Plus, Micro GP-GL, Micro Loop, Pony) Red Brentwood, Burdick, and most Fukuda /box Models, Spirometrics (some models) Orange Koko, KoKo Legend, Keystone, /box Koko-Trek, CyberMedic Full Gas Systems, Collins 4G and 3G Full Gas Systems. Medium Blue SensorMedics, 2200,2400, 2450, 2800, others, /box Including Vmax, Keystone I & II, Pail, Cybermedics Moose, Gould 5004 Medium Green Jaeger Models /box Bright Green Jaeger Master Screen Series, New /box Yellow Collins DC * /box Purple ONE FLOW and others /box * 2 Step Port Side, Stepped up to 34.8 for Collins Equipment Port Side Color Filter Kit OD ID Quantity Order# NHRIC#/NDC Grey 1000 filter with noseclip and mouthpiece /box Orange 3000 filter with noseclip and mouthpiece /box Medium Blue 4000 filter with noseclip and mouthpiece /box Medium Green 5000 filter with noseclip and mouthpiece /box Bright Green 8000 filter with noseclip and mouthpiece /box Yellow 6000 filter with noseclip and mouthpiece 28.3* /box Specifications: Bacterial Filtration Efficiency 99.99% Viral Filtration Efficiency 99.99% Dead Space Resistance Material Approx. 35ml (cc) 0.23 cm H 2 O/L/sec approx. K resin case Electrostat fitrate medium Description Quantity Order# NHRIC#/NDC Nose Clip with Pad 100/bag Latex Free Mouthpiece 50/box Small Mouth Adapter 100/box Respiratory Card 100/bag Board Mouthpiece Distributed By: PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office Alliance Tech Medical, Inc. SAM015 3/11

3 Respiratory Accessories Protect your patients and equipment from contamination with our economical, disposable mouthpieces and single patient use filters and masks. Our disposable one-way-valved and single patient use mouthpieces, filters and masks are designed to provide protection against possible cross infection in common respiratory procedures. Available for both children and adults Single patient use saves time and cost of sterilization Very low resistance, does not alter readings One-way-valved mouthpieces are designed with a varnished, non-absorbent finish for greater patient comfort Protect your patients by reducing contamination with our effective, economical mouthpieces, filters and masks. Reduce risk of cross-infection Connect with us online

4 Respiratory Accessories One-Way-Valved Inspiratory and Expiratory Disposable Mouthpieces The expiratory (red) one-wayvalved mouthpiece fits standard peak flow meters and spirometers for expiratory use. The patient can exhale forcefully into the peak flow meter or spirometer, and the oneway-valve prevents inhaling through the mouthpiece or equipment it is attached to. The inspiratory (blue) one-way-valved mouthpiece provides protection in inspiratory procedures. The patient can inhale freely through the mouthpiece on the In-Check or In-Check DIAL., and the oneway-valve prevents the patient from exhaling into the meter. Single Patient Use Adult and Pediatric Mouthpieces The mouthpieces are an excellent choice when cross contamination is not a concern. Our high quality disposable mouthpieces have a non-absorbent finish and provide no sticking to lips which can cause irritation. This provides greater comfort for adults and pediatrics. Single Patient Use Filters Filters trap not only expectorated matter, but capture organisms as small as viruses through a polarization effect. The patented design offers low resistance, low dead space and minimizes air flow turbulence for accurate spirometry or total lung analysis. The media used in our filters are comprised of permanent electrets that trap viruses and bacteria to prevent contamination to both patient and equipment. The single patient use filter minimizes the spread of infectious diseases. Ordering Information Disposable Mouthpieces Filters Masks Disposable Adapters Order # Description/Quantity NHRIC# Adult - 100/bag Pediatric - 100/bag One-way exp /bx One-way insp /bx Filter - 100/case Adult Mask - 10/case Pediatric Mask - 10/case Pediatric/Small Mouth Adult - bag of Pediatric/Small Mouth Adult - box of Respiratory Card Board Mouthpiece - 100/bag Single Patient Use Masks Air cushion face masks incorporate a flexible dome to ensure maximum patient comfort. The gas-tight, low pressure seal helps to eliminate leakage. This latex free mask can be added to help direct the aerosol delivery for pediatric or adult patients. Call today for Alliance Tech Medical s complete line of COPD, respiratory, asthma management products, sanitizers, splash shields, ventlab chambers and many other items. Distributed By: PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office Alliance Tech Medical, Inc. SAM008 3/11

5 Peak Flow Meters Patients can be confident in the proven, time tested performance of the Mini-Wright and Mini-Wright AFS peak flow meters, or the economical, accurate Airzone peak flow meter. Years of clinical tests have proven that both the Standard Range Mini-Wright and Low Range Mini-Wright AFS peak flow meters have delivered exceptional and consistent accuracy. The Airzone peak flow meter, provides patients an economical choice of accurate peak flow monitoring. All meters for use by children and adults All individually calibrated Mini-Wright models have built-in, one-way valves Optional Windmill Trainers for Mini-Wright models, teach proper peak flow technique and improve monitoring compliance. Ideal for children as young as 2-1/2 years Airzone folding handle adds to portability and convenience Airzone s tape zone markers prevent inadvertent repositioning Manage your asthma Choose accurate peak flow monitoring as part of your asthma management program. Connect with us online

6 Peak Flow Meters Mini-Wright & Mini-Wright AFS Specifications ATS Scale MINI-WRIGHT Standard MINI-WRIGHT AFS Low Scale Increments Size MINI-WRIGHT Standard MINI-WRIGHT AFS Low Weight MINI-WRIGHT Standard MINI-WRIGHT AFS Low Materials Patient Information L/min L/min 10LPM 5-7/8 H X 1-7/8 W 5-7/8 H X 1-1/2 W 2.9 oz 2.2 oz All Latex Free Operating Instructions/ Patient Diary in English, Spanish and French Airzone Specifications ATS Scale Scale Increments Size Weight Materials Patient Information L/min 10LPM 5-1/2 H X 1-3/4 W 1.5 oz All Latex Free Operating Instructions/ Patient Diary in English, Spanish and French Disposable Mouthpieces Economical and convenient. Reduce risk of crossinfection, helping to protect patient and equipment of contamination. One-way valve mouthpieces available for expiratory use. Ordering Information Mini-Wright Windmill Trainer Airzone Disposable Mouthpieces Disposable Adapters Order # Description/Quantity NHRIC# Standard - each or 10/case Low Range - each or 10/case Blue/Red trainer - 5/bag each or 10/case Adult - 100/bag Pediatric - 100/bag One-way exp /bx Pediatric/Small Mouth Adult - bag of Pediatric/Small Mouth Adult - box of 100 Mini-Wright Windmill Trainer The Windmill Trainer is a revolution in teaching proper peak flow technique. By improving technique, use of the Windmill Trainer reduces variability in peak flow readings and improves monitoring compliance. Ideal for use with children as young as 2-1/2 years old, the elderly and those with language or learning difficulties. The Windmill Trainer is an effective yet enjoyable tool. Use the Windmill Trainer with both the Mini-Wright AFS Low Range and Mini-Wright Standard Range peak flow meters. Call today for Alliance Tech Medical s complete line of COPD, respiratory, asthma management products, sanitizers, splash shields, ventlab chambers and many other items. Distributed By: PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office Alliance Tech Medical, Inc. SAM005 3/11

7 Digital Peak Flow Meter It s Intelligent It s Simple It s Accurate It s Compact It s Waterproof It s a Mini-Wright The latest addition to the Mini-Wright range of peak flow meters, the Mini-Wright Digital not only measures peak expiratory flow (PEF), but also measures FEV1 for managing both asthma and COPD patients. Years of clinical tests have proven that Mini-Wright peak flow meters have delivered exceptional and consistent accuracy. Now the next generation of Mini-Wright has arrived! The ergonomic compact design makes the Mini- Wright Digital comfortable to hold and easy to store, while the one button operation makes it simple to use. The zoning function is easily customized allowing for easy asthma management, while the memory has a capacity to store up to 240 of each measurement. The water tight seal makes the Mini-Wright Digital waterproof and easy to clean. Meets ATS/ERS 2005 Standards Clear digital readability Compact, ergonomic design One button simple operation Comes complete with meter, adapter, instructions and peak flow chart Software downloadable with cradle for Windows XP and higherw Choose accurate peak flow monitoring as part of your asthma management program. Connect with us online

8 Digital Peak Flow Meter Mini-Wright Digital Specifications Power Supply Display Size Weight Lithium coin CR2032 3V (included, not changeable) Liquid Crystal Display 29 x mm 54g Conformity ATS94/2005 BS EN Accuracy FEV1: +/- 3.5% PEF: +/-6% (@25 C 1013 mbar 50% HR) Measurement Range Resolution Altitude Coefficient BTPS Coefficient Max. Resistance to Flow FEV1: Litres PEF: 60 L/min 850 L/min FEV1: 0.05 Litre PEF: 5 liters/min 0.62% per 100 meters 3% Values displayed by this device are shown as BTPS values L/min Zoning Green/Yellow threshold 80% Yellow/Red threshold 60% Memory FEV1: 240 PEF: 240 Operating Range Storage +15 C to 35 C (recommended) -10 C to 50 C 15 to 95% RH Manufacturing Standard ISO9001 EN Disposable Mouthpieces Economical and convenient. Reduce risk of crossinfection, helping to protect patient and equipment of contamination. One-way valve mouthpieces available for expiratory use. Ordering Information Order # Quantity NHRIC# Mini-Wright Digital Disposable Oneway Expiratory Mouthpieces Cradle and Software Mouthpiece Adapter each /bx each each Call today for Alliance Tech Medical s complete line of COPD, respiratory, asthma management products, sanitizers, splash shields, ventlab chambers and many other items. Distributed By: PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office Alliance Tech Medical, Inc. SAM016 3/11

9 In-Check The first multi-purpose, mechanical inspiratory flow measurement device for clinical and in-home use. Easy to use, clean and reset, the In-Check allows accurate measurement of both oral and nasal inspiratory flow rates that help to assess respiratory condition and treatment. For use by children and adults Allows home monitoring of Peak Nasal Inspiratory Flow (PNIF) Transparent body permits visual inspection Accepts standard or disposable mouthpieces along with one-way valved disposable mouthpieces Optional mask available for measuring nasal inspiratory flow Improve your technique Help patients maintain their respiratory health with the In-Check inspiratory flow meter. Connect with us online

10 In-Check The In-Check is a portable inspiratory flow meter that monitors both the disease and the response to treatment. It is designed for use in: Measurement of oral inspiratory flow rate (peak and sub-maximal) in order to assess suitability for inhaled medication Measurement of nasal inspiratory flow for assessing nasal airway patency Assessment of response to nasal provocation Home monitoring of Peak Nasal Inspiratory Flow (PNIF) Disposable Mouthpieces Economical and convenient. Reduce risk of cross-infection, helping to protect patient and equipment of contamination. One-way valve mouthpieces are available for inspiratory use. Filters Provide protection against possible crossinfection helping to protect patient and equipment. Masks Can be added to measuring devices Ordering Information In-Check Disposable Mouthpieces Filters Masks Order # Quantity NHRIC# Oral - each Nasal with Mask Adult - 100/bag Pediatric - 100/bag One-way insp /bx Filter - 100/case Adult Mask - each Accuracy Each In-Check is individually calibrated to ensure a high degree of accuracy (+/- 10% or 10 L/min - whichever is greater). Inspiratory flow rates in the range of 30 L/min L/min can be measured. US FDA 510k approved. Conforms to international standards for peak flow meter performance. Features High-quality medical-grade stainless steel and plastic construction Sterilizable plastic mouthpiece accepts different mask sizes Simple enough for home patient use, rugged enough for routine clinic use. Cleaning The In-Check should be cleaned by washing in warm soapy water, rinsed and dried thoroughly. Disposable Adapters Pediatric Mask - each Pediatric/Small Mouth Adult - bag of Pediatric/Small Mouth Adult - box of 100 Call today for Alliance Tech Medical s complete line of COPD, respiratory, asthma management products, sanitizers, splash shields, ventlab chambers and many other items. PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office Distributed By: 2011 Alliance Tech Medical, Inc. SAM003 3/11

11 In-Check DIAL Now health care professionals can quickly help patients achieve optimal delivery from MDIs and DPIs with the In-Check DIAL. This accurate low-range inspiratory flow meter simulates the air flow resistance of the most popular inhalers. It enables clinicians to train patients to use more or less inspiratory force, to achieve their optimal flow rate with a particular MDI or DPI device. This provides best deposition of medication into the lungs. Identifies the inhaler type and corresponding optimal flow rate Trains patients to achieve optimal flow rates in a matter of minutes Ideal for children or adults having difficulty achieving optimal flow rates One-way valved mouthpiece is adaptable for adult or pediatric use The one-way valved mouthpiece protects both the dial and the next patient Improve your technique With the In-Check DIAL you can quickly identify whether your patient has the correct technique for their device to achieve their optimal flow rate. Connect with us online

12 In-Check DIAL The In-Check DIAL is a hand held inspiratory flow measurement device with a dial top. The DIAL orifices have been designed to stimulate the resistance of popular inhaler devices such as MDI s, DPI s, Turbuhaler and Diskus. Custom resistance adapters are available by calling Alliance Tech Medical. The In-Check DIAL is supplied with a sterilizable plastic mouthpiece and an adapter which enables you to use a pediatric mouthpiece if necessary. The transparent body permits a visual inspection before use, and if required, one-way disposable mouthpiece or a bacterial/viral filter can be used to minimize the risk of cross infection. Disposable Mouthpieces Economical and convenient. Reduce risk of cross-infection, helping to protect patient and equipment of contamination. One-way valve mouthpieces are available for expiratory and inspiratory use. Filters Provide protection against possible crossinfection helping to protect patient and equipment. Ordering Information In-Check Dial In-Check Dial Kit HandiHaler Floradil Disposable Mouthpieces Filters Disposable Adapters Order # Description/Quantity NHRIC# each In-Check Dial, 200/bx Inspiratory Mouthpieces, all adapters, CD ROM) - kit Resistance Adapter - each Resistance Adapter - each Adult - 100/bag Pediatric - 100/bag One-way insp /bx Filter -100/bx Pediatric/Small Mouth Adult - bag of Pediatric/Small Mouth Adult - box of 100 Accuracy Every In-Check DIAL is individually calibrated to ensure a high degree of accuracy. Inspiratory flows in the range of 15 L/min to 120 L/ min can be measured. The In-Check Dial is accurate to +/- 10% or 10 L/min (whichever is greater). The In-Check DIAL has been tested by AEA Technology P.L.C. in the U.K. for accuracy, and has been verified as providing similar resistances to inhaler devices. The In-Check DIAL has been calibrated using an ATS pulmonary waveform generator. In-Check DIAL complies with the AS/NZS standard for back pressure in flow meters. Cleaning The In-Check DIAL should be cleaned by washing in warm soapy water, rinsed and dried thoroughly. Call today for Alliance Tech Medical s complete line of COPD, respiratory, asthma management products, sanitizers, splash shields, ventlab chambers and many other items. Distributed By: PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office Alliance Tech Medical, Inc. SAM002 3/11

13 One Flow Spirometers Get accurate, reliable pulmonary function measurements with a range of inexpensive, easy to use, hand held devices. With an offering of different functions, there is a model to suit all areas of use, be it hospitals, primary care, pediatrics, in home or occupational health. Simple operation of the ergonomically designed handsets means patients can use a device in their home environment to record their condition and, depending on the model in use, data can be recalled for later assessment. FVC Kit displays best measurements against predicted values Measures PEF and FEV1. One Flow FVC Kit can also measure FEV1/FVC% with session date and time Removable mouthpiece tube for easy cleaning Supplied in case with full operating instructions User friendly software package for use with One Flow FVC Kit For reliable pulmonary function measurements, you now have an inexpensive choice. Detect COPD and asthma Connect with us online

14 One Flow Spirometers One Flow Software A user friendly software package for use with One Flow FVC operates with Windows 95 or later. One Flow Software gives you a choice of predicted normal values, large patient database, and measurements displayed in tabular and graphical form with zoning. The One Flow FVC provides downloadable measurements and storage of 3 flow/volume and volume/time curves to your computer. Also facility for 3 pre/post bronchodilator measurements. Technical Specifications Power Supply Battery Life Display Size Weight Accuracy Measurement Range Resolution 4 LR03 AAA alkaline batteries (not supplied) Approx. 6 months (3 measurements per day) Liquid crystal display 114 x 98 x 44mm 150 grams without batteries 20ºC 1013 mbar 50% RH PEF (ATS) ± 6% or ± 10 liters/min FEV1 ± 3% or ± 0.1 litre FVC ± 5.5% OR ± 0.1 litre PEF (ATS) liters/min FEV1 FVC liters liters PEF (ATS) 5 liters/min FEV liters FVC 0.05 liters Detection Mode Differential pressure Memory Storage 100 PEF, 100 FEV1, 100 FVC Use Storage Manufacturing Standard FVC +15ºC to +30ºC (recommended), 25% to 85% RH -10ºC to +60ºC, 10% to 90% RH Manufactured in compliance with ISO13485 and 93/42/EEC O N E FLOW PEF (L/min) FEV1(Liters) FVC (Liters) FEV1/FVC% FEV (L/min) Session Date & Time Memory One Flow Soft Software Flow/Volume Curve Volume/Time Curve FVC Kit * * 100 values each of PEF, FEV1, FVC & FEV1/FVC % Call today for Alliance Tech Medical s complete line of COPD, respiratory, asthma management products, sanitizers, splash shields, ventlab chambers and many other items. Ordering Information Order # Quantity-Each NHRIC# One-Flow FVC Kit Distributed By: PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office Alliance Tech Medical, Inc. SAM006 3/11

15 spirobank II Defines what a Pulmonary Mini-Lab can ndo PC Software included Unique in the world. All in one Spirometer with 6,000 test memory Oximeter with 1,000 hours of recording Stand alone or PC online operation Patient identification by name or ID code USB, RS232, Bluetooth and wireless acoustic modem Remote diagnosis via web also with Bluetooth connection PC software included Q FDA ATS QualityÊInstruments Approvedproved Standard ISO ISO

16 Complete test summary Printout with spirometry report Sleep oximetry printout with desaturation analysis Three phase printout of 6 Minute Walk Test: Baseline, Walk, Recovery Parameters of sleep desaturation Extra-oximetry data for 6 Minute Walk Test

17 spirobank II Defines what a Pulmonary Mini-Lab can do The most powerful, the most simple Spirometry features FVC, VC, IVC, MVV, PRE-POST BD Automatically records the best 3 trials Internal temperature sensor for automatic BTPS Advanced spirometry test interpretation Lung age estimation SpO2 Option Sleep disorder detection with events recording Six minute walk test with acoustic warning for rest, walk and recovery Parameters directly shown on the display (min, max, mean SpO2 and Pulse Rate, ΔÊIndex, T90, T89, T88, T5, ODI, NOD, Desaturation Area etc.) Its innovative functions make it the most unique oximeter on the market Two different flowmeters available FlowMir disposable turbine for single patient use High accuracy Easy to replace Very low cost Designed for use with MIR spirometers FlowMir is factory calibrated Available in box of 100 pieces No maintenance No filter No problem Hygiene 100% guaranteed by single packaging Reusable turbine for long term operation MIR Exclusive Patent High accuracy Long term stability Easy to clean or sanitized MIR digital reusable and disposable turbines are developed in full compliance with ATS standards and guarantee accuracy in all environmental conditions

18 winspiropro PC software Spirometry program Flow/Volume and Volume/time curves PRE-POST bronchodilator comparison FEV1 dose-response curve Exclusive pediatric incentive system Advanced spirometry test interpretation Several sets of predicted values Integration with Electronic Medical Record Data and graphs export also via Oximetry program PC online with SpO2 and Pulse Rate trend Desaturation events analysis Possibility to modify the registered data (start/end walk test phase, artefacts, etc.) One of the most distinctive elements of the spirobank II is the specialized and detailed printout in color, which is easy to read and facilitates the diagnostic interpretation spirobank II base unit Technical specifications Temperature sensor: semiconductor (0-45 C) Flow sensor: bi-directional digital turbine Volume range: 10 L Flow range: ± 16 L/s Volume accuracy: ± 3% or 50 ml Flow accuracy: ± 5% or 200 ml/s Dynamic resistance at 12 L/s: <0.5 cmh2o/l/s Display type: graphic LCD - FSTN Display resolution: pixel Keyboard: membrane, 6 Keys Connectivity: USB, Bluetooth, RS232, wireless internal modem (for Telemedicine applications) Power Supply: V, AAA battery Dimension: inch ( mm) Weight: 6.4 Oz (180 gram) with batteries Measured parameters FVC, FEV1, FEV1/FVC%, FEV3, FEV3/ FVC%, FEV6, FEV1/FEV6%, PEF, FEF25%, FEF50%, FEF75%, FEF25-75%, FET, Vext, Lung Age, FIVC, FIV1, FIV1/FIVC%, PIF, VC, IVC, IC, ERV, FEV1/VC%, VT, VE, Rf, ti, te, ti/t-tot, VT/ti, MVV Available options PC Software winspiropro NET (Network) Adult reusable SpO2 finger probe Adult disposable SpO2 finger probe Pediatric reusable SpO2 finger probe Infant disposable SpO2 probe Neonatal disposable SpO2 probe Ear clip SpO2 probe SpO2 finger probe extension cable SpO2 Option Technical specifications SpO2 range: 0-99% SpO2 accuracy: ± 2% between 70-99% SpO2 Pulse Rate range: BPM Pulse Rate accuracy: ± 2 BPM or 2% Measured parameters Basic: SpO2 [Baseline, Min, Max, Mean], Pulse Rate [Baseline, Min, Max, Mean], T90 [SpO2<90%], T89 [SpO2<89%], T88 [SpO2<88%], T5 [ΔSpO2>5%], Δ Index [12s], SpO2 Events, Pulse Rate Events [Bradycardia, Tachycardia] 6 Minute Walk Test: TΔ2 [SpO22%], TΔ4 [ΔSpO24%], Recording time, Time [Rest, Walking, Recovery], Walked Distance, Predicted Distance [Min, Standard], Desaturation Area/Distance, Borg Dyspnea [Baseline, End, Change], Borg Fatigue [Baseline, End, Change] Sleep Test: Desaturation Events, Desaturation Index (ODI), Desaturation [Value, Duration, Nadir], SpO2 [Min Drop, Max Drop], Pulse Variations, Pulse Rate Index, NOD 89 [SpO2<89%; >5 min], NOD 4 [SpO2 Baseline-4%; >5 min], NOD 90 [SpO2<90%; Nadir <86%; >5 min] Standard price includes spirobank II base unit USB cable Carrying case Plastic noseclip 4 AAA alkaline batteries winspiropro software CD PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office MIR reserves the right to modify the technical characteristics at any time spirobank2_usa_09_rev4.indd

19 New! 3 rd generation spirolab III diagnostic spirometer with oximetry option Spirometer with 6,000 test memory Oximeter with 1,000 hours of recording Available with disposable or reusable turbine flowmeter Fast Simple Durable Accurate Powerful Innovative Remote diagnosis via web also with Bluetooth connection Q Quality Instruments FDA PC software included Approved ATS Standard ISO ISO

20 Q Quality Instruments spirolab III complies with the new ATS standard Spirometer Records the best 3 trials Up to 8 tests on one screen Internal temperature sensor for BTPS conversion SpO2 Option Short or long term (overnight) SpO2 and Pulse Rate measurements ODI, NOD, T90%, T89%, T88%, T87% Sleep oximetry with desaturation events Oximetry during exercise test

21 New! Exclusive pediatric incentive system spirolab III diagnostic spirometer with oximetry option Standard device includes: spirolab III winspiropro CD Carrying case FVC, VC with breathing pattern plus MVV tests with real time curves High resolution color screen Fast and silent thermal printer Digital turbine flowmeter with guaranteed accuracy in all enviromental condition PRE-POST bronchodilator comparison Selectable language and predicted values Connectivity: USB, Bluetooth and RS232 Two different flowmeters availablele FlowMir disposable turbine for single patient use High accuracy Easy to replace Cost Effective Individually tested and calibrated Available in box of 100 pieces No maintenance No filter No problem Hygiene 100% guaranteed by single packaging MIR Exclusive Patent Reusable turbine for long term operation High accuracy Long term stability Easy to clean or sanitized MIR digital reusable and disposable turbines are developed in full compliance with ATS standards and guarantee accuracy in all environmental conditions

22 Sample oximetry printout Exercise Test. Other examples available Screen shot with complete test summary Printout with spirometry report winspiropro PC Software Online PC connection with icon interface Real time Flow/Volume loop and Volume/time curves Bronchial challenge with FEV1 dose-response Integration with Electronic Medical Record Pediatric incentive animations Lung age estimation Data and graphs export also via Available options PC Software winspiropro NET (network) Adult reusable SpO2 finger probe Adult disposable SpO2 finger probe Pediatric reusable SpO2 finger probe Infant disposable SpO2 probe Neonatal disposable SpO2 probe Ear clip SpO2 probe SpO2 finger probe extension cable spirolab III Spirometer Technical specifications Power supply: Rechargeable battery and mains power Temperature sensor: semiconductor (0-45 C) Flow sensor: bi-directional digital turbine Flow range: ±16L/s Volume accuracy: ±3% or 50mL Flow accuracy: ±5% or 200mL/s Dynamic resistance: <0.5 cmh2o/l/s Connectivity: USB, Bluetooth, RS232 Display: FSTN graphic, pixel Printer/paper: Thermal, 4.4 inch (112 mm) width Mouthpieces: Ø 1.18 inch (30 mm) Dimensions: inch ( mm) Weight: 4.2 lbs. (1.9 Kg) Measured parameters FVC, FEV1, FEV1/FVC%, FEV3, FEV3/FVC%, FEV6, FEV1/ FEV6%, PEF, FEF25%, FEF50%, FEF75%, FEF25-75%, FET, Vext, Lung Age, FIVC, FIV1, FIV1/FIVC%, PIF, VC, IVC, IC, ERV, FEV1/VC%, VT, VE, Rf, ti, te, ti/t-tot, VT/ti, MVV SpO2 Option Technical specifications SpO2 range: 0-99% SpO2 accuracy: ± 2% between 70-99% SpO2 Pulse Rate range: BPM Pulse Rate accuracy: ± 2BPM or 2% winspiropro PC Software SpO2 and Pulse Rate graphic trend Flexible reporting with several printout categories Statistical analysis of desaturation events PO Box 6024 / Granbury, TX / Fax: / Eastern Office Central Office Southern Office Western Office MIR reserves the right to modify the technical characteristics at any time spirolab3_usa_10_rev0.indd