product catalogue 2012 Solutions for Cardio Pulmonary Diagnostics

Transcription

1 product catalogue 2012 Solutions for Cardio Pulmonary Diagnostics

2

3

4 COSMED is a privately owned Italian Company, which manufactures Cardio Pulmonary Diagnostic Testing Equipment. Established in 1980, COSMED primary goal has always been to improve the quality of its products and services through innovation and superior customer service. COSMED started in 1980 designing and manufacturing spirometers. In the late 80s, COSMED introduced a portable electronic desktop-sized spirometer named Pony, which was immediately successful in the European and Far East markets with more than 20,000 Pony units sold globally. In the mid 90s COSMED designed the first portable metabolic analyzer, the K4. This truly innovative device broke new grounds with metabolic measurements and rapidly became the best selling Oxygen measurement device in Education, Sports Science and Research. COSMED manufactures a full range of Spirometers, Pulmonary Function, Cardio Pulmonary Exercise & Nutritional Assessment diagnostic equipment. In 2011, COSMED further enhanced its already extensive offerings with the acquisition of Life Measurement, Inc. (LMI), a leading US provider of body composition assessment equipment in infants, children and adults. All COSMED products are designed to meet the latest recommendations and guidelines from the leading scientific organizations, including American Thoracic Society (ATS), the European Respiratory Society (ERS), the American Heart Association (AHA) and the American College of Sport Medicine (ACSM). All of our products meet CE mark, IEC /EN and FDA 510(K) and other various international certifications. COSMED is a world-wide organization with subsidiaries in the United States and representative offices in Germany, China and Argentina, employing approximately a total of 100 full-time employees. COSMED distribution network includes more than 80 countries. COSMED is investing today in order to improve technology for tomorrow. UNI EN ISO 13485:2003 UNI EN ISO 9001:2008

5 Concord Chicago Milan Rome Guangzhou

6 Spirometry Pulmonary Function Testing Cardio Pulmonary Exercise Testing Spirometry Testing FVC, SVC, MVV Lung Volumes FRC, RV, TLC Pulmonary Gas Exchange (VO 2, VCO 2 ) Bronchial challenge test Lung Diffusing Capacity DLCO Oxygen Consumption (Exercise) Paediatric Incentivation Software Integrated dosimeter Airway Resistance Forced Oscillation Technique Airway Resistance Rocc /Rint 12 lead Stress ECG test Heart Rate Measurement Six-Minute Walk Test Respiratory Mechanics P0.1 Arrhythmia Analysis Respiratory Mechanics MIP-MEP ECG Full Disclosure Body Plethysmography TGV, RAW, GAW Training Zones (Cardiac Rehab AHA) Exhaled Nitric Oxide Training Zones (Fitness, Elite) Standard Option Pulse Oximeter (SpO 2 ) Rest and Exercise ACSM Exercise Prescription

7 Nutritional Assessment Body Composition Hardware Oxygen Consumption (Resting) Body Composition Breath by Breath Gas Exchange (VO 2, VCO 2 ) Indirect Calorimetry w/ mask Body Composition w/ infants Physical Mixing Chamber Indirect Calorimetry w/ Canopy Body Density Turbine Flowmeter Indirect Calorimetry w/ Ventilator Weight Pneumotach Flowmeter (Lilly type) Quality Control (Ethanol Burning Kit) Wireless Data Transmission Metabolism Substrate (%FAT, %CHO, %PRO) Integrated GPS Kit Integrated w/ Physical Activity Monitor Rechargeable Batteries Built-in Thermal Printer RS-232 Interface for ergometer remote control

8 Effective, simple lung screening in any environment Primary Care General pratictioners and primary care physicians will appreciate the wide range of products and solutions offered by COSMED. A physician can choose from hand-held, desktop-sized or PC-based equipment. The price range and available options are there to fit any budget. Pulmonary Physicians COSMED spirometers are easy to use, affordable and contain the latest technology with highly accurate flow and volume measurements. COSMED flowmeters have been tested and validated by many independent laboratories and are used in all of our spirometry products. Advanced options such as Airway Resistance, integrated SpO 2 monitoring and Six-Minute Walk Test can turn basic spirometry into a more complete solution for Pulmonary Function Testing. Occupational Health COSMED provides the software and hardware solution for Occupational Health applications. Batch printouts, automated creation of PDF files and large memory capacity are only few of the features available for this application.

9 Desktop Spirometer Handheld Spirometer 6MWT Spirometer Pc-based Spirometer Spirometry Laboratory

10 Desktop Spirometer A milestone in the desktop spirometry market! Pony FX is the next generation desktop spirometer developed for pulmonary function screening. Built into this all-in-one unit are an alphanumeric keyboard and a colour LCD display, which allow easy access to all functions and immediate visual analysis in a standalone device. An integrated printer produces high quality reports in few seconds. The Pony FX has internal memory, which can store many patients/tests and comes with a powerful and user-friendly PC software for data management. Real time test results are possible when the device is connected to PC via a USB port. Built-in quality control messages (ATS/ERS guidelines) are displayed for all spirometry tests. Pony FX is available with either a Turbine flowmeter or a disposable Pneumotach (Flowsafe). Available options include: pulse oximetry (SpO 2 ), airway resistance (R occ ) and respiratory mechanics (MIP/MEP). Applications: Occupational Health, General Practitioners, Hospital, Pulmonary Function Department, Sport Medicine Spirometry test Flowsafe: disposable Pneumotach Turbine flowmeter

11 Handheld Spirometer Accurate and easy-to-use Handheld Spirometer! Spiropalm is the NEW hand-held device designed for flexible spirometry screening. Spiropalm has a bright and clear black and white display for monitoring test performance and encouraging children and non-cooperative patients. Tests can be printed by linking Spiropalm directly to an external printer or to a PC. Available with the COSMED bidirectional digital turbine flowmeter. Spiropalm includes comprehensive PC Software for data management and real time testing. Available accessories are: integrated SpO 2 monitor and calibration syringe. The Spiropalm fully complies with the latest ATS/ERS recommendations. Applications: Occupational Health, General Practitioners, Hospital Pulmonary Function Department, Clinical Trials Spirometry test Turbine flowmeter

12 6MWT Spirometer Unique solution combining Spirometry and advanced Six-Minute Walk Test! Spiropalm 6MWT is a new medical device incorporating the latest design for portable spirometry and a unique tool for the standardized Six-Minute Walk Test (6MWT). The Spiropalm 6MWT provides the customer with a complete testing package with the ability to measure minute ventilation and breathing pattern during walking together with a fully integrated pulse oximeter to monitor SpO 2 and HR during the test. Spiropalm 6MWT allows full assessment of ventilation limitation due to dynamic hyperinflation and air trapping in patients with pulmonary disease. Available with USB connection for external printer and PC software for data management of spirometry tests. Fully complies with ATS/ERS guidelines for the 6MWT (2002). Applications: General Practitioners, Hospital Pulmonary Function Department, Rehabilitation, Clinical Trials Spirometry test Six-Minute Walk Test Integrated pulse oximeter

13 Pc-based Spirometer Directly connected to a USB port turns any PC into a fully-featured spirometer The microquark is the new PC spirometer designed by COSMED for lung function screening. It can be used with any PC, either desktop or laptop, by simply installing the application software and connecting the USB cable to the USB port of the computer. The powerful software for Pulmonary Function Testing allows the user to easily perform spirometry screenings. Features for clinical and occupational health applications include: superimposing Flow/Volume loops, viewing trends, printing professional A4/Letter reports, automating PDF file names and many more. The software is network compatible with Microsoft Networks. Applications: Occupational Health, General Practitioners, Hospital Pulmonary Function Department, Clinical Trials Spirometry test Paediatric Encouragement Software

14 Spirometry laboratory The ultimate modular solution for bronchial challenge and airways resistance tests! Quark SPIRO is a modern laboratory for complete spirometry testing, allowing also more sophisticated applications with integrated dosimeter and airway resistance module. The system is designed in order to allow the choice of modules and options according to the specific user s needs. Three different COSMED flowmeter configurations are available with Quark SPIRO: digital turbine; single use pneumotach Flowsafe; multi-use pneumotach X9. The design architecture reduces all ordinary maintenance procedures, allowing the rapid solution of technical problems simply by replacing a board. The system fully complies with ATS/ERS recommendations for respiratory functionality tests. Applications: Occupational Health, Primary Care, Respiratory Function Tests Laboratories, Clinical Trials Test with X9, multi-use Pneumotach Spirometry test Integrated dosimeter

15 Spirometry Forced /Slow Vital Capacity (SVC-FVC) TEST/PRODUCTS Pony FX Spiropalm Spiropalm 6MWT microquark Quark Spiro Maximum Voluntary Ventilation (MVV) Bronchial Dilator test Integrated Dosimeter Respiratory Mechanics Maximum Exp-Insp Pressure (Mip-Mep) Respiratory Drive (PO.1) Airway Resistance (Rocc/Rint) Forced Oscillation (FOT) Cardio Pulmonary Exercise Testing Pulmonary Gas Exchange (VO 2, VCO 2 ) Anaerobic Threshold (AT) Indirect Cardiac Output (Wasserman) Six-Minute Walk Test (6MWT) Integrated Pulse Oximeter (SpO 2 ) ECG Interface (HR TTL) standard option

16 Respiratory care, when breath does matter... Respiratory Care A Pulmonary Department requires modular, easy-to-use and fully-featured equipment to perform any Pulmonary Function Testing (PFT). COSMED offers a complete solution of highly flexible modular equipment that can be upgraded at any time. COSMED products are fitted with latest technology in gas analysers, including proprietary sensor technology with exclusive CO-CH 4 or CO 2 analyzers. COSMED can also offer the possibility to choose from multiple flowmeter configurations: bidirectional digital turbine, multi-use pneumotachograph or single-use pneumotachograph. In addition, advanced measurement techniques can be easily added to COSMED modular equipment, like Forced Oscillation Technique (FOT) by Pseudo Random Noise Signal or full CPET testing.

17 Body Plethysmography Pulmonary Function Testing Forced Oscillations Nitric Oxide Monitoring

18 Body Plethysmography The fastest and most accurate way to assess Body Plethysmography The Q-Box is a new generation of body box for thoracic gas volume measurements. The measurement of Static Lung Volumes (TLC, RV, ITGV) and Airway Resistance and Conductance (RAW, GAW) through body plethysmography technique is considered the Gold Standard and it has become a necessity for any high-level laboratory of respiratory pathophysiology. The Q-Box is a variable-pressure body plethysmograph (Constant-Volume) with extremely fast times of stabilisation and calibration. The large cabin volume (873 litres) provides comfort and ease-to-access both for adults and special populations. Spirometry tests can be performed either inside or outside the cabin. A module to perform DLCO tests is included in the standard configuration. The Q-Box is a full modular equipment, it can be upgraded at any time with the following modules: Lung Volumes, Dosimeter, Metabolic, Airway Resistance, Integrated Pulse Oximeter. Applications: Hospital Pulmonary Function Department, Large Clinics, Respiratory Care Physician Offices Large cabin for comfortable testing Fully modular PFT laboratory Breathing valve for Pulmonary Function Testing

19 Pulmonary Function Testing Extreme Modularity for the most innovative diagnostic equipment for Pulmonary Function Testing Quark PFT has been designed to meet the needs of the modern physicians who invest before spending. Whether you need a complete PFT system or a basic configuration to start your own practice, Quark PFT can be tailored to your requirements. The Quark PFT available modules are: Spirometry (standard), Lung Volumes, Lung Diffusing Capacity, Respiratory Mechanics, Metabolic Assessment, Integrated Dosimeter and Integrated Pulse Oximeter. Instantly upgrade your Quark PFT without having to send it to the manufacturer thanks to an innovative plug and play design. Low maintenance costs, no need for technical expertise and user-friendly software, make the Quark PFT the perfect tool for accurate and reliable data in any hospital department or physician s office. The Quark PFT complies with all ATS/ERS standards. Applications: Hospital Pulmonary Function Department, Large Clinics, Respiratory Care Physician Offices Medical grade cart Cardio Pulmonary Exercise Testing Breathing valve for Pulmonary Function Testing

20 Forced Oscillation Forced Oscillation Technique (FOT), the easiest way to measure total respiratory resistance... The Quark i2m is a forced oscillation system for measuring total respiratory system impedance. It consists of a simple and fast (8 seconds) manoeuvre performed with the patient breathing normally into a measuring device. The Quark i2m can be used with non-cooperative subjects, making it the perfect solution for any pediatric department. An imperceptible, low intensity and high frequency (4-48 Hz) pressure signal is applied while breathing and after a few seconds the software provides total respiratory impedance, including the two components: resistance (R) and reactance (X). Applications: Paediatric Pulmonary Function, Occupational Health Forced Oscillations measurement Paediatric application

21 Spirometry Forced /Slow Vital Capacity (SVC-FVC) Maximum Voluntary Ventilation (MVV) Bronchial Dilator test Integrated Dosimeter Lung Volumes Multi-Breath Nitrogen Wash-out Single-Breath 100 % O 2 (Closing Volume) TEST/PRODUCTS Q-Box Quark PFT Quark i2m Lung Volumes by DLCO Single Breath dilution Lung Diffusing Capacity DLCO Single Breath (w/ Breath Hold) DLCO Single Breath (Intrabreath) DLCO 3eq (3 equations method) Membrane Diffusing Capacity Body Plethysmography Thoracic Gas Volume (TGV, RAW, GAW) Cardio Pulmonary Exercise Testing Pulmonary Gas Exchange (VO 2, VCO 2 ) Anaerobic Threshold (AT) Indirect Cardiac Output (Wasserman) Integrated Pulse Oximeter (SpO 2 ) ECG Interface (HR TTL) Respiratory Mechanics Maximum Exp-Insp Pressure (Mip-Mep) Respiratory Drive (PO.1) Airway Resistance (Rocc/Rint) Forced Oscillation (FOT) standard option

22 When heart and lung meet together... Cardiology & Cardiac Rehabilitation The latest guidelines from the American Heart Association (AHA) strongly recommend to perform respiratory gas exchange together with 12-lead ECG stress testing. in order to directly measure (not estimating) functional capacity in cardiac patients. COSMED equipment provides a wide range of choices for Cardio Pulmonary Exercise Testing: from the modular CPET laboratory for advanced functional status assessment to the new revolutionary Fitmate MED, providing a new approach to this application, making accessible standard CPET also to the private practice. Additional accessories and options, like diagnostic quality PC-based stress ECGs and clinical and rehabilitation ergometers, confirm COSMED as the preferred provider of exercise testing solutions for Cardiology and Cardiac Rehab markets.

23 Stationary CPET Clinical Desktop CPET Stress Testing ECG

24 Stationary CPET The most comprehensive solution to assess functional status of patients Quark CPET is the ideal solution for assessing gas exchange and ventilatory responses during clinical exercise test. In conjunction with the integrated 12-lead Stress Testing ECG monitor, the system is a compact metabolic cart for accurate pulmonary gas exchange with high quality components and super-fast analysers. The easy-to-use and intuitive software guides the user through calibration and test execution. The ability to compare any single parameter with predicteds and a powerful reporting tool are just a few of the many advantages that make Quark CPET indispensable in clinical settings. The Quark CPET can be implemented also with a nutritional assessment kit with canopy hood, with a pulse oximetry module and with a wide range of ergometers. Applications: Cardiology, Cardio Pulmonary Rehabilitation, Pre-Operative Assessment, PFT Labs Spirometry test VO 2 max & Sub-max Exercise Testing Integrated Stress ECG

25 Clinical Desktop CPET The first desktop diagnostic system for complete Cardiopulmonary Assessment The Fitmate MED measures maximal Oxygen Uptake, considered the Gold Standard in measuring Exercise Capacity and in quantifying Aerobic Fitness. When combined with traditional stress ECG, the Fitmate MED is able to assess the Functional Capacity, overcoming the limits of conventional cardiovascular stress test without the need for expensive equipment. The Fitmate MED also provides full Spirometry, Nutritional Assessment and Multiple Scores for Cardiovascular Risk Analysis. The Fitmate MED has been validated against the Gold Standard Douglas Bag for VO 2 measurements at rest and during exercise. Applications: Hospital Cardiology, Respiratory and Diabetes Departments, Primary Care, Sport Medicine VO 2 max & Sub-max Exercise Testing REE measurement for Nutritional Assessment Spirometry test

26 Stress Testing ECG Diagnostic Quality 12-lead Stress Testing PC-ECGs The Quark T12x and Quark C12x are high quality Stress Testing PC-ECGs respectively with telemetry configuration and with a traditional ECG patient cable. Both ECGs meet the most advanced requirements for Clinical Exercise Testing. A powerful software allows to control how diagnostic reports are measured, acquired, displayed and printed. High resolution ECG processing, samples per second, permits reliable ST-measurements and arrhythmia detection. The ECG screen display provides exceptionally clear tracing for real-time view and on screen measurements. When combined, these features assure the ultimate in stress testing accuracy and bring you the most efficient diagnostic quality ECG device available in the PC-based ECG market. Applications: Cardiology, Cardiac Rehabilitation, Pneumology, Sports medicine, Primary care. Stress Testing ECG with treadmill Stress Testing ECG with bike Quark C12x with USB connection to PC

27 Related Products Clinical cyclergometers with Watt workload. Available also armergometers and recumbent bikes for patients weighting up to 260 kg. Available with various lengths ( cm), speeds (0-40 kmh) and elevations (±35%). Wide choice of solutions for rehab patients with unweighting systems, adjustable handlebars or wheelchair stabilizers.

28 Spirometry Forced /Slow Vital Capacity (SVC-FVC) TEST/PRODUCTS Quark CPET Fitmate Med Maximum Voluntary Ventilation (MVV) Bronchial Dilator test Cardio Pulmonary Exercise Testing Pulmonary Gas Exchange (VO 2, VCO 2 ) VO 2 VCO 2 VO 2 Anaerobic Threshold (AT) Indirect Cardiac Output (Wasserman) Integrated Pulse Oximeter (SpO 2 ) ECG Interface (HR TTL) Nutritional Assessment Resting Energy Expenditure (REE, RMR) Indirect Calorimetry w/canopy Hood Weight Management Program (Energy Balance) Physical Activity Monitoring Software Diet planner Exercise Prescription ACSM Exercise Prescription VO2/HR Training Zones (based on AT) Exercise Intensity for Cardiac Rehabilitation Cardio Vascular Risk Analysis Framingham Index Duke Score Bode Index European Cardio Score Body Measurements Standardized Measurement (WHR, BP, RHR, etc) Body Composition (skinfold)

29 Stress Testing ECG 12-lead Stress Testing ECG Resting ECG interpretation Arrhythmia analysis Full Disclosure ECG analysis ST segment, ST slopes, Trends TEST/PRODUCTS Quark C12x Quark T12x TTL Output (Export to CPET, Stress ECO) Heart Rate Variability (HRV) standard option

30 Calories, you can t manage what you don t measure... Clinical Nutrition Measuring the energy requirements of confined-to-bed patients (either spontaneously breathing or mechanically assisted) is extremely important to accurately prescribe their proper dietary needs. The resting metabolic rate is key also for chronically ill patients or obese, diabetic (type II) or metabolic syndrome patients, but also can be used by dietitians to develop individual weight management programs. COSMED provides a complete range of solutions and diagnostic equipment for measuring metabolism in all these applications and markets. An accurate body composition analysis can identify important shifts in fat and fat-free (lean) mass components, which can be key in understanding health conditions and risk for diseases. With the recent acquisition of Life Measurements, Inc. (LMI), COSMED is now able to provide the most accurate body composition systems based on Air Displacement Plethysmography technology, considered the Practical Gold Standard in body composition assessment in adults, children and infants.

31 Indirect Calorimetry Desktop Indirect Calorimetry Body Composition Infant Body Composition

32 Indirect Calorimetry The Gold Standard in Nutritional Assessment The Quark RMR is a new generation metabolimeter designed to measure Resting Energy Expenditure (REE) through indirect calorimetry provided in a compact bed-side solution. It is designed to accurately and instantaneously measure energy requirements of either spontaneously breathing subjects or mechanically assisted patients. The Quark RMR additionally identifies the metabolism substrate utilization, allowing improved nutrition and evaluating nutritional therapy. It is easy to use, with high accuracy and affordability, becoming an indispensable instrument for the exact determination of the energy needs in particular of critical patients. Tests can be carried out either with flow-dilution canopy hood, with face mask or connected with ventilator in intensive care unit (ICU) applications. Applications: Clinical Artificial Nutrition (Enteral/Parenteral), Intensive care Units, Post-surgery, Cancer, Burns Centers, Bariatric Surgery, Diabetology. REE with Face Mask REE with Canopy Hood REE with Ventilator (ICU)

33 Desktop Indirect Calorimetry The first desktop Indirect Calorimetry with research and clinical grade accuracy New The Fitmate GS is the first portable desktop indirect calorimeter using the dilution technique for accurate measurements of Resting Metabolic Rate (RMR) in a clinical setting. Provided with a compact blower and a canopy hood, Fitmate GS is the ideal companion for bed-side applications and for interdisciplinary nutritional monitoring by hospital Nutrition Support Teams (NST). The use of a ventilated hood makes the test highly comfortable allowing patients to breathe freely. The ventilated hood can also be used for long periods of time with minimal discomfort and no air leaks from the system. Fitmate GS allows reliable, accurate, easy and quick measurement without the need of consumables and complicated calibration procedures with gas cylinders. Fitmate accuracy has been validated against the gold standard Douglas Bag. Applications: Clinical Nutrition, Diabetic Care, Nutrition Support Teams. Bubble-shaped canopy hood with removable blanket Visualisation in real time of test and security alerts Special blower with possibility to define 5 different flow levels

34 Body Composition The Gold Standard for Fast, Accurate, and Safe Body Composition Analysis of Adults and Children The BOD POD GS is the world s only Air Displacement Plethysmography system using whole body densitometric principles to determine body composition (Fat and Fat-Free Mass). Each BOD POD GS is a complete turnkey system based on the same Gold Standard operating principle as hydrostatic (underwater) weighing, except that the BOD POD uses patented Air Displacement Plethysmography (ADP) instead of water, to offer highly accurate, safe, comfortable, and fast test results. A full test requires only a total of 5 minutes. The BOD POD GS is non-invasive, making it especially suitable for frequent, longitudinal tracking of body composition and metabolic changes over time. The BOD POD together with the optional Pediatric Option TM accessory accurately measures body composition of young children down to 2 years of age and 12 kg. Applications: Clinical Examinations, Weight Management, Nutrition Counseling, Bariatric Clinics and many more Simple and easy for both subject and operator Suitable for assessing body composition of children Accomodates a wide range of populations <250

35 Infant Body Composition Accurate and safe infant body composition assessment through Air Displacement Plethysmography technique The PEA POD is the world s only Air Displacement Plethysmography system using whole body densitometry to determine body composition (Fat and Fat-Free Mass) in infants weighing between 1 and 8 kg. Each PEA POD is a complete turnkey system based on the same Gold Standard operating principle as hydrostatic (underwater) weighting. This technique relies on a mass and volume measurement (both performed within the unit). Once body density (Density = Mass/Volume) is determined, the PEA POD uses known (or user customized) densitometric equations to calculate percent of Fat and Fat-Free Mass. The PEA POD is extremely simple to operate, with software prompts guiding the operator through each step of the process. From start to finish, a PEA POD test takes about 7 minutes. The accuracy of the PEA POD has been shown to be very high against reference techniques in a number of research publications. Applications: Academic and Medical Research, Neonatology department The infant is easily placed in the warmed test chamber High precision scale embedded in the unit Infant is clearly visible at all time through the unit window 1-8

36 Related Products Desktop solution for accurate, quick and affordable RMR measurement plus weight management, lifestyle assessment and full diet plans. Physical Activity Monitor to record accurate lifestyle information of the patient (up to 60 days). Fully integrated with Fitmate software. Next-generation software for a scientific approach to Weight Management, Activity Assessment & Exercise Prescription.

37 Spirometry Forced /Slow Vital Capacity (SVC-FVC) TEST/PRODUCTS Quark RMR Fitmate GS BOD POD PEA POD Maximum Voluntary Ventilation (MVV) Bronchial Dilator test Integrated Dosimeter Cardio Pulmonary Exercise Testing Pulmonary Gas Exchange (VO 2, VCO 2 ) ECG Interface (HR TTL) Nutritional Assessment Resting Energy Expenditure (REE, RMR) Indirect Calorimetry (VO 2, VCO 2, RQ) Indirect Calorimetry w/canopy Hood Indirect Calorimetry w/ventilator (ICU) Weight Management Program (Energy Balance) Physical Activity Monitoring Software Diet planner Body Composition Weight Fat Mass & Fat Free Mass Body Density VO 2 w/ Skinfold Caliper Cardio Vascular Risk Analysis Framingham Index Duke Score Bode Index European Cardio Score Body Measurements Standardized Measurement (WHR, BP, RHR, etc) standard option

38 Test, Study, Measure, Improve my Performance University & Education COSMED provides the ultimate solution for Cardio Pulmonary Exercise Testing (CPET). Products vary from truly Mobile, Laboratory Cart to Desktopsize equipment. Sport Science, Kinesiology, and Physical Education Departments recognize COSMED as the leading manufacturer of metabolic systems in this market. With the recent acquisition of LMI, COSMED becomes a leading provider of Gold Standard solutions for body composition assessment. Performance Centres Sport Science Institutions and Military Performance Centres can rely on mobile solutions and integrated data management for both research and human performance assessment. With the recent introduction of Fitmate PRO, now also small and private Performance Centres can afford accurate VO 2 max testing. Professional Teams Professional Sports Teams, Sport Federations and advanced coaching centres can now access to advanced solutions to test athletes and teams to develop the best training programs.

39 Mobile Metabolic System Laboratory Metabolic Cart Desktop Metabolic System Body Composition

40 Mobile Breath by Breath Metabolic System Why limit your studies to the length of the cable? The K4b 2 is the first portable system for pulmonary gas exchange measurement with true breath-by-breath analysis. Its technology and dimensions allow the user to measure physiological response to exercise without limitations. With more than 20 years of experience in mobile VO 2 testing, K4b 2 is the most accurate and reliable device under any conditions. The K4b 2 has been validated, used and mentioned in more than 600 publications worldwide including the most prestigious scientific journals. The K4b 2 provides unsurpassed versatility. Whether in the lab or in the field, tests can be carried out in three different configurations: Holter Data Recorder, Telemetry Transmission and Laboratory Station. The K4b 2 is provided with integrated GPS for speed, distance, altitude and position measurements, which are synchronized with Gas Exchange Data. Applications: Sport Science, Research, Army, Human Performance Telemetry Transmission High Performance application Six-Minute Walk Test

41 Laboratory Metabolic Cart State-of-the-art Metabolic Cart with both Breath by Breath & Mixing Chamber technology The Quark CPET is the ideal solution for the assessment of the physiological response to exercise. Its high quality components and super-fast analysers assure unsurpassed accuracy, reliability and real breath-by-breath analysis of pulmonary gas exchange, even at high intensity exercises. The easy-to-use and intuitive software guides the user through calibration and test execution. Quark CPET can be integrated with an optional 7-liter physical mixing chamber suitable for extremely high and low ventilation ranges. The Quark CPET is available in multiple configurations including fully integrated 12-lead ECG Stress Testing, Canopy Nutritional Assessment, Pulse Oximetry and a wide range of ergometers. Applications: Sport Science, Clinical Exercise Testing, Performance Centres VO 2 max & Sub-max Exercise Testing Suitable for both research and human performance assessment Optional Mixing Chamber

42 Desktop Metabolic System The first desktop system for easy and accurate Cardio Pulmonary Exercise Testing The Fitmate PRO was designed to break schemes with traditional Cardio Pulmonary Exercise Testing and proposes a new approach for the measurement of Oxygen consumption both in clinical and sport exercise. The Fitmate PRO is a desktop-sized device with a large LCD screen and inbuilt printer that allows the user to perform tests without a computer. The Fitmate PRO manages the data, tests and stores all the information inside its internal memory. The Fitmate PRO calculates VO 2 max and sub-max VO 2, plus additional features like the calculation of Training Zones (based on the relationship between VO 2 and HR) and a complete Fitness Assessment and Exercise Prescription programme based on ACSM guidelines. Applications: Performance Centres, Education, Sport Medicine VO 2 max & Sub-max Exercise Testing Nutritional Assessment Individual HR training Zones Training Zones VO 2 VO 2 max Threshold Endurance Fat Burning HR

43 Body Composition Gold Standard Body Composition for Research, Clinical and Sport applications The BOD POD GS is the world s only Air Displacement Plethysmography system using whole body densitometric principles to determine body composition (Fat and Fat-Free Mass). Each BOD POD GS is a complete turnkey system based on the same Gold Standard operating principle as hydrostatic (underwater) weighing, except that the BOD POD uses patented Air Displacement Plethysmography (ADP) instead of water, to offer highly accurate, safe, comfortable, and fast test results. A full test requires only a total of 5 minutes. The BOD POD GS is non-invasive, making it especially suitable for frequent, longitudinal tracking of body composition and metabolic changes over time. The BOD POD together with the optional Pediatric Option TM accessory accurately measures body composition of young children down to 2 years of age and 12 kg. Applications: Academic & Medical Research, Elite Athletic Training, Military & Public Safety, Performance Centers, Health & Fitness, and many more Simple and easy for both subject and operator Suitable for assessing body composition of children Accomodates a wide range of populations <250

44 Related Products Diagnostic quality 12- lead PC-ECG for stress testing in telemetry configuration (Wi-Fi) and with patient cable (USB). Special configurations for wide range of sport applications like biking, skiing, wheelchair, etc. Full choice of available deck lengths (up to 300 cm), speeds (0-80 kmh), elevations (±35% ), etc. Cycle- and armergometers with unique calibration system to guarantee maximum quality and accuracy. Up to 2500 Watt workload ergometers for intensive athletic training and anaerobic testing (Wingate).

45 Spirometry Forced /Slow Vital Capacity (SVC-FVC) TEST/PRODUCTS K4b2 Quark CPET Fitmate PRO BOD POD Maximum Voluntary Ventilation (MVV) Bronchial Dilator test Cardio Pulmonary Exercise Testing Pulmonary Gas Exchange (VO 2, VCO 2 ) Anaerobic Threshold (AT) Indirect Cardiac Output (Wasserman) VO 2 6 Minutes Walking Test (6MWT) Integrated Pulse Oximeter (SpO 2 ) ECG Interface (HR TTL) Nutritional Assessment Resting Energy Expenditure (REE, RMR) Indirect Calorimetry (VO 2, VCO 2, RQ) Indirect Calorimetry w/canopy Hood Weight Management Program (Energy Balance) Physical Activity Monitoring Software Diet planner Body Composition Weight and Body Density Fat Mass & Fat Free Mass w/ Skinfold Caliper Fitness Assessment Muscular Endurance/Strength, Flexibility Standardized Measurement (WHR, BP, RHR, etc) Exercise Prescription ACSM Exercise Prescription VO2/HR Training Zones (based on AT) Cardio Vascular Risk Analysis Framingham Index standard option

46 .

47

48

49 For further infos on COSMED products fill the online form on or complete this card... First name Last name Title Company/Institute Department Address City State/Prov. Country Zip Phone Fax Select the field you are interested in or specify the equipment that most matches your needs, COSMED will send you a detailed documentation according to your choice: * Spirometry * Pulmonary Function Testing * Cardio Pulmonary Exercise Testing * Electrocardiography * Nutritional Assessment * Other Please send me: * Send quote * Literature * Request for Demo * Contact by Sales Rep. * Other Please complete and return this card to COSMED, for your convenience you can fax it to: +39 (06) (international customers), (US customers only) or to: info@cosmed.com Personal data treatment: I express my permission to my personal data treatment, according to Privacy Law, in order to place an order, register a product, request a service, answer a survey, enter a contest, correspond with you and to define my commercial profile for your marketing and advertising purposes. The data can be provided to selected business partners and companies which carry on business for COSMED Srl. * Yes * No Signature:

50 Place stamp here COSMED Srl Via dei Piani di Monte Savello 37, Pavona di Albano - Rome ITALY

51 2012/09 COSMED E & OE. Subject to alterations without prior notice. P/N : C

52 COSMED srl Headquarters Via dei Piani di Monte Savello 37, Pavona di Albano - Rome ITALY Phone Fax info@cosmed.it United States of America Concord, CA Phone +1 (925) Fax +1 (925) Chicago, IL Phone +1 (773) Fax +1 (773) info@cosmedusa.com China P. R. Guangzhou Phone +86 (20) Fax +86 (20) china@cosmed.com cosmed.com