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KORR Medical Technologies, Inc Congratulations Your MetaCheck™ Metabolic Analyzer is a clinical quality instrument that measures energy expenditure. It will provide you measurements with similar accuracy as devices used in hospital intensive care units. I am sure you will find the MetaCheck™ extremely simple to use.
The MetaCheck™ is NOT a medical device. It is not intended to be used for the diagnosis or treatment of disease. For medical applications, customers should use the REEVUE Indirect Calorimeter from KORR™. The REEVUE has clearance from the US Federal Food and Drug Administration (FDA) to be marketed as a medical device.
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Theory of Operation 1.3.1 Metabolic Testing Metabolism is the process of converting food into heat or energy. The rate and efficiency with which the body converts food to energy is referred to as the metabolic rate. The most direct method of measuring metabolic rate is to directly measure the amount of heat produced by the body.
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1.3.3 Calorie Calculation The number of calories expended for a given amount of oxygen consumed. The exact relationship between calories consumed and oxygen consumption is also affected by the amount of carbon dioxide produced by the body as well as oxygen consumed. However, the error that occurs by not considering carbon dioxide is never larger than 1% and is usually less than 0.5% during a resting metabolic test.
Chapter 2: User Interface Description Front Panel Description The front panel is comprised of displays, keypad and connections. Figure 2.1 illustrates the MetaCheck™ keypad. The various keys and their functions are described on the following pages. Figure 2.1 MetaCheck™ Keypad 2.1.1 Key Group A group of keys are located to the right of the display.
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2.1.2 Soft Keys Underneath the display are two keys that do not have any labels. These are called “Soft Keys.” The word “Soft” comes from the fact that the key functions are defined by the software in the MetaCheck™. When these keys are active, the bottom line of the display will have text that defines their function.
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2.1.4 Key Functions ON / STANDBY This key is used to turn the device on and off. In standby (off) mode there is still electrical power going to the device, but the display will be dark. NOTE: A green light appears next to this key when power is applied.
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Connect the power adapter supplied with the MetaCheck™ to this connection on the rear of the instrument. Use of a power supply other than those provided by KORR™ medical technologies is not recommended and can damage the unit and void the warranty.
Chapter 3: Quick Use Instructions 1. Turn on the unit. CAUTION: Ensure the Single Patient Use “MetaBreather™” hose is not attached during calibration. Remember to dispose of the hose/mouthpiece after use. 2. Wait for device to be ready. Calibration will start automatically when device is turned on. When calibration is complete the device indicates “Waiting for First Breath”.
4. 4 Display Screen The splash screen appears when the device is first turned on. Line number two changes from Firmware Version to EEP File Version to Print File Names. MetaCheck ver 2.05.00 SN 10204 KORR Medical Tech. Figure 4.1 MetaCheck™ Splash Screen...
Chapter 5: Conducting a Metabolic Rate Test 5.1 Warm Up Upon turning on the MetaCheck™, it will take a moment to warm up. The warm up screen is shown following the splash screen. It will automatically end and begin calibration when the device has warmed up. The enter key will override the warm up and skip directly to calibration.
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MetaCheck™. If gas flow is detected, the system will indicate that error number 112 (Device cannot be Zeroed) has occurred. If this error is detected, calibration time will be prolonged. However, no user interaction, other than to prevent any flow through the system, is needed to correct this problem. When calibration is complete, the text on the display will read “Calibration complete, waiting for first breath.”...
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5.5 Place the MetaBreather™ mouthpiece in the patient’s mouth. Warning: Always use a KORR factory authorized MetaBreather ensure correct metabolic rate measurements and protect your MetaCheck device warranty.
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5.6 Begin Testing The MetaCheck™ is designed to measure the patient’s resting energy expenditure. This means that the patient should be encouraged to rest to the greatest degree possible during the test. A reclining position and quiet atmosphere is recommended. 5.6.1 Test Length The default test duration is 10 minutes.
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Screen 2 • VO The volume of oxygen consumed displayed in milliliters per minute. • REE: The current resting energy expenditure (REE) calculated at that point of testing, displayed in calories per hour. VO2: 339 ml/min REE: 2347 kcal/hr Data Stable >>>>>...
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extremely inconsistent, encourage patient to relax and breathe normally. 5.7 Concluding the test The test will automatically end when the maximum time has been reached. If the auto end test option is enabled from the menu, then the test will automatically end when the test readings have stabilized, or the test reaches the maximum time.
Chapter 6: Post Test Options 6.1 Enter Patient Data After the hose has been removed, the user is asked if they want to enter the subject’s data, height, weight, age, and gender. This data is used to calculate the predicted or normal metabolic rate expected for that patient. The MetaCheck™...
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6.1.2 Enter Height Use the [arrow] keys to enter the subject’s height, press the [enter] key to accept the height as it is currently displayed. Use Arrow Keys To Enter Height 182 cm 6 ft 0 in Figure 6.3 Enter Height Screen 6.1.3 Enter Gender Use the [arrow] keys to enter the subject’s gender, press the [enter] key to accept the gender as it is currently displayed.
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6.2 Test Results Screen The test results screen allows you to scroll through the various values calculated by the METACHECK™. Use the Up and Down [arrows] to scroll through the values. Use the [Chg data] soft key to re-enter the user data. Use the [Print] soft key to print a copy of the report.
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Age: 28 Yr Sex: Ht: 183 cm 2" Wt: 104.9 kg 230 lb [Chg Data] [Print] Figure 6.11 Results Screen 6 FFM Estimate: 90.0 kg Test Time: 10:04 [Chg Data] [Print] Figure 6.12 Results Screen 7 6.3 Print Screen The printing screen is shown while the METACHECK™ is printing the report. It will automatically return to the test results screen when the report has printed.
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6.4 Print Last Test The print last test screen is shown if the last test was never successfully printed. Press the [Print] soft key to get to the results screen and print the previous test, press the [Skip] soft key to continue on with the warm up sequence. The last test was never printed.
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6.7 Menu Screens The user menu is displayed when the [menu] key is pressed. Only four options are displayed at a time. The [arrow] keys scroll through the menu. The [enter] key selects the current menu option. Exit Menu Leaves the menu and returns you to either the test results screen or the calibration screen.
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6.7.1 Report Style The report menu allows the user to select the style of report to use when a report is printed. The options in this menu depend on the reports that are loaded in the device, and may vary. The [arrow] keys scroll through the menu.
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6.7.2 Previous Test Screen The select previous test screen allows the user to view and print test data that is stored in the device. The [arrow] keys change the test ID number. The [enter] key selects the displayed value. Use Arrow Keys To Select The Test ID Figure 6.15 Previous Test Screen 6.7.3 Set Auto End...
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6.7.4 Set Maximum Length Allows user to set the maximum length of test. The maximum time may be set between 10 and 30 minutes. Note: If maximum time is set less than the minimum time, the minimum time will automatically be adjusted to be equal to maximum time. Set Maximum Test Duration: 10 min...
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6.7.6 Verify Calibration The verify calibration screen allows the user to check the calibration of the unit using a calibration syringe. > Verify Oxygen Verify Flow/Volume Verify misc. Auto Cal Figure 6.19 Main Calibration Screen Oxygen Reading 15.6 % Figure 6.20 Verify Oxygen Screen Flow/Vol Reading Flow: 0.0 LPM...
Chapter 7: Troubleshooting 7.1 Error Messages The MetaCheck™ may detect certain errors and display them on the LCD of the MetaCheck™. It will give the error number and a brief description of the problem. Additional information is provided below. 7.1.1 Error 100: No Printer Detected ERROR 100 No Printer Detected [Results]...
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This message will be displayed when automatic calibration cannot be completed properly. Extreme temperature or humidity may cause this error. If the message persists while temperature and humidity are stable and within the normal working range, KORR™ Medical Technologies must recalibrate the system.
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If this occurs: 1. Press each button several times firmly 2. Restart the machine 3. Call KORR™ Medical Technologies for further assistance 7.1.6 Error 105: Negative flow detected, check hose connection ERROR 105 Negative flow...
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This may occur if there is a backwards flow of air. Air should not exit the MetaCheck™ through the “Air Intake” during a test. This may occur if the Single-Patient-Use MetaBreathers™ are re-used. If this error message is shown: 1. Check the seal between the hose, filter and air intake 2.
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If you experience this error condition in absence of an external oxygen source, contact KORR™ for further assistance. 7.1.9 Error 108: Serial Buffer Overflowed ERROR 108 Serial Buffer Overflowed. Figure 7.9 Error 108 Screen If this error appears, contact KORR™ Medical...
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7.1.10 Error 109: Data Buffer Overflowed ERROR 109 Data Buffer Overflowed. Figure 7.8 Error 109 Screen If this error appears, contact KORR™ Medical 7.1.12 Error 111: User Defaults Have Not Been Set ERROR 111 User Defaults Have Not Been Set.
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7.1.14 Error 114: Replace O Sensor Soon ERROR 114 Replace O2 Sensor Soon. Figure 7.11 Error 114 Screen This error indicates that the oxygen sensor is almost depleted and should be replaced soon. The Oxygen (O ) sensor in the MetaCheck™ has a life expectancy of 2-3 years.
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KORR™ Medical Technologies, Inc. If you feel that your unit needs to be returned to KORR™ for repair or replacement, please identify the serial number found on the back of the MetaCheck .
Use only power sources provided by KORR™ Medical Technologies. Warning: The MetaCheck™ should only be used with the KORR™ factory authorized MetaBreather. Use with any other patient interface device will compromise accuracy and patient safety and may void factory warranty.
Chapter 9: Maintaining Device Effectiveness • Always use a new Single-Patient-Use disposable mouthpiece for each test. Re-use of a mouthpiece can lead to spread of disease and incorrect metabolic rate measurements. • Do not connect the mouthpiece before calibration is complete. Wait until the display indicates that the system is waiting for the first breath.
Chapter 10: Specifications MetaCheck™ Parameter Specification External 12-volt power supply from device, Power Requirements less than 1.5 Amps. Barometric Pressure Sensor Accuracy ± 2 mmHg Resolution 1 mmHg Min/Max Range 525 to 795 mmHg Temperature Sensor Accuracy ± 1 °C Resolution 0.1 °C Min/Max Range 10 to 40 °C Relative Humidity Sensor...
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MetaCheck™ Parameter Specification Oxygen Consumption Calculation Range < 70 to > 720 ml /min O2 Resolution 1 ml/min O2 d) Metabolic Rate Calculation Weir Equation with assumed Calculation Method RQ = 0.83 Range 500 to > 5,000 kcal/day Resolution 7 kcal/day Measurement Time 10 minutes Physical Dimensions Size 20 x 30 x 10 cm...
TWO YEARS from the date of shipment. This warranty covers the repair or replacement, at KORR’s sole discretion, of the product or defective parts. KORR™ reserves the right, at its sole discretion, to perform warranty service at its factory, at an authorized repair station, or at the customer’s facility.
KORR™ Medical Technologies provides Warranty Service Support to its customers for products under standard or extended KORR™ warranty. Service requests can be submitted via the web at www.KORR.com or by telephone at (801) 483-2080. Details for shipping service items to the KORR™ factory are available for download on the KORR™...
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