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4

piCO

+

 Operating Manual

English

www.bedfont.com

Introduction

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.

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, gender, 

and inhalation intensity. The half life is about 

5 hours.

CO (ppm) and carboxyhaemoglobin 
(%COHb) correlation:

 

Breath carbon monoxide is measured 

in parts per million (ppm) and blood 

carboxyhaemoglobin is measured in 

percentages (%COHb). The two are 

compatible and convertible: the CO reading 

relates to gas in the lungs 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.

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

Summary of Contents for piCO+ Smokerlyzer

Page 1: ...Operating manual piCO TM Smokerlyzer breath analysis is the new blood test ...

Page 2: ......

Page 3: ...on 6 4 Pack content list 7 5 Instrument layout 7 6 Display symbols 8 7 Warnings and maintenance 9 8 Operation 10 11 9 Calibration 12 14 10 Set up User profiles 15 11 Set up Sounder operation 16 12 Troubleshooting 17 13 COdata software 18 14 Frequently asked questions FAQ 19 15 Returns procedure 20 16 Spares and warranty 21 ...

Page 4: ... two are compatible and convertible the CO reading relates to gas in the lungs 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 carboxy...

Page 5: ...nd during the last three seconds of the countdown 6 Blow slowly into mouthpiece aiming to empty lungs completely 7 The ppm and equivalent carboxyhaemoglobin COHb levels will rise and hold The coloured LEDs will light accordingly See the table on page 11 for an interpretation of the reading 8 Remove the D piece between tests to purge the sensor with fresh air 9 To repeat the breath test double clic...

Page 6: ...s Monitor construction Body Polycarbonate ABS blend with elastomeric overmould D piece Polypropylene Symbols Direct Current Degree of protection against electric shock Type BF applied part Type of protection against electric shock Internally Powered Equipment Please refer to the warnings and safety notes in the manual Consult instructions for use Degree of protection against ingress of liquid IPXO...

Page 7: ...mpling D piece 6 Securing lug on D piece 7 Exhaust port for breath sample 8 Sounder 9 USB connector 10 Cardboard mouthpiece 11 Battery compartment 12 Reset button 13 Battery cover 5 2 Pack contents 1 Instrument 2 Carry pouch 3 User manual 4 Breath sampling D piece 5 SteribreathTM mouthpieces 6 2 AA batteries 7 Hand Foam Infection control and maintenance guidelines 0086 Bedfont Scientific Ltd ME17 ...

Page 8: ...1 Exhale for breath test 12 Peak CO reading ppm and COHb 13 Set instrument zero in fresh air only if the reset button has been pressed 14 Apply calibration gas at 20ppm 15 Calibration pass fail Pass Fail 16 Calibration reminder 17 User profile selection 18 Select adult user profile 19 Select adolescent user profile 20 Select custom user profile if set via COdata software on PC 21 Contact Bedfont o...

Page 9: ...luation to the requirements of EN60601 1 2006 Wipe the instrument and D piece external surfaces with a product specifically developed for this purpose Bedfont provides instrument cleansing wipes Cleaning Routine maintenance Calibrate the monitor using Bedfont 20ppm CO in air calibration gas when prompted by the calibration reminder on the piCO see page 12 Once calibration has been carried out a re...

Page 10: ...ear If a 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 17 When the pointer is opposite the picture of an exhaling face ...

Page 11: ... will temporarily silence the sounder if it is on To start another breath test double click the button to return to the main display A new mouthpiece should be used with every test Removing the D piece between tests will allow fresh air to purge the sensor It is good practice to wash your hands after removing the D piece If no further tests are required the piCO should be turned off by holding the...

Page 12: ...e valve Double click on the cylinder Icon Bedfont calibration kit 1 Fine control valve 2 Flow indicator 3 Gas cylinder 20ppm CO in air 4 Calibration adapter and tube Immediately open the fine control valve and allow the gas to flow at 1 litre per minute To maintain this adjust the flow so the ball in the flow indicator remains at the middle line Allow the gas to flow through the instrument for up ...

Page 13: ... is between 5 and 40ppm the calibration value will be automatically set in the instrument as 20ppm and a tick will be displayed to show a successful calibration If the Calibration Manual displayed reading is outside these limits the calibration fails and a will be displayed see Troubleshooting page 17 if this happens The pointer and return symbols re appear at the bottom of the display to indicate...

Page 14: ...as 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 Calibration If Reset Button Pressed After Reset has been pressed the unit must be switched off and on again A light sequence will indicate it has been reset and the PiCO must be re calibrated The calibration gas required is Bedfont 20ppm carbon monoxide in air Ensure...

Page 15: ...ay To change the selected profile 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 Scroll the pointer until it is opposite the User Profile symbol 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...

Page 16: ... the breath test although it will still operate during the breath hold countdown The operation of the sounder during the exhalation phase of a breath test is indicated by the small symbol on the top line of the display 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 previ...

Page 17: ... 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 after an attempte...

Page 18: ... Refer to the supplied documentation for how to operate COdata software The custom user profile can only be accessed from COdata The operator should not touch the patient whilst in contact with either the computer or USB connector parts The piCO should only be connected to a computer that is manufactered in accordence with EN60950 safety of information technology equipment Ensure the monitor is ou...

Page 19: ... also acts as an indicator of the possible level of around 4 000 toxic substances in cigarette smoke 60 of which can cause cancer Q Q What does ppm and COHb mean A 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 Q Q How quickly...

Page 20: ...e sent an Engineer s Report and a quotation for the repair which will include an authorisation form 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 If the monitor is out of warranty and you wish to proceed ...

Page 21: ... item covered under this warranty when such an item is returned intact and prepaid to Bedfont Scientific Limited or the local representative These warranties are automatically invalidated if the products are repaired altered or otherwise tampered with by unauthorised personnel or have been subject to misuse neglect or accident Never dispose of any electronic instrument or batteries in domestic was...

Page 22: ...Notes ...

Page 23: ......

Page 24: ...e Kent ME17 1JA England Tel 44 0 1622 851122 Fax 44 0 1622 854860 Email ask bedfont com www bedfont com Issue 14 June 2014 Part No LAB220 Bedfont Scientific Ltd Bedfont Scientific Limited reserves the right to change or update this literature without prior notice Registered office England and Wales Registered No 1289798 ...

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