COSMED srl products

The Quark CPET (Cardio Pulmonary Exercise Test) is the ideal solution for the assessment of physiological response to exercise. Its high quality components and super-fast analyzers assure unsurpassed accuracy, reliability and real breath-by-breath analysis of pulmonary gas exchange, even during high intensity exercise. The easy-to-use and intuitive software guides the user through calibration and test execution. The 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.

The Quark RMR is a state-of-the-art metabolic cart designed for accurate measurement of Resting Energy Expenditure (REE) and respiratory ratio (R), in a non-invasive way, through the measurement of oxygen consumption (VO2) and carbon dioxide production (VCO2) together with other ventilatory parameters. Energy requirements are monitored accurately and instantaneously either on spontaneously breathing subjects with a flow-dilution canopy hood or (optionally) to mechanically-assisted patients by inserting directly at the patient’s circuit a disposable flowmeter (Flow-REE). The number of available configurations make the Quark RMR the most versatile metabolic cart for applied research in human physiology. Quark RMR’s accuracy and reliability have been validated against Gold Standard methods either with spontaneously breathing subjects (at rest and during exercise) and mechanically assisted patients.

Introduced by COSMED, worldwide leader in the design of metabolic systems for clinical and human performance applications, Q-NRG is the first Indirect Calorimeter specifically intended for Resting Energy Expenditure (REE) measurement on spontaneously breathing subjects.

The Quark RMR is a state-of-the-art metabolic cart designed for accurate measurement of Resting Energy Expenditure (REE) and respiratory ratio (R), in a non-invasive way, through the measurement of oxygen consumption (VO2) and carbon dioxide production (VCO2) together with other ventilatory parameters. Energy requirements are monitored accurately and instantaneously either on spontaneously breathing subjects with a flow-dilution canopy hood or (optionally) to mechanically-assisted patients by inserting directly at the patient’s circuit a disposable flowmeter (Flow-REE). The number of available configurations make the Quark RMR the most versatile metabolic cart for applied research in human physiology. Quark RMR’s accuracy and reliability have been validated against Gold Standard methods either with spontaneously breathing subjects (at rest and during exercise) and mechanically assisted patients.

Introduced by COSMED, worldwide leader in the design of metabolic systems for clinical and human performance applications, Q-NRG is the first Indirect Calorimeter specifically intended for the measurement of Resting Energy Expenditure (REE) in patients who are mechanically ventilated or spontaneously breathing and for healthy subjects. Indirect calorimetry remains the Gold Standard in measuring energy expenditure in clinical settings, proven to have enormous advantages compared to Predictive Equations2. In fact, this measuring technology provides an individual and dynamic metabolic assessment based on the actual physical status of the subject rather than estimating it on anthropometric data.

Quark PFT is a modular and compact Pulmonary Function Testing system that allows accurate, repeatable, low cost tests over time. It has been designed to meet any physician’s configuration requirement, whether a full-featured PFT system or a basic configuration to start a private practice is needed. Quark PFT is powered by OMNIA, the new software platform, entirely designed and developed by COSMED. OMNIA provides an innovative and user-friendly interface (touch-screen ready) that allows operators to navigate and access features and testing with a minimal amount of training. OMNIA is available in a multi-language environment either as a stand-alone or as a client in a small or large network environment. All Quark PFT modules comply with the latest published ATS/ERS statements.

The Q-i2m module is a forced oscillation technique (FOT) system for the measurement of the mechanical properties of the respiratory system, total respiratory input impedance (Zrs), under tidal breathing conditions. FOT employs small-amplitude pressure oscillations superimposed on the normal breathing and, therefore, has the advantage of not requiring the performance of complex respiratory manoeuvres. The test is simple and fast and ideal for uncooperative patients or for those unable to perform forced expiratory manoeuvres, such as children or elderly people. Q-i2m superimposes a random signal to the patient’s breath and measure the respiratory apparatus response. The acoustic pulses are sent to the mouth at high frequency in casual sequence (Pseudo Random Noise - PRN). Q-i2m measures pressure and flow at the subject’s mouth while the imperceptible, low intense and high frequency pressure signal is applied. 

LCI is a more sensitive marker of abnormalities than FEV1, allowing early detection of disease in the smaller airways, down to small children. Innocor® LCI uses SF6 multibreath wash-out (MBW), standing out from the N2 MBW method: no influence of N2 back-diffusion into the lungs from blood and tissues, no impact of pure O2 on breathing pattern or gas exchange, considerably shorter testing time by wash-in during rebreathing, and no sensitivity to inspiratory leaks. The use of a fast-responding photoacoustic infrared gas analyser guarantees unmatched sensitivity, accuracy and stability.