Founded in 1980, with global headquarters in Rome (Italy), COSMED is a privately owned

company manufacturing Cardio Pulmonary, Metabolic and Body Composition diagnostic

equipment.
Since its foundation, COSMED's primary goal has always been to improve the quality of its
products and services through innovation and superior customer service.
COSMED began with the design and manufacturing of Spirometers. In the early 80s, COSMED
introduced the Pony, a very innovative portable desktop spirometer  with immediate success in
the European and Asian markets. More than 20,000 units are sold globally. In the mid-90s
COSMED designed the first portable metabolic analyzer: the K4. This truly innovative device
broke new grounds with metabolic measurement and rapidly became the best selling oxygen
measurement device in Education, Sports Science and Research.
In 2011, COSMED further enhanced its already extensive offerings with the acquisition of Life
Measurement, Inc. (LMI), a leading US provider of gold-standard body composition assessment
systems to be used with infants, children and adults.
Presently, COSMED is an EN13485 certified company and manufactures a full range
of Spirometers, Pulmonary Function, Metabolic and Body Composition assessment systems.
OMNIA - SOFTWARE
OMNIA
One integrated solution for effective Lung Function, Metabolic and Body Composition data
management
OMNIA is the new software platform developed by
COSMED designed for data management, interpretation
and reporting of all tests performed with the entire
COSMED product range, from spirometry to lung function
equipment and from metabolic to body composition
assessment. OMNIA, entirely designed and developed by
COSMED, provides an innovative and user-friendly
interface (touch-screen ready) that allows operators to
navigate and access main features and testing almost
without any training in a multi-language environment.
OMNIA is easy to setup, and, thanks to its intuitive
environment, it is extremely easy to learn. OMNIA is
available in both Stand-alone and Network version, a fully
featured software with Server/Client architecture.
•Easy to use. Beautifully designed GUI makes complex operations easy to perform, test and
interpret.

Versatile. Designed for clinical and research environments.

Integrated. With HL7 connector OMNIA brings productivity and efficiency of the Lab, while
integrating it with your Hospital Information System.

You own your data. OMNIA is based on either Express or Standard SQL database to store
data securely. SQL language ensures that your database is continuously improved, updated
and well maintained.

Modular and scalable. OMNIA is a modular solution that allows you to upgrade at any time
according to your specific needs.

Long term investment. OMNIA design, based over the most recent generation of Microsoft
programming language, makes easy to follow the evolution of the Microsoft Operative
System for the years to come.
 
SPIROMETRY
A spirometer is an apparatus for measuring the volume of air inspired and
expired by the lungs.

A spirometer measures ventilation, the movement of air into and out of the

lungs.

The spirogram will identify two different types of abnormal ventilation

patterns, obstructive and restrictive

There are various types of spirometers which use a number of different

methods for measurement (pressure transducers, ultrasonic, water
gauge, etc).
WHAT WE MEASURE :

 FVC : PRE & POST

FORCED VITAL CAPACITY

 SVC : PRE & POST

SLOW VITAL CAPACITY

 MVV
MAXIMUM VOLUNTARY VENTILATION
NORMAL FVC CURVE
NORMAL SVC CURVE
SPIROMETRY TRANSDUCER
COSMED Turbine

COSMED Pneumotach
Disposable Mouthpiece Spirometer filter / air / antibacterial
PNEUMO TACH
SPIROMETER
COSMED SPIROMETER
The Pony FX is the new generation of desktop spirometers
developed by COSMED for complete spirometry testing
(FVC/SVC, MVV, bronchial provocation). With a large
colour LCD screen and inbuilt thermal printer, it is possible
to perform tests without the need of a computer. The
Pony FX has internal memory, which can store many
patients/tests, and comes with a powerful and user-
friendly PC software (OMNIA) for data management and
real-time PC testing. Pony FX is configured with an
accurate and reliable bidirectional digital turbine
flowmeter. Additional optional tests include: Airway
Resistance (Rocc), Respiratory Mechanics (MIP/MEP) and
Pulseoximetry (SpO2).
Pony FX
•Advanced desktop spirometer with spirometry, airway resistance and
respiratory mechanicsFull spirometry testing (FVC, SVC, MVV, Pre/Post
BD)
•Airway resistance by Occlusion Technique (option)
•Respiratory Mechanics MIP/MEP (option)
•Pulseoximetry with integrated high quality SpO2 monitor (option)
•Colour LCD display with real time graphs and embedded high speed
Thermal Printer
•Turbine flowmeter fully complies with ATS standards
•Provided with OMNIA software for data management, real time testing
and interpretation on PC

Pony FX MIP/MEP
•Advanced desktop spirometer with spirometry and respiratory mechanicsFull
spirometry testing (FVC, SVC, MVV, Pre/Post BD)
•Respiratory Mechanics MIP/MEP
•Airway resistance by Occlusion Technique (option)
•Oxygen Saturimetry with integrated SpO2 monitor (option)
•Colour LCD display with real time graphs and embedded high speed Thermal
Printer
•Available with COSMED turbine flowmeter
•Provided with OMNIA software for data management, real time testing and
interpretation on PC
OPTIONS
PRINTOUT
RS UNS SOLO
Spiropalm 6MWT
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 SpO2 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). Product winner of the 2013 ERS “Product of Outstanding Interest” (POINT) Award.

Truly hand-held device. Compact size and light weight (only 390 gr). Internal memory that can store up to 600 tests/patients. Li-
Ion battery with autonomy of up to 6 hours (charging time 2h10).

Enhanced 6MWT test. Turbine flowmeter, connected to a silicone face mask with head cap for measurement of ventilatory
parameters. Oxygen saturation monitored by an integrated pulse oximeter (Nonin®).

Powered by OMNIA. Spirometry and 6MWT data can be download directly in OMNIA and spirometry can also performed real-
time with software. OMNIA allows intuitive, immediate testing with advanced text interpretation and graphical tools for quick
assessment. Includes new standards and predicteds according to latest ATS/ERS guidelines (2005 Consensus, GLI, 202 6MWT,
etc).

Pediatric Incentivation. Possibility to perform spirometry test with a selection of innovative pediatric incentivation graphics with
user defined effort grade on both volume and flow (both PEF and FVC predicteds).

Validated Digital Turbine Flowmeter. Independently validated turbine flowmeter by LDS Hospital using the ATS 24 standard
volume-time waveforms (Crapo R. O. 2004 “Validation of COSMED turbine vs ATS 24 standard volume-time waveforms“).
microQuark
microQuark is the PC-based 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.
Performing spirometry tests is extremely easy and intuitive with microQuark and OMNIA,
the new generation software developed by COSMED, which is included in the standard
package. Fast, simple and cost effective spirometry screening is now available to all users.

Plug and play technology. microQuark can be used with any PC, either desktop or laptop,
by simply installing the application software and connecting the USB cable to the USB
socket of the computer.

Validated Digital Turbine Flowmeter. Independently validated turbine flowmeter by LDS

Hospital using the ATS 24 standard volume-time waveforms (Crapo R. O. 2004
“Validation of COSMED turbine vs ATS 24 standard volume-time waveforms“).

Powered by OMNIA. OMNIA allows intuitive, immediate spirometry testing with

advanced text interpretation and graphical tools for quick assessment. Includes new
PC-based spirometer standards and predicteds according to latest ATS/ERS guidelines (2005 Consensus, GLI,
etc).

Pediatric Incentivation. Possibility to perform spirometry test with a selection of

innovative pediatric incentivation graphics with user defined effort grade on both volume
and flow (both PEF and FVC predicteds).
Quark Spiro
Modular Spirometry Laboratory with additional bronchial challenge
and airways resistance tests

Quark SpiroQuark SPIRO is a modern laboratory for

complete spirometry testing, with additional
sophisticated applications like integrated dosimeter
and airway resistance modules. The system is fully
modular and offer a choice among three different
flowmeter configurations: digital turbine, multi-use
pneumotach (X9) and single use pneumotach
(Flowsafe). Low maintenance costs, thanks to its
iInnovative “plug and play” design, make Quark Spiro
the Quark PFT the perfect laboratory for accurate,
frequent and reliable spirometry. The system fully
complies with ATS/ ERS recommendations for
respiratory functionality tests.
True modular design architecture. Modularity allows to configure Quark Spiro according to any kind of
requirement. This cost-effective solution gives the opportunity to scale at any time to a more complex
configuration.

Flowmeters choice. Quark Spiro can be configured either with multi-use Lilly pneumotach (X9) or with
multi-use digital turbine, depending on.

Powered by OMNIA. COSMED has developed a contemporary, simple and ergonomic software interface
with intuitive workflow and hierarchy. OMNIA is based on standard SQL database to store unlimited data
securely and guaranteeing lifetime data ownership.

Simplified workflow. OMNIA user interface and its workflow management have been designed to simplify
procedures and to reduce testing time.

Quick and easy calibration procedures. Quark Spiro includes both standard calibration procedures and
advanced calibration procedures to verify accuracy, including Pneumotach linearization and verification of
all flowmeters (turbine, PNT).

Automatic interpretation of tests based on latest scientific guidelines. OMNIA is supported by a powerful

algorithm that automatically process results and provides interpretation text strings, including numerical
results and graphical data presentation (pictograms).

Network ready. OMNIA is available both as a single stand-alone workstation or in a client/server

configuration for small or very large network environments.
OPTIONS

Integrated Dosimeter Rocc Cart

COMPETITORS
FE NO
Vivatmo pro
Fully integrated FeNO Exhaled breath analysis system for
healthcare professionals
The new Vivatmo breath analysis devices from Bosch
measure the fractional exhaled nitric oxide (FeNO) in human
breath. The test is quick, painless and reliable and the
measured value provides an indication as to the inflammatory
activity of allergic asthma. Thanks to the easy measuring
procedure and intuitive use, Vivatmo pro can be perfectly
integrated into the workflow of the professional practice.
After the measurement the results are immediately available
to confirm the diagnosis or to monitor the applied therapy.
For you, this means better effectiveness and control, as well
as greater efficiency through optimum care of patients
suffering from eosiniophilic airway inflammation.
New concept of FeNO test. FeNO measurement, now faster, more reliable and
accessible in hospital and professional settings.

Innovative design. New sensor technology made in Germany (from Bosch). Wireless

handheld device and base station for patient training, support via animations and data
management. 

Desktop functionalityBase station with touchscreen monitor and induction based

charging dock. USB, Ethernet and WLAN connectivity.

Easy to perform. Simple measuring procedure and intuitive use with blinking light
guide or graphical incentivation. 

Quick test procedure. Fast and reliable monitoring of airway inflammation with

minimum start-up, test duration and regeneration time.

Maintenance-free. Almost no spare parts. Maintenance-free system with a long

lifetime designed for a high measurement frequency. 

Extended shelf life. High quality components and product concept guarantee

extended shelf life compared to other FeNo systems in the market
Vivatmo me
First patient handheld device for FeNO Exhaled
breath analysis

The new Vivatmo breath analysis devices from Bosch

measure the fractional exhaled nitric oxide (FeNO) in
human breath. The test is quick, painless and reliable
and the measured value provides an indication as to
the inflammatory activity of allergic asthma. With
Vivatmo ME asthma patients are more flexible and
have a better understanding of their condition. The
high level of acceptance is the result of innovative
sensor technology made in Germany and ease of use,
allowing asthma patients to lead a more active and
relaxed life. 
RTube
The easiest and most innovative method for
the study of exhaled breath condensate
Exhaled breath condensation is a non-invasive
method of gathering exhaled breath samples useful
for assessing a number of disease parameters. The
RTube is designed to provide maximum sample
collection in minimal time. Exhaled air is directed
through a unique one-way valve and into a cooled
collection chamber where vapors, aerosols and
moisture in the breath condense along the
protected inside walls of the RTube. The one way
valve is then used as a plunger that collects
droplets stuck to the inside wall and holds the
sample near the top of the RTube.
•Ideal for lab testing or home usage

•Non invasive method with reproducible, reliable results

•Maximum sample collection in minimum time

•Validated also for children

•Single-use design
QUESTIONS?
PULMONARY FUNCTION TESTING

Quark PFT
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.
MODULES
Spirometry (Standard)
•Full Spirometry testing (FVC, SVC, MVV, Pre/Post BD)
•Choice of different flowmeter configurations (PNT or turbine)
•User friendly software and advanced features with new generation OMNIA Suite
•Integrated dosimeter for accurate and easy bronchial challenge tests (optional)
•Airway resistance by Interrupter Technique (optional)
•Integrated SpO2 monitor (optional)
•Meet latest ATS/ERS standards

Body Plethysmography (Option)

•All-in-one Testing for Lung Volumes and Airways Resistance
•Large Cabin (873 liters) provides comfort while maintaining High Sensitivity to
Volume Changes
•New High Accuracy Pneumotach
•Module provided with Compensation Chamber & TGV Calibrator for Research &
Routine Quality Control
Lung Diffusing Capacity (Option)
•DLCO Single Breath (w/ Breath Hold)
•DLCO Single Breath (Intrabreath)
•DLCO 3eq (3 equations method)
•Membrane Diffusing Capacity
•Extremely fast infrared analyzers (CO, CH4)
•Lung volume measurement with DLCO single-breath dilution technique

Nitrogen Washout (Option)

•Functional Residual Capacity (FRC) via multi-breath Nitrogen Wash-out
and single-breath 100% O2 techniques
•Lung distribution analysis (LCI, AMDN)
•Affordable alternative to body plethysmography for lung volume
measurement
•Simplified ordinary maintenance and calibration procedures

Respiratory Mechanics (Option)

•Indexes of respiratory muscle strength: Maximum Insp-Exp Pressure
(MIP/MEP)
•Respiratory Drive (PO.1)
•Quick and non-invasive measurements
•Fully compliant with ATS/ERS Guidelines
Airway Resistance ROCC (Option)
•Interrupter technique (Rrs, int)
•High reproducibility and correlation with body plethysmography tests
•Ideal for testing non collaborative, critically ill patients and children
•Simplified test manoeuvre
•Easy to disinfect
•Scientifically validated
Forced Oscillations (Option)
•Total Respiratory Impedance measurement by Pseudo Random Noise Signal
•No cooperation required from the patient
•Ideal for assessing lung function in pre-school children
•Quick and easy assessment (8 seconds tidal breathing)
•Accurate, reliable and reproducible technique
Metabolic (Option)
•Pulmonary Gas Exchange (VO2, VCO2)
•Anaerobic Threshold (AT)
•Resting Metabolic Rate with Face Mask
•Indirect Cardiac Output (Wasserman)
•Integrated Pulse Oximeter (SpO2)
•Optional Integrated 12-lead ECG (GAS/ECG)
•Exercise Gas Exchange with Elevated FiO2 HR Interface w/ external ECG (TTL)
OTHER OPTIONS

DOSIMETER CART 3 CYLINDER MIXING CHAMBER STRESS ECG

•Multi-use silicone face masks with headgear for comfortable leak-free resting and
exercise gas exchange measurements5 sizes (3 Adult and 2 Pediatric)
•Reusable and easily disinfected for multiple use
•Anatomical design for leak free and comfortable fit
•Integrated chin cup for stability
•Perfect adherence to any face shape
PULSE OXYMETRY
REUSABLE •Easy to clean and sterilize
FACEMASK
BODY PLETHYSMOGRAPHY
NORMAL SVC CURVE
Q-Box (Bodybox)
The Q-Box is the new generation body-box from COSMED for Gold
Standard thoracic gas volume measurements.
The measurement of Static Lung Volumes (TLC, RV, ITGV) and Airway
Resistance and Conductance (RAW, GAW) through body
plethysmography technique guarantee highly accurate results and has
become a necessity for any high-level laboratory of respiratory
pathophysiology.
Latest hardware design and advanced software features make the Q-
Box standout from the competition.
All-in-one PFT solution. Q-Box is a variable-pressure body plethysmograph that includes all the
hardware and software required for Lung Volumes, Airways Resistance, Spirometry and Respiratory
Mechanics (MIP/MEP, PO.1) tests.

Maximum accuracy guaranteed. Large cabin (873 liters) provides comfort while maintaining high
sensitivity to volume changes. Low range pressure sensors guarantee accuracy of measurement
(signal/noise ratio). 

Comfort and accessibility. Large cabin volume provides comfort and ease-to-access both for adult and
special population. Possibility to perform tests either inside or, whenever possible, outside the cabin.

Practical design. The glass and aluminum cabin structure provides large transparent surfaces, reliable
air-tight closure and easy-to-disinfect walls. Adjustable chair position and breathing valve arm. 
Quick and easy calibration procedures. Quark Spiro includes both standard calibration procedures and
advanced calibration procedures to verify accuracy, including Pneumotach linearization and verification of all
flowmeters (turbine, PNT).

Automatic interpretation of tests based on latest scientific guidelines. OMNIA is supported by a powerful

algorithm that automatically process results and provides interpretation text strings, including numerical results
and graphical data presentation (pictograms).
MODULES
Spirometry (Standard)
•Full Spirometry testing (FVC, SVC, MVV, Pre/Post BD)
•Choice of different flowmeter configurations (PNT or turbine)
•User friendly software and advanced features with new generation OMNIA Suite
•Integrated dosimeter for accurate and easy bronchial challenge tests (optional)
•Airway resistance by Interrupter Technique (optional)
•Integrated SpO2 monitor (optional)
•Meet latest ATS/ERS standards

Body Plethysmography (Standard)

•All-in-one Testing for Lung Volumes and Airways Resistance
•Large Cabin (873 liters) provides comfort while maintaining High Sensitivity to Volume
Changes
•New High Accuracy Pneumotach
•Module provided with Compensation Chamber & TGV Calibrator for Research & Routine
Quality Control
Lung Diffusing Capacity (Option)
•DLCO Single Breath (w/ Breath Hold)
•DLCO Single Breath (Intrabreath)
•DLCO 3eq (3 equations method)
•Membrane Diffusing Capacity
•Extremely fast infrared analyzers (CO, CH4)
•Lung volume measurement with DLCO single-breath dilution technique

Respiratory Mechanics (Standard)

•Indexes of respiratory muscle strength: Maximum Insp-Exp Pressure (MIP/MEP)
•Respiratory Drive (PO.1)
•Quick and non-invasive measurements
•Fully compliant with ATS/ERS Guidelines

Airway Resistance (Option)

•Interrupter technique (Rrs, int)
•High reproducibility and correlation with body plethysmography tests
•Ideal for testing non collaborative, critically ill patients and children
•Simplified test manoeuvre
•Easy to disinfect
•Scientifically validated
RS Dr. Moewardi Solo RS UNS Solo
Vmax® Encore PFT system

The PowerCube Body+

QUESTIONS ?
STRESS TESTING
Stress Testing ECGs
Diagnostic Quality 12-lead Stress Testing ECGs available in patient
cable or telemetry configuration
COSMED Stress ECGs are the ideal diagnostic quality
PC-based ECG devices for patient care from prevention
to rehabilitation. Ultimate quality ECG signal allows an
efficient diagnosis of coronary artery disease, the
evaluation of patients after artery bypass surgery or
angioplasty, and allows to document response to
therapies and prevent from myocardial infarction.
COSMED PC-based stress testing systems offer the
ultimate in stress testing flexibility, meeting the most
advanced requirements for clinical exercise testing.
Quark C12x
•Diagnostic Quality 12-lead Stress Testing ECG in cable configuration!
•Resting and Exercise ECG interpretation
•High resolution ECG processing
•Full Disclosure and Scroll back during the test
•ST segment, ST slopes, Trends
•Retrospective ECG and arrhythmia analysis even during test
•Standard and user defined Exercise Protocols
•Integration with COSMED Gas exchange equipment
•Patient Database & Network Compatibility

Quark T12x
•Diagnostic Quality 12-lead Stress Testing ECG in telemetry configuration!
Resting and Exercise ECG interpretation
•High resolution ECG processing
•Full Disclosure and Scroll back during the test
•ST segment, ST slopes, Trends
•Retrospective ECG and arrhythmia analysis even during test
•Standard and user defined Exercise Protocols
•Integration with COSMED Gas exchange equipment
•Patient Database & Network Compatibility
CARDIO PULMONARY EXERCISE
CPET, CPX, ERGOSPIROMETRY
Cardiopulmonary Exercise Testing (CPET) is a non-invasive method used to
assess the performance of the heart and lungs at rest and during exercise.

CPET is used for many specific reasons, but in general it can. help estimate
risk for patients undergoing surgery; be useful in investigating breathlessness;
be used in exercise programmes to increase fitness. 

Cardiopulmonary exercise testing (CPET) provides assessment of the

integrative exercise responses involving the pulmonary, cardiovascular,
haematopoietic, neuropsychological, and skeletal muscle systems, which are not
adequately reflected through the measurement of individual organ system
function.
WHAT IS CARDIOPULMONARY
EXERCISE TESTING (CPET)?

 Measurement of rate of oxygen uptake (VO2), rate of

CO2 production (VCO2), minute ventilation and other
ventilatory parameters while monitoring 12-lead ECG,
BP and O2 saturation during maximal “symptom-
limited” exercise
GAS COLLECTION METHODS:

DOUGLAS BAG
MIXING CHAMBER
BREATH BY BREATH
Douglas bag  Mixing Chamber 

Breath by breath 
RS UNS Solo UPI Bandung
Fitmate PRO
A new approach to simplified metabolic assessment
during exercise and at rest

Fitmate desktop metabolic systems introduce a new

approach for the measurement of oxygen consumption at
rest and during exercise in both clinical and health &
fitness settings. Each Fitmate desktop device is equipped
with a rechargeable battery, a large LCD screen and a built-
in printer that allows testing without a computer or main
power lead. All Fitmate systems manage test results and
store information inside its internal memory, ready for
upload to PC software (included).
Complete product line. The Fitmate product line is designed to fit the needs of different users for specific
applications and environments (clinical, research, performance, health & fitness).

Simplified approach to metabolic testing. The Fitmate measures oxygen uptake (at rest or during exercise) with
the same accuracy of conventional systems with both O2 and CO2 sensors, but provides an easier test process
(no calibration with gas cylinders, no warm-up).

Standalone use. The compact desktop design of the Fitmate offers an internal rechargeable battery, a large LCD
screen and built-in thermal printer that allows testing without the need of a computer or main power lead.

Independently validated. The Fitmate has been validated for measuring REE (both with face mask and canopy)
and VO2max (both real VO2max and prediction of maximal oxygen consumption with a sub-maximal protocol) 

Accurate and reliable O2 sensor. The intrinsically linear electrochemical GFC sensor of the Fitmate has a 12-18
months lifespan and is user-replaceable.

Fitmate software. The Fitmate software suite provides the ability to manage data (save, archive, trending)
measured with the Fitmate unit, plus a wider range of additional features such as energy balance, diet plan,
ACSM exercise prescription, etc.

Integration with external devices. The Fitmate can be connected with third party devices for increased
functionality including activity monitors (all Fitmate), pulse oximeters (Fitmate MED only), and stress ECGs
(Fitmate MED only)
UNJ JAKARTA
Fitmate MED
•The first compact metabolic system for assessing functional capacity and
risk stratificationMaximal oxygen uptake (VO2max) and measured METs
•Classification of exercise capacity & anaerobic threshold
•Multiple scores for cardiovascular and pulmonary risk analysis
•TTL interface with conventional stress testing ECG
•Affordable, portable, compact, easy to use with built-in printer
•Validated vs. Gold Standard technique
GFC : GALVANIC FUEL CELL,
1 YEAR/ 18 MONTH LIFE SPAN
OPTIONS/ACCESSORY

LIFECORDER PLUS CANOPY HOOD FACEMASK PULSE OXYMETRY

EQUIPMENT CART
Quark CPET
Research grade stationary system for accurate and reliable
metabolic measurements
The Quark CPET 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.
Latest technology in gas analyzers. The Quark CPET is equipped with fast-response stable and durable
paramagnetic technology for the O2 sensor, and rapid infrared for the CO2. Both analyzers assure long periods
of accurate measurement without the need of periodical replacement.

Breath by Breath & Mixing Chamber. Both sampling technologies are available either during exercise or at rest.

CPET made easy thanks to OMNIA. OMNIA is the new generation of COSMED software designed for the
entire COSMED product portfolio. The intuitive, visually appealing, and innovative user interface has simplified
complex CPET procedures.

Low operating costs and easy maintenance. The Quark CPET is designed to reduce ordinary maintenance and
to easily and quickly resolve any technical problem.

Independently validated. The Quark CPET is the only metabolic cart that has been validated on both gas
exchange methods (Breath by Breath and Mixing Chamber), and the entire human physiological range (from
resting to a wide range of exercise intensities).

Integrated diagnostic quality 12-lead Stress ECG. Available either in wireless or patient cable configuration,
COSMED ECGs include full disclosure and scroll back during testing. High resolution ECG processing produces
an exceptionally clear on-screen display and allows detailed, reliable analysis of ST segments and minimal
arrhythmia changes. Available with Resting and Exercise ECG interpretation. 

Wide selection of ergometers. COSMED offers a high quality range of treadmills, cycle-ergometers, arm-
ergometers and recumbent bikes suitable for a broad spectrum of clinical and research applications.
MODULES
OPTIONS
UNESA SURABAYA UNY YOGYAKARTA
COMPETITORS
Vmax® Encore metabolic cart

Ergospirometer
CORTEX PowerCube®-
Meta control 3000 Ergo

Vyntus™ CPX Metabolic Cart

CARDIOVIT CS-200 
Ergostik
QUESTIONS?
MOBILE CPET
K5
The one choice metabolic system for
both laboratory and field testing

COSMED is proud to introduce the K5, the 4th generation of the most popular
wearable metabolic system, a breakthrough in the field of exercise physiology
and human performance assessment. The K5 is the most innovative and
versatile metabolic system ever created. The K5 reaps the benefits of more
than 25 years of experience with metabolic systems. The extensive list of new
and unique characteristics of the K5 expands the scope of metabolic testing
from clinical exercise testing to performance assessment. 
Accuracy and reliability. The K5 uses the latest technology, including COSMED's 4th generation opto-electronic reader and proven and
reliable highly linear and rapid response O2 (GFC) and CO2 (NDIR) sensors.

Intelligent Metabolic Sampling Technology. IntelliMET™ (US Patent 9581539) measures gas exchange either with micro-dynamic mixing
chamber or breath by breath techniques. Users can select between the two modes depending on the protocol type, research field or other
factors.

Wireless connectivity. The K5 offers efficient wireless data transmission (both standard Bluetooth and long range Bluetooth) and seamless
integration with other devices (i.e., wireless wrist-worn pulse oximeter).

Metabolic cart test mode. The K5 features include a standard USB port and medical grade AC/DC power plug. These features turn the device
into a conventional metabolic cart (PC-controlled via software).

Advanced wearability. The single-body design (battery inside) reduces weight, simplifies subject setup and improves ergonomics. The new
harness (2 sizes) is comfortable and offers freedom of movement during testing. Alternatively, the K5 can be mounted on supports through
the integrated tripod mount (1/4”-20 UNC).

Rugged device designed according to IP54 standard. All plugs, connectors and caps are protected by seals and are water, moisture and dust
resistant. Resistive touch-screen technology allows use either with gloves or wet fingers.

User-accessbile slots. Users can easily access and replace the O2 sensor, Li-ion battery and SD-card (for extra storage capacity).

Intuitive device user interface. The K5 display assures simplified navigation and quick access to all commands and features. The status bar
provides information regarding time, date, battery status, Bluetooth, GPS and notification icons (QC messages, warnings, etc). Also included is
the ability to switch between data, graphs, GPS etc, during real-time measurements.

Metabolic + Kinematic. Synchronize data with integrated 10 Hz GPS and altimeter. 

ANT+ certified. The K5 can be integrated with the world’s largest sport sensors network (up to 5 profiles available for 250+ compatible
products). Up to 8 wireless devices can be contemporarily connected with the K5.
MODULES
OPTIONS
COMPETITOR
 Oxycon™ mobile device
METAMAX  3B
®
 UNESA SURABAYA

K4 B2

UNIMA MANADO
K5 IMERI UI
QUESTIONS?
INDIRECT CALORIMETRY
WHAT IS INDIRECT CALORIMETRY?

Indirect calorimetry is a technique that measures

inspired and expired gas flows, volumes and
concentrations of O2 and CO2. allows
measurement of oxygen consumption and carbon
dioxide production. non-invasive and accurate. The
equipment used is also known as a metabolic cart.
Definitions & Abbreviations Used in Calorimetry

VO2 Oxygen consumption

VCO2 Carbon dioxide production

RQ Respiratory quotient = VCO2 / VO2 for the cell

RER Respiratory exchange ratio = VCO2 / VO2

measured from expired air Kcal/L The energy release
from metabolism for each L of VO2
Principles
•production of chemical energy is proportional to gas
exchange

•Weir equation used to calculate energy expenditure:

• Energy expenditure =
• (3.9VO2 – 1.1VCO2) – 2.17 (urinary nitrogen)

• Abbreviated Weir Equation = used to calculate

REE:
• REE = (3.94 x VO2) + (1.1 x VCO2)
RESPIRATORY QUOTIENT (RQ)

Ratio of carbon dioxide produced

(VCO2) to oxygen consumption (VO2)
Reflects net substrate utilization
(VCO2/VO2)
RQ > 1.0 --> when carbohydrate
(glucose) intake or total calorie intake
is excessive.
RQ for mixed diet is 0.85 (from 40%
CHO & 60% fat.)
Non-protein RQ is between 0.7 and
1.0.
122
COSMED INDIRECT CALORIMETRY
Fitmate
Complete desktop solution for accurate, quick & simple
indirect calorimetry

Fitmate desktop metabolic systems introduce a new approach for the measurement
of oxygen consumption at rest and during exercise in both clinical and health &
fitness settings. Each Fitmate desktop device is equipped with a rechargeable
battery, a large LCD screen and a built-in printer that allows testing without a
computer or main power lead. All Fitmate systems manage test results and store
information inside its internal memory, ready for upload to PC software (included).
Complete product line. The Fitmate product line is designed to fit the needs of different users for specific
applications and environments (clinical, research, performance, health & fitness).

Simplified approach to metabolic testing. The Fitmate measures oxygen uptake (at rest or during exercise) with
the same accuracy of conventional systems with both O2 and CO2 sensors, but provides an easier test process
(no calibration with gas cylinders, no warm-up).

Standalone use. The compact desktop design of the Fitmate offers an internal rechargeable battery, a large LCD
screen and built-in thermal printer that allows testing without the need of a computer or main power lead.

Independently validated. The Fitmate has been validated for measuring REE (both with face mask and canopy)
and VO2max (both real VO2max and prediction of maximal oxygen consumption with a sub-maximal protocol) 

Accurate and reliable O2 sensor. The intrinsically linear electrochemical GFC sensor of the Fitmate has a 12-18
months lifespan and is user-replaceable.

Fitmate software. The Fitmate software suite provides the ability to manage data (save, archive, trending)
measured with the Fitmate unit, plus a wider range of additional features such as energy balance, diet plan,
ACSM exercise prescription, etc.

Integration with external devices. The Fitmate can be connected with third party devices for increased
functionality including activity monitors (all Fitmate), pulse oximeters (Fitmate MED only), and stress ECGs
(Fitmate MED only)
VERSION WITH CANOPY HOOD
ACCESSORIES/OPTIONS:

SAME AS FITMATE PRO/MED

THERMAL PRINTOUT
FITMATE GS
Quark RMR
The gold standard for metabolic measurement in applied human physiology
research
The Quark RMR is a state-of-the-art metabolic cart for gas exchange
analysis (VO2, VCO2) either during resting or exercise. 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.
Unsurpassed reliability. Fast-response stable and durable paramagnetic technology for O2 sensor, and rapid infrared for the
CO2. Both analyzers can ensure reliable data for a long time without requiring their replacement.

Breath by Breath & Mixing Chamber. Quark RMR is provided with Breath by Breath analyzers however the system is also
available with an optional Mixing Chamber.

Modular architecture allows to configure Quark RMR according to the different metabolic testing requirements. This cost-
effective solution gives the opportunity to scale at any time to a more complex configuration.

Low running costs and easy maintenance. Quark RMR design has been conceived to reduce ordinary maintenance and to
easily and rapidly solve any possible technical problem through parts replacement. Powered by OMNIA software innovative
user interface, touch screen ready, easy-to-use and self-explanatory. 

Calibrations and Verifications procedures are available to ensure that main measurement components perform according to
their specifications.

Independently validated technology. Quark RMR is the only metabolic cart in the market that has been validated both on
different gas exchange methods (Breath by Breath and Mixing Chamber), and on the whole human physiological range (from
resting to a wide range of exercise intensities).
OPTIONS
UNPAD DEMO-RS PENDIDIKAN MAKASSAR
Q-NRG
A New Generation of Metabolic Technology, for Quick, Accurate, Intuitive and
Affordable Indirect Calorimetry
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. Q-NRG is a unique product,
resulting from the COSMED’s collaboration with world-class institutes in the field
of nutrition support in intensive care units. This collaboration has made possible
the development of an accurate metabolic system easy to use and at the same
time resolving all typical pitfalls of the indirect calorimetry technology (no warm-
up time, no gas calibrations, etc.). Q-NRG measures Oxygen Consumption, Carbon
Dioxide production and all related metabolic parameters (VE, RQ etc.). Patient Gas
exchange is collected via either a disposable flowmeter (mechanically ventilated
patients), and/or a canopy hood and oro-nasal face mask (for spontaneously
breathing subjects). Q-NRG is the ultimate tool to understand how to support a
patient according to his/her real energy requirement, to help improving nutrition
support, glycemic control, reducing ICU length of stay and, ultimately, decreasing
costs of the Intensive Care Unit.
A new industry standard. Q-NRG has been developed in close collaboration with world-class institutes in the field of nutrition support in
ICU. Product specifications and concept have been designed together with the ICALIC Trial study group¹.

"Gold standard" measurements. Q-NRG is the result of more than 30 years of experience in the design of metabolic systems. The new
calorimeter has been validated in-vitro and in-vivo to achieve the greatest accuracy, with excellent agreement vs. mass spectrometer
measurements².

Optimized user experience. Q-NRG has been designed to minimize operations and time to measurement. System does not require warm-
up time nor user-assisted calibrations, usability of the device has been designed according to clinical practices and according to published
guidelines (ESPEN 2018).

One tool for many applications. Q-NRG provides all the flexibility for a variety of clinical settings, assessing different patient's conditions
(mechanically ventilated or spontaneously breathing) and with different techniques (Canopy Hood and/or face masks), from adults to
pediatric starting from age of 6.

Designed for ICU. Cleaning procedures are simplified by the design of the product where all surfaces have a rounded shapes. The internal
breathing circuit is made to avoid that exhaled breath does not contaminate internal parts.

Latest technology in a compact design. Q-NRG is a compact, lightweight, battery operating device. A 10.1" inches LCD touchscreen
simplify access to all operations. Bluetooth, USB and LAN interfaces to connect the system to any hub (PC, printers, EMR, etc.).

Standalone or PC based user mode. Q-NRG can be operated either via the integrated LCD touchscreen or controlled from a computer via
OMNIA PC software (optional), with data transfer done wireless through Bluetooth® or USB interfaces.
VERSION
TEST MODES
ACCESSORIES / OPTION
QUESTIONS?
BODY COMPOSITION
BOD POD
The world’s gold standard for fast, accurate and safe Body
Composition Assessment in adults and children
The BOD POD Gold Standard Body Composition Tracking
System is an air displacement plethysmograph which uses
whole-body densitometry to determine body composition (fat
and fat-free mass) in adults and children, and can accommodate
a wide range of populations. A full test requires only about 5
minutes, and provides highly accurate, safe, comfortable, and
fast test results. Each BOD POD Gold Standard is a complete
turnkey system with a dedicated computer system, the ability
to measure thoracic gas volume (TGV), and data management
capabilities.
Based on Air Displacement Plethysmography. ADP uses whole body densitometric principles to determine body
composition (Fat and Fat-Free Mass) in adults and children, guaranteeing high accuracy and excellent test-to-test
repeatability 

Complete turnkey system. Each BOD POD comes with all the hardware and software required to perform an
accurate body composition test, including PC, cart, integrated digital scale (for body mass measurement), calibration,
etc. 

Fast test time. The BOD POD is extremely simple to use and does not require a license to operate. A full test
requires only about 5 minutes (2 minutes inside BOD POD) 

Completely non-invasive. BOD POD’s air displacement plethysmography has eliminated the invasiveness of Dual
Energy X-Ray Absorptiometry (DXA) and it is therefore suitable for frequent, longitudinal tracking of body
composition and metabolic changes over time.

Flexibility in testing special populations. The BOD POD is ideal for assessing the body composition of special
populations such as children (young children from 2 to 6 years with Pediatric OptionTM), the elderly, the disabled and
subjects weighing more than 200 kg or with heights above 2 mt.

Validated technology. The accuracy of the BOD POD has been shown to be very high against reference techniques
in a number of research publications. Percent fat results obtained form the BOD POD have not been shown to be
statistically different than results from Multi-Compartment Models.

Low running costs and easy maintenance. The BOD POD is designed for durability over time. Should the need arise,
each BOD POD has an internal diagnostic test function to analyze system performance and provide feedback to
service personnel.
OPTIONS
PRINTOUT
IMERI UI
PEA POD
The world’s gold standard for non-invasive Infant
Body Composition Assessment

The PEA POD is an Air Displacement Plethysmography

(ADP) system using whole body densitometry to determine
body composition (fat and fat-free mass) in infants
weighing between 1 and 8 kg. 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.
Based on Air Displacement Plethysmography. ADP uses whole body densitometric principles to determine body
composition (Fat and Fat-Free Mass) in infants weighing between 1 and 8 kg, guaranteeing high accuracy and excellent
test-to-test repeatability 

Complete turnkey system. The PEA POD is all-in-one device including in its unit all the hardware and software required
to perform an accurate body composition test, including PC, cart, integrated digital scale (for body mass measurement),
calibration, etc. 

Fast test time. The PEA POD is extremely simple to operate, with software prompts guiding the operator through each
step of the process. A full test requires only about 7 minutes (2 minutes inside the PEA POD chamber). 

Completely non-invasive. PEA POD’s air displacement plethysmography has eliminated the invasiveness of other body
composition techniques and it is therefore suitable for frequent, longitudinal tracking of body composition and
metabolic changes over time.

Safety compliance. PEA POD adopts the same safety criteria of an incubator: constant temperature, ventilation,
integrated CO2 sensors inside the camber, HEPA filter to protect against airborne disease transmission, redundant
emergency stop.

Designed for infants. The PEA POD test accomodates most infant behaviors (crying, movement, etc.) and during the
entire period the infant is clearly visible at all time through the unit window.

Validated technology. The accuracy of the PEA POD has been shown to be very high against reference techniques in a
number of research publications. The technology is validated either on pre-term and term infants (1 to 8 kg ).

Low running costs and easy maintenance. The PEA POD is designed for durability over time. Each PEA POD has an
internal diagnostic test function to analyze system performance and provide feedback to service personnel.
PRINTOUT
QUESTIONS?
ERGOMETER
BIKE

COSMED Ergoselect cyclergometers offer uncompared

versatility for a wide range of applications and purposes.
The special ergonomic design provides performance-
enhancing seating position for all patients, irrespective of
their height. The rugged mechanical construction
guarantees outstanding safety and troublefree operation
at highest workloads. All Ergoselect cyclergometers
include free programming of exercise protocols, intuitive
operation and universal interfaces (digital, analog, remote
start) for exercise testing in combination with gas
exchange equipment and/or stress test ECG.
 MONARKCyclergometers
Accurate Ergometers "Made in Sweden" for Testing,
Training and Rehabilitation
QUESTIONS ?
TERIMA KASIH