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THE EU PEAK FLOW METER 01

THE EU PEAK FLOW METER 01

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<strong>THE</strong> <strong>EU</strong> <strong>PEAK</strong> <strong>FLOW</strong> <strong>METER</strong><strong>01</strong>Table 1. A list of manufacturers, their devices with characteristics and estimated cost.Manufacturer / Supplier Website Device Transduction PEF only Price € LoggingClement Clarke www.clementclarke.com mini Wright variable orifice yes 15 noInternational airzone variable orifice yes 15 noEdinburgh Way mini Wright digital fixed orifice no 35 yesHarlow one flow tester fixed orifice no 535 yesEssexCM20 2TT, UKMicro Medical www.micromedical.co.uk MicroPeak variable orifice yes 10 noPO BOX 6 PulmoLife stator/rotor no 165 noRochester Micro Spirometers stator/rotor no 335 yesKent. ME1 2AZUnited Kingdom(part of VIASysHealthcare Inc.)nSpire Health www.nspirehealth.com Pocket Peak variable orifice yes 25 noLouisville, Colorado, PiKo-1 fixed orifice no 25 yesUSA KoKo fixed orifice no 25 yes(formerly FerrarisRespiratory)ndd Medizintechnik www.ndd.ch Easyone ultrasonic no 1875Technoparkstrasse 1CH-8005 Zürich,SwitzerlandRespironics peakflowfamily.respironics.com Assess variable orifice yes 15 no1<strong>01</strong>0 Murry Ridge Lane AsthmaCheck/Mentor variable orifice yes 15 noMurrysville, Personal best variable orifice yes 15 noPA 15668-8525, USAVitalograph www.vitalograph.co.uk mechanical PEF meters variable orifice yes 10 noMaids Moreton, Asma-1 stator/rotor no 28 yesBuckingham Vitalograph Micro pneumotacho- no 500 yesMK18 1SW, UKgraphTable 2.. Clinical settings for recording PEF and instrument requirementsSettingAccident and emergency, outpatient dept, wardHome, workplaceLung function laboratory, primary careRequirements to considerLow cost, robust, multi-patient use, fixed calibrationLow cost, robust, fixed calibration, data loggingAbsolute accuracy, multi-patient useFlowFigure 6. The ultrasonic flow meter.UltrasonicFigure 6 shows the design fordevices where an ultrasonic beamis passed diagonally across a flowof gas and the transit of the beamis affected by the gas flowaccording to the Doppler effect. Bysending beams in both directions,various corrections can be made torender this an extremely accurateand low-resistance device. Thecalibration is stable and the outputis affected by properties thatdetermine the speed of sound,such as gas density. The crosssectionalarea of the beam needs tobe adequately matched to thediameter of the tube throughwhich the gas flow profile ispassing. For example, measuringthe Doppler effect on a verynarrow beam passing across theflow in a much wider-bore tubewould not give a signalrepresentative of the whole of theflow profile. These devices aretechnically sophisticated and offerpromise for many applications.Their calibration is stable, whichhas advantages for non-laboratoryapplications.AccuracyAll PEF meters in the <strong>EU</strong> must meetthe CE standard PrEN13826 [8],which means the accuracy ofreadings from handheld PEF meterswill now agree with the standardsmet by larger laboratory-basedequipment. In addition, the metershave to meet a drop testrequirement to show they aresuitably robust for patient selfadministereduse. PEF meters in usein the USA do not have to meet<strong>THE</strong> BUYERS’ GUIDE TO RESPIRATORY CARE PRODUCTS 9

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