Astra 300 Manual

The Spirometry Source
User’s Manual
1-800-678-5782 1-508-238-7033
www.sdidiagnostics.com 1
Table of Conten ts
Distributed by:
SDI Diagnostics, Inc., 10 Hampden Drive, Easton, MA 02375
National Sales: 1-800-678-5782 1-508-238-7033
Email: [email protected]
Fax: 1-508-230-2752
1-800-678-5782 1-508-238-7033
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TABLE OF CONTENTS
SAFETY ............................................................................... 7
Table of Conte nts

1. INSTRUCTIONS FOR USE AND INSTALLATION ............ 9
1.1 INTRODUCTION ........................................................ 10
1.2 LAYOUT OF CONTROLS, PILOT LIGHTS AND

CONNECTORS ........................................................... 11
1.3 INSTALLATION AND START-UP.....................................12
1.4 OPERATING MODES .................................................. 15
CAUTION: Federal law restricts this device

to sale by or on the order of a physician!
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2. ASTRA 300 FUNCTIONAL OPERATION ....................... 17
2.1 FUNCTION TREE ........................................................ 18
2.2 EQUIPMENT CUSTOMIZATION ................................... 22

Table of Conten ts
2.3 EQUIPMENT PROTECTION ......................................... 29
2.4 PERFORMING SPIROMETRY ....................................... 31
2.5 FORCED VITAL CAPACITY «FVC»

TEST PROCEDURE ...................................................... 33
QC GRADES ............................................................... 46
2.6 SLOW VITAL CAPACITY «VC»

TEST PROCEDURE ...................................................... 53
2.7 MAXIMUM VOLUNTARY VENTILATION «MVV»

TEST PROCEDURE ..................................................... 55
2.8 POST BRONCHODILATOR SPIROMETRY

PROCEDURE .............................................................. 57
2.9 OCCUPATIONAL HEALTH MODULE ............................. 61
3.0 CALIBRATION PROCEDURE ........................................ 63
2.11 INTERNAL DATABASE ................................................ 68
2.12 MAINTENANCE PROGRAM .......................................... 75
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3. COMMUNICATIONS SYSTEM .................................... 81
3.1 PATIENT TEST MANAGEMENT IN THE PC .................. 82
3.2 EXPORTING TESTS TO OTHER SYSTEMS .................. 83
Table of Conte nts

3.3 INSTALLING ASTRAPRO SPIROMETRY SOFTWARE
FOR PC .................................................................... 83
4. TECHNICAL SPECIFICATIONS .................................. 85
4.1 TYPES OF TEST, FUNCTIONS AND PARAMETERS ...... 86
4.2 MEASURING SYSTEM ............................................... 90
4.3 MICRO CONTROLLER ............................................... 91
4.4 PRESENTATION OF DATA ......................................... 93
4.5 TEMPERATURE SENSOR ........................................... 93
5. OPERATING PRINCIPLES ......................................... 95
5.1 TURBINE .................................................................. 96
5.2 TURBINE ROTATION SENSOR .................................. 96
5.3 MICROPROCESSOR ................................................. 97
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6.0 UPKEEP, PREVENTIVE AND CORRECTIVE
MAINTENANCE ........................................................ 100
6.1 UPKEEP .................................................................. 101
6.2 PREVENTIVE MAINTENANCE .................................... 103

Table of Contents
7.0 LIMITED WARRANTY CONDITIONS ......................... 105
8.0 SPIROMETRY INDICATIONS ................................... 106
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SAFETY
SPECIAL PRECAUTIONS
The ASTRA 300 spirometer has been designed for use
with safety in mind. All operating instructions must be
read before using the ASTRA 300. Failure to do so may
lead to injuries to the user or the patient and damage
to equipment and/or accessories.
Safety
INTENDED USE
The spirometer measures and calculates a series of
parameters related to human respiratory function. It is
intended to be used by or under the direction of a medical
professional
The spirometer is not designed for use outdoors or

under other conditions or using other power sources
not indicated in this manual.
EFFECTS ON PATIENTS USING THE SPIROMETER

The spirometry tests require patient cooperation.
Complete forced expiration is required to obtain meaningful
patient FVC values. The clinician administering the test
must assess the patient’s capacity to perform the
spirometry test.
LIMITATIONS OF USE. CONTRAINDICATIONS

An analysis of the results of spirometry tests is not
enough in of itself to give a correct diagnosis of the
patient’s clinical condition. The patient’s records and any
tests that the clinician believes necessary must therefore
also be considered. A doctor must interpret all data to
determine the course of treatment required.
The patient’s symptoms and capacity to perform a

spirometry test must be taken into account by medical
staff before any spirometric testing is undertaken.
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ELECTRICAL RISKS
Dot NOT disassemble the equipment casing. The device
must only be serviced and repaired by skilled personnel.
The contact with voltage inside the device may cause
serious injury.
Do NOT use damaged accessories.
Do NOT submerge the parts of the device in any liquid.

Safety
Consult the equipment cleaning method in Chapter 8,

Section 8.1. UPKEEP, PREVENTIVE AND CORRECTIVE
MAINTENANCE.
To ensure vital safety features under the EN 60601-1-1

standard, only equipment compliant with the electrical
safety standards in force may be connected to this device.
To connect ASTRA 300 to a non-medical device with a
ground conductor, you must install an additional ground
conductor to the non medical device.
The equipment must be stored and used within the

temperature, pressure and humidity ranges specified.
RISKS OF EXPLOSION
Do NOT use the equipment in the presence of volatile
anesthetics or inflammable gases.
RISKS OF CONTAMINATION
Turbine transducer: To avoid the risk of contamination or
cross infection, the turbine must be cleaned before use
or used with a protective barrier filter as indicated in this
manual.
Disposable mouthpieces must not be reused.
Pulse oximeter finger clip: The pulse oximeter finger clip

should be washed after each patient use using either
soapy water or using a medical equipment disinfectant of
choice.
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Chapter 1: Instructions for Use and Installaton

1. INSTRUCTIONS
FOR USE AND
INSTALLATION
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1.1 INTRODUCTION
The Astra 300 spirometer is a compact device with a

high-resolution graphic touch screen. It functions using
accurate and precise turbine transducers and may be
be connected to an external printer via USB.
The entire system is controlled by a microprocessor for

the acquisition, calculation and presentation of
alphanumeric and graphical data.
PCP PROGRAM
Your Astra 300 comes to you preconfigured with a pre-
set program based on the recommendations of the Na-
tional Lung Health Education Program (NLHEP). It is con-
figured as the PCP mode. It meets all the recommended
guidelines of NLHEP for spirometry testing, including the
NHANES III predicted set and quality alerts to assist you
in producing high quality spirometry tests. The PCP mode
can be cancelled in the Spirometry Customization menu.
Cancelling the PCP mode will automatically set the Astra
300 in the full Customization mode to allow you to con-
figure the device based on your needs.
ASTRA 300 LIST OF CONTENTS
Part No. Qty. Description

29-5300 1 SDI Astra 300
29-5002 1 Stylus, Astra Series Spirometers
29-7990 10 AstraGuard Bacteria/Viral Filters
29-7966 10 The Klip Noseclips
29-5021 1 Cable Mini USB B 5 Pins USB 1
29-5023 2 AA 1.5 V Alkaline Battery
29-5003 1 Turbine Transducer
29-5022 1 Cable Mini USB(External Printer Option)
29-5310 1 Quick Reference Card, Astra 300
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1.2 LAYOUT OF CONTROLS, PILOT LIGHTS AND
CONNECTORS

3
5
2
1- On/off button
2- Graphic LCD display
3- Turbine transducer
6 4- USB connection
5- RS·232
series connection
7 6- Specifications plate
7- Lithium
8 battery (CR1632)
8- Firmware loading
9
switch
9- Main batteries
(2xAA 1.5V)
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1.3 INSTALLATION AND START-UP

Astra 300 INSTALLATION
The ASTRA 300 spirometer is CLASS IIa according to

the criteria of the 93/42/EEC European Medical Device
Directive and, in line with the type of protection against
electric shocks established by the EN60601.1 standard,
the equipment is rated as CLASS IP type B.
Batteries
The Astra 300 spirometer typically operates with two
AA 1.5 V alkaline batteries or optionally with two
rechargeable NiMh batteries (AA 1.2 V type).
WARNING:
Never try to recharge alkaline batteries. This would
cause damage to both the batteries and the charger.
In both cases, the battery charge will depend on the

quality of the batteries used. 1.5 V alkaline batteries or
2400 mAh rechargeable batteries will last for
approximately 40 hours. The charge may drop by 50%
when working via Bluetooth. USB Connection to the PC
will not use any battery power, given that the equipment
is powered through the PC’s USB port.
The charging time for rechargeable NiMh batteries will
depend on the charger used.
To conserve power, the equipment includes an auto switch

off system that turns the equipment off when the screen
is not accessed for 5 minutes, except in main spirometry
and pulse oximetry screens. In this case, you will be
prompted to save the data before powering off.
NOTE:
When inserting the batteries for the first time or when
replacing them, the equipment may switch on
automatically. This is normal and does not indicate
malfunction.
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Atmospheric conditions
The atmospheric working conditions are:

•Ambient temperature between 10 and 40 ºC (50 and
104 ºF)
(The American Thoracic Society recommends 17 to
40 ºC)
• Relative humidity below 75% (without condensation)
•Atmospheric pressure from 430 to 800 mmHg
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EQUIPMENT PROTECTION
To insure the security of patient data, the ASTRA 300

has an equipment protection option accessed by PIN.This
option can be customized, enabled or disabled as required.
Where enabled, a screen will appear requesting the PIN
(user-configured) when the equipment is turned on.
If an erroneous PIN is entered three times, the equipment
will lock and will switch off. On restarting it, a screen will
appear requesting the unlock code. Call SDI’s technical
service department for the unlock code at 1-800-678-
5782.
START-UP
To start the ASTRA 300 spirometer,
press the key for 2 seconds .
The equipment will then make a beeping sound and will

check itself. The <SDI> logo, the name of the equipment,
the program version and the address of SDI Diagnostics
will appear on screen for two seconds.
If equipment protection is enabled, the PIN entry

screen will appear. If equipment protection is not enabled
or if the correct PIN has been entered, the MAIN MENU
will then be displayed, which varies according to the
model.
Astra 300
Post
Setup SpO2
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NOTE:
The first time the equipment is started, the

protection is disabled and the PIN is set to 0000.
See Section 2.2/3.2 EQUIPMENT CUSTOMIZATION
to enable it and configure the PIN.
HANDLING THE EQUIPMENT
The spirometer has been designed to be simple to operate.

Although it allows a number of functions, its unique
navigation properties will quickly demonstrate that it is
truly intuitive for any clinician
All functions are accessed using the icons on the screen

using the supplied stylus.
The spirometer may be connected to an external printer

when this has been previously selected in the
Customization option and the appropriate printer is
selected
1.4 OPERATING MODES

•Spirometry
. Patient Details (Reference, Age, Weight, Height, Sex,
Smoker Index)
. Atmospheric Conditions (Temperature, Pressure,
Humidity)
. Tests (FVC, VC, MVV , Bronchodilation)
. Report
•Customization (selectable options)

. Spirometry (Predicteds/Parameters/Graphs/
Interpretation/Bronchodilation Modes/Warnings)
. Printers
. Standard curves (Retrieve standard / Modify standard)
. Battery
. Language
. Set clock (Time / Date)
. Pulse oximetry
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•Calibration
•Internal Database to save tests with alphanumeric

and graphical data (depending on model).
•Maintenance
. Warnings
. LCD contrast
. Equipment check
. Equipment configuration
. ATS curves
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Chapter 2: Astra 300 Functional Operation

2. ASTRA 300
FUNCTIONAL
OPERATION
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2.1 FUNCTION TREE
The ASTRA300 spirometer function tree (following) is
displayed to allow the user a better understanding of its

structure.
To move around the different equipment menus, ASTRA300

utilizes a stylus to select the functions appearing on
screen.
The character (number or letter) must also be selected

for insertion in the numeric or alphanumeric fields using
the stylus.
WARNING
It is recommended to use only the stylus included
with your ASTRA300 spirometer. SDI Diagnostics is
not responsible for any damage caused where other
styli are used.
Pointed objects must not be used under any
circumstances.
The following can be accessed from the Main Menu,

depending on the options included:
SPIROMETRY
CALIBRATION
DATABASE
CUSTOMIZATION
MAINTENANCE
OPERATING MODE
PULSE OXIMETRY
DILATION REPORT
BLUETOOTH
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SPIROMETRY
•Forced Vital Capacity «FVC» Test

Test data
Patient
Code
Full name
Age, height, weight and sex
Smoker index
Ethnic factor
Barometric Pressure
Temperature
Start of the spirometric maneuver
Graph presentation
Flow/Volume Loop or Curve (only in FVC)
Volume/Time Curve
Maneuver selection
Select the best maneuver
Maneuver data selected
Memory for five maneuvers
Deleting a maneuver
Interpretation
Saving test for Post-Bronchodilation
Saving test in the Database
Test printout
•Slow Vital Capacity «VC» Test
Similar ro the FVC criteria above
•Maximum Voluntary Ventilation «MVV» Test
Similar to the FVC criteria above
CALIBRATION
•Calibration using a syringe

•Report on the latest calibrations
DATABASE
•Search by patient code or register number

•Summarized display of the tests saved
•Printing and displaying a test
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•Deleting a test
•Summarized printing of the tests saved
CUSTOMIZATION
•Standard Configuration
Retrieving the configuration
Saving the configuration
•Database customization
Number of registers
•Common customization
Setting the clock
Patient code and others
Numeric
Alphanumeric
Battery type
Operating language
Entering a heading in the report
Selecting the printer type
•Spirometry customization
Parameters of reference and ethnic factor
Observed parameters (FVC, VC, MVV)
Graph selection
Saving graphs on the database
Printing FVC Flow/Volume graph
Printing FVC Flow/Time graph
Printing VC Flow/Time graph
Printing MVV Flow/Time graph
Interpretation selection
Comparison mode in POST bronchodilation
Weighted % between PRE and POST
% between REF and POST
% between PRE and POST
Difference between PRE and POST
Display of alerts for maneuvers not in
compliance with ATS/ERS or NLHEPcriteria
•SpO2 Pulse oximetry customization
•Equipment protection customization

Modifying the PIN
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MAINTENANCE
•Alerts selection

Period between calibrations
Period between maintenance work
•Adjusting the LCD contrast
•Checking hardware
•Checking with standard curves (FVC, VC, MVV)
•Others
Notifies ProgramUpdate key and
allows System initialization.
PULSE OXIMETRY
•Test data
Patient
Code
Full name
Age, height, weight and sex
•Configuration
Average in the SpO2
•Saving Trends
•Displaying Trends
Configuration
Signal forwards and backwards
Test Parameters
Parameter printout
Saving parameters in the database
BRONCHODILATION
•Carrying out Post bronchodilation test
REPORT
•Printing a report
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2.2 EQUIPMENT CUSTOMIZATION

Because of the wide variety of options available, users

should customize their ASTRA300 spirometer based on
their requirements.
The different options included in the Customization Menu

are explained in detail in the previous section.
Setup
To access this option, press in the main menu,
Setup
then again from the Setup Utilities menu.
The following screen will appear:
Setup
Exits this screen and goes back to the previous

one
Standard Configuration
Database customization
Setup
Common customization
Spirometry customization
Pulse oximetry customization
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SPIROMETRY CUSTOMIZATION

This option customizes any suboptions specific to the
spirometric tests
Pred
Actual Post
Predicted Values
Pred
Allows selecting among several authors
for children and adults
Prioritizes the age range selected for adults
if a different table is chosen for children.
Extrapolates the values for the ages outside
the selected table range.
Actual
Observed Parameters
Allows for the observed parameters or
measured parameters you want to use to be
selected. This is only at display level or for the
report. All the parameters are saved on the
database and can be enabled at any time.
Selecting the graph type
Interpretation Selection according to:Miller,

Snider/Kory/Lyons, NLHEP or ATS/ERS
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Mode of comparison between PRE

Post
bronchodilator and POST bronchodilator
W Average weighted % between PRE and POST

% between PRED and POST
% Percentage between PRE and POST
Dif. Difference between PRE and POST
Alerts
Select Alerts displayed for maneuvers not
compliant with ATS/ERS or NLHEP criteria
Date of latest calibration
STANDARD CONFIGURATION
This option memorizes a user-defined customization

program status to retrieve it at any time globally and
automatically. This option restores the original
customization if it has been modified either voluntarily or
inadvertently. In general, this configuration will correspond
to that most often used.
Restore
Save
Restores the standard configuration

Restore
Save Saves the standard configuration
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Follow the instructions below to save the Standard
configuration:

1 You can customize each of the following options:
Database customization
Common customization
Pulse oximetry customization
Protection customization
as described in this section.
2 Go back to the Standard Configuration option and

press the Save key
3 Your Standard Configuration has now been saved.
Should you need to modify a customization option during

a test, it can be accessed manually and modified.
The Standard Configuration can be restored at any
time. To do so, press the key Restore .
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COMMON CUSTOMIZATION Setup
This option customizes certain suboptions that are common

to any test made using the ASTRA300.
ABC
Sets the internal equipment clock (time and

date)
ABC or 123 Mode (alphanumeric or numeric)
or Battery type (alkaline or NiMh)

This selection only affects how the
battery voltage level is calculated
Select language (Spanish or English)
Enter a heading in the report

This allows inserting two heading lines with a
maximum of 33 characters/line. This can include
the name of the hospital, the doctor, etc. and will
appear in each report.
Printer type
Protection customization (PIN)
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EQUIPMENT PROTECTION CUSTOMIZATION
This allows you to change the PIN required to start the

equipment (if the protection option is enabled) and to
enable or disable equipment protection.
The following screen appears on accessing this option
To enable the protection, tick the PIN Enabled checkbox

and enter the PIN in the New Pin boxes*.
To change the PIN, you must enter the current one in

the Current Pin box. If an erroneous PIN is entered three
times, the equipment will lock and switch off.
The PIN can be re-enabled by entering the current PIN

and unticking the PIN-enabled checkbox.
*As with any data entry, in order to save the changes be sure to
touch the enter key before exiting the screen .
PULSE OXIMETRY CUSTOMIZATION
The SpO2 module is an option available for the ASTRA300

spirometer. Each user should customize it to suit their
needs.
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DATABASE CUSTOMIZATION
This option allows you to choose the number of registers

to be advanced if performing a fast advance using the

database search engine. Also allows for saving three
maneuvers at once with the Occupational Health Module
(see p. 59 for more information).
No. of Reg isters: 10

Save 3 Maneuvers:
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2.3 EQUIPMENT PROTECTION
If equipment protection has been enabled, the following

screen will appear when it is started:
Enter the PIN and press .
If the PIN configured in Equipment Protection

Customization is entered, access will be given to the
ASTRA300 and the main screen will appear.
If an erroneous PIN is entered three times, the equipment
will lock and switch off. The following screen will appear
when it is restarted:
Enter the pin unlock code (PUK) supplied upon purchasing

the equipment and press .
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If the correct code is entered, the ASTRA300 will unlock

and the main screen will appear. From then on, the
equipment will return to its initial status (Protection

disabled and PIN 0000).
If an incorrect code is entered, the equipment will remain

locked. This prevents unauthorized access to the
equipment and, more specifically, to the patient data it
contains.
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2.4 PERFORMING SPIROMETRY
Before testing patients, it is important to keep in mind that

spirometry is an effort-dependent test requiring the complete
cooperation of the patient. In order to achieve this, you as
the coach play a critical role.
Be sure the patient is comfortable. Make note as to

whether the patient is seated or standing, because
subsequent testing of that patient should be performed from
that same position. If the patient is standing, have a chair
behind him in the event that he becomes lightheaded after
the blow. It is generally a good idea to have the elderly
seated for spirometry testing. If the patient is wearing a
shirt or blouse with a tight-fitting collar, have him unbutton
the top button and if wearing a tie, it should be loosened. If
wearing dentures that are loose, it may be necessary to
have the patient remove them.
Explain clearly and in simple terms that they will be

performing a “breathing evaluation”. Try to avoid the word
“test” since this has connotations of passing or failing and
may make the patients apprehensive. Point out that they will
be taking a slow maximal inhalation followed by a maximal
exhalation, but that the exhalation will be “blasting out” the
breath as fast as they can and as hard as they can. Key
them that you will be coaching them to continue to blow out
for a minimum of six seconds. Assure them that it is quite
normal to blow out for that period of time. The American
Thoracic Society in their 1994 Standardization of Spirometry
Update highly recommends that a six second blow be the
goal for all spirometry testing.1
To ensure that the patients take an adequate deep

breath, it is valuable to emulate exactly what you expect. A
good way to do this is through one of the filters. Prior to
your demonstrating the maneuver, tell your patient to be
especially aware of the latter portion of the blow when you
are “squeezing out” the last bit of air. If the patient has a
visual cue as to what a “big deep breath” is and can actually
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see and hear a forced expiration, they are more apt to
perform well. Body language is the key to good performance.
Instruct the patient to put the AstraGuard filter between his/
her teeth and make a good, tight seal with his lips. After the
patient slowly makes a maximal inspiration, the first phase of
the test, loudly exhort the patient to BLAST out. This
element of surprise will help the patient to realize the
maximum peak flow, which is the second phase of the test.
The third phase of the test, which involves diminished

flow, is important to achieve the highest possible volume of
patient FVC. Traditionally, technicians have loudly instructed
the patient to “blow, blow, blow…keep going, keep going!” to
achieve the maximal forced volume, when the opposite
approach may actually be more effective.
Evidence suggests that using the “soft sell” may be

better for achieving the best performance during the third
phase. “Draw [the patient’s] attention to the …audio tone of
the flow-sensing spirometers, which shows that he or she is
continuing to get out some air.” “Patients should be quietly
told to ‘keep going; I can see you’re still getting more air
out.’”2 This is a critical part of the test, since an obstructed
patient may actually still be expelling a volume of air, but it
may not seem apparent, and many times the test is stopped
too soon. This results in a lower FVC than normal and when
interpreted, may suggest that the patient is restricted. Your
SDI spirometer is designed to give you an audible “beep”
when flow has reached a specific diminished threshold. The
spirometer will also alert you with an error message when it
sees an abrupt cessation of flow. Another key indicator
might be to note the FET (Forced Expiratory Time) that is
sometimes displayed as part of the data. If the time was
appreciably shorter than six seconds, this would suggest that
the patient ended the test too quickly.
1
European Respiratory Journal. Standardisation of Spirometry. Eur Resp J 2005; 26:319-338 .
2
Enright, Paul L., MD. How to Make Sure Your Spirometry Tests Are of Good Quality. Respiratory Care
August 2003; 48:774.
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2.5 FORCED VITAL CAPACITY «FVC»

TEST PROCEDURE

The procedures to be completed to carry out the Forced
Vital Capacity «FVC», slow Vital Capacity «VC» and
Maximum Voluntary Ventilation «MVV» tests are very
similar. Therefore, only one detailed description will be
given in this section.
ENTERING PATIENT PARAMETERS
Turn on ASTRA300 spirometer using the key,
wait for the Main Screen to appear and press
One of the following screens will appear, depending on

the mode selected (numeric or alphanumeric):
ID ID Race
CAUCASIAN
First
Age In Lb Smk I
Last
Tech C/d
Del
The meaning of each field is as follows:
ID: A 10-character numeric or alphanumeric patient

identifier, depending on the customized option chosen.
Tech: (Technician): 10-character numeric field

corresponding to the ID code of the technician carrying
out the test.
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Yrs (Age): Number corresponding to the age, between 4 and
100.
in (Height): Height in inches between 20 and 90.
lb (Weight): Weight in lb between 33 and 440.

/ (Sex): Male or Female
C/d (Cigarettes/day):Between 0 and 100 cigarettes.
SmkI (Smoker index): Between 0 and 200 packs a day
multiplied by the number of years.
The Smoker Index is the same as the number of cigarettes

smoked a day divided by 20 and multiplied by the number
of years smoking (cigarettes day x years smoking / 20).
EtF (Ethnic Factor, not shown): Between 80 and 120%

The Ethnic Factor is used in areas without their own
reference parameters , and the data needs to be
corrected to a specific percentage.
This factor MUST BE SET TO 100 IF NOT USED and can
only be modified through the Customization Program.
If the NHANESIII predicted set has been chosen in the

Customization section or if your Astra 300 is being
operated in the PCP Mode, the default race chosen will
be displayed and Race will appear next to the window
First (First name): 20-character alphanumeric field

corresponding to the patient’s name. This can be omitted
if you wish.
Last (Surnames): 25-character alphanumeric field

corresponding to the patient’s last name. This can be
omitted if you wish.
In alphanumeric fields (Name, Code, etc.), a double click

on the field can fully delete it.
Enter the patient’s details and press the key to

go to the test screen.
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ENTERING FORCED VITAL CAPACITY «FVC»

TESTS

Mod
Del
Pat
Go back to the previous screen
Start the maneuver
Save the maneuver to the database

Mod
Pat Modify the patient’s details
Next (view the second group of buttons)
Back (view the first group of buttons)
Del Delete the maneuver
Display the maneuver interpretation
Print the maneuver report
There are other areas of the screen that also have certain
functions:
•Pressing on the axes changes the type of graph (Flow/

Volume or Volume/Time).
1-800-678-5782 1-508-238-7033 35
•Pressing on the parameters displays the screen
containing the data on the selected maneuver.
•Pressing on a maneuver selects it. This allows you to

see its graph, consult its parameters or print a report.
•Pressing on the graph area makes the buttons disappear

and makes it larger or smaller.
or Makes the graph larger or smaller
•Pressing on the REF: area (top left border of the screen)

accesses the patient’s details.
The technician who is going to carry out the forced or

relaxed spirometry tests should be trained to carry out
the normal testing protocols and procedures required so
that the patient can be coached properly. Otherwise, it
is recommended to review documentation on proper
spirometry testing technique.
36 1-800-678-5782 1-508-238-7033
When testing a patient, consider the following:
1 It is highly recommended that a disposable filter or

mouthpiece be used for patient testing. Check that the
flter or disposable mouthpiece is correctly inserted into
the spirometer, as in the figure
INSERT
FIRMLY
2 Instruct the patient as to how the test should be

performed, as his cooperation is vital for the test to provide
meaningful data.
Patients can carry out the spirometry maneuvers in either

of two different ways:
• In the first method, the patient breathes normally

through the turbine, and when indicated by the technician,
takes a deep breath completely filling his lungs, and then
performs a FORCED EXPIRATION followed by FORCED
INSPIRATION, if desired.
• An alternate method consists of starting the maneuver

with FORCED EXPIRATION followed by FORCED
INSPIRATION, if desired.
3 Inform the patient of how to hold the equipment

when using the spirometer, taking care not to press any
key.
1-800-678-5782 1-508-238-7033 37
4 Press the key and wait until a flashing arrow

appears on the screen. Then start the spirometry
maneuver.
The maneuver underway can be ended at any time by

pressing the key.
The equipment is held so that the technician can see the

screen while the patient is carrying out the tests.
Mod
Pat
REF indicates the patient’s Predicted value

* : indicates the current maneuver
: indicates the selected maneuver
(the best is selected by default - M1)
38 1-800-678-5782 1-508-238-7033
At the end of the maneuver, one or more of the QC

Warnings (if enabled in the Customization Program) may
appear, alerting the technician as to whether the
maneuver is in compliance with ATS or NLHEP Quality
Control criteria.
Depending on the indication, if the maneuver has not

been carried out according to one of the following ATS
criteria:
ET - Indicates that the blow has not completed

satisfactorily, as the variation on volume in the last second
of the maneuver was more than 25 ml, or the maneuver
has lasted less than 6 seconds (in patients over 10 years
of age) or less than 3 seconds (in patients 10 years of
age or less).
EX - Indicates that the start of expiration was not

satisfactory, as the extrapolated volume is above 5% of
the FVC or 0.15 liters. The ATS/ERS recommends that
the extrapolated volume be less than 5% of the FVC or
0.15 liters, whichever is highest.
The technician doing the testing may, where

considered appropriate, disable these warnings in
the Customization Program. In this case, they will
also be removed from the printed report.
This disabling is only at display level. The warnings
are still taken into account when classifying the order
of the maneuvers.
ATTENTION: Check in the Customization Program that
the Predicteds and the ETHNIC FACTOR are

suitably selected. The ethnic factor modifies the
value of the References according to the percentage
selected. 100% is equivalent to the unmodified
standard value of the References.
1-800-678-5782 1-508-238-7033 39
•The new curve is superimposed to compare it with the
best (M1/ dotted line) of those saved.
•As many maneuvers as required can be carried out. The

ASTRA300 will always save the five best FVC and VC
values and the three best values for MVV, according to
ATS/ERS criteria
•Different regulations recommend at least three

satisfactory maneuvers in which the repeatability criterion
is satisfied, but no more than eight efforts performed.
•The last maneuver entered remains flashing and

corresponds to the continual line graph. When more than
five maneuvers have been entered and none are flashing,
this indicates that the last maneuver entered is worse
than the five saved and will be deleted.
•If three or more maneuvers have been completed and

the FVC and/or FEV1 signs are flashing, this indicates
that the repeatability criteria for one or both parameters
has been met, according to the ATS/ERS. This criterion
indicates that the best two observed values of FVC and
the best two of FEV1 differ by no more than 150 ml if the
FVC is greater than 1 liter or no more than 100 ml if the
FVC is below or equal to one liter.
NOTE: Remember that by using the back key it

is possible to go backward in the menu without
losing the information available to date, unless you
enter a new patient by entering a new code or at
another time.
(*) ATS/ERS criteria:

The maneuver with least warnings is considered
the best (ET, EX). With the same number of
warnings, the maneuver with the highest sum of
FVC+FEV1 is considered the best.
40 1-800-678-5782 1-508-238-7033
DISPLAYING RESULTS

Press the parameter area. The data on the selected
maneuver (M) will be displayed (M1 by default).
ACT PRED
Select and view different maneuver
Display the interpretation of the selected maneuver
Print the report on the selected maneuver
Save the selected maneuver in the database
or Display the remaining parameters, if

selected
•The screen displays the Predicted (Reference)values,

the Actual values and the % between both parameters
selected in the Customization Program. If an * appears
after the REF test, this means that the Predicted values
have been extrapolated.
1-800-678-5782 1-508-238-7033 41
•It also displays:

- The best FVC and FEV1 values that may correspond to

different maneuvers.
- Ethnic factor (if not used, this must be 100)
- Warnings of non-compliance with ATS/ERS criteria for

each maneuver.
WARNING:
As indicated, the BEST maneuver is set at M1.
Therefore, use M1 to display the interpretation, to
print the report or to save the maneuver for the POST
bronchodilation test or for the Internal Database. The
technician has the option to override this selection.
TYPE OF INTERPRETATION Pred
The ASTRA300 spirometer has, as part of the firmware a

selection of interpretation criteria that can be selected
in the Spirometry Customization Program. Choose the
Interpretation from the screen selection.
NOTE:
If you do not agree with the interpretation criteria,
do not use them as a reference or diagnosis
The interpretation and the results of the test must

always be validated by the specialist.
•ATS Interpretation
This presents the following information:NORMAL,
RESTRICTIVE, or OBSTRUCTIVE, according to the criteria
of the following table:
42 1-800-678-5782 1-508-238-7033
FEV1/FVC > LLN

Yes T T No
FVC > LLN Obstructive
Yes T No
T T
Normal Possibly Restrictive Severity according to
% Pred FEV1
T
Further Testing
Required
Bronchodilation
Test
T
FEV1 and/or FVC >
12% of baseline
and > 200 mL
Yes No
T T
Significant Response No Interpretation
“Mild” % Pred FEV1 >70

“Moderate” % Pred FEV1 < 70 and > 60
“Moderately Severe” % Pred FEV1 < 60 and > 50
“Severe” % Pred FEV1 < 50 and > 34
“Very Severe” % Pred FEV1 < 34
LLN: Lower Limit of Normal
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44 1-800-678-5782 1-508-238-7033
•Miller Diagnosis
This presents the following information: NORMAL,

RESTRICTIVE, OBSTRUCTIVE or COMBINED, according to
the criteria of the following chart
•Snider, Kory & Lyons Diagnosis

This is based on the following criteria:
If FVC > 80% of the FVC Reference

and FEV1 > 80% of the FEV1 Reference
Values in the range of reference. Normal Diagnosis
If FEV1/FVC% < FEV1/FVC% Reference

and FEV1 < 80% of the FEV1 Reference
Obstructive ventilatory disturbance
FEV1 < 80% Slight
FEV1 < 65% Moderate
FEV1 < 50% Intense
FEV1 < 35% Very Intense

and FVC < 80% of the FVC Reference
Non-obstructive ventilatory disturbance
FVC < 80% Slight
FVC < 65% Moderate
FVC < 50% Intense
1-800-678-5782 1-508-238-7033 45
FVC < 35% Very Intense

and FVC > 80% of the FVC Reference

Mixed ventilatory disturbance is suspected

and FEV1 > 80% of the FEV1 Reference
Mixed ventilatory disturbance is suspected
If the POST bronchodilation test is carried out and the

FEV1 POST degree of reversibility exceeds the base FEV1
or PRE by 15%, this is considered a positive response
to the bronchodilator
QC GRADES
Quality Control grades will be assigned according to the

following guideline
A = At least 2 acceptable maneuvers with the largest

two FEV1 values matching within 100 mL and the largest
2 FEV6 values matching better than 100 mL
B = At least 2 acceptable maneuvers with FEV1 values

matching matching between 101 and 150 mL
C = At least 2 acceptable maneuvers with FEV1 values

matching between 151 and 200 mL
D = Only one acceptable maneuver, or more than one,

but the FEV1 values match >200mL (no interpretation)
F= No acceptable maneuvers (no interpretation)
46 1-800-678-5782 1-508-238-7033
SAVING FVC TESTS
Saving a test in the Internal Database

The ASTRA300 spirometer has an Internal Database
that can save different tests which can subsequently
be transferred to a PC Database.
The maneuver selected by default is the best (M1).

If you want to save another, it must first be selected.
Once the maneuver to be saved on the database has
been selected, on the test screen press the key .
Mod
Pat
Press the key. The following message will appear,
indicating that the maneuver has been saved:
MANEUVER NO.: 4 SAVED
Mod
Pat
1-800-678-5782 1-508-238-7033 47
Saving a test to compare in POST bronchodilator mode
This option allows a test to be saved in PRE bronchodilator

mode to then compare with a test in POST bronchodilator

mode.
The process is similar to that described above:
Once the maneuver to be saved on the database has

been selected, press the key on the test screen.
Mod
Pat
Press the key . The following message will appear,

indicating that the maneuver has been saved to the Pre-
Drug database
PRE MANEUVER NO.: 1 SAVED
Mod
Pat
48 1-800-678-5782 1-508-238-7033
PRINTING THE FVC
The ASTRA300 spirometer can print any maneuver on

an external HP PCL 6 compatible printer.
The maneuver selected by default is the best (M1). If

you want to produce a report on another, it must first be
selected.
Check that the printer is ready and connected. Select

the maneuver to be printed (flashing) from the test screen
and press . The best (M1) is recommended.
The following screen will then indicate printing in progress.
The printer will present a report similar to the one shown

on the next page. This will include the parameters and
graphs corresponding to the selected curve.
If you do not want graphs, certain parameters, the
diagnosis and/or ATS/ERS warnings to appear, disable
them as described in section 3.2.
If you want a global printout of the report, including the

FVC, VC and MVV tests made on a patient, follow the
steps described in the General Report Printout section.
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50 1-800-678-5782 1-508-238-7033
DELETING AN EXISTING MANEUVER

With the ASTRA 300 spirometer, you may delete any
maneuver, whether it is because you question the data
value due to questionable patient effort or for any other
reason.
The maneuver selected by default is the best (M1). If

you want to delete another, it must first be selected.
Select the maneuver to be deleted (flashing) from the

test screen and press . The following message will
Del
appear:
MANEUVER WILL BE DELETED!!!

ARE YOU SURE?
Press the key to delete the maneuver. Then
the following message will appear to indicate that the

maneuver has been deleted.
MANEUVER No.: 4 DELETED
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OTHER TESTS ON THE SAME PATIENT
You can do the following after carrying out the FVC test
on a patient:
•A VC test on the same patient

•An MVV test on the same patient
•A Post bronchodilator test on the same patient
•Print the general report of all tests on the same patient
•Enter data for a new patient.
The spirometer saves the best maneuver of each FVC,

VC, MVV and/or bronchodilator test to print a general
report.
CHANGE PATIENT DATA/ENTER NEW PATIENT
This option is used to change some details of an existing

patient or to enter a new patient.
Mod
Press the Pat key on the test screen to access the
patient’s details screen.
Follow the procedure described in the ENTERING PATIENT

PARAMETERS procedure to enter the details of a new
patient or to modify the details of an existing patient.
NOTE:
When details of an existing patient have been
modified (age, height,sex), the patient’s parameters
will be recalculated accordingly.
52 1-800-678-5782 1-508-238-7033
2.6 SLOW VITAL CAPACITY «VC»
TEST PROCEDURE

The procedure to carry out the Slow Vital Capacity «VC»
test is similar to that described in section 3.4 FORCED
VITAL CAPACITY «FVC» PROCEDURE with the following
variations:
1 Access the «VC» test by pressing the key

from the main screen and perform a maneuver.
Mod Del
Pat
2 The axes are always displayed in VOLUME/TIME mode.
3 Instruct the patient as to how to perform the test, as

the cooperation is vital to provide meaningful data.
4 The maximum time allowed for the maneuver is 45

seconds. The spirometer saves a maximum of five
maneuvers, ordered according to the VC value, where
M1 is the best VC and M5 the worst.
5 To measure the ERV and TV parameters correctly,

each maneuver must have at least four tidal breaths.
1-800-678-5782 1-508-238-7033 53
6 The reporting of parameters and graphs is as shown

below:
54 1-800-678-5782 1-508-238-7033
2.7 MAXIMUM VOLUNTARY
VENTILATION «MVV TEST

PROCEDURE
The procedure to carry out the Maximum Voluntary

Ventilation «MVV» test is similar to that described in
section 3.4 FORCED VITAL CAPACITY «FVC» PROCEDURE
with the following variations:
1 Access the «MVV» test by pressing the key

from the main screen and perform a maneuver.
Mod Back Del
2 The axes are displayed in VOLUME/TIME mode.
3 Instruct the patient as to how to perform the test,

as patient cooperation is vital for it to be completed
correctly and provide meaningful results..
4 The maximum time allowed for the maneuver is 15

seconds. The equipment saves a maximum of three
maneuvers, ordered according to the MVV value, where
M1 is the best MVV and M3 the worst.
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56 1-800-678-5782 1-508-238-7033
2.8 POST BRONCHODILATOR

SPIROMETRY PROCEDURE

The ASTRA 300 spirometer allows for spirometry tests
to be performed after the administration of a
bronchodilator drug. These tests may be done in in FVC,
VC or MVV modes provided a test has previously been
completed in PRE bronchodilator mode and saved to the
PRE database.
The procedure to carry out POST-Bronchodilator

spirometry is as follows:
1 Complete an FVC, VC or MVV test with the patient

as described in the previous sections before
administration of the bronchodilating drug.
2 Save the PRE test in the database for comparison to

the POST-Drug test, as explained in SAVING FVC TESTS
in section 3.4.
3 Administer the dose of the bronchodilator drug

prescribed and wait for the standardized period.
4 On the main screen, press the key
A screen similar to the following will appear, which

displays the tests saved in PRE mode.
1-800-678-5782 1-508-238-7033 57
Using keys and , the VC and MVV tests can

be seen and saved in PRE mode.
5 Select the PRE test with which it is to be compared

and press
The screen then shows the two graphs (PRE and POST)
for comparison purposes:
POST
58 1-800-678-5782 1-508-238-7033

Then continue as described in section 3.4 FVC TEST
PROCEDURE.
• The curve in POST bronchodilator mode is compared

with the curve saved in PRE bronchodilator mode.
• The data screen shows the observed values in PRE

and POST mode and the method of comparison between
them, depending on the option selected in customization.
See section 2.2 EQUIPMENT CUSTOMIZATION.
Weighted % between PRE and POST

% between REF (Predicted) and POST
% between PRE and POST
Difference between PRE and POST
•The most common method of comparison is the

Weighted %, which corresponds to %WEIGHT =
100x2(POST-PRE)/(POST+PRE).
(See J.E. Cotes: Lung Function Assessment and

Aplication in Medicine. Blackwell Sci. 4th Edition 1979,
p52-53)
The registering of parameters and graphs is as shown

following:
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60 1-800-678-5782 1-508-238-7033
2.9 OCCUPATIONAL HEALTH (OHM)
MODULE (if equipped)

The Astra 300 Occupational Health settings will afford the
user compliance with the standards for spirometry testing of
National Institute for Occupational Safety and Health as
outlined in the U.S Department of Labor Standard 1910.1043
(Pulmonary Function Standards for the Cotton Dust Standard)
and follow the guidelines of the Social Security Administration
Disability Testing (SSA Pub No. 64-055) requirements.
To configure the Astra 300 for OHM operation:
1. Turn on the spirometer
2. From the Main Menu. press [Setup]. this will bring

you the SETUP UTILITIES menu. Press [Setup]
again to bring you to the CUSTOMIZATION menu.
3. Press [DB] and ensure that “Save 3 Maneuvers” is

checked. If not, tap on the small box to initiate the
save function. Press the [Enter] button to save the
action and return you the CUSTOMIZATION screen.
4. Press [lungs] to bring you to the SPIROMETRY

CUSTOMIZATION menu. In this menu, press the
[graphs] button to bring you to the GRAPH STATUS
menu. Be sure that the following are checked:
F/V Report
V/T Report
Print large curves
Print curves 3 PRE
Print Data 3 PRE
If not, use the [Up] or [Down] keys to highlight the selection,

then press [Check] . After ensuring that the proper items have
been checked off, press [Enter] to save the action and return
to the previous menus.
1-800-678-5782 1-508-238-7033 61
CALIBRATION CHECK
1 Set up the spirometer and the syringe as in the Calibration

instructions
2 Power up the Astra 300 using the (On) button and at the
Startup menu, press (Setup) to bring you to the SETUP
UTILITIES menu: Press the (CAL) button
3 As in the Calibration routine, if the syringe volume is correct

(3 Liters is the default) and the number of pulses is the same
as that engraved on the side of the turbine, press (Enter). In
the Calibration measuring screen, press (CAL CHECK) .
4 Push to empty the syringe then pull out the plunger fully.
do this maneuver two more cycles If the Astra 300 is in precise
calibration, you will get the message:
CAL PASSED!
MEAN F.(l/s) = XX
If an error message appears because the flow is either too

high or too low, press (CAL CHECK) again and make a
correction in flow by either pushing the plunger slower or
faster.
In rare cases, the spirometer will alert you to do a full

calibration of the instrument. To do a full calibration, see
page 61.
62 1-800-678-5782 1-508-238-7033
2.10 CALIBRATION PROCEDURE

GENERAL OBSERVATIONS
Since turbine flowmeters are mechanical devices typically
not affected by temperature, pressure or humidity,the
standards in force regarding spirometry recommend that
all spirometers be periodically checked for calibration.
This is due to alterations which may modify the
characteristics of the electronic circuits and mechanical
elements over time and cause a change in the spirometer
calibration factors. Hence, a calibration system has been
incorporated based on a reference volume signal (e.g. a
syringe).
The Astra 300 includes a Calibration Program for fast

(less than one minute) and easy checking and auto-
correcting of deviations in the measurements taken based
on a standard or reference volume for the quality control
of the different spirometric tests.
The regularity of calibration checks depend on the user,

although the standards recommend it be done on a daily
or weekly basis.
CALIBRATION PROCESS
The calibration process is as follows:
1 Connect the spirometer to the syringe as in the

following figure
1-800-678-5782 1-508-238-7033 63
2 Press Setup to access the Setup Utilities screen

2 From the Setup Utilities screen press the key

If there are previous calibrations, the details of the last

one will appear in the title.
Enter the necessary data:
Volume: between 0 and 6 liters, depending on the

syringe volume.
If a 0 is entered, the default factors are used (Fct = 1
and NPulses = 200) and the calibration process is
completed.
No. of Pulses: this number, engraved on the turbine

corresponds to the number of pulses/rotation. If the
number of pulses associated to its turbine is as appears
on screen, continue without modifying it.
64 1-800-678-5782 1-508-238-7033
If it is different, enter the number of turbine pulses. In
this case, the factors will be recalculated and the
calibration process completed.

NOTE:
Each turbine is factory calibrated individually and is
associated with a factor equivalent to the pulses/
liter detected which is engraved on the turbine body.
Although variability between turbines is within ±3%,
it is worth entering this factor in the spirometer if
the turbine is changed to obtain the maximum
measurement precision.
Temp (ambient temperature in ºF): detected by a sensor

inside the equipment. This can be modified if required.
HR (relative humidity in %): entered in the last calibration.

This can be modified if required.
Pres (atmospheric pressure in mmHg):entered in the last

calibration. This can be modified if required.
3Press . If a Volume other than 0 has been entered

and the No. of Pulses has not been modified, the following
screen will appear:
1-800-678-5782 1-508-238-7033 65
4 Press and start the calibration process.
Empty the syringe for two or more consecutive cycles

(one cycle is equal to emptying and refilling the syringe).

When emptying and filling, the syringe plunger must move
all the volume used as a reference. If this is not done
correctly, the equipment will detect it as «incorrect
maneuvers». Furthermore, this process should be
completed in a regular and uniform manner, without causing
flow rates that are too high or too low. Where this is not
the case, you will be told to repeat the maneuver. The
time for each cycle must be no less than three seconds
and no more than six.
5 The screen shows the expiratory and inspiratory

factors taken by the equipment and, if they are within
2%, will consider the system calibrated. Where this is
not the case, point 4 is repeated.
6 Once calibrated, exit the Calibration Program and

access the Spirometry program to begin the tests.
Note:
If, upon entering the calibration parameters in point
2, “Calibration Volume (l): 0” is allocated, the system
takes the calibration factors “EXP F. and INS F.:1.00”,
corresponding to original factory calibration. This
calibration should only be used as a guideline and in
the event of a syringe not being available.
66 1-800-678-5782 1-508-238-7033
CALIBRATION REGISTERING
The spirometer has a register containing the expiratory

and inspiratory factors of the last ten calibrations
performed. This is extremely useful for centers requiring
a quality control of the processes they use.
To do so, press on the first calibration process

screen. The following screen will appear:
Del
Del Deletes a register
Prints existing registers
and Moves the different calibrations
The information shown is:
•Number of registers available

•Date of calibration
•Time of calibration
•Volume of calibration
•Expiratory factor
•Inspiratory factor
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2.11 INTERNAL DATABASE
The Astra 300 has an Internal Database as standard
that saves the different tests made using the equipment

and subsequently displays them, prints them and/or
transfers them to a PC or other computerized system for
storage or management.
The base information remains, even when the equipment

is unplugged.
The tests that can be saved (using a six-second FVC as

reference) are:
Database «H» >1100
The saving of the tests has already been described in

the sections corresponding to each test.
The database always saves all the spirometric parameters

of each of the different test modalities, FVC, VC, MVV or
Bronchodilation, despite their not being selected in the
Customization program.
Different functions are possible from the spirometer:
1 Search the database
2 Search for a patient
68 1-800-678-5782 1-508-238-7033
3 Search for a register

4 Print a summarized report
5 Delete the database
To do so, turn on the ASTRA 300 using the key

and wait for the following screen to appear:
ASTRA
Post
Setup SP O2
Press to access the screen with the options
to be chosen with the database.
Search
DB
Reg
Del
1-800-678-5782 1-508-238-7033 69
Go back to the main screen
Reg Search for register

Search
DB Search the database.
Summarized report
Del Delete the database.
DATABASE SEARCH
Search
Select DB option to display the tests saved on the
database
Del
70 1-800-678-5782 1-508-238-7033
and Fast back/forwards through

the registers. The movement value is

configured in the Customization menu.
Del Deletes the test selected
Displays the test selected
and Moves around the different tests
Select a test and press . The following screen is

accessed:
Display test data
Display the test interpretation
Print the test
1-800-678-5782 1-508-238-7033 71
•Pressing the axes changes the type of graph (Flow/

Volume or Volume/Time).
•Pressing the graph area makes the buttons disappear

and makes the graph larger or smaller.
PATIENT SEARCH
Reg
Select the option to search for a patient in the
database. The following screen will appear:
Enter the patient code and press .
If the patient exists, the database search screen will

appear. Where this is not the case, the following warning
message will appear:
«PATIENT CODE NOT FOUND».
72 1-800-678-5782 1-508-238-7033
SUMMARIZED REPORT

Select the option to print a report with the
list of tests saved on the database.
The following screen will appear, indicating printing in

progress:
1-800-678-5782 1-508-238-7033 73
DELETE DATABASE
Select the option Del

to delete the database.
The following message will appear:
Press to accept and delete the database or

press to go back to the previous screen without
deleting it.
74 1-800-678-5782 1-508-238-7033
2.12 MAINTENANCE PROGRAM

The equipment has a maintenance program. The Astra
300 is designed to provide a new level of sophistication
in spirometry testing, giving you a wealth of choices in
how to configure your spirometer to meet your needs.
Choose the comprehensive pre-set program or custom
design your own program from a number of selections for
testing, interpreting or reporting .
To adjust and/or check the working order of certain
options.
From the Main Menu screen, press, S e t u p then
CAL
Cont
Touch
Enables the calibration and/or maintenance

warnings
Adjusts the screen contrast

Cont
Recalibrate Screen
CAL
Touch
Check equipment
Checks with pre-saved standard curves
Equipment configuration
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WARNINGS
Select the option .

The following screen will appear with the information on

the latest maintenance work, the tests performed and
the tests performed since the last maintenance work.
Press .
ALERTS
This screen defines the periods in days between

calibrations or between preventive maintenance work on
the equipment.
If the days specified without calibration or maintenance
are exceeded, the equipment warns of such by displaying
a sign every time it is started. If 0 days is entered, a
warning is never given.
76 1-800-678-5782 1-508-238-7033
LCD CONTRAST
Select the option Cont to configure the screen contrast.

Black background/white content
White background/black content
Validate choice
and Increase/decrease contrast
EQUIPMENT CHECK
Select the option to check different parts of the

equipment.
Sp02 TOUCH
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Distributor details
Sp02
Pulse oximetry module
Check the external printer selected.

The SDI logo, heading lines and 10
lines of characters will be printed.
Check that the automatic on and off work

properly. Upon selecting this option, the
equipment switches off and on automatically
after 5 seconds.
Display the values of different variables (No.

pulses, Turbine Fct, Alk. B., Li. B., etc.). This
indicates whether the read value is correct.
Del
CPU check. This calculates the Flash program

checksum and the Bios program checksum. It
also indicates whether there are errors in the
RAM memory of the CPU and in the external
RAM.
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Performs a test on the LCD. Follow the
instructions given on the screen.
Touch Touch Screen
STANDARD CURVES
Select the option to check the working order
of the equipment through certain pre-saved

curves.
Select the curve type and follow the instructions on the

screen, which are similar to the FVC, VC and MVV
procedures. With these curves you can operate the
equipment as if they were real patient curves, with slight
exceptions.
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EQUIPMENT CONFIGURATION
Select the option to configure different options for

the equipment.
Reset all equipment variables.
Reindex the database.
Change from positive VC to negative VC and

vice versa
•An updating key is also displayed, which is necessary

for updating the firmware.
WARNING
This option should be carried out by a qualified
technician!
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Chapter 3: Communications System

3. COMMUNICATIONS
SYSTEM
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One of the strengths of the ASTRA300 spirometer is its

Communications System, which allows the user to:
Transfer patient tests to a PC

Export patient tests to other Management Systems
Communications can be made using three different inputs

when using the corresponding software:
• RS232C Series (standard)

• USB (standard)
• Bluetooth (optional)
3.1 PATIENT TEST MANAGEMENT IN

THE PC
If you want to view, print, manage and/or save the
tests to the PC, you must have AstraPro Spirometry
Software.
The process to follow is:
1 Save the tests required in the equipment’s internal

Database.
2 Install the AstraPro Spirometry Software, as

detailed on p. 81.
3 Load the Database data from the PC using the W-20

Software BATCH option.
4 The screen shows a list of the tests transferred and

you can select those to be imported to the PC Database
selected in the AstraPro Software Configuration option.
5 From then on, you can select, view or print any of

the tests imported or transferred to the PC.
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3.2 EXPORTING TESTS TO OTHER
SYSTEMS

The Astra 300 spirometer can export the tests saved
previously in the Internal Database to other
management systems at other locations.
The equipment shows the information in comma-

delimited mode, making it compatible with many
different systems.
The information is available in the following files:
TESTS.TXT Contains the database tests

GRAPHICS.TXT Contains the graphs in Flow/Time mode
The graph file, as indicated, contains the graphs for

each test in Flow/Time mode. If you want to display
the graphs in Volume/Time or Flow/Volume mode in
the new management system, the following must be taken
into account:
The flow signal with the turbine-type transducer is

sampled at 50Hz.
The ratio of the axes in the Volume/Time graph must be

adjusted to 1 liter = 2 seconds.
The ratio of the axes in the Flow/Volume graph must be

adjusted to 2 l/s = 1 l
In the event of doubt or queries, contact SDI Technical

Support, who will provide any further information you
may require.
3.3 INSTALLING ASTRAPROTM

SPIROMETRY SOFTWARE FOR PC
For USB compatible spirometers, a driver must be installed on the
computer. These instructions are for use with PC and software only.
Not needed for direct print.
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To install the Software and Driver, follow these steps:
1 Start up the spirometer (consult the corresponding manual
for use).
2 Insert installation CD and Run D:\Setup.exe (or appropriate

cd drive) and follow prompts for cd installation.
3 Open software and connect spirometer to PC with the USB

cable. As it is the first time that the equipment is connected
to the computer, the Windows <<New Hardware Detected>>
screen will appear, with the name of the equipment that you
have connected. Select <<Next>>
4 A screen will appear that allows you to select between two

options:
First: Find best controller for your device
Second: Show a list of all controllers in a location
Select the Second and click on <<Next>>
5 Now a screen will appear which allows you to select between

Show All Hardware or Show Compatible Hardware. Select
<<Show All Hardware>> and click the <<Use Disk>> button.
6 If your operating system is Windows 98, select the file

D13TEST in the directory D:\W98 of the spirometry CD. For
other operating systems such as Windows 2000, Windows
XP (software is not compatible with Vista), select the file
“sibelusb” of the directory D:\W2k_WXP. Press <<OK>>
(Windows XP may find this file automatically).
7 Click on <<Next>> and <<Finish>>. The Driver will now install

itself.
8 Under Setup from the main menu, Select <<Links>>

Transducer: Spirometer
Equipment: DMicro\Astra
Channel: Serial Channel
Serial Port: COM1
Then click √
Your spirometer is now ready to use.
84 1-800-678-5782 1-508-238-7033
Chapter 4: Technical Specifications

4. TECHNICAL
SPECIFICATIONS
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The specifications given below are applicable in each

case, depending on the model available, as indicated in
detail in Section 1.3 SPIROMETER MODELS.
4.1 TYPES OF TEST, FUNCTIONS AND

PARAMETERS
FORCED VITAL CAPACITY FVC
Parameters:
• FVC (l) Forced Vital Capacity

• FEV.5 (l) Forced Expiratory Volume in .5
seconds
• FEV1 (l) Same in 1 second
• FEV3 (l) Same in 3 seconds
• FEV.5/FVC (%) Ratio
• FEV1/FVC (%) Ratio
• FEV3/FVC (%) Ratio
• FEV1/VC (%) Ratio
• PEF (l/s) Peak Expiratory Flow
• FEF25% (l/s) Forced Expiratory Flow 25% into
the maneuver
• FEF50% (l/s) Same, 50% into the maneuver
• FEF75% (l/s) Same, 75% into the maneuver
• FEF25-75% (l/s) Mean expiratory flow between 25%
and 75% of the FVC
• FEF75-85% (l/s) Mean flow between 75-85% of FVC
• FET25-75 (s) Forced expiratory time between 25-
75% of FVC
• FET100 (s) Forced Expiratory Time
• MEF50/MIF50 (-) Ratio
• FEV1/FEV.5 (-) Ratio
• FEV1/PEF (-) Ratio
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• MIF50% (l/s)
Maximum Inspiratory flow with
50% of FVC inspired
• FIVC (l) Forced Inspiratory Vital Capacity

• FIV1 (l) Forced Inspirometry Volume in 1
second
• FIV1/FIVC (%) Ratio
• FEV1/FIV1 (%) Ratio
• PIF (l/s) Inspiratory Flow Apex
• MTT (s) Mean Transit Time
• PEF/PIF (-) Ratio
• Vext (%) Extrapolated Volume
• MVVInd (l/min) Maximum Voluntary Ventilation
(30 x FEV1)
• FEV6 (l) Forced Expiratory Volume in 6
seconds
• FEV1/FEV6 (%) Ratio
• EPOC rate Parameter that depends on the
number of cigarettes smoked a day,
the age and FEV1. Indicates the
risk of EPOC.
• Lung Age Parameter that depends on the
height and FEV1. Indicates the
equivalent age of the lung.
Interpretation based on:
•ATS
Percentage deviation in relation to values of

reference
Standardized values of predicteds that can be

selected from several standards
Patient’s ID details
Atmospheric data on temperature, pressure and

relative humidity
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Graphs in FLOW/VOLUME and VOLUME/TIME
Quality alerts to assure compliance with ATS/ERS

criteria
Saving of five maneuvers from the same study
Acoustic and graphic indication of the start and end

of each maneuver
SLOW VITAL CAPACITY
Parameters:
• VC (l) Slow vital capacity

• TV (l) Tidal volume
• ERV (l) Expiratory Residual Volume
• IRV (l) Inspiratory Residual Volume
• IC (l) Inspiratory Capacity
• Ti (s) Inspiratory time
• Te (s) Expiratory time
• Tt (s) Total time
• Ti/Tt (-) Ratio
Percentage deviation in relation to reference values
Standardized predicted values that can be selected

from several authors
Temperature, pressure and relative humidity details
Graphs in VOLUME/TIME mode
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MAXIMUM VOLUNTARY VENTILATION
Parameters:

• MVV (l/min) Maximum Voluntary Ventilation
• Br./min (Br/min) Breathing frequency of MVV
Percentage deviation relative to predicted values
Standardized predicted values that can be selected

from several authors
Temperature, pressure and relative humidity details
Graphs in VOLUME/TIME mode
POST BRONCHODILATION TEST
Same parameters and characteristics as in FVC
Several methods of comparison among PRE, POST

and REF values
Superimposing of PRE and POST graphs
CALIBRATION
Calibration program for dynamic tests with syringe

of 1 to 6 liters in volume.
Registry of the latest calibrations
Where required, calibration warning

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Customization of the language, printer and report
heading, etc.
Parameters of reference
Observed parameters
Graph selection
Interpretation selection
Report customization
INTERNAL DATABASE
Saving of spirometric and pulse oximetry tests.
Two types of databases based on storage capacity
CLOCK-CALENDAR
Hour-Minute-Second
Month-Day-Year
4.2 MEASURING SYSTEM

TYPE OF TRANSDUCER
Turbine-type transducer with axial-type two-way

volumetrics, with opto-electronic rotary sensor that is
detachable for cleaning and sterilization. Rotation is made
on sapphire bearings for high reproducibility and duration.
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RANGES AND MEASUREMENTS
Turbine

•Measurement Scale (BTPS)
Flow (l/s) 0 to ± 16
Volume (l) 0 to 10
•Dynamic flow resistance

kPa/l/s < 0.122 to 14 l/s
•Precision of measurements (BTPS)

Volume (the highest) 3% or 50 ml
Flow (the highest) 5% or 150 ml/s
Time-related precision 0.5%
•Resolution in volume (ml) <6
•Sampling frequency (Hz) 25
•Turbine lifetime 600 disinfections

or 3 years
SpO2 and Pulse

SpO2 (%) Pulse (BPM)
Measurement Range 0-100 0-250
Resolution 1 1
Precision 70 to 100 +/- 2 +/- 1 or 3%
(the highest)
< 70 Not specified
4.3 MICRO CONTROLLER

System micro controller:
•Hitachi H8S2144
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Volume accumulation time:
•Five FVC curves with a maximum of 25 seconds each

•Five VC curves with a maximum of 45 seconds each
•Five MVV curves with a maximum of 15 seconds each
Start FVC expiration:
•Using the back extrapolation method
End FVC expiration:
•When the volume accumulated in the last second is

below 0.025 litres
FVC test selection:
•Based highest value of FVC or on operator decision
Parameter selection:
•FVC and FEV1, the two with the highest value of the
tests saved. Remaining parameters of the selected test,
with the highest sum being recommended.
Keypad:
•All instructions, data, etc. transmitted by the operator

to the microprocessor involve a touch screen.
92 1-800-678-5782 1-508-238-7033
Communications channel:
•RS 232C

•USB 2.0
•Bluetooth 2.0
•Compatible with HP-PCL black and white or color
printers.
4.4 PRESENTATION OF DATA
High resolution touch screen LCD (Liquid Crystal

Display) with 240 x 160 pixel array
By external printer
By PC with the corresponding software
4.5 TEMPERATURE SENSOR

Internal temperature sensor from 23 to 50 ºC ± 1%
Relative humidity:
•Less than 75% (without condensation)
Barometric pressure:
•Between 430 and 800 mmHg (approx. 4500 to -400

meters altitude)
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Temperature:
•Storage, between 32 and 94 °F
•Working, between 42 and 72 °F
Applicable standards:
•Spirometry (ATS/ERS, SEPAR)
•Safety (EN 60601.1, EN 60601.1.1)
•Electro-magnetic Compatibility (EN 60601.1.2). See
Appendix 1
•Quality (EN 13485, ISO 9001:2000)
•Spirometers for peak expiratory flow (UNE EN
13826:2004)
•Bluetooth Module
- Compliance with Standard 2.0
- Class II
- CE and FCC Certificate.
Power supply:
•1.2 NiMh battery
Power:
•Below 400 mW
Size:
•153.5 x 80 x 52 mm
Weight:
•250 g
Equipment lifetime:
•10 years
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Chapter 5: Operating Principles

5. OPERATING
PRINCIPLES
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95
The Astra 300 spirometer is an instrument that acquires
mechanical signals and processes the information provided
by the signal related to the pulmonary function. For
processing purposes, mechanical must be changed to
electrical. The devices responsible for this change are
called transducers. The ASTRA 300 has a Turbine-type

transducer.
The turbine transducer performs transduction in two

stages: The volume to be measured crosses the turbine
vane and records its rotation that is proportional to that
volume. This rotation is detected by the interrupting of
a beam of infrared light, the sensor of which converts
the light received into a digital-type electrical signal.
5.1 TURBINE
The turbine is axial with two stators in the form of a
propeller and a rotor made up of a flat, rectangular blade.
The shape of the stators means that the air flow passing
turns, which makes the blade turn. The turbine operates
based on the Fluid Mechanics theory and, more
specifically, the Machine Turbo theory. Applied to this
case, the angle at which the rotor turns is directly
proportional to the fluid volume crossing the turbine and
the proportionality constant depends on its shape.
5.2 TURBINE ROTATION SENSOR

The turbine rotation sensor consists of three pairs of
emitting diodes and an infrared (invisible) photo-transistor
that detect the rotation and direction of the blade. The
number of times the beam is interrupted is equivalent to
an accumulated angle of rotations and, therefore, the
volume of air to have crossed the turbine. The photo-
transistor provides a digital electrical signal that
represents the times the beam of light is interrupted and
is directly acquired by the microprocessor.
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96
5.3 MICROPROCESSOR
PHYSICAL DESCRIPTION

The microprocessor section is made up of a series of
electronic devices that save, manage, receive and send
data. In general terms, it is divided into:
- Basic hardware control program (BIOS) residing in the

internal Flash memory of the Micro controller (128 KBytes).
- Spirometry and equipment management program and

test database residing in the 2 MByte FLASH memory.
- Non-volatile 512 KByte RAM to save the equipment

configuration, status variables and calibration database.
- Central Processing Unit (CPU).
- Communications controller (RS232, USB and Bluetooth)

with external sources.
- Clock - Calendar - Alarm.
PROGRAM
The control program has been developed in assembly

code and top level C language to ensure very fast time
control and a structured program. It is divided into two
parts: the BIOS in internal Flash memory and the
application in external Flash memory.
MEMORY
The storage capacity for temporary data, for the

customized equipment configuration and for the calibration
database is 512 KB in non-volatile RAM. The test database
has a maximum capacity of 1 MByte.
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97
CPU
This device manages and runs the process that is coded
into the data that forms the program. The Renesas
H8S2144 micro controller is used as a CPU.
CONTROLLERS
These are responsible for transferring data between the

CPU and the other devices, i.e. the keypad, the screen
and the printer. They form part of the integrated
microcontroller circuit, except for the RS-232 series
communications channel interface and the screen
controller.
QUALITATIVE DESCRIPTION
The control program is responsible for ensuring the

spirometry signals are handled in line with the applicable
standards, particularly the calculation of:
- Identification of the start of expiration

The start of the test is determined by the filling of a
maximum level of flow of approximately 100ml/s, although
the immediately inferior values are not rejected.
- Retrograde extrapolation = Back extrapolation

The start of the FVC maneuver is established through
back extrapolation according to A.T.S. criteria
- Identification of the end of inspiration

The end of the FVC maneuver is established according
to A.T.S. criteria, i.e. when the volume accumulated in
the last second is below 25ml.
- Calibration program
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98
Any aging of or accumulated dirt in the turbine transducer

may lead to imprecise measurements. To ensure the
turbine measures correctly, the system includes a simple
checking procedure based on measuring the known volume

of a calibration syringe.
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99
Chapter 6: Upkeep, Preventive & Corrective Maintenance
6. UPKEEP,
PREVENTIVE AND
CORRECTIVE
MAINTENANCE
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Like any equipment, particularly if for medical applications,
the ASTRA 300 spirometer requires upkeep and
maintenance to ensure the safety of patients, operators
and the environment, and at ensuring the reliability and
precision of the functions for which it has been developed.
All this leads to a series of routines that must be
completed.
6.1 UPKEEP
Upkeep is aimed at ensuring the correct working order of
the equipment. The person undertaking it requires no
special technical skills except knowledge of the functions
and handling of the equipment. The equipment user
normally performs this. The operations to be completed
are as follows:
CLEANING THE TURBINE TRANSDUCER
ATTENTION: to avoid the risk of cross-contamination when using

turbine with plain cardboard mouthpiece, the turbine must be
cleaned after every use. Clean the turbine daily if using a one-
way valve mouthpiece, and weekly cleaning is recommended if
using a bacterial/viral filter. To do so, proceed as follows:
1 The turbine is removed from the equipment housing

by pressing slightly so that is comes away from its
fixtures.
2 Wash the turbine by soaking in a warm soap and

water solution, avoiding solvents or abrasive substances
that may damage the components. Given that its reliability
depends on the condition of the turbine, examine it for
external damage.
3 Rinse by soaking the turbine in clean water. Do not

rinse the turbine by holding itunder running water.
1-800-678-5782 1-508-238-7033 101

4 You can then leave it to dry at room temperature.
5 Reassemble the turbine in the housing.
Top level disinfection:

If you suspect contamination, use one of the more
complex antiseptic solutions. For example, replace Step
2 by submerging it in a glutaraldehyde solution (or similar)
for 10 minutes (follow the manufacturer’s instructions).
PRECAUTION
DO NOT EXPOSE THE TURBINE TO TEMPERATURES
OF OVER 60ºC OR BELOW 0ºC. DO NOT USE
SOLVENTS OR OTHER SIMILAR SUBSTANCES FOR
CLEANING AS THEY MAY DAMAGE IT.
SPIROMETER
The spirometer is cleaned gently with a dry cloth or a

cloth dampened slightly with soapy water. Pay special
attention to ensure no liquid enters the inside or
connectors and connections.
Do not use abrasive substances or solvents.
WARNING
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6.2 PREVENTIVE MAINTENANCE

Preventive maintenance consists of any actions aimed
at keeping the equipment in a good state of repair.
Four types of preventive maintenance are established:
1 Each time the spirometer is turned on, the equipment

will check certain parts and/or functions.
2 A second procedure, which can be performed by the

user, consists of the regular monitoring of the appearance
of the different connections and other external parts of
the equipment. Check that all connections are perfectly
connected, that no cable and/or connector or any other
element is broken or damaged.
In the event of detecting any problem that the user

cannot solve, contact the SDI Diagnostics Repair
Department or your distributor.
3 The user can access the Maintenance Program to

adjust and/or check any parts of the equipment, as
indicated in detail in the corresponding section.
4 A fourth type consists of a general technical check of

the safety systems, adjustments and functions, etc.
forming the equipment.
THIS TECHNICAL CHECK SHOULD BE PERFORMED

EVERY YEAR following the ASTRA 300 Verification and
Adjustment Procedure available from the manufacturer.
This type of operation must be carried out by skilled
technical staff from the hospital’s maintenance
department or from the distributor’s or manufacturer’s
technical service.
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SDI Diagnostics, Inc., as the manufacturer, must provide

written authorization, for at least the guarantee period,
for the corresponding technical personnel to carry out
said maintenance and will not be held liable under any
circumstances for any damage, malfunction, etc. that
may arise as a result of defective maintenance by people
not employed by SDI.
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7.0 LIMITED WARRANTY CONDITIONS
This SDI product together with its standard accessories is

guaranteed for a period of ONE YEAR from the date of purchase. In
7.0 Limited Warranty Conditions

the case of any warranty claims the relevant sales invoice (or another
proof of purchase document) must be submitted to SDI.
The instrument must be checked at the time of purchase and any
claims must be made immediately in writing to SDI.
This warranty covers the repair or the replacement (at the discretion
of the manufacturer) of the product or defective parts.
All batteries and other consumable parts are specifically excluded
from the terms of this guarantee.
The warranty is not valid in the following cases:
• Problems due to improper installation or operation of the machine, or
if the installation does not conform to the current safety norms in the
country of installation.
• If the product is utilized differently from the use described in the Users
Manual.
• If any alteration, adjustment, modification or repair has been carried
out by personnel not authorized by SDI.
• Problems caused by lack of or incorrect routine maintenance of the
machine.
• If the machine has been dropped, damaged or subjected to physical
or electrical stress.
• If the fault is caused by the power source or by another product to
which the instrument has been connected.
• If the serial number of the instrument is missing, tampered with and/
or not clearly legible.
The customer is responsible for the transportation and all transport

and customs charges for delivery of the goods both to and from
SDI.
Any instrument or accessory returned must be accompanied by a
clear and detailed explanation of the defect or problem found. Written
or verbal permission must be received before any instruments are
returned to SDI.
SDI reserves the right to modify the instrument if required, and a
description of any modification made will be sent along with the
returned goods.
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8.0 SPIROMETRY INDICATIONS

8.0 Spirometry Indications
Although the early detection of COPD is perhaps the most important

indication for application of office spirometry, there are many others that
have proven to be helped in the diagnosis of disease.
Dyspnea (shortness of breath)

Exercise-induced coughing
Chest tightness
Smokers over 45 years of age (NLHEP recommendation)
Obesity
Pre-operative testing
Occupational exposure to dust and/or chemicals
Ongoing assessment of patients receiving bronchodilator treatments
Determination and/or documentation of pulmonary disability
Asthma diagnosis
Pre-existing pulmonary disease
Frequent colds
Assessment of congestive heart failure
High risk medication
See Inside Back Cover for CPT and ICD-9 Codes for Spirometry
106 1-800-678-5782 1-508-238-7033


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The Spirometry Source

Table of Conte nts

1.1 INTRODUCTION ........................................................ 10

1.2 LAYOUT OF CONTROLS, PILOT LIGHTS AND

1.3 INSTALLATION AND START-UP.....................................12

1.4 OPERATING MODES .................................................. 15

CAUTION: Federal law restricts this device

2. ASTRA 300 FUNCTIONAL OPERATION ....................... 17

2.1 FUNCTION TREE ........................................................ 18

2.2 EQUIPMENT CUSTOMIZATION ................................... 22

2.3 EQUIPMENT PROTECTION ......................................... 29

2.4 PERFORMING SPIROMETRY ....................................... 31

2.5 FORCED VITAL CAPACITY «FVC»

2.6 SLOW VITAL CAPACITY «VC»

2.7 MAXIMUM VOLUNTARY VENTILATION «MVV»

2.8 POST BRONCHODILATOR SPIROMETRY

2.9 OCCUPATIONAL HEALTH MODULE ............................. 61

3.0 CALIBRATION PROCEDURE ........................................ 63

2.11 INTERNAL DATABASE ................................................ 68

2.12 MAINTENANCE PROGRAM .......................................... 75

3. COMMUNICATIONS SYSTEM .................................... 81

3.1 PATIENT TEST MANAGEMENT IN THE PC .................. 82

3.2 EXPORTING TESTS TO OTHER SYSTEMS .................. 83

Table of Conte nts

4. TECHNICAL SPECIFICATIONS .................................. 85

4.1 TYPES OF TEST, FUNCTIONS AND PARAMETERS ...... 86

4.2 MEASURING SYSTEM ............................................... 90

4.3 MICRO CONTROLLER ............................................... 91

4.4 PRESENTATION OF DATA ......................................... 93

4.5 TEMPERATURE SENSOR ........................................... 93

5. OPERATING PRINCIPLES ......................................... 95

5.1 TURBINE .................................................................. 96

5.2 TURBINE ROTATION SENSOR .................................. 96

5.3 MICROPROCESSOR ................................................. 97

6.1 UPKEEP .................................................................. 101

6.2 PREVENTIVE MAINTENANCE .................................... 103

7.0 LIMITED WARRANTY CONDITIONS ......................... 105

8.0 SPIROMETRY INDICATIONS ................................... 106

The spirometer is not designed for use outdoors or

EFFECTS ON PATIENTS USING THE SPIROMETER

LIMITATIONS OF USE. CONTRAINDICATIONS

The patient’s symptoms and capacity to perform a

Do NOT use damaged accessories.

Do NOT submerge the parts of the device in any liquid.

Consult the equipment cleaning method in Chapter 8,

To ensure vital safety features under the EN 60601-1-1

The equipment must be stored and used within the

Disposable mouthpieces must not be reused.

Pulse oximeter finger clip: The pulse oximeter finger clip

Chapter 1: Instructions for Use and Installaton

The Astra 300 spirometer is a compact device with a

The entire system is controlled by a microprocessor for

ASTRA 300 LIST OF CONTENTS

Part No. Qty. Description

Chapter 1: Instructions for Use and Installaton

1.3 INSTALLATION AND START-UP

Astra 300 INSTALLATION

The ASTRA 300 spirometer is CLASS IIa according to