Biomedical subjects

J O Viola

Publications and source records attributed to J O Viola.

3 recordsLinked to original sources

PubMed1997

Method to produce American Thoracic Society flow-time waveforms using a mechanical pump.

The American Thoracic Society (ATS) recently adopted a new set of 26 standard flow-time waveforms for use in testing both diagnostic and monitoring devices. Some of these waveforms have a higher frequency content than present in the ATS-24 standard volume-time waveforms, which, when produced by a mechanical pump, may result in a pump flow output that is less than the desired flow due to gas compression losses within the pump. To investigate the effects of gas compression, a mechanical pump was used to generate the necessary flows to test mini-Wright and Assess peak expiratory flow (PEF) meters. Flow output from the pump was measured by two different independent methods, a pneumotachometer and a method based on piston displacement and pressure measured within the pump. Measuring output flow based on piston displacement and pressure has been validated using a pneumotachometer and mini-Wright PEF meter, and found to accurately measure pump output. This method introduces less resistance (lower back-pressure) and dead space volume than using a pneumotachometer in series with the meter under test. Pump output flow was found to be lower than the desired flow both with the mini-Wright and Assess meters (for waveform No. 26, PEFs 7.1 and 10.9% lower, respectively). To compensate for losses due to gas compression, we have developed a method of deriving new input waveforms, which, when used to drive a commercially available mechanical pump, accurately and reliably produces the 26 ATS flow-time waveforms, even those with the fastest rise-times.

Evaluation Studies as Topic↗

PubMed1994

BTPS correction for ceramic flow sensor.

Several commercially available spirometers use unheated ceramic elements as flow sensors to determine flow and calculate volume of air. The usual method of correcting the resulting flow and volume values to body temperature pressure saturated (BTPS) is to apply a constant factor approximately equal to 30 percent of the full BTPS correction factor. To evaluate the usual BTPS correction factor technique, we tested several sensors with a mechanical pump using both room air and air heated to 37 degrees C and saturated with water vapor. The volume signals used to test the sensors were volume ramps (constant flow) and the first four American Thoracic Society (ATS) standard waveforms. The percent difference in FEV1 obtained using room vs heated-humidified air (proportional to the magnitude of the BTPS correction factor needed) ranged from 0.3 percent to 6.2 percent and varied with the number of maneuvers previously performed, the time interval between maneuvers, the volume of the current and previous maneuvers, and the starting temperature of the sensor. The temperature of the air leaving the sensor (exit temperature) showed a steady rise with each successive maneuver using heated air. When six subjects performed repeated tests over several days (each test consisting of at least three maneuvers), a maneuver order effect was observed similar to the results using the mechanical pump. These results suggest that a dynamic, rather than static, BTPS correction factor is needed for accurate estimations of forced expiratory volumes and to reduce erroneous variability between successive maneuvers. Use of exit air temperature provides a means of estimating a dynamic BTPS correction factor, and this technique may be sufficient to provide an FEV1 accuracy of less than +/- 3 percent for exit air temperatures from 5 degrees to 28 degrees C.

Body Temperature↗

PubMed1983

Dynamic BTPS correction factors for spirometric data.

Because it is often difficult to completely control ambient temperature, a study was conducted to investigate dynamic body temperature pressure saturated (BTPS) correction factors for spirometric data. A forced expiratory simulator system was heated to 37 degrees C and loaded with air saturated with water vapor. This air was then forced from the simulator into a dry rolling-seal spirometer maintained at various ambient temperatures from 3 to 32 degrees C. Errors in forced expiratory volume in 1 s (FEV1) and peak flow from assuming a constant BTPS correction ranged from 7.7 and 14.1% at 3 degrees C to 2.1 and 4.6% at 23 degrees C. Differences between errors observed when saturated and dry air were forced into the spirometer indicate that water vapor condensation introduces an added heat load to the spirometer, adding approximately one percent to the error in FEV1 at lower temperatures. By use of a model to estimate the dynamic BTPS correction factor, errors in FEV1 at all temperatures between 3 and 32 degrees C were reduced to less than 1.5%.

Body Temperature↗