You can use LEMR to load a test patient in your EMR then start a LEMR Spirometry test, then skip to Perform the calibration check. LEMR user guides are available here for the process to start a test.
1. Start Medikro Spirometry from the desktop or Start menu.
2. When the Medikro interface loads, it may ask you to sign in. By default this is simply logging who uses the program. You can enter any name in this field.
Click the New person button in the lower-left corner.
As we are doing a calibration check, it is best to create a test patient. Enter in the test patient's details. If the Personal ID field is required, create any unique number or text string that identifies the patient (e.g. demotest01011970). Press the Save button in the lower-right corner to save your changes.
1. Press the New study button in the lower-left to create a new study.
2. Select Diagnostic spirometry as the study type. This only needs to be done if the Duo component is installed, otherwise skip to the next step.
3. The patient's details will now be displayed. Enter a height, weight and choose GLI2012_Other/mixed for the prediction model for the test. Then press the Save button in the lower-right to save the new details.
4. Press the Procceed to measurements and results button in the lower-left to open the testing window.
5. The Measurements and Results window will now open. Patient details will be shown on the left side and the test window will be shown on the right side.
Note: If the buttons to start a spirometry test are not displayed, this means that the spirometer is not properly connected to the computer. Try reconnecting the spirometer.
2. Check the Calibration code matches the mouthpice used for this calibration then click on Start Calibration Check (with an empty syringe)
Note: A new Calibration Code should be entered each time a new package of mouthpieces is opened. The Calibration Code may be on the plastic wrapper for individual mouthpieces, or on the box for a large batch of mouthpieces.
3. Follow the instructions provided on the screen. This process can take quite a few pushes in and out of the syringe's plunger to complete; don't give up! Note: Pressing on Finish Calibration Check cancels the calibration check.
4. When the Medikro software is satisfied that the test is complete, you will receive the calibration feedback.
Unsuccessful calibration check
Successful calibration check
If there is an unsuccessful result, you can try again by going back to step 9. Possible causes of failure could be:
A bad seal around the mouthpice where it connects to the calibration syringe
A fault with the mouthpiece itself or a blockage at the end where the air escapes the mouthpiece
A problem with the pressure tube (the white hose)
A faulty calibration syringe where air is leaking past the plunger