IOS Impulse Oscillometry
Tidal breathing analysis with Impulse Oscillometry (IOS) has demonstrated to be informative and differentiated in the early detection and follow up of pulmonary diseases like asthma, COPD and idiopathic pulmonary fibrosis. IOS is almost independent of patient cooperation and can test a larger patient range than spirometry alone, from children to adult to geriatric patients.
IOS is available as a stand-alone device combined with a spirometry measurement program (MasterScreen IOS and Vyntus IOS) or as an add-on module to the MasterScreen series.
The oscillations of the multi- frequency measurement signal penetrate the respiration tract at varying depths. Whereas 20 Hz signals are absorbed (shunted) in the large airways, 5 Hz oscillations penetrate the entire lung. Thus, the respiratory resistance Rrs of the large airways can be differentiated from the lung reactance Xrs of the small airways.
* based on the Bio Burden DIN EN ISO 11737-1: Report 18AA0088 1. Z L Borrill, C M Houghton, A A Woodcock, J Vestbo, and D Singh Medicines Evaluation Unit, North-west Lung Centre, Wythenshawe Hospital, Manchester, UK Br J Clin Pharmacol. 2005 April; 59(4): 379–384. doi: 10.1111/j.1365-2125.2004.02261.x. 2. Yaegashi M, Yalamanchili V, Kaza V, Weedon J, Heurich A, Akerman M. Respir Med. 2007 May;101(5):995-1000. 3. Mansur AH, Manney S, Ayres JG. Resp Med. 2007 Sep 25. Respiratory Medicine, Birmingham Heartlands Hospital NHS Trust, Birmingham, West Midlands, UK. 4. Marotta A, Klinnert, M, Price, M, Larsen, G. Liu, A.H. J Allergy Clin Immunol 2003; 112(2): 317-322. Division of Pediatric Allergy and Immunology, National Jewish Medical and Research Center, and the Department of Pediatrics, University of Colorado Health Sciences Center, Denver, 80206, USA. 5. Skloot G, Goldman M, Fischler D, Goldman C, Schechter C, Levin S, Teirstein A. Chest. 2004 Apr;125(4):1248-55. Division of Pulmonary and Critical Care Medicine, Mount Sinai School of Medicine, New York, NY, USA.
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