MedChip Solutions Covid-19 Response
Spirometry should not be performed if the patient has any symptoms of COVID-19 infection at the time of the test, or if they are known to have recently been in contact (within previous 10 days) with a confirmed case1.
MedChip Solutions recommends that a spirometry test using the SpiroConnect®, should only be performed using a bacterial/viral spirometry filter. These should be purchased from an authorised SpiroConnect® distributor to ensure they fit the device correctly.
After each use the unit should be wiped down with an alcohol infused wipe or other medically approved anti-viral wipes as described in the SpiroConnect® Operators Manual.
The single use pulmonary filter should be safely disposed of immediately after the test by a clinician wearing appropriate personal protective equipment (PPE).
Even though the SpiroConnect® directs air downwards away from the clinician's face, it is recommended that a clinician is wearing appropriate PPE that limits aerosolized droplet acquisition2 as the patient may cough after performing spirometry.
The Bluetooth connectivity allows the clinician to remain at a safe distance from the patient throughout the test and to be isolated from the patient, preferably behind a screen, in case of a coughing event. Enhanced cleaning of the testing space should be carried out such as wiping down surfaces with appropriate cleaners2.
If available, a room with mechanical air circulation should be used or a room where other ways of ventilation are possible (e.g. opening windows). Ideally this should be in the region of 6 room air changes per hour3.
The MedChip Solutions Covid-19 Response is based on the ATS guidance and the ARTP document "Risk Minimisation in Spirometry Re-start" by Martin Allen4. Which includes:
PCRS Spirometry in Primary Care - Guidance on reinstating spirometry in England
ARTP Statement for the NHS NATIONAL RESPIRATORY PROGRAMME Task and Finish Group Recommendations for undertaking risk-managed spirometry
Covid19 advice may be updated by the Medical Bodies and Governments. It is vital to always act in line with the latest advice and any local Risk Assessment.