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Table 2 Comparison of analysers and methods reflecting the opinions of the multidisciplinary specialist PCD team having conducted the research

From: Validation of a portable nitric oxide analyzer for screening in primary ciliary dyskinesias

 

NIOX® Flex 20 seconds

NIOX MINO®

Ease of use

Easily used by children over 8 years and by some younger using breath hold (BH)

Breath hold difficult for 45 sec/ 90 sec by all ages. Tidal breathing (TB) easily achieved in 5 ml/sec sampling mode

Time to complete 3 readings

5-10 min (BH)

20-40 min (TB)

Practical issues

Needs stable environment and dedicated work space.

Needs to be used on a flat surface

 

Poor portability

Excellent portability

 

Breath-holding technique difficult for young children and advanced lung disease

Most people could manage the technique but it resulted in a dry mouth. Short sampling catheter

Cost of machine

Very Expensive. Approx £30,000

Expensive. Approx £2,100

Need for calibration gases

Yes. Approx £1,500 per annum

No- autocalibrates

Need for maintenance service

Yes. Approx £3,800 per annum

No

Consumables

Nasal sampling olives: £40 per 100

Nasal sampling olives: £40 per 100 patients

Longevity

Good

Sensor needs replacing after 100 or 300 readings (using our protocol 30 or 100 patients). Many readings failed but were still ‘counted’. Sensor expires after 1 year Approx. £1,215 for sensor 300.

Range of nNO (ppb)

25-2000 ppb

5-1700 ppb

Effected by other electronic devices in room e.g. mobile phones

No

Yes