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Q-NRG+

The new generation of Metabolic Monitor for Indirect Calorimetry in Clinical and Critical Care Practice

OVERVIEW

Q-NRG+ is the first Indirect Calorimeter specifically intended for Resting Energy Expenditure (REE) in patients who are mechanically ventilated or spontaneously breathing.

Indirect calorimetry enables an individualized measurement of metabolism, rather than estimates derived from predictive equations.

Developed in collaboration with COSMED and leading international nutrition institutes, Q-NRG’s product concept and technical specifications were defined alongside the ICALIC Trial study group to ensure clinical relevance and methodological rigor.

This collaboration resulted in a metabolic system that delivers high accuracy while remaining simple to use in clinical practice.

  • Q-NRG+ is a medical device.

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KEY FEATURES

Individual assessment icon

Individual assessment

The Q-NRG+ uses indirect calorimetry to assess metabolism through direct measurement of gas exchange. Results accurately reflect an individual’s metabolic status, supporting evaluation of fitness, response to nutrition strategies, and weight management planning.

Gold Standard icon

Gold Standard

With more than 30 years of experience behind its design, Q-NRG+ has been validated in vitro and in vivo in international multicenter studies.

Quick to operate, clean and maintain icon

Quick to operate, clean
and maintain

Q-NRG+ is designed to minimize setup and measurement time. The system requires minimal warm-up and no daily user-assisted calibrations, with all functions performed through a few taps on the touchscreen.

Easy workflow icon

Easy workflow

An intuitive interface and guided prompts make the Q-NRG+ simple to operate across all procedures, reducing setup time and user error.

Compact  Design icon

Compact

The Q-NRG+ is a lightweight, portable system that runs on battery or can be plugged in, without sacrificing the comfort of a large LCD color touchscreen.

Affordable icon

Affordable

Q-NRG+ has been designed to compete with conventional metabolic systems, at a fraction of the cost. Its use aims to reduce patients' length of stay and, ultimately, decrease costs in ICU.

PRODUCT INSIGHT

The Q-NRG+ provides flexibility for a variety of clinical settings, assessing different patient's conditions and with different techniques (ventilator mode, canopy hood and/or face masks), from adults to pediatric starting from 10 kg.

Logo Design Award 2021 for Q-NRG

Logo Reddot Award 2021 for Q-NRG

Q-NRG+ Metabolic Monitor

USB ports

USB ports for PDF & CSV data export and wired connectivity

LED status indicators

LED indicators for immediate feedback of device status

Ergonomic handle

Designed to be portable, the device can be easily transported through a ergonomic handle

Widgets

Graphical widgets for easy data visualization and quality control

Connections made simple

Ports always accessible for a quick and easy test setup

Modules

Explore the modules for the Q-NRG+

Q-NRG+ Vent Mode

Vent

(Mechanically ventilated patients)
  • Measurement of oxygen consumption (VO₂), carbon dioxide production (VCO₂), ventilatory parameters, and substrate utilization (%FAT, %PRO, %CHO)
  • Designed for ventilated patients (age >10 years and >10 kg).
  • Ventilator-independent connections for simplified setup.
  • Single use items to minimize cleaning and disinfection.
Q-NRG+ Canopy Mode

Canopy

(Spontaneously breathing subjects)
  • Measurement of oxygen consumption (VO₂), carbon dioxide production (VCO₂), ventilatory parameters, and substrate utilization (%FAT, %PRO, %CHO)
  • Designed for spontaneously breathing subjects (>15 kg)
  • Dilution technique using a canopy hood
  • Integrated canopy blower pump housed within the unit
Q-NRG+ Mask Mode

Mask

(Spontaneously breathing subjects)
  • Measurement of oxygen consumption (VO₂), carbon dioxide production (VCO₂), ventilatory parameters, and substrate utilization (%FAT, %PRO, %CHO)
  • Designed for spontaneously breathing subjects (>6 years and ≥10 kg)
  • Multi-use silicone face masks with headgear for comfortable, leak-free measurements
  • Available in five mask sizes

    Accessories

    Gallery of Q-NRG+ accessories

    Face Masks

    Face Masks

    ACCESSORIES

    Reusable silicone masks with headgear designed for comfortable, leak-free gas exchange measurements during rest and exercise

    Learn more

    Respiratory filters

    Respiratory filters

    ACCESSORIES

    High-efficiency filters to prevent cross-contamination and ensure safety during all tests

    Learn more

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        Videos

        Some videos shared on COSMED's YouTube channel

        Gallery

        Q-NRG+ - Device on cart in hospital
        Q-NRG+ - close up connection
        Q-NRG+ - Resting Energy Expenditure mesurements with canopy hood
        Q-NRG+ - Metabolic monitor in ICU
        Q-NRG+ - Doctor in ICU using touch screen monitor
        Q-NRG+ - Resting Energy Expenditure mesurements with mask
        Q-NRG+ - Device on cart in hospital

        Gallery

        Q-NRG+ - Device on cart in hospital
        Q-NRG+ - close up connection
        Q-NRG+ - Device on cart in hospital
        Q-NRG+ - Metabolic monitor in ICU
        Q-NRG+ - Doctor in ICU using touch screen monitor
        Q-NRG+ - Resting Energy Expenditure mesurements with mask
        Q-NRG+ - Resting Energy Expenditure mesurements with canopy hood

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        COSMED LOGO

        COSMED is a world leading supplier of Cardio Pulmonary, Metabolic and Body Composition testing solutions to Sports Science, Medicine, Professional Sport and Wellness.

        COSMED is a world leading supplier of Cardio Pulmonary, Metabolic and Body Composition testing solutions to Sports Science, Medicine, Professional Sport and Wellness.

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