Blood-gas analyzer calibration and quality control using a precision gas-mixing instrument.

We describe a new instrument that performs on-site mixing of oxygen (O2), carbon dioxide (CO2), and nitrogen (N2) to create compositions that can replace gases from standard premixed cylinders. This instrument yields accurate and predictable gas mixtures that can be used for two-point gas calibration of blood gas/pH analyzers or for liquid tonometry of either an aqueous buffer or blood used as quality-control material on blood-gas electrodes. The desired mixture of O2, CO2, and N2 is produced by microprocessor control of the sequential open-times on three solenoid valves that meter these pure gases through a common small-bore orifice. Any combination of O2 and CO2 can be chosen by dialing the front panel thumbwheels and pressing a button. Gas chromatographic evaluation of this gas-mixing instrument demonstrates its accuracy and precision to be better than +/- 0.1% absolute full scale for O2, CO2, and N2, making this instrument calibration and tonometry.