Abstract: A device, system and method for characterizing a chest drainage apparatus. The device includes a source of both positive pressure and negative pressure, a conduit to provide the positive pressure and the negative pressure to the chest drainage apparatus and a sensor to detect a response of said chest drainage apparatus to either said positive pressure or said negative pressure. The system includes a device that controllably provides either a positive pressure or a negative pressure to the chest drainage apparatus and a sensor to record the effect of the positive pressure or the negative pressure to the drainage apparatus. The method includes the steps of (1) providing a source of both positive pressure and negative pressure; (2) controllably applying either the positive pressure or the negative pressure to the chest drainage apparatus; and (3) detecting a response from the chest drainage apparatus to the pressure application.