VisionAire Family User Manual Rev C April 2020

VisionAire Family User Controls & System Status Indicators ISO 7000; Graphical symbols for use on equipment-Index and synopsis Read user’s manual before operation. Reg. # 1641 Keep away from rain, keep dry. Reg. # 0626

Stacking limit by number. Reg. # 2403 Name and address of manufacturer. Reg. # 3082 Caution, consult accompanying documents. Reg. # 0434A Catalog Number. Reg. # 2493 Serial Number. Reg. # 2498 Storage or operating temperature limitation range Reg. # 0632

Council Directive 93/42/EEC; concerning medical devices Authorized representative in the European Community ,IWKHSURGXFWXQLTXHGHYLFHLGHQWL¿HU (UDI) label has the CE#### symbol on it, the device complies with the requirements of Directive 93/42/EEC concerning medical devices. The &(VPEROLQGLFDWHVQRWL¿HG body number. Internal Symbols .HHSDZDIURPÀDPPDEOHPDWHULDOV oil and grease. Safety agency for CAN/CSA C22.2 No. 60601-1-14 for medical HOHFWULFDOHTXLSPHQW&HUWL¿HGIRU both the U.S. and Canadian markets, to the applicable U.S. and Canadian standards.

Storage humidity range Reg. # 2620

Do not disassemble.

This way up. Reg. # 0623

When present on the device alarm panel indicates external power interruption has been detected.

Fragile, handle with care. Reg. # 0621 ISO 7010: Graphical symbols-Safety colors and safety signs-Registered safety signs

2018 Labeling: When present on the device alarm panel indicates low oxygen concentration in device output.

The instruction manual must be read. Reg. # M002

ON (power switch on)

.HHSDZDIURPRSHQÀDPH¿UH sparks. Open ignition source and smoking prohibited. Reg. # P003

OFF (power switch off)

Do not smoke near unit or while operating unit. Reg. # P002 Type BF applied part (degree of protection against electric shock). Reg. # 5333 Warning. Reg. # W001

Date of Manufacture Class II equipment 21 CFR 801.15: Code of Federal Regulations Title 21 Federal law restricts this device to sale by or on the order of a physician. IEC 60601-1: Medical electrical equipment Part 1 General requirements for basic safety and essential performance Drip Proof Equipment - IP21

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PN MN238 C | User Manual

VisionAire Family Council Directive 2012/19/EU: waste electrical and electronic equipment (WEEE) WEEE This symbol is to remind the equipment owners to return it to a recycling facility at the end of its life, per Waste Electrical and Electronic Equipment (WEEE) Directive. Our products will comply with the restriction of Hazardous Substances (RoHS) directive. They will not contain more than trace amounts of lead or other hazardous material content. This product may be covered by one or more patents, US and international. Please visit our website below for the listing of applicable patents. Pat.: www.caireinc.com/corporate/patents/.

VisionAire® Oxygen Concentrator This User Manual will acquaint you with CAIRE’s VisionAire Oxygen Concentrators: VisionAire 5, VisionAire 2, VisionAire 3, VisionAire V (both 120 V and 230 V versions), and all variations available. Make sure you read and understand all of the information contained in this guide before operating your concentrator. Should you have any questions, your Equipment Provider will be happy to answer them for you.

What is the Oxygen Concentrator The air we breathe contains approximately 21% oxygen, 78% nitrogen, and 1% other gasses. In the VisionAire oxygen concentrator, room air is drawn into the machine through the air intakes. It then passes through an adsorbent material called molecular sieve. This material separates the oxygen from the nitrogen and allows only the oxygen to pass WKURXJK7KHUHVXOWLVDÀRZRIKLJKFRQFHQWUDWLRQ oxygen delivered to the user.

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VisionAire Family Note: There is never a danger of depleting the oxygen in a room when you use your Oxygen Concentrator unit.

It is very important to select only the prescribed level of oxygen. Do not change the flow selection unless you have been directed to do so by a licensed clinician.

Why Your Physician Prescribed Oxygen

The Oxygen Concentrator may be used during sleep under the recommendation of a licensed clinician.

Many people suffer from a variety of heart, lung, DQGRWKHUUHVSLUDWRUGLVHDVHV$VLJQL¿FDQWQXPEHU Operator Profile RIWKHVHSHRSOHFDQEHQH¿WIURPVXSSOHPHQWDO oxygen therapy at home, when traveling, or while Concentrators are intended to supply supplemental participating in daily activities away from home. oxygen to users suffering from discomfort due to DLOPHQWVZKLFKHIIHFWWKHHI¿FLHQFRIRQH¶VOXQJV Oxygen is a gas that makes up 21% of the room air to transfer oxygen in the air to their bloodstream. we breathe. Our bodies depend on a steady supply Stationary oxygen concentrators (SOCs) do not to function properly. Your physician prescribed a store or contain oxygen. They do not need to be reÀRZRUVHWWLQJWRDGGUHVVRXUSDUWLFXODUUHVSLUDWRU ¿OOHGDQGFDQUHFKDUJHDQZKHUH$&RU'&SRZHU condition. Oxygen concentrator use requires a physician’s prescription and is not intended for life support use. Although oxygen is a non-addictive drug, unauthorized oxygen therapy can be dangerous. You must Although oxygen therapy can be prescribed for seek medical advice before you use this oxygen users of all ages, the typical oxygen therapy user concentrator. The Equipment Provider who supplies is older than 65 years of age and suffers from a your oxygen equipment will demonstrate how to set variety of respiratory diseases, including Chronic WKHSUHVFULEHGÀRZUDWH Obstructive Pulmonary Disease (COPD). Users typically have good cognitive abilities and must be able to communicate discomfort. If the user is WARNING: “NO SMOKING – OXYGEN unable to communicate discomfort, or unable to IN USE” SIGNS MUST BE PROMIread and understand the concentrator labeling and NENTLY DISPLAYED IN THE HOME, instructions for use, then use is recommended only OR WHERE OXYGEN IS IN USE. USERS under the supervision of one who can. If any disAND THEIR CAREGIVERS MUST BE comfort is felt while using the concentrator, users INFORMED ABOUT THE DANGERS OF are advised to contact their healthcare provider. SMOKING IN THE PRESENCE OF, OR Users are also advised to have back-up oxygen WHILE USING, MEDICAL OXYGEN. available (i.e. cylinder oxygen) in the event of a power outage or concentrator failure. There are CAUTION: The Manufacturer recno other unique skills or user abilities required for ommends an alternate source of concentrator use. supplemental oxygen in the event of a power outage, alarm condition, or mechanical failure. Consult your physician or Equipment Provider for the type of reserve system required.

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PN MN238 C | User Manual

VisionAire Family Safety Features The following information will acquaint you with safety features of the VisionAire Oxygen Concentrator. Make sure you read and understand all the information contained in this manual before you operate your unit. Should you have any questions, your Equipment Provider will be happy to answer them for you.

• Oxygen Monitor: The oxygen monitor detects any drop in concentration below 82%. If this occurs the low oxygen concentration warning light ( ) will illuminate. If the low O2 condition persists, an audible intermittent alarm will also activate in addition to the alarm light. • Power Failure: In the event the unit is operating and a loss of power occurs, the power warning light ( ) will illuminate and an audible intermittent alarm will activate. See label image. ‡3URGXFW)LOWHU•ȝP¿OWHU

Device warning label and alarm display.

• Compressor Motor: A pressure relief valve is ¿WWHGWRWKHFRPSUHVVRURXWOHWDQGLVFDOLEUDWHGWR 280 kPa (40 psig). Thermal safety is ensured by a thermostat situated in the stator winding of the compressor (135°C / 275 °F). • General Malfunction: If any of the conditions listed below occurs, the general malfunction light ) will illuminate and an audible intermittent ( alarm will activate. This includes: ‡2EVWUXFWLRQWRWKHÀRZRIR[JHQVXFKDVD pinch or kink in the delivery cannula, triggered by high product tank pressure • High device product tank pressure condition of greater than 33psig (±1) • Low device product tank pressure condition of less than 5psig (±1) • High device temperature of greater than 135°C (275 °F), triggered by low product tank pressure if the thermal switch located within the compressor trips (shutting down the compressor)

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VisionAire Family Unpacking Your VisionAire Verify that all of the components listed are included in the package. If any items are missing, contact your oxygen provider immediately. • Stationary Oxygen Concentrator

Getting to Know Your VisionAire Oxygen Concentrator First, become familiar with the important parts of your VisionAire Oxygen Concentrator. A. On/Off (I/0) Power Switch: Starts and stops the operation of the unit. B. Circuit Breaker Reset Button: Resets the unit after electrical overload shutdown C. Hour Meter: Records the unit’s total hours of operation. D. Flowmeter/Adjustment Knob: Controls and LQGLFDWHVWKHR[JHQÀRZUDWHLQOLWHUVSHUPLQXWH (lpm). E. Oxygen Outlet: Provides connection for a KXPLGL¿HU LIUHTXLUHG RUFDQQXOD F. Top and Side Handles: Enables convenience in carrying the unit. G. Warning and Alarms Label +6SHFL¿FDWLRQ/DEHO'LVSODVHOHFWULFDOVSHFL¿cations and serial number. I. Power Cord: Allows connection of unit into electrical outlet. J. Casters: Four casters enable unit to be easily moved, as needed. .+XPLGL¿HU%RWWOH5HFHVV$UHDWRSODFHWKH RSWLRQDOKXPLGL¿HUERWWOH /+XPLGL¿HU%RWWOH RSWLRQDO 0+XPLGL¿HU%RWWOH2[JHQ2XWOHW&RQQHFWLRQ for oxygen tubing/cannula. 1+XPLGL¿HU%RWWOH2[JHQ2XWOHW 2+XPLGL¿HU%RWWOH7XELQJ 3+XPLGL¿HU%RWWOH)LWWLQJ Q. Oxygen Tubing / Cannula

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WARNING: DO NOT USE EXTENSION CORDS WITH THIS UNIT OR CONNECT TOO MANY PLUGS INTO THE SAME ELECTRICAL OUTLET. THE USE OF EXTENSION CORDS COULD ADVERSELY AFFECT THE PERFORMANCE OF THE DEVICE. TOO MANY PLUGS INTO ONE OUTLET CAN RESULT IN AN OVERLOAD TO THE ELECTRICAL PANEL CAUSING THE BREAKER/FUSE TO ACTIVATE OR FIRE IF THE BREAKER OR FUSE FAILS TO OPERATE.

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VisionAire Family Important! Safety Instructions are defined as follows: WARNING: IMPORTANT SAFETY INFORMATION FOR HAZARDS THAT MIGHT CAUSE SERIOUS INJURY. CAUTION: Important information for preventing damage to the VisionAire Family. Note: Information needing special attention.

Indications for Use Intended Use The CAIRE VisionAire Oxygen Concentrator is intended for the administration of supplemental oxygen. The device is not intended for life support nor does it provide any patient monitoring capabilities. WARNING: IT IS VERY IMPORTANT TO SELECT ONLY THE PRESCRIBED LEVEL OF OXYGEN. DO NOT CHANGE THE FLOW SELECTION UNLESS YOU HAVE BEEN DIRECTED TO DO SO BY A LICENSED CLINICIAN. WARNING: FEDERAL (USA) LAW RESTRICTS THIS DEVICE TO SALE OR RENTAL BY ORDER OF A PHYSICIAN OR OTHER LICENSED HEALTH CARE PROVIDER. WARNING: THIS UNIT IS NOT TO BE USED FOR LIFE SUPPORT. GERIATRIC, PEDIATRIC, OR ANY OTHER USER UNABLE TO COMMUNICATE DISCOMFORT WHILE USING THIS DEVICE MAY REQUIRE ADDITIONAL MONITORING. USERS WITH HEARING AND/OR SIGHT IMPAIRMENT(S) MAY NEED ASSISTANCE WITH MONITORING ALARMS. IF YOU FEEL DISCOMFORT OR ARE EXPERIENCING A MEDICAL EMERGENCY, SEEK MEDICAL ASSISTANCE IMMEDIATELY.

Contraindications for Use WARNING: IN CERTAIN CIRCUMSTANCES, THE USE OF NON-PRESCRIBED OXYGEN CAN BE HAZARDOUS. THIS DEVICE SHOULD ONLY BE USED WHEN PRESCRIBED BY A PHYSICIAN. WARNING: NOT FOR USE IN THE PRESENCE OF FLAMMABLE ANESTHETICS. WARNING: AS WITH ANY ELECTRICALLY POWERED DEVICE, THE USER MAY EXPERIENCE PERIODS OF NON-OPERATION AS A RESULT OF ELECTRICAL POWER INTERRUPTION, OR THE NEED TO HAVE THE OXYGEN CONCENTRATOR SERVICED BY A QUALIFIED TECHNICIAN. THE OXYGEN CONCENTRATOR IS NOT APPROPRIATE FOR ANY USER WHO WOULD EXPERIENCE ADVERSE HEALTH CONSEQUENCES AS THE RESULT OF SUCH TEMPORARY INTERRUPTION.

Safety Guidelines WARNING: CAREFULLY REVIEW AND FAMILIARIZE YOURSELF WITH THE FOLLOWING IMPORTANT SAFETY INFORMATION ABOUT THE VISIONAIRE INTENSITY OXYGEN CONCENTRATOR. WARNING: DO NOT OPERATE THIS EQUIPMENT WITHOUT FIRST READING AND UNDERSTANDING THIS MANUAL. IF YOU ARE UNABLE TO UNDERSTAND THE WARNINGS AND INSTRUCTIONS, CONTACT YOUR EQUIPMENT PROVIDER BEFORE ATTEMPTING TO USE THIS EQUIPMENT; OTHERWISE INJURY OR DAMAGE COULD OCCUR. WARNING: SMOKING WHILE USING OXYGEN IS THE NUMBER ONE CAUSE OF FIRE INJURIES AND RELATED DEATHS. YOU MUST FOLLOW THESE SAFETY WARNINGS: WARNING: DO NOT ALLOW SMOKING, CANDLES, OR OPEN FLAMES IN THE SAME ROOM WITH THE DEVICE OR THE OXYGEN-CARRYING ACCESSORIES. WARNING: SMOKING WHILE WEARING AN OXYGEN CANNULA CAN CAUSE FACIAL BURNS AND POSSIBLY RESULT IN DEATH. WARNING: REMOVING THE CANNULA AND PLACING IT ON CLOTHING, BEDDING, SOFAS, OR OTHER CUSHION MATERIAL WILL CAUSE A FLASH FIRE WHEN EXPOSED TO A CIGARETTE, HEAT SOURCE, SPARK OR OPEN FLAME.

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VisionAire Family WARNING: IF YOU SMOKE, YOU MUST ALWAYS FOLLOW THESE THREE (3) IMPORTANT STEPS FIRST: TURN OFF THE OXYGEN CONCENTRATOR, TAKE OFF THE CANNULA, AND LEAVE THE ROOM WHERE THIS DEVICE IS LOCATED. WARNING: “NO SMOKING – OXYGEN IN USE” SIGNS MUST BE PROMINENTLY DISPLAYED IN THE HOME, OR WHERE OXYGEN IS IN USE. USERS AND THEIR CAREGIVERS MUST BE INFORMED ABOUT THE DANGERS OF SMOKING IN THE PRESENCE OF, OR WHILE USING, MEDICAL OXYGEN. WARNING: FEDERAL (USA) LAW RESTRICTS THIS DEVICE TO SALE OR RENTAL BY ORDER OF A PHYSICIAN OR OTHER LICENSED HEALTH CARE PROVIDER. WARNING: THIS DEVICE SUPPLIES HIGH-CONCENTRATION OXYGEN THAT PROMOTES RAPID BURNING. DO NOT ALLOW SMOKING OR OPEN FLAMES WITHIN THE SAME ROOM OF (1) THIS DEVICE, OR (2) ANY OXYGEN-CARRYING ACCESSORY. FAILURE TO OBSERVE THIS WARNING CAN RESULT IN SEVERE FIRE, PROPERTY DAMAGE AND / OR CAUSE PHYSICAL INJURY OR DEATH. WARNING: DO NOT USE YOUR OXYGEN CONCENTRATOR IN THE PRESENCE OF FLAMMABLE GASES. THIS CAN RESULT IN RAPID BURNING CAUSING PROPERTY DAMAGE, BODILY INJURIES OR DEATH. WARNING: DO NOT LEAVE A NASAL CANNULA ON CLOTHING, BED COVERINGS OR CHAIR CUSHIONS. IF THE UNIT IS TURNED ON BUT NOT IN USE, THE OXYGEN WILL MAKE THE MATERIAL FLAMMABLE. SET THE I/0 POWER SWITCH TO THE 0 (OFF) POSITION WHEN THE OXYGEN CONCENTRATOR IS NOT IN USE. WARNING: USE NO OIL, GREASE, OR PETROLEUM-BASED OR OTHER FLAMMABLE PRODUCTS WITH THE OXYGEN-CARRYING ACCESSORIES OR THE OXYGEN CONCENTRATOR. OXYGEN ACCELERATES THE COMBUSTION OF FLAMMABLE SUBSTANCES. ONLY WATER BASED, OXYGEN COMPATIBLE LOTIONS OR SALVES SHOULD BE USED. WARNING: DO NOT LUBRICATE FITTINGS, CONNECTIONS, TUBING, OR OTHER ACCESSORIES OF THE OXYGEN CONCENTRATOR TO AVOID THE RISK OF FIRE AND BURNS.

WARNING: ELECTRICAL SHOCK HAZARD. TURN OFF THE UNIT AND DISCONNECT THE POWER CORD FROM THE ELECTRIC OUTLET BEFORE YOU CLEAN THE UNIT TO PREVENT ACCIDENTAL ELECTRICAL SHOCK AND BURN HAZARD. ONLY YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN SHOULD REMOVE THE COVERS OR SERVICE THE UNIT. WARNING: CARE SHOULD BE TAKEN TO PREVENT THE OXYGEN CONCENTRATOR FROM GETTING WET OR ALLOWING FLUIDS TO ENTER THE UNIT. THIS CAN CAUSE THE UNIT TO MALFUNCTION OR SHUT DOWN, AND CAUSE AN INCREASED RISK FOR ELECTRICAL SHOCK OR BURNS. WARNING: DO NOT USE LIQUID DIRECTLY ON THE UNIT. A LIST OF UNDESIRABLE CHEMICAL AGENTS INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: ALCOHOL AND ALCOHOL-BASED PRODUCTS, CONCENTRATED CHLORINE-BASED PRODUCTS (ETHYLENE CHLORIDE), AND OILBASED PRODUCTS (PINE-SOL®, LESTOIL®). THESE ARE NOT TO BE USED TO CLEAN THE PLASTIC HOUSING ON THE OXYGEN CONCENTRATOR, AS THEY CAN DAMAGE THE UNIT’S PLASTIC. WARNING: CLEAN THE CABINET, CONTROL PANEL, AND POWER CORD ONLY WITH A MILD DISINFECTANT APPLIED WITH A DAMP CLOTH (NOT WET) OR SPONGE, AND THEN WIPE ALL SURFACES DRY. DO NOT ALLOW ANY LIQUID TO GET INSIDE THE DEVICE. WARNING: THE OXYGEN CONCENTRATOR SHOULD NOT BE USED ADJACENT TO OR STACKED WITH OTHER EQUIPMENT. IF ADJACENT OR STACKED USE IS UNAVOIDABLE, THE DEVICE SHOULD BE OBSERVED TO VERIFY NORMAL OPERATION. WARNING: ALWAYS PLACE OXYGEN SUPPLY TUBING AND POWER CORDS IN A MANNER THAT PREVENTS TRIP HAZARD OR POSSIBLE ACCIDENTAL STRANGULATION. WARNING: NO MODIFICATION OF THIS EQUIPMENT IS PERMITTED. WARNING: USE OF CABLES AND ADAPTERS OTHER THAN THOSE SPECIFIED, WITH THE EXCEPTION OF CABLES AND ADAPTERS SOLD BY THE MANUFACTURER OF THE MEDICAL ELECTRICAL EQUIPMENT AS REPLACEMENT PARTS FOR INTERNAL COMPONENTS, MAY RESULT IN INCREASED EMISSIONS OF DECREASED IMMUNITY OF THE OXYGEN CONCENTRATOR. PN MN238 C | User Manual

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VisionAire Family WARNING: ENVIRONMENTAL CONDITIONS CAN AFFECT PERFORMANCE OF DEVICE. LOCATE IN CLEAN, PEST-FREE ENVIRONMENT. WARNING: DEVICE SHOULD ONLY BE OPERATED BY END USERS, TRAINED CARE-GIVERS OR TRAINED TECHNICIANS. CHILDREN SHOULD NOT OPERATE DEVICE. WARNING: TO ENSURE RECEIVING THE THERAPEUTIC AMOUNT OF OXYGEN DELIVERY ACCORDING TO YOUR MEDICAL CONDITION THE VISIONAIRE MUST BE USED WITH THE SPECIFIC COMBINATION OF PARTS AND ACCESSORIES THAT ARE IN LINE WITH THE SPECIFICATION OF THE CONCENTRATOR MANUFACTURER AND THAT WERE USED WHILE YOUR SETTINGS WERE DETERMINED. WARNING: USE OF THIS DEVICE AT AN ALTITUDE, TEMPERATURE, OR RELATIVE HUMIDITY OUTSIDE OF THE SPECIFIED VALUES LISTED IN THIS MANUAL CAN ADVERSELY AFFECT THE FLOWRATE AND THE OXYGEN CONCENTRATION, AND CONSEQUENTLY THE QUALITY OF THE THERAPY. WARNING: THE USE OF SOME OXYGEN ADMINISTRATION ACCESSORIES NOT SPECIFIED FOR USE WITH THIS OXYGEN CONCENTRATOR MAY IMPAIR ITS PERFORMANCE. RECOMMENDED ACCESSORIES ARE REFERENCED WITHIN THIS MANUAL. WARNING: PREGNANT OR NURSING WOMEN SHOULD NOT USE ACCESSORIES RECOMMENDED IN THIS MANUAL, THEY MY CONTAIN PHTHALATES.

WARNING: USE ONLY ELECTRICAL VOLTAGE AS SPECIFIED ON THE SPECIFICATION LABEL AFFIXED TO THE DEVICE. WARNING: DO NOT USE EXTENSION CORDS WITH THIS UNIT OR CONNECT TOO MANY PLUGS INTO THE SAME ELECTRICAL OUTLET. THE USE OF EXTENSION CORDS COULD ADVERSELY AFFECT THE PERFORMANCE OF THE DEVICE. TOO MANY PLUGS INTO ONE OUTLET CAN RESULT IN AN OVERLOAD TO THE ELECTRICAL PANEL CAUSING THE BREAKER/FUSE TO ACTIVATE OR FIRE IF THE BREAKER OR FUSE FAILS TO OPERATE. CAUTION: Federal (USA) law restricts this device to sale or rental by order of a physician or other licensed health care provider. CAUTION: Do not position the unit so that it is difficult to access the power cord. CAUTION: The concentrator should be located as to avoid smoke, pollutants or fumes. CAUTION: Ensure concentrator is operated in an upright position. CAUTION: Always place oxygen supply tubing and power cords in a manner that prevents a trip hazard. CAUTION: Position the unit away from curtains or drapes, hot air registers or heaters. Be certain to place the unit on a flat surface and make sure all sides are at least 1 foot (30 cm) away from a wall or other obstruction. Do not place the unit in a confined area. Choose a dust and smoke free-location away from direct sunlight. Do not operate the unit outdoors unless the unit is plugged into a Ground Fault Circuit Interrupter (GFCI) protected outlet. CAUTION: Do not operate this unit in a restricted or confined space where ventilation can be limited. This can cause the device to overheat and affect performance. CAUTION: Do not allow either the air intake or the air outlet vents to be blocked. DO NOT drop or insert any object into any openings on the device. This can cause the Oxygen Concentrator to overheat and impair performance.

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VisionAire Family CAUTION: The Manufacturer recommends an alternate source of supplemental oxygen in the event of a power outage, alarm condition, or mechanical failure. Consult your physician or Equipment Provider for the type of reserve system required. CAUTION: It is very important to select only the prescribed level of oxygen. Do not change the flow selection unless you have been directed to do so by a licensed clinician. CAUTION: The Oxygen Concentrator may be used during sleep under the recommendation of a licensed clinician. CAUTION: Operating or storing the Oxygen Concentrator outside of its normal operating temperature range can impair the performance of the unit. Refer to the specification section of this manual for storage and operating temperature limits. CAUTION: In the event of an alarm or you observe the Oxygen Concentrator is not working properly; consult the troubleshooting section of this manual. If you cannot resolve the problem, consult your Equipment Provider. CAUTION: If the audio alarm is weak or does not sound at all, consult your Equipment Provider immediately. CAUTION: If the humidifier bottle tubing is not properly connected to the humidifier bottle fitting or to the oxygen outlet, an oxygen leak can occur. CAUTION: Normally, you should not need to adjust the flowmeter on your unit. If you turn the flowmeter adjustment knob clockwise, you will decrease and can shut off the flow of oxygen from your unit. For your convenience, the flowmeter is marked in ½ LPM increments. For units equipped with the 2 LPM flowmeter option, the flowmeter is marked in 1/8 LPM increments for flow settings up to 2 LPM.

Note: Cannula must be non-kinking, which can be used for a total length of 25 ft. (7.6 m) max. Ensure the cannula is fully inserted and secure. You should hear or feel oxygen flow to the prongs of the nasal cannula. If oxygen does not seem to flow, first verify that the flow meter ball is registering a flow. Then, place the tip of the cannula into a glass of water; if bubbles come out of the cannula, oxygen is flowing. If bubbles do not appear, refer to the troubleshooting section of this manual. Note: Always follow the cannula manufacturer’s instructions for proper use. Replace the disposable cannula as recommended by the cannula manufacturer or your Equipment Provider. Additional supplies are available from your Equipment Provider. Note: The VisionAire Oxygen Concentrator must be operated for at least five minutes at 2 LPM before using the unit. The VisionAire is appropriate for usage by two users, provided the combined flow is a minimum of 2 LPM and does not exceed the maximum capacity of the concentrator. To Equipment Provider: The following oxygen administration accessories are recommended for use with the VisionAire Oxygen Concentrator: • Humidifier Bottle: Part No. HU003-1 • Nasal Cannula with 7 feet (2.1 m) of tubing (6 LPM max): Part No. CU002-1 Note: The Manufacturer does not recommend the sterilization of this equipment. Note: If the unit has not been used for an extended period of time, it needs to operate for several minutes before power failure alarm can become activated. Note: The concentrator releases warm air out the bottom of the unit which can permanently discolor temperature sensitive flooring surfaces such as vinyl. The concentrator should not be used over flooring that is sensitive to heat staining. The Manufacturer is not responsible for flooring that becomes discolored. Note: To prevent a void warranty, follow all manufacturers’ instructions. Note: Do not attempt any maintenance other than the possible solutions listed within the manual.

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VisionAire Family Note: Portable and mobile radio frequency (RF) communications equipment can effect medical electrical equipment. Note: There is never a danger of depleting the oxygen in a room when you use your Oxygen Concentrator unit. Note: To Equipment Provider: The following oxygen administration accessories are recommended for use with the VisionAire: • Nasal Cannula: CAIRE Part Number CU002-1 • Humidifier Adaptor Tubing: CAIRE Part number 20843882 • Humidifier Bottle: CAIRE Part Number HU003-1 • Firebreak: CAIRE Part Number 20629671 A firebreak is recommended/required for use with any cannula. • CAIRE offers a firebreak intended to be used in conjunction with the oxygen concentrator. The firebreak is a thermal fuse to stop the flow of gas in the event that the downstream cannula or oxygen tubing is ignited and burns to the firebreak. It is placed in-line with the nasal cannula or oxygen tubing between the patient and the oxygen outlet of the VisionAire. For proper use of the firebreak, always refer to the manufacturer’s instructions (included with each firebreak kit). • For any additional recommended accessories, please see the Accessories Catalog (PN MLLOX0010) available on www.caireinc.com.

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WARNING: KEEP OUT OF THE REACH OF CHILDREN UNTIL INSTALLED.

WARNING: THIS PRODUCT CAN EXPOSE YOU TO CHEMICALS INCLUDING NICKEL, WHICH IS KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER. FOR MORE INFORMATION, GO TO WWW.P65WARNINGS.CA.GOV. WARNING: IN THE EVENT THERE IS A SERIOUS INCIDENT OCCURRING WITH THIS DEVICE, THE USER SHOULD IMMEDIATELY REPORT THE INCIDENT TO THE PROVIDER AND/OR THE MANUFACTURER. A SERIOUS INCIDENT IS DEFINED AS AN INJURY, DEATH, OR POTENTIAL TO CAUSE INJURY/DEATH SHOULD THERE BE A REOCCURRENCE OF THE INCIDENT. THE USER CAN ALSO REPORT THE INCIDENT TO THE COMPETENT AUTHORITY IN THE COUNTRY WHERE THE INCIDENT OCCURRED.

VisionAire Family Specifications VisionAire Outlet Pressure

9 PSIG Max.

Flow Rates*

1 LPM – 5 LPM ±10% of indicated setting, or 200 mL, whichever is greater*

Dimensions

14.1 in. W x 11.5 in. D x 20.8 in. H (35.8 cm W x 29.2 cm D x 52.8 cm H)

Weight

30 lbs (13.6 kg)

Sound Pressure Level

45 dBa (1 to 5 LPM)

Power Consumption

290 Watts

O2 Concentration

90% (5.5% to / -3% 1-4 LPM) 90% (5.5% to / -5% 5 LPM)

Maximum Output Pressure

9 PSIG (62 KPa)

Electrical Requirements

115 VAC / 60 Hz, 3.0A 230VAC /50 Hz, 1.5A 230VAC / 60 Hz, 1.5A

Operating Environment*

5° C to 40° C (41° F to 104° F ) at altitudes from up to 10,000 ft (3048 m) above sea level. 15 - 90% relative humidity (non-condensing)

Altitude

-1250 to 10,000 ft (-381 to 3048 m) (tested to 700 – 1060 hPa)

Storage Environment

-25° C - 70° C (-13°F - 158°F). 0–90% relative humidity (non-condensing)

* Based on an atmospheric pressure range of 700 hPa to 1060 hPa at 70°F (21°C)

7KHH[SHFWHGVHUYLFHOLIHRIWKHHTXLSPHQWLVDPLQLPXPRI¿YHHDUV See Technical Manual (PN MN138-1) for Sound Power Level.

WARNING: USE OF THIS DEVICE AT AN ALTITUDE, TEMPERATURE, OR RELATIVE HUMIDITY OUTSIDE OF THE SPECIFIED VALUES LISTED IN THIS MANUAL CAN ADVERSELY AFFECT THE FLOWRATE AND THE OXYGEN CONCENTRATION, AND CONSEQUENTLY THE QUALITY OF THE THERAPY. WARNING: USE OF DEVICE OUTSIDE OF SPECIFIED OPERATING CONDITIONS IS EXPECTED TO ADVERSLY AFFECT THE FLOWRATE AND PERCENTAGE OF OXYGEN AND CONSEQUENTLY THE QUALITY OF THE THERAPY.

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VisionAire Family Operating Instructions Review the following information before you operate your oxygen concentrator.

Cannula Connection

Note: The concentrator releases warm air out the bottom of the unit which can permanently discolor temperature sensitive flooring surfaces such as vinyl. The concentrator should not be used over flooring that is sensitive to heat staining. The Manufacturer is not responsible for flooring that becomes discolored.

Note: Cannula must be non-kinking, which can be used for a total length of 50 ft. (15,2 m) max.

Humidifier Bottle (Optional) ,IDGGLWLRQDOKXPLGL¿FDWLRQLVUHTXLUHGZLWKRXU oxygen therapy, perform the following steps each WLPHRX¿OORUFOHDQWKHKXPLGL¿HUZKLFKPD have been initially set up for your use.  5HPRYHWKHKXPLGL¿HUERWWOHIURPWKHKXPLGL¿er bottle recess.  2SHQWKHKXPLGL¿HUERWWOH,IRXKDYHDSUH ¿OOHGERWWOHGRQRWSHUIRUPWKLVVWHS3URFHHGWR step 5.  )LOOWKHKXPLGL¿HUERWWOHZLWKFRRORUFROGZDWHU GLVWLOOHGZDWHULVSUHIHUUHG WRWKH¿OOOLQHLQGLcated on the bottle. DO NOT OVERFILL.  5HFRQQHFWWKHWRSFRYHUWRWKHKXPLGL¿HUERWtle.  3ODFHWKHKXPLGL¿HUERWWOHLQWKHKXPLGL¿HU bottle recess on the back of the concentrator DQGFRQQHFWWKHKXPLGL¿HUERWWOHWXELQJWRWKH R[JHQRXWOHWDQGWKHKXPLGL¿HUERWWOH¿WWLQJ CAUTION: If the humidifier bottle tubing is not properly connected to the humidifier bottle fitting or to the oxygen outlet, an oxygen leak can occur.

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PN MN238 C | User Manual

Connect the tubing and cannula to the unit’s oxygen RXWOHWRUWRWKHRSWLRQDOKXPLGL¿HU¶VR[JHQRXWOHW

Ensure the cannula is fully inserted and secure. You should hear or feel oxygen flow to the prongs of the nasal cannula. If oxygen does not seem to flow, first verify that the flowmeter ball is registering a flow. Then, place the tip of the cannula into a glass of water; if bubbles come out of the cannula, oxygen is flowing. If bubbles do not appear, refer to the troubleshooting section of this manual. Always follow the cannula manufacturer’s instructions for proper use. Replace the disposable cannula as recommended by the cannula manufacturer or your Equipment Provider. Additional supplies are available from your Equipment Provider.

Starting the Concentrator WARNING: “NO SMOKING – OXYGEN IN USE” SIGNS MUST BE PROMINENTLY DISPLAYED IN THE HOME, OR WHERE OXYGEN IS IN USE. USERS AND THEIR CAREGIVERS MUST BE INFORMED ABOUT THE DANGERS OF SMOKING IN THE PRESENCE OF, OR WHILE USING, MEDICAL OXYGEN. WARNING: DO NOT USE EXTENSION CORDS WITH THIS UNIT OR CONNECT TOO MANY PLUGS INTO THE SAME ELECTRICAL OUTLET. THE USE OF EXTENSION CORDS COULD ADVERSELY AFFECT THE PERFORMANCE OF THE DEVICE. TOO MANY PLUGS INTO ONE OUTLET CAN RESULT IN AN OVERLOAD TO THE ELECTRICAL PANEL CAUSING THE BREAKER/FUSE TO ACTIVATE OR FIRE IF THE BREAKER OR FUSE FAILS TO OPERATE.

VisionAire Family CAUTION: Position the unit away from curtains or drapes, hot air registers or heaters. Be certain to place the unit on a flat surface and make sure all sides are at least 1 foot (30 cm) away from a wall or other obstruction. Do not place the unit in a confined area. Choose a dust and smoke free-location away from direct sunlight. Do not operate the unit outdoors unless the unit is plugged into a Ground Fault Circuit Interrupter (GFCI) protected outlet. CAUTION: Do not operate this unit in a restricted or confined space where ventilation can be limited. This can cause the device to overheat and affect performance. CAUTION: Do not allow either the air intake or the air outlet vents to be blocked. DO NOT drop or insert any object into any openings on the device. This can cause the CAUTION: Oxygen Concentrator to overheat and impair performance.

CAUTION: The Manufacturer recommends an alternate source of supplemental oxygen in the event of a power outage, alarm condition, or mechanical failure. Consult your physician or Equipment Provider for the type of reserve system required. CAUTION: It is very important to select only the prescribed level of oxygen. Do not change the flow selection unless you have been directed to do so by a licensed clinician. CAUTION: The Oxygen Concentrator may be used during sleep under the recommendation of a licensed clinician CAUTION: Ensure concentrator is operated in an upright position. Note: Optimal oxygen concentration is obtained within 10 minutes after the device is switched on (90% of the concentration is obtained after approximately 5 minutes).

1. Locate the unit near the electrical outlet in the room where you spend most of your time.

Normally, you should not need to adjust the ÀRZPHWHURQRXUXQLW,IRXWXUQWKHÀRZPHWHU adjustment knob clockwise, you will decrease and FDQVKXWRIIWKHÀRZRIR[JHQIURPRXUXQLW

2. Insert the power cord plug into the electrical outlet.

Turning the Concentrator Off

3. Set the I/0 power switch to the “I” position to turn the unit on. An audible alarm will loudly sound for approximately 1 seconds.

Set the I/0 power switch to the “0” position to turn off the unit.

4. The low oxygen concentration indicator remains on for a few minutes and until the oxygen concentration reaches minimum concentration requirements, (only pertains to unit equipped with an Oxygen Monitor)  7RVHWWKHÀRZRIVXSSOHPHQWDOR[JHQWXUQWKH ÀRZPHWHUDGMXVWPHQWNQREOHIWRUULJKWXQWLOWKH EDOOLQVLGHWKHÀRZPHWHUFHQWHUVRQWKHÀRZOLQH number prescribed by your physician. To view WKHÀRZPHWHUDWWKHSURSHUDQJOHQRWHWKDWWKH back line and the front number line must give appearance of one line. 6. The concentrator is now ready for use.

PN MN238 C | User Manual

ENG - 15

VisionAire Family Cleaning, Care, and Proper Maintenance Cabinet WARNING: ELECTRICAL SHOCK HAZARD. TURN OFF THE UNIT AND DISCONNECT THE POWER CORD FROM THE ELECTRIC OUTLET BEFORE YOU CLEAN THE UNIT TO PREVENT ACCIDENTAL ELECTRICAL SHOCK AND BURN HAZARD. ONLY YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN SHOULD REMOVE THE COVERS OR SERVICE THE UNIT. WARNING: CARE SHOULD BE TAKEN TO PREVENT THE OXYGEN CONCENTRATOR FROM GETTING WET OR ALLOWING FLUIDS TO ENTER THE UNIT. THIS CAN CAUSE THE UNIT TO MALFUNCTION OR SHUT DOWN, AND CAUSE AN INCREASED RISK FOR ELECTRICAL SHOCK OR BURNS. WARNING: DO NOT USE OIL, GREASE, OR PETROLEUM-BASED OR OTHER FLAMMABLE PRODUCTS WITH THE OXYGEN-CARRYING ACCESSORIES OR THE OXYGEN CONCENTRATOR. OXYGEN ACCELERATES THE COMBUSTION OF FLAMMABLE SUBSTANCES. WARNING: USE ONLY WATER-BASED LOTIONS OR SALVES THAT ARE OXYGEN COMPATIBLE PRIOR TO AND DURING THERAPY. NEVER USE PETROLEUM OR OIL-BASED LOTIONS OR SALVES TO AVOID THE RISK OF FIRE AND BURNS. WARNING: DO NOT USE LIQUID DIRECTLY ON THE UNIT. A LIST OF UNDESIRABLE CHEMICAL AGENTS INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: ALCOHOL AND ALCOHOL-BASED PRODUCTS, CONCENTRATED CHLORINE-BASED PRODUCTS (ETHYLENE CHLORIDE), AND OILBASED PRODUCTS (PINE-SOL®, LESTOIL®). THESE ARE NOT TO BE USED TO CLEAN THE PLASTIC HOUSING ON THE OXYGEN CONCENTRATOR, AS THEY CAN DAMAGE THE UNIT’S PLASTIC. CLEAN THE CABINET, CONTROL PANEL, AND POWER CORD ONLY WITH A MILD DISINFECTANT APPLIED WITH A DAMP CLOTH (NOT WET) OR SPONGE, AND THEN WIPE ALL SURFACES DRY. DO NOT ALLOW ANY LIQUID TO GET INSIDE THE DEVICE.

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PN MN238 C | User Manual

WARNING: CLEAN THE CABINET, CONTROL PANEL, AND POWER CORD ONLY WITH A MILD DISINFECTANT APPLIED WITH A DAMP (NOT WET) CLOTH OR SPONGE, AND THEN WIPE ALL SURFACES DRY. DO NOT ALLOW ANY LIQUID TO GET INSIDE THE CONCENTRATOR. PAY SPECIAL ATTENTION TO THE OXYGEN OUTLET FOR THE CANNULA CONNECTION TO MAKE SURE IT REMAINS FREE OF DUST, WATER, AND PARTICLES. Note: Always follow the cannula manufacturer’s instructions for proper use. Replace the disposable cannula as recommended by the cannula manufacturer or your Equipment Provider. Additional supplies are available from your Equipment Provider. Note: The Manufacturer does not recommend the sterilization of this equipment. Use a mild disinfectant applied with a damp cloth or sponge to clean the exterior of the concentrator, and then wipe all surfaces dry. Do not allow any liquid to get inside the device. Device cabinet should be cleaned at a minimum between users.

Humidifier Bottle (optional) • Check water level daily and add water as needed ‡7RFOHDQDQGGLVLQIHFWWKHKXPLGL¿HUIROORZRXU Equipment Provider’s instructions, or the instrucWLRQVLQFOXGHGZLWKWKHKXPLGL¿HUERWWOH

VisionAire Family Alarm Conditions All alarms are low priority alarms. Alarm

Indicates

Action

General malfunction

high product tank pressure

high device temperature

Ensure flowmeter is open to minimum flow rate or higher. Ensure cannula is not kinked or obstructed. Remove any devices connected downstream of the outlet of the device. Ensure device has at least 12" of clearance on all sides and intakes are not obstructed. Ensure external gross particle intake filter is clean and not clogged. Ensure unit is within operating temperature range. If issue persists, contact equipment provider for service.

low oxygen concentration

Contact equipment provider for service.

power failure

Ensure device is plugged into a known, working outlet. Ensure breaker switch is pushed in. If issue persists contact equipment provider for service.

yellow light and intermittent audible alarm

OR low product tank pressure OR

Oxygen monitor yellow light and intermittent audible alarm Power failure yellow light and intermittent audible alarm

PN MN238 C | User Manual

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VisionAire Family Troubleshooting If your VisionAire Oxygen Concentrator fails to operate properly, refer to the chart on the following pages for possible causes and solutions and, if needed, consult your Equipment Provider. If you cannot get the unit to operate, connect your nasal cannula, face mask, or other accessories to a reserve supplemental oxygen supply. Note: Do not attempt any maintenance other than the possible solutions listed within this manual. Maintenance is the responsibility of the provider and will be tracked by the provider. Note: To prevent a void warranty, follow all manufacturers’ instructions. Note: If the unit has not been used for an extended time period, it needs to operate for a minimum of 15 minutes before power failure alarm can become activated. Problem

Probable Cause

Solution

Unit does not operate. Power failure condition causes an alarm to sound.

Power cord not connected into electrical outlet.

Check power cord plug at the electrical outlet for a proper connection.

No power at electrical outlet.

Check power source, wall switch, fuse, or circuit breaker in-house.

Oxygen concentrator circuit breaker is activated.

Press (do not hold in) the circuit breaker reset button in the front of the unit. If the circuit breaker trips again or the alarm continues to sound after the unit is turned on, contact your Equipment Provider.

Limited oxygen flow.

Condensation collects in the oxygen tubing when you use the humidifier bottle.

Dirty or obstructed humidifier bottle.

Remove the humidifier bottle from the oxygen outlet. If flow is restored, clean or replace with a new humidifier bottle.

Defective nasal cannula, face mask, catheter, and/ or oxygen delivery tube, or other accessory.

Remove and check accessories for kinks or obstructions. Replace if needed.

Cannula tubing loose.

Check cannula tubing connection at control panel.

Unit not properly ventilated. Elevated operating temperature.

Make sure unit is positioned away from curtains or drapes, hot air registers, heaters, and fireplaces. Be certain to place the unit so all sides are at least 12 inches (30.5 cm) away from a wall or other obstruction. Do not place the unit in a confined area. Refill humidifier bottle with COLD water. DO NOT OVERFILL. Allow oxygen tubing to dry out, or replace with new tubing.

Intermittent alarm sounds.

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PN MN238 C | User Manual

See ‘Safety Features’ section for a description of auditory indicators.

Set I/0 power switch to 0 position, use your reserve oxygen supply and consult your Equipment Provider immediately.

VisionAire Family Problem

Probable Cause

Solution

Oxygen monitor light remains lit (yellow).

Oxygen concentration is ) 82%.

Set I/0 power switch to the 0 position, use your reserve oxygen supply (if provided), and consult your Equipment Provider immediately.

All other problems.

Set I/0 power switch to the 0 position, use your reserve oxygen supply and consult your Equipment Provider immediately.

Accessories For proper performance and safety, use only these listed accessories supplied by CAIRE through your oxygen provider. Use of accessories not listed below could adversely affect the performance and/ or safety of the concentrator. VisionAire Family Standard Accessories Humidifier Bottle (6-15 LPM)

Part Number – HU003-1

Cannula, 25 feet (7.6 m) (6 LPM max)

Part Number – CU002-4

Humidifier Bottle Tubing

Part Number – TU255-1

Humidifier Bottle Fitting

Part Number – F0655-1

Oxygen Tubing, 25 feet

Part Number – CU004-3

Tubing/Cannula Connector

Part Number – CU009-1

Note: Additional options may be available for country-specific power cords where noted above. Contact CAIRE or your oxygen provider if alternate options are needed for order.

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VisionAire Family EMC Testing Medical equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in this section.

Guidance and Manufacturer’s Declaration-Electromagnetic Emissions The VisionAire is intended for use in the electromagnetic environment specified below. The customer or the user of the VisionAire should assure that it is used in such an environment. Emissions Test RF emissions CISPR 11 RF emissions CISPR 11 Harmonic emissions IEC 61000-3-2 Voltage fluctuations/ flicker emissions IEC 61000-3-3

Compliance

Electromagnetic Environment - Guidance

Group 1

The VisionAire uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

Class B Complies

The VisionAire is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

Complies

Recommended separation distances between portable and mobile RF communications equipment and the VisionAire Units The VisionAire is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the VisionAire can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the VisionAire as recommended below, according to the maximum output power of the communications equipment. Rated maximum Separation distance according to frequency of transmitter output power of m transmitter from 150 kHz to 80 MHz from 80 MHz to 800 MHz from 800 MHz to 2,5 GHz

d  1.2 P d  1.2 P d  1.2 P W 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

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PN MN238 C | User Manual