Home Use Guide
225 Pages
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English
Nellcor Puritan Bennett Incorporated is an affiliate of Tyco Healthcare Group LP. Puritan Bennett and HELiOS are trademarks of Nellcor Puritan Bennett Incorporated. To obtain information about a warranty, if any, contact Puritan Bennett’s Technical Services Department, or your local representative. Covered by one or more of the following U.S. Patents and foreign equivalents: 6,742,517 and 6,575,159.
This device is intended only for the delivery of medical grade oxygen as prescribed by your physician. If you have questions about the operation of the equipment, please contact your oxygen supplier.
Contents
H850 Safety Information... 5 Warnings ... 5 Cautions ... 8 Notes ... 9 Definition Of Symbols... 10 Label Description ... 12
Introduction... 13 Reservoir ...14 H850 Portable - front view...15 H850 Portable - rear view...16
How To Use Your H850 Personal Oxygen System... 19 Filling the H850 Portable ... 19 Breathing From the H850 Portable... 28 Positioning of H850 Portable During Use ... 34 Connecting the H850 Portable to the HELiOS Reservoir ... 35
Maintenance... 39 Moisture Container ... 39 Low Liquid Oxygen Level ... 40 Low Battery Level ... 41 Cleaning ... 42
Troubleshooting... 43 Accessories... 47 External Flow Control ... 48
Specifications... 51 Environmental Specifications ... 51
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H850 Safety Information
This section contains important safety information related to general use of the HELiOS® Marathon H850 Personal Oxygen System, which consists of the H850 Portable and a Reservoir. Other important safety information appears throughout the manual in sections that relate specifically to the precautionary information. Be sure to read all text surrounding all precautionary information. Before use, carefully read this manual and all precautionary information in boldface type, and product specifications.
Warnings
Warnings are identified by the WARNING symbol shown above or other relevant symbols, as shown. Warnings alert the user to potential serious outcomes (death, injury, or adverse events) to the patient or user. WARNING: Oxygen supplied from this equipment is for supplemental use and is not intended to be life supporting or life sustaining. This equipment is not intended for use by patients who would suffer immediate, permanent, or serious health consequences as a result of an interruption in the oxygen supply.
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H850 Safety Information
Do not smoke near this equipment. Keep cigarettes or burning tobacco away from the area where equipment is operated. Keep flammable materials away from this equipment. Oils, grease, including facial creams and petroleum jelly, ignite easily and may burn rapidly in the presence of oxygen. Never lubricate any part of this equipment. Do not touch liquid oxygen or parts that have been in contact with liquid oxygen. Liquid oxygen is extremely cold (-297 °F / -183 °C). When touched, liquid oxygen, or parts of the equipment that have been carrying liquid oxygen, can freeze skin and body tissue. Always keep the Reservoir in an upright position. Always keep the H850 Portable in one of the following positions: upright, flat on its back or any position in between. WARNING: When transporting the H850 Portable, position the H850 horizontally, flat side down, to ensure it does not tip over. Tipping over and falling off a transport surface could damage the H850 Portable or cause personal injury. Keep this equipment away from electrical appliances. Use and store Reservoir and H850 Portable at least five feet from electrical appliances that may cause heat or sparks.
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H850 Home Use Guide
H850 Safety Information
Keep oxygen equipment away from open flames. Use and store Reservoir and H850 Portable at least five feet away from equipment such as furnaces, water heaters, and stoves that may contain open flames. Keep equipment in a well-ventilated area at all times. The Reservoir and H850 Portable periodically release small amounts of oxygen gas that must be ventilated to prevent buildup. Do not store liquid oxygen equipment in a closet, car trunk, or other confined area. Do not place blankets, draperies, or other fabrics over equipment. Do not carry the H850 Portable under your clothing. The Reservoir and H850 Portable normally vent oxygen. Wearing a H850 Portable under clothing may saturate fabrics with oxygen and cause them to burn rapidly if exposed to sparks or flame. It may take several hours for oxygen levels in fabric to return to normal. WARNING: Never tamper with the equipment. Doing so could create a hazardous condition and possibly cause the equipment to work improperly. WARNING: Always keep tubing or oxygen supply line away from path of walking to avoid potential trip or fall. WARNING: Use only with recommended supply line. Connecting the H850 Portable to a wrong gas source could cause inhalation of hazardous substances.
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H850 Safety Information
WARNING: Do not open the vent valve during non-fill use, or put it into any position other than the closed, upright, or vertical position.
Cautions
Cautions are identified by the CAUTION symbol shown above. Cautions alert the user to exercise care necessary for the safe and effective use of the H850 Personal Oxygen System. CAUTION: Consistent with the recommendations of the medical community on the use of conserving devices (which includes the nasal cannula), it is recommended that the H850 Personal Oxygen System be qualified on patients in the situations it will be used (rest, exercise, sleep). Differences in nasal cannula design may vary the ability to trigger a conserving device. CAUTION: Although there are no risks associated with the disposal of any components within this device, in the interests of environmental protection, it is recommended that all used or faulty components that are under warranty be returned to the manufacturer. CAUTION: Remove the 9 volt battery from the Reservoir contents indicator if it will not be used for some time (see manual section Low Battery Level). Carefully dispose of the 9 volt battery from the Reservoir contents indicator with due regard for the environment.
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H850 Home Use Guide
H850 Safety Information
Notes
Notes are identified by the NOTE symbol shown above. Notes are listed before or after procedural steps or information and provide additional guidelines or information on the subject being described.
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H850 Safety Information
Definition Of Symbols Symbol
Definition Reservoir Full
Reservoir Empty
Portable Full
Portable Half Full
Portable Empty
Low Battery Drip Proof
Type BF (Electrical Safety)
Manufacturer 1 bar = 14.5 psi
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H850 Home Use Guide
H850 Safety Information
Definition Of Symbols (continued) Symbol
Definition Refer to documentation for information.
SN
Serial Number Fragile. Handle with care.
Keep dry Non-flammable, non-toxic gas. Oxygen is a non-flammable, nontoxic gas. Fire intensifying risk. High concentration of oxygen can cause rapid burning of other substances. This device complies with the requirements of Directive 93/42/ EEC concerning medical devices. It therefore bears the CE marking as shown. This pressure vessel complies with the requirements of Directive 1999/ 36/EC concerning transportable pressure equipment. It therefore bears the Pi marking as shown.
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H850 Safety Information
Label Description
Legend 1
Working Pressure
2
Test Pressure
3
Tare Mass
4
Water Capacity
5
Inspection Mark
SN
Serial Number Refer to Manual
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H850 Home Use Guide
Introduction
Your HELiOS® Marathon H850 Personal Oxygen System is designed to store and deliver oxygen at a prescribed rate. The system consists of the H850 Portable and a Reservoir. It is recommended that you breathe your prescribed oxygen rate from the H850 Portable. The H850 Portable can be supplied with oxygen for you to breathe in two ways.
1. You may fill the H850 Portable with liquid oxygen so you can be free to move about your home or leave your home for extended periods. 2. You can connect the H850 Portable to the HELiOS Reservoir. See the section Connecting the H850 Portable to the HELiOS Reservoir. The H850 System was designed to maximize your freedom of movement. You can fill the H850 Portable with liquid oxygen from the Reservoir every day to use as far from the Reservoir as you desire. When you are in your home and not moving about, such as in the evening or while you are sleeping, you are encouraged to connect the H850 Portable to a HELiOS Reservoir with an oxygen supply line (demand mode only). When the H850 Portable is connected to a HELiOS Reservoir in this manner, the oxygen you breathe is supplied by the Reservoir. Your oxygen supplier or home care provider must refill your Reservoir periodically depending upon your rate of oxygen use.
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Introduction
Reservoir (1) (2)
(5)
(4)
(3)
(1)
Liquid Oxygen Fill Connector: Used to fill the H850 Portable with liquid oxygen.
(2)
Release Button: Used to disengage the Portable from the Reservoir after filling.
(3)
Moisture Container: Used to collect water that may accumulate.
(4)
Oxygen Outlet Connector: Used to directly supply gaseous oxygen to the Portable or to an external flow control.
(5)
Contents Indicator: Displays amount of liquid oxygen remaining in the Reservoir.
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H850 Home Use Guide
Introduction
H850 Portable - front view (6)
(1)
(2) (5)
(3)
(4) (1)
Flow Control Knob: Adjustable, rotary valve used to control the rate of oxygen delivery and to select either continuous flow or demand flow.
(2)
Oxygen Delivery Connector: Attach one tube of dual-lumen cannula to receive oxygen from the H850 Portable.
(3)
Sense Connector: Attach one tube of dual-lumen cannula to start and stop oxygen flow with each breath.
(4)
Liquid Oxygen Fill Connector (on the bottom): Used to connect H850 Portable to the Reservoir during the filling process.
(5)
Oxygen Inlet Connector: Attach oxygen supply line to supply H850 Portable with gaseous oxygen from the Reservoir.
(6)
Carrying Handle 15
Introduction
H850 Portable - rear view
(4) (1) (3)
(2)
(1)
Vent Valve: Used to start and stop the filling process.
(2)
Liquid Oxygen Fill Connector: Used to fill the H850 Portable with liquid oxygen.
(3)
Contents Indicator: Displays the amount of liquid oxygen in the H850 Portable.
(4)
Contents Indicator Strap: Used to lift the H850 Portable to measure the amount of oxygen it contains.
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H850 Home Use Guide
Introduction
Other parts of your personal oxygen system include:
Dual-lumen Cannula
Back Pack (optional)
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H o w To U s e Yo u r H 8 5 0 Personal Oxygen System
Filling the H850 Portable Fill the H850 Portable from the Reservoir as follows: WARNING: Using a dry, lint free cloth that is clean, wipe the fill connector dry on both the Reservoir and H850 Portable before filling to prevent freezing and possible equipment failure. WARNING: Extreme cold hazard. Do not press or disturb the plastic poppet (shown below) in the center of the fill connector on the Reservoir. This will cause a release of liquid oxygen from the fill connector.
poppet
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How To Use Your H850 Personal Oxygen System
1. Check the contents indicator on the Reservoir by pressing the blue button to ensure there is enough liquid oxygen for filling purposes. If the yellow light comes on, you may proceed with filling the H850 Portable, but you should inform your oxygen supply company. 2. Using a clean, dry, oil-free cloth, wipe the male fill connector on the Reservoir and female fill connector on the H850 Portable. 3. Position the H850 Portable over the recessed area in the top of the Reservoir. (Figure 1).
Figure 1: Positioning the H850 Portable for filling 4. Carefully lower the H850 Portable into place, ensuring that the fill connectors are properly aligned.
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H850 Home Use Guide
How To Use Your H850 Personal Oxygen System
5. Place one or both hands on top of the H850 Portable and press straight down directly over the fill connector, being careful not to depress the release button on the Reservoir when engaging (Figure 2). This will lower the H850 Portable approximately 3/8 inch (10 mm). Continue to apply downward force to ensure the fill connectors remain engaged. 6. While holding the H850 Portable in the fill position, Figure 2, pull down and hold the vent valve lever in the open position (90° from the normal OFF position). A hissing noise should be noticeable. During filling, maintain a slight downward force on the H850 Portable with one hand to keep the H850 Portable steady, and maintain proper filling position. Do not allow the Portable to move upward until fill is complete. WARNING: Do not open the vent valve during non-fill use. Excessive discharge of liquid oxygen could create a fire hazard and/or cause personal injury.
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How To Use Your H850 Personal Oxygen System
push down and hold
vent valve
Figure 2: Filling the H850 Portable Note: Fill time is usually between 60 and 80 seconds when the H850 Portable is empty. The amount of time to fill the H850 Portable depends on the amount of oxygen remaining in the H850 Portable. WARNING: Do not leave the H850 Portable unattended during the filling operation.
7. When you notice a change in the sound of venting gas followed by a dense, white vapor forming around the Reservoir cover, close the H850 Portable vent valve by returning the vent lever to the upright position.
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H850 Home Use Guide
How To Use Your H850 Personal Oxygen System
CAUTION: If the vent valve fails to close and the hissing continues, remove the H850 Portable by depressing the H850 Portable release button on the Reservoir. Ensure that the Portable is kept upright and is not tipped at all during this time. The H850 Portable will stop venting in a few minutes. Allow the H850 Portable to warm until you can close the vent valve. The H850 Portable may require as much as 60 minutes to restore adequate pressure for accurate oxygen flow. An alternate source of oxygen, such as a flow control valve attached to the Reservoir, can be used if needed. Note: For shorter planned use times, you can partially fill the H850 Portable by closing the vent valve sooner than normal. The H850 Portable will then be lighter to carry.
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