Paediatric oxygen user guide

Air Products Homecare HelplineFreephone 0800 373580 8.00am-5.00pm, Monday to Friday(open 24 hours for urgent calls only)

A guide to the Home Oxygen Servicefor babies, toddlers, children and teens

Air Products - 0800 373580

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Air Liquide - 0808 1439991

BOC/Linde - 0800 136603

Home Oxygen Service providers in England and Wales

Dolby - 0500 823773

WelcomeThis guide explains how to use oxygen equipment. It is important you read it to familiarise yourself with the oxygen equipment we have supplied, and any regular cleaning or maintenance you may need to carry out.

The Home Oxygen Service (HOS) has been designed to provide patients with all their oxygen therapy needs at home. It aims to ensure quality of life by supplying the most suitable equipment for the patient’s condition and lifestyle, and provides a free holiday service anywhere in the UK.

If you have any questions about oxygen equipment, safety or the service, please call our Homecare Helpline on 0800 373580 between 8.00am to 5.00pm (Monday-Friday). The service is available 24 hours a day for urgent calls but remember, if the patient feels unwell you should contact a doctor or in an emergency, phone for an ambulance.

The information provided in this booklet was believed to be correct at the time of going to print. Air Products cannot be held responsible for changes to the Home Oxygen Service.

Contents5 General safety

12 Your rights12 Timings14 Reordering/removals/forums

15 Concentrator machines16 How to use your concentrator17 AirSep Newlife Elite18 AirSep VisionAire 19 Respironics Millennium20 DeVilbiss

21 HomeFill22 HomeFill compressor and

concentrator23 Assembling HomeFill24 Filling a HomeFill cylinder26 Cleaning and maintenance

27 Transportable concentrator28 Sequal Eclipse30 User controls33 Transporting Sequal Eclipse34 Operating Sequal Eclipse37 Safety guidelines

38 Portable concentrator39 Inogen One/G240 User controls43 Safety guidelines

44 Electricity refund facts

45 Piped oxygen systems

47 Cylinders48 How to use your cylinder

with a flowmeter

50 Storing your back-up cylinder51 B1053 B10P55 Freedom® 40056 Freedom® 30058 Freedom® 300P60 Freedom® 600

62 Conserver device62 Connecting your conserver63 Setting your oxygen supply64 Checking your conserver’s

battery power level65 Changing your battery

66 Liquid oxygen67 Dewar68 Portable units69 How to fill your portable unit70 Important safety information71 Marathon72 Spirit 60073 Companion T74 High flow stroller

75 Your mask, cannula and tubing76 How to fit a cannula77 Relieving irritation

78 Travelling with oxygen81 Secondary address/public

transport/moving house82 Holidays

84 Lifestyle

95 Glossary

97 Useful contacts

5

General safetyWhen used correctly oxygen is safeAir Products takes safety very seriously and will always complete thorough risk assessments and health and safety checks before any oxygen equipment is installed in your home.

As well as the checks that we complete, you also need to follow these guidelines:

Do not smoke!Do not let anyone smoke near your child!Smoking will aggravate your child’s condition and is dangerous when oxygen is being used. Materials burn more vigorously in oxygen than in air.

Keep anyone using oxygen away from naked flames!All oxygen equipment should be kept well away from naked flames such as candles of any kind, open fires and gas cookers. Contact your local fire brigade for more information about safety.

Keep away from heat!Oxygen is not explosive but it will help fires to burn more fiercely. Ensure that your oxygen cylinders are kept away from fires, cookers and heaters etc. Recommended distance for oxygen therapy equipment: open fires 3m (10ft); closed fires 1.5m (5ft).

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Keeping all equipment cleanOnly use a clean damp cloth and mild non-scratch cleaning materials to clean the equipment. Allow the equipment to dry properly before using.

Be aware of the air around!Concentrator machines take air from their surroundings and separate it to make oxygen. If the concentrator machine is used near heaters or fires, fumes in the air may not be completely removed. Recommended distance: open fires 3m (10ft); closed fires 1.5m (5ft).

Turn it off!Make sure the oxygen supply is turned off when it isn’t being used. When oxygen is being used, always make sure the cannulae or mask is not left on any material (for example, blankets, clothes, sofas or cushions) for any amount of time. Oxygen may be absorbed into the material and make it more flammable.

Remember to allow five to ten minutes after switching a concentrator machine off to allow all the oxygen to leave the system.

Oxygen enrichmentMaterials burn more vigorously in oxygen. Always make sure that any oxygen equipment is used in a well ventilated area, and try to keep a window or door in the room ajar when the equipment is in use.

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Maintaining equipmentDo not use oils or grease with oxygen equipment. Ensure that your hands are clean when handling equipment.

Avoid using anything containing oil on the skinDO NOT use oils or grease on any area of skin that comes into contact with the oxygen equipment. Only use water based creams. Speak to a pharmacist for advice.

FirebreakNever remove this small white plastic piece from the tubing and make sure that the blue arrow is pointing to the patient. This small white piece will stop a fire spreading up the tubing if one end catches fire.

A firebreak is not included on the tubing for the portable cylinders.

TubingMake sure tubing does not get trapped as this can stop or reduce the flow of oxygen. Be extra careful of doors and furniture. Always take care not to slip or trip over your tubing. Freeline tubing length must not exceed 15m (50ft).

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Just in case!Keep an all-purpose fire extinguisher at home and install a smoke detector. It is important that you regularly check your smoke detector to ensure it is working and its batteries do not need replacing. We inform the Fire & Rescue Service that you have oxygen in your home. You should also tell them what equipment you have and where you store it.

The concentrator machineMake sure the flow rate on the concentrator machine is set to the flow rate ordered by the health care professional. Never change the flow rate unless specifically told to do so and shown how to by our homecare service engineer.

Always make sure the concentrator machine is kept upright at all times.

Make sure the concentrator machine is plugged into the mains, do not use an extension lead.

Never open or remove the concentrator machine cover. Air Products will service the concentrator machine every six months. If there is a problem with the concentrator machine use your back up cylinder and call our freephone Homecare Helpline on 0800 373580.

It is essential that you only use the back up cylinder in the event of a concentrator machine failure or power cut.

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Cylinder safetyIf you use the cylinders in the home, make sure they are firmly secured and cannot be knocked over or fall on anyone.

If a portable cylinder is being carried in a wheelchair or pushchair make sure that it is safely secured and balanced. If you use the straps on the cylinder bag, make sure they are firmly secured.

Liquid oxygenThis type of oxygen is not provided to every patient because it is not always suitable. Always keep the portable unit in an upright position – if it falls over, simply stand the unit up again.

Never cover the portable unit or carry it under any clothing.

Never let anyone touch the frosted connectors on the portable unit or the large dewar, this could cause a skin burn as the liquid oxygen is frozen to -183Oc.

Never move the large dewar, if you would like it in another place please speak to your homecare service engineer when you next see them.

If the large dewar falls over and a stream of liquid oxygen spills out, open all the doors and windows, leave the area and call our freephone Homecare Helpline on 0800 373580.

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Trades people in your homeIf you have tradesmen working in your home, make them aware of the location of oxygen equipment and any installed pipe-work along with the precautions required.

Follow the advice givenOur homecare service engineers have had extensive training. We ask that you follow their advice at all times, if you are unsure about what they have told you, please call our 24 hour freephone Homecare Helpline on 0800 373580.

Smoke detectorsSmoke detectors are an important safety feature of any home. They are the easiest way to alert you to the danger of fire, giving you time to escape. Their importance is heightened in any premises where oxygen is being used.

For your safety, our homecare service engineer will check your smoke alarms are all in working order when they install oxygen. Should you not have any working smoke alarms, we will inform the fire and rescue service.

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Back up cylindersBack up cylinders are provided along with an oxygen concentrator in case of a power cut or machine failure.

It is essential that you only use the back up cylinder in the event of a concentrator machine failure or power cut.

The back up cylinder should be located somewhere that you can easily reach it should it be needed.

Your oxygen is for youOxygen is a medically prescribed drug, and should only be used by the person it has been prescribed for. Under no circumstances should you allow anyone else to use the oxygen supplies.

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Your rightsAs a recipient of the Home Oxygen Service you have the right to certain expectations, such as the time it takes for us to deliver oxygen once it has been ordered, your right to complain about the service and opting out of patient surveys.

TimingsThe time taken to deliver oxygen supplies varies depending on the type of order placed by your health care professional or the time and day you call for a refill.

Timings from HOOF receipt to delivery.

Day order received

Next day supply Standard installationReceived before 5.00pm

Received after 5.00pm

Received before 5.00pm


Mon Tue Wed Thu FriTue Wed Thu Fri MonWed Thu Fri Mon TueThu Fri Sat Tue WedFri Sat Sun Wed ThuSat Sun Mon Thu ThuSun Mon Tue Thu Thu

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Timings from the receipt of a refill order to delivery.

Day order received

Received before 5.00pm


Mon Tue Emergency onlyTue Wed Emergency onlyWed Thu Emergency onlyThu Fri Emergency onlyFri Mon Emergency onlySat Emergency only Emergency onlySun Emergency only Emergency only

Refill orders must be made during our normal office hours 8.00am-5.00pm, Monday to Friday. Only emergency calls will be handled outside of these hours.

Standard HOOFs received after 5.00pm on Friday will be treated by the supplier as if received before 5.00pm on Monday.

Complaints procedureAir Products always aims to provide our patients with the best possible service at all times. But if our service does not meet your expectations, please tell us immediately by calling our Homecare Helpline on Freephone 0800 373580. If you are still unhappy, a complaint should be put in writing and sent to:

Customer ComplaintsAir Products Healthcare2 Millennium GateWestmere DriveCrewe, Cheshire CW1 6AP

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ReorderingIf you need a refill of oxygen cylinders please call 0800 373580 during office hours which are 8.00am-5.00pm (Monday to Friday).

As well as our Homecare Helpline, you can reorder cylinders via our website. Go to www.airproducts.co.uk/homecare, click the link on the right hand side and follow the instructions given.

RemovalsIf oxygen equipment is no longer required, please call our Homecare Helpline to arrange removal.

QuestionnairesSoon after oxygen has been installed we will contact you to complete a brief questionnaire (by phone or post). From time to time the NHS may also contact you to ask that you complete a questionnaire.

You have the right to opt out of these surveys. This can be indicated on the Home Oxygen Consent Form completed by your health care professional, or alternatively you can call our Homecare Helpline.

Advice on how to access any information that you provide will be supplied at the time.

Patient forumsEach year we hold patient forums in the regions that we supply to. Patient forums are your chance to make your voice heard in an informal environment.

As well as an ideal opportunity to ask any questions you may have, forums are also an excellent place to meet other people in similar situations and share advice. For more information please call our Homecare Helpline.

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Concentrator machinesConcentrator machines are designed to be used within the home. They work by taking the air around you and converting it into oxygen.

You may be supplied with a specific concentrator machine because of the flow rate of oxygen that has been ordered on the Home Oxygen Order Form (HOOF).

It is important to remember that some flow rates are very low and it may feel as if there is no oxygen coming out of the machine. If you think that the machine is not delivering any oxygen, remove the cannula from the tubing, place the end of the tubing into some water and check for bubbles – the bubbles will show that it is working. The machine may make a slight humming noise when it is in use – a little bit like a fridge.

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How to use the concentrator machine

Before using the concentrator machine you should become familiar with its parts.

The flow rate will be set to the ordered flow by your homecare service engineer. Any changes to this should be done only if recommended by your health care professional.

Cleaning the concentrator machine

You should wipe the outside case of the concentrator machine regularly with a damp cloth. Please be careful if you move the concentrator machine as it is heavy.

Our homecare service engineer will service the concentrator machine every six months, but in between these services we ask that you do some simple maintenance.

The most important thing to do is to clean the filter in the concentrator machine at least once a week (excluding the VisionAire). To do this you should take the filter out of the concentrator machine and place your spare filter in the concentrator machine.

If you don’t have a spare filter, please call our Homecare Helpline on 0800 373580, or ask your homecare service engineer when they next visit.

Rinse the filter in warm water, then squeeze all the excess water out and leave the filter to dry; you should make sure that the filter is totally dry before you put it in the concentrator machine again.

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AirSep Newlife Elite concentrator machine

Flow range (standard)

1-5 lpm (0.5 lpm increments)

Flow range (low flow)

0.1-2 lpm (0.1 lpm increments)

Flow range (high flow)

2-8 lpm (0.5 lpm increments)

Weight 24.5kg (54lb)Height 68cm (26.7ins)Width 38cm (14.9ins)Depth 28cm (11ins)

A On/Off switchB Flowmeter/adjustment knobC Oxygen outletD Indicator lightE Handle grip/side handlesF FilterG Power cordH Circuit breaker reset buttonI Hour meter

Caution Ensure the concentrator machine is kept upright at all times.Plug your concentrator machine into the mains, do not use an extension lead.Make sure the flow rate on the concentrator machine is set to the flow rate ordered by the health care professional.Do not restrict the ventilation around the concentrator.

F

G

A

B C

D

E

HI

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AirSep VisionAire 3 concentrator machine

Flow range 0.5-3 lpm (0.5 lpm increments)

Weight 13kg (28.6lb)Height 57cm (22.4ins)Width 34cm (13.3ins)Depth 28cm (11ins)

A On/Off switchB Flowmeter/adjustment knobC Oxygen outletD Indicator lightE Handle gripF Power cordG Circuit breaker reset buttonH Hour meter


The VisionAire does not include a removable filter so weekly maintenance of this is not required.

A

BC

D

E

G

H

F

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Respironics Millennium concentrator machine

Flow range 0.1-1 lpm (0.1 lpm increments)

Weight 21.7kg (48lb)Height 60cm (23.6ins)Width 43cm (16.9ins)Depth 28cm (11ins)

A On/Off switchB Flowmeter/adjustment knobC Oxygen outletD Indicator lightE Handle gripF FilterG Power cordH Hour meterI On some models the hour meter

can be located here


F

G

H

F

AB

C D

E I

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DeVilbiss concentrator machine

Flow range 1-4 lpm (0.5 lpm increments)

Weight 22.7kg (50lb)Height 70.5cm (27.7ins)Width 40.6cm (15.9ins)Depth 35.6cm (14ins)

A On/Off switchB Flowmeter/adjustment knobC Oxygen outletD Indicator lightsE Handle gripF Filter (on reverse)G Power cord (on reverse)H Circuit breaker reset buttonI Hour meter (internal)


A

E

D

F

C

H

G

B

I

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HomeFillThe HomeFill system is a flexible ambulatory system allowing patients to fill a HomeFill cylinder.

The system comes in four parts:

• HomeFill concentrator - works like a standard concentrator

• HomeFill compressor - connects to the HomeFill concentrator allowing you to fill HomeFill cylinders

• HomeFill cylinder - cylinder capable of being filled using the HomeFill compressor and concentrator

• Stand - used to mount the HomeFill compressor onto the concentrator

HomeFill cylinders

Cylinder model HF2PCE6 HF2PCE9Capacity 157 litres 240 litresWeight empty 1.66kg 2.1kg

HomeFill cylinder durations.Setting HF2PCE6 HF2PCE91 9 hours 18 mins 14 hours 18 mins2 5 hours 54 mins 9 hours 6 mins3 4 hours 30 mins 6 hours 54 mins4 3 hours 36 mins 5 hours 36 mins5 3 hours 4 hours 42 minsContinuous 1 hour 20 mins 2 hours 5 mins

HomeFill requires a full assessment and is not suitable for children under seven years old.

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HomeFill compressor and concentrator

HomeFill compressor

HomeFill concentrator

Weight 15kg 20.5kg

Sound level 49dB(A) 37dB(A) at 5 lpm

A ConcentratorB CompressorC CylinderD StandE FillportF Fillport coverG On/Off switchH Flowmeter/adjustment knobI Oxygen outletJ Indicator lightsK Power cord (on reverse)L Hour meter

Caution Ensure the concentrator is kept upright at all times.Plug your concentrator machine into the mains, do not use an extension lead.Make sure the flow rate on the concentrator machine is set to the flow rate ordered by the health care professional.Do not restrict the ventilation around the concentrator machine.

A

B

C

E

F

G

L

K

J

H

ID

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Assembling HomeFill• Place the stand on top of the concentrator

• Place the compressor on top of the stand

• Insert one end of the interconnect hose into the outlet fitting on the back of the concentrator and push the metal clip to secure

• Insert the opposite end of the interconnect hose into the inlet fitting on the side of the compressor, again use the metal clip to secure

How to use the concentrator without the compressor• To use the HomeFill concentrator without the compressor ensure

your compressor is switched off and there are no cylinders attached. Plug the concentrator directly into a power socket, do not use an extension lead

• Press the power switch - you will hear an alarm and the panel lights will come on

• After a second the panel lights will switch off leaving only the green system ok light on

• Check the ball in the flow meter is centred on the line marking your prescribed flow. If for any reason the ball does not centre on the prescribed flow rate use the knob to adjust until it does. Any adjustment from the prescribed flow must only be made when advised to do so by a health care professional

• When not using the device, be sure to switch it off

Caution Never leave cylinders attached to the compressor when not being filled.

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How to fill the HomeFill cylinder

1. Before filling• Turn the concentrator on for at least 30 minutes before

attempting to refill cylinders

• Examine the pressure on the cylinder. If the pressure is below 103.5 bar/1500 psi your cylinder is ready to be refilled

• Inspect the cylinder to ensure it has not been damaged in anyway. If satisfied remove the cannula from the cylinder and ensure the flow rate selector is turned to the OFF position

• Remove the cylinder and compressor fillport covers if present - pinch and pull to remove

2. Attach the cylinder to the compressor• On the compressor push down the

outer ring of the fillport until green dots are visible

• Hold the cylinder by the neck (behind the contents gauge)

• Position the cylinder in the compressor cradle

• Align the cylinder fillport with the compressor fillport

• Push up on the outer ring of the compressor fillport while pushing down on the cylinder - you will hear a click once they are properly connected

When the needle on the contents gauge is in the red zone, the cylinder needs to be filled. If the cylinder is already at 1500 psi it may not fill when attached.

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3. Turn on the compressorSwitch the compressor on. The following should occur:

• 0-3 minutes: the wait (yellow) light will be illuminated while the compressor warms up

• After 3 minutes: the filling (green) light will be lit while the cylinder is filling

• When the cylinder is full: the filling light will turn off and the full (green) light will switch on

It takes approximately two hours to fill a cylinder from empty

4. Remove the cylinder• Once the cylinder is full switch the compressor off

• With one hand hold the cylinder at the back of the neck behind the contents gauge

• With the other hand, grasp the outer ring of the connector fillport and push down

• Lift up on the cylinder to remove the connector

• Once the cylinder is disconnected from the compressor, release the outer ring of the compressor fillport and use two hands to remove the cylinder from the compressor cradle

• Place the fillport covers onto both the compressor fillport and the cylinder fillport

Caution Never remove a cylinder from the compressor while it’s switched on.

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Cleaning and maintenance

Once a day:Clean the compressor fillport with a dry, lint free cloth and replace the cap.

Inspect the cylinder for damage and ensure the cap is replaced when not in use.

Weekly:Wipe the concentrator with a damp cloth.

Wash all the foam filters in either warm soapy water, or use a vacuum to remove any dust. There are two filters, one in the compressor, one in the concentrator.

Caution Always ensure the filters are dry before replacing them. Do not operate your machine without filters.

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Transportable concentrator machinesTransportable concentrator machines are almost identical to standard concentrator machines, but they feature a rechargeable battery pack which allows oxygen users to use their oxygen concentrator machine outside of the home for several hours (exact duration is dependant on flow setting).

Transportable concentrator machines are not suitable for everyone, a specific ambulatory assessment should be completed by the patient’s health care professional before one is ordered.

The flow rate on one of these may vary from what is required using a standard concentrator machine or cylinder. It is important that you only use the flow rate requested by the patient’s health care professional, only change this if you are instructed to by them and shown how to by your homecare service engineer.

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Sequal Eclipse transportable concentrator machine

Flow range (standard)

0.5-3 lpm (0.5 lpm increments)

Flow range (pulse dose) Settings 1-6

Weight 8.1kg (17.8lb)Height 49cm (19.3ins)Width 31.2cm (12.3ins)Depth 18cm (7ins)

A External power receptacleB Control panelC Oxygen outlet portD Service portE Handle gripF Air inlet filterG Battery packH Exhaust vent

Caution Always make sure the concentrator machine is kept upright at all times.Make sure the flow rate on the concentrator machine is set to the flow rate ordered by the health care professional.

BCE

F

A

H G

D

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Typical new power cartridge operation timeThe following table shows the typical time a new power cartridge will last using the various flow settings on the Eclipse.

Please note that operating time will degrade with power cartridge use and age.

Flow rate setting

Continuous flow mode (lpm)

Pulse flow mode (setting)

0.5 4.4 hours n/a1 3.7 hours 4.4 hours2 2.4 hours 3.6 hours3 1.3 hours 3.0 hours4 n/a 2.6 hours5 n/a 2.3 hours6 n/a 2.1 hours

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User controls and system status indicatorsThe Eclipse user control panel displays important operating information explained in this section.

Green, yellow and red indicators on the front panel indicate the operating condition of the device.

On/Off button (green) indicator

This button powers the device on or off. The green indicator is illuminated when the device is powered on.

Increase or decrease flow setting buttonUse these buttons to set the flow to your prescribed level.

On/Off button and (green) indicator

Alert (yellow) indicator

Alarm (red) indicator

Increase flow setting button

Decrease flow setting button

Flow mode button and indicator

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Before operatingAlways check that the power cartridge is installed correctly, the air inlet and the exhaust vent of the device are not blocked and that the air inlet filter is clean before using the device.

Turning on your EclipseThe Eclipse can be transported between locations using the attached trolley, and as a stationary source of supplemental oxygen. The device is capable of being operated directly from three different power sources:

1. AC power supply (mains supply)2. DC power supply (car accessory outlet)3. Rechargeable power cartridge (battery)

The Eclipse charges the optional power cartridge when external power (AC or DC) is present. When external power is disconnected, the device will automatically switch over to the power cartridge, if installed and charged.

Proper connection of the AC or DC power supply requires aligning the power plug with the recessed external power receptacle of the device. The recessed external power receptacle is located on the right hand side of the device when facing the user control panel. Push the power plug into the recessed receptacle.

AC power supply (mains supply)The Eclipse includes a universal AC power supply for use wherever standard AC power is available. When the device is plugged in properly, a green indicator on the AC power supply will light and the external power is present indicator will appear on the user control panel.

If you need to silence the loss of power alarm, you can do so by pressing and holding the On/Off button for a minimum of five seconds. Connecting the Eclipse to an external AC power supply will also eliminate the alarm.

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DC power supply (car accessory outlet)A DC power supply allows the system to operate from DC outlets, such as those found in motor vehicles. Establish if the fuse rating in your motor vehicle is 15amp or 20amp. Once confirmed, set the switch on the DC power supply to the appropriate fuse rate setting.

Start your vehicle, insert the DC cord into the recessed power receptacle on the side of the device. Next, insert the DC power supply plug into the DC power outlet in your motor vehicle. When the device is properly connected and receiving power from the DC power source, a green indicator light on the power supply and the external power is present indicator in the control panel will illuminate.

Typical battery pack recharge timeThe typical time to recharge your power cartridge, in order to achieve 80% capacity, from a fully discharged power cartridge is between 1.4 hours and 5 hours, depending upon the device flow setting.

Caution Never use any power cord if it is damaged or frayed. Improper use of the power cord may result in a fire or electrical shock hazard.Do not connect the Eclipse to an extension cord or to an electrical outlet controlled by a switch. Always unplug the AC power cord from the wall before disconnecting the plug from the Eclipse.Use the 10amp position on the DC power supply for a 15amp vehicle fuse rating and use the 15amp position for a 20amp or greater vehicle fuse rating.

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Caution Do not leave equipment on show when your vehicle is unattended.

Transporting your Eclipse deviceYou can transport your Eclipse device provided you follow this advice:

• Secure the Eclipse and the DC power supply in your vehicle and be sure there is adequate air flow to the device and that the air inlet and exhaust vents are not blocked. Blocking of the air inlet or exhaust vent may impair device performance. Ensure the Eclipse is secured safely behind the front seats or on the back seat with a secure fastening

• Do not leave the Eclipse or DC power supply plugged into the vehicle without the engine running or attempt to start the vehicle while the DC power supply is connected to the vehicle. Doing so will drain the vehicle’s battery

• If the vehicle’s DC power source drops below 11.5 volts (brown out condition), the Eclipse will revert to power cartridge operation (if the power cartridge is present). The external power is present indicator may remain on

• Do not leave the Eclipse, or power cartridge, in the seating area or boot of your motor vehicle during a hot day

The storage temperature range for the device is -20oC (-4oF) to +60oC (+140oF) and 95% non-condensing humidity.

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Operating your Eclipse device

Step 1 – location of the EclipsePlace the Eclipse device in a well-ventilated area making sure the air inlet and exhaust vent are not obstructed.

Plug the device into a grounded/earthed AC power supply.

Step 2 – turning your device onPress and hold the ‘on/off’ button for five seconds to power on the Eclipse.

A brief audible and visual Power On Self-Test (POST) will occur. Check that all the indicators are illuminated and that a buzzer sounds for three seconds. This indicates the device is operating properly.

Allow it to warm up for five minutes to reach its performance specifications.

Warm-up periodThe Eclipse has an Oxygen Concentration Status Indicator (OCSI) built-in to the device which continually monitors the oxygen output of the device. The OCSI incorporates a green light (normal), yellow light (alert) red light (alarm) and a buzzer. The red and yellow indicators will sequentially go out when the oxygen purity of the device is within performance specifications.

CautionIf during POST there are three beeps, this indicates a low battery condition for the 9-volt battery inside the cabinet of the Eclipse. Please contact Air Products.Do not open the cabinet.

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Step 3 – connecting your accessoriesConnect the oxygen supply tubing to the oxygen outlet and connect the oxygen cannula. Replace the cannula and oxygen supply tubing regularly as directed by your homecare service engineer.

Step 4 – selecting the flow delivery modePress the flow mode button to select the desired flow mode. Pressing this button repeatedly will toggle you back and forth between the flow modes. The flow mode and flow setting should be prescribed for you by your health care professional.

Pulse flow mode operationPulse flow setting should not be used if your health care professional has specified on your HOOF that you should not use a conserver.

When used in pulse flow mode, breathing can only be detected when using a cannula. A mask must not be used as the machine will not detect the breathing pattern. Also supply tubing must not exceed 2.1m (7ft) in length.

If, after 45 seconds, a breath has not been detected, a yellow visual alert and bleep will occur and after 60 seconds the machine will switch back to continuous flow. The device will use the last continuous flow setting when this occurs. The yellow visual alert will then stop.

Caution Always check your tubing and accessories are not damaged before use.Pulse dose should not be used overnight or when you are sleeping.

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Caution Always store the Eclipse in a cool and dry location.

Step 5 – adjust the flow setting to the prescribed levelUsing the +/ – flow setting buttons, adjust the flow setting to the prescribed setting supplied by the health care professional.

Do not change from the prescribed flow setting without consulting a health care professional.

Step 6 – begin using your EclipseBreathe normally through the nasal cannula.

Step 7 – mobile trolley operationThe mobile trolley is designed for use on pedestrian-type surfaces.

Press the push-button on the mobile cart handle to adjust the height of the handle.

Step 8 – power off the devicePress and hold the on/off button for two seconds to turn off the Eclipse.

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Safety guidelinesHazards or unsafe practices could result in serious injury or property damage. Please follow these guidelines:

• Keep the Eclipse and the power cord away from hot surfaces or naked flames

• Do not use the Eclipse if it has a damaged power cord or plug• The Eclipse should be located in a well-ventilated area to allow

for adequate air intake. Avoid the intake of airborne pollutants, smoke and fumes

• Only use this device with accessories specified by Air Products• If the Eclipse has been dropped, damaged or exposed to water,

please contact Air Products for inspection of the device• Do not drop or insert any objects into any opening on the device• Do not block the air inlet or the exhaust vent of the Eclipse when

it is on a soft surface, such as carpet, bed, couch or vehicle seat• Do not cover the device with a blanket, towel or quilt etc• When using the Eclipse in any vehicle, be sure it is properly

secured, belted or otherwise restrained• Protect the Eclipse and the power supplies from all fluid spills or

drips to avoid possible shock hazards• Do not disassemble, puncture or crush the power cartridge.

Power cartridge electrolytes may be toxic if swallowed and can be harmful to skin and eyes. Keep the power cartridge away from children

• Exposing the power cartridge to water or other liquids may cause personal injury

• Charging the power cartridge below 10oC (50oF) or above 40oC (104oF) may degrade the performance of the power cartridge

• Do not drop the power cartridge or expose it to mechanical shock

38

Portable concentrator machinesA portable concentrator machine is a small device that can give mobility outside the home and is designed to work on pulse dose delivery. It has the ability to use mains, battery and DC power supply.

Portable concentrator machines are not suitable for everyone, a specific ambulatory assessment should be completed by your health care professional before one is ordered.

Your flow setting on one of these may vary from what you require using a standard concentrator machine or cylinder. It is important that you use the flow setting requested by your health care professional, only change this if you are instructed to by them and shown how to by your homecare service engineer.

39

Inogen One and Inogen One G2 portable concentrator machines

Inogen One Inogen One G2Flow settings (pulse dose)

1-5 1-5

Weight 4.4kg (9.7lb) 3.3kg (7.25lb)Height 31.5cm (12.4ins) 24.1cm (9.5ins)Width 15.2cm (6ins) 9.9cm (3.9ins)Depth 29.5cm (11.6ins) 27.2cm (10.7ins)

A External power receptacleB Control panelC Oxygen outlet portD Handle gripE Air inlet filterF Battery packG Exhaust vent

CautionEnsure the concentrator machine is kept upright at all times.Make sure the flow setting on the concentrator machine is set to the flow setting ordered by the health care professional.

Inogen one

Inogen one G2

F

A

G

C D

D

AG

F

E

B

C

B

E

40

User controls and status indicators

On/Off buttonPress once to turn on, press and hold for one second to turn off.

Increase or decrease flow setting buttonUse these buttons to set the flow to your prescribed level.

Display backlight buttonPush on, automatically turns off.

Indicator lightsColoured lights indicate either a change in operating status or a condition that may need a response (alarm). Priority by colour is red, yellow then green. A flashing light is higher priority than non-flashing.

Mode/bell buttonPressing this button will toggle the Inogen’s breath detection alert on and off:

1. Default mode – When the Inogen is powered up, the breath detection alert is disabled. The display’s mode indication area is empty in default mode

2. Breath detection mode – The Inogen will alert with audible and visual signals for “no breath detected” when this mode is enabled and no breath has been detected for 60 seconds. The display’s mode indication area will show a bell icon when the alert is enabled.

Pressing and holding the mode/bell button for five seconds will display the Inogen’s life clock.

41

Before operatingAlways check that the air inlet and the exhaust vent of the device are not blocked and that the air inlet filter is clean before using the device.

• Place the Inogen in a well ventilated place where audible alarms can be heard

• Ensure the particle filter is in place

• Ensure the battery is located properly.

• Connect the power supply into the Inogen

• Connect the cannula to the outlet with a standard 2.1 metre length of tube

• Turn on the Inogen by pressing the On/Off button

• A warm up period will initiate. The concentration of oxygen will build up over a period of 30 minutes

• Use the +/ – buttons to select the prescribed flow setting

• Attach the cannula and start breathing, the Inogen will detect the breath and deliver a precise amount of oxygen

• As the breathing rate changes, the Inogen will sense this and deliver oxygen as needed

• A green light will flash each time a breath has been detected

Caution Pulse dose must be used with a nasal cannula not a mask.Pulse dose should not be used overnight or when you are sleeping.Do not use supply tubing or cannula extensions that are more than 2.1m (7ft) in length.Your homecare service engineer will advise on the placement of the filter and battery.

42

Battery operationThe battery will discharge while the Inogen is operating on battery power. The display will indicate the estimated life remaining.

When the concentrator machine detects the battery life is less than 10% a double bleep alarm will sound with a solid yellow light. When empty, this will change to a high priority alarm of five beeps and a flashing red light every ten seconds.

DC chargerWhen using the Inogen in a car it must be safely secured in a well ventilated area.

• The outlet must be rated at 15 amps

• Connect the leads to the power adaptor

• Connect the plug to the DC outlet socket, the plug comes with a slide switch that has an option for narrow or wide sockets

• The green LED on the power supply will light when operating properly

Battery pack safety and care• Do not disassemble, puncture, or crush the battery pack. Battery

pack electrolytes may be toxic if swallowed and can be harmful to the skin and eyes. Keep the battery pack away from children

• Exposing the battery pack to water and other liquids may cause injury

• Charging the battery pack below 10oC (50oF) or above 40oC (104oF) may degrade the performance of the battery pack

• Do not drop the battery pack or expose it to mechanical shock• When not in use for an extended period of time, please remove

the battery from the Inogen and store separately

43

Safety guidelinesPlease follow these guidelines:

• Keep the Inogen and the power cord away from hot surfaces and naked flames

• Do not use if it has a damaged power cord or plug

• Your Inogen should be located in a well-ventilated area to allow for adequate air intake. Avoid the intake of airborne pollutants, smoke and fumes

• Only use this device with accessories specified by Air Products

• If the Inogen has been dropped, damaged or exposed to water, please contact Air Products for inspection or possible repair to the device

• Do not drop or insert any objects into any opening on the device

• Do not block the air inlet or the exhaust vent of the Inogen when it is on a soft surface, such as a carpet, bed, couch, chair or vehicle seat

• Do not cover the device with a blanket, towel or quilt etc

• When using in a vehicle, be sure it is properly secured, belted or otherwise restrained

• Do not leave your Inogen, or power cartridge, in the seating area or boot of your motor vehicle during a hot day

• Protect the Inogen’s power supplies from all fluid spills or drips to avoid possible shock hazards

Caution Do not leave equipment on show when your vehicle is unattended.

44

Electricity refund facts1. Air Products refund patients for the electricity used by the

concentrator machine at the standard rate for the electricity provider in that region

2. We do not refund the entire electricity bill and will not refund any service charges

3. You have three refund options:• Direct payment into your bank account – this is safe, secure

and provides a much quicker payment• By a cheque sent directly to you in the post• Direct payment to your electricity supplier

4. You should receive four payments per year, one every quarter:• One is based on the actual reading taken from the meter in

the concentrator machine• The next is based on the concentrator machine’s usage that

we have recorded in the past• The next is based on the actual reading taken from the

meter in the concentrator machine• ....and so on and so on

5. To get an actual meter reading the homecare service engineer will read the meter that is inside the concentrator machine. This meter counts the number of hours that the machine has been running

6. You will always receive a statement to let you know how much is being refunded

45

Piped oxygen systemsA piped oxygen system involves connecting clear plastic tubing (5mm diameter) from your concentrator machine to convenient points around your home.

A piped-in system allows the patient to receive oxygen in different rooms without having to move the concentrator machine, have cylinders placed around your home or have loose tubing trailing around the house which can present a trip hazard.

• The homecare service engineer will do a survey and risk assessment, then talk to you about the best location for the concentrator machine

• A wall tap will be placed in a suitable location to direct oxygen to the rooms where you need it (see photograph). The wall tap will be attached with a length of loose tubing to enable movement around the room

• Tubing will be attached to skirting boards and door frames.• For safety, fire breaks will be fitted in the tubing. These must not

be removed• A length of loose tubing will be left so the patient can move

around each room. For health and safety reasons the maximum length of this tubing will be 15 meters (50 feet)

• This will be fitted with a cannula or mask depending on the oxygen order

• A hole (10mm wide) may need to be drilled through walls or a ceiling to access rooms where you want the oxygen outlet

• It is important that you only use tubing and masks/cannula which have been supplied by Air Products

Caution You must turn the concentrator machine off when it is not in use.

46

Checking your piped oxygen systemIf you feel you are not getting the right amount of oxygen from the concentrator machine using a piped oxygen system:

• Switch the concentrator machine on

• Ensure the outlet you want is selected on the wall tap

• Check the flow is set to the ordered rate

• Remove the cannula or mask and block the tubing with your thumb (see photo). Check that the ball in the concentrator machine flowmeter drops to the bottom of the flow gauge

• If the ball does not drop, ensure the outlet you want is selected, the tubing is connected to the concentrator machine and the outlet connector is fitted tightly. If this does not resolve the problem then turn the concentrator machine off, use your back up cylinder and call Air Products, if the ball drops to the bottom, the piped system is fine

Upstairs

Skirting board

Skirting board

Downstairs

Oxygen to patient

Wall tap

Wall tap

T piece

Concentrator

Oxygen flow fromconcentrator to wall taps

Oxygen topatient

47

CylindersYour oxygen cylinders contain medical grade oxygen. You may have a larger cylinder for use in the home or as back-up to a concentrator machine, or smaller portable cylinders to help you get out and about. Before using an oxygen cylinder you should first become familiar with its component parts.

How to use a cylinder1. Attach the oxygen tube to the outlet connector. Ensure tubes are

not trapped, trodden on or kinked in any way as this could restrict the flow

2. Slowly open the on/off valve (Freedom®400 and some B10 cylinders) by turning it anti-clockwise until fully open. This will release the oxygen and show the remaining contents of the cylinder on the contents gauge if not already shown

3. Ensure that the flow rate selector on top of the cylinder is set to the correct flow as ordered on the HOOF. Any adjustments should only be undertaken on the recommendation of a health care professional

4. Put cannula or mask on the patient

5. After use and before turning off, check the remaining oxygen in the cylinder. See contents gauge

6. Turn the cylinder off by turning the flow sector to 0 or off and the on/off valve clockwise to the off position (if present)

How do I carry my portable cylinder?You will be provided with a cylinder carry bag for a portable cylinder. Make sure you always use one of the three handles on the bag to carry the cylinder.

Your homecare service engineer will show you how to use this when you have equipment installed.

48

How to use your cylinder with your flowmeterThe flow on a standard cylinder may be too high so it has been fitted with a flowmeter. Although, as the patient gets older they may no longer need this flowmeter, or a specially designed cylinder.

Cylinder flow rate control

Flowmeter flow rate control

Oxygen outlet

Contents gauge

Not used

Auxiliary socket (low flow adaptor connection)

49

To make sure the flowmeter is attached properly and the cylinder is working as it should, follow these steps:

1. Check that the flowmeter is plugged into the socket (shown on the page opposite) of your cylinder valve. To check that it is securely in place, gently tug on the flowmeter to check it doesn’t come away

2. Attach the oxygen tubing to the outlet. As with all your tubing, check that there are no kinks or that the tubing is trapped as this could restrict the flow of oxygen

3. Turn the On/Off valve on your cylinder anti-clockwise until the word ‘On’ is shown

4. Turn the flowmeter on by gently turning the flowmeter valve anti-clockwise. Make sure that it is set to the flow number that has been specifically ordered on the HOOF. When you turn the valve, make sure that the flow number is shown in the middle of the viewing window

5. Put the mask or cannula on the patient6. To turn the flowmeter off, turn the flowmeter clockwise this time

until you see ‘0’ in the viewing window 7. Then turn the main cylinder off by turning the On/Off valve

clockwise to show the word ‘Off’8. When you have finished using the cylinder we recommend that

you check how much oxygen is left by looking at the cylinder contents gauge. If it is low, please re-order.

Always make sure that the On/Off valve on your cylinder is set to ‘On’ when the flowmeter is in use or ‘Off’ when it is not in use.

Never adjust the flow rate using the cylinder flow rate control as this will cause oxygen to leak from the cylinder outlet.

50

Storing your back-up cylinderA back-up cylinder is provided to you in the event that your power supply or concentrator machine fails.

You should store your back-up cylinder where it is easily accessible in the event of a power cut. Remember that this may be at night, when it is dark and your lights will not work, so keep a torch close to where you sleep to help you find your back-up cylinder in this situation.

Please ensure that all cylinders are stored in a dry, frost-free environment. Failure to adhere could lead to the cylinder valve becoming frozen, which could make it hard to use, or even cause it to fail to operate correctly, making the cylinder unusable.

Do not store your back-up cylinder in an environment such as a conservatory or enclosed porch, as these get hotter in the summer months.

Do not store your back-up cylinder in poorly ventilated places such as walk in stores which can get very musty or where smells linger for a long time. ×

51

B10 cylinderThe largest cylinder available. Mainly provided as a back-up supply for use in the event of a power cut or concentrator machine failure. A B10 is not intended for use as a portable cylinder.

Weight full 15kg-18kg (33lb-39lb)Height 71cm (28ins)Diameter 18.2cm (7.1ins)Capacity 2122 litres

Flow rate selector

Outlet connector

Not usedContents gauge

Cylinder valve guard

71cm (28ins)

18.2cm (7.1ins)

CautionIf the contents gauge is showing red, your cylinder is empty and needs to be changed immediately.If you are experiencing no or limited flow check your cylinder is switched on properly and set to the correct flow rate, also check the contents gauge to ensure the cylinder is not empty.

The cylinder is full when the contents gauge points to the green section.

52

B10 cylinder durationsThe following table shows you approximately how long your B10 cylinder will last based on your flow rate setting on continuous use.

Flow rate (litres per minute)

Duration without conserver

0.5 70 hours 44 mins1 35 hours 22 mins

1.5 23 hours 34 mins2 17 hours 41 mins3 11 hours 47 mins4 8 hours 50 mins6 5 hours 53 mins8 4 hours 25 mins15 2 hours 21 mins

Always keep your back-up cylinder in a place where you can easily find it.

Always make sure that your back up cylinder is fitted with spare tubing and a mask or cannula so it is ready to be used.

Your B10 may be fitted with a different flow selector.

53

B10P cylinderAlmost identical to the standard B10 cylinder, this cylinder has been fitted with a special valve which allows the connection of micro/low flowmeters.

Weight full 15kg-18kg (33lb-39lb)Height 71cm (28ins)Diameter 18.2cm (7.1ins)Capacity 2122 litres

Not used

Cylinder valve guard

Flow rate selector

Contents gauge


Flowmeter

71cm (28ins)

18.2cm (7.1ins)


The cylinder is full when the contents gauge points to the green section.

54

B10P cylinder durationsThe following table shows you approximately how long your B10P cylinder will last based on your flow rate setting on continuous use.

B10P with micro flowmeter.Flow rate (litres per minute)


0.01 147 days0.02 73 days0.03 49 days0.04 36 days0.05 29 days0.06 24 days0.07 21 days0.08 18 days0.09 16 days

B10P with low flowmeter.Flow rate (litres per minute)


0.1 14 days 16 hours0.2 7 days 8 hours0.3 4 days 21 hours0.4 3 days 16 hours0.5 70 hours0.6 60 hours0.7 50 hours0.8 44 hours0.9 39 hours

Always ensure your cylinder is set to ‘on’ when a flowmeter is in use.

55

Freedom® 400Our standard portable cylinder for those who need to get out and about. Only for use after a professional medical assessment for ambulatory oxygen.

Weight full 3.2kg-3.7kg (7lb-8lb)Height 53cm (20.8ins)Diameter 10cm (3.9ins)Capacity 430 litresAccessories Bag and trolley

available

Flow rate selector

Outlet connector

Not used

Not used

On/off valve

Contents gauge

53cm (20.8ins)

10cm (3.9ins)

CautionIf the contents gauge is showing red (as pictured), your cylinder is empty and needs to be changed immediately.If you are experiencing no or limited flow check your cylinder is switched on properly and set to the correct flow rate, also check the contents gauge to ensure the cylinder is not empty.

56

Freedom® 300The lightweight cylinder. Only for use by children and frail adults after a professional medical assessment for ambulatory oxygen.

Weight full 2.1kg-2.6kg (4.6lb-5.7lb)Height 43cm (16.9ins)Diameter 8.5cm (3.3ins)Capacity 308 litres

Flow rate selector

Contents gauge

Not used Not used

Outlet connector

43cm (16.9ins)

8.5cm (3.3ins)


The cylinder is full when the contents gauge points to the blue section.

57

Freedom® 300 and Freedom® 400 cylinder durationsThe following tables show you approximately how long your Freedom® 300 or Freedom® 400 cylinder will last. Duration with a conserver will vary according to your breathing rate and activity.

Freedom® 300 cylinder durations.Flow rate (lpm) Duration without

conserverDuration with conserver

0.5 10 hours 16 mins1 5 hours 8 mins 15 hours

1.5 3 hours 25 mins2 2 hours 34 mins 7 hours3 1 hour 42 mins 5 hours4 1 hour 17 mins 3 hours6 51 mins 2 hours8 38 mins15 20 mins

Freedom® 400 cylinder durations.Flow rate (lpm) Duration without

conserverDuration with conserver

0.1 71 hours 40 mins0.2 35 hours 50 mins0.5 14 hours 20 mins1 7 hours 10 mins 21 hours2 3 hours 35 mins 10 hours3 2 hours 23 mins 7 hours4 1 hour 47 mins 5 hours6 1 hour 11 mins 3 hours8 53 mins10 43 mins15 28 mins

58

Freedom® 300PAlmost identical to the standard Freedom® 300, this cylinder has been fitted with a special valve which allows the connection of micro/low flowmeters.Only for use by children and frail adults after a professional medical assessment for ambulatory oxygen.

Weight full 2.1kg-2.6kg (4.6lb-5.7lb)Height 43cm (16.9ins)Diameter 8.5cm (3.3ins)Capacity 308 litres

Not used

Flow rate selector

Flowmeter

Contents gauge

43cm (16.9ins)

8.5cm (3.3ins)


The cylinder is full when the contents gauge points to the blue section.


59

Freedom® 300P cylinder durations

The following tables show you approximately how long your Freedom® 300P will last based on continuous use.

Freedom® 300P with micro flowmeterFlow rate (lpm) Duration without

conserver0.01 21 days0.02 10.5 days0.03 7 days0.04 5 days0.05 4 days0.06 3.5 days0.07 3 days0.08 2.5 days0.09 2.25 days

Freedom® 300P with low flowmeterFlow rate (lpm) Duration without

conserver0.1 2 days0.2 1 day0.3 17 hours0.4 12.5 hours0.5 10 hours0.6 8.5 hours0.7 7 hours0.8 6 hours0.9 5.5 hours


60

Freedom® 600A high capacity cylinder capable of being fitted with a low or micro-flow device suitable for very young children and babies. (Some cylinders are fitted with a carry handle).

Weight full 3.5kg (7.7lb)Height 50.8cm (20ins)Diameter 10.1cm (4ins)Capacity 617 litres

50.8cm (20ins)

10.1cm (4ins)

Not used

Flow rate selector

Flowmeter

Contents gauge



61

Freedom® 600 cylinder durations

The following tables show you approximately how long your Freedom® 600 will last based on continuous use.

Freedom® 600 with micro flowmeterFlow rate (lpm) Duration without

conserver0.01 42 days0.02 21 days0.03 14 days0.04 10 days0.05 8 days0.06 7 days0.07 6 days0.08 5 days0.09 4.5 days

Freedom® 600 with low flowmeterFlow rate (lpm) Duration without

conserver0.1 4 days0.2 2 days0.3 33 hours0.4 25 hours0.5 20 hours0.6 16 hours0.7 14 hours0.8 12 hours0.9 11 hours


62

Conserver deviceWhen we breathe we spend most of our time breathing out. When a cylinder is used with a continuous flow, most of the oxygen is wasted. A conserver cuts out that waste by providing a precise amount of oxygen at the best point in breathing.

A conserver should only be used with portable cylinders, and it could make the cylinder last up to three times longer. Patients can only use this device if they use nasal cannula.

Connecting your conserver1. Put the cylinder into the portable carry bag provided

2. Put the conserver into the pocket at the front of the bag

3. Connect the female end of the coiled tubing to the outlet connector on the cylinder

4. Secure the female end with the tube clamp

5. Then connect the quick connect end of the coiled tube to the cylinder connection on the conserver

6. Finally connect the cannula tubing to the cannula connection on the side of your conserver

Caution Please note that conservers are not suitable for patients under seven years old and are not to be used whilst sleeping.Do not shorten the tubing.A mask can not be used with a conserver.

63

Setting your oxygen supply1. Put the cannula on the patient

2. Turn the flow rate wheel on the conserver to the flow rate that the health care professional has ordered

3. Turn the oxygen cylinder onto a flow rate of 4 litres per minute (lpm)

4. The patient should then begin breathing through the cannula

5. It is very important to remember that the cylinder must be set to a flow rate of 4 lpm and the conserver set to the flow rate ordered

6. You should also be aware that if the conserver does not seem to be working you must attach the tubing and cannula directly to the cylinder, but you must adjust the flow rate of the cylinder from 4 lpm to the flow rate ordered by the health care professional

Turning the supply off1. Slowly turn the On/Off valve on the cylinder clockwise to the off

position

2. The patient should continue to breathe through the nasal cannula until they feel no more oxygen coming through (this releases the pressure in the tubing)

3. Take the cannula off

4. Turn the flow rate wheel on the conserver to the off position

5. If you use the cylinder without the conserver on another occasion, always remember to set it back to the prescribed flow rate

64

Checking your conserver’s battery power levelWith normal use the battery should last over four weeks. Always check the battery’s power level before using your conserver.

Move the flow rate wheel at the top of the conserver to the ‘BAT’ position.

The battery level light will show how much power is left. This is shown by the following colours:

Green The battery is fullAmber The battery’s level has gone down, but

there is no need to change it yetRed The battery is running low – you should

have a spare handyFlashing red Replace the battery immediately

Flow rate selector

Battery level light

Caution The conserver will be provided with a battery, once this has depleted it is your responsibility to replace it.Always carry a spare battery.

65

Changing your batteryThe conserver needs a single 1.5 volt C-size alkaline battery. These are commonly available from most supermarkets.

To replace the battery first remove the battery cover, safely discard the current battery then insert the replacement into the slot.

Once you have replaced the battery, check its power level by following the instructions on the opposite page.

Caution Only use alkaline batteries with a conserver.The use of rechargeable batteries is not recommended.

66

Liquid oxygenLiquid oxygen is also known as LOX. LOX equipment will be delivered to you in two parts; a large container known as a ‘dewar’ and a smaller refillable portable unit.

You will be visited by a LOX homecare service engineer on a rolling two-week rota - so you will never have to call up to arrange replacements. If you do have any problems with the LOX system you can always call our Homecare Helpline on 0800 373580.

The liquid oxygen (LOX) supplied is for use as a portable system to use when patients are out and about. If an oxygen supply is needed at home, always use the concentrator machine.

You should only use portable LOX units set at the flow rate ordered by the health care professional.

“ I know that LOX isn’t suitable for every patient as every condition and situation is different for each individual, but having liquid oxygen when you lead a busy active life is ideal. I get a lot of pleasure from providing LOX to patients and then seeing them heading out and about. It’s great to know that I play a small part in enabling patients to head out to work or even school.

Rick, Air Products LOX engineer

“

67

Large LOX DewarThis is the large container that all of your smaller portable units will be filled from. It is known as a ‘dewar’

1. To check the level of LOX in your dewar, press the level switch for two seconds and read the liquid level display. If your dewar shows a quarter full – please call our Homecare Helpline on 0800 373580

2. If the low battery indicator on the liquid level display lights up when the button is pressed, tell your homecare service engineer at their next visit

Dewar reservoir

Fill connector

Dewar vent valve

Not used

Liquid level switch

Liquid level display

Pressure gaugePortable release button

The model shown is the Caire Low Loss dewar. Your dewar may not be identical, but the controls will be similar.

68

Your refillable portable unitsYour portable oxygen unit is designed to provide a source of oxygen to help patients get out and about for longer periods of time. The portable unit should be filled from the large liquid oxygen dewar.

As with all oxygen equipment, you should become familiar with the parts of the portable unit.

Fill connector

Condensation pad

Portable fill leaver

Shoulder strap

Flow rate control

Oxygen outlet connector

Battery compartment

The model shown is the Spirit 600. Your portable may not be identical, but the controls will be similar.

69

How to fill the portable unitOnly fill the portable unit from the top of your dewar by following these instructions:

1. Clean and dry the fill connectors on both the large dewar and the portable unit using a clean, dry, lint-free cloth. They must be dry to stop the two connections freezing together

2. Turn the flow rate control on the portable unit to the ‘Off’ position

3. Position the portable unit’s fill connector - top fill in an upright position over the dewar until you feel the connector engage

4. Press firmly on the top of the portable unit keeping it in an upright position. The units are now joined together

5. Open the fill lever on the portable unit to begin filling. Hold the portable unit down in place throughout the fill

6. You will be able to tell that the unit is full when the hissing sound changes in tone and some liquid comes out of the vent line. When the unit is full, close the portable fill lever

7. After you have filled the portable unit and closed the fill lever, push the portable release button on the dewar until the units separate

70

Important safety information for filling portable LOX units• If the portable unit does not separate easily, do not use force. The

units may be frozen together, wait until they warm up then they should separate easily

• Never touch any of the frosted parts on the dewar or the portable unit. This could result in a burn

• If liquid leaks after separation, reattach the portable unit to the dewar and try again

• Exposure to liquid oxygen can cause burns due to it’s extreme temperature

• If there is an excessive leakage to the point where there is a stream of liquid, leave the area and call our Homecare Helpline on 0800 373580

• To avoid evaporation of the oxygen, fill the portable 15 minutes before going out

• If using a Helios portable unit, fill one hour before required and lay down on its back

• Always keep the portable unit in a well ventilated area

• Never leave the equipment unattended when filling the portable unit

When my engineer Andy was showing me how to fill my portable unit he told me to listen out for the noise that it made. He told me that it would sound just like a kettle boiling – and it does! I always remember this and so far I haven’t made any mistakes!

Mrs P, LOX patient

“ “

We recommend that when you first start using a portable unit you monitor your usage rate closely and plan accordingly.

71

MarathonThe Helios Marathon portable oxygen unit lets patients stay out for longer, providing up to 20 hours on demand flow.

Weight full 2.5kg (5.5lb)Height 38.1cm (15ins)Capacity 0.85 litres (liquid)

685 litres (gaseous)Evaporation rate

Approximately 1/3 in 12 hour period when not in use

Flow rate (lpm)

Duration (Demand flow)

Duration (Continuous flow)

1 17 – 20 hours 10 hours2 17 – 20 hours 5 hours 30 mins3 12 hours 30 mins 4 hours4 8 hours 30 mins 2 hours 45 mins5 n/a 1 hour 50 mins

All timings are approximate. Your homecare service engineer will give you a more accurate estimate of the duration when equipment is installed.

Caution If after filling the unit you are experiencing no flow, it is possible that you have over filled it. Please lay the unit on its back and wait for about one hour for the unit to defrost.

72


Spirit 600The Spirit 600 is a small lightweight liquid oxygen flask. With both a shoulder strap and carry handle so it’s easy to handle.

Weight full 2.54kg (5.6lb)Height 29.2cm (11.4ins)Capacity 0.63 litres (liquid)



Flow rate (lpm)

Duration (Demand flow)


1 17 hours n/a2 17 hours 4 hours3 12 hours n/a4 8 hours n/a5 4 hours n/a

73

Companion TThe Companion T is designed for patients on high flows of up to 15 litres per minute.

Weight full 3.9kg (8.6lb)Height 37.2cm (14.6ins)Capacity 1.25 litres (liquid)



Flow rate (lpm)


1 12 hours2 8 hours 30 mins3 6 hours4 4 hours 15 mins5 3 hours6 2 hours 30 mins8 2 hours10 1 hour 30 mins15 50 mins


74

High flow strollerThe high flow stroller enables patients on flows not supported by other portable flasks to enjoy the benefits of liquid oxygen.

Weight full 2.3kg (5.1lb)Height 33.7cm (13.25 ins)Capacity 1.25 litres (liquid)



Flow rate (lpm)


0.5 32 hours1 16 hours2 8 hours

2.5 6 hours 20 mins3 5 hours 20 mins4 4 hours6 2 hours 40 mins8 2 hours10 1 hour 40 mins12 1 hour 20 mins15 1 hour


75

Mask, cannulae and tubingMask and cannula are very important parts of home oxygen equipment. You must use only Air Products supplied masks, tubing and cannulae.

Cannulae can easily become blocked and masks can become dirty over time. It is very important to keep both mask and cannulae as clean as possible.

You should replace cannulae monthly or on the advice of your health care professional. With regular cleaning, masks will last

approximately 3-6 months. You can request new cannulae and masks from your homecare service engineer when they visit you or by calling the Homecare Helpline on 0800 373580 Monday-Friday 8.00am to 5.00pm.

The tubing we supply has been specially designed to prevent crushing (which can restrict the flow of oxygen) but it is always important to check that the tubing is not kinked or trapped anywhere.

If you need to secure a cannula to the patient’s face, then speak to your health care professional who will be able to advise you.

Caution Cannulae should be cleaned daily with a disinfectant wipe or a warm soapy cloth. NEVER immerse your cannula in water.Oxygen masks should be cleaned daily in hot soapy water. Rinse and thoroughly air dry before use.Non-rebreather masks must not be immersed in water. Wipe them down daily using a disinfectant wipe or a warm soapy cloth.

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How to fit a cannula1. Place the nasal prongs into the patient’s nostrils taking care not

to damage the soft tissue

2. Tuck the tubes extending from the nasal oxygen port behind the ears of the patient

3. Secure the cannula by sliding the plastic toggle at the back of the patients head (older children and teenagers should secure the toggle underneath their chin)

Cannulae are available in different shapes and sizes. Please take note of the cannula type your homecare service engineer supplies you with. This will ensure you receive the correct cannula should you call the Homecare Helpline to order more.

1

2

3

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Relieving irritation and drynessMasks and cannulae can irritate the nose and skin, especially for people on high flow rates. To relieve skin irritation and prevent dryness use water-based moisturiser on your skin, or non-petroleum gels such as KY Jelly for the nose. DO NOT use petroleum based gels or creams such as Vaseline. If in doubt, consult our Homecare Helpline on 0800 373580.

Your oxygen supply tubeThe oxygen supply tube carries oxygen from the cylinder or concentrator machine to the mask or cannula. It is an important piece of equipment.

Check the oxygen tubing regularly for any obvious signs of damage such as kinking, flattening or splitting. If you notice any damage, replace it immediately.

Ensure that tubing does not become trapped, for instance in furniture, doors, as this will restrict, or even stop the flow of oxygen.

Please also take care to minimise problems which can be caused by pets in your home ie puncturing the tubing.

TroubleshootingIf you cannot resolve the issue with the information in this guide, switch to your back-up supply and call the Homecare Helpline on 0800 373580-for emergencies this helpline is available 24 hours a day, 7 days a week, 365 days a year.

CautionUnder no circumstances should the oxygen supply tube be totally immersed in water.

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Caution Concentrator machines are heavy. Always take care when moving them.

Travelling with oxygenTravelling with a concentrator machineYou are able to transport a concentrator machine but please remember the following points:

• The concentrator machine must always be kept in an upright position

• Always remember to take the back-up cylinder with you as well – just in case of emergencies such as a power cut (ensure this is safely secured during transport)

• Do not leave the concentrator machine on view in your car whilst it is unattended

• If you travel to one of Air Products’ regions then if you have any problems with the machine simply call the Homecare Helpline on 0800 373580

• If you travel to a region that is not served by Air Products then we cannot visit you if there is a problem with the machine. We can however arrange for a holiday supply free of charge – see the ‘Holiday service in the UK’ section for more information

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Transporting oxygen equipmentYou can transport oxygen equipment providing you follow this advice:

• Always display a warning sticker in the back (offside rear) window. You can find one in the pocket at the back of this book. To request additional copies call us on 0800 373580 between 8.00am-5.00pm Monday to Friday. Always remove this sticker when not carrying oxygen

• Inform your insurance company that you will be carrying oxygen. See back page for a sample letter

• Ensure that the cylinders are secured safely in the boot of the vehicle, behind the front seats or on the back seat with a secure fastening

• Never transport cylinders in the front passenger seat

• If transporting several portable cylinders always carry them in a green safety box; we can provide this if needed

• Individual portable cylinders should be kept in the carry bag

• Never use oxygen in a fuel station and never smoke while using oxygen in the car

Caution You may find large cylinders heavy. Always take care when moving them.

×

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Travelling with cylindersIf you transport cylinders in your car please bear in mind these points:

• Make sure the cylinders are safely secured in the boot of the car, behind the front seats or strapped in the back seat

• If you have a full car, safely secure the cylinder bag over the back of the front seat so the back seat is free for your passengers

• If you are transporting more than one cylinder you could use an Air Products cylinder safety box – ask your homecare service engineer for one when you next have a cylinder delivered or call our Homecare Helpline

• Never smoke while oxygen is being used in the car

• Make sure that oxygen is not being used when you’re in a fuel station

• Never store cylinders in the car

• If you have to leave cylinders unattended in the car then make sure that they are kept in the boot somewhere out of view

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Secondary AddressesWe appreciate that there could be several occasions where oxygen is regularly required at a second address. This could be a holiday home, a family members’ house you visit regularly or respite care.

Air Products can provide an oxygen supply exactly the same as the one supplied at your home to another address.

Please call our Homecare Helpline on 0800 373580 for more information.

Public transportYou are able to transport oxygen on public transport, however there are no nationwide answers to what the trains, coaches, buses and taxis will allow.

If you find that you are having problems finding a taxi that will take oxygen equipment, get in touch with the taxi legislation office at your local council. They will be able to let you know which taxis are registered to carry disabled passengers.

If you do use public transport, please ensure the cylinder is secure while the vehicle is moving.

Moving houseIf you are moving house, you just need to find out the name of your new doctors’ surgery (if you are changing) then call our Homecare Helpline on 0800 373580 and we will organise everything with you over the phone.

Please inform us two weeks in advance of any permanent change of address.

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Holiday service in the UKA HOOF is not required for stays away from home within the UK eg holidays or visiting family. Please call our Homecare Helpline on 0800 373580 with the address that you will be staying at and the dates you will be arriving and departing. We will organise a delivery of oxygen supplies to your destination and have this supply removed once you leave.

Please note this only applies if the oxygen equipment required for your stay is the same as you have at home. If you require different equipment please see your health care professional who will send us a HOOF.

Please give us at least two weeks notice of any stays away from home.

Oxygen supplies delivered as part of the Home Oxygen Service within the UK are supplied free of charge.

Southern Ireland is excluded.

Going further afieldIf you’re travelling abroad you will need to arrange for oxygen supplies yourself. We may be able to provide details of local suppliers, please call our Homecare Helpline on 0800 373580.

Travelling abroad with oxygen is not a free service.

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CruisesOxygen for cruise holidays from the UK is not available under the Home Oxygen Service.

FlyingAir Products cylinders are for use within the UK only.

Are you fit to fly? Always speak to your doctor or health care team before planning a flight, they may ask you to complete a flight assessment.

If oxygen is needed during a flight, we recommend that you always speak to the medical officer of the airline you’re flying with. It could be that you have to pay for an oxygen supply when you are flying, but this depends on the individual company, the medical officer will confirm this when you speak to them.

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LifestyleWe appreciate that not all babies, children or teenagers are the same, regardless of whether they use oxygen or not. As our patients grow and develop they and their carers will need different support and information about their oxygen supply and living with oxygen.

We have devised these lifestyle sections to help our patients on their journey with oxygen; each one covering the different stages of development required to equip both patients and carers with relevant information, advice and support.

Baby and toddlerHaving spent some time with babies and toddlers who use oxygen and their carers, we realise that there are areas where some additional advice may be useful.

SwimmingIt is normally safe for children who use oxygen to go swimming, but you will need to check with your health care professional. After you’ve been told it’s safe, it is always worthwhile thinking about these suggestions and planning ahead a little bit.

We’ve spoken to other parents and they have recommended that the best time to visit the swimming baths is when it’s a little bit quieter. This is not because you should avoid other people, but you will need to take an extra length of long tubing and walk alongside the pool next to your child with their cylinder, and if it is very busy this can be difficult. Have a chat with your Homecare service engineer or call the Homecare Helpline on 0800 373580 and ask for spare tubing and cannula that you can use just as a ‘swimming set’.

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Birthday candlesIt is a great tradition to allow children to blow out candles on their birthday cake each year. However, if the birthday child uses oxygen some extra safety points will need to be remembered.

DO NOT allow any naked flames of any size or kind near an oxygen supply at any time.

This does not mean the birthday or celebration is ruined, you can get very realistic battery operated candles which will look just as special on top of the birthday cake.

Baby massageMassage has shown to be beneficial for a baby by helping them to relax and be calm, so there is no reason why a baby who uses oxygen should not be able to enjoy a baby massage. However, it is essential that no creams or ointment that contain any oils are used anywhere on the skin that the oxygen may touch. Use only water based creams and lotions on the skin at all times.

Blocked cannulaeWe know that babies and toddlers can get sniffles and colds easily and this can cause trouble with the opening to any cannulae that they wear. Please make sure that cannulae are changed regularly, but if the patient has a cold, change them as often as you feel you need to, especially if they’re getting blocked.

If you have run out of supplies, check which type of cannulae is being used, call our Homecare Helpline on 0800 373580 and we will happily send out some more in the post.

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Pets Pets in the home are seen as one of the family, but extra care may need to be taken if a home is shared by both a family pet and a baby or toddler who uses oxygen. Some respiratory conditions could be made worse by the presence of pet hair and fibres. Speak to your health care team for more advice.

PlayingAs a baby or toddler using oxygen, playing does not have to stop because of the oxygen supply. To ensure everyone’s safety there are a few points to remember:

• Make sure the tubing does not present a trip hazard for anyone, the patient or their playmate

• If a cylinder is being used, make sure that it is secure and is not likely to fall or topple over

• Make sure that the tubing cannot get caught or trapped anywhere, causing a block in the oxygen supply to the patient.

Pushchairs, prams and buggiesIf you have to take an oxygen supply out and about then please make sure that the cylinder is safely secured when using a buggy or a pram. If you’re able to and the tubing is long enough and safe to do so, you can wear the cylinder bag on your back while you push baby. If this isn’t possible or practical then you can store the cylinder in the shopping compartment, making sure that it is secure and won’t move around too much.

DO NOT balance the cylinder on the top of the pushchair or place the cylinder in with baby.

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What do I tell friends and family?It is only natural that you will want to show off your baby to everyone and why shouldn’t you?! However people may stare and ask questions that you think are insensitive, but this maybe because they have never seen a baby on oxygen before. We cannot offer suggestions on what to say to people as each patient is different and each person may react differently. From discussing this with other parents of babies who use oxygen the general feeling is that you should tell people what ever you feel comfortable with.

What can I let friends and family do?This again is a question only you can answer - you need to place yourself in situations that you feel comfortable with. It might be worth remembering that babies and toddlers are quick to catch infections so it is best to make sure everything is as clean as it can be – you could always ask people to make sure their hands are clean before they give baby a big cuddle!

Nursery and playgroupBefore attending nursery or playgroup, you will need to consult your health care professional. We have heard of plenty of occasions when toddlers who use oxygen have gone to nursery and playgroup with no problems, and Air Products will help make these occasions as easy and as trouble free as possible. We can provide oxygen at the nursery as a permanent secondary address, so there is always a supply there, just like at home (see the ‘away from home’ section for more details). We also have clinical nurse advisors and fully trained homecare service engineers who are more than happy to visit the nursery and provide training on all aspects of the oxygen supply for any member of staff.

You may feel anxious about taking your child home on oxygen. Please be reassured that although the equipment and oxygen safety information sound complicated, it isn’t and once installed the equipment is very easy to use.

Gaynor, Alder Hey children’s hospital, Liverpool

“ “

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School kidsAs children grow up and the time comes for them to attend school, this can present a whole new range of challenges. We have spoken to young patients of school age who use oxygen and their parents and carers to put together this section of further advice and support.

PetsPets in the home are seen as one of the family, but extra care may need to be taken if a home is shared by both a family pet and a baby or toddler who uses oxygen. Some respiratory conditions could be made worse by the presence of pet hair and fibres. Speak to your health care team for more advice.

SuncreamIn the summer it is essential that skin is protected from the sun by using a high factor sun cream, but it is really important that any creams containing oils and petroleum products are not used anywhere on the skin. If you’re not sure which ones these could be you can check the ingredients shown on the bottle or speak to your pharmacist and explain the situation.

SwimmingIt is normally safe for children who use oxygen to go swimming, but you will need to check with your health care professional. After you’ve been told it’s safe, it worthwhile thinking about these suggestions.

We’ve spoken to other parents, and they have recommended that the best time to visit the swimming baths is when it’s a little bit quieter. This is not because you should avoid other people, but you will need to take an extra length of long tubing and walk alongside the pool next to your child with their cylinder, and if it is very busy this can be difficult. Have a chat with your homecare service engineer or call the Homecare Helpline and ask for spare tubing and cannula that you can use just as a ‘swimming set’.

Having lots of water splashed in their face or diving off the side of the pool isn’t such a good idea either!

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Birthday candlesIt is a great tradition to allow children to blow out candles on their birthday cake each year, however, if the birthday child uses oxygen some extra safety points will need to be remembered.

DO NOT allow any naked flames of any size or kind near an oxygen supply at any time

This does not mean the birthday or celebration is ruined, you can get very realistic battery operated candles which will look just as special on top of the birthday cake.

Attending school It is important that your child’s school is kept as well informed as they can be. Air Products is very happy to help with any training or education that the school feels it can benefit from. For example, one of our fully qualified Homecare service engineer spends time with teachers and school staff to make sure they are confident they know all about the equipment and how to use it. If you would like to arrange this please contact our Homecare Helpline on 0800 373580.

We can also provide what we call a ‘permanent secondary supply’ to the school, this is where there is an oxygen supply and equipment exactly the same as at home at the school. This means that any refills can be ordered just as they would be at home, should they be required. See the ‘away from home’ section of this guide for more details.

Physical Education (PE)As with everything we have previously mentioned, as long as all health and safety guidelines are followed there shouldn’t be any issue with a patient on oxygen taking part in PE lessons. However, we recommend that you always seek advice from your health care professional before taking part in exercise.

Air Products will gladly discuss these health and safety instructions with any member of the school staff.

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School tripsSchool trips are part of school life and it should be possible for any child, even if they are using oxygen, to take part in them. The only difference is that Air Products CANNOT supply oxygen to a tent, and an oxygen supply should never be used in a tent.

The same principle and process as a holiday in the UK should be applied (see the ‘away from home’ section) although the school should agree to this in the first instance before any further arrangements are made.

If the school trip is to an area where Air Products supplies oxygen (see the ‘away from home’ section to check this) then we can even arrange for a Homecare service engineer to visit the location of the trip to complete any risk assessments that may be needed.

We only request that all of our safety information is followed, with no compromise being made to anyone’s safety or wellbeing. It is also recommended that your GP is informed and is able to make any tests or assessments they feel are needed.

Sports dayAgain, as mentioned in the section overleaf, there is no reason why any child who uses oxygen shouldn’t be able to take part in sports day if they want to. Again, it’s important to have a good supply of oxygen and follow the health and safety advice.

Clubs, groups etcAs with school, Air Products are happy to speak to any leaders or members of staff to provide education and training about the oxygen supply and equipment. The only thing to remember is that we cannot supply oxygen to a tent or recommend that oxygen is used in a tent so camping is not possible – but staying in a bunk house is just fine!

As oxygen can help fires burn more fiercely we recommend that anyone using oxygen stays at least 3m(10 feet) away from naked flames – and this will include campfires.

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TeensSo, you have grown up and you’re now a teenager and there’s loads of new stuff that you need to know about, especially if you use oxygen as well.

Don’t panic! We have spoken to teens just like you who use oxygen, so just put your feet up, chill out and have a look through this info.

Make up Having a bad skin day? Thinking about covering up those spots with make-up? STOP! Have another think – ensure that any make-up you’re planning to use does not have oil or petroleum based products in it. Any product that has any of this stuff in it that touches the skin where your oxygen touches it can irritate the skin and cause sores which look much worse than spots.

Why not pop in and have a chat with the lovely ladies behind the make-up counters in a department store? Tell them what the issue is and see if they can help you.

Facewash, moisturiser and spot creamsHopefully you know what is coming – always check the contents of your facewash, moisturiser and any other creams or lotions and potions you use on your skin. You don’t want to use anything that has oil or petroleum based products in it – this does not react well with your oxygen and can irritate the skin causing sores.

If you’re having trouble finding something that works on those skin problems and keeps you all squeaky clean without any oil or petroleum products in it, have a chat with someone in the chemist or even your GP.

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SuncreamHave you got it yet? – yep, check the ingredients in your bottle of sun cream making sure that there are no oils or petroleum based products in your sunscreen. It won’t just be sunburn you get otherwise.

Speak to an expert at a chemist and see if they can recommend something without the oil in that you can use.

SmokingThis is simple – never smoke whilst you’re using oxygen. Oxygen is a gas which when mixed with fire can make things burn superfast, faster than they will do normally – so don’t do it. Apart from that, it’s not likely to make you any better.

If your friends smoke, have a word and ask them to do it out of your way.

Keep away from naked flamesNever get close to a naked flame when you’re using your oxygen. This doesn’t mean you can’t enjoy fireworks or bonfires etc but you will need to keep a safe distance from them (3m for open fires 1.5m for closed fires) If you want more advice then give us or your local Fire & Rescue Service a call.

FriendsThere is nothing stopping you heading out and doing cool stuff with your mates and even going on dates. Just remember the basic safety, keep safe and you’re good to go.

If you’ve got a group of you that hang about together all the time, it might be worth giving them the info on why you’ve got to use oxygen and what it means. You could also tell them what to do if you start to feel poorly, that way if anything happens to you when you’re out with them, they’ll be able to do something to help.

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You could always arrange for some first aid training at school – that way EVERYONE would know what to do! Check out the details of St John’s ambulance in the ‘useful links’ section of this guide or have a chat with your teacher.

Looking goodYou’re a teenager and we know there is nothing that can stop you looking cool – not even an oxygen cylinder!

We give you a carry bag for your portable cylinder as we want to make sure that it can be carried easily and is secure when you’re out. If you can use something of your own which looks loads better – go ahead – use it to carry your cylinder, we’ve got no issue with that. The only thing we ask is that you make sure the cylinder is secure and not rolling or rattling around.

HolidaysThere is nothing stopping you heading away on holiday with your oxygen (well, make sure you’ve checked with your parents that it’s ok first!!) just follow the advice and guidelines shown in the ‘away from home’ section and you’ll be fine. Just keep those safety rules in your head at all times.

ExamsExams can be a bit stressful and that is something you don’t need. Most teachers can be quite cool if you’re not 100% well generally – have a chat and see if they can get you some extra time to get through them.

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DrivingYou’re 17 and you want to learn to drive? Think your oxygen will cause you some problems? No, it won’t!

Have a look at the pictures in the ‘away from home’ section that show you how you can safely store your oxygen whilst you hit the road! If you’re learning in an instructors’ car, make sure that you have one of those orange safety stickers to put in the rearside window if you take your cylinders on your lesson. If you need any more of them, just give 0800 373580 a call and ask for a load of spares, we’ll make sure they head out in the post to you.

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Glossary of termsYou may feel like sometimes your clinicians and your Air Products’ team are talking a different language, which can make your Home Oxygen Service seem daunting. Hopefully this glossary of terms will help make things a bit clearer.

Ambulatory: This term is used to describe any oxygen system that can be used on the move or outside the home.

Barrel: This is the section that attaches to the bottom of the mask (it can be different colours) to determine the percentage of oxygen that the patient receives. The type of barrel is determined by the details provided on the HOOF.

Cannulae: They can also be known as ‘nasal specs’ and is the plastic tubing with the pieces that fit up the nose to supply the oxygen.

Concentrator machine: This is the term for the machine that plugs into the electricity and produces oxygen from the surrounding air.

Conserver: This is the name for a small device that fits on a portable cylinder that can make it last up to three times as long. This device will only be supplied to patients who are over seven years old and have been assessed by their health care professional.

Consumables: These can also be known as disposables and applies to the mask, tubing and cannulae that should be renewed regularly.

Cylinder: This is the name for the oxygen tanks and applies to both the larger cylinder with the green top and also the smaller ones that can be carried around.

Dewar: This the large stationary container for LOX used to refill the portable devices.

Fire break: This is the small white plastic device which is fitted on to the length of tubing, the blue arrow should always be facing the patient and should NEVER be removed as it can prevent fire spreading up the tubing. For your information there will not be a firebreak fitted on ambulatory tubing.

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Flowrate: This is the term used to describe how many litres per minute the patient has been ordered. This setting is decided by a health care professional and should not be altered unless specifically told to do so.

HOOF: This stands for Home Oxygen Order Form and is the form that your GP or health care team will complete to let us know what your oxygen supply should be and where we should deliver it. This form should be used for supplies at home, on holiday and at any permanent secondary address.

Lightweight cylinder: A portable cylinder weighing less than 3kg for use by young children and frail adults following ambulatory assessment.

LOX: This is an abbreviation for Liquid Oxygen.

LPM: This is an abbreviation for Litres Per Minute

LTOT: This stands for Long Term Oxygen Therapy and is a continuous oxygen supply in the home, normally for 15 hours per day or more.

Mode of supply: This is the term used to describe the equipment that has been provided to supply you with the details shown on the HOOF.

Paediatric: This is the term used by health care professionals to describe anything relating to the medical care of children.

SBOT: This stands for Short Burst Oxygen Therapy and is an oxygen supply for patients who suffer intermittent breathlessness or other symptoms that do not require long term oxygen therapy.

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Useful contactsWe have compiled this list of organisations which we think could be of use to you.

Air Products – www.airproducts.co.uk/homecare or 0800 373580Our website provides a wealth of information regarding the service, from safety advice to travelling with an oxygen supply. The website is easy to use with a section specifically for patients and carers.

British Lung Foundation – www.blf.org.uk or 03000 030 555This foundation is a UK charity supporting everyone affected by lung disease. The website provides details of FAQ’s, publications, how to donate and details of ‘Breathe Easy’ groups. Their patient helpline offers free, confidential and impartial advice.

Cystic Fibrosis Trust – www.cftrust.org.uk or 0300 373 1000Cystic Fibrosis Trust is the only national charity dedicated to all aspects of Cystic Fibrosis. The website contains information surrounding the disease and the helpline offers support for both sufferers and their carers.

Direct Gov – www.direct.gov.ukThis website has all public services information from the UK government and links to your local council. You can use this site for information about child disability allowances and social services.

NHS Direct – www.nhsdirect.nhs.uk or 0845 46 47NHS direct offers advice and guidance on all matters of health. Call the helpline or use the website to check symptoms, both are available 24 hours a day, every day of the year.

Smoke free - www.smokefree.nhs.uk or 0800 022 4332A website dedicated to helping people quit smoking for good. You can find everything from general facts and information, to details of support services in your area. There’s never been a better time to quit.

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Pulmonary Hypertension Association – www.phassociation.org.uk or 01709 761450 The Pulmonary Hypertension Association provides support, understanding and information. The website contains information on what Pulmonary Hypertension is, living with the disease, how to cope and a forum option for patients. The helpline is manned between 9am-3pm, Monday to Friday.

St John’s Ambulance – www.sja.org.uk or 08700 104950St John’s Ambulance is dedicated to ensuring as many people as possible have basic first aid knowledge. Contact them to arrange free resuscitation and first aid training and advice for all carers.

National Fire Service – www.fireservice.co.ukFree information on fire safety. You can also arrange a visit, at a convenient time and date, from your local Fire and Rescue Service who will complete a free home fire safety check on your property, fit smoke alarms (where needed) and help you devise an escape plan if you do not already have one.

We encourage all of our patients to take advantage of this valuable life saving service.

Bliss - www.bliss.org.uk or telephone 0500 618140Bliss is a UK charity for babies who are born too soon, too small, too sick. Their website offers support for families and friends, publications with specific advice and forums for parents or carers in similar situations giving an opportunity to chat and share experiences. The helpline is manned from 9.00am-9.00pm Monday to Friday and is staffed by fully trained advisors.

www.growingkids.co.uk This website offers advice and shared experiences of kids growing up in general!

www.connections-direct.com A Government website for 13- 19 year olds that offers loads of advice about options for education, training, jobs and looking after your health.

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Sample Motor Insurance LTD1 Sample Street

Sample TownSA1 MPL

Policy No: 123456789Policyholder: Mr A Sample

Dear Sirs

I am writing to notify you that, as a user of oxygen for medical purposes, I am required to transport oxygen cylinders in my vehicle.

I will of course follow all the safety guidelines on transporting oxygen cylinders provided to me by my oxygen service provider. These include, among other precautions, displaying a valid warning sign in my rear windscreen.

If you would like any further information please do not hesitate to ask.

Yours faithfully

Mr A Sample

In this pocket you will find:• Oxygen Patient Information Leaflet (PIL)• Caution card plus adhesive wallet for you to display in your car• No smoking sticker• List of equipment installed by our homecare service engineer

tell me moreFor more information please contact us at:

Air Products Healthcare 2 Millennium Gate Westmere Drive Crewe Cheshire, CW1 6AP Freephone: 0800 373580 Freefax: 0800 214709 Email: [email protected]

or visit www.airproducts.co.uk/homecare

© Air Products and Chemicals, Inc. 2012 365-11-098-UK AUGUST 12

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