Dear Friends & Customers,

You have just learned that you will require home oxygen therapy. You may feel a bit nervous or apprehensive if you have never been on oxygen before, but you can breathe easy knowing that you will receive the highest quality oxygen equipment and respiratory services from Oxygen One. This booklet is designed to answer some of your questions about oxygen therapy and oxygen equipment. We want to help this be a smooth transition for you and your family.

Your Lungs and Home Oxygen Therapy

The purpose of the lungs is to breathe oxygen in and breathe carbon dioxide out. We breathe at a rate of 15 to 20 times per minute and with each breath, our lungs inhale oxygen and it is transported through the blood to all parts of the body. Everyone needs oxygen in order to live. When the body does not get enough oxygen, a person may experience shortness of breath, irregular heartbeats, fatigue, and loss of memory. An Arterial Blood Gas or Pulse Oximetry Test can tell if there is a sufficient amount of oxygen in the blood. If these tests show that there is not enough oxygen in the blood, then oxygen therapy is prescribed.

Oxygen Therapy

Oxygen is a gas that we cannot see, taste, or smell, but it makes up 21% of the air around us. Every cell in the body needs oxygen to function and cells receive their energy from a combination of food and oxygen. We can survive without food for a long time, but we cannot survive without oxygen for more than a few minutes!

Oxygen is a non-addictive drug and must be prescribed by a physician. Your doctor has indicated how much oxygen is needed per minute (flow rate) and when you need to use it. The physician determines the safe and clinically effective amount for you by your tests and your history. Using too much or too little oxygen can have harmful effects. Do not change your prescription without your Physician’s approval.

Oxygen Safety Guidelines

Oxygen is classified as “supports combustion” which means it does not burn by itself but is one of three ingredients necessary to start a fire. The other two ingredients are a combustible material (a fuel) and a source of ignition (a flame). Therefore it is important to follow these safety guidelines to prevent a fire.

No Smoking/No Open Flames/No Heating Sources

  1. Do not smoke or allow others to smoke near you.
  2. Stay at least 5 feet away from open flames or other heat and ignition sources.
  3. Do not store oxygen equipment near radiators, heating ducts, steam pipes, kitchen ovens, or any other sources of heat.

No Oil/Grease or Petroleum Products

  1. Do not use flammable products, such as aerosol sprays, paint thinners, gasoline, or oil-based lubricants while using oxygen.
  2. Do not use oil or grease on oxygen equipment.
  3. Do not use oil-based or petroleum-based cosmetics, lotions, or lip balms. These products can react with oxygen and cause a fire. It is safe to use water-based products.

No Household Electrical Appliances

  1. Do not use any household electrical appliances in an oxygen-enriched atmosphere. (Such as electrical heaters, electric blankets, and electric razors.)
  2. Do not use an extension cord with your concentrator. A power strip is a better choice if needed.
  3. Turn off the oxygen equipment when not in use.
  4. Do not keep a cylinder under bed linens, behind curtains, or in closets as these items may become oxygen enriched and sparks could ignite a fire.

Other Safety Rules

  1. Keep a fire extinguisher in your home and place a sign visible in a window or on a door to alert fire department personnel that oxygen is used in your home.
  2. Do not attempt to fix or repair oxygen equipment on your own.
  3. Do not touch frosted fittings on liquid systems with your bare hands.
  4. Store your cylinders in a well-ventilated area.
  5. Secure your cylinders so that they cannot be knocked over.
  6. Do open cylinder valves slowly.

Travel Safety Rules

  1. Do not transport oxygen in an enclosed area or the trunk of the car.
  2. Transport oxygen in the back seat of the car, secure it properly and open your window approximately one inch to avoid an oxygen-enriched environment.

General Instructions Regarding Delivery

Oxygen One delivers oxygen Monday through Friday. You have been assigned a delivery day based on your location. This day should be noted on the refrigerator magnet we have provided. Your delivery frequency will be based on your individual oxygen usage.


Every Day

  1. Check your oxygen contents levels or tanks.
  2. Make sure you have enough oxygen to last until your delivery day.
  3. Call for your delivery when you have 1 lights/tanks left.
  4. Call Oxygen One at (262)521-2202 or 1-888-OXYGEN-1 to order more oxygen.
  5. Check your supply of tubing, cannulas, connectors, and humidifier bottles (if applicable) and request additional supplies when you call for your delivery.
  6. In winter weather, arrange to have sidewalks shoveled and salted prior to your delivery.

The Day Before Your Delivery

A Patient Services Representative will call in the afternoon to schedule your delivery.

General Instructions Regarding Supplies

General replacement of supplies will be dependant upon your oxygen prescription. Please follow the guidelines below for replacing supplies such as tubing and cannulas. (These guidelines are for 24 hour-a-day oxygen users.)

Every 2 Weeks

Change the cannula on your most frequently used oxygen source (typically your concentrator).

Monthly

Change the cannula on your secondary oxygen source (typically your portable system).

Every 2 Months

Change any long (25 or 50 foot) tubing on your oxygen equipment.


Instructions for a Stationary Liquid Oxygen Unit

When oxygen is cooled to a very low temperature, approximately -297 degrees Fahrenheit, it becomes a liquid and if it is kept at a low temperature it will remain in a liquid state.

Since one liter of liquid oxygen equals 860 liters of gaseous oxygen, providing liquid oxygen for home oxygen therapy is a highly efficient method.

Liquid oxygen is delivered to the home in a stationary unit (also called a reservoir) which is used to fill the small ambulatory unit when the patient leaves the home, and can also be used as a backup system while inside the home.

The stationary unit and the ambulatory unit function somewhat like a thermos bottle and keep the liquid oxygen very cold and in a liquid state. When the unit is turned on, the oxygen passes through coils and warms to room temperature, converting to a gas.

Some advantages to using liquid oxygen include:

  • No electrical requirements
  • Quiet operation with virtually no moving parts or compressors
  • It delivers 99.9% oxygen at all times of use

Stationary systems are available in different sizes and models. The stationary unit will be refilled by Oxygen One, Inc. depending on your specific use (usually once a month). All models have the same basic parts, which include the following (See the next page for a diagram of these parts):

CONTENTS INDICATOR: Displays how much oxygen is in the unit.

FLOW RATE CONTROL KNOB: Allows the adjustment of your prescribed flow rate.

FILLING CONNECTION: Connection which allows the ambulatory (portable) unit to be filled.

PORTABLE RELEASE BUTTON: Depress to help remove the portable system from the stationary system


Instructions on How to Fill a Liquid Oxygen Portable

  1. Dry the Filling Connection on both the reservoir and the portable unit with a clean, dry cloth.
  2. Check contents indicator to make sure enough liquid oxygen is available.
  3. Firmly lower the portable unit onto the reservoir so the portables filling connection engages the reservoirs filling connection. Press straight down over the fill connector.
  4. While firmly holding the portable unit in place with one hand, open the vent valve lever 90 degrees down to the open position in which filling begins.
  5. Close the vent valve lever immediately upon hearing a sputtering noise. This is usually within 30 seconds to one minute, depending on the size of the portable.
  6. While holding the portable, gently pull it OFF the reservoir. If it is stuck, press the portable release button on the reservoir.
  7. Allow portable to sit upright for 30-45 minutes after filling.
  8. After filling, check the contents of the portable system, per manufacturer's guidelines.

WARNING: Do not touch Liquid Oxygen or the parts that have been in contact with Liquid Oxygen. Liquid Oxygen is extremely cold and when touched can freeze skin and body tissue.

Portable Liquid Systems - Portable Times and Filling Instructions

Helios H300

Approximate hours of use are when the portable is full and the patient is breathing 20 breaths per minute.

Liter Flow Approximate Tank Times
1 lpm 10 hours
2 lpm 6-8 hours
3 lpm 5 hours
4 lpm 4 hours

To read oxygen contents:

Holding the strap on the back, push the bottom back side of the unit until it is vertical. The green indicator will appear in the window, showing the amount of oxygen in the unit.

Helios H850 Marathon

Approximate hours of use are when the portable is full and the patient is breathing 20 breaths per minute when using the pulse dose setting. Continuous Flow Settings are also listed.

Liter Flow Approximate Tank Times
2 lpm 14-16 hours
3 lpm 10 hours
4 lpm 9 hours
1 lpm Cont. Flow 10 hours
2 lpm Cont. Flow 5 hours
3 lpm Cont. Flow 3 hours
4 lpm Cont. Flow 2 hours
5 lpm Cont. Flow 1.5 hours
6 lpm Cont. Flow 1 hour

To read oxygen contents:

Holding the strap on the back, push the bottom back side of the unit until it is vertical. The green indicator will appear in the window, showing the amount of oxygen in the unit.

Portable Liquid Systems- Portable Times and Filling Instructions

C1000

Approximate hours of use are when the portable is full. Continuous Flow Only.

Liter Flow Approximate Tank Times
1 lpm 15 hours
2 lpm 8 hours
3 lpm 5 hours
4 lpm 4 hours
5 lpm 3 hours
6 lpm .5 hours

C1000: Lift the unit by the strap nearest the indicator to check contents.

To read oxygen contents:

Lift the unit by the strap nearest the indicator. The color-coded gauge indicates the liquid level.

Caire Stroller

Approximate hours of use are when the portable is full. Continuous Flow Only.

Liter Flow Approximate Tank Times
1 lpm 15 hours
2 lpm 8 hours
3 lpm 5 hours
4 lpm 4 hours
5 lpm 3 hours

Caire Stroller: Press the button to check contents.

To read oxygen contents:

Depress the push button (liquid level switch) on top of the unit for two seconds minimum. Read across the top of the light bar to indicate contents level.

CAUTION: The unit is empty if only the last segment of the light bar is lit.

Portable Liquid Systems- Portable Times and Filling Instructions

C500

Approximate hours of use are when the portable is full. Continuous Flow Only.

Liter Flow Approximate Tank Times
1 lpm 8 hours
2 lpm 4 hours
3 lpm 2.5 hours
4 lpm 2 hours
5 lpm 1.5 hours

C500: Unstrap the plastic buckle and lIft the unit by the strap nearest the indicator to check contents.

To read oxygen contents:

LIft the unit by the strap nearest the indicator. The pointer indicates the liquid level.

Spirit 300

Approximate hours of use are when the portable is full and the patient is breathing 20 breaths per minute.

Liter Flow Approximate Tank Times
1 lpm 13 hours
2 lpm 6 hours
3 lpm 4 hours
4 lpm 3 hours
5 lpm 2.5 hours
2 lpm Cont. Flow 2 hours

Spirit 300: Suspend the unit by the ring to check the contents.

To read oxygen contents:

Suspend the unit directly above the black contents indicator by holding the ring. Allow the unit to stabilize and read the exposed colored scale for approximate contents.

CAUTION: If the unit is empty, only the red colored band of the scale will be exposed.


Instructions For An Oxygen Concentrator

Oxygen Concentrators were first introduced in the mid-1970’s and have become a reliable and convenient source for oxygen therapy in the home. An oxygen concentrator is an electrical machine that takes in the air we breathe which is 21% oxygen and 79% nitrogen, filters it and “concentrates” it to deliver approximately 90% or more oxygen to the customer. Note: There is never any danger of depleting oxygen in a room when you use a concentrator.

  1. Position: Place the concentrator approximately 6-12 inches from the wall and away from any heat registers, fireplaces, or any curtains/drapes.
  2. Plug-In: Plug in the power cord into a grounded outlet. Do not use an extension cord and do not plug into an outlet that is already being used or is a switched outlet.
  3. Power On: To turn on the concentrator, press the POWER ON/OFF switch to ON. An audible alarm will sound up to one minute after turning the concentrator on and then it will stop. (This alarm is checking itself in case of a power failure.)
  4. Adjust the Prescribed Ful Rate: Adjust the FLOW RATE CONTROL KNOB until the flow indicator is at the prescribed flow rate. (The center of the ball should be at the prescribed level.)
  5. Connect the Tubing: Connect the oxygen tubing to the oxygen concentrator via the GREEN (or black) NIPPLE ADAPTOR. Place a connector at the end of the 25 or 50-foot tubing.
  6. Attach the Cannula: Place the cannula on the end of the connector and fit the cannula so it is comfortable on your face.
  7. Power Off: Press the POWER ON/OFF switch to OFF when you are not using your concentrator.

Concentrator Cleaning and Maintenance

Wash the Air Inlet Filter: At least once a week, remove the air inlet filter and wash in a warm solution of soap and water. Rinse thoroughly with warm water and gently squeeze the excess water from the filter. Pat dry with a clean towel and replace the filter.

The location of the air inlet filter varies by manufacturer. Use the chart below to find the location on your machine:

Manufacturer Location
Airsep DeVilbiss Chad Back
Integra Top
Millenium Side
Invacare Both Sides
  1. Clean the Cabinet Surface: At least once a week, wipe the surface of the concentrator with a damp cloth or paper towel. Do not use sprays, polish or wax.
  2. Change the Cannula: Every 2 weeks, discard the old cannula and place a new cannula on the extension tubing connector. (A helpful reminder is to change the cannula on the 1st and 15th of the month.)
  3. Change the Extension Tubing & Connector: Every 2 months, or sooner if it becomes dry or brittle, discard the old extension tubing and connector and replace with a new extension tubing and connector. Do not throw the connector away until you have confirmed that you have additional supplies.

As rental equipment, Oxygen One will perform maintenance on your concentrator as required by the manufacturer. As often as every 6 months we will function check your equipment to ensure it is performing correctly. If you ever have questions or concerns about the function of your equipment, please feel free to talk to your Medical Technician or to contact our office.

Instructions for Filling a Venture Homefill Cylinder

  1. Make sure the Oxygen Concentrator is ON and has been running for at least 20 minutes before using the Venture Homefill Compressor.
  2. Adjust the FLOW RATE CONTROL KNOB (see instructions for an Oxygen Concentrator) on the concentrator to 3 liters per minute or LOWER (if your prescribed flow rate is 3 lpm or less, no adjustments are necessary.)
  3. To connect the cylinder to the Venture Homefill Compressor set the regulator FLOW RATE CONTROL on the cylinder to the OFF position. Remove the FILLPORT COVER (if present) and align the CYLINDER FILLPORT to the COMPRESSOR CRADLE. Press firmly DOWN on the cylinder while pulling UP on the compressor FILLPORT RING. The cylinder is properly connected when an audible "click" is heard.
  4. Turn ON the Venture Homefill Compressor by pressing the POWER ON/OFF switch to ON. The WAIT LIGHT (Yellow) will be lit while the compressor warms up (approximately 1 1/2 to 2 3/4 hours depending on the size of your cylinder.) The FULL LIGHT (Green) will then come on when the cylinder is finished filling.
  5. To remove the cylinder from the Venture Homefill Compressor, turn OFF the compressor by pressing the POWER ON/OFF switch to OFF. While holding the cylinder, grasp the compressor FILLPORT RING and push DOWN until the cylinder releases.

NOTE: If the ATTENTION LIGHT (Red) and the audible alarm is on, please call Oxygen One at 1-888-OXYGEN-1 (699-4361) for assistance in troubleshooting your unit.

Instructions for an M-6 Cylinder with Oxygen Conserving Device (OCD)

To Use:

  1. To start the flow of oxygen, open the tank by turning the TOGGLE counterclockwise at least 1/4 turn.
  2. Adjust the FLOW RATE CONTROL dial to your prescribed liter flow by aligning the number with the white arrow.
  3. Attach the cannula to the OXYGEN OUTLET CONNECTION on the regulator and place the cannula comfortably on your nose.
  4. The tank is full when the CONTENTS GAUGE reads 2000 psi.
  5. To stop the flow of oxygen, close the tank by turning the TOGGLE clockwise until it stops. Continue to breathe through the cannula until the CONTENTS GAUGE reads zero.

To Change or Transfer the Regulator to a New Tank:

  1. Verify that the tank is off by checking that the CONTENTS GAUGE reads zero and the TOGGLE is turned clockwise completely.
  2. Loosen the YOKE SCREW on the OCD/Regulator by unscrewing the YOKE SCREW counterclockwise until the regulator can be lifted off the post valve of the tank.
  3. Replace the empty tank with a full tank in your portable bag.
  4. Remove the plastic dust cover that protects the open holes on the valve.
  5. Turn the tank so that it will be easiest for you to replace the regulator.
  6. Lower the regulator over the POST VALVE, making sure the two pins and YOKE SCREW are aligned in the proper holes on the tank post valve. If the two pins and yoke are properly aligned, use your free hand to tighten the YOKE SCREW.
  7. To check if it is assembled properly, open the tank by turning the TOGGLE counterclockwise at least 1/4 turn. If you hear a loud hissing, turn the tank off and repeat #6.

Instructions for a Featherweight™ Cylinder

To Use:

  1. To start the flow of oxygen, hold the tank with the CONTENTS GAUGE facing you and turn the black ON/OFF KNOB counterclockwise (or towards you) approximately one full turn.
  2. The oxygen will begin flowing out of the REGULATOR at the amount set on the REGULATOR.
  3. Attach the cannula to the OXYGEN OUTLET CONNECTION on the regulator and place the cannula comfortably in your nose.
  4. The Featherweight™ tank is full when the CONTENTS GAUGE reads 3000 psi.
  5. To stop the flow of oxygen, turn the black ON/OFF KNOB clockwise (or away from you) until it stops. Breathe through the cannula until the Contents Gauge reads zero.

To Change or Transfer the Regulator to a New Tank:

  1. The black ON/OFF KNOB should be in the official position. (fully clockwise)
  2. To remove the REGULATOR from the tank; unscrew the regulator with your hands only (no tools are necessary) in a counterclockwise direction. (It feels somewhat like opening a 2-liter bottle of soda.)
  3. Remove the plastic protective cap from the new tank and install the REGULATOR on the new tank by centering the REGULATOR on the tank threads and tightening in a clockwise direction. (Hand tighten only-do not use tools!)
  4. Replace the oxygen cannula on the OXYGEN OUTLET CONNECTION of the regulator.

NOTE: If you have an adjustable flow regulator, your liter flow may be changed by turning the dial on top of the regulator to your prescribed liter flow.

Instructions for an M(60) Cylinder (Emergency Back-Up Tank)

The Back-Up Cylinder is provided for your safety in the event of a power failure or a mechanical failure of your oxygen equipment. Please check it periodically so that you will be prepared in the event of an emergency.

To Use:

  1. The Back-Up cylinder has a regulator already attached to provide your specific flow rate.
  2. To get oxygen from the cylinder you must slowly open the tank valve by turning the TANK VALVE HANDLE 1-3 turns counterclockwise.
  3. Check the CONTENTS GAUGE on the regulator. The needle will point to how much oxygen is left in the cylinder. A full cylinder will have a reading of 2000 to 2400 depending on the temperature and the specific tank.
  4. Once the TANK VALVE HANDLE is open, verify that the FLOW RATE CONTROL knob is set to your specific liter flow to start the oxygen flow.
  5. Attach the extension tubing with your cannula to the OXYGEN OUTLET CONNECTION on the regulator. Check the CONTENTS GAUGE regularly. When it reads 500 it is time to replace the cylinder.
  6. Turn off the oxygen (closing the tank valve) by turning the TANK VALVE HANDLE clockwise until it is tight. The oxygen will continue to flow for several seconds until the pressure reads zero on the cylinder.

When your M Tank (backup tank) is full (2000 psi) you can determine approximate tank times by using the chart below.

Liter Flow Approximate Tank Times
1 lpm 28 hours
2 lpm 14 hours
3 lpm 9 hours
4 lpm 7 hours
5 lpm 5 1/2 hours
6 lpm 4 1/2 hours

NOTE: Remember the cylinder will always read zero unless the tank valve is open!

Portable Gas Systems- Liter Flows and Tank Times

Approximate hours of use are when the tank is full (2000 psi) and the patient is breathing 20 breaths per minute.

*Approximate hours of use are when tank is full (3000 psi)

Tanks 1 lpm 2 lpm 3 lpm 4 lpm 5 lpm 6 lpm
M6 Cont. Flow 2.8 1.4 0.9 0.7 0.6 0.5
EasyPulse 5 9.8 6.3 4.7 3.8 3.1 N/A
Bonsai 8.5 4.3 2.8 2.1 1.7 1.4
M9 Cont. Flow 4.2 2.2 1.4 1.1 0.8 0.7
EasyPulse 5 15.2 9.7 7.3 5.9 4.8 N/A
Bonsai 12.8 6.4 4.3 3.2 2.6 2.1
D Cont. Flow 7.1 3.5 2.4 1.8 1.4 1.2
EasyPulse 5 25.3 16.1 12.2 9.8 8.1 N/A
Bonsai 22.1 11.1 7.4 5.5 4.4 3.7
E Cont. Flow 11.4 5.7 3.8 2.8 2.3 1.9
EasyPulse 5 40.5 25.8 19.6 15.7 12.9 N/A
Bonsai 35.4 17.7 11.8 8.9 7.1 5.9
FW 1* Cont. Flow 8.0 4.0 3 2.0 1.5 1.0
EasyPulse 16.0 8.0 6 4.0 3 N/A
FW 2* Cont. Flow 4.0 2.0 1.5 1.0 0.5 0.25
EasyPulse 8.0 4.0 3 2.0 1.5 N/A
Transfill 1 lpm 2 lpm 3 lpm 4 lpm 5 lpm 6 lpm
ML6 Cont. Flow N/A 1.4 N/A N/A N/A N/A
EasyPulse 5 9.8 6.3 4.7 3.8 3.1 N/A
ML9 Cont. Flow N/A 2.2 N/A N/A N/A N/A
EasyPulse 5 15.2 9.7 7.3 5.9 4.8