BOC CD User manual

Best-in-class cylinder packages
BOC Healthcare pioneers the medical gas products and services that will
deliver tomorrow’s patient care today. Our unrivalled commitment to
improving medical gas technology, reduces costs, and optimises patient
treatment. All BOC Healthcare gas cylinders are designed to be robust,
reliable, convenient to use and safe to handle. To provide the highest
quality, all cylinders are tested at every fi ll to ensure patient safety.
Integral valve cylinders
BOC was the fi rst UK company to introduce integral valve cylinders to
the healthcare sector. These simple, ready to use cylinders require no
additional equipment. The lightweight packages in the range are more
convenient to use and hold more gas than conventional cylinders.
The benefi ts and features of these cylinders are:
• constantly live gauge indicates gas levels, even when the cylinder
is not turned on
• higher gas capacity for less cylinder changes
• lightweight for less lifting effort, making it Ideal for ambulatory use
• clear product labelling to avoid selecting the wrong gas
• improved manual handling, minimising the risk of injury
• easier to store and handle due to its flat stable base and
carry handle
• eliminates the costs of buying and maintaining separate regulators
• tamper-evident covers to ensure the gas is uncontaminated and
safe for the patient
• no need for a cylinder key
• simple push fit connection to save time.
With BOC as your provider, you can be sure to benefi t from leading-
edge technology.
Medical oxygen.
Integral valve cylinders (CD, ZD, HX, ZX).
→ BOC: Living healthcare
Cylinder features
Convenient
carry handle
Easy on/off hand wheel
Clear product identity
Flat base
Flow selector
“Live”
content gauge
Batch label
Collar label
Cylinder bar code
Firtree outlet
Capstan
Schrader outlet

03Cylinder instructions
5.4 Turn the fl ow selector to zero.
5.1 Remove the mask or nasal
cannula from the patient.
4.2 Ensure the clinical condition
of the patient remains satisfactory
throughout the therapy.
4.1 Place a mask or nasal
cannula onto patient.
If using a mask ensure a tight
seal. Check the gas is fl owing
and that there are no leaks
indicated by a hissing sound.(1)
3.1 Insert the oxygen probe into
the Schrader outlet.
Ensure the probe clicks securely
into place.
5.6 Check the cylinder gauge,
for content level (refer to duration
chart).
Return the cylinder to a
designated ‘in use’ or empty
storage area.
5.3 Disconnect equipment.
i) Remove the tubing by fi rmly
pulling the tube whilst holding the
cylinder handle.
4.4 Check the contents gauge at
regular intervals, to ensure there
is suffi cient gas (as described in
2.3).
3.3 Check for leaks which
maybe indicated by a
hissing sound.(1)
5.5 Replace the outlet cover.
i) Pull up the hinged grey cover.
ii) Refi t the red cover.
5.2 Turn off the cylinder by
rotating the hand wheel clockwise
until it comes to a stop.
Do not use excessive force.
4.3 Use pulse oximetry where
appropriate.
3.2 Slowly turn on the cylinder
by rotating the hand wheel anti-
clockwise until it comes to a stop.
Do not use excessive force.
ii) Release the probe by twisting
the capstan clockwise.
5. After use.
4. Monitoring during use.
3. Using the Schrader outlet. Note:
(1) If you suspect that you have
a leak, turn off the cylinder and
check the equipment is properly
connected. Turn on the cylinder
and re-check for leaks. If the leak
continues, turn off and quarantine
the cylinder and contact BOC
Healthcare.
02 Cylinder instructions
Instructions for use.
1. Initial safety checks.
Before handling cylinders ensure your hands are clean. If you have
been using alcohol based gel or liquids to decontaminate your hands
make sure the alcohol has totally evaporated.
2.1 Ensure you have the correct
medical gas by checking the
cylinder label.
2.7 Attach tubing from mask or
nasal cannula to the fi rtree outlet.
Ensure the tubing is pushed on
securely.
2.6 Remove the valve outlet cover.
i) The hinged grey cover is pulled
down.
Do not remove the grey cover
and refi t after use.
2.5 Prepare the cylinder for use
before placing near the patient.
Do not place the cylinder on the
bed before you have set up the
cylinder.
When selecting the cylinder for use, check that the cylinder is clean and
free from any damage. Ensure the cylinder is free from oil and grease,
particularly around the Schrader and fi rtree outlets.
2.3 Make sure the contents gauge
is in the green zone. This indicates
that the cylinder is FULL.
2.9 Set the prescribed fl ow by
rotating the dial fl ow selector.
Ensure that the correct fl ow rate
number is clearly visible in the
fl ow selector window. Check the
gas is fl owing.
2.2 Check the expiry date on the
batch label fi tted to the cylinder.
2.8 Slowly turn on the cylinder
by rotating the hand wheel
anticlockwise until it comes to
a complete stop.
Do not use excessive force.
2.4 Remove the tamper evident
handwheel cover by pulling the
tear ring.
Discard the cover into the
recycle bin. If the cylinder has
been used before this cover
will not be present.
2.10 Ensure the cylinder is turned
on and leak tested before placing
near the patient. Use a suitable
cylinder holder where possible.
Do not place the cylinder on the
patient’s bed unless there is no
alternative.
2. Preparing a new cylinder for use.
Using the fi rtree.
If the cylinder has been used before make sure you have suffi cient gas for treatment by inspecting the
contents gauge. If the needle is in the red zone there is limited capacity and you may need to change
the cylinder (see duration chart overleaf).
ii) The red cover is removed by
pulling towards you.
Retain the red cover to refi t
after use.
2.7 Ensure the fl ow selector on
top of the cylinder is set to zero
and the hand wheel is turned off
before connecting equipment.
In the event of an emergency,
or if you suspect your cylinder
is leaking, contact BOC
Healthcare on 0800 111 333.

04 Cylinder instructions
Oxygen cylinder data summary
Cylinder code CD ZD HX ZX
Cylinder order code 101-CD 101-ZD 101-HX 101-ZX
Nominal contents (litres) 460 605 2300 3040
Nominal cylinder pressure (bar) 230 300 230 300
Nominal outlet pressure (bar) 4 4 4 4
Valve outlet fl ow connection 6 mm fi rtree 6 mm fi rtree 6 mm fi rtree 6 mm fi rtree
Valve outlet pressure connection BS 5682 Schrader BS 5682 Schrader BS 5682 Schrader BS 5682 Schrader
Valve operation handwheel handwheel handwheel handwheel
Flow-rate (litres/min) Firtree: 1-15/ Firtree: 1-15/ Firtree: 1-15/ Firtree: 1-15/
Schrader: 40 (nominal) Schrader: 40 (nominal) Schrader: 40 (nominal) Schrader: 40 (nominal)
Dimensions (inc. valve) L x D (mm) 520 x 100 525 x 101 930 x 140 930 x 143
Water capacity (litres) 2.0 2.0 10.0 10.0
Nominal weight full (kg) 3.5 4.1 19.0 14.0
Cylinder duration versus selected fl owrate (based on nominal fl owrate and normal cylinder contents)
Gauge contents
Full (100%) Half (50%) Low (25%)
Size Flowrate (ltr/min) (hr.min) (mins) (hr.min) (mins) (hr.min) (mins)
CD oxygen (460 ltrs) 15 0.30 30 0.15 15 0.07 7
9 0.51 51 0.25 25 0.12 12
6 1.16 76 0.38 38 0.19 19
4 1.55 115 0.57 57 0.28 28
2 3.50 230 1.55 115 0.57 57
ZD oxygen (605 ltrs) 15 0.40 40 0.20 20 0.10 10
9 1.06 66 0.33 33 0.16 16
6 1.40 100 0.50 50 0.25 25
4 2.30 150 1.15 75 0.37 37
2 5.00 300 2.30 150 1.15 75
HX oxygen (2300 ltrs) 15 2.33 153 1.16 76 0.38 38
9 4.15 256 2.07 127 1.03 63
6 6.23 383 3.11 191 1.35 95
4 9.35 575 4.47 287 2.23 143
2 19.10 1150 9.35 575 4.47 287
ZX oxygen (3040 ltrs) 15 3.22 202 1.41 101 0.50 50
9 5.37 337 2.48 168 1.24 84
6 8.26 507 4.13 253 2.06 127
4 12.40 760 6.20 380 3.10 190
2 25.20 1520 12.40 760 6.20 380
HLC/504370/UKS/BAMC/0513
The stripe symbol and the letters BOC are registered trade marks of The BOC Group Limited. Both BOC Limited and The BOC Group Limited are members of The Linde Group,
the parent company of which is Linde AG. Reproduction without permission is strictly prohibited. © Copyright 2013
BOC Healthcare
Customer Service Centre, Priestley Road, Worsley, Manchester M28 2UT
Phone [phone], Fax [phone], Email [e-mail], www.bochealthcare.co.uk
Safety information and precautions
• Oxygen is a non-flammable gas, but strongly supports combustion.
• Do not store or use medical gas cylinders near naked flames,
sources of ignition or combustible materials.
• Ensure the oxygen cylinders are stored in a safe and secure area
where they cannot fall over and cause injury.
• Clearly identify the storage areas with appropriate signage.
Ensure separation of full and empty cylinders.
• Store medical gas cylinders separately from industrial and other
non medical cylinders in a well-ventilated area that is clean and dry,
preferably inside.
• Smoking should not be permitted in the vicinity where cylinders
are used or stored.
• Ensure labels remain clearly visible at all times and not removed or
covered. Unauthorised labels/tags must not be fitted.
• Use a suitable trolley to transport large cylinders. Any stationary
cylinder trolley in a ward area should be fixed in place to prevent it
falling over.
• Where available, always use an appropriately designed cylinder
support to hold the cylinder whilst in use adjacent to the patient.
• Ensure the cylinder is set up and tested before placing near the
patient.
• Do not place the cylinder on the patient‘s bed unless there is no
suitable alternative for retaining the cylinder.
• Do not use oil or grease (or any oil-based products which includes
hand creams) in the vicinity of an oxygen cylinder.
• If you need to clean the cylinder do not use any materials which
contain ammonium or chlorine compounds.
• Do not refill or tamper with the cylinder package.