C-Aire HELiOS Marathon H850 Operating manual

HELiOS ®Marathon™
Model: H850
CAIRE Inc.

English . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Español . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Português . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Ελληνικά . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

English
HELiOS are trademarks of CAIRE Inc.
To obtain information about a warranty, if any, contact CAIRE Inc.
Technical Services Department, or your local representative.
Covered by one or more of the following U.S. Patents and foreign
equivalents: 6,742,517 and 6,575,159.
This device is intended only for the delivery of medical grade oxygen as
prescribed by your physician.
If you have questions about the operation of the equipment, please contact
your oxygen supplier.

3
Contents
H850 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Warnings ................................................................. 5
Cautions .................................................................. 8
Notes ....................................................................... 9
Definition Of Symbols................................... 10
Label Description ......................................... 12
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Reservoir ............................................14
H850 Portable — front view................15
H850 Portable — rear view.................16
How To Use Your H850 Personal Oxygen System . . . . . . 19
Filling the H850 Portable ....................................... 19
Breathing From the H850 Portable........................ 28
Positioning of H850 Portable During Use .............. 34
Connecting the H850 Portable to the HELiOS
Reservoir .......................................................... 35
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Moisture Container ................................................ 39
Low Liquid Oxygen Level ...................................... 40
Low Battery Level .................................................. 41
Cleaning ................................................................ 42
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
External Flow Control ............................................ 48
Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Environmental Specifications ....................... 51

5
H850 Safety Information
This section contains important safety information related
to general use of the HELiOS®Marathon H850 Personal
Oxygen System, which consists of the H850 Portable and
a Reservoir.
Other important safety information appears throughout
the manual in sections that relate specifically to the
precautionary information. Be sure to read all text
surrounding all precautionary information.
Before use, carefully read this manual and all precautionary
information in boldface type, and product specifications.
Warnings
Warnings are identified by the WARNING symbol shown
above or other relevant symbols, as shown.
Warnings alert the user to potential serious outcomes
(death, injury, or adverse events) to the patient or user.
WARNING: Oxygen supplied from this equipment is
for supplemental use and is not intended to be life
supporting or life sustaining. This equipment is not
intended for use by patients who would suffer
immediate, permanent, or serious health consequences
as a result of an interruption in the oxygen supply.

H850 Safety Information
6 H850 Home Use Guide
Do not smoke near this equipment. Keep cigarettes or
burning tobacco away from the area where equipment
is operated.
Keep flammable materials away from this equipment.
Oils, grease, including facial creams and petroleum
jelly, ignite easily and may burn rapidly in the
presence of oxygen. Never lubricate any part of this
equipment.
Do not touch liquid oxygen or parts that have been in
contact with liquid oxygen. Liquid oxygen is extremely
cold (-297 °F / -183 °C). When touched, liquid oxygen,
or parts of the equipment that have been carrying
liquid oxygen, can freeze skin and body tissue.
Always keep the Reservoir in an upright position.
Always keep the H850 Portable in one of the following
positions: upright, flat on its back or any position in
between.
WARNING: When transporting the H850 Portable,
position the H850 horizontally, flat side down, to
ensure it does not tip over. Tipping over and falling off
a transport surface could damage the H850 Portable
or cause personal injury.
Keep this equipment away from electrical appliances.
Use and store Reservoir and H850 Portable at least
five feet from electrical appliances that may cause heat
or sparks.

H850 Safety Information
7
Keep oxygen equipment away from open flames. Use
and store Reservoir and H850 Portable at least five
feet away from equipment such as furnaces, water
heaters, and stoves that may contain open flames.
Keep equipment in a well-ventilated area at all times.
The Reservoir and H850 Portable periodically release
small amounts of oxygen gas that must be ventilated to
prevent buildup. Do not store liquid oxygen equipment
in a closet, car trunk, or other confined area. Do
not place blankets, draperies, or other fabrics
over equipment.
Do not carry the H850 Portable under your clothing.
The Reservoir and H850 Portable normally vent
oxygen. Wearing a H850 Portable under clothing may
saturate fabrics with oxygen and cause them to burn
rapidly if exposed to sparks or flame. It may take
several hours for oxygen levels in fabric to return
to normal.
WARNING: Never tamper with the equipment. Doing
so could create a hazardous condition and possibly
cause the equipment to work improperly.
WARNING: Always keep tubing or oxygen supply
line away from path of walking to avoid potential trip
or fall.
WARNING: Use only with recommended supply line.
Connecting the H850 Portable to a wrong gas source
could cause inhalation of hazardous substances.

H850 Safety Information
8 H850 Home Use Guide
WARNING: Do not open the vent valve during non-fill use,
or put it into any position other than the closed, upright, or
vertical position.
Cautions
Cautions are identified by the CAUTION symbol shown
above.
Cautions alert the user to exercise care necessary for the
safe and effective use of the H850 Personal Oxygen
System.
CAUTION: Consistent with the recommendations of
the medical community on the use of conserving
devices (which includes the nasal cannula), it is
recommended that the H850 Personal Oxygen System
be qualified on patients in the situations it will be used
(rest, exercise, sleep). Differences in nasal cannula
design may vary the ability to trigger a conserving
device.
CAUTION: Although there are no risks associated
with the disposal of any components within this device,
in the interests of environmental protection, it is
recommended that all used or faulty components that
are under warranty be returned to the manufacturer.
CAUTION: Remove the 9 volt battery from the
Reservoir contents indicator if it will not be used for
some time (see manual section Low Battery Level).
Carefully dispose of the 9 volt battery from the
Reservoir contents indicator with due regard for the
environment.

H850 Safety Information
9
Notes
Notes are identified by the NOTE symbol shown above.
Notes are listed before or after procedural steps or
information and provide additional guidelines or
information on the subject being described.

H850 Safety Information
10 H850 Home Use Guide
Definition Of Symbols
Symbol Definition
Reservoir Full
Reservoir Empty
Portable Full
Portable Half Full
Portable Empty
Low Battery
Drip Proof
Type BF (Electrical Safety)
Manufacturer
1 bar = 14.5 psi

H850 Safety Information
11
Definition Of Symbols (continued)
Symbol Definition
Refer to documentation for
information.
Serial Number
Fragile. Handle with care.
Keep dry
Non-flammable, non-toxic gas.
Oxygen is a non-flammable, non-
toxic gas.
Fire intensifying risk. High
concentration of oxygen can cause
rapid burning of other substances.
This device complies with the
requirements of Directive 93/42/EEC
concerning medical devices. It
therefore bears the CE marking as
shown.
This pressure vessel complies with
the requirements of Directive
2010/35/EU concerning transportable
pressure equipment. It therefore bears
the Pi marking as shown.
SN

H850 Safety Information
12 H850 Home Use Guide
Label Description
Legend
1 Working Pressure
2 Test Pressure
3 Tare Mass
4 Water Capacity
5 Inspection Mark
SN Serial Number
Refer to Manual

13
Introduction
Your HELiOS®Marathon H850 Personal Oxygen System
is designed to store and deliver oxygen at a prescribed
rate. The system consists of the H850 Portable and a
Reservoir.
It is recommended that you breathe your prescribed
oxygen rate from the H850 Portable. The H850 Portable
can be supplied with oxygen for you to breathe in
two ways.
1. You may fill the H850 Portable with liquid
oxygen so you can be free to move about your
home or leave your home for extended periods.
2. You can connect the H850 Portable to the HELiOS
Reservoir. See the section Connecting the H850
Portable to the HELiOS Reservoir.
The H850 System was designed to maximize your
freedom of movement. You can fill the H850 Portable
with liquid oxygen from the Reservoir every day to use as
far from the Reservoir as you desire.
When you are in your home and not moving about, such
as in the evening or while you are sleeping, you are
encouraged to connect the H850 Portable to a HELiOS
Reservoir with an oxygen supply line (demand mode
only). When the H850 Portable is connected to a HELiOS
Reservoir in this manner, the oxygen you breathe is
supplied by the Reservoir.
Your oxygen supplier or home care provider must refill
your Reservoir periodically depending upon your rate of
oxygen use.

Introduction
14 H850 Home Use Guide
Reservoir
(1) Liquid Oxygen Fill Connector: Used to fill the H850
Portable with liquid oxygen.
(2) Release Button: Used to disengage the Portable from the
Reservoir after filling.
(3) Moisture Container: Used to collect water that may
accumulate.
(4) Oxygen Outlet Connector: Used to directly supply gaseous
oxygen to the Portable or to an external flow control.
(5) Contents Indicator: Displays amount of liquid oxygen
remaining in the Reservoir.
(1)
(2)
(3)
(4)
(5)

Introduction
15
H850 Portable — front view
(1) Flow Control Knob: Adjustable, rotary valve used to control
the rate of oxygen delivery and to select either continuous flow
or demand flow.
(2) Oxygen Delivery Connector: Attach one tube of dual-lumen
cannula to receive oxygen from the H850 Portable.
(3) Sense Connector: Attach one tube of dual-lumen cannula to
start and stop oxygen flow with each breath.
(4) Liquid Oxygen Fill Connector (on the bottom): Used to
connect H850 Portable to the Reservoir during the filling
process.
(5) Oxygen Inlet Connector: Attach oxygen supply line to
supply H850 Portable with gaseous oxygen from the
Reservoir.
(6) Carrying Handle
(2)
(3)
(1)
(6)
(5)
(4)

Introduction
16 H850 Home Use Guide
H850 Portable — rear view
(1) Vent Valve: Used to start and stop the filling process.
(2) Liquid Oxygen Fill Connector: Used to fill the H850
Portable with liquid oxygen.
(3) Contents Indicator: Displays the amount of liquid oxygen in
the H850 Portable.
(4) Contents Indicator Strap: Used to lift the H850 Portable to
measure the amount of oxygen it contains.
(1)
(2)
(4)
(3)

Introduction
17
Other parts of your personal oxygen system include:
Dual-lumen
Cannula
Back Pack
(optional)