Invacare Element IOC100P User manual

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User Manual
Invacare® Element™
Pneumatic Conserver
IOC100P

WARNING
Invacare® Element™ 2 Part No 1160840
 WARNING
DO NOT use this product or any available optional
equipment without first completely reading and
understanding these instructions and any additional
instructional material such as owner’s manuals, service
manuals or instruction sheets supplied with this product or
optional equipment. If you are unable to understand the
warnings, cautions or instructions, contact a healthcare
professional, dealer or technical personnel before
attempting to use this equipment - otherwise, injury or
damage may occur.
 ACCESSORIES WARNING
Invacare products are specifically designed and
manufactured for use in conjunction with Invacare
accessories. Accessories designed by other manufacturers
have not been tested by Invacare and are not recommended
for use with Invacare products.
NOTICE
Theinformationcontainedinthisdocumentissubjecttochange
withoutnotice.
NOTE:Updatedversionsofthismanualareavailableon
www.invacare.com.

TABLE OF CONTENTS
TABLE OF CONTENTS
Part No 1160840 3 Invacare® Element™
SPECIAL NOTES ............................................... 4
Receiving Inspection ........................................................................... 4
Intended Use ........................................................................................ 4
Disposal Instructions .......................................................................... 4
Principles of Operation...................................................................... 5
INTRODUCTION .............................................. 6
SECTION 1—GENERAL GUIDELINES ................... 7
Operating Information ....................................................................... 7
SECTION 2—FEATURES ................................... 10
SECTION 3—INSTALLING THE CONSERVING
REGULATOR ................................................... 12
SECTION 4—OPERATING INSTRUCTIONS ........ 14
SECTION 5—REMOVING THE CONSERVING
REGULATOR ................................................... 18
SECTION 6—TYPICAL PRODUCT PARAMETERS 19
Oxygen Cylinder Duration .............................................................20
SECTION 7—MAINTENANCE ........................... 21
SECTION 8—TROUBLESHOOTING .................... 22
Replacement Parts - Accessories ..................................................22
LIMITED WARRANTY .................................... 23

SPECIAL NOTES
Invacare® Element™ 4 Part No 1160840
SPECIAL NOTES
Signalwordsareusedinthismanualandapplytohazardsor
unsafepracticeswhichcouldresultinpersonalinjuryor
propertydamage.Refertothefollowingtablefordefinitionsof
thesignalwords.
Receiving Inspection
Removeproductfrompackageandinspectfordamage.Ifthere
isanydamage,DONOTuse.Contactyourdealer/HomeCare
equipmentprovider.
Intended Use
Theoxygenconservingregulatorisintendedforprescriptionuse
only,tobeusedaspartofaportableoxygendeliverysystemfor
patientsthatrequiresupplementaloxygenintheirhomeandfor
ambulatoryuse.
Disposal Instructions
Thisdeviceanditspackagingcontainnohazardousmaterials.
Nospecialprecautionsneedtobetakenwhendisposingthe
deviceand/orit’spackaging.
SIGNAL
WORD
MEANING
DANGER Danger indicates an imminently hazardous situation which,
if not avoided, will result in death or serious injury.
WARNING Warning indicates a potentially hazardous situation which,
if not avoided, could result in death or serious injury.
CAUTION Caution indicates a potentially hazardous situation which,
if not avoided, may result in property damage or minor injury
or both.

SPECIAL NOTES
Part No 1160840 5 Invacare® Element™
Principles of Operation
Theoxygenconservingregulatorisdesignedtobeusedwith
highpressureoxygensystems.Itconsistsofacylinder
connection,cylindercontentsgauge(ifequipped),hightolow
pressureregulator,orificeplateandaconservingdemand
module.Theregulatorreducesthehighpressureofthecylinder
totheworkingpressureoftheorificeplate.Theorificeplateuses
calibratedorificestodeliveraselectedflowtotheconserving
demandmodule.Theconservingdemandmodulecontrolsthe
pulsesizeandtimingtothepatient.Itsuppliesapulseofoxygen
atthebeginningofeachbreath.Thisreducestheoxygendemand
onthesystemandlimitsthedryingoftheairways.Theflowis
determinedbysettingtheflowcontrolknobtotheprescribed
flow.Theoxygenissuppliedtothepatientthoughthecannula.
 DANGER
DONOTSMOKEwhileusingthisdevice.Keepallmatches,lit
cigarettesorothersourcesofignitionoutoftheroominwhich
thisproductislocatedandawayfromwhereoxygenisbeing
delivered.
NOSMOKINGsignsshouldbeprominentlydisplayed.Textiles
andothermaterialsthatnormallywouldnotburnareeasily
ignitedandburnwithgreatintensityinoxygenenrichedair.
Failuretoobservethiswarningcanresultinseverefire,property
damageandcausephysicalinjuryordeath.

INTRODUCTION
Invacare® Element™ 6 Part No 1160840
INTRODUCTION
Theoxygenconservingregulatorincludesacombinationof
low‐pressureregulatorandanoxygenconserver,designedfor
usewithacylinderasanambulatoryoxygensystem.Itiscapable
ofdeliveringapreciseamountofsupplementaloxygenatthe
optimalpointinthebreathingcycle.Theconservergreatly
increasestheefficiencyinthedeliveryofoxygen,maximizingthe
beneficialeffectsandeliminatingunnecessaryoxygenwaste.
Whenwebreathe,approximatelyone‐thirdofthetimeisspent
inhalingandtwo‐thirdsexhaling.Asaresult,oxygendelivered
bycontinuousflowiswastedduringexhalation.Byeliminating
oxygenflowduringexhalation,atwo‐thirdssavingsispossible.
Additionally,theoxygenavailableduringtheveryfirstpartof
inhalationcontributesmostlytomeetoxygenneeds.Theoxygen
conservingregulatortakesadvantageofthesefactstoprovide
maximumefficiencyinthedeliveryofoxygen.Thisdeviceis
designedtobeanintegralcomponentofalightweight,
long‐lastingambulatoryoxygensystem.

SECTION 1—GENERAL GUIDELINES
Part No 1160840 7 Invacare® Element™
SECTION 1—GENERAL GUIDELINES
Whenusingtheoxygenconservingregulator,basicprecautions
shouldALWAYSbefollowed,includingthefollowing:
 WARNING
SECTION1‐GENERALGUIDELINEScontainsimportant
informationforthesafeoperationanduseofthisproduct.
Operating Information
“Caution:Federallawrestrictsthisdevicetosalebyoronthe
orderofaphysicianoranyotherpractitionerlicensedbythelaw
ofthestateinwhichhe/shepracticestouseorordertheuseof
thisdevice.”
Thisproductisnotintendedasalife‐sustainingor
life‐supportingdevice.
Onlypersonnelinstructedandtrainedintheuseoftheoxygen
conservingregulators/cylindersshouldoperatethisproduct.
Productcontainsmagnetic,ferrousmaterialthatmayaffectthe
resultsofanMRI.
Besureallconnectionsaretightandleakfree.
DONOTusealiquidleakdetectortotestforleaks.
DONOTautoclave.
DONOTgassterilizewithethyleneoxide.
DONOTcleanwitharomatichydrocarbons.
DONOTattempttorepairproduct.
DONOTimmerseproductinanykindofliquid.

SECTION 1—GENERAL GUIDELINES
Invacare® Element™ 8 Part No 1160840
Storeproductinacleanareawhennotinuse.
NEVERsmokeinanareawhereoxygenisbeingadministered.
NEVERuseaerosolspraysneartheequipment.
ALWAYSconfirmprescribeddosebeforeadministeringto
patientandmonitoronafrequentbasis.
DONOTuseifdirtorcontaminantsarepresentonoraround
cylinder,valve,productorconnectingdevices.
Notsuitableforuseinthepresenceofflammableanesthetic
mixture.
NEVERusenearanytypeofflameorflammable/explosive
substances,vaporsoratmosphere.
ALWAYSfollowANSIandCGAstandardsforMedicalGas
ProductsandFlowmeters(E‐7)andOxygenHandling(G‐4).
NOOXYGENisdeliveredwhenthepointerisalignedwith
“Off”.
DONOTblocktheoutletfittingorkinkthecannulawhenthe
productisinuse,thismaydamagetheunit.
Theuseofthisdeviceislimitedtotheoxygenpatient.Cylinders
MUSTbeusedonlybytheoxygenpatientandarenottobe
distributedtoanyotherindividualforanypurpose.
ThisproductisNOTtobeusedbypatientswhobreathethrough
theirmouths.
DONOTuseahumidifierwiththisproduct.
DONOTallowcylinderstotiporfall.Securegascylindersso
theycannotfall.Ensurecylinderisalwaysinuprightposition.

SECTION 1—GENERAL GUIDELINES
Part No 1160840 9 Invacare® Element™
DONOTallowoilfromyourhandsorothersourcestocomeinto
contactwiththecylinderpostvalve.Thesesubstancesmay
becomeflammableinthepresenceofoxygenandcauseinjury.
Avoidtouchingthecylinderpostvalvewheneverpossible.
Exampleofitemstoavoidarehandcreamsorlotions,cooking
oils,suntanoilsorsunblocksandsimilaroilyproducts.Ifyou
usethesetypesofproducts,washyourhandspriortouse.Ifthe
bottlefittingshouldcomeincontactwithsuchsubstancesit
shouldbecleanedoffwithadampclothpriortoconnectingitto
theconservingregulator.
NEVERoilorlubricatetheoxygenconservingregulatoror
cylinderpostvalve.NEVERuseanypenetratingoilorlubricant
suchasWD‐40®or3‐in‐1oil®.Ifcontinueddifficultyis
experiencedcontactyoursupplierforassistance.
DONOTstorecylindersnearsourcesofheatorflame.
DONOTusewhilesleepingwithoutconsultingyourhealthcare
provider.
Thisproductisdesignedtooperatewithastandardsingle
lumen,adultoxygennasalcannulawithamaximumlengthof
sevenfeet.
Thecannulaisforsinglepatientuseonly.
CannulaMUSTbeinstalledonoutletconnectionpriortouse.
DONOTplacetheunitundersuchitemsasblankets,bed
coverings,chaircushions,clothingandawayfromheatedorhot
surfaces,includingspaceheaters,stovesandsimilarelectrical
appliances.Whenthisproductisinuseasmallamountof
oxygenisvented.Withregardstoclothing‐wearingtheunit
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fabricstoreturntonormal.

SECTION 2—FEATURES
Invacare® Element™ 10 Part No 1160840
SECTION 2—FEATURES
 DANGER
Thisproductisnotintendedasalife‐sustainingor
life‐supportingdevice.
 CAUTION
MissingorillegiblelabelsMUSTbereplaced.Contactcustomer
serviceatthenumberonthebackpage.
Model IOC100P
FIGURE 2.1 Model IOC100P
CylinderPostValveT‐HandleClamp:Thisisusedtoattachthe
unittoanyCGA870post‐valvecylinder.
OxygenPressureGauge:Enablestheusertomonitorthe
contentsofthecompressedoxygencylinderandisprotectedby
arubberguard.
Selector Switch
Vent Hole
Oxygen Supply
Outlet Fitting
Cylinder Post Valve
T-Handle Clamp
Cylinder Alignment Pins
CGA870 Seal Washer
Oxygen Pressure Gauge
w/ Rubber Guard

SECTION 2—FEATURES
Part No 1160840 11 Invacare® Element™
SelectorSwitch:Enablestheusertoselectthedesiredsetting,as
wellas“OFF”and“CF”(continuousflow).Whennotinuse,the
switchshouldbeturnedtothe“OFF”position.
OxygenSupplyOutlet:Usethisfittingtoattachastandard
cannula.
CylinderAlignmentPins:Whenassemblingtheunit,these
parallelpinsMUSTbeinsertedintotheholesontheCGA870
postvalve.
CGA870SealWasher[MetalWasherwithViton®orequivalent
Seal]:Createstheinterfacebetweenthepostvalveandthe
conserverregulator.Besidesofferingaruggedinterface,italso
surroundstheoxygenpathinaringofstainlesssteelorbrass.
VentHole:Maintainsproperinternalpressure.DONOT
obstructwithanyobject,suchasalabelortight‐fittingcarrying
bag.
NOTE:UseonlyaCGA870SealWasher[MetalWasherwithViton
Seal].DONOTuseaplasticcompressiongasket.
FIGURE 2.2 Connection view of the IOC100P with CGA870
Connection

SECTION 3—INSTALLING THE CONSERVING REGULATOR
Invacare® Element™ 12 Part No 1160840
SECTION 3—INSTALLING THE
CONSERVING REGULATOR
 WARNING
DONOTallowoilfromyourhandsorothersourcestocomeinto
contactwiththeregulatorgasketorcylinderpostvalve.These
substancesmaybecomeflammableinthepresenceofoxygen
andcauseinjury.Avoidtouchingthecylinderpostvalve
wheneverpossible.Exampleofitemstoavoidarehandcreams
orlotions,cookingoils,suntanoilsorsunblocksandsimilaroily
products.Ifyouusethesetypesofproducts,washyourhands
priortouse.Ifthecylinderpostvalveshouldcomeincontact
withsuchsubstancesitshouldbecleanedoffwithadampcloth
priortoconnectingittotheconservingregulator.
DONOTdirectflowofoxygenatanypersonorflammable
materialwhenopeningthecylinder.
DONOTusewithoutCGA870SealWasher[Metalwasherwith
elastomerseal].
DONOTuseplasticyokeseals[Plasticcompressiongasket].
UseCGA870SealWashermadeofVitonandbrass.
TheCGA870SealWashersuppliedwiththeoxygenconserving
regulatorisreusable.
 CAUTION
DONOTusetoolstotightenT‐handle,thiscanleadtoover
tighteningandwillcausedamagetotheoxygenconserving
regulator.
Ensureallconnectionsaretightandleakfree.
DONOTuseliquidleakdetectortotestforleaks.

SECTION 3—INSTALLING THE CONSERVING REGULATOR
Part No 1160840 13 Invacare® Element™
NOTE:Forinformationonhowtooperatethecylinder,consultyour
equipmentprovider.
NOTE:Forthisprocedure,refertoFIGURE3.1.
1. LoosenthecylinderpostvalveT‐Handle.
2. Lowertheconserverover
anyCGA870postvalve
cylinderwiththe
alignmentpinstowardthe
holesonthecylinderneck.
3. Alignthetwopinsand
gasketwiththe
correspondingholeson
thecylinderpostvalve.
FIGURE 3.1 Attaching the
IOC100P to the Cylinder
NOTE:CylinderpostvalveT‐Handleshouldbealignedwith
indentationonpostvalve.
4. Whileholdingtheunitinplace,tightenthecylinderpost
valvebyturningclockwise.
5. Attachastandardcannula[7ft.(2.13m)orlessinlength]to
theoxygensupplyoutletfitting.
NOTE:Tightenonlybyhand.TheuseofatooltotightentheT‐Handle
maydamagetheunit.

SECTION 4—OPERATING INSTRUCTIONS
Invacare® Element™ 14 Part No 1160840
SECTION 4—OPERATING
INSTRUCTIONS
 DANGER
NEVERsmokeinanareawhereoxygenisbeingadministered.
NEVERusenearanytypeofflameorflammable/explosive
substances,vaporsoratmosphere.
 CAUTION
DONOTusepediatric,lowflownasalcannulasoroxygen
maskswiththeoxygenconservingregulator.
DONOTblockthecannulaconnectionorkinkcannulatubing
whentheoxygenconservingregulatorisinuse.Thismay
damagetheoxygenconservingregulator.
1. Priortoeachuse,inspectproductforvisibledamage.DO
NOTuseifanydamageisfound.
 WARNING
DONOTdirectflowofoxygenatanyperson,orflammable
materialwhenadjustingtheflowdial.
2. Turntheselectorswitchontheoxygenconservingregulator
tothe“0”OFFpositionbeforeopeningthecylindervalve.
RefertoFIGURE4.2onpage17.
3. Toreducetheriskofrapidoxygenrecompressionandfire,
openthecylindervalveslowlyandcompletelysothe
pressuregaugemovesslowlyasitindicatesthecylinder
pressure.

SECTION 4—OPERATING INSTRUCTIONS
Part No 1160840 15 Invacare® Element™
4. Listenforleaks.Ifaleakispresent,closethecylindervalve,
checktheCGA870sealwasher,andreinstall.Iftheleak
persists,DONOTusetheequipment.ContactyourHome
CareProviderforrepair.
5. Checktheoxygenpressuregaugetoverifythecylinder
pressure.
6. Ensurethattheventholeonthesideoftheunitisnot
obstructed.
7. Positionthecylindersotheoxygencylindervalveoutletis
pointingawayfromtheuserandanyotherperson(s).
8. Attachastandardadultsinglelumenoxygennasalcannula,
nolongerthansevenfeettotheproduct’soutletfitting.DO
NOTusepediatric,lowflownasalcannulasoroxygenmasks
withthisproduct.
NOTE:Aunitwithoutcannulaattachedmaypulseifsetatposition
1‐6.
9. Placethecannulaoveryourearsandpositiontheprongsin
yournoseaccordingtothecannulamanufacturer’s
instructions,orasinstructedbyyourHealthCareprovider.
RefertoFIGURE4.1.
FIGURE 4.1 Cannula Placement

SECTION 4—OPERATING INSTRUCTIONS
Invacare® Element™ 16 Part No 1160840
 WARNING
NOOXYGENisdeliveredinbetweensettings.Toobtaindesired
flow,theindicatingpointerMUSTalignwithaspecificnumber
onthedial.
Toavoidinjurytopatient,ALWAYSconfirmprescribedsetting
beforeadministeringtopatientandmonitorflowonafrequent
basis.
10. Turntheselectorswitchuntilindicatingpointerisaligned
withtheprescribedsetting.RefertoFIGURE4.2onpage17.
NOTE:Thecontinuousflowsetting(CF)isdesignedforemergencyuse
only.Theamountofoxygendeliveredwhenusingtheoxygen
conservingregulatorincontinuousflowmodeispresetto2L/min.
(litersperminute).Rememberthatinthismodetheoxygenwillbe
consumedatamuchfasterrate.Returntoanothersourcebefore
runningoutofoxygen.RefertoFIGURE4.2onpage17.
 WARNING
Whenpointeroncontentsgaugeentersredzone,itis
recommendedtoreplaceorrefillthecylinder.
11. Breathethroughthenoseandfeelapulseofoxygenasyou
inhale.
NOTE:Whenonapulsesetting,thereisfloworapulseonlyatthe
beginningofeachbreath.Ifyoudonotfeelthepulseatthebeginningof
eachbreath,checkthesetting.Ifthereisstillnopulse,turndialto2
L/min.continuoussetting.RefertoFIGURE4.2onpage17.
NOTE:Becauseeachpatient’sbreathingpatternisdifferentandthe
environmentvaries,itmaybedifficulttofeelsomelowsettingpulses.

SECTION 4—OPERATING INSTRUCTIONS
Part No 1160840 17 Invacare® Element™
12. Whenfinishedusingthesystem,closetheoxygensupply
cylindervalveandcontinuebreathingthroughthenasal
cannulauntilnofurtheroxygenflowisdetected.
13. Removethenasalcannulaandturntheselectorswitchtothe
“0”OFFposition.
14. Whennotinuse,storeinaclean,drylocation.
FIGURE 4.2 Selector Switch
Continuous
Flow Setting
(CF)
Selector Switch

SECTION 5—REMOVING THE CONSERVING REGULATOR
Invacare® Element™ 18 Part No 1160840
SECTION 5—REMOVING THE
CONSERVING REGULATOR
 DANGER
NEVERattempttoremovetheoxygenconservingregulator
fromanoxygencylinderunlessthecylindervalveis
completelyclosed.
 CAUTION
DONOTtrytoloosentheT‐handlebeyondthestop.
Otherwise,damagetotheoxygenconservingregulatorwill
occur.
NOTE:Forinformationonhowtooperatethecylinder,consultyour
equipmentprovider.
1. Completelyclosetheoxygencylindervalve.
2. Turntheoxygenconservingregulatorselectorswitchto
2L/min.continuousflowposition.
3. Waitforoxygentostopflowingfromtheoxygen
conservingregulator.
4. TurntheT‐handletoloosentheconnectiontothepost
valve.
5. Removetheoxygenconservingregulatorfromthepost
valve.

SECTION 6—TYPICAL PRODUCT PARAMETERS
Part No 1160840 19 Invacare® Element™
SECTION 6—TYPICAL PRODUCT
PARAMETERS
OXYGEN DELIVERY: SELECTOR
SWITCH
POSITION
LITER
FLOW
EQUIVALENCY
0OFF
11
22
33
44
55
66
CONTINUOUS FLOW
EMERGENCY BYPASS SETTING: Factory Preset at 2 ± .5 L/min.
REQUIRED OPERATING
PRESSURE:
200 psi to 3000 psi
(13.8 bar to 206.8 bar)
REGULATOR: Built-in, 25 ± 5 psi (1.7 bar ± .34 bar),
brass high pressure with aluminum low
pressure materials
DIMENSIONS:
Weight Approximately 14.8 ounces (420 grams)
Overall Length Approximately
5” L (12.7 cm) x 2.5” H (6.4 cm) x
2.5” W (6.4 cm)
OPERATING CONDITIONS
TEMPERATURE: 32°F (0°C) to 122°F (50°C)
OPERATING RELATIVE
HUMIDITY: 15% to 95%
OPERATING ALTITUDE: 0 to 10,000 feet (0 to 3,048 meters)
STORAGE/TRANSPORTATION: Maximum -40°F (-40°C), 1% RH
Maximum 145°F (63°C), 44% RH

SECTION 6—TYPICAL PRODUCT PARAMETERS
Invacare® Element™ 20 Part No 1160840
OXYGEN CYLINDER DURATION
Thetotaldeliveryofoxygenviatheconserverisrelatedtothe
breathingrates,itisuseradaptiveinthatthetotaloxygen
deliveredperminutewillautomaticallyadjustwithuserneed,as
expressedbyincreasedordecreasedbreathingrates.For
example,atallsettings,twiceasmuchoxygenperminutewillbe
deliveredifonebreathestwenty(20)timesperminuteas
comparedwithten(10)timesperminute.RefertoOXYGEN
DURATIONTABLEbelow.
OXYGEN DURATION TABLE
SHOCK VIBRATION: Not to exceed IEC 601-1 requirements
Not to exceed IEC 68-2-6, IEC 68-2-34
No smoking or open flames
Consult accompanying documents
SETTING 123456Continuous
Flow
2 L/min.
Cylinder Type Cylinder Volume
Liters @ 2015 psi
Estimated Cylinder Duration in Hours
(Based on 20 breaths/min.)
M2 36 1.9.9.6.5.4.3 .3
M4(A) 113 5.9 2.9 2.0 1.5 1.2 1.0 .9
M6(B) 164 8.5 4.3 2.8 2.1 1.7 1.4 1.4
ML6 171 8.9 4.5 3.0 2.2 1.8 1.5 1.4
M9(C) 246 12.8 6.4 4.3 3.2 2.6 2.1 2.1
D 425 22.1 11.1 7.4 5.5 4.4 3.7 3.5
E 680 35.4 17.7 11.8 8.9 7.1 5.9 5.7
