Invacare IOH2M6 User manual

Invacare®M6,M9,DCylinder
withContinuousFlowRegulator
ForHomeFill®OxygenSystem
enIOH2M6,IOH2M9,IOH2MD
UserManual
ThismanualMUSTbegiventotheuseroftheproduct.
BEFOREusingthisproduct,readthismanualandsaveforfuturereference.

©2016Invacare®Corporation
Allrightsreserved.Republication,duplicationormodificationinwholeorinpartisprohibitedwithout
priorwrittenpermissionfromInvacare.Trademarksareidentifiedby™and®.Alltrademarksare
ownedbyorlicensedtoInvacareCorporationoritssubsidiariesunlessotherwisenoted.
WD-40and3–IN-ONEareregisteredtrademarksofWD-40Company.

Contents
1General........................................4
1.1Symbols.....................................4
1.2IntendedUse..................................5
1.3UserProfile...................................5
1.4ServiceLife...................................5
1.5LimitedWarranty..............................6
1.6ComponentIdentification.........................8
2Safety..........................................9
2.1LabelLocations................................9
2.2GeneralGuidelines.............................10
3Setup..........................................15
3.1DealerSetup..................................15
3.2UserSetup...................................15
3.3ReceivingInspection.............................15
3.4CylinderPrefillInspection.........................15
3.4.1TheHydrostaticTestingDate...................16
3.4.2ExternalExamination.........................16
4Usage..........................................17
4.1BeforeUse...................................17
4.2Connecting/DisconnectingtheCylinderAssembly
to/fromtheCompressor........................17
4.3CylinderAssemblyOperation......................17
5Maintenance....................................19
5.1Maintenance..................................19
5.2EmptyingtheCylinderAssembly....................19
5.3Cleaning.....................................20
5.4Disinfecting...................................20
5.5Reuse.......................................21
5.6Storage......................................21
5.7OptionalAccessories............................21
6AfterUse.......................................22
6.1Disposal.....................................22
6.2WearandTear................................22
7Troubleshooting.................................23
7.1Troubleshooting...............................23
8Technicaldata...................................24
8.1TechnicalDescription...........................24
8.2Specifications..................................24

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
1General
1.1Symbols
Signalwordsareusedinthismanualandapplytohazardsorunsafe
practiceswhichcouldresultinpersonalinjuryorpropertydamage.
Seetheinformationbelowfordefinitionsofthesignalwords.
DANGER!
–Dangerindicatesanimminentlyhazardoussituation
which,ifnotavoided,willresultindeathorserious
injury.
WARNING!
–Warningindicatesapotentiallyhazardoussituation
which,ifnotavoided,couldresultindeathorserious
injury.
CAUTION!
–Cautionindicatesapotentiallyhazardoussituation
which,ifnotavoided,mayresultinpropertydamage
orminorinjuryorboth.
–Indicatesahazardoussituationthatcouldresultin
damagetopropertyifitisnotavoided.
Givesusefultips,recommendationsandinformationfor
efficient,trouble-freeuse.
Readthemanual
Noopenflame
DONOTSmoke
Oxidizer
Recycle
DONOTdisposeofinhouseholdwaste
Manufacturer
41193304-A-00

General
1.2IntendedUse
Thiscylinderassemblyisintendedtostore,regulate,anddeliver
supplementaloxygentopatientswhomayhavedifficultyextracting
oxygenfromtheairtheybreathe.Itisforpatientswhowould
normallyreceivetheoxygenviaanasalcannula.Thisdevicedelivers
USP93±3%oxygenatanumberofdifferentflowsettingsandmay
increasethedryingoutofairways.Thisproductistobeusedas
anoxygensupplementandisnotintendedtobelifesupportingor
lifesustaining.
DANGER!
RiskofInjuryorDeath
Thisproductistobeusedasanoxygensupplementand
isnotintendedtobelife-supportingorlife-sustaining.
ONLYusethisproductifthepatientiscapableof
spontaneousbreath,abletoinhaleandexhalewithout
theuseofamachine.
WARNING!
RiskofInjuryorDamage
Useofthisproductoutsideoftheintendeduseand
specificationshasnotbeentestedandmayleadto
productdamage,lossofproductfunction,orpersonal
injury.
–DONOTusethisproductinanywayotherthan
describedinthespecificationsandintendeduse
sectionsofthismanual.
1.3UserProfile
Nospecificproductknowledgeortrainingisrequired,otherthan
whatiscontainedinthismanual,tooperatetheproduct.Itisnot
intendedforsupplyingoxygentherapyduringrefilling.Thisproductis
intendedtobeusedbyorunderadultsupervisiononlyafterreading
andunderstandingtheinstructionsandwarningsofthisusermanual.
OnlypersonnelinstructedandtrainedintheuseoftheHomeFill®
cylinderassemblyshouldoperatethisproduct.
Theuseofthisproductislimitedtotheoxygenpatient.Cylinder
assembliesMUSTbeusedonlybytheoxygenpatientandarenotto
bedistributedtoanyotherindividualforanypurpose.
ThisproductisNOTtobeusedbypatientswhobreathethrough
theirmouths.
1.4ServiceLife
WARNING!
RiskofInjuryorDamage
Theproducthasbeentestedfortheservicelifestatedin
thismanual.Useoftheproductbeyondthistimeperiod
maycauseinjuryorproductdamage.
–ONLYusetheproductfortheservicelifestatedin
thismanual.DONOTexceedtheservicelifeofthe
product.
–Performallmaintenanceaccordingtothe
recommendedscheduleinthismanual.
Theexpectedservicelifeoftheregulatorisfiveyearswhenusedin
accordancewiththesafetyinstructions,maintenanceintervalsand
correctusestatedinthismanual.RefertotheMaintenancesection.
Theexpectedservicelifeofthecylinderisbasedontestingthe
cylindereveryfiveyearsandusingitinaccordancewiththesafety
instructions,maintenanceintervalsandcorrectusestatedinthis
manual.Refertothefollowingprocedures:
•TheHydrostaticTestingDate,ExternalExamination,
Maintenance
1193304-A-005

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
1.5LimitedWarranty
THEWARRANTYBELOWHASBEENDRAFTEDTO
COMPLYWITHFEDERALLAWAPPLICABLETO
PRODUCTSMANUFACTUREDAFTERJULY4,1975.
Thiswarrantyisextendedonlytooriginalpurchaserwhopurchases
thisproductwhennewandunusedfromInvacareCorporationora
dealer.Thiswarrantyisnotextendedtoanyotherpersonorentity
andisnottransferableorassignabletoanysubsequentpurchaser
orUserCoverageunderthiswarrantywillenduponanysuch
subsequentsaleorothertransferoftitletoanyotherperson.This
warrantygivesyouspecificlegalrightsandyoumayalsohaveother
legalrightswhichmayvaryfromstatetostate.
Invacarewarrantsthisproducttobefreefromdefectsinmaterials
andworkmanshipforaperiodofthreeyearsfromdateofpurchase
fromInvacareoradealer,withacopyoftheseller’sinvoicerequired
forcoverageunderthiswarranty.
ForModelNos.IOH2MD,IOH2M6,IOH2M9,HF2PCL4,HF2PCL6
andHF2PC9,InvacarewarrantstheHomeFillconserverorregulator
(NOTincludingthecylinder)tobefreefromdefectsinmaterials
andworkmanshipforaperiodoftwoyearsfromdateofpurchase
fromInvacareoradealer,withacopyoftheseller’sinvoicerequired
forcoverageunderthiswarranty.
DONOTOPENORATTEMPTTOSERVICEUNLESSSERVICE
ISPROVIDEDBYANINVACARE-CERTIFIEDTECHNICIAN;
otherwise,thiswillvoidanyandallwarranties.Ifwithinsuchwarranty
periodsanysuchproductshallbeproventoInvacare'ssatisfactionto
bedefective,suchproductshallberepairedorreplaced,atInvacare's
option.Thiswarrantyonlyappliestothelaborforrepairsperformed
bytheInvacareServiceDepartmentorInvacaredealers.Itdoesnot
applytothelaborperformedbythepurchaseroruserorshipping
chargesincurredinreplacementpartinstallationorrepairofany
suchproduct.Thiswarrantydoesnotincludenormalwearandtear
andfailuretoadheretotheproductinstructions,.Invacare'ssole
obligationandyourexclusiveremedyunderthiswarrantyshallbe
limitedtosuchrepairorreplacement.Routinemaintenanceitems,
suchasfilters,areexcludedfromthiswarranty.
Forwarrantyservice,pleasecontactInvacare'sservicedepartmentat
thetollfreenumberonthebackpageduringnormalworkinghours.
Uponreceivingnoticeofanallegeddefectinaproduct,Invacarewill
issueaserializedreturnauthorization.Itshallbetheresponsibilityof
thepurchaser,atthepurchaser'scost,toreturntheunit,packthe
unitinamannertoavoidshippingdamageandtoshiptheunitto
eitherInvacare'splantorservicecenterasspecifiedbyInvacarein
advance.Defectiveunitsmustbereturnedforwarrantyinspection
usingtheserialnumberasidentificationwithinthirtydaysofreturn
authorizationdate.Donotreturnproductstoourfactorywithout
priorconsent.C.O.D.shipmentswillberefused;pleaseprepay
shippingcharges.
LIMITATIONSANDEXCLUSIONS:THEFOREGOING
WARRANTYSHALLNOTAPPLYTOPRODUCTSSUBJECTED
TONEGLIGENCE,ACCIDENT,IMPROPEROPERATION,
MAINTENANCEORSTORAGE,SOOTORSMOKE-FILLED
ENVIRONMENTS,OROTHERTHANNORMALAPPLICATION,
USEORSERVICE,ORTOPRODUCTSMODIFIEDWITHOUT
INVACARECORPORATION'SEXPRESSWRITTENCONSENT
(INCLUDING,BUTNOTLIMITEDTO,MODIFICATION
THROUGHTHEUSEOFUNAUTHORIZEDPARTSOR
ATTACHMENTS)ORTOPRODUCTSDAMAGEDBYREASON
OFREPAIRSMADETOANYCOMPONENTWITHOUTTHE
SPECIFICCONSENTOFINVACARECORPORATIONOR
TOPRODUCTSDAMAGEDBYCIRCUMSTANCESBEYOND
INVACARECORPORATION'SCONTROL.
61193304-A-00

General
THEFOREGOINGEXPRESSWARRANTYISEXCLUSIVEANDIN
LIEUOFANYOTHERWARRANTIESWHATSOEVER,WHETHER
EXPRESSORIMPLIED,INCLUDINGTHEIMPLIEDWARRANTIES
OFMERCHANTABILITYANDFITNESSFORAPARTICULAR
PURPOSE,ANDTHESOLEREMEDYFORVIOLATIONSOFANY
WARRANTYWHATSOEVER,SHALLBELIMITEDTOREPAIROR
REPLACEMENTOFTHEDEFECTIVEPRODUCTPURSUANTTO
THETERMSCONTAINEDHEREIN.THEAPPLICATIONOFANY
IMPLIEDWARRANTYWHATSOEVERSHALLNOTEXTEND
BEYONDTHEDURATIONOFTHEEXPRESSWARRANTY
PROVIDEDHEREIN.INVACARESHALLNOTBELIABLEFORANY
CONSEQUENTIALORINCIDENTALDAMAGESWHATSOEVER.
SOMESTATESDONOTALLOWTHEEXCLUSIONOR
LIMITATIONOFINCIDENTALORCONSEQUENTIALDAMAGE,
ORLIMITATIONOFHOWLONGANIMPLIEDWARRANTY
LASTS,SOTHEABOVEEXCLUSIONANDLIMITATIONMAY
NOTAPPLYTOYOU.
THISWARRANTYSHALLBEEXTENDEDTOCOMPLYWITH
STATE/PROVINCIALLAWSANDREQUIREMENTS.
1193304-A-007

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
1.6ComponentIdentification
ItemDescription
ACylinderAssembly
BCylinder
CRegulator
DOutletConnection
EFlowDial
FFlowSettingIndicatorWindow
GCylinderGaugeNeedle
HCylinderGauge
ICylinderFillport
JCylinderFillportCover
81193304-A-00

Safety
2Safety
2.1LabelLocations
Serialnumberlocatedaboveproductlabelshownhere.
1193304-A-009

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
2.2GeneralGuidelines
Inordertoensurethesafeinstallation,assemblyandoperationofthe
producttheseinstructionsMUSTbefollowed.
DANGER!
RiskofDeath,InjuryorDamage
Improperuseofthisproductmaycausedeath,injuryor
damage.Thissectioncontainsimportantinformationfor
thesafeoperationanduseofthisproduct.
–DONOTusethisproductoranyavailableoptional
equipmentwithoutfirstcompletelyreadingand
understandingtheseinstructionsandanyadditional
instructionalmaterialsuchasusermanuals,service
manualsorinstructionsheetssuppliedwiththis
productoroptionalequipment.
–Ifyouareunabletounderstandthewarnings,cautions
orinstructions,contactahealthcareprofessional,
dealerortechnicalpersonnelbeforeattemptingto
usethisequipment.
–CheckALLexternalcomponentsandcartonfor
damage.Incaseofdamage,oriftheproductisnot
workingcorrectly,contactatechnicianorInvacare
forrepair.
–THEINFORMATIONINTHISDOCUMENTIS
SUBJECTTOCHANGEWITHOUTNOTICE.
DANGER!
RiskofDeath,InjuryorDamage
–UsethiscylinderinaccordancewiththeHomeFill
compressorusermanual.
–DONOThandlethecylinderassemblyorusethe
contentsuntilyouareprofessionallytrained,including
emergencyprocedures.Trainingrequiredtooperate
theproductiscontainedintheusermanual.
–Thisproductisnotintendedforsupplyingoxygen
therapyduringrefilling.
–Thisproductisintendedtobeusedbyorunderadult
supervision.
–OxygenCylindersfilledbytheInvacareHomeFill
oxygensystemshallbeusedforpersonaluseonly.
Theyarenottobefilledforresaleoruseby
professionalusers.
–ThiscylinderistobeusedwiththeInvacareHomeFill
oxygensystem.Thiscylindercontains93±3%oxygen
producedbyanoxygenconcentratorusingthe
pressureswingadsorptionprocess.
–ALWAYSopenthevalveslowlyandclosethevalve
aftereachuseandwhenempty.
101193304-A-00

Safety
DANGER!
RiskOfDeath,Injury,OrDamageFromFire
Textiles,oilorpetroleumsubstances,grease,greasy
substancesandothercombustiblesareeasilyignited
andburnwithgreatintensityinoxygenenrichedairand
whenincontactwithoxygenunderpressure.Toavoid
fire,death,injuryordamage:
–DONOTSMOKEwhileusingthisproduct.
–DONOTusenearOPENFLAMEorIGNITION
SOURCES.
–DONOTuseanylubricantsonthecylinderunless
recommendedbyInvacare.
–NOSMOKINGsignsshouldbeprominentlydisplayed.
–Avoidcreationofanysparknearoxygenequipment.
Thisincludessparksfromstaticelectricitycreatedby
anytypeoffriction.
–Keepallmatches,lightedcigarettes,electronic
cigarettesorothersourcesofignitionoutoftheroom
inwhichthiscylinderislocatedandawayfromwhere
oxygenisbeingdelivered.
–Keeptheoxygentubing,cord,andcylinderoutfrom
undersuchitemsasblankets,bedcoverings,chair
cushions,clothing,andawayfromheatedorhot
surfacesincludingspaceheaters,stoves,andsimilar
electricalappliances.
CAUTION!
Federal(statutory)lawrestrictsthisdevicesaletoor
ontheorderofamedicalpractitionerlicensedbya
governmentalagencywherehe/shepractices.
–ONLYalicensedmedicalpractitionermayorderthe
purchaseoruseofthisdevice.
OperatingInformation
DANGER!
RiskofFire
Dirtorcontaminantsonthecylinderassemblyor
regulatorcancausefire,injuryordeath.
–DONOTuseifdirtorcontaminantsarepresenton
oraroundcylinderorregulator.
–DONOTuseorfillcylinderassemblyifthecylinder
fillportisdirtyorcontaminated.Contactyour
providerforserviceorrepair.
–DONOTallowoilfromyourhandsorothersources
tocomeintocontactwiththecompressorcoupling
orcylinderassemblyfittings.Thesesubstancesmay
becomeflammableinthepresenceofoxygenand
causeinjury.Examplesofitemstoavoidarehand
creamorlotion,cookingoil,suntanoilorsunblock
andsimilaroilyproducts.Ifyouusethesetypesof
productsInvacaresuggestsyouwashyourhandsprior
tousingtheHomeFillsystem.Ifthecylinderfillport
shouldcomeincontactwithsuchsubstances,contact
yourproviderforservice.Avoidtouchingthecylinder
fillport.
–NEVERoilorlubricatethecompressorcoupleror
cylinderfillport.NEVERuseanypenetratingoil
orlubricantsuchasWD-40®or3-IN-ONE®.If
connectiondifficultyisexperienced,verifythatthe
cylinderfillportisbeinginsertedstraightdowninto
thecompressorcoupler.Ifcontinueddifficultyis
experienced,contactyourproviderforassistance.
–DONOTcleanwitharomatichydrocarbons,
including,butnotlimitedtobenzeneandtoluene.
1193304-A-0011

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
DANGER!
RiskofFire
Dirtorcontaminantsonthecylinderassemblyor
regulatorcancausefire,injuryordeath.
–DONOTusecleaning/disinfectingsolutionsonthe
fillportfitting.
–DONOTimmerseproductinanykindofliquid.
–DONOTallowanykindofliquidtogetinside
openingsoftheregulator.
–DONOTspraycleaning/disinfectingsolutionson
product.
–DONOTautoclave.
–DONOTgassterilizewithethyleneoxide.
–DONOTattempttorepaircylinderassembly.All
repairsMUSTbeperformedbyInvacareCorporation
orinanInvacareapprovedrepaircenter.
–Storecylinderassemblyinaclean,dryandcoolarea
whennotinuse.
DANGER!
RiskofInjuryorDeath
Toavoidchokingoringestionofchemicalsfromairway
contamination:
–DONOTusetheproductinthepresenceof
pollutants,smoke,fumes,flammableanesthetics,
cleaningagents,orchemicalvapors.
WARNING!
RiskofInjuryorDeath
Contaminantsintheoxygenmaycauseinjuryordeath.
–DONOTuseiftheoxygenhasanunusualodor.
–DONOTuseifparticulatesareinhaled.
–ContactInvacareoradealerforservice.
WARNING!
RiskofInjuryorDamage
Toavoidinjuryordamagefromproductmisuse:
–Theflowdialshouldbeturnedwithnormalpressure
fromone’shand.Iftheflowdialisstifftoturn,donot
force,otherwisedamageorinjurycouldoccur.
–DONOTuseaflowoutletfordrivinganymedical
equipment.
CAUTION!
RiskofInjuryorDamage
Toreducetheriskofinjuryordamagefromdroppedor
impactedcylinderassemblies:
–Usetwohandswhenhandling/transportingoxygen
cylinders.
–OnlyuseInvacareCorporationcarryingbag.
–DONOTallowcylinderassembliestotiporfall.DO
NOTdropcylinderassemblies.
–Securegascylinderssotheycannotfall.
–Ensurecylinderisalwaysinuprightpositionwhennot
connectedtotheHomeFillcompressor.
–DONOTallowcylinderstoimpactinanimateobjects.
121193304-A-00

Safety
CAUTION!
RiskofDamage
Toavoidproductdamage:
–DONOTblocktheoutletfittingorkinkthecannula
whentheproductisinuse,asthismaydamagethe
unit.
–DONOTfillthecylinderassemblyoutdoorsor
anywherebelow13°C(55°F).
DANGER!
RiskofInjuryorDeath
Thecannulacancausetripping,falling,orotherinjuryif
improperlypositionedandsecured.Toavoidinjuryor
death:
–ThecannulaMUSTberoutedandsecuredproperly.
–DONOTpositionthecannulaaroundtheneck.
Ensurethepatientcanmovefreelywhilewearingthe
cannula.
–Avoidpositioningcannulasacrossareasofhighfoot
traffic(i.e.aisles,doorways,hallways,etc.)
WARNING!
RiskofInjuryorDeath
Toavoidchokingand/orstrangulationfromtubing
entanglement:
–Keepchildrenandpetsawayfromnasalcannulaand
tubing.
–Closesupervisionisnecessarywhenthenasalcannula
isusedbyornearchildrenand/ordisabledpersons.
WARNING!
RiskofInjuryorDeath
Toreducetheriskofinjuryordeathfromillness:
–Beforethefirstpatientuse,theproviderMUST
disinfecttheproduct.RefertotheDisinfecting
section.
–Replacethenasalcannulaonaregularbasis.Check
withyourequipmentproviderorphysicianto
determinehowoftenthecannulashouldbereplaced.
–DONOTsharecannulasbetweenpatients.
Thecylinderposesnobiocompatibilityhazardsandis
latexandphthalatefree.Thebiocompatibilityofcylinder
accessoriesmayvarybymanufacturer.Invacareaccessories
suchasthecylinderbagandInvacareoxygentubingarelatex
andphthalatefree.Refertothepackagingonanycylinder
accessoriestodeterminethebiocompatibilityhazard.
1193304-A-0013

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
ThecylinderassemblyMUSTbeemptiedofgaspriortoshippingby
courierorpostalservice.RefertoEmptyingtheCylinderAssembly.
Becausethecylindercontainsmagnetic,ferrousmaterial,itisnot
suitabletobeinanMRIroom.
Besureallconnectionsaretightandleakfree.DONOTusealiquid
leakdetectortotestforleaks.Leaksareindicatedbylossofpressure
whenthecylinderassemblyisnotinuseandbyhissingsounds.This
productisequippedwithareliefvalve.Ifyouhearaloudhissingor
poppingsoundcomingfromtheproduct,discontinueuseofproduct,
turntheflowdialtothe“0”setting,andcontactyourdealer/Home
Careequipmentprovider.
ALWAYSconfirmprescribeddosebeforeadministeringtopatient
andmonitoronafrequentbasis.
NOOXYGENisdeliveredwhentheregulatorflowdialsettingis“0”.
DONOTuseahumidifierwiththisproduct.
Keepcylinderinawellventilatedplace.
Thisproductisdesignedtooperatewithastandardorhighflow
singlelumen,adultoxygennasalcannulawithamaximumlengthof
2.1m(7ft).
Thecannulaisforsinglepatientuseonly.
CannulaMUSTbeinstalledonoutletconnectionpriortouse.
RefertotheHomeFillUserManualforadditionalwarnings,cautions
andsafetyinstructions.
141193304-A-00

Setup
3Setup
3.1DealerSetup
WARNING!
–Beforethefirstpatientuse,theproviderMUST
disinfecttheproduct.RefertotheDisinfecting
section.
–Beforepatientuse,theproviderMUSTcheckthe
hydrostatictestingdate.RefertoTheHydrostatic
TestingDatesection.
WARNING!
RiskofInjury
Formedicalapplications,itisveryimportanttoselect
theprescribedlevelofoxygenflow.Uninterrupteduse
ofhighconcentrationsofoxygenoveralongduration,
withoutmonitoringitseffectonoxygencontentof
arterialblood,maybeharmful.
–UseONLYasdirectedbyalicensedpractitioner.
–DONOTincreaseordecreasetheflowunlessa
changehasbeenprescribedbyyourphysicianor
therapist.
3.2UserSetup
WARNING!
–Whenreceivingthecylinderassemblyfromthe
provider,theuser/patientMUSTperformareceiving
inspection.RefertotheReceivingInspectionsection.
3.3ReceivingInspection
Removeproductfrompackageandinspectfordamage.Ifthereisany
damage,DONOTuse.Contactyourdealer/HomeCareequipment
provider.
3.4CylinderPrefillInspection
WARNING!
RiskofInjuryorDamage
–Oxygencylinderassembliesshallbeusedforpersonal
useonly.Nottobefilledforresaleoruseby
professionalusers.
–FillingofcylinderassembliesisperformedbyInvacare
HomeFillOxygenSystemonly.
–ThiscylinderassemblyistobeusedwiththeHomeFill
system.Thiscylindercontains93±3%oxygen
producedbyanoxygenconcentratorusingthe
pressureswingadsorptionprocess.
–DONOThandlethecylinderassemblyoruse
contentsuntilyouareprofessionallytrained,including
emergencyprocedures.
–Usethiscylinderassemblyinaccordancewiththe
HomeFillusermanual.
–Securethecylinderassemblyduringstorageanduse.
DONOTdrop.
–Nosmokingincylinderassemblyarea.Keepaway
fromheat,flameorspark.
–Keepoutofthereachofchildren.
1193304-A-0015

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
DANGER!
RiskofInjuryorDeath
Improperfillingorabuseofthiscylinderassembly,or
failuretofollowthesesafetyinstructionsmaycause
seriousbodilyinjuryordeath.Highpressureoxidizing
gasvigorouslyacceleratescombustion.
–DONOTalterormodifycylinderassemblyorrelated
components.
–DONOTuseoilorgrease.Keepcylinder,all
equipmentandconnectionsfreeofoilandgreaseto
avoidviolentignitionresultinginseriousbodilyinjury
ordeath.
3.4.1TheHydrostaticTestingDate
AluminumcylindersMUSTundergotestingeveryfiveyears.
DANGER!
RiskofDeath,InjuryorDamagefromFire
Toavoidfire,death,injuryordamage:
–Cylindersthathavebeenrefinishedand/orexposed
toelevatedtemperaturesMUSTbehydrostatically
testedbeforefilling.Cylindertemperatureshouldnot
exceed60°C(140°F).Aluminumcylinderssubjectto
theactionoffireorheatedtemperaturesinexcessof
177°C(350°F)MUSTbewithdrawnfromservice
andcondemnedbytrainedpersonnel.DONOT
usecausticpaintstrippers.Valveandsafetyrelief
devicesMUSTberemovedandreplacedbytrained
andauthorizedpersonnel.DONOTalterorchange
valveassembly.
–AllcylindersMUSTbeinspectedbeforeattemptingto
fill;otherwise,injuryordamagemayoccur.
WARNING!
RiskofInjury
Toreducetheriskofinjury:
–DONOTfillcylindersthathavenotbeentested
inthepastfiveyears.Otherwise,seriouspersonal
injurymayresult.Contactyourdealer/HomeCare
equipmentproviderforreplacement.
3.4.2ExternalExamination
WARNING!
RiskofInjuryorDamage
Toreducetheriskofinjuryorproductdamage:
–DONOTusethecylinderifanyofthefollowing
itemsarefound.Contactyourdealer/HomeCare
equipmentproviderforareplacement.
1.Examinetheoutsideofthecylinderforthefollowingconditions.
Iftheyexist,contactyourproviderforservice.
•Dentsordings,arcburns,oilorgrease,anyothersigns
ofdamagethatmightcauseacylindertobeunacceptable
orunsafeforuse
2.Examinethecylinderforevidenceoffireorthermaldamage.
Evidenceincludescharringorblisteringofthepaint,orother
protectivecoatingorheatsensitiveindicator.Iffireorthermal
damageisfound,contactyourdealer/HomeCareequipment
providerforareplacement.
3.Inspectthecylinderassemblyforthefollowingconditions.Ifthey
exist,contactyourproviderforareplacement.
•Debris,oilorgrease,noticeablesignsofdamage,signsof
corrosion,signsofexcessiveheatorfiredamage,signsof
pressureleaks
161193304-A-00

Usage
4Usage
4.1BeforeUse
WARNING!
RiskofInjuryorDamage
Defectiveorinoperablecylindersmaycauseinjuryor
damage.
–AllcylindersMUSTbeinspectedbeforeattempting
tofill.
–Ifthecylinderisfoundtobedefectiveordoesnot
workproperly,contactanInvacaredealerorqualified
technicianforserviceorreplacement.
Beforefillingacylinderassembly,readandfollowtheinformationin
CylinderPrefillInspectionandExternalExamination.
4.2Connecting/DisconnectingtheCylinder
Assemblyto/fromtheCompressor
RefertotheHomeFillCompressorusermanualforoperating
instructionstoconnectanddisconnectthecylindertothe
HomeFillCompressor.
4.3CylinderAssemblyOperation
DANGER!
RiskofFire
–NEVERsmokeinanareawhereoxygenisbeing
administered.
–NEVERusenearanytypeofflameor
flammable/explosivesubstances,vaporsor
atmosphere.
1.Priortoeachuse,inspectproductforvisibledamage.Referto
theExternalExaminationsection.DONOTuseifanydamageis
found.
Ifforanyreason,anylabelbecomesillegibleorlost,
contactyourdealer/HomeCareequipmentprovider.
2.InspectthecylindergaugeHtoensurethepressureisatleast
1500psig(10342kPa).Ifbelow1500psig(10342kPa),thenrefill
thecylinderassemblyusingtheHomeFillsystem.
WARNING!
–Whencylindergaugeneedleentersredzone,itis
recommendedtorefillthecylinderassemblyon
theInvacareHomeFillCompressor.
1193304-A-0017

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
3.PositionthecylinderassemblyAsotheoutletconnectionDis
pointingawayfromtheuserandanyotherperson(s).
WARNING!
RiskofInjury
Toreducetheriskofinjury:
–DONOTdirectflowofoxygenatanyperson,or
flammablematerialwhenadjustingtheflowdialE.
4.Removetheoutletconnectioncap,ifpresent.
5.Attachastandardorhighflowsinglelumenadultoxygennasal
cannulawithamaximumlengthof2.1m(7feet)totheproduct’s
outletconnectionaccordingtothecannulamanufacturer’s
instructions.
DONOTusepediatriccannulaswiththisproduct.
DANGER!
RiskofInjuryorDeath
Thecannulacancausetripping,falling,orother
injuryifimproperlypositionedandsecured.To
avoidinjuryordeath:
–ThecannulaMUSTberoutedandsecured
properly.
–DONOTpositionthecannulaaroundtheneck.
Ensurethepatientcanmovefreelywhilewearing
thecannula.
–Avoidpositioningcannulasacrossareasofhigh
foottraffic(i.e.aisles,doorways,hallways,etc.)
6.Placethecannulaoveryourearsandpositiontheprongsinyour
noseasinstructedbyyourHealthCareproviderorcannula
manufacturer.
7.Ensuretherearenokinksortwistsinthecannulatubing.
8.TurnflowdialEuntiltheprescribedsettingisalignedwiththe
flowindicatorwindowF.
WARNING!
–Toavoidinjurytopatient,ALWAYSconfirm
prescribedsettingbeforeadministeringtopatient
andmonitorflowonafrequentbasis.
–OnlyusetheInvacareCorporationcarryingbag.
9.Breathethroughthenoseandfeelaflowofoxygenasyouinhale.
10.Whenfinishedusingthecylinderassembly,turntheflowdial
tosetting“0”.
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Maintenance
5Maintenance
5.1Maintenance
WARNING!
RiskofInjuryorDamage
Lackofproductmaintenancecanleadtoinjuryandloss
ofproductfunctionordamage.
–MaintenanceMUSTbeperformedONLYbyqualified
personnel.
–Regularmaintenanceisnecessarytoassureproper
operation.
DANGER!
RiskofFire
Dirtorcontaminantsonthecylinderassemblyor
regulatorcancausefire.
–DONOTuseorfillcylinderassemblyifthecylinder
fillportisdirtyorcontaminated.Contactyour
providerforserviceorrepair.
–DONOTcleanwitharomatichydrocarbons,
including,butnotlimitedtobenzeneandtoluene.
–DONOTusecleaning/disinfectingsolutionsonthe
fillportfitting.
–DONOTimmerseproductinanykindofliquid.
–DONOTallowanykindofliquidtogetinside
openingsoftheregulator.
–DONOTspraycleaning/disinfectingsolutionson
product.
–AllrepairsMUSTbeperformedbyInvacare
CorporationorinanInvacareapprovedrepaircenter.
WARNING!
RiskofInjuryorDamage
–ThecylinderassemblyMUSTbedisconnectedfrom
theHomeFillandemptiedofgaspriortocleaningor
disinfecting.RefertoEmptyingtheCylinderAssembly.
ThefillportcoverMUSTalsobeinstalled.
–AllcylindersMUSTbeinspectedbeforeattemptingto
fill;otherwise,injuryordamagemayoccur.Referto
CylinderPrefillInspection.
Thecannuladoesnotrequiremaintenanceandneedstobereplaced
atthemanufacturer’srecommendedinterval.
Theregulatorshouldbeinspectedandtestedataminimumevery
5years.ThisinspectionandtestMUSTbeperformedbyInvacare
CorporationorbyanInvacareapprovedrepaircenter.
Thealuminumcylindermustundergohydrostatictestingevery5
years.RefertoTheHydrostaticTestingDate.
5.2EmptyingtheCylinderAssembly
DANGER!
RiskofFire
–NEVERsmokeinanareawhereoxygenisbeing
administered.
–NEVERusenearanytypeofflameor
flammable/explosivesubstances,vaporsor
atmosphere.
–DONOTdirectflowofoxygenatanyperson,or
flammablematerialwhenadjustingtheflowdial.
1193304-A-0019

Invacare®M6,M9,DCylinderwithContinuousFlowRegulator
CAUTION!
RiskofDamage
–DONOTcompletelyemptythecylinder.Otherwise,
damagetothecylindercouldoccur.
1.PositionthecylinderassemblyAsotheoutletconnectionDis
pointingawayfromtheuserandanyotherperson(s).
2.TurntheflowdialEtosetting“6”.
3.ExaminethecylindergaugeHuntilthepressureisbelow500
psig(3447kPa).
Cylinderpressureisbelow500psig(3447kPa)when
thecylindergaugeneedleisintheredzone.
4.TurntheflowdialEtosetting“0”.
5.3Cleaning
RefertothesafetyinformationintheMaintenancesection
beforeperformingthisprocedure.
Followthecleaning/disinfectantproductmanufacturer’sinstructions
foruse,handling,storageanddisposaloftheproduct.
Followthisproceduretocleanthecylinderassemblyasrequired
whenvisiblysoiled.
1.Ensurethecoverisinstalledonthefillport.
2.Cleanexteriorsurfacesofthecylinderwithalintfreecloth
dampenedwith70%isopropylalcohol.
3.Cleantheexteriorsurfacesoftheregulatorwithadry,lintfree
cloth.
4.Iftheregulatorisstillvisiblysoiled,cleanwithalintfreecloth
dampenedwith70%isopropylalcohol.DONOTwipethe
fillportoroutletfitting.
5.Wipethecylinderandregulatorwithadrylintfreecloth.Ensure
theproductisdrybeforeusing.
5.4Disinfecting
RefertothesafetyinformationintheMaintenancesection
beforeperformingthisprocedure.
Followthecleaning/disinfectantproductmanufacturer’sinstructions
foruse,handling,storageanddisposaloftheproduct.
Thisprocedureisfordisinfectingthecylinderassemblyandistobe
performedbytheproviderpriortoapatientchangeandasotherwise
required.
Recommendeddisinfectantproducts:
•Quaternaryammoniumbasedwipesselectedbytheprovider
forthedesireddisinfectingcharacteristics
•70%isopropylalcoholwipes
1.Ensurethecoverisonthefillport.
2.Ifheavilysoiled,firstcleanthecylinderassembly.Refertothe
Cleaningsection.
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