Invacare XPO2 User manual

Dealer: This manual MUST be given to the end
user.
User: BEFORE using this product, read this
manual and save for future reference.
Operator’s Manual
For more information regarding Invacare
products, parts, and services, please visit
www.invacare.com
Invacare XPO2™
Portable Concentrator
0120
English UK . . . . . . . . . . . . . .2
Italian . . . . . . . . . . . . . . . . .49
Spanish . . . . . . . . . . . . . . .104
Portuguese . . . . . . . . . . . .158
Greek . . . . . . . . . . . . . . . .210
Dutch . . . . . . . . . . . . . . . .272

WARNING
Invacare XPO2™ 2 Part No 1160887
 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.
NOTE:Updatedversionsofthismanualcanbefoundat
www.invacare.com.

TABLE OF CONTENTS
Part No 1160887 3 Invacare XPO2™
SPECIAL NOTES ...............................................5
Disposal of Equipment and Accessories ........................................ 6
SECTION 1—GENERAL GUIDELINES .....................7
Operating Information ....................................................................... 8
Maintenance.......................................................................................... 9
Radio Frequency Interference.......................................................... 9
Polarized Plug Instruction................................................................10
SECTION 2—PACKAGING AND HANDLING .......11
Unpacking............................................................................................11
Inspection............................................................................................11
Storage.................................................................................................11
SECTION 3—TECHNICAL DESCRIPTION .............12
SECTION 4—XPO2FEATURES .............................13
SECTION 5—TYPICAL PRODUCT PARAMETERS .14
Regulatory Listing..............................................................................16
SECTION 6—OPERATING INSTRUCTIONS ..........17
Introduction ......................................................................................17
Filters ..................................................................................................17
Location...............................................................................................18
Recommendations for Optimal Performance.............................18
Power Supplies...................................................................................19
Checking Charge Level of Internal Battery.................................21
Charging the Batteries .....................................................................22
Battery Time Management..............................................................26
Prolonging Battery Life.....................................................................26
Powering the XPO2..........................................................................28
Connecting/Positioning the Nasal Cannula .................................30

TABLE OF CONTENTS
Invacare XPO2™ 4 Part No 1160887
Adjusting the Pulse Flow Setting....................................................31
Using the XPO2Portable Concentrator......................................32
Indicators, Warnings and Alarms ..................................................33
SECTION 7—CLEANING, CARE, AND
MAINTENANCE ................................................37
Cabinet ................................................................................................37
Air Intake Filter..................................................................................38
Carrying Bag .......................................................................................39
SECTION 8—TROUBLESHOOTING GUIDE ............40
SECTION 9—OPTIONAL ACCESSORIES ...............45
LIMITED WARRANTY .................................... 46

SPECIAL NOTES
Part No 1160887 5 Invacare XPO2™
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.
NOTICE
Theinformationcontainedinthisdocumentissubjectto
changewithoutnotice.
 DANGER
DONOTSMOKEwhileusingthisdevice.Keepall
matches,litcigarettes,candles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.
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
Invacare XPO2™ 6 Part No 1160887
Disposal of Equipment and Accessories
Followlocalgoverningordinancesandrecyclingplans
regardingdisposalofdevicecomponents.DONOTdisposeof
theinternalorsupplementalbatterypacks.Batterypacks
shouldbereturnedtoyourdealer/provider.
CAUTION
“Caution:Statutorylawcanrestrictthisdevicetosaleor
rentalbyoronorderofaphysician,oranyotherpractitioner
licensedbythelawofthegovernmentagencyinwhichhe/she
practicestouseorordertheuseofthisdevice.”
Invacarerecommendsanalternatesourceofsupplemental
oxygenintheeventofapoweroutage,alarmconditionor
mechanicalfailure.Consultyourphysicianorequipment
providerforthetypeofreservesystemrequired.
Thisequipmentistobeusedasanoxygensupplementandis
notconsideredlifesupportingorlifesustaining.
Recycle DO NOT dispose of
in household waste

SECTION 1—GENERAL GUIDELINES
Part No 1160887 7 Invacare XPO2™
SECTION 1—GENERAL GUIDELINES
Inordertoensurethesafeinstallation,assemblyand
operationoftheXPO2PortableConcentratorthese
instructionsMUSTbefollowed.
 WARNING
Thissectioncontainsimportantinformationforthesafe
operationanduseofthisproduct.
 DANGER
Riskofelectricshock.DONOTdisassemble.Referservicing
toqualifiedservicepersonnel.Nouserserviceableparts.
TOREDUCETHERISKOFBURNS,ELECTROCUTION,
FIREORINJURYTOPERSONS
Aspontaneousandviolentignitionmayoccurifoil,grease,
greasysubstances,orpetroleumbasedproductscomein
contactwithoxygenunderpressure.Thesesubstances
MUSTbekeptawayfromtheXPO2portableconcentrator,
tubingandconnections,andallotheroxygenequipment.
DONOTuseanylubricantsunlessrecommendedby
Invacare.
Avoidusingwhilebathing.Ifcontinuoususageisrequired
bythephysician’sprescription,theconcentratorMUSTbe
locatedinanotherroomatleast7ft(2.1m)fromthebath.
DONOTcomeincontactwiththeconcentratorwhilewet.
DONOTplaceorstoreproductwhereitcandropintowater
orotherliquid.
DONOTreachforproductthathasfallenintowater.
UnplugIMMEDIATELY.

SECTION 1—GENERAL GUIDELINES
Invacare XPO2™ 8 Part No 1160887
 DANGER
Keeptheoxygentubing,cord,andunitoutfrom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.
Avoidcreationofanysparknearmedicaloxygen
equipment.Thisincludessparksfromstaticelectricity
createdbyanytypeoffriction.
DONOTmoveorrelocateconcentratorbypullingonthe
cord.
AproductshouldNEVERbeleftunattendedwhenplugged
in.MakesureXPO2isOffwhennotinuse.
OutdooruseoftheXPO2MUSTbeconductedwithinternalor
supplementalbatterypoweronly.
Operating Information
TheXPO2cannotbeusedinconjunctionwithPAP,Bi‐Levelor
othersuchdevices.
IftheXPO2isnotworkingproperly,ifithasbeendroppedor
damaged,ordroppedintowater,callequipment
provider/qualifiedtechnicianforexaminationandrepair.
Ifyoufeelilloruncomfortable,oriftheunitdoesnotsignal
anoxygenpulseandyouareunabletohearand/orfeelthe
oxygenpulse,consultyourequipmentproviderand/oryour
physicianIMMEDIATELY.
NEVERdroporinsertanyobjectorliquidintoanyopening.
DONOTuseextensioncordswithACpoweradaptors
provided.

SECTION 1—GENERAL GUIDELINES
Part No 1160887 9 Invacare XPO2™
Foroptimumperformance,Invacarerecommendsthateach
concentratorbeonandrunningforaminimumof5minutes.
Shorterperiodsofoperationmayreducemaximumproduct
life.
TheXPO2isnotdesignedtobeusedwithahumidifier.Useof
thisdevicewithahumidifiermayimpairperformanceand/or
damagetheequipment.
WhenyourautomobileisturnedOff,disconnectthecar
accessorypowersupplyandremovetheXPO2fromthe
automobile.NEVERallowtheXPO2tobestoredinaveryhot
orcoldautomobileorinothersimilar,highorlow,
temperatureenvironments.RefertoTypicalProduct
Parametersonpage 14.
DONOToperateintemperaturesbelow41°F(5°C)orabove
104°F(40°C)forextendedperiodsoftime.
TheXPO2MUSTbeusedinanuprightposition.
InvacarerecommendstheXPO2notbeusedintherain.
Maintenance
TheXPO2wasspecificallydesignedtominimizeroutine
preventivemaintenance.Onlyprofessionalsofthehealthcare
fieldorpersonsfullyconversantwiththisprocesssuchas
factorytrainedpersonnelshouldperformpreventive
maintenanceorperformanceadjustmentsontheoxygen
concentrator.
Radio Frequency Interference
Thisequipmenthasbeentestedandfoundtocomplywith
EMClimitsspecifiedbyIEC/EN60601‐1‐2.Theselimitsare
designedtoprovideareasonableprotectionagainst
electromagneticinterferenceinatypicalmedicalinstallation.

SECTION 1—GENERAL GUIDELINES
Invacare XPO2™ 10 Part No 1160887
Otherdevicesmayexperienceinterferencefromeventhelow
levelsofelectromagneticemissionspermittedbytheabove
standards.TodetermineiftheemissionsfromtheXPO2are
causingtheinterference,turntheXPO2Off.Iftheinterference
withtheotherdevice(s)stops,thentheXPO2iscausingthe
interference.Insuchrarecases,interferencemaybereduced
orcorrectedbyoneofthefollowingmeasures:
•Reposition,relocate,orincreasetheseparation
betweentheequipment.
• Connecttheequipmentintoanoutletonacircuit
differentfromthattowhichtheotherdevice(s)is
connected.
DONOTconnecttheconcentratorinparallelorserieswith
otheroxygenconcentratorsoroxygentherapydevices.
Closesupervisionisnecessarywhenthisproductisusednear
childrenorphysically‐challengedindividuals.
Additionalmonitoringorattentionmayberequiredfor
patientsusingthisdevicewhoareunabletohearorsee
alarmsorcommunicatediscomfort.
Beawarethatelectricalcordsand/ortubingcouldpresenta
trippinghazard.
Achangeinaltitudemayaffecttotaloxygenavailabletoyou.
Consultyourphysicianbeforetravelingtohigherorlower
altitudestodetermineifyourflowsettingsshouldbechanged.
Polarized Plug Instruction
Asasafetyfeature,thisappliancemayhaveapolarizedplug
(onebladeiswiderthantheother).Thisplugwillfitina
polarizedoutletonlyoneway.Iftheplugdoesnotfitfullyinthe
outlet,reversetheplug.Ifitstilldoesnotfit,contactaqualified
electrician.DONOTattempttodefeatthissafetyfeature.

SECTION 2—PACKAGING AND HANDLING
Part No 1160887 11 Invacare XPO2™
SECTION 2—PACKAGING AND
HANDLING
Unpacking
1. Checkforanyobviousdamagetothecartonorits
contents.Ifdamageisevident,notifythecarrier,oryour
localdealer.
2. Removeallloosepackingfromthecarton.
3. Carefullyremoveallthecomponentsfromthecarton.The
InvacareXPO2PortableOxygenConcentratorpackaging
containsthefollowingitems(asshownbelow).Ifanyparts
aremissing,pleasecontactyourequipmentprovider.
•XPO
2portableoxygenconcentratorwithcarryingbag
• Operator’smanual
•ACpoweradapter
•DCpoweradapter
•Supplementalbattery(ModelXPO100Bonly)
• LanguageOverlayLabels
NOTE:Retainallcontainersandpackingmaterialsforstorageor
returnshipment.
Inspection
Inspect/examineexterioroftheoxygenconcentratorand
accessoriesfordamage.Inspectallcomponents.
Storage
1. Storetherepackagedoxygenconcentratorinadryarea.
2. DONOTplaceobjectsontopofpackagedconcentrator.

SECTION 3—TECHNICAL DESCRIPTION
Invacare XPO2™ 12 Part No 1160887
SECTION 3—TECHNICAL
DESCRIPTION
TheInvacareportableconcentratoristobeusedbypatients
withrespiratorydisorderswhorequiresupplementaloxygen.
Thedeviceisnotintendedtosustainorsupportlife.
Theoxygenconcentrationleveloftheoutputgasrangesfrom
87%to95.6%.Theoxygenisdeliveredtothepatientthrough
theuseofanasalcannula.Whenthedemandforoxygenis
detected,theoxygenisdeliveredthroughpulsedflowwith
pulseflowsettingsof1through5.
TheInvacareportableconcentratorusesamolecularsieveand
pressureswingadsorptionmethodologytoproducethe
oxygengasoutput.Ambientairentersthedevice,isfiltered
andthencompressed.Thiscompressedairisthendirected
towardoneoftwonitrogenadsorbingsievebeds.
Concentratedoxygenexitstheoppositeendoftheactivesieve
bedandisdirectedintoanoxygenreservoirwhereitis
deliveredtothepatientinspecificvolumesduringthe
inhalationportionofadetectedbreath.
TheInvacareportableconcentratoriscapableofoperationby
thepatientinahomeenvironment,inaninstitutional
environmentorinavehicleorothermobileenvironment.
DevicestandardpoweroptionsincludeanACtoDC
switchingpowersupplyoperatingfromACpoweroutlet(120
VAC/60Hertzor230VAC/50Hertznominal),aDCtoDC
switchingpowersupplyoperatingfromaccessoryoutlets
typicallyfoundinamobilevehicletypeenvironment(12VDC
nominal)andasupplementalrechargeablebattery.

SECTION 4—XPO2FEATURES
Part No 1160887 13 Invacare XPO2™
SECTION 4—XPO2FEATURES
Pleasereviewthefiguresbelowtofamiliarizeyourselfwith
thelocationsoftheXPO2featuresandcontrols.
FIGURE 4.1 XPO2 Features
Alarm
Indicator
Flow Selection
Button to
decrease flow
rate
Flow Setting/Pulse
Indicators
Oxygen Outlet Port
Air Exhaust
Grid
Input Power
Connector
Battery Status
Button
Flow Selection
Button to
increase flow
rate
Battery
Gauge
On/Off Button
Air Intake
Supplemental
Battery Pack

SECTION 5—TYPICAL PRODUCT PARAMETERS
Invacare XPO2™ 14 Part No 1160887
SECTION 5—TYPICAL PRODUCT
PARAMETERS
Direct Current
Type BF equipment
Attention - Consider Accompanying Documents
DO NOT smoke
Class II, Double Insulation
Power On/Off
DO NOT dispose of in household waste
Recycle
DO NOT use oil or grease
Keep dry
IPX1 Protected against dripping water
Electrical Requirements: AC Power Supply: 100-240 VAC 50/60
Hertz
DC Power Supply: 11-16 VDC
Rated Current Input: 1.0 amps at 120 VAC
3.3 amps at 18 VDC
Sound Level @ setting 2: < 45dBA weighted
Altitude: Up to 10,000 ft (3046 m) above sea level

SECTION 5—TYPICAL PRODUCT PARAMETERS
Part No 1160887 15 Invacare XPO2™
Oxygen Concentration:*
*Based on an atmospheric
pressure of 14.7 psi (101 kPa) at
70°F (21°C)
87% to 95.6%, after initial warm-up
period (approximately 5 minutes)
Conserver Trigger Sensitivity:
Factory set - no adjustment
Pressure activated
<0.20 cmH2O pressure drop
All settings - using 7 ft (2.1 m) cannula
Conserver Trigger Delay:
Factory set - no adjustment
50 mSec
Nominal value - using 7 ft (2.1 m) cannula
Conserver Bolus Delivery:
Fixed minute volume
Setting 1: 320 cc
Setting 2: 480 cc
Setting 3: 670 cc
Setting 4: 800 cc
Setting 5: 900 cc
Total cc’s ± 75 cc delivered per minute
Conserver Breath Rate Capacity: Up to, and including, 35 BPM without
reduction of bolus minute volume
Dimensions: 10 in high x 7 in wide x 4 in deep (25.4
cm high x 17.8 cm wide x 10.2 cm wide)
Weight: 6.0 lbs (2.7 kg); 1.3 lbs (0.68 kg) for
supplemental battery
Battery Duration (times are
approximate):
Setting 1 = 3.5 hrs
Setting 2 = 2.5 hrs
Setting 3 = 2.0 hrs
Setting 4 = 1.5 hrs
Setting 5 = 1.0 hrs
Battery Recharge Time:
NOTE:Rechargetimeincreasesif
batteryischargingwhileunitis
running.
4 hours
Humidity Operating Humidity: 15% to 60% non
condensing
Storage Humidity: up to 95% non
condensing

SECTION 5—TYPICAL PRODUCT PARAMETERS
Invacare XPO2™ 16 Part No 1160887
Regulatory Listing
Temperature Range:
(All power sources)
Operating temperature: 41°F to 95°F
(5°C to 35°C)
Storage temperature: -2°F to 140°F
(-20°C to 60°C)
Extended Temperature Range:
(Using AC or DC adapters)
Operating Temperature:
95°F to 104° (35°C to 40°C)
Continuous use - all settings
Extended Temperature Range
(Using Internal Battery)
Operating Temperature:
95°F to 104° (35°C to 40°C)
Continuous use - settings 1, 2 and 3
45 minutes (max) - setting 4
30 minutes (max) - setting 5
ETL certified complying with: EN 55011: 1998
CISPR 11: 2003
IEC 60601-1: 1995
IEC 60601-1-2: 2.1 Ed.
IEC 61000-3-2: 2005
IEC 61000-3-3: 2005
EN 60601-1-2: 2nd Ed.
EN 61000-3-2: 2000
EN 61000-3-3: 1995
UL 60601-1, 1st ed.
CSA 601.1 M90
93/42/EEC Class IIa
CE

SECTION 6—OPERATING INSTRUCTIONS
Part No 1160887 17 Invacare XPO2™
SECTION 6—OPERATING
INSTRUCTIONS
Introduction
Oxygenconcentratorswereintroducedinthemid‐1970’sto
providesupplementaloxygentothoseinneed.Oxygen
concentratorsseparatenitrogenfromairtocreateahigh
concentrationoxygengasoutput.Untilnow,thesizeand
weightoftraditionaloxygenconcentrator’shavelimitedtheir
portability.TheXPO2deliversapulseflowofoxygenina
lightweightpackagethatcanbeeasilycarriedandusedaway
fromhome.
Thisoperator’smanualwillacquaintyouwiththeXPO2and
itsaccessories.Pleasemakesureyoureadandunderstandall
theinformationcontainedinthismanualbeforeyouoperate
yourunit.Shouldyouhaveanyquestions,pleasecontactyour
equipmentprovider.
Filters
AirenterstheXPO2throughanairintakefilterlocatedunder
thecoveronthefrontoftheunit.Thisfilterpreventshairand
otherlargeparticlesintheairfromenteringtheunit.Before
youoperatetheXPO2,makesurethisfilterisclean,dryand
properlypositioned.
Toclean/replacetheairintakefilter,refertoCleaning,Care,
AndMaintenanceonpage 37.

SECTION 6—OPERATING INSTRUCTIONS
Invacare XPO2™ 18 Part No 1160887
Location
 WARNING
NEVERblocktheairopeningsoftheproductorplaceitona
softsurface,suchasabedorcouch,wheretheairopening
maybeblocked.Keeptheopeningsfreefromlint,hairandthe
like.
Keepunitatleast3in(7.6cm)awayfromwalls,draperies,
furniture,andthelike.
LocateandpositiontheXPO2inawellventilatedspacesothat
theairintakeandtheairexhaustsarenotobstructed.
Recommendations for Optimal
Performance
Operating Temperature: 41°F to 95°F (5°C to 35°C)
Relative Humidity: 15% to 60%
Transport/Storage
Temperature:
-2°F to 140°F (-20°C to 60°C)
Allow unit to warm, or cool, to operating
temperature range before using.
Electrical: No extension cords.
Altitude: Up to 10,000 ft (3046 m) above sea level.
Tubing and Cannula: 4 ft (1.2 m) cannula with a maximum 25 ft
(7.6 m) of crush resistant tubing (DO NOT
pinch).
Environment: Smoke, pollutant and fume free. No
confined spaces (example: no closets).
Time of Operation: Up to 24 hours per day when connected to
AC or DC power adapter.

SECTION 6—OPERATING INSTRUCTIONS
Part No 1160887 19 Invacare XPO2™
Power Supplies
 WARNING
UseonlyInvacarespecifiedpowersupplieswiththeXPO2
portableconcentrator.Useofothernonapprovedpower
supplieswiththeXPO2cancausedamageand/orinjuryand
willvoidthewarranty.
NOTE:Forthisprocedure,refertoFIGURE6.1.
TheXPO2canbesuppliedpowerfromafactoryinstalled
internalbattery,fromanACpoweradapterconnectedtothe
walloutlet,fromaDCpoweradapterconnectedtoaDC
outletlikethatfoundinanautomobile,orfroma
supplementalbatterypack.
InternalBattery:Afactoryinstalled,rechargeable,internal
batteryislocatedinsidetheXPO2.Whenfullycharged,it
suppliespowerforupto3.5hours.Anaudiblealarmsounds
whenthebatterypowerisgettinglow.RefertoIndicators,
WarningsandAlarmsonpage 33.
ACPowerAdapter:AnACpoweradapterallowstheXPO2to
beconnectedtoa100‐240volt50/60hertzoutlet.Thepower
adapterconvertsACvoltagetoaDCvoltagethatcanbeused
topowertheXPO2.UseoftheACpoweradapterwillallow
theXPO2tobeoperatedandsimultaneouslyrechargethe
internalbattery.ThisACpoweradaptercanalsobeusedto
rechargethesupplementalbatterypack.RefertoCharging
theBatteriesonpage 22.

SECTION 6—OPERATING INSTRUCTIONS
Invacare XPO2™ 20 Part No 1160887
DCPowerAdapter:ADCpoweradapterallowstheXPO2to
beconnectedtoanautomobile’s(boat,motorhome,etc.…)
12‐voltDCoutlet.UseoftheDCpoweradapterwillallowthe
XPO2tobeoperatedandsimultaneouslyrechargetheinternal
battery.ThisDCpoweradaptercanalsobeusedtorecharge
thesupplementalbatterypack.RefertoChargingthe
Batteriesonpage 22.
SupplementalBatteryPack:TheXPO2canbepoweredbya
supplementalbatterypack.Thisbatterypackcanbeattached
totheXPO2carryingbagandconnectedtothepowerinput
connectoroftheunit.Thesupplementalbatterypackwill
provideupto3.5hoursofadditionalruntime.The
supplementalbatterypackhasitsownbatterystatusbutton
andbatterygaugetoidentifythelevelofbatterycharge.
NOTE:Thesupplementalbatterycannotbeusedtochargethe
internalbattery.
FIGURE 6.1 Power Supplies
Supplemental
Battery Pack
Battery Status
Button
Battery Gauge