Nidek Medical Lite User manual

May 20112010-8401CE Rev C 1
USER'S GUIDE
Mark 5 Nuvo(OCSI)
LITE
OXYGEN CONCENTRATOR
FederalLaw (US) restricts this deviceto sale
or use by, or on the order of, a licensed phy-
sician. This oxygen concentrator should be
used only under the supervision of a licensed
physician.
0413 Complies with the 93/42/EEC directive
certi ed by the approved organization no 0413.
CONTENTS
: ON (power switched on)
: Off (power switched off)
: Type B device
: Class II protection
: Do not expose to open ames
: Do not use oil or grease
: Technical information
: Consult the accompanying documents
: Keep in the vertical position
: Fragile - handle with care
: Oxygen concentration warning light
GLOSSARY OF SYMBOLS
[Original language is English]
GLOSSARY OF SYMBOLS..........................................1
GENERALSAFETY GUIDELINES............................2
I. DESCRIPTION.......................................................2
I.1. F
ront panel (Fig. I. 1)......................................... 3
I.2. Rear panel (Fig. I. 2)................................................3
II. STARTING-UP / INSTALLATION ......................3
II.1. Use in direct oxygen therapy....................................3
III. CLEANING-MAINTENANCE.............................4
III.1. Cleaning...................................................................4
III.2.
Everyday disinfection...................................................4
III.3. Maintenance.............................................................4
IV. USEFULINFORMATION...................................4
IV.1. Accessories and spare parts.....................................4
IV.2. Materials in direct or indirect contact with
patient .....................................................................4
IV.3. Operating principles................................................4
IV.4. Alarms - Safety devices...........................................5
IV.5. Indicator light function ..........................................5
IV.6. Technical characteristics..........................................5
IV.7. Standards.................................................................6
IV.8. Method for disposing of waste................................6
IV.9. Method for disposing of device...............................6
IV.10.Troubleshooting........................................................7
APPENDIXA: EMC INFORMATION.......................8,9
Danger: Do not smoke when using oxygen or when
near this device
.

2010-8401CE Rev C
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USE OF OXYGEN
Oxygen is not a ammable gas, but it accelerates the
combustion of materials. To avoid all risks of re,
the MARK 5Nuvo LITE should be kept away from
all ames, incandescent sources and sources of heat
(cigarettes), as well as any combustible products
such as oil, grease, solvents, aerosols, etc.
Do not use in an explosive atmosphere.
Avoid letting oxygen accumulate on an upholstered
seat or other fabrics. If the concentrator is operating
while not supplying oxygen to a patient, position it
so that the gas ow is diluted in the ambient air.
Place the device in a ventilated area free from
smoke and atmospheric pollution (rear filter
unobstructed).
The MARK 5 Nuvo LITE must only be used for
oxygen therapy and only on a medical prescription.
The indicated daily duration and ow must be
followed, otherwise it may present a risk to the
health of the patient.
Do not use in a speci cally magnetic environment
such as: (MRI, X-ray, etc.)
USEAND MAINTENANCE OFTHE DEVICE
Do not open the device while in operation: risk of
electrical shock.
Use the power cord provided, and check that the
electrical characteristics of the power socket used
match those indicated on the manufacturer’s plate
on the rear panel of the machine.
We recommend against the use of extension cords
or adapters, as they are potential sources of sparks
and re.
The MARK 5 Nuvo LITE has an audible alarm to
warn the user of problems. In order that the alarm
may be heard, the maximum distance that the user
can move away from it must be determined to suit
the surrounding noise level.
GENERAL SAFETY GUIDELINES
Only persons who have read and understood this entire manual
should be allowed to operate the MARK 5 Nuvo LITE.
CONFORMITY WITH IEC60601-1 (§ 6.8.2 B):
"The manufacturer, assembler, installer or distributor are not
consideredtoberesponsiblethemselvesfortheconsequenceson
the safety, reliability and characteristics of a device unless:
• The assembly, tting, extensions, adjustments, modi cations
or repairs have been performed by persons authorized by the
party in question,
• Theelectricalinstallationofthecorrespondingpremises
complies with local electrical codes. (e.g. IEC / NEC).
• The device is used in accordance with the instructions for
use."
If the replacement parts used for the periodic servicing by an
approved technician do not comply with the manufacturer’s
speci cations, the manufacturer is not responsible in the event
of an accident.
ThisdevicecomplieswiththerequirementsoftheFDAQuality
System Regulation and 93/42/EECEuropean directive but its
operation may be affected by other devices being used near
by, such as diathermy and high frequency electro-surgical
equipment, de brillators, short wave therapy equipment,
mobiletelephones,CBandotherportabledevices,microwave
ovens, induction plates or even remote control toys or any
other electromagnetic interferences which exceed the levels
speci ed by the EN 60601-1-2 standard.
I. DESCRIPTION
The MARK 5 Nuvo LITE is intended to supply supplemen-
tal oxygen to persons requiring low ow oxygen therapy.
It is not intended to be life supporting or life sustaining. It
produces an oxygen enriched product by removing most of
the nitrogen contained in room air. It can be used either to
administer oxygen with nasal cannulas or another probe or
mask type of device.
The MARK 5 Nuvo LITE is easy to use.
The single ow adjustment knob allows:
• the device to be easily adjusted to the prescribed ow rate,
• the equipment supplier or medical staff to limit ows to a
speci c ow rate with a built-in locking device.
It has a power failure alarm and an operating fault alarm.
Note:theperformancesdescribedpertaintotheuseofthe
MARK 5 Nuvo LITE with the accessories recommended
by Nidek Medical Products, Inc.

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34
5
I.1. Front panel (Fig. I.1)
1 - I/O (ON/OFF) Switch
2 - Indicator Lights
3 - Oxygen product outlet
4 - Flow adjustment knob (l/min.)
5 - Circuit Breaker
I.2. Rear panel (Fig. I.2)
6 - Humidi er
7 - Filter
8 - Power Cord
9 - Elapsed Time Meter
10 - Technical Label
11 - Humidi er Tube
12 - Humidi er Bottle Velcro Strap
13 - Power Cord Retainer
3
5
1
5
43
7
II. STARTING UP / INSTALLATION
II.1. Use in direct oxygen therapy
a. Ensure that the switch (1) is in the O(OFF) position.
b. If used with a humidi er:
Unscrew the ask and ll it with water up
to the line (see humidi er instructions).
Then screw the lid on the humidi er ask
until there are no leaks.
c. Connect the oxygen tube to the humidi er outlet nozzle
or to the concentrator outlet if a humidi er has not been
prescribed. The tube between the cannula and the MARK 5
Nuvo LITE shouldbe limited to 20 meters (60 feet) long,
in order to ensure that the oxygen ow rate remains within
speci cation values.
d. Ensure that all of the parts are connected correctly so as
to avoid leaks.
e.Plug the powercableintoapoweroutlet of
the correct voltage and frequency as de ned
on the manufacturer's technical label (Fig
I.2).
f. Press the power switch (I/O)to the ON position ( I ).
Thegreenindicatorwilllightwhentheoxygenconcentration
exceeds the set point.
g. Turn the ow adjustment knob (4) to the prescribed value.
This knob may have already been locked in the medically
prescribed position. In this case, do not force it. Only the
technician or medical personnel are authorized to release
it.
h. Check that the oxygen ows out of the administration
device (nasal cannulas or other) by placing the ori ce(s) on
the surface of a glass of water. The ow should disturb the
surface of the water.
i. Adjust the nasal cannula to suit your face.
Note:therequiredoxygenconcentrationisnormallyobtained
within ve minutes after the unit is started.
At the end of the treatment, press the I/O Switch to place
it in the O(OFF) position to stop the device. The oxygen
enriched air ow continues for approximately one minute
after the device is stopped.
For the equipment supplier or medical staff:
The ow adjustment knob may be locked to limit it to a
speci c predetermined value.

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III. CLEANING - MAINTENANCE
III.1. Cleaning
Only the outside of the MARK5NuvoLITEis to becleaned,
with a soft, dry cloth or, if necessary, a damp sponge, then
thoroughly dried with wipes and an alcohol based solution.
Acetone, solvents or any other in ammable products must
not be used. Do not use abrasive powders.
The removable cabinet air lter (2) must be cleaned in warm
waterandhouseholddetergentweeklyorafterapproximately
100 hours of use. More frequent cleaning is recommended in
dusty enviroments. Dry before reinstalling.
66
9
III.2. Daily disinfection
Because there is a nal product lter inside the device, daily
disinfection concerns only the external oxygen therapy
accessories: humidi er, probes, nasal cannulas (refer to the
respective instructions for use).
The device must be switched off when alcohol based so-
lutions are used.
a. The following minimum guidelines must be
observed:
• Humidi er : (If prescribed by a physician)
Clean according to the manufacturer's instructions. If no
instructions are provided, do the following:
Daily:
• Empty the water from the humidi er.
• Rinse the humidi er ask under running water.
• Fill humidi er up to the mark with distilled water.
Regularly:
• Disinfect the humidifer parts by immersing them in a
disinfectant solution. ( In general, we recommend using a
solution of 1 part vinegar diluted with 10 parts water.)
• Rinse and dry.
• Check that the humidi er lid seal is in good condition.
•Oxygen tubing and nasal cannula:
Follow the manufacturer’s instructions.
b. For each new patient:
Follow the instructions from the humidi er manufacturer.
The MARK 5 Nuvo LITE must be cleaned and disinfected
as per the above instructions. The cabinet air lter should be
washed orreplaced.The entire oxygen administration circuit
(oxygen therapy nasal cannulas, etc.) must be changed.
III.3. Maintenance
No special maintenance needs to be carried out by the
patient. Your equipment supplier performs periodic main-
tenance operations to assure continued reliable service from
the MARK 5 Nuvo LITE.
IV. USEFULINFORMATION
IV.1.Accessories and spare parts
The accessories used with the MARK 5 Nuvo LITE must:
•be oxygen compatible,
•be biocompatible,
•comply with the general requirements of the FDA
Quality System Regulation or the 93/42/EEC
European Directive as appropriate.
The connectors, tubes, nasal cannulas, probes or masks
must be designed for oxygen therapy usage.
The accessories with a Nidek Medical part number
reference, or included in the set of accessories supplied with
the device, comply with these requirements.
Contact your dealer to obtain these accessories.
NOTE: The use of certain administration accessories
which are not speci ed for use with this concentrator may
reduce its performance and void the manufacturer’s
responsibility (ISO 8359).
AVAILABLEACCESSORIES
IF PRESCRIBED BYA PHYSICIAN
Humidi er: P/N 9012-8774
Cannula with 2 m (7 ft) tubing: P/N 9012-8780
Extension Tubing 7.7 m (25ft): P/N 9012-8781
Tubing Adapter: P/N 9012-8783
The items listed above are available from
Nidek Medical Products, Inc.
IV.2. Materials in direct or indirect contact with the
patient
Concentrator casing ..................................................... ABS
Mains cable ................................................................. PVC
Cabinet Air fFlter................................................. .Polyester
I/0 (On/Off) switch ....................................................Nylon
Casters........................................................................Nylon
Flow adjustment knob.................................................. ABS
Oxygen product outlet ..................................Stainless Steel
Printed labels.................................................Polycarbonate
Pipe/Tubing......Aluminium,PVC, polyurethane or silicone
Humidi er ....................................................Polypropylene
Humidi er tube..............................................................PVC
Filter .............................................................Polypropylene
H
Tuyau d'alimentation de NEBAL .....Silicone
1. Filter / Silencer
2. Cabinet lter
3. Ventilation grill
78
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910
8
76

May 20112010-8401CE Rev C 5
IV.3. Operating principle
The compressor sends ltered room air to a solenoid valve,
whichallowscompressedairtopass tothecolumninproduc-
tion.The columns contain a molecularsieve, whose function
is to adsorb the nitrogen and thus allow oxygen to pass.
The oxygen enriched product is then directed to a pressure
reducing valve through the adjustable ow valve to the
oxygen product outlet tting.
During this time, the column which is being "regenerated"
is connected to the ambient air and ow of oxygen enriched
productispassedthroughit(fromthecolumn"inproduction").
In this way, when one column is in production, the other is in
a nitrogen desorption or "regeneration" phase. The oxygen
enriched product nally passes through a nal product lter
located prior to the oxygen outlet tting.
IV. 5. OCSI (oxygen concentration status indication mo-
dule) function
IV. 5.1. Operating principle
The Oxygen Monitor (2) is an electronic module capable of
checking the effective oxygen concentration supplied by the
MARK 5 Nuvo LITE concentrator.
The Oxygen Monitor measures the concentration and activa-
tes an audible and visual alarm if it falls below the alarm set
point percentage. When the MARK 5 Nuvo LITE is started,
the indicator lights operate as follows:
IV. 5.2. Green indicator
Thegreen(LED)indicatorlightindicatesthatpowerisapplied
to the concentrator and that it is ready to provide oxygen
enriched air to the patient. To be lighted, it is necessary that
the concentrator power plug be inserted into the wall outlet,
that the I/O (On/Off) switch be actuated and that the oxygen
concentration has reached the alarm set-point
Dimensions: L x W x H: 36x23x58.5 cm (14 x 9 x 23 in.)
Caster diameter: 3.8 cm (1.5 in.).
Tilt angle (transport with humidi er tted): 30o.
Weight: 15 kg. 33 lbs (depends on model)
Noise level 45 to < 40 dBA (depends on model)
Flow values:
12 position ow valve 0.125-5 liters/minute.
(Some models may have other values.)
IV.5.4. Maintenance of the Device Alarms
• No special maintenance is required. The alarm set-point is
factorysetandthesettingcannotbeadjusted.Modelsoperating
at 50 Hz are set at 83% and 60 Hz models are set at 85%.
• The equipment supplier checks that the device is still
operating correctly when the routine checks are performed
on the MARK 5 Nuvo LITE.
IV.6. Technical characteristics
IV.4. Alarms - Safety devices
IV.4.1.Alarms
•No voltage detection:
In the event of a loss of mains power, an intermittent audible
alarm is activated and the green light turns off. Test alarm
by actuating the I/O (On/Off) switch when the power cord is
not plugged into the wall outlet.
•Process fault:
In the case of a process fault, a visible and audible alarm is
activated (continuous red light or lighted alarm and audible
alarm, see p. 7).
•No oxygen ow alarm (if supplied with the unit):
The Nuvo Lite concentrator has a no ow alarm option.
This device provides a continuous audible alarm in the
event the oxygen ow to the patient becomes blocked.
IV.4.2. Safety devices
•Compressor motor:
Thermal safety is ensured by a thermal switch situated in the
motor winding (145 ± 5 oC).
•Electrical protection: of the MARK 5 Nuvo LITE:
A 5A circuit breaker is incorporated into the front cabinet
of all 230V models. A 10 A circuit breaker is included with
115V models.
Class II devices with insulated castings (EN60601-1
standard)
•Safety valve:
This is tted on the compressor outlet and is calibrated to
2.7 bar (40 psig).
IV.5.3. Red indicator
The red (LED) indicator light is used to warn the patient
of a system fault. The event that can cause the red (LED)
indicator tobe lighted is low oxygen concentration . The low
oxygen concentration red (LED) warning will light when the
oxygen concentration falls below a predetermined set point.
When the red (LED) warning light is on for 15 minutes (±2
minutes),a continuous audiblealarm is activated.An audible
alarm will sound intermittently on loss of mains power. Call
the equipment supplier to service the device.

2010-8401CE Rev C
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MARK 5 Nuvo LITE Serial No. ______________
Date rst used: ___________________________
Maintained by: ___________________________
_________________________________________
Your distributor: _________________________
Address : ________________________________
_________________________________________
Telephone : ______________________________
PREVENTIVE MAINTENANCE:
a. Wash cabinet lter weekly.
b. Inspect inlet air lter at each patient visit.
Replace lter every 2 years, or more often
depending on environment.
c. Check oxygen concentration every 15,000 hours or
3 years to verify the continuing OCSI function.
The manufacturer’s instructions for the preventive
maintenance of the devices are de ned in the
maintenance manual. Check with your service
provider for any updates to recommended schedules.
The work must be carried out by suitably trained
technicians certi ed by the manufacturer.
Use original spare parts only (see Pg. 7).
Uponrequest,thesuppliercanprovidecircuitdiagrams,
sparepartslists,technicaldetailsoranyotherinformation
of use to quali ed technical personnel for parts of the
devicewhicharedesignatedasbeingthemanufacturer’s
responsibility or by the manufacturer as repairable.
Medical Device Regulations require users and
service providers to report to the manufacturer any
incident that could, if repeated, result in injury to
any person.
IV.8. Method for disposing of waste
AllwastefromtheMARK5NuvoLITE (patient circuit, lter,
etc.) must be disposed of using the methods appropriate to
the civil authority of the location where disposed.
IV.9. Method for disposing of the device
In order to preserve the environment, the concentrator must
only be disposed of using the appropriate methods. All ma-
terials of construction are recycleable.
Furthermore, as part of the marking (directive 93/42/EEC),
the serial number of the device disposed of must be sent to
the Nidek Medical technical service department if the unit
has the marking.
Accuracy of ow supplied:
In compliance with the ISO 8359 standard, the ow supplied
is equal to the ow set on the owvalve, accurate to within ±
10 % or 200 ml/min, whichever is the larger of the two.
Oxygen Concentration:
• at 2 l/min: >90%. .
• at 5 l/min: 90%. (+6.5%/-3%)
(Values at 21oC and at one atmosphere pressure).
Maximum recommended ow: 5 l/min.
The variation of the maximum recommended ow does not
exceed ± 10 % of the indicated value when a back pressure
of 7 kPa (1 psig) is applied to the output of the device. The
maximum outlet pressure is 50 kPa (7 psig).
Electrical power supply:
115 V Units 230 V Units
Frequency: 60Hz 50 & 60Hz
Average Power: 330W(avg) 300 W(avg)
Protection Class: Class II Class II
Mains Protection: 10A 5A
Filters:
At the rear of the device: a cabinet air lter.
At the compressor input: an inlet air lter, 5 µm, located
behind the cabinet air lter.
Before the oxygen outlet: a nal product lter, < 0.3 µm.
(technician only).
Air circulation:
A tubeaxial fan cools the compressor compartment.
Environmental limit conditions:
The performances of the device (especially the oxygen
concentration)arequotedat21oC(70oF)andoneatmosphere.
They may change with temperature and altitude. For further
information, please consult the maintenance manual.
• The device must be stored, transported and used in the
vertical position only.
• Ambienttemperatureofbetween5oCand 40oC(40oFto
104oF) operation.
• Storage temperature from -20oC to 60oC (-4oF to 160oF).
• Relative humidity of between 15 % and 95 % operation
and storage, both non-condensing.
• Altitude(21oC): Up to 2,286m (7,500ft) without degra
dation; Consult your equipment provider for further in
formation regarding 2,286m to 4000m (7,500 to
13000ft).
• Complies with EN60601-1 standard; spilling of a glass
of water.
IV. 7. Standards
ISO 8359:1996 Oxygen concentrators for medical use.
EN60601-1[UL60601-1:2003],CAN/CSA-C22.2No.601.1-
M90 w/A1&A2: Electrical Safety- Medical Devices.
EN60601-1-2:2001 Electromagnetic Compatibility

May 20112010-8401CE Rev C 7
IV. 10. Troubleshooting.
Solutions
Check the cable connection.
Check the circuit breaker(5) on the
front of the unit; Reset if necessary.
Contact your equipment supplier.
Backup capacitor has discharged
operate unit for approximately 10
minutes and retest
Contact your equipment supplier.
Contact your equipment supplier.
Stop the device by pressing the
I-0 (ON/OFF) button and contact
your equipment supplier.
Stop the device and contact your
equipment supplier.
Stop the device and wait for it to
cool down.
Clean cabinet lter. Restart.
Reset circuit breaker. If the device
does not start, contact your equip-
ment supplier.
Check that tubing connections are
secure and that the humidi er is
sealed.
Straighten the tubing; contact your
equipment supplier if damaged.
Power cable (9) is not correctly
plugged into the
wall outlet.
Power failure.
Oxygen concentration is too
low.
Capacitor is not charged
Internal electrical fault.
Faulty indicator.
Pneumatic connection broken
or other pressure problem.
Internal electrical fault.
Pneumatic circuit fault.
Compressor thermal safety
device has been activated.
Dirty Filters.
Fan is not working.
Tube disconnected or
humidi er cap is not tight.
Cannula tubing is kinked or
restricted.
Observations
The I-0 (ON/OFF) button is in the "I"
(ON) position but the device does not
operate.
The audible alarm sounds intermit-
tently.
Red light remains lighted.
The alarm test does not work.
See IV 4.1.
The compressor operates and the
I-0 (ON/OFF) button is in the "I"
(ON) position but the green indicator
is not lighted.
The I-0 (ON/OFF) button is in the "I"
(ON) position but there is no ow.
The audible alarm sounds continu-
ously.
The I-0 (ON/OFF) button is in the
"I" (ON) position, the compressor is
operating and there is a ow but the
audible alarm sounds continuously.
The compressor stops in mid-cycle,
then starts again after a few minutes.
The oxygen enriched air ow is inter-
rupted at the nasal cannula outlet.
The ow at the nasal cannula outlet is
irregular.
Maintenance Items
Cabinet Air Filter: Part Ref: 8400-1025; Wash weekly; Replace as needed.
Inlet Air Filter: Part Ref: 8400-1180; Inspect at each patient visit; Replace every 2 years.
Humidi er Tube: Part Ref: 8400-8409; Wash in warm water; Replace as needed.
Please record all maintenance activity on the Maintenance Log found in the Service Manual and online
at www.nidekmedical.com under the 'Maintenance Log' tab.
Possible Causes

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2010-8401CE Rev C
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2010-8401CE Rev C
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Nidek Medical Products, Inc.
3949 Valley East Industrial Drive
Birmingham, Alabama 35217 U.S.A.
Tel: 205-856-7200 Fax: 205-856-0533
info@nidekmedical.com
www.nidekmedical.com
EU Representative
mdi Europa GmbH
Langenhagener Str. 71
30855 Hannover-Langenhagen
Germany
Tel: +49-511-39-08 95 30
Fax: +49-511-39-08 95 39
info@mdi-europa.com
www.mdi-europa.com
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