Niked Medical Mark 5 Nuvo M5C5 User manual

May 20112010-2224F Rev C 1
USER'S GUIDE
Mark 5 Nuvo
M5C5
OXYGEN CONCENTRATOR
FederalLaw (US) restricts this device to sale
by, or on the order of, a licensed physician.
This oxygen concentrator should be used
only under the supervision of a licensed
physician.
Danger: Do not smoke when using oxygen or when
near this device .
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
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.
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

2010-2224F Rev C
2May 2011
USE OF OXYGEN
Oxygen is not a  ammable gas, but it accelerates the
combustion of materials. To avoid all risks of  re, the
MARK 5 Nuvo [M5C5] should be kept away from
all  ames, incandescent sources and sources of heat
(cigarettes),aswellasanycombustibleproductssuch
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
whilenotsupplyingoxygentoapatient,positionitso
that the gas  ow is diluted in the ambient air.
Place the device in a ventilated area free from smoke
and atmospheric pollution (rear  lter unobstructed).
The MARK 5 Nuvo [M5C5] must only be used for
oxygentherapyandonlyonmedicalprescription.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 [M5C5] 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 [M5C5].
CONFORMITYWITH IEC60601-1 (§ 6.8.2 B):
"The manufacturer, assembler, installer or distributor are not
consideredtoberesponsiblethemselvesfortheconsequences
onthesafety, reliabilityandcharacteristicsof adeviceunless:
• The assembly,  tting, extensions, adjustments, modi cations
or repairs have been performed by persons authorized by the
party in question,
• The electrical installation of the corresponding premises
complies with local electrical codes. ( e.g. IEC / NEC ).
•Thedeviceisusedinaccordancewiththeinstructionsforuse."
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.
This device complies with the requirements of the FDAQua-
lity System Regulation 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, mobile telephones, CB and other
portabledevices,microwaveovens,television,inductionpla-
tes 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
TheMARK5Nuvo[M5C5]isintendedtosupplysupplemental
oxygen to persons requiring low  ow oxygen therapy. It is not
intended to be life supporting or life sustaining. It produces
oxygenenrichedproductbyconcentratingtheoxygen contai-
nedinroomair.Itcanbeusedeithertoadministeroxygenwith
nasal cannulas or another probe or mask type of device.
The MARK 5 Nuvo [M5C5] 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 5Nuvo [M5C5] with the accessories recommended
by Nidek Medical Products, Inc.

May 20112010-2224F Rev C 3
1
5
I. 1. Front panel (Fig. I. 1)
1 - I/0 (ON/OFF) Switch
2- Humidi er (space reserved)
3 - Oxygen product outlet
4 - Flow adjustment knob (l/min.)
5- Circuit Breaker
6 - Indicator Lights
I. 2. Rear panel (Fig. I. 2 )
7 - Cabinet Dust Filter
8 - Technical Label
9 - Power Cord
8
3
4
5
4
6
7
7
9
2
1
II. STARTING UP / INSTALLATION
II. 1. Use in direct oxygen therapy
a - Ensure that the switch (1) is in the 0/(OFF) position.
b - If used with a humidi er:
Unscrew the  ask and  ll it with water up
to the line (see the humidi er instructions).
Then screw the humidi er  ask onto its lid
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 [M5C5] should be limited to 60 feet (20 meters)
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 power cable into a power outlet of the correct
voltage and frequency as de ned on the
manufacturer's technical label(8).
f - Press the power switch (I/0) to the ON position (I). The
red indicator will light and the audible alarm will sound for
a few seconds until system pressure rises to the accepted
level.
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.
Note: View the  owmeter in the horizontal plane for accurate
settings.
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/0) switch to place
it in the (0) [OFF] position to stop the device. The oxygen
enriched air  ow continues for approximately 1 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.
3

2010-2224F Rev C
4May 2011
III.3. Maintenance
Nospecialmaintenanceneedstobecarriedout by the patient.
The equipment supplier performs periodic maintenance ope-
rations to assure continued reliable service from the MARK
5 Nuvo [M5C5].
IV. USEFULINFORMATION
IV.1. Accessories and spare parts
The accessories used with the MARK 5 Nuvo [M5C5]
must:
• be oxygen compatible,
• be biocompatible,
• comply with the general requirements of the FDA Quality
System Regulation.
The connectors, tubes and nasal cannulas must be designed
and approved for oxygen therapy usage.
TheaccessorieswithaNidekMedicalpartnumber reference,
or included in theset 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.
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 above items are available from
Nidek Medical Products, Inc.
IV.2. Materials in direct or indirect contact with the
patient
Concentrator casing ......................................Polycarbonate
Mains cable................................................................... PVC
Dust  lter ...............................................................Polyester
ON/OFF switch...........................................................Nylon
Casters.........................................................................Nylon
Flow adjustment knob................................................... ABS
Gas outlet ....................................................................Brass
Printed labels..................................................Polycarbonate
Pipe / Tubing ...Aluminium, PVC,polyurethane or silicone
Humidi er .....................................................Polypropylene
Filter ............................................................. Polypropylene
6
7
8
9
10
III. CLEANING - MAINTENANCE
III.1. Cleaning
OnlytheoutsideoftheMARK5Nuvo[M5C5]istobecleaned,
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 dust  lter (7) must be cleaned weekly
inwarmwaterandhouseholddetergent or afterapproximately
100 hours of use. More frequent cleaning is recommended
in dusty enviroments. Dry before reinstalling.
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 humidi er 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.
TheMARK5Nuvo [M5C5]mustbecleanedanddisinfected
as per the above instructions. The cabinet dust  lter should be
washedorreplaced. Theentireoxygenadministrationcircuit
(oxygen therapy nasal cannulas, etc.) must be changed.
III.2. Everyday disinfection
Due to the presence of the  nal product  lter inside the de-
vice,everydaydisinfectionconcernsonlytheexternaloxygen
therapy accessories: humidi er, probes, nasal cannulas (refer
to the respective instructions for use).
The device must be switched off when alcohol based
solutions are used.
6 Filter / Silencer
7 Cabinet Dust  lter
8 Hour Meter
9 Ventilation Grille
10 Battery
6
7 8
910

May 20112010-2224F Rev C 5
IV.3. Operating Principle
The compressor sends  ltered room air to a rotary distribution
valve, which allows compressed air to pass to the column in
production.Thecolumnscontainamolecularsievethatfunc-
tion 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 meter to the oxy-
gen 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 bacterial  lter located
prior to the oxygen outlet  tting.
IV.4. Alarms - Safety devices
IV.4.1 Alarm
•No voltage detection:
In the event of a loss of mains power, a continuous audible
alarm is activated. Test alarm by activating I/0 [On/Off]
switch with power cable unplugged from wall receptable.
•Process fault:
Inthecaseofaprocessfault,avisibleandaudiblealarmisac-
tivated (continuous red light and audible alarm, see p. 7).
IV.4. 2. Safety devices
•Compressor motor:
Thermal safety is ensured by a thermal switch situated in the
stator winding (145 ± 5 oC).
•Ambient air valve:
In the case of a negative pressure in the molecular sieve co-
lumns, this valve allows ambient air to enter.
• Electrical protection of the MARK 5 Nuvo [M5C5]
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 casings (EN60601-1
standard).
•Safety valve:
This is  tted on the compressor outlet and is calibrated to
2.7 bar (40 psig).
IV. 5.3. Maintenance of the system alarms:
• No special maintenance is required.
•Theequipmentsupplierchecksthattheunitisstilloperating
correctlywhentheroutinechecksareperformedontheMARK
5 Nuvo [M5C5].
IV. 6. Technical characteristics
Dimensions: L x W x H: 394 x 396 x 706 mm (15.5 x
15.6 x 27.8 in.)
Caster diameter: 38 mm (1.5 in.).
Tilt angle (transport with humidi er  tted): 70o.
Weight: 25-28 kg. (50 - 55 lbs -varies with model)
Noise level: < 48 dBA
Flow values:
ContinuouslyAdjustable Flowmeter: 0 to 5 liters/minute.
(Some models may have other values)
Accuracy of  ow supplied:
The  ow supplied is equal to the  ow set on the  owmeter,
accurate to within ± 10 % or 200 ml/min, whichever is the
larger of the two.
Average oxygen content:
• at 2 l/min: 93%.
• at 4 l/min: 93%.
• at 5 l/min: 90%.
(Values at 21oC and at one atmosphere pressure).
Max. 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).
\
IV. 5. Indicator Light Function
IV. 5.1 Green Indicator
The green indicator light indicates that power is applied to
the concentrator and that it is ready to provide oxygen enri-
ched air to the patient. To be lighted, it is necessary that the
concentrator power plug be inserted into the wall receptacle
and that the ON/OFF (I/0) switch be actuated.
IV. 5.2 Red Indicator
The red indicator light is utilized to warn the patient of a
system fault. The two events that can cause the red indicator
to be lighted are abnormal system pressure and loss of mains
power. The abnormal system pressure warning will light
when product pressure falls below approximately 4 psig or
above approximately 18 psig. The loss of power indicator
will light when mains power is interrupted or the power cord
is not plugged into the wall receptacle.

2010-2224F Rev C
6May 2011
MARK 5 Nuvo [M5C5] Serial No. ____________
Date  rst used: ___________________________
_________________________________________
Maintained by: ___________________________
_________________________________________
Your distributor: _________________________
Address : ________________________________
_________________________________________
Telephone : ______________________________
PREVENTIVE MAINTENANCE:
a. Wash cabinet dust  lter weekly.
b. Inspect inlet air  lter at each patient visit.
Replace  lter annually, or more often depending on
environment.
c. Check oxygen concentration every 5,000 hours or
one year.
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 the 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).
Upon request, the supplier can provide circuit diagrams,
sparepartslists,technicaldetailsoranyotherinformation
of use to quali ed technical personnel for parts of the
device which are designated as being the manufacturer’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
Electrical power supply:
115 V Units 230 V Units
Frequency: 60Hz 50/60Hz
Average Power: 410 W 420 W
Protection Class: ClassII Class II
Mains Protection: 10A 5A
Filters:
At the rear of the device: a cabinet dust  lter.
At the compressor input: an inlet air  lter, behind 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.
• Ambient temperature of between 5oC and 40 oC (40oF and
100 oF) (operation).
• Storage temperature range -20 oC to 60oC. (0oF to140oF).
• Relative humidity of between 15 % and 95 % operation and
less than 95% storage, both non-condensing.
• Altitude(21oC): Up to 1500 m (5000 ft) without degrada-
tion;
Consult your equipment provider for further information
regarding 1500 m to 4000 m (5000 to 13000 ft).
• IPX1: Complies with EN60601-1 standard; spilling of a
glass of water.
IV. 7. Standards
EN60601-1[UL60601-1:2003],CAN/CSA-C22.2No.601.1-
M90 w/A1&A2: Electrical Safety- Medical Devices.
EN60601-1-2:2000 Electromagnetic Compatibility
IV. 8. Method for disposing of waste
All waste from the MARK 5 Nuvo [M5C5] (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 recyclable.
Cabinet
Dust
Filter Air
Filter

May 20112010-2224F Rev C 7
IV. 10. Troubleshooting.
Solutions
Check the cable connection.
Check the circuit breaker on the
front of the unit under the  owmeter.
Contact your equipment supplier.
Replace battery
Contact your equipment supplier.
Contact your equipment supplier.
Stop the device by pressing the
I-O (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. Res-
tart. Reset the circuit breaker.
Contact your equipment supplier.
If the device does not start, contact
your equipment supplier.
Check that tubing connections are
secure and that the tubing is not
kinked.
Straighten the tubing ; contact your
equipment supplier if damaged.
Possible Causes
Power cable is not correctly
plugged in.
Power failure.
Product pressure is too low or
too high.
Faulty 9 V Battery
Internal electrical fault.
Faulty indicator.
Pneumatic connection broken or
other pressure problem.
Internal electrical fault.
Pneumatic circuit fault.
Compressor thermal safety de-
vice has been activated.
Fan is not working.
Dirty Filters.
Tube disconnected or humidi-
 er not tight.
Cannula tubing is kinked.
Observations
The I-O (ON/OFF) button is in the
ON position but the device does not
operate.
The continuous alarm sounds.
Red light remains lighted.
The alarm test does not work.
See IV. 4.1
The compressor operates and the
I-O (ON/OFF) button is in the ON
position but the green light is not lit.
The I-O (ON/OFF) button is ON and
the compressor is operating but there
is no  ow. The audible alarm sounds
continuously.
The I-O (ON/OFF) button is ON,
the compressor is operating, 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 Dust Filter - Part Ref: 9250-1025; Wash weekly; Replace as needed.
Inlet Air Filter - Part Ref: 9250-1180; Inspect at each patient visit; Replace annually.
Battery, 9Volt - Part Ref: 7206-0027; Replace annually or sooner if 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.

2010-2224F Rev C
8May 2011
Nidek Medical Products, Inc.
3949 Valley East Industrial Drive
Birmingham, Alabama 35217 U.S.A.
Tel: [phone] Fax: [phone]
MMainain Main Maintenance
This i
Maintenance Items;
Mai