Respironics UltraFill User manual

1065704
1070161 R05
LZ 3/19/2013
USER MANUAL
MANUEL DE L’UTILISATEUR
MANUAL DEL USUARIO

1
UltraFill User Manual
Table of Contents
Introduction .............................................................................................3
How the System Works.........................................................................7
Troubleshooting Guide....................................................................... 19
Cleaning and Maintenance ................................................................. 22
Transporting the UltraFill System..................................................... 22
Specications......................................................................................... 23
EMC Information.................................................................................. 25
Limited Warranty ................................................................................. 27
Bonsai is a registered trademark of CHAD Therapeutics.
© 2013 Koninklijke Philips Electronics N.V. All rights reserved.

2
Symbol Key
Follow Instructions For Use Keep Away From Open Flames
Keep Well Ventilated Keep Away From Electrical Appliances
No Smoking Keep Away From Oil Or Grease
AC Power Keep Unit Upright
Type B Applied Part Class II Device
CAUTION: US federal law restricts this
device to sale by or on the order of
a physician.
Drip Proof Equipment
System warning System fault
Follow instructions for
maintaining stability of the
equipment.
Denitions
The following denitions and acronyms are used in this manual:
• lpm liters per minute
• dBA decibels
• CGA Compressed Gas Association
• OPI Oxygen Percent Indicator
• OCD Oxygen Conserving Device
• CF Continuous Flow

3
UltraFill User Manual
IntroductIon
Intended Use
The intended use of the UltraFill System is to provide supplemental oxygen to patients and to supply pressurized
oxygen to ll cylinders for the patients' personal ambulatory use. The device is not intended to be life supporting or
life sustaining.
Device Description
The UltraFill System is comprised of an oxygen lling station, a compatible oxygen concentrator, one or more oxygen
cylinder(s) and an oxygen conserving device or regulator.
While the UltraFill is lling a cylinder, a 5-liter concentrator will provide patient ow up to a maximum of 3 lpm and
ll the cylinder continuously. The UltraFill cannot be used with a 5-liter concentrator when the required patient ow
is greater than 3 lpm. When the required patient ow is greater than 3 lpm, the Millennium M10 concentrator will
provide ow up to a maximum of 7 lpm.
Warnings & Cautions
CAUTION: US federal law restricts this device to sale by or on the order of a physician.
Warnings
• If while using the system you experience any discomfort or signs of any unusual physical symptoms, contact your
physician immediately.
• Oxygen can promote rapid burning when exposed to an open flame. Do not allow any smoking objects or open
flames near this unit.
• Do not use any oil, grease, or petroleum-based products on or near this unit.
• Do not smoke while the device is in use.
• Protect the device against the spillage of fluids on or around it. Do not place drinks on it. Do not allow fluids to
come in contact with the device. If fluids do come in contact with the device, contact your service representative.
• Do not set any objects on, or allow to be draped over, the UltraFill Station as they might block air flow into the
device. Place the unit in a ventilated location with the sides and rear two feet away from any object.
• Do not allow minors or children to operate the UltraFill System. Do not allow unsupervised children to play on
or near the device.
• To prevent an accidental tip over, do not attempt to move the UltraFill when it is connected to a cylinder.

4
• Do not use the UltraFill System if either the plug or power cord is damaged. Do not use an extension cord with
the UltraFill System.
• Do not connect the UltraFill System to an electrical outlet controlled by a wall switch or ground fault interruptor.
Make sure there is no other high power device such as a TV, stereo, computer, radio transmitter, space heater, hair
dryer, refrigerator, microwave oven, electrical range, or other large appliance connected to this outlet.
• Electrical shock hazard: Do not remove the cabinet of the UltraFill Station. The removal of the cabinet should
only be performed by Respironics, Inc. or a trained representative.
• Disconnect the power cord from the electrical outlet before cleaning the housing of the UltraFill Station.
• This equipment complies with IEC 60601-1-2 for electromagnetic compatibility for medical electrical equipment
and/or systems.This standard is designed to provide reasonable protection against harmful interference in a
typical medical installation. However, because of the proliferation of radio-frequency transmitting equipment and
other sources of electrical noise in health care and other environments, it is possible that high levels of such
interference due to close proximity or strength of a source might disrupt the performance of this device. Medical
electrical equipment needs special precautions regarding EMC, and all equipment must be installed and put into
service according to the EMC information specified in this manual.
• Take precautions to prevent electrostatic discharge (ESD). Precautionary procedures include methods to prevent
buildup of electrostatic discharge (e.g., air conditioning, humidification, conductive floor coverings, and non-
synthetic clothing), discharging one’s body to the frame of the equipment or system or to earth or a large metal
object, and bonding oneself by means of a wrist strap to the equipment or system, or to earth.
• All cylinders must be inspected before attempting to fill. Otherwise, injury or damage may occur.
• Do not fill cylinders that have not been tested in the past 5 years. Otherwise, serious personal injury may result.
Contact your dealer for replacement.
• Never use tools of any kind to disconnect the cylinder from the UltraFill Station. Otherwise, severe injury and/or
damage may occur.
• Do not drop oxygen cylinders. Use two hands when handling/transporting oxygen cylinders. Otherwise, injury or
damage may occur.
• Do not use a liquid leak detector to test for leaks.
• Do not direct the flow of oxygen at any person or flammable material when adjusting the flow.
• When the pointer on the cylinder contents gauge enters the red zone, it is recommended to refill the cylinder.
• No oxygen is delivered between cylinder settings. To obtain desired flow, the indicating pointer must align with a
specific number on the dial.
• To avoid injury to the patient, always confirm prescribed setting before administering to the patient.

5
UltraFill User Manual
Cautions
• Do not use cleaning solutions.
• Do not immerse the cylinders in any kind of liquid.
Additional warnings, cautions and notes are located throughout this manual.
Compatibility with Oxygen Devices
The UltraFill Home Oxygen Filling Station is compatible with the following devices:
Concentrators
Respironics EverFlo Stationary Oxygen Concentrator
Respironics EverFlo Q Stationary Oxygen Concentrator
Respironics Millennium M600 and M605 Series Concentrator
Respironics Millennium M10 Concentrator
Cylinders
Respironics UltraFill 2000 PSI (135 bar) Oxygen Cylinders:
• M4 • MD15
• M6 • ME24
• M9
Respironics UltraFill 3000 PSI (200 bar) Oxygen Cylinders:
• MB08 • MD22
• MC13 • ME36

6
Oxygen Conserving Devices and Regulators
• CHAD Therapeutics Bonsai®
• CHAD Therapeutics 4800 Regulator
• CHAD Therapeutics 3100 Regulator
• CHAD Therapeutics 3100 Pediatric Regulator
Note: UltraFill 2000 psi (135 bar) and 3000 psi (200 bar) cylinders are equipped to connect to any CGA-870 compatible
conserving devices and regulators. It is important to ensure the conserving device or regulator has been designed,
manufactured, and tested for use at the pressure rating of the cylinder. The CHAD Therapeutics 3100 Regulator and
Bonsai Conserving Device offered by Respironics have been designed, manufactured and tested for use on both 2000 psi
(135 bar) and 3000 psi (200 bar) cylinders.
Accessories
• Cylinder Carry Bag (Small: M9/MC13; Medium: M4/M6/MB08; Large: MD15/MD22)
• Cylinder Carry Cart (For Cylinder Sizes: MD15/MD22/ME24/ME36)
• Cylinders
» 2000 PSI (135 bar): M4, M6, M9, MD15, ME24
» 3000 PSI (200 bar): MB08, MC13, MD22, ME36
• CHAD Therapeutics Bonsai
• CHAD Therapeutics 4800 Regulator
• CHAD Therapeutics 3100 Regulator
• CHAD Therapeutics 3100 Pediatric Regulator
How to Contact Respironics
To have your device serviced, contact your home care provider. If you need to contact Respironics directly, call the
Respironics Customer Service department at 1-800-345-6443 (US and Canada only) or 1-724-387-4000. You can also
use the following address:
Respironics, Inc.
1001 Murry Ridge Lane
Murrysville, PA 15668 USA

7
UltraFill User Manual
How tHe SyStem workS
The UltraFill Home Oxygen Filling Station lls Respironics oxygen cylinders with gaseous oxygen supplied from an
oxygen concentrator.
The UltraFill Station is attached to the concentrator via a pneumatic tube.The oxygen concentrator takes room air
and feeds oxygen enriched air to the UltraFill.The UltraFill compresses oxygen into a cylinder at a very high pressure.
This cylinder can then be used for ambulatory oxygen. While the cylinder is lling you can continue to breathe from a
5-liter concentrator at ow rates up to 3 LPM and a 10-liter concentrator at ow rates up to 7 LPM.
The UltraFill Station is only used for lling a cylinder. You cannot breathe oxygen gas directly from it. This device is not
intended to be life supporting or life sustaining.
To ensure the correct use of this device, please read the information in this manual carefully before trying to operate
this device. After reading this manual, keep it in a safe place where you can refer to it any time a question arises.
Getting Started
Begin by becoming familiar with your UltraFill and the Control Panel.
FrontView RearView
TopView
Control
Panel
Cylinder Rest
Oxygen Cylinder Connector
Cylinder Connection Cover
Cylinder Release Button
Handle
Pocket forTubing Storage
Tubing Connection
Control Panel Cylinder Release Button
Oxygen Cylinder Connector
Hour Meter
Cylinder Rest
Cylinder Rest
Handle
Cord
Connection

8
Control Panel
Description Color Function
Power Button Power Off –
None
Power On –
Green
When the switch is turned so that the “I” symbol is down, the
device is operational.
System
Warning
Yellow When lit, this indicates the device has detected a possible fault.
The audible alarm may or may not be sounding.
System Fault Red When lit, this indicates the device has detected a fault that may
require service by the provider. The audible alarm will sound.
The device may stop lling and might not begin lling again until
the problem is corrected.
Power
Button
Power On –
Green Light
Fill Level
Indicators
Start/Stop Fill
Button
System Warning
– Yellow Light
System Fault –
Red Light
Cylinder
Release
Button

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UltraFill User Manual
Description Color Function
Fill Level
Indicator
Blue When at least one segment is lit, it indicates that the cylinder is
connected properly to the device.
When one segment is blinking, the cylinder is currently lling.
Each solid lit segment represents 25% of the cylinder ll
volume.
When all four segments are steadily lit, the cylinder is full and
can be disconnected from the device.
Start/Stop Fill
Button
Black When pressed, the device will start or stop the cylinder ll
process.
Cylinder
Release Button
Blue When pressed, the cylinder will be disconnected from the
device.

10
Using the UltraFill System
Initial Setup
1. Place the UltraFill system in an appropriate area (see the Specification section of this manual).
2. Place the UltraFill in a room with adequate ventilation. The sides and rear of the device must be at least 24 inches
away from any object.
3. Plug the UltraFill in to a standard 120V outlet. Do not connect the UltraFill System to an electrical outlet
controlled by a wall switch or ground fault interruptor. Make sure that no other high power device such as a
TV, stereo, computer, refrigerator, microwave oven, electrical range, or other large appliance is connected to this
outlet.
Connecting an Oxygen Concentrator
Warning: to prevent an accidental tip over, do not attempt to move the UltraFill when it is connected to a cylinder.
Note: the oxygen concentrator used with the UltraFill System may look different from the illustration.
1. Ensure that one end of the tubing is connected to the transfill outlet connection.
2. Connect the other end of the tubing to the concentrator outlet connection.
1
2
0 0 5 2 3 3
Concentrator Tubing Connection
Transfill Tubing Connection

11
UltraFill User Manual
Examining the Cylinder
Before using and/or lling the cylinder:
1. Examine the outside of the cylinder for the following:
»dents or dings
»oil or grease
»any other signs that the cylinders may be unsafe for use
2. Check the cylinder for fire or thermal damage.
3. Examine the cylinder fill connector for:
»debris, oil or grease
»noticeable signs of damage
»signs of excessive heat or fire damage
»signs of corrosion inside the valve
If any of the above conditions exist, call your homecare provider to replace the cylinder.

12
Connecting the Cylinder
Before connecting the cylinder:
1. Make sure the UltraFill is plugged in and the concentrator is turned on.
Note: allow the concentrator to warm up for 5 minutes prior to lling a cylinder.
2. Press the power button to turn on the UltraFill. The green, yellow and red level indicator lights will flash and the
system will beep. Then the yellow and red level indicators will turn off and the green level indicator light will be
solid.
3. Check to see that the OCD or regulator is set to “OFF”.
Note: if lling the cylinder without an OCD or regulator attached, please close the cylinder valve to ensure the cylinder lls
properly.
123
o
Flow Dial
To connect the cylinder:
1. Remove the protective caps from the oxygen cylinder connector and cylinder fill connector.
2. Line up and place the cylinder fill connector inside the oxygen cylinder connector.
3. Lightly push the cylinder in to the oxygen cylinder connector.

13
UltraFill User Manual
Filling a Cylinder
Once the cylinder is properly connected, you can start the ll process.
1. Press the stop/start button.
2. As the oxygen cylinder fills, the level indicators on the UltraFill will illuminate. The first level indicator blinks while
the oxygen cylinder is filling, then turns solid when the device is 25% full. As the oxygen cylinder continues to fill,
each level indicator will blink, then illuminate.
3. When the cylinder is full, all level indicators will be solid. The UltraFill will automatically turn off and the cylinder
can be disconnected.
Note: the cylinder can be removed before it is completely full. Simply follow the steps outlined in the section called
“Disconnecting Cylinder”.
Note: if the yellow LED is lit continuously and the red LED is ashing with a constant audible alarm, the O2purity in the
cylinder has dropped below 90%. Remove and empty the cylinder (see the sections of this manual called “Disconnecting
a Cylinder and “Emptying a Cylinder”). Refer to the “Troubleshooting Guide” in this manual for more information. If the
problem persists, contact your homecare provider.
Cylinder Size Volume (L) Typical FillTimes
2000 psi (135 bar)
M4 103 45 min
M6 148 1 hr 5 min
M9 246 1 hr 50 min
MD15 413 3 hr 5 min
ME24 679 5 hr
3000 psi (200 bar)
MB08 232 1 hr 45 min
MC13 354 2 hr 35 min
MD22 604 4 hr 25 min
ME36 992 7 hr 20 min

14
Disconnecting a Cylinder
1. Press the cylinder release button on the control panel.The cylinder will disconnect and the fill level indicators will
turn off.
2. Remove the cylinder from the oxygen cylinder connector.
To ll additional cylinders, repeat the previous steps. If you are nished lling cylinders, replace the oxygen ll
connector covers on the UltraFill and cylinders.
1 2

15
UltraFill User Manual
Emptying a Cylinder
If the O2 purity in the cylinder has dropped below 90%, the cylinder will need to be emptied.
To empty your O2 cylinder, adjust your conserving device or regulator to the highest continuous ow setting and
wait for it to empty. After the cylinder has been emptied, it can be relled again (Please see the section on Filling a
Cylinder).
Flow Dial set to
Continuous Flow (CF)
Cannula Port
Cylinder Gauge

16
Breathing from the Cylinder
To use the cylinder, follow the steps below.
1. Prior to use, inspect the cylinder for any visible damage. If there is damage, do not use the cylinder.
2. Make sure the cylinder is filled with oxygen. If not, refill it using the UltraFill. See the section titled Filling the
Cylinder for instructions on how to check the oxygen level and refill the cylinder.
3. If the conserving device or regulator has not already been attached, please place it on the cylinder (see
illustration below) and open the cylinder post-valve.
»Find the CGA-870 connection on the OCD/regulator and match it to the connection on the cylinder (3a).
»Find the CGA-870 connection on the cylinder and attach the OCD/regulator (3b).
»Turn and tighten the knob on the right to secure the OCD/regulator position on the cylinder (3c).
3a
3b
3c
4. Connect a standard single lumen nasal cannula to the cannula barb. Make sure the cannula tubing is no longer
than 7 ft (2.1 m).
5. Confirm that the conserving device or regulator is set to the appropriate position as prescribed by your
physician.
6. Adjust the cannula around your face so it fits correctly and comfortably. Breathe normally.
7. When the cylinder is not in use, turn the OCD or regulator control to the OFF position.

17
UltraFill User Manual
Cylinder UseTimes
The pulse dose will vary on each individual’s breathing patterns. The use time will vary depending on the patient’s
prescription, breath rate and type of conserving device being used. All use times are calculated using a setting of 2 and
at a breath rate of 20-breaths per minute for pulse dose.
Respironics will offer both an oxygen conserving device (CHAD Therapeutics Bonsai) and two regulators (CHAD
Therapeutics 4800 and 3100) with our system package. The use times are calculated below:
Duration (at Bonsai Settings)
Volume
(L)
1 2 3 4 5 6 7 2 lpm
CF
Cylinder
Type
M4 103 6 hr
26 min
3 hr
51 min
2 hr
45 min
2 hr
9 min
1 hr
53 min
1 hr
43 min
1 hr
27 min
52 min
M6 148 9 hr
15 min
5 hr
33 min
3 hr
57 min
3 hr
5 min
2 hr
43 min
2 hr
28 min
2 hr
6 min
1 hr
14 min
M9 246 15 hr
23 min
9 hr
14 min
6 hr
34 min
5 hr
8 min
4 hr
31 min
4 hr
6 min
3 hr
29 min
2 hr
3 min
MD15 413 25 hr
48 min
15 hr
29 min
11 hr
1 min
8 hr
36 min
7 hr
34 min
6 hr
53 min
5 hr
51 min
3 hr
27 min
ME24 679 42 hr
26 min
25 hr
28 min
18 hr
6 min
14 hr
9 min
12 hr
27 min
11 hr
19 min
9 hr
37 min
5 hr
40 min
MB08 232 14 hr
30 min
8 hr
42 min
6 hr
11 min
4 hr
50 min
4 hr
15 min
3 hr
52 min
3 hr
17 min
1 hr
56 min
MC13 354 22 hr
8 min
13 hr
17 min
9 hr
26 min
7 hr
23 min
6 hr
29 min
5 hr
54 min
5 hr
1 min
2 hr
57 min
MD22 604 37 hr
45 min
22 hr
39 min
16 hr
6 min
12 hr
35 min
11 hr
4 min
10 hr
4 min
8 hr
33 min
5 hr
2 min
ME36 992 62 hr 37 hr
12 min
26 hr
27 min
20 hr
40 min
18 hr
11 min
16 hr
32 min
14 hr
3 min
8 hr
16 min

18
Duration (CF Settings)
Regulator Volume
(L)
.5 1 2 3 4 5 6 8 10 12 15
Cylinder
Type
M4 103 3 hr
26 min
1 hr
43 min
51 min 34 min 26 min 21 min 17 min 13 min 10 min 9 min 7 min
M6 148 4 hr
56 min
2 hr
28 min
1 hr
14 min
49 min 37 min 30 min 25 min 19 min 15 min 12 min 10 min
M9 246 8 hr
12 min
4 hr
6 min
2 hr
3 min
1 hr
22 min
1 hr
2 min
49 min 41 min 31 min 25 min 21 min 16 min
MD15 413 13 hr
46 min
6 hr
53 min
3 hr
26 min
2 hr
18 min
1 hr
43 min
1 hr
23 min
1 hr
9 min
52 min 41 min 34 min 28 min
ME24 679 22 hr
38 min
11 hr
19 min
5 hr
39 min
3 hr
46 min
2 hr
50 min
2 hr
16 min
1 hr
53 min
1 hr
25 min
1 hr
8 min
57 min 45 min
MB08 232 7 hr
44 min
3 hr
52 min
1 hr
56 min
1 hr
17 min
58 min 46 min 39 min 29 min 23 min 19 min 16 min
MC13 354 11 hr
48 min
5 hr
54 min
2 hr
57 min
1 hr
58 min
1 hr
29 min
1 hr
11 min
59 min 44 min 35 min 30 min 24 min
MD22 604 20 hr
8 min
10 hr
4 min
5 hr
2 min
3 hr
21 min
2 hr
31 min
2 hr
1 min
1 hr
41 min
1 hr
16 min
1 hr 50 min 40 min
ME36 992 33 hr
4 min
16 hr
32 min
8 hr
16 min
5 hr
31 min
4 hr
8 min
3 hr
18 min
2 hr
45 min
2 hr
4 min
1 hr
39 min
1 hr
23 min
1 hr
6 min

19
UltraFill User Manual
troubleSHootIng guIde
UltraFill Station
Problem Possible Cause Your Action
Power switch is on but no
LED’s are illuminated.
Device is not plugged in or
there is a power failure.
Check the power outlet and verify that the device is
plugged in.
Cylinder is connected
but no blue LED’s are
illuminated.
Cylinder is not fully
connected.
Press cylinder disconnect button and remove
cylinder.Verify there is no obstruction to cylinder
ll connection. Retry connecting cylinder with rm
downward force.
DO NOT LUBRICATE CYLINDER FITTING WITH
OIL OR GREASE.
If the condition persists contact your home care
provider.
Cylinder is connected,
at least one blue LED is
illuminated, but ll will not
start.
Cylinder is not fully
connected.
Internal part failure.
Press the cylinder disconnect button and remove the
cylinder.Verify there is no obstruction to the cylinder
ll connection. Retry connecting the cylinder with
rm downward force.
DO NOT LUBRICATE THE CYLINDER FITTING
WITH OIL OR GREASE.
If the problem persists, contact your home care
provider.
Yellow LED is blinking
with or without periodic
beep.
Incorrect oxygen pressure
from the concentrator.
Cylinder valve may be
open (only applicable if
the OCD/Regulator is not
attached).
Verify that the oxygen concentrator and UltraFill are
connected properly. Check for kinked or obstructed
tubing. If the OCD/regulator is not attached to the
cylinder, verify that the cylinder valve is closed.
If the problem persists, contact your home care
provider.
Yellow LED is illuminated. The UltraFill device has
detected low oxygen purity.
Press the start/stop button.
Check the ow meter on the concentrator and verify
the ow is ≤ 3 LPM (5L concentrator) or ≤ 7 LPM
(10L concentrator).
Wait 5 minutes and press the start/stop button.
If the problem persists, contact your home care
provider.
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