Scaleo medical HORIZON P5 User manual

Portable oxygen concentrator
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USER MANUAL
0459

2 DOMU722_v7_EN_20221006_Horizon® P5 User manual
Summary
SUMMARY
.......................................................................................................................................... 2
SAFETY INSTRUCTIONS AND WARNINGS
........................................................................ 3
SYMBOLS AND PICTOGRAMS
.................................................................................................6
GENERAL INFORMATION ABOUT HORIZON®P5
...........................................................8
HORIZON®P5 DESCRIPTION
..................................................................................................10
INSTRUCTIONS FOR USE
.........................................................................................................17
ALERTS AND TROUBLESHOOTING
.....................................................................................25
CLEANING AND MAINTENANCE
..........................................................................................34
TECHNICAL SPECIFICATIONS
.............................................................................................. 39
ELECTROMAGNETIC COMPATIBILITY
...............................................................................41
WARRANTY & LIABILITY
.......................................................................................................... 47
PRODUCT LIFE & RECYCLING
.............................................................................................. 48
EC DECLARATION OF CONFORMITY
................................................................................ 49
HOW TO CONTACT US
.............................................................................................................52

DOMU722_v7_EN_20221006_Horizon® P5 User manual 3
Safety instructions and warnings
This user manual contains important safety information regarding the use of the
Horizon® P5 oxygen concentrator. Please read this manual completely and carefully for a
save use of this product. Keep it for future reference. Do not use this product without
reading and fully understanding these instructions. Injury or damage may result.
If you do not understand this user manual, please contact your service provider. SCALEO
Medical offers consulting and training services. Make sure that the person handling the
device understands this user manual and uses this product accordingly.
There is a risk of fire associated with oxygen enrichment during oxygen therapy. Keep the
oxygen concentrator and its parts away from sparks and open flames.
The use of open flames during oxygen therapy is dangerous and may cause fire or death.
The use of open flames less than 2 m from the oxygen concentrator or any accessory
carrying oxygen is prohibited.
Only use water-based lotions or balms that are labeled as compatible with oxygen before
and during oxygen therapy. Never use petroleum or oil based lotions or balms to avoid
the risk of fire and burns.
Do not lubricate the device, fittings, tubing systems or other accessories of the oxygen
concentrator to avoid the risk of fire and burns.
Oxygen facilitates the start and spread of a fire. Do not leave the nasal cannula or mask
on bedspreads or seat cushions because if the oxygen concentrator is on but not in use,
the oxygen will make the materials flammable. Turn off the oxygen concentrator when
not in use to stop oxygen enrichment.
Always unplug the power outlet before cleaning the oxygen concentrator.

4 DOMU722_v7_EN_20221006_Horizon® P5 User manual
Smoking during oxygen therapy is dangerous and can cause facial burns or death.
Smoking is prohibited in the room where the oxygen concentrator or any accessory
carrying oxygen is located.
If you wish to smoke, you must always turn off the oxygen concentrator, remove the
cannula and leave the room where the cannula / mask or oxygen concentrator is placed.
If you cannot leave the room, you must wait 10 minutes after switching off the oxygen
concentrator before smoking.
Use only replacement parts recommended by the manufacturer to ensure correct
operation and to avoid the risk of fire and burns.
Oxygen therapy must strictly follow the doctor's prescription.
In order to ensure the delivery of a therapeutic amount of oxygen appropriate for your
medical condition, the Horizon® P5 must:
• Be used only after one or more settings have been individually determined or
prescribed for you according to your own activity levels,
• Be used with the specific combination of parts and accessories that meet the
concentrator manufacturer's specifications and that were used in determining your
settings.
It is recommended to have an alternate source of oxygen in the event of a power failure
or mechanical failure. Consult your service provider for recommendations on the best
type of backup system.
It is the patient's responsibility to make further arrangements for the supply of oxygen
when traveling; SCALEO Medical assumes no responsibility for those who choose not to
follow the manufacturer's recommendations.
Horizon® P5 settings do not match those of other brands or models of continuous flow
oxygen therapy devices.

DOMU722_v7_EN_20221006_Horizon® P5 User manual 5
Do not connect the Horizon® P5 oxygen concentrator in parallel or in series with other
oxygen therapy devices.
Wind or strong drafts can adversely affect the accuracy of the delivery of oxygen therapy.
Some breathing efforts of the patient may not trigger the concentrator and thus send a
bolus. It is recommended to have a stress test with your doctor before using Horizon® P5.
Do not leave the HORIZON P5 connected to the power supply without its battery.
Never leave the Horizon® P5 in an environment which may reach high temperatures. It
could damage the device.
In the event of a device failure, contact your authorized service provider or the
manufacturer's service center immediately. Do not disassemble or repair it yourself.
In order to get the best performance from the oxygen concentrator, SCALEO Medical
recommends using the oxygen concentrator for more than 30 minutes each time.
Frequent use of the oxygen concentrator for a short time may shorten the life of the
device.
Avoid the use of extension cords.
Do not drop or insert foreign objects into any openings. It is strictly forbidden to block
the air inlet and exhaust port of this device or to place the device on a soft surface, such
as a sofa or bed, which may cause the block the exhaust. Keep the air inlet away from
lint, hair, or objects alike.

6 DOMU722_v7_EN_20221006_Horizon® P5 User manual
Symbols and pictograms
Symbols used in this manual
This symbol indicates instructions and safety information, where an injury may occur if
warnings are ignored or partially followed. It is important to carefully follow the advice
and warnings.
This symbol indicates important information regarding the use of the equipment. Failure
to observe this information may result in damage or malfunction of the device.
This symbol indicates important and useful information. This information will help the user
and optimize the use of the equipment. They will simplify routine operations and provide
solutions to complex operations.
Symbols and pictograms on the concentrator and the elements on the pack
Symbol
Meaning
Manufacturer
Refer to user manual
No smoking while device is
in use
Caution, consult
accompanying documents
Complies with applicable
EU Directives
AC power
Use no oil or grease
Indoor or dry location use
only. Do not get wet
Symbol
Meaning
This way up
Fragile, handle with care
Keep dry
Temperature limit
No Open Flames
(Concentrator);
Do not incinerate
(Battery).
IP20
Drip proof equipment
without carry bag
IP22
Drip proof equipment
with carry bag

DOMU722_v7_EN_20221006_Horizon® P5 User manual 7
Do not disassemble
Humidity rate
Do not dispose of in
unsorted municipal waste
Stacking limit by number
Type BF Applied Part, Not
Intended for Cardiac
Application
Device serial number
User interface
Device Indentification
“HORIZON P5” is a model of product range HORIZON GMN: 3664844HO2PRT
Ref.
UDI-DI
Designation
R41 508
3664844000076
Pack Horizon® P5 portable concentrator - 8 cells
R41516
3664844000069
Pack Horizon® P5 portable concentrator – 16 cells
R41 10 020
3664844000038
Horizon® P5 portable concentrator
R41 10 010
3664844000021
Single Li-ion Battery for Horizon® P5 portable
concentrator (6,5Ah)
R41 10 011
3664844000014
Dual Li-ion Battery for Horizon® P5 portable
concentrator (6,5Ahx2)
R41 10 070
3664844000007
Carry Bag Horizon® P5 portable concentrator
Symbol
Meaning
ON / OFF button
Increase Flow Setting
Decrease Flow Setting
Silent alarm button

8 DOMU722_v7_EN_20221006_Horizon® P5 User manual
General information about Horizon®P5
About Horizon®P5
!
The Horizon® P5 is a portable oxygen
concentrator that produces highly
purified oxygen from ambient air.
Oxygen in the air is concentrated using
sieves and a pressure swing adsorption
process. The patient is the operator of his
own machine.
Intended use
Horizon® P5 oxygen concentrators should be used by patients with a prescription, and presenting
chronic respiratory failure, also called long-term oxygen supplementation: COPD or suffering from
polycythemia, chronic pulmonary heart disease, pulmonary hypertension, non-apneic and in all
cases when the partial pressure of oxygen is less than 60 mm of mercury.
Horizon® P5 provides a high concentration of oxygen and is used with a nasal cannula to channel
oxygen from the concentrator to the patient. The Horizon® P5 can be used in homes, institutions,
vehicles, airplanes and a variety of mobile environments.
Horizon® P5 can be used by a single patient or by several patients successively, if the disinfection
procedures indicated in this user manual, as well as in the Technical Manual are followed.

DOMU722_v7_EN_20221006_Horizon® P5 User manual 9
Contraindications
The device was NOT designed for lifesaving or maintenance of vital functions.
Under certain circumstances, the use of non-prescribed oxygen therapy can be
dangerous. The device should only be used when prescribed by a physician.
Using this device at an altitude above 3000 meters or at a temperature outside the range
of 5 to 40˚C or at a relative humidity above 95% without condensation, is likely to have
an adverse impact on the flow rate and percentage of oxygen and therefore on the
therapy.
A geriatric, pediatric or any other type of patient unable to communicate their discomfort
may require additional monitoring and / or a distributed alarm system to communicate
information regarding discomfort and/or medical urgency to responsible caregivers to
prevent harm.
This product is not suitable for babies or patients severely poisoned by carbon monoxide.
Horizon® P5 should not be used by more than one patient at the same time. Complete
disinfection must be performed between the different patients.
The Horizon® P5 is not designed nor intended for use with a humidifier, nebulizer, or
connected to any other equipment. Using the device with a humidifier, nebulizer, or
connected to other equipment may adversely affect performance and / or damage the
equipment.
Do not modify the Horizon® P5. Any modification made to the equipment may adversely
affect performance or damage the equipment and will void your warranty.

10 DOMU722_v7_EN_20221006_Horizon® P5 User manual
Horizon®P5 description
The Horizon® P5 packs come with the following elements:
• Horizon® P5 concentrator R41 10 020
• Horizon® P5 Carrying Bag - reference R41 10 070
• Cable and Power Supply - reference R41 10 015
• Single or double battery, depending on the chosen pack:
- Horizon® P5 Single Battery - reference number R41 10 010
- Horizon® P5 dual battery - reference number R41 10 011
Parts of your Horizon®P5 Oxygen Concentrator
Front
1. Ventilation opening
2. Particle filter cover
3. Air inlet and outlet
4. Battery release latch
5. Battery
1
2
3
5
4

DOMU722_v7_EN_20221006_Horizon® P5 User manual 11
Back
6. USB Port
7. Product identification label
8. Power supply input
Upper side
9. Cannula nozzle
10. Audible alarm button
11. Alert / alarm LEDs
12. Breathing detection LED
13. On / Off button
14. Screen
15. Flow control
9
13
11
12
14
10
15
9
13
11
12
14
10
15
7
6
8

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Main parts description
• Particulate filters. Filters must be placed at the inlet of the concentrator during
operation to keep the incoming air clean.
• USB port. Used only for maintenance.
• Power supply input. Allows connection to external power from the AC power
supply.
• The cannula nozzle. The cannula must be conncected to this nozzle, as this is
where the Horizon® P5 releases the concentrated oxygen.
• Audible alarm button. By pressing on this button, the Horizon® P5 Breath
Detection audible alarm will be enabled or disabled.
• Alert / alarm LED. An orange light indicates either a change in operating status
or a condition that may require action (alarm). A flashing light has priority over a
non-flashing light.
The Horizon® P5 is also equipped with an audible signal (beep) that indicates either a
change in operating status or a condition that may require action (alarm). More frequent
beeps indicate higher priority conditions.

DOMU722_v7_EN_20221006_Horizon® P5 User manual 13
• Breath detection LED. The Horizon® P5 alerts with audible and visual "no breath
detected" signals when this mode is activated and no breath has been detected
for 15 seconds. After 15 seconds, the device enters automatic heartbeat mode.
When another breath is detected, the device switches out of the automatic
pulse mode and delivers normally on inspiration. The screen mode indication area displays a
bell icon, a blinking orange light, and a message when the alert is triggered.
• On / Off button. Press the button once to activate the "On" function; hold the
button down for one second to deactivate the function "Off".
• Display. This display shows information about the current setting,
power status, battery life and malfunctions.
The display turns on automatically when any of the control buttons
are pressed. It also turns off automatically.
Contact your service provider to learn how to change the language
of the Horizon® P5 display.
• Settings adjustment buttons. Use settings buttons - or + to select the
desired value as indicated on the display. Settings range from 0.25 to 5.
• Rechargeable single and dual lithium-ion batteries. The battery
powers the Horizon® P5 without connection to an external power
source. When fully charged, in flow setting 1, a single battery can
provide up to 3 hours of operation; a dual battery can provide up to 5
hours 30 minutes of operation. The battery recharges when it is
correctly installed in the Horizon® P5 and the concentrator is
connected to AC power. The batteries can be replaced by the patient
in the event of a low battery alarm.

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Recharge time is up to 2 hours 30 minutes for a single battery and 4 hours 30 minutes for a
dual battery. See the information in the "Battery Maintenance" section.
The Horizon P5's lithium battery is supplied charged to approximately 40% of its capacity.
The concentrator can be used immediately, but a full charge is recommended before first
use.
SCALEO Medical recommends charging the batteries in a temperate room.
SCALEO Medical recommends disconnecting the battery from the machine when it is not
used for a long period of time.
HORIZON P5 batteries must not be stored at extreme temperatures above 60°C or below -
20°C, even for a short time.
Charging instructions displayed by the device during use should be followed by the patient,
especially when charging the battery. A completely discharged battery should not be left on
a machine.
• Supplementary battery for the Horizon® P5. The Additional battery
allows extended use of the concentrator in the event of absence of a
power outlet (outdoor use such as travel, walking, etc.).
• Carrying bag. The Horizon® P5 carrying bag provides protection when
transporting the concentrator with a handle and adjustable shoulder
strap.
The carrying case helps protect against liquid penetration into your
concentrator and it is classified IP22.

DOMU722_v7_EN_20221006_Horizon® P5 User manual 15
• Power cable and power supply. The Horizon® P5 concentrator is powered by an alternating
current (AC) source. The Horizon® P5 AC power supply provides the current and voltage
required to safely power the Horizon® P5. It is designed to operate from a variety of AC power
sources, automatically adjusting to input voltages from 100V to 240V (50-60Hz), allowing it to
be used with most power sources in the world.
The AC power supply charges the Horizon® P5's batteries when used with AC input power.
Do not use power supplies or power cables other
than those specified in this user manual. The use
of unspecified power supplies or cables may
present a safety hazard and/or adversely affect
the performance of the device.
Do not wrap cords around the power source for
storage. Doing so may damage the cords and
prevent power from being supplied to the
concentrator. To avoid choking or strangulation,
keep cords and tubes out of the reach of children
and pets.
Optional features
• External battery charger ( R41 10 016 ). The external charger allows you to charge the battery
without going through the concentrator.
1. Connect the external charger by sliding it onto the
battery.
2. Connect the power cord to the external charger.
3. Check the indicator light on the external charger.
4. Fully charge the battery by pressing the test button on
the battery.
Power
Supply
AC power plug
DC output to
the Horizon® P5

16 DOMU722_v7_EN_20221006_Horizon® P5 User manual
Spare parts
• Outlet filters - reference R41 10 156
• Outlet filter replacement kit - reference R41 10 025
• Horizon® P5 Sieve beds - reference R41 10 060
For assistance with set-up (if needed), operation, maintenance, or to report unexpected
operation or events, contact your service provider or SCALEO Medical.
The Horizon® P5 and its parts, recommended by SCALEO Medical, are compatible and
allow optimal use of the concentrator.
Parts non-included on the Horizon®P5 pack
• Nasal cannulas. They should be used with the Horizon® P5 to deliver
oxygen from the concentrator.
SCALEO Medical recommends single inlet cannulas (e.g., Salter 16SOFT) to ensure proper
oxygen use and delivery to the patient.
Nasal cannulas up to 7.6 meters in length are recommended to
ensure proper detection of breathing and oxygen delivery.
The use of unspecified accessories may create a safety hazard and/or impair the
performance of the equipment.

DOMU722_v7_EN_20221006_Horizon® P5 User manual 17
Instructions for use
How to use the Horizon®P5
Avoid using the Horizon® P5 in the presence of pollutants, smoke, or fumes. Do not use
the Horizon® P5 in the presence of flammable anesthetics, cleaning agents or other
chemical vapors.
Use of accessories that are incompatible with the Horizon P5 may result in a degradation
of performance. Refer to the Accessories section of this manual for more information on
the recommended accessories for your concentrator.
The Horizon® P5 oxygen concentrator is designed for
continuous use. For optimum sieve beds life, the product
should be used frequently.
Do not obstruct the air inlet or outlet when using the
device. Obstruction of air flow or proximity
to a heat source may result in internal heat build-up and
shutdown or damage to the concentrator.
The air inlet and outlet area must be freely accessible.
Position the Horizon® P5 so that any audible alarm can be
heard.
1. Place the Horizon® P5 in a well-ventilated area.
2. Install the battery.
Insert the Horizon® P5 battery into the bottom of the concentrator by
sliding it until the latch returns to the top position.
Air inlet and
outlet

18 DOMU722_v7_EN_20221006_Horizon® P5 User manual
The Horizon® P5 battery acts as a secondary power supply in the event of loss of external AC
power. When using the Horizon® P5 connected to AC power, a properly inserted Horizon® P5
battery must be maintained in the device. This procedure will ensure uninterrupted
operation and will trigger all alarms and alerts in the event of loss of external power.
3. Plug in the power source.
Connect the AC power plug to the AC outlet and plug the power output plug
into the Horizon® P5. A beep will sound from the concentrator, the display
light and control panel LED will turn on and then turn off after a few seconds.
A beep will be heard, then the "SCALEO Medical" logo will appear
on the screen for 2 seconds. The screen then goes blank.
Do not disassemble the power source. Doing so may result in failure of the parts and/or a
safety hazard.
Make sure the power supply is well ventilated, as it relies on air circulation for heat
release. The power supply can become hot during operation. Make sure the power supply
cools down before handling it.
The power supply is not water resistant.
Do not place anything in the power supply port other than the supplied wall cord.
Avoid using extension cords with the Horizon® P5. If an extension cord must be used, use
an extension cord that is Underwriters Laboratory (UL). Do not connect any other device
to the same extension cord.
Under certain conditions (see technical specifications), the power supply may be shut off.
The green light will blink or fail to illuminate. If this happens, unplug the power supply for at
least 10 seconds and plug it back in.

DOMU722_v7_EN_20221006_Horizon® P5 User manual 19
When the power supply is disconnected from the AC outlet, also disconnect it from the
concentrator to avoid unnecessary discharge of the battery.
When charging a fully discharged battery, the charging process may start and stop for the
first few minutes. The fan will also stop.
4. Connect the nasal cannula to the cannula nozzle fitting.
The nozzle fitting is located on top of the Horizon® P5. The use of a single
inlet cannula up to 7.6 meters in length is recommended to ensure proper
breath detection and oxygen delivery. Additional titration may be required
to ensure proper oxygen delivery when using a particular cannula.
When using a 7.6 m (25 ft) long cannula with the Horizon® P5, an increase in flow setting
may be required.
Increasing the length of the nasal cannula may reduce the perceived noise during oxygen
bolus delivery.
To ensure oxygen flow, ensure that the nasal cannula is properly connected to the nozzle
fitting and that the tubing is not kinked or pinched in any way.
To confirm that air is being delivered to the end of the cannula, simply place your hand near
the air outlet at the end of the cannula; if you feel a puff, the air system is working properly.
If you do not feel gas flowing, check the cannula connections for leaks. Please contact your
supplier if this is the case.
To avoid choking and strangulation, keep tubes out of reach of children and pets.
Replace nasal cannulas regularly. Check with your supplier or physician to determine how
often the cannula should be replaced.

20 DOMU722_v7_EN_20221006_Horizon® P5 User manual
5. Make sure the removable parts of the concentrator are connected according to the following
connection diagram:
Connection Diagram
Horizon® P5 Removable Parts
6. Turn on your Horizon® P5.
To turn the device on, press the "On/Off" button. The device will turn on when the "SCALEO Medical"
logo appears on the screen and the buzzer beeps.
The message "Please wait, starting in progress" will appear when the concentrator starts up.
The main screen shows the selected flow settings and the battery status. After a brief start-up
sequence, there is a warm-up period of up to 5 minutes.
During this period, the oxygen concentration is building up but may not reach specifications.
Additional warm-up time may be required if your Horizon® P5 has been stored in extremely
cold temperatures or hot.
7. Adjust the Horizon® P5 Oxygen Concentrator according to your physician's prescription.
Use the "+" or "-" flow setting control buttons to set the Horizon® P5 to the desired setting. The
To the patient
To AC
outlet