CAIRE Companion 5 Eco Oxygen Concentrator Bundle User Manual

Companion 5TM
User Manual

Companion 5
User Controls & System Status Indicators

Internal Symbols

2| Oxygen Output
I/O| On/Off Switch
| No serviceable pans inside. Do not open COM.
ISO 7000; Graphical symbols for use on equipment —Index and synopsis
| Storage or operating temperature limitation range Reg. a 0632
| Storage humidity range Rcg. 2620
| Name and address of the manufacturer. Rcg. N 3082
| Date of the manufacturer. Rcg. N 2497
REF| Catalog Number. Reg. # 2493
SN| Serial Number. Reg. N 2498
| This way up. Reg. N 0623
| Fragile. handle with the cart. Rcg. N 0621
| Keep away from rain, keep dry. Reg. #0626
| Read the user’s manual before operation. Reg. N 1641
Stacking limit by number. Reg N 2403
ISO 7010: Graphical symbols—Safety colors and safety signs—Registered safety signs
| The instruction manual must be read. Rcg. an M002
| Warning. Reg. # W001
| Keep away from open flame, fire, sparks. Open ignition source and smoking prohibited. Reg. St P003
| Do not smoke near the unit or while operating unit Reg. # P002
|
**| Type BF applied part (degree of protection against electric shock). Rcg. a 5333
Council Directive 93/42/EEC concerning medical devices
Council Directive| authorized representative in the European Community
ETI. Certification**
IEC 60417
| Class II Equipment. Double Insulated Reg. # 5172
ETI. Certification
| Safety-agency for CAN/CSA C22.2 No. 601.1 M90 for medical electrical equipment
Contains FCC ID: WAP2001 FCC Notice
21 CFR 801.15: Code of Federal Regulations Title 21
X ONLY| Federal law restricts this device to sale by or on the order of a physician.
Council Di ective 2012/19/EU: waste electrical and electronic equipment (WEE()
| WEEK
IEC 60601 1: Medical electrical equipment Part 1 General requirements for basic safety and essential performance
IPX1| Drip Proof Equipment-IPX I: Companion 5 provides protection against the harmful effects of the ingress of liquids. (IPX I. per IEC 60529)

FCC NOTICE:
This device may contain CYBLE-022001-00, including the antenna 2450AT18B100 from Johnson Technology, which complies with par 15 of the FCC rules. The device meets the requirements for modular transmitter approval as detailed in FCC public Notice DA00-1407. Transmitter operation is subject to the following two conditions (1) This device may not cause harmful interference, and (2) This device must accept any interference received, including interference that may cause undesired operation.
This product may be covered by one or more patents, US and international. Please visit our website below for the listing of applicable patents. Pat.: www.caireinc.com/corporate/patents/ .

1 Unpack Your Companion 5
Companion 5

2 Getting to Know Your Companion 5
Review all Warnings, Cautions, and additional device information in the rest of this manual. Become familiar with the key features of the Companion 5 and the User Control Panel.

Companion 5
The Companion 5 Components

Outer Case| The durable plastic case that encloses and protects the inner components of the CAIRE Companion 5.
---|---
Power Switch| ON/OFF power switch used to initiate or stop power supply to the unit. The ON position is indicated by the “l” symbol and the OFF position is indicated by the “O” symbol.
Outlet Barb| Oxygen exits the Companion 5 here after it has been filtered and concentrated. Either a single lumen nasal cannula or standard oxygen tubing is attached to deliver to the patient. The maximum length
of oxygen tubing attached to the concentrator is 50 ft. (15.2 m).
LED Display| Contains a green, red and yellow LED light. The green light indicates normal operation, and the yellowand red lights indicate alarms conditions. (See the Alarm Conditions section of the instruction for more information.)
Hour Meter| Digital display of the elapsed operation time of the concentrator. Displays to the nearest tenth of an hour and cannot be reset. Displays diagnostic alarm codes when the concentrator experiences an alarm condition.
Flow Meter| Used to adjust and display the flow rate of oxygen that is delivered. Flow rates range from 0.5 – 5 liters per minute (LPM) and can be adjusted by turning the knob.
Humidifier Bottle Support Stand (Bottle optional)| Location to attach a humidifier bottle. The stand contains an elastic band used to secure the bottle on the stand. A humidifier bottle provides additional moisture to the oxygen flow. The bottle is filled with distilled water, and the moisture is used to prevent drying of the nasal tissues.
| *Oxygen Concentrator Status Indicator (OCSI) models only

3 Attaching Humidifier Bottle and Cannula
If using a humidifier bottle, first fill the bottle with distilled water to the manufacturer’s specified level. Place bottle in designated support stand and secure with the elastic band. Connect the threaded end of the humidifier tube to the bottle, and the other to the Companion 5 outlet barb. Connect oxygen tubing and/or a nasal cannula to the outlet barb on the humidifier bottle.

If not using a humidifier bottle, connect the oxygen tubing and/or a nasal cannula directly to the Companion 5 outlet barb.

4 Power On and Warm-Up
Plug the AC power cord into an AC outlet.

Toggle the Power Switch to the On position.

When the Companion 5 is powered on properly, the green power indicator on the LED display will light up. All LED lights will illuminate upon startup. After the concentrator completes the warm-up cycle, only the green light will remain on.
Note: After Initially powering on, the O2 light will illuminate and “O2 UP” will display on the screen until the concentration reaches specifications.

6 Adjust Flow Setting to Prescribed Level
Use the Flow Control Knob to select the flow prescribed by your physician.

WARNING: IT IS VERY IMPORTANT TO SELECT ONLY THE PRESCRIBED LEVEL OF OXYGEN. DO NOT CHANGE THE FLOW SELECTION UNLESS YOU HAVE BEEN DIRECTED TO DO SO BY A LICENSED CLINICIAN. THE OXYGEN CONCENTRATOR MAY BE USED DURING SLEEP UNDER THE RECOMMENDATION OF A QUALIFIED CLINICIAN.
Breathe normally through the nasal cannula.
To adjust flow rate:
Turn counter-clockwise to increase flow.
Turn clockwise to decrease flow.
The middle of the ball indicates the flow rate. See picture below.

Important!
Safety Instructions are defined as follows:
WARNING: IMPORTANT SAFETY INFORMATION FOR HAZARDS THAT MIGHT CAUSE SERIOUS INJURY.
CAUTION: Important information for preventing damage to the Companion 5.
Note: Information needing special attention.

Indications for Use

Intended Use
Companion 5 is intended for the administration of supplemental oxygen. The device is not intended for life support, nor does it provide any patient monitoring capabilities.
WARNING: IT IS VERY IMPORTANT TO SELECT ONLY THE PRESCRIBED LEVEL OF OXYGEN. DO NOT CHANGE THE FLOW SELECTION UNLESS YOU HAVE BEEN DIRECTED TO DO SO BY A LICENSED CLINICIAN. THE PORTABLE OXYGEN CONCENTRATOR MAY BE USED DURING SLEEP UNDER THE RECOMMENDATION OF A QUALIFIED CLINICIAN.
WARNING: TO ENSURE RECEIVING THE THERAPEUTIC AMOUNT OF OXYGEN DELIVERY ACCORDING TO YOUR MEDICAL CONDITION, COMPANION 5 MUST BE USED ONLY AFTER ONE OR MORE SETTINGS HAVE BEEN INDIVIDUALLY DETERMINED OR PRESCRIBED FOR YOU AT YOUR SPECIFIC ACTIVITY LEVELS. COMPANION 5 MUST BE USED WITH THE SPECIFIC COMBINATION OR PARTS AND ACCESSORIES THAT ARE IN LINE WITH THE SPECIFICATION OF THE CONCENTRATOR MANUFACTURER AND THAT WERE USED WHILE YOUR SETTINGS WERE DETERMINED.
WARNING: THIS UNIT IS NOT TO BE USED FOR LIFE SUPPORT. GERIATRIC, PEDIATRIC, OR ANY OTHER PATIENT UNABLE TO COMMUNICATE DISCOMFORT CAN REQUIRE ADDITIONAL MONITORING AND/OR A DISTRIBUTED ALARM SYSTEM TO CONVEY THE INFORMATION ABOUT THE DISCOMFORT AND OR THE MEDICAL URGENCY TO THE RESPONSIBLE CAREGIVER TO AVOID HARM. PATIENTS WITH HEARING AND/OR SIGHT IMPAIRMENT(S) MAY NEED ASSISTANCE WITH MONITORING ALARMS.
WARNING: IN CERTAIN CIRCUMSTANCES, THE USE OF NON-PRESCRIBED OXYGEN CAN BE HAZARDOUS. THIS DEVICE SHOULD ONLY BE USED WHEN PRESCRIBED BY A PHYSICIAN.
WARNING: NOT FOR USE IN THE PRESENCE OF FLAMMABLE ANESTHETICS.
WARNING: AS WITH ANY ELECTRICALLY POWERED DEVICE, THE USER MAY EXPERIENCE PERIODS OF NON-OPERATION AS A RESULT OF ELECTRICAL POWER INTERRUPTION, OR THE NEED TO HAVE THE COMPANION 5 SERVICED BY A QUALIFIED TECHNICIAN. THE COMPANION 5 IS NOT APPROPRIATE FOR ANY PATIENT WHO WOULD EXPERIENCE ADVERSE HEALTH CONSEQUENCES AS THE RESULT OF SUCH TEMPORARY

INTERRUPTION.

Safety Guidelines

WARNING: NO MODIFICATION OF THIS EQUIPMENT IS PERMITTED
WARNING: THE MANUFACTURER RECOMMENDS AN ALTERNATE SOURCE OF SUPPLEMENTAL OXYGEN IN THE EVENT OF A POWER OUTAGE, ALARM CONDITION, OR MECHANICAL FAILURE. CONSULT YOUR PHYSICIAN OR EQUIPMENT PROVIDER FOR THE TYPE OF RESERVE SYSTEM REQUIRED.
WARNING: THIS DEVICE SUPPLIES HIGH-CONCENTRATION OXYGEN THAT PROMOTES RAPID BURNING. DO NOT ALLOW SMOKING OR OPEN FLAMES WITHIN TWO (2) METERS OF (1) THIS DEVICE, OR (2) ANY OXYGEN-CARRYING ACCESSORY. FAILURE TO OBSERVE THIS WARNING CAN RESULT IN SEVERE FIRE, PROPERTY DAMAGE, AND/OR CAUSE PHYSICAL INJURY OR DEATH.
WARNING: DO NOT OPERATE UNIT IN A RESTRICTED OR CONFINED SPACE (I.E., A SMALL CASE OR HANDBAG) WHERE VENTILATION CAN BE LIMITED. THIS CAN CAUSE THE OXYGEN CONCENTRATOR TO OVERHEAT AND IMPAIR PERFORMANCE.
WARNING: THE CONCENTRATOR SHOULD BE LOCATED AS TO AVOID SMOKE, POLLUTANTS OR FUMES.
WARNING: THE USE OF SOME OXYGEN ADMINISTRATING ACCESSORIES NOT SPECIFIED FOR THIS OXYGEN CONCENTRATOR MAY IMPAIR ITS PERFORMANCE. RECOMMENDED ACCESSORIES ARE REFERENCED WITHIN THIS MANUAL.
WARNING: IF THE OXYGEN CONCENTRATOR HAS BEEN DROPPED, DAMAGED OR EXPOSED TO WATER PLEASE CONTACT YOUR HOME CARE PROVIDER FOR INSPECTION OR POSSIBLE REPAIR OF THE DEVICE. DO NOT USE THE OXYGEN CONCENTRATOR IF IT HAS A DAMAGED POWER CORD OR PLUG.
WARNING: DO NOT ALLOW EITHER THE AIR INTAKE OR THE AIR OUTLET VENTS TO BECOME BLOCKED. DO NOT DROP OR INSERT ANY OBJECTS INTO ANY OPENINGS ON THE DEVICE. THIS CAN CAUSE THE OXYGEN CONCENTRATOR TO OVERHEAT AND IMPAIR PERFORMANCE.
WARNING: DO NOT OVERFILL THE OPTIONAL HUMIDIFIER. FILL THE OPTIONAL HUMIDIFIER WITH WATER ONLY TO THE LEVEL SHOWN BY THE MANUFACTURER OF THE HUMIDIFIER.
WARNING: DO NOT OPERATE THIS EQUIPMENT WITHOUT FIRST READING AND UNDERSTANDING THIS MANUAL. IF YOU ARE UNABLE TO UNDERSTAND THE WARNINGS AND INSTRUCTIONS, CONTACT YOUR EQUIPMENT PROVIDER BEFORE ATTEMPTING TO USE THIS EQUIPMENT; OTHERWISE, INJURY OR DAMAGE MAY RESULT.
WARNING: IF YOU FEEL DISCOMFORT OR ARE EXPERIENCING A MEDICAL EMERGENCY, SEEK MEDICAL ASSISTANCE IMMEDIATELY.
WARNING: OPERATING THE OXYGEN CONCENTRATOR OUTSIDE OF THE OPERATIONAL TEMPERATURE SPECIFICATIONS CAN LIMIT THE CONCENTRATOR’S ABILITY TO MEET OXYGEN CONCENTRATION SPECIFICATIONS. REFER TO THE SPECIFICATION SECTION OF THIS MANUAL FOR TEMPERATURE LIMITS.
WARNING: USE NO OIL, GREASE, OR PETROLEUM-BASED OR OTHER FLAMMABLE PRODUCTS WITH THE OXYGEN-CARRYING ACCESSORIES OR THE OXYGEN CONCENTRATOR. ONLY WATER BASED, OXYGEN-COMPATIBLE LOTIONS OR SALVES SHOULD BE USED. OXYGEN ACCELERATES THE COMBUSTION OF FLAMMABLE SUBSTANCES.
WARNING: THE OXYGEN CONCENTRATOR SHOULD NOT BE USED ADJACENT TO OR STACKED WITH OTHER EQUIPMENT. IF ADJACENT OR STACKED USE IS UNAVOIDABLE, THE DEVICE SHOULD BE OBSERVED TO VERIFY NORMAL OPERATION.
WARNING: THE MANUFACTURER RECOMMENDS AN ALTERNATE SOURCE OF SUPPLEMENTAL OXYGEN IN THE EVENT OF A POWER OUTAGE, ALARM CONDITION, OR MECHANICAL FAILURE. CONSULT YOUR PHYSICIAN OR EQUIPMENT PROVIDER FOR THE TYPE OF RESERVE SYSTEM REQUIRED.
WARNING: THIS DEVICE SUPPLIES HIGH-CONCENTRATION OXYGEN THAT PROMOTES RAPID BURNING. DO NOT ALLOW SMOKING OR OPEN FLAMES WITHIN THE SAME ROOM OF (1) THIS DEVICE, OR (2) ANY OXYGEN-CARRYING ACCESSORY. FAILURE TO OBSERVE THIS WARNING CAN RESULT IN SEVERE FIRE, PROPERTY DAMAGE, AND/OR CAUSE PHYSICAL INJURY OR DEATH.
WARNING: THE USE OF SOME OXYGEN ADMINISTRATING ACCESSORIES NOT SPECIFIED FOR THIS OXYGEN CONCENTRATOR MAY IMPAIR ITS PERFORMANCE. RECOMMENDED ACCESSORIES ARE REFERENCED WITHIN THIS MANUAL.
WARNING: IF THE OXYGEN CONCENTRATOR HAS BEEN DROPPED, DAMAGED OR EXPOSED TO WATER PLEASE CONTACT YOUR HOME CARE PROVIDER FOR INSPECTION OR POSSIBLE REPAIR OF THE DEVICE. DO NOT USE THE OXYGEN CONCENTRATOR IF IT HAS A DAMAGED POWER CORD OR PLUG.
WARNING: USE ONLY SPARE PARTS RECOMMENDED BY THE MANUFACTURER TO ENSURE PROPER FUNCTION AND TO AVOID THE RISK OF FIRE AND BURNS.
WARNING: DO NOT LUBRICATE FITTINGS, CONNECTIONS, TUBING OR OTHER ACCESSORIES OF THE OXYGEN CONCENTRATOR TO AVOID THE RISK OF FIRE AND BURNS.
WARNING: SMOKING WHILE USING OXYGEN IS THE NUMBER ONE CAUSE OF FIRE INJURIES AND RELATED DEATHS. YOU MUST FOLLOW THESE SAFETY WARNINGS:
WARNING: DO NOT ALLOW SMOKING, CANDLES, OR OPEN FLAMES IN THE SAME ROOM WITH THE DEVICE OR THE OXYGEN-CARRYING ACCESSORIES.
WARNING: SMOKING WHILE WEARING AN OXYGEN CANNULA MAY CAUSE FACIAL BURNS AND POSSIBLY DEATH.
WARNING: IF YOU SMOKE, THESE 3 STEPS MAY SAVE YOUR LIFE: TURN OFF THE OXYGEN CONCENTRATOR, TAKE OFF THE CANNULA, AND LEAVE THE ROOM WHERE THIS DEVICE IS LOCATED.
WARNING: “NO SMOKING ­ OXYGEN IN USE” SIGNS MUST BE PROMINENTLY DISPLAYED IN THE HOME, OR WHERE OXYGEN IS IN USE. PATIENTS AND THEIR CAREGIVERS MUST BE INFORMED ABOUT THE DANGERS OF SMOKING IN THE PRESENCE OF, OR WHILE USING, MEDICAL OXYGEN.
WARNING: DO NOT USE YOUR OXYGEN CONCENTRATOR IN THE PRESENCE OF FLAMMABLE GASES. THIS CAN RESULT IN RAPID BURNING CAUSING PROPERTY DAMAGE, BODILY INJURIES OR DEATH.
WARNING: REMOVING THE CANNULA AND PUTTING IT ON CLOTHING, BEDDING, SOFAS, OR OTHER CUSHION MATERIAL WILL CAUSE A FLASH FIRE WHEN EXPOSED TO A CIGARETTE, HEAT SOURCE, OR FLAME.
WARNING: DO NOT LEAVE A NASAL CANNULA ON OR UNDER CLOTHING, BED COVERINGS OR CHAIR CUSHIONS. IF THE UNIT IS TURNED ON BUT NOT IN USE, THE OXYGEN WILL MAKE THE MATERIAL FLAMMABLE. SET THE I/0 POWER SWITCH TO THE 0 (OFF) POSITION WHEN THE OXYGEN CONCENTRATOR IS NOT IN USE.
WARNING: DO NOT ATTEMPT ANY MAINTENANCE OTHER THAN THE POSSIBLE SOLUTIONS LISTED WITHIN THIS MANUAL. DO NOT REMOVE COVERS, ONLY YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN SHOULD REMOVE THE COVERS OR SERVICE THIS DEVICE.
WARNING: ONLY ACCESSORIES ARE RECOMMENDED BY THE MANUFACTURER. USE OF ANY OTHER MAY BE HAZARDOUS, CAUSE SERIOUS DAMAGE TO YOUR OXYGEN CONCENTRATOR, AND WILL VOID THE WARRANTY.
CAUTION: Always disconnect the AC power supply from the wall before disconnection the AC power supply from the oxygen concentrator.
CAUTION: Always place oxygen supply tubing and power cords in a manner that prevents a trip hazard.
CAUTION: To prevent a void warranty, follow all manufacturers’ instructions.
Note: Portable and mobile RF communications equipment can affect medical electrical equipment.
WARNING: ALWAYS PLACE THE OXYGEN SUPPLY TUBING AND POWER CORDS IN A MANNER THAT PREVENTS TRIP HAZARDS OR POSSIBLE ACCIDENTAL STRANGULATION
WARNING: THIS PRODUCT CAN EXPOSE YOU TO CHEMICALS INCLUDING NICKEL, WHICH IS KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER. FOR MORE INFORMATION, GO TO WWW.P65WARNINGS.CA.GOV.
WARNING: IN THE EVENT THERE IS A SERIOUS INCIDENT OCCURRING WITH THIS DEVICE, THE USER SHOULD IMMEDIATELY REPORT THE INCIDENT TO THE PROVIDER AND/OR THE MANUFACTURER. A SERIOUS INCIDENT IS DEFINED AS AN INJURY, DEATH, OR POTENTIAL TO CAUSE INJURY/DEATH SHOULD THERE BE A REOCCURRENCE OF THE INCIDENT. THE USER CAN ALSO REPORT THE INCIDENT TO THE COMPETENT AUTHORITY IN THE COUNTRY WHERE THE INCIDENT OCCURRED.

Specifications

For proper use of the device, the following chart provides important information concerning the recommended operating environments or operating conditions.
Specifications

switch.
Operating Altitude| -1253-9879 feet (-382-3011 meters)
Operating Time| up to 24-hours a day

The expected service life of the equipment is a minimum of five years.
WARNING: USE OF DEVICE OUTSIDE OF SPECIFIED OPERATING CONDITIONS IS EXPECTED TO ADVERSELY AFFECT THE FLOWRATE AND PERCENTAGE OF OXYGEN AND CONSEQUENTLY THE QUALITY OF THE THERAPY.
Note: If the Oxygen Concentrator has been stored for an extended period of time outside its normal operating temperature range, the unit should be allowed to return to normal operating temperature before being turned on. (Refer to the Specifications section in this manual.)
Proper Placement of the Companion 5
Select a location for the device that avoids the intake of smoke, fumes and pollutants. Correct placement of the device should allow intake of air through the three air intake locations at the top rear and underneath the cabinet, and also allow for exhaust air to freely leave the exhaust vent at the bottom left of the device.
Air intakes are located on the upper back and bottom of the concentrator. Locate the unit so that there is at least 12 inches (30 cm) of space between the concentrator and any walls, furniture, curtains, or other obstructions.
Place the device such that the alarms can be heard.
Position the oxygen supply tubing in such a way that it does not kink or occlude.
WARNING: DO NOT USE YOUR OXYGEN CONCENTRATOR IN THE PRESENCE OF FLAMMABLE GASES. THIS CAN RESULT IN RAPID BURNING CAUSING PROPERTY DAMAGE, BODILY INJURIES OR DEATH. USE NO OIL, GREASE, OR PETROLEUM-BASED OR OTHER FLAMMABLE PRODUCTS WITH THE OXYGEN-CARRYING ACCESSORIES OR THE OXYGEN CONCENTRATOR. ONLY WATER-BASED, OXYGEN-COMPATIBLE LOTIONS OR SALVES SHOULD BE USED. OXYGEN ACCELERATES THE COMBUSTION OF FLAMMABLE SUBSTANCES.
WARNING: THIS DEVICE SUPPLIES HIGH-CONCENTRATION OXYGEN THAT PROMOTES RAPID BURNING. DO NOT ALLOW SMOKING OR OPEN FLAMES WITHIN THE SAME ROOM OF (1) THIS DEVICE, OR (2) ANY OXYGEN-CARRYING ACCESSORY. FAILURE TO OBSERVE THIS WARNING CAN RESULT IN SEVERE FIRE, PROPERTY DAMAGE, AND/OR CAUSE PHYSICAL INJURY OR DEATH.

Operating Instructions

Before Operating
This user manual serves as your reference to help you operate and maintain the device. If you have any questions or concerns please call your home care provider.
Important! DO NOT attempt to operate Companion 5 without first reading the Safety Guidelines section of this manual. Please follow all of the operating instructions. Please observe all warnings on the device and in the Users Manual. In order to reduce the risk of fire, personal injury, and serious damage to Companion 5, please observe all of the safety precautions.
The CAIRE Companion 5 does not create its own oxygen. It produces highly concentrated oxygen from surrounding room air and delivers it to you. As it naturally exists, room air contains approximately only 21% oxygen by volume.
Room air is drawn into the concentrator by a compressor. The air then travels through a series of filters and a molecular sieve bed that chemically adsorbs nitrogen molecules. As a result, the oxygen-enriched air that exits the concentrator is delivered at 87­95% oxygen by volume.
WARNING: CLEAN THE CABINET, CONTROL PANEL, AND POWER CORD ONLY WITH A MILD HOUSEHOLD CLEANER APPLIED WITH A DAMP (NOT WET) CLOTH OR SPONGE, AND THEN WIPE ALL SURFACES DRY. DO NOT ALLOW ANY LIQUID TO GET INSIDE THE DEVICE. PAY SPECIAL ATTENTION TO THE OXYGEN OUTLET FOR THE CANNULA CONNECTION TO MAKE SURE IT REMAINS FREE OF DUST, WATER, AND PARTICLES.
CAUTION: Do not allow either the air intake or the air outlet vents to become blocked. This can cause the Oxygen Concentrator to overheat and impair performance. Do not operate the Oxygen Concentrator without the air intake filter in place. If a second filter is provided, insert the “replacement” filter before you clean the dirty filter. Clean the dirty filter in a warm soap and water solution then dry thoroughly prior to use.
Step 1: Positioning Your Companion 5 for Use
Place the Companion 5 in a well-ventilated, well-lit area. Be sure the air inlet and exhaust vents are not obstructed. Position the Companion 5 so that all audible and visual indicators or alarms can be easily seen and heard. Plug the device into an AC Power outlet.
Step 2: If the Humidifier Bottle WILL NOT be Used

a. Connect a nasal cannula or oxygen tubing directly to the oxygen outlet barb.

b. Proceed to step 4.
Step 3: If the Humidifier Bottle WILL be Used
a. Unscrew the lid from the humidifier bottle.
b. Fill the bottle using distilled water. Make sure the water level is between the manufacturer’s specified maximum and minimum levels shown on the bottle.
c. Secure the lid of the humidifier bottle. Ensure that there are no leaks.
d. Connect a nasal cannula or standard oxygen tubing to the outlet barb on the humidifier bottle.
Note: The use of a humidifier not specified for use with this concentrator might affect its performance.
e. Connect the threaded end of the humidifier tube to the lid of the humidifier bottle.

f. Connect the other end of the humidifier tube to the outlet barb of the CAIRE Companion 5. g. Place the bottle in its designated space on the Humidifier Bottle Support Stand.
h. Secure the bottle on the stand using the elastic band.
i. Proceed to step 4.
Step 4: Power On and Warm-Up
a. Plug the electrical cord of the CAIRE Companion 5 into an AC outlet.
WARNING: INSPECT THE ELECTRICAL CORD FOR DAMAGE BEFORE USE. IF THE CORD IS DAMAGED, DO NOT PLUG IT INTO AN ELECTRICAL OUTLET OR ATTEMPT TO OPERATE THE CONCENTRATOR. b. Press the power switch in the “ON” (I) position. When the Companion 5 is powered on properly, the green indicator on the LED Display will light up. All LED lights will illuminate upon start-up. After the concentrator completes the warm-up cycle, only the green light will remain on.
Note: After initially powering ON the device, please allow up to ten (10) minutes for the device to reach its performance specifications.
Step 5: Adjust Flow Control Rate a. Turn the flow control knob to the oxygen flow rate (LPM) prescribed by your physician.

To adjust flow rate:
Turn counter-clockwise to increase flow.
Turn clockwise to decrease flow.
The middle of the ball indicates the flow rate.
The image below indicates a flow rate of 4.0 LPM.

WARNING: IT IS VERY IMPORTANT TO SELECT ONLY THE PRESCRIBED LEVEL OF OXYGEN. DO NOT CHANGE THE FLOW SELECTION UNLESS YOU HAVE BEEN DIRECTED TO DO SO BY A LICENSED CLINICIAN. THE OXYGEN CONCENTRATOR MAY BE USED DURING SLEEP UNDER THE RECOMMENDATION OF A QUALIFIED CLINICIAN.
Step 6: Verify Flow and Breathe Normally
a. Verify that oxygen is indeed flowing through the nasal cannula and that there are no kinks, bends, or blockages in the tubing.
Note: Ensure the cannula is fully inserted and secure. You should hear or feel oxygen flow to the prongs of the nasal cannula.
b. Properly position your nasal cannula and breathe normally through the nasal cannula.
Step 7: Turn Off
a. Press the power switch in the “OFF” (O) position when the CAIRE Companion 5 is no longer in use.
CAUTION: Use only accessories recommended by the manufacturer. Use of any other may be hazardous, cause serious damage to your oxygen concentrator and will void the warranty.
CAUTION: Do not use extension cords with this unit or connect too many plugs into the same electrical outlet. The use of extension cords could adversely affect the performance of the device. Too many plugs into one outlet can result in an overload to the electrical panel causing the breaker/fuse to activate or fire if the breaker or fuse fails to operate.
CAUTION: Use of cables and adapters other than those specified, with the exception of cables and adapters sold by the manufacturer of the medical electrical equipment as replacement parts for internal components, may result in increased emissions of decreased immunity of the Oxygen Concentrator.
WARNING: DO NOT ALLOW EITHER THE AIR INTAKE OR THE AIR OUTLET VENTS TO BECOME BLOCKED. THIS CAN CAUSE THE OXYGEN CONCENTRATOR TO OVERHEAT AND IMPAIR PERFORMANCE.
Note: To Equipment Provider: The following oxygen administration accessories are recommended for use with the Companion 5:

• Nasal Cannula: CAIRE Part Number CU002-1

• Humidifier Adaptor Tubing: CAIRE Part number 20843882

• Humidifier Bottle: CAIRE Part Number HU003-1

•  Firebreak: CAIRE Part Number 20629671
  A firebreak is required for use with any cannula.

• AIRE offers a firebreak intended to be used in conjunction with the oxygen concentrator. The firebreak is a thermal fuse to stop the flow of gas in the event that the downstream cannula or oxygen tubing is ignited and burns to the firebreak. It is placed in-line with the nasal cannula or oxygen tubing between the patient and the oxygen outlet of the Companion 5. For proper use of the firebreak, always refer to the manufacturer’s instructions (included with each firebreak kit).

• For any additional recommended accessories, please see the Accessories Catalog (PN MLLOX0010) available on www.caireinc.com.

Alarm Conditions

Your CAIRE Companion 5 uses a combination of two or three (for models with OCSI) LED lights and an audible alarm to alert you when there is a malfunction with your concentrator.

1. Green LED ( )- Indicates normal operation.
2. Red LED ( ) – Indicates system malfunction. See Alarm Conditions Table below for more details.
3.  Yellow LED ( **** ) – Indicates low oxygen concentration. See Alarm Conditions Table below for more details.

The Alarm Conditions Table on the following page shows the different alarm conditions that can be displayed by the concentrator. It outlines possible causes and the actions you should take if the alarm is experienced. In the case of any alarm, it is recommended that you contact your healthcare provider as soon as possible.
WARNING: DO NOT IGNORE ALARMS
WARNINGS: THE MANUFACTURER RECOMMENDS AN ALTERNATE SOURCE OF SUPPLEMENTAL OXYGEN IN THE EVENT OF A POWER OUTAGE, ALARM CONDITION, OR MECHANICAL FAILURE. CONSULT YOUR PHYSICIAN OR EQUIPMENT PROVIDER FOR THE TYPE OF RESERVE SYSTEM REQUIRED.

Alarm Conditions Table

concentrator’s electrical cord is plugged into an outlet and that the outlet has power. Try a different outlet. If the problem continues, connect to a back-up oxygen supply and contact your healthcare provider.
Intermittent| (Red) **| The concentrator has lost power but the power switch is still in the “ON” position.| Turn the power switch in the “OFF” position immediately. Disconnect the AC Power from the wall outlet. Wait 5 minutes. Connect the AC Power back into the wall outlet and turn the concentrator back on again. If the alarm continues, service is required. Connect to a backup oxygen supply and contact your healthcare provider immediately.
Intermittent| (Red)| System Malfunction| 1. Ensure that the cannula is not kinked or blocked. If used with a humidifier bottle, ensure that it is filled properly and does not create a blockage. 2. Ensure that Companion 5 has proper ventilation. It needs to be at least 12 inches (30 cm) for any surface to ensure the vents are not blocked.3. If the problem persists, switch to an alternatesource of oxygen and contact a healthcare provider for assistance.
Intermittent| (Yellow) O2**| The Companion 5 has
detected low oxygen
levels.| 1. Ensure the air intake filter and exhaust locations are not clogged or restricted. 2. Ensure the Companion 5 is in a well-ventilated area. Make sure there are at least 12 inches between the back and sides of the Companion and any obstructions
(furniture, curtain, etc.). 3. If the condition
persists, switch to an alternate source of oxygen and contact your healthcare provider immediately.

Troubleshooting

It is recommended that you contact your healthcare provider if your concentrator displays any alarms or if you feel that your concentrator is not working properly. You should not attempt to repair the concentrator yourself. Repair should only be performed by a trained service technician. However, there are some troubleshooting steps that you can take if you experience problems with your CAIRE Companion 5. They are outlined in the following table. You can use this chart by following the checks for your problem in numerical order.

User Troubleshooting Table

fuse and circuit. Try a different outlet.
3. Internal failure.| 3. Connect to a backup oxygen supply. Contact your healthcare provider immediately.
You are experiencing low or no oxygen flow.| 1. The flow control setting has been changed.| 1. Verify that the flow control knob is set on your appropriate Liter Per Minute (LPM) setting prescribed by your doctor.
2. Tubing has been disconnected.| 2. Verify that the tubing is tight at all connections (outlet barb, humidifier bottle, water trap, etc). Re-secure any connections if necessary.
3. The oxygen tubing or cannula is kinked.| 3. Check for kinks or blockages in your tubing. Repair if needed.
4. There is a leak in your cannula or tubing.| 4. Inspect all tubing and the cannula for leaks. You can do this by either listening or feeling for escaping air. Replace leaky tubing or cannula.
5. Airflow into the concentrator is impeded.| 5. Verify that nothing is blocking the inlets of the concentrator. Be sure it is at least 12 inches (30 cm) away from furniture, walls, or other obstructions.
6. Internal failure.| 6. Connect to a backup oxygen supply. Contact your healthcare provider immediately.

Note: If your Companion 5 is still alarming after using the Alarm Conditions and Troubleshooting tables, please contact Technical Service at 1-800-482-2473 with the alarm code displayed on the LCD Display.

Cleaning, Care & Routine Maintenance

Routine Maintenance
Routine maintenance consists of changing the handle gross particle filter once per week (if installed).
User Care and Cleaning of the Device
Cannula Replacement
Replace your supply tubing and cannula on a regular basis as recommended by your home care provider. Your physician or home care provider will provide you with cleaning, disinfection and replacement information.
Note: Always follow the cannula manufacturer’s instructions for proper use. Replace the disposable cannula as recommended by the cannula manufacturer or your Equipment Provider. Additional supplies are available from your Equipment Provider.
Air Intake Filter (Cartridge)
The Air Intake Filter should only be accessed or changed by your healthcare provider.
Gross Particle Filter: The gross particle filter is located on the very front bottom of the Companion 5.

Gross Particle Filter

You should inspect and clean it once weekly. To clean the filter, use the following process:

1. Remove the gross particle filter.
2. Wash the filter in warm tap water using a mild soap detergent solution.
3. Rinse the filter thoroughly with clear tap water and squeeze out the excess water.
4. Allow the filter to air dry.
5. Reinsert the filter in the cabinet.

Note: The Manufacturer does not recommend the sterilization of this equipment.
Note: Do not operate the Oxygen Concentrator without the air intake filter in place.
Humidifier Bottle (if Applicable)
You should check your humidifier bottle daily to ensure that its water level is between the specified minimum and maximum levels. Refill the bottle as necessary using distilled water. Clean the humidifier bottle in accordance with the manufacturers’ instructions.
Cleaning Procedure:
Turn OFF the Companion 5 and disconnect from AC power before any cleaning or disinfecting activity. DO NOT spray the outer case directly. Use a damp (not wet) cloth or sponge. Spray the cloth or sponge with a mild detergent solution to clean the cabinet and power cord. To disinfect the Companion 5, use Lysol® Brand II disinfectant (or equivalent). Dilute as directed by the manufacturer of the cleaning product, but do not spray liquid directly on the Companion 5.
WARNING: ELECTRICAL SHOCK HAZARD. TURN OFF THE UNIT AND DISCONNECT THE POWER CORD FROM THE ELECTRICAL OUTLET BEFORE YOU CLEAN THE UNIT TO PREVENT ACCIDENTAL ELECTRICAL SHOCK AND BURN HAZARDS. ONLY YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN SHOULD REMOVE THE COVERS OR SERVICE THE UNIT.
WARNING: ELECTRICAL SHOCK HAZARD. TURN OFF THE UNIT AND DISCONNECT THE POWER CORD FROM THE ELECTRICAL OUTLET BEFORE YOU CLEAN THE UNIT TO PREVENT ACCIDENTAL ELECTRICAL SHOCK AND BURN HAZARDS. ONLY YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN SHOULD REMOVE THE COVERS OR SERVICE THE UNIT.
WARNING: ELECTRICAL SHOCK HAZARD. DISCONNECT THE POWER CORD FROM THE ELECTRICAL OUTLET BEFORE YOU CLEAN THE UNIT TO PREVENT ACCIDENTAL ELECTRICAL SHOCK AND BURN HAZARDS. ONLY YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN SHOULD REMOVE THE COVERS OR SERVICE THE UNIT.
WARNING: CARE SHOULD BE TAKEN TO PREVENT THE OXYGEN CONCENTRATOR FROM GETTING WET OR ALLOWING FLUIDS TO ENTER THE UNIT. THIS CAN CAUSE A MALFUNCTION OR SHUT DOWN, AND CAUSE AN INCREASED RISK FOR ELECTRICAL SHOCK OR BURNS.
WARNING: IT CAN BE UNSAFE TO INTERCONNECT THE COMPANION 5 WITH OTHER EQUIPMENT.
WARNING: CLEAN THE CABINET, CONTROL PANEL, AND POWER CORD ONLY WITH A MILD HOUSEHOLD CLEANER APPLIED WITH A DAMP (NOT WET) CLOTH OR SPONGE, AND THEN WIPE ALL SURFACES DRY. DO NOT ALLOW ANY LIQUID TO GET INSIDE THE DEVICE. PAY SPECIAL ATTENTION TO THE OXYGEN OUTLET FOR THE CANNULA CONNECTION TO MAKE SURE IT REMAINS FREE OF DUST, WATER, AND PARTICLES.
WARNING: DO NOT USE LIQUID DIRECTLY ON THE UNIT. A LIST OF UNDESIRABLE CHEMICAL AGENTS INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: ALCOHOL AND ALCOHOL-BASED PRODUCTS, CONCENTRATED CHLORINE-BASED PRODUCTS (METHYLENE CHLORIDE), AND OIL-BASED PRODUCTS (PINE-SOL®, LESTOIL®). THESE ARE NOT TO BE USED TO CLEAN THE PLASTIC HOUSING ON THE OXYGEN CONCENTRATOR, AS THEY CAN DAMAGE THE UNIT’S PLASTIC.

Disposal
Always return Companion 5, including all components, to your homecare provider for proper disposal.
WEEE and RoHS
This symbol is to remind the equipment owners to return it to a recycling facility at the end of its life, per Waste Electrical and Electronic Equipment (WEEE) Directive.
Our products will comply with the Restriction of the Hazardous Substances (RoHS) directive. They will not contain more than trace amounts of lead or other hazardous material content.
CAUTION: For proper disposal, contact your equipment provider or local government agency for disposal instructions

CAIRE Inc. 2200
Airport Industrial Dr., Ste.
500 Ball Ground, GA 30107 U.S.A.
Medical Product Service GmbH
Borngasse 20 35619 Braunfels, Germany
Tel: +49 (0) 6442-962073
E-mail: [email protected]
CAIRE and CAIRE Inc. are registered trademarks of CAIRE Inc.
Please visit our website below for a full listing of trademarks. Trademarks: www.caireinc.com/corporate/trademarks/.
Copyright © 2020 CAIRE Inc. CAIRE Inc. reserves the right to discontinue its products, or change the prices, materials, equipment, quality, descriptions, specifications and/or, processes to its products at any time without prior notice and with no further obligation or consequence.
All rights not expressly stated herein are reserved by us, as applicable.

References

• info.at Internet GmbH – Domains und Hosting – Domainberatung – Consulting – SEO
• Oxygen Concentrators | Liquid Oxygen | Oxygen Generators - CAIRE Inc.
• View Our Current Patents | CAIRE, Inc.
• P65WARNINGS.CA.GOV

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