DeVilbiss PD1000A User Manual
I n s t r u c t i o n
G u i d e
DeVilbiss®iFillTMOxygen Cylinder
PD1000A Series iFill Oxygen Cylinder w/Integrated PulseDose®Conserving Device
535-CF Series iFill Oxygen Cylinder w/Continuous Flow Regulator
C A U T I O N- Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
DANGER–NO SMOKING
D e V i l b i s s
®
i F i l l
TM
O x y g e n C y l i n d e r
Improving People’s Lives
G u í a d e
I n s t r u c c i o n e s
Cilindro de Oxígeno iFillTMDeVilbiss
®
Cilindro de oxígeno con aparato de regulación PulseDose®integrado iFill serie
PD1000A
Cilindro de oxígeno con regulador de flujo continuo iFill serie 535-CF
P R E C A U C I Ó N -La ley federal (de los EE.UU.) restringe la venta de este aparato, el cual sólo puede ser
vendido por un médico o con la prescripción de éste.
PELIGRO – NO FUMAR
G u i d e d e
l ’ u t i l i s a t e u r
Bouteille d'oxygène iFillTMDeVilbiss
®
Bouteille iFill de la gamme PD1000A, dotée d'un économiseur intégré PulseDose
®
Bouteille iFill de la gamme 535-CF, dotée d'un régulateur de débit continu
AT T E N T I O N-En vertu de la législation fédérale des États-Unis, cet appareil ne peut être vendu que par
un médecin ou sur ordre de ce dernier.
DANGER–NE PAS FUMER
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E N G L I S H
TABLE OF CONTENTS / CONT ENI DO / TA BLE DES MAT I ÈR E S
TABLE OF CONTENTS
Important Safeguards ............................................................................................................... 4
Physician’s Notes.................................................................................................................. 5
Introduction ............................................................................................................................. 5
Use Times................................................................................................................................ 6
Important Parts of Your iFill Oxygen Cylinder......................................................................... 7
Operating Instructions ............................................................................................................. 8
Inserting Batteries into the iFill Oxygen Cylinder w/PulseDose .......................................... 8
Using Your Oxygen iFill Cylinder w/PulseDose ................................................................... 8
Using Your Oxygen iFill Cylinder w/Continuous Flow Regulator ........................................ 8
Typical Questions and Answers about PulseDose ................................................................... 9
Care & Maintenance ................................................................................................................ 10
Troubleshooting........................................................................................................................ 10
Specifications............................................................................................................................ 11
iFill Oxygen Cylinder w/Integrated PulseDose .................................................................... 11
iFill Oxygen Cylinder w/Continuous Flow Regulator ........................................................... 11
All iFill Oxygen Cylinders ..................................................................................................... 11
CONTENIDO
Precauciones importantes........................................................................................................ 12
Recomendaciones del médico.............................................................................................. 13
Introducción............................................................................................................................. 13
Tiempos de uso ....................................................................................................................... 14
Partes importantes de su cilindro de oxígeno iFill ................................................................... 15
Instrucciones de funcionamiento ............................................................................................. 16
Inserción de las baterías en el cilindro de oxígeno iFill con PulseDose ............................... 16
Uso del cilindro de oxígeno iFill con PulseDose .................................................................. 16
Uso del cilindro de oxígeno iFill con regulador de flujo continuo ....................................... 16
Preguntas comunes y sus respuestas acerca de PulseDose..................................................... 17
Cuidado y mantenimiento........................................................................................................ 18
Guía de detección y solución de problemas ............................................................................ 18
Especificaciones........................................................................................................................ 19
Cilindro de oxígeno con PulseDose integrado iFill .............................................................. 19
Cilindro de oxígeno con regulador de flujo continuo iFill .................................................... 19
Todos los cilindros de oxígeno iFill....................................................................................... 19
TABLE DES MATIÈRES
Mises en garde importantes ................................................................................................. 20
Notes destinées au médecin ................................................................................................ 21
Introduction ............................................................................................................................ 21
Durées d’utilisation .................................................................................................................. 22
Les pièces importantes de votre bouteille d'oxygène iFill ...................................................... 23
Mode d'emploi ......................................................................................................................... 24
Installation des piles dans la bouteille d'oxygène iFill dotée de l'économiseur PulseDose... 24
Utilisation de la bouteille d'oxygène iFill dotée de l'économiseur PulseDose...................... 24
Utilisation de la bouteille d'oxygène iFill dotée d'un régulateur de débit continu ............... 24
Questions-réponses types concernant l'économiseur PulseDose ........................................... 25
Nettoyage et entretien ............................................................................................................ 26
Dépannage ............................................................................................................................... 26
Caractéristiques techniques..................................................................................................... 27
Bouteille d'oxygène iFill dotée d'un économiseur intégré PulseDose.................................. 27
Bouteille d'oxygène iFill dotée d'un régulateur de débit continu .........................................27
Toutes les bouteilles d'oxygène iFill...................................................................................... 27
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E N G L I S H
I M P O R TANT SAFEGUA R D S
IMPORTANT SAFEGUARDS
The information contained in this guide is intended to assist in the safe operation of the equipment and to ensure maximum
benefit is achieved.
This product should only be filled by the DeVilbiss iFill Personal Oxygen Station.
READ ALL INSTRUCTIONS BEFORE USING.
SAVE THESE INSTRUCTIONS.
Oxygen supplied by this equipment is not to be considered life-supporting and must not supply anything other than 93% ± 3 %
o x y g e n .
When using electrical products, basic safety precautions should always be followed. Read all instructions before using.
Important information is highlighted by these terms:
DANGER– Urgent safety information for hazards that will cause serious injury or death.
WARNING– Important safety information for hazards that might cause serious injury.
CAUTION– Information for preventing damage to the product.
NOTE– Information to which you should pay special attention.
ATTENTION–Consult accompanying documents.
DANGER– NO SMOKING
Type BF applied part
DANGER
To reduce the risk of fire, burns, or injury to persons:
Oxygen, though non-flammable, vigorously supports and accelerates burning of any flammable material. If you
know or suspect oxygen has escaped other than through normal operation, open doors and windows to ventilate
the area.
1. DO NOT SMOKE WHILE USING YOUR DEVILBISS OXYGEN EQUIPMENT. Keep matches, cigarettes, burning tobacco,
or candles away from the area where the system is being stored or operated.
2. Avoid creation of any spark near oxygen equipment. This includes sparks from static electricity created by any type of friction.
3. Keep the equipment at least seven feet away from radios, television sets, window air conditioners, fans, electric razors,
hair dryers, and all other electrical appliances.
4. Keep the equipment at least five feet away from heat sources, electric or gas heaters of any kind, fireplaces, or stoves.
5. Keep all flammable materials or petroleum-based products away from the equipment.
6. Never attempt to lubricate the equipment.
7. Never use aerosol sprays near the equipment.
To prevent high concentrations of oxygen:
1. Keep the equipment in a well-ventilated area.
2. Do not carry equipment under a coat or any form of clothing.
3. Turn off oxygen supply by turning the rotary selector to the Off position when not in use.
WARNING
To reduce the risk of injury:
1. Keep all units away from children. Do not allow unauthorized or untrained individuals to operate the equipment. Never
tamper with or try to repair the equipment yourself. If you have any questions or suspect your equipment is not operating
properly, contact your oxygen provider.
2. Do not immerse in liquids or subject device to harsh conditions.
3. Do not use with other equipment (i.e. humidifier, nebulizer, etc.) when in PulseDose delivery mode.
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E N G L I S H
I N T R O D U C T I O N
PHYSICIAN’S NOTES
1 . Use only continuous flow iFill oxygen cylinders (535-CF series) with patients who breathe below 6 Breaths Per Minute
(BPM) or above 40 BPM.
2. Use only continuous flow iFill oxygen cylinders (535-CF series) with patients who consistently fail to trigger equipment (i.e.
mouth breathing with closed soft pallets).
3. Verify patient is getting adequate Pa02 or Sa02 levels in PulseDose delivery.
4. Use only standard nasal cannula with PulseDose delivery. Do not use pediatric (low-flow) nasal cannula or mask with
PulseDose delivery.
5. A mask or any nasal cannula can be used with continuous flow delivery.
6. The PD1000A series electronic conserving device contains a preset 2 LPM continuous flow backup. The service manual
describes how to change the cannula fitting to obtain a 3, 4, 5 or 6 LPM continuous flow backup.
INTRODUCTION
INDICATIONS FOR USE (PD1000A SERIES)
The DeVilbiss iFill Oxygen Cylinders w/integrated PD1000A are intended as a delivery device for 93% ± 3% oxygen from highpressure oxygen cylinders. This is an ambulatory device, which allows patients to ambulate longer than they would with a continuous flow regulator on the same cylinder.
HOW PULSEDOSE WORKS
PulseDose dramatically extends the use time from a supply of oxygen, offering increased mobility with improved comfort and
increased efficiency. The reliability and safety of PulseDose oxygen delivery has been proven effective in clinical testing as well as
through independent tests performed by physicians and respiratory therapists.
What is PulseDose? The concept is based on the fact that the normal breathing pattern is inhalation for 1/3 of the time, and
exhalation about 2/3 of the time. At 20 BPM the oxygen delivered in continuous flow, assuming inspiration is 1/3 of the breathing
cycle, would be 16.5 cc/LPM. As a result, PulseDose extends the use time of an oxygen system by an average of 3:1. PulseDose
senses the start of inhalation and instantly releases a short “pulsed” dose at the very beginning of the breathing cycle. Since all of
the “pulsed” oxygen finds its way deep into the lungs, less oxygen is required to accomplish the same effect than with traditional
continuous flow oxygen systems. This means that a PulseDose oxygen system will last two to four times longer than a continuous flow oxygen system, yet still provide the same therapeutic benefit.
Because oxygen is released only during inhalation, the constant flow of oxygen into the nostrils is eliminated. Many users find
PulseDose oxygen delivery more comfortable than continuous flow delivery systems. The short “pulse” of oxygen delivered
during inhalation is almost undetectable, and the humidity in the room air helps maintain a normal level of moisture in the nasal
cavity. This greatly reduces the discomfort of dehydration associated with a continuous flow oxygen system.
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E N G L I S H
USE TIME S
USE TIMES
Because PulseDose responds to each individual’s breathing patterns, the use time will vary for each individual depending on the
PulseDose prescription rate and the breath rate. The following chart shows the theoretical ambulatory ranges for DeVilbiss
PulseDose products.
NOTE– All ambulatory ranges are calculated assuming a breath rate of 20 breaths per minute in PulseDose (PD) mode.
USE TIMES SHOWN IN HOURS
CF=Continuous Flow
PD=PulseDose
S p e c i f i c a t i o n s subject to change without no t i c e. This chart is int e n ded to be used
only as a guide.
C y l i n ders vary in gaseous liter capacity by ma n u fa c t u r er which may result in varying
use time s .
Delivered Volume
cc’s: 16.5 24.75 33 41.25 49.5 66 82.5 99
Flow Rate:
1 1.5 2 2.5 3 4 5 6 Mode
iFill M-4 Cylinder
113 Gaseous Liters
1.9 1.3 .9 .7 .6 .5 .4 .3 CF
5.7 3.8 2.9 2.3 1.9 1.4 1.1 .9 PD
iFill M-6 Cylinder
164 Gaseous Liters
2.7 1.8 1.4 1.1 .9 .7 .6 .4 CF
8.3 5.5 4.1 3.3 2.8 2.1 1.7 1.4 PD
iFill ML-6 Cylinder
170 Gaseous Liters
2.8 1.9 1.4 1.1 .9 .7 .6 .5 CF
8.6 5.7 4.3 3.4 2.9 2.1 1.7 1.4 PD
iFill C Cylinder
240 Gaseous Liters
4.0 2.7 2.0 1.6 1.3 1.0 .8 .7 CF
12.1 8.1 6.1 4.9 4.0 3.0 2.4 2.0 PD
iFill D Cylinder
415 Gaseous Liters
6.9 4.6 3.5 2.8 2.3 1.7 1.4 1.2 CF
21.0 14.0 10.5 8.4 7.0 5.2 4.2 3.5 PD
iFill E Cylinder
682 Gaseous Liters
11.4 7.6 5.7 4.6 3.8 2.8 2.3 1.9 CF
34.4 23.0 17.2 13.8 11.5 8.6 6.9 5.8 PD
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E N G L I S H
I M P O R TA NT PA R T S
IMPORTANT PARTS OF YOUR IFILL OXYGEN CYLINDER
7
2
1
1
(on rear)
PD1000A series
535-CF series
8
2
3
9(on top)
6
3
4
5
PD1000 SERIES
1. Cannula Fitting– Use this fitting to attach the cannula to
your iFill cylinder.
2. Rotary Selector– Use this to select your prescription setting.
3. Oxygen Fill Connection – Use this connection to attach the
cylinder to the DeVilbiss iFill Personal Oxygen Station.
NOTE–Your iFill oxygen cylinder can only be filled with the
DeVilbiss iFill Personal Oxygen Station.
4. Oxygen Contents Gauge– Indicates the remaining pressure
in the oxygen cylinder. When this gauge falls into the red
section, you should switch to a new cylinder.
5. Hydrostatic Test Date - Contact your homecare provider
or the cylinder manufacturer for details.
6. High-Pressure Oxygen Cylinder – Portable oxygen delivery
tank.
7. • PulseDose Indicator– Either green or red light illuminates
each time the unit pulses oxygen.
• Normal Battery Indicator– A flashing green light indicates
that there is sufficient battery power.
8. • Low Battery Indicator– A flashing red light indicates that
there are 4 - 8 hours of battery life remaining. The low
battery indication time may be reduced when using
NiMH batteries.
• Change Battery Indicator– A constant red light indicates
that the battery should be changed immediately. Unit can
be used only in continuous flow mode until new batteries are installed.
9. Battery Door– Use only a standard “AA” Alkaline or NiMH
batteries.
535-CF SERIES
1. Cannula Fitting– Use this fitting to attach the cannula to
your iFill cylinder.
2. Rotary Selector– Use this to select your prescription setting.
3. Oxygen Fill Connection – Use this connection to attach the
cylinder to the DeVilbiss iFill Personal Oxygen Station.
NOTE–Your iFill oxygen cylinder can only be filled with the
DeVilbiss iFill Personal Oxygen Station.
4. Oxygen Contents Gauge– Indicates the remaining pressure
in the oxygen cylinder. When this gauge falls into the red
section, you should switch to a new cylinder.
5. Hydrostatic Test Date - Contact your homecare provider
or the cylinder manufacturer for details.
6. High-Pressure Oxygen Cylinder – Portable oxygen delivery
tank.
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E N G L I S H
O P E R AT ING INSTR UCT IONS
OPERATING INSTRUCTIONS
INSERTING BATTERIES INTO THE IFILL OXYGEN CYLINDER W/PULSEDOSE
1. Open the battery door.
2. Insert 2 “AA” Alkaline or NiMH batteries.
3. Close the battery door.
NOTE– When changing batteries, first turn the rotary selector to the “OFF” position.
USING YOUR IFILL OXYGEN CYLINDER W/PULSEDOSE
1. Attach the standard nasal cannula to the cannula fitting and to your nose and face. Oxygen
tubing up to 35 feet long may be used in PulseDose delivery mode.
WARNING
To prevent injury from cylinders tipping over, do not use cannula tubing
lengths over 10 feet with small compressed oxygen cylinders. Unattended cylinders
should be secured in a cylinder stand.
2. Turn the rotary selector to the prescribed flow setting.
NOTE– When this rotary switch is set to “OFF,” the unit is not using battery power and will not pulse. When
the selector is set to one of the numbers, the unit is on and awaiting inspiration through the nasal
cannula at which time it will dose on every breath. The volume of the oxygen delivered varies according to which prescription flow setting is chosen. The final setting on the rotary switch is “CF”; this is
the continuous flow position. In this position oxygen will flow from the cannula fitting at the default
continuous flow rate.
NOTE– Continuous flow mode is not powered by the batteries and can be used regardless of the battery level. In the event of a device
failure or dead batteries, the user must manually switch the unit to continuous flow for delivery of oxygen. The device will not
automatically switch to continuous flow. The oxygen cylinder will not last as long in continuous flow mode as it would in
PulseDose mode. Unless there is a problem with the unit, such as dead batteries, the unit should be used in PulseDose mode.
3. Breathe normally, the conserving device will deliver a bolus of oxygen at the leading edge of inspiration on every breath up
to 40 breaths per minute.
4. When you are finished using the iFill oxygen cylinder, turn the rotary selector to the “OFF” position.
NOTE– A mask should not be used in the PulseDose delivery mode as it may not fit to the face well enough to allow the conserving
device to sense inhalation efforts. Also, the therapeutic effect of PulseDose would not be realized, as the dose of oxygen would
be diluted in the mask prior to inhalation.
NOTE– A pediatric or low-flow cannula should not be used in PulseDose delivery mode. The reduced diameter of the cannula causes
too much back pressure and will affect the oxygen volume delivered.
NOTE– PulseDose delivers oxygen in a very short “puff.” It does not deliver oxygen during the entire inhalation. The length of time
that PulseDose delivers oxygen will not vary from breath to breath. The time is set in correlation to the oxygen dosage set on
the conserving device (patient’s prescription setting).
NOTE– PulseDose is designed to prevent the delivery of pulses more than every 1 1/2 seconds. If the breath rate is greater than 40
BPM, this feature prevents delivery of excessive oxygen by not dosing on every breath.
NOTE– If using NiMH batteries, carefully monitor when the low battery indicator flashes red. It is recommended that a spare fully-
charged set of alkaline batteries be kept in reserve and installed when the change battery indicator is constant red.
USING YOUR IFILL OXYGEN CYLINDER W/CONTINUOUS FLOW REGULATOR
1. Attach the nasal cannula (or mask) to the cannula fitting and to your nose and face.
2. Turn the rotary selector to the prescribed flow setting. When the selector is set to one of the numbers, the unit is on.
3. Breathe normally.
4. When you are finished using the iFill oxygen cylinder, turn the rotary selector to the “OFF” position.
WARNING
To prevent injury from cylinders tipping over, do not use cannula tubing lengths over 10 feet with small
compressed oxygen cylinders. Unattended cylinders should be secured in a cylinder stand.
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E N G L I S H
TY PICAL QUE STI ONS AN D AN SWERS ABO UT P ULSED OSE
TYPICAL QUESTIONS AND ANSWERS ABOUT PULSEDOSE
Q. How does PulseDose work? How does it know when I’m inhaling?
A. When inhaling, your diaphragm moves down and causes a drop in pressure in the lungs. Air flows in through the nose
and mouth to equalize the pressure. This negative pressure is also present at the nose and mouth during inhalation.
This pressure signal travels through the nasal cannula to a pressure sensor in the PulseDose conserving device. An
electronic circuit then opens an electrical valve to deliver a precisely metered dose of oxygen. When the valve is
closed, the sensor is ready to detect the next inhalation.
Q. The pulse seems so short. Am I really getting enough oxygen?
A. Yes. PulseDose delivers a precise burst of oxygen at a relatively high flow rate at the leading edge of each inhalation.
This assures that the oxygen delivered flows deep into the lungs for maximum benefit. PulseDose requires less oxygen
to deliver the same therapeutic benefit as continuous flow oxygen delivery.
Q. I can’t hear the pulse. Is PulseDose working?
A. If the pulse can’t be heard, simply look at the green PulseDose indicator to see that the device is being triggered by
inhalation. For further assurance, hold the end of the cannula in front of your lips while inhaling through your mouth
and feel the pulse. PulseDose does not monitor the supply of oxygen. Remember to check the oxygen contents gauge
periodically to verify that there is an adequate oxygen supply. If the oxygen supply runs out, the green PulseDose
indicator light will continue to illuminate, indicating that the conserving device is being triggered by inhalation.
Q. Why can’t I use a cannula which is longer than 35 feet with PulseDose?
A. The PulseDose triggering is not significantly affected by the cannula length, but the delivery of oxygen is affected. If
the cannula is longer than 35 feet, the pulse of oxygen is delayed. Remember the therapeutic moment during the
inhalation cycle. If the oxygen is not delivered during this time, the benefits will not be realized.
Q. I’ve always used humidifiers with oxygen. Should I use a humidifier with PulseDose?
A. No. PulseDose is not able to sense inhalation through the water in the humidifier. Also, many patients find that
humidification is not necessary with PulseDose. They find that PulseDose improves comfort because it delivers a very
small amount of oxygen during the early part of inhalation, while the rest of the inhalation is composed of normal
room air.
Q. When I’m breathing faster, I don’t get a pulse with each breath. Don’t I need a dose every time?
A. Because PulseDose breathes with the patient, it has an upper limit (40 Breaths Per Minute) that keeps you from get-
ting too much oxygen. When breathing slowly, you receive a dose with every breath. As breath rate increases (up to
40 BPM) PulseDose still delivers a dose with every breath. At this point, you are getting more oxygen per minute
because each pulse delivers the same amount of oxygen with each breath while the number of breaths has increased.
With continuous flow oxygen, the oxygen delivered is constant. As you breathe faster, the enrichment of inhalations
actually decreases because each breath is being diluted with a greater amount of room air.
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