5.11.2 I/0 (ON/OFF) Power Switch Installation 21
Buzzer Replacement 21
Hour Meter Replacement 21
Flow Valve Replacement 21
5.14.1 Flow Valve Removal 21
5.14.2 Flow Valve Installation 22
Power Cord Replacement 22
Air Pressure Test (P1) 22
6.1.1 High Air Pressure (P1) 24
6.1.2 Low Air Pressure (P1) 24
Product Pressure Test (P2) 25
6.2.1 Low Product Pressure 25
6.2.2 High Product Pressure 25
General Troubleshooting 26
Troubleshooting Chart 27
Tool Kit and Pressure Test Gauge 31
2010-8405 Rev-C Page 3 of 42
Appendices
Exploded
Drawings
A2: OSCI Pneumatic Diagram 32
A3: 115 Volt Electrical Schematic 33
A4: 230 Volt Electrical Schematic 34
A5: 115Volt Compressor Assembly 35
A6: 230Volt Compressor Assembly 36
A7: Front Cabinet Standard Assembly 37
A8: Front Cabinet OSCI Assembly 38
A9: Back Cabinet Assembly Sandard 39
A10: Back Cabinet Assembly OSCI 40
A11: Module Assembly 5 Liter/Minute 41
A12: Module Assembly 3 Liter/Minute 42
A1:Standard Pneumatic Diagram 32
General Safety Instructions
Production and use of oxygen
Oxygen is not a flammable gas, but accelerates the combustion of materials. To
prevent fire risks, the MARK 5 NUVO Lite should be kept away from flames,
incandescent sources or sources of heat (cigarettes) and combustible products such as
oil, grease, solvents, aerosols, etc.
Do not use in an explosive atmosphere.
Prevent oxygen from accumulating on upholstered seats or any other fabric. If the
concentrator operates without being administered to a patient, locate it so that the flow
of gas generated is dissipated into the air.
Locate the equipment in a free space (filter to the rear and below) which is well
ventilated and free of fumes or atmospheric pollution.
Use and Maintenance of the Device
Use the electric cable provided and check that the voltage of the mains socket used
complies with the electrical characteristics of the appliance indicated on the
manufacturers plate on the rear of the appliance.
2010-8405 Rev-C Page 4 of 42
Do not use an extension cord or multiple sockets which can create sparks and therefore
pose a fire risk.
Use of the MARK 5 NUVO Lite must be restricted solely to oxygen therapy on
medical prescription in compliance with the daily rate and duration.
Use in other circumstances may represent a hazard to patient health.
Do not use in a specifically magnetic environment (MRI, etc.).
The MARK 5 NUVO Lite has an audible alarm intended to warn the user of any
problems. The user must determine the maximum distance away from the Nuvo
based on the on the sound levels in the environment, to ensure that the alarm is always
audible.
Standards & Regulations
In compliance with UL60601-1 [EN60601-1] (para 6.82.b):
“The manufacturer, assembler, installer or importer are not considered to be responsible
for consequences or the safety, reliability and characteristics of a device unless,
●the assembly, extensions, adjustments modifications or repairs have been
performed by persons authorized by the manufacturer,
●the electrical installation of the corresponding premises complies with appropriate
regulations and codes,
●the device is used in accordance with the instructions for its use.
If the replacement parts used for periodic servicing by an approved technician do not
comply with the manufacturer’s specifications, the manufacturer is absolved of all
liability in the event of an incident.
Do not open the equipment when it is powered on: risk of electrocution.
This device complies with the requirements of the FDA Quality System Regulation and
EU Directive 93/42/EEC, but its operation may be affected by the use in the surrounding
area of appliances such as diathermy, high frequency electro-surgical instruments,
defibrillators, short wave treatment appliances, cell-phones, CB devices and other
portables, microwave ovens, induction hot plates or remote control toys, and more
generally, by electromagnetic interference exceeding the levels specified in standard
IEC(EN) 60601-1-2:2001.
2010-8405 Rev-C Page 5 of 42
1.0 Introduction
1.1 Home Service Provider Responsibility
All Home Service Providers of the Nidek MARK 5 NUVO Lite Oxygen
Concentrator must assume responsibilities for handling, operational check-out,
patient instruction, and maintenance. These responsibilities are outlined below and
throughout this manual.
WARNING
MARK 5 NUVO Lite units must not be used for or with any life-supporting or life
sustaining applications. Patients unable to communicate discomfort while using this
device may require additional monitoring. Advise patients to immediately notify their
Home Service Provider(s) and/or physician(s) in case of an alarm or any discomfort.
As a Home Service Provider, you must do all of the following:
● Inspect the condition of each MARK 5 NUVO Lite unit immediately
upon delivery to your business location. Note any sign of damage,
external or internal, on the delivery receipt, and report it directly to both
the freight company and Nidek Medical Products, Inc. immediately.
● Check the operation of each MARK 5 NUVO Lite before delivery to a
patient. Always operate the unit for a reasonable length of time and check
that the oxygen concentration level is within specifications as referred to
in Section 2.4. Test the power failure alarm as described in Section 2.3 of
this manual.
● Deliver MARK 5 NUVO Lite units only to patients authorized by a
physician’s prescription. The MARK 5 NUVO Lite must not be used as
a life-supporting or life sustaining device. A backup supply of oxygen
must be available.
● Instruct patients how to use the MARK 5 NUVO Lite in conjunction with
the Users Manual.
● Instruct patients to notify their physicians and/or Home Service Providers
if they experience any signs of discomfort.
● Instruct each patient how to perform routine maintenance of the cooling
air filter and how to check the alarm system. (Refer to Section3.2.)
Be available to service each patient at any time. Maintain the MARK 5 NUVO Lite in accordance with Section 4.0.
2010-8405 Rev-C Page 6 of 42
Repair components and replace parts only as outlined in this manual. Use only
Nidek parts for replacement in MARK 5 NUVO Lite Oxygen Concentrators.
● Refer to the MARK 5 NUVO Lite Product Warranty if parts replacement
is required within the warranty period.
1.2 Important Notice and Symbol Explanations
As you read the manual, pay special attention to the WARNING, CAUTION, and
NOTE messages. They identify safety guidelines or other important information as
follows:
WARNING:
CAUTION:
NOTE:
The following harmonized symbols (pictograms), used for non-English language
countries, will be located in the User’s Guide of the MARK 5 NUVO Lite unit:
Describes a hazard or unsafe practice that can result
in severe bodily injury or death.
Describes a hazard or unsafe practice that can result
in minor bodily injury or property damage.
Provides information important enough to emphasize
or repeat.
Read the accompanying documents; particularly the patient
operating guide.
Store, ship and use the device in an upright condition.
No smoking within five feet of this device, oxygen-carrying tubing, or
1.3 Functional Specifications
Dimensions: 35.6 cm long, 22.9 cm wide, 58.5 cm high
(14 in. long, 9 in. wide, 23 in. tall)
Weight: 13 kg 30 Ib depending on sound attenuation package
Do not use any oil or grease on or near the device
2010-8405 Rev-C Page 7 of 42
Capacity: Max. 5 liters per minute
Accuracy: Flow Valve ±10% indicated flow rate +/- 200 ml
whichever is greater as per ISO 8359 Standard
Concentration: 2 liters per minute at >90%
5 liters per minute at 90% (+ 6.5 / - 3%)
(Based on 70°F [21°C] at sea level)
Response Time: Acceptable concentration is normally achieved in about
90 seconds; allow 5 minutes to attain full concentration.
Positioning: Operate the unit in an upright position, maintaining at
least six inches of open space on all sides for ventilation.
2.0 Operational Check and Concentration Test
2.1 Description of Operation
Air enters the MARK 5 NUVO Lite Oxygen Concentrator through an external
cooling air intake filter. This filtered air enters the compressor via a suction tube and
fine filter, which quiets the suction sounds made by the compressor. Pressurized air
then exits the compressor and passes through a heat exchanger into a pair of 3way solenoid valves. The heat exchanger reduces the temperature of the
compressed air. Next, the solenoid valve directs the air into one of two sieve beds
that contain molecular sieve. The special characteristic property of molecular sieve
is that it physically attracts (adsorbs) nitrogen when air passes through this material,
thus enabling the production of high purity oxygen.
There are two sieve beds or adsorbent columns; while one produces high purity
oxygen, the other is purged of the nitrogen it adsorbed (collected) while it was
producing oxygen. Each column produces oxygen for approximately five seconds
and delivers it to the product storage volume tank integrated into the modular bed.
Oxygen exits the product storage tank through a pressure regulator, flow control
valve, and bacteria filter. The flow control valve, controls the flow rate of oxygen
delivered to the patient. The MARK 5 NUVO Lite unit delivers up to 95% oxygen
concentration at flow rates from .125 to 5 l/min. The remaining constituents of the
product gas stream are nitrogen and argon, both of which are part of the air we
breathe, are inert and are completely safe.
2010-8405 Rev-C Page 8 of 42
2.2 Operational Check
Nidek runs each device through a burn in period and tests every MARK 5 NUVO
Lite Oxygen Concentrator thoroughly after manufacture before releasing for
shipment. As the home service provider, it is your responsibility to perform the
following test to ensure that no damage occurred in shipping or handling.
1. Open and inspect all concentrator cartons upon receipt. Unpack each
unit and remove it from its carton. Inspect the unit itself for damage. If
the exterior of the carton is damaged, or the unit itself is damaged,
note it on the freight bill signed by the driver.
2. Plug in the power cord of the unit, and set the I/0 (ON/OFF) switch to
the I (ON) position. Check to see that the following occurs:
● The compressor runs, listen for the sound.
● Exhaust air flows out of the bottom rear of the unit.
● OPTIONAL for Units Equipped with Oxygen Concentration Status
Indicator (OCSI): The OCSI green light remains off until the oxygen
concentration reaches 85% ± 3% (82% ± 2% for 50 Hz units)
(approximately two minutes).
● After performing above steps remove the power cord from the wall
outlet. actuate the I/0 (ON/OFF) switch to the I (ON) position and
note that the audible alarm sounds intermittently. (See Section
2.3). If the unit does not initial sound off, plug the unit in and allow
the unit to run approximately 10 minutes to charge the capacitor
and re-perform the test. Move the switch to the 0 (OFF) position.
3. Turn the flow valve adjustment knob clockwise until it stops (wide
open). The flow valve should indicate 5 liters/min. and the output of
the unit should be 5 liters/min. If not, refer to Section 5.8 to adjust the
product regulator.
4 Perform an oxygen concentration test, as described in Section 2.4.
2.3 Alarm System
The MARK 5 NUVO Lite Oxygen Concentrator is equipped with a capacitor-
powered alarm system, which sounds an intermittent alarm when a power failure
occurs and a continuous alarm when one or more cycle variables are not within
specification. It sounds an alarm if the high or low pressure indicators are activated
or if the optional OCSI detects lower than predetermined levels of oxygen
concentration. The alarm remains on until you correct the alarm condition or you set
2010-8405 Rev-C Page 9 of 42
the I/0 (ON/OFF) switch to the 0 (OFF) position. Refer to
Section 6.0 for a list of probable alarm causes.
2.3.1Power Failure Alarm Test
To test the power failure alarm, perform the following actions:
Unplug the power cord from the wall outlet, and set the I/0 (ON/OFF) switch to the I
(ON) position.
If the unit has been stored for a prolonged period, Allow unit to run for
approximately 10 minutes to charge the capacitor and re-test the unit.
This should immediately activate the intermittent audible alarm. If it does not, refer
to the troubleshooting chart in Section 6.0 of this manual.
2.4 Oxygen Concentration Test and Specification
To ensure that the output of oxygen from the device is within specification, you must
perform an oxygen concentration test. Test the unit upon delivery to a patient and at
periodic intervals. Home Service Providers, based on their expertise and
documentation, may establish and implement their own plans for checking oxygen
concentration. Consult the proper Nidek User’s Guide for recommended interval
for testing.
1. If an oxygen humidifier bottle is used, remove it from the oxygen outlet.
2. Connect a calibrated oxygen concentration analyzer to the oxygen outlet.
3. Set the I/0 (ON/OFF) power switch to the I (ON) position. (It takes
approximately five minutes for the oxygen concentration to stabilize.) Take
oxygen concentration readings over a period of several minutes to reduce
any cyclic variations
4. Verify that the product flow rate delivered by the unit matches the patient’s
prescription and does not exceed the capacity of the unit.
5. Disconnect the oxygen analyzer, and reconnect the humidifier bottle (if used)
and any other equipment / accessories that may be required.
6. Adjust the flow valve knob to the prescribed flow rate.
NOTE:
Do not measure oxygen concentration output after the product stream passes
through a humidifier bottle, erroneous readings will result and your oxygen
concentration measuring device might be damaged.
2010-8405 Rev-C Page 10 of 42
Nidek MARK 5 NUVO Lite Concentration Specifications
It is important that patients thoroughly understand how to operate the Nidek MARK
5 NUVO Lite unit. This enables proper treatment as prescribed by a qualified,
licensed physician. You must explain that the purpose of this therapy is to alleviate
symptoms. If patients experience any discomfort or the unit alarms, they must notify
their Home Service Provider and/or physician immediately. You, as the Home
Service Provider, are responsible to see that each patient receives the Patient
Manual. Explain each step in the operation of the unit to the patient in reference to
this manual.
3.2 Routine Maintenance by the Patient
To ensure accurate output and efficient operation of the unit, the patient must
perform two simple routine maintenance tasks:
• Clean the cooling air intake filter
• Check the alarm system
3.2.1 Cleaning the Cooling Air Intake (Cabinet) Filter
NOTE: The patient must clean this filter weekly, as described below. The filter
may require daily cleaning if the MARK 5 NUVO Lite unit operates in a harsh
environment such as a house heated by wood, kerosene, or oil, or one with
excessive cigarette smoke.
1 Remove the dirty cooling air filter from the back of the
MARK 5 NUVO Lite unit.
2 Wash the dirty filter in warm water with household
detergent, and rinse.
3 Use a soft absorbent towel to remove excess water.
4 Reinstall the clean cooling air filter on the grille in the
back of the unit.
2010-8405 Rev-C Page 11 of 42
3.2.2 Checking the Power Alarm System
See Procedure described in Paragraph 2.3.1
4.0 Home Service Provider Maintenance
4.1 Routine Maintenance
The MARK 5 NUVO Lite unit has three filters that require scheduled maintenance
and replacement.
To ensure that the output of oxygen from the unit is within specification, you must
perform an oxygen concentration test. Test the unit upon delivery to a patient and at
periodic intervals. Home Service Providers, based on their expertise and
documentation, may establish and implement their own practices for checking
oxygen concentration. The interval established may be longer or shorter than 90
days, which is the default time period recommended for providers who do not
choose to establish their method.
Nidek does not require preventive maintenance on the concentrator. You do not
need to perform any maintenance as long as the MARK 5 NUVO Lite unit
remains within specifications at the prescribed flow rate. (Refer to Section 2.4)
4.1.1Cooling Air Filter
The external cooling air filter is located on the back of the unit, You can easily
remove it by hand. Instruct the patient to clean this filter weekly. (Refer to Section
3.2.1.)
NOTE
The filter may require more frequent cleaning if the MARK 5 NUVO Lite unit
operates in a harsh environment such as a house heated by wood, kerosene, or oil,
or one with excessive cooking, cigarette smoke or atmospheric dust.
4.1.2 Bacteria Filter Replacement
The bacteria filter must be replaced after every 2 years or 15,000 hours of use.
1. Set the I/0 (ON/OFF) switch to the 0 (OFF) position, and unplug the power
cord.
2. Remove the cabinet back to locate the bacteria filter.
NOTE: Observe the position of the filter before removal.
3. Separate the silicone tubing from both sides of the filter.
4. Install the new filter with the inlet side in the same position as before. Push
the tubing together so that it overlaps the barbs of the bacteria filter
connections.
2010-8405 Rev-C Page 12 of 42
5. Record information about the bacteria filter replacement on the History
Record Card, as recommended in Section 4.1.5.
6. Reinstall the cabinet back.
4.1.3 Compressor Filter Replacement
The compressor air inlet filter requires changing every 24 months or 20,000 hours of
use.
1. Set the unit I/0 (ON/OFF) switch to the 0 (OFF) position, and unplug the
power cord.
2. Remove the cooling air filter to locate the intake filter.
3. Remove filter from the unit, and replace with a new filter.
4. Record information about the filter replacement on the History Record Card
as recommended in Section 4.1.5.
5. Reinstall the cooling air filter.
4.1.4 Recording Maintenance
As the Home Service Provider, it is suggested that you record all routine
maintenance and repairs performed on the MARK 5 NUVO Lite unit, including
hours and dates of service.
4.2 Cleaning Unit
Periodically, use a damp cloth to wipe down the exterior case of the MARK 5
NUVO Lite. If you use medical disinfectants, be sure to follow manufacture’s
instructions.
4.2.1 Preparing for New Patient Use
When you remove the MARK 5 NUVO Lite from a patient’s home, always dispose
of the used nasal cannula and humidifier bottle. .
Replace the cabinet dust filter between each patient’s use or clean with warm soapy
water if it is in good condition. Clean this filter at least once per week or more
frequently if operated in a dusty environment.
Change the bacteria filter every 2 years or 15,000 hours of use (under adverse
conditions, filter may need to be changed more frequently if dingy or dirty) It is
recommended to change the bacteria filter between patients.
Retest the MARK 5 NUVO Lite before you return it to your inventory.
2010-8405 Rev-C Page 13 of 42
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