Equinox Systems 4000 Manuale utente

eQuinox

TM

Model 4000 Oxygen Concentrator

eQuinox

TM

Modèle 4000 Concentrateur d’oxygène

eQuinox

TM

Modell 4000 Sauerstoffkonzentrator

eQuinox

TM

Modelo 4000 Concentrador de oxígeno

eQuinox

TM

Modello 4000 Concentratore di ossigeno

eQuinox

TM

Modelo 4000 Concentrador de oxigénio

eQuinox

TM

Model 4000 Zuurstofconcentrator

User Manual

Manuel d’utilisation

Bedienungsanleitung

Manual del usuario

Manuale dell’utente

Manual do Utilizador

Gebruikershandleiding

2 — 4805-C1 C (English)

Symbol Deﬁnition Symbol Deﬁnition

Read user manual before operation. See user manual

for instructions.

FAA Approved Symbol: The U.S. Federal Aviation

Administration (FAA) has approved this device for

use on-board commercial aircraft.

No Smoking Icon: Do not smoke near unit. Flow Setting Indicator

Warnings / ALERT (Yellow) Indicator Pulse Mode Operation

ALARM (Red) Indicator Device operating normally; power button

External Power Indicator Increase Flow Setting

Battery Pack (battery) Status Gauge Decrease Flow Setting

Battery Pack Symbol Use no oil or grease.

A

Amperes No open or naked ames.

Alternating Current No serviceable parts inside. Do not open cover.

IEC Icon for DC Power (Input) Warm Surface.

0

2

Oxygen Output Do not get wet.

Type BF Applied Part (degree of protection against

electric shock)

IPX1

Drip Proof Equipment-IPX1: The eQuinox Battery

Pack (Battery) and AC Power Supply provide

protection against the harmful effects of the ingress

of liquids. (IPX1, per IEC 60529)

Recycle Symbol Name and address of manufacturer

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.

Authorized representative in the European

Community

IP22

Drip and solid ingress proof: The eQuinox provides

protection against the harmful effects of the ingress

of liquids and solid foreign objects in accordance

with IEC 60529 at the rating of IP22.

Class II equipment

Certied for both the U.S. and Canadian markets, to

the applicable U.S. and Canadian standards.

This device complies with the requirements of

Directive 93/42/EEC concerning medical devices. It

therefore bears the CE marking as shown.

User Controls & System Status Indicators

eQuinox (Model 4000) User Manual — 3

Contents

User Controls & System Status Indicators ..............................................................................................2

Quick Start Guide ......................................................................................................................................4

Indications for Use ....................................................................................................................................7

Contraindications for Use .........................................................................................................................7

Safety Guidelines ......................................................................................................................................7

Recommended Operating Environments ................................................................................................9

Operating Instructions ............................................................................................................................10

Voice Module Operation .........................................................................................................................13

First Time eQuinox Operation ................................................................................................................14

User Troubleshooting Table ...................................................................................................................16

Cleaning, Care & Routine Maintenance .................................................................................................19

EMC Tables ...............................................................................................................................................21

General Airline Travel Information ........................................................................................................25

Battery Pack & Airline Travel ..................................................................................................................25

4 — 4805-C1 C (English)

Quick Start Guide

AC Power Supply

12VDC Cable

eQuinox Cart

Battery Pack

(battery)

1

Unpack Your eQuinox

2

Getting to Know Your eQuinox

Review all Warnings, Cautions and additional device

information in the rest of this manual.

Become familiar with the key features of the eQuinox and the

User Control Panel.

BACK

Battery

Pack Latch

Exhaust

Vent

Battery

Pack

Service

Cabinet

FRONT

Control

Panel

Handle

External Power

Receptacle

Oxygen

Outlet Port

FAA

Approval

Icon

Rating Label &

Serial Number

Location

Air inlet

Filter

eQuinox (Model 4000) User Manual — 5

ON/OFF Button (Green) Indicator

Press and hold the “ON/OFF” button for two (2) seconds to

power ON your eQuinox. A brief audible and visual power on

self-test will occur. Check that all the indicators are lit up and

the buzzer sounds for three (3) seconds. Press and hold the “ON/

OFF” button for two (2) seconds to power OFF your eQuinox.

To connect to AC power source: Insert the AC Power Supply

cord securely into the External Power Receptacle on the right

side of the device. Plug the AC power cord into the power

supply and into an AC outlet.

When the eQuinox is plugged in properly, a green indicator

on the AC Power Supply will light up. The External Power

Indicator on the user control panel will also light up.

Install the Battery: Slide the battery into the empty compartment

until it locks into position. It will be ush with the front of the

device.

When the battery is properly installed and the eQuinox is either

ON or plugged into AC power, the Battery Pack Status Gauge

will appear.

3

Powering on the eQuinox

The eQuinox User Control Panel

displays important operating

information.

ON/OFF Button (Green) Indicator: This button powers

the device ON or OFF. The Green Indicator is lit up when

the device is ON and functioning properly.

Increase or Decrease Flow Setting Buttons: Use these

buttons to set the ﬂow to your prescribed setting.

Delivery Mode Button and Indicator: The button switch-

es between Continuous Flow and Pulse Dose Mode. The

Pulse Dose Mode activates autoSAT Technology. This

allows a signiﬁcant increase in the operating time while

powered by the battery pack (battery). When the Pulse

Dose Mode is activated, the green Pulse Dose Mode

Indicator lights up. A pulse of oxygen is delivered and

the green indicator blinks with each inspiratory effort.

ALERT (Yellow) Indicator—When lit up, this indicates a

low priority awareness condition or Caution. Continue

to use your system. Refer to the Troubleshooting Table

for the correct action, or contact your Home Care

Provider. A ﬂashing yellow indicates a medium priority

alert. A prompt response is necessary. (Typically low

oxygen or low battery.)

ALARM (Red) Indicator —Indicates a high priority alarm

condition. An immediate response is necessary. Refer

to the Troubleshooting Table and contact your home

care provider. (Typically loss of power, low oxygen, or

malfunction.)

Information Display.

• C or P – “C” indicates Continuous Flow mode and

“P” indicates Pulse Dose mode.

• Time on battery – The display will cycle every 20

seconds when running on battery power to indicate the

estimated time left on the battery

• Setting (continuous ow or pulse dose) – each time

you power the device ON, the last mode and/or setting

has been saved and will be used at start-up.

Battery Pack (battery) Status Gauge: This indicator

displays the charge remaining in the battery. Each of

the ﬁve horizontal gray bars represents approximately

20% of the total battery charge. When the battery is

charging, the charge indicator bars will blink in a wa-

terfall-type fashion. If the battery is not installed, or if it

is incorrectly installed, the Battery Pack (battery) Status

Gauge will not light up or will ﬂash on and off.

External Power Indicator: When the eQuinox is properly

plugged in and is using the AC or 12VDC Cable, this

indicator will light up on the User Control Panel.

Buzzer: An audible alarm alerts you to the operating condition of the

device, either a warning or failure, and conﬁrms a valid key press.

Voice Module: If activated, a voice indicator will alert you of the op-

erating condition of the device, changes in power source, and warning

conditions or failures.

Step 1 Step 2 Step 3

6 — 4805-C1 C (English)

Line up the eQuinox with the shaped oor of the cart so that it

sits at and upright. Line up the large threaded screw to the insert

at the back of the eQuinox. Then hand-tighten the knob on the

cart until the cart is tightly secured to the device. Depress the

push-button on the telescoping cart handle and pull upward to

adjust the height of the handle.

Your unit is equipped with an Air Inlet Filter (extra lter

provided). Check daily and clean once a week. Instructions for

cleaning are on page 19.

Connect the oxygen supply tubing to the oxygen outlet and

connect the oxygen cannula per the instructions provided with

the cannula, or according to the instructions from your home care

provider.

Breathe normally through the nasal cannula.

When operating on battery power, using the Pulse Dose Mode

will result in longer duration-of-use.

Air Inlet Filter

6

Begin Using the eQuinox

7

eQuinox Cart Operation

Flow Mode Button and Indicator

Press the Flow Mode button to select your desired ow mode.

Pressing this button repeatedly will switch you back and forth

between continuous ow and pulse dose modes. In Continuous

Flow Mode, the oxygen is provided at a constant ow rate

between 0.5 and 3.0 LPM, indicated by the letter C. In Pulse

Dose Mode, oxygen is supplied in a bolus at the beginning of

each inhalation. Pulse mode settings 1–9 provide bolus sizes

ranging from 16mL to 192mL and are designated by the letter

P on the display. Pulse dose can be adjusted for sensitivity and

breath bolus delivery. Flow settings in both modes should be

prescribed for you by your physician.

Increase or Decrease Flow Setting Button

Using the + or - buttons, adjust the setting to the prescription

supplied by your physician.

Continuous Flow Mode Display

Pulse Dose Mode Display

4

Select Flow Delivery Mode

5

Adjust Flow Setting to Prescribed Level

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 CONCEN-

TRATOR MAY BE USED DURING SLEEP UNDER THE RECOMMENDA-

TION OF A QUALIFIED CLINICIAN.

Air inlet

Filter

eQuinox (Model 4000) User Manual — 7

Important!

Safety Instructions are deﬁned as follows:

Indications for Use

The eQuinox is intended for the administration of supplemental

oxygen. The device is not intended for life support, nor does it

provide any patient monitoring capabilities.

Contraindications for Use

Safety Guidelines

WARNING: IMPORTANT SAFETY INFORMATION FOR HAZ-

ARDS THAT MIGHT CAUSE SERIOUS INJURY.

CAUTION: Important information for preventing damage

to the eQuinox.

Note: Information needing special attention.

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 CONCEN-

TRATOR MAY BE USED DURING SLEEP UNDER THE RECOMMENDA-

TION OF A QUALIFIED CLINICIAN.

WARNING: FEDERAL (USA) LAW RESTRICTS THIS DEVICE TO SALE OR

RENTAL BY ORDER OF A PHYSICIAN OR OTHER LICENSED HEALTH

CARE PROVIDER.

WARNING: THIS UNIT IS NOT TO BE USED FOR LIFE SUPPORT.

GERIATRIC, PEDIATRIC, OR ANY OTHER PATIENT UNABLE TO COM-

MUNICATE DISCOMFORT WHILE USING THIS DEVICE MAY REQUIRE

ADDITIONAL MONITORING. PATIENTS WITH HEARING AND/OR

SIGHT IMPAIRMENT(S) MAY NEED ASSISTANCE WITH MONITORING

ALARMS.

WARNING: NO MODIFICATION OF THIS EQUIPMENT IS

PERMITTED

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 ANES-

THETICS.

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

EQUINOX SERVICED BY A QUALIFIED TECHNICIAN. THE EQUINOX

IS NOT APPROPRIATE FOR ANY PATIENT WHO WOULD EXPERIENCE

ADVERSE HEALTH CONSEQUENCES AS THE RESULT OF SUCH TEMPO-

RARY INTERRUPTION.

WARNING: THE MANUFACTURER RECOMMENDS AN ALTER-

NATE SOURCE OF SUPPLEMENTAL OXYGEN IN THE EVENT

OF A POWER OUTAGE, ALARM CONDITION, OR MECHANI-

CAL 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: 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 ACCES-

SORIES 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: PROPERLY SECURE, BELT OR OTHERWISE RESTRAIN THE

OXYGEN CONCENTRATOR WHEN IN A VEHICLE DURING TRANSPORT

TO PREVENT DAMAGE OR INJURY.

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 PERFOR-

MANCE.

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 THE EQUINOX AND AMBULATE WHILE

A HUMIDIFIER IS ATTACHED. REMOVE THE HUMIDIFIER BOTTLE BE-

FORE WALKING. DO NOT LAY THE EQUINOX DOWN WHILE ATTACHED

TO A HUMIDIFIER BOTTLE.

WARNING: THE US DEPARTMENT OF TRANSPORTATION (DOT) AND

UNITED NATIONS (UN) REGULATIONS REQUIRE THE REMOVAL OF

THE BATTERY FROM THE DEVICE FOR ALL INTERNATIONAL AIRLINE

TRAVEL WHEN THE OXYGEN CONCENTRATOR IS CHECKED AS LUG-

GAGE. WHEN SHIPPING THE OXYGEN CONCENTRATOR, THE BATTERY

MUST ALSO BE REMOVED FROM THE DEVICE AND PACKAGED

PROPERLY.

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.

8 — 4805-C1 C (English)

WARNING: IF YOU FEEL DISCOMFORT OR ARE EXPERIENC-

ING 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

SPECIFICATION. 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 ACCESSO-

RIES OR THE OXYGEN CONCENTRATOR. ONLY WATER BASED, OXY-

GEN COMPATIBLE LOTIONS OR SALVES SHOULD BE USED. OXYGEN

ACCELERATES THE COMBUSTION OF FLAMMABLE SUBSTANCES.

WARNING: THE INCORRECT USE OF THE BATTERY CAN CAUSE THE

BATTERY TO GET HOT, IGNITE, AND MAY CAUSE SERIOUS INJURY. BE

SURE NOT TO PIERCE, STRIKE, STEP ON, DROP THE BATTERY, OR OTH-

ERWISE SUBJECT THE BATTERY TO STRONG IMPACTS OR SHOCKS.

THE USE OF A DAMAGED BATTERY MAY CAUSE PERSONAL INJURY.

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 OB-

SERVED TO VERIFY NORMAL OPERATION.

CAUTION: In the event of an alarm or you observe the

Oxygen Concentrator is not working properly; consult

the Troubleshooting section in this manual. If you cannot

resolve the problem, consult your Equipment Provider.

CAUTION: To prevent a void warranty, follow all manufacturers’

instructions.

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 CLOTH-

ING, 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 MA-

TERIAL FLAMMABLE. SET THE OXYGEN CONCENTRATOR 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 EQUIP-

MENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN SHOULD

REMOVE THE COVERS OR SERVICE THIS DEVICE.

WARNING: ONLY ACCESSORIES RECOMMENDED BY THE MANUFAC-

TURER. USE OF ANY OTHER MAY BE HAZARDOUS, CAUSE SERIOUS

DAMAGE TO YOUR OXYGEN CONCENTRATOR AND WILL VOID THE

WARRANTY .

CAUTION: Always disconnect 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: When using the Oxygen Concentrator in an automobile,

boat, or on other DC sources with the 12VDC Cable, make sure that

the vehicle is started and running before connecting the Oxygen

Concentrator. If the external power light on the eQuinox does not

illuminate and requires resetting, disconnect the 12VDC Cable from

the DC outlet, restart your vehicle, and then reconnect your 12VDC

Cable into the DC outlet. Failure to follow these instructions can

result in not supplying power to the Oxygen Concentrator.

CAUTION: When the automobile in which you are using the Oxygen

Concentrator unit is turned off, disconnect and remove the device

from the automobile. Do not store the Oxygen Concentrator in a

very hot or cold automobile or in other similar, high-or low-tem-

perature environments.

Note: Portable and mobile RF communications equipment can effect

medical electrical equipment.

WARNING: THE MANUFACTURER RECOMMENDS AN ALTER-

NATE SOURCE OF SUPPLEMENTAL OXYGEN IN THE EVENT

OF A POWER OUTAGE, ALARM CONDITION, OR MECHANI-

CAL FAILURE. CONSULT YOUR PHYSICIAN OR EQUIPMENT

PROVIDER FOR THE TYPE OF RESERVE SYSTEM REQUIRED.

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.

eQuinox (Model 4000) User Manual — 9

Recommended Operating Environments

For correct use of the device refer to the following chart. The

chart provides important information about the recommended

operating environments, or operating conditions.

Speciﬁcations

Operating

Temperature

32º F to 104º F (0º C to 40º C)

Operating

Humidity

10% - 95% at an 82.4° F (28° C) dew point

Transport/

Storage

Temperature

-13°F to 158°F (-25°C to 70°C)

Humidity: Up to 95% Non-Condensing

-4°F to 122°F (-20°C to 50°C) for battery packs

Electrical Use no extension cords. Use no electrical outlets con-

trolled by a switch.

Altitude 0 – 13,123 feet (0 - 4,000 meters)

Placement DO NOT block the air inlet (top back cover) or the exhaust

vent (back bottom right). Place device a minimum of 3

inches (7.5 cm) away from walls, draperies, furniture, etc.

Environment Must be smoke, pollutant, and fume free.

Operating

Time

24-hours a day when connected to an external AC or DC

power source.

Proper Placement of the eQuinox

Pick a location for the device that avoids the intake of smoke,

fumes and pollutants. Correct positioning of the device should

allow intake of air through the air inlet lter at the top rear of

the cabinet. It should also allow exhaust air to freely leave the

exhaust vent at the bottom right of the device.

Place the device so that the alarms can be heard.

Position the oxygen supply tubing in such a way that it does not

kink or occlude.

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.)

Note: When the automobile in which you are using the Oxygen Con-

centrator unit is turned off, disconnect and remove the device from the

automobile. Do not store the Oxygen Concentrator in a very hot or cold

automobile or in other similar, high-or low-temperature environments.

DO NOT leave the Oxygen Concentrator or the Power Supply plugged

into the vehicle if the ignition is in the off position. Doing so may drain

the vehicle’s battery.

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 PETRO-

LEUM-BASED OR OTHER FLAMMABLE PRODUCTS WITH THE OXY-

GEN-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.

CAUTION: 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. 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.

10 — 4805-C1 C (English)

Operating Instructions

Before Operating

This user manual is your reference to help you use and maintain

the device. If you have any questions or concerns please call

your home care provider.

Important! DO NOT try to use the eQuinox without rst 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 User Manual. In order to decrease the risk of

re, personal injury and serious damage to the eQuinox, please

follow all of the safety precautions.

Powering on your eQuinox

The device can be operated from three (3) different power

sources:

• AC Power Supply

• 12VDC Cable

• Rechargeable Battery Pack (Battery)

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 RE-

MAINS FREE OF DUST, WATER, AND PARTICLES.

CAUTION: Do not allow either the air intake or the air out-

let 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.

AC POWER SUPPLY

The eQuinox includes a universal AC Power Supply for use at

home or wherever standard AC power is available. To connect to

an AC power source, plug the AC Power Supply cord securely

into the recessed external connector. Also make sure that the cord

from the AC Power Supply is plugged into an AC outlet. When

the eQuinox is plugged in correctly, a green indicator on the AC

Power Supply and the External Power Indicator will light up. The

indicator

on the user control panel will also light up. The

CAIRE AC Power Supply PN 4836 is the main power source for

the eQuinox portable oxygen concentrator. It is a very important

part of the overall system.

Note: Use only electrical voltage speciﬁed on the speciﬁcation label

afﬁxed to the device.

AC Power Supply

General Charging Information

The eQuinox runs on external AC power, DC power, or a

rechargeable battery. The system includes a “smart battery

charger.” This recharges the battery whenever the eQuinox is

connected to an outside power source. The system monitors and

controls the power source and the battery charger.

The eQuinox charges the battery when using AC or DC power

when the battery temperature is within safe charging temperature.

When external power is removed, the device automatically

switches over to the battery, as long as the battery is installed and

charged. When connected to an AC or DC outlet again, the device

runs on the external power source and recharges the battery.

Line up the power plug with the recessed external connector to

correctly plug in the AC Supply or 12VDC cable. The recessed

power connector is on the right side of the device when facing the

Control Panel. Push the power plug into the recessed connector.

Step 1 Step 2 Step 3

eQuinox (Model 4000) User Manual — 11

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 electri-

cal 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 in-

ternal components, may result in increased emissions of decreased

immunity of the Oxygen Concentrator.

12VDC Cable

A 12VDC Cable allows the system to operate from DC outlets,

such as those found in motor vehicles.

1. Start your vehicle.

2. Insert the 12 Volt DC cord into the recessed power

receptacle on the side of the device.

3. Insert the 12VDC Cable plug into the DC power outlet in

your motor vehicle.

When the device is properly connected and receiving power

from the DC power source, the green External Power Indicator

on the control panel will illuminate.

Note: While operating the device from a 12VDC Cable, the Battery may

not charge.

Note: When operating the eQuinox from a 12VDC Cable, it is recommend-

ed that the Pulse Dose Mode be used if prescribed to use a pulse dose

device.

Note: To ensure that the device is utilizing the DC power, check that the

External Power Indicator is illuminated. If a beep is heard, this could indi-

cate a loss of external power. Check if the green External Power Indicator

LED is on or off. If the battery is removed on DC power, it will ensure no

loss of charge while the unit is running. If the indicator is not illuminated,

the battery is powering the device.

Note: Actual performance of the eQuinox may vary depending upon usage

conditions of the motor vehicle. Some vehicles may not be able to support

full functionality on DC power. In the event the vehicle cannot provide

enough power to operate at the current setting, the eQuinox will ﬁrst

stop charging the battery and continue to run at the prescribed ﬂow rate.

If the vehicle still cannot provide enough power, the eQuinox will then

lower the ﬂow rate if the ﬂow rate is 2.0LPM or greater. If the ﬂow rate is

less than 2.0LPM, the eQuinox will shut down.

If low ﬂow rates are experienced, remove all other electronic devices

connected to the power circuit (GPS, cell phone charger, etc.). If sufﬁcient

power is restored, ﬂow rates are not automatically increased back to the

original setting; user will need to manually adjust. If the eQuinox is still

not operating at the prescribed ﬂow rate, attempt to remove the battery

pack.

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.

WARNING: IF THE VEHICLE’S DC POWER SOURCE DROPS BELOW 11.5

VOLTS, THE EQUINOX WILL REVERT TO THE BATTERY OPERATION (IF

THE BATTERY IS PRESENT AND CHARGED).

CAUTION: When the automobile in which you are using

the Oxygen Concentrator unit is turned off, disconnect

and remove the device from the automobile. Do not store

the Oxygen Concentrator in a very hot or cold automobile or in

other similar, high-or low-temperature environments. DO NOT leave

the Oxygen Concentrator or the Power Supply plugged into the

vehicle if the ignition is in the OFF position. Doing so may drain the

vehicle’s battery.

eQuinox DC Supply Connection

When the eQuinox is connected to the DC supply in a vehicle, the

following applies:

• The eQuinox will run at all continuous flow settings 0.5–

3.0LPM and all pulse settings 1–9 while being operated with

the DC Supply in a car.

• The battery will only charge if there is sufficient power

remaining after the device is running at the prescribed flow

rate. The eQuinox will dedicate the power supplied to run

the unit first. Any power left over will be used as a trickle

charge to re-charge the battery. If the eQuinox battery is being

charged, the battery symbol will waterfall. If the eQuinox

battery is not charging, the battery symbol will be displayed

solid.

WARNING: DO NOT TOUCH THE BATTERY CONTACTS AND

THE PATIENT AT THE SAME TIME WHEN ENERGIZING THE

UNIT WITH THE EXTERNAL POWER SUPPLY (AC POWER

SUPPLY) AND WITH NO BATTERY PACK INSTALLED.

12 — 4805-C1 C (English)

Initial Battery Charging

The new Battery that comes with your eQuinox is not fully

charged when it is shipped from the factory. Before using your

eQuinox for the rst time, you must rst fully charge the Battery.

Plug in the AC Power Supply and correctly install the Battery.

Allow the Battery to completely charge. The Battery is fully

charged when the Battery Pack Status Gauge on the Control

Panel no longer cascades and remains solid.

The eQuinox can be used while the Battery recharges. It may

take up to 4 hours to charge, depending on the ow setting. The

Battery will also charge when the eQuinox is plugged into AC

power and turned off.

CAUTION: Only use the Manufacturer’s provided batter-

ies. For proper battery disposal, contact your Equipment

Provider or your local government agency for disposal

requirements.

* Batteries are recyclable. *

In the event of an AC or DC power interruption, the eQuinox will

beep and automatically switch to Battery operation, as long as a

charged Battery is installed. When external power is returned, the

Battery will automatically start charging again. If the Battery is

missing or is fully discharged when the AC power is interrupted,

the eQuinox will shut down and alarm. The Battery is fully

discharged when the Battery Pack Status Gauge on the control

panel appears empty. The device will display a yellow light and

sound a low battery alarm. This will continue until the device

completely shuts down with a red light and constant alarm. The

audible alert may continue for up to 5 minutes until the device

shuts down or external power is restored.

Note: Press and hold the eQuinox ON/OFF button for a minimum of 5

seconds, to silence the Loss of Power alarm. Connecting the eQuinox to

an external AC power supply for 2 minutes will also eliminate this alarm.

WARNING: FOR OXYGEN CONCENTRATORS EQUIPPED WITH

BATTERIES: STORE IN A COOL AND DRY LOCATION TO HELP

ENSURE THE LONGEVITY OF YOUR BATTERY. STORING YOUR

OXYGEN CONCENTRATOR FOR EXTENDED PERIODS OF TIME AT HIGH

TEMPERATURES OR WITH A FULLY CHARGED OR COMPLETELY DIS-

CHARGED BATTERY CAN DEGRADE ITS OVERALL BATTERY LIFE. DO

NOT ATTEMPT TO OPEN THE BATTERY; THERE ARE NO SERVICEABLE

PARTS INSIDE THE BATTERY. KEEP BATTERIES AWAY FROM CHILDREN.

Rechargeable Battery Pack (Battery)

The eQuinox can be run by the rechargeable

Battery Pack (Battery), which is supplied with

the device.

Installing the Battery: Line up the Battery so it

will slide into the empty Power Compartment.

Push the Battery into the empty Power

Compartment until it locks (clicks) into

position. It will be ush with the front of the

device. When the Battery is properly installed

and the eQuinox is ON, the Battery Status

Gauge will show on the Control Panel. (If you

DO NOT have a Battery installed, the Battery

Pack Status Gauge will not light up.) The unit

will still run on external power.

To remove the Battery, push the release

button on the top of the battery pack. While holding DOWN the

release button, pull the Battery away from the eQuinox.

Battery Operating Times: The battery operating time is shown

on the Control Panel, in both symbol and alpha-numeric formats.

When running on battery power, the battery status gauge will be

shown at all times. The display screen will cycle to display the

hours/minutes of battery life left. A number of factors, such as

ow setting, Pulse or Continuous Flow Mode, and breath rate

will affect the operating time. The table Typical New Battery

Pack Operating Times provides operating time estimates for

the eQuinox using a new, fully charged Battery based on ow

settings and indicated operating conditions.

Note: The eQuinox comes with a 12-cell battery when shipped from the

factory. The 24-cell battery is an optional accessory for longer battery

durations.

Rechargeable Battery

Pack (Battery)

Typical New Battery Pack Operating Times

Operating Type Battery Type

12-cell 24-cell

Continuous

Mode

1 LPM 2.16 hrs (2 hr, 9 min) 4.84 hrs (4 hrs, 50 min)

2 LPM 1.2 hours (1 hour, 12 2.75 hrs (2 hrs, 45 min)

3 LPM 0.8 hrs (48 min) 1.83 hrs (1 hr, 49 min)

Pulse Mode

(12 BPM)

16 mL (1.0) 2.62 hrs (2 hrs, 37 min) 5.94 hrs (5 hrs, 56 min)

48 mL (3.0) 2.38 hrs (2 hrs, 22 min) 5.39 hrs (5 hrs, 23 min)

96 mL (6.0) 1.70 hrs (1 hr, 41 min) 3.85 hrs (3 hrs, 51 min)

Note: Operating the Oxygen Concentrator outside of its normal operating

temperature range can affect performance and decrease battery run time

and/or increase battery charge time. (Refer to the Speciﬁcations section in

this manual.) You will achieve longer operating time on the Battery if you

operate your eQuinox in the Pulse Mode (Physician approved mode).

eQuinox (Model 4000) User Manual — 13

Typical Battery Recharge Time

It will normally take between 2 and 5 hours to recharge a fully

drained Battery back to 80% capacity, depending on the ow

setting being used. When the battery is fully charged, the battery

gauge will stop cascading. The battery can be charged in the unit

when the eQuinox is turned off and plugged in.

If the Battery becomes too warm during discharging, recharging

will not begin until the Battery sufciently cools. Removing the

Battery may speed up the cooling process.

The Battery can recharge from both AC and DC power sources.

The Battery will also charge from the optional Desktop Charger.

Enable/Disable the Voice Module

1. To enable/disable the voice module function, power on the

unit by pressing the ON/Standby Key.

2. After the unit has powered on, press the No Smoking Icon

and Hidden Key once.

3. Within 1–2 seconds, the SPKR = ON or SPKR = OFF menu

item will be present.

4. Press the Increase or Decrease Flow Rate Key to toggle the

selection to ON (enable voice module) or OFF (disable voice

module).

5. Within 3–5 seconds, the option selected will become active.

Note: This will only disable the voice module function once. When the

device is turned off and device is reset, the voice module function will

automatically be enabled.

Increase/Decrease the Volume of Vocal Notiﬁcations

1. To increase or decrease the volume of vocal notifications,

press the No Smoking Icon & Hidden Key twice.

2. The Volume = # - (Volume Setting Menu) will be present.

3. Press the Increase or Decrease Flow Rate Key to increase or

decrease the volume level from 1 to 10.

4. After selecting the desired loudness, the option will become

active/set within 3–5 seconds.

Changing Voice Module Language

1. To change the voice module language, press the No

Smoking Icon & Hidden Key five times to access the language

options.

2. The current activated language will be indicated on the

display. For example, if the voice module is speaking English

when accessing the language options menu, “English” will be

the text that appears on the display.

3. Press the Increase or Decrease Flow Rate Key to scroll

through the languages available.

4. Once the desired language is displayed, it will automatically

be set within 3–5 seconds.

Voice Module Operation

Voice Module Operational Instructions

The eQuinox can provide verbal notications or alarms and

operating status. These verbal notications supplement the

information on the light emitting diode (LED) display. The

following information provides instructions on how to turn the

voice module function on and off, adjust loudness, and change

language.

ON/Standby

Key

ON/Standby

Indicator

(Green LED)

Alert Indicator

(Yellow LED)

Alarm Indicator

(Red LED)

External

Power

Present

Indicator

(Green LED)

Decrease Flow

Rate Key

LCD

Display

Flow Mode

Indicator

(Green LED)

Flow Mode

Key

No

Smoking

Icon &

Hidden Key

Increase Flow

Rate Key

14 — 4805-C1 C (English)

Step 1: Positioning Your eQuinox for Use

Place the eQuinox in a well-ventilated, well lit area. Be sure the

air inlet and exhaust vents in the back are not blocked.

Position the eQuinox so that all

audible and visual indicators or

alarms can be easily seen and

heard.

Be sure the air inlet lter is in

place before operating your

eQuinox. If the air inlet lter is

missing, contact your home care

provider. If the air inlet lter is

dirty, wash with warm soapy

water. Then rinse it with clear

water and allow it to dry before

placing the air inlet lter back in

the device. If necessary, replace it

with a new, clean air inlet lter.

Plug the device into an AC Power

outlet, a DC Power source, or be sure there is a fully charged

Battery installed.

Step 2: Power ON the Device and Allow it to

Warm-Up

Press and hold the “ON/OFF” Button for two (2) seconds to

power ON your eQuinox. A brief visual power-on self-test will

occur.

Note: If there are three beeps when the device is ﬁrst connected to power

or powered on, this indicates a low battery condition for the 9-volt battery

inside the cabinet of the eQuinox. Please contact your home care provider

and request that the 9-volt battery be replaced. If three beeps continue

intermittently after the unit has been power on and running for several

minutes, this is not a low 9V battery condition. Contact your healthcare

provider for service.

The eQuinox has an oxygen concentration status indicator

(OCSI) built in to the device. The OCSI continually monitors

the oxygen output of the device. It uses a green light (normal),

yellow light (alert), red light (alarm) and an audible alarm.

These indicators will all illuminate during the power-on

self-test at start-up. After rst powering ON the device,

please allow up to ve (5) minutes for the device to reach its

performance specications. When only the green indicator

light is illuminated, the device has reached its performance

specications.

Step 3: Connect the Oxygen Supply Tubing or Nasal

Cannula to the Oxygen Outlet

Replace the cannula and oxygen supply tubing regularly, as

recommended by your home care provider. Ask your home care

provider for cannula and supply tubing cleaning and replacement

information.

Note: Ensure the cannula is fully inserted and secure. This ensures that the

Oxygen Concentrator can properly detect inspiration for oxygen delivery.

During inhalation, you should hear or feel oxygen ﬂow to the prongs of

the nasal cannula.

Step 4: Select the Flow Mode

Press the Flow Mode button to choose the mode. Pressing this

button more than once will switch you back and forth between

Pulse Dose Mode and Continuous Flow Mode. The correct mode

and setting should be prescribed for you by your physician.

Continuous Flow Mode Operation:

When running in the Continuous Flow Mode, a constant supply

of oxygen will ow through your tubing and nasal cannula. The

oxygen is measured in measured in liters per minute (LPM). You

may use a humidier when in Continuous Flow mode only. DO

NOT tilt, transport, or lay the eQuinox down while a humidier

bottle is attached.

Pulse Dose Mode Operation:

When running in Pulse Mode, a bolus of oxygen, measured in

milliliters (mL), is delivered upon inhalation. DO NOT use a

humidier in the Pulse Dose Mode.

When operating in pulse dose mode, the eQuinox supplies a

continuous ow of oxygen every 15 seconds if a breath is not

detected. The device will stop continuous ow and repeatedly

check for an inspiratory effort every 15 seconds. Once an

inspiration is detected, the device will deliver a measured bolus

again. To leave Pulse Dose Mode and start Continuous Flow

Mode, push the ow mode button.

Have your physician prescribe you the correct pulse dose to make

sure you receive the proper oxygen saturation. Take into account

your needs at rest, when you exercise, and when you travel at

high elevation. Contact your care provider for prescription and

boarding forms.

First Time eQuinox Operation

Air inlet Filter

Exhaust Vent

eQuinox (Model 4000) User Manual — 15

Pulse Dose Mode and autoSat Features

Your eQuinox has a feature called autoSAT

®

. It delivers a

consistent-sized bolus of oxygen up to 40 breaths per minute

(see Max Breath Rate table below). As your breath rate

increases, such as when you walk, the autoSAT feature servo-

controls the device, delivering the set bolus size. autoSAT

Technology is proprietary to CAIRE and is used during Pulse

Mode only.

Max Breath Rate

Bolus Volume (+/- 15%)

Pulse Dose Setting

Bolus Size

(± 15%) mL

Max Breath Rate

1 16 40

2 32 40

3 48 40

4 64 40

5 80 37

6 96 31

7 128 23

8 160 18

9 192 15

Step 5: Adjust the Flow Setting to the Prescribed

Level

Using the Flow Setting Buttons, adjust the ow setting to the

prescribed setting supplied 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.

Note: Bolus volume decreases as breath rate exceeds published maxi-

mum breath rate

Note: The pulse dose setting 1–9 is not equal to LPM.

WARNING: PULSE DOSE MODE SETTINGS MUST BE DE-

TERMINED FOR EACH PATIENT INDIVIDUALLY FOR THEIR

NEEDS AT REST, DURING EXERCISE AND WHEN TRAVELING.

WARNING: THE EQUINOX MAY NOT BE ABLE TO DETECT ALL IN-

SPIRATORY EFFORTS IN PULSE MODE. IF THE EQUINOX DOES NOT

RESPOND TO YOUR INSPIRATION EFFORTS, ASK YOUR HOME CARE

PROVIDER TO CHECK THE SENSITIVITY SETTING.

Note: To Equipment Provider: The following oxygen administration acces-

sories are recommended for use with the Oxygen Concentrator:

• Nasal Cannula with 7 feet (2.1 m) of tubing: PN 5408-SEQ

• For any additional recommended accessories, please see the Accesso-

ries Catalog (PN ML-LOX0010) available on www.CAIREmedical.com.

• CAIRE offers the OxySafe™ as an optional accessory. This is intended

to be used in conjunction with the eQuinox concentrator. For customers

in regions requiring compliance to EN ISO 8359:1996-Ammendment

1:2012, this accessory will meet this need.

The OxySafe™ is a thermal fuse to stop the ow of gas in the event

that the downstream cannula or oxygen tubing is ignited and burns

to the OxySafe. It is placed in-line with the nasal cannula or oxygen

tubing between the patient and the oxygen outlet of the Equniox.

For proper use of the OxySafe, always refer to the manufacturer’s

instructions (included with each OxySafe kit).

CAIRE offers an OxySafe™ kits that includes a cannula headpiece,

OxySafe™, and 7’ tubing: PN 20628667

Step 6: Begin Using Your eQuinox

Breathe normally through the nasal cannula.

Note: You will achieve longer operating time on the Battery if you oper-

ate your eQuinox in the Pulse Mode (Physician approved mode).

Step 7: eQuinox Cart Operation

The eQuinox Cart is designed for use on walking-type surfaces.

Line up the eQuinox with the oor of the cart so it sits upright

and level.

Line up the large threaded screw to the insert at the back of

the eQuinox. Then hand-tighten the knob on the cart until the

eQuinox Cart is tightly secured to the device.

Push down the push-button on the eQuinox Cart handle to adjust

the height of the handle.

Note: DO NOT operate the eQuinox and ambulate while a humidiﬁer is

attached. Remove the humidiﬁer bottle before walking. DO NOT lay the

eQuinox down while attached to a humidiﬁer bottle.

Step 8: Power Off the Device

Press and hold the “ON/OFF” Button for two (2) seconds to

power OFF your eQuinox.

Store the eQuinox in a cool and dry location for a period no

longer than 1 month. The eQuinox must run for at least 2 hours

per month to ensure proper function of the unit.

16 — 4805-C1 C (English)

User Troubleshooting Table

Do Not Ignore Alarms

WARNING: THE MANUFACTURER RECOMMENDS AN ALTERNATE SOURCE OF SUPPLEMENTAL OXYGEN IN THE EVENT OF A POWER OUT-

AGE, ALARM CONDITION, OR MECHANICAL FAILURE. CONSULT YOUR PHYSICIAN OR EQUIPMENT PROVIDER FOR THE TYPE OF RESERVE

SYSTEM REQUIRED.

Yellow Light

Symptom Possible Cause Your Action

The yellow light is on solid. The

alarm is giving 1 beep every 30

seconds.

The eQuinox has detected a

problem with the connec-

tion to the battery pack.

1) Remove battery pack and re-install to ensure that it is secure in the concentrator.

2) If possible, install a separate battery pack in the eQuinox.

3) If this problem persists, contact healthcare provider.

The yellow light is ﬂashing. The

battery icon is ﬂashing. The

alarm is giving 1 beeps every 2

minutes.

The eQuinox battery pack

is warm.

1) Re-attach the eQuinox to external power or install a fully-charged battery pack in the

eQuinox. Allow warm battery pack to cool outside the concentrator for 30 minutes.

2) Re-charge the battery pack using AC power

3) Replace the battery pack if another is available.

4) If the condition persists, contact your healthcare provider.

The yellow light is ﬂashing. The

battery icon is ﬂashing. The

alarm is giving 2 beeps every

30 seconds.

The eQuinox battery pack

voltage is low.

1) Plug eQuinox into AC power supply and recharge or replace battery pack with fully

charged battery pack.

The yellow light is ﬂashing. The

alarm is giving 1 beep every 2

minutes.

The eQuinox has detected a

ﬂow restriction causing low

or blocked ﬂow.

1) Clean and replace cabinet inlet ﬁlter

2) Ensure that the cannula is not kinked or blocked. If used with a humidiﬁer bottle,

ensure that it is ﬁlled properly and not creating a blockage.

3) Ensure that the eQuinox has proper ventilation. It needs to be at least 3 inches from

any surface to ensure the vents aren’t blocked.

4) If the problem persists, switch to an alternate source of oxygen and contact health-

care provider for assistance.

The yellow light is ﬂashing.

There is no audible alarm.

The eQuinox has detected

low oxygen levels.

1) Ensure the air intake ﬁlter is not clogged or restricted. Clean and replace the ﬁlter if

necessary.

2) Ensure the eQuinox is in a well ventilated area. Make sure there are at least 3 inches

between the back of the eQuinox and any obstructions (furniture, curtain, etc.)

3) If operating in the car, be sure the back of the eQuinox is facing outward in the seat.

4) If the condition persists, switch to an alternate source of oxygen and contact your

healthcare provider immediately.

eQuinox (Model 4000) User Manual — 17

Red Light

Symptom Possible Cause Your Action

The red light is ﬂashing.

The alarm is giving 3 beeps

every 2 minutes.

The eQuinox has detected

low oxygen levels

1) Ensure the air intake ﬁlter is not clogged or restricted. Clean and replace the ﬁlter if

necessary.

2) Ensure the eQuinox is in a well ventilated area. Make sure there are at least 3 inches

between the back of the eQuinox and any obstructions (furniture, curtain, etc.)

3) If operating in the car, be sure the back of the eQuinox is facing outward in the seat.

4) If the condition persists, switch to an alternate source of oxygen and contact your

healthcare provider immediately.

The red light is ﬂashing. The

alarm is giving a constant

beep. The LCD displays

********. The eQuinox is

not delivery oxygen and will

not power on.

The eQuinox has lost power

temporarily while running on

external power.

1) Inspect the external (AC or DC) power supply and ensure that its connections are

secure at the eQuinox, the transformer, and the external power outlet.

2) If possible, attempt to use another electrical (AC or DC) outlet to power the eQuinox.

3) If the condition persists, switch to an alternate source of oxygen and contact your

healthcare provider immediately.

The eQuinox has lost power

due to a depleted battery

pack (battery pack) charge or

an overheated battery pack.

1) Re-attach the eQuinox to external power or install a fully-charged battery pack in the

eQuinox. Allow warm battery pack to cool outside the concentrator for 30 minutes.

2) Re-charge the battery pack using AC power

3) Replace the battery pack if another is available.

4) If the condition persists, contact your healthcare provider.

The red light is solid. The

display screen says “FAIL”.

The eQuinox is not produc-

ing delivering oxygen and

will not power on.

The eQuinox has experienced

a system malfunction.

1) Remove the battery pack and disconnect the AC or DC power supply from the eQuinox.

The red light should disappear and the FAIL message will disappear from the screen when

the power sources are removed. Wait approximately 20 seconds, reconnect power sourc-

es, and attempt to power on the eQuinox again.

2) If the eQuinox does power on, monitor it to determine if the FAIL message occurs

again. If the FAIL message occurs again, contact your healthcare provider immediately.

3) If the eQuinox does not power back on, contact your healthcare provided immediately.

18 — 4805-C1 C (English)

Other Alarm Conditions

Symptom Possible Cause Your Action

While in pulse mode,

the pulse mode LED

ﬂashes quickly for 15

seconds.

The eQuinox is

unable to detect

the user’s breathing

effort. See page

15 for pulse mode

information.

1) Pulse mode may not work correctly if the user has any condition that causes blocked/restricted nasal

passages. (Illness, deviated septum, etc.)

2) Ensure cannula is no longer than 7 feet in length.

3) Ensure that there are no kinks or blockage in cannula tubing.

4) If a humidiﬁer bottle is connected, remove the humidiﬁer bottle and connect cannula directly to outlet

port. Pulse mode will not work with a humidiﬁer bottle installed.

5) If the condition persists, contact your healthcare provider.

Battery pack is drain-

ing while plugged in to

AC/DC power supply

The eQuinox is not

receiving power

from the attached

power supply.

1) Verify that the outlet is providing power. Do not connect the power supply to a dimmer circuit or a

power strip.

2) Check that cable connections on power supplies are secure to the wall/vehicle and concentrator. If

using the AC power supply, check the cable connection on the power supply transformer as well.

3) Ensure that the power veriﬁcation lights are on.

- There will be a green light on the power supply box.

- There will be a green light on the eQuinox concentrator control panel in the shape of a power cord.

4) If power veriﬁcation LEDs are not lit, remove all connections of the power supply for 20 seconds and

reconnect.

5) If the condition persists, contact your healthcare provider.

The Battery pack

(battery) charge is not

lasting as long as it

should.

The battery pack

was not fully

charged

1) Connect to AC power to recharge the battery. Verify that the battery charges for 2-5 hours and the

battery icon is full and not ﬂashing before use.

2) Refer to the actions for “Battery Pack is Not Charging” Symptom below.

The eQuinox was

not operating at the

anticipated ﬂow

rate.

1) Ensure that you are using the ﬂow rate prescribed by your physician and that pulse or continuous ﬂow

is being used as required.

The battery pack is

not preforming to

speciﬁcations.

1) Attempt to drain the battery pack completely. Do this by running the eQuinox on battery power until

the machine shuts off completely. Then remove the battery and allow it to cool for approximately 30

minutes. After this time, re-insert the battery in the eQuinox and recharge it using AC power.

2) If the battery still does not last as long as it should after following step 1, contact your healthcare

provider.

The Battery Pack (bat-

tery) is not charging.

The eQuinox is not

receiving external

AC power to charge

the battery.

1) Verify that the outlet is providing power. Do not connect the power supply to a dimmer circuit or a

power strip.

2) Check that cable connections on power supplies are secure to the wall/vehicle and concentrator. If

using the AC power supply, check the cable connection on the power supply transformer as well.

3) Ensure that the power veriﬁcation lights are on.

- There will be a green light on the power supply box.

- There will be a green light on the eQuinox concentrator control panel in the shape of a power cord.

4) If power veriﬁcation LEDs are not lit, remove all connections of the power supply for 20 seconds and

reconnect.

5) If the condition persists, contact your healthcare provider.

The eQuinox is not

properly communi-

cating the battery

pack to charge it.

1) Remove battery pack and re-install to ensure that it is secure in the concentrator.

2) Inspect the eQuinox for a solid yellow light when the battery is installed or a ﬂashing battery icon

when attempting to charge. If either of these symptoms is present, continue to step 3

3) If possible, install a separate battery pack in the eQuinox. If the replacement battery works properly,

then the original battery needs to be replaced.

4) If this problem persists contact healthcare provider.

The eQuinox beeps 3

times when it is ﬁrst

powered on.

The internal battery

that powers the

alarms is low

1) Contact your healthcare provider.

eQuinox (Model 4000) User Manual — 19

Air Inlet Filter

Ambient air is drawn into the device through the air inlet located

on the top rear of the device. Cleaning the air inlet lter is the

most important maintenance activity you will perform as a user.

Cleaning the air inlet lter will keep your eQuinox performing

properly. Check this air inlet lter daily and clean it at least once

a week using the following procedure:

1. Remove the air inlet 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

Cleaning tip: Keep a clean second lter as a replacement for use

when one lter is drying.

Routine Maintenance

Only a service technician trained and qualied by CAIRE should

work on the internal parts of the eQuinox.

Preventative Maintenance (PM) should be done every year.

Talk to your provider to arrange a PM schedule. Your home

care provider or qualied technician will inspect the following

parts only when needed: alarms, internal 9-volt battery, battery,

internal lters and other internal parts.

User Care and Cleaning of the Device

Cannula Replacement

Replace your supply tubing and cannula as often as your

home care provider recommends. Your physician or home

care provider will provide you with cleaning, disinfection and

replacement information.

The air inlet lter should be replaced annually. If the eQuinox is

used in a dusty environment, the lter may need to be replaced

more frequently. You should not operate the eQuinox without an

air inlet lter installed for more than 5 minutes.

Cleaning, Care & Routine Maintenance

CAUTION: 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.

Note: The Manufacturer does not recommend the sterilization of this

equipment.

Note: Do not operate the Oxygen Concentrator without the air intake

lter in place. If a second lter is provided, insert the “replacement” lter

before you clean the dirty ﬁlter. Clean the dirty ﬁlter in a warm soap and

water solution then dry thoroughly prior to use.

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 avail-

able from your Equipment Provider.

Note: If three beeps sound after the power ON self-test, this indicates the

9v battery is low in power. Contact your home care provider if you hear

three beeps.

Air inlet

Filter

20 — 4805-C1 C (English)

Optional Humidiﬁer

If used, clean your humidier every day to decrease the

possibility of contamination. Follow the cleaning directions from

the home care provider or the manufacturer of the humidier.

Replace the humidier every month, or as directed by the

manufacturer or your home care provider. (Do not overll the

humidier.)

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 (ETHYLENE CHLORIDE), AND OIL- BASED PRODUCTS

(PINE-SOL®, LESTOIL®). THESE ARE NOT TO BE USED TO CLEAN

THE PLASTIC HOUSING ON OXYGEN CONCENTRATOR, AS THEY CAN

DAMAGE THE UNIT’S PLASTIC.

CAUTION: DO NOT operate the eQuinox and ambulate

while a humidiﬁer is attached. Remove the humidiﬁer bot-

tle before walking. DO NOT lay the eQuinox down while

attached to a humidiﬁer bottle.

eQuinox Cart

Before cleaning the eQuinox Cart, remove it from the eQuinox.

Use a damp (not wet) cloth or sponge and mild cleaning solution

to clean the cart.

Battery Pack (Battery)

The Battery in the eQuinox needs special care to make sure

it has a longer life and the highest level of performance. The

CAIRE Battery is the only Battery recommended for use with

the eQuinox.

Use a damp (not wet) cloth or sponge to clean the Battery. First

spray the cloth or sponge with a mild detergent, then clean the

Battery case and the latch.

CAIRE recommends replacing the battery pack after 2 years.

Battery Disposal

Your Battery is rechargeable and can be recycled. Always return

it to your home care provider for proper disposal. You can also

contact your local city or town ofces for directions on proper

disposal of the Battery.

eQuinox Oxygen System Disposal

Local environmental laws may not allow disposal of electrical

and/or electronic equipment such as the eQuinox or AC Power

Supply. Contact the local city or town ofces for instructions on

the correct way to dispose of electrical or electronic equipment.

You may also contact CAIRE Inc. for disposal information.

AC Power Supply, 12VDC Cable, Power Cord and Outer Case:

Turn OFF the eQuinox and disconnect from AC or DC power

before you clean or disinfect. DO NOT spray right onto the outer

case. Use a damp (not wet) cloth or sponge. Spray the cloth or

sponge with a mild cleaning solution to clean the cabinet and

power supply. To disinfect the eQuinox, use Lysol® Brand II

disinfectant (or equivalent). Follow the directions of the cleaner

manufacturer.

WARNING: ELECTRICAL SHOCK HAZARD. TURN OFF THE

UNIT AND DISCONNECT THE POWER CORD FROM THE

ELECTRICAL OUTLET BEFORE YOU CLEAN THE UNIT TO PRE-

VENT ACCIDENTAL ELECTRICAL SHOCK AND BURN HAZARD. ONLY

YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECHNICIAN

SHOULD REMOVE THE COVERS OR SERVICE THE UNIT. DO NOT USE

LIQUID DIRECTLY ON THE UNIT. A LIST OF UNDESIRABLE CHEMICAL

AGENTS INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: AL-

COHOL AND ALCOHOL-BASED PRODUCTS, CONCENTRATED CHLO-

RINE-BASED PRODUCTS (ETHYLENE CHLORIDE), AND OIL- BASED

PRODUCTS (PINE-SOL®, LESTOIL®). THESE ARE NOT TO BE USED

TO CLEAN THE PLASTIC HOUSING ON OXYGEN CONCENTRATOR, AS

THEY CAN DAMAGE THE UNIT’S PLASTIC.

WARNING: ELECTRICAL SHOCK HAZARD. DISCONNECT THE POWER

CORD FROM THE ELECTRICAL OUTLET BEFORE YOU CLEAN THE UNIT

TO PREVENT ACCIDENTAL ELECTRICAL SHOCK AND BURN HAZARD.

ONLY YOUR EQUIPMENT PROVIDER OR A QUALIFIED SERVICE TECH-

NICIAN SHOULD REMOVE THE COVERS OR SERVICE THE UNIT.

WARNING: CARE SHOULD BE TAKEN TO PREVENT THE OXYGEN CON-

CENTRATOR AND THE BATTERY 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: 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 SURFAC-

ES 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.

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