InogenOne TechnicalManual English
InogenOne TechnicalManual English
PN 96-00447-00-04 B
This manual applies to the following Inogen, Inc. products:
This manual will be updated periodically. The latest version may be found
at: http://www.inogen.net/providerlogin
Contents
Notes
Information for
Providers of the
Inogen One
1
Be sure to thoroughly read all of the information in this manual in its en-
tirety. If you have any additional questions, please see the list of contacts at
the end of this Technical Manual.
DESIGN
NOTE A DESIGN NOTE indicates specific information regarding the
design of the Inogen One and/or accessories. This information
is included in this manual to provide you with a greater
working understanding of the device. This information is not
required to operate or maintain the Inogen One.
In many cases, Warnings and Cautions have been included in the Inogen
One Patient Manual.
Satellite Conserver
Dimensions: 5.5” high x 2.9” wide x 1.3” thick
Weight: 9.0 oz. (0.56 lbs, 254g) (including battery)
Flow Control 5 settings from 1 to 5
Settings:
Power: One “C” alkaline battery
Battery Life: Up to 4 weeks at 8 hours usage per day
NOTE Technical drawings and internal parts lists are available only to
Inogen One Certified Service Providers. Contact Inogen about
how to become an Inogen One Certified Service Provider.
NOTE Inogen suggests you consider titrating the flow setting of each
patient upon the initial delivery / setup to assure that the
Inogen One is an appropriate oxygen delivery solution for their
individual needs.
The Inogen One OCD has been calibrated and validated for use with a single
lumen cannula. Inogen has tested its performance data with the Salter Labs
1600Q cannula, which is an adult cannula. Higher flow cannulas (e.g., those
rated for 8 LPM or greater) are preferred as they offer less flow restriction.
Low flow and small diameter cannulas may offer greater resistance to flow.
Such flow resistance may impact the accuracy of the oxygen bolus volume
and flow delivered by the Inogen One.
All oxygen patients, including pediatric patients, using the Inogen One must
be capable of tolerating and receiving oxygen as delivered by the Inogen
One oxygen conserver. The device setting, type of cannula used and the
patient’s respiratory rate will affect the fraction of inspired oxygen (FiO2);
therefore it is prudent to evaluate and titrate all patients for use and toler-
ance of any oxygen conserving device, including the Inogen One.
Inogen currently has no clinical or technical data supporting the use of the
Inogen One with TTO catheters.
For quick start instructions on how to configure the Inogen One System for
first use, please reference the Patient Manual.
Under some conditions, particularly upon start-up of the unit and upon
return to flow settings 1 through 5 from operating in satellite mode, the Ino-
gen One may require 30-45 seconds to reset internal electronics. During this
period, the conserver will not function and “Please Wait” will appear on the
display. The Inogen One may require up to 30 minutes for oxygen concentra-
tion to reach full specification. The device will otherwise function normally
during this period.
For further information regarding the use of the Inogen One, please consult
the Patient Manual.
DESIGN
NOTE It is recommended that the Inogen One be used in an upright
position whenever possible. The Inogen One employs an inter-
nal vibration isolation system which is most effective when the
device is upright. This system helps to protect internal compo-
nents from wear while reducing the noise and external vibra-
tion of the device. Operating the device in another orientation
may lead to increased vibration which, if sustained for long
periods of time, may reduce life expectancy of the Inogen One.
As an oxygen concentrator, the Inogen One does not contain a finite stored
volume of oxygen, such as with compressed gas or liquid cryogenic systems.
The Inogen One provides oxygen to the patient as long as a power source
is available. However, because the oxygen is being produced as it is used,
supply of oxygen is rate-limited. That is, delivery rate of oxygen has an upper
limit, while total volume to be delivered over time is constrained only by
availability of electric power. The Inogen One delivers up to 750 ml/min of
90% oxygen.
At each flow setting, the Inogen One generates a specific amount of oxygen
(150ml per setting), and the on-board OCD delivers this entire product flow
to the patient. The Inogen One is designed to deliver the total amount of
oxygen per setting, regardless of the patient’s respiratory rate. To accom-
plish this, slower breathing patients will receive larger boluses, and faster
breathing patients will receive smaller boluses, with the net result yielding
the same total volume of oxygen delivered per setting per minute.
DESIGN
NOTE Breath detection sensitivity is particularly important to
patients who exert low inspiratory effort and may have dif-
ficulty using conserving devices. This is often exacerbated
when these patients are inactive, when breathing efforts may
be weaker. It may also be exacerbated when patients mouth
breathe or have difficulty with nose-only inhalation. The
Inogen One is equipped with a conserver technology designed
to respond to very low inspiratory signals.
DESIGN
NOTE Because the Inogen One employs a single lumen cannula, the
same tubing that transmits the inspiratory signal to the OCD
delivers the oxygen to the patient. The OCD employs a very
brief “Blind Time” following each bolus delivery. During the
Blind Time, the OCD’s breath sensing is disabled while the
system resets in preparation for the next breath. Patients who
are “huffing” or who breathe in quick succession (faster than
30 breaths per minute or less than 2 seconds between breaths)
may not receive a bolus on every breath. The Inogen One Satel-
lite Conserver has a similar function.
In general, the Inogen One delivers 10ml per bolus per flow setting at 15
breaths per minute (150ml/min per flow setting). The following table sum-
marizes the bolus volumes delivered by the Inogen One OCD:
The concentrator, when used in this mode, generates its maximum amount
of oxygen, 750ml/min. The Satellite Conserver delivers a fixed volume of
8.75ml of oxygen per breath per flow setting. For higher flow settings, and
higher breathing rates, the Satellite Conserver may deliver more volume
per minute than the concentrator can produce, resulting in slightly lower
oxygen concentrations. In these cases, the device will continue to function
normally; an alert will appear on the concentrator’s display informing the
user that the demand is exceeding production (“Maximum Flow Exceeded”).
In this state, the oxygen concentration of the device may be reduced, but the
concentrator is operating normally and may continue to be used. For many
patients, the device will still meet their supplemental oxygen supply needs,
but Inogen suggests you consider titrating each patient under a variety of
conditions for assurance.
Shaded boxes indicate combinations of settings and breathing rates at which the Satellite Conserver’s delivery may
exceed the production of the Inogen One. In these conditions, the oxygen concentration may be below specification.
Patient Maintenance
Instruct your patient on proper maintenance of the Inogen One.
Cannula Replacement
The nasal cannula should be replaced on a regular basis. A single lumen
cannula can be used. Inogen has tested its performance data with the Salter
Laboratories 1600Q cannula. Higher flow cannulas (e.g., those rated for
8LPM or greater) are preferred as they offer less flow restriction.
CAUTION Do not use cannula tubing length exceeding 7 feet total with
the Inogen One or the Satellite Conserver. The breath detection
system may not function properly.
Patients should understand how to properly clean the particle filter using
a mild detergent (e.g., dishwashing solution, such as Dawn™) and water
solution; they should be sure to rinse the filter in water and allow to air dry
before reuse. Spare filters are provided with the Inogen One to enable use
of the device while the filter is drying. Additional replacement filters may be
obtained from Inogen. There are other types of filters inside the Inogen One
that provide additional filtration. Maintenance of these filters is performed
during internal servicing.
DESIGN
NOTE Care has been taken in the design of the Inogen One to protect
the functional components from dust, particulates, and other
contaminants that may enter the device. The Inogen
One contains 15 filters in total. Only the intake particle filter
and the product filter require field maintenance.
Surface Cleaning
Patients should understand how to clean the outside case using a cloth
dampened with a solution of mild detergent (e.g., dishwashing detergent)
and water.
DESIGN
NOTE The Inogen One Lithium Ion Battery employs smart battery
technology to communicate its status and protect the battery
and concentrator from potential hazards. This battery chemis-
try and technology is similar to that used in laptop computer
and cell phone batteries.
DESIGN
NOTE The Inogen One Oxygen Concentrator adjusts its oxygen pro-
duction rate to match the oxygen demand specified by the
user flow setting. When the device is used in lower settings,
its battery run time is extended. Additionally, at lower flow
settings, the concentrator does not generate as much heat and
noise, draw as much electric current from external power sup-
plies, and many system components do not wear as quickly.
Patients should avoid running the Inogen One on battery power until this
initial charging has been completed.
Normal Charging
The patient should understand how to ensure that the battery is properly
charging. Inspect that the correct AC power adapter is being used and that
the adapter is properly inserted into the power outlet. Observe the display
or lights that indicate charging status. Patients should be made aware that
the Inogen One battery will take longer to charge when the concentrator is
operating, and will take longer when operating at higher flow settings.
The number of cycles that the battery will last is highly dependent upon the
temperature at which the battery is charged. Inogen recommends that bat-
teries not be charged inside of a running concentrator at ambient tempera-
tures exceeding 85˚F (30˚C).
DESIGN
NOTE The Inogen One Battery has been cycle life tested at its maxi-
mum charge and discharge rates while held at elevated
temperature. In general, the capacity of the battery gradually
decreases as the number of cycles increases. Exposure of the
battery to elevated temperatures may result in fewer cycles,
decreased capacity, or both.
DESIGN
NOTE The Inogen One Battery can discharge at higher temperatures
than it can be charged. When the concentrator is used at high
ambient temperatures, it is possible that the battery will need
to cool for a period of time following a deep discharge. In this
case the concentrator may be run from AC power or another
battery. To accelerate cooling, remove the battery from the
concentrator.
In setting up a patient on the Inogen One, you may choose to inform them
about the freedom and independence they can achieve through battery
run time management. By combining the use of the AC Power Supply, the
Mobile Power Charger, and the Inogen One Battery, patients may stay away
from their homes almost indefinitely, when other types of devices require
returning home to replace or refill their oxygen supply.
Time Battery
Period Activity Power Source Level *
6:00-8:30 am Wake Up / Breakfast AC Power Supply 100%
8:30-8:50 am Drive to store Mobile Power Charger 100%
8:50-9:30 am Shopping Battery Power 65%
9:30-9:50 am Drive to friend’s home Mobile Power Charger 70%
9:50-12:00 pm Visit with friend AC Power Supply 100%
12:00-12:15 pm Drive to lunch date Mobile Power Charger 100%
12:15-1:30 pm Leisurely lunch Battery Power** 40%
1:30-4:00 pm Drive to visit family Mobile Power Charger 80%
4:00-5:00 pm Play with grandson Battery Power 30%
5:00-7:00 pm Dinner with family AC Power Supply 75%
7:00-9:00 pm Visit with family AC Power Supply 100%
9:00 pm - 6:00 am Sleep at family’s house AC Power Supply 100%
6:00-8:30 am Wake Up / Breakfast AC Power Supply 100%
8:30-8:50 am Drive to church Mobile Power Charger 100%
8:50-10:30 am Church service Battery Power 15%
10:30-1:00 pm Drive back home Mobile Power Charger 55%
1:00-5:00 pm Bridge game & lunch with friends AC Power Supply 100%
5:00-5:30 pm Get mail & chat with neighbor Battery Power 75%
outside
5:30-6:30 pm Spontaneous dinner at neighbor’s Battery Power 25%
home
6:30 pm - Read & watch TV before going AC Power Supply 100%
to bed
* Assumes high power usage rate (setting 4); conservative battery level at end of time period
** Many restaurants may make AC power accessible upon request
Storage
Patients should remove the battery from the Inogen One when it is not in
use to avoid inadvertent discharge. Leaving a battery in an unused Inogen
One for prolonged periods will result in battery discharge. Additionally, leav-
ing a warm fully charged battery in an Inogen One may result in reduced
battery capacity.
DESIGN
NOTE When the concentrator is off but the battery is installed, the
battery will continue to provide a small amount of power to
the concentrator’s microprocessor. This power draw will
empty a full battery in approximately 20 days.
Patients should avoid storing the Inogen One battery in extreme tempera-
tures, below -4˚F (-20˚C) or above 140˚F (60˚C), for any amount of time. They
should avoid leaving batteries in automobiles, where these temperatures
can be regularly exceeded. Storage of the Inogen One battery in a cool, dry
location will help to assure the longevity of the battery.
Battery Disposal
Lithium ion batteries, like all rechargeable batteries, are recyclable and
should never be incinerated. Contact your local Hazardous Waste disposal
center for information on proper disposal and recycling.
DESIGN
NOTE For the ease of providers, the device has been designed with
maintenance and service requirements in mind. The concen-
trator requires periodic field maintenance which requires very
little training, and can be done without opening the outer case.
Service, which typically involves opening the device and is more
equipment intensive, is intended to be performed by Inogen
Certified Service Centers. For information about becoming cer-
tified in servicing the device, please contact your distributor.
System Inspection
At the start of each maintenance visit:
1. Ask the patient if they have experienced any difficulties in operating the
equipment.
2. Ask the patient if they have observed any malfunctions or changes in
characteristics of the equipment.
3. Visually inspect the device, batteries, and accessories for cracks or other
damage.
4. Feel the sides of the device for vibration and listen for unusual noises,
rattles, or other signs that the device requires more attention or exten-
sive service.
To arrange for more extensive equipment servicing, please contact your cus-
tomer care representative (evo Medical Solutions: 800-759-3038). Do not
attempt to ship equipment without an RMA number.
Output Filter
The output filter is intended to protect the user from inhalation of small
particles in the product gas flow. The Inogen One includes an output filter,
conveniently located behind the removable cannula nozzle fitting. Inogen
suggests that this filter be inspected and replaced on an annual basis during
a provider maintenance visit.
CAUTION Failure to inspect and replace the product filter may result in
the filter becoming clogged or obstructed over time, and in
reduced delivery of oxygen to the patient.
CAUTION Take care not to over tighten the cannula nozzle fitting during
re-installation. Over tightening may cause the concentrator
case to break or crack, or may cause the filter to break. This
may result in hazards to the user.
CAUTION Take care not to cross-thread the cannula nozzle fitting during
re-installation. Cross-threading may result in the development
of leaks, in reduced delivery of oxygen to the patient, or in sys-
tem malfunction.
Data Logging
Inogen One operating data are periodically recorded to flash memory lo-
cated within the concentrator as an administrative function. Data is stored
for a period of approximately 1-2 months; new data replaces the oldest data
as it is collected.
DESIGN
NOTE This data collection function is designed to provide information
regarding the operation and use of the Inogen One. This data
may be uploaded to the Inogen web site and then used by Inogen
to assist in diagnosing and correcting errors, should they occur.
After uploading data to the Inogen web site, providers may
view records of each upload, including the serial number of
the concentrator, its life clock reading, and the date and time
of the upload.
Data Download
You may collect stored data at your discretion.
To collect data:
1. Turn the Inogen One off, but leave it plugged
into an external power supply.
2. Turn on the PDA and position it such that its in-
frared port points at the Inogen One’s infrared
port (located in a clear window on the ratings
label on the rear of the device).
Data files are saved on the PDA in a .PDB file with a name that is unique to
the concentrator from which the data was retrieved. While files from mul-
tiple concentrators may be held on the PDA without problem, subsequent
downloads of data from a particular concentrator will overwrite older files
on the PDA. It is recommended that you remove files to a computer as soon
as possible following download.
Data Upload
Once a data file has been received by the PDA, this file may be transferred to
a personal computer and uploaded to the password protected Provider area
of the Inogen web site (http://www.inogen.net/providerlogin). From there,
Inogen technical service personnel can view the data and use it to assist
with troubleshooting.
For information about transferring files from the PDA to a PC, and about
uploading the files from the PC to the provider website, please visit the web
address above.
DESIGN
NOTE Inogen has submitted the Inogen One to an extensive series of
tests designed to uncover potential design and manufacturing
flaws. These tests included accelerated component life testing,
Highly Accelerated Life Testing (HALT), drop testing, high cycle
life testing, and environmental stress testing.
The Inogen One is safety certified by CSA. To receive this
certification, the products have undergone extensive third-
party electrical safety qualification. Additional product
reliability testing has been performed. Manufacturing
processes have been validated, and are regularly third-party
audited. The Inogen One is manufactured in an ISO 9002 and
IS0 13485 certified system.
Inogen believes that these tests reflect our commitment to
the durability and longevity of the Inogen One. We have at-
tempted to build reasonable safety margins and controls into
our products.
These codes are supplemental to the text alarm and alerts listed in the
Patient Manual.
Error Code
Number Explanation
1 Low voltage on power supply
2 Software error
INOGEN Inc. (“INOGEN”) warrants that each new Inogen OneTM Oxygen
Concentrator (“Concentrator”), components for the Concentrator (“Compo-
nents”) and accessories and replacement parts for the Concentrator (“Ac-
cessories and Parts” and, together with the Concentrator and Components,
the “Products”) shall be free from defects in materials and workmanship
under normal use and service and when correctly maintained for the periods
shown from the date of shipment, except as provided below:
Description Period
Concentrator
Inogen One™ Oxygen Concentrator 3 years
Accessories and Parts
Satellite Conserver 2 years
All other accessories and replacement parts 1 year
Purchaser agrees that before this limited warranty shall become effective,
Purchaser shall fully inspect each Product within two (2) days of delivery
and before such Product is put to use. Purchaser also agrees to operate
the Product in accordance with INOGEN’s operating instructions as pro-
vided and that failure to do so shall void this limited warranty. Purchaser
further agrees that any claim for breach of warranty must be made in writ-
ing promptly following the discovery of a purported defect and within the
warranty period. INOGEN will not be responsible for any alleged breach of
warranty, which, as a result of INOGEN’s inspection, INOGEN determines to
have arisen from a cause not covered by this limited warranty.
If Purchaser believes that a Product does not comply with the limited war-
ranty stated above, Purchaser should contact the distributor, describing the
problem and providing proof of the date of purchase. If directed by the dis-
tributor, Purchaser shall return the Products, freight prepaid, properly pack-
aged in an INOGEN approved shipping container and properly identified by
a Return Material Authorization Number issued by the distributor. Products
returned without a Return Material Authorization Number will be refused
and returned at Purchaser’s expense.
The sole and exclusive remedy for any breach of this limited warranty is
limited to repair or replacement of the defective Product or refund of the
purchase price, at the sole discretion of INOGEN. INOGEN shall pay for ship-
ment back to the Customer for repairs or replacements of Products under
warranty. For Products returned for repair that are not covered under war-
ranty, INOGEN’s standard repair charges shall be applicable in addition to all
shipping expenses.
Any claims for breach of this limited warranty shall be governed by Califor-
nia law and must be brought in a state or federal court in California.
7-2
Concentrator S/N: Service Event Date:
Life Clock Hours: Group / Company:
Technician Name:
Service Checklist: Concentrator: Patient Name / ID:
Interview the patient
Inspect for external damage / wear
Service Location:
Operational inspection
Patient’s residence
Replace intake / exhaust filters
Service center / office
Replace product filter
Other:
Inspect Satellite Conserver & tubing
Download operational data file Service Type:
Provide replacement filters Set up equipment
Provide replacement cannulas Scheduled visit
Other: Patient call / complaint
Other:
Accessories:
Check battery on Satellite Conserver
Inspect power supplies & cords
Inspect mobile power adapter
Inspect carry bag and cart
Notes:
Notes