Spirit®

User Manual (US)SpiritUser Controls & System Status Indicators
ISO 7000Read user’s manual before operation.
Reg. # 1641
Keep away from rain, keep dry. Reg.
# 0626

Stacking limit by number. Reg. #2403
Name and address of manufacturer.
Reg. # 3082
The country and date of manufacture.
The “CC” identifies the two lettercountry code of the country of manufacture. The date of manufacture is in
YYYY-MM-DD format. Reg. # 6049
Caution, consult accompanying documents. Reg. # 0434A
Catalog Number. Reg. # 2493
Serial Number. Reg. # 2498
Storage or operating temperature
range. Reg. # 0632

Do not smoke near unit or while
operating unit. Reg. # P002
Type BF applied part (degree ofprotection against electric shock).
Reg. # 5333
Warning. Reg. # W001
Council Directive 93/42/EEC
Authorized representative in theEuropean Community
If the product unique device identifier(UDI) label has the CE#### symbolon it, the device complies with therequirements of Directive 93/42/EEC
concerning medical devices. The
CE#### symbol indicates notified
body number.
This device complies with the requirements of Directive 2010/35/EU
concerning medical devices. It bears
the pi marking as shown.
ADR

Storage humidity range Reg. # 2620

Non-toxic gas.

Atmospheric pressure limitation. Reg.
# 2621

Hazard Oxidizing substances: fire
intensifying risk. Oxidizing agents
cause fires to burn more vigorously.

This way up. Reg. # 0623
Fragile, handle with care. Reg. # 0621

ISO 7010

Keep away from open flame, fire,
sparks. Open ignition source andsmoking prohibited. Reg. # P003

Refrigerated Liquid, USP; Produced
by Air Liquefaction
Additional Symbols

Contains hazardous substances. Reg.
# 3723

Keep unit well ventilated at all times

Importer. Reg. # 3725

Keep away from flammable materials,
oil and grease.

Frostbite may occur on contact withcold liquid or gaseous oxygen, or
frosted parts. Warning low temperature. To warn of low temperature or
freezing conditions. Reg. # W010
The instruction manual must be read.
Reg. # M002

2 - US PN MN235 D | User Manual

Authorized representative in
Switzerland.
If the device bears the UKCA markas shown with UKCA#### indicating
the notified body number, this device
complies with UKCA regulations.

SpiritISO 15223-1

IEC 60417

Do not cover unit or carry portable
unit under your clothing. These units
normally vent oxygen. No. 5641
21 CFR 801.15
Federal law restricts this device tosale by or on the order of a physician.
IEC 60601-1
Drip Proof IP22
Council Directive 2012/19/EU
WEEE
This symbol is to remind the equipment owners to return it to a recycling
facility at the end of its life, per Waste
Electrical and Electronic Equipment(WEEE) Directive.
Our products will comply with therestriction of Hazardous Substances(RoHS) directive. They will not contain more than trace amounts of leador other hazardous material content.

Medical Device. Reg. # 5.7.7
Unique device identifier # 5.7.10
This product may be covered by one or more patents, US and international. Please visit our website
below for the listing of applicable patents. Pat.:www.caireinc.com/corporate/patents/ .

Specifications• Mode of Operation: Demand/Continuous Flow
• Type of Protection Against Electrical Shock: Internally Powered Equipment• Degree of Protection Against Electrical Shock: Type BF Applied Part• Classification According to the Degree of Protection Against Ingress of Water: IP22 – Ordinary
Equipment• Equipment not suitable for use in the presence of flammable mixtures
Product Specifications
Spirit 300

Spirit 600

Spirit 1200

LOX capacity

0.8 lb (0,36 kg)

1.5 lb (0,68 kg)

3.0 lb (1,36 kg)

Gaseous equivalentcapacity

275 L

516 L

1026 L

Weight, empty

3.5 lb (1,6 kg)

4.1 lb (1,86 kg)

5.0 lb (2,27 kg)

Weight, filled

4.3 lb (1,95 kg)

5.6 lb (2,54 kg)

8 lb (3,63 kg)

Height8.8 in. (223 mm)

11.5 in. (292 mm)

14.0 in. (335 mm)

Typical use time at 20
BPM demand mode

8 hours

16.1 hours

30.4 hours

Operating pressure

20 psi (137 kPa)

20 psi (137 kPa)

20 psi (137 kPa)

Normal evaporation rate

1.3 lb/ day (0,57 kg/ day)

1.3 lb/ day (0,57 kg/ day)

1.3 lb/ day (0,57 kg/ day)Standard flow control
range

Demand: Off 1,1.5, 2,
3, 4, 5

Demand: Off 1,1.5, 2,
3, 4, 5

Demand: Off 1,1.5, 2,
3, 4, 5

Continuous: 2 LPM

Continuous: 2 LPM

Continuous: 2 LPM

PN MN235 D | User Manual US - 3

SpiritWarning Information
Important: Read this manual thoroughly before
operating the Spirit.
RX Only.
WARNING: THIS DEVICE IS NOTINTENDED FOR LIFE SUSTAINING USE.
GERIATRIC, PEDIATRIC, OR ANY OTHERPATIENT UNABLE TO COMMUNICATEDISCOMFORT CAN REQUIRE ADDITIONALMONITORING TO AVOID HARM.
WARNING: IF YOU FEEL THE EQUIPMENTIS NOT OPERATING PROPERLY, CALLYOUR HEALTH CARE PROVIDER. DO NOTATTEMPT TO REPAIR OR ADJUST THE
UNIT YOURSELF.
WARNING: DO NOT MODIFY THIS EQUIPMENT WITHOUT AUTHORIZATION FROM
THE MANUFACTURER.
WARNING: IF CONTINUITY OF OXYGENSUPPLY IS REQUIRED, ENSURE THAT ANADEQUATE SUPPLY OF OXYGEN AND/OR A SECONDARY OXYGEN SUPPLYIS AVAILABLE AT ALL TIMES DURING
THERAPY.
WARNING: PATIENT OR OTHERS MAY BE ENTANGLED IN CANNULA OR OTHER TUBING CAUSINGASPHYXIATION.
WARNING: TO ENSURE RECEIVING THE THERAPEUTIC AMOUNT OF OXYGEN DELIVERY ACCORDING TO YOUR MEDICAL CONDITION, THE SPIRITMUST BE USED ONLY AFTER ONE OR MORE SETTINGS HAVE BEEN INDIVIDUALLY PRESCRIBEDFOR YOU AT YOUR SPECIFIC ACTIVITY LEVELAND BE USED WITH THE SPECIFIC COMBINATIONOF PARTS AND ACCESSORIES THAT ARE IN LINE
WITH THE SPECIFICATION OF THE OXYGEN CONSERVER MANUFACTURER AND THAT WERE USED
WHILE YOUR SETTINGS WERE DETERMINED.
WARNING: USE ONLY WATER BASED LOTIONS ORSALVES THAT ARE OXYGEN COMPATIBLE DURING SETUP OR USE DURING OXYGEN THERAPY.
NEVER USE PETROLEUM OR OIL-BASED LOTIONSOR SALVES TO AVOID THE RISK OF FIRE AND
BURNS.
WARNING: USE OF THIS DEVICE AT AN ALTITUDEABOVE 10,000 FEET OR OUTSIDE A TEMPERATURE
OF -10º C TO 40º C IS EXPECTED TO ADVERSELY
AFFECT THE QUALITY OF THE THERAPY.
WARNING: IF YOU FEEL DISCOMFORT OR ARE
EXPERIENCING A MEDICAL EMERGENCY, SEEKMEDICAL ASSISTANCE IMMEDIATELY TO AVOID
HARM.

4 - US PN MN235 D | User Manual

WARNING: DO NOT LUBRICATE REPLACABLE
FITTINGS, CONNECTIONS, TUBING OR OTHERACCESSORIES OF THE OXYGEN CONSERVER TO
AVOID THE RISK OF FIRE AND BURNSWARNING: WIND OR STRONG DRAUGHTSCAN ADVERSELY AFFECT ACCURATE
DELIVERY OF OXYGEN THERAPYWARNING: THIS PRODUCT CAN EXPOSE YOU
TO CHEMICALS INCLUDING NICKEL, WHICH IS
KNOWN TO THE STATE OF CALIFORNIA TO CAUSECANCER. FOR MORE INFORMATION, GO TO WWW.
P65WARNINGS.CA.GOV.
WARNING: IN THE EVENT THERE IS A SERIOUS
INCIDENT OCCURRING WITH THIS DEVICE, THE
USER SHOULD IMMEDIATELY REPORT THE
INCIDENT TO THE PROVIDER AND/OR THE MANUFACTURER. A SERIOUS INCIDENT IS DEFINED AS
AN INJURY, DEATH, OR POTENTIAL TO CAUSE
INJURY/DEATH SHOULD THERE BE A REOCCURRENCE OF THE INCIDENT. THE USER CAN ALSOREPORT THE INCIDENT TO THE COMPETENT AUTHORITY IN THE COUNTRY WHERE THE INCIDENTOCCURRED.
Caution: Use the Spirit only as directed byyour doctor.
Caution: Federal law restricts this device to sale byor on the order of a physician.
Note: The unit contains liquid oxygen which isextremely cold, almost -300°F (-184°C). Exposure tosuch a low temperature can cause severe frostbite.
Note: Liquid and gaseous oxygen, though nonflammable, cause other materials to burn faster than normal.
This hazard, along with the low temperature of liquid
oxygen, warrants certain safety precautions.
Note: Keep flammable materials away from this equipment. Aerosol sprays, oils and grease, including facial
creams and petroleum jelly, ignite easily and may burnrapidly in the presence of oxygen.
Note: Smoking while wearing an oxygen cannula cancause facial burns and possibly result in death.

SpiritWARNING: OXYGEN MAKES IT EASIERFOR A FIRE TO STARTAND SPREAD. DO
NOT LEAVE THE NASAL CANNULA ON
CLOTHING, SOFAS, BED COVERINGS OR
CHAIR CUSHIONS, IF THE OXYGEN CONSERVER IS TURNED ON, BUT NOT IN USE;
THE OXYGEN WILL MAKE THE MATERIALS FLAMMABLE. TURN THE OXYGENCONSERVER OFF WHEN NOT IN USE.
WARNING: SMOKING DURING OXYGEN THERAPYIS DANGEROUS AND IS LIKELY TO RESULT IN
FACIAL BURNS OR DEATH. DO NOT ALLOWSMOKING OR OPEN FLAMES WITHIN THE SAMEROOM OF THE OXYGEN CONSERVER OR ANYOXYGEN CARRYING ACCESSORIES. IF YOU
SMOKE, YOU MUST ALWAYS TURN THE OXYGENCONSERVER OFF, REMOVE THE CANNULA ANDLEAVE THE ROOM WHERE EITHER THE CANNULA
OR THE OXYGEN CONSERVER IS LOCATED. IF
UNABLE TO LEAVE THE ROOM, YOU MUST WAIT
10 MINUTES AFTER THE FLOW OF OXYGEN HAS
BEEN STOPPED.
Caution: In the event of an accidental
tip-over, immediately but cautiously
return the unit into an upright position if
possible. If any liquid oxygen is escaping,leave the area immediately and call yourhealthcare provider. Do not attempt tomove the unit or stop the liquid oxygenfrom escaping.

Note: To Equipment Provider: The following oxygen
administration accessories are recommended for use
with the Spirit:• Nasal Cannula: CAIRE Part Number 5408-SEQ• Firebreak: CAIRE Part Number 21126636
A firebreak is recommended for use with any cannula.
• CAIRE offers a firebreak intended to be used inconjunction with the oxygen portable. The firebreak is
a thermal fuse to stop the flow of gas in the event thatthe downstream cannula or oxygen tubing is ignited
and burns to the firebreak. It is placed in-line with thenasal cannula or oxygen tubing between the patient
and the oxygen outlet of the Spirit. For proper useof the firebreak, always refer to the manufacturer’s
instructions (included with each firebreak kit).
• Additional recommended accessories information isavailable online at www.caireinc.com.

Intended Use

The CAIRE Spirit liquid oxygen unit is intended
for the administration of supplemental oxygen. The
device is not intended for life support nor does it
provide any patient monitoring capabilities.

Note: Do not touch frosted parts of any unit.
Note: Do not store or operate the portable coupled tothe stationary unit.
Note: Do not allow untrained personnel to handle oroperate this device.
Note: Use of this device is prohibited on commercial
passenger and cargo air flights by the Federal Aviation
Administration.

PN MN235 D | User Manual US - 5

SpiritIntroduction

Controls
1. Contents Indicator
2. Flow Rate Selection Knob
3. Oxygen Outlet Connector
4.	Fill Connections(See next page for QDV Identification)
5. Vent Valve
6. Batteries (2) C-Cell (inside case)

The liquid oxygen system includes a stationary
unit and the Spirit, which provides supplementary
oxygen as prescribed by your physician. This user
manual contains the instructions for using theSpirit. Refer to the user manual supplied with thestationary unit for its operation.
The Spirit Portable provides an ambulatory sourceof oxygen for an extended period of time. You fill
the Spirit from a liquid oxygen stationary unit. The
compact, lightweight Spirit was developed to increase mobility and improve comfort of the typicalsupplemental oxygen user.
Note: The service provider will assist with the initial
setup and instruct proper handling and usage of the
unit.

3

2

6

The Spirit Portables are intended for the administration of supplemental oxygen to the patient in theend user’s home and can also be used in institutions
such as nursing homes or sub-acute care facilities.
The device is not intended for life support nor doesit provide any patient monitoring capabilities. The
device is not for use with tracheotomised patients.
It is recommended to have an alternate source of
supplemental oxygen in the event of mechanicalfailure. These Portable devices also have a quick
disconnect valve that can be coupled with a reservoir lox device for transfilling the portable device.
The device is used by COPD patients or thosewith diminished breathing capacity. The device isprescribed to the patient. The device is sold to a
provider that is trained to operate and service theSpirit Portables. The provider trains the user.

1

5

4

Spirit 600

6 - US PN MN235 D | User ManualSpirit
Quick Disconnect Valve (QDV)
Identification
Portable
Connector

Stationary
Connector

3. Position the fill connector in the upright position
over the stationary unit’s connector.

QDV Style

CAIRE
Side Fill

SF
Locking

LIFE-OX
TF
Locking

4. a. If your connector is a push-on: Lower the
Spirit unit on to the stationary until you feelthe connector engage.

PENOX

TAEMA
TF
Push-OnPB

Operating Instructions
To Fill the Top Fill Spirit
1. Clean the fill connectors on both the stationary
and the Spirit with a clean, dry, lint-free cloth.
WARNING: THE FILL CONNECTORSMUST BE DRY, BECAUSE MOISTURE CAN
CAUSE YOUR SPIRIT AND STATIONARY
UNIT TO FREEZE TOGETHER.

b. If the connector is a Penox, Life-Ox, or Lincare: Rotate Spirit until you feel the connector
engage. Then, carefully and firmly, rotate theSpirit clockwise () while pressing downward.

WARNING: DO NOT LEAVE UNITS UNATTENDED WHILE FILLING.
2. Make sure the flow control knob on the Spirit isin the off (0) position.

5. Now the units are locked together

PN MN235 D | User Manual US - 7

SpiritTo Fill the Side Fill Spirit
1. Clean the fill connectors on both the stationary
and the Spirit with a clean, dry, lint-free cloth.
WARNING: THE FILL CONNECTORSMUST BE DRY, BECAUSE MOISTURE CAN
CAUSE YOUR SPIRIT AND STATIONARY
UNIT TO FREEZE TOGETHER.

6. Open the vent valve to begin filling your Spirit.
You should hear some oxygen escaping; do notworry. The hissing sound you hear is perfectly
normal.

WARNING: DO NOT LEAVE UNITS UNATTENDED WHILE FILLING.
2. Make sure the flow control knob on theSpirit isin the off (0) position.
3. Mate the Spirit fill connector in the upright position to the stationary connector.
7. You may also see vapor around the connection.
This is normal and is due to the great differencein temperature between the liquid oxygen andthe warm air surrounding the units.

4. Rotate the Spirit counterclockwise (you feel the pin and slot engage.

) until

8. When the unit is full, close the vent valve. You
can tell that the unit is full when the hissing
sound changes in tone, and some liquid comesout of the vent line.
Note: Closing the valve after a nearly continuous
stream of liquid is discharging fills the Spirit mostcompletely, but wastes some liquid oxygen.
Note: Closing the valve at the first sign of liquid discharge does not fill the Spirit as completely, but saves
liquid oxygen.
9. For the push-on style connectors, push the release button down until the units separate. For allother connectors, rotate the unit until it separates
from the stationary unit.

5. Carefully and firmly rotate the Spirit back to
the upright position. Now the units are locked
together.
Note: For push-on style connector, hold the unit inplace throughout the fill.
Portable Release Button (push-on style only)

8 - US PN MN235 D | User ManualSpiritWARNING: DO NOT OPERATE SPIRITWHILE ATTACHED TO THE STATIONARYUNIT.
WARNING: IF LARGE AMOUNTS OF VAPOR ARE
ISSUING FROM THE UNITS DURING FILLING, STOPFILLING, LEAVE THE ROOM AND CALL YOURHEALTH CARE PROVIDER.

Operating Instructions
1. Push the cannula breathing tube firmly onto theoxygen tube connector.

WARNING: IF PROLONGED HISSING IS HEARD,
STOP USE AND CONTACT YOUR HEALTH CAREPROVIDER IMMEDIATELYWARNING: LIQUID OR COLD GASEOUS OXYGENCAN FROSTBITE THE SKIN. OXYGEN WILL RESULTIN INCREASED FIRE HAZARD.
WARNING: IF THE SPIRIT DOES NOT SEPARATE
EASILY, DO NOT USE FORCE. THE UNITS MAY BE
FROZEN TOGETHER. LEAVE THE UNITS CONNECTED AND WAIT UNTIL THE UNITS WARM UP—THEN
THEY WILL SEPARATE EASILY. DO NOT TOUCHANY FROSTED PARTS.
Caution: Should there be any liquid leakage
from the stationary unit or Spirit separating
the units, set the Spirit aside, ensuring it
remains vertical, leave the room, and callyour health care provider immediately.
Caution: Check liquid level gauge only after thevalve is closed.
Caution: If the Spirit is being refilled immediately
after a period of use, fill the Spirit and then wait 10
minutes after filling with the flow rate selection knob
set at zero for the pressure to stabilize. Then operate
as normal.

Cannula is not included.
2. Adjust the cannula breathing tube to the proper
position so that you will be able to breathe theoxygen comfortably.
Note: Ensure the cannula is fully inserted and secure.
During inhalation, you should hear or feel oxygen
flow to the prongs of the nasal cannula. The proper
placement and positioning of the prongs of the nasal
cannula in your nose is critical to the amount of oxygen
delivered to the respiratory system of the end user.
3. Turn the flow rate selection knob on top of theSpirit clockwise until the prescribed flow rate(numeral) is visible in the knob “window” and apositive detent is felt.

PN MN235 D | User Manual US - 9

Spirit
4. With each breath, you should now be receiving
a set dosage of oxygen gas. The LED will illuminate green with each breath, signaling that theSpirit delivery system is being triggered. Whenthe LED illuminates red with each breath, it istime to replace the batteries.
Note: Make sure that the flow selector knob fully
engages at the selected setting. If the knob is between
settings, the unit will turn off and then back on anddeliver a prolonged burst of O2 as it powers up.
Note: The Spirit delivery system is designed for a
maximum breathing rate of 30 BPM. With breathing
rates greater than 30 BPM oxygen dosage may not bedelivered with each breath.
Note: When turning the flow control knob from either(0) or (CF) to a flow setting, there will be a prolonged
burst of O2 delivered through the cannula. Please do
not be alarmed as this is normal operation.

WARNING: REMOVE THE BATTERIES FROM THE
SPIRIT IF THE PORTABLE UNIT IS NOT LIKELY TO
BE USED FOR SOME TIME.
Note: If replacement batteries are not readily available,
turn the flow rate selection knob to the furthest clockwise position labeled (CF). The Spirit will now deliver acontinuous flow rate of 2 liters per minute (LPM).
Note: The continuous flow (CF) mode is not poweredby the batteries, so it can be used whether the low
battery LED is on or not.
Note: When using the Spirit in continuous flow, theLED will NOT illuminate green or red with each breath.

Note: The LED will illuminate green with each detected
breath, regardless of the liquid oxygen contents, even
if the Spirit has no liquid oxygen left.
5. To stop the oxygen delivery system, turn theflow rate selection knob counterclockwise backto the off position.
Caution: Always turn the flow control knob
off (0) when not in use.
6. The Spirit delivery system is powered by (2)C-Cell alkaline batteries. When the LED illuminates red, it is time to replace the batteries. Aslong as the red LED illuminates, the Spirit will
deliver oxygen unless it is empty.
7. To replace the batteries, unzip the side zipper, as
shown in the picture.

WARNING: USING THE SPIRIT IN THE
CONTINUOUS FLOW (CF) MODE WILLCONSUME THE OXYGEN AT A FASTER
RATE. MONITOR THE CONTENTS INDICATOR, SO YOU DO NOT RUN OUT OFOXYGEN.

8. Use the following chart as a guideline to determine the length of time the Spirit will operate:
Flow
Rate
Setting

Model
Spirit 300

Spirit 600

Spirit 1200

NominalNominalNominal

Off

16.0

32.0

64.0

1.0

15.1

30.3

57.4

1.5

10.7

21.4

40.5

2.0

8.0

16.1

30.4

3.0

5.4

10.7

20.3

4.0

4.0

8.0

15.2

5.0

3.2

6.4

12.2

CF

2.4

4.8

9.2

Note: Times are in hours.
Note: The “Nominal” times are for ideal conditions, i.e.
maximum fill, exact flow rates, good loss rate, unit not
being moved, a breath rate of 20 bpm, etc.These times
are the maximum expected.
Note: Your individual results will vary.

10 - US PN MN235 D | User ManualSpiritSpirit Flow Test* for 300, 600, and 1200
Setting

VolumeOff-0-

1 (Pulse)

12 to 18 mL

1.5 (Pulse)

18 to 26 mL

2 (Pulse)

26 to 34 mL

3 (Pulse)

40 to 50 mL

4 (Pulse)

54 to 66 mL**

5 (Pulse)

67 to 83 mL***

CF (Continous)

1.70 to 2.30 LPM* Trigger Level: -0.21 ± 0.11 cm H2O; Tolerance is +/- 15%; Flow
Meter Accuracy: 2% of reading or .005 SLPM; Resolution .01 LPM;
Volumetric Accuracy: 2% of reading** The volume delivered in the 1st .40 sec @ 30 BPM is 42mL.
*** The volume delivered in the 1st .48 sec @ 25 BPM is 58.6 mL
and that delivered in the 1st .40 sec @ 30 BPM is 44mL.

Condensate Pad
1. Under certain environmental conditions, especially with continuous flow and little movement,
the Spirit may develop excess frost around thevaporizer coil and on the case. You may reduce
this frost by tapping the unit and/or wiping any
accumulated frost off the case.
2. After the Spirit is empty and has warmed up to
room temperature, remove any moisture fromthe condensation pad.
• Unzip the zipper at the base of the unit to accessthe condensation pad.
• Remove the pad and wring out any absorbed
moisture. Allow the pad to dry completely
before replacing it back in the unit.
• Place dry pad back in the unit. Make sure tocompletely rezip the zipper.

WARNING: THE SETTINGS OF OTHER
MODELS OR BRANDS OF OXYGEN THERAPY EQUIPMENT DO NOT CORRESPONDWITH THE SETTINGS OF THE SPIRIT.
9. To verify the level of liquid oxygen in unit withthe contents indicator:• Support the unit directly above the blackcontents indicator spring scale chamber.
• Allow the unit to stabilize (i.e. not bounce up
and down), then read the exposed colored
scale for approximate liquid oxygen contents.
Note: If the unit is empty, only the red colored band of
the scale will be exposed. If this is the case, the unit
must be filled prior to use.

PN MN235 D | User Manual US - 11

SpiritTroubleshooting
The following information is intended to help you troubleshoot and solve simple operational problems thatyou may experience when using your Spirit.
Issue
Solution
The Portable makes a• Hissing can occur to maintain the correct operating pressure within the Portable. It ishissing sound.
most likely to hiss after filling or when the position of the Portable is changed. Hissing can last for approximately 10 minutes after filling. Additionally, it can occur when
the flow control valve is at a low setting.

The Portable does notpulse after filling.

• If the portable has been laid in an improper position return the portable to an uprightposition and allow several minutes for the unit to stabilize• If during the filling process, the Portable is disengaged with the vent valve lever down,pressure may be reduced within the Portable causing a delay in the conserving
device function. It may require as long as 60 minutes to restore adequate pressure
for accurate oxygen flow.

• Additionally, improper filling or lower than normal operating pressure in the Reservoir
will contribute to the unit not pulsing.
The Portable stops pulsing • Ensure that cannula is firmly attached to the Oxygen Outlet barb
during use.
• Change the cannula if water droplets are present from humidified exhaled gas.
Replacing the cannula with a dry one enhances the ability of the portable to pulse.
• Ensure that the cannula is not kinked.
• Ensure that the cannula tips remain in your nostrils and do not slide to one side.
• Check the contents indicator/level gauge and fill the portable if needed.

The Portable does not fill.

• With the cannula on, close your mouth and breathe only through your nose to verify
that the Portable has stopped pulsing.
• Verify that there is oxygen in the Reservoir.
• Ensure that the Portable and Reservoir fill connectors are fully engaged throughout
the filling process.
• If the vent valve fails to close and the hissing sound and oxygen vapor cloud continue, carefully remove the Portable by depressing the release.

The Portable vent valve
does not close properly at the end of the filling• If the vent valve fails to close and the hissing sound and oxygen vapor cloud
process.
continue, carefully remove the Portable by depressing the release button on the
Reservoir. Venting from the bottom of the Portable will stop in a few minutes. Allow
the unit to warm until you can close the vent valve. The Portable may require as
much as 60 minutes to restore adequate pressure for accurate oxygen flow. If
needed, use an alternate source of oxygen such as a flow control valve attached to
the Reservoir.
The Portable does not• DO NOT USE FORCE. Allow a few minutes for the frozen parts to warm, thendisengage easily from thedisengage the Portable when the ice has melted. To prevent the units from freezing
Reservoir after filling. The
together, always wipe the male fill connector on the Reservoir and the female fill
Portable and Reservoir
connector on the Portable with a clean, dry cloth before filling.
fill connectors may havebecome frozen.

12 - US PN MN235 D | User ManualSpirit
Cleaning Standard

Transport and Storage

WARNING: CLEAN ONLY AFTER THE UNIT
IS EMPTY.
• Clean using a solution of mild dish washingdetergent and water.
• Apply cleaning solution directly to a lint-free
cloth. Approved cleaners include HydroPure
and HydroKlean. Do not spray cleaners
directly on the Spirit.
• Wipe the outside surface with the lint-free
cloth until the outside surface is clean.
Caution: Do not use high temperature andhigh pressure washing equipment to clean
these units.
• Do not get cleaner on any internal components or valves.
• Allow the unit to dry thoroughly before using.
Note: Note to health care provider – for reprocessing
procedures, see applicable service manual.

The device should be stored in the upright position,and be well ventilated. Do not allow the device tolie on its side.

WEEE and RoHS

This symbol is to remind the equipment
owners to return it to a recycling facility atthe end of its life, per Waste Electrical andElectronic Equipment (WEEE) Directive.
Our products will comply with the restriction ofHazardous Substances (RoHS) directive. They will
not contain more than trace amounts of lead orother hazardous material content.

DisposalAlways return Spirit, including all components, toyour homecare provider for proper disposal. You
can also contact your local city or town offices for
instructions on proper disposal of the battery.

WARNING: DURING TRANSPORT, DO NOTTIP MORE THAN 5°.
Humidity up to 95% noncondensing. Temperatures
range from -40°F to 158°F (-40°C to 70°C).
Operating temperature ranges from 14°F to 104°F(-10°C to 40°C). Relative humidity range from
30% to 75% noncondensing.
Note: The atmospheric pressure range is 700 hPa to1060 hPa (elevation of 10,000 Ft. to -1,000 Ft.).

MaintenanceYour service provider is responsible for any maintenance that my be required per the technical manualof this device. Call your service provider for any
maintenance requirements.
The condensate pad and battery replacement are
the only user-serviceable parts. No other parts areuser-serviceable.
The expected service life is a minimum of five
years.
Clean the fill connectors on both the stationary
and portable units with a clean, dry, lint-free cloth
between each fill to prevent freezing and possible
equipment failure.
Note: Any additional maintenance needed must be
done by a qualified service technician or service
provider.

PN MN235 D | User Manual US - 13

SpiritAccessories
WARNING: THE USE OF SOME OXYGENADMINISTRATING ACCESSORIES NOTSPECIFIED FOR THIS OXYGEN CONCENTRATOR MAY IMPAIR ITS PERFORMANCE.
RECOMMENDED ACCESSORIES ARE
REFERENCED BELOW.

Carrying Cart PN 20765565

Note: Ensure the portable unit is properly secured tothe carrying cart.

Padded Belt Pack: Fits waist sizes 28”–45”

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

Dual Function Waist Extension: Fits waist sizes 45”–69”; allows
conversion into backpack

14 - US PN MN235 D | User ManualSpirit
SafetyWARNING: PORTABLE RF COMMUNICATIONS EQUIPMENT (INCLUDING PERIPHERALS SUCH AS
ANTENNA CABLES AND EXTERNAL ANTENNAS) SHOULD BE USED NO CLOSER THAN 30 CM (12INCHES) TO ANY PART OF THE SPIRIT, INCLUDING CABLES SPECIFIED BY THE MANUFACTURER.
OTHERWISE, DEGRADATION OF THE PERFORMANCE OF THIS EQUIPMENT COULD RESULT.
WARNING: USE OF ACCESSORIES, TRANSDUCERS AND CABLES OTHER THAN THOSE SPECIFIED OR
PROVIDED BY THE MANUFACTURER OF THIS EQUIPMENT COULD RESULT IN INCREASED ELECTROMAGNETIC EMISSIONS OR DECREASED ELECTROMAGNETIC IMMUNITY OF THIS EQUIPMENT AND RESULT IN
IMPROPER OPERATION.
WARNING: USE OF THIS EQUIPMENT ADJACENT TO OR STACKED WITH OTHER EQUIPMENT SHOULD
BE AVOIDED BECAUSE IT COULD RESULT IN IMPROPER OPERATION. IF SUCH USE IS NECESSARY, THISEQUIPMENT AND THE OTHER EQUIPMENT SHOULD BE OBSERVED TO VERIFY THAT THEY ARE OPERATING NORMALLY.
Caution: Medical Electrical Equipment needs special precautions regarding Electromagnetic
compatibility (EMC) and needs to be installed and put into service according to the EMC information
provided in this manual.
Caution: Portable and mobile radio frequency (RF) communications equipment can affect Medical
Electrical Equipment.
Caution: The Spirit should not be used adjacent to or stacked with other equipment and that if
adjacent or stacked use is necessary, the Spirit should be observed to verify normal operation in theconfiguration in which it will be used.
Table 1

Guidance and Manufacturer’s declaration—electromagnetic emissions
The Spirit is intended for use in the electromagnetic environment specified below. The customer or theuser of the Spirit should assure that it is used in such an environment.
Emissions test

Compliance

RF emissions

Group 1CISPR 11

Electromagnetic environment—guidance
The Spirit uses RF energy only for internal function.
Therefore, its RF emissions are very low and are not
likely to cause any interference in nearby electronicequipment.

RF emission CISPR 11

Class B

Harmonic emissions
IEC 61000-3-2

Not applicable

Voltage fluctuations/
flicker emissions
IEC 61000-3-3

Not applicable

The Spirit is suitable for use in all establishments,
including domestic establishments and those directly
connected to the public low-voltage power supply
network that supplies buildings used for domestic
purposes.

PN MN235 D | User Manual US - 15

Spirit
Table 2*: Recommended separation distances between portable and mobile RF communications equipment
and the Spirit
The Spirit is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer orthe user of the Spirit can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile
RF communications equipment (transmitters) and the Spirit as recommended below, according to the maximum output power of thecommunications equipment.
Rated maximum
Separation distance according to frequency of transmitter
output power ofmtransmitterfrom 150 kHz to 80 MHz

from 80 MHz to 800 MHz

from 800 MHz to 2,5 GHz

d=1.2 √P

d=1.2 √P

d=2.3 √PW
0,01
0.12 m0.12 m
0.23 m0,10.38 m0.38 m0.73 m
1
1.2 m
1.2 m
2.3 m
10
3.8 m
3.8 m
7.3 m
100
12 m
12 m
23 m
For transmitters rated at a maximum output power not listed above, the recommended separation distance (d) in meters (m) canbe estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of thetransmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 at 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection fromstructures, objects and people.

* This table is included as a standard requirement for equipment which has been tested to specific testlevels and over specific frequency ranges and been found compliant with regulations.
Table 3: Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
The Spirit is intended for use in the electromagnetic environment specified below. The customer or the user of the Spirit should
assure that it is used in such an environment.
Immunity test
IEC 60601 test level
Compliance level
Electromagnetic environment – guidance±8 kV Contact
Electrostatic discharge ±8 kV Contact
Floors should be wood, concrete or ceramic(ESD)±2 kV, ±4 kV,±2 kV, ±4 kV,
tile. If floors are synthetic, the relative humidity
should be at least 30 %.**IEC 61000-4-2±8 kV, ±15kV air±8 kV, ±15kV air
Not applicable
Electrical fast transient/±2 kV for power supply lines DC powered device
burst
Not applicable±1 kV for input/output lines Not applicable
IEC 61000-4-4
No data input/output lines
Surge±1 kV line(s) to line(s)Not applicableNot applicable±2 kV line(s) to earth
DC powered device
IEC 61000-4-5<5 % UT (>95 % dip in UT )for 0,5 cycle
Voltage dips, short in- 40 % UT (60 % dip in UT )terruptions and voltage for 5 cycles
variations on power
supply input lines
70 % UT (30 % dip in UT )IEC 61000-4-11
25 cycles

Not applicable
DC powered device

Not applicable

3A/m
50/60 HzPower frequency magnetic fields should be thatof a typical commercial or hospital environment.

<5 % UT (>95 % dip in UT )for 5 sec
Power frequency(50/60 Hz) magnetic
field
IEC 61000-4-8

3A/m
50/60 HzNOTE UT is the A.C. mains voltage prior to application of the test level.

** This statement indicates that the required testing was performed in a controlled environment and theSpirit are found to be compliant with regulations.
16 - US PN MN235 D | User ManualSpirit
Table 4
Guidance and Manufacturer’s Declaration—Immunity ME Equipment and ME Systems
Guidance and Manufacturer’s Declaration—Immunity
The Spirit is intended for use in the electromagnetic environment specified below. The customer or userof the Spirit should ensure that it is used in such an environment.
Immunity Test

IEC 60601 Test Level

Compliance Level

Electromagnetic Environment—Guidance

Conducted RF IEC
61000-4-6

3 Vrms6 Vrms (In ISM Bands)
150 kHz to 80 MHz

Not applicable

Portable and mobile RF communications equipment should be used no closer to any part of theSpirit, including cables, than the recommended
separation distance calculated from the equation
applicable to the frequency of the transmitter.

Battery powered
device, No SIP/SOP

Recommended separation distanced = 1,2 √P

Radiated RF IEC
61000-4-3

80 MHz to 2.7 GHz

10 V/m80 MHz—2,7 GHz
80 % AM at 1 kHz

d = 1,2 √P
d = 2,3 √P
where P is the maximum output power ratingof the transmitter in watts (W) according to thetransmitter manufacturer and d is the recommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site surveya,
should be less than the compliance level in eachfrequency rangeb.
			Interference may occur in the vicinity of equipment marked with the following symbol:

Test frequency(MHz)

Banda)(MHz)

Servicea)

Modulationb)

Maximum
power (W)Distance(m)

Immunity Test
Level (V/m)

385

380–390TETRA 400

Pulse modulationb)
18 Hz
FMC)
±5 kHz deviation
1 kHz sine

1.8

0.3

27

450

430–470

GMRS 460, FRS 460

2

0.3

28

704–787

LTE Band 13, 17

Pulse modulationb)
217 Hz

0.2

0.3

9

800–960

GSM 800/900, TETRA
800, IDEN 820, CDMA
850, LTE Band 5

Pulse modulationb)
18 Hz

2

0.3

28

1700–
1900

GSM 1800; CDMA 1900;
GSM 1900; DECT; LTEBand 1, 3, 4, 25; UMTS

Pulse modulationb)
217 Hz

2

0.3

28

2450

2400–
2570

Pulse modulationb)
217 Hz

2

0.3

28

5240
5500
5785

Bluetooth, WLAN, 802.11
b/g/n, RFID 2450, LTE
Band 7

5100–
5800

WLAN 802.11 a/n

Pulse modulationb)
217 Hz

0.2

0.3

9

710
745
780
810
870
930
1720
1845
1970

Note: If necessary to achieve the IMMUNITY TEST LEVEL, the distance between the transmitting antenna and theSpirit may be reduced to 1m. The 1m test distance is permitted by IEC 61000-4-3.
For some services, only the uplink frequencies are included.
The carrier shall be modulated using a 50% duty cycle square wave signal.
As an alternative to FM modulation, 50% pulse modulation at 18 Hz may be used because while it does not represent actual modulation, it
would be worst case.
abc

PN MN235 D | User Manual US - 17

Spirit
Reference
The following are pneumatic diagrams of the Spirit.
Operation Pressure Above 20 psig (1,4 bar)Gas toPatient
OCD

Economizer(Open)

Warming
Coils

Gas

Operation Pressure Below 20 psig (1,4 bar)Gas toPatient

OCD

Economizer(Closed)Warming
Coils

Liquid18 - US PN MN235 D | User ManualSpiritNOTES

PN MN235 D | User Manual US - 19

www.c a ire inc .c om

CAIRE Inc.
2200 Airport Industrial Dr., Ste. 500
Ball Ground, GA 30107 U.S.A.
Medical Product Service GmbH
Borngasse 20
35619 Braunfels, Germany
Tel: +49 (0) 6442-962073
Email: info@mps-gmbh.eu
Accumed Sagl
Viale Serfontana, 106834 - Morbio Inferiore
Switzerland
CAIRE and CAIRE Inc. are registered trademarks of CAIRE Inc. Please
visit our website below for a full listing of trademarks. Trademarks: www.
caireinc.com/corporate/trademarks/.
Copyright © 2023 CAIRE CAIRE Inc. reserves the right to discontinue
its products, or change the prices, materials, equipment, quality,
descriptions, specifications and/or, processes to its products at any time
without prior notice and with no further obligation or consequence. All
rights not expressly stated herein are reserved by us, as applicable.

|MN235-Du~

10 Aug 2023

MN235 D