Invacare Perfecto2 Series User manual

Invacare® Perfecto

2

TM

Series

IRC5PO2AW, IRC5PO2VAW

en HomeFill® System Compatible Oxygen

Concentrators with SensO

2

User Manual ................................ 3

cs HomeFill® systém kompatibilní

koncentrátory kyslíku s SensO

2

Návod k obsluze ............................ 35

fr Système HomeFill® compatibles

concentrateurs d'oxygène avec SensO

2

Manuel d'utilisation .......................... 67

de HomeFill® systemfähig

Sauerstokonzentratoren mit SensO

2

Gebrauchsanweisung.........................101

it Sistema HomeFill® concentratori di

ossigeno compatibili con SensO

2

Manuale d’uso...............................135

pl Systemowe HomeFill® Kompatybilne z

SensO

2

koncentratorów tlenu

Instrukcja obsługi ............................167

This manual MUST be given to the user of the product.

BEFORE using this product, read this manual and save for future reference.

Allrightsreserved.Republication,duplicationormodificationinwholeorinpartisprohibitedwithout

priorwrittenpermissionfromInvacare.Trademarksareidentifiedby™ and®.Alltrademarksare

ownedbyorlicensedtoInvacareCorporationoritssubsidiariesunlessotherwisenoted.

Pine-solandLestoilaretrademarksofTheCloroxCompany.

DawnisatrademarkofTheProctorandGambleCompany.

Making Life's Experiences Possible is a registered trademark in the U.S.A.

Contents

ThismanualMUSTbegiventotheuseroftheproduct.

BEFOREusingthisproduct,readthismanualandsaveforfuture

reference.

1General........................................4

1.1Symbols.....................................4

1.2IntendedUse..................................6

1.3Description...................................7

1.4Contraindications..............................7

2Safety..........................................8

2.1LabelLocations................................8

2.2GeneralGuidelines.............................9

2.3RadioFrequencyInterference......................12

3Components....................................13

3.1ComponentIdentification.........................13

4Accessories.....................................15

4.1OptionalAccessories............................15

5Setup..........................................16

5.1Unpacking....................................16

5.2Inspection....................................16

5.3Storage......................................16

6Usage..........................................17

6.1Introduction..................................17

6.2SelectaLocation...............................17

6.3SettingUptheConcentrator......................18

6.3.1SettingUptheHumidifier......................18

6.3.2TurningtheConcentratorOn...................21

6.3.3Flowrate..................................22

6.3.4SensO

2

OxygenPurityIndicator.................22

6.3.5InitialStartupoftheConcentrator................22

6.3.6ExplanationofOxygenPurityIndicatorLights........23

6.3.7ElapsedTimeMeter(HourMeter)................23

7Maintenance....................................24

7.1CleaningtheCabinet............................24

7.2CleaningtheCabinetFilter........................25

7.3HumidifierCleaningandThermicDisinfection..........26

7.4CleaningandDisinfectionBetweenPatients............26

7.5PreventiveMaintenanceChecklist...................27

8AfterUse.......................................28

8.1RecyclingInformation............................28

8.2WearandTear................................28

9Troubleshooting.................................29

9.1Troubleshooting...............................29

10Technicaldata..................................31

10.1TypicalProductParameters......................31

Invacare®Perfecto₂™Series

1General

1.1Symbols

Signalwordsareusedinthismanualandapplytohazardsorunsafe

practiceswhichcouldresultinpersonalinjuryorpropertydamage.

Seetheinformationbelowfordefinitionsofthesignalwords.

DANGER!

–Dangerindicatesanimminentlyhazardoussituation

which,ifnotavoided,willresultindeathorserious

injury.

WARNING!

–Warningindicatesapotentiallyhazardoussituation

which,ifnotavoided,couldresultindeathorserious

injury.

CAUTION!

–Cautionindicatesapotentiallyhazardoussituation

which,ifnotavoided,mayresultinpropertydamage

orminorinjuryorboth.

Givesusefultips,recommendationsandinformationfor

efficient,trouble-freeuse.

SymbolsinDocumentation

Readmanual

NoSmoking

NoOpenFlame

ClassII,DoubleInsulated

AlternatingCurrent

TypeBFequipment

Recycle

DONOTdisposeofinhouseholdwaste

ElectricalHazard

Keepdry

ECRepresentative

Manufacturer

4 1195656-A

General

Callsupplier

ThisproductcomplieswithDirective

93/42/EECconcerningmedicaldevices.

Thelaunchdateofthisproductisstatedinthe

CEdeclarationofconformity.

FormoredetailsaboutCEmarks,refertoTypicalProduct

Parameters.

SymbolsonProduct

Unitrunning

Unitnotrunning

O

2

Indicators

SymbolO

2

PurityIndicatorLights(LED)

O

2

SYSTEMOKAY

O

2

over85%

GREENIndicatorLight

O

2

between73%to

85%

YELLOWIndicatorLight

A.YELLOWSolid

B.YELLOWFlashing

Sensor

Failure

Callaqualifiedtechnician

SYSTEMFAILURE

O

2

Below73%

REDIndicatorLight

ContinuousAudible

AlarmSieve—GARD™

CompressorShutdown

1195656-A 5

Invacare®Perfecto₂™Series

1.2IntendedUse

Youroxygenconcentratorisintendedforindividualusebypatients

withrespiratorydisorderswhorequiresupplementaloxygen.The

deviceisnotintendedtosustainorsupportlife.Theconcentratoris

intendedforusewithinahomeorinstitutionalenvironment.

DANGER!

RiskofInjuryorDeath

Thisproductistobeusedasanoxygensupplementand

isnotintendedtobelife-supportingorlife-sustaining.

ONLYusethisproductifthepatientiscapableof

spontaneousbreath,abletoinhaleandexhalewithout

theuseofamachine.

–DONOTuseinparallelorserieswithotheroxygen

concentratorsoroxygentherapydevices.

DANGER!

RiskofInjuryorDeath

Dependingontheirmedicalcondition,patientsonflow

ratesgreaterthan5l/mmaybeatanincreasedriskfor

seriousinjuryordeathintheeventoffailure.

–ALWAYSdiscussthisincreasedriskwithyourhealth

careproviderBEFOREusingthisproductifyouare

prescribedaflowrategreaterthan5l/m.

DANGER!

RiskofInjuryorDeath

WhileInvacarestrivestoproducethebestoxygen

concentratorinthemarkettoday,thisoxygen

concentratorcanfailtoproduceoxygenduetopower

failureordevicemalfunction.

–ALWAYShaveabackupsourceofoxygenreadily

available.

–Intheeventtheconcentratorfailstoproduceoxygen,

theconcentratorwillbrieflyalarmsignalingthepatient

toswitchtotheirbackupsourceofoxygen.Referto

Troubleshootingformoredetail.

WARNING!

RiskofInjuryorDamage

Useofthisproductoutsideoftheintendeduseand

productparametershasnotbeentestedandmayleadto

productdamage,lossofproductfunction,orpersonal

injury.

–DONOTusethisproductinanywayotherthan

describedintheproductparametersandintendeduse

sectionsofthismanual.

6 1195656-A

General

1.3Description

TheInvacarePerfecto

2

concentratorisusedbypatientswith

respiratorydisorderswhorequiresupplementaloxygen.Thedevice

isnotintendedtosustainorsupportlife.

Theoxygenconcentrationleveloftheoutputgasrangesfrom87%

to95.6%.Theoxygenisdeliveredtothepatientthroughtheuse

ofanasalcannula.

TheInvacarePerfecto

2

concentratorusesamolecularsieveand

pressureswingadsorptionmethodologytoproducetheoxygen

gasoutput.Ambientairentersthedevice,isfilteredandthen

compressed.Thiscompressedairisthendirectedtowardoneof

twonitrogenadsorbingsievebeds.

Concentratedoxygenexitstheoppositeendoftheactivesievebed

andisdirectedintoanoxygenreservoirwhereitisdeliveredtothe

patient.

TheInvacarePerfecto

2

concentratoriscapableofoperationbythe

patientinahomeenvironmentorinaninstitutionalenvironment.

Deviceoperatesatanominal230VAC/50Hertzsupply.

Bothconcentratormodels(IRC5PO2AWand

IRC5PO2VAW)haveidenticaloperatingparameterswiththe

exceptionoftheproductweightandpowerconsumption.

Refertotypicalproductparameters.

Serviceinformationwillbeavailableuponrequesttoqualified

technicalpersonnelonly.

1.4Contraindications

InvacareisnotawareofanycontraindicationsfortheInvacare

Perfecto

2

ConcentratorSeries.

1195656-A 7

Invacare®Perfecto₂™Series

2Safety

2.1LabelLocations

A

Serialnumberlabelislocatedontheresonator

intakeassembly.

B

SpecificationLabelislocatedonthebackofthe

concentratoratthebase.

C

EURepresentativelabelislocatedonthebase.

D

Phthalatelabelislocatedonthebase.

E

8 1195656-A

Safety

2.2GeneralGuidelines

Inordertoensurethesafeinstallation,assemblyandoperationofthe

concentratortheseinstructionsMUSTbefollowed.

DANGER!

RiskOfDeath,Injury,OrDamage

Improperuseoftheproductmaycausedeath,injuryor

damage.Thissectioncontainsimportantinformationfor

thesafeoperationanduseofthisproduct.

–DONOTusethisproductoranyavailableoptional

equipmentwithoutfirstcompletelyreadingand

understandingtheseinstructionsandanyadditional

instructionalmaterialsuchasusermanuals,service

manualsorinstructionsheetssuppliedwiththis

productoroptionalequipment.

–Ifyouareunabletounderstandthewarnings,cautions

orinstructions,contactahealthcareprofessional,

dealerortechnicalpersonnelbeforeattemptingto

usethisequipment.

–CheckALLexternalcomponentsandcartonfor

damage.Incaseofdamage,oriftheproductisnot

workingcorrectly,contactatechnicianorInvacare

forrepair.

–THEINFORMATIONINTHISDOCUMENTIS

SUBJECTTOCHANGEWITHOUTNOTICE.

DANGER!

RiskOfDeath,Injury,OrDamageFromFire

Textiles,oilorpetroleumsubstances,grease,greasy

substancesandothercombustiblesareeasilyignited

andburnwithgreatintensityinoxygenenrichedairand

whenincontactwithoxygenunderpressure.Toavoid

fire,death,injuryordamage:

–DONOTSMOKEwhileusingthisdevice.

–DONOTnearOPENFLAMEorIGNITION

SOURCES.

–DONOTuseanylubricantsonconcentratorunless

recommendedbyInvacare.

–NOSMOKINGsignsshouldbeprominentlydisplayed.

–Avoidcreationofanysparknearoxygenequipment.

Thisincludessparksfromstaticelectricitycreatedby

anytypeoffriction.

–Keepallmatches,lightedcigarettesorothersources

ofignitionoutoftheroominwhichthisconcentrator

islocatedandawayfromwhereoxygenisbeing

delivered.

–Keeptheoxygentubing,cord,andconcentratorout

fromundersuchitemsasblankets,bedcoverings,

chaircushions,clothing,andawayfromheatedorhot

surfacesincludingspaceheaters,stoves,andsimilar

electricalappliances.

CAUTION!

Federal(statutory)lawrestrictsthisdevicesaletoor

ontheorderofamedicalpractitionerlicensedbya

governmentalagencywherehe/shepractices.

–ONLYalicensedmedicalpractitionermayorderthe

purchaseoruseofthisdevice.

1195656-A 9

Invacare®Perfecto₂™Series

DANGER!

RiskofDeath,Injury,fromElectricShock

Toreducetheriskofburns,electrocution,deathor

injurytopersons:

–DONOTdisassemble.Referservicingtoqualified

servicepersonnel.Therearenouserserviceable

parts.

–Avoidusingwhilebathing.Ifcontinuoususage

isrequiredbythephysician'sprescription,the

concentratormustbelocatedinanotherroomat

least7ft(2.5m)fromthebath.

–DONOTcomeincontactwiththeconcentrator

whilewet.

–DONOTplaceorstoreconcentratorwhereitcan

dropintowaterorotherliquid.

–DONOTreachforconcentratorthathasfalleninto

water.UnplugIMMEDIATELY.

–DONOTusefrayedordamagedACadaptercords.

WARNING!

RiskOfInjuryOrDamage

–Invacareproductsarespecificallydesignedand

manufacturedforuseinconjunctionwithInvacare

accessories.Accessoriesdesignedbyother

manufacturershavenotbeentestedbyInvacareand

arenotrecommendedforusewithInvacareproducts.

–Therearemanydifferenttypesofhumidifiers,oxygen

tubing,cannulasandmasksthatcanbeusedwiththis

device.Youshouldcontactyourlocalhomecare

providerforrecommendationsonwhichofthese

deviceswillbebestforyou.Theyshouldalsogiveyou

adviceontheproperusage,maintenance,andcleaning.

DANGER!

RiskofInjuryorDeath

Toavoidchokingoringestionofchemicalsfromairway

contamination:

–DONOTusetheconcentratorinthepresenceof

pollutants,smoke,fumes,flammableanesthetics,

cleaningagents,orchemicalvapors.

WARNING!

RiskofInjuryorDeath

Topreventinjuryordeathfromproductmisuse:

–Closelysupervisewhenthisconcentratorisusedby

ornearchildrenorphysically-challengedindividuals.

–Monitorpatientsusingthisdevicewhoareunableto

hearorseealarmsorcommunicatediscomfort.

WARNING!

RiskofInjuryorDeath

Toavoidchokingand/orstrangulationfromtubing

entanglement:

–Keepchildrenandpetsawayfromnasalcannulaand

tubing.

–Closesupervisionisnecessarywhenthenasalcannula

isusedbyornearchildrenand/ordisabledpersons.

WARNING!

RiskofInjuryorDeath

Toreducetheriskofinjuryordeathfromillness:

–Replacethenasalcannulaonaregularbasis.Check

withyourequipmentproviderorphysicianto

determinehowoftenthecannulashouldbereplaced.

–DONOTsharecannulasbetweenpatients.

10 1195656-A

Safety

WARNING!

RiskofInjury

Achangeinaltitudemayaffecttotaloxygenavailableto

you.Topreventoxygendeprivation:

–Consultyourphysicianbeforetravelingtohigheror

loweraltitudestodetermineifyourflowsettings

shouldbechanged.

WARNING!

RiskofInjuryorDamage

Topreventinjuryordamagefromcordmisuse:

–DONOTmoveorrelocateconcentratorbypulling

onthecord.

–DONOTuseextensioncordswithACpower

adaptersprovided.

–Properlystoreandpositionelectricalcordsand/or

tubingtopreventatrippinghazard.

WARNING!

RiskofInjuryorDamage

Topreventinjuryordamagefrommisuse:

–NEVERleaveconcentratorunattendedwhenplugged

in.

–Makesureconcentratorisoffwhennotinuse.

WARNING!

RiskofInjuryorDamage

Invacareoxygenconcentratorsarespecificallydesigned

tominimizeroutinepreventivemaintenance.Toprevent

injuryordamage:

–Onlyprofessionalsofthehealthcarefieldor

personsfullyconversantwiththisprocesssuchas

factorytrainedpersonnelshouldperformpreventive

maintenanceorperformanceadjustmentsonthe

oxygenconcentrator,exceptfortasksdescribedin

thismanual.

–UsersshouldcontactyourdealerorInvacarefor

service.

CAUTION!

RiskofDamage

Topreventdamagefromliquidingress:

–Iftheconcentratorisnotworkingproperly,ifit

hasbeendroppedordamaged,ordroppedinto

water,callequipmentprovider/qualifiedtechnicianfor

examinationandrepair.

–NEVERdroporinsertanyobjectorliquidintoany

opening.

–Invacarerecommendstheconcentratornotbeused

intherain.

1195656-A 11

Invacare®Perfecto₂™Series

2.3RadioFrequencyInterference

WARNING!

RiskofInjuryorDamage

Toreducetheriskofinjuryorproductdamagefrom

interferencewithwirelessequipment:

–Keepconcentratoratleast9.8ft(3.0m)awayfrom

wirelesscommunicationequipmentsuchaswireless

homenetworkdevices,mobilephones,cordless

phonesandbasestations,walkie-talkies,etc.

ThisequipmenthasbeentestedandfoundtocomplywithEMClimits

specifiedbyIEC/EN60601-1-2.Theselimitsaredesignedtoprovide

areasonableprotectionagainstelectromagneticinterferenceina

typicalmedicalinstallation.

Otherdevicesmayexperienceinterferencefromeventhelowlevels

ofelectromagneticemissionspermittedbytheabovestandards.

Todetermineiftheemissionsfromtheconcentratorarecausing

theinterference,turntheconcentratorOff.Iftheinterference

withtheotherdevice(s)stops,thentheconcentratoriscausingthe

interference.Insuchrarecases,interferencemaybereducedor

correctedbyoneofthefollowingmeasures:

•Reposition,relocate,orincreasetheseparationbetweenthe

equipment.

•Connecttheequipmentintoanoutletonacircuitdifferentfrom

thattowhichtheotherdevice(s)isconnected.

12 1195656-A

Components

3Components

3.1ComponentIdentification

A

OxygenOutlet

B

Flowmeter

C

ElapsedTimeMeter

D

OxygenPurityIndicator

Lights/FaultandPowerIndicator

Lights

E

CircuitBreaker

F

PowerSwitch

1195656-A 13

Invacare®Perfecto₂™Series

RearView

G

PowerCord

H

HomeFillOutletFitting

I

CabinetFilter

TheHomeFilloutletfittingHistobeusedonlyfor

fillingoxygencylinderswiththeHomeFillhomeoxygen

compressor.Theoutletfittingdoesnotaffectconcentrator

performance.RefertotheHomeFillusermanual

forconnectionandoperatinginstructions.

Whennotinuse,theplugprovidedwiththeconcentrator

shouldbeinsertedintotheoutletfitting.Formore

informationabouttheHomeFill,contactyourInvacare

dealer.

14 1195656-A

Accessories

4Accessories

4.1OptionalAccessories

Therearemanydifferenttypesofhumidifiers,oxygentubing,cannulas

andmasksthatcanbeusedwiththisdevice.Youshouldcontactyour

localhomecareproviderforrecommendationsonwhichofthese

deviceswillbebestforyou.Theyshouldalsogiveyouadviceonthe

properusage,maintenance,andcleaning.

Thesupplyaccessories(nasalcannula,mask,tubing,humidifier,etc.)

usedtodeliveroxygentothepatientneedtoincludeameansto

reducethepropagationoffireintheaccessoriesforthesafetyofthe

patientandothers.Ifacommerciallyavailable,fire-activatedflow

stopdeviceisusedintheaccessoriessetup,itshouldbeplacedas

closetothepatientaspracticable.

Thefollowingoptionalaccessoriesandreplacementparts(listed

below)arealsoavailable:

•StandardAdultNasalCannula,2.1m(7feet)-M3120

•StandardHumidifier-InvacarePart#1155719

•PreciseRX™PediatricHumidifier/FlowmeterAccessory-

IRCPF16AW

•HomeFillhomeoxygencompressor-IOH200AW

•HumidifierBottleHolder-M1521

•OxygenSupplyTubing2.1m(7feet)-MS4107

•OxygenSupplyTubing6.3m(21feet)-MS4121

•OxygenTubingConnector-MS4301

1195656-A 15

Invacare®Perfecto₂™Series

5Setup

5.1Unpacking

1.Checkforanyobviousdamagetothecartonoritscontents.If

damageisevident,notifythecarrier,oryourlocaldealer.

2.Removeallloosepackingfromthecarton.

3.Carefullyremoveallthecomponentsfromthecarton.

Unlesstheoxygenconcentratoristobeused

IMMEDIATELY,leaveconcentratorinitspackagingfor

storageuntiluseisrequired.

5.2Inspection

1.Inspect/examineexterioroftheconcentratorfornicks,dents,

cracks,scratchesorotherdamage.

2.Inspectallcomponents.

5.3Storage

1.Storetherepackagedoxygenconcentratorinadryarea.Referto

TypicalProductParametersforstoragetemperatureparameters.

2.DONOTplaceobjectsontopofrepackagedconcentrator.

16 1195656-A

Usage

6Usage

6.1Introduction

Youroxygenconcentratorisintendedforindividualuseindoors.

Itisanelectronicallyoperateddevicethatseparatesoxygenfrom

roomair.Itprovideshighconcentrationofoxygendirectlytoyou

throughanasalcannula.Clinicalstudieshavedocumentedthat

oxygenconcentratorsaretherapeuticallyequivalenttoothertypesof

oxygendeliverysystems.

Yourproviderwillshowyouhowtouseyouroxygenconcentrator.

He/Sheshouldbecontactedwithanyquestionsorproblems

regardingyouroxygenconcentrator.Thisusermanualwilltellyou

aboutyourconcentratorandwillserveasareferenceasyouuse

yourconcentrator.

6.2SelectaLocation

WARNING!

RiskofInjuryorDamage

Toavoidinjuryordamagefromairbornepollutants

and/orfumesandforoptimalperformance:

–Locateandpositiontheconcentratorinawell

ventilatedspacesothattheairintakeandtheair

exhaustsarenotobstructed.

–NEVERblocktheairopeningsoftheconcentrator

orplaceitonasoftsurface,suchasabedorcouch,

wheretheairopeningmaybeblocked.

–Keeptheopeningsfreefromlint,hairandsimilar

foreignitems.

–Keepconcentratoratleast12inches(30,5cm)away

fromwalls,draperiesandfurniture.

–Avoiduseinpresenceofpollutants,smokeorfumes,

flammableanesthetics,cleaningagentsorchemical

vapors.

–Placeconcentratorinawellventilatedareatoavoid

airbornepollutantsand/orfumes.

–DONOTuseinacloset.

WARNING!

RiskofInjury

Toavoidinjuryduringtherapy:

–TheoxygenconcentratorMUSTbeplacedonalevel

surfaceforuse.

–DONOTrelocatetheoxygenconcentratorwhilein

use.

1195656-A 17

Invacare®Perfecto₂™Series

Youmayselectaroominyourhousewhereusingyouroxygen

concentratorwouldbemostconvenient.Yourconcentratorcanbe

easilyrolledfromroomtoroomonitscasters.

Youroxygenconcentratorwillperformbestwhenoperatedunder

theconditionsoutlinedintypicalproductparameters.

Usageinenvironmentsotherthanthosedescribedmayresultinthe

needforincreasedequipmentmaintenance.Theairintakeofthe

unitshouldbelocatedinawellventilatedareatoavoidairborne

pollutantsand/orfumes.

6.3SettingUptheConcentrator

1.Pluginpowercordtoanelectricaloutlet.

2.ConnectHumidifier(ifsoprescribed).

6.3.1SettingUptheHumidifier

WARNING!

RiskofInjuryorDamage

Toavoidburnsfromsteamorhotwater,inhalationof

waterand/orwaterdamagetotheconcentrator:

–DONOTfillhumidifierbottlewithhotwater.Allow

boiledwatertocooltoroomtemperaturebefore

filling.

–DONOToverfillhumidifier.

–Replacethehumidifiercapandsecurelytighten.

Confirmthatthecapisnotcross-threadedonthe

humidifierbottle.

–DONOTreversetheoxygeninputandoutput

connections.Waterfromthehumidifierbottlewill

travelthroughthecannulabacktothepatientifinput

andoutputconnectionsarereversed.

–Whenusingtubingconnectionslongerthan2.1m

(7feet)inlength,positionthehumidifierasclose

tothepatientaspossibletoallowformaximum

humidificationoutput.

18 1195656-A

Usage

WARNING!

RiskofInjuryorDamage

Failuretoproperlyinstallthehumidifierbottleorother

accessoriestotheconcentratorwillimpacttheflowof

oxygen.

–Tocheckforproperoperationoftheoxygen

concentratorandaccessories,placetheendofthe

nasalcannulaunderthesurfaceofahalf-fullcupof

waterandlookforthebubbles.

–Iftherearenobubbles,checkallconnections

(includinghumidifierbottleandotheraccessories,if

applicable)andrepeat.Contactyourdealerorservice

providerimmediatelyifbubblesstilldonotappear.

HumidifierBottlewithCap

HumidifierBottlewithoutCap

1195656-A 19

Invacare®Perfecto₂™Series

1.Removecapfrombottle.

2.Fillhumidifierwithboiledtapwaterorbottledwatertothelevel

indicatedbythemanufacturer.Boiltapwaterforapproximately

10minutesandcooltoroomtemperaturepriortouse.

3.Insertaflatheadscrewdriverintheplategrooveonthetopedge

ofthefilteraccessdoorCandgentlyprythefilteraccessdoor

off.

4.PullupandremovethehumidifierbottleadapterB.

5.ReplacethefilteraccessdoorandinstalltheairscoopFonto

thefilteraccessdoorbyinsertingthesixtabsGontheairscoop

intothesixslotsDonthesidesofthefilteraccessdoor.

6.AttachthehumidifierbottleadaptertothehumidifierbottleHby

turningthewingnutonthehumidifierbottlecounterclockwise

untilitissecurelyfastened.

20 1195656-A

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