WOW, it's been two years since I randomly made this video to show to my store manager, in hopes we'd start a serious TH-cam channel. This video is still the hardest I've worked on producing anything in my life! 2024 UPDATE + Behind the scenes: The Philips SImplyGo POC is discontinued as of 1/2024 and service/support will end in 2029 (thank you @onlyfoural5277 for the correction). There are other high-quality POCs that we didn't include in this video. Primarily, the Caire Freestyle Comfort. This POC is super hard for a lot of DME retailers to get ahold of, and we decided not to include it because of its scarcity. Remember to check out the extended cut of this video in the description to discover the high quality POC accessories available with these machines, and to learn more about the process of buying a POC! P.S. Expect to see me re-appear in one of our next videos! Proudly yours, BHM Tristan.
Due to small size limitations of small portables and noise requirements, their heat dissipation is generally minimal and not very good. So the temperature inside the machine will rise rapidly. And in high temperatures, the lifespan and O2 concentration will decrease significantly. So they have portables to stop work when the temperature reaches their upper limitations. Some are 120F, and some are 140F. In addition, backpacks can also reduce the speed of heat dissipation. If you use it in a car, you can take it out of the bag which can be good for heat dissipation, and don't have anything blocking the heat dissipation port of the device. When we choose portables initially, the device with larger heat dissipation vents will be better. They are more reliable and have a longer lifespan. My device SG02L never shut off due to ambient temperatures in past years. You can go to have a look
@michael931 That is a great question. Compared to using a stationary concentrator a POC has a smaller amount of sieve material used to filter the nitrogen out of the air to create medical grade oxygen. So if you are using a POC 24 hours a day you would need to have the sieve columns changed out more frequently than if you were using a stationary concentrator. POCs also run off of a battery and each battery will only last for a certain number of recharge cycles (this varies by manufacturer) before it would need to be replaced. The more you use the POC the more often you will need to replace batteries. POCs are a great option for when you are being active and when you are traveling. If you need to be on oxygen 24 hours a day we highly recommend using a POC in conjunction with a stationary concentrator. Use your stationary concentrator when you are at home sleeping or relaxing and use your POC for when you are active or for traveling.
We typically work with patients that need oxygen therapy for medical conditions so unfortunately, I can't offer to much specific incite for that use. If you don't need oxygen therapy for daily living, then you definitely won't need a very large unit. One of the very lightweight options like a Inogen G4 or the SimplyGo Mini may be a wise choice. We are not licensed medical providers and cannot provide medical advice. -BHM Tristan
Sometimes, after a time the Sieve Beds on these items need to be replaced (usually 18-24 months depending on how heavy the use). If they are wearing out it will reduce the O2 output.
I've asked repair centers and sales people and no one seems to know at what distance the Db level is measured. I have tested Drive and Invacare units at about 5 feet distance, and they are about 50 to 55 db, A weighted. They claim levels of
Great question that I've had myself! I'm trying to find a straight answer, but I believe that testing is done either by an independent third party to provide/verify results which would mean it's whatever methodology they're using, or the FDA has a given process for testing methodology, but I have not been able to find any online gov docs that clarify. I'll update you if I find anything more! -BHM Tristan
@@BHMUniversity I just took delivery of the Inogen At Home unit. Well made, just 18 lbs. At 3-4 feet my A weighted sound level meter shows an average of about 45 db. It is clearly the quietest of all that I've measured.
@@BHMUniversity I asked ChatGPT. It said the standard was at 1 meter. I just now measured my Inogen at Home unit. The A weighted average is 45-47 db at one meter. The Drive unit provided by the hospital is 51-54 db. Very noticeable difference.
@@happyl8458 I paid $1645.00. Amazon sells the columns, or the place where you buy the Inogen. I thought I answered this yesterday, but for some reason my reply is missing. Sorry about that.
I’m in the process of getting a POC for air travel and my oxygen supplier uses O2-Concepts, they have continuous pulse options, I’ve seen 2 on their website, my supplier customer service person isn’t very informative so I’ve had to gather info on it while they try to work out my order. What do you have to say about those? I’m reading comments online or on Facebook groups that the flow settings do not mean LPM, e.g., if settings range 1-5, that does not mean 1 LPM - 5 LPM, it might actually mean perhaps .05 LPM - 3 LPM, for example. How absurd. If true, that needs to be changed, so misleading. Why do the manufacturers’ material refer to “flow setting” rather than “LPM”? I’d like your comments.
First let me start by saying that we are not dealers for the O2-Concepts brand. They appear to be a reputable company and I have not heard anything negative about them. I have seen some of their machines and they do appear to be well made but we do not have any personal experience with their machines and thus do not have any customer feedback that we can share. The second part of your question is a little difficult to answer in a forum like this but I will say that you are absolutely right that the difference between a continuous flow LPM and a pulse dose setting is extremely confusing for patients and even some in our industry. Without getting into too much detail the main difference is that continuous flow oxygen is easy to measure since it is coming out at a constant rate and is measured in how many liters of oxygen the machine puts out in one minute. Settings on a POC are a lot more difficult to measure since the oxygen coming out is not constant and varies depending on the model and manufacturer but as a general rule the amount of oxygen given on a specific setting should be roughly the equivalent to the amount of oxygen provided with continuous flow. (At least that should be true with most high quality POCs manufactured by reputable companies.) Most patients can use the same setting on a POC that they would use with a continuous flow machine but that may not always be the case. There are a lot of good articles online that touch on this subject but the safest way to handle this would be to have your doctor's office perform an oxygen titration with you on the actual machine your supplier is going to dispense to you. If your supplier has a respiratory therapist on staff they may be able to perform the titration and report back to your physician their findings. While I am not a doctor, I do feel that if your doctor is prescribing a pulse dose machine for you to use they should perform a titration to determine if you can even handle a pulse dose machine (some people cannot) and also to determine what is the optimal setting for you. Lastly, you may already be aware of this but you will also need to check with the airline company you are traveling through to make sure the machine you are receiving is FAA approved and to also see what their rules are regarding battery duration. Some airlines will require that you travel with a specific amount of battery life compared to flight time. I hope this helps.
1. The setting numbers of pulse flow 1-5 definitely do not mean 1LPM to 5LPM. LPM is the unit of measurement for continuous flow. Pulse flow only delivers oxygen when we inhale. It is intermittent. Thus it cannot be measured by LPM. However, sellers usually claim that pulse gear is equivalent to the continuous flow of LPM. 2. In continuous flow, we inhale oxygen during one-third of the breathing cycle (inhalation phase). We do not inhale oxygen during exhalation. Pulse flow mimics this by providing one-third of the continuous flow of oxygen during inhalation. This is where the equivalence comes from. Equal to 5LPM, pulse flow needs to deliver oxygen of 5LPM x 1/3 = 1.666L during inhalation. Equal to 1LPM, pulse flow needs to deliver oxygen of 1LPM x 1/3 = 0.333L. It normally says 333 ml (milliliters) per gear in pulse flow. 3. However, in practical situations, many small-size portables provide 210 ml per gear. They are normally 1050 ml with 5 gears pulse flow or 1260 ml with 6 gears pulse flow. The supply of pulse flow is reduced from 333 ml to 210 ml per gear. Therefore, the effect varies much from continuous flow. 4. At first, I was also very puzzled by gears, but nobody could explain it clearly. I spent a large amount of time to dig them out. This process is painful. I am glad that I finally dug them out. Only a few portables, SimplyGo, O2-Concepts, Eclipse 5, and SG02L deliver 333 ml per gear in pulse flow. You are lucky O2-Concepts is one of them. I personally like SG02L. It is the smallest and most user-friendly I ever used. Pay attention, pulse mode can not work well for people who breathe with open mouths and have undergone laryngectomy surgery. Their best options are continuous portables.
@@HilarioMichal @BHMUniversity @bhmtristan9538 Thank you to all of you for taking the time to explain your findings. I appreciate it. I started this research expecting I’d be traveling last fall and was trying to decide if the POC would work for me. The reason for my travel was postponed, but I might need to in near future, so I’ll see how I do.
(Disclaimer: this is for the US only) Unfortunately, I am unaware of any FDA approved POCs that are available for retail below $1000. Financing options are available through CareCredit for retail purchases, or you can contact your O2 supplier if recieving O2 therapy through insurance and request a POC. POCs are sensitive devices and purchasing used equipment is unadvised unless it has been re-certified by a manufacturer-approved technician.
While this is technically true, I would encourage you to read this paper published by the National Institute of Health I have linked at the bottom. The findings conclude that pulse dose machines "delivered similar, though consistently lower, volume averaged F1O2 [the oxygen content actually inhaled by the patient] than [continuous dose] rates equivalent to nominal [pulse dose] settings." Edited for readability-edits in "[...]"'s TLDR: The findings conclude that the 'PF' (pulse flow, or pulse dose in our parlance) delivers roughly equivalent usable oxygen (although, again, consistently slightly less) compared to continuous flow at an intended o2 dosage. These conversations are important and thank you for commenting-I actually enjoy reading government white papers like this one. I'm glad that we're able to come together to enhance each other understanding as a community! The paper I'm drawing information from is here: www.ncbi.nlm.nih.gov/pmc/articles/PMC5574700/ -BHM Tristan
So most POCs include some sort of accessory to aid the user with carrying their device. If you’d like a detailed guide watch our longer version of this video in which we cover some of those topics we weren’t able to in this episode! Watch this Before Buying a Portable Oxygen Concentrator th-cam.com/video/wuX8Lkh1740/w-d-xo.html
The ten-hour figure comes from the double battery model, and it sounds like you may be using the single battery model. The exact model code for the double battery unit is IS-500-NA16, for reference, and IS-500-NA8 for the single battery model. Let us know if you have any more questions we can help you resolve, thank you! BHM Tristan
Thanks for sharing your experience! It's interesting to hear different perspectives. In our testing, we've found that the G5 can indeed last close to 10 hours on a setting of one with the larger battery, but you're right that higher settings can significantly reduce battery life. It might vary based on individual usage. Thank you for the feedback.
It's not that the settings are the literal same, otherwise you wouldn't need different prescriptions for one of the other. Pulse dose attempts to produce the same amount of oxygen per inhale as the user would be receiving at the equivalent continuous-dose LPM. Is this a better explanation?
@@BHMUniversity [Copied from my reply above] While this is technically true, I would encourage you to read this paper published by the National Institute of Health I have linked at the bottom. The findings conclude that pulse dose machines "delivered similar, though consistently lower, volume averaged F1O2 [the oxygen content actually inhaled by the patient] than [continuous dose] rates equivalent to nominal [pulse dose] settings." Edited for readability-edits in "[...]"'s TLDR: The findings conclude that the 'PF' (pulse flow, or pulse dose in our parlance) delivers roughly equivalent usable oxygen (although, again, consistently slightly less) compared to continuous flow at an intended o2 dosage. These conversations are important and thank you for commenting-I actually enjoy reading government white papers like this one. I'm glad that we're able to come together to enhance each other understanding as a community! The paper I'm drawing information from is here: www.ncbi.nlm.nih.gov/pmc/articles/PMC5574700/ -BHM Tristan
WOW, it's been two years since I randomly made this video to show to my store manager, in hopes we'd start a serious TH-cam channel. This video is still the hardest I've worked on producing anything in my life!
2024 UPDATE + Behind the scenes: The Philips SImplyGo POC is discontinued as of 1/2024 and service/support will end in 2029 (thank you @onlyfoural5277 for the correction). There are other high-quality POCs that we didn't include in this video. Primarily, the Caire Freestyle Comfort. This POC is super hard for a lot of DME retailers to get ahold of, and we decided not to include it because of its scarcity.
Remember to check out the extended cut of this video in the description to discover the high quality POC accessories available with these machines, and to learn more about the process of buying a POC!
P.S. Expect to see me re-appear in one of our next videos!
Proudly yours, BHM Tristan.
Music TOO loud !!!
Sorry about that! This is an older video so we've made alot of improvements on our videos style since then!
Is there any portable that does Not shut off due to ambient temperatures ?
Not that we are aware of. I think most will shut off due to ambient temperatures for safety reasons.
Due to small size limitations of small portables and noise requirements, their heat dissipation is generally minimal and not very good. So the temperature inside the machine will rise rapidly. And in high temperatures, the lifespan and O2 concentration will decrease significantly. So they have portables to stop work when the temperature reaches their upper limitations. Some are 120F, and some are 140F. In addition, backpacks can also reduce the speed of heat dissipation. If you use it in a car, you can take it out of the bag which can be good for heat dissipation, and don't have anything blocking the heat dissipation port of the device. When we choose portables initially, the device with larger heat dissipation vents will be better. They are more reliable and have a longer lifespan. My device SG02L never shut off due to ambient temperatures in past years. You can go to have a look
Why would using a POC be more expensive in the long run?
@michael931 That is a great question. Compared to using a stationary concentrator a POC has a smaller amount of sieve material used to filter the nitrogen out of the air to create medical grade oxygen. So if you are using a POC 24 hours a day you would need to have the sieve columns changed out more frequently than if you were using a stationary concentrator. POCs also run off of a battery and each battery will only last for a certain number of recharge cycles (this varies by manufacturer) before it would need to be replaced. The more you use the POC the more often you will need to replace batteries. POCs are a great option for when you are being active and when you are traveling. If you need to be on oxygen 24 hours a day we highly recommend using a POC in conjunction with a stationary concentrator. Use your stationary concentrator when you are at home sleeping or relaxing and use your POC for when you are active or for traveling.
What would be a good oxygen concentrator for EWOT
We typically work with patients that need oxygen therapy for medical conditions so unfortunately, I can't offer to much specific incite for that use. If you don't need oxygen therapy for daily living, then you definitely won't need a very large unit. One of the very lightweight options like a Inogen G4 or the SimplyGo Mini may be a wise choice. We are not licensed medical providers and cannot provide medical advice. -BHM Tristan
I want to know too! LMK!
What’s EWOT stand for?
Hey, just saw this! EWOT stands for exercise for oxygen therapy!
Inogen One G5 keep on failing on low oxygen output. I had six in a row so far!
Sometimes, after a time the Sieve Beds on these items need to be replaced (usually 18-24 months depending on how heavy the use). If they are wearing out it will reduce the O2 output.
I've asked repair centers and sales people and no one seems to know at what distance the Db level is measured. I have tested Drive and Invacare units at about 5 feet distance, and they are about 50 to 55 db, A weighted. They claim levels of
Great question that I've had myself! I'm trying to find a straight answer, but I believe that testing is done either by an independent third party to provide/verify results which would mean it's whatever methodology they're using, or the FDA has a given process for testing methodology, but I have not been able to find any online gov docs that clarify. I'll update you if I find anything more! -BHM Tristan
@@BHMUniversity I just took delivery of the Inogen At Home unit. Well made, just 18 lbs. At 3-4 feet my A weighted sound level meter shows an average of about 45 db. It is clearly the quietest of all that I've measured.
@@jimw.4812 What is the price for inogen at home unit? Where to buy its column?
@@BHMUniversity I asked ChatGPT. It said the standard was at 1 meter. I just now measured my Inogen at Home unit. The A weighted average is 45-47 db at one meter. The Drive unit provided by the hospital is 51-54 db. Very noticeable difference.
@@happyl8458 I paid $1645.00. Amazon sells the columns, or the place where you buy the Inogen. I thought I answered this yesterday, but for some reason my reply is missing. Sorry about that.
Price in portable bag
Just about everyone of these will come standard with a portable bag. You can check pricing on our website. www.broadwayhomemed.com
What is the cost.
Find the most up-to-date pricing information for all of our POCs here! www.broadwayhomemed.com/respiratory/oxygen/portable-oxygen-concentrators/
I Need it I am from Tanzania 🇹🇿
I’m in the process of getting a POC for air travel and my oxygen supplier uses O2-Concepts, they have continuous pulse options, I’ve seen 2 on their website, my supplier customer service person isn’t very informative so I’ve had to gather info on it while they try to work out my order. What do you have to say about those?
I’m reading comments online or on Facebook groups that the flow settings do not mean LPM, e.g., if settings range 1-5, that does not mean 1 LPM - 5 LPM, it might actually mean perhaps .05 LPM - 3 LPM, for example. How absurd. If true, that needs to be changed, so misleading. Why do the manufacturers’ material refer to “flow setting” rather than “LPM”? I’d like your comments.
First let me start by saying that we are not dealers for the O2-Concepts brand. They appear to be a reputable company and I have not heard anything negative about them. I have seen some of their machines and they do appear to be well made but we do not have any personal experience with their machines and thus do not have any customer feedback that we can share.
The second part of your question is a little difficult to answer in a forum like this but I will say that you are absolutely right that the difference between a continuous flow LPM and a pulse dose setting is extremely confusing for patients and even some in our industry. Without getting into too much detail the main difference is that continuous flow oxygen is easy to measure since it is coming out at a constant rate and is measured in how many liters of oxygen the machine puts out in one minute. Settings on a POC are a lot more difficult to measure since the oxygen coming out is not constant and varies depending on the model and manufacturer but as a general rule the amount of oxygen given on a specific setting should be roughly the equivalent to the amount of oxygen provided with continuous flow. (At least that should be true with most high quality POCs manufactured by reputable companies.) Most patients can use the same setting on a POC that they would use with a continuous flow machine but that may not always be the case. There are a lot of good articles online that touch on this subject but the safest way to handle this would be to have your doctor's office perform an oxygen titration with you on the actual machine your supplier is going to dispense to you. If your supplier has a respiratory therapist on staff they may be able to perform the titration and report back to your physician their findings. While I am not a doctor, I do feel that if your doctor is prescribing a pulse dose machine for you to use they should perform a titration to determine if you can even handle a pulse dose machine (some people cannot) and also to determine what is the optimal setting for you.
Lastly, you may already be aware of this but you will also need to check with the airline company you are traveling through to make sure the machine you are receiving is FAA approved and to also see what their rules are regarding battery duration. Some airlines will require that you travel with a specific amount of battery life compared to flight time.
I hope this helps.
1. The setting numbers of pulse flow 1-5 definitely do not mean 1LPM to 5LPM.
LPM is the unit of measurement for continuous flow. Pulse flow only delivers oxygen when we inhale. It is intermittent. Thus it cannot be measured by LPM. However, sellers usually claim that pulse gear is equivalent to the continuous flow of LPM.
2. In continuous flow, we inhale oxygen during one-third of the breathing cycle (inhalation phase). We do not inhale oxygen during exhalation. Pulse flow mimics this by providing one-third of the continuous flow of oxygen during inhalation. This is where the equivalence comes from.
Equal to 5LPM, pulse flow needs to deliver oxygen of 5LPM x 1/3 = 1.666L during inhalation. Equal to 1LPM, pulse flow needs to deliver oxygen of 1LPM x 1/3 = 0.333L. It normally says 333 ml (milliliters) per gear in pulse flow.
3. However, in practical situations, many small-size portables provide 210 ml per gear. They are normally 1050 ml with 5 gears pulse flow or 1260 ml with 6 gears pulse flow. The supply of pulse flow is reduced from 333 ml to 210 ml per gear. Therefore, the effect varies much from continuous flow.
4. At first, I was also very puzzled by gears, but nobody could explain it clearly. I spent a large amount of time to dig them out. This process is painful. I am glad that I finally dug them out. Only a few portables, SimplyGo, O2-Concepts, Eclipse 5, and SG02L deliver 333 ml per gear in pulse flow. You are lucky O2-Concepts is one of them. I personally like SG02L. It is the smallest and most user-friendly I ever used.
Pay attention, pulse mode can not work well for people who breathe with open mouths and have undergone laryngectomy surgery. Their best options are continuous portables.
@@HilarioMichal @BHMUniversity @bhmtristan9538 Thank you to all of you for taking the time to explain your findings. I appreciate it. I started this research expecting I’d be traveling last fall and was trying to decide if the POC would work for me. The reason for my travel was postponed, but I might need to in near future, so I’ll see how I do.
هل يوجد في الدزائر
أنا أستخدم ترجمة جوجل لذا أخشى أنني لست متأكدًا مما يعنيه ذلك. آسف.
Como comprar
www.broadwayhomemed.com
Do you have any recommendations on any oxygen machines less than $1000? 😂
(Disclaimer: this is for the US only) Unfortunately, I am unaware of any FDA approved POCs that are available for retail below $1000. Financing options are available through CareCredit for retail purchases, or you can contact your O2 supplier if recieving O2 therapy through insurance and request a POC. POCs are sensitive devices and purchasing used equipment is unadvised unless it has been re-certified by a manufacturer-approved technician.
hi
Hello
Setting 6 equals 2.8 lpm.
While this is technically true, I would encourage you to read this paper published by the National Institute of Health I have linked at the bottom. The findings conclude that pulse dose machines "delivered similar, though consistently lower, volume averaged F1O2 [the oxygen content actually inhaled by the patient] than [continuous dose] rates equivalent to nominal [pulse dose] settings."
Edited for readability-edits in "[...]"'s
TLDR: The findings conclude that the 'PF' (pulse flow, or pulse dose in our parlance) delivers roughly equivalent usable oxygen (although, again, consistently slightly less) compared to continuous flow at an intended o2 dosage.
These conversations are important and thank you for commenting-I actually enjoy reading government white papers like this one. I'm glad that we're able to come together to enhance each other understanding as a community!
The paper I'm drawing information from is here: www.ncbi.nlm.nih.gov/pmc/articles/PMC5574700/
-BHM Tristan
100 % oxygen machine? No info
These machines will produce up to 96% medical grade oxygen. If there is a machine you are wanting more information about just let us know.
I need wn oxygen concentrator. To Carry
So most POCs include some sort of accessory to aid the user with carrying their device. If you’d like a detailed guide watch our longer version of this video in which we cover some of those topics we weren’t able to in this episode! Watch this Before Buying a Portable Oxygen Concentrator
th-cam.com/video/wuX8Lkh1740/w-d-xo.html
g5 will not last ten hours even on setting 1 more like 4 hrs on setting 2 even from new.....
The ten-hour figure comes from the double battery model, and it sounds like you may be using the single battery model. The exact model code for the double battery unit is IS-500-NA16, for reference, and IS-500-NA8 for the single battery model. Let us know if you have any more questions we can help you resolve, thank you!
BHM Tristan
The G5 does NOT last 10 hours. If you need a higher than 3 setting it won’t last longer than 3 hours. Trust me.
Thanks for sharing your experience! It's interesting to hear different perspectives. In our testing, we've found that the G5 can indeed last close to 10 hours on a setting of one with the larger battery, but you're right that higher settings can significantly reduce battery life. It might vary based on individual usage. Thank you for the feedback.
سلام عليكم ورحمة
وَعَلَيْكُم ٱلسَّلَامُ
If he says the settings are the same as lpm, they aren’t, and it’s false advertising.
It's not that the settings are the literal same, otherwise you wouldn't need different prescriptions for one of the other. Pulse dose attempts to produce the same amount of oxygen per inhale as the user would be receiving at the equivalent continuous-dose LPM. Is this a better explanation?
@@BHMUniversity [Copied from my reply above] While this is technically true, I would encourage you to read this paper published by the National Institute of Health I have linked at the bottom. The findings conclude that pulse dose machines "delivered similar, though consistently lower, volume averaged F1O2 [the oxygen content actually inhaled by the patient] than [continuous dose] rates equivalent to nominal [pulse dose] settings."
Edited for readability-edits in "[...]"'s
TLDR: The findings conclude that the 'PF' (pulse flow, or pulse dose in our parlance) delivers roughly equivalent usable oxygen (although, again, consistently slightly less) compared to continuous flow at an intended o2 dosage.
These conversations are important and thank you for commenting-I actually enjoy reading government white papers like this one. I'm glad that we're able to come together to enhance each other understanding as a community!
The paper I'm drawing information from is here: www.ncbi.nlm.nih.gov/pmc/articles/PMC5574700/
-BHM Tristan