INDICATIONS FOR USE — The OX-A series Oxygen Concentrator is intended for use as an oxygen
concentrator to provide supplemental low flow oxygen therapy in the home, nursing homes , patient care
facilities, etc.
WARNING
Under certain circumstances, oxygen therapy can be hazardous.
Seeking medical advice before using an oxygen concentrator is advisable.
Physician Information
Physician Name:
Telephone:
Address:
Prescription Information
Name:
Oxygen liters per minute
at rest:
during activity
：
Other:
Oxygen use per day
Hours:
Minutes:
Comments:
OX-B series oxygen Concentrator Serial Number:
(check one)
□
10-Liter
□
5-Liter
OXTM Provider Information
Service Person:
This instruction guide was reviewed with me and I have been instructed on the safe use and care of the
OX-B series Oxygen Concentrator.
Signature: Date:
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