Home HealthCareTODAY Your Inside Guide to Oxygen Savings and Education Reduce DELIVERY COSTS With our lightweight and compact conservers … PAGE 10 TURN DOWN the RACKET! With our rattle-less carts and racks designed to keep drivers and customers happy … PAGE 26 Visit us at Medtrade Spring in Las Vegas at booth #621 TM ISSUE 2, 2015 Increase OXYGEN PROFITS By filling your own cylinders. It's easy to get started! … PAGE 22 Keep Going… page 3 $6.99 US applied-inc.com 1-2589632-15 MARCH, 2015 Home HealthCare Today MARCH 2015 contents Keep Going… with Applied's OxyGo! 3 Set yourself apart with Applied's private branding! 6 NEW! 9 Pulse Oximeters Get The Training You Need … In-Person Or Online! Upcoming LIVE Seminars Get all of your training in one day with Applied’s FDA / DOT & Accreditation Seminar: Monday, March 30, 2015 — Las Vegas, NV Prevent respiratory infections 19 Increase your oxygen profits 20 9:00 am - 3:00 pm Luxor Hotel and Casino Day before Medtrade. Visit us at booth #621! Tuesday, April 14, 2015 — Chicago, IL 9:00 am - 3:00 pm Tuesday, April 28, 2015 — Westlake, OH 9:00 am - 3:00 pm Home HealthCareTODAY Tuesday, May 12, 2015 — Nashville, TN 9:00 am - 3:00 pm is a publication of Applied Home Healthcare Equipment, LLC. Publisher: David J. Marquard II Publisher Emeritus: Victoria E. Marquard-Schultz EDITORIAL Online, On-Demand Training Applied makes training easy with online on-demand classes! Our subscriptions below will meet all of your required training and are good for an unlimited number of employees for an entire year! Certificates included! Editorial Director: Laura Frederick Editor: Kristen Cifranic DESIGN & PRODUCTION Design: Michele Kasl, Premier Designs # OF-5000F: Filling On-Demand Subscription Your Price = $799.95 ADVERTISING Advertising Sales Executive: Jon Schultz EDITORIAL BOARD Scott Wilkinson, Ex. V. P., Inogen Randall Shultzaberger, VP & COO, Applied # OF-5000D: Delivery On-Demand Subscription Your Price = $799.95 Gerd Weissenfels, Managing Dir, IBEDA GmbH Kevin Smith, Director of Business Development © 2015, Applied Home Healthcare Equipment, LLC 28825 Ranney Parkway, Westlake, OH 44145 USA 2 Home HealthCare Today Magazine www.applied-inc.com/i-need-training Visit us online for more training options Issue 2 | 2015 Equipment | PORTABLE CONCENTRATOR NEW! Here's How OxyGo™ Earns Cash For You! It’s the same thing you’ve heard hundreds of times: Reimbursement is slashed, so here’s how to keep more of your reimbursement. The difference? This time we’ll show you, in real dollars, how—and how much—you can earn with Applied’s OxyGo™ Portable Oxygen Concentrator. Applied’s OxyGo™ has clinical studies showing that it can be used at night time—which allows you to bill for both a POC and Stationary Concentrator. See page 5 for an OxyGo™ comparison chart. Monthly Reimbursement Medicare (CBA)E1390 & E1392 $135 Cost of OxyGo - $49 Cost of Oxygen Contents - $0 TOTAL REVENUE * (per month, per patient) $86 * Over 36 months, based on a sales price of $1,795.00. OxyGo™ is Lightweight, Reliable and Affordable! Weight Size Oxygen Flow Power Sensing Battery Noise Level Warranty Operation #1400-1000 Use 4.8 lbs. (includes single battery) Length: 8.75" Width: 3.0" Height: 7.25" Intelligent Delivery Technology Four flow settings: 1, 2, 3, 4 AC Power Supply: 100-240 V, 50-60 Hz (auto sensing to allow worldwide use) DC Power Cable for mobile use in car Duration (single battery): Up to 4.5 hours Recharge: approx. 2-4 hours AC or DC power Duration (double battery): Up to 9 hours Recharge: approx. 4-8 hours AC or DC power 42 Decibels * 3 year Simple control functions and easy-to-read LCD display Designed for 24/7 use, at home or away! *At setting 2 [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 3 Equipment | OXYGO ™ 1 # 1400-1000 OxyGo™ Portable Oxygen Concentrator # 1400-1000-16 OxyGo™ Portable Oxygen Concentrator with 16 cell battery (not shown) 2 # 1400-1010-8 8 Cell Battery: Rechargeable Lithium-Ion # 1400-1010-16 16 Cell Battery: Rechargeable Lithium-Ion 3 # 1400-1050 DC Power Cable for use in vehicles. 4 # 1400-1030 External Battery Charger with power supply. Includes charger, power supply and AC input cord. 5 # 1400-1040 AC Power Supply. Includes power output cable and AC input cable. 6 # 1400-5000 NIDEK Nuvo5 Stationary Oxygen Concentrator. 5 Liter oxygen concentrator with O2 monitor. 7 # 1170-1410 Carry Bag 8 # 1170-1420 Backpack 4 Home HealthCare Today Magazine Issue 2 | 2015 OxyGo Comparison Chart Lightweight High Capacity OxyGo™ Inova Labs Activox® AirSep Focus® AirSep FreeStyle® Precision Medical EasyPulse® 840 ml / min 500 ml / min 332 ml / min 498 ml / min 780 ml / min Overnight Single Solution User Replaceable Batteries Sieve Life Extending Technology Weight 4.8 lbs. 4.9 lbs. 2.3 lbs. 4.4 lbs. 6.7 lbs. 10.0 lbs. 7.3 lbs. Battery Duration UP TO UP TO UP TO UP TO UP TO UP TO UP TO 9 hours 6 hours 3 hours 3 hours 3 hours 3 hours 3 hours 42 dB. 55 dB. Unspecified 44 dB. 44 dBa. N/A 50 dB. O2 Capacity Sound Level Respironics SimplyGo® 1050 ml / min 2 lpm cont. continuous flow only Invacare XPO2® 840 ml / min View the clinical studies: www.bitly.com/OxyGoClinical For more information, give us a call at: 888-327-7301 or visit us online: www.oxygo.life [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 5 Quick Tips | PRIVATE BRANDING PROGRAM HME FACT: Investing in your brand is often the best investment you can make! In HME, your brand is your identity. Any investment in your brand makes your business more valuable by making it more noticeable to the community, existing, and future customers. How can you ensure you are earning that valuable referral? The obvious one is to deliver exceptional service so that the customer will be willing to recommend you. However, it’s sometimes hard to depend on your staff to deliver consistently exceptional service, and sometimes the customer will remember the individual as being wonderful—not your company. One of the easiest ways to ensure you capture that valuable business is to keep your name in front of the customer. Be unique. That’s why big businesses do unique things. For example: Las Vegas’ Mirage has its volcano… Seattle’s Pike Place Fish Market tosses the fish through the air… McDonald’s has playgrounds attached to its restaurants. Cylinder Labels Compliant, branded oxygen drug product labels. Minimum order of 1,000. # 1109-0006-2015 But how can you set yourself apart? Your Price = 40¢ each Keep your name in front of the customer, make your goods unique: Private brand your equipment. Applied’s private branding program makes branding your equipment simple, quick and easy to do. Just send us your 1 color logo and info and we will take care of the rest. We can help support your brand by laser etching your logo and/or information for permanent, non-removable marking. It looks great and won’t wear off. Applied can also apply a heavy duty barcode in addition to or instead of a logo. ? DID YOU KNOW… Investing in your brand is often the best investment you can make! Get more name recognition, referrals, and always get your equipment back with Applied's Custom Branding Program! 6 Home HealthCare Today Magazine Issue 2 | 2015 Carry Bags 50 piece minimum order. # 1170-0022C Your Price = $12.75 each for 50 Your Price = $11.45 each for 100 or more # 1170-0020C Your Price = $12.60 each for 50 Your Price = $10.97 each for 100 or more # 1170-0022C # 1170-0020C Cylinders Professional silk screening under the clear coat. Requires a one-time setup charge of $225.00. # 3013C Pallet of 81 E cylinders without toggle (CGA 870) Regulators 40 piece minimum order. Multiples of 20 thereafter. Volume pricing and other models available. # 1109-2028C (0-8 LPM) # 1109-2029C (0-15 LPM) Your Price = $18.95 each Call for volume pricing [email protected] | www.applied-inc.com | 888-327-7301 # 3001C Pallet of 144 M6 cylinders without toggle (CGA 870) # 3005C Pallet of 81 C/M9 cylinders without toggle (CGA 870) # 3009C Pallet of 81 D cylinders without toggle (CGA 870) Your Price = $1.67 additional per cylinder Home HealthCare Today Magazine 7 Equipment top Regulator Options With so many options for regulators, knowing which one will give your patient the best care for the long haul—without breaking the bank—can be frustrating. Check out our picks below: Most Versatile Flex-Reg The Flex-Reg, Applied's unique 0-15 lpm regulator, is the most versatile of all regulators. It has flows from 0 to 15 that can accommodate patients with a low liter per minute prescription as well as hospice and other emergency facilities. # 1109-2029 (CGA 870, 0-15 lpm) Was $18.95 Your Price = $11.99 each for 20 # 1109-2029 # 1109-2028 (CGA 870, 0-8 lpm) Was $18.95 Your Price = $10.99 each for 20 EMS: 0-25 Applied's EMS Regulator CGA 870 0-25 lpm features a hose barb and two 50 psi power take off outlets, and the settings of 0, 1, 2, 4, 6, 8, 10, 12, 15, 18, 20, 25. # 1109-2040 (CGA 870, 0-25 lpm) Was $89.95 Your Price = $76.46 # 1109-2040 # 1109-2042 (CGA 540, 0-25 lpm) Was $106.98 Your Price = $ 96.28 Pediatric Engineered in the U.S., these pediatric regulators are durable and high quality. Settings: 0, 1/32, 1/16, 1/8, 1/4, 1/2, 3/4, 1, 1.5, 2, 3, 4. # 1109-2030 (CGA 870, 1/32-4 lpm) Was $39.95 Your Price = $ 29.95 each for 20 # 1109-2032 # 1109-2032 (CGA 540, 1/32-4 lpm) Was $39.95 Your Price = $ 29.95 each for 20 8 Home HealthCare Today Magazine Issue 2 | 2015 Quick Tip! Conservers can help oxygen supplies last up to 50% longer versus using traditional regulators on oxygen set-ups. This longer usage per cylinder can help reduce delivery frequency which will ultimately save money. Check out our conservers, #1210-0300 and #1210-0200 on pages 10 and 11. JUST released Standard Fingertip Pulse Oximeter # OF-975 Your Price = $19.50 Brighter and larger, digital LED one-way display Portable, non-invasive spot check of oxygen saturation and pulse rate Low battery indicator Continuous working time = 24 hours Easy automatic power off when the finger leaves the device for 5 seconds Runs on two “AAA” batteries Finger sizes from 0.3” – 1.0” Includes case Deluxe Fingertip Pulse Oximeter # OF-976 Your Price = $23.50 Dual color, high resolution, and easy to read LED display with multi-display, four directions and six display modes Portable, non-invasive spot check of oxygen saturation, pulse rate, pulse bar and plethysmogram Easy automatic power off when the finger leaves the device for 5 seconds Low battery indicator Includes lanyard Continuous working time = 20 hours Runs on two “AAA” batteries Finger sizes from 0.3” – 1.0” Includes case [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 9 Equipment | CONSERVERS NEW! OxyPulse ™ Single-Lumen Conserver Providers and patients will love this new lightweight and compact conserver featuring the most conserving and continuous flow settings on the market! While offering a conserving ratio of over 5:1, the OxyPulse™ allows providers to have the cost-saving benefit of dramatically reducing the frequency of refills and deliveries needed for portable oxygen supplies. And with the continuous flow settings on a quick-turn dial, patient set-up is now easy! Patients will receive the oxygen care and comfort they need with the OxyPulse™ single-lumen pulsing operation, making it the quietest and most accurate conserver on the market. It offers many continuous flows to meet the needs of a broad range of patients. With its small size and lightweight, this conserver is very portable and easy for patients to handle. Features and Benefits: Size: 6”L x 1.6”W x 1.5”H Weight: 12.8 oz. Continuous flows: 2, 3, 4 Conserving flows: 1, 2, 2.5, 3, 4, 5 Meets ASTM-G175-03 promoted ignition tests # 1210-0300 1-9 Units Was $119.45 Your Price = $114.45 CHECK THE SPECS: And choose the right conserver for your specific needs 10 10+ Units Was $114.27 OxyPulse ™ $ 109.27 EasyPulse5 6" x 1.6" x 1.5" 4.8" x 2.6" x 2.5" 12.8 oz. 9.9 oz. Weight 2, 3, 4 lpm 2 lpm Continuous Flow Settings 1, 2, 2.5, 3, 4, 5 lpm 1, 2, 3, 4, 5 lpm 5:1 5.7 : 1 Home HealthCare Today Magazine Size Conserving Settings Conserving Ratio Issue 2 | 2015 EasyPulse5 Super light weight! oxygen Conserver Check out this high quality conserver at a great price! The EasyPulse5 is a single lumen conserver with a CGA 870 connection. It includes one adult single lumen cannula, and is the smallest and lightest oxygen conserver available weighing as little as 9.9 oz. The ergonomically designed T-Handle/Hand Tight knob make setting and connecting the EasyPulse5 easy for both patients and caregivers. Not only is the EasyPulse5 easy to use, it also helps reduce costs. Because the conserving ratio of the EasyPulse5 is 5.7 to 1, it reduces the amount of deliveries, and related costs, tanks purchased, tanks used and refill costs. The EasyPulse5 is the only pneumatic oxygen conserver that uses a standard single lumen cannula and delivers a pulse wave form comparable to an electronic conserver. The lack of alarms and batteries prevents nuisance calls. It also controls minute volume. If the patient breathes faster, the minute volume is controlled to deliver only the prescribed amount of oxygen which allows for predictable cylinder duration. Features and Benefits: Weight: 9.9 oz. Continuous flows: 2 lpm Conserving flows: 1, 2, 3, 4, 5 lpm pulse settings Meets ASTM-G175-03 promoted ignition tests # 1210-0200 Was $159.95 Your Price = $139.87 * * While supplies last [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 11 Equipment | TRANSPORT BAGS Keep patients and your wallet happy with these Well-Made Applied Bags! Our bags are compliant with CGA and DOT safe cylinder handling requirements. They are also lightweight, washable, and easy to fold and tuck away. Helios Portable M6/B/M9/C Fanny Bag Take your liquid to go with this discreet bag for the Helios Portable Oxygen System. Keep your hands free with this sturdy M6/B/M9/C Fanny Bag. # 1170-0026 Was $16.65 # 1170-0024 Now = $ 8.57 Was $5.99 Now = 4.95 $ M6/M9 Cylinder Backpack Use this roomy Premium Stylish M6/ M9 cylinder backpack to carry up to 2 cylinders at a time! This pack features a light blue accessories bungee cord and convenient zippered pouch on the front, padded back, backpack straps and comfort carry handle. M6 3-in-1 Carry 2 M6 cylinders any way you want to with this 3-in-1 cylinder bag. # 1170-0012 Was $9.99 Now = $7.99 # 1170-0020 Was $14.92 12 Now = $7.99 D Cylinder Backpack M6/B 3-in-1 Comfortably carry a D cylinder in this premium pack. This D cylinder backpack features a bungee for accessories, padded shoulder straps and a sternum strap with a cannula caddy. This versatile M6/B 3-in-1 cylinder bag can be carried horizontally, vertically or as a backpack and features a clear window that allows you to easily see the regulator. # 1170-0022 # 1170-0010 Was $16.67 Was $8.99 Now = $ 8.99 Now = $6.99 Home HealthCare Today Magazine Issue 2 | 2015 Stock Up And SAVE! MENTION THIS ISSUE AND GET… FREE SHIPPING ON CYLINDERS* Within The Continental US 888-327-7301 * Free shipping offer excludes 6-packs of: M150, M122, M90, M60, Jumbo D Equipment | CONCENTRATOR FILTERS OxyGo™ Airsep OxyGo™ Particle Filters # 1400-1310 Your Price = $21.25 pack of 2 OxyGo™ Output Filters # 1400-1320 Your Price = $ 41.65 pack of 10 OxyGo™ Output Filter Spanner Wrench Filters fit model #1400-1000 (as shown) # 1400-1321 Your Price = $18.70 Foam Cabinet Filter, Square. Airsep NewLife Elite, QuietLife 5/3, and Intensity Concentrator Models. OxyGo™ Filter Replacement Kit Includes Spanner Wrench and 2 Output Filters. # 1400-1337 (OEM #FI002-1) # 1400-1322 Was $6.47 Your Price = 21.25 $ Your Price = $ 5.82 pack of 20 DeVilbiss Compressor Filter for machines made before 11/03. Compressor Filter for machines made after 11/03. Fits DeVilbiss Concentrator Models 303DS, CS, CZ, 505DS, DZ, CX, CZ, 515DS, DZ, KS, KZ, MC44 Series. Fits DeVilbiss Concentrator Models 505DS, DZ, CS, CZ, 515ADS, ADZ, AKS, AKZ, DS, DZ, KS, KZ and iFill Series. # 1400-1360 (OEM #MC44D-605) # 1400-1361 (OEM #515DZ-605) Was $7.88 Your Price = $7.08 each Was $8.35 Your Price = $7.52 each 14 Home HealthCare Today Magazine Intake Filter. For DeVilbiss 303 DS, CS, CZ, 525DS, MC44 Series, SeQual Integra, & Nidek Nuvo 8. # 1400-1363 Was $8.35 Your Price = $7.52 each Issue 2 | 2015 Invacare Foam Cabinet Filter, Rectangular. Fits Invacare Mobilaire Concentrator Models IRC501, 301, and 301LX Series. # 1400-1331 (OEM #20000489) Was $6.47 Your Price = $ 5.82 pack of 20 Foam Cabinet Filter, Rectangular. Foam Cabinet Filter, Rectangular. Fits Invacare Platinum Concentrator Models 5LX, 5LX02 & 10 Series. Fits Invacare Perfect O2 Concentrator Models IRC5P & IRC5P02 Series. # 1400-1338 (OEM #1107412) Was $11.99 Your Price = $10.79 pack of 20 # 1400-1340 (OEM #1143492) Was $9.33 Your Price = $ 8.40 pack of 20 Patient Filter. Round Disk with Barb inlet and outlet, 1/4 - 3/8 stepped barbed inlet & outlet. Fits concentrator Models Invacare Mobilaire IRC501, 301, 301LX, Chad Total O2, Omni-2, Omni-5. # 1400-1368 (OEM #RP-202) Was $1.56 Your Price = $1.40 each Patient Filter. Round Disk with Barb inlet & outlet, 5/16 straight barbed inlet & outlet. Fits concentrator models Invacare Platinum 5 & 10, Mobilaire IRC501, 301, 301LX, Perfect O2 IRC5P, IRCPO2, Airsep NewLife Elite, QuietLife 5/3, Intensity, Lifestyle, Sequal Integra 7 & 10 Liter, Nidek Nuvo 8, Nuvo Lite, Mark 4, 5, 5Plus, John Bunn Optimum, Inogen One, Inogen One G2. Compressor Filter. Fits Invacare Concentrator Models Platinum 5 & 10, Mobilaire IRC501, 301, & 301LX, PerfectO2 IRC5P, IRC5PO2. # 1400-1369 (OEM #P0750X030) # 1400-1364 (OEM #1131349 & 1131249) Was $1.56 Your Price = $1.40 each Was $6.56 Your Price = $ 5.90 each Filter Kit. Includes: • Two 1400-1331 rectangular cabinet filters • One 1400-1364 compressor filter • One 1400-1369 disk patient filter Fits Invacare Mobilaire Concentrator Models IRC501, 301, and 301LX Series. # 1400-1380 (OEM #20000489, 1131249, P0750X030) Was $15.79 Your Price = $14.21 per kit [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 15 How Can You Help STOP Patient Cannula Fires? OxySafe™ Box of 100 units. According to the Joint Commission NPSG.15.02.01, EPs 2 and 3 require home care organizations to provide education to the patient and family regarding causes of fire and fire prevention activities. In addition to proper education Applied recommends providing patients with a thermal shut off device, such as Applied's OxySafe™, as part of regular patient set-ups in order to protect against further damage from a tubing fire. OxySafe™ is a thermal fuse designed to stop the flow of gas in the event that the downstream cannula or supply tubing is ignited. With OxySafe™, the PVC tube is inclined to extinguish because PVC will not normally burn in air — offering healthcare providers a cost effective solution to lower the risk of serious patient injury in a dangerous oxygen fire. # 1109-2018 Now = $ 4.24 each OxySafe™ Concentrator & Regulator OxySafe™ with hose barb connections and 2” connector tubing. Bag of 25. # 1109-2017 Now = $ 5.56 each OxySafe™ Setup Kit OxySafe™ with hose barb connections and OxySafe™’s unique 2” nasal cannula. Bag of 25. # 1109-2020 Now = $ 5.88 each American-Made CPAP Tubing Applied’s medical tubing is made from materials that comply with FDA specifications 21 CFR 177.1520 and 21 CFR 177.1210. All tubing is constructed from materials that comply with ISO 10993 / FDA standards for cytotoxicity and biocompatibility. Our tubing is manufactured from FDA compliant, latex free, all virgin raw materials and is made in the USA. STANDARD ergonomic slimline Perfect for ResMed S9! 6 foot, gray CPAP tubing. 22 mm cuff and 19 mm tube. # 1700-4000 Your Price = $1.98 each. Case of 100. 16 Home HealthCare Today Magazine 6 foot, gray CPAP tubing, with ergonomic ends. 22 mm cuff and 19 mm tube. 6 foot, gray CPAP tubing, with ergonomic ends. 22 mm cuff and 15 mm tube. # 1700-4001 # 1700-4002 Your Price = $2.48 each Your Price = $ 3.95 each Issue 2 | 2015 Equipment | CYLINDER BOXES Think INSIDE The Box! Cylinder boxes are a lightweight, economical alternative to carry multiple cylinders. Check out our new styles! E Cylinder Box Each box carries 4 E cylinders. Case of 10 boxes. # 1170-0158-1 Your Price = $ 81.25 M6 Cylinder Box Each box carries 6 M6 cylinders. Case of 10 boxes. # 1170-0154-1 Your Price = $ 38.34 C Cylinder Box Each box carries 4 C cylinders. Case of 10 boxes. (not shown) # 1170-0156-1 Your Price = $61.67 … And Avoid A Common Accreditation Violation Did You Know… ? A common accreditation violation is drivers improperly handling cylinders on delivery. The most common violation is one that you might not witness! On deliveries, accreditors are writing up drivers who mishandle cylinders. Drivers should be trained to handle cylinders properly to prevent injury and cylinder damage. Cylinders should never be juggled on the way into a patient's home. Instead, drivers should use a delivery bag or cart to carry multiple cylinders into the home. This not only saves drivers from making multiple trips, but also makes it much less likely that a cylinder will drop out of the driver's arms and injure the driver, patient or damage the cylinder. [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 17 Equipment | OXYGEN-SAFE CLEANERS Applied Concentrator Cleaner FROM THE LEADERS IN HOME HEALTHCARE OXYGEN Applied Concentrator Cleaner is a second generation powerful surface cleaner, designed specifically for this purpose, that quickly cleans concentrators, cylinder bodies, cryogenic containers, wheel chair wheels, and other metal healthcare equipment. Applied’s fast drying Concentrator Cleaner helps remove stubborn dirt, grease, food, etc. without leaving oil and other contaminants behind. One Gallon # 1109-5527 Was $33.92 each Your Price = $19.99 each for a case of 4 120 Count Wipes # 1109-5528 Was $16.78 each Your Price = $11.99 each for a case of 6 Any equipment that comes into contact with oxygen requires specific procedures to ensure that nothing is left on the surface that could interact with oxygen. TIP To Properly Clean / Disinfect Cylinders, Providers Should: 1. 2. 3. 18 Use the cleaner/disinfectant on the cylinder body only. (NOT on the valve opening) If you clean the valve, ensure NO contaminants are left behind by inspecting according to CGA G-4.1 and use a black light. (Applied #1100-9994) If contaminants are found, use a cleaner that meets CGA standards according to the directions in CGA G 4.1 to clean for oxygen service. (Applied #1100-0026-1) Home HealthCare Today Magazine Issue 2 | 2015 Applied News Flash | MARCH 2015 Help Prevent Respiratory Infections! With flu season beginning in October and peaking close to January and February, now is a great time to prepare you and your employees with PPE (Personal Protective Equipment). Applied offers many items that help prevent and protect you from contracting viruses and diseases such as different strains of influenza and Ebola. Check out the products below and start prevention now! Cleaner Disinfectant Ready to use broad spectrum, multipurpose disinfectant cleaner. Kills Ebola on most hard surfaces. Required by 21 CFR 211.67(a) # 1109-5512 One Gallon Was $19.97 Your Price = $17.97 Disposable Respirator NIOSH approved N95 for respiratory protection (box of 20). # 0800-0060 Size S/M Was $27.60 Your Price = $24.84 Isolation Kits Includes eye and mouth mask, gown, gloves, cap, shoe covers and disposable bag. # 0800-0916 Was $128.04 Your Price = $121.64 # 0800-0061 Size M/L Was $27.60 Your Price = $26.22 STAY HEALTHY THIS COLD & FLU SEASON! Always be sure to cough or sneeze into your elbow. Wash hands often, with soap, scrubbing for at least 20 seconds. Disinfect common surfaces frequently (ie. counter tops, telephones, computer keyboards, and door knobs). [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 19 Education | TRANSFILLING increase your Oxygen Profits! In today’s DME environment in which reimbursement dollars have been reduced due to many factors, cutting costs has become as important as the number of patients that you serve. When looking for ways to cut costs, one of the easiest ways is to fill your own oxygen cylinders. When you realize that there are many other advantages to refilling your own oxygen cylinders, it becomes a project that no DME should ignore. What are the advantages to refilling your own oxygen cylinders? 1 2 3 4 5 6 7 8 9 10 20 Reduce your oxygen cost by 50-100% by buying oxygen in bulk. Reduce the frequency of purchasing cylinders. You won't need the cylinders that used to be at your supplier, because they’re being filled in-house. Reduce the number of cylinders in your inventory. Your inventory of cylinders doesn’t need to be as large when filling in-house. Reduce your dependence upon a supplier. Have 24/7 availability of oxygen. Even in a crisis situation you will have the ability to refill oxygen. Eliminate supplier loss and abuse of cylinders. Eliminate supplier transaction, transportation, fuel surcharge, and other hidden fees. Eliminate delays in getting cylinders back from your supplier. Expand your business: If you fill, you can even supply other homecare providers. Regain control over your cylinder inventory. Home HealthCare Today Magazine Issue 2 | 2015 Home HealthCare Today | MARCH 2015 CUT HERE Cylinder Basics quick reference guide Call Us Today: 888-327-7301 Special Pricing for Home HealthCare Today Readers How Many Cylinders From Liquid? L in Dewar X .80 = # of E Cylinders # of E Cylinders X 4 = # of M6 Cylinders (calculations are approximate) Common Name A B C D Jumbo D E H Newer Name M4 ML6 M6 M7 M9 M15 M22 M24 M60 M/MM/M122 M250 Diameter (in) 3.2 4.3 3.2 4.3 4.3 4.3 5.3 4.3 7.3 8 9 8.5 7.6 11.5 9.1 11 16.5 16.5 25.5 23 36 52 Empty Weight (lbs) 1.6 2.8 2.2 3.3 3.7 5.3 8 7.9 22.3 39.5 114 Capacity (L) 113 165 164 198 255 425 640 680 1738 3455 7080 Capacity (cu ft) 3.99 5.83 † 5.79 6.99 9.00 15.01 22.60 24.01 61.38 122.01 250.03 Transport Method bag bag bag bag bag bag bag bag / cart Not Portable Not Portable Not Portable Common Valve / Regulator Type CGA 870 CGA 870 CGA 870 CGA 870 CGA 870 CGA 870 CGA 870 CGA 870 CGA 540 CGA 540 CGA 540 48 70 70 84 108 181 272 289 739 1468 3009 Service Pressure 2216 2015 2216 2015 2015 2015 2216 2015 2216 2216 2216 Pallet Size 144 81 144 81 81 81 72 81 42 25 25 Applied Pallet Part Number 3000 3004 3001 3007 3005 3009 3011 3013 3015 3017 3020 Applied 6-Pack Part Number 3000 PK 3004 PK 3001 PK 3007 PK 3005 PK 3009 PK 3011 PK ** 3013 PK 3015 PK ** 3017 PK ** N/A FREE Shipping? YES YES YES YES YES YES YES YES * YES * YES * NO Height (in) to bottom of post valve Minutes of Oxygen (at 2 lpm) * Free shipping by pallet only [email protected] | www.applied-inc.com | 888-327-7301 ** No free shipping on 6-packs of: M150, M122, M90, M60, Jumbo D Home HealthCare Today Magazine 21 Education | FILLING SYSTEMS Filling your own oxygen cylinders can save you a significant amount of money and headaches: Cylinders can be filled for less than one dollar, and you don’t have to wait for suppliers or worry about missing cylinders. However, many people think filling is complicated and systems are expensive. Here’s some good news (for a change!) — Filling is easy and a lot less expensive than you think. Gas Gas TO How Does It Work? When gas contained in a cylinder at high pressure is allowed to flow to another cylinder containing gas at a lower pressure, the pressures will equalize to a value somewhere between the two initial pressures. So, with a gas to gas system, the high pressure supply tanks have a higher pressure than the empty cylinders that are to be filled. A filler opens the first supply tank, allows the pressure in the two to equalize, then closes the first supply tank. The filler then opens the second cylinder, and allows it to equalize pressure. This continues down the bank of cylinders until the filling tank is full. This type of filling is sometimes called Cascade Filling. h easy maintenance You only need to have gauges calibrated annually. (And Applied does it for you!) h saves space Applied's Gas to Gas System can be mounted to any wall and utilizes a mobile fill rack that doesn't require wall space. h fill any size cylinder What Do I Need to Fill? Not much! You’ll need the system itself (which runs between $2-$3,000, depending on what size system you decide), a paramagnetic oxygen analyzer, and a few filling supplies (like labels, filling rack, valve seals, and lot stickers). Most gas to gas systems are wall mounted, so they have a small foot print. You’ll need to register with the FDA, and do some training, which most reputable manufacturers provide in their system packages. Fill E, M6, C, D Cylinders … Whatever size your patient needs. h mobile fill racks Applied's Mobile Fill Racks allow you to expand your filling, as needed. h use your own tanks Purchase filled H or K tanks from your supplier for less — and fill your own patient cylinders. Typical Cost from Supplier Size # / Week Cost Total Size # / Week Cost Total M6 75 $3.00 $225.00 M6 75 56¢ $42.00 E 10 $3.00 $30.00 E 10 $1.20 $12.00 D 10 $3.00 $30.00 D 10 83¢ $8.30 C 5 $3.00 $15.00 C 5 66¢ $3.30 Total Cost / Week = $300.00 Plus HazMat & delivery charges! 22 Home HealthCare Today Magazine Applied's Gas to Gas System Total Cost / Week = $65.60 * Save $234.00 per week! Issue 2 | 2015 Liquid Gas TO Filling your own oxygen cylinders can save you a significant amount of money and headaches: Cylinders can be filled for less than $1, and you don't have to wait for suppliers or worry about missing cylinders. Typically, an oxygen filler can pocket up to 2 dollars a cylinder or more by filling the cylinders themselves (a typical E cylinder fills for about 55 cents). How Does It Work? Filling with a Liquid System is very simple! After purchasing your liquid oxygen in bulk, the system will warm the liquid, which builds pressure and changes the liquid into gas. What Do I Need to Fill? Applied's # OF-7000 shown h low Trailing maintenance User-changeable gauges only need to be calibrated annually. h Internal Pump + accessible manifolds Start filling faster and use less gas. Manifolds on the front and side of the system allow you to fill continuously. h fill any size cylinder You can fill any size cylinder with Applied's # OF-700R & OF-7000 Liquid to Gas System. h mobile fill racks Applied's Mobile Fill Racks allow you to expand your filling, as needed. h Buy in bulk Save even more by purchasing bulk gas from your supplier. Typical Cost from Supplier Applied's Liquid to Gas System Size # / Week Cost Total Size # / Week Cost Total M6 150 $3.00 $450.00 M6 150 37¢ $55.50 E 25 $3.00 $75.00 E 25 55¢ $13.75 D 25 $3.00 $75.00 D 25 45¢ $22.50 C 10 $3.00 $30.00 C 10 40¢ $4.00 Total Cost / Week = $630.00 In order to fill with a Liquid to Gas System, you will need the system itself, a paramagnetic oxygen analyzer, and filling supplies such as cryogenic safety materials (apron, gloves, face shield), along with labels, lot stickers, a cryogenic hose, and valve seals. Liquid to Gas Systems are usually about 3 ft x 5 ft, so they don't take up very much room. You will need to register with the FDA and complete required training yearly. All of which Applied provides to you when you purchase your system! What’s the Difference Between Liquid to Gas and Gas to Gas? Put simply — speed and cost. A Gas to Gas System is ideal for fillers who fill less than 100 cylinders a week. It's less expensive and can fill about 20 E's an hour. A Liquid to Gas System is ideal for fillers who fill more than 100 a week. It can fill 66 E's per hour, since you purchase liquid oxygen, you'll also get your oxygen supply for less. Total Cost / Week = $95.75 * Save $534.25 per week! [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 23 Equipment | CARTS, RACKS & STANDS ACT NOW! Offers Expire Soon M6 Carts and Racks 1 # 1100-1931 Holds 4 cylinders. 8 3/8” H x 8” D x 8” W Was $26.50 Your Price = $ 23.85 2 # 1100-1927 Holds 24 cylinders. 36 3/4” H x 32” D x 15 1/2” W Was $224.20 Your Price = $ 201.78 3 # 1100-1933 Holds 8 cylinders. 8 3/8” H x 8” W x 15 1/2” L Was $41.53 Your Price = $ 37.38 4 # 1100-1946 Holds 6 cylinders. 15 1/2” H x 7 3/4” W x 113/4” L Was $40.82 Your Price = $ 36.74 5 # 1100-1937 Holds 12 cylinders. 8 3/8” H x 12” W x 15 1/2” L Was $66.70 Your Price = $ 60.03 6 # 1100-1924 Holds 6 cylinders. 39 1/2” H x 13” D x 1211/16” W Was $67.52 Your Price = $ 60.77 7 # 1100-1846 Holds 60 cylinders. 40” H x 39” D x 23” W Was $301.89 Your Price = $ 271.70 Don't see the rack or cart you need? CHECK US OUT ONLINE! 24 Home HealthCare Today Magazine Issue 2 | 2015 No need to worry about assembly or flimsy construction. Applied racks and carts are made to last. Flash nickel plated or powder coated to resist rust and abuse. Quality Racks & Carts 1 # 1100-1901 Holds 1 cylinder. 7” H x 9” L x 9 1/2” W Was $23.01 Your Price = $ 20.71 2 # 1100-1958 Holds 24 cylinders. 8 1/4” H x 39” L x 14 1/2” W Was $156.70 Your Price = $141.03 3 # 1100-1936 Holds 6 cylinders. 8 3/8” H x 10” L x 15” W Was 44.32 Your Price = 39.89 $ 4 $ # 1100-1923 Holds 6 cylinders. 39 1/2”H x 16 1/2” L x 133/4” W Was $77.21 Your Price = $ 69.49 5 # 1100-1800 Holds 1 cylinder. 41” H x 10” D x 12” W Was $28.25 Your Price = $ 25.43 6 # 1100-1885 Holds 24 cylinders. 45” H x 31 1/2” L x 21 1/2” W Was $317.23 Your Price = $ 285.51 7 # 1100-1926 Holds 12 cylinders. 36 3/4” H x 20” L x 22” W Was $181.90 Your Price = $163.71 8 # 1100-1912 Holds 2 cylinders. 39 1/2” H x 10” L x 13 3/4” W Was $68.91 Your Price = $ 62.02 9 # 1100-1892 Holds 12 cylinders. 19 1/2” H x 15” D x 22” W Was $89.71 Your Price = $ 80.74 [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 25 Equipment | RATTLE-LESS CARTS & RACKS Check Out Our "Do Not Disturb" Carts And Racks Do you deliver to nursing homes, hospital or hospices? Be a favorite delivery of your customer by keeping your noise down. Our carts are covered with a proprietary coating that protects cylinders from damage and reduces noise. Rattle-Less Carts 1 # 1100-1427 Rattle-Less Cylinder Cart, Holds 24 M6 Cylinders. 36.75” H x 32” D x 15.5” W Your Price = $243.45 2 # 1100-1425 Rattle-Less Cylinder Cart, Holds 12 M6 Cylinders. 36.75” H x 19” L x 15.5” W Your Price = $176.02 3 # 1100-1426 Rattle-Less Cylinder Cart, Holds 12 D/E Cylinders. 36.75”H x 22” D x 20.25” W Your Price = $189.79 4 # 1100-1424 Rattle-Less Cylinder Cart, Holds 6 M6 Cylinders. 39.5” H x 13” D x 12 1/16” W 26 Home HealthCare Today Magazine Your Price = $ 86.42 5 # 1100-1423 (not pictured) Rattle-Less Cylinder Cart, Holds 6 DE Cylinders. 39.5” H x 16.5” L x 13.75” W Your Price = $ 99.82 Issue 2 | 2015 … “So good drivers would pay out of pocket for them!” Applied’s Rattle-Less Racks are dipped in a proprietary coating to create the perfect rack protecting your ears—and your cylinders! Rattle-Less Racks have a durable coating that dampens the sound of the cylinder rattling in the rack during transport. The coating softens the hard metal edges of the rack, which can help reduce the wear and tear on your cylinders and labels from frequent movement in and out of the rack. 1 # 1100-1420 Holds 12 D/E Cylinders Rattle-Less Racks Was $99.59 Your Price = $ 89.63 2 # 1100-1436 Holds 6 D/E Cylinders Was $58.40 Your Price = $ 52.56 3 # 1100-1432 Holds 6 M6 Cylinders Was $56.12 Your Price = $ 50.51 4 # 1100-1437 Holds 12 M6 Cylinders Was $82.98 Your Price = $74.68 5 # 1100-1458 Holds 24 D/E Cylinders Was $140.65 Your Price = $126.59 6 # 1100-1433 (not pictured) Holds 8 M6 Cylinders Was $61.80 Your Price = $ 55.62 7 # 1100-1434 (not pictured) Holds 24 M6 Cylinders Was $129.11 Your Price = $116.20 [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 27 Education | APPLIED CERTIFIED SPECIALIST NEW: Applied Certified Oxygen Specialist Program Applied has created one process to streamline your oxygen compliance: the Applied Certified Oxygen Specialist Program. The Applied Certified Oxygen Specialist Program is designed to keep you compliant and organized. Applied offers the following certification programs: Applied Certified Oxygen Transfiller Designed for gas to gas, liquid to gas and liquid to liquid fillers Applied Certified Oxygen Driver Designed for drivers of vehicles of any weight Applied Certified Oxygen Specialist Designed for any one who handles oxygen, or deals with oxygen patients in person or over the phone Applied Certified Oxygen Quality Control Designed for Quality Control Personnel Applied Certified Oxygen Filling Business Designed to help prepare your business for oxygen audits, apply to be an Applied Certified Oxygen Business How to Become an Applied Certified Specialist: 1. Fill out an Applied Certified Oxygen Specialist Application. 2. Complete Continuing Education (CEUs required vary depending on certification). 3. Upon approval, a Master Certification will be mailed to you to show accrediting bodies, state and federal agencies your credentials. What is an Applied Certified Oxygen Business? An Applied Certified Oxygen Business is an Oxygen Provider or Filler who meets training, documentation and equipment requirements for FDA, DOT, OSHA & Accreditation. The certification process walks you through a step by step process to gather and update all your oxygen requirements. Your information is then reviewed by our experts and an annual certification is issued. 28 Home HealthCare Today Magazine Issue 2 | 2015 Equipment | FILLER'S CORNER FDA BULLETIN: Brass and Viton® Washers FDA and NIOSH report that reusing single use washers, like nylon or plastic, can contribute to fires. Applied recommends using brass and Viton® washers when reusing washers. When used more than once, the Nylon® crush gaskets require higher torque than the elastomeric sealing washers in order to seal the cylinder valve / regulator interface, and if they are used again, they require more torque with each successive use. The cylinder valve / regulator connection is designed to be hand-tightened. If the crush gaskets are re-used, the need for increased torque may require using a wrench or other hand tool, which can deform the crush gasket and damage the cylinder valve # 1109-1017 and regulator. This can result in leakage of oxygen past the cylinder valve seat and across the nylon crush gasket. According to a forensic analysis supported by FDA and NIOSH, “flow friction” caused by this leakage of compressed oxygen across the surface of the crush gasket may produce enough thermal energy to spontaneously ignite the nylon gasket material. Applied recommends using brass and Viton® multiple use washers because they are more resistant to fire and less susceptible to decay in oxygen enriched atmospheres. Specifically, rubber and aluminum or rubber and brass washers are not recommended because they have a much lower ignition temperature and could decay more easily in oxygen enriched atmospheres. MULTIPLE USE Brass & Viton® Washers SINGLE USE Nylon Yoke Washers # 1109-1017 # 1109-0068 Was $48.00 Your Price = $ 43.20 bag of 50 Was $116.27 Your Price = $ 96.28 bag of 1,000 2015 Filler Favorites Be sure to try our OxyLok Valve Seals and OxyLok Mini Valve Seals! We have fillers call and specifically request our OxyLok brand. They like them because they slide easily over the post valve and lock quickly into place, without damaging the valve seal. Patients love them because of the wide, large ring for easy removal. # 1109-0053 OxyLok Valve Seals and OxyLok Mini Valve Seals also meet FDA requirements for preventing contamination, 21 CFR 211.80. OxyLok Valve Seals OxyLok Mini Valve Seals # 1109-0048 # 1109-0053 Was 85.00 Was $75.00 $ Your Price = $79.00 bag of 1,000 Your Price = $67.50 bag of 1,000 # 1109-0048 [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 29 Quick Tips | OXYGEN CLEANING What Is Oxygen Cleaning? Clean equipment that comes into contact with oxygen requires specific procedures to ensure that nothing is left on the surface that could interact with oxygen. There are two types of cleaning that are pertinent for oxygen equipment, cleaning with oxygen compatible cleaners and cleaning equipment for oxygen service. 1. Cleaning with oxygen-compatible cleaners Oxygen can react with any residue, particles, dirt, oil, grease or other contaminants that are left on the surface of equipment the comes into contact with oxygen, such as the cylinder surface. The body of a cylinder or a regulator for example, should be cleaned with chemicals that will leave nothing behind that will cause an interaction with oxygen. 2. Cleaning equipment for oxygen service Surfaces that come into direct contact with oxygen, such as the valve opening on a cylinder, the inside of a cylinder or oxygen connection, must not only be cleaned with an oxygen compatible cleaner, but also with special equipment and processes to ensure that the surface has no particles left behind. If there are even small particles on the wetted surface, the speed of the oxygen coming out of the valve, could actually ignite the particles. The procedure you’ll have to follow for this is found in CGA G 4.1. What about leak testing? According to FDA guidance and industry standards, soap and water solutions used to leak test are not recommended and may even prove dangerous. Soap contains animal fats ( lard ) which burns easily and explosive-like in oxygen. Synthetic soap such as dish washing soap (Dawn, Joy, etc.) contain petroleum ( oil ). Some soaps contain both. These solutions leave residues on the valve that, when they come in contact with high pressure oxygen, can ignite and cause a fire. The FDA requires 2 leak tests during the fill process, one while the cylinder is filling and another on the cylinder after they have been filled. This test must be done on every cylinder, to ensure that the contents of the cylinder is not leaking out, and that the patient will receive the full contents of the cylinder. To properly clean / disinfect cylinders, providers should: Use the cleaner/disinfectant on the cylinder body only. (NOT on the valve opening) Ensure NO contaminants are left behind by inspecting according to CGA G-4.1 and use a black light. (Applied #1100-9994) If contaminants are found, use a CGA listed and approved oxygen cleaner. (Applied #1100-0026-1) 30 Home HealthCare Today Magazine Issue 2 | 2015 Recommended Cleaners: 2 1. Certified Medical Grade Leak Detector One Gallon # 1109-1023-1 Was $27.95 Your Price = $19.99 each for a case of 4 2. Tough Dirt & Adhesive 1 One Gallon # 1109-5520 Was $73.25 Your Price = $ 59.99 each for a case of 4 120 Count Wipes # 1109-5524 each for a case of 6 Was $28.23 Your Price = $19.99 3 3. Everyday Cleaner One Gallon # 1109-5527 Was $33.92 Your Price = $19.99 each for a case of 4 120 Count Wipes # 1109-5528 each for a case of 6 Was $16.78 Your Price = $11.99 4 4. Mild Cleaner One Gallon # 1100-0026-1 Was $72.25 Your Price = $ 59.99 each for a case of 4 120 Count Wipes # 1100-0022-1 each for a case of 6 Was $28.23 Your Price = $19.99 The information in this document is provided by Applied Home Healthcare Equipment, LLC (“Applied”) as general guidance only and may not explain all relevant safety, regulatory, hazards and/or requirements for your application. Applied has based this example on resources and experience available to the company. Applied and its affiliates makes no guarantee that this document(s) or product(s) is currently up to date or accurate. Use at your own risk. Applied is not liable for any damage that may occur related to or arising from this information or product. Nothing in this document constitutes a binding offer and/or acceptance, warranty or promise. See Applied’s website www.applied-inc.om for more information and links to the FDA, CGA and other websites. Prices subject to change without notice. No rain checks. Offers not valid on previous purchases. Not responsible for typographical and pictorial errors, inaccuracies, or omissions that may relate to product pricing and descriptions. Applied reserves the right to make corrections and/or update information at any time, without prior notice. All content is copyrighted and trademarked by Applied or its affiliates and cannot be used with out express written permission by an authorized employee of Applied. [email protected] | www.applied-inc.com | 888-327-7301 Home HealthCare Today Magazine 31 28825 Ranney Parkway Westlake, Ohio 44145 U.S.A. PRSRT STANDARD US POSTAGE PAID CLEVELAND, OH PERMIT NO. 283 © Applied Home Healthcare Equipment 2015 Your Priority Code Is 041715 Please forward to your compliance officer and/or purchasing agent. Act Now! Offers expire 4/17/15. Call for special OxyGo and OF-7000 financing programs! Keep Going. Proven reliability in a 4.8 lb., 42 decibel package. www.oxygo.life
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