Portable oxygen concentrator

Posted by Stella Tucson @fraytv, Jun 5, 2023

I have bronchiectasis and I am looking for advice on portable oxygen concentrator’s. I am currently on 2L oxygen 24x7(since late Nov 2022) due to 2 separate stays in the hospital due to pneumonia/pseudomonas. At home I use a full size concentrator & when away from the house full size & portable tanks. It doesn’t look like I will be getting off the oxygen. I am thinking of purchasing a portable concentrator. I saw a person with a & portable continuous flow & it was very loud & they said it weighed 14 lbs. They got it from the local oxygen supplier going through insurance. I would like to get a lighter weight & quiet one. Here are my questions:

Any recommendations on brand/model & any to avoid?

If I purchase one do I need a prescription from a dr?

Should I get continuous flow or pulse? I use pulse on the portable ones.

The use of oxygen is new to me, learning everyday. Any suggestions would be appreciated. Thank you!

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@chickytina

One thing I forgot to mention is that I had a back up battery. This is important if you are going to be out for a while (not in car). You can charge the machine while using it via regular plug or car plug, but in the car (at least for me) it just keeps the battery at what it was. When you go to the doctor's ask for a tank so that you don't use up the battery on your machine.

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Again thank you!

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Thanks for all the responses. I posted this question almost a year ago & I am still receiving great suggestions. How time flies. I am still on oxygen after 18 months & still learning about it everyday. How time flies!

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@vic83

Greetings All.
I have just been prescribed portable oxygen 2L/min flow rate by Pulmonologist.
I am looking for any information on portable oxygen concentrators, and what I should consider in selection of one. And are there any issues I should watch for when choosing the provider? I am covered by traditional Medicare and my Medigap policy so I just need a company that will bill Medicare directly. Medicare gave me the name of five companies in the area and I am checking them out
My Pulmonologist mentioned Inogen G5 as very good. But I just spoke to one provider who no longer carries it but instead has new RHYTHM HEALTHCARE P2-E7 PORTABLE OXYGEN CONCENTRATOR
Thanks for your comments and suggestions!

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I have the Inogen G5 and very happy with it and the company. Their representatives have been helpful and knowledgeable. It stopped working once and they replaced it with overnight air. I called Inogen direct for mine and once my pulmonologist provided the prescription they received approval from Medicare and my secondary insurer so I don’t pay anything. Had it 1 and 1/2 years.
Good luck.

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@rtmjohnson1

I have the Inogen G5 and very happy with it and the company. Their representatives have been helpful and knowledgeable. It stopped working once and they replaced it with overnight air. I called Inogen direct for mine and once my pulmonologist provided the prescription they received approval from Medicare and my secondary insurer so I don’t pay anything. Had it 1 and 1/2 years.
Good luck.

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Thanks for your reply. Good idea to go direct to manufacturer. Happily, I don't have to pay anything either. I just need someone who is willing to work with Medicare.
I guess one can't swim with these things...oh well
But I do want to go to Europe with it. So I will ask the manufacturer for converter

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@janet23

I have the Inogen G4 Portable (pulse flow) and DeBliss (continuous flow to use with my CPAP machine). Both are contracted directly through Inogen and both required a 5 year contract and physician order. When my 5 year contract with Inogen is up, I am going to contract with a local supplier. A local supplier will provide oxygen tanks in the event of an emergency or equipment failure. Inogen will not and it takes several days to get replacement equipment from Inogen. Inogen will not upgrade your equipment to a newer model during your contract time. I have 2 batteries for the portable.

Airlines have different policies about taking oxygen concentrators on the plane. I usually fly Delta. Delta requires that you submit their form to get approval to take the portable on the plane. This is done through email in advance. Have a copy of the approval the day you travel. Keep in mind that the airlines pressurize the cabin to 8,000 feet. My health has improved so I don't need oxygen at home with light activities at 4500 feet, but I do need oxygen on the plane or traveling to higher elevations.

The oxygen concentrators need to be in their own bin through security. Sign up for wheelchair when you book your flight.

Original Medicare and Medigap Plan F pay for both concentrator's and supplies.

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Great info, thanks
I want to go to Europe later this year, so I know I will work it out with the airlines. Oxygen is of course dangerous. My Pulmonologist will test me first to see if I need oxygen on the plan.
I need to do overnight oximeter this weekend to see if I need night oxygen also. Good point about local providers able to provide immediate tanks.
And the wheel chair service is fantastic! I went to Italy in March 2023, and had wheelchair assistance all the way. AS soon as I entered the door here in Minneapolis, there was a wheelchair. I sat down and they took me to place to check luggage, through security all the say to the gate. No looking for which way to go or waiting in lines! It was well worth the tip!!! And coming back, I stayed at the hotel at the airport in Milan Italy. A motorized wheelchair came to pick me up! it was a long walk to the gate, a very long walk, but I just cruised.

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@vic83

Thanks for your reply. Good idea to go direct to manufacturer. Happily, I don't have to pay anything either. I just need someone who is willing to work with Medicare.
I guess one can't swim with these things...oh well
But I do want to go to Europe with it. So I will ask the manufacturer for converter

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Yes good idea. I have not tried a long flight with mine. I have one extra regular battery which Delta required for a trip. Check with your airline to see how many hours of battery at 2 lpm you will be required to have with you.

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The Inogen G4 portable was hurting my shoulder, back, and neck to carry with the strap over my shoulder or crossbody. I was off balance carrying it and prone to falling.

I bought a set of 6 Bagail packing cubes on Amazon. The set that included a shoe bag with a handle. The G4 fit perfectly in the blue bag with a grey clear supply bag (pictures are attached). The bag fits under my seat on a plane or in a shopping cart. I unzip it to give the G4 air when I turn it on.

I also bought an Osprey backpack that was fitted to me by the sales clerk at REI and adjusted by my physical therapist. It transfers the weight to my hips and off my shoulder and neck. My hands are free for traveling, balance is better, and I am more stable on hikes. It is perfect for outdoor walks, hikes, day trips, and storage. I put shoe bag with the G4 inside the backpack with other travel items and make sure the G4 is well vented so air can circulate.

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@chickytina

I had the Inogen G5 when I was on oxygen. It worked well and was relatively quiet. You did have to worry about it overheating in the summer though if it wasn't getting enough ventilation. When it overheats, it sounds an alarm and shuts off. The Inogen G5 would go up to 6 liters, which proved not to be enough for me later on. If you renting, it may not be as important, but you might want to make sure of what level it will go up to.

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I use the Inogen G4. It overheated on me earlier this week. I will be far more cautious in the future, but it is hard to keep a car cool in Florida.

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I flew with Respironics Simply Go to Central America and back. We had tickets on hand and after covid i needed o2. Batteries do drain faster on higher elevation. I had 2 extra batteries, was enough for 4 hrs flight, then chargr between flight. It was continuous o2 at 2l, sometimes 3l with higher altitude.
Its true what someone saud that o2 drops even more at a higher elevations. I rented mine for a month to get through the trip. Md note is needed to bring onto plane.
On one out of 4 flights (within central america) pilots wanted to know how much and at what flow i would use it. They also wanted to see sticker on the back that says comtable on airplanes.
At home i had concetrator during the day, i used tall tanks at night (to sleep as much less noisy), then i finally got shoulder strap small tanks with pulsed/on demand o2 to go out in the community.
I hope this helps.
I found Respiratory Therapist who runs small business who was renting/seling products (outside of my insurnace) and asked him bunch of questions pros and cons of products. He helped me a lot

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@rtmjohnson1

I have the Inogen G5 and very happy with it and the company. Their representatives have been helpful and knowledgeable. It stopped working once and they replaced it with overnight air. I called Inogen direct for mine and once my pulmonologist provided the prescription they received approval from Medicare and my secondary insurer so I don’t pay anything. Had it 1 and 1/2 years.
Good luck.

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I talked to someone from Inogen and they told me that G5 has been discontinued and new model now Rove 6. They said also that when one goes through Medicare one gets a refurbished model not above G3. I also asked if I buy the model, will Medicare cover the "maintenance" and they said no. But Medicare site says it does.
I learned long ago to not take the first answer and keep asking until I am satisfied!!!
Do you need oxygen at night? They suggested I could use the portable model for my night needs (I am waiting for test results). I am thinking that might consume the batteries faster so better to have a stationary concentrator if I need at night.
Also I wonder about servicing to be sure that the machine is continuing to perform correctly.
My prescription says something about evaluate to maintain oxygen% at 90. So I need someone to check it if I buy it. Whereas if I go through Medicare it is part of the contract obligation.

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