Portable medical electronic devices
Portable medical electronic devices (Automated External Defibrillators (AED), Nebulizer, Continuous Positive Airway Pressure (CPAP), etc.) containing lithium metal or lithium ion cells or batteries may be carried by passengers for medical use as follows:
- For spare batteries of less than 100WHr, the airline may impose a maximum number of spare batteries to what can be reasonably expected as being for personal use.
- For spare batteries of 100-160 WHr - no more than two spare batteries may be carried in.
- All spare batteries must be in carry-on baggage only.
- Spare batteries must be individually protected so as to prevent short circuits (by placement in original retail packaging or by otherwise insulating terminals, e.g. by taping over exposed terminals or placing each battery in a separate plastic bag or protective pouch); and,
- Each installed or spare battery must be of a type which meets the requirements of each test in the UN Manual of Tests and Criteria, Part III, section 38.3;
In addition, each installed or spare battery must not exceed the following:
- For lithium metal batteries, a lithium content of not more than 8 g; or
- For lithium ion batteries, a watt-hour rating of not more than 160 Wh.
Methods of protecting spare Lithium Batteries
Methods to prevent short circuits in Lithium Batteries:
- By keeping batteries in original retail packaging; or,
- By insulating the battery terminals by taping over exposed terminals; or
- By placing each battery in a separate plastic bag or protective pouch.
Portable Oxygen Concentrators
Specific Approval for the carriage of Portable Oxygen Concentrators in Australia is not given by CASA. General guidance to Operators, in respect of the carriage of Portable Oxygen Concentrators has been drawn from US Special Federal Aviation Regulation 106.
Portable Oxygen Concentrator means the AirSep FreeStyle, AirSep LifeStyle, DeVilbiss Healthcare iGo, Inogen One, Inogen One G2,, Invacare XCO2, Invacare Solo2, Inova Labs Lifechoice, Oxlife Indepence Oxygen Concenrator, Oxus Inc RS-00400, Respironics Evergo, or SeQual Eclipse Portable Oxygen Concentrator medical device units, as long as those medical device units assist a user of medical oxygen under a doctor's care. These units perform by separating oxygen from nitrogen and other gases contained in ambient air and dispensing it in concentrated form to the user.
AirSep FreeStyle, AirSep LifeStyle, DeVilbiss Healthcare iGo, Inogen One, Inogen One G2,, Invacare XCO2, Invacare Solo2, Inova Labs Lifechoice, Oxlife Indepence Oxygen Concenrator, Oxus Inc RS-00400, Respironics Evergo, or SeQual Eclipse Portable Oxygen Concentrator units are approved for use for carriage and use by a passenger on board an aircraft provided the following conditions are satisfied:
- The device does not cause interference with the electrical, navigation or communication equipment on the aircraft on which the device is to be used;
- No smoking or open flame is permitted within 10 feet of any seat row where a person is using a portable oxygen concentrator;
- During movement on the surface, takeoff, and landing, the unit must:
- Either be stowed under the seat in front of the user, or in another approved stowage location, so that it does not block the aisle way or the entryway into the row; or
- If it is to be operated by the user, be used only at a seat location that does not restrict any passenger's access to, or use of, any required emergency or regular exit, or the aisle(s) in the passenger compartment;
- No person using a portable oxygen concentrator is permitted to sit in an exit row;
- The pilot in command must be apprised whenever a passenger brings and intends to use a portable oxygen concentrator on board the aircraft and the pilot in command must be informed about the contents of the physician's written statement including the magnitude and nature of the passenger's oxygen needs;
- Whenever the pilot in command turns off the 'Fasten Seat Belt' sign, or otherwise signifies that permission is granted to move about the passenger cabin, passengers operating their portable oxygen concentrator may continue to operate it while moving about the cabin; and
- The user of the portable oxygen concentrator must comply with the following conditions to use the device on board the aircraft:
- The user must be capable of hearing the unit's alarms, seeing the alarm light indicators, and have the cognitive ability to take the appropriate action in response to the various caution and warning alarms and alarm light indicators, or be travelling with someone who is capable of performing those functions;
- The user must ensure that the portable oxygen concentrator is free of oil, grease or other petroleum products and is in good condition free from damage or other signs of excessive wear or abuse;
- The user must inform the aircraft operator that he or she intends to use a portable oxygen concentrator on board the aircraft and must allow the crew of the aircraft to review the contents of the physician's statement. The user must have a written statement, to be kept in that person's possession, signed by a licensed physician that:
- states whether the user of the device has the physical and cognitive ability to see, hear, and understand the device's aural and visual cautions and warnings and is able, without assistance, to take the appropriate action in response to those cautions and warnings;
- states whether or not oxygen use is medically necessary for all or a portion of the duration of the trip; and
- specifies the maximum oxygen flow rate corresponding to the pressure in the cabin of the aircraft under normal operating conditions.
- Only lotions or salves that are oxygen approved may be used by persons using the portable oxygen concentrator device;
- The user, whose physician statement specifies the duration of oxygen use, must obtain from the aircraft operator, or by other means, the duration of the planned flight. The user must carry on the flight a sufficient number of batteries to power the device for the duration of the oxygen use specified in the user's physician statement, including a conservative estimate of any unanticipated delays; and
- The user must ensure that all portable oxygen concentrator batteries carried onboard the aircraft in carry-on baggage are protected from short circuit and are packaged in a manner that protects them from physical damage. Batteries protected from short circuit include: (1) Those designed with recessed battery terminals; or (2) Those packaged so that the battery terminals do not contact metal objects (including the battery terminals of other batteries). When a battery-powered oxygen concentrator is carried onboard aircraft as carry-on baggage and is not intended to be used during the flight, the battery must be removed and packaged separately unless the concentrator contains at least two effective protective features to prevent accidental operation during transport.
Operators should ensure that procedures dealing with the above matters are specified in their operations manual. In relation to items brought on board by passengers, operators should also consider potential dangerous goods implications.