Traveling with a portable oxygen concentrator (POC) can feel daunting, but with proper planning, flying with oxygen is both manageable and safe. Whether you’re a seasoned traveler or planning your first trip with oxygen therapy, staying informed about airline regulations, equipment requirements, and recent rule changes will ensure a smooth journey.

These guidelines are general. Before traveling, check with your airline if you are traveling with a portable oxygen concentrator to find out their specific requirements and restrictions.

Portable Oxygen Concentrator Battery Requirements

Most airlines require oxygen users to have 150% of battery life to flight time.

For example:

• Flight Time 2 Hours = Battery Life 3 Hours
• Flight Time 4 Hours = Battery Life 6 Hours
• Flight time 6 hours = Battery Life 9 Hours

One Big Change for Portable Oxygen Concentrator Batteries

Recently several airlines have updated their rules regarding lithium-ion batteries, which are commonly used in Portable Oxygen Concentrators. 

Because of battery life requirements, many oxygen users purchased what are commonly referred to as double, or 16 cell batteries. Unfortunately, batteries over 160 Watt Hours are no longer being allowed aboard many airlines. Single, or 8 cell batteries are about 92 Watt Hours. Double, or 16 cell batteries are over the limit at 184 Watt Hours. 

These are the changes which are crucial to understand:

• Double Batteries Are Not Allowed: Double batteries exceed the Watt Hour limit.
• Battery Watt-Hour Limits: Batteries must not exceed 160 Watt Hours.
• Spare Batteries: For devices with batteries below this threshold, you can carry multiple spares. However, each airline may have its own policy on the maximum number of batteries allowed, so check ahead.
• Battery Packaging: Spare batteries must be stored in protective cases or with terminals covered in order to prevent short circuits.

If you are planning a trip be sure to call your airline to find out what their regulations are. Please keep in mind that you need to check with connecting airlines as well.

Watch this video for a quick overview of battery changes!

Portable Oxygen Concentrator Flight Precautions

• Contact Your Airline Most airlines require passengers to notify them in advance if they will be traveling with a concentrator. Call the airline at least 48 hours before your flight in order to:
  • Confirm their specific requirements.
  • Ensure your Portable concentrator model is FAA-approved.
  • Verify if additional documentation, such as a doctor’s letter or prescription is needed.
• Be Sure Paperwork is In Order Some airlines may have their own forms that need to be filled out by your doctor, specifying your oxygen requirements during the flight. These forms often include details like the flow rate and whether you need continuous or pulse oxygen delivery. Having this documentation ready ahead of time can save you stress at check-in.
• Check the FAA-Approved List Ensure your POC is on the FAA Approved list. Every portable oxygen concentrator that Oximedial sells is FAA Approved.  Popular brands like Inogen, Respironics, and Rhythm typically meet these requirements but always double-check to avoid surprises at the airport. The FAA regularly updates this list, so even if you’ve flown with your concentrator before, it’s a good idea to reconfirm its approval status.
• Know Your Oxygen Needs Calculate how much oxygen you will need for the entire duration of your trip, including:
  • Time spent in the airport.
  • Layovers.
  • Flight delays.
  • Your flight time.
• Be Familiar with your Equipment It may be helpful to practice switching batteries or cannulas before your trip so you’re comfortable doing so in various settings. It’s a good idea to bring your owner’s manual for quick reference.
• Choose the Right Seat When booking your flight, consider selecting an aisle seat for easier movement and accessibility. Additionally, some airlines offer power outlets at certain seats. Check in advance to see if your seat provides power, as this could be a backup option if you encounter issues with your batteries. 
• Make Sure Everything is in Working Order Test your concentrator as well as all your batteries, cords and chargers well before traveling in case you need to order replacements.

Subject to Discuss with Your Doctor

Before traveling there are a few topics that you should consider discussing with your doctor to ensure you stay healthy and safe while traveling.

• Keep in mind extremes in temperature, humidity, or altitude can affect breathing. If the climate or general environment is different where you are traveling ask your doctor what precautions you should take and if you should adjust your oxygen settings.
• The cruising altitude of a commercial airplane is about 32,000 feet. The pressurized cabin is equivalent to about 8,000 feet so ask your doctor if you should increase your oxygen setting while in the air.
• Allergic reactions can put you at risk for exacerbation so ask your doctor for guidance about taking an Antihistamine.
• Ask if you can get extra prescription medications to have on hand just in case.

Packing Your POC and Accessories

• Bring a copy of all prescription medications as well as insurance information.
• Pack extra accessories like nasal cannulas, chargers, and adapters. Consider carrying duplicates in case of loss or damage.
• Use a carry-on bag specifically for your POC and its accessories to keep everything organized and easily accessible.
• Ensure your POC is fully charged before arriving at the airport. 

Taking your Portable Oxygen Concentrators through TSA

If you can disconnect from your oxygen momentarily you can send your concentrator through the X-ray machine. It won’t damage it at all. 

If you cannot disconnect from your oxygen, let the TSA agent know. You will be taken aside and given a wand screening.

• Be prepared for a manual inspection if necessary. TSA agents are trained to handle medical devices, but carrying a doctor’s note and the POC manual can help expedite the process.
• If you’re concerned about hygiene, bring sanitizing wipes to clean your POC after it has been handled. 

Successfully Navigating the Airport with a Portable Oxygen Concentrator

Keep in mind that anxiety negatively affects your breathing. You don’t want to start your vacation with a coughing fit or dyspnea spell so make your trip to the airport as stress-free as possible.

• Give yourself plenty of time. Rushing and having to walk fast is only going to negatively affect your mood as well as your breathing.
• If you need help getting to your gate, call the airport a few days in advance and ask for a cart to drive you to your gate. Don’t be embarrassed to ask for help if you need it.

Boarding the Plane

• Arrive early to allow time for any special boarding needs. Many airlines offer pre-boarding for passengers requiring additional assistance.
• Ensure your POC is placed under the seat in front of you or another approved location during takeoff and landing. Avoid placing it in an overhead bin, as this may restrict access during the flight.
• Some airlines may also provide priority seating for passengers with medical devices. Don’t hesitate to ask for accommodations to make your flight more comfortable.

In-Flight Considerations

• Using Your POC: Follow your doctor’s prescribed oxygen settings. Make sure the device is functioning properly before takeoff.
• Monitor Battery Usage: Keep track of how much battery life is left and switch to spares as needed. If your airline offers in-seat power, ensure your POC is compatible with their outlets.
• Communicate with Flight Attendants: Alert the flight attendants to your oxygen needs at the beginning of the flight. They can provide assistance if you encounter any issues or require additional support.

Managing Long Flights

For long-haul flights, additional preparation is key. Pack extra snacks, water, and any medications you may need during the flight. Staying hydrated is especially important, as cabin air can be dry. If you’re concerned about sleep, consult your doctor about strategies for resting comfortably while using a POC.

International Travel with a Portable Oxygen Concentrator

Flying internationally with a POC involves additional considerations:

• Country Regulations: Research the regulations for medical devices in your destination country. Some countries have specific requirements for oxygen equipment or require prior approval for entry.
• Voltage Compatibility: Check if you need a voltage converter or plug adapter for your POC’s charger.
• Language Barriers: Carry translated copies of your doctor’s note and equipment manuals to communicate with foreign authorities or airline staff.

Final Tips

• Stay Updated on Regulations: Rules regarding oxygen devices and batteries may change, so always check with your airline and the TSA before your trip.
• Plan Ahead: Booking direct flights can reduce travel time and minimize the risk of running out of oxygen. If a layover is unavoidable, ensure there are charging stations or outlets available in the airport.
• Pack Smart: Use a checklist to ensure you don’t forget any essential items. Include extras of everything, from nasal cannulas to cleaning supplies.
• Practice Patience: Traveling with medical equipment can attract extra attention during security screenings and boarding. Staying calm and prepared will make the process smoother for both you and the airline staff.

Travel Resources

• FAA Guidelines: Review the FAA’s official guidance on traveling with oxygen. Click here for FAA Regulations and POC List.
• TSA Cares: This program offers assistance to travelers with medical needs. Call their hotline to coordinate support at the airport. This is the link for TSA Concentrator Guidlines.

Flying with a Portable Oxygen Concentrator doesn’t have to limit your adventures. By understanding the latest rules and planning accordingly, you can focus on enjoying your journey and making memories. Whether you’re heading to a family reunion, a beach vacation, or an overseas adventure, careful preparation will give you the confidence to travel with ease.

How OxiMedical Can Help

Give us a call today at 1-888-977-4113 where our respiratory specialists are standing by to make sure your travel plans go off without a hitch.

• All the machines we provide are FAA Approved
• We can make sure that you have enough of the appropriate batteries to travel safely
• Oximedical has the best pricing on external battery chargers which can be especially helpful when on vacation
• Expedited shipping is available

Because of recent changes in battery regulations, OxiMedical has ordered a large shipment of single batteries so we can make them available to you at the best price possible. We can ship them overnight but this time of year shipping can be challenging so please let us know as soon as possible if you need some for your travels.