AirEuropa

Passenger Guide / Flights USA
TRANSPORT OF MEDICAL DEVICES ON BOARD
This subchapter is applicable to the transport for medical devices in the flight operations to, from or within the united Stated (USA).

Normative reference

Transport of dangerous goods by air must be in accordance with:
• United States Regulations (49 CFR Parts 171-180) or the ICAO Technical instructions as limited by 49 CFR Part 171 Subpart C.
The requirements of 49 CFR 175 apply to all shipments offered for air transport to, from or within the United States, including when the shipment is prepared in accordance with these Regulations.

Part 175 contains additional requirements applicable to any person who performs, attempts to perform, or is required to perform a function subject to 49 CFR and is also applicable to air passengers and crew.
• ICAO Technical Instructions. When the ICAO Technical Instructions are used for consignments of dangerous goods, failure to comply with the ICAO Technical Instructions and all relevant US variations is a violation of the United States Regulations.

Note: The IATA Dangerous Goods Regulations are fully in compliance with ICAO Annex 18 and its associated Technical instructions.

• SFAR 106 – Rules for use of portable oxygen concentrator system on board aircraft.

• United States Regulations (14 CFR Parts 125 y 135) Use of certain portable oxygen concentrator devices onboard aircraft.

• Department of Transportation. – Federal Aviation Administration (14 CFR Part 382) Non discrimination on the basis of disability in air Travel.

• Department of Transportation. – Federal Aviation Administration (14 CFR Part 121) Use of conditional portable oxygen concentrator devices on board aircraft.
Information about Travelers with disabilities & Medical conditions: www.tsa.gov

MEDICAL DEVICES ON BOARD: VENTILATORS, RESPIRATORS, CPAP (Continuous positive airway pressure) and concentrador portátil de oxígeno (POC).

BOOKING/INFORMATION
It is recommended that you notify Air Europa at the time of reservation or 48 hours before flight time that you will be flying with medical devices on board to verify their policy and check-in one hour before the check-in time for the general public to receive the services and accommodations in case of user of his/her ventilator, respirator, CPAP machine or POC.

The passenger shall make the requirement through:
- the Telephone Assistance Centre (CAT), on Schedule flights (the confirmation will then be shown in the reservation for that passenger).

A medical certificate shall be required for a passenger with a disability:
- Who is traveling in a stretcher or incubator;
- Who needs medical oxygen during a flight; or

NOTE: Air Europa does not supply oxygen equipment for passenger assistance.

- Whose medical condition is such that there is reasonable doubt that the individual can complete the flight safely, without requiring extraordinary medical assistance during the flight.

For purposes, a medical certificate is a written statement from the passenger´s physician saying that the passenger is capable of completing the flight safely, without requiring extraordinary medical assistance during the flight.
To be valid, a medical certificate must be dated within 10 days of the scheduled date of the passenger´s initial departing flight.

CHECK-IN AND SEATING
Passenger must use check-in desk for his control.
- Check-in Agent must check:
- No person using a portable oxygen concentrator is permitted to sit in an exit row.
- Ensure the device is approved for use onboard the aircraft. Check reservations (MEDA).
- Ensure that a passenger brings an adequate battery supply to power his/her device.

Note: Air Europa cannot ensure the availability of electrical outlets and/or electrical supply on board their aircraft.

- Inform passenger that the medical device must be placed under the seat in front or in the bean/rack.
- Air Europa keeps the right to deny the transportation to those passengers who do not carry suitable or enough equipment and/or batteries necessary for the flight, or who did not make the necessary special arrangements for such transportation.
According to the oxygen capacity requiring and how long last the flight, two types of equipment may be considered:

1) Mobile kit, which does not require to neutralize extra seats. Kit is installed under the seat in front of passenger’s seat.

2) Fixed kit (not provided by Air Europa), requiring to neutralize a part of or all the seats next to the passenger. Necessary seats for the kit may be occupied by the persons accompanying the disabled passenger.

- The station is informed of the presence of OXYG passengers by a message from the department responsible for the reservation.
- In the event of full flights, the passenger must be protected and never be denied boarding.
- The passenger must turn up at the check-in counter with time enough to carry out all necessary arrangements established locally on this airport.
- No Advance Check-in Time has been defined as it may vary depending on the airport.
- For security reasons, the passenger will be allocated on a window seat and (where the flight is not fully booked) the nearer seats will be neutralized.
- The passenger will not be allocated on seats near to bulkheads and/or emergency rows or on a row adjacent to the emergency row, to ensure that the equipment is not displaced and that the passengers evacuation in case of emergency will not be obstructed.
- The passenger must be informed that the equipment will be stowed underneath the forward seat during any phase of the flight, for whose purpose, the equipment must not exceed the relevant cabin baggage size.
- The passenger must turn up at the boarding gate at least 00:45 hours prior to the departure time to board before the rest of passengers and be introduced to the cabin crew.

RESTRICTIONS/DEVICES PROHIBITED FOR ITS TRANSPORTATION
Please note that portable oxygen systems containing liquid oxygen are not accepted onboard, is forbidden under all circumstances, on the person, can not be checked or carried-on, even if the container is empty.
Chemical oxygen generators (generators must not be confused with concentrators), are strictly prohibited for its transportation.
Non-certified or not duly identified equipment and/or cylinders containing oxygen devices, equipment and/or cylinders are strictly prohibited for its transportation.

OXYGEN SUPPLY BY AIR EUROPA
General Policy. Air Europa does not supply oxygen equipment for passenger assistance, this service is not available on Air Europa flights, however the passenger may carry the devices, equipment and/or oxygen cylinders, whether own or hired through specializing entities, as long as they meet the requirements set forth in this subparagraph and subject to previous approval by Air Europa.
Important note: The emergency oxygen installed on board the aircraft is used for unforeseen use and not for its use on passengers with special needs previously known.

OXYGEN OR AIR CYLINDERS REQUIRED FOR MEDICAL PURPOSES
Passengers are not allowed to use their own oxygen cylinders in-flight.
Federal Aviation Administration (FAA) regulations prohibit use of personal oxygen units during flight. However, the FAA has issued guidelines for use of certain portable oxygen concentrators (POC) onboard.

NOTE: Equipment and/or cylinders containing oxygen or air may be carried as checked baggage, duly packed, as long as the equipment and/or cylinders pressure indicates “0”; being produced at the check-in counter with the valve / nozzle separated from the cylinder, thus allowing the check-in personnel to verify that tanks are purged.

MEDICAL DEVICES ON BOARD: VENTILATORS, RESPIRATORS, CPAP (Continuous positive airway pressure) and portable oxygen concentrator (POC).
(USA FLIGHTS)

APLICABILITY
This rule is based in the Federal Register 382.133 (d) (Requirements concerning evaluation and use of passenger-supplied electronic devices that assist passengers with respiration in the cabin during flight ).
This rule applies to both the aircraft operator and the passenger using medical devices on board the aircraft.

ACCEPTANCE - PORTABLE OXYGEN CONCENTRATOR (POC)
(a) No person may use and no aircraft operator may allow the use of any portable oxygen concentrator device except the followings.

Air Europa accepts the transport of following portable oxygen concentrators:
• AirSep FreeStyle
• AirSep LifeStyle
• Delphi RS-00400
• Inogen One
• Invacare XPO2
• Respironics EverGo
• SeQual Eclipse.

Portable Oxygen Concentrator medical devices as long as those medical devices:

(1) Do not contain hazardous materials as determined by the Pipeline and Hazardous Materials Safety Administration.

(2) Are also regulated by the Food and Drug Administration;
These units perform by separating oxygen from nitrogen and other gases contained in ambient air and dispensing it in concentrated form to the user.

Only lotions or salves that are oxygen approved may be used by persons using the portable oxygen concentrator device.

OPERATIONAL REQUIREMENTS FOR MEDICAL DEVICES ON BOARD
As a foreign carrier operating flights to, from or within the United States, Air Europa must provide the information during the reservation process as indicated in following paragraphs upon inquiry from an individual concerning the use in the cabin during air transportation on such a flight of a ventilator, respirator, CPAP (Continuous positive airway machine), or POC (Portable Oxygen Concentrator) of a kind equivalent to an FAA.approved POC for U.S. carriers:

(1) The device must be labeled by the manufacturer to reflect that it has been tested to meet requirements for medical portable electronic devices set by the foreign carrier´s government if such requirements exist;

(2) The device must be labeled by the manufacturer to reflect that it has been tested to meet requirements for medical portable electronic set by the FAA for US carriers if requirements for medical portable electronic devices have not been set by the foreign carrier´s government and the foreign carrier elects to apply FAA requirements for medical portable electronic devices.

(3) The maximum weight and dimensions (length, width, height) of the device to be used by an individual that can be accommodated in the aircraft cabin consistent with the safety regulations of the foreign carrier´s government.

During movement on the surface, takeoff and landing, the unit must:

(i) Either be stowed under the seat in front of passenger´s seat, or in another approved stowage location, so that it does not block the aisle way or the entryway into the row; or

(ii) 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;

(4) The requirements to bring an adequate number of batteries as specified and to ensure that extra batteries carried onboard to power the device are package in accordance with applicable government safety regulations.
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 bring an adequate number of fully charged batteries onboard, based on the battery manufacturer´s estimate of the hours of battery life while the device is in use and the information provided in the physician´s statement, to power the device for not less than 150% of the expected maximum flight duration.

The user must ensure that all portable oxygen concentrator batteries or other medical devices 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 on board 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.

NOTE: Please note that aircraft electrical power is not available for portable oxygen concentrators, therefore, make sure to have enough batteries for the duration of the flight, overlay and unforeseen delays.

Batteries containing Lithium can be divided in two types based on the content of Lithium.
• With a content of up to 8 g Lithium can be carried unlimited.
• With a content of more than 8 g but not more than 25 g, not more than 2 pieces are allowed and only when individually protected against short circuits and wrapped in strong outer packaging can safely be transported in the passenger cabin.
To check the spare batteries which are offered upon check-in, the following equivalent values may serve as an aid:
• Up to 8 g Lithium may also be described as 100 watt/hour or 1450 mA/hour.
• Up to 25 g Lithium may also be described as 300 watt/hour or 4400 mA/hour.
(5) Any requirement, if applicable , that an individual contact the carrier operating the flight 48 hours before scheduled departure to learn the expected maximum duration of his/her flight in order to determine the required number of batteries for his/her particular ventilator, respirator, continuous positive airway pressure machine, or POC;
(4) Any requirement, if applicable , of the carrier operating the flight for an individual planning to use such a device to check-in up to one hour before that carrier´s general check-in deadline; and
(7) Any requirement, if applicable, that an individual who wishes to use a POC onboard an aircraft present to the operating carrier at the airport a physician´s statement (medical certificate).

e) In the case of a codeshare itinerary, the carrier whose code is used on the flight must either inform the individual inquiring about using a ventilator, respirator, CPAP machine or POC onboard an aircraft to contact the carrier operating the flight for information about its requirements for use of such devices in the cabin, or provide such information on behalf of the codeshare carrier operating the flight.

NOTE: If an individual does not comply with the conditions for acceptance of a medical portable electronic device as outlined, you may deny boarding to the individual in accordance with this section and in that event you must provide a written explanation to the individual in accordance with the FAA Federal Register.

NOTIFICATION TO CAPTAIN
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 the 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.

OTHER MEDICAL DEVICES ON BOARD: NEBULIZERS, INSULIN POMP, HEART DEFIBRILATOR, INCUBATORS, etc.
Medical devices on board such as:
- Insulin pumps using wireless glucose monitors (This devices may produce electromagnetic interferences).
- Nebulizers
- Respirators
- Incubators, etc.,
may produce electromagnetic interferences (EMI) that could interrupt or obstruct aircraft equipment’s standard performance.

The use of those equipment on board the aircraft is restricted, although their transportation in passengers cabin is permitted, as long as :
- They meet the cabin baggage weight and size.
- They fit under seat in front of the passenger or inside the stowage bin.

OBS: These equipment/devices must be ensured underneath the seat, or else the passenger may book an additional seat (EXST) for their use on board.
This devices may be carried on and used by a passenger on board an aircraft provided the aircraft operator ensures that the following condition are satisfied, the devices does not cause interference with the electrical, navigation or communication equipment on the aircraft on which the device is to be used; to confirm this point the airline has to check with the device´s technical manual in order to confirm it could be operated on board.

These equipment/devices are carried with no extra charge and are considered as cabin baggage (weight and size standards have to be complied with).

These equipment/devices must be ensured underneath the seat, or else the passenger may book an additional seat (EXST) for their use on board.

On the PNL, the passenger is identified by the remarks: FRAG + CKIN + MEDA.