81_FR_33197 81 FR 33097 - Acceptance Criteria for Portable Oxygen Concentrators Used On Board Aircraft

81 FR 33097 - Acceptance Criteria for Portable Oxygen Concentrators Used On Board Aircraft

DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
Office of the Secretary

Federal Register Volume 81, Issue 100 (May 24, 2016)

Page Range33097-33122
FR Document2016-11918

This final rule replaces the existing process by which the Federal Aviation Administration (Agency or FAA) approves portable oxygen concentrators (POC) for use on board aircraft in air carrier operations, commercial operations, and certain other operations using large aircraft. The FAA currently assesses each POC make and model on a case-by-case basis and if the FAA determines that a particular POC is safe for use on board an aircraft, the FAA conducts rulemaking to identify the specific POC model in an FAA regulation. This final rule replaces the current process and allows passengers to use a POC on board an aircraft if the POC satisfies certain acceptance criteria and bears a label indicating conformance with the acceptance criteria. The labeling requirement only affects POCs intended for use on board aircraft that were not previously approved for use on aircraft by the FAA. Additionally, this rulemaking will eliminate redundant operational requirements and paperwork requirements related to the physician's statement. As a result, this rulemaking will reduce burdens for POC manufacturers, passengers who use POCs while traveling, and affected aircraft operators. This final rule also makes conforming amendments to the Department of Transportation's (Department or DOT) rule implementing the Air Carrier Access Act (ACAA) to require carriers to accept all POC models that meet FAA acceptance criteria as detailed in this rule.

Federal Register, Volume 81 Issue 100 (Tuesday, May 24, 2016)
[Federal Register Volume 81, Number 100 (Tuesday, May 24, 2016)]
[Rules and Regulations]
[Pages 33097-33122]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-11918]



[[Page 33097]]

Vol. 81

Tuesday,

No. 100

May 24, 2016

Part V





Department of Transportation





-----------------------------------------------------------------------





Federal Aviation Administration





-----------------------------------------------------------------------





14 CFR Parts 1, 11, 121, et al.





Acceptance Criteria for Portable Oxygen Concentrators Used On Board 
Aircraft; Final Rule

Federal Register / Vol. 81 , No. 100 / Tuesday, May 24, 2016 / Rules 
and Regulations

[[Page 33098]]


-----------------------------------------------------------------------

DEPARTMENT OF TRANSPORTATION

Federal Aviation Administration

14 CFR Parts 1, 11, 121, 125, and 135

Office of the Secretary

14 CFR Part 382

[Docket No.: FAA-2014-0554; Amdt. Nos. 1-69, 11-59, 121-374, 125-65, 
and 135-133]
RIN 2120-AK32


Acceptance Criteria for Portable Oxygen Concentrators Used On 
Board Aircraft

AGENCY: Federal Aviation Administration (FAA) and Office of the 
Secretary (OST), Department of Transportation (DOT).

ACTION: Final rule.

-----------------------------------------------------------------------

SUMMARY: This final rule replaces the existing process by which the 
Federal Aviation Administration (Agency or FAA) approves portable 
oxygen concentrators (POC) for use on board aircraft in air carrier 
operations, commercial operations, and certain other operations using 
large aircraft. The FAA currently assesses each POC make and model on a 
case-by-case basis and if the FAA determines that a particular POC is 
safe for use on board an aircraft, the FAA conducts rulemaking to 
identify the specific POC model in an FAA regulation. This final rule 
replaces the current process and allows passengers to use a POC on 
board an aircraft if the POC satisfies certain acceptance criteria and 
bears a label indicating conformance with the acceptance criteria. The 
labeling requirement only affects POCs intended for use on board 
aircraft that were not previously approved for use on aircraft by the 
FAA. Additionally, this rulemaking will eliminate redundant operational 
requirements and paperwork requirements related to the physician's 
statement. As a result, this rulemaking will reduce burdens for POC 
manufacturers, passengers who use POCs while traveling, and affected 
aircraft operators. This final rule also makes conforming amendments to 
the Department of Transportation's (Department or DOT) rule 
implementing the Air Carrier Access Act (ACAA) to require carriers to 
accept all POC models that meet FAA acceptance criteria as detailed in 
this rule.

DATES: The amendments to 14 CFR 1.1, 1.2, 121.574, 125.219, and 135.91 
are effective June 23, 2016. The amendments to 14 CFR 11.201, 121.306, 
125.204, 135.144, 382,27, and 382.133, and the removal of Special 
Federal Aviation Regulation No. 106 are effective August 22, 2016.

ADDRESSES: For information on where to obtain copies of rulemaking 
documents and other information related to this final rule, see ``How 
to Obtain Additional Information'' in the SUPPLEMENTARY INFORMATION 
section of this document.

FOR FURTHER INFORMATION CONTACT: For technical questions concerning 
this action, contact DK Deaderick, 121 Air Carrier Operations Branch, 
Air Transportation Division, Flight Standards Service, Federal Aviation 
Administration, AFS-220, 800 Independence Avenue SW., Washington, DC 
20591; telephone (202) 267-7480; email [email protected]. For 
questions regarding the Department's disability regulation (14 CFR part 
382), contact Clereece Kroha, Senior Attorney, Office of Aviation 
Enforcement and Proceedings, Department of Transportation, 1200 New 
Jersey Avenue SE., Washington, DC 20590; telephone (202) 366-9041; 
email [email protected].

SUPPLEMENTARY INFORMATION:

Table of Contents

I. Executive Summary
    A. Overview of Final Rule
    B. Summary of Cost Savings
II. Authority for This Rulemaking
III. Background
    A. Statement of the Problem
    B. Summary of the NPRM
    C. Differences Between Notice of Proposed Rulemaking and Final 
Rule
    D. General Overview of Comments
IV. Discussion of Public Comments and Final Rule
    A. Applicability, Effective Dates and Compliance
    B. Definition of Portable Oxygen Concentrator
    C. Portable Oxygen Concentrator Acceptance Criteria
    1. Food and Drug Administration Clearance or Approval
    2. Radio Frequency Emissions
    3. Hazardous Materials
    4. Maximum Oxygen Pressure
    D. Manufacturer Label
    E. Manufacturer Determination of Conformance to Acceptance 
Criteria
    F. Prohibition on Smoking or Open Flame
    G. Operational Requirements
    1. Exit Seats
    2. Stowage of Portable Oxygen Concentrators
    H. Discussion of Special Federal Aviation Regulation No. 106 
Requirements Excluded From Final Rule
    1. Special Federal Aviation Regulation No. 106 Requirements 
Addressed in Existing Regulations
    2. Special Federal Aviation Regulation No. 106 Requirements 
Excluded in Their Entirety
    I. Miscellaneous
    J. Technical Amendments
    K. Nondiscrimination on the Basis of Disability in Air Travel
    1. Mandatory Acceptance of POCs That Meet FAA Acceptance 
Criteria
    2. Other Amendments to 14 CFR Part 382
V. Regulatory Notices and Analyses
    A. Regulatory Evaluation
    B. Regulatory Flexibility Determination
    C. International Trade Impact Assessment
    D. Unfunded Mandates Assessment
    E. Paperwork Reduction Act
    F. International Compatibility and Cooperation
    G. Environmental Analysis
VI. Executive Order Determinations
    A. Executive Order 13132, Federalism
    B. Executive Order 13211, Regulations That Significantly Affect 
Energy Supply, Distribution, or Use
VII. How To Obtain Additional Information
    A. Rulemaking Documents
    B. Comments Submitted to the Docket
    C. Small Business Regulatory Enforcement Fairness Act

I. Executive Summary

A. Overview of Final Rule

    This final rule affects the use of POCs on board aircraft in 
operations conducted under title 14 of the Code of Federal Regulations 
(14 CFR) parts 121, 125, and 135, by replacing the existing FAA case-
by-case approval process for each make and model of POC in Special 
Federal Aviation Regulation (SFAR) No. 106, with FAA acceptance 
criteria. Under SFAR No. 106, each time the FAA approves a specific 
model of POC for use on board aircraft, the agency updates the list of 
approved POCs in the SFAR.\1\
---------------------------------------------------------------------------

    \1\ POCs identified in the SFAR are referred to in this preamble 
as SFAR-approved POCs or SFAR-approved devices.
---------------------------------------------------------------------------

    This final rule removes SFAR No. 106 and replaces it with POC 
acceptance criteria and specific labeling requirements to identify POCs 
that conform to the acceptance criteria. POCs that conform to the final 
rule acceptance criteria will be allowed on board aircraft without 
additional FAA review and rulemaking.
    As with existing requirements for FAA approval of POCs that may be 
used on aircraft, the final rule acceptance criteria and labeling 
requirement only apply to POCs intended for use on board aircraft. 
Table 1 provides a comparison of the final rule acceptance criteria and

[[Page 33099]]

labeling requirement with related SFAR No. 106.

   Table 1--Comparison of Final Rule Acceptance Criteria and Labeling
           Requirement With Related SFAR No. 106 Requirements
------------------------------------------------------------------------
                                                         Final rule
                              Related SFAR No. 106   acceptance criteria
                                  requirements          and labeling
                                                         requirement
------------------------------------------------------------------------
Food and Drug Administration  The POC must be       The POC manufacturer
 (FDA) clearance to market     regulated by the      has received FDA
 the device.                   FDA (section 2(2)).   clearance to
                              Note: To satisfy       legally market the
                               this requirement,     device in the
                               manufacturers         United States.
                               provide the FAA
                               with the FDA letter
                               granting approval
                               to market the
                               device (the FDA
                               response to a
                               manufacturer's
                               510(k) submission).
Hazardous materials.........  The POC may not       The POC must not
                               contain hazardous     contain any
                               materials as          hazardous materials
                               determined by the     subject to the HMR,
                               Pipeline and          except as provided
                               Hazardous Materials   for batteries in
                               Safety                the exceptions for
                               Administration        crewmembers and
                               (section 2(1)).       passengers (49 CFR
                              Note: To satisfy       175.10).
                               this requirement,    The maximum oxygen
                               manufacturers         pressure generated
                               currently provide     by the POC must
                               the FAA with a        fall below the
                               Pipeline and          threshold for the
                               Hazardous Materials   definition of a
                               Safety                compressed gas as
                               Administration        per the HMR.
                               (PHMSA)
                               determination
                               letter stating that
                               the POC is not
                               subject to the
                               Hazardous Materials
                               Regulations (HMR)
                               (49 CFR parts 171-
                               180).
Radio frequency (RF)          Operator must         The POC's RF
 emissions.                    determine that POC    emissions do not
                               does not cause        interfere with
                               interference with     aircraft systems.
                               the electrical,
                               navigation or
                               communication
                               equipment on the
                               aircraft on which
                               the device is to be
                               used (section
                               3(a)(1)).
                              Note: To satisfy
                               this requirement,
                               it is current
                               practice for
                               operators to use
                               testing data
                               provided by POC
                               manufacturers
                               regarding the RF
                               emissions of a
                               specific POC model.
                               Manufacturers
                               currently complete
                               testing in
                               accordance with
                               RTCA standard 160G,
                               Section 21,
                               Category M.
Identification of POCs safe   POC model must be     In order to be used
 for use on board aircraft.    identified in SFAR    on aircraft, a
                               No. 106 as approved   label must be
                               for use on board      affixed to the POC
                               aircraft prior to     indicating
                               use on board          compliance with
                               aircraft in part      acceptance criteria
                               121, 125, and 135     pertaining to FDA
                               operations            clearance to market
                               (sections 2, 3(a)).   the device,
                              Note: Specific POCs    hazardous
                               approved for use on   materials, and RF
                               board aircraft are    emission limits.
                               identified in SFAR   POC models
                               No. 106 by            identified in
                               manufacturer and      existing SFAR No.
                               model name.           106 satisfy the
                               Although some POC     acceptance criteria
                               manufacturers affix   and will be exempt
                               a label indicating    from the labeling
                               FAA approval for      requirement. These
                               use on board          POC models will
                               aircraft, there is    continue to be
                               no current FAA        identified in the
                               requirement for a     regulatory text.
                               label indicating
                               this approval.
------------------------------------------------------------------------

    This final rule requires all POC models to conform to the 
acceptance criteria.\2\ Further, any POC model that was not previously 
identified in SFAR No. 106 as approved for use on aircraft must also 
bear a label indicating conformance with the acceptance criteria before 
it may be used on board an aircraft. This label will facilitate 
passenger and crew recognition of POCs that may be used in the cabin 
during all phases of flight.
---------------------------------------------------------------------------

    \2\ POC models previously listed as approved for use on board 
aircraft in SFAR No. 106 received approval because they satisfied 
the criteria set forth in SFAR No. 106. The POC acceptance criteria 
identified in this final rule are based on existing SFAR No. 106 
requirements that must be satisfied before the FAA identifies a POC 
in SFAR No. 106 as approved for use on aircraft. Thus, a POC model 
identified in SFAR No. 106 satisfies the acceptance criteria.
---------------------------------------------------------------------------

    SFAR-approved POC models need not bear a label. The final rule 
regulatory text includes a list of POCs approved in accordance with 
SFAR No. 106 so that passengers and crewmembers can continue to 
identify these POCs as approved for use on board aircraft.
    In addition, this final rule eliminates SFAR No. 106 requirements 
related to POC use on board aircraft that are addressed elsewhere in 
titles 14 or 49 of the CFR. This final rule also eliminates specific 
SFAR No. 106 requirements applicable to passengers that are not 
necessary for safe POC use on board aircraft, and impose an unnecessary 
and unreasonable paperwork burden on POC-using passengers and their 
physicians as well as crewmembers and aircraft operators. This final 
rule also increases accessibility in air travel for passengers who 
require oxygen therapy during flight. Table 2 summarizes the final rule 
disposition of all SFAR No. 106 provisions.

  Table 2--Summary of SFAR No. 106 Provisions and Disposition in Final
                                  Rule
------------------------------------------------------------------------
                                                     Description of
      Summary of SFAR No. 106 provision        disposition in final rule
------------------------------------------------------------------------
 Requirement that the POC is legally   SFAR No. 106 Provisions
 marketed in the United States in accordance    Reflected in Acceptance
 with FDA requirements (section 2(2)).          Criteria and Labeling
 Requirement for operator to            Requirement.
 determine that POC does not cause
 interference with the electrical, navigation
 or communication equipment on the aircraft
 on which the device is to be used (section
 3(a)(1)).

[[Page 33100]]

 
 Prohibition on POCs containing
 hazardous materials as determined by the
 Pipeline and Hazardous Materials Safety
 Administration (section 2(1)).
 POC model must be identified in SFAR
 No. 106 prior to use in part 121, 125, and
 135 operations (sections 2, 3(a))*.
 Prohibition on smoking or open flame  SFAR No. 106 Provisions
 near POC (section 3(a)(2)).                    Retained.
 Prohibition on seating a passenger
 using a POC in an exit seat (section
 3(a)(4))..
 Requirement to stow POC during
 movement on the surface, takeoff, and
 landing (section 3(a)(3)).
 POC model must be identified in SFAR
 No. 106 prior to use in part 121, 125, and
 135 operations (sections 2, 3( a))*.
 ``Whenever the pilot in command       SFAR No. 106 Provisions
 turns off the ``Fasten Seat Belt'' sign, or    Eliminated Because
 otherwise signifies that permission is         Addressed in Other
 granted to move about the passenger cabin,     Existing Regulations.
 passengers operating their portable oxygen
 concentrator may continue to operate it
 while moving about the cabin.'' (section
 3(a)(6)).
 Requirement for POC user to ensure
 that POC batteries in carry-on baggage are
 protected from short circuit and are
 packaged in a manner that protects them from
 physical damage (section 3(b)(6)).
 ``Whenever the pilot in command       SFAR No. 106 Provisions
 turns off the ``Fasten Seat Belt'' sign, or    Eliminated Because
 otherwise signifies that permission is         Addressed in Other
 granted to move about the passenger cabin,     Existing Regulations.
 passengers operating their portable oxygen
 concentrator may continue to operate it
 while moving about the cabin.'' (section
 3(a)(6)).
 Requirement for POC user to ensure
 that POC batteries in carry-on baggage are
 protected from short circuit and are
 packaged in a manner that protects them from
 physical damage (section 3(b)(6)).
 Requirements for POC user to obtain   SFAR No. 106 Provisions
 a physician's statement and provide notice     Eliminated in Their
 to pilot and aircraft operator regarding POC   Entirety.
 use and contents of physician statement
 (sections 3(a)(5) and 3(b)(3)).
 Requirement for POC user to be
 capable of responding to alarms or to travel
 with a person who can perform these
 functions (section 3(b)(1)).
 Requirement for POC user to ensure
 that the POC is free of petroleum products
 or signs of excessive wear or abuse (section
 3(b)(2)).
 Prohibition on use of salves and
 lotions unless ``oxygen approved'' (section
 3(b)(4))
 Requirement for passenger to carry a
 sufficient number of batteries for duration
 of flight (section 3(b)(5))**.
------------------------------------------------------------------------
* The list of POCs currently identified in SFAR No. 106 will be
  maintained in parts 121, 125 and 135. A detailed discussion regarding
  the identification of POCs that conform to the acceptance criteria is
  provided in the preamble discussion, ``Manufacturer Label.''
** Air carriers may require passengers using a POC to bring an adequate
  number of batteries to power a POC. See 14 CFR 382.133.

    This final rule also includes several conforming changes to 14 CFR 
part 382 to ensure that the Department's rule requiring carriers to 
accommodate passengers with disabilities who are traveling with POCs is 
consistent with the FAA changes to POC carriage and use on aircraft.
    Finally, the amendments provided in this final rule are consistent 
with the retrospective regulatory review requirements of Executive 
Order 13563. On January 18, 2011, the President signed Executive Order 
13563, Improving Regulation and Regulatory Review. Among other things, 
Section 6 of that Executive Order directs agencies to conduct a 
retrospective analysis of existing rules. Specifically, Executive Order 
13563 provides that ``[t]o facilitate the periodic review of existing 
significant regulations, agencies shall consider how best to promote 
retrospective analysis of rules that may be outmoded, ineffective, 
insufficient, or excessively burdensome, and to modify, streamline, 
expand, or repeal them in accordance with what has been learned.''
    Consistent with Executive Order 13563, the FAA routinely evaluates 
existing regulations and other requirements. The FAA works to identify 
unnecessary, duplicative, or ineffective regulations and to mitigate 
the impacts of those regulations, where possible, without compromising 
safety.
    As part of the FAA's continuing obligation to review its 
regulations, the agency conducted an analysis of SFAR No. 106 and 
determined that it involves several unnecessary burdens. As a result of 
this determination and the resulting final rule amendments, the final 
rule will provide relief to POC manufacturers, passengers who use a 
POC, aircraft operators and the FAA. The final rule will provide relief 
to POC manufacturers and the FAA by eliminating the SFAR No. 106 POC 
approval process, to passengers who use a POC by eliminating the FAA 
requirement to obtain a physician's statement, and to aircraft 
operators by eliminating the requirements for crewmember review of the 
physician's statement and pilot in command (PIC) notification. The 
quantification of benefits follows the same methodology as the proposed 
rule as the agency did not receive negative comments on this 
methodology. The agency presents cost savings in Table 3 below.
    The total cost savings from this final rule is $39.5 million ($27.6 
million at 7% present value and $33.6 million at 3% present value). The 
largest cost savings of $39 million occurs from the reduction of crew 
time to review the physician's statement. These are the same estimated 
benefits and costs as presented for the proposed rule and since the FAA 
received no comments regarding these estimates, there are no changes to 
this final rule.

B. Summary of Cost Savings

    The FAA estimates that manufacturers will save $108,000 over ten 
years because they will no longer have to petition the FAA for 
rulemaking with each new device they want to add to the list of POCs 
approved for use

[[Page 33101]]

during flight on board aircraft. These cost savings will be reduced 
slightly because manufacturers will incur an estimated total one-time 
cost of $22,000 to comply with the labeling requirement. The FAA 
estimated additional cost savings because of the discontinuation of 
certain requirements from SFAR No. 106. Table 3 presents total 
estimated cost savings.

                                      Table 3--Total Estimated Cost Savings
----------------------------------------------------------------------------------------------------------------
                                                                                    7% Present      3% Present
                                                                   Cost savings    value savings   value savings
----------------------------------------------------------------------------------------------------------------
FAA Savings--No SFAR............................................         $91,644         $68,871         $80,519
Manufacturer Savings--No petition for rulemaking................         108,000          75,853          92,126
Removal of FAA requirement for user to obtain a physician's              569,961         401,645         486,914
 statement for POC use on aircraft..............................
Removal of FAA requirement for crew review of physician's             38,726,085      27,083,677      32,972,652
 statement and PIC notification.................................
                                                                 -----------------------------------------------
    Total Cost Savings..........................................      39,495,690      27,630,045      33,632,212
----------------------------------------------------------------------------------------------------------------

II. Authority for This Rulemaking

    The FAA's authority to issue rules on aviation safety is found in 
Title 49 of the United States Code. Subtitle I, Section 106 describes 
the authority of the FAA Administrator. Subtitle VII, Aviation 
Programs, describes in more detail the scope of the agency's authority.
    This rulemaking is promulgated under the authority described in 49 
U.S.C. 106(f), which vests final authority in the Administrator for 
carrying out all functions, powers, and duties of the administration 
relating to the promulgation of regulations and rules, and section 
44701(a)(5), which requires the Administrator to promulgate regulations 
and minimum standards for other practices, methods, and procedures 
necessary for safety in air commerce and national security. Further, 49 
U.S.C. 41705 provides the Secretary of Transportation the authority to 
prohibit discrimination against a qualified individual with a 
disability in air travel.

III. Background

A. Statement of the Problem

    On July 12, 2005, the FAA published a final rule adding SFAR No. 
106 to part 121 of title 14 (70 FR 40156). The final rule adding SFAR 
No. 106 permitted the use of POCs identified in the SFAR to address the 
needs of passengers requiring oxygen therapy while traveling on board 
aircraft.
    Prior to SFAR No. 106, passengers could carry and operate equipment 
generating, storing or dispensing medical oxygen on board an aircraft 
only if the equipment was furnished by the certificate holder and 
certain other conditions prescribed in 14 CFR 121.547, 125.219 and 
135.91 were satisfied. In 2005, only a limited number of air carriers 
provided compressed medical oxygen, for a fee, to passengers who 
required medical oxygen therapy during flight. Because compressed 
oxygen is considered a hazardous material, it was an expensive and 
logistically challenging exercise for air carriers to provide medical 
oxygen. Today, virtually no certificate holders conducting part 121 
operations provide in-flight medical oxygen for a fee to passengers.
    Further, passengers requiring oxygen therapy during travel also 
faced difficulty coordinating service between the carrier and the 
medical oxygen supplier to ensure coverage at the terminal, on board 
the aircraft, and gate-to-gate. Sometimes, passengers would spend at 
least part of the time travelling without medical oxygen due to service 
problems with the oxygen supplier.
    In 2002, POCs were brought to the attention of the FAA as a new 
portable technology for dispensing medical oxygen for purposes of 
oxygen therapy. POCs work by filtering nitrogen from the air and 
providing the POC user with oxygen at a concentration of approximately 
90 percent. Thus, POCs do not require the same level of special 
handling as compressed oxygen. However, due to existing FAA regulations 
applicable to the use of devices that dispense oxygen (Sec. Sec.  
121.574, 125.219, and 135.91), including POCs, the FAA informed the POC 
community that an exemption would be required for a passenger to carry 
on and operate a POC that the passenger supplied for his or her own use 
(i.e., not furnished by the aircraft operator).
    Rather than wait for petitions for exemption from the existing 
regulations (Sec. Sec.  121.574, 125.219, and 135.91), the FAA 
completed rulemaking to address the issue of passenger-supplied POCs by 
adding SFAR No. 106 to title 14. See 69 FR 42324 (July 14, 2004) and 70 
FR 40156 (July 12, 2005). SFAR No. 106 allows passengers to carry and 
operate their own POC on board an aircraft if the FAA has approved the 
specific POC model for use on board aircraft and identified the POC 
model in the SFAR.\3\ As a result of SFAR No. 106, the FAA has 
mitigated the challenges faced by passengers requiring oxygen therapy 
during travel and has increased the accessibility to air travel for 
many passengers requiring oxygen therapy by allowing passengers to 
supply their own POCs for use during air travel.
---------------------------------------------------------------------------

    \3\ Initially, SFAR No. 106 applied to part 119 certificate 
holders conducting operations under part 121. In a technical 
amendment published January 12, 2007 (72 FR 1442), the FAA extended 
the requirements of SFAR No. 106 to part 119 certificate holders 
conducting operations under parts 125 and 135.
---------------------------------------------------------------------------

    Passengers may not use a POC on board an aircraft in part 121, 125, 
or 135 operations unless the FAA has identified the device they wish to 
use in SFAR No. 106 as approved for use in such operations. In 2005, 
SFAR No. 106 identified the first specific POC models approved for use 
on board aircraft. Although the agency intended SFAR No. 106 to serve 
as a special, temporary regulation, until POC performance standards 
(acceptance criteria) could be developed, it has remained in place for 
the last decade. See 70 FR at 40158-40159. During this time, the FAA 
has amended SFAR No. 106 seven times to identify additional POC models 
that may be used on board aircraft.\4\ This process is time-consuming 
for POC manufacturers because they must petition the FAA for rulemaking 
to add their POC model to the SFAR list if they want their POC to be 
approved for use on board aircraft. Together with a petition for 
rulemaking, manufacturers provide the FAA with documentation required 
for the FAA to make a determination whether the POC satisfies the 
requirements of the SFAR. This process is also time-consuming for the 
FAA because each time the FAA

[[Page 33102]]

approves a new POC for use on board aircraft, the FAA must complete 
rulemaking to add the newly approved POC model to SFAR No. 106.
---------------------------------------------------------------------------

    \4\ 71 FR 53956 (Sept. 12, 2006); 74 FR 2354 (Jan. 15, 2009); 75 
FR 742 (Jan. 6, 2010); 75 FR 39632 (July 12, 2010); 77 FR 4220 (Jan. 
27, 2012); 77 FR 63221 (Oct. 16, 2012); and 79 FR 6018 (Feb. 3, 
2014).
---------------------------------------------------------------------------

    Over the last ten years, FAA regulations and guidance regarding the 
use of POCs on aircraft, POC technology itself, and air carrier 
programs concerning the use of POCs on board their aircraft have 
rapidly evolved. The combined result of these initiatives is an 
increase in accessibility to air travel for many passengers who require 
oxygen therapy during flight. In keeping with the Department's ongoing 
commitment to increase accessibility to air travel, this final rule 
removes certain burdensome and time-consuming requirements that were 
put in place to ensure safety when POC technology was first introduced 
for use on board aircraft but are no longer necessary.

B. Summary of the NPRM

    On September 19, 2014, the FAA published an NPRM entitled 
``Acceptance Criteria for Portable Oxygen Concentrators Used On Board 
Aircraft'' in which the FAA proposed to replace SFAR No. 106 with 
acceptance criteria for POCs to be used by passengers on board aircraft 
in operations conducted under parts 121, 125 and 135. See 79 FR 56288. 
In the NPRM, the FAA proposed to replace the burdensome SFAR No. 106 
POC approval process with acceptance criteria based on SFAR No. 106 
requirements, and an additional requirement for POCs (carried and used 
on board aircraft) to bear a label indicating compliance with these 
acceptance criteria. The FAA proposed, however, that all SFAR-approved 
POCs would be excluded from the labeling requirement. Further, the 
proposed acceptance criteria and labeling requirements would only 
affect POCs intended for use on board aircraft. The FAA also proposed 
to eliminate several redundant operational requirements as well as 
paperwork requirements related to the physician's statement, which are 
not necessary for aviation safety.
    The comment period for this NPRM closed November 18, 2014.

C. Differences Between Notice of Proposed Rulemaking and Final Rule

    The final rule differs from the NPRM as follows:
     Replaces the proposed prescriptive requirement for radio 
frequency (RF) emissions evaluation with a performance-based standard 
that allows POC manufacturers to determine the means by which to assess 
whether its POC will radiate RF emissions that interfere with aircraft 
systems.
     Modifies verbiage for required label text.
     Retains the SFAR No. 106 prohibition on exit row seating 
for passengers using a POC and the SFAR No. 106 requirements pertaining 
to POC stowage.
     Amends 14 CFR part 382 to ensure that it is consistent 
with the FAA changes to POC carriage and use on aircraft.

D. General Overview of Comments

    The FAA received 33 comments on the NPRM. Commenters included 21 
individuals or anonymous commenters, the Airline Pilots Association 
(ALPA), Airlines for America (A4A), the Association of Flight 
Attendants (AFA), American Airlines, Delta Air Lines, Main Clinic 
Supply, Phillips Respironics, BPR Medical Limited, Oxygen to Go (OTG), 
the Mayo Clinic, and one commenter identified as the past president of 
the Airlines Medical Directors Association (AMDA).
    Although the FAA received general support for the NPRM from many 
commenters, some commenters recommended modifications to the proposed 
acceptance criteria, POC labeling requirements, and issues related to 
the identification of POCs that may be used on board aircraft. Other 
commenters did not support the elimination of certain SFAR No. 106 
provisions, including those pertaining to exit row seating for 
passengers using a POC, POC stowage, the physician's statement and 
passenger notification of intended POC use to the PIC and aircraft 
operator. Comments are addressed in the preamble discussion entitled, 
``Discussion of Public Comments and Final Rule.''
    The agency also received a request from OTG to reopen the comment 
period. The agency denied this request, because the agency satisfied 
the requirement of the Administrative Procedure Act to publish a 
general notice of a proposed rule in the Federal Register. See 5 U.S.C. 
553. Both the request to reopen the comment period and the agency's 
response to this request can be found in the docket for this 
rulemaking.

IV. Discussion of Public Comments and Final Rule

A. Applicability, Effective Dates and Compliance

    Currently, SFAR No. 106 applies only to those POC models intended 
for use on board aircraft in operations conducted under parts 121, 125, 
and 135 of title 14 of the Code of Federal Regulations. SFAR No. 106 
authorizes the use of specific POCs on board aircraft in operations 
conducted under parts 121, 125, or 135, if the conditions in the SFAR 
are satisfied.
    Consistent with SFAR No. 106 and the NPRM, this final rule applies 
only to those POC models intended for use on board aircraft in part 
121, 125, and 135 operations, and like SFAR No. 106 it does not create 
a requirement for operators to allow POC use. The Department's 
requirements for air carriers to allow the use of a POC on board an 
aircraft (designed to have a maximum capacity of more than 19 passenger 
seats) continue to be found in 14 CFR 382.133.
    In the NPRM, the agency proposed an effective date of 90 days after 
publication of the final rule in the Federal Register. Because the 
agency did not propose a separate compliance date, compliance would 
also be required 90 days after publication in the Federal Register.
    The agency seeks to allow compliance with this final rule as soon 
as possible. The agency recognizes, however, that affected aircraft 
operators may need to revise operating manuals and training programs, 
and expects these revisions to occur within the normal course of 
business. Accordingly, the SFAR will remain in place until August 22, 
2016 and compliance with the new rule will be permitted beginning on 
August 22, 2016 to allow a sufficient amount of time for operating 
manuals and training programs to be amended in the normal course of 
business.

B. Definition of Portable Oxygen Concentrator

    As proposed, this final rule defines ``portable oxygen 
concentrator'' in 14 CFR 1.1 as a medical device that separates oxygen 
from other gasses in ambient air and dispenses this concentrated oxygen 
to the user. This definition is consistent with the description of POCs 
in existing SFAR No. 106. The Sec.  1.1 definition of a POC added by 
this final rule is also consistent with Advisory Circular (AC) 120-95, 
Portable Oxygen Concentrators,\5\ as well as the device description 
used by POC manufacturers and the Food and Drug Administration (FDA) 
(the federal agency with primary regulatory authority over POCs for 
medical use).\6\
---------------------------------------------------------------------------

    \5\ AC 120-95B defines POCs as ``small, portable devices that 
work by separating oxygen from nitrogen and other gasses in the air 
and providing the user with oxygen at a concentration of more than 
90 percent . . .''
    \6\ Portable oxygen concentrators are a subset of portable 
oxygen generators defined by the FDA in 21 CFR 868.5440.

---------------------------------------------------------------------------

[[Page 33103]]

    By including this definition in Sec.  1.1, the FAA distinguishes 
POCs from portable oxygen generators and other medical devices that use 
compressed or liquid oxygen for medical oxygen therapy. Devices that 
use compressed or liquid oxygen must satisfy separate and more rigorous 
requirements to mitigate the risks they present.

C. Portable Oxygen Concentrator Acceptance Criteria

    Under SFAR No. 106, the FAA allows the carriage and use of specific 
POC models only if they are identified in the SFAR as approved for use 
on board aircraft. A POC may be identified in the SFAR only after the 
POC manufacturer has petitioned the FAA for rulemaking (to add the POC 
to the SFAR) and has demonstrated to the FAA that the specific POC 
model satisfies the requirements of the SFAR (i.e., the POC must be 
regulated by the FDA and the POC may not contain hazardous materials as 
determined by PHMSA).
    Each time the FAA approves a specific model of POC for use on board 
an aircraft, the agency must update the list of POCs in the SFAR 
through rulemaking. Additionally, the aircraft operator is responsible 
for determining that the POC does not cause interference with aircraft 
equipment. The FAA notes that in practice, aircraft operators use data 
supplied by POC manufacturers to the FAA to determine compliance with 
the requirement to ensure that a POC will not interfere with aircraft 
equipment.
    In the NPRM, the agency proposed to replace the SFAR No. 106 case-
by-case POC approval and rulemaking with requirements for POCs used on 
board aircraft to conform to specified acceptance criteria and to bear 
a label indicating that the device conforms to these criteria. The 
proposal further stated that POCs conforming to the acceptance criteria 
and bearing the appropriate label would be allowed on board aircraft 
without further rulemaking. The proposed acceptance criteria are 
summarized as follows:
     The POC manufacturer complies with all FDA requirements to 
legally market the device in the United States.
     The POC does not contain any hazardous materials subject 
to the HMR except as provided for in the exceptions for crewmembers and 
passengers in 49 CFR 175.10 for batteries used to power electronic 
devices when operator approval is not required.
     The maximum oxygen pressure generated by the POC must fall 
below the threshold for the definition of a compressed gas per the HMR.
     The POC radio frequency (RF) emissions must fall below the 
threshold permitted in RTCA standard 160G, Section 21, Category M.
    As addressed in more detail in this section of the preamble 
discussion, this final rule adopts the proposal with modifications to 
the RF emissions acceptance criterion and labeling requirement.
1. Food and Drug Administration Clearance or Approval
    POCs are medical devices regulated by the FDA in accordance with 
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.), and 
title 21 of the CFR. Accordingly, manufacturers must obtain FDA 
clearance or approval prior to marketing a POC within the United 
States, and must comply with certain provisions in title 21 of the CFR, 
including but not limited to device registration and listing (21 CFR 
part 807), labeling (21 CFR part 801), adverse event reporting (21 CFR 
part 803), and good manufacturing practice requirements (21 CFR part 
820).
    SFAR No. 106 requires all POCs used on board aircraft in operations 
conducted under 14 CFR parts 121, 125, and 135 to be legally marketed 
as a POC, in compliance with FDA regulations. The purpose of this 
requirement is to ensure the device is actually what the manufacturer 
holds it out to be--a POC. To demonstrate compliance with this 
requirement, POC manufacturers submit evidence that the device has been 
cleared or approved by the FDA for marketing in the United States. The 
FAA accepts FDA premarket clearance in response to a 510(k) submission 
as evidence the device may be marketed in the United States.\7\
---------------------------------------------------------------------------

    \7\ A 510(k) submission is a premarket submission made to FDA to 
demonstrate that the device to be marketed is at least as safe and 
effective, that is, substantially equivalent, to a legally marketed 
device (21 CFR 807.92(a)(3)) that is not subject to premarket 
approval. Submitters must compare their device to one or more 
similar legally marketed devices and make and support their 
substantial equivalency claims. If FDA makes a finding of 
substantial equivalence, the device is considered ``cleared.'' 
Additional information regarding the 510(k) process is available at 
www.fda.gov.
---------------------------------------------------------------------------

    In the NPRM, the agency proposed to continue to require any POC 
used on board an aircraft to be cleared or approved by the FDA for 
marketing in the United States prior to such use. However, given that 
FDA requirements for legal marketing of a POC in the United States 
already apply to POCs, independent of the SFAR, manufacturers would no 
longer need to submit evidence of this clearance or approval to the FAA 
to demonstrate compliance because it would be unnecessarily burdensome. 
Rather, the FAA proposed that POCs conforming to the proposed 
acceptance criteria, including the manufacturer's authority to legally 
market the device as a POC, would be identified by a label affixed to 
the device. This final rule adopts this proposed acceptance criterion 
without change.
2. Radio Frequency Emissions
    Sections 121.306, 125.204, and 135.144 place responsibility on the 
aircraft operator for determining which portable electronic devices 
(PED) may be safely used on its aircraft. Although the agency 
recognizes POCs as a type of PED, SFAR No. 106, includes a requirement 
for an aircraft operator to make a determination that the device does 
not cause interference with the electrical, navigation, or 
communication system of the aircraft in which the device will be used. 
The SFAR No. 106, section 3(a)(1) requirement pertaining to POC 
interference with aircraft equipment has the same effect as the 
requirements in Sec. Sec.  121.306, 125.204, and 135.144 pertaining to 
all PEDs.
    Each operator may establish a method to make a determination 
regarding the effects of PEDs on its aircraft's avionics systems. 
Historically, FAA guidance material (i.e., AC 91.21-1 and AC 120-95) 
identified one method of compliance with the SFAR and Sec. Sec.  
121.306, 125.204, and 135.144 by recommending the operator complete 
device-by-device evaluations of RF emissions.\8\ These evaluations 
involve comparing the device's RF emissions against the current RTCA 
DO-160 standards for installed airborne equipment. The FAA identified 
RTCA DO-160, Environmental Conditions and Test Procedures for Airborne 
Equipment, Section 21, Category M in guidance material for medical PEDs 
(including POCs intended for use on aircraft) because it established 
safe and conservative RF emissions limits for installed aircraft 
systems.
---------------------------------------------------------------------------

    \8\ The term EMC was used throughout the NPRM however, EMC is a 
broad term used for installed aircraft electrical systems. Where 
appropriate, the FAA has replaced the term EMC with RF emissions in 
this final rule preamble because when a device-by-device examination 
of a PED is conducted, the operator would consider the RF emissions 
of that device.
---------------------------------------------------------------------------

    Consistent with the historical device-by-device approach to RF 
emissions evaluation and agency guidance, it is current practice for 
POC manufacturers to provide the RTCA test compliance statements to the 
FAA.\9\ Although

[[Page 33104]]

section 3(a)(1) of SFAR No. 106 places the burden upon the aircraft 
operator to assess the impact of a POC on the aircraft, the FAA has 
accepted as proof of non-interference, RF emissions test qualification 
statements (provided by POC manufacturers) that show a specific POC 
does not exceed certain maximum RF emissions thresholds established by 
RTCA in DO-160, Environmental Conditions and Test Procedures for 
Airborne Equipment.\10\
---------------------------------------------------------------------------

    \9\ Currently, POC manufacturers provide the RTCA DO-160 Section 
21 test qualification statements to the FAA; the FAA then makes the 
RTCA test qualification statements available on its Web site for 
aircraft operators to use to demonstrate compliance with section 
3(a)(1) of the SFAR. The RTCA compliance statements may be viewed at 
http://www.faa.gov/about/initiatives/cabin_safety/portable_oxygen/.
    \10\ See AC 120-95, Portable Oxygen Concentrators. The FAA notes 
that while RTCA made significant changes to DO-160 since edition E 
was issued (December 9, 2004) and cited in agency guidance, Section 
21, Category M (applicable to POCs) was not revised in either DO-
160F or DO-160G.
---------------------------------------------------------------------------

    On October 31, 2013, the agency announced a new means of compliance 
with Sec. Sec.  121.306, 125.204, and 135.144, allowing operators to 
expand the use of passenger supplied and operated PEDs throughout all 
phases of flight, based on a determination by the operator that the 
aircraft systems themselves are PED tolerant (i.e., aircraft systems 
safety risk assessment showing the systems meet the requirements of 
RTCA DO-307 or another PED tolerance assessment). See Information for 
Operators (InFO) 13010 and InFO 13010SUP.\11\ The agency does not, 
however, require aircraft systems safety risk assessment of PED 
tolerance in accordance with InFO13010 and InFO 13010SUP. These 
assessment methods provide one means for airplane operators to 
demonstrate compliance with Sec. Sec.  121.306, 125.204, and 135.144 
and allow PEDs to be used on board aircraft. It is up to each aircraft 
operator to determine whether to expand the use of passenger supplied 
and operated PEDs via a determination of PED tolerance for certain 
aircraft types. The FAA estimates that eighty percent of part 121 air 
carriers (which comprise an estimated 98% of total part 121 passenger 
enplanements in 2013) and several of the largest part 135 air carriers 
have expanded PED use according to InFO 13010 and InFO 13010SUP. The 
remaining operators continue to rely on individual PED evaluations.
---------------------------------------------------------------------------

    \11\ All InFOs can be found at http://www.faa.gov/other_visit/aviation_industry/airline_operators/airline_safety/info/all_infos/.
---------------------------------------------------------------------------

    In the NPRM, the agency proposed to require the RF emissions for 
each POC intended for use on board aircraft to be tested in accordance 
with RTCA DO-160G, Section 21, Category M. The agency also proposed to 
add POCs to the list of devices excepted from the general PED non-
interference requirements in Sec. Sec.  121.306, 125.204, and 135.144 
to eliminate redundancy with the POC-specific non-interference 
requirements.
    This final rule retains a POC-specific non-interference 
requirement, modified to reflect a performance-based standard. The 
Agency recognizes that the majority of operators conducting part 121 
operations and several of the larger operators conducting part 135 
operations have already conducted aircraft systems safety risk 
assessments for PED tolerance in accordance with InFO 13010 and InFO 
13010SUP with results allowing for continuous use of PEDs from gate to 
gate. A determination that an aircraft is ``PED tolerant'' would make 
an independent assessment of RF emissions for any PED used on that 
aircraft unnecessary. Nevertheless, because of the need to ensure 
service for passengers who require oxygen therapy during air travel, 
the FAA believes it is necessary to maintain a regulatory structure to 
ensure that passengers may continue to use POCs on board aircraft even 
if the aircraft operator has not determined that the aircraft is ``PED 
tolerant.'' Therefore, consistent with the SFAR and the NPRM, this 
final rule retains a requirement to assess POC RF emissions as one of 
the POC acceptance criteria. (The agency notes that POCs previously 
approved by the FAA for use on aircraft in accordance with SFAR No. 106 
that demonstrated RF emissions below the maximum emissions threshold in 
DO-160G, Section 21, Category M would not need to be retested or 
reassessed by the operators prior to use on board aircraft because 
those prior assessments remain valid.)
    Delta Air Lines generally supported inclusion of RTCA DO-160, 
Environmental Conditions and Test Procedures for Airborne Equipment, 
Section 21, Category M, in the proposed acceptance criteria. 
Recognizing, however, that FDA may require RF emissions assessments 
that may test to standards that could be used to demonstrate compliance 
with the FAA prohibition on PEDs interference with aircraft systems, 
the agency sought comment on whether POC manufacturers complete RF 
emissions assessments in accordance with requirements by other federal 
agencies that could also be used to demonstrate compliance with the 
generally applicable PED requirements. The agency did not receive any 
comments related to this specific issue except as provided by Delta. 
After further review of the proposal and other RF emissions assessments 
that POC manufacturers may conduct (e.g., International Standards 
Organization (ISO) 7137 and the FDA recognized EMC standards for Class 
II medical devices in IEC 60601-1-2 edition 4.0), the agency has 
determined that the proposed requirement to use RTCA DO-160 as the only 
means by which to evaluate POC RF emissions was overly prescriptive.
    Historically, the FAA identified RTCA DO-160 Section 21, Category M 
in guidance material for medical portable electronic devices intended 
for use on board aircraft. Although POCs are not installed aircraft 
systems, the agency identified RTCA DO-160 as one method to demonstrate 
compliance with the PED non-interference requirement because RTCA DO-
160 establishes safe and conservative RF emissions limits for installed 
aircraft systems. The agency recognizes, however, that there are other 
methods to assess POC RF emissions and ensure that POC use will not 
cause interference with aircraft systems. Thus, this final rule 
includes a performance-based RF emissions acceptance criterion that 
allows POC manufacturers to determine how to assess whether their POC 
meets the aircraft system non-interference requirement before they 
affix a label to the device confirming that this criterion has been 
satisfied.
    Guidance material in AC 91.21-1C identifies examples of methods 
appropriate to ensure compliance with this requirement, including RTCA 
DO-160 and other industry EMC standards identified in the AC. The FAA 
emphasizes, however, that FDA approval or clearance to market a POC 
does not necessarily mean that the POC complies with the FAA's aircraft 
system non-interference requirement.
    In addition to Delta's comment, an individual commented that the 
POC manufacturer should include the electromagnetic interference test 
results on the POC label, eliminating the need for the air carrier to 
test the device. The agency clarifies that the purpose of the label is 
to identify those devices that conform to the FAA acceptance criteria. 
One of those criteria prohibits the POC from radiating radio frequency 
emissions that interfere with aircraft systems. Therefore, a device 
that bears the required label must also not radiate RF emissions such 
that it causes interference with aircraft systems. The POC manufacturer 
identifies devices that meet this and other criteria by affixing a 
label. In this way, the label indicates that the device will not 
radiate RF emissions that cause interference with aircraft systems and 
does not need to be retested by the aircraft operator. Thus, adding 
specific test results to the label would be unnecessary.

[[Page 33105]]

3. Hazardous Materials
    SFAR No. 106 allows passengers to use one of the specific POCs 
identified in the SFAR only if the POC does not contain hazardous 
materials as determined by PHMSA.\12\ See SFAR No. 106, section 2(1). 
The PHMSA determination required by SFAR No. 106 is one of the 
prerequisites that must be satisfied for the FAA to identify a POC in 
the SFAR. PHMSA issues this determination via a letter, at the request 
of the POC manufacturer and after PHMSA reviews manufacturer-supplied 
information regarding the POC.
---------------------------------------------------------------------------

    \12\ PHMSA is responsible for regulating and ensuring the safe 
and secure movement of hazardous materials by all modes of 
transportation, including aviation. To minimize threats to life, 
property or the environment due to hazardous materials related 
incidents, PHMSA's Office of Hazardous Materials Safety develops the 
HMR and standards for classifying, handling and packaging shipments 
of hazardous materials within the United States.
---------------------------------------------------------------------------

    POCs typically operate using either rechargeable batteries (usually 
lithium ion) or AC/DC electrical power via an external power cord. 
Although the POC units themselves are not considered hazardous 
materials, the lithium ion batteries typically used to power POCs are 
hazardous materials.\13\ See 49 CFR 172.101, Hazardous Materials Table. 
However, lithium ion batteries are conditionally excepted from certain 
requirements of the HMR (e.g. UN specification packaging and labeling) 
if they meet certain size limitations (100 Wh), package limitations, 
and comply with package marking and battery testing conditions of the 
HMR. See 49 CFR 173.185(c). These exceptions only apply when the POC 
units are transported as cargo.\14\
---------------------------------------------------------------------------

    \13\ 49 CFR 105.5 defines a hazardous material as a substance or 
material that the Secretary of Transportation has determined is 
capable of posing an unreasonable risk to health, safety, and 
property when transported in commerce, and has been designated as 
hazardous under section 5103 of Federal hazardous materials 
transportation law (49 U.S.C. 5103). The term includes hazardous 
substances, hazardous wastes, marine pollutants, elevated 
temperature materials, materials designated as hazardous in the 
Hazardous Materials Table (see 49 CFR 172.101), and materials that 
meet the defining criteria for hazard classes and divisions in part 
173 of subchapter C of this chapter.
    \14\ The PHMSA final rule, Hazardous Materials: Transportation 
of Lithium Batteries, recently removed 49 CFR 172.102(c)(1), Code/
Special Provision 188 and relocated it, in part to 173.185. See (79 
FR 46012, (August 6, 2014)). Currently, conditional exceptions for 
the transportation of small batteries as cargo can be found in 49 
CFR 173.185.
---------------------------------------------------------------------------

    Other HMR exceptions are provided in 49 CFR 175.10 that apply to 
POC units containing lithium ion batteries and associated spare 
batteries when carried on board aircraft by passengers and crewmembers. 
See 49 CFR 175.10(a)(18). In accordance with the exceptions in Sec.  
175.10(a)(18), passengers may bring an unlimited number of lithium ion 
batteries up to 100 Wh per battery to power their POC. Further, as a 
result of recent amendments, Sec.  175.10(a)(18) also authorizes the 
aircraft operator to allow passengers and crewmembers to carry on board 
as spares up to two batteries that are larger than 100 Wh but do not 
exceed 160 Wh only if certain criteria are met.\15\
---------------------------------------------------------------------------

    \15\ The revisions to the HMR exceptions for hazardous materials 
carried by aircraft passengers and crewmembers have resulted in a 
more conservative approach to the carriage of lithium ion batteries 
used to power PEDs than the previous requirements under 49 CFR 
175.10(a)(18)(2014 ed.). The current passenger and crewmember 
exceptions include a new requirement for approval by the air 
operator for the carriage of spare lithium ion batteries larger than 
100 Wh (approximately 8 grams) and have reduced the maximum Watt-
hours for spare lithium ion batteries from 300 Wh (approximately 25 
grams) to 160 Wh.
---------------------------------------------------------------------------

    The PHMSA determination letters required by the SFAR were limited 
to a determination regarding the HMR exceptions for a POC unit 
containing small lithium ion batteries (i.e., 100 Wh or 8g equivalent 
lithium content or less) for transportation as cargo as these are the 
exceptions that would apply to a manufacturer for transportation of a 
POC unit from the point of manufacture to the point of retail sale 
(although the size limits that distinguish a small lithium ion battery 
are the same for both the transportation of such batteries as cargo as 
well as for the passenger and crewmember exceptions). Existing PHMSA 
determinations for SFAR-approved POCs, however, do not include an 
assessment of each individual air carrier's policies pertaining to the 
allowance for larger batteries carried as spares.
    Consistent with the proposal in the NPRM, this final rule 
eliminates the SFAR No. 106 provision requiring a PHMSA determination 
that the POC does not contain hazardous materials. Instead, this final 
rule prohibits POCs used on board aircraft from containing hazardous 
materials subject to the HMR and references the HMR. Further, as noted 
above, POC users may carry an unlimited number of small spare lithium 
ion batteries (i.e., lithium ion batteries up to 100 Wh per battery) 
and up to two larger spare lithium ion batteries (i.e., batteries 
larger than 100 Wh but that do not exceed 160 Wh) in accordance with 
the exceptions for hazardous materials carried by aircraft passengers 
and crewmembers as is the case today.\16\ See 49 CFR 175.10(a)(18).
---------------------------------------------------------------------------

    \16\ The NPRM discussion regarding the SFAR limitation on 
hazardous materials took an overly conservative approach in the 
discussion pertaining to limitations on spare batteries carried by 
aircraft passengers and crewmembers.
---------------------------------------------------------------------------

    There is no safety basis for requiring the PHMSA ``no hazardous 
materials'' determination letter as a prerequisite to the use of a POC 
on board an aircraft. The HMR conditional exceptions provided in 
Sec. Sec.  175.10 and 173.185 apply to passengers, crew and the POC 
manufacturer, respectively, independent of the SFAR and this final 
rule. Further, the FAA does not require a PHMSA determination letter 
prior to passenger carriage of any other PED that may contain hazardous 
materials and POCs do not present any unique hazardous materials safety 
issues that would be mitigated by the requirement to obtain a PHMSA 
determination letter.
    Pursuant to 49 CFR 175.10(a)(18), passengers seeking to use a POC 
powered by a spare lithium ion battery that is over 100 Wh but less 
than 160 Wh are permitted to do so only with the approval of the 
operator. Given that the POC manufacturer cannot assume knowledge of 
and approval by each carrier regarding passenger and crewmember 
carriage of larger batteries, under this final rule, a POC manufacturer 
will be unable to label a POC as conforming to the final rule 
acceptance criteria if the POC has an installed lithium battery larger 
than 100 Wh. The final rule regulatory text clarifies the conditions 
under which POCs used on aircraft may contain batteries as a power 
source, including this limitation. Nonetheless, the passenger is 
ultimately responsible for compliance with the exceptions in Sec.  
175.10(a)(18) for spare batteries used to power a POC. For example, if 
a passenger wants to bring a spare lithium ion battery larger than 100 
Wh into the aircraft cabin to power a POC unit, the passenger is 
responsible for compliance with Sec.  175.10(a)(18) and reviewing 
airline acceptance policies.
    A manufacturer must only affix a label to a POC powered by an 
installed lithium ion battery that does not exceed 100 Wh because the 
manufacturer cannot ensure compliance with the 49 CFR 175.10(a)(18) 
condition under which a passenger may carry and use a battery that 
exceeds 100 Wh (i.e., approval by an aircraft operator with which a 
passenger may choose to fly). Adhering to this limitation will 
facilitate passenger carriage and use of POCs on board aircraft and 
ensure that there are no restrictions on the number of spare lithium 
ion batteries less than 100 Wh that can be carried on board the 
aircraft for full operability of the POC throughout the duration of the 
flight(s).

[[Page 33106]]

    Finally, although the FAA did not receive any comments regarding 
its proposal to remove the requirement for a PHMSA determination of no 
hazardous materials, the agency notes that an individual commented that 
the rules pertaining to lithium ion batteries must be updated, citing 
potential lithium ion battery hazards. The agency finds that revisions 
to the requirements applicable to passenger carriage of lithium ion 
batteries generally, are outside of the scope of the proposal because 
the proposal was narrowly tailored to address only POC carriage and use 
on aircraft. Further, PHMSA recently updated the requirements 
applicable to lithium ion batteries as part of a comprehensive 
rulemaking addressing the transportation of lithium batteries. See 79 
FR 46012 (August 6, 2014). As a result of this update, PHMSA 
regulations pertaining to lithium ion batteries are now harmonized with 
the International Civil Aviation Organization (ICAO) Technical 
Instructions for the Safe Transportation of Dangerous Goods by Air. 
Through the rulemaking process, PHMSA determined that harmonization 
with the ICAO Technical Instructions pertaining to lithium ion 
batteries used to power PEDs carried by passengers and crewmembers on 
aircraft provides an appropriate level of safety.
4. Maximum Oxygen Pressure
    As previously discussed, the SFAR No. 106 approval process requires 
POC manufacturers to obtain a PHMSA determination letter stating the 
POC device does not contain any hazardous materials. As part of this 
determination, PHMSA reviews information provided by the POC 
manufacturer regarding the oxygen pressure generated by a POC. If the 
POC generates oxygen pressure of 200 kPa gauge (29.0 psig/43.8 psia) or 
greater at 20 [deg]C (68 [deg]F), PHMSA would classify the POC as an 
article containing Hazard Class 2, Division 2.2 (non-flammable, non-
poisonous compressed gas) and the POC would be subject to the 
applicable HMR (49 CFR 173.115). However, a POC does not contain a 
compressed gas subject to the HMR if it generates an oxygen pressure 
below this threshold.
    In the NPRM, the agency proposed to include as a POC acceptance 
criterion a design limitation that would restrict POCs used on aircraft 
from generating a maximum oxygen pressure of 200 kPa gauge (29.0 psig/
43.8 psia) at 20 [deg]C (68 [deg]F), or more. The agency did not 
receive any comments on this proposal.
    The final rule includes the proposed POC design limitation as one 
of the POC acceptance criterion so as to ensure that newly manufactured 
POCs used on board aircraft will continue to incorporate this existing 
design limitation, thus ensuring that POCs will not present the hazards 
associated with devices that generate compressed oxygen. Accordingly, 
as proposed, the final rule establishes a maximum oxygen pressure 
allowed for POCs intended for use on board aircraft.
    A POC designed to generate a maximum oxygen pressure of 200 kPa 
gauge (29.0 psig/43.8 psia) at 20 [deg]C (68 [deg]F), or more, would 
constitute a hazardous material and thus be subject to the HMR. As 
such, it must not be labeled as meeting the standards for use on board 
aircraft.
    The agency has determined that inclusion of the requirement 
regarding oxygen pressurization does not overlap with 49 CFR 173.115 or 
the general prohibition on hazardous materials in this final rule, 
because it applies a design standard regarding the operation of the 
device. Further, it addresses concentrated oxygen that falls below the 
pressure threshold for the definition of compressed gasses subject to 
49 CFR 173.115.

D. Manufacturer Label

    The FAA does not currently require POCs to bear a label indicating 
FAA approval and compliance with the SFAR. Aircraft operators, 
crewmembers, and passengers must identify POCs approved for use on 
aircraft by reviewing the list of FAA-approved devices in the SFAR.
    In the NPRM, the FAA proposed to require POCs that satisfied the 
proposed acceptance criteria and were intended for use on aircraft to 
bear a label indicating that the device satisfies these criteria as a 
condition of its carriage and use on aircraft. However, the NPRM 
excluded SFAR-approved POCs from the labeling requirement.
    The FAA also proposed specific label attributes. The proposed label 
would be required to contain the following statement in red text: ``The 
manufacturer of this portable oxygen concentrator has determined this 
device conforms to all applicable FAA requirements for portable oxygen 
concentrator carriage and use on board aircraft.'' Finally, the agency 
proposed that the label would have to be applied in a manner to ensure 
it remains affixed for the life of the POC.
    Identification of POCs that satisfy acceptance criteria: The agency 
sought comment on the potential safety benefits and associated burdens 
of extending the proposed labeling requirement to all POC models 
currently identified in SFAR No. 106--existing and newly manufactured 
or just newly manufactured. Several commenters expressed concern 
regarding the exclusion of existing SFAR-approved POCs from the 
proposed POC labeling requirement. A4A, the Mayo Clinic and two 
individuals commented that the labeling requirement should extend to 
all POC models that may be used on board aircraft (those that are 
currently identified in SFAR No. 106 and those subsequently determined 
by their manufacturers to satisfy the proposed acceptance criteria).
    The individuals cited concern regarding potential confusion due to 
the two methods (i.e., review label and review list of SFAR-approved 
POCs) by which to identify POCs that may be used on aircraft as the 
basis for requiring all POCs to be labeled. The Mayo Clinic suggested 
that POC manufacturers could retrofit existing SFAR-approved devices 
through an inexpensive labeling method such as a sticker to resolve its 
concerns about potential health care provider confusion regarding which 
POCs may be used on aircraft.
    A4A noted that air carrier employees with responsibility for 
determining device acceptability should be able to make this 
determination efficiently, without having to refer to the CFR. A4A also 
stated that its comments on extending the labeling requirement to POCs 
approved under the SFAR should only be applied to newly manufactured 
POCs because retrofitting existing devices would be unreasonably 
burdensome.
    Philips Respironics objected to the extension of the labeling 
requirement to existing SFAR-approved POCs citing a significant burden 
and stating that passengers and aircraft operators would have 
sufficient means by which to identify POCs that may be used on board 
aircraft.
    The final rule retains the proposal to label POCs that have not 
been previously identified in SFAR No. 106 as approved for use on 
aircraft. SFAR-approved POCs will continue to be identified in 
Sec. Sec.  121.574, 125.219, and 135.91.
    The labeling requirement provides a simple, efficient and effective 
method by which to identify POCs that may be used on aircraft. In order 
to determine whether a POC may be used on an aircraft, a POC user or an 
aircraft operator need only examine the POC to determine whether it 
bears the label required by this final rule. As is the case today, for 
those POCs that do not bear the required label, a POC user and aircraft 
operator need only verify that the model is identified in the 
regulatory

[[Page 33107]]

text--the same process that is currently used to identify SFAR-approved 
POCs.
    The FAA maintains that it is not necessary or practical to require 
POC manufacturers to label POCs previously identified in SFAR No. 106 
as approved for use on board aircraft. POC models previously identified 
in SFAR No. 106 as approved for use on board aircraft have satisfied 
the SFAR No. 106 criteria and would also satisfy the proposed 
acceptance criteria. Further, the FAA expects that the use of SFAR-
approved POC models will lessen over time as those POCs age and their 
users replace those older models with newer ones, obviating the need to 
retrofit existing SFAR-approved POC models with a label.
    Although the agency appreciates the intent of the Mayo Clinic's 
comment regarding a ``bridging strategy'' by which adhesive stickers 
could be used to identify previously manufactured SFAR-approved POCs, a 
label used to satisfy the requirements of this final rule must be 
sufficiently durable so as to remain affixed to the POC for the life of 
the device and prevent the transfer to another type of oxygen 
dispensing device, such as a device that uses compressed oxygen.
    In comments related to the identification of SFAR-approved POCs, 
Delta Air Lines suggested that the list of SFAR-approved POCs provided 
in the proposed regulatory text was incomplete because it did not 
identify all devices that the FAA previously approved in accordance 
with the SFAR. The list of SFAR-approved POCs identified in the 
proposed and final rule regulatory text is identical to the list of 
POCs identified in SFAR No. 106. The agency stresses that SFAR approval 
is device-specific. For instance, while the SFAR identifies the SeQual 
Eclipse as approved for use on aircraft, the approval does not extend 
to any other variants of SeQual Eclipse models that were not 
specifically reviewed and approved for use on aircraft by the FAA and 
identified in the SFAR. Thus, only those specific POCs identified in 
the SFAR by manufacturer and model name are currently approved for use 
on aircraft. This final rule continues to identify those SFAR-approved 
devices as they appear in the SFAR, since those SFAR-approved POCs need 
not bear a label as a condition of their use on aircraft.
    Delta Air Lines further commented that the FAA should update the 
list of POCs approved under SFAR No. 106 with the names of all POCs 
currently under review by the FAA, in accordance with the SFAR prior to 
publication of the final rule. This final rule includes a list of all 
POCs approved by the FAA under the SFAR.
    FAA identification of POCs that satisfy acceptance criteria: 
Several commenters raised issues related to the FAA listing of POCs 
that satisfy the FAA acceptance criteria. A4A suggested that the FAA 
maintain a list of POC devices that meet the FAA's proposed acceptance 
criteria to keep industry and the public updated with compliant POCs. 
A4A further explained that the FAA should maintain a list of POCs that 
meet the acceptance criteria because of challenges for aircraft 
operators in determining whether a POC satisfies the acceptance 
criteria, especially in the instance in which a manufacturer 
incorrectly labels a device.
    The FAA disagrees with A4A's comment that unless the FAA maintains 
a list of POCs that satisfy the acceptance criteria, POC identification 
will be unnecessarily burdensome. The process of examining a POC to 
determine whether it bears a label is less burdensome than the existing 
process of examining a POC to identify the model name and then 
verifying that the model is identified in the SFAR. In either case, a 
crewmember of an aircraft operator must examine the POC.
    A4A also recommended that the FAA maintain a list of POCs that are 
labeled as conforming to FAA requirements for POC use on board aircraft 
to track POCs that are subsequently determined to be non-compliant. 
However, the FAA has alternate appropriate methods by which to notify 
aircraft operators in the unlikely event that a POC intended for use on 
aircraft is no longer compliant with FAA requirements. For example, the 
FAA can provide such notice through a Safety Alert for Operators (SAFO) 
or an InFO, as appropriate. All SAFOs and InFOs are made available on 
the agency's Web site.
    Label attributes: The final rule requires the label to contain the 
following statement in red text: ``The manufacturer of this POC has 
determined this device conforms to all applicable FAA requirements for 
POC carriage and use on board aircraft.'' The purpose of this verbiage 
is to facilitate identification of devices that conform to the 
acceptance criteria and the red color is expected to draw attention to 
the text.
    Consistent with the NPRM, this final rule also requires a labeling 
method that ensures the label remains affixed to the POC for the life 
of the device. The purpose of this requirement is to ensure the label 
is durable and cannot be transferred to another type of oxygen 
dispensing device (such as a device that uses compressed oxygen).
    Several commenters suggested changes related to the proposed label 
that would standardize label features in addition to the proposed 
required text and color. A4A commented that the FAA should mandate 
additional specific label attributes so that labels are identical and 
can be easily recognized by gate agents.
    Philips Respironics commented that the proposed label text is 
overly burdensome due to the length of the text and the color 
requirement. This commenter proposed an alternate label that states, 
``Complies with FAA requirements for airline use'' and includes an 
airplane graphic. Together with this alternate label, Philips 
Respironics suggested a POC manual update to further describe the 
label. Main Clinic Supply supported the label example included in the 
Philips Respironics comment.
    The agency has considered comments regarding additional standard 
label features but has determined that it is unnecessary to require 
standardized features beyond the proposed label verbiage and text 
color. The use of red text is sufficient to draw attention to the label 
identifying a POC that may be carried and used on board an aircraft.
    The specific label language proposed in the NPRM and included in 
this final rule is necessary to facilitate the identification of the 
device as a POC that satisfies the acceptance criteria for POCs 
intended for use on board aircraft. A more generic or general label 
such as the label proposed by Philips Respironics and supported by Main 
Clinic Supply would not effectively serve this purpose. The agency is 
aware that manufacturers of some POC models approved under SFAR No. 106 
may have voluntarily applied labels similar to the label recommended by 
Philips Respironics and Main Clinic Supply. The FAA determined, 
however, that the label proposed by commenters could hinder a 
passenger's ability to use an SFAR-approved POC by introducing 
confusion into the POC identification process due to multiple similar 
labels (i.e., labels currently affixed to some SFAR-approved POCs and 
the label proposed by commenters). The only label that may be used to 
determine compliance with this final rule and to ascertain whether a 
POC may be used on board an aircraft is a label that exhibits the 
verbiage and color criteria specifically provided in this final rule.
    Further, the FAA analyzed the costs associated with the NPRM 
labeling requirement and estimated that the requirement would not 
result in a significant burden. Commenters did not challenge the FAA 
assumptions that

[[Page 33108]]

provide a basis for the estimate of the labeling costs in the NPRM. 
Given that the final rule label verbiage includes only minimal changes 
from the proposed label verbiage, the final rule is not expected to 
result in a significant burden to POC manufacturers.
    Additionally, the FAA notes that, although the agency supports the 
Philips Respironics comment regarding POC manufacturer manual updates 
to describe the label, it would reach beyond the scope of the proposal 
for the FAA to require POC manufacturers to include additional 
information in the POC user manual. However, the FAA encourages 
manufacturers to inform POC users of issues pertaining to POC use on 
board aircraft.
    Finally, A4A commented that if the POC acceptance criteria were to 
change, the FAA should change the label requirements to distinguish 
those POCs that meet the new acceptance criteria from those that do not 
meet the new acceptance criteria. The agency will consider this comment 
if it finds that a future rulemaking is required to revise POC 
acceptance criteria.

E. Manufacturer Determination of Conformance to Acceptance Criteria

    Two individuals questioned whether the FAA should rely on POC 
manufacturers to determine that a POC is safe and fits within the 
regulatory requirements. One of the individual commenters recommended 
that POC manufacturers demonstrate compliance with the acceptance 
criteria to the FAA before labeling the device as satisfying those 
criteria. In a related comment, Delta Airlines recommended that the FAA 
should require POC manufacturers to provide airlines with the data that 
demonstrates compliance with the acceptance criteria at the airlines' 
request.
    The FAA employs a range of oversight approaches throughout title 
14. The process in this final rule that allows manufacturers to self-
certify that their POC conforms to all applicable requirements for use 
on board aircraft and to affix a label that can be reviewed by aircraft 
operators and passengers is consistent with other existing agency 
oversight practices. For example, child restraint system (CRS) 
manufacturers self-certify (via a label) that their CRS meets all 
applicable performance criteria and is approved for use on aircraft. In 
another example, the Technical Standard Order (TSO) program involves a 
process where a manufacturer makes statements of conformance to the 
standards in a particular TSO for many different types of articles used 
on aircraft.
    In the case of POCs, the FAA has determined that the devices 
present minimal risk to aircraft operations. Additionally, the proposed 
and final rule acceptance criteria for POCs leverage existing 
regulatory requirements that are applicable to POCs and relevant to the 
safe carriage and use of POCs, including the use of POCs on board 
aircraft. The purpose of the label applied by POC manufacturers is to 
facilitate aircraft operator and passenger identification of devices 
that meet the acceptance criteria required for POCs intended for use on 
board aircraft.
    Accordingly, a case-by-case POC approval process is unnecessarily 
burdensome to mitigate any potential risk presented by POCs. An 
aircraft operator seeking specific information regarding a POC may 
reach out to a POC manufacturer without FAA regulation. The agency also 
notes that POC user manuals and POC manufacturer Web sites also provide 
information pertaining to the attributes and functions of the 
associated POCs.

F. Prohibition on Smoking or Open Flame

    SFAR No. 106 prohibits smoking or open flame within 10 feet of any 
person using a POC. In the NPRM, the agency proposed to retain this 
restriction. The agency did not receive any comments on the proposal to 
retain the SFAR prohibition on smoking or open flame near a person 
using a POC. Accordingly, the final rule includes this proposal without 
change.
    Although the risk posed by concentrated oxygen is minimal when 
generated at a pressure below that which would trigger the application 
of the HMR, given the unique environment of an aircraft, the agency has 
determined that it is reasonable to provide an additional margin of 
safety by prohibiting smoking or open flame in the vicinity of a person 
using a POC. Accordingly, the agency will maintain the existing 
prohibition on smoking or open flame within 10 feet of a person using a 
POC by extending the smoking prohibitions in existing Sec. Sec.  
121.574, 125.219, and 135.91 to POCs and adding language to 
specifically prohibit an open flame.
    The smoking prohibition in existing Sec. Sec.  121.574, 125.219, 
and 135.91 effectively results in a prohibition on an open flame. 
However, given the risks created by smoking near a person using medical 
oxygen and the storage of such oxygen, in this final rule the agency 
will ensure that this restriction is clear by explicitly prohibiting an 
open flame in addition to smoking.
    Finally, as proposed, this final rule amends the regulatory text in 
Sec.  125.219(b) to prohibit smoking not only within 10 feet of where 
medical oxygen is being used but also within 10 feet of where it is 
stored. This amendment is consistent with the preamble for the final 
rule issuing Sec.  125.219 as well as the prohibitions on smoking 
within 10 feet of the location of medical oxygen storage or use in 
Sec. Sec.  121.574 and 135.91. See 45 FR 67214, 67230 (October 9, 
1980).

G. Operational Requirements

1. Exit Seats
    Section 3(a)(4) of SFAR No. 106 prohibits a person using a POC from 
sitting in an exit row. The FAA proposed to eliminate this SFAR No. 106 
provision from the final rule.
    AFA and an anonymous commenter recommended that the FAA retain the 
provision in SFAR No. 106 prohibiting a passenger from using a POC 
while sitting in an exit row. Both commenters noted that POC tubing 
would create obstacles in the exit row. AFA stated that generally, 
certificate holders should have the responsibility for determining the 
suitability of passengers who occupy exit seats; however, they 
maintained that an explicit restriction on exit row seating would 
eliminate any ambiguity about a POC user's ability to assist in an 
emergency.
    The FAA agrees with commenters in that a passenger's ability to 
perform exit row functions could be impeded by the presence of the 
device, possibly creating a tripping hazard and an obstacle to egress. 
Thus, although Sec. Sec.  121.585 and 135.129 require the certificate 
holder to determine the suitability for passengers it permits to occupy 
exit seats, the final rule retains the SFAR No. 106 provision 
prohibiting passengers using a POC from sitting in exit seats to 
eliminate any potential ambiguity pertaining to whether a passenger 
using a POC may occupy an exit seat.
2. Stowage of Portable Oxygen Concentrators
    SFAR No. 106, section 3(a)(3) states that during movement on the 
surface, takeoff, and landing, the POC must either be stowed under the 
seat in front of the user, or in another approved stowage location, so 
as not to block the aisle way or entryway into a row. Further, SFAR No. 
106 limits the location of POC use to 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. However, 
FAA regulations in parts 121,

[[Page 33109]]

125, and 135, also address the stowage of carry-on items and carriage 
of cargo in the passenger cabin to ensure an appropriate stowage 
location and that emergency exit row access is not hindered by carry-on 
items or cargo. See Sec. Sec.  121.285, 121.589, 125.183, and 135.87. 
Thus, the FAA proposed to eliminate the POC stowage requirement in SFAR 
No. 106.
    AFA recommended that the FAA retain the requirements in section 
3(a)(3) of SFAR No. 106 that pertain to POC stowage. AFA stated that, 
for consistency with existing medical oxygen rules that require 
certificate-holder provided equipment to be ``appropriately secured,'' 
(Sec. Sec.  121.574, 125.219 and 135.91) the final rule regulatory text 
should continue to address stowage requirements for passengers' POCs. 
The commenter stated that some operators might conclude that only 
devices furnished by the certificate holder are required to be secured 
or stowed unless POC stowage is specifically addressed.
    Although the FAA continues to expect that POC stowage will be 
addressed in an operator's carry-on baggage program in accordance with 
the requirements of 14 CFR 121.285, 121.589, 125.183 and 135.87, the 
FAA agrees with the commenter that retaining and specifically 
addressing POC stowage (and thereby reinforcing POC stowage 
requirements) could increase the likelihood of safe stowage of 
passenger supplied POCs. Accordingly, as found in SFAR No. 106, this 
final rule includes a specific requirement for POCs to be stowed during 
movement on the surface, takeoff, and landing.
    Notably, the user manuals for 18 of the POC models currently 
approved under SFAR No. 106 specify oxygen tube length. Every manual 
specifying oxygen tube length indicates the associated POC has at least 
7 feet of tubing, which is long enough to allow a passenger to use a 
device stowed under a seat.

H. Discussion of Special Federal Aviation Regulation No. 106 
Requirements Excluded From Final Rule

    The FAA has determined that many of the requirements included in 
SFAR No. 106 are overly prescriptive or redundant with existing rules 
and are therefore not necessary. Accordingly, the FAA has not retained 
them in this final rule. A discussion of the SFAR No. 106 requirements 
excluded from this final rule follows.
1. Special Federal Aviation Regulation No. 106 Requirements Addressed 
in Existing Regulations
a. Passenger Movement About the Cabin While Using a Portable Oxygen 
Concentrator
    SFAR No. 106, section 3(a)(6) states that when the PIC turns off 
the ``Fasten Seat Belt Sign,'' or otherwise grants permission to move 
about the passenger cabin, passengers may continue to use their POC 
while moving about the cabin. The agency included this provision in 
SFAR No. 106 in response to commenters' concerns that the agency should 
allow passengers using a POC to operate the device for the entirety of 
the flight, if necessary. Therefore, in the final rule implementing 
SFAR No. 106, the agency stated that passengers are allowed to use a 
POC for the duration of the flight, including during movement on the 
surface, takeoff, and landing. The agency also stated that once 
passengers were allowed to move about the cabin of the aircraft, they 
would be allowed to bring the POC with them. See 70 FR at 40159.
    In the NPRM, the agency proposed to remove section 3(a)(6) of the 
SFAR. Section 3(a)(6) of the SFAR is unnecessary because there are no 
regulations directed at passengers using a POC that would limit their 
movement about the cabin when passenger movement is permitted by the 
PIC. Accordingly, as proposed in the NPRM, the final rule does not 
include a provision similar to section 3(a)(6) of the SFAR. The agency 
did not receive any comments on the proposed elimination of this SFAR 
No. 106 provision.
b. Protection of Batteries From Short Circuit
    SFAR No. 106, section 3(b)(6) requires passengers to ensure all POC 
batteries carried on board the aircraft in carry-on baggage are 
protected from short circuit and 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). 
Additionally, when a passenger carries a POC on board an aircraft as 
carry-on baggage, and does not intend to use the POC during the flight, 
the passenger must remove the battery and package it separately unless 
the POC contains at least two effective protective features to prevent 
accidental operation and potential overheating of the battery within 
the POC during transport.
    The FAA proposed to eliminate the SFAR No. 106 provisions 
applicable to spare batteries carried by passengers on board aircraft 
for use in POCs because they are unnecessary. The portion of SFAR No. 
106, section 3(b)(6) addressing spare batteries is redundant with PHMSA 
regulations applicable to spare lithium batteries carried by passengers 
on board aircraft. See 49 CFR 175.10(a)(18).
    A4A commented that the FAA should strongly recommend that POC 
manufacturers include a carrying case for spare lithium battery packs 
to ensure battery isolation and insulation. The FAA supports any action 
a POC manufacturer takes to facilitate passenger, crewmember, and 
operator compliance with the requirements for the safe carriage of 
lithium ion batteries on board aircraft, including spares. However, the 
agency does not agree that the commenter's recommendation is necessary 
because PHMSA has identified the requirements for safe carriage of 
spare lithium batteries used to power all PEDs carried by aircraft 
passengers or crewmembers. See 49 CFR 175.10(a)(18).
    PHMSA requires all lithium batteries to be of a type proven to meet 
the requirements of each test, including Test T.7 (Overcharge), in Part 
III, Sub-section 38.3 of the UN Manual of Tests and Criteria. See 49 
CFR 173.185 and 175.10(a)(18). Additionally, PHMSA requires spare 
lithium batteries carried on board aircraft to be carried in the cabin 
in carry-on baggage and individually protected from short circuit to 
mitigate the risk of a fire during flight (e.g., by placement in 
original retail packaging, by otherwise insulating terminals by taping 
over exposed terminals, or by placing each battery in a separate 
plastic bag or protective pouch). See 49 CFR 175.10(a)(18).
    The agency notes that the SFAR diverges from PHMSA requirements 
pertaining to installed batteries. See 49 CFR 175.10(a)(18). The SFAR 
requires a passenger to remove a POC battery if the device does not 
have at least two features that prevent accidental operation. The HMR, 
however, do not require an installed battery to be removed from any 
PED, which would include a POC that is not in use. See 49 CFR 
175.10(a)(18).
    Based on the analysis of currently approved POCs and PHMSA 
requirements applicable to lithium ion batteries carried by passengers 
and crewmembers to power PEDs, an independent FAA requirement for two 
protective features as a prerequisite to leaving an installed battery 
in a POC is unnecessary. The agency reviewed the

[[Page 33110]]

24 SFAR-approved POCs and determined those POCs all have at least two 
design features preventing inadvertent or accidental operation. Thus, 
batteries may remain in SFAR-approved POCs while those POCs are not in 
use.
    In addition, current PHMSA regulations address the safe 
transportation of lithium ion batteries as well as passenger carriage 
of lithium ion batteries. Lithium batteries must be of a type proven to 
meet the requirements of each test, including Test T.7 (Overcharge), in 
Section 38.3 of the UN Manual of Tests and Criteria. See 49 CFR 
173.185.
    Based on the analysis of SFAR-approved POCs and the applicable HMR, 
an independent FAA requirement for two protective features as a 
prerequisite to leaving an installed battery in a POC is unnecessary. 
All POCs currently used on board aircraft are equipped with two 
protective features and all lithium ion batteries must be designed to 
satisfy the overcharge test protection, therefore, the risk of a fire 
originating from the battery is minimal. Accordingly, this final rule 
eliminates SFAR No. 106, section 3(b)(6) from title 14.
2. Special Federal Aviation Regulation No. 106 Requirements Excluded in 
Their Entirety
a. Physician Statement and Pilot in Command and Aircraft Operator 
Notification Requirements
    Section 3(b)(3) of SFAR No. 106 requires passengers intending to 
use a POC to have a written statement signed by a licensed physician, 
and kept in that person's possession 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.
    Section 3(b)(3) of SFAR No. 106 further requires a passenger to 
inform the aircraft operator that he or she intends to use a POC on 
board the aircraft and to allow the crew of the aircraft to review the 
contents of the physician's statement. Similarly, section 3(a)(5) of 
SFAR No. 106 requires PIC notification whenever a passenger brings and 
intends to use a POC on board the aircraft. The PIC must be apprised of 
the physician's written statement required by section 3(b)(3) of the 
SFAR including the nature of the passenger's oxygen needs and the 
passenger's ability to understand operational and warning information 
presented by the POC.
    As proposed, the FAA will no longer require POC-using passengers to 
present a physician's statement, to notify the aircraft operator and 
PIC of their intended POC use, to inform the PIC of the contents of 
their physician's statement, and, to allow the crew of the aircraft to 
review the content of their physician's statement. The FAA received 
comments related to these proposals from two POC suppliers (Main Clinic 
Supply and OTG), the Mayo Clinic, AMDA, and a number of individuals. 
The FAA has reviewed and considered all comments regarding the 
physician's statement and pre-flight notification of POC use.
    Physician statement: Two individual commenters supported the FAA 
proposal to relieve passengers from obtaining a physician's statement 
as a condition of their use of a POC on aircraft. Main Clinic Supply 
supported the proposal to relieve passengers from having to provide a 
physician statement commenting that the current requirement for a 
written, signed physician statement for every flight is not practical, 
causes many delays, and may inhibit POC users' air travel. Main Clinic 
Supply also stated that physicians and their staff do not have the 
resources to provide POC training to patients, explaining that the POC 
user must be responsible for reading the POC operating manual and 
asking the necessary questions of their oxygen provider.
    OTG, AMDA, the Mayo Clinic, and some individual commenters did not 
support the FAA proposal to remove the requirement for passengers to 
carry a physician's statement as a condition of POC use on aircraft. 
OTG, AMDA, and some individual commenters indicated that removal of the 
existing physician's statement and notification requirements would 
cause diversions, impact passenger travel, and be costly to the 
airlines. Generally, commenters asserted that the FAA should retain the 
SFAR No. 106 requirement for a physician's statement because it ensures 
that passengers seeking to use a POC on board an aircraft have 
consulted with a physician regarding POC use in the aircraft 
environment prior to travel. Commenters also challenged statements in 
the NPRM regarding POC function in the aircraft environment.
    The Mayo Clinic commented that it is particularly important for 
individuals who have ``poor respiratory reserve'' to have health care 
provider oversight. In this regard, the physician statement is a form 
of ``safety net'' to trigger these conversations between passengers and 
their treating providers. It is critical that these conversations occur 
prior to air travel since decompensation on board a flight may require 
urgent response. OTG and some individual commenters commented that 
additional interaction between a POC user and his or her physician is 
necessary to educate passengers with limited experience with POC use; 
to address discrepancies between the POC prescription and the POC 
provided by a supplier; and to help the POC user account for the 
effects of cabin pressurization on POC use.
    OTG indicated in its comments that the flow rate on a POC 
prescription may not be appropriate for cabin altitudes. In a related 
comment, the Mayo Clinic stated, ``[A]lthough a physician or other 
health care provider with prescribing privileges writes prescriptions 
for devices to deliver supplemental oxygen, many providers are 
unfamiliar with the physiology of altitude.'' OTG also commented that, 
in its experience, a large percentage of physicians and the majority of 
passengers incorrectly assume aircraft cabins are pressurized to sea 
level. OTG stated that based on this assumption, physicians do not 
provide their POC-using patients with recommendations regarding oxygen 
flow adjustments during air travel when most will require higher flow 
rates in a pressurized cabin than at sea level. OTG further asserted 
that the POC will not produce the same percentage of oxygen in a 
pressurized cabin and the oxygen saturation level of the passenger will 
be decreased due to the normal physics of the partial pressure of the 
oxygen on pulmonary tissue.
    The agency clarifies that SFAR No. 106 does not specifically 
require a passenger to obtain a new physician's statement prior to each 
flight. See 70 FR at 40161. Also, SFAR No. 106 does not require the 
physician's statement to account for the duration of a specific flight, 
variables that may arise in flight conditions, changes in a patient's 
oxygen needs over time, or variables that may arise in connection with 
an individual's medical condition. Further, commenters noted that not 
all physicians may be familiar with effects of cabin pressure or 
realize that aircraft are not pressurized to sea level. For these 
reasons, while the SFAR No. 106 requirement for a physician's statement 
may result in a one-time conversation about a passenger's POC use on an

[[Page 33111]]

aircraft at some point in time, the requirement to obtain such a 
statement may not provide the POC education and ``safety net'' expected 
by commenters.
    The FAA appreciates and concurs with comments regarding the need 
for vigilance and understanding of all nuances associated with POC use 
on aircraft. The agency appreciates and has considered commenters' 
concerns about the physiology of flight and its relationship to POC 
use. The FAA emphasizes that pre-flight preparation on the part of the 
POC-using passenger, working closely with an appropriate medical 
professional, should always occur when traveling with any medical 
device. While preparation may differ for each POC-using passenger, 
depending on the aircraft and kind of operation included in his or her 
travel plans, passengers may wish to consider such factors with their 
medical professional such as past experience using a POC, cabin 
pressurization, layovers, length of flight, and pre-flight activities 
that could lead to compromised lung function in flight. The FAA also 
encourages POC-using passengers to carry documentation regarding the 
device they intend to use including any pertinent documentation 
provided to them by a medical professional or any medical certificate 
required by the carriers in accordance with the Department's air travel 
disability regulation in 14 CFR 382.23.
    However, the FAA believes that retaining the SFAR No. 106 
requirement for a physician's statement as evidence of this medical 
consultation is not the most effective education tool in those 
circumstances in which the physiology of altitude could come to bear on 
POC use and should not be relied on as the means to address the range 
of variables potentially affecting passengers using POCs during flight. 
The FAA has determined that it is more effective to provide reasoned 
guidance and public outreach to educate POC users and physicians 
regarding considerations pertaining to POC use during flight in a 
pressurized cabin. The FAA provides information on passenger health and 
safety on its Web site (e.g., http://www.faa.gov/passengers/fly_safe/health/comprehensive/). The FAA has also updated the POC-specific 
guidance in AC-120-95B and expects to update its Web site with 
information a passenger may want to consider when traveling with a POC.
    As is the case with in flight use of any medical device, passengers 
who need to use a POC on board an aircraft should always consult with 
an appropriate medical professional and their chosen air carrier before 
traveling. Doing so ensures that passengers are prepared for each 
flight they take, particularly if, as one commenter noted a 
prescription may not address adjustments that may be appropriate for 
POC use on a pressurized aircraft. However, the FAA has determined that 
the specific, regulatory requirement set forth in the SFAR requiring 
POC-using passengers to obtain, present, and allow for scrutiny of a 
physician's statement, as a condition of admission on board an aircraft 
is particularly burdensome for passengers seeking to use a POC during 
air travel.
    The FAA intended for the SFAR to provide a framework, not 
previously available, under which persons with a need to use personal 
oxygen therapy could use their own devices during a flight, thereby 
increasing accessibility to air travel for POC-using passengers. With 
more than 10 years of experience with POC technology and POC use on 
aircraft, the FAA has determined that the requirement for a passenger 
to provide for aircraft operator, crewmember, and PIC scrutiny, a 
physician statement pertaining to a medical device that the passenger 
is solely responsible for during the flight, was an overly conservative 
addition to the POC oversight framework. Removing the requirement to 
obtain a physician's statement affects a paperwork requirement; it does 
not affect passengers' responsibility to be prepared for travel. The 
purpose of this final rule is to continue to provide POC-using 
passengers access to air travel, while addressing device safety for 
aircraft use; it is not intended (and is not within FAA authority) to 
set forth a standard of medical care for POC-using passengers. Further, 
the FAA does not require passengers who supply any other medical device 
for their own use during a flight to provide a physician's statement as 
a condition of device usage during flight.
    Additionally, as mentioned previously, existing DOT requirements in 
14 CFR part 382 continue to include a provision to further mitigate the 
possibility of medical events including those that could result in a 
diversion. Sections 382.23(b) and 382.133 authorize carriers to require 
a passenger needing medical oxygen inflight to provide a medical 
certificate to ensure the passenger can complete the flight safely 
without requiring extraordinary medical assistance during the flight.
    AMDA indicated that the FAA should conduct additional research 
regarding the potential impact of the elimination of the physician's 
statement. The FAA has determined that additional research is not 
necessary at this time because the FAA expects physician consultation 
to continue as appropriate for the use of any medical device, and that 
pre-flight notice of POC use on the aircraft will continue in light of 
the requirement for each aircraft operator to determine whether the POC 
bears the label required for use on board aircraft.
    The purpose of the SFAR and the FAA's action in this final rule is 
to address continued use of POCs on aircraft without compromising the 
safety of the aircraft operation. The agency has determined the SFAR 
No. 106 requirement for a physician statement creates an unnecessary 
burden that may not ultimately serve the purpose contemplated by 
commenters. The FAA emphasizes that removing the requirement to obtain 
a physician's statement affects a paperwork requirement; it does not 
affect passengers' responsibility to be prepared for travel, including 
obtaining a medical certificate if the carrier chooses to require one 
as allowed by 14 CFR 382.23 and 382.133. All passengers using a medical 
device in an aircraft environment are responsible for preparing for the 
flight such that they can ensure that the device will function properly 
during the flight and provide the requisite medical support. Therefore, 
as proposed, this final rule discontinues the SFAR requirement for a 
physician statement.
    PIC and aircraft operator notification: OTG, AMDA, and several 
individual commenters did not support the proposal to remove the 
requirements for pre-flight notification of the aircraft operator and 
PIC regarding POC use on board an aircraft. These commenters, however, 
did not provide specific reasons for maintaining the notification 
requirements. One anonymous commenter asserted that advance notice that 
a passenger expects to use a POC would allow crewmembers to prioritize 
actions during multiple cabin events.
    Under this final rule, the PIC and aircraft operator (through a 
crewmember or gate agent) will continue to receive notice of a 
passenger's POC use during flight as the operator determines during 
pre-boarding procedures whether the device has the label now required 
for POC use on the aircraft. Accordingly, as proposed, the FAA 
discontinues the specific requirement for passengers to notify the 
aircraft operator and PIC of intended POC use during a flight because a 
specific notification requirement is unnecessary.
    OTG also stated that several POC-related incidents have occurred in 
flight but did not provide any specific examples, information, or data 
regarding such diversions or incidents. OTG

[[Page 33112]]

further stated that the FAA should have contacted ``air-to-ground'' 
medical service providers to document POC-related incidents.
    The agency reviewed air carrier safety data collected from 2005 
through 2014--a period of nearly 10 years--and found no instances of 
POC malfunction during flight or any related medical incident or 
diversion. This review included information from several accident, 
incident, and voluntary reporting databases.\17\ Further, no ``air-to-
ground'' medical service providers contacted the agency regarding any 
POC incidents, nor did they provide any comments to the agency in this 
regard during the open comment period.
---------------------------------------------------------------------------

    \17\ Voluntary Disclosure Reporting Program (VDRP), Service 
Difficulty Reporting System (SDRS), National Transportation Safety 
Board Aviation Accident and Incident Data Systems (NTSB), National 
Aeronautics and Space Administration Aviation Safety Reporting 
System (ASRS) and FAA Accident/Incident Data System (AIDS).
---------------------------------------------------------------------------

    Although the FAA is removing the requirement for pre-flight 
notification, under existing DOT requirements in 14 CFR part 382, 
carriers continue to be permitted to require individuals who wish to 
use a POC on aircraft to contact them 48 hours before scheduled 
departure. Carriers are permitted to require this pre-flight 
notification so they can ensure that a passenger knows the expected 
maximum flight duration and can use this information in determining the 
number of spare batteries that he or she will need to power the POC 
during the flight.
b. Portable Oxygen Concentrator Alarms
    SFAR No. 106, section 3(b)(1) requires a passenger using a POC on 
board an aircraft to be capable of hearing the unit's alarms and seeing 
alarm light indicators. SFAR No. 106 also requires passengers using a 
POC to have the cognitive ability to take appropriate action in 
response to the various POC caution alarms, warning alarms, and alarm 
light indicators, or travel with someone capable of performing those 
functions.
    In the NPRM, the FAA proposed to eliminate the requirement for a 
passenger using a POC on board an aircraft to be capable of hearing the 
unit's alarms and seeing alarm light indicators. An anonymous commenter 
stated that the FAA should retain this requirement because a continuous 
audio alarm could be very disruptive and compound other abnormal events 
occurring in the cabin. The commenter added that the absence of alarm 
events over the last 10 years does not mean that an alarm event will 
not occur in the future. Additionally, OTG commented that in its 
experience, an individual may not be able to respond to alarms even if 
a physician states that the individual can respond to the POC alarms.
    Crewmembers receive training on how to respond to unanticipated 
events that may arise on board the aircraft including disruptions in 
the cabin and other abnormal events. Further, it is a passenger's 
responsibility to read the POC operator's manual and direct questions 
to their physician to ensure understanding of oxygen flow settings and 
the appropriate responses to alarms.
    The SFAR No. 106 requirements pertaining to POC alarms are based on 
information in the user manual of the first POC approved by the FAA. 
See 69 FR at 42325. Based on a review of 20 user manuals for POCs 
identified in SFAR No. 106, the agency has determined POC alarms may 
provide information regarding the general operation of the POC, as well 
as information regarding the power source and detection of the POC 
user's breath. Since these alarms help ensure the device functions as 
intended, the FAA believes that removing this requirement will not 
affect aviation safety.
    The FAA also emphasizes that it has not identified any incidents 
regarding POC malfunctions on board aircraft during the period of time 
that POCs have been permitted on aircraft. A 10-year look-back period 
includes data from almost 78 million domestic flights with no adverse 
POC incidents. See http://www.transtats.bts.gov/Data_Elements.aspx?Data=2. The agency has determined that this is 
sufficient data to provide an appropriate indicator of future POC 
safety. Therefore, as proposed, this final rule eliminates the SFAR No. 
106 requirement pertaining to alarms (section 3(b)(1)).
c. Ensuring the Portable Oxygen Concentrator is Free of Petroleum 
Products
    SFAR No. 106, section 3(b)(2) requires a passenger using a POC to 
ensure the POC 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. This provision is similar to a warning statement found in the 
user manual of the first POC approved by the FAA and to a provision in 
the medical oxygen rules (Sec. Sec.  121.574, 125.219, and 135.91). See 
69 FR at 42325. The agency proposed to eliminate this SFAR No. 106 
provision.
    OTG commented that for passengers who rent their POCs, the 
condition of the device and its batteries is dependent on the purveyor 
of the equipment. The FAA expects POC users to ensure that a POC they 
intend to use is in good condition so that it may function properly to 
provide the needed oxygen therapy whether the POC user is on the ground 
or on an aircraft. Further, while petroleum products may accelerate an 
existing fire, the volume of petroleum products necessary to accelerate 
a fire is unlikely to be found on the exterior of a POC, and this 
concern is not addressed as a specific requirement for other PEDs 
carried on board aircraft. Therefore, this final rule eliminates the 
requirements in section 3(b)(2) of SFAR No. 106 because the 
requirements are unnecessary.
d. Use of Salves and Lotions
    SFAR No. 106, section 3(b)(4) states only oxygen approved lotions 
or salves may be used by persons using a POC on board an aircraft. In 
the NPRM, the FAA proposed to eliminate this prohibition in its 
entirety and did not receive any comments on this proposal.
    The requirement in SFAR No. 106, section 3(b)(4) came from the user 
manual of the first POC approved by the FAA. The FAA believes it is the 
passenger's responsibility to ensure he or she is using products that 
meet the POC manufacturer's requirements for salve and lotion usage 
with a POC. The risks and responsibilities associated with lotions or 
salves that are not oxygen approved or are petroleum-based are 
addressed in the preceding discussion on the elimination of the 
requirement for the user to ensure that the POC is free from petroleum 
products. Therefore, as proposed, this final rule does not retain the 
prohibition in section 3(b)(4) of SFAR No. 106.
e. Carriage of a Sufficient Number of Batteries
    SFAR No. 106, section 3(b)(5) requires passengers intending to use 
a POC during a flight to obtain from the aircraft operator, or by other 
means, the duration of the planned flight and carry a sufficient number 
of batteries to power the device for the duration of the oxygen use 
specified in the passenger's physician statement, including a 
conservative estimate of any unanticipated delays. In the NPRM, the 
agency proposed to eliminate this SFAR No. 106 requirement.
    Delta Air Lines commented that this final rule should retain the 
battery carriage requirements found in SFAR No. 106 and current 14 CFR 
382.133(f)(2) because passengers often mistakenly assume that 
electrical outlets are available to power portable medical devices. The 
FAA is not aware of any specific incidents of confusion

[[Page 33113]]

regarding availability of electrical outlets to power POCs. FAA 
guidance (AC 120-95B as well as previous editions of this AC) addresses 
aircraft operator and passenger issues pertaining to the use of 
electrical outlets to power POCs. Further, many air carriers, including 
the commenter, disclose applicable policies on their Web sites 
regarding the availability and use of on board electrical outlets for 
electronic devices intended for use during flight. The FAA encourages 
air carriers to continue this practice.
    Additionally, as noted in the Delta Air Lines comment, existing DOT 
regulations (14 CFR part 382) permit carriers to require an individual 
traveling with a POC to bring an adequate number of fully charged 
batteries into the cabin that will power the POC for no less than 150% 
of the expected maximum flight duration. See current 14 CFR 
382.133(f)(2), revised by this rule to 14 CFR 382.133(h)(2). Part 382 
also requires carriers to inform passengers who advise the carriers of 
their intent to use a POC on board an aircraft about the maximum 
duration of the flight segment. See 14 CFR 382.133(f)(1), revised by 
this rule to 14 CFR 382.133(h)(1).
    OTG commented that it is almost impossible for the average 
passenger to assess the amount of battery power that they may need for 
the duration of a trip due to time zone changes, the effect of flow 
rate on battery duration and mistaken assumptions about their ability 
to recharge batteries between flights. OTG also indicated that POC 
manufacturer manuals are ``overly optimistic'' about battery duration, 
often basing their assumptions on data from new batteries.
    The Mayo Clinic commented that many passengers only use a POC 
temporarily, during a flight, and thus are unfamiliar with the device. 
The Mayo Clinic added that an FAA requirement for passengers using a 
POC to carry a certain amount of battery power, would serve as a 
reminder for the passenger and his or her health care provider 
regarding the necessity of sufficient power for POC use, noting that 
the consequences of inadequate supplemental oxygen could result in the 
need to administer medical oxygen during the flight or divert the 
aircraft.
    The FAA maintains that it is the passengers' responsibility to 
understand the performance of their POC and its battery life under 
varying conditions and ensure their POC will enable them to adhere to 
their physician's instructions. All manuals for the POCs identified in 
SFAR No. 106 have liter flow and battery duration charts to help users 
make informed decisions regarding the number of spare batteries they 
need to bring to power the device and it is the responsibility of 
passengers using a POC during air travel to be familiar with the manual 
and consult their physician and POC provider as necessary. As 
highlighted by OTG, passengers may also want to consider the age of the 
device and the batteries as they assess the batteries required to power 
the POC for the amount of time required. The intent of the SFAR and 
this rulemaking is to allow passengers needing oxygen therapy during a 
flight to have ready access to a device that can supply that therapy, 
not to oversee passenger medical care.
    Thus, as proposed, the FAA has eliminated the SFAR requirement to 
carry a certain amount of battery power. However, the Department 
continues to allow airlines to require individuals using POCs inflight 
to bring an adequate number of fully charged batteries based on the 
battery manufacturer's estimate of the hours of battery life while the 
POC is in use and the maximum duration of the flight. Also, to 
facilitate a passenger's ability to prepare for POC use during a 
flight, in AC 120-95B, published with this final rule, the FAA has 
provided references to the DOT requirements regarding the carriage of 
spare batteries. The FAA also expects to update its Web site with 
information a passenger may want to consider when traveling with a POC.

I. Miscellaneous

    BPR Medical Limited recommended that the six continuous flow POCs 
approved under SFAR No. 106 should be retrofitted with an accessory to 
stop the flow of oxygen in the event that the POC tubing ignites. BPR 
states that during testing for fire propagation in tubing, BPR found 
that where a pulse dose mechanism provides oxygen, a fire that has 
developed will automatically be extinguished and will not propagate 
along the tubing to the oxygen source. The commenter added that while 
having a means to stop the flow of oxygen may be more of a concern 
where cigarettes might be a source of ignition, there are other 
possible sources of ignition on aircraft such as electro-static 
discharge from blankets.
    FDA has recently recognized a POC performance standard (ISO 80601-
2-69:2014) that includes a clause stating that the device shall be 
equipped with a means to stop the flow of gas towards the patient in 
the case that the accessory (tubing) becomes ignited. This standard 
will be considered as the FDA approves or clears new POC models.
    Additionally, the previous FDA recognized performance standard for 
POCs (ISO 8359:1996 including Amendment 1 (2012)) stated that POCs 
shall include a means to prevent the propagation of fire back through 
the oxygen concentrator outlet in the case that the tubing ignites. 
Although it is not clear whether all of the continuous flow devices 
approved under the SFAR include this means to prevent fire propagation, 
the FDA is allowing continued use of these devices and is not requiring 
existing POCs to be modified to comply with the performance standard 
the agency currently recognizes (ISO 80601-2-69:2014).
    Nevertheless, the commenter's suggestion to retrofit continuous 
flow POCs with an accessory to extinguish fire propagation in tubing is 
outside of the scope of the proposal and a prohibition on the use of 
continuous flow POCs on aircraft is not supported by aviation safety 
data. As previously noted, the FAA reviewed data from VDRP, SDRS, NTSB, 
ASRS and AIDS, and has not found any instances of POC malfunction 
during flight since the agency first published the SFAR.
    The FAA also researched the service difficulty report (SDR) 
database for the period beginning the time SFAR No. 106 published (July 
12, 2005) through December 2014, and ran multiple queries for the terms 
fires, blankets, POCs, electrostatic discharges, and insulation 
materials. This research covers a period where almost 78 million U.S. 
domestic flights occurred, revealing no SDRs related to POCs. See 
http://www.transtats.bts.gov/Data_Elements.aspx?Data=2.
    Finally, although the FAA has not identified a single instance of a 
fire due to passenger's use of a POC on an aircraft, passenger-carrying 
aircraft are equipped with effective mitigation (i.e., fire resistant 
cabin materials and fire extinguishers) if a fire should occur. See 14 
CFR 25.853, 23.853, 121.215, 121.309, 125.113 and 135.155.
    Accordingly, the agency has determined that no aviation safety data 
exists that would support further FAA action to preclude continuous 
flow POC models from use onboard aircraft.

J. Technical Amendments

    This final rule makes two technical amendments. First, it updates a 
cross reference to the HMR that appears in Sec. Sec.  121.574(a)(3), 
125.219(a)(3), and 135.91(a)(3) and pertains to the definition of a 
compressed gas. Second, it removes the OMB Control No. 2120-0702 from 
Sec.  11.201(b) because the information collection burdens

[[Page 33114]]

associated with this control number cease to be effective when SFAR No. 
106 is removed from title 14.

K. Nondiscrimination on the Basis of Disability in Air Travel

    The Air Carrier Access Act (ACAA) prohibits discrimination by U.S. 
and foreign carriers against passengers with disabilities. See 49 
U.S.C. 41705. Part 382 of title 14 contains detailed standards and 
requirements to implement the ACAA and to ensure that carriers provide 
nondiscriminatory service to passengers with disabilities.
    With regard to POCs, part 382 establishes a framework to ensure 
accessibility for passengers using POCs and other respiratory assistive 
devices on aircraft, subject to applicable aviation safety, security, 
and hazardous materials regulations. In this final rule, the FAA 
revises its acceptance criteria on POCs, based on which air carriers 
may choose to, but are not required to, accept those POCs meeting FAA's 
criteria. On the other hand, part 382 mandates that carriers must 
accept POCs if they meet the FAA's acceptance criteria. Accordingly, 
this final rule includes amendments to 14 CFR part 382 to remove the 
references to SFAR No. 106, to ensure that the requirements of part 382 
are consistent with the new acceptance criteria and labeling 
requirements set forth by the FAA in this rule, and to ensure the 
continued use of the POCs previously approved under SFAR No. 106, as 
permitted by the FAA.
    When amending regulations, the Administrative Procedure Act (APA) 
generally requires agencies to publish a notice of proposed rulemaking 
and give interested persons an opportunity to comment. However, the APA 
authorizes agencies to dispense with notice and comment if the agency 
finds for good cause that notice and public comment thereon are 
impracticable, unnecessary, or contrary to the public interest. 5 
U.S.C. 553(b)(3)(B). ``Good cause'' exists in situations in which 
notice unavoidably prevents the due and required execution of agency 
functions or when an agency finds that due and timely execution of its 
functions is impeded by the notice otherwise required by the APA.
    In this case, the agency finds that there is good cause to conclude 
that providing notice and public comment for the Department's 
conforming amendments is unnecessary, impracticable and contrary to the 
public interest. Notice and public comment are impracticable because 
they would cause undue delay. Providing additional notice and comment 
would be impracticable and contrary to the public interest because 
during the delay caused by providing notice and public comment, the 
Department's disability regulations would be inconsistent with FAA 
regulations. This could potentially cause confusion and affect disabled 
individuals' ability to bring necessary medical devices on flights.
    Notice and comment on these conforming amendments is also 
unnecessary because the public has already had an opportunity to 
comment on the substantive issues addressed by this rulemaking. The 
Department is making minor amendments to part 382 that simply conform 
the Department's disability regulations to the FAA's safety 
regulations. The Department does not believe that it would receive new 
substantive comments, in addition to those already received and 
addressed in this document, if it sought comment on the conforming 
amendments. For these reasons the Department has determined that the 
notice and comment rulemaking process is unnecessary, impracticable, 
and contrary to the public interest for these conforming amendments.
1. Mandatory Acceptance of POCs That Meet FAA Acceptance Criteria
    In 2008, DOT amended part 382 to include a provision requiring 
covered carriers to permit a passenger with a disability to use an 
SFAR-approved POC on all covered flights. More specifically, part 382 
requires U.S. carriers to permit an individual with a disability to use 
an SFAR-approved POC, a ventilator, a respirator, or a continuous 
positive airway pressure machine (CPAP machine) on all flights unless 
the device does not meet applicable FAA requirements for medical 
portable electronic devices and does not display a manufacturer's label 
that indicates the device meets those FAA requirements. See 14 CFR 
382.133(a). Foreign carriers must permit individuals with a disability 
to use a POC of a kind equivalent to a SFAR- approved POC, a 
ventilator, a respirator, or a CPAP machine for use on U.S. carriers in 
the passenger cabin on all covered flights unless the device does not 
meet the requirements for medical portable electronic devices set by 
the foreign carrier's government if such requirements exist and/or the 
POC does not display a manufacturer's label that indicates the device 
meets those requirements. See 14 CFR 382.133(b).
    In 2009, because the SFAR-approved POCs were not required to have 
labels under the FAA's regulations, DOT issued guidance encouraging 
carriers to allow passengers to use these approved POCs even if the 
device had not been labeled, although carriers were not legally 
obligated to do so.\18\ Since then, airlines have largely implemented a 
policy to allow passengers to use SFAR-approved POCs even if they do 
not have labels.
---------------------------------------------------------------------------

    \18\ See, Notice--The Use of Passenger-supplied Electronic 
Respiratory Assistive Devices on Aircraft, October 28, 2009, https://www.transportation.gov/sites/dot.gov/files/docs/Notice_10_28_09.pdf.
---------------------------------------------------------------------------

    In this final rule, the Department is amending its disability 
regulation to ensure that, consistent with the FAA's actions in this 
rule, passengers with SFAR-approved POCs continue to be permitted to 
use these devices on aircraft, regardless of whether they are labeled, 
and that passengers with other POCs that satisfy the FAA acceptance 
criteria and labeling requirements will be able to use those POCs on 
their flights. As the FAA's regulations are enabling rules, these 
changes in the Department's disability regulation require carriers 
covered by part 382 to accept these POCs for air travel.
2. Other Amendments to 14 CFR Part 382
    The Department is revising Sec.  382.133(c)(3) (redesignated as 
Sec.  382.133(e)(3)) by eliminating the reference to SFAR No. 106 with 
respect to the packaging and protection of spare batteries carried in 
an aircraft cabin, as this final rule removes the SFAR from the CFR. 
Instead, the Department is referring directly to the applicable PHMSA 
requirements.
    The Department is also revising Sec.  382.133(c)(6) (redesignated 
as Sec.  382.133(e)(6) in this final rule) by eliminating the reference 
to federal aviation regulations with respect to the physicians 
statement, as in this final rule the FAA eliminates the SFAR No. 106 
requirement for a physician's statement. The Department, however, is 
retaining the reference to Sec.  382.23(b)(1)(ii) that permits carriers 
to require a medical certificate from passengers who need medical 
oxygen during a flight. In that regard, there is also no change to our 
rules that permit a U.S. carrier or a foreign carrier to ensure that 
the passengers traveling with POCs have sufficient numbers of spare 
batteries to power the POC for up to 150% of the maximum flight 
duration.

V. Regulatory Notices and Analyses

A. Regulatory Evaluation

    Changes to Federal regulations must undergo several economic 
analyses. First, Executive Order 12866 and Executive Order 13563 direct 
that each Federal agency shall propose or adopt a

[[Page 33115]]

regulation only upon a reasoned determination that the benefits of the 
intended regulation justify its costs. Second, the Regulatory 
Flexibility Act of 1980 (Pub. L. 96-354) requires agencies to analyze 
the economic impact of regulatory changes on small entities. Third, the 
Trade Agreements Act (Pub. L. 96-39) prohibits agencies from setting 
standards that create unnecessary obstacles to the foreign commerce of 
the United States. In developing U.S. standards, this Trade Act 
requires agencies to consider international standards and, where 
appropriate, that they be the basis of U.S. standards. Fourth, the 
Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4) requires agencies 
to prepare a written assessment of the costs, benefits, and other 
effects of proposed or final rules that include a Federal mandate 
likely to result in the expenditure by State, local, or tribal 
governments, in the aggregate, or by the private sector, of $100 
million or more annually (adjusted for inflation with base year of 
1995). This portion of the preamble summarizes the FAA's analysis of 
the economic impacts of this final rule. We suggest readers seeking 
greater detail read the full regulatory evaluation, a copy of which we 
have placed in the docket for this rulemaking.
    In conducting these analyses, FAA has determined that this final 
rule: (1) Has benefits that justify its costs, (2) is not an 
economically ``significant regulatory action'' as defined in section 
3(f) of Executive Order 12866, (3) is not ``significant'' as defined in 
DOT's Regulatory Policies and Procedures; (4) will not have a 
significant economic impact on a substantial number of small entities; 
(5) will not create unnecessary obstacles to the foreign commerce of 
the United States; and (6) will not impose an unfunded mandate on 
state, local, or tribal governments, or on the private sector by 
exceeding the threshold identified above. These analyses are summarized 
below.
Total Benefits and Costs of This Rule
    The total cost savings from this final rule is $39.5 million ($27.6 
million at 7% present value and $33.6 million at 3% present value). The 
largest cost savings of $39 million occurs from the reduction of crew 
time to review the physician's statement.
    The FAA estimated that POC manufacturers that are expected to 
market POCs for use on aircraft will save a total of $108,000 over the 
ten year analysis period because the FAA will no longer require POC 
models to be identified in SFAR No. 106 prior to their use on aircraft. 
As a result of this action, POC manufacturers will no longer incur the 
administrative costs of petitioning the FAA which the FAA estimated 
would be $108,000. Further, because the manufacturer will no longer 
have to await resolution of that petition in order for a POC to be 
permitted for use on aircraft they will be able to introduce these 
devices sooner to the market.
    The FAA estimates that the cost of this final rule will be a one-
time total cost of $22,000 incurred by all those POC manufacturers who 
comply with this final rule to modify a label and the associated costs 
that manufacturers will incur to change their current labeling process 
to affix a label with the language on the devices.
Assumptions:
     Present Value Discount rates--7% and 3%
     Period of Analysis--ten years
     24 new POCs over ten years
Entities Potentially Affected by This Rule:
     POC manufacturers
     Passengers carrying POCs on board aircraft
     Physicians providing written statements to POC users
     Aircraft operators (including crewmembers)
Benefits of this Rule
    The replacement of the SFAR No. 106 device approval process with a 
process by which POC manufacturers label those devices that satisfy FAA 
acceptance criteria, will shorten the time for manufacturers to begin 
selling new POC models that can be used on aircraft. Therefore, one 
benefit of this rule will be to eliminate delays and enable 
manufacturers to bring their devices to market sooner. Further the FAA 
estimates total industry cost savings of $108,000 because manufacturers 
will no longer incur the administrative costs of petitioning the FAA 
for each new device. These cost savings easily exceed the labeling 
costs.
    Furthermore, this final rule will result in cost savings because 
POC-using passengers will no longer have to obtain a physician's 
written statement as a prerequisite to bringing POCs on board aircraft 
in parts 121, 125, and 135 operations.
    The largest cost-savings will accrue to airline crews as there will 
no longer be a requirement for the crew to review the contents of the 
physician's statement and to notify the pilot in command about the 
contents of the physician's statement and the intention of the 
passenger to use the POC on board.
    The quantified cost savings of this final rule are summarized in 
table 4.

                              Table 4--Total Estimated Cost Savings From Final Rule
----------------------------------------------------------------------------------------------------------------
                                                                                    7% present      3% present
                                                                   Cost savings    value savings   value savings
----------------------------------------------------------------------------------------------------------------
FAA Savings--No SFAR............................................         $91,644         $68,871         $80,519
Manufacturer Savings--No petition for rulemaking................         108,000          75,853          92,126
Removal of FAA requirement for user to obtain a physician's              569,961         401,645         486,914
 statement for POC use on aircraft..............................
Removal of FAA requirement for crew review of physician's             38,726,085      27,083,677      32,972,652
 statement and PIC notification.................................
                                                                 -----------------------------------------------
    Total Cost Savings..........................................     $39,495,690     $27,630,045     $33,632,212
----------------------------------------------------------------------------------------------------------------

    The FAA also identified another benefit that it did not quantify. 
This benefit comes from the use of a performance-based RF emissions 
acceptance criterion. Currently the manufacturers provide radiated RF 
emissions tests results showing that the device does not exceed 
thresholds established in Section 21 Category M of RTCA DO-160 to the 
FAA which posts these results on its Web site for aircraft operators to 
access. This final rule will include a performance-based RF emissions 
acceptance criterion that allows POC manufacturers to determine how to 
assess whether their POC meets the RF emissions limits for use on 
aircraft before they affix a label to the device confirming that this 
criterion has been satisfied. This might save manufacturers some cost 
if they can demonstrate in a less expensive way that their device meets 
the RF emissions criteria and will not degrade safety as

[[Page 33116]]

the alternative method is an equivalent level of safety to the RTCA 
standard.
Costs of This Rule
    As estimated in the NPRM, the FAA expects that POC manufacturers 
will incur costs of $22,000 to modify labels that they already affix to 
the POC, to contain the language required by this rule.

B. Regulatory Flexibility Determination

    The Regulatory Flexibility Act of 1980 (Pub. L. 96-354) (RFA) 
establishes ``as a principle of regulatory issuance that agencies shall 
endeavor, consistent with the objectives of the rule and of applicable 
statutes, to fit regulatory and informational requirements to the scale 
of the businesses, organizations, and governmental jurisdictions 
subject to regulation. To achieve this principle, agencies are required 
to solicit and consider flexible regulatory proposals and to explain 
the rationale for their actions to assure that such proposals are given 
serious consideration.'' The RFA covers a wide-range of small entities, 
including small businesses, not-for-profit organizations, and small 
governmental jurisdictions.
    Agencies must perform a review to determine whether a rule will 
have a significant economic impact on a substantial number of small 
entities. If the agency determines that it will, the agency must 
prepare a regulatory flexibility analysis as described in the RFA.
    However, if an agency determines that a rule is not expected to 
have a significant economic impact on a substantial number of small 
entities, section 605(b) of the RFA provides that the head of the 
agency may so certify and a regulatory flexibility analysis is not 
required. The certification must include a statement providing the 
factual basis for this determination, and the reasoning should be 
clear.
    This final rule is expected to reduce SFAR No. 106 requirements 
that currently result in a burden on POC manufacturers who produce POC 
devices for use on aircraft. This final rule will also result in small 
costs to manufacturers by requiring POCs intended for use on aircraft 
to bear a label indicating the device meets FAA requirements for use on 
board aircraft. The FAA learned from five of the small POC 
manufacturers that they might incur a one-time cost ranging from $200 
to $1,500 which averages $0.20 to $1 per label.\19\ These costs will be 
offset by cost savings because manufacturers will no longer have to 
petition for rulemaking and lose marketing time awaiting a final 
regulatory action. One manufacturer stated these cost savings are worth 
$4,500 for each petition.
---------------------------------------------------------------------------

    \19\ A sixth manufacturer that was contacted estimated costs of 
$10,200, but this manufacturer is not a small business.
---------------------------------------------------------------------------

    The FAA identified nine companies that produce POCs intended for 
use on board aircraft. The FAA determined that the appropriate North 
American Industry Classification System (NAICS) codes of these 
manufacturers are 339112 and 339113 and the threshold for determining 
whether a company is a small business is 500 employees for those 
industries. Through online research, the FAA found data \20\ indicating 
that six of the nine manufacturers are small entities and concluded 
that a substantial number of manufacturers are small entities. However, 
the FAA does not expect the rule to impose a significant economic 
impact on any of these small entities because the estimated cost 
savings of no longer having to petition the FAA (estimated at $4,500 
per manufacturer) exceed the estimated costs of modifying the label 
(estimated at $2,400 per manufacturer) to comply with this final rule. 
Also, there is a benefit to POC manufacturers, in that the 
manufacturers will receive revenue sooner because they will be able to 
market new portable oxygen concentrators sooner.
---------------------------------------------------------------------------

    \20\ http://www.manta.com/.
---------------------------------------------------------------------------

    Although a substantial number of operators conducting parts 121, 
125 and 135 operations are small entities, all parts 121, 125 and 135 
operators are expected to experience cost savings because the proposal 
will no longer require the PIC to be apprised when a passenger brings 
and intends to use a POC on board the aircraft and be informed on the 
contents of the physician's statement as does SFAR No. 106. The FAA did 
not receive comments on the initial regulatory flexibility analysis 
where we first discussed these cost savings. Therefore, as provided in 
section 605(b), the head of the FAA certifies that this rulemaking will 
not result in a significant economic impact on a substantial number of 
small entities.

C. International Trade Impact Assessment

    The Trade Agreements Act of 1979 (Pub. L. 96-39), as amended by the 
Uruguay Round Agreements Act (Pub. L. 103-465), prohibits Federal 
agencies from establishing standards or engaging in related activities 
that create unnecessary obstacles to the foreign commerce of the United 
States. Pursuant to these Acts, the establishment of standards is not 
considered an unnecessary obstacle to the foreign commerce of the 
United States, so long as the standard has a legitimate domestic 
objective, such as the protection of safety, and does not operate in a 
manner that excludes imports that meet this objective. The statute also 
requires consideration of international standards and, where 
appropriate, that they be the basis for U.S. standards. The FAA has 
assessed the potential effect of this final rule and determined that it 
will have only a domestic impact and therefore no effect on 
international trade.

D. Unfunded Mandates Assessment

    Title II of the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-
4) requires each Federal agency to prepare a written statement 
assessing the effects of any Federal mandate in a proposed or final 
agency rule that may result in an expenditure of $100 million or more 
(in 1995 dollars) in any one year by State, local, and tribal 
governments, in the aggregate, or by the private sector; such a mandate 
is deemed to be a ``significant regulatory action.'' The FAA currently 
uses an inflation-adjusted value of $155.0 million in lieu of $100 
million. This final rule does not contain such a mandate; therefore, 
the requirements of Title II of the Act do not apply.

E. Paperwork Reduction Act

    The Paperwork Reduction Act of 1995 (44 U.S.C. 3507(d)) requires 
that the FAA consider the impact of paperwork and other information 
collection burdens imposed on the public. The FAA has determined that 
there is no new requirement for information collection associated with 
this final rule.

F. International Compatibility and Cooperation

    In keeping with U.S. obligations under the Convention on 
International Civil Aviation, it is FAA policy to conform to ICAO 
Standards and Recommended Practices to the maximum extent practicable. 
Annex 18 to the Convention on International Civil Aviation requires 
that dangerous goods are carried in accordance with the ICAO Technical 
Instructions on the Transport of Dangerous Goods by Air. The ICAO 
Technical Instructions do not contain specific provisions for POCs but 
Part 8 of the ICAO Technical Instructions (passenger and crew 
exceptions) allows for their carriage on board aircraft as portable 
medical electronic devices subject to certain conditions. Although the 
format is different, the conditions in

[[Page 33117]]

Part 8 pertaining to batteries used to power POCs are the same as the 
allowances given in 49 CFR 175.10(a)(18).

G. Environmental Analysis

    FAA Order 1050.1F identifies FAA actions that are categorically 
excluded from preparation of an environmental assessment or 
environmental impact statement under the National Environmental Policy 
Act in the absence of extraordinary circumstances. The FAA has 
determined this rulemaking action qualifies for the categorical 
exclusion identified in paragraph 5-6.6 and involves no extraordinary 
circumstances.

VI. Executive Order Determinations

A. Executive Order 13132, Federalism

    The FAA has analyzed this final rule under the principles and 
criteria of Executive Order 13132, Federalism. The agency determined 
that this action will not have a substantial direct effect on the 
States, or the relationship between the Federal Government and the 
States, or on the distribution of power and responsibilities among the 
various levels of government, and, therefore, does not have Federalism 
implications.

B. Executive Order 13211, Regulations That Significantly Affect Energy 
Supply, Distribution, or Use

    The FAA analyzed this final rule under Executive Order 13211, 
Actions Concerning Regulations that Significantly Affect Energy Supply, 
Distribution, or Use (May 18, 2001). The agency has determined that it 
is not a ``significant energy action'' under the executive order and it 
is not likely to have a significant adverse effect on the supply, 
distribution, or use of energy.

VII. How To Obtain Additional Information

A. Rulemaking Documents

    An electronic copy of a rulemaking document may be obtained by 
using the Internet --
    1. Search the Federal eRulemaking Portal (http://www.regulations.gov);
    2. Visit the FAA's Regulations and Policies Web page at http://www.faa.gov/regulations_policies/ or
    3. Access the Government Publishing Office's Web page at http://www.thefederalregister.org/fdsys/.
    Copies may also be obtained by sending a request (identified by 
notice, amendment, or docket number of this rulemaking) to the Federal 
Aviation Administration, Office of Rulemaking, ARM-1, 800 Independence 
Avenue SW., Washington, DC 20591, or by calling (202) 267-9677.

B. Comments Submitted to the Docket

    Comments received may be viewed by going to http://www.regulations.gov and following the online instructions to search the 
docket number for this action. Anyone is able to search the electronic 
form of all comments received into any of the FAA's dockets by the name 
of the individual submitting the comment (or signing the comment, if 
submitted on behalf of an association, business, labor union, etc.).

C. Small Business Regulatory Enforcement Fairness Act

    The Small Business Regulatory Enforcement Fairness Act (SBREFA) of 
1996 requires FAA to comply with small entity requests for information 
or advice about compliance with statutes and regulations within its 
jurisdiction. A small entity with questions regarding this document may 
contact its local FAA official, or the person listed under the FOR 
FURTHER INFORMATION CONTACT heading at the beginning of the preamble. 
To find out more about SBREFA on the Internet, visit http://www.faa.gov/regulations_policies/rulemaking/sbre_act/.

List of Subjects

14 CFR Part 1

    Air transportation.

14 CFR Part 11

    Reporting and recordkeeping requirements.

14 CFR Part 121

    Air carriers, Aircraft, Aviation safety, Charter flights, Safety, 
Transportation.

14 CFR Part 125

    Aircraft, Aviation safety.

14 CFR Part 135

    Air taxis, Aircraft, Aviation safety.

14 CFR Part 382

    Air Carriers, Consumer protection, Individuals with disabilities.

The Amendment

    In consideration of the foregoing, the Federal Aviation 
Administration and the Office of the Secretary amend chapters I and II 
of title 14, Code of Federal Regulations as follows:

PART 1--DEFINITIONS AND ABBREVIATIONS

0
1. The authority citation for part 1 continues to read as follows:

    Authority: 49 U.S.C. 106(f), 106(g), 40113, 44701.


0
2. Amend Sec.  1.1 by adding a definition for ``portable oxygen 
concentrator'' in alphabetical order to read as follows:


Sec.  1.1  General definitions.

* * * * *
    Portable oxygen concentrator means a medical device that separates 
oxygen from other gasses in ambient air and dispenses this concentrated 
oxygen to the user.
* * * * *

0
3. Amend Sec.  1.2 by adding the abbreviation ``POC'' in alphabetical 
order to read as follows:


Sec.  1.2  Abbreviations

* * * * *
    POC means portable oxygen concentrator.
* * * * *

PART 11--GENERAL RULEMAKING PROCEDURES

0
4. The authority citation for part 11 continues to read as follows:

    Authority: 49 U.S.C. 106(f), 106(g), 40101, 40103, 40105, 40109, 
40113, 44110, 44502, 44701-44702, 44711, and 46102.


0
5. In Sec.  11.201, amend the table in paragraph (b) by revising the 
entry for part 121 to read as follows:


Sec.  11.201  Office of Management and Budget (OMB) control numbers 
assigned under the Paperwork Reduction Act.

* * * * *
    (b) * * *

------------------------------------------------------------------------
 14 CFR part or section identified and
               described                     Current OMB control No.
------------------------------------------------------------------------
 
                              * * * * * * *
Part 121...............................  2120-0008, 2120-0028, 2120-
                                          0535, 2120-0571, 2120-0600,
                                          2120-0606, 2120-0614, 2120-
                                          0616, 2120-0631, 2120-0651,
                                          2120-0653, 2120-0691, 2120-
                                          0739, 2120-0760, 2120-0766.
 
                              * * * * * * *
------------------------------------------------------------------------


[[Page 33118]]

PART 121--OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL 
OPERATIONS

0
6. The authority citation for part 121 continues to read as follows:

    Authority: 49 U.S.C. 106(f), 106(g), 40103, 40113, 40119, 41706, 
42301 preceding note added by Public Law 112-95, sec. 412, 126 Stat. 
89, 44101, 44701-44702, 44705, 44709-44711, 44713, 44716-44717, 
44722, 44729, 44732, 46105; Public Law 111-216, 124 Stat. 2348 (49 
U.S.C. 44701 note); Public Law 112-95, 126 Stat. 62 (49 U.S.C. 44732 
note).

Special Federal Aviation Regulation No. 106 [Removed]

0
7. Remove Special Federal Aviation Regulation No. 106.

0
8. Amend Sec.  121.306 as follows:
0
a. In paragraph (b)(4), remove ``or'' following the semicolon;
0
b. Redesignate paragraph (b)(5) as paragraph (b)(6);
0
c. Add new paragraph (b)(5); and
0
d. In paragraph (c), remove the reference ``(b)(5)'' and add in its 
place ``(b)(6)''.
    The addition reads as follows:


Sec.  121.306  Portable electronic devices.

* * * * *
    (b)* * *
    (5) Portable oxygen concentrators that comply with the requirements 
in Sec.  121.574; or
* * * * *

0
9. Amend Sec.  121.574 as follows:
0
a. Revise the section heading;
0
b. Revise paragraph (a) introductory text;
0
c. In paragraph (a)(3), remove the reference ``49 CFR 173.300(a)'' and 
add in its place ``49 CFR 173.115(b)'';
0
d. Revise paragraph (b); and
0
e. Add paragraph (e).
    The revisions and addition read as follows:


Sec.  121.574  Oxygen and portable oxygen concentrators for medical use 
by passengers.

    (a) A certificate holder may allow a passenger to carry and operate 
equipment for the storage, generation, or dispensing of oxygen when all 
of the conditions in paragraphs (a) through (d) of this section are 
satisfied. Beginning August 22, 2016, a certificate holder may allow a 
passenger to carry and operate a portable oxygen concentrator when the 
conditions in paragraphs (b) and (e) of this section are satisfied.
* * * * *
    (b) No person may smoke or create an open flame and no certificate 
holder may allow any person to smoke or create an open flame within 10 
feet of oxygen storage and dispensing equipment carried in accordance 
with paragraph (a) of this section or a portable oxygen concentrator 
carried and operated in accordance with paragraph (e) of this section.
* * * * *
    (e) Portable oxygen concentrators--(1) Acceptance criteria. A 
passenger may carry or operate a portable oxygen concentrator for 
personal use on board an aircraft and a certificate holder may allow a 
passenger to carry or operate a portable oxygen concentrator on board 
an aircraft operated under this part during all phases of flight if the 
portable oxygen concentrator satisfies all of the requirements in this 
paragraph (e):
    (i) Is legally marketed in the United States in accordance with 
Food and Drug Administration requirements in title 21 of the CFR;
    (ii) Does not radiate radio frequency emissions that interfere with 
aircraft systems;
    (iii) Generates a maximum oxygen pressure of less than 200 kPa 
gauge (29.0 psig/43.8 psia) at 20 [deg]C (68 [deg]F);
    (iv) Does not contain any hazardous materials subject to the 
Hazardous Materials Regulations (49 CFR parts 171 through 180) except 
as provided in 49 CFR 175.10 for batteries used to power portable 
electronic devices and that do not require aircraft operator approval; 
and
    (v) Bears a label on the exterior of the device applied in a manner 
that ensures the label will remain affixed for the life of the device 
and containing the following certification statement in red lettering: 
``The manufacturer of this POC has determined this device conforms to 
all applicable FAA acceptance criteria for POC carriage and use on 
board aircraft.'' The label requirements in this paragraph (e)(1)(v) do 
not apply to the following portable oxygen concentrators approved by 
the FAA for use on board aircraft prior to May 24, 2016:
    (A) AirSep Focus;
    (B) AirSep FreeStyle;
    (C) AirSep FreeStyle 5;
    (D) AirSep LifeStyle;
    (E) Delphi RS-00400;
    (F) DeVilbiss Healthcare iGo;
    (G) Inogen One;
    (H) Inogen One G2;
    (I) Inogen One G3;
    (J) Inova Labs LifeChoice;
    (K) Inova Labs LifeChoice Activox;
    (L) International Biophysics LifeChoice;
    (M) Invacare Solo2;
    (N) Invacare XPO2;
    (O) Oxlife Independence Oxygen Concentrator;
    (P) Oxus RS-00400;
    (Q) Precision Medical EasyPulse;
    (R) Respironics EverGo;
    (S) Respironics SimplyGo;
    (T) SeQual Eclipse;
    (U) SeQual eQuinox Oxygen System (model 4000);
    (V) SeQual Oxywell Oxygen System (model 4000);
    (W) SeQual SAROS; and
    (X) VBox Trooper Oxygen Concentrator.
    (2) Operating requirements. Portable oxygen concentrators that 
satisfy the acceptance criteria identified in paragraph (e)(1) of this 
section may be carried or operated by a passenger on an aircraft 
provided the aircraft operator ensures that all of the conditions in 
this paragraph (e)(2) are satisfied:
    (i) Exit seats. No person operating a portable oxygen concentrator 
is permitted to occupy an exit seat.
    (ii) Stowage of device. During movement on the surface, takeoff and 
landing, the device must 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 to the row. If the device is to be operated 
by the user, it must be operated 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.

PART 125--CERTIFICATION AND OPERATIONS: AIRPLANES HAVING A SEATING 
CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD CAPACITY OF 
6,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH 
AIRCRAFT

0
10. The authority citation for part 125 continues to read as follows:

    Authority: 49 U.S.C. 106(f), 106(g), 40113, 44701-44702, 44705, 
44710-44711, 44713, 44716-44717, 44722.

Special Federal Aviation Regulation No. 106 [Removed]

0
11. Remove Special Federal Aviation Regulation No. 106.

0
12. Amend Sec.  125.204 as follows:
0
a. In paragraph (b)(4), remove ``or'' following the semicolon;
0
b. Redesignate paragraph (b)(5) as paragraph (b)(6);
0
c. Add new paragraph (b)(5); and
0
d. In paragraph (c), remove the reference ``(b)(5)'' and add in its 
place ``(b)(6)''.
    The addition reads as follows:


Sec.  125.204  Portable electronic devices.

* * * * *
    (b) * * *

[[Page 33119]]

    (5) Portable oxygen concentrators that comply with the requirements 
in Sec.  125.219; or
* * * * *

0
13. Amend Sec.  125.219 as follows:
0
a. Revise the section heading;
0
b. Revise paragraph (a) introductory text;
0
c. In paragraph (a)(1)(iii), after the semicolon, remove ``and'';
0
d. Redesignate paragraph (a)(1)(iv) as paragraph (a)(1)(v);
0
e. Add new paragraph (a)(1)(iv);
0
f. In paragraph (a)(3), remove the reference ``title 49 CFR 
173.300(a)'' and add in its place ``49 CFR 173.115(b)'';
0
g. Revise paragraph (b); and
0
h. Add paragraph (f).
    The revisions and additions read as follows:


Sec.  125.219  Oxygen and portable oxygen concentrators for medical use 
by passengers.

    (a) Except as provided in paragraphs (d) and (f) of this section, 
no certificate holder may allow the carriage or operation of equipment 
for the storage, generation or dispensing of medical oxygen unless the 
conditions in paragraphs (a) through (c) of this section are satisfied. 
Beginning August 22, 2016, a certificate holder may allow a passenger 
to carry and operate a portable oxygen concentrator when the conditions 
in paragraphs (b) and (f) of this section are satisfied.
    (1) * * *
    (iv) Constructed so that all valves, fittings, and gauges are 
protected from damage during that carriage or operation; and
* * * * *
    (b) No person may smoke or create an open flame and no certificate 
holder may allow any person to smoke or create an open flame within 10 
feet of oxygen storage and dispensing equipment carried under paragraph 
(a) of this section or a portable oxygen concentrator carried and 
operated under paragraph (f) of this section.
* * * * *
    (f) Portable oxygen concentrators--(1) Acceptance criteria. A 
passenger may carry or operate a portable oxygen concentrator for 
personal use on board an aircraft and a certificate holder may allow a 
passenger to carry or operate a portable oxygen concentrator on board 
an aircraft operated under this part during all phases of flight if the 
portable oxygen concentrator satisfies all of the requirements in this 
paragraph (f):
    (i) Is legally marketed in the United States in accordance with 
Food and Drug Administration requirements in title 21 of the CFR;
    (ii) Does not radiate radio frequency emissions that interfere with 
aircraft systems;
    (iii) Generates a maximum oxygen pressure of less than 200 kPa 
gauge (29.0 psig/43.8 psia) at 20 [deg]C (68 [deg]F);
    (iv) Does not contain any hazardous materials subject to the 
Hazardous Materials Regulations (49 CFR parts 171 through 180) except 
as provided in 49 CFR 175.10 for batteries used to power portable 
electronic devices and that do not require aircraft operator approval; 
and
    (v) Bears a label on the exterior of the device applied in a manner 
that ensures the label will remain affixed for the life of the device 
and containing the following certification statement in red lettering: 
``The manufacturer of this POC has determined this device conforms to 
all applicable FAA acceptance criteria for POC carriage and use on 
board aircraft.'' The label requirements in this paragraph (f)(1)(v) do 
not apply to the following portable oxygen concentrators approved by 
the FAA for use on board aircraft prior to May 24, 2016:
    (A) AirSep Focus;
    (B) AirSep FreeStyle;
    (C) AirSep FreeStyle 5;
    (D) AirSep LifeStyle;
    (E) Delphi RS-00400;
    (F) DeVilbiss Healthcare iGo;
    (G) Inogen One;
    (H) Inogen One G2;
    (I) Inogen One G3;
    (J) Inova Labs LifeChoice;
    (K) Inova Labs LifeChoice Activox;
    (L) International Biophysics LifeChoice;
    (M) Invacare Solo2;
    (N) Invacare XPO2;
    (O) Oxlife Independence Oxygen Concentrator;
    (P) Oxus RS-00400;
    (Q) Precision Medical EasyPulse;
    (R) Respironics EverGo;
    (S) Respironics SimplyGo;
    (T) SeQual Eclipse;
    (U) SeQual eQuinox Oxygen System (model 4000);
    (V) SeQual Oxywell Oxygen System (model 4000);
    (W) SeQual SAROS; and
    (X) VBox Trooper Oxygen Concentrator.
    (2) Operating requirements. Portable oxygen concentrators that 
satisfy the acceptance criteria identified in paragraph (f)(1) of this 
section may be carried or used by a passenger on an aircraft provided 
the aircraft operator ensures that all of the conditions in this 
paragraph (f)(2) are satisfied:
    (i) Exit seats. No person operating a portable oxygen concentrator 
is permitted to occupy an exit seat.
    (ii) Stowage of device. During movement on the surface, takeoff and 
landing, the device must 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 to the row. If the device is to be operated 
by the user, it must be operated 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.

PART 135--OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS 
AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT

0
14. The authority citation for part 135 continues to read as follows:

    Authority: 49 U.S.C. 106(f), 106(g), 41706, 40113, 44701-44702, 
44705, 44709, 44711-44713, 44715-44717, 44722, 44730, 45101-45105; 
Public Law 112-95, 126 Stat. 58 (49 U.S.C. 44730).

Special Federal Aviation Regulation No. 106 [Removed]

0
15. Remove Special Federal Aviation Regulation No. 106.

0
16. Amend Sec.  135.91 as follows:
0
a. Revise the section heading and paragraph (a) introductory text;
0
b. In paragraph (a)(1)(iii), after the semicolon, remove ``and'';
0
c. Redesignate paragraph (a)(1)(iv) as paragraph (a)(1)(v);
0
d. Add new paragraph (a)(1)(iv);
0
e. In paragraph (a)(3), remove the reference ``title 49 CFR 
173.300(a)'' and add in its place ``49 CFR 173.115(b)'';
0
f. Revise paragraph (b); and
0
g. Add paragraph (f).
    The revisions and additions read as follows:


Sec.  135.91  Oxygen and portable oxygen concentrators for medical use 
by passengers.

    (a) Except as provided in paragraphs (d) and (e) of this section, 
no certificate holder may allow the carriage or operation of equipment 
for the storage, generation or dispensing of medical oxygen unless the 
conditions in paragraphs (a) through (c) of this section are satisfied. 
Beginning August 22, 2016, a certificate holder may allow a passenger 
to carry and operate a portable oxygen concentrator when the conditions 
in paragraphs (b) and (f) of this section are satisfied.
    (1) * * *
    (iv) Constructed so that all valves, fittings, and gauges are 
protected from damage during carriage or operation; and
* * * * *
    (b) No person may smoke or create an open flame and no certificate 
holder

[[Page 33120]]

may allow any person to smoke or create an open flame within 10 feet of 
oxygen storage and dispensing equipment carried under paragraph (a) of 
this section or a portable oxygen concentrator carried and operated 
under paragraph (f) of this section.
* * * * *
    (f) Portable oxygen concentrators--(1) Acceptance criteria. A 
passenger may carry or operate a portable oxygen concentrator for 
personal use on board an aircraft and a certificate holder may allow a 
passenger to carry or operate a portable oxygen concentrator on board 
an aircraft operated under this part during all phases of flight if the 
portable oxygen concentrator satisfies all of the requirements of this 
paragraph (f):
    (i) Is legally marketed in the United States in accordance with 
Food and Drug Administration requirements in title 21 of the CFR;
    (ii) Does not radiate radio frequency emissions that interfere with 
aircraft systems;
    (iii) Generates a maximum oxygen pressure of less than 200 kPa 
gauge (29.0 psig/43.8 psia) at 20 [deg]C (68 [deg]F);
    (iv) Does not contain any hazardous materials subject to the 
Hazardous Materials Regulations (49 CFR parts 171 through 180) except 
as provided in 49 CFR 175.10 for batteries used to power portable 
electronic devices and that do not require aircraft operator approval; 
and
    (v) Bears a label on the exterior of the device applied in a manner 
that ensures the label will remain affixed for the life of the device 
and containing the following certification statement in red lettering: 
``The manufacturer of this POC has determined this device conforms to 
all applicable FAA acceptance criteria for POC carriage and use on 
board aircraft.'' The label requirements in this paragraph (f)(1)(v) do 
not apply to the following portable oxygen concentrators approved by 
the FAA for use on board aircraft prior to May 24, 2016:
    (A) AirSep Focus;
    (B) AirSep FreeStyle;
    (C) AirSep FreeStyle 5;
    (D) AirSep LifeStyle;
    (E) Delphi RS-00400;
    (F) DeVilbiss Healthcare iGo;
    (G) Inogen One;
    (H) Inogen One G2;
    (I) Inogen One G3;
    (J) Inova Labs LifeChoice;
    (K) Inova Labs LifeChoice Activox;
    (L) International Biophysics LifeChoice;
    (M) Invacare Solo2;
    (N) Invacare XPO2;
    (O) Oxlife Independence Oxygen Concentrator;
    (P) Oxus RS-00400;
    (Q) Precision Medical EasyPulse;
    (R) Respironics EverGo;
    (S) Respironics SimplyGo;
    (T) SeQual Eclipse;
    (U) SeQual eQuinox Oxygen System (model 4000);
    (V) SeQual Oxywell Oxygen System (model 4000);
    (W) SeQual SAROS; and
    (X) VBox Trooper Oxygen Concentrator.
    (2) Operating requirements. Portable oxygen concentrators that 
satisfy the acceptance criteria identified in paragraph (f)(1) of this 
section may be carried on or operated by a passenger on board an 
aircraft provided the aircraft operator ensures that all of the 
conditions in this paragraph (f)(2) are satisfied:
    (i) Exit seats. No person operating a portable oxygen concentrator 
is permitted to occupy an exit seat.
    (ii) Stowage of device. During movement on the surface, takeoff and 
landing, the device must 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 to the row. If the device is to be operated 
by the user, it must be operated 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.

0
17. Amend Sec.  135.144 as follows:
0
a. In paragraph (a) introductory text, remove ``of the following'';
0
b. In paragraph (b)(4), remove ``or'' following the semicolon;
0
c. Redesignate paragraph (b)(5) as paragraph (b)(6);
0
d. Add new paragraph (b)(5); and
0
e. In paragraph (c), remove the reference ``(b)(5)'' and add in its 
place ``(b)(6)''.
    The addition reads as follows:


Sec.  135.144  Portable electronic devices.

* * * * *
    (b) * * *
    (5) Portable oxygen concentrators that comply with the requirements 
in Sec.  135.91; or
* * * * *

PART 382--NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR 
TRAVEL

0
18. The authority citation for part 382 continues to read as follows:

    Authority: 49 U.S.C. 41705.


0
19. In Sec.  382.27, revise paragraph (a) to read as follows:


Sec.  382.27  May a carrier require a passenger with a disability to 
provide advance notice in order to obtain certain specific services in 
connection with a flight?

    (a) Except as provided in paragraph (b) of this section and Sec.  
382.133(e)(4) and (5) and (f)(5) and (6), as a carrier you must not 
require a passenger with a disability to provide advance notice in 
order to obtain services or accommodations required by this part.
* * * * *

0
20. Revise Sec.  382.133 to read as follows:


Sec.  382.133  What are the requirements concerning the evaluation and 
use of passenger-supplied electronic devices that assist passengers 
with respiration in the cabin during flight?

    (a) Except for on-demand air taxi operators, as a U.S. carrier 
conducting passenger service you must permit any individual with a 
disability to use in the passenger cabin during air transportation an 
electronic assistive device specified in paragraph (c) of this section 
on all aircraft originally designed to have a maximum passenger 
capacity of more than 19 seats unless:
    (1) The device does not meet applicable FAA requirements for 
medical portable electronic device; or
    (2) The device cannot be stowed and used in the passenger cabin 
consistent with applicable TSA, FAA, and PHMSA regulations.
    (b) Except for foreign carriers conducting operations of a nature 
equivalent to on-demand air taxi operations by a U.S. carrier, as a 
foreign carrier conducting passenger service you must permit any 
individual with a disability to use in the passenger cabin during air 
transportation to, from or within the United States, an electronic 
assistive device specified in paragraph (d) of this section on all 
aircraft originally designed to have a maximum passenger capacity of 
more than 19 seats unless:
    (1) The device does not meet requirements for medical portable 
electronic devices set by the foreign carrier's government if such 
requirements exist;
    (2) The device does not meet requirements for medical portable 
electronic devices set by the FAA for U.S. carriers in circumstances 
where 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; or
    (3) The device cannot be stowed and used in the passenger cabin 
consistent with applicable TSA, FAA and PHMSA

[[Page 33121]]

regulations, and the safety or security regulations of the foreign 
carrier's government.
    (c) Except as provided in paragraph (a) of this section, as a 
covered U.S. air carrier, you must accept the passenger supplied 
electronic assistive device in this paragraph (c):
    (1) A portable oxygen concentrator (POC), a ventilator, a 
respirator or a continuous positive airway pressure machine that 
displays a manufacturer's label that indicates the device meets FAA 
requirements; and
    (2) The following POC models whether or not they are labeled:
    (i) AirSep Focus;
    (ii) AirSep FreeStyle;
    (iii) AirSep FreeStyle 5;
    (iv) AirSep LifeStyle;
    (v) Delphi RS-00400;
    (vi) DeVilbiss Healthcare iGo;
    (vii) Inogen One;
    (viii) Inogen One G2;
    (ix) Inogen One G3;
    (x) Inova Labs LifeChoice;
    (xi) Inova Labs LifeChoice Activox;
    (xii) International Biophysics LifeChoice;
    (xiii) Invacare Solo2;
    (xiv) Invacare XPO2;
    (xv) Oxlife Independence Oxygen Concentrator;
    (xvi) Oxus RS-00400;
    (xvii) Precision Medical EasyPulse;
    (xviii) Respironics EverGo;
    (xix) Respironics SimplyGo;
    (xx) SeQual Eclipse;
    (xxi) SeQual eQuinox Oxygen System (model 4000);
    (xxii) SeQual Oxywell Oxygen System (model 4000);
    (xxiii) SeQual SAROS; and
    (xxiv) VBox Trooper Oxygen Concentrator.
    (d) Except as provided in paragraph (b) of this section, as a 
covered foreign air carrier, you must accept the supplied electronic 
assistive devices in this paragraph (d):
    (1) A POC, a ventilator, a respirator or a continuous positive 
airway pressure machine that displays a manufacturer's label according 
to FAA requirements in circumstances where requirements for labeling 
these devices have not been set by the foreign carrier's government; 
and
    (2) The following POC models whether or not they are labeled:
    (i) AirSep Focus;
    (ii) AirSep FreeStyle;
    (iii) AirSep FreeStyle 5;
    (iv) AirSep LifeStyle;
    (v) Delphi RS-00400;
    (vi) DeVilbiss Healthcare iGo;
    (vii) Inogen One;
    (viii) Inogen One G2;
    (ix) Inogen One G3;
    (x) Inova Labs LifeChoice;
    (xi) Inova Labs LifeChoice Activox;
    (xii) International Biophysics LifeChoice;
    (xiii) Invacare Solo2;
    (xiv) Invacare XPO2;
    (xv) Oxlife Independence Oxygen Concentrator;
    (xvi) Oxus RS-00400;
    (xvii) Precision Medical EasyPulse;
    (xviii) Respironics EverGo;
    (xix) Respironics SimplyGo;
    (xx) SeQual Eclipse;
    (xxi) SeQual eQuinox Oxygen System (model 4000);
    (xxii) SeQual Oxywell Oxygen System (model 4000);
    (xxiii) SeQual SAROS; and
    (xxiv) VBox Trooper Oxygen Concentrator.
    (e) As a U.S. carrier, you must provide information during the 
reservation process as indicated in paragraphs (e)(1) through (6) of 
this section upon inquiry from an individual concerning the use in the 
cabin during air transportation of a ventilator, respirator, continuous 
positive airway machine, or a POC. The information in this paragraph 
(e) must be provided:
    (1) Any applicable requirement for a manufacturer-affixed label to 
reflect that the device has been tested to meet applicable FAA 
requirements for medical portable electronic devices;
    (2) 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 FAA safety requirements;
    (3) The requirement to bring an adequate number of batteries as 
outlined in paragraph (h)(2) of this section and to ensure that extra 
batteries carried onboard to power the device are packaged and 
protected from short circuit and physical damage in accordance with 
applicable PHMSA regulations regarding spare batteries carried by 
passengers in an aircraft cabin;
    (4) 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;
    (5) 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
    (6) For POCs, the requirement of Sec.  382.23(b)(1)(ii) to present 
to the operating carrier at the airport a physician's statement 
(medical certificate).
    (f) As a foreign carrier operating flights to, from or within the 
United States, you must provide the information during the reservation 
process as indicated in paragraphs (f)(1) through (7) of this section 
upon inquiry from an individual concerning the use in the cabin during 
air transportation on such a flight of a ventilator, respirator, 
continuous positive airway machine, or POC. The information in this 
paragraph (f) must be provided:
    (1) Any applicable requirement for a manufacturer-affixed label to 
reflect that the device has been tested to meet requirements for 
medical portable electronic devices set by the foreign carrier's 
government if such requirements exist;
    (2) Any applicable requirement for a manufacturer-affixed label to 
reflect that the device has been tested to meet requirements for 
medical portable electronic devices set by the FAA for U.S. 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;
    (4) The requirement to bring an adequate number of batteries as 
outlined in paragraph (h)(2) of this section and to ensure that extra 
batteries carried onboard to power the device are packaged in 
accordance with applicable government safety regulations;
    (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;
    (6) 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).

[[Page 33122]]

    (g) 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.
    (h)(1) As a U.S. or foreign carrier subject to paragraph (a) or (b) 
of this section, you must inform any individual who has advised you 
that he or she plans to operate his/her device in the aircraft cabin, 
within 48 hours of his/her making a reservation or 24 hours before the 
scheduled departure date of his/her flight, whichever date is earlier, 
of the expected maximum flight duration of each segment of his/her 
flight itinerary.
    (2) You may require an individual to 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.
    (3) If an individual does not comply with the conditions for 
acceptance of a medical portable electronic device as outlined in this 
section, you may deny boarding to the individual in accordance with 
Sec.  382.19(c) and in that event you must provide a written 
explanation to the individual in accordance with Sec.  382.19(d).

    Issued under authority provided by 49 U.S.C. 106(f) and 
44701(a), and authority provided by 49 U.S.C. 41705, delegated at 49 
CFR 1.27, in Washington, DC, on May 11, 2016.
Kathryn B. Thomson,
General Counsel, Department of Transportation.

Michael P. Huerta,
Administrator, Federal Aviation Administration.
[FR Doc. 2016-11918 Filed 5-23-16; 8:45 am]
 BILLING CODE 4910-13-P



                                                                                                      Vol. 81                           Tuesday,
                                                                                                      No. 100                           May 24, 2016




                                                                                                      Part V


                                                                                                      Department of Transportation
                                                                                                      Federal Aviation Administration
                                                                                                      14 CFR Parts 1, 11, 121, et al.
                                                                                                      Acceptance Criteria for Portable Oxygen Concentrators Used On Board
                                                                                                      Aircraft; Final Rule
mstockstill on DSK3G9T082PROD with RULES3




                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00001   Fmt 4717   Sfmt 4717   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33098               Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 DEPARTMENT OF TRANSPORTATION                            effective June 23, 2016. The                            H. Discussion of Special Federal Aviation
                                                                                                         amendments to 14 CFR 11.201, 121.306,                      Regulation No. 106 Requirements
                                                 Federal Aviation Administration                         125.204, 135.144, 382,27, and 382.133,                     Excluded From Final Rule
                                                                                                                                                                 1. Special Federal Aviation Regulation No.
                                                                                                         and the removal of Special Federal
                                                 14 CFR Parts 1, 11, 121, 125, and 135                                                                              106 Requirements Addressed in Existing
                                                                                                         Aviation Regulation No. 106 are                            Regulations
                                                                                                         effective August 22, 2016.                              2. Special Federal Aviation Regulation No.
                                                 Office of the Secretary                                                                                            106 Requirements Excluded in Their
                                                                                                         ADDRESSES:    For information on where to
                                                                                                                                                                    Entirety
                                                 14 CFR Part 382                                         obtain copies of rulemaking documents
                                                                                                                                                                 I. Miscellaneous
                                                                                                         and other information related to this                   J. Technical Amendments
                                                 [Docket No.: FAA–2014–0554; Amdt. Nos.                  final rule, see ‘‘How to Obtain
                                                 1–69, 11–59, 121–374, 125–65, and 135–133]                                                                      K. Nondiscrimination on the Basis of
                                                                                                         Additional Information’’ in the                            Disability in Air Travel
                                                 RIN 2120–AK32                                           SUPPLEMENTARY INFORMATION section of                    1. Mandatory Acceptance of POCs That
                                                                                                         this document.                                             Meet FAA Acceptance Criteria
                                                 Acceptance Criteria for Portable                                                                                2. Other Amendments to 14 CFR Part 382
                                                 Oxygen Concentrators Used On Board                      FOR FURTHER INFORMATION CONTACT:    For               V. Regulatory Notices and Analyses
                                                 Aircraft                                                technical questions concerning this                     A. Regulatory Evaluation
                                                                                                         action, contact DK Deaderick, 121 Air                   B. Regulatory Flexibility Determination
                                                 AGENCY:  Federal Aviation                               Carrier Operations Branch, Air                          C. International Trade Impact Assessment
                                                 Administration (FAA) and Office of the                  Transportation Division, Flight                         D. Unfunded Mandates Assessment
                                                 Secretary (OST), Department of                          Standards Service, Federal Aviation                     E. Paperwork Reduction Act
                                                 Transportation (DOT).                                   Administration, AFS–220, 800                            F. International Compatibility and
                                                 ACTION: Final rule.                                                                                                Cooperation
                                                                                                         Independence Avenue SW.,
                                                                                                                                                                 G. Environmental Analysis
                                                                                                         Washington, DC 20591; telephone (202)                 VI. Executive Order Determinations
                                                 SUMMARY:     This final rule replaces the
                                                                                                         267–7480; email dk.deaderick@faa.gov.                   A. Executive Order 13132, Federalism
                                                 existing process by which the Federal
                                                                                                         For questions regarding the                             B. Executive Order 13211, Regulations
                                                 Aviation Administration (Agency or
                                                                                                         Department’s disability regulation (14                     That Significantly Affect Energy Supply,
                                                 FAA) approves portable oxygen
                                                                                                         CFR part 382), contact Clereece Kroha,                     Distribution, or Use
                                                 concentrators (POC) for use on board                                                                          VII. How To Obtain Additional Information
                                                                                                         Senior Attorney, Office of Aviation
                                                 aircraft in air carrier operations,                                                                             A. Rulemaking Documents
                                                                                                         Enforcement and Proceedings,
                                                 commercial operations, and certain                                                                              B. Comments Submitted to the Docket
                                                                                                         Department of Transportation, 1200
                                                 other operations using large aircraft. The                                                                      C. Small Business Regulatory Enforcement
                                                                                                         New Jersey Avenue SE., Washington,
                                                 FAA currently assesses each POC make                                                                               Fairness Act
                                                                                                         DC 20590; telephone (202) 366–9041;
                                                 and model on a case-by-case basis and                                                                         I. Executive Summary
                                                                                                         email clereece.kroha@dot.gov.
                                                 if the FAA determines that a particular
                                                 POC is safe for use on board an aircraft,               SUPPLEMENTARY INFORMATION:                            A. Overview of Final Rule
                                                 the FAA conducts rulemaking to                                                                                  This final rule affects the use of POCs
                                                                                                         Table of Contents
                                                 identify the specific POC model in an                                                                         on board aircraft in operations
                                                 FAA regulation. This final rule replaces                I. Executive Summary                                  conducted under title 14 of the Code of
                                                 the current process and allows                             A. Overview of Final Rule
                                                                                                                                                               Federal Regulations (14 CFR) parts 121,
                                                 passengers to use a POC on board an                        B. Summary of Cost Savings
                                                                                                         II. Authority for This Rulemaking                     125, and 135, by replacing the existing
                                                 aircraft if the POC satisfies certain                                                                         FAA case-by-case approval process for
                                                                                                         III. Background
                                                 acceptance criteria and bears a label                      A. Statement of the Problem                        each make and model of POC in Special
                                                 indicating conformance with the                            B. Summary of the NPRM                             Federal Aviation Regulation (SFAR) No.
                                                 acceptance criteria. The labeling                          C. Differences Between Notice of Proposed          106, with FAA acceptance criteria.
                                                 requirement only affects POCs intended                        Rulemaking and Final Rule                       Under SFAR No. 106, each time the
                                                 for use on board aircraft that were not                    D. General Overview of Comments                    FAA approves a specific model of POC
                                                 previously approved for use on aircraft                 IV. Discussion of Public Comments and Final           for use on board aircraft, the agency
                                                 by the FAA. Additionally, this                                Rule                                            updates the list of approved POCs in the
                                                 rulemaking will eliminate redundant                        A. Applicability, Effective Dates and
                                                                                                                                                               SFAR.1
                                                 operational requirements and                                  Compliance
                                                                                                                                                                 This final rule removes SFAR No. 106
                                                 paperwork requirements related to the                      B. Definition of Portable Oxygen
                                                                                                               Concentrator                                    and replaces it with POC acceptance
                                                 physician’s statement. As a result, this                                                                      criteria and specific labeling
                                                                                                            C. Portable Oxygen Concentrator
                                                 rulemaking will reduce burdens for POC                        Acceptance Criteria                             requirements to identify POCs that
                                                 manufacturers, passengers who use                          1. Food and Drug Administration                    conform to the acceptance criteria. POCs
                                                 POCs while traveling, and affected                            Clearance or Approval                           that conform to the final rule acceptance
                                                 aircraft operators. This final rule also                   2. Radio Frequency Emissions                       criteria will be allowed on board aircraft
                                                 makes conforming amendments to the                         3. Hazardous Materials                             without additional FAA review and
                                                 Department of Transportation’s                             4. Maximum Oxygen Pressure                         rulemaking.
                                                 (Department or DOT) rule implementing                      D. Manufacturer Label                                As with existing requirements for
                                                 the Air Carrier Access Act (ACAA) to                       E. Manufacturer Determination of
                                                                                                                                                               FAA approval of POCs that may be used
                                                 require carriers to accept all POC                            Conformance to Acceptance Criteria
                                                                                                            F. Prohibition on Smoking or Open Flame            on aircraft, the final rule acceptance
mstockstill on DSK3G9T082PROD with RULES3




                                                 models that meet FAA acceptance                            G. Operational Requirements                        criteria and labeling requirement only
                                                 criteria as detailed in this rule.                         1. Exit Seats                                      apply to POCs intended for use on board
                                                 DATES: The amendments to 14 CFR 1.1,                       2. Stowage of Portable Oxygen                      aircraft. Table 1 provides a comparison
                                                 1.2, 121.574, 125.219, and 135.91 are                         Concentrators                                   of the final rule acceptance criteria and


                                                   1 POCs identified in the SFAR are referred to in

                                                 this preamble as SFAR-approved POCs or SFAR-
                                                 approved devices.

                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00002   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                      Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                                 33099

                                                 labeling requirement with related SFAR
                                                 No. 106.

                                                  TABLE 1—COMPARISON OF FINAL RULE ACCEPTANCE CRITERIA AND LABELING REQUIREMENT WITH RELATED SFAR NO.
                                                                                           106 REQUIREMENTS
                                                                                                Related SFAR No. 106 requirements                       Final rule acceptance criteria and labeling requirement

                                                 Food and Drug Administra-           The POC must be regulated by the FDA (section 2(2))               The POC manufacturer has received FDA clearance to
                                                   tion (FDA) clearance to           Note: To satisfy this requirement, manufacturers pro-               legally market the device in the United States.
                                                   market the device.                  vide the FAA with the FDA letter granting approval to
                                                                                       market the device (the FDA response to a manufac-
                                                                                       turer’s 510(k) submission).
                                                 Hazardous materials ............    The POC may not contain hazardous materials as de-                The POC must not contain any hazardous materials
                                                                                       termined by the Pipeline and Hazardous Materials                  subject to the HMR, except as provided for batteries
                                                                                       Safety Administration (section 2(1)).                             in the exceptions for crewmembers and passengers
                                                                                     Note: To satisfy this requirement, manufacturers cur-               (49 CFR 175.10).
                                                                                       rently provide the FAA with a Pipeline and Haz-                 The maximum oxygen pressure generated by the POC
                                                                                       ardous Materials Safety Administration (PHMSA) de-                must fall below the threshold for the definition of a
                                                                                       termination letter stating that the POC is not subject            compressed gas as per the HMR.
                                                                                       to the Hazardous Materials Regulations (HMR) (49
                                                                                       CFR parts 171–180).
                                                 Radio frequency (RF) emis-          Operator must determine that POC does not cause in-               The POC’s RF emissions do not interfere with aircraft
                                                   sions.                              terference with the electrical, navigation or commu-              systems.
                                                                                       nication equipment on the aircraft on which the de-
                                                                                       vice is to be used (section 3(a)(1)).
                                                                                     Note: To satisfy this requirement, it is current practice
                                                                                       for operators to use testing data provided by POC
                                                                                       manufacturers regarding the RF emissions of a spe-
                                                                                       cific POC model. Manufacturers currently complete
                                                                                       testing in accordance with RTCA standard 160G,
                                                                                       Section 21, Category M.
                                                 Identification of POCs safe         POC model must be identified in SFAR No. 106 as ap-               In order to be used on aircraft, a label must be affixed
                                                   for use on board aircraft.          proved for use on board aircraft prior to use on board            to the POC indicating compliance with acceptance
                                                                                       aircraft in part 121, 125, and 135 operations (sec-               criteria pertaining to FDA clearance to market the de-
                                                                                       tions 2, 3(a)).                                                   vice, hazardous materials, and RF emission limits.
                                                                                     Note: Specific POCs approved for use on board aircraft            POC models identified in existing SFAR No. 106 satisfy
                                                                                       are identified in SFAR No. 106 by manufacturer and                the acceptance criteria and will be exempt from the
                                                                                       model name. Although some POC manufacturers                       labeling requirement. These POC models will con-
                                                                                       affix a label indicating FAA approval for use on board            tinue to be identified in the regulatory text.
                                                                                       aircraft, there is no current FAA requirement for a
                                                                                       label indicating this approval.



                                                   This final rule requires all POC                         SFAR-approved POC models need not                   applicable to passengers that are not
                                                 models to conform to the acceptance                      bear a label. The final rule regulatory               necessary for safe POC use on board
                                                 criteria.2 Further, any POC model that                   text includes a list of POCs approved in              aircraft, and impose an unnecessary and
                                                 was not previously identified in SFAR                    accordance with SFAR No. 106 so that                  unreasonable paperwork burden on
                                                 No. 106 as approved for use on aircraft                  passengers and crewmembers can                        POC-using passengers and their
                                                 must also bear a label indicating                        continue to identify these POCs as                    physicians as well as crewmembers and
                                                 conformance with the acceptance                          approved for use on board aircraft.                   aircraft operators. This final rule also
                                                 criteria before it may be used on board                    In addition, this final rule eliminates             increases accessibility in air travel for
                                                                                                          SFAR No. 106 requirements related to
                                                 an aircraft. This label will facilitate                                                                        passengers who require oxygen therapy
                                                                                                          POC use on board aircraft that are
                                                 passenger and crew recognition of POCs                                                                         during flight. Table 2 summarizes the
                                                                                                          addressed elsewhere in titles 14 or 49 of
                                                 that may be used in the cabin during all                                                                       final rule disposition of all SFAR No.
                                                                                                          the CFR. This final rule also eliminates
                                                 phases of flight.                                        specific SFAR No. 106 requirements                    106 provisions.

                                                                          TABLE 2—SUMMARY OF SFAR NO. 106 PROVISIONS AND DISPOSITION IN FINAL RULE
                                                                                                                                                                           Description of disposition
                                                                                    Summary of SFAR No. 106 provision                                                             in final rule

                                                 • Requirement that the POC is legally marketed in the United States in accordance with FDA                     SFAR No. 106 Provisions Reflected in Accept-
                                                   requirements (section 2(2)).                                                                                   ance Criteria and Labeling Requirement.
                                                 • Requirement for operator to determine that POC does not cause interference with the elec-
mstockstill on DSK3G9T082PROD with RULES3




                                                   trical, navigation or communication equipment on the aircraft on which the device is to be
                                                   used (section 3(a)(1)).

                                                   2 POC models previously listed as approved for         identified in this final rule are based on existing   identified in SFAR No. 106 satisfies the acceptance
                                                 use on board aircraft in SFAR No. 106 received           SFAR No. 106 requirements that must be satisfied      criteria.
                                                 approval because they satisfied the criteria set forth   before the FAA identifies a POC in SFAR No. 106
                                                 in SFAR No. 106. The POC acceptance criteria             as approved for use on aircraft. Thus, a POC model



                                            VerDate Sep<11>2014    18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00003   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33100               Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                                  TABLE 2—SUMMARY OF SFAR NO. 106 PROVISIONS AND DISPOSITION IN FINAL RULE—Continued
                                                                                                                                                                            Description of disposition
                                                                                  Summary of SFAR No. 106 provision                                                                in final rule

                                                 • Prohibition on POCs containing hazardous materials as determined by the Pipeline and Haz-
                                                   ardous Materials Safety Administration (section 2(1)).
                                                 • POC model must be identified in SFAR No. 106 prior to use in part 121, 125, and 135 oper-
                                                   ations (sections 2, 3(a))*.
                                                 • Prohibition on smoking or open flame near POC (section 3(a)(2)) ............................................   SFAR No. 106 Provisions Retained.
                                                 • Prohibition on seating a passenger using a POC in an exit seat (section 3(a)(4)). ...................
                                                 • Requirement to stow POC during movement on the surface, takeoff, and landing (section
                                                   3(a)(3)).
                                                 • POC model must be identified in SFAR No. 106 prior to use in part 121, 125, and 135 oper-
                                                   ations (sections 2, 3( a))*.
                                                 • ‘‘Whenever the pilot in command turns off the ‘‘Fasten Seat Belt’’ sign, or otherwise signifies                SFAR No. 106 Provisions Eliminated Because
                                                   that permission is granted to move about the passenger cabin, passengers operating their                         Addressed in Other Existing Regulations.
                                                   portable oxygen concentrator may continue to operate it while moving about the cabin.’’ (sec-
                                                   tion 3(a)(6)).
                                                 • Requirement for POC user to ensure that POC batteries in carry-on baggage are protected
                                                   from short circuit and are packaged in a manner that protects them from physical damage
                                                   (section 3(b)(6)).
                                                 • ‘‘Whenever the pilot in command turns off the ‘‘Fasten Seat Belt’’ sign, or otherwise signifies                SFAR No. 106 Provisions Eliminated Because
                                                   that permission is granted to move about the passenger cabin, passengers operating their                         Addressed in Other Existing Regulations.
                                                   portable oxygen concentrator may continue to operate it while moving about the cabin.’’ (sec-
                                                   tion 3(a)(6)).
                                                 • Requirement for POC user to ensure that POC batteries in carry-on baggage are protected
                                                   from short circuit and are packaged in a manner that protects them from physical damage
                                                   (section 3(b)(6)).
                                                 • Requirements for POC user to obtain a physician’s statement and provide notice to pilot and                    SFAR No. 106 Provisions Eliminated in Their
                                                   aircraft operator regarding POC use and contents of physician statement (sections 3(a)(5)                        Entirety.
                                                   and 3(b)(3)).
                                                 • Requirement for POC user to be capable of responding to alarms or to travel with a person
                                                   who can perform these functions (section 3(b)(1)).
                                                 • Requirement for POC user to ensure that the POC is free of petroleum products or signs of
                                                   excessive wear or abuse (section 3(b)(2)).
                                                 • Prohibition on use of salves and lotions unless ‘‘oxygen approved’’ (section 3(b)(4))
                                                 • Requirement for passenger to carry a sufficient number of batteries for duration of flight (sec-
                                                   tion 3(b)(5))**.
                                                     * The list of POCs currently identified in SFAR No. 106 will be maintained in parts 121, 125 and 135. A detailed discussion regarding the iden-
                                                 tification of POCs that conform to the acceptance criteria is provided in the preamble discussion, ‘‘Manufacturer Label.’’
                                                     ** Air carriers may require passengers using a POC to bring an adequate number of batteries to power a POC. See 14 CFR 382.133.


                                                    This final rule also includes several                 them in accordance with what has been                   crewmember review of the physician’s
                                                 conforming changes to 14 CFR part 382                    learned.’’                                              statement and pilot in command (PIC)
                                                 to ensure that the Department’s rule                        Consistent with Executive Order                      notification. The quantification of
                                                 requiring carriers to accommodate                        13563, the FAA routinely evaluates                      benefits follows the same methodology
                                                 passengers with disabilities who are                     existing regulations and other                          as the proposed rule as the agency did
                                                 traveling with POCs is consistent with                   requirements. The FAA works to                          not receive negative comments on this
                                                 the FAA changes to POC carriage and                      identify unnecessary, duplicative, or                   methodology. The agency presents cost
                                                 use on aircraft.                                         ineffective regulations and to mitigate                 savings in Table 3 below.
                                                                                                          the impacts of those regulations, where                   The total cost savings from this final
                                                    Finally, the amendments provided in
                                                                                                          possible, without compromising safety.                  rule is $39.5 million ($27.6 million at
                                                 this final rule are consistent with the
                                                                                                             As part of the FAA’s continuing                      7% present value and $33.6 million at
                                                 retrospective regulatory review                                                                                  3% present value). The largest cost
                                                                                                          obligation to review its regulations, the
                                                 requirements of Executive Order 13563.                   agency conducted an analysis of SFAR                    savings of $39 million occurs from the
                                                 On January 18, 2011, the President                       No. 106 and determined that it involves                 reduction of crew time to review the
                                                 signed Executive Order 13563,                            several unnecessary burdens. As a result                physician’s statement. These are the
                                                 Improving Regulation and Regulatory                      of this determination and the resulting                 same estimated benefits and costs as
                                                 Review. Among other things, Section 6                    final rule amendments, the final rule                   presented for the proposed rule and
                                                 of that Executive Order directs agencies                 will provide relief to POC                              since the FAA received no comments
                                                 to conduct a retrospective analysis of                   manufacturers, passengers who use a                     regarding these estimates, there are no
                                                 existing rules. Specifically, Executive                  POC, aircraft operators and the FAA.                    changes to this final rule.
                                                 Order 13563 provides that ‘‘[t]o                         The final rule will provide relief to POC
mstockstill on DSK3G9T082PROD with RULES3




                                                 facilitate the periodic review of existing                                                                       B. Summary of Cost Savings
                                                                                                          manufacturers and the FAA by
                                                 significant regulations, agencies shall                  eliminating the SFAR No. 106 POC                          The FAA estimates that
                                                 consider how best to promote                             approval process, to passengers who use                 manufacturers will save $108,000 over
                                                 retrospective analysis of rules that may                 a POC by eliminating the FAA                            ten years because they will no longer
                                                 be outmoded, ineffective, insufficient,                  requirement to obtain a physician’s                     have to petition the FAA for rulemaking
                                                 or excessively burdensome, and to                        statement, and to aircraft operators by                 with each new device they want to add
                                                 modify, streamline, expand, or repeal                    eliminating the requirements for                        to the list of POCs approved for use


                                            VerDate Sep<11>2014    18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00004   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM    24MYR3


                                                                             Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                                                                 33101

                                                 during flight on board aircraft. These                                      to comply with the labeling                                               from SFAR No. 106. Table 3 presents
                                                 cost savings will be reduced slightly                                       requirement. The FAA estimated                                            total estimated cost savings.
                                                 because manufacturers will incur an                                         additional cost savings because of the
                                                 estimated total one-time cost of $22,000                                    discontinuation of certain requirements

                                                                                                                         TABLE 3—TOTAL ESTIMATED COST SAVINGS
                                                                                                                                                                                                                         7% Present         3% Present
                                                                                                                                                                                                      Cost savings      value savings      value savings

                                                 FAA Savings—No SFAR .............................................................................................................                         $91,644            $68,871             $80,519
                                                 Manufacturer Savings—No petition for rulemaking .....................................................................                                     108,000             75,853              92,126
                                                 Removal of FAA requirement for user to obtain a physician’s statement for POC use on air-
                                                   craft ..........................................................................................................................................        569,961            401,645            486,914
                                                 Removal of FAA requirement for crew review of physician’s statement and PIC notification ....                                                          38,726,085         27,083,677         32,972,652

                                                       Total Cost Savings ...............................................................................................................               39,495,690         27,630,045         33,632,212



                                                 II. Authority for This Rulemaking                                           oxygen is considered a hazardous                                          identified the POC model in the SFAR.3
                                                    The FAA’s authority to issue rules on                                    material, it was an expensive and                                         As a result of SFAR No. 106, the FAA
                                                 aviation safety is found in Title 49 of the                                 logistically challenging exercise for air                                 has mitigated the challenges faced by
                                                 United States Code. Subtitle I, Section                                     carriers to provide medical oxygen.                                       passengers requiring oxygen therapy
                                                 106 describes the authority of the FAA                                      Today, virtually no certificate holders                                   during travel and has increased the
                                                 Administrator. Subtitle VII, Aviation                                       conducting part 121 operations provide                                    accessibility to air travel for many
                                                 Programs, describes in more detail the                                      in-flight medical oxygen for a fee to                                     passengers requiring oxygen therapy by
                                                 scope of the agency’s authority.                                            passengers.                                                               allowing passengers to supply their own
                                                    This rulemaking is promulgated                                              Further, passengers requiring oxygen                                   POCs for use during air travel.
                                                 under the authority described in 49                                         therapy during travel also faced                                             Passengers may not use a POC on
                                                 U.S.C. 106(f), which vests final                                            difficulty coordinating service between                                   board an aircraft in part 121, 125, or 135
                                                 authority in the Administrator for                                          the carrier and the medical oxygen                                        operations unless the FAA has
                                                 carrying out all functions, powers, and                                     supplier to ensure coverage at the                                        identified the device they wish to use in
                                                 duties of the administration relating to                                    terminal, on board the aircraft, and gate-                                SFAR No. 106 as approved for use in
                                                 the promulgation of regulations and                                         to-gate. Sometimes, passengers would                                      such operations. In 2005, SFAR No. 106
                                                 rules, and section 44701(a)(5), which                                       spend at least part of the time travelling                                identified the first specific POC models
                                                 requires the Administrator to                                               without medical oxygen due to service                                     approved for use on board aircraft.
                                                 promulgate regulations and minimum                                          problems with the oxygen supplier.                                        Although the agency intended SFAR
                                                                                                                                In 2002, POCs were brought to the                                      No. 106 to serve as a special, temporary
                                                 standards for other practices, methods,
                                                                                                                             attention of the FAA as a new portable                                    regulation, until POC performance
                                                 and procedures necessary for safety in
                                                                                                                             technology for dispensing medical                                         standards (acceptance criteria) could be
                                                 air commerce and national security.
                                                                                                                             oxygen for purposes of oxygen therapy.                                    developed, it has remained in place for
                                                 Further, 49 U.S.C. 41705 provides the
                                                                                                                             POCs work by filtering nitrogen from                                      the last decade. See 70 FR at 40158–
                                                 Secretary of Transportation the
                                                                                                                             the air and providing the POC user with                                   40159. During this time, the FAA has
                                                 authority to prohibit discrimination
                                                                                                                             oxygen at a concentration of                                              amended SFAR No. 106 seven times to
                                                 against a qualified individual with a
                                                                                                                             approximately 90 percent. Thus, POCs                                      identify additional POC models that
                                                 disability in air travel.
                                                                                                                             do not require the same level of special                                  may be used on board aircraft.4 This
                                                 III. Background                                                             handling as compressed oxygen.                                            process is time-consuming for POC
                                                                                                                             However, due to existing FAA                                              manufacturers because they must
                                                 A. Statement of the Problem
                                                                                                                             regulations applicable to the use of                                      petition the FAA for rulemaking to add
                                                    On July 12, 2005, the FAA published                                      devices that dispense oxygen                                              their POC model to the SFAR list if they
                                                 a final rule adding SFAR No. 106 to part                                    (§§ 121.574, 125.219, and 135.91),                                        want their POC to be approved for use
                                                 121 of title 14 (70 FR 40156). The final                                    including POCs, the FAA informed the                                      on board aircraft. Together with a
                                                 rule adding SFAR No. 106 permitted the                                      POC community that an exemption                                           petition for rulemaking, manufacturers
                                                 use of POCs identified in the SFAR to                                       would be required for a passenger to                                      provide the FAA with documentation
                                                 address the needs of passengers                                             carry on and operate a POC that the                                       required for the FAA to make a
                                                 requiring oxygen therapy while                                              passenger supplied for his or her own                                     determination whether the POC satisfies
                                                 traveling on board aircraft.                                                use (i.e., not furnished by the aircraft                                  the requirements of the SFAR. This
                                                    Prior to SFAR No. 106, passengers                                        operator).                                                                process is also time-consuming for the
                                                 could carry and operate equipment                                              Rather than wait for petitions for                                     FAA because each time the FAA
                                                 generating, storing or dispensing                                           exemption from the existing regulations
                                                 medical oxygen on board an aircraft                                         (§§ 121.574, 125.219, and 135.91), the                                       3 Initially, SFAR No. 106 applied to part 119

                                                 only if the equipment was furnished by                                      FAA completed rulemaking to address                                       certificate holders conducting operations under part
                                                 the certificate holder and certain other                                    the issue of passenger-supplied POCs by                                   121. In a technical amendment published January
mstockstill on DSK3G9T082PROD with RULES3




                                                                                                                                                                                                       12, 2007 (72 FR 1442), the FAA extended the
                                                 conditions prescribed in 14 CFR                                             adding SFAR No. 106 to title 14. See 69                                   requirements of SFAR No. 106 to part 119
                                                 121.547, 125.219 and 135.91 were                                            FR 42324 (July 14, 2004) and 70 FR                                        certificate holders conducting operations under
                                                 satisfied. In 2005, only a limited number                                   40156 (July 12, 2005). SFAR No. 106                                       parts 125 and 135.
                                                                                                                                                                                                          4 71 FR 53956 (Sept. 12, 2006); 74 FR 2354 (Jan.
                                                 of air carriers provided compressed                                         allows passengers to carry and operate
                                                                                                                                                                                                       15, 2009); 75 FR 742 (Jan. 6, 2010); 75 FR 39632
                                                 medical oxygen, for a fee, to passengers                                    their own POC on board an aircraft if                                     (July 12, 2010); 77 FR 4220 (Jan. 27, 2012); 77 FR
                                                 who required medical oxygen therapy                                         the FAA has approved the specific POC                                     63221 (Oct. 16, 2012); and 79 FR 6018 (Feb. 3,
                                                 during flight. Because compressed                                           model for use on board aircraft and                                       2014).



                                            VerDate Sep<11>2014         18:14 May 23, 2016           Jkt 238001      PO 00000        Frm 00005        Fmt 4701       Sfmt 4700       E:\FR\FM\24MYR3.SGM       24MYR3


                                                 33102              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 approves a new POC for use on board                       • Modifies verbiage for required label              the use of specific POCs on board
                                                 aircraft, the FAA must complete                         text.                                                 aircraft in operations conducted under
                                                 rulemaking to add the newly approved                      • Retains the SFAR No. 106                          parts 121, 125, or 135, if the conditions
                                                 POC model to SFAR No. 106.                              prohibition on exit row seating for                   in the SFAR are satisfied.
                                                    Over the last ten years, FAA                         passengers using a POC and the SFAR                      Consistent with SFAR No. 106 and
                                                 regulations and guidance regarding the                  No. 106 requirements pertaining to POC                the NPRM, this final rule applies only
                                                 use of POCs on aircraft, POC technology                 stowage.                                              to those POC models intended for use
                                                 itself, and air carrier programs                          • Amends 14 CFR part 382 to ensure                  on board aircraft in part 121, 125, and
                                                 concerning the use of POCs on board                     that it is consistent with the FAA                    135 operations, and like SFAR No. 106
                                                 their aircraft have rapidly evolved. The                changes to POC carriage and use on                    it does not create a requirement for
                                                 combined result of these initiatives is an              aircraft.                                             operators to allow POC use. The
                                                 increase in accessibility to air travel for                                                                   Department’s requirements for air
                                                 many passengers who require oxygen                      D. General Overview of Comments                       carriers to allow the use of a POC on
                                                 therapy during flight. In keeping with                     The FAA received 33 comments on                    board an aircraft (designed to have a
                                                 the Department’s ongoing commitment                     the NPRM. Commenters included 21                      maximum capacity of more than 19
                                                 to increase accessibility to air travel,                individuals or anonymous commenters,                  passenger seats) continue to be found in
                                                 this final rule removes certain                         the Airline Pilots Association (ALPA),                14 CFR 382.133.
                                                 burdensome and time-consuming                           Airlines for America (A4A), the                          In the NPRM, the agency proposed an
                                                 requirements that were put in place to                  Association of Flight Attendants (AFA),               effective date of 90 days after
                                                 ensure safety when POC technology was                   American Airlines, Delta Air Lines,                   publication of the final rule in the
                                                 first introduced for use on board aircraft              Main Clinic Supply, Phillips                          Federal Register. Because the agency
                                                 but are no longer necessary.                            Respironics, BPR Medical Limited,                     did not propose a separate compliance
                                                 B. Summary of the NPRM                                  Oxygen to Go (OTG), the Mayo Clinic,                  date, compliance would also be required
                                                                                                         and one commenter identified as the                   90 days after publication in the Federal
                                                    On September 19, 2014, the FAA                       past president of the Airlines Medical                Register.
                                                 published an NPRM entitled                              Directors Association (AMDA).                            The agency seeks to allow compliance
                                                 ‘‘Acceptance Criteria for Portable                         Although the FAA received general                  with this final rule as soon as possible.
                                                 Oxygen Concentrators Used On Board                      support for the NPRM from many                        The agency recognizes, however, that
                                                 Aircraft’’ in which the FAA proposed to                 commenters, some commenters                           affected aircraft operators may need to
                                                 replace SFAR No. 106 with acceptance                    recommended modifications to the                      revise operating manuals and training
                                                 criteria for POCs to be used by                         proposed acceptance criteria, POC                     programs, and expects these revisions to
                                                 passengers on board aircraft in                         labeling requirements, and issues                     occur within the normal course of
                                                 operations conducted under parts 121,                   related to the identification of POCs that            business. Accordingly, the SFAR will
                                                 125 and 135. See 79 FR 56288. In the                    may be used on board aircraft. Other                  remain in place until August 22, 2016
                                                 NPRM, the FAA proposed to replace the                   commenters did not support the                        and compliance with the new rule will
                                                 burdensome SFAR No. 106 POC                             elimination of certain SFAR No. 106                   be permitted beginning on August 22,
                                                 approval process with acceptance                        provisions, including those pertaining                2016 to allow a sufficient amount of
                                                 criteria based on SFAR No. 106                          to exit row seating for passengers using              time for operating manuals and training
                                                 requirements, and an additional                         a POC, POC stowage, the physician’s                   programs to be amended in the normal
                                                 requirement for POCs (carried and used                  statement and passenger notification of               course of business.
                                                 on board aircraft) to bear a label                      intended POC use to the PIC and aircraft
                                                 indicating compliance with these                                                                              B. Definition of Portable Oxygen
                                                                                                         operator. Comments are addressed in                   Concentrator
                                                 acceptance criteria. The FAA proposed,                  the preamble discussion entitled,
                                                 however, that all SFAR-approved POCs                    ‘‘Discussion of Public Comments and                      As proposed, this final rule defines
                                                 would be excluded from the labeling                     Final Rule.’’                                         ‘‘portable oxygen concentrator’’ in 14
                                                 requirement. Further, the proposed                         The agency also received a request                 CFR 1.1 as a medical device that
                                                 acceptance criteria and labeling                        from OTG to reopen the comment                        separates oxygen from other gasses in
                                                 requirements would only affect POCs                     period. The agency denied this request,               ambient air and dispenses this
                                                 intended for use on board aircraft. The                 because the agency satisfied the                      concentrated oxygen to the user. This
                                                 FAA also proposed to eliminate several                  requirement of the Administrative                     definition is consistent with the
                                                 redundant operational requirements as                   Procedure Act to publish a general                    description of POCs in existing SFAR
                                                 well as paperwork requirements related                  notice of a proposed rule in the Federal              No. 106. The § 1.1 definition of a POC
                                                 to the physician’s statement, which are                 Register. See 5 U.S.C. 553. Both the                  added by this final rule is also
                                                 not necessary for aviation safety.                      request to reopen the comment period                  consistent with Advisory Circular (AC)
                                                    The comment period for this NPRM                     and the agency’s response to this                     120–95, Portable Oxygen
                                                 closed November 18, 2014.                               request can be found in the docket for                Concentrators,5 as well as the device
                                                 C. Differences Between Notice of                        this rulemaking.                                      description used by POC manufacturers
                                                 Proposed Rulemaking and Final Rule                                                                            and the Food and Drug Administration
                                                                                                         IV. Discussion of Public Comments and                 (FDA) (the federal agency with primary
                                                   The final rule differs from the NPRM                  Final Rule                                            regulatory authority over POCs for
                                                 as follows:                                                                                                   medical use).6
                                                   • Replaces the proposed prescriptive                  A. Applicability, Effective Dates and
mstockstill on DSK3G9T082PROD with RULES3




                                                 requirement for radio frequency (RF)                    Compliance
                                                                                                                                                                 5 AC 120–95B defines POCs as ‘‘small, portable
                                                 emissions evaluation with a                               Currently, SFAR No. 106 applies only                devices that work by separating oxygen from
                                                 performance-based standard that allows                  to those POC models intended for use                  nitrogen and other gasses in the air and providing
                                                 POC manufacturers to determine the                      on board aircraft in operations                       the user with oxygen at a concentration of more
                                                                                                                                                               than 90 percent . . .’’
                                                 means by which to assess whether its                    conducted under parts 121, 125, and                     6 Portable oxygen concentrators are a subset of
                                                 POC will radiate RF emissions that                      135 of title 14 of the Code of Federal                portable oxygen generators defined by the FDA in
                                                 interfere with aircraft systems.                        Regulations. SFAR No. 106 authorizes                  21 CFR 868.5440.



                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00006   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                    Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                                   33103

                                                    By including this definition in § 1.1,                  • The POC radio frequency (RF)                      unnecessarily burdensome. Rather, the
                                                 the FAA distinguishes POCs from                         emissions must fall below the threshold                FAA proposed that POCs conforming to
                                                 portable oxygen generators and other                    permitted in RTCA standard 160G,                       the proposed acceptance criteria,
                                                 medical devices that use compressed or                  Section 21, Category M.                                including the manufacturer’s authority
                                                 liquid oxygen for medical oxygen                           As addressed in more detail in this                 to legally market the device as a POC,
                                                 therapy. Devices that use compressed or                 section of the preamble discussion, this               would be identified by a label affixed to
                                                 liquid oxygen must satisfy separate and                 final rule adopts the proposal with                    the device. This final rule adopts this
                                                 more rigorous requirements to mitigate                  modifications to the RF emissions                      proposed acceptance criterion without
                                                 the risks they present.                                 acceptance criterion and labeling                      change.
                                                                                                         requirement.
                                                 C. Portable Oxygen Concentrator                                                                                2. Radio Frequency Emissions
                                                 Acceptance Criteria                                     1. Food and Drug Administration                           Sections 121.306, 125.204, and
                                                                                                         Clearance or Approval                                  135.144 place responsibility on the
                                                    Under SFAR No. 106, the FAA allows
                                                 the carriage and use of specific POC                       POCs are medical devices regulated                  aircraft operator for determining which
                                                 models only if they are identified in the               by the FDA in accordance with the                      portable electronic devices (PED) may
                                                 SFAR as approved for use on board                       Federal Food, Drug, and Cosmetic Act                   be safely used on its aircraft. Although
                                                 aircraft. A POC may be identified in the                (21 U.S.C. 301 et seq.), and title 21 of               the agency recognizes POCs as a type of
                                                 SFAR only after the POC manufacturer                    the CFR. Accordingly, manufacturers                    PED, SFAR No. 106, includes a
                                                 has petitioned the FAA for rulemaking                   must obtain FDA clearance or approval                  requirement for an aircraft operator to
                                                 (to add the POC to the SFAR) and has                    prior to marketing a POC within the                    make a determination that the device
                                                 demonstrated to the FAA that the                        United States, and must comply with                    does not cause interference with the
                                                 specific POC model satisfies the                        certain provisions in title 21 of the CFR,             electrical, navigation, or communication
                                                 requirements of the SFAR (i.e., the POC                 including but not limited to device                    system of the aircraft in which the
                                                 must be regulated by the FDA and the                    registration and listing (21 CFR part                  device will be used. The SFAR No. 106,
                                                 POC may not contain hazardous                           807), labeling (21 CFR part 801), adverse              section 3(a)(1) requirement pertaining to
                                                 materials as determined by PHMSA).                      event reporting (21 CFR part 803), and                 POC interference with aircraft
                                                    Each time the FAA approves a                         good manufacturing practice                            equipment has the same effect as the
                                                 specific model of POC for use on board                  requirements (21 CFR part 820).                        requirements in §§ 121.306, 125.204,
                                                                                                            SFAR No. 106 requires all POCs used                 and 135.144 pertaining to all PEDs.
                                                 an aircraft, the agency must update the
                                                                                                         on board aircraft in operations                           Each operator may establish a method
                                                 list of POCs in the SFAR through
                                                                                                         conducted under 14 CFR parts 121, 125,                 to make a determination regarding the
                                                 rulemaking. Additionally, the aircraft
                                                                                                         and 135 to be legally marketed as a POC,               effects of PEDs on its aircraft’s avionics
                                                 operator is responsible for determining
                                                                                                         in compliance with FDA regulations.                    systems. Historically, FAA guidance
                                                 that the POC does not cause interference
                                                                                                         The purpose of this requirement is to                  material (i.e., AC 91.21–1 and AC 120–
                                                 with aircraft equipment. The FAA notes
                                                                                                         ensure the device is actually what the                 95) identified one method of
                                                 that in practice, aircraft operators use
                                                                                                         manufacturer holds it out to be—a POC.                 compliance with the SFAR and
                                                 data supplied by POC manufacturers to
                                                                                                         To demonstrate compliance with this                    §§ 121.306, 125.204, and 135.144 by
                                                 the FAA to determine compliance with
                                                                                                         requirement, POC manufacturers submit                  recommending the operator complete
                                                 the requirement to ensure that a POC
                                                                                                         evidence that the device has been                      device-by-device evaluations of RF
                                                 will not interfere with aircraft
                                                                                                         cleared or approved by the FDA for                     emissions.8 These evaluations involve
                                                 equipment.
                                                                                                         marketing in the United States. The                    comparing the device’s RF emissions
                                                    In the NPRM, the agency proposed to                                                                         against the current RTCA DO–160
                                                                                                         FAA accepts FDA premarket clearance
                                                 replace the SFAR No. 106 case-by-case                                                                          standards for installed airborne
                                                                                                         in response to a 510(k) submission as
                                                 POC approval and rulemaking with                                                                               equipment. The FAA identified RTCA
                                                                                                         evidence the device may be marketed in
                                                 requirements for POCs used on board                                                                            DO–160, Environmental Conditions and
                                                                                                         the United States.7
                                                 aircraft to conform to specified                           In the NPRM, the agency proposed to                 Test Procedures for Airborne
                                                 acceptance criteria and to bear a label                 continue to require any POC used on                    Equipment, Section 21, Category M in
                                                 indicating that the device conforms to                  board an aircraft to be cleared or                     guidance material for medical PEDs
                                                 these criteria. The proposal further                    approved by the FDA for marketing in                   (including POCs intended for use on
                                                 stated that POCs conforming to the                      the United States prior to such use.                   aircraft) because it established safe and
                                                 acceptance criteria and bearing the                     However, given that FDA requirements                   conservative RF emissions limits for
                                                 appropriate label would be allowed on                   for legal marketing of a POC in the                    installed aircraft systems.
                                                 board aircraft without further                          United States already apply to POCs,                      Consistent with the historical device-
                                                 rulemaking. The proposed acceptance                     independent of the SFAR,                               by-device approach to RF emissions
                                                 criteria are summarized as follows:                     manufacturers would no longer need to                  evaluation and agency guidance, it is
                                                    • The POC manufacturer complies                      submit evidence of this clearance or                   current practice for POC manufacturers
                                                 with all FDA requirements to legally                    approval to the FAA to demonstrate                     to provide the RTCA test compliance
                                                 market the device in the United States.                 compliance because it would be                         statements to the FAA.9 Although
                                                    • The POC does not contain any
                                                 hazardous materials subject to the HMR                     7 A 510(k) submission is a premarket submission       8 The term EMC was used throughout the NPRM

                                                 except as provided for in the exceptions                made to FDA to demonstrate that the device to be       however, EMC is a broad term used for installed
                                                 for crewmembers and passengers in 49                    marketed is at least as safe and effective, that is,   aircraft electrical systems. Where appropriate, the
mstockstill on DSK3G9T082PROD with RULES3




                                                                                                         substantially equivalent, to a legally marketed        FAA has replaced the term EMC with RF emissions
                                                 CFR 175.10 for batteries used to power                  device (21 CFR 807.92(a)(3)) that is not subject to    in this final rule preamble because when a device-
                                                 electronic devices when operator                        premarket approval. Submitters must compare their      by-device examination of a PED is conducted, the
                                                 approval is not required.                               device to one or more similar legally marketed         operator would consider the RF emissions of that
                                                    • The maximum oxygen pressure                        devices and make and support their substantial         device.
                                                                                                         equivalency claims. If FDA makes a finding of            9 Currently, POC manufacturers provide the
                                                 generated by the POC must fall below                    substantial equivalence, the device is considered      RTCA DO–160 Section 21 test qualification
                                                 the threshold for the definition of a                   ‘‘cleared.’’ Additional information regarding the      statements to the FAA; the FAA then makes the
                                                 compressed gas per the HMR.                             510(k) process is available at www.fda.gov.                                                      Continued




                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00007   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33104               Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 section 3(a)(1) of SFAR No. 106 places                  PED non-interference requirements in                  the FDA recognized EMC standards for
                                                 the burden upon the aircraft operator to                §§ 121.306, 125.204, and 135.144 to                   Class II medical devices in IEC 60601–
                                                 assess the impact of a POC on the                       eliminate redundancy with the POC-                    1–2 edition 4.0), the agency has
                                                 aircraft, the FAA has accepted as proof                 specific non-interference requirements.               determined that the proposed
                                                 of non-interference, RF emissions test                     This final rule retains a POC-specific             requirement to use RTCA DO–160 as the
                                                 qualification statements (provided by                   non-interference requirement, modified                only means by which to evaluate POC
                                                 POC manufacturers) that show a specific                 to reflect a performance-based standard.              RF emissions was overly prescriptive.
                                                 POC does not exceed certain maximum                     The Agency recognizes that the majority
                                                                                                                                                                  Historically, the FAA identified RTCA
                                                 RF emissions thresholds established by                  of operators conducting part 121
                                                                                                                                                               DO–160 Section 21, Category M in
                                                 RTCA in DO–160, Environmental                           operations and several of the larger
                                                                                                         operators conducting part 135                         guidance material for medical portable
                                                 Conditions and Test Procedures for
                                                                                                         operations have already conducted                     electronic devices intended for use on
                                                 Airborne Equipment.10
                                                    On October 31, 2013, the agency                      aircraft systems safety risk assessments              board aircraft. Although POCs are not
                                                 announced a new means of compliance                     for PED tolerance in accordance with                  installed aircraft systems, the agency
                                                 with §§ 121.306, 125.204, and 135.144,                  InFO 13010 and InFO 13010SUP with                     identified RTCA DO–160 as one method
                                                 allowing operators to expand the use of                 results allowing for continuous use of                to demonstrate compliance with the
                                                 passenger supplied and operated PEDs                    PEDs from gate to gate. A determination               PED non-interference requirement
                                                 throughout all phases of flight, based on               that an aircraft is ‘‘PED tolerant’’ would            because RTCA DO–160 establishes safe
                                                 a determination by the operator that the                make an independent assessment of RF                  and conservative RF emissions limits for
                                                 aircraft systems themselves are PED                     emissions for any PED used on that                    installed aircraft systems. The agency
                                                 tolerant (i.e., aircraft systems safety risk            aircraft unnecessary. Nevertheless,                   recognizes, however, that there are other
                                                 assessment showing the systems meet                     because of the need to ensure service for             methods to assess POC RF emissions
                                                 the requirements of RTCA DO–307 or                      passengers who require oxygen therapy                 and ensure that POC use will not cause
                                                 another PED tolerance assessment). See                  during air travel, the FAA believes it is             interference with aircraft systems. Thus,
                                                 Information for Operators (InFO) 13010                  necessary to maintain a regulatory                    this final rule includes a performance-
                                                 and InFO 13010SUP.11 The agency does                    structure to ensure that passengers may               based RF emissions acceptance criterion
                                                 not, however, require aircraft systems                  continue to use POCs on board aircraft                that allows POC manufacturers to
                                                 safety risk assessment of PED tolerance                 even if the aircraft operator has not                 determine how to assess whether their
                                                 in accordance with InFO13010 and                        determined that the aircraft is ‘‘PED                 POC meets the aircraft system non-
                                                 InFO 13010SUP. These assessment                         tolerant.’’ Therefore, consistent with the            interference requirement before they
                                                 methods provide one means for airplane                  SFAR and the NPRM, this final rule                    affix a label to the device confirming
                                                 operators to demonstrate compliance                     retains a requirement to assess POC RF                that this criterion has been satisfied.
                                                 with §§ 121.306, 125.204, and 135.144                   emissions as one of the POC acceptance                   Guidance material in AC 91.21–1C
                                                 and allow PEDs to be used on board                      criteria. (The agency notes that POCs                 identifies examples of methods
                                                 aircraft. It is up to each aircraft operator            previously approved by the FAA for use                appropriate to ensure compliance with
                                                 to determine whether to expand the use                  on aircraft in accordance with SFAR No.               this requirement, including RTCA DO–
                                                 of passenger supplied and operated                      106 that demonstrated RF emissions                    160 and other industry EMC standards
                                                 PEDs via a determination of PED                         below the maximum emissions                           identified in the AC. The FAA
                                                 tolerance for certain aircraft types. The               threshold in DO–160G, Section 21,                     emphasizes, however, that FDA
                                                 FAA estimates that eighty percent of                    Category M would not need to be                       approval or clearance to market a POC
                                                 part 121 air carriers (which comprise an                retested or reassessed by the operators               does not necessarily mean that the POC
                                                 estimated 98% of total part 121                         prior to use on board aircraft because                complies with the FAA’s aircraft system
                                                 passenger enplanements in 2013) and                     those prior assessments remain valid.)                non-interference requirement.
                                                 several of the largest part 135 air carriers               Delta Air Lines generally supported
                                                 have expanded PED use according to                      inclusion of RTCA DO–160,                                In addition to Delta’s comment, an
                                                 InFO 13010 and InFO 13010SUP. The                       Environmental Conditions and Test                     individual commented that the POC
                                                 remaining operators continue to rely on                 Procedures for Airborne Equipment,                    manufacturer should include the
                                                 individual PED evaluations.                             Section 21, Category M, in the proposed               electromagnetic interference test results
                                                    In the NPRM, the agency proposed to                  acceptance criteria. Recognizing,                     on the POC label, eliminating the need
                                                 require the RF emissions for each POC                   however, that FDA may require RF                      for the air carrier to test the device. The
                                                 intended for use on board aircraft to be                emissions assessments that may test to                agency clarifies that the purpose of the
                                                 tested in accordance with RTCA DO–                      standards that could be used to                       label is to identify those devices that
                                                 160G, Section 21, Category M. The                       demonstrate compliance with the FAA                   conform to the FAA acceptance criteria.
                                                 agency also proposed to add POCs to the                 prohibition on PEDs interference with                 One of those criteria prohibits the POC
                                                 list of devices excepted from the general               aircraft systems, the agency sought                   from radiating radio frequency
                                                                                                         comment on whether POC                                emissions that interfere with aircraft
                                                 RTCA test qualification statements available on its     manufacturers complete RF emissions                   systems. Therefore, a device that bears
                                                 Web site for aircraft operators to use to demonstrate   assessments in accordance with                        the required label must also not radiate
                                                 compliance with section 3(a)(1) of the SFAR. The
                                                 RTCA compliance statements may be viewed at             requirements by other federal agencies                RF emissions such that it causes
                                                 http://www.faa.gov/about/initiatives/cabin_safety/      that could also be used to demonstrate                interference with aircraft systems. The
                                                 portable_oxygen/.                                       compliance with the generally                         POC manufacturer identifies devices
                                                   10 See AC 120–95, Portable Oxygen
                                                                                                         applicable PED requirements. The                      that meet this and other criteria by
mstockstill on DSK3G9T082PROD with RULES3




                                                 Concentrators. The FAA notes that while RTCA
                                                 made significant changes to DO–160 since edition
                                                                                                         agency did not receive any comments                   affixing a label. In this way, the label
                                                 E was issued (December 9, 2004) and cited in            related to this specific issue except as              indicates that the device will not radiate
                                                 agency guidance, Section 21, Category M                 provided by Delta. After further review               RF emissions that cause interference
                                                 (applicable to POCs) was not revised in either DO–      of the proposal and other RF emissions                with aircraft systems and does not need
                                                 160F or DO–160G.
                                                   11 All InFOs can be found at http://www.faa.gov/
                                                                                                         assessments that POC manufacturers                    to be retested by the aircraft operator.
                                                 other_visit/aviation_industry/airline_operators/        may conduct (e.g., International                      Thus, adding specific test results to the
                                                 airline_safety/info/all_infos/.                         Standards Organization (ISO) 7137 and                 label would be unnecessary.


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00008   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                     Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                                      33105

                                                 3. Hazardous Materials                                   175.10(a)(18). In accordance with the                     There is no safety basis for requiring
                                                    SFAR No. 106 allows passengers to                     exceptions in § 175.10(a)(18), passengers              the PHMSA ‘‘no hazardous materials’’
                                                 use one of the specific POCs identified                  may bring an unlimited number of                       determination letter as a prerequisite to
                                                 in the SFAR only if the POC does not                     lithium ion batteries up to 100 Wh per                 the use of a POC on board an aircraft.
                                                 contain hazardous materials as                           battery to power their POC. Further, as                The HMR conditional exceptions
                                                 determined by PHMSA.12 See SFAR No.                      a result of recent amendments,                         provided in §§ 175.10 and 173.185
                                                 106, section 2(1). The PHMSA                             § 175.10(a)(18) also authorizes the                    apply to passengers, crew and the POC
                                                 determination required by SFAR No.                       aircraft operator to allow passengers and              manufacturer, respectively, independent
                                                 106 is one of the prerequisites that must                crewmembers to carry on board as                       of the SFAR and this final rule. Further,
                                                 be satisfied for the FAA to identify a                   spares up to two batteries that are larger             the FAA does not require a PHMSA
                                                 POC in the SFAR. PHMSA issues this                       than 100 Wh but do not exceed 160 Wh                   determination letter prior to passenger
                                                 determination via a letter, at the request               only if certain criteria are met.15                    carriage of any other PED that may
                                                 of the POC manufacturer and after                           The PHMSA determination letters                     contain hazardous materials and POCs
                                                 PHMSA reviews manufacturer-supplied                      required by the SFAR were limited to a                 do not present any unique hazardous
                                                 information regarding the POC.                           determination regarding the HMR                        materials safety issues that would be
                                                    POCs typically operate using either                   exceptions for a POC unit containing                   mitigated by the requirement to obtain
                                                 rechargeable batteries (usually lithium                  small lithium ion batteries (i.e., 100 Wh              a PHMSA determination letter.
                                                 ion) or AC/DC electrical power via an                    or 8g equivalent lithium content or less)                 Pursuant to 49 CFR 175.10(a)(18),
                                                 external power cord. Although the POC                    for transportation as cargo as these are               passengers seeking to use a POC
                                                 units themselves are not considered                      the exceptions that would apply to a                   powered by a spare lithium ion battery
                                                 hazardous materials, the lithium ion                     manufacturer for transportation of a                   that is over 100 Wh but less than 160
                                                 batteries typically used to power POCs                   POC unit from the point of manufacture                 Wh are permitted to do so only with the
                                                 are hazardous materials.13 See 49 CFR                    to the point of retail sale (although the              approval of the operator. Given that the
                                                 172.101, Hazardous Materials Table.                      size limits that distinguish a small                   POC manufacturer cannot assume
                                                 However, lithium ion batteries are                       lithium ion battery are the same for both              knowledge of and approval by each
                                                 conditionally excepted from certain                      the transportation of such batteries as                carrier regarding passenger and
                                                 requirements of the HMR (e.g. UN                         cargo as well as for the passenger and                 crewmember carriage of larger batteries,
                                                 specification packaging and labeling) if                 crewmember exceptions). Existing                       under this final rule, a POC
                                                 they meet certain size limitations (100                  PHMSA determinations for SFAR-                         manufacturer will be unable to label a
                                                 Wh), package limitations, and comply                     approved POCs, however, do not                         POC as conforming to the final rule
                                                 with package marking and battery                         include an assessment of each                          acceptance criteria if the POC has an
                                                 testing conditions of the HMR. See 49                    individual air carrier’s policies                      installed lithium battery larger than 100
                                                 CFR 173.185(c). These exceptions only                    pertaining to the allowance for larger                 Wh. The final rule regulatory text
                                                 apply when the POC units are                             batteries carried as spares.                           clarifies the conditions under which
                                                 transported as cargo.14                                     Consistent with the proposal in the                 POCs used on aircraft may contain
                                                    Other HMR exceptions are provided                     NPRM, this final rule eliminates the                   batteries as a power source, including
                                                 in 49 CFR 175.10 that apply to POC                       SFAR No. 106 provision requiring a                     this limitation. Nonetheless, the
                                                 units containing lithium ion batteries                   PHMSA determination that the POC                       passenger is ultimately responsible for
                                                 and associated spare batteries when                      does not contain hazardous materials.                  compliance with the exceptions in
                                                 carried on board aircraft by passengers                  Instead, this final rule prohibits POCs                § 175.10(a)(18) for spare batteries used
                                                 and crewmembers. See 49 CFR                              used on board aircraft from containing                 to power a POC. For example, if a
                                                                                                          hazardous materials subject to the HMR                 passenger wants to bring a spare lithium
                                                    12 PHMSA is responsible for regulating and            and references the HMR. Further, as                    ion battery larger than 100 Wh into the
                                                 ensuring the safe and secure movement of                 noted above, POC users may carry an                    aircraft cabin to power a POC unit, the
                                                 hazardous materials by all modes of transportation,
                                                 including aviation. To minimize threats to life,
                                                                                                          unlimited number of small spare                        passenger is responsible for compliance
                                                 property or the environment due to hazardous             lithium ion batteries (i.e., lithium ion               with § 175.10(a)(18) and reviewing
                                                 materials related incidents, PHMSA’s Office of           batteries up to 100 Wh per battery) and                airline acceptance policies.
                                                 Hazardous Materials Safety develops the HMR and          up to two larger spare lithium ion                        A manufacturer must only affix a
                                                 standards for classifying, handling and packaging
                                                 shipments of hazardous materials within the United
                                                                                                          batteries (i.e., batteries larger than 100             label to a POC powered by an installed
                                                 States.                                                  Wh but that do not exceed 160 Wh) in                   lithium ion battery that does not exceed
                                                    13 49 CFR 105.5 defines a hazardous material as       accordance with the exceptions for                     100 Wh because the manufacturer
                                                 a substance or material that the Secretary of            hazardous materials carried by aircraft                cannot ensure compliance with the 49
                                                 Transportation has determined is capable of posing       passengers and crewmembers as is the
                                                 an unreasonable risk to health, safety, and property
                                                                                                                                                                 CFR 175.10(a)(18) condition under
                                                 when transported in commerce, and has been               case today.16 See 49 CFR 175.10(a)(18).                which a passenger may carry and use a
                                                 designated as hazardous under section 5103 of                                                                   battery that exceeds 100 Wh (i.e.,
                                                 Federal hazardous materials transportation law (49         15 The revisions to the HMR exceptions for
                                                                                                                                                                 approval by an aircraft operator with
                                                 U.S.C. 5103). The term includes hazardous                hazardous materials carried by aircraft passengers
                                                 substances, hazardous wastes, marine pollutants,         and crewmembers have resulted in a more
                                                                                                                                                                 which a passenger may choose to fly).
                                                 elevated temperature materials, materials                conservative approach to the carriage of lithium ion   Adhering to this limitation will
                                                 designated as hazardous in the Hazardous Materials       batteries used to power PEDs than the previous         facilitate passenger carriage and use of
                                                 Table (see 49 CFR 172.101), and materials that meet      requirements under 49 CFR 175.10(a)(18)(2014 ed.).     POCs on board aircraft and ensure that
                                                 the defining criteria for hazard classes and divisions   The current passenger and crewmember exceptions
                                                                                                                                                                 there are no restrictions on the number
mstockstill on DSK3G9T082PROD with RULES3




                                                 in part 173 of subchapter C of this chapter.             include a new requirement for approval by the air
                                                    14 The PHMSA final rule, Hazardous Materials:         operator for the carriage of spare lithium ion         of spare lithium ion batteries less than
                                                 Transportation of Lithium Batteries, recently            batteries larger than 100 Wh (approximately 8          100 Wh that can be carried on board the
                                                 removed 49 CFR 172.102(c)(1), Code/Special               grams) and have reduced the maximum Watt-hours         aircraft for full operability of the POC
                                                 Provision 188 and relocated it, in part to 173.185.      for spare lithium ion batteries from 300 Wh
                                                                                                          (approximately 25 grams) to 160 Wh.
                                                                                                                                                                 throughout the duration of the flight(s).
                                                 See (79 FR 46012, (August 6, 2014)). Currently,
                                                 conditional exceptions for the transportation of           16 The NPRM discussion regarding the SFAR

                                                 small batteries as cargo can be found in 49 CFR          limitation on hazardous materials took an overly       to limitations on spare batteries carried by aircraft
                                                 173.185.                                                 conservative approach in the discussion pertaining     passengers and crewmembers.



                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00009   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM     24MYR3


                                                 33106              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                    Finally, although the FAA did not                    newly manufactured POCs used on                       manufactured or just newly
                                                 receive any comments regarding its                      board aircraft will continue to                       manufactured. Several commenters
                                                 proposal to remove the requirement for                  incorporate this existing design                      expressed concern regarding the
                                                 a PHMSA determination of no                             limitation, thus ensuring that POCs will              exclusion of existing SFAR-approved
                                                 hazardous materials, the agency notes                   not present the hazards associated with               POCs from the proposed POC labeling
                                                 that an individual commented that the                   devices that generate compressed                      requirement. A4A, the Mayo Clinic and
                                                 rules pertaining to lithium ion batteries               oxygen. Accordingly, as proposed, the                 two individuals commented that the
                                                 must be updated, citing potential                       final rule establishes a maximum                      labeling requirement should extend to
                                                 lithium ion battery hazards. The agency                 oxygen pressure allowed for POCs                      all POC models that may be used on
                                                 finds that revisions to the requirements                intended for use on board aircraft.                   board aircraft (those that are currently
                                                 applicable to passenger carriage of                        A POC designed to generate a                       identified in SFAR No. 106 and those
                                                 lithium ion batteries generally, are                    maximum oxygen pressure of 200 kPa                    subsequently determined by their
                                                 outside of the scope of the proposal                    gauge (29.0 psig/43.8 psia) at 20 °C                  manufacturers to satisfy the proposed
                                                 because the proposal was narrowly                       (68 °F), or more, would constitute a                  acceptance criteria).
                                                 tailored to address only POC carriage                   hazardous material and thus be subject                   The individuals cited concern
                                                 and use on aircraft. Further, PHMSA                     to the HMR. As such, it must not be                   regarding potential confusion due to the
                                                 recently updated the requirements                       labeled as meeting the standards for use              two methods (i.e., review label and
                                                 applicable to lithium ion batteries as                  on board aircraft.                                    review list of SFAR-approved POCs) by
                                                 part of a comprehensive rulemaking                         The agency has determined that                     which to identify POCs that may be
                                                 addressing the transportation of lithium                inclusion of the requirement regarding                used on aircraft as the basis for
                                                 batteries. See 79 FR 46012 (August 6,                   oxygen pressurization does not overlap                requiring all POCs to be labeled. The
                                                 2014). As a result of this update,                      with 49 CFR 173.115 or the general                    Mayo Clinic suggested that POC
                                                 PHMSA regulations pertaining to                         prohibition on hazardous materials in                 manufacturers could retrofit existing
                                                 lithium ion batteries are now                           this final rule, because it applies a                 SFAR-approved devices through an
                                                 harmonized with the International Civil                 design standard regarding the operation               inexpensive labeling method such as a
                                                 Aviation Organization (ICAO) Technical                  of the device. Further, it addresses                  sticker to resolve its concerns about
                                                 Instructions for the Safe Transportation                concentrated oxygen that falls below the              potential health care provider confusion
                                                 of Dangerous Goods by Air. Through the                  pressure threshold for the definition of              regarding which POCs may be used on
                                                 rulemaking process, PHMSA                               compressed gasses subject to 49 CFR                   aircraft.
                                                 determined that harmonization with the                  173.115.                                                 A4A noted that air carrier employees
                                                 ICAO Technical Instructions pertaining                                                                        with responsibility for determining
                                                                                                         D. Manufacturer Label                                 device acceptability should be able to
                                                 to lithium ion batteries used to power
                                                 PEDs carried by passengers and                             The FAA does not currently require                 make this determination efficiently,
                                                 crewmembers on aircraft provides an                     POCs to bear a label indicating FAA                   without having to refer to the CFR. A4A
                                                 appropriate level of safety.                            approval and compliance with the                      also stated that its comments on
                                                                                                         SFAR. Aircraft operators, crewmembers,                extending the labeling requirement to
                                                 4. Maximum Oxygen Pressure                              and passengers must identify POCs                     POCs approved under the SFAR should
                                                    As previously discussed, the SFAR                    approved for use on aircraft by                       only be applied to newly manufactured
                                                 No. 106 approval process requires POC                   reviewing the list of FAA-approved                    POCs because retrofitting existing
                                                 manufacturers to obtain a PHMSA                         devices in the SFAR.                                  devices would be unreasonably
                                                 determination letter stating the POC                       In the NPRM, the FAA proposed to                   burdensome.
                                                 device does not contain any hazardous                   require POCs that satisfied the proposed                 Philips Respironics objected to the
                                                 materials. As part of this determination,               acceptance criteria and were intended                 extension of the labeling requirement to
                                                 PHMSA reviews information provided                      for use on aircraft to bear a label                   existing SFAR-approved POCs citing a
                                                 by the POC manufacturer regarding the                   indicating that the device satisfies these            significant burden and stating that
                                                 oxygen pressure generated by a POC. If                  criteria as a condition of its carriage and           passengers and aircraft operators would
                                                 the POC generates oxygen pressure of                    use on aircraft. However, the NPRM                    have sufficient means by which to
                                                 200 kPa gauge (29.0 psig/43.8 psia) or                  excluded SFAR-approved POCs from                      identify POCs that may be used on
                                                 greater at 20 °C (68 °F), PHMSA would                   the labeling requirement.                             board aircraft.
                                                 classify the POC as an article containing                  The FAA also proposed specific label                  The final rule retains the proposal to
                                                 Hazard Class 2, Division 2.2 (non-                      attributes. The proposed label would be               label POCs that have not been
                                                 flammable, non-poisonous compressed                     required to contain the following                     previously identified in SFAR No. 106
                                                 gas) and the POC would be subject to                    statement in red text: ‘‘The                          as approved for use on aircraft. SFAR-
                                                 the applicable HMR (49 CFR 173.115).                    manufacturer of this portable oxygen                  approved POCs will continue to be
                                                 However, a POC does not contain a                       concentrator has determined this device               identified in §§ 121.574, 125.219, and
                                                 compressed gas subject to the HMR if it                 conforms to all applicable FAA                        135.91.
                                                 generates an oxygen pressure below this                 requirements for portable oxygen                         The labeling requirement provides a
                                                 threshold.                                              concentrator carriage and use on board                simple, efficient and effective method
                                                    In the NPRM, the agency proposed to                  aircraft.’’ Finally, the agency proposed              by which to identify POCs that may be
                                                 include as a POC acceptance criterion a                 that the label would have to be applied               used on aircraft. In order to determine
                                                 design limitation that would restrict                   in a manner to ensure it remains affixed              whether a POC may be used on an
                                                 POCs used on aircraft from generating a                 for the life of the POC.                              aircraft, a POC user or an aircraft
mstockstill on DSK3G9T082PROD with RULES3




                                                 maximum oxygen pressure of 200 kPa                         Identification of POCs that satisfy                operator need only examine the POC to
                                                 gauge (29.0 psig/43.8 psia) at 20 °C                    acceptance criteria: The agency sought                determine whether it bears the label
                                                 (68 °F), or more. The agency did not                    comment on the potential safety benefits              required by this final rule. As is the case
                                                 receive any comments on this proposal.                  and associated burdens of extending the               today, for those POCs that do not bear
                                                    The final rule includes the proposed                 proposed labeling requirement to all                  the required label, a POC user and
                                                 POC design limitation as one of the POC                 POC models currently identified in                    aircraft operator need only verify that
                                                 acceptance criterion so as to ensure that               SFAR No. 106—existing and newly                       the model is identified in the regulatory


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00010   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                    Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                           33107

                                                 text—the same process that is currently                 list of all POCs approved by the FAA                     Several commenters suggested
                                                 used to identify SFAR-approved POCs.                    under the SFAR.                                       changes related to the proposed label
                                                    The FAA maintains that it is not                        FAA identification of POCs that                    that would standardize label features in
                                                 necessary or practical to require POC                   satisfy acceptance criteria: Several                  addition to the proposed required text
                                                 manufacturers to label POCs previously                  commenters raised issues related to the               and color. A4A commented that the
                                                 identified in SFAR No. 106 as approved                  FAA listing of POCs that satisfy the                  FAA should mandate additional specific
                                                 for use on board aircraft. POC models                   FAA acceptance criteria. A4A suggested                label attributes so that labels are
                                                 previously identified in SFAR No. 106                   that the FAA maintain a list of POC                   identical and can be easily recognized
                                                 as approved for use on board aircraft                   devices that meet the FAA’s proposed                  by gate agents.
                                                 have satisfied the SFAR No. 106 criteria                acceptance criteria to keep industry and                 Philips Respironics commented that
                                                 and would also satisfy the proposed                     the public updated with compliant                     the proposed label text is overly
                                                 acceptance criteria. Further, the FAA                   POCs. A4A further explained that the                  burdensome due to the length of the text
                                                 expects that the use of SFAR-approved                   FAA should maintain a list of POCs that               and the color requirement. This
                                                 POC models will lessen over time as                     meet the acceptance criteria because of               commenter proposed an alternate label
                                                 those POCs age and their users replace                  challenges for aircraft operators in                  that states, ‘‘Complies with FAA
                                                 those older models with newer ones,                     determining whether a POC satisfies the               requirements for airline use’’ and
                                                 obviating the need to retrofit existing                 acceptance criteria, especially in the                includes an airplane graphic. Together
                                                 SFAR-approved POC models with a                         instance in which a manufacturer                      with this alternate label, Philips
                                                 label.                                                  incorrectly labels a device.                          Respironics suggested a POC manual
                                                    Although the agency appreciates the                     The FAA disagrees with A4A’s                       update to further describe the label.
                                                 intent of the Mayo Clinic’s comment                     comment that unless the FAA maintains                 Main Clinic Supply supported the label
                                                 regarding a ‘‘bridging strategy’’ by                    a list of POCs that satisfy the acceptance            example included in the Philips
                                                 which adhesive stickers could be used                   criteria, POC identification will be                  Respironics comment.
                                                 to identify previously manufactured                                                                              The agency has considered comments
                                                                                                         unnecessarily burdensome. The process
                                                 SFAR-approved POCs, a label used to                                                                           regarding additional standard label
                                                                                                         of examining a POC to determine
                                                 satisfy the requirements of this final rule                                                                   features but has determined that it is
                                                                                                         whether it bears a label is less
                                                 must be sufficiently durable so as to                                                                         unnecessary to require standardized
                                                                                                         burdensome than the existing process of
                                                 remain affixed to the POC for the life of                                                                     features beyond the proposed label
                                                                                                         examining a POC to identify the model
                                                 the device and prevent the transfer to                                                                        verbiage and text color. The use of red
                                                                                                         name and then verifying that the model
                                                 another type of oxygen dispensing                                                                             text is sufficient to draw attention to the
                                                                                                         is identified in the SFAR. In either case,
                                                 device, such as a device that uses                                                                            label identifying a POC that may be
                                                                                                         a crewmember of an aircraft operator
                                                 compressed oxygen.                                                                                            carried and used on board an aircraft.
                                                    In comments related to the                           must examine the POC.                                    The specific label language proposed
                                                 identification of SFAR-approved POCs,                      A4A also recommended that the FAA                  in the NPRM and included in this final
                                                 Delta Air Lines suggested that the list of              maintain a list of POCs that are labeled              rule is necessary to facilitate the
                                                 SFAR-approved POCs provided in the                      as conforming to FAA requirements for                 identification of the device as a POC
                                                 proposed regulatory text was                            POC use on board aircraft to track POCs               that satisfies the acceptance criteria for
                                                 incomplete because it did not identify                  that are subsequently determined to be                POCs intended for use on board aircraft.
                                                 all devices that the FAA previously                     non-compliant. However, the FAA has                   A more generic or general label such as
                                                 approved in accordance with the SFAR.                   alternate appropriate methods by which                the label proposed by Philips
                                                 The list of SFAR-approved POCs                          to notify aircraft operators in the                   Respironics and supported by Main
                                                 identified in the proposed and final rule               unlikely event that a POC intended for                Clinic Supply would not effectively
                                                 regulatory text is identical to the list of             use on aircraft is no longer compliant                serve this purpose. The agency is aware
                                                 POCs identified in SFAR No. 106. The                    with FAA requirements. For example,                   that manufacturers of some POC models
                                                 agency stresses that SFAR approval is                   the FAA can provide such notice                       approved under SFAR No. 106 may
                                                 device-specific. For instance, while the                through a Safety Alert for Operators                  have voluntarily applied labels similar
                                                 SFAR identifies the SeQual Eclipse as                   (SAFO) or an InFO, as appropriate. All                to the label recommended by Philips
                                                 approved for use on aircraft, the                       SAFOs and InFOs are made available on                 Respironics and Main Clinic Supply.
                                                 approval does not extend to any other                   the agency’s Web site.                                The FAA determined, however, that the
                                                 variants of SeQual Eclipse models that                     Label attributes: The final rule                   label proposed by commenters could
                                                 were not specifically reviewed and                      requires the label to contain the                     hinder a passenger’s ability to use an
                                                 approved for use on aircraft by the FAA                 following statement in red text: ‘‘The                SFAR-approved POC by introducing
                                                 and identified in the SFAR. Thus, only                  manufacturer of this POC has                          confusion into the POC identification
                                                 those specific POCs identified in the                   determined this device conforms to all                process due to multiple similar labels
                                                 SFAR by manufacturer and model name                     applicable FAA requirements for POC                   (i.e., labels currently affixed to some
                                                 are currently approved for use on                       carriage and use on board aircraft.’’ The             SFAR-approved POCs and the label
                                                 aircraft. This final rule continues to                  purpose of this verbiage is to facilitate             proposed by commenters). The only
                                                 identify those SFAR-approved devices                    identification of devices that conform to             label that may be used to determine
                                                 as they appear in the SFAR, since those                 the acceptance criteria and the red color             compliance with this final rule and to
                                                 SFAR-approved POCs need not bear a                      is expected to draw attention to the text.            ascertain whether a POC may be used
                                                 label as a condition of their use on                       Consistent with the NPRM, this final               on board an aircraft is a label that
                                                 aircraft.                                               rule also requires a labeling method that             exhibits the verbiage and color criteria
mstockstill on DSK3G9T082PROD with RULES3




                                                    Delta Air Lines further commented                    ensures the label remains affixed to the              specifically provided in this final rule.
                                                 that the FAA should update the list of                  POC for the life of the device. The                      Further, the FAA analyzed the costs
                                                 POCs approved under SFAR No. 106                        purpose of this requirement is to ensure              associated with the NPRM labeling
                                                 with the names of all POCs currently                    the label is durable and cannot be                    requirement and estimated that the
                                                 under review by the FAA, in accordance                  transferred to another type of oxygen                 requirement would not result in a
                                                 with the SFAR prior to publication of                   dispensing device (such as a device that              significant burden. Commenters did not
                                                 the final rule. This final rule includes a              uses compressed oxygen).                              challenge the FAA assumptions that


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00011   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33108              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 provide a basis for the estimate of the                    In the case of POCs, the FAA has                     Finally, as proposed, this final rule
                                                 labeling costs in the NPRM. Given that                  determined that the devices present                   amends the regulatory text in
                                                 the final rule label verbiage includes                  minimal risk to aircraft operations.                  § 125.219(b) to prohibit smoking not
                                                 only minimal changes from the                           Additionally, the proposed and final                  only within 10 feet of where medical
                                                 proposed label verbiage, the final rule is              rule acceptance criteria for POCs                     oxygen is being used but also within 10
                                                 not expected to result in a significant                 leverage existing regulatory                          feet of where it is stored. This
                                                 burden to POC manufacturers.                            requirements that are applicable to                   amendment is consistent with the
                                                    Additionally, the FAA notes that,                    POCs and relevant to the safe carriage                preamble for the final rule issuing
                                                 although the agency supports the                        and use of POCs, including the use of                 § 125.219 as well as the prohibitions on
                                                 Philips Respironics comment regarding                   POCs on board aircraft. The purpose of                smoking within 10 feet of the location
                                                 POC manufacturer manual updates to                      the label applied by POC manufacturers                of medical oxygen storage or use in
                                                 describe the label, it would reach                      is to facilitate aircraft operator and                §§ 121.574 and 135.91. See 45 FR 67214,
                                                 beyond the scope of the proposal for the                passenger identification of devices that              67230 (October 9, 1980).
                                                 FAA to require POC manufacturers to                     meet the acceptance criteria required for
                                                 include additional information in the                                                                         G. Operational Requirements
                                                                                                         POCs intended for use on board aircraft.
                                                 POC user manual. However, the FAA                          Accordingly, a case-by-case POC                    1. Exit Seats
                                                 encourages manufacturers to inform                      approval process is unnecessarily
                                                 POC users of issues pertaining to POC                                                                            Section 3(a)(4) of SFAR No. 106
                                                                                                         burdensome to mitigate any potential                  prohibits a person using a POC from
                                                 use on board aircraft.                                  risk presented by POCs. An aircraft
                                                    Finally, A4A commented that if the                                                                         sitting in an exit row. The FAA
                                                                                                         operator seeking specific information                 proposed to eliminate this SFAR No.
                                                 POC acceptance criteria were to change,                 regarding a POC may reach out to a POC
                                                 the FAA should change the label                                                                               106 provision from the final rule.
                                                                                                         manufacturer without FAA regulation.                     AFA and an anonymous commenter
                                                 requirements to distinguish those POCs                  The agency also notes that POC user
                                                 that meet the new acceptance criteria                                                                         recommended that the FAA retain the
                                                                                                         manuals and POC manufacturer Web                      provision in SFAR No. 106 prohibiting
                                                 from those that do not meet the new
                                                                                                         sites also provide information                        a passenger from using a POC while
                                                 acceptance criteria. The agency will
                                                                                                         pertaining to the attributes and                      sitting in an exit row. Both commenters
                                                 consider this comment if it finds that a
                                                                                                         functions of the associated POCs.                     noted that POC tubing would create
                                                 future rulemaking is required to revise
                                                 POC acceptance criteria.                                F. Prohibition on Smoking or Open                     obstacles in the exit row. AFA stated
                                                                                                         Flame                                                 that generally, certificate holders should
                                                 E. Manufacturer Determination of                                                                              have the responsibility for determining
                                                 Conformance to Acceptance Criteria                         SFAR No. 106 prohibits smoking or                  the suitability of passengers who occupy
                                                    Two individuals questioned whether                   open flame within 10 feet of any person               exit seats; however, they maintained
                                                 the FAA should rely on POC                              using a POC. In the NPRM, the agency                  that an explicit restriction on exit row
                                                 manufacturers to determine that a POC                   proposed to retain this restriction. The              seating would eliminate any ambiguity
                                                 is safe and fits within the regulatory                  agency did not receive any comments                   about a POC user’s ability to assist in an
                                                 requirements. One of the individual                     on the proposal to retain the SFAR                    emergency.
                                                 commenters recommended that POC                         prohibition on smoking or open flame                     The FAA agrees with commenters in
                                                 manufacturers demonstrate compliance                    near a person using a POC. Accordingly,               that a passenger’s ability to perform exit
                                                 with the acceptance criteria to the FAA                 the final rule includes this proposal                 row functions could be impeded by the
                                                 before labeling the device as satisfying                without change.                                       presence of the device, possibly creating
                                                 those criteria. In a related comment,                      Although the risk posed by                         a tripping hazard and an obstacle to
                                                 Delta Airlines recommended that the                     concentrated oxygen is minimal when                   egress. Thus, although §§ 121.585 and
                                                 FAA should require POC manufacturers                    generated at a pressure below that                    135.129 require the certificate holder to
                                                 to provide airlines with the data that                  which would trigger the application of                determine the suitability for passengers
                                                 demonstrates compliance with the                        the HMR, given the unique environment                 it permits to occupy exit seats, the final
                                                 acceptance criteria at the airlines’                    of an aircraft, the agency has determined             rule retains the SFAR No. 106 provision
                                                 request.                                                that it is reasonable to provide an                   prohibiting passengers using a POC
                                                    The FAA employs a range of oversight                 additional margin of safety by                        from sitting in exit seats to eliminate
                                                 approaches throughout title 14. The                     prohibiting smoking or open flame in                  any potential ambiguity pertaining to
                                                 process in this final rule that allows                  the vicinity of a person using a POC.                 whether a passenger using a POC may
                                                 manufacturers to self-certify that their                Accordingly, the agency will maintain                 occupy an exit seat.
                                                 POC conforms to all applicable                          the existing prohibition on smoking or
                                                 requirements for use on board aircraft                  open flame within 10 feet of a person                 2. Stowage of Portable Oxygen
                                                 and to affix a label that can be reviewed               using a POC by extending the smoking                  Concentrators
                                                 by aircraft operators and passengers is                 prohibitions in existing §§ 121.574,                     SFAR No. 106, section 3(a)(3) states
                                                 consistent with other existing agency                   125.219, and 135.91 to POCs and adding                that during movement on the surface,
                                                 oversight practices. For example, child                 language to specifically prohibit an                  takeoff, and landing, the POC must
                                                 restraint system (CRS) manufacturers                    open flame.                                           either be stowed under the seat in front
                                                 self-certify (via a label) that their CRS                  The smoking prohibition in existing                of the user, or in another approved
                                                 meets all applicable performance                        §§ 121.574, 125.219, and 135.91                       stowage location, so as not to block the
                                                 criteria and is approved for use on                     effectively results in a prohibition on an            aisle way or entryway into a row.
mstockstill on DSK3G9T082PROD with RULES3




                                                 aircraft. In another example, the                       open flame. However, given the risks                  Further, SFAR No. 106 limits the
                                                 Technical Standard Order (TSO)                          created by smoking near a person using                location of POC use to a seat location
                                                 program involves a process where a                      medical oxygen and the storage of such                that does not restrict any passenger’s
                                                 manufacturer makes statements of                        oxygen, in this final rule the agency will            access to, or use of, any required
                                                 conformance to the standards in a                       ensure that this restriction is clear by              emergency or regular exit, or the aisle(s)
                                                 particular TSO for many different types                 explicitly prohibiting an open flame in               in the passenger compartment.
                                                 of articles used on aircraft.                           addition to smoking.                                  However, FAA regulations in parts 121,


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00012   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                    Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                            33109

                                                 125, and 135, also address the stowage                  1. Special Federal Aviation Regulation                   The FAA proposed to eliminate the
                                                 of carry-on items and carriage of cargo                 No. 106 Requirements Addressed in                     SFAR No. 106 provisions applicable to
                                                 in the passenger cabin to ensure an                     Existing Regulations                                  spare batteries carried by passengers on
                                                 appropriate stowage location and that                   a. Passenger Movement About the Cabin                 board aircraft for use in POCs because
                                                 emergency exit row access is not                        While Using a Portable Oxygen                         they are unnecessary. The portion of
                                                 hindered by carry-on items or cargo. See                Concentrator                                          SFAR No. 106, section 3(b)(6)
                                                 §§ 121.285, 121.589, 125.183, and                                                                             addressing spare batteries is redundant
                                                                                                            SFAR No. 106, section 3(a)(6) states               with PHMSA regulations applicable to
                                                 135.87. Thus, the FAA proposed to
                                                                                                         that when the PIC turns off the ‘‘Fasten              spare lithium batteries carried by
                                                 eliminate the POC stowage requirement
                                                                                                         Seat Belt Sign,’’ or otherwise grants                 passengers on board aircraft. See 49 CFR
                                                 in SFAR No. 106.                                        permission to move about the passenger                175.10(a)(18).
                                                    AFA recommended that the FAA                         cabin, passengers may continue to use                    A4A commented that the FAA should
                                                 retain the requirements in section                      their POC while moving about the                      strongly recommend that POC
                                                 3(a)(3) of SFAR No. 106 that pertain to                 cabin. The agency included this                       manufacturers include a carrying case
                                                 POC stowage. AFA stated that, for                       provision in SFAR No. 106 in response                 for spare lithium battery packs to ensure
                                                 consistency with existing medical                       to commenters’ concerns that the agency               battery isolation and insulation. The
                                                 oxygen rules that require certificate-                  should allow passengers using a POC to                FAA supports any action a POC
                                                 holder provided equipment to be                         operate the device for the entirety of the            manufacturer takes to facilitate
                                                 ‘‘appropriately secured,’’ (§§ 121.574,                 flight, if necessary. Therefore, in the               passenger, crewmember, and operator
                                                 125.219 and 135.91) the final rule                      final rule implementing SFAR No. 106,                 compliance with the requirements for
                                                 regulatory text should continue to                      the agency stated that passengers are                 the safe carriage of lithium ion batteries
                                                 address stowage requirements for                        allowed to use a POC for the duration                 on board aircraft, including spares.
                                                 passengers’ POCs. The commenter                         of the flight, including during                       However, the agency does not agree that
                                                 stated that some operators might                        movement on the surface, takeoff, and                 the commenter’s recommendation is
                                                 conclude that only devices furnished by                 landing. The agency also stated that                  necessary because PHMSA has
                                                 the certificate holder are required to be               once passengers were allowed to move                  identified the requirements for safe
                                                 secured or stowed unless POC stowage                    about the cabin of the aircraft, they                 carriage of spare lithium batteries used
                                                 is specifically addressed.                              would be allowed to bring the POC with                to power all PEDs carried by aircraft
                                                                                                         them. See 70 FR at 40159.                             passengers or crewmembers. See 49 CFR
                                                    Although the FAA continues to                           In the NPRM, the agency proposed to                175.10(a)(18).
                                                 expect that POC stowage will be                         remove section 3(a)(6) of the SFAR.                      PHMSA requires all lithium batteries
                                                 addressed in an operator’s carry-on                     Section 3(a)(6) of the SFAR is                        to be of a type proven to meet the
                                                 baggage program in accordance with the                  unnecessary because there are no                      requirements of each test, including
                                                 requirements of 14 CFR 121.285,                         regulations directed at passengers using              Test T.7 (Overcharge), in Part III, Sub-
                                                 121.589, 125.183 and 135.87, the FAA                    a POC that would limit their movement                 section 38.3 of the UN Manual of Tests
                                                 agrees with the commenter that                          about the cabin when passenger                        and Criteria. See 49 CFR 173.185 and
                                                 retaining and specifically addressing                   movement is permitted by the PIC.                     175.10(a)(18). Additionally, PHMSA
                                                 POC stowage (and thereby reinforcing                    Accordingly, as proposed in the NPRM,                 requires spare lithium batteries carried
                                                 POC stowage requirements) could                         the final rule does not include a                     on board aircraft to be carried in the
                                                 increase the likelihood of safe stowage                 provision similar to section 3(a)(6) of               cabin in carry-on baggage and
                                                 of passenger supplied POCs.                             the SFAR. The agency did not receive                  individually protected from short circuit
                                                 Accordingly, as found in SFAR No. 106,                  any comments on the proposed                          to mitigate the risk of a fire during flight
                                                 this final rule includes a specific                     elimination of this SFAR No. 106                      (e.g., by placement in original retail
                                                 requirement for POCs to be stowed                       provision.                                            packaging, by otherwise insulating
                                                 during movement on the surface,                                                                               terminals by taping over exposed
                                                                                                         b. Protection of Batteries From Short
                                                 takeoff, and landing.                                                                                         terminals, or by placing each battery in
                                                                                                         Circuit
                                                    Notably, the user manuals for 18 of                                                                        a separate plastic bag or protective
                                                                                                            SFAR No. 106, section 3(b)(6) requires             pouch). See 49 CFR 175.10(a)(18).
                                                 the POC models currently approved
                                                                                                         passengers to ensure all POC batteries                   The agency notes that the SFAR
                                                 under SFAR No. 106 specify oxygen
                                                                                                         carried on board the aircraft in carry-on             diverges from PHMSA requirements
                                                 tube length. Every manual specifying                    baggage are protected from short circuit              pertaining to installed batteries. See 49
                                                 oxygen tube length indicates the                        and packaged in a manner that protects                CFR 175.10(a)(18). The SFAR requires a
                                                 associated POC has at least 7 feet of                   them from physical damage. Batteries                  passenger to remove a POC battery if the
                                                 tubing, which is long enough to allow                   protected from short circuit include: (1)             device does not have at least two
                                                 a passenger to use a device stowed                      Those designed with recessed battery                  features that prevent accidental
                                                 under a seat.                                           terminals; or (2) those packaged so that              operation. The HMR, however, do not
                                                 H. Discussion of Special Federal                        the battery terminals do not contact                  require an installed battery to be
                                                 Aviation Regulation No. 106                             metal objects (including the battery                  removed from any PED, which would
                                                 Requirements Excluded From Final Rule                   terminals of other batteries).                        include a POC that is not in use. See 49
                                                                                                         Additionally, when a passenger carries                CFR 175.10(a)(18).
                                                   The FAA has determined that many of                   a POC on board an aircraft as carry-on                   Based on the analysis of currently
                                                 the requirements included in SFAR No.                   baggage, and does not intend to use the               approved POCs and PHMSA
mstockstill on DSK3G9T082PROD with RULES3




                                                 106 are overly prescriptive or redundant                POC during the flight, the passenger                  requirements applicable to lithium ion
                                                 with existing rules and are therefore not               must remove the battery and package it                batteries carried by passengers and
                                                 necessary. Accordingly, the FAA has                     separately unless the POC contains at                 crewmembers to power PEDs, an
                                                 not retained them in this final rule. A                 least two effective protective features to            independent FAA requirement for two
                                                 discussion of the SFAR No. 106                          prevent accidental operation and                      protective features as a prerequisite to
                                                 requirements excluded from this final                   potential overheating of the battery                  leaving an installed battery in a POC is
                                                 rule follows.                                           within the POC during transport.                      unnecessary. The agency reviewed the


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00013   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33110              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 24 SFAR-approved POCs and                               board the aircraft. The PIC must be                      The Mayo Clinic commented that it is
                                                 determined those POCs all have at least                 apprised of the physician’s written                   particularly important for individuals
                                                 two design features preventing                          statement required by section 3(b)(3) of              who have ‘‘poor respiratory reserve’’ to
                                                 inadvertent or accidental operation.                    the SFAR including the nature of the                  have health care provider oversight. In
                                                 Thus, batteries may remain in SFAR-                     passenger’s oxygen needs and the                      this regard, the physician statement is a
                                                 approved POCs while those POCs are                      passenger’s ability to understand                     form of ‘‘safety net’’ to trigger these
                                                 not in use.                                             operational and warning information                   conversations between passengers and
                                                    In addition, current PHMSA                           presented by the POC.                                 their treating providers. It is critical that
                                                 regulations address the safe                              As proposed, the FAA will no longer                 these conversations occur prior to air
                                                 transportation of lithium ion batteries as              require POC-using passengers to present               travel since decompensation on board a
                                                 well as passenger carriage of lithium ion               a physician’s statement, to notify the                flight may require urgent response. OTG
                                                 batteries. Lithium batteries must be of a               aircraft operator and PIC of their                    and some individual commenters
                                                 type proven to meet the requirements of                 intended POC use, to inform the PIC of                commented that additional interaction
                                                 each test, including Test T.7                           the contents of their physician’s                     between a POC user and his or her
                                                 (Overcharge), in Section 38.3 of the UN                 statement, and, to allow the crew of the              physician is necessary to educate
                                                 Manual of Tests and Criteria. See 49                    aircraft to review the content of their               passengers with limited experience with
                                                 CFR 173.185.                                            physician’s statement. The FAA                        POC use; to address discrepancies
                                                    Based on the analysis of SFAR-                       received comments related to these                    between the POC prescription and the
                                                 approved POCs and the applicable                        proposals from two POC suppliers                      POC provided by a supplier; and to help
                                                 HMR, an independent FAA requirement                     (Main Clinic Supply and OTG), the                     the POC user account for the effects of
                                                 for two protective features as a                        Mayo Clinic, AMDA, and a number of                    cabin pressurization on POC use.
                                                 prerequisite to leaving an installed                    individuals. The FAA has reviewed and                    OTG indicated in its comments that
                                                 battery in a POC is unnecessary. All                    considered all comments regarding the                 the flow rate on a POC prescription may
                                                 POCs currently used on board aircraft                   physician’s statement and pre-flight                  not be appropriate for cabin altitudes. In
                                                 are equipped with two protective                        notification of POC use.                              a related comment, the Mayo Clinic
                                                 features and all lithium ion batteries                                                                        stated, ‘‘[A]lthough a physician or other
                                                                                                           Physician statement: Two individual
                                                 must be designed to satisfy the                                                                               health care provider with prescribing
                                                                                                         commenters supported the FAA
                                                 overcharge test protection, therefore, the                                                                    privileges writes prescriptions for
                                                                                                         proposal to relieve passengers from
                                                 risk of a fire originating from the battery                                                                   devices to deliver supplemental oxygen,
                                                                                                         obtaining a physician’s statement as a
                                                 is minimal. Accordingly, this final rule                                                                      many providers are unfamiliar with the
                                                                                                         condition of their use of a POC on
                                                 eliminates SFAR No. 106, section 3(b)(6)                                                                      physiology of altitude.’’ OTG also
                                                                                                         aircraft. Main Clinic Supply supported
                                                 from title 14.                                                                                                commented that, in its experience, a
                                                                                                         the proposal to relieve passengers from
                                                                                                                                                               large percentage of physicians and the
                                                 2. Special Federal Aviation Regulation                  having to provide a physician statement
                                                                                                                                                               majority of passengers incorrectly
                                                 No. 106 Requirements Excluded in                        commenting that the current                           assume aircraft cabins are pressurized to
                                                 Their Entirety                                          requirement for a written, signed                     sea level. OTG stated that based on this
                                                                                                         physician statement for every flight is               assumption, physicians do not provide
                                                 a. Physician Statement and Pilot in                     not practical, causes many delays, and
                                                 Command and Aircraft Operator                                                                                 their POC-using patients with
                                                                                                         may inhibit POC users’ air travel. Main               recommendations regarding oxygen
                                                 Notification Requirements                               Clinic Supply also stated that                        flow adjustments during air travel when
                                                   Section 3(b)(3) of SFAR No. 106                       physicians and their staff do not have                most will require higher flow rates in a
                                                 requires passengers intending to use a                  the resources to provide POC training to              pressurized cabin than at sea level. OTG
                                                 POC to have a written statement signed                  patients, explaining that the POC user                further asserted that the POC will not
                                                 by a licensed physician, and kept in that               must be responsible for reading the POC               produce the same percentage of oxygen
                                                 person’s possession that states whether                 operating manual and asking the                       in a pressurized cabin and the oxygen
                                                 the user of the device has the physical                 necessary questions of their oxygen                   saturation level of the passenger will be
                                                 and cognitive ability to see, hear, and                 provider.                                             decreased due to the normal physics of
                                                 understand the device’s aural and visual                  OTG, AMDA, the Mayo Clinic, and                     the partial pressure of the oxygen on
                                                 cautions and warnings and is able,                      some individual commenters did not                    pulmonary tissue.
                                                 without assistance, to take the                         support the FAA proposal to remove the                   The agency clarifies that SFAR No.
                                                 appropriate action in response to those                 requirement for passengers to carry a                 106 does not specifically require a
                                                 cautions and warnings; states whether                   physician’s statement as a condition of               passenger to obtain a new physician’s
                                                 or not oxygen use is medically                          POC use on aircraft. OTG, AMDA, and                   statement prior to each flight. See 70 FR
                                                 necessary for all or a portion of the                   some individual commenters indicated                  at 40161. Also, SFAR No. 106 does not
                                                 duration of the trip; and specifies the                 that removal of the existing physician’s              require the physician’s statement to
                                                 maximum oxygen flow rate                                statement and notification requirements               account for the duration of a specific
                                                 corresponding to the pressure in the                    would cause diversions, impact                        flight, variables that may arise in flight
                                                 cabin of the aircraft under normal                      passenger travel, and be costly to the                conditions, changes in a patient’s
                                                 operating conditions.                                   airlines. Generally, commenters asserted              oxygen needs over time, or variables
                                                   Section 3(b)(3) of SFAR No. 106                       that the FAA should retain the SFAR                   that may arise in connection with an
                                                 further requires a passenger to inform                  No. 106 requirement for a physician’s                 individual’s medical condition. Further,
                                                 the aircraft operator that he or she                    statement because it ensures that                     commenters noted that not all
mstockstill on DSK3G9T082PROD with RULES3




                                                 intends to use a POC on board the                       passengers seeking to use a POC on                    physicians may be familiar with effects
                                                 aircraft and to allow the crew of the                   board an aircraft have consulted with a               of cabin pressure or realize that aircraft
                                                 aircraft to review the contents of the                  physician regarding POC use in the                    are not pressurized to sea level. For
                                                 physician’s statement. Similarly, section               aircraft environment prior to travel.                 these reasons, while the SFAR No. 106
                                                 3(a)(5) of SFAR No. 106 requires PIC                    Commenters also challenged statements                 requirement for a physician’s statement
                                                 notification whenever a passenger                       in the NPRM regarding POC function in                 may result in a one-time conversation
                                                 brings and intends to use a POC on                      the aircraft environment.                             about a passenger’s POC use on an


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00014   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                    Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                          33111

                                                 aircraft at some point in time, the                     ensures that passengers are prepared for              FAA expects physician consultation to
                                                 requirement to obtain such a statement                  each flight they take, particularly if, as            continue as appropriate for the use of
                                                 may not provide the POC education and                   one commenter noted a prescription                    any medical device, and that pre-flight
                                                 ‘‘safety net’’ expected by commenters.                  may not address adjustments that may                  notice of POC use on the aircraft will
                                                    The FAA appreciates and concurs                      be appropriate for POC use on a                       continue in light of the requirement for
                                                 with comments regarding the need for                    pressurized aircraft. However, the FAA                each aircraft operator to determine
                                                 vigilance and understanding of all                      has determined that the specific,                     whether the POC bears the label
                                                 nuances associated with POC use on                      regulatory requirement set forth in the               required for use on board aircraft.
                                                 aircraft. The agency appreciates and has                SFAR requiring POC-using passengers                      The purpose of the SFAR and the
                                                 considered commenters’ concerns about                   to obtain, present, and allow for                     FAA’s action in this final rule is to
                                                 the physiology of flight and its                        scrutiny of a physician’s statement, as a             address continued use of POCs on
                                                 relationship to POC use. The FAA                        condition of admission on board an                    aircraft without compromising the
                                                 emphasizes that pre-flight preparation                  aircraft is particularly burdensome for               safety of the aircraft operation. The
                                                 on the part of the POC-using passenger,                 passengers seeking to use a POC during                agency has determined the SFAR No.
                                                 working closely with an appropriate                     air travel.                                           106 requirement for a physician
                                                 medical professional, should always                        The FAA intended for the SFAR to                   statement creates an unnecessary
                                                 occur when traveling with any medical                   provide a framework, not previously                   burden that may not ultimately serve
                                                 device. While preparation may differ for                available, under which persons with a                 the purpose contemplated by
                                                 each POC-using passenger, depending                     need to use personal oxygen therapy                   commenters. The FAA emphasizes that
                                                 on the aircraft and kind of operation                   could use their own devices during a                  removing the requirement to obtain a
                                                 included in his or her travel plans,                    flight, thereby increasing accessibility to           physician’s statement affects a
                                                 passengers may wish to consider such                    air travel for POC-using passengers.                  paperwork requirement; it does not
                                                 factors with their medical professional                 With more than 10 years of experience                 affect passengers’ responsibility to be
                                                 such as past experience using a POC,                    with POC technology and POC use on                    prepared for travel, including obtaining
                                                 cabin pressurization, layovers, length of               aircraft, the FAA has determined that                 a medical certificate if the carrier
                                                 flight, and pre-flight activities that could            the requirement for a passenger to                    chooses to require one as allowed by 14
                                                 lead to compromised lung function in                    provide for aircraft operator,                        CFR 382.23 and 382.133. All passengers
                                                 flight. The FAA also encourages POC-                    crewmember, and PIC scrutiny, a                       using a medical device in an aircraft
                                                 using passengers to carry                               physician statement pertaining to a                   environment are responsible for
                                                 documentation regarding the device                      medical device that the passenger is                  preparing for the flight such that they
                                                 they intend to use including any                        solely responsible for during the flight,             can ensure that the device will function
                                                 pertinent documentation provided to                     was an overly conservative addition to                properly during the flight and provide
                                                 them by a medical professional or any                   the POC oversight framework. Removing                 the requisite medical support.
                                                 medical certificate required by the                     the requirement to obtain a physician’s               Therefore, as proposed, this final rule
                                                 carriers in accordance with the                         statement affects a paperwork                         discontinues the SFAR requirement for
                                                 Department’s air travel disability                      requirement; it does not affect                       a physician statement.
                                                 regulation in 14 CFR 382.23.                            passengers’ responsibility to be                         PIC and aircraft operator notification:
                                                    However, the FAA believes that                       prepared for travel. The purpose of this              OTG, AMDA, and several individual
                                                 retaining the SFAR No. 106 requirement                  final rule is to continue to provide POC-             commenters did not support the
                                                 for a physician’s statement as evidence                 using passengers access to air travel,                proposal to remove the requirements for
                                                 of this medical consultation is not the                 while addressing device safety for                    pre-flight notification of the aircraft
                                                 most effective education tool in those                  aircraft use; it is not intended (and is              operator and PIC regarding POC use on
                                                 circumstances in which the physiology                   not within FAA authority) to set forth a              board an aircraft. These commenters,
                                                 of altitude could come to bear on POC                   standard of medical care for POC-using                however, did not provide specific
                                                 use and should not be relied on as the                  passengers. Further, the FAA does not                 reasons for maintaining the notification
                                                 means to address the range of variables                 require passengers who supply any                     requirements. One anonymous
                                                 potentially affecting passengers using                  other medical device for their own use                commenter asserted that advance notice
                                                 POCs during flight. The FAA has                         during a flight to provide a physician’s              that a passenger expects to use a POC
                                                 determined that it is more effective to                 statement as a condition of device usage              would allow crewmembers to prioritize
                                                 provide reasoned guidance and public                    during flight.                                        actions during multiple cabin events.
                                                 outreach to educate POC users and                          Additionally, as mentioned                            Under this final rule, the PIC and
                                                 physicians regarding considerations                     previously, existing DOT requirements                 aircraft operator (through a crewmember
                                                 pertaining to POC use during flight in a                in 14 CFR part 382 continue to include                or gate agent) will continue to receive
                                                 pressurized cabin. The FAA provides                     a provision to further mitigate the                   notice of a passenger’s POC use during
                                                 information on passenger health and                     possibility of medical events including               flight as the operator determines during
                                                 safety on its Web site (e.g., http://                   those that could result in a diversion.               pre-boarding procedures whether the
                                                 www.faa.gov/passengers/fly_safe/                        Sections 382.23(b) and 382.133                        device has the label now required for
                                                 health/comprehensive/). The FAA has                     authorize carriers to require a passenger             POC use on the aircraft. Accordingly, as
                                                 also updated the POC-specific guidance                  needing medical oxygen inflight to                    proposed, the FAA discontinues the
                                                 in AC–120–95B and expects to update                     provide a medical certificate to ensure               specific requirement for passengers to
                                                 its Web site with information a                         the passenger can complete the flight                 notify the aircraft operator and PIC of
                                                 passenger may want to consider when                     safely without requiring extraordinary                intended POC use during a flight
mstockstill on DSK3G9T082PROD with RULES3




                                                 traveling with a POC.                                   medical assistance during the flight.                 because a specific notification
                                                    As is the case with in flight use of any                AMDA indicated that the FAA should                 requirement is unnecessary.
                                                 medical device, passengers who need to                  conduct additional research regarding                    OTG also stated that several POC-
                                                 use a POC on board an aircraft should                   the potential impact of the elimination               related incidents have occurred in flight
                                                 always consult with an appropriate                      of the physician’s statement. The FAA                 but did not provide any specific
                                                 medical professional and their chosen                   has determined that additional research               examples, information, or data regarding
                                                 air carrier before traveling. Doing so                  is not necessary at this time because the             such diversions or incidents. OTG


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00015   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33112              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 further stated that the FAA should have                 future. Additionally, OTG commented                   FAA expects POC users to ensure that
                                                 contacted ‘‘air-to-ground’’ medical                     that in its experience, an individual may             a POC they intend to use is in good
                                                 service providers to document POC-                      not be able to respond to alarms even if              condition so that it may function
                                                 related incidents.                                      a physician states that the individual                properly to provide the needed oxygen
                                                   The agency reviewed air carrier safety                can respond to the POC alarms.                        therapy whether the POC user is on the
                                                 data collected from 2005 through                           Crewmembers receive training on                    ground or on an aircraft. Further, while
                                                 2014—a period of nearly 10 years—and                    how to respond to unanticipated events                petroleum products may accelerate an
                                                 found no instances of POC malfunction                   that may arise on board the aircraft                  existing fire, the volume of petroleum
                                                 during flight or any related medical                    including disruptions in the cabin and                products necessary to accelerate a fire is
                                                 incident or diversion. This review                      other abnormal events. Further, it is a               unlikely to be found on the exterior of
                                                 included information from several                       passenger’s responsibility to read the                a POC, and this concern is not
                                                 accident, incident, and voluntary                       POC operator’s manual and direct                      addressed as a specific requirement for
                                                 reporting databases.17 Further, no ‘‘air-               questions to their physician to ensure                other PEDs carried on board aircraft.
                                                 to-ground’’ medical service providers                   understanding of oxygen flow settings                 Therefore, this final rule eliminates the
                                                 contacted the agency regarding any POC                  and the appropriate responses to alarms.              requirements in section 3(b)(2) of SFAR
                                                 incidents, nor did they provide any                        The SFAR No. 106 requirements                      No. 106 because the requirements are
                                                 comments to the agency in this regard                   pertaining to POC alarms are based on                 unnecessary.
                                                 during the open comment period.                         information in the user manual of the
                                                                                                         first POC approved by the FAA. See 69                 d. Use of Salves and Lotions
                                                   Although the FAA is removing the
                                                 requirement for pre-flight notification,                FR at 42325. Based on a review of 20                     SFAR No. 106, section 3(b)(4) states
                                                 under existing DOT requirements in 14                   user manuals for POCs identified in                   only oxygen approved lotions or salves
                                                 CFR part 382, carriers continue to be                   SFAR No. 106, the agency has                          may be used by persons using a POC on
                                                 permitted to require individuals who                    determined POC alarms may provide                     board an aircraft. In the NPRM, the FAA
                                                 wish to use a POC on aircraft to contact                information regarding the general                     proposed to eliminate this prohibition
                                                 them 48 hours before scheduled                          operation of the POC, as well as                      in its entirety and did not receive any
                                                 departure. Carriers are permitted to                    information regarding the power source                comments on this proposal.
                                                 require this pre-flight notification so                 and detection of the POC user’s breath.                  The requirement in SFAR No. 106,
                                                 they can ensure that a passenger knows                  Since these alarms help ensure the                    section 3(b)(4) came from the user
                                                 the expected maximum flight duration                    device functions as intended, the FAA                 manual of the first POC approved by the
                                                 and can use this information in                         believes that removing this requirement               FAA. The FAA believes it is the
                                                 determining the number of spare                         will not affect aviation safety.                      passenger’s responsibility to ensure he
                                                 batteries that he or she will need to                      The FAA also emphasizes that it has                or she is using products that meet the
                                                 power the POC during the flight.                        not identified any incidents regarding                POC manufacturer’s requirements for
                                                                                                         POC malfunctions on board aircraft                    salve and lotion usage with a POC. The
                                                 b. Portable Oxygen Concentrator Alarms                  during the period of time that POCs                   risks and responsibilities associated
                                                    SFAR No. 106, section 3(b)(1) requires               have been permitted on aircraft. A 10-                with lotions or salves that are not
                                                 a passenger using a POC on board an                     year look-back period includes data                   oxygen approved or are petroleum-
                                                 aircraft to be capable of hearing the                   from almost 78 million domestic flights               based are addressed in the preceding
                                                 unit’s alarms and seeing alarm light                    with no adverse POC incidents. See                    discussion on the elimination of the
                                                 indicators. SFAR No. 106 also requires                  http://www.transtats.bts.gov/Data_                    requirement for the user to ensure that
                                                 passengers using a POC to have the                      Elements.aspx?Data=2. The agency has                  the POC is free from petroleum
                                                 cognitive ability to take appropriate                   determined that this is sufficient data to            products. Therefore, as proposed, this
                                                 action in response to the various POC                   provide an appropriate indicator of                   final rule does not retain the prohibition
                                                 caution alarms, warning alarms, and                     future POC safety. Therefore, as                      in section 3(b)(4) of SFAR No. 106.
                                                 alarm light indicators, or travel with                  proposed, this final rule eliminates the
                                                                                                                                                               e. Carriage of a Sufficient Number of
                                                 someone capable of performing those                     SFAR No. 106 requirement pertaining to
                                                                                                                                                               Batteries
                                                 functions.                                              alarms (section 3(b)(1)).
                                                    In the NPRM, the FAA proposed to                                                                              SFAR No. 106, section 3(b)(5) requires
                                                                                                         c. Ensuring the Portable Oxygen                       passengers intending to use a POC
                                                 eliminate the requirement for a                         Concentrator is Free of Petroleum
                                                 passenger using a POC on board an                                                                             during a flight to obtain from the aircraft
                                                                                                         Products                                              operator, or by other means, the
                                                 aircraft to be capable of hearing the
                                                 unit’s alarms and seeing alarm light                       SFAR No. 106, section 3(b)(2) requires             duration of the planned flight and carry
                                                 indicators. An anonymous commenter                      a passenger using a POC to ensure the                 a sufficient number of batteries to power
                                                 stated that the FAA should retain this                  POC is free of oil, grease, or other                  the device for the duration of the oxygen
                                                 requirement because a continuous audio                  petroleum products and is in good                     use specified in the passenger’s
                                                 alarm could be very disruptive and                      condition free from damage or other                   physician statement, including a
                                                 compound other abnormal events                          signs of excessive wear or abuse. This                conservative estimate of any
                                                 occurring in the cabin. The commenter                   provision is similar to a warning                     unanticipated delays. In the NPRM, the
                                                 added that the absence of alarm events                  statement found in the user manual of                 agency proposed to eliminate this SFAR
                                                 over the last 10 years does not mean that               the first POC approved by the FAA and                 No. 106 requirement.
                                                                                                         to a provision in the medical oxygen                     Delta Air Lines commented that this
                                                 an alarm event will not occur in the
                                                                                                         rules (§§ 121.574, 125.219, and 135.91).              final rule should retain the battery
mstockstill on DSK3G9T082PROD with RULES3




                                                   17 Voluntary Disclosure Reporting Program             See 69 FR at 42325. The agency                        carriage requirements found in SFAR
                                                 (VDRP), Service Difficulty Reporting System             proposed to eliminate this SFAR No.                   No. 106 and current 14 CFR
                                                 (SDRS), National Transportation Safety Board            106 provision.                                        382.133(f)(2) because passengers often
                                                 Aviation Accident and Incident Data Systems                OTG commented that for passengers                  mistakenly assume that electrical outlets
                                                 (NTSB), National Aeronautics and Space
                                                 Administration Aviation Safety Reporting System
                                                                                                         who rent their POCs, the condition of                 are available to power portable medical
                                                 (ASRS) and FAA Accident/Incident Data System            the device and its batteries is dependent             devices. The FAA is not aware of any
                                                 (AIDS).                                                 on the purveyor of the equipment. The                 specific incidents of confusion


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00016   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                    Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                          33113

                                                 regarding availability of electrical                    users make informed decisions                            Additionally, the previous FDA
                                                 outlets to power POCs. FAA guidance                     regarding the number of spare batteries               recognized performance standard for
                                                 (AC 120–95B as well as previous                         they need to bring to power the device                POCs (ISO 8359:1996 including
                                                 editions of this AC) addresses aircraft                 and it is the responsibility of passengers            Amendment 1 (2012)) stated that POCs
                                                 operator and passenger issues pertaining                using a POC during air travel to be                   shall include a means to prevent the
                                                 to the use of electrical outlets to power               familiar with the manual and consult                  propagation of fire back through the
                                                 POCs. Further, many air carriers,                       their physician and POC provider as                   oxygen concentrator outlet in the case
                                                 including the commenter, disclose                       necessary. As highlighted by OTG,                     that the tubing ignites. Although it is
                                                 applicable policies on their Web sites                  passengers may also want to consider                  not clear whether all of the continuous
                                                 regarding the availability and use of on                the age of the device and the batteries               flow devices approved under the SFAR
                                                 board electrical outlets for electronic                 as they assess the batteries required to              include this means to prevent fire
                                                 devices intended for use during flight.                 power the POC for the amount of time                  propagation, the FDA is allowing
                                                 The FAA encourages air carriers to                      required. The intent of the SFAR and                  continued use of these devices and is
                                                 continue this practice.                                 this rulemaking is to allow passengers                not requiring existing POCs to be
                                                    Additionally, as noted in the Delta Air              needing oxygen therapy during a flight                modified to comply with the
                                                 Lines comment, existing DOT                             to have ready access to a device that can             performance standard the agency
                                                 regulations (14 CFR part 382) permit                    supply that therapy, not to oversee                   currently recognizes (ISO 80601–2–
                                                 carriers to require an individual                       passenger medical care.                               69:2014).
                                                 traveling with a POC to bring an                           Thus, as proposed, the FAA has                        Nevertheless, the commenter’s
                                                 adequate number of fully charged                        eliminated the SFAR requirement to                    suggestion to retrofit continuous flow
                                                 batteries into the cabin that will power                carry a certain amount of battery power.              POCs with an accessory to extinguish
                                                 the POC for no less than 150% of the                    However, the Department continues to                  fire propagation in tubing is outside of
                                                 expected maximum flight duration. See                   allow airlines to require individuals                 the scope of the proposal and a
                                                 current 14 CFR 382.133(f)(2), revised by                using POCs inflight to bring an adequate              prohibition on the use of continuous
                                                 this rule to 14 CFR 382.133(h)(2). Part                 number of fully charged batteries based               flow POCs on aircraft is not supported
                                                 382 also requires carriers to inform                    on the battery manufacturer’s estimate                by aviation safety data. As previously
                                                 passengers who advise the carriers of                   of the hours of battery life while the                noted, the FAA reviewed data from
                                                 their intent to use a POC on board an                   POC is in use and the maximum                         VDRP, SDRS, NTSB, ASRS and AIDS,
                                                 aircraft about the maximum duration of                                                                        and has not found any instances of POC
                                                                                                         duration of the flight. Also, to facilitate
                                                 the flight segment. See 14 CFR                                                                                malfunction during flight since the
                                                                                                         a passenger’s ability to prepare for POC
                                                 382.133(f)(1), revised by this rule to 14                                                                     agency first published the SFAR.
                                                                                                         use during a flight, in AC 120–95B,
                                                 CFR 382.133(h)(1).                                                                                               The FAA also researched the service
                                                    OTG commented that it is almost                      published with this final rule, the FAA
                                                                                                                                                               difficulty report (SDR) database for the
                                                 impossible for the average passenger to                 has provided references to the DOT
                                                                                                                                                               period beginning the time SFAR No. 106
                                                 assess the amount of battery power that                 requirements regarding the carriage of
                                                                                                                                                               published (July 12, 2005) through
                                                 they may need for the duration of a trip                spare batteries. The FAA also expects to
                                                                                                                                                               December 2014, and ran multiple
                                                 due to time zone changes, the effect of                 update its Web site with information a
                                                                                                                                                               queries for the terms fires, blankets,
                                                 flow rate on battery duration and                       passenger may want to consider when
                                                                                                                                                               POCs, electrostatic discharges, and
                                                 mistaken assumptions about their                        traveling with a POC.
                                                                                                                                                               insulation materials. This research
                                                 ability to recharge batteries between                   I. Miscellaneous                                      covers a period where almost 78 million
                                                 flights. OTG also indicated that POC                                                                          U.S. domestic flights occurred, revealing
                                                 manufacturer manuals are ‘‘overly                          BPR Medical Limited recommended
                                                                                                                                                               no SDRs related to POCs. See http://
                                                 optimistic’’ about battery duration, often              that the six continuous flow POCs
                                                                                                                                                               www.transtats.bts.gov/Data_
                                                 basing their assumptions on data from                   approved under SFAR No. 106 should
                                                                                                                                                               Elements.aspx?Data=2.
                                                 new batteries.                                          be retrofitted with an accessory to stop                 Finally, although the FAA has not
                                                    The Mayo Clinic commented that                       the flow of oxygen in the event that the              identified a single instance of a fire due
                                                 many passengers only use a POC                          POC tubing ignites. BPR states that                   to passenger’s use of a POC on an
                                                 temporarily, during a flight, and thus                  during testing for fire propagation in                aircraft, passenger-carrying aircraft are
                                                 are unfamiliar with the device. The                     tubing, BPR found that where a pulse                  equipped with effective mitigation (i.e.,
                                                 Mayo Clinic added that an FAA                           dose mechanism provides oxygen, a fire                fire resistant cabin materials and fire
                                                 requirement for passengers using a POC                  that has developed will automatically be              extinguishers) if a fire should occur. See
                                                 to carry a certain amount of battery                    extinguished and will not propagate                   14 CFR 25.853, 23.853, 121.215,
                                                 power, would serve as a reminder for                    along the tubing to the oxygen source.                121.309, 125.113 and 135.155.
                                                 the passenger and his or her health care                The commenter added that while having                    Accordingly, the agency has
                                                 provider regarding the necessity of                     a means to stop the flow of oxygen may                determined that no aviation safety data
                                                 sufficient power for POC use, noting                    be more of a concern where cigarettes                 exists that would support further FAA
                                                 that the consequences of inadequate                     might be a source of ignition, there are              action to preclude continuous flow POC
                                                 supplemental oxygen could result in the                 other possible sources of ignition on                 models from use onboard aircraft.
                                                 need to administer medical oxygen                       aircraft such as electro-static discharge
                                                 during the flight or divert the aircraft.               from blankets.                                        J. Technical Amendments
                                                    The FAA maintains that it is the                        FDA has recently recognized a POC                     This final rule makes two technical
                                                 passengers’ responsibility to understand                performance standard (ISO 80601–2–                    amendments. First, it updates a cross
mstockstill on DSK3G9T082PROD with RULES3




                                                 the performance of their POC and its                    69:2014) that includes a clause stating               reference to the HMR that appears in
                                                 battery life under varying conditions                   that the device shall be equipped with                §§ 121.574(a)(3), 125.219(a)(3), and
                                                 and ensure their POC will enable them                   a means to stop the flow of gas towards               135.91(a)(3) and pertains to the
                                                 to adhere to their physician’s                          the patient in the case that the accessory            definition of a compressed gas. Second,
                                                 instructions. All manuals for the POCs                  (tubing) becomes ignited. This standard               it removes the OMB Control No. 2120–
                                                 identified in SFAR No. 106 have liter                   will be considered as the FDA approves                0702 from § 11.201(b) because the
                                                 flow and battery duration charts to help                or clears new POC models.                             information collection burdens


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00017   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33114              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 associated with this control number                     impracticable and contrary to the public              labeled, although carriers were not
                                                 cease to be effective when SFAR No.                     interest because during the delay caused              legally obligated to do so.18 Since then,
                                                 106 is removed from title 14.                           by providing notice and public                        airlines have largely implemented a
                                                                                                         comment, the Department’s disability                  policy to allow passengers to use SFAR-
                                                 K. Nondiscrimination on the Basis of
                                                                                                         regulations would be inconsistent with                approved POCs even if they do not have
                                                 Disability in Air Travel
                                                                                                         FAA regulations. This could potentially               labels.
                                                   The Air Carrier Access Act (ACAA)                     cause confusion and affect disabled                      In this final rule, the Department is
                                                 prohibits discrimination by U.S. and                    individuals’ ability to bring necessary               amending its disability regulation to
                                                 foreign carriers against passengers with                medical devices on flights.                           ensure that, consistent with the FAA’s
                                                 disabilities. See 49 U.S.C. 41705. Part                   Notice and comment on these                         actions in this rule, passengers with
                                                 382 of title 14 contains detailed                       conforming amendments is also                         SFAR-approved POCs continue to be
                                                 standards and requirements to                           unnecessary because the public has                    permitted to use these devices on
                                                 implement the ACAA and to ensure that                   already had an opportunity to comment                 aircraft, regardless of whether they are
                                                 carriers provide nondiscriminatory                      on the substantive issues addressed by                labeled, and that passengers with other
                                                 service to passengers with disabilities.                this rulemaking. The Department is                    POCs that satisfy the FAA acceptance
                                                   With regard to POCs, part 382                         making minor amendments to part 382                   criteria and labeling requirements will
                                                 establishes a framework to ensure                       that simply conform the Department’s                  be able to use those POCs on their
                                                 accessibility for passengers using POCs                 disability regulations to the FAA’s                   flights. As the FAA’s regulations are
                                                 and other respiratory assistive devices                 safety regulations. The Department does               enabling rules, these changes in the
                                                 on aircraft, subject to applicable                      not believe that it would receive new                 Department’s disability regulation
                                                 aviation safety, security, and hazardous                substantive comments, in addition to                  require carriers covered by part 382 to
                                                 materials regulations. In this final rule,              those already received and addressed in               accept these POCs for air travel.
                                                 the FAA revises its acceptance criteria                 this document, if it sought comment on
                                                 on POCs, based on which air carriers                    the conforming amendments. For these                  2. Other Amendments to 14 CFR Part
                                                 may choose to, but are not required to,                 reasons the Department has determined                 382
                                                 accept those POCs meeting FAA’s                         that the notice and comment rulemaking                   The Department is revising
                                                 criteria. On the other hand, part 382                   process is unnecessary, impracticable,                § 382.133(c)(3) (redesignated as
                                                 mandates that carriers must accept                      and contrary to the public interest for               § 382.133(e)(3)) by eliminating the
                                                 POCs if they meet the FAA’s acceptance                  these conforming amendments.                          reference to SFAR No. 106 with respect
                                                 criteria. Accordingly, this final rule                                                                        to the packaging and protection of spare
                                                 includes amendments to 14 CFR part                      1. Mandatory Acceptance of POCs That
                                                                                                                                                               batteries carried in an aircraft cabin, as
                                                 382 to remove the references to SFAR                    Meet FAA Acceptance Criteria
                                                                                                                                                               this final rule removes the SFAR from
                                                 No. 106, to ensure that the requirements                   In 2008, DOT amended part 382 to                   the CFR. Instead, the Department is
                                                 of part 382 are consistent with the new                 include a provision requiring covered                 referring directly to the applicable
                                                 acceptance criteria and labeling                        carriers to permit a passenger with a                 PHMSA requirements.
                                                 requirements set forth by the FAA in                    disability to use an SFAR-approved POC                   The Department is also revising
                                                 this rule, and to ensure the continued                  on all covered flights. More specifically,            § 382.133(c)(6) (redesignated as
                                                 use of the POCs previously approved                     part 382 requires U.S. carriers to permit             § 382.133(e)(6) in this final rule) by
                                                 under SFAR No. 106, as permitted by                     an individual with a disability to use an             eliminating the reference to federal
                                                 the FAA.                                                SFAR-approved POC, a ventilator, a                    aviation regulations with respect to the
                                                   When amending regulations, the                        respirator, or a continuous positive                  physicians statement, as in this final
                                                 Administrative Procedure Act (APA)                      airway pressure machine (CPAP                         rule the FAA eliminates the SFAR No.
                                                 generally requires agencies to publish a                machine) on all flights unless the device             106 requirement for a physician’s
                                                 notice of proposed rulemaking and give                  does not meet applicable FAA                          statement. The Department, however, is
                                                 interested persons an opportunity to                    requirements for medical portable                     retaining the reference to
                                                 comment. However, the APA authorizes                    electronic devices and does not display               § 382.23(b)(1)(ii) that permits carriers to
                                                 agencies to dispense with notice and                    a manufacturer’s label that indicates the             require a medical certificate from
                                                 comment if the agency finds for good                    device meets those FAA requirements.                  passengers who need medical oxygen
                                                 cause that notice and public comment                    See 14 CFR 382.133(a). Foreign carriers               during a flight. In that regard, there is
                                                 thereon are impracticable, unnecessary,                 must permit individuals with a                        also no change to our rules that permit
                                                 or contrary to the public interest. 5                   disability to use a POC of a kind                     a U.S. carrier or a foreign carrier to
                                                 U.S.C. 553(b)(3)(B). ‘‘Good cause’’ exists              equivalent to a SFAR- approved POC, a                 ensure that the passengers traveling
                                                 in situations in which notice                           ventilator, a respirator, or a CPAP                   with POCs have sufficient numbers of
                                                 unavoidably prevents the due and                        machine for use on U.S. carriers in the               spare batteries to power the POC for up
                                                 required execution of agency functions                  passenger cabin on all covered flights                to 150% of the maximum flight
                                                 or when an agency finds that due and                    unless the device does not meet the                   duration.
                                                 timely execution of its functions is                    requirements for medical portable
                                                 impeded by the notice otherwise                         electronic devices set by the foreign                 V. Regulatory Notices and Analyses
                                                 required by the APA.                                    carrier’s government if such                          A. Regulatory Evaluation
                                                   In this case, the agency finds that                   requirements exist and/or the POC does
                                                 there is good cause to conclude that                    not display a manufacturer’s label that                 Changes to Federal regulations must
                                                 providing notice and public comment                     indicates the device meets those                      undergo several economic analyses.
mstockstill on DSK3G9T082PROD with RULES3




                                                 for the Department’s conforming                         requirements. See 14 CFR 382.133(b).                  First, Executive Order 12866 and
                                                 amendments is unnecessary,                                 In 2009, because the SFAR-approved                 Executive Order 13563 direct that each
                                                 impracticable and contrary to the public                POCs were not required to have labels                 Federal agency shall propose or adopt a
                                                 interest. Notice and public comment are                 under the FAA’s regulations, DOT                         18 See, Notice—The Use of Passenger-supplied
                                                 impracticable because they would cause                  issued guidance encouraging carriers to               Electronic Respiratory Assistive Devices on Aircraft,
                                                 undue delay. Providing additional                       allow passengers to use these approved                October 28, 2009, https://www.transportation.gov/
                                                 notice and comment would be                             POCs even if the device had not been                  sites/dot.gov/files/docs/Notice_10_28_09.pdf.



                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00018   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                             Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                                                           33115

                                                 regulation only upon a reasoned                                             United States; and (6) will not impose                                   Entities Potentially Affected by This
                                                 determination that the benefits of the                                      an unfunded mandate on state, local, or                                  Rule:
                                                 intended regulation justify its costs.                                      tribal governments, or on the private
                                                                                                                                                                                                        • POC manufacturers
                                                 Second, the Regulatory Flexibility Act                                      sector by exceeding the threshold
                                                 of 1980 (Pub. L. 96–354) requires                                           identified above. These analyses are                                       • Passengers carrying POCs on board
                                                 agencies to analyze the economic                                            summarized below.                                                        aircraft
                                                 impact of regulatory changes on small                                                                                                                  • Physicians providing written
                                                                                                                             Total Benefits and Costs of This Rule                                    statements to POC users
                                                 entities. Third, the Trade Agreements
                                                 Act (Pub. L. 96–39) prohibits agencies                                        The total cost savings from this final                                   • Aircraft operators (including
                                                 from setting standards that create                                          rule is $39.5 million ($27.6 million at                                  crewmembers)
                                                 unnecessary obstacles to the foreign                                        7% present value and $33.6 million at
                                                                                                                             3% present value). The largest cost                                      Benefits of this Rule
                                                 commerce of the United States. In
                                                 developing U.S. standards, this Trade                                       savings of $39 million occurs from the                                      The replacement of the SFAR No. 106
                                                 Act requires agencies to consider                                           reduction of crew time to review the                                     device approval process with a process
                                                 international standards and, where                                          physician’s statement.                                                   by which POC manufacturers label
                                                 appropriate, that they be the basis of                                        The FAA estimated that POC                                             those devices that satisfy FAA
                                                 U.S. standards. Fourth, the Unfunded                                        manufacturers that are expected to                                       acceptance criteria, will shorten the
                                                 Mandates Reform Act of 1995 (Pub. L.                                        market POCs for use on aircraft will                                     time for manufacturers to begin selling
                                                 104–4) requires agencies to prepare a                                       save a total of $108,000 over the ten year                               new POC models that can be used on
                                                 written assessment of the costs, benefits,                                  analysis period because the FAA will no                                  aircraft. Therefore, one benefit of this
                                                 and other effects of proposed or final                                      longer require POC models to be                                          rule will be to eliminate delays and
                                                 rules that include a Federal mandate                                        identified in SFAR No. 106 prior to their                                enable manufacturers to bring their
                                                 likely to result in the expenditure by                                      use on aircraft. As a result of this action,                             devices to market sooner. Further the
                                                 State, local, or tribal governments, in the                                 POC manufacturers will no longer incur                                   FAA estimates total industry cost
                                                 aggregate, or by the private sector, of                                     the administrative costs of petitioning                                  savings of $108,000 because
                                                 $100 million or more annually (adjusted                                     the FAA which the FAA estimated                                          manufacturers will no longer incur the
                                                 for inflation with base year of 1995).                                      would be $108,000. Further, because the                                  administrative costs of petitioning the
                                                 This portion of the preamble                                                manufacturer will no longer have to                                      FAA for each new device. These cost
                                                 summarizes the FAA’s analysis of the                                        await resolution of that petition in order                               savings easily exceed the labeling costs.
                                                 economic impacts of this final rule. We                                     for a POC to be permitted for use on                                        Furthermore, this final rule will result
                                                 suggest readers seeking greater detail                                      aircraft they will be able to introduce                                  in cost savings because POC-using
                                                 read the full regulatory evaluation, a                                      these devices sooner to the market.                                      passengers will no longer have to obtain
                                                 copy of which we have placed in the                                           The FAA estimates that the cost of                                     a physician’s written statement as a
                                                 docket for this rulemaking.                                                 this final rule will be a one-time total                                 prerequisite to bringing POCs on board
                                                                                                                             cost of $22,000 incurred by all those                                    aircraft in parts 121, 125, and 135
                                                    In conducting these analyses, FAA                                        POC manufacturers who comply with
                                                 has determined that this final rule: (1)                                                                                                             operations.
                                                                                                                             this final rule to modify a label and the
                                                 Has benefits that justify its costs, (2) is                                                                                                             The largest cost-savings will accrue to
                                                                                                                             associated costs that manufacturers will
                                                 not an economically ‘‘significant                                                                                                                    airline crews as there will no longer be
                                                                                                                             incur to change their current labeling
                                                 regulatory action’’ as defined in section                                                                                                            a requirement for the crew to review the
                                                                                                                             process to affix a label with the language
                                                 3(f) of Executive Order 12866, (3) is not                                                                                                            contents of the physician’s statement
                                                                                                                             on the devices.
                                                 ‘‘significant’’ as defined in DOT’s                                                                                                                  and to notify the pilot in command
                                                 Regulatory Policies and Procedures; (4)                                     Assumptions:                                                             about the contents of the physician’s
                                                 will not have a significant economic                                          • Present Value Discount rates—7%                                      statement and the intention of the
                                                 impact on a substantial number of small                                     and 3%                                                                   passenger to use the POC on board.
                                                 entities; (5) will not create unnecessary                                     • Period of Analysis—ten years                                            The quantified cost savings of this
                                                 obstacles to the foreign commerce of the                                      • 24 new POCs over ten years                                           final rule are summarized in table 4.

                                                                                                       TABLE 4—TOTAL ESTIMATED COST SAVINGS FROM FINAL RULE
                                                                                                                                                                                                       Cost            7% present      3% present
                                                                                                                                                                                                      savings         value savings   value savings

                                                 FAA Savings—No SFAR .............................................................................................................                       $91,644           $68,871         $80,519
                                                 Manufacturer Savings—No petition for rulemaking .....................................................................                                   108,000            75,853          92,126
                                                 Removal of FAA requirement for user to obtain a physician’s statement for POC use on air-
                                                   craft ..........................................................................................................................................       569,961           401,645         486,914
                                                 Removal of FAA requirement for crew review of physician’s statement and PIC notification ....                                                         38,726,085        27,083,677      32,972,652

                                                       Total Cost Savings ...............................................................................................................             $39,495,690      $27,630,045     $33,632,212



                                                   The FAA also identified another                                           established in Section 21 Category M of                                  the RF emissions limits for use on
mstockstill on DSK3G9T082PROD with RULES3




                                                 benefit that it did not quantify. This                                      RTCA DO–160 to the FAA which posts                                       aircraft before they affix a label to the
                                                 benefit comes from the use of a                                             these results on its Web site for aircraft                               device confirming that this criterion has
                                                 performance-based RF emissions                                              operators to access. This final rule will                                been satisfied. This might save
                                                 acceptance criterion. Currently the                                         include a performance-based RF                                           manufacturers some cost if they can
                                                 manufacturers provide radiated RF                                           emissions acceptance criterion that                                      demonstrate in a less expensive way
                                                 emissions tests results showing that the                                    allows POC manufacturers to determine                                    that their device meets the RF emissions
                                                 device does not exceed thresholds                                           how to assess whether their POC meets                                    criteria and will not degrade safety as


                                            VerDate Sep<11>2014         18:14 May 23, 2016           Jkt 238001      PO 00000        Frm 00019        Fmt 4701       Sfmt 4700       E:\FR\FM\24MYR3.SGM     24MYR3


                                                 33116               Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 the alternative method is an equivalent                 savings because manufacturers will no                 Pursuant to these Acts, the
                                                 level of safety to the RTCA standard.                   longer have to petition for rulemaking                establishment of standards is not
                                                                                                         and lose marketing time awaiting a final              considered an unnecessary obstacle to
                                                 Costs of This Rule
                                                                                                         regulatory action. One manufacturer                   the foreign commerce of the United
                                                   As estimated in the NPRM, the FAA                     stated these cost savings are worth                   States, so long as the standard has a
                                                 expects that POC manufacturers will                     $4,500 for each petition.                             legitimate domestic objective, such as
                                                 incur costs of $22,000 to modify labels                   The FAA identified nine companies                   the protection of safety, and does not
                                                 that they already affix to the POC, to                  that produce POCs intended for use on                 operate in a manner that excludes
                                                 contain the language required by this                   board aircraft. The FAA determined that               imports that meet this objective. The
                                                 rule.                                                   the appropriate North American                        statute also requires consideration of
                                                                                                         Industry Classification System (NAICS)                international standards and, where
                                                 B. Regulatory Flexibility Determination
                                                                                                         codes of these manufacturers are 339112               appropriate, that they be the basis for
                                                    The Regulatory Flexibility Act of 1980               and 339113 and the threshold for                      U.S. standards. The FAA has assessed
                                                 (Pub. L. 96–354) (RFA) establishes ‘‘as a               determining whether a company is a                    the potential effect of this final rule and
                                                 principle of regulatory issuance that                   small business is 500 employees for                   determined that it will have only a
                                                 agencies shall endeavor, consistent with                those industries. Through online                      domestic impact and therefore no effect
                                                 the objectives of the rule and of                       research, the FAA found data 20                       on international trade.
                                                 applicable statutes, to fit regulatory and              indicating that six of the nine
                                                 informational requirements to the scale                 manufacturers are small entities and                  D. Unfunded Mandates Assessment
                                                 of the businesses, organizations, and                   concluded that a substantial number of                   Title II of the Unfunded Mandates
                                                 governmental jurisdictions subject to                   manufacturers are small entities.                     Reform Act of 1995 (Pub. L. 104–4)
                                                 regulation. To achieve this principle,                  However, the FAA does not expect the                  requires each Federal agency to prepare
                                                 agencies are required to solicit and                    rule to impose a significant economic                 a written statement assessing the effects
                                                 consider flexible regulatory proposals                  impact on any of these small entities                 of any Federal mandate in a proposed or
                                                 and to explain the rationale for their                  because the estimated cost savings of no              final agency rule that may result in an
                                                 actions to assure that such proposals are               longer having to petition the FAA                     expenditure of $100 million or more (in
                                                 given serious consideration.’’ The RFA                  (estimated at $4,500 per manufacturer)                1995 dollars) in any one year by State,
                                                 covers a wide-range of small entities,                  exceed the estimated costs of modifying               local, and tribal governments, in the
                                                 including small businesses, not-for-                    the label (estimated at $2,400 per                    aggregate, or by the private sector; such
                                                 profit organizations, and small                         manufacturer) to comply with this final               a mandate is deemed to be a ‘‘significant
                                                 governmental jurisdictions.                             rule. Also, there is a benefit to POC                 regulatory action.’’ The FAA currently
                                                    Agencies must perform a review to                    manufacturers, in that the                            uses an inflation-adjusted value of
                                                 determine whether a rule will have a                    manufacturers will receive revenue                    $155.0 million in lieu of $100 million.
                                                 significant economic impact on a                        sooner because they will be able to                   This final rule does not contain such a
                                                 substantial number of small entities. If                market new portable oxygen                            mandate; therefore, the requirements of
                                                 the agency determines that it will, the                 concentrators sooner.                                 Title II of the Act do not apply.
                                                 agency must prepare a regulatory                          Although a substantial number of
                                                                                                         operators conducting parts 121, 125 and               E. Paperwork Reduction Act
                                                 flexibility analysis as described in the
                                                 RFA.                                                    135 operations are small entities, all                  The Paperwork Reduction Act of 1995
                                                    However, if an agency determines that                parts 121, 125 and 135 operators are                  (44 U.S.C. 3507(d)) requires that the
                                                 a rule is not expected to have a                        expected to experience cost savings                   FAA consider the impact of paperwork
                                                 significant economic impact on a                        because the proposal will no longer                   and other information collection
                                                 substantial number of small entities,                   require the PIC to be apprised when a                 burdens imposed on the public. The
                                                 section 605(b) of the RFA provides that                 passenger brings and intends to use a                 FAA has determined that there is no
                                                 the head of the agency may so certify                   POC on board the aircraft and be                      new requirement for information
                                                 and a regulatory flexibility analysis is                informed on the contents of the                       collection associated with this final
                                                 not required. The certification must                    physician’s statement as does SFAR No.                rule.
                                                 include a statement providing the                       106. The FAA did not receive comments                 F. International Compatibility and
                                                 factual basis for this determination, and               on the initial regulatory flexibility                 Cooperation
                                                 the reasoning should be clear.                          analysis where we first discussed these
                                                                                                         cost savings. Therefore, as provided in                 In keeping with U.S. obligations
                                                    This final rule is expected to reduce
                                                                                                         section 605(b), the head of the FAA                   under the Convention on International
                                                 SFAR No. 106 requirements that
                                                                                                         certifies that this rulemaking will not               Civil Aviation, it is FAA policy to
                                                 currently result in a burden on POC
                                                                                                         result in a significant economic impact               conform to ICAO Standards and
                                                 manufacturers who produce POC
                                                                                                         on a substantial number of small                      Recommended Practices to the
                                                 devices for use on aircraft. This final
                                                                                                         entities.                                             maximum extent practicable. Annex 18
                                                 rule will also result in small costs to
                                                                                                                                                               to the Convention on International Civil
                                                 manufacturers by requiring POCs                         C. International Trade Impact                         Aviation requires that dangerous goods
                                                 intended for use on aircraft to bear a                  Assessment                                            are carried in accordance with the ICAO
                                                 label indicating the device meets FAA
                                                                                                            The Trade Agreements Act of 1979                   Technical Instructions on the Transport
                                                 requirements for use on board aircraft.
                                                                                                         (Pub. L. 96–39), as amended by the                    of Dangerous Goods by Air. The ICAO
                                                 The FAA learned from five of the small
                                                                                                         Uruguay Round Agreements Act (Pub.                    Technical Instructions do not contain
mstockstill on DSK3G9T082PROD with RULES3




                                                 POC manufacturers that they might
                                                                                                         L. 103–465), prohibits Federal agencies               specific provisions for POCs but Part 8
                                                 incur a one-time cost ranging from $200
                                                                                                         from establishing standards or engaging               of the ICAO Technical Instructions
                                                 to $1,500 which averages $0.20 to $1 per
                                                                                                         in related activities that create                     (passenger and crew exceptions) allows
                                                 label.19 These costs will be offset by cost
                                                                                                         unnecessary obstacles to the foreign                  for their carriage on board aircraft as
                                                   19 A sixth manufacturer that was contacted            commerce of the United States.                        portable medical electronic devices
                                                 estimated costs of $10,200, but this manufacturer is                                                          subject to certain conditions. Although
                                                 not a small business.                                    20 http://www.manta.com/.                            the format is different, the conditions in


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00020   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                      Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                                           33117

                                                 Part 8 pertaining to batteries used to                      3. Access the Government Publishing                     14 CFR Part 382
                                                 power POCs are the same as the                            Office’s Web page at http://
                                                                                                           www.gpo.gov/fdsys/.                                         Air Carriers, Consumer protection,
                                                 allowances given in 49 CFR
                                                                                                             Copies may also be obtained by                          Individuals with disabilities.
                                                 175.10(a)(18).
                                                                                                           sending a request (identified by notice,                  The Amendment
                                                 G. Environmental Analysis                                 amendment, or docket number of this
                                                    FAA Order 1050.1F identifies FAA                       rulemaking) to the Federal Aviation                         In consideration of the foregoing, the
                                                 actions that are categorically excluded                   Administration, Office of Rulemaking,                     Federal Aviation Administration and
                                                 from preparation of an environmental                      ARM–1, 800 Independence Avenue                            the Office of the Secretary amend
                                                 assessment or environmental impact                        SW., Washington, DC 20591, or by                          chapters I and II of title 14, Code of
                                                 statement under the National                              calling (202) 267–9677.                                   Federal Regulations as follows:
                                                 Environmental Policy Act in the                           B. Comments Submitted to the Docket                       PART 1—DEFINITIONS AND
                                                 absence of extraordinary circumstances.                                                                             ABBREVIATIONS
                                                 The FAA has determined this                                 Comments received may be viewed by
                                                 rulemaking action qualifies for the                       going to http://www.regulations.gov and
                                                                                                           following the online instructions to                      ■ 1. The authority citation for part 1
                                                 categorical exclusion identified in                                                                                 continues to read as follows:
                                                 paragraph 5–6.6 and involves no                           search the docket number for this
                                                 extraordinary circumstances.                              action. Anyone is able to search the                        Authority: 49 U.S.C. 106(f), 106(g), 40113,
                                                                                                           electronic form of all comments                           44701.
                                                 VI. Executive Order Determinations                        received into any of the FAA’s dockets
                                                                                                                                                                     ■ 2. Amend § 1.1 by adding a definition
                                                 A. Executive Order 13132, Federalism                      by the name of the individual
                                                                                                                                                                     for ‘‘portable oxygen concentrator’’ in
                                                                                                           submitting the comment (or signing the
                                                   The FAA has analyzed this final rule                                                                              alphabetical order to read as follows:
                                                                                                           comment, if submitted on behalf of an
                                                 under the principles and criteria of                      association, business, labor union, etc.).                § 1.1   General definitions.
                                                 Executive Order 13132, Federalism. The
                                                                                                           C. Small Business Regulatory                              *     *     *     *    *
                                                 agency determined that this action will
                                                 not have a substantial direct effect on                   Enforcement Fairness Act                                     Portable oxygen concentrator means a
                                                 the States, or the relationship between                     The Small Business Regulatory                           medical device that separates oxygen
                                                 the Federal Government and the States,                    Enforcement Fairness Act (SBREFA) of                      from other gasses in ambient air and
                                                 or on the distribution of power and                       1996 requires FAA to comply with                          dispenses this concentrated oxygen to
                                                 responsibilities among the various                        small entity requests for information or                  the user.
                                                 levels of government, and, therefore,                     advice about compliance with statutes                     *     *     *     *    *
                                                 does not have Federalism implications.                    and regulations within its jurisdiction.                  ■ 3. Amend § 1.2 by adding the
                                                                                                           A small entity with questions regarding                   abbreviation ‘‘POC’’ in alphabetical
                                                 B. Executive Order 13211, Regulations                     this document may contact its local
                                                 That Significantly Affect Energy Supply,                                                                            order to read as follows:
                                                                                                           FAA official, or the person listed under
                                                 Distribution, or Use                                      the FOR FURTHER INFORMATION CONTACT                       § 1.2   Abbreviations
                                                    The FAA analyzed this final rule                       heading at the beginning of the                           *    *    *   *     *
                                                 under Executive Order 13211, Actions                      preamble. To find out more about                            POC means portable oxygen
                                                 Concerning Regulations that                               SBREFA on the Internet, visit http://                     concentrator.
                                                 Significantly Affect Energy Supply,                       www.faa.gov/regulations_policies/                         *    *    *   *     *
                                                 Distribution, or Use (May 18, 2001). The                  rulemaking/sbre_act/.
                                                 agency has determined that it is not a                                                                              PART 11—GENERAL RULEMAKING
                                                                                                           List of Subjects
                                                 ‘‘significant energy action’’ under the                                                                             PROCEDURES
                                                 executive order and it is not likely to                   14 CFR Part 1
                                                 have a significant adverse effect on the                    Air transportation.                                     ■ 4. The authority citation for part 11
                                                 supply, distribution, or use of energy.                                                                             continues to read as follows:
                                                                                                           14 CFR Part 11
                                                 VII. How To Obtain Additional                                                                                         Authority: 49 U.S.C. 106(f), 106(g), 40101,
                                                 Information                                                 Reporting and recordkeeping                             40103, 40105, 40109, 40113, 44110, 44502,
                                                                                                           requirements.                                             44701–44702, 44711, and 46102.
                                                 A. Rulemaking Documents
                                                                                                           14 CFR Part 121                                           ■ 5. In § 11.201, amend the table in
                                                   An electronic copy of a rulemaking                        Air carriers, Aircraft, Aviation safety,                paragraph (b) by revising the entry for
                                                 document may be obtained by using the                     Charter flights, Safety, Transportation.                  part 121 to read as follows:
                                                 Internet —
                                                   1. Search the Federal eRulemaking                       14 CFR Part 125                                           § 11.201 Office of Management and Budget
                                                 Portal (http://www.regulations.gov);                                                                                (OMB) control numbers assigned under the
                                                                                                             Aircraft, Aviation safety.
                                                   2. Visit the FAA’s Regulations and                                                                                Paperwork Reduction Act.
                                                 Policies Web page at http://                              14 CFR Part 135                                           *       *    *         *      *
                                                 www.faa.gov/regulations_policies/ or                        Air taxis, Aircraft, Aviation safety.                       (b) * * *

                                                                14 CFR part or section identified and described                                                     Current OMB control No.
mstockstill on DSK3G9T082PROD with RULES3




                                                          *                                *                                 *                                *                 *                 *                 *
                                                 Part 121 .................................................................................................... 2120–0008, 2120–0028, 2120–0535, 2120–0571, 2120–0600, 2120–
                                                                                                                                                                 0606, 2120–0614, 2120–0616, 2120–0631, 2120–0651, 2120–0653,
                                                                                                                                                                 2120–0691, 2120–0739, 2120–0760, 2120–0766.

                                                            *                       *                        *                        *                        *                        *                       *



                                            VerDate Sep<11>2014    18:14 May 23, 2016   Jkt 238001   PO 00000    Frm 00021   Fmt 4701     Sfmt 4700   E:\FR\FM\24MYR3.SGM      24MYR3


                                                 33118              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 PART 121—OPERATING                                      equipment carried in accordance with                     (R) Respironics EverGo;
                                                 REQUIREMENTS: DOMESTIC, FLAG,                           paragraph (a) of this section or a                       (S) Respironics SimplyGo;
                                                 AND SUPPLEMENTAL OPERATIONS                             portable oxygen concentrator carried                     (T) SeQual Eclipse;
                                                                                                         and operated in accordance with                          (U) SeQual eQuinox Oxygen System
                                                 ■ 6. The authority citation for part 121                paragraph (e) of this section.                        (model 4000);
                                                 continues to read as follows:                           *       *     *    *     *                               (V) SeQual Oxywell Oxygen System
                                                   Authority: 49 U.S.C. 106(f), 106(g), 40103,              (e) Portable oxygen concentrators—(1)              (model 4000);
                                                 40113, 40119, 41706, 42301 preceding note               Acceptance criteria. A passenger may                     (W) SeQual SAROS; and
                                                 added by Public Law 112–95, sec. 412, 126               carry or operate a portable oxygen                       (X) VBox Trooper Oxygen
                                                 Stat. 89, 44101, 44701–44702, 44705, 44709–             concentrator for personal use on board                Concentrator.
                                                 44711, 44713, 44716–44717, 44722, 44729,
                                                                                                         an aircraft and a certificate holder may                 (2) Operating requirements. Portable
                                                 44732, 46105; Public Law 111–216, 124 Stat.
                                                 2348 (49 U.S.C. 44701 note); Public Law 112–            allow a passenger to carry or operate a               oxygen concentrators that satisfy the
                                                 95, 126 Stat. 62 (49 U.S.C. 44732 note).                portable oxygen concentrator on board                 acceptance criteria identified in
                                                                                                         an aircraft operated under this part                  paragraph (e)(1) of this section may be
                                                 Special Federal Aviation Regulation                     during all phases of flight if the portable           carried or operated by a passenger on an
                                                 No. 106 [Removed]                                       oxygen concentrator satisfies all of the              aircraft provided the aircraft operator
                                                 ■  7. Remove Special Federal Aviation                   requirements in this paragraph (e):                   ensures that all of the conditions in this
                                                 Regulation No. 106.                                        (i) Is legally marketed in the United              paragraph (e)(2) are satisfied:
                                                                                                         States in accordance with Food and                       (i) Exit seats. No person operating a
                                                 ■ 8. Amend § 121.306 as follows:
                                                                                                         Drug Administration requirements in                   portable oxygen concentrator is
                                                 ■ a. In paragraph (b)(4), remove ‘‘or’’
                                                                                                         title 21 of the CFR;                                  permitted to occupy an exit seat.
                                                 following the semicolon;
                                                 ■ b. Redesignate paragraph (b)(5) as
                                                                                                            (ii) Does not radiate radio frequency                 (ii) Stowage of device. During
                                                 paragraph (b)(6);                                       emissions that interfere with aircraft                movement on the surface, takeoff and
                                                 ■ c. Add new paragraph (b)(5); and
                                                                                                         systems;                                              landing, the device must be stowed
                                                 ■ d. In paragraph (c), remove the
                                                                                                            (iii) Generates a maximum oxygen                   under the seat in front of the user, or in
                                                 reference ‘‘(b)(5)’’ and add in its place               pressure of less than 200 kPa gauge                   another approved stowage location so
                                                 ‘‘(b)(6)’’.                                             (29.0 psig/43.8 psia) at 20 °C (68 °F);               that it does not block the aisle way or
                                                    The addition reads as follows:                          (iv) Does not contain any hazardous                the entryway to the row. If the device
                                                                                                         materials subject to the Hazardous                    is to be operated by the user, it must be
                                                 § 121.306   Portable electronic devices.                Materials Regulations (49 CFR parts 171               operated only at a seat location that
                                                 *      *    *      *    *                               through 180) except as provided in 49                 does not restrict any passenger’s access
                                                   (b)* * *                                              CFR 175.10 for batteries used to power                to, or use of, any required emergency or
                                                   (5) Portable oxygen concentrators that                portable electronic devices and that do               regular exit, or the aisle(s) in the
                                                 comply with the requirements in                         not require aircraft operator approval;               passenger compartment.
                                                 § 121.574; or                                           and
                                                                                                            (v) Bears a label on the exterior of the           PART 125—CERTIFICATION AND
                                                 *      *    *      *    *
                                                                                                         device applied in a manner that ensures               OPERATIONS: AIRPLANES HAVING A
                                                 ■ 9. Amend § 121.574 as follows:
                                                                                                         the label will remain affixed for the life            SEATING CAPACITY OF 20 OR MORE
                                                 ■ a. Revise the section heading;
                                                                                                         of the device and containing the                      PASSENGERS OR A MAXIMUM
                                                 ■ b. Revise paragraph (a) introductory
                                                                                                         following certification statement in red              PAYLOAD CAPACITY OF 6,000
                                                 text;                                                                                                         POUNDS OR MORE; AND RULES
                                                 ■ c. In paragraph (a)(3), remove the
                                                                                                         lettering: ‘‘The manufacturer of this POC
                                                                                                         has determined this device conforms to                GOVERNING PERSONS ON BOARD
                                                 reference ‘‘49 CFR 173.300(a)’’ and add
                                                                                                         all applicable FAA acceptance criteria                SUCH AIRCRAFT
                                                 in its place ‘‘49 CFR 173.115(b)’’;
                                                 ■ d. Revise paragraph (b); and                          for POC carriage and use on board
                                                                                                         aircraft.’’ The label requirements in this            ■ 10. The authority citation for part 125
                                                 ■ e. Add paragraph (e).                                                                                       continues to read as follows:
                                                   The revisions and addition read as                    paragraph (e)(1)(v) do not apply to the
                                                 follows:                                                following portable oxygen concentrators                 Authority: 49 U.S.C. 106(f), 106(g), 40113,
                                                                                                         approved by the FAA for use on board                  44701–44702, 44705, 44710–44711, 44713,
                                                 § 121.574 Oxygen and portable oxygen                    aircraft prior to May 24, 2016:                       44716–44717, 44722.
                                                 concentrators for medical use by                           (A) AirSep Focus;
                                                 passengers.
                                                                                                                                                               Special Federal Aviation Regulation
                                                                                                            (B) AirSep FreeStyle;                              No. 106 [Removed]
                                                   (a) A certificate holder may allow a                     (C) AirSep FreeStyle 5;
                                                 passenger to carry and operate                             (D) AirSep LifeStyle;                              ■  11. Remove Special Federal Aviation
                                                 equipment for the storage, generation, or                  (E) Delphi RS–00400;                               Regulation No. 106.
                                                 dispensing of oxygen when all of the                       (F) DeVilbiss Healthcare iGo;                      ■ 12. Amend § 125.204 as follows:
                                                 conditions in paragraphs (a) through (d)                   (G) Inogen One;                                    ■ a. In paragraph (b)(4), remove ‘‘or’’
                                                 of this section are satisfied. Beginning                   (H) Inogen One G2;                                 following the semicolon;
                                                 August 22, 2016, a certificate holder                      (I) Inogen One G3;                                 ■ b. Redesignate paragraph (b)(5) as
                                                 may allow a passenger to carry and                         (J) Inova Labs LifeChoice;                         paragraph (b)(6);
                                                 operate a portable oxygen concentrator                     (K) Inova Labs LifeChoice Activox;                 ■ c. Add new paragraph (b)(5); and
                                                 when the conditions in paragraphs (b)                      (L) International Biophysics                       ■ d. In paragraph (c), remove the
mstockstill on DSK3G9T082PROD with RULES3




                                                 and (e) of this section are satisfied.                  LifeChoice;                                           reference ‘‘(b)(5)’’ and add in its place
                                                 *     *     *     *     *                                  (M) Invacare Solo2;                                ‘‘(b)(6)’’.
                                                   (b) No person may smoke or create an                     (N) Invacare XPO2;                                    The addition reads as follows:
                                                 open flame and no certificate holder                       (O) Oxlife Independence Oxygen
                                                 may allow any person to smoke or                        Concentrator;                                         § 125.204   Portable electronic devices.
                                                 create an open flame within 10 feet of                     (P) Oxus RS–00400;                                 *       *    *    *      *
                                                 oxygen storage and dispensing                              (Q) Precision Medical EasyPulse;                       (b) * * *


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00022   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                    Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                              33119

                                                   (5) Portable oxygen concentrators that                   (ii) Does not radiate radio frequency              landing, the device must be stowed
                                                 comply with the requirements in                         emissions that interfere with aircraft                under the seat in front of the user, or in
                                                 § 125.219; or                                           systems;                                              another approved stowage location so
                                                 *      *    *      *    *                                  (iii) Generates a maximum oxygen                   that it does not block the aisle way or
                                                 ■ 13. Amend § 125.219 as follows:
                                                                                                         pressure of less than 200 kPa gauge                   the entryway to the row. If the device
                                                 ■ a. Revise the section heading;
                                                                                                         (29.0 psig/43.8 psia) at 20 °C (68 °F);               is to be operated by the user, it must be
                                                                                                            (iv) Does not contain any hazardous                operated only at a seat location that
                                                 ■ b. Revise paragraph (a) introductory
                                                                                                         materials subject to the Hazardous                    does not restrict any passenger’s access
                                                 text;
                                                 ■ c. In paragraph (a)(1)(iii), after the
                                                                                                         Materials Regulations (49 CFR parts 171               to, or use of, any required emergency or
                                                 semicolon, remove ‘‘and’’;                              through 180) except as provided in 49                 regular exit, or the aisle(s) in the
                                                 ■ d. Redesignate paragraph (a)(1)(iv) as
                                                                                                         CFR 175.10 for batteries used to power                passenger compartment.
                                                 paragraph (a)(1)(v);                                    portable electronic devices and that do
                                                                                                         not require aircraft operator approval;               PART 135—OPERATING
                                                 ■ e. Add new paragraph (a)(1)(iv);
                                                                                                         and                                                   REQUIREMENTS: COMMUTER AND
                                                 ■ f. In paragraph (a)(3), remove the
                                                                                                            (v) Bears a label on the exterior of the           ON DEMAND OPERATIONS AND
                                                 reference ‘‘title 49 CFR 173.300(a)’’ and                                                                     RULES GOVERNING PERSONS ON
                                                                                                         device applied in a manner that ensures
                                                 add in its place ‘‘49 CFR 173.115(b)’’;                                                                       BOARD SUCH AIRCRAFT
                                                                                                         the label will remain affixed for the life
                                                 ■ g. Revise paragraph (b); and
                                                                                                         of the device and containing the
                                                 ■ h. Add paragraph (f).                                                                                       ■ 14. The authority citation for part 135
                                                   The revisions and additions read as                   following certification statement in red
                                                                                                         lettering: ‘‘The manufacturer of this POC             continues to read as follows:
                                                 follows:
                                                                                                         has determined this device conforms to                  Authority: 49 U.S.C. 106(f), 106(g), 41706,
                                                 § 125.219 Oxygen and portable oxygen                    all applicable FAA acceptance criteria                40113, 44701–44702, 44705, 44709, 44711–
                                                 concentrators for medical use by                        for POC carriage and use on board                     44713, 44715–44717, 44722, 44730, 45101–
                                                 passengers.                                                                                                   45105; Public Law 112–95, 126 Stat. 58 (49
                                                                                                         aircraft.’’ The label requirements in this
                                                                                                                                                               U.S.C. 44730).
                                                    (a) Except as provided in paragraphs                 paragraph (f)(1)(v) do not apply to the
                                                 (d) and (f) of this section, no certificate             following portable oxygen concentrators               Special Federal Aviation Regulation
                                                 holder may allow the carriage or                        approved by the FAA for use on board                  No. 106 [Removed]
                                                 operation of equipment for the storage,                 aircraft prior to May 24, 2016:
                                                                                                                                                               ■ 15. Remove Special Federal Aviation
                                                 generation or dispensing of medical                        (A) AirSep Focus;
                                                                                                            (B) AirSep FreeStyle;                              Regulation No. 106.
                                                 oxygen unless the conditions in
                                                                                                            (C) AirSep FreeStyle 5;                            ■ 16. Amend § 135.91 as follows:
                                                 paragraphs (a) through (c) of this section
                                                                                                            (D) AirSep LifeStyle;                              ■ a. Revise the section heading and
                                                 are satisfied. Beginning August 22,
                                                                                                            (E) Delphi RS–00400;                               paragraph (a) introductory text;
                                                 2016, a certificate holder may allow a                                                                        ■ b. In paragraph (a)(1)(iii), after the
                                                 passenger to carry and operate a                           (F) DeVilbiss Healthcare iGo;
                                                                                                            (G) Inogen One;                                    semicolon, remove ‘‘and’’;
                                                 portable oxygen concentrator when the                                                                         ■ c. Redesignate paragraph (a)(1)(iv) as
                                                                                                            (H) Inogen One G2;
                                                 conditions in paragraphs (b) and (f) of                    (I) Inogen One G3;                                 paragraph (a)(1)(v);
                                                 this section are satisfied.                                (J) Inova Labs LifeChoice;                         ■ d. Add new paragraph (a)(1)(iv);
                                                    (1) * * *                                               (K) Inova Labs LifeChoice Activox;                 ■ e. In paragraph (a)(3), remove the
                                                    (iv) Constructed so that all valves,                    (L) International Biophysics                       reference ‘‘title 49 CFR 173.300(a)’’ and
                                                 fittings, and gauges are protected from                 LifeChoice;                                           add in its place ‘‘49 CFR 173.115(b)’’;
                                                 damage during that carriage or                             (M) Invacare Solo2;                                ■ f. Revise paragraph (b); and
                                                 operation; and                                             (N) Invacare XPO2;                                 ■ g. Add paragraph (f).
                                                 *       *     *    *     *                                 (O) Oxlife Independence Oxygen                       The revisions and additions read as
                                                    (b) No person may smoke or create an                 Concentrator;                                         follows:
                                                 open flame and no certificate holder                       (P) Oxus RS–00400;
                                                                                                                                                               § 135.91 Oxygen and portable oxygen
                                                 may allow any person to smoke or                           (Q) Precision Medical EasyPulse;
                                                                                                                                                               concentrators for medical use by
                                                 create an open flame within 10 feet of                     (R) Respironics EverGo;                            passengers.
                                                 oxygen storage and dispensing                              (S) Respironics SimplyGo;
                                                                                                            (T) SeQual Eclipse;                                   (a) Except as provided in paragraphs
                                                 equipment carried under paragraph (a)                                                                         (d) and (e) of this section, no certificate
                                                                                                            (U) SeQual eQuinox Oxygen System
                                                 of this section or a portable oxygen                                                                          holder may allow the carriage or
                                                                                                         (model 4000);
                                                 concentrator carried and operated under                                                                       operation of equipment for the storage,
                                                                                                            (V) SeQual Oxywell Oxygen System
                                                 paragraph (f) of this section.                                                                                generation or dispensing of medical
                                                                                                         (model 4000);
                                                 *       *     *    *     *                                 (W) SeQual SAROS; and                              oxygen unless the conditions in
                                                    (f) Portable oxygen concentrators—(1)                   (X) VBox Trooper Oxygen                            paragraphs (a) through (c) of this section
                                                 Acceptance criteria. A passenger may                    Concentrator.                                         are satisfied. Beginning August 22,
                                                 carry or operate a portable oxygen                         (2) Operating requirements. Portable               2016, a certificate holder may allow a
                                                 concentrator for personal use on board                  oxygen concentrators that satisfy the                 passenger to carry and operate a
                                                 an aircraft and a certificate holder may                acceptance criteria identified in                     portable oxygen concentrator when the
                                                 allow a passenger to carry or operate a                 paragraph (f)(1) of this section may be               conditions in paragraphs (b) and (f) of
                                                 portable oxygen concentrator on board                   carried or used by a passenger on an                  this section are satisfied.
                                                 an aircraft operated under this part                    aircraft provided the aircraft operator                  (1) * * *
mstockstill on DSK3G9T082PROD with RULES3




                                                 during all phases of flight if the portable             ensures that all of the conditions in this               (iv) Constructed so that all valves,
                                                 oxygen concentrator satisfies all of the                paragraph (f)(2) are satisfied:                       fittings, and gauges are protected from
                                                 requirements in this paragraph (f):                        (i) Exit seats. No person operating a              damage during carriage or operation;
                                                    (i) Is legally marketed in the United                portable oxygen concentrator is                       and
                                                 States in accordance with Food and                      permitted to occupy an exit seat.                     *      *    *     *      *
                                                 Drug Administration requirements in                        (ii) Stowage of device. During                        (b) No person may smoke or create an
                                                 title 21 of the CFR;                                    movement on the surface, takeoff and                  open flame and no certificate holder


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00023   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33120              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                 may allow any person to smoke or                           (P) Oxus RS–00400;                                 § 382.27 May a carrier require a passenger
                                                 create an open flame within 10 feet of                     (Q) Precision Medical EasyPulse;                   with a disability to provide advance notice
                                                 oxygen storage and dispensing                              (R) Respironics EverGo;                            in order to obtain certain specific services
                                                 equipment carried under paragraph (a)                                                                         in connection with a flight?
                                                                                                            (S) Respironics SimplyGo;
                                                 of this section or a portable oxygen                       (T) SeQual Eclipse;                                  (a) Except as provided in paragraph
                                                 concentrator carried and operated under                    (U) SeQual eQuinox Oxygen System                   (b) of this section and § 382.133(e)(4)
                                                 paragraph (f) of this section.                          (model 4000);                                         and (5) and (f)(5) and (6), as a carrier
                                                 *       *     *    *     *                                                                                    you must not require a passenger with
                                                                                                            (V) SeQual Oxywell Oxygen System
                                                    (f) Portable oxygen concentrators—(1)                                                                      a disability to provide advance notice in
                                                                                                         (model 4000);
                                                 Acceptance criteria. A passenger may                                                                          order to obtain services or
                                                                                                            (W) SeQual SAROS; and
                                                 carry or operate a portable oxygen                                                                            accommodations required by this part.
                                                                                                            (X) VBox Trooper Oxygen
                                                 concentrator for personal use on board                  Concentrator.                                         *      *     *    *     *
                                                 an aircraft and a certificate holder may                   (2) Operating requirements. Portable               ■ 20. Revise § 382.133 to read as
                                                 allow a passenger to carry or operate a                 oxygen concentrators that satisfy the                 follows:
                                                 portable oxygen concentrator on board                   acceptance criteria identified in                     § 382.133 What are the requirements
                                                 an aircraft operated under this part                    paragraph (f)(1) of this section may be               concerning the evaluation and use of
                                                 during all phases of flight if the portable             carried on or operated by a passenger on              passenger-supplied electronic devices that
                                                 oxygen concentrator satisfies all of the                board an aircraft provided the aircraft               assist passengers with respiration in the
                                                 requirements of this paragraph (f):                     operator ensures that all of the                      cabin during flight?
                                                    (i) Is legally marketed in the United                conditions in this paragraph (f)(2) are                  (a) Except for on-demand air taxi
                                                 States in accordance with Food and                      satisfied:                                            operators, as a U.S. carrier conducting
                                                 Drug Administration requirements in                        (i) Exit seats. No person operating a              passenger service you must permit any
                                                 title 21 of the CFR;                                    portable oxygen concentrator is                       individual with a disability to use in the
                                                    (ii) Does not radiate radio frequency                permitted to occupy an exit seat.                     passenger cabin during air
                                                 emissions that interfere with aircraft                     (ii) Stowage of device. During                     transportation an electronic assistive
                                                 systems;                                                movement on the surface, takeoff and                  device specified in paragraph (c) of this
                                                    (iii) Generates a maximum oxygen                     landing, the device must be stowed                    section on all aircraft originally
                                                 pressure of less than 200 kPa gauge                     under the seat in front of the user, or in            designed to have a maximum passenger
                                                 (29.0 psig/43.8 psia) at 20 °C (68 °F);                 another approved stowage location so                  capacity of more than 19 seats unless:
                                                    (iv) Does not contain any hazardous                  that it does not block the aisle way or                  (1) The device does not meet
                                                 materials subject to the Hazardous                      the entryway to the row. If the device                applicable FAA requirements for
                                                 Materials Regulations (49 CFR parts 171                 is to be operated by the user, it must be             medical portable electronic device; or
                                                 through 180) except as provided in 49                   operated only at a seat location that                    (2) The device cannot be stowed and
                                                 CFR 175.10 for batteries used to power                  does not restrict any passenger’s access              used in the passenger cabin consistent
                                                 portable electronic devices and that do                 to, or use of, any required emergency or              with applicable TSA, FAA, and PHMSA
                                                 not require aircraft operator approval;                 regular exit, or the aisle(s) in the                  regulations.
                                                 and                                                     passenger compartment.                                   (b) Except for foreign carriers
                                                    (v) Bears a label on the exterior of the             ■ 17. Amend § 135.144 as follows:                     conducting operations of a nature
                                                 device applied in a manner that ensures                 ■ a. In paragraph (a) introductory text,              equivalent to on-demand air taxi
                                                 the label will remain affixed for the life              remove ‘‘of the following’’;                          operations by a U.S. carrier, as a foreign
                                                 of the device and containing the                                                                              carrier conducting passenger service
                                                                                                         ■ b. In paragraph (b)(4), remove ‘‘or’’
                                                 following certification statement in red                                                                      you must permit any individual with a
                                                                                                         following the semicolon;
                                                 lettering: ‘‘The manufacturer of this POC                                                                     disability to use in the passenger cabin
                                                                                                         ■ c. Redesignate paragraph (b)(5) as
                                                 has determined this device conforms to                                                                        during air transportation to, from or
                                                                                                         paragraph (b)(6);
                                                 all applicable FAA acceptance criteria                                                                        within the United States, an electronic
                                                                                                         ■ d. Add new paragraph (b)(5); and
                                                 for POC carriage and use on board                                                                             assistive device specified in paragraph
                                                                                                         ■ e. In paragraph (c), remove the
                                                 aircraft.’’ The label requirements in this                                                                    (d) of this section on all aircraft
                                                 paragraph (f)(1)(v) do not apply to the                 reference ‘‘(b)(5)’’ and add in its place
                                                                                                         ‘‘(b)(6)’’.                                           originally designed to have a maximum
                                                 following portable oxygen concentrators                                                                       passenger capacity of more than 19 seats
                                                 approved by the FAA for use on board                       The addition reads as follows:
                                                                                                                                                               unless:
                                                 aircraft prior to May 24, 2016:                         § 135.144    Portable electronic devices.                (1) The device does not meet
                                                    (A) AirSep Focus;                                    *     *    *     *    *                               requirements for medical portable
                                                    (B) AirSep FreeStyle;                                  (b) * * *                                           electronic devices set by the foreign
                                                    (C) AirSep FreeStyle 5;                                (5) Portable oxygen concentrators that              carrier’s government if such
                                                    (D) AirSep LifeStyle;                                comply with the requirements in                       requirements exist;
                                                    (E) Delphi RS–00400;                                 § 135.91; or                                             (2) The device does not meet
                                                    (F) DeVilbiss Healthcare iGo;                                                                              requirements for medical portable
                                                    (G) Inogen One;                                      *     *    *     *    *                               electronic devices set by the FAA for
                                                    (H) Inogen One G2;                                   PART 382—NONDISCRIMINATION ON                         U.S. carriers in circumstances where
                                                    (I) Inogen One G3;                                   THE BASIS OF DISABILITY IN AIR                        requirements for medical portable
                                                    (J) Inova Labs LifeChoice;                                                                                 electronic devices have not been set by
mstockstill on DSK3G9T082PROD with RULES3




                                                                                                         TRAVEL
                                                    (K) Inova Labs LifeChoice Activox;                                                                         the foreign carrier’s government and the
                                                    (L) International Biophysics                         ■ 18. The authority citation for part 382             foreign carrier elects to apply FAA
                                                 LifeChoice;                                             continues to read as follows:                         requirements for medical portable
                                                    (M) Invacare Solo2;                                                                                        electronic devices; or
                                                                                                             Authority: 49 U.S.C. 41705.
                                                    (N) Invacare XPO2;                                                                                            (3) The device cannot be stowed and
                                                    (O) Oxlife Independence Oxygen                       ■ 19. In § 382.27, revise paragraph (a) to            used in the passenger cabin consistent
                                                 Concentrator;                                           read as follows:                                      with applicable TSA, FAA and PHMSA


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00024   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                                    Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations                                          33121

                                                 regulations, and the safety or security                    (xi) Inova Labs LifeChoice Activox;                operating carrier at the airport a
                                                 regulations of the foreign carrier’s                       (xii) International Biophysics                     physician’s statement (medical
                                                 government.                                             LifeChoice;                                           certificate).
                                                    (c) Except as provided in paragraph                     (xiii) Invacare Solo2;                                (f) As a foreign carrier operating
                                                 (a) of this section, as a covered U.S. air                 (xiv) Invacare XPO2;                               flights to, from or within the United
                                                 carrier, you must accept the passenger                     (xv) Oxlife Independence Oxygen                    States, you must provide the
                                                 supplied electronic assistive device in                 Concentrator;                                         information during the reservation
                                                 this paragraph (c):                                        (xvi) Oxus RS–00400;                               process as indicated in paragraphs (f)(1)
                                                    (1) A portable oxygen concentrator                      (xvii) Precision Medical EasyPulse;                through (7) of this section upon inquiry
                                                 (POC), a ventilator, a respirator or a                     (xviii) Respironics EverGo;                        from an individual concerning the use
                                                 continuous positive airway pressure                        (xix) Respironics SimplyGo;                        in the cabin during air transportation on
                                                 machine that displays a manufacturer’s                     (xx) SeQual Eclipse;                               such a flight of a ventilator, respirator,
                                                 label that indicates the device meets                      (xxi) SeQual eQuinox Oxygen System                 continuous positive airway machine, or
                                                 FAA requirements; and                                   (model 4000);                                         POC. The information in this paragraph
                                                    (2) The following POC models                            (xxii) SeQual Oxywell Oxygen System                (f) must be provided:
                                                 whether or not they are labeled:                        (model 4000);                                            (1) Any applicable requirement for a
                                                    (i) AirSep Focus;                                       (xxiii) SeQual SAROS; and                          manufacturer-affixed label to reflect that
                                                    (ii) AirSep FreeStyle;                                  (xxiv) VBox Trooper Oxygen                         the device has been tested to meet
                                                    (iii) AirSep FreeStyle 5;                            Concentrator.                                         requirements for medical portable
                                                    (iv) AirSep LifeStyle;                                  (e) As a U.S. carrier, you must provide            electronic devices set by the foreign
                                                    (v) Delphi RS–00400;                                 information during the reservation                    carrier’s government if such
                                                    (vi) DeVilbiss Healthcare iGo;                       process as indicated in paragraphs (e)(1)             requirements exist;
                                                    (vii) Inogen One;                                    through (6) of this section upon inquiry                 (2) Any applicable requirement for a
                                                    (viii) Inogen One G2;                                from an individual concerning the use                 manufacturer-affixed label to reflect that
                                                    (ix) Inogen One G3;                                  in the cabin during air transportation of             the device has been tested to meet
                                                    (x) Inova Labs LifeChoice;                           a ventilator, respirator, continuous                  requirements for medical portable
                                                    (xi) Inova Labs LifeChoice Activox;                  positive airway machine, or a POC. The                electronic devices set by the FAA for
                                                    (xii) International Biophysics                       information in this paragraph (e) must                U.S. carriers if requirements for medical
                                                 LifeChoice;                                             be provided:                                          portable electronic devices have not
                                                    (xiii) Invacare Solo2;                                  (1) Any applicable requirement for a               been set by the foreign carrier’s
                                                    (xiv) Invacare XPO2;                                 manufacturer-affixed label to reflect that            government and the foreign carrier
                                                    (xv) Oxlife Independence Oxygen                      the device has been tested to meet                    elects to apply FAA requirements for
                                                 Concentrator;                                           applicable FAA requirements for                       medical portable electronic devices;
                                                    (xvi) Oxus RS–00400;                                 medical portable electronic devices;                     (3) The maximum weight and
                                                    (xvii) Precision Medical EasyPulse;                     (2) The maximum weight and                         dimensions (length, width, height) of
                                                    (xviii) Respironics EverGo;                          dimensions (length, width, height) of                 the device to be used by an individual
                                                    (xix) Respironics SimplyGo;                          the device to be used by an individual                that can be accommodated in the
                                                    (xx) SeQual Eclipse;                                 that can be accommodated in the                       aircraft cabin consistent with the safety
                                                    (xxi) SeQual eQuinox Oxygen System                   aircraft cabin consistent with FAA                    regulations of the foreign carrier’s
                                                 (model 4000);                                           safety requirements;                                  government;
                                                    (xxii) SeQual Oxywell Oxygen System                     (3) The requirement to bring an                       (4) The requirement to bring an
                                                 (model 4000);                                           adequate number of batteries as outlined              adequate number of batteries as outlined
                                                    (xxiii) SeQual SAROS; and                            in paragraph (h)(2) of this section and to            in paragraph (h)(2) of this section and to
                                                    (xxiv) VBox Trooper Oxygen                           ensure that extra batteries carried                   ensure that extra batteries carried
                                                 Concentrator.                                           onboard to power the device are                       onboard to power the device are
                                                    (d) Except as provided in paragraph                  packaged and protected from short                     packaged in accordance with applicable
                                                 (b) of this section, as a covered foreign               circuit and physical damage in                        government safety regulations;
                                                 air carrier, you must accept the supplied               accordance with applicable PHMSA                         (5) Any requirement, if applicable,
                                                 electronic assistive devices in this                    regulations regarding spare batteries                 that an individual contact the carrier
                                                 paragraph (d):                                          carried by passengers in an aircraft                  operating the flight 48 hours before
                                                    (1) A POC, a ventilator, a respirator or             cabin;                                                scheduled departure to learn the
                                                 a continuous positive airway pressure                      (4) Any requirement, if applicable,                expected maximum duration of his/her
                                                 machine that displays a manufacturer’s                  that an individual contact the carrier                flight in order to determine the required
                                                 label according to FAA requirements in                  operating the flight 48 hours before                  number of batteries for his/her
                                                 circumstances where requirements for                    scheduled departure to learn the                      particular ventilator, respirator,
                                                 labeling these devices have not been set                expected maximum duration of his/her                  continuous positive airway pressure
                                                 by the foreign carrier’s government; and                flight in order to determine the required             machine, or POC;
                                                    (2) The following POC models                         number of batteries for his/her                          (6) Any requirement, if applicable, of
                                                 whether or not they are labeled:                        particular ventilator, respirator,                    the carrier operating the flight for an
                                                    (i) AirSep Focus;                                    continuous positive airway pressure                   individual planning to use such a
                                                    (ii) AirSep FreeStyle;                               machine, or POC;                                      device to check-in up to one hour before
                                                    (iii) AirSep FreeStyle 5;                               (5) Any requirement, if applicable, of             that carrier’s general check-in deadline;
mstockstill on DSK3G9T082PROD with RULES3




                                                    (iv) AirSep LifeStyle;                               the carrier operating the flight for an               and
                                                    (v) Delphi RS–00400;                                 individual planning to use such a                        (7) Any requirement, if applicable,
                                                    (vi) DeVilbiss Healthcare iGo;                       device to check-in up to one hour before              that an individual who wishes to use a
                                                    (vii) Inogen One;                                    that carrier’s general check-in deadline;             POC onboard an aircraft present to the
                                                    (viii) Inogen One G2;                                and                                                   operating carrier at the airport a
                                                    (ix) Inogen One G3;                                     (6) For POCs, the requirement of                   physician’s statement (medical
                                                    (x) Inova Labs LifeChoice;                           § 382.23(b)(1)(ii) to present to the                  certificate).


                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00025   Fmt 4701   Sfmt 4700   E:\FR\FM\24MYR3.SGM   24MYR3


                                                 33122              Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations

                                                    (g) In the case of a codeshare itinerary,            the scheduled departure date of his/her               accordance with § 382.19(c) and in that
                                                 the carrier whose code is used on the                   flight, whichever date is earlier, of the             event you must provide a written
                                                 flight must either inform the individual                expected maximum flight duration of                   explanation to the individual in
                                                 inquiring about using a ventilator,                     each segment of his/her flight itinerary.             accordance with § 382.19(d).
                                                 respirator, CPAP machine or POC                            (2) You may require an individual to                 Issued under authority provided by 49
                                                 onboard an aircraft to contact the carrier              bring an adequate number of fully                     U.S.C. 106(f) and 44701(a), and authority
                                                 operating the flight for information                    charged batteries onboard, based on the               provided by 49 U.S.C. 41705, delegated at 49
                                                 about its requirements for use of such                  battery manufacturer’s estimate of the                CFR 1.27, in Washington, DC, on May 11,
                                                 devices in the cabin, or provide such                   hours of battery life while the device is             2016.
                                                 information on behalf of the codeshare                  in use and the information provided in                Kathryn B. Thomson,
                                                 carrier operating the flight.                           the physician’s statement, to power the               General Counsel, Department of
                                                    (h)(1) As a U.S. or foreign carrier                  device for not less than 150% of the                  Transportation.
                                                 subject to paragraph (a) or (b) of this                 expected maximum flight duration.
                                                 section, you must inform any individual                    (3) If an individual does not comply               Michael P. Huerta,
                                                 who has advised you that he or she                      with the conditions for acceptance of a               Administrator, Federal Aviation
                                                 plans to operate his/her device in the                  medical portable electronic device as                 Administration.
                                                 aircraft cabin, within 48 hours of his/her              outlined in this section, you may deny                [FR Doc. 2016–11918 Filed 5–23–16; 8:45 am]
                                                 making a reservation or 24 hours before                 boarding to the individual in                         BILLING CODE 4910–13–P
mstockstill on DSK3G9T082PROD with RULES3




                                            VerDate Sep<11>2014   18:14 May 23, 2016   Jkt 238001   PO 00000   Frm 00026   Fmt 4701   Sfmt 9990   E:\FR\FM\24MYR3.SGM   24MYR3



Document Created: 2016-05-24 05:21:49
Document Modified: 2016-05-24 05:21:49
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule.
DatesThe amendments to 14 CFR 1.1, 1.2, 121.574, 125.219, and 135.91 are effective June 23, 2016. The amendments to 14 CFR 11.201, 121.306, 125.204, 135.144, 382,27, and 382.133, and the removal of Special Federal Aviation Regulation No. 106 are effective August 22, 2016.
ContactFor technical questions concerning this action, contact DK Deaderick, 121 Air Carrier Operations Branch, Air Transportation Division, Flight Standards Service, Federal Aviation Administration, AFS-220, 800 Independence Avenue SW., Washington, DC 20591; telephone (202) 267-7480; email [email protected] For questions regarding the Department's disability regulation (14 CFR part 382), contact Clereece Kroha, Senior Attorney, Office of Aviation Enforcement and Proceedings, Department of Transportation, 1200 New Jersey Avenue SE., Washington, DC 20590; telephone (202) 366-9041; email [email protected]
FR Citation81 FR 33097 
RIN Number2120-AK32
CFR Citation14 CFR 11
14 CFR 121
14 CFR 125
14 CFR 135
14 CFR 1
14 CFR 382
CFR AssociatedAir Transportation; Reporting and Recordkeeping Requirements; Air Carriers; Aircraft; Aviation Safety; Charter Flights; Safety; Transportation; Air Taxis; Air Carriers; Consumer Protection and Individuals with Disabilities

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR