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US RightsApril 22, 20267 min read

CPAP and Medical Device Handling on Flights

CPAP machines, oxygen concentrators, infusion pumps, and other medical devices travel free under ACAA rules and do not count against carry-on limits. Here is the 2026 handling playbook by device type, airline, and jurisdiction.

ACAA and FAA Baseline

CPAP medical device flight handling is governed by 14 CFR Part 382 (ACAA) plus FAA PED approval rules. Under 382.121, airlines must permit passengers to stow and use assistive devices including CPAP, POC (portable oxygen concentrator), infusion pumps, and mobility devices without counting them as carry-on baggage.

Medical devices do not count against your carry-on limit. Airlines frequently charge or refuse at the gate. Know 14 CFR 382.121 and cite it if challenged.

What Counts as a Covered Medical Device

  • CPAP / APAP / BiPAP machines: continuous positive airway pressure therapy.

  • Portable Oxygen Concentrators (POCs): FAA-approved models only.

  • Infusion pumps: insulin, pain management, chemotherapy.

  • Nebulizers: asthma, COPD.

  • Ventilators: FAA PED approved.

  • Respiratory assist devices: RAD, AVAPS.

  • Dialysis machines: portable units.

  • Hearing aids and processors: batteries and spares.

FAA PED Approval for POCs

Portable Oxygen Concentrators must be FAA PED-approved. The FAA maintains a list of roughly 24 approved models. Bringing an unapproved POC onboard is grounds for denied boarding. Verify at the FAA POC list.

  • Inogen One G3, G4, G5: approved.

  • Philips Respironics SimplyGo, SimplyGo Mini: approved.

  • ResMed AirSense series: CPAP-approved as assistive device.

  • Invacare XPO2: approved.

  • SeQual Eclipse 5: approved.

Battery Rules

  • Carry spare lithium batteries in carry-on only: checked baggage prohibited.

  • Each battery under 100 Wh: no quantity limit with airline approval.

  • 100 to 160 Wh: airline approval required, limit of 2 spares.

  • Over 160 Wh: prohibited on passenger aircraft.

  • Each battery must be individually protected: terminals taped, bag isolated.

  • Bring 150 percent of estimated flight duration power: FAA guidance for POC.

Most CPAP and POC batteries are under 100 Wh. A typical Inogen G5 battery is 93 Wh, Philips SimplyGo is 44 Wh. Confirm your exact battery wattage from the device label.

Advance Notice Requirements

Under 14 CFR 382.133, airlines may require up to 48 hours advance notice for specific services, including onboard POC use, medical oxygen, and in-flight electrical power. CPAPs used during overnight flights typically require notice so the crew can confirm outlet availability.

  • Delta, United, American: 48-hour notice for POC use.

  • Alaska, JetBlue, Southwest: 48-hour notice; same-day accommodation possible.

  • British Airways, Lufthansa, Air France: 48-hour notice via medical assistance form.

  • Emirates, Singapore: 72-hour notice; medical clearance form required.

Onboard Power Access

Most narrowbody aircraft built after 2010 have AC or USB power in economy. But power access for medical devices on overnight flights is not guaranteed. Bring 150 percent of flight duration in battery capacity as primary, with the outlet as backup.

See mobility assistance delayed compensation path, service animal denied boarding ACAA path, and traveling with insulin and needles airline rules.

If the Device Is Damaged

  1. 1

    Photograph damage at arrival: before leaving the gate if possible.

  2. 2

    File PIR at airport: Property Irregularity Report; keep reference number.

  3. 3

    Request CRO: every airline has a Complaint Resolution Official for ACAA matters.

  4. 4

    File DOT complaint under Disability at secure.dot.gov/air-travel-complaint.

  5. 5

    Demand repair or replacement under 14 CFR 382.131: airlines are liable beyond Montreal Convention caps for mobility device damage (also applies to medical devices).

  6. 6

    Seek medical care: document any health impact for additional claim weight.

Pillar Link and Authority Sources

For the pillar see Disability and Medical Flight Rights. For primary sources see 14 CFR Part 382 (ACAA), FAA PED Approved POCs, and DOT Disability Resources.

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