ANA Sky Assist Assistance for Customers with Disabilities
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For Customers with Medical Requirements
During the flight, air inside the cabin is dry, thinner and at lower pressure than on the ground—like being in the mountains at an elevation of 2,000-2,500 meters. Please click here for more information.
 
Depending on the nature of your ailment, such cabin conditions may affect your health and therefore prevent you from flying. Please consult your physician in advance. Please contact the ANA Sky Assist Desk if any of these medical conditions listed here applies to you.
 

 
* On international code-share flights, each carrier’s services and standards apply. Please check with the code-share partner whether you can fly and, if necessary, whether medical equipment can be brought on board. We regret that ANA does not rent out medical equipment on such flights, including oxygen cylinders.
 

Please note conditions below pertaining to various medical conditions.
Reservations Please inform us of any special needs when making reservations.

You require an escort such as a physician, nurse, or physician-approved family member.
Home-care patients need to indicate on the Medical Information Sheet if they can fly without escort.

Both the Medical Information Sheet and Consent and Release must be submitted. The former must state that no medical condition prevents you from flying.
For details, please click here.
A Consent and Release form signed by you is required for each flight.

 
* If you use a wheelchair, please click here.

Airport
For safety, comfort and convenience, we strongly recommend that those with medical requirements arrive at the airport well in advance of departure time.
Please arrive at the check-in counter at least 60 minutes before departure for domestic flights.

On Board
Please understand that cabin attendants, while trained in First Aid, are not permitted to administer drugs, nor can they tend exclusively to one passenger for the duration of a flight.
Click the applicable for details.
 
 Personal oxygen cylinders
 Oxygen cylinder rentals
 Personal medical equipment
 Continuous ambulatory peritoneal dialysis (CAPD)
 Syringes
 Intravenous [IV] drip
 Pacemakers
 Metal implants in femoral region, etc.
 Ostomate
 Food allergies
 Using CPAP

 
 
* Expectant mothers within 28 days of delivery require the Medical Information Sheet to fly; infants must be at least one week old. For more information please click here.
 

Personal oxygen cylinders
Oxygen cylinders are considered hazardous items and therefore may only be brought on board for medical purposes; a document to that effect from your physician is required. In addition, the person administering the cylinder must be knowledgeable in its use.
 
Your oxygen cylinder must meet the following requirements:
 
 It must be an approved cylinder and labeled ""
 It must be gaseous oxygen for medical purposes, labeled "O2."
 The cylinder must have passed a stress test within the last 3 years (5 years for some cylinders)
 The cylinder must measure no more than 70cm X 10cm and be secured under the seat.
 
Please submit the Oxygen Cylinder Checklist (PDF file).
Adobe Acrobat Reader * To read PDF files, download Adobe Acrobat Reader from here (freeware).


Medical oxygen cylinders must be secured under the seat before you. If there is no seat before you, the cylinder must be secured in an adjacent seat, for which you will be charged.
 
 
* The following cannot be brought aboard:
Portable oxygen cans, oxygen packs for sports, liquid oxygen, chemical oxygen generator
* For U.S. outbound and inbound flights, where regulations prohibit personal oxygen cylinders, inflight rentals are required.
 

Oxygen cylinder rentals
· Reservations must be made 48 hours prior to departure for domestic flights (96 hours for international).
· Rates: 5,000 yen per cylinder for domestic (400 liters); 10,000 yen for international (360 liters). Oxygen flow is 0.25-6.0 liters/minute for both.
· Please consult your physician on how to use an oxygen cylinder, or see here (PDF file).

Adobe Acrobat Reader * To read PDF files, download Adobe Acrobat Reader from here (freeware).


* No rental service is available on flights operated by IBEX Airlines, StarFlyer.

Personal medical equipment
· We must verify that your medical equipment can be used on board. Since this requires time, please inform us as early as possible Use of such equipment requires a medical certificate.
· Please provide full details of your medical equipment (including maker, product name, model number, size, etc.) so that we can check whether any electromagnetic interference (EMI) it produces might affect flight instruments. Some equipment may not be operated during takeoff and landing, or indeed at all, depending on its EMI levels.
· Medical equipment must be secured under the seat before you. If there is no seat before you, it must be secured on an adjacent seat, for which you will be charged.
· Since there are no power facilities on board, please use only battery-operated medical equipment.

* Confirmation that medical equipment can be brought on board is required regardless of whether it will actually be used on board.

Continuous Ambulatory Peritoneal Dialysis (CAPD)
CAPD can be performed on board but requires the appropriate medical certificate. The cabin’s recirculating air makes it a less-than ideal environment for CAPD (from the standpoint of preventing inflammation of the peritoneum), and there is no power supply to warm dialysis solution. Further, CAPD may not be performed depending on turbulence. For these reasons we strongly recommend performing the procedure on the ground before departure. Please consult your physician.

Syringes
Medical syringes for home care use can be carried in the cabin. As you may be asked about the syringes at airport security, we recommend carrying a document explaining the treatment (such as a diabetes notebook). Injection on board of other than insulin requires a medical certificate.
Please do not leave used medical syringes in the cabin, but take them with you and dispose them properly.

Intravenous (IV) drip
Performing an IV drip on board requires a medical certificate and a physician or nurse. A hook to hang the IV sac is available on board — please request in advance.

Pacemakers or metal implants in femoral region, etc.
Though they don’t affect flights, these may trigger screening equipment during security checks. Please inform security staff in advance, presenting a certificate, so that you can undergo a body search rather than have to pass through the metal detector.

Ostomate
These do not affect flights, but since scissors cannot be brought on board, please do all cutting in advance.

Food allergies
ANA can provide two kinds of special in-flight meals for international flights: our "5 allergen-free meal", which does not contain any of the five major allergen ingredients (wheat, buckwheat, dairy products, eggs, and peanuts), and our "25 allergen-free meal", which is free of the five major allergen ingredients listed above as well as 20 others (abalone, squid, salmon roe, shrimp, orange, crab, kiwi fruit, beef, walnut, salmon, mackerel, soybean, poultry, banana, pork, matsutake mushroom, peach, yam, apple, and gelatin).
Please note that special in-flight meals for international flights must be requested in advance. Click here for more information.
While we strive to ensure that none of the specified allergens enter these meals during preparation, we cannot completely prevent the possibility of airborne particles or other minute traces of the allergens entering the meals at some point. We are also unable to prepare allergen-free meals of any sort other than the two kinds listed above. We recommend that passengers sensitive to allergens other than those listed above, or who are otherwise concerned about the meals as described, prepare and bring their own food.

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