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BS EN ISO 80601-2-13:2022 – TC

$280.87

Tracked Changes. Medical electrical equipment – Particular requirements for basic safety and essential performance of an anaesthetic workstation

Published By Publication Date Number of Pages
BSI 2022 304
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This document is applicable to the basic safety and essential performance of an anaesthetic workstation for administering inhalational anaesthesia whilst continuously attended by a professional operator. This document specifies particular requirements for a complete anaesthetic workstation and the following anaesthetic workstation components which, although considered as individual devices in their own right, may be utilized, in conjunction with other relevant anaesthetic workstation components, to form an anaesthetic workstation to a given specification: anaesthetic gas delivery system; anaesthetic breathing system; anaesthetic gas scavenging system (AGSS); anaesthetic vapour delivery system; anaesthetic ventilator; monitoring equipment; alarm system; protection device. NOTE 1        Monitoring equipment, alarm systems and protection devices are summarized in Table AA.1. An anaesthetic workstation supplied complete and its individual components are considered as ME equipment or ME systems with regard to the general standard. NOTE 2        The applicability of this document is indicated in Table AA.2. This document is also applicable to those accessories intended by their manufacturer to be connected to an anaesthetic workstation where the characteristics of those accessories can affect the basic safety and essential performance of the anaesthetic workstation. If a clause or subclause is specifically intended to be applicable to anaesthetic workstation components or its accessories only, the title and content of that clause or subclause will say so. If that is not the case, the clause or subclause applies both to an anaesthetic workstation and its individual components including accessories, as relevant. Hazards inherent in the intended physiological function of an anaesthetic workstation and its individual components including accessories within the scope of this document are not covered by specific requirements in this document except in IEC 60601-1:2005+AMD1:2012+AMD2:2020, 7.2.13 and 8.4.1. NOTE 3        See also IEC 60601-1:2005+AMD1:2012+AMD2:2020, 4.2. This document is not applicable to any anaesthetic workstation intended for use with flammable anaesthetic agents, as determined by Annex BB.

PDF Catalog

PDF Pages PDF Title
188 undefined
191 European foreword
Endorsement notice
195 Foreword
197 Introduction
199 201.1 Scope, object and related standards
201.1. 1 * Scope
200 201.1.2 Object
201.1. 3 Collateral standards
201.1. 4 *Particular standards
201 201.2 Normative references
202 201.3 Terms and definitions
208 201.4 General requirements
201.4. 3 * Essential performance
201.4.4 Additional requirements for expected service life
201.4. 10 Power supply
201.4.10.101* Requirements for pneumatic power input
209 201.5 General requirements for testing ME equipment
201.5.101 Additional general requirements for testing of anaesthetic workstations and anaesthetic workstation components including accessories
201.5.101 Additional general requirements for testing of anaesthetic workstations and anaesthetic workstation components including accessories
201.5.101.1 Test conditions
201.5.101.2 Test equipment
210 201.5.101.3 * Gas flow rate and leakage specifications
Correct all test measurements to STPD or BTPS, as appropriate.
201.5.101.4 Test consideration regarding oxygen
Conformity checks and tests as specified in this document shall be performed using the type(s) of oxygen the anaesthetic workstation has been designed for and as specified by the manufacturer in the instructions for use (see 201.7.9.2.101 ii), i.e.
201.6 Classification of ME equipment or ME systems
201.7 ME equipment identification, marking and documents
201.7.2 Marking on the outside of ME equipment or ME equipment parts
201.7.2.3 * Consult accompanying documents
211 201.7.2.101 Marking with year of manufacture or use-by date
Check conformity by visual inspection.
201.7.2.102 Operator-accessible gas-specific inlet and outlet
201.7.2.103 * Operator-accessible gas power supply outlet
201.7.2.104 Components, parts and accessories containing phthalates
201.7.2.105 Cylinder and pipeline pressure indicators
201.7.2.106 Magnetic resonance environment
212 201.7.4.2 * Control devices
201.7.4.3 * Unit of measure
201.7.9.1 General
213 201.7.9.2.1 General
201.7.9.2.2 * Warnings and safety notices
201.7.9.2.8 * Start-up procedure
201.7.9.2.101 Additional requirements for the instructions for use
214 201.7.9.3 Technical description
215 201.7.9.3.1 General
201.7.9.3.101 Components
201.7.9.3.102 Anaesthetic workstations intended to be mounted to a wall or ceiling pendant
201.8 Protection against electrical hazards from ME equipment
201.8.11.3 Power supply cords
201.8.11.3.101 * Additional requirements for power supply cords
216 201.9 Protection against mechanical hazards of ME equipment and ME systems
201.9.2 Hazards associated with moving parts
201.9.2.1 General
201.9.2.101 Maintenance points
201.9.2.102 * Lighting
201.9.2.103 * Integrated seating
217 201.9.2.104 * Arrangement of control positions
201.9.4 Instability hazards
201.9.4.2.4.3 Movement over a threshold
201.10 Protection against unwanted and excessive radiation hazards
201.11 Protection against excessive temperatures and other hazards
201.11.6.3 Spillage on ME equipment and ME systems
Replacement:
218 Check conformity by the following test:
201.11.6.8 Compatibility with substances used with the ME equipment
201.11.8 Interruption of the power supply/supply mains to ME equipment
201.11.8.101 * General requirements
201.11.8.102 * Alarm condition for power supply failure
219 201.11.8.103 * Internal electrical power source
220 201.11.101 Packaging systems for components intended to be sterilized
201.12 Accuracy of controls and instruments and protection against hazardous outputs
201.12.4 Protection against hazardous output
201.12.4.101 * Accidental adjustment of operating controls
201.12.4.102 * Additional requirements for anaesthetic workstations
222 201.12.4.103 Respiratory gas monitoring equipment
201.12.4.103.1 Carbon dioxide monitoring equipment
201.12.4.103.2 Oxygen monitoring equipment
201.12.4.103.3 Anaesthetic agent monitoring equipment
201.12.4.104 Exhaled volume monitoring equipment
201.12.4.104.1 * Accuracy
223 201.12.4.104.2 Alarm conditions
201.12.4.105 * Anaesthetic breathing system integrity alarm condition
224 201.12.4.106 * Anaesthetic breathing system continuing-positive-pressure alarm condition
201.12.4.107 Anaesthetic gas delivery system oxygen supply and delivery
201.12.4.107.1 Oxygen supply failure alarm system
201.12.4.107.2 * Oxygen supply failure protection device
225 201.12.4.107.3 * Hypoxic mixture delivery selection protection device
201.12.4.108 * Protection device for the workplace environment
201.12.4.109 Airway pressure monitoring equipment
226 201.13 Hazardous situations and fault conditions
201.13.101 * Simultaneous failure
201.14 Programmable electrical medical systems (PEMS)
201.14.6.1 * Identification of known and foreseeable hazards
227 201.14.101 Software life cycle processes
201.15 Construction of ME equipment
201.15.3.5 Rough handling test
Amend as follows:
201.15.101 Operator-detachable, flow-direction-sensitive parts and accessories
201.16 ME systems
201.16.9.2.1 Multiple socket-outlet
Addition:
228 Add the following list item:
201.16.101 Additional requirements for signal input/output part
201.16.101.1 General
201.16.101.2 Connection to other equipment for network/data coupling
229 201.16.101.3 Connection to distributed alarm system/information system
201.16.101.4 * Connection for remote control
201.17 Electromagnetic compatibility of ME equipment and ME systems
201.101 Additional requirements for anaesthetic gas delivery systems
201.101.1 Identification and documents
201.101.1.1 Instructions for use
230 201.101.1.2 Technical description
231 201.101.2 * Interruption of the electrical power supply
201.101.3 Protection against cross-contamination of volatile anaesthetic agents
201.101.4 Medical gas supply
201.101.4.1 Cylinder supplies
201.101.4.1.1 Inlet connector
201.101.4.1.2 Inlet filtration
201.101.4.1.3 Pressure regulators
201.101.4.1.4 * Reserve oxygen supply
201.101.4.2 Pipeline supplies
201.101.4.2.1 Inlet connector
232 201.101.4.2.2 Inlet filtration
201.101.4.2.3 Reverse flow and cross-flow protection device
201.101.4.3 Pressure or content monitoring equipment
201.101.5 Anaesthetic gas delivery system leakage
201.101.5.1 Leakage prior to the flow rate adjustment control element
233 201.101.5.2 Leakage after the flow rate adjustment control element
201.101.6 Gas flow rate metering
201.101.6.1 Graduations and accuracy
201.101.6.2 Flow rate adjustment control
234 201.101.6.3 * Carbon dioxide flow rate adjustment control
201.101.7 Gas mixers
201.101.8 * Oxygen flush
235 201.101.9 * Fresh-gas outlet
201.101.10 Interface to interchangeable anaesthetic vapour delivery systems
201.102 Additional requirements for an anaesthetic breathing system
201.102.1 Identification, marking and documents
201.102.1.1 Marking
201.102.1.1.1 Non-metallic parts
201.102.1.1.2 Bag/ventilator control
236 201.102.1.1.3 Absorbent bypass
201.102.1.1.4 Inspiratory and expiratory ports of a circle absorber assembly
201.102.1.2 Instructions for use
237 201.102.2 Pressure limitation protection devices
201.102.2.1 * Maximum limited pressure protection device
238 201.102.2.2 * Adjustable pressure limit protection device
201.102.3 Packaging of parts of anaesthetic breathing systems
201.102.4 * Electrical conductivity
239 201.102.5 Ports and connectors
201.102.5.1 Patient connection port
201.102.5.2 *Exhaust port connector
201.102.5.3 * Reservoir bag connector
201.102.5.3.1 Arrangement and connector
240 201.102.5.3.2 Marking
201.102.5.3.3 Connectors of the reservoir bag connecting tube
201.102.5.4 Anaesthetic ventilator port connector
241 201.102.5.5 Anaesthetic breathing system port connector
201.102.5.6 * Inspiratory and expiratory port connectors of a circle absorber assembly
201.102.5.7 Other port connectors
Check conformity by inspection and inspection of the risk management file.
201.102.6 * Leakage
201.102.7 * Inspiratory and expiratory pressure/flow rate characteristics
242 201.102.8 Anaesthetic breathing system parts and accessories
201.102.8.1 * Y-piece
201.102.8.2 * Exhaust valve
201.102.8.3 * Breathing tubes
243 201.102.9 Circle absorber assemblies
201.102.9.1 * Constructional requirements
244 201.102.9.2 * Absorbent bypass mechanism
201.102.9.3 Resistance to flow rate
201.102.10 Inspiratory and expiratory valves
201.102.10.1 * Constructional requirements
245 201.102.10.2 Opening pressure
201.102.10.3 Pressure flow-rate characteristics
201.102.10.4 * Reverse flow rate and dislocation
246 201.102.11 * Fresh-gas inlet
201.102.12 Ventilation modes
201.103 Additional requirements for an AGSS
201.103.1 Identification, marking and documents
201.103.1.1 Marking
201.103.1.2 Instructions for use
201.103.2 Pressure relief protection device
247 201.103.3 General requirements
201.103.3.1 Normal condition
201.103.3.1.1 AGSS inlet pressure
201.103.3.1.2 Induced flow rate for active AGSS
201.103.3.1.3 Flow resistance for active AGSS
201.103.3.1.4 Spillage to atmosphere
248 201.103.3.1.5 Leakage
201.103.3.2 Single fault condition
201.103.3.2.1 Pressure
201.103.3.2.2 Induced flow rate for active AGSS
201.103.3.2.3 Subatmospheric pressure at the input of the receiving system for active AGSS
201.103.4 Connectors
201.103.4.1 Hose connectors
249 201.103.4.2 Connections between parts of transfer systems and receiving systems
201.103.4.3 Connections to diverting respiratory gas monitors
201.103.5 Transfer system
201.103.5.1 Inlet
201.103.5.2 Outlet
250 201.103.6 Receiving system
201.103.6.1 Inlet connectors
201.103.6.2 * Outlet connectors
201.103.6.3 Hoses
201.103.6.4 Particle filter for active AGSS
201.103.7 Transfer systems and receiving systems with integral power device for active AGSS
201.103.7 Transfer systems and receiving systems with integral power device for active AGSS
201.103.8 Visual indicator for active AGSS
251 201.104 Additional requirements for interchangeable and non-interchangeable anaesthetic vapour delivery systems
201.104.1 Identification, marking and documents
201.104.1.1 * Marking
201.104.1.2 Instructions for use
252 201.104.2 Delivered vapour concentration
201.104.2.1 Controls
201.104.2.2 * Accuracy
254 201.104.3 * Vapour concentration during and after oxygen flush
255 201.104.4 Connectors
201.104.5 Cross-contamination
201.104.6 Anaesthetic vapour delivery system filling
201.104.7 Packaging of anaesthetic vapour delivery system parts and accessories
256 201.105 Additional requirements for an anaesthetic ventilator
201.105.1 Instructions for use
257 201.105.2 Pressure limitation protection device
201.105.2.1 Maximum limited pressure protection device
201.105.2.2 * Adjustable pressure limit protection device
258 201.105.3 Activation of automatic ventilation
201.105.4 Anaesthetic breathing system port connector
201.105.5 Interruption of the electrical or pneumatic power supply
201.105.6 Exhaust port connector
259 201.105.7 * Timed ventilatory hold
201.105.7.1 Expiratory hold
201.105.7.2 Inspiratory hold
The following applies to an inspiratory hold function.
260 201.105.8 * Subatmospheric pressure
261 Key
262 201.106 Display of pressure-volume loops
201.107 Clinical evaluation
263 202 Electromagnetic disturbances — Requirements and tests
203 General requirements for radiation protection in diagnostic X-ray equipment
206 Usability
264 208 General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
208.5.2.2 * Technical description
208.6.8.3 * Global indefinite alarm signal inactivation states
208.6.8.4 * Termination of inactivation of alarm signals
208.6.12 * Alarm system logging
209 Requirements for environmentally conscious design
265 210 Process requirements for the development of physiologic closed-loop controllers
211 Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment
212 Requirements for medical electrical equipment and medical electrical systems intended for use in the emergency medical services environment
266 Annex C (informative) Guide to marking and labelling requirements for ME equipment and ME systems or their parts
201.C.1 Marking on the outside of ME equipment and ME systems or their parts
268 201.C.3 Marking of controls and instruments
201.C.4 Accompanying documents, general
274 201.C.4 Accompanying documents, technical description
276 Annex D (informative) Symbols on marking
278 Annex AA (informative) Particular guidance and rationale
290 Subclause 201.102.5.2 Exhaust port connector
Subclause 201.102.5.3.3 Connectors of the reservoir bag connecting tube
293 Holding mechanical ventilation is necessary for certain clinical procedures.
295 Annex BB (normative) Test for flammability of anaesthetic agent
BB.1 General
BB.2 Spark ignition tests
BB.3 Surface temperature ignition tests
296 Annex CC (informative) Terminology — alphabetized index of defined terms
300 Bibliography
BS EN ISO 80601-2-13:2022 - TC
$280.87