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BSI 18/30383266 DC:2018 Edition

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BS EN ISO 80601-2-13. Medical electrical equipment – Part 2-13. Particular requirements for basic safety and essential performance of an anaesthetic workstation

Published By Publication Date Number of Pages
BSI 2018 139
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PDF Catalog

PDF Pages PDF Title
12 Foreword
14 Introduction
18 201.1 Scope, object and related standards
201.1. 1 * Scope
19 201.1. 2 Object
201.1. 3 Collateral standards
201.1. 4 *Particular standards
20 201.2 Normative references
23 201.3 Terms and definitions
active anaesthetic gas scavenging system
24 anaesthetic gas
anaesthetic gas delivery system piping
25 anaesthetic ventilator
anaesthetic workstation
breathing tube
circle absorber assembly
danger zone
26 disposal hose
disposal system
exhaust port
exhaust valve
fresh gas
27 fresh-gas inlet
fresh-gas outlet
high-flow transfer and receiving system
transfer and receiving system that connects to a high-flow-rate disposal system
low-flow transfer and receiving system
transfer and receiving system that connects to a low-flow-rate disposal system
28 monitoring equipment
patient connection port
power device
power supply
protection device
receiving system
spillage
transfer system
29 y-piece
201.4 General requirements
201.4. 3 * Essential performance
201.4. 10 Power supply
201.4. 10.101* Requirements for pneumatic power input
30 201.5 General requirements for testing ME equipment
201.5.101 Additional general requirements for testing of anaesthetic workstations and anaesthetic workstation components including accessories
201.5.101.1 Test conditions
31 201.5.101.2 Test equipment
201.5.101.3 * Gas flow rate and leakage specifications
Correct all test measurements to STPD or BTPS, as appropriate.
201.6 Classification of ME equipment or ME systems
210.7 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
32 201.7.2.101 Marking with year of manufacture or use-by date
Check compliance 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 Devices Components, parts and accessories containing phthalates
33 201.7.2.105 Cylinder and pipeline pressure indicators
201.7.4.2 * Control devices
201.7.4.3 * Unit of measure
201.7.9.1 General
34 201.7.9.2.1 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 ((previously under 201.7.9.2.14))
35 201.7.9.3 Technical description
201.7.9.3.1 General
201.7.9.3.101 Components
36 201.7.9.3.102 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
37 201.9 Protection against mechanical hazards of ME equipment and ME systems
201.9.2 Mechanical 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
38 201.9.2.104 * 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
39 201.11 Protection against excessive temperatures and other hazards
201.11.6.3 Spillage on ME equipment and ME systems
Replacement:
Check compliance 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
40 201.11.8.102 * Alarm condition for power supply failure
201.11.8.103 * Internal electrical power source
41 201.11.101 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
42 201.12.4.102 * Additional requirements for anaesthetic workstations
201.12.4.103 Respiratory gas monitoring equipment
201.12.4.103.1 Carbon dioxide monitoring equipment
43 201.12.4.103.2 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
44 201.12.4.104.2 Alarm conditions
201.12.4.105 * Anaesthetic breathing system integrity alarm condition
201.12.4.106 * Anaesthetic breathing system continuing-positive-pressure alarm condition
45 201.12.4.107 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
46 201.12.4.107.3 * Hypoxic mixture delivery selection protection device
201.12.4.108 * Protection device for the workplace environment
201.12.4.109 Airway pressure monitoring equipment
47 201.13 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
48 201.14.101 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 components parts and accessories
201.16 ME systems
201.16.9.2.1 Multiple socket-outlet
Addition:
Add the following list item:
49 201.16.101 Additional requirements for signal input/output part
201.16.101.1 General
201.16.101.2 Connection to electronic health record
201.16.101.3 Connection to distributed alarm system
201.16.101.4 * Connection for remote control
201.17 Electromagnetic compatibility of ME equipment and ME systems
50 201.101 Additional requirements for anaesthetic gas delivery systems
201.101.1 Identification and documents
201.101.1.1 Instructions for use
51 201.101.1.2 Technical description
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
52 201.101.4.1.2 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
201.101.4.2.2 Inlet filtration
201.101.4.2.3 Reverse flow and cross-flow protection device
53 201.101.4.3 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
201.101.5.2 Leakage after the flow rate adjustment control element
54 201.101.6 Gas flow rate metering
201.101.6.1 Graduations and accuracy
201.101.6.2 Flow rate adjustment control
55 201.101.6.3 * Carbon dioxide flow rate adjustment control
201.101.7 Gas mixers
201.101.8 * Oxygen flush
56 201.101.9 * Fresh-gas outlet
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 components parts
201.102.1.1.2 Bag/ventilator control
201.102.1.1.3 Absorbent bypass
57 201.102.1.1.4 Inspiratory and expiratory ports of a circle absorber assembly
201.102.1.2 Instructions for use
59 201.102.2 Pressure limitation protection device
201.102.2.1 * Maximum limited pressure protection device
201.102.2.2 * Adjustable pressure limitation protection device
201.102.3 Packaging of parts of anaesthetic breathing systems component packaging
201.102.4 * Electrical conductivity
60 201.102.5 Connection ports
201.102.5.1 Patient connection port
201.102.5.2 Exhaust port connector
201.102.5.3 * Reservoir bag connection port
62 201.102.5.4 Anaesthetic ventilator port connector
201.102.5.5 Anaesthetic breathing system component port connector
201.102.5.6 * Inspiratory and expiratory port connectors of a circle absorber assembly
201.102.5.7 Other port connectors
63 201.102.6 * Leakage
201.102.7 * Inspiratory and expiratory pressure/flow rate characteristics
201.102.8 Anaesthetic breathing system components parts and accessories
201.102.8.1 * Y-piece
201.102.8.2 * Exhaust valve
64 201.102.9 Circle absorber assemblies
201.102.9.1 * Constructional requirements
201.102.9.2 * Absorbent bypass mechanism
65 201.102.9.3 Resistance to flow rate
201.102.10 Inspiratory and expiratory valves
201.102.10.1 * Constructional requirements
201.102.10.2 Opening pressure
66 201.102.10.3 Pressure flow-rate characteristics
201.102.10.4 * Reverse flow rate and dislocation
67 201.102.11 * Fresh-gas inlet
201.102.12 Ventilation modes
201.103 Additional requirements for an anaesthetic gas scavenging system
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
68 201.103.3 Basic requirements
201.103.3.1 Normal condition
201.103.3.1.1 Anaesthetic gas scavenging system inlet pressure
201.103.3.1.2 Induced flow rate
201.103.3.1.3 Flow resistance
201.103.3.1.4 Spillage to atmosphere
69 201.103.3.1.5 Leakage
201.103.3.2 Single fault condition
201.103.3.2.1 Pressure
201.103.3.2.2 Induced flow rate
201.103.3.2.3 Subatmospheric pressure at the input of the receiving system
201.103.4 Connectors
201.103.4.1 Hose connectors
70 201.103.4.2 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
71 201.103.5.2 Outlet
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
72 201.103.7 Transfer systems and receiving systems with integral power device
201.103.8 Visual indicator
201.104 Additional requirements for an anaesthetic vapour delivery system
201.104.1 Identification, marking and documents
201.104.1.1 * Marking
73 201.104.1.2 Instructions for use
201.104.2 Delivered vapour concentration
201.104.2.1 Controls
74 201.104.2.2 * Accuracy
75 201.104.3 * Vapour concentration during and after oxygen flush
76 201.104.4 Connectors
201.104.5 Cross-contamination
201.104.6 Anaesthetic vapour delivery system filling
77 201.104.7 Packaging of anaesthetic vapour delivery system parts and accessories
201.105 Additional requirements for an anaesthetic ventilator
201.105.1 Instructions for use
78 201.105.2 Pressure limitation protection device
201.105.2.1 Maximum limited pressure protection device
201.105.2.2 * Adjustable pressure limitation protection device
79 201.105.3 Activation of automatic ventilation
201.105.4 Breathing system connection port
201.105.5 Interruption of the electrical or pneumatic power supply
201.105.6 Exhaust port connector
80 201.105.7 * Timed ventilatory pause
201.105.7.1 Expiratory pause
81 201.105.7.2 Inspiratory pause
The following applies to an inspiratory pause function.
201.105.8 * Subatmospheric pressure
83 Key
84 201.106 Display of pressure-volume loops
201.107 Clinical evaluation
202 Electromagnetic disturbances — Requirements and tests
203 General requirements for radiation protection in diagnostic X-ray equipment
206 Usability
85 208 General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
208.5.2.2 * Technical description
86 208.6.8.3 * 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
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
87 212 Requirements for medical electrical equipment and medical electrical systems intended for use in the emergency medical services environment
88 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
90 201.C.3 Marking of controls and instruments
91 201.C.4 Accompanying documents, general
98 201.C.4 Accompanying documents, technical description
99 Annex D (informative) Symbols on marking
102 Annex AA (informative) Particular guidance and rationale
118 Pausing mechanical ventilation is necessary for certain clinical procedures.
120 Annex BB (normative) Test for flammability of anaesthetic agent
BB.1 General
BB.2 Spark ignition tests
BB.3 Surface temperature ignition tests
121 Annex CC (informative) Data interface requirements For consideration during CD stage
122 Annex DD
126 Bibliography
128 Anhang ZA (informative) Relationship between this European Standard and the essential requirements of Directive 93/42/EEC [OJ L 169] aimed to be covered
BSI 18/30383266 DC
$24.66